THE ASSESSMENT OF SECURITY OF MEDICAL INSTITUTIONS OF THE VORONEZH REGION DRUGS PHARMACY PRODUCTION
One of the important factors in the effective functioning of the health care system is the provision of resources for medical care, including the provision of medicines. One of the problematic aspects of medical organizations is the closure of the production departments of pharmacies and, as a consequence, the reduction in the pharmacy manufacturing of medicines. Meanwhile, medicines manufactured in the pharmacy organization are an important element of pharmaceutical care, they make it possible to avoid the use of preservatives, provide an individual approach to the treatment of a particular patient, taking into account the age and physiological characteristics of the organism. The most popular group of consumers of extemporal drugs are newborns and young children. The purpose of the work was to study and analyze information on the release and purchase of medicines of individual manufacture by pharmacies of medical organizations on the example of the Voronezh region The subject of the study was data from government procurement of medical organizations in Voronezh and the Voronezh region. According to the results of the study, a drop in the number of production pharmacies in medical organizations of the Voronezh region was found. The largest number of production pharmacies was reduced in the central district hospitals, and at the moment there are about 400 thousand people in the production pharmacy of the medical organization in the region. In general, the total number of manufactured dosage forms during the study period decreased by 40%. Reducing the number of dosage forms of pharmaceutical manufacture was due to a sharp reduction in the release of sterile dosage forms. Several objective reasons for reducing the manufacture of dosage forms in pharmacies have been identified. As a result of the analysis of the site of purchases for state and municipal needs for the year 2017, the need of medical organizations for medicinal preparations of extemporal manufacture was discovered. The structure of the assortment of popular pharmaceutical preparations has been analyzed. Most of the dosage forms are for non-sterile solutions, among which the most often are solutions for electrophoresis, antiseptic agents, and tools for diagnostic purposes. One of the most promising ways to solve the existing problem may be a return to the existing practice of creating inter-hospital pharmacy organizations, whose powers will be made to produce uniform prescriptions for medicines for medical organizations in the region and the city.