REVISITED THE CLASSIFIER OF THE MAIN DENTAL TREATMENT-DIAGNOSTIC ACTIVITIES AND TECHNOLOGIES
Journal: I.P. Pavlov Russian Medical Biological Herald (Vol.26, No. 1)Publication Date: 2018-03-31
Authors : I.V. Uspenskaya S.V. Yurina;
Page : 36-46
Keywords : Primary (outpatient) dental help; organization of medical help; standard unit of labour input.;
Abstract
Starting from 1988 to the present time, dentists' labor accounting is carried out by measuring the volumes of their work, expressed in standard units of labour input. This system of accounting is aimed at providing maximum assistance during one visit, reducing unproductive time, increasing preventive work.
The article deals with the organization and payment for primary dental care provided on an outpatient basis within the framework of the compulsory health insurance program. An assessment is made of the conformity of the "Classifier of basic health services for primary health specialized dental care, provided in out patient settings, expressed in standard units of labour input (SULI)» to the standard time spent per 1 SULI, taking into account the new standard indicators. Scale of cost units as per 1 SULI was defined on the basics of the most common dental practice of the day: a five-day 33-hour work week of a dentist-therapist. On the average, the standard time spent on 1 SULI is 9.9 minutes. This proves that the normative time spent on 1 SULI corresponds to the indices of the «Classifier…», and that it is defined regarding the time norms, spent by a dentist-therapist on 1 visit (44 minutes).
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