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。
Following the inquiry from the clinical institution, the final prescription written content is transmitted through the professional medical institution into the information program if the prescription drug is decided. When an insurance plan pharmacy inquires about The provision of insurance coverage for pharmaceuticals described in prescriptions, the presence / absence from the inquiry historical past While using the medical institution and the outcomes are distributed. Lastly, a series of inquiry histories is dispersed towards the examination and payment institution and also the insurer, and also the information inquiry / judgment process is completed.
Investigate has proven that The share of patients with many medications is rising. So has the necessity for varied caregivers and/or Specialist health-related support personnel for your provided person.
The existing creation pertains to a pharmaceutical prescription information inquiry / distribution product, a pharmaceutical prescription information inquiry / distribution process, in addition to a pharmaceutical prescription information inquiry / distribution process.
The central method features a calculation unit, a display and output unit, an enter unit, and a knowledge storage unit. An illustration of a data file to generally be referred to at enough time of calculation is shown in FIG.
shopper and the moment it really is signed through the health practitioner it leads to becoming a authorized doc! Prescriptions are essential for all
Inside the preparing phase in the system, the evaluation payer and also the insurance company enter important information and specify situations. Samples of information entered through the examination payer and the insurance provider and the required situations are dependant on information around the insurance company subject matter to assessment, disorders including the insured's age, gender, Structure and earlier record You'll find assumed health care cost factors calculated for each get more info personal sickness and symptom divided, drug price tag expectations of utilised drugs, insurance plan factors, and also other info needed for assessment of clinical price particulars.
) presented from the healthcare institution at some time of inquiry and information obtained ahead of time And in real-time if the desired situations in the insurer to whom the insured is affiliated as well as evaluation and payment organization in demand are pleased.
How again and again have you remaining the medical doctor’s Workplace, only to uncover you forgot to mention an important bit of information?
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。
Hereinafter, a flowchart of an illustration of an information inquiry / perseverance method will probably be explained with reference to FIG. Very first, the mandatory information is received from the evaluation payer / insurer / insurance policies healthcare establishment / insurance coverage pharmacy. The information and specified conditions to get attained in the evaluation payer as well as insurer are as described previously mentioned.
An illustration of the configuration of these an information procedure is revealed in FIG. In this instance of information process, not less than Display screen and output device / input unit / info storage including regular laptop computer with communication usually means mounted in Just about every of evaluation paying establishment, insurance provider, coverage health care institution, coverage pharmacy And also a central technique that performs information inquiry / dedication are related by way of a interaction line including the Internet.
Really should your health care health practitioner desires the pharmacist to give you a specific brand of medication, they have got to precisely note this or sign up the Area shipped.