open access
메뉴ISSN : 0376-4672
Purpose: The purpose of this study is to investigate the long-term behavior of dental health insurance use for major oral diseases that require high treatment in children and adolescents. Methods: The trend of utilization rate was confirmed through data from the National Health Insurance Service-National Sample Cohort for 2012-2019. It was targeted at children and adolescents with records of using dental health insurance. The utilization rate of dental health insurance and treatment behavior related to dental caries and periodontal diseases were analyzed. Results: It was confirmed that the utilization rate of dental health insurance for major oral diseases increased. When non-reimbursement treatment was applied to health insurance, it tended to increase in use and to be preferred over other treatments. In addition, it was confirmed that adolescents aged 15-19 had a high need to treat periodontal diseases. Conclusions: As the utilization rate of dental health insurance is gradually increasing, it is necessary to further understand the use of health insurance. Also the application of dental health insurance for preventive treatment of children and adolescents needs to be expanded.
1. Christian Kieling, Helen Baker-Henningham, Myron Belfer, Gabriella Conti, Ilgi Ertem, Olayinka Omigbodun, Luis Augusto Rohde, Shoba Srinath, Nurper Ulkuer, Atif Rahman. Child and adolescent mental health worldwide: evidence for action. The Lancet 2011; 378: 1515-1525. https://doi.org/10.1016/S0140-6736(11)60827-1.
2. Broadbent JM, Thomson WM, Poulton R. Oral health beliefs in adolescence and oral health in young adulthood. J Dent Res 2006; 85(4): 339-343. doi:10.1177/154405910608500411.
3. Dhamo B, Elezi B, Kragt L, Wolvius EB, Ongkosuwito EM. Does dental caries affect dental development in children and adolescents?. Bosn J Basic Med Sci 2018; 18(2): 198-205. doi:10.17305/bjbms.2018.2841.
4. Darya Dabiri, Margherita Fontana, Yvonne Kapila, George Eckert, Karen Sokal-Gutierrez. Community-based assessment and intervention for early childhood caries in rural El Salvador. International Dental Journal 2016; 66(4): 221-228. https://doi. org/10.1111/idj.12228.
5. Savage MF, Lee JY, Kotch JB, Vann WF Jr. Early preventive dental visits: effects on subsequent utilization and costs. Pediatrics 2004; 114(4):; e418-e423. doi:10.1542/peds.2003-0469-F.
6. Catherine H. Bersell. Access to Oral Health Care: A National Crisis and Call for Reform. American Dental Hygienists' Association 2017; 91(1); 6-14.
7. Shin BM, Jung SH, Kim MH, Ryu JI. Did the extended coverage policy contribute to alleviating socioeconomic inequality in untreated dental caries of both children and adolescents in South Korea?. BMC Oral Health 2020; 20(1): 124. doi:10.1186/s12903-020-01112-8.
8. Yu ZJ, Elyasi M, Amin M. Associations among dental insurance, dental visits, and unmet needs of US children. J Am Dent Assoc 2017; 148(2): 92-99. doi:10.1016/j.adaj.2016.11.013.
9. Huh SI, Kim MK, Lee SH, Kim SJ. Policy options to tackle unmet health needs. Korea Institute of Health and Social Affairs 2009.
10. Seo Hyewon, Kim Young-Sil . Changes in dental care utilization and expenditure by the expansion policy of the health insurance coverage : Korea Health Panel Survey 2012-2016. J Korean Soc Dent Hyg. 2020; 20(5): 611-621.
11. Linden J, Widström E, Sinkkonen J. Children and adolescents´dental treatment in 2001–2013 in the Finnish public dental service. BMC Oral Health 2019: 19: 131. https://doi.org/10.1186/s12903-019-0828-z.
12. Healthcare Bigdata Hub : Statistics of medical con-duct. Available from URL: https://opendata.hira.or.kr/op/opc/olapHifrqSickInfoTab2. do (Accessed on June 28, 2023).
13. Kwon Minsuk , Shin Jong-Hyun, Kim Jiyeon, Kim Shin. An Epidemiological Study on the Dental Treatment Needs of Adolescents in Yangsan. Journal of the Korean academy of pediatric dentistry 2016; 43(4): 354-364. doi: 10.5933/JKAPD.2016.43.4.354.
14. Peres KG, Cascaes AM, Leão AT, Côrtes MI, Vettore MV. Aspectos sociodemográficos e clínicos da qualidade de vida relacionada à saúde bucal em adolescentes [Sociodemographic and clinical aspects of quality of life related to oral health in adolescents]. Rev Saude Publica 2013; 47(3): 19-28. doi:10.1590/s0034-8910.2013047004361.
15. Alvarez-Azaustre MP, Greco R, Llena C. Oral Health-Related Quality of Life in Adolescents as Measured with the Child-OIDP Questionnaire: A Systematic Review. Int J Environ Res Public Health 2021; 18(24): 12995. doi: 10.3390/ijerph182412995.
16. Ahn Eunsuk, Hosung Shin. Effectiveness of oral examination for infants and toddlers: effects on subsequent utilization and costs. Journal of Korean Academy of Oral Health 2017; 41(2):73-79. https://doi.org/10.11149/jkaoh.2017.41.2.73.
17. Jung Se-Hwan. Dental care utilization and expenditures among children in Korea Health Panel Survey: 2008 – 2013. The Journal of the Korean Dental Association 2016; 54(11) 840-849. doi: 10.22974/jkda.2016.54.11.001.
18. Sl-a Yu, Su-young Lee. Awareness & satisfaction of caregivers on the health insurance coverage of light-curable composite resin restoration. Journal of Korean Society of Dental Hygiene 2021; 21(1): 89-98. doi: 10.13065/jksdh.20210009.
19. Ministry of Health & Welfare. 2012 Korean national oral health survey. Seoul: Ministry of Health & Welfare 2013;.
20. Ministry of Health and Welfare : 2018 Korean Children’s Oral Health Survey. Available from URL: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=349651 (Accessed on June 28, 2023).
21. Kim TH, Lee DW, Kim JG, Yang YM. Clinical Assessment and Survey of Periodontal Condition among Adolescents. Journal of the Korean Academy of Pedodontics 2016; 43(3): 227-236. http://dx.doi.org/10.5933/JKAPD.2016.43.3.227.
22. Eun Suk Ahn, & Ji Hyoung Han. Measure of Unmet Dental Care Needs among Korean Adolescent. Journal of Dental Hygiene Science 2015; 15(2): 91-97.
23. Shweta Goswami, Battsetseg Tseveenjav, Minna Kaila. Non-utilization of oral health services and associated factors among children and adolescents: an integrative review, Acta Odontologica Scandinavica 2023; 81:2: 105-118. doi:10.1080/00016357.2022.2095020.
24. Hyo Jin Lee, Kwang Hak Bae. A change in the regional disparity based on the national insurance coverage of dental sealant in Korea. Journal of Korean Academy of Oral Health 2014; 38(3):165-169.
25. Mi-Jeong Kim, Cha-Young Lim, Ju-Lee Son. Comparison of study affecting the use of dental sealant in consequence of its inclusion in the National Health Insurance coverage: Using data from the 5th-7th National Health and Nutrition Examination Survey(KNHANES). Journal of the Korea Academia-Industrial cooperation Society 2020; 21(12): 798-806.