• 한국응급구조학회지
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• 제28권2호
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• pp.157-172
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• 2024

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.

• 한국응급구조학회지
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• 제27권2호
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• pp.91-111
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• 2023

Purpose: This study aims to compare 119 emergency medical services (EMS) in South Korea and Japan to provide essential data for EMS improvement in South Korea. Methods: Recent data and regulations on firefighting and EMS in South Korea and Japan were analyzed and compared. Results: South Korea follows a centralized approach to EMS, whereas Japan operates with autonomous bodies that establish their own criteria. Japan considers more regional variables than South Korea. In South Korea, there are shortages in fire station deployment among the 119 emergency medical resources in certain regions, leading to significant regional disparities. South Korea has a larger population served by its 119 emergency medical resources with a higher workload and dispatch numbers than Japan. The percentage of non-transported patients among the total number of dispatches was higher in South Korea. Conclusion: Increasing the number of medical professionals and ambulances per population to the level of Japan to reflect local conditions and include various underlying variables such as daytime population, aging, and emergency dispatch conditions in the deployment of 119 emergency resources, and to reduce the deployment gap between regions, will contribute to improving the performance of the South Korea EMS system.

• 한국응급구조학회지
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• 제14권1호
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• pp.65-80
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• 2010

Objective : The objective of this study was to survey the job satisfaction and turnover intention of 119 emergency medical technicians who are fire fighters and, at the same time, provide emergency patients with first aid, to examine the correlation between their job satisfaction and turnover intention, and to provide basic materials for the human resource management of 119 emergency medical technicians. Method : The survey was conducted with 152 119 emergency medical technicians working at fire stations in an area of Gyeonggi-do during the period from July 15 to September 14, 2009. Job satisfaction was measured with a tool developed by Kim Sun-sim and Kwon Hye-ran (2002) based on the Index of Work Satisfaction, and turnover intention with the tool developed by Becker (2002) and translated and used by Cho Yeong-sook (2002). The questionnaire was composed of 11 questions on general characteristics, 35 on job satisfaction, and 4 on turnover intention, so a total of 50 questions. The reliability of the questionnaire was Cronbach's ${\alpha}=0.922$ for job satisfaction and Cronbach's ${\alpha}=0.854$ for turnover intention. Using SPSS 14.0, we obtained frequencies, percentages, means, and standard deviations, and performed independent two-sample t-test, one-way ANOVA, and Pearson correlation analysis, and Cronbach's ${\alpha}$. Results : 1) The mean score of the 119 emergency medical technicians' job satisfaction was 2.71, and that of their turnover intention was 2.64. By area of job satisfaction, the mean score was 3.44 for the area of job itself, 2.92 for the interaction area, 2.67 for the organizational demand area, 2.64 for the autonomy area, 2.14 for the wage area, and 1.91 for the working condition area, showing that emergency medical technicians were generally satisfied with their job itself but not with their working condition. 2) As to difference according to the 119 emergency medical technicians' general characteristics, statistically significant difference was observed in job satisfaction according to license type (F = 4.729, p < .010), and in turnover intention according to position (F = 3.768, p < .025). 3) The 119 emergency medical technicians' job satisfaction and turnover intention was in a negative correlation with each other (r = -.44, p < .000) in general, and by the sub-areas of job satisfaction, the correlation with turnover intention was high in order of the autonomy area (r = -.42, p = .000), interaction area (r = -.42, p = .000), job itself (r = -.35, p < .000), organizational demand area (r = -.30, p = .000), wage area (r = -.23, p = .000), and working condition area (r = -.21, p = .008). Conclusion : The 119 emergency medical technicians' job satisfaction showed a negative correlation with their turnover intention. This suggests that turnover intention can be reduced by improving job satisfaction. Furthermore, 119 emergency medical technicians' job satisfaction was high with the job itself, showing their high pride in their job, but was low with working condition and wage. Thus, it is necessary to enhance their job satisfaction by improving the 24-hour work system through supplementing manpower, compensating for overtime works, adjusting work hours per week, etc. These results are expected to be useful in making human resource management plans to lower turnover intention by enhancing 119 emergency medical technicians' job satisfaction.

• 한국응급구조학회지
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• 제17권2호
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• pp.65-76
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• 2013

Purpose : The purpose of this study was to provide an appropriated direction for fire service organizational management by analyzing the violence experiences and turnover intention of female 119 emergency medical technicians (119 EMT) in Korea. Methods : The questionaries were obtained from 415 female 119 EMT in Korea from April 27 to March 8 in 2009. The collected data were analyzed with SPSS WIN 19.0 program. Results : Female 119 EMTs experienced 94.9%-verbal insults, 57.1%-violence aggression, 62.89%- potential violence, 32.5%-physical assault. About 76.4% of the subjects experienced to feel shame about the verbal insults. They had a stress level (mean 5.47 out of 10) and about 41.2% was more than seven points. About 39.3% of the subjects responded turnover intention. Conclusion : We proposed the preventive program against violence as well as critical incident stress debriefing. These results are expected to be useful in making human resource management plans to lower turnover intention.

• 한국응급구조학회지
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• 제14권1호
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• pp.47-63
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• 2010

Objective : The objective of this study was to survey the job-related empowerment and job satisfaction of 119 emergency medical technicians provide emergency patients with first aid, to examine the correlation between their empowerment and job satisfaction, and to provide basic materials for developing programs to enhance 119 emergency medical technicians' empowerment and job satisfaction. Methods : The survey was conducted with 249 119 emergency medical technicians working at fire stations in an area of Gyeonggi-do during the period from June 26 to August 21, 2009. Using SPSS 14.0 program, we obtained frequencies percentages, means, and standard deviations, and performed independent two sample t-test, one way ANOVA, and Pearson correlation analysis, and Cronbach's ${\alpha}$. Results : 1) The mean score of the subjects' empowerment was 3.32, and that of their job satisfaction was 2.94. 2) As to difference according to general characteristics, no statistically significant difference was observed in empowerment but job satisfaction was statistically significantly different according to gender(t = 2.296, p = .023). 3) As to difference according to job related characteristics, empowerment was significantly different according to license type(F = 3.767, p = .011), and job satisfaction was statistically significantly different according to position(t = 3.222, p = .042), fire fighting experience(t = 2.689, p = .035), and first aid experience(t = 3.991, p = .007). 4) Empowerment was in a positive correlation with job satisfaction(r = .502, p = .000) in general, and by the sub areas of job satisfaction, the correlation with empowerment was high in order of job itself(r = .695, p = .000), interaction area(r = .493, p = .000), organizational demand area(r = .328, p = .000), working condition area(r = .153, p = .015), and wage area(r = .137, p = .031). By the sub areas of empowerment, the correlation with job satisfaction was high in order of significance(r = .424, p = .000), influence(r = .397, p = .000), competence(r = .372, p = .000), and self determination(r = .259, p = .000). Conclusion : The 119 emergency medical technicians' empowerment was in a high correlation with their job satisfaction, and had a strong effect on it. This suggests that 119 emergency medical technicians' job performance can be enhanced by improving their empowerment. These results are expected to be useful in making human resource management plans to enhance 119 emergency medical technicians' job satisfaction by empowering them.

• 한국응급구조학회지
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• 제23권1호
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• pp.19-33
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• 2019

Purpose: The aim of this study was to provide basic data to aid in the effective adoption of the preceptor system for new paramedics by assessing the preceptor role awareness among senior 119 paramedics in the field. Methods: A questionnaire was administered to 182 senior paramedics who each had more than 3 years field experience. The questionnaire measuring preceptor role awareness was composed of 64 items with responses based on a 5 point Likert scale. Data were collected from July 31, 2018 to August 29, 2018, and were analyzed with IBM SPSS version 24.0. Results: The average score for preceptor role awareness was 3.87 (supervisor = 3.95, resource person = 3.88, role model = 3.85, and instruction designer = 3.81). There were significant differences in preceptor role awareness among the participants based on competence (p =.002) and clinical skill (p =.000). Also, there were high positive correlations between preceptor role awareness and its subdivision (p <.01). Conclusion: For effective operation of the preceptor system in the future, the preceptors' role as designers of instruction and role models should be enhanced, Also, future preceptors are very important in the improvement of competence and clinical skill in the preceptor system. Therefore, it is necessary to provide training that enables new preceptors to effectively adopt and operate the preceptor system.

• 한국화재소방학회논문지
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• 제29권3호
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• pp.70-80
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• 2015

본 연구는 여성119구급대원이 증가하고 있는 추세에 따라 소방 조직 내에서 여성119구급대원의 이미지를 향상시키고 그들을 효과적으로 활용할 수 있는 기초자료로 활용하고자 시행된 연구이다. 연구는 2013년 5월 1일부터 6월 30일까지 Q표본을 선정하여 구급차동승 현장실습을 경험한 응급구조(학)과 학생 총 31명을 대상으로 QUANL program을 이용한 Q방법론을 사용하여 분석하였다. 연구결과 '슈퍼우먼형', '체력한계 히어로형', '섬세한 수호천사형', '능숙한 데스크잡형'의 총 4가지 유형으로 분류되었으며 각각의 설명력은 제I유형 42.2%, 제II유형 4.8%, 제III유형 4%, 제IV유형은 3.6%로 전체변량의 54.7%를 설명하는 것으로 나타났다. 전체적으로 여성119구급대원을 전문가로 인식하고 있지만 체력적인면과 출산 및 육아에 대하여 부담을 가지고 있는 것으로 나타나 조직 구성원의 인식 변화와 제도적인 장치가 마련되어야 할 것이다.

• 한국콘텐츠학회논문지
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• 제16권1호
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• pp.482-492
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• 2016

본 연구는 응급구조학과 학생들의 구급차 동승실습으로 구축된 구급활동일지를 바탕으로 응급환자의 지역별 특성을 파악하고, 지역 간의 출동거리와 현장도착시간 간에 의미있는 영향이 있는 지를 알아보고자 하였다. A대학 4학년 학생 총 31명이 서울, 대전, 충남 및 세종지역의 소방서에서 4주간의 실습으로 얻어진 총 1133개의 구급활동일지를 후향적으로 분석하였다. 연구결과 환자평가 중 맥박, 호흡수, 산호포화도는 모든 지역에서 80%이상을 실시하고 있었다. 중증도 분류에 있어서는 대전이 응급으로 표시한 경우가 가장 많았으나 환자에 대한 응급처치는 모든 지역에서 단순한 기본적인 처치가 대부분이었다. 신고부터 현장까지 도착하는 시간은 서울이 평균 5분 40초(${\pm}$2분 25초)로 가장 빨랐고, 충남세종은 10분 이상 걸리는 경우도 35.7%에서 나타났다. 주된 신고 이유는 서울과 대전에서는 질병이었고, 충남은 손상의 비율이 높았다. 이러한 결과는 응급구조학과 학생들의 실습지역에 따라 실습내용이 다소 차이가 있을 수 있어 실습기준에 대한 표준지침이 필요할 것으로 사료되며, 빠른 시간내에 적절한 응급처치를 받을 수 있는 119 안전센터의 배치나 구급차 배치를 고민하고, 지역별 구급의 질 적 차이를 최소화하기 위해 노력해야 할 것이다.

• 가족자원경영과 정책
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• 제19권3호
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• pp.101-119
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• 2015

The purpose of this study is to evaluate the current performance of the public services for families in crisis by analyzing the family empowerment service in Healthy Families Support centers. We analyzed performance data of the family empowerment service provided by 25 Healthy Families Support Centers from 2011 to 2013. The results are as follows; First, the number of families in crisis which received public services from the family empowerment service by the Healthy Family Support Centers in 2013 were less than the number in 2011, but increased from 2012. Second, according to the types of crisis, school violence was the most service needed family crisis in 2011, and it was suicide in 2012 and 2013. Third, in the specific services in emergency support for families and family function recovery program, Psychological and emotional support services were the most offered services during 3 years. Accordingly, efficiency of the programs and services in terms of budget is higher than that of any other services. Fourth, analysing the evaluation results of amily empowerment services in 2014, we found that its network is still heavily weighted in certain side by the lack of the utilization and the foundation of the network.

• 한국화재소방학회논문지
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• 제24권3호
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• pp.119-130
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• 2010

다른 행정조직에 비하여 상대적으로 덜 발전된 재난관리분야는 체계적인 개선방안이 더 필요하다. 그런데 재난관리조직의 발전을 위해서는 먼저 소방예산을 충분하게 확보하는 것이 필요하다. 만약 소방예산이 충분하게 편성되지 않으면 소방조직은 재난을 효과적으로 방어하지 못할 것이다. 본 연구는 이론적인 근거와 과거연구를 바탕으로 소방예산에 관한 가설들을 설정하였다. 본 연구의 종속변수는 국민 1인당 소방예산액과 경찰예산액이며 독립변수는 수요변수, 경제적 변수, 정치적 변수, 점증적 변수이다. 가설검증을 위하여 사용한 통계분석방법은 회귀분석, 상관분석, t검정이다. 본 연구의 주요한 결과는 다음과 같다. 첫째, 회귀분석결과 점증적인 변수와 경제적 변수가 예산결정에 유의적인 변수로 나타났다. 그러나 정치적인 변수와 수요변수(구급변수 제외)는 예산결정에 유의적이지 못하였다. 둘째, 소방예산의 평균액은 경찰예산의 평균액과 유의적인 차이를 보이지 못하였다. 위의 결과는 본 연구의 모형에 따른 결과이며 소방예산분야의 의미있는 결과도출을 위하여 앞으로 많은 연구가 계속되어야 한다.