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Although the execution from the usually means in the existing invention is carried out by means of an information method, this execution is about divided into two stages: a procedure preparing phase and an operation 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。
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(b) Adjuvants: These are integrated possibly to boost the motion of your drug or to create the planning additional palatable.
Come to be. Due to this fact, as an example, the assessment / payment agency raises the prescription precedence order of more practical medicines so that lots of medical institutions can prescribe the medicines. As a result, the caliber of professional medical services plus the fairness of expenses amid insured folks Promoted. Furthermore, an increase in prescription of the cheapest drug amid a plurality of drugs owning exactly the same influence will also be attained, for instance reduction in drug prices for insurers and insured persons.
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、本システムを介して為された一連の照会履歴を審査支払機関及び保険者に配信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。
【選択図】図３[Challenges] To provide a technique for providing a chance for just a health care establishment / insurance pharmacy to preferentially adopt a medication that an insured / insurance company or assessment / payment establishment desires to prescribe while in the clinical insurance program. Provided. [Indicates FOR SOLVING Issues] Getting into / Keeping information on choices, prescription priority order information of an insurance company, and problems / expectations for approval of the receipt evaluation by an assessment / payment establishment for the medicine prescribed by an insurance coverage healthcare establishment Inquiries pertaining to no matter whether insurance policy for prescription drugs is available for Each individual clinical apply within the indicates and professional medical institution, and whether or not the inquiries match the specified ailments from the insurance company / evaluation and payment organization determined by personal information for example symptoms in the insured Suggests to determine whether or not the above inquiry information will not match the required disorders, hunt for other drugs that meet up with the required disorders from the drugs specified through the insurer determined by the insured's information for instance indications A procedure having means for notifying a professional medical establishment as a substitute and prompting the health-related institution to reselect prescription contents. [Range] Determine 3 Description
From the preparation stage with the process, the evaluation payer as well as the insurance provider enter required information and specify conditions. Examples of information entered via the examination payer plus the insurance provider and the specified situations are based upon information around the insurance provider subject to examination, situations like the insured's age, gender, constitution and previous historical past You will find assumed health-related price factors calculated for each specific sickness and symptom divided, drug price tag criteria of applied drugs, insurance policy points, along with other information needed for assessment of professional medical cost particulars.
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Simultaneously, for pharmaceuticals that meet up with the desired circumstances, obtain the insurance plan pharmacy database and Look at the managing and inventory information of the prescribed drugs at a number of coverage pharmacies near the tackle from the health care establishment or even the insured. . On top of that, when an insurance policy pharmacy will make an inquiry with regards to the insurance coverage application of a medicine described in the prescription issued by a medical institution, the presence or absence of an inquiry historical past While using the prescription issuing health-related institution and The end result are dispersed.
Inside the pharmaceutical prescription information inquiry / distribution system In keeping with claim one, if the results of willpower would be that the inquiry material would not conform for the input information and selected conditions of your evaluation and payment establishment as well as insurance company, lookup and discover the pharmaceutical team that satisfies these Pharmaceutical prescription information inquiry / distribution method characterised by distribution to clinical institutions.
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Each time a health care institution prescribes medicines, the insured (patient) is examined by a health care provider within the health medical establishment, the health care provider challenges a prescription dependant on the analysis end result, along with the medicine is dispensed at the coverage pharmacy according to the prescription , Provided. With regards to professing the cost of medicines protected by insurance policy, medical establishments and insurance coverage pharmacies, etcetera.
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、判定の結果、照会内容が審査支払機関及び保険者の入力情報や指定条件に適合しない場合には、これらを満たす医薬品群を検索・同定し、医療機関に配信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。