Title |
Evidence-based paramedic models of care to reduce unnecessary emergency department attendance – feasibility and safety
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Published in |
BMC Emergency Medicine, July 2013
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DOI | 10.1186/1471-227x-13-13 |
Pubmed ID | |
Authors |
Judith C Finn, Daniel M Fatovich, Glenn Arendts, David Mountain, Hideo Tohira, Teresa A Williams, Peter Sprivulis, Antonio Celenza, Tony Ahern, Alexandra P Bremner, Peter Cameron, Meredith L Borland, Ian R Rogers, Ian G Jacobs |
Abstract |
As demand for Emergency Department (ED) services continues to exceed increases explained by population growth, strategies to reduce ED presentations are being explored. The concept of ambulance paramedics providing an alternative model of care to the current default 'see and transport to ED' has intuitive appeal and has been implemented in several locations around the world. The premise is that for certain non-critically ill patients, the Extended Care Paramedic (ECP) can either 'see and treat' or 'see and refer' to another primary or community care practitioner, rather than transport to hospital. However, there has been little rigorous investigation of which types of patients can be safely identified and managed in the community, or the impact of ECPs on ED attendance. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 1% |
Italy | 1 | <1% |
Canada | 1 | <1% |
Australia | 1 | <1% |
Unknown | 158 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 35 | 21% |
Researcher | 16 | 10% |
Student > Master | 14 | 9% |
Student > Postgraduate | 13 | 8% |
Other | 11 | 7% |
Other | 32 | 20% |
Unknown | 42 | 26% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 51 | 31% |
Nursing and Health Professions | 44 | 27% |
Social Sciences | 7 | 4% |
Agricultural and Biological Sciences | 4 | 2% |
Business, Management and Accounting | 3 | 2% |
Other | 11 | 7% |
Unknown | 43 | 26% |