일부지역 노인의 『틀니 건강보험 급여화 사업』 시행 전·후 구강건강관련 삶의 질 개선 및 만족도 조사 (Oral health-related quality of life improvements and satisfaction in South Korea: results from the National Health Insurance Coverage Denture Project for the Elderly)

서지정보

· 발행기관 : 대한예방치과·구강보건학회
· 수록지 정보 : 대한구강보건학회지 / 39권 / 1호 / 37 ~ 42페이지
· 저자명 : 이유희, 전진호, 이정화

초록

Objectives: In this study, we assessed the effects of the National Health Insurance Coverage DentureProject for the Elderly on the improvement of oral health-related quality of life (QOL) and satisfaction.
Methods: Individuals aged ≥75 years (n=121) participated in the project at dental clinics or publichealth centers in Busan City, South Korea. Baseline and post-intervention follow-up surveys (personalinterview) were conducted between October 2013 and April 2014.
Results: Significant improvements were demonstrated in all seven Oral Health Impact Profile-14 (OHIP-14) subscales at follow-up. Functional limitation showed the most improvement (2.81 points) followedby physical functionality, physical pain, psychological discomfort, social isolation, mental function, andsocial function. In addition, participants with no income who were required to pay for their expenses, reportedhigher satisfaction. The multiple logistic regression analysis showed that the rate of improvementon the OHIP-14 ten score increased in cases where participants who had to pay for their expenses (oddsratio [OR], 2.98; 95% confidence interval [CI]: 1.16, 7.66) but decreased for patients who received partialdentures (OR, 0.34; 95% CI: 0.13, 0.89), patients who expressed previous satisfaction with denturecosts (OR, 0.37; 95% CI: 0.14, 0.97), and patients who had previous denture experience (OR, 0.43;95% CI: 0.16, 1.12).
Conclusions: Despite the short period (2 years), the National Health Insurance Coverage Denture Projectfor the Elderly was able to demonstrate significant improvements in oral health-related QOL. Therefore,the establishment and integration of this project is recommended to maintain and improve the QOLfor the rapidly aging population.

영어초록

Objectives: In this study, we assessed the effects of the National Health Insurance Coverage DentureProject for the Elderly on the improvement of oral health-related quality of life (QOL) and satisfaction.
Methods: Individuals aged ≥75 years (n=121) participated in the project at dental clinics or publichealth centers in Busan City, South Korea. Baseline and post-intervention follow-up surveys (personalinterview) were conducted between October 2013 and April 2014.
Results: Significant improvements were demonstrated in all seven Oral Health Impact Profile-14 (OHIP-14) subscales at follow-up. Functional limitation showed the most improvement (2.81 points) followedby physical functionality, physical pain, psychological discomfort, social isolation, mental function, andsocial function. In addition, participants with no income who were required to pay for their expenses, reportedhigher satisfaction. The multiple logistic regression analysis showed that the rate of improvementon the OHIP-14 ten score increased in cases where participants who had to pay for their expenses (oddsratio [OR], 2.98; 95% confidence interval [CI]: 1.16, 7.66) but decreased for patients who received partialdentures (OR, 0.34; 95% CI: 0.13, 0.89), patients who expressed previous satisfaction with denturecosts (OR, 0.37; 95% CI: 0.14, 0.97), and patients who had previous denture experience (OR, 0.43;95% CI: 0.16, 1.12).
Conclusions: Despite the short period (2 years), the National Health Insurance Coverage Denture Projectfor the Elderly was able to demonstrate significant improvements in oral health-related QOL. Therefore,the establishment and integration of this project is recommended to maintain and improve the QOLfor the rapidly aging population.

참고자료

· 없음