부산대학교 도서관

Objectives: This study aimed to investigate the frequency and outcome of emergency department utilization for people with intellectual disabilities. Methods: The data is from the Physical and Mental Disorder Information File provided by the Health and Welfare Information Science Center of the Ministry of Health and Welfare and the National Health Insurance Healthcare utilization Information. The dependent and independent variables were described in frequencies and percentages. Secondly, using complex logistic regression to explore the factors affecting the frequency and outcome of emergency department utilization for people with intellectual disabilities. This study used the statistical software package SAS9.4 to summarize data and perform statistical analyses. P values were used to indicate significance levels. The significance level (α level) was set to less than 0.05. Results: Of a total of 482,180 subjects in this study, 82,387 (17.09%) used the emergency department, and the rate of using the emergency department for the intellectually disabled (20.78%) was significantly higher than that of people without intellectual disabilities (16.16%). However, as far as emergency patients are concerned, the frequency of using emergency medical treatment is higher, the probability of emergency urgency (AOR =1.475), emergency admission is significantly higher (AOR=1.324), and emergency death was significantly higher (AOR=1.795). Conclusions: Among those who use the emergency department, the probability of the frequency and degree of urgency of emergency medical, hospitalization and death in the emergency department are significantly higher for people with intellectual disabilities.