병원전 119구급서비스 비용 및 효율 분석 = Prehospital Ambulance Services Cost and Utilization Analysis

국문 초록 (Abstract)

국내 응급의료체계(Emergency Medical System)는 1997년 환자 이송업무를 소방에서 전담한 이후 119구급서비스를 근간으로 하여 양적, 질적으로 급속한 발전을 하였고 심정지, 급성심근경색 및 뇌졸중과 같은 응급질환과 중증외상 등 주요 임상 상황에 대해 유의한 긍정적 효과를 가져왔다. 그러나 응급의료체계를 운영하기 위한 지역사회 재정지원은 한정되어 있기 때문에, 비용을 고려한 병원전 구급서비스 운영이 필요하다. 이를 위해서는 병원 전 구급서비스에 대한 소요비용 및 비용-효과에 대한 체계적인 분석이 선행되어야 할 것이다. 이를 위해 본 연구에서 보건경제학적 관점에서 응급의료체계 비용분석을 위한 경제학적 표준모델 방법론을 적용하여 국내 병원전 구급서비스 운영을 위한 비용을 산출하였다. 구급서비스를 운영하기 위한 비용 대비 효율에 대해서는 Unit hour 대비 이용률을 산출하였다. 본 연구를 통해 통해 보다 효과적이고 경제적인 응급의료체계 운용을 위한 정책결정의 중요한 근거를 마련할 수 있을 것이다.

다국어 초록 (Multilingual Abstract)

Prehospital emergency medical system(EMS) of Korea has developed from 119 ambulance services since national emergency management agency(NEMA) was wholly charged for prehospital transportation of patient in 1997. It must be financed to establish and operate EMS. However, the economic evaluation of EMS is a relatively new research field. The aim of this paper was to perform a systematic analysis of economic evaluation of emergency medical services, in order to determine the economic cost of ambulance services and the associated efficacy. In order to calculate cost and efficacy of ambulance services, we used methodology of standard economic analysis from EMS cost analysis project(EMSCAP) and unit-hour analysis. Although there were some assumptions and limitations in our study, the results of cost and efficacy of ambulance services will be provided a valuable evidence to operate the more effective and efficient EMS.

참고문헌 (Reference)

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