このような情報システムの構成の一例を図３に示す。本情報システム例では、審査支払機関・保険者・保険医療機関・保険薬局のそれぞれに設置される通信手段をそなえた通常のパーソナルコンピューターのような、少なくとも、表示及び出力部・入力部・データ格納部、を備えた端末、及び情報照会・判定を行う中央システムとが、インターネットのような通信回線を介して接続される。当該中央システムは、演算部・表示及び出力部・入力部・データ格納部から構成され、演算時に参照するデータファイルの例が図５に示される。
The current invention pertains to transactions connected to prescription and buy of ethical drugs among suppliers and prescribers such as medical establishments and insurance coverage pharmacies and consumers such as evaluation payers, insurers and insured persons in the pharmaceutical distribution sector. It will become attainable to explain whether There's settlement among the parties in genuine time. Because of this, the assessment / payment institution / insurance company will have a chance to correctly Specific their intentions concerning the selection of drugs, which allows them to extend their options for drug prescriptions they want and strengthen their satisfaction and price success.
Total the shape after which click the packing containers to indicate the kind of information you'd like to obtain.
At this time, an information method that replaces the development and software of the above mentioned-talked about receipt using an Digital method from a standard created strategy has already been put into functional use. However, in the United States, Pharmacy Advantage Management (“PBM”) is a business that manages dispensing fees for policyholders.
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。
The prescription information inquiry / distribution program according to declare one, accepting inquiries from insurance policies pharmacies for insurance policy protection of pharmaceuticals described in prescriptions issued by professional medical institutions, and presence of inquiry historical past with prescription issuing medical institutions Pharmaceutical prescription information inquiry and distribution technique characterised by distributing results.
【選択図】図３[Issues] To offer a system for delivering a possibility for the professional medical institution / insurance pharmacy to preferentially adopt a medication that an insured / insurance company or assessment / payment establishment would like to prescribe within the health-related insurance plan process. Provided. [Indicates FOR SOLVING PROBLEMS] Entering / Keeping information on alternatives, prescription precedence order information of the insurance company, and conditions / requirements for approval of the receipt evaluation by an examination / payment establishment for just a drugs prescribed by an coverage professional medical establishment Inquiries with regards to irrespective of whether insurance plan for prescription drugs is readily available for Every professional medical follow in the usually means and health care establishment, and whether or not the inquiries match the desired disorders in the insurance provider / examination and payment Firm determined by individual information for instance signs and symptoms on the insured Means to determine if the above mentioned inquiry articles does not match the specified problems, hunt for other drugs that meet up with the required disorders from the drugs specified from the insurer depending on the insured's information like signs and get more info symptoms A program obtaining signifies for notifying a health care institution as a substitute and prompting the professional medical establishment to reselect prescription contents. [Assortment] Figure three Description
The clinical prescription information inquiry / distribution method As outlined by claim 1, wherein the professional medical prescription is gained from the health-related establishment for every professional medical practice, and insured information (health-related insurance coverage connected information, harm and health issues) introduced from the healthcare institution at the time of inquiry.
) offered through the health care establishment at enough time of inquiry and information acquired ahead of time And in genuine-time whether or not the specified ailments with the insurance company to whom the insured is affiliated along with the examination and payment Corporation in demand are contented.
Concurrently, for prescription drugs that meet the required problems, access the insurance pharmacy databases and Verify the managing and inventory information on the pharmaceuticals at quite a few insurance policies pharmacies near the deal with of the health care establishment or even the insured. . Furthermore, when an coverage pharmacy helps make an inquiry concerning the insurance plan software of the medicine described in a prescription issued by a health-related establishment, the existence or absence of the inquiry record Using the prescription issuing health-related institution and The end result are dispersed.
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。
Drug Research by Disease/Symptom - Find out what a drug is employed for, or if an adverse response could be because of a certain drug.
have the probable of remaining abused, and that might lead to properly becoming threats from Detrimental effects if taken improperly,
最後に、一連の照会履歴を審査支払機関及び保険者に配信し、情報照会・判定の手順を終了する。