응급실 내원 환자의 사회경제적 요인에 따른 치료 결과 분석
Analysis of treatment outcomes based on socioeconomic factors of patients visiting the emergency room
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to analyze the treatment outcomes according to the socioeconomic factor of patients who visited the emergency room. Methods: This study conducted frequency analysis, percentage analysis, and Fisher’s exact test analysis method, using the R 4.1.2 program based on the 2019 data from the Korea Health Panel. Results: Among the treatment results of 1,648 patients, 392 patients were hospitalized or transferred to other hospitals, 845 were discharged after treatment, 224 were discharged, and 7 died. The Fisher’s exact test of treatment outcomes and socioeconomic factors was not statistically significant for status of the worker and employment relationship, but was significant for the housing, household, economic activity, and insurance types, and marital status and education. Conclusion: The results of this study indicate that it is necessary to conduct follow up studies on socioeconomic factors to provide basic data that can contribute to fairness and equity in the health care field.
Abstract
Purpose: This study aimed to analyze the treatment outcomes according to the socioeconomic factor of patients who visited the emergency room. Methods: This study conducted frequency analysis, percentage analysis, and Fisher’s exact test analysis method, using the R 4.1.2 program based on the 2019 data from the Korea Health Panel. Results: Among the treatment results of 1,648 patients, 392 patients were hospitalized or transferred to other hospitals, 845 were discharged after treatment, 224 were discharged, and 7 died. The Fisher’s exact test of treatment outcomes and socioeconomic factors was not statistically significant for status of the worker and employment relationship, but was significant for the housing, household, economic activity, and insurance types, and marital status and education. Conclusion: The results of this study indicate that it is necessary to conduct follow up studies on socioeconomic factors to provide basic data that can contribute to fairness and equity in the health care field.
참고문헌 (32)
- 김도영, "사회경제적 지위가 건강수준과 의료서비스 이용에 미치는 영향에 관한 연구", 인문사회과학연구, 16(4), pp.329~369 (2015), 인문사회과학연구소[DOI]
- 김혜선, "응급실 내원자를 통한 응급상황시 의학정보 습득방법에 대한 조사", Crisisonomy, 9(8), pp.87~94 (2013), (사)위기관리이론과실천
- Grand J, "The State of Welfare: The economics of social spending", pp.75~121 (1998), Oxford University Press
- Lane H, "Equity in healthcare resource allocation decision making : a systematic review", Soc Sci Med, 175(1), pp.11~27 (2017)[DOI]
- Kolasa K, "Does it matter whose opinion we seek regarding theallocation of healthcare resources? a case study", BMC Health Serv Res, 15(1), pp.564~573 (2015)[DOI]
- Baltussen R, "Priority setting of health interventions : the need for multi-criteria decision analysis", Cost Eff Resour Alloc, 4(1), pp.14~22 (2006)[DOI]
- 이미숙, "고령화연구패널자료를 이용한 노년기 건강불평등의 구조 분석", 보건과 사회과학, (25), pp.5~33 (2009), 한국보건사회학회
- World health organization, "The economics of the social determinants of health and health inequalities: a resource book" (2013)
- 신요한, "응급실 다빈도 방문과 사회경제적 요인 분석", 한국응급구조학회지, 26(1), pp.129~138 (2022), 사단법인 한국응급구조학회[DOI]
- 정백근, "사회경제적 지위와 사회적 관계가 우울에 미치는 영향", 보건교육건강증진학회지, 33(5), pp.93~105 (2016), 한국보건교육건강증진학회[DOI]
- Veenstra G, "The intergenerational production of health in South Korea", Health Sociol Rev, 25(3), pp.288~299 (2015)[DOI]
- Jeong BG, "The intergenerational production of depression in South Korea : Results from a cross-sectional study", Int J Equity Health, 16(1), pp.13~20 (2017)[DOI]
- Assari S, "Social determinants of depression : the intersections of race, gender, and socioeconomic status", Brain Sci, 7(12), pp.156~169 (2017)[DOI]
- Hoebel J, "Social inequalities and depressive symptoms in adults : the role of objective and subjective socioeconomic status", PloS one, 12(1), pp.e0169764~ (2017)[DOI]
- 박은옥, "한국 성인의 사회경제적 취약성과 우울", 보건과 사회과학, (55), pp.205~219 (2020), 한국보건사회학회[DOI]
- 전영숙, "손상 환자의 사회 경제적 상태에 따른 의료이용의 형평성", 보건경제와 정책연구, 18(2), pp.21~45 (2012), 한국보건경제정책학회[DOI]
- National emergency medical center, "2005National emergency department information system statistical yearbook" (2006)
- Moon SY, "The degree of satisfaction with nursing care of pediatric patients visiting emergency center", Child Health Nurs Res, 6(1), pp.5~17 (2000)
- Carlson LC, "The Association of Demographic, Socioeconomic, and Geographic Factors with Potentially Preventable Emergency Department Utilization", West J Emerg Med, 22(6), pp.1283~1290 (2021)[DOI]
- Carlson LC, "Comparing neighborhood-based indices of socioeconomic risk factors and potentially preventable emergency department utilization", Am J Emerg Med, 44, pp.213~219 (2021)[DOI]
- National emergency medical center, "2021National emergency department information system statistical yearbook" (2022)
- Ramos QR, "Socioeconomic disparities in Rapid ambulance response for out-of-hospital cardiac arrest in a public emergency medical service system: A nationwide observational study", Resuscitation, 158, pp.143~150 (2021)[DOI]
- 권영대, "급성 뇌경색 환자의 증상 발현 후 응급실 도착까지의 시간이 치료 결과에 미치는 영향", 예방의학회지, 40(2), pp.130~136 (2007), 대한예방의학회
- Hsia RY, "A US national study of the association between income and ambulance response time in cardiac arrest", JAMA Netw Open, 1(7), pp.e185202~ (2018)[DOI]
- Fuda KK, "Frequent users of Massachusetts emergency departments : a statewide analysis", Ann Emerg Med, 48(1), pp.1~16 (2006)[DOI]
- "National health insurance"[URL]
- 김수정, "만성질환자의 예방가능한 입원 및 질병으로 인한 응급실 방문: 의료급여 수급여부를 중심으로", 보건사회연구, 35(2), pp.405~428 (2015), 한국보건사회연구원[DOI]
- Ballard DW, "Validation of an algorithm for categorizing the severity of hospital emergency department visits", Med Care, 48(1), pp.58~63 (2010)[DOI]
- 2021Emergency room visit status report: severe emergency disease, "National emergency medical center", ~ (2022)
- Moon JY, "Acomparative study on factors related to the health expenditure of different household types of the elderly with chronic disease", Health and Social Science, 0(35), pp.285~307 (2014)
- 박금령, "주거취약계층의 주관적 건강 수준과 삶의 만족도: 최저주거기준 미달 가구와 비주택 거주 가구를 중심으로", 보건사회연구, 39(2), pp.500~518 (2019), 한국보건사회연구원[DOI]
- Carlson LC, "The association of demographic, socioeconomic, and geographic factors with potentially preventable emergency department utilization", West J Emerg Med, 22(6), pp.1283~1290 (2021)[DOI]
