의료기관 종별 만성 치주염 진료의 지역 간 차이
Regional Difference of Chronic Periodontal Care Services in Korea
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Objectives: This study aimed to investigate the regional difference of chronic periodontal care services in Korea by the analysis of 2010 raw data from Health Insurance Review and Assessment Service. Methods: The subjects were the chronic periodontitis patients over 35 years old from dental care facilities in Korea. The study population was 278,319 including 264,994 claims made by dental clinics, 8,084 by dental hospitals, 3,509 by general hospitals, and 1,732 by tertiary hospitals. Results: There was a significant difference in medical care cost benefit between the provinces(p<0.0001). The age groups showed a clear difference in the patient charge, cost of insurance, and medical care cost benefit(p<0.0001). In consideration of the first visit or revisit, there were differences in the rate of prescription, dental examination, and surgical procedures of the chronic periodontal patients from dental facilities. The radiographic use rate in the tertiary hospitals was 2.6 times higher than that of the dental clinic in the treatment of the new chronic periodontal patients. Conclusions: The use of dental services in the periodontitis is influenced by the types of medical services facility, cost of medical insurance, and patient charge. In consideration of cost benefit analysis, prevention is the most important care for the periodontitis. Regional difference in peridontitis is cause by the use of medical services and quality of treatment.
Abstract
Objectives: This study aimed to investigate the regional difference of chronic periodontal care services in Korea by the analysis of 2010 raw data from Health Insurance Review and Assessment Service. Methods: The subjects were the chronic periodontitis patients over 35 years old from dental care facilities in Korea. The study population was 278,319 including 264,994 claims made by dental clinics, 8,084 by dental hospitals, 3,509 by general hospitals, and 1,732 by tertiary hospitals. Results: There was a significant difference in medical care cost benefit between the provinces(p<0.0001). The age groups showed a clear difference in the patient charge, cost of insurance, and medical care cost benefit(p<0.0001). In consideration of the first visit or revisit, there were differences in the rate of prescription, dental examination, and surgical procedures of the chronic periodontal patients from dental facilities. The radiographic use rate in the tertiary hospitals was 2.6 times higher than that of the dental clinic in the treatment of the new chronic periodontal patients. Conclusions: The use of dental services in the periodontitis is influenced by the types of medical services facility, cost of medical insurance, and patient charge. In consideration of cost benefit analysis, prevention is the most important care for the periodontitis. Regional difference in peridontitis is cause by the use of medical services and quality of treatment.
참고문헌 (17)
- Kang YJ, "Dental health insurance", pp.54~ (2014), KMS publishing co
- 신현웅, "소규모 지역간 의료이용의 변이로 인한 사회적 후생손실 추정: 내과계 다빈도 상병의 입원율 변이를 중심으로", 보건사회연구, 27(1), pp.52~80 (2007), 한국보건사회연구원
- Kim CB, "Test of physician-induced demand in Korea", 박사, pp.2002
- Kwon YC, "A study on small area variations of hospital services utilization in some acute &chronic diseases", 박사, pp.2012
- Hong WR, "Variation of the medical service utilization of the episodes of the dead by cerebrovascular diseases and cancer", 박사, pp.2007
- Kim YM, "Small area variation in rates of common surgery", 박사, pp.2003
- "Meeting of the expert group on medical practice variations"[URL]
- Leake JL, "Factors influencing the amount and type of dental services received by older adults in four municipalities in Ontario, Canada", J Public Health Dent, 56, pp.182~189 (1996)
- Linden GJ, "Variation in periodontal referral in 2 regions in the UK", J Clin Periodontol, 26, pp.590~595 (1999)
- Hong MH, "Variations in the amount of health insurance service according to the characteristics of the dentist", Korea Academy of Health Policy and Management, 11, pp.21~34 (1996)
- "2010 Regional health care utilization statistics"[URL]
- 이지영, "치주질환자의 구강보건특성과 삶의 질의 관계", 한국치위생학회지, 13(5), pp.835~843 (2013), 한국치위생학회[DOI]
- 천혜원, "우리나라 성인의 구강질환과 만성질환의 관련성", 한국치위생학회지, 12(2), pp.235~249 (2012), 한국치위생학회[DOI]
- "Information, Disease statistics DB. Press release" (2013)[URL]
- "Patient sample data in 2010"[URL]
- Kim JB, "Public oral health", pp.98~99 (2013), KMS publishing co
- 전지현, "치과 내원 환자의 치주질환 인식도 및 관리 행태", 한국치위생학회지, 11(6), pp.1009~1017 (2011), 한국치위생학회