The results of the ABC/VEN analysis of the medicinal component of the regional program “fighting cardiovascular diseases” in the Tyumen region

Aim – using ABC/VEN-analysis, study the provision of vital and essential medicines to patients who have suffered from acute cardiovascular diseases, classify them according to the degree of importance and frequency of prescribing in order to predict and justify the need for financial resources.

Material and methods. The research used methods of structural, comparative, logical, ABC-analysis, VEN-analysis, computer technology, and content analysis. The object of the study was the nomenclature of medicines, indicators of entitled drug provision for persons suffering from acute cardiovascular diseases, regulatory legal acts regulating the provision of medicines to citizens, the State Register of Medicines.

Results. The study showed that the main share (72.96%) of entitled drug provision for patients included in the Register and under dispensary supervision under the regional program “Fighting cardiovascular diseases” falls on anticoagulants (B01), drugs affecting the renin-angiotensin system (C09) and lipid-lowering drugs (C10), Group B (ABC-analysis) is 23.06%, represented by diuretics (C03), beta-blockers (C07), calcium channel blockers (C08). This ratio is due to the standards of medical care (clinical recommendations) for the treatment of acute cerebrovascular accident, myocardial infarction. Patients with these diseases make up 60% of the Register of persons under dispensary supervision in polyclinics. A VEN-analysis conducted with the participation of primary care physicians revealed the most commonly prescribed medications for the treatment of these diseases.

Conclusion. The peculiarities of the organization of entitled drug provision for people suffering from cardiovascular diseases under the regional program have been studied. The ABC-analysis revealed the most consumed groups of drugs, and the VEN-analysis, frequently prescribed drugs. It was found that there is a connection with the prescription of drugs, standards of medical care, the structure of the regional Register of persons under dispensary supervision and the formation of an application for the resource provision of the program. The joint implementation of ABC and VEN analysis allows us to assess the expediency of spending financial resources.