Evidence map›Paper›PMID 42414908›Full record

ArticleBMC emergency medicine2026

The impact of community paramedicine service on prehospital time intervals in rural Norway: a quasi-experimental study.

Odd Eirik Elden, Oddvar Uleberg, Emma Brulin, Bodil J Landstad, Maja Pålsdatter Lønvik, Øyvind Salvesen, Havard Dalen

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In one paragraph

Article in BMC emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Odd Eirik EldenDepartment of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim University Hospital, Trondheim, Norway. OddEirik.Elden@helse-nordtrondelag.no.
Oddvar UlebergDepartment of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim University Hospital, Trondheim, Norway.
Emma BrulinUnit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Bodil J LandstadDepartment of Human Sciences, Division of Public Health Sciences, Mid Sweden University, Östersund, Sweden.
Maja Pålsdatter LønvikDepartment of Surgery, Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway.
Øyvind SalvesenDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Havard DalenDepartment of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim University Hospital, Trondheim, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity paramedicine service (CPS) may improve prehospital healthcare delivery in rural regions. As CPS does not provide patient transport, its introduction could prolong prehospital time intervals. Thus, we aimed to evaluate whether CPS implementation influenced prehospital time intervals for acute patients admitted to hospital.

methodsIn this quasi-experimental study, we compared prehospital time intervals for acute missions resulting in hospital admission in two rural Norwegian municipalities with similar characteristics. Data were collected over four years before and two years after CPS implementation in one municipality (CPS

resultsOf 1,872 missions, 362 acute missions with hospital admission were included, of which 228 occurred in the CPS

conclusionsCPS implementation was not associated with changes of the total prehospital interval but was linked to shorter response interval and EMS on-scene intervals, which may indicate earlier arrival of prehospital personnel without evidence of delayed start of transport. However, given the observational design and the absence of clinical outcome data, the overall impact on patient safety and system performance remains uncertain.

Indexed as

Community Health ServicesEmergency Medical ServicesRural Health ServicesAdultAgedFemaleHumansMaleMiddle AgedNorwayParamedicsRural PopulationTime FactorsCommunity paramedicinePrehospital emergency careRural health servicesTime study

Identifiers

PMID42414908
PMCPMC13637346

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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.