11. ZOBOZDRAVSTVENA DEJAVNOST / DENTAL SERVICES
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1 11. ZOBO DEJAVNOST / DENTAL SERVICES Uvod Introduction Zdravstveno osebje v mladinskih zobnih ambulantah po stopnji izobrazbe in zdravstvenih regijah, 2004 Health care staff in the adolescent dental clinics by level of education and health region, Kurativni (stomatološki) in preventivni (serijski) obiski v mladinskih zobnih ambulantah, 2004 Curative attendances (stomatological) and preventive (serial) attendances at adolescent dental clinics, Zdravljenje v mladinskih zobnih ambulantah po zdravstvenih regijah, 2004 Treatment in the adolescent dental clinics by health region, Zdravstveno osebje v splošnih zobnih ambulantah po stopnji izobrazbe in zdravstvenih regijah, 2004 Health care staff in the general dental clinics by level of education and by health regions, Kurativni (stomatološki) in preventivni (serijski) obiski v splošnih zobnih ambulantah, 2004 Curative attendances (stomatological) and preventive (serial) attendances at general dental clinics, Zdravljenje v splošnih zobnih ambulantah po zdravstvenih regijah, 2004 Treatment in the general dental clinics by health region, 2004 Slike / Pictures 369
2 Zdravstveni statistični letopis ZOBO DEJAVNOST / DENTAL SERVICES Podatke o zobozdravstveni dejavnosti redno spremljamo s pomočjo Poročila o delu službe za zaščito in zdravljenje zob (Obr.. V zobozdravstveni dejavnosti prikazujemo posebej aktivnosti v splošnih (SZA) in mladinskih (MZA) zobnih ambulantah. Mladinske zobne ambulante naj bi obiskovali mladi od 0-19 let, splošne pa odrasli stari 20 let in več. Podatke dobimo na elektronskem mediju iz območnih zavodov za zdravstveno varstvo, ki jih pripravijo na podlagi poročil, ki jim jih pošljejo izvajalci zobozdravstvenih storitev. Kljub velikemu številu podatkov zbranih v zobnih ambulantah, prejme IVZ RS te podatke v agregirani obliki skladno z omenjenim obrazcem. Velika pomanjkljivost je tudi v tem, da podatkov ne moremo obdelovati in prikazovati po starosti, spolu in diagnozi. Podatke o zobozdravstveni dejavnosti prikazujemo samo po zdravstvenih regijah. Redno spremljamo preskrbljenost otrok in odraslih z zobozdravstvenim osebjem. Prikazujemo fizične osebe zobozdravnike, dentiste, višje medicinske sestre, zdravstvene tehnike in zobotehnike, ter kader, izračunan na podlagi opravljenih ur. Povprečna stopnja preskrbljenosti vseh prebivalcev z vsemi zobozdravniki izračunanimi iz opravljenih ur (1430 ur / na leto) v MZA in v SZA kaže na velike razlike med regijami najslabša je preskrbljenost v regiji Murska Sobota (2016, 6 prebivalcev na zdrav.iz ur), najboljša pa v Novi Gorici (1145,7 prebivalcev na zdravnika iz ur). Spremljamo kurativne, preventivne in specialistične obiske. Prvi kurativni obisk je po definiciji prvi obisk v tekočem letu v zobni ordinaciji, ne glede na čas obiska in je zabeležen samo enkrat v letu. Na ta način ocenimo število vseh oseb, ki so v opazovanem letu obiskale zobozdravnika. Ponovni obiski niso posebej prikazani, njihovo število je razvidno iz tabele. Prikazali smo tudi število opravljenih storitev. OPOZORILO: V nekaterih regijah izvajalci pošiljajo slabo izpolnjena poročila ali pa jih sploh ne pošiljajo, kar lahko vpliva na prikazovanje podatkov o zobozdravstveni dejavnosti v tistih regijah. DENTAL SERVICES The information on dental services is regularly monitored through the Reports on dental health services (Form. The services at the general dental clinics (SZA) and adolescent dental clinics (MZA) are shown separately in the chapter. The adolescent dental clinics should be attended by adolescents aged 0-19 years and general dental clinics by adults aged 20 years and over. Data obtained by Regional Health Protection Institutes are stored on an electronic media and compiled on the basis of Reports supplied by dental service providers. Despite of the large number of data collected in dental clinics, the Institute of Public Health of the Republic of Slovenia (IVZ RS) receives these data in an aggregated form according to the above mentioned form. Moreover, there is a great deficiency also due to the fact that data can not be shown by age, sex and diagnosis. Data on dental services are shown by health regions, only. Providing children and adults with dental care staff is regularly monitored. Shown are natural persons as well as full time equivalents dental practitioners, dentists, state registered nurses (S.R.N.), nursing assistants (N.A.) and dental technicians. Provision of all inhabitants with all dentist practitioners calculated from hours worked (1430 hours / year) in adolescent dental clinics (MZA) and general dental clinics (SZA) shows great differences between regions the poorest provision is within the Murska Sobota region (2,016, 6 inhabitants per dental practitioner, calculated from hours worked), the best one in the Nova Gorica (1,145.7 inhabitants per a dental practitioner, calculated from hours worked). The curative, preventive and specialist attendances are monitored. The first curative attendance, according to the definition, is the first attendance for the current year at a dental clinic, regardless the time of visit and this is reported only once a year. The number of all persons attending dental practitioners within a year observed is evaluated in this way. The repeated attendances are not shown separately, their number may be seen from a table. Also, the number of services performed is shown. NOTE: In some regions, the reports sent by service providers may be incomplete or absent which may affect recording of data concerning dental services in these regions. 370
3 ZDRAVSTVENO OSEBJE V MLADINSKIH ZOBNIH AMBULANTAH PO STOPNJI IZOBRAZBE IN ZDRAVSTVENIH REGIJAH, 2004 HEALTH CARE STAFF IN THE ADOLESCENT DENTAL CLINICS BY LEVEL OF EDUCATION AND HEALTH REGION, 2004 VIŠJA OSEBJE IZ DELOVNIH UR / ) DENTISTI 2) REGIJA ZOBO- MEDICINSKA SESTRA 3) ZDRAVSTVENI TEHNIK 4) ZOBNI ZDRAVNIKI 1) TEHNIKI 5) ZOBOZDR. 7) VMS ZT ZOB.TEH. State HEALTH Stomatologists Dentists registered nurse Nursing assistants Tehnicians FULL TIME EQUIVALENT REGION Stomatologist s S.R.N. N.A. Tehnician s SLOVENIJA ,0 30,8 445,5 57,0 CELJE ,3 4,7 68,8 6,7 NOVA GORICA ,0 3,7 25,6 2,7 KOPER ,1 1,4 34,9 0,0 KRANJ ,7 0,8 38,2 4,2 LJUBLJANA ,2 7,3 131,6 30,6 MARIBOR ,9 10,6 73,9 6,3 M. SOBOTA ,5 1,2 20,8 0,6 NOVO MESTO ,5 0,0 30,6 5,9 RAVNE ,8 1,2 21,0 - Opombe: / Notes: 1) Zobozdravnik: diploma medicinske fakultete (MF) in strokovni izpit; všteti so tudi specializanti in specialisti / stomatologists are dentists graduated at Medical Faculty; also included registrars and specialists 2) Dentist: višji dentist, VI. stopnja zahtevnosti, opravlja podobno delo kot zobozdravnik, brez nekaterih kirurških in določenih specialističnih storitev / dentists with higher non-university education 3) Višja medicinska sestra VMS, (VI. stopnja zahtevnosti) / S.R.N. - state registered nurse 4) Zdravstveni tehnik (V. stopnja zahtevnosti ) / N.A. nursing assistants 5) Zobni tehnik V.in VI. stopnja zahtevnosti, njegovo delo je laboratorijsko, brez stika s pacientom / dental tehnicians 6) Za izračun osebja iz delovnih ur računamo na 1430 ur / 1 FTE equals 1430 effective hours per year 7) Za izračun zobozdravnikov iz ur uporabljamo ure zobozdravnikov brez dentistov / dentists with higher non-university education are not included Vir podatkov: / Data source: Poročilo o delu službe za zaščito in zdravljenje zob (Obr. / Report on dental protection and health services (Form N o 371
4 Zdravstveni statistični letopis KURATIVNI (STOMATOLOŠKI) IN PREVENTIVNI (SERIJSKI) OBISKI V MLADINSKIH ZOBNIH AMBULANTAH, 2004 CURATIVE ATTENDANCES (STOMATOLOGICAL) AND PREVENTIVE (SERIAL) ATTENDANCES AT ADOLESCENT DENTAL CLINICS, 2004 OBISKI / ATTENDANCES NA 1000 PREBIVALCEV KURATIVNI OD 0 DO 19 LET REGIJA IN KURATIVNI PREVENTIVNI PREVENTIVNI SKUPAJ PRVI SPECIALIST. SKUPAJ % OD VSEH KURATIVNI PREVENTIVNI HEALTH REGION Curative and preventive attendances Total Curative attendances Preventive attendances Per 1000 population 0-19 years old First Specialistic Total %of total Curative Preventive SLOVENIJA ,9 2624,2 320,6 CELJE ,7 1876,8 431,5 NOVA GORICA ,9 3074,6 298,6 KOPER ,0 2589,2 421,0 KRANJ ,4 2068,6 96,1 LJUBLJANA ,2 2815,2 285,3 MARIBOR ,4 3458,7 402,6 MURSKA SOBOTA ,9 1642,8 357,4 NOVO MESTO ,7 2797,2 267,7 RAVNE ,8 3009,4 363,3 Vir podatkov: / Data source: Poročilo o delu službe za zaščito in zdravljenje zob (Obr./ Report on dental protection and health services (Form N o ZDRAVLJENJE V MLADINSKIH ZOBNIH AMBULANTAH PO ZDRAVSTVENIH REGIJAH, 2004 TREATMENT IN THE ADOLESCENT DENTAL CLINICS BY HEALTH REGION, 2004 SKU- PLOMBIRANJE ZOB KIRUR.INTERVENCIJE PROTETIKA ORTO- ZDRAVLJ. DRUGE REGIJA PAJ Brez Z zdrav- Izdrti Drugo Snemne Fiksne DONTIJA- MEH.DEL. STOzdravlj. ljenjem zobje proteze proteze UST.VOTL. RITVE HEALTH TOTAL TEETH FILLING SURGICAL TREATMENT DENTURES Ortho- Perio- Other REGION With other Without Extracted Other Mobile Fixed dontic dontal treatm. treatment other tr. teeth treatm. treatm. treatm. SLOVENIJA CELJE NOVA GORICA KOPER KRANJ LJUBLJANA MARIBOR MURSKA SOBOTA NOVO MESTO RAVNE Vir podatkov: / Data source: Poročilo o delu službe za zaščito in zdravljenje zob (Obr./ Report on dental protection and health services (Form N o 372
5 ZDRAVSTVENO OSEBJE V SPLOŠNIH ZOBNIH AMBULANTAH PO STOPNJI IZOBRAZBE IN ZDRAVSTVENIH REGIJAH, 2004 HEALTH CARE STAFF IN THE GENERAL DENTAL CLINICS BY LEVEL OF EDUCATION AND BY HEALTH REGIONS, 2004 VIŠJA OSEBJE IZ DELOVNIH UR / ) ZOBO- MEDICINSKA ZDRAVSTVENI ZOBNI REGIJA DENTISTI 2) SESTRA 3) TEHNIK 4) ZDRAVNIKI 1) TEHNIKI 5) ZOBOZDR. 7) VMS ZT ZOB.TEH. HEALTH Stomato- Dentists State registered Nursing Tehnicians FULL TIME EQUIVALENT REGION logists nurse assistants Dental S.R.N. N.A. tehnicians SLOVENIJA ,4 32,3 890,0 379,4 CELJE ,8 4,6 125,5 29,6 NOVA GORICA ,5 2,2 64,3 26,7 KOPER ,3 0,0 59,2 13,9 KRANJ ,8 0,0 82,3 49,4 LJUBLJANA ,3 15,0 271,4 121,2 MARIBOR ,2 7,5 142,4 71,4 M. SOBOTA ,4 1,2 55,8 21,4 NOVO MESTO ,6 0,8 57,7 37,4 RAVNE ,5 1,0 31,5 8,4 Opombe: / Notes: 1) Zobozdravnik: diploma medicinske fakultete (MF) in strokovni izpit; všteti so tudi specializanti in specialisti / stomatologists are dentists graduated at Medical Faculty; also included registrars and specialists 2) Dentist: višji dentist, VI. stopnja zahtevnosti, opravlja podobno delo kot zobozdravnik, brez nekaterih kirurških in določenih specialističnih storitev / dentists with higher non-university education 3) Višja medicinska sestra VMS, (VI. stopnja zahtevnosti) / S.R.N. - state registered nurse 4) Zdravstveni tehnik (V. stopnja zahtevnosti ) / N.A. nursing assistants 5) Zobni tehnik V.in VI. stopnja zahtevnosti, njegovo delo je laboratorijsko, brez stika s pacientom / dental tehnicians 6) Za izračun osebja iz delovnih ur računamo na 1430 ur / 1 FTE equals 1430 effective hours per year 7) Za izračun zobozdravnikov iz ur uporabljamo ure zobozdravnikov brez dentistov / dentists with higher non-university education are not included Vir podatkov: / Data source: Poročilo o delu službe za zaščito in zdravljenje zob (Obr./ Report on dental protection and health services (Form N o 373
6 Zdravstveni statistični letopis KURATIVNI (STOMATOLOŠKI) IN PREVENTIVNI (SERIJSKI) OBISKI V SPLOŠNIH ZOBNIH AMBULANTAH, 2004 CURATIVE ATTENDANCES (STOMATOLOGICAL) AND PREVENTIVE (SERIAL) ATTENDANCES AT GENERAL DENTAL CLINICS, 2004 NA 1000 PREBIVALCEV OBISKI / ATTENDANCES OD 20 LET NAPREJ KURATIVNI REGIJA IN PRE- KURATIVNI PREVENTIVNI KURATIVNI PREVENTIVNI VENTIVNI SKUPAJ PRVI SPECIALIST SKUPAJ % OD VSEH Curative and Per 1000 population Curative attendances Preventive attendances HEALTH preventive Total from 20 years old REGION attendances First Specialistic Total % of total Curative Preventive SLOVENIJA ,8 1262,6 10,8 CELJE ,1 1292,7 1,2 NOVA GORICA ,0 1467,8 0,6 KOPER ,5 1239,1 6,4 KRANJ ,1 1146,1 1,4 LJUBLJANA ,7 1301,7 22,9 MARIBOR ,4 1328,9 5,8 MURSKA SOBOTA ,7 1064,2 7,3 NOVO MESTO ,4 1101,3 15,4 RAVNE ,4 1215,9 17,6 Vir podatkov:/ Data source: Poročilo o delu službe za zaščito in zdravljenje zob (Obr./ Report on dental protection and health services (Form N o ZDRAVLJENJE V SPLOŠNIH ZOBNIH AMBULANTAH PO ZDRAVSTVENIH REGIJAH, 2004 TREATMENT IN THE GENERAL DENTAL CLINICS BY HEALTH REGION, 2004 SKUPAJ PLOMBIRANJE ZOB KIRUR.INTERVENCIJE PROTETIKA ORTO- ZDRAVLJ. DRUGE REGIJA Brez Z zdrav- Izdrti Drugo Snemne Fiksne DON- MEH.DEL. STOzdravlj. ljenjem zobje proteze proteze TIJA UST.VOTL. RITVE HEALTH TOTAL TEETH FILLING SURGICAL TREATMENT DENTURES Ortho- Perio- Other REGION With other Without Extracted Other Mobile Fixed dontic dontal treatment treatment other tr. teeth treatm. treatm. treatm. SLOVENIJA CELJE NOVA GORICA KOPER KRANJ LJUBLJANA MARIBOR M.SOBOTA NOVO MESTO RAVNE Vir podatkov:/ Data source: Poročilo o delu službe za zaščito in zdravljenje zob (Obr./ Report on dental protection and health services (Form N o 374
7 Slika Stopnja preskrbljenosti vseh prebivalcev z zobozdravniki v zobozdravstvenem varstvu otrok in odraslih po zdravstvenih regijah, 2004 RAVNE 1669,0 NOVO MESTO 1735,1 M. SOBOTA 2016,6 Zdravstvena regija / health region MARIBOR LJUBLJANA KRANJ KOPER 1426,9 1529,5 1762,4 1862,3 NOVA GORICA 1145,7 CELJE 1565,6 SLOVENIJA 1575,7 0,0 500,0 1000,0 1500,0 2000,0 2500,0 Število prebivalcev / zobozdravnika iz ur Opomba: / Note: Slika prikazuje preskrbljenost prebivalcev vseh starosti z zobozdravniki, ki so računani iz ur (1430) / Health care staff provision in dentistry (inhabitants per dentists in FTE) Vir podatkov:/ Data source: Poročilo o delu službe za zaščito in zdravljenje zob (Obr./ Report on dental protection and health services (Form N o 375
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