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目的:基于巩固完善基本药物制度,围绕建立稳定、长效、规范的监测评价机制目的,研究提出我国基本药物制度监测点的监测方式及路径。方法:通过文献检索、实地调研、专家座谈、案例分析、统计分析等方法,在完成我国基本药物制度监测评价现状调研的基础上,提出应设立全覆盖各级医疗卫生机构的固定监测点,并开展监测点的监测方式及直报路径相关研究。结果:本研究调研了江西、湖南、青海等地多个基层医疗卫生机构基本药物制度实施及监测评价现状,了解并分析现有医药卫生信息资源,研究并借鉴药品不良反应直报路径及成效,提出各级医疗卫生机构监测点的监测方式及直报路径。结论:将基本药物制度监测与现代信息化技术深度融合,利用信息化互联互通“无缝对接”技术,建立专属高效直报平台,实现所有监测数据自动采集与报送,提高基本药物制度监测实时性、准确性。
Objective: To establish and establish a stable, long-term and standardized monitoring and evaluation mechanism based on the consolidation and improvement of essential medicines system, and to study and propose the monitoring methods and pathways for the monitoring points of China’s essential medicines system. Methods: Based on the investigation of the status quo of monitoring and evaluation of essential drugs system in our country through literature search, field investigation, expert discussion, case analysis and statistical analysis, it is suggested that fixed monitoring points covering all levels of medical and health institutions should be set up. To carry out monitoring points monitoring methods and direct reporting path related research. Results: This study investigated the implementation, monitoring and evaluation of the implementation of basic drugs in multiple primary health care institutions in Jiangxi, Hunan, Qinghai and other places, understood and analyzed existing medical and health information resources, studied and learned the path and effect of direct reports of adverse drug reactions, Put forward the monitoring methods and direct reporting channels of medical and health institutions at all levels. Conclusion: The basic drug system monitoring and modern information technology integration depth, the use of information technology, “seamless docking ” technology, the establishment of exclusive and efficient reporting platform for the realization of all the monitoring data automatically collected and submitted to improve the basic drug system Monitoring real-time, accuracy.