研究秋明地区多层次市民优先用药体系中药房的社会功能

N. D. Bredneva, N. P. Firsenko, A. Putintseva, L.V. Onegina, M.D. Vaganov, E. A. Sharshina
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Pharmacy of finished dosage forms, which carries out pharmaceutical activities in the retail trade of medicines for medical use, storage, dispensing of medicines, performs an important social function in dispensing medicines by prescription for free or with a 50% discount from the cost, includ- ing state social assistance (34, 04% of the total volume of dispensing), medications as a measure of social support in the treatment of certain diseases (58.63%), expensive drugs for the treatment of 14 nosologies (2.92%), certain drugs for the treatment of people who have had acute heart vascular diseases (4.41%). To perform this function of drug supply, a specialized pharmacy department was organized, equipped with a software product for recording incoming prescriptions, including in electronic form, for creating registers of issued prescriptions, and recording the movement of preferential drugs. 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引用次数: 0

摘要

研究的目的是:研究JSC“药房”(秋明地区)的一个结构单位药房在向公民提供社会药品援助方面的活动。材料和方法。研究的对象是秋明地区“药房”股份公司的结构单位第173号药房的活动,为公民提供优惠药品的所有领域的指标,包括为患有急性心血管疾病的人提供服务的新方向,各级预算为提供药品服务拨出的资金数额,区域人口登记册的数据,为优惠类别分配的药品数量,有保障的处方数量,其平均费用。本研究采用情境逻辑分析、内容分析、结构分析、系统分析、计算机技术等方法。结果。研究了为确保向特权阶层公民提供药品援助而直接开展的成品剂型药房活动、其社会意义、获得处方的数量指标、特惠药物(包括患有急性心血管疾病的药物)的配发量。成品剂型药房在医疗用途、储存和配药的药品零售贸易中开展医药活动,在通过免费处方或价格折扣50%的方式配药方面发挥着重要的社会作用,包括国家社会援助(占配药总量的34,04%)、在治疗某些疾病时作为社会支持措施的药物(58.63%)。用于治疗14种疾病的昂贵药物(2.92%),用于治疗患有急性心血管疾病的某些药物(4.41%)。为了履行这一药品供应职能,成立了一个专门的药房,配备了一个软件产品,用于记录收到的处方,包括电子形式的处方,创建已开处方的登记册,并记录优惠药品的流动。这些活动是由药剂师,药剂师-在向某些类别的公民提供社会援助方面受过咨询培训的技术人员进行的。为了遵守提供这种活动的监管和法律规定,适用了标准操作程序(SOP)“向优先类别的公民分发药品”。标准作业程序描述了按照医疗专业人员的处方逐步向有权获得免费或折扣药品的公民配药的程序。结论。应该指出的是,药房无疑具有重要的作用,药学工作者在提供福利的制度领域提供药品。重要的角色是由于需要了解发放福利的程序,遵守向不同类别受益人分发特定药物清单的特殊规则的能力,掌握记录补贴药物的安全处方的现代技术的能力,与统一国家卫生信息系统(USIS health)中的医疗组织进行互动。在秋明地区,这些职能的专业履行在很大程度上有助于确定优惠药品提供的指标的稳定性,以及对药房在实施药学活动中的社会功能的认可。
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STUDYING THE SOCIAL FUNCTION OF A PHARMACY IN A MULTILEVEL SYSTEM OF CITIZENS PREFERENTIAL MEDICATION PROVISION IN THE TYUMEN REGION
The purpose of the study: to study the activities of the pharmacy, a structural unit of JSC «Pharmacy» (Tyumen region) in terms of providing social pharmaceutical assistance to citizens. Materials and methods. The object of the study was the activities of Pharmacy No. 173, a structural unit of the joint-stock company «Pharmacy» in the Tyumen region, indicators of all areas of preferential medication provision for citizens, including a new direction for providing people who have had acute cardiovascular diseases, the amount of funds allocated from the budgets of all levels for the provision of medication care , data from the regional Register of Persons, volumes of dispensed medicines for the preferential category, the number of secured prescriptions, their average cost. The following methods were used in the study: situational-logi- cal, content analysis, structural, system, computer technologies. Results. The directed activity of the pharmacy of finished dosage forms to ensure the availability of drug assistance to privileged categories of citizens, its social significance, the indicators for the number of secured prescriptions, the volume of dispensing of preferential drugs, including those who have had acute cardiovascular diseases, have been studied. Pharmacy of finished dosage forms, which carries out pharmaceutical activities in the retail trade of medicines for medical use, storage, dispensing of medicines, performs an important social function in dispensing medicines by prescription for free or with a 50% discount from the cost, includ- ing state social assistance (34, 04% of the total volume of dispensing), medications as a measure of social support in the treatment of certain diseases (58.63%), expensive drugs for the treatment of 14 nosologies (2.92%), certain drugs for the treatment of people who have had acute heart vascular diseases (4.41%). To perform this function of drug supply, a specialized pharmacy department was organized, equipped with a software product for recording incoming prescriptions, including in electronic form, for creating registers of issued prescriptions, and recording the movement of preferential drugs. The activities are carried out by pharmacists, pharmacists - technologists trained in consulting on the provision of social assistance to certain categories of citizens To comply with the regulatory and legal regulation of the provision of this activity, the standard operating procedure (SOP) «Dispensing med- icines to preferential categories of citizens» is applied. The standard operating procedure describes the step-by-step procedure for dispensing medicines on prescriptions of medical professionals to citizens who are entitled to receive free or discounted medicines. Conclusion. It should be noted the undoubtedly significant role of the pharmacy, pharmaceutical workers in the system of providing benefits in the field of drug provision. The significant role is due to the need to have knowledge of the procedure for granting ben- efits, competencies to comply with the special rules for dispensing a certain list of medicines to various categories of beneficiaries, the ability to master modern technologies for recording secured prescriptions for subsidized medicines, interacting with medical organizations in the unified state health information system (USIS Health). The professional performance of these functions in the Tyumen region largely contributes to the stability of indicators characterizing preferential drug provision, and the recognition of the social function of the pharmacy in the implementation of pharmaceutical activities.
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