
BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)
Published: April 10, 2025
Abstract Background Globally, ambulance services face overwhelming primary and urgent care presentations that they are not structurally or culturally designed to manage efficiently effectively. One mechanism meet this consumer demand is the implementation of Paramedic Practitioner models with postgraduate qualifications in care. This study explores interest-holder views on reactive within Australian services. Methods A multidisciplinary team representing was formed, including paramedicine, nursing, medicine. realist lens adopted, a qualitative research design using inductive thematic analysis employed. Semi-structured focus groups interviews were conducted obtain data from 56 participants. Interest-holders represented included consumers ( n = 16), members parliament 3), government executives 8), industry emergency medicine, general practice, paramedicine 6), service medical directors 7), researchers practicing clinicians medicine 8). Results Consumers described calling for non-emergency complaints as didn’t know if their concern an not, wanting go hospital, someone listen them, reassure then quickly solve problem spot: saw Practitioners aptly meeting need. Among healthcare professions, opinions divided. Most participants largely unfamiliar evidence base supporting model concept received widespread support at clinician level, small but avidly dissenting contingent national policymakers opposed models. considered require broad across system be effective. Policymakers unsure which outcomes wanted measured evaluate Conclusion reports wide range perspectives use Enablers 10) barriers efficient effective identified. Key interest 6) identified, these may operationalised future evaluations programs.
Language: Английский