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Main arrow Archive of previous Issues arrow ╣4 2011 (20) arrow The effect of the grade of budget funding of a medical establishment on dental morbidity among the population
The effect of the grade of budget funding of a medical establishment on dental morbidity among the population Print
Friday, 02 December 2011

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.

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