PURPOSE The number of Korean midwifery licensing examination applicants has steadily decreased due to the low birth rate and lack of training institutions for midwives. This study aimed to evaluate the adequacy of the examination-based licensing system and the possibility of a training-based licensing system. METHODS A survey questionnaire was developed and dispatched to 230 professionals from December 28, 2022 to January 13, 2023, through an online form using Google Surveys. Descriptive statistics were used to analyze the results. RESULTS Responses from 217 persons (94.3%) were analyzed after excluding incomplete responses. Out of the 217 participants, 198 (91.2%) agreed with maintaining the current examination-based licensing system; 94 (43.3%) agreed with implementing a training-based licensing system to cover the examination costs due to the decreasing number of applicants; 132 (60.8%) agreed with establishing a midwifery education evaluation center for a training-based licensing system; 163 (75.1%) said that the quality of midwifery might be lowered if midwives were produced only by a training-based licensing system, and 197 (90.8%) said that the training of midwives as birth support personnel should be promoted in Korea. CONCLUSION Favorable results were reported for the examination-based licensing system; however, if a training-based licensing system is implemented, it will be necessary to establish a midwifery education evaluation center to manage the quality of midwives. As the annual number of candidates for the Korean midwifery licensing examination has been approximately 10 in recent years, it is necessary to consider more actively granting midwifery licenses through a training-based licensing system.

中文翻译：

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根据韩国分娩医疗基础设施的变化，基于考试的许可制度和基于培训的助产士许可制度的充分性：一项基于调查的描述性研究

目的 由于出生率低和缺乏助产士培训机构，韩国助产士执照考试申请人数稳步下降。本研究旨在评估基于考试的许可制度的充分性和基于培训的许可制度的可能性。方法 2022 年 12 月 28 日至 2023 年 1 月 13 日，通过使用 Google Surveys 的在线表格，向 230 名专业人士制作了一份调查问卷。使用描述性统计来分析结果。结果 排除不完整的回复后，对 217 人 (94.3%) 的回复进行了分析。在217名参与者中，198名（91.2％）同意维持现行的考试许可制度；94（43。3%）同意实施基于培训的许可制度，以支付由于申请人数量减少而产生的考试费用；132人（60.8%）同意建立助产教育评估中心，实行基于培训的许可制度；163人（75.1%）表示，如果仅通过基于培训的许可制度培养助产士，助产士的质量可能会降低，197人（90.8%）表示，应在韩国促进助产士培训。结论 基于考试的许可制度取得了良好的成果；但如果实行以培训为基础的执照制度，就需要建立助产士教育评估中心来管理助产士的素质。