References

American Hospital Association. Fact sheet: telehealth. 2019. https://tinyurl.com/3k2fjjkr (accessed 13 April 2022)

American Psychological Association. Teaching tip sheet: self-efficacy. 2009. https://www.apa.org/pi/aids/resources/education/self-efficacy (accessed 13 April 2022)

Social learning theory. 1971. http://www.asecib.ase.ro/mps/Bandura_SocialLearningTheory.pdf (accessed 13 April 2022)

Centers for Disease Control and Prevention. Health equity considerations and racial and ethnic minority groups. 2022. https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/race-ethnicity.html

Clare CA. Telehealth and the digital divide as a social determinant of health during the COVID-19 pandemic. Netw Model Anal Health Inform Bioinform. 2021; 10:(1) https://doi.org/10.1007/s13721-021-00300-y

Constantine ST, Callaway D, Driscoll JN, Murphy S. Implementation of drive through testing for COVID-19 with community paramedics. Disaster Med Public Health Prep. 2021; 16:1-7 https://doi.org/10.1017/dmp.2021.46

Community paramedicine: a preventive adjunct to primary care. 2014. https://tinyurl.com/3hrhja7n (accessed 13 April 2022)

Health Resources and Services Administration. Federally qualified health centers. 2018. https://www.hrsa.gov/opa/eligibility-and-registration/health-centers/fqhc/index.html (accessed 13 April 2022)

Health Resources and Services Administration. Strategic plan FY 2019–2022. 2021. https://www.hrsa.gov/about/strategic-plan/fy2019-2022 (accessed 13 April 2022)

Joshi AU, Lewiss RE, Aini M, Babula B, Henwood PC. Solving community SARS-CoV-2 testing with telehealth: development and implementation for screening, evaluation and testing. JMIR Mhealth Uhealth. 2020; 8:(10) https://doi.org/10.2196/20419

Killerby ME, Link-Gelles R, Haight SC Characteristics associated with hospitalization among patients with COVID-19—metropolitan Atlanta, Georgia, March-April 2020. MMWR Morb Mortal Wkly Rep. 2020; 69:(25)790-794 https://doi.org/10.15585/mmwr.mm6925e1

Little TD, Chang R, Gorrall BK The retrospective pretest-posttest design redux: on its validity as an alternative to traditional pretest-posttest measurement. Int J Behav Dev. 2019; 44:(2)175-183 https://doi.org/10.1177/0165025419877973

O'Meara P, Stirling C, Ruest M, Martin A. Community paramedicine model of care: an observational, ethnographic case study. BMC Health Serv Res. 2016; 16 https://doi.org/10.1186/s12913-016-1282-0

Stokes EK, Zambrano LD, Anderson KN Coronavirus disease 2019 case surveillance—United States, January 22-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69:(24)759-765 https://doi.org/10.15585/mmwr.mm6924e2

Tapper EB, Asrani SK. The COVID-19 pandemic will have a long-lasting impact on the quality of cirrhosis care. J Hepatol. 2020; 73:(2)441-445 https://doi.org/10.1016/j.jhep.2020.04.005

Wegermann K, Wilder JM, Parish A Racial and socioeconomic disparities in utilization of telehealth in patients with liver disease during COVID-19. Dig Dis Sci. 2021; 1-7 https://doi.org/10.1007/s10620-021-06842-5

National Rural Health Association policy brief: principles for community paramedicine programs. 2012. https://www.ruralhealth.us/getattachment/Advocate/Policy-Documents/PrinciplesforCommunityParamedicineSept-2012.pdf.aspx?lang=en-US (accessed 25 April 2022)

Reaching underserved people during the pandemic

02 May 2022
Volume 14 · Issue 5

Abstract

Background:

As the COVID-19 crisis evolved, many emergency medical technicians (EMTs) and community paramedics (CPs) were already positioned to engage with both the community and the health system.

Aim:

This project, based in Indiana, USA, aimed to provide resources for EMTs and CPs to build knowledge and skills necessary to use promising practices related to COVID-19 and provide culturally competent care using telehealth to improve access to care for underserved populations during the pandemic.

Methods:

Between May 2020 and April 2021, EMT and CP participants completed a retrospective pre-test and post-test assessing self-efficacy around best practices related to COVID-19 and culturally competent care using telehealth.

Findings:

Forty-nine EMTs and CPs completed the project and results demonstrate a significant (P<0.05) improvement in self-reported level of preparedness to demonstrate best practices related to COVID-19 culturally competent care using telehealth.

Conclusion:

The project identified a potentially effective strategy for increasing practitioner self-efficacy, resulting in a more effective system for caring for vulnerable individuals during a pandemic.

The COVID-19 pandemic affected racial and ethnic minority groups unequally, putting them more at risk of becoming sick and dying from the condition (Killerby et al, 2020; Stokes et al, 2020). Factors for this disparity revolve around the traditional social determinants of health of where people live, work, worship and play, and the impact on their living conditions, occupation and access to care. People from some racial and ethnic minority groups face multiple barriers to accessing healthcare and, because of various social determinants of health, many underserved communities are disproportionately affected by COVID-19 (Centers for Disease Control and Prevention, 2022).

Mobile integrated health and community paramedicine has served as a strong division of our healthcare workforce for years, providing a bridge between traditional healthcare services and undeserved urban and rural communities (White and Wingrove, 2012; Guy, 2014; O'Meara et al, 2016; Constantine et al, 2021).

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