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Ambulance Service Use by Elderly Adults: Based on 2008~2011 Korea Health Panel Data
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  • Journal title : Fire Science and Engineering
  • Volume 29, Issue 5,  2015, pp.96-103
  • Publisher : Korea Institute of Fire Science and Engineering
  • DOI : 10.7731/KIFSE.2015.29.5.096
 Title & Authors
Ambulance Service Use by Elderly Adults: Based on 2008~2011 Korea Health Panel Data
Kang, Kyunghee;
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 Abstract
This study investigates the socio-economic and clinical characteristics associated with emergency medical transport use by the elderly based on 2008~2011 Korea Health Panel data. A model of emergency medical transport use was analyzed, and the results indicate that use of 119 ambulances and private ambulances by the elderly accounted for 46.8% of all users, and 35.1% of their emergency room visits. Statistically significant factors associated with emergency medical transport use were gender (OR = 2.19, 95% CI = 1.51-3.17), relationship to household (OR = 2.19, 95% CI = 1.45-3.32), insurance type (OR = 1.41, 95% CI = 1.10-1.82), handicap (OR = 1.44, 95% CI = 1.14-1.83), reason for emergency department visits (OR = 1.53, 95% CI = 1.20-1.97), and treatment after emergency medical service completed (OR = 3.45, 95% CI = 2.80-4.25). The increased elderly population in an aging society will lead to a surge in demand for emergency patient transport services, and emergency medical services that are tailored to the elderly need to be developed accordingly.
 Keywords
Emergency medical system;Ambulance service;Emergency room;Elderly adults;
 Language
Korean
 Cited by
 References
1.
Statistics Korea, Population Projections for Korea: 2010-2060 (Based on the 2010 Census), Korea (2011).

2.
J. I. Kim, "Levels of Health-related Quality of Life (EQ-5D) and its Related Factors among Vulnerable Elders Receiving Home Visiting Health Care Services in Some Rural Areas", J Korean Acad Community Health Nurs, Vol. 24, No. 1, pp. 99-109 (2013). crossref(new window)

3.
F. Aminzadeh and W. B. Dalziel, "Older Adults in the Emergency Department: A Systematic Review of Patterns of Use, Adverse Outcomes, and Effectiveness of Interventions", Annals of Emergency Medicine, Vol. 39, No. 3, pp. 238-247 (2012).

4.
R. W. Derlet, J. R. Richards and R. L. Kravitz, "Frequent Overcrowding in US Emergency Departments", Academic Emergency Medicine, Vol. 8, No. 2, pp. 151-155 (2001). crossref(new window)

5.
S. J. Wang, "Geriatric Emergency Medicine", Proceedings of the Korean Society of Emergency Medicine, Vol. 2013, No. 1, pp. 77-79 (2013).

6.
D. C. Roberts, M. P. McKay and A. Shaffer, "Increasing Rates of Emergency Department Visits for Elderly Patients in the United States, 1993 to 2003", Annals of Emergency Medicine, Vol. 51, No. 6, pp. 769-774 (2008). crossref(new window)

7.
T. F. Platts-Mills, B. Leacock, J. G. Cabaῇas, F. S. Shofer and S. A. McLean, "Emergency Medical Services Use by the Elderly: Analysis of a State Database", Prehospital Emergency Care, Vol. 14, No. 3, pp. 329-333 (2010). crossref(new window)

8.
D. S. Lee, H. S. Chi, B. R. Kim and K S. Lee, "The Analysis of Emergency Patients", Journal of the Korean Surgical Society, Vol. 35, No. 4, pp. 371-379 (1988).

9.
National Emergency Medical Center, 2012 Statistical Yearbook of Emergency Medicine, Korea (2013).

10.
National Emergency Management Agency. 2013 Statistical Yearbook of Emergency Medical Transport Services, Korea (2013).

11.
S. W. Park, B. K. Lee, H. H. Ryu, K. M. Jeung and T. Heo, "Out-of-Jurisdiction Transport of Patients by the 119 Rescue Group", Journal of the Korean Society of Emergency Medicine, Vol. 21, No. 5, pp. 531-538 (2010).

12.
E. K. Lee and E. J. Ji, "Analysis of Older Patients Using a Regional Emergency Center", J Korean Gerontol Nurs, Vol. 11, No. 1, pp. 71-80 (2009).

13.
B. O. Lee and E. J. Shin, "Severity of Elderly Patients Using One Region Wide Emergency Medical Center", J. Korean Gerontol Nurs, Vol. 10, No. 2, pp. 164-172 (2008).

14.
H. J. Cho, D. H. Kim, K. S. Han, J. S. Park, S. W. Moon, S. W. Lee, S. H. Choi and Y. S. Hong, "Analysis of Emergency Department Patients Transferred from Geriatric Hospitals-Case Series Descriptive Study", Journal of the Korean Society of Emergency Medicine, Vol. 22, No. 5, pp. 531-535 (2011).

15.
J. Y. Lee and K. W. Lee, "Clinical Characteristics in Geriatric Trauma Victims between a Metropolitan City and Rural Areas", Journal of the Korean Society of Emergency Medicine, Vol. 19, No. 5, pp. 506-512 (2008).

16.
I. S. Yoo, K. H. Lee, T. Heo, H. W. Yoo, and J. S. Park, A Basic Study on Enhancement of Transfer Information-Transfer Appropriateness Analysis, National Emergency Medical Center, Korea (2011).

17.
Korea Institute for Health and Social Affairs, National Health Insurance, Korea Health Panel, Available From: http://www.khp.re.kr/. (accessed April 10, 2014).

18.
Korea Institute for Health and Social Affairs, National Health Insurance, 2011 Korea Health Panel: Basic Analysis Report (1), Policy Report 2013, Korea (2013).

19.
Y. Tokuda, T Abe, S. Ishimatsu and S. Hinohara, "Ambulance Transport of the Oldest Old in Tokyo: A Population-Based Study", J Epidemiol, Vol. 20, No. 6, pp. 468-472 (2010). crossref(new window)

20.
J. A. Lowthian, P. A. Cameron, J. U. Stoelwinder, A. Curtis, A. Currell, M. W. Cooke and J. J. McNeil, "increasing Utilisation of Emergency Ambulances," Australian Health Review, Vol. 35, No. 1, pp. 63-69 (2011). crossref(new window)

21.
M. N. Shah, C. Glushak, T. G. Karrison, R. Mulliken, J. Walter, P. Friedmann, D. C. Hayley and M. H. Chin, "Predictors of Emergency Medical Service Utilization by Elders", Academic Emergency Medicine, Vol. 10, No. 1, pp. 52-58 (2003). crossref(new window)

22.
M. N. Shah, J. J. Bazarian, E. B. Lerner, R. J. Fairbanks, W. H. Barker, P. Auiner and B. Friedman, "The Epidemiology of Emergency Medical Services Use by Older Alders: An Analysis of the National Hospital Ambulatory Medical Care Study", Academic Emergency Medicine, Vol. 14, No. 5, pp. 441-447 (2007). crossref(new window)

23.
J. E. Svenson, "Patterns of Use of Emergency Medical Transport: A Population-based Study", American Journal of Emergency Medicine, Vol. 18, No. 2, pp. 130-134 (2000). crossref(new window)

24.
C. Kawakami, K. Ohshige, K. Kubota and O. Tochikubo, "Influence of Socioeconomic Factors on Medically Unnecessary Ambulance Calls", BMC Health Services Research, Vol. 7, No. 1, pp. 120, (2007). crossref(new window)

25.
Z. F. Meisel, J. M. Pines, S. Polsky, J. P. Metlay, M. D. Neuman and C. C. Branas, "Variations in Ambulance Use in the United States: The Role of Health Insurance", Academic Emergency Medicine, Vol. 18, No. 10, pp. 1036-1044 (2011). crossref(new window)

26.
C. W. Burt, L. F. McCaig and R. H. Valverde, "Analysis of Ambulance Transports and Diversions Among US Emergency Departments", Ann. Emerg. Med., Vol. 47, No. 4, pp. 317-326 (2006). crossref(new window)

27.
J. Y. Jung and H. J. Hwang, "A Study of Revitalization of the Emergency Medical Services for a Aged Societybased on Possible Solutions to Improve Early Response System for Geriatric Emergency Patients", J. of Korean Institute of Fire Sci. & Eng., Vol. 22, No. 5, pp. 99-104 (2008).