국민건강보험 급여화에 따른 공공재원기반 치면열구전색 공급량 변화
Changes in the amount of pit and fissure sealants supplied in Korea after inclusion in the National Health Insurance coverage
최진선, 마득상, 정세환, 조은별, 박덕영,
소속 상세정보
최진선 ( Choi Jin-Sun ) - 강릉원주대학교 치과대학 예방치학교실
마득상 ( Ma Deuk-Sang ) - 강릉원주대학교 치과대학 예방치학교실
정세환 ( Jung Se-Hwan ) - 강릉원주대학교 치과대학 예방치학교실
조은별 ( Cho Eun-Pyol ) - 한국건강증진개발원 건강증진사업실 건강생활실천팀
박덕영 ( Park Deok-Young ) - 강릉원주대학교 치과대학 예방치학교실
KMID : 0355420150390010069
Abstract
Objectives: The purposes of this study were to review changes in the amount of pit and fissure sealant (PFS) provided after the inclusion of PFS in treatments covered by the National Health Insurance (NHI) and to assess differences in the supplied amount between geographical areas where accessibility to dental care differs.
Methods: The years for comparison were selected based on data availability and the time of inclusion of PFS into NHI coverage. The selected pre-inclusion year was 2008, and the post-inclusion year was 2012. Data regarding the amount of PFS supplied were collected from the oral health program, NHI, and Medical care. To dichotomize areas by high and low dental care accessibility, we standardized the population size, number of dental institutions, and number of dentists in each group.
Results: We considered metropolitan areas and Gyeonggi Province as high dental care accessibility areas, while other provinces were considered as low dental care accessibility areas. Regardless of the transforming constant, the amount of PFS supplied increased in high dental care accessibility areas and decreased in low dental care accessibility areas after inclusion of PFS in NHI.
Conclusions: To increase the amount of PFS provided in low dental care accessibility areas, promotion of PFS should be strengthened and support from oral health programs should be increased. Additionally, waiving out-of-pocket money for PFS in NHI should be considered to remove barriers of supply.
키워드
National Health Insurance; Oral health program; Pit and fissure sealant
원문 및 링크아웃 정보
등재저널 정보