국민건강보험에 대한 소아치과 의사들의 요구와 인식 조사
The Demands and Awareness of Pediatric Dentists on the Korean National Health Insurance System
김윤형, 채용권, 이고은, 김미선, 남옥형, 최성철, 이효설,
소속 상세정보
김윤형 ( Kim Yun-Hyeong ) - Kyung Hee University Dental Hospital at Gangdong Department of Pediatric Dentistry
채용권 ( Chae Yong-Kwon ) - Kyung Hee University Dental Hospital at Gangdong Department of Pediatric Dentistry
이고은 ( Lee Ko-Eun ) - Kyung Hee University Dental Hospital Department of Pediatric Dentistry
김미선 ( Kim Mi-Sun ) - Kyung Hee University School of Dentistry Department of Pediatric Dentistry
남옥형 ( Nam Ok-Hyung ) - Kyung Hee University Dental Hospital Department of Pediatric Dentistry
최성철 ( Choi Sung-Chul ) - Kyung Hee University Dental Hospital Department of Pediatric Dentistry
이효설 ( Lee Hyo-Seol ) - Kyung Hee University Dental Hospital Department of Pediatric Dentistry
Abstract
이 연구의 목적은 치과건강보험에 대한 소아치과 의사의 인식과 견해를 조사하는 것이다. 대한소아치과학회 회원들을 대상으로 온라인 설문조사를 실시하였다. 총 문항 수는 41문항이며, 문항은 6개의 항목 ‘설문 응답자의 일반적인 특성’, ‘국민건강 보험과 치과건강보험’, ‘소아치과 영역의 치과건강보험’, ‘소아치과와 관련된 치과건강보험 제도 개선점’, ‘치과건강보험청구’, ‘치과건강보험과 관련한 대한소아치과학회 역할’으로 이루어졌다. 총 302명이 응답하였고, 응답률은 28.9%였다. 기록이 미비한 2명을 제외하고, 총 300명을 분석대상으로 하였다. 소아치과 의사들은 치면열구전색술, 광중합형 복합레진 충전에 정량광형광기 치아우식검사에 비해 높은 만족도를 보였다(p < 0.017). 소아치과 의사들은 보험수가 인상이 가장 필요한 항목은 영구치 복합레진 충전(65.7%), 보험급여가 가장 필요한 항목은 불소도포(74.7%)라 생각하였다. 치과건강보험 청구는 대체로 치과위생사 또는 간호조무사가 담당하였다. 소아치과 의사들은 학회에서 치과건강보험에 대한 정보를 제공하는 것에 대해 긍정적으로 생각하였다. 이 연구는 향후, 소아치과 영역 치과건강보험제도의 정책적 발전을 위한 기초자료로 활용될 수 있을 것이라 사료된다.
The aim of this study is to investigate the awareness and perception of pediatric dentists regarding dental health insurance (DHI) system in Korea. Online surveys were sent to the members of the Korean Academy of Pediatric Dentistry (KAPD), and the responses were collected. The survey, consisting of 41 questions, was subdivided into ‘general background of the respondents’, ‘the awareness on national health insurance (NHI) and DHI’, ‘the awareness on DHI pertaining to pediatric dentistry’, ‘issues that need improvement on DHI pertaining to pediatric dentistry’, ‘DHI claims’, and ‘the roles of KAPD in DHI’. In total, 302 responded, with a response rate of 28.9%. Excluding 2 questionnaires with insufficient answers, a total of 300 survey results were analyzed. According to the analysis, pediatric dentists thought that the coverage of DHI was not as sufficient compared to that of NHI, but were expecting its scope to broaden in the future. The satisfaction rate was higher in pit and fissure sealant and composite resin filling than in caries-detecting quantitative light-induced fluorescence. Pediatric dentists considered permanent tooth composite resin filling (65.7%) needed an increase in insurance copayment, while topical fluoride application (74.7%) to require insurance coverage. DHI claims were generally handled by dental hygienists and/or nursing assistants. Approximately half of the respondents answered that they have had experiences on appealing for insurance denials. Lastly, pediatric dentists generally had a positive attitude towards providing information for the DHI. This study is expected to be used as a sound dataset for the DHI policy development concerning pediatric dentistry.
키워드
Korean National Dental Health Insurance; Pediatric dentistry; Survey; Policy development
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