医疗器械开发中实施简化制度和许可流程的准备分析

Pritha Elisa, D. Ayuningtyas
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摘要

背景:在全民健康保险(JKN)时代,医疗器械的需求90%以上由进口产品来满足。因此,政府颁布了关于制药工业和医疗器械发展行动计划的2017年第17号卫生部长条例。本研究旨在确定在医疗器械开发中实施简化制度和许可流程的准备情况。对象与方法:本研究为质性研究,于2019年7月进行。主要举报人是卫生部医疗器械和家庭卫生用品评价和监督局的官员。举报人也来自印度尼西亚医疗器械制造商协会。研究主题是为在医疗器械开发中实施简化的制度和许可程序做准备。研究变量包括政策的规模和目标、资源、执行机构的特征、组织间的沟通、执行者的性格以及社会、经济和政治环境。通过深入访谈和观察收集数据,并进行描述性分析。结果:根据卫生部2017年第17号条例,在医疗器械开发中实施简化制度和许可流程的准备工作较好。执行政策的规模和目标足够明确。现有的资源是充足和合格的。已编制标准操作程序并应用于该系统。政策沟通进展顺利。实施者在处理策略方面的配置是最佳的。经济、社会和政治环境对政策的执行有重大影响。结论:从规模和政策目标、资源、实施机构特点、组织间沟通、实施处置以及社会、经济、政治环境等方面来看,我国在医疗器械开发中实施简化制度和许可流程的准备工作运行良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of Preparedness for the Implementation of Simplified System and Permission Process in the Development of Medical Devices
Background: In the health national insurance (JKN) era, the need for medical devices was fulfilled by more than 90% of imported products. Therefore, the government issued the Minister of Health Regulation No. 17 of 2017 concerning the action plan for the development of the pharmaceutical industry and medical devices. This study aimed to determine the preparedness for the implementation of simplified system and permission process in the development of medical devices. Subjects and Method: This was a qualitative study conducted in July 2019. The key informants were officials from the ministry of health directorate of medical devices and household health supplies evaluation and supervision. The informants were also people from the Indonesian Association of Medical Device Manufacturers. The study theme was preparedness for the implementation of simplified system and permission process in the development of medical devices. The study variables included the size and objective of the policy, resource, characteristics of the implementing agency, communication between organization, disposition of implementer, as well as the social, economic, and political environment. The data were collected through in-depth interview and observation and analyzed descriptively. Results: Preparedness for the implementation of simplified system and permission process in the development of medical devices based on Minister of Health Regulation No. 17 of 2017 was quite good. The size and objectives of the implementation policy were clear enough. The available resources were sufficient and qualified. Standard operational procedure (SOP) had been prepared and applied to the system. Policy communication had gone well. Implementer disposition in addressing policies was optimal. The economic, social and political environment had a significant influence on policy implementation. Conclusion: Preparedness for the implementation of simplified system and permission process in the development of medical devices has been running well in terms of variable size and policy objective, resource, implementing agency characteristic, communication between organization, implementing disposition, and the social, economic, and political environment.
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