The existing creation pertains to a pharmaceutical prescription information inquiry / distribution unit, a pharmaceutical prescription information inquiry / distribution process, along with a pharmaceutical prescription information inquiry / distribution system.
1st, in FIG. one, the events connected to the information method in the present creation is going to be clarified. This information program includes a healthcare establishment that prescribes prescribed drugs on the insured, an insurance policies pharmacy that dispenses pharmaceuticals according to a prescription issued by the professional medical institution and delivers them to your insured, an insurer that bears medical insurance plan fees, and An assessment / payment institution that examines professional medical payment details from health care institutions / insurance plan pharmacies is related. Each and every bash offers the information process with a series of needed information to generally be explained later.While in the information method, (1) information on choices and prescriptions in the insurance provider for drugs prescribed via the insurance plan health care institution for that insured Enter / maintain desired priority information, (two) Enter / hold ailments / expectations for approval of receipt critique by evaluation / payment Group, (3) Inquire about availability of insurance plan for prescription drugs from healthcare institutions for each clinical apply Based upon individual information for instance acceptance, insured's symptom, healthcare heritage, age, etc.
Simultaneously, for prescribed drugs that meet up with the specified disorders, entry the insurance plan pharmacy database and Look at the managing and stock information with the pharmaceuticals at quite a few insurance plan pharmacies near the deal with from the medical institution or maybe the insured. . Furthermore, when an insurance policy pharmacy tends to make an inquiry in regards to the insurance software of a drugs described in a very prescription issued by a professional medical establishment, the presence or absence of the inquiry heritage While using the prescription issuing healthcare institution and the result are dispersed.
As a substitute, notify the professional medical institution, and motivate the healthcare establishment to reselect prescription content material, Pharmaceutical prescription information inquiry / distribution process characterized by comprising
The existing invention relates to transactions linked to prescription and purchase of ethical drugs between suppliers and prescribers including health care establishments and coverage pharmacies and people like assessment payers, insurers and insured persons within the pharmaceutical distribution market. It becomes achievable to clarify if There's settlement amongst the parties in true time. Subsequently, the examination / payment establishment / insurer can have a chance to proficiently Categorical their intentions regarding the number of drugs, which enables them to expand their choices for drug prescriptions they motivation and improve their here gratification and value efficiency.
医療機関による医薬品の処方に際しては、被保険者（患者）が保健医療機関で医師の診察を受け、その診断結果をもとに医師が処方箋を発行、同処方箋に基づき保険薬局にて医薬品が調剤、提供される、という流れになっている。保険が適用される医薬品の費用請求については、被保険者による一部費用負担を除くと、医療機関・保険薬局などが、レセプトと呼ばれる診療報酬明細書に、診療、検査、投薬、手術など医療行為の内容を記入し、月ごとに審査支払機関に提出、医療費を請求する。審査は、社会保険診療報酬支払基金と都道府県支部、国民健康保険中央会と各都道府県の国民健康保険団体連合会にて実施され、かかった医療費をそのまま医療保険から支払う「出来高払い制」を採用されている。
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。
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また、医薬品費用を負担する被保険者・保険者（健康保険組合等）が、効能・価格等の医薬品に関する情報を十分に知らされていない、複数の代替品の存在に関する情報を十分には知らされていない、といった場合が多い。このため、医薬品の選択に際しては医療機関の判断に全面的に委ねており、費用負担者及び需要者としての医薬品選択の権利が行使しにくい状況が生まれている。
Cautions Notify: U.S. Boxed Warning - The FDA-permitted labeling includes a boxed warning. See Warnings/Safety measures portion for your concise summary of this information. For verbatim wording of the boxed warning, seek the advice of the item labeling or . Warnings/Safety measures - Precautionary considerations, hazardous conditions connected to use on the drug, and illness states or patient populations in which the drug really should be cautiously employed. Boxed warnings, when existing, are clearly determined and they are adapted with the FDA-authorized labeling. Talk to the solution labeling for the exact black box warning from the company's or the FDA Sites. Checking Parameters - Laboratory checks and patient Actual physical parameters that should be monitored for safety and efficacy of drug therapy Pregnancy Threat Component - 5 types founded through the FDA to indicate the probable of the systemically absorbed drug for producing chance into the fetus Pregnancy Considerations - A summary of human and/or animal information pertinent to or related to the use of the drug as it pertains to medical effects about the fetus, newborn, or pregnant female Lactation - Implies If your drug stated from the monograph is current in breast milk plus the company's recommendation to be used even though breast-feeding (when advice of yank Academy of Pediatrics differs, notation is built) Patient Education - Particular information pertinent for your patient
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。
How persistently Have you ever still left the doctor’s Business office, only to seek out you forgot to say a vital bit of information?
Turn into. Therefore, by way of example, the evaluation / payment agency raises the prescription precedence order of more effective medicines so that lots of medical establishments can prescribe the medicines. Consequently, the standard of healthcare companies and the fairness of fees between insured folks Promoted. Moreover, an increase in prescription of the cheapest drug amid a plurality of drugs having the exact same effect may also be obtained, like reduction in drug expenses 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、医療機関から診療行為毎に照会される処方医薬品が、保険者・審査支払機関の指定条件を満たす場合、医療機関や被保険者の住所の近くに存在する保険薬局数軒での当該医薬品の取扱情報・在庫情報を保険薬局のデータベースにアクセスし確認を行うことを特徴とする医薬品処方情報照会・配信システム。