OBJECTIVE

To determine the level of adherence to treatment in patients applying to dental organizations of different forms of ownership.

MATERIAL AND METHODS

1.067 patients of both sexes and various ages who applied to public and private dental organizations of Moscow, Omsk, and Tyumen have been surveyed using the Questionnaire for Quantitative Assessment of Adherence to Treatment (KOP-25), which allows to obtain a quantitative evaluation of the level of adherence to drug treatment, medical support, lifestyle modification, and characterize the level of integral adherence to treatment in patients. Basing on a point rating system of assessment of the responses of the interviewed patients, integrative and structural indicators have been calculated using special formulas. The level of up to 50% has been interpreted as «low», from 51 to 75% as «medium», over 75% as «high».

RESULTS

Patients applying to state and privately owned dental organizations have an insufficient level of adherence to treatment (50% medium and 37.4% low), 12.6% of the respondents show high adherence to treatment; adherence to treatment is higher in women, with the highest shown in the group of over 60 years old, independently of the form of ownership of the medical organizations; the interviewed men of all age groups are more inclined to apply for treatment to private medical organizations; all interviewed patients are the least ready for lifestyle modification, women are the most prone to using medication, and the least inclined to treatment are young patients interviewed when applying to public medical organizations.

CONCLUSION

Individual treatment adherence assessment allows creating optimal treatment plans with treatment volume most acceptable for patients.