Doctorate
Doctorate Title: Perspectives On Community Paramedicine Through Multiple Stakeholder Lenses: An Exploratory Study.
Doctorate Description: My thesis presents findings from a series of interlinked publications with the shared objective of gaining a better understanding of the experiences and perspectives of stakeholders engaged in Community Paramedicine (CP) programs. A phenomenological approach was undertaken using a variety of qualitative methodologies, which included ethnography and soft systems methodology. Four of five peer-reviewed publications are based on data collected from a multi-site observational study, across three rural sites in North America. The final publication reports on a soft systems methodology study undertaken in Adelaide, South Australia, in which participants were asked to consider the value of CP from the perspectives of five stakeholder groups. To facilitate navigation, three interlinked themes are used as a framework. These include: 1) Motivators of CP programs; 2) Barriers and challenges of CP program implementation, and 3) Outcomes of CP programs.
The recommendations highlight the impact stakeholder consultation and engagement can have on CP program implementation and outcomes. The results provide a world-first insight into the lived experiences of community paramedics and the impact on consumers.
Details:
Type: PhD
University: La Trobe University
Primary Supervisor: Professor Peter O'Meara
Category: Professional Development
Funding:
Start Date: 2014
End Date: 2022
Status: Complete
Thesis
ThesisResearch Interests
Community paramedicine, primary health care, paramedic expanded practice
Publications
Martin, A., O'Meara, P. 2020 Community Paramedicine through multiple stakeholder lenses using a modified soft systems methodology. Australasian Journal of Paramedicine, Vol 17 (2020) http://dx.doi.org/10.33151/ajp.17.793
Martin, A., O'Meara, P. 2019 Perspectives from the frontline of two North American community paramedicine programs: an observational, ethnographic study. Rural & Remote Health. Vol 19 (Issue 1), https://doi.org/10.22605/RRH4888
O'Meara, P. Stirling, C. Ruest, M. Martin, A. 2016 Community paramedicine model of care: an observational, ethnographic case study. BMC Health Services Research. (Open Access) 16:39. https://doi.org/10.1186/s12913-016-1282-0
Martin, A. O’Meara, P. Farmer, J. 2015 Consumer perspectives of a community paramedicine program in rural Ontario. Australian Journal of Rural Health, August 2016, 24(4), pps 278-283. https://doi.org/10.1111/ajr.12259
O’Meara, P. Ruest, M. Martin, A. 2015 Community paramedicine integrating with a local health system: an observational ethnographic study. Australasian Journal of Paramedicine. 12(5): Article 1. https://doi.org/10.33151/ajp.12.5.238