欢迎访问《中国临床药理学与治疗学》杂志官方网站,今天是

中国临床药理学与治疗学 ›› 2008, Vol. 13 ›› Issue (6): 671-674.

• 定量药理学 • 上一篇    下一篇

量效关系在药物经济学中的应用

邹雅敏1, 袁秉祥1, 董亚琳2   

  1. 1西安交通大学医学院药理系, 西安 710061, 陕西;
    2西安交通大学第一附属医院药剂科, 西安 710061, 陕西
  • 收稿日期:2008-01-28 修回日期:2008-03-31 发布日期:2020-10-14
  • 通讯作者: 袁秉祥,男,教授,博士生导师,研究方向为数学药理学。Tel:029-82657724 E-mail:ybx@mail.xjtu.edu.cn
  • 作者简介:邹雅敏,女,硕士研究生。Tel:13119134209 E-mail:27132577@sina.com

Application of dose-effect relationship in pharmacoeconomics

ZOU Ya-min1, YUAN Bing-xiang1, DONG Ya-lin2   

  1. 1Department of Pharmacology, Medical College of Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China;
    2Department of Pharmacy, First Affiliated Hospital to Medical College, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China
  • Received:2008-01-28 Revised:2008-03-31 Published:2020-10-14

摘要: 目的: 寻找药物经济学研究新的思路和方法,揭示药物治疗学中的经济规律,为提倡药品理性消费提供理论依据。方法: 将数学药理学和药物经济学的研究方法结合起来,推导成本-效果的量效关系式,并建立成本-有效曲线、成本-毒效曲线以及成本-实效曲线。将社会用药消费范围定义为弱效用药、增效用药、有效用药、减效用药及有害用药几个区段。结果: 随着购买药品费用的不断增加,药品的有效率逐渐达到最大值不再变化,不良反应发生率也逐渐增加,使药品的实效价值呈现先升后降的变化。结论: 药物疗效与药物治疗成本之间存在着定量关系,为了节省医疗成本,控制药费增长,促进合理用药,必须提倡在增效用药和有效用药的范围内用药;在药物品种的选择上,要考虑药物的效果/成本比,选择高效的品种,同时也要衡量消费者的经济承受能力;应该提高对基本药物的使用。

关键词: 药物经济学, 成本-效果比, 量效关系, 量效曲线, 基本药物

Abstract: AIM: To search new method and idea in pharmacoeconomics and economic regularity in pharmacotherapeutics, and offer theoretical support to rational consumption of drug products.METHODS: The study methods on quantitative pharmacology and pharmacoeconomics were combined together, the dose-effect relationship between the cost and effectiveness was deduced, and the cost-effectiveness curve, cost-toxicity curve and cost-utility curve were drawn.The consumption range on social medication was defined into 5 sections: Ineffective Medication, Ad-utility Medication, Effective Medication, De-utility Medication and Adverse medication.RESULTS: Along with the increasing of drug cost, the effective power was maximized gradually and then was no longer changed, the incidence rate of adverse effect increased by degrees, so the utility value ascended and descended according to the change of purchased drug cost.CONCLUSION: There is quantitative relationship between the drug efficacy and the treatment cost.In order to spare the medical treatment cost and promote the rational administration, Ad-utility Medication and Effective Medication should be advocated;The high-performance drug species with major cost-effectiveness ratio should be chosen;the utilization of essential drugs should be strengthened.

Key words: pharmacoeconomics, cost-effectiveness ratio, dose-effect relationship, dose-effect curve, essential drug

中图分类号: