Organizational, legal, medical and pharmaceutical approaches to optimization of medicines’ circulation for hypertonia treatment in countryside areas

Authors

  • V Shapovalova Kharkov Medical Postgraduate Academy,
  • N Khmelevsky Kharkiv State Administration, Departament of Healthcare,
  • V Shapovalov Kharkiv State Administration, Departament of Healthcare,

Keywords:

countryside area, pharmacies, circulation, medicines, drugs, hypertonia, forensic pharmacy, pharmaceutical law, medical law

Abstract

Introduction. Parliaments of both Ukraine and the EU have ratified Association Agreement (hereinafter – Agreement), a comprehensive document which envisages bringing all areas of the law of our country in line with European Union norms. Therefore, chapter 22 of the Agreement "Public Health" gave attention as one of the most important areas of implementation. That is, the need for introduction in Ukraine of the approach, called "Health in all policy areas” provides consider of the interests of public healthcare in approving of political solutions in any area of the state activities. The organizational, medical and pharmaceutical approaches to optimization of the medicines’ circulation is the improvement of the legal system of regulation of prescription and OTC medicines (drugs), determination of the circulation of drugs of different classification and legal groups, assigning drugs to one of nomenclature and legal groups (prescription or non-prescription).Materials and methods. Forensic and pharmaceutical researches conducted in countryside areas at the regional level on example of the Kharkiv region based on 54 communal health institutions (CHI). Materials of the research: legal framework for the organization of pharmacy of the CHI; forensic and pharmaceutical practice for the period of 2012-2015 concerning the provision with the medicines of all legal, nomenclature and classification groups for the pharmacotherapy of hypertension in the village. In conducting the research, we used the following methods: legal, documentary, comparative analysis, forensic and pharmaceutical monitoring.Results and discussion. According to the Statement of the Cabinet of Ministers of Ukraine from 17.08.1998 N1303 was sorted the procedure of the concessional dispensing of the drugs (for free or at 50% discount). The procedure applies to certain categories of the population and some diseases for which benefits established by applicable law. Despite the potential of this mechanism, it does not work within the budget funding. Thanks to the work of the Department on the final stage of the pilot project during the circulation of drugs and their reimbursement attracted 575 pharmacies of different ownership forms and 1253 pharmacy points, whose work is in the village carried out by medical points, general practice and family medicine. The conducted monitoring shows us that during the pilot project 72 doctors of the CHI issued more than 265.2 thousand recipes. Hypertension drugs at discount prices began to sell from pharmacies of Ukraine from 01.08.2012. Drugs released by prescription, which could only write some doctors, family doctor, cardiologist, internist and neurologist. To control this process created a single electronic register of doctors and patients. Reimbursement cost of drugs for the treatment of essential hypertension conducted from the state budget. During the implementation of these measures was made following. Order from 23.05.2012 N331 "On creation of working groups” Department organized a telephone hotline (057)705-10-64 for providing citizens, patients, most doctors, physicians, pharmacists and others with advices on the introduction and implementation of pilot projects involving scientific department of medical and pharmaceutical law, general and clinical pharmacy of the Kharkiv Medical Academy of Postgraduate Education. Order of the Department of Healthcare of Kharkiv Regional State Administration from 10.09.2014 N560 "On approval of the register of pharmacies" approved list of pharmacies and their departments participating in the pilot project, which has 576 outlets realization of drugs.Conclusions. Proposed the organizational, legal, medical and pharmaceutical approaches to optimization of medicines’ circulation for the treatment of hypertonia in countryside areas. Studied the existing legislative and regulatory framework of Ukraine on providing ofor concessional patients with hypertension drugs. Analyzed forensic and pharmaceutical risks that cause problems in access for the patients to needed medicines. Studied the example of forensic and pharmaceutical practice of imperfections in pilot project among the countryside population. Studied the system of interaction between specialists of medicine, pharmacy, state government and other industries in the area of public access to essential medicines. A review of the pilot project of reimbursement of the cost of antihypertensive medications features in the Kharkiv region, the consequences of this project for patients and healthcare of Ukraine and Kharkiv region.

References

Kolyada V.V. Improving of the organizational and legal system of regulation of the circulation of prescription and OTC drugs: PhD of pharmaceutical sciences thesis: 15.00.01 / V.V. Kolyada; Nat. ph. univ. - Kh., 2007. - 20 p.: fig. – ukr.

Vasina Yu.V. Organizational researches of the forensic pharmacy concerning counteraction of youth drug addiction with psychoactive substances .// PhD of pharmaceutical sciences thesis. Specialty: 15.00.01 - "Technology of drugs, organization of pharmacy and forensic pharmacy" - Kh., 2009.– 23 p.

Shapovalov V.V. The current state of provision with drugs for patients in countryside areas: analysis of complaints based on medical and pharmaceutical law / V.V. Shapovalov, V.A. Shapovalova, N.A. Khmelevsky // Collection of the scientific papers SWorld.– 2013.– T. 48.– P. 5-7.

Pharmaceutical law in the state system of minimizing of forensic and pharmaceutical risks during the circulation of drugs in countryside areas / A.V Galatsan, V.A. Shapovalova, V.V. Shapovalov, N.M. Khmelevsky // Ukrainian journal of neuropsychiatry. - 2013 - Vol 21, no. 2. - P. 96-101.

Shapovalova V.A. Forensic and pharmaceutical study of the factors of suspension of license activities during the medicines circulation in countryside areas / V.A. Shapovalova, V.V. Shapovalov, N.M. Khmelevsky // Pharmaceutical journal. - 2013. №3.– P. 35-42.

Shapovalova V.A., Shapovalov V.V., N.M. Khalin etc. Pharmaceutical legislation. - Kh., 2010. - 142 p.

Pharmaceutical and medical law of Ukraine (pharmaceutical and medical law, forensic pharmacy, evidence pharmacy): materials of IX Intern. scient. and practical. conf. (nov. 16th. 2012, Kharkiv) / Ed. A.V. Galatsan, V.V. Shapovalov, V.V. Shapovalov (Jr.), V.A. Shapovalova. - Kh., 2012. - 248 p.

Pharmaceutical and medical law: study book (Series: Pharmaceutical law) / V.V. Shapovalov, V.V. Shapovalov (Jr.), V.A. Shapovalova; ed. V.A. Shapovalova. - [1st ed.]. - Kh .: Publishing House "Scorpio", 2011. - 208 p.

The criminal code of Ukraine // Bulletin of the Verkhovna Rada of Ukraine. - 2001. - №25-26. - Art. 131.

Cardiovascular diseases (CVDs) / Fact sheet N317. Updated January 2015 // Official website of the WHO, 12.22.2015. [Electronic resource]. - Access: http://www.who.int/mediacentre/factsheets/fs317/en/

Statement of the Cabinet of Ministers of Ukraine from 17.08.1998 N1303 "On regulation of free and concessional dispensing of the medicines prescribed by doctors in the case of outpatient treatment of certain groups and certain categories of diseases" // Official Bulletin of Ukraine. – 09.03.1998.- N33. - P. 61.

Forensic and pharmaceutical study of the violations in the circulation of controlled drugs in healthcare facilities in countryside areas / Yu.V. Vasina, V.V. Shapovalov, V.A. Shapovalova, N.M. Khmelevsky // Collection of the scientific works Sworld. - Ivanovo: Markova AD, 2014. - ISSN 2224-0187. - Vol 30, Vol. 3 (36). - P. 59-70.

Comparative analysis of the organization of pharmaceutical assistance in Russia, Ukraine and Byelorussia in provision of preferential categories of population / V.V. Shapovalov (Jr.), V.V. Shapovalov, V.A. Shapovalova, O.V. Rohozhnykova // Scientific gazette of the Belgorod state university. - 2015. - № 10 (207), Vol. 30. - P. 226-238

Shapovalov V.V. Forensic and pharmaceutical study of the crimes related to illegal circulation of narcotic substance cocaine (criminalistics principles) [electronic resource] / V.V. Shapovalov // Theory and practice of law. - 2013 - Vol. 13. - P. 1-14. - Access to document: http://nauka.jur-akademy.kharkov.ua.

Regional form of the medicines of Kharkiv region on the principles of medical and pharmaceutical law (Series: Medical and Pharmaceutical Law) / I.M. Shurma, A.V. Galatsan, V.A. Shapovalova, V.V. Shapovalov (Jr.), V.V. Shapovalov, O.O. Ryschenko, S.M. Negretsky, N.G. Malinina, Yu.V. Vasina, L.M. Irza, G.M. Siroshtan, N.A. Khmelevsky, E.V. Suprun. - Vol. fourth. - Factor Kh .:, 2012. - 410 p.

Forensic and pharmaceutical risks: improper performance of professional duties of medical or pharmaceutical employees, which prevents preferential provision of medicines to contingent based on pharmaceutical law [electronic resource] / V.V. Shapovalov (Jr.), V.V. Shapovalov, V.A. Shapovalova, O.V. Rohozhnikova // Theory and practice of law. - 2014 - Vol. 2 (6). - ISSN 2225-6555. - P. 1-19. - Access: http: //nauka.jur-academy.kharkov.ua/download/el_zbirnik/2.2014/34.pdf

The pilot project completed, in 2015 funds for its implementation are not provided / website Apteka.ua 01/26/2015 [electronic resource]. - Access: http://www.apteka.ua/article/320899.

Netyazhenko V.Z. Pilot project to introduce the state regulation of prices for medicines to treat people with hypertonia in 2014 / Netyazhenko V.Z. // Ukrainian journal of neuropsychiatry. - 2014 – Vol. 22, no. 2 (79), the addition of 2014 - P. 321-331.

Organizational and legal particularities of a pilot project to improve the state system of medical drugs provision for treating of hypertensive patients based on medical and pharmaceutical law: method. recom. / I.M. Shurma, A.V. Galatsan, V.V. Shapovalov, V.A. Shapovalova, V.V. Shapovalov (Jr.), Yu.V. Vasina, D.O. Agapov, O.T. Razmadze, A.V. Sevryukov, A.I. Rumyantsev, N.A. Khmelevsky, A.V. Pivovarov. - Kharkov: Factor, 2012. - 154 p.

Ponomarenko M.S. Pharmaceutical law: legislative, regulatory and ethical regulation of advertising of medicines and near-pharmaceutical products on media / M.S. Ponomarenko, G.V. Zagoriy // Ukrainian journal of neuropsychiatry. - 2011. - Vol 19, no. 2 (67), the addition of 2011 - P. 84-85.

Tolochko V.M. Determining the nature and terms of content of adaptation and adaptive management of the personnel in pharmacies / V.M. Tolochko, T.O. Artyukh, N.V. Zarichkova // Ukrainian journal of neuropsychiatry. - 2014 - Vol 22, no. 2 (79), the addition of 2014 - P. 263-267.

Mnushko Z.M. Pharmaceutical law: the role and place of the trademark in the system of intellectual property of pharmaceutical company / Z.M. Mnushko, I.V. Timanyuk // Ukrainian journal of neuropsychiatry. - 2011. - Vol 19, no. 2 (67), the addition of 2011 - P. 115-116.

Volokh D.S. The integration of the pharmaceutical industry of Ukraine to the standards of the pharmaceutical industry of the European Union based on Ukrainian pharmaceutical law // Ukrainian journal of neuropsychiatry. - 2011. - Vol 19, no. 2 (67), the addition of 2011 - S. 44.

The system of state provision with medicines: why to invent the bicycle? / Website Apteka.ua 12/01/2015 [electronic resource]. - Access: http://www.apteka.ua/article/317824

More than 150,000 of hypertensives in the Kharkiv region last year were able to buy drugs at a discounted price / Official site of Kharkiv regional state administration 01/23/2015 [electronic resource]. - Access: http://kharkivoda.gov.ua/uk/news/print/id/24730

Siroshtan G.M. Forensic pharmacy: study the problem of counteracting of tuberculosis among drug addicts // Ukrainian journal of neuropsychiatry. - 2011. - Vol 19, no. 2 (67), the addition of 2011 - P. 40-41.

Downloads

How to Cite

Shapovalova, V., Khmelevsky, N., & Shapovalov, V. (2020). Organizational, legal, medical and pharmaceutical approaches to optimization of medicines’ circulation for hypertonia treatment in countryside areas. Annals of Mechnikov’s Institute, (2), 75–85. Retrieved from https://journals.uran.ua/ami/article/view/191353

Issue

Section

Research Articles