MSc Candidate, Health Services Research, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto; Fellow, McNally Project for Paramedicine Research; Graduate Student, Upstream Lab, MAP/Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON.
Associate Professor, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto; Scientist and Director, Upstream Lab, MAP/Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto; Clinician Scientist, Department of Family and Community Medicine, Faculty of Medicine, University of Toronto; Staff Physician, Department of Family and Community Medicine, St. Michael's Hospital, Toronto, ON.
Healthc Policy. 2021 Feb;16(3):67-75. doi: 10.12927/hcpol.2021.26432.
The role of paramedics, including select paramedics providing primary and preventive care in homes and community settings, is evolving in health systems around the world. These developments are associated with improvements in health outcomes, improved access to services and reduced emergency department use. Building on these existing trends in paramedicine, and because social conditions contribute to illness and are strong predictors of future health service use, addressing patients' social needs should be integrated into core paramedic practice in Canada. We discuss how paramedic education, culture and governance could better enable paramedics to address the social determinants of health.
护理人员的角色正在发生变化，包括在家庭和社区环境中提供初级和预防保健的精选护理人员，这在全球卫生系统中都在发生。这些发展与改善健康结果、改善服务获取途径和减少急诊部门使用有关。鉴于急救医学领域的这些现有趋势，以及社会状况会导致疾病发生，并且是未来卫生服务使用的强有力预测因素，因此在加拿大，应该将患者的社会需求纳入核心护理人员的实践中。我们讨论了如何通过护理人员教育、文化和治理来更好地使护理人员能够解决健康的社会决定因素。
