ANALYSIS OF THE MAIN BARRIERS OF PHARMACY ORGANIZATIONS FOR PEOPLE WITH LIMITED MOBILITY AND DISABILITIES
Abstract
Objective. To identify and analyze the main barriers for disabled people with limited mobility in pharmacies, and suggest possible ways to eliminate or minimize these barriers.
Material and methods. The texts of sectoral legislation of the Russian Federation have been used as source materials for content analysis. During the research process, grammatical and logical methods of interpreting of the legislation have been used.
Results. For each category of disabled people with limited mobility, the main architectural, space planning, information, and organizational barriers in pharmacies, which impede the accessibility of pharmaceutical services, have been identified. The main differences between pharmacies and medical organizations have been analyzed in relation to factors influencing the presence or absence of such barriers.
Conclusions. The legal and organizational possibilities of creating specially designated places in pharmacies for the providing of pharmaceutical services including consultation and information for people with limited mobility have been shown. The need for a high level of readiness of pharmacists in pharmacies has been identified to eliminate or minimize existing barriers, which makes it important for them to undergo special training and conduct regular additional instructions.
About the Authors
A. R. IshkininaRussian Federation
A. Kh. Gaisarov
Russian Federation
G. Ya. Ibragimova
Russian Federation
References
1. Konventsiya o pravakh invalidov (Convention on the Rights of Persons with Disabilities) Zaklyuchena v g. N'yu-Iorke 13.12.2006, ratifitsirovana Rossiiskoi Federatsiei Federal'nym zakonom ot 03.05.2012 № 46-FZ. [Electronic resource]. URL: https://base.garant.ru/2565085 / (accessed 19.09.2023) (in Russ.)
2. Federal'nyi zakon ot 21.11.2011 № 323-FZ «Ob osnovakh okhrany zdorov'ya grazhdan v Rossiiskoi Federatsii» (Federal Law of November 21, 2011 № 323-FL «On the fundamentals of protecting the health of citizens in the Russian Federation»). (in Russ.)
3. Federal'nyi zakon ot 12.04.2010 № 61-FZ «Ob obrashchenii lekarstvennykh sredstv» (Federal Law of April 12, 2010 № 61-FL «On the Circulation of Medicines»). (in Russ.)
4. SP 59.13330.2020. Svod pravil. Dostupnost' zdanii i sooruzhenii dlya malomobil'nykh grupp naseleniya. SNiP 35-01-2001 (Set of rules 59.13330.2020. Accessibility of buildings and structures for people with limited mobility. Building regulations 35-01-2001). (in Russ.)
5. Pis'mo Ministerstva truda i sotsial'noi zashchity Rossiiskoi Federatsii ot 23.01.2023 № 13-1/10/В-769 «O napravlenii uchebnometodicheskogo posobiya «Dostupnaya sreda dlya invalidov: sovremennye podkhody i resheniya»« (Letter of the Ministry of Labor and Social Protection of the Russian Federation dated January 23, 2023 № 13-1/10/B-769 «On the direction of the educational and methodological manual «Accessible environment for people with disabilities: modern approaches and solutions»«). (in Russ.)
6. Prikaz Ministerstva zdravookhraneniya Rossiiskoi Federatsii ot 12.11.2015 № 802n «Ob utverzhdenii Poryadka obespecheniya uslovii dostupnosti dlya invalidov ob''ektov infrastruktury gosudarstvennoi, munitsipal'noi i chastnoi sistem zdravookhraneniya i predostavlyaemykh uslug v sfere okhrany zdorov'ya, a takzhe okazaniya im pri etom neobkhodimoi pomoshchi» (Order of the Ministry of Health of the Russian Federation dated November 12, 2015 № 802n «On approval of the Procedure for ensuring conditions of accessibility for disabled people of infrastructure facilities of the state, municipal and private healthcare systems and services provided in the field of health care, as well as providing them with the necessary assistance»). (in Russ.)
7. Prikaz Ministerstva zdravookhraneniya Rossiiskoi Federatsii ot 31.08.2016 № 647n «Ob utverzhdenii Pravil nadlezhashchei aptechnoi praktiki lekarstvennykh preparatov dlya meditsinskogo primeneniya» (Order of the Ministry of Health of the Russian Federation dated August 31, 2016 № 647n «On approval of the Rules for Good Pharmacy Practice of Medicines for Medical Use»). (in Russ.).
8. Prikaz Ministerstva zdravookhraneniya Rossiiskoi Federatsii ot 24.11.2021 № 1093n «Ob utverzhdenii Pravil otpuska lekarstvennykh preparatov dlya meditsinskogo primeneniya aptechnymi organizatsiyami, individual'nymi predprinimatelyami, imeyushchimi litsenziyu na osushchestvlenie farmatsevticheskoi deyatel'nosti, meditsinskimi organizatsiyami, imeyushchimi litsenziyu na osushchestvlenie farmatsevticheskoi deyatel'nosti, i ikh obosoblennymi podrazdeleniyami (ambulatoriyami, fel'dsherskimi i fel'dshersko-akusherskimi punktami, tsentrami (otdeleniyami) obshchei vrachebnoi (semeinoi) praktiki), raspolozhennymi v sel'skikh poseleniyakh, v kotorykh otsutstvuyut aptechnye organizatsii, a takzhe Pravil otpuska narkoticheskikh sredstv i psikhotropnykh veshchestv, zaregistrirovannykh v kachestve lekarstvennykh preparatov dlya meditsinskogo primeneniya, lekarstvennykh preparatov, soderzhashchikh narkoticheskie sredstva i psikhotropnye veshchestva, v tom chisle Poryadka otpuska aptechnymi organizatsiyami immunobiologicheskikh lekarstvennykh preparatov» (Order of the Ministry of Health of the Russian Federation dated November 24, 2021 № 1093n «On approval of the Rules for the dispensing of medicines for medical use by pharmacies, individual entrepreneurs licensed to carry out pharmaceutical activities, medical organizations licensed to carry out pharmaceutical activities, and their separate divisions (outpatient clinics, paramedic and paramedic-midwife stations, centers (departments) of general medical (family) practice) located in rural settlements in which there are no pharmacies, as well as the Rules for the dispensing of narcotic drugs and psychotropic substances registered as medicines for medical use, medicines containing narcotic drugs and psychotropic substances, including the Procedure for the dispensing of immunobiological medicines by pharmacies»). (in Russ.).
9. Gaisarov A.Kh. The legal status of customer counseling as the pharmaceutical service provided at the pharmacies. Health & Education Millennium. 2018;20(5):117-120. (in Russ.). doi: 10.26787/nydha-2226-7425-2018-20-5-117-120.
10. Gaisarov A.Kh. The legal status of the informing of customers as the pharmaceutical service provided at the pharmacies. Health & Education Millennium. 2018;20(4):140-143. (in Russ.). doi: 10.26787/nydha-2226-7425-2018-20-4-140-143.
Review
For citations:
Ishkinina A.R., Gaisarov A.Kh., Ibragimova G.Ya. ANALYSIS OF THE MAIN BARRIERS OF PHARMACY ORGANIZATIONS FOR PEOPLE WITH LIMITED MOBILITY AND DISABILITIES. Bashkortostan Medical Journal. 2023;18(6):58-63. (In Russ.)