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。
The prescription should be signed by using the prescriber by his / her hand. His/her deal with and registration variety truly needs to be geared up in the situation of perilous and conduct-forming medicines.
Within the system operation stage, the next processing is performed in genuine time. Basically, inquiries pertaining to The supply of coverage coverage for prescription drugs from health treatment institutions are created by means of interaction lines throughout each professional medical follow, and these inquiries are in comparison Using the enter information and specified circumstances of your examination and payment institutions and insurers outlined previously mentioned. Then, the evaluation paying institution plus the insurance provider ascertain if to reject the insurance policy software, distribute The end result to the health-related institution, and Screen it to the terminal of the healthcare institution by an input / output screen as proven in FIG. Because of the willpower, In case the information with the inquiry would not conform to your input information and designated circumstances from the examination and payment establishment as well as insurance provider, a pharmaceutical group satisfying these is searched and discovered and dispersed towards the medical institution.
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。
Future, the move in which the means of your current invention is executed will probably be explained in time sequence with reference to FIG.
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The health-related prescription information inquiry / distribution procedure As outlined by claim 1, wherein the clinical prescription is received from a health care establishment for every professional medical practice, and insured information (health-related insurance policies similar information, injury and illness) presented from your health-related institution at the time of inquiry.
Go with a default timezone, and permit nicely staying knowledge syncs and placement information. This past ingredient is essential for somebody attempting to cope with indications connected to their neighborhood climate and pollen.
How repeatedly Have you ever left the doctor’s Business, only to seek out you forgot to say a vital bit of information?
And when you receive an inquiry about professional medical prescriptions from a healthcare establishment for each individual professional medical follow, insured individual information (medical coverage relevant information, information on sickness / signs and symptoms, etcetera.
On top of that, the examination check here and payment establishment and the insurer will specify the medicines that they want to preferentially prescribe. The designation method is as follows: (one) Specify the identify of a certain group of drugs for each damage and symptom classified Based on numerous circumstances such as the insured's age, gender, Structure and clinical historical past. Or use (2) the higher limit of the professional medical remuneration rating / utilized drug insurance coverage rating and allow the prescription of your drug providing the upper Restrict just isn't exceeded. These enter information and specified situations are saved as info in the information technique.
While Every single line has a definite character, together they kind a whole medication conclusion support Answer, serving a wide array of healthcare markets and giving dependable content and aligned options encompassing the two drug reference and drug knowledge.
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