대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제48권2호
  • /
  • Pages.129-139
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  • 2021
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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빅데이터를 이용한 치면열구전색 급여화 이후의 소아청소년 치면열구전색 환자에 대한 분석

Analysis of the Characteristics of Children and Adolescent Patients Received Sealant after National Health Insurance Coverage using Big Data

  • 이한길 (연세대학교 원주세브란스기독병원 소아치과) ;
  • 손동현 (연세대학교 원주세브란스기독병원 소아치과) ;
  • 나채현 (연세대학교 원주세브란스기독병원 소아치과) ;
  • 김지훈 (연세대학교 원주의과대학 치과학교실)
  • Lee, Hangil (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Son, Donghyun (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Na, Chaehyun (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Kim Jihun (Department of Dentistry, Wonju College of Medicine, Yonsei University)
  • 투고 : 2020.09.06
  • 심사 : 2020.11.09
  • 발행 : 2021.05.31
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초록

이 연구의 목적은 치면열구전색의 급여화 이후 치면열구전색 처치를 받은 소아청소년 환자들의 성별, 나이, 보험종류, 지역, 의료기관 등의 특성을 알아보는 것이다. 건강보험심사평가원의 환자표본자료를 이용하였으며 2010년부터 2017년까지 총 8,454,636명의 환자의 정보를 얻을 수 있었고 이중 치면열구전색 처치가 포함된 환자는 114,680명이었다. 여자에서 남자보다 치면열구전색 처치를 받은 비율이 더 높았고, 5 - 9세 집단이 다른 연령에 비하여 가장 많은 치면열구전색 환자 및 진료 비율을 보였다. 보험의 경우 건강보험을 가진 경우가 의료급여에 해당하는 환자에 비해 치면열구전색 진료를 받은 비율이 높았고 진료기관은 치과의원, 치과병원, 보건소 순으로 나타났다. 지역별 비교에서는 경기도가 가장 많은 치면열구전색 환자를 보였으나, 환자 비율의 경우 전북이 가장 높게 나타났다.

The purpose of this study was to analyze the characteristics of pediatric and adolescent patients who received sealant after health insurance coverage based on demographic factors such as gender, age, insurance type, care institution and region. Patient Sample Data from the Health Insurance Review and Assessment Service were used for this study. A total of 8,454,636 patients' data were obtained from 2010 to 2017. Of these, 114,680 patients got sealant treatment. Females were more likely to receive sealant treatment than males. 5 - 9 year age group showed the highest number of patients and proportion of treatment. Patients with health insurance were more likely to receive pit and fissure sealant treatment compared to patients with medical aid program. The number of sealant patients and the proportion of sealant treatment were the highest in dental clinics, followed by dental hospitals and public health centers. The number of sealant patients were the highest in Gyeonggi and proportion of sealant patients were the highest in Jeonbuk.

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