Community care paramedic services In the United States (US) are seeking solutions in the wake of the Affordable Care Act. Health care is moving into a new era: it is transitioning away from a fee for service model to a model based on continued improved patient outcomes.
With United Kingdom (UK) Ambulance National Health Service (NHS) Trusts and Foundation Trusts actively recruiting Australian paramedic graduates, this article seeks to stimulate discussion by identifying differences existing between the two ambulance systems, as well as highlighting potential challenges that Australian graduates may face when transitioning to the UK ambulance service.
There is a paucity of global research regarding emergency medical services (EMS) systems. EMS system processes and outcomes vary by model and jurisdiction. This study explores the individual, organisational, and system obstacles to 15 features of EMS systems.
Using a multi-case study, five US EMS systems, representing five major design models, were studied. Data collection included: i) data metrics, ii) document review, iii) interviews, and iv) archival records.
EMS system performance and adoption of the 15 features varies. A total of 582 independent obstacles in 39 distinct categories were identified. The top obstacles included: cost/funding, measurement, process/outcome focus, systems view, public information/education, understanding productivity, training, will, data definitions, and culture/tradition.
Variation in performance exists across EMS system provider models. Adoption of the 15 features studied was not universal. Reported obstacles are opportunities for further investigation and action.
First responders are an often ignored group facing emotional and physical stress that is similar to that of law enforcement personnel and military veterans.