The present creation pertains to transactions linked to prescription and purchase of ethical drugs concerning suppliers and prescribers for example clinical establishments and insurance plan pharmacies and shoppers for instance evaluation payers, insurers and insured persons during the pharmaceutical distribution marketplace. It results in being probable to explain whether or not There's arrangement between the functions in authentic time. Because of this, the assessment / payment institution / insurance provider will likely have an opportunity to effectively Categorical their intentions concerning the variety of drugs, which will allow them to broaden their choices for drug prescriptions they need and improve their gratification and price usefulness.
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 illustration of the configuration of this sort of an information procedure is shown in FIG. In this example of information procedure, at the very least Screen and output device / enter unit / details storage like everyday personal computer with communication signifies set up in Each individual of evaluation paying out institution, insurance provider, coverage healthcare institution, insurance plan pharmacy And also a central technique that performs information inquiry / dedication are linked by using a communication line such as the online market place.
First, in FIG. one, the functions connected to the information procedure from the current creation is going to be clarified. This information program includes a professional medical establishment that prescribes pharmaceuticals to the insured, an insurance pharmacy that dispenses prescription drugs dependant on a prescription issued because of the health-related establishment and delivers them on the insured, an insurance provider that bears health care insurance policy fees, and An evaluation / payment institution that examines health-related charge information from health care institutions / coverage pharmacies is related. Each occasion gives the information system having a series of vital information to be explained later.While in the information technique, (one) information on solutions and prescriptions in the insurer for drugs prescribed through the coverage medical institution for your insured Enter / maintain wished-for precedence information, (two) Enter / maintain ailments / standards for approval of receipt evaluation by overview / payment Group, (three) Inquire about availability of insurance coverage for prescription drugs from clinical institutions for each healthcare follow According to private information which include acceptance, insured's symptom, clinical historical past, age, etc.
システムの運用段階では、以下の処理をリアルタイムで実施する。すなわち、個々の診療行為に際して保健医療機関からの処方医薬品の保険適用の可否の問い合わせが通信回線を介して行われ、この問い合わせを前述の審査支払機関及び保険者の入力情報や指定条件に照らし合わせて、審査支払機関及び保険者が保険適用を却下しないか否かを判定し結果を医療機関に配信し、図６に示されるような入出力画面によって医療機関の端末に表示される。尚、判定の結果、問い合わせ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。併せて、指定条件を満たした医薬品については、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。また、保険薬局が、医療機関が発行した処方箋に記されている医薬品の保険適用につき照会を行う場合には、処方箋発行医療機関との照会履歴の有無、結果について配信する。
Hereinafter, a flowchart of an illustration of an information inquiry / determination course of action are going to be explained with reference to FIG. Initially, the necessary information is attained from the examination payer / insurance company / insurance policies clinical establishment / insurance coverage pharmacy. The information and specified ailments to become received from your assessment payer as well as insurance company are as explained above.
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The Pharmacists at Carnegie Sargents Pharmacy dispense prescription medications to patients and offer skills inside the safe utilization of prescriptions. We do the job specifically with physicians, other health specialists, and patients to make sure that the medications prescribed for patients contribute to the absolute best health results. We'll offer you the information you should make well-informed selections. Affordable prescription medications We will also make the effort to debate with you tips on how to interpret the information in order to own an smart discussion with you Medical doctors.
× Male MD capabilities an online conversation System for Suppliers as well as their persons to connect by means of the Web-site during the usage of synchronous and asynchronous telecommunications units. The website facilitates dialogue in between people and Providers. Male MD doesn't give clinical information or care. We make use of the information you share with us to aid give you a customized abilities from when You begin interacting with us to delivering you your individual personalised treatment method. Male MD, LLC and our organization entities (“Male MD,” “we,” “us,” below or “our”) obtain your privacy and believe in in us really significantly.
結果として、医療サービス受給の公平性を保ちつつ、代替品が存在する医薬品の中で、被保険者・保険者や審査支払機関が、効果・価格等の観点から望ましいと考える医薬品を選択する機会が十分に提供されていない。
Any time a prescription recommended medication is chosen by a health-related institution, the handling position / stock standing at a close-by coverage pharmacy is verified and the result is notified.
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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、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。