Metric identification and mapping of reimbursable implant codes in Morocco to the global nomenclature (GMDN) and European (EUDAMED) of medical devices

IF 1 Q4 PHARMACOLOGY & PHARMACY Annales pharmaceutiques francaises Pub Date : 2024-05-29 DOI:10.1016/j.pharma.2024.05.005

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Abstract

Background

The list of medical devices (MD) eligible for reimbursement under the Compulsory Health Insurance in Morocco is set by Ministerial Order comprising 869 items between life-support equipment, external prostheses, and implants. The objective of the present study is to analyze the nomenclature of implantable medical devices (IMD) appearing on this list and compare them with the global nomenclature of MD (GMDN) and the European nomenclature of MD (EMDN).

Methods

The study deals with (i) the mapping of the codes of the IMD list with 170 DM per cardinality and (ii) a metric identification by Sørensen-Dice coefficient of terminological similarity of the IMD with respect to the two databases.

Results

The 170 IMD codes are mapped onto 493 terms in the GMDN and 344 terms in the EMDN. The 37.7% of implants are mapped to more than or equal to 2 terms of GMDN while 36.5% are mapped to more than or equal to 2 terms to the EMDN. The comparison of cardinality distributions has revealed no significant difference (P = 0.430) between the two databases. The implants examined are divided into 11 categories whose strong similarity is given to active cardiovascular implants in the EMDN database with sim_Dice = 0.534.

Conclusion

Healthcare authorities need to align with nomenclature standards to improve interoperability and rely on a more efficient and rational regulatory process.

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摩洛哥可报销植入物代码与全球医疗器械命名法（GMDN）和欧洲医疗器械命名法（EUDAMED）的度量识别和映射。

背景：摩洛哥强制医疗保险中符合报销条件的医疗器械（MD）清单是由部长令制定的，包括生命维持设备、外部假体和植入物等 869 个项目。本研究的目的是分析该清单中出现的植入式医疗器械（IMD）的命名，并将其与全球 MD 命名（GMDN）和欧洲 MD 命名（EMDN）进行比较：研究内容包括：(i) IMD 列表中的代码与 170 个 DM 的每一明细度的映射；(ii) 通过索伦森-戴斯系数（Sørensen-Dice coefficient）确定 IMD 与这两个数据库在术语上的相似性：结果：170 个 IMD 代码与 GMDN 中的 493 个术语和 EMDN 中的 344 个术语进行了映射。37.7%的植入物被映射到多于或等于 2 个 GMDN 术语，而 36.5% 的植入物被映射到多于或等于 2 个 EMDN 术语。通过比较心率分布，发现两个数据库之间没有明显差异（p = 0.430）。所研究的植入物被分为 11 个类别，其与 EMDN 数据库中的活动心血管植入物具有很高的相似度（simDice=0.534）：医疗机构需要与术语标准保持一致，以提高互操作性，并依靠更有效、更合理的监管流程。

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来源期刊

Annales pharmaceutiques francaises PHARMACOLOGY & PHARMACY-

CiteScore

1.70

自引率

7.70%

发文量

期刊介绍： This journal proposes a scientific information validated and indexed to be informed about the last research works in all the domains interesting the pharmacy. The original works, general reviews, the focusing, the brief notes, subjected by the best academics and the professionals, propose a synthetic approach of the last progress accomplished in the concerned sectors. The thematic Sessions and the – life of the Academy – resume the communications which, presented in front of the national Academy of pharmacy, are in the heart of the current events.