Constructing Index System for Rational Drug Use Management of Key Monitoring Drugs Based on Delphi Method and Analytic Hierarchy Process
10.3870/j.issn.1004-0781.2025.03.031
- VernacularTitle:基于德尔菲和层次分析法构建重点监控药品合理用药管理指标体系
- Author:
Li LING
1
;
Cheng SI
;
Haixia ZHANG
;
Qiaoling ZHU
;
Weihong GE
;
Xiaoyan WU
Author Information
1. 南京医科大学鼓楼临床医学院,南京 210008;南京医科大学药学院,南京 211166
- Publication Type:Journal Article
- Keywords:
Key monitoring drug management;
Rational drug use;
Index system;
Delphi method;
Analytic hierarchy process
- From:
Herald of Medicine
2025;44(3):503-508
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct an evaluation index system for rational drug use management of key monitoring drugs,and to provide references for medical institutions.Methods The preliminary index framework was formed by researching the policies and regulations,management norms,and guiding principles related to key monitoring drugs.Two rounds of Delphi questionnaire survey were conducted with 26 experts to improve and optimize the index system.The weights of the indicators were obtained by constructing the judgment matrix by analytic hierarchy process(AHP).Results The recovery rates of the two rounds of questionnaire were both 100％,and the authority coefficient was 0.87.The key monitoring drug rational use management evaluation index system was finally constructed to include three primary indicators[ex-ante management(0.253 6),in-process management(0.503 1),and ex-post management(0.243 2)],15 secondary indicators[including prescription review(0.302 6),formulate rational drug use norms(0.133 1),supernormal early warning management(0.103 2)],and 62 tertiary indicators[inclu-ding formulate strict prescription review rules(0.152 5),pharmacists prescription intervention strength(0.085 7)and effective-ness management(0.052 5)].and the index judgment matrix passed the consistency test.Conclusion The evaluation index system for the rational drug use management of key monitoring drugs constructed can satisfy the closed loop of the supervision and management process,achieve the prior reminder,monitoring,and post-supervision,and provide references for medical institutions to ensure the refinement and standardization of the management process.
