응급구조사 면허 제도 도입 및 추진 방식에 대한 인식과 영향 요인 : 2020년과 2023년 비교 분석
Perceptions and influencing factors on the introduction and implementation method of the emergency medical technician licensure system : A comparative analysis of 2020 and 2023
Purpose: This study aimed to analyze longitudinal changes in the perceptions of emergency medical technicians (EMTs) regarding the introduction of a licensure system and identify the structural causes of occupational conflicts concerning implementation methods (EMT-paramedic priority vs. simultaneous implementation for EMT-paramedics and EMT-basics). Methods: A descriptive cross-sectional study was conducted using survey data from 10,787 EMTs (6,611 in 2020 and 4,176 in 2023). Data were analyzed using chi-square tests with adjusted residuals and a binomial logistic regression model to determine the factors influencing the preferred implementation method. Results: While 97.4% of the respondents supported the licensure system, significant differences emerged regarding the implementation methods. EMT-paramedics strongly preferred priority implementation. Conversely, EMT-Basics, those with more clinical experience, and public-sector workers significantly preferred simultaneous implementation. Controlling for general characteristics, the logistic regression indicated that EMT-Basics were 26.48 times more likely to prefer simultaneous implementation compared to the reference group of EMT-Paramedics (aOR=26.48, p<.001). Conclusion: Despite a strong consensus on the necessity of licensure, severe occupational conflicts exist regarding the implementation methods. Resolving the dualized training system and securing educational homogeneity are essential prerequisites for a successful transition. However, as specific reform measures lack social consensus, further discussions and follow-up studies are required to develop a detailed roadmap.
목차
= Abstract = Ⅰ. 서론 Ⅱ. 연구방법 1. 연구설계 2. 연구대상 3. 자료수집 방법 4. 연구도구 5. 분석방법 Ⅲ. 연구결과 1. 대상자의 일반적 특성 및 연도별 분포 비교 2. 조사 연도에 따른 면허화 제도 인식 및 추진 방식 선호도 3. 면허화 추진 방식 선택에 미치는 영향 요인 Ⅳ. 고찰 Ⅴ. 결론 References
키워드
LicensureEmergency medical techniciansParamedicHealth policyPerception
저자
이귀자 [ Kui-Ja Lee | 서원대학교 응급구조학과 교수 ]
박영석 [ Young-Seok Bak | 선문대학교 응급구조학과 교수 ]
Corresponding Author
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 ]