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基本药物目录调整程序的国际经验综述
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| 篇名： | 基本药物目录调整程序的国际经验综述 |
| TITLE： | Review of international experience about the adjustment procedure of essential medicine list |
| 摘要： | 为进一步巩固国家基本药物制度，建立健全国家基本药物目录遴选调整机制，国家卫生健康委药政司近期发布了《国家基本药物目录管理办法（修订草案）》。当前我国正处于基本药物目录调整管理程序完善的关键时期，如何更好地设计目录调整程序，明确各环节的操作流程和材料要求，保证社会参与度和提高工作透明度等，都是亟待解决的重要问题。笔者查阅了世界卫生组织（WHO）和部分基本药物制度典型国家的政府官方网站及相关外文文献，从启动、材料收集汇总、评估、结果公示、申诉和应用推广6个阶段梳理了WHO和部分典型国家在基本药物目录调整程序方面的先进做法。建议我国可以借鉴国际上的相关成功经验，科学设置调整周期、建立多主体参与的常态化反馈机制，设计规范化的材料收集流程和科学高效的评估流程，提高基本药物遴选结果公示的透明度和社会认同感，以构建更加科学完善的基本药物目录调整程序。 |
| ABSTRACT： | In order to further consolidate the national essential medicine system and establish and improve the selection and adjustment mechanism of the national essential medicine list ，the Department of Drug Policy and Essential Medicine of the National Health Commission of the People ’s Republic of China recently has issued the Measures for the Administration of the National Essential Medicine List （Revised Draft ）. Under the background that China is in a critical period of improving the management procedures for the adjustment of the essential medicines list ，how to better design the adjustment procedure ，clarify the operation process and material requirements of each link ，ensure social participation and improve work transparency are important problems to be solved. By consulting the official websites of World Health Organization （WHO）and some typical countries with essential medicine system as well as related foreign literature ，the advanced practices of WHO and some typical countries in the adjustment procedures of the essential medicine list were summarized from 6 stages，such as start-up stage ，the material collection and summary stage ，the evaluation stage ，result publicity stage ，relief stage and application and promotion stage. It is suggested that China can learn from the relevant successful international experience ，scientifically set the adjustment cycle ，establish a normalized feedback mechanism with multi-agent participation ，design a standardized material collection process and a scientific and efficient evaluation process ，and improve the transparency and social identity of the publicity of the selection results of essential medicines ， so as to build a more scientific and perfect adjustment procedure of essential medicine list. |
| 期刊： | 2022年第33卷第02期 |
| 作者： | 颜建周，姚雯，程鲁燕，李彩云，邵蓉 |
| AUTHORS： | YAN Jianzhou ，YAO Wen，CHENG Luyan，LI Caiyun ，SHAO Rong |
| 关键字： | 基本药物目录；调整程序；国际经验 |
| KEYWORDS： | essential medicines list ；adjustment procedure ；international experien ce |
| 阅读数： | 339 次 |
| 本月下载数： | 16 次 |
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