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    Creating a safety net for patients in crisis: paramedic perspectives towards a GP referral scheme

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    Author
    Blodgett, Joanna M cc
    Robertson, Duncan
    Ratcliffe, David
    Rockwood, Kenneth
    Keyword
    Emergency Medical Services
    GP Referral
    Pre-hospital Care
    Non-Conveyance
    Paramedics
    Referral and Consultation
    Journal title
    Journal of Paramedic Practice
    
    Metadata
    Show full item record
    URI
    http://hdl.handle.net/20.500.12417/224
    DOI
    10.12968/jpar.2017.9.1.11
    Abstract
    Abstract published with permission. An innovative policy implemented by a UK Ambulance Service allows paramedics to refer patients to a GP Acute Visiting Service scheme. Initial evidence suggests that this alternate route of care can decrease hospital admission rates, decrease A&E waiting time and provide substantial savings for the NHS. However, there are many unrecognised barriers to referral that are not captured by the quantitative analysis. The goal of this qualitative-observational study was to gain insight into the GP referral scheme from a paramedic's perspective. All notes were transcribed, coded and analysed using a Grounded Theory approach. Four main themes emerged: 1) barriers to referral including wait time, process, and lack of confidence, experience and training 2) approaching the patient with the GP referral scheme in mind 3) frustrations with GP decision making and 4) awareness/understanding of the scheme's impacts. This study provided valuable insight into the paramedic's perspective of the GP referral scheme. Maximising understanding of the scheme, investigating the GP's perspective in decision making and ensuring knowledge and accountability of paramedics, GPs and the public were identified as solutions to strengthen and increase referral rates and scheme success.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2017.9.1.11
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    Publications - North West Ambulance Service

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