• 대한치과의료관리학회지
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• 제10권1호
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• pp.53-65
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• 2022

The Primary Care Patient Measure of Safety (PC-PMOS) is a measure of safety that allows patients to evaluate contributing factors related to patient safety in primary care. This study aimed to examine which questionnaire items of the PC-PMOS could be used in Korean dental institutions. A survey of the Korean translation of the PC-PMOS, a self-reported questionnaire, was conducted in August 2022 by 400 adults who had used dental-care services within the last three years. Of the 77 items, 34 were selected using principal component analysis and two experts' evaluations based on face validity. Five domains were identified from factor analysis: patient centeredness, patient information update, complaint processing, communication, and information about the complaint process. The Cronbach's alpha of the data was 0.913, indicating high reliability. As a result of the generalized multiple regression analysis, regression coefficients were not statistically significant, except for household income. This indicated that there was no bias in the patient safety scores of dental institutions evaluated by patients within the range of independent variables used in this study. The five domains with 34 items identified in this study suggested the factors that contribute to the safety of patients who used dental care services in Korea. However, validation of this study result is still important to refine questionnaires suitable for dental institutions in Korea so as to further improve the quality of dental care.

• 한국치위생학회지
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• 제16권6호
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• pp.1033-1045
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• 2016

Objectives: This research was conducted to recognize dental health care employees' awareness of patient safety culture and to examine the association between awareness of patient safety culture and patient safety activities. Methods: The subject of this research includes the dental health care employees from 11 different dental hospitals in the nation, dental offices in the 6 different general hospitals in Seoul, and 4 different private dental offices in 2014. A self-reported questionnaire was completed by 485 dental health care employees from March 17 to April 3, 2014. Multiple regression models were used in the analysis. Results: First, the dental health employees' awareness of patient safety culture was 3.25 on average. The extent of patient safety activities was 2.75. The behavior of the supervisor/manager and the adequate explanation showed positive correlation with r=0.213 (p<0.001). The process of communication and the preventative inspection of the medical equipment showed negative correlation with r=-0.258 (p<0.001), and especially the awareness of patient safety culture and the infection control exercise showed the most significant correlation (r=0.293, p<0.001). Second, hospital environment factor of patient safety perceptions positively were related to most of patient safety management activities after controlling several covariates. Conclusions: The result of this research showed that most of the patient safety culture perceptions positively were correlated with patient safety activities. We also found that proper hospital environment, simple communication process, and positive perceptions for patient safety level were more likely to perform patient safety management activities after controlling several covariates. Improving the patient safety perceptions of dental hospital workers is an important consideration.

• 대한치과마취과학회지
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• 제12권3호
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• pp.183-191
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• 2012

In most persons with disabilities had poor oral hygiene because of less attention and ability to perform a dental care. So the increased prevalence and severity of dental disease were common oral state. Although most persons with disabilities need a adequate dental treatment, it is often very difficult to treat because of noncooperativity and involuntary muscle movements. Dental treatments under sedation and general anesthesia were make to provide a high-quality dental service because of decreased anxiety and fear associated dental treatment in persons with disabilities. The dental professionals must be able to select and apply the proper sedation methods in agreement with the characteristics of the disabilities, general conditions, sedation experience and capacity of dentist, type and time of dental treatment, equipments of dental clinic, consent of patient's protector. The proshodontic treatment procedures, such as abutment preparation, dental impression taking process, try-in process of prosthesis and adjustment of occlusion, are difficult even for patients without disabilities. Those procedures are more difficult to patients with disability because it's too hard to control breathing and muscle. In this report, we performed prosthetic dentistry procedures to three patients with disabilities under dental sedation and general anesthesia.

• 한국치위생학회지
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• 제13권3호
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• pp.501-507
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• 2013

Objectives : The purpose of this study was to evaluate the effect of the family dentist system on oral health status of children and adolescents of Community Children's Centers in Busan, Korea. Methods : The subjects of this study were 81 children and adolescents, 6 to 14 years old, using Community Children's Centers. The oral health survey was conducted on the subjects from the starting stage of family dentist program in 2009 to the evaluation stage in 2010. Dental health status was examined by a trained dentist according to the guideline proposed by the World Health Organization. In addition, the information on the oral health knowledge, belief, and process of dental care were obtained using questionnaires. Data were analyzed using the paired samples t-test. Results : Percentages of subjects with fissure sealants on permanent teeth and filling rate among DMF teeth of 2010 year were higher than those of 2009 year (P<0.05). However, the rate of decayed teeth among DMF teeth of 2010 year was lower than those of 2009 year (p=0.049). Conclusions : These findings showed that the family dentist system brought a positive effect on caries prevention and proper dental care of children and adolescents of the Community Children's Centers.

• 한국치위생학회지
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• 제22권5호
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• pp.375-382
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• 2022

Objectives: This study analyzes factors related to English communication skills in the dental health services of clinical dental hygienists who provide dental medical services to foreigners. Methods: Surveys were conducted to measure students' English communication skills. Participants comprised 195 clinical dental hygienists working at dental English study cafes or who provided dental medical services to foreigners. After analyzing the differences in English communication skills, hierarchical multiple regression analysis was performed on the factors related to English communication skills. Results: English communication skill of dental hygienists was 1.96 points out of 5 points. The factors related to the English communication skill of the clinical dental hygienists were foreign patient care, language training experience, overseas living experience, and certified English proficiency. The adjusted explanatory power of this model was 53.0%. Conclusions: Dental hygienists in charge of foreign patients have experience in language training and overseas residence, have a language qualification certificate, and have higher English communication skills. It is necessary to develop English language learning programs based on metaverse to develop the English communication skills of dental hygienists who provide dental health services to foreign patients and to operate a creative educational environment to increase interest in learning English.

• 대한치과의료관리학회지
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• 제8권1호
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• pp.1-7
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• 2020

Dental settings have unique characteristics that warrant specific infection control considerations, including (1) prioritizing the most critical dental services and provide care in a way that minimizes harm to patients due to delayed care, or harm to personnel from potential exposure to persons infected with the COVID-19 disease, and (2) proactively communicate to both personnel and patients the need for them to stay at home if sick. For health care, an interim infection prevention and control recommendation (COVID-19) is recommended for patients suspected of having coronavirus or those whose status has been confirmed. SARS-CoV-2, which is the virus that causes COVID-19, is thought to be spread primarily between people who are in close contact with one another (within 6 feet) through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. Airborne transmission from person-to-person over long distances is unlikely. However, COVID-19 is a new disease, and there remain uncertainties about its mode of spreads and the severity of illness it causes. The virus has been shown to persist in aerosols for several hours, and on some surfaces for days under laboratory conditions. COVID-19 may also be spread by people who are asymptomatic. The practice of dentistry involves the use of rotary dental and surgical instruments, such as handpieces or ultrasonic scalers, and air-water syringes. These instruments create a visible spray that can contain particle droplets of water, saliva, blood, microorganisms, and other debris. While KF 94 masks protect the mucous membranes of the mouth and nose from droplet spatter, they do not provide complete protection against the inhalation of airborne infectious agents. If the patient is afebrile (temperature <100.4°F)* and otherwise without symptoms consistent with COVID-19, then dental care may be provided using appropriate engineering and administrative controls, work practices, and infection control considerations. It is necessary to provide supplies for respiratory hygiene and cough etiquette, including alcohol-based hand rub (ABHR) with 60%~95% alcohol, tissues, and no-touch receptacles for disposal, at healthcare facility entrances, waiting rooms, and patient check-ins. There is also the need to install physical barriers (e.g., glass or plastic windows) in reception areas to limit close contact between triage personnel and potentially infectious patients. Ideally, dental treatment should be provided in individual rooms whenever possible, with a spacing of at least 6 feet between the patient chairs. Further, the use of easy-to-clean floor-to-ceiling barriers will enhance the effectiveness of portable HEPA air filtration systems. Before and after all patient contact, contact with potentially infectious material, and before putting on and after removing personal protective equipment, including gloves, hand hygiene after removal is particularly important to remove any pathogens that may have been transferred to the bare hands during the removal process. ABHR with 60~95% alcohol is to be used, or hands should be washed with soap and water for at least 20 s.

• 치위생과학회지
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• 제12권1호
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• pp.7-13
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• 2012

비판적 사고는 치위생 교육과 실무에서 요구되는 핵심역량으로 인식되고 있다. 본 연구는 비판적 사고 능력 중 비판적 사고 성향이 학업성적에 따라 차이가 나타나는지를 알기 위해 2개교의 치위생(학)과 재학생 252명을 대상으로 비판적 사고 성향과 학업성적을 조사하여 다변량 공분산분석에 의해 비교한 결과 다음과 같은 결론을 얻었다. 1. 조사대상자의 비판적 사고 성향 평균은 3.46이었으며, 학업성적 상위권 집단의 비판적 사고 성향 전체 평균은 3.63로서 중위권(3.46), 하위권(3.41) 집단에 비해 유의하게 높았다(p=009). Scheffe 방법에 의한 사후검정 결과 상위권과 하위권 집단 사이에 유의한 차이가 나타났다(p=0.009). 2. 비판적 사고 성향의 하위요인인 지적열정/호기심, 자신감, 객관성, 건전회의성, 지적공정성, 신중성 등 6개 요인을 종속변수로 선택하고, 연령을 공변량으로 입력한 다변량 공분산 분석 결과 다변량 검정 결과 학업성적 집단에 따라 다변량 통계량이 유의한 차이가 나타났으며(p=0.001), 지적열정/호기심에서 학업성적 상,중,하 집단 사이에 유의한 차이가 나타났다(p=0.036). 3. 학업성적 집단 사이의 지적 열정/호기심에 대한 차이를 Scheffe의 방법에 의해 사후검정한 결과 상위권집단과 중위권 집단 사이(p=0.027)와 상위권 집단과 하위권 집단 사이(p=0.002)에 유의한 차이가 나타났으나, 중위권 집단과 하위권 집단 사이에는 유의한 차이가 나타나지 않았다. 치위생(학)과 학생들의 학업성적에 따른 비판적 사고성향을 분석한 결과, 성적에 따라 비판적 사고능력에는 지적 열정/ 호기심에서 차이가 있었으나, 그 차이는 크지 않았다(Wilks의 람다=0.914, F(6, 24)=1.869, p=0.001, 부분 에타제곱=0.044). 치과위생사의 비판적 사고능력은 업무범위 안에서 해결해야 하는 대상자의 '문제'와 '원인'의 관계를 진술하는 '치위생진단문'과 치과위생사가 제공해야할 예방, 치료, 교육에 관한 '중재 계획'으로 비판적 사고 과정의 결과이다. 따라서 치위생(학)과 학생들의 임상적 판단과 의사결정을 위한 비판적 사고 능력이 증진할 수 있는 교육체계가 마련되어야 한다고 사료된다.

• 대한장애인치과학회지
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• 제9권1호
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• pp.56-65
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• 2013

I participated in Academic Exchange Program(Action plan II) between KADH(Korean Association for Disability and Oral Health) and JSDH(Japanses Society for Disability and Oral Health) for 2 months from 3rd July 2012 to 2nd september 2012 in the Department of Hygiene and Oral Health, School of Dentistry, Showa University at Tokyo, Japan. I have observed their operation process and learned what dysphagia is and how it is consulted and taken care of as a therapy for patients with eating and swallowing disorders for two months in The department of special needs dentistry at Showa University Dental Hospital, Jonan Branch of Tokyo Metropolitan Kita Medical Rehabilitation Center for the Disabled, Smile Nakano Center, Tokyo metropolitan center for persons with disabilities in Lidabashi for one week, Eating and swallowing functional therapy workshop for disabled children, Tokyo metropolitan Tobu medical center for Persons with Developmental/Multiple Disabilities located in Minamisunamitchi for one week and on The 17-18th JSDR(Japanese Society of Dysphagia rehabilitation) in Sapporo. Through Action Plan II program, I learned how precious eating, drinking and swallowing with ease are and observed how they do and what they do as a dentist or a dental hygienist in Japan for dysphagia patients. Therefore, I want to present the dental approaches of children with dysphagia in Japan, based on my experience for two months.

• 치위생과학회지
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• 제9권3호
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• pp.287-294
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• 2009

본 연구는 치위생과 치면세마실습에 자발적으로 참여한 일반인을 대상으로 구강건강수준과 구강건강관리행위 및 구강보건지식의 관계를 알아보고자 구강검사와 설문조사를 하였으며, 회수된 266부를 SPSSWIN 12.0 통계프로그램을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 성별에 따른 구강건강수준은 우식경험영구치지수(DMFT index) 남자 10.4, 여자 13.0, 여자에서 높은 결과를 보였으며 통계적으로도 유의한 차이를 보였다. 우식영구치율 (DT rate)은 남자 32.0. 여자 30.0, 상실영구치율(MT rate)은 남자 32.2, 여자 26.6으로 남자가 높게 나타났으며 통계적으로도 유의한 차이를 보였다. (P<0.05). 2. 연령에 따른 구강건강수준을 보면, 우식경험영구치지수 (DMFT index)는 60대 이상 21.0으로 가장 높게 나타났으며, 연령이 높을수록 우식경험영구치지수가 높은 것으로 조사되었으나 통계적으로 유의한 차이는 없었다. 우식영구치율 (DT rate)은 40대 35.2%로 가장 높게 나타났고, 통계적으로 유의한 차이를 보이지는 않았다. 상실영구치율 (MT rate)은 60대 42.8%, 30대 42.6%로 높게 나타났고, 통계적으로 유의한 차이는 없었다. 처치영구치율(FT rate)은 60대 42.8%, 30대 42.6%로 높게 나타났고, 통계적으로 유의한 차이는 없었다. 3. 성별에 따른 구강보건지식은 우식성 식품에서 전체의 77.8%가 응답하여 가장 높은 응답을 보였으나 통계적으로 유의한 차이는 없었다. 불소에 관한 질문은 남자 72.4%, 여자 84.7%로 여자가 남자보다 높은 것으로 나타났고 통제적으로도 유의한 차이를 보였다(P<0.05). 잇솔질 방법은 남자 61.3%, 여자 78.8%로 여자에서 높은 응답을 보였으며 통계적으로도 유의한 차이를 보였다(P<0.05). 4. 연령에 따른 구강보건지식은 우식성 식품에서 20대 81.3%.로 가장 높게 나타났고, 통계적으로도 유의한 차이를 보였다(P<0.05). 5. 정기적인 구강검진여부에 따른 구강보건지식은 정기적인 구강검진을 하는 경우에서 불소에 관한 질문은 전체의 84.8%로 가장 높게 나타났다. 잇솔질 방법은 정기적인 구강검진을 한다(80.3%)가 안 한다(62.5%) 보다 높은 응답을 보였고, 우식성 식품은 정기적인 구강검진을 한다(68.2%)가 안 한다(81.0%)보다 낮게 나타냈으며 통계적으로도 유의한 차이를 보였다(P<0.05). 6. 치석제거여부에 대한 구강보건지식은 정기적인 치과 방문시기에서 치석제거 한다 50.5%, 안 한다 32.1%로 지석제거 한다에서 더 높은 응답을 보였으며 통계적으로도 유의한 차이를 보였다(p<0.05) 잇솔질시기는 치석제거 한다 77.2%, 안 한다 65.5% 로 한다에서 더 높은 응답을 보였으며 통계적으로도 유의한 차이를 보였다(p<0.05). 우식성 식품은 치석제거한다 71.3%, 안 한다 81.8%로 안 한다에서 더 높은 응답을 보였으며 통계적으로도 유의한 차이를 보였다 (p<0.05). 불소에 관한 질문은 치석제거 한다84.2%, 안 한다 71.5%로 한다에서 더 높은 응답을 보였으며 통계적으로도 유의한 차이를 보였다(p<0.05). 이와 같이 구강건강수준과 구강건강관리행위가 구강보건지식에 영향이 있음을 알 수 있으므로 차후 보다 많은 연구를 통하여 치위생과 치면세마실습 과정에서 효율적이고 체계적인 구강보건교육이 진행될 수 있도록 하며, 또한 자발적으로 치면세마실습에 참여한 환자에게는 개별 맞춤형의 구강보건교육을 통해 구강건강을 증진시키는 행위에 대한 동기부여를 강화하고 지속적인 구강건강관리가 유지되도록 하여야 할 것이다.

• 대한치과의사협회지
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• 제53권4호
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• pp.266-274
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• 2015

The price for health service are decided by very complicated process because many of factors are related with them. The RBRVS(resource-based relative value scale) were used to calculate the Korean health service fees including dental fees. This study aimed to compare dental fees of Korea with other countries, such as Japan, Germany, and the US for evaluating the adequacy. Dental fees were categorized as oral evaluation and imaging, dental treatment including restorative, periodontal, and surgical work, and preventive treatment and compared by each country. The official documents about dental fees were collected from Korea, Japan, Germany, and the US. Each fee was presented as their own currency at first. Then they were converted into Korean won (KRW) by applying the market exchange rates at a specific point of time. Finally the fees were adjusted by purchasing power parities (PPPs) which equalize the different currencies. In general, the level of Korean fees were markedly low compared to those of Japan, Germany, and the US. German fees were similar or higher than that of Japan, and the US. The Korean fees were lower than three other countries 1.2~4.1 times for oral evaluation and 2.2~7.3 times lower for panoramic radiography. The endodontic fees of Japan, Germany, and the US were higher 1.8~15.3 times and 4.0~35.9 times for the deciduous teeth extraction compared to the Korean. In Japan the prophylaxis was 3.2 times more priced than the Korean fee. Exceptionally, the fees for re-evaluation, amalgam filling, and scaling were lower priced in Japan than other countries. This study has limitations on the items in definition and contents of dental practices units which were not exactly comparable and differently determined by countries. However, this study is meaningful because it surveyed the price levels to compare four different countries and then applied PPPs adjustment. This finding can be used to develop the dental RBRVs of Korean national health insurance and will contribute to improving the payment systems of health care.