The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
권호 표지

Dental care utilization and expenditures among children in Korea Health Panel Survey: 2008 - 2013

아동·청소년의 치과외래 이용 및 의료비지출 변화추이: 2008년~2013년

  • Jung, Se-Hwan (Department of Preventive and Public Health Dentistry, College of Dentistry, Gangneung-Wonju National University & Research Institute of Oral Science)
  • 정세환 (강릉원주대학교 치과대학 예방치학교실 및 구강과학연구소)
  • Received : 2016.07.22
  • Accepted : 2016.09.12
  • Published : 2016.11.01
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to examine dental care utilization and expenditures among children aged 0 to 19 years using Korea Health Panel Survey (KHPS) data in 2008 - 2013. Weighted estimates were nationally representative and statistical significances were analysed by $x^2$ test or adjusted Wald test using STATA 13 software. While dental care utilization increased steadily among children from 2008 through 2013, less than one-third the children received dental care in 2013. Compared with 2008, the proportion of restorative care, oral surgery, preventive care decreased and the proportion of orthodontic care, prosthetic care increased. While the proportion of amalgam markedly decreased, the proportion of resin increased. This study highlight socioeconomic disparities in dental utilization and expenditures among children. Especially the findings provide a baseline assessment for examining trends on dental care for children in the future.

Keywords

References

  1. World Federation of Public Health Associations. Oral Health for Children-passed by the WFPHA General Assembly 2013. (http://www.wfpha.org/tl_files/doc/about/ OHWG/OralHealthForChildren.pdf)
  2. World Health Organization. The World Oral Health Report 2003. WHO/NMH/NPH/ORH/03.2. 2003.
  3. Department of Health (UK). Declaration on child oral health. (http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Aboutus/Chiefprofessionalofficers/Chiefdentalofficer/DH_4110049)
  4. Centre for International Child Oral Health. Global child dental fund. (http://www.kcl.ac.uk/dentistry/about/centres/oralhealth/index.aspx)
  5. Department of Health (UK). Coverage of publiclyfunded dental services-an international perspective. 2009.
  6. Wang H, Norton EC, Rozier RG. Effects of the State Children’s Health Insurance Program on access to dental care and use of dental services. Health Services Research 2007;42(4):1544-1563. https://doi.org/10.1111/j.1475-6773.2007.00699.x
  7. Nasseh K, Vujicic M. Dental care utilization continues to decline among working-age adults, increases among the elderly, stable among children. Health Policy Institute Research Brief. October 2013.
  8. Edelstein B. Putting teeth in CHIP: 1997-2009 retrospective of congressional action on children’s oral health. Academic Pediatrics 2009;9(6):467-475. https://doi.org/10.1016/j.acap.2009.09.002
  9. 보건복지부, 한국건강증진개발원. 제4차 국민건강 증진종합계획 2016-2020: 중점과제 11. 구강보건. 2015.
  10. 보건복지부. 2015년도 아동구강건강실태조사. 2015.
  11. 정세환. 한국의료패널의 치과외래 이용 및 의료비 지출에 대한 4년간(2008-2011)의 변화추이. 대한치과의사협회지 2014; 291-301.
  12. Manski RJ, Brown E. Dental use, expenses, private dental coveragen and changes, 1996 and 2004. Rockville(MD): Agency for Healthcare Research and Quality. 2007. MEPS Chartbook No.17. (http://www.meps.ahrq.gov/mepsweb/data_files/publications /cb17/cb17.pdf)
  13. Manski RJ, Cooper PF. Dental care use: does dental insurance truly make a difference in the US? Community Dental Health 2007;24(4):205-212.
  14. Edelstein BL, Chinn CH. Update on disparities in oral health and access to dental care for America’ s children. Academic pediatrics 2009;9(6):415-419. https://doi.org/10.1016/j.acap.2009.09.010
  15. Nasseh K, Vujicic M. Dental care utilization rate highest ever among children, continues to decline among working-age adults. Health Policy Institute Research Brief. October 2014.
  16. Berdahl T, Hudson J, Simpson L, McCormic MC. Annual report on children’s health care: dental and orthodontic utilization and expenditures for children, 2010-2012. Academic pediatrics 2016;16(4):314-326. https://doi.org/10.1016/j.acap.2016.02.013
  17. 국민건강보험공단, 한국보건사회연구원. 한국의료 패널의 이해. 2008.
  18. 교육과학기술부, 보건복지부, 질병관리본부. 제8차 (2012년) 청소년건강행태온라인조사 통계. 2012.
  19. US Surgeon General. Oral health in America: a report of the Surgeon General. Rockville. National Institute of Dental and Craniofacial Research. 2000.
  20. Samnaliev M, Wijeratne R, Kwon EG, Ohiomoba H, WaiNg M. Cost-effectiveness of a disease management program for early childhood caries. J Public Health Dent 2015;75:24-33. https://doi.org/10.1111/jphd.12067
  21. Soni A. Children's dental care: advice and visits, ages 2-17, 2011-Statistical brief #431. Agency for Healthcare Research and Quality. March 2014.
  22. 최진선, 마득상, 정세환, 조은별, 박덕영. 국민건강 보험 급여화에 따른 공공재원기반 치면열구전색 공급량 변화. 대한구강보건학회지 2015;39(1):69-77.
  23. 서울특별시, 서울특별시치과의사회. 치과주치의사업 활성화를 위한 세미나 자료집. 2016.
  24. 구강보건정책연구회. 공공 치과의료 확충방안. 2014.