The Study of Emergency Medical Service Usage in Urban and Rural Areas

• Main Authors: Chen-Wei Lee, 李鎮維
• Other Authors: Tsu-Ming Yeh
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/52890504062147461351

碩士 === 大葉大學 === 工業工程與管理學系碩士在職專班 === 103 === Emergency care is extremely important and necessary work to modern nations.According to Emergency Medical Services Act, emergency medical services ( also known as EMS) include on-site emergency rescue and medical treatment for injured or ill patients in emergencies or mass casualty events, emergency rescue en route to hospital, referral of severely injured patients or critically ill patients on offshore islands or remote areas, and emergency medical care at medical care institutions. Fire Services Act specifically stipulates that there are three major tasks in the fire fighting organization: preventing fire disaster, providing rescue operation, and emergency care.However, emergency care on the way to the hospital is in a significant proportion of the organization’s business. Nowadays, because emergency medical attendance and the number of people sent to the hospital increase sharply, the importance of emergency medical system is obviously great. Rescue plays a very important role in emergency medical services, but in the situation of rescue, it seems that there exists a very big difference between town and country. To understand the differences between town and country for Yunlin County fire units to carry out rescue, I selected the following fire units as the objects of this study：Park Branch，Liohe Brigade，and Douliu Branch, which are located in Douliu City ；Taisi Branch，Mailiao Branch，and Beiwu Brigade, which are close to (border on) the Taiwan Strait.In the meanwhile I made a proper analysis from the rescue data, like the number of the cases from attendance, attendance types, attendance reaction time, the time to arrive at the scene and the time to stay at the scene, delivery time, transport distance, the rate of taking a trip without achieving the purpose, and whether patients are sent to the responsibility hospitals or not. The results of this analysis shows that emergency care of trauma cases in the metropolitan area is higher than rural area, and percentage of hospitalization in the metropolitan area is double than rural area. Furthermore, the elderly in general medicine cases are higher in rural area. It is suggested that number of emergency medical technician, and ambulances should be increased in order to cope with its large number of emergency care cases in the metropolitan area. Strengthen medical rescue techniques of emergency care technicians in order to cope with general medicine cases to the elderly in rural area.