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我国药物警戒数据共享与数据交换现状与发展分析

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我国已明确"国家建立药物警戒制度",确立"风险管理、全程管控、社会共治"立法宗旨,构建药品不良反应监测机构为专业技术机构、药品上市许可持有人(MAH)和医疗机构依法履行相关责任的"一体两翼"工作格局.药物警戒数据共享与数据交换的体系框架,既包括药品全生命周期和数据流管理,也包括监测机构、医疗机构、疾控机构、第三方平台、MAH和零售药店等组织的药物警戒体系建设需求.基于药物警戒相关数据散在于疾控机构、第三方平台、医疗机构、MAH等单位的数据管理事实,需要加强各责任主体、各环节、各领域的药物警戒数据共享和数据交换.本研究通过梳理药物警戒数据管理制度体系及我国当前药物警戒数据共享与数据交换现状,探讨药物警戒数据共享与数据交换的体系框架和建设原则,并提出药物警戒数据共享与数据交换建设路径,包括"三医"联动改革目标、数据流管理、数字化应用场景、行业标准指南编制等.药物警戒数据共享和数据交换框架下的数字化应用场景和数字治理,是多组织参与的,通过药物警戒数据共享和数据交换的体系框架设计实现的,可进一步推进药品安全智慧监管建设进程.
Development and Status of Pharmacovigilance Data Sharing and Data Exchange in China
China has defined the establishment of pharmacovigilance system,and established the legislative purpose of "rirk manage-ment,whole process control and social co-governance" was established. It was needed to build a working pattern of the one body and two wings,which the ADR monitoring institutions are professional technical institutions,the marketing authorization holders (MAH) and medical institutions to perform relevant responsibilities. The framework of pharmacovigilance data sharing and data exchange,including drug whole life cycle and data stream management,also includes the needs of surveillance agencies,medical institutions,disease control agencies,third-party platforms,MAH and retail pharmacies. Based on the fact that the data related to pharmacovigilance are scattered in disease control institutions,third-party platforms,medical institutions,MAH and other units,it is necessary to strengthen the sharing and exchange of pharmacovigilance data among the responsible parties,each links and fields. This study reviewed the system of pharma-covigilance data management and the current situation of pharmacovigilance data sharing and data exchange in China,explored the institu-tional design and construction principles of pharmacovigilance data sharing and data exchange. The construction path of pharmacovigi-lance data sharing and data exchange was proposed,including the goal of "Three Medicine Linkage" reform,data flow management,digi-tal application scenario,and the compilation of industry standards and guidelines,and so on. This study considered that digital applica-tion scenarios and digital governance under the framework of pharmacovigilance data sharing and data exchange are implemented through the design of pharmacovigilance data sharing and data exchange framwork involving multiple organizations,which can further promote the construction process of drug safety smart supervision.

PharmacovigilanceData shareData exchangeMedical institutionData flow

王广平、沈侃、徐建龙

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上海市药品和医疗器械不良反应监测中心,上海 200040

药物警戒 数据共享 数据交换 医疗机构 数据流

2024

中国医药导刊
国家食品药品监督管理局信息中心

中国医药导刊

影响因子:1.408
ISSN:1009-0959
年,卷(期):2024.26(8)