Results of the analysis of the organization of children's dental service in the Chelyabinsk region for 2019–2023

Introduction. Dental care for children, being one of the most widespread and at the same time socially significant type of medical care, provides measures of prevention, diagnosis, treatment of dental diseases and conditions in children, medical rehabilitation, formation of a healthy lifestyle, sanitary and hygienic education of children and is provided in the form of: primary health care; emergency, including emergency specialized medical care; specialized, including high-tech, medical care in the following conditions: outpatient; in a day hospital; inpatient, that is carried out mainly by medical workers with secondary medical education and consists of early detection of risk factors for the occurrence of dental diseases and their prevention and referral of children to a pediatric dentist [1, 4]. A decrease in the number of visits and the volume of primary specialized dental care may indicate a decrease in the availability of dental care for the child population. Possible reasons for such dynamics may be: insufficient funding of the dental service, insufficient material and technical base and insufficient number of medical staff in some regions [2]. Currently, there is a critical situation with the prevalence of dental diseases among children in Russia. Updating material and technical base, strengthening preventive work, increasing staffing are comprehensive measures aimed at overcoming the current crisis in pediatric dentistry. An interdisciplinary approach, including the interaction of health workers, teachers, psychologists and parents, is important. This is the only way to ensure high-quality dental care for children and reduce the prevalence of dental diseases. The absence of a regional prevention program aimed at reducing the prevalence and intensity of dental diseases and improving dental health in the Chelyabinsk region, as in most constituent entities of the Russian Federation, indicates the need for increased attention to this problem at the state and regional levels [2]. The aim of our study is to analyze the dynamics of types and volumes of dental care for children in the Chelyabinsk region for the five-year period 2019–2023. Materials and methods. An analysis of the reporting documentation of state medical organizations of the Chelyabinsk region on the main sections of the dental service for 2019–2023 was carried out. The article presents an analysis of the structure of the regional dental service, staffing, types of medical dental care provided to children, the number of visits of the child population for dental diseases to medical organizations of the Chelyabinsk region in 2019–2023 and the dynamics of changes of the studied indicators. Results. Data were obtained on the provision of the child population with pediatric dentists, dental doctors and dental hygienists, the level of staffing with these specialists, their qualifications. A tendency towards a decrease in the number of pediatric dentists with a simultaneous decrease in their staffing was established. A significant shortage of staff and personnel of dental hygienists was revealed. The main indicators of the outpatient dental service for providing primary specialized care to children were determined: the frequency of visits by children to dentists of different specialties, dentists and dental hygienists, the average number of visits per year per 1 child and per 1 disease, the ratio of preventive visits and visits for therapeutic purposes, the frequency (per 1000 visits) and the structure of providing various types of dental care to children. An increase in the number of visits by children to medical organizations providing dental care by 2.9% is noted. At the same time, the increase occurred due to preventive examinations of minors. In general, there is a decrease in the volume of primary pre-medical and sanitary dental care provided by dentists and primary specialized medical and sanitary dental care provided by pediatric dentists and dental surgeons, and an increase in the volume of primary specialized medical and sanitary dental care for children provided by dentists (general dentists).

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