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Factors of Influencing the Benefit Amount according to the National Health Insurance Coverage in Pit and Fissure Sealants

치면열구전색 급여화에 따른 수혜량에 영향을 미치는 요인

  • Ahn, Eun-Suk (Department of Humanity and Social Dentistry, College of Dentistry, Wonkwang University) ;
  • Hwang, Ji-Min (Department of Dental Hygiene, Baekseok Culture University)
  • 안은숙 (원광대학교 치과대학 인문사회치의학교실) ;
  • 황지민 (백석문화대학교 치위생과)
  • Received : 2015.11.02
  • Accepted : 2015.11.15
  • Published : 2015.12.31

Abstract

The purpose of this study was to grasp the benefits from pit and fissure sealants and to analyze the factors of influencing the benefit amount by using the raw data of the Korea National Health and Nutrition Examination Survey for 2007~2013 targeting the subjects aged from 6 years in full to 18 years. The analysis was used STATA 11.0. As a result of the analysis, the following conclusions were obtained. It rose up to 1.24 pieces after carrying out the national health insurance coverage from averagely 0.93 piece until the year in 2007~2009 (up to November) when is before enforcing the national health insurance coverage in the pit and fissure sealants. The benefits from pit and fissure sealants depending on general characteristics were surveyed to be higher in the higher income level, in the more subscription to health insurance and private insurance, and in the more toothbrushing frequency per day. The factors that have influence upon the benefits from pit and fissure sealants were shown to include whether or not to have the national health insurance coverage in the pit and fissure sealants, income level, health insurance type and private insurance subscription appearance, and one-day toothbrushing frequency. Synthesizing the results, a rise in the benefits from pit and fissure sealants is shown in 2010 based on December 2009 when the national health insurance coverage in the pit and fissure sealants was implemented, but is showing the tendency of declining again from 2011. To increase the benefits from pit and fissure sealants, it is thought that the schemes will need to be discussed such as reinforcing publicity on the national health insurance coverage in the pit and fissure sealants, expanding a support for low-income bracket, and differentiating the outpatient cost sharing according to socio-economic level.

본 연구는 만 6세부터 18세까지를 대상으로, 2007~2013년도 국민건강영양조사 원시자료를 이용하여 치면열구전색 수혜량을 파악하고, 수혜량에 미치는 요인을 분석하고자 10,416명을 대상으로 조사하였다. 분석에는 STATA 11.0을 이용하였으며, 분석한 결과 다음과 같은 결론을 얻었다. 7년간의 치면열구전색 수혜량은 평균은 1.12개로 나타났으며, 치면열구전색의 급여화가 시행되기 전인 2007~2009년 11월까지는 평균 0.93개, 급여화 실시 후에는 1.24개로 증가하였다. 일반적 특성에 따른 치면열구전색 수혜량은 소득수준이 높을수록, 건강보험과 민간보험에 가입되어 있을수록, 1일 칫솔질 횟수가 많을수록 높게 조사되었다. 하지만 성별과 연령의 경우는 통계적으로 유의한 차이를 보이지 않았다. 치면열구전색 수혜량에 영향을 미치는 요인으로는 치면열구전색 급여화 여부, 소득수준, 건강보험 유형 및 민간보험 가입 여부, 1일 칫솔질 횟수로 나타났다. 이상의 결과를 종합해보면 치면열구전색 급여화가 시행된 2009년 12월을 기준으로 2010년에 치면열구전색 수혜량 증가를 보이긴 하나, 그 2011년부터는 다시 감소하는 경향을 보이고 있다. 치면열구전색 수혜량을 늘리기 위해서는 치면열구전색 급여화에 대한 홍보를 강화하고, 저소득층에 대한 지원확대 및 사회경제적 수준에 따른 본인부담금 차등화 등의 방안이 논의되어야 할 것으로 생각된다. 또한 치면열구전색 급여화를 시작으로 추후에는 예방처치에 대한 급여화 확대방안에 대해 다각적인 검토가 필요할 것이다.

Keywords

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