医院卫生技术评估在药品管理中的应用现状与发展思路
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篇名: 医院卫生技术评估在药品管理中的应用现状与发展思路
TITLE: Application and Development of Hospital-based Health Technology Assessment in Pharmaceutical Management
摘要: 目的:为我国药品的循证管理与评价体系的建立提供参考。方法:通过文献研究与医药新政策解读,追溯国内外医院卫生技术评估的发展历程及其在药品管理中的应用,探讨医院卫生技术评估在我国医院药品管理中的发展前景。结果与结论:医院卫生技术评估可对医疗技术的准入、使用等过程进行科学评价,从而优化医院资源配置、保证医疗质量。国外已将医院卫生技术评估用于协助医院决策制定,而我国的医院卫生技术评估尚在起步阶段,与国际领先水平存在差距。医院卫生技术评估作为能够有效控制成本和提高质量的手段,应尽快应用到药品管理评价体系中,努力探索合适的药品评价模式(如大使模式、迷你-卫生技术评估模式、内部委员会模式、医院卫生技术评估单元模式),加强药品卫生技术评估人才培养,构建药品卫生技术评估方法学(如迷你-卫生技术评估模式的评估工具包括概要,基本信息,一般方法,多结构的评估结果,讨论、结论和推荐意见),加强重视程度并促进成果转化,最终尽快探索出适合我国国情的发展道路,实现医院药品循证管理的目标。
ABSTRACT: OBJECTIVE:To provide reference for establi shing evidence-based pharmaceutical management and assessment system in China. METHODS :Through literature study and new medical policy interpretation ,the development course of hospital-based health technology assessment (HB-HTA)and its application in pharmaceutical management at home and abroad were traced;the development prospect of HB-HTA in China ’s hospital drug management was discussed. RESULTS & CONCLUSIONS: The HB-HTA makes scientific evaluation on the process of access and use of medical technology ,so as to optimize the allocation of hospital resources and ensure the quality of medical treatment. Foreign countries have used HB-HTA to assist the decision-making of hospitals. China ’s HB-HTA is still in its initial stage and lags behind the international leading level. As effective means for cost control and quality improvement ,HB-HTA should be applied in drug management and assessment system as soon as possible;it is necessary to explore suitable drug assessment mode (i.g. ambassaclor mode ,Mini-HTA mode ,internal committee mode,HB-HTA unit mode ),strengthen HTA personnel training ,establish HTA methodology (such as Mini-HTA mode assessment tool included outline ,general information ,general methods ,multi-structure evaluation results ,discussion,conclusions and recommendations),pay more attention to it and promote the transformation of achievements.
期刊: 2020年第31卷第07期
作者: 王庆,张蓉
AUTHORS: WANG Qing,ZHANG Rong
关键字: 医院卫生技术评估;药品管理;合理用药
KEYWORDS: Hospital-based health technology assessment ;Pharmaceutical management ;Rational drug use
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