School of Medicine, University of Limerick, Limerick, Ireland
School of Medicine, University of Limerick, Limerick, Ireland; and Health Research Institute, University of Limerick, Limerick, Ireland
Rural Remote Health. 2023 Jan;23(1):8091. doi: 10.22605/RRH8091. Epub 2023 Jan 10.
As Ireland's population increases and chronic disease becomes more prevalent, demand on limited general practice services will increase. Nursing roles within general practice are now considered to be standard, yet alternative non-medical professional roles are underexplored within an Irish context. Non-medical personnel such as Advanced Paramedics (APs) may have the capability to provide support to general practice.
To explore GPs' attitudes and opinions about integrating Advanced Paramedics into rural general practice in Ireland.
A sequential explanatory mixed methodology was adopted. A questionnaire was designed and distributed to a purposeful sample of GPs attending a rural conference followed by semi-structured interviews. Data were recorded and transcribed verbatim and thematically analysed.
In total, n=27 GPs responded to the survey and n=13 GPs were interviewed. Most GPs were familiar with APs and were receptive to the concept of closely collaborating with APs within a variety of settings, including out-of-hours services, home visits, nursing homes and even roles within the general practice surgery.
GP and AP clinical practice dovetail within many facets of primary care and emergency care. GPs recognise that current rural models are unsustainable, and they realise the potential of integrating APs into the general practice team to help support and sustain the future of rural general practice services in Ireland. These interviews provided an exclusive, detailed insight into the world of general practice in Ireland that has not been previously documented in this way.
随着爱尔兰人口的增加和慢性病的日益流行，对有限的全科医疗服务的需求将会增加。护理角色在全科医疗中现在被认为是标准的，但在爱尔兰背景下，替代非医疗专业人员的角色还没有得到充分探索。非医疗人员，如高级护理人员（APs），可能有能力为全科医疗提供支持。
探索全科医生对将高级护理人员纳入爱尔兰农村全科医疗的态度和看法。
采用了顺序解释性混合方法。设计了一份问卷，分发给参加农村会议的有目的的全科医生样本，然后进行半结构化访谈。数据被记录并逐字转录，并进行主题分析。
共有 27 名全科医生对调查做出了回应，13 名全科医生接受了访谈。大多数全科医生都熟悉 APs，并对在各种环境下与 APs 密切合作的概念持开放态度，包括在非工作时间服务、家访、养老院，甚至在全科医疗手术中。
全科医生和 APs 的临床实践在初级保健和急救护理的许多方面是一致的。全科医生认识到当前的农村模式是不可持续的，他们意识到将 APs 纳入全科医疗团队的潜力，以帮助支持和维持爱尔兰农村全科医疗服务的未来。这些访谈提供了对爱尔兰全科医疗世界的独家、详细的了解，这在以前没有以这种方式记录过。
