Ristova, Ivana and Spassov, Alexander and Carceva-Salja, Sofija (2019) Provision of orthodontic services in the public health care systems of Macedonia and Croatia. In: 3rd Congress of BAOS & 4th Congress of MOS, 12-15 Sept 2019, Ohrid, North Macedonia.
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Abstract
Understanding the regulation of orthodontic services in public health care systems is critical to ensuring quality of care.
Aim: The aim of this research is to review and compare the regulation of orthodontic services in the public health care systems of Macedonia and Croatia related to access to treatment quality control and payment method. Material and Method: A review of the legal regulatory framework governing the provision of orthodontic services in the public health care systems of Macedonia and Croatia has already been done. In addition, personal communication with decision-makers was undertaken to more fully understand the regulatory frameworks of interest. In both Macedonia and Croatia access to orthodontic treatment is granted to individuals up to the age of 18. Results: Whereas in Macedonia treatment need is measured by subjective criteria of the orthodontist in Croatia individuals are eligible for treatment if the Index of Orthodontic Treatment Need is Grade 4 or 5. Grade 3 is covered only if it’s associated with Grade 8-10 from Aesthetic Component of IOTN. Fee-for-service is the main payment method in Macedonia as well as in Croatia. Whereas in Macedonia the orthodontist is reimbursed up to maximum of three removable appliances in Croatia each diagnostic or treatment procedure has a distinctive code with related imbursement. Variation in the regulation of orthodontic services in the Macedonian and Croatian Public Health Care Services points to different degrees of regulatory intensity. However, the lack of instruments of quality control is a challenge for both Macedonia and Croatia. Conclusion: By the virtue of comparison between two different systems the study of the above subjects should estimate the impact of different regulatory mechanism and associated processes have on the quality of care provided to patients.
| Item Type: | Conference or Workshop Item (Poster) |
|---|---|
| Subjects: | Medical and Health Sciences > Other medical sciences |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Sandra Atanasova |
| Date Deposited: | 20 Sep 2019 07:16 |
| Last Modified: | 20 Sep 2019 07:16 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/22524 |
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