Summary: | 碩士 === 國立高雄大學 === 高階經營管理碩士在職專班(EMBA) === 100 === The main purpose of this research is to discuss the causes of misuse of first aid before sending to hospital in Kinmen, and survey the degree of satisfaction concerning first-aid quality, so as to understand the necessary improvement of first-aid services. In addition, five evaluative aspects and twenty-eight factors in questionnaire are extracted through the features of first aid in Kinmen, and subsequent planning of emergency system, in combination of literature review and interview with experts.
From the interview, the causes of misuse in first-aid resources for the people in Kinmen? The Study suggests that three dimensions be implemented:
1.Law dimension: the maturity of law enactment is related to the rights and obligations the common people and Emergency Medical Technician (EMT) should have. Immaturity of laws brings about loopholes in the law; therefore, revision of laws is suggested to protect the rights of EMT and people.
2.Educational guidance: right use of first-aid resources can be proceeded in the society and school, teaching people proper exploitation of an ambulance.
3.Emergency system: based on user pays, patients that are not emergent should pay at a reasonable rate, which helps the truly-needed.
From the analysis of IPA, the directions that need to improve most within the service needs are identified, and provide fire-control institutions with significant references on adjusting first-aid resources. After the results of statistics, the understanding of service quality has a positive and remarkable influence on the degree of satisfaction. Therefore, hypothesis one is established, and some factors in the population statistics variables show differences between the degree of importance and satisfaction. The survey result of satisfaction degree of emergency service quality shows:
people think that preferable factors are the identifiable appearance of an ambulance, and staffs with professional certificates in the aspect of EMT, supplement of ambulance equipments and maintenance of emergency vehicles and materials in the aspect emergency outfits, accurate execution of emergency handling in the aspect of emergency procedure, and first-aid accuracy of evaluation and technique in the aspect of first-aid results.
Suggestions to the Kinmen Fire Bureau: As for factors that people think highly important and better achievements of fire control organizations, and also the most significant base, the authority concerned should maintain and continue to elevate the base, and keep the investment in the existing resources and quality control. On the other hand, factors that people think trivial are the understanding of free 119 first -aid and neatness of EMT apparel, the authority concerned should reduce the investment in these two items, which helps cut down on relevant expenses. Besides, the worst achievement turns out the review and care of subsequent first-aid evaluation from the fire control organizations, which indicates that improvement is needed in this part, and consideration for the wounded or dependents should be carried out, and review the results so as to improve people’s reactions.
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