일본 요양보험 치과급여항목 수가체계 및 임상사례별 적용
Dental fee system and clinical application of longterm care insurance in Japan
소종섭, 고석민, 곽정민, 이성근, 황지영, 김남희, 한동헌,
소속 상세정보
소종섭 ( So Jong-Seob ) - 대한노년치의학회 노인구강보건정책연구위원회
고석민 ( Ko Sok-Min ) - 대한노년치의학회 노인구강보건정책연구위원회
곽정민 ( Kwak Jung-Min ) - 대한노년치의학회 노인구강보건정책연구위원회
이성근 ( Lee Seong-Geun ) - 대한노년치의학회 노인구강보건정책연구위원회
황지영 ( Hwang Ji-Young ) - 대한노년치의학회 노인구강보건정책연구위원회
김남희 ( Kim Nam-Hee ) - 연세대학교 원주의과대학 치위생학과
한동헌 ( Han Dong-Hun ) - 서울대학교 치의학대학원 예방치학교실
KMID : 1033920140100020060
Abstract
Longterm care insurance started from July of 2008. Longterm care insurance users are 290,000 as of July of 2012 and
37.5% are using nursing home. Elders in nursing homes have poor oral health compared to elders not in nursing home. Longer they stay in nursing home, elders had poorer oral health. Therefore, the needs of dental treatment for elders in nursing home are high. However, Longterm care insurance rarely covers any of the oral health. Also, part time medical doctor or oriental doctor and full time nurse work in nursing home, but part time dentists or full time dental hygienist does not work in nursing home. Thus, management of oral disease and oral hygiene by professional can not be performed. So, effective oral health service in longterm care insurance should be developed urgently and come up with the insurance fee that service provider, insurer and beneficiary can all agree on. In case of Japan, home-based dental care is covered by medical insurance and dental care in nursing home is covered by longterm care insurance. Japan also has dental fee structure and adding structure in variety of items. Since Japan has advanced development in expenses of longterm care and medical structure, Korea should develop expenses system based on Japan’s case.
키워드
Dental fee System of longterm care insurance; Longterm care of Japan
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