OPTIMISATION OF THE PROVISION OF MEDICAL FACILITIES WITH EFFECTIVE AND AFFORDABLE DRESSINGS

Abstract

Statement of the problem. The martial law in Ukraine, as well as the increase in the general and chronic morbidity of the population, has led to an increase in the number of surgical interventions. Regardless of the genesis and localisation of wounds, the treatment tactics are determined by the phase of the wound process. In this regard, modern surgery, orthopaedics and traumatology use a differentiated approach to the choice of dressings depending on the phase of the wound process, the extent and depth of the lesion, using therapeutic dressings with pronounced sorption, antimicrobial, anti-inflammatory, haemostatic, and analgesic activity. For medical institutions, the procurement of expensive imported innovative dressings becomes problematic, given the limited budget funding. This problem can be solved by optimising the range of purchased medical products by replacing imported new generation products with domestic analogues of pharmacological efficacy, which are more competitive in cost, which will allow their rational use. The purpose of the article is to develop a concept of marketing research that helps to optimise the provision of medical institutions with effective and affordable dressings. Analysis of recent research and publications. The authors investigated the basic concepts of marketing planning for medical and pharmaceutical organisations with the aim of using it to promote new dressings, in particular, domestic competitive ones that are not inferior to world analogues. Research methods. The study is based on the basic provisions of marketing and management theory, principles of system analysis, and a regional approach to studying the current state of pharmaceuticals supply to the population. The following methods were used in the study: logical, systemic and structural analysis, economic and mathematical (comparison, grouping, collective expert assessment), sociological (questionnaires, interviews), content analysis. The objects of the study were: data from 225 questionnaires of expert groups of surgeons and traumatologists from 5 medical institutions in Kyiv and the region. Results of the study. The assortment and volume of dressings used by inpatients and outpatients were determined. A comprehensive study of the territorial market of dressings was conducted and a list of dressings for medical institutions with surgical departments was compiled. The structure, breadth, completeness and degree of use of the assortment were assessed. Using the method of collective expert assessments, a medical characteristic of the effectiveness and frequency of use of dressings was provided. The factors that determine the preferences of surgeons when choosing dressings (efficacy, safety, cost, availability in a medical institution) were identified. Conclusions and prospects for further research. The list of the most effective and affordable, mainly domestic dressings for providing surgical care to the population, taking into account the modern methodology of wound treatment and the range offered by the pharmaceutical market, has been determined. In the future, we envisage substantiating the conceptual foundations for optimising the management of the provision of surgical patients with dressings, which can be used for the effective management of budgetary financial resources allocated to medical institutions.