Theory and practice of pharmaceutical supply system development on the way of realisation of sustainable development goals

Анотація

The balanced development of all components of the pharmaceutical care and service provision process, in accordance with social needs and available healthcare resources, is a guarantee of the effective implementation of the Sustainable Development Goals (SDGs) in Ukraine, as well as the formation of national pharmaceutical security. The aim is to analyse the theoretical and practical foundations of developing the pharmaceutical supply system (PhSS) in the context of implementing the SDGs in Ukraine. The analysis used theoretical research methods (historical, logical, content analysis, comparison, induction, synthesis, bibliosemantic, graphic, narrative, etc.). Legislative and regulatory acts regulating pharmaceutical activities in Ukraine as part of the implementation of the SDGs, as well as data from specialised literature on the subject were used. The article outlines the need to revise and update the fundamental concepts and categories related to the organization of pharmaceutical supply, taking into account the need to achieve the SDGs. The authors proposed a definition of the term «pharmaceutical supply system» and defined the purpose of the functioning of this system in the context of the SDGs. Eight components of the PhSS are identified, which have different levels of development priority in accordance with the purpose of the system itself. These are pharmaceutical (infrastructure), regulatory, managerial and supervisory, financial, personnel and educational, research and investment, information and communication, and international. It is proved that the pharmaceutical (infrastructure), regulatory, managerial and regulatory components are the first triad of the PhSS components in terms of priority of functioning. A matrix of the various components of the PhSS and their respective levels of functioning is proposed. Thus, the pharmaceutical, regulatory, research and investment, and information and communication infrastructure components operate at all five levels (global, national, regional, microeconomic and individual). The international component is functional at global and national levels. The management and regulatory component is implemented at national, regional, and microeconomic levels. The financial, human resources and education components are designed to operate at national, regional, microeconomic and individual levels. It has been proven that balanced development of all components of the SPSS in the context of the SDGs will transform how the system components function at designated levels. According to the research results, the objective was met by finding that balanced development of all PhSS components and effective links between them, introduced in the process of providing pharmaceutical care and services to the population, will create an effective national pharmaceutical security system.

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