Unmet Need and Inappropriate Use in Emergency Ambulance Service

Kang, Kyunghee

doi:10.4332/kjhpa.2014.24.4.357

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…만성질환을 가진 성인 중 의료급여 대상자 혹은 국가유공자의 미 충족 의료는 29.5% [5]이며, 특히 쪽방 주민과 같은 빈곤가구의 미 충족 의료 는 더 높아 40.6%에 이른다 [7]. 특수 상황에 대한 의료 충족여 부를 분석한 연구를 보면 응급수송을 위한 구급차 이용이 충족 되지 못한 경우가 58.9%에 이르는 실정이다 [8]. …”

Section: 증상의 경감이나 제거에도 방해가 되기 때문에 반드시 해결해unclassified

Prevalence and Risk Factors of Unmet Healthcare Needs among Korean Adults with Hypertension

Gil

2017

Korean J Adult Nurs

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Purpose:The purposes of this secondary analysis study was to examine prevalence, risk factors and unmet healthcare needs among adults with hypertension. Methods: A sample of 3,386 adults over the age of 40 with hypertension were drawn from the Korea Health Panel Study (2013). Using SPSS 22.0 version, descriptive statistics including frequency, percentage, chi-square and logistic regression were performed. Results: Results showed that 18.9% of the sample reported unmet healthcare needs with the most frequently cited one was financial burdens (43.2%). The reported experiences of unmet healthcare needs differed by gender, marital status, vision or hearing impairment, memory problem, impaired mobility, subjective health status, total family income, depressive episode and the difficulty in making decisions. The sample participants were more likely to report unmet healthcare if they had vision impairment, low income and perception that their health status as moderate to poor. Those without vision impairment were less likely to report unmet healthcare needs. Conclusion: The identified risk factors of unmet healthcare needs should be addressed which would enhance access both to health care and to resolution of unmet healthcare needs. Since visual ability seems to impact perception of unmet healthcare needs, it may be useful to find ways to address this factor. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: 증상의 경감이나 제거에도 방해가 되기 때문에 반드시 해결해unclassified

Prevalence and Risk Factors of Unmet Healthcare Needs among Korean Adults with Hypertension

Gil

2017

Korean J Adult Nurs

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“…Previously, men have been shown to be more likely to request an ambulance for non-emergent conditions compared to women. [34][35][36] Men in Australia were also less likely to see a GP for any reason and have less Medicare-subsidised GP services per person per year than women. 37 Within our study, men were significantly less likely to follow up with GPs after paramedic referral.…”

Section: Discussionmentioning

confidence: 99%

Rates of general practitioner attendance following paramedic-to-general practitioner referral in Victoria, Australia

et al. 2023

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Introduction Previous evaluations of paramedic-to-general practitioner (GP) referrals have focused on subsequent emergency department presentations or ambulance representations; however, we aimed to appreciate patient adherence where paramedics have recommended follow-up with a GP. Methods This was a prospective cohort study of adult patients in Victoria, Australia, who were referred to a GP by a paramedic over a 28-day period in June 2021. Patients were then contacted within five days to determine subsequent GP attendance. Results Of the 752 patients who met the inclusion criteria, 47% ( n = 353) consented to participate. At the time of the survey, 65% of patients had followed up with their GP, with a further 15% booked in for a future appointment. Factors associated with the increased adjusted likelihood of the participant following up with a GP after paramedic referral included female gender (adjusted odds ratio [AOR] 2.21, 95% confidence interval [CI] 1.22–3.99, P = 0.009) and those given a specific time frame for the follow-up appointment by the paramedics (AOR 3.98, 95% CI 2.26–7.02, P < 0.001). Participants who presented to ambulance services overnight were less likely to follow up with a GP (AOR 0.34, 95% CI 0.17–0.68, P = 0.002). The three most commonly stated reasons for not following up with a GP were that the patient felt it was unnecessary ( n = 48), their regular GP was unavailable ( n = 33) or they had followed up with an alternative service ( n = 31). Conclusion Most patients who are referred to a GP by attending paramedics will follow up with a GP within 72 h. The most common barrier to GP follow-up is the patients’ perception that follow-up is unnecessary.

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Unmet Need and Inappropriate Use in Emergency Ambulance Service

Cited by 2 publications

References 22 publications

Prevalence and Risk Factors of Unmet Healthcare Needs among Korean Adults with Hypertension

Prevalence and Risk Factors of Unmet Healthcare Needs among Korean Adults with Hypertension

Rates of general practitioner attendance following paramedic-to-general practitioner referral in Victoria, Australia

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