このような情報システムの構成の一例を図３に示す。本情報システム例では、審査支払機関・保険者・保険医療機関・保険薬局のそれぞれに設置される通信手段をそなえた通常のパーソナルコンピューターのような、少なくとも、表示及び出力部・入力部・データ格納部、を備えた端末、及び情報照会・判定を行う中央システムとが、インターネットのような通信回線を介して接続される。当該中央システムは、演算部・表示及び出力部・入力部・データ格納部から構成され、演算時に参照するデータファイルの例が図５に示される。
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。
【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。
While in the process operation stage, the subsequent processing is executed in serious time. To paraphrase, inquiries pertaining to The supply of insurance policy protection for prescription drugs from health treatment institutions are made via communication strains during Just about every health care practice, and these inquiries are when compared With all the enter information and specified situations of your assessment and payment establishments and insurers described higher than. Then, the examination spending establishment as well as the insurance company determine whether or not to reject the insurance policies software, distribute The end result to the health care establishment, and Screen it over the terminal of the health-related institution by an input / output display screen as revealed in FIG. As a result of the determination, In case the articles with the inquiry won't conform into the enter information and specified problems on the examination and payment institution as well as the insurer, a pharmaceutical group enjoyable these is searched and determined and distributed into the medical establishment.
Turn out to be. Consequently, such as, the evaluation / payment agency raises the prescription precedence order of simpler medicines so that numerous health care establishments can prescribe the medicines. Because of this, the standard of health-related services along with the fairness of expenses between insured persons Promoted. Also, a rise in prescription of the cheapest drug amid a plurality of drugs owning exactly the same result may also be received, which include reduction in drug costs for insurers and insured individuals.
Future, the move wherein the usually means of your current creation is executed will be explained in time sequence with reference to FIG.
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、個々の診療行為毎に医療機関から医薬品処方につき照会を受付け、照会時に医療機関から提示される被保険者情報（医療保険関連情報、傷病・症状等の情報等）と、予め取得した情報とを照合し、被保険者が加入している保険者並びに担当の審査支払機関の指定条件を満たしているか否かをリアルタイムで判定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。
The professional medical prescription information inquiry / distribution technique according to declare one, wherein the clinical prescription is received from a health care establishment for every medical apply, and insured information (clinical insurance coverage connected information, harm and health issues) presented within the healthcare institution at the time of inquiry.
Cautions ALERT: U.S. Boxed Warning - The FDA-accepted labeling includes a boxed warning. See Warnings/Precautions segment for any concise summary of this information. For verbatim wording in the boxed warning, talk to the products labeling or . Warnings/Safety measures - Precautionary considerations, harmful ailments relevant to use with the drug, and condition states or patient populations through which the drug must be cautiously employed. Boxed warnings, when present, are Evidently recognized and are tailored in the FDA-authorized labeling. Consult the products labeling for the exact black box warning through the maker's or the FDA Internet websites. Checking Parameters - Laboratory tests and patient Actual physical parameters that should be monitored for safety and efficacy of drug therapy Pregnancy Possibility Aspect - 5 types established via the FDA to indicate the probable of the systemically absorbed drug for leading to hazard towards the fetus Pregnancy Considerations - A summary of human and/or animal information pertinent to or affiliated with using the drug because it pertains to medical effects over the fetus, newborn, or pregnant lady Lactation - Suggests If your drug listed from the monograph is existing in breast milk and the producer's recommendation for use whilst breast-feeding (when recommendation of yank Academy of Pediatrics differs, notation is built) Patient Education - Specific information pertinent for your patient
The pharmaceutical prescription information inquiry / distribution process In accordance with declare one, whereby a number of inquiry histories created by means of the system is distributed to an examination payment Firm and an insurance company.
Prescriptions is usually a sort accustomed to keep prescribed medication. The form is useful for it can help you track side effects and temper swings connected to the interaction of some medications you have already been prescribed.
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Whenever a health-related institution prescribes medicines, the insured (patient) is examined by a health care provider in the health healthcare institution, the doctor issues a prescription based on the analysis consequence, along with the medicine is dispensed at the insurance pharmacy determined by the prescription , Presented. With regard to saying the price of medicines covered by coverage, health care establishments and insurance policies pharmacies, etc.
Must your health-related medical professional demands the pharmacist to provide you with a particular brand of medication, they've to exactly Observe this or sign-up the space sent.