Medico-economic expertise of the stomatological care provided in the framework of the compulsory medical insurance (CMI)

The medico-economic expertise of the stomatological care is known to most frequently reveal the unfounded overestimation of the volume and the cost of the needed medical care. We have established the variation of this integral parameter between 22.94% in 2006 and 5.06% in 2000. Provision of the low-quality care was documented much less frequently (0.56% and 1.21% in 2006 and 2009 respectively). The performance of medico-economic expertise implies monitoring and analysis of the organization and dynamics, the structure of defects and errors, and the conformity of the therapeutic and diagnostic process with the specified stomatological care consumption coefficient in accordance with the classification of medical services in the framework of the compulsory medical insurance system and the approved standards.

medico-economic expertise, defects of stomatological care