TY - JOUR
T1 - Shaping the future design of paramedicine
T2 - A knowledge to action framework to support paramedic system modernization
AU - Makrides, Timothy
AU - Law, Madelyn P.
AU - Ross, Linda
AU - Gosling, Cameron
AU - Acker, Joseph
AU - O'Meara, Peter
N1 - Funding Information:
The research team would like to confirm that the manuscript is original work and that no part of the manuscript has been published or submitted elsewhere for publication. The manuscript has also adhered to ethical standards of the sponsoring university, Monash University. Furthermore, authors have contributed to the development of the ideas, writing and/or final review of the submitted manuscript, and all authors have read and approved this version of the manuscript and its submission to the journal. There has been no financial support for this work that could have influenced its outcome.
Publisher Copyright:
© 2023 College of Emergency Nursing Australasia
PY - 2023/12
Y1 - 2023/12
N2 - Background: 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. Objective: To provide health leaders and policy makers with a framework from which to drive paramedic system modernization. Methods: 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. Results: 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. Conclusion: 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.
AB - Background: 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. Objective: To provide health leaders and policy makers with a framework from which to drive paramedic system modernization. Methods: 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. Results: 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. Conclusion: 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.
KW - Ambulance
KW - Design
KW - EMS
KW - Knowledge translation
KW - Paramedicine
KW - System
UR - http://www.scopus.com/inward/record.url?scp=85150251333&partnerID=8YFLogxK
U2 - 10.1016/j.auec.2023.03.002
DO - 10.1016/j.auec.2023.03.002
M3 - Article
AN - SCOPUS:85150251333
SN - 2589-1375
VL - 26
SP - 296
EP - 302
JO - Australasian Emergency Care
JF - Australasian Emergency Care
IS - 4
ER -