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Predictors Affecting the Elderly’s Use of Emergency Medical Services
Ju Moon Park, Aeree Sohn
Osong Public Health Res Perspect. 2020;11(4):209-215.   Published online August 31, 2020
DOI: https://doi.org/10.24171/j.phrp.2020.11.4.10
  • 3,182 View
  • 60 Download
  • 1 Citations
AbstractAbstract PDF
Objectives

Elderly adults are the demographic most likely to utilize emergency medical services (EMS). This study aimed to examine the difference in EMS utilization in subgroups of the elderly population by assessing the predictors for using EMS.

Methods

Using both descriptive and logistic regression analyses, this study analyses data from the 2014 Korean Health Panel Survey (n = 3,175).

Results

It was observed that certain predisposing factors such as age, sex, and marital status were significant predictors of EMS utilization. However, differences in EMS need do not fully account for the original differences observed between subgroups of elderly Koreans. While health status and disability were important predictors of elderly Koreans using EMS, place of residence did not account for subgroup differences. Nonetheless, place of residence remained particularly important predictors of EMS utilization for the elderly.

Conclusion

Emergency needs and resource availability are 2 main determinants for elderly Koreans using EMS. In addition, it was observed that the demographic subgroup profile of unmarried/divorced/separated/widowed men who were aged 75 and older was least likely to utilize EMS. Improving their resource availability to meet their EMS needs should be a top priority for national policy making to narrow elderly population subgroup differences.

Citations

Citations to this article as recorded by  
  • Social Factors Contributing to Healthcare Service Requirements during the First COVID-19 Lockdown among Older Adults
    Ohad Shaked, Liat Korn, Yair Shapiro, Avi Zigdon
    Healthcare.2022; 10(10): 1854.     CrossRef
Availability of Clean Tap Water and Medical Services Prevents the Incidence of Typhoid Fever
Deog-Yong Lee, Esther Lee, HyeMin Park, SeongHan Kim
Osong Public Health Res Perspect. 2013;4(2):68-71.   Published online April 30, 2013
DOI: https://doi.org/10.1016/j.phrp.2013.03.005
  • 2,102 View
  • 19 Download
  • 2 Citations
AbstractAbstract PDF
Objective: In this study, the factors that induced a decrease in the incidence of typhoid fever were analyzed. Based on the study results, we propose a quantitative and concrete solution to reduce the incidence of typhoid fever.
Methods
We analyzed the incidence and fatality rate of typhoid fever in Korea. Tap water service rate and the number of pharmacies, which affect the incidence rate of typhoid fever, were used as environmental factors.
Results
To prevent typhoid fever in the community, it is necessary to provide clean tap water service to 35.5% of the population, with an individual requiring 173 L of clean water daily. Appropriate access to clean water (51% service coverage, 307 L) helped the population to maintain individual hygiene and food safety practices, which brought about a decrease in the incidence of typhoid fever, and subsequently a decrease in fatality rate, which was achieved twice. During the 8-year study period, the fatality rate decreased to 1% when the population has access to proper medical service.
Conclusion
The fatality rate was primarily affected by the availability of medical services as well as by the incidence of typhoid fever. However, an analysis of the study results showed that the incidence of typhoid fever was affected only by the availability of clean water through the tap water system.

Citations

Citations to this article as recorded by  
  • TIPICO X: report of the 10th interactive infectious disease workshop on infectious diseases and vaccines
    Irene Rivero-Calle, Jose Gómez-Rial, Louis Bont, Bradford D. Gessner, Melvin Kohn, Ron Dagan, Daniel C. Payne, Laia Bruni, Andrew J. Pollard, Adolfo García-Sastre, Denise L. Faustman, Albert Osterhaus, Robb Butler, Francisco Giménez Sánchez, Francisco Álv
    Human Vaccines & Immunotherapeutics.2021; 17(3): 759.     CrossRef
  • Progress in the overall understanding of typhoid fever: implications for vaccine development
    Peter J O’Reilly, Dikshya Pant, Mila Shakya, Buddha Basnyat, Andrew J Pollard
    Expert Review of Vaccines.2020; 19(4): 367.     CrossRef

PHRP : Osong Public Health and Research Perspectives