基本药物遴选的基本要素研究-中药学(药事管理)专业论文.docxVIP

成都中医药大学硕士论文 成都中医药大学硕士论文 万方数据 万方数据 中文摘要 基本药物制度是一项重大制度创新，旨在保障群众基本用药需求、减轻群众 用药负担，同时也是破除基层医疗卫生机构“以药补医”机制的关键环节。新医改 的背景下，四年多来，国家基本药物制度的建立和完善为人民群众安全、有效、 合理地使用药物提供了坚实的保障。 我国已经颁布两版基本药物目录。当前随着基本药物制度实施范围的不断扩 大，基本药物目录作为基本药物制度实施的重要表现形式，基本药物遴选的合理 性日趋受到重视。本文旨在通过研究探讨基本药物遴选的基本要素，对完善我国 基本药物遴选，促进基本药物目录合理化建言献策。 通过研究 WHO 基本药物制度与我国基本药物制度现状，从基本药物目标定 位上明确基本药物遴选的原则。我国基本药物的遴选仍存在许多问题，如基本药 物遴选方法不合理，遴选证据与遴选程序不公开，目录调整周期长，缺乏基本药 物的再评价等。通过 WHO 基本药物制度遴选的相关制度与公共政策基本原理， 本文从社会要素、技术要素、程序要素三个方面对我国基本药物遴选进行探讨。 社会要素是影响基本药物遴选的前提，决定基本药物遴选的原则、范围、数 量以及调整原则等。通过社会要素研究，认为基本药物目录调整周期应当适当缩 短，目录调整应该注重优胜劣汰等；技术要素，是基本药物遴选的核心。基本药 物遴选应该处理好药品本质属性安全与有效的关系；程序要素是基本药物遴选过 程公平合理的保障。我国基本药物遴选应该公开相关遴选资料与证据信息，积极 扩大公众参与度，引入专家回避制度等。 关键词：基本药物 遴选 基本要素 I Abstract The essential medicine system is a major institutional innovation, not only aims to ensure basic medical needs and ease the burden of the masses, but also the break grassroots of primary health care institution “Feed the hospital with medical charges”. Under the background of the new health care reform, the establishment and perfection of the Essential Medicine system provide a solid guarantee for peoples safe, effective and rational use of medicine. Our country has promulgated two versions of essential medicine list. The essential medicine list as an important manifestation of the essential medicine system, the rationality of selecting essential medicines has become increasingly attention as the expansion of the scope of the essential medicine system implementation. This paper aims to improve the essential medicine selection, promote the essential medicine directory rationalization Suggestions from the study of Basic Elements on the Selection of Essential Medicine List. Clear the basic principle of medicine selection from the essential medicine targets by studying the WHO essential medicine system and the present situation in our country. Selection of essential medicines in China there are still many problems, such as selection methods are not reasonable, selecting evidence and