• 제목/요약/키워드: Dental utilization

검색결과 195건 처리시간 0.021초

한국의료패널의 치과외래 이용 및 의료비 지출에 대한 4년간(2008-2011)의 변화추이 (Dental utilization and expenditures in Korea Health Panel Survey, 2008-2011)

  • 정세환
    • 대한치과의사협회지
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    • 제52권5호
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    • pp.291-301
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    • 2014
  • Korea Health Panel Survey (KHPS) has been conducted to provide nationally representative estimates of health care use and expenditures for non-institutionalized population in Korea since 2008. The aim of this study was to present estimates from KHPS on dental utilization and expenditures from 2008 to 2011. While weighted estimates were presented for each year from 2008 to 2011, the focus of this study was on the 2011 estimates and changes in dental utilization and expenditures between 2008 and 2011. Weighted estimates were obtained using population weights and statistical significances were analysed by independent t-test or ANOVA test using SPSS version 20 for Windows. In 2011, 21.1% of Korean population obtained outpatient dental services from dentists. From 2008 to 2011, the percent of people with a dental visit in each year increased slightly. In 2011, the mean number of dental visits was 4.46. While the mean number of dental visits remained stable by 2010, it increased slightly in 2011. The total annual dental expense in 2011 for people with a visit was about 460,000 Korean Won and 10% higher in 2008. In summary, this study results highlight low rates of dental utilization and high dental expenses in Korean population.

중학생들의 구강건강행위 및 치과 의료서비스 이용행태가 치아우식증에 미치는 요인 - 대구시 중학교 학생을 중심으로 - (Dental Caries of Factors the Oral Health Behaviors and Dental Health Services Utilization in the Middle-School Student's - focusing on middle school student's in Daegu -)

  • 최성숙;소명숙
    • 한국학교ㆍ지역보건교육학회지
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    • 제12권1호
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    • pp.35-44
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    • 2011
  • Objectives: The purpose of this study were to measure the effect of factors analyse the associated by the oral health behaviors and dental health services utilization factors of dental caries in the middle-school student's and then to provide basic material of preventive oral health and oral health education program. Methods: This subject of study consists of 342 middle schools each 1,2,3 grade Daegu city. The data were collected from July 2 to 30, 2009. by way of the self-reported questionnaire. The data materials are analyzed by demographic characteristics, oral health behaviors and dental health services utilization of frequency analysis, demographic characteristics of dental caries and oral health behaviors and dental health services utilization of one-way ANOVA analysis. Results: Brushing twice a day, which was the higher 69.3%, Students were trained received oral health education. Girls than boys dental caries teeth(DT) index (p<0.05), dental filling teeth(FT) index(p<0.00), dental experience caries teeth(DMFT) index(p<0.00) was higher than all three variables was a statistically significant. Oral health behavior of brushing twice a day 'once' dental caries teeth(DT) index was the highest, there was statistically significant difference (p<0.01), oral health education students experience a higher dental caries teeth(DT) index(p=0.36). dental health services utilization of preventive dental visits last one year when they did not have dental caries teeth(DT) index was higher (p=0.076) Conclusions: Oral health promotion is considered to adolescent as part of the oral health clinics school for elementary school students in the focus to middle school students and enhance.

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

  • 서혜원;김영실
    • 한국치위생학회지
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    • 제20권5호
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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.

앤더슨-뉴만 모형을 이용한 여성의 예방목적 치과의료이용행태에 관한 연구 (FACTORS AFFECTING WOMEN'S PREVENTIVE DENTAL UTILIZATION : AN APPLICATION OF THE ANDERSEN-NEWMAN MODEL)

  • 김수남;이흥수;김대업
    • 대한소아치과학회지
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    • 제24권1호
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    • pp.195-203
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    • 1997
  • The purpose of this study is to provide framework for understanding women's preventive dental utilization. In this paper Andersen-Newman's model is applied to the use of dental visits. This model consists of predisposing, enabling, and need components that describe a person's decision to use preventive health services. The sample consisted of 1907 women living Iksan city. Models are operationalized using stepwise multiple regression analysis and path analysis. The number of independent variables used in the analysis was 27 in total, i.e. 20 predisposing components, 6 enabling components, and 1 need component. Preventive dental utilization was measured based on the number of visits. The data collected by means of a questionnaire survey. In this study, the amount of variance by the model was 11 percent. Number of restricted activity days caused by oral disease, perceived threat of dental disease, having a regular dental care, and income were found to have significant major effects on preventive dental utilization of women. Number of restricted activity days caused by oral disease was the most important variable affecting preventive dental utilization of women.

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치과용 임플란트 보철물적용환자의 만족요인 (A Study on Satisfaction Factors with Dental Implant Patients)

  • 이성욱;김지환
    • 대한치과기공학회지
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    • 제28권1호
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    • pp.67-81
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    • 2006
  • This research has been attempt to examine closely factors that high cost and value to overall satisfaction state for dental implant prosthesis, re-utilization intention, inducement intention of the general hospital dental service user and provide basis data necessary to establish competitive general hospital dentistry management strategy. Collected data using own recording way questionnaire from April 17, 2004 to May 15, 2004 choosing 142 people that agree on this research and question of 361 people that dental implant prosthetic treatment finished from March 1, 1999 to March 1, 2004 for this. Major analyzation consequences are as follows : First, general satisfaction, re-utilization intention, inducement intention for implant prosthesis that highly correlation variables are kindness, explanation, medical treatment level and appreciation of the aesthetic. Second, correlation is high relatively between re-utilization intention, inducement intention in the 3 variables such as general satisfaction re-utilization intention, inducement intention. Third, the result of multiple regression analysis showed that most significant effective factors are satisfaction with explanation of dental implant prosthesis between the 3 dependant variables such as general satisfaction, re-utilization intention, inducement intention. In looking into these consequence, how to improve that raise satisfaction about dental implant prosthetic treatment and to establish patient focused care service system for dental implant prosthesis, it is consider that explain enough about implant prosthesis and raise quality of medical examination and treatment level, including satisfied with fabrication of good esthetic dental implant prosthesis.

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예비치과위생사의 로봇활용에 대한 태도 (A study on the attitude toward robot utilization in dental hygiene students)

  • 민희홍;안권숙
    • 한국치위생학회지
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    • 제18권5호
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    • pp.729-740
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    • 2018
  • Objectives: The purpose of this study was to investigate the factors affecting robot utilization in the education of pre-dental hygienists. Methods: A self-reported questionnaire was completed by 238 dental hygiene students studying in the Daejeon, Chungcheong, and Jeolla provinces during the period March 1-31, 2017. Results: Future oral health education media had high selection of 'movies,' 'video,' '3D printer,' 'robot,' and 'drone' In general education and oral health education, robots were appropriate as educators, assistant teachers, and media. This group had high levels of interest, experience, attitude, and learning scope of robots. Robot utilization education showed a significant positive correlation with the 'interest,' 'experience,' 'attitude,' and 'learning' subfactors (p<0.01). Factors influencing robot utilization education were the relationships among actual experience of robot, learning of robot production, social influence of robot, emotional exchange with robot, and the predictive power was 25.5% (p<0.05). Conclusions: Oral health education curricula using robots should be developed considering the emotional exchange and social influence between educator and learner.

치위생 연구의 장애요인 (Barriers to research utilization among dental hygiene researchers)

  • 문소정;신선정;정원균;김남희
    • 한국치위생학회지
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    • 제10권4호
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    • pp.745-755
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    • 2010
  • Objectives : The research of dental hygiene has made considerable progress over the past 10 years toward developing a unique body of knowledge for guiding education, practice, and profession. The purpose of this study was to determine Barriers to Research Utilization among Dental Hygiene Researchers. Methods : This study used cross-sectional design, self-reported questionnaire. That was consisted of 31 items(5 categories), reliability was tested(Cronbach's Alpha=0.882). The subjects were 117, mean age was $36.1{\pm}9.3$. They were consisted of full-time faculty (35.9%) and the doctoral course(61.0%). Results : The greatest barriers in dental hygiene research were 'Dental hygienists are isolated from knowledgeable colleagues with whom to discuss with' in Dental Hygienist category and 'The facilities are inadequate for implementation' in setting. In Research category, 'the research has not been replicated' and 'the relevant literature is not complied in one place' in presentation were the greatest. The researchers who were the twenty's, received dental hygiene license after 2000 year and studying for the master's degree had more barriers in all categories significantly. Conclusions : This finding provided evidence that there are barriers in dental hygiene research and we found the junior researchers have more difficulties. To improve this barriers, dental hygiene related associations need to focus on the research utilization and encourage them to attend conferences. In addition, research related education should be provided to them. Further study is essential to investigate the barriers for the established researchers in dental hygiene and to find specific solutions.

앤더슨 모형을 적용한 일부 성인의 치과 의료이용 행태에 영향을 미치는 요인 (Factors Affecting Dental Service Utilization of Adult: An Application of the Andersen Model)

  • 최은실;김미나;노선미;박지은
    • 치위생과학회지
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    • 제15권1호
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    • pp.67-76
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    • 2015
  • 본 연구는 수도권 일부지역의 성인을 대상으로 치과 의료이용에 미치는 영향을 분석하기 위해 수행하였다. 앤더슨 모형을 기반으로 하는 구조화된 설문지를 이용하여 2013년 5월 7일부터 6월 20일까지 실시하였으며 SPSS 통계 Package version 20.0을 사용하여 다음과 같은 연구결과를 얻었다. 대상자의 51.7%는 여성이며, 남성은 48.3%이다. 연령은 만 18세 이상 29세 미만 31.2%, 30대 31.1%, 40대 24.5%, 50세 이상 64세까지는 13%이다. 지난 1년간 치과 의료이용을 한 응답은 57.5%이다. 치과 의료이용에 영향을 미치는 특성으로 연령(p<0.001), 지역(p=0.005), 흡연유무(p<0.001), 구강보조용품사용(p<0.001), 건강신념 중 유익성(p=0.004), 자기효능감(p<0.001), 장애성(p=0.028)으로 유의미하게 나타났다. 치과 의료이용여부를 위계적 방법으로 분석한 결과 모델 1, 2에서는 구강보조용품 사용중 치실, 전동칫솔, 치간칫솔 사용이 유의하였으며, 모델3에서는 구강보조용품중 치실, 전동칫솔, 치간칫솔과 더불어 건강신념 중 자기효능감과 장애성이 유의한 결과로 나타났다. 따라서 소인성 요인의 구강보조용품 사용과 필요 요인의 건강신념 자기효능감과 장애성이 치과의료에 영향을 미치므로, 이에 따른 구강 보건교육의 중요성을 강조하며, 치과 의료 이용의 접근성을 높일 수 있는 방안을 고려해야 할 것이다.

대구시 일부 근로자의 구강검진후 치과진료 이용의사에 영향을 미치는 요인 (Factors Influencing on Intention of Dental Care Utilization after Annual Dental Examination for Workers in Daegu, Korea)

  • 장분자;최연희
    • 치위생과학회지
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    • 제9권5호
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    • pp.579-586
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    • 2009
  • 본 연구는 계속구강건강관리가 잘 이루어지지 않는 근로자를 대상으로 계획된 행동이론에 기초하여 구강질환이 있을 경우 치과치료이용을 하려는 의도에 미치는 요인을 조사를 하였다. 이에 치과의료를 이용할 의도를 높일뿐만 아니라 실제 치과의료 이용으로 실행될 수 있는 방안을 마련하는데 기초자료로 쓰이고자 시도되었다. 연구대상상자는 1,016명 중 현재 치과치료를 받는 환자 53명과 지난 6개월간 치과방문을 경험한 사람 355명을 제외한 총 608명을 대상으로 조사 분석하여 얻은 결론은 다음과 같다. 1. TPB 변인과 의도의 상관관계는 행동에 대한 태도, 주관적 규범, 인지된 행동통제의 순으로 나타났으나 인지된 행동통제는 유의하지 않았다. 2. 치과의료이용 의도에 영향을 미치는 일반적 특성은 경제상태로서 여유가 있다고 생각할수록 의도가 높게 나타났으며, TPB 변인 중에서는 치과의료이용과 관련된 행동에 대한 태도와 주관적 규범이 유의한 영향을 주었다. 3. 일반 선형회귀분석한 결과 모형의 설명력은 21%로 나타났다. 구강질환이 있을 경우 치과의료를 이용할 의도가 높다고 하더라도 실제 상황에서는 행동으로 실행이 되지 않을 가능성이 높을 것으로 간주된다. 하지만 의도가 낮은 사람에 비하여 의도가 높은 사람이 실제 치과의료이용을 할 가능성이 높다. 따라서 의도에 영향을 주는 치과의료이용에 관련된 태도와 주관적 규범이 긍정적으로 형성되며 인식할 수 있도록 구강보건교육을 통하여 동기부여가 되어야 하겠다. 그렇게 위해서는 산업장 구강검진이 일회성 형식에 그치지 않으며 구강질환자는 검진치의사의 강력한 치료권고를 통하여 치과치료를 받을 수 있도록 유도하여야 하고, 계속구강건강관리프로그램이 전면적으로 실행되면서 활성화되어 근로자들의 구강건강증진이 이루어져야 하겠다.

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외국인 이주노동자의 구강건강수준과 치과 의료이용 관련요인 (Related factors to dental care utilization and oral health status in immigrant workers in Korea)

  • 남인숙;이경수;장은진
    • 한국치위생학회지
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    • 제15권1호
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    • pp.19-29
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    • 2015
  • Objectives: The purpose of the study is to investigate the related factors to dental care utilization, oral health behaviors, and oral health status in immigrant workers in Korea. Methods: The subjects were 504 foreign immigrant male workers over 20 years old who visited Daegu labor consultation center for oral health survey and oral examination. The questionnaire included 5 questions of socioeconomic characteristics, 8 questions of oral health practice behavior, 6 questions of dental clinic visit, 8 questions of social relations and Korean language proficiency. The question for health behavior was measure by body mass index(BMI). Social relations and Korean language proficiency instrument was modified by Seol from "Family welfare survey in Korean international marriage" and scored by Liker 5 scale. Results: The oral health examination of the immigrant workers was as follows: decayed teeth - 76.6%, filling teeth - 27.4%, missing teeth - 69.8%, dental caries experience above five or more - 60.2%, periodontal pocket tissues - 58.9%. Simplified Oral Hygiene Index was very poor and accounted for 49.0%. Dental care utilization experience was closely associated with social relation indexes including attendance in family events, household stuff help, financial help and counseling for hard work(p<0.01). Dental care utilization experience proportionally increased with proficiency in Korean literacy including speaking, listening, and writing abilities of Korean language(p<0.01). Conclusions: In order to improve the oral health condition of the immigrant workers, it is important to provide social network, Korean language proficiency support, and health insurance coverage through economic burden reduction by the Korean government.