Elden Odd Eirik, Uleberg Oddvar, Lysne Marianne, Haugdahl Hege Selnes
Department of Pre-Hospital Services, Nord-Trondelag Hospital Trust, Levanger, Norway
Department of Emergency Medicine and Pre-Hospital Services, St Olavs University Hospital, Trondheim, Norway.
BMJ Open. 2020 Sep 25;10(9):e038651. doi: 10.1136/bmjopen-2020-038651.
Community paramedicine models have been developed around the world in response to demographic changes, healthcare system needs and reforms. The traditional role of the paramedic has primarily been to provide emergency medical response and transportation of patients to nearby medical facilities. As a response to healthcare service gaps in underserved communities and the growing professionalisation of the workforce, the role of community paramedicine has evolved as a new model of care. A community paramedicine model in one region might address other healthcare needs than a model in another region. Various terms are also in use for community paramedicine providers, with no consensus on the definition for community paramedics, although the definition used by the International Roundtable on Community Paramedicine has been widely accepted. We aimed to examine the current knowledge and possibly identify gaps in the research/knowledge base for cost-benefit analysis and safety concerning community paramedicine in rural areas using a scoping review methodology.
This scoping review will follow the methodology developed by Arksey and O'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. In October 2020, we will search electronic databases (MEDLINE via PubMed, CINAHL, Cochrane and Embase) and the reference lists of key studies to identify studies for inclusion. The selection process is in two steps. First, two reviewers will independently screen identified articles for title and abstracts and, second, perform a full-text review of eligible studies for inclusion. Studies focusing on community paramedicine in rural areas, which include cost-benefit analysis or safety evaluation, will be included.
The data used are available from publicly secondary sources, therefore this study will not require ethical review. The results will be disseminated through peer-reviewed publication.
为应对人口结构变化、医疗保健系统需求和改革，世界各地已发展出社区护理模式。护理人员的传统角色主要是提供紧急医疗响应，并将患者转运至附近的医疗设施。作为对服务不足社区医疗服务缺口以及劳动力日益专业化的回应，社区护理的角色已演变为一种新的护理模式。一个地区的社区护理模式可能会解决与另一个地区模式不同的其他医疗需求。社区护理提供者也有各种不同的称谓，对于社区护理人员的定义尚未达成共识，不过社区护理国际圆桌会议所采用的定义已被广泛接受。我们旨在通过范围综述方法，研究当前关于农村地区社区护理成本效益分析和安全性的知识，并找出研究/知识库中的可能差距。
本范围综述将遵循阿克西和奥马利开发的方法以及系统评价和Meta分析扩展版的首选报告项目（PRISMA-ScR）。2020年10月，我们将检索电子数据库（通过PubMed的MEDLINE、CINAHL、Cochrane和Embase）以及关键研究的参考文献列表，以确定纳入研究。选择过程分两步进行。首先，两名评审员将独立筛选已识别文章的标题和摘要，其次，对符合条件的纳入研究进行全文评审。纳入的研究应聚焦于农村地区的社区护理，包括成本效益分析或安全性评估。
所使用的数据可从公开的二手资料中获取，因此本研究无需伦理审查。研究结果将通过同行评审出版物进行传播。
