In the traditional payment evaluation system, a professional medical establishment challenges a prescription and prescribes and pays for the drug for the patient at an insurance plan pharmacy, and so on., after which the examination request to the health-related apply is produced to the assessment payment establishment. However, it is actually not possible to judge the suitability of the appliance contents ahead of time for healthcare establishments. Moreover, the insured / insurer (health coverage association, etc.) that bears the price of pharmaceuticals is not totally knowledgeable about information on drugs such as efficacy and value, and is also entirely educated with regards to the existence of numerous choices. It is frequently not accomplished. Because of this, the selection of medicines is solely left into the judgment of the medical establishment, and it is actually difficult to exercise the ideal to choose medicines as a cost bearer along with a buyer.
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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As an alternative, notify the medical institution, and inspire the clinical establishment to reselect prescription information, Pharmaceutical prescription information inquiry / distribution system characterised by comprising
【解決手段】保険医療機関が処方する医薬品について、代替品情報、保険者の処方希望優先順位情報を入力・保持する手段、審査支払機関によるレセプト審査承認のための条件・基準を入力・保持する手段、医療機関から診療行為毎に、処方医薬品の保険適用可否に関する照会を受付け、被保険者の症状等の個人情報に基づき、照会内容が保険者・審査支払機関の指定条件に合致しているか否かを判定する手段、上記照会内容が指定条件に合致していない場合は、保険者が指定する医薬品の中から、症状等の被保険者の情報に基づき指定条件を満たす他の医薬品を検索し代替品として医療機関に通知、医療機関にて処方内容の再選択を促す手段を有するシステム。
The existing invention relates to a pharmaceutical prescription information inquiry / distribution product, a pharmaceutical prescription information inquiry / distribution procedure, in addition to a pharmaceutical prescription information inquiry / distribution technique.
Also, when drugs are only taken as vital, generally the frequency is accompanied via the letters ‘PRN’—which implies as necessary. There are several even more frequencies and abbreviations, but they're normally the commonest.
医療機関による医薬品の処方に際しては、被保険者(患者)が保健医療機関で医師の診察を受け、その診断結果をもとに医師が処方箋を発行、同処方箋に基づき保険薬局にて医薬品が調剤、提供される、という流れになっている。保険が適用される医薬品の費用請求については、被保険者による一部費用負担を除くと、医療機関・保険薬局などが、レセプトと呼ばれる診療報酬明細書に、診療、検査、投薬、手術など医療行為の内容を記入し、月ごとに審査支払機関に提出、医療費を請求する。審査は、社会保険診療報酬支払基金と都道府県支部、国民健康保険中央会と各都道府県の国民健康保険団体連合会にて実施され、かかった医療費をそのまま医療保険から支払う「出来高払い制」を採用されている。
At this time, There is certainly an instance that aims to Increase the perform check here efficiency by digitizing the healthcare cost assessment ask for as an alternative to producing, but This can be geared toward labor conserving of office perform with the health-related institution.
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In standard phrases, the prescription is some paper that's created through the registered health treatment practitioner (RMP) based on the shopper's ailment difficulty.
The central technique features a calculation unit, a Show and output device, an enter device, and a knowledge storage device. An illustration of an information file being referred to at some time of calculation is proven in FIG.
This A Component of the prescription consists of Recommendations for that pharmacist, during the event of a drug if it must be compounded inside the pharmacy.
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。