Community paramedicine home visits: patient perceptions and experiences

Stephen Hughes, Chris Seenan

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Abstract

Background: Community paramedicine (CP) is an emerging model of community-based healthcare delivered around the world by paramedics with additional skills, education and training. There is a lack of qualitative research on patient perceptions and experiences of this phenomenon. Aims: The study aimed to explore patient perceptions and experiences of CP home visits delivered by specialist paramedics (SPs) in a Scottish urban general practice home-visit setting. Patient acceptance and CP primary-care strategic value were examined. Methods: An explorative qualitative study using purposive sampling, semi-structured interviews and thematic analysis. Findings: Five main themes were identified: provide a well-communicated, professional, knowledgeable and comprehensive home visit consultation; SP-patient relationship and continuity of care; acceptance of SP home visits in place of GP home visits; quicker response and an increased possibility of a home visit; and limitations of the SP role. Conclusion: Patient perceptions and experience of CP were positive, with patients accepting this model of care. Opportunities to improve healthcare, including better continuity or care and health monitoring, were found.
Original languageEnglish
Pages (from-to)248 - 257
Number of pages10
JournalJournal of Paramedic Practice
Volume13
Issue number6
DOIs
Publication statusPublished - 2 Jun 2021

Keywords

  • Specialist paramedic
  • Paramedic practitioner
  • General practice
  • General practitioner
  • Home visit
  • Primary care

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