Evidence map›Paper›PMID 41193210›Full record

ArticleBMJ open2025

Patient flow and safety after implementing a community paramedicine service: a quasi-experimental study.

Odd Eirik Elden, Emma Brulin, Oddvar Uleberg, Bodil J Landstad, Havard Dalen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

5 authors.

Odd Eirik EldenDepartment of Prehospital Services, Helse Nord-Trondelag HF, Levanger, Norway oddeirik.elden@hnt.no.ORCID http://orcid.org/0000-0002-7707-6180
Emma BrulinUnit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-3374-268X
Oddvar UlebergDepartment of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.ORCID http://orcid.org/0000-0002-7913-5957
Bodil J LandstadDepartment of Health Sciences, Section of Public Health, Mid Sweden University, Östersund, Sweden.ORCID http://orcid.org/0000-0001-6558-3129
Havard DalenDepartment of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCommunity paramedicine services (CPSs) may alleviate the increasing pressure on emergency medical services (EMSs) but lack the capacity for patient transport. The study aims to determine whether a municipality implementing the CPS between periods (CPS

designA quasi-experimental study evaluating patient flow and safety before and after the introduction of CPS in one of two rural municipalities.

settingTwo rural Norwegian municipalities that were served by EMS from nearby municipalities before the study started.

participantsBefore and after the introduction of CPS, a total of 604 and 650 patients, respectively, were included in CPS

interventionsCPS was introduced in CPS OUTCOME MEASURES: The outcome of patient flow was assessed by the number of admissions to nearby hospitals, the number of patient contacts and the location for delivery and treatment. The outcome for safety was assessed as the need for medical recontact within 7 days and 30-day mortality.

resultsHospital admission rates increased over the two study periods, being insignificant in CPS

conclusionsIntroducing CPS resulted in fewer hospital admissions, with more patients being treated locally. No safety concerns with respect to medical recontacts and 30-day mortality were observed. We conclude that CPS can alter patient flow towards more local treatment without compromising safety.

Indexed as

Community Health ServicesEmergency Medical ServicesPatient SafetyRural Health ServicesTransportation of PatientsAdultAgedFemaleHumansMaleMiddle AgedNorwayParamedicineRural PopulationEmergency Service, HospitalHealth & safetyPatient-Centered CarePrimary Health CareSafety

Identifiers

PMID41193210
PMCPMC12587970

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Registered trials

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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.