사설이송업체의 지도의사 현황 및 직접의료지도 실태에 관한 연구
A study on the appointment status of the medical directors and the state of direct medical oversights in private ambulance services
Purpose: This study aimed to assess the appointment status of medical directors and the state of direct medical oversight in private ambulance services, including an analysis of the characteristics of the direct medical oversight requested by private ambulance services. Methods: This study investigated the appointment status of medical directors and direct medical oversight in private ambulance services based on official information disclosed by the National Emergency Medical Center and 17 local governments, along with 8,119 ‘Dispatch and Treatment Records’ collected by a university hospital from 2020 to 2022. Results: Among 129 private ambulance services, 96.12% (124 agencies) had only one medical director, and 43.8% of the medical directors were Emergency Physicians. Over the past three years, the national average direct medical oversight request rate for private ambulance services was 34.68%. In 11.14% of the cases, records stated that EMS providers communicated with the medical director but did not receive direct medical oversight. Conversely, in 36.98% of cases, records incorrectly indicated that EMS providers did not communicate with the medical director but were noted as having received direct medical oversight (p<.05). Most private ambulance services request the direct medical oversight of a single director. Conclusion: This study highlights issues, such as the suitability of the medical director's specialty and inaccuracies in private EMS providers' methods for documenting Dispatch and Treatment Records.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구설계 2. 연구대상 3. 자료수집 방법 4. 분석방법 Ⅲ. 연구결과 1. 전국 사설이송업체의 지도의사 선임현황 및 직접의료지도 현황 2. 호남권의 일개 대학병원으로 이송을수행한 사설이송업체의 출동 및 처치기록지에 대한 분석 Ⅳ. 고찰 1. 전국 사설이송업체의 지도의사와 직접의료지도 현황 2. 사설이송업체의 ‘출동 및 처치 기록지’에 대한 분석 Ⅴ. 결론 ORCID ID References
한국응급구조학회 [The Korean Society of Emergency Medical Technology]
설립연도
1997
분야
의약학>응급의학
소개
복합 구조적인 산업사회의 발전에 따라 안전사고와 응급상황에서의 구조구급요청자들이 증가하고 있으나 우리나라의 응급의료체계는 아직 그 수준을 따라가지 못하고 있는 실정이다. 이에 우리나라의 응급의료체계를 확립하고 구조구급에 관한 기초학문의 발전에 기여하고자 학회를 창립한다.
간행물
간행물명
한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]