The Economic Value of Community Paramedicine Programs

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Authors
  1. Wood, K.A.
  2. Ashton, C.
  3. Duffie-Ashton, D.
Corporate Authors
Defence Research and Development Canada, Centre for Security Science, Ottawa ON (CAN);The Corporation of the County of Hastings, Belleville Ont (CAN)
Abstract
The Economic Value of Community Paramedicine Programs Study was a randomized controlled trial (RCT) in two Eastern Ontario communities – one urban and one rural, to determine whether Community Paramedicine services (the intervention) could reduce hospital service utilization for high-frequency chronic condition clients. The Study also sought to establish whether Community Paramedicine could influence self-perceived quality of life. A total of 200 eligible clients, recruited in early 2015, were randomly assigned to either the intervention group (receiving Community Paramedicine services for 12 months) or the control group (receiving conventional treatment). The Study found that Community Paramedicine can achieve improved quality of life as measured with the (self-administered) EuroQol 5D-3L questionnaire and Quality Adjusted Life Years (QALY) calculations. Further, Community Paramedicine was found to reduce total visits to the Emergency Room, although not necessarily hospital admissions or length of stay in in-patient care. The Study did not find economic value for the healthcare system from deployment of Community Paramedicine for high-frequency chronic condition clients. However, study results suggest that the effectiveness of Community Paramedicine is highly sensitive to target group selection, the degree to which the target group is experiencing disease progression, and to the degree of integration of Community Paramedicine into a local healthcare system.
Keywords
Community Paramedicine;Paramedic service portfolio;Economic Value;Integration;Collabration;Randomized Controlled Trail;EuroQol calculations;QALY calculations;Paramedic profession
Report Number
DRDC-RDDC-2017-C086 — Contract Report
Date of publication
01 Mar 2017
Number of Pages
137
DSTKIM No
CA044919
CANDIS No
805296
Format(s):
Electronic Document(PDF)

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