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Suggestions for the Work of Dental Hygienists and a Reflection of Health Insurance Charges according to Demographic Changes

  • Lee, Myung-Jin (Department of Dental Hygiene, Division of Health Science, Baekseok University) ;
  • Oh, Sang-Hwan (Department of Dental Hygiene, College of Medical Science, Konyang University)
  • Received : 2020.02.17
  • Accepted : 2020.03.12
  • Published : 2020.03.31

Abstract

Given that the demand for dental care for elderly individuals is expected to increase according to demographic changes, long-term roadmaps for the current health insurance system should be actively planned. The study aimed to investigate the health insurance system in Korea, compared to that of Japan, and suggest directions for the work of dental hygienists to provide basic data on efficient improvements in the health insurance system. Based on the collected data, the website was used to collect additional related data from Korea and Japan. The most common cause of death in Korea was malignant neoplasms, and most patients were hospitalized for diseases and disorders of the musculoskeletal system and connective tissue. Dental care covered by Korean medical insurance for individuals aged 65 years or older was treatment oriented, such as dentures and implants, while in Japan, treatment-intensive items, such as visiting a dental hygienist for guidance and provision of home-care professional oral hygiene treatment, were covered. The percentages of remaining teeth in Korea and the percentage of remaining 20 teeth were 68.9% in those aged 65 to 74 years and 51.2% in those aged 75 to 84 years in Japan. A strategy for promoting oral health among elderly individuals should be established, and a multilateral intervention approach is required to prevent oral problems from leading to deterioration of whole-body health. The role of dental hygienists in providing comprehensive assessment to elderly individuals is important. In order to provide systemic oral care, it is necessary to introduce oral care systems according to the national policy.

Keywords

References

  1. Kim JH, Park YD: Dental service provider's recognition of national health insurance coverage of denture. J Korean Acad Oral Health 33: 644-652, 2009.
  2. Lee MJ, Kim DK, Hwang SJ, Oh SH: Elderly welfare system and role of dental hygienists in Korea and Japan. J Dent Hyg Sci 18: 172-181, 2018. https://doi.org/10.17135/jdhs.2018.18.3.172
  3. Cheong CL, Lee TJ: Population ageing and increasing health care expenditures - counting on death related costs by age group. Korean J Health Econ Policy 23: 127-148, 2017.
  4. Moon JY, Park EC: Trend of benefit expenditure in national health insurance by age group, 2001-2016. Health Policy Mange 27: 372-374, 2017.
  5. Organisation for Economic Co-operation and Development: OECD health statistics 2019. Retrieved August 30, 2019, from http://www.oecd.org/els/health-systems/health-data.htm (2019, July 2).
  6. Koh JJ: A review of long-term care insurance for the elderly by access to an aging society. Law Policy Rev 24: 27-61, 2018. https://doi.org/10.36727/JJLPR.24.1.201803.002
  7. Korean Statistical Information Service: The survey on the actual conditions of older person in Korea. Retrieved September 10, 2019, from http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117071_018&conn_path=I2(2019, February 28).
  8. Hwang JM, Kim JH, Park YD: Dental service providers' satisfaction with dental health insurance. J Korean Acad Oral Health 34: 214-221, 2010.
  9. Shin RH, Bae EK, Choi SH, Park II, Ohyama T, Chung MK: Analysis of current nursing homes in Korea and to assess the role and prospect of dentists in comparison to Japanese long term care insurance system. J Korean Acad Prosthodont 46: 83-91, 2008.
  10. Walls AW, Steele JG: The relationship between oral health and nutrition in older people. Mech Ageing Dev 125: 853-857, 2004. https://doi.org/10.1016/j.mad.2004.07.011
  11. Korean Statistical Information Service: Deaths by city & province/cause(103 item)/by sex. Statistics Korea, causes of death statistics. Retrieved December 22, 2019, from http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B34E12&conn_path=I2&language=en(2019, September 24).
  12. Korean Statistical Information Service: Number of patients by residence and disease group. Retrieved September 10, 2019, from http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117049_A057&conn_path=I2(2019, February 28).
  13. Health Insurance Review and Assessment Service: Health insurance review and assessment service. Retrieved February 28, 2019, from https://www.hira.or.kr/.
  14. Ministry of Health, Labour and Welfare (JP): Ministry of Health, Labour and Welfare. Retrieved February 28, 2019, from https://www.mhlw.go.jp.
  15. Lee HL, Lee HM, Kim HJ, Oh KW: Trends in oral health status among adults over 65 years old in Korea, 2007-2013. Public Health Wkly Rep 8: 735-736, 2015.
  16. So JS: A study on the amendments of long-term care-related legislations for the introduction of part-time facility dentists. J Korean Dent Assoc 53: 696-704, 2015.
  17. 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
  18. Murakami M, Hirano H, Watanabe Y, Sakai K, Kim H, Katakura A: Relationship between chewing ability and sarcopenia in Japanese community-dwelling older adults. Geriatr Gerontol Int 15: 1007-1012, 2015. https://doi.org/10.1111/ggi.12399
  19. Laudisio A, Milaneschi Y, Bandinelli S, Gemma A, Ferrucci L, Incalzi RA: Chewing problems are associated with depression in the elderly: results from the InCHIANTI study. Int J Geriatr Psychiatry 29: 236-244, 2014. https://doi.org/10.1002/gps.3995
  20. Cho MJ: The relationship between masticatory ability and the quality of life oral health- related using OHIP-14 of the elderly. J Digit Converg 14: 341-348, 2016. https://doi.org/10.14400/JDC.2016.14.9.341
  21. Lee HO, Park JY: Relationship between oral health behavior and happiness index in elderly people. J Dent Hyg Sci 16: 415-423, 2016. https://doi.org/10.17135/jdhs.2016.16.6.415
  22. Kim JS, Kim SY, Jun EJ, Jeong SH, Kim JB: The number of existing permanent teeth and the denture status of elderly adults aged 65 years and above living in metropolitan cities using data from the Korean National Health and Nutrition Examination Survey. J Korean Soc Dent Hyg 18: 921-932, 2018.
  23. Cho YY: Relationship between the number of remaining teeth and bone health status among the elderly in Korea. J Korean Soc Dent Hyg 18: 205-215, 2018.
  24. Kim JS: The study on the relations of oral health and general and mental health over 65's adults contracting in cardiovascular disease. J Korean Soc Oral Health Sci 5: 1-8, 2017.
  25. 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
  26. Moon SH, Hong GRS: Predictors of chewing discomfort among community-dwelling elderly. J Korean Acad Community Health Nurs 28: 302-312, 2017. https://doi.org/10.12799/jkachn.2017.28.3.302
  27. Ohara Y, Hirano H, Watanabe Y, et al.: Factors associated with self-rated oral health among community-dwelling older Japanese: a cross-sectional study. Geriatr Gerontol Int 15: 755-761, 2015. https://doi.org/10.1111/ggi.12345
  28. Jung HJ, Min YG, Kim HJ, et al.: Factors affecting objective and subjective masticatory ability assessment of Korean elderly people. J Korean Acad Oral Health 42: 216-223, 2018. https://doi.org/10.11149/jkaoh.2018.42.4.216
  29. Kim MJ, Lee HK: Relationship of dental health assessment to the number of existing permanent tooth in senior citizens visited a dental hospital or clinic from some regions. J Dent Hyg Sci 7: 161-166, 2007.
  30. Koong HS, Seo KW: The analysis of research trends of elderly in the dental hygiene discipline. J Dent Hyg Sci 18: 201-209, 2018. https://doi.org/10.17135/jdhs.2018.18.4.201
  31. Paik HR, Kim SY, Jin BH, Lee JY, Lim YW, Kim YJ: Developing oral health service delivery system for the disabled. J Korean Assoc Disabil Oral Health 14: 111-120, 2018. https://doi.org/10.12655/KADH.2018.14.2.111