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首页> 外文期刊>Prehospital emergency care >Awareness and utilization of emergency medical services by limited English proficient caregivers of pediatric patients.
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Awareness and utilization of emergency medical services by limited English proficient caregivers of pediatric patients.

机译：精通英语的小儿科护理人员对紧急医疗服务的认识和利用。

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BACKGROUND: Previous studies have shown that limited-English-proficient (LEP) patients are less likely to utilize health care services. Objective. To assess the knowledge and perceived barriers to utilization of emergency medical services (EMS) by LEP caregivers of children served by an urban EMS system. METHODS: We prospectively surveyed a convenience sample of caregivers of children presenting to the emergency department (ED) from January to December 2008. Caregivers were identified as LEP using their response to the U.S. Census question ;;How well do you speak English?'' Caregivers were assigned to one of three cohorts: 1) LEP Spanish- and Arabic-speaking caregivers (n = 50), 2) proficient-in-English (PE) Spanish- and Arabic-speaking caregivers (n = 50), and (3) native English-speaking (NES) caregivers (n = 100). We collected data on EMS awareness and perceived barriers to EMS utilization using a written survey administered in the caregivers' preferred language (English, Spanish, or Arabic). We used descriptive methods to summarize sample characteristics and comparative methods (chi-square test, analysis of variance [ANOVA], and t-test) to compare group differences. RESULTS: There were no differences in the patient age groups, triage categories, caregiver age, and payer status among the three groups. The LEP caregivers were less aware of EMS (93% NES vs. 94% PE vs. 60% LEP; p < 0.01) and had called EMS significantly fewer times when compared with the NES and PE groups (16% LEP vs. 58% NES vs. 48% PE; p < 0.01). Fourteen percent of the LEP caregivers were unaware of the telephone number to call for EMS. Concerns about inability to communicate with the operator and cost were cited by the LEP caregivers as the main barriers to EMS utilization. CONCLUSIONS: Caregivers with limited English proficiency are less aware of and are less likely to utilize EMS for their children. Barriers to utilization include concerns of cost and communication with the operator.
机译：背景：先前的研究表明，英语能力有限的患者不太可能使用医疗保健服务。目的。评估由城市EMS系统服务的儿童的LEP照护者使用紧急医疗服务（EMS）的知识和感知障碍。方法：我们前瞻性地调查了2008年1月至12月在急诊科就诊的儿童看护者的便利样本。通过对美国人口普查问题的回答，看护者被确定为LEP;您英语说得怎么样？''照顾者被分配到以下三个群组之一：1）LEP讲西班牙语和阿拉伯语的照顾者（n = 50），2）精通英语（PE）讲西班牙语和阿拉伯语的照顾者（n = 50），以及（ 3）母语为英语的（NES）照顾者（n = 100）。我们使用护理人员首选语言（英语，西班牙语或阿拉伯语）进行的书面调查收集了有关EMS意识和感知到的EMS使用障碍的数据。我们使用描述性方法总结样本特征，并使用比较方法（卡方检验，方差分析[ANOVA]和t检验）比较组差异。结果：三组之间的患者年龄组，分诊类别，护理者年龄和付款人状态没有差异。 LEP照护者对EMS的了解较少（93％NES vs. 94％PE vs. 60％LEP; p <0.01），与NES和PE组相比，他们称EMS的次数明显减少（16％LEP vs. 58％ NES vs 48％PE; p <0.01）。 LEP照护者中有14％不知道拨打EMS的电话号码。 LEP的照顾者认为，与操作员无法沟通和费用的担忧是使用EMS的主要障碍。结论：英语水平有限的看护者对他们的孩子了解较少，也不太可能使用EMS。使用的障碍包括成本和与运营商沟通的担忧。

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