도시와 시골지역에 거주하는 노인들의 응급의료서비스 이용실태 및 만족도 비교 = Comparison of Emergency Medical Services Utilization and Satisfaction of the Elderly People Living in Urban and Rural Areas

• 저자

  장소영

• 형태사항

  ; 26 cm

• 일반주기

  지도교수: 이경열

• 학위논문사항

  학위논문(석사)-- 공주대학교 대학원 : 응급구조학과 2017. 2

• 발행국

  충청남도

• 언어

  한국어

• 출판년

  2017

• 
  

• 초록 (Abstract)
  • Objective: This study is to perform to suggest to the medical policy makers whose interest is in a scope of the emergency medical service(EMS) utilization of the elderly in the urban or rural area. The study provides the elemental data made up by analysis of EMS satisfaction surveys. For the survey, the target is set for whom is more than sixty five years old and has experience in EMS utilization. Methods: The study is based on the satisfaction surveys designed for the elderly with EMS experience. For the survey, 236 elderly consisting of 130 urban and 106 rural elderly has helped. They are all from senior citizen facilities located in either Daejon or Chungcheongnam-do towns. And, the survey has been collected from September 1st to 17th, 2016. To draw the data which is intended to show a statistical overview of regional EMS difference, the SPSS program has been used. Result: 1) The urban elderly visited clinics or hospitals while the rural elderly visited community health centers the most. The result shows that the urban elderly who visited clinics or hospitals are 60 out of 130 (46.2%). And, the rural elderly who visited community health centers are 46 out of 106 (43.4%). Those two different regional EMS utilization has a statistic difference(p=.000). 2) The urban elderly visits the general hospitals the most, showing number of 54 (84.4%) and the rural elderly regional clinics or hospitals the most, showing number of 28 (51.9%). In the process of visiting for the EMS, the transportation method of 119 Ambulance service was reported the most, presenting 34 (53.1%) in urban and 28 (51.9%) in rural. 3) The survey on the questions of 119 Ambulance satisfaction was collected. 60 urban and 51 rural elderly helped to answer the survey. Urban elderly who uses 119 Ambulance service shows a higher satisfying rate than rural ones. For the urban elderly, the satisfaction of arrival time on clinics or hospitals was pointed out the most among questions (3.95±0.73). And, for the rural elderly, the satisfaction of choosing transferring hospital was pointed out the most among questions(3.47±0.81). 4) The survey on the questions of emergency room satisfaction was collected. 73 urban and 51 rural elderly answered. In every questions of the survey, the satisfaction rate of urban was higher than of rural. There are a statistical contrast on the satisfaction questions of “waiting time for the service after arrival of hospitals,” “atmosphere of emergency room,” “emergency service cost.” For those questions, urban has a higher satisfaction rate in response than rural. 5) On the current residency, 103 urban elderly answered "yes" on the convenience of the 119 ambulance service usage (79.2%). On the other side, 39 rural elderly answered "yes" on the same question(36.8%). On the convenience of the emergency room service, 104 urban elderly answered "yes" (80.0%), and the other hand, 25 rural elderly answered "yes" (23.6%). 6) Experience in learning information about EMS was asked and 59 (45.4%) of urban elderly and 41 (38.7%) of rural elderly answered on “yes.” For experience in learning information in first aid, 49 (46.2%) of urban elderly and 32 (24.6%) of rural elderly answered on “yes.” Conclusion: According to the results, rural area had less access to professional medical response than urban area and also, it is less satisfied with its current emergency medical service. A new system, which may take demographical and geological factors of rural area into accounts, shall be developed to better accommodate elderly people in the area.