ХАРАКТЕРИСТИКА ОБЪЕМА СТОМАТОЛОГИЧЕСКОЙ ТЕРАПЕВТИЧЕСКОЙ ПОМОЩИ, ОКАЗАННОЙ В ВИДЕ ПЛАТНЫХ МЕДИЦИНСКИХ УСЛУГ

Abstract

The provision of paid medical services (PMS) is declared by Federal Law No. 323-FZ dated 21.11.2011 "On the basics of protecting the health of citizens in the Russian Federation" (Article 19) [1, 5, 7]. The procedure and conditions for the provision of PMS by medical organizations are established by the Decree of the Government of the Russian Federation of the same name dated May 11, 2023 No. 736 in the form of Rules [8, 10]. Any medical organization regardless of its organizational and legal form and form of ownership as well as an individual entrepreneur can be the provider of such services [3, 11]. An indispensable requirement for the provision of PMS is compliance with the procedures for the provision of medical care, clinical recommendations approved by non-profit professional organizations, and standards approved by the Ministry of Health of the Russian Federation [9, 10]. The provision of PMS is also regulated by the Law of the Russian Federation No. 23001 of February 7, 1992 "On Consumer Rights Protection". At the same time, there is a constant increase in the amount of PMS in the Russian Federation, their provision being an additional and quite significant source of funding for medical organizations [2, 4, 6].
 The article presents the analysis of the volume of medical services provided at the expense of citizens and in accordance with voluntary health insurance contracts in the dental department of the state medical organization for five years in the specialty of therapeutic dentistry. It is found that 71.8% of services were provided at the expense of citizens, and 28.2% were provided under voluntary medical insurance contracts. In the general structure of therapeutic and diagnostic measures, the removal of deposits on the teeth (69.3%) ranks the first, the treatment of caries being in the second place (15.0%), and the treatment of non-carious lesions of the teeth being in the third place (6.4%). The data obtained show a year-over-year increase in the volume of therapeutic and preventive care: by 1.3 times for caries, by 1.2 times for non-carious lesions of teeth, by 1.8 times for pulpitis, by 2.1 times for gingivitis. Patients do not show any interest in the paid treatment of periodontal diseases, so it takes less than one percent of the total volume of care (0.88% at the expense of citizens and 0.25% under voluntary health insurance contracts). The unfavorable epidemiological situation leads to a decrease in the volume of paid dental therapeutic care.