システムの運用段階では、以下の処理をリアルタイムで実施する。すなわち、個々の診療行為に際して保健医療機関からの処方医薬品の保険適用の可否の問い合わせが通信回線を介して行われ、この問い合わせを前述の審査支払機関及び保険者の入力情報や指定条件に照らし合わせて、審査支払機関及び保険者が保険適用を却下しないか否かを判定し結果を医療機関に配信し、図６に示されるような入出力画面によって医療機関の端末に表示される。尚、判定の結果、問い合わせ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。併せて、指定条件を満たした医薬品については、医療機関や被保険者の住所の近くに存在する保険薬局数軒での当該医薬品の取扱情報・在庫情報を保険薬局のデータベースにアクセスし確認を行う。また、保険薬局が、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照会を行う場合には、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。
Steps Pharmacology - How the drug performs in the human body to elicit a response Pharmacokinetics/Dynamics - The magnitude of the drug's outcome relies on the drug concentration at the internet site of action. The pharmacodynamics are expressed concerning onset of motion and duration of action. Pharmacokinetics are expressed concerning absorption, distribution (which includes visual appearance in breast milk and crossing of the placenta), protein binding, metabolism, fifty percent-everyday living distribution, time to peak, and excretion.
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。
When Each individual line has a definite character, together they form an entire medication choice support Remedy, serving a big selection of healthcare markets and providing constant content material and aligned alternatives encompassing both equally drug reference and drug knowledge.
以下に、図４を用いて情報照会・判定の手順の一例のフローチャートを説明する。まず審査支払機関・保険者・保険医療機関・保険薬局から必要な情報を取得する。審査支払機関及び保険者から取得する情報・指定条件は前述の通りであり、医療機関・保険薬局からは所在地等の基本情報に加え、使用希望薬剤情報・医薬品取扱情報・同在庫情報等を取得し、取得したデータを格納する。
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医療機関からの照会後、処方医薬品を確定した段階で医療機関から最終の処方内容が情報システムに送信される。保険薬局から処方箋記載の医薬品の保険適用の可否について照会があった場合には、医療機関との照会履歴の有無、結果を配信する。
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【選択図】図３[Challenges] To offer a program for supplying an opportunity for just a healthcare establishment / coverage pharmacy to preferentially adopt a medicine that an insured / insurance company or examination / payment establishment wants to prescribe during the health care insurance coverage procedure. Offered. [MEANS FOR Fixing Challenges] Coming into / Keeping information on solutions, prescription precedence order information of the insurance provider, and disorders / benchmarks for acceptance of a receipt evaluation by an examination / payment establishment for a medicine prescribed by an insurance coverage health-related institution Inquiries about whether or not insurance for prescription drugs is readily available for Every single clinical observe within the usually means and medical institution, and whether or not the inquiries match the specified circumstances from the insurance provider / examination and payment Group based on own information including symptoms of your insured Suggests to find out whether or not the above mentioned inquiry articles will not match the required problems, hunt for other drugs that fulfill the specified ailments with the drugs specified through the insurer determined by the insured's information like signs or symptoms A system obtaining implies for notifying a professional medical institution as a substitute and prompting the clinical establishment to reselect prescription contents. [Selection] Figure 3 Description
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Also, the evaluation and payment institution and also the insurer will specify the medicines that they wish to preferentially prescribe. The designation strategy is as follows: (1) Specify the identify of a selected team of drugs for each injury and symptom categorised In accordance with different ailments like the insured's age, gender, constitution and healthcare heritage. Or use (2) the higher limit on the professional medical remuneration score / made use of drug insurance plan score and allow the prescription of your drug assuming that the higher Restrict is just not exceeded. These input information and specified circumstances are stored as details inside the information method.
Consider therapy modification - details demonstrate more info that the specified agents may possibly interact with one another in a very clinically-major fashion and patient-specific assessment need to be done to ascertain whether or not the key benefits of concomitant therapy outweigh the pitfalls. Distinct steps should be taken in order to understand the benefits and/or limit toxicity of concomitant use. Prevent mixture - info exhibit that the desired brokers might interact with one another within a clinically-substantial fashion and the danger generally outweighs any opportunity reward. Concurrent use of such agents is usually considered contraindicated. Test Interactions - Listing of assay interferences when suitable
Develop into. Subsequently, for instance, the examination / payment agency raises the prescription priority order of simpler medicines so that lots of clinical institutions can prescribe the medicines. Because of this, the quality of health-related expert services plus the fairness of costs between insured individuals Promoted. Moreover, a rise in prescription of The most affordable drug among the a plurality of drugs possessing the exact same influence can also be obtained, like reduction in drug expenses for insurers and insured persons.
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、医療機関から診療行為毎に照会される処方医薬品が、保険者・審査支払機関の指定条件を満たす場合、医療機関や被保険者の住所の近くに存在する保険薬局数軒での当該医薬品の取扱情報・在庫情報を保険薬局のデータベースにアクセスし確認を行うことを特徴とする医薬品処方情報照会・配信システム。