INVESTIGATION OF MAIN INDICATORS FOR IMPLEMENTING A REGIONAL PREFERENTIAL DRUG PROVISION PROGRAM FOR THE POPULATION OF THE SAMARA REGION

Purpose of the study. Healthcare budget impact analysis in the Russian Federation of providing adult patients with chronic obstructive pulmonary disease (COPD) with basic therapy for outpatient treatment. Material and methods. The hypothesis of reducing costs for the treatment of exacerbations of COPD was tested while providing all patients with basic therapy on an outpatient basis. The model calculates the direct medical costs of drug provision and treatment of exacerbations in patients with COPD in the current situation and when all patients with COPD are covered with basic therapy as part of a program of preferential drug provision. The simulation period is 1 year. The analysis does not take into account social losses associated with disability, payment of disability certificates, reduced labor productivity and mortality. Results. The cost of providing all patients with COPD with the recommended basic drug therapy on an outpatient basis is substantially offset by a decrease in the cost of treating exacerbations: drug costs should increase by 14.1 billion rubles compared with the current situation, while the cost of providing medical care to patients with exacerbations is reduced by 9.7 billion rubles. As a result, the difference in direct medical costs, or the necessary additional investments, is 4.4 billion rubles. The price of drugs used for basic therapy has the greatest impact on the size of the required additional investments. Conclusion. Providing all patients with COPD with the recommended basic drug therapy on an outpatient basis, we can expect a decrease in the number of moderate exacerbations per year by 14.7% and severe exacerbations by 31.2%. Taking into account not only medical, but also socio-economic costs can not only offset additional investments, but also demonstrate significant savings. When implementing a pilot project of preferential drug provision for patients with COPD in a specific region of the Russian Federation, it is possible to reduce the cost of purchasing medicines when forming a municipal order.

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Issues of co-financing of drug provision for the population: international and Russian practice

10.33920/med-13-2001-05 ◽

2020 ◽

pp. 49-56

Author(s):

Vasiliy Ryazhenov ◽

Victoriya Andreyeva ◽

Elena Zakharochkina

Keyword(s):

Health Care ◽

Life Expectancy ◽

Health System ◽

Health Care System ◽

Russian Federation ◽

High Quality ◽

Russian President ◽

The Russian Federation ◽

Vladimir Putin ◽

Drug Provision

Russian President Vladimir Putin defined increase in life expectancy from 72.7 to 78 years by 2024 as a national aim in the Decree № 204 of May 7, 2018. Achievement of this aim depends on drug provision system among other factors. Strategy of drug provision for the population of the Russian Federation for the period until 2025 sets the goal of increasing availability of high quality, effective and safe medicines to meet needs of the population and the health system based on the formation of a rational and balanced system of drug provision for the population of the country with available resources. The health care system should expand the possibilities of using modern and effective mechanisms to ensure the financing of drug provision for the population.

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Experiment ahead of time: about the Moscow experiment on preferential drug provision

Remedium Journal about the Russian market of medicines and medical equipment ◽

10.21518/1561-5936-2019-10-70-75 ◽

2019 ◽

pp. 70-75

Author(s):

Elena A. Telnova ◽

Keyword(s):

Drug Provision

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Pharmacoeconomical approaches for assessing the rational use of ophthalmic drugs in polyclinic settings

Modern technologies in ophtalmology ◽

10.25276/2312-4911-2021-2-143-145 ◽

2021 ◽

pp. 143-145

Author(s):

N.A. Nefedov ◽

◽

D.S. Ramonas ◽

B.G. Khasanov ◽

A.S. Alexandrov ◽

...

Keyword(s):

Fold Increase ◽

Eye Drops ◽

Ophthalmic Drugs ◽

Rational Use ◽

Rational Drug ◽

Acquisition Costs ◽

The Cost ◽

Drug Provision ◽

Combined Drugs

Purpose. To evaluate the results of the rational use of ophthalmic medicines with the use of pharmacoeconomical analysis. Material and methods. With the help of ABC-VEN analysis, a comparative study of the quality of pharmacotherapy and drug provision of patients who were monitored and treated by an ophthalmologist of the polyclinic in 2015 and 2019 was conducted. Results. As a result, it was found that the share of costs for vital drugs increased by 10.1% and amounted to 71.1% in 2019, which corresponds to the standardized criterion (70-80%). There was a reduction in the cost of purchasing secondary drugs by 7.6%, which indicates a rational drug supply of ophthalmic drugs. The most commonly used drugs for the treatment of glaucoma were 27.8% in 2015 and 35.1% in 2019. The share of their acquisition costs was 54.9% and 67.9%, respectively. There was a significant increase in the range and number of drugs for the treatment of patients with glaucoma: a 2.8-fold increase in the number of purchased eye drops for monotherapy and a 12% increase in the number of combined drugs. Conclusion. Pharmacoeconomical analysis showed an optimization of spending money on the purchase of drugs used in ophthalmology: an increase of 10.1% in the share of vital drugs and a decrease of 7.6% in the cost of purchasing secondary drugs. There was an increase in the range and quantity of drugs for the treatment of patients with glaucoma. Key words: ABC-VEN-analysis, drugs, ophthalmology, pharmacoeconomics.

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Socio-economic burden of pulmonary hypertension: relevance of assessment in Russia and the world

Terapevticheskii arkhiv ◽

10.26442/00403660.2020.03.000591 ◽

2020 ◽

Vol 92 (3) ◽

pp. 125-131

Author(s):

V. D. Zakiev ◽

A. D. Gvozdeva ◽

T. V. Martynyuk

Keyword(s):

Pulmonary Hypertension ◽

Economic Burden ◽

Policy Development ◽

Premature Death ◽

Legal Regulation ◽

Regional Budget ◽

The World ◽

The Status ◽

Life Threatening ◽

Drug Provision

Pulmonary hypertension (PH) is a progressive disease which is characterized with the increase of pulmonary artery pressure and pulmonary vascular resistance. Such condition leads to right ventricular heart failure and premature death of patients. Pulmonary arterial hypertension (PAH) has the status of an orphan disease. However in Russia only idiopathic PH is included in the list of 24 life-threatening and chronic progressive rare diseases, while other forms of PH are not in it. Inclusion in this list guarantees drug provision for patients at the expense of the regional budget, while patients with other forms of PH can rely on free medication only if they have a disability. The lack of criteria for revising this list as well as the imperfection of legal regulation in the field of drug support for orphan diseases leads to high disability, a significant decrease in the duration and quality of life of patients with PH. As part of a multicriteria approach, a clinical and economic analysis of the disease burden can be one of the tools for policy development and decision-making on the distribution of funding in the healthcare. The article provides a review of the economic burden of various forms of PH in the world.

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EVALUASI LAPORAN AKUNTABILITAS KINERJA INSTANSI PEMERINTAH PADA SATUAN KERJA NON VERTIKAL TERTENTU PENYEDIAAN PERUMAHAN PROVINSI SULAWESI UTARA

GOING CONCERN : JURNAL RISET AKUNTANSI ◽

10.32400/gc.15.3.29734.2020 ◽

2020 ◽

Vol 15 (3) ◽

pp. 391

Author(s):

Kezia Princesa Wantah ◽

Lintje Kalangi ◽

Steven Tangkuman

Keyword(s):

Public Sector ◽

Research Method ◽

Good Governance ◽

Value For Money ◽

North Sulawesi ◽

Public Sector Organizations ◽

Efficiency And Effectiveness ◽

Provision Program ◽

Descriptive Qualitative

LAKIP is the government’s accountability for activities carried out within one budget year and as one of the realization of good governance. The community questioned whether the budget used was appropriate or not with what they received.In addition, accountability reports on public sector organizations are only oriented to "output" rather than "outcome". This resulted public sector organizations to pay more attention to value for money that is able to consider inputs, outputs, especially outcomes that underlie the three main elements namely economy, efficiency and effectiveness.This study aims to find out how the SNVT Provision program in North Sulawesi Province is measured using the concept of value for money.The research method used is descriptive qualitative with the results of interviews and data collected, analyzed and conclusions drawn.The results showed that the evaluation of the SNVT program for the Provision of Housing in the Province of North Sulawesi was measured by the concept of value for money for economic measurements achieving good results. However, the measurement for efficiency and effectiveness are not yet optimum as the budget is not fully realized.

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ANALYSIS OF THE SAFETY LEVEL OF PHARMACOTHERAPY CHRONIC DISEASES OF THE MENTAL GROUP: REGIONAL ASPECT

Medical Journal ◽

10.51922/1818-426x.2021.2.73 ◽

2021 ◽

pp. 73-86

Author(s):

N. V. Ivanova ◽

V. S. Belov ◽

T. V. Kuzmina

Keyword(s):

Chronic Diseases ◽

Adverse Reactions ◽

Single Subject ◽

Type B ◽

Safety Level ◽

Regional Aspect ◽

Pskov Region ◽

The Russian Federation ◽

Drug Provision ◽

Regional Budgets

The article presents the issues of assessing the level of safety of pharmacotherapy of chronic diseases of the mental group in a single subject of the Russian Federation. It was found that in the Pskov region, when subsidized drug provision for mental illness is financed from the Federal and regional budgets, epilepsies and schizophrenia are the most expensive. The frequency analysis of the occurrence of side effects when taking psychotropic drugs and their systematization by type A — predictable and type B — unpredictable reactions were performed. It is established that adverse reactions are most often encountered when using anticonvulsants.

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THE METHOD OF FORECASTING AS AN IMPORTANT STAGE IN SOLVING THE PROBLEMS FACING HEALTH IN THE FIELD OF MEDICAL CARE OF THE POPULATION

Wiadomości Lekarskie ◽

10.36740/wlek202011131 ◽

2020 ◽

Vol 73 (11) ◽

pp. 2507-2511

Author(s):

Ivanna V. Sakhanda ◽

Rimma L. Skrypnyk ◽

Kostyantyn L. Kosyachenko ◽

Lena L. Davtian ◽

Olena V. Welchinska ◽

...

Keyword(s):

Public Health ◽

Economic Factors ◽

Plant Origin ◽

Medicinal Products ◽

Government Programs ◽

Important Stage ◽

Forecasting Methods ◽

Statistical Studies ◽

Socio Demographic Factors ◽

Drug Provision

The aim: Of the work is to investigate and prove the effectiveness of medicinal products of plant origin for the treatment of cardiovascular diseases. Materials and methods: Pharmacoeconomic, social, medical demographic and statistical studies were studied. The study involved cardiologists, pharmacists, consumers of pharmacies and patients of cardiology departments. Results: Forecasting the need for cardiac medicines in general, and in medicinal products of plant origin (MP PO), in particular, is increasing as the population, life expectancy, under the influence of socio-demographic factors, and, most importantly, the increase in the number of elderly people. When solving problems facing public health in the field of drug provision of the population, a regular analysis of the pharmaceutical market and a forecast of the need for medicines in the context of the pharmacotherapeutic group that is being studied are necessary. An important stage in the choice of forecasting methods is the possibility of attracting the required number of indicators, which is a characteristic of the normative method, whose accessibility and simplicity make it possible to use it by specialists who do not have special mathematical training at the level of medical and pharmaceutical organizations. Conclusions: Prevention of diseases should be based on the implementation of government programs for prevention and promotion of health. This will improve and actively use methods of early detection of social and economic factors, which is a threat of development of diseases of the cardiovascular system.

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