Integrating paramedics into primary care to optimize patient time in the community at end of life

Project number: 
18-015
Approval date: 
Friday, April 20, 2018
Principal Investigator: 
Kryworuchko,Jennifer
Institution: 
Centre for Health Services and Policy Research
Funding Agency: 
Canadian Institutes of Health Research(CIHR),Canadian Institutes of Health Research(CIHR),Michael Sm
Datasets requested: 
BC Ambulance Service
Deaths (BC Vital Statistics Agency)
consolidation - census geocodes
NACRS
Hospital Separations (BC Ministry of Health)
Consolidation registry (Ministry of Health)
PharmaNet
Medical Services Plan (BC Ministry of Health)
Consolidation - demographic (Ministry of Health)
Research objective: 

1. Is the Paramedics Providing Palliative Care at Home Program in NS associated with an increase in the proportion of days spent in the community during the last six months of life compared to: (a) having no program? And (b) pre-implementation of this program. [QUANTITATIVE]

Hypothesis: The Paramedics Providing Palliative Care at Home Program in NS is associated with an increased proportion of days spent in the community during the last six months of life compared to having no program, and compared to the period prior to implementation of this program.

2. Is dying in NS post-implementation associated with an increase in deaths out of hospital, compared to BC, and compared to pre-implementation? [QUANTITATIVE]

Hypothesis: There is an increased number of deaths out of hospital after the intervention implementation. In BC, and in NS prior to implementation of the Program there were more deaths in hospital.

3. How can essential elements of the Paramedics Providing Palliative Care at Home Program be successfully implemented in other jurisdictions? [QUALITIATIVE]

Hypothesis: Together with key stakeholders, we can identify essential elements of the Program that can be scaled up for use in other jurisdictions.


Page last revised: September 2, 2019