In the conventional payment assessment system, a health-related institution issues a prescription and prescribes and pays for the drug to the patient at an insurance policy pharmacy, and so on., and then the assessment request for that health-related practice is designed to the evaluation payment establishment. Even so, it's impossible to guage the suitability of the appliance contents upfront for health-related establishments. Additionally, the insured / insurance provider (health insurance policy Affiliation, etcetera.) that bears the cost of pharmaceuticals will not be absolutely informed about information on drugs like efficacy and price tag, and is particularly fully informed with regard to the existence of numerous alternate options. It is frequently not performed. Due to this, the choice of medicines is totally left to your judgment of the professional medical establishment, and it is actually tricky to training the right to settle on medicines as a price bearer plus a purchaser.
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。
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。
Also, when drugs are only taken as essential, usually the frequency is accompanied through the letters ‘PRN’—which suggests as vital. There are lots of additional frequencies and abbreviations, but these are generally normally the commonest.
The present invention pertains to a pharmaceutical prescription information inquiry / distribution gadget, a pharmaceutical prescription information inquiry / distribution program, plus a pharmaceutical prescription information inquiry / distribution process.
Instead, notify the health care institution, and really encourage the health-related establishment to reselect prescription material, Pharmaceutical prescription information inquiry / distribution system characterized by comprising
システムの運用段階では、以下の処理をリアルタイムで実施する。すなわち、個々の診療行為に際して保健医療機関からの処方医薬品の保険適用の可否の問い合わせが通信回線を介して行われ、この問い合わせを前述の審査支払機関及び保険者の入力情報や指定条件に照らし合わせて、審査支払機関及び保険者が保険適用を却下しないか否かを判定し結果を医療機関に配信し、図６に示されるような入出力画面によって医療機関の端末に表示される。尚、判定の結果、問い合わせ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。併せて、指定条件を満たした医薬品については、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。また、保険薬局が、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照会を行う場合には、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。
At this time, There may be an instance that aims to improve the get the job done effectiveness by digitizing the medical price examination ask for rather than crafting, but This is certainly targeted at labor saving of Business office work for the healthcare institution.
Legal position (The legal standing is an assumption and is not a lawful conclusion. Google has not executed a legal Investigation and tends to make no illustration as to the accuracy with the position outlined.)
As a result, when preserving the fairness of obtaining healthcare companies, the insured / read more insurance provider / assessment / payment establishment has the chance to choose a drug which is considered appealing through the viewpoint of performance, selling price, and many others. Is not really delivered more than enough. Hence, the condition with the current invention would be that the insured man or woman / insurance company or evaluation / payment institution hopes to prescribe the strongest prescription between solutions although sustaining the fairness of acquiring health care solutions in Japan's professional medical insurance plan program.
Prescriptions is actually a type used to store prescribed medication. The shape is beneficial for it helps you track side effects and temper swings connected with the interaction of some medications you happen to be prescribed.
This A Component of the prescription consists of Directions for that pharmacist, from the event of a drug if it has to be compounded inside the pharmacy.
An example of the configuration of this kind of an information program is proven in FIG. In this example of information system, a minimum of Show and output unit / enter device / facts storage for instance everyday pc with interaction suggests put in in Each individual of assessment paying establishment, insurance company, insurance plan clinical institution, insurance policy pharmacy Along with a central method that performs information inquiry / resolve are linked via a conversation line like the Internet.
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。