The current invention relates to a pharmaceutical prescription information inquiry / distribution device, a pharmaceutical prescription information inquiry / distribution process, in addition to a pharmaceutical prescription information inquiry / distribution strategy.
In basic conditions, the prescription is a little bit of paper which can be prepared from the registered health care practitioner (RMP) dependant on the shopper's ailment dilemma.
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。
Hereinafter, a flowchart of the example of an information inquiry / dedication method is going to be explained with reference to FIG. Very first, the necessary information is received in the assessment payer / insurer / insurance healthcare institution / insurance pharmacy. The information and selected problems to get acquired from the evaluation payer along with the insurer are as described higher than.
Use: Labeled Indications - Information pertaining to storageof solution.. Presents time and ailments for which a solution or combination will retain whole potency. One example is, some answers might require refrigeration just after reconstitution even though stored at place temperature before preparing.
When a health care institution prescribes medicines, the insured (patient) is examined by a doctor for the health healthcare institution, the medical professional problems a prescription based upon the prognosis result, plus the drugs is dispensed in the insurance policies pharmacy depending on the prescription , Offered. With regards to boasting the price of medicines protected by insurance coverage, professional medical establishments and insurance policy pharmacies, and so on.
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。
【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。
It truly is an object of your present creation to offer a prescription information inquiry / distribution procedure for prescription information that enables professional medical institutions / insurance pharmacies to preferentially undertake the choice 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
At present, an information program that replaces the development and software of the above mentioned-stated receipt having an Digital method from a conventional created technique has presently been place into simple use. On the flip side, in The us, Pharmacy Benefit Management (“PBM”) is a company that manages dispensing charges for policyholders.
In the conventional payment assessment system, a clinical institution concerns a prescription and prescribes and pays for the drug to the patient at an insurance coverage pharmacy, and so forth., and then the evaluation request for that health-related practice is designed towards the examination payment establishment. Having said that, it really is not possible to judge the suitability of the applying contents in advance for professional medical establishments. On top of that, the insured / insurance provider (health insurance Affiliation, and so forth.) that bears the cost of prescribed drugs is not really totally educated about information on drugs including efficacy and price tag, and it is entirely informed in regards to the existence of various choices. It is frequently not accomplished. For this reason, the selection of medicines is entirely remaining into the judgment of the health care institution, and it really is tough to training the best to choose medicines as a cost bearer along with a customer.
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・ Information including symptom etc.) and information acquired upfront are checked to find out in actual time whether the insured more info that's insured as well as the selected evaluation and payment Firm in demand are glad. Pharmaceutical prescription information inquiry / distribution method.
・ It is far from meant to increase the choices for prescribed drugs of insurers and lessen the price of prescription drugs. Moreover, PBM in The usa delivers drug Charge management products and services for companies such as organizations as the principle customers and would not deal with all citizens. is not.