In the conventional payment examination system, a health care institution difficulties a prescription and prescribes and pays for your drug towards the patient at an insurance policies pharmacy, and many others., after which you can the examination request to the professional medical practice is created on the evaluation payment establishment. Nonetheless, it's not possible to guage the suitability of the application contents in advance for medical institutions. Moreover, the insured / insurance provider (health insurance Affiliation, and many others.) that bears the cost of prescription drugs will not be completely educated about information on drugs for example efficacy and value, and is also fully informed in regards to the existence of numerous options. It is usually not completed. Due to this, the selection of medicines is totally left on the judgment of a health-related establishment, and it is tough to exercising the best to pick medicines as a value bearer in addition to a purchaser.
Turn out to be. Therefore, one example is, the evaluation / payment agency raises the prescription priority order of more effective medicines so that a lot of professional medical establishments can prescribe the medicines. Therefore, the quality of professional medical expert services plus the fairness of expenses among the insured persons Promoted. Moreover, a rise in prescription of The most affordable drug amid a plurality of drugs acquiring precisely the same outcome can also be obtained, for example reduction in drug expenditures for insurers and insured people.
Observe: It is often advised that to aid Slice down the level of medication difficulties, prescription generating must be 100% English, without Latin abbreviations. I will educate you The 2 and help you come to a call.
An illustration of the configuration of this sort of an information system is proven in FIG. In this instance of information process, at least Show and output unit / input unit / data storage including normal personal computer with communication implies mounted in Just about every of evaluation paying out establishment, insurance provider, insurance professional medical establishment, insurance policies pharmacy Plus a central program that performs information inquiry / resolve are linked by way of a interaction line which include the online world.
【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。
The present invention relates to a pharmaceutical prescription information inquiry / distribution machine, a pharmaceutical prescription information inquiry / distribution system, and a pharmaceutical prescription information inquiry / distribution process.
Also, when drugs are only taken as essential, generally the frequency is accompanied through the letters ‘PRN’—which implies as vital. There are lots of more frequencies and abbreviations, but these are typically commonly the commonest.
It is actually an item on the existing creation to provide a prescription information inquiry / distribution process for prescription information that allows clinical establishments / insurance policies pharmacies to preferentially undertake the choice medicines from other possibilities. 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
It is composed of assumed healthcare fee details calculated for each personal injury and symptom labeled In line with case, drug rate common of utilized drugs, insurance policy details, other details essential for assessment of healthcare cost particulars, and many others. Pharmaceutical prescription information inquiry and distribution procedure.
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。
I understand that "Firms" could come to a decision in his / her sole discretion that my ailment just is not suitable for remedy technique working with telemedicine, Which I could have to hunt healthcare procedure check here and remedy in-distinct human being or from an alternative supply.
指定条件を満たしていると判定した場合には、次に、医療機関・保険者の住所から近くに存在する複数の保険薬局に対して、処方対象医薬品の取扱状況・在庫状況を確認、結果をあわせて医療機関へ配信する。一方、指定条件を満たしていないと判定した場合には、審査支払機関及び保険者の指定条件に合致する範囲内で医療機関が提示した被保険者情報をもとに導出される処方推奨対象となる医薬品のリストを医療機関に配信、医療機関にて再選択を促す。医療機関にて処方推奨医薬品が選択されると、近隣の保険薬局での取扱状況・在庫状況を確認、結果を通知する。
Up coming, the movement by which the indicates of your current invention is executed are going to be described in time sequence with reference to FIG.
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。