Division of General Internal Medicine, Department of Medicine, Harborview Medical Center, University of Washington, Seattle, WA 98104, USA.
J Immigr Minor Health. 2012 Apr;14(2):307-13. doi: 10.1007/s10903-011-9449-6.
Effective communication during a medical emergency is crucial for an appropriate emergency medical services (EMS) response. This exploratory qualitative study explored intentions to use 9-1-1 in a Chinese speaking community and the barriers and facilitators to accessing EMS. Focus groups with Chinese adults who self-reported limited English proficiency were conducted. An inductive iterative approach was used to categorize and connect themes identified in the discussions. Language difficulties, negative perceptions of EMS, perceived costs of using emergency services, and no previous experience with 9-1-1 were commonly described as barriers to calling EMS during emergencies. Positive past experiences with EMS and encountering an emergency situation perceived as too great to manage alone are common facilitators for calling 9-1-1. Further exploration is necessary to assess barriers to calling 9-1-1 unique to specific communities, test findings, and tailor interventions to improve EMS communication.
在医疗紧急情况下，有效的沟通对于适当的紧急医疗服务（EMS）响应至关重要。本探索性定性研究探讨了讲中文的社区使用 9-1-1 的意愿，以及获取 EMS 的障碍和促进因素。对自我报告英语水平有限的中国成年人进行了焦点小组讨论。采用归纳迭代方法对讨论中确定的主题进行分类和连接。语言困难、对 EMS 的负面看法、使用紧急服务的感知成本以及没有使用 9-1-1 的先前经验通常被描述为在紧急情况下拨打 EMS 的障碍。对 EMS 的积极过往体验以及遇到被认为难以独自应对的紧急情况是拨打 9-1-1 的常见促进因素。需要进一步探索，以评估特定社区拨打 9-1-1 的障碍，检验研究结果，并制定干预措施以改善 EMS 沟通。
