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ANALYSIS OF THE SYSTEM OF PREFERENTIAL DRUG PROVISION FOR OUTPATIENT PATIENTS WITH CORONAVIRUS INFECTION IN THE REPUBLIC OF TATARSTAN 对鞑靼斯坦共和国为门诊冠状病毒感染患者提供优惠药物制度的分析
Pub Date : 2023-09-15 DOI: 10.30809/solo.3.2023.3
L.I. Motygullina, R.G. Tukhbatullina, G.Kh. Garifullina
Purpose. The article is devoted to the study of the organization of preferential drug provi- sion for outpatient patients with coronavirus infection in the Republic of Tatarstan and the analysis of the range of medicines dispensed under preferential prescrip- tions in pharmacies in Kazan. Methods. The initial data of the study were regulatory legal acts of the federal level, as well as those developed and approved by the Government and the Ministry of Health of the Republic of Tatarstan. The objects in this study were the primary accounting documents for the release of medicines under preferential prescriptions of large pharmacies of the state unitary enterprise «Medical Equipment and Pharmacy of Tatarstan» in Kazan – pharma- cies No. 1, 2, 3, 4 (conditional numbering) located in different administrative dis- tricts. Statistical and analytical analysis methods using Microsoft Excel were used for data processing. Results. The paper examines the interaction of structures and orders regulating the proce- dure for providing outpatient medical care, preferential drug provision to citizens. The analysis of medicines released under preferential prescriptions for 4 large pharmacies in Kazan was carried out. The most frequently prescribed medications by attached polyclinics in the period 2020-2022 were studied.; the structure of medicines purchased and released to pharmacies during the specified period ac- cording to the criteria: source of financing (federal, regional budget), as well as the organization of the competitive procurement system by source of financing, indi- cating the authorized representative for the organization of the competition (the organizers were the Ministry of Health of the Republic of Tatarstan, the Ministry of Health of the Russian Federation, which purchased medicines at the expense of the federal budget budget, and the purchase of medicines from the regional bud- get was carried out by the Ministry of Health of the Republic of Tatarstan). The total number of prescriptions dispensed, the amount and the average cost of 1 prescrip- tion were selectively analyzed. Conclusion. The study showed that in a short time the country has done a lot of work to overcome the pandemic of coronavirus infection: Temporary methodological rec- ommendations of the Ministry of Health of the Russian Federation “Prevention, diagnosis and treatment of new coronavirus infection (COVID-19)” have been de- veloped, as well as an algorithm for preferential drug provision for outpatient pa- tients with coronavirus infection and interaction with medical organizations that timely, in the course of changing the situation with coronavirus infection, they were rebuilt to solve the task. A retrospective analysis of the system of preferential drug provision for patients with coronavirus infection showed that the healthcare system has gained a lot of experience in creating an algorithm to combat a sudden pandemic, mobility of response to a changing situation, which a
目的。本文旨在研究鞑靼斯坦共和国为门诊冠状病毒感染患者提供优惠药品的组织情况,并分析喀山药房根据优惠处方发放的药品范围。研究方法研究的初始数据是联邦一级的规范性法案以及鞑靼斯坦共和国政府和卫生部制定和批准的法 律。研究对象是喀山 "鞑靼斯坦医疗设备和药房 "国有单一制企业大型药房--位于不同行政区的第 1、2、3、4 号药房(有条件编号)根据优惠处方发放药品的主要会计凭证。数据处理采用 Microsoft Excel 统计和分析方法。结果。本文研究了规范向公民提供门诊医疗服务和优惠药品程序的结构和命令之间的相互作用。对喀山 4 家大型药店的优惠处方药进行了分析。研究了 2020-2022 年期间附属综合医院最常用的处方药。在此基础上,对喀山 4 家大型药店在 2020-2022 年期间最常使用的处方药进行了分析,并根据以下 标准确定了药店在规定期限内采购和发放的药品结构:资金来源(联邦、地区预算),以及按资金来源 组织的竞争性采购系统,指明了组织竞争的授权代表(组织者为鞑靼斯坦共和国卫生部、俄罗斯联邦 卫生部,由联邦预算出资采购药品,地区预算出资采购药品由鞑靼斯坦共和国卫生部负责)。有选择性地分析了处方总数、每张处方的金额和平均费用。研究结论研究表明,鞑靼斯坦在短时间内为克服冠状病毒感染大流行病做了大量工作:制定了俄罗斯联邦卫生部 "新型冠状病毒感染的预防、诊断和治疗(COVID-19)"的临时方法建议,以及为门诊冠状病毒感染患者优先提供药物的算法,并及时与医疗机构互动,在冠状病毒感染形势发生变化的过程中,重建医疗机构以解决任务。对冠状病毒感染患者优惠药品供应系统的回顾性分析表明,医疗系统在创建应对突发大流行病的算法、应对不断变化的情况的机动性方面积累了大量经验,这使我们能够制定出在大流行病情况下向民众提供药品的有效方法,所获得的经验必将在未来得到利用。
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引用次数: 0
THE SYSTEM OF PREFERENTIAL PROVISION OF MEDICINES IN SMOLENSK REGION: MODERN FEATURES AND PROBLEMS 斯摩棱斯克州的优惠药品供应制度:现代特点和问题
Pub Date : 2023-09-15 DOI: 10.30809/solo.3.2023.1
N.A. Pavluchenkova
The aim of this study was an assay of key indicators of preferential provision of medicines in Smolensk region during 2015-2021. Methods. The preferential provision of medicines was carried out by the economic and sta- tistical analysis of data from Smolensk department of health and completed by an assessment of infrastructure availability of medicinal support. Results. There was an increase financing for program of medical support 2.32 times over the past 7 years. The number of prescriptions increased equally the number of ben- eficiaries who did not refuse a set of social services (1.05 times). The rate for one pa- tient was stable and tended to increase. The actual costs for one person increased (2.47 times) and exceeded state’s standards. The number of points of sale is grow- ing and leading to the increase of availability of medicines. There was a decrease of infrastructure burden with an increase of financial burden on 1 pharmacy. Conclusion. The growth financing with decrease in the number of beneficiaries, including those who retained the right of the preferential provision, with a decrease in the population, can be explained by an increase in costs for each citizen per month. This fact may indicate that there are patients with chronic diseases in the system. The decrease in those who refuse drugaccess program allows to think about insig- nificant returning of citizens to the system. However, a sufficient number of those who replaces medicines into cash, the discrepancy between the standard and the actual costs of treatment for one person indicate problems associated with incom- plete coverage of the need of medicines and require to revise approaches of system in region. Transferring the purchase of expensive drugs for treatment of rare (orphan) diseases including spinal muscular atrophy, paroxysmal nocturnal hemoglo- binuria, Fabry disease and a defect in the complement system to the state level can reduce the burden on the regional budget.
本研究的目的是对斯摩棱斯克州 2015-2021 年药品优惠供应的主要指标进行评估。方法。通过对斯摩棱斯克州卫生局提供的数据进行经济和统计分析,并通过对医疗支持基础设施可用性的评估,对药品优惠供应情况进行了评估。结果显示在过去 7 年中,医疗援助计划的资金增长了 2.32 倍。处方数量的增长与不拒绝社会服务的受益人数量的增长相同(1.05 倍)。一名患者的处方率保持稳定并呈上升趋势。一人的实际费用增加了(2.47 倍),超过了国家规定的标准。销售点数量不断增加,导致药品供应增加。基础设施负担减轻,但 1 家药店的经济负担增加。结论。受益者人数(包括保留优惠供应权的受益者)的增长和人口的减少,可以用每个公民每月的费用增加来解释。这一事实可能表明,该系统中存在慢性病患者。拒绝接受药物使用计划的人数减少,可以认为有大量公民返回了医疗系统。然而,将药品换成现金的人数很多,一个人的标准治疗费用和实际治疗费用之间存在差异,这表明与药品需求覆盖不全有关的问题,需要对该地区的制度方法进行修改。将治疗脊髓性肌萎缩症、阵发性夜间血红蛋白尿症、法布里病和补体系统缺陷等罕见 (孤儿)疾病的昂贵药物的购买权移交给州一级,可以减轻地区预算的负担。
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引用次数: 0
THE STUDY OF THE SOCIAL DEMAND FOR EXTEMPORALLY MANUFACTURED MEDICINES BY THE PHARMACY ORGANIZATION OF THE ROSTOV REGION 罗斯托夫州药房组织对临时生产药品的社会需求研究
Pub Date : 2023-09-15 DOI: 10.30809/solo.3.2023.2
N.V. Kosyakova, N.G. Karnysheva, L.A. Stadnikova
The study of the main economic processes of the pharmacy organization’s activity was carried out and quantitative indicators were obtained. The structure of inven- tory values is dominated by medicines and medical products. The comparative analysis revealed a decrease in retail turnover by 36.7%, a decrease in realized income from 19.7% to 17.8% and an increase of 7.7% in expenses over the same period. The level of the trade margin on the goods amounted to 20.96% in 2021, and already 18.68% in 2022., there is a decrease in the margin on medical devices, suture material and specialized nutrition. The current situation contributed to the formation of a loss from sales in 2022.
对药房组织活动的主要经济过程进行了研究,并获得了量化指标。发明价值结构以药品和医疗产品为主。对比分析表明,零售额下降了 36.7%,实现收入从 19.7%下降到 17.8%,同期支出增加了 7.7%。2021 年的商品贸易利润率为 20.96%,2022 年已达到 18.68%,医疗器械、缝合材料和特殊营养品的利润率有所下降。目前的情况导致了 2022 年销售亏损的形成。
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引用次数: 0
THE INFLUENCE OF CENTER FOR INDEPENDENT ASSESSMENT OF MEDICAL AND PHARMACEUTICAL EMPLOYEE COMPETENCES OF THETYUMEN MEDICAL UNIVERSITY ON THE QUALITY OF PUBLIC MEDICATION SUPPLY 秋明医科大学医疗和制药员工能力独立评估中心对公共药品供应质量的影响
Pub Date : 2023-06-15 DOI: 10.30809/solo.2.2023.2
A. Putintseva, N. P. Firsenko, N. D. Bredneva, V.L. Kalinina
The purpose. Is to study possible ways of affection on the quality of the public medication supply throw assessing of the occupational standards responsibilities fulfillment by spe- cialists using The Center for Independent Assessment Of Medical And Pharmaceu- tical Employee Competence Of The Tyumen Medical University. Materials and research methods. Occupational standards that determine the responsibilities of specialists, the competencies of specialists for their implementation. The results of inspections of medical and pharmaceutical organizations by regulatory and supervisory authori- ties, the results of an expert review by insurance organizations of compliance with the procedure for providing medical care, clinical recommendations, standards of medical care, the validity of prescribing drugs to privileged categories of citizens, and the results of an internal audit of the organization. The following methods were used in the study: situational-logical, content analysis, structural, systemic, statistical and computer technologies. Results. The educational organizations that implement programs of additional profession- al education, as well as training centers of health authorities, professional asso- ciations of medical and pharmaceutical workers can carry out assessment of the level of possession of professional competencies of medical and pharmaceutical workers. Unfortunately, this variety of ways does not always allow obtaining a complete picture of the possession of professional competencies by medical and pharmaceutical workers. In 2021, the Ministry of Science and Higher Education of the Russian Federation granted the Tyumen Medical University the right to create a Federal Innovation Platform - The Center for Independent Assessment Of Medical And Pharmaceutical Employee Competence. The goal of the Center is to identify and eliminate the lack of professional competencies of medical and pharmaceu- tical workers. Conclusion. Based on the results of the assessment, recommendations (Corrective Action And Preventative Action) to eliminate lack of competencies (non-conformances in the provision of medical care and the implementation of pharmaceutical activities) will be provided for creation of individual development plan for medical and phar- maceutical employees.
目的。通过 "秋明医科大学医疗和药学人员能力独立评估中心 "对专业人员履行职业标准的情况进行评估,研究提高公共药品供应质量的可能途径。材料和研究方法。确定专家职责的职业标准,专家执行标准的能力。管理和监督机构对医疗和制药机构的检查结果,保险机构对提供医疗服务的程序、临床建议、医疗服务标准、向特权阶层公民开药的有效性的专家审查结果,以及机构内部审计的结果。研究采用了以下方法:情境-逻辑、内容分析、结构、系统、统计和计算机技术。研究结果实施补充专业教育计划的教育机构、卫生当局的培训中心、医疗和医药工作者的专业协会都可以对医疗和医药工作者的专业能力水平进行评估。遗憾的是,这些方式并不总能全面了解医疗和医药工作者的专业能力。2021 年,俄罗斯联邦科学和高等教育部授权秋明医科大学建立联邦创新平台--医疗和制药人员能力独立评估中心。该中心的目标是发现并消除医疗和制药人员缺乏专业能力的问题。结论。根据评估结果,将提出建议(纠正行动和预防行动)以消除能力不足(在提供医疗服务和开展制药活动方面的不合规现象),从而为医疗和制药员工制定个人发展计划。
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引用次数: 0
MODERN REQUIREMENTS FOR PHARMACEUTICAL WORKERS: REGULATION AND REAL PHARMACY PRACTICE 对药剂师的现代要求:法规与实际药学实践
Pub Date : 2023-06-15 DOI: 10.30809/solo.2.2023.3
V. N. Mikhailova, A. Soloninina, I. Kirshchina
In this review, an attempt is made to consider the most problematic issues of the selection and placement of pharmaceutical personnel in pharmacy organizations, taking into account the qualification and functional requirements for specialists. The authors systematize the existing requirements regulating the qualification characteristics of pharmaceutical workers according to the positions and labor functions of the employee. The publication examines the most controversial issues of regulation of pharmaceutical activities in the field of personnel and presents a discussion on the resolution of controversial issues of regulation of modern re- quirements for pharmaceutical workers in real pharmacy practice. Based on a theoretical understanding of the contradictions in the regulation of re- quirements for pharmaceutical specialists, the authors express a personal position on the need to refine regulatory legal documents and provide the key terms of the necessary changes. The issues considered have high theoretical and practical significance and will be of interest to all specialists related to the organization of pharmaceutical business. The presented material will help practitioners to comprehend their professional capabilities for the replacement of specific pharmaceutical positions, and the heads of pharmacy organizations - to develop approaches to the formation of the personnel policy of the organization and the placement of personnel, taking into account the existing requirements and staffing needs of a particular pharmacy organization.
在这篇综述中,作者试图从专业人员的资格和职能要求出发,探讨药学机构在药剂人员的选拔和安置方面最棘手的问题。作者根据员工的岗位和劳动职能,对规范药剂师资格特征的现有要求进行了系统梳理。该出版物研究了人事领域中最有争议的医药活动监管问题,并就如何解决现实药学实践中对医药工作者的现代再要求监管的争议问题进行了讨论。基于对药剂专业人员再要求规定中存在的矛盾的理论理解,作者表达了对完善规范性法律文件必要性的个人立场,并提供了必要修改的关键条款。所考虑的问题具有很高的理论和实践意义,与制药企业组织相关的所有专家都会对此感兴趣。所提供的材料将有助于从业人员理解其更换特定医药职位的专业能力,也有助于药学组织的负责人--在考虑到特定药学组织的现有要求和人员需求的情况下,制定组织人事政策和人员安置的方法。
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引用次数: 0
DEVELOPMENT OF A SET OF PROPOSALS TO IMPROVE USER INTERACTION WITH THE SITE OF ONLINE PHARMACIES 制定一套改善用户与网上药店网站互动的建议
Pub Date : 2023-06-15 DOI: 10.30809/solo.2.2023.1
I.E. Ulianova, S.N. Egorova
Purpose of the study: develop a set of proposals to improve user interaction with the Internet pharmacy website. Methods. The study used the methods of logical, comparative, structural and content anal- ysis. Results. A set of proposals has been formulated to improve user interaction with the web- site of online pharmacies, including: an indication of the actual expiration date of available drugs, an indication of a public offer and a license, information that the site is not an aggregator, information on labeling, and opportunities: the choice of analogues of a drug with taking into account their cost, online consultations with a pharmaceutical / medical professional, feedback, the ability to assess the pharma- cological compatibility of purchased / or used drugs. Conclusion. The study formulated a set of proposals for the standardization of digital services of online pharmacies on the basis of regulations governing the activities of phar- macy organizations. A model for improving sites is proposed, which provides for the expansion of functionality and the improvement of the quality of pharmaceu- tical assistance in the online trade of drugs and other pharmacy products, reducing the time and simplifying the procedure for ordering and purchasing them. The ad- vantage provided by the given set of criteria is the possibility of obtaining online pharmaceutical advice on the selection, use and storage of medicinal products, the pharmacological compatibility of medicinal products, the possibility of choosing analogues of medicinal products, taking into account the price and expiration date, as well as the ability to verify the authenticity of the medicinal product by labeling. The implementation of a set of proposals makes it possible to eliminate the short- comings inherent in online pharmacies at the moment and improve the quality of pharmaceutical services to the population in accordance with the legislative acts of the Russian Federation and the best practices of pharmaceutical activity.
研究目的:提出一套建议,改善用户与互联网药店网站的互动。研究方法。研究采用了逻辑分析、比较分析、结构分析和内容分析等方法。结果。制定了一套改善用户与网上药店网站互动的建议,包括:显示可用药品的实际有效期、显示公开报价和许可证、网站不是聚合商的信息、关于标签的信息,以及机会:在考虑到成本的情况下选择药品的类似物、与制药/医疗专业人士进行在线咨询、反馈、评估购买/或使用过的药品的制药学兼容性的能力。结论该研究以药店组织活动管理条例为基础,为网上药店数字服务标准化提出了一系列建议。提出了一个改进网站的模式,该模式规定在药品和其他药剂产品的网上交易中扩大药剂援助的功能并提高其质量,减少订购和购买这些产品的时间并简化程序。这套标准所提供的优势在于,可以在网上获得关于选择、使用和储存药品的建议,药品的药理兼容性,根据价格和有效期选择药品类似物的可能性,以及通过标签验证药品真伪的能力。通过实施一系列建议,可以消除目前网上药店固有的缺点,并根据俄罗斯联邦的法律法规和医药活动的最佳实践提高为居民提供的医药服务质量。
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引用次数: 0
THE STUDY OF JOB SATISFACTION AND SATISFACTION OF THE PROFESSION OF PHARMACISTS 药师职业满意度与工作满意度研究
Pub Date : 2023-03-15 DOI: 10.30809/solo.1.2023.4
E. Mezentseva, A.N. Karamysheva
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引用次数: 0
ESTIMATION OF MATERIAL LOSSES DURING THE REGISTRATION OF THE DRUG «AMOXICILLIN + CLAVULANIC ACID» IN INFUSION THERAPY OF COMMUNIT Y-ACQUIRED PNEUMONIA IN CHILDREN 估计药物“阿莫西林+克拉维酸”输注治疗儿童社区获得性肺炎注册期间的物质损失
Pub Date : 2023-03-15 DOI: 10.30809/solo.1.2023.3
Yu. A. Abdullina, S. N. Egorova, S. A. Sidullina, A. Kabanova
Patients diagnosed with community-acquired pneumonia are recommended to receive anti- biotic therapy. In case of severe pneumonia in hospital, infusion of Amoxicillin preparations is used. In the Russian pharmaceutical market during the study period, there are no solutions for parenteral administration in pediatric dosages, which leads to high financial losses of medical organization and environmental risks in the disposal of antibiotics. Objective of the study evaluation of losses of drug weight and financial losses when using «adult» doses of anti- bacterial agents for infusion therapy of community-acquired pneumonia in children (on the example of the drug «Amoxicillin+clavulanic acid, powder for preparation of solution for intravenous injection»). Materials and methods the objects of the study were clinical guidelines on treatment of community-acquired pneu- monia in children, information from the State Register of Medicines, instructions for medical use. The source of data on prices was the information from the State Register of maximum selling prices. Analytical, statistical, logical, and computational-constructive methods of re- search were used in the work. Results: the study calculated the material losses of the drug in mg per vial and 12 vials (treat- ment course of 4 days). With a single therapeutic dose of 300 mg, the material losses of the drug, using a dosage of 1200 mg, were: 1200 - 300 = 900 mg (75% of the dosage form). Fi- nancial losses in rubles calculated for the course of treatment with the drug Amoxicillin + clavulanic acid 1200 mg amounted to 756.00 rubles (79.05%) per 1 child, and for treatment with the dosage of 600 mg - 252.00 rubles (52.70% of the cost of the drug). The development of the dosage forms for intravenous administration of Amoxicillin + clavu- lanic acid in the doses of 180 and 240 mg would allow decreasing considerably the losses of the drug during preparation of infusion solutions in pediatric practice. Conclusion 1. When administering antibacterial therapy for community-acquired pneumonia in chil- dren, the drug Amoxicillin + clavulanic acid, powder for preparation of solution for intrave- nous injection, manufactured in doses of 1200 mg and 600 mg, is used. 2. Modeling of weight losses of Amoxicillin + clavulanic acid powder for intravenous solu- tion preparation for treatment of community-acquired pneumonia in children aged 1 year showed that when 1200 mg dosage was used, losses were 900 mg/ vial (10800 mg per treat- ment course), and in 600 mg dosage - 300 mg/ vial (3600 mg per course); 75 and 50% of drug weight respectively. 3. Calculations have been made and significant financial losses have been established in treatment of community-acquired pneumonia in children under 5 years old with the drug «Amoxicillin + clavulanic acid, powder for preparation of solution for intravenous injection» 1200 mg and 600 mg, due to incomplete use of the package. The financial loss for the course of treatment with the d
确诊为社区获得性肺炎的患者建议接受抗生素治疗。在医院重症肺炎的情况下,使用阿莫西林制剂输注。在研究期间的俄罗斯医药市场中,没有针对儿科剂量的非肠外给药的解决方案,这导致医疗机构的财务损失很大,抗生素处置存在环境风险。研究的目的是评估使用“成人”剂量的抗菌药物输液治疗儿童社区获得性肺炎时的药物重量损失和经济损失(以药物“阿莫西林+克拉维酸,制备静脉注射溶液的粉末”为例)。材料和方法研究的对象是社区获得性儿童肺炎的临床治疗指南、国家药品注册信息和医疗使用说明。价格数据的来源是国家最高销售价格登记册的资料。在工作中使用了分析、统计、逻辑和计算构建的研究方法。结果:以mg /瓶和12瓶(疗程4 d)为单位计算药物的物质损失。单次治疗剂量为300 mg时,使用剂量为1200 mg的药物的物质损失为:1200 - 300 = 900 mg(剂型的75%)。按卢布计算,阿莫西林+克拉维酸1200毫克治疗期间的经济损失为每1名儿童756.00卢布(79.05%),600毫克治疗期间的经济损失为252.00卢布(占药物费用的52.70%)。阿莫西林+克拉武-兰酸180和240毫克静脉给药剂型的发展将大大减少儿科输液溶液制备过程中药物的损失。结论1。在对儿童社区获得性肺炎进行抗菌治疗时,使用阿莫西林+克拉维酸药物,用于制备静脉注射溶液的粉剂,剂量为1200毫克和600毫克。2. 对1岁儿童治疗社区获得性肺炎静脉溶剂阿莫西林+克拉维酸粉剂的体重损失建模显示,当剂量为1200 mg时,体重损失为900 mg/瓶(每个疗程10800 mg),而剂量为600 mg时,体重损失为300 mg/瓶(每个疗程3600 mg);分别为药物重量的75%和50%。3.经计算,在使用“阿莫西林+克拉维酸,用于制备静脉注射溶液的粉末”1200毫克和600毫克药物治疗5岁以下儿童的社区获得性肺炎时,由于包装使用不完全,造成了重大经济损失。1名1岁儿童服用阿莫西林+克拉维酸1200毫克药物治疗的经济损失为756.00卢布(79.05%),服用600毫克药物治疗的经济损失为252.00卢布(占整个治疗过程药物费用的52.70%)。4. 对于5-11岁儿童社区获得性肺炎的治疗,合理使用阿莫西林+克拉维酸600毫克剂量。5. 为治疗5岁以下儿童的社区获得性肺炎,建议商业发行药物“阿莫西林+克拉维酸,制备静脉注射溶液的粉末”,剂量为180毫克(150+30毫克)和240毫克(200+40毫克)。
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引用次数: 0
MODERN APPROACHES TO THE FORMATION OF A PHARMACY ORGANIZATION’S SOCIAL POLICY TO STIMULATE AND MOTIVATE LABOR, INCREASING THE COMPETITIVE ADVANTAGE OF THE ORGANIZATION 现代途径形成了药店组织的社会政策,以刺激和激励劳动力,增加组织的竞争优势
Pub Date : 2023-03-15 DOI: 10.30809/solo.1.2023.2
A. G. Petrov, G. Glembotskaya, O. Khoroshilova, Y. Sashko, V. A. Semenikhin
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引用次数: 0
RESEARCH OF THE CONTENT AND SEMANTIC SIGNIFICANCE OF THE CONCEPT «DRUG SUPPLY» “药品供应”概念的内涵及其语义意义研究
Pub Date : 2023-03-15 DOI: 10.30809/solo.1.2023.1
T. I. Kabakova, G. S. Barkaev, E. A. Korzhavykh, A. Goryachev
Target Substantiation of the content and semantic meaning (semantics) of the complex concept (concept) «drug supply» based on the choice of the most appropriate term from a number of existing options and clarification of its definition as a priority interdisciplinary area of pharmacy. Methods The initial materials of the study were publications on the organizational problems of pharmacy for the period 1971-2020, selected by the method of non-repetitive random selection from specialized journals, materials of conferences, congresses, dissertations and collections of papers. The information array included 2634 works, including 596 (22.63%) publications on the problems of drug supply. The scientific and methodological apparatus of the study included the scientometric method used to count the number of publications, content analysis and terminology meth- ods: logical-semantic, lexical, classification, comparison, and others. Results The array of terms used by specialists to designate drug supply was formed on the basis of content analysis of publication titles. Terms were selected that contained the words «drug», «pharmaceutical», etc. in combination with the words «pro- viding», «supply», «help», etc. The terms «drug care» and «drug provision» were most actively used, their total frequencies amounted to 127 and 289 positions, respectively. A logical-semantic analysis of the concept of «drug supply» has been carried out. To distinguish between the terms under discussion, a comparison of the definitions of «drug care» and «pharmaceutical care» is given. The modern se- mantic content of the concept «drug supply» is substantiated, taking into account the signs of the genus and type of the structural model of the formed definition. The relationship between the concept of «drug supply» and the concepts of «phar- maceutical activity», «circulation of medicines» and «logistics» is analyzed. The author’s classification of the types of «drug supply» by type of consumer is present- ed. As a result, a modern version of the definition was formulated: drug supply is a logistics process in the drug circulation system aimed at bringing drugs from the manufacturer (supplier) to the end user. Conclusion Evidence-based choice of the content and semantic meaning of the term «drug supply», the most adequate to its subject area, the proposed classification of types of drug supply and scientifically based formulation of the definition streamline sci- entific and practical knowledge in the field of pharmaceutical science and practice, optimize the educational process, due to the unambiguous interpretation of sub- jects, processes and phenomena, increase its effectiveness and optimize the subse- quent communication of pharmaceutical specialists in the profession and society.
目标在从众多现有选项中选择最合适的术语的基础上充实复杂概念(概念)“药物供应”的内容和语义(语义),并澄清其作为药学优先跨学科领域的定义。方法采用非重复随机选择的方法,从专业期刊、会议资料、学位论文和文集中选取1971-2020年有关药学组织问题的出版物作为研究的初始资料。信息阵列包括2634篇文献,其中药品供应问题文献596篇(22.63%)。本研究的科学方法包括统计出版物数量的科学计量学方法、内容分析和术语方法:逻辑语义、词汇、分类、比较等。结果在对出版物标题进行内容分析的基础上,形成了专家指定药品供应的术语数组。所选的术语包含“药物”、“制药”等词,以及“提供”、“供应”、“帮助”等词。术语“药物护理”和“药物提供”使用最频繁,它们的总频率分别达到127和289个位置。对“药物供应”概念进行了逻辑语义分析。为了区分讨论中的术语,对“药物护理”和“药学护理”的定义进行比较。考虑到所形成的定义的结构模型的属和类型的符号,“药物供应”概念的现代语义内容得到了证实。分析了“药品供应”概念与“药品活动”、“药品流通”和“物流”概念之间的关系。作者根据消费者类型对“药品供应”类型进行了分类。因此,制定了现代版本的定义:药品供应是药品流通系统中的物流过程,旨在将药品从制造商(供应商)带到最终用户手中。结论以证据为基础选择“药品供应”一词的内容和语义,使其最适合其学科领域,所提出的药品供应类型分类和科学的定义制定精简了药学科学和实践领域的科学和实用知识,优化了教育过程,由于对学科、过程和现象的明确解释。提高其有效性,优化制药专家在行业和社会的后续沟通。
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Modern organization of drug supply
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