Problems of promoting drugs in the Kyrgyz Republic

Abstract

The article describes the results of the assessment methods of medicines promotion in health care organizations The purpose of our study was to study the factors affecting the prescribing, consumption and dispensing of medicines to develop measures to contain unethical drug marketing. For study this issue was used the method of interviewing and questioning of doctors, pharmacists and patients. Our results have shown that there are numerous factors in the health system, which contribute to a violation of the practice for rational prescribing and dispensing of medicines, as well as the absence of regulatory mechanisms in the medicines promotion on the market in the Kyrgyz Republic. The results of the study among this category of respondents confirm the limited access of doctors and pharmacists to quality sources of medicines information, which explains the shortcomings in informing patients on their part, which also serves unethical drug marketing. A direct correlation was established between information sources of about medicines and work experience, i.e. than more work experience, the more information is used from medical representatives and activities conducted by pharmaceutical companies (p < 0.05). The identified factors are associated with unethical medicines promotion, inadequate implementation of the generic strategy, non-prescription dispensing of all medicines, inadequate provision of quality reliable information, low awareness, lack of skills in critical assessment of the information provided. In connection with this, there is a high sensitivity of specialists to various incentives from pharmaceutical companies. All of the above in aggregate contribute to the irrational use of medicines, with all the ensuing consequences.