特殊医学用途配方食品(FSMP)临床管理专家共识(2021版)

Expert Consensus on Clinical Management of Food for Special Medical Purposes(FSMP)(2021 Edition)

特殊医学用途配方食品(food for special medical purpose,FSMP)是为了满足进食受限、消化吸收障碍、代谢紊乱或特定疾病状态人群需要的一种配方食品。《国民营养计划(2017-2030)》中临床营养行动提出推动FSMP的规范化应用。FSMP在医院的规范化应用是当前临床营养管理工作关注的重点之一。由于我国FSMP发展起步较晚,还存在相关法规和政策有待完善、临床应用经验较为缺乏等诸多问题,国家卫生健康委医院管理研究所委托临床营养项目专家工作组,组织相关领域专家,在充分分析国内外相关文献、行业政策及制度规范的基础上编写适用于医疗机构的FSMP临床管理专家共识。本共识从总则、组织架构和职责、FSMP管理、FSMP临床应用规范、推荐意见、结语6个方面进行介绍,以进一步规范医院内FSMP的临床应用和管理,促进FSMP的营养治疗价值最大化。

Food for special medical purpose(FSMP)is described as formula foods specially prepared to meet the special needs of persons with limited food intake,digestive and absorption disorders,metabolic disorders or specific diseases for nutrients or diets.The clinical nutrition action in the National Nutrition Plan(2017-2030)proposes to promote the standardized application of FSMP.The standardized application of FSMP in hospitals is one of the priorities in clinical nutrition management.As a relatively new concept in China,FSMP still faces many problems such as lack of relevant regulations and policies and limited experience in clinical application.Therefore,commissioned by the National Institute of Hospital Administration,the expert group developed this expert consensus on the clinical management of FSMP in medical institutions based on literature review and industry policies and institutional norms.This consensus document is composed of five aspects:general principles,organizational architecture and responsibilities,management,specifications for clinical use,and concluding remarks,with an attempt to further standardize the clinical application and management of FSMP in hospitals and maximize the therapeutic value of FSMP.