ECONOMIC AND SOCIAL JUSTIFICATION OF THE USE OF DIGITAL METHODS IN THE ORTHOPEDIC TREATMENT OF PATIENTS WITH AESTHETIC STRUCTURES

Abstract

Goal. Improving the quality of orthopedic dental care by developing a program for the economic stability of the dental clinic, which will calculate the workload and conditional labor units for the doctor, dental technician and nurse. Research materials and methods. In order to provide effective orthopedic care, it was necessary to determine the needs for orthopedic treatment, therefore, an audit was conducted, as well as an analysis of the form of the primary accounting documentation No. 43/0 “Medical card of a dental patient” of patients who applied to clinics, legal and regulatory documents were studied, that regulate work dental clinics. Retrospective method legislative documents on the regulation of mechanisms for ensuring the quality of manufactured dental structures were studied, bringing them into line with the regulatory legal framework existing structure and resources. The method of calculating the load and conditional units of work. Appendix 1.1.15 to the order of the Ministry of Health of Ukraine dated 28.12.2002 No. 507 “Standards for the provision of medical care to the adult population in outpatient polyclinic institutions in the specialty “ORTHOPEDIC DENTISTRY”, Coll. No. 1156, add. 1. For these services from doctors and dental technicians, one conventional unit equals 60 minutes. For each service, conditional units are calculated according to time norms. Statistical analysis was performed using the IBM SPSS program (version 27.0). The chi-square test, complicated with digital and analog methods, was used to assess a possible association. A statistically significant result was considered at the level of p < 0.05. The results. Clinical studies of the state of the maxillofacial apparatus were conducted in 165 patients who applied to the Dental Medical Center of the National Medical University named after O.O. Bogomolets, IPO “Dentistry” and to the Department of Orthopedic Dentistry for examination, prosthetics. Patients from private dental clinics also participated in our study. They were examined by us in the period from 2012 to 2023, and a control group of 30 patients was also examined separately. During the study period, these patients were treated with orthopedic prosthetics (90 men and 75 women aged 18 to 65). All patients had an orthognathic bite, carious defects of the I and II classes according to Black and defects of tooth rows in the absence obvious functional disorders. We also conducted a financial dental clinic audit. To improve the quality of dental care and improve the work of the dental clinic through analysis and the program developed by us, namely: computer application “Stomatplat”, which can be installed both on a computer and on a phone. This program will help us quickly and easily calculate the workload of a doctor, dental technician and nurse, which will help the clinic in the economic aspect ‒ in terms of wages. Conclusions. The analysis of the results of the dental clinic’s activity shows the multifaceted improvement of financial and economic stability, the software demonstrates the results of the work of each doctor and the work of the clinic as a whole. Also, based on the analysis of monthly or quarterly work reports, you can choose development strategies, evaluate the professional training of doctors and dental technicians; determine organizational measures; calculate material and technical support, as well as the purchase of new support; predict marketing activities.