경상남도 합천군의 응급의료 현황을 토대로 본 대한민국 지방 응급의료의 현실과 과제
The Reality and Challenges of Rural Emergency Medical Service in Republic of Korea Based on the Current Status of Emergency Medical Service in Hapcheon-gun, Gyeongsangnam-do
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Background: Hapcheon-gun, Gyeongsangnam-do, is designated as an emergency medical vulnerable area, facing significant challenges in transporting and treating emergency patients. A detailed analysis of the regional emergency medical system is required to identify effective solutions. Methods: This study employed a mixed-methods approach, combining quantitative data from the National Emergency Medical Information System and emergency activity logs with qualitative data from focus group interviews involving 24 stakeholders, including medical staff, paramedics, civil servants, and local residents. Results: Quantitative findings indicated an aging population in Hapcheon-gun, with a growing number of elderly emergency room users. Despite the utilization of local emergency medical institutions, a lack of trust and preference for urban hospitals led even patients with mild conditions to seek care at higher-level facilities. Following the COVID-19 pandemic, transport distances and times for patients using 119 emergency services increased. Qualitative analysis identified several issues: limited capacity of local institutions, challenges in patient transport due to misaligned emergency medical zones, an increase in severely ill patients, and the absence of a coordinated emergency medical consultative body. Recommendations include strengthening local institutions through government support, realignment of emergency zones, legal reforms, the establishment of a continuous consultative body, and enhancing the capacity of medical staff, paramedics, and residents.
Abstract
Background: Hapcheon-gun, Gyeongsangnam-do, is designated as an emergency medical vulnerable area, facing significant challenges in transporting and treating emergency patients. A detailed analysis of the regional emergency medical system is required to identify effective solutions. Methods: This study employed a mixed-methods approach, combining quantitative data from the National Emergency Medical Information System and emergency activity logs with qualitative data from focus group interviews involving 24 stakeholders, including medical staff, paramedics, civil servants, and local residents. Results: Quantitative findings indicated an aging population in Hapcheon-gun, with a growing number of elderly emergency room users. Despite the utilization of local emergency medical institutions, a lack of trust and preference for urban hospitals led even patients with mild conditions to seek care at higher-level facilities. Following the COVID-19 pandemic, transport distances and times for patients using 119 emergency services increased. Qualitative analysis identified several issues: limited capacity of local institutions, challenges in patient transport due to misaligned emergency medical zones, an increase in severely ill patients, and the absence of a coordinated emergency medical consultative body. Recommendations include strengthening local institutions through government support, realignment of emergency zones, legal reforms, the establishment of a continuous consultative body, and enhancing the capacity of medical staff, paramedics, and residents.
참고문헌 (18)
- , 2023
- 응급의료취약지 분석 및 모니터링과 응급자원의 효율적지원방안 도출, "보건복지부", ~ (2009)
- Kim, Y., "The Status and Challenges of Emergency Care in Haman-gun, Gyeongsangnam-do: A Qualitative Analysis of Interviews with Local Residents and Emergency Care Stakeholders", Korean Journal of Health Equity, 1(1), pp.44~60 (2023)
- 경상남도 지역응급의료체계 개선방안, "경상남도 공공보건의료지원단", ~ (2021)
- 함안군 중증응급이송·전원 진료 협력사업 연구 중간보고서, "경상남도 공공보건의료지원단", ~ (2021)
- Gwang-Jin Choi, "Characteristics and Illness Behaviors of the Elderly Patients Who Visited Emergency Department by Emergency Medical Services", Korean J Fam Pract, 2, pp.241~249 (2012)
- Seong Yeon Hwang, "Comparison of medical resources usage between young adult patients and elderly patients : a single center, retrospective observational study", Journal of the Korean Society of Emergency Medicine, 30(6), pp.490~500 (2019)
- Kap Su Han, "Characteristics analysis of patients being re-transferred among patients who transferred to emergency medical center", Journal of the Korean Society of Emergency Medicine, 32(1), pp.89~101 (2021)
- 2022년 의료취약지 모니터링 연구보고서, "보건복지부", ~ (2022)
- Louise Doyle, "An overview of mixed methods research—Revisited", Journal of Research in Nursing, 21(8), pp.623~635 (2016)
- Jone W. Creswell, "A concise introduction to mixed methods research" (2015), SAGE
- Kap Su Han, "Association between the emergency department length of stay time and in-hospital mortality according to 28diagnosis groups in patients with severe illness diagnosis codes", Journal of The Korean Society of Emergency Medicine, 32(1), pp.77~88 (2021)
- Clake, V, "Teaching thematic analysis: Overcoming challenges and developing strategies for effective learning", The Psychologist, 26(2), pp.120~123 (2013)
- Jang Ahnlee, "Qualitative Research Methods for PR Undergraduate Education: Focusing on Grounded Theory and Thematic Analysis", PR research, 26(3), pp.103~131 (2022)
- Sallis, J. F., "Health behavior: Theory, research, and practice", pp.2015, Jossey-Bass
- Honeycutt S, "Evaluating Policy, Systems, and Environmental Change Interventions : Lessons Learned From CDC’s Prevention Research Centers", Prev Chronic Dis, 12, pp.150281~ (2015)
- Kang, H. G., "Factors that Influence Physician Salary Payment through Analyzing on Internet Invitation Webpage in Korea", Journal of Agricultural Medicine and Community Health, 46(1), pp.12~22 (2021)
- 보건복지부, "2024년 공공보건의료 협력체계구축 사업안내", ~ (2024)