DOI QR코드

DOI QR Code

Changes in treatment behavior and cost according to the operation of preventive dentistry in university dental hospital

대학치과병원 예방치과운영 전·후의 환자진료행태와 진료비용 변화

  • Hong, Hyo-Kyoung (Department of Health, Chosun University Graduate School of Public Health) ;
  • Choi, Seong-Woo (Department of Preventive Medicine, College of Medicine, Chosun University)
  • 홍효경 (조선대학교 보건대학원) ;
  • 최성우 (조선대학교 의과대학 예방의학교실)
  • Received : 2020.09.01
  • Accepted : 2020.10.06
  • Published : 2020.10.30

Abstract

Objectives: This study aims to provide basic data for high-quality dental services. In addition, we will promote the operation of preventive dentistry that implements preventive measures. It was conducted to study the change of patient's treatment behavior and treatment cost due to the discontinuation of preventive dentistry in university dental hospitals. Methods: This study collected data using the integrated medical information system of the C University Dental Hospital. From September 1, 2017 to August 31, 2019, data were analyzed using frequency, percentage, mean, standard deviation, chi-square test using SPSS version 24.0 statistical program, and T-test. Results: There was a significant difference in the number of preventive dental treatment cases from 58.3% of preventive dental operation periods to 41.7% of preventive dental operation periods. As a result of comparing the medical expenses, the total medical expenses during the preventive dental operation period decreased from 521,308,872 won to 379,724,995 won during the discontinuation period, 141,583,877 won. The number of medical treatments by treatment behavior decreased 3,835 (28.4%) from a total of 13,520 preventive dental operation periods to 9,685. Conclusions: This study is meaningful as the first study to confirm the change in the treatment behavior and the change in the cost of treatment due to the discontinuation of the operation of preventive dentistry at university dental hospitals. In conclusion, it is thought that there is a possibility of the lack of accessibility and the limitation of professional preventive care due to the discontinuation of preventive dentistry.

Keywords

References

  1. Kim JB, Back DI, Moon HS, Kim HD, Jin BH, Choi EG, et al. Clinical preventive dentistry. 4th ed. Seoul: Komoonsa; 2005: 1-36.
  2. National Health Insurance Service. Press release[Internet]. [cited 2020 Feb 20]. Available from: http://www.nhis.or.kr/bbs7/boards/B0039/29853
  3. National Health Insurance Service. Press release[Internet]. [cited 2020 Feb 20]. Available from: http://www.nhis.or.kr/bbs7/boards/B0039/26049
  4. Jung SG, Kim SH, Kim DK, Lee BJ. Association of oral health J Clin Periodontal status and related factors with oral health impact profile (OHIP-14) among patients in a dental hospital in Gwangju, Korea. J of Korean Academy of Oral Health 2014;38(4):238-43. https://doi.org/10.11149/jkaoh.2014.38.4.238
  5. Jung YJ, Cho MH, Moon DH. Influencing factors to dental caries and periodontal diseases in Korean adults. J Korean Soc Dent Hyg 2015;15(1):47-54. https://doi.org/10.13065/jksdh.2015.15.01.47
  6. National Health Insurance Service. Removed calculus from 1 July 2013, increased partial denture salary[Internet]. [cited 2020 Feb 27]. Available from: http://www.longtermcare.or.kr/npbs/d/m/000/moveBoardView?menuId=npe0000000770&bKey=B0009&search_boardId=50375
  7. Health Insurance Review & Assessment Service. Policy Trend[Internet]. [cited 2020 Feb 27]. Available from: http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA030096000000&brdScnBltNo=4&brdBltNo=513
  8. Kwon HK, Choi YH, Choi CH. The baseline study for insurance coverage of preventive treatment item on Korea National Health Insurance. J Korean Acad Oral Health 2002;26(3):271-81.
  9. Jeon JE, Chung WG, Kim NH. The reason of unmet dental need related socioeconomic status in Korea: Using the 4th Korea National Health and Nutritional Examination Survey. J Korean Acad Oral Health 2012;36(1):73-81.
  10. Lee KJ, Lee JY, Jeong MK, Park JH. Case report of the toothpick method for tooth brushing. J of Clinical Preventive Dentistry 2014;10(3):203-8. https://doi.org/10.15236/ijcpd.2014.10.3.203
  11. KCDC. Health disease information[Internet]. [cited 2020 Mar 02]. Available from: http://health.cdc.go.kr/health/HealthInfoArea/HealthInfo/View.do?idx=5610
  12. Kang HJ. Effect of prevention to dental caries by incremental oral health care program among students of elementary school in some parts of Busan title of manuscripts. J of Health Service Management 2013;7(1):11-9. https://doi.org/10.12811/kshsm.2013.7.1.011
  13. Jo MJ. Effective management interval focused on professional mechanical tooth cleaning. J Dent Hyg Sci 2017;17(6):508-15. https://doi.org/10.17135/jdhs.2017.17.6.508
  14. Bindman AB, Keane D, Lurie N. A public hospital closes impact on patients' access to care and health status. JAMA 1990;264(22):2899-3803. https://doi.org/10.1001/jama.264.22.2899
  15. Buchmueller TC, Jacobson M, Wold C. How far to the hospital? The effect of hospital closures on access to care. J Health Economics 2005;25(4):740-801. https://doi.org/10.1016/j.jhealeco.2005.10.006
  16. Noh M, Lee Y, Yun SC, Lee SI, Lee MS, Khang YH. Determinants of hospital closure in South Korea: Use of a hierarchical generalized linear model. J Social Science & Medicine 2006:63(9):2320-9. https://doi.org/10.1016/j.socscimed.2006.05.026
  17. Kim DG, Shin WC, Kang SG. The effectiveness of maintenance care by non-surgical treatment on the periodontal disease. J Korean Acad Oral Health 2001;25(2):109-21.
  18. KCDC. Health disease information[Internet]. [cited 2020 Mar 02]. Available from: http://health.cdc.go.kr/health/HealthInfoArea/HealthInfo/View.do?idx=5600
  19. Kang HS, Kim YK, Kim YN, Kim EM, Kim ES, Kim HC, et al. Introduction to Dental Hygiene. 4th ed. Seoul: Komoonsa, 2005: 135-8.
  20. KCDC. Health disease information[Internet]. [cited 2020 Mar 02]. Available from: http://health.cdc.go.kr/health/HealthInfoArea/HealthInfo/View.do?idx=5650
  21. Kim JS. The effect of oral health programs and intentions of utilization in some dental clinics. J Korean Acad Oral Health 2018;6(1):1-7.
  22. Kwon ST. (A)study on the effects of strategy, competencies, organizational structure and their interactions on the performance of Korea association of health promotion hospitals. J Korean Hosp Assoc 2004;33(6):102-8.
  23. Choi MG, Lee HS, Lee YS. Factors affecting the profitability of private hospitals in Korea. J Korean Hosp Assoc 2004;9(1):22-45.
  24. Walker KO, Calmes D, Hanna N, Baker R. The impact of public hospital closure on medical and residency education: implications and recommendations. J Natl Med Assoc 2008;100(12):1377-60. https://doi.org/10.1016/S0027-9684(15)31537-6
  25. Sin SC. Education of preventive dentistry, college of dentistry. J Korean Dental Med 1986;24(10):859-60.
  26. Kim SH, Kim TG, Seo K. Assessment of the accessibility to medical facilities in rural areas using real road distance focusing on Pyeongchang-gun. J Korean Soci Agric Eng 2015;57(4):39-49. https://doi.org/10.5389/KSAE.2015.57.4.039
  27. Kwak JM, Lee KS, Kwon HJ. A study on the relationship between the concentration status of inpatient services and medical charges per case between 2009 and 2011. J Korea Knowledge Management Society 2015;16(1):209-24. https://doi.org/10.15813/kmr.2015.16.1.010
  28. Yao Lu, David JG Slusky. The impact of women's health clinic closures on preventive care. Am Econ J Appl Econ 2016;8(3):100-24. https://doi.org/10.1257/app.20140405
  29. Jang HY, Lee SR, Lee YJ, Lee SB, Lee HN, Lee HB, et al. Awareness and need as factors in an incremental oral health care program for Korean adults. J Korean Soc Dent Hyg 2016;16(6):442-8. https://doi.org/10.17135/jdhs.2016.16.6.442
  30. Lee SH. Lee ES, Oh HW. Awareness of oral health workforce on the national health insurance coverage of topical fluoride application. J Dent Hyg Sci 2015;15(1):46-53. https://doi.org/10.17135/jdhs.2015.15.1.46
  31. Kim YN, Kwon HK, Jung WG, Cho YS, Choi YH. The association of perceived oral health with oral epidemiological indicators in Korean adults. J Korean Acad Oral Health 2005;29(3):250-60.
  32. Oh JA. Factors to utilization of preventive oral medical service based on andersen model[Master's thesis]. Gimhae: Univ. of Inje, 2017.
  33. Pyo HN. Awareness and satisfaction of dental hospital patients about newly covering health insurance benefit for scaling[Master's thesis]. Gwangju: Univ. of Chonnam National, 2015.
  34. Yun SH, Suh CJ. The effects of the scaling health insurance coverage expansion policy on the use of dental services among patients with gingivitis and periodontal diseases. J Health Economics Policy 2016;22(2):143-62.