Medico-social Rationale for Adaptation of Regional Drug Supply Systems to Personalized Pharmaceutical Care for Persons of Different Ages

Abstract

In this study, we identified indicators of the state of personalized pharmaceutical care for target population groups at the
regional level, in a model region, with the aim to develop a differentiated approach to such care. The rationale for the
choice of Moscow Region as a model region is based on its specific socioeconomic indicators and a comparison of these
with respective average Russian values. A need was shown to modernize patient-oriented pharmaceutical care, especially
for certain population groups, such as children, women of working age (mothers), and the elderly. Content analysis of the
legislation and regulatory documents applicable to public health care at the Federal and regional levels allowed to
demonstrate their shortcomings in relation to the organization of drug supply for target population groups. A situation
analysis of the state of drug supply for Moscow Region outpatients and inpatients revealed a room for improvement.
Analysis and synthesis of data obtained after the application of statistical tests allowed structuring of indicators that will be
used in the development of key elements of a conceptual model of rational drug supply within the framework of
personalized health care for the population groups requiring a differentiated approach the most (i.e., target groups).