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南非基本药物遴选模式及其对我国的启示
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| 篇名： | 南非基本药物遴选模式及其对我国的启示 |
| TITLE： | Selection Mode of Essential Medicine in South Africa and Its Enlightenment to China |
| 摘要： | 目的：为我国基本药物遴选工作进一步规范和完善提供参考。方法：介绍南非基本药物遴选模式，包括组织机构及职责、遴选标准、遴选程序及动态调整机制、实施效果等，并对我国基本药物遴选模式的完善提出建议启示。结果与结论：南非各级药物治疗委员会负责收集基本药物的相关申请并提交给国家合理选择小组进行初步筛选，并最终由国家基本药物目录委员会进行决定；遴选标准主要基于世界卫生组织的基本药物遴选标准；遴选依据是南非标准治疗指南；同时建立了自下而上的常态化用户反馈机制对目录进行动态调整，审查过程较为重视药物的证据及证据等级。总体来说，南非遴选的基本药物用户认可度较高，应用情况良好。建议我国可适当参考南非的做法，将临床指南作为遴选依据之一，建立日常逐级反馈通道，加强对药物相关证据的审查，规范我国的证据分级系统，结合我国国情，最终探索出具有中国特色的基本药物遴选模式。 |
| ABSTRACT： | OBJECTIVE：To provide reference for further standardizing and improving the selection of essential medicine in China. METHODS ：The selection mode of essential medicine in South Africa was introduced ，involving organizational structure and responsibilities ，selection criteria ，selection procedure ，dynamic adjustment mechanism and implementation effect. The suggestions were put forward for improving selection mode of essential medicine in China. RESULTS & CONCLUSIONS ： Pharmaceutical and Therapeutics Committees at all levels in South Africa were responsible for collecting applications for essential medicine and submitting them to the Rational Selection Group for preliminary screening ，which was finally decided by the National Essential Drugs List Committee ；the selection criteria was mainly based on WHO essential medicine selection criteria ；the selection basis of essential medicine in South Africa was based on standard treatment guidelines ；a bottom-up normalized user feedback mechanism was established to dynamically adjust the list ，and more attention was paid to drug evidence and evidence level in the review process ；the review points tended to focus on evidence and the level of evidence. In general ，the selection of essential medicines in South Africa had high recognition and good application. It is recommended that China appropriately refer to the practice of South Africa ，take clinical guideline as one of the selection criteria ，establish daily gradual feedback channels ， strengthen the review of evidence ，unify Chinese evidence grading system ，and combine Chinese national conditions to finally explore a selection model for essential medicine with Chinese characteristics. |
| 期刊： | 2020年第31卷第20期 |
| 作者： | 张晓宇，颜建周，邵蓉 |
| AUTHORS： | ZHANG Xiaoyu ，YAN Jianzhou ，SHAO Rong |
| 关键字： | 南非；基本药物；遴选；证据等级；启示 |
| KEYWORDS： | South Africa ；Essential medicine ；Selection；Evidence level ；Enlightenment |
| 阅读数： | 343 次 |
| 本月下载数： | 3 次 |
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