일개 농어촌의 응급의료 현황 분석을 통한 농어촌형 응급의료체계 모델 개발 (Development of a Model for Rural Emergency Medical Service System through Investigation of the Current State in a Rural County)

서지정보

· 발행기관 : 대한응급의학회
· 수록지 정보 : 대한응급의학회지 / 19권 / 4호 / 349 ~ 358페이지
· 저자명 : 김용산, 정경운, 허탁

초록

Purpose: Rural emergency medical service (EMS) is inferior
to urban EMS. In creating and providing emergency
patient care, in rural areas, it is important to consider
resources, patient volumes, geography, technology challenges,
volunteer and provider issues, medical oversight,
polities, education, communications, and financial concerns.
In the current environment in Korea, it is necessary
to design tailored and self-supporting rural EMS systems.
For the development of a self-supporting model for EMS
systems in rural areas, we have studied the EMS system in
one rural area, Goheung County.
Methods: We obtained data from a health institute center,
the Gwangju emergency medical information center, three
emergency medical centers, and the fire station in Goheung
county. In order to survey resident’s perceptions about the
local EMS system, we provided a questionnaire to 324 residents
in Goheung County in March 2005. The advisory
council for the EMS system analyzed problems at each
step or component of the EMS service delivery process and
suggested a model for self-supporting EMS service in
Goheung County.
Results: The status of the EMS system in Goheung
County is inferior to urban systems. A lack of appropriately
trained emergency personnel at every level of care has
been identified in this area. It is hard to find public education
programs. There are few communication systems available
for emergency medical care and there are extended transport
times and distance, both for responding to and transporting
patients. Resident’s perceptions of the EMS system
is unfavorable. The advisory council suggested an optimized
plan to address the problems of the EMS system in
Goheung County. A self-supporting model is suggested by
the council. It is necessary to consider residents’ participation
and to apply available resources in Goheung County.
Conclusion: An ideal EMS system in Goheung County will
be a self-supporting model requiring participation of residents
and wise application of available sources. The first
consideration in this model is institution of a public education
program and recruitment and education of first responders
in every village is suggested. The model recommends
integration of the EMS communication system to provide
quality emergency medical care.

영어초록

Purpose: Rural emergency medical service (EMS) is inferior
to urban EMS. In creating and providing emergency
patient care, in rural areas, it is important to consider
resources, patient volumes, geography, technology challenges,
volunteer and provider issues, medical oversight,
polities, education, communications, and financial concerns.
In the current environment in Korea, it is necessary
to design tailored and self-supporting rural EMS systems.
For the development of a self-supporting model for EMS
systems in rural areas, we have studied the EMS system in
one rural area, Goheung County.
Methods: We obtained data from a health institute center,
the Gwangju emergency medical information center, three
emergency medical centers, and the fire station in Goheung
county. In order to survey resident’s perceptions about the
local EMS system, we provided a questionnaire to 324 residents
in Goheung County in March 2005. The advisory
council for the EMS system analyzed problems at each
step or component of the EMS service delivery process and
suggested a model for self-supporting EMS service in
Goheung County.
Results: The status of the EMS system in Goheung
County is inferior to urban systems. A lack of appropriately
trained emergency personnel at every level of care has
been identified in this area. It is hard to find public education
programs. There are few communication systems available
for emergency medical care and there are extended transport
times and distance, both for responding to and transporting
patients. Resident’s perceptions of the EMS system
is unfavorable. The advisory council suggested an optimized
plan to address the problems of the EMS system in
Goheung County. A self-supporting model is suggested by
the council. It is necessary to consider residents’ participation
and to apply available resources in Goheung County.
Conclusion: An ideal EMS system in Goheung County will
be a self-supporting model requiring participation of residents
and wise application of available sources. The first
consideration in this model is institution of a public education
program and recruitment and education of first responders
in every village is suggested. The model recommends
integration of the EMS communication system to provide
quality emergency medical care.

참고자료

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