• 대한임상검사과학회지
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• 제47권4호
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• pp.279-285
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• 2015

본 연구는 경기도와 인천지역의 치과 병원급 19개 기관, 의원급 28개 기관 진료실의 유닛체어 등받이, 라이트 손잡이, 타구대 표면의 검체를 채취하여 실험하였다. 우선 치과 진료실 내 표면의 세균수는 타구대 $44.82{\times}10^3CFU/mL$, 라이트 손잡이 $5.47{\times}10^3CFU/mL$ 유닛체어 $16.28{\times}10^3CFU/mL$로 타구대가 높게 측정되었으며, 의료기관의 규모로는 병원급이 높게 나타났고, 환자수가 많을수록 타구대에서 세균수가 높게 측정되었다. 표면 세균 동정 결과는 Gram positive 균주는 47.3%, Gram negative 균주는 52.7%였으며, Gram positive 균주 중 Micrococcus luteus 10.9%, Bacillus pumilus, Staphylococcus aureus 균주가 각각 3.6%로 확인되었다. Gram negative 균주로는 Acinetobacter ursingii 5.5%로 가장 많이 검출되었으며, Brevundimonas diminuta, Chryseobacterium (Flavo.) indologenes (CDC IIb), Methylobacterium sp.가 각각 4.5%로 나타났다. 이에 본 연구는 치과 진료실 내 표면 세균 오염도를 측정하고, 세균의 종류를 확인함으로써 진료실 내 감염관리의 중요성을 인식시키고, 감염방지에 대한 구체적인 계획 수립의 기초 자료가 될 것으로 사료된다.

• The Journal of Advanced Prosthodontics
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• 제8권3호
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• pp.229-234
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• 2016

PURPOSE. The purpose of this study was to investigate the demographic patterns of maxillofacial prosthetic treatment to identify the characteristics and geographic distribution of patients with maxillofacial prosthetics in the capital region of Korea. MATERIALS AND METHODS. This retrospective analytical multicenter study was performed by chart reviews. This study included patients who visited the department of prosthodontics at four university dental hospitals for maxillofacial prosthetic rehabilitation. Patients with facial and congenital defects or with insufficient medical data were excluded. The patients were classified into three categories based on the location of the defect. Patients' sex, age, and residential area were analyzed. Pearson's chi-square test with a significance level of 0.05 was used to analyze the variables. RESULTS. Among 540 patients with maxillofacial prosthetics, there were 284 (52.59%) male patients and 256 (47.41%) female patients. The number of the patients varied greatly by hospital. Most patients were older than 70, and the most common defect was a hard palate defect. Chi-square analysis did not identify any significant differences in sex, age, and distance to hospital for any defect group (P>.05). CONCLUSION. The results of this study indicated that there was imbalance in the distribution of patients with maxillofacial prosthetic among the hospitals in the capital region of Korea. Considerations on specialists and insurance policies for the improvement of maxillofacial prosthetics in Korea are required.

• 한국치위생학회지
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• 제21권5호
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• pp.667-674
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• 2021

Objectives: This study aimed to enhance the role of dental hygienists by identifying perceptions of child abuse, attitude towards reporting obligations, and awareness of the reporting system, and providing basic data for early detection and reporting of child abuse reporting obligations. Methods: From 2021-06-20 to 2021-09-09, 156 dental hygienists working at dental clinics and hospitals in Gwangju and Jeollanam-do were surveyed. Statistical analyses were performed using t-tests, ANOVA, and Pearson's correlation analysis. Results: The points for awareness of child abuse, obligatory reporting attitude, and awareness of mandatory reporting system were found to be 3.52, 3.01, and 2.30, respectively. A significant positive correlation was observed between the negative attitude to report child abuse (r=0.332, p<0.01) and the perception of the mandatory reporting system (r=0.343, p<0.01). Conclusions: This study confirmed that various educational programs and research are needed for the early detection and reporting of child abuse by dental hygienists.

• 치위생과학회지
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• 제7권3호
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• pp.113-119
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• 2007

본 연구는 노인의 의치보철 실태를 파악하여 의치보철 시술 장소에 영향을 미치는 요인을 파악하기 위해 2006년 3월 2일부터 4월 15일까지 서울시에 거주하는 65세 이상 노인 219명을 대상으로 설문조사를 실시하였으며, SPSS 12.0의 프로그램을 이용하여 통계 분석한 결과는 다음과 같다. 1. 의치보철 시술 장소에 따른 의치보철 상태 및 구강 내 증상으로 의치보철 치료비, 의치보철 사용기간, 정기적 검진, 하루사용정도, 통증정도, 새로운 의치보철 필요 여부와 이유, 의치보철 급여여부로 분류되어 조사되었다. 의치보철 급여여부를 제외한 나머지 문항에서 무면허 업소와 치과병 의원사이에서 통계적으로 유의한 차이를 나타냈다(p < 0.05). 2. 의치보철 시술 장소에 따른 만족도의 차이에서는 심미성 만족의 경우에는 치과병 의원보다 무면허업소가 높게 나타났으며 발음기능, 저작기능, 통증, 이물감, 유지력에 대한 만족도의 차이에서는 무면허 업소에 비해 치과병 의원이 높게 나타났다(p < 0.05). 3. 무면허 진료와 치과진료에 대한 지각요인에 대한 요인분석 결과 4개의 요인으로 분류되어 신뢰성, 현대성, 편의성, 구전의도로 나타났다. 무면허 업소는 신뢰성에 대한 요인 선택에 가장 높은 수준이었고 편의성, 구전의도, 현대성 순이었다. 치과병 의원에 경우도 신뢰성에 대한 요인이 가장 높았지만 다음으로 편의성, 현대성, 구전의도 순으로 나타났다. 또한 지각상태에 대한 무면허 업소와 치과병 의원의 차이를 보면 신뢰성요인은 무면허 업소가 더 높은 수준을 나타냈고 현대성과 편의성 요인에서는 치과병 의원이 높게 나타났으며 유의한 차이를 보였다. 구전의도 요인에서는 치과병 의원이 높은 수준을 나타냈다(p < 0.05). 4. 의치보철 시술 장소에 영향을 미치는 요인을 분석하기 위해 의치보철 시술 장소를 종속변수로 성별, 연령, 학력, 주거형태, 지역구, 거주지 평수, 생활비, 용돈의료비, 본인명의 재산, 의치보철 지불비용은 독립변수로 하여 로지스틱 회귀분석을 실시하였다. 주거형태에서는 자녀와 동거일경우 강남에 거주할수록, 거주지 평수가 넓을수록, 용돈의료비와 본인 명의 재산이 많을수록 무면허업소에 비해 치과병 의원을 이용할 가능성이 높게 나타났다(p < 0.05).

• 대한치과기공학회지
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• 제8권1호
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• pp.5-16
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• 1986

In order to provide the better and more effective dental health service, the study for manpower of dental laboratory technician with some relevant factors such as institutions for education and training, employment status and distribution of technicians, etc. was carried out through survey for 3,885 licensed technicians during 1965 - 1985. Results were obtained through the study as follows: 1. There are 14 junior health colleges in Korea and 3,106(79.9%) licensed dental technicians out of 3,885 graduated from health colleges and rest of them obtained their licenses through practical training in dental clinics. 2. 8,030 applicants have applied to the national examination which was carried out for 22 times during 1965 - 1985. The passing rate in the examination for 22 times showed 48.3% in average. 3. The dental technicians are working mostly in 404 dental laboratories and 2,522 dental clinics and hospitals through out the country. However, most technicians are dominantly working in large citis, because 255 (63.1%) dental laboratories and 1,537 (60.9%) dental clinics and hospitals are mainly located in Seoul and Busan. 4. Regarding distribution of the dental technician, 1,126(52.1%) technicians have been employed in the dental institutions, however, 530 (24.5%) could not have a job and the rest of them (504 technicians: 23.3%) were in leave absence from military service, travelling abroad and unknown reasons. 5. Through reference review, it was found that there were 95,886 dental technician (9/ 100,000 population) in the world during 1973$\sim$1977. However, 91,553 dental technicians lived in the developed countries (14/100,000 population)) also ratio between the dentist and the dental technician in the world showde 1:0.38. In such coentries where per capita income showed $100 in average, the distribution of the dental technician showed 0.272 per 100,000 population. 6. In an estimation of demand and supply for the dental technicians by the year from 1985 through 1996 in Korea, the supply is estimated by the capacity of educational institutions as over-production even through such estimation based on the future incresing of GNP and ratio between the dentist and the dental technicianas and also ratio between the dental technician and general population. At present such ratio shows less compared with the developed contries, however, it is estimated as over-supply in 1994.

• 대한치과의료관리학회지
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• 제9권1호
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• pp.14-24
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• 2021

Dentists and dental hygienists are major collaborators, as expressed by the concept of "Four-handed dentistry." Dentists are guaranteed their legal duties and rights in accordance with the Medical Act, whereas dental hygienists are currently stipulated in the scope of their legal duties under the Act on Medical Technicians. However, there is a difference between the actual work and the legal work performed by dental hygienists; therefore, the work is dependent on many legal controversies and authoritative interpretations. The purpose of this study is, first, to develop a reliable questionnaire tool regarding the actual work performed by dental hygienists in dental hospitals and clinics, and second, to examine the awareness of the appropriateness of legal work based on the developed questionnaire. The target subjects of the survey were dental hygienists and dentists, and the dental hygienists were those who worked in dental hospitals and clinics as license reporters of the Korean Dental Hygienists Association. A total of 1,294 dental hygienists and 39 dentists were included in the final analysis. In the dental hygienist group, 19 items received the response "appropriate for legal work" in over 90% of cases, accounting for 25% of the total 76 items. In addition, in a total of 31 items, more than 80% of the responses were appropriate for legal work. Among them, the highest was 'Scailing' (97.7%), followed by "Extraoral-Panorama" (97.1%). In the dentist group, 10 out of 76 items showed over 90% adequacy for legal work, and among them, "instrument cleaning and sterilization" was the highest at 100%. It was followed by "Intraoral radiography," "Scailing," and "Toothpick method, TPM" with 97.4%. In the case of dentists, 28 out of a total of 76 items showed an appropriateness of more than 80% for legal work. This study comprehensively investigated the actual work of dental hygienists in line with timely and appropriate social issues and provided reliable statistics in evidence-based dentistry.

• 융합정보논문지
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• 제12권2호
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• pp.184-191
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• 2022

본 연구는 자동차보험 이용환자들의 효율적 관리방안을 모색하는데 필요한 기초정보를 제공하고자 보건의료빅데이터개방시스템에 등록된 2016년부터 2020년까지 5개년 자동차보험 진료비 심사자료를 대상으로 분석하였다. 분석결과, 자동차보험 입원진료비 내역 구성비율 1순위는 상급종합병원은 처치 및 수술료, 종합병원·병원·의원은 입원료, 한방의료기관(한방병원, 한의원)은 처치 및 수술료, 치과병원은 처치 및 수술료 이었다. 외래진료비 내역 구성비율 1순위는 양방의료기관(상급종합병원, 종합병원, 병원, 의원)은 진찰료, 한방의료기관(한방병원, 한의원)과 치과의료기관(치과병원, 치과의원)은 처치 및 수술료 이었다. 자동차보험 입원 건당 진료비에는 투약료, 마취료, 특수장비 비율이 영향요인이었으며, 외래 건당 진료비에는 이학요법료 비율이 영향요인으로 확인되었다.

• 한국치위생학회지
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• 제10권6호
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• pp.991-1000
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• 2010

Objectives : The purpose of this study was to analyze 356 papers included in the Journal of the Korean Society of Dental Hygiene between 2000 when the initial number was issued and April, 2010. The papers involved articles, treatises, theses and dissertations. Methods : According to existing literature related to paper analysis, all the journals were analyzed by year to find out the subjects of the studies, places for data gathering, the presence or absence of research funds supplied, the number of researchers, research methods, methods of data collection, themes and data analysis methods. Results : As for subjects, the largest group of the papers that numbered 69(20.7%) examined dental hygienists, and the second biggest group that numbered 65(19.5%) examined dental hygienists and students. The third greatest group that numbered 47(14.2%) examined patients at dental hospitals and clinics. Concerning places of data gathering, schools(37.1%) were the most common places where data were collected, followed by dental hospitals/clinics(31.6%) and laboratories(7.4%). In terms of research design, research studies accounted for 88.5%, and experimental studies accounted for 11.5%. Research studies were far more prevalent. Concerning themes, there were 76 kinds of concepts that the studies dealt with, and the most dominant concepts were oral health awareness and behavior, which 34 studies focused on(9.6%). 10 studies or more were concerned with dental service, oral health status, dental hygiene education, infection control, oral health education, job satisfaction and stress. As to data analysis methods, frequency analysis was most dominant, followed by Chi-square test, t-test, analysis of variance, descriptive statistics, correlation analysis and regression analysis. Most of the studies made use of quantitative research methods. Conclusions : The effort by this study to analyze the papers included in the Journal of the Korean Society of Dental Hygiene to grasp research trends in the field of dental hygiene is expected to be of some use for the determination of the right directions of dental hygiene research in the future.

• 치위생과학회지
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• 제22권4호
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• pp.222-232
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• 2022

Background: Self-leadership, an action strategy that can maximize individual capabilities, can affect the organizational commitment of dental hygienists and ultimately improve the quality of medical services. This study aims to demonstrate the need for self-leadership and organizational commitment for dental hygienists and develop measures to improve the quality of medical services. Methods: An online survey of dental hygienists working at dental hospitals and clinics in Seoul and Gyeonggi province, Republic of Korea was conducted from March 28 to May 1, 2022. A total of 341 questionnaires were returned and analyzed. The measurement tools were modified and supplemented based on the theories and models developed by Manz for self-leadership, Mowday for organizational commitment, and Cronin and Taylor for medical services. Descriptive statistics, independent t-tests, ANOVA, simple regression, and multiple regression analyses were performed using SPSS 25.0. Results: In leadership education, self-leadership is based on participation experience, the number of participants, and when and where it is received. Organizational commitment comes from participation experience, and the quality of medical services has been found to affect participation experience and location. Self-leadership had an effect on the quality of medical services (β=0.497, t=10.551, p<0.001; β=0.599, t=13.783, p<0.001; β=0.353, t=7.601, p<0.001) and organizational commitment was found to have a mediating effect. Conclusion: Dental hygienists' self-leadership has a positive effect on the quality of medical services through the formation of appropriate interrelationships within the organization. Therefore, self-leadership programs should be developed, participated in, and promoted to improve the self-leadership of dental hygienists. Moreover, hospitals should improve their environment to provide and improve self-leadership education.

• 한국치위생학회지
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• 제9권4호
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• pp.699-714
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• 2009

Objectives : This study was to examine factors affecting the job satisfaction of dental hygienists. Methods : The subjects in this study were dental hygienists who worked at dental hospitals, dental clinics and general hospitals in the city of Gwangju. A survey was conducted by mail from January 2 to March 2, 2007. Out of the collected data, 208 answer sheets were analyzed. Results : 1. The dental hygienists investigated got a mean of 3.20 on job satisfaction. Among the job satisfaction factors, relationship with patients ranked highest(3.79), followed by relationship with colleagues(3.62), working environments(3.39), future prospects(3.30), professional status (2.89), pay(2.82) and required workload(2.58). 2. Regarding links between general characteristics and job satisfaction, the older dental hygienists were more satisfied with professional status, pay, required workload and relationship with patients. By marital status, the married dental hygienists expressed better satisfaction at professional status than the unmarried ones. By education, those who were receiving college education or received the same or higher education were more gratified than the junior college graduates. By the total length of career, the dental hygienists whose length of career was longer were more gratified with professional status, future prospects and relationship with patients. By workplace, the dental hospital workers were more satisfied with working environments, and the general hospital employees were more gratified with pay. The dental hospital employees were better satisfied with future prospects as well. As to the impact of the length of career at the current workplace, there was a tendency that those who worked at their current workplaces for a longer time expressed better satisfaction with professional status, pay and relationship with patients. By monthly mean income, the larger income earners had a tendency to be better gratified with professional status, pay and relationship with patients. 3. The general characteristics that were selected as independent variables were identified as the factors that exercised an influence on the job satisfaction of the dental hygienists and made an about 14.0% prediction of it. Out of those factors, the total length of career and monthly mean income had a statistically significant impact on that. Conclusions : The above-mentioned findings suggested that out of the seven job satisfaction components, they gave the lowest marks to satisfaction level with pay. As a result of making a multiple regression analysis, it's found that job satisfaction was under the influence of the total length of career and monthly mean income. Therefore there should be an improvement in the pay system in order to boost the job satisfaction of dental hygienists, and they should be paid properly in accordance with total length of career.