Makrides Timothy, Law Madelyn P, Ross Linda, Gosling Cameron, Acker Joseph, O'Meara Peter
Department of Paramedicine, School of Primary and Allied Health Care, Faculty of Medicine, Nursing & Health Science, Monash University, Clayton, Australia; British Columbia Emergency Health Services, Vancouver, Canada.
Brock University, Department of Health Sciences, St Catherines, Canada.
Australas Emerg Care. 2023 Dec;26(4):296-302. doi: 10.1016/j.auec.2023.03.002. Epub 2023 Mar 15.
Over the past two decades, the demands placed on modern paramedic systems has changed. Paramedic services can no longer continue to operate on a traditional response model where more ambulances are deployed to meet the rising demand of patients calling for their health needs. Recent research has explored system design in paramedicine and its relationship with organizational performance. Two subsequent paramedic systems have been identified with one, the Professionally Autonomous paramedic system, being linked to higher performance. Yet, how to operationalize this model for system modernization continues to be a gap in practice.
To provide health leaders and policy makers with a framework from which to drive paramedic system modernization.
This study uses the Knowledge to Action framework to develop an implementation plan for systems that seek to modernize their service delivery model toward that of a Professionally Autonomous paramedic system.
A detailed plan of the steps required to undertake system transformation are outlined. Whilst this framework outlines the components required for system modernization, it does not propose an in-depth outline of each of the steps required to achieve each component. Rather, end users are encouraged to develop individual implementation plans tailored to the local context using the comprehensive tools outlined within.
This knowledge to action framework provides health leaders and policy makers with a uniform roadmap for paramedic system modernization intended to improve health (clinical) outcomes as well as health system outcomes through the Professional Autonomous paramedicine model.
在过去二十年中，对现代护理急救系统的需求发生了变化。护理急救服务不能再继续按照传统的响应模式运作，即通过部署更多救护车来满足日益增长的患者健康需求。最近的研究探讨了护理急救医学中的系统设计及其与组织绩效的关系。已确定了两种后续护理急救系统，其中一种是专业自主护理急救系统，与更高的绩效相关联。然而，如何将这种模式应用于系统现代化在实践中仍是一个空白。
为卫生领导者和政策制定者提供一个推动护理急救系统现代化的框架。
本研究使用知识转化为行动框架，为寻求将其服务提供模式朝着专业自主护理急救系统模式现代化的系统制定实施计划。
概述了进行系统转型所需步骤的详细计划。虽然该框架概述了系统现代化所需的组成部分，但并未对实现每个组成部分所需的每个步骤进行深入概述。相反，鼓励最终用户使用其中概述的综合工具，制定适合当地情况的个人实施计划。
这个知识转化为行动框架为卫生领导者和政策制定者提供了一个统一的护理急救系统现代化路线图，旨在通过专业自主护理急救医学模式改善健康（临床）结果以及卫生系统结果。
