Emergency Medical Services (EMS) and Community Paramedicine

Policy Resources

High-quality, accessible emergency medical services (EMS) provided to patients experiencing time-sensitive emergencies, including stroke, myocardial infarction, and cardiac arrest, can substantially improve survival rates and promote optimal recovery.1,2

However, the quality and accessibility of EMS vary widely across the United States, in part because EMS programs are largely funded by state and local governments, leading to variations in the structure and organization of service delivery.3,4

Research has also identified substantial differences in health outcomes associated with race and ethnicity, gender, and geography (particularly for rural and low-income communities).5,6,7,8

Community paramedicine is an emerging approach that can help address health inequities. Community paramedics work in nontraditional ways to expand access and reduce barriers to primary and preventive care for underserved populations.9

Learn more about the evidence related to EMS and community paramedicine and where evidence-informed policies have been adopted and implemented in the United States.

Emergency Medical Services Home Rule State Law Fact Sheet

This state law fact sheet (SLFS) provides a five-state analysis of local government autonomy and local funding mechanisms in effect as of January 31, 2022. Policy and public health professionals and researchers can use this to understand local government challenges of providing life-saving EMS.