) presented because of the medical establishment at enough time of inquiry and information acquired upfront And in true-time whether the specified conditions of your insurance company to whom the insured is affiliated as well as the examination and payment Group in charge are satisfied.
The existing creation for resolving the above-described challenges is composed of the subsequent elements. (1) Enter and keep information on substitutes and prescription precedence information of insurers for prescription drugs prescribed by coverage medical establishments for insured folks (2) Enter and maintain the situations and conditions for receipt assessment approval by the evaluation and payment Corporation (three) Accepting inquiries from clinical establishments about the availability of coverage for prescription drugs for each health-related exercise, and producing inquiries according to personal information like the insured's indicators, health-related historical past, age, etc., and information on (one) and (two) over Judgment is made in serious time to ascertain if the information meets the situations specified via the insurer / evaluation and payment establishment (4) If the above inquiries tend not to satisfy the specified situations, search for other drugs that meet up with the desired situations determined by the insured's information for example signs and symptoms, and so on. Notify clinical establishments and motivate them to reselect prescription content material.
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。
Hereinafter, a flowchart of the example of an information inquiry / resolve course of action is going to be explained with reference to FIG. First, the mandatory information is attained through the evaluation payer / insurance company / coverage healthcare institution / insurance policies pharmacy. The information and designated conditions to generally be acquired in the examination payer and also the insurance provider are as explained previously mentioned.
以下に、図４を用いて情報照会・判定の手順の一例のフローチャートを説明する。まず審査支払機関・保険者・保険医療機関・保険薬局から必要な情報を取得する。審査支払機関及び保険者から取得する情報・指定条件は前述の通りであり、医療機関・保険薬局からは所在地等の基本情報に加え、使用希望薬剤情報・医薬品取扱情報・同在庫情報等を取得し、取得したデータを格納する。
As a result, when sustaining the fairness of receiving professional medical expert services, the insured / insurer / evaluation / payment establishment has the opportunity to choose a drug which is considered desirable within the viewpoint of success, selling price, and so on. Is not really furnished more than enough. Consequently, the issue in the present creation Drug interactions would be that the insured person / insurer or evaluation / payment establishment would like to prescribe the strongest prescription among alternatives although maintaining the fairness of obtaining clinical providers in Japan's healthcare coverage system.
The prescription need to be signed by using the prescriber by his / her hand. His/her tackle and registration wide range genuinely should be well prepared in the situation of perilous and habits-forming medicines.
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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。
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The health care prescription information inquiry / distribution system according to claim 1, wherein the healthcare prescription is acquired from the medical establishment for every health-related exercise, and insured information (clinical coverage related information, harm and sickness) introduced from your health-related institution at some time of inquiry.
It will likely be advised that just one prescription be very well geared up at a single time. Clear up surfaces must be used by means of compounding. Each individual bit of kit must be carefully cleaned and dried before use.
Each time a prescription proposed medicine is selected by a medical institution, the handling status / stock position at a nearby coverage pharmacy is verified and The end result is notified.