Factors Associated With Nonurgent Use of Pediatric Emergency Care Among Latino Families

Abstract

ObjectiveThis study investigates Latino parents’ decision to seek pediatric emergency care for nonurgent health conditions. MethodsThree focus groups were conducted with Spanishspeaking parents. Eligible families had a pediatric primary care provider, and their child received emergency treatment for a nonurgent health condition in the previous year. Transcripts were transcribed, translated, and thematically coded. ResultsParents shared a heightened concern about symptoms such as fever or diminished energy. Many related experiences where delay resulted in serious illness or death. Other factors included low utilization of telephone triage and long clinic wait times. Nearly every family had managed the child’s illness at home prior to seeking care, employing medical and natural remedies. ConclusionsThe study findings suggest that strengthening the connection with a child’s medical home, eliminating barriers to receiving primary care in urgent situations and educating parents about management of common illnesses may improve care for Latino children.