Shi Lu-Wen, Xie Yan-Ming, Nie Xiao-Yan, Han Sheng, Tian Xia, Wang Zhi-Fei
Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University Beijing 100191, China International Research Center for Medicinal Administration (IRCMA), Peking University Beijing 100191, China.
Institute of Basic Clinical Medicine, China Academy of Chinese Medical Sciences Beijing 100700, China.
Zhongguo Zhong Yao Za Zhi. 2024 Feb;49(4):1129-1136. doi: 10.19540/j.cnki.cjcmm.20231018.501.
With the premise of drug safety and effectiveness, pharmacoeconomic evaluation can provide optimal solutions for diversified decision-making application scenarios from different research perspectives while maximizing the rational utilization of existing healthcare resources. Chinese patent medicine is an essential component of pharmaceutical utilization in China and a significant part of healthcare expenditure in China. However, the economic evaluation of post-marketing Chinese patent medicine is lacking. These evaluations often lack standardization, exhibit varying quality, and are unable to effectively support healthcare decisions, indicating a need for improvement in overall quality. Given this situation, this project has gathered leading experts from China and has strictly adhered to the requirements of the group standards set by the China Association of Traditional Chinese Medicine in developing Guidelines for economic evaluation of post-marketing Chinese patent medicine, aiming to provide methodological guidance for the post-market pharmacoeconomic evaluation of Chinese patent medicine, enhancing the standardization of pharmacoeconomic evaluations of Chinese patent medicine and the scientific validity of research results, and thereby elevating the overall quality of pharmacoeconomic evaluations for post-marketing Chinese patent medicine. The guidelines adhere to the framework provided by relevant laws and regulations in China and technical guidance documents. It is based on guidance from traditional Chinese medicine(TCM) theories, focusing on the unique characteristics of TCM. It covers various aspects of pharmacoeconomic evaluation, including fundamental principles, research topic selection, research question definition, study design type selection, cost identification and measurement, health outcomes, and evaluation methods. The guidelines offer methodological recommendations and decision guidance to address common issues and challenges in the pharmacoeconomic evaluation of post-marketing Chinese patent medicine.
在药物安全性和有效性的前提下,药物经济学评价可以从不同研究视角为多元化决策应用场景提供最优解决方案,同时最大限度地合理利用现有医疗资源。中成药是我国药品使用的重要组成部分,也是我国医疗支出的重要部分。然而,中成药上市后经济评价尚显不足。这些评价往往缺乏规范性,质量参差不齐,无法有效支持医疗决策,整体质量有待提高。鉴于此,本项目汇聚了国内顶尖专家,严格按照中国中医药协会团体标准要求制定《中成药上市后经济评价指南》,旨在为中成药上市后药物经济学评价提供方法学指导,提高中成药药物经济学评价的规范性和研究结果的科学有效性,进而提升中成药上市后药物经济学评价的整体质量。本指南遵循我国相关法律法规及技术指导文件的框架,以中医理论为指导,突出中医药特色,涵盖了药物经济学评价的各个方面,包括基本原则、研究课题选择、研究问题界定、研究设计类型选择、成本识别与测量、健康结局及评价方法等,针对中成药上市后药物经济学评价中常见的问题与挑战提供方法学建议及决策指导。