• Health Policy and Management
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• v.24 no.4
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• pp.357-366
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• 2014

Background: The objective of this study was to evaluate the efficiency of an emergency ambulance system and to investigate socio-economic and clinical characteristics associated with emergency ambulance service. Methods: Based on 2011 Korea health panel, unmet need and inappropriate use of emergency ambulance service were measured by Gibson in 1977. Furthermore, the factors associated with unmet need and inappropriate use of emergency ambulance service were identified by Fisher's exact tests and multiple logistic regression models. Results: Unmet need, defined as the proportion of emergency patients who clinically need ambulance transportation but do not receive it, was found to be 59.8%. Inappropriate use, defined as the proportion of emergency patient receiving ambulance care who did not clinically need it, was found to be 37.2%. There were statistically significant differences between appropriate and inappropriate groups in overall variables of socio-economic and clinical characteristics. Specifically, gender, age, relationship to household, and reasons of visiting emergency department (accident/disease) were statistically significant factors associated with appropriate use of emergency ambulance service. Conclusion: Unmet ambulance need is a useful measure for patients needs assessment, and inappropriate ambulance use is a valid criteria in judging the efficiency of emergency ambulance system. To improve and understand emergency ambulance system, unmet need and inappropriate use of emergency ambulance service should be more concerned.

• The Korean Journal of Emergency Medical Services
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• v.11 no.3
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• pp.191-204
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• 2007

This study analyzes use and operation of silver ambulance with 110 patients who had used silver ambulance in Gwangju and Jeonnam regions from June of 2006 to June of 2007 and 53 paramedics who are involved directly in ambulance operation and the results of this analysis are as follows. 1. Users' health conditions, 69.1% of users answered as bad and 67.3% suffered from chronic diseases over 3 months and it was found that they used silver ambulance due to their bad health conditions. 2. Cronbach's alpha was 0.630 and family function index was generally reliable and solution was high as 1.60, but total points were low as 7.11 and it was considered that they had family troubles. 3. On the question of ambulance use, 44.5% answered they used it because it is free, 53.6% used it for appointed medical examination and treatment and 18.1% used it for emergency. 4. Degrees of satisfaction with ambulance and paramedics were 95.4% and 76.4% respectively and 80.0% of ambulance users answered ambulance arrived quickly within 15 min. 5. Correlation($x^2 $) between family or relative's residence and frequency of visits was 86.367 and its significance probability was 0.00 and it was found that it was significant in the level of 0.1%, but correlation($x^2 $) between visitors other than family or relatives and frequency of visits was 14.768 and its significance probability was 0.25 and it was found that it was not significant in the level of 5%. 6. Correlation($x^2 $) between transfer operation speed and mobilization time was found that it was not significant in the level of 5%. Correlation($x^2 $) between their own health condition purpose of ambulance use was 13.802 an 5.696 and its significance probability was 0.93 and it was found that it was not significant in the level of 1%, and it was considered because paramedics carried patients with safe operation.

• The Korean Journal of Emergency Medical Services
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• v.12 no.3
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• pp.129-135
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• 2008

Purpose : This study was to analyze the demand for emergency ambulance service and to characterize the factors associated with the demand. Method : The basis for the model was from the actual demand for public emergency ambulance and socioeconomic and geographic characteristics. Multiple regression analyses were done for the related characteristics of public ambulance service. Result : The model explained total demand with a high degree of accuracy : the coefficient of determination($R^2=0.96$). For the regression, the set of variables indicative of low socioeconomic status were all significant. It showed the inappropriate use of public ambulance system. Public ambulance demand increased in higher housing density, low income, male unemployment and female labor force. Conclusion : The demand for public ambulances appeared to be highly predictable, using a simple linear model employing socioeconomic variables, quality of service variables, and land use variables. Low-income families tended, to use the public ambulance system more often than higher income. Area having elderly people or children also made many calls. Estimated demand calls were stable and had a tendency to be similar incident types.

• The Korean Journal of Emergency Medical Services
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• v.6 no.1
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• pp.199-207
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• 2002

This is a study to evaluate the effects of the safety of ambulance driving and the occurrence of ambulance traffic accidents and to provide basic information for the description of various factors to reduce the ambulance traffic accidents. The major instruments of this study were Korean Self-Analysis Driver Opinionnaire. Questionnaire contains 8 items which measure driver's opinions or attitudees: driving courtesy, emotion, traffic law, speed, vehicle condition, the use of drugs, high-risk behavior, human factor. To take the analysis of data, the total of 187 drivers were investigated ambulance drivers in Gwangju Metropolitan City from 2002. 1. September to 2002. 20. September. The data were analyzed by the path analysis SPSS program. The result are as follows : 1. There was desirable attitude group(58.4%) and undesirable attitude group(41.7%) on safety ambulance driving. 2. It have suggested that rist factors of ambulance traffic accident much affected with emotion and speed control on safety ambulance driving(Y(Accident) = -2.00 + 0.6 X1(Emotion Control) + 0.4 $X_2$(Speed control) + E). 3. Almost 92.1% of respondents have agreed to necessity of emergency medical technics for ambulance drivers.

• The Korean Journal of Emergency Medical Services
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• v.20 no.2
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• pp.21-35
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• 2016

Purpose: This study aims to investigate awareness and performance of infection control during ambulance attendant training, and to provide basic data for infection control. Methods: The subjects were 235 paramedic students who completed ambulance attendant training. There were 51 questions. The infection control dimension was divided into hand washing, personal protective equipment use, and environmental management, for each sub-dimension, awareness and performance were measured by a 4-point scale. The collected data were analyzed using SPSS statistics ver. 22.0. Results: A total of 95.3%, of the subjects completed an orientation for ambulance attendant training and 71.7% received education on infection. In all three sub-dimensions, hand- washing (p<.001), personal protective equipment use (p<.001), and environmental management (p<.001), awareness scored higher than performance. The awareness of infection control showed a significantly positive correlation (r=.394) with performance. Conclusion: In order to improve performance of infection control, education to improve awareness should be provided, and paramedics with higher performance levels in hand washing, and use of gloves and masks wearing should be assigned as training advisors.

• The Korean Journal of Emergency Medical Services
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• v.1 no.1
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• pp.7-10
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• 1997

This study was analyze that they knows how to think improvement about the emergency relief squad 119. The result is following: 1. Convenience when to use an ambulance is not difference of the voluntariness by regional groups, and then result get that ambulance is necessary with going out as quick as possible. 2. Improvement of the ambulance os not difference of the voluntariness by regianal groups, and then result get that ambulance is necessary with improvement for the ambulance and equipment. 3. First remembrance when you call the ambulance is not difference of the voluntariness by sex distinction, and then result get that they will have the public relations.

• The Korean Journal of Emergency Medical Services
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• v.24 no.3
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• pp.41-53
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• 2020

Purpose: This study tests the validity of a standard evaluation tool of ambulance ride practices with new evaluation items and supports its application by 119 preceptors. Methods: We tested the validity of standard evaluation items collected from 19 on-site professionals assessing ambulance ride practices. New evaluation items, 'understanding of emergency rescue equipment' and 'ability to communicate', were added as additional criteria. The modified Delphi technique was used to test the three evaluation areas and ten evaluation items. We used the analytic hierarchy process to analyze the weighting value of the reconstructed evaluation tool model. Results: All three evaluation areas and 10 evaluation items within the standard evaluation tools used for ambulance ride practices corresponded with the consistency index, degree of convergence, and agreement in the modified Delphi panel. Conclusion: These results provide evidence of the consistency and usefulness behind preceptors' use of this standard evaluation tool in ambulance ride practice.

• The Korean Journal of Emergency Medical Services
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• v.4 no.1
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• pp.95-100
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• 2000

This is a study to evaluate the effects of the safety of ambulance driving and traffic accidents and to provide statistic information for the various factors to reduce the ambulance traffic accidents. The major instruments of this study were Korean Self-Analysis Driver Opinionnaire. This Questionnaire contains 8 items which measure drivers' opinions or attitudes: driving courtesy, emotion, traffic law, speed, vehicle condition, the use of drugs, high-risk behavior, human factors. The total of 145 divers were investigated ambulance drivers in Taejon City and others(6 City) from 2000. 5. July to 2000. 11. July. The data were analyzed by the path analysis - with SPSS and AMOS package program. The result are as follows : 1. It have suggested that risk factors of ambulance traffic accident much affected with emotion and speed control on safety ambulance driving(Y(Accident) = $0.88{\times}1$(Emotion Control) + $0.92{\times}2$(Speed) - $0.46{\times}3$(Traffic Law)+E). 2. It have suggested that risk factors of ambulance traffic accident much affected with emotion and speed control on safety ambulance driving(Y(Accident) = $0.398{\times}1$(Emotion Control) + $0.500{\times}2$(Speed) - $0.263{\times}3$(Traffic Law)+E) by coefficiecial structural analysis.

• Fire Science and Engineering
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• v.33 no.6
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• pp.152-158
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• 2019

This study examined the socio-economic and clinical characteristics associated with the use of ambulance services among pregnant, childbearing, and postpartum women based on data from the 2008-2016 Korea Health Panel. The analysis revealed that among the pregnant, childbearing, and postpartum women, the proportion using all ambulance services was 18.9% whereas 12.0% used private and 119 ambulances. Moreover, among those using ambulance services, delivery was the most common reason (38.7%) followed by complications of labor and delivery (20.0%) and pregnancy with abortive outcome (17.3%). There were statistically significant differences between the users and non-users of ambulance services in terms of the average annual household income, emergency arrival time, and delayed arrival at the emergency room. As childbirth becomes more complicated due to low fertility and elderly mothers, the expansion and improvement of ambulance services as a social safety net for pregnant, childbearing, and postpartum women will become increasingly important.

• The Korean Journal of Emergency Medical Services
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• v.1 no.1
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• pp.100-111
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• 1997

This is the first Korea study to evaluate the effects od the safety of ambulance driving and the occurrence of ambulance traffic accidents and to provide basic informaion for the description of various factors to reduce the ambulance traffic accidents. The major insturment of this study were Krean Self-Analysis Driver Opinionnaire. Questionnaire contains 8 items which measure driver's opinions or attitudes : driving courtesy, emotion, traffic law, speed, vehicle conditions, the use of drugs, high-risk behaviors, and human factors. To take the analysis of data, the total of 350 divers were investigated ambulance divers and others in Taejon City and others (6 City) from 1996. 1. July to 1996. 31. July. The data were analyzed by the descriptive statistics and the logistic regression - path analysis - with SPSS and SAS package program. The result are as follows : 1. There was desirable attitude group(16.2%) and undesirable attitude group(17.6%) on safety ambulance driving. 2. It have suggested that risk factors of ambulance traffic accidents much affected with emotion and speed control on safety ambulance driving < Y(Accdient) = -2.64 + 0.57 $X_1$ (Emotion Control) + 0.30 $X_2$(Seed control) + E > and motor traffic acident much affected with emotion control and high-risk behavior on safety driving < Y(Accident) = -1.11 + 0.33 $X_1$(Emotion Control) + 0.29 $X_2$(High-risk Behvior) + E > 4. The primary emphassis of ambulance drivers was make us realized that improthatnt factors on safety ambulance driving were 1)making way for emergent ambulance, 2)driver's career, 3)The ability of emergency medical technics, and the knowledge or under standing of ambulance way difficut(or easy) of accdess. 5. Almost 96.6% of respondents have agreed to necessity of emergency medical technics for ambulance drivers. 6. Almost 94.6% of respondents have consented to necessity of emergtency medical technicians for ambulance driving. 7. It have suggested that the proportion of traffic accident proportion by desitable attitude group(16.7%) was much less than that of undesirable attitude group(30.8%) on safety ambulance driving(P < 0.05)/Ps) Accidents are unplanned, unforesen incidents which can lead to harmful or unfortunate outcomes, Collisons are not accidents, since the basic cause of the majority of collisons invovles high-risk human behavior. Although there are many factors which contribute to accident causation, four basic factors seem to predominate in most traffic related situations. These four factors include: the human factor, the vehicle factor, the environmental factors and destination factor(Peto G. et al. 1995).