JP2002312482A - Medical pharmaceutical dispensing and selling system and pharmaceutical dispensary supporting system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a pharmaceutical dispensary supporting system allowing the small sales of medical pharmaceuticals and eliminating the need for individual inventory control, account settlement of orders and claims to a health insurance group at the side of a hospital or a pharmaceutical dispensary. SOLUTION: The pharmaceutical dispensary supporting system 1 comprises a pharmaceutical dispensary terminal device 5 installed in a hospital or a pharmaceutical dispensary 4 and having communication function for inputting pharmaceutical information and issuing the claim statements of medical fees and a stock center device 3 installed in a medical pharmaceutical stock center 2 adaptable for medical pharmaceuticals in stock and having communication function. When small orders for medical pharmaceuticals are received by the pharmaceutical dispensary terminal device 5 under the control of the stock center device 3, dispensing delivery of the medical pharmaceuticals is processed for the hospital or the pharmaceutical dispensary 4 and inventory control of the medical pharmaceuticals is performed in the hospital or the pharmaceutical dispensary 4 in which the terminal device 5 is installed. In addition, account settlement with the health insurance group is performed for supporting financial affairs for the pharmaceutical dispensary.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

TECHNICAL FIELD The present invention relates to the divisional sale of ethical drugs based on dispensing information at hospital pharmacies and dispensing pharmacies.
The present invention relates to a dispensing pharmacy support system capable of centrally managing inventory of ethical drugs at each dispensing pharmacy, etc., and claims to a health insurance union.

[0002] The present invention also relates to a prescription drug sales system used in the dispensing pharmacy support system.

[0003]

2. Description of the Related Art Conventionally, pharmaceutical wholesalers purchase pharmaceuticals from pharmaceutical manufacturers and deliver them to hospitals and dispensing pharmacies in box units (large units such as 500 tablets packaging). To respond to out-of-stock at a dispensing pharmacy, open the box as part of the service in case of emergency, etc.
After being subdivided into small units such as 0 tablet sheets, they are individually delivered.

[0004] Hospitals and dispensing pharmacies have a stock of prescription drugs, and order the prescription drugs by telephone or facsimile while watching the situation. The timing of ordering and the order quantity largely depend on the experience of employees and the like, and the ordering work is currently performed using a method of the past.

[0005] After examining the patient, the doctor prepares a prescription for the patient and instructs the pharmacy to dispense the necessary medicine to the pharmacy.
In the case of in-hospital prescriptions (prescriptions at pharmacies located in hospitals and clinics), drugs are delivered directly to patients in the hospital, but out-of-hospital prescriptions (prescriptions at pharmacies independent of hospitals and clinics) In the case of, the patient has the right to select a pharmacy.

[0006] A dispensing pharmacy dispenses on the basis of a prescription and delivers a medical drug to a patient. At the same time, the dispensing pharmacy inputs dispensing information into the receipt computer (a computer device that has a function of issuing a medical fee billing statement (recept) and inputting dispensing information), and requests the health insurance union for medical expenses, technical fees, etc. ing. Usually, 60 days after the end of the month, the amount paid is transferred from the health insurance union to the dispensing pharmacy. Most of the current reception consoles are of the stand-alone type and cannot be networked.

[0007]

The subdivision delivery (sales) of prescription drugs has not been systematically advanced in Japan, and dispensing pharmacies have to purchase from wholesalers in box units.
For this reason, each dispensing pharmacy is forced to have an excess inventory of ethical drugs exceeding the appropriate inventory. As a result, the cost of surplus stock, wasteful funding, and disposal loss due to the expiration of the use of items with a low turnover rate are putting pressure on the management of hospitals and dispensing pharmacies.

[0008] In the case of prescription drugs, the JAN code, the production lot number and the expiration date are not given to the small unit packaging. For this reason, in the event of an emergency or the like, in the case of partial delivery from the current wholesaler to hospitals and dispensing pharmacies, the lot numbers and expiration dates manufactured by hospitals and dispensing pharmacies become unclear. I have no control over whether I have dispensed prescription drugs.

Although the networking among wholesalers, hospitals and dispensing pharmacies is gradually progressing, the current situation is that online ordering and ordering systems are being used. Centralized management on the network including inventory management, distribution, settlement, health insurance claims, and dispensing information (pharmaceutical calendar management, side effect information, drug mixing information, etc.) has not been realized.

[0010] Therefore, hospitals and dispensing pharmacies manage proper inventory,
He is busy with daily tasks such as deposit and withdrawal settlement, insurance point calculation (insurance claims), and cannot concentrate on dispensing services required by pharmacists as a result of the division of medicine and providing sufficient medication guidance. Further, even if the division of medicine with the aim of reducing medical costs required by the government progresses in the future, a great load will be placed on each of the hospital and the dispensing pharmacy.

[0011] An object of the present invention is to provide a prescription drug which can perform subdivision sales operations including management of production lot management and expiration date of a prescription drug by managing dispensing information input to the reception computer through a new network. Is to propose a subdivision sales system.

Another object of the present invention is to provide a medical system which can automatically check inventory status, deliver (if necessary), make a claim to a health insurance union, and settle payments as soon as dispensing information is input. It is an object of the present invention to propose a dispensing pharmacy support system capable of centrally managing delivery, settlement, and information by networking drug distribution.

[0013]

Means for Solving the Problems In order to solve the above-mentioned problems, a system for dividing and selling prescription drugs of the present invention comprises:
Prescription drug stock centers are allocated for each prescribed hospital / dispensing pharmacy, and stocks of prescription drugs purchased from pharmaceutical manufacturers directly or through prescription drug wholesalers are stored in the prescription drug stock centers. According to an order from a pharmacy, the received pharmaceuticals are subdivided, the production lot number and the expiration date are attached to each, and the medicines are delivered to the hospital / dispensing pharmacy of the ordering source for delivery.

According to the present invention, a prescription drug is purchased at a prescription drug stock center in a unit that can be purchased from a pharmaceutical manufacturer, divided into small units which are convenient for each hospital / dispensing pharmacy, and further divided into small units. In order to be able to manage the ethical drugs divided into, the production lot number and the expiration date are given to these, and then these are ordered from each hospital and
Sold to dispensing pharmacies. Therefore, each hospital / dispensing pharmacy can purchase ethical drugs in small lots and does not need to have excess inventory. In addition, ethical drugs can be managed based on the production lot number and expiration date.

Next, the present invention is a dispensing pharmacy support system utilizing the prescription dispensing system for prescription medicines, which is installed in the hospital / dispensing pharmacy, inputs dispensing information, and claims for medical fees. A dispensing pharmacy terminal device having a communication function of issuing a medical product, and a stock center device having a communication function installed at a prescription drug stock center capable of storing prescription drugs.

The stock center device communicates with the dispensing pharmacy terminal device, and receives a small order for a prescription drug from the dispensing pharmacy terminal device via the communication portion.・ Equipped with a delivery processing unit that performs subdivision delivery processing of ethical drugs to dispensing pharmacies, and an inventory management unit that manages inventory of ethical drugs, and this inventory management unit It is configured to perform a replenishment order process.

Here, the stock center device is a medical pharmacy of a hospital / dispensing pharmacy where the terminal device is installed, based on the dispensing information provided by the dispensing pharmacy terminal device and the small order information of the prescription drug. It is desirable to have a dispensing pharmacy inventory management unit that performs inventory management.

Further, it is preferable that the stock center device includes a medicine information providing section capable of providing medicine information in response to a request from the dispensing pharmacy terminal device.

Further, when the dispensing information is provided from the dispensing pharmacy terminal device, the stock center device determines that the claim to the health insurance union of the hospital / dispensing pharmacy has been transferred to the stock center. The hospital /
It is preferable that a dispensing pharmacy be provided with a billing processing unit for performing a billing business process to a health insurance union and a payment business processing unit for performing a business process for paying a drug purchase amount to the medical drug wholesaler.

Further, it is preferable that the stock center device includes a drug price difference payment processing unit for performing a payment process for paying the drug price difference to the hospital / dispensing pharmacy.

According to the drug pharmacy support system of the present invention,
Until now, inventory management, billing to the health insurance union, payment to wholesale, etc., performed individually by each hospital / dispensing pharmacy, are collectively processed by the stock center device. Therefore, each hospital / dispensing pharmacy can concentrate on each specialized task without being busy with these tasks. Also, since drug information is centrally managed by the stock center,
Necessary information can be obtained quickly in real time.

[0022]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An example of a dispensing pharmacy support system to which the present invention is applied will be described below with reference to the drawings.

FIG. 1 is a schematic configuration diagram of a dispensing pharmacy support system of the present embodiment. As shown in the figure, the dispensing pharmacy support system 1 includes a stock center device 3 provided with a communication function and installed in a prescription drug stock center 2 capable of stocking prescription drugs, and a hospital or a dispensing pharmacy 4 (4).
-1, 4-2, 4-3, 4-4...), Each of which has a communication function for inputting dispensing information and issuing a medical remuneration billing statement. -1,
5-2, 5-3, 5-4,...). The stock center device 3 and each terminal device 5 constitute a network connected via a communication line, for example, the Internet 6.

The stock center device 3 mainly includes a computer, an input device such as a keyboard, an output device such as a display device and a printer.
Under the control of U, various processing operations are performed by executing a control program stored in the ROM or the like.

The stock center 2 has a pharmaceutical manufacturer 7
(7-1, 7-2, 7-3, 7-4 ...) directly
Alternatively, prescription pharmaceutical wholesalers 8 (8-1, 8-2, 8-3,
8-4 ...), stock the prescription medicines purchased, and subdivide the received prescription medicines according to the order from the hospital / dispensing pharmacy 4, and attach the production lot number and expiration date to each. Then, it is delivered to the hospital / dispensing pharmacy 4 of the ordering source and delivered.

FIG. 2 is a schematic functional block diagram of the stock center device 3. As shown in this figure, the stock center device 3 communicates with the dispensing pharmacy terminal device 5 and, via the dispensing pharmacy terminal device 5, sends a small order for a prescription drug from the dispensing pharmacy terminal device 5. Upon receipt, the delivery processing unit 10 performs a sub-delivery process of the prescription drug to the hospital / dispensing pharmacy 4, and a stock management unit 11 performs stock management of the prescription drug. The inventory management unit 11 executes a replenishment ordering process for the medical drug inventory as necessary.

Further, the stock center device 3 is based on the dispensing information provided from the dispensing pharmacy terminal device 5 and the small order information of the prescription medicine, and the medical / pharmacy pharmacy 4 of the hospital / dispensing pharmacy 4 where the terminal device 5 is installed. The system includes a drug pharmacy inventory management unit 12 that manages inventory of medicines, and a medicine information providing unit 13 that can provide medicine information in response to a request from the dispensing pharmacy terminal device 5.

Further, when dispensing information is provided from the dispensing pharmacy terminal device 5, it is determined that the claim of the hospital / dispensing pharmacy 4 to the health insurance union has been transferred to the stock center 2, and the hospital / dispensing pharmacy 4 is determined. A billing service processing unit 14 for processing a claim to the health insurance union in place of the pharmacy 4; a payment service processing unit 15 for processing a payment of a drug purchase amount to the medical drug wholesaler 8; And a drug price difference payment processing unit 16 that performs payment processing for payment to the user.

The storage unit 17 of the stock center apparatus 3 having this configuration stores various information necessary for processing in each of the above units. The storage information includes a wholesaler master 18, a pharmacy master 19, and a medicine master. 20, inventory data 2
1, order data 22, warehousing data 23, order data 24 from the hospital / dispensing pharmacy 4, and outgoing data 25 relating to retail sales (split sales) to the hospital / dispensing pharmacy 4.

Here, the prescription drug stock center 2
Is provided with a storage unit 26 for stocking prescription drugs purchased by the prescription drug wholesalers 8 from a drug manufacturer.
The prescription medicines stocked here are subdivided according to the order from the hospital / dispensing pharmacy 4, and each is given a JAN code, a production lot number, and an expiration date. To be delivered. This subdivision sales data processing is performed mainly by the delivery processing unit 10.

Next, the processing operation of the dispensing pharmacy support system 1 of this embodiment will be described with reference to FIG. For example, a prescription drug wholesaler 8 purchases a prescription drug from a drug manufacturer 7 and stores it in a box unit (50
(A large unit such as 0 tablets). Stock Center 2 is set up at a ratio of 100 to 200 in local dispensing pharmacies. Only the amount required by the hospital / dispensing pharmacy 4 is delivered (flow of arrow A).

Here, in the stock center device 3, inventory management at each hospital / dispensing pharmacy 4 is performed collectively, and dispensing provided from a terminal 5 of each hospital / dispensing pharmacy 4 via a network. The stock management information is automatically updated based on the information. Therefore, the stock center 2 can manage the proper stock of the hospital and the dispensing pharmacy 4 online, and the hospital and the dispensing pharmacy 4 order the necessary amount of the stock center 2 on the basis of the online stock data. be able to.

Next, after examining the patient, the doctor prepares a prescription for the patient, and instructs the pharmacy to dispense necessary medicines. In the case of in-hospital prescriptions (prescriptions at pharmacies in hospitals and clinics), prescriptions are transferred directly from the doctor to the pharmacy, but out-of-hospital prescriptions (prescriptions at pharmacies independent of hospitals and clinics) In the case of, the patient has the right to select a pharmacy.

The hospital and the dispensing pharmacy 4 make the patient 2 based on the prescription.
7 is dispensed (flow of arrow B), and dispensing information is input to the terminal device 5. In the system of this example, the health insurance union 2
By transferring the receivables to the stock center 2 to the stock center 2, the stock center 2 makes a claim to the health insurance union 42 in place of the hospital and the dispensing pharmacy 4 (flow of arrow C). In addition, the payment of the medicine purchase amount to the wholesaler 8 is performed (flow of arrow D). On the other hand, regarding the drug price margin, the stock center 2 pays the hospital and the dispensing pharmacy 4 as soon as possible (flow of arrow E). Also, Stock Center 2
Performs the operation of collecting the amount of the claim from the health insurance union 28 (flow of arrow F).

The dispensing pharmacy 4 to the stock center 2
Can be procured by securitizing the receivables transferred to the investors and selling them to investors in the receivables market 29 (flow of arrow G).

Next, in this example, the latest medical information is provided online as a service to the pharmacist.

[0037]

As described above, the dispensing pharmacy support system according to the present invention is provided with a stock center function for distributing (selling) prescription drugs with a production lot number and expiration date. As a result, surplus inventory and disposal loss at hospitals and dispensing pharmacies can be greatly reduced, and the funding and profits of each hospital and dispensing pharmacy can be improved.

In addition, since hospitals and dispensing pharmacies can perform proper inventory management online, it is possible to reduce unnecessary operations such as checking inventory.

Further, since the production lot number and the expiration date can be managed online after dispensing to the patient, the safety management of the patient can be improved by centrally managing the incident information after the use of the ethical drug. It becomes possible.
In addition, it is possible to quantitatively grasp dispensing information online, which is difficult with the current method.

In addition to the above, according to the present invention, the stock center performs a billing business to a health insurance union, a business of paying a drug purchase amount to a wholesaler or a pharmaceutical manufacturer, and a business of paying a drug price difference to a hospital or a dispensing pharmacy. The daily work of hospitals and dispensing pharmacies can be significantly reduced, and the necessary medical information can be easily browsed online at any time, so that the pharmacist can concentrate on the dispensing work required and pharmacy guidance for patients. . Furthermore, since the dispensing pharmacy can be paid for the purchase of the drug by the stock center, the system of the present invention has an advantage that the dispensing pharmacy also fulfills the finance support function.

Furthermore, if a network of hospitals and clinics currently being considered by the Japan Medical Association is realized, the spread of electronic prescriptions may be significantly accelerated. By constructing the network infrastructure described above, measures for preventing dispensing errors can be significantly improved.

[Brief description of the drawings]

FIG. 1 is a schematic configuration diagram showing an example of a dispensing pharmacy support system to which the present invention is applied.

FIG. 2 is a functional block diagram of the system of FIG. 1;

FIG. 3 is an explanatory diagram showing an operation using the system of FIG. 1;

[Explanation of symbols]

 1 Dispensing Pharmacy Support System 2 Stock Center 3 Stock Center Device 4 Dispensing Pharmacy 5 Dispensing Pharmacy Terminal 6 Internet 7 Pharmaceutical Manufacturer 8 Pharmaceutical Wholesaler 9 Communication Department 10 Delivery Processing Department 11 Inventory Management Department 12 Pharmacy Pharmacy Inventory Management Department 13 Information Provision Unit 14 billing business processing unit 15 payment business processing unit 16 profit payment business processing unit 17 storage unit

 ──────────────────────────────────────────────────続 き Continued on front page (72) Eiji Takemasa, Inventor 1-2-1, Otemachi, Chiyoda-ku, Tokyo Mitsui & Co., Ltd. (72) Inventor Takayuki Iwai 1-2-1, Otemachi, Chiyoda-ku, Tokyo No. Mitsui Bussan Co., Ltd. (72) Inventor Takeshi Saito 1-2-1, Otemachi, Chiyoda-ku, Tokyo Mitsui Bussan Co., Ltd. (72) Inventor Ippei Soraoka 1-2-2, Otemachi, Chiyoda-ku, Tokyo No. 1 Mitsui & Co., Ltd.

Claims (6)

[Claims] A prescription drug stock center is allocated to each prescribed hospital / dispensing pharmacy, and prescription drugs purchased directly from a drug manufacturer or through a prescription drug wholesaler are stocked in the prescription drug stock center. According to the order from the hospital / dispensing pharmacy, the received pharmaceuticals are subdivided, the production lot number and the expiration date are assigned to each, and delivered to the ordering source hospital / dispensing pharmacy for delivery. A subdivision sales system for ethical drugs characterized by: 2. A dispensing pharmacy support system using the prescription drug distribution system according to claim 1, wherein the dispensing pharmacy is installed in the hospital / dispensing pharmacy, inputs dispensing information, and issues a medical fee billing statement. A dispensing pharmacy terminal device having a communication function for performing a dispensing operation, and a stock center device having a communication function installed in a prescription drug stock center capable of stocking a prescription drug, wherein the stock center device includes the dispensing device A communication unit that communicates with the pharmacy terminal device, and when a small order of a prescription drug is received from the dispensing pharmacy terminal device via the communication unit, the prescription of the prescription drug is divided into the hospital / dispensing pharmacy. A delivery processing unit that performs delivery processing; and an inventory management unit that manages inventory of ethical pharmaceuticals.
A dispensing pharmacy support system, which performs replenishment order processing of prescription pharmaceutical stocks as necessary. 3. The hospital / dispensing pharmacy according to claim 2, wherein the stock center device is provided on the basis of dispensing information provided from the dispensing pharmacy terminal device and small order information of prescription drugs. A dispensing pharmacy support system, comprising a dispensing pharmacy inventory management unit for managing the inventory of prescription pharmaceuticals. 4. The dispensing pharmacy support according to claim 3, wherein the stock center device includes a drug information providing unit capable of providing drug information in response to a request from the dispensing pharmacy terminal device. system. 5. The dispensing pharmacy terminal according to claim 4, wherein the dispensing information is provided from the dispensing pharmacy terminal device, and the claim to the health insurance union of the hospital / dispensing pharmacy is transferred to the stock center. It is provided with a billing service processing unit for performing a billing business process to the health insurance union on behalf of the hospital / dispensing pharmacy, and a payment business processing unit for performing a business process for payment of the purchase price of medicines to the medical drug wholesaler. A dispensing pharmacy support system. 6. The drug pharmacy support system according to claim 5, wherein the stock center device includes a drug price difference payment processing unit that performs payment processing for paying the drug price difference to the hospital / dispensing pharmacy. .