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J Korean Soc Emerg Med > Volume 27(5); 2016 > Article
Journal of The Korean Society of Emergency Medicine 2016;27(5): 442-449.
지역과 응급의료기관 및 병원 종별에 따른 응급실 이용률의 분석
문병현1, 이성민1, 오미라2, 류현호1, 허 탁1
1전남대학교 의과대학 응급의학교실
2국립중앙의료원 중앙응급의료센터
Analysis of Emergency Department Utilization Rate by Region, Emergency Medical Center, and Hospital Type
Byung Hyun Moon1, Sung Min Lee1, Mira Oh2, Hyun Ho Ryu1, Tag Heo1
1Department of Emergency Medicine, Chonnam National University Medical School, Gwangju, Korea
2National Emergency Medical Center, National Medical Center, Seoul, Korea
Correspondence  Sung Min Lee ,Tel: 062-220-6809, Fax: 062-228-7417, Email: magicwizard2@hanmail.net,
Received: June 15, 2016; Revised: June 16, 2016   Accepted: July 21, 2016.  Published online: October 30, 2016.
ABSTRACT
Purpose:
Overcrowding in urban emergency departments (EDs) while a decline in rural EDs due to mismatch of supply and demand of emergency medical resources are still issues to date. Therefore, this study analyzed the current characteristics and reality of bed utilization in the EDs of Korea.
Method:
Real-time availability of bed information was obtained from the emergency medical resource information system. The data were extracted for 4 weeks every 3 months, from April 2014 to January 2015. We analyzed the emergency department utilization (EDU) rate of emergency medical centers and hospitals based in 16 provinces in Korea.
Results:
A total of 14,889,750 data were included. The total EDU rate was 20.0% (9.1-43.9%). The EDU rate was 66.7% (40.0-95.0%) for regional emergency medical centers (REMC), 33.3% (15.0-63.3%) for local emergency medical centers (LEMC), 11.1% (0.0-30.0%) for local emergency medical agencies (LEMA). The EDU rate was 71.4.0% (50.0.0-96.7.0%) for tertiary general hospitals (TGH), 20.0% (10.0-36.8%) for general hospitals (GH), and 10.0% (0-20.0%) for hospital & medical centers (HMC). The REMC EDU rate was high in Seoul and Jeonbuk, and low in Jeonnam and Gyeongbuk. The LEMC utilization rate was high in Daegu and Jeonbuk. The LEMA utilization rate was high in Daegu and Ulsan. Moreover, despite the same ED type, the EDU rate of high degree hospitals was higher.
Conclusion:
The EDU rate differed by region, emergency medical center, and hospital type. We should consider investing in appropriate personnel and emergency medical resources in places with suboptimal EDU rate.
Key words: Emergency department, Health resources, Utilization
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