Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Community Paramedicine Supporting Social Needs: A Scoping Review

Version 1 : Received: 14 October 2023 / Approved: 16 October 2023 / Online: 17 October 2023 (08:17:52 CEST)
Version 2 : Received: 12 February 2024 / Approved: 13 February 2024 / Online: 13 February 2024 (10:46:16 CET)

How to cite: Lunn, T.; Bolster, J.; Batt, A. Community Paramedicine Supporting Social Needs: A Scoping Review. Preprints 2023, 2023100999. https://doi.org/10.20944/preprints202310.0999.v1 Lunn, T.; Bolster, J.; Batt, A. Community Paramedicine Supporting Social Needs: A Scoping Review. Preprints 2023, 2023100999. https://doi.org/10.20944/preprints202310.0999.v1

Abstract

Introduction: Health and social needs exist along a dynamic continuum. Recognizing that health status is inextricably impacted by social determinants of health, there exists opportunities and a professional responsibility to better understand how community paramedicine can address social needs in effort to reduce healthcare inequities.Aim: The primary objective of this scoping review is to systematically investigate published peer reviewed and grey literature to explore how community paramedicine supports social needs along a health and social continuum.Methods: A scoping review of English language literature was conducted using the JBI Scoping Review methodology. We searched CINAHL, EMBASE, and MEDLINE and grey literature searches in Google Scholar and organisational websites. We used search terms related to community paramedicine and social needs. Results: A total of 30 peer-reviewed and 13 grey literature articles met inclusion criteria. The main findings of this scoping review describe the evolving ways community paramedicine models are addressing health and social needs. A key recommendation across the literature was the need to meaningfully engage communities early in program development to understand how best to implement and co-design an integrated service model that addresses the needs specific to each community, though there was a lack of evidence to guide this approach. There is a notable lack of evidence pertaining to how best to optimize technologies in program design and implementation. The results highlight opportunities to determine best practices for conducting holistic community needs assessments that include equitable stakeholder engagement and enhance education to prepare paramedics for expanded roles.Conclusion: Community paramedicine provides opportunities to better meet the needs of structurally marginalised communities. However, there is a social responsibility and opportunity to engage in community needs assessments to co-design service delivery, advance paramedic education, and enhance interprofessional collaboration to better support social needs and generate upstream solutions for individuals and communities.

Keywords

paramedic; community paramedicine; social needs; social isolation; equity

Subject

Public Health and Healthcare, Health Policy and Services

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