Therefore the problem of pharmaceutical assistance improvement for the employees of such companies as Exxon Mobil, Shell (Sakhalin Energy), BP, Nippon Steel, Saipem UK, Aker Marine Contractors, Transocean, Fluor Daniel, Lukoil, Rosneft (Elvary), Starstroi and others, working under rotational team method on the remote areas has gained big actuality, and stipulated timing and reasonableness of this research. The aim of the research is the development of complex medico-social program of medicamentary supply and improvement of pharmaceutical assistance to the migrants of Sakhalin Region.
CJSC "AEA International (Sakhalin)" (hereafter "AEA Int") - takes the first place among the leading organization of the Far East region in provision of medical and pharmaceutical services on the remote job sites of the companies working in frames of oil and gas projects internationally. Given high demands making to the safety technique, danger in terms of being injured during exploration works implementation, cleansing of territories from explosion-hazard units by sapper teams during assembly operations during part-time residence camps construction along the pipeline laying route, significant remoteness of construction objects from stationary medical institutions, contractor companies have a necessity to obtain urgent and acute medical assistance in "AEA Int". The provision of high quality medical assistance is not possible without pharmaceutical support nowadays. The pharmacy of the company provides the medications to the 20 medical facilities, situated in remote regions (onshore as well as on the 4 oil rigs offshore) and on the ships. Therefore the main function of the pharmacy is to supply the pharmaceutical assistance to the employees working in different fields in frames of projects.
On the first stage of the research, regional features of external-economic performance, integration processes and many other regional factors, based on the systematic approach and contemporary methods of economical model building were analyzed. The most significant from them are medico-demographical features (based on the results of ranking Kr = 0,82), which affect the MP (medicine provision) process. The analysis of the Sakhalin Region population disease incidence during 2005-2006 showed that the blood circulation diseases take the first place among other diseases (53,5%), comprising heart related diseases, casualties of food poisoning and injuries (18,8%), the third place is after neoplasms (11%). The analysis of the disease incidence is an essential part of the research in the MP process, because this factor forms assortment and goods policy of the pharmacy.
The second stage implies the development and introduction of step by step accounting, which gives an excellent opportunity of taking a note of high costs, related to remoteness of the objects, and at second, to produce the analysis of profitability, separated medications and assortment of production in whole. There is an economico-mathematical model of step by step accounting of medical provision (4 formulas):
n
СМ1 =∑ (Vi х Pi - VCi) (1)
i =1
n
СМ2 =∑ (Vi х Pi - VCi- FCj) (2)
i =1
m
СМ3 =∑ (CM2j - FCj) (3)
j =1
m
СМ3 =∑ (CM2j - FCj) - FC] (4)
j =1
Where: CM1- the (ruble) coverage of the separated assortment units in frames of pharmaceutical production (PP); CM2-the (ruble) coverage of the separated kinds of PP; CM3- the (ruble) coverage of the separated assortment groups of pharmaceutical goods; I- the result of the enterprise performance (profit and damage); V- the volume of the realization of PP; P- price factor; VC- variable costs; FC- fixed cost; I- kind of production in assortment of enterprise, I=I.........n, where n is the number of PP; j-the kind of assortment group of the enterprise, I= I........m, where m is the number of assortment PP group. With the help of this methodic the following results were collected: the highest points (589) were given to the group of medications, helping the patients having heart-related diseases, where the leaders were Actilyze, Cozaar, Liprimar; the second place (517 points) was taken by the medications helping if a patient has infective diseases, the leaders in this group became Ciprobay,Klacid,Augmentin, the third place( 432) was after the group of vitamins with Centrum, Vitrum, Upsavit C; the fourth place with 368 points was taken by group of vaccine with Avaxim, Vaxigrip, FSME vaccination; the fifth place with 273 points is taken by the group of Nonsteroidal Anti-inflammatory drugs with Celebrex, Ibuprofen, Diclofenac.The group of opioid analgesics is taking the sixth place with 117 points, because those medications should be supplied to the medical facilities on the remote objects for the providing of urgent and acute first aid. The method of step-by-step accounting was also applied for the development of regional "Vaccinal prevention", "Avian flu" and others.
The complex medico-social program which included: verification of the required list of medications, expendable medicational materials; development of actions algorithm, directed to the quality of provision and optimization of pharmaceutical performance on every stage when the medications are delivered, kept and sold with the adherence of international standards of ISOS and RF legislation; the development of methodic instructions about the work of mobile medical teams on the construction objects working under offshore projects on the territory of Sakhalin region.
Thus, due to research work the methodic approaches were improved in the area of providing the pharmaceutical assistance for the employees (including the assistance to the migrants), working under rotational team method in the frames of Sakhalin 1, 2, 5 projects. The introduction of the mentioned recommendations about the mobile medical teams work regime (the act of introduction №2586 dated 30.12.2004) enabled to work out the complex medico-social program of MP of the migrants of Sakhalin region and provide the pharmaceutical assistance in accordance with the international standards.
The article is admitted to the International Scientific Conference "Modern High Technologies",Spain, Tenerife, 2006, November 20-27; came to the editorial office on 15.10.06