Health & Social Care in the Community最新文献

{"title":"Organizational Impacts of Restrictive Immigration Policy on Rural Safety Net Organizations","authors":"Fabiola M. Perez-Lua,&nbsp;Sharon Tafolla,&nbsp;Maria-Elena De Trinidad Young","doi":"10.1155/2024/9185767","DOIUrl":"https://doi.org/10.1155/2024/9185767","url":null,"abstract":"<div>\u0000 <p>Safety net organizations in rural regions face structural barriers to providing services. Organizations that serve rural Latino communities may face additional barriers related to restrictive immigration policies and anti-immigrant climates. This study examines the impacts of restrictive immigration policies on safety net organizations that provide critical services to Latinos in rural areas to elucidate the mechanisms by which immigration policies influence Latino health. We conducted a qualitative analysis of 20 in-depth interviews with safety net organizations providing legal, nutritional, healthcare, labor, educational, and advocacy services to Latinos in rural California. Rural Latino-serving safety net organizations face immigration-related funding restrictions and anti-immigrant climates. Under restrictive immigration policies, rural safety net organizations are forced to extend beyond their organizational missions to circumvent immigration-related funding restrictions and address anti-immigrant climates to deliver their services. Staff working in these organizations are at the frontlines of anti-immigrant climates and experienced an emotional toll from their work. States should address anti-immigrant climates and increase funding to support organizations who serve Latinos in rural regions. To ensure that rural safety net organizations meet their mission, immigration-related eligibility requirements from safety net services should be removed. In addition, funders should allocate resources towards mental health services to address the impacts of anti-immigrant climates on staff who serve in rural Latino communities.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9185767","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142429694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of National Disability Insurance Scheme Plan Payments for People With Cerebral Palsy Described Using Publicly Available Data","authors":"Prue Morgan,&nbsp;Ngoc Thien Kim Tang,&nbsp;Christine Imms","doi":"10.1155/2024/5541911","DOIUrl":"https://doi.org/10.1155/2024/5541911","url":null,"abstract":"<div>\u0000 <p><b>Introduction:</b> The National Disability Insurance Scheme (NDIS) provides funding to Australians with permanent and significant disabilities to enable ‘an ordinary life’. However, we know little about the characteristics of NDIS funding in people with cerebral palsy (CP).</p>\u0000 <p><b>Materials and Methods:</b> This project explored the NDIS plan payments and support category by people with CP using publicly accessible NDIS data. A descriptive analysis was undertaken using observational statistics and variable comparisons to explore lifespan plan characteristics (core supports, capacity building and capital supports proportions) and payments between different age groupings and geographical regions.</p>\u0000 <p><b>Results:</b> 17,575 people with CP as a primary diagnosis were NDIS participants in March 2023, with plan payments of, on average, $138,000/year. Plan payments increased with age. Most funding was allocated to core supports (average $103,000 Pa) compared to capacity building (average $40,000 Pa) and capital supports (average $11,000 Pa). From 2021 to 2023, plan payments increased beyond the consumer price index. There were large differences in NDIS plan payments across metropolitan and regional locations, likely influenced by a range of personal and service availability factors unable to be identified using the publicly available data.</p>\u0000 <p><b>Discussion:</b> NDIS plan payments were larger in older people with CP. There was also low investment in the capacity building areas of employment and lifelong learning, despite this being a focus of the scheme. Unexplained differences in plan payments across regions require further research.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5541911","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142404554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual and Reproductive Health Service Access among Aboriginal and Torres Strait Islander Young People in Regional NSW, Australia","authors":"Kate Whitford,&nbsp;Bobby Whybrow,&nbsp;Bridget Haire,&nbsp;Alison Nikitas,&nbsp;Samantha Williams,&nbsp;Robert Monaghan,&nbsp;Lise Lafferty","doi":"10.1155/2024/1845971","DOIUrl":"https://doi.org/10.1155/2024/1845971","url":null,"abstract":"<div>\u0000 <p>Owing to the historical and ongoing impacts of colonisation, there is a large health equity gap in sexual and reproductive health (SRH) outcomes between Aboriginal and Torres Strait Islander peoples and non-Indigenous populations. Whilst qualitative research has identified the barriers and enablers to sexual healthcare engagement among young Aboriginal and Torres Strait Islander people in remote settings, little is known about the ways in which young people navigate sexual healthcare in a regional setting. This study aims to address this gap. Sixty-five young (aged 15–29) Aboriginal and Torres Strait Islander people participated in semistructured interviews across three regional communities in New South Wales, Australia. The candidacy framework informed this analysis. A large proportion of participants expressed having agency and resources to attend health services for SRH needs (primarily STI testing and contraception). Women in particular described being supported by social networks to access SRH services. Male participants were less likely to identify their own candidacy for healthcare. Services that were culturally safe and had trustworthy, nonjudgemental staff and a feeling of community were easier to access (more permeable). Factors that decreased accessibility were confidentiality concerns, difficulty making appointments, and lack of visibility of services, or what they offer. Using the candidacy framework, this study identified the importance of culturally safe service provision, reducing barriers to accessing appointments and the provision of nonjudgemental care in engaging young Aboriginal and Torres Strait Islander people in SRH care. This study also highlighted the various strategies and actions that young Aboriginal and Torres Strait Islander people are already taking to protect their sexual health and that of their partners.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/1845971","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142404555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation Analysis between Meteorological Influencing Factors and Incidence Features of OIDDs in Guangzhou from 2006 to 2020","authors":"Guqian Pang,&nbsp;Xiaowei Ma,&nbsp;Jingbo Li,&nbsp;Jianyu Lai,&nbsp;Jian He,&nbsp;Juanhuai Wang,&nbsp;Xiaokun Guo,&nbsp;Zhoubin Zhang","doi":"10.1155/2024/9777693","DOIUrl":"https://doi.org/10.1155/2024/9777693","url":null,"abstract":"<div>\u0000 <p><i>Objectives</i>. This study is to analyze the epidemiological characteristics of other infectious diarrhea diseases (OIDDs) reported in Guangzhou in the past 15 years and the meteorological data of the city in the same period, to explore the correlation between meteorological factors and the incidence. <i>Methodology</i>. This study starts with using quartiles to test the normal distribution of case data. This study has selected five meteorological factors with the highest correlation coefficients and case data from 2006 to 2018 were used to establish a multiple linear regression equation, and the regression equation was tested with case data from 2019 to 2020. <i>Results</i>. Regression modeling based on the statistics for OIDDs during 2006 to 2018 obtained a correlation coefficient R (multiple R) value of about 0.50. The R square value, also known as the coefficient of determination or goodness of fit, was about 0.25. The adjusted R square value was about 0.25. The overall significance test value (significance F) in the regression equation was much lower than the F statistic, thereby indicating that the dependent variable and independent variable were significant. <i>Conclusion</i>. The results indicated that factors other than meteorological or social factors should be considered to understand the outbreak of OIDDs in Guangzhou.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9777693","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142404520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Do Health Visitors and Parents Interact in the UK Child Health Clinics around Infant Weight in the Context of Overweight and Obesity: An Interpretative Research Study","authors":"Maggie Coates,&nbsp;Debbie Porteous,&nbsp;Tina Cook","doi":"10.1155/2024/8678885","DOIUrl":"https://doi.org/10.1155/2024/8678885","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. In 2020, figures estimated that 39 million preschool children worldwide, experienced overweight or obesity. Global prevalence has almost tripled in the last 40–50 years. The number of preschool children impacted makes it severe enough to be one of the most serious public health challenges for the 21st century, which could be addressed during infancy, for improved short- and long-term health outcomes. <i>Objective</i>. Research in a local Trust providing health visiting services in the northeast of England aimed to describe and interpret the interaction between UK parents and health visitors around infant weight (0–2) in delivering the UK Healthy Child Programme. <i>Methods</i>. The research paradigm was social construction, and interpretative phenomenology enabled the interpretation of experiences of self and everyday situational encounters or participants lived experiences. The research applied theoretical perspectives of hermeneutic phenomenology and symbolic interactionism. Purposive sampling recruited 14 parents and 20 health visitors, and 4 focus groups and 8 semistructured interviews were completed. Data analysis was thematic. <i>Findings</i>. Interaction between health visitors and parents around infant weight was complex. Assumptions were made, and the interaction was open to misinterpretation. This impacted the integrity of the conversation. Managing infant weight was superseded by other public health needs of parents. There was no obvious approach to assessment of infant weight that might be exceeding normal growth centiles, whole family approaches, or risk assessment. Infant weight remained an emotive subject for parents and health visitors, and this governed how it was addressed. <i>Conclusion</i>. While existing research has emphasised that infant weight is a sensitive issue to raise with parents, this research is unique, providing detailed implications for UK health visitors and recommendations for future management of infant weight within the UK Healthy Child Programme. Findings are transferrable to other public health professionals communicating with infants and parents in the management of infant weight.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/8678885","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142404149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Support Provided by the Formal and Informal Network Members during “Hospital at Home” Treatment from a Nursing Perspective: An Interview Study","authors":"Jack Gillham,&nbsp;Ivaylo Vassilev,&nbsp;Rebecca Band","doi":"10.1155/2024/6942462","DOIUrl":"https://doi.org/10.1155/2024/6942462","url":null,"abstract":"<div>\u0000 <p>Pressure on healthcare systems to address growing population needs is forcing services to adapt, which includes supporting acute patients in the community. One emerging service in the United Kingdom that offers this level of treatment is “Hospital at Home” (HaH). Self-management support is an area of particular importance in this context considering that acute treatment is provided in a community setting with limited input and monitoring by healthcare professionals. There is currently limited understanding about the range of formal and informal support and resources needed and accessed by patients in such circumstances, and whether and how HaH professionals engage with the everyday contexts and the network members of patients. Semistructured interviews were conducted with nurses (<i>n</i> = 9) from a single Hospital at Home site to further understand their experiences of providing acute treatments in the context of patients’ homes; and how self-management and social network support roles are perceived. Thematic analysis was used and four themes were identified: <i>The value of prioritising illness work at home within a discourse of person-centered care; the work involved in the “naturally” therapeutic environment of the home; partners as key members of the informal care team; limited awareness and engagement with (in)formal networks.</i> Findings demonstrate tensions between discourses where nurses idealise the value of the home and a holistic service provision, while in practice prioritising illness (over relational, emotional, and practical) work and delivering a service that is routinised, and time- and cost-efficient. Nurses recognise the positive role of network members for illness management in the context of people’s everyday life, but awareness and engagement are limited to partners and the formal services that HaH staffs are familiar with. Developing a better understanding of the role of social networks (SNs) in supporting people with acute needs at home can help improve patient experiences and care and HaH services, especially for people who are vulnerable, with complex needs, living alone, and with limited access to resources.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6942462","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142404370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intervention Characteristics and Mechanisms and Their Relationship with the Influence of Social Prescribing: A Systematic Review","authors":"Eveline M. Dubbeldeman,&nbsp;Jessica C. Kiefte-de Jong,&nbsp;Frank H. Ardesch,&nbsp;Mirte Boelens,&nbsp;Laura A. van der Velde,&nbsp;Sophie G. L. van der Steen,&nbsp;Miriam L. Heijnders,&nbsp;Mathilde R. Crone","doi":"10.1155/2024/5597259","DOIUrl":"https://doi.org/10.1155/2024/5597259","url":null,"abstract":"<div>\u0000 <p><i>Introduction</i>. Social prescribing (SP) is an integrated care program aimed to improve individuals’ health and wellbeing. Understanding the influence of SP and determining best practices and processes are challenging due to variability in its delivery, implementation, and intervention characteristics between different studies and countries. This study aimed to identify the intervention characteristics, mechanisms, and outcomes associated with SP research and explore how these factors relate to the influence of SP on health and wellbeing, healthcare utilization, and care experiences. <i>Method</i>. A comprehensive search was conducted in twelve databases, Google Scholar, and reference lists of relevant studies published from January 2010 up to April 2023. Searches were limited to literature written in English or Dutch. We utilized ASReview, an open-source machine learning tool, to conduct title and abstract screening. The methodological quality of the included studies was assessed using the Mixed Methods Appraisal Tool, and the risk of bias was evaluated using the Cochrane RoB2 and the ROBINS-I. We coded all intervention characteristics, mechanisms, and relevant outcomes. Quantitative data were visually presented using Harvest Plots, and qualitative data were narratively summarized. <i>Results and Discussion</i>. In total, 49 papers were included, of which seven qualitative, seventeen quantitative, and 25 mixed method studies. The findings highlight the importance of social-related mechanisms, including loneliness and social connectedness, in contributing to the observed positive influence of SP on mental health and wellbeing. The observed outcomes seem to be influenced by various characteristics, including gender, age, the presence of a link worker, and the use of behavior change techniques. However, we should be cautious when interpreting these results due to limitations in study designs, such as the lack of controlled trials and statistical considerations. Further rigorous research is needed to comprehensively understand the impact and potential benefits of SP.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5597259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142404401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to the Design and Delivery of Social Prescribing Services to Support Adult Mental Health: Perspectives of Social Prescribing Service Providers","authors":"Matthew Cooper,&nbsp;Darren Flynn,&nbsp;Jason Scott,&nbsp;Kirsten Ashley,&nbsp;Leah Avery","doi":"10.1155/2024/5581012","DOIUrl":"https://doi.org/10.1155/2024/5581012","url":null,"abstract":"<div>\u0000 <p><i>Objective</i>. To elicit the barriers and facilitators experienced by social prescribing service providers when designing and delivering social prescribing services to support adult mental health. <i>Design</i>. Semistructured interviews were conducted with social prescribing service providers across England and Wales in the third sector. Data were analysed in accordance with the Theoretical Domains Framework (TDF) and Thematic Framework Analysis (TFA). <i>Results</i>. Twenty-one providers (15 females and 6 males) from 17 social prescribing services agreed to participate. Nine analytical themes were identified across seven TDF domains associated with the design of services (e.g., skills and environmental context and resources). Thirteen analytical themes across nine TDF domains were associated with the delivery of services (e.g., beliefs about consequences and optimism). Key recommendations for future social prescribing services were increasing public knowledge of social prescribing; clearly communicating the role of a social prescriber to the public and professionals; providing training to providers on how to safely and effectively lived experiences; adopting a person-centred approach, including use of person-centred measures of mental health and well-being; and strategies to address sustainability of social prescribing services. <i>Conclusions</i>. Service providers are an essential part of the design and delivery of social prescribing services. Person-centred care, sustainable funding, and improved knowledge of social prescribing all warrant further research. Sustainable funding for social prescribing remains a salient policy-level barrier.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5581012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142360049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Care Drain” from East to West: The Narrative of Romanian Women Migrant Working in the Italian Domestic Care Sector","authors":"Ciprian Panzaru,&nbsp;Gloria Gravina","doi":"10.1155/2024/7435493","DOIUrl":"https://doi.org/10.1155/2024/7435493","url":null,"abstract":"<div>\u0000 <p>This study employs a qualitative methodology to investigate the implications of Romanian women’s migration to Italy for employment in the domestic care sector. The research is based on in-depth interviews conducted face to face with 20 Romanian women who have resided in Italy for over a decade, with the aim of capturing the details of their long-term integration processes. These interviews, conducted in 2022, specifically focus on the participants’ lived experiences of migration and adaptation within the Italian context. Findings reveal that economic motivations are a primary driver intertwined with aspirations for personal and familial advancement. However, the research also highlights the challenges faced by these women, including precarious employment conditions, emotional strain due to family separation, and complexities of integration within the host society. Social networks and transnational ties emerge as crucial factors influencing both the decision to migrate and the subsequent adaptation process. The analysis underscores the duality inherent in care work migration: While it bolsters the Italian care economy and offers economic opportunities for the migrants, it simultaneously exposes them to vulnerabilities such as job insecurity and potential exploitation. By investigating this migration of care workers, the research contributes to the field of welfare economics by clarifying the economic ramifications of gendered occupational segregation and migration status. Furthermore, it advocates for implementing inclusive labour market practices and policies that prioritize the well-being of migrant care workers and facilitate their successful integration into host societies.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/7435493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142360050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Paramedicine Supporting Community Needs: A Scoping Review","authors":"Tyne M. Lunn,&nbsp;Jennifer L. Bolster,&nbsp;Alan M. Batt","doi":"10.1155/2024/4079061","DOIUrl":"https://doi.org/10.1155/2024/4079061","url":null,"abstract":"<div>\u0000 <p>Health and social needs exist along a dynamic continuum. Recognising that health status is inextricably impacted by social determinants of health, community paramedicine has opportunities and a responsibility to reduce inequities. The objective of this scoping review was to investigate the peer-reviewed and grey literature to explore how community paramedicine supports community needs along a health and social continuum. We conducted a scoping review of the English language literature using the JBI Scoping Review methodology. We searched CINAHL, EMBASE, MEDLINE, Google Scholar, and organisational websites. 30 peer-reviewed and 13 grey literature articles met the inclusion criteria. The findings describe the ways community paramedicine models evolved from minimising system pressures on emergency health services to addressing health and social needs. A key recommendation across the literature was the need to meaningfully engage communities early in the program development to understand how best to implement and codesign integrated service models addressing specific community needs although there was a lack of evidence to guide this approach. There is a notable lack of evidence pertaining to optimising technologies in the program design and implementation. The results highlight opportunities to determine the best practices for conducting holistic community needs assessments that include equitable stakeholder engagement and enhancing education to prepare paramedics for expanded roles. Community paramedicine provides opportunities to better meet the needs of structurally marginalised communities. There is a social responsibility and opportunity to engage communities to codesign service delivery, advance paramedic education, and enhance interprofessional collaboration to better support community needs and generate upstream solutions for individuals and communities.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/4079061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142359936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}