急重症病患使用緊急醫療救護系統送醫之意願調查

A Survey of EMS Utilization by Seriously-ill Patients

李文輝(Wen-Heui Lee) ； 廖訓禎(Shiumn-Jen Liaw) ； 陳日昌(Jih-Chang Chen) ； 蔔樂得(Michael J. Bullard)

《中華民國急救加護醫學會雜誌》 7卷2期 (1996/06) Pp. 61-68

https://doi.org/10.30018/JECCM.199606.0003

摘要

基隆地區實施緊急醫療救護系統(Emergency Medicals Service, EMS)已四年，但急重症病志使用率仍低。本研究為瞭解至本院急診就醫之急重症病患選擇不同送醫方式之原因與其中影響因素，調查民眾是否會因瞭解BMS功能後，增加使用率和接受到院前救護之意願，因此進行為期二個月的問卷調查，對象為長庚紀念醫院基隆急診室急重症病患，共回收200份問卷，結果顯示大部份民眾不瞭解現有119系統。超過60%受訪者，是以何者較快，較方便做為選擇送醫方式為首要考量，到院前救護只是次要需求。性別，年齡，教育程度，與病患關係等，都不是影響因素。經解說119救護車能提供優良到院前救護服務，急重症病患的使用意願，則由38%增加到90%。因此我們的結論是大部份民眾仍沒有到院前救護概念，但若加強宣導，強化救護品質，民眾接受程度應是相當高的。

關鍵字

緊急醫療救護系統 ； 到院前教護

並列摘要

Over a 2 month period all seriously-ill patients or their companion arriving at Keelung Chang Gung Memorial Hospital emergency department were asked to complete a questionnaire. We wished to identify those factors which affected their decision as to whether or not to utilize the EMS. A total of 200 persons were questioned. Only 38% made use of the 119 ambulance. Over 60% considered speed and convenience the first priority when transproting a sick patient to hospital. The provision of prehospital care was considered of secondary importance. Sex, age, educational level, and relationship to patient did not make a difference in their perception. After explaining that the 119 ambulance was operated by trained EMTs able to provide basic prehospital care and a rapid response, about 90% of the respondents agreed they would use the EMS in the future. While the importance of rapid transport for seriously ill patients appears well understood by the public, they were largely unaware that the Keelung EMS was both rapid and able to provide prehospital care leading to underutilization. With minimal education they appeared willing to change their practise in the future.

並列關鍵字

emergency medical service ； prehospital care