Construction of evaluation index system for evidence based selection of essential medicines in China / 中国卫生政策研究

ABSTRACT

Objective:To establish an evaluation index system and quantitative method of evidence-based selec-tion of essential medicines in China and use Analytical Hierarchy Process (AHP) to construct the weight of the in-dex. Methods:Through the expert consultation method,the initial index system was established,after the experts ar-gument on the matrix of every two points, adjust the indicators, build the final index system, and then through the AHP,by the experts to determine the weight of the indicators. Results:Based on the literature study and expert con-sultation,the evaluation index system and its weight of the selection criteria of the basic drug were established. There are 8 indexes in the first-level indicators and the weight distribution was from high to low,the efficacy,safety,clini-cal guideline recommendation,quality reliability,economy,ease of use,list included,and availability. The second-ary indicators include 18 indexes. To improve the operability,the first level indicators are adjusted while the second level indicators are refined simultaneously. Conclusion:The index evaluation system determined by expert argumenta-tion and analytic hierarchy process in this study can be used to evaluate the medicines listed in the essential drug list and provide evidence for selection of essential medicines in China. It has certain theoretical feasibility. The empirical research shows that the index also has practical operability and can be improved.