국민건강보험정책이 치과 진료행태에 미치는 영향: 노인 임플란트 보험 적용에 따른 발치, 근관치료 변화를 중심으로
The effects of National Health Insurance Policy on the dental health care service: focused on the dental implants, endodontic treatments, and tooth extraction
박유이, 이산하, 정주연, 김성재, 도경록, 오하연, 김지수, 이지현, 한동헌,
소속 상세정보
박유이 ( Park Yu-Yi ) - Seoul National University School of Dentistry Department of Preventive and Social Dentistry
이산하 ( Lee San-Ha ) - Seoul National University School of Dentistry
정주연 ( Jung Ju-Yeon ) - Seoul National University School of Dentistry
김성재 ( Kim Sung-Jae ) - Seoul National University School of Dentistry
도경록 ( Do Gyung-Rok ) - Seoul National University School of Dentistry
오하연 ( Oh Ha-Yeon ) - Seoul National University School of Dentistry
김지수 ( Kim Ji-Su ) - Seoul National University School of Dentistry
이지현 ( Lee Ji-Hyun ) - Seoul National University School of Dentistry Dental Education
한동헌 ( Han Dong-Hun ) - Seoul National University School of Dentistry Department of Preventive and Social Dentistry
KMID : 1004420170070010020
Abstract
Objectives: The purpose of this study was to investigate the correlation between tooth extraction and endodontic treatment according to the inclusion of dental implant coverage in National Health Insurance of Korea, which is a recent dental health insurance policy change.
Methods: From July 2011 to June 2016, using the health care big data open system in National Health Insurance of Korea, we analyzed the number of patients, the total amount of use, and the amount of health care service.
Results: Age-standardized incidence rate, amount of treatment, and total usage of both the extraction and endodontic treatment increased after July 2014, and July 2015.
Conclusions: The increase in the age-standardized incidence rate, the amount of treatment, and the total amount of usage after the change of the health insurance policy shows the result supporting the hypothesis of the supplier attraction demand theory. Health care policies have proven to influence dental practice. Without sufficient discussion and evidence-based indications, more dental health insurance coverage would fail to get the health policy goals and may result in poor quality of care or excessive health care expenditure. Therefore, sufficient discussion with expert group will be needed in health insurance policy formation and expanding health insurance coverage.
키워드
건강보험; 건강보험정책; 임플란트; 치과 의료서비스
health insurance; health policy; dental implant; dental health care service
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