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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ymj</journal-id><journal-title-group><journal-title xml:lang="ru">Якутский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Yakut Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-1905</issn><issn pub-type="epub">2312-1017</issn><publisher><publisher-name>ЯНЦ КМП</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25789/YMJ.2018.61.11</article-id><article-id custom-type="elpub" pub-id-type="custom">ymj-1044</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯ, МЕДИЦИНСКОЙ НАУКИ И ОБРАЗОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORGANIZATION OF HEALTH CARE, MEDICAL SCIENCE AND EDUCATION</subject></subj-group></article-categories><title-group><article-title>Методические подходы к оценке доступности наркотических средств и психотропных веществ, применяемых в медицинской практике в республике Саха (Якутия)</article-title><trans-title-group xml:lang="en"><trans-title>Methodical approaches to assessing the availability of narcotic drugs and psychotropic substances used in medical practice in the Republic Sakha (Yakutia)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тарабукина</surname><given-names>С. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Tarabukina</surname><given-names>S. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тарабукина Сардана Макаровна – к.фарм.н., доцент</p><p>Якутск</p></bio><bio xml:lang="en"><p>Tarabukina Sardana Makarovna - Candidate of Pharmaceutical Sciences, Associate Professor of the Department of Pharmacology and Pharmacy</p><p>Yakutsk, Republic Sakha (Yakutia) </p></bio><email xlink:type="simple">tcmx@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лопатина</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Borisova</surname><given-names>E. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лопатина Саргы Владимировна – аспирант ИМИ СВФУ</p><p>Якутск</p></bio><bio xml:lang="en"><p>Lopatina Sargy Vladimirovna - Postgraduate student of MI NEFU, Department of Differential Equations,</p><p>Yakutsk, Republic Sakha (Yakutia) </p></bio><email xlink:type="simple">lopatinasv_1208@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Афанасьева</surname><given-names>Е. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Vladimirova</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Афанасьева Елена Борисовна – ассистент кафедры</p><p>Якутск</p></bio><bio xml:lang="en"><p>Afanasyeva Elena Borisovna - assistant of the Department of Pharmacology and Pharmacy</p><p>Yakutsk, Republic Sakha (Yakutia) </p></bio><email xlink:type="simple">E.Cassi@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>МИ СВФУ им. М.К. Аммосова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>M.K. Ammosov MI NEFU</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>26</day><month>08</month><year>2025</year></pub-date><volume>0</volume><issue>1</issue><fpage>36</fpage><lpage>38</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Тарабукина С.М., Лопатина С.В., Афанасьева Е.Б., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Тарабукина С.М., Лопатина С.В., Афанасьева Е.Б.</copyright-holder><copyright-holder xml:lang="en">Tarabukina S.M., Borisova E.B., Vladimirova S.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://ymj.elpub.ru/jour/article/view/1044">https://ymj.elpub.ru/jour/article/view/1044</self-uri><abstract><p>Обоснована методика оценки доступности обезболивающей терапии на региональном уровне с помощью расчета индекса доступности на основе интеграции отобранных логическим путем показателей. Установлена взаимосвязь данного индекса с уровнем заболеваемости и смертности от злокачественных новообразований в районах республики. Выявлены муниципальные районы с очень низким уровнем доступности обезболивающей терапии. низкие показатели ассортимента обезболивающей терапии установлены также в этих муниципальных районах.</p></abstract><trans-abstract xml:lang="en"><p>The method for assessing the accessibility of analgesic therapy at the regional level with the calculation of the accessibility index based on the integration of logically selected indicators is substantiated. At ranking the municipal districts in accordance with the degree of the generalized index of availability of narcotic drugs and psychotropic substances (ND and PS), the correlation of this index with the level of morbidity and mortality from malignant neoplasms in the regions of the republic was established. In order to assess the availability of ND and PS the nomenclature of the drugs of that group in the municipal areas classified according to the value of the accessibility index of narcotic drugs and psychotropic substances was studied.Municipal areas with very low availability of analgesic therapy were identified. Low values of the assortment of analgesic therapy are established in these municipal districts. Their common features are geographical affiliation to the Arctic and northern regions of the republic, considerable distance from the center of the republic, low density of residence, lack of a regular land type of transport.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ассортимент</kwd><kwd>лекарственное обеспечение</kwd><kwd>наркотические средства и психотропные вещества</kwd><kwd>арктические и северные районы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>assortment</kwd><kwd>drug provision</kwd><kwd>narcotic drugs and psychotropic substances</kwd><kwd>Arctic and northern regions</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Тарабукина С.М. Методические подходы к формированию региональной стратегии лекарственного обеспечения населения на примере республики Саха (Якутия): автореф. … дис. к.м.н. / С.М. Тарабукина. – М., 2011.</mixed-citation><mixed-citation xml:lang="en">Tarabukina S.M. Methodical approa-ches to the formation of the regional strategy of medicinal provision of the population on the example of the Re-public of Sakha: avtoreferat [abstact] / S.M. Tarabukina. – 2011.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">О наркотических средствах и психотропных веществах: Федер. закон от 8 января 1998 г. № 3.</mixed-citation><mixed-citation xml:lang="en">On narcotic drugs and psychotropic substances: Federal law of January 8 №3.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">План мероприятий («дорожная карта») «Повышение доступности наркотических средств и психотропных веществ для использования в медицинских целях: распоряжение Правительства рФ от 1 июля 2016 г. №1403-р.</mixed-citation><mixed-citation xml:lang="en">Action plan (road map) «Increasing the availability of narcotic drugs and psychotropic substances for medical use»: Order of the Government of the Russian Federation of 1 July 2016 No. 1403-r</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
