Study of Regional Factors Influencing the Consumer Demand for Medicinal Drugs for Outpatient Treatment of Patients with Community-Acquired Pneumonia

Abstract

Taisiya Ivanovna Kabakova, Andrey Borisovich Goryachev, Adisa Arsenovna Umirova, Gasbulla Suleymanovich Barkaev, Natal'ya Nikolaevna Kuvshinova, Elena Yur'evna Lemeshchenko, Oleg Nikolaevich Afanas'ev.

Background: Drug therapy of patients with community-acquired pneumonia is associated with the use of a wide nomenclature of drugs of various pharmacotherapeutic groups, including modern expensive drugs.
In order to develop sound managerial decisions for the heads of pharmacy organizations on the optimal drug provision for patients with community-acquired pneumonia undergoing treatment in outpatient conditions, it is necessary to have reliable data on the medical and demographic status of patients exposed to community-acquired pneumonia, as well as on factors influencing the choice of medicinal drugs by patients during responsible self-treatment.
Objective: The objective of the study was to conduct a sociological study to determine a medical-demographic portrait of a patient with community-acquired pneumonia receiving outpatient care and to analyze a complex of factors influencing the choice of necessary medicinal drugs.
Methods: The following methods have been used as a scientific analysis tool: content analysis of statistical documents, special medical and pharmaceutical literature; sociological survey in the form of face-to-face anonymous patient questionnaires; grouping and comparison of the obtained results.
Findings: Based on the results of a sociological survey, a regional medical and demographic portrait of a patient with community-acquired pneumonia has been drawn up. This is a man, aged 46 to 55 years. He is a city resident with secondary special education, living in satisfactory housing conditions, has a permanent job and a monthly average per capita income per family member in the amount of 8 to 13 thousand rubles, while he is ready to spend no more than 20% of his income on necessary medicines. No more than 2 times a year he suffers from respiratory diseases, is prone to responsible self-treatment, as the medical care is sought only for urgent indications. Factors determining the consumer demand for medicines have been identified. The crucial factor in choosing a pharmacy to purchase the necessary medicinal drugs is its flexible pricing policy, and when choosing drugs from the proposed product range of similar products - their price.
Conclusions: It has been established that the case rate of community-acquired pneumonia in the territory of the Kabardino-Balkarian Republic is characterized by a certain medical-demographic portrait of an average patient, the peculiarities of which should be taken into account when organizing medical provision of the population of the Republic. Factors forming consumer demand for medicinal drugs necessary for pharmacotherapy of community-acquired pneumonia, connected with social and economic level of development of the region have been defined.