Open AccessRevisited the classifier of the main dental treatment-diagnostic activities and technologies
Author(s) -
I V Uspenskaya,
S.V. Yurina
Publication year - 2018
Publication title -
rossijskij mediko-biologičeskij vestnik imeni akademika i. p. pavlova/rossijskij mediko-biologičeskij vestnik imeni akademika i.p. pavlova
Language(s) - English
Resource type - Journals
eISSN - 2500-2546
pISSN - 0204-3475
DOI - 10.23888/pavlovj2018136-46
Subject(s) - normative , payment , health care , conformity , medicine , psychology , operations management , business , finance , economics , social psychology , economic growth , philosophy , epistemology
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 outpatient 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).