A COMPARATIVE ANALYSIS OF THE ASSORTMENT OF DIFFERENT MEDICATION GROUPS USED IN THE CENTRAL REGIONAL HOSPITAL OF THE MUNICIPAL REGION AND THE REGIONAL HOSPITAL OF THE FEDERAL STATE-OPERATED HEALTHCARE AGENCY “MEDICAL AND SANITARY CENTER-23” (FKUZ MSCH-23) OF THE FEDERAL PENITENTIARY SERVICE (FSIN) OF RUSSIA

Providing quality pharmaceutical care is a key task of healthcare; any medical organization must respond efficiently to a change in both external and internal factors that affect the medical support of patients. The aim of this study was to analyze the structure of medication consumption in comparable hospitals in the penitentiary and civilian healthcare systems. Materials and methods. The study was conducted on the basis of content analysis, documentary observation, ABC analysis, and comparison of performance indicators of medical organizations. Results and discussion. This study analyzed the assortment of commodity stocks of medications in the regional clinical hospital that is a part of the structure of FSIN and a typical central regional hospital (CRH). Using ABC analysis it was established that the Group A (the most costly) medications in the penitentiary medical organization consisted exclusively of anti-viral
drugs used for treating HIV-infected patients, which is 54.91% of the stock that are represented by 18 international non-proprietary medication names. In turn, Group A of the medication assortment of the State Budgetary Healthcare Organization of the Republic of Adygea (GBUZ RA) “Krasnogvardeiskaia CRH” consists of three pharmacological groups – plasma substitutes, cardiovascular medications, and antibiotics. On the basis of the obtained data, the study identified different groups of medications and studied their assortment based on international non-proprietary names
and medication forms that received preference either in the branch of Clinical Hospital-2 (KB-2) FKUZ MSCh-23 FSIN of Russia or GBUZ RA “Krasnogvardeiskaia CRH” (38 ATC groups in all). The first group consists of medications from the following 12 ATC groups (31.6%), the assortment of which can be found exclusively in the branch of “KB-2” FKUZ MSCh-23 of the Federal Penitentiary Service of Russia: antiretroviral, muscle relaxants, anticonvulsants, adaptogens, antidepressants) or significantly exceeds similar stocks in GBUZ RA “Krasnogvardeiskaia CRH”: anti-asthmatic agents (3 times), anti-fungal drugs (3 times), hormones except for insulin (2.2 times), respiratory regulators (2 times), non-steroidal anti-inflammatory drugs (1.7 times), medications regulating the gastrointestinal function (1.5 times), and antibacterial agents (1.4 times). The second group consists of medications of the following 9 ATC groups (23.7%) that are stocked only by GBUZ RA “Krasnogvardeiskaia CRH”: antifermental drugs, radiocontrast agents, chondroprotective and antiparasitic medications, and -- within a wider diapason of non-proprietary drugs and forms of manufacture – diuretics (5 times), antitubercular (3 times), antiviral with the exception of anti-HIV (2 times), spasmolytics (2 times), and hypertension drugs (1.5 times). It was determined that the main medical activity of medical organizations subordinate to FSIN of Russia, is aimed at treatment and prevention of complications of the most socially dangerous diseases – HIV/AIDS and tuberculosis – as well as therapy of the associated diseases. It was shown that pharmacists do not use methods of pharmacological-economic analysis in their work, and the medication needs of medical organizations are only 20% satisfied. Conclusion. The identified shortcomings attest to the need to develop and implement a more effective system for the formation of stockpiles in the pharmacies of the penitentiary
medical organization.

medication provision, ABC analysis, accessibility of medication care, penitentiary system

1. Ivanov VP. Partnerstvo gosudarstva i obshchestva v sisteme kompleksnoj reabilitacii i re- socializacii potrebitelej narkotikov [Partnership of the state and society in the system of complex rehabilitation and re-socialization of drug users]. Narcology. 2013;12:3-5. Russian.

2. Ob osnovnyh principah sozdaniya i funkcionirovaniya Nacional’noj sistemy kompleksnoj reabilitacii i resocializacii potrebitelej narkoticheskih sredstv i psihotropnyh veshchestv. Na voprosy zhurnala «Narkologiya» otvechaet rukovoditel’ Departamenta obespecheniya mezhvedomstvennogo vzaimodejstviya FSKN Rossii Ol’ga Mishina [«On the basic principles of creation and functioning of the National system of complex rehabilitation and resocialization of consumers of narcotic drugs and psychotropic substances. The head of the Interdepartmental Interaction Department of the FSKN of Russia Olga Mishina answers the questions of the journal]. Narcology. 2013;11: 3-5. Russian.

3. Maremmani I, Pani PP, Pacini M, Perugi G. Substance use and quality of life over 12 months among buprenorphine maintenance-treated and methadone maintenance-treated heroin-addicted patients [Internet]. J. Subst. Abuse Treat. 2007;33(1). [cited 2017 Jan 26].

4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17588494

5. Bochkarev BG, Kabakova TI. Analiz preemstvennosti v primenenii lekarstvennyh preparatov na razlichnyh ehtapah okazaniya medicinskoj pomoshchi [Analysis of continuity in the use of drugs at various stages of medical care]. Development, research and marketing of new pharmaceutical products: collection of papers. 2015;70:278-9. Russian.

6. Bochkarev BG, Kabakova TI. Analiz ispol’zovaniya lekarstvennyh preparatov na razlichnyh ehtapah okazaniya medicinskoj pomoshchi [Analysis of the use of drugs at various stages of medical care]. Modern problems of science and education [Internet]. 2014;2. [cited 2017 Jan 26]. Available from: https://science-education.ru/ru/article/view?id=12383. Russian.

7. Ob osnovah ohrany zdorov’ya grazhdan v Rossijskoj Federacii [Internet]: Federal’nyj zakon ot 21 noyab. 2011 g. – № 323-FZ. [On the fundamentals of protecting the health of citizens in the Russian Federation [Internet]: Federal Law of 21 November. 2011 – No. 323-FZ]. [cited 2017 Jan 26]. Available from: http://base.garant.ru/12191967/Russian.

8. Ob utverzhdenii kriteriev ocenki kachestva medicinskoj pomoshchi [Internet]: prikaz M-va zdravoohraneniya RF ot 7 iyulya 2015 g. - № 422n. [On the approval of criteria for assessing the quality of care [Internet]: the order of the Ministry of Health of the Russian Federation of July 7, 2015 – No. 422an.]. [cited 2017 Jan 26]. Available from: http://base.garant.ru/71162662/ Russian.

9. Datij AV. Problemy medicinskogo obespecheniya osuzhdennyh [Problems of medical support of convicts]. Personality in a Changing World: Health, Adaptation and Development [Internet]. 2014;1(4). [cited 2017 Jan 26]. Available from: http://cyberleninka.ru/viewer_images/16465378/f/1.png. Russian.

10. Lazebnik LB, Kuznecova NA, Gajnulina SM, Drozdov VN. Farmakoehkonomicheskoe obosnovanie moskovskoj modeli lekarstvennogo obespecheniya l’gotnyh kontingentov naseleniya [Pharmacoeconomic substantiation of the Moscow model of medicinal provision of preferential contingents of the population]. Economic bulletin of pharmacy. 2003;8:58-68. Russian.

11. Vaskova LB, Romantseva NV. K voprosu optimizacii upravleniya kachestvom lekarstvennoj pomoshchi v lechebno- profilakticheskih uchrezhdeniyah na osnove farmakoehkonomiki [On the issue of optimizing the management of the quality of medicinal care in treatment and prophylactic institutions on the basis of pharmacoeconomics]. Journal of pharmacy. 2012;1:5-16. Russian.

12. Osina NA. Udovletvorennost’ naseleniya farmacevticheskoj pomoshch’yu [Satisfaction of the population with pharmaceutical help]. Bulletin of medical Internet conferences. 2015;5(5):781. Russian.

13. Petruhina I. Orenburgskij puhovyj [Orenburg Downy]. Pharmaceutical Bulletin. 2011;17(633):8-11. Russian.

14. Stepanov AS, Matvienko RA, Sapozhnikov AA. Ocenka cenovyh izmenenij na farmacevticheskom rynke Dal’nego Vostoka [Evaluation of price changes in the pharmaceutical market of the Far East]. Remedium. 2010;2:42-4. Russian.

15. Smolina VA, Pashko OD. Dostupnost’ farmacevticheskoj pomoshchi naseleniyu Saratovskoj oblasti [Availability of pharmaceutical care for the population of the Saratov Region]. Bulletin of medical Internet conferences. 2013:3(12):1362-4. Russian.

16. Kabakova TI, Kalinin IV. Analiz osnovnyh problem lekarstvennoj pomoshchi VICH-infi cirovannym v ugolovno-ispolnitelnoj sisteme Krasnodarskogo kraya i Respubliki Adygeya [Analysis of the main problems associated with pharmaceutical care for HIV-infected in penitentiary system of the Krasnodar territory and Republic of Adygea]. Modern problems of science and education [Internet]. 2015;5. [cited 2017 Jan 26]. Available from: http://www.science-education.ru/ru/article/view?id=22889. Russian.

17. Doklad «O deyatel’nosti Upolnomochennogo po pravam cheloveka v Respublike Adygeya v 2013 godu». [Report on the activities of the Commissioner for Human Rights in the Republic of Adygea in 2013]. [Internet]. [cited 2017 Jan 26]. Available from: http://base.garant.ru/32362392/. Russian.

18. Ob organizacii i osushchestvlenii monitoringa assortimenta i cen na zhiznenno neobhodimye i vazhnejshie lekarstvennye preparaty: prikaz M-va zdravoohraneniya i social’nogo razvitiya Rossijskoj federacii ot 27 maya 2009 g. № 277n [On the organization and implementation of monitoring of assortment and prices for vital and essential medicines [Internet]: order of the Ministry of Health and Social Development of the Russian Federation of 27 May 2009 No. 277n]. [cited 2017 Jan 26]. Available from: http://base.garant.ru/4188416/. Russian.

19. Bondarenko AL, Tikhomolov EG, Shironina NL. Dinamika ehpidprocessa VICH-infekcii v Kirovskoj oblasti [Dynamics of epidemic process of HIV infection in the Kirov region]. Vyatka medical Bulletin. 2003;3. Russian.

20. Mor T, Bykov A, Savelli EH. Rukovodstvo po vnedreniyu programmy ocenki ispol’zovaniya lekarstvennyh sredstv v lechebnyh uchrezhdeniyah [Guidance on the introduction of a program for evaluating the use of medicines in health care settings]. Moscow: Arlington. 2 nd ed, 1997. 51 p. Russian.

21. Ziganshina LE, Galiullin NI, Safiullin RS, Yarkaeva FF, Galyautdinova AY. O vnedrenii i funkcionirovanii formulyarnoj sistemy lekarstvennogo obespecheniya v Respublike Tatarstan [On the Introduction and Functioning of the Formal System of Drug Supply in the Republic of Tatarstan]. Public Health and Healthcare. 2004;1:78–81. Russian.

22. Maev IV, Samsonov AA, Golubev NN. Lechenie infekcii Helicobacter pylori [Treatment of Helicobacter pylori infection]. Farmateka. 2012;2:11–7. Russian.

23. Metodicheskie rekomendacii po provedeniyu AVS, VEN i chastotnogo analiza potreblenie otdel’nymi kategoriyami grazhdan lekarstvennyh sredstv pri pomoshchi informacion- nyh sistem [Methodological recommendations on the conduct of FAA, VEN and frequency analysis of consumption by certain categories of citizens of medicines using information systems]. Moscow; 2007:22-8. Russian.