scholarly journals Variations in indicators of the health sector and the pharmaceutical market in Russia during 2020

2021 ◽  
Vol 12 (33) ◽  
pp. 349-363
Author(s):  
Alla Ivanovna Ovod ◽  
Tatyana Anatolievna Oleynikova ◽  
Tatyana Ivanovna Urusova ◽  
Tatyana Vasilievna Reztsova ◽  
Vladimir Olegovich Ulyanov ◽  
...  

The study aimed to evaluate the influence of coronavirus on the functioning of the system of healthcare and the associated pharmaceutical industry in Russia. The study of the influence of coronavirus infection on the system of healthcare and pharmaceutical market in Russia was made using a statistical method of comparison of the parameters. The degree of influence on the system of healthcare was estimated by the monthly dynamic of the morbidity rate, which reflected the load on medical institutions of the budgetary system of healthcare of the RF. The changes on the pharmaceutical market were evaluated through quantitative and price factors: quantitative factor was defined by the dynamics of general volume of sales and price – by the changes of the average-weighted prices on the market. As a result, it was established that the dynamics of the morbidity rate with coronavirus in Russia varied wavelike, significantly increasing in the periods of pandemic peaks in May and December 2020. This indicates that the system of healthcare lacks mechanisms of fighting the infection spread in complicated epidemiologic conditions, the bed capacity is low, and there is a deficit in medical personnel. During pandemics, a significant increase in the drug cost was observed on the pharmaceutical market. Especially, it was evident for drugs used to limit the spread of coronavirus, which was confirmed by the shift of drugs sales to the group of antimicrobials. Coronavirus pandemic significantly affected the structure and tendencies in the development of healthcare and Russian pharmaceutical market.

2021 ◽  
Vol 65 (1) ◽  
pp. 5-11
Author(s):  
Valery I. Vechorko ◽  
Igor S. Kitsul ◽  
Elizaveta G. Zakharova ◽  
Evgeniya V. Borovova

Introduction. During the expanding epidemic of the new coronavirus infection COVID-19 in our country, medical workers were one of the groups at the increased risk of infection. Simultaneously, certain information about the number of cases and duration of this disease in medical workers is not available in official sources. However, this information is necessary to develop effective preventive measures, assess economic damage from a temporary disability, and the planning of medical personnel in emergency epidemic conditions. Purpose of study. To investigate the incidence of the temporary disability of employees of a medical institution with a new coronavirus infection connected with the performance of their occupational duties to assess the health risks for medical workers, develop appropriate measures to improve the safety system of their work. Material and methods. The study was conducted by a continuous process based on the country’s largest repurposed infectious diseases hospital to treat COVID-19 patients using the classical method of analyzing morbidity rates with the temporary disability. Results. The dynamics of the main indices of the morbidity with the temporary disability since the beginning of the COVID-19 epidemic was revealed. Features of the morbidity by groups of personnel working in the ”red“ and ”green“ zones of the infectious hospital are established. The incidence of medical personnel providing medical care to patients with COVID-19 was proved to be associated with the implementation of professional activities, but not in all cases. This type of personnel is also subject to risks of infection outside the medical institution. Conclusion. For effective prevention, it is necessary to consider that working in the “red” zone significantly increases the risk of COVID-19, regardless of the category of medical personnel.


2019 ◽  
Vol 96 (3) ◽  
pp. 258-260
Author(s):  
M. V. Bektasova ◽  
V. A. Kaptsov ◽  
A. A. Sheparev

The level of occupational morbidity rate of medical workers in governmental and multidisciplinary infectious medical institutions of the Primorsky Krai was studied according to reporting forms for the period of 2005-2014. The aim of the study was to investigate occupational morbidity rate of medical personnel to improve the management of health workers and to develop preventive programs for its reduction. Annual surveys of the medical staff for the carriage of viral hepatitis B, C, vaccinal prevention of hepatitis B; reduction of the use of chlorine-containing disinfectants; replacing latex gloves by nitrile, vinyl hypoallergenic medical gloves to protect hands of personnel allowed to significantly reduce the occupational morbidity rate.


Author(s):  
Kudryavtsev A.D. ◽  
Filimonova A.M. ◽  
Znamenskiy I.А.

The purpose of work was to develop and implement an algorithm for organizing the work of the nuclear medi-cine department in time of covid-19 epidemy. As a result of the spread of a new coronavirus infection, special requirements are imposed on medical institutions to ensure the safety of patients and medical staff. In ac-cordance with the recommendations of the European association of nuclear medicine, work was carried out on the introduction of preventive examination of per-sonnel, optimization of documentation flow and minimi-zation of direct contact between medical personnel and patients. Patient routing has been adapted, taking into epidemiological standards. The work carried out made it possible to prevent infection of medical staff and pa-tients. The time of contact with patients was reduced to the necessary minimum without any decrease the quality of treatment. Routing deficiencies were identified and eliminated, which significantly extended the time spent by patients in a medical facility. In addition, the load on the medical staff was optimized, which made it possible to improve the quality of medical care provided.


Author(s):  
Ekaterina M. Gutor ◽  
Yuliya A. Tkachenko ◽  
Elena A. Zhidkova ◽  
Konstantin G. Gurevich

Introduction. The work's relevance is related to the health system's challenges associated with the pandemic of new coronavirus infection. The study aims to explore the experience of organizing the response to the COVID-19 epidemic by the medical service of JSC "Russian Railways" in March-August 2020. Materials and methods. We used the statistical reporting materials of the Ministry of Health of the Russian Federation and JSC "Russian Railways" to analyze the availability of bed fund and medical personnel. The official information of стопкоронавирус.рф website of the Russian Federation is used to analyze the incidence of COVID-19 in the Russian Federation and in the world. To analyze the morbidity of JSC "Russian Railways", we used data from daily monitoring conducted by the company. Results. The incidence of COVID-19 among health care workers in the pre-trip examination rooms of the holding was lower than in the whole of the Russian Federation. The bed fund of JSC "Russian Railways" in terms of 10 thousand people corresponds to the Russian average. The indicators of availability of medical personnel are higher than in the Russian Federation. During the "first wave" of the epidemic, 4 hospitals of Russian Railways were redesigned to provide medical care to patients with COVID-19. Two thousand one hundred twenty medical workers were involved. A total of 3.6 thousand patients with COVID-19 were treated. According to the treatment regimens described in the interim guidelines, the early start of therapy allowed to prevent the development of severe forms and minimize mortality. Russian railways medical institutions participated in the fight against the epidemic in 19 regions of the Russian Federation. 20 PCR laboratories were opened. Conclusions. The activities of Russian railways medical institutions were adequately reformed, which allowed not only to prevent the spread of a new coronavirus infection among the holding's employees.


2020 ◽  
Vol 38 (3) ◽  
pp. 145-149
Author(s):  
Md Golam Mustafa ◽  
Md Shahinul Alam ◽  
Md Golam Azam ◽  
Md Mahabubul Alam ◽  
Md Saiful Islam ◽  
...  

Worldwide, hepatitis B virus (HBV) infection is still a major public health problem. Bangladesh having a large burden of HBV infection, should be a major contributor towards it’s elimination by 2030. The country has been making progress in reducing incidence of HBV infection during the past decades. The progresses are mainly due to large vaccination coverage among children and large coverage of timely birthdose vaccine for prevention of mother-to-child transmission of HBV. However, Bangladesh still faces challenges in achieving target of reduction in mortality from HBV. On the basis of targets of the WHO’s Global health sector strategy on viral hepatitis 2016–2021, we highlight priorities for action towards HBV elimination. To attain the target of reduced mortality we propose that, the service coverage targets of diagnosis and treatment should be prioritized along with vaccination. Firstly, improvements are needed in the diagnostic and treatment abilities of medical institutions and health workers. Secondly, the government needs to reduce the costs of health care. Thirdly, better coordination is needed across existing national program and resources to establish an integrated system for prevention, screening, diagnosis and treatment of HBV infection. In this way, we can make progress towards achieving the target of eliminating HBV from Bangladesh by 2030 J Bangladesh Coll Phys Surg 2020; 38(3): 145-149


Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .


2017 ◽  
Vol 4 (2) ◽  
pp. 87-93
Author(s):  
Immanuel Luigi Da Gusta ◽  
Johan Setiawan

The aim of this paper are: to create a data visualization that can assist the Government in evaluating the return on the development of health facilities in the region and province area in term of human resources for medical personnel, to help community knowing the amount of distribution of hospitals with medical personnel in the regional area and to map disease indicator in Indonesia. The issue of tackling health is still a major problem that is not resolved by the Government of Indonesia. There are three big things that become problems in the health sector in Indonesia: infrastructure has not been evenly distributed and less adequate, the lack of human resources professional health workforce, there is still a high number of deaths in the outbreak of infectious diseases. Data for the research are taken from BPS, in total 10,600 records after the Extract, Transform and Loading process. Time needed to convert several publications from PDF, to convert to CSV and then to MS Excel 3 weeks. The method used is Eight-step Data Visualization and Data Mining methodology. Tableau is chosen as a tool to create the data visualization because it can combine each dasboard inside a story interactive, easier for the user to analyze the data. The result is a story with 3 dashboards that can fulfill the requirement from BPS staff and has been tested with a satisfied result in the UAT (User Acceptance Test). Index Terms—Dashboard, data visualization, disease, malaria, Tableau REFERENCES [1] S. Arianto, Understanding of learning and others, 2008. [2] Rainer; Turban, Introduction to Information Systems, Danvers: John Wiley & Sons, Inc, 2007. [3] V. Friedman, Data Visualization Infographics, Monday Inspirition, 2008. [4] D. A. Keim, "Information Visualization and Visual Data Mining," IEEE Transactions on Visualization and Computer Graphics 8.1, pp. 1-8, 2002. [5] Connolly and Begg, Database Systems, Boston: Pearson Education, Inc, 2010. [6] E. Hariyanti, "Pengembangan Metodologi Pembangunan Information Dashboard Untuk Monitoring kinerja Organisasi," Konferensi dan Temu Nasional Teknologi Informasi dan Komunikasi untuk Indonesia, p. 1, 2008. [7] S. Darudiato, "Perancangan Data Warehouse Penjualan Untuk Mendukung Kebutuhan Informasi Eksekutif Cemerlang Skin Care," Seminar Nasional Informatika 2010, pp. E-353, 2010.


Author(s):  
G. N. Singh

India has emerged as a global player for pharmaceuticals. The pharmaceutical revolution of 1970-90 of Indian Pharma Industry had demonstrated that India could be self-sufficient in the manufacture of essential drugs at affordable prices. The turnover of Indian Pharmaceutical is over $30 billion in 2015 including $15 billion in exports.  It was a great honor to preside the 67th Indian pharmaceutical congress held in Mysore. The topic of Pharmacists for a Healthy India is close to my heart and being a regulator myself, I feel that the Pharmacy fraternity can play a much larger role in contributing to the healthcare system in India. Pharmacist as such are involved in a big way in the regulation of drugs, be it manufacture, be it sale or research and development. A contribution of the Pharmacists is there at every stage till the drug reaches the consumer safely. For this purpose, the society needs a pool of well qualified and experienced pharmacists, which requires regular updating of their knowledge to keep pace with the developments taking place in the pharmaceutical sector. The advancements in technology and the emerging challenges in the health sector require pharmacists to shoulder the responsibilities towards the utilization of scientific knowledge in the use of modern medicines and the protection of the public against dangers of wrong use of drugs. The Pharmacy Council of India on its part will have to ensure that the courses offered for creating a high technology based are calibrated in such a way that the education and skills developed suit to the requirements of the Pharmaceutical Industry as well as needs to the patients


Author(s):  
Ekaterina V. Shulyak

Development of health care of Siberia in the 18<sup>th</sup>&nbsp;— first half of the 19<sup>th</sup> century was closely connected with economic and political development of the Russian state. Before the medical personnel emergence in Siberia its population received medication only in the form of folk remedies. Development of its territory, insanitary conditions of life of Siberians, constant contingent of exiled to the indigenous people, and severe climate contributed to the spread of such diseases as smallpox, syphilis, and others.<br> The first medical institutions of Siberia were military hospital and infirmaries. In the days of reign of the Empress Anna Ioannovna, the city medical care started developing, and thanks to an initiative of the industrial enterprises owners&nbsp;— medical care for miners. After the establishment of the Public Charity Orders in Siberia, hospitals under their jurisdiction began to function in Tobolsk, Irkutsk, and Tomsk. A worthy contribution to the development of local medical institutions was made by donators Tolstopyatov, Bednyagin, Chupalov, and others. However, deficiency of financing, hospitals, and the medical personnel couldn’t adequately satisfy the needs of Siberian inhabitants in medical care.<br> The purpose of the article is to analyse the condition of public health, causes of morbidity and mortality of the population, as well as the process of medical care development in Siberia the turn of the 18<sup>th</sup> century by means of a historical and genetic method.


Author(s):  
Sara Emamgholipour ◽  
Lotfali Agheli

Purpose As the pharmaceutical industry is one of the key sectors of the health-care system, the identification of its structure is of particular importance. This paper aims to determine the structure of the pharmaceutical industry in Iran to provide appropriate solutions for pricing and regulation by policymakers. Iran is a growing pharmaceutical market with over $4bn in sales, so the supply side needs to be examined to meet the domestic consumption. Design/methodology/approach This research is a descriptive and retrospective analytical study which examines the Iranian pharmaceutical industry through library studies and using pharmaceutical data of the country’s Food and Drug Administration during 1992-2016. Due to data availability in firm level, the concentration ratio of N leading firms and the Herfindahl–Hirschman index are used to measure the concentration of the pharmaceutical market in 2014 and 2016. Findings The results show that pharmaceutical manufacturing, importing companies and distributing companies play roles in monopolistic competition market, loose oligopoly market and oligopoly market, respectively. For all companies, the magnitudes of Herfindahl–Hirschman indices indicate non-competitive settings. As a result, these companies set their own prices, and market demand affects their sales. In addition, demand for medicines is shaped in the form of supply-induced demand. Research limitations/implications This research was accomplished with no computational limitation. However, it was confined to only one country, one industry and the mentioned period of study. Practical implications The pharmaceutical manufacturers have no influence on medicine prices, and government pricing regulations lessen the market power of such market agents. However, the easy entry to and exit from market stimulate producers to participate in manufacturing activities. The pharmaceutical importers may expand their imports in response to entry new actors; however, the new entrants weaken the coordination on pricing decisions. Social implications As pharmaceutical distributers act in an oligopoly market, they can collude, reduce competition and lower the welfare of pharmaceutical consumers. In such conditions, high investment requirements and economies of scale may discourage the entry of new firms. Originality/value Although there are various studies on market structure in non-pharmaceutical industries, this study is a new effort to measure concentration in the Iranian pharmaceutical market and to determine its structure.


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