Abstract
Introduction: The main task of palliative care is to improve the quality of life of a patient, and the therapy of chronic pain with opioids is a significant problem for palliative care patients in Ukraine. Therefore, this study aimed to assess the opioid availability for palliative care patients in Ukraine.
Methods: Analysis of the list and consumption of opioids according to the scientific publications and legal documents.
Results: It was found that in Ukraine as of June 2021, 12 international non-proprietary names of opioids were registered, most of which are represented by several dosage forms, which makes it possible for patients to receive adequate pain relief through non–invasive therapy with oral forms. It was shown that two thirds (63.2%) of trade names of opioids registered in Ukraine were of domestic origin. Based on a comparative analysis of the range of opioids, available in current regulatory documents, it was established that in the State Register of Medicines of Ukraine and the Unified clinical protocol there is an almost identical list of opioids (12 drugs). However, in the State Drug Formulary and the National List of Essential Medicines, this list is much smaller (8 and 5 drugs, respectively). Since 2013 changes in the regulatory documents on the medical use of opioids in Ukraine have occurred, and oral morphine was registered for the first time, allowing access to adequate pain relief. Analysis of the morphine consumption level by dosage forms has shown that before 2013, the pharmacies sold only morphine in injections, and since 2013, the consumption of oral morphine increased.
Conclusions. Changes in regulatory documents partially simplified the complicated process of obtaining opioids by patients. However, more than 80% of patients still do not receive adequate pain therapy due to the hesitancy of doctors to prescribe opioids and an extremely insufficient number of pharmacies (1.8%) that sell opioids for the population.

The aim. Research on the peculiarities of the use of modern motivational tools by domestic employers in the pharmaceutical industry (including training and involvement of pharmaceutical specialists in social projects).

Materials and methods. An anonymous online survey in the Google Form was conducted from April 3, 2021 to November 1, 2021 on the social network "Facebook" (including in four pharmaceutical groups of this network). Methods: analysis, synthesis, and generalization.

Results of the research. The main motivating factors of respondents and the main motivational tools used by employers in the pharmaceutical industry have been identified. The state of training and education during professional activities and the evaluation of their effectiveness by respondents have been studied. Professional and motivational-psychological trainings are in the lead in the ranking of educational projects (75.2 % of respondents). The methods of evaluation of pharmaceutical specialists used by employers in the pharmaceutical industry have been generalized. The attitude of respondents to the participation of employers in the pharmaceutical industry in social and charitable projects has been studied. Most respondents (67.5 %) positively perceives the participation of employers in social and charitable projects, for some of them this is a motivational advantage when choosing a place of work.

Conclusions. An online survey of 508 pharmaceutical professionals, conducted in a Google Form has allowed us to establish the features of current motivational approaches used today in pharmaceutical organizations and the attitude of respondents to them. It has been found that such motivational tools as trainings (innovative form of education) (55.1 %), as well as material forms of incentives (73.2 %) are widely used. At the same time, the main topics of the trainings are regarding the professional aspects of activity. An important factor in the life of a pharmaceutical organization is its social and charitable work, which forms a positive attitude towards it on the part of pharmaceutical professionals, and sometimes serves as a motivational advantage in choosing a place of work

The aim. Study of the attitude of parents with medical and pharmaceutical and other educations to vaccination of their children from the point of view of social pharmacy.

Materials and methods. An anonymous online survey of 1,566 respondents (of whom 302 are parents with medical and pharmaceutical education) on the Google Form online service in the Viber mobile application and on the Facebook social network, which was conducted from September 16, 2021 to October 6, 2021.

Methods of analysis, synthesis and generalization were used.

Results. A high degree of commitment to vaccination among the respondents was established (almost 9 out of 10 parents). 26.1 % of respondents motivate the refusal by the inadequate quality of vaccines, 25.7 % consider vaccination to be inappropriate; 24.3 % do not administer preventive vaccinations to children due to their unsatisfactory state of health; 20.4 % - due to possible side reactions. 67.1 % of parents are interested in the composition of vaccines, 95.6 % know the symptoms and complications of the diseases for which vaccination is carried out, and 96.6 % - side effects after vaccination, although 74.5 % want to receive more information about possible complications. At the same time, there are slightly fewer supporters of vaccination among respondents with medical and pharmaceutical education than among respondents without such education, although this difference is not statistically significant. However, depending on the education, significant differences (more than 10 %) were observed among the respondents regarding interest in the composition of vaccines, adherence to vaccination against COVID-19 of their children older than 12 years and the opening of vaccination points in pharmacies.

Conclusions. It was found that to increase the level of awareness of medical and pharmaceutical professionals regarding vaccination, it is necessary to optimize educational professional programs and curricula for their training. It is shown that increasing the level of their knowledge will increase the commitment of parents with other education to children's vaccinations. The need to expand the professional role of pharmacists by involving them in vaccinations has been confirmed