Patient Satisfaction with Emergency Medical Services in Korea: What Matters Most?.
- Author:
Jung Chan LEE
1
;
Kye Hyun KIM
;
Han Nah KIM
;
Yoon Hyung PARK
Author Information
1. Research Institute for Healthcare Policy, Korean Medical Association, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Emergency medical services (EMS);
Emergency department (ED);
Satisfaction
- MeSH:
Ambulances;
Emergencies;
Emergency Medical Services;
Humans;
Korea;
Logistic Models;
Patient Satisfaction
- From:Journal of the Korean Society of Emergency Medicine
2011;22(4):299-308
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was performed to identify patient satisfaction with the emergency medical services (EMS) and its determinants. METHODS: Data were obtained from the first wave of the 2008 Korea Health Panel Survey. The unit of analysis was a case of patient visit of emergency department (ED) (n=1,280). Patient satisfaction with the EMS was categorized into two levels (1=satisfied, 2=dissatisfied). X2-test and logistic regression analysis were employed to find factors influencing the degree of EMS satisfaction. RESULTS: Among the 1,280 cases, 70.16% of patients were satisfied with the EMS. Patients who visited ED for accidents (odds ratio (OR)=1.42, p<0.05) were more satisfied with the services than those who visited ED for disease (reference). Also, patients who visited ED by private car (OR=3.05, p<0.05) or taxi (OR=4.00, p<0.05) or work (OR=4.78, p<0.01) showed higher satisfaction than those who visited ED by ambulance (reference) or 119 (OR=2.49, p<0.09). In addition, patients who experienced delay (reference) in ED admittance displayed lower satisfaction than those who did not (OR=2.06, p<0.001). Finally, patients who transferred to other hospitals (reference) after service completion indicated lower satisfaction than those who went back home (OR=4.04, p<0.0001) or were admitted (OR=5.69, p<0.0001). CONCLUSION: EMS policymakers should pay more attention not only to improve the quality level of ambulance or 119 service, but also to prevent ED delay.
