Assessment of the quality of the dental orthopedic care provision to the population of the Lviv region

Abstract

In the process of reforming the outpatient service, arrangement of the complex of measures to improve the system of dental care in Ukraine is still actual. The purpose of this study was to analyze the relationship between quantitative and qualitative indicators of dental orthopedic care in the Lviv region according to medical statistical data. Material and methods. The statistical data of the Stomatological Medical Center of the Danylo Halytskyi Lviv National Medical University and the operation indicators of the dental orthopedic service of the Lviv region, as well as the statistics of the Ministry of Health of Ukraine were selected for analysis. According to an open written survey, 240 patients were reviewed on the main “inducement factors” when seeking medical care at the SMC and 64 of the Stomatological Medical Center employed dentists regarding the “contending advantages” of this facility. Results and discussion. The organization of medical care, human resources, treatment and diagnostic procedures in accordance with protocols and medical standards, relevant quantitative and qualitative data reflect the quality of the structure, process and operation results of the health care institution. Thus, the number of people who were delivered dentures in the Lviv region decreased from 17 422 in 2013 to 13 859 (by 20.5%) in 2018, and the number of fabricated dentures, decreased from 36 884 to 32 201 (by 12.7%). According to the results of the survey, among the determining components of ensuring the qualitative operation of the Stomatological Medical Center, according to patients’ and doctors’ opinions, the high level of qualification of medical staff prevailed. With a significant improvement in the material and technical condition of medical institutions in Lviv region, the number of fixed dental constructions made by advanced technologies (wholecast, metal-free) fell, respectively, from 15.6% in 2016, and 15.4% in 2017 to 13.9% in 2018. Despite the fact that in Ukraine in general in recent years there has been a decrease in the number of fabricated dentures by 11.5%, the portion of wholecast fixed dental prostheses increased by 8.4%, and metal-ceramic and ceramic constructions – by 21.4%, which indicates an increase in the quality of orthopedic care for the population of Ukraine. Conclusion. Quantitative indicators of dental orthopedic care in the Stomatological Medical Center of Danylo Halytskyi Lviv National Medical University meet the basic provisions and requirements of current statutory regulations, at the same time qualitative indicators signify an insufficient level of orthopedic treatment advanced modern technologies implementation. The high level of qualification of the Stomatological Medical Center medical staff is not only the main "inducement factor" for patients when visiting a dentist and the main "contending advantage" of the medical institution, but also the basic component of rendering dental orthopedic care