WHO基本药物可及性的决议执行情况追踪评估体系的建立  

Construction of tracking assessment methods of resolution execution of WHO essential medicine accessibility

作　　者：林茂 蒋璐灿[1,2,3,4] 曾力楠 张扬[1,2,3] 归舸[1,2,3,4] 张伶俐[1,2,3] LIN Mao;JIANG Lucan;ZENG Linan;ZHANG Yang;GUI Ge;ZHANG Lingli(Department of Pharmacy,West China Second University Hospital,Sichuan University,Chengdu,610041,P.R.China;Evidence-Based Pharmacy Center,West China Second University Hospital Sichuan University,Chengdu,610041,P.R.China;Key Laboratory of Birth Defects and Related Diseases of Women and Children,Sichuan University,Ministry of Education,Chengdu,610041,P.R.China;West China School of Pharmacy,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]四川大学华西第二医院药学部,成都610041 [2]四川大学华西第二医院循证药学中心,成都610041 [3]出生缺陷与相关妇儿疾病教育部重点实验室,成都610041 [4]四川大学华西药学院,成都610041

出　　处：《中国循证医学杂志》2019年第10期1145-1150,共6页Chinese Journal of Evidence-based Medicine

基　　金：国家卫生计生委药政司委托研究课题（编号：药政2015[27]号）

摘　　要：目的循证构建WHO基本药物可及性决议执行情况追踪评估指标体系,为追踪评估决议执行具体情况提供方法学支撑,进一步推动和完善国家基本药物政策建设。同时也为调查评估其他公共卫生领域决议执行情况提供方法学参考。方法组建多学科团队,通过前期系统评价初拟指标,采用德尔菲专家咨询法进行指标筛选,初步建立指标体系;采用层次分析法确定各指标权重。结果经过两轮专家咨询,建立了可用于评估WHO基本药物可及性决议执行措施和结果的指标体系,其中决议执行措施指标9个,决议执行结果指标包括4个一级指标、13个二级指标和36个三级指标。每个指标均依据重要程度获得了权重。结论本研究初步建立了基本药物可及性决议执行情况的评估指标,但尚需通过实证调研,进一步验证该指标体系的科学性和可行性。Objectives To provide methodology support for the tracking assessment of specific resolution execution through evidence-based construction of tracking assessment index system for resolution execution of WHO essential medicine accessibility resolution, so as to further promote and improve the establishment of national essential medicine policies, and offer a methodology reference to survey and assess the resolution executions in other public health fields. Methods A multi-disciplinary team was set up to preliminarily construct the index system by means of earlier system assessment index through index screening based on Delphi method. The weight of each index was determined by analytic hierarchy process. Results After two rounds of expert consultation, the index system available for resolution execution measures and results of WHO essential medicine accessibility were established, including 9 indexes of resolution execution measures. Meanwhile, the execution results of index contained 4 first class indexes, 13 second class indexes and36 third class indexes. Each of the indexes obtained its own weight according to degree of importance. Conclusions In this study, the assessment index for resolution execution of essential medicine accessibility is established, however, the empirical research is still required to further verify the scientificity as well as feasibility of this index system.

关 键 词：基本药物 可及性 评估方法 指标 德尔菲法 专家咨询 

分 类 号：R95[医药卫生—药学]