医药导报2026，Vol.45Issue(4)：567-573,7.DOI:10.3870/j.issn.1004-0781.2026.04.002
基层医疗机构药品遴选与评价专家共识
Expert Consensus on Medication Selection and Evaluation in Primary Healthcare Institutions
摘要
Abstract
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.关键词
药品遴选/综合评价/基层医疗机构/专家共识Key words
Medication selection/Comprehensive evaluation/Primary healthcare institutions/Expert consensus分类
医药卫生引用本文复制引用
门鹏,杨毅恒,翟所迪,杨旸,刘清华,陈世财..基层医疗机构药品遴选与评价专家共识[J].医药导报,2026,45(4):567-573,7.基金项目
北京市卫生健康委药品和医疗器械管理项目(药械处2024-07). （药械处2024-07）
