[Monitoring the implementation of the compulsory health insurance program for the prevention of dental diseases]. / Monitoring realizatsii programmy obyazatel'nogo meditsinskogo strakhovaniya po profilaktike stomatologicheskikh zabolevanii.

The purpose of the study is to monitor the implementation of the CHI program for the prevention of dental diseases. Based on the analysis of the monitoring results, the need for adjustment and direction of improvement of the observed process was identified. During the period from 2013 to 2018, there was a slight increase in the volume of preventive care per 1 insured citizen, from 0.186 visits to 0.211, which does not meet the recommended indicator and is insufficient. In the dynamics of expenses per 1 insured citizen, there is a trend of significant growth of 1.93 times. The cost of 1 visit with a preventive purpose in the dynamics also increased by 1.71 times, amounting to 603.16 rubles in 2018. it is Necessary to specify in detail the methodology for conducting a preventive examination, its interpretation and the list of services provided during this period.

[Implementation of obligatory medical insurance programs in dentistry based on the cost of relative unit of labor intensity]. / Otsenka realizatsii programmy obyazatel'nogo meditsinskogo strakhovaniya po razdelu «Stomatologiya¼ na osnove stoimosti uslovnoi edinitsy trudoemkosti.

THE AIM OF THE STUDY: Was to analyze financial feasibility of obligatory medical insurance programs in dentistry based on the cost of relative unit of labor intensity. MATERIAL AND METHODS: The study is based on statistical analysis of service types and costs dynamics in dental obligatory medical insurance programs in Russia in 2013-2018. RESULTS: The study identified trends in financing health care, government guarantee programs and financial costs per 1 unit of labor intensity, which should be taken into account when making a medical and economic feasibility study of basic and territorial government guarantee programs to provide citizens of the Russian Federation with free medical care and planning the dental section of the compulsory medical insurance program. CONCLUSION: The financial possibilities of implementing the compulsory medical insurance program in the field of dentistry in the Russian Federation are limited by reducing the cost of dental services from the total amount of healthcare financing, not proportional to the increase in inflation and the level of expenses for the compulsory medical insurance program, aggravation of the pathology of patients and untimely treatment for dental services. The provision of planned dental services and preventive measures will reduce the financial costs of these services.

[Development of an expert assessment of the quality of dental care]. / Razrabotka ekspertnoi otsenki kachestva stomatologicheskoi pomoshchi.

The article proposes a methodology for creating an assessment of the quality of dental care based on the use of the method of analysis of hierarchies and the theory of fuzzy logic. Approbation of the methodology was carried out on the assessment of the quality of dental services for the manufacture of metal-ceramic crowns. When conducting a new assessment, you can achieve a reduction in the time of its conduct by 6 times, increasing the number of evaluation criteria by 2 times and get results with a confidence factor (p=0.95). Evaluation allows you to combine existing descriptive, quantitative, radiological, functional assessments into a system and rank their significance for the final result. This allows assessing the quality of treatment more objectively.

[Economic model of scientific rationale for the real expenses on modernization of material resources]. / Ekonomicheskaya model' nauchnogo obosnovaniya real'nykh raskhodov na modernizatsiyu material'nykh zapasov.

The study convincingly showed the presence of negative trends in the provision of medical dental organizations with material supplies. Thus, in 2014-2018 the basic growth rate of financial resources allocate for these purposes was only 15.96%. The corresponding value for the renewal of drugs and dressing materials equaled 12.28%, for reagents and chemicals, glass, chemical glassware - 6.62%, a decrease was revealed in the costs of medical instruments and food. The real amount of expenses for updating inventory in 1 working day for 1 doctor in the profile of dentistry and dental hygienist should correspond to 2067.16 rubles, which is 3.49 times higher than the allocated financial resources. Dentistry is still not included in the priority areas of healthcare in terms of financing. Under such circumstances, medical dental organizations cannot satisfy the growing need of the population for high-quality dental care. New technologies integration in the daily dental practice dictates the need for of new standards formation and a list of expenditure of inventories in the provision of medical and diagnostic assistance in the field of «dentistry¼.

[Medical and socio-economic significance of mouth sanitation]. / Meditsinskaia i sotsial'no-ékonomicheskaia znachimost' sanatsii rta.

The cost of providing dental services under the program of compulsory health insurance (CHI) in the 1 insured citizen in 2017 correspond 412.06 RUB. The proportion of patients sanitized of the number needing treatment is 57.05%, means of rehabilitation of mouth - 50.39%. Untimely treatment of the population for dental care, limiting its availability, insufficient funding of medical organizations contribute to the deterioration of the dental status of patients. Thus, the implementation of the CHI program in terms of sanitation of the mouth is very problematic. Consequently, the management of the situation requires social solutions and involves the collective responsibility of health authorities and society as a whole for the dental status of the population.

[Criteria for quality assessment and labor payment for dental care professionals]. / Kriterii otsenki kachestva i oplaty truda vrachei po spetsial'nosti 'Stomatologiia'.

Internal regulatory documents of the medical organization reflecting the calculation of incentive payments and a personalized assessment of the quality of dental care were analyzed. It is found that until now the new system of wage payment has not solved the problem of stimulating dental care professionals depending on the results of their work and needs to be changed. The applied criteria of quality assessment and the intensity of labor must have measurable parameters that exclude subjective appraisal; the integrative coefficient of labor quality must be created. A transparent mechanism of wage payment is also needed in order to motivate staff highly to achieve the qualitative and quantitative indicators of labor that are incorporated in it by the medical organization authority and are related with their work goals. Every criterion outlined in the 'Regulation on Inner Control of the Quality and Safety of Dental Care' should reflect the intensity and quality of dental services and correspond with the criteria of the incentive premiums calculation, that have been prescribed in the 'Wage payment regulations'.

[The dinamics of preventive dental visits in mandatory health insurance system]. / Dinamika poseshchenii s profilakticheskoi tsel'iu v sisteme obiazatel'nogo meditsinskogo strakhovaniia po profiliu 'Stomatologiia'.

The analysis on the current standards of the amount of Medical care provided for dental diseases treatment in Russia within mandatory health insurance program has been made. The study revealed more than 80-fold difference in the number of visits for one insured patient in different regions of Russian Federation. The annual increase in financial expenses covering dental visits for prophylactic purposes is identified. It is recommended that the Federal Fund of Mandatory Health Insurance to state a clear definition to the term 'Dental visit for prophylactic purposes', while the territorial funds should strengthen the requirements for approved reporting forms submition.

[Regulatory framework of the new wage payment system in dentistry]. / Normativnaia pravovaia baza novoi sistemy oplaty truda v stomatologicheskikh organizatsiiakh.

The paper presents the analysis of regulatory frameworks for wage payment system in federal, state and municipal dental clinics. The new wage payment system provided significant freedom for employers in payments size determination by regulation of basic, stimulating and compensative salary payoffs. The study highlights the need for scientific studies on dental care quality assessment criteria for wage payment system.

[Payment of out-patient dental service according to tariffs in obligatory insurance system]. / Oplata po tarifam ambulatornoi meditsinskoi pomoshchi v sisteme OMS po profilyu «Stomatologiya¼.

Cost price of dental services in system of obligatory medical insurance is higher two fold than officially determined tariffs. Costs of the same services in medical organizations of the same federal region in Russia tend to varyMeasures directed at the stimulation of reduction of expenses connected with the keep of those medical organizations that have increased expenses (compared to other medical organizations) should be considered.

[Out-patient dental service visit costs in obligatory insurance system].

Significant vary of cost price is being observed in the medical organizations not only in the different subjects of the Russian Federation, but in the same federal region of the Russian Federation. So in the medical organizations of the Central Federal Region the fourfold difference of cost price of attendance with the prophylactic aim is observed. These facts make the planning of financial recourses difficult by elaborating the plans of state tasks and programs of state guarantees in general.