基本药物目录遴选与使用的发展与创新

自1977年WHO发布第1版基本药物示范目录以来，基本药物目录（EML）已有36年历史，共发布了18版成人示范目录和4版儿童示范目录。1982年，我国发布了第l版EML，到2012年共发布了8版。本文介绍了WHO—EML的起源、理念、定义、设计，也介绍了WHO—EML遴选方法、原则、流程等方面的发展与创新，并与我国EML的沿革、设计、遴选方法进行对比，指出了我国EML评价与决策面临的挑战。

Application,Development and Innovation of Essential Medicine List

It has been 36 years since the first version of essential medicine list （EML） was released by WHO in 1977, when 18 versions of WHO-EML and four versions of children essential medicine list have been released. In 1982, the first version of national essential medicine list （NEML） was released in China. Till 2012, there were eight versions of NEML in total. This paper introduces WHO-EML in aspects of origin, idea, definition, design, and innovation of selection method- ology, principle, and workflow; compares the evolution, design, selection methodology between WHO-EML and Chinese NEML; and points out the challenges of evaluation and decision making of Chinese NEML.