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Effectiveness of paramedic practitioners in attending 999 calls from elderly people in the community
 — cluster randomised controlled trial
Author(s)Suzanne Mason, Emma Knowles, Brigitte Colwell
Journal titleBritish Medical Journal, vol 335 no 7626, 3 November 2007
Pagespp 919-922
Sourcehttp://www.bmj.com
KeywordsMedical workers ; Ambulance services ; Medical care ; Living in the community ; Cluster analysis ; South Yorkshire.
AnnotationThe South Yorkshire Ambulance Services developed the paramedic practitioner in older people's support (PPOPS) scheme to deliver patient-centred care to older people who call the emergency services with minor injury or illness, treating them in the community. The authors conducted a cluster randomised controlled trial to evaluate the effectiveness of this new service. Participants were aged 60+ (1549 intervention, 1469 control). Overall, patients in the intervention group were less likely to attend an emergency department or require hospital admission within 28 days, and experienced a shorter total episode time (235 vs 278 minutes). Patients in the intervention group were more likely to report being highly satisfied with their healthcare episode. There were no significant differences in 28-day mortality. Paramedics with extended skills can provide a clinically effective alternative to standard ambulance transfer and treatment in an emergency department for older patients with acute minor conditions. (RH).
Accession NumberCPA-071126501 A
ClassmarkQT: O8: LK: K4: 3YB: 85 *

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