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

L.I. Motygullina, R.G. Tukhbatullina, G.Kh. Garifullina
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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. 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引用次数: 0

摘要

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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ANALYSIS OF THE SYSTEM OF PREFERENTIAL DRUG PROVISION FOR OUTPATIENT PATIENTS WITH CORONAVIRUS INFECTION IN THE REPUBLIC OF TATARSTAN
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 allowed us to work out effective approaches to providing medicines to the population in the condi- tions of a pandemic and that the experience gained will certainly be used in the future.
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THE STUDY OF THE SOCIAL DEMAND FOR EXTEMPORALLY MANUFACTURED MEDICINES BY THE PHARMACY ORGANIZATION OF THE ROSTOV REGION ANALYSIS OF THE SYSTEM OF PREFERENTIAL DRUG PROVISION FOR OUTPATIENT PATIENTS WITH CORONAVIRUS INFECTION IN THE REPUBLIC OF TATARSTAN THE SYSTEM OF PREFERENTIAL PROVISION OF MEDICINES IN SMOLENSK REGION: MODERN FEATURES AND PROBLEMS DEVELOPMENT OF A SET OF PROPOSALS TO IMPROVE USER INTERACTION WITH THE SITE OF ONLINE PHARMACIES MODERN REQUIREMENTS FOR PHARMACEUTICAL WORKERS: REGULATION AND REAL PHARMACY PRACTICE
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