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Evaluation of ICT-based EMS implementation in medically underserved areas: usability, feasibility and impact
Eui-Jae Kim1,2, So-Yeon Kong3, Yun-Jeong Cha1,4
1Department of Emergency Medicine, Chungbuk National University Hospital, Cheongju-si, Chungcheongbuk-do 28644, South Korea.
Rural and Remote Health
|July 16, 2026
Summary
This study evaluated an information and communication technology-based emergency medical services (ICT-EMS) system in rural South Korea. While feasible, the system needs usability improvements for better user satisfaction and emergency care coordination.
Area of Science:
- Health Informatics
- Emergency Medicine
- Rural Health
Background:
- Assessing the usability, feasibility, acceptability, appropriateness, and user satisfaction of an information and communication technology-based emergency medical services (ICT-EMS) system.
- Focus on hospital healthcare providers in rural areas with limited emergency medical services.
Purpose of the Study:
- Evaluate the performance of an ICT-EMS system in underserved rural areas.
- Identify areas for improvement in system usability and user satisfaction.
Main Methods:
- Cross-sectional survey of 260 hospital healthcare providers in South Korea with over 6 months of ICT-EMS experience.
- Utilized validated instruments: System Usability Scale (SUS), Feasibility, Acceptability, and Appropriateness of Intervention Measures, and a user satisfaction questionnaire.
- Statistical analysis including descriptive statistics, t-tests, and ANOVA to assess performance and participant differences.
Main Results:
- Moderate overall usability (SUS score 52.6), with concerns in system consistency, technical support, and user confidence.
- Feasibility, acceptability, and appropriateness scores were above average.
- 43.5% dissatisfaction with information for patient admission; regional centers reported lower scores due to high patient volume and workload.
Conclusions:
- The ICT-EMS system shows potential for improving emergency medical communication in underserved regions.
- Identified usability issues and user satisfaction gaps necessitate system enhancements.
- Addressing limitations is crucial for maximizing ICT-EMS effectiveness in resource-limited emergency care settings.
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