along with the information in (1) and (2) above, whether the inquiry material satisfies the specified disorders on the insurance provider / evaluation / payment in serious time (4) If the above mentioned inquiries do not match the desired disorders, hunt for other drugs that fulfill the specified situations dependant on the insured's information including indicators within the drugs specified from the insurance company. Notify health care establishments instead, Prompting reselection prescription at motor working such process, immediately and proficiently, the choice of formulation medicament, for the opportunity of insurance coverage coverage, attain consensus concerning the get-togethers.
In essential phrases, the prescription is a little bit of paper which is published with the registered health treatment practitioner (RMP) depending on the client's ailment challenge.
以下に、図４を用いて情報照会・判定の手順の一例のフローチャートを説明する。まず審査支払機関・保険者・保険医療機関・保険薬局から必要な情報を取得する。審査支払機関及び保険者から取得する情報・指定条件は前述の通りであり、医療機関・保険薬局からは所在地等の基本情報に加え、使用希望薬剤情報・医薬品取扱情報・同在庫情報等を取得し、取得したデータを格納する。
(b) Adjuvants: They can be built-in either to boost the movement of the drug or to create the preparing extra palatable.
Develop into. Therefore, for instance, the evaluation / payment company raises the prescription precedence order of more effective medicines so a large number of medical establishments can prescribe the medicines. As a result, the caliber of health care expert services as well as fairness of fees between insured people Promoted. Furthermore, an increase in prescription of The most affordable drug between a plurality of drugs owning exactly the same result can even be acquired, including reduction in drug charges for insurers and insured individuals.
As an alternative, notify the healthcare establishment, and stimulate the clinical establishment to reselect prescription information, Pharmaceutical prescription information inquiry / distribution method characterized by comprising
It is an object of the current creation to supply a prescription information inquiry / distribution system for prescription information that permits healthcare establishments / insurance coverage pharmacies to preferentially undertake the choice medicines from other alternatives. 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
Inside the planning phase more info of the process, the examination payer and also the insurance company enter vital information and specify conditions. Samples of information entered through the evaluation payer as well as insurance company and the specified circumstances are dependant on information around the insurer matter to evaluation, problems like the insured's age, gender, Structure and earlier history You will find assumed health-related price factors calculated for each person sickness and symptom divided, drug cost criteria of made use of drugs, insurance details, and various facts essential for examination of healthcare rate facts.
) introduced from the healthcare establishment at some time of inquiry and information obtained ahead of time As well as in serious-time if the specified problems in the insurer to whom the insured is affiliated plus the evaluation and payment organization in demand are content.
The pharmaceutical prescription information inquiry / distribution program according to claim 1, whereby a number of inquiry histories made through the process is dispersed to an assessment payment organization and an insurer.
Within the pharmaceutical prescription information inquiry / distribution procedure In accordance with declare one, if the result of willpower would be that the inquiry content material doesn't conform to your enter information and designated situations with the assessment and payment establishment along with the insurance provider, look for and determine the pharmaceutical group that satisfies these Pharmaceutical prescription information inquiry / distribution technique characterized by distribution to professional medical establishments.
Hereinafter, a flowchart of an example of an information inquiry / perseverance treatment will likely be explained with reference to FIG. Very first, the required information is obtained within the examination payer / insurance provider / insurance policy medical institution / coverage pharmacy. The information and designated ailments to become acquired within the assessment payer and the insurer are as described previously mentioned.
An illustration of the configuration of these types of an information procedure is revealed in FIG. In this example of information system, a minimum of display and output device / enter unit / information storage for instance standard pc with conversation implies set up in Every of assessment having to pay establishment, insurance company, insurance policies health-related establishment, insurance policy pharmacy Along with a central procedure that performs information inquiry / dedication are related through a interaction line like the online market place.
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。