Analysis of drugs procurement to ensure the provision of medical care in hospitals

One of the legislative innovations aimed to reduce irregularities in public procurement, is the emergence of new actors — an «expert» and «expert organization», i.e. people with special knowledge, experience, expertise in the field of science, technology, art or craft required for the examination, as well as for auditing. Th is work is devoted to the possibility of carrying out an independent examination of drugs procurement for health care organizations is fixed

Provision of medicines care provided in municipal health care institutions in the Moscow region in stationary conditions (2012 - 2014 years)

Difficult economic situation in the country requires the government decision urgently measures aimed at improving the efficient use of available financial and material resources, including through the development of domestic production of medicines and increasing the share of the cost of their acquisition in the implementation of government programs. The study of purchases of medicines by health care organizations in Moscow Region over the past 3 years (2012 – 9 mo

Should not be allowed to ban

Given the shortage of funds, the most common response from the authorities responsible for funding, or a desire to direct cuts in funding, or to the greatest possible diffi culty obtaining funding medical organizations involved in the implementation of the program of state guarantees the provision of free medical care to citizens. However, the desired result can be obtained without the use of quarantine measures

Analysis of the effectiveness of the use of financial resources in the procurement of pharmaceuticals for state needs

The use of different methods for analyzing the procurement of drugs for state needs made it possible to reveal the excessive range of drugs included in state contracts, as well as the low efficiency of the use of funds

Analysis of drug purchases aft er the entry into force of the federal contract system

According to the authors of the Federal Law of 05.04.2013 №44 -FZ «On the contract system in the procurement of goods, works and services for state and municipal needs» new rules of organization and control in procurement should be accompanied by a reduction of waste and the risk of corruption schemes by increasing the «transparency» of the bidding procedure. Performed work showed that before the implementation of the law imposed on hopes still far away, in any case, in terms of drug procurement

Результаты исследования ассортимента лекарственных средств, приобретаемых для оказания медицинской помощи в медицинских организациях стационарного типа

analysis of drug products assortment acquirable by healthcare organizations for medical treatment in hospital settings was conducted. Numerous violations of active law were detected and creation of drug assistance medical care standards was suggested as a financial spending optimization tool based on acquisition of drug products with proven clinical efficiency and minimal treatment cycle cost.проведен анализ ассортимента лекарственных средств, приобретаемых медицинскими организациями для оказания медицинской помощи в стационарных условиях. Выявлены многочисленные нарушения действующего законодательства и предложено создание стандартов обеспечения медицинской помощи лекарственными средствами в качестве инструментов, позволяющих оптимизировать расход финансовых средств за счет приобретения лекарственных средств, обладающих доказанной клинической эффективностью и минимальной стоимостью курса лечения

Nuclear dependence of the transverse-single-spin asymmetry for forward neutron production in polarized pp++AA collisions at sNN=200\sqrt{s_{_{NN}}}=200 GeV

During 2015 the Relativistic Heavy Ion Collider (RHIC) provided collisions of transversely polarized protons with Au and Al nuclei for the first time, enabling the exploration of transverse-single-spin asymmetries with heavy nuclei. Large single-spin asymmetries in very forward neutron production have been previously observed in transversely polarized $p$$+$$p$ collisions at RHIC, and the existing theoretical framework that was successful in describing the single-spin asymmetry in $p$$+$$p$ collisions predicts only a moderate atomic-mass-number ($A$) dependence. In contrast, the asymmetries observed at RHIC in $p$$+$$A$ collisions showed a surprisingly strong $A$ dependence in inclusive forward neutron production. The observed asymmetry in $p$$+$Al collisions is much smaller, while the asymmetry in $p$$+$Au collisions is a factor of three larger in absolute value and of opposite sign. The interplay of different neutron production mechanisms is discussed as a possible explanation of the observed $A$ dependence.Comment: 315 authors, 8 pages, 4 figures, 1 table. v2 is version accepted for publication in Phys. Rev. Lett. Plain text data tables for the points plotted in figures for this and previous PHENIX publications are (or will be) publicly available at http://www.phenix.bnl.gov/papers.htm

Multi-particle azimuthal correlations in p-Pb and Pb-Pb collisions at the CERN Large Hadron Collider

Measurements of multi-particle azimuthal correlations (cumulants) for charged particles in p-Pb and Pb-Pb collisions are presented. They help address the question of whether there is evidence for global, flow-like, azimuthal correlations in the p-Pb system. Comparisons are made to measurements from the larger Pb-Pb system, where such evidence is established. In particular, the second harmonic two-particle cumulants are found to decrease with multiplicity, characteristic of a dominance of few-particle correlations in p-Pb collisions. However, when a $|\Delta \eta|$ gap is placed to suppress such correlations, the two-particle cumulants begin to rise at high-multiplicity, indicating the presence of global azimuthal correlations. The Pb-Pb values are higher than the p-Pb values at similar multiplicities. In both systems, the second harmonic four-particle cumulants exhibit a transition from positive to negative values when the multiplicity increases. The negative values allow for a measurement of $v_{2}\{4\}$ to be made, which is found to be higher in Pb-Pb collisions at similar multiplicities. The second harmonic six-particle cumulants are also found to be higher in Pb-Pb collisions. In Pb-Pb collisions, we generally find $v_{2}\{4\} \simeq v_{2}\{6\}\neq 0$ which is indicative of a Bessel-Gaussian function for the $v_{2}$ distribution. For very high-multiplicity Pb-Pb collisions, we observe that the four- and six-particle cumulants become consistent with 0. Finally, third harmonic two-particle cumulants in p-Pb and Pb-Pb are measured. These are found to be similar for overlapping multiplicities, when a $|\Delta\eta| > 1.4$ gap is placed.Comment: 25 pages, 11 captioned figures, 3 tables, authors from page 20, published version, figures at http://aliceinfo.cern.ch/ArtSubmission/node/87