Description of the situation - Patient O., 39 years old, turned to a dental clinic for the purpose of prosthetics of the dentition. In the process of preparing the oral cavity for prosthetics, it was necessary to remove the pulp from two teeth - 33 and 43. The treatment was performed under anesthesia in one visit. The control radiograph showed complete filling of the dental canals without removing the filling material over the tops of the roots of the teeth.
Description of the situation - Patient K., aged 36, appealed to the Society for the Protection of Consumer Rights with a complaint about the poor quality of the service rendered by the doctor of the dental clinic. The representative of the Consumer Rights Protection Society proposed to resolve the issue in the pretrial order. Consultation was appointed patient research officer.
Description of the situation - Patient G., 28 years old, came to the dental clinic with complaints of swelling of the upper lip and smoothness of the nasolabial fold on the right. On examination and x-ray examination, it was established that 11 teeth were treated for complicated caries, the canal was sealed to physiological constriction.
Description of the situation - Patient N., 38 years old, turned to a dental clinic to prepare the oral cavity for prosthetics. The dentist, during the examination of the oral cavity, discovered several carious cavities on the teeth, carried out their treatment and invited a dentist-orthopedic surgeon to consult the oral cavity and select an orthopedic structure.
Description of the situation - Patient B. applied to a dental clinic for the treatment of complicated dental caries 41 teeth. The tooth was cured, a post was inserted into the root canal, a permanent filling of a photopolymer composite material was placed. The guarantee for the rendered service is given 1 year. 4 months after treatment, the patient returned to the clinic with complaints of a 41 tooth crown fracture.
Description of the situation - Patient E., 29 years old, after treatment in the dental clinic received a guarantee on the service provided 1 year. A month later, the patient E. re-applied to this clinic with a complaint that a filling had fallen in one of the treated teeth. The patient was outraged by poor-quality dental treatment, argued that the seal fell out during a tour of Europe and this caused her moral harm, as the seal covered the defect in the anterior sector of the dentition in the upper jaw and its absence prevented smile and talk.
Description of the situation - Patient P., 36 years old, came to the clinic with complaints of pain in the area of 12 teeth. Dental and X-ray examination diagnosed gangrene pulp 12 teeth. During treatment, the patient behaved nervously, constantly asked the dentist about the prospects for tooth treatment, spoke disapprovingly about the young age of the doctor.
Description of the situation - Patient O., 46 years old, turned to a dental clinic to prepare the oral cavity for prosthetics. The clinic was widely known, advertised the provision of a number of medical services, including the implants. After a dental examination and examination of the patient, orthopedic structures based on implants were proposed.
In accordance with the Law on the Protection of Consumer Rights, a dental clinic is responsible for violating the rights of a patient, as provided for by law or by contract. Losses incurred by the patient must be reimbursed in full in excess of the penalty (penalty) established by law or contract, and payment of the penalty (penalty) and compensation for damages does not release the dental clinic from the performance of its obligations to the patient.
In accordance with the current legislation, the obligation to maintain and store any (including dental) medical records is imposed by law on a medical institution, regardless of its organizational and legal form and subordination. That is, both the state and non-state clinics are obliged to follow the procedure for processing and maintaining this form of medical documentation, as well as the conditions for its subsequent storage.
Medical secret, as well as theater, "begins with a hanger." The secret is the very fact of seeking medical help. The fact is that human health (or rather, its qualitative state - full value or partial loss) is an intimate concept, not intended for society. Therefore, the fact of seeking medical help is an action of a citizen, showing that his health may not be all right.
Taking care of the rights of citizens and bearing in mind that in previous times many citizens were treated, not only without asking for their consent, but even actively against their will, the Russian legislator introduced such a concept into the field of civil relations - voluntary informed consent of the patient to medical intervention .
Since the creation of the modern structure of dental care, the medical record of the dental patient is its basic element. It existed when about other documents, without which it is impossible to imagine the work of a modern clinic (contract, protocol of voluntary informed consent, insurance policy, etc.)
The initial visit information sheet is an appendix to the medical record of the dental patient, it is filled in when the patient first visits the clinic. The need for its introduction in dental clinics became apparent due to changes in civil legislation, primarily in connection with the introduction of the first part of the Civil Code of the Russian Federation, the Fundamentals of the Russian Federation Law on the Protection of Citizens' Health and the Federal Law "On Consumer Rights Protection"
In general, this document does not have the form and exact title approved by the legislator. It would be possible to call it a “guarantee coupon”, “insurance liabilities”, a “guarantee certificate”, etc. Simply, the concept of “insurance policy” seemed to us to be the most adequate - “policy” is translated from French as a document confirming guarantees of something, and this term in Russia has long become a common noun, and “insurance” confirms its protective effect for the patient.
As a rule, dental clinics conclude a contract with patients, according to which the customer (patient) comes to the contractor (clinic), assigns to perform certain work (examination, dental treatment, prosthetics, etc.), accepts its result from the contractor and pays him. However, in most cases, the possibilities of action under a contract cannot fully describe the system of relations between the clinic and its visitor.
The basic documents regulating the consequences of the relationship between the dental clinic and the patient are the Federal Law "On Protection of Consumer Rights" and the Fundamentals of the Russian Federation Law on the Protection of Public Health. Both documents are aimed at ensuring the full rights of the patient and, above all, put: first, the concept of security, relating it both to the process of performing work (rendering service), and to the consequences that follow after the work done (service rendered), and -second, the concept of quality, interpreting it as the compliance of an advertising proposal with the result.