연령 및 치과의료접근도별 건강보험급여 제1대구치 치면열구전색 공급량
Comparison of supplied amount of pit and fissure sealing on the first permanent molars by age and disparity of dental accessibility using National Health Insurance data
최진선, 박덕영,
소속 상세정보
최진선 ( Choi Jin-Sun ) - 강릉원주대학교 치과대학 예방치학교실 및 구강과학연구소
박덕영 ( Park Deok-Young ) - 강릉원주대학교 치과대학 예방치학교실 및 구강과학연구소
KMID : 0355420160400030171
Abstract
Objectives: The purpose of this study was to review the supplied amount of pit and fissure sealing (PFS) by age and dental accessibility of children after PFS was included in the list of treatments covered by National Health Insurance (NHI).
Methods: The comparison period was selected by considering the availability of data and the initiated time of PFS inclusion into NHI. The selected data period after inclusion was 2010-2012. Data were collected from the NHI database. To categorize the areas by high and low dental accessibility, the number of dental institutions was standardized by population per width of area.
Results: Supplied amount of PFS to the first permanent molars in children aged 6 to 8 years constituted to about 70% of the total supplied amount during 2010-2012. However, this supplied amount was less than 8% of the total number of the first permanent molars in that age group. Number of supplied PFS for ages 6 to 8 years was 8.4% and 6.3% of the total number of first permanent molars for high and low dental accessibility areas, respectively.
Conclusions: Although PFS supply was increased after inclusion in NHI coverage, it is still insufficient to reduce the decayed-missing-filled teeth (DMFT) index effectively. To increase the supplied amount of PFS and to reduce inequality of supply between areas of high and low dental accessibility, strengthening of and focus on education related to PFS, reduced out-of-pocket expenditure, and advocacy are needed for appropriate target age groups and areas.
키워드
Age; Dental accessibility; National Health Insurance; Pit and fissure sealant
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