The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
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Status of region-wise deployment of 119 emergency resources in Korea -Focusing on whether regional criteria are met and the characteristics of the region-

국내 119구급자원의 지역별 배치 현황 -시·군·구별 기준 충족 여부와 지역특성을 중심으로-

  • Hyeji Kwon (Hanyang University, Graduate School of Public Health) ;
  • Youngjeon Shin (Hanyang University, School of Medicine, Graduate School of Public Health)
  • 권혜지 (한양대학교 일반대학원 보건학과 ) ;
  • 신영전 (한양대학교 의과대학 예방의학교실, 보건대학원 )
  • Received : 2024.03.10
  • Accepted : 2024.08.13
  • Published : 2024.08.31
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Abstract

Purpose: Ensuring prompt and consistent 119 emergency services for all citizens is crucial and requires every region to adhere to prescribed deployment standards Methods: This study assessed the compliance with 119 emergency resource deployment standards in 229 districts (si-gun-gu) by analyzing data from 18 fire headquarters as of December 31, 2022. Results: At the Sigun-gu level, 16 areas (7%) did not meet the fire station standards. Among the 229 si-gun-gu, 25 (10.9%) failed operational ambulance standards, and 114 (49.8%) did not meet the 119 first responder standards. Areas lacking fire station standards had lower financial self-sufficiency and higher elderly and single-person elderly household proportions (p<.05). Areas not meeting ambulance standards had lower proportions of these populations, but higher financial self-sufficiency. In addition, areas that did not meet the 119 first-responder standards had greater financial autonomy (p<.05). Areas meeting only basic fire station standards had higher proportions of elderly and single-person households and lower financial self-sufficiency. Areas meeting only ambulance standards had lower financial autonomy, whereas those meeting only emergency medical technician standards had lower financial self-sufficiency and a higher elderly proportions (p<.05). Conclusion: Si-gun-gu, with a large elderly population and poor finances, often fails to meet fire station standards and meets only the basic criteria. Continuous monitoring and targeted management are crucial for reducing disparities in 119 resource allocation and improving the overall deployment.

Keywords

References

  1. Ministry of health and welfare. (2023). Emergency medical statistics yearbook.(11-135 2000-001248-10). https://www.e-gen.or.kr/nemc/statistics_annual_report.do?brdclscd=02. 
  2. Lee DB. (2020). Local imbalance of emergency medical services(ems): analyses on 119 ems activity reports of busan. Journal of the KAGIS, 23(3), 161-73. https://doi.org/10.11108/kagis.2020.23.3.161 
  3. National Fire Agency. (2023). Statistical yearbook of emergency services.(00-0000000-0000 00-00). https://www.nfa.go.kr/nfa/releaseinformation/statisticalinformation/main/?boardId=bbs_0000000000000019&mode=view&cntId=52&category=&pageIdx=&searchCondition=&searchKeyword= 
  4. National Fire Agency. (2023). National fire agency statistical yearbook.(11-1661000-000001 -10). https://www.nfa.go.kr/nfa/releaseinformation/statisticalinformation/main/?boardId=bbs_0000000000000019&mode=view&cntId=55&category=&pageIdx= 
  5. Jin R, Xia T, Liu X et al. (2021). Predicting emergency medical service demand with bipartite graph convolutional networks. Ieee Access, 9, 9903-15. https://doi.org/10.1109/ACCESS.2021.3050607 
  6. Siwen L, Xuejie D, Dongmei L et al. (2022). Inequities in ambulance allocation associated with transfer delay and mortality in acute coronary syndrome patients: evidence from 89 emergency medical stations in china. International Journal for Equity in Health, 21(1), 1-9. https://doi.org/10.1186/s12939-022-01777-3 
  7. Peter KG, Morgan MB, Azeemuddin A et al. (2022). Rural stroke patients have higher mortality: an improvement opportunity for rural emergency medical services systems. The Journal of Rural Health, 38(1), 217-27. https://doi.org/10.1111/jrh.12502 
  8. Jung SY, Qin X. (2024). Promoting emergency medical service infrastructure equality to reduce road crash fatalities. Sustainability, 16(3), 1000. https://doi.org/10.3390/su16031000 
  9. Jin Y, Chen H, Ge H et al. (2023). Urban-suburb disparities in pre-hospital emergency medical resources and response time among patients with out-of-hospital cardiac arrest: a mixed-method cross-sectional study. Frontiers in Public Health, 11, 496. https://doi.org/10.3389/fpubh.2023.1121779 
  10. Kang SW, Jang SW, Park JY et al. (2021). Regional imbalance and social equity in access to emergency medical services in busan metropolitan city. J Korean Soc Hazard Mitig, 21(1), 35-46. https://doi.org/10.9798/KOSHAM.2021.21.1.35 
  11. Lee DB. (2017). A study on spatial and social equity of fire service in seoul. J. Korean Soc. Hazard Mitig, 7, 145-54. https://doi.org/10.9798/KOSHAM.2017.17.1.145 
  12. Song HJ. (2004). Emergency medical service system and policy implications in korea. Health and Welfare Forum, 2004(4), 63-73. http://dx.doi.org/10.23062/2004.04.8 
  13. Ock TG, Cho JH, Chun IK et al. (2022). Analysis of vulnerable areas of emergency medical services and evaluation of emergency medical district in chuncheon. Journal of KARG, 28(2), 170-82. https://doi.org/10.26863/JKARG.2022.5.28.2.170 
  14. National medical center. (2021). Development and application strategies of regional emergency medical capacity index_final report.(NMC-2022 -004-01). https://www.e-gen.or.kr/nemc/investigation_view.do?brdctsno=11041&upperfixyn=N¤tPageNum=1&brdclscd=&searchTarget=ALL&searchKeyword=&searchDatayear. 
  15. Ko DH, Kwon KS, Lee JH. (2019). Usefulness of community health survey for regional disparity study in gunsan-si, jeollabuk-do. J Agric Med Community Health, 44(4), 185-9. https://doi.org/10.5393/JAMCH.2019.44.4.185 
  16. The chiefs' association of Japan. (2022). Reiwa 4th edition fire protection current situation firefighting headquarters section. https://www.fcaj.gr.jp/info/download/%E4%BB%A4%E5%92%8C%EF%BC%94%E5%B9%B4%E7%89%88%E6%B6%88%E9%98%B2%E7%8F%BE%E5%8B%A2.pdf 
  17. Kwon HJ, Kim HS, Shin YJ. (2023). Comparison of resource allocation criteria and status of 119 emergency medical services in south korea and japan: exploring optimal resource allocation strategies for regional ems. Korean J Emerg Med Ser, 27(2), 91-111. https://doi.org/10.14408/KJEMS.2023.27.2.091 
  18. Jeong YH, Jeong HN, Ko JH. (2017). Optimal decisions on the quantity and locations of ambulances for the timely response to emergency requests. Fire Sci. Eng, 31(3), 137-43. https://doi.org/10.7731/KIFSE.2017.31.3.137 
  19. Hwang EH, Choi JH, Choi DM. (2018). A study on the effective methods of securing the golden time of fire engine move out. J. Korean Soc. Hazard Mitig, 18, 119-26. https://doi.org/10.9798/KOSHAM.2018.18.5.119 
  20. Baek HS. (2019). Comparing statistical data on 119 ambulance runs and ambulance crew in korea and japan. Korean J Emerg Med Ser, 23(2), 87-97. https://doi.org/10.14408/KJEMS.2019.23.2.087 
  21. Rho SG, Lee JG, Kim JH. (2012). A research on the actual condition of the pre-hospital emergency care and education in 119 emergency medical services. Journal of the Korea Academia-Industrial Cooperation Society, 13(5), 2117-24. http://dx.doi.org/10.5762/KAIS.2012.13.5.2117 
  22. Health Insurance Review & Assessment Service. (2013). An overview of south korea's healthcare resources and key issues as observed through oecd statistics. 2018. https://repository.hira.or.kr/handle/2019.oak/1211. 
  23. Kim JD, Shin SY. (2013). A study on the emergency medical service demand and fire service force. Journal of the Korea Academia-Industrial cooperation Society, 14(9), 4485-91. http://dx.doi.org/10.5762/KAIS.2013.14.9.4485 
  24. Shiba R. (2023). Empirical study on emergency transportation for the elderly : analysis of municipal data including regional characteristics and social capital factors. KGPS review: Kwansei Gakuin policy studies review, 30, 13-7. http://hdl.handle.net/10236/00030705.  10236/00030705
  25. Korea Institute for Health and Social Affairs. (2008). A gis-based study of the distribution of major health manpower in korea, 2008(7), 59-72. http://dx.doi.org/10.23062/2008.07.6 
  26. Ro YS, Shin SD, Kitamura T et al. (2015). Temporal trends in out-of-hospital cardiac arrest survival outcomes between two metropolitan communities: Seoul-Osaka resuscitation study. BMJ open, 5(6), e007626. http://dx.doidoi:10.1136/bmjopen-2015-007626 
  27. Pin HF, Yu YL, Chuen HL et al. (2020). Impacts of emergency medical technician configurations on outcomes of patients with out-of-hospital cardiac arrest. IJERPH, 17(6), 1930. https://doi.org/10.3390/ijerph17061930