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§” ”§—≠: √–∫∫°“√·æ∑¬å©ÿ°‡©‘π, °“√∑∫∑«π«√√≥°√√¡Õ¬à“ß‡ªìπ√–∫∫

Abstract A Systematic Review: Factors Related to Pre-Hospital Emergency Medical Service Utilization Thongchai Armartpundit*, Nipon Manasathitpong*, Intanin Churboonchai*, Sowanee Soboon*, Bodin Boonkhan*

*Faculty of Nursing, Ubon Ratchathani Rajabhat University

Incidence of death and long-term disability of emergency patients could be reduced with prehospital emergency medical service (EMS) utilization. Current reports indicated that emergency medical services were used only 3.1 percent of cases in Thailand. This reflected that a review of causes related to the use of pre-hospital EMS was urgently required. This research was then conducted to promote the EMS utilization. After the review, 38 articles were found related to the topic, and the contents of 31 articles were relatively relevant and credible with evidence-based data after verifying with rigorous methodology.

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Then all of the 31 articles were utilized in the process of content analysis. The findings indicated that EMS utilization via 1669 hotline and others were related with various factors including population, socioeconomic of the service users or relatives such as gender, age, education, marital status, income, and vehicle ownership.

The important factors included attitude towards EMS, EMS past experience, social support, perception on obstacles in using EMS, access to information, knowledge on urgent symptoms of EMS use, and self-confidence on using pre-hospital EMS system. These findings may be used to develop further research for promoting appropriate EMS utilization in Thailand.

Keywords: emergency medical service, systematic review

°

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2.1) ∑—»π§μ‘‡™‘ß∫«°¡’§«“¡ —¡æ—π∏å°—∫°“√„™â∫√‘°“√

„π·ºπ°©ÿ°‡©‘π¡“°¢÷Èπ⁽¹⁶⁾ ‡™àπ‡¥’¬«°—∫°“√‡ª≈’Ë¬π·ª≈ß§«“¡

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(6)

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2.3) °“√‡§¬„™â∫√‘°“√°“√·æ∑¬å©ÿ°‡©‘π°àÕπ∂÷ß‚√ß æ¬“∫“≈ °“√‡§¬„™â∫√‘°“√‡ªìπÕ’°Àπ÷Ëßªí®®—¬∑’Ë‡°’Ë¬«¢âÕß°—∫

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∫√‘°“√°“√·æ∑¬å©ÿ°‡©‘π°àÕπ∂÷ß‚√ßæ¬“∫“≈

2.4) ªí®®—¬¥â“π°“√ π—∫ πÿπ∑“ß —ß§¡®“° ≠“μ‘

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„™â∫√‘°“√√∂©ÿ°‡©‘π°àÕπ∂÷ß‚√ßæ¬“∫“≈¡“°°«à“ºŸâ∑’Ë‰¡à¡’ºŸâ π—∫ πÿπ⁽²¹⁾ Õ¥§≈âÕß°—∫º≈°“√»÷°…“„πºŸâªÉ«¬‚√§À—«„® „π

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®–‡æ‘Ë¡°“√„™â∫√‘°“√π’È‡æ‘Ë¡¢÷Èπ∑—Èß®”π«π·≈–§«“¡‡À¡“– ¡⁽¹⁶⁾

¥—ßπ—Èπ ∂â“¡’ºŸâ π—∫ πÿπ„Àâ„™â∫√‘°“√°“√·æ∑¬å©ÿ°‡©‘π°àÕπ∂÷ß

‚√ßæ¬“∫“≈®– àßº≈„ÀâºŸâªÉ«¬À√◊ÕºŸâ‡ÀÁπ‡Àμÿ°“√≥å‡√’¬°„™â

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∫√‘°“√·≈– ∂“π∑’Ë√—°…“μàÕ (place) °“√√—∫√Ÿâ√“§“§à“„™â®à“¬„π

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(promotion) ®–‡æ‘Ë¡°“√„™â∫√‘°“√„Àâ¡“°¬‘Ëß¢÷Èπ ®“°°“√

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3) ªí®®—¬¥â“π°“√√—∫√Ÿâ·≈–§«“¡‡™◊ËÕ‡°’Ë¬«°—∫Õ“°“√‡®Á∫ªÉ«¬

3.1) ºŸâªÉ«¬∑’Ë‡°‘¥Õ“°“√∫“¥‡®Á∫·≈–√—∫√ŸâÕ“°“√¢Õß μπ‡Õß À√◊ÕºŸâ∑’Ëæ∫‡ÀÁπ‡Àμÿ°“√≥å·≈–√—∫√ŸâÕ“°“√∑’Ë®”‡ªìπ®–

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(7)

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©ÿ°‡©‘π°àÕπ∂÷ß‚√ßæ¬“∫“≈∑’Ë¡’§«“¡‡™◊ËÕ¡—Ëπ«à“ °“√‡√’¬°„™â

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·Õø√‘°“„μâ∑’Ëæ∫«à“ π—°»÷°…“∑’Ë‰ª¢Õ√—∫∂ÿß¬“ßÕπ“¡—¬‡æ◊ËÕ„™â

„π°“√ªÑÕß°—π°“√μ‘¥‡™◊ÈÕ‡Õ™‰Õ«’®–¡’°“√√—∫√Ÿâ ¡√√∂π–„π μπ‡Õß„π°“√„™â∂ÿß¬“ßÕπ“¡—¬·≈– àßº≈μàÕ°“√„™â∂ÿß¬“ß¡“°

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(8)

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