Evidence map›Paper›PMID 39232754›Full record

ArticleBMC health services research2024

Exploring the feasibility and acceptability of community paramedicine programs in achieving vaccination equity: a qualitative study.

Monica L Kasting, Alfu Laily, Sidney J Smith, Sathveka Sembian, Katharine J Head, Bukola Usidame, Gregory D Zimet, Laura M Schwab-Reese

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Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Monica L KastingDepartment of Public Health, Purdue University, 812 W. State Street, West Lafayette, IN, 47907, USA. mlkastin@purdue.edu.
Alfu LailyDepartment of Public Health, Purdue University, 812 W. State Street, West Lafayette, IN, 47907, USA.
Sidney J SmithDepartment of Public Health, Purdue University, 812 W. State Street, West Lafayette, IN, 47907, USA.
Sathveka SembianWheldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA.
Katharine J HeadDepartment of Communication Studies, Indiana University, Indianapolis, IN, USA.
Bukola UsidameDepartment of Public Health, Purdue University, 812 W. State Street, West Lafayette, IN, 47907, USA.
Gregory D ZimetEmeritus, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Laura M Schwab-ReeseDepartment of Public Health, Purdue University, 812 W. State Street, West Lafayette, IN, 47907, USA.

Funding

Merck Sharp & Dohme LLC N/A
6 · The paper itself

Abstract

backgroundMobile Integrated Health-Community Paramedicine (MIH-CP) is a novel approach that may reduce the rural-urban disparity in vaccination uptake in the United States. MIH-CP providers, as physician extenders, offer clinical follow-up and wrap-around services in homes and communities, uniquely positioning them as trusted messengers and vaccine providers. This study explores stakeholder perspectives on feasibility and acceptability of community paramedicine vaccination programs.

methodsWe conducted semi-structured qualitative interviews with leaders of paramedicine agencies with MIH-CP, without MIH-CP, and state/regional leaders in Indiana. Interviews were audio recorded, transcribed verbatim, and analyzed using content analysis.

resultsWe interviewed 24 individuals who represented EMS organizations with MIH-CP programs (MIH-CP; n = 10), EMS organizations without MIH-CP programs (non-MIH-CP; n = 9), and state/regional administrators (SRA; n = 5). Overall, the sample included professionals with an average of 19.6 years in the field (range: 1-42 years). Approximately 75% (n = 14) were male, and all identified as non-Hispanic white. MIH-CPs reported they initiated a vaccine program to reach underserved areas, operating as a health department extension. Some MIH-CPs integrated existing services, such as food banks, with vaccine clinics, while other MIH-CPs focused on providing vaccinations as standalone initiatives. Key barriers to vaccination program initiation included funding and vaccinations being a low priority for MIH-CP programs. However, participants reported support for vaccine programs, particularly as they provided an opportunity to alleviate health disparities and improve community health. MIH-CPs reported low vaccine hesitancy in the community when community paramedics administered vaccines. Non-CP agencies expressed interest in launching vaccine programs if there is clear guidance, sustainable funding, and adequate personnel.

conclusionsOur study provides important context on the feasibility and acceptability of implementing an MIH-CP program. Findings offer valuable insights into reducing health disparities seen in vaccine uptake through community paramedics, a novel and innovative approach to reduce health disparities in rural communities.

Indexed as

Feasibility StudiesQualitative ResearchAdultCommunity Health ServicesFemaleHumansImmunization ProgramsIndianaInterviews as TopicMaleMiddle AgedParamedicinePatient Acceptance of Health CareVaccinationCommunity ParamedicineHealth inequitiesParamedicineRural PopulationVaccination Coverage

Identifiers

PMID39232754
PMCPMC11375945

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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.