Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Factors Influencing Satisfaction with the Emergency Medical Services between Adults and the Elderly

성인과 노인의 응급의료서비스 만족도 영향요인

  • Gil, Eunha (College of Nursing, Daejeon Institute of Science and Technology) ;
  • Oh, Heeyoung (College of Nursing, Eulji University)
  • 길은하 (대전과학기술대학교 간호학과) ;
  • 오희영 (을지대학교 간호학과)
  • Received : 2016.10.14
  • Accepted : 2017.02.17
  • Published : 2017.02.28
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Abstract

Purpose: The purpose of this secondary data analysis study was to compare what factors influenced individual's satisfaction with emergency medical services (EMS). Methods: Data were obtained from the Korea Health Panel Survey 2013 with 20,641 participants. A total sample of emergency room (ER) users (n=1,709) aged 20 and over were selected and divided into two age groups, one for 1,046 adults and the other for 663 elderly. Participants' responses were analyzed using descriptive statistics, ${\chi}^2$ test and logistic regression. Results: Among adults and elderly who were transferred to other hospitals instead of being admitted or returned to their homes reported less satisfaction (${\chi}^2=10.18$, p=.006). Further, the adults who perceived their arrival to the ER as not delayed (${\chi}^2=3.74$, p=.049) or visited the ER for treatment for illness (${\chi}^2=5.32$, p=.021) reported more satisfaction than those who perceived their ER service being delayed or visited the ER for accident or poisoning. The elderly who visited ER by non-ambulance reported higher satisfaction than those who arrived by ambulance (${\chi}^2=14.15$, p<.001). Conclusion: In both adults and the elderly, satisfaction of EMS can be increased by avoiding transferring patients to other hospital. For adults to be satisfied with EMS, efficient and rapid EMS might be needed to avoid delay in ER arrival, especially for adults with accidents or poisoning.

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References

  1. National Emergency Medical Center. The annals of emergency medical statistics for 2014 [Internet]. Seoul: National Emergency Medical Center; 2015 [cited 2015 Aug 15]. Available from: http://www.e-gen.or.kr/nemc/statistics_annual_report.do
  2. Je DW, Kim CH, Sung AJ, Seo JS, Ryoo HW, Park JB, at al. Comparison and analysis of overall user satisfaction over 10 years in an emergency medical center. Journal of the Korean Society of Emergency Medicine. 2007;18(6):458-70.
  3. Cho CH, Lee EJ. A study on improvement of large-size hospital's emergency medical service according to patient's viewpoint. Journal Of The Korean Society For Quality Management. 2013;41(4):541-54. https://doi.org/10.7469/jksqm.2013.41.4.541
  4. Cleary PD, McNeil BJ. Patient satisfaction as an indicator of quality care. Inquiry. 1988;25:25-36.
  5. Lee JC, Kim KH, Kim HN, Park YH. Patient satisfaction with emergency medical services in Korea: what matters most? Journal of the Korean Society of Emergency Medicine. 2011;22(4):299-308.
  6. Park JO, Shin SD, Song KJ, Ahn KO, Hong KJ, Suh GJ. Factor for the dissatisfaction of patient for emergency department services. Journal of the Korean Society of Emergency Medicine. 2007;18(2):97-106.
  7. Kang KH. Satisfaction gaps among physicians, nurses, and patient family in the emergency department. Health Policy and Management. 2013;23(2):145-51. https://doi.org/10.4332/kjhpa.2013.23.2.145
  8. Kim HJ, Yom YH. The impact of patient satisfaction with nursing care services, switching costs and perceived risk on intention of reuse in the emergency medical center. Journal of Korean Academy of Nursing Administration. 2011;17(4):432-42. https://doi.org/10.11111/jkana.2011.17.4.432
  9. Taylor C, Benger JR. Patient satisfaction in emergency medicine. Emergency Medicine Journal. 2004;21(5):528-32. https://doi.org/10.1136/emj.2002.003723
  10. Messina G1, Vencia F, Mecheroni S, Dionisi S, Baragatti L, Nante N. Factors affecting patient satisfaction with emergency department care: an Italian rural hospital. Global Journal of Health Science. 2015;7(4):30-9. https://doi.org/10.5539/gjhs.v7n4p30
  11. Khankeh HR, Khorasani-Zavareh D, Azizi-Naghdloo F, Hoseini MA, Rahgozar M. Triage effect on wait time of receiving treatment services and patients satisfaction in the emergency department: example from Iran. Iranian Journal of Nursing and Midwifery Research. 2013;18(1):79-83.
  12. Gerson LW, Rousseau EW, Hogan TM, Bernstein E, Kalbfleisch N. Multicenter study of case finding in elderly emergency department patients. Academic Emergency Medicine. 1995;2:729-34. https://doi.org/10.1111/j.1553-2712.1995.tb03626.x
  13. Rahmqvist M. Patient satisfaction in relation to age, health status and other background factors: a model for comparisons of care units. International Journal For Quality In Health Care. 2001;13(5):385-90. https://doi.org/10.1093/intqhc/13.5.385
  14. Sun BC, Adams J, Orav EJ. Determinants of patient satisfaction and willingness to return with emergency care. Annals of Emergency Medicine. 2000;35(5):426-34. https://doi.org/10.1016/s0196-0644(00)70003-5
  15. Korea Institute for Health and Social Affairs. 2013 Korea health panel [Internet]. Sejong; Korea Institute for Health and Social Affairs; 2013 [cited 2015 Aug 02]. Available from: https://www.khp.re.kr:444/
  16. Toloo GS, FitzGerald GJ, Aitken PJ, Ting JY, McKenzie K, Rego J, et al. Ambulance use is associated with higher self-rated illness seriousness: user attitudes and perceptions. Academic Emergency Medicine. 2013;20(6):576-83. https://doi.org/10.1111/acem.12149
  17. Gower LJ, Gatewood MO, Kang CS. Emergency department management of delirium in the elderly. The Western Journal of Emergency Medicine. 2012;13(2):194-201. https://doi.org/10.5811/westjem.2011.10.6654
  18. Kim CH, Lee JS, Kweon MX, Lee CM, Kwon OY, Choi HS, et al. A study for evaluation of the validity of mortality in emergency department sepsis score in geriatric patients with sepsis at the emergency department. Journal of the Korean Society of Emergency Medicine. 2012;23(4):500-9.
  19. Yoon CS, Choi HJ, Kim HB, Park SH, Park KH, Kwak MK. Characteristics of emergency department visits in older homeless adults. Journal of the Korean Society of Emergency Medicine. 2015;26(1):17-21.
  20. Svenson JE. Patterns of use of emergency medical transport: a population-based study. The American Journal of Emergency Medicine. 2000;18(2):130-4. https://doi.org/10.1016/s0735-6757(00)90002-0
  21. Korea Statistical Information Service. Report on the social survey for 2014 [Internet]. Daejeon: Statistics Korea; 2016. [cited 2016 Nov 23]. Available from: http://kosis.kr/ups/ups_01List01.jsp?pubcode=KN
  22. Hedges JR, Trout A, Magnusson AR. Satisfied patients exiting the emergency department (SPEED) study. Academic Emergency Medicine. 2002;9(1):15-21. https://doi.org/10.1197/aemj.9.1.15
  23. Hangsagi H, Carlsson B, Brismar B. The urgency of care need and patient satisfaction at a hospital emergency department. Health Care Manage Review 1992;17:71-5. https://doi.org/10.1097/00004010-199201720-00008
  24. Akkaya EG, Bulut M, Akkaya C. The factors affecting the level of patients' satisfaction of the applicants for emergency service. Turkish Journal of Emergency Medicine. 2012;12(2):62-8. https://doi.org/10.5505/1304.7361.2012.67689
  25. McCoy CE, Menchine M, Sampson S, Anderson C, Kahn C. Emergency medical services out-of-hospital scene and transport times and their association with mortality in trauma patients presenting to an urban Level I trauma center. Annals of Emergency Medicine. 2013;61(2):167-74. https://doi.org/10.1016/j.annemergmed.2012.08.026
  26. Sugerman DE, Xu L, Pearson WS, Faul M. Patients with severe traumatic brain injury transferred to a Level I or II trauma center: United States, 2007 to 2009. Journal of Trauma and Acute Care Surgery. 2012;73(6):1491-9. https://doi.org/10.1097/ta.0b013e3182782675
  27. Hollander JE, Pines JM. The emergency department crowding paradox: the longer you stay, the less care you get. Annals of Emergency Medicine. 2007;50(5):497-506. https://doi.org/10.1016/j.annemergmed.2007.05.002
  28. Bernstein SL, Aronsky D, Duseja R, Epstein S, Handel D, Hwang U, et al. The effect of emergency department crowding on clinically oriented outcomes. Academic Emergency Medicine. 2009; 16(1):1-10. https://doi.org/10.1111/j.1553-2712.2008.00295.x
  29. Brouns SH, Stassen PM, Lambooij SL, Dieleman J, Vanderfeesten IT, Haak HR. Organizational factors induce prolonged emergency department length of stay in elderly patients-a retrospective cohort study. PLoS One. 2015;10(8):e0135066. https://doi.org/10.1371/journal.pone.0135066
  30. Hoot NR, Aronsky D. Systematic review of emergency department crowding: causes, effects, and solutions. Annals of Emergency Medicine. 2008;52(2):126-36. https://doi.org/10.1016/j.annemergmed.2008.03.014

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