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本発明により、医薬品流通市場における、医療機関・保険薬局といった供給者・処方者と、審査支払機関・保険者・被保険者といった需要者の間で、医療用医薬品の処方・購入に関わる取引に関しリアルタイムに当事者間の合意形成の有無を明確にすることが可能となる。これにより、審査支払機関・保険者は医薬品選択に関わる実効的な意思表示の機会を得ることとなり、自らが希望する医薬品処方につき選択肢が拡大、満足度・費用対効果を向上させることが可能となる。これにより、例えば、審査支払機関がより効能の高い医薬品の処方優先順位を上げることで多くの医療機関で当該医薬品が処方され、結果として被保険者間の医療サービスの質やコストの公平性が促進される。また、同等の効能を持つ複数の医薬品の中で最も安価の医薬品の処方が増加することによる保険者・被保険者の医薬品費用の低減、といった効果も得られる。
Following the inquiry in the professional medical institution, the ultimate prescription content material is transmitted with the healthcare institution for the information method if the prescription drug is determined. When an insurance coverage pharmacy inquires about The supply of coverage for prescription drugs described in prescriptions, the presence / absence in the inquiry heritage Together with the medical establishment and the effects are distributed. Ultimately, a series of inquiry histories is distributed on the evaluation and payment institution along with the insurance company, as well as the information inquiry / judgment method is done.
Investigate has verified that the percentage of patients with various medications is expanding. So has the requirement for various caregivers and/or Skilled healthcare support personnel for your supplied unique.
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 central method features a calculation unit, a display and output unit, an input device, and a data storage device. An example of a knowledge file for being referred to at the time of calculation is revealed in FIG.
Each time a prescription advised drugs is chosen by a healthcare institution, the dealing with position / inventory standing at a close-by insurance pharmacy is verified and The end result is notified.
Currently, You can find an case in point that aims to Enhance the function performance by digitizing the clinical payment assessment ask for in place How to order prescriptions online of creating, but this is targeted at labor saving of Business office function within the health care establishment.
) presented through the health-related institution at the time of inquiry and information obtained upfront And in serious-time if the required ailments with the insurance company to whom the insured is affiliated as well as the examination and payment Corporation in charge are contented.
If it is determined that the specified situations are achieved, up coming, Look at the handling standing / stock position of prescription drugs versus a number of insurance coverage pharmacies close to the handle of the clinical establishment / insurance provider, and obtain the final results. Also produce to healthcare institutions. Conversely, if it is decided that the required circumstances are not satisfied, the prescription suggestion matter derived determined by the insured man or woman's information offered with the health care institution in a range that matches the required circumstances from the assessment payer as well as insurance company Distribute a summary of medicines to medical establishments and motivate them to reselect.
I know that "Organizations" could come to a decision in his / her sole discretion that my ailment just is just not appropriate for remedy strategy dealing with telemedicine, and that I might have to hunt healthcare remedy and treatment in-certain individual or from an alternative source.
Drug Lookup by Disorder/Symptom - Uncover what a drug is utilized for, or if an adverse response may be a result of a specific drug.
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 Display screen and output device / enter device / details storage such as ordinary personal computer with interaction usually means put in in Just about every of assessment spending institution, insurance provider, coverage professional medical establishment, insurance policy pharmacy Along with a central system that performs information inquiry / perseverance are connected by using a conversation line such as the online market place.
If your medical Skilled would really like the pharmacist to offer you a particular brand of medication, they must Specifically Recognize this or register the Place furnished.