Study On The Evaluation Index System Of National Essential Medicine System

National essential mdicine system is a core part of the WHO global plan of action of essentialdrugs, China has been committed to the establishment of a national for essential mdicine system. Manymedical and health system in China will establish a national essential medicines system as an importantpart of the basic drug system, system for basic drugs is considered to be the effective policy of a "for theprotection of the masses of basic drugs, to reduce the burden of medical expenses". At present, Chinainitially established a complete framework of the national essential mdicine system and progressivelyintroduced. With in-depth implementation of the national essential mdicine system, policy options for thebasic mdicine system, the status of implementation, and results monitoring and evaluation is needed.National essential mdicine system of assessment need to establish an effective indicator system,through the acquisition of indicators to achieve the purpose of system assessment. This article is by ourcountry’s basic medicine system, using the methods of literature research and expert advice, set up theframework of the evaluation index system in accordance with the policy framework for basic mdicinesystem; through the analysis of essential mdicine system, and learn from the WHO published in thenational drug policy monitoring and evaluation manual for index selection; Preliminary indicator systemand the specific indicators constructed in accordance with the basic theory of public policy evaluation, andexpert advice to establish the final index system, using the analytic hierarchy process for each indicator aweight set. This article aims to build a complete system of indicators to provide a reference for monitoringand evaluation of China’s basic drug system.Studies have shown that the essential medicine system in China and the WHO in the globalimplementation of essential medicine concept and national drug policy is consistent. China’s essentialmedicine system under the framework of the national drug policy, including catalog management,production and distribution, with the use of seven policy part. WHO published a manual of the monitoringindicators within the framework of multi-drug policy, drug use, drug prices, drugs status, some indicatorscan be used for the design of the evaluation index system of essential medicines system. Evaluation modelis constructed based on the basic theory of policy evaluation and analysis of essential medicine system. The survey shows that the double index system built according to the theory of policy evaluation,while monitoring the assessment of national essential medicine system policy and child policy is not to berecognized. In the survey, all the experts do not agree with the sub-policy formulation and implementationprocess as the assessment of the basic policy input, only agree with the input of sub-policy outcomes basicpolicy assessment.The evaluation index system of the basic drug system, process and outcome indicators,the right weight, respectively0.572and0.366, far greater than the weights of the structure index0.062; twoindicators, the basic rational use of medicines, with the use of the effects of policies, affordability, the totalranking of the seven indicators of access, monitoring the quality of the effects of policies, catalogmanagement, the effects of policies and the production and circulation effects far greater than the other twoindicators.Studies have shown that the system of essential medicine is a comprehensive public healthpolicies, to assess the combined effect of the index system can only be used for policy evaluation andsub-policy impact assessment, can not achieve a comprehensive assessment of the purpose ofsub-policies.Assessment of the essential medicine system should be more concerned about the process andoutcome indicators, the focus on evaluation of the rational use of essential medicine, with use, affordability,and other aspects; the essential medicine system should focus on the essential medicine system with the use,quality control, directory management and the production and circulation of complementary measures tointensify; index system of the three indicators of the respective weight there are some differences, therefore,the weight of each indicator to consider the results of the comprehensive assessment of output.The main content of this paper has five aspects: the first part is an introduction, through theanalysis of the background of this study, leads to the purpose and significance of this study, the currentresearch status and the structural arrangement.The second part is the assessment of the national essentialmedicine system overview of the basic theory of the assessment of the national essential medicine system;policy framework for essential medicine system, lay the foundation for the framework of the index systemto build; essential medicines system to monitor the ongoing evaluationanalyzed and put forward theproblems; and national drug policies in the WHO assessment guidelines and practices have been studied asa screening refers to.The third part is a basic drug system evaluation index system model to build theresearch, the use of public policy analysis and evaluation of commonly used methods, the theoretical basis of the national essential drug system assessment, and indicator system framework to build, initiallyestablishedthe structure of the index system. The fourth part is the construction and establishment ofevaluation index system, the use of expert advice to establish the index system and composition, and usingthe analytic hierarchy process, for each indicator of the right to re-assignment, and build a complete indexsystem; The fifth part is the index system analysis and application, through analysis of the index systembuilt strengths and inadequacies exist in the index system, and briefly describes the application of the indexsystem.The innovation of this paper is to:(1) the idea of innovation: the evaluation index system of theexisting essential medicine policies at home and abroad, or from a evaluation or monitoring of the entiredrug policy can not achieve the comprehensive evaluation result output. Establish the evaluation indexsystem model to the current institutional framework of essential medicine, relevant indicators of foreignand domestic screening indicators, and to establish the weight of each indicator, and build a completecomprehensive evaluation index system.(2) research methods innovation: by means of AHP, experts scorethe single layer of each of the indicators sorting and sort through the weights of the index level and thespecific indicators, implementation and evaluation of essential medicine system to carry out to provide acertain reference.