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Rural Health
Resources by Topic: Emergency medical technicians and paramedics

Characteristics and Challenges of Rural Ambulance Agencies - A Brief Review and Policy Considerations
Examines challenges including prolonged response and transport times, insufficient payment by insurers, transitions from volunteer to paid workforce, and lack of plans and policies to coordinate services. Features recommendations for identifying public policy considerations to stabilize rural ambulance agencies.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Andrew F. Coburn, et al.
Date: 01/2021
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Introducing the Rural Community Paramedicine Toolkit
Webinar recording presents the Rural Community Paramedicine Toolkit. Discusses benefits, lessons learned, and provides an overview of the community paramedicine model for rural communities. Features presentations from representatives of NORC Walsh Center for Rural Health Analysis, the William Bee Ririe Hospital, the Queen Anne's County Department of Health, the United Ambulance Service/United Training Center, and the United Ambulance Service.
Additional links: Audio Recording, PowerPoint Handout
Date: 09/2020
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Rural EMS COVID-19 Preparedness Checklist
Provides a checklist for rural response agencies to evaluate their current level of preparedness and identify areas that need additional action to better respond to COVID-19. Covers planning, strategy, personal protective equipment and supplies, workforce and recruiting, and funding.
Date: 08/2020
Type: Document
Sponsoring organizations: American Ambulance Association, Federal Healthcare Resilience Working Group
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Innovative Health Care Provider Roles
Discusses healthcare provider types that might have the potential to benefit rural communities including community health workers, community paramedics, patient advocates, health coaches, and dental therapists.
Date: 07/2020
Type: Document
Sponsoring organization: Rural Health Value
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2020 National Emergency Medical Services Assessment
Describes emergency medical services (EMS), EMS emergency preparedness, and 9-1-1 systems at the state and national levels, using data from a survey completed by representatives of 54 states and U.S. territories. Features statistics in categories including EMS organizations, response and patient care, workforce health and safety, disaster preparedness, and funding, including funding provided by the Federal Office of Rural Health Policy.
Date: 05/2020
Type: Document
Sponsoring organization: National Association of State EMS Officials
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Standard Precautions Among Emergency Medical Services in Urban and Rural Areas
Study examining EMS adherence to standard precautions regarding blood and bodily fluid safety, comparing rural and urban EMS providers in West Virginia. Analyzes survey data to understand general exposure prevention practices. Discusses role of occupational health professionals in administering standard precautions training and evaluation for EMS providers.
Author(s): Riyadh A. Alhazmi, R. David Parker, Sijin Wen
Citation: Workplace Health and Safety, 68(2), 73-80
Date: 02/2020
Type: Document
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Template for Emergency Medical Services Informed Community Self Determination (ICSD)
Includes an agency pre-visit checklist, a sample Program Agreement, and evaluation tools to help outside evaluators report on issues that might affect a community's EMS performance and level of care. Intended for rural, relatively isolated areas with few EMS resource options.
Author(s): Kevin McGinnis, Gary Wingrove
Date: 02/2020
Type: Document
Sponsoring organization: National Association of State EMS Officials
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Update of Evaluation of California's Community Paramedicine Pilot Program
Updates the evaluation of the California Emergency Medical Services Authority pilot community paramedicine program, which began in 2014 to test 7 community paramedicine concepts and has involved 14 communities, including rural Butte county. Provides an overview of the projects, summarizes how the community paramedics were trained, reports on the patients served and program effectiveness, and discusses potential savings for Medi-Cal and Medicare.
Author(s): Janet M. Coffman, Lisel Blash, Ginachukwu Amah
Date: 01/2020
Type: Document
Sponsoring organizations: Healthforce Center at UCSF, Philip R. Lee Institute for Health Policy Studies
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Minnesota's Community Paramedic Workforce, 2017
Provides an overview of Minnesota's 2017 community paramedic workforce. Presents information on demographics, employment and experience, education, and geographic distribution by region.
Date: 12/2019
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Rural First Responder Access to Mental Health Care: A National Crisis
Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Type: Document
Sponsoring organization: Journal of Emergency Medical Services
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