Andy Rosser

Paramedic

United Kingdom

Doctorate Title: Exploring Clinical Presentations and Paramedic Case-mix in Ambulance Services.

Doctorate Description: Research Aims and Objectives

The aim of this PhD is to understand who uses emergency ambulance services, examine how these services manage their workload, and explore the implications for individual ambulance clinicians in terms of their clinical case-mix exposure and experience. This PhD will draw on international evidence, with a focus on regional UK ambulance services and the clinicians working within these healthcare systems using a range of methodologies.

To achieve this, I will address the following objectives:

• Describe the demographics, characteristics, and clinical presentations of patients who use emergency ambulance services internationally, based on published literature.

• Referring to the literature, explore the workload and the reported case-mix of individual clinicians working globally in emergency ambulance environments.

• Identify and understand the associations between emergency ambulance service use and patient characteristics within a UK regional ambulance service, considering geographical factors, patient demographics, deprivation, and clinical presentations.

• Examine the workload, patient exposure, and acuity of the clinical case-mix of paramedics within UK regional ambulance services.

• Explore the perceptions of workload and clinical case-mix from the perspective of ambulance services paramedic.

• Explore and describe the clinical outcomes for patients transported to hospital by UK paramedics, using linked outcome data.