Exploring alternative paramedic roles: a multinational mixed-methods survey

The findings from this study highlight that paramedicine is rapidly evolving in response to varying local healthcare needs and sector-specific challenges. Rather than striving for a uniform standard of practice, the results suggest that paramedicine should be viewed as a flexible and adaptive domain, capable of specialising across diverse clinical, managerial, and academic settings. The diverse titles, roles, and models described by participants reflect the growing complexity of the profession. Furthermore, the study indicates that paramedic practice is often shaped by local contexts, such as organisational needs and healthcare gaps, which create innovative opportunities for expanding the scope of the profession. By embracing this variability and focusing on the development of versatile healthcare practitioners who can adapt to societal needs, paramedicine can continue to evolve effectively within well-governed healthcare systems.