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한국의 치과의료 취약지역 현황 분석

A study on the status of dental underserved areas in Korea

  • 유지원 (강릉원주대학교 교육혁신원) ;
  • 신보미 (강릉원주대학교 치과대학 치위생학과) ;
  • 신선정 (강릉원주대학교 치과대학 치위생학과) ;
  • 배수명 (강릉원주대학교 치과대학 치위생학과)
  • Yu, Ji-Won (Institute for Innovative Education, College of Dentistry, Gangneung-Wonju National University) ;
  • Shin, Bo-Mi (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Shin, Sun-Jung (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Bae, Soo-Myoung (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University)
  • 투고 : 2021.07.05
  • 심사 : 2021.08.08
  • 발행 : 2021.08.30

초록

Objectives: This study aimed to analyze the status of dental care in underserved areas of Korea. Methods: This study targeted 229 cities in Korea. The analytical index was revised and supplemented with variables related to dental care, and the "oral health level" indexes were further selected to provide a total of 20 analytical indexes. All selected indexes were converted into T scores (cited by the Korea Health Promotion Institute) and subjectively weighted. Finally, the regional oral health indices and areas were derived. PASW Statistics 25.0 (SPSS Inc. Chicago, IL, USA) was used to analyze descriptive statistics. Results: Gyeongbuk Cheongsong-gun had the highest dental underserved index. The city with the highest regional oral health underserved index was Jeonnam Shinan-gun. Daegu Jung-gu had the lowest dental underserved index and regional oral health underserved index. Regional gaps existed between dental care and the regional oral health underserved index according to the city province (p<0.001). Conclusions: To continuously evaluate oral health conditions and projects centered on vulnerable areas, it is necessary to develop indicators to derive vulnerable areas for dental care and to develop effective public dental policies.

키워드

참고문헌

  1. Korea ministry of government legislation. Public health and medical services act [Internet]. Korea ministry of government legislation.[cited 2019 Mar 19]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=202639#J2:0.
  2. Kwak MY, Lee TH, Hong HS, NaBJ, Kim Y.Development and adjustment of indicators for underserved area. Health policy and Management 2016;26(4):315-24. https://doi.org/10.4332/KJHPA.2016.26.4.315.
  3. Kang YJ, Kim KH, Park JS, Lee JC. Development of analysis model for underserved areas for national health screenings in Gangwon province using GIS. Health Service Management Review 2015;9(2)9-16. https://doi.org/10.18014/hsmr.2015.9.2.9
  4. Hwang JH, Lee JY, Park SW, Lee DW, Lee BW, Na BJ. The analysis of underserved emergency medical services areas in Dajeon metropolitan city using a geographic information system. J Agric Med Community Health 2012;37(2):76-83. https://doi.org/10.5393/JAMCH.2012.37.2.076
  5. National health insurance service. Statistics on medical use by region in 2018 [Internet]. National health insurance service.[cited 2019 Sept 16]. Available from: http://www.nhis.or.kr/menu/boardRetriveMenuSet.xx?menuId=F3327.
  6. Korean dental association health policy institute. Current status and gap of dental medicine by region in Korea. Issue report. Seoul: Korean dental association health policy institute; 2016:6.
  7. Jang SH, Kwon HY, Lee HY. Dental services use among disabled patients living in Seoul. The Korean journal of health economics and policy 2016;22(4):119-39.
  8. Ministry of health and welfare. Basic planning of oral health projects [Internet]. Ministry of health and welfare.[cited 2019 Sept 16]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=339985.
  9. Mun JJ, Lee TH, Kwak MY, Na BJ, Sung SM. A report on the results of a study on how to derive a medical underserved areas through the analysis of local medical status. Seoul: National medical center; 2013: 40-187.
  10. Korea health promotion institute. What are some of the areas that are vulnerable to local health?. Seoul: Korea health promotion institute; 2014:4-32.
  11. Korea ministry of government legislation. Public health and medical services act [Internet]. Korea ministry of government legislation.[cited 2018 Mar 19]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=202639#J2:0
  12. KOSIS. Status of operation of public health center and public health center substation [Internet]. KOSIS.[cited 2019 May 23]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=TX_117191104&vw_cd=MT_ZTITLE&list_id=D15&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE.
  13. Ministry of health and welfare. Explore the delivery vulnerability support in 2013. Seoul: Ministry of health and welfare; 2013:1-180.
  14. Park SK, Lee SH, Jeong AR, Jwa YK, Myeong HB, Na BJ. A study on the establishment of medical zone for the utilization and supply of medical service. Seoul: Korea health industry development institute; 2011:1-167.
  15. Yoon HS. A study on the public health service according to the regional distribution of medical resources. Seoul: Korea development institute; 2006:1-108.
  16. Na BJ, Lee SK, Lim NG, Choi YG, Hwang JH. The policy development for underserved area for obstetrics care. Daejeon: Konyang university of medical campus; 2010:1-161.
  17. Kim SY, Kang YH, Lee SJ, Hwang JY, Kang HT. Establishment of disposition standards for the appropriate disposition of public health doctors. Cheongju: Korea health industry development institut; 2009:1-161.
  18. Kim Y. Report on the analysis and monitoring of emergency medical vulnerabilities and the development of efficient support measures for emergency medical personnel. Seoul: Ministry of health and welfare; 2009:1-164.
  19. Lim JS. An analysis of emergency medical conditions and a proposal for support in rural areas. Seoul: National emergency medical center; 2007:1-448.
  20. Bae SS. Assessment of district public health delivery system and development of indices of primay care deprivation. Seoul: Korea health promotion institute; 2015:12-182.
  21. Lee TH, Kim MJ, Shin HS, Kim JS, Yoon KB, Kwak MY, et al. Healthcare vulnerability monitering study in 2017. Seoul: National medical center; 2017: 172.
  22. Cho HJ. Equity in health care: current situation in South Korea. J Korean Med Assoc 2013;56(3):184-94. https://doi.org/10.5124/jkma.2013.56.3.184
  23. US department of health and human services, office of disease prevention and health promotion. Healthy people 2020 [Internet]. Washington, DC: US department of health and human services, office of disease prevention and health promotion[cited 2020 Dec 21]. Available from: http://www.healthypeople.gov/2020/about/default.aspx.
  24. Lee YJ. A study on the inepuality of health care resources distribution affected by regional characteristics. Journal Critical Social Welfare 2005;12(21):49-78.
  25. Kim Y, Lee TS, Park SK, Lee HY, Lee JY, On SJ, et al. A report of derivation NHIS(national health insuranceservice)-Atlas. Wonju: National health insurance service; 2018:8-498.
  26. Oh YH. A GIS-based study of the distribution of major health manpower in Korea. Health and Welfare Policy Forum 2008;141:59-72.
  27. Kim DJ. Inequality in medical use and health level in Korea. Korea institute for Health and Social Affairs 2015;280:1-8.
  28. Cho YH, Chung YH. Approach toward health and medical issues in islands -focused on Shinangun-. TJOKI 2011;23(4):101-11.
  29. Lee YJ. Regional distribution and characteristics of health care resources. Social Welfare Policy 2005;8(22):225-79.
  30. Park KD. A study on regional disparities in healthcare utilization. International Journal of Policy Studies 2012;21(3):387-414.
  31. Yoon TH. Regional health inqualities in Korea the status and policy tasks. JCSW 2010;30:49-77.
  32. Health People 2020. Healthy people in action[Internet]. Health People 2020. [cited 2019 Oct 19]. Available from: http://www.healthypeople.gov/2020/healthy-people-in-action/Stories-from-the-Field.
  33. Howard B, John D. State case studies: improving access to dental care for the underserved. JPHD 2012;72(3):221-34. https://doi.org/10.1111/j.1752-7325.2012.00346.x