CIVIC-PG Track B: Strengthening community paramedicine services through action research

社区护理计划旨在通过紧急9-1-1服务为服务不足且往往脆弱的人群提供快速和定制的护理。虽然评估表明，这些方案在减少紧急服务的使用和节省城市资金方面是有效的，但对这些方案在改善其服务的客户的生活质量以及它们是否公平地为社区服务方面的成功程度的了解有限。这个参与式行动研究项目探讨了旧金山弗朗西斯科消防局社区护理部门的弱势客户和护理人员的观点。第一阶段的目标是确定客户和工作人员确定的成功指标，并制定一种方法，有意义地衡量取得成功成果的进展。该项目旨在整合来自几个不同社区护理计划的数据，以更好地了解客户群体。从这个项目的见解将被用来开发，试点和评估干预措施，以提高有效性和公平提供社区护理服务在旧金山弗朗西斯科和美国各地的其他社区。该项目的愿景是加强社区护理人员的工作，以提高生活质量和严重依赖紧急服务的旧金山弗朗西斯科居民的复原力。评估社区护理计划的现有指标仅关注成本节约和效率，而不是弱势客户和社区护理人员的经验。该研究小组将衡量个人和社区层面的成功，跟踪这些计划的公平程度，并制定战略，以减少社区护理人员的倦怠和道德伤害。第一阶段的活动由三个核心问题指导：1）社区护理人员、客户和市政利益相关者如何定义社区护理计划的成功？2)什么是有用的指标，以衡量公平提供社区护理计划，什么数据应定期收集，以评估这些指标？以及3）哪些干预措施可以改善社区护理服务的协调、设计、公平提供和/或效率？第二阶段的试点将测试最佳实践，可以扩展和采用其他社区护理计划，共同服务弱势群体的目标。这个项目是为了响应公民创新挑战计划-轨道B。弥合基本资源和服务社区需求之间的差距-是NSF、国土安全部和能源部之间的合作。该奖项反映了NSF的法定使命，并通过使用基金会的知识价值和更广泛的影响审查标准进行评估，被认为值得支持。

Community paramedicine programs are designed to provide expedited and customized care to underserved and often vulnerable populations seeking repeat assistance through emergency 9-1-1 services. While evaluations show that these programs are effective at reducing use of emergency services and saving cities money, knowledge of how successful these programs are at improving the quality of life for the clients they serve and whether they serve the community equitably is limited. This participatory action research project explores the perspectives of San Francisco Fire Department Community Paramedicine Division’s vulnerable clients and the paramedicine staff. The goals in Stage 1 are to identify indicators of success as defined by clients and staff and develop a method to meaningfully measure progress toward successful outcomes. The project aims to consolidate data from several distinct community paramedicine programs to better understand the client population. Insights from this project will be used to develop, pilot, and evaluate interventions to improve effectiveness and equitable delivery of community paramedicine services in San Francisco and other communities across the United States. The vision for this project is to strengthen community paramedicine’s work to improve the quality of life and resilience of residents of San Francisco who rely heavily on emergency services. Existing metrics to evaluate community paramedicine programs focus only on cost-savings and efficiencies and not on the experiences of vulnerable clients and community paramedics. The research team will be measuring success at the individual- and community-level, tracking how equitably these programs are being delivered, and developing strategies to reduce burnout and moral injury among community paramedics. The Stage 1 activities are guided by three core questions: 1) how do community paramedicine staff, clients, and municipal stakeholders define success for community paramedicine programs?; 2) what are useful metrics to measure equitable delivery of community paramedicine programs and what data should be routinely collected to assess these metrics?; and 3) what interventions could improve the coordination, design, equitable delivery, and/or efficiency of community paramedicine services? The Stage 2 pilot will test best practices that could be scaled and adopted by other community paramedicine programs that share the goal of serving vulnerable populations.This project is in response to the Civic Innovation Challenge program—Track B. Bridging the gap between essential resources and services & community needs—and is a collaboration between NSF, the Department of Homeland Security, and the Department of Energy.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.