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Рецепт. 2018; : 455-465

Формулярная система в военном здравоохранении как инструмент повышения эффективности медикаментозного обеспечения

Шматенко А. П., Белозёрова О. В., Соломенный А. Н., Кожокару А. А.

Аннотация

Нормативно-правовой основой по вопросам медикаментозного обеспечения военно-служащих в военном здравоохранении является формулярная система, которая призвана решать вопросы повышения эффективности фармакотерапии лиц с различными заболеваниями путем объективизации и рационализации процесса выбора необходимых лекарственных средств (ЛС) с учетом принципов доказательной медицины. В статье проведен анализ формулярных перечней ЛС, разрешенных к применению в военно-медицинской службе в динамике и в целом оценена роль формулярной системы в системе военного здравоохранения Украины. Доказана значимость комплексного изучения и динамического просмотра формулярных перечней ЛС для обеспечения нужд военных госпиталей.

Список литературы

1. Departament zdravookhraneniya Ministerstva oborony Ukrainy (2006) Poryadok otbora lekarstvennykh sredstv dlya nuzhd lechebnykh uchrezhdeniy Ministerstva oborony Ukrainy: Metodicheskiye rekomendatsii [The procedure for selecting medicines for the needs of medical institutions of the Ministry of Defense of Ukraine], Kiev, 24 p.

2. Golub A., Khomutetskaya N., Pritula R., Trokhimchuk V., Strashnyy V. (2004) Sovremennyye podkhody k ratsional’nomu ispol’zovaniyu lekarstvennykh sredstv v usloviyakh voyennykh lechebnykh uchrezhdeniy: Uchebnoye posobiye [Modern Approaches to Rational Use of Medicines in the Conditions of Military Medical Institutions], Kiev: UVMA, 45 p.

3. Belevitin A., Miroshnichenko YU., Goryachev A., Bunin S., Krasavin K. (2010) Teoreticheskiye i prikladnyye aspekty primeneniya formulyarnoy sistemy v voyennom zdravookhranenii [Theoretical and applied aspects of the application of the formulary system in military health care]. Voyenno-meditsinskiy zhurnal, vol. 331, no 8, pp. 4-10.

4. Miroshnichenko YU., Bunin S., Golubenko R., Ivchenko Ye., Goryachev A., Kononov V. (2014) Itogi i perspektivy nauchnogo soprovozhdeniya sovershenstvovaniya sistemy meditsinskogo snabzheniya voysk (sil) [Results and prospects of scientific support for the improvement of the medical supply of troops (forces)]. Vestnik Rossiyskoy voyenno-meditsinskoy akademii, vol. 2, no 46, pp. 248-256.

5. Draft Resolution of the CMU "On the Approval of the National Policy on Providing Medicines for the Period until 2025" [Electronic resource]. Available at: http://www.apteka.ua/article/392076

6. Baloven’ I., Zhad’ko S. (2016) Analiz terminologii i opredeleniya sostavlyayushchikh protsessa ratsional’nogo ispol’zovaniya lekarstvennykh sredstv v Ukraine [Analysis of terminology and definition of the components of the rational use of medicines in Ukraine]. Farmatsevticheskiy zhurnal, no 6, pp. 15-21.

7. Nemchenko A., Kotvitskaya A., Surikov A. (2005) Osnovnyye printsipy vozdeystviya na vypisku i ratsional’noye ispol’zovaniye lekarstvennykh sredstv v sootvetstvii so standartami GPP [Basic principles of influence on discharge and rational use of medicines in accordance with GPP standards]. Farmatsevticheskiy zhurnal, no 4, pp. 22-28.

8. Kabachnaya A., Kabachnyy A., Shelkova Ye., Rogova A. (2011) Vnedreniye formulyarnoy sistemy v praktiku raboty lechebno-profilakticheskikh uchrezhdeniy. Soobshcheniye I [Implementation of the formulary system in the practice of the work of medical and preventive institutions. Message I]. Farmatsevticheskiy zhurnal, no 4, pp. 3-9.

9. Nemchenko A., Panfilova G. (2008) Metodologiya formirovaniya formulyarov i strakhovykh perechney lekarstvennykh sredstv v usloviyakh realizatsii printsipov natsional’noy lekarstvennoy (farmatsevticheskoy) politiki [Methodology of formulating and insurance lists of medicines in conditions of implementing the principles of national drug (pharmaceutical) policy]. Farmatsevticheskiy zhurnal, no 3, pp. 16-21.

10. Zalesskaya A., Parnovskiy B. (2005) Obosnovaniye napravleniy ispol’zovaniya farmakoekonomiki v zdravookhranenii i dlya podgotovki provizorov v Ukraine [The rationale for the use of pharmacoeconomics in public health and for the preparation of pharmacists in Ukraine]. Farmatsevticheskiy zhurnal, no 4, pp. 10-12.

11. Nemchenko A., Panfilova G. (2005) Metodologiya farmakoekonomicheskikh issledovaniy effektivnosti farmatsevticheskoy pomoshchi, okazyvayemoy naseleniyu [Methodology of pharmacoeconomic studies of the effectiveness of pharmaceutical care provided to the population]. Farmatsevticheskiy zhurnal, no 4, pp. 22-28.

12. Morozov A., Yakovleva L., Bezditko N. (2012) Metodicheskiye rekomendatsii po otsenke klinicheskoy i ekonomicheskoy tselesoobraznosti ispol’zovaniya lekarstvennykh sredstv v lechebno- profilakticheskom uchrezhdenii (soprovozhdeniye formulyarnoy sistemy) [Methodological recommendations on the evaluation of the clinical and economic feasibility of the use of medicines in a medical and preventive institution (escort of a formulary system)], Khar’kov: NFaU, 59 p.

13. Blikhar V. (2014) Razvitiye i perspektivy zakonodatel’nogo obespecheniya ratsional’nogo ispol’zovaniya lekarstvennykh sredstv v Ukraine [Development and Prospects of Legislative Provision of Rational Use of Medicines in Ukraine]. Vestn. sotsial’noy gigiyeny i organizatsii zdravookhraneniya Ukrainy, no 1 (59), pp. 64-68.

14. Belevitin A. (2010) Teoreticheskiye i prikladnyye aspekty primeneniya formulyarnoy sistemy v voyennom zdravookhranenii [Theoretical and applied aspects of the application of the formulary system in military health care]. Voyenno-meditsinskiy zhurnal, no 8, pp. 4-10.

15. Shcherba M., Miroshnichenko YU. (2016) Analiz zatrat na protivodiabeticheskiye lekarstvennyye preparaty pri okazanii meditsinskoy pomoshchi prikreplennym k voyenno-meditsinskim organizatsiyam patsiyentam s sakharnym diabetom v ambulatornykh usloviyakh [Analysis of the costs of antidiabetic drugs in the provision of medical assistance attached to military medical organizations for patients with diabetes mellitus in outpatient settings]. Farmakoekonomika: teoriya i praktika, vol. 4, no 1, p. 224.

16. O sozdanii formulyarnoy sistemy obespecheniya lekarstvennymi sredstvami uchrezhdeniy zdravookhraneniya [Elektronnyy resurs]: prikaz MZ Ukrainy. Available at: http://moz.gov.ua/ua/ portal/dn_20090722_529.html.

17. Miroshnichenko Yu. (2014) Perspektivy razvitiya farmatsevticheskoy nauki i praktiki v voyennom zdravookhranenii [Perspectives of development of pharmaceutical science and practice in military healthcare]. Voyenno-meditsinskiy zhurnal, no 3, pp. 91-93.

18. The formulary list is proposed for use in the military medical service of the Ministry of Defense of Ukraine in 2017, approved by the order of the Director of the Military Medical Department of the Ministry of Defense of Ukraine from 07.11.2016 № 127.

19. The formulary list is proposed for use in the military medical service of the Ministry of Defense of Ukraine in 2018, approved by the order of the Director of the Military Medical Department of the Ministry of Defense of Ukraine from 27.10.2017 № 120.

20. Gromoverzhets B., Gasyuk D., Levitskaya A. (2005) Proyektirovaniye resheniy po upravleniyu assortimentom lekarstvennykh sredstv s pomoshch’yu integrirovannogo ABC i XYZ-analiza [Designing solutions for managing the assortment of medicines using integrated ABC and XYZ analysis]. Farmatsevticheskiy zhurnal, no 1, pp. 10-15.

21. Gushchenko V., Miroshnichenko YU., Goryachev A. (2006) Metodologicheskiye aspekty sovershenstvovaniya sistemy meditsinskogo snabzheniya Vooruzhennykh Sil [Methodological aspects of improving the medical supply system of the Armed Forces]. Voyenno-meditsinskiy zhurnal, no 3, pp. 4-6.

22. Yakovleva L., Gerasimova A., Bezditkota N. (2015) Formulyarnaya sistema i standarty lecheniya: Ucheb. posobiye [Formulary system and standards of treatment]. M.: NFaU, 133 p.

23. Krichkovs’ka A., Novikov V., Levitskaya A., Gasyuk D. (2008) Metodika analiza formulyarnogo spiska i sozdaniye na ikh osnove perechnya strakhovykh lekarstvennykh sredstv Informatsionnoye pis’mo o novovvedeniyakh v sisteme zdravookhraneniya № 74-08 [Methodology for the analysis of the formulary list and creation on the basis of the list of insurance medicines], K.: Ukrmedpatentinform, 3 p.

24. Miroshnichenko Yu., Golubenko R., Goryachev A., Klochkova I. (2014) Formulyarnaya sistema kak instrument sovershenstvovaniya lekarstvennoy pomoshchi v voyennom zdravookhranenii [Formulary system as a tool for improving medicinal care in military health care]. Farmakoekonomika: teoriya i praktika, vol. 2, no 1, p. 54.

Recipe. 2018; : 455-465

Formulary system in military healthcare as a tool of increasing the effectiveness of medical provision

Shmatenko A. ., Bielozorova O. ., Solomennyy A. ., Kozhokaru A. .

Abstract

The regulatory framework for the medical support of military personnel in military health care is the formulary system, which is designed to solve the problems of increasing the effectiveness of pharmacotherapy of patients with various diseases by objectifying and rationalizing the process of selecting the necessary drugs, taking into account the principles of "evidence-based medicine." The article analyzes the formulary lists of medicines permitted for use in the military medical service in dynamics and assesses the role of the formulary system in the health care system of Ukraine as a whole. The importance of a comprehensive study and dynamic review of drug lists has been demonstrated to ensure the needs of military hospitals.
References

1. Departament zdravookhraneniya Ministerstva oborony Ukrainy (2006) Poryadok otbora lekarstvennykh sredstv dlya nuzhd lechebnykh uchrezhdeniy Ministerstva oborony Ukrainy: Metodicheskiye rekomendatsii [The procedure for selecting medicines for the needs of medical institutions of the Ministry of Defense of Ukraine], Kiev, 24 p.

2. Golub A., Khomutetskaya N., Pritula R., Trokhimchuk V., Strashnyy V. (2004) Sovremennyye podkhody k ratsional’nomu ispol’zovaniyu lekarstvennykh sredstv v usloviyakh voyennykh lechebnykh uchrezhdeniy: Uchebnoye posobiye [Modern Approaches to Rational Use of Medicines in the Conditions of Military Medical Institutions], Kiev: UVMA, 45 p.

3. Belevitin A., Miroshnichenko YU., Goryachev A., Bunin S., Krasavin K. (2010) Teoreticheskiye i prikladnyye aspekty primeneniya formulyarnoy sistemy v voyennom zdravookhranenii [Theoretical and applied aspects of the application of the formulary system in military health care]. Voyenno-meditsinskiy zhurnal, vol. 331, no 8, pp. 4-10.

4. Miroshnichenko YU., Bunin S., Golubenko R., Ivchenko Ye., Goryachev A., Kononov V. (2014) Itogi i perspektivy nauchnogo soprovozhdeniya sovershenstvovaniya sistemy meditsinskogo snabzheniya voysk (sil) [Results and prospects of scientific support for the improvement of the medical supply of troops (forces)]. Vestnik Rossiyskoy voyenno-meditsinskoy akademii, vol. 2, no 46, pp. 248-256.

5. Draft Resolution of the CMU "On the Approval of the National Policy on Providing Medicines for the Period until 2025" [Electronic resource]. Available at: http://www.apteka.ua/article/392076

6. Baloven’ I., Zhad’ko S. (2016) Analiz terminologii i opredeleniya sostavlyayushchikh protsessa ratsional’nogo ispol’zovaniya lekarstvennykh sredstv v Ukraine [Analysis of terminology and definition of the components of the rational use of medicines in Ukraine]. Farmatsevticheskiy zhurnal, no 6, pp. 15-21.

7. Nemchenko A., Kotvitskaya A., Surikov A. (2005) Osnovnyye printsipy vozdeystviya na vypisku i ratsional’noye ispol’zovaniye lekarstvennykh sredstv v sootvetstvii so standartami GPP [Basic principles of influence on discharge and rational use of medicines in accordance with GPP standards]. Farmatsevticheskiy zhurnal, no 4, pp. 22-28.

8. Kabachnaya A., Kabachnyy A., Shelkova Ye., Rogova A. (2011) Vnedreniye formulyarnoy sistemy v praktiku raboty lechebno-profilakticheskikh uchrezhdeniy. Soobshcheniye I [Implementation of the formulary system in the practice of the work of medical and preventive institutions. Message I]. Farmatsevticheskiy zhurnal, no 4, pp. 3-9.

9. Nemchenko A., Panfilova G. (2008) Metodologiya formirovaniya formulyarov i strakhovykh perechney lekarstvennykh sredstv v usloviyakh realizatsii printsipov natsional’noy lekarstvennoy (farmatsevticheskoy) politiki [Methodology of formulating and insurance lists of medicines in conditions of implementing the principles of national drug (pharmaceutical) policy]. Farmatsevticheskiy zhurnal, no 3, pp. 16-21.

10. Zalesskaya A., Parnovskiy B. (2005) Obosnovaniye napravleniy ispol’zovaniya farmakoekonomiki v zdravookhranenii i dlya podgotovki provizorov v Ukraine [The rationale for the use of pharmacoeconomics in public health and for the preparation of pharmacists in Ukraine]. Farmatsevticheskiy zhurnal, no 4, pp. 10-12.

11. Nemchenko A., Panfilova G. (2005) Metodologiya farmakoekonomicheskikh issledovaniy effektivnosti farmatsevticheskoy pomoshchi, okazyvayemoy naseleniyu [Methodology of pharmacoeconomic studies of the effectiveness of pharmaceutical care provided to the population]. Farmatsevticheskiy zhurnal, no 4, pp. 22-28.

12. Morozov A., Yakovleva L., Bezditko N. (2012) Metodicheskiye rekomendatsii po otsenke klinicheskoy i ekonomicheskoy tselesoobraznosti ispol’zovaniya lekarstvennykh sredstv v lechebno- profilakticheskom uchrezhdenii (soprovozhdeniye formulyarnoy sistemy) [Methodological recommendations on the evaluation of the clinical and economic feasibility of the use of medicines in a medical and preventive institution (escort of a formulary system)], Khar’kov: NFaU, 59 p.

13. Blikhar V. (2014) Razvitiye i perspektivy zakonodatel’nogo obespecheniya ratsional’nogo ispol’zovaniya lekarstvennykh sredstv v Ukraine [Development and Prospects of Legislative Provision of Rational Use of Medicines in Ukraine]. Vestn. sotsial’noy gigiyeny i organizatsii zdravookhraneniya Ukrainy, no 1 (59), pp. 64-68.

14. Belevitin A. (2010) Teoreticheskiye i prikladnyye aspekty primeneniya formulyarnoy sistemy v voyennom zdravookhranenii [Theoretical and applied aspects of the application of the formulary system in military health care]. Voyenno-meditsinskiy zhurnal, no 8, pp. 4-10.

15. Shcherba M., Miroshnichenko YU. (2016) Analiz zatrat na protivodiabeticheskiye lekarstvennyye preparaty pri okazanii meditsinskoy pomoshchi prikreplennym k voyenno-meditsinskim organizatsiyam patsiyentam s sakharnym diabetom v ambulatornykh usloviyakh [Analysis of the costs of antidiabetic drugs in the provision of medical assistance attached to military medical organizations for patients with diabetes mellitus in outpatient settings]. Farmakoekonomika: teoriya i praktika, vol. 4, no 1, p. 224.

16. O sozdanii formulyarnoy sistemy obespecheniya lekarstvennymi sredstvami uchrezhdeniy zdravookhraneniya [Elektronnyy resurs]: prikaz MZ Ukrainy. Available at: http://moz.gov.ua/ua/ portal/dn_20090722_529.html.

17. Miroshnichenko Yu. (2014) Perspektivy razvitiya farmatsevticheskoy nauki i praktiki v voyennom zdravookhranenii [Perspectives of development of pharmaceutical science and practice in military healthcare]. Voyenno-meditsinskiy zhurnal, no 3, pp. 91-93.

18. The formulary list is proposed for use in the military medical service of the Ministry of Defense of Ukraine in 2017, approved by the order of the Director of the Military Medical Department of the Ministry of Defense of Ukraine from 07.11.2016 № 127.

19. The formulary list is proposed for use in the military medical service of the Ministry of Defense of Ukraine in 2018, approved by the order of the Director of the Military Medical Department of the Ministry of Defense of Ukraine from 27.10.2017 № 120.

20. Gromoverzhets B., Gasyuk D., Levitskaya A. (2005) Proyektirovaniye resheniy po upravleniyu assortimentom lekarstvennykh sredstv s pomoshch’yu integrirovannogo ABC i XYZ-analiza [Designing solutions for managing the assortment of medicines using integrated ABC and XYZ analysis]. Farmatsevticheskiy zhurnal, no 1, pp. 10-15.

21. Gushchenko V., Miroshnichenko YU., Goryachev A. (2006) Metodologicheskiye aspekty sovershenstvovaniya sistemy meditsinskogo snabzheniya Vooruzhennykh Sil [Methodological aspects of improving the medical supply system of the Armed Forces]. Voyenno-meditsinskiy zhurnal, no 3, pp. 4-6.

22. Yakovleva L., Gerasimova A., Bezditkota N. (2015) Formulyarnaya sistema i standarty lecheniya: Ucheb. posobiye [Formulary system and standards of treatment]. M.: NFaU, 133 p.

23. Krichkovs’ka A., Novikov V., Levitskaya A., Gasyuk D. (2008) Metodika analiza formulyarnogo spiska i sozdaniye na ikh osnove perechnya strakhovykh lekarstvennykh sredstv Informatsionnoye pis’mo o novovvedeniyakh v sisteme zdravookhraneniya № 74-08 [Methodology for the analysis of the formulary list and creation on the basis of the list of insurance medicines], K.: Ukrmedpatentinform, 3 p.

24. Miroshnichenko Yu., Golubenko R., Goryachev A., Klochkova I. (2014) Formulyarnaya sistema kak instrument sovershenstvovaniya lekarstvennoy pomoshchi v voyennom zdravookhranenii [Formulary system as a tool for improving medicinal care in military health care]. Farmakoekonomika: teoriya i praktika, vol. 2, no 1, p. 54.