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Current status and future tasks of visiting oral health care services for elders

우리나라 노인 방문 구강건강관리 서비스의 현황과 향후과제

  • Lee, Sue-Hyang (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Bae, Soo-Myoung (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Shin, Bo-Mi (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Lee, Hyo-Jin (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Shin, Sun-Jung (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University)
  • 이수향 (강릉원주대학교 치과대학 치위생학과) ;
  • 배수명 (강릉원주대학교 치과대학 치위생학과) ;
  • 신보미 (강릉원주대학교 치과대학 치위생학과) ;
  • 이효진 (강릉원주대학교 치과대학 치위생학과) ;
  • 신선정 (강릉원주대학교 치과대학 치위생학과)
  • Received : 2020.05.25
  • Accepted : 2020.07.11
  • Published : 2020.08.30

Abstract

Objectives: This study confirms the current status of visiting oral health-care services for the elderly to draw policy implications for revitalization of the visiting oral health care services in the future. Methods: First, a survey was conducted on health centers about the current status of the elderly visiting oral health-care service and how to revitalize it. Next, the number of oral hygiene services provided to the elderly was checked in the long-term care insurance system. Results: Oral health education (100%) was the most common practice in visiting oral health-care service for the elderly, and the most difficult thing in providing services was the lack of dental hygienists (38.9%). The status of oral health-care services in the long-term care insurance system for elderly revealed that the total number of service claims has been confirmed to be zero since the introduction of the system. Conclusions: Despite the existence of a system that provides elderly visiting oral healthcare services, to revitalize it, the law must be amended to secure a dental hygienist as the main agent of the activity and to further take responsibility for autonomous authority and performance.

Keywords

References

  1. Statistics Korea. Life expectancy for Korean [Internet]. Statistics Korea; 2020.[cited 2020 Jan 11]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2758.
  2. Korea institute for health and social affairs. Ultra-aged society and health care response [Internet]. Korea institute for health and social affairs.[cited 2020 Jan 11]. Available from: http://www.kihasa.re.kr/web/publication/periodical/view.do?ano=1&menuId=48&aid=380&tid=38&bid=19.
  3. Kim JK. A study on senior human rights in an aging society. Journal of Social Welfare Management 2014;1(1):1-18.
  4. World oral health day. Mouth live smart: your guide to oral health policies [Internet]. FDI;2017.[cited 2019 Dec 20] Available form: http://www.worldoralhealthday.org/2017/toolkit/live-mouth-smart-yourguide-oral-health-policies.
  5. Linden GJ, Lyons A, Scannapieco FA. Periodontal systemic associations: review of the evidence. J Clin Periodontol 2013;40(S14):8-19. https://doi.org/10.1111/jcpe.12064
  6. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO global oral health programme. Community Dent Oral Epidemiol 2005;33(2):81-92. https://doi.org/10.1111/j.1600-0528.2004.00219.x
  7. Jung HI. Oral health indicators for Korean elderly. J Korean Dent Assoc 2020;58(1):45-9.
  8. Takashi Z, Tomoya S, Yoko K. The oral healthcare system in Japan. Healthcare 2018;6(3):79. https://doi.org/10.3390/healthcare6030079
  9. Rozier RG, White BA, Slade GD. Trends in oral diseases in the U.S. population. J Dent Educ 2017;81(8):97-109. https://doi.org/10.21815/JDE.017.016
  10. Kim SJ, Shim HG, Lee JN, Shin ES, Park II, et al. The study on the oral health services for the elderly in care facilities in Japan. Seoul: Korean dental association; 2016: 12-54.
  11. Ministry of Health and Welfare. 2019 community integrated health promotion program guide(visiting health care) [Internet]. Ministry of Health and Welfare; 2019.[cited 2020 Apr 06]. Available from: http://www.mohw.go.kr/react/gm/sgm0601vw.jsp?PAR_MENU_ID=13&MENU_ID=13040201&page=COUNT_SEQ=293361&SEARCHKEY=TITLE&SEARCHVALUE=%EC%A7%80%EC%97%AD%EC%82%AC%ED%9A%8C+ED%86%B5%ED%95%A9%EA%B1%B4%EA%B0%95%EC%A6%9D%EC%A7%84%EC%82%AC%EC%97%85%EC%95%88%EB%82%B4.
  12. Ministry of health and welfare. Standard textbook for care workers [Internet]. Ministry of Health and Welfare; 2019.[cited 2020 Apr 06]. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032902&CONT_SEQ=349516&page=1.
  13. Ministry of health and welfare. Community integrated care basic plan [Internet]. Ministry of health and welfare; 2018.[cited 2019 Nov 11]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=346683.
  14. Ko Y, Lee IS. Cost-benefit analysis of home visiting care for vulnerable populations with hypertension. J Korean Acad Community Health Nurs 2011;22(4):438-50. https://doi.org/10.12799/jkachn.2011.22.4.438
  15. Ministry of health and welfare. Community integrated care leading project promotion plan [Internet]. Ministry of health and welfare; 2019.[cited 2019 Nov 11]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=347345.
  16. Shin SJ, Ma DS, Park DY, Jung SH. The status on visiting oral health programs for elders in public health center. J Korean Acad Dent Health 2007;31(3):355-65.
  17. Clive Wright FA, Law G, Chu SK, Cullen JS, Le Couteur DG. Residential age care and domiciliary oral health services: Reach-OHT-the development of a metropolitan oral health programme in Sydney, Australia. Gerodontology 2017;34(4):420-6. https://doi.org/10.1111/ger.12282
  18. Jang YE. Multinational comparison of dental hygienists' scope of work and authorized practices in public oral health[Master's thesis]. Wonju: Univ. of Yonsei, 2017.
  19. National health insurance corporation. 2018 long term care insurance statistical yearbook [Internet]. Ministry of Health and Welfare; 2019.[cited 2020 Apr 22]. Available from: http://www.nhis.or.kr/bbs7/boards/B0163/27635?boardKey=36&boardName=B0163
  20. Park YH, Bae SS, Choi JM, Lee SG, Lee SY, Lee GS, et al. A research on the improvement measures about the system and human resource management in health center in executing health promotion programme. Sejong: Ministry of Health and Welfare; 2003: 61-245.
  21. Ito K, Fukushima M, Kawara M, Sakaquchi H, Owatari T, Ogasawara T, et al. Education of gerodontology in Japanese dental hygienist school. Ronen Shika Igaku 2017;32(2):65-71. https://doi.org/10.11259/jsg.32.65
  22. Kim NH, Park JR, Kang KH, Jang YE, Park SK, Lee GY. Activity budget for the dental hygiene practice of the long-term care facility. Seoul: Korean Dental Hygienists Association; 2018: 64-72.
  23. Kim HN, Kim GY, Noh HJ, Kim NH. Demand and willing to pay for oral hygiene service in long-term care insurance of elderly. J Korean Acad Oral Health 2018;42(4):204-9. https://doi.org/10.11149/jkaoh.2018.42.4.204
  24. Sasaki K. Oral health care by domiciliary visiting for home-bound elderly. Nihon Ronen Igakkai Zasshi 2001;38(4):473-5. https://doi.org/10.3143/geriatrics.38.473