119 구급대원의 직접의료지도 이용경험과 의향 관련요인

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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.
Alternative Title
Utilization of direct medical control and related factors among some 119 rescue crews
Alternative Author(s)
Joo, Mi Hyun
조선대학교 의과대학 예방의학교실
보건대학원 보건학과
Awarded Date
Table Of Contents
I. 서론 1

II. 연구방법 4
A. 연구대상 및 자료수집방법 4
B. 조사변수 5
1. 일반적 특성 5
2. 직무관련 특성 5
3. 직접의료지도 이용경험 및 의향 6
C. 자료분석 방법 7

III. 연구 결과 8
A. 대상자의 특성 분포 8
1. 일반적 특성 8
2. 직무관련 특성 10
B. 직접의료지도 이용경험 및 의향 14
1. 직접의료지도 이용경험 및 만족도 14
2. 직접의료지도 의향 및 필요성 16

C. 직접의료지도 이용 관련요인 18
1. 일반적 특성에 따른 직접의료지도 이용률 18
2. 직무관련 특성에 따른 직접의료지도 이용률 20
3. 다중로지스틱 회귀분석을 통한 직접의료지도 이용 관련요인 24
D. 직접의료지도 의향 관련요인 26
1. 일반적 특성에 따른 직접의료지도 의향 26
2. 직무관련 특성에 따른 직접의료지도 의향 28
3. 직접의료지도 경험에 따른 의료지도 의향 32
4. 다중로지스틱 회귀분석을 통한 직접의료지도 의향 관련요인 34

IV. 고찰 36

V. 요약 및 결론 40

참고문헌 41
주미현. (2015). 119 구급대원의 직접의료지도 이용경험과 의향 관련요인.
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Medicine & Parmacy > 3. Theses(Master)
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