A Systematic Literature Review of Hispanic Adults' Experiences With the Emergency Medical Services System in the United States Between 2000 and 2021.
Med Care
; 61(3): 150-156, 2023 03 01.
Article
in English
| MEDLINE | ID: covidwho-2191137
ABSTRACT
OBJECTIVE:
This systematic literature review presents an overview of studies that assess the experiences of Hispanic adults with (1) activation of emergency medical services (EMS); (2) on-scene care provided by EMS personnel; (3) mode of transport (EMS vs. non-EMS) to an emergency department (ED); and (4) experiences with EMS before and during the COVID-19 pandemic.METHODS:
A bibliographic database search was conducted to identify relevant studies on Ovid MEDLINE (PubMed), Web of Science, EMBASE, and CINAHL. Quantitative, mixed methods, and qualitative studies published in English or Spanish were included if they discussed Hispanic adults' experiences with EMS in the US between January 1, 2000 and December 31, 2021. The Hawker and colleagues quality assessment instrument was used to evaluate the quality of studies.RESULTS:
Of the 43 included studies, 13 examined EMS activation, 13 assessed on-scene care, 22 discussed the mode of transport to an ED, and 4 described Hispanic adults' experiences with EMS during the COVID-19 pandemic. Hispanics were less likely to activate EMS (N=7), less likely to receive certain types of on-scene care (N=6), and less likely to use EMS as the mode of transport to an ED (N=13), compared with non-Hispanic Whites. During the early COVID-19 pandemic period (March to May 2020), EMS use decreased by 26.5% compared with the same months during the previous 4 years.CONCLUSIONS:
The contribution of this study is its attention to Hispanic adults' experiences with the different phases of the US EMS system.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Emergency Medical Services
/
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Qualitative research
/
Reviews
/
Systematic review/Meta Analysis
Limits:
Adult
/
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Med Care
Year:
2023
Document Type:
Article
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