J Korean Acad Oral Health.  2013 Jun;37(2):110-116.

One-year outcomes and reasons for dropout in participants of the continuous dental care program of the Community Child Center in Gangnueng city

Affiliations
  • 1Department of Preventive and Public Health Dentistry, College of Dentistry, Gangneung-Wonju National University & Research Institute of Oral Science, Gangneung, Korea. purplebom@naver.com

Abstract


OBJECTIVES
This study aimed to determine the effectiveness of the continuous dental care program of the Community Child Center in Gangneung city by evaluating one-year outcomes and determining the reasons for dropout.
METHODS
A total of 180 children in the study group were provided with continuous dental care in 2008. The control group consisted of 131 children whose 2009 dental records from Gangneung-Wonju National University Dental Hospital were retrospectively reviewed. The outcome of dental caries prevention was evaluated by prevalence rates and number of decayed teeth. The evaluation of dental care outcome was based on cost and frequency of dental care. A chi-square test and Mann-Whitney U test were used to assess differences between the study group and the control group. In addition, the dropout rate and the reasons for dropout by the time of dental service supply were investigated for 427 children who participated in this program in 2010.
RESULTS
Dental caries prevention results of the study group were better than those of the control group, but significant differences were found only in the dt rates of girls (P<0.001). The average frequency of dental care per child in the study group was lower than that of the control group. The average cost of dental care per child was 56,910 won per boy in the study group, 124,893 won per boy in the control group, 71,657 won per girl in the study group, and 127,296 won per girl in the control group. Significant differences in dental care results were found for both boys and girls (P<0.05). The reasons for dropout were leaving the center, absence, use of another dental clinic, parents' or child's rejection of the program, and disability.
CONCLUSIONS
On the basis of these results, we could logically assume that promoting oral health and reducing the cost of dental care might be achieved through the introduction of a continuous dental care program for vulnerable children and adolescents in the community.

Keyword

Community Child Center; Continuous dental care program; Cost of dental care; Dental caries; Dropout; Frequency of dental care

MeSH Terms

Adolescent
Child
Dental Care
Dental Caries
Dental Clinics
Dental Records
Humans
Logic
Oral Health
Patient Dropouts
Prevalence
Rejection (Psychology)
Retrospective Studies
Tooth

Reference

References

1. Ministry of Education Science and Technology. The results of sample survey on school health examination 2011. Seoul: Ministry of Education Science and Technology;2012. p. 1–52.
2. Jung SH, Watt RG, Sheiham A, Ryu JI, Tsakos G. Exploring pathways for socio-economic inequalities in self-reported oral symptoms among Korean adolescents. Community Dent Oral Epidemiol. 2011; 39:221–229.
Article
3. Shin BM, Jung SH. Socio-economic inequalities in dental caries in Korea. J Korean Acad Oral Health. 2012; 36:144–152.
4. Korea Institute for Health and Social Affairs. Health and welfare indicators in Korea 2000: 4. Health care resources. Seoul: Korea Institute for Health and Social Affairs;2000. p. 224.
5. Ministry of Health and Welfare. Ministry of health and welfare statistical year book 2012: III. Health care personnel and facilities. Seoul: Ministry of Health and Welfare;2012. p. 145.
6. Ministry of Health and Welfare, Yonsei Institute of Health and Welfare. Korean national health accounts and total health expenditure in 2010: 1980~2010 cross-table by year. Seoul: Ministry of Health and Welfare, Yonsei Institute of Health and Wel-fare;2012. p. 141–335.
7. National Health Service. Choosing better oral health-an oral health plan for England. London: National Health Service;2005. p. 23–26. 33-40.
8. Etteit S, Nolte E. Mays. Coverage of publicly funded dental services-an international perspective. Report for Department of Health by London School of Hygiene and Tropical Medicine. London: Department of Health in England;2009. p. 4–11.
9. Ministry of Health and Welfare. A handbook of oral health program: VI. Installation and operation of dental clinic in public sector. Gwacheon: Ministry of Health and Welfare;2000. p. 77.
10. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs. The National Health Plan 2020: 11. Oral health. Seoul: Ministry of Health and Welfare, Korea Institute for Health and Social Affairs;2011. p. 301–331.
11. Min HH, Shin SC, Seo HS, Kim EJ, Kim HS. 2-years evaluation for program of school dental clinics in Korea. J Korean Acad Oral Health. 2003; 27:207–218.
12. Kang SH, Kim MS, Lee SM, Bae KH, Oh MY, Kim JB. Effectiveness evaluation of an incremental oral health program by school dental clinic. J Korean Acad Oral Health. 2006; 30:231–242.
13. Choi HY, Hong SJ, Choi CH. Effectiveness evaluation of an incremental oral health program of school-based oral health clinic in Gwangju, Korea. J Korean Acad Oral Health. 2007; 31:510–520.
14. Choi YK, Song EJ, Oh SH, Kang KH, Hwang SJ. Evaluation of comprehensive oral health programs in the school-based oral health clinic at Dong-gu, Daejeon, Korea. J Korean Acad Oral Health. 2008; 32:386–395.
15. Jung SH, Kim YN, Kim YJ, Kim CS, Ryu JI. Basic research for introducing the dental family doctor system for children and ado-lescents(1). Seoul: Gunchi;2010. p. 1–71.
16. Jung SH, Park YJ, Bae SM. Oral health promotion program of community children care center throughout community based network. Gangneung: Gangneung-Wonju National University Industry Academy Cooperation Group, Health Promotion Program Support Group;2007. p. 1–147.
17. Gangneung-Wonju National University Dental Hospital. A handbook of 2008 oral health program for community child center in Gangneung city. Gangneung: Gangneung-Wonju National University Dental Hospital;2008. p. 1–24.
18. Gangneung Health Center. 2011 Oral health survey in Gang-neung city: Survey results. Gangneung: Gangneung Health Center-;2011. 105:p. 115.
19. Ministry of Health and Welfare. 2010 Korean National Oral Health Survey: II. Survey results. Seoul: Ministry of Health and Welfare;2010. p. 189.
20. Shin SC, Kweon JH. 3rd year appraisal for school dental clinic programs in Korea. J Korean Acad Oral Health. 2004; 28:387–398.
21. WHO Oral Health Country/Area Profile Programme[Internet]. WHO Collaborating Centre. [cited 2012 Apr 19]. Available from:. http://www.mah.se/CAPP/Country-Oral-Health-Profiles/Accord-ing-to-Alphabetical/CountryArea-D/.
22. Ministry of Health and Welfare. 2010 Korean National Oral Health Survey: II. Survey results. Seoul: Ministry of Health and Welfare;2010. 59:p. 69.
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