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본 연구에서는 재난관리공동체 형성요인에 대한 실증분석을 통해 재난발생시 인명피해를 최소화하기 위한 지역응급의료 효과성과의 관계를 분석하고자 하였다. 이를 통해 궁극적으로 재난 발생 시 효율적인 지역응급의료 서비스 제공을 위한 개선방안을 도출하고자 하였다. 지역응급의료 참여기관 간 재난관리공동체 형성요인의 지역응급의료체계 효과성에 대한 영향을 실증분석하기 위하여 재난관리 참여기관 실무자를 대상으로 하여 지역응급의료 재난관리공동체 형성요인과 지역응급의료체계의 효과성 간의 회귀분석 결과, 참여 요인, 계획요인, 통합 요인, 협력기반 요인이 지역응급의료체계의 효과성에 정(+)의 영향력을 미치고 있었다. 또한, 근무기관에 따른 인식 차이 분석을 위하여 분산분석을 실시한 결과, 근무기관에 따라 협력기반, 자원, 상황, 계획, 통합, 참여 및 지역응급의료체계 효과성 인식에 유의미한 차이가 나타났다.


This study started from the problem that Korean emergency medical service systems, which are for people’s health and medical service, are integrated compared to those in developed countries and there are few local emergency medical service systems based on cooperation among public sectors, private sectors, and NGOs. According to the results, the effectiveness of local emergency medical services was influenced most positively by the participation factor(b: 0.250, β: 0.248), which was followed by the planning factor(b: 0.224, β: 0.218), the integration factor(b: 0.201, β: 0.207), and the cooperation base factor (b: 0.167, β: 0.149). However, the resource factor and the situation factor did not have a significant effect. This result shows that what is most important for strengthening the partnership of local emergency medical services is the participation of a large number of institutions and, moreover, it is necessary to make plans for cooperation among the participant institutions and to integrate for role allocation. For the effective formation of disaster management communities for local emergency medical services in the future, it is most necessary to build trust among institutions. In addition, public and private sectors should exchange substantial personnel and material resources, and make analysis and judgment on disaster and medical situations jointly. Another keen requirement is regular integrated training. Furthermore, it is necessary to organize a consultation body for coordination among institution and to induce the participation of specialists from private sectors.