The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Improvement of Accessibility to Dental Care due to Expansion of National Health Insurance Coverage for Scaling in South Korea

치석제거 요양급여 확대 정책으로 인한 치과의료 접근성 향상

  • Huh, Jisun (Department of Dental Education, Yonsei University College of Dentistry) ;
  • Nam, SooHyun (Yonsei University College of Dentistry) ;
  • Lee, Bora (Department of Dental Education, Yonsei University College of Dentistry) ;
  • Hu, Kyung-Seok (Department of Dental Education, Yonsei University College of Dentistry) ;
  • Jung, Il-Young (Department of Conservative Dentistry, Yonsei University College of Dentistry) ;
  • Choi, Seong-Ho (Department of Periodontology, Yonsei University College of Dentistry) ;
  • Lee, Jue Yeon (Department of Preventive Dentistry and Public Health, Yonsei University College of Dentistry)
  • 허지선 (연세대학교 치과대학 치의학교육학교실) ;
  • 남수현 (연세대학교 치과대학) ;
  • 이보라 (연세대학교 치과대학 치의학교육학교실) ;
  • 허경석 (연세대학교 치과대학 치의학교육학교실) ;
  • 정일영 (연세대학교 치과대학 보존과학교실) ;
  • 최성호 (연세대학교 치과대학 치주과학교실) ;
  • 이주연 (연세대학교 치과대학 예방치과학교실)
  • Received : 2019.06.11
  • Accepted : 2019.07.26
  • Published : 2019.10.31
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Abstract

Since 2013, adults aged over 20 can receive national health insurance scaling once a year in South Korea. In this study, we analyzed the usage status of national health insurance care service for periodontal disease in 2010-2018 by using Healthcare big data of the Health Insurance Review and Assessment Service. The increase rate of the dental care users was very high at 7.8 and 11.2% in 2013 and 2014, respectively. These are higher than the increase rate of all medical institution users, which is between -1.7 and 3.7%. In 2017, the rate of dental use was 44.4%, which has increased more than 10% compared to 2012. Percent receiver of national health insurance scaling was 19.5% in 2017. The 20s had the highest rate of 23.2%. The rate decreased with age. Based on these results, it can be evaluated that the expansion of national health insurance coverage for scaling improves accessibility to dental care. A more long-term assessment of the effect of periodic dental examination and scaling on reducing the prevalence of periodontal disease is needed. National health insurance coverage should be extended to oral hygiene education and supportive periodontal therapy in order to prevent periodontal disease.

Keywords

Acknowledgement

본 논문은 2018년 연세대학교 치과대학 정책과정연구비 수혜로 작성되었음.

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