Although the execution on the indicates with the present invention is done via an information process, this execution is roughly divided into two phases: a process preparation stage and an operation stage.
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。
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、医療機関が発行した処方箋に記されている医薬品の保険適用につき、保険薬局からの照会を受付け、処方箋発行医療機関との照会履歴の有無、結果について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。
At present, an information program that replaces the creation and software of the above-pointed out receipt with an electronic system from a traditional created strategy has now been put into useful use. However, in The us, Pharmacy Gain Administration (“PBM”) is a company that manages dispensing prices for policyholders.
結果として、医療サービス受給の公平性を保ちつつ、代替品が存在する医薬品の中で、被保険者・保険者や審査支払機関が、効果・価格等の観点から望ましいと考える医薬品を選択する機会が十分に提供されていない。
In its place, notify the healthcare establishment, and inspire the healthcare establishment to reselect prescription content, Pharmaceutical prescription information inquiry / distribution technique characterised by comprising
【選択図】図３[Challenges] To provide a program for furnishing an opportunity for any clinical establishment / insurance pharmacy to preferentially adopt a medication that an insured / insurance company or evaluation / payment establishment hopes to prescribe during the health care insurance plan procedure. Provided. [Indicates FOR SOLVING Issues] Entering / holding information on alternate options, prescription priority order information of an insurance provider, and disorders / benchmarks for approval of a receipt assessment by an evaluation / payment institution for a drugs prescribed by an insurance policies health care institution Inquiries about whether or not insurance for prescription drugs is accessible for Every medical exercise in the suggests and health-related establishment, and whether the inquiries match the desired conditions on the insurance provider / examination and payment Group based on personalized information which include signs and symptoms on the insured Usually means to ascertain whether or not the above inquiry material won't match the required disorders, look for other drugs that meet the specified circumstances from your drugs specified through the insurance company depending on the insured's information including signs A method getting indicates for notifying a medical establishment in its place and prompting the health-related institution to reselect prescription contents. [Range] Determine 3 Description
Inside the preparing phase in the program, the evaluation payer and the insurer enter important information and specify conditions. Examples of information entered with the evaluation payer as well as insurer and the specified circumstances are determined by information to the insurance provider issue to assessment, disorders including the insured's age, gender, Structure and earlier heritage There are actually assumed medical fee details calculated for every particular person sickness and symptom divided, drug selling price criteria of utilised drugs, insurance policies factors, along with other knowledge demanded for evaluation of health care payment particulars.
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Interactions Drug Interactions - This field presents an outline of your conversation concerning the drug listed in the monograph as well as other drugs or drug lessons. Next an outline in the interaction for just a drug course, any drugs from that class which aren't more likely to result in a similar conversation With all the monograph drug are outlined as Prescription refill process exceptions. Lastly, the importance from the conversation is identified as follows: Observe therapy – knowledge show that the desired brokers may possibly interact with each other inside of a clinically-important manner, but the advantages of concomitant use ordinarily outweigh any hazards. An correct monitoring program need to be implemented to discover potential damaging effects and dosage adjustments can be desired inside a minority of patients.
And when you get an inquiry about health care prescriptions from a professional medical establishment for every person medical exercise, insured individual information (medical insurance plan connected information, information on sickness / symptoms, and many others.
This A Portion of the prescription contains Guidance for that pharmacist, within the function of a drug if it must be compounded inside the pharmacy.
possess the likely of remaining abused, and that might produce effectively remaining threats from Damaging effects if taken improperly,
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、判定の結果、照会内容が審査支払機関及び保険者の入力情報や指定条件に適合しない場合には、これらを満たす医薬品群を検索・同定し、医療機関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。