Aspects of managerial and organizational decisions in building dental services in Russia (literature review)

View or download the full article: 
PDF icon health-risk-analysis-2023-4-16.pdf
DOI: 
10.21668/health.risk/2023.4.16.eng
Authors: 

N.Yu. Urukov1,2, O.V. Rukodayny3, Yu.N. Urukov2, O.V. Sharapova4,5, L.I. Gerasimova4,6, T.L. Smirnova2, E.V. Barsukova7, N.V. Zhuravleva2

Organization: 

1‘Republican Dental Clinic’ of the Healthcare Ministry of the Chuvash Republic, 11a Moskovsky Ave., Cheboksary, 428018, Russian Federation
2Chuvash State University named after. I.N. Ulyanov, 15 Moskovsky Ave., Cheboksary, 428015, Russian Federation
3RUDN University, 6 Miklukho-Maklaya St., Moscow, 117198, Russian Federation
4V.V. Vinogradov’s City Clinical Hospital, 61 Vavilova St., bldg. 2, Moscow, 117292, Russian Federation
5Sechenov University, 2-4 Bolshaya Pirogovskaya St., Moscow, 119435, Russian Federation
6Russian Biotechnological University (BIOTEKH University), 11 Volokolamskoe highway, Moscow, 125080, Russian Federation
7’Republican Clinical Hospital № 1’ of the Healthcare Ministry of the Chuvash Republic, 9 Moskovsky Ave., Cheboksary, 428018, Russian Federation

Abstract: 

Nowadays, the importance of efficiency in providing qualified care in the field of dentistry is gaining relevance. The literature available to us indicates that 70–90 % of the child population and 100 % of the adult population of Russia suffer from various types of disease in the field of dentistry. The purpose of the study is analytical assessment of managerial and or-ganizational decisions in building up the Russian dental service over the period from 2010 using data available in Russian literature.

The organization of dental care in Russia is provided by the Ministry of Health of the Russian Federation in accordance with the territorial-administrative affiliation of the population. In connection with the transition of the Russian Federation to a market economy, the level of budget financing of the dental industry has decreased, which has led to a significant increase in the incidence of diseases and their complications.

Thus, it is necessary to develop the most rational and appropriate options for the management of dental services at the level of each individual region of Russia and a specific situation in it taken into account. These options must necessarily consider the distinctive specific features of socio-economic development of a particular region, the current level of dental morbidity of the local population and its main trends, the provision of with all necessary resources, financial stability, as well as other socio-hygienic risk factors, which have a direct impact on the overall state of dental care.

Keywords: 
dental innovative technologies, organization of dental care, assessment of the effectiveness of the dental service, regional monitoring, risk factors of dental morbidity
Urukov N.Yu., Rukodayny O.V., Urukov Yu.N., Sharapova O.V., Gerasimova L.I., Smirnova T.L., Barsukova E.V., Zhuravleva N.V. Aspects of managerial and organizational decisions in building dental services in Russia (literature review). Health Risk Analysis, 2023, no. 4, pp. 172–179. DOI: 10.21668/ health.risk/2023.4.16.eng
References: 
  1. Baginsky A.L. Organization and quality of out-patient dental care far North Krasnoyarsk territory. Zdorov'e i obrazovanie v XXI veke, 2016, vol. 18, no. 2, pp. 327–331 (in Russian).
  2. Leontiev V.K. Administrative and professional management in dentistry (status and pro-spects). The dental institute, 2019, no. 3 (84), pp. 10–11 (in Russian).
  3. Leontiev V.K., Avraamova O.G., Maly A.Y., Stepanova Y.S. On strategies of reducing the prevalence of dental caries in Russia under shortage of national financing in dentistry. The dental institute, 2018, no. 1 (78), pp. 13–17 (in Russian).
  4. Leous P.A. The indicators for oral health: what they indicate. Dental Forum, 2016, no. 1, pp. 32–37 (in Russian).
  5. Leus P.A., Kiselnikova A.P., Terekhova T.N. Identification of dental caries risk factors aming school-age children by comparing EGOHID scores in Minsk and Moscow. Stomatologiya, 2017, vol. 96, no. 4, pp. 52–57. DOI: 10.17116/stomat201796452-57 (in Russian).
  6. Bulgakova A.I., Andreeva Y.V., Islamova D.M. Optimization of Diagnosis and Treatment of Early Cavities Connected with Herpes Virus Infection. Cheboksary, Sreda Publ., 2020, 89 p. DOI: 10.31483/a-10236 (in Russian).
  7. Grinin V.M., Erkanyan I.M., Ivanov S.Yu. Incidence and risk factors of oral diseases in pregnant women. Stomatologiya, 2018, vol. 97, no. 4, pp. 19–22 (in Russian).
  8. Grinin V.M., Kovalyova L.S. The organization of stomatological care to patients with vari-ous somatic pathology. Problems of social hygiene, public health and history of medicine, 2018, vol. 26, no. 2, pp. 115–118. DOI: 10.18821/0869-866Х-2018-26-2-115-118 (in Russian).
  9. Ekimov E.V., Skripkina G.I., Smetanin A.A., Korshunov A.P. Objective evaluation of the caries prevention efficiency. Stomatologiya, 2021, vol. 100, no. 5, pp. 15–18. DOI: 10.17116/stomat202110005115 (in Russian).
  10. Gushchin V.V., Vorobyev M.V., Moseeva M.V., Chaikin V.A. Dental health indicators in the background on the polymorbid pathology in the elderly. The dental institute, 2021, no. 2 (91), pp. 24–25 (in Russian).
  11. Korolenkova M.V., Khachatryan A.G., Poberezhnaya A.A., Krechetova M.S. Dental caries prevention program in children and adolescents living in residential institutions. Stomatologiya, 2022, vol. 101, no. 4, pp. 61–67. DOI: 10.17116/stomat202210104161
  12. Yeliseyeva N.B., Belova N.M. New technologies in the prevention of dental caries and remineralization of dental hard tissues. Stomatologiya dlya vsekh, 2015, no. 3, pp. 32–34 (in Rus-sian).
  13. Iordanishvili A.K., Pikhur O.L., Malina M.S., Tytyuk S.Y. Prevalence, clinical and mor-phological features of tooth root caries in the adult human. Stomatologiya, 2019, vol. 98, no. 4, pp. 38–43. DOI: 10.17116/stomat20199804138 (in Russian).
  14. Rozakova L.Sh., Hamadeeva A.M., Avraamova O.G., Stepanov G.V., Filatova N.V. Epidemiological rationale for community-based programs of caries prevention of permanent teeth for children of Samara city. Stomatologiya, 2020, vol. 99, no. 1, pp. 66–69. DOI: 10.17116/stomat20209901166 (in Russian).
  15. Naumova V.N., Akulin I.M. Options of interdisciplinary interaction in dental treatment of patients with socially significant somatic diseases. The dental institute, 2019, no. 4 (85), pp. 30–31 (in Russian).
  16. Naumova V.N., Maslak E.E. Medical and organizational approaches to the prevention and early detection of general diseases in dental patients. The dental institute, 2019, no. 3 (84), pp. 68–69 (in Russian).
  17. Health system efficiency: how to make measurement matter for policy and management. World Health Organization, 2016. Available at: https://iris.who.int/handle/10665/326305 (August 16, 2023).
  18. Arkharova O.N., Peshkova M.V., Khasyanov A.I., Nimaev A.B. Quality of life criteria as efficiency indicator of dental treatment. Clinical Dentistry, 2015, no. 4 (76), pp. 64–68 (in Russian).
  19. Ippolitov Yu.A., Plotnikova Ya.A., Seredin P.V., Goloshchapov D.L., Berkovich M.V. Hygienic aspects of endo- and exogenic methods of prevention of caries and their efficiency in the remineralization of teeth enamel. Gigiena i sanitariya, 2018, vol. 97, no. 8, pp. 710–713. DOI: 10.18821/0016-9900-2018-97-8-710-713 (in Russian).
  20. Denisov I.N., Reze A.G., Volnuhin A.V., Azizova D.Iu. The patients' evaluation of medical service at the out-patient level. Problems of social hygiene, public health and history of medicine, 2019, no. 3 (27), pp. 243–247 (in Russian).
  21. Sarkisyan N.G., Kataeva N.N., Khokhryakova D.A., Melikyan S.G. Assessment of the relationship between the physicochemical parameters of saliva, the type of nutrition and the quality of drinking water. Vrach, 2022, vol. 33, no. 7, pp. 68–71 (in Russian).
  22. Razmakhnina E.M., Kiseleva E.A. Rationale for caries prevention in young adults based on caries resistance rates. Stomatologiya, 2018, vol. 97, no. 2, pp. 34–36. DOI: 10.17116/stomat201897234-36
    (in Russian).
  23. Grinin V.M., Kabak D.S., Vagner V.D., Epifanov S.A., Zhivotov V.A. Assessment of dental status of patients undergoing treatment in a multidisciplinary hospital. Clinical Dentistry, 2019, vol. 91, no. 3, pp. 83–85. DOI: 10.37988/1811-153X_2019_3_83 (in Russian).
  24. Kiselnikova L.P., Zueva T.E., Sedoykin A.G., Drobotko L.N. Tekhnologii profilaktiki i lecheniya kariesa zubov u detey [Technologies for the prevention and treatment of dental caries in children]. Moscow, GEOTAR-Media Publ., 2021, 184 p. (in Russian).
  25. Melikyan I.A., Akhmedov G.D., Toporkov V.A. Ignatov N.G., Gurevich K.G. Develop-ment of a way of assessment of the generalized stomatologic health of the patient. The dental institute, 2018, no. 2 (79), pp. 24–25 (in Russian).
  26. Kireev V.V., Dorofeev A.E., Sevbitov A.V., Grinin V.M., Teplova A.V. Periodontal care at an outpatient dental appointment in elderly patients. Medical & pharmaceutical journal pulse, 2023, vol. 25, no. 9, pp. 10–18 (in Russian).
  27. Korolenkova M.V., Khachatryan A.G., Poberezhnaya A.A., Krechetova M.S. Dental caries prevention program in children and adolescents living in residential institutions. Stomatologiya, 2022, vol. 101, no. 4, pp. 61–67. DOI: 10.17116/stomat202210104161
  28. Mingazova E.N., Uliyanov Yu.A., Mirgazizov M.Z. The analysis of advantages of network structures in stomatology. Problems of social hygiene, public health and history of medicine, 2018, vol. 26, no. 6, pp. 432–435 (in Russian).
  29. Agarkov N.M., Gontarev S.N., Lutsenko V.D., Yakovlev A.P., Ivanov A.V. Mathematical-cartographic modeling and forecasting of caries and acute apical periodontitis incidence in pediatric population. Stomatologiya, 2017, vol. 96, no. 6, pp. 48–55. DOI: 10.17116/stomat201796648-55
  30. Bolshov I.N. Problems of organizing and improving the quality of dental care (Based on the materials of social interview of dentists). The actual problems in dentistry, 2016, vol. 12, no. 1, pp. 110–114. DOI: 10.18481/2077-7566-2016-12-1-110-114 (in Russian).
  31. Tairova R.T., Berseneva E.A. The medical sociological monitoring as a strategic element of management of medical care quality. Problems of social hygiene, public health and history of medicine, 2018, vol. 26, no. 2, pp. 111–114. DOI: 10.18821/0869-866Х-2018-22-2-111-114 (in Russian).
Received: 
16.10.2023
Approved: 
10.11.2023
Accepted for publication: 
20.12.2023

You are here

Home