DOI QR코드

DOI QR Code

Elderly Welfare System and Role of Dental Hygienists in Korea and Japan

  • Lee, Myung-Jin (Department and Research Institute of Dental Biomaterials and Bioengineering, Yonsei University College of Dentistry) ;
  • Kim, Do-Kyeong (Oral Cancer Research Institute and Department of Oral Pathology, Yonsei University College of Dentistry) ;
  • Hwang, Soo-Jeong (Department of Dental Hygiene, College of Medical Science, Konyang University) ;
  • Oh, Sang-Hwan (Department of Dental Hygiene, College of Medical Science, Konyang University)
  • Received : 2018.04.24
  • Accepted : 2018.05.21
  • Published : 2018.06.30

Abstract

In accordance with the aged society, oral health care for the elderly is considered important to maintain general health. Although the role of dental hygienists is essential for proper health management of the oral cavity, research on the care system for the elderly people's oral health and on the role of dental hygienists in the field of elderly welfare is still insufficient. Hence, the aim of this study is to investigate the status of Korean elderly welfare system and dental hygienists by comparing them with those in Japan, a precedent of aged society. First, we compared and investigated the Japanese long-term insurance system, which provides an institutional basis for a long-term care system for the elderly in Korea. Second, the elderly welfare law and care system, focusing on oral care, were examined. Lastly, in elderly care, we analyzed the distinctions between Korea and Japan regarding dental hygienists' role and scope of work. Taken together, as a precedent of aged society, Japan has shown well-specialized and systematic welfare for the elderly compared with Korea. With the development of the welfare system for the elderly in Japan, the role and the work scope of dental hygienists have been expanded to improve quality of life of elderly people, as a key professional for elderly oral care. Therefore, we should perceive the need for improvement of long-term care insurance and the expansion of dental hygienists' work in Korea. In conclusion, these results could be used as basic data for improving the elderly welfare system and developing dental hygienists in Korea.

Keywords

References

  1. He W, Goodkind D, Kowal P: An aging world: 2015 international population reports. US Department of Commerce; US Department of Health and Human Services, Washington, 2016.
  2. Choi JH, Yoon HW: The changing spatial patterns of aging population in Korea. J Korean Geogr Soc 47: 359-374, 2012.
  3. KOSIS: Relief expenses and aging index. Retrieved April 11, 2018, from http://kosis.kr/statHtml/statHtml.do?orgId=101& tblId=DT_2KAA202_OECD&conn_path=I2(2017, September 29).
  4. Tavares M, Lindefjeld Calabi KA, San Martin L: Systemic diseases and oral health. Dent Clin North Am 58: 797-814, 2014. https://doi.org/10.1016/j.cden.2014.07.005
  5. Fernandez-Solari J, Barrionuevo P, Mastronardi CA: Periodontal disease and its systemic associated diseases. Mediators Inflamm 2015: 153074, 2015. https://doi.org/10.1155/2015/153074
  6. KOSIS: General health checkup comprehensive assessment of dental examination by sex by age and current status of measures. Retrieved April 11, 2018, from http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35007_N149& conn_path=I2(2018, February 26).
  7. Lee KY, Lim SR: Effect of professional oral healthcare program on the oral status of elderly residents in long-term care facilities. J Dent Hyg Sci 16: 432-441, 2016. https://doi.org/10.17135/jdhs.2016.16.6.432
  8. Ministry for Health and Welfare: Enforcement rule of the Welfare of Older Persons Act. Ordinance of the Ministry of Health and Welfare, No. 570 (Apr. 25, 2018).
  9. National Health Insurance Service: Process of long-term care insurance. Retrieved April 13, 2018, from http://www.nhic.or.kr/menu/retriveMenuSet.xx?menuId=B3000(2018, January).
  10. Lee JE, Park MS: A study on an improvement plan for elderly welfare system in Korea: focusing on elderly welfare system in Germany. J Eurasian Stud 9: 379-412, 2012. https://doi.org/10.31203/aepa.2012.9.4.019
  11. Kwag JM, Park II, Son MK: Suggestion for understanding and activation of the nursing home dentist system. Oral Biol Res 41: 127-133, 2017. https://doi.org/10.21851/obr.41.3.201709.127
  12. Eun BJ, Kim DH, Lim JS: Trends and policy implications of nursing care insurance in Japan. J Korean Policy Stud 12: 411-432, 2012.
  13. Chang SC, Kim KM: A comparative study on care insurance of Japan and long-term care insurance of Korea. Jpn Lang Lit Assoc Daehan 42: 325-345, 2009.
  14. Ryu AJ: A comparative study of the most protection elderly people's support policies of the local, Korea and Japan. Korean J Care Manag 7: 105-128, 2012.
  15. Cho CY, Park SA, Jung YT: The system and controversy of public long-term care insurance in Japan. GRI Rev 11: 179-206, 2009.
  16. Jeon JH, Kwon JA, Nam JM, Park HB, Song YJ, Choi JS: Comparison of oral health related characteristics between a long-term patients and general population. J Korean Soc Dent Hyg 16: 11-18, 2016. https://doi.org/10.13065/jksdh.2016.16.01.11
  17. Chun YH, Auh QS, Hong JP: Interrelationship between the oral disease and the systemic disease to inpatient (I). J Oral Med Pain 33: 111-120, 2008.
  18. Seymour GJ, Ford PJ, Cullinan MP, Leishman S, Yamazaki K: Relationship between periodontal infections and systemic disease. Clin Microbiol Infect 13 Suppl 4: 3-10, 2007. https://doi.org/10.1111/j.1469-0691.2007.01798.x
  19. Lee SH, Ryu JA, Yu HE, Lee JH, Shin SJ: Comparison of effects according to type of oral exercise program for elderly in Gangneung city. J Dent Hyg Sci 16: 424-431, 2016. https://doi.org/10.17135/jdhs.2016.16.6.424
  20. Kim EJ, Kwag JS: Change of salivary flow rate, xerostomia, and oral health-related quality of life after oral muscle massage. J Korean Soc Dent Hyg 15: 679-685, 2015. https://doi.org/10.13065/jksdh.2015.15.04.679
  21. Hwang SJ: Key food selection for assessement of oral health related quality of life among some Korean elderly. J Dent Hyg Sci 16: 361-369, 2016. https://doi.org/10.17135/jdhs.2016.16.5.361
  22. Ko SM, Lim SR: Oral hygiene care for elderly in care facility. J Korean Dent Assoc 53: 678-687, 2015.
  23. Yoneyama T, Yoshida M, Sasaki H, et al.: A study for the effects of oral health care on the prevention of aspiration pneumonia in the compromised elderly patients. J Jpn Assoc Dent Sci 20: 58-68, 2001.
  24. KOSIS: Classification of personnel status II (nurses and others). Retrieved April 11, 2018, from http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_HIRA4A&con n_path=I2(2018, April 5).
  25. Ministry of Health, Labour and Welfare: Elderly care facilities in Japan. Retrieved April 11, 2018, from http://www.mhlw.go.jp/toukei_hakusho(2015, April 30).
  26. Ministry of Health, Labour and Welfare: Increase in number of persons who are eligible for LTC insurance and users. Retrieved April 11, 2018, from http://www.mhlw.go.jp/english/policy/care-welfare/care-welfare-elderly/dl/ltcisj_e.pdf(2015, April 30).
  27. KOSIS: Status of long-term care institutions by type of salary by year, city, and province. Retrieved April 13, 2018, from http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_ 35006_N019&conn_path=I2(2017, November 20).
  28. KOSIS: Status of specialist in long-term care facilities by city, county, and county. Retrieved April 11, 2018, from http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_ 35006_N022&conn_path=I2(2017, November 10).
  29. Moon YM, Bae SS, Moon HY: Some elderly care facilities workers' oral health awareness, knowledge, behavior and education needs. J Korean Entertain Ind Assoc 9: 277-285, 2015. https://doi.org/10.21184/jkeia.2015.03.9.1.277
  30. Japan Dental Hygienists' Association: An expanding workplace. Retrieved April 11, 2018, from https://www.jdha.or.jp/english/index.html.
  31. Ministry of Health, Labour and Welfare: Survey of medical institutions. Retrieved April 11, 2018, from http://www.mhlw.go.jp/english/database/db-hss/dl/Survey_of_Medical_I nstitutions_2014.pdf(2014, October 1).
  32. Ministry of Health, Labour and Welfare: Mean age of patients who use in-home dental care services in Japan. Retrieved April 11, 2018, from http://www.mhlw.go.jp/ toukei/list/zaitakushika_c.html (2015, April 30).
  33. Ministry of Health, Labour and Welfare: State of home medical care services. Retrieved April 11, 2018, from http://www.mhlw.go.jp/english/database/db-hss/dl/Survey_of_Medical_Institutions_2014.pdf(2014, September 10).
  34. Stupka JE, Mortensen EM, Anzueto A, Restrepo MI: Community-acquired pneumonia in elderly patients. Aging Health 5: 763-774, 2009. https://doi.org/10.2217/ahe.09.74
  35. Kim KW, Yoon HJ, Kim MR, Lee HK, Lee KS: Effects of oral hygiene improvement of the elderly patients by caregiver's in rural long-term care hospital. J Agric Med Commun Health 35: 13-20, 2010. https://doi.org/10.5393/JAMCH.2010.35.1.013
  36. Scannapieco FA, Shay K: Oral health disparities in older adults: oral bacteria, inflammation, and aspiration pneumonia. Dent Clin North Am 58: 771-782, 2014. https://doi.org/10.1016/j.cden.2014.06.005
  37. Yang SB, Moon HS, Han DH, Lee HY, Chung MK: Oral health status and treatment need of institutionalized elderly patients. J Korean Acad Prosthodont 46: 455-469, 2008. https://doi.org/10.4047/jkap.2008.46.5.455

Cited by

  1. 일부 지역 치위생학과 학생들의 장애인 환자 관리에 대한 역량 vol.18, pp.6, 2018, https://doi.org/10.17135/jdhs.2018.18.6.349
  2. Suggestions for the Work of Dental Hygienists and a Reflection of Health Insurance Charges according to Demographic Changes vol.20, pp.1, 2020, https://doi.org/10.17135/jdhs.2020.20.1.1