J Korean Med Assoc.  2023 Jul;66(7):450-457. 10.5124/jkma.2023.66.7.450.

Integration of information and communication technology in emergency medical services: The Chungbuk Smart Emergency Service Project

• Kim SC

• KMID: 2544708
• DOI: http://doi.org/10.5124/jkma.2023.66.7.450

Abstract

Background
The lack of healthcare providers and financial resources in medically vulnerable areas results in reduced access to timely emergency care, leading to higher mortality rates. Utilizing information and communication technology (ICT) in the emergency medical services (EMS) system can potentially reduce health disparities and supplement the shortage of medical personnel. This study introduces the Chungbuk Smart Emergency Medical Service Project to improve EMS in Chungbuk province using ICT.
Current Concepts
To improve regional EMS, the Chungbuk EMS Collaboration Committee initiated an ICT-EMS project that incorporates an algorithm-based patient triage system and real-time hospital selection for patient transfers. This initiative is funded by the Smart City Challenge project, which fosters a more comprehensive EMS system by promoting collaboration among local government agencies, local hospitals, and fire headquarters. The system allows the sharing of patients’ information from the notification stage through hospital transfer, thus ensuring efficient treatment and seamless communication between paramedics and health care providers.
Discussion and Conclusion
Effective use of ICT for information sharing and coordination during EMS, from ambulance dispatch to hospital treatment, is essential for improving regional EMS. Clear communication, cooperation, and well-defined roles are necessary for the efficient use of ICT by emergency healthcare providers. Making healthcare providers understand the purpose of ICT equipment is crucial for its successful implementation. Verification of the effectiveness of ICT-based EMS improvement projects will lead to their global expansion, besides benefitting domestic EMS.

Keyword

Medically underserved area; Emergency medical services; Information technology; Triage; Transportation of patients; 의료취약지역; 응급의료체계; 정보기술; 환자분류; 환자이송