대학치과병원 예방치과운영 전·후의 환자진료행태와 진료비용 변화
Changes in treatment behavior and cost according to the operation of preventive dentistry in university dental hospital
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study aims to provide basic data for high-quality dental services. In addition, we will promote the operation of preventive dentistry that implements preventive measures. It was conducted to study the change of patient's treatment behavior and treatment cost due to the discontinuation of preventive dentistry in university dental hospitals. Methods: This study collected data using the integrated medical information system of the C University Dental Hospital. From September 1, 2017 to August 31, 2019, data were analyzed using frequency, percentage, mean, standard deviation, chi-square test using SPSS version 24.0 statistical program, and T-test. Results: There was a significant difference in the number of preventive dental treatment cases from 58.3% of preventive dental operation periods to 41.7% of preventive dental operation periods. As a result of comparing the medical expenses, the total medical expenses during the preventive dental operation period decreased from 521,308,872 won to 379,724,995 won during the discontinuation period, 141,583,877 won. The number of medical treatments by treatment behavior decreased 3,835 (28.4%) from a total of 13,520 preventive dental operation periods to 9,685. Conclusions: This study is meaningful as the first study to confirm the change in the treatment behavior and the change in the cost of treatment due to the discontinuation of the operation of preventive dentistry at university dental hospitals. In conclusion, it is thought that there is a possibility of the lack of accessibility and the limitation of professional preventive care due to the discontinuation of preventive dentistry.
Abstract
Objectives: This study aims to provide basic data for high-quality dental services. In addition, we will promote the operation of preventive dentistry that implements preventive measures. It was conducted to study the change of patient's treatment behavior and treatment cost due to the discontinuation of preventive dentistry in university dental hospitals. Methods: This study collected data using the integrated medical information system of the C University Dental Hospital. From September 1, 2017 to August 31, 2019, data were analyzed using frequency, percentage, mean, standard deviation, chi-square test using SPSS version 24.0 statistical program, and T-test. Results: There was a significant difference in the number of preventive dental treatment cases from 58.3% of preventive dental operation periods to 41.7% of preventive dental operation periods. As a result of comparing the medical expenses, the total medical expenses during the preventive dental operation period decreased from 521,308,872 won to 379,724,995 won during the discontinuation period, 141,583,877 won. The number of medical treatments by treatment behavior decreased 3,835 (28.4%) from a total of 13,520 preventive dental operation periods to 9,685. Conclusions: This study is meaningful as the first study to confirm the change in the treatment behavior and the change in the cost of treatment due to the discontinuation of the operation of preventive dentistry at university dental hospitals. In conclusion, it is thought that there is a possibility of the lack of accessibility and the limitation of professional preventive care due to the discontinuation of preventive dentistry.
참고문헌 (34)
- Kim JB, "Clinical preventive dentistry", pp.1~36 (2005), Komoonsa
- "National Health Insurance Service. Press release"[URL]
- "National Health Insurance Service. Press release"[URL]
- 정성국, "광주광역시 1개 치과병원 내원환자의 구강상태 및관련 요인과 구강건강영향지수의 관련성", 대한구강보건학회지, 38(4), pp.238~245 (2014), 대한예방치과·구강보건학회
- 정유진, "성인의 치아우식증 및 치주질환에 영향을 미치는 요인", 한국치위생학회지, 15(1), pp.47~54 (2015), 한국치위생학회[DOI]
- "Removed calculus from 1 July 2013, increased partial denture salary"[URL]
- "Health Insurance Review & Assessment Service. Policy Trend"[URL]
- 권호근, "예방치과 진료항목 보험급여 방안에 대한 연구", 대한구강보건학회지, 26(3), pp.271~282 (2002), 대한예방치과·구강보건학회
- 전지은, "우리나라 국민의 인구사회경제특성에 따른 치과진료 미충족 이유: 제4기 국민건강영양조사 자료를 이용하여", 대한구강보건학회지, 36(1), pp.73~81 (2012), 대한예방치과·구강보건학회
- 박지현, "Case Report of the Toothpick Method for Tooth Brushing", International Journal of Clinical Preventive Dentistry, 10(3), pp.203~209 (2014), 대한예방치과학회
- "Health disease information"[URL]
- 강현주, "부산시 일부지역의 초등학교 계속구강건강관리사업의 치아우식 예방 효과", 보건의료산업학회지, 7(1), pp.11~19 (2013), 보건의료산업학회
- 조민정, "전문가 치면세균막관리 중심의 예방관리프로그램의 효과적인 관리주기", 치위생과학회지, 17(6), pp.508~515 (2017), 한국치위생과학회[DOI]
- Bindman AB, "A public hospital closes impact on patients' access to care and health status", JAMA, 264(22), pp.2899~3803 (1990)[DOI]
- Buchmueller TC, "How far to the hospital? The effect of hospital closures on access to care", J Health Economics, 25(4), pp.740~801 (2005)
- Noh M, "Determinants of hospital closure in South Korea: Use of a hierarchical generalized linear model", J Social Science & Medicine, 63(9), pp.2320~2329 (2006)[DOI]
- Kim DG, "The effectiveness of maintenance care by non-surgical treatment on the periodontal disease", J Korean Acad Oral Health, 25(2), pp.109~121 (2001)
- "Health disease information"[URL]
- Kang HS, "Introduction to Dental Hygiene", pp.135~138 (2005), Komoonsa
- "Health disease information"[URL]
- 김정술, "일 치과의원의 구강건강관리 프로그램 효과와 재이용 의도", 한국구강보건과학회지, 6(1), pp.1~7 (2018), 한국구강보건과학회
- Kwon ST, "(A)study on the effects of strategy, competencies, organizational structure and their interactions on the performance of Korea association of health promotion hospitals", J Korean Hosp Assoc, 33(6), pp.102~108 (2004)
- 최만규, "민간병원의 수익성 관련요인", 병원경영학회지, 9(1), pp.31~70 (2004), 한국병원경영학회
- Walker KO, "The impact of public hospital closure on medical and residency education : implications and recommendations", J Natl Med Assoc, 100(12), pp.1377~1360 (2008)[DOI]
- Sin SC, "Education of preventive dentistry, college of dentistry", J Korean Dental Med, 24(10), pp.859~860 (1986)
- 김솔희, "실제 도로거리를 이용한 농촌지역 생활권의 의료시설 접근성 평가 - 평창군을 중심으로 -", 한국농공학회논문집, 57(4), pp.39~49 (2015), 한국농공학회
- 곽진미, "입원서비스의 집중화 수준과 진료비 간의 관계 분석: 2009년~2011년", 지식경영연구, 16(1), pp.209~224 (2015), 한국지식경영학회[DOI]
- Yao Lu, "The impact of women’s health clinic closures on preventive care", Am Econ J Appl Econ, 8(3), pp.100~124 (2016)[DOI]
- 장호열, "일부 성인의 계속구강관리프로그램 인식과 요구도", 치위생과학회지, 16(6), pp.442~448 (2016), 한국치위생과학회
- 이선호, "구강보건인력의 전문가불소도포 건강보험 급여화에 대한 인식", 치위생과학회지, 15(1), pp.46~53 (2015), 한국치위생과학회
- 김영남, "한국 성인의 주관적 구강건강인식과 객관적 구강건강상태와의 관련성", 대한구강보건학회지, 29(3), pp.250~260 (2005), 대한예방치과·구강보건학회
- Oh JA, "Factors to utilization of preventive oral medical service based on andersen model", Master, pp.2017
- Pyo HN, "Awareness and satisfaction of dental hospital patients about newly covering health insurance benefit for scaling", Master, pp.2015
- 윤서형, "치석제거 건강보험 급여확대 정책이 치은염 및 치주질환환자의 치과의료이용행태에 미친 영향", 보건경제와 정책연구, 22(2), pp.143~162 (2016), 한국보건경제정책학회