J Korean Soc Emerg Med.  2019 Aug;30(4):328-347. 10.0000/jksem.2019.30.4.328.

Delphi study to evaluate the emergency medical system operation fund support projects

  • 1Department of Emergency Medicine, Seoul National University Hospital (National Fire Agency), Seoul, Korea.
  • 2Department of Emergency Medicine, SMG-SNU Boramae Medical Center, Seoul, Korea. medysohn@gmail.com
  • 3Department of Emergency Medicine, Chungbuk National University Hospital, Cheongju, Korea.
  • 4Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea.
  • 5Department of Emergency Medicine, Dongguk University Medical Center, Goyang, Korea.
  • 6Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Korea.
  • 7Department of Emergency Medicine, Kyungpook National University Hospital, Daegu, Korea.


This study aimed to achieve expert consensus for the evaluation of Emergency medical system operation fund (EMSOF) support projects using the Delphi method in Korea.
The Delphi study was performed in June 2018. Experts who are members of the policy committee of the Korean Society of Emergency Medicine (KSEM) participated in the study. Respondents were asked to express their level of agreement of appropriateness for the following 6 categories for 21 projects: project contents, amount of support, indicators, performance, overall evaluation, and need to maintain. With a possible score of 9 points, the project categories were classified into 3 groups, inappropriate, moderate and appropriate, based on the median score of the respondents' ratings in each question.
Sixteen of the 18 policy committee members participated in the survey. Their average professional work years were 8.2 years. All 21 projects were evaluated as appropriate for content. Amount of support and indicators were evaluated as moderate. Only 5 out of the 21 projects were evaluated as having appropriate indicators. No projects were evaluated as ineffective. Comprehensive evaluation of the projects was evaluated as moderate, and no project was evaluated as inappropriate in fund support.
Overall, the contents of the EMSOF assistance project were rated high; however, there was a disagreement on the amount of support and evaluation indicators for each project. The results of this study are expected to be used as basic data to improve the use of EMSOF.


Emergency medical services (EMS); Delphi technique; Resource allocation
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