• 보건행정학회지
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• 제12권1호
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• pp.84-101
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• 2002

This study collected and analyzed the datum related to consultation fee in National Health Insurance Corporation and characteristics of dental clinics for 819 dental clinics in Daegu and Kyungpook districts to specify the distribution and concentration rate of health insurance consultation fee and the critical elements of insurance consultation fee income. The average health insurance consultation fee per one dental clinics is 77.2 million won and the case of women dentists is 78.7 million won. That is higher than 79.9 million won that the case of man dentist. According to age, under 39 is 85.5 million won that is highest, declining little by little above 60s the number decreased to merely 23.9 million won. And the dentists whose business years from 5 to 10 are the highest and declining gradually. The more of engaging members to dental clinics is the larger the income. The average insurance consultation fee of Daegu province is 69.3 million won, but that of Kyungpook is 89.6 million won. Decile distribution ratio of dental clinics consultation fee income is 0.526 and Gini coefficient is 0.303. Decile distribution ratio of Daegu district is 0.489, Gini coefficient is 0.320. This explain the larger inequality compared with Kyungpook(0.623, 0.273). With age, Gini coefficient of below 39 is 0.260, the higher age is, the larger the number is, up to abode 60 the coefficient is 0.504, the degree of inequality is most extremely. insurance consultation fee and the number of cases of consultation is related to the age of dentists, duration of practice, the number of dentists and staffs engaging and provinces. That is, the lesser the age is, the longer the years of engaging are, the more the number of dentists and staffs we, the larger insurance consultation fee income and the number of cases of consultations we. And the fee fur one case is closely related to age and provinces. The fee for one case is higher in lower age, and that of in Daegu dental clinics is higher than in Kyungpook.

• 대한치과기공학회지
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• 제22권1호
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• pp.129-143
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• 2000

With increasing number of dental patients, it is also increasing patient's desire to get better medical service. As the concern for improvement of dental medical service quality is growing, satisfaction degree of dental patients is becoming very important. This study was to investigate difference of patients' satisfaction degree concerned with installation of dental labs and the reason. The data for this study were collected through Self-Administered Questionnaires from 284 patients who had visited dental clinics more than two times. The results are as follows: Female respondents ratio was as twice much as male ones. And 54.2% of the respondents were found out to have completed university education. Dental clinics with dental labs scored higher than others in patients' satisfaction and recommendation willingness degree. Dental clinics without dental labs scored higher in patients' revisiting willingness degree. With simple Correlation Analyses it was found out that the most influential variable concerned with patients' general satisfaction degree was medical facility in dental clinics with dental labs, dentist ability to cure in dental clinics without dental labs. There were some discrepancies with other subordinate variables. Through Stepwise Multiful Regression Analyses it was found out that the most influential variable with patients' general satisfaction degree was dentist ability to cure in total and dental clinics without dental labs and medical facility in dental clinics with dental labs. There were also some discrepancies with other subordinate variables.

• 농촌의학ㆍ지역보건
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• 제40권4호
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• pp.193-205
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• 2015

Objectives: This study was conducted to find the relationship between oral health conditions of elderly people and closures of public dental health clinics in rural areas. Methods: Oral examinations and surveys were conducted in 2011 from May 11 through November 4 on 383 seniors over 65-years and under 74 years old. Results: The results of this study were as follows: 1. The results of comparative analysis of the usage behaviors of health clinics of subjects in relation to the closures of public dental clinics within the area showed that the usage level and frequency of public health agencies in areas with public dental clinics were high, and that the trend of influence on personal oral health conditions and improvement in prevention was high. When compared to 3 years ago, there was an 11.6 percentage point reduction in areas without public dental clinics (24.4%) compared to areas with public dental clinics (12.8%). 2. The results of comparative analysis of the oral health conditions and behaviors of subjects in relation to the closures of public dental clinics showed that the level of dental caries was high in areas with no public dental clinics, and the number of toothbrush usage and oral health supplemental product usage were shown to be high in areas with public dental clinics. Conclusion: The closures of public dental clinics were found to affect oral health behavior and conditions of elderly people in rural areas.

• 대한치과의사협회지
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• 제54권8호
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• pp.613-629
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• 2016

This study assayed regional distribution of dental hospital & dental clinics, the number of population & households per one dental hospital & clinic, operation condition & duration. This study used public data that display from 1946 years(the first dental clinic open in republic of korea) to 2016 years. We collected present condition of 21,686 dental hospital and clinics available in public data portal site on 28. Feb.2016. Data were classified by scale, location, permission year, operation duration of dental hospital & clinics and were analyzed using SPSS 20.0 program. Surveyed on Feb. 2016. Best top 10 regions of permission dental clinics are (1) Gangnam-gu, Seoul(1,337), (2) Seongnamsi, Gyeonggi-do(555), (3) Songpa-gu, Seoul(491), (4) Yeongdeungpo-gu, Seoul(472), (5) Suwon-si, Gyeonggi-do(443), (6) Seocho-gu, Seoul(428), (7) Nowon-gu, Seoul(417), (8) Goyang-si, Gyeonggi-do(413), (9) Jung-gu, Seoul(380), (10) Yongin-si, Gyeonggi-do(353). Whereas best top 10 regions of operating dental clinics are (1) Gangnam-gu, Seoul(581), (2) Seongnamsi, Gyeonggi-do(415), (3) Suwon-si, Gyeonggi-do(382), (4) Seocho-gu, Seoul(320), (5) Changwon-si, Gyeongsangnam-do(303), (6) Songpa-gu, Seoul(295) (7) Goyang-si, Gyeonggi-do(290), (8) Bucheon-si and Yongin-si, Gyeonggi-do(262), (9) Jeonju-si, Jeollabuk-do(224). Average population per one dental hospital & clinic by regional local government are 3,120 people. Best five region of population per one dental hospital & clinic are (1) Sejong-si(5,272), (2) Gangwon-do(4,653), (3) Chungcheongbuk-do(4,513), (4) Gyeongsangbuk-do(4,490), (5) Chungcheongnam-do(4,402). Average households per one dental hospital & clinic by regional local government are 1,316 households. Best three region of households per one dental hospital & clinic are (1) Sejong-si(2,126), (2) Gangwon-do(2,057), (3) Gyeongsangbuk-do(1,946). From 1946 to 1986, permission and operating dental hospital and clinics was steadily increasing. On 1986-1990, 1991-1995, permission, operation and closure of dental hospital and clinics increase rapidly. From the 2011-2015 to 2016(present), permission, operation and closure of dental hospital and clinics is decreasing. Average operating duration of closured dental hospital and clinics are 14.054 years. We need to map of dental hospital and clinics for open and operation of one, base on analyzed results. In an era of 30,000 dentist, we should to be concerned about operation of dental clinics in the light of past operating condition.

• Journal of Dental Anesthesia and Pain Medicine
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• 제23권2호
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• pp.101-110
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• 2023

Background: Dentists make various efforts to reduce patients' anxiety and fear associated with dental treatment. Dental sedation is an advanced method that dentists can perform to reduce patients' anxiety and fear and provide effective dental treatment. However, dental sedation is different from general dental treatment and requires separate learning, and if done incorrectly, can lead to serious complications. Therefore, sedation is performed by a limited number of dentists who have received specific training. This study aimed to investigate the proportion of dentists who practice sedation and the main sedatives they use in the context of the Republic of Korea. Methods: We used the customized health information data provided by the Korean National Health Insurance. We investigated the number of dental hospitals or clinics that claimed insurance for eight main sedatives commonly used in dental sedation from January, 2007 to September, 2019 at the Health Insurance Review and Assessment Service. We also identified the changes in the number of dental medical institutions by region and year and analyzed the number and proportion of dental medical institutions prescribing each sedative. Results: In 2007, 302 dental hospitals prescribed sedatives, and the number increased to 613 in 2019. In 2007, approximately 2.18% of the total 13,796 dental institutions prescribed sedatives, increasing to 3.31% in 2019. In 2007, 168 institutions (55.6%) prescribed N₂O alone, and in 2019, 510 institutions (83.1%) made claims for it. In 2007, 76 (25.1%) hospitals made claims for chloral hydrate, but the number gradually decreased, with only 29 hospitals (4.7%) prescribing it in 2019. Hospitals that prescribed a combination of N₂O, chloral hydrate, and hydroxyzine increased from 27 (8.9%) in 2007 to 51 (9%) in 2017 but decreased to 38 (6.1%) in 2019. The use of a combination of N₂O and midazolam increased from 20 hospitals (6.6%) in 2007 to 51 hospitals (8.3%) in 2019. Conclusion: While there is a critical limitation to the investigation of dental hospitals performing sedation using insurance claims data, namely exclusion of dental clinics providing non-insured treatments, we found that in 2019, approximately 3.31% of the dental clinics were practicing sedation and that N₂O was the most commonly prescribed sedative.

• 한국컴퓨터정보학회논문지
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• 제23권11호
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• pp.137-142
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• 2018

The purpose of this study is to contribute to the improvement of indoor air quality management in dental clinic by investigating the level of indoor air quality recognition among dental clinic workers. The questionnaire survey was conducted for about 4 weeks from May 20 to June 20, 2018 in dental clinics located in Jeollanamdo area and 143 were used as the analysis data. The method of indoor air quality management in dental clinic was preferred to "natural ventilation" method and the number of natural ventilation was 1 to 2 times per day and the results of survey on indoor environment satisfaction showed that satisfaction level was lowest in noise and smell items. The types of subjective symptoms experienced by workers working at dental clinics are "cough", "eye burn", and "headache" and a survey on the degree of the relationship between subjective symptoms and indoor air quality showed that 94.4% (135) of respondents answered "very relevant" and "slightly related". As a result of multiple regression analysis, the variables affecting the indoor air quality satisfaction of the dental clinic staff were analyzed as the items such as lighting, noise, main work, number of patients, comparing indoor and outdoor air quality and among them, "comparing indoor and outdoor air quality" was analyzed as having a great influence. To improve the indoor air quality satisfaction of dental clinic worker adequate ventilation, designate the person responsible for the indoor air quality management and periodic measurement efforts will be necessary.

• 치위생과학회지
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• 제5권2호
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• pp.51-56
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• 2005

이 연구는 치과진료에서 처방되는 약제를 분석함으로써 해당 치과병 의원의 정보 자료의 제공 등으로 자율적 개선 노력 유도 및 지속적인 처방행태 변화추이 공개로 적정처방 및 벤 치마킹유도와 국민에게 항생제, 주사제 등의 약제 사용실태 홍보로 적정 약제 사용을 위한 인식 변화 유도에 기여하고자 이 연구를 시행하였다. 2003년 7월 1일부터 9월 31일까지 요양기관 34,226개소의 건강보험 외래약제 처방내역을 이용하여 항생제, 주사제의 투약일수율 및 처방률, 투약일당 약품비, 처방건당 약품목수와 고가약품목수의 비중에 대해 분석한 결과 다음과 같은 결론을 얻었다. 1. 항생제에 대한 투약일수율은 치과의원이 90.11%로 전년 동기 및 전분기보다 낮게 나타났으나, 처방률은 15.50%로 전년 동기 및 전분기보다 높게 나타났다. 치과병원의 투약일수율과 처방율은 각각 71.57%와 21.05%로 전분기보다 다소 높게 나타났다. 타종별 요양기관보다는 치과 병 의원의 투약일수율은 매우 높으나 처방률은 낮게 나타났다. 2. 주사제에 대한 투약일수율과 처방률은 치과의원이 각각 0.13%과 0.05%로 전년 동기보다는 감소추세로 나타났으며, 치과병원의 투약일수율과 처방률도 각각 1.03%과 0.88%로 전분기보다 다소 낮게 나타났다. 타 요양기관 종별보다는 치과병 의원의 주사제 투약일수율과 처방률은 매우 낮은 것으로 나타났다. 3. 약품목수는 치과의원이 2.79개로 전년 동기보다는 낮아졌으나 전분기보다는 높게 나타났으며, 치과병원은 2.67개로 전년 동기 및 전분기에 비해 증가된 것으로 나타났다. 타종별 요양기관보다는 치과병 의원 모두 약품목수가 적은 것으로 나타났다. 4. 투약일당 약품비는 치과의원이 863원으로 전년 동기 및 전분기에 비해 증가추세로 나타났으며, 치과병원은 1,385원로 전분기보다 낮게 나타났다. 타종별 요양기관보다는 치과병 의원 모두 낮은 것으로 나타났다. 5. 고가약품목수 비중은 치과의원이 46.43%로 전분기보다 높게 나타났으며, 치과병원은 54.05%로 전분기보다 매우 높게 나타났다. 병 의원에 비해 치과병 의원이 고가약품 목수 비중이 높은 것으로 나타났다. 6. 지역별 외래처방 현황 분석시 항생제 처방률은 광주지역이 가장 높고 대전지역이 가장 낮은 것으로 나타났으며, 주사제 처방률은 2/4분기 결과와 마찬가지로 영남지역이 모두 높은 반면, 수도권 지역은 모두 낮은 처방률로 나타났으며, 지역별 변이도 매우 커 최대지역의 처방률이 최소지역의 처방률의 2배 이상 높은 것으로 나타났다. 투약일당 약품비는 울산지역이 가장 높고 전북지역이 가장 낮게 나타나며, 처방건당 약품목수는 경기지역이 가장 높고 제주지역이 가장 낮게 나타났다.

• 한국산업보건학회지
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• 제21권2호
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• pp.90-98
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• 2011

Objectives: The aim of this study was to evaluate the level of urinary mercury and analyze which factors would affect urinary mercury concentration among dental hygienists in dental clinics. Methods: This study conducted by questionnaire and detection of urinary mercury concentration of 268 dental hygienists working in dental clinics from July to August of 2009. Data collected from two hundred and thirty-five dental hygienists were analyzed by the geometric mean (GM). Analytical results of urine samples with less than 0.3 g creatinine/L and greater than 3g creatinine/L were excluded from statistical analysis. Results: Urinary mercury concentration of 235 dental hygienists showed the geometric distribution. The arithmetic and geometric means of urinary mercury concentration were $0.996{\mu}g/g$ creatinine and $0.755{\mu}g/g$ creatinine, respectively. From multiple regression analysis, the number of amalgam filling, the consumption frequency of raw fish and the number of amalgam handling in current workplace was revealed as increasing factors of urinary mercury concentration. Conclusions: The level of urinary mercury in dental hygienists was higher than in general Korean population. The number of amalgam filling, the consumption frequency of raw fish and the number of amalgam handling in current workplace was revealed as increasing factors of urinary mercury concentration. Therefore using resin materials instead of amalgam in dental clinics is highly desirable.

• 한국치위생학회지
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• 제7권2호
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• pp.135-151
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• 2007

The purpose of this study was to examine the work environments of dental hygienists, to find out about what problems there were with their work environments and ultimately to help improve their work environments. It's basically intended to pave the way for furthering the welfare and interests of dental hygienists. The subjects in this study were dental hygienists who were selected by random sampling from among the members of Korean Dental Hygienists Association. Approximately 20 percent of the members each were selected from every region across the nation, and their work environments were investigated in consideration of the kind of their workplaces, service area, career and field of duties. As for the demographic characteristics of the dental hygienists investigated, there were differences between those who worked in the field of health care and the clinical workers. More of the former were older and married, and the former was ahead of the latter in career and education as well. Regarding working hours and leave of absence by kind of workplace, the number of regular average holidays was different according to their place of employment. Dental hospitals(6.66 days) and dental clinics(6.81 days) gave their employees less days off on the whole, whereas public dental clinics(19.29 days) granted the dental hygienists the longest leave of absence. Also, there was a broad gap in the number of regular average holidays among different regions in the nation. The dental hygienists who worked in Gangweon province enjoyed the longest holidays(10.88 days), while those on Jeju Island took the shortest vacation(4.46 days). Concerning monthly mean pay by place of employment, those who worked in public dental clinics were paid the best, and the dental hospital employees received the smallest pay. Their monthly mean pay significantly varied with the kind of their workplaces. As to connections between service area and pay level in the event of the dental hygienists with a four-year career, those who served in Seoul were paid the best(1,820,800 won), followed by Gyeonggi province(1,795,800 won), Gyeongsang province(1,604,200 won), metropolitan cities(1,424,800), Gangweon province(1,300,000 won) and Jeolla province(1,016,700 won). In regard to the starting pay in the different areas, the starting pay was largest in Seoul(1,501,800 won) and smallest in Jeolla province(904,000 won). Concerning work environments by place of employment, the dental hygienists in public dental clinics, general hospitals and university hospitals were far older than the others, and the career of the former was much larger than that of the latter. As to the number of regular leave of absence, public dental clinics, general hospitals and university hospitals were different from dental hospitals and clinics in that regard as well. Concerning monthly pay, public dental clinics paid their employees the best, and dental hospitals and clinics were ahead in terms of pay raise. But the reason seemed that public dental clinics and general hospitals increased the pay of their employees based on a fixed wage system and according to a fixed rate at the same time. As for relations between career and work environments, the pay of the dental hygienists differed with their career. The amount and rate of pay raise were largest for those whose career was between four years and less than six years, and smallest for those whose career was between seven years and less than nine years. The above-mentioned findings of the study suggested that in order to give dental hygienists better treatment, pay and welfare benefits should urgently be improved, and that it's required to take actions to boost their job satisfaction. Besides, they should be given more chances to receive education or to take training courses in pursuit of self-development, and how to narrow gaps in work environments among different regions or fields should carefully be considered.

• 대한치과의사협회지
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• 제54권12호
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• pp.971-984
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• 2016

The increase rate of dentists' competition is very fast at metropolitan areas in South Korea. We compare metropolitan and rural parameters to investigate the relation between competition and revenue variation. The competition and revenue variables of 73 metropolitan and 75 rural areas were calculated from 2010 Census of Service Industry microdata which include non-insurance revenues of dental clinics. Independent sample t-test results showed that the level of competition among dental clinics in metropolitan areas is higher. The lowest and the low ranked revenues are higher in rural areas. The highest and the average revenues are higher in metropolitan areas. But, 25 percentile and median revenues has no significant difference between two areas. Simple log linear regression results showed that the number of clinics could explain the distribution of revenues in both areas better than the density of active dentists and Herfindahl-Hirschman index. In the areas with many clinics have high maximum and average revenues and low minimum revenues. The increasing rate of maximum revenues is higher in metropolitan areas though the decreasing rate of minimum revenues is higher in rural areas. Metropolitan areas have higher Gini coefficients than rural areas, but the increasing rate of Gini coefficients is lower than rural areas. Findings from this study are useful reference when the dentists select the opening areas. One is that the median revenues between metropolitan and rural areas have no significant difference. The other is that the rural areas ensure the more stable and uniform revenues. The results would help to relieve the consumptive competition among dentists and to achieve the distributional efficiency of dental human resources.