постановка проблемы. Социальная эко-номика -это экономика, ориентированная на развитие личности и достижение соци-ального прогресса. Она охватывает широ-кий круг общественных, добровольных и не-коммерческих видов деятельности и построе-на на основе таких учреждений и институ-тов, как кооперативы, объединения, ассо-циации, а также другие организации подоб-ного типа. Социальная экономика состоит из ряда общественных проектов экономи-ческого плана, целью которых является предоставление услуг группе людей [3]. К таким проектам могут быть отнесены социальные аптеки -аптеки, оказывающие фармацевтические услуги различным ка-тегориям населения, в первую очередь, уяз-вимым. Однако на практике существуют различные трактовки понятия «социаль-ная аптека».анализ последних исследований и пуб-ликаций. Так, по мнению В. Корнюшина (2010), существуют как минимум три ва-рианта трактовки этого понятия: 1) соци-альная аптека -та, которая осуществляет отпуск лекарств по льготным рецептам граж-данам, имеющим право на государственную социальную помощь в виде набора социаль-ных услуг; 2) любая коммерческая аптека, но с ценами на 15-20% ниже средних по рын-ку; 3) любая аптека, которая установила Тестемицану (г. Кишинев)
Objectives: Moldova is a country where expenditure on pharmaceuticals is already very high and exceeds several times the prices in the region. Drugs expenditure represents 70% of direct health expenditure of a household and is the main factor that reduces the financial protection of health care services. The objective of the study was to assess affordability of reimbursement medicines and to evaluate the National Health Insurance Company (NHIC) impact on ensuring economic accessibility. MethOds: To determine the affordability of medicines was used the methodology recommended by the World Health Organization. Have been analyzed data concerning price of drugs, the amounts paid by patients and the amounts paid by the NHIC for partially reimbursed drugs for 5 years (2008-2012). Was calculated: the median price for each drug international common name dependent's on strength; duration of treatment and number of units needed for treatment (for chronic disease); number of working days required for a treatment cure depending on minimum wage and average wage in economy. Available treatment is considered, the cost of which is 1 or less than the cost of one working day. Based on these results has been also determined the impact of the NHIC. Results: Number of economically accessible reimbursed drugs depending on minimum wage was:
Recent data indicate that the pharmaceutical market for herbal medicines continues to grow steadily, and this enables pharmacists to improve their professional skills in managing the treatment of the elderly with herbal medicines and identify potential problems associated with their use. Aim. To study the practice of using herbal medicines among elderly patients from the pharmacist’s point of view and identify specific recommendations of pharmacists in managing the use of herbal medicines. Materials and methods. A descriptive design study was conducted; the main research tool was a questionnaire for pharmacists. Results. Pharmacists’ responses indicate that the use of herbal medicines in the elderly is common, herbal preparations are used mainly for treating chronic diseases, and in most cases elderly patients associate the quality of treatment with the co-use of traditional medicines with herbal ones; often older patients also have false information about the requested herbal medicines. This means the need for pharmacists to monitor and supervise the use of herbal medicines by the elderly, special attention should be paid to the results of drug-herbal interactions and to regular updating of knowledge in the field of geriatric pharmaceutical care oriented to herbal therapy. Conclusions. Based on the results of the study, the problems associated with the use of herbal medicines in the elderly have been described, and some specific recommendations for pharmacists related to the treatment with herbal medicines in the elderly have been proposed.
Over the last two decades, the Republic of Moldova has gone through a complex and controversial way of its development. Determining its vector of development based on the democratic values of Western culture the legal framework has been practically completely revised and created. The concept of reforming the pharmaceutical sector in the Republic of Moldova included: liberalization of prices and freedom from the planned system of economic management while creating the necessary mechanisms for the functioning of the market economy – creating the banking system, establishing the capital market, introducing the national currency, creating other institutions, as well as the huge process of creating a new legal framework.
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