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Factors associated with delayed emergency room visits in adult immigrant patients with mild abdominal pain in Korea
- Title
- Factors associated with delayed emergency room visits in adult immigrant patients with mild abdominal pain in Korea
- Authors
- Kim D.Y.; Kim D.H.; Yoon H.-J.; Lee W.J.; Woo S.H.; Seol S.H.; Kim H.J.
- Ewha Authors
- 윤혜전
- SCOPUS Author ID
- 윤혜전
- Issue Date
- 2019
- Journal Title
- Clinical and Experimental Emergency Medicine
- ISSN
- 2383-4625
- Citation
- Clinical and Experimental Emergency Medicine vol. 6, no. 2, pp. 138 - 143
- Keywords
- Emergencies; Emigrants and immigrants; Health services needs and demand
- Publisher
- Korean Society of Emergency Medicine
- Indexed
- SCOPUS; KCI
- Document Type
- Article
- Abstract
- Objective To determine the factors associated with unmet needs in immigrant patients com-plaining 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 satis-faction, 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. © 2019 The Korean Society of Emergency Medicine.
- DOI
- 10.15441/ceem.18.023
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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