REMEDIUM

Medical tourism and related business activities are considered one of the most profitable sectors of the hotel and tourism business for many destination countries. The link between healthcare and tourism has led to the fact that for many countries it is one of the largest service industries, and medical tourism brings significant monetary benefits to many destination countries. However, the success of medical organizations, tourist destinations and countries in the global medical tourism market directly depends on the choice of the tourist-patient. Which, in turn, is formed on the basis of price and non-price factors. The purpose of this work is to analyze the influence of monetary (price) and socially significant (quality and trust) factors on decision—making by medical tourists about choosing a destination for a medical trip.

The article discusses the issues of ensuring the effectiveness of a medical organization based on strategic management technology. Healthcare is currently one of the most intensively developing and promising professional fields in which there are features of the functioning of medical organizations due to industry affiliation. Despite these features, modern medical organizations are developing on the basis of management decisions aimed at sustainable strategic development and using traditional methods. The purpose of the work is to analyze the implementation of the principles of strategic management in the management of medical organizations. The study showed that the medical service sector is in a state of constant change in order to meet the evolution of medical services and public health goals. Facing challenges in all areas, including demographic changes, rising costs, new technologies, etc., medical organizations need to implement the principles of strategic management as a tool to increase economic sustainability, efficiency and effectiveness.

Ef f orts to improve vaccination coverage are central to achieving the Millennium Development Goals to reduce child mortality and are likely to always be central to the Sustainable Development Goals. Indecision with vaccination is considered one of the reasons for suboptimal vaccination coverage. Vaccination is recognized as one of the greatest public health achievements of the twentieth century, and it is widely regarded as a worthwhile and cost-effective public health measure. Vaccination in childhood is an effective way to prevent serious childhood diseases. However, many children do not receive all the recommended vaccinations. There may be various reasons for this, one of which is communication barriers that reduce the effectiveness of information support for parents and their ability to make reasonable and informed decisions regarding the vaccination of their children. The amount of information that parents want to receive and sources that they could trust directly affect the determination regarding vaccination, parents would like to be more informed and enlightened.

The article considers traits of biography of Charles Winslow (1877—1957), american bacteriologist and specilist in public health and health care, the author of concept of public health that is widespread in world health care nationally and internationally. The encyclopedic breadth of subject-matters of research works of Ch. Winslow is demonstrated. It is establisshed that Ch. Winslow by his definition introduced into content of public health multidisciplinarity, priority of prevention and principle of collective actions for benefit of health od society.

The aim: based on the analysis of data from the official website of the current system for collecting spontaneous reports of adverse events in the Republic of Kazakhstan, to formulate approaches to the effective functioning of the pharmacovigilance system. Materials and methods. Methods of content analysis, synthesis and analysis, structural-logical, statistical. Materials open data of the official website of the Republic of Kazakhstan on spontaneous reports submitted for the period 2018—2022. Results. An analysis of the dynamics of the number of received spontaneous messages showed the absence of a linear trend in the development of this type of activity in the pharmacovigilance system. The largest number of notifications were submitted at the initial stage of pharmacovigilance development in 2018—2019. The leaders in filing notifications are: Pavlodar region (29 per 100 thousand), Almaty city (21 per 100 thousand), Aktobe region (16 per 100 thousand) and Shymkent city (15 per 100 thousand). The smallest number of messages was received from the Turkestan region (1 per 100 thousand). In first place in terms of the number of notifications submitted in 2022— GSK Kazakhstan LLP — 18%. Analysis of the structure of reports received by manufacturers in general terms is characterized by the predominance of reports of ADRs on drugs imported from non-CIS countries. It was revealed that the pharmacovigilance system of the Republic of Kazakhstan is characterized by harmonization with international pharmacovigilance systems, instability in the number of spontaneous reports received. Every month, the results of identified ARs appear in the public domain on the official website. It was determined that there is no information about submitted yellow cards from pharmacy workers and patients, or these subjects of drug circulation do not participate in the spontaneous reporting system. Conclusion. The greatest contribution to spontaneous reporting systems is made by medical organizations of the Republic of Kazakhstan. It is necessary to create institutional mechanisms to strengthen the work of the system of spontaneous reporting.

Non-interventional clinical studies are a special type of scientific medical studies that bear little resemblance to traditional interventional randomized clinical trials. Since the middle of the 20th century, RCTs have been quite strictly regulated by the State Authorities in the countries in which they are actively carried out. Non-interventional clinical studies, on the contrary, have for a long time remained without any special regulations and out of the attention of the regulatory authorities. On a practical level, there is often confusion being observed in determining the category to which a study belongs, i.e. whether a project should be referred to the type of interventional or to the type of non-interventional studies (NIS). The article analyzes the changes, made to approaches to understanding NIS, formulates the key criteria for identifying the types of studies. The impact of the changes in the concept of non-interventional clinical studies on the development of this area is shown in the article.

In order to identify labor and migration attitudes, a survey was conducted among undergraduate, graduate and specialist students, as well as graduate students and residents of the St. Petersburg State Chemical-Pharmaceutical University. The article considers such main indicators of the future graduates' integrating process into the labor market as work experience (in the specialty and not), ways to find a job, the main problems that arise in the course of work and others, as well as the likelihood and direction of a change of residence after receiving a diploma. The conducted research makes it possible to draw conclusions about the intentions of student youth — future qualified specialists in the field of the chemical and pharmaceutical industry and offer recommendations for adjusting the integration of young specialists in the labor market.

The study focused on job satisfaction and its role in improving the performance of employees of pharmaceutical organizations in the Syrian Arab Republic, in the province of Al Quneitra. The aim of the study was to find out the relationship between job satisfaction and performance of employees of pharmaceutical organizations, as well as the impact of participation in decision-making on employee satisfaction (SPSS). One of the results of the study is that there is a positive relationship between the environment in which pharmacy employees work and the percentage of their satisfaction with their work, and there is also a positive relationship between the salary and incentives that pharmacy employees receive and the degree of their satisfaction with their work. The study also showed that the level of satisfaction with the work of employees of pharmaceutical organizations increases and rises whenever superiors involve them in the development of policy, plans and decision-making. The study recommended the need to create a common work environment to act as a motivation for pharmacy employees to perform their jobs in an optimal manner and to work towards better salaries and incentives for pharmacy employees so that they can realize their aspirations and push them towards acceptance, thereby increasing productivity level.