title: Barriers to accessing ambulance services in rural Victoria for acute asthma: patients' and medical professionals' perspectives.
abstract: OBJECTIVE
  To study the attitudes and perceptions of rural asthma patients and medical health professionals towards accessing ambulance services for acute asthma.
  
  
  METHODS
  Health professional and patient based focus groups, audit of ambulance patient care records and self administered survey.
  
  
  METHODS
  Asthma patients and medical professionals from rural south-western Victoria.
  
  
  RESULTS
  The audit of patient care records included 69 asthma case records, and identified short response times (mean, 7 min; SD, 5 min), and documented patient improvement in clinical status in response to ambulance treatment. The focus group analysis identified patient perceptions which act as barriers to accessing ambulance services in acute asthma. These included the perception of response time delays, '000' call centre delays and misunderstanding of the role of paramedics, and when it is appropriate to call an ambulance for acute asthma. These perceptions were expressed by both patients and medical professionals, and both groups had poor knowledge of how and when to access ambulance services for acute asthma.
  
  
  CONCLUSIONS
  The misperceptions expressed are of particular concern in a rural population where distance can cause prolonged response times to treatment, and patients who are acutely ill need to contact emergency services promptly and appropriately to improve patient health outcomes.
authors.affiliation: Centre for Ambulance and Paramedic Studies, Monash University, Melbourne, Australia. Amee.Morgans@med.monash.edu.au
authors.forename: Amee
authors.initials: A
authors.lastname: Morgans
authors.forename: Frank
authors.initials: F
authors.lastname: Archer
authors.forename: Tony
authors.initials: T
authors.lastname: Walker
authors.forename: Evelyn
authors.initials: E
authors.lastname: Thuma
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000488:Allied Health Personnel; D000552:Ambulances / Q000706:statistics & numerical data*; D001249:Asthma / Q000628:therapy*; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002648:Child; D005260:Female; D017144:Focus Groups; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D024382:Professional Role; D036301:Qualitative Research; D019035:Rural Health Services / Q000706:statistics & numerical data*; D012938:Social Perception; D014739:Victoria