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Emergency Medical Services Professionals' Attitudes About Community Paramedic Programs
The number of community paramedic (CP) programs has expanded to mitigate the impact of increased patient usage on emergency services. However, it has not been determined to what extent emergency medical services (EMS) professionals would be willing to participate in this model of care. With this pro...
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Published in: | The western journal of emergency medicine 2017-06, Vol.18 (4), p.630-639 |
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description | The number of community paramedic (CP) programs has expanded to mitigate the impact of increased patient usage on emergency services. However, it has not been determined to what extent emergency medical services (EMS) professionals would be willing to participate in this model of care. With this project, we sought to evaluate the perceptions of EMS professionals toward the concept of a CP program.
We used a cross-sectional study method to evaluate the perceptions of participating EMS professionals with regard to their understanding of and willingness to participate in a CP program. Approximately 350 licensed EMS professionals currently working for an EMS service that provides coverage to four states (Missouri, Arkansas, Kansas, and Oklahoma) were invited to participate in an electronic survey regarding their perceptions toward a CP program. We analyzed interval data using the Mann-Whitney
test, Kruskal-Wallis one-way analysis of variance, and Pearson correlation as appropriate. Multivariate logistic regression was performed to examine the impact of participant characteristics on their willingness to perform CP duties. Statistical significance was established at p ≤ 0.05.
Of the 350 EMS professionals receiving an invitation, 283 (81%) participated. Of those participants, 165 (70%) indicated that they understood what a CP program entails. One hundred thirty-five (58%) stated they were likely to attend additional education in order to become a CP, 152 (66%) were willing to perform CP duties, and 175 (75%) felt that their respective communities would be in favor of a local CP program. Using logistic regression with regard to willingness to perform CP duties, we found that females were more willing than males (OR = 4.65; p = 0.03) and that those participants without any perceived time on shift to commit to CP duties were less willing than those who believed their work shifts could accommodate additional duties (OR = 0.20; p < 0.001).
The majority of EMS professionals in this study believe they understand CP programs and perceive that their communities want them to provide CP-level care. While fewer in number, most are willing to attend additional CP education and/or are willing to perform CP duties. |
doi_str_mv | 10.5811/westjem.2017.3.32591 |
format | article |
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We used a cross-sectional study method to evaluate the perceptions of participating EMS professionals with regard to their understanding of and willingness to participate in a CP program. Approximately 350 licensed EMS professionals currently working for an EMS service that provides coverage to four states (Missouri, Arkansas, Kansas, and Oklahoma) were invited to participate in an electronic survey regarding their perceptions toward a CP program. We analyzed interval data using the Mann-Whitney
test, Kruskal-Wallis one-way analysis of variance, and Pearson correlation as appropriate. Multivariate logistic regression was performed to examine the impact of participant characteristics on their willingness to perform CP duties. Statistical significance was established at p ≤ 0.05.
Of the 350 EMS professionals receiving an invitation, 283 (81%) participated. Of those participants, 165 (70%) indicated that they understood what a CP program entails. One hundred thirty-five (58%) stated they were likely to attend additional education in order to become a CP, 152 (66%) were willing to perform CP duties, and 175 (75%) felt that their respective communities would be in favor of a local CP program. Using logistic regression with regard to willingness to perform CP duties, we found that females were more willing than males (OR = 4.65; p = 0.03) and that those participants without any perceived time on shift to commit to CP duties were less willing than those who believed their work shifts could accommodate additional duties (OR = 0.20; p < 0.001).
The majority of EMS professionals in this study believe they understand CP programs and perceive that their communities want them to provide CP-level care. While fewer in number, most are willing to attend additional CP education and/or are willing to perform CP duties.</description><identifier>ISSN: 1936-900X</identifier><identifier>ISSN: 1936-9018</identifier><identifier>EISSN: 1936-9018</identifier><identifier>DOI: 10.5811/westjem.2017.3.32591</identifier><identifier>PMID: 28611884</identifier><language>eng</language><publisher>United States: Department of Emergency Medicine, University of California, Irvine School of Medicine</publisher><subject>Adult ; Attitude of Health Personnel ; Community Health Services - standards ; Cross-Sectional Studies ; Emergency Medical Services - standards ; Emergency Medical Technicians - education ; Emergency Medical Technicians - standards ; Female ; Humans ; Male ; Middle Aged ; Prehospital Care ; Surveys and Questionnaires</subject><ispartof>The western journal of emergency medicine, 2017-06, Vol.18 (4), p.630-639</ispartof><rights>Copyright: © 2017 Steeps et al 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-a6e6e5b512acbe29e272f03efbbda44a509d27230d541ea6d0e74ba3e6bdfb793</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5468069/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5468069/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28611884$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Steeps, Robert J</creatorcontrib><creatorcontrib>Wilfong, Denise A</creatorcontrib><creatorcontrib>Hubble, Michael W</creatorcontrib><creatorcontrib>Bercher, Daniel L</creatorcontrib><title>Emergency Medical Services Professionals' Attitudes About Community Paramedic Programs</title><title>The western journal of emergency medicine</title><addtitle>West J Emerg Med</addtitle><description>The number of community paramedic (CP) programs has expanded to mitigate the impact of increased patient usage on emergency services. However, it has not been determined to what extent emergency medical services (EMS) professionals would be willing to participate in this model of care. With this project, we sought to evaluate the perceptions of EMS professionals toward the concept of a CP program.
We used a cross-sectional study method to evaluate the perceptions of participating EMS professionals with regard to their understanding of and willingness to participate in a CP program. Approximately 350 licensed EMS professionals currently working for an EMS service that provides coverage to four states (Missouri, Arkansas, Kansas, and Oklahoma) were invited to participate in an electronic survey regarding their perceptions toward a CP program. We analyzed interval data using the Mann-Whitney
test, Kruskal-Wallis one-way analysis of variance, and Pearson correlation as appropriate. Multivariate logistic regression was performed to examine the impact of participant characteristics on their willingness to perform CP duties. Statistical significance was established at p ≤ 0.05.
Of the 350 EMS professionals receiving an invitation, 283 (81%) participated. Of those participants, 165 (70%) indicated that they understood what a CP program entails. One hundred thirty-five (58%) stated they were likely to attend additional education in order to become a CP, 152 (66%) were willing to perform CP duties, and 175 (75%) felt that their respective communities would be in favor of a local CP program. Using logistic regression with regard to willingness to perform CP duties, we found that females were more willing than males (OR = 4.65; p = 0.03) and that those participants without any perceived time on shift to commit to CP duties were less willing than those who believed their work shifts could accommodate additional duties (OR = 0.20; p < 0.001).
The majority of EMS professionals in this study believe they understand CP programs and perceive that their communities want them to provide CP-level care. While fewer in number, most are willing to attend additional CP education and/or are willing to perform CP duties.</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Community Health Services - standards</subject><subject>Cross-Sectional Studies</subject><subject>Emergency Medical Services - standards</subject><subject>Emergency Medical Technicians - education</subject><subject>Emergency Medical Technicians - standards</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prehospital Care</subject><subject>Surveys and Questionnaires</subject><issn>1936-900X</issn><issn>1936-9018</issn><issn>1936-9018</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkV1rFDEUhgex2Fr9ByJzZ292zfdMboRlqVqotNAq3oV8nFmzzExqkqnsvzfTXRd7lUPOeZ-c8FTVO4yWvMX44x9IeQvDkiDcLOmSEi7xi-oMSyoWEuH25bFGP0-r1yltEeK8ofxVdUpagXHbsrPqx-UAcQOj3dXfwHmr-_oO4qO3kOrbGDpIyYdR9-lDvcrZ58mVxsqEKdfrMAzT6POuvtVRD3N6jmxKnd5UJ10JwdvDeV59_3x5v_66uL75crVeXS8sa1heaAECuOGYaGuASCAN6RCFzhinGdMcSVeuKHKcYdDCIWiY0RSEcZ1pJD2vrvZcF_RWPUQ_6LhTQXv1dBHiRumYve1BIS0Fs6i1wIBZIAZcAUHXSCs7MK6wPu1ZD5Mpv7Ew5qj7Z9DnndH_UpvwqDgTLRLzMhcHQAy_p6JHDT5Z6Hs9QpiSwhLJhrYNIWWU7UdtDClF6I7PYKRmveqgV816FVVPekvs_f8rHkP_fNK_YLCnWQ</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Steeps, Robert J</creator><creator>Wilfong, Denise A</creator><creator>Hubble, Michael W</creator><creator>Bercher, Daniel L</creator><general>Department of Emergency Medicine, University of California, Irvine School of Medicine</general><general>eScholarship Publishing, University of California</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20170601</creationdate><title>Emergency Medical Services Professionals' Attitudes About Community Paramedic Programs</title><author>Steeps, Robert J ; Wilfong, Denise A ; Hubble, Michael W ; Bercher, Daniel L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-a6e6e5b512acbe29e272f03efbbda44a509d27230d541ea6d0e74ba3e6bdfb793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Community Health Services - standards</topic><topic>Cross-Sectional Studies</topic><topic>Emergency Medical Services - standards</topic><topic>Emergency Medical Technicians - education</topic><topic>Emergency Medical Technicians - standards</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prehospital Care</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Steeps, Robert J</creatorcontrib><creatorcontrib>Wilfong, Denise A</creatorcontrib><creatorcontrib>Hubble, Michael W</creatorcontrib><creatorcontrib>Bercher, Daniel L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>The western journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Steeps, Robert J</au><au>Wilfong, Denise A</au><au>Hubble, Michael W</au><au>Bercher, Daniel L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergency Medical Services Professionals' Attitudes About Community Paramedic Programs</atitle><jtitle>The western journal of emergency medicine</jtitle><addtitle>West J Emerg Med</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>18</volume><issue>4</issue><spage>630</spage><epage>639</epage><pages>630-639</pages><issn>1936-900X</issn><issn>1936-9018</issn><eissn>1936-9018</eissn><abstract>The number of community paramedic (CP) programs has expanded to mitigate the impact of increased patient usage on emergency services. However, it has not been determined to what extent emergency medical services (EMS) professionals would be willing to participate in this model of care. With this project, we sought to evaluate the perceptions of EMS professionals toward the concept of a CP program.
We used a cross-sectional study method to evaluate the perceptions of participating EMS professionals with regard to their understanding of and willingness to participate in a CP program. Approximately 350 licensed EMS professionals currently working for an EMS service that provides coverage to four states (Missouri, Arkansas, Kansas, and Oklahoma) were invited to participate in an electronic survey regarding their perceptions toward a CP program. We analyzed interval data using the Mann-Whitney
test, Kruskal-Wallis one-way analysis of variance, and Pearson correlation as appropriate. Multivariate logistic regression was performed to examine the impact of participant characteristics on their willingness to perform CP duties. Statistical significance was established at p ≤ 0.05.
Of the 350 EMS professionals receiving an invitation, 283 (81%) participated. Of those participants, 165 (70%) indicated that they understood what a CP program entails. One hundred thirty-five (58%) stated they were likely to attend additional education in order to become a CP, 152 (66%) were willing to perform CP duties, and 175 (75%) felt that their respective communities would be in favor of a local CP program. Using logistic regression with regard to willingness to perform CP duties, we found that females were more willing than males (OR = 4.65; p = 0.03) and that those participants without any perceived time on shift to commit to CP duties were less willing than those who believed their work shifts could accommodate additional duties (OR = 0.20; p < 0.001).
The majority of EMS professionals in this study believe they understand CP programs and perceive that their communities want them to provide CP-level care. While fewer in number, most are willing to attend additional CP education and/or are willing to perform CP duties.</abstract><cop>United States</cop><pub>Department of Emergency Medicine, University of California, Irvine School of Medicine</pub><pmid>28611884</pmid><doi>10.5811/westjem.2017.3.32591</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Attitude of Health Personnel Community Health Services - standards Cross-Sectional Studies Emergency Medical Services - standards Emergency Medical Technicians - education Emergency Medical Technicians - standards Female Humans Male Middle Aged Prehospital Care Surveys and Questionnaires |
title | Emergency Medical Services Professionals' Attitudes About Community Paramedic Programs |
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