The analysis of dynamics of physical accessibility of pharmaceutical aid in Ukraine
DOI:
https://doi.org/10.26641/2307-0404.2024.1.301254Keywords:
pharmaceutical aid, physical accessibility, pharmacies, medicines compounding, pandemic, martial lawAbstract
The level of development of the country's health care system can be assessed in different ways, in particular by the level of pharmaceutical aid provision to the population. The quality of pharmaceutical aid for the population depends on many factors, including physical accessibility and the number of pharmacies located in a certain area. The aim of the work was to study the dynamics of changes in the physical accessibility of pharmaceutical aid provision for the population and changes in the number of pharmacies in Ukraine during 2017–2022. Annual reports of the State Service of Ukraine for medicinal products and drug control, regarding licensees in the field of economic activity in the production of medicines, wholesale and retail trade of medicinal products, circulation of drugs have been used for the analysis of dynamics. It was established that the pandemic of the coronavirus disease, which was caused by the SARS-CoV-2 (COVID-19) coronavirus, and the full-scale invasion of the Russian Federation had a significant impact on the development of the pharmaceutical market in Ukraine according to the results of the study. There is a general tendency to decrease the number of economic entities conducting their activities in the retail trade of medicines, while simultaneous increasing the places of activity, which may indicate the globalization of the pharmaceutical market. However, it can also cause a reduction in the quality of the competitive environment and limit the choice of pharmaceutical aid providers by patients. Thus, in the studied period, the number of economic entities decreased by more than 1,400. The number of pharmaceutical establishments engaged in the compounding of medicinal products also decreased significantly, by 23.5%. The total number of economic entities engaged in activities related to the circulation of narcotic drugs, psychotropic substances and precursors also decreased significantly, which definitely worsened the physical availability of this group of drugs.
References
Tharumia JC, Wirtz VJ. Geographical accessi¬bility of medicines: a systematic literature review of pharmacy mapping. J Pharm Policy Pract [Internet]. 2021 [cited 2023 Jun 06];14(1):28. doi: https://doi.org/10.1186/s40545-020-00291-7
Oliinyk RV, Chukhray IL, Oliinyk SR. [Pharmaceutical provision of the population under martial law: analysis and prospects]. Farmatsevtychnyi chasopys. 2023;3:1-7. Ukrainian. doi: https://doi.org/10.11603/2312-0967.2022.3.13468
Svitovyi O. [Some aspects of the functioning of the pharmaceutical market of Ukraine]. Ekonomika ta suspilstvo [Internet]. 2023 [cited 2023 Jun 06];47. Ukrainian. doi: https://doi.org/10.32782/2524-0072/2023-47-80
Sallami Z, Kassim Y, Selvaraj J, Parry E, Winter G. Impact of the armed conflict of 2015-2016 in Aden on health services and the availability of medicines. Health [Internet]. 2017 [cited 2023 Jun 01];09(04):685-96. doi: https://doi.org/10.4236/health.2017.94049
Khanyk N, Hromovyk B, Levytska O, Agh T, Wettermark B, Kardas P. The impact of the war on maintenance of long-term therapies in Ukraine. Front Pharmacol. 2022 Nov 24;13:1024046. doi: https://doi.org/10.3389/fphar.2022.1024046
Disruption of access to medicines and medical devices in Ukraine: February–June 2022. World Health Organization [Internet]. 2022[cited 2023 May 16]. Available from: https://www.who.int/europe/publications/i/item/WHO-EURO-2022-6873-46639-67795
Bellamy K, Ostini R, Martini N, Kairuz T. Access to medication and pharmacy services for resettled refugees: a systematic review. Aust J Prim Health [Internet]. 2015 [cited 2023 Jun 26];21(3):273. doi: https://doi.org/10.1071/PY14121
El Arnaout N, Rutherford S, Zreik T, Nabulsi D, Yassin N, Saleh S. Assessment of the health needs of Sy-rian refugees in Lebanon and Syria’s neighboring coun-tries. Confl Health. 2019;13(1):31. doi: https://doi.org/10.1186/s13031-019-0211-3
Steenkamp C, Wazaify M. The impact of violent conflict on pharmacy practice in the Middle East. Popul Med. 2023;5(Suppl):А1683. doi: https://doi.org/10.18332/popmed/165364
Alhamad H, Abu‐Farha RK, Albahar F, Jaber D. Public perceptions about pharmacists’ role in prescribing, pro¬viding education and delivering medications during COVID‐19 pandemic era. Int J Clin Pract. 2021 Apr;75(4):e13890. doi: https://doi.org/10.1111/ijcp.13890
Farrell B, Tsuyuki RT. Pharmacists step up to the challenge of COVID-19. Can Pharm J Rev Pharm Can [Internet]. 2020 [cited 2023 Jun 05];153(4):185. doi: https://doi.org/10.1177/1715163520930705
Parkhurst C, Singh Purewal G, Donyai P. Com-munity pharmacy and COVID-19-the unsung heroes on our high streets. J Patient Exp [Internet]. 2020 [cited 2023 May 31];7(3):282-4. doi: https://doi.org/10.1177/2374373520927638
[Report on the results of the State Service of Ukraine for medicinal products and drug control in 2022]. [Internet]. 2023 [cited 2023 May 08]. Ukrainian. Available from: https://www.dls.gov.ua/wp-content/uploads/2023/02/%D0%9F%D1%83%D0%B1%D0%BB%D1%96%D1%87%D0%BD%D0%B8%D0%B9-%D0%B7%D0%B2%D1%96%D1%82-%D0%93%D0%BE%D0%BB%D0%BE%D0%B2%D0%B8-%D0%B7%D0%B0-2022.pdf
[Report on the results of the activities of the State Service of Ukraine for medicinal products and drug control in 2021]. [Internet]. 2022 [cited 2023 May 02]. Ukrainian. Available from: https://www.dls.gov.ua/wp-content/uploads/2023/02/%D0%9F%D1%83%D0%B1%D0%BB%D1%96%D1%87%D0%BD%D0%B8%D0%B9-%D0%B7%D0%B2%D1%96%D1%82-%D0%93%D0%BE%D0%BB%D0%BE%D0%B2%D0%B8-%D0%94%D0%B5%D1%80%D0%B6%D0%BB%D1%96%D0%BA%D1%81%D0%BB%D1%83%D0%B6%D0%B1%D0%B8-%D0%B7%D0%B0-2021.pdf
[Report on the results of the activities of the State Service of Ukraine for medicinal products and drug control in 2020]. [Internet]. 2021 [cited 2023 May 14]. Ukrainian. Available from: https://www.dls.gov.ua/for_subject/%D0%B7%D0%B2%D1%96%D1%82-%D0%BF%D1%80%D0%BE-%D0%BF%D1%96%D0%B4%D1%81%D1%83%D0%BC%D0%BA%D0%B8-%D0%B4%D1%96%D1%8F%D0%BB%D1%8C%D0%BD%D0%BE%D1%81%D1%82%D1%96-%D1%83-2020-%D1%80%D0%BE%D1%86%D1%96/
[Report on the results of the activities of the State Service of Ukraine for medicinal products and drug control in 2019]. [Internet]. 2020 [cited 2023 May 07]. Ukrainian. Available from: https://www.dls.gov.ua/wp-content/uploads/2020/02/%D0%97%D0%B2%D1%96%D1%82-%D0%B7%D0%B0-2019-%D1%84%D1%96%D0%BD%D0%B0%D0%BB-6.pdf
[Report on the results of the activities of the State Service of Ukraine for medicinal products and drug control in 2018]. [Internet]. 2019 [cited 2023 May 12]. Ukrainian. Available from: https://www.dls.gov.ua/activity_results/%D0%B7%D0%B2%D1%96%D1%82-%D0%BF%D1%80%D0%BE-%D0%BF%D1%96%D0%B4%D1%81%D1%83%D0%BC%D0%BA%D0%B8-%D0%B4%D1%96%D1%8F%D0%BB%D1%8C%D0%BD%D0%BE%D1%81%D1%82%D1%96-%D0%B4%D0%B5%D1%80%D0%B6%D0%B0%D0%B2%D0%BD/
[Report on the results of the activities of the State Service of Ukraine for medicinal products and drug control in 2017]. [Internet]. 2018 [cited 2023 May 12]. Ukrainian. Available from: https://www.dls.gov.ua/wp-content/uploads/2018/10/%D0%97%D0%B2%D1%96%D1%82.pdf
Hovorukha VB, Tkachova OK. [Mathematical methods and forecasting models in the field of foreign economic activity]. Pytannia prykladnoi matematyky i matematychnoho modeliuvannia [Internet]. 2017 [cited 2023 Jun 11];17:54-61. Ukrainian. Available from: https://pm-mm.dp.ua/index.php/pmmm/article/view/196
Nemchenko AS, Tsarova KO, Khomenko VM. [Analysis of the current state and problems of phar-maceutical drug manufacturing in Ukraine]. Farmatsevtychnyi chasopys [Internet]. 2020 [cited 2023 Jun 01];75(3):29-38. Ukrainian. Available from: https://pharmj.org.ua/index.php/journal/article/view/880
Compounding Pharmacies Industry in the US – Market Research Report [Internet]. 2022 [cited 2023 Jun 06]. Available from: https://www.ibisworld.com/united-states/market-research-reports/compounding-pharmacies-industry.
Schwaabe S. The European pharmacy market: the density and its influencing factors. Eur J Public Health [In¬ternet]. 2022 [cited 2023 Jun 04];32(Suppl 3): ckac131.027. doi: https://doi.org/10.1093/eurpub/ckac131.027
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Medicni perspektivi
This work is licensed under a Creative Commons Attribution 4.0 International License.
Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.
Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.
