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종합병원에서 치과의료전달체계의 개선을 위한 정책 연구

Policy Study for Improvement of the Dental Care Delivery System in General Hospital

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주제분류치의학

초록

The purpose of this study is to investigate the opinion of dental specialists on the reasons for the decrease in the role of dentistry in general hospitals and to propose improvement plans of the dental care delivery system. A survey was conducted using Google Survey, and 113 respondents out of 713 dental trained capable specialists were the final objects of this study. The variables were age, position, major, and opinion on the role and measures for the improvement of dentistry in general hospitals. As results, the role of dentistry in general hospitals included providing not only complex dental services, training and education, but R&D functions. For improving the role of dentistry, government and legal supports are required, which include amendments of training hospital standards and recruitment of dentists in medical emergency institutions. Finally, this study suggests mitigations of designation criteria for dental training centers in general hospitals with more than 300 beds. The current internship system need to be abolished, and legislation for emergency dental treatments through the Emergency Medical Act is required.

Abstract

The purpose of this study is to investigate the opinion of dental specialists on the reasons for the decrease in the role of dentistry in general hospitals and to propose improvement plans of the dental care delivery system. A survey was conducted using Google Survey, and 113 respondents out of 713 dental trained capable specialists were the final objects of this study. The variables were age, position, major, and opinion on the role and measures for the improvement of dentistry in general hospitals. As results, the role of dentistry in general hospitals included providing not only complex dental services, training and education, but R&D functions. For improving the role of dentistry, government and legal supports are required, which include amendments of training hospital standards and recruitment of dentists in medical emergency institutions. Finally, this study suggests mitigations of designation criteria for dental training centers in general hospitals with more than 300 beds. The current internship system need to be abolished, and legislation for emergency dental treatments through the Emergency Medical Act is required.

참고문헌 (21)

  1. 오영호, "의료전달체계의 문제점과 정책과제", 보건복지포럼, 7 (2012)
  2. "보건복지부 보도자료. 대형병원, 중증환자 중심으로 확 바뀐다", ~ (2019)
  3. Mertz EA, "The Dental-Medical Divide", Health Aff(Millwood), 35(12), pp.2168~2175 (2016)
  4. 국민건강보험공단, "2019 건강보험통계연보", ~ (2020)
  5. 대한치과의사협회, "2019 한국치과의료연감", ~ (2020)
  6. 2001년도 치과병원 실태조사서, "대한치과병원협회", ~ (2002)
  7. [URL]
  8. 매일경제, "대구 치과 응급환자 참거나 원정가거나...치과병원 응급실 규정 無", ~ (2019)
  9. 덴탈아리랑, "치과 응급실은 어딨나? 현행 의료법 치과병원 내 응급실 설치 규정 無", ~ (2019)
  10. 이종구, "정부의 최근 선택진료제도 개선에 대한 소고", 대한의사협회지, 58(4), pp.264~270 (2015), 대한의사협회[DOI]
  11. 합리적 치과의료 전달체계구축방안, "신호성", 보건복지가족부·한국보건사회연구원, ~ (2009)
  12. 상급종합병원 지정평가를 위한 환자구성상태 개선 연구, "최지숙", 건강보험심사평가원, ~ (2021)
  13. 상급종합병원 지정을 위한 입원환자 질병군 중증분류 개선방안, "임지혜", 건강보험심사평가원, ~ (2017)
  14. 오동일, "의료전달체계 정립을 위한 두 가지 정책 제안과 보건의료정책 거버넌스에 관한 연구", 한국산학기술학회논문지, 17(4), pp.340~350 (2016), 한국산학기술학회[DOI]
  15. 수련치과병원 지정 및 치과의사전공의 정원책정보고서, "대한치과의사협회", ~ (2020)
  16. 치과의료전달체계 상 종합병원 치과의 역할에 대한 정책제언, "박영욱", 대한치과의사협회 치과의료정책연구원, ~ (2021)
  17. 메디컬타임즈, "수가보다 의료제도가 더 문제...이게 보장성 강화인가", ~ (2019)
  18. 의협신문, "치과전문의 전문과목 ‘통합치의학과’신설", ~ (2016)
  19. 인턴제 폐지를 통한 치과전문의제도 발전방안 도출, "차경석", 대한치과의사협회 치과의료정책연구원, ~ (2019)
  20. 치과의사 전문과목 신설 등 전문의제도 개선 방안에 관한 연구, "이상영", 한국보건사회연구원, ~ (2016)
  21. 인턴제 폐지에 따른 전공의 선발제도 개선방안과 의학교육 교과과정 개발에 관한 연구, "의료정책연구소", ~ (2015)

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