Regulatory impediments to the implementation of a community paramedicine programme in Virginia

The growth of community paramedicine-mobile integrated health-care programmes has increased steadily across the United States since the term was first used in print in the United States by Kevin McGinnis in 2001. Unfortunately, the basic definitions of Emergency Medical Services as well as regulations in Virginia may block full implementation of this program, unless they can be changed. Yet one program in Chesterfield County has found a way to start successfully, despite these challenges.

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