The Role of In-Hospital Emergency Medical Technicians and Current and Future Issues of the Medical Environment Surrounding Anjo Kosei Hospital

Tomoharu ODA; Kumiko INAGAKI; Hitoshi INUZUKA; Kazuya FUJINAGA; Mami SUZUKI; Yuki TSUZUKI; Sadahiro KUBO; Akihiko TABUCHI

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The Role of In-Hospital Emergency Medical Technicians and Current and Future Issues of the Medical Environment Surrounding Anjo Kosei Hospital

VernacularTitle:安城更生病院を取り巻く医療環境の現在および未来の問題点とそれに対する院内救急救命士活用の提案
Author: Tomoharu ODA ¹ ; Kumiko INAGAKI ¹ ; Hitoshi INUZUKA ¹ ; Kazuya FUJINAGA ² ; Mami SUZUKI ³ ; Yuki TSUZUKI ³ ; Sadahiro KUBO ³ ; Akihiko TABUCHI ³
Author Information

1. Education and Clinical Research Training Center, Anjo Kosei Hospital
2. Dept. of Thoracic Surgery, Anjo Kosei Hospital,
3. Dept. of Emergency and Critical Care Center, Anjo Kosei Hospital
From:Journal of the Japanese Association of Rural Medicine 2025;73(5):441-448
CountryJapan
Language:ja
Abstract: We are under pressure to reform the social security system and work styles. To realize these reforms and basic principles, we need to understand the current environment surrounding the hospital and consider future measures. We report on the problems identified as a result of our investigation of the medical environment in the South West Mikawa West Medical Region and our hospital, and propose the use of emergency medical technicians (EMTs) as a solution to these problems. We examined data from the National Census, the Japan Medical Association Research Institute for General Policy Studies, the Fire and Disaster Management Agency of the Ministry of Internal Affairs and Communications, and our hospital’s management meeting. In this medical area the population aged 65 years or older and the demand for medical care are projected to increase toward the year 2045. On the other hand, the number of physicians and nurses per 100,000 population in this medical region is below the national average. Almost no change was seen in the number of patients coming to the hospital by ambulance or the number of emergency admissions by ambulance, and their admission rates did not change significantly over the past 5-year period. However, the rate of unfilled ambulance demand increased, due to the impact of full beds. Of the total number of emergency ambulance admissions, the rate of moderately ill patients averaged 74% over the 5-year period. The number of inpatient transfers in 2022 decreased by 25.5% (176) compared to that in 2019 due to the lack of personnel to transport patients. As the demand for medical care increases toward 2045, we need to reduce the rate of unfilled ambulance demand while at the same time reforming work styles to create a more comfortable workplace for healthcare workers. To achieve these goals, key tasks may be to review the transfer transport system for moderately ill patients and to expand the role of EMTs.