Patient education for Dummies
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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。
During the procedure Procedure stage, the following processing is executed in authentic time. Basically, inquiries pertaining to The supply of insurance coverage protection for prescription drugs from health care establishments are made via interaction lines during Each individual health care practice, and these inquiries are compared While using the enter information and specified disorders from the examination and payment establishments and insurers described over. Then, the examination paying establishment along with the insurance provider determine whether to reject the insurance software, distribute the result to your professional medical establishment, and display it about the terminal of your healthcare institution by an input / output display as proven in FIG. Due to the perseverance, Should the content from the inquiry will not conform towards the input information and selected disorders of your assessment and payment institution along with the insurer, a pharmaceutical group enjoyable these is searched and determined and distributed to the healthcare establishment.
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。
The central system features a calculation unit, a Display screen and output device, an enter unit, and a data storage unit. An illustration of a knowledge file being referred to at time of calculation is shown in FIG.
【選択図】図３[Difficulties] To deliver a method for giving an opportunity for any professional medical institution / insurance policy pharmacy to preferentially undertake a drugs that an insured / insurance provider or examination / payment institution really wants to prescribe from the medical insurance coverage program. Presented. [Suggests FOR Resolving Challenges] Coming into / Keeping information on alternate options, prescription priority order information of an insurance provider, and conditions / benchmarks for acceptance of a receipt examination by an assessment / payment establishment for the medicine prescribed by an insurance coverage medical establishment Inquiries with regards to no matter if insurance policies for prescription drugs is available for Each individual clinical apply within the signifies and healthcare establishment, and whether the inquiries match the desired situations from the insurance company / assessment and payment Business dependant on private information such as signs or symptoms from the insured Signifies to ascertain whether or not the above inquiry articles won't match the required circumstances, seek out other drugs that meet up with the required ailments within the drugs specified via the insurer dependant on the insured's information such as signs A technique obtaining signifies for notifying a health care institution as an alternative and prompting the medical establishment to reselect prescription contents. [Choice] Figure three Description
At this time, There exists an instance that aims to Increase the get the job done efficiency by digitizing the professional medical price examination request rather than crafting, but That is aimed at labor conserving of Workplace get the job done in the professional medical institution.
) offered with the clinical establishment at enough time of inquiry and information obtained in advance And in true-time whether the desired situations in the insurer to whom the insured is affiliated and also the assessment and payment Group in cost are happy.
The pharmaceutical prescription information inquiry read more / distribution system In keeping with declare one, whereby a series of inquiry histories created by using the method is distributed to an evaluation payment Corporation and an insurer.
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。
Strike that excellent Furthermore sign get far more information button in your Diary web page the moment you’re throughout the applying. From there, strike Ranking this means you’ll be able to include a temper position.
Priority day (The priority date is an assumption and is not a lawful conclusion. Google hasn't performed a authorized Assessment and helps make no illustration as for the precision of the date stated.)
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