JP2010009086A - Stroke medical care cooperation system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a stroke medical care cooperation system for achieving a practical information sharing system for a medical facility for an acute phase, a medical facility for a convalescence phase, family doctors and the like in order to achieve efficient local cooperative medical care in medical care for strokes. <P>SOLUTION: In the stroke medical care cooperation system, a medical care plan shared by an acute phase medical facility, a convalescence phase rehabilitation medical facility, a general medical care type medical facility, a nursing facility, and family doctors is stored in a shared database in a server installed on the Internet and is used mutually, so that advanced and rapid specialized medical care is provided widely in an area. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention provides a stroke medical care cooperation system that realizes a practical information sharing system such as an acute medical facility, a recovery medical facility, and a family doctor in order to realize an efficient regional cooperative medical treatment in stroke medical care. It relates to the technology to be provided.

  Since the number of stroke patients has increased significantly in recent years, there is a chronic shortage of beds in acute care facilities. Since 80% of hospitalizations are emergency hospitalizations, there are cases in which there is a shortage of beds for patients who urgently require advanced treatment, and there is a serious situation where they cannot be accepted.

  So far, in many areas of Japan, the “Acute Care Facility”, which mainly accepts such emergency patients, has been treated independently, and the “Rehabilitation Rehabilitation Facility,” which has mainly been rehabilitated after transfer, has provided medical care independently. There was a problem during the transfer. In addition, the medical condition may retreat after the transfer, and the patient may be readmitted again if necessary while in contact with doctors and nurses at the convalescent medical facility.

  There is a need for a system that can respond quickly even in such a situation, and a system such as Patent Document 1 has also been proposed, but in order to realize quick and efficient community-linked medical care optimized for medical treatment of stroke No sufficient system has been provided.

JP2008-129620A

  Unlike other illnesses, stroke is characterized by the degree of disability for each patient and the content of treatment required. The length of hospital stay varies depending on the patient's medical condition, but recently, the importance of early initiation and continuation of rehabilitation has been advocated. Early collaboration with medical facilities and subsequent decisions by the attending physician are also important.

The stroke medical treatment cooperation system according to the present invention is a sharing of a medical plan that is shared between an acute medical facility, a convalescent rehabilitation medical facility, a general medical facility, a care facility, and a family doctor in a server installed on the Internet. The purpose is to provide a wide range of rapid and advanced specialized medical care by storing them in a database and using them together.

  As a result of intensive studies, the present inventors have found that the above object can be achieved by the present inventions (1) to (4) below, and have completed the present invention.

● １ It is a system to realize efficient regional medical care in the treatment of stroke,
Store medical plans shared between acute care facilities, convalescent rehabilitation medical facilities, general medical facilities, care facilities, and family doctors in a shared database on a server installed on the Internet and use them mutually. Stroke medical care cooperation system characterized by.
● 2 Flow of patient and data reception / processing
A. Acute phase medical facility 1) Occurrence of inpatient 2) Registration of basic data on the day or the next day 3) Negotiations started by the person in charge of transfer (master, MSW, etc.) 4) Enter the determined transfer destination and communicate the link number to the transfer destination 5) Enter ADL data, discharge status, and medication details before transfer. Transfer destination medical facility ・ Transfer staff (teacher, MSW, etc.) is negotiated ・ Confirm patient information on the system ・ Contact the acute care hospital when acceptance date is determined ・ After hospitalization, the transfer staff (teacher, MSW, etc.) Negotiation start ・ Deciding outpatient doctor Informing the same doctor about the link number ・ Entering ADL data, discharge status, and medication details at discharge The stroke medical treatment cooperation system according to claim 1, characterized in that: the primary doctor-confirms patient information on the system-inputs the ADL status during an outpatient visit-contacts the acute care hospital if the medical condition changes.
Explanation of terms: MSW (Medical Social Worker), ADL (Activities of Daily Living)
● 3 In the in-system database, personal names are not registered to protect personal information. In the patient information list, the linkage number, gender, date of birth, date of onset, acute medical facility, convalescent medical facility, and The stroke medical treatment cooperation system according to claim 1, wherein other data is displayed as necessary.
● 4 In order to use the system, a patient card issued by the managed medical facility and a user ID and password for the staff in the linked medical facility issued by the managed medical facility are required. The stroke medical care cooperation system according to 1 to 3.

  In the first invention, the shared database in the server installed on the Internet is shared between the acute medical facility, convalescent rehabilitation medical facility, general medical facility, care facility, and family doctor By building a medical care cooperation system that stores medical plans to be used and uses them together, it is possible to achieve efficient regional medical care in stroke medical care.

  In the second invention, as a flow of data reception and processing, basic data is registered as soon as a stroke patient is urgently admitted to an acute care facility. If the date of acceptance is determined, the hospital will contact the hospital, determine the outpatient doctor, register the medical data at the time of discharge, and the family doctor will The medical history can be grasped in detail, and if there is a change in the medical condition, the hospital can be contacted immediately and appropriate and necessary measures can be taken quickly.

  In the third invention, security measures are important as long as it is a mechanism that uses the Internet as a basic system. However, as a measure against information leakage, personal names are not registered in the in-system database and patients are not registered. In the information list, the identification of the target patient is ensured by displaying the linkage number, gender, date of birth, date of onset, acute medical facility, convalescent medical facility, and other data as necessary. , Personal information can be protected.

In 4th invention, in order to identify and restrict the patient who uses the system and the attending physician or family doctor, the card for the patient issued by the managed medical facility and the staff in the linked medical facility issued by the managed medical facility Medical information can be protected by making the user ID and password for the procedure indispensable for system use.

  Hereinafter, the content of the stroke medical care cooperation system of this invention is demonstrated. FIG. 1 is a conceptual diagram of a treatment plan from hospitalization in an acute care facility to determination of a family doctor. Depending on whether the patient's symptoms are mild, moderate, or severe, the initial treatment plan is formulated as shown in the figure and necessary arrangements are made. Basically, the three factors (consciousness disorder, dysphagia, paralysis) will be appropriately handled while predicting the transition of the degree.

  FIG. 2 shows a card for a patient necessary for stroke medical care cooperation. Credit card size with patient name, date of birth, gender, and linkage number (number on this system). By posting at the linked medical facility, it is possible to smoothly grasp the target patient from the linked number.

FIG. 3 is a conceptual diagram of the flow of patient information data input. The system is used in the following procedure.
A. Acute phase medical facility 1) Occurrence of inpatient 2) Registration of basic data on the day or the next day 3) Negotiations started by the person in charge of transfer (master, MSW, etc.) 4) Enter the determined transfer destination and communicate the link number to the transfer destination 5) Enter ADL data, discharge status, and medication details before transfer. Transfer medical facility ・ Transfer staff (teacher, MSW, etc.) is negotiated ・ Confirm patient information on the system ・ Contact the acute care hospital when acceptance date is determined ・ After hospitalization, the transfer staff (master, MSW, etc.) Negotiation start ・ Deciding outpatient doctor ・ Linking the same number to the doctor ・ Entering ADL data, discharge status, and medication details at discharge Physician ・ Check patient information on the system ・ Enter ADL status during outpatient visit ・ Contact the acute care hospital if there is a change in medical condition Explanation: MSW (Medical Social Worker), ADL (Activities of Daily Living)

  FIG. 4 is an introduction patient list screen after login. The patient's personal name is not displayed in this screen and is not registered in the database itself. Patients are managed and identified only by the linkage number.

  FIG. 5 is a personal data screen. It consists of basic data to be entered at the acute care facility, information fields for each medical facility after transfer, details of medication, status at discharge, etc.

  FIG. 6 is a new input screen. Once the data is saved, it can be modified, but deleting the patient from the file is usually not possible except for system administrators.

FIG. 7 is a browsing / modification screen. Profiles at the time of admission and discharge can be entered. The name of the medical institution is assigned to the institution ahead. For example, if you log in at an acute care institution, you can specify the recovery period, general / medical type, and outpatient medical institution name. If you log in at the convalescent medical institution, you can specify the general / medical type, outpatient medical institution name. It has become. However, once data is entered at the rear medical institution, it cannot be changed from the front engine. Even when changing the transfer once determined, it is necessary to contact the system administrator.

Treatment plan from hospitalization to decision of family doctor in acute phase Stroke medical care cooperation card Flow of patient information data input Referral patient list screen after login Personal data screen New input screen View / Modify screen

Claims (4)

A system for realizing efficient regional medical care in the treatment of stroke,
Medical plans shared between acute care facilities, convalescent rehabilitation medical facilities, general medical facilities, care facilities, and family doctors are stored in a shared database on a server installed on the Internet and used together. Stroke medical care cooperation system characterized by.
The flow of patient and data reception / processing
A. Acute care facility ・ Hospitalized patient ・ Registration of basic data on the day or next day ・ Transfer staff (teacher, MSW, etc.) started negotiations ・ Enter the determined transfer destination and report the link number to the transfer destination ・ By the time of the transfer Enter ADL data, discharge status, and medication details. Transfer destination medical facility ・ Transfer staff (teacher, MSW, etc.) is negotiated ・ Confirm patient information on the system ・ Contact the acute care hospital when acceptance date is determined ・ After hospitalization, the transfer staff (teacher, MSW, etc.) Negotiation start ・ Deciding outpatient doctor Informing the same doctor about the link number ・ Entering ADL data, discharge status, and medication details at discharge The stroke medical treatment cooperation system according to claim 1, characterized in that: the primary doctor-confirms patient information on the system-inputs the ADL status during an outpatient visit-contacts the acute care hospital if the medical condition changes.
Explanation of terms: MSW (Medical Social Worker), ADL (Activities of Daily Living)
In the system database, personal names are not registered to protect personal information. In the patient information list, the linkage number, gender, date of birth, date of onset, acute medical facility, convalescent medical facility, and as necessary 3. The stroke medical care cooperation system according to claim 1, wherein other data is displayed in response.
In order to use the system, a card for a patient issued by a managed medical facility and a user ID and password for a staff member in a linked medical facility issued by the managed medical facility are required. 3. Stroke medical care cooperation system according to 3.