摘要
目的建立儿童国家基本药物目录药品备选库形成机制,设计适用于我国国情的儿童药品备选库遴选方案。方法在借鉴典型国家和地区儿童目录遴选经验的基础上,结合现阶段我国推进儿童基本药物目录调整的可操作性,围绕其指导临床合理用药的定位,及其与医保政策的衔接,从理论和实际用药层面出发,设计药品备选库形成机制;利用现有公开资料和江苏省2020年儿童医院药品采购情况,对备选库形成机制进行路径模拟,验证该方案的可行性。结果我国儿童基本药物目录药品备选库可形成以临床诊疗指南中儿童用药、《中国国家处方集(化学药品与生物制品卷·儿童版)》中推荐药品以及《鼓励研发申报儿童药品清单》为主导、医保药品和儿童医院中儿童用药为重要补充的儿童药品备选库形成机制。结论该机制既体现循证决策理念,又充分尊重临床意见,并且实现基本药物政策与医保政策间的衔接,对于形成科学、权威、适宜的儿童国家基本药物目录具有重要意义。
Objective To establish a mechanism for forming an alternative library of medicines on the National Essential Medicines List for Children and to design a selection plan for an alternative library of children's medicines for China.Methods Based on learning from the selection experience of children's lists in typical countries and regions,combined with the operability of promoting the adjustment of children's essential drug lists in China at this stage,and focusing on its positioning to guide clinical rational drug use and its connection with medical insurance policies,the formation mechanism of alternative drug library was designed from theory and practice Starting from the level of drug use.Using the existing public information and the drug procurement situation of children's hospitals in Jiangsu province in 2020,the path simulation of the alternative library formation mechanism was carried out to verify the feasibility of the scheme.Results The formation mechanism of the drug candidate library of the China Children's Essential Drug List can be based on the Children's Drugs in the Clinical Diagnosis and Treatment Guidelines,the"China National Formulary(Chemical Drugs and Biological Products Volume-Children's Edition)",and the"List of Children's Drugs Encouraged for R&D and Application".In addition,Medicare medicines and children's hospital medicines are important supplements.Conclusion Under this mechanism,it is of great significance to form a scientific,authoritative and appropriate national list of essential medicines for children which not only reflects the implementation of the concept of evidence-based decision-making in drug selection,but also fully respects clinical opinions,and realizes the connection between the essential drug policy and the medical insurance policy.
作者
经天宇
徐伟
杜雯雯
JING Tianyu;XU Wei;DU Wenwen(School of International Pharmaceutical Business,China Pharmaceutical University,Nanjing 211198,China)
出处
《医药导报》
CAS
北大核心
2023年第2期288-292,共5页
Herald of Medicine
基金
儿童医疗保障创新研究示范基地研究项目(NCRCCHD-2019-HP-12)。
关键词
儿童基本药物目录
备选库
形成机制
路径模拟
List of Essential Medicines for Children
Alternative library
Formation mechanism
Path simulation
