Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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A Study on the Current State of Pediatric Dentists and the Adequacy of Supply and Demand Based on Covered Services

소아치과 전문의 인력 현황 및 공급 적정성에 관한 연구 - 급여 진료 항목을 기준으로

  • Yeo Won Lim (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong) ;
  • Yong Kwon Chae (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Ko Eun Lee (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Ok Hyung Nam (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Hyoseol Lee (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Sung Chul Choi (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Mi Sun Kim (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong)
  • 임여원 (강동경희대학교병원 치과병원 소아치과) ;
  • 채용권 (경희대학교 치과병원 소아치과) ;
  • 이고은 (경희대학교 치과병원 소아치과) ;
  • 남옥형 (경희대학교 치과병원 소아치과) ;
  • 이효설 (경희대학교 치과병원 소아치과) ;
  • 최성철 (경희대학교 치과병원 소아치과) ;
  • 김미선 (경희대학교 치과대학 소아치과학교실)
  • Received : 2023.06.15
  • Accepted : 2023.08.02
  • Published : 2023.08.31
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Abstract

The aim of this study was to identify the current state of pediatric dentists, evaluate the adequacy of pediatric dentist supply and demand, and find out the perception of all pediatric dentists on the current state of pediatric dentists and policy establishment. An Online survey was conducted among pediatric dentists. The questionnaire was subdivided into 'general characteristics', 'number of dental treatments and working days per year', 'proportion of covered services', 'perceptions of supply and demand of pediatric dentists'. Through the Korean Academy of Pediatric Dentistry, the Health Insurance Review and Assessment Services, the National Health Insurance Service (NHIS), and the Korean Statistical Information Service, the current state of pediatric dentists, the number of claims for covered services, and the decrease in births per year were investigated. Dental clinics claiming to be pediatric dentistry reached half of all medical institutions, but only 3.78% of pediatric dentists actually worked. 61.36% of all pediatric dentists were concentrated in the metropolitan area, showing a national imbalance. Although the population of children and adolescents have continuously decreased over the past 20 years, the number of NHIS-covered services has shown a continuous increase. Over the past 10 years, the optimal supply of pediatric dentists has been maintained at around 4,000. According to the analysis, 92.15% of pediatric dentists thought that it was necessary to prepare policies and support measures at the government level. This study is expected to be used as basic data for establishing a demand estimation method for pediatric dentistry specialists in the future.

본 연구의 목적은 소아치과 전문의 인력 현황을 파악하고 만 19세 미만 환자의 연간 치과 이용량과 소아치과의사의 진료 생산성을 바탕으로 소아치과 전문의 인력 공급의 적정성을 평가하는 것이며 향후 정책 수립을 위한 의견을 알아보고자 하였다. 소아치과의사들을 대상으로 온라인 설문조사를 통해 '일반적인 특성', '연간 진료 횟수 및 근무 일수', '급여진료 비율', '전문의 수급 인식'에 대한 응답을 수집하였다. 대한소아치과학회, 건강보험심사평가원, 국민건강보험공단, 국가통계포털을 통해 소아치과의사 현황 및 진료 청구 횟수, 연간 출생아 수 감소 등을 조사하였다. 진료과목을 소아치과로 표방하는 치과는 전체 의료기관의 절반에 달했지만 실제 소아치과 의사가 근무하는 곳은 3.78%에 불과했다. 전체 소아치과의사의 61.36%가 수도권에 집중된 지역적 불균형을 보였다. 지난 20년 동안 소아청소년 인구는 지속적으로 감소했지만, 급여 진료 청구 횟수는 지속적으로 증가하고 있다. 지난 10년간 소아치과 전문의 적정 공급량은 4,000명 내외로 유지되었다. 소아치과 의사의 92.15%가 정부 차원의 정책 마련과 지원 방안이 필요하다고 생각하였다. 본 연구가 향후 소아치과 전문의 수요예측 방법 확립을 위한 기초자료로 활용될 수 있기를 기대한다.

Keywords

Acknowledgement

This study was supported by the fund from Korean Academy of Pediatric Dentistry (2023).

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