PATIENT-PARAMEDIC TRUST CAN HELP FREE UP EMERGENCY DEPARTMENTS
Dr Robbie King,
Senior Advanced Care Paramedic/Community Paramedic,
Sunshine Coast District, Birtinya Station, Queensland Ambulance Service &
Lecturer & Researcher (Paramedicine), Australian Catholic University (ACU)
PEOPLE IN HEALTH CARE SEGMENT
Filmed in Brisbane, Queensland | December 2024
Dr. Robbie King is a Senior Advanced Care Paramedic with the Queensland Ambulance Service and a community paramedic. He is also a lecturer at the Australian Catholic University in Brisbane. After studying paramedicine and working as a student paramedic since 2009, he recognised that most patients attended by ambulance services did not require emergency interventions.
About a decade ago, Queensland Ambulance implemented the Local Area Assessment and Referral Unit, a community paramedic program. In his role at Queensland Ambulance Service, Dr. King has spent the past six years focusing on patients who may not need traditional emergency responses. His work involves performing enhanced assessments to understand patients’ psychosocial needs and determining appropriate healthcare pathways.
Dr. King’s PhD research consisted of quantitative and qualitative studies. The quantitative study analysed data from 1.5 million people who contacted New South Wales Ambulance Service, revealing that 12.6% were not transported to emergency departments. Notably, around 43% received emergency responses, yet many were found simply in need of reassurance.
The qualitative study involved interviews with 21 subjects from various regions, leading to the development of a theory centred on self-efficacy. The findings indicated that patients often experienced a loss of independence but gained self-reliance and confidence through compassionate, competent care from paramedics, allowing them to better manage their circumstances after the paramedics left.
Australian Health Journal spoke with Dr Robbie King earlier this year on his findings and what it could mean for paramedicine policy, education and practice.
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Nuclear medicine funding a win for men with prostate cancer
Australian men with higher risk prostate cancer now have access to a nuclear medicine scan to help detect and treat metastatic disease, after it was listed on the Medical Benefits Schedule (MBS) from 1st July 2022.
In 2021 over 18,000 Australian men were diagnosed with prostate cancer, resulting in over 3,000 lives being lost – and making prostate cancer Australia’s second most common cause of cancer death in men.
Australian Health Journal spoke with AANMS President Associate Professor Sze Ting Lee and Dr Geoff Schembri on the MBS listing and the efforts to get it listed.
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Paramedics seek team-based primary health care pilots
The Chief Executive Officer of The Australasian College of Paramedicine, John Bruning spoke with Australian Health Journal about the following:
New models of care proposed for paramedics
Paramedicine pilot program in the pre-budget submission
Scope of how paramedics can support General Practice, and guidelines on safety and quality
Current limitations experienced by paramedics needing to be addressed by Government
Other health priorities hopefully addressed in Federal Budget.In the lead up to the Australian Federal Budget in May 2023, Australian Health Journal reached out to peak health industry bodies to hear about their priorities, either noted in pre-budget submissions lodged with Federal Government in January 2023 or in recent forums such as the Strengthening Medicare Taskforce.
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Analogy of the system, rather than the ED front door
“The problem of blockages shows up in ambulance ramping and long wait times, but this is a complex issue requiring whole-of-health system solutions,” according to Professor Hugh Grantham, Chair of Emergency Medicine Foundation in an interview with Australian Health Journal.
