摘要
目的借鉴系统评价方法,评价我国基本药物制度研究的现状及存在的问题,为该领域研究提供实证依据和参考。方法计算机检索PubMed、EMbase、h e Cochrane Library(2014年第3期)、CNKI、WanFang Data、VIP和CBM,全面收集我国基本药物制度政策分析、实施背景、实施策略、实施现状、实施问题、实施效果相关的研究,检索时限均为建库至2013年12月。由2位研究者根据纳入与排除标准独立筛选文献、提取资料后,从研究类型、研究时间、来源期刊、作者单位、研究主题等各方面进行统计分析。结果最终纳入文献1?607篇,其中定性研究类占56.38%,定量研究类占43.62%;文献年发表量、定量研究类占全年发表文献比例、获得项目资助文献占全年发表文献比例逐年上升;文献研究主题涉及基本药物制度实施各环节,但比例不均;定量研究类文献中,全国性研究文献占比较低,定量研究覆盖地域分布不均,我国东部、中部、西部的比例为2∶1∶1。结论基本药物制度实施与相关研究互相促进;针对我国西部及偏远地区的研究需加强;研究趋向于规范化和实证化,更多深入研究有待开展;研究选题较宽泛,需加强针对具体实施环节问题的研究;研究关注点多集中在基层医疗机构,基本药物制度在二、三级公立医疗机构的实施尚需更多研究支持。
Objective To access the current study status and the existing problems of studies on National Essential Medicines System （NEMS） in China based on systematic review methods, and provide the evidence-based evidence and references to the studies of this field. Methods The following databases such as PubMed, EMbase, The Cochrane Library （Issue 3, March 2014）, CNKI, WanFang Data, VIP and CBM were electronically searched to collect studies related to the policy analysis, implementation background, implementation strategies, implementation situation, implementation problem and implementation effects about NEMS in China. The retrieval time was from inception to December 2013. Two reviewers independently screened literature according to the inclusion and exclusion criteria, extracted data, and finally conducted analysis on study types, study time, source journals, authors＇ units, study themes, etc. of the included studies. Results A total of 1 607 articles were finally included, encompassing 56.38% qualitative studies and 43.62% quantitative studies. The number of published studies per year, the number of quantitative studies as well as the number of financially- supported studies out of the total studies published per year had increased by year since 2009. The study topics focused on every parts during the implementation of NEMS in different proportions. The proportion of the national studies in the quantitative studies was lower than that of others. The regional distribution involved in the quantitative studies was unbalanced, and the ratio of which located on the East, the Central and the West of China was 2 to 1 to 1. Conclusion 1he implementation of NEMS and related studies are mutually promoted. More studies are needed to be carried out on remote areas as well as West China. Although the studies related to these areas tend to be standardized and evidence-based, but more indepth studies should be well advanced. Most of the topics of the studies are widely covered, and the topics of further studies should be enforced in the detail of implementation links. Most of the studies focus on primary medical institutions, and more studies are also needed for supporting and expanding the implementation of NEMS in second and three degree medical institutions.
出处
《中国循证医学杂志》
CSCD
2014年第5期575-583,共9页
Chinese Journal of Evidence-based Medicine
基金
国家自然科学基金资助项目(编号:71103125)
关键词
中国
基本药物制度
现状分析
China
Essential medicine system
Status-quo analysis
