‘Volunteer ambulance models have sometimes been neglected on an assumption that volunteer numbers are falling and that salaried paramedics are filling the needs of all communities,’ said La Trobe University’s Professor of Rural and Regional Paramedicine and lead researcher, Professor Peter O’Meara.
‘However, this is not necessarily the case and in some parts of Australia and New Zealand, the number of ambulance volunteers is actually increasing. In fact, this is consistent with an overall growth in the number of people volunteering across the not-for-profit sector more generally.’
According to Professor O’Meara, in 2004-2005 there were 8747 salaried staff and 5038 volunteers working in operational roles in the eight Australian ambulance services. By 2008–2009, this had grown to 10,909 salaried staff and 6396 volunteers, respectively.
‘Voluntary response and delivery of emergency health services make important contributions to the health, safety and well-being of communities,’ said Professor O’Meara.
‘These contributions are especially valuable in sparsely populated regions and especially in response to unusual or extraordinary events where regular emergency health services are overwhelmed.
‘We are not saying that volunteers ought to be used as a cost saving strategy.
‘Ambulance services need to invest in adequate training. There must be careful planning for ongoing integration of volunteers into large and professionally led emergency services in order to optimise the allocation of human resources and expertise.’
Professor O’Meara and his fellow researchers, Vianne Tourle and John Rae - from the School of BioMedical Sciences at Charles Sturt University - conducted interviews with senior managers from seven ambulance services in Australia and New Zealand.
From these interviews they have produced an ideal model for integrating ambulance volunteers and professional first responders.
‘We are putting forward a model that consists of four components: leadership; integrative processes; resource commitment; and relative autonomy,’ Professor O’Meara said.
‘The first three of these relate directly to the organisation, and how it is managed. The fourth concerns the volunteers themselves.
‘If these approaches were replicated more widely, a viable and effective volunteer emergency health response system could be established in those areas where it is uneconomic or impractical to provide a salaried ambulance service staffed with professionally qualified paramedics.’
The research paper entitled Factors influencing the successful integration of ambulance volunteers and first responders into ambulance services can be viewed in the online edition of the Health and Social Care in the Community Journal at
Professor Peter O’Meara, Ph (03) 5444 7870 M 0428 512 970 E firstname.lastname@example.org
Zerin Knight, Ph (03) 5444 7375 F (03) 5444 7526 M 0428 463 161 E email@example.com
Tom O’Callaghan, Ph (03) 5444 7415 F (03) 5444 7526 M 0408 900 469 E T.OCallaghan@latrobe.edu.au