Research of affordability to essential medicines for coronary heart disease in Ukraine

Background The issue of population access to medicines is relevant worldwide. Pandemics, natural disasters, wars negatively affect the population's access to medicines, as emphasised by the WHO and the UN.Methods The analysis of scientific publications in the Ukrainian scientometric databases (...

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Main Authors: Natalia Bilousova, Natalia Tkachenko, Nataliia Kozhuharyova, Maryna Dolzhenko
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Pharmaceutical Policy and Practice
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Online Access:https://www.tandfonline.com/doi/10.1080/20523211.2025.2470841
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author Natalia Bilousova
Natalia Tkachenko
Nataliia Kozhuharyova
Maryna Dolzhenko
author_facet Natalia Bilousova
Natalia Tkachenko
Nataliia Kozhuharyova
Maryna Dolzhenko
author_sort Natalia Bilousova
collection DOAJ
description Background The issue of population access to medicines is relevant worldwide. Pandemics, natural disasters, wars negatively affect the population's access to medicines, as emphasised by the WHO and the UN.Methods The analysis of scientific publications in the Ukrainian scientometric databases (NRAT, OUCI); Scopus, Web of Science, Pubmed, Medline, BMJ and Embase; the legal field for providing medical care to patients with CHD and comorbid conditions and its pharmaceutical component. The EML of Europe and Ukraine are compared; the clinical recommendations and pharmacotherapy of European/American Societies of Cardiology (ESC/AHA) and Ukrainian for patients with CHD and comorbid conditions are compared.Results The prices of medicines that are not part of the ‘Affordable Medicines’ program and are included in the EML lists were analysed; their availability for Ukrainian patients in wartime conditions was determined. The legal field of providing medical care to patients with CHD and comorbid conditions has been formed. It was established that not all medicines specified in the EML are registered on the territory of Ukraine and included in the Program of Medical Guarantees (PMG).Conclusion The PMG includes most of the EML medicines. The modern pharmacotherapy of CHD and comorbid conditions has a positive impact on the budget of the health care system in clinical practice proposed by the ESC/AHA was determined. The lists of medicines in the PMG in Ukraine, need to be revised on the basis of the Health Technology Assessment for further inclusion in the state program ‘Affordable Medicines' for long-term use by patients with CHD and comorbid conditions. These measures will improve the quality of pharmaceutical care for these patients.
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spelling doaj-art-39b5d983e4eb4b4a967b3898a974a75e2025-08-20T02:38:05ZengTaylor & Francis GroupJournal of Pharmaceutical Policy and Practice2052-32112025-12-0118110.1080/20523211.2025.2470841Research of affordability to essential medicines for coronary heart disease in UkraineNatalia Bilousova0Natalia Tkachenko1Nataliia Kozhuharyova2Maryna Dolzhenko3Pharmaceutical and Preventive Medicine Faculty, Department of Pharmacy, Shupyk National Healthcare University of Ukraine, Kyiv, UkraineFaculty of Pharmacy, Department of Management and Economics of Pharmacy, Zhaporizhzhia State Medical and Pharmaceutical University, Zaporizhia, UkraineFaculty of Medicine, Department of Cardiology, Shupyk National Healthcare University of Ukraine, Kyiv, UkraineFaculty of Medicine, Department of Cardiology, Shupyk National Healthcare University of Ukraine, Kyiv, UkraineBackground The issue of population access to medicines is relevant worldwide. Pandemics, natural disasters, wars negatively affect the population's access to medicines, as emphasised by the WHO and the UN.Methods The analysis of scientific publications in the Ukrainian scientometric databases (NRAT, OUCI); Scopus, Web of Science, Pubmed, Medline, BMJ and Embase; the legal field for providing medical care to patients with CHD and comorbid conditions and its pharmaceutical component. The EML of Europe and Ukraine are compared; the clinical recommendations and pharmacotherapy of European/American Societies of Cardiology (ESC/AHA) and Ukrainian for patients with CHD and comorbid conditions are compared.Results The prices of medicines that are not part of the ‘Affordable Medicines’ program and are included in the EML lists were analysed; their availability for Ukrainian patients in wartime conditions was determined. The legal field of providing medical care to patients with CHD and comorbid conditions has been formed. It was established that not all medicines specified in the EML are registered on the territory of Ukraine and included in the Program of Medical Guarantees (PMG).Conclusion The PMG includes most of the EML medicines. The modern pharmacotherapy of CHD and comorbid conditions has a positive impact on the budget of the health care system in clinical practice proposed by the ESC/AHA was determined. The lists of medicines in the PMG in Ukraine, need to be revised on the basis of the Health Technology Assessment for further inclusion in the state program ‘Affordable Medicines' for long-term use by patients with CHD and comorbid conditions. These measures will improve the quality of pharmaceutical care for these patients.https://www.tandfonline.com/doi/10.1080/20523211.2025.2470841Pricingcardiovascular diseasespharmaceutical assistanceaccess to medicineseconomic burdenburden on household budget
spellingShingle Natalia Bilousova
Natalia Tkachenko
Nataliia Kozhuharyova
Maryna Dolzhenko
Research of affordability to essential medicines for coronary heart disease in Ukraine
Journal of Pharmaceutical Policy and Practice
Pricing
cardiovascular diseases
pharmaceutical assistance
access to medicines
economic burden
burden on household budget
title Research of affordability to essential medicines for coronary heart disease in Ukraine
title_full Research of affordability to essential medicines for coronary heart disease in Ukraine
title_fullStr Research of affordability to essential medicines for coronary heart disease in Ukraine
title_full_unstemmed Research of affordability to essential medicines for coronary heart disease in Ukraine
title_short Research of affordability to essential medicines for coronary heart disease in Ukraine
title_sort research of affordability to essential medicines for coronary heart disease in ukraine
topic Pricing
cardiovascular diseases
pharmaceutical assistance
access to medicines
economic burden
burden on household budget
url https://www.tandfonline.com/doi/10.1080/20523211.2025.2470841
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AT nataliiakozhuharyova researchofaffordabilitytoessentialmedicinesforcoronaryheartdiseaseinukraine
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