치의학 분야의 신의료기술 동향 분석
Trend analysis of new health technology in dentistry
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초록
과학 기술의 발전으로 인류의 각종 질병을 이해하고그에 따른 새로운 수술방법, 의료기기 및 의약품과 같은 신의료기술의 개발이 증가하고 있다. 우리는 최근의 치의학 분야 신의료기술의 등록 및 허가와 인식 현황을 알아보기 위해 2012년부터 2016년 7월까지의신의료기술 등록과 허가 현황을 연도, 기술구분, 진행현황, 주요 시술 의료인으로 분류하여 분석하였으며, 그 중 치과의사 활용기술에 대한 사항을 추가적으로분석하였다. 또한 의료계 종사자의 신의료기술 인식현황을 알아보기 위해 2016년 7월에 서울대학교치과병원 치과의료기기 중개임상시험센터에서 개최한‘신의료기술 신청에 관한 워크숍’에 참가한 25명이 회신한 설문지와 대한구강악안면외과학회 회원 중 11명의설문지를 취합하여 결과를 도출하였다. 설문조사에 참여한 응답자들은 신의료기술의 신청절차에 관해서는 잘 모른다는 응답이 많았으며, 신의료기술 등록 및 허가 현황에 대해서는, 전체 1092건의 등록 건수 중 치과의사 활용기술은 19건이었으며, 그 중 신의료기술로 채택된 항목은 단 2건이었다. 치의학의 발전을 위해서는 신의료기술에 대한 정부의적극적인 홍보와 치의학계의 관심이 필요하다 판단되었다.
Abstract
Objectives : Currently, it is being reported that new health technology (HT) is introduced and spread throughout Korea at a very fast rate. However, the current status of new HT related to dentistry has not been known or studied. Therefore, this study aims to understand the present state and awareness on dentistry-related domestic new HT via surveys and research, and thus apply this as a reference to construct an effective new HT-related system in the field of dentistry. Methods : The assessment status of New Health Technology Assessment (nHTA) committee was searched on the website for any updates on new HT5). The cases were searched in the range between Jan 1 2012 and Jul 31 2016 by submission date and were analyzed by year, division of technology, progress and major operating practitioner. Among those, technologies utilized by dentists were additionally analyzed. The survey result was obtained by combining responses of 25 participants from the workshop for new HT application and 11 members of Korean Association of Oral and Maxillofacial Surgeons (KAOMS). The workshop was co-hosted by KAOMS and Clinical Translational Research Center for Dental Science (CTRC) under Seoul National University Dental Hospital (SNUDH). Results : Most of the respondents to the survey have heard of new health technology but were unaware of the application procedure. ‘Safety and effectiveness’ was selected the most for things to consider when introducing new HT, followed by ‘scientific evidence of the technology.’ For new dental HT status, submissions between 2012 and Jul 31 2016 were analyzed by major operating practitioner, including cases where there are multiple practitioners. Yet, only 19 cases (17 %) of dentists were reported. Among 385 cases approved by nHTA, only 2 cases included dentists. Conclusions : Active publicity by the government on new HT and its application procedure, and continued interest and research in the dental and medical community is likely to be required for the development of dentistry.
참고문헌 (5)
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- Frans FH, "High cost technology in health care: a benefit or a burden?", Social Science and Medicine, 35(4), pp.567~577 (1992)
- Jun OC, "The definition and present status of new health technology.", Korean Journal of Clinical Oncology, 4(2), pp.4~15 (2008)
- 이민, "한국 의료기술평가의 현황과 문제점 그리고 개선책", 대한의사협회지, 57(11), pp.906~911 (2014), 대한의사협회[DOI]
- "Evaluation of new health technology" (2016)[URL]