한국치위생학회지 (Journal of Korean society of Dental Hygiene)

  • 제20권5호
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  • Pages.623-633
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  • 2020
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  • 2287-1705(pISSN)
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  • 2288-2294(eISSN)
한국치위생학회 (Korean Society of Dental Hygiene)
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치과위생사와 환자의 치석제거 실태와 분쟁에 대한 견해 차이

Differences in view of dental hygienist and patient's scaling actual condition and disputes

  • 투고 : 2020.07.17
  • 심사 : 2020.08.23
  • 발행 : 2020.10.30
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초록

Objectives: Since scaling has been covered by insurance, the number of patients undergoing scaling has increased. Simultaneously, legal disputes around scaling have increased. Therefore, this study was aimed at comparing the differences between the perceptions of dental hygienists and patients regarding the scaling procedure and providing dental hygienists with basic data to find ways to reduce disputes arising from these differences. Methods: A survey was conducted on 119 dental hygienists working in Busan and the South Gyeongsang Province and 110 patients who visited hospitals for scaling. Frequency analyses were performed for dental hygienists' scaling behavior and patient discomfort during scaling. The independent t-test and chi-square test were performed to compare the perceptions of dental hygienists and patients regarding the scaling procedure. Results: Polishing after scaling was performed according to 70.1% of dental hygienists but only 29.9% of patients. Oral health education was provided according to 20.4% of dental hygienists, while 79.6% of patients said that they received oral health education at the Dentiform. The scaling time was reported to be shorter by patients than by dental hygienists. Both dental hygienists and patients said that legal action was required if problems occurred during scaling, and the refund standard was that patients needed it more than dental hygienists. Conclusions: There are differences between the perceptions of dental hygienists and patients regarding scaling. Dental hygienists should identify these differences and try to prevent conflicts or disputes with patients around scaling.

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참고문헌

  1. National Health and Nutrition Survey. Data[Internet]. Report; 2018 National Health Statistics. [cited 2020 Jun 28]. Available from: http://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do
  2. Health Insurance Review & Assessment Service. Statistical data[Internet]. Statistical Yearbook of Health Insurance; 2017. [cited 2020 Jun 28]. Available from: http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045020000
  3. Choi ES, Kim MN, Noh SM, Park JE. Factors affecting dental service utilization of adult: an application of the andersen model. J Dent Hyg Sci 2015;15(1):67-76. https://doi.org/10.17135/jdhs.2015.15.1.67
  4. Lee BG, Lee JH. Recognition and satisfaction of dental care customers after 1 year national health insurance coverage of dental scaling. J Korean Soc Dent Hyg 2016;16(2):185-93. https://doi.org/10.13065/jksdh.2016.16.02.185
  5. Ju OJ, Kang EJ, Woo SH, Lee AJ, Lee HJ, Park MY. Recognition between layperson and dental hygienists on expansion of health insurance of scaling. J Korean Soc Dent Hyg 2014;14(3):431-8. https://doi.org/10.13065/jksdh.2014.14.03.431
  6. Ministry of Health and Welfare. Notification[Internet] press release. [cited 2020 Aug 28]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=286513&SEARCHKEY=TITLE&SEARCHVALUE=%BD%BA%C4%C9%C0%CF%B8%B5
  7. Yoo EH, Lee HJ, Oh HY. Changes and cognition of dental hygienist and dentistry after national health insurance of dental scaling. J Kor Dent Hyg Sci 2019;2(1):31-9.
  8. Kim JM, Ha JW, Kim JS, Jung YH, Kim DS, Lee GY. Factors associated with community scaling rate: using community health survey data. J Korean Soc Dent Hyg 2015;15(6):1053-61. https://doi.org/10.13065/jksdh.2015.15.06.1053
  9. Kim YT, Lee JH, Kweon HI, Lee JS, Choi JK, Kim DW, et al. Evaluation of national health insurance coverage of periodontal scaling: A nationwide cohort study in Korea. The Journal of the Korean Dental Association 2016;54(8):604-12.
  10. Korea Medical Dispute Mediation and Arbitration Agency. Notification yard [Internet]. data; General Data; Number 34. [cited 2020 Jun 28]. Available from: http://www.k-medi.or.kr//lay1/bbs/S1T27C96/A/25/list.do.
  11. SBS NEWS. eight o'clock news[Internet]. Society. [cited 2020 Jun 19]. Available from: http://news.sbs.co.kr/news/endPage.do?news_id=N1005525514&plink=ORI&cooper=NAVER
  12. Kim BN. A survey on malpractice accidents and disputes concerned with dental hygienists in the Seoul and Gyeonggi province. J Dent Hyg Sci 2008;8(1):13-20.
  13. Yang EM, Park SJ, Kim HJ. The experience of medical conflict and the educational needs of dental hygienists. J Dent Hyg Sci 2015;15(3):361-8. https://doi.org/10.17135/jdhs.2015.15.3.361
  14. Nam YO, Ju OJ, Kim MJ. A study on the improvement of the national dental hygienist practical examination. J Korean Soc Dent Hyg 2013;13(2):201-9. https://doi.org/10.13065/jksdh.2013.13.2.201
  15. Kim GY. Impact of health insurance benefits of scaling on the oral health service change of the dental hygienist[Master's thesis]. Busan: Univ. of Inje, 2016.
  16. Kim JH. Study on the types of the medical accidents and the counter plan of the dentists in Seoul[Master's thesis]. Seoul: Univ. of Yonsei, 1998.
  17. Yoon JA. Study on types and counterplans of medical accident experienced by dentists in Seoul[Doctoral dissertation]. Seoul: Univ. of Yonsei, 2004.
  18. Axelsson P, Lindhe J. The significance of maintenance care in the treatment of periodontal disease. J Clin Periodontol 1981;8:281-94. https://doi.org/10.1111/j.1600-051X.1981.tb02039.x
  19. Kim YS, Yoon HS. Burnout among clinical dental hygienists and its coping behaviors. J Dent Hyg Sci 2007;7(4):225-33.
  20. Chung WG, Son AR, Jung HR, Ha JY, Heo JE, Kim SH, et al. Cognition and perception of community members about dental hygienists job. J Korean Soc Dent Hyg 2006;6(4):403-17.
  21. Kang SK, Bae HS, Lim SR. Analysis of communication of dental hygienist in oral hygiene instruction during scaling. J Dent Hyg Sci 2014;14(4):546-53. https://doi.org/10.17135/jdhs.2014.14.4.546
  22. Cho YS, Bae HS, Lim SR, Lee SY. Dental hygiene process of care. 1st ed. Cheonan: Publication of Namseoul University; 2013: 271-5.
  23. Park ST, Lee KS, Lee HJ, Kim CB, Cho KS. Determinants of utilization behavior and satisfaction of oriental and western medical hospitals in Korea. Health Policy and Management 2000;10(2):22-40.