Characteristics and Effectiveness of Mobile- and Web-Based Tele-Emergency Consultation System between Rural and Urban Hospitals in South Korea: A National-Wide Observation Study
DC Field | Value | Language |
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dc.contributor.author | Choi, Woosung | - |
dc.contributor.author | Lim, Yongsu | - |
dc.contributor.author | Heo, Tag | - |
dc.contributor.author | Lee, Sungmin | - |
dc.contributor.author | Kim, Won | - |
dc.contributor.author | Kim, Sang-Chul | - |
dc.contributor.author | Kim, Yeonwoo | - |
dc.contributor.author | Kim, Jaehyuk | - |
dc.contributor.author | Kim, Hyun | - |
dc.contributor.author | Kim, Hyungil | - |
dc.contributor.author | Lee, Taehun | - |
dc.contributor.author | Kim, Chol | - |
dc.date.accessioned | 2024-01-16T12:30:47Z | - |
dc.date.available | 2024-01-16T12:30:47Z | - |
dc.date.issued | 2023-10 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/90092 | - |
dc.description.abstract | (1) Background: The government of South Korea has established a nationwide web- and mobile-based emergency teleconsultation network by designating urban and rural hospitals. The purpose of this study is to analyze the characteristics and effectiveness of the tele-emergency system in South Korea. (2) Methods: Tele-emergency consultation cases from May 2015 to December 2018 were analyzed in the present study. The definition of a tele-emergency in the present study is an emergency consultation between doctors in rural and urban hospitals via a web- and mobile-based remote emergency consultation system (RECS). Consultations through an RECS are grouped into three categories: medical procedure or treatment guidance, image interpretation, and transportation requests. The present study analyzed the characteristics of the tele-emergency system and the reduction in unnecessary transportation (RUT). (3) Results: A total of 2604 cases were analyzed in the present study from 2985 tele-emergency consultation cases. A total of 381 cases were excluded for missing data. Consultations for image interpretation were the most common in trauma cases (71.3%), while transfer requests were the most common in non-trauma cases (50.3%). Trauma patients were more frequently admitted to rural hospitals or discharged and followed up with at rural hospitals (20.3% vs. 40.5%) after consultations. In terms of disease severity, non-severe cases were statistically higher in trauma cases (80.6% vs. 59.4%; p < 0.001). The RUT was statistically highly associated with trauma cases (60.8% vs. 42.8%; p < 0.001). In an analysis that categorized cases by region, a statistically higher proportion of transportation was used in island regions (69.9% vs. 49.5%; p < 0.003). More RUT was associated with non-island regions (30.1% vs. 50.5%; p = 0.001). (4) Conclusions: The tele-emergency system had a great role in reducing unnecessary patient transportation in non-severe trauma cases and non-island rural area emergency cases. Further research is needed for a cost/benefit analysis and clinical outcomes. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | MDPI | - |
dc.title | Characteristics and Effectiveness of Mobile- and Web-Based Tele-Emergency Consultation System between Rural and Urban Hospitals in South Korea: A National-Wide Observation Study | - |
dc.type | Article | - |
dc.identifier.wosid | 001086230800001 | - |
dc.identifier.doi | 10.3390/jcm12196252 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL MEDICINE, v.12, no.19 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.scopusid | 2-s2.0-85173858238 | - |
dc.citation.title | JOURNAL OF CLINICAL MEDICINE | - |
dc.citation.volume | 12 | - |
dc.citation.number | 19 | - |
dc.type.docType | Article | - |
dc.publisher.location | 스위스 | - |
dc.subject.keywordAuthor | teleconsultation | - |
dc.subject.keywordAuthor | telemedicine | - |
dc.subject.keywordAuthor | mobile | - |
dc.subject.keywordAuthor | transportation | - |
dc.subject.keywordPlus | TELEMEDICINE | - |
dc.subject.keywordPlus | CARE | - |
dc.subject.keywordPlus | DEPARTMENTS | - |
dc.subject.keywordPlus | TELEMERGENCY | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | IMPACT | - |
dc.subject.keywordPlus | PHONE | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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