Abstract
Introduction
Traditional rapid-assessment models may not be fully suited for the complex presentations that paramedics commonly encounter. As paramedicine evolves to meet non-emergency patient needs, extended practice community paramedic (CP) roles are emerging to deliver holistic and collaborative community-based healthcare.
Purpose
This commentary outlines the need for a Community Paramedic-Patient Consultation Framework (CP-PCF). A framework that provides a structured process for paramedics, who are transitioning into CP roles, to guide them in conducting advanced, comprehensive, and patient-centred holistic assessments. It highlights the importance of understanding biopsychosocial factors influencing patient wellbeing and provides a conceptual foundational framework as an example for further development and validation.
Relevance
A standardised systematic consultation approach supports more effective communication, shared decision-making, and safe care planning. Such a framework aligns with professional standards, enhances interprofessional collaboration, and improves health literacy and equity for structurally marginalised patients.
Outcome
We further propose a nine-phase CP-PCF to improve paramedic confidence, accuracy in clinical reasoning, and patient outcomes. Through patient engagement, trust-building, and addressing the social determinants of health, this framework aims to refine CP practice and support integrated care models.
Conclusion
By guiding paramedics toward a structured, holistic consultation approach, the proposed CP-PCF may help bridge the gap between emergency-focused practices and community-based care for non-emergency presentations. As paramedics gain confidence in exploring each patient’s individual biopsychosocial circumstances, they will be better equipped to improve patient experiences and outcomes
Accepted, awaiting publication