• 대한치과의료관리학회지
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• 제9권1호
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• pp.25-31
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• 2021

The aim of this study was to investigate the level of dental infection control experienced by dental hygiene students in clinical practice institutions to identify problems and improve infection control in dental institutions. This study conducted online surveys targeting 269 dental hygiene students from universities that conducted clinical practice to determine the students' level of awareness regarding dental infection control in dental institutions and the reality of infection control in dental institutions. The results showed that dental hygiene students recognized the need for infection control and education about infection control at a high level. However, only 47% of the students were accurately informed about COVID-19. Basic instruments, periodontal instruments, and implant surgical instruments were sterilized after use for each patient, mostly by the institution, but 3-way syringe tips, preservation instruments and prosthetic instruments were more frequently reused without sterilization immediately after use. For dental infection control to be practiced at dental institutions, it is necessary to establish a systematic and safe infection control system, including infection control education, designation of infection managers, and provision of infection control guidelines.

• 치위생과학회지
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• 제11권5호
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• pp.381-388
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• 2011

본 연구는 중국인 유학생을 대상으로 치과의료 이용 실태에 대해 조사함으로써 외국 유학생의 치과의료 이용에 대한 문제점을 개선하고 치과의료서비스 확충을 위한 기초자료를 제공하고자, 2011년 4월 1일부터 7월 15일까지 국내 8개 대학에 재학 중인 중국인 유학생을 대상으로 조사를 실시하여 다음과 같은 결과를 얻었다. 1. 국내 치과의료기관 이용 경험에 관한 질문에서 응답자의 14.4%가 국내에서 치과치료를 받은 경험이 있었으며, 이용한 치과의료기관 분류로는 치과의원이 52.5%로 가장 많았고, 치료받은 내용으로는 충치(충전)치료가 52.8%로 가장 많은 것으로 나타났다. 2. 국내 체류 중 치과치료를 받지 못한 경험에 대한 이유는 '비용이 부담스러워서'가 38.7%로 가장 많았으며, '시간이 없어서'라는 응답도 29.8%로 조사되었다. 3. 건강보험에 가입되어 있는 경우가 57.3%로 가입되어 있지 않은 경우보다 약간 많았으며, 건강보험의 필요성을 묻는 질문에서는 대부분 필요하다고 응답하였다. 또한, 건강보험에 가입한 경우 가입하지 않은 경우 보다 치과치료를 더 많이 받은 것으로 조사되었다(p<.001). 4. 치과의료 이용 만족도에서는 한국어 실력이 좋을수록 치료 만족도가 높은 것으로 조사되었으며(p<.01), 건강보험에 가입되어 있는 경우 가입하지 않은 경우보다 치료 만족도가 높았다(p<.05). 이러한 결과는 중국인 유학생의 효율적인 치과의료 이용을 위해서 유학생의 건강보험 가입에 관한 제도를 개선하고, 보건의료 관련 행정 지원이 필요할 것으로 사료된다.

• 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.

• 한국치위생학회지
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• 제3권2호
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• pp.209-220
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• 2003

The purpose of this study was to examine how clients who visited dental institutions perceived client services, what sorts of client services were provided to them and to what extent they were satisfied with them. It's ultimately meant to seek ways to enhance and enlarge client services. A survey was conducted on 379 residents who used dental institutions in Seoul and Gyeonggi provinces, and the findings of this study were as follows: 1. 64.6 percent of the people investigated weren't aware of client services, and 33.0 percent viewed them as part of medical services. 77.5 percent had grievances about dental institutions they'd ever used. 2. The biggest complaint was that the dental treatments they received weren't covered by the dental insurance. As for how to solve their grievances, the largest group of them told the employees of the dental institutions about their complaints or didn't use them again. When asked whether the dental institutions took any steps to get rid of their grievances, the greatest group replied they had no idea. and the second largest group answered they took no measure. 3. By age and educational level, those who were in their 60s and up and stopped at elementary school were best cognizant of client services. Among client service variables, they were most satisfied with how the employees handled their complaints, and as to overall satisfaction, their willingness to revisit ranked highest. 4. Concerning connections among client service awareness, service variables and overall satisfaction level, their awareness of client services had a positive correlational relationship with every service variable and satisfaction level. Among the service variables, prompt client services and employee attitude were positively correlated to overall satisfaction level, but service procedure, facilities and information services exercised little impact on that. 5. As for what factors affected their content with client services, their client service awareness was identified as one of the important factors to influence their use of dental institutions, the outcome of their visit and their willingness to revisit. The above-mentioned findings suggested that dental institutions should strengthen publicity activities to inform people of client services, and encourage them to express their grievances. In addition, they should take an immediate action to remove their complaints, and try to get a successful feedback to offer higher-quality medical services and customer-oriented services.

• Asian Pacific Journal of Cancer Prevention
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• 제14권4호
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• pp.2673-2680
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• 2013

Tobacco abuse is a major preventable cause of premature death and disease, including various cancers. The Global Adult Tobacco Survey India (GATS) 2009-10 revealed that more than one-third of adults use tobacco in one form or the other. Nearly two in five smokers and smokeless tobacco users made attempts to quit the habit in the past 12 months. Tobacco dependence is a chronic condition characterized by susceptibility of relapse over years. It can be well handled by sustained professional support from health care providers mainly through behavioral counseling and pharmacotherapy. Dental professionals can play a pivotal role in diagnosing and effectively managing tobacco dependence. Dental Institutions have rapidly grown in last two decades across the country and so has the curriculum been adapted to improve student competencies to accommodate changing disease patterns and technological advances, but not in regard to tobacco cessation. Untapped dental manpower like undergraduates, dental hygienists and other paramedical staff need effective training to be more penetrative. The present review paper explores the potential role of dental training institutions and recommends various approaches to counter public health jeopardy of tobacco related diseases.

• 한국콘텐츠학회논문지
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• 제11권11호
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• pp.253-263
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• 2011

본 연구는 국내 일부 지역에 거주하는 외국인의 치과의료 이용 실태를 분석하여 국내 거주 외국인에 대한 치과의료서비스를 확충하고, 관련 제도의 개선을 위한 기초자료를 제공하고자 수행하였다. 조사 대상자의 대부분이 국내에서의 치과치료 경험이 없었고, 치과치료를 받지 못한 이유는 시간부족과 진료비 부담 때문이었다. 건강보험이 있는 경우 치과치료 경험이 많았으며, 국내 치과의료기관 이용 시 만족도는 전반적으로 불만족하다고 응답하였다. 따라서, 국제화 시대에서 날로 증가하고 있는 외국인들이 국내에 체류하는 동안 기본적인 구강건강을 유지하고 양질의 치과의료서비스를 받을 수 있도록 실질적인 치과의료서비스 확충 및 관련 보건정책의 수립이 필요하다.

• 융합정보논문지
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• 제11권7호
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• pp.172-180
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• 2021

본 연구의 목적은 외국인 유학생을 대상으로 치과진료 이용실태 및 치과의료기관 선택기준을 파악하여 이들의 치과의료 이용에 대한 문제점을 파악하고 구강건강관리 방안을 개선하기 위한 기초자료를 제공하고자 수행하였다. 연구방법은 S 대학교 외국인 유학생 145명을 대상으로 설문조사를 하였으며, 수집된 자료는 SPSS 24.0 프로그램(SPSS Inc. Chicago. IL, USA)을 이용하여 기술통계, 교차분석 및 회귀분석을 실시하였다. 분석결과 치과진료경험에서 일본, 중국, 말레이시아, 기타 유학생 모두 치아우식치료가 가장 많았으며, 건강보험에 가입자는 35.9%에 불과하였다. 치과의료기관 선택기준의 문항별 평균점수는 구강보건교육 프로그램의 제공이 가장 많았으며, 구강보건교육 프로그램이 중요한 경우에 향후 치과진료이용의 의지가 긍정적이었다. 따라서 향후에는 외국인 유학생들을 위한 구강보건교육 프로그램 활성화 및 보건의료 정보제공이 요구된다.

• 한국치위생학회지
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• 제6권4호
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• pp.437-453
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• 2006

To analyze dental hygienists and other manpower at dental care service institutions where a dental coordinator was working among about 200 dental care service institutions in Seoul, Gyeonggi Province, and Incheon as of June 2005 for contents of training for dental coordinators, opinions of qualification of dental coordinators, present and future services provided by dental coordinators, and awareness of dental coordinators and to provide basic data about future services, roles, and cultivation of dental coordinators, a survey was conducted and 216 copies returned were analyzed, obtaining the following results. 1. 83.8 percent needed an educational program for dental coordinators as an educational content; 41.7% had awareness of the educational content; and 83.8 percent insisted that over the intermediate level of curricula should be taken. Dental coordinator cultivation institutions identified included the institution under the control of the Korean Dental Hygienists Association and the education center for the department of dental hygiene; 76.9% insisted that an appropriate qualifying examination should be necessary. They suggested the central government department and the local government as a certification institution; 39.4% insisted that financial support for the education should be provided by financing education alone. Only 28.7% experienced dental coordinator education and 73.1% hoped to serve as a dental coordinator. They were found to expect a rise in payment(64.4%) and in the title(46.8%) after completion of the educational program. 2. 66.2% saw a dental hygienist as the most appropriate for a dental coordinator; clinical career (39.4%) and practical capacity(29.2%) were suggested as requirements for a dental coordinator; and a period of over three years(47.2%) was suggested for appropriate dental career. 3. Dental coordinators' present services included 'reservation management' for customer management, 'staff service training' for organization management, 'understanding of customer reception attitudes and actions' for self-management, 'hospital information management' for hospital marketing, 'acceptance' for hospital affairs management, and 'hospital environment management' for hospital facilities management; their future services included 'acquisition of ability to use a foreign language' for self-management, followed by 'staff service training' for organization management, 'training and counseling' for customer management, 'acquisition of counseling capacity' for self-management, 'complaining customer reception' for customer management, and 'marketing strategy implementation' for hospital marketing. 4. After comparing dental hygienists and other manpower in terms of dental coordinators' future services, dental hygienists showed interest in 'acquisition of ability to use a foreign language,' 'staff service training,' 'complaining customer reception,' and 'acquisition of counseling capacity' while other manpower showed interest in 'acquisition of ability to use a foreign language,' 'document data management,' 'acquisition of basic service manner,' 'acquisition of counseling capacity,' 'manpower management,' 'establishment and evaluation of a marketing strategy,' and 'education and counseling.' 5. As for awareness of dental coordinators, they were thought of as helpful in improving image of a dental clinic; it was found that continuous training should be necessary to develop dental coordinators' capacity; dental coordinators' services should be important and contribute to patients' qualitative satisfaction.

• 치위생과학회지
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• 제9권5호
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• pp.507-511
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• 2009

우리나라 구금시설은 구강건강 관리 인력과 시설이 부족하고, 수용자의 구강질료 시 절차가 복잡하여 필요할 때 적절한 진료를 제대로 받지 못하는 편이다. 이러한 문제로 인해 수용자의 건강권이 충분히 보호받지 못하고 있다. 정보노출을 기피하는 구금시설로부터 수용자와 관련된 자료를 수집하는 것도 어렵다. 따라서 수용자의 전신건강에 대한 연구는 매우 드물며, 구강건강에 관한 논문은 거의 찾아볼 수 없다. 이에 이 연구는 구금시설 내 치과진료체계 및 구강보건의료인력을 파악하기 위하여 관련 문헌조사, 전화 및 설문조사를 시행하여 다음과 같은 결과를 제시하는 바이다. 1) 문헌조사 1. 2002년 당시 수용자의 69.0%가 입소 시에 건강검진을 받았지만, 구강검진은 18.5%만이 받았다. 2. 2004년 당시 전체 46개 구금시설 중 42개에 치과의무실이 설치되어 있었다. 2) 전화 및 설문조사 1. 2009년 현재 총 26명의 전임 치과 공중보건의사가 배치되어 있었으며, 구강보건의료인력을 모두 갖춘 곳은 한 곳도 없었다. 2. 하루 평균 약 10명의 수용자가 구강진료를 받고 있었고, 외부의 치과의사는 한 달에 평균 4회 방문하였다. 그리고 '구강진료의료인력 부족'으로 인해 치과진료가 원활하게 진행되지 않는다고 여기고 있었다. 3. 수용자의 외부진료가 대부분 수월하지 않다고 답하였고, 그 주된 이유로는 '환자의 출입이 통제되어서'라고 응답하였다. 4. 구강보건교육은 일부 치과의사가 진료 시에 수행하고 있었으나, 전체 수용자를 대상으로 하는 정기적인 구강보건교육은 전혀 이루어지지 않고 있었다. 무엇보다 구금시설 수용자의 의료처우 개선과 구강건강증진을 위해서는 수용자의 구강건강 요구도 등을 제대로 파악해야 한다. 이 연구는 앞으로 구금시설의 치과진료체계에 대한 문제점을 개선하고, 수용자의 구강건강 문제를 해결하는데 필요한 참고자료로 활용할 수 있을 것이다.

• 한국치위생학회지
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• 제13권1호
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• pp.105-113
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• 2013

Objectives : The purpose of this study was to perform researches and analysis on the use of dental institutions, oral health behavior, the actual conditions of oral health care, and the oral health knowledge according to the rank of soldiers and officers and then to provide the basic data for the contents development of an oral health education to the military. Methods : The subjects in this study were 380 soldiers serving in Gyeonggi, Gangwon and Chungchong provinces. Results : In terms of the use of dental institutions, the soldiers visit the dental clinics most(56.5%), and the officers visit the military dental clinics most(52.7%)(p<0.05). In the oral health behavior, the most of the soldiers(46.7%) and the officers(58.1%) answer that they thought to be in good oral health. Regarding the actual conditions of oral health care, it is investigated that the most of the soldiers brush their teeth twice a day(46.7%) and the officers three times a day(58.1%). With the oral health knowledge, the officers get a point of $2.89{\pm}1.36$, which is higher than the soldiers'($2.47{\pm}1.27$), and the person who have an experience to take an oral health education, getting a point of $2.83{\pm}1.22$, have higher level of the knowledge than the unexperienced with $2.48{\pm}1.31$(p<0.5). Conclusions : It is thought to be necessary to provide the military camps with an oral health education and to develop the contents of an oral health education customized to them.