Developing the Community Paramedicine Needs Assessment Tool.

Background/Objectives: Community paramedicine programs have existed since the early 2000s, and while resource optimization remains a predominant driver, innovation in recent years demonstrates that when community paramedicine is integrated into healthcare, it is well-positioned to support the needs of structurally marginalized communities by focusing services for those facing barriers to accessing equitable care. A recent scoping review described the evolving ways community paramedicine models are addressing health and social needs within communities around the world. We aimed to identify and explore existing community needs assessment tools in Canada to guide the initial development of a needs assessment tool for community paramedicine. Methods: We conducted a document analysis of existing community needs assessment resources to identify current tools or processes used to identify community needs, as well as determine gaps to address and support. Documents were collected for review via a targeted literature search of both published and gray sources, and direct document requests of community paramedicine service providers to review guides informing current service planning in Canada. We presented a draft of the tool to participants at a community paramedicine conference for their review and feedback, and we incorporated this feedback into the final version. Results: We reviewed 38 documents to identify and synthesize key elements within community health and social needs assessment tools and frameworks. Findings informed an interim Community Paramedicine Needs Assessment Tool (CPNAT) that the team presented to 112 community paramedicine experts and partners. We received 33 group responses of detailed feedback that we used to further refine and finalize the tool. Conclusions: The CPNAT can support enhanced health equity by guiding community paramedicine programs to better align services, policies, and funding with the health and social care needs of communities.