• Journal of Korean society of Dental Hygiene
• /
• v.12 no.4
• /
• pp.665-674
• /
• 2012

Objectives : This study purposed to identify factors related to dental service quality perceived by dental clinic patients, and for this purpose. Methods : The data conducted a questionnaire survey of 362 patients who had visited a dental clinic in Daejeon twice or more in August 2010 and aged over 20 during the period from the 1st to 31st of August 2010 and obtained results as follows. Results : The patients' general characteristics, perceived dental service quality was higher in older ones, married ones, high school or lower school graduates, civil servants, self-employed ones, and housewives, and the differences were statistically significant. according to the patients' dental clinic use characteristics, perceived dental service quality was higher when the stay in dental clinic was short, and the difference was statistically significant. Conclusions : Perceived dental service quality was related to the patients' general characteristics and dental clinic use characteristics. therefore, dentists and dental hygienists should make efforts to be more patient-oriented and to create pleasant dental care environment.

• Korea Journal of Hospital Management
• /
• v.8 no.3
• /
• pp.49-71
• /
• 2003

The purpose of the study is exploring the relationship among patient perceived quality of dental care, satisfaction, and royalty in dental clinics and hospitals. The observation of the study is outpatient visiting dental clinics and hospitals located in Seoul and Kyung-Gi Do area, and surveyed the outpatients. The contents of the survey are consisted with questions including quality of care perceived by the patients, costumer satisfaction, and royalty, and measurement for each question is using five point Likert scale. According to result of bi-variate analysis, there was the significant relationship among specialized care, value of the care, and kindness in quality of dental services, level of care in dentists significantly influenced on costumer satisfaction and costumer royalty, and there was the significant relationship between costumer satisfaction and royalty. According to result of regression analysis on the costumer satisfaction, the costumer satisfaction positively related with the convenience of facility, specialized care, value of care, patient age, number of visit, and spend time for treatment, and housewives and self-employees were likely to satisfy on care than regular employees. By result of full regression model and reduced model on costumer royalty, satisfaction could explain 86% on the costumer royalty such as re-visit and promoting other people, and increase of explain power is not significant when other independent variables joined model (full model). Considering efficiency of model, costumer royalty could be explained by satisfaction only rather than other independent variables used. Finally, This study shows that the social-demographic variables of patient influenced the patient satisfaction, and the patient satisfaction influenced patient royalty directly.

• Journal of Korean society of Dental Hygiene
• /
• v.16 no.3
• /
• pp.491-498
• /
• 2016

Objectives: The purpose of the study was to investigate the influencing factors of the perceived oral health for improvement of quality of life in Korean elderly. Methods: The subjects were 1,289 elderly over 65 years old from the sixth National Health and Nutrition Examination Survey 2013. The dependent variable was subjective oral health status. The independent variable was sociodemographic characteristics. Results: The perceived oral health of the unemployed elderly and those having chewing problems were 1.65-fold(95% CI=1.12=2.44) and 3.45-fold(95% CI=2.37-5.02), respectively than employed and chewable elderly. The perceived oral health of the former was 2.49-fold worse(95% CI=1.73-3.60) than the latter. Conclusions: The influencing factors of perceived oral health status included occupation, perceived health status and chewing problems. To improve the oral health-related quality of life in the elderly, continuous education and hands-on programs should be provided for the elderly in the long term care.

• Journal of dental hygiene science
• /
• v.17 no.5
• /
• pp.398-404
• /
• 2017

The present study aimed to examine the influence of mental health factors on oral health factors using data from the Korean National Health and Nutrition Examination Survey (KNHANES). A total of 1,548 elderly individuals aged over 65 years who completed the screening and health questionnaire were selected as the final study participants. The psychological health factors related to perceived oral health status were depression and stress when the gender was controlled, and in terms of gender, both elderly male and female individuals were stressed and depressed. These results suggested that the psychological health of elderly individuals negatively affects not only perceived oral health but also the quality of life. In addition, the psychological health of the elderly individuals should be systematically managed along with oral health care and overall health care and lifestyle. If a comprehensive health management system is available for low-income groups or an elderly person living alone, it should positively affect and improve the quality of life of elderly individuals.

• Journal of Korean society of Dental Hygiene
• /
• v.9 no.4
• /
• pp.620-632
• /
• 2009

Objectives : The present study purposed to survey the oral health-related quality of life among elderly in metropolis Methods : We had individual interviews and oral survey using a questionnaire with 336 elderly who were using seniors' centers in Metropolitan City during the period from the $9^{th}$ to $31^{st}$ of July, 2007. Results : Factors of GOHAI showed the significant relation with types of health insurance, a large number of medication, perceived oral health status, perception of dental care needs those with pains in the temporomandibular joint, the number of natural teeth and the explanatory power or the final model was 25.5%. Factors of OHIP-14 showed the significant relation with types of health insurance, a large number of medication, perception of dental care needs those with pains in the temporomandibular joint, gingival bleeding, the number of natural teeth and the explanatory power or the final model was 26.6%. Conclusions : Oral health-related quality of life among elderly as factors by general characteristics of study subjects, by perceived heath status and oral health status, perceived oral symptoms and oral health status that were relevant. Accordingly, for the healthy maintenance of elders' natural teeth, it is considered necessary to develop and execute continuous oral health management systems and oral health education programs that promote preventive activities and enhance the perception of oral health.

• Journal of Korean society of Dental Hygiene
• /
• v.19 no.4
• /
• pp.577-589
• /
• 2019

Objectives: The purpose of this study was to investigate the effects of general and oral health on quality of life in the elderly living alone and with family. Methods: We analyzed data from the $6^{th}$ Korea National Health and Nutrition Examination Survey. Distribution of the elderly living alone and with family based on the general characteristics and general and oral health was analyzed using complex-sample chi-square tests. Multiple logistic regression was used to analyze the factors affecting quality of life by calculating the 95% confidence intervals. Results: In the elderly living alone, the quality of life significantly correlated with restriction of activity, perceived general and oral health status, perceived stress, and speech difficulties. Further, in the elderly living with family, lower quality of life significantly correlated with restriction of activity, perceived health status, walking days per week, life time smoking history, Community Periodontal Index, and chewing and speech difficulties. Conclusions: The elderly are concerned with self-maintenance of general and oral health. Therefore, systematic policies related to health services need to be developed and operated at the national level. It is especially necessary to take social interest in the elderly living alone and a more continuous and professional approach in their health care.

• Journal of Korean society of Dental Hygiene
• /
• v.9 no.2
• /
• pp.221-228
• /
• 2009

The purpose of this study was to evaluate the impact of oral health impact profile in two urban area The respondents enrolled in this study were elderly people aged 65years from Gwang-ju city, Sunchon city. A total of 371 participants(Gwang-ju city 161, Sunchon city 210) analyzed. The contents of the research were social demographic characteristics, self perceived need for dental care, attributes related to denture, dental visiting pattern, the perceptions regarding dental health condition, and OHIP-14. 1. In the comparison Two urban area, the perceptions regarding dental health condition, self perceived need for dental care, dental visiting pattern was statistically significant difference(p<0.05). 2. Among the 7 OHIP-14 subscales, the mean scores of physical disability were significantly higher in two urban area(p<0.05). 3. The Social demographic characteristics, OHIP-14 represented a statistically significant difference related to gender, age and denture use(p<0.05). Through this research, Both Gwang-ju city and Sunchon city was found that elderly people was more negative impact of physical disability on oral health related quality of life. Therefore need to oral health program for improving oral health in the elderly people.

• Journal of Korean society of Dental Hygiene
• /
• v.15 no.2
• /
• pp.235-243
• /
• 2015

Objectives: The purpose of the study is to investigate the oral health and oral health beliefs in industrial workers and to analyze the influencing factors on dental health care utilization. Methods: The subjects were 280 adults from 16 to 64 years old in Seoul and Gyeonggi from June 20 to July 31, 2014, A self-reported questionnaire was completed after receiving informed consent. The independent variables consisted of predisposing, enabling, and need factors. The predisposing factors included gender, age, residence area, number of family. The enabling variables included monthly income, education, occupation, type of employment. The need factors included subjective oral health recognition and oral health belief model. These three variables had a direct and indirect influence on dental clinic use. The types of occupation were classified into desk duties, merchandizing and service duties technology and others by KSCO-6. Results: The relating factors to dental health care utilization were sex, oral health beliefs perceived benefits, perceived barriers, and self-efficacy. Female tended to have the higher oral health beliefs perceived benefits, perceived barriers(p<0.01), self-efficacy(p<0.05). Conclusions: Those who received frequent oral examination and health instruction tended to have a favorable impact on maintenance of oral health status and improvement in quality of life.

• Journal of Korean society of Dental Hygiene
• /
• v.16 no.2
• /
• pp.285-293
• /
• 2016

Objectives: The aim of the study was to investigate the association of self-perceived oral health and depression in the Korean elderly. Methods: The subjects were 1,329 elderly in Korea from the sixth Korea National Health and Nutrition Examination Survey (the 6th KNHANES). The dependent variable was depression that continued more than two weeks. Model I for the impacts of depression on self-reported oral health, Model II for the impacts of depression on chewing problem, Model III for the impacts of depression on speaking problem was evaluated. PASW Statistics 18.0 version was used for frequency analysis, chi-square test and logistic regression analysis. Results: Female elderly were much more prone to depression than male. Female had lower monthly compensation, less medicaid, chewing problem, speaking problem, and less education. For these reasons, they tended to have more depression than male (p<0.001). Self-perceived oral health impacts on depression included poor self-reported oral health(p<0.01), poor chewing problem(p<0.01) and poor speaking problem(p<0.05). On the other hand, male did not show a statistically significant association. Conclusions: The study showed the self-perceived oral health related quality of life had a significant influence on depression in the elderly. The continuing lifelong oral health care can prevent depression in the later life because oral health care improvement can enhance the self-perceived oral health status.

• Journal of Korean society of Dental Hygiene
• /
• v.11 no.2
• /
• pp.197-211
• /
• 2011

Objectives : OHIP-14 and EQ-5D were used, targeting the residents of farming communities to identify the elements that influence oral cavity's health and quality of life due to health and to identify the importance of oral cavity's health in order to increase health of adults' oral cavity and quality of life via improved health. Methods : This research was conducted from July 17th, 2010 to August 16th, 2010 targeting 600 residents in Goryeong-gun, Gyeongsangbuk-do, aging over 40. The data has been analyzed using Mann-Whitney U test, Kruskal-Wallis test and hierarchical multiple regression through SPSS Win Program 18.0 version. Results : 1. OHIP-14 and EQ-5D based on general characteristics showed lower oral health-related quality of life and health-related quality of life on the following cases: women (p=0.004, p<0.001), older (p<0.001, p<0.001), lower scholastic ability (p<0.001, p<0.001), lower average of average spending money (p<0.001, p<0.001), higher number of chronic disease (p<0.001, p<0.001), less drinking (p=0.012, p=0.008), lower perceived oral health and health status (p<0.001, p<0.001) and non smoking showed only EQ-5D (p<0.001). 2. OHIP-14 and EQ-5D based on oral health behavior showed lower oral health-related quality of life and health-related quality of life on the following cases: no periodic oral check-up (p<0.001, p<0.001), less experience of oral health education (p<0.001, p<0.001), horizontal tooth-brushing method(p<0.001, p<0.001) and lower frequency of tooth-brushing showed only OHIP-14 (p=0.042). OHIP-14 and EQ-5D based on oral health status and subjective oral symptom showed lower oral health-related quality of life and health-related quality of life on following cases: number of existing tooth less than 20 (p<0.001, p<0.001), the number of missing teeth more than 9 (p<0.001, p=0.044), DMFT (Decay, Missing, Filling Teeth) index more than 18 (p<0.001, p<0.001), wears denture (p<0.001, p<0.001), edentulous (p<0.001, p=0.002), have xerostomia (p<0.001, p<0.001) and have chewing discomfort (p<0.001, p<0.001). 3. Factors affecting OHIP-14 were gender, age, perceived oral health status, perceived health status, number of existing teeth, dental status, xerostomia and chewing discomfort, and the of reliability (how well it explains) the final model was 48.7%. EQ-5D showed relevance on gender, age, presence of chronic disease, perceived health status, xerostomia, chewing discomfort and oral health-related quality of life, and the reliability of the final model was 42.9%. Conclusions : In order to improve the quality of life of ruralists, oral health needs to be improved or remained by increasing the rate of possession of the existing teeth and preventing the loss of teeth. In order to do so, improvement of accessibility of dental clinic, change of direction from treatment-centered to prevention-centered health care system, development of oral health education program and various oral health care policies which would vitalize continuous oral health care system are considered to be necessary.