scholarly journals Analysis of the strategy of drug provision of certain categories of the population of the krasnodar region

2021 ◽  
Vol 17 (4) ◽  
pp. 94-102
Author(s):  
V. V. Pilshchikova ◽  
T. A. Shiltsova ◽  
Yu. A. Vasiliev
Keyword(s):  
Regional Scale ◽  
Social Assistance ◽  
Federal Budget ◽  
High Tech ◽  
Social Risks ◽  
Regional Budget ◽  
Coronavirus Infection ◽  
The Cost ◽  
Drug Provision ◽  
Implementation Of The Strategy

The research devoted to providing the population with preferential medicines is quite relevant, since it is a priority area in the framework of state social assistance. The state program of preferential drug provision affects the effective economic development of the domestic pharmaceutical market, the successful overcoming of social risks, prevents a decrease in the standard of living of the population, in particular, it assumes a significant reduction in patient costs for high-tech medical care. The priority state tasks of improving the preferential drug supply for certain categories of citizens until 2025 are defined in the Strategy for drug provision of the population of the Russian Federation. The article presents the regulatory framework for the implementation of the Strategy on the example of the Krasnodar Territory. Analysis at the regional level of preferential drug provision has made it possible to identify some modern trends in financing this area. The dynamics of growth in funding for drug provision to the privileged category of citizens from the federal budget has been revealed on the basis of the obtained data. The analysis of the provision of preferential drugs on a regional scale, proposed in the research, also tends to increase, which undoubtedly improves the condition of patients in a number of nosological forms. The results of the research are presented by a detailed analysis of the dynamics of the number of citizens eligible for state social assistance in terms of drug provision. The proportion of citizens using preferential drug provision over the past several years is stable. An analysis of the financing of preferential drug provision for residents of the region has revealed a tendency for the growth of subventions to municipalities for the implementation of powers to provide the necessary drugs, respectively, the average amount of funds for drug provision of one resident of the region, who has a corresponding benefit, has increased. Moreover, the analysis has revealed an increase in financing of the privileged category of citizens from the regional budget. As a result of the research, a downward trend in preferential drug provision for citizens from other regions has been revealed, which is due to the limited attendance of the region due to the coronavirus infection. The analysis of the provision of drugs to the population by «high-cost nosologies» indicates an increase in the cost of financing them. The results of the analysis of the implementation of the Strategy for drug provision in the Krasnodar Territory have made it possible to identify the effectiveness of financial state support for certain categories of the population.

scholarly journals Analysis of financing and role of world-class research and education centers in the Russian Federation

2021 ◽  
Vol 12 (2) ◽  
pp. 7-18
Author(s):  
Valeriya Yu. Anisimova ◽  
Elvin P. Gaffarli
Keyword(s):  
Federal Budget ◽  
Economic Effects ◽  
High Tech ◽  
Performance Targets ◽  
Regional Market ◽  
Scientific Equipment ◽  
Regional Budget ◽  
World Class ◽  
Research And Education

The article analyzes the role of science in the development of state, world-class scientific and educational centers and their role in the innovative development of regions. The article presents the indicators of financing of REC. The sources and mechanisms of REC financing are analyzed. The effectiveness of functioning and impact of REC on the economy of the region is revealed. Possible reasons are given for the fact that the share of federal budget funds, specifically grants, is no more than 14,5 %, depending on the REC. It is noted that the main expenditures of the regional budget are directed to fundamental and applied research that meets the criteria and requirements of the regional market, the purchase of educational and scientific equipment, and the support and development of production enterprises that are members of REC. The creation of the REC will raise the prestige of science in the state, and the real sector of the economy is included in this process. The activities of scientific and educational center will also affect the structure of the GRP of the region. It was found that the functioning of RECs has positive socio-economic effects. This is reflected in the REC's performance targets, which are reflected in their work programs. In general, the functioning of the REC will have positive socio-economic effects, such as increasing the standard of living and attractiveness of the region; improving the environmental situation; increasing the production of innovative and high-tech products; increasing the level of GRP; creating new jobs; improving and developing the scientific and educational environment of the region.

Analysis of the efficiency of using the machine and tractor fleet (on the example of agricultural enterprises of the Ryazan region)

2021 ◽  
pp. 77-86
Author(s):  
Elena Viktorovna Khudyakova ◽  
Mikhail Sergeevich Nikanorov ◽  
Vasilij Vladimirovich Butyrin
Keyword(s):  
Agricultural Production ◽  
Crop Production ◽  
Banking Sector ◽  
Federal Budget ◽  
High Energy ◽  
State Support ◽  
Agricultural Enterprises ◽  
Regional Budget ◽  
Energy Saturation ◽  
The Cost

The efficiency of the use of agricultural machinery is largely a determining factor in the efficiency of agricultural production in general. The analysis of the efficiency of using the machine and tractor fleet of agricultural enterprises should be comprehensive. It should be based on a set of such indicators, both quantitative and qualitative indicators, but for crop production, the construction of this system of indicators has its own specifics, due to the fact that in agriculture the working period and the production period do not coincide. When studying the economy of machine use, it is necessary to distinguish between the concepts of direct effect and efficiency, the measure of which is the ratio of operating costs and the volume of mechanized work required for these conditions. The efficiency analysis should be based on the indicators of the volume of mechanized work performed with the help of machines, aggregates, machine and tractor fleet per shift, day, period, year. In close connection with the productivity of machine operators and the level of use of equipment are such cost, generalizing indicators as the cost of mechanized work and the cost of production. The article evaluates the efficiency of using the machine and tractor fleet of agricultural enterprises in the Alexander Nevsky district of the Ryazan region, and analyzes the dynamics of crop energy saturation, showing its trends in 2015–2019. The analysis showed that in comparison with the level of 2015, the energy saturation of agriculture in the Ryazan region decreased by 7.6 %. Also, the energy supply of labor decreased by 7.8 %. High energy intensity leads to a reduction in the competitiveness of Russian food, which today is significantly inferior to Chinese, Polish, Israeli, and, in a number of sub-sectors of agriculture — Western European. In conditions of low attractiveness of agricultural production in the banking sector, the role of state support for the development of the material and technical base increases. The analysis of the directions of state support showed that the federal budget presupposes the use of indirect measures of state support (subsidizing the interest rate), and the regional budget combines direct measures (subsidies for the reimbursement of part of direct costs) and indirect regulation in the same proportion.

Medical and economic analysis of the consequences of expanding the drug supply program for patients with chronic obstructive pulmonary disease in the Russian Federation

2019 ◽  
pp. 53-61
Author(s):  
Andrei Georgievich Maliavin ◽  
Alana Viktorovna Dzanaeva ◽  
Maria Vladimirovna Avxentyeva ◽  
Sergei Lvovich Babak
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Russian Federation ◽  
Chronic Obstructive ◽  
Outpatient Basis ◽  
Basic Drug ◽  
Obstructive Pulmonary Disease ◽  
Basic Therapy ◽  
The Russian Federation ◽  
The Cost ◽  
Drug Provision

Purpose of the study. Healthcare budget impact analysis in the Russian Federation of providing adult patients with chronic obstructive pulmonary disease (COPD) with basic therapy for outpatient treatment. Material and methods. The hypothesis of reducing costs for the treatment of exacerbations of COPD was tested while providing all patients with basic therapy on an outpatient basis. The model calculates the direct medical costs of drug provision and treatment of exacerbations in patients with COPD in the current situation and when all patients with COPD are covered with basic therapy as part of a program of preferential drug provision. The simulation period is 1 year. The analysis does not take into account social losses associated with disability, payment of disability certificates, reduced labor productivity and mortality. Results. The cost of providing all patients with COPD with the recommended basic drug therapy on an outpatient basis is substantially offset by a decrease in the cost of treating exacerbations: drug costs should increase by 14.1 billion rubles compared with the current situation, while the cost of providing medical care to patients with exacerbations is reduced by 9.7 billion rubles. As a result, the difference in direct medical costs, or the necessary additional investments, is 4.4 billion rubles. The price of drugs used for basic therapy has the greatest impact on the size of the required additional investments. Conclusion. Providing all patients with COPD with the recommended basic drug therapy on an outpatient basis, we can expect a decrease in the number of moderate exacerbations per year by 14.7% and severe exacerbations by 31.2%. Taking into account not only medical, but also socio-economic costs can not only offset additional investments, but also demonstrate significant savings. When implementing a pilot project of preferential drug provision for patients with COPD in a specific region of the Russian Federation, it is possible to reduce the cost of purchasing medicines when forming a municipal order.

Features of support of agriculture (the case of the Tyumen Region)

2020 ◽  
Vol 6 (1) ◽  
pp. 24-48
Author(s):  
Aleksandra G. Balakhnina ◽  
Gulnara F. Romashkina
Keyword(s):  
Rural Areas ◽  
Small Businesses ◽  
Federal Budget ◽  
Cost Effective ◽  
Legal Framework ◽  
State Support ◽  
Budget Planning ◽  
Social Forms ◽  
Regional Budget ◽  
State Programs

This article systematizes the legal framework, forms, and volumes of support for agriculture from the federal budget of Russia and the regional budget (on the example of the Tyumen Region). The authors have performed a detailed analysis of the directions of such support for 2016-2019. The historical, economic and social features of the relationship between the state and agriculture are shown. State support for agriculture is objectively necessary, and competent budget planning makes it possible to develop. However, the dominance of direct forms of spending support does not stimulate cost-effective and innovative activities, which in the future can bring the industry to a competitive level. There is very little and irregular support for social forms, the development of farming and other forms of private farming in rural areas. The authors conclude that the policy of state support is sufficiently provided by legislative acts, resolutions and state programs. Many programs are updated, and new versions are adopted even before the previous ones expire. Such strong volatility hurts strategic projects and agricultural initiatives. Less expensive forms of activity-mediation and trade turn profitable. Living conditions in the villages significantly stay behind in quality and opportunities, which leads to the human capital leaving rural areas. The authors propose to pay more attention to the development of indirect forms of support, to stimulate economic activity and small businesses.

Pharmacoeconomical approaches for assessing the rational use of ophthalmic drugs in polyclinic settings

2021 ◽  
pp. 143-145
Author(s):  
N.A. Nefedov ◽  
◽  
D.S. Ramonas ◽  
B.G. Khasanov ◽  
A.S. Alexandrov ◽  
...  
Keyword(s):  
Fold Increase ◽  
Eye Drops ◽  
Ophthalmic Drugs ◽  
Rational Use ◽  
Rational Drug ◽  
Acquisition Costs ◽  
The Cost ◽  
Drug Provision ◽  
Combined Drugs

Purpose. To evaluate the results of the rational use of ophthalmic medicines with the use of pharmacoeconomical analysis. Material and methods. With the help of ABC-VEN analysis, a comparative study of the quality of pharmacotherapy and drug provision of patients who were monitored and treated by an ophthalmologist of the polyclinic in 2015 and 2019 was conducted. Results. As a result, it was found that the share of costs for vital drugs increased by 10.1% and amounted to 71.1% in 2019, which corresponds to the standardized criterion (70-80%). There was a reduction in the cost of purchasing secondary drugs by 7.6%, which indicates a rational drug supply of ophthalmic drugs. The most commonly used drugs for the treatment of glaucoma were 27.8% in 2015 and 35.1% in 2019. The share of their acquisition costs was 54.9% and 67.9%, respectively. There was a significant increase in the range and number of drugs for the treatment of patients with glaucoma: a 2.8-fold increase in the number of purchased eye drops for monotherapy and a 12% increase in the number of combined drugs. Conclusion. Pharmacoeconomical analysis showed an optimization of spending money on the purchase of drugs used in ophthalmology: an increase of 10.1% in the share of vital drugs and a decrease of 7.6% in the cost of purchasing secondary drugs. There was an increase in the range and quantity of drugs for the treatment of patients with glaucoma. Key words: ABC-VEN-analysis, drugs, ophthalmology, pharmacoeconomics.

scholarly journals Improvement of the targeted social support of low-income families with children: Vologda Pilot Project

POPULATION ◽  
2019 ◽  
Vol 22 (1) ◽  
pp. 106-121
Author(s):  
Vyacheslav Bobkov
Keyword(s):  
Social Support ◽  
Low Income ◽  
Social Assistance ◽  
Minimum Income ◽  
Lump Sum ◽  
Subsistence Minimum ◽  
Regional Budget ◽  
Low Income Families ◽  
Families With Children ◽  
Guaranteed Minimum Income

The article deals with the theoretical, methodical and practical principles of forming a new model of targeted social support of low-income families with children on the basis of guaranteed minimum income. Approbation of the new approaches to targeted social support of low-income families with children was implemented in Vologda oblast. The target representative sample was 70 families. It has been found out that after the targeted social support under the current legislation (lump-sum payments excluded), basic income in these families averaged 35.3 per cent of the differentiated equivalent subsistence minimum, thus being evidence of the inefficient state social assistance. The author has substantiated introducing additional monthly targeted social payments to parents besides the set regular payments (additional family poverty benefit) that will enable families to improve their economic sustainability. He substantiated a number of threshold values of the guaranteed minimum income that would ensure current consumption ranging from the cost food basket up to the size of the differentiated equivalent living standards of families, depending on the financial capacity of the regional budget. The guaranteed minimum income of low-income families with children averaged 54.6 per cent of the regional differentiated equivalent subsistence minimum. There have been developed methodical recommendations for identifying untapped socio-economic potential of families as a source of raising income from employment, as well as criteria for removal of families from the recipients of targeted social assistance in the form of cash benefits. Proposals on correcting the current legislation on the state social support have been formulated.

scholarly journals Socio-economic burden of pulmonary hypertension: relevance of assessment in Russia and the world

2020 ◽  
Vol 92 (3) ◽  
pp. 125-131
Author(s):  
V. D. Zakiev ◽  
A. D. Gvozdeva ◽  
T. V. Martynyuk
Keyword(s):  
Pulmonary Hypertension ◽  
Economic Burden ◽  
Policy Development ◽  
Premature Death ◽  
Legal Regulation ◽  
Regional Budget ◽  
The World ◽  
The Status ◽  
Life Threatening ◽  
Drug Provision

Pulmonary hypertension (PH) is a progressive disease which is characterized with the increase of pulmonary artery pressure and pulmonary vascular resistance. Such condition leads to right ventricular heart failure and premature death of patients. Pulmonary arterial hypertension (PAH) has the status of an orphan disease. However in Russia only idiopathic PH is included in the list of 24 life-threatening and chronic progressive rare diseases, while other forms of PH are not in it. Inclusion in this list guarantees drug provision for patients at the expense of the regional budget, while patients with other forms of PH can rely on free medication only if they have a disability. The lack of criteria for revising this list as well as the imperfection of legal regulation in the field of drug support for orphan diseases leads to high disability, a significant decrease in the duration and quality of life of patients with PH. As part of a multicriteria approach, a clinical and economic analysis of the disease burden can be one of the tools for policy development and decision-making on the distribution of funding in the healthcare. The article provides a review of the economic burden of various forms of PH in the world.

scholarly journals Ultra-high-performance concrete with local high unburned carbon fly ash

DYNA ◽  
2021 ◽  
Vol 88 (216) ◽  
pp. 38-47
Author(s):  
Joaquín Abellán García ◽  
Nancy Torres Castellanos ◽  
Jaime Antonio Fernandez Gomez ◽  
Andres Mauricio Nuñez Lopez
Keyword(s):  
Compressive Strength ◽  
Fly Ash ◽  
High Performance ◽  
High Performance Concrete ◽  
Unburned Carbon ◽  
High Tech ◽  
Ultra High Performance Concrete ◽  
Conventional Concrete ◽  
The Cost

Ultra-high-performance concrete (UHPC) is a kind of high-tech cementitious material with superb mechanical and durability properties compared to other types of concrete. However, due to the high content of cement and silica fume used, the cost and environmental impact of UHPC is considerably higher than conventional concrete. For this reason, several efforts around the world have been made to develop UHPC with greener and less expensive local pozzolans. This study aimed to design and produce UHPC using local fly ash available in Colombia. A numerical optimization, based on Design of Experiments (DoE) and multi-objective criteria, was performed to obtain a mixture with the proper flow and highest compressive strength, while simultaneously having the minimum content of cement. The results showed that, despite the low quality of local fly ashes in Colombia, compressive strength values of 150 MPa without any heat treatment can be achieved.

Hybrid and Traditional Course Formats

2011 ◽  
pp. 1012-1018
Author(s):  
Dan Baugher ◽  
Andrew Varanelli ◽  
Ellen Weisbord
Keyword(s):  
Instructional Delivery ◽  
High Tech ◽  
Teaching Tool ◽  
Programmed Instruction ◽  
Quality Of Instruction ◽  
Traditional Course ◽  
Learning Contexts ◽  
Use Of Technology ◽  
The Cost

The use of technology as a teaching tool, for example, self-paced programmed instruction, has a long history. However, developments in “high tech” support have considerably broadened the choice and viability of alternative learning contexts and the question of the value of technology for learning has been argued on both sides. There are those who assert that technology has no influence on learning under any circumstances (Clark, 1983). Rather, it affects only the cost or extent of instructional delivery. It is the quality of instruction itself that impacts learning (Clark, 1994). Others claim that the characteristics and capabilities of various technologies do indeed interact with learners, and that effects vary based on characteristics of both the technology and the learner (Kozma, 1991).

ERP in clouds or still below

2014 ◽  
Vol 16 (1) ◽  
pp. 62-76 ◽  
Author(s):  
Igor Grubisic
Keyword(s):  
Decision Support ◽  
Data Privacy ◽  
Significant Risk ◽  
High Tech ◽  
Analytic Hierarchy ◽  
Content Type ◽  
Starting Point ◽  
Readiness To Adopt ◽  
High Level ◽  
The Cost

Purpose – The purpose of this paper is to investigate the market readiness to adopt the Cloud as the future ERP platform, by using the analytic hierarchy process (AHP) decision support methodology. Design/methodology/approach – Interviewing is conducted on the convenient sample, of enterprises from various industries. The interview is conducted through expert telephone interview and self-administered questionnaire. Results are then used as a basis for forming the weight factors necessary for the AHP decision model. Data are analyzed and synthesized using AHP and Expert Choice. Findings – Results demonstrate a huge interest for TCO reduction, but also a concern for data privacy and availability. Large enterprises want their data on local servers, while smaller companies tend to act as “first adopters”, mainly because of the cost benefits that Cloud offers. Finally, vendors see the hybrid solutions as the most suitable approach for the overall market, at least while current Cloud obstacles exist. Research limitations/implications – This research does not aim to answer the question what is the best solution for a particular industry. Instead, it assumes the general approach, which answers the question what would in general be the adequate solution for the SME and how much are SMEs ready to adopt the ERP in the Cloud. A further research is necessary to validate these results in practice. That research should be industry specific, i.e. narrowed to one industry only. Then, it would be possible to answer the question what is the best solution for high-tech SMEs. Practical implications – This paper summarizes Cloud pros and cons useful for decision makers to establish a starting point for IT reorganization. Additionally, AHP results provide some indications of the market's perception regarding Cloud and ERP, while vendors' statements about ERP-Cloud solutions provide an interesting glimpse of the ERP market in the next few years. Originality/value – Market demands constant flexibility and cost effectiveness, forcing companies to adapt faster than ever. Therefore, there is a significant risk for first adopters and their business if they adopt an inadequate solution. This paper offers a high-level overview of the SME's market understanding and willingness to adopt ERP in the Cloud idea, and it demonstrates how the AHP decision support methodology can be used to assess the readiness of enterprises to adopt the Cloud-ERP solution.

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