Spiral prototyping concept in optimizing drug supply in national project «The fight against cardiovascular diseases»

Increasing the coverage of patients with chronic cardiovascular diseases with regular medical checkups and expanding the free drug provision program remain key public policy objectives. Prototyping as a tool for adaptive optimization of centralized drug provision in federal project «The fight against cardiovascular diseases» is presented. Prototyping is interpreted as a mechanism for flexible resource management and proactive modeling of procurement planning and drug write-off processes in real time. This mitigates management risks. Under regulatory dynamics and changing clinical guidelines, this model enables prompt adjustments to procurement parameters, supply volumes and logistics decisions based on up-to-date data on patient needs. This underlies transition from retrospective control to proactive resource management. Formalizing the project using the function-process model provides a basis for iterative hypothesis testing and rapid decision adjustments. This approach creates end-to-end management data framework ensuring traceability of information flow at all stages of procurement lifecycle (from demand generation to subsidy utilization reporting). The Boehm spiral in procurement practices avoids formulaic tenders, improves alignment of stakeholder requirements and expedites regulatory updates. Prototyping should be considered a socially oriented tool for adapting innovations in management of regional healthcare projects. Spiral approach allows for phased testing of management decisions before their scaling. This reduces the likelihood of systemic errors and ensures controllable adoption of uncertainty. Spiral prototyping is reasonable for adaptive optimization of centralized drug supply for patients with cardiovascular diseases. The function-process model and Boehm spiral reduce management risks and minimize write-offs. Integration of spiral logic into the project participant interaction architecture ensures alignment of functions, processes and data creating a stable management framework capable of adapting to changing budget constraints and federal program requirements.