Identifying the Context-Specific Roles Enacted by Community Paramedics in Canada

Ms Chelsea Lanos1, A/Prof. Alan Batt1

1Monash University, Australia

Biography:

Dr. Alan Batt is Associate Professor (adjunct) at Monash University, and Paramedicine Program Lead at Queen's University.

Abstract:

Background

Community paramedics provide person-centred care in a diverse range of settings that address the needs of the communities they serve. Their practice may include the provision of primary health care, health promotion, chronic and episodic disease management, clinical assessment, and needs-based interventions.

Objectives

We sought to describe the roles that community paramedics enact in Canada.

Methods

This was a three-phase study that combined 1) frameworks describing community paramedicine in Canada, 2) a review of community paramedicine literature focused within the Canadian setting, and 3) a review of data reported by a pan-Canadian working group on community care, primary care, and public health paramedic practice. Elements identified at each phase were extracted and mapped to an existing role description for paramedics in Canada. Elements central or unique to community paramedic practice were iteratively identified and highlighted.

Results

Community paramedics perform multiple roles that span a broad continuum of the healthcare system: clinician, professional, education, advocate, team member, system navigator, and reflective practitioner.

Conclusion

Community paramedics share common roles with other paramedics in Canada, but their enactment of these roles is contextually specific and involves elements that are either unique or more prominent when compared to traditional paramedic practice.

 

 

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