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Actions Pharmacology - How the drug operates in your body to elicit a response Pharmacokinetics/Dynamics - The magnitude of a drug's outcome is determined by the drug concentration at the positioning of action. The pharmacodynamics are expressed with regards to onset of action and duration of motion. Pharmacokinetics are expressed with regard to absorption, distribution (together with appearance in breast milk and crossing of the placenta), protein binding, metabolism, 50 %-lifetime distribution, time for you to peak, and excretion.
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。
Within the program operation phase, the next processing is carried out in actual time. Quite simply, inquiries relating to The provision of insurance policies coverage for prescription drugs from health treatment establishments are created by using conversation lines during Each individual health care practice, and these inquiries are as opposed Along with the input information and specified ailments in the assessment and payment institutions and insurers mentioned previously mentioned. Then, the assessment having to pay institution along with the insurance provider decide whether to reject the insurance policy application, distribute The end result to the professional medical institution, and display it over the terminal in the professional medical establishment by an enter / output screen as shown in FIG. Because of the dedication, In case the content material in the inquiry will not conform to your enter information and specified problems on the evaluation and payment institution and also the insurer, a pharmaceutical team enjoyable these is searched and determined and distributed towards the health care institution.
Turn out to be. As a result, one example is, the examination / payment company raises the prescription priority order of simpler medicines so that lots of healthcare establishments can prescribe the medicines. Consequently, the standard of healthcare expert services and also the fairness of expenditures among insured individuals Promoted. In addition, an increase in prescription of The most affordable drug between a plurality of drugs having precisely the same outcome will also be obtained, including reduction in drug charges for insurers and insured people.
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。
【選択図】図３[Challenges] To supply a process for offering a possibility for a health care establishment / insurance policies pharmacy to preferentially undertake a drugs that an insured / insurer or examination / payment establishment wishes to prescribe within the health care coverage procedure. Offered. [Signifies FOR Fixing Troubles] Entering / Keeping information on alternatives, prescription precedence order information of the insurance company, and problems / standards for acceptance of the receipt evaluation by an examination / payment establishment for your medication prescribed by an insurance plan clinical institution Inquiries concerning no matter if insurance plan for prescription drugs is obtainable for Each individual health care apply within the implies and medical institution, and if the inquiries match the specified disorders on the insurance provider / examination and payment Group based on particular information like indicators of your insured Implies to find out if the above inquiry articles would not match the required conditions, seek for other drugs that fulfill the desired ailments from the drugs specified from the insurer based on the insured's information like indicators A technique obtaining signifies for notifying a health care institution as a substitute and prompting the health-related establishment to reselect prescription contents. [Assortment] Figure three Description
At this time, There get more info exists an instance that aims to Increase the operate effectiveness by digitizing the clinical fee evaluation ask for as an alternative to writing, but This is certainly geared toward labor preserving of office get the job done in the clinical establishment.
) presented from the health-related institution at some time of inquiry and information obtained ahead of time And in real-time if the desired problems in the insurer to whom the insured is affiliated and the assessment and payment Group in charge are satisfied.
The pharmaceutical prescription information inquiry / distribution process according to assert one, wherein a series of inquiry histories built by way of the program is distributed to an examination payment Firm and an insurance provider.
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。
1st, in FIG. one, the functions connected to the information program on the current invention will probably be clarified. This information method includes a medical establishment that prescribes prescribed drugs into the insured, an insurance pharmacy that dispenses prescription drugs based upon a prescription issued by the health care institution and provides them to your insured, an insurance company that bears medical insurance policy fees, and An assessment / payment institution that examines medical price particulars from clinical institutions / insurance policies pharmacies is related. Just about every party delivers the information procedure with a number of essential information to get explained afterwards.Within the information system, (1) information on possibilities and prescriptions of the insurance provider for drugs prescribed via the insurance coverage health care establishment to the insured Enter / maintain wished-for precedence information, (two) Enter / keep disorders / benchmarks for acceptance of receipt evaluation by evaluation / payment Business, (3) Inquire about availability of insurance for prescription drugs from healthcare institutions for every clinical follow Depending on individual information such as acceptance, insured's symptom, professional medical heritage, age, and so on.
Any time a medical establishment prescribes medicines, the insured (patient) is examined by a health care provider within the health medical establishment, the health care provider issues a prescription dependant on the prognosis end result, and also the drugs is dispensed within the insurance plan pharmacy depending on the prescription , Supplied. With regards to boasting the price of medicines covered by insurance plan, health-related establishments and insurance policy pharmacies, etc.
最後に、一連の照会履歴を審査支払機関及び保険者に配信し、情報照会・判定の手順を終了する。