노년기 연령그룹에 따른 응급의료이용 영향 요인
Factors Affecting the Utilization of Emergency Medical Services by Age Group among Elderly Individuals
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Objectives: The purpose of this study was to analyze the factors affecting the utilization of emergency medical services and characteristics of emergency medical services according to age group among elderly individuals. Methods: This study conducted t-test and linear regression analysis on data of 1,960,575 participants to achieve the objective. Results: Analysis of the factors affecting the use of emergency medical services showed statistically significant correlation in all age groups. As the age of elderly people increased, the use of emergency medical service increased. Conclusions: Emergency medical policies are needed, such as coordinators with expert knowledge of medical and health administration and specialist emergency room operations that can provide specialized medical service for older patients
Abstract
Objectives: The purpose of this study was to analyze the factors affecting the utilization of emergency medical services and characteristics of emergency medical services according to age group among elderly individuals. Methods: This study conducted t-test and linear regression analysis on data of 1,960,575 participants to achieve the objective. Results: Analysis of the factors affecting the use of emergency medical services showed statistically significant correlation in all age groups. As the age of elderly people increased, the use of emergency medical service increased. Conclusions: Emergency medical policies are needed, such as coordinators with expert knowledge of medical and health administration and specialist emergency room operations that can provide specialized medical service for older patients
참고문헌 (25)
- 권순만, "인구 고령화와 의료비지출 및 장기요양제도 도입의 정책과제", 사회보장연구, 22(2), pp.1~22 (2006), 한국사회보장학회
- 최령, "산재장애인의 사회경제적 지위 인식과 주관적 건강상태와의 관련성", 보건의료산업학회지, 11(1), pp.131~142 (2017), 보건의료산업학회
- J.S. Kim, "Problems of Elderly Patient Care in the Emergency Room", Korean Journal of Clinical Geriatrics Spring Conference, 10(1), pp.25~31 (2009)
- M. Rosenberg, "The geriatric emergency department", Emergency Medicine Clinics of North America, 34(3), pp.629~648 (2016)
- K.N. Shankar, "Toward patient-centered care: a systematic review of older adults’ views of quality emergency care", Annals of Emergency Medicine, 63(5), pp.529~550 (2014)
- S.N. Hastings, "Using the past to predict the future: latent class analysis of patterns of health service use of older adults in the emergency department", Journal of the American Geriatrics Society, 62(4), pp.711~715 (2014)
- D.W. Ballard, "Validation of an algorithm for categorizing the severity of hospital emergency department visits", Medical Care, 48(1), pp.58~63 (2010)
- F. Aminzadeh, "Older adults in the emergency department: a systematic review of pattern of use, adverse outcomes, and effectiveness of interventions", Annals of Emergency Medicine, 39(3), pp.238~247 (2002)
- F. Salvi, "The elderly in the emergency department: a critical review of problems and solutions", Internal and Emergency Medicine, 2(4), pp.292~301 (2007)
- N. Samaras, "Older patients in the emergency department: a review", Annals of Emergency Medicine, 56(3), pp.261~269 (2010)
- H.S. Oh, "Characteristics of the Elderly Patients Visiting the Emergency Room", Korean Journal of Research in Gerontology, 14, pp.51~61 (2005)
- 김수정, "만성질환자의 예방가능한 입원 및 질병으로 인한 응급실 방문: 의료급여 수급여부를 중심으로", 보건사회연구, 35(2), pp.405~428 (2015), 한국보건사회연구원[DOI]
- D.C. Keyes, "Impact of a new senior emergency department on emergency department recidivism, rate of hospital admission, and hospital length of stay", Annals of Emergency Medicine, 63(5), pp.517~524 (2013)
- 정영일, "노인의 보건의료 고이용·고지출 관련 요인 분석", 보건경제와 정책연구, 23(4), pp.83~103 (2017), 한국보건경제정책학회
- 이정찬, "응급실 다방문 결정 요인: 종합병원급 이상 권역응급의료센터를 중심으로", 대한보건연구, 44(3), pp.129~146 (2018), 사단법인 대한보건협회[DOI]
- R. Capp, "Reasons for frequent emergency department use by Medicaid enrollees: a qualitative study", Academic Emergency Medicine, 23(4), pp.476~481 (2016)
- P. Paul, "Predictors of frequent attenders of emergency department at an acute general hospital in Singapore", Emergency Medicine Journal, 27(11), pp.843~848 (2010)
- M.B. Doupe, "Frequent Users of Emergency Departments: Developing Standard Definitions and Defining Prominent Risk Factors", Annals of Emergency Medicine, 60(1), pp.24~32 (2012)
- Health Insurance Review & Assessment Service, "HIRA Big Data Analysis-Charlson Comorbidity Analysis", HIRA HIRA Big Data Brief, 2(3), pp.44~54 (2018)
- 강상경, "노년기 외래의료서비스 이용 궤적 및 예측요인:연령 차이를 중심으로", 한국사회복지학, 62(3), pp.83~108 (2010), 한국사회복지학회[DOI]
- K.K. Fuda, "Frequent users of Massachusetts emergency departments: a statewide analysis", Annals of Emergency Medicine, 48(1), pp.9~16 (2006)
- P. Keskinoglu, "Analysis of emergency department visits by elderly patients in an urban public hospital in Turkey", Journal of Clinical Gerontology and Geriatrics, 5(4), pp.127~131 (2014)
- M.C. Creditor, "Hazards of hospitalization of the elderly", Annals of Internal Medicine, 118(3), pp.219~223 (1993)
- S.K. Sinha, "A systematic review and qualitative analysis to inform the development of a new emergency department-based geriatric case management model", Annals of Emergency Medicine, 57(6), pp.672~682 (2011)