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Journal of Technologic Dentistry 2021; 43(3): 124-131

Published online September 30, 2021

https://doi.org/10.14347/jtd.2021.43.3.124

© Korean Academy of Dental Technology

충청남도 홍성군관내 노인환자의 치과 임플란트 보험수급 인식도와 치과진료기관 선정 요건에 관한 분석

한민수, 권은자, 최에스더

혜전대학교 치기공과

Received: August 10, 2021; Revised: August 30, 2021; Accepted: September 6, 2021

An analysis of the perceptions of dental implant plans in the Korean national health insurance and the dental clinic selection criteria among elderly patients in Hongseong-gun, Chungcheongnam-do

Min Soo Han , Eun Ja Kwon , Esther Choi

Department of Dental Laboratory Technology, Hyejeon College, Hongseong, Korea

Correspondence to :
Min Soo Han
Department of Dental Laboratory Technology, Hyejeon College, 19 Daehak 1-gil, Hongseong-eup, Hongseong-gun 32244, Korea E-mail: ceramic2002@hj.ac.kr
https://orcid.org/0000-0003-4501-2913
*This paper was supported by grant from Hyejeon College, 2020.

Received: August 10, 2021; Revised: August 30, 2021; Accepted: September 6, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: This study aimed to investigate the perception of dental implant insurance supply and demand for the elderly living in Hongseong-gun and Chungcheongnam-do, as well as the selection criteria regarding dental clinics for dental implant treatment to collect basic data for improving the oral health of the elderly population.
Methods: Participants living in Hongseong-gun, Chungcheongnam-do who were at least 55 years old from November 2020 to March 2021 were included in this study. The chi-square test was performed to examine the age-specific perception of insurance-covered dental implants (p<0.05).
Results: The age group that was the most interested in implants was the 70s age group, and the difference between this age group and the other age groups was statistically significant. Those in their 70’s, 80’s, and 90’s or older paid about 600,000 won including dental implants covered by insurance, and there was a significant difference (p<0.05). Those in their 60s, 70s, and 80s estimated the highest value of implants covered by insurance as two and showed a significant difference (p<0.05). The awareness of the dental implant insurance by age showed that all age groups, except for the ≥90 years age group, considered the insurance to be mediocre mostly due to the large co-payment (p<0.05).
Conclusion: There were differences by age in the awareness of dental implant insurance, co-payments, number of applications, and insurance coverage. The perceptions on dental implant insurance by age showed that all age groups except for those over 90 years and older, they considered the insurance was just mediocre the most.

Keywords: Awareness, Dental implants, Elderly age, Insurance recipiency, Oral health

Article

Original Article

Journal of Technologic Dentistry 2021; 43(3): 124-131

Published online September 30, 2021 https://doi.org/10.14347/jtd.2021.43.3.124

Copyright © Korean Academy of Dental Technology.

충청남도 홍성군관내 노인환자의 치과 임플란트 보험수급 인식도와 치과진료기관 선정 요건에 관한 분석

한민수, 권은자, 최에스더

혜전대학교 치기공과

Received: August 10, 2021; Revised: August 30, 2021; Accepted: September 6, 2021

An analysis of the perceptions of dental implant plans in the Korean national health insurance and the dental clinic selection criteria among elderly patients in Hongseong-gun, Chungcheongnam-do

Min Soo Han , Eun Ja Kwon , Esther Choi

Department of Dental Laboratory Technology, Hyejeon College, Hongseong, Korea

Correspondence to:Min Soo Han
Department of Dental Laboratory Technology, Hyejeon College, 19 Daehak 1-gil, Hongseong-eup, Hongseong-gun 32244, Korea E-mail: ceramic2002@hj.ac.kr
https://orcid.org/0000-0003-4501-2913
*This paper was supported by grant from Hyejeon College, 2020.

Received: August 10, 2021; Revised: August 30, 2021; Accepted: September 6, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: This study aimed to investigate the perception of dental implant insurance supply and demand for the elderly living in Hongseong-gun and Chungcheongnam-do, as well as the selection criteria regarding dental clinics for dental implant treatment to collect basic data for improving the oral health of the elderly population.
Methods: Participants living in Hongseong-gun, Chungcheongnam-do who were at least 55 years old from November 2020 to March 2021 were included in this study. The chi-square test was performed to examine the age-specific perception of insurance-covered dental implants (p<0.05).
Results: The age group that was the most interested in implants was the 70s age group, and the difference between this age group and the other age groups was statistically significant. Those in their 70’s, 80’s, and 90’s or older paid about 600,000 won including dental implants covered by insurance, and there was a significant difference (p<0.05). Those in their 60s, 70s, and 80s estimated the highest value of implants covered by insurance as two and showed a significant difference (p<0.05). The awareness of the dental implant insurance by age showed that all age groups, except for the ≥90 years age group, considered the insurance to be mediocre mostly due to the large co-payment (p<0.05).
Conclusion: There were differences by age in the awareness of dental implant insurance, co-payments, number of applications, and insurance coverage. The perceptions on dental implant insurance by age showed that all age groups except for those over 90 years and older, they considered the insurance was just mediocre the most.

Keywords: Awareness, Dental implants, Elderly age, Insurance recipiency, Oral health

Table 1 . General characteristics of the study subjects by age (N =118).

CharacteristicsN (%)
Gender
Woman77 (65.25)
Man41 (34.75)
Age
Under 605 (4.24)
60s21 (17.80)
70s41(34.75)
80s44 (37.29)
90s and older7 (5.93)
Occupation
Agriculture77 (65.25)
Other31 (26.27)
Professional7 (5.93)
Prefer not to answer3 (2.54)

Table 2 . Comparison of awareness of insurance dental implants by age (N=118).

FeatureN (%)

AgeUnder 6060s70s80s90s and olderTotalp-value
AwarenessAware of it-3 (14.29)4 (9.76)8 (9.09)1 (14.29)16 (13.56)0.031
Thought about it2 (40.00)8 (38.10)13 (31.71)16 (36.36)-39 (33.05)
Very interested2 (40.00)9 (42.86)22 (53.66)12 (27.27)2 (28.57)47 (39.98)
Do not know1 (20.00)1 (4.76)2 (4.88)8 (18.18)4 (57.14)16 (13.56)
Post hoc resultabaaabb
Copayment200,000 won5 (100.00)5 (23.81)9 (21.95)7 (15.91)2 (28.57)28 (23.73)0.006
400,000 won-10 (47.62)12 (29.27)7 (15.91)2 (28.57)31 (26.27)
600,000 won-3 (14.29)18 (43.90)21 (47.73)3 (42.86)45 (38.14)
Free-3 (14.29)2 (4.88)8 (18.18)-13 (11.02)
No idea---1 (2.27)-1 (0.84)
Post hoc resultabbccabc
Number of
implants
insured
1-4 (19.05)5 (12.20)5 (11.36)3 (42.85)17 (14.41)0.001
2-8 (38.10)26 (63.41)29 (65.91)3 (42.85)66 (55.93)
35 (100.00)4 (19.05)7 (17.07)4 (9.10)-20 (16.95)
More than 4-5 (23.81)3 (7.32)6 (13.64)1 (14.29)15 (12.71)
Post hoc resultabbbb

Table 3 . Comparison of attitudes toward the dental implant and its surgery by age (N=118).

FeatureN (%)

AgeUnder 6060s70s80s90s and olderTotalp-value
ExperienceYes1 (20.00)9 (42.86)13 (31.70)5 (12.82)-28 (23.73)0.020
No4 (80.00)12 (57.14)28 (68.30)39 (87.18)7 (100.00)90 (76.27)
Reason for
implant
surgery
Healthy food intake4 (80.00)21 (100.00)34 (82.93)41 (93.18)6 (85.71)106 (89.83)0.758
Family suggestion--2 (4.88)1 (2.27)-3 (2.54)
Economic factor1 (20.00)-4 (9.76)2 (4.45)1 (14.29)8 (6.78)
Other--1 (2.44)--1 (0.84)
Reasons
for no
implant
surgery
Living condition2 (40.00)10 (47.62)21 (51.22)16 (36.36)5 (71.43)54 (45.76)0.780
Opinions from
surrounding
1 (20.00)4 (19.05)11 (26.83)9 (20.45)-25 (21.19)
Dental treatment
issue
1 (20.00)3 (14.39)3 (7.32)6 (13.35)1 (14.29)14 (11.86)
Other1 (20.00)4 (19.05)6 (14.63)13 (29.55)1 (14.29)25 (21.19)
Decision
maker
Recipient-self5 (100.00)18 (85.71)34 (82.93)31 (70.45)3 (42.86)91 (77.12)0.320
Guardian not living
together
-1 (4.76)4 (9.76)7 (15.91)2 (28.58)14 (11.86)
Guardian living
together
-2 (9.52)3 (7.32)6 (13.64)2 (28.58)13 (11.40)

Table 4 . Comparison on awareness of dental implant insurance recipiency by the age group (N=118).

FeatureN (%)

AgeUnder 6060s70s80s90s and olderTotalp-value
Insurance
recipiency
Living condition2 (40.00)7 (31.82)5 (12.20)16 (36.36)3 (42.86)33 (27.97)0.383
Age 65 years and
higher
2 (40.00)12 (54.55)31 (75.61)21 (47.73)3 (42.86)69 (58.48)
Disabilities in
movement
1 (20.00)1 (4.55)2 (4.88)5 (11.36)1 (14.29)10 (8.47)
Others-1 (4.55)3 (7.32)2 (4.55)-6 (5.08)
Opinion on
insurance
Exceptional-4 (19.05)3 (9.76)3 (6.82)-10 (8.47)0.002
Good1 (20.00)-13 (31.71)10 (22.73)1 (14.29)25 (21.19)
Mediocre3 (60.00)16 (76.19)21 (51.22)22 (50.00)1 (14.29)63 (53.39)
Not interested1 (20.00)1 (4.76)4 (9.76)9 (20.45)5 (71.43)20 (16.95)
Post hoc resultabcabbcc

Table 5 . Selection of hospitals and clinics by age (N=118).

FeatureN (%)

AgeUnder 6060s70s80s90s and olderTotalp-value
Preferred
location
Vicinity of
Hongseong-gun
2 (40.00)6 (28.57)19 (46.34)20 (45.45)6 (85.71)53 (44.92)0.218
Cities other
than Hongseong-gun
2 (40.00)6 (28.57)6 (14.63)6 (13.64)1 (14.29)21 (17.80)
Doesn't matter1 (20.00)9 (42.86)16 (39.02)18 (40.91)-44 (37.29)
Location
requirements
Recommended by
acquaintances
1 (20.00)5 (23.81)19 (46.34)15 (34.10)1 (14.29)46 (38.98)0.094
Near residence2 (40.00)13 (61.90)13 (31.71)26 (59.10)5 (71.43)59 (50.00)
Avoiding poor surgeon2 (40.00)3 (14.29)9 (21.95)3 (6.82)1 (14.29)18 (15.25)
Surrounding
requirements
Accessibility of
public transport
4 (80.00)17 (80.95)28 (68.29)30 (68.18)3 (42.86)82 (69.49)0.533
Proximity to guardian1 (20.00)4 (19.05)12 (29.27)11 (25.00)4 (57.14)32 (27.19)
Other--1 (2.44)3 (6.81)-4 (3.39)
Selection
requirements
Dentist's skills3 (60.00)15 (71.43)32 (78.05)30 (68.18)4 (57.14)84 (71.19)0.885
Treatment cost2 (40.00)6 (28.57)9 (21.95)13 (29.55)3 (42.86)33 (27.97)
Other---1 (2.27)-1 (0.84)
Proper distanceWithin 30 minutes1 (20.00)5 (23.81)19 (46.34)20 (45.45)5 (71.43)50 (42.37)0.277
Within 1 hour4 (80.00)11 (52.38)16 (39.02)16 (36.36)2 (28.57)49 (41.53)
Doesn't matter-5 (23.81)6 (14.63)8 (18.18)-19 (16.10)
Building
requirements
First floor3 (60.00)4 (19.05)16 (39.02)10 (22.73)6 (85.71)39 (33.05)0.002
Second floor1 (20.00)1 (5.76)1 (2.44)--3 (2.54)
Doesn't matter if
there is an elevator
1 (20.00)16 (76.19)24 (58.54)34 (77.27)1 (14.29)76 (64.41)
Post hoc resultabacabccd

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Journal of Technologic Dentistry

eISSN 2288-5218
pISSN 1229-3954
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