응급실 다빈도 방문과 사회경제적 요인 분석
Relationship between frequency of emergency room visits and socioeconomic factors
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: To analyze the frequency of emergency room visits according to socioeconomic factors of emergency room visitors. Methods: In this study, frequency analysis, percentage analysis, and x2 test were performed using the SPSS 23.0 program based on the 2018 data from the Korea Health Panel. Results: Among 1,648 participants included in this study, 1,279 visited the emergency room only once in the past year, while 369 visited the emergency room more than once. The relationship between frequency of emergency room visits and socioeconomic factors was analyzed using x2 test, and no statistically significant relationship was noted between emergency room visits and education, economic activity, insurance type, and individual quartile income. However, a significant relationship was noted between emergency room visits and being handicap and living in households with quintile income. Conclusion: The study determined the relationship between frequency of emergency room visits and socioeconomic factors. A follow-up study analyzing socioeconomic factors of outpatient departments, 119 ambulance transport services, and frequency of emergency room visits among chronically ill patients is needed to provide basic data for establishing health policies among different socioeconomic strata.
Abstract
Purpose: To analyze the frequency of emergency room visits according to socioeconomic factors of emergency room visitors. Methods: In this study, frequency analysis, percentage analysis, and x2 test were performed using the SPSS 23.0 program based on the 2018 data from the Korea Health Panel. Results: Among 1,648 participants included in this study, 1,279 visited the emergency room only once in the past year, while 369 visited the emergency room more than once. The relationship between frequency of emergency room visits and socioeconomic factors was analyzed using x2 test, and no statistically significant relationship was noted between emergency room visits and education, economic activity, insurance type, and individual quartile income. However, a significant relationship was noted between emergency room visits and being handicap and living in households with quintile income. Conclusion: The study determined the relationship between frequency of emergency room visits and socioeconomic factors. A follow-up study analyzing socioeconomic factors of outpatient departments, 119 ambulance transport services, and frequency of emergency room visits among chronically ill patients is needed to provide basic data for establishing health policies among different socioeconomic strata.
참고문헌 (33)
- National emergency medical center, "2020National emergency department information system statistical yearbook" (2021)
- National emergency medical center, "2015National emergency department information system statistical yearbook" (2016)
- National emergency medical center, "2010National emergency department information system statistical yearbook" (2011)
- 서정화, "응급실 다빈도 이용 환자에서 응급도에 영향을 미치는 인자", 대한응급의학회지, 30(6), pp.473~783 (2019), 대한응급의학회
- Joshua G. Behr, "Emergency Department Frequent Utilization for Non-Emergent Presentments: Results from a Regional Urban Trauma Center Study", PLOS ONE, 11(1), pp.e0147116~ (2016), Public Library of Science (PLoS)[DOI]
- Jessica Moe, "Mortality, admission rates and outpatient use among frequent users of emergency departments: a systematic review", Emergency Medicine Journal, 33(3), pp.230~236 (2015), BMJ[DOI]
- L Moore, "Characteristics of frequent attenders in an emergency department: analysis of 1-year attendance data", Emergency Medicine Journal, 26(4), pp.263~267 (2009), BMJ[DOI]
- 최마이클승필, "응급실 다방문환자의 임상적 고찰", 대한응급의학회지, 14(5), pp.560~568 (2003), 대한응급의학회
- 신태건, "응급실 다방문환자의 임상적 특성에 관한 연구 - 응급실 다방문환자의 응급실 과밀화 및 중증도와의 관련성 -", 대한응급의학회지, 22(1), pp.86~92 (2011), 대한응급의학회
- Morena Ustulin, "Characteristics of frequent emergency department users with type 2 diabetes mellitus in Korea", Journal of Diabetes Investigation, 9(2), pp.430~437 (2017), Wiley[DOI]
- Jung Hoon Woo, "Frequent Users of Hospital Emergency Departments in Korea Characterized by Claims Data from the National Health Insurance: A Cross Sectional Study", PLOS ONE, 11(1), pp.e0147450~ (2016), Public Library of Science (PLoS)[DOI]
- World health organization, "The Ottawa charter for health promotion" (1986)
- 이미숙, "한국 성인의 건강불평등:사회계층과 지역 차이를 중심으로", 한국사회학, 39(6), pp.183~209 (2005), 한국사회학회
- 이미숙, "고령화연구패널자료를 이용한 노년기 건강불평등의 구조 분석", 보건과 사회과학, (25), pp.5~33 (2009), 한국보건사회학회
- 김진영, "사회경제적 지위와 건강의 관계:연령에 따른 변화를 중심으로", 한국사회학, 41(3), pp.127~153 (2007), 한국사회학회
- House JS, "Understanding social factors and inequalities in health : 20th century progress and 21st century prospects", J Health Soc Behav, 43(2), pp.125~142 (2001)
- World health organization, "The economics of the social determinants of health and health inequalities - a resource book" (2013)
- Cairney J, "Social class, health and aging:socioeconomic determinants of self-reported morbidity among the non-institutionalized elderly in Canada", Can J Public Health, 87(3), pp.199~203 (1996)
- Gillian L. Booth, "Relationship Between Avoidable Hospitalizations for Diabetes Mellitus and Income Level", Archives of Internal Medicine, 163(1), pp.101~ (2003), American Medical Association (AMA)[DOI]
- Gholamreza Sharifirad, "Socio-economic factors and diabetes consequences among patients with type 2 diabetes", Journal of Education and Health Promotion, 2(1), pp.12~ (2013), Medknow[DOI]
- Pei-Ching Chen, "Socioeconomic disparities in preventable hospitalization among adults with diabetes in Taiwan: a multilevel modelling approach", International Journal for Equity in Health, 14(1), pp.1~8 (2015), Springer Science and Business Media LLC[DOI]
- Dong-Woo Choi, "Effect of socioeconomic deprivation on outcomes of diabetes complications in patients with type 2 diabetes mellitus: a nationwide population-based cohort study of South Korea", BMJ Open Diabetes Research & Care, 8(1), pp.e000729~ (2020), BMJ[DOI]
- Park SJ, "The prevalence of chronic diseases according to socioeconomic status", Master, pp.2012
- Kathleen Kerwin Fuda, "Frequent Users of Massachusetts Emergency Departments: A Statewide Analysis", Annals of Emergency Medicine, 48(1), pp.16.e1~16.e8 (2006), Elsevier BV[DOI]
- Benjamin C. Sun, "Predictors and Outcomes of Frequent Emergency Department Users", Academic Emergency Medicine, 10(4), pp.320~328 (2003), Wiley[DOI]
- Elizabeth Sandoval, "A Comparison of Frequent and Infrequent Visitors to an Urban Emergency Department", The Journal of Emergency Medicine, 38(2), pp.115~121 (2010), Elsevier BV[DOI]
- Shumway M, "Cost-effectiveness of clinical case management for ED frequent users : results of a randomized trial", Am J Emerg Med, 26(2), pp.155~164 (2008)[DOI]
- Fabrice Althaus, "Effectiveness of Interventions Targeting Frequent Users of Emergency Departments: A Systematic Review", Annals of Emergency Medicine, 58(1), pp.41~52.e42 (2011), Elsevier BV[DOI]
- Lucas Carlson, "The Association of Demographic, Socioeconomic, and Geographic Factors with Potentially Preventable Emergency Department Utilization", Western Journal of Emergency Medicine, 22(6), pp.1283~1290 (2021), Western Journal of Emergency Medicine[DOI]
- Lucas C. Carlson, "Comparing neighborhood-based indices of socioeconomic risk factors and potentially preventable emergency department utilization", The American Journal of Emergency Medicine, 44, pp.213~219 (2020), Elsevier BV[DOI]
- 강경희, "응급실 다빈도 방문과 119 구급 이송 서비스 이용 분석", 한국화재소방학회 논문지, 34(5), pp.104~111 (2020), 한국화재소방학회[DOI]
- "National health insurance"[URL]
- 정수열, "사회경제적 양극화와 도시 내 계층별 거주지 분리", 한국경제지리학회지, 18(1), pp.1~16 (2015), 한국경제지리학회[DOI]