In the conventional payment assessment method, a medical establishment troubles a prescription and prescribes and pays to the drug on the patient at an insurance plan pharmacy, and so forth., after which the assessment request for the clinical apply is made for the assessment payment institution. Having said that, it truly is impossible to judge the suitability of the appliance contents in advance for health-related establishments. In addition, the insured / insurance company (health insurance Affiliation, and so forth.) that bears the price of prescription drugs just isn't thoroughly educated about information on drugs such as efficacy and rate, and it is completely educated in regards to the existence of various alternatives. It is often not carried out. Because of this, the selection of medicines is entirely still left for the judgment of a health-related institution, and it is tricky to training the ideal to pick medicines as a value bearer in addition to a purchaser.
If you suspect in fantastic faith that somebody has wrongly submitted a explore of copyright infringement in opposition to you, the DMCA permits you to ship out to Company a counter-see. Notices and counter-notices must fulfill the then-existing-working day statutory specifications imposed With all the DMCA.
【解決手段】保険医療機関が処方する医薬品について、代替品情報、保険者の処方希望優先順位情報を入力・保持する手段、審査支払機関によるレセプト審査承認のための条件・基準を入力・保持する手段、医療機関から診療行為毎に、処方医薬品の保険適用可否に関する照会を受付け、被保険者の症状等の個人情報に基づき、照会内容が保険者・審査支払機関の指定条件に合致しているか否かを判定する手段、上記照会内容が指定条件に合致していない場合は、保険者が指定する医薬品の中から、症状等の被保険者の情報に基づき指定条件を満たす他の医薬品を検索し代替品として医療機関に通知、医療機関にて処方内容の再選択を促す手段を有するシステム。
(b) Adjuvants: They're integrated possibly to boost the motion of your drug or to supply the preparing added palatable.
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。
In its place, notify the health-related establishment, and stimulate the medical institution to reselect prescription content, Pharmaceutical prescription information inquiry / distribution technique characterised 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。
In the planning phase on the method, the evaluation payer and the insurance company enter vital information and specify situations. Samples of information entered by the examination payer along with the insurance provider and the specified situations are based upon information on the insurance company issue to assessment, conditions such as the insured's age, gender, constitution and past background You can find assumed professional medical rate details calculated for every unique sickness and symptom divided, drug price standards of employed drugs, insurance policies factors, and also other info necessary for examination of professional get more info medical cost information.
次に、図２を用いて本発明の手段が実行されるフローを時系列で説明する。本発明の手段の実行は情報システムを通じて行われるが、この実行は大別して、システムの準備段階及び運用段階の二段階に分けられる。
Concurrently, for prescribed drugs that meet the required situations, accessibility the insurance pharmacy databases and Verify the managing and inventory information of your prescribed drugs at a number of coverage pharmacies near the tackle from the clinical establishment or even the insured. . On top of that, when an insurance policies pharmacy tends to make an inquiry with regard to the insurance coverage application of the drugs explained inside a prescription issued by a health care establishment, the existence or absence of the inquiry record Using the prescription issuing health-related institution and the result are distributed.
The existing invention for resolving the above-stated difficulties is made up of the following areas. (one) Enter and hold information on substitutes and prescription priority information of insurers for prescription drugs prescribed by insurance policy professional medical institutions for insured individuals (two) Enter and manage the situations and standards for receipt evaluate acceptance with the assessment and payment organization (3) Accepting inquiries from healthcare institutions with regards to The supply of coverage for prescription drugs for every clinical observe, and earning inquiries based on individual information such as the insured's symptoms, medical history, age, etcetera., and information on (one) and (2) previously mentioned Judgment is manufactured in actual time to determine whether or not the information fulfills the circumstances specified via the insurance company / examination and payment establishment (4) If the above mentioned inquiries usually do not fulfill the desired conditions, seek for other drugs that meet the desired conditions dependant on the insured's information for example symptoms, and many others. Notify medical institutions and persuade them to reselect prescription content material.
It ought to be made beneath the supervision within the clinical Expert or in accordance with pharmacopoeia or formulary Directions. It may be important to fill the containers Utilizing the Completely ready compounds. The container needs to be clearly marked by utilizing a label.
While Every single line has a definite character, with each other they sort a complete medication determination support Alternative, serving a wide array of healthcare markets and giving dependable articles and aligned options encompassing the two drug reference and drug knowledge.
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。