• Title/Summary/Keyword: 치과 의료이용

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Dental Care Utilization pattern of City Residents (소도시(小都市) 주민(住民)의 치과의료(齒科醫療) 이용양상(利用樣相))

  • Park, Myung-Ja
    • Journal of Technologic Dentistry
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    • v.14 no.1
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    • pp.67-79
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    • 1992
  • This study was conducted to analyze the dental care utilization pattern of the city residents. An interview and questionnaire survey was carried for 1008 people who lived in Kimchun-city, Kyungsangpook-do, from february 1 to March 30, 1992. The summarized results are as follows : The rate of persons who experienced the oral disease was 32.7 per 100 persons during 1 year and it was highest in the age group of 20$\sim$29. During 1 year period, 90.3% of the cases had treated the perceived oral disease, 9.7% had done no action. 65.8% had treated experienced oral disease at dental clinics. The rate of person who dad experienced dental prosthesis during ten-year period was 37.5% among 18year and older, and it was higher in male as compared to female and it was highest in age group of 40$\sim$64 year old. The rate of person who had treated dental prosthetics by the unauthorized illegally was 27.0%, and the reason for it was cheap-price free(44.2%). Of the person who dad treated dental prosthetics by the unauthorized illegally, 64.3% had satisfied and 4.3% had done out of use, while each was 80.1%, 2.7% at dental clinics. The rate of persons with missing teeth was 18.0%. Of the persons with missing teeth, 57.6% did not treat the missing teeth due to economic reason and 89.6% hopped treating the dental prosthetics at dental clinics. In consideration of above finding, we may conclude that oral health community program to prevent oral diseases should be intensified, oral health education to raise oral health knowledge should be performed periodically and the control of unlicensed activities should be enforce at community health center and allows benefits for prosthetics.

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A Study on the Influencing Factors of Smoking and Oral Health in Adult Males, and Necessity of Supporting Smoking Cessation in Dental clinics (성인 남성의 구강건강 흡연영향요인과 치과의료기관의 금연지원 필요성에 관한 연구)

  • Kim, Seol-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.273-281
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    • 2019
  • The purpose of the study was to analyze smoking impact factors, knowledge about effects of smoking and effects of oral health-related quality of life. The subjects were 165 male dental clinic visitors. The survey was conducted from November to December 2018. The examinations were smoking impact factors, knowledge about effects of smoking on oral health, oral health-related quality of life, and recognition of smoking cessation support in dentistry. Survey data were analyzed using statistical programs of PASW Statistics ver. 18.0. Smoking groups were more stressful than non-smoking groups(13.0, 9.97) and drinking frequency was higher(2/week, 0.96/week)(p<0.05). Smoking had a significant correlation with stress(r= .283, p<0.001) and stress with OHIP(r= -.263, p<0.001). Regression results show that stress and frequency of drinking are significant factors(p<0.05). Smoking cessation support service was recognized by 32.9 %, but experience of service was only 19.4 %. Smoking cessation support of dentistry was answered positively by 65.5 %. The above results reveal the need for stress and drinking control, oral health education, and active support of oral health professionals for smoking cessation.

Problems of Implant Procedure and Medical Disputes (임플란트 시술의 문제점과 의료분쟁)

  • Lee, Tae-Hui;Song, Young-Ji
    • The Korean Society of Law and Medicine
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    • v.17 no.1
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    • pp.281-297
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    • 2016
  • In order to make a treatment plan and outcome prediction, it is important to evaluate accurately and objectively osseous tissues of the implant area. The evaluation of osseous tissues is the most objective method for the decision of production time of upper structure of alveolar bone. However, the evaluation of osseous tissues contains contradiction because it is made by subjective opinions of dental surgeons. Many dentists also point out the problem of subjective evaluation of osseous tissues. Therefore, it is necessary to create accurate and objective standards. Previously, the evaluation of bone density depends on dentist's subjective sensation during drilling procedure of implant. However, the HU(Hounsfield unit) figure of CT(computed tomography) scan allows of objective and precise categorization of bone density now. Misch and Kircos divided the bone density levels from D1 to D5 with subjective separation of bone density. Their method also depended on not objective and quantification data but subjective separation by sensation. Thus, we need the evaluation of implant area through comparative analysis of more objective and quantification data. Implant treatment comprises the highest frequency of medical disputes of dental clinic. If we bring objective checkup and reasonable treatment method in the implant treatment, we can deduce more reasonable results, and the failure late of implant treatment also can decrease. The ultimate objective of this study is the minimization of dental disputes between dental patients and dentists by creating new legal standards on the basis of objective and quantification data.

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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.

Changes in dental care utilization and expenditure by the expansion policy of the health insurance coverage : Korea Health Panel Survey 2012-2016 (건강보험 보장성 확대정책에 따른 치과 이용 및 의료비 지출 변화 : 한국의료패널(2012-2016)을 이용하여)

  • Seo, Hye-Won;Kim, Young-Sil
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.5
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    • pp.611-621
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    • 2020
  • Objectives: This study aimed to verify the impact of dental health care insurance coverage policy by analyzing the changes in dental care utilization and expenditures over 5 years from 2012 to 2016, when the dental health insurance coverage expansion policy was implemented. From the national cohort data collected by the Korea Health Panel Survey, a retrospective study was conducted for all household members using dental services. Methods: This study statistically verified the difference in the dependent variables by frequency analysis, chi-square test, t-test, and one-way analysis of variance (SPSS version 22, IBM Co. USA, p<0.05). Results: The annual utilization rate steadily increased from 23.4% to 26.1% between 2012 and 2016. Although there were differences in utilization rates by gender, age, and income level, patients kept using the dental services in 2016 regardless of the type of health insurance. The average annual copayment for patient expenditures (out-of-pocket amount) increased from ₩463,844 to ₩537,401 in 2012 and 2016, respectively. Of the dental care expenditures over 5 years, the ratio of uninsured expenses by the elderly decreased from 38.5% to 25.9%, and the national health insurance service coverage increased from 40.3% to 49.1%. Conclusions: Although this policy did not reduce overall patient expenditures, it has been found that there was a positive effect on the elderly and low-income groups; it increased the utilization and access to dental services.

A Study on Behavior and Attitude of Pediatric Handicaps in Dental Facilities (치과이용 장애인들의 구강보건 행동과 태도에 관한 연구)

  • Nam, Sang-Bun;Han, Yang-Keum
    • Journal of dental hygiene science
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    • v.1 no.1
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    • pp.39-45
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    • 2001
  • This study is based on the survey conducted on handicaps in randomly chosen 6 welfare facilities and medical institutions located in Seoul and Kyonggi-do. This survey has been conducted from September 20 and October 23, 1999. The results of this study are as follows: (1) 49.7% of individuals have answered that their dental health are not well maintained. (2) The number of brushing activity per day varied according to different physical and mental condition of each individual. (p<0.05) (3) 56.7% of people have answered that they have no experience with scaling. (4) 58.9% of people have answered that they have experienced toothache and gum bleeding problem. (5) 64.4% of individual have answered that they would like to attend seminars on maintaining dental health. (p<0.05) (6) 65.1% of individual infrequently visit to dental facilities. (7) 41.6% of individual possess health care card. (8) 61.8% have answered that disabilities and dental health are closely related. (p<0.05)

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The relationship between dental care needs and dental service use in Korean elderly (한국 노인의 치과 의료 필요와 치과 서비스 이용의 관련성)

  • Park, Min-Sun;Choi, Bo-Youl;Kim, Yu-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.6
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    • pp.819-829
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    • 2020
  • Objectives: This study aimed to assess the relationship between dental care needs and dental service use in Korean elderly. Methods: Using the sixth Korea National Health and Nutrition Examination Survey, from 22,948 individuals, 1,572 (male 701, female 871) elderly individuals aged above 65 years were included in the study. All analyses were stratified by sex. Results: In males, the group with subjective needs was 3.74 (95% confidence interval [CI]: 2.58-5.41) times more likely to use dental services than the group without subjective needs. For females, the group with subjective needs was 2.17 (95% CI: 1.57-2.98 ) times more likely to use dental services than the group without subjective needs. Conclusions: To conclude, the elderly with symptoms, used the dental services for pain relief and functional recovery. Fundamental efforts to improve oral health are needed, such as providing treatment, prevention and educational services, besides efforts to provide treatment-oriented dental services. Further research is needed for the middle and elderly individuals who are in the blind spot of the existing policy.

Analysis of the perception degree on dental medical accident and dispute experience, psychological status and preventive education according to clinical career of dental hygienist (일부지역 치과위생사의 임상경력에 따른 치과 의료사고 및 분쟁 경험, 심리상태, 예방교육에 대한 인식정도 분석)

  • Yoon, Na-Na;Lee, Myung-Ju;Seong, Mi-Gyung
    • Journal of Korean Academy of Dental Administration
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    • v.5 no.1
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    • pp.13-21
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    • 2017
  • Objective: To understand the experience of medical accidents and disputes according to clinical career of dental hygienists. Methods: A self-administrated questionnaire survey was conducted from May 2012 to June 2012 targeting 313 dental hygienists in Gyeongsangnam-do, Republic of Korea. Data were analyzed by descriptive analysis, χ2-test, and one-way analysis of variance (ANOVA). Collected data were analyzed using SPSS 18.0. Results: 1) The group who had more than 6 years of clinical experience experienced complaints from patients (70.3%) and dental hygienists duty (30.7%); 2) Complaints were related to diagnosis, dental treatment instruments and materials, scaling, impression preparation, and prosthodontics. Pediatric patients had significantly more complaints compared to other patients. Overall, there were more frequent cases in the group with over 6 years of clinical career; 3) For the psychological state after experiencing patients' complaints, 'the process is difficult, but I forget after thinking it could be happen' had 160 respondents. Among them, 38.1% had clinical experience of more than 6 years, 37.5% had less than 3 years, and 24.4% had clinical career of 3~6 years; 4) About 73.6% of those had 3~6 years of clinical career answered that 'sometimes it is doubtful' on the issue of medical accidents and conflicts on prevention education of dental hygienists that 'there is a doubt about the issue of medical treatment or the occurrence of disputes'. About 60.0% of those who had less than 3 years of clinical experience answered that it was highly 'necessary but not urgent' on the necessity of preventive education, while 87.1% of those who had more than 6 years of clinical career answered that it was highly 'necessary but not urgent' on the necessity of preventive education. The difference between the two was not statistically significant. Conclusions: It is necessary and urgent to provide education related to prevention and countermeasures against malpractice disputes for dental hygienists.

Importance and Influence in Factors of Selecting Dental Clinics in Some Regions (일부지역의 치과병·의원 선택요인의 중요도와 영향)

  • Chun, Ae-Jong;Lee, Ka-Yean
    • Journal of dental hygiene science
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    • v.10 no.1
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    • pp.45-54
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    • 2010
  • The purpose of this study was to offer the importance on factors of selecting dental institution according to general characteristics targeting general dental patients, and the information of having important influence upon choosing dental clinic and dental hospital. The survey was carried out from August 2009 to September. As a result of analyzing SAS(ver 9.1), the following conclusions were obtained. In the importance on factors of selecting dental institution according to general characteristics, it was thought to be important in convenience of movement or mobility such as distance, transportation, and parking convenience according to age level. According to final academic background, the importance in a factor of rumor in dental clinic was high(p < 0.05). According to job, the significant difference was shown in rumor of dentistry and parking convenience(p < 0.05). According to income, the factor in the appearance of training a medical specialist was indicated to be statistically higher in the group with over 5 million won than the group with under 2 million won(p < 0.05). Given seeing the distribution of opinion about dental hospitals (comparison with dental clinics), the excellence in the medical staff's ability was indicated to be the highest in all of the factor of influencing the use satisfaction(${\beta}=0.18$), the factor of influencing the recommendation level(${\beta}=0.21$), and the factor of influencing the re-use intention(OR=2.09).

The knowledge and Attitudes about AIDS using Social Networking Services surveys for Department of Some Dental Hygiene Students (SNS 설문을 이용한 일부 대학 치위생(학)과 학생들의 AIDS에 대한 지식과 태도)

  • Choi, Young-Suk;Jun, Bo-Hye;Seong, Jeong-Min
    • The Journal of the Korea institute of electronic communication sciences
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    • v.13 no.2
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    • pp.487-496
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    • 2018
  • The person who knows inaccurately about AIDS is less favorable to AIDS infectee, and the low level of knowledge as to AIDS and negative attitude cause bias and stigma of AIDS infectee to act as a social exclusion mechanism to impede early discovery or early treatment of the disease. As the level of knowledge as to AIDS affect the attitude of AIDS, so this study was tried to make use of basic data to develop education program that may help AIDS infectee and prevention of infection who visit dental clinics in the future by grasping the level of knowledge of the students of the dept. of dental hygiene as to AIDS and the attitude for the infectee. The collected the data subject to 360 students. The investigated data used statistic program SPSS 22.0 (SPSS Inc, Chicago, IL, USA) to calculate general characteristics by frequency and percentage, and for the attitude towards AIDS using Social Networking Services surveysinfectees and testing hypothesis of Duncan, Scheffe to see which groups show the difference in the practice level of infection management.