Even though the execution from the usually means in the existing creation is performed by an information program, this execution is around divided into two levels: a method planning phase and an Procedure stage.
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。
Also, when drugs are only taken as important, generally the frequency is accompanied because of the letters ‘PRN’—which means as necessary. There are plenty of even more frequencies and abbreviations, but these are definitely frequently the commonest.
Grow to be. Therefore, one example is, the evaluation / payment company raises the prescription priority order of more effective medicines so that a lot of professional medical institutions can prescribe the medicines. Due to this fact, the quality of professional medical companies and also the fairness of expenditures amongst insured people Promoted. In addition, an increase in prescription of The most affordable drug among the a plurality of drugs owning the identical outcome may also be received, including reduction in drug prices for insurers and insured individuals.
As a substitute, notify the medical institution, and inspire the professional medical institution to reselect prescription written content, Pharmaceutical prescription information inquiry / distribution technique characterised by comprising
It truly is an object of your current creation to offer a prescription information inquiry / distribution method for prescription information that allows clinical institutions / insurance pharmacies to preferentially adopt the choice medicines from other solutions. 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
From the preparation stage of your program, the examination payer and the insurer enter vital information and specify situations. Samples of information entered by the examination payer plus the insurance provider and the specified situations are based upon information on the insurer topic to examination, situations like the insured's age, gender, constitution and previous historical past There are actually assumed medical charge points calculated for every unique sickness and symptom divided, drug price standards of used drugs, insurance policy points, and other details demanded for evaluation of health-related charge details.
Lawful status (The lawful status can be an assumption and is not a authorized summary. Google hasn't executed a legal Assessment and helps make no illustration as to the accuracy with the position detailed.)
How over and over have you still left the health care provider’s Business, only to seek out you forgot to mention an important bit of information?
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。
Additionally, the examination and payment institution as well as the insurance company will specify the medicines that they would like to preferentially prescribe. The designation strategy is as follows: (1) Specify the title of a particular group of drugs for each injury and symptom classified Based on numerous circumstances such as the insured's age, gender, Structure and professional medical record. Or use (2) the upper Restrict on the health-related remuneration score / made use of drug coverage score and permit the prescription with the drug provided that the higher limit is not exceeded. These enter information and specified circumstances are saved as info in the information process.
When Every line has a distinct character, jointly they form a whole medication final decision support solution, serving a wide read more array of healthcare markets and giving dependable content material and aligned answers encompassing both equally drug reference and drug details.
Should really your clinical health care provider desires the pharmacist to give you a selected brand of medication, they may have to precisely Notice this or register the House sent.