대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제49권4호
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  • Pages.368-378
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  • 2022
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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치과의료기관 접근성에 따른 부산대학교 치과병원 소아치과의 신환 분포

The Distribution of Pediatric Patients According to Accessibility to Dental Facilities in Pusan National University Dental Hospital

  • 이해나 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 박소영 (부산대학교 치과병원 소아치과) ;
  • 신종현 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 이은경 (부산대학교 치의학전문대학원 소아치과학교실)
  • Haena, Lee (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Soyoung, Park (Department of Pediatric Dentistry, Pusan National University Dental Hospital) ;
  • Jonghyun, Shin (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Taesung, Jeong (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Eungyung, Lee (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
  • 투고 : 2022.07.08
  • 심사 : 2022.08.19
  • 발행 : 2022.11.30
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초록

이 연구의 목적은 부산대학교 치과병원 소아치과에 내원한 신환을 대상으로 치과의료 기관에 대한 접근성을 분석하여 이에 따른 신환 분포의 차이를 조사하는 것이다. 2020년에 부산대학교 치과병원 소아치과에 내원한 부산 및 경남 지역의 신환을 대상으로 전자의무기록을 이용하여 연령, 성별, 거주지, 초진 시 주소(Chief complaint), 내원 경로, 의과적 병력 등에 대한 정보를 수집하였다. 신환의 거주지에서 가장 가까운 치과의원, 소아전문 치과의원 및 부산대학교 치과병원과의 거리에 측정하여 이에 따른 환자의 특성을 분석하였다. 의료기관 접근성 평가를 위해 거주지에서 치과의료기관까지의 거리를 10 km를 단위로 분류하였고, 소아치과의원의 경우 10 km 내 의원 유무도 분류하였다. 신환의 거주지와 부산대학교 치과병원 사이의 거리가 증가할수록 치아우식을 주소로 내원하는 환자의 비율이 감소하였고, 교정치료를 주소로 내원하는 환자의 비율이 증가하였다. 거주지 반경 10 km 이내 소아치과의원의 유무는 주소의 분포에 유의한 영향을 미치지 않았다. 이번 연구는 소아치과에 내원하는 환자들의 물리적, 지리적 접근성을 향상할 수 있는 실효성 있는 진료 대책을 수립하는 데에 기초자료로 활용될 수 있을 것이다.

The purpose of this study was to analyze the accessibility to dental facilities and the differences in chief complaints of new patients who visited Pusan National University Dental Hospital. We collected information from electronic medical records for 1,820 new patients. The accessibility was analyzed by measuring the distance from the patient's house to the dental facilities. The distance was categorized into 10 km sections, and the presence or absence of a local pediatric dental clinic within 10 km of the patient's house was also categorized. As the distance between the house and Pusan National University Dental Hospital increased, the proportion of patients who visited for dental caries decreased, and orthodontic treatment increased. Dental caries accounts for 27.9% of less than 10 km and 20.5% over 30 km. Orthodontic treatment accounts for 25.4% within 10 km and 27.3% more than 30 km away. The presence or absence of a local pediatric dental clinic within 10 km did not significantly affect the distribution of chief complaints. This study can be used as basic research data to establish effective treatment measures that can improve the physical and geographical accessibility of patients visiting pediatric dentistry.

키워드

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