2019 № 10 Medication and medical product procurement regulations in a multidisciplinary healthcare institution
Relevance. The process of organization of medication and medical product supply in conditions of the day hospital and inpatient care, that are part of the health insurance system, is assigned to the authority of the Ministry of Health of the constituent territory of the Russian Federation. However, the need to determine the quotas for medications and medical products from other sources of funding (federal budget, extrabudgetary activity) falls within the competence of a healthcare institution.
Aim. To propose tools and regulations that allow to plan volume and range of medications and medical products for health¬care institutions that provide medical services, both through compulsory medical insurance and on an extrabudgetary basis.
Materials and methods. The materials studied were the legislative and regulatory framework governing the medication supply of healthcare institutions of the Russian Federation and the Krasnoyarsk Territory; internal regulations of the FSFI FSRCC under the FMBA of Russia, a healthcare institution subordinate to the Federal Medical-Biological Agency. Mathe¬matical, analytical and descriptive methods were used in this work.
Results and discussion. Particular problems in determination of the volume and range of medications for the institutions providing medical services on an off-budget basis are associated with the impossibility of accurate planning concerning medication type and volume. The FSRCC uses a retrospective analysis of requests for each type and number of medical services using a technical medical service worksheet. Application of the designed and approved procurement regulations allows to plan future expenses the most optimal way for the uninterrupted high-quality routine medical care provision not only at the expense of compulsory medical insurance but also as a part of extrabudgetary activity.
Conclusions. The proposed algorithm for work with the regulations is recommended for the use in multidisciplinary health-care institutions in order to optimize procurement activity.