DOI QR코드

DOI QR Code

치과위생사 의료인화에 대한 현안과제와 직무확충 방안

Problems to Solve and Job Enlargement on the Inclusion of Dental Hygienists in the Category of Medical Personnel

  • 이다솜 (가천대학교 보건대학원 치위생학전공) ;
  • 한경순 (가천대학교 보건대학원 치위생학전공)
  • Lee, Da-Som (Department of Dental Hygiene, Graduate School of Public Health, Gachon University) ;
  • Han, Gyeong-Soon (Department of Dental Hygiene, Graduate School of Public Health, Gachon University)
  • 투고 : 2018.08.27
  • 심사 : 2018.10.26
  • 발행 : 2018.12.31

초록

본 연구는 치과위생사 의료인화에 대한 요구와 논의가 있는 현 시대적 상황에서 치과의료인력을 대상으로 치과위생사를 위한 선행과제와 의료인이 되었을 때의 긍정적 부정적 효과, 확장 가능한 전문업무에 대해 파악하고자 하였다. 치과위생사 259명, 치과의사 128명을 대상으로 치과위생사 의료인화에 대한 인식과 선행 과제, 긍정 및 부정적 효과와 확장 가능한 전문업무 등에 대해 조사 분석하여 다음과 같은 결론을 얻었다. 치과위생사 의료인화에 대해 치과위생사의 94.2%, 치과의사의 46.9%가 인지하였고, 치과위생사는 협회매체(52.5%), 치과의사는 치과신문(23.4%)을 통해 인지하는 경우가 많았다. 찬성도는 치과위생사의 95.0%, 치과의사의 64.1%였으며, 당위성은 치과위생사가 84.9%, 치과의사 51.6%였다. 당위성의 근거로 치과위생사는 업무 전문성과 교육과정 부합성이 높았고 업무 부합성이 낮았으나 치과의사는 의료체계 유사성이 높았고 교육과정 부합성이 가장 낮았다. 의료인화를 위한 선행 과제 중 직업적 영역에서 치과위생사와 치과의사 모두 직업의식과 윤리의식이 높았다. 제도적 영역에서도 두 직종 모두 치위생교육 질 관리가 가장 높았으며, 학제 일원화가 가장 낮았다. 사회적 영역에서 치과위생사는 중앙정부설득과 국민공감대 형성이 높았고, 치과의사는 유관단체 협력과 중앙정부 설득이 높았다. 치과위생사 의료인화 시 긍정적 효과는 치과위생사 인식 확장이 치과위생사와 치과의사 모두 가장 높았고, 부정적 효과는 치과위생사의 경우 임금상승 심화와 위임진료 증가가 높았고, 치과의사는 임금상승 심화와 구인난 심화가 높았다. 의료인화 시 확장 가능한 전문업무로는 독자적 치주관리프로그램 운영으로 치과위생사(79.9%)와 치과의사(69.6%) 모두에게 가장 높게 나타났다. 치과위생사는 치주관리를 위한 진단(44.4%)과 전신질환자 구강건강관리(44.0%), 비외과적 치주처치(41.3%), 근육 정맥주사(27.4%) 순이었고, 치과의사는 근육 정맥주사(44.1%), 비외과적 치주처치(34.3%), 전신질환자 구강건강관리(29.4%), 치주관리를 위한 진단(13.7%) 순이었다. 이상의 결과를 통해 치과위생사 의료인화가 가지는 의미에 대한 충분한 검토와 논의가 필요할 것으로 생각되고, 의료인화와 관련하여 치과위생사의 업무가 합리적으로 조정되고 합법화하는 데 본 연구가 활용되기를 기대한다.

The purpose of this study was to examine the perceptions, precedent tasks, positive and negative effects, and expandable professional tasks regarding the inclusion of dental hygienists (DHs) in the category of medical personnel. This study involved a survey of 259 DHs and 128 dentists. The findings were as follows: 94.2% of DHs and 46.9% of dentists were aware of inclusion in the category of medical personnel; 95.0% of DHs and 64.1% of dentists supported the idea; and 84.9% of DHs and 51.6% of dentists recognized its legitimacy. As for precedent tasks for inclusion in the category of medical personnel, both DHs and dentists scored high points in professional consciousness in the area of occupation. Both DHs and dentists scored the highest points in the quality management of DH education and the lowest points in the unification of school systems in the area of institution. In the area of society, DHs scored high points in the persuasion of the central government, whereas dentists scored high points in collaboration among concerned organizations. Regarding the positive effects of inclusion in the category of medical personnel, both DHs and dentists scored the highest points in the expanded perception of DHs. As for its negative effects, DHs scored high points in the aggravation of salary increase, whereas dentists scored high points in the aggravation of salary increase. Regarding expandable professional tasks after the inclusion of DHs in the category of medical personnel, the management of independent periodontal care programs recorded the highest percentage both in DHs and dentists. These findings highlight the need for adequate discussions about the meanings of the inclusion of DHs in the category of medical personnel and will hopefully contribute to the rational adjustment and legalization of DHs' works with regard to their inclusion in the category of medical personnel.

키워드

참고문헌

  1. The National Law Information Center: Legislation. Retrieved September 3, 2018, from http://www.law.go.kr/LSW//lumLsLinkPop.do?lspttninfSeq=61653&chrClsCd=010202 (2018, May 28).
  2. Chin YR, Lee IS, Chang HS: Analysis of the effects and nursing intervention of home health care in public health centers. J Korean Community Nurs 15: 353-364, 2004.
  3. Retrieved May 10, 2018, from http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=337419&page=1.pdf (2016).
  4. Noh HJ, Shin SJ, Oh MY, et al.: A study on the on dental hygienists at public health centers work and improvement methods. Korean Dental Hygienists Association, Seoul, pp.5-10, 2011.
  5. Kwun HS, Jo GS: A study on the role of dental hygienist for revitalization of dental health class in community health center. J Korean Soc Dent Hyg 6: 263-282, 2006.
  6. Gatermann-Strobel B, Perno Goldie M: Independent dental hygiene practice worldwide: a report of two meetings. Int J Dent Hyg 3: 145-154, 2005. https://doi.org/10.1111/j.1601-5037.2005.00139.x
  7. International Federation of Dental Hygiene: Working abroad. Retrieved May 20, 2018, from http://www.ifdh.org/work_abroad.html.
  8. Dentalk: News Policy & Issues. Retrieved May 10, 2018, from http://news.kdha.or.kr/news/articleView.html?idxno=894 (2016, October 21).
  9. The National Law Information Center: Legislation. Retrieved May 13, 2018, from http://www.law.go.kr/LSW/lsRvsRsnListP .do?lsId=001785&chrClsCd=010102(1973, August 17).
  10. Lee JW: A study on the medical guidance and medical field in the medical practice: centered on medical technician. Kyungsung Law Rev 18: 153-184, 2009.
  11. Retrieved May 12, 2018, from http://www.kdha.or.kr/news/oldmagazine.aspx.pdf(2018).
  12. Kim HN, Kim GH: A study on legal problems and improvements of similar medical practice. Korean Medical Association Research Institute for Healthcare Policy, Seoul, pp.9-14, 2009.
  13. Kim SY, Yoon GR, Kang DH, et al.: Analysis of trade newspapers related to dental hygienists as healthcare professionals using language analysis technique: using R program. J Korean Soc Dent Hyg 17: 921-930, 2017. https://doi.org/10.13065/jksdh.2017.17.05.921
  14. Han YG, Kim EK, Kim SH, et al.: Dentists opinions on actual and legal dental hygienists tasks. Korean Dental Hygienists Association, Daejeon, pp.33-42, 2017.
  15. Hyeong JH, Jang YJ: The opinions of health care workers on the inclusion of dental hygienists in the category of medical personnel. J Korean Soc Dent Hyg 17: 1013-1024, 2017. https://doi.org/10.13065/jksdh.2017.17.06.1013
  16. Kim HM, Lim SR, Bae HS: The professionalization of American dental hygienist. J Den Hyg Sci 14: 276-286, 2014. https://doi.org/10.17135/jdhs.2014.14.3.276
  17. Choi YR, Seo HY, Ryu EJ, Choi EM: Dental hygienists' awareness of medical technician jurisprudence. J Den Hyg Sci 16: 495-501, 2016. https://doi.org/10.17135/jdhs.2016.16.6.495
  18. Dailymedi: News. Retrieved May 4, 2018, from http://www.dailymedi.com/detail.php?number=827297 (2018, February 7).
  19. Kwon HG: A study on the work reality and development of the dental hygienists. J Korean Dent Assoc 40: 969-970, 2002.
  20. Oh EJ, Hwang SJ: Comparison of the working conditions of dental hygienists using data from online job sites. J Dent Hyg Sci 17: 501-507, 2017. https://doi.org/10.17135/jdhs.2017.17.6.501
  21. Lee SM, Choi WJ, Han GS, Kim CH: Influencing factors of turnover intention of dental hygienists using by the path analysis. J Korean Acad Oral Heatlh 13: 941-949, 2013. https://doi.org/10.13065/jksdh.2013.13.06.941
  22. RDH Magazine: Trends in dental hygiene. Retrieved May 27, 2018, from https://www.rdhmag.com/articles/print/volume-32/volume-12/features/trends-in-dental-hygiene.html (2012, December 1).
  23. Freed JR, Perry DA, Kushman JE: Aspects of quality of dental hygiene care in supervised and unsupervised practices. J Public Health Dent 57: 68-75, 1997. https://doi.org/10.1111/j.1752-7325.1997.tb02476.x
  24. Park JH, Kim MS, Cho JW: Original articles: dentists' opinions for dental hygienists' roles in Korea. J Korean Acad Oral Health 34: 88-97, 2010.
  25. Moon SE, Kim YJ, Kim SY, et al.: Reasonable of dental hygienists to treatment of periodontitis. Korean Dental Hygienists Association, Gwangju, pp.104-121, 2017.

피인용 문헌

  1. Clinical Dental Hygienists' Awareness of the Medical Technicians Act and Clinical Performance in Korea vol.20, pp.2, 2018, https://doi.org/10.17135/jdhs.2020.20.2.97
  2. 치과관련학과 대학생들의 치과위생사에 대한 인식조사 vol.21, pp.7, 2018, https://doi.org/10.5762/kais.2020.21.7.583
  3. Possibility of a Standardized System for Task-Related Hierarchal Positions of Dental Hygienists vol.20, pp.3, 2018, https://doi.org/10.17135/jdhs.2020.20.3.155