Jamil Abuov, Sundetgali Kalmakhanov, Laura Seiduanova, Ainur Tekmanova, Daniyar Toksanbayev, Sabit Pazilov, Kanatzhan Kemelbekov
Kazakh National Medical University named after S.D. Asfendiyarov,Shymkent, Kazakhstan.
Al-Farabi Kazakh National Univercity, Shymkent, Kazakhstan.
Int J Prev Med. 2022 Apr 8;13:69. doi: 10.4103/ijpvm.IJPVM_689_20. eCollection 2022.
The existing system of outpatient drug provision of citizens allows providing certain categories of citizens and patients with certain types of diseases on a free basis. The purpose of the study is to analysis and evaluate the system of providing preferential categories of citizens with antihypertensive drugs at the level of primary health care.
To determine the level of satisfaction of citizens with drug provision at the outpatient level, 3118 respondents were interviewed using a questionnaire for persons who received free medicines for the treatment of hypertension. The questionnaire consisted of 20 questions. They were distributed by sex and age criterion. The ratio of male and female respondents was 51.7% and 48.7%, respectively.
Thus, the results of a sociological study to study the opinions of the population about the existing system of free outpatient care revealed some organizational and managerial problems. Although that patients with hypertension since 2012 receive drugs for free, 37% noted that they bought at full cost in pharmacies, which should be released free of charge for privileged categories of citizens. Also, 77% of respondents claimed that they were not invited to outpatient organizations to receive drugs.
In solving the problems of improving the organization and management, it is necessary to take into account regional peculiarities, which allow, based on the use of a set of methods of analysis and forecasting, to assess the state and trends of development, to identify its strengths and weaknesses, to assess the factors of the external and internal environment.
现有的公民门诊药品供应系统允许免费为特定类别的公民和患有特定疾病的患者提供药品。本研究的目的是在初级卫生保健层面分析和评估为特定类别的公民提供抗高血压药物的系统。
为确定公民对门诊药品供应的满意度,使用针对接受免费高血压治疗药物的人员的问卷对3118名受访者进行了访谈。问卷由20个问题组成。按性别和年龄标准进行了分发。男性和女性受访者的比例分别为51.7%和48.7%。
因此,一项关于民众对现有免费门诊医疗系统看法的社会学研究结果揭示了一些组织和管理问题。尽管自2012年以来高血压患者可免费获得药物,但37%的人表示他们在药店全额购买了本应为享有特权的公民免费发放的药物。此外,77%的受访者称他们未被邀请到门诊机构领取药物。
在解决改善组织和管理的问题时,有必要考虑区域特点,这有助于基于一系列分析和预测方法,评估发展状况和趋势,识别其优势和劣势,评估外部和内部环境因素。