CAJ | 학술논문

本文研制院前急救医师配置缺口的测算方法并对上海市的急救医师配置缺口进行测算。以减少迟缓派车现象为目标，通过分析上海市市区近两年的迟缓派车数据来获得上海市市区急救医师缺口的数量，并推广至整个上海市。课题组研制出了峰值法，该方法建立了急救医师增量与减少迟缓派车次数的数量关联。峰值法采用描述统计方法，运用SAS软件编程对原始数据进行分析，具有良好的信度和效度。课题组使用峰值法对上海市2013年、2014年的迟缓派车数据进行分析，结果发现增加40辆值班车次（381名急救医师）可将迟缓派车率从25.61％降至0.22％。建立了增加急救医师与减少迟缓派车次数的数量关联，为决策提供了科学依据。
본문연제원전급구의사배치결구적측산방법병대상해시적급구의사배치결구진행측산。이감소지완파차현상위목표，통과분석상해시시구근량년적지완파차수거래획득상해시시구급구의사결구적수량，병추엄지정개상해시。과제조연제출료봉치법，해방법건립료급구의사증량여감소지완파차차수적수량관련。봉치법채용묘술통계방법，운용SAS연건편정대원시수거진행분석，구유량호적신도화효도。과제조사용봉치법대상해시2013년、2014년적지완파차수거진행분석，결과발현증가40량치반차차（381명급구의사）가장지완파차솔종25.61％강지0.22％。건립료증가급구의사여감소지완파차차수적수량관련，위결책제공료과학의거。
This study aimed to develop the calculation method of pre-hospital emergency physician allocation gap and apply it to Shanghai.In order to reduce the ambulance dispatch lag frequency, through the analysis of its da-ta in the Shanghai urban area, the research group obtained the gap and extended the data to Shanghai city.The peak method establishes the association between pre-hospital emergency physician increment and the ambulance dispatch lag decrement.Based on descriptive statistics, the peak method by which the Shanghai ambulance dispatch lag data were analyzed uses the SAS programming software.This method of using programming software provides it with good reliability and validity.After an increase of 40 duty vehicles (381 pre-hospital emergency physicians), the ambu-lance dispatch lag ratio would drop from 25.61 percent to 0.22.Therefore, the association between the pre-hospital emergency physician increment and the ambulance dispatch lag decrement was established and can provide a scientif-ic evidence for the policy formulation.