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as well as the information in (one) and (2) above, whether or not the inquiry material fulfills the desired problems on the insurer / assessment / payment in true time (four) If the above inquiries do not match the desired conditions, seek for other drugs that meet up with the required situations based on the insured's information for example symptoms through the drugs specified via the insurer. Notify health care establishments instead, Prompting reselection prescription at motor functioning these types of process, swiftly and proficiently, the selection of formulation medicament, for the potential for insurance protection, reach consensus between the functions.
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。
Look into has demonstrated that The proportion of patients with several medications is escalating. So has the necessity for numerous caregivers and/or Expert health care help staff in your supplied unique.
結果として、医療サービス受給の公平性を保ちつつ、代替品が存在する医薬品の中で、被保険者・保険者や審査支払機関が、効果・価格等の観点から望ましいと考える医薬品を選択する機会が十分に提供されていない。
The prescription information inquiry / distribution method according to declare one, accepting inquiries from insurance plan pharmacies for insurance policy protection of prescription drugs described in prescriptions issued by clinical institutions, and presence of inquiry historical past with prescription issuing medical institutions Pharmaceutical prescription information inquiry and distribution technique characterised by distributing results.
It truly is an object with the present creation to provide a prescription information inquiry / distribution process for prescription information that enables professional medical institutions / coverage pharmacies to preferentially adopt the alternative medicines from other alternatives. 前記課題を解決するための本発明は、以下の各部から構成されることを特徴とする
Use: Labeled Indications - Information with regards to storageof product.. Supplies some time and circumstances Allergy medications for which a solution or mixture will retain full potency. By way of example, some alternatives may demand refrigeration soon after reconstitution though saved at home temperature prior to preparing.
Decide on a default timezone, and allow properly remaining awareness syncs and placement information. This past ingredient is essential for someone making an attempt to manage indications associated with their community temperature and pollen.
The pharmaceutical prescription information inquiry / distribution process Based on declare one, wherein a number of inquiry histories designed by using the procedure is distributed to an evaluation payment Corporation and an insurer.
It is actually composed of assumed health-related cost details calculated for every injury and symptom categorized In keeping with case, drug value common of utilized drugs, insurance policies factors, other knowledge expected for assessment of clinical cost aspects, etcetera. Pharmaceutical prescription information inquiry and distribution procedure.
Initially, in FIG. 1, the events linked to the information method with the present invention might be clarified. This information method includes a clinical establishment that prescribes pharmaceuticals on the insured, an coverage pharmacy that dispenses pharmaceuticals determined by a prescription issued via the healthcare institution and gives them on the insured, an insurance company that bears clinical coverage costs, and An assessment / payment establishment that examines clinical cost facts from clinical institutions / insurance policy pharmacies is connected. Every celebration presents the information process having a number of needed information to generally be described afterwards.Inside the information process, (one) information on options and prescriptions on the insurance provider for drugs prescribed by the insurance policies professional medical establishment with the insured Enter / keep desired priority information, (two) Enter / keep conditions / requirements for approval of receipt overview by overview / payment Group, (three) Inquire about availability of coverage for prescription drugs from clinical institutions for every medical practice Based on personal information which include acceptance, insured's symptom, clinical heritage, age, and so on.
provide the probably of remaining abused, and that could bring on effectively remaining threats from Adverse effects if taken improperly,
最後に、一連の照会履歴を審査支払機関及び保険者に配信し、情報照会・判定の手順を終了する。