지역사회 구강돌봄진료제도 도입 제안 - 돌봄(의존성) 노인의 구강건강관리 시스템 -
Proposal for introducing community oral care/palliative treatment system
이성근, 고석민, 소종섭, 곽정민, 박인임, 이지나, 정회인, 김태완, 강경리, 고홍섭,
소속 상세정보
이성근 ( Lee Seong-Geun ) - Lee Seong Geun Dental Clinic
고석민 ( Ko Sok-Min ) - Purple Dental Clinic
소종섭 ( So Jong-Seob ) - S&P Seoul Dental Clinic
곽정민 ( Kwag Jung-Min ) - SK Chemicals Dental Clinic
박인임 ( Park In-Im ) - Good Face Dental Clinic
이지나 ( Lee Ji-Na ) - Pyeongtaek-si Private clinic
정회인 ( Jung Hoi-In ) - Yonsei University College of Dentistry Department of Preventive Dentistry & Public Oral Health
김태완 ( Kim Tae-Wan ) - Bundang Jesaeng General Hospital Department Dentistry
강경리 ( Kang Kyung-Lhi ) - Kyung Hee University School of Dentistry Department of Periodontology
고홍섭 ( Kho Hong-Seop ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
KMID : 1033920220180010019
Abstract
Oral care and dental services for the dependent older people of Korea is still extremely limited and not easily provided. Depending on where the dependent older people resides, such as the nursing facilities, individual homes, and nursing hospitals, access to dental personnel and the scope of oral care and dental treatment can be quite different due to disparities in rules and regulations for different institutions. In this study, the term ‘community oral care/palliative treatment system (COCS)’ for the dependent older people was introduced, and implementation of ‘The integrated community oral care/palliative treatment system’ (ICOCS) for the dependent older people was recommended. Oral care/treatment for the dependent older people could be categorized into four areas as follows 1) Oral care; Oral hygiene care and oral function care, 2) Basic dental treatment; non-invasive or minimally invasive dental treatment such as dry mouth management, pain management, adjusting and repairing of dentures, 3) General dental treatment, 4) Emergency dental treatment. Oral care and basic dental treatment should be available to all dependent older people wherever they are. For general dental treatment and emergency dental treatment the dependent older people should be transported to dental facilities. The criteria for selecting subjects for COCS were as follows, the remaining life expectancy and the rate of physical decline, ambulatory of the older people for dental visit, the ability of self-oral hygiene care, and the ability of cooperating during general dental treatment. For establishing ICOCS for the entire Korea, it was proposed to set-up an organization called the Korean Community Oral Care Promotion Agency (tentative name) in the central government level and supporting organizations at the municipal level. It is proper time to establish oral care/treatment system for the dependent older people in the community when the nationwide system of care welfare system is actively implemented. This study will lay the foundation for a policy that can provide oral care for the dependent older people in the community and is expected to prevent deterioration, or even improve general health.
키워드
Community care; Oral care; Oral care/palliative treatment system; The dependent older people
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