Summary. A comparative study of the grade of provided medical care, prevalence and structure of morbidity, age factor, cost of treatment in Khanty-Mansy Autonomous Region (KhMAR), Samara and Kaliningrad Regions was conducted. Data from the Forms Nos.30 and 47 of the Medical Statistics Agency were used to compare procurement of dental service with dental physicians and also outcomes of provided medical care in state establishments of dental care in the aforesaid Regions.

This comparative study in aforesaid constituent territories of access of the population to dental medical care and costs of provided services was conducted with the use of database of mandatory medical insurance for 2007, and Microsoft Office Access 2003 was implemented for statistical analysis.

This study showed that expenditure for health protection of the population in Kaliningrad Region was significantly lower of mean Russian value, while in KhMAR it was significantly higher of mean Russian value. Expenditure for health protection of the population normally have a constitutive impact upon the grade of provided medical care, which in turn predetermines the rate and structure of dental morbidity of the population.

The ratio of the number of cured teeth to the number of extracted teeth was 2.5 in Kaliningrad Region, 2.8 in Samara Region, and 4.8 in KhMAR.

Healing of one dental lesion was performed in the course of 0.50 dentist check for males/0.49 for females in KhMAR, 1.12/1.14 in Samara Region, and 1.2/1.16 in Kaliningrad Region. Number of lesions per one accession was 1.45 for males/1.53 for females in KhMAR, 1,67/1,91 in Samara Region, and 1,89/ 2,09 in Kaliningrad Region.

The age group of 20-49 years produced the most vast variability between the constituent territories for morbidity.

In 2007, the mean cost of provided medical care per one presented lesion was 131.4 rubles for males/132.0 rubles for females in KhMAR, 322.2/336.1 rubles in Samara Region, and 364.9/380.3 in Kaliningrad Region.

Distinctions in prevalence between acute and chronic conditions in parodontopathy and in cost of its management were less apparent in constituent territories with proper grade of medical care, than in those with improper one: prevalence of acute apical alveolar periostitis of pulpar nature was lower 2.3 times in males and 2.2 times in females than of chronic one - in KhMAR, 5.1/5.1 in Samara Region, and 5.6/6.1 in Kaliningrad Region.

Prevalence of acute parodontitis was lower 4.3 times in males and 4.1 times for females than of chronic one - in KhMAR, 4.1/3.8 in Samara Region, and 5.1/5.1 in Kaliningrad Region.

Conclusion: Insufficient budget funding of METPs resulted in morbidity growth, especially among the population with ability to work, to chronic transformation of dental diseases, widening of gender differences in diseases prevalence, elevated mean cost of treatment of dental diseases.

Key words. dental morbidity, structure of prevalence, provision of staff for dental service, scope of dental care, outcomes of dental care, grade of medical services, age structure of dental nosology, cost of dental management.

References

1. Ayrapetyan S.M., Sabgayda T.P. Rasprostraneniye stomatologicheskikh zabolevaniy, posluzhivshikh prichinami gospitalizatsii i smertnosti naseleniya [Prevalence of dental diseases which were the reasons for hospitalization and mortality in population]. Zdravookhraneniye Rossiyskoy Federatsii 2010;(1):42-45.
2. Alimova Z.A. Stomatologicheskiy status postupayushchikh v ÂMI FSB Rossii po rezultatam meditsinskikh osmotrov [Dental status of applicants entering the Institution of the FSS of Russia by the results of medical examination]. Proceedings 7nd all-Russian Scientific Forum "Dentistry 2005". Moscow: MEDIExpo; 2005. P.19-20.
3. Alimskiy A.V. Predlagayemaya model organizatsii stomatologicheskoy pomoshchi naseleniyu Rossiyskoy Federatsii [Proposed model of organization of dental care to the population of the Russian Federation]. Ekonomika i Menedzhment v Stomatologii 2010;30(1):44-50.
4. Antonov A.N. Sotsialno-demograficheskiye i motivatsionnyye aspekty udovletvorennosti stomatologicheskoy pomoshchyu v sovremennykh usloviyakh [Social demographic and motivational aspects of population satisfaction with dental care in the present conditions]. [PhD. Thesis]. Moscow; 2008. 22 p.
5. Boyko V.V. Dvenadtsat priznakov rukovoditelya vcherashnego dnya [Twelve indicators for a manager of the past]. Ekonomika i Menedzhment v Stomatologii 2010;30(1):24-29.
6. Vlasova I. Zub za zub [Tooth for tooth] [Internet Newspaper] Gazeta. 2009 [cited 2011 Apr 25]; 10.02.2009. Available from: http://www.fss.ru/digest/2009/obzor10022009.doc
7. Grinin V.M., Lezgishvili A.E., Kuzmina A.V., Kuznetsova N.K., Pliyev A.V. Osnovnyye sotsialno-demograficheskiye osobennosti stomatologicheskoy obrashchayemosti v gosudarstvennyye i chastnyye lechebnyye uchrezhdeniya v sovremennykh usloviyakh [Basic social and demographic characteristics of patients’ reference to public and private dental facilities in the present conditions]. Dental forum 2009;31(3):54-57.
8. Danilov Ye.O. Pravovyye osnovy stomatologicheskoy praktiki [Legal basis of the dental practice]. Saint-Petersburg: Sankt-Peterburgskiy institut stomatologii; 2002. 176 p.
9. Zdravookhraneniye v Rossii-2009 [Health care in Russia-2009] [Internet] Rosstat: Statistical materials. 2009 [cited 2011 Apr 25]; Available from: http://www.gks.ru/bgd/regl/b09_34/IssWWW.exe/Stg/d2/07-09.htm
10. Krivelevich E.B., Shvedenko I.V. Kharakteristika stomatologicheskogo zdorovya naseleniya Vladivostoka (po rezultatam sotsiologicheskogo issledovaniya) [Characteristics of dental health in the population of Vladivostok (by results of sociological study)]. Tikhookeanskiy meditsinskiy zhurnal 2007;(4):88-91.
11. Leontyev V.K. Ekologicheskiye i mediko-sotsialnyye aspekty osnovnykh stomatologicheskikh zabolevaniy [Ecological and medical social aspects of dominant dental diseases]. Biosfera 2010;(1):230-236.
12. Mazurkevich O.Â. Nekotoryye pokazateli stomatologicheskogo statusa u beremennykh zhenshchin [Some indicators of dental disease status in pregnant women]. Proceedings 7nd all-Russian Scientific Forum "Dentistry 2005". Moscow: MEDIExpo; 2005. P. 168-169.
13. Manasherov T.O. Formirovaniye rynka stomatologicheskogo obsluzhivaniya naseleniya [Formation of a market of dental service to the population]. [PhD. Dissertation]. Sochi; 2005. 136 p.
14. Melenberg T.V. Analiz obrashchayemosti patsiyentov s zabolevaniyami parodonta v kliniku dlya provedeniya professionalnoy gigiyeny polosti rta [Analysis of paradontosis patients reference to a dental clinic for special oral sanitation]. Proceedings 7nd all-Russian Scientific Forum "Dentistry 2005". Moscow: MEDIExpo; 2005. P. 180-181.
15. Olesov A.Ye., Aksamentov A.D., Kolyabina Yu.V. Kachestvo obsluzhivaniya potentsialnykh patsiyentov kak antikrizisnyy rezerv effektivnosti raboty kliniki [Quality of medical care provided to potential patients as an anti-crisis reserve for efficient clinic activity]. Ekonomika i Menedzhment v Stomatologii 2010;30(1):10-17.
16. Pashinyan G.A., Popova T.G., Kurayeva Yu.Ye. O neobkhodimosti razrabotki standartov dlya ekspertnoy otsenki neblagopriyatnykh posledstviy pri okazanii stomatologicheskoy pomoshchi [On the need in development of standards for expert assessment of failures in dental treatment]. Meditsinskoye pravo: federalnyy nauchno-prakticheskiy zhurnal 2007;(4):14-15.
17. Radayev V.V. Ekonomicheskaya sotsiologiya: uchebnoye posobiye dlya vuzov [Economical sociology: text book for higher educational institutions]. Moscow: GU-ÂShE; 2008. 602 p.
18. Sabgayda T.P., Khodnenko O.V., Ayrapetyan S.M., Kabanova A.V., Alekseyev A.V. Vliyanie razlichnoy obespechennosti naseleniya vrachami stomatologicheskogo profilya na zdorovye naseleniya [Influence of different dental doctors provision of population on population health]. Sotsialnyye aspekty zdorovya naseleniya [Online Scientific Journal] 2010 [cited 2011 Apr 25]; 13(1). Available from: http://vestnik.mednet.ru/content/view/183/27/
19. Trifonov V.V. Sovershenstvovaniye organizatsii i upravleniya regionalnoy stomatologicheskoy sluzhboy na osnove monitoringa i situatsionnogo modelirovaniya [Advancing the organization and management of regional dental service on the base of monitoring and situation modeling] [PhD. Thesis]. Moscow; 2009. 49 p.
20. Yanushevich O.O., Sokhov S.T., Sabgayda T.P., Pavlov N.B., Ivanova A.Ye., Modestov A.A., Klimenko A.P. Stomatologiya Rossii v tsifrakh i faktakh Uchebnoye posobiye [Stomatology in Russia in figures and facts: Guidelines]. Moscow: ANMI; 2010. 208 p.
21. Global goals for oral health 2020. Vull World Health Organ 2005;83:686-693.
22. Vigild M. Dental health status and use of dental health services among adults in Denmark. Danish Dent. J. 1996;100:215-222.
23. Thurow L.C. Medicine versus economics. N. Engl. J. Med. 1985;313(10):611-614.

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