These guidelines address the organization and optimization of drug supply in separate structural divisions of medical organizations licensed for pharmaceutical activities and located in rural communities lacking pharmacies (using the example of a feldsher-midwife station), taking into account current legislation and modern organizational and methodological approaches. These guidelines can be extrapolated to other types of separate structural divisions. The document covers both mechanisms for subsidized drug supply and the procedure for retail sale of drugs in rural and remote areas. The guidelines are based on current federal legislation and an analysis of best practices in the constituent entities of the Russian Federation. The document describes various models for organizing drug supply, accounting standards, and document flow. Methods for monitoring availability and identifying and managing shortages are discussed. Particular attention is paid to building an effective system for planning drug needs, organizing supply chains, and ensuring proper storage conditions, dispensing, and accounting for drugs. Issues of process digitalization and the use of lean manufacturing tools are covered. The guidelines are intended for paramedics or obstetricians (midwives) working at feldsher-midwife stations (feldsher stations, feldsher health centers), specialists of central district hospitals, heads of primary health care organizations, healthcare organizers, as well as regional coordinators of drug supply programs.
Drapkin et al. (Sat,) studied this question.