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The availability of medicines is associated with the number and uniformity of distribution of pharmacies throughout the territory of the Russian Federation. In this regard, this paper presents the results of assessing the level of market concentration of entities in the pharmacy segment of the Russian pharmaceutical market. The data obtained show that with an increase in the number of pharmacy chains and their share in the retail segment, the level of market concentration also increases and leads to an increase in the market power of the leaders of the pharmacy segment of the Russian pharmaceutical market. At the same time, the dynamics of the number of pharmacies in the Russian pharmaceutical market (simultaneously with the increase in market concentration indices) also demonstrates an upward trend, which indicates the rapid development of the pharmacy segment. The level of market concentration of the TOP-5 pharmacy chains based on the results of 2024 is established, and the dynamics of changes in the number of pharmacies in the Russian pharmaceutical market in the period 2017 – 2024 are determined.
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The results of a marketing research study are presented in this article. Аt both federal and regional levels, the pharmaceutical market for hepatoprotectors is available. Аn overall measure of the breadth, completeness and depth assortments of hepatoprotectors. Data on the number of medicines with hepatoprotective properties. The sales volume of a group of hepatoprotectors in the Russian Federation in 2020 – 2022 has been determined.
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Anxiety disorders are one of the most common forms of mental once manifested by clinical and vegetative symptoms.
Due to the fact that the occurrence of a stressful situation is often unpredictable, a combination of non-drug interaction, including knowledge of methods to increase stress tolerance and response skills in a stressful situation with effective pharmacotherapy can be considered as an optimal self-help tactic under stress. An expert assessment was conducted to form a list of the most effective and safe over-the-counter sedative drugs that can be used in stress conditions as part of responsible self-treatment. The data obtained are compared with consumer estimates in order to analyze the level of awareness of the population in matters of drug self-help of stressful conditions.
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Organizations providing sanatorium and resort treatment often face a shortage of highly qualified health care professionals. Outsourcing of the medical service causes a number of new difficulties and is often impossible. At the request of practical healthcare, the author conducted a search for best practices to solve these problems. It turned out that alternative management models are absent both in open literature sources and among well-known organizations of the sanatorium-resort profile. As a result, the author has developed and implemented a new management model in which the general management of the organization and line staff remain on the customer's staff, and the management of the medical service is transferred to an outsourcer contractor with appropriate personnel and expertise. The advantages of this model are:
1) flexible contract management; 2) cost optimization; 3) elimination of excessive time and money expenses; 4) expansion of competencies; 5) risk minimization; 6) reduction of non-income-generating workspaces. Optimization of about 25 % of the direct costs of managing the medical service, as well as a number of indirect costs, has been achieved. At the same time, it was possible to avoid the problems caused by outsourcing of the medical service. The limitations of the proposed model are revealed: 1) suitable only for organizations with a small medical service; 2) does not provide direct sales of services to customers; 3) does not include research work. Thus, the developed model can be applied in organizations providing sanatorium and resort treatment, taking into account the existing limitations.
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The aim of medical examination for toxins (for instance, alcohol, narcotic on so on) is a diagnostic an intoxication. However, there are a several legal and methodological complication which associated with urine/blood check-up by chemical and toxicological methods for drugs and/or psychotropic substances, new potentially dangerous psychoactive substances, intoxicants and chemicals that causes impairment of physical and mental health.
Medical reports, the algorithm for interpreting laboratory reports, validated chemical and toxicological check-up in urine/blood for psychotropic substances is proposed for drivers.
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The availability of drug therapy for post-stroke patients during outpatient treatment is an important aspect of ensuring the timeliness and quality of medical care. In this regard, this paper presents the results of assessing the physical and affordability of pharmacotherapy in patients who have suffered an ischemic stroke. The data obtained show a high level of physical availability of the studied medicinal resource, both in the regional (Kursk) and the Russian pharmaceutical market. At the same time, the price availability of the range of medications prescribed for rehabilitation and secondary prevention of stroke has a significant variation. A list of medicines has been established that have a very high cost in the pharmaceutical market of the country and, accordingly, low price availability for the population.
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Optimization of the activity of the pathology and anatomical department and standardization of pathology and anatomical studies is a priority task due to the high shortage of staffing, increased volume of work performed, the need to save consumables in conditions of limited financing of the industry.
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The methodological and practical foundations of forming a pharmacy’s manager managerial professionalism are presented. The relevance of research is substantiated, and the historical aspects of the origin of the institute of management in the context of managerial revolutions are analyzed.
The activity of a pharmacy’s manager as a significant participant in the socially significant activity of an organization providing pharmaceutical care is analyzed. The degree of the manager’s compliance with the requirements imposed on him is different. The qualitatively determined degrees of the manager’s compliance with the requirements of professional activity are the levels of his professionalism. Two levels of professionalism are defined: the level of solving managerial tasks, which are algorithmized activities, which a manager can solve using management technologies known to him; and the level of solving managerial, non-programmed problems, and the possibility of solving them using standard technologies is difficult.
The author emphasizes the need for a rational approach based on the allocation of meaningful parameters of the manager’s activity. It is proved that the competence approach is a methodological basis for designing the models of professionalism. The structure of the competence library for assessing the level of professionalism of the pharmacy’s manager is presented, including the clusters of competencies, the levels of competence development, and the indicators of behavior from ‘outstanding’ to ‘unsatisfactory’.
The author proposes the criteria for the level of a manager’s effectiveness, suitable for their expression in quantitative indicators, and the tools for organizational development, that is managerial and career competencies.
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The availability of medical care to the population at the inpatient and outpatient stages is one of the priorities of the activities of the domestic healthcare system. Treatment of patients with wounds, ulcers, wound infection requires the availability of a drug resource, including both auxiliary and specific drug therapy. A significant number of patients with skin pathologies turn to medical and pharmaceutical organizations. Their treatment is a complex and differentiated process depending on the nature and origin of the wound, as well as the individual characteristics of the victim's body. Currently, there are drugs for the treatment of this pathology on the domestic pharmaceutical market, but the most important for drug therapy for skin injuries is group D – dermatological drugs, which is represented by 21 international nonproprietary names and 283 trade names.
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The results of an epidemiological analysis of the incidence of meningococcal infection in the population of the Perm Region are presented. The analysis of the incidence of meningococcal infection taking into account the gender trait was carried out. The socio-age risk groups, the structure of clinical forms of meningococcal infection, serogroup characteristics of laboratory-confirmed cases, mortality from meningococcal infection were determined.
