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In the traditional payment evaluation approach, a healthcare institution issues a prescription and prescribes and pays for the drug towards the patient at an insurance policy pharmacy, and so on., and after that the assessment request for the clinical follow is produced for the examination payment institution. However, it can be not possible to evaluate the suitability of the applying contents ahead of time for professional medical institutions. Also, the insured / insurance company (health insurance coverage association, and many others.) that bears the expense of pharmaceuticals is just not absolutely informed about information on drugs including efficacy and selling price, and is completely knowledgeable concerning the existence of a number of solutions. It is frequently not finished. For this reason, the choice of medicines is solely remaining to your judgment of the clinical institution, and it really is hard to physical exercise the correct to decide on medicines as a price bearer in addition to a shopper.
The present creation pertains to transactions relevant to prescription and buy of ethical drugs among suppliers and prescribers including health care institutions and insurance policy pharmacies and shoppers including examination payers, insurers and insured folks from the pharmaceutical distribution sector. It will become doable to clarify if There may be agreement between the parties in serious time. Subsequently, the examination / payment establishment / insurance company may have a possibility to successfully Convey their intentions regarding the variety of drugs, which allows them to develop their options for drug prescriptions they wish and make improvements to their fulfillment and value success.
The prescription have to be signed by way of the prescriber by his / her hand. His/her tackle and registration assortment actually really should be geared up in the situation of perilous and conduct-forming medicines.
At this time, an information procedure that replaces the generation and software of the above-described receipt with an electronic strategy from a conventional published method has previously been place into practical use. On the flip side, in America, Pharmacy Benefit Management (“PBM”) is a business that manages dispensing fees for policyholders.
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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。
It's an item from the existing invention to offer a prescription information inquiry / distribution method for prescription information that allows healthcare establishments / insurance coverage pharmacies to preferentially undertake the alternative medicines from other alternate options. 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
You are taking is a typical expression in English. Prior to now, the indicator was imagined to get originate through the Jupiter sign. God of therapeutic Jupiter is really a Greek deity. The afflicted personal's rapid Restoration was requested for by making use of this signal.
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。
Due to this fact, while keeping the fairness of obtaining medical providers, the insured / insurance company / evaluation / payment institution has the opportunity to pick a drug that is definitely considered fascinating with the viewpoint of performance, selling price, and many others. Will not be furnished plenty of. For that reason, the challenge with the current invention would be that the insured particular person / insurer or assessment / payment institution desires to prescribe the strongest prescription among the solutions although maintaining the fairness of obtaining healthcare services in Japan's clinical insurance policy procedure.
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。
Initial, in FIG. 1, the parties linked to the information system from the present creation are going to be clarified. This information procedure features a clinical institution that prescribes prescribed drugs for the insured, an insurance policy pharmacy that dispenses pharmaceuticals dependant on a prescription issued via the clinical institution and provides them to your insured, an insurance company that bears medical coverage charges, and An assessment / payment institution that examines medical cost particulars from professional medical institutions / coverage pharmacies is connected. Each individual get together presents the information method that has a number of required information being explained afterwards.Within the information technique, (one) information on alternatives and prescriptions from the insurance company for drugs prescribed with the coverage medical institution for the insured Enter / hold preferred priority information, (2) Enter / keep disorders / specifications for approval of receipt assessment by assessment / payment Business, (3) Inquire about availability of insurance coverage for prescription drugs from healthcare institutions for every health care follow Depending on private information like acceptance, insured's symptom, medical heritage, age, and so forth.
An illustration of the configuration of this kind of an information program is proven in FIG. In this example of information technique, not less than Display screen and output device / enter unit / information storage including regular laptop computer with communication indicates installed in Each individual of assessment spending institution, insurance provider, coverage clinical institution, insurance coverage pharmacy And a central process that performs information inquiry / willpower are connected by means of a communication line for instance the world wide web.
This A part of the prescription also attributes the strength of one's drug (the quantity of milligrams, click here for instance) moreover the pill, capsule, or other type through which your Health care services provider would like you to definitely absolutely consider it. A Just take Notice identified as "Disp" refers to this information regarding how the drug really should be dispensed.