JP2002169890A - Method for preparing/handing over medicine in prescription pharmacy and support facility - Google Patents

Abstract

PROBLEM TO BE SOLVED: To reduce a patient burden while maintaining profit by specialization between a doctor and a pharmacist and to solve as many problems as possible such as long-term medication on the basis of utilizing a plurality of medical institutions and prescription pharmacies. SOLUTION: In this method for preparing a medicine and handing the medicine over, a medical institution issues combination paper on which a prescription, the location of the patient and his/her desired delivery time (S1), the patient facsimiles the contents of the combination paper to a pharmacy (S2), a pharmacist of the pharmacy, who has received the facsimile calls at the location of the patient, collects the original of a prescription (S3), another pharmacist also prepares a medicine on the basis of the facsimile contents in advance (S4) and prepares a medicine by collating the collected prescription with the facsimile and the prepared medicine (S5), and then delivers the medicine to the house of the patient (S6).

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a dispensing / delivery method for a drug in a dispensing pharmacy, a combined sheet used in the method, a preparation support facility in a dispensing pharmacy, a collection / delivery instruction sheet, and a drug taking history list sheet.

[0002]

2. Description of the Related Art When a medical institution, which is a prescription issuer for prescribing a drug to be administered to a patient, also serves as a pharmacy that sells the drug based on the prescription, it is necessary to increase the profit from selling the drug. The types and amounts of prescribed drugs tend to be large. In addition, when a patient receives a medicine at a pharmacy in a medical institution, the patient often waits for a long time. In order to reduce such adverse effects, it is desirable to separate a medical institution that issues a prescription from a dispensing pharmacy that sells drugs based on the prescription. In recent years, a policy of so-called division of medicine has been established, and in addition to direct medical examinations and treatments at medical institutions, patients only issue prescriptions for drugs to be administered based on medical examinations, and patients can use the issued prescriptions. Receiving and purchasing medicines at pharmacies according to prescriptions are increasing.

[0003]

SUMMARY OF THE INVENTION The above-mentioned policy of division of labor of medicine has the advantage that medical institutions can perform more efficient medical treatment because they can concentrate on medical examination and treatment. In addition, since a large number of patients and prescriptions are collected for a dispensing pharmacy, there is an advantage that a more efficient drug sales can be performed than in the past. However, for a patient, after receiving a medical examination at a medical institution and receiving a prescription, it is necessary to bring the prescription to a dispensing pharmacy separate from the medical institution, present the prescription, and purchase the medicine. Therefore, it is complicated for patients who are severely ill or injured or who have a disability, and especially when there is no dispensing pharmacy near home or a medical institution, they are forced to go out, which takes time and costs.

Further, when a patient is examined at a plurality of medical institutions such as surgery, internal medicine, and otolaryngology and obtains a prescription separately, overlapping medication may occur for a particular pharmacological substance or so-called interaction between different drugs may occur. There is a problem that causes the health of the patient to occur. In the case of purchasing a drug at a separate dispensing pharmacy after consultation at a separate medical institution, for the same drug, medication can be continued for more than a prescribed period to prevent the occurrence of drug resistance such as bacteria, so-called Problems with long-term medication may occur.

The first object of the present invention is to reduce the burden on a patient while maintaining the above-mentioned policy of division of medicine and the benefits thereof. Further, it is a technical object of the present invention to solve as much as possible the above-mentioned problems caused by using a plurality of medical institutions and dispensing pharmacies.

[0006]

According to a first aspect of the present invention, there is provided a method for dispensing and delivering a drug to a patient based on a prescription of the drug to be administered to the patient. The contents of the prescription issued to the patient and the information of the patient's whereabouts were transmitted to the dispensing pharmacy via the communication means, and the medicine was prepared based on the transmitted contents of the prescription and transmitted. Visiting the patient based on the information of the patient's whereabouts to collect the prescription, collating the collected prescription with the prepared drug, dispensing, and then delivering the dispensed drug to the patient. .

In such a dispensing / delivery method, a visitor to the patient's home takes the prescription back to a dispensing pharmacy, and a dispensing qualified person who prepared the drug dispenses the prepared drug by comparing the prepared drug with the prescription. Then, it is preferable to visit the patient's home and deliver the medicine to the patient (claim 2). The communication means is preferably a facsimile (claim 3). It can also be an electronic mail (claim 4). Further, when delivering a drug to a patient, it is preferable to transmit supplementary information including a description of taking the drug (claim 5). Furthermore, after receiving the contents of the prescription and the information of the patient's whereabouts, a collection / delivery instruction is issued that separates the prescription collection data and the dispensed drug delivery data. It is preferable to perform prescription collection and drug delivery on the basis of the prescription (claim 6).

[0008] The prescription / information combined sheet of the present invention (claim 7) is characterized in that a column for listing home delivery information including the location of the patient is provided in addition to a column for a list of medicines. In such a prescription / information combined sheet, it is preferable that a prescription portion provided with a description column of a medicine list and a description column of home delivery information including a patient's whereabouts are arranged so as to be separable. (Claim 8). Further, the prescription portion provided with the description column of the medicine list and the description column of the home delivery information including the location of the patient may be provided on both sides (claim 9). Furthermore, it is preferable that the entry column of the home delivery information also serves as an intention confirmation column for requesting home delivery (claim 10).

[0009] A pharmaceutical preparation support facility in a pharmacy according to the present invention (claim 11) receives communication information for a medical institution used by a medical institution in a position to issue a prescription, and information on the prescription from the medical institution or a patient. For the communication device for the pharmacy, the communication line connecting the communication device for the pharmacy and the communication device of the medical institution or the patient, the information of the prescription received by the pharmacy via the communication line and the patient Management means for storing and managing personal information including a place of residence.

[0010] In such a support equipment, the management means includes a medicine bag containing the prepared medicine based on the prescription and the patient's personal information, a medicine taking history for taking the prescription patient and providing management guidance. It is preferable to have an issuance means for issuing at least one of a management record or a management list in place thereof, a medicine information report, a bill for dispensing remuneration, or a claim (claim 12). Further, the above-mentioned management means is provided with an audit support function for displaying at least one of overlapping drug administration related to preparation at the stage of drug preparation, interaction between a plurality of types of drugs, and long-term administration. Preferred (claim 13).

It is more preferable that the management means has a function of issuing a collection / delivery instruction sheet in which prescription collection data and dispensed drug delivery data are described (claim 14). Further, a dispensing qualified person visiting the patient's home can carry the medicine, and the management means displays and / or issues a medication use history management record or a management list in place of the medication use management record for instructing the patient to take and administer the medicine. For this purpose, a support facility further comprising a portable information terminal (claim 15) is preferable. In addition, it is preferable that the management means has a function of transmitting a medication state and patient information relating to the patient obtained by a dispensing qualified person who has visited the patient to a medical institution (claim 16). It is more preferable that such a portable information terminal has a function of transmitting the medication status and the patient information on the patient obtained by the dispensing qualified person who has visited the patient to the management means of the pharmacy (claim 17).

The collection / delivery instruction sheet of the present invention (claim 1)
8) is characterized in that data for collecting prescriptions and data for delivery of dispensed medicines are described. The medicine taking history management list sheet of the present invention (Claim 19) is provided with a column in which a plurality of medicines to be taken by the patient and a column in which the number of medicines dispensed for each medicine on each day of dispensing. It is characterized by having.

[0013]

According to the method of dispensing and delivering medicines of the present invention (claim 1), the contents of a prescription are transmitted to a dispensing pharmacy in advance through a communication line, so that preparation can be performed based on the contents. . In addition, since the prescription can be collected in parallel with the preparation of the drug, the time required for the entire dispensing can be reduced. Furthermore, since the dispensed medicine is delivered at the patient's residence, after receiving treatment / medical treatment at the medical institution, the patient can use a communication terminal such as a facsimile of the medical institution to transmit the dispensed medicine, so that the prescription can be collected and collected. A delivery service of the medicine after dispensing can be received. That is, it is very convenient because it is not necessary to go to a pharmacy on the way back from a medical institution, hand over a prescription, wait until the dispensing is completed, wait for the order, and receive and return home. Furthermore, since the original prescription is collated with the medicine prepared and collected, any misreading due to a defective communication line can be corrected at the time of collation, which is safe.

[0014] When the prescription is brought back to the dispensing pharmacy, the medicine is dispensed by checking it with the prepared medicine, and then the patient is visited and the medicine is delivered to the patient (Claim 2), the person who prepares the medicine directly receives the prescription. Since the original can be checked and collated with the prepared drug, it is more reliable.

[0015] When the communication means is a facsimile (claim 3), it is convenient because the transmitted contents can be easily compared with the original prescription. Further, when the communication means is an e-mail (claim 4), the transmitted electronic data can be taken into a management computer as it is, so that information management is easy and input errors can be prevented. In addition, if the electronic authentication unit is used, it is guaranteed that the received content is the same as the transmitted content, and if the encryption unit is used, the protection of privacy is further ensured.

[0016] When the supplementary information including the explanation of taking the medicine is transmitted to the patient when the medicine is delivered to the patient (claim 5), the patient can be instructed more safely on the method of taking the medicine and the like, and Questions can be answered immediately.

After receiving the contents of the prescription and the information on the patient's location, a collection / delivery instruction is issued in which data for prescription collection and data on the delivery of the dispensed medicine are issued. In the case where the prescription is collected and the medicine is delivered (claim 6), the collection instruction and the delivery instruction can be efficiently issued, and the identity of the prescription collection destination and the medicine delivery destination can be easily determined. Can be confirmed.

The prescription / information combined sheet of the present invention (Claim 7) is provided with a column for listing home delivery information including a patient's whereabouts, in addition to a column for a list of medicines, so that only one sheet can be faxed. The medicine to be dispensed and the delivery destination can be set and transmitted to the pharmacy. In addition, by filling in the patient's whereabouts and the like, the intention of the patient for the delivery can be estimated to some extent. Further, the prescription / information combined sheet (claim 8), in which the prescription portion and the description field of the home delivery information are arranged so as to be separable, can be used as a normal prescription if only the prescription portion is separated. . Therefore, information such as the facsimile number of the pharmacy and the desired delivery time can be described in the home delivery information portion, which is convenient for both the patient and the pharmacy.

Further, the prescription portion and the description column of the home delivery information are
The prescription / information combined sheet provided on the front and back (claim 9) can reduce the size of the sheet. Further, the user can input a number while viewing the facsimile number described in the home delivery information. When facsimile is performed on the part of the home delivery information, for example, redial may be performed.

The prescription / information combination sheet (claim 10), in which the entry field of the home delivery information also serves as an intention confirmation field indicating that the home delivery is desired, can confirm the patient's intention more reliably. Such an intention confirmation column can be provided, for example, with characters “I want / do not want home delivery” and a blank for checking.

The pharmaceutical preparation support equipment of the present invention (claim 1)
In 1), the patient can immediately communicate the information on the prescription issued to the patient at the medical institution to the pharmacy communication device using the communication device for the medical institution. At the pharmacy, the information on the received prescription is input into the management means or directly taken in, and the drug is prepared in advance based on the information on the prescription and the information on the patient's whereabouts. can go. Therefore, the time required for dispensing is reduced, and the management of the patient's personal information is also ensured.

[0022] The management means may include at least one of a medicine bag, a medication history management record or a management list in place of the medication bag, a medication information provision document, a dispensing fee bill or a receipt, based on the prescription and the patient's personal information. In a support facility having an issuing means for issuing (claim 12), a medicine bag and other necessary documents required for dispensing based on a prescription and personal information can be efficiently created.

[0023] In the support equipment, wherein the management means has an audit support function for displaying at least one of overlapping drug administration, drug-drug interaction, and long-term administration, a pharmacist (dispensing qualification) is provided. ) Can be performed efficiently, and problems such as double medication of drugs can be more reliably eliminated.

[0024] A support facility having a function of issuing a collection / delivery instruction in which the management means includes prescription collection data and dispensed drug delivery data.
In 4), there is no transcription error when creating a collection / delivery instruction from the contents of the prescription received from the patient and the data of the location of the patient who is the delivery destination. Further, since a prescription collection instruction and a medicine delivery instruction can be prepared immediately, a series of medicines can be efficiently dispensed.

[0025] In the support equipment provided with the predetermined portable information terminal (claim 15), the pharmacist can visit the patient's house with the information terminal. Therefore, access to the pharmacy management means to display and print out a medication history record or a list of alternative medication management to provide patients with medication and supervision guidance, Guidance can be performed efficiently.

[0026] Further, when the management means has a function of transmitting a medication status and patient information relating to the patient obtained by a dispensing qualified person who has visited the patient to a medical institution (claim 1).
6) The information obtained from the patient by the dispensing qualified person can be immediately transmitted to the medical institution. Therefore, a precise dispensing service can be provided to the individual patient.

[0027] Further, when the portable information terminal has a function of transmitting the medication status and the patient information relating to the patient obtained by the dispensing qualified person who visited the patient to the management means of the pharmacy (claim 17), The dispensing qualified person visiting the patient can immediately send the patient information from the information terminal to the management means, and can further transfer the information to a medical institution.
Thereby, a dispensing service can be performed in real time.

Since the collection / delivery instruction sheet of the present invention describes the data for collecting prescriptions and the data for delivering the dispensed medicine, it is easy to confirm the identity between the collection destination and the delivery destination. Can be. Furthermore, when the collection clerk and the delivery clerk are concurrently assigned, the collection and delivery instructions can be issued accurately. Therefore, prescription collection and drug delivery can be performed efficiently.

Since the drug administration history management sheet of the present invention has a column in which a plurality of medications to be taken by a patient and a column in which the quantity of each medication is dispensed for each dispensing day. If the pharmacist looks at the list, they can immediately notice if there is a problem with double medication or long-term medication. In addition, even if the patient neglects to go to a medical institution and discontinues taking the medicine, he / she can easily notice, and the patient can easily confirm the next day to go to the medical institution.

[0030]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Next, referring to the drawings, the method of dispensing / delivery of a drug of the present invention, a combined sheet used in the method, a preparation support facility in a dispensing pharmacy, a collection / delivery instruction sheet, and a history sheet for taking a drug will be described. Form will be described. FIG. 1 is a flowchart showing one embodiment of the dispensing / delivery method of the present invention, FIG. 2 is a front view showing one embodiment of the combined sheet of the present invention, and FIG. 3 is an explanation showing one embodiment of the support equipment of the present invention Fig. 4 is a flowchart showing an embodiment of a flow on the medical institution side of the dispensing / delivery method of the present invention, and Figs. 5 and 6 sequentially show an embodiment of a flow on the pharmacy side of the dispensing / delivery method of the present invention. FIG. 7 is a front view showing an embodiment of a collection / delivery instruction sheet of the present invention, FIG. 8 is a front view showing an embodiment of a medicine taking history management list sheet of the present invention, and FIG. FIG. 10 is a front view showing an embodiment of a prescription and an information sheet used in the dispensing / delivery method of the present invention. FIG. 11 is another front view showing another embodiment of the dispensing / delivery method of the present invention. Showing the embodiment of the present invention , Figures 12a and 12b
11 is a schematic perspective view showing an embodiment when facsimile is performed on the prescription and the information sheet shown in FIG.

FIG. 1 shows a basic flow of one embodiment of the dispensing / delivery method of the present invention. According to this method, a medical institution first issues a prescription / information combined paper (hereinafter, simply referred to as a combined paper) in which a prescription and a patient's whereabouts are written together to a patient (first step S1). At this time, the medical institution may check in advance which pharmacy the patient will request for dispensing from the patient, and according to the response, may issue a prescription only or a combination paper. Next, the patient receiving the combined paper facsimile the combined paper at the dispensing pharmacy selected by himself (second step S2).

Next, the pharmacist of the dispensing pharmacy receiving the facsimile visits the patient's house based on the data of the patient's whereabouts of the combined paper and collects the prescription (third step S3), and another pharmacist prepares the prescription. Based on the data,
A drug is prepared in advance (fourth step S4). Further, the collected medicine, the prescription by facsimile, and the collected prescription are collated (fifth step S
5). As a result, it becomes a dispensing, so that it can be delivered.
After that, the collected pharmacist or another pharmacist delivers the dispensed medicine to the patient's home and delivers it (Sixth Step S
6).

Although it is not possible under current laws and regulations,
If the regulations are relaxed, the pharmacist will bring the prepared medicine and the received facsimile when visiting the patient's home,
Collection of prescriptions at the patient's home (third step S3), collation (fifth step S5), and delivery (sixth step S5)
6) can be performed together. In that case, the number of visits is only one and the labor can be saved. However, if an error is found by collation, take it back to the pharmacy for correction,
It takes time and effort. If laws and regulations are relaxed, the collection operation can be performed by persons other than qualified dispensers.

The combined paper that the patient facsimile uses in the dispensing / delivery method of FIG. 1 has, for example, the form shown in FIG. That is, the combined paper 10 is roughly divided into a prescription 11 on the left side and a personal information column 12 on the right side, and the prescription 11 has a column of conventionally known or legally defined items. For example, "prescription" at the top
, A column 14 such as a “public expenditure number” is provided below, and a column 1 of the patient's “name” is
5 are provided. Below this, there is provided a column 16 for the prescription of the medicine to be administered, which is the original content of the prescription.
At the bottom, there is provided a column 17 in which the name of the pharmacy and the name of the person in charge of dispensing, which indicates that the dispensing has been performed in accordance with the prescription, are entered and stamped. The frame lines and titles of each column are printed in advance, and except for the column 17 of the name of the pharmacy, the name of the person in charge of dispensing and the seal, the information is described at the medical institution where the consultation was conducted.

On the other hand, a facsimile number display 21 is provided at the upper end of the personal information column 12 of the combined paper 10, and below it,
There is provided a column 22 for selecting a regular flight or an urgent flight, and a column 23 for selecting or describing a desired delivery time. Below this, there is provided a column 24 for describing the destination address. The frame line of each column, the display 21 of the facsimile number, the selection column 22 for "urgent flight" or "normal flight", and the contents of the desired time selection column 23 are usually printed in advance.
However, in the case where a medical institution prepares unified paper, leave the facsimile number display 21 blank.
The patient may fill out the information or ask the patient's intention, and then the medical institution may write the information. When using the combination paper 10 in which a facsimile number is described in advance, the medical institution asks the patient for a pharmacy name that is familiar to the patient, and then writes the name on the prescription 11 using the predetermined combination paper 10.

In the embodiment shown in FIG. 2, a cutoff line 25 is provided between the prescription 11 and the personal information column 12.
The cutout line 25 may be a printed broken line or the like, or may be a perforation. When cut along the cut line 25, the left prescription 11 becomes a normal prescription, and can satisfy the legal obligation to store prescriptions.

FIG. 3 shows an embodiment of a drug preparation support facility 30 for smoothly performing the dispensing / delivery method of FIG. The support equipment 30 includes a communication terminal 32 installed in each medical institution 31, a communication terminal 34 installed in a pharmacy 33, and a public communication line 35 interconnecting them. In this embodiment, the communication terminal 34 of the pharmacy 33 and the communication terminal 37 of the patient's home 36 are also connected to the public communication line 3.
5 are connected. However, the communication terminal 37 of the patient's house 36
Is not required. Also, a pharmacy pharmacist 3 visiting the patient's home
Reference numeral 8 carries a portable communication terminal 39 connected to a public line by mobile communication. The portable communication terminal may be a mobile phone in addition to a portable computer.

Examples of the communication terminal 32 of the medical institution 31 include a facsimile, a dedicated communication terminal, and a general-purpose computer (including a personal computer and a server) connected to the Internet. The standard of facsimile is
For example, G3 or super G3 is preferable. This is because few users own the G4 facsimile.
Note that Internet facsimile via a computer, electronic mail, and the like can also be used. Medical institution 3
A computer 41 is connected to one communication terminal 32. However, the computer 41 may also serve as the communication terminal 32. In the computer 41, support software for a medical institution, which will be described later, such as software for an Internet browser, other communication software, and software for patient management function, prescription issuing function, and data communication with a pharmacy are installed.

The communication terminal 34 of the pharmacy 33 includes a facsimile and a computer connectable to the communication terminal 32 for the medical institution. Further, a computer 43 for managing various operations of the pharmacy is connected to the communication terminals 32. Known management application software such as a database for managing patient's personal information and software for drug stock management is installed in the management computer 43. Further, in this embodiment, software for creating and issuing a collection / delivery instruction is installed. The database for managing personal information includes a medication history management book, a medication administration history list created or output based on the medication administration history management book, and the like.

Next, with reference to FIGS. 4 to 6, a specific flow of a method of dispensing and delivering a medicine using the support equipment will be described. First, the operation of the medical institution will be described with reference to FIG. In a medical institution, when a doctor examines a patient and determines a medicine to be taken, first, a draft of a prescription is created (11th step S11). Then, input the prescription data (No. 1
2 step S12), collate with personal information of the medicine taking history database, and confirm whether there is any problem (13th step S13). If there is a problem, the process returns to step S11 for creating a prescription plan. If there is no problem, the contents of the prescription are determined and stored (14th step S14).

Thereafter, or in steps S11 to S11 described above.
In parallel with 14, a pharmacy to purchase a drug, such as a pharmacy visited by the patient, is heard (15th step S15). Then, it is determined whether or not the pharmacy is performing a delivery operation (16th step S16). If the pharmacy is performing a delivery operation, the contents of the prescription are output to the combined sheet 10 as shown in FIG. Deliver (first step S1 in FIG. 1).
On the other hand, in the case of a pharmacy that does not perform delivery work, it simply outputs a normal prescription and delivers it to the patient (18th step S18).

The patient who has received the combined sheet uses the facsimile (communication terminal 32) installed in the medical institution 31 shown in FIG.
4 (second step S2 in FIG. 1). Thereby, personal information including the contents of the prescription and the location of the patient is transmitted to the pharmacy 33. Thereafter, the patient cuts off the combined sheet 10 along the cut line 24 in FIG. 2, takes only the prescription 11 home, and stores the personal information column 12 at the medical institution 31. In addition,
The above facsimile transmission can also be performed by a person in charge of the medical institution according to the patient's intention. In this case, the prescription 11 is similarly delivered to the patient, and the personal information column 12 is stored in the medical institution 31.

When the patient facsimilely uses the combined sheet at a specific pharmacy, he / she has requested the pharmacy to deliver the medicine.
Using the public line 35, data such as the contents of a prescription, personal information of a patient, and a person in charge of issuing a prescription can be transmitted as digital data. In that case, the data can be taken directly into the computer 43 of the pharmacy, which is efficient and can prevent erroneous input.

FIG. 5 shows the flow of operations performed on the pharmacy side. The pharmacy first accepts the facsimile of the combined paper (step S21). Next, the contents of the combined paper are separated, and the contents of the prescription, the data of the location of the patient, and the data of the desired delivery time are input to the computer (reference numeral 43 in FIG. 3) (22nd step S22). When digital data is sent from a medical institution, the digital data can be directly captured (step S23).
23). Next, the order of processing is determined based on the desired delivery time, and an instruction to change the processing is issued if necessary (24th step S24).

Next, the computer issues a prescription collection instruction and a delivery instruction based on the data of the patient's location (25th step S25). The pharmacist in charge of collection and delivery first visits the patient's house according to the collection instruction to collect the original prescription (the third step S in FIG. 1).
3). At the same time, the facsimile receiving paper or the output prescription data is checked against the drug administration history record and audited for problems such as duplicate medication, interaction, and long-term medication (No. 2).
6 steps S26). If there is any problem, contact the doctor who created the prescription and confirm it (Step 27 in step S2).
7). If changes are required, change the prescription and save the changes. If there is no problem, or if it is changed, the prescription data is transmitted to the pharmacist in charge of preparing the drug. The pharmacist prepares a medicine in advance based on the prescription data and packs it in a medicine bag (fourth step S in FIG. 1).
4). The label on the medicine bag is printed out in advance by a computer.

Next, the pharmacist in charge of dispensing checks the contents of the collected prescription against the contents received by facsimile and the prepared medicine (fifth step S5 in FIG. 1).
If there is no problem as a result of the comparison, the pharmacist in charge of dispensing signs and seals the prescription and, in some cases, signs the delivery instruction sheet. Thereby, the dispensing action is completed. The pharmacist in charge of preparation and the pharmacist in charge of dispensing may be different persons,
Usually, the same pharmacist is also in charge.

Next, the pharmacist in charge of delivery delivers a drug administration history management list sheet previously output from the database of the patient's personal information, a drug information provision document describing the type and effect of the drug, and a facsimile receipt sheet for the prescription. Then, the medicine packed in the bag and the delivery instruction are packed in the bag to prepare for delivery (28th step S28). Preferably, the pharmacist in charge of delivery also serves as the pharmacist in charge of collection. Next, the pharmacist in charge of the delivery visits the patient's home, instructs on how to take the medicine, and hands the medicine (the sixth step S6 in FIG. 1).

The pharmacist who has visited the patient's home hears information such as the patient's medication status and side effects of medication, and transmits the data to the computer 43 of the pharmacy 33 using the portable communication terminal 39 brought in as shown in FIG. . In addition, when the medicine taking history list sheet or the medicine information provision book brought is insufficient, the communication terminal 39 is used to extract desired information from the computer 43 of the pharmacy and provide it to the patient.

As described above, by using the support equipment, a series of operations such as preparation of a prescription, prior arrangement of a drug at a pharmacy, collection of the original prescription, collation of the prescription with a facsimile machine, and delivery of a drug to a patient are performed. Work can be performed very efficiently, and errors are reduced. For patients, in particular, returning to home from a medical institution allows them to collect prescriptions from the pharmacy and deliver the dispensed medicine at the appropriate time, making it easier for them. In addition, there is an advantage that accurate information of a medicine can be provided.

FIG. 7 shows a sheet (collection / delivery instruction) 50 in which the above-described collection instruction and delivery instruction are combined. The sheet 50 has a storage column 51 for a pharmacist at the left end, a delivery column 52 at the upper right side, and a prescription receiving (collecting) column 5 at the upper right end.
3 are provided. In each of the columns 51 to 53, a patient name 54, an address 55, and a desired time zone 5 for collection / delivery are shown.
6 are provided, and these are the collection instructions in FIG.
At step S25 for issuing a delivery instruction, the print instruction is printed out by a computer. In the storage column 51 for the pharmacist, a column 5 in which the actual time of receiving the prescription and delivering the medicine is further entered.
7, 58, a column 59 for selecting an accounting method, and a column 60 for imprinting / signing a patient receiving a medicine are provided.

In the lower part of the delivery column 52 and the prescription reception column 53, when the patient is absent,
An absent notice wording 61 stating that "visited but was absent, so we would like to inform you of the next visit time" and an absent notice column 63 stating a contact address 62 are provided.
The absence notification columns 63 can be easily separated by a cut line 64. In addition, the upper part of the delivery column 52 and the prescription reception column 53 are also connected to the storage column 51 by a cut line 65 in order. Therefore, when receiving the prescription, the prescription reception column 53 can be separated and handed to the patient as a copy. Then, the next time the medicine is delivered, the delivery column 52 can be separated and delivered to the patient.

FIG. 8 shows the above-mentioned drug administration history management sheet 6.
7 is shown. The list sheet 67 is provided with a column 68 in which the name of the patient is described at the top, and a list 68 of the medication history (actually, the history of the drug handed over to the patient by the pharmacy so far) is described below the column 68. ing. The list 68 includes, in order from the left end, a clinic 69 that prescribes the drug and a drug name 7
0, usage 71, dosage 72, and a plurality of date columns 73 are arranged, and a blank column 74 is provided in the vertical direction in which numerical values and items corresponding to each drug are described.

It should be noted that the usual drug administration book contains, for each date when a drug is delivered to a patient, the type of drug delivered at that time,
Only the usage and dosage are described. For this reason, it is difficult to perform management focusing on a specific drug, for example, consistency between the dose of the delivered drug and the administration period (excessive / underdosage, etc.) and long-term medication. However, in the list sheet 67 of FIG. 8, if you look at the horizontal columns for each drug, the consistency between the dose and the administration period and the presence or absence of long-term medication can be seen at a glance, so that those problems can be avoided more reliably. There are advantages. Also, it is easy for the patient to know the next scheduled medication date. Furthermore, since the dose of the drug that should be left can be compared with the dose remaining at the present time, it is easy to manage overdose and forgetting to take.

FIG. 9 shows another embodiment of the combined paper of the present invention. This combination paper 10 has a prescription 11 and a personal information column 12 which are almost the same as those in FIG. 2, but the personal information column 12 does not display the facsimile number of a specific dispensing pharmacy, and is used more commonly. can do. for that reason,
For example, a column 26 indicating a pharmacy to be selected by a patient, which is displayed as "name of a family pharmacy", is provided. In addition, a selection column 27 is provided to allow the patient to select whether to bring the drug to the pharmacy by himself / herself or to deliver the drug from the pharmacy, so as to clarify the intention of the patient. Such a selection field 27
In columns 27a and 27 with blanks, for example, "() Bring to pharmacy", "() Delivery from pharmacy", etc.
Preferably, b is provided. In that case, the patient can express his intention simply by checking one of the blanks.

Further, for the patient who has selected "Bring to a pharmacy", the user is asked whether "() Prescription is to be faxed and brought to the family pharmacy" or "() Prescription is to be brought directly to the family pharmacy". It is preferable to make it selectable. When the former is selected, the drug can be prepared in advance at the family pharmacy. In addition, as shown in FIG. 8, it is possible to prepare in advance materials for taking guidance such as a medicine taking history management sheet. This greatly reduces the waiting time for patients visiting pharmacies,
A pharmacy can take a sufficient time for preparation.

That is, in the flowchart of FIG. 1, the first step S1, the second step S2, the fourth step S4
Is carried out as it is, and a step "patient brings a prescription to the pharmacy" is entered instead of the collection in the third step. Then, after the fifth step S5 of completing the dispensing action by collating the prescription brought by the patient with the pre-prepared medicine, the procedure is followed by the step of "handing over the dispensed medicine to the patient at the pharmacy". In addition, you may make it follow the 6th step S6 of delivering a medicine to a desired patient, without delivering it to a pharmacy.

On the other hand, for a patient who has selected “delivery from a pharmacy”, for example, “() a prescription is sent to a pharmacy by facsimile in order to clarify the intention of requesting the pharmacy to collect the prescription. It is preferable to provide a column for "recover" and check the blank.

The column 22 for selecting “regular service” or “urgent service”, the column 23 for describing the desired time of home delivery, the column 24 for describing the destination address, and the like are shown in FIG.
Same as 0. Further, the personal information entry column 12 clearly indicates that the medical institution is to be stored, and a column 29 for recording the date of the storage is provided, or the patient's name column 29a is provided to allow the patient to write the information by hand. It is preferable to confirm the intention. In addition, a description field 29 for the patient's telephone number
If b is provided, it is convenient when confirming the presence of home at the time of prescription collection or delivery of medicine, or when making other communications.

In the above embodiment, when the contents of the prescription are communicated from the patient to the dispensing pharmacy in advance, the combination sheet 10 in which the prescription and the personal information column are arranged on one sheet is used. In FIG. 10, as shown in FIG. 10, a separation sheet 80 in which the prescription 11 and the information sheet 12a are separated can be used. The information sheet 12a is shown in FIG.
It may be. When the separation sheet 80 is used, the flowchart of FIG. 1 is as shown in FIG. That is, in the first step S1, a medical institution issues a prescription to a patient, and the patient writes personal information on a predetermined sheet to create an information sheet. In the second step S2, the patient transmits the prescription and the information sheet to the dispensing pharmacy, and the third step S2
In 3, the pharmacist need only receive the prescription. As described above, even when the separation sheet 80 is used, substantially the same operation and effect as when the combined sheet is used can be obtained.

When a patient transmits a separation sheet 80 consisting of two sheets, a prescription and an information sheet, in the case of a facsimile provided with a usual paper feeder, for example, FIG.
As shown in a, the information sheet 12a and the prescription 11 are superimposed, set vertically or horizontally on the facsimile apparatus, and transmitted to the dispensing pharmacy. At the dispensing pharmacy that has received, if the facsimile machine is of the type that does not cut continuous paper, it can be received in the same form as the combination sheet, and thereafter, as in the case described above, the prescription 11 and the information paper 12
and a. On the other hand, in the case of a facsimile of a type that automatically cuts one sheet at a time, since the facsimile can be received in the form of the separation sheet 80, the trouble of cutting can be saved.

Further, in a facsimile apparatus of a type in which a document to be transmitted is placed on a document table and scanned, for example, a copier and a facsimile are integrated, as shown in FIG. Stand 8
1 may be transmitted, and in that case, the dispensing pharmacy can receive the same form as the combined sheet. Further, the prescription and the information sheet can be copied side by side by a copying machine in advance, and the obtained combined sheet can be transmitted by facsimile.

On the other hand, in the case of a combined sheet in which a prescription and personal information (delivery information) are provided on the front and back sides, for example, after the front side is transmitted, the sheet is set on the back side and then transmitted by redial.

[Brief description of the drawings]

FIG. 1 is a flowchart showing one embodiment of a dispensing / delivery method of the present invention.

FIG. 2 is a front view showing one embodiment of the combined sheet of the present invention.

FIG. 3 is an explanatory diagram showing one embodiment of a support facility of the present invention.

FIG. 4 is a flowchart showing an embodiment of a flow on the medical institution side of the dispensing / delivery method of the present invention.

FIG. 5 is a flowchart showing an embodiment of a flow on the pharmacy side of the dispensing / delivery method of the present invention.

FIG. 6 is a flowchart following FIG. 5;

FIG. 7 is a front view showing an embodiment of a collection / delivery instruction of the present invention.

FIG. 8 is a front view showing one embodiment of a medicine taking history management list sheet of the present invention.

FIG. 9 is a main part front view showing another embodiment of the combined sheet of the present invention.

FIG. 10 is a front view showing an embodiment of a prescription and an information sheet used in the dispensing / delivery method of the present invention.

FIG. 11 is a flowchart showing another embodiment of the dispensing / delivery method of the present invention.

FIG. 12a and FIG. 12b correspond to FIG.
1 is a schematic perspective view showing an embodiment in which a prescription of No. 0 and an information sheet are facsimile.

[Explanation of symbols]

 10 Combined Paper 11 Prescription 12 Personal Information Field 12a Information Form 13 Title 14 Public Expenses Field 15 Patient Name Field 16 Prescription Field 17 Name / Seal Field 21 Facsimile Number Display 22 Selection Field 23 Desired Time Selection Field 24 Address Entry column 25 Cut-off line 26 Selected pharmacy name entry column 27 Bring / delivery selection column 29 Date column 29a Patient name entry column 29b Patient phone number entry column 30 Support facilities 31 Medical institution 32, 34, 37, 39 Communication terminal 33 Pharmacy 35 Public line 36 Patient home 38 Pharmacist 41, 43 Computer 50 Sheet (collection / delivery instruction) 51 Storage column 52 Delivery column 53 Receipt of prescription (collection) 54 Patient name 55 Address 56 Time zone 57, 58 Actual Time entry column 59 Accounting method selection column 60 Sign column 61 Absence notification text 62絡先 63 Absence notification space 64,65 tear line 67 List sheet 68 List 69 clinics 70 drug name 71 usage 72 doses 73 date column 75 blank 80 separated sheet 81 platen

Claims (19)

[Claims] 1. A method of dispensing a medicine based on a prescription of a medicine to be administered to a patient and delivering the dispensed medicine to the patient, wherein the contents of the prescription delivered to the patient and information on the whereabouts of the patient are determined. It is transmitted to the dispensing pharmacy via the communication means, the drug is prepared based on the content of the transmitted prescription, the patient is visited based on the transmitted information of the patient's location, the prescription is collected, and then the prescription is collected. A dispensing / delivery method in a dispensing pharmacy, in which dispensing is performed by comparing the prepared prescription with the prepared drug, and then delivering the dispensed drug to a patient. 2. The method according to claim 1, wherein the prescription is taken back to a dispensing pharmacy, dispensed by comparing it with a prepared drug, and then visiting the patient's home to deliver the drug to the patient. 3. The method according to claim 1, wherein said communication means is a facsimile. 4. The method according to claim 1, wherein said communication means is an electronic mail. 5. The method according to claim 1, wherein when the medicine is delivered to a patient, supplementary information including a description of taking the medicine is transmitted. 6. After receiving the contents of the prescription and the information of the patient's whereabouts, issue a collection / delivery instruction describing data for collection of the prescription and data of delivery of the dispensed medicine,
3. The method according to claim 2, wherein the prescription is collected and the medicine is delivered based on the instruction. 7. A prescription / information combined sheet having a column for listing home delivery information including a patient's whereabouts in addition to a column for a drug list. 8. The prescription / information according to claim 7, wherein a prescription portion provided with a description column of a medicine list and a description column of home delivery information including a patient's location are separably separated. Combination sheet. 9. The prescription / information combined sheet according to claim 7, wherein a prescription portion provided with a description column of a medicine list and a description column of home delivery information including a patient's location are provided on both sides. 10. The prescription / information combined sheet according to claim 7, wherein the entry column of the home delivery information also serves as an intention confirmation column for requesting home delivery. 11. A communication device for a medical institution used by a medical institution in a position to issue a prescription, a communication device for a pharmacy for receiving information on a prescription from a medical institution or a patient, and a communication device for the pharmacy. A communication line connecting the communication device and a medical institution or a communication device of a patient, and a management unit for storing and managing prescription information received by the pharmacy via the communication line and personal information including the location of the patient. A pharmaceutical preparation support facility in a dispensing pharmacy, comprising: 12. The management means, based on a prescription and a patient's personal information, a medicine bag containing a prepared medicine, a drug use history management record for taking a prescription patient and providing management guidance or a substitute for the medication history record 12. The support facility according to claim 11, further comprising issuing means for issuing at least one of a management list, a drug information report, a dispensing fee bill, and a claim. 13. The management means has an audit support function for displaying at least one of overlapping drug administration, interaction between a plurality of types of drugs, and long-term drug administration related to preparation at the stage of drug preparation. The support equipment according to claim 11, which is provided. 14. The support facility according to claim 11, wherein said management means has a function of issuing a collection / delivery instruction sheet containing prescription collection data and delivery data of dispensed medicines. 15. A dispensing qualified person who visits a patient's home can carry the medicine taking history management record or a management list in place of the medicine taking management record for providing the patient with taking and management guidance. 12. A portable information terminal for issuing.
Support equipment as described. 16. The support facility according to claim 11, wherein said management means has a function of transmitting a medication state and patient information relating to the patient obtained by a dispensing qualified person who has visited the patient to a medical institution. 17. The support facility according to claim 15, wherein said portable information terminal has a function of transmitting a medication status and patient information relating to a patient obtained by a dispensing qualified person who has visited the patient to a pharmacy management means. . 18. A collection / delivery instruction sheet that describes prescription collection data and delivery data of dispensed medicines. 19. A medicine taking history management list sheet including a column in which a plurality of medicines to be taken by a patient and a column in which the number of medicines dispensed for each medicine for each day.