Мета: порівняльний аналіз динаміки змін витрат (%) на фармацевтичне забезпечення населення від загальних витрат на охорону здоров'я на макроекономічному рівні в Україні, Республіці Білорусь (РБ) та країнах Європейського Союзу (ЄС). Матеріали і методи. У дослідженнях використовувалися дані Всесвітньої організації охорони здоров'я та його Європейського регіонального бюро, а також дані законодавчо-нормативної бази, що регулює медичну та фармацевтичну діяльність в Україні, РБ та країнах ЄС. Використано історичний, аналітико-порівняльний, системний, логічний, графічний, математико-статистичний методи наукового пошуку та пізнання.

Analysis of the problems of the rational use of antibacterial drugs in Ukraine Aim. To analyze the current situation with the antibacterial drugs turnover, as well as to develop effective ways to solve the problem of growing resistance of bacteria to antibiotics, including determination of the active role of a pharmacist in this process. Materials and methods. The analysis of the current situation in the domestic system of pharmaceutical supply of the population was carried out on the basis of a survey of pharmaceutical specialists directly involved in the process of dispensing antibacterial drugs from pharmacies in the outpatient setting. In accordance with the aim of the study a questionnaire was developed for interviewing pharmaceutical specialists. The questionnaire included the aim and objectives of the survey. During the survey, the confidential terms of use of the information received were notified. The required size of the respondent sample was calculated taking into account the expected reliability of the results obtained. The questionnaire proposed included closed questions that provided data on the state of the problem of the rational dispensing of antibacterial drugs, as well as open-ended questions revealing the individual attitude of the respondents to the problems of the rational drug consumption from the pharmacotherapeutic group indicated. The questions contained in the questionnaire were divided into two groups: the basic ones allowing us to obtain the necessary information from the respondent and the control ones indirectly confirming the accuracy of answers to basic questions and allowing exclusion of unclear answers. Results. The article presents the results of a survey of pharmaceutical specialists on the problem of the rational supply and consumption of antibacterial drugs and the assessment of their role in organization of an effective prescription model for this group of drugs in Ukraine. It has been determined that a significant majority of respondents consider it necessity to sell antibacterial drugs strictly by prescriptions (90.42 %), but, in practice, approximately the same number of respondents (90.73 %) still dispenses antibacterial drugs without a prescription: "Sometimes" (67.73 %) or "Always" (23.0 %). Respondents consider as important measure to implement a set of measures to disseminate knowledge about the rationality of using antibiotics (84.98 %) through the pharmacy network. At the same time, a large majority of respondents (90.10 %) transfer responsibility for the proper consumption of antibacterial drugs onto doctors. According to the opinion of the respondents (42.49 %), the development of an appropriate target program with the involvement of pharmacists and doctors should be the main direction of implementing the strategy of the rational use of antibacterial drugs in Ukraine. Among the factors contributing to the unsystematic use of antibacterial drugs, the leading position by the number of respondents were such answer options as "Thoughtless self-medication of the popu...

A market economy characterized by existing of uncertainty and the possibility of choosing one or more development directions for the pharmaceutical market subjects causes risk situations. The reasons for their occurrence are usually the company affiliation, its size, form of ownership, legal status, technological integrity and degree of subordination, strategy, principles of the company, capital structure, resources and their use, quality and level of marketing, etc. Thus, the creation of an effective health care management system, and in particular of pharmacy, is impossible without the monitoring, accounting, assessment and management of risk situations arising from the practice. In connection with the above mentioned, the purpose of our study was to study the features of risk management in pharmacy.The structure of risk factors in the activity of the pharmaceutical organization with its division into internal and external ones has been developed, which will allow timely determinate the possibility of occurrence of adverse situations and introduce measures for their prevention or minimization. The list of these entities is the basis for developing risk management standards in a pharmaceutical company.

No abstract