The present invention relates to transactions relevant to prescription and purchase of moral drugs among suppliers and prescribers such as health care establishments and insurance pharmacies and customers such as examination payers, insurers and insured individuals in the pharmaceutical distribution market. It gets to be achievable to make clear whether You can find settlement concerning the events in actual time. Due to this fact, the examination / payment institution / insurance provider should have a chance to successfully Convey their intentions regarding the selection of drugs, which will permit them to extend their choices for drug prescriptions they desire and strengthen their gratification and cost efficiency.
Turn into. Due to this fact, for instance, the examination / payment company raises the prescription precedence order of more effective medicines so that many medical institutions can prescribe the medicines. As a result, the standard of clinical companies as well as the fairness of expenditures amid insured persons Promoted. On top of that, an increase in prescription of The most affordable drug between a plurality of drugs having precisely the same impact will also be obtained, which include reduction in drug expenses for insurers and insured folks.
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。
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。
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、保険薬局からの照会を受付け、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ことを特徴とする医薬品処方情報照会・配信システム。
Although the execution of the usually means of your current invention is performed by an information procedure, this execution is roughly divided into two phases: a program preparation stage and an Procedure phase.
医療機関からの照会後、処方医薬品を確定した段階で医療機関から最終の処方内容が情報システムに送信される。保険薬局から処方箋記載の医薬品の保険適用の可否について照会があった場合には、医療機関との照会履歴の有無、結果を配信する。
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When a medical establishment prescribes medicines, the insured (patient) is examined by a health care provider at the health health care establishment, the physician concerns a prescription according to the diagnosis consequence, and also the medication is dispensed in the insurance plan pharmacy depending on the prescription , Offered. Regarding professing the expense of medicines coated by insurance policies, clinical establishments and coverage pharmacies, and so forth.
The central system features a calculation unit, a Exhibit and output device, an enter unit, and an information storage unit. An example of a data file to become referred to at time of calculation is proven in FIG.
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(b) Adjuvants: They are built-in both to boost the movement on the drug or to provide the preparing more palatable.