Management of Prescription Medicines in Ukraine: Continuation of the Experimental Study on the Organization of Pharmaceutical Provision
DOI:
https://doi.org/10.53933/sspmpm.v4i2.143Keywords:
prescription medicines, management, pharmaceutical provision, patientsAbstract
Conducted the experimental study on the organization of pharmaceutical provision, complaints of patients from the position of management of prescription medicines in Ukraine. It has been proven that the level of organization of pharmaceutical supply affects patient complaints. 750 complaints from patients about unsatisfactory on the organization of the pharmaceutical provision were processed. Found that 77% of complaints of patients (women accounted for 70%; men – 30%) were related to late or incomplete on the organization of the pharmaceutical provision of prescription medicines. Violation of the rights of patients to receive medicines on discounted and free prescriptions of doctors was recorded in 88% of complaints. The matrix of complaints based on patient reports of unsatisfactory of prescription medicines of different clinical and pharmacological, classification and legal and nomenclature and legal groups was constructed. In accordance to the ATC classification, the clinical and pharmacological groups were distributed of medicines on 9 clinical and pharmacological groups. According to ATC code A, 5 INN medicines were not available to patients, and more complaints were received. According to ATC code B, 7 INN medicines were not available to patients, and more complaints were received. According to ATC code C, 25 INN medicines were not available to patients, and more complaints were received. According to ATC code D, 1 INN medicines were not available to patients, and more complaints were received. According to ATC code L, 2 INN medicines were not available to patients, and more complaints were received. According to ATC code M, 1 INN medicines were not available to patients, and more complaints were received. According to ATC code N, 13 INN medicines were not available to patients, and more complaints were received. According to ATC code R, 5 INN medicines were not available to patients, and more complaints were received. According to ATC code S, 2 INN medicines were not available to patients, and more complaints were received. The organization of pharmaceutical provision of these drugs was at a low level. It is substantiated that the main feature of pharmaceutical provision of patients is social orientation. It is proved that it is necessary to actively develop the social potential of health care facilities in the format of transparency, completeness, reliability, and efficiency of information about the costs that form the cost of drugs. In the course of the study, a matrix of complaints based on patient reports of unsatisfactory pharmaceutical provision of drugs of different clinical and pharmacological, classification and legal, nomenclature and legal groups was constructed. On the basis of the matrix of complaints, three national lists of drugs were developed with the further development of organizational and legal measures to increase the level of pharmaceutical provision of patients. It is noted that the reference mechanism of drug pricing is aimed at establishing the level of reimbursement at the expense of the state and reducing costs to 50% for pharmaceutical provision of patients.
References
Improving prevention and treatment for drug use disorders. WHO. URL: https://www.who.int/activities/improving-prevention-and-treatment-for-drug-use-disorders.
Health and social responses to drug problems: a European guide. EMCDDA. October 2021. URL: https://www.emcdda.europa.eu/publications/health-and-social-responses-a-european-guide_en.
International standards for the treatment of disorders related to the use of narcotic substances. Revised edition based on field research results. World Health Organization and United Nations Office on Drugs and Crime. Switzerland. UNODC. 2020. URL: https://www.unodc.org/documents/drug-prevention-and-treatment/UNODC-WHO_International_Standards_Treatment_Drug_Use_Disorders_2020_UKR_inoff.pdf
Ministry of Health of Ukraine. Оfficial site. http://moz.gov.ua/
National Health Service. http://www.nhs.uk/pages/home.aspx
Medicine in the UK: from each - whenever possible, for everyone - on demand. https://www.vz.kiev.ua/medytsyna-velykoyi-brytaniyi-vid-kozhnogo-po-mozhlyvosti-kozhnomu-po-potrebi/
Shapovalov V.V.(Jr.), Shapovalova V.O., Shapovalov V.V. Experience of Great Britain in organization of healthcare system for pharmaceutical provision with medicines for privileged categories of citizens. Health of society. 2019. Vol. 78. No. 1. P. 36–40. URL: https://health-society.zaslavsky.com.ua/index.php/journal/article/view/188
Shapovalov V.V.(Jr.), Gudzenko A.A., Shapovalova V.A. et al. Experience of the USA concerning and organization of healthcare system for the pharmaceutical provision for privileged categories of citizens. Annals of Mechnikov Institute. 2019. No. 1. Р. 81–87. DOI: 10.5281/zenodo.2639521. URL: https://zenodo.org/records/2639521
Shapovalov V.V.(Jr.), Gudzenko A.O., Shapovalova V.A. et al. Experience of Poland concerning and organization of healthcare system for the pharmaceutical provision for privileged categories of citizens. The International scientific conference «Advance of Science». Czech Republic, Karlovy Vary: Skleněný Můstek – Ukraine, Kyiv: MCNIP, 2019. P. 16-22.
Shapovalov V. (Jr.), Shapovalova V., Shapovalov V. et al. Analysis of healthcare expenditus in countriesof the world. Recipe. 2019. Vol. 22. No. 5. P. 712-719.
Shapovalov V.V., Gudzenko O.P., Shapovalova V.A. et al. General characteristic of pharmaceutical provision for privileged categories of citizens in Ukraine. The 10th International conference “Science and society”. Hamilton, Canada. 2019. P. 90-96.
Shapovalov V.V., Tairova K.Y., Shapovalova V.A. et al. Introduction to pharmaceutical law: parameters of the control regime and stages of medicines circulation. 9th International youth conference “Perspectives of science and education”. New York, USA. 2019. P. 133-142.
Shapovalova V.A., Datkhayev U.M., Shapovalov V.V. et al. Introduction to pharmaceutical law and forensic pharmacy. The Third International scientific congress of scientists of Europe. Vienna. 2019. P. 43-49.
Shapovalov V. V. Pharmaceutical law as a component of the system of postgraduate training of pharmacy and medicine specialists in the light of harmonization of national legislation with EU countries. Scientific and pedagogical internship "Social sciences education as a component of the education system in Ukraine and EU countries". Republic of Poland: Wloclawek, 2019. P. 62-66.
Zbrozhek S.I., Shapovalova V.A., Shapovalov V.V. Organizational and legal research of indicators of incidence and prevalence of diabetes mellitus in countryside areas. Annals of Mechnikov Institute. 2017. No.1. P. 44–53. URL: http://www.imiamn.org.ua/journal/1_2017/zmist1_2017.html.
Shapovalov V.V., Zbrozhek S.I., Shapovalova V.O. et al. Organizational and legal regulation procedure for circulation of extemporal medicines based on pharmaceutical law. Annals of Mechnikov Institute. 2017. No.4. P. 33-37. URL: http://www.imiamn.org.ua/journal/4_2017/zmist4_2017.html. DOI: 10.5281/zenodo.1133771.
Zbrozhek S.I., Shapovalova V.O., Shapovalov V.V. et al. Processing of the control regime of medicines for pharmacotherapy of chronic pain syndrome in the field of palliative aid. Likars'ka sprava. 2019. No.5-6. P.111-118. DOI: 10.31640/JVD.5-6. 2019 (15) DOI: https://doi.org/10.31640/JVD.5-6.2019(15)
Zbrozhek S. Medical and pharmaceutical legislation: normative and legal regulation of healthcare specialists’ activities in Finland. SSP Modern Pharmacy and Medicine. 2021. Vol.1. No.1. P.1-8. URL: https://doi.org/10.53933/sspmpm.v1i1.5 DOI: https://doi.org/10.53933/sspmpm.v1i1.5
French Health Care System. URL: http://www.french-property.com/guides/france/public-services/health/system-overview
Bosco C., Oandasan I. Review of family medicine within rural and remote Canada: Education. Practice and Policy. 2016. URL: http://www.cfpc.ca/uploadedFiles/Publications/News_Releases/News_Items/ARFM_BackgroundPaper_Eng_WEB_FINAL.pdf/
Krasnianska T., Ponomarenko M. Organization of the pharmaceutical business, drug technology and forensic pharmacy: modern trends in the development of the science of pharmaceutical law during the COVID-19 pandemic. SSP Modern Pharmacy and Medicine. 2022. Vol.2. No.3. P.1-15. URL: https://doi.org/10.53933/sspmpm.v2i3.59 DOI: https://doi.org/10.53933/sspmpm.v2i3.59
Shapovalova V. Forensic and pharmaceutical risks in the organization of pharmacotherapy of covid, post-covid and long-covid disorders. COVID-19 and vaccination practice standards. SSP Modern Pharmacy and Medicine. 2022. Vol. 2. No. 4. P. 1–24. URL: https://doi.org/10.53933/sspmpm.v2i4.69 DOI: https://doi.org/10.53933/sspmpm.v2i4.69
Shapovalova V. Alcoholic Hepatitis: An experimental meta-analysis. SSP Modern Pharmacy and Medicine. 2023. Vol.3. No.1. P.1-11. DOI: https://doi.org/10.53933/sspmpm.v3i1.77. DOI: https://doi.org/10.53933/sspmpm.v3i1.77
Shapovalov V. Multidisciplinary study of medical errors in the system of legal relations between "Doctor-Patient-Pharmacist-Advocate" during the circulation of drugs. SSP Modern Pharmacy and Medicine. 2023. Vol.3. No.2. P.1-11. URL: https://doi.org/10.53933/sspmpm.v3i2.88 DOI: https://doi.org/10.53933/sspmpm.v3i2.88
Wilper A., Woolhandler S., Lasser K. et al. Health insurance and mortality in US adults. American Journal of Public Health. 2009. Vol. 99. No. 12. Р. 2289-2295. DOI: https://doi.org/10.2105/AJPH.2008.157685
Shapovalova V.A., Zbrozhek S.I., Shapovalov V.V. et al. Forensic pharmacy: some risk factors in the formation of addictive health disorders. Acta Scientific Pharmaceutical Science. 2021. V.4. Iss.1. P.7–12. DOI: 10.3180/ASPS.2020.05.0651. URL: https://actascientific.com/ASPS/pdf/ASPS-05-0651.pdf
Zbrozhek, S. I. Analysis of the availability of drug circulation for various patient groups in healthcare institutions. Likars’ka Sprava. 2020. No. 7-8. P. 56-63. URL: https://doi.org/10.31640/JVD.7-8.2020(7) DOI: https://doi.org/10.31640/JVD.7-8.2020(7)
Shapovalov V. (Jr.), Gudzenko A., Shapovalova V. at. el. Forensic and pharmaceutical study of the presence of a causal link between the degree of alcohol abuse and qualification level of the respondents. Pharmacia. 2017. Vol. 66. No. 3. Р. 31–39. URL: http://bsphs.org/wp-content/uploads/2017/11/Shapovalov.pdf.
Zbrozhek S.I., Shapovalova V.A., Shapovalov V.V. et al. Organizational and legal research of indicators of incidence and prevalence of diabetes mellitus in countryside areas. Annals of Mechnikov Institute. 2017. No.1. P.44–53. URL: http://www.imiamn.org.ua/journal/1_2017/zmist1_2017.html.
Shapovalova V. Musculoskeletal health systematic review: clinical and pharmacological, organizational and legal, administration and pharmaceutical management aspects. SSP Modern Pharmacy and Medicine. 2024. Vol.4. No.2. P.1-12. URL: https://doi.org/10.53933/sspmpm.v4i2.134 DOI: https://doi.org/10.53933/sspmpm.v4i2.134
Shapovalov V., Shapovalova V., Osyntseva A., Shapovalov V. The Relevance of acquiring of legal knowledge concerning labor protection, fire safety, sanitary and epidemiological regime for health care professionals. SSP Modern Law and Practice. 2024. Vol.4. No.1. P.1-15. URL: https://doi.org/10.53933/sspmlp.v4i1.127 DOI: https://doi.org/10.53933/sspmlp.v4i1.127
Shapovalov V., Osyntseva A., Veits O., Derkach A. Multidisciplinary Study of Alcohol Abuse from the Perspective of Pharmaceutical Law and Forensic Pharmacy. SSP Modern Law and Practice. 2024. Vol.4. No.1. P.1-16. URL: https://doi.org/10.53933/sspmlp.v4i1.133 DOI: https://doi.org/10.53933/sspmlp.v4i1.133
Shapovalov (Jr.) V., Gudzenko A., Shapovalova V. et al. Organizational and legal aspects of the use of pharmacoeconomic analysis of multivitamin complexes for pharmaceutical provision of military personnel. The Pharma Innovation Journal. 2018. Vol.7. Iss.10. P.166–169. URL: http://www.thepharmajournal.com/archives/2018/vol7issue10/PartD/7-7-147-579.pdf
Ivanishyn-Hayduchok L., Shapovalova V., Shapovalov V. ICD-11: Organizational and legal, medical and pharmaceutical, social and economic issues of implementation of the program of state guarantees of medical care in 2022 in Ukraine, based on the fundamental principles of the European Union. SSP Modern Pharmacy and Medicine. 2022. Vol.2. No.2. P.1-14. URL: https://doi.org/10.53933/sspmpm.v2i2.53 DOI: https://doi.org/10.53933/sspmpm.v2i2.53
Shapovalov V., Veits O., Panchenko O. et al. Pharmacy and Dentistry: a multidisciplinary study of the risks of circulation of medicinal products. SSP Modern Pharmacy and Medicine. 2024. Vol.4. No.1. P.1-11. URL: https://doi.org/10.53933/sspmpm.v4i1.132 DOI: https://doi.org/10.53933/sspmpm.v4i1.132
Shapovalova V.O., Shapovalov V.V. Spasmophilia in children and the anticonvulsant properties of a new Ukrainian preparation containing a pyrimidine derivative. Fiziol. Zh. 1998. Vol. 44. No.5-6. Р.102-105. URL: https://pubmed.ncbi.nlm.nih.gov/9866032/. DOI: https://doi.org/10.1049/ir:19980309
Shapovalova V.O., Chernykh V.P. The physiological properties of the action of a new analgesic and antipyretic preparation. Fiziol. Zh. 1997. Vol. 43. No.1-2. P. 117-121. URL: https://pubmed.ncbi.nlm.nih.gov/9221112/.
Shapovalova V.O. Paracetamol pharmacokinetics in the blood plasma of sexually immature rabbits with the use of the new Paravit preparation. Fiziol. Zh. 1995. Vol. 41. No.5-6. P. 57-60. URL: https://pubmed.ncbi.nlm.nih.gov/9026394/.
Shapovalova V.O. The effect of Val'kofen tablets for children on the function of the gastrointestinal tract and liver in an experiment. Fiziol. Zh. 1995. Vol.41. No.5-6. Р.111-116. URL:https://europepmc.org/article/med/9026383.
Shapovalov V. Suicide among young people in Ukraine and Estonia: interdisciplinary study of the problem in the system of legal relations "doctor-patient-pharmacist-lawyer". SSP Modern Pharmacy and Medicine. 2023. Vol.3. No.3. P.1-16. URL: https://doi.org/10.53933/sspmpm.v3i3.106 DOI: https://doi.org/10.53933/sspmpm.v3i3.106
ATC/DDD Index 2024. WHO Collaborating Centre for Drug Statistics Methodology. https://atcddd.fhi.no/atc_ddd_index/
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Valentyn Shapovalov; Valerii Shapovalov
This work is licensed under a Creative Commons Attribution 4.0 International License.
