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Published on: February 23, 2024
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Time-study research on maxillofacial prosthetic treatment.
Mai Murase1, Haruka Fujita1, Meiko Oki2
1Department of Advanced Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
The Japanese Dental Science Review
|February 1, 2024
Summary
Maxillofacial prosthetic treatment often takes longer and costs more than anticipated. This study highlights the need for adjustments to the Japanese health insurance system to ensure fair reimbursement for this complex care.
Area of Science:
- Oral and Maxillofacial Surgery
- Prosthodontics
- Health Economics
Background:
- Unreasonable medical fees can lead to increased costs, disparities, and physician shortages.
- Maxillofacial prosthetic treatment is typically more resource-intensive than general prosthodontics.
- The actual time and cost associated with maxillofacial prosthetic treatment remain unclear.
Purpose of the Study:
- To clarify the time expenditure for maxillofacial prosthetic patient treatment.
- To provide data for potential adjustments in the Japanese health insurance reimbursement system.
Main Methods:
- Analysis of clinical data from patients undergoing routine maxillofacial prosthetic treatment.
- Inclusion of data from 8 university hospitals and 2 dental clinics.
- Collection of treatment time data from prosthodontists for Japanese health insurance items, including prosthesis fabrication.
Main Results:
- Certain aspects of maxillofacial prosthetic treatment require more time and incur higher costs than previously estimated.
- The findings suggest a potential discrepancy between actual treatment demands and current reimbursement levels.
- This underscores the need for re-evaluation of the health insurance system for maxillofacial prosthetics.
Conclusions:
- Accurate time and cost assessments are crucial for appropriate medical fee setting.
- Adjustments to the health insurance reimbursement system may be necessary for maxillofacial prosthetics.
- Balancing expenditures and fees is vital for patient well-being and a sustainable healthcare system.

