효율적 응급의료시스템의 핵심지표 개발 연구

Abstract

Background: Emergency medical services require high-quality data and information to support healthcare delivery and decision-making. In this study, we aimed to develop core quality indicators for the efficient emergency medical services system. Methods: We systematically reviewed the existing measures of the emergency medical services system. The 84 indicators were selected as candidates across the two domains: general characteristics (patient and emergency medical institution) and emergency medicine (structure, process, outcome). To develop core indicators with professional consensus, the professional expert survey was conducted with selection criteria such as patient safety, effectiveness, efficiency, accessibility, and public health. Results: The 37 core indicators were selected based on the survey results. The indicators in general characteristics were age, gender, frequency of disease, and so forth in patient domain and the type of emergency medical institutions in emergency medical institutions domain. The indicators in emergency medicine were as follows: the number of emergency professional physicians, physicians, and nurses and the number of beds in structure domain; the patient number of the emergency professional physicians, physicians, nurses, and so forth in utilization domain; the hospital transfer rate in total and three severe emergency diseases in hospital transfer domain; the hospital expenses and clinical procedure and surgery, and so forth in cost and clinical quality domain; the revisit hospital (in 72 hours) and mortality (in 2 days) in outcome domain; the satisfaction of the emergency medical service and disaster preparedness in patient satisfaction domain. Conclusion: The core indicators could provide valid information for the efficient emergency medical services system. The system can be indicated the direction of the future healthcare policy with respect to resources use and allocation, and healthcare delivery system in emergency medicine.