Optimization of drug supply for patients with malignant neoplasms in a region of the Russian Federation

Nikitina, A. V.; Gorkavenko, F. V.; Saybel, Y.; Avxentyeva, M.; Sura, M. S.; Fedyaev, D. V.

doi:10.17749/2070-4909.2019.12.4.300-308

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Обеспечение высокого уровня оказания лекарственной помощи, ее эффективность, непосредственно влияет на качество медицинской помощи в целом [7,8,10]. Безусловно, огромная роль здесь принадлежит анальгезирующим эффектам наркотических средств (НС) и психотропных веществ (ПВ).…”

Section: Introductionunclassified

Destruction of Narcotic Drugs and Psychotropic Substances as a Stage of Circulation of Medicines

Malkova

Berezina

2022

Razrabotka i registraciâ lekarstvennyh sredstv

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Introduction. Destruction is one of the stages of the circulation of medicines. Special importance is attached to this stage in relation to drugs related to narcotic drugs and psychotropic substances. The activities of pharmacy and medical organizations in relation to the turnover of these funds are strictly regulated.Aim. The purpose of the study was to study the procedure for the destruction of narcotic drugs and psychotropic substances included in Lists II and III of the List, as a stage of the circulation of medicines, to identify trends in the appointment of individual drugs for pain relief based on the generalization of archival data of the commission on destruction established on the basis of the Perm State Pharmaceutical Academy.Materials and methods. Archival materials of the destruction commission for 2012–2021 were used in the execution of the work. Each archive folder for a certain month of the year included the following documents: an order for the commission on destruction and appendices, a set of documents and acts of destruction for each institution that provided medicines. Statistical and empirical methods were used, such as observation, description, study, generalization and grouping, comparison, proof.Results and discussion. Data on prescribing drugs to cancer patients and data on drugs submitted for destruction correlate. Therefore, the range and quantity of medicines transferred for destruction by medical institutions allows us to see trends in their appointment and use in medical practice.Conclusion. Optimization of activities related to the turnover of controlled substances can be ensured by building a clear algorithm of actions in a medical organization for each type of work and services specified in the license, including the type of work – destruction. The procedure for the destruction of narcotic and psychotropic drugs, which is accompanied by verification of accompanying documents and objects at the meetings of the commission, allows monitoring the use and accounting of drugs in medical institutions.

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Section: Introductionunclassified

Destruction of Narcotic Drugs and Psychotropic Substances as a Stage of Circulation of Medicines

Malkova

Berezina

2022

Razrabotka i registraciâ lekarstvennyh sredstv

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Economic affordability of medicines and its impact on households in Russia

Timakov

2023

Population

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The article studies the financial affordability of medicines for Russian families and its impact on the well-being of the population. Affordability of medicines depends on market conditions and government guarantees for free provision of medicines. Estimated drug consumption in the Russian Federation is based on microeconomic data from the nationwide Russia Longitudinal Monitoring Survey (RLMS-HSE) and pharmaceutical market data from DSM-Group. To assess the impact of pharmaceutical spending on poverty, disposable cash income per family member after deduction of medicines cost was calculated taking into account the poverty line. More than 2/3 of medicines in the Russian Federation are purchased by households on the commercial market. According to the study, every fifth household was at risk of poverty due to spending on medicines. The risk of poverty due to pharmaceutical costs is high in low-income families. Payments for medicines increase the number of families with out-of-pocket medical expenses by 5 times. Catastrophic spending on medicines in the Russian Federation reached its lowest level in 2021 according to the Universal Healthcare Coverage (UHC) criteria of the World Health Organization (WHO). There were no families that spent more than 100% of their income on medicines, and only 1.2% of families spent more than a quarter of their income. Every twentieth family refused to buy medicines at least once a year. In groups where the cost of medicines exceeded 10% of income, every tenth family refused to buy medicines. When the cost exceeded 25%, almost every fifth family refused to buy medicines. Thus, the rising prices and expenses for medicines are forcing Russian families to save on medicines and on their health. Recommendations for expanding the affordability of medicines for Russian families are given in the conclusion.

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Optimization of drug supply for patients with malignant neoplasms in a region of the Russian Federation

Cited by 2 publications

References 7 publications

Destruction of Narcotic Drugs and Psychotropic Substances as a Stage of Circulation of Medicines

Destruction of Narcotic Drugs and Psychotropic Substances as a Stage of Circulation of Medicines

Economic affordability of medicines and its impact on households in Russia

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