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J Korean Soc Emerg Med > Volume 27(1); 2016 > Article
Journal of The Korean Society of Emergency Medicine 2016;27(1): 107-117.
섬 지역과 도시 지역의 응급의료서비스 이용 양상에 대한 비교
박시경1, 김대희1, 윤상아2, 김선호2, 이운정1, 우선희1
1가톨릭대학교 의학전문대학원 응급의학교실
2가천대학교 보건대학원
Comparative Study of Uses and Characteristics of Emergency Medical Service between Islands and Urban Areas
Si Kyung Park1, Dae Hee Kim1, Sang Ah Yoon2, Seon Ho Kim2, Woon Jeoung Lee1, Seon Hee Woo1
1Department of Emergency Medicine, School of Medicine, The Catholic University of Korea, Seoul, Korea
2Gachon University Graduate School of Public Health, Gyeonggi-do, Korea
Correspondence  Dae Hee Kim ,Tel: 032) 280-6116, Fax: 032) 280-5556, Email: md.kim.daehee@gmail.com,
Received: July 1, 2015; Revised: July 2, 2015   Accepted: December 10, 2015.  Published online: February 29, 2016.
Despite the development of transportation, accessibility of medical service on islands is still poor. Therefore, providing adequate emergency medical services is becoming more important. The purpose of this study is to measure and describe utilization patterns of emergency medical services for the residents of islands.
A retrospective cross-sectional observational study of transported patients who live on islands and in urban areas from January 1st, 2011 to December 31th, 2013 was conducted. Through review of emergency medical technician (EMT) transfer records, the demographic information of transferred patients, the frequency of emergency medical services (EMS) activation, and the characteristics of transfer were collected.
A total of 31,690 people were included; 29,064 people of urban areas and 2,626 people of islands. The mean age was older in the residents of islands (66±19 years old vs. 50±24 years old, p<0.001). For the residents of islands, the landline phone is the most common means of EMS activation (36.4% vs 29.9%, p<0.001), and the highest frequency of EMS activation was June (10.9% vs. 9.0% in August, p<0.001). The distance of transfer was longer for islands (5 min, 2-12) compared with urban areas (3 min, 2-4) (p<0.001).
The above is an important indicator of specificity and form of urban residents and island residents using the EMS. It is our purpose that efficient EMS service be provided depending on each specificity.
Key words: Emergency medical services, Needs assessment, Rural health services
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