中国药房2025，Vol.36Issue(8)：914-919,6.DOI:10.6039/j.issn.1001-0408.2025.08.04
基于多准则决策分析的县域医共体药品目录遴选体系构建与实证
Construction and empirical study of selection system for drug directory of county-level medical community based on multi-criteria decision analysis
摘要
Abstract
OBJECTIVE To explore the construction of selection system for drug directory of the county-level medical community based on multi-criteria decision analysis,and provide decision-making basis for the selection of drug directory of medical community.METHODS Taking county-level medical community in Chongqing as an example,Delphi method and analytic hierarchy process were employed to construct the selection system for drug directory of the county-level medical community.Selected drugs were quantitatively scored based on the constructed index system,and the drug directory was selected according to the drug's comprehensive score.The implementation effect of the directory was then evaluated through questionnaire surveys one year after the implementation of the directory.RESULTS The expert authority coefficients of the two rounds of consultation were＞0.8,with Kendall's W values of 0.213 and 0.196,respectively(P＜0.001).Finally,the selection system for drug directory of the medical community was determined to include five evaluation dimensions:safety,effectiveness,economy,accessibility,and innovation,along with eight evaluation indicators.In the drug directory selected according to the above method,the proportions of centrally procured drugs,medical insurance drugs,and essential drugs had all increased compared to before the selection;the comprehensive scores of chemical drugs ranged from 50.25 to 96.31 scores,and the proportion of drugs scoring between 70 and 100 scores had increased from 78.06%before selection to 85.82%.Among them,antiparasitic drugs had the highest comprehensive scores,while drugs for the digestive tract and metabolism were the most numerous.The evaluation scores of each indicator and the comprehensive scores of drugs in the drug directory after the selection process increased significantly than before selection(P＜0.05).CONCLUSIONS The selection system for drug directory of the county-level medical community constructed in this study is scientific,objective and operable.This process facilitates the promotion of standardized and unified management of drugs in the medical community.关键词
县域医共体/药品目录/药品遴选/多准则决策分析/评价指标体系/循证证据Key words
county-level medical community/drug directory/drug selection/multi-criteria decision analysis/evaluation index system/evidence-based evidence分类
药学引用本文复制引用
郭艺楠,俞秀恒,谢雨晴,向世欣,林欢,龙友琦,赵语..基于多准则决策分析的县域医共体药品目录遴选体系构建与实证[J].中国药房,2025,36(8):914-919,6.基金项目
重庆市卫生健康委医学科研项目(No.2022-WSJK049) （No.2022-WSJK049）
