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医疗机构药品遴选指南
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| 篇名： | 医疗机构药品遴选指南 |
| TITLE： | CHINA PH ARMACY Volume 33，Number 7，April 15，2022 Semimonthly Table of Contents Drug selection guideline for medical institutions |
| 摘要： | 为促进医疗机构药品遴选工作规范开展，提升医疗机构药事管理水平，促进患者在疾病的药物治疗中安全、有效、经济、适宜地使用药品，制定《医疗机构药品遴选指南》。该指南的构建严格遵循了美国国家科学院医学研究所（IOM）关于指南的最新定义，并以世界卫生组织（WHO）标准指南制定的方法学为基本依据。在指南构建的过程中，基于德尔菲法构建《医疗机构药品遴选指南》研究问题，并设计了以10个一级指标、30个二级指标为核心的药品遴选评价体系，评估指标按其属性及主要证据来源可划分为研究型指标和政策型指标。其中研究型指标采用GRADE方法评价问题证据体系的质量，政策型指标按照《立法法》进行证据分级。在此基础上，应用循证医学方法建立各项指标的评价方法和内容，并通过专家共识法形成推荐意见，最终形成医疗机构药品遴选的标准指南。 |
| ABSTRACT： | In order to promote the standardization of drug selection in medical institutions ，enhance the level of pharmaceutical affairs management of medical institutions and promote the safe ，effective，economical and appropriate use of drugs in the treatment of diseases ，the Drug Selection Guideline for Medical Institutions （hereinafter refer to as the Guideline ）is formulated. The development of the Guideline for medical institutions is following the latest definition of Institution of Medicine （IOM）， National Academy of Sciences and based on the methodology of WHO handbook for guideline development. During the construction of the Guideline ，the research points of the Guideline are constructed on the basis of Delphi method ；a drug selection and evaluation system with 10 primary indicators and 30 secondary indicators as the core is also designed. The evaluation indexes can be divided into research indexes and policy indexes according to their attributes and main sources of evidence. The GRADE method is used to evaluate the quality of the evidence system for research indexes ，while the policy indexes are graded according to the Legislation Law of the People ’s Republic of China . On this basis ，the evaluation methods of those indexes are constructed by using evidence-based medicine method ，the recommendation is formed through expert consensus method ，and finally a standard guideline for drug selection in medical institutions is formed. |
| 期刊： | 2022年第33卷第07期 |
| 作者： | 李正翔，张玉，张伶俐，段蓉 |
| AUTHORS： | LI Zhengxiang，ZHANG Yu，ZHANG Lingli，DUAN Rong |
| 关键字： | 药品遴选；医疗机构；遴选指标；评价体系；指南 |
| KEYWORDS： | drug selection ；medical institutions ；selection index ；evaluation system ；guideline |
| 阅读数： | 2465 次 |
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