Laboratory and Clinical Medicine. Pharmacy

Scientific and practical quarterly peer-reviewed journal

ISSN 2712-9330 (Online)

The results of a marketing research study are presented in this article. Аt both federal and regional levels, the pharmaceutical market for hepatoprotectors is available. Аn overall measure of the breadth, completeness and depth assortments of hepatoprotectors. Data on the number of medicines with hepatoprotective properties. The sales volume of a group of hepatoprotectors in the Russian Federation in 2020 – 2022 has been determined.
Anxiety disorders are one of the most common forms of mental once manifested by clinical and vegetative symptoms.
Due to the fact that the occurrence of a stressful situation is often unpredictable, a combination of non-drug interaction, including knowledge of methods to increase stress tolerance and response skills in a stressful situation with effective pharmacotherapy can be considered as an optimal self-help tactic under stress. An expert assessment was conducted to form a list of the most effective and safe over-the-counter sedative drugs that can be used in stress conditions as part of responsible self-treatment. The data obtained are compared with consumer estimates in order to analyze the level of awareness of the population in matters of drug self-help of stressful conditions.
Organizations providing sanatorium and resort treatment often face a shortage of highly qualified health care professionals. Outsourcing of the medical service causes a number of new difficulties and is often impossible. At the request of practical healthcare, the author conducted a search for best practices to solve these problems. It turned out that alternative management models are absent both in open literature sources and among well-known organizations of the sanatorium-resort profile. As a result, the author has developed and implemented a new management model in which the general management of the organization and line staff remain on the customer's staff, and the management of the medical service is transferred to an outsourcer contractor with appropriate personnel and expertise. The advantages of this model are:
1) flexible contract management; 2) cost optimization; 3) elimination of excessive time and money expenses; 4) expansion of competencies; 5) risk minimization; 6) reduction of non-income-generating workspaces. Optimization of about 25 % of the direct costs of managing the medical service, as well as a number of indirect costs, has been achieved. At the same time, it was possible to avoid the problems caused by outsourcing of the medical service. The limitations of the proposed model are revealed: 1) suitable only for organizations with a small medical service; 2) does not provide direct sales of services to customers; 3) does not include research work. Thus, the developed model can be applied in organizations providing sanatorium and resort treatment, taking into account the existing limitations.
The aim of medical examination for toxins (for instance, alcohol, narcotic on so on) is a diagnostic an intoxication. However, there are a several legal and methodological complication which associated with urine/blood check-up by chemical and toxicological methods for drugs and/or psychotropic substances, new potentially dangerous psychoactive substances, intoxicants and chemicals that causes impairment of physical and mental health.
Medical reports, the algorithm for interpreting laboratory reports, validated chemical and toxicological check-up in urine/blood for psychotropic substances is proposed for drivers.
The availability of medical care to the population at the inpatient and outpatient stages is one of the priorities of the activities of the domestic healthcare system. Treatment of patients with wounds, ulcers, wound infection requires the availability of a drug resource, including both auxiliary and specific drug therapy. A significant number of patients with skin pathologies turn to medical and pharmaceutical organizations. Their treatment is a complex and differentiated process depending on the nature and origin of the wound, as well as the individual characteristics of the victim's body. Currently, there are drugs for the treatment of this pathology on the domestic pharmaceutical market, but the most important for drug therapy for skin injuries is group D – dermatological drugs, which is represented by 21 international nonproprietary names and 283 trade names.

The results of an epidemiological analysis of the incidence of meningococcal infection in the population of the Perm Region are presented. The analysis of the incidence of meningococcal infection taking into account the gender trait was carried out. The socio-age risk groups, the structure of clinical forms of meningococcal infection, serogroup characteristics of laboratory-confirmed cases, mortality from meningococcal infection were determined.

Medical provision of the population in stationary conditions is one of the priorities of the state policy in the field of medical assistance to the population. The scientific works of a number of Russian scientists are devoted to the optimization of the drug supply system at the inpatient stage of treatment. Nevertheless, to improve the quality of drug care management in hospital settings, including in physiotherapy departments, it is necessary to develop scientifically based tools [1].

Risk management in healthcare is studied insufficiently. Risk management will provide more accurate forecasting and planning, it will improve quality of management decisions and increase the efficiency of medical organizations. The necessity of developing health systems has become relevant both in Russia and abroad in the context of the coronavirus pandemic 2020-2021. There is an increased interest in reviving and improving of corporate health management systems of large enterprises. The author was consistently engaged in the organization of health care in 3 large federal companies in Russia, as well as in Germany during the pandemic. The specific tasks of corporate health care in the context of a pandemic, the criteria of management errors and typical management errors were identified and classified, their primary causes were established. General recommendations were given based on the analysis, directions for the development for the further study were formulated.

Studies have been conducted to optimize the processes of personnel management in pharmacies, to determine the relationship between the type of a pharmacist’s personality and the availability of organizational and career competencies. In order to determine the competencies necessary for the work performed, the analysis of the specifics of the pharmacists’ work (at the examples of a manager, a pharmacist with higher education, and a pharmacist with secondary professional education) has been carried out. An expert assessment of the questionnaire has been made to assess the significance of five clusters of competencies (will and leadership, interpersonal communication, organizational and strategic skills, self-positioning) in relation to the specifics of the activities at the pharmacy. The relationship between the positions of specialists and the level of development of their competencies has been determined and expressed quantitatively (from 1 to 5 points). There is a low correlation between the indicators of the competencies of the managers and pharmacists. It confirms the need for differentiation in the formation of sets of competencies for training the specialists.
Based on the Lominger competencies model and the results of expert research, the ‘Personality type – position’ matrix for a pharmacy’s manager has been constructed. A personality type was determined by means of the questionnaire of Myers & Briggs test. An algorithm for determining the optimal personality type of a candidate for the position of manager has been presented. Similar calculations can be made for pharmacists with higher education and pharmacists with secondary professional education. The data obtained make it possible to use them in the determination of a working place, hiring, and rotation of specialists.