医学教育管理 ›› 2023, Vol. 9 ›› Issue (2): 257-263,268.doi: 10.3969/j.issn.2096-045X.2023.02.022

• 专  论 • 上一篇    下一篇

我国药物警戒制度实施路径研究

张梦瑶 , 赵晓佩*
  

  1. 首都医科大学医学人文学院,北京 100069
  • 收稿日期:2022-04-11 出版日期:2023-04-20 发布日期:2023-05-29
  • 通讯作者: 赵晓佩
  • 基金资助:
    北京市社会科学基金规划项目:互联网医疗背景下电子处方法律规制问题研究(19FXB005)

Implementation path of China's pharmacovigilance system

Zhang Mengyao, Zhao Xiaopei*   

  1. School of Medical Humanities, Capital Medical University, Beijing 100069, China
  • Received:2022-04-11 Online:2023-04-20 Published:2023-05-29

摘要: 药物警戒制度的提出是药品不良反应监测基础之上的革新与补充,标志着国家药品安全风险规制在理念、机制和方法上的升级。本文旨在通过文献分析法和数量研究法,对践行药物警戒制度过程中面临的实际机遇与挑战进行分析,探究我国实施药物警戒制度的可行路径。药物警戒行动的开展在国家政策助好、不良反应上报和监测机制成熟等基础之上获得了管理与技术层面的支撑,但也面临着多元数据获取、警戒职责落实、监管逻辑自洽等多重挑战。药物警戒制度的提出与实施,对于平衡全生命周期中药品风险-获益信息、保障公众用药安全等方面具有现实意义。建议从促进多元主体协同治理、拓展警戒信息监测口径、持续发挥医疗机构及其药师专业作用、厘清监管科学逻辑等方面,考量有效实施我国药物警戒制度的可行路径,进而保障公众用药过程中安全最大化。

关键词: 药物警戒, 药品安全, 风险治理, 实施路径

Abstract:

The proposed pharmacovigilance system is an innovation and supplement on the basis of adverse drug reaction (ADR) monitoring, marking the upgrade of national drug safety risk regulation in terms of concept, mechanism and method. This paper aims to analyze the practical opportunities and challenges faced in the practice of pharmacovigilance system through literature analysis and quantitative research method, and to explore the feasible path for the implementation of pharmacovigilance system in China. The development of pharmacovigilance actions has gained management and technical support based on the support of national policies, mature ADR reporting and monitoring mechanisms. However, it also faces challenges such as multiple data acquisition, implementation of vigilance responsibilities, and self-consistent regulatory logic. The proposal and implementation of pharmacovigilance system has practical significance for balancing the risk-benefit information of drugs in the whole life cycle and guaranteeing the safety of public drug use. It is suggested to consider the feasible path for the effective implementation of pharmacovigilance system from the following aspects: promoting the collaborative governance of multiple subjects, expanding the scope of pharmacovigilance information monitoring, continuously giving play to the professional role of medical institutions and pharmacists, clarifying the scientific logic of supervision, etc., so as to ensure the maximum safety of public drug use.

Key words:

pharmacovigilance, drug safety, risk management, implementation path

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