The Analysis on the Perception of Medical Accident and Dispute of Dental Hygienist

치과위생사의 의료사고 및 의료분쟁에 대한 인식정도 분석

he purpose of this study was to examine the awareness of dental hygienists about medical malpractice and dispute. The subjects in this study were 206 dental hygienists at dental clinics, on whom a survey was conducted. After SPSSWIN 14.0 program was utilized to analyze the collected data, the following findings were given: 1. As for experiences of being complained from patients by age, the dental hygienists who were at the age of 21 to 23 made up the largest age group (39.2%) who had ever meet patients who had grievances. By career, those who had worked for less than a year constituted the greatest group (30.4%) who had the same experiences. It indicated that the dental hygienists who were younger and had a less career had been more complained from patients. 2. In terms of problems posed by patients, scaling came into question the most (14.5%), followed by diagnosis (14.4%), impression (12.9%) and radiography (11.0%). 3. Regarding perception of scaling treatment, 90.8 percent, the greatest percentage, kept records of patients about scaling. As to how to do that, 34.5 percent, the largest percentage, wrote it down and then signed their name. Concerning the way of explaining how to take care of oral health, 82.5 percent gave an explanation without any prints. 4. As to knowledge on the medical law, they got a mean of 12.34 out of possible 16 points. 5. Concerning the necessity of education about the prevention of medical accidents and countermeasures, 70.4 percent felt the strong and urgent need for that.

본 연구는 치과위생사들의 의료사고 및 의료분쟁에 대한 인식정도를 파악하고자 치과에서 근무하고 있는 치과위생사 206명을 대상으로 설문조사 하였으며, SPSSWIN 14.0을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 환자의 불만 불평 경험은 연령에서는 21-23세 39.2%, 경력에서는 1년 미만 30.4%가 가장 높게 나타나 연령과 경력이 낮을수록 불만 불평 경험이 더 있는 것으로 나타났다. 2. 환자의 문제제기 건수의 항목은 스켈링 관련이 14.5%로 가장 높았고, 진단관련 14.4%, 인상채득관련 12.9%, 방사선사진 촬영관련 11.0% 순으로 나타났다. 3. 치과위생사의 스켈링 진료에 대한 예방 및 인식에 있어 스켈링 후 환자기록부에 대한 기록여부는 '한다' 90.8%, 기록에 대한 방법은 본인이 직접 진료내용 기록 후 서명하는 경우가 34.5%로 가장 많았으며, 주의사항 설명시 방법은 인쇄물 없이 설명하는 경우가 82.5%로 나타났다. 4. 의료관계법에 대한 지식정도는 총 16점 기준에 12.34점으로 나타났다. 5. 의료사고에 대한 예방 및 대책과 관련된 교육의 필요성은 70.4%가 매우 필요하고 시급하다가 응답하였다.