ANALYSIS OF FEATURES OF MEDICATION SUPPLY STRUCTURE IN THE RUSSIAN FEDERATION AT THE REGIONAL LEVEL

The changing trade procedures within the healthcare system aim to improve the procurement mechanisms for medical products (MP), means of supplier identification, ways to reduce contract prices, and informational foundation for contracting. Research on the efficiency of MP procurement systems in the federal subjects of the Russian Federation and legislative acts applied to them is especially relevant today. This work aims to compare structural differences in contract-regulated MP procurement systems in the Republic of Bashkortostan (RB). The official website www.zakupki.gov.ru provides data on volumes and structure of MP supply in medical and pharmaceutical organizations of the RB. This paper contains the indexes of supplier and consumer rotation in the RB trade in 2013 and 2017 and a comparative analysis of tenders according to the form of order placement. The authors calculated the efficiency gains of signed contracts and conducted a comparative analysis of the examined tenders in the MP procurement system according to federal legislation (federal laws). The work undertaken allowed the authors to determine development tendencies in the competition among MP suppliers, identify the structural specificity of the MP tenders, and demonstrate their efficiency. The authors present conclusions drawn based on the comparative analysis and provide recommendations on the improvement of MP procurement in the RB. They identify the high potential of the republic to implement digital public auctions as a form of an MP procurement mechanism in accordance with Federal Law No. 223-FZ.