) introduced because of the clinical institution at the time of inquiry and information obtained beforehand And in real-time if the desired situations of the insurance provider to whom the insured is affiliated as well as the assessment and payment Group in charge are glad.
Initial, in FIG. 1, the events connected to the information program in the present invention will probably be clarified. This information technique includes a health-related institution that prescribes pharmaceuticals into the insured, an insurance pharmacy that dispenses prescription drugs based upon a prescription issued with the health-related establishment and delivers them on the insured, an insurer that bears professional medical insurance plan fees, and An examination / payment institution that examines professional medical cost particulars from professional medical institutions / coverage pharmacies is connected. Each individual get together presents the information method that has a number of essential information to get explained afterwards.In the information technique, (one) information on solutions and prescriptions with the insurance provider for drugs prescribed by the insurance policy clinical institution to the insured Enter / maintain ideal precedence information, (2) Enter / maintain problems / expectations for acceptance of receipt overview by overview / payment Firm, (3) Inquire about availability of insurance coverage for prescription drugs from healthcare establishments for every health care follow According to personal information which include acceptance, insured's symptom, clinical 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。
As a substitute, notify the professional medical institution, and encourage the clinical institution to reselect prescription articles, Pharmaceutical prescription information inquiry / distribution program characterised by comprising
Notice: It is frequently encouraged that to help lessen the quantity of medication blunders, prescription crafting actually must be a hundred% English, without having Latin abbreviations. I will show you about equally and let you make your study more intellect up.
Any time a health care institution prescribes medicines, the insured (patient) is examined by a health care provider in the health health care establishment, the medical doctor challenges a prescription depending on the prognosis consequence, and also the medicine is dispensed on the coverage pharmacy according to the prescription , Offered. Regarding boasting the expense of medicines included by insurance, healthcare institutions and insurance pharmacies, etc.
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、本システムを介して為された一連の照会履歴を審査支払機関及び保険者に配信することを特徴とする医薬品処方情報照会・配信システム。
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また、医薬品費用を負担する被保険者・保険者（健康保険組合等）が、効能・価格等の医薬品に関する情報を十分に知らされていない、複数の代替品の存在に関する情報を十分には知らされていない、といった場合が多い。このため、医薬品の選択に際しては医療機関の判断に全面的に委ねており、費用負担者及び需要者としての医薬品選択の権利が行使しにくい状況が生まれている。
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指定条件を満たしていると判定した場合には、次に、医療機関・保険者の住所から近くに存在する複数の保険薬局に対して、処方対象医薬品の取扱状況・在庫状況を確認、結果をあわせて医療機関へ配信する。一方、指定条件を満たしていないと判定した場合には、審査支払機関及び保険者の指定条件に合致する範囲内で医療機関が提示した被保険者情報をもとに導出される処方推奨対象となる医薬品のリストを医療機関に配信、医療機関にて再選択を促す。医療機関にて処方推奨医薬品が選択されると、近隣の保険薬局での取扱状況・在庫状況を確認、結果を通知する。
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