基层医疗机构药品遴选与评价专家共识OA

Objective To provide guidance and reference for promoting the scientific,standardized and efficient medication selection process in primary healthcare institutions,further aiding in"enhancing services,building capacities,and improving management".Methods A multidisciplinary expert panel comprising pharmacists,clinicians,medical administrators and health administration officials was jointly convened by the Beijing Pharmaceutical Quality Control and Improvement Center,the Institute for Drug Evaluation of Peking University Health Science Center,the Beijing Community Prescription Review Working Group,and Peking University Third Hospital.Guided by relevant laws,regulations and policy documents,as well as the previously developed"Method for Medication Selection in Medical Institutions Based on Clinical Comprehensive Evaluation",the panel conducted multiple rounds of expert discussions and achieved consensus through a modified Delphi process.Results A total of five recommendations were developed to standardize medication selection procedures in primary-level medical institutions,covering the initiation of medication selection,identification of candidate medicines,determination of medicines for evaluation,preparation of comprehensive evaluation information sheets,and organization of selection meetings.In particular,the recommendations optimize the criteria for identifying medicines requiring evaluation by explicitly addressing the functional characteristics and practical needs of primary-level medical institutions.In addition,ten recommendations were formulated regarding the dimensions and criteria of comprehensive medication selection evaluation,encompassing effectiveness,safety,economic value,suitability,accessibility,and innovativeness.These recommendations place special emphasis on operational feasibility in primary-level settings and on coordination of medication use across different levels of healthcare institutions.Conclusion This expert consensus is expected to contribute to the standardization,transparency,and evidence-based implementation of medication selection and evaluation processes in primary-level medical institutions.