ORGANIZATION OF PHARMACEUTICAL CARE IN UKRAINE: REALITIES OF EXTEMPORAL MEDICINES PRODUCTION

• Main Authors: О. S. Samborskyi, О. М. Ievtushenko, N. N. Slobodyanyuk
• Format: Article
• Language: English
• Published: Ukrmedknyha Publishing House 2017-12-01
• Series: Фармацевтичний часопис
• Subjects: фармація; лікарські засоби; екстемпоральне виготовлення; Україна.
• Online Access: https://ojs.tdmu.edu.ua/index.php/pharm-chas/article/view/8337

The aim of the work: the analysis of the extemporal manufacturing of medicines in Ukraine and the study of possible ways of further development of this type of pharmaceutical care. Statistic materials of the Ministry of Health of Ukraine and other organizations, home and foreign pharmacies sites, publications served as an informational basis of investigations. Materials and Methods. We used general scientific and special methods: system analysis, historical, analytical, marketing research, cluster analysis. Results and Discussion. The assortment of production pharmacies of various regions of Ukraine has been analyzed. The data obtained indicate that the most common groups for extemporal production are medicines for use in: allergology, dermatology, pediatrics, dentistry, ophthalmology, proctology, neurology, flu and ARVI treatment, electrophoresis, and analgesic ointments. The analysis of the regions of Ukraine on the availability of production pharmacies indicates their significant reduction − the share of production pharmacies in the regions does not exceed 3.8 % of the total number of pharmacies. It should be noted that in some regions the production practice in pharmacies is almost completely reduced to a minimum − the number of production pharmacies does not exceed 1 % in Vinnytsia, Donetsk, Kirovohrad, Luhansk, Poltava and Zakarpattia regions. One of the stages of the research is cluster analysis, which allows distributing the regions of Ukraine according to level of supply with production pharmacies and incidence rates. Conclusions. The assortment of the extemporal medicines of Ukrainian pharmacies has been characterized from the point of view of pharmacological orientation of medicines as well as the dosage forms. The analysis of territorial density of production pharmacies has been carried out. It has been noted a low availability of extemporal formulations in rural areas, where today there are 21 pharmacies, which makes 5.9 % of the total number of all manufacturing pharmacies in Ukraine. Clustering of the regions has been carried out, which allowed showing the mutual influence of the level of territorial density of pharmacies (including production) and morbidity indicators.