Evidence map›Paper›PMID 36535715›Full record

ArticleBMJ open2022

Understanding the roles and work of paramedics in primary care: a national cross-sectional survey.

Georgette Eaton, Stephanie Tierney, Geoff Wong, Jason Oke, Veronika Williams, Kamal Ram Mahtani

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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
  5. Article
  6. Article
  7. GPs' perspectives on diagnostic tests for children: a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  8. Transition processes for newly qualified paramedics entering primary care: a critical discussion and theoretical perspective.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
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

6 authors at 2 institutions in 2 countries.

Georgette EatonNuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UK georgette.eaton@phc.ox.ac.uk.ORCID 0000-0001-9421-2845
Stephanie TierneyNuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UK.
Geoff WongNuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UK.
Jason OkeNuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UK.
Veronika WilliamsFaculty of Education and Professional Studies - School of Nursing, Nipissing University, North Bay, Ontario, Canada.
Kamal Ram MahtaniNuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UK.
University of Oxford · GBNipissing University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis research aimed to fill a current knowledge gap, namely the current scope of clinical role of paramedics in primary care, in relation to specific constructs such a level of education and clinical experience.

settingThe survey was distributed to paramedics in primary care across the UK through the College of Paramedics.

participantsA total of 341 surveys were returned (male=215). 90% of responses were from paramedics in England, 1.7% from paramedics in Northern Ireland, 4.6% from paramedics in Scotland and 2.9% from paramedics in Wales. This represents approximately 33% of the primary care paramedic workforce in England and Wales. Estimates for percentages in Northern Ireland and Scotland are unavailable due to the lack of workforce datasets capturing paramedics in primary care.

resultsConsiderable variation was found in job titles, level of education and provision of clinical supervision of paramedics in primary care. Differing levels of practice were noted, despite guidance documents that attempt to standardise the role. Statistical analysis of quantitative data highlighted that relationships exist between paramedic clinical exposure in primary care, level of education, and ability of independently prescribe medicines and the extent to which clinical presentations are seen and examinations performed. However, free-text responses indicated that challenges in relation to access to further education and clinical supervision to support clinical development resulted in frustration for paramedics who work in this setting.

conclusionsAs well as offering an insight into the demographics of the primary care paramedic work force, there is indication of the clinical scope of role undertaken in this setting. Based on our findings, we recommend changes to education and support, governance and legislation to ensure paramedics employed in primary care can work to achieve the full extent of their professional capability.

Indexed as

Emergency Medical TechniciansParamedicsAllied Health PersonnelCross-Sectional StudiesHumansMalePrimary Health CareSurveys and QuestionnairesOrganisation of health servicesPRIMARY CAREQuality in health care

Identifiers

PMID36535715
PMCPMC9764645
OpenAlexW4312050553

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.