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J Korean Soc Emerg Med > Volume 29(2); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(2): 136-143.
Delphi study to achieve consensus for the development strategies of emergency medical services system preparing for reunification of Korea
Gwan Jin Park1 , Kyung Won Lee2* , So Yean Kong3 , Ki Ok Ahn4 , Dae Han Wi5 , Young Sun Ro3 , Sang Do Shin6
1Department of Emergency Medicine, Chungbuk National University Hospital, Cheongju, Korea
2Department of Emergency Medicine, Inje University Seoul Paik Hospital, Seoul, Korea
3Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, Korea
4Department of Emergency Medicine, Myoungji Hospital, Myoungji Medical Foundation, Goyang, Korea
5Department of Emergency Medicine, Wonkwang University Sanbon Hospital, Gunpo, Korea
6Departmnet of Emergency Medicine, Seoul National University Hospital, Seoul, Korea
Correspondence  Kyung Won Lee ,Tel: 02-2270-0119, Fax: 02-2270-0586, Email: emkwlee@gmail.com,
Received: December 12, 2017; Revised: March 23, 2018   Accepted: April 12, 2018.  Published online: April 30, 2018.
ABSTRACT
Objective:
This study aimed to achieve expert consensus for the development of strategies emergency medical services system (EMSS) after reunification of Korean using the Delphi method.
Method:
The Delphi study was performed through several rounds from January to February in 2017. Experts who have experiences of emergency medical support in North Korea and developing countries participated in the study. Respondents were asked to express their level of agreement following 7 categories: (1) emergency medical manpower, (2) communication system, (3) emergency facilities, (4) patient transfer system, (5) consumer participation and public education, (6) insurance system, (7) disaster planning. Score 1-3 was classified as disagreement, 4-6 as medium agreement, and 7-9 as agreement and consensus was considered being achieved when more than two thirds of respondents agreed in each question.
Results:
Response rate were 80% in the first round and 75% in the second round. Consensus was achieved in emergency medical manpower, communication system, emergency facilities, patient transfer system, and disaster planning for the important factors immediately after reunification within 5 years. Consensus was achieved in emergency medical manpower, communication system, emergency facilities, patient transfer system, consumer participation and public education, and disaster planning for the prior factors when the reunification would happen rapidly without enough preparation.
Conclusion:
Consensus was achieved in emergency medical manpower, communication system, emergency facilities, patient transfer system, disaster planning for the essential EMSS elements. The consensus was expected to utilize as a basic data for the development of EMSS preparing for reunification.
Key words: Delphi technique; Emergency medical services; Expert testimony; Public health
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