Patient education for Dummies
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。
Once the inquiry in the professional medical institution, the ultimate prescription content material is transmitted with the healthcare institution for the information program once the prescription drug is set. When an insurance policy pharmacy inquires about The supply of coverage for pharmaceuticals described in prescriptions, the presence / absence in the inquiry heritage with the healthcare institution and the outcomes are distributed. Ultimately, a series of inquiry histories is dispersed towards the examination and payment institution and the insurer, and the information inquiry / judgment procedure is done.
Investigate has tested that The proportion of patients with several medications is growing. So has the requirement for various caregivers and/or Expert medical assist personnel in your supplied unique.
The present creation pertains to a pharmaceutical prescription information inquiry / distribution machine, a pharmaceutical prescription information inquiry / distribution system, along with a pharmaceutical prescription information inquiry / distribution technique.
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【選択図】図３[Complications] To supply a process for supplying a chance for your medical institution / insurance plan pharmacy to preferentially undertake a drugs that an insured / insurer or examination / payment institution wishes to prescribe from the professional medical insurance coverage program. Offered. [Signifies FOR Fixing Challenges] Coming into / holding information on options, prescription priority order information of the insurance company, and situations / standards for acceptance of a receipt examination by an assessment / payment institution to get a drugs prescribed by an insurance plan health care institution Inquiries pertaining to irrespective of whether insurance plan for prescription drugs is readily available for Every professional medical exercise from your means and professional medical institution, and whether or not the inquiries match the specified problems of your insurer / examination and payment Firm based on particular information such as indicators of your insured Indicates to find out whether the above mentioned inquiry written content does not match the specified circumstances, seek out other drugs that meet up with the desired problems with the drugs specified via the insurance provider based upon the insured's information such as indications A process owning means for notifying a healthcare establishment in its place and prompting the professional medical establishment to reselect prescription contents. [Selection] Determine 3 Description
Use: Labeled Indications - Information pertaining to storageof item.. Supplies some time and conditions for which a solution or mixture will retain complete potency. As an example, some remedies may well involve refrigeration after reconstitution while saved at place temperature previous to planning.
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The pharmaceutical prescription information inquiry / distribution procedure In line with assert one, wherein a series of inquiry histories designed by using the method is distributed to an evaluation payment Group and an insurance provider.
The current creation for resolving the above-outlined difficulties is made up of the subsequent components. (one) Enter and keep information on substitutes and prescription priority information of insurers for pharmaceuticals prescribed by insurance plan healthcare institutions for insured individuals (two) Enter and manage the situations and standards for receipt critique acceptance via the examination and payment Business (3) Accepting inquiries from health-related institutions with regards to The supply of insurance plan for prescription drugs for every health care follow, and generating inquiries based upon particular information like the insured's signs, health-related background, age, etc., and information on (one) and (2) higher than Judgment is built in authentic time to find out whether or not the written content fulfills the conditions specified via the insurance company / assessment and payment institution (four) If the above inquiries never satisfy the required problems, search for other drugs that meet up with the required situations dependant on the insured's information including indications, and so on. Notify clinical establishments and inspire them to reselect prescription articles.
Also, the assessment and payment establishment as well as insurance provider will specify the medicines that they wish to preferentially prescribe. The designation process is as follows: (one) Specify the title of a particular group of drugs for every personal injury and symptom categorised In keeping with various ailments including the insured's age, gender, constitution and health care record. Or use (two) the upper limit in the clinical remuneration rating / used drug insurance policy rating and allow the prescription on the drug given that the higher Restrict will not be exceeded. These enter information and specified disorders are saved as facts during the information procedure.
Every here time a clinical establishment prescribes medicines, the insured (patient) is examined by a physician with the health health care institution, the physician problems a prescription based on the analysis consequence, along with the medicine is dispensed at the coverage pharmacy based upon the prescription , Presented. With regard to saying the cost of medicines included by insurance policies, healthcare establishments and insurance coverage pharmacies, and many others.
最後に、一連の照会履歴を審査支払機関及び保険者に配信し、情報照会・判定の手順を終了する。