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사회적 경제를 통한 복지기술 생태계 탐구; 의료복지사회적협동조합 치과의원의 사례
박유이 ( Yuyi Park ),최형길 ( Hyungkil Choi ),한동헌 ( Dong-hun Han ),강준호 ( Joon-ho Kang ),안성훈 ( Sung Hoon Ahn ),안상훈 ( Sang-hoon Ahn ) 대한예방치과·구강보건학회 2017 大韓口腔保健學會誌 Vol.41 No.1
Objectives: In this study, we strived to determine the possibility of socioeconomic welfare in oral healthcare by analyzing the National Health Insurance (NHI) coverage rate. To date, efforts to realize the “social economy” of healthcare are active. While oral disease is common and chronic among Koreans, the rate of NHI coverage of dental clinics is substantially lower than that of the medical clinics. Methods: We defined the NHI coverage of dental clinics as a proxy for “social skills” to improve oral health problems. The data were collected through a comparative analysis of the NHI coverage of dental clinics and that of non-dental clinics, in health welfare social cooperatives. Results: The NHI coverage rate of the dental clinics in health welfare social cooperatives ranged from 0.97 to 2.62 times that of the non-dental clinics in health welfare social cooperatives. Conclusions: In conclusion, responsible management is recommended for making health welfare social cooperatives meaningful as a social economy.
국민건강보험정책이 치과 진료행태에 미치는 영향: 노인 임플란트 보험 적용에 따른 발치, 근관치료 변화를 중심으로
박유이(Park Yuyi),이산하(Lee sanha),정주연(Jung Juyeon),김성재(Kim Sungjae),도경록(Do Gyungrok),오하연(Oh Hayeon),김지수(Kim Jisu),이지현(Lee Jihyeon),한동헌(Han Donhun) 대한치과보험학회 2017 대한치과보험학회지 Vol.7 No.1
Objectives: The purpose of this study was to investigate the correlation between tooth extraction and endodontic treatment according to the inclusion of dental implant coverage in National Health Insurance of Korea, which is a recent dental health insurance policy change. Methods: From July 2011 to June 2016, using the health care big data open system in National Health Insurance of Korea, we analyzed the number of patients, the total amount of use, and the amount of health care service. Results: Age-standardized incidence rate, amount of treatment, and total usage of both the extraction and endodontic treatment increased after July 2014, and July 2015. Conclusions: The increase in the age-standardized incidence rate, the amount of treatment, and the total amount of usage after the change of the health insurance policy shows the result supporting the hypothesis of the supplier attraction demand theory. Health care policies have proven to influence dental practice. Without sufficient discussion and evidence-based indications, more dental health insurance coverage would fail to get the health policy goals and may result in poor quality of care or excessive health care expenditure. Therefore, sufficient discussion with expert group will be needed in health insurance policy formation and expanding health insurance coverage.
치과의사와 치과위생사의 번아웃(burnout) 현황과 관련 요인
박유이 ( Yuyi Park ),이지현 ( Jihyun Lee ),배소휘 ( Sohwi Bae ),이기찬 ( Kichan Lee ),이상혁 ( Sangheuk Lee ),장수진 ( Soojin Jang ),허해령 ( Haeryung Hur ),박영훈 ( Younghoon Park ) 대한예방치과·구강보건학회 2019 大韓口腔保健學會誌 Vol.43 No.2
Objectives: Dentists and dental hygienists undergo high levels of stress due to various factors and the burnout of health-care personnel is very important in the context of personal and social problems. Therefore, empirical research reflecting the social, cultural, and special circumstances of the medical environment is necessary. Here, we explore the causes and outcomes of burnout in dentists and dental hygienists and present ways to prevent burnout. Methods: A cross-sectional research design was used to measure burnout of 141 dentists and 61 dental hygienists. A structured questionnaire containing the Maslach Burnout Inventory (MBI) was administered from May to June, 2018. Data were analyzed using SPSS 25.0, descriptive statistics, t-test, Mann-Whitney test, Kruskall-Wallis test, and multiple regression analysis. Results: Each participant’s MBI was measured in three aspects (emotional exhaustion, depersonalization, and personal accomplishment). The MBI scores of dentists with regards to their emotional exhaustion, depersonalization, and personal accomplishment were 24.8%, 34%, and 48.2%, respectively. Alternatively the scores of dental hygienists were 45.9%, 44.3% and 52.5%, respectively, for the same parameters. While the factors affecting the burnout of dentists and dental hygienists were different, it had a negative impact on the professional performance of both. Conclusions: According to the results of this study, Korean dentists and dental hygienists experience high levels of work-related burnouts. This can have adverse impacts on their personal health and that of their patients. Therefore, stress management is necessary in dentists and dental hygienists.