ПОВЫШЕНИЕ МЕДИКО-СОЦИАЛЬНОЙ ЭФФЕКТИВНОСТИ ПРОГРАММЫ ЛЬГОТНОГО ЗУБОПРОТЕЗИРОВАНИЯ ДЛЯ ОТДЕЛЬНЫХ КАТЕГОРИЙ ГРАЖДАН В РЕСПУБЛИКЕ ТАТАРСТАН

Abstract

Background. The study is devoted to improving the medical and social effectiveness of the Privileged Dental Prosthetics Program for certain categories of citizens in the Republic of Tatarstan. Aim. The aim of the study was to develop new tactical approaches to implement a targeted program of dental prosthetics for certain groups of the population in the Republic of Tatarstan in the complete absence of teeth aimed at the introduction of modern treatment technologies.Material and methods. We applied a complex method using: method of expert evaluation of the Program of free dental prosthetics in the Republic of Tatarstan, method of organizational modeling for the development of new tactical approaches in the implementation of the Program, method of statistical cost prediction in comparing three approaches to dentures for edentulous mandibles at the expense of the Program. Analysis of aggregate data obtained in the calculation of the comparative economic efficiency of the traditional method, the use of dental implant quota and the introduction of the number of applications for the fabrication of a complete removable denture in persons over 60 years in the medium­term forecast of 10 years was conducted. Statistical processing was performed in MS Windows software. Results and discussion. At the level of the Ministry of Health of the Republic of Tatarstan, when implementing the additional MHI program of free denture prosthetics for certain categories of citizens, tactical approaches have been introduced, implying a frequency of visits with complete removable prosthetics – once every three years, according to the service life of the prosthesis. Every year since 2015, an order has been issued by the Ministry of Health of the Republic of Tatarstan. Saving funds of the Program for this section of dental prosthetics reaches more than 8,8 million rubles (67%) per year. Rational use of the funds of the compulsory medical insurance program makes it possible to manufacture modern constructions with the use of dental implantation in 200 people a year. Conclusion. The developed tactical approaches of using the funds of the Territorial Program of Compulsory Medical Insurance for free dental prosthetics in the Republic of Tatarstan serve as a reserve for the introduction of modern technologies of treatment with the use of dental implants on edentulous jaws.