Developing A Complex Intervention to Integrate Community Paramedics in GP Out-of-Hours Care in Ireland: A Qualitative Study

This study suggests that the integration of Community Paramedics into GP out-of-hour care in Ireland can be successfully launched if workforce planning is carefully considered. The role of the Community Paramedic must be defined, regulated, and governed in conjunction with the National Ambulance Service, the Pre Hospital Emergency Care Council, and the Department of Health in Ireland. Patient care must be underpinned by safe and effective care practices that are continuously audited and evaluated, and the scope of practice must be defined and maintained by each Community Paramedic through a guided educational system that incorporates continuous professional development. GPs can provide support to community paramedics, including the use of information technology, as required. GPs and Community Paramedics can work together to synergize healthcare and provide safe and effective care to patients in the domiciliary setting during out-of-hour hours, thus reducing emergency department attendance and increasing the GP's capacity to provide face-to-face consultations.