ON THE QUESTION ORTHODONTIC MEDICAL RECORDS COMPLETION WHEN DENTOALVEOLAR ANOMALIES AND DEFORMATIONS DIAGNOSING
Journal: I.P. Pavlov Russian Medical Biological Herald (Vol.25, No. 2)Publication Date: 2017-06-30
Authors : Lapina A.K. Arharova O.N. Rodina T.S. Vagner V.D.;
Page : 279-288
Keywords : orthodontic patient’s medical record; orthodontic treatment; dentoalveolar anomalies.;
Abstract
Correct registration of primary medical documentation is very important for storage of diagnostic information, the treatment plan, information about the carrying out of medical manipulations for the elimination of dentofacial anomalies, for examination of quality of medical care in conflict situations. Medical card of the orthodontic patient (form 043- 1/у), approved by order of Ministry of Health of the Russian Federation «On approval of unified forms of medical records used in medical organizations providing medical care in outpatient conditions and procedures for their filling» from 15.12.2014, №834 is the main document of the orthodontist. At the moment, two years after the release of the order, you need to find out whether approved new medical report form in hospitals with orthodontic care, to determine the property of filling as the main instrument used for examination of quality of medical care provided. The article presents the results of the retrospective analysis of medical cards of the patients receiving orthodontic treatment in the dental clinic at Ryazan State Medical University. Found that detailed and properly designed, only 16,0% of medical cards. Orthodontists don't pay enough attention to the medical history, examination of patients, the conduct of clinical trials and the use of special additional methods of examination of patients, such as cephalometry and functional diagnostics.
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