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JKSDH : Journal of Korean Society of Dental Hygiene = 한국치위생학회지, v.20 no.5, 2020년, pp.707 - 716
홍효경 (조선대학교 보건대학원) , 최성우 (조선대학교 의과대학 예방의학교실)
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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 discontinuati...
| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| 우리나라의 대표적인 구강병은? | 우리나라의 대표적인 구강병은 치아우식증과 치주병이다[1]. 국민건강보험공단의 최근 5년간(2013년~2017년) 건강보험대상자 중 치아우식증으로 요양기관을 방문한 환자는 584만 명으로 전체 건강보험 가입자의 11. | |
| 진료행태는 어떻게 구분되는가? | 진료행태는 불소도포, 칫솔질 교습, 전문구강건강관리, 치면열구전색, 치석제거로 구분하였다. 이들은 모두 대표적인 예방치과 진료이며, 특히 전문구강건강관리는 개인별 특성을 고려한 검사를 통해 치석제거와 치면세균막 제거, Toothpick 칫솔질법 교육 및 시행, 치아우식증 예방 및 치주병 예방관리를 위한 프로그램이다[17]. | |
| C대학교 치과병원 예방치과 운영 중단 후 환자 진료행태와 진료비용의 변화연구를 했을 때 그 결과는? | 1. 예방치과 운영 기간 총 진료비는 521,308,872원에서 예방치과 운영 중단 기간 379,724,995원으로 141,583,877원 감소하였다. 2. 진료행태별 진료건수 변화에서 불소도포는 3,595건에서 1,660건으로 1,935건(58.8%) 감소했고, 칫솔질 교습은 648건에서 11건으로 637건(98.3%) 감소했다. 전문구강건강관리 790건에서 운영 중단 기간에는 0건으로 790건(100%) 감소하였다. 치면열구전색은 712건에서 609건으로 103건(14.5%) 감소했고, 치석제거는 7,775건에서 7,405건으로 370건(4.8%) 감소하였다. 3. 진료행태별 일 인당 진료건수에서 예방치과 운영 기간 불소도포는 1.90건(0.04)에서 운영 중단 기간 1.48건(0.03)으로 유의하게 감소하였다(p<0.001). 칫솔질 교습은 3.39건(0.09)에서 1.52건(0.65)으로 유의하게 감소하였고(p=0.005), 전문가구강건강관리는 3.76건(0.07)에서 0건으로 감소하였다. 치면열구전색은 1.49건(0.03)에서 1.40건(0.04)으로 유의한 차이는 없었다(p=0.059). 치석제거는 1.58건(0.01)에서 1.46건(0.01)으로 유의하게 감소하였다(p<0.001). |
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