Browse > Article
http://dx.doi.org/10.7731/KIFSE.2019.33.6.152

Analysis of the Use of Ambulance Services Among Pregnant, Childbearing, and Postpartum Women Using Data from the Korea Health Panel  

Kang, Kyunghee (Department of Emergency Health Services, Gachon Univ.)
Publication Information
Fire Science and Engineering / v.33, no.6, 2019 , pp. 152-158 More about this Journal
Abstract
This study examined the socio-economic and clinical characteristics associated with the use of ambulance services among pregnant, childbearing, and postpartum women based on data from the 2008-2016 Korea Health Panel. The analysis revealed that among the pregnant, childbearing, and postpartum women, the proportion using all ambulance services was 18.9% whereas 12.0% used private and 119 ambulances. Moreover, among those using ambulance services, delivery was the most common reason (38.7%) followed by complications of labor and delivery (20.0%) and pregnancy with abortive outcome (17.3%). There were statistically significant differences between the users and non-users of ambulance services in terms of the average annual household income, emergency arrival time, and delayed arrival at the emergency room. As childbirth becomes more complicated due to low fertility and elderly mothers, the expansion and improvement of ambulance services as a social safety net for pregnant, childbearing, and postpartum women will become increasingly important.
Keywords
Ambulance service: Pregnancy; Childbearing and postpartum women; Emergency medical system: Emergency room;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 National Fire Agency, "119 Emergency Medical Technicians Expanded the Scope of On-site emergency treatment", Press Release, July 1 (2019).
2 National Emergency Medical Center, "2017 Statistical Yearbook of Emergency Medicine", Korea (2018).
3 S. Y. Oh, "The Collapse of Infrastructure for Childbirth: Causes and Consequences", Journal of the Korean Medical Association, Vol. 59, No. 6, pp. 417-423 (2016).   DOI
4 Statistics Korea, "Birth Statistics for 2018 (confirmed)", Press release, August 28 (2019).
5 Ministry of Health and Welfare, "2019 Information on the Project to Support Areas with Weak Childbirth" (2018).
6 Doctor's News, "Just Shut Barely Maintained Obstetric Clinics?", Available from http://www.doctorsnews.co.kr/news/articleView.html?idxno=129575 (accessed June 26, 2019).
7 J. Scott, "Obstetric transport", Obstetrics and Gynecology Clinics, Vol. 43, No. 4, pp. 821-840 (2016).
8 S. Joo, "Establishing an Emergency Maternal Transport Control Center", J. Korean Soc. Matern. Child Health, Vol. 22, No 1, pp. 1-6 (2018).
9 Korea Institute for Health and Social Affairs, National Health Insurance, Korea Health Panel, Available from http://www.khp.re.kr/ (accessed April 10, 2019).
10 Korea Institute for Health and Social Affairs, National Health Insurance, "2016 Korea Health Panel: Basic Analysis Report (1)", Research Report 2018-1-0007, Korea (2018).
11 K. Jang, K. Kang, Y. Jang and K. Hahn, "Analysis of the Time Intervals in 119 Ambulance Services", Fire Science and Engineering, Vol. 30, No. 4, pp. 128-134 (2016).   DOI
12 O. Oguntunde, F. Yusuf, J. Nyenwa, D. Dauda, A. Salihu and I. Sinai, "Emergency Transport for Obstetric Emergencies: Integrating Community-level Demand Creation Activities for Improved Access to Maternal, Newborn, and Child Health Services in Northern Nigeria", International Journal of Women's Health, Vol. 10, p. 773 (2018).   DOI
13 S. Y. Jung, J. Suh, M. I. Cha and K. Y. Jung, "Status and Analysis of the Accidental Out-of-Hospital Deliveries Transferred by Emergency Medical Service Providers", Journal of The Korean Society of Emergency Medicine, Vol. 28, No. 3, pp. 240-247 (2017).
14 National Fire Agency, "2018 Statistical Yearbook of Emergency Medical Transport Services", Korea (2018).
15 M. L. Baek, "Analysis on Prehospital Care of Emergency Labor Pain, Vaginal Bleeding and Sexual Assault Patients by 119 Emergency Medical Technicians", The Korean Journal of Emergency Medical Services, Vol. 17, No. 2, pp. 9-20 (2013).   DOI
16 S. Singh, P. Doyle, O. Campbell, M. G. Rao and G. Murthy, "Pregnant Women Who Requested a '108' Ambulance in Two States of India", BMJ Global Health, Vol. 3, No. 3, e000704 (2018).   DOI
17 M. Sultan, Y. Abebe, A. Tsadik, C. Jennings and N. MouldMillman, "Epidemiology of Ambulance Utilized Patients in Addis Ababa, Ethiopia", BMC Health Services Research, Vo. 18, No. 1, p. 997 (2018).   DOI
18 A. C. J. Ravelli, K. J. Jager, M. H. De Groot, J. J. H. M. Erwich, G. C. Rijninks-van Driel, M. Tromp, M. Eskes, A. Abu-Hanna et al., "Travel Time from Home to Hospital and Adverse Perinatal Outcomes in Women at Term in the Netherlands", BJOG: An International Journal of Obstetrics & Gynaecology, Vol. 118, No. 4, pp. 457-465 (2011).   DOI
19 A. Wilson, S. Hillman, M. Rosato, J. Skelton, A. Costello J. Hussein, C. MacArthur and A. Coomarasamy, "A Systematic Review and Thematic Synthesis of Qualitative Studies on Maternal Emergency Transport in Low-and Middle-income Countries", International Journal of Gynecology & Obstetrics, Vol. 22, No. 3, pp. 192-201 (2013).
20 B. Flanagan, B. Lord and M. Barnes, "Is Unplanned Out-of-hospital Birth Managed by Paramedics 'Infrequent', 'Normal' and 'Uncomplicated'?", BMC Pregnancy and Childbirth, Vol. 17, No. 1, p. 436 (2017).   DOI
21 K. Noh, J. Jeong, Y. J. Kim, J. E. Rhee, J. S. Hong and K. H. Park, "The Effect and Satisfaction Level of an Out-of-hospital Delivery and Neonatal Care Education Program for Emergency Medical Service Providers", Journal of the Korean Society of Emergency Medicine, Vol. 24, No. 6, pp. 674-683 (2013)
22 Gyoungsangnam-do Fire Department, "Safe Birth 119 Service without Obstetrics and Gynecology", Available from http://www.gnfire.go.kr/gnfire/na/ntt/selectNttInfo.do?nttSn=19429 (accessed June 26, 2019).
23 JoongAng Ilbo, "Safe Birth 119 Service for Pregnant Women in Rural Areas without Obstetrics and Gynecology ... 300 Pople Tansferred in 7 Mnths", Available from https://news.joins.com/ article/23520868 (accessed July 26, 2019).
24 Gangwon Fire Headquarters, "Safe Delivery, Operation of 119 Call Service", Press release, March 11 (2019).