Development of a model for designing community-focused technologies of drug provision for patients with type 2 diabetes mellitus

I n t r o d u c t i o n . In the context of macroeconomic instability and emergencies associated with social threats that may arise, an extended study and design of community-focused technologies (CFTs) in the drug provision (DP) for patients with type 2 diabetes mellitus (T2DM) in the Novosibirsk region (NR) is necessary.
A i m . Development of a model for designing CFTs in DP for T2DM patients at the regional level.
M a t e r i a l s a n d m e t h o d s . For an expert assessment of CFT priority areas of activity and measures in DP for T2DM patients, a survey was conducted among heads of regional and federal pharmacy chains, employees of the Ministry of Health of the NR, and Roszdravnadzor for the NR (in total, 30 specialists). The following methods were used: content analysis, analytic hierarchy process, expert assessment, hierarchic synthesis method, and modeling.
R e s u l t s. According to the resulting vector of priorities, the most significant areas of CFTs in DP for T2DM patients were recognized as follows (in descending order): optimization of organization and improving the mechanism of DP for T2DM patients; ensuring the availability of pharmacotherapy for T2DM patients (specific categories of citizens) based on the use of the criteria and regional information services; developing organizational and functional forms and technologies to improve interagency collaboration between healthcare professionals and their communication with T2DM patients. Research and practical activities for designing areas of CFTs in DP for T2DM patients should be carried out as follows: a sociological study of satisfaction of the population suffering from T2DM with the organization of DP in the NR; formation of an optimal assortment, positioning and stratification of medicines in the system of essential DP; a sociological study of the opinions of healthcare professionals and pharmacists on the organization of the DP for T2DM patients in the NR; micro-segmentation of T2DM patients based on aim and subjective criteria, T2DM patient profiling; development of DP infrastructure: opening the drug dispensing outlets in municipal formations of the region, specialized (commercial) pharmacies.
C o n c l u s i o n . The results obtained can serve as a basis for further optimization of the healthcare system of the NR to increase the effectiveness of steps to improve the quality of DP for T2DM patients.

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