Вступ. У структурі вітчизняного фармацевтичного ринку упродовж останніх років спостерігається незначне збільшення кількості фармацевтичних, у т.ч. аптечних закладів, проте внаслідок жорсткої конкуренції між суб’єктами підприємництва збиткові АЗ змушені припиняти свою діяльність, поступаючись місцем потужним аптечним мережам. Вітчизняні дослідники проводили аналіз фізичної доступності фармацевтичної допомоги до і після адміністративно-територіальної реформи, а також перспектив розвитку цієї допомоги жителям нечисленних і віддалених населених пунктів на прикладі Одеської області, рівня концентрації аптечних закладів в Україні, організаційних особливостей фармацевтичного забезпечення населення Тернопільської області. На даний час в Україні сформовано новий адміністративно-територіальний устрій базового рівня, що загалом налічує 136 районів, які складаються з 1469 об’єднаних територіальних громад (ОТГ). Львівська область є доволі великою адміністративно-територіальною одиницею вищого рівня західного регіону України. Вона поділяється на 7 районів, до складу яких входить 73 ОТГ. Тому дослідження особливостей структури та локалізації фармацевтичних закладів у розрізі нового адміністративно територіального устрою районного рівня Львівщини є актуальним.
Мета роботи. Встановити організаційні особливості фармацевтичного забезпечення населення Львівської області з урахуванням нового її адміністративно-територіального устрою.
Introduction. There has been a slight increase in the number of pharmaceutical establishments (PEs) in the structure of the domestic pharmaceutical market in recent years, but due to fierce competition between businesses, unprofitable PEs are forced to cease their activities, giving way to powerful pharmacy networks. Given that Lviv region, which consists of 7 districts and 73 amalgamated territorial communities (ATG) is a fairly large administrative-territorial unit of the western region of Ukraine, the study of the structure and localization of pharmaceutical establishments is relevant.
The aim. To establish organizational peculiarities of pharmaceutical supply of the population of Lviv oblast taking into account its new administrative-territorial structure.
Material & methods. Research materials: License registers for the production of drugs (medicines) (in pharmacies), wholesale and retail trade of drugs, industrial production of drugs and the right to engage in economic activities in the circulation of drugs, psychotropic substances and precursors as of 01.11.2021, Order of the Cabinet of Ministers of Ukraine from 12.06.2020 № 718-r «About definition of administrative centers and approval of the territories of territorial communities of Lviv oblast», statistical data on the population of Lviv oblast. Methods of information search, system analysis, comparison and generalization have been used.
Results & discussion. It has been found out that there are 6 pharmaceutical manufacturers and 1345 PEs in the region, including 15 pharmacy warehouses, 1093 pharmacies and 237 pharmacy points. All pharmacy warehouses and 46,8 % of holders of licenses for retail trade of drugs operate in Lviv district, in particular 86,7 % of pharmacy warehouses and 35,2 % of pharmacies and pharmacy points operate in Lviv ATG. 37 pharmacies have a license to manufacture drugs, 67,6 % of them are also concentrated in Lviv district, and 56,8 % operate in Lviv. 21 pharmacies have a license to carry out economic activities on the circulation of narcotic drugs, psychotropic substances and precursors, providing 6 out of 7 districts and only 16,4 % of ATG. In the structure of PEs 42,0 % are private limited companies, 25,1 % - private enterprises, 24,6 % - individual entrepreneurs, 8,3 % - communal enterprises, 0,1 % - joint stock companies. 86,4 % of PEs operate in cities, the rest - in rural areas. On average, there are 1868 people per PE in the oblast. This indicator is the highest in Drohobych (1503), slightly lower - in Lviv and Stryi (1805 and 1829 respectively) districts. In Sambir, Zolochiv, Chervonohrad and Yavoriv districts one PE serves 2092, 2104, 2179 and 2225 people respectively. By clustering, the differentiation of administrative-territorial units of Lviv oblast by the provision of PEs to their residents has been carried out.
Conclusions. A number of peculiarities of the infrastructure of pharmaceutical organizations providing pharmaceutical supply to the residents of Lviv region, in particular: 6 or 5,0 % of 119 pharmaceutical manufacturers in Ukraine operate in the region with national average indicator of 5, and the number of PEs is 57,9 % higher than the national average indicator (852); all holders of licenses for wholesale trade of drugs (3,7 % of 406 such licensees in Ukraine) operate in one (Lviv) of the seven districts under the new administrative-territorial structure of the region; the share of production pharmacies, which are present in all districts, but only in slightly more than one-fifth of ATG, is 2,8 % of the number of pharmacies and pharmacy points, which is twice as high as the average in Ukraine; this indicator is the highest (28,6 %) in Chervonohrad, and the lowest (14,3 %) - in Zolochiv districts. Two thirds of production pharmacies are concentrated in Lviv district, and more than half of them operate in Lviv; economic activities on the circulation of narcotic drugs, psychotropic substances and precursors are carried out by 1,6 % of pharmacies in 6 out of 7 districts and only in 16,4 % of ATGs, which is 0,2 % less than the national average indicator; more than half of such pharmacies are concentrated in the Lviv district, and almost half - in the regional centers; pharmaceutical supply of the population of Lviv oblast is provided by business entities of various organizational and legal forms of management, the absolute minority (8,3 %) of which are communal enterprises. It has been found out that the provision of PEs to the population in the oblast is 1,7 % higher than the national average indicator (1900 people per PE), but in rural areas of the region only 13,6 % of pharmacies and pharmacy points are functioning, which is almost twice lower than the average in Ukraine (26,0). It has been shown that the cluster «High provision of PEs to the population» includes Drohobych district, «Medium provision of PEs to the population» includes three districts (Lviv, Stryi and Sambir), «Low provision of PEs to the population» also includes three districts (Zolochiv, Chervonograd and Yavoriv).