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자료유형
학술저널
저자정보
김도영 (Department of Emergency Medicine The Catholic University of Korea College of Medicine Seoul Kore) 김대희 (가톨릭대학교) 윤혜전 (이화여자대학교) 이운정 (가톨릭대학교) 우선희 (가톨릭대학교 의과대학 응급의학교실) 설승환 (가톨릭대학교 의학전문대학원 응급의학교실) 김한준 (가톨릭대학교 의과대학 응급의학교실)
저널정보
대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.6 No.2
발행연도
2019.1
수록면
138 - 143 (6page)

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Objective To determine the factors associated with unmet needs in immigrant patients com­plaining of abdominal pain, by analyzing those associated with the time from symptom onset to emergency room visit.Methods We retrospectively reviewed the medical records of immigrants with abdominal pain who visited a tertiary hospital emergency department from January to December 2016. The de­pendent variable was the time from symptom onset to emergency room visit. The independent variables were age, sex, vital signs, disposition, health insurance status, date of visit, time of visit, level of education, employment status, economic satisfaction, marital status, living with family, duration of residence, having a native spouse, and subjective proficiency in Korean. We analyzed the association of the dependent variable with each independent variable.Results In total, 102 immigrant patients with abdominal pain were enrolled in this study. The patients who had earlier visits had good subjective proficiency in Korean, high economic satis­faction, longer durations of residence, a tendency to have a native spouse, and a high employ­ment rate. After linear regression analysis, the time from symptom onset to emergency room visit was negatively associated with employment (adjusted odds ratio, -13.67; 95% confidence interval, -23.25 to -4.09; P=0.006) and having a native spouse (adjusted odds ratio, -11.7; 95% confidence interval, -20.61 to -2.8; P=0.011).Conclusion The factors influencing the time from symptom onset to emergency room visit in immigrant patients with abdominal pain are associated with social capital, which improves ac­cess to emergency care. Policies that improve immigrant access to emergency care should be considered.

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