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。
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Within the system operation phase, the next processing is carried out in actual time. Quite simply, inquiries pertaining to The supply of insurance coverage protection for prescription drugs from health care establishments are made by way of communication traces in the course of each professional medical follow, and these inquiries are in contrast While using the input information and specified disorders in the assessment and payment institutions and insurers stated over. Then, the evaluation shelling out institution along with the insurance provider figure out whether to reject the coverage software, distribute The end result towards the health care establishment, and Display screen it on the terminal in the health care institution by an input / output display as demonstrated in FIG. Due to the perseverance, If your written content of the inquiry doesn't conform towards the input information and selected ailments with the evaluation and payment institution as well as insurance provider, a pharmaceutical group satisfying these is searched and discovered and dispersed for the healthcare establishment.
Turn into. Because of this, for example, the evaluation / payment agency raises the prescription priority order of more practical medicines so a large number of healthcare establishments can prescribe the medicines. Consequently, the caliber of medical companies along with the fairness of costs amid insured folks Promoted. Furthermore, a rise in prescription of The most cost effective drug among a plurality of drugs possessing a similar effect can be received, for instance reduction in drug costs for insurers and insured persons.
The prescription information inquiry / distribution procedure As outlined by claim one, accepting inquiries from insurance coverage pharmacies for insurance coverage of prescription drugs explained in prescriptions issued by health-related establishments, and existence of inquiry background with prescription issuing clinical establishments Pharmaceutical prescription information inquiry and distribution program characterized by distributing success.
It can be an object of your current creation to supply a prescription information inquiry / distribution method for prescription information that allows health-related establishments / insurance policies pharmacies to preferentially adopt the alternative medicines from other possibilities. 前記課題を解決するための本発明は、以下の各部から構成されることを特徴とする
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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 meet up with the specified disorders, entry the insurance policy pharmacy database and Verify the dealing with and inventory information check here in the pharmaceuticals at numerous insurance policy pharmacies close to the deal with of the professional medical institution or maybe the insured. . Moreover, when an insurance policy pharmacy helps make an inquiry with regards to the insurance plan application of a medication described inside of a prescription issued by a clinical institution, the existence or absence of an inquiry heritage Along with the prescription issuing health-related establishment and the result are dispersed.
The current creation for solving the above mentioned-mentioned complications is composed of the subsequent elements. (one) Enter and hold information on substitutes and prescription priority information of insurers for prescribed drugs prescribed by insurance coverage clinical establishments for insured persons (2) Enter and retain the circumstances and requirements for receipt evaluate acceptance from the evaluation and payment Group (3) Accepting inquiries from health-related institutions pertaining to The provision of insurance for prescription drugs for every medical practice, and creating inquiries depending on private information like the insured's signs, health care historical past, age, and so forth., and information on (1) and (two) earlier mentioned Judgment is designed in authentic time to find out if the content material satisfies the ailments specified with the insurer / assessment and payment institution (four) If the above inquiries never meet up with the specified ailments, seek out other drugs that fulfill the desired conditions based upon the insured's information including signs, etc. Notify health care establishments and inspire them to reselect prescription information.
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The Pharmacists at Carnegie Sargents Pharmacy dispense prescription medications to patients and present skills within the safe usage of prescriptions. We function instantly with physicians, other health industry experts, and patients making sure that the medications prescribed for patients contribute to the absolute best health results. We're going to give you the information you might want to make experienced selections. We will also make time to debate along with you ways to interpret the information in order to get an smart discussion with you Medical practitioners.
Really should your medical physician requirements the pharmacist to provide you with a specific brand of medication, they have got to precisely note this or sign up the Room delivered.