Cabinets for prescribing preferential medications — organizational practice of the Ministry of Health of the Moscow Region

  • Authors: Shinkareva N.V.1,2, Gorenkov R.V.1, Vishnyakova N.A.3, Zubko A.V.4, Shinkarev S.V.2
  • Affiliations:
    1. N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation
    2. Krasnogorsk City Hospital, 143400, Krasnogorsk, Moscow region, Russian Federation
    3. Lyubertsy Regional Hospital, 140006, Lyubertsy, Moscow Region, Russian Federation
    4. Central Research Institute for Organization and Informatization of Health Care of the Ministry of Health of the Russian Federation, 127254, Moscow, Russian Federation
  • Issue: No 1 (2025)
  • Section: Articles
  • URL: http://bulleten-nriph.ru/journal/article/view/2683
  • DOI: https://doi.org/10.69541/NRIPH.2025.01.004
  • Cite item

Abstract


Timely, systematic, affordable drug provision is aimed at compensating for chronic non-infectious and infectious diseases in patients, incl. preferential category of citizens who often have comorbid pathologies. Purpose of the study: Assessing the effectiveness of organizing an office for dispensing preferential medications (LLO office) for the timely provision of privileged categories of citizens, improving the quality and accessibility of medical care in medical organizations providing primary health care. Materials and methods: Data from BI reports of the unified medical information and analytical system of the Moscow region (EMIAS MO) on the number of prescriptions written for preferential drug coverage, of which in the medical dispensary office, of which with the use of telemedicine consultations in 13 outpatient departments of the state budgetary institution of the Moscow region «Lyubertsy Regional Hospital «(Lyuberetskaya OB). Methods: statistical, analytical, observation, timing, mapping, SWOT analysis. Results: The organization of the MLO office made it possible to solve a number of tasks: reducing the time for receiving prescriptions for MLO, increasing the coverage of medical examinations and follow-up of patients receiving MLO, referring patients for vaccination, increasing accessibility to specialized doctors and general practitioners. Conclusion: Centralization of the process of issuing prescriptions for medical prescriptions using digital technologies (telemedicine consultations, electronic prescriptions, reports on a personalized application for medications and the patient receiving them at the pharmacy) allows you to effectively organize the provision of medications to patients, as well as carry out preventive measures and timely correction of therapy.


About the authors

Natalya V. Shinkareva

N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation;
Krasnogorsk City Hospital, 143400, Krasnogorsk, Moscow region, Russian Federation

Author for correspondence.
Email: natalya.shinkareva@gmail.com
ORCID iD: 0000-0002-3648-9181

Russian Federation

Roman V. Gorenkov

N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation

Email: rogorenkov@mail.ru
ORCID iD: 0000-0003-3483-7928

Nelly A. Vishnyakova

Lyubertsy Regional Hospital, 140006, Lyubertsy, Moscow Region, Russian Federation

Email: nelli.vishnyakova.76@mail.ru
ORCID iD: 0000-0001-9111-9645

Russian Federation

Aleksandr V. Zubko

Central Research Institute for Organization and Informatization of Health Care of the Ministry of Health of the Russian Federation, 127254, Moscow, Russian Federation

Email: zubko@mednet.ru
ORCID iD: 0000-0001-8958-1400

Russian Federation

Sergey V. Shinkarev

Krasnogorsk City Hospital, 143400, Krasnogorsk, Moscow region, Russian Federation

Email: sergnat@gmail.com
ORCID iD: 0009-0000-1549-2122

Russian Federation

References

  1. Nagibin O.A., Manukhina E.V., Karausheva L.E. Preferential medicine provision: the current state of legal regulation. Public Health and Health Care. [Obshchestvennoe zdorov'e i zdravookhranenie].2021;3(71):18—23 (in Russian).
  2. Berezin I.G., Paykov A.Yu. The right to provision of medicines: improvement of legislation. Issues of russian and international law. [Voprosy rossiyskogo i mezhdunarodnogo prava]. 2021;11(2—1):209—216 (in Russian).
  3. Ermakova D.D. The right to drug provision: problems of legal regulation. Medical law: theory and practice. [Meditsinskoe pravo: teoriya i praktika]. 2018;4(2):161—167 (in Russian).
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  6. Sochkova L.V., Bykova M.M., Kim A.V., Nosyreva O.M. Experience in implementing a pilot project «Lean Clinic» in a clinic in a large city. Medicine and healthcare organization. [Meditsina i organizatsiya zdravookhraneniya]. 2018;3(2):4—11 (in Russian).
  7. Latukha O.A., Kalinichenko A.V., Sokolov S.V., Tolstova K.S. New model of outpatient healthcare operation as a form of sustainable development of healthcare organization (Novosibirsk State Medical University, Novosibirsk, Russia). Management in healthcare. [Menedzhment v zdravookhranenii]. 2020;(1):15—21 (in Russian).
  8. Shkolyarenko A.V., Korobeinikova E.A., Shipachev K.V. Realization of the priority project «Creation of a new model of healthcare organization providing primary health care». ORGZDRAV: news, opinions, training. Vestnik VSHOUZ. [ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VShOUZ]. 2019;5(3):24—31 (in Russian). doi: 10.24411/2411-8621-2019-13003

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