Evidence map›Paper›PMID 32398344›Full record

ArticleBJGP open2020

Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods scoping study.

Behnaz Schofield, Sarah Voss, Alyesha Proctor, Jonathan Benger, David Coates, Kim Kirby, Sarah Purdy, Matthew Booker

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Paramedic or GP consultations in primary care: prospective study comparing costs and outcomes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  4. Effect of Additional Roles Reimbursement Scheme roles on prescription patterns and patient satisfaction in England: a retrospective panel data analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  5. Challenges and enablers to implementation of the Additional Roles Reimbursement Scheme in primary care: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Behnaz SchofieldUniversity of the West of England UWE Bristol, Bristol, UK.
Sarah VossUniversity of the West of England UWE Bristol, Bristol, UK sarah.voss@uwe.ac.uk.ORCID http://orcid.org/0000-0001-5044-5145
Alyesha ProctorUniversity of the West of England UWE Bristol, Bristol, UK.
Jonathan BengerUniversity of the West of England UWE Bristol, Bristol, UK.
David CoatesBrisDoc Healthcare Services, Bristol, UK.
Kim KirbySouth Western Ambulance Service NHS Foundation Trust, Exeter, UK.
Sarah PurdyBristol Medical School, University of Bristol, Bristol, UK.
Matthew BookerBristol Medical School, University of Bristol, Bristol, UK.
University of the West of England · GBUniversity of Bristol · GB3C Research (United Kingdom) · GBSouth Western Ambulance Service NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral practice in the UK faces continuing challenges to balance a workforce shortage against rising demand. The NHS England

aimTo understand how paramedics are deployed in general practice, and to investigate the theories and drivers that underpin this service development. DESIGN &

settingA mixed-methods study using a literature review, national survey, and qualitative interviews.

methodA three-phase study was undertaken that consisted of: a literature review and survey; meetings with key informants (KIs); and direct enquiry with relevant staff stakeholders (SHs).

resultsThere is very little evidence on the safety and cost-effectiveness of paramedics working in general practice and significant variation in the ways that paramedics are deployed, particularly in terms of the patients seen and conditions treated. Nonetheless, there is a largely positive view of this development and a perceived reduction in GP workload. However, some concerns centre on the time needed from GPs to train and supervise paramedic staff.

conclusionThe contribution of paramedics in general practice has not been fully evaluated. There is a need for research that takes account of the substantial variation between service models to fully understand the benefits and consequences for patients, the workforce, and the NHS.

Indexed as

allied health personnelgeneral practitionershealth workforceparamedicprimary health care

Identifiers

PMID32398344
PMCPMC7330225
OpenAlexW3022980949

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.