Trial reportHealth services research2018
Home Visit-Based Community Paramedicine and Its Potential Role in Improving Patient-Centered Primary Care: A Grounded Theory Study and Framework.
Trial report in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Educational interventions for health professionals managing chronic obstructive pulmonary disease in primary care.The Cochrane database of systematic reviews · 2022Pooled it
- Reshaping healthcare delivery for elderly patients: the role of community paramedicine; a systematic review.BMC health services research · 2021Pooled it
- Effect of an Advanced Community Paramedic Program to Shorten or Prevent Hospitalizations: A Pragmatic, Point-of-Care, Randomized Clinical Trial.Annals of family medicine · 2026Trial
- The impact of an Education-Based Intervention Program (EBIP) on dyspnea and chronic self-care management among chronic obstructive pulmonary disease patients. A randomized controlled study.Saudi medical journal · 2020Trial
- A Cost Analysis of Mobile Integrated Health for Acute Care.The western journal of emergency medicine · 2026Article
- Modeling IN out-of-hospital emergency medical services-a scoping review of approaches and applications.Frontiers in public health · 2026Article
- Home intravenous diuretic administration for heart failure management: A scoping review.PloS one · 2025Article
- Identifying Features of a System of Practice to Inform a Contemporary Competency Framework for Paramedics in Canada.Healthcare (Basel, Switzerland) · 2024Article
- Exploring the alignment between paramedicine's professional capabilities and competency frameworks for current and evolving scopes of practice: a literature review.BMC medical education · 2024Review
- Diabetic Kidney Disease Prevention Care Model Development.Clinical diabetes : a publication of the American Diabetes Association · 2024Article
- An Integrative Systematic Review of Promoting Patient Safety Within Prehospital Emergency Medical Services by Paramedics: A Role Theory Perspective.Journal of multidisciplinary healthcare · 2024Review
- Delivery of public health interventions by the ambulance sector: a scoping review.BMC public health · 2023Article
- Article
- Mobile Integrated Health Interventions for Older Adults: A Systematic Review.Innovation in aging · 2023Review
- Automated referral to community paramedicine during 9-1-1 fall calls for resource activation.Journal of the American Geriatrics Society · 2022Article
- The development of community paramedicine; a restricted review.Health & social care in the community · 2022Review
- Article
- Diabetes Management for Community Paramedics: Development and Implementation of a Novel Curriculum.Diabetes spectrum : a publication of the American Diabetes Association · 2022Article
- The introduction of advanced paramedics into primary care in Northern Ireland: a qualitative descriptive study of the experiences of general practitioners.British paramedic journal · 2021Article
- "They're very passionate about making sure that women stay healthy": a qualitative examination of women's experiences participating in a community paramedicine program.BMC health services research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveCommunity paramedicine (CP) is a model of community-based health care being used around the world. Our objective was to study the patient perspective and valuation of this type of program to understand its potential value for primary care innovation in the future. STUDY
settingThe EPIC community paramedicine program is a partnership between primary care physicians and specially trained community paramedics, designed to provide in-home support for complex chronic disease patients in Ontario, Canada. STUDY
designAs part of an ongoing clinical trial we designed an embedded qualitative evaluation using constructionist grounded theory methodology. DATA COLLECTION
methodsData collection included in-depth interviews with 30 patients and/or family members and 60 hours of observation. PRINCIPAL
findingsThe health care needs of this complex population are largely attributes that impact a patient's quality of life-including recognition of their vulnerability, providing a safety-net in times of exacerbation and health education and accountability. This seems to be facilitated by a relationship with a dedicated provider that increases continuity of care.
conclusionsHome-based community paramedicine programs like EPIC appear to be able to create a patient-centered, safe, responsive therapeutic relationship that is often not possible within the standard primary health care system.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.