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KMID : 1140520230270020091
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Korean Journal of Emergency Medical Services
2023 Volume.27 No. 2 p.91 ~ p.111
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Comparison of resource allocation criteria and status of 119 emergency medical services in South Korea and Japan: exploring optimal resource allocation strategies for regional EMS
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Kwon Hye-Ji
Kim Hyung-Sub
Shin Young-Jeon
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Abstract
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Purpose: This study aims to compare 119 emergency medical services (EMS) in South Korea and Japan to provide essential data for EMS improvement in South Korea.
Methods: Recent data and regulations on firefighting and EMS in South Korea and Japan were analyzed and compared.
Results: South Korea follows a centralized approach to EMS, whereas Japan operates with autonomous bodies that establish their own criteria. Japan considers more regional variables than South Korea. In South Korea, there are shortages in fire station deployment among the 119 emergency medical resources in certain regions, leading to significant regional disparities. South Korea has a larger population served by its 119 emergency medical resources with a higher workload and dispatch numbers than Japan. The percentage of non-transported patients among the total number of dispatches was higher in South Korea.
Conclusion: Increasing the number of medical professionals and ambulances per population to the level of Japan to reflect local conditions and include various underlying variables such as daytime population, aging, and emergency dispatch conditions in the deployment of 119 emergency resources, and to reduce the deployment gap between regions, will contribute to improving the performance of the South Korea EMS system.
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KEYWORD
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119 emergency medical services system, 119 emergency medical services, 119 emergency medical resources, South Korea, Japan
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