구금시설의치과진료체계및구강보건의료인력현황조사. Dental Service System and Oral Health Providers in Correctional Institutions

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1 Journal of Dental Hygiene Science Vol. 9, No. 5 pp. 507~511 (2009) 구금시설의치과진료체계및구강보건의료인력현황조사 Á½ xá Á Á Á½û w w e w Dental Service System and Oral Health Providers in Correctional Institutions Jung-Yun Kang, Young-Hyun Kim, Kyung-Sun Oh, Yeon-Suk Jo, Min-Sun Lee and Nam-Hee Kim Department of Dental Hygiene, Wonju College of Medicine, Yonsei University "CTUSBDU The purpose of this study is to analyze the dental service system in correctional institutions and to find the factors for improving inmates' oral health. This study is comprised of document review, telephone and questionnaire survey. The subjects of questionnaire survey are public health dentists and doctors in correctional institutions. They responded to questionnaire and the survey was collected from previous research and selected information about the dental service system. The findings of the study were as follow : Documentary survey 1. According to 2004's study, there are 42 dental offices in 46 all correctional institutions. 2. Criminals who took an health examination occupied 69.0% when committed to a jail in 2002's study. Majorities of them(81.5%) responded that they didn't take any oral examination. Telephone & Questionnaire survey 1. Full-time public health dentists are 26 in There is no correctional institution having oral health providers in 26 correctional institutions surveyed. 2. About 10 patients use the dental services in a day. Part-time dentists visit 4 times a month as average in 80% of institutions. 40% of institutions responded dental treatments can't be progressed conveniently because of the lack of oral health providers % of respondents answered that it is hard to cure prisoners, and that's because they are forbidden to get out of the institutions. 4. Only 20% of correctional institutions offered the oral hygiene instructions. There is no regular oral hygiene education for all inmates. 5. They need to increase the number of oral health providers.,fz XPSET Correctional institution, Oral health providers, Dental service system 서 론 xw x 8 ƒ e ƒ w «ƒ š ³ w. ù w» ««w 1). ù ù «w «y ³ w 1). ü ( y) w y š, p w l w 2). y x 3), 4) y. w. w e w { š Corresponding author Tel: Fax: nami71@yonsei.ac.kr z 5). x ù š. w ù z š, y ¾ r 6). w «y wš. 2) ƒ e w (, x w,, ) w w ƒ š, w» š w šw. w v w» w œ» w š 2). w w» w, k k q w v ƒ. w w É w w w»ƒ. w w š, p š.

2 Dental Service System and Oral Health Providers in Correctional Institutions w v w ü e w mw w w. 연구대상및방법 1. z, w ( www. pubmed.com» e w ü x w. ü 47 wš e / œ w. w w œ mw w. 2. 1) (1) : x, x, ù ƒ v y y s w w w 7). (2) : š w,, e sww. (3) «: w œ ««, «s w 7). (4) : e, e, e»œ sww 8). y k 12 w, p 5 w w. (2) ü 47 w š e / œ yw. wš x w. w 30œ r mw w l 7 ¾ 2 10œ w z. 33.3%. 3. SPSS w w. 결 과 1. s 10 û œ, 3, e 7. w, 9, e 1 w. 2. e xy ) 46 4 ( e,, e, sk e ) w 42 e e 2) x w p, e w w. 3) y y x ü e œ xy q w» w w l 15 ¾ p ü 47 t y yw. wš e / œ, my w. wš e œ e w w w, w 47» y w. 4) (1) 31 w. ½ 7) w k ( ) w z w. ü 5 w e k 9 w, e. e œ 1990 l e, , e , e 0 ƒ, 2004 l e œ eƒ , ) y y mw 2009 x 25 5BCMF General characteristics of respondents (N=10) Age Over 31 1 Non-response 2 License Doctor 3 Dentist 7 Correction type Prison 9 Detention house 1

3 Journal of Dental Hygiene Science Vol. 9, No. 5, pp. 507~511 (2009) 5BCMF Status of oral health providers*** in correctional institutions Full-time public health dentists* Oral health providers in correctional institutions** Oral health providers required*** Prison officer aid-nurse certified 4 Prison officer aid-nurse uncertified 2 Guest dentist 8 Dentist 8 Radiological technician 1 Dental hygienist *Researched on 46 correctional institutions in Korea ( is extracted from previous research, 2009 is a result of telephone survey) ** Multiple response *** Oral health providers include dentist, dental hygienist and dental technician 9). e œ ƒ e y w. ù 20œ w w wš. e œ ƒ œ œ. 3) w 10œ e. ü w e ( e ù w œ ) e ƒ ƒ š, y, y,» ƒ w š ƒw, s³ 2 v w š w. 3. e k , %ƒ 4) š, 18.5%. w y %ƒ š, 16.1%. w (30.2%) wš ù w w š w. 5BCMF Dental service status in correctional institutions (N=10) Visiting number of 2 1 guest dentist 4 5 (times per month) Requirements for improving prison inmates' oral health* Contents of oral examination* Reasons why dental treatment can't be progressed* *Multiple response Increase of oral health 6 providers Increase of budget 3 Increase of dental machinery 3 and tools Changing correctional 3 officers' perception Oral hygiene instruction 3 Dentition 6 Oral hygiene status 5 Periodontal status 3 Prosthetic status 2 Lack of oral health 4 providers Lack of dental machinery 3 and tools Lack of patients' perception 1 Lack of budget 2 w w (75, 40.8%), š ƒ w (34, 18.5%), ù (29, 15.8%), (12, 6.5%), ¾ (11, 6.0%), (7, 3.8%), ù š ùƒ ñ (5, 2.7%), (4, 2.2%),» k(7, 3.8%)ƒ. 2) w s³ w y 10, 80% e ƒ w 4 wš. w 10œ 7œ wš š, 1 1» wì š. š 7œ 5œ w ù e ƒ w š. 2œ» w. e k k sƒw. e k k w ü swwš. w y, y, e»» y, w y v w š

4 Dental Service System and Oral Health Providers in Correctional Institutions w. 10 e ƒ yw w š w 4 š w. wr 10 8 w š w š, w y m š w. 10œ 2œ e ƒ w v wwš. ù w» x. ü e, e t. 고 찰 s w w «y w š.,, d z š. w w w w ù» w. ù z w œ. p ù. w š. w š. w w» w w ƒ w w š ƒw. ü e w» x w ü w. w œ y w ) ƒ v w ÿ e. ü e w ƒ j q w. ù w w e ww e œ 2009 x w w y w. w e ü x e. e e e wš w. k, e w.» w. e ü e w v ƒ. w, w e y w ƒ w, v w. ü y w ƒ.» x m mw e, w» e yw œ wš y w. y w» w y»» y w w q w. v w š w. œ y m» š w. w œ x. e k w mw w w w, w. k q w» w w š ƒw.». mw w wš y w 10). y w ww w, ƒ e ƒ w w w. w e w y mw z w ƒ v w. w ƒ, y w w y v w. p w w w» œ mw w. š» œ x z» w x z û. w ƒ k w w w ƒ. š» x wš w y w ƒ w š, e y w w w. w w ƒ w. wš ¾ ü e xy w ƒ ƒ j. mw ù, œ (e ) w ƒ w. w k œw w. j»

5 Journal of Dental Hygiene Science Vol. 9, No. 5, pp. 507~511 (2009) w w w w. p, ƒ w x w, x k q w w w. wz e w q wš, w v w ƒ» w. 요 약 ù wš, ƒ w v w w w r. w w «y wš.»vw l w. w, w. ü e q w» w x, y ww w %ƒ, 18.5% e e. 2) y x 26 e œ ƒ e, œ w œ. 2. w s³ 10 ƒ š š, e w s³ 4z w. š w e ƒ yw w š»š. 3. ƒ w š w š, y m š w. 4. e ƒ ww š ù, w» x š. w q w w. e w wš, w w v w š y w. 참고문헌 1. Lee YG: Improvement plan of treatment in Korean correctional institutions. Korean Society for Correction service 1: , Woo WK: Medical systems and an improvement program of prison. Government authorization - inspection policy data book pp. 1-6, Pallasch TJ, Slots J: Oral microorganisms and cardiovascular disease. J Calif Dent Assoc 28(3): , Ueta E, et al.: Prevalence of diabetes mellitus in odontogenic infections and oral candidiasis and analysis of neutrophil suppression. J Oral Pathol Med 22(4): , Kim JB, et al.: Clinical preventive dentistry. 3rd ed. KMS, Seoul, pp. 5-6, Cho YH, Seung SM: Review on correctional health care of custody facilities. J Korean Society of public Health Nursing 10(2): 61-73, Kim JB, et al.: A study on the prison medical status inspection and medical right guarantee. National Human Rights Commission of the Republic of Korea, Seoul, pp , The Ministry of Health and Welfare: The Ministry of Health and Welfare White Paper pp. 791, KHIDI: A Study on development of assessment tool and strategies to improve the Arrange system for Public Health Doctors. 1st ed. KHIDI, Seoul, pp , Cha GB: An adult education methodology. 1st ed. Yangseowon, Seoul, pp. 68, (Received October 15, 2009; Revised December 2, 2009; Accepted December 11, 2009)

A Study on the Oral Health State in Children at Age 5 and the Oral Health Behavior in Mothers for Some Parts of Gyeonggi Region

Journal of Dental Hygiene Science Vol. 9, No. 1 pp. 11~120 (2009) 일부경기지역 세아동의구강건강실태와어머니의구강건강행위에관한연구 w x Á Á 1 y w e, w e w A Study on the Oral Health State in Children at Age and the Oral Health Behavior