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Background <p>In view of overburdened primary care and emergency medical structures in the German healthcare system, complementary care models are being discussed. Paramedics are intended to provide professional care for low-priority cases in out-of-hospital acute and emergency care and, where possible, provide a definitive solution for the patient, thereby, contributing to system relief.</p> Objective <p>This study aims to examine and critically reflect on the competencies that paramedics require for such an autonomous role. The goal is to develop a&#xa0;competency profile based on professional expert reflection for a&#xa0;patient-centered education and training qualification for paramedics.</p> Methods <p>Ten semi-structured expert interviews (nursing, academia, policy, emergency medicine/rescue services, statutory health insurance) were analyzed using qualitative content analysis according to Kuckartz and Rädiker. The Kultusministerkonferenz (KMK) competency model served as the analytical framework.</p> Results <p>The analysis shows a&#xa0;need for expanded competencies across all domains. Key competencies include differential diagnostics and pharmacology, clinical reasoning, patient-centered communication, as well as responsibility and self-reflection.</p> Conclusion <p>An extended, autonomous role for paramedics requires significant expansion of competencies, adapted training structures (potentially academic), and a&#xa0;clear legal framework.</p>

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Das Kompetenzprofil für Notfallsanitäter:innen in der komplementären Versorgung

  • 期刊论文

  • 发表日期：

    2026年6月17日

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  • Andrea Schneemilch,
  • Gordon Heringshausen,
  • Sebastian Koch

摘要

Background

In view of overburdened primary care and emergency medical structures in the German healthcare system, complementary care models are being discussed. Paramedics are intended to provide professional care for low-priority cases in out-of-hospital acute and emergency care and, where possible, provide a definitive solution for the patient, thereby, contributing to system relief.

Objective

This study aims to examine and critically reflect on the competencies that paramedics require for such an autonomous role. The goal is to develop a competency profile based on professional expert reflection for a patient-centered education and training qualification for paramedics.

Methods

Ten semi-structured expert interviews (nursing, academia, policy, emergency medicine/rescue services, statutory health insurance) were analyzed using qualitative content analysis according to Kuckartz and Rädiker. The Kultusministerkonferenz (KMK) competency model served as the analytical framework.

Results

The analysis shows a need for expanded competencies across all domains. Key competencies include differential diagnostics and pharmacology, clinical reasoning, patient-centered communication, as well as responsibility and self-reflection.

Conclusion

An extended, autonomous role for paramedics requires significant expansion of competencies, adapted training structures (potentially academic), and a clear legal framework.