Mobile Integrated Health Care and Community Paramedicine: An Emerging Emergency Medical Services Concept

Mobile integrated health care and community paramedicine are models of health care delivery that use emergency medical services (EMS) personnel to fill gaps in local health care infrastructure. Community paramedics may perform in an expanded role and require additional training in the management of...

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Bibliographic Details
Published in:Annals of emergency medicine 2016-03, Vol.67 (3), p.361-366
Main Authors: Choi, Bryan Y., MD, Blumberg, Charles, BS, Williams, Kenneth, MD
Format: Article
Language:English
Subjects:
Allied Health Personnel
Community Health Services - manpower
Community Health Services - trends
Delivery of Health Care, Integrated - manpower
Delivery of Health Care, Integrated - trends
Emergency
Emergency Medical Services - manpower
Emergency Medical Services - trends
Humans
Mobile Health Units - manpower
Mobile Health Units - trends
United States
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Summary:Mobile integrated health care and community paramedicine are models of health care delivery that use emergency medical services (EMS) personnel to fill gaps in local health care infrastructure. Community paramedics may perform in an expanded role and require additional training in the management of chronic disease, communication skills, and cultural sensitivity, whereas other models use all levels of EMS personnel without additional training. Currently, there are few studies of the efficacy, safety, and cost-effectiveness of mobile integrated health care and community paramedicine programs. Observations from existing program data suggest that these systems may prevent congestive heart failure readmissions, reduce EMS frequent-user transports, and reduce emergency department visits. Additional studies are needed to support the clinical and economic benefit of mobile integrated health care and community paramedicine.
ISSN:0196-0644
1097-6760
DOI:10.1016/j.annemergmed.2015.06.005