치면열구전색 급여화에 따른 수혜량에 영향을 미치는 요인 = Factors of Influencing the Benefit Amount according to the National Health Insurance Coverage in Pit and Fissure Sealants

다국어 초록 (Multilingual Abstract)

The purpose of this study was to grasp the benefits from pit and fissure sealants and to analyze the factors of influencing the benefit amount by using the raw data of the Korea National Health and Nutrition Examination Survey for 2007∼2013 targeting the subjects aged from 6 years in full to 18 years. The analysis was used STATA 11.0. As a result of the analysis, the following conclusions were obtained. It rose up to 1.24 pieces after carrying out the national health insurance coverage from averagely 0.93 piece until the year in 2007∼2009 (up to November) when is before enforcing the national health insurance coverage in the pit and fissure sealants. The benefits from pit and fissure sealants depending on general characteristics were surveyed to be higher in the higher income level, in the more subscription to health insurance and private insurance, and in the more toothbrushing frequency per day. The factors that have influence upon the benefits from pit and fissure sealants were shown to include whether or not to have the national health insurance coverage in the pit and fissure sealants, income level, health insurance type and private insurance subscription appearance, and one-day toothbrushing frequency. Synthesizing the results, a rise in the benefits from pit and fissure sealants is shown in 2010 based on December 2009 when the national health insurance coverage in the pit and fissure sealants was implemented, but is showing the tendency of declining again from 2011. To increase the benefits from pit and fissure sealants, it is thought that the schemes will need to be discussed such as reinforcing publicity on the national health insurance coverage in the pit and fissure sealants, expanding a support for low-income bracket, and differentiating the outpatient cost sharing according to socio-economic level.

참고문헌 (Reference)

1 송근배, "치아우식증 예방을 위한 자일리톨의 활용" 대한치과의사협회 46 (46): 132-138, 2008

2 이효진, "치면열구전색의 건강보험급여화에 따른 지역 간 전색보유격차의 변화" 대한예방치과·구강보건학회 38 (38): 165-169, 2014

3 이상호, "치면열구전색술(치아홈메우기) 건강보험 급여기준 개발" 대한소아치과학회 36 (36): 654-666, 2009

4 김종배, "전주시 일부 초,중학생에서 치면열구전색이 필요한 치아종류 및 치면" 대한예방치과·구강보건학회 29 (29): 33-42, 2005

5 "http://www.whocollab. od.mah.se/countriesalphab.htm"

6 "http://www.hira.or.kr./Information/Statistical Information/Treatment Cost Statistical Indices"

7 Ham HJ, "Study on the factors that influence the treatment of dental sealants: based on the 4th and 5th Korean national health and nutrition examination survey" Chungang University 2015

8 Lee SK, "Reasons for extracted permanent teeth in Korean population." 25 : 139-163, 2001

9 Kim JB, "Public health dentistry" Komoonsa 41-58, 2009

10 Harris NO, "Primary preventive dentistry" Appleton & Lange 285-318, 2004

11 Kang BW, "Preventive dentistry" Koonja Publishing Inc 25-26, 2014

12 Kim JB, "Preventive dentistry" Komoonsa 185-, 2004

13 Research Group of Preventive Dentistry, "Preventive dentistry" Koonja Publishing Inc 239-263, 2010

14 Ministry of Health and Welfare, "Dental health program 2005" Ministry of Health and Welfare 105-109, 2005

15 Kim SA, "Contemporary preventive dentistry" DaehanNarae Publishing Inc 152-, 2011

16 Newbrun E, "Cariology" Quintessence 315-, 1989

17 National Assembly Secretariat Legislative Counseling Office, "A study on the Improvement law for oral health promotion" National Assembly Secretariat Legislative Counseling Office 83-88, 2011

18 National Health Insurance Survice, Korea Institute for Health and Social Affairs, "A report on the Korea health panel survey of 2013" National Health Insurance Survice, Korea Institute for Health and Social Affairs 314-329, 2013

19 Chung YB, "A comparative experimental study on hardness in several materials for sealant" 20 : 247-257, 1996

20 Ministry of Health and Welfare, "2012 Korean national oral health survey" Ministry of Health and Welfare 353-355, 2013

21 Ministry of Health and Welfare, "2006 Oral health program plan" Ministry of Health and Welfare 170-171, 2006

22 천기탁, "2003년도 한국 아동 및 청소년의 치면열구전색 실태에 관한 조사연구" 대한예방치과·구강보건학회 30 (30): 204-211, 2006