• Title/Summary/Keyword: 응급 서비스

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Predictors of Emergency Medical Transports Use Based on 2009 Korea Health Panel (응급환자 이송 서비스의 이용 특성과 예측 인자: 한국의료패널 2009년 데이터를 중심으로)

  • Kang, Kyunghee
    • Fire Science and Engineering
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    • v.28 no.3
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    • pp.80-86
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    • 2014
  • Based on 2009 Korea Health Panel, this study investigated socio-economic and clinical characteristics associated with emergency medical transport use, and analyzed a simple predictive model of emergency medical transport use. Analysis results were summarized as follows: First, emergency medical transports such as 119 ambulance were more used than private cars, taxis, or walk-in. Second, between a user group and a non-user group of emergency medical transports, there were statistically significant differences in age, the level of education, family composition, house type, household income, the relationship with the head of household, insurance types, the presence of handicap, the presence of chronic disease, reasons to emergency medical service use, and treatment after emergency medical service completed. Third, age, household income, the presence of handicap, reasons to emergency medical service use, and treatment after emergency medical service completed were statistically significant predictors associated with emergency medical transports use. To improve emergency medical service system, the characteristics and predictors associated with emergency medical transports are more concerned.

Organisation des Rettungsdienstes in Deutschland (독일의 응급구조업무의 조직)

  • Kim, Ki Young
    • Proceedings of the Korean Society of Disaster Information Conference
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    • 2015.11a
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    • pp.300-302
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    • 2015
  • 독일의 응급구조업무의 조직은 독일 기본법(GG) 제30조, 제70조에 따라 오로지 연방부들에게 있다. 유럽 연합은 기술적 조직적 통일성과는 별도로 각각의 국민들의 건강보호의 일부분으로 응급구조의 조직과 재정에서 상당히 광범위하게 재량을 인정하고 있으며 이에 따라 유럽연합의 시스템과 정책들의 입법적 조화를 사실상 포기하고 있는 실정이다. 독일연방주들은 자신들의 주응급구조법률(LRDG)에서 응급구조업무의 보장을 일반적으로 재차 지방자치단체(주 근교도시중심)에게 독자적인 업무로서 인정하고 있다(가령 슐레비히 홀스타인주 응급구조법(RDGSH) 제6조). 이러한 주들은 응급구조를 자신의 관할지역에 대해 준비하고 스스로 운영하거나 운영통제할 수 있는 구조목적의 단체들(RZV)과 공동협력을 할 수 있다. 각각의 업무능력과 법적인 기준에 따라 구조 목적의 단체들(RZV)은 자신의 이름으로 응급구조를 운영하거나 하나 또는 다수의 기관(공공 구조서비스 혹은 사설 구조서비스)에게 시행을 위임할 수 있다. 이러한 측면에서 본 연구에서는 독일의 경우 의사가 직접 현장 의료를 담당하고 있다는 점에서최근 입법을 통해 응급구조사의 교육과정을 개편하고 있으며, 질적 향상을 통해 응급의사와 응급구조사의 권한범위에서 독일 응급구조사의 권한확대가 시도되고 있다는 시사점을 도출하고 있다.

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Design of First-Aid Service Support System based on Mobile Motion Recognition (모바일의 모션 인식 기반의 응급 처치 서비스 지원 시스템의 설계)

  • Park, Hung-bog;Seo, Jung-hee
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.10a
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    • pp.286-287
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    • 2018
  • As the number of single-person households is increasing in Korea, the demand for emergency support networks for the elderly and women is also growing. To meet the need, systemic solutions, such as a wide distribution of cell phones with embedded motion sensors that can alert the first responders or police in case of health or safety crisis, are regarded as critical issues. This paper introduces a design which registers the user's motions to process emergency reports via a mobile app running in the background. The method offers an affordable solution to reporting emergencies taking place both indoors and outdoors as it does not require an addition of hardware but only simple hand gestures.

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Temporal and Spatial Distributions of Emergency Medical Services: Busan (부산시 응급의료서비스의 시공간적 분포특성)

  • Nam, Kwang-Woo;Kim, Jeong-Geon
    • Journal of the Korean Association of Geographic Information Studies
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    • v.10 no.1
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    • pp.113-123
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    • 2007
  • This study analyzed the appropriateness of the spatial distribution of fire stations and emergency medical facilities, the main providers of emergency medical care, in Busan. The area over which the 119 emergency medical services were situated in relation to the dispatch and transport of urgent rescue services was examined. Addresses of patients requiring 119 emergency services were obtained and stored as individual units so that they could be analyzed in a Geographic Information System(GIS). The time taken by emergency services to reach patients and transport them to a hospital or other facility was measured in seconds. By inputting additional information such as the location of the 119 dispatch centers, jurisdictions, and emergency medical facilities, the GIS allowed for analyses not only of the temporal but also the spatial aspects of emergency medical services. The results showed that of 16 Gu/Gun and 226 Eup/Myen/Dong in the Busan area, only 41% of Busan's emergency medical services could respond to and transport patients within five minutes. In all districts, most emergency medical services were provided within five to ten minutes. However, the pattern of hospital use to transfer patients to hospitals was inefficient. Based on the temporal and spatial distributions of fire stations and emergency medical agencies, and on their dispatch and transport times, this study sets out and compares ideal dispatch and transportation patterns for the efficient use of Busan's emergency medical services and resources.

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Construction of e-Emergency Service System Infrastructure in Busan Metropolitan City (부산광역시 e-응급서비스시스템 인프라 구축)

  • Kim, Hyung-Hoi;Cho, Hune;Kim, Hwa-Sun;Cho, Suck-Ju
    • Journal of Korea Multimedia Society
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    • v.11 no.9
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    • pp.1267-1276
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    • 2008
  • The time taken for an ischemic heart disease patient to have a percutaneous coronary intervention because of acute myocardial infarction after arriving at the hospitals (door-to-balloon time) affects the patient's mortality significantly. To improve the emergency service system that has been previously used in the hospitals, this study focused on reducing door-data time and data-to-decision time among three time stages. The newly established e-emergency service system has set up the database of patients that had an emergency operation for acute myocardial infarction in the emergency service system of the hospital and has issued health cards for the patients that regularly visit the Busan National University Hospital. In addition, it has stored prior operation permits in the form of a certified electronic document. The new electronic system will reduce the complex treatment and operation procedures innovatively. Therefore, it is expected that this will make the life save (or the emergency patients easier and reduce the mortality. Moreover, it will also settle down the hospital staff's and patients' predicaments caused by the complex procedure of the legacy system.

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Emergency Support System using Smart Device (스마트 기기를 활용한 응급 지원 시스템)

  • Jeong, Pil-seong;Cho, Yang-hyun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.9
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    • pp.1791-1798
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    • 2016
  • Recently, research about ESS(Emergency Support System) has been actively carried out to provide a variety of medical services using smart devices and wearable devices. Smart healthcare provides a personalized health care service using various types of bio-signal measuring sensors and smart devices. For the smart healthcare using a smart device, it is need to research about personal health monitoring using a smart wearable devices, and also need to research on service methods for first aid measures after an emergency. In this paper, we proposed about group management based emergency support system, that is monitoring about personal bio signal using smart devices and wearable devices to protect patient's life. The system notices to the medical volunteers based on the position information when an emergency situation. In addition, we have designed and implemented an emergency support system providing the information of the patient on the display when transmitting a picture of a patient using a smart device to the server.

Development of a Prototype System for Active Emergency Call Services (능동적 응급 호출 서비스 시스템 프로토타입 개발)

  • Han, Won-Hee;Song, Eun-Ha;Han, Sung-Kook;Jeong, Young-Sik
    • Journal of Korea Multimedia Society
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    • v.11 no.7
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    • pp.1016-1024
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    • 2008
  • In this paper, we designed and implemented the ACE(ACtive Emergency call service system) system for emergency call service actively. ACE system has two physical components; E-Device(Emergency Mobile Device) and E-Server(Emergency Server). The role of E-Device is the mobile device in order to call emergency by using mild handi-capped, the elderly and children who are able to communicate theirs intention to another. E-Server is the server for management E-devices with realtime monitering. E-Device will be developed to the portable size for easily mild handi-capped, the elderly and children. When they need the service of emergency call, the button of E-device can be used and the call signal is transmitted to the emergency office and the guardian through Internet and CDMA. E-server should be developed the integrated control system for management of E-Devices basically. And it also supported to realtime monitoring of E-devices with respect to high quality of emergency call service for rise the efficiency.

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Analysis of the Emergency Medical Service Area Using GIS: the Case of Seoul (GIS를 이용한 응급의료 진료권 분석: 서울시를 사례로 하여)

  • 이희연;박미영
    • Spatial Information Research
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    • v.12 no.2
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    • pp.193-209
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    • 2004
  • The purpose of this study is to analyze the service area of emergency medical centers using GIS-based spatial analysis methods in Seoul, focusing on the behaviour of patients on the choosing of emergency centers. For this analysis, six emergency centers were selected to collect data for the information on the addresses of patients from September to November hi 2003. Analysis on the service area, which was carried out by measuring the distribution of patients in terms of distance from emergency medical centers, clearly reveals that the majority of patients was located within or adjacent districts at the emergency medical center. However, the size of the primary service area f3r six emergency medical centers was much different, implying that the decision to visit specific emergency medical center by patients was closely related to the size, perception, and preference of the emergency medical center. Based on the results of the spatial characteristics of emergency medical service area, this research tries to construct the surface map of the emergency medical service level supplied by 32 regional emergency medical centers located in Seoul. Considering the levels of infrastructure for emergency medical centers, the coverage for the degree of supply of emergency medical service by each emergency medical center was constructed in terms of a distance decaying in the distribution of patients from emergency medical center imposing different weights on distance bands. Spatial overlay utilizing map algebra function was performed in order to calculate total supply level of emergency service. The results clearly show that spatial inequality exists in the supply levels of the emergency medical service among local areas of Seoul.

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Research on Enhancing Reliability of IT Convergence Technology Applied Emergency Management Information System (IT 융합 기술을 적용한 응급관리 정보 시스템의 신뢰성 향상 방안에 관한 연구)

  • Cho, Gyoun-Yon;Lee, Seo-Joon;Lee, Tae-Ro
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.395-401
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    • 2013
  • In a situation of crisis, an ambulance is dispatched according to the given emergency management information system(EMIS). However, the problem of past EMIS is that they did not concentrate on the reliable communication between the ambulance and medical specialists, thereby causing some needless casualties. This paper presents HEMIS, a highly-reliable emergency management information system, to solve such flaws. The effects showed that HEMIS was superior in data packet size, data safety and quality of service(QoS) to that of typical EMIS. Therefore, HEMIS is expected to increase the quality of medical service in ambulances, thereby decreasing casualties of patients carried in ambulances.

The determinants of Emergency Care Utilization and Equity of Access to Care in Elderly Koreans (노인들의 응급의료이용 결정요인과 형평성)

  • Lee, Sukmin;Park, Ju Moon
    • Journal of Urban Science
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    • v.8 no.1
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    • pp.51-58
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    • 2019
  • This study examines the determinants of emergency care utilization and equity of access to care in elderly Koreans. Based on the data from the 2014 Korea Health Panel Survey, descriptive and logistic regression analysis was performed. The sample for this study was 1,313 individuals who participated in interviews. Predisposing factors such as age, sex, and education were significant determinants of emergency care utilization. Differences in need do not fully account for the original differences observed between subgroups of older Koreans. Health status was important determinant of older Koreans using emergency care services. Spending medical expense did not ameliorate the subgroup differences in the use of emergency care services. Nonetheless, spending medical expense remains a particularly important predictor of emergency care utilization. Health care reforms in Korea should continue to concentrate on insuring effective universal emergency care, implying that all older Koreans with need receive effective coverage. Future study is also needed to understand the access barriers that may exist for the selected demographic subgroups, i.e., those over 75, women, less educated persons, and those with higher medical expense.