Li Ming-Der, Doong Ji-Liang, Chang Kai-Kuo, Lu Tsung-Hsueh, Jeng Ming-Chang
Department of Mechanical Engineering, National Central University, Taoyuan, Taiwan.
J Safety Res. 2008;39(6):623-30. doi: 10.1016/j.jsr.2008.10.008. Epub 2008 Nov 18.
Fatalities from traffic accidents in less-motorized societies are an important global issue. We aimed to characterize the geographic differences of fatalities in such societies to facilitate the development of targeted interventions.
This study linked police reports, hospital data, and vital registration data from Taiwan with special reference to accident factors in pre-hospital deaths and medical care in hospital deaths.
A higher percentage of pre-hospital deaths were observed following rural as compared to urban traffic accidents. The deaths due to rural accidents can be attributed to lower use of restraints (i.e., helmets or seat belts), lower percentage of motorcyclists, and more highway accidents. A higher percentage of victims in rural accidents were transported to distant medical centers rather than to local hospitals.
Specific interventions, such as intelligent emergency medical systems, campaigns for helmets and seat belt usage, enforcement of helmets and seat belt use, and speed control measures should be targeted to rural areas.
Cooperation between the vehicle industry and emergency medical providers in rural traffic accident rescue teams may decrease the numbers of deaths in these regions.
在机动车使用较少的社会中，交通事故造成的死亡是一个重要的全球性问题。我们旨在描述此类社会中死亡情况的地理差异，以促进有针对性干预措施的制定。
本研究将台湾地区的警方报告、医院数据和人口动态登记数据相联系，特别关注院前死亡的事故因素和医院死亡的医疗救治情况。
与城市交通事故相比，农村交通事故导致的院前死亡比例更高。农村事故导致的死亡可归因于安全带（即头盔或安全带）使用率较低、骑摩托车者比例较低以及高速公路事故较多。农村事故中更高比例的受害者被送往远处的医疗中心而非当地医院。
应针对农村地区采取特定干预措施，如智能应急医疗系统、头盔和安全带使用宣传活动、头盔和安全带使用执法以及速度控制措施。
车辆行业与农村交通事故救援队中的应急医疗服务提供者之间的合作可能会减少这些地区的死亡人数。
