• 中国核心期刊(遴选)数据库收录期刊
  • 中文科技期刊数据库收录期刊
  • 中国期刊全文数据库收录期刊
  • 中国学术期刊综合评价数据库统计源期刊等

中国药物评价 ›› 2021, Vol. 38 ›› Issue (5): 375-379.

• 监管科学与应用 • 上一篇    下一篇

国内外药品质量抽查检验制度对比研究

孟晓庆1,2, 马文雯1,2, 孙强1,2*   

  1. 1. 山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心, 山东 济南 250012;
    2. 国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学), 山东 济南 250012
  • 收稿日期:2021-06-15 修回日期:2021-09-16 出版日期:2021-10-28 发布日期:2021-10-28

Comparative Study on Sampling Inspection System of Drug Quality at Home and Abroad

  1. 1. Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine,
         Shandong University, Shandong Jinan 250012, China;
    2. NHC Key Laboratory of Health Economics and Policy Research(Shandong University), Shandong Jinan 250012, China
  • Received:2021-06-15 Revised:2021-09-16 Online:2021-10-28 Published:2021-10-28

摘要: 目的:对比分析我国与欧盟、美国、日本药品质量抽查检验制度(以下均简称“药品抽检制度”),为完善相关制度提供经验借鉴。方法:汇总各国药品抽检制度,从抽检目的、主要法规与组织框架、品种遴选、抽样与检验以及结果公告与处理方面进行对比分析。结果与结论:在抽检目的方面各国抽检目的均相似,包括验证药品上市后质量等;在主要法规与组织框架方面中国与美国更为类似,均是管理部门负责组织工作,技术部门负责组织实施;在品种遴选方面,美国和欧盟均将风险评估放置重要位置,我国尚未充分利用此定量化方式确定抽检品种;在抽样与检验方面,与欧盟相比我国在抽样时较少考虑不同气候类型造成的抽检结果偏差,且与美国相比社会机构对抽样检测的参与度较低;在结果公告与处理方面,我国数据公布完整程度相对较好,但不同渠道抽检信息尚未汇总统一。我国药品抽检制度处于不断发展与完善的阶段,在组织与实施、结果公布等方面表现较好,但在药品监管新形势下仍可充分借鉴国外在品种遴选、抽样检验中的相关经验。据此提出以下建议:在品种遴选中引入风险理念,构建药品风险评估模型;抽样充分考虑环境因素,检验积极调动社会资源;加强信息平台建设,丰富药品质量公告内容。

关键词: font-size:medium, ">药品;抽查检验;对比研究

Abstract: Objective: To contrastively analyze the drug sampling system in China, the European Union, the United States and Japan, and to provide experience and reference for improving the relevant system. Methods: The sampling system of drugs in different countries was summarized and analyzed from the aspects of sampling purpose, main regulations and organizational framework, variety selection, sampling and inspection, announcement and treatment of results. Results & Conclusion: In terms of sampling purposes, countries have similar sampling purposes, including verifying the quality of drugs after marketing. In terms of main laws and regulations and organizational framework, China is more similar to the United States. In both cases, the management department is responsible for the organization work, while the technical department is responsible for the organization and implementation. In the selection of varieties, the United States and the European Union have placed risk assessment in an important position, China has not made full use of this quantitative method to determine sampling varieties. In terms of sampling and testing, compared with the European Union, sampling deviation caused by different climate types is less considered in China′s sampling, and the participation of social institutions in sampling testing is lower than that of the United States. In terms of result announcement and processing, the completeness of data release in China is relatively good, but sampling information from different channels has not been consolidated and unified. The system of drug sampling inspection in China is in the stage of continuous development and improvement, with good performance in organization, implementation and result announcement, etc. However, under the new situation of drug supervision, the relevant experience of foreign countries in variety selection and sampling inspection can still be fully learned. Based on this, the following suggestions were put forward: introducing the risk concept in the selection of drug varieties and constructing the risk assessment model. Taking full account of environmental factors in sampling and actively mobilizing social resources. Strengthen the construction of information platform and enrich the content of drug quality announcements.
  

Key words: font-size:medium, ">Drug;Random inspection;Comparative study

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