119 구급차를 통해 응급의료센터에 내원한 접수취소 환자들의 특성 비교
Comparison of the characteristics of patient who cancel after presentation to an emergency department by 119 ambulance
Purpose: The purpose of this study was to analyze the characteristics of patients who canceled their ED visits and to determine the factors that influence ED cancellation. Methods: Retrospective study that analyzed data from the electronic medical records(EMR) and Prehospital Care Reports(PCRs) of 305 patients who cancelled their appointments at a single emergency medical center over a six-month period from October 12, 2022, to April 12, 2023. Results: ED cancellations were 2.287 times higher if the patient presented to the ambulance after outpatient hours(09:00∼17:00) (p=.007), and ED cancellations were 3.712 times higher if the patient presented to the ambulance under the influence of alcohol(p=.011). For patients' symptoms, medical diseases were associated with a 1.965 times increase in cancelled ED visits compared to other modes of transport (p=.005), while mental and chronic diseases were associated with a 67.3% decrease in cancelled ED visits compared to other modes of transport (OR=0.327, CI=[0.130-0.822], p=.018). symptomatic improvement was associated with a 2.482 times increase in presentations to a 119 ambulance compared to delayed waiting time(p=.022). Conclusion: Emergency medical centers should consider improving the legal system, such as increasing emergency medical care fees, to reduce the number of patients who cancel their appointments.
목차
= Abstract = Ⅰ. 서론 1. 연구의 필요성 2. 연구의 목적 Ⅱ. 연구방법 1. 연구설계 2. 연구대상 및 자료수집방법 3. 자료분석 Ⅲ. 연구결과 1. 내원 수단에 따른 접수취소 환자의 일반적 특성 비교 2. 응급실 접수취소 사유 3. 119를 통해 내원한 환자의 접수취소에 영향을 미치는 요인 Ⅳ. 고찰 Ⅴ. 결론 References
키워드
119 ambulanceCancellation receptionEmergency department
저자
김용준 [ Yong-Joon Kim | 서울특별시 보라매병원, 국립공주대학교 응급구조학과 ]
이경열 [ Kyoung-Youl Lee | 국립공주대학교 응급구조학과 ]
Corresponding Author
한국응급구조학회 [The Korean Society of Emergency Medical Technology]
설립연도
1997
분야
의약학>응급의학
소개
복합 구조적인 산업사회의 발전에 따라 안전사고와 응급상황에서의 구조구급요청자들이 증가하고 있으나 우리나라의 응급의료체계는 아직 그 수준을 따라가지 못하고 있는 실정이다. 이에 우리나라의 응급의료체계를 확립하고 구조구급에 관한 기초학문의 발전에 기여하고자 학회를 창립한다.
간행물
간행물명
한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]