TY - JOUR
T1 - Factors associated with delayed emergency room visits in adult immigrant patients with mild abdominal pain in Korea
AU - Kim, Do Young
AU - Kim, Dae Hee
AU - Yoon, Hai Jeon
AU - Lee, Woon Jeong
AU - Woo, Seon Hee
AU - Seol, Seung Hwan
AU - Kim, Han Joon
N1 - Publisher Copyright:
© 2019 The Korean Society of Emergency Medicine.
PY - 2019/6
Y1 - 2019/6
N2 - 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.
AB - 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.
KW - Emergencies
KW - Emigrants and immigrants
KW - Health services needs and demand
UR - http://www.scopus.com/inward/record.url?scp=85069498475&partnerID=8YFLogxK
U2 - 10.15441/ceem.18.023
DO - 10.15441/ceem.18.023
M3 - Article
AN - SCOPUS:85069498475
SN - 2383-4625
VL - 6
SP - 138
EP - 143
JO - Clinical and Experimental Emergency Medicine
JF - Clinical and Experimental Emergency Medicine
IS - 2
ER -