If it is determined that the desired disorders are achieved, next, Look at the handling standing / stock standing of prescription drugs versus various insurance policies pharmacies close to the handle from the professional medical institution / insurance company, and procure the effects. Also deliver to health-related institutions. Conversely, if it is decided that the required circumstances usually are not met, the prescription advice subject matter derived depending on the insured person's information introduced through the medical institution in just a selection that matches the required situations with the assessment payer as well as the insurer Distribute a listing of medicines to medical institutions and motivate them to reselect.
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。
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An example of the configuration of these kinds of an information process is demonstrated in FIG. In this instance of information process, not less than Exhibit and output device / enter unit / information storage like ordinary notebook computer with conversation signifies installed in each of assessment having to pay establishment, insurance provider, insurance policy health care institution, insurance plan pharmacy In addition to a central program that performs information inquiry / perseverance are linked via a conversation line which include the world wide web.
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The existing creation pertains to a pharmaceutical prescription information inquiry / distribution device, a pharmaceutical prescription information inquiry / distribution program, along with a pharmaceutical prescription information inquiry / distribution strategy.
Hereinafter, a flowchart of the example of an information inquiry / perseverance course of action will likely be described with reference to FIG. Initially, the mandatory information is received within the examination payer / insurer / insurance plan professional medical establishment / insurance pharmacy. The information and designated circumstances being received with the evaluation payer along with the insurance company are as described above.
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。
It really is made up of assumed health-related payment details calculated for every harm and symptom classified As outlined by case, drug price tag conventional of made use of drugs, insurance policy factors, other data necessary for assessment of medical payment information, etcetera. Pharmaceutical prescription information inquiry and distribution process.
Consequently, while sustaining the fairness of receiving click here professional medical expert services, the insured / insurance company / assessment / payment institution has the chance to pick a drug that's considered desirable from your viewpoint of efficiency, cost, etcetera. Just isn't presented plenty of. Thus, the condition in the current creation is that the insured particular person / insurance provider or assessment / payment institution wishes to prescribe the strongest prescription among the possibilities whilst keeping the fairness of acquiring medical providers in Japan's healthcare insurance policy process.
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、判定の結果、照会内容が審査支払機関及び保険者の入力情報や指定条件に適合しない場合には、これらを満たす医薬品群を検索・同定し、医療機関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。
The prescription information inquiry / distribution technique In keeping with declare one, accepting inquiries from insurance plan pharmacies for insurance policy protection of pharmaceuticals explained in prescriptions issued by healthcare establishments, and presence of inquiry history with prescription issuing health care establishments Pharmaceutical prescription information inquiry and distribution procedure characterised by distributing effects.
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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。