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The Distribution of Pediatric Patients According to Accessibility to Dental Facilities in Pusan National University Dental Hospital

치과의료기관 접근성에 따른 부산대학교 치과병원 소아치과의 신환 분포

  • Haena, Lee (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Soyoung, Park (Department of Pediatric Dentistry, Pusan National University Dental Hospital) ;
  • Jonghyun, Shin (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Taesung, Jeong (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Eungyung, Lee (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
  • 이해나 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 박소영 (부산대학교 치과병원 소아치과) ;
  • 신종현 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 이은경 (부산대학교 치의학전문대학원 소아치과학교실)
  • Received : 2022.07.08
  • Accepted : 2022.08.19
  • Published : 2022.11.30

Abstract

The purpose of this study was to analyze the accessibility to dental facilities and the differences in chief complaints of new patients who visited Pusan National University Dental Hospital. We collected information from electronic medical records for 1,820 new patients. The accessibility was analyzed by measuring the distance from the patient's house to the dental facilities. The distance was categorized into 10 km sections, and the presence or absence of a local pediatric dental clinic within 10 km of the patient's house was also categorized. As the distance between the house and Pusan National University Dental Hospital increased, the proportion of patients who visited for dental caries decreased, and orthodontic treatment increased. Dental caries accounts for 27.9% of less than 10 km and 20.5% over 30 km. Orthodontic treatment accounts for 25.4% within 10 km and 27.3% more than 30 km away. The presence or absence of a local pediatric dental clinic within 10 km did not significantly affect the distribution of chief complaints. This study can be used as basic research data to establish effective treatment measures that can improve the physical and geographical accessibility of patients visiting pediatric dentistry.

이 연구의 목적은 부산대학교 치과병원 소아치과에 내원한 신환을 대상으로 치과의료 기관에 대한 접근성을 분석하여 이에 따른 신환 분포의 차이를 조사하는 것이다. 2020년에 부산대학교 치과병원 소아치과에 내원한 부산 및 경남 지역의 신환을 대상으로 전자의무기록을 이용하여 연령, 성별, 거주지, 초진 시 주소(Chief complaint), 내원 경로, 의과적 병력 등에 대한 정보를 수집하였다. 신환의 거주지에서 가장 가까운 치과의원, 소아전문 치과의원 및 부산대학교 치과병원과의 거리에 측정하여 이에 따른 환자의 특성을 분석하였다. 의료기관 접근성 평가를 위해 거주지에서 치과의료기관까지의 거리를 10 km를 단위로 분류하였고, 소아치과의원의 경우 10 km 내 의원 유무도 분류하였다. 신환의 거주지와 부산대학교 치과병원 사이의 거리가 증가할수록 치아우식을 주소로 내원하는 환자의 비율이 감소하였고, 교정치료를 주소로 내원하는 환자의 비율이 증가하였다. 거주지 반경 10 km 이내 소아치과의원의 유무는 주소의 분포에 유의한 영향을 미치지 않았다. 이번 연구는 소아치과에 내원하는 환자들의 물리적, 지리적 접근성을 향상할 수 있는 실효성 있는 진료 대책을 수립하는 데에 기초자료로 활용될 수 있을 것이다.

Keywords

References

  1. Korean Academy of Nursing : The Great Encyclopedia of Nursing Science. 1st ed. Korea Dictionary Research Publishing, Seoul, 1996.
  2. Seo MK, Song JS, Shin TJ, Hyun HK, Kim JW, Jang KT, Lee SH, Kim YJ : Chronological trends in practice pattern of department of pediatric dentistry: 2006-2015. J Korean Acad Pediatr Dent, 45:215-224, 2018. https://doi.org/10.5933/JKAPD.2018.45.2.215
  3. Penchansky R, Thomas JW : The concept of access: definition and relationship to consumer satisfaction. Med Care, 19:127-140, 1981. https://doi.org/10.1097/00005650-198102000-00001
  4. Yeo JY, Jeong HS : Determinants of dental screening and unmet dental needs: interaction effect between geographical accessibility and economic affordability. Korean J Health Econ Policy, 18:109-126, 2012.
  5. Moon HJ, Lee WJ : Distributions and Characteristics of Inpatients Before and After the Introduction of Korea Express Train Using GIS Analysis - Analysis of A Hospital Inpatients. Korean Public Health Research, 36:57-65, 2010. https://doi.org/10.22900/KPHR.2010.36.2.005
  6. Shin HS, Lee SH : Factors affecting spatial distance to outpatient health services. Health Policy Management, 21:23-43, 2011. https://doi.org/10.4332/KJHPA.2011.21.1.023
  7. Kim SH, Ho SH, Chae YM, Choi KC, Kim YE : Analysis of geographic accessibility of the inpatients using GIS: case of a hospital in Kyeonggido. J Health Info Stat, 31:21-35, 2006.
  8. Kang C, Lee H, Choi H, Choi B, Son B, Lee J : The distribution of patients and treatment trends in the department of pediatric dentistry, Yonsei university dental hospital for last 5 years. J Korean Acad Pediatr Dent, 41:134-144, 2014. https://doi.org/10.5933/JKAPD.2014.41.2.134
  9. Ryu HS, Kim HS, Lee CS, Lee SH : An Epidemiologic study on the pediatric patients in department of pediatric dentistry, Chosun university dental hospital for last 10 years (1990-1999). J Korean Acad Pediatr Dent, 28:345-354, 2001.
  10. Son JM, Kim SM, Choi NK : A study on the changes in patient distribution and practice pattern for last 8 years in the department of pediatric dentistry of Chonnam national university dental hospital. J Korean Acad Pediatr Dent, 39:373-382, 2012. https://doi.org/10.5933/JKAPD.2012.39.4.373
  11. Kim HN, Lee NY, Lee SH : A study on the changes of patient distribution and treatment pattern for the last 5 years in pediatric dental practice of Gwangju. J Korean Acad Pediatr Dent, 39:348-356, 2012. https://doi.org/10.5933/JKAPD.2012.39.4.348
  12. Chang JH : Treatment barriers of special needs patients-Part 1. consideration from the perspectives of special care dentists. J Korean Assoc Dis Oral Health, 15:7-13, 2019.
  13. Korean Law Information Center : Medical Service Act. Available from URL: https://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%9D%98%EB%A3%8C%EB%B2%95 (Accessed on July 24, 2022).
  14. Health Insurance Review & Assessment Service : Searching for hospitals and pharmacies. Available from URL: https://www.hira.or.kr/ra/hosp/getHealthMap.do?tabgbn=03&WT.ac=HIRA%EA%B1%B4%EA%B0%95%EC%A7%80%EB%8F%84%EB%B0%94%EB%A1%9C%EA%B0%80%EA%B8%B0#a (Accessed on November 18, 2022).
  15. Chae JK, Song JS, Shin TJ, Hyun HK, Kim JW, Jang KT, Lee SH, Kim YJ : Regional distribution and practice pattern of pediatric dental clinics in Korea. J Korean Acad Pediatr Dent, 47:44-52, 2020. https://doi.org/10.5933/JKAPD.2020.47.1.44
  16. Cromley EK, McLafferty SL : GIS and public health, 1st ed. Guilford Press, Newyork, 18-283, 2011.
  17. Park KS, Na BJ, Lim JS : A Study on the Selection Criteria for Providing Health Care in Underserved Area. Available from URL: https://scienceon.kisti.re.kr/commons/util/originalView.do?cn=TRKO201800026834&dbt=TRKO&rn= (Accessed on November 18, 2022).
  18. Kim SH, Kim TG, Suh K : Assessment of accessibility to medical facilities in rural areas using real road distance focusing on Pyeongchang-gun. J Korean Soc Agric Eng, 57:39-49, 2015.
  19. Huisman O, de By RA : Principles of geographic information systems, 4th ed. ITC, Enschede, 1:17, 2009.
  20. Kim HJ, Hyun HK, Kim YJ, Kim JW, Jang KT, Lee SH, Hahn SH, Kim CC : A study of new-patient distribution and the motives for visiting in the department of pediatric dentistry at Seoul national university dental hospital. J Korean Acad Pediatr Dent, 38:25-32, 2011. https://doi.org/10.5933/JKAPD.2011.38.1.025
  21. Ministry of Health and Welfare : KOSIS-Korean Statistical Information Service. Available from URL: http://kosis.kr (Accessed on December, 2020).
  22. Choi EJ, Jung TR, Kim CC, Kim YJ : The changes in practice pattern and patient distribution for last 5 years (2000-2005) in the department of pediatric dentistry at Seoul national university dental hospital. J Korean Acad Pediatr Dent, 33:673-677, 2006.
  23. Ko YH, Baik BJ, Kim JG, Yang YM : A research on the evaluation of the new patients for the last 8 years in dept. of pediatric dentistry of Chonbuk University. J Korean Acad Pediatr Dent, 34:292-298, 2007.
  24. Bae C, Lee D, Kim J, Yang Y : Referral Trends of Children in Jeonbuk National University Dental Hospital for Last 3 years. J Korean Acad Pediatr Dent, 46:362-368, 2019. https://doi.org/10.5933/JKAPD.2019.46.4.362