• Login
    View Item 
    •   Home
    • Yorkshire Ambulance Service [YAS]
    • Publications - Yorkshire Ambulance Service
    • View Item
    •   Home
    • Yorkshire Ambulance Service [YAS]
    • Publications - Yorkshire Ambulance Service
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of amberCommunitiesPublication DateAuthorsTitlesSubjectsJournal TitleThis CollectionPublication DateAuthorsTitlesSubjectsJournal TitleProfilesView

    My Account

    LoginRegister

    About amber

    About amberGeneral Policies Terms of DepositSuggest an addition to amberamber Advisory Note

    Statistics

    Display statistics

    Is it cost effective to introduce paramedic practitioners for older people to the ambulance service? Results of a cluster randomised controlled trial

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Average rating
     
       votes
    Cast your vote
    You can rate an item by clicking the amount of stars they wish to award to this item. When enough users have cast their vote on this item, the average rating will also be shown.
    Star rating
     
    Your vote was cast
    Thank you for your feedback
    Author
    Dixon, S.
    Mason, Suzanne
    Knowles, Emma
    Colwell, Brigitte
    Wardrope, Jim
    Snooks, Helen
    Gorringe, R.
    Perrin, J.
    Nicholl, Jon
    Keyword
    Emergency Medical Services
    Paramedic Practice
    Ambulance Services
    Geriatric Medicine
    Cost-Benefit Analysis
    Journal title
    Emergency Medicine Journal
    
    Metadata
    Show full item record
    URI
    http://hdl.handle.net/20.500.12417/847
    DOI
    10.1136/emj.2008.061424
    Abstract
    Background: A scheme to train paramedics to undertake a greater role in the care of older people following a call for an emergency ambulance was developed in a large city in the UK. Objectives: To assess the cost effectiveness of the paramedic practitioner (PP) scheme compared with usual emergency care. Methods: A cluster randomised controlled trial was undertaken of PP compared with usual care. Weeks were allocated to the study group at random to the PP scheme either being active (intervention) or inactive (control). Resource use data were collected from routine sources, and from patient-completed questionnaires for events up to 28 days. EQ-5D data were also collected at 28 days. Results: Whereas the intervention group received more PP contact time, it reduced the proportion of emergency department (ED) attendances (53.3% vs 84.0%) and time in the ED (126.6 vs 211.3 minutes). There was also some evidence of increased use of health services in the days following the incident for patients in the intervention group. Overall, total costs in the intervention group were £140 lower when routine data were considered (p = 0.63). When the costs and QALY were considered simultaneously, PP had a greater than 95% chance of being cost effective at £20 000 per QALY. Conclusion: Several changes in resource use are associated with the use of PP. Given these economic results in tandem with the clinical, operational and patient-related benefits, the wider implementation and evaluation of similar schemes should be considered. https://emj.bmj.com/content/26/6/446. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ DOI http://dx.doi.org/10.1136/emj.2008.061424
    ae974a485f413a2113503eed53cd6c53
    10.1136/emj.2008.061424
    Scopus Count
    Collections
    Publications - Yorkshire Ambulance Service

    entitlement

     

    DSpace software (copyright © 2002 - 2022)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.