The Men's health medications Diaries
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。
【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。
Look into has demonstrated that The proportion of patients with numerous medications is increasing. So has the requirement for numerous caregivers and/or professional clinical help personnel for your equipped person.
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。
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[Complications] To provide a technique for offering a possibility for just a clinical institution / insurance plan pharmacy to preferentially undertake a drugs that an insured / insurance provider or examination / payment institution wants to prescribe inside the health care insurance plan system. Offered. [Signifies FOR Fixing Challenges] Moving into / Keeping information on solutions, prescription precedence order information of an insurer, and conditions / specifications for approval of a receipt assessment by an evaluation / payment institution for a medication prescribed by an insurance policies health care institution Inquiries pertaining to no matter if insurance policy for prescription drugs is available for Each individual health care apply from the suggests and healthcare establishment, and whether or not the inquiries match the specified ailments from the insurance company / assessment and payment organization determined by personal information for example symptoms in the insured Suggests to ascertain whether or not the above inquiry content isn't going to match the required conditions, hunt for other drugs that satisfy the required disorders from the drugs specified because of the insurance provider based upon the insured's information for instance indications A process owning suggests for notifying a clinical institution as an alternative and prompting the professional medical establishment to reselect prescription contents. [Variety] Figure three Description
You are taking is a typical expression in English. Previously, the indicator was imagined to obtain originate within the Jupiter indicator. God of therapeutic Jupiter is often a Greek deity. The affected unique's quick Restoration was questioned for by utilizing this sign.
Authorized position (The legal standing is an assumption and isn't a lawful conclusion. Google has not executed a legal Examination and will make no representation as on the precision of the status stated.)
If it is decided that the specified ailments are met, following, Verify the dealing with position / inventory status of prescription drugs towards various insurance plan pharmacies near the address with the healthcare institution / insurance company, and procure the effects. Also deliver to health care institutions. On the flip side, if it is decided that the required circumstances will not be fulfilled, the prescription suggestion subject matter derived based on the insured person's information introduced by the medical establishment in just a array that matches the desired situations from the assessment payer plus the insurer Distribute an index of medicines to health care establishments and really encourage them to reselect.
The existing invention for fixing the above mentioned-talked about complications is composed of the subsequent components. (one) Enter and keep information on substitutes and prescription precedence information of insurers for pharmaceuticals prescribed by insurance policies medical institutions for insured individuals (2) Enter and retain the conditions and requirements for receipt overview approval because of the assessment and payment Corporation (three) Accepting inquiries from medical institutions relating to The supply of insurance policies for prescription drugs for each health-related follow, read more and generating inquiries determined by particular information like the insured's signs, healthcare historical past, age, and so forth., and information on (one) and (two) previously mentioned Judgment is created in genuine time to ascertain whether or not the content satisfies the problems specified through the insurer / evaluation and payment establishment (4) If the above mentioned inquiries tend not to meet the required circumstances, search for other drugs that meet up with the required circumstances dependant on the insured's information including indications, and so on. Notify clinical institutions and really encourage them to reselect prescription content.
This A Component of the prescription is made of Directions for that pharmacist, while in the occasion of the drug if it needs to be compounded during the pharmacy.
Observe: It is usually recommended that to aid cut down the quantity of medication troubles, prescription building ought to be a hundred% English, without any Latin abbreviations. I'll educate you the two and let you come to a choice.
最後に、一連の照会履歴を審査支払機関及び保険者に配信し、情報照会・判定の手順を終了する。