119 구급대원의 직접의료지도 이용경험과 의향 관련요인

Abstract

Objectives: Direct medical control (DMC) means the advice and direction provided by a physician to 119 rescue crews who are providing medical care at the scene of an emergency. The purpose of this study was to investigate utilization of DMC and related factors among 119 rescue crews. Methods: This study subjects were 119 rescue crews in Gwangju. The data were collected using self-reported questionnaires between January 20 and March 20, 2015. Total 153 rescue crews were selected as final study subjects. Descriptive statistics were used to analyze general characteristics, job related characteristics and characteristics related to utilization of DMC. Chi-square tests and t-tests were used to compare the utilization of DMC according to general characteristics, job-related characteristics. And multiple logistic regression analyses were used to analyze related factors for utilization of DMC after controlling covariates. Results: Overall 82.4% of subjects utilized DMC during the recent month. And 71.9% of subjects had intentions for the utilization of DMC. In multiple logistic regression analysis, married subjects (OR=3.87, 95% CI=1.22-12.27), level 1 emergency medical technicians (OR=2.87, 95% CI=1.02-8.09), subjects who treated cardiovascular emergency patients (OR=9.19, 95% CI=1.87-45.08) had significantly higher odds ratio for utilization of DMC. And the intention for utilization of DMC was associated with frequency of mobilization per day and satisfaction of DMC. Conclusions: About 82% of subjects experienced DMC and 72% of subjects had intentions for DMC. Strategies considering these results will help to improve the utilization of DMC.