文档介绍：学位论文基本药物遴选的基本要素研究Study of Basic Elements on the Selection ofEssential Medicine List in China王圆圆指导教师姓名:宋民宪教授申请学位级别:硕士专业名称:中药学(药事管理)论文提交时间::○一四年五月万方数据成都中医药大学硕士论文I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万方数据成都中医药大学硕士论文IIAbstractThe 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 people's safe, effective and rational use of 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 e 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 the basic principle of medicine selection from the essential medicine targets by studying the WHO essential medicine syst