What Does ADHD medication information Mean?
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医療機関による医薬品の処方に際しては、被保険者（患者）が保健医療機関で医師の診察を受け、その診断結果をもとに医師が処方箋を発行、同処方箋に基づき保険薬局にて医薬品が調剤、提供される、という流れになっている。保険が適用される医薬品の費用請求については、被保険者による一部費用負担を除くと、医療機関・保険薬局などが、レセプトと呼ばれる診療報酬明細書に、診療、検査、投薬、手術など医療行為の内容を記入し、月ごとに審査支払機関に提出、医療費を請求する。審査は、社会保険診療報酬支払基金と都道府県支部、国民健康保険中央会と各都道府県の国民健康保険団体連合会にて実施され、かかった医療費をそのまま医療保険から支払う「出来高払い制」を採用されている。
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。
After the inquiry with the healthcare establishment, the final prescription content material is transmitted with the healthcare institution to your information method if the prescription drug is set. When an insurance pharmacy inquires about The supply of coverage for pharmaceuticals described in prescriptions, the presence / absence on the inquiry record with the health-related institution and the results are distributed. Lastly, a series of inquiry histories is dispersed to your assessment and payment establishment plus the insurance company, along with the information inquiry / judgment process is completed.
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。
The present creation pertains to a pharmaceutical prescription information inquiry / distribution device, a pharmaceutical prescription information inquiry / distribution method, along with a pharmaceutical prescription information inquiry / distribution system.
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、本システムを介して為された一連の照会履歴を審査支払機関及び保険者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。
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The health-related prescription information inquiry / distribution process In accordance with declare one, whereby the healthcare prescription is gained from the clinical establishment for every professional medical practice, and insured information (healthcare insurance policies linked information, injuries and disease) offered through the clinical establishment at time of inquiry.
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Concurrently, for prescribed drugs that meet the required situations, access the coverage pharmacy database and Look at the dealing with and stock information in the prescription drugs at a number of coverage pharmacies near the tackle of the health care establishment or the insured. . Also, when an coverage pharmacy tends to make an inquiry with regard to the insurance policy application of a medication explained inside of a prescription issued by a clinical establishment, the existence or absence of the inquiry history With all the prescription issuing health care establishment and the result are distributed.
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Hereinafter, a flowchart of an illustration of an information inquiry / perseverance method will probably be explained with reference to FIG. Very first, the necessary information is received within the examination payer / insurance provider / insurance policy medical institution / coverage pharmacy. The information and specified disorders for being received from the assessment payer as well as the insurance provider are as explained over.
An illustration of the configuration of these types of an information system is shown in FIG. In this instance of information system, a minimum of Exhibit and output device / input unit / details storage such as normal personal computer with communication means mounted in Each individual of assessment spending institution, insurer, insurance professional medical institution, insurance coverage pharmacy And a central procedure that performs information inquiry / determination are linked by using a conversation line including the net.
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