Influencing Factors of Emergency Medical Service Demand：An Empirical Study of New Taipei City
Date Issued
2015
Date
2015
Author(s)
Lin, Teng-Kang
Abstract
Emergency medical service (EMS) is an important welfare measure in society as well as a vital part in a general medical system. Identifying and analyzing the factors which matter demands of emergency medical services may provide references to allocate emergency medical resources and clarify reasons why emergency medical resources are abused and prevent abuses therefrom. However, the previous researches mainly focused on demographic and socioeconomic factors and ignored the possible influences of rural-urban differences and unequal medical resources. In practice, it lacks broader researches to be used as references of policy developments. Based on literature review and practice experiences, this research identified the factors influencing emergency medical demands and emergency medical resource abuses and draws hypothetical relationships. To verify the proposed hypotheses, this research used the 67 fire station service districts in New Taipei City as study sample. The sample data were from the socioeconomic data base of land information system of Ministry of the Interior, attendance records of the Fire Department and the statistical data in 2012 of the Health Department.Geographic information systems and truncated regression models were employed to analyze the sample data. The empirical evidence show that attributes of demography, socioeconomy, rural-urban differences and medical resources were all significant factors affecting local emergency medical service demands and medical resource abuses of either trauma or non-trauma. The results of this research reach the following three contributions. First, the results clarify the influencing factors in Taiwan and their differences from other countries. Second, the results are able to be applied to estimate emergency medical service demands, allocate medical resources and mitigate medical resource abuses. Finally, the results support compact city theory regarding that compact developments facilitate operational efficiencies of public services and facilities.
Subjects
emergency medical service demand
influencing factor
truncated regression
Type
thesis
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