Effectiveness of the Community Paramedicine at Home (CP@home) Program
Overview
This study evaluates the CP@home program, which provides home visits by community paramedics to reduce emergency medical services (EMS) calls among frequent users in Ontario.
Study Design
The research was a 6-month randomized controlled trial, meaning participants were randomly assigned to either the CP@home program or a control group receiving standard care.
Participants
Participants included individuals who made frequent EMS calls (3 or more in six months) or had specific lift assist needs.
Intervention Details
Community paramedics visited participants up to three times, conducting risk assessments, offering health education, and connecting them to resources. The control group did not receive these additional visits.
Results
A total of 2,284 participants were included, with 1,025 in the intervention group. The results showed:
- No significant reduction in overall EMS calls for the intervention group.
- A notable decrease in EMS calls for those needing lift assistance.
Conclusions
The CP@home program effectively reduced EMS calls for individuals needing lift assistance but did not significantly impact the overall group. This program addresses a healthcare gap, potentially lowering EMS calls and healthcare costs.
Trial Registration
This trial is registered on ClinicalTrials.gov (NCT02835989).
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