ANALYSIS OF THE SYSTEM OF PREFERENTIAL DRUG PROVISION FOR OUTPATIENT PATIENTS WITH CORONAVIRUS INFECTION IN THE REPUBLIC OF TATARSTAN

Abstract

Purpose. The article is devoted to the study of the organization of preferential drug provi- sion for outpatient patients with coronavirus infection in the Republic of Tatarstan and the analysis of the range of medicines dispensed under preferential prescrip- tions in pharmacies in Kazan. Methods. The initial data of the study were regulatory legal acts of the federal level, as well as those developed and approved by the Government and the Ministry of Health of the Republic of Tatarstan. The objects in this study were the primary accounting documents for the release of medicines under preferential prescriptions of large pharmacies of the state unitary enterprise «Medical Equipment and Pharmacy of Tatarstan» in Kazan – pharma- cies No. 1, 2, 3, 4 (conditional numbering) located in different administrative dis- tricts. Statistical and analytical analysis methods using Microsoft Excel were used for data processing. Results. The paper examines the interaction of structures and orders regulating the proce- dure for providing outpatient medical care, preferential drug provision to citizens. The analysis of medicines released under preferential prescriptions for 4 large pharmacies in Kazan was carried out. The most frequently prescribed medications by attached polyclinics in the period 2020-2022 were studied.; the structure of medicines purchased and released to pharmacies during the specified period ac- cording to the criteria: source of financing (federal, regional budget), as well as the organization of the competitive procurement system by source of financing, indi- cating the authorized representative for the organization of the competition (the organizers were the Ministry of Health of the Republic of Tatarstan, the Ministry of Health of the Russian Federation, which purchased medicines at the expense of the federal budget budget, and the purchase of medicines from the regional bud- get was carried out by the Ministry of Health of the Republic of Tatarstan). The total number of prescriptions dispensed, the amount and the average cost of 1 prescrip- tion were selectively analyzed. Conclusion. The study showed that in a short time the country has done a lot of work to overcome the pandemic of coronavirus infection: Temporary methodological rec- ommendations of the Ministry of Health of the Russian Federation “Prevention, diagnosis and treatment of new coronavirus infection (COVID-19)” have been de- veloped, as well as an algorithm for preferential drug provision for outpatient pa- tients with coronavirus infection and interaction with medical organizations that timely, in the course of changing the situation with coronavirus infection, they were rebuilt to solve the task. A retrospective analysis of the system of preferential drug provision for patients with coronavirus infection showed that the healthcare system has gained a lot of experience in creating an algorithm to combat a sudden pandemic, mobility of response to a changing situation, which allowed us to work out effective approaches to providing medicines to the population in the condi- tions of a pandemic and that the experience gained will certainly be used in the future.