PRIMARY SURVEY
Primary survey
| The first 150 words of the full text of this article appear below. |
COST-EFFECTIVENESS OF PARAMEDIC PRACTITIONERS ATTENDING OLDER PEOPLE
This cluster randomised-controlled trial is the latest in a series of papers examining the outcome of the introduction of a paramedic practitioner service aimed specifically at the care of older people with minor injuries and illnesses. As such it forms part of one of the most thorough and scientific evaluations of a health service development and serves as an excellent example to health service managers, commissioners and policy-makers alike. All too often it is said that good prehospital research is impossible to do—this demonstrates that with the appropriate skill mix and motivation this is not the case, and of course users of emergency and unscheduled prehospital services deserve to be provided with evidence-based care to the same extent as other NHS clients.
This trial compares the costs of providing a paramedic practitioner (PP) service with usual ambulance care. The authors report that while PPs had a greater contact time they
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