A Deloitte study on General Practices in 2019 predicted an increase in unmet medical needs and a decrease in the medical workforce. The study discussed new models of care with interdisciplinary team care including nurse practitioners and community paramedics. Australian Health Journal spoke with the Australasian College of Paramedicine on the role paramedics can play aside from delivering emergency care in transit.
John Bruning is the CEO of the Australasian College of Paramedicine, which has been representing the paramedicine profession in Australia and New Zealand for more than 50 years. According to John, there have been exciting developments in the paramedicine and health fields the past year.
The scope of practice review, as well as the Federal Government’s efforts to improve patient outcomes through multidisciplinary team care, have been particularly noteworthy. While paramedics have traditionally been associated with emergency response and ambulance services, the review has highlighted the potential for them to play a significant role in supporting the healthcare of local communities.
Bruning points out paramedics have the opportunity to play a key role in supporting healthcare and improving patient outcomes. Paramedics should be utilised more widely in urgent care clinics to improve patient outcomes as they are experts in urgent, acute, unplanned care.
Despite being seen primarily as emergency responders, paramedics have long been providing care in the primary care space. As such, their increased involvement in primary and urgent care is a natural progression that can lead to improved health outcomes for communities. Urgent care clinics, which treat non-life-threatening injuries and illnesses, have been a recent introduction. However, when these clinics were initially proposed, paramedics were left out of the opportunity, despite being experts in urgent, acute, unplanned, and unscheduled care. They work in these types of situations every day in the ambulance service and should be utilised in these clinics to improve patient outcomes. Working as part of multidisciplinary teams with doctors and nurses can further enhance the outcomes for local communities.
Discussing with Australian Health Journal, Michelle Murphy, the Advocacy and Government Relations Lead for the Australasian College of Paramedicine, says that having a sustainable health workforce is essential for improving access to healthcare. Paramedicine is currently the fastest-growing health workforce, growing at 9% per annum for the last four years. Urgent care clinics are filling the gap between family or primary care and tertiary or hospital-based care and reducing the pressure on emergency departments and ambulances. Paramedics are well-placed to work in these clinics, delivering ad hoc unplanned clinical care when it is urgent but not an emergency. Multidisciplinary teams improve access to care by enabling communities to think about the health providers they need and bringing together different providers to work together to deliver care in communities.
Murphy references a study involving Associate Professor John Adie at the University of the Sunshine Coast. As Assoc Professor of Urgent Care, Prof Adie talks about the workforce of General Practitioners at the time predicted to decrease by 25% from 2019 to 2023, while the unmet need was expected to increase by 38%. Some countries are adopting new models that involve nurse practitioners and community paramedics as part of the workforce. These practitioners will be able to assist GPs in seeing patients with non-life-threatening urgent conditions.
-
Sonia Marshall – South Western Sydney Local Health District
South Western Sydney Local Health District serves nearly 1 million people in a rapidly growing area of Sydney. Currently 250-300 families a week are moving into the region and with a growing population, the health district requires well executed strategy and delivery of healthcare to the population. Executive Director Sonia Marshall spoke with Australian Health Journal reporter Anne Dao at last week’s Australian Healthcare Week in Sydney, on supporting staff and the community. Sonia highlights the mission of delivering Safe Quality Healthcare at all times. In-time patient feedback is important and the SWSLHD has implemented a system called “My Experience Matters” to give near immediate response from patients on their level of care, whilst they are still on site at the hospital. The aim of the initiative is to quickly identify bad experiences that could be rectified.
-
South Australia prioritises preventive health
On 28th November 2024, the SA Parliament passed legislation to make preventive health a key part of South Australian health system for the first time, through a new agency aptly named Preventive Health SA.
Preventive Health SA will lead evidence-informed and innovative action to prevent and reduce the burden of non-communicable health conditions and improve health equity across the South Australia population.
-
Continuing education program leads to better conversations
Medicines Australia’s Continuing Education Program (CEP) is designed to educate medical representatives to a recognised industry standard. Dr Tristan Ling, CEP Academic Lead and Project Manager at the College of Health and Medicine, University of Tasmania talks about the 900 students that come through the program each year.
The CEP is primarily directed at medical representatives working within the prescription medicines industry, but is also recommended to people who may not be currently employed within the industry but would like to pursue a career as a medical representative. It is also available to personnel working for organisations interacting with the pharmaceutical industry.
