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지역별 응급의료 접근성이 환자의 예후 및 응급의료비 지출에 미치는 영향

Impact of Regional Emergency Medical Access on Patients’ Prognosis and Emergency Medical Expenditure

보건행정학회지 2020년 30권 3호 p.399 ~ 408
김연진, 이태진,
소속 상세정보
김연진 ( Kim Yeon-Jin ) - Seoul National University Graduate School of Public Health
이태진 ( Lee Tae-Jin ) - Seoul National University Graduate School of Public Health Department of Public Health Science

Abstract


Background: The purpose of this study was to examine the impact of the regional characteristics on the accessibility of emergency care and the impact of emergency medical accessibility on the patients’ prognosis and the emergency medical expenditure.

Methods: This study used the 13th beta version 1.6 annual data of Korea Health Panel and the statistics from the Korean Statistical Information Service. The sample included 8,119 patients who visited the emergency centers between year 2013 and 2017. The arrival time, which indicated medical access, was used as dependent variable for multi-level analysis. For ordinal logistic regression and multiple regression, the arrival time was used as independent variable while patients’ prognosis and emergency medical expenditure were used as dependent variables.

Results: The results for the multi-level analysis in both the individual and regional variables showed that as the number of emergency medical institutions per 100 km2 area increased, the time required to reach emergency centers significantly decreased. Ordinal logistic regression and multiple regression results showed that as the arrival time increased, the patients’ prognosis significantly worsened and the emergency medical expenses significantly increased.

Conclusion: In conclusion, the access to emergency care was affected by regional characteristics and affected patient outcomes and emergency medical expenditure.

키워드

Emergency medical services; Health expenditures; Health services accessibility; Prognosis; Regional variations

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