DOI QR코드

DOI QR Code

The Effects of Injury Experiences (Accidents and Addictions) on Healthcare Use Type

손상 경험(사고 및 중독)이 의료 이용 형태에 미치는 영향

  • Sang-Sub Park (Dept. Emergency Medical Technology, ChungCheong University)
  • 박상섭 (충청대학교 응급구조과)
  • Received : 2023.05.18
  • Accepted : 2023.06.21
  • Published : 2023.06.30

Abstract

The purpose of this study was to determine the effects of injury experiences (accidents and addictions) on healthcare use type. This study used the KNHANES VIII-2. Of 7,359 respondents, a total of 6,072 were included, with the exception of 1,287 who were in the age groups <20 years, had missing data, or inappropriately completed the questionnaire. Of these 6,072 respondents, data from 5,355 having injury experiences were used. Data were analyzed using an SPSS WIN 20.0 Version program. Younger age groups had injury affected (p<.05); poor perceived health status was significantly more likely to affect injury than good perceived health status (approx. 2.0-fold, p<.05). As for the number of injuries, emergency rooms were about 4-5 times more frequently used than inpatient or outpatient clinics among the injury treatment centers (p<.05). Injury can cause activity restriction and difficulties in daily life and there can be only a few types of healthcare use; therefore, it is necessary to reinforce relevant programs and make relevant policies.

본 연구는 손상 경험(사고 및 중독)이 의료 이용 형태에 미치는 영향을 알아보고자 하기 위함이다. 본 연구는 KNHANES VIII-2의 원시자료활 활용하였다. 총 대상자수는 7,359명 중 결측값, 20세 이하 연령층, 부적절한 표기 대상자 1,287명을 제외한 6,072명으로 하였다. 6,072명중 1년간 손상경험 응답자 5,355명을 대상으로 적용하였다. 본 연구의 분석방법은 SPSS WIN 20.0 Version 프로그램으로 분석하였다. 연구결과 젊은 연령층이 손상에 영향을 미쳤고(p<.05), 주관적 건강상태는 좋은 집단 보다 나쁨 집단(약 2.0배, p<.05)이 손상에 유의한 영향을 미치고 있었다. 손상횟수는 손상치료기관으로 외래와 입원보다 응급실 이용이 약 4-5배 이상 이용하는 것으로 나타났다(p<.05). 손상은 활동제한 및 일상생활을 어렵게 하고, 더불어, 의료이용 형태에서도 쏠림현상이 있을 수 있기에 이를 위한 프로그램 강화와 정책마련이 이루어 져야 할 것으로 판단된다.

Keywords

References

  1. Korea Disease Control and Prevention Agency(KDCA)(2012). 2011 Disease Management Report, http://www.cdc.go.kr.
  2. WHO. (2007). Preventing Injuries and violence: A Guide for Ministries of Health. www.who.int/, pp.1-35.
  3. C. R. Kaufmann, C. C. Branas & M. L. Brawley. (1998). A populationbased study of trauma recidivism. J Trauma, 45, 325-332. DOI:10.1097/00005373-199808000-00019.
  4. S. W. Kim, Y. S. Jo, T. S. Kim, S. D. Lee, H. J. Choi, B. S. Kang & S. C. Bae. (2005). TH Im, Health-related Quality of Life in Patients with Injury in the Emergency Department. J of Korean Soc Emerg Med, 16(5), 519-528.
  5. Y. R. Song, M. S. Lee, D. R. Kim & K. H. Kim. (2017). A Convergence Study on the Characteristics of Length of Hospital Stays of Injured and Traumatic Death Patients - Based on the Korea National Hospital Discharge Injury Survey Data. Journal of the Korea Convergence Society, 8(5), 87-96. DOI:10.15207/JKCS.2017.8.5.087,
  6. I. S. Yoo & E. M. Choi. (2015), A analytical research into social and economic costs for each type of accident, injury and intoxication. Journal of the Korea Industrial Information Systems Research. 20(3), 71-79. DOI : 10.9723/jksiis.2015.20.3.071.
  7. Centers for Disease Control and Prevention(CDC) & National Center for Health Statistics(NCHS). (2016). National Hospital Ambulatory Medical Care Survey: 2015 Emergency Department Summary Tables [Online]. https://www.cdc.gov/nchs/data/nhamcs/web_tabl es/2015_ed_web_tables.pdf, 1-34.
  8. National Emergency Medical Center(NEMC). (2017). Emergency Medical Statistical Year Book 2016 [Online]. http://www.e-gen.or.kr/nemc/main.do.
  9. H. J. Yun, K. H. Kim, M. H. Lee, J. H. Ryu, W. T. Yang & S. R. Yeom. (2023). The Differences and Determinants in Mortality of Elderly Patients visiting emergency department by regional types in Busan-Ulsan-Gyeongnam, Korean Public Health Research, 49(1), 11-23. DOI : 10.22900/kphr.2023.49.1.002.
  10. Korea Disease Control and Prevention Agency(KDCA). (2021). Korea Health Statistics 2019: Korea National Health and Nutrition Examination Survey, KNHANES VII-1. https://knhanes.kdca.go.kr/knhanes/sub03/sub03_02_05.do.
  11. Y. H. Lee, H. R. Park & S. S. Park. (2020). The Effects of Injury Experiences on the Quality of Life in South Korean Adults Aged 20 Years or Over. International Journal of Psychosocial Rehabilitation, 24(7), 1770-1779.
  12. J. Y. Kim (2015). The Selection of the Medical Institutions by Motivation of Medical Service Utilization. Journal of Digital Convergence, 13(11), 217-230. DOI : 10.14400/JDC.2015.13.11.217.
  13. S. S Park. (2020). An Analysis of Emergency Medical Center Use Behaviors Based on the National Emergency Department Information System(NEDIS) - Factors within the In-hospital in the Emergency Medical System -. The Graduate School of General University of Seoul, A Doctor's Thesis. 45-91.
  14. C. H. You & Y. D. Kwon. (2012). Factors influencing medical institution selection for outpatient services. J Korean Med Assoc, 55(9), 898-910. DOI : 10.5124/jkma.2012.55.9.898.
  15. K. M. Kim, H. K. Kim & H. S. Rhee. (2019). Mediating Effects of Health-Promotion Behaviors on the Correlation between Self-Perceived Health and Medical Care Utilization among Older Adults. The Korean Journal of Health Service Management, 13(4), 179-190. DOI : 10.12811/kshsm.2019.13.4.179