STUDYING THE SOCIAL FUNCTION OF A PHARMACY IN A MULTILEVEL SYSTEM OF CITIZENS PREFERENTIAL MEDICATION PROVISION IN THE TYUMEN REGION
Authors: Bredneva N.D. , Firsenko N.P. , Putintseva A.S. , Onegina L.V. , Vaganov M.D. , Sharshina E.A. 
Published: March 2023

The purpose of the study: to study the activities of the pharmacy, a structural unit of JSC «Pharmacy» (Tyumen region) in terms of providing social pharmaceutical assistance to citizens. Materials and methods. The object of the study was the activities of Pharmacy No. 173, a structural unit of the joint-stock company «Pharmacy» in the Tyumen region, indicators of all areas of preferential medication provision for citizens, including a new direction for providing people who have had acute cardiovascular diseases, the amount of funds allocated from the budgets of all levels for the provision of medication care , data from the regional Register of Persons, volumes of dispensed medicines for the preferential category, the number of secured prescriptions, their average cost. The following methods were used in the study: situational-logi- cal, content analysis, structural, system, computer technologies. Results. The directed activity of the pharmacy of finished dosage forms to ensure the availability of drug assistance to privileged categories of citizens, its social significance, the indicators for the number of secured prescriptions, the volume of dispensing of preferential drugs, including those who have had acute cardiovascular diseases, have been studied. Pharmacy of finished dosage forms, which carries out pharmaceutical activities in the retail trade of medicines for medical use, storage, dispensing of medicines, performs an important social function in dispensing medicines by prescription for free or with a 50% discount from the cost, includ- ing state social assistance (34, 04% of the total volume of dispensing), medications as a measure of social support in the treatment of certain diseases (58.63%), expensive drugs for the treatment of 14 nosologies (2.92%), certain drugs for the treatment of people who have had acute heart vascular diseases (4.41%). To perform this function of drug supply, a specialized pharmacy department was organized, equipped with a software product for recording incoming prescriptions, including in electronic form, for creating registers of issued prescriptions, and recording the movement of preferential drugs. The activities are carried out by pharmacists, pharmacists - technologists trained in consulting on the provision of social assistance to certain categories of citizens To comply with the regulatory and legal regulation of the provision of this activity, the standard operating procedure (SOP) «Dispensing med- icines to preferential categories of citizens» is applied. The standard operating procedure describes the step-by-step procedure for dispensing medicines on prescriptions of medical professionals to citizens who are entitled to receive free or discounted medicines. Conclusion. It should be noted the undoubtedly significant role of the pharmacy, pharmaceutical workers in the system of providing benefits in the field of drug provision. The significant role is due to the need to have knowledge of the procedure for granting ben- efits, competencies to comply with the special rules for dispensing a certain list of medicines to various categories of beneficiaries, the ability to master modern technologies for recording secured prescriptions for subsidized medicines, interacting with medical organizations in the unified state health information system (USIS Health). The professional performance of these functions in the Tyumen region largely contributes to the stability of indicators characterizing preferential drug provision, and the recognition of the social function of the pharmacy in the implementation of pharmaceutical activities.