title: Barriers and facilitators to using 9-1-1 and emergency medical services in a limited English proficiency Chinese community.
abstract: 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.
authors.affiliation: Division of General Internal Medicine, Department of Medicine, Harborview Medical Center, University of Washington, Seattle, WA 98104, USA. bnong@u.washington.edu
authors.forename: Brandon N
authors.initials: BN
authors.lastname: Ong
authors.forename: Mei Po
authors.initials: MP
authors.lastname: Yip
authors.forename: Sherry
authors.initials: S
authors.lastname: Feng
authors.forename: Rebecca
authors.initials: R
authors.lastname: Calhoun
authors.forename: Hendrika W
authors.initials: HW
authors.lastname: Meischke
authors.forename: Shin-Ping
authors.initials: SP
authors.lastname: Tu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian; D002681:China; D003144:Communication Barriers; D004631:Emergency Medical Service Communication Systems / Q000706:statistics & numerical data*; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D005260:Female; D017144:Focus Groups; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research