Andrea Gresens
Journal of Paramedic Practice, Vol. 9, Iss. 5, 05 May 2017, pp 208 - 212

Emergency medical services (EMS) have responded to the Affordable Care
Act's target to reduce healthcare spending and focus on preventative health by
developing community paramedicine programmes in the USA. Currently in their
infancy, these community paramedicine programmes aim to utilise existing skills
and knowledge to combat patient readmission to the emergency department,
and empower the public to take control of their healthcare path. Paramedics are
taken out of the pre-hospital emergency environment and placed into a new
undefined prehospital non-emergency preventative health care territory. As EMS
morphs into a preventative healthcare realm in Texas, questions of community
paramedicine healthcare designation and legal ramifications arise. Community
paramedic knowledge of these healthcare designations and legal ramifications is
indispensible to the success of such a programme.

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