ABSTRACT
The concept of ethnic medicine is divided into a broad sense and a narrow sense. The broad concept refers to the traditional medicine of the Chinese nation, and the narrow concept refers to the traditional medicine of Chinese ethnic minorities. The external medicine is one of the main forms of ethnic medicine, and it is also the important content of ethnic medicine for external use, which is widely used in clinical practice. As the theory of ethnic medicine is unique, the application methods have certain characteristics, which are the key technical parts of clinical practice. However, the existing traditional Chinese medicine consensus formulation me-thods cannot meet the needs of the consensus formulation of the external ethnic medicine. Therefore, the methods suitable for expert consensus on external ethnic medicine are required. This article took Expert opinion on clinical application of Baimai Ointment as an exa-mple, and explorde a reasonable, effective, multi-dimensional, and multi-stage method to formulate expert consensus on the external ethnic medicine. In this research, three-dimensional sources of information, including ancient classics, clinical research evidence, and expert application experiences, were systematically and scientifically collected. After organization and analysis, the information was formed into comprehensive evidence. In a formal consensus meeting, part of the recommendations reached consensus. As to the issues that did not reach agreement, in-depth interviews were used to explore the reasons for the differences and resolve the disagreements. Finally, unanimous recommendations were reached. There are common problems during the formulation process of Expert opinion on clinical application of Baimai Ointment. This study is expected to provide references for the formulation of expert consensus on other external ethnic medicine.
Subject(s)
Humans , Biological Products , Consensus , Drugs, Chinese HerbalABSTRACT
OBJECTIVE:To understand the formulation method of medication index in clinical departments of the local hospital and the improvement of hospital medication index after the formulation of medication index. METHODS:Retrospective analysis was used to summarize and analyze the formulation,revision and application of 5 medication indexes(the proportion of drug cost in medical income,utilization rate of antibiotics in the inpatients,AUD of inpatients,the proportion of antibiotics cost in drug income,the proportion of national essential medicine cost in drug income)in clinical departments of 4 general hospitals of Nanyang. RESULTS:The medication indexes of clinical departments in 4 hospitals were formulated primarily during 2009-2014. The formulation of medication indexes in clinical departments was passed and implemented by Pharmaceutical Administration and Drug Treatment Committee/Antibiotics Management Group on the basis of the previous indicators of clinical departments. Till 2017,the times of medication indexes revision were 0.42-0.58 time/year. Before the formulation of medication indexes in clinical departments,5 indexes of each hospital were mostly not in line with the regulation of health administration department. During Jul. 2016-Jun. 2017,5 medication indexes of 4 hospitals ranged 32%-41%,47%-53%,30-37 DDD,13%-20%,21%-32%, respectively. Rational drug indexes conformed to the provisions of the administrative department of health basically. The author provided related suggestions about departments in charge of formulating and adjusting medication indexes,methods for the primary formulation and modification of medication indexes,formulation of medication indexes in special department,management measures after the formulation of medication indexes. CONCLUSIONS:At present,the formulation and management of medication indicators in 4 hospitals of local area develop well,and effectively promote the level of clinical rational drug use.