• Title/Summary/Keyword: 치과의료 서비스

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보건의료서비스 시장개방 논의에 대한 치과의사 견해 조사연구(下)

  • Jeong, Se-Hwan;Yang, Seung-Uk;Kim, Cheol-Sin;Kim, Yeong-Nam;Jeon, Yang-Ho
    • The Journal of the Korean dental association
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    • v.40 no.8 s.399
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    • pp.598-614
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    • 2002
  • 2001년 카타르 도하에서 열린 세계무역기구(WTO)의 각료회의 결과 2005년까지 보건의료 서비스분야의 시장개방 논의를 마쳐야 한다. 이에 국내 의료계는 의료공동대책위원회를 구성하여 대응방안을 모색하고 있으며, 치협도 특별위원회를 구성하여 국민 구강보건에 최선의 방향을 찾기 위해 노력을 하고 있다. 그런 노력의 일환으로 치협은 치과의사들이 현 의료시장 개방이라는 명제 앞에서, 얼마나 처해진 상황을 잘 파악하고 있으며 무엇을 원하는 가를 알기 위해 회원들의 의견을 물었다. 이번 호와 다음 호에서는 치협이 지난 4월에 회원 및 치대생 등에게 설문 조사한 결과를 중심으로 모아진 회원들의 견해를 중심으로 구강보건정책연구회에서 발표한 자료를 게재한다.

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A Study of the Health and Medical Manpower Policy - The Case of dental Technicians - (의료인력(醫療人力)의 수급정책(需給定策) 개선방안(改善方案)에 관한 연구(硏究) - 치과기공사(齒科技工士) 분야(分野)를 중심(中心)으로 -)

  • Roh, Jae-Kyung
    • Journal of Technologic Dentistry
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    • v.17 no.1
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    • pp.82-108
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    • 1995
  • 인력은 한 사회에 있어서 자본을 축적하며 자연자원을 개발하고 사회 경제 정치적 조직을 성장시키는 변화요인으로, 인간을 중심으로 하는 사회경제적 자원을 종합적으로 지칭하는 말이다. 이렇게 국가 사회가 필요로 하는 인력을 정부가 적절히 계획하여, 형성시키며, 배분 및 활용하는 문제를 논리적이고 일관성 있게 다루는 것을 인력정책이라 한다. 이러한 거시적이고 대 사회적인 정부의 인력정책은 국민의 건강과 생명을 보호하기 위한 보건의료 서비스를 제공해야 하는 의료인력을 대상으로 하는 경우 그 중요성이 더욱 특별하다 할 것이다. 국민에 대한 보건의료 서비스는 훈련된 보건 인력에 의해서 제공되며, 국가의 인력정책의 결과로 나타나는 보건의료인력 공급의 적합성은 인력의 불균형이라는 개념들을 통해서 검토될 수 있다. 의료인력의 불균형이라 함은 의료인력의 수, 종류, 기능, 분포, 질 등과 의료서비스에 대한 국민의 전체적 요구에 대응하여 정부가 생산하여 채용, 지원, 유시할 수 있는 정부 능력의 한계를 의미한다. 다시 말해서 국민에 대한 의료서비스의 적정화는 잘 훈련된(well qualified) 의료인력이 충분히 공급되어야(adequately supplied) 하고, 또한 적절히 분포되어야(well distributed) 한다는 양적, 질적, 그리고 분포의 세 가지 측면에서 살펴볼 수 있다. 질적, 양적, 그리고 분포의 불균형이라는 범주를 통하여 살펴본 치과기공사 분야의 인력정책에 대한 연구 결과와 개선방안은 다음과 같다. 첫째, 수적 불균형의 면에서 치과기공사의 인력은 1970년대 중반이래 계속 과잉 공급되어 왔으며, 이에 대해 정부는 그동안 소극적으로 대처하므로 과잉공급을 가속시켜왔다. 따라서 이러한 과잉공급을 최소하기 위해서는 치과이용에 대한 수요의 확장, 무면허자의 취업규제단속 및 대학의 치과기공학과 정원 축소 등을 생각해 볼 수 있다. 이러한 외형상의 과잉공급에도 불구하고 현업에 종사하는 실제인력은 수용에 비해 부족한 과소 공급현상을 빚고 있다는 점이 문제이다. 이러한 역설적인 현상을 타파하기 위하여 무면허자의 적발을 위시한 제도적 장치가 마련되어야 한다. 둘째, 질적 불균형은 수적 과잉공급에 의한 취업률 저하로 인한 실력 있는 전문인력 확보의 어려움과 전문 교육인력 및 교육시설의 열악한 조건이 원인으로 지적될 수 있으며, 이에 대한 해결방안으로 적절한 인력수요의 조절과 교육인력 및 시설 여건의 향상이 요망된다. 예컨대 3년제로 되어있는 학제를 4년제로 상향조정하는 방안을 고려할 수 있다. 세째, 치과기공사 분야의 인력분포 불균형은 그다지 심각하지는 않은 것으로 나타난다. 그러나 변화하는 소득수준과 사회환경은 의료인력과 균등한 지역적 분포에 대해 지속적인 관심을 가질것을 요청한다고 할 것이다. 이를 위하여 현재의 공중보건의 제도처럼 치기공 분야의 인력을 무의촌지역에 배치하여 공익요원으로 봉사케 하는 제도를 생각해 볼 수 있다.

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Satisfaction with Dental Care in Orthodontic Patients (치열 교정환자의 치과 의료서비스 만족도에 관한 연구)

  • Kim, Jeong-suk;Yoo, Mi-seon;Ju, On-ju
    • Journal of dental hygiene science
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    • v.6 no.3
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    • pp.207-212
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    • 2006
  • In parallel with social and economic progress, motives of patients to consult dentists have increased and diversified. An increasing number of people visit dental clinics to improve their facial appearance and masticating functions deteriorated largely due to malocclusion. There is also greater interest in and concern as well as demand for teeth alignment treatment among people. Under this situation, it is required to find and suggest ways to enhance quality and profitability of dental care in view of managerial needs for dentists to cope with changing circumstances. This study, thus, aims to measure satisfactions of orthodontics patients and to determine the elements influencing their satisfactions. For this aim, a survey was performed for 20 days from March 7th to 26th, 2005 by means of questionnaires distributed to randomly selected samples, resulting in following conclusions: 1. From comparison of satisfactions with dental service by their elements, higher satisfaction was reported from orthodontics patients in the element of dental hygienists(4.21). Least satisfaction, however, was found in the procedure for treatment and waiting hours(3.73). 2. By gender, male orthodontics patients turned out to be more satisfactory with dental service than females. In terms of intention for return visits, both male and female orthodontics patients showed higher satisfaction than non-orthodontics ones. 3. As for satisfaction with dental service by age of orthodontics and non-orthodontics patients, with regard to intention for return visit, orthodontics patients of all ages showed to have higher grade of satisfaction. 4. Regarding satisfaction with dental treatment by orthodontics and non-orthodontics patients by monthly income, Dental hygienist with intention for return visit, the higher the satisfaction of orthodontics patients. 5. In regard to satisfaction with dental treatment by education, higher satisfaction was expressed by orthodontics patients with elementary school education kept dentist, dental hygienist and internal and external environments. As a result from this study, we knew that dental service of the orthodontics patients is higher satisfaction than that of the non-orthodontics patients.

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Convergence study of long-term care insurance system for elderly of awareness of middle-aged people and demand for dental services in the system (한국 중년층의 노인장기요양보험제도에 대한 인식과 구강보건진료에 대한 요구의 융합 연구)

  • Park, Jeong-Ran;Youn, Mi-Sun;Choi, Yu-Ri
    • Journal of the Korea Convergence Society
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    • v.9 no.7
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    • pp.95-103
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    • 2018
  • The purpose of this study was to awareness of dental care services in the elderly long-term care insurance system and retirement preparation of middle-aged people. The survey respondents had a 56.1% saving for old age life, And showed a tendency to they don't like depend on one's family(41.8%), elderly care was intended to use facility services and nursing care. 36.7% of respondents answered "I know a little" about the system. Also, the need for dental care services within the system was high (98.5%), If the service is provided, 92.3% of the respondents said that they would participate, otherwise unrecognized rate of dental care services in long-term care insurance was 85.2%. Therefore, it is necessary to expand the awareness of the part of dental care service in the system. The results of this study can be used as basic data for the improvement of the system of dental care services in long-term care insurance for elderly.

치과의료 전산화 정보기술과 서비스의 변혁

  • An, Jeong-Mi
    • The Journal of the Korean dental association
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    • v.36 no.10 s.353
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    • pp.691-696
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    • 1998
  • 지난 4월 제47차 정기대의원총회에서 정보통신위원회 신설에 대한 승인으로 치협 내에 정보통신위원회가 신설됐으며 서울지부에서도 정보통신부가 설립돼 이제는 치과계도 바야흐로 정보화 시대로 접어들게 됐다. 보건복지부와 의료보험연합회 역시 EDI 방식인 통신을 이용한 의료보험 청구를 적극 권장하고 있어 의료계에서도 컴퓨터를 활용하는 분야가 점차 확대될 전망이다. 개원가에서는 의료보험청구 외에도 덴탈 비전이나 디지털 엑스레이를 네트워크화 하여 활용하고 있으며 대학의 치과병원이나 종합병원 치과에서는 OCS(order communication system)와 PACS(picture archiving & communication system))를 중심으로 전산화 작업을 추진하고 있다. 컴퓨터 없이는 생활할 수 없는 현실 앞에서 치과계에는 전산화가 어느 정도 이루어졌는지 살펴보고 단국치대 교정과 김창환 레지던트의 글을 통해 교정분야에서 컴퓨터가 어떻게 활용되고 있는지에 대해 알아본다.

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Medical Service with Design (의료 서비스와 디자인)

  • Choi, Won-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.4
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    • pp.473-479
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    • 2016
  • In connection with medical care, designs have been developed by forming relationships, typically supporting Visual Communication Design, Product Design and Environment Design healthcare environment aesthetically pleasing and convenient. However, in recent designs, expertise has increased, new areas specialized are merged with various areas and academic disciplines and subdivided. In addition, due to the development of technology, the design has been continuously changing, creating a new form of model by fusing with various industries, academics and services. Recognizing the changes and developments of these designs, we are promoting research on utilization of design in medical services, we can create a new value by getting out of design that we have limitedly used in areas of traditional design I will try to know about developing into a design.

Factors Affecting the Satisfaction Level of Orthodontic Patients with Dental Service (교정환자의 치과의료서비스 만족도에 영향을 미치는 요인)

  • Lee, Ka-Yean
    • Journal of dental hygiene science
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    • v.9 no.1
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    • pp.1-8
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    • 2009
  • The purpose of this study was to examine the satisfaction level of orthodontic patients with medical service in a bid to provide information on the diverse needs of orthodontic patients and the improvement of the competitiveness of dental institutions. The subjects in this study were 226 orthodontic patients who visited Y and B dentist's offices respectively located in Busan and Daegu. A survey was conducted from December 3 to 20, 2008, and SPSSWIN 14.0 program was utilized to analyze the collected data. The findings of the study were as follows: 1. As to the reason why they chose the dentist's offices, the greatest group made that choice through the recommendation of people around them(50.7%). Approximately half them(47.8%) tended to talk about grievances when they had any, and the greatest group(58.3%) expected to have a regular set of teeth when they received orthodontic treatment (58.3%). And the largest group(80.9%) expected that treatment to improve their oral health a lot. The greatest group(70.6%) wanted to receive whitening treatment after completing orthodontic treatment. 2. As to factors significantly affecting their satisfaction level with treatment service, satisfaction level with the employees(dental hygienists) had the most significant impact, followed by satisfaction with amenities, medical fee, dentists and friendliness. 3. Their satisfaction level with medical fee exerted the most influence on intention of Recommendation offices they visited to others, followed by satisfaction with dentists and employees(dental hygienists).

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Effect on the Job Accomplishment of Coordinator at Dental Clinics (치과 코디네이터의 업무수행 효과 분석)

  • Im, Bock-Hee;Jung, Yeoun-Hwa;Kim, Hye-Sook
    • The Journal of the Korea Contents Association
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    • v.10 no.11
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    • pp.189-197
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    • 2010
  • The purpose of this study is to promote efficiency of hospital management with customer satisfaction by understanding qualitative system about more systemic hospital service coordinator's job under analyzing the satisfactory degree and coherence of hospital service coordinator's job because of increase of customer need level by medical environment improvement and the variety of offering method of medical service. I allocated a questionnaire per each dental clinic at total 226. According to the study results stated above, generally necessity on employment of a coordinator appeared high and to the necessity, I considered that a dental clinic coordinator's job must strengthen the role for going still more to customer with discriminated mind and service not simple kind service to medical consumer, with establishing more systematic and realistic educational culture in qualification and educational department of a dental coordinator. Also a dental coordinator must be changed to promote customer satisfaction and efficiency of hospital management by more systematic business assignment and role establishment.

A study on the gratification of the patient in the Dental Hospital (치과병원 내원환자의 만족도 조사분석)

  • Kim, Min-Young;Lee, Keun-Woo;Moon, Hong-Suk;Chung, Moon-Kyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.1
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    • pp.65-82
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    • 2008
  • Statement of problem : Today's market economy has been changed more and more to consumer concerned. It is owing to not only consumers ' rising standard of living and education, but also purchasers' easy accessibilities to products through various mass media. The consumer centered market system, where customer can choose items with diverse alternatives to satisfy their self esteem, is also applied to the field of medical business, and accelerated by an increasing income level of shoppers and introducing the whole nations' medical insurance system. Today, the medical industry has become competitive due to increasing number of medical institutions and medical personnel, and this offers wide choices to consumers in the medical market place. At this point of time, it is essential to survey on the primary factor of gratification for the patient in the Dental clinic, as well as on the problems and suggestions in medical service. Purpose : The analysis in this study shows essential factors and expected influential elements in satisfaction of the patient in the Dental Hopsital, and strategic suggestions for the provider of dental service, which can be of benefit to the prospective customer as well as can make improvement in the quality of dental treatment service. Material and method : This study had been researched by collecting and analyzing the organized questionnaires, which were filled in directly from 784 patients, who visit Dental Hospital, Yonsei University in Seoul, from January 23rd to April 15th. Result : It can be summarized like the followings. 1. The social and demographical peculiarities of respondents are as follows. Samples of gender and marital status are adequately extracted, but data on occupation and treatment are are under a bias toward students, undergraduates and graduate students, and orthodontics. 2. 74% of patients who answer the questionnaire were highly satisfied with the service of dental clinic in the section of overall satisfaction. 3. The survey result about specific service of dental treatment, within sections of independent variables, is like the followings; Patients are highly gratified with service system, kindness, explanation, explanation on expected waiting hours, reservation system, emergency measures, expert treatment, existence of knowledge of dentistry, size of hospital, disinfection, equipment and parking, but lowly satisfied with expense of treatment, preparatory hours for treatment, waiting hours, treatment hours and the period of subscription. 4. The correlation analysis showed that there is no significant linear relationship between the independent variables. 5. The probit regression analysis showed that 8 out of 34 independent variables explained the dependent variables at the level of 0.01. 6. It shows that 8 independent variables, which can affect customers 'satisfaction, are clearing up of inconvenience, service system, kindness, explanation, treatment hours per attendance, reservation system, existence of knowledge of dentistry, and contentment of equipment in the hospital. Conclusion : The consumer's satisfaction totally relies on subjective evaluations of customers. Providing appropriate service, which can meet the criteria for the customer who demands various wares, pursues luxury goods, and expects high quality of medical service, is essential to fulfill patients' satisfaction. Many medical institutions do their best to satisfy their customer, touch their consumer, and offer patience centered services, and it is also applied to the field of dentistry. Establishing brand new strategic managements and elevating the quality of dental service based on this survey are required to improve the satisfaction of patience in the Dental Hospital.