scholarly journals The Analysis of Underserved Emergency Medical Services Areas in Daejeon Metropolitan City Using a Geographic Information System

2012 ◽  
Vol 37 (2) ◽  
pp. 76-83 ◽  
Author(s):  
Ji-Hye Hwang ◽  
Jin-Yong Lee ◽  
Seong-Woo Park ◽  
Dong-Woo Lee ◽  
Bo-Woo Lee ◽  
...  
Keyword(s):  
Information System ◽  
Geographic Information System ◽  
Emergency Medical Services ◽  
Geographic Information ◽  
Medical Services ◽  
Metropolitan City ◽  
Emergency Medical

scholarly journals Ambulance use, distance and outcomes in patients with suspected cardiovascular disease: a registry-based geographic information system study

2018 ◽  
Vol 9 (1_suppl) ◽  
pp. 45-58 ◽  
Author(s):  
Nariman Sepehrvand ◽  
Wendimagegn Alemayehu ◽  
Padma Kaul ◽  
Rick Pelletier ◽  
Aminu K Bello ◽  
...  
Keyword(s):  
Information System ◽  
Acute Coronary Syndrome ◽  
Geographic Information System ◽  
Emergency Medical Services ◽  
Travel Distance ◽  
Medical Services ◽  
Coronary Syndrome ◽  
Clinical Events ◽  
Emergency Medical ◽  
Services Use

Background: Despite guideline recommendations, the majority of patients with symptoms suggestive of acute coronary syndrome do not use emergency medical services to reach the emergency department (ED). The aim of this study was to investigate the factors associated with EMS utilisation and subsequent patient outcomes. Methods: Using administrative data, all patients who presented to an ED in the metropolitan areas of Edmonton and Calgary in the years of 2007–2013 with main ED diagnosis of acute coronary syndrome, stable angina or chest pain were included. The travel distance was estimated using the geographic information system method to approximate the distance between the ED and patient home. The clinical endpoints were the 7-day and 30-day all-cause events (death, re-hospitalisation and repeat ED visit). Results: Of 50,881 patients, 30.5% presented by emergency medical services. Patients with older age, female sex, ED diagnosis of acute coronary syndrome, more comorbidities and lower household income were more likely to use emergency medical services to reach the hospital. Longer travel distance was associated with higher emergency medical services use (odds ratio 1.09, 95% confidence interval 1.09–1.10), but it was not a predictor of clinical events. After adjustment for covariates and inverse propensity score weighting, emergency medical services use was associated with a higher risk of 7-day and 30-day clinical events. Conclusion: Several demographic and clinical features were associated with higher emergency medical services use including geographical variation. Although longer travel distance was shown to be linked to higher emergency medical services use, it was not an independent predictor of patient outcome. This has implications for the design of emergency medical services systems, triage and early diagnosis and treatment options.

Ground and Helicopter Emergency Medical Services Time Tradeoffs Assessed with Geographic Information

2015 ◽  
Vol 86 (7) ◽  
pp. 620-627 ◽  
Author(s):  
Michael J. Widener ◽  
Zac Ginsberg ◽  
Daniel Schleith ◽  
Douglas J. Floccare ◽  
Jon Mark Hirshon ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Geographic Information ◽  
Medical Services ◽  
Helicopter Emergency Medical Services ◽  
Emergency Medical

scholarly journals Regional Imbalance and Social Equity in Access to Emergency Medical Services in Busan Metropolitan City

2021 ◽  
Vol 21 (1) ◽  
pp. 35-46
Author(s):  
Seungwon Kang ◽  
Saewoom Jang ◽  
Jiyong Park ◽  
Dalbyul Lee ◽  
Juchul Jung
Keyword(s):  
Spatial Analysis ◽  
Emergency Medical Services ◽  
Social Equity ◽  
Medical Services ◽  
Hotspot Analysis ◽  
Gis Spatial Analysis ◽  
Metropolitan City ◽  
Emergency Medical ◽  
Equity Of Access ◽  
Regional Imbalance

This study aimed to analyze the regional imbalance and social equity of access to emergency medical services in Busan Metropolitan City and to present urban planning measures to enhance equity. According to a prior study, access to emergency medical services may be hampered by spatial and social equity. In this study, detailed figures through GIS spatial analysis were presented to test the above discussion. Network analysis, hotspot analysis, and natural breaks classification were used for the GIS spatial analysis. The results of the analysis revealed an inequality between regions in terms of accessibility to emergency medical services in Busan, but it was difficult to generalize that social equity was occurring. However, a closer analysis confirmed that there existed areas within the "gu" where the social equity of emergency medical services was greatly hampered.

scholarly journals Analysis of the Adequacy of Prehospital Emergency Medical Services Use of Patients Who Visited Emergency Departments in Korea from 2016 to 2018: Data from the National Emergency Department Information System

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Sung Joon Park ◽  
Jung-Youn Kim ◽  
Young-Hoon Yoon ◽  
Eu Sun Lee ◽  
Hyun-Jin Kim ◽  
...  
Keyword(s):  
Emergency Department ◽  
Information System ◽  
Emergency Medical Services ◽  
Secondary Data ◽  
The Other ◽  
Limited Resources ◽  
Medical Services ◽  
Emergency Medical ◽  
Prehospital Emergency ◽  
National Emergency

Introduction. Proper ambulance use is important not only due to the patient’s transport quality but also because of the need for efficient use of limited resources allotted by the system. Therefore, this study was conducted to check for overuse or underuse of the ambulance system by patients who visited the emergency department (ED). Methods. In this study, a secondary data analysis was conducted using the existing database of the National Emergency Department Information System with all patients who visited EDs over the three-year study period from 2016 to 2018. The study subjects were classified into the following groups: (1) appropriate Emergency Medical Services (EMS) usage; (2) appropriate no EMS usage; (3) underuse; and (4) overuse groups. Results. Of 18,298,535 patients, 11,668,581 (63.77%) were classified under the appropriate usage group, while 6,629,954 (36.23%) were classified under the inappropriate usage group. In the appropriate EMS usage group, there were 2,408,845 (13.16%) patients. In the appropriate no EMS usage group, there were 9,259,706 (50.60%) patients. As for the inappropriate usage group, there were 5,147,352 (28.13%) patients categorized under the underuse group. On the other hand, there were 1,482,602 (8.10%) patients under the overuse group. Conclusion. There are many patients who use ambulances appropriately, but there are still many overuse and underuse. Guidelines on ambulance use are necessary for the efficient use of emergency medical resources and for the safety of patients.

Integrated Information Management System

1992 ◽  
Vol 7 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Richard Wiederhold
Keyword(s):  
Information System ◽  
Emergency Medical Services ◽  
Information Management ◽  
Management System ◽  
Information Management System ◽  
Networked Systems ◽  
Computer Hardware ◽  
Medical Services ◽  
Emergency Medical ◽  
Potential Applications

AbstractThis article presents the concepts of a computerized information system and its potential applications to Emergency Medical Services (EMS). It is an informational article intended to provide administrators clear concepts of how computers may be best used to provide information in integrated networked systems for EMS needs. It addresses the function of a system, processes of computerizing a department, planning, and provides an overview of computer hardware.

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