The contribution of gpp to improving the effectiveness of the healthcare system and public health

Relevance: At the current political level the appearance of Pharmacy has been steadily changing, the range of drugs has increased, which marked the beginning of the development of the market. The attention of pharmacists has shifted to patients (since they began to play the role of information providers, consultants) and at this stage became an integral part of practical public health.

At the current moment, issues of improving the efficiency of the health care system and public health around the world as the goal of Good Pharmacy Practice are designated as: “a contribution to improving health and helping patients to make the best use of drugs”.

The study aim: To study and analyze the production activities of pharmacies in the context of the implementation of GPP.

Objectives: To consider the features of pharmacies in Aktobe in the light of the transition to international standards GPР.

The novelty of scientific work. For the first time in the city of Aktobe, anonymous questioning of pharmaceutical specialists in the field of circulation of medicines was conducted. The object of study was knowledge of the State Standard ST RK 1615-2006 «Good Pharmacy Practice.The main provisions», the main component of the state system for quality assurance of drugs and international cooperation in achieving a uniform level of quality pharmaceutical care in the Republic of Kazakhstan.At present, in accordance with the State Program for the Development of Healthcare of the Republic of Kazakhstan "Densaulyk" for 2016-2019, measures will be taken to introduce a quality assurance system for medicines through the introduction of good pharmaceutical practices.

Nowadays in the Republic of Kazakhstan, the requirements for Good Pharmacy Practice have been approved by Order No. 392 of the Minister of Health and Social Development of the Republic of Kazakhstan dated May 27, 2015 “On Approval of Good Pharmacy Practices”. The procedure for conducting inspections for compliance with Good Pharmacy Practice is set out in the Rules for conducting inspections in the field of circulation of medicines, medical devices and medical equipment, approved by Order of the Minister of Health and Social Development of the Republic of Kazakhstan of May 27, 2015 No. 396.

Under these conditions it is extremely important to introduce the standards of Good Pharmacy Practices harmonized with the regulatory legal documents of the Republic of Kazakhstan. Such work, of course, will require coordinated actions of at least three stakeholders: representatives of the pharmaceutical community, representatives of the medical community and representatives of public authorities, primarily in the field of health.

Research materials: Information on anonymous questioning and interviews of employees of pharmacies.

Research methods: The study was conducted by interviewing and full-time anonymous questioning and specialists in the field of the circulation of medicines.

The results of the research. As a result of the research, an anonymous survey was conducted in 20 pharmacies of Aktobe. 50 experts in the field of circulation of medicines wereinterviewed.

As a result of the study, 59% of pharmacy workers were informed. The rest was not. We also found out how many pharmacies in Aktobe work according to GPP standards. Such pharmacies turned out to be 3% of the total. However, 97% of pharmacies do not work on GPP yet.

Discussion of the evidence. According to the results of the survey we found out that the specialists of pharmacies in the field of the circulation of medicines are not yet ready for the transition to this standard.A full-scale transition to GPP is impossible due to the presence of objective difficulties associated with the lack of financial support to recover GPP costs; the inability to expand the standards of industrial premises according to GPP standards.

Recommendation to solve this problem: the introduction of state support programs for the introduction of modern management technologies, including standards of good practice; assistance in learning the preparation of standard descriptive procedures on the farm. services; training forspecialists.

Conclusion: The contribution of the pharmaceutical component to improving the efficiency of the health care and public health system should be an important component of drug policy. Moreover, in a greater degree this effect will be expressed in the segment of public procurement of drugs within the scope of free medical care. The pharmaceutical component in the management of drug therapy and improving the effectiveness of the public health and public health system are implemented through: ensuring the proper prescription of drugs (control prescriptions); adherence to the mode of administration (doses, dosage forms); collecting information on the effectiveness of drugs; clear and understandable instruction; detection of counterfeit drugs, etc.

Bibliography:

  1. Pharmaceutical review of Kazakhstan, 10/31/2015
  2. A revolution on the role of the pharmacist in the provision of a WHO-WHO drug strategy. 47.2012
  3. Good Pharmacy Practice (GPP) in developing countries. Supplementary guidelines for stepwise implementation.FIP Community Pharmacy Section, 1999.
  4. State standard ST RK 1615-2006 (Good pharmacy practice. Basic provisions).
  5. Order of the Ministry of Healthcare of the Russian Federation dated September 14, 2015 No. 713 “On approval of the Rules for the wholesale and retail sale of medicines, medical devices and medical equipment”
  6. Yagudin R.I. The main directions of the modern concept of quality assurance of medicines (review). - Pharmacy, 1999, № 5, p. 45-51.
  7. “Kazakhstan Pharmaceutical Bulletin” №20 (503), October 2016
Year: 2018
City: Shymkent
Category: Medicine