J Korean Acad Oral Health.  2023 Dec;47(4):186-196. 10.11149/jkaoh.2023.47.4.186.

Awareness of the concept and role of public oral health care in Korea among oral health professionals

Affiliations
  • 1Department of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu, Korea
  • 2Division of Healthcare Technology Assessment Research, National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea
  • 3Department of Dental Hygiene, College of Science & Technology, Kyungpook National University, Sangju, Korea
  • 4Department of Preventive Dentistry & Public Oral Health, College of Dentistry, Yonsei University, Seoul, Korea
  • 5Institute for Translational Research in Dentistry, Kyungpook National University, Daegu, Korea

Abstract


Objectives
The importance of public healthcare has been further emphasized by the arrival of the era of super-aged societies. This study investigates the landscape among oral health professionals, focusing on the concept development of the public oral health care (POHC) and essential oral health care (EOHC).
Methods
A questionnaire survey of oral health professionals was conducted at six associations or societies who have an interest in POHC from December 21 to December 29, 2022. Chi-squared and logistic regression analyses were adopted to identify significant differences between the responses according to general characteristics. Significant differences were considered at a P-value of 0.05.
Results
A total of 100 oral health professionals (48 dentists and 52 dental hygienists) participated in this study. The results revealed that there is a need for improvement of the POHC and the establishment of concepts related to the POHC and EOHC. The agreement rate was 90%, 85%, and 86% for the responsible organization, the target object and field, and the concept in the definition of the POHC, respectively. In the case of the construction of the EOHC, the agreement rate was 91% for “Quality of life,” and 85% for “Life and safety.” Among the community oral health programs as the POHC programs, “Oral health education program” showed the highest agreement rate. In healthcare institutions that are capable of providing the POHC services, “Oral health center in the public health center” had the highest agreement rate.
Conclusions
The POHC would be reasonable to define to ensure universal access to oral healthcare services for all citizens. In the case of EOHC, further research is needed to establish terminology and specific concepts in the future. This study could contribute valuable insights to the field of the POHC in an era of super-aged societies. As further research, more oral health professionals need to participate in the POHC-related policy and health care system.

Keyword

Essential oral health care; Expert survey; Public health care; Public oral health care

Figure

  • Fig. 1 Flowchart of study participants.


Reference

References

1. Yim J. 2022. Measures for Strengthening Public Health Care. Korea Institute for Health and Social Affairs;Sejong: p. 6–22.
2. Choi SK. 2022; Public-Private Partnership in Disaster Medicine during the COVID-19 Pandemic: A Comparative Case Study of South Korea and United States. KAPS. 31:215–46. DOI: 10.33900/KAPS.2022.31.4.7.
3. Oh YH. 2013. Policy Directions and Challenges in Public Health Care in Korea. Korea Institute for Health and Social Affairs;Sejong: p. 1–8.
4. Ministry of Health and Welfare. 2021. 2nd Basic Public Health Care Plan (2021-2025). Ministry of Health and Welfare;Sejong: p. 9–27.
5. Jung Y, Lee GC, Yoo MS. 2016; Publicness in Private Health Care Organizations: Developing a Model for Analysis and Measuring a Current Status. HSWR. 36:344–73. DOI: 10.15709/hswr.2016.36.4.344.
6. Ministry of Health and Welfare. 2018. Comprehensive Strategy for the Advancement of Public Health Care. Ministry of Health and Welfare;Sejong:
7. Choi S, Lee O, Choi M, Lee M, Park G, Kim J. 2019. Health insurance patients' medical expenses survey in 2018. National Health Insurance Corporation Health Insurance Policy Research Institute;Wonju: p. 9–21. DOI: 10.1177/107755876602300302.
8. Oh YH. 2013. Problem with and Policy Agenda for Public Health Services in Korea. Korea Institute for Health and Social Affairs;Sejong: p. 62–82.
9. Choi JW. 2019. How many people have enrolled in dental insurance? Korea Credit Information Services;Seoul: p. 2–3.
10. Che X, Park H-J. 2018; Factors associated with the persistence of unmet dental care needs. J Korean Acad Oral Health. 42:152–8. DOI: 10.11149/jkaoh.2018.42.4.152.
11. Korea Disease Control and Prevention Agency. 2023. 2021-2022 Korea National Children's Oral Health Survey. Korea Disease Control and Prevention Agency;Osong: p. 168–71.
12. Statistics Korea. 2021. Life Table for Korea, 2020. Statistics Korea;Daejeon: p. 27–28. DOI: 10.1787/bd274241-en.
13. Statistics Korea. 2023. Annual Report on The Economically Active Population Survey. Statistics Korea;Daejeon: p. 214–5.
14. Lee GT, Lee JS. 2017. Economic Growth and Labor Market in an Era of Declining Working-Age Population. LG Economic Research Institute;Seoul: p. 2–3.
15. Park MH. 2015. Long-Term Fiscal Outlook 2016-2060. Korea Iinstitute of Public Finance;Sejong: p. 14–9.
16. Ko EJ. 2011. Healthy Aging: Ensuring Fiscal Wellness in Healthcare. LG Economic Research Institute;Seoul: p. 22–30.
17. Lee KS. 2017; Definition of public health care and it's policy directions. Public Health Aff. 1:79–97. DOI: 10.29339/pha.1.1.79.
18. Seo KH. 2019; Pragmatic Alternatives for Promoting Public Healthcare Activation in Korea. Healthcare policy forum. 16:60–6.
19. Kim JH, Kim CY. 2022; The Meaning of Essential in Health: Critical Analysis in South Korea. JCSW. 76:155–87. DOI: 10.47042/ACSW.2022.08.76.154.
20. Lee SM. 2019; Essential health care. Journal of the Korean Medical Association. 62:231–7. DOI: 10.5124/jkma.2019.62.4.231.
21. Kim JH, Cha YL, Kim SH, Lee JM, Choi MJ, Choi AR, et al. 2022. 2020 Korean Medical Panel Basic Analysis Report (I). Health Insurance Research Institute;Wonju: p. 110–1.
22. Lee GY, Lee JY, Lee JH, Park YW. 2021; Policy Study for Improvement of the Dental Care Delivery System in General Hospital. JKDA. 60:8–17.
23. Kim SY, Kim JB, Kim JE, Lee JH, Jeong SH, Jung JI. 2016; Caries-preventing effects of a suburban community water fluoridation program on permanent dentition after adjusting for the number of fissure-sealed teeth. J Korean Acad Oral Health. 40:61–68. DOI: 10.11149/jkaoh.2016.40.1.61.
24. Kim JB, Jun EJ, Kim MJ, Cho HH, Kim HN, Jeong SH, Han DH. 2014; Caries Prevention Effect of Water Fluoridation in Gimhae, Korea. J Dent Hyg Sci. 14:448–454. DOI: 10.17135/jdhs.2014.14.4.448.
25. Cho HJ. 2023; Equity in health care: current situation in South Korea. J Korean Med Assoc March. 56:184–94. DOI: 10.5124/jkma.2013.56.3.184.
Full Text Links
  • JKAOH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr