Recognition of Medical Direction in Emergency Medical Service Personnel in Jeju

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the recognition of medical direction in emergency medical service personnel in Jeju. The survey, which contained basic characteristics and 10 questions on medical direction using a five-point Likert scale, was conducted in 180 subjects. The sample included 156 men (86.7%), and the mean age was 37.1 ± 6.1 years. On comparing qualification license according to gender, it was found that most men were first responders (48.1%), while most women were nurses (62.5%), showing a significant difference (p<0.001). The need for medical direction in emergency situations was 4.5 ± 0.6 in men, and 4.8 ± 0.4 in women (p=0.026). In addition, the prediction degree of medical direction was 3.7 ± 0.7 in men, and 4.0 ± 0.4in women, showing a significant difference (p=0.017).There were differences of recognition of medical direction according to qualification license. EMT-basics and first responders exhibited a relative lack of professionalism, had higher scores on the need for medical direction during transportation, expectation of and satisfaction regarding medical direction, and efficacy of medical direction while handling severely ill patients. However, they had lower scores in the prediction and accomplishment of medical direction. In contrast, EMT-intermediates and nurses showed higher scores on the expectation of and satisfaction regarding medical direction. In conclusion, based on the experience and qualification license of the emergency medical service personnel, establishment of different educational programs and medical direction systems should be considered, to improve the recognition of medical direction in the community.

목차 (Table of Contents)

• Abstract
• 1. Introduction
• 2. Methods
• 3. Results
• 3.1. Basic Characteristics of the Subjects
• 3.2. Recognition of Medical Direction
• 3.3. Comparison of Medical Direction Awareness Between Genders
• 3.4. Comparison of Medical Direction Awareness According to the Qualification License
• 4. Discussion
• References