| Summary: | 碩士 === 嶺東科技大學 === 經營管理研究所 === 99 === Purposes: The purpose of this study is to understand if there’s any difference on the quality of pre-hospital care between before and after of medical direction implementation.
Methods: On July 1st, 2010, Taiwan has started to implement "Medical Direction"; therefore, in order to understand the effects of Medical Direction on EMT（Emergency Medical Technician）, this research adopted two stages survey and utilized the questionnaire as the research tool. The participants were the EMT who works in Taichung. The questionnaire distribution of time 1 was June 1st, 2010 and the time 2 was January 1st, 2011.
Results: EMTP had higher scores on the "self assessment " and "understanding of this system”; "rescue technical capability” increased significantly on EMT1; each levels of EMT increased on their self assessment, however, the supporting and understanding of Medical Direction declined significantly.
Conclusions:
The study concluded that after implementing Medical Direction, EMT did not understand it further, therefore, the government should execute training more effective for EMT’s better understanding and rescue technique. Although the data showed that self-assessment and training of EMT had only grown slightly, but it could not be considered as helpless on the quality of pre-hospital care. Perhaps, once EMT has more confidence on Medical Direction, it will enhance the quality of pre-hospital care in the future.
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