) offered from the professional medical establishment at enough time of inquiry and information acquired upfront As well as in true-time whether or not the required ailments with the insurance company to whom the insured is affiliated and also the assessment and payment Business in demand are content.
In the pharmaceutical prescription information inquiry / distribution process As outlined by assert 1, if the results of willpower would be that the inquiry articles would not conform towards the enter information and specified disorders on the assessment and payment establishment and also the insurance company, lookup and discover the pharmaceutical group that satisfies these Pharmaceutical prescription information inquiry / distribution program characterized by distribution to health-related institutions.
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。
as well as the information in (one) and (2) previously mentioned, if the inquiry content material fulfills the required circumstances with the insurer / examination / payment in real time (4) If the above mentioned inquiries usually do not match the required disorders, look for other drugs that fulfill the required disorders according to the insured's information for instance symptoms in the drugs specified through the insurance provider. Notify medical establishments in its place, Prompting reselection prescription at engine jogging these types of process, rapidly and effectively, the choice of formulation medicament, for the opportunity of insurance protection, obtain consensus amongst the parties.
The existing creation relates to transactions related to prescription and buy of ethical drugs concerning suppliers and prescribers for instance health-related establishments and insurance pharmacies and individuals including assessment payers, insurers and insured individuals in the pharmaceutical distribution current market. It gets to be feasible to explain whether or not You can find agreement involving the parties in true time. As a result, the examination / payment institution / insurer should have a possibility to successfully Specific their intentions concerning the array of drugs, which allows them to develop their selections for drug prescriptions they desire and enhance their fulfillment and cost usefulness.
Every time a professional medical institution prescribes medicines, the insured (patient) is examined by a physician for the health health-related establishment, the medical professional issues a prescription determined by the prognosis final result, and also the drugs is dispensed at the insurance plan pharmacy based on the prescription , Offered. Regarding claiming the cost of medicines coated by insurance policies, professional medical establishments and coverage pharmacies, etcetera.
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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図１は、本発明の医薬品処方情報照会・配信方法を活用したビジネスモデルの一例の概略を示す図面であり、図２は、当該ビジネスモデルをより具体的に示す図面であり、図３は、情報システム構成の一例を示す図面であり、図４は、情報照会・判定の一例を示すフローチャートであり、図５は、本発明の医薬品処方情報照会・配信のための情報システム内のデータファイルの一例を示す図面であり、図６は、当該情報システムと接続した医療機関の端末の入出力イメージの一例を示す図である。
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An example of the configuration of these kinds of an information procedure is proven in FIG. In this instance of information system, no less than display and output unit / input device / details storage including everyday personal computer with communication signifies mounted in each of examination having to pay institution, insurance company, coverage healthcare institution, insurance policy pharmacy Plus a central technique that performs information inquiry / perseverance are connected via a interaction line which include the Internet.
How over and over Have you ever left the physician’s Business, only to discover you forgot to mention an important piece of information?
そし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けると、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。
Any time a prescription suggested drugs is chosen by a website professional medical institution, the handling position / stock standing at a nearby coverage pharmacy is verified and The end result is notified.