노인장기요양시설 치과촉탁의제 도입을 위한 제도 개선 방향

다국어 초록 (Multilingual Abstract)

The coverage of the National Health Insurance for the elderly is expanding to denture and implants. Although the National Long-Term Care Insurance was just being settled, Oral health service was not provided to the Elderly in Long-Term Care Facilities. The long-term care facilities had part-time facility doctors. However, there is no dentist in the long-term care facility because of lack of long-term care insurance-related legislations. The amendments of long-term care insurance-related legislations for the introduction of part-time facility dentists are needed because the elderly in long-term care facility are vulnerable to oral health. For the substantial management of the National Long-Term Care Insurance, the development of oral health service model for the elderly and education materials for the dental team will be needed. Also, adequate dental service fee of the National longterm care insurance will be needed.

참고문헌 (Reference)

1 통계청, "장래인구및가구추계"

2 한동헌 등, "노인장기요양보험의 구강보건서비스 수가 개발. 치과의료정책연구소 연구보고서14-05" 2014

3 "노인장기요양보험법 시행규칙"

4 "노인장기요양보험법"

5 한동헌, "노인요양시설 치과촉탁의 도입을 위한 연구. 보건복지부 연구보고서" 2014

6 Stein PS, "Tooth loss, dementia and neuropathology in the Nun study" 138 (138): 1314-1322, 2007

7 Shi Z, "Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia" 13 (13): CD008367-, 2013

8 Yamamoto T1, "Dental status and incident falls among older Japanese: a prospective cohort study" 31 (31): 2012

9 El-Solh AA, "Association between pneumonia and oral care in nursing home residents" 189 (189): 173-180, 2011

10 Sjögren P1, "A systematic review of the preventive effect of oral hygiene on pneumonia and respiratory tract infection in elderly people in hospitals and nursing homes : effect estimates and methodological quality of randomized controlled trials" 56 (56): 2124-2130, 2008

11 국민건강보험공단, "2014 노인장기요양보험통계연보"

12 통계청, "2013년 생명표"

13 보건복지부, "2011년도 노인실태조사" 한국보건사회연구원 2012