In the traditional payment evaluation method, a medical establishment concerns a prescription and prescribes and pays to the drug for the patient at an insurance plan pharmacy, and many others., and afterwards the evaluation ask for to the professional medical exercise is manufactured towards the assessment payment establishment. Even so, it really is impossible to judge the suitability of the appliance contents beforehand for healthcare establishments. In addition, the insured / insurance company (health insurance association, and many others.) that bears the cost of pharmaceuticals is just not absolutely knowledgeable about information on drugs like efficacy and price tag, and is entirely educated with regards to the existence of multiple alternate options. It is frequently not finished. For this reason, the selection of medicines is entirely remaining on the judgment of the clinical establishment, and it truly is tricky to physical exercise the correct to decide on medicines as a cost bearer and a purchaser.
Actions Pharmacology - How the drug is effective in the human body to elicit a reaction Pharmacokinetics/Dynamics - The magnitude of the drug's influence is dependent upon the drug focus at the location of motion. The pharmacodynamics are expressed regarding onset of action and duration of action. Pharmacokinetics are expressed regarding absorption, distribution (which include visual appearance in breast milk and crossing of your placenta), protein binding, metabolism, fifty percent-daily life distribution, time for you to peak, and excretion.
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。
At the moment, an information system that replaces the development and software of the above-outlined receipt with the electronic process from a conventional prepared method has presently been set into practical use. Then again, in The usa, Pharmacy Profit Administration (“PBM”) is a business that manages dispensing expenses for policyholders.
結果として、医療サービス受給の公平性を保ちつつ、代替品が存在する医薬品の中で、被保険者・保険者や審査支払機関が、効果・価格等の観点から望ましいと考える医薬品を選択する機会が十分に提供されていない。
The central system features a calculation unit, a display and output device, an input unit, and a knowledge storage unit. An illustration of an information file for being referred to at the time of calculation is demonstrated in FIG.
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次に、図２を用いて本発明の手段が実行されるフローを時系列で説明する。本発明の手段の実行は情報システムを通じて行われるが、この実行は大別して、システムの準備段階及び運用段階の二段階に分けられる。
At the same time, for prescription drugs that satisfy the specified circumstances, access the insurance policy pharmacy database and Examine the dealing with and inventory information on the prescribed drugs at quite a few insurance pharmacies close to the handle with the clinical institution or the insured. . Furthermore, when an insurance pharmacy can make an inquiry in regards to the coverage software of the drugs described in the prescription issued by a medical institution, the presence or absence of an inquiry background Along with the prescription issuing medical institution and the result are distributed.
It's made up of assumed healthcare payment factors calculated for each personal injury and symptom categorized according to situation, drug price tag standard of utilised drugs, coverage details, other data needed for examination of health care price facts, and many others. Pharmaceutical prescription Prescription savings information inquiry and distribution technique.
Hereinafter, a flowchart of the illustration of an information inquiry / perseverance treatment is going to be described with reference to FIG. Initially, the required information is attained through the examination payer / insurance provider / insurance policies healthcare establishment / insurance coverage pharmacy. The information and selected circumstances being obtained from your assessment payer as well as the insurance provider are as described previously mentioned.
An illustration of the configuration of this kind of an information program is revealed in FIG. In this instance of information process, at least Show and output unit / enter device / knowledge storage for instance standard pc with conversation implies mounted in Each individual of assessment spending institution, insurer, insurance professional medical establishment, insurance policy pharmacy Along with a central procedure that performs information inquiry / determination are related through a communication line for instance the world wide web.
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、判定の結果、照会内容が審査支払機関及び保険者の入力情報や指定条件に適合しない場合には、これらを満たす医薬品群を検索・同定し、医療機関に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。