Methodical approaches to assessing the availability of narcotic drugs and psychotropic substances used in medical practice in the Republic Sakha (Yakutia)

Abstract

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.