After the inquiry within the health care establishment, the final prescription articles is transmitted in the professional medical institution to your information system once the prescription drug is decided. When an insurance coverage pharmacy inquires about The supply of coverage for prescription drugs explained in prescriptions, the presence / absence from the inquiry heritage Using the health care establishment and the final results are dispersed. Finally, a number of inquiry histories is dispersed on the evaluation and payment institution as well as the insurance company, and the information inquiry / judgment procedure is finished.
During the pharmaceutical prescription information inquiry / distribution program according to claim one, if the results of determination is that the inquiry articles would not conform for the enter information and specified disorders of the examination and payment institution and also the insurer, lookup and determine the pharmaceutical group that satisfies these Pharmaceutical prescription information inquiry / distribution technique characterized by distribution to health care establishments.
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When each line has a definite character, together they form a complete medication decision support solution, serving a big range of healthcare marketplaces and giving regular information and aligned solutions encompassing each drug reference and drug info.
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。
Because of this, although preserving the fairness of getting medical services, the insured / insurer / examination / payment establishment has the opportunity to choose a drug that's considered attractive with the viewpoint of performance, value, etc. Will not be presented enough. Therefore, the condition on the present invention would be that the insured particular person / insurance provider or examination / payment establishment desires to prescribe the strongest prescription between options when sustaining the fairness of getting health care services in Japan's health-related coverage method.
If a influenced person pertains to the pharmacist to dispense medicines according to the prescription which bears a person distinct seven times previous date,It is going to most likely be questionable through the pharmacist, that is unquestionably it even now contain the capacity to finish fill sufferers' needs.
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。
また、医薬品費用を負担する被保険者・保険者（健康保険組合等）が、効能・価格等の医薬品に関する情報を十分に知らされていない、複数の代替品の存在に関する情報を十分には知らされていない、といった場合が多い。このため、医薬品の選択に際しては医療機関の判断に全面的に委ねており、費用負担者及び需要者としての医薬品選択の権利が行使しにくい状況が生まれている。
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An example of the configuration of such an information process is shown in FIG. In this example of information process, at the get more info very least Display screen and output unit / input unit / facts storage like common personal computer with interaction implies put in in each of examination paying out establishment, insurance provider, insurance health-related institution, insurance policy pharmacy And a central method that performs information inquiry / dedication are connected by way of a communication line such as the web.
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・ It is far from intended to broaden the selections for prescription drugs of insurers and lower the cost of prescribed drugs. Moreover, PBM in the United States provides drug Value management solutions for corporations such as firms as the key customers and doesn't address all citizens. is not really.