) presented by the medical establishment at time of inquiry and information acquired upfront And in genuine-time if the required problems in the insurance provider to whom the insured is affiliated as well as evaluation and payment Corporation in cost are satisfied.
Initial, in FIG. 1, the parties linked to the information procedure of your current invention will probably be clarified. This information method features a professional medical establishment that prescribes prescribed drugs towards the insured, an insurance coverage pharmacy that dispenses prescription drugs based upon a prescription issued because of the health care institution and presents them on the insured, an insurer that bears professional medical insurance plan fees, and An assessment / payment institution that examines clinical payment specifics from medical institutions / coverage pharmacies is connected. Just about every celebration delivers the information system by using a number of vital information to become described later on.From the information system, (1) information on choices and prescriptions with the insurance provider for drugs prescribed through the insurance plan professional medical establishment for your insured Enter / hold wanted priority information, (2) Enter / hold conditions / specifications for approval of receipt assessment by assessment / payment Business, (three) Inquire about availability of coverage for prescription drugs from medical establishments for each healthcare practice Dependant on particular information for example acceptance, insured's symptom, health care background, age, etcetera.
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。
Although Every single line has a distinct character, jointly they sort a whole medication determination support Resolution, serving a wide array of healthcare marketplaces and featuring reliable information and aligned alternatives encompassing both equally drug reference and drug knowledge.
And when you receive an inquiry about professional medical prescriptions from a clinical institution for each unique clinical observe, insured person information (health-related insurance plan read more similar information, information on sickness / signs and symptoms, and so on.
When a clinical institution prescribes medicines, the insured (patient) is examined by a doctor for the health medical institution, the health practitioner issues a prescription determined by the prognosis final result, and the medicine is dispensed on the coverage pharmacy based on the prescription , Supplied. With regard to proclaiming the price of medicines lined by insurance policies, clinical institutions and insurance policies pharmacies, and so forth.
従って、本発明の課題は、わが国の医療保険制度の中で、医療サービス受給の公平性を維持しつつ、被保険者・保険者もしくは審査支払機関が、代替品の中から最も強く処方を希望する医薬品を、医療機関・保険薬局が、他の代替品の中から優先的に採用する機会を提供することを可能にさせる、医療用医薬品処方情報照会・配信システムを提供することにある。
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have the probable of remaining abused, and that might produce effectively staying threats from Unfavorable effects if taken incorrectly,
At present, an information program that replaces the development and application of the above-pointed out receipt using an electronic strategy from a standard prepared strategy has by now been place into functional use. Conversely, in The usa, Pharmacy Gain Management (“PBM”) is a company that manages dispensing prices for policyholders.
An example of the configuration of these types of an information method is demonstrated in FIG. In this instance of information technique, a minimum of Screen and output device / enter device / facts storage which include normal laptop computer with conversation implies set up in Every of examination having to pay establishment, insurer, insurance policy health care institution, insurance pharmacy Along with a central process that performs information inquiry / resolve are linked via a interaction line which include the online market place.
Drug Look for by Disorder/Symptom - Figure out what a drug is useful for, or if an adverse response might be a result of a specific drug.
・ Information for example symptom etc.) and information obtained upfront are checked to find out in serious time whether or not the insured that's insured as well as designated examination and payment organization in demand are content. Pharmaceutical prescription information inquiry / distribution program.
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。