AlanBarry T, Batt A, Agarwal G et al. Potential for Paramedic roles in Irish General Practice: A qualitative study of stakeholder’s perspectives [version 1; peer review: awaiting peer review]. HRB Open Res 2022, 5:40 (https://doi.org/10.12688/hrbopenres.13545.1) [open access]
Background: Irish health policy emphasises the role of Primary
Care and General Practice however, there is a growing shortage of
General Practitioners (GPs) in Ireland. Paramedics have traditionally
focused on emergency care in the community. More recently Paramedics
have taken on roles in General Practice in international jurisdictions,
but not yet in Ireland. This study aimed to explore key stakeholder
perceptions of ‘the potential for Paramedic roles in Irish General
Practice’.
Methods: We conducted an exploratory, qualitative
stakeholder consultation study incorporating in-depth semi structured
telephone interviews followed by thematic analysis. Interviews were
conducted with a total of eighteen participants that included six senior
Paramedics (Advanced Paramedics), seven General Practitioners (GPs),
three Practice Nurses and two Practice Managers.
Results:
Participants in this study expressed polarised views on the potential
for Paramedic roles in Irish General Practice. Paramedics were
enthusiastic, highlighting opportunity for professional development and
favourable working conditions. GP’s, Practice Nurses and Managers were
more circumspect and had concerns that Paramedic scope and skillset was
not currently aligned to General Practice care. GP’s, Practice Nurses
and Managers emphasised a greater role for expanded General Practice
Nursing. There were varied perceptions on what the potential role of a
Paramedic in General Practice might entail, but consensus that
Government support would be required to facilitate any potential
developments.
Conclusions: The findings of this research can
inform future development of novel roles in Irish General Practice and
suggests that there is appetite from within the Paramedic profession to
pursue such roles. A pilot demonstration project, grounded in an action
research framework could address data gaps and potential concerns. Any
future developments should occur in tandem with and with due
consideration for the expansion of General Practice Nursing in Ireland.