REMEDIUM

Self-treatment is a very important issue referring to understanding reasons. A recent sociological survey revealed that most of Russian Federation population in case of poor health prefer self-treatment and address doctors only in the last resort. There are various causes, for example: the insufficient access and quality of medical care, etc. It is obvious to improve access to medical aid we need to optimize the existing infrastructure. At the same time, the self-treatment risk minimizing should be the first task. And it is the pharmacists who can significantly influence the quality of self-treatment and secure it.

The discipline «Pharmaceutical Advice» was introduced into the training process of students in speciality Pharmacy in the Far-Eastern State Medical University in 2015. The classes were held at the Center for Simulation Training and Accreditation. Feasibility and effectiveness of the innovation was assessed on the basis of a survey of students after they had passed an intermediate attestation (pass/fail exam). The questionnaire data showed the interest of students in the discipline, the need for such knowledge, as the theoretical knowledge they received studying the disciplines «Pharmacology» and «Clinical Pharmacology» doesn't always suffice alone to work in the pharmacy in the future. In most cases, the graduates have difficulties interviewing patients, advising on the symptoms of diseases, and simplifying medical terms for shoppers. The key therapeutic groups to be studied within the discipline «Pharmaceutical advice» should be antiviral and antitussive drugs, gastrointestinal tract drugs, and the non-steroidal anti-inflammatory drugs. The thematic plan of the training should also include advising on the use of antibiotics and cardiovascular drugs.

Health Care becomes the communication system within digital economy. This fact causes the extraordinary complexity in Health Care management. Artificial Intelligence technologies have a basic feature that is self-governing, autonomy in decision-making. Artificial Intelligence's self-governing is a challenge at the population level, which requires to build the right digital architectonics. This issue concerns not only diagnostics and treatment of diseases, but also the accessibility of medical services for population. It is necessary to broader consider the role of Health Care in common economic structure of Internet of Things, and create an anthropocentric infrastructure, in which all types of digital transactions will be included in co-financing of Health Care. This measure wouldn't allow to separate medical services from all segments of Internet of Things, otherwise Health Care financing would be critically cut. The multifunctional cards, such as the «Mir» card, is the first step towards digital integration. This card includes electronic access to medical services and prescriptions along with the ability to pay for travel on transport and other applications as the «Social Card of Moscow citizen».

27-28 февраля 2018 г. в Москве проходил 9-й Фармацевтический форум стран ЕАЭС и СНГ PharmASI, на котором были рассмотрены актуальные вопросы гармонизации регуляторного пространства ЕАЭС, а также оценена ситуация в здравоохранении и на фармацевтическом рынке стран постсоветского пространства.

The article presents the experience of introducing risk-sharing schemes (RSSs) in the UK and the US, while providing patients with multiple sclerosis disease modifying drugs (MSDMD). The authors assessed the possibility of using some elements of foreign RSSs on the territory of Russia. In particular, it was suggested to use specific criteria for evaluating the cost-effectiveness of the MSDMD, which were tracked within the framework of the RSSs in the USA (the fact of aggravation of multiple sclerosis, refusal to continue therapy, etc.), and to introduce the RSSs by issuing an administrative document, as was done by the UK Health Department.

The rating was prepared using the state accounting data of about 70 leading pharmaceutical manufacturers.

Financial status of industry manufacturers is analysed using the data of State Statistical Reporting Form No. P-3 Information on Enterprise Financial Status (monthly).