• Title/Summary/Keyword: 치과의료 질관리

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Analysis of trends in the dental care quality improvement contests (치과 의료의 질 향상(Quality improvement) 경진대회 경향 분석)

  • Hwang, Soo-Jeong;Shin, Hosung;Kim, Jin;Kim, Myoung-Hee;Ahn, Eunsuk
    • Journal of Korean Academy of Dental Administration
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    • v.9 no.1
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    • pp.38-43
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    • 2021
  • Based on data from the Korean Academy for Dental Administration, which has been conducting the Dental Quality Improvement (QI) Contest since 2010, we aimed to provide basic data for the development of dental quality improvement indicators by analyzing the trends of dental quality improvement activities. A total of 54 articles in the dental QI contest from 2015 to 2021 were used to search for frequently used words and to classify the quality of dental care. The criteria for the quality dimension of dental care were first classified into structure, process, and outcome, and secondary classification was performed into patient safety, timeliness, patient-centeredness, equity, efficiency, effectiveness, and accessibility. The frequently used key terms were satisfaction (five times), efficiency (four times), system (three times), and implant (three times). The activities for process evaluation were high at 62.26%, structural evaluation activities at 35.85%, and outcome evaluation activities at 1.89%. According to the components of dental care quality improvement, the activity performed under efficiency was the highest (33.96%), followed by patient-centeredness (18.87%), effectiveness (16.98%), patient safety (15.09%), accessibility (5.66%), timeliness (1.89%), and the equity (1.89%). QI activities in dental hospitals were mainly activities on improvement in structure and process, as well as activities on efficiency, patient-centeredness, effectiveness, and patient safety.

Development of antibiotic prescription guidelines for antibiotic prescription quality management (항생제 처방 질 관리를 위한 항생제 처방 지침의 개발)

  • Kim, Hyesung;Oh, Jeongkyu
    • Journal of Korean Academy of Dental Administration
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    • v.5 no.1
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    • pp.45-54
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    • 2017
  • The purpose of this article is to cope with the abuse of antibiotics in the clinic, to determine the necessity of antibiotic administration, to share information on the selection and proper use of appropriate antibiotics, and to increase the appropriateness of antibiotic prescription through continuous monitoring. In line with the latest research and guidelines trends of various agencies, we will supplement the antibiotic prescription guidelines and use them for the treatment in Apple Tree Dental Hospital. Specially, by history taking and the penicillin allergy test, amoxicillin is prescribed as a primary selective antibiotic for 1 day. The complaints and treatment effects of the first antibiotic should be evaluated at the next visit. If the primary antibiotic was ineffective, we replaced it with a broad-spectrum antibiotic. If there was no improvement in symptoms, the patient would be referred to upper grade hospital. The staff of the Apple Tree Dental Hospital regularly monitored and educated antibiotic prescriptions. The current guidelines should be supplemented continually and positively affect the abuse of antibiotics and the habit of dental practice.

A study on care, infection management and education for quality management of dental care of elderly patients by dental hygienists (치과위생사의 노인환자 치과치료 질 관리를 위한 케어, 감염 관리 및 교육에 관한 연구)

  • Hye-Mi, Lee;Seol-Hee, Kim
    • Journal of Korean Academy of Dental Administration
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    • v.10 no.1
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    • pp.22-32
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    • 2022
  • This study investigated factors affecting care for elderly patients, management of systemic disease, infection management, improvement of medical care quality, and educational requirements, and provide basic data for quality care for elderly patients with systemic diseases. An online survey was conducted among dental hygienists working at dental institutions and data of 172 individuals were analyzed using the SPSS 21.0 program. Descriptive statistics was performed for general characteristics. For factor analysis by general characteristics, t-test and ANOVA were performed. For differences between groups Scheffe verification was performed. A correlation analysis between factors was performed using Pearson's correlation analysis, and a factor analysis affecting the improvement of healthcare quality was performed using multiple linear regression analysis. Care for elderly patients was 52.33/75, management of systemic disease was 12.65/17, and infection management was 96.92/130. Improvement of medical quality (institutional effort) was 22.87/35, and improvement of medical quality (personal effort) was 22.72/35. The most common educational needs were "necessary". Analysis revealed a positive correlation between factors.. Factors affecting improvement of medical quality (personal effort) were age, final academic background, place of work, and the presence or absence of annual medical examinations. The findings of this study indicate that there is a significant correlation between factors. For the qualitative care of elderly patients, education programs related to elderly characteristics, systemic diseases, and infection management should be actively conducted by dental hygienists, and interest and research on geriatric dental hygiene is needed, centering on associations and educational institutions.

Changes in occlusion of indirect restorations according to universal adhesives (범용 상아질 접착제에 따른 간접 수복물의 교합 변화)

  • Byun, Ji-Eun
    • Journal of Korean Academy of Dental Administration
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    • v.9 no.1
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    • pp.7-13
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    • 2021
  • The present randomized controlled trial aimed to evaluate changes in occlusion of indirect restorations before and after attachment using resin cement according to universal adhesives. This study included patients who underwent indirect restoration treatment at the Yonsei University Dental Hospital between April and October 2016. Universal adhesives requiring light curing and those not requiring light curing were used in this study. Changes in occlusion before and after adhesion of the indirect restoration were evaluated using articulating paper and shimstock as well as through the discomfort felt by the patients. To analyze the differences between the universal adhesive, Fisher's exact tests were performed using SPSS ver. 22.0 software. Of the 39 cases of indirect restoration, 29 were included in the study. A change in occlusion after adhesion of the indirect restoration was observed in only one case of universal adhesive that required light curing. The patient felt that the occlusion increased after the attachment of the restoration, and it was observed that the occlusion point was different from that before attachment. However, the results of the analysis were not statistically significant. Based on the findings, the universal adhesives did not affect the occlusion before and after indirect adhesion restoration using RelyX Ultimate.

Response Bias and Reliability of Patient Satisfaction Survey (환자만족도 조사의 응답편견과 신뢰도)

  • Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.3 no.2
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    • pp.83-88
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    • 2003
  • Patient satisfaction is now recognized as a outcome indicator of health care quality. The objective of this research was to evaluate a patient satisfaction survey instrument specially applicable to dental care, and to examines the reliability and the effect of response biases on reported satisfaction. The acceptability of satisfaction as a quality indicators was qualified by several measurement problems. The patient questionnaire was administered in four different study samples to examine the consistency of data. Cronbach's alpha was used as the measure of internal consistency. A aquiesent bias was found in the sample of 80(20%) respondents. Response biases affacted level of measured satisfaction. Highly acquiesent respondents were older, less well educated than nonaquiesent subject.

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A Convergence Study on the Effects of Workplace Spirituality on Infection Control Knowledge, Performance, and Job Stress of Dental Hygienists in the COVID-19 Pandemic (일터 영성이 COVID-19 팬데믹 상황에서 치과위생사의 감염관리 지식, 수행과 직무 스트레스에 미치는 영향에 관한 융복합 연구)

  • Kim, Seol-Hee
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.231-238
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    • 2022
  • This study aimed to analyze the Influence of workplace spirituality on job stress and infection control performance of dental hygienists in the COVID-19 pandemic situation Questionnaire was conducted for 149 dental hygienists from February to March 2021. COVID-19 knowledge and practice of infection control, job stress. and workplace spirituality. Survey data were analyzed t-test, ANOVA, Pearson's correlation using statistical programs of PASW Statistics ver. 21.0. Workplace spirituality was investigated to increase infection control performance and reduce job stress in a pandemic situation. The group with high infection control knowledge and performance showed low levels of job instability, organizational system, and stress. As for job stress, those with less than 2 years of experience reported relationship conflict, those with 3 to 5 years of experience showed high levels of job instability, organizational system, inadequate compensation, and workplace culture. In a pandemic situation, workplace spirituality was investigated to increase infection control performance and reduce job stress, so a plan to improve the quality of medical care was required for holistic and systematic organizational operation in preparation for the post-coronavirus.

A Study on the Working Environment of Dental Hygienists Residing in the Gwangju Area (광주지역 근무기관별 치과위생사의 근무환경에 관한 연구)

  • Shim, Hyung-Soon;Lee, Hyang-Nim
    • Journal of dental hygiene science
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    • v.8 no.3
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    • pp.131-137
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    • 2008
  • This study generally was examined and grasped the working environment of dental hygienist working dental hospitals(clinics) located in the Gwangju area. The findings of the research were listed in the following: First, regarding the total work experience of subjects, less than 36 month accounted for the most percentage(39.9%). According to a working place, more than 61 month accounted for 50.0% in general hospitals, less than 36 month for 51.3% in dental hospitals and less than 36 month for 39.9% in dental clinics(p < 0.001). Secondly, regarding working day by working place, 5 days accounted for 95.0% in general hospitals and for 82.1% in dental hospitals and more than 6 days for 97.7% in dental clinics. Regarding a working hour, more than 9 hours accounted for 85.0% in general hospitals, 92.1% in dental hospitals, and 63.2% in dental clinics(p < 0.001). Thirdly, regarding special and differential treatment for long-term workers by working place, giving an allowance accounted for 50.0% in general hospitals, opportunities for holiday, travel and promotion opportunity for 56.4% in dental hospitals, and no special and differential treatment for 56.8% in dental clinics(p < 0.001). Fourthly, regarding monthly net pay associated with the total working years, less than 1.10 million won accounted for 60.6% in less than 36 month, 1.31~1.60 million won for 41.5% in 37~60 month, 1.31~1.60 million won for 42.0% in more than 61 month(p < 0.001).

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Oral health of Chinese students in Korea by behavior of oral care (국내 중국인 유학생의 구강건강관리행태에 따른 구강건강 삶의 질)

  • Shim, Jae-Suk;Lee, Mi-Ra;Kang, Yoon-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.343-350
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    • 2016
  • To prepare a method for improving the oral health-related quality of life for Chinese foreign students by examining the oral health care behavior affecting the oral health-related quality of life, a self-administered survey was conducted with 236 Chinese foreign students at an university located in Jeonbuk during April 2 -May 5, 2013. The results showed that 65.3% had not visited the dentist within one year, 82.6% had not received scaling within one year, and 68.2% had not received oral health education. In regards to the OHIP-14 according to the general characteristics, there was a significant difference in the school year, health insurance enrollment status and overseas study life satisfaction (p<0.05). In regards to the OHIP-14 according to the oral health care behavior, there was a significant difference in the subjective oral health condition, the experience of having visited a dentist within one year and an experience of having received scaling (p<0.05). As for the influencing factors on the oral health-related quality of life, they were found to be the subjective oral health condition and the experience of having received scaling within one year (p<0.05). For the purpose of helping Chinese foreign students to conveniently use medical institutions when oral health-related problems arise, there is a need for a translated version of the guidebook in their native language, the availability of medical professional interpreters, the availability of a university level oral health service center, and practical oral health education to enhance oral health.

Comparison of depression and oral health-related quality of life between the military personnel and public (군인과 일반인에서의 우울감과 구강건강관련 삶의 질 비교분석)

  • Kim, Myoung-Hee;Hwang, Young Sun;Kim, Tammy;Baek, Seol-Hwa;Lee, Ju-Hyun;Lee, Kyung-Ae
    • Journal of Korean Academy of Dental Administration
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    • v.7 no.1
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    • pp.29-38
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    • 2019
  • The goals of this study were to investigate depression and oral health-related quality of life in the military and public and to identify the factors affecting depression. The respondents were 278 soldiers and 228 general people of similar ages. An independent t-test was used to examine the differences between the two groups in the oral health impact profile and Self-rating Depression Scale. A multivariate logistic regression analysis was performed to examine the factors associated with depression in soldiers and the public. The depression level was significantly higher in the general population than in the military personnel (p<0.001). In contrast, the oral health-related quality of life was better in the general population than in the military, but without a statistical significance (p=0.056). Among soldiers, the military rank was the only factor associated with depression, showing a gradient based on the rank. In the general population, the type of work displayed significant associations with depression. As there are some limitations to investigating the factors affecting depression, comparative analyses of the general population groups with similar soldier groups are rare. This study encourages future investigations of the advancements in mental health and improvement programs for oral health in each group.

Development of Dental Calculus Diagnosis System using Fluorescence Detection (형광 검출을 이용한 치석 진단 시스템 개발)

  • Jang, Seon-Hui;Lee, Young-Rim;Lee, Woo-Cheol
    • The Journal of the Korea institute of electronic communication sciences
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    • v.17 no.4
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    • pp.715-722
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    • 2022
  • If you don't regularly go to the dentist to check your teeth, it is difficult to notice cavities or various diseases of your teeth until you have pain or discomfort. Dental plaque is produced by the combination of food or foreign substances and bacteria in the mouth. Starch breaks down from the bacteria that form tartar. The acid that occurs at this time melts the enamel of the teeth and becomes a cavity. So tartar management is important. Poppyrin, the metabolism of bacteria in the mouth, reacts at 405 nm wavelengths and becomes red fluorescent, which can be seen by imaging through certain wavelength filters. By the above method, Frag and tartar are fluorescently detected and photographed with a yellow series of filters that pass wavelengths of 500 nm or more. It uses MATLAB to detect and display red fluorescence through image processing. Using the difference in voltage between normal teeth and tartar through an optical measuring circuit, it was connected to an Arduino and displayed on the LCD. This allows the user to know the presence and location of dental plaque more accurately.