What do community paramedics assess? An environmental scan and content analysis of patient assessment in community paramedicine
| Autor: | Walter Tavares, Brent McLeod, Gina Agarwal, Audrey-Anne Brousseau, Andrew P. Costa, Floyd Besserer, Matthew Leyenaar, Eric Mercier, Ryan P Strum, Sarah Penhearow, Madison Brydges |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Psychological intervention Assessment instrument 030208 emergency & critical care medicine Paramedicine Patient assessment 03 medical and health sciences 0302 clinical medicine Categorization Content analysis Current practice Family medicine Emergency Medicine Emergency medical services Medicine 030212 general & internal medicine people business people.professional_field |
| Zdroj: | CJEM. 21:766-775 |
| ISSN: | 1481-8043 1481-8035 |
| DOI: | 10.1017/cem.2019.379 |
| Popis: | ObjectivesPatient assessment is a fundamental feature of community paramedicine, but the absence of a recognized standard for assessment practices contributes to uncertainty about what drives care planning and treatment decisions. Our objective was to summarize the content of assessment instruments and describe the state of current practice in community paramedicine home visit programs.MethodsWe performed an environmental scan of all community paramedicine programs in Ontario, Canada, and used content analysis to describe current assessment practices in home visit programs. The International Classification on Functioning, Disability, and Health (ICF) was used to categorize and compare assessments. Each item within each assessment form was classified according to the ICF taxonomy.ResultsA total of 43 of 52 paramedic services in Ontario, Canada, participated in the environmental scan with 24 being eligible for further investigation through content analysis of intake assessment forms. Among the 24 services, 16 met inclusion criteria for content analysis. Assessment forms contained between 13 and 252 assessment items (median 116.5, IQR 134.5). Most assessments included some content from each of the domains outlined in the ICF. At the subdomain level, only assessment of impairments of the functions of the cardiovascular, hematological, immunological, and respiratory systems appeared in all assessments.ConclusionAlthough community paramedicine home visit programs may differ in design and aim, all complete multi-domain assessments as part of patient intake. If community paramedicine home visit programs share similar characteristics but assess patients differently, it is difficult to expect that the resulting referrals, care planning, treatments, or interventions will be similar. |
| Databáze: | OpenAIRE |
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