• Title/Summary/Keyword: Preventive dental services

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Cognition of dental caries prevention by the level of the social economic status in Korea: Based on Gallup survey (사회경제적 수준에 따른 치아우식증 예방과 관련 인식조사: 한국갤럽자료를 활용하여)

  • Jin, Hye-Jung;Jung, Eun-Kyung;Lee, Young-Eun;Song, Keun-Bae
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.1
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    • pp.39-46
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    • 2015
  • Objectives: The purpose of the study is to investigate the cognition of dental caries prevention by the level of socioeconomic status based on Gallup survey in Korea. Methods: This study was done by Korean Gallup survey in October, 2010. A trained researcher carried out the computer aided telephone interview(CATI) using a structured questionnaire. This study was based on the latest population statistics of resident registration and whole country's phone data base. This survey included 869 selected Korean adults over 19 years old, and they were asked to answer a CATI. The questionnaire consisted of general characteristics of the subjects and socioeconomic factors including age, gender, education level, monthly income, and residential area. Cognition of dental caries prevention was measured by Likert 4 scale including 'much', 'a little', 'rarely', and 'never'. The attitude toward dental caries prevention consisted of daily tooth brushing frequency, experience of oral health education, regular dental checkup, chewing gums(xylitol), regular scaling, and use of oral care devices. Data were analyzed using SPSS 20.0 for frequency analysis, t-test, chi-square test, and one way ANOVA. Cronbach's alpha was 0.462 in oral health concern and attitude. Results: Mean of the frequencies of daily tooth brushing in men was 2.54 times and 2.78 in women. By the comparison to age group, 35-44 years old group had 2.82 times, 19-37 years old group had 2.72 times, and 45-64 years old group had 2.51 times. The level of education and monthly income was proportional to the tooth brushing frequency. Highly educated and higher monthly income group received regular dental checkup within a year and used the auxiliary oral health care devices. Conclusions: This study suggested the relationship between dental caries prevention and socioeconomic status. It is important to provide the low socioeconomic group with the better oral health promotion services in the future.

A study of medical service quality improvement in a medical institution (의료기관(醫療器管)의 의료(醫療)서비스 질(質) 개선(改善)에 관한 연구(硏究) - 환자만족도(患者滿足度)(Patient Satisfaction)를 중심으로 -)

  • Jeon, Byoung-Uk;Hong, Seong-Cheon;Ryu, Byoung-Wan
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.15 no.1
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    • pp.67-76
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    • 2009
  • Quality management is a recent phenomenon. Advanced civilizations that supported the arts and crafts allowed clients to choose goods meeting higher quality standards than normal goods. There are many methods for quality improvement. Health care, refers to the treatment and management of illness, and the preservation of health through services offered by the medical, dental, complementary and alternative medicine, pharmaceutical, clinical laboratory sciences (in vitro diagnostics), nursing, and allied health professions. Health care embraces all the goods and services designed to promote health, including "preventive, curative and palliative interventions, whether directed to individuals or to populations. The overall impact of managed care remains widely debated. Proponents argue that it has increased efficiency, improved overall standards, and led to a better understanding of the relationship between costs and quality. Practices can solicit feedback from patients in a variety of ways: phone surveys, written surveys, focus groups or personal interviews. What do I do with the results? While you don't have to act on every suggestion that your patients give you, you should take action on the key items that are causing dissatisfaction.

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FACTORS AFFECTING CHILDREN'S DENTAL UTILIZATION: AN APPLICATION OF THE ANDERSEN MODEL (앤더슨 뉴만모형을 이용한 아동의 치과의료이용행태에 영향을 미치는 요인에 관한 연구)

  • Kim, Soo-Nam;Lee, Heung-Soo;Kim, Kyung-Hey;Kim, Dae-Eop;Park, Deug-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.1
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    • pp.162-170
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    • 1998
  • The purpose of this study is to provide framework for understanding children's 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 dental health services. One thousand, nine hundred seven children and their mothers were selected for the study. The children were fourth grade to sixth grade in elementary schools in Iksan city, Korea. Models are operationalized using stepwise multiple regression analysis and path analysis. The number of independent variables used in the analysis was 39 in total, ie 32 predisposing components, 6 enabling components, and 1 need component. Children's 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 25 percent. Predisposing factors had the greatest effect on utilization. Number of restricted activity days caused by oral disease, having a regular dental care, and susceptibility on oral disease of children were found to have significant major effects on dental utilization of children. Mother's dental visits was most important factor affecting dental utilization of children.

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Development of a Community-based Preventive Health Care Model for the Elderly in Korea through the Evaluation of a Japanese Counterpart (일본의 노인건강관리체계 검토를 통한 한국 지역사회노인 예방 건강관리 방안모색 연구)

  • Lee, In-Sook
    • Perspectives in Nursing Science
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    • v.7 no.1
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    • pp.10-22
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    • 2010
  • Purpose: Through a thorough examination of the CCSC (Community Comprehensive Support Center) system in Japan, this study suggests a scheme to provide community-based preventive health care services for the elderly in Korea. Methods: The study inquired into the applicability of the Japanese model by reviewing the data related to the CCSC project, aided by both in-depth interviews with staff in the field and consultations with specialists. Results: Rearrangement of the Visiting Health Management Project system is needed to manage the collective or individual visiting care management for frailty prevention of the elderly in communities. The delegated service system for preventive care in the community, including direct management by one of the public health centers, also needs to be reviewed and the application of stricter standards for the selection of the agency or corporation to run the delegated service is necessary. Long-Term Care Insurance, along with national and local grants, is to be considered as a financial resource for the community-based preventive health care model for the elderly. By making active use of education rooms at district offices, senior citizen centers in neighborhoods for the elderly with easy access can be created. The project needs to raise active supports from communities, develop programs which can be absorbed into particular local cultures, and promote the understanding of the preventive project in local communities. The preventive program should focus on first solving the problems of depression, seclusion, and lack of mobility of the elderly. Second, the program should instruct physical self-management for exercise-nutrition-dental maintenance, and third, the program should strengthen the cognitive abilities of the elderly. In addition, it is necessary to systematize and implement counter-plans of the family and community to protect the elderly who has mental and cognitive problems. Finally, by establishing a network of public health welfare resources based upon research on a community level, assessment and planning for the health of the elderly should be one with their family, and comprehensive consultation and recommendations should be provided to the family. Conclusion: Taking into consideration the experience Japan has had with respect to a similar project, it is appropriate to develop and implement a service system which would combine the Visiting Health Management Project system which has already been established and a preventive health care model for the elderly on a community level.

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DEVELOPING ORAL HEALTH SERVICE DELIVERY SYSTEM FOR THE DISABLED (장애인의 구강건강권 확립을 위한 구강의료 서비스 전달 시스템 개발)

  • Paik, Hye-Ran;Kim, SoYun;Jin, Bo-Hyoung;Lee, Jae-Young;Lim, Yeongwoo;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.2
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    • pp.111-120
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    • 2018
  • The need for oral health rights for people with disabilities is very high, and current oral health care system does not fully reflect these demands. Efforts to promote oral health of people with disabilities are urgently needed. In order for the disabled to have oral health rights, access to oral health services for people with disabilities should be improved and barriers to access should be resolved. In this study, we propose oral health service delivery system to guarantee oral health rights for the disabled. In addition, before applying the proposed oral medical delivery system, the external effects of the system application were predicted and the expert verification was conducted to find out the solution. There are some controversies about the development of the service delivery system proposed in this study. As a result of the expert verification, there were disagreements about the suitability of the service provider, the suitability of the service recipient, the appropriateness of the service content and scope, and the appropriateness of the cost and the revenue source. Subsequent Delphi surveys require the development of structured questionnaires for discussions that require consensus. It is expected that a reasonable consensus of expert opinions will be derived.

Comparison of Oral Care Patterns Before and During the Pregnancy (임산부의 임신 전과 임신 중의 구강건강관리 행태 비교)

  • Park, Ji-Hyun;Lee, Kyeong-Soo
    • Journal of dental hygiene science
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    • v.11 no.3
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    • pp.273-278
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    • 2011
  • This study was performed to compare the status of oral care knowledge, oral care practice, and the patterns of the oral health care utilization before and during the pregnancy. It was conducted on the basis of a survey of 291 pregnant women who were in 9 post-natal care centers for post-natal care after delivery located in Daegu Metropolitan city and Changwon city of Gyeongsangnam-do from April 1st till April 29th on 2010. Forty five percent of them were experienced with the gum bleeding before pregnancy and 55.7% were experienced during pregnancy. The number of average tooth brushing per day was 3.05 times before pregnancy and 2.99 times during pregnancy in the survey. The patients who were experienced in dental health care during pregnancy out of the subjects for study were 51 for 17.5%. The score for the dental health knowledge was 7.82 for 10 grade scale and 5.38 before pregnancy and 5.14 during pregnancy for 10 grade scale in the actual performance scoring for dental care. Pre-dental care, experience in activity restriction due to dental disease, concern about oral health and regular visit to dental clinic were significant associated with use of dental care services during pregnancy.

The Convergence relation of tobacco smoking to tooth loss in older adults (65세 이상 한국 노인들의 결손치와 흡연의 융합관계)

  • Jun, Mee-Jin
    • Journal of the Korea Convergence Society
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    • v.7 no.5
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    • pp.127-134
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    • 2016
  • This study aims to investigate the factors affecting tooth loss and the association between smoking and tooth loss, by using the forth Korea National Health and National Examination Survey(2007-2009) of 1,565 elderly people over 65 years old. In terms of the characteristics, as age increases, tooth loss increases. In particular, according to the results of the analysis that identify the correlation between smoking to gender, socio-economic status and dental visiting patterns after correcting socio-economic factors and behavior, it is clear that male's tooth loss is higher than female's in current smoking and tooth loss is caused highly in the lower socio-economic status. In the dental visiting patterns, tooth loss is high when visiting more than twice a year. Therefore, it seems to need a preventive non-smoking policy at the level of dental services through further studies.

A Study on the Weight Length Index and Dental Caries of Elementary School Students (초등학생들의 체중신장지수(WLI)와 치아우식증에 관한 연구)

  • Lee, Sun-Mi;Kim, Song-Chon
    • Journal of Korean society of Dental Hygiene
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    • v.3 no.1
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    • pp.25-43
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    • 2003
  • In Korea, changes in children's diet patterns accelerate their physical growth and development: frequent snacking has been presumed to be a major cause of increasing dental caries. The present study attempts to clarify the relationship between the physical development of growing children and their tooth decay. For this purpose, 632 six-grade children in 4 elementary school located in Urban(Seoul) and Rural(Po-gok, Yang-In) were classified into three groups based on the Weight Length Index(WLI), known to reflect the nutritional conditions of school-age children, and the relationship was analyzed between each group and the variables considered to be related with dental caries. The result is as follows: The average weight and height of the male is $44.88{\pm}10.89$ kg, $148.49{\pm}7.33$ cm and female is $43.35{\pm}9.60$ kg, $149.23{\pm}6.73$ cm, respectively, which are in the similar level with the Korean Physical Standard. The classification of the children by the WLI reveals a relatively high distribution of over-weighted child ren - 212 persons, 335% of the entire population. The DMFT Index was a little high in the rural area(3.15 teeth in urban and 3.31, in rural). Among the groups of children classified by the WLI, the over-weight group have the highest DMFT index(3.69 teeth). The relationship between the frequency of taking in basic nutrients and the DMFT index is also found: the relationship is not evident in case of the foods containing rich calcium, protein, as well as fruits and vegetables. But, in the protein-rich food, higher frequency of its intake means significantly lower DMFT index in the normal-weight group of the urban children. In case of carbohydrate, higher frequency of its intake means significantly higher DMFT index in all the groups of the rural children. The DMFT index has some correlations with the relevant variables: the index has a positive correlation with the frequency of snacking, and a negative correlation with the economic status. That is, the higher the frequency of snacking is, and the lower the economic status is, the higher the DMFT index may be. In the logistic multiple regression analysis conducted with the presence of DMFT as a dependent variable, only the frequency of tooth brushing is turned to be a variable affecting the presence of either decayed, missing, or filled teeth. Based on the above result, the variables affecting the DMFT index are a time spent on eating, frequency of intake of protein and carbohydrate for a week, frequency of snacking, regular dental check-ups, preventive behaviors for oral health(fluoride gargling, tooth brusing after each meal, proper tooth brushing method). These variables have a relationship with the DMFT index, but the degree is somewhat different between the groups classified either by the region or by the WLI. Therefore, appropriate nutrition management should be conducted according to the individual's nutritional conditions when the services like nutritional education are provided based on the closely-examined characteristics of each target group. And, at the same time, oral health education should be strengthened, and its importance should also be emphasized so that people can pay attention to their own oral health.

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Oral health knowledge and behavior of visiting health care personnel (방문건강관리인력의 구강건강지식과 실천)

  • Won, Jae-Hee;Park, Il-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.7
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    • pp.2459-2467
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    • 2010
  • The purpose of this study was to survey visiting health care personnel who worked for their public medical health institutions and thereby investigate their oral health knowledge and behavior. Findings of this study are summarized as follow; First, our visiting health care personnel had a significant tendency toward higher score at correct answers to questions about oral health knowledge (mean knowledge about periodontal disease: 67%, mean knowledge about dental caries: 68%, mean knowledge about common dentistry: 68.4% or higher). Secondly, in terms of oral health care behavior, 50% or higher of all our visiting health care personnel visited dental clinic for preventive purposes, and 60.1% visited dental clinic for oral treatment. 46.6% of health care personnel relied on dental clinic for regular scaling services, and 89.6% relied on general hospital or dental clinic for oral treatment. 89.5% of health care personnel brushed their teeth 3 times or more per day; more than half (58%) of them preferred dental floss to other oral hygiene supplies; and 46% practiced roll technique to brush their teeth. Thirdly, health care personnel's oral health knowledge was significantly correlated with their age (F=5.25, p<0.01) and career of health care (F=3.94, p<0.01), while their oral health behavior was significantly associated with their career of visiting health care (F=3.20, p< 0.05).

Effects of School-Based Oral Health Programs among Schoolchildren : Focus on the Oral Health Knowledge and Behaviors (학교구강보건실 운영이 아동들의 구강보건지식 및 행동변화에 미치는 영향)

  • Choi, Soon-Lye;Kwun, Hyeon-Sook;Song, Keun-Bae;Lee, Jung-Hwa;Kang, Hyun-Kyung;Choi, Jung-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.6 no.4
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    • pp.455-467
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    • 2006
  • Demand for appropriate health care has gradually increased in Korea. In addition, developments of community- and school-based oral health programs have also focused oral health care for the oral health promotion. Especially, school-based oral health programs are the underpinnings of promoting oral health and preventing oral diseases among schoolchildren. School-based oral health programs have had three major components: oral health education, oral health services, and a healthful environments. These included oral health education(one-to-one communication, group communication, and use of mass communication), oral examination, fluoride mouthrinsing, pit-and-fissure sealants, fluoride gel application, mechanical plaque control, and chewing xylitol candy. In this study, we evaluate the effects of oral health programs among primary schoolchildren by comparing the oral health knowledge, oral health behaviors, and perception of caries prevention procedures. Data for this study were obtained from 699 primary schoolchildren at the two primary school in Daegu, Korea. One is experimental group, N primary school, that was established school-based oral health center under supervision of Nam-gu Public Health Center, the other is control group, N' primary school, that was yet to establish school-based oral health center. We surveyed children's oral health knowledge and behaviors, and perception of caries prevention procedures using self-administrated questionnaire and then analyzed differences of each item among two groups. The brief findings of this study were summarized as follows. There are several advantage to a comprehensive school-based oral health program. (1) School-based oral health programs facilitate and increase the effectiveness of teaching oral health subjects. (2) Schoolchildren are available for prevention or treatment procedure. (3) School-based oral health center may be less threating than private dental clinic. (4) With comprehensive school-based oral health programs the decayed, missing, and filled teeth(DMFT) of schoolchildren should demonstrate a substantial and steady decrease over time(Choi et al, 2004). In conclusion, treatment is not the answer to solving children's oral health programs; rather primary prevention is the key. Many countries and communities are focusing on hoe millions of underprivileged children can be provided with health care. Schoolchildren gain the knowledge and behaviors to attain and maintain good oral health in schools. For these reasons, the role of school-based oral health center is not only important but also a necessity.

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