2016-2018年韩国急诊科就诊患者院前急诊医疗服务使用充分性分析：来自国家急诊科信息系统的数据,Emergency Medicine International

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2016-2018年韩国急诊科就诊患者院前急诊医疗服务使用充分性分析：来自国家急诊科信息系统的数据
Emergency Medicine International ( IF 1.2 ) Pub Date : 2021-04-17 , DOI: 10.1155/2021/6647149
Sung Joon Park ₁ , Jung-Youn Kim ₁ , Young-Hoon Yoon ₁ , Eu Sun Lee ₁ , Hyun-Jin Kim ₁ , Seoung Bum Kim ₂ , Hyun Gu Kahng ₂

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简介。正确使用救护车很重要，不仅因为患者的运输质量，还因为需要有效利用系统分配的有限资源。因此，本研究旨在检查急诊科 (ED) 患者是否过度使用或未充分使用救护车系统。方法。在这项研究中，使用国家急诊科信息系统的现有数据库对 2016 年至 2018 年三年研究期间访问 ED 的所有患者进行二次数据分析。研究对象分为以下组：（ 1) 适当的紧急医疗服务 (EMS) 使用；(2) 适当不使用EMS；(3) 使用不足；(4) 过度使用群体。结果. 在 18,298,535 名患者中，11,668,581 人（63.77%）被归类为适当使用组，而 6,629,954 人（36.23%）被归类为不适当使用组。在适当的 EMS 使用组中，有 2,408,845 名 (13.16%) 患者。在适当的不使用 EMS 组中，有 9,259,706 名 (50.60%) 患者。至于使用不当组，有 5,147,352 名（28.13%）患者归入使用不足组。另一方面，过度使用组有 1,482,602 (8.10%) 名患者。结论。正确使用救护车的患者很多，但过度使用和使用不足的情况仍然很多。救护车使用指南对于有效利用紧急医疗资源和保障患者安全是必要的。

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Analysis of the Adequacy of Prehospital Emergency Medical Services Use of Patients Who Visited Emergency Departments in Korea from 2016 to 2018: Data from the National Emergency Department Information System

Introduction. Proper ambulance use is important not only due to the patient’s transport quality but also because of the need for efficient use of limited resources allotted by the system. Therefore, this study was conducted to check for overuse or underuse of the ambulance system by patients who visited the emergency department (ED). Methods. In this study, a secondary data analysis was conducted using the existing database of the National Emergency Department Information System with all patients who visited EDs over the three-year study period from 2016 to 2018. The study subjects were classified into the following groups: (1) appropriate Emergency Medical Services (EMS) usage; (2) appropriate no EMS usage; (3) underuse; and (4) overuse groups. Results. Of 18,298,535 patients, 11,668,581 (63.77%) were classified under the appropriate usage group, while 6,629,954 (36.23%) were classified under the inappropriate usage group. In the appropriate EMS usage group, there were 2,408,845 (13.16%) patients. In the appropriate no EMS usage group, there were 9,259,706 (50.60%) patients. As for the inappropriate usage group, there were 5,147,352 (28.13%) patients categorized under the underuse group. On the other hand, there were 1,482,602 (8.10%) patients under the overuse group. Conclusion. There are many patients who use ambulances appropriately, but there are still many overuse and underuse. Guidelines on ambulance use are necessary for the efficient use of emergency medical resources and for the safety of patients.

更新日期：2021-04-18

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