No properly formed and subsequent regulation concept has been presented until now by a number of the issues, which are essential for the pharmaceutical branch. Development and a complex structure of the state regional retail market of medicines, including the activity objects as part of organizations with various organizational and legal forms managed or coordinated by representatives of public entities, have been reviewed in complex within the trial. The model of the structure of the state segment considering organizational and legal interactions used during examination of the regional pharmaceutical market in the Kostroma region has been suggested. Distribution of objects within the state segment structure was analyzed. The differences in the strategies of functioning and development of the state and private segments of the regional retail market of medicines have been identified. Legal preconditions and social and economic conditions of the growing role of healthcare institutions in the system of drug supply of population have been designated. It has been established that the tendencies intensifying participation of the state in the system of drug supply to ensure proper management of budgetary resources and risk prevention were accompanied by previously adopted extra-branch changes of legislation. This could result in reduction of the state segment in economics that would inevitably lead to serious changes in the structure of the pharmaceutical market and redistribution of social load among its participants [2]. A serious understanding of prospects of functioning of the state segment of retail trade of medicines is required both at the level of regulatory agencies and within the professional community considering the preservation of social services of medicinal aid and decreased risks of negative phenomena on the pharmaceutical market.
VIEWS 1271
State control over the drug quality is a key component of the healthcare system aimed at provision of patients with safe and effective medicinal products [1]. Stable development of this direction was closely associated with update of testing laboratories, which performed the function, and was characterized as a stable growth of laboratory competencies in the field of not just implementation of new analytical methods, but also in the systemic approach to improvement of skills and knowledge of personnel directly involved in laboratory research. A common approach reflected in accreditation criteria for compliance with GOST ISO 17025 means that the testing laboratory has a plan for internal and external education. However, conventional attitude to this issue does not lead to the desired practical effect. Then the laboratory is urged to find additional ways of development. Formation of competence centers by a certain vector of knowledge on the basis of testing centers can be a perspective option of the systemic approach to updating skills of the personnel. The Yaroslavl branch of the Information Center for Expertise, Accounting and Analysis of Circulation of Human Medicinal Products of the Federal Supervisory Agency for Healthcare and basic department of innovative pharmacy of the Yaroslavl State Medical University that successfully uses the basis can serve as examples of such an approach.
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The legislation of the Russian Federation in the area of regulation of a pharmaceutical activity has undergone changes aimed at provision of pharmacies with professionals having modern skills of effective professional interaction. Objective of the study was to examine the structure of professional flexibility and procedure of its formation. A sample consisting of 345 pharmaceutical workers including 283 chemists (82%) and 62 pharmacists (18%) was formed to implement the method of empirical research of professional flexibility. The method included diagnostic tools to examine the elements of professional flexibility. Pharmaceutical professionals who performed an effective professional interaction have a sufficient level of professional flexibility. The structure of professional flexibility was studied. It consists of cognitive, motivational value, socio-communicative, and reflective elements. The elements of professional flexibility were estimated using the diagnostic tools. The study results showed that it was necessary to form professional flexibility among pharmaceutical specialists. A set of academic disciplines embracing various levels of professional education was developed by us to reach the purpose. Depending on the level of professional education, the objective of disciplines and cycles was either to form the basis of professional flexibility, or shape its certain level.
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