目的 探讨安全用药数据库信息化管理系统在社区卫生服务机构中的应用.方法 运用计算机数据库技术,通过对药物资料进行数字化处理,开发编制应用软件,建立起用药咨询和提醒系统.结果 该系统建立后,中心各方面的变化有:药物禁忌、溶媒选择不当、中成药功能相同叠加使用及医保扣款等指标均明显下降.结论 该系统使用方便,对社区卫生服务机构临床安全用药有指导作用:(1)可规范社区卫生服务机构临床合理用药,提高临床医疗水平和工作效率.(2)针对社区全科医疗现状,系统的使用可避免和(或)减少临床不合理用药现象,减少药物不良反应的发生率.(3)可间接提高患者对社区卫生服务中心提供医疗服务的信任度及依从性,更可合理配置医疗资源,降低就诊均次费用,减少医疗资源浪费.%To investigate the application of information management system of database for safe medication in community health service institutions. Methods A computer database technology was used to establish medication consultation and reminder system by digital processing of drug information and development of a application software. Results After the establishment of the information management system, there had been various changes; The indicators in contraindicated medication, non - rational selection of solvent, superposed application of patent medicine of Chinese herbs with the same function, and cost in medical insurance had significantly deceased. Conclusion The information management system is convenient to use, and of guiding role for safe clinical medication in community health services center. ( 1 ) It can regulate the rational medication in community, improving the clinical level and working efficiency. ( 2 ) It could avoid or reduce the clinical irrational medication, and reduce the incidence of adverse drug reactions under the present situation of general practice in community. ( 3 ) It can indirectly raise the trust level and compliance of patients to community health services centers; could also allocate the medical resources rationally, reduce the cost per visit, and decrease the waste of medical resources.
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