A Case Study of Older Adult Experiences with a Novel Community Paramedicine Program

Abstract

ABSTRACT

Introduction: An increase in the population of older adults is a growing public health concern. Health promotion and prevention programs provide a myriad of physical, social and psychological benefits for older adults, and recent health care trends has seen the emergence of Emergency Medical Services (EMS) in providing these programs. However, to date little is known about these programs, commonly titled, “community paramedicine”.

Methodology: This study utilized a mixed methods, interpretivist qualitative approach to understand older adults experiences with a novel community paramedicine program, the Cardiovascular Health Awareness Program by EMS (CHAP-EMS), operating in a subsidized housing building in Hamilton. Participant observation and semi-structured interviews were conducted with participants of the program in addition to surveys of non-participating building residents. Data was analyzed using thematic analysis.

Results: Six themes arose from the participant data including: filling the health care gap; motivators to attend; relationships between the paramedics and participants; social connectedness; the added value of EMS skills; and changes due to the program.

Conclusion: Community paramedicine programs may provide older adults with access to social support, opportunities for social engagement and a reliable environment to discuss their health. However, barriers such as conflict between residents, conflicting beliefs of the program, and language barriers may impede participation in this initiative if left unaddressed.