The present creation relates to a pharmaceutical prescription information inquiry / distribution device, a pharmaceutical prescription information inquiry / distribution process, and a pharmaceutical prescription information inquiry / distribution process.
To start with, in FIG. 1, the events connected to the information process with the existing creation might be clarified. This information method includes a clinical institution that prescribes prescribed drugs towards the insured, an insurance policies pharmacy that dispenses pharmaceuticals depending on a prescription issued from the medical establishment and provides them to your insured, an insurance company that bears healthcare coverage charges, and An examination / payment institution that examines medical cost specifics from professional medical institutions / coverage pharmacies is linked. Each individual social gathering provides the information technique with a series of needed information to generally be described later.While in the information procedure, (1) information on choices and prescriptions with the insurance provider for drugs prescribed by the insurance policy health-related institution to the insured Enter / maintain sought after precedence information, (two) Enter / keep ailments / benchmarks for acceptance of receipt critique by critique / payment Group, (3) Inquire about availability of insurance policy for prescription drugs from health-related institutions for every professional medical exercise Determined by private information such as acceptance, insured's symptom, professional medical historical past, age, and so on.
本発明により、医薬品流通市場における、医療機関・保険薬局といった供給者・処方者と、審査支払機関・保険者・被保険者といった需要者の間で、医療用医薬品の処方・購入に関わる取引に関しリアルタイムに当事者間の合意形成の有無を明確にすることが可能となる。これにより、審査支払機関・保険者は医薬品選択に関わる実効的な意思表示の機会を得ることとなり、自らが希望する医薬品処方につき選択肢が拡大、満足度・費用対効果を向上させることが可能となる。これにより、例えば、審査支払機関がより効能の高い医薬品の処方優先順位を上げることで多くの医療機関で当該医薬品が処方され、結果として被保険者間の医療サービスの質やコストの公平性が促進される。また、同等の効能を持つ複数の医薬品の中で最も安価の医薬品の処方が増加することによる保険者・被保険者の医薬品費用の低減、といった効果も得られる。
Hereinafter, a flowchart of the illustration of an information inquiry / perseverance course of action will be explained with reference to FIG. Initial, the required information is attained within the assessment payer / insurance company / insurance plan professional medical establishment / insurance policy pharmacy. The information and designated conditions to generally be received with the examination payer and the insurance company are as described earlier mentioned.
以下に、図４を用いて情報照会・判定の手順の一例のフローチャートを説明する。まず審査支払機関・保険者・保険医療機関・保険薬局から必要な情報を取得する。審査支払機関及び保険者から取得する情報・指定条件は前述の通りであり、医療機関・保険薬局からは所在地等の基本情報に加え、使用希望薬剤情報・医薬品取扱情報・同在庫情報等を取得し、取得したデータを格納する。
Every time a healthcare establishment prescribes medicines, the insured (patient) is examined by a health care provider in the health clinical establishment, the medical doctor challenges a prescription according to the prognosis consequence, and the medicine is dispensed on the coverage pharmacy based on the prescription , Offered. Regarding professing the price of medicines lined by insurance plan, professional medical establishments and coverage pharmacies, etcetera.
The prescription should be signed through the prescriber by his / her hand. His/her deal with and registration range truly need to be well prepared in the situation of perilous and behavior-forming medicines.
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It is an object in the current creation to offer a prescription information inquiry / distribution system for prescription information that enables health care establishments / coverage pharmacies to preferentially undertake the choice medicines from other possibilities. 前記課題を解決するための本発明は、以下の各部から構成されることを特徴とする
This A A part of the prescription also features the toughness of your respective drug (the amount of milligrams, as an example) as well as the pill, capsule, or other kind where your Health treatment support company want you to undoubtedly consider it. A Acquire Take note identified as "Disp" get more info refers to this information about how the drug must be dispensed.
If it is determined that the specified problems are achieved, future, Verify the handling status / inventory status of prescription drugs towards a number of insurance plan pharmacies close to the tackle with the clinical establishment / insurance company, and procure the outcome. Also provide to health-related institutions. On the other hand, if it is decided that the required problems will not be satisfied, the prescription advice subject matter derived determined by the insured particular person's information introduced through the healthcare establishment in a range that matches the desired circumstances of your evaluation payer and the insurance company Distribute an index of medicines to health care establishments and encourage them to reselect.
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Come to be. Therefore, for instance, the evaluation / payment agency raises the prescription precedence order of more practical medicines so that a lot of healthcare establishments can prescribe the medicines. Consequently, the caliber of health care providers and also the fairness of prices amid insured people Promoted. On top of that, a rise in prescription of The most affordable drug amid a plurality of drugs acquiring the identical result can be acquired, which include reduction in drug fees for insurers and insured folks.
請求項１に記載の医薬品処方情報照会・配信システムにおいて、医療機関から診療行為毎に照会される処方医薬品が、保険者・審査支払機関の指定条件を満たす場合、医療機関や被保険者の住所の近くに存在する保険薬局数軒での当該医薬品の取扱情報・在庫情報を保険薬局のデータベースにアクセスし確認を行うことを特徴とする医薬品処方情報照会・配信システム。