Emergency department interventions that could be conducted in subacute care settings for patients with nonemergent conditions transported by paramedics: a modified Delphi study

Article Figures & Tables

Download figure
Open in new tab
Download powerpoint
Figure 1:
Study course of recruitment and 2 rounds of the RAND/UCLA modified Delphi consensus survey.

Table 1:

Demographic characteristics of the Delphi expert committee in the RAND/UCLA modified Delphi consensus process

Characteristic	No. (%) of experts n = 20
Gender
Male	14 (70)
Female	6 (30)
Province of primary practice
Ontario	18 (90)
Quebec	2 (10)
Primary medical practice
Emergency medicine	16 (80)
Family medicine	3 (15)
Both	1 (5)
Length of practice, yr
0–4	2 (10)
5–9	5 (25)
10–14	2 (10)
15–19	2 (10)
20–24	2 (10)
25–29	2 (10)
≥ 30	5 (25)
Medical director, Ontario paramedic services	5 (25)

Table 2:

Emergency department interventions receiving consensus through each round of the RAND/UCLA modified Delphi survey

Canadian Classification of Health Interventions section^*	Round 1		Round 2		Cumulative result

	No. of interventions	No. (%) with consensus	No. of interventions	No. (%) with consensus	No. (%) of interventions with consensus	No. of interventions with no consensus
1) Physical or physiologic therapeutic	56	45 (80.4)	11	7 (63.6)	52 (92.9)	4

2) Diagnostic	8	8 (100)	–	–	8 (100)	0

3) Diagnostic imaging	73	73 (100)	–	–	73 (100)	0

6) Cognitive, psychosocial and sensory therapeutic	11	11 (100)	–	–	11 (100)	0

7) Other health care	1	1 (100)	–	–	1 (100)	0

8) Therapeutic interventions strengthening the immune system	1	1 (100)	–	–	1 (100)	0

Note: consensus = 70% consensus reached, intervention = main emergency department intervention, no consensus = 70% consensus was not reached.
↵* Description and origin of sections are described in the Methods.

Table 3:

Health care centre that could conduct emergency department interventions receiving consensus in the RAND/UCLA modified Delphi process

Canadian Classification of Health Interventions section^*	No. of interventions	Acute centre	Subacute centre

		No. of interventions selected only for an ED	No. of interventions selected for an UCC	No. of interventions selected for a WM centre	No. of interventions selected for an NP clinic
1) Physical or physiologic therapeutic	52	10	42	27	29

2) Diagnostic	8	1	7	6	6

3) Diagnostic imaging	73	32	41	0	0

6) Cognitive, psychosocial and sensory therapeutic	11	0	11	11	10

7) Other health care	1	0	1	1	1

8) Therapeutic interventions strengthening the immune system	1	0	1	1	1

Note: intervention = main emergency department intervention, ED = emergency department, NP clinic = nurse practitioner–led clinic, UCC = urgent care centre, WM centre = walk-in medical centre.
↵* Description and origin of sections are described in the Methods.