Objective To explore the establishment of a selection and evaluation index system for national negotia-ted drug in medical institutions,and to provide evaluation tool for drug access in medical institutions.Methods Based on the current situation investigation and literature review,the index system framework was constructed,and 20 phar-macy directors from Shanghai medical institutions were invited to conduct two rounds of consultation,and the weights of indicators at all levels were calculated using analytic hierarchy process.Results A national negotiated drug selection and evaluation index system consisting of 4 first-level indexes,8 second-level indexes and 17 third-level indexes was formed.The positive coefficients of experts in the two rounds of consultation were 80%,100%,and the coefficient of expert authority was 0.90.For the two rounds of expert consultation,the mean coefficient of variation of the importance score were 0.138 and 0.107,and the mean coefficient of variation of the accessibility score were 0.167 and 0.133,respec-tively.The weights of the four first-level indicators of admission demand,clinical value,economic value and hospital management were 29.99%,38.20%,15.40%and 16.41%,respectively.Conclusion The established index system of national negotiated drug selection and evaluation in Shanghai medical institutions is scientific and can provide tools for drug access management in medical institutions.
DelphiMedical InstitutionsNational Negotiated DrugSelection and Evaluation
NETL
NSTL
万方数据
