Osong Public Health Res Perspect.  2020 Aug;11(4):209-215. 10.24171/j.phrp.2020.11.4.10.

Predictors Affecting the Elderly’s Use of Emergency Medical Services

Affiliations
  • 0Department of Urban Policy and Administration, Incheon National University, Incheon, Korea
  • 0Department of Health Management, Sahmyook University, Seoul, Korea

Abstract

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.


Keyword

emergency medical services; elderly; Koreans
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