SynthesisBMC health services research2021
Reshaping healthcare delivery for elderly patients: the role of community paramedicine; a systematic review.
Synthesis in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
What it found
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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
29 citing papers in PubMed, 66 citations in OpenAlex.
- 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
- Realist evaluation of the community paramedicine at clinic (CP@clinic) programme in rural Australian community health: protocol.BMJ open · 2026Article
- How Can Community Paramedics Help in Addressing Mental Health for Vulnerable Australians?The Australian journal of rural health · 2026Article
- A Cost Analysis of Mobile Integrated Health for Acute Care.The western journal of emergency medicine · 2026Article
- Evaluation of an integrated digital and mobile intervention to improve outcomes for patients with moderate to severe COPD.NPJ digital medicine · 2025Article
- Exploring alternative paramedic roles: a multinational mixed-methods survey.BMC medical education · 2025Article
- A qualitative RE-AIM evaluation of an embedded community paramedicine program in an Ontario Family Health Team.BMC primary care · 2025Article
- "I don't think service changed, I think people changed": Palliative care delivery in Aotearoa/New Zealand after COVID-19.Palliative care and social practice · 2025Article
- Healthy at Home for COPD: An Integrated Digital Monitoring, Treatment, and Pulmonary Rehabilitation Intervention.BMC digital health · 2025Article
- Unscheduled home consultations by registered nurses may reduce acute clinic visits.BMC health services research · 2024Article
- Community paramedicine in dementia care.Journal of the American Geriatrics Society · 2024Article
- The Chinese translation and cross-cultural adaptation of PRISMA-7 questionnaire: an observational study to establish the accuracy, reliability and validity.BMC geriatrics · 2024Observational
- Article
- Investment in community-based rural health care innovation to address health inequities in Australia.The Lancet regional health. Western Pacific · 2023Article
- 'It breaks a narrative of paramedics, that we're lifesavers': A qualitative study of health professionals', bereaved family members' and carers' perceptions and experiences of palliative paramedicine.Palliative medicine · 2023Article
- Article
- Improving paramedic responses for patients dying at home: a theory of change-based approach.BMC emergency medicine · 2023Article
- Article
- Paramedic supportive discharge programmes to improve health system efficiency and patient outcomes: a scoping review protocol.BMJ open · 2023Article
- Factors Associated With Successful Enrollment in a Community Paramedicine Program for Heart Failure.Cureus · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundHealthcare systems are overloaded and changing. In response to growing demands on the healthcare systems, new models of healthcare delivery are emerging. Community paramedicine is a novel approach in which paramedics use their knowledge and skills beyond emergency health response to contribute to preventative and rehabilitative health. In our systematic review, we aimed to identify evidence of the community paramedicine role in care delivery for elderly patients, with an additional focus on palliative care, and the possible impact of this role on the wider healthcare system.
methodsA systematic review of peer-reviewed literature from MEDLINE, Embase, CINAHL, and Web of Sciences was undertaken to identify relevant full-text articles in English published until October 3, 2019. Additional inclusion criteria were studies focussing on extended care paramedics or community paramedics caring for elderly patients. Case studies were excluded. All papers were screened by at least two authors and underwent a quality assessment, using the Joanna Briggs Institute appraisal checklists for cross sectional, qualitative, cohort, and randomised controlled trial studies to assess the methodological quality of the articles. A process of narrative synthesis was used to summarise the data.
resultsTen studies, across 13 articles, provided clear evidence that Community Paramedic programs had a positive impact on the health of patients and on the wider healthcare system. The role of a Community Paramedic was often a combination of four aspects: assessment, referral, education and communication. Limited evidence was available on the involvement of Community Paramedics in palliative and end-of-life care and in care delivery in residential aged care facilities. Observed challenges were a lack of additional training, and the need for proper integration and understanding of their role in the healthcare system.
conclusionsThe use of community paramedics in care delivery could be beneficial to both patients' health and the wider healthcare system. They already play a promising role in improving the care of our elderly population. With consistent adherence to the training curriculum and effective integration within the wider healthcare system, community paramedics have the potential to take on specialised roles in residential aged care facilities and palliative and end-of-life care.
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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.