{"doi":"10.56068/ampo6844","title":"Feasibility and Safety of a Field Care Clinic as an Alternative Ambulance Destination During the Covid-19 Pandemic","abstract":"Background: Anticipating an increased utilization of healthcare facilities during the COVID-19 surge, the San Francisco Department of Public Health developed a plan to deploy neighborhood-based Field Care Clinics (FCCs) that would decompress emergency departments by serving patients with low acuity complaints. These clinics would receive patients directly from the Emergency Medical Services (EMS) system. Transports were initiated by a paramedic-driven protocol, originally by EMS crews and later by the Centralized Ambulance Destination Determination (CADDiE) System. In this study, we evaluated the outcomes of EMS patients who were transported to the FCC, specifically as to whether they required subsequent transfer to the emergency department. Methods: , 2020. Descriptive statistics and Chi-Square Tests were used to analyze patient data. Results: =0.51). Conclusion: Three-fourths of patients who required subsequent hospital transfer were admitted or required specialized services, suggesting that the FCC was viable for managing low acuity conditions. However, the underutilization of the FCC by EMS as a transport destination and a high hospital transfer rate indicates training and protocol refinement opportunities. Despite the small cohort size, this study demonstrates that an FCC alternative care site can act as a viable source for urgent and emergency care during a pandemic.","journal":"International Journal of Paramedicine","year":2023,"id":381500,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9631,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1147903,"name":"John Wong-Castillo","orcid":null,"position":1,"is_corresponding":false},{"id":1147904,"name":"Ryan Seymour","orcid":null,"position":2,"is_corresponding":false},{"id":380887,"name":"Christopher S. Colwell","orcid":"0000-0002-1059-184X","position":3,"is_corresponding":false},{"id":235952,"name":"Andrea J. Tenner","orcid":"0000-0003-3000-024X","position":4,"is_corresponding":false},{"id":1007784,"name":"John M. Brown","orcid":"0000-0003-4049-4271","position":5,"is_corresponding":false},{"id":1147495,"name":"Mary Beth Mercer","orcid":"0000-0001-7479-8762","position":6,"is_corresponding":false},{"id":492931,"name":"David Berger","orcid":null,"position":0,"is_corresponding":true}],"reference_count":12,"raw_metadata":null,"created_at":"2026-07-19T01:17:12.933204Z","pmid":"37009632","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}