The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
권호 표지
DOI QR코드

DOI QR Code

The usual source of healthcare and frequent visits to emergency departments

만성질환자의 상용치료원 보유 및 형태와 다빈도 응급실 이용

  • Han, Jin-Ok (Graduate School of Medicine, Gachon University) ;
  • Kang, Kyung-Hee (Department of Emergency Health Science, Gachon University) ;
  • Yim, Jun (Graduate School of Medicine, Gachon University)
  • 한진옥 (가천대학교 예방의학과) ;
  • 강경희 (가천대학교 응급구조학과) ;
  • 임준 (가천대학교 예방의학과)
  • Received : 2017.10.25
  • Accepted : 2017.12.19
  • Published : 2017.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of the study was to investigate and compare the usual source of healthcare and frequent visits to emergency departments. Methods: The study subjects were 7,252 individuals with chronic diseases who filled out the questionnaire of the 2013 Korea Health Panel Survey. Data were analyzed using chi-square test and logistic regression. Results: Compared to having a public health center or clinic as a usual source of healthcare, it is 1.341 times more likely for a chronic disease patient to visit an emergency department if the hospital is her/his usual source of healthcare, while it is 1.656 times more likely for the patient to visit a general/tertiary hospital. Conclusion: It is important to investigate visits at the emergency department requiring primary care for diseases.

Keywords

References

  1. Statistics Korea. Life expectancy and health expectancy. 2016. http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2758
  2. Statistics Korea. 2016 Elderly statistics. 2015.
  3. McNaughton CD, Self WH, Zhu Y, Janke AT, Storrow AB, Levy P. Incidence of hypertension-related emergency department visits in the United States, 2006 to 2012. The American Journal of Cardiology 2015;116(11):1717-23. https://doi.org/10.1016/j.amjcard.2015.09.007
  4. Washington RE, Andrews RM, Mutter R. Emergency department visits for adults with diabetes, 2010: Statistical brief #167. 2006. PMID: 24455787
  5. Skinner HG, Blanchard J, Elixhauser A. Trends in emergency department visits, 2006-2011: Statistical Brief #179. 2014. PMID:25473724
  6. Sung EJ. The association between chronic disease in the utilization of emergency medical service. Doctoral dissertation, Graduate School of Public Health, Korea University 2016, Seoul, Korea.
  7. Choe MS, Seo KS, Kam S, Seo JS, Lee JH, Seol DH et al. Clinical analysis of frequent attenders of emergency department. J Korean Soc Emerg Med 2003;14(5):560-8.
  8. Rogers J, Curtis P. The concept and measurement of continuity in primary care. American Journal of Public Health 1980;70(2):122-7. https://doi.org/10.2105/AJPH.70.2.122
  9. Hsu CH, Chou YJ, Pu C. The effect of continuity of care on emergency room use for diabetic patients varies by disease severity. Journal of Epidemiology 2016;26(8):413-9. https://doi.org/10.2188/jea.JE20150045
  10. Chai YS, Lee JK, Park SS, Kim HJ, Kang IG, Kim HS et al. Use of emergency medical services and characteristics of urgent and non-urgent adult patients according to the usual source of care: A Korea medical expenditure panel study. J Korean Soc Emerg Med 2015;26(2):129-37.
  11. Sung NJ, Lee GO. Recognition of the quality of medical service according to the type of usual source of care and primary medical function in Korea. The 6th Korea health panel conference presentations 2014;385-402.
  12. Kim DR. The effect of having usual source of care on the choice among different types of medical facilities. Dissertation, Graduate School, Seoul National University 2016, Seoul, Korea.
  13. Kang KH. Predictors of emergency medical transports use based on 2009 Korea Health Panel. Fire Sci Eng 2014;28(3):80-6. https://doi.org/10.7731/KIFSE.2014.28.3.080
  14. Ballard DW, Price M, Fung V, Brand R, Reed ME, Fireman B et al. Validation of an algorithm for categorizing the severity of hospital emergency department visits. Med Care 2010;48(1):58-63. https://doi.org/10.1097/MLR.0b013e3181bd49ad
  15. Kim SJ, Park SJ, Kim BR. Preventable hospitalizations and emergency room visits: Focus on medical aid beneficiaries with chronic conditions. Health and Welfare Policy Forum 2015;35(2):405-28.
  16. Choi JS, Choi SE, Oh MA, Yeom AR, Jeong HR, Seo NG et al. 2012 Korea health panel basic analysis report, 2014.
  17. Im JS, Yim J, Park JH, Lee HY, Park IS, Han JO et al. A Study on monitoring and monitoring methods of health illness indicators for regional health care support, 2013.
  18. Locker TE, Baston S, Mason SM, Nicholl J. Defining frequent use of an urban emergency department. Emergency Medicine Journal 2007;24(6):398-401. https://doi.org/10.1136/emj.2006.043844
  19. Shin TG, Song JW, Song HG, Hong CK. Characteristics of frequent users of emergency department. J Korean Soc Emerg Med 2011;22(1):86-92.
  20. Kim DJ, Yoon HM, Lee JA, Chae HR. Measurement of inequalities in health care utilization in Korea using Korea health panel. Health and Welfare Policy Forum 2014;34(3):33-58.
  21. Jong Y, Byeon J. The association between having a usual source of care and adherence to medicines in patients with chronic diseases. Korean Journal of Clinical Pharmacy 2016;26(2):128-36.
  22. Chung SH, Yoon HD, Na BJ. Characteristics of non-emergent patients at emergency departments. Health Policy and Management 2006;16(4):128-46. https://doi.org/10.4332/KJHPA.2006.16.4.128
  23. Weber EJ, Showstack JA, Hunt KA, Colby DC, Callaham ML. Does lack of a usual source of care or health insurance increase the likelihood of an emergency department visit? Results of a national population-based study. Annals of Emergency Medicine 2005;45(1):4-12. https://doi.org/10.1016/j.annemergmed.2004.06.023
  24. Rosenblatt RA, Wright GE, Baldwin LM, Chan L, Clitherow P, Chen FM, et al. The effect of the doctor-patient relationship on emergency department use among the elderly. American Journal of Public Health 2000;90(1):97-102. PMCID: PMC1446125 https://doi.org/10.2105/AJPH.90.1.97
  25. Sarver JH, Cydulka RT, Baker DW. Usual source of care and nonurgent emergency department use. Academic Emergency Medicine 2002;9(9):916-23. https://doi.org/10.1197/aemj.9.9.916
  26. Lee JS, Yoon CH, Ko HJ, Lee MK, Seo KS, Ryu HW. Characteristics of patients who visit emergency department in tertiary hospital for care of mild illness and recognition about the family doctor registration program. Korean Journal of Family Practice 2011;132-9.