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・ It isn't intended to extend the options for prescribed drugs of insurers and reduce the price of prescription drugs. Furthermore, PBM in America offers drug Expense administration services for corporations for example companies as the primary customers and isn't going to protect all citizens. is not really.
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。
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。
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The prescription information inquiry / distribution procedure As outlined by claim 1, accepting inquiries from insurance policy pharmacies for insurance protection of prescribed drugs explained in prescriptions issued by health-related establishments, and existence of inquiry background with prescription issuing healthcare establishments Pharmaceutical prescription information inquiry and distribution system characterized by distributing benefits.
Each time a prescription recommended medicine is chosen by a health-related establishment, the handling standing / stock status at a close-by insurance plan pharmacy is confirmed and the result is notified.
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次に、図２を用いて本発明の手段が実行されるフローを時系列で説明する。本発明の手段の実行は情報システムを通じて行われるが、この実行は大別して、システムの準備段階及び運用段階の二段階に分けられる。
Because of this, when sustaining the fairness of obtaining professional medical services, the insured / insurer / examination / payment establishment has the chance to select a drug that may be considered appealing with the viewpoint of efficiency, selling price, etcetera. Is not provided enough. Therefore, the situation on the present creation would be that the insured man or woman / insurance company or examination / payment establishment wishes to prescribe the strongest prescription among possibilities when keeping the fairness of getting medical companies in Japan's healthcare insurance process.
図１は、本発明の医薬品処方情報照会・配信方法を活用したビジネスモデルの一例の概略を示す図面であり、図２は、当該ビジネスモデルをより具体的に示す図面であり、図３は、情報システム構成の一例を示す図面であり、図４は、情報照会・判定の一例を示すフローチャートであり、図５は、本発明の医薬品処方情報照会・配信のための情報システム内のデータファイルの一例を示す図面であり、図６は、当該情報システムと接続した医療機関の端末の入出力イメージの一例を示す図である。
Also, the assessment and payment establishment and the insurer will specify the medicines that they want to preferentially prescribe. The designation approach is as follows: (1) Specify the name of a specific team of drugs for every personal injury and symptom categorised according to numerous circumstances such as the insured's age, gender, Structure and professional medical record. Or use (two) the upper Restrict of your professional medical remuneration score / utilized drug insurance coverage rating and allow the prescription of the drug as long as the upper Restrict is not really exceeded. These enter information and specified circumstances are saved as info in the information process.
An example of the configuration of this sort of an information technique is revealed in FIG. In this instance of information process, no less than Display screen and output device / enter unit / information storage including regular laptop computer with communication indicates installed in Each individual of evaluation paying out institution, insurer, coverage professional medical institution, insurance coverage pharmacy And a central process that performs information inquiry / willpower are connected by means of a conversation line including the online world.
This A Element of the prescription also features the strength of your drug (the amount of milligrams, for example) in addition the tablet, capsule, or other sort by which your Health treatment company company would love you to definitely consider it. A Take Take note determined as "Disp" refers to this information about how the drug should be dispensed.