치석제거 건강보험 적용 전후의 예방진료 종류의 변화

Abstract

ABSTRACT

Changes in preventive dental treatment upon national health insurance benefit expansion to include scaling

Park, Seong Jun. D.D.S. Advisor: Prof. Kim Dong Kie, D.D.S., M.S.D., Ph.D. Department of Dentistry, Graduate School of Chosun University

Purpose: The purpose of this study was to investigate the effect of scaling health insurance on the patient's visit to Preventive dentistry, Chosun University Hospital in 2006-2015.

Method: From 2006 to 2015, we studied about 5450 patients who visited the Preventive Dentistry Department of Chosun University Dental Hospital. This study was approved by the Chosun University Dental Hospital Ethics Review Committee. (Approval number: CUDHIRB1710047). Data was collected and analyzed by gender, age (less than 20, 20-39, 40-64, 65 or more), and CC(Chief Complaint) using electronic medical records of Chosun University dental hospital. The patients were divided into two groups by CC in order to examine change of the number of patients, the number of periodontal treatment patients, and the number of patients undergoing periodic care. Since the period after benefit expansion is 2.5 years, the data from January 2011 to June 2013, which was 2.5 years immediately before the benefit expansion, were also examined and compared. Results: When comparing the percentage of group 1 to total, it has increased than before application. (12.5% ​​of 2.5 years before application and 25.2% of 7.5 years before application, 52.5% of 7.5 years after application). The number of patients receiving periodontal treatment increased, and the number of patients who underwent periodic care did not change.

Conclusion: Not only did scaling patients increase significantly due to the application of the health insurance benefit expansion, but also increased the number of patients receiving more advanced periodontal treatment, such as root planing. Including to health insurance of treatment such as toothbrushing instruction or plaque control is also likely to help promote oral health of people.