НЕОІНСТИТУЦІОНАЛІЗМ ЯК ТЕОРЕТИКО-МЕТОДОЛОГІЧНА ОСНОВА СОЦІОЛОГІЧНОГО ДОСЛІДЖЕННЯ ФАРМАЦІЇ

Abstract

In the context of the institutional reforms that are ongoing in Ukrainian society, one of the most controversial and at the same time necessary is the reform of the health care institution. The need for a radical revision of the principles of the functioning of this institution is combined with numerous risks, which actualizes the problem of sociological evaluation of measures to reform the health care institution in general and its component. The neoliberal vector of reforms envisages, among other measures for optimizing public administration and public expenditures, a gradual transition to a model of insurance medicine. The threats associated with the introduction of insurance medicine, in particular, in pharmaceutical activities, require sociological monitoring of social situations, needs and concerns of key agents involved in the problem situation: professional pharmacists, drug users, pharmaceutical manufacturers, and pharmaceutical industry representatives. The problem of sociological support of pharmaceutical activity, and its sociological evaluation, in particular, covers a range of issues such as: an assessment of the effectiveness of measures to reform pharmaceutical sector by various groups of involved agents; vision of the risks of transition to the insurance system of medicine and pharmaceutical activities, in particular; degree of satisfaction of drug users. It should be noted that in the process of pharmaceutical activity there are contradictions of ethical, financial and professional motives. Due to competition in the pharmaceutical market, its further commercialization is compounded by the financial and economic, not the medical and social component of pharmaceutical activity, which exacerbates the moral risks associated with this area of activity. The risk of unscrupulous behavior by pharmacists and even drug manufacturers is increasing; the problem of self-treatment, the presence of counterfeit medicines on the market, asymmetric information on medicinal products and their non-optimal consumer choice remains an acute problem. This, in turn, actualizes the sociological perspective on evaluation of pharmaceutical sector functioning. Key words: neo-institutionalism, pharmacy, evaluation