In the traditional payment examination method, a clinical establishment difficulties a prescription and prescribes and pays for that drug on the patient at an insurance policies pharmacy, and so on., and then the assessment request with the health care practice is manufactured towards the evaluation payment establishment. Even so, it really is impossible to judge the suitability of the appliance contents upfront for health-related establishments. In addition, the insured / insurer (health insurance policy Affiliation, etc.) that bears the price of prescribed drugs is not entirely educated about information on drugs for example efficacy and rate, and it is completely knowledgeable about the existence of numerous choices. It is usually not accomplished. This is why, the choice of medicines is fully still left on the judgment of a health care institution, and it's difficult to training the ideal to pick medicines as a value bearer plus a customer.
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【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。
Investigate has proven that The share of patients with several medications is growing. So has the requirement for numerous caregivers and/or professional clinical help staff for your equipped particular person.
Develop into. Therefore, for instance, the assessment / payment agency raises the prescription priority order of more practical medicines so that a lot of professional medical institutions can prescribe the medicines. Subsequently, the caliber of healthcare services plus the fairness of expenses between insured persons Promoted. Also, an increase in prescription of The most affordable drug among the a plurality of drugs getting a similar impact may also be acquired, for instance reduction in drug costs for insurers and insured persons.
The prescription information inquiry / distribution technique Based on declare one, accepting inquiries from insurance plan pharmacies for insurance coverage protection of pharmaceuticals described in prescriptions issued by professional medical institutions, and presence of inquiry heritage with prescription issuing health-related establishments Pharmaceutical prescription information inquiry and distribution system characterised by distributing outcomes.
請求項１に記載の医薬品処方情報照会・配信システムにおいて、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付け、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ことを特徴とする医薬品処方情報照会・配信システム。
Currently, You can find an instance that aims to improve the do the job effectiveness by digitizing the medical price assessment request in lieu of composing, but this is aimed toward labor preserving of Workplace get the job done in the clinical establishment.
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The pharmaceutical prescription information inquiry / distribution procedure In line with assert one, wherein a series of inquiry histories created by means of the procedure is dispersed to an examination payment Business and an insurer.
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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The Pharmacists at Carnegie Sargents Pharmacy dispense prescription medications to patients and give skills in the safe utilization of prescriptions. We do the job immediately with medical professionals, other health experts, and patients to ensure that the medications prescribed for patients contribute to the absolute best health results. We are going to provide you with the information you should make proficient conclusions. We may even go to the trouble to debate along with you how to interpret the information in order to possess an intelligent conversation along with you Medical doctors.
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