Scientific Journal of KubSAU

The federal program on essential drugs provision (EDP) is one of the most significant and socially important state projects; it is directed to the reduction of morbidity and mortality together with the improvement of life quality of the society and its social climate. In accordance with the federal law “On social state assistance” from 17.07.1999 №178- FL, the essence of the program is that medical recipes are dispensed for preferential medicines to be received by federal program participants. The medical-economic control (MEC) of the drugs designation and provision of federal benefit recipients is performed basing on the automated registries examination of released drugs. The number of passed and failed examination recipes is determined according to the registers processing results. A certain percentage of the accepted for payment prescriptions is a subject for MEC. For the purpose of the recipes selection for testing, the paper proposes the mathematical models of criteria application and MEC-planning. The game model of organization and MEC performance in health care organizations is build basing on the theory of games. The considered play model suggests that the health services quality examination need to be adjusted and some strategies are to be improved. The solution on the planning of checked recipes number allows to perform the inspection of all the health care organizations, involved in EDP program

According to the Federal Law "On state social assistance" of 17 July 1999 ( 178-FL), the medicaleconomic preferential drugs prescription control (MEC) is considered to be one of the tools for improving the management activity by enhancing the information efficiency and reliability at all management levels in the health care hierarchical structure. MEC is one of the medical care quality examination forms. Theoretical and applied research of system linkages and regularities of the MEC process functioning is a relevant direction of information technologies development in medicine. The importance of application of system analysis methods to the health care sphere consists in the development of new and the improvement of existing methods and analysis tools, data processing and management of complex automation systems of medical and economic drugs prescription validity control (MEC) planning. The developed decision support system (DSS) includes the MEC information system as basic and the ABC / VEN-analysis subsystem, implemented as a standalone application. The interaction between the DSS modules is provided by the unified exchange formats of preferential recipes data. At the same time, the MEC information system and ABC / VEN-analysis subsystem could be the most effective tools as an integral part of situational centers

In the region, there is a problem of effective management of the pharmaceutical benefits under the benefit programs and the implementation of the therapeutic process. In health care in prescription health products of preferential category of citizens we have more than five different software developers involved that doesn’t allow controlling the prescription at all levels of health administration of the region. In order to form information flows into a single space it is necessary to have an integrated software product involved, both in the prescription, and in their service. The article presents a review of existing systems for issuing and servicing of preferential recipes, and prescriptions for controlled medicines, in the context of healthcare of the Krasnodar region, including considered the variety of products offered by different developers. The concept of integration of existing systems, which will allow overcoming the difficulties associated with fragmented solutions in automation preferential drug provision. For information exchange we encourage to use the XML format, examples of requests and responses in SOAP