JP2019003570A - Health management device, health management method, and health management program - Google Patents

Abstract

It is an object of the present invention to provide a technique by which a medical practitioner can grasp a user's behavior in response to an instruction and manage a user's health state.
A health management device according to an aspect of the present invention includes an acquisition unit that acquires information representing a user's action state in a predetermined period after an instruction for health management is given to a user; And a determination unit that determines whether or not the user has performed an action associated with the instruction based on the information indicating the acquired action state.
[Selection] Figure 1

Description

  The present invention relates to a health management device, a health management method, and a health management program.

  Patent Document 1 proposes a health data management system (portable information terminal). The health data management system in Patent Document 1 includes a database therein, and manages index data in this database. The index data is based on the biological information and activity information of the measurement subject (user) measured by the measuring device. According to the health data management system, the person to be measured can easily use the index data indicating the individual's health state measured by the measuring device using the health data management system.

JP 2017-012604 A

  Like the system described in Patent Document 1, by storing index data based on biological information or activity information measured by a measuring device in a database of a portable information terminal, the user himself can easily change his / her health condition. I can grasp it.

  However, it is not easy for a doctor (such as a doctor) who has specialized knowledge about medical care and health (hereinafter referred to as a medical practitioner) to always grasp the health status of the user (patient). In particular, even if a medical person gives an instruction for health management to a user, it is difficult for the medical person to grasp whether or not the user followed the instruction.

  In one aspect, the present invention has been made in view of such a situation, and the purpose thereof is to enable a medical practitioner to grasp a user's behavior in response to an instruction and to manage a user's health state. It is to provide technology that can.

  The present invention employs the following configuration in order to solve the above-described problems.

  That is, the health management device according to one aspect of the present invention includes an acquisition unit that acquires information representing the user's behavior state in a predetermined period after an instruction for health management is given to the user, and the acquired And a determination unit that determines whether or not the user has performed an action associated with the instruction based on information representing the action state.

  According to the above configuration, for example, when an instruction for health management is given to a user from a medical person, information indicating the user's action state with respect to the instruction is acquired in a predetermined period thereafter. And it is determined whether the user performed the action matched with the instruction | indication based on the information showing the acquired action state. Thereby, for example, a medical practitioner can grasp the user's behavior in response to the instruction, and can manage the health state. In addition, by grasping the user's behavior with respect to the instruction, the medical person can also give further instructions such as a treatment policy and life improvement suitable for the user.

  In the health management device according to the above aspect, the acquisition unit acquires information representing a visit history of the user in a predetermined period after a visit instruction is given to the user as information representing the action state, The said determination part determines whether the said user performed the action matched with the said instruction | indication with respect to the said consultation instruction | indication based on the information showing the acquired consultation history. According to the above configuration, when a medical person gives a consultation instruction, the user's behavior in response to the consultation instruction can be grasped, and the health condition can be managed.

  In the health management device according to the above aspect, the acquisition unit acquires information indicating the user's exercise history in a predetermined period after the exercise instruction is given to the user as information indicating the action state, The determination unit determines whether or not the user has performed an action associated with the instruction with respect to the exercise instruction based on the acquired information indicating the exercise history. According to the above configuration, when a medical person gives an exercise instruction, the user's behavior in response to the exercise instruction can be grasped, and the health condition can be managed.

  In the health management device according to the above aspect, the acquisition unit acquires the amount of activity of the user in a predetermined period after the exercise instruction is given as information indicating the exercise history, and the determination unit includes the determination unit Based on whether or not the acquired amount of activity of the user is within a preset first threshold range, it is determined whether or not the user has performed an action associated with the instruction in response to the exercise instruction. To do. According to the said structure, a user's action with respect to an instruction | indication can be grasped | ascertained using a user's activity amount as information showing an exercise | movement history.

  In the health management device according to the above aspect, the acquisition unit may include at least one of the number of steps of the user, the walking distance, and the walking time in a predetermined period after the exercise instruction is given as information indicating the exercise history. The determination unit is configured to determine whether the user performs the exercise based on whether at least one of the acquired number of steps, walking distance, and walking time is within a preset second threshold range. It is determined whether or not an action associated with the instruction has been performed. According to the above configuration, the user's behavior in response to the instruction can be grasped using at least one of the number of steps of the user, the walking distance, and the walking time as information representing the exercise history.

  In the health management device according to the above aspect, the acquisition unit acquires information indicating a user's medication history in a predetermined period after a medication instruction is given to the user as information representing the behavioral state, The said determination part determines whether the said user performed the medicine matched with the said instruction | indication with respect to the said medication instruction | indication based on the information showing the acquired medication history. According to the above configuration, when a medical person gives a medication instruction, the user's behavior in response to the medication instruction can be grasped, and the health condition can be managed.

  In the health management device according to the above aspect, the acquisition unit is configured to store the medication taken by the user, which is input by the operation unit during a predetermined period after the medication instruction is given, as the medication history information. The medication confirmation information including the type and the medication time is acquired, and the determination unit determines that the user has received the medication instruction based on a comparison result between the acquired medication confirmation information and prescription information corresponding to the medication instruction. On the other hand, it is determined whether or not an action associated with the instruction has been performed. According to the said structure, a user's action with respect to an instruction | indication can be grasped | ascertained using user input data (medicine confirmation information) as medication information.

  In the health management device according to the above aspect, the acquisition unit, as information representing the medication history, changes history of the biological information of the user affected by medication in a predetermined time after the medication confirmation information is input. The determination unit is configured to determine whether or not the user responds to the medication instruction based on whether the obtained biometric information fluctuation history is within a preset third threshold range. It is determined whether or not the associated action has been performed. According to the said structure, the user's action with respect to an instruction | indication can be grasped | ascertained further using the change log | history of a user's biometric information as medication information. Thereby, the reliability of the determination of whether the user has taken medicine can be improved.

  In the health management device according to the above aspect, an evaluation value determination unit that determines an evaluation value of the user based on a determination result by the determination unit, and points are given to the user based on the determined evaluation value And an evaluation value processing unit that performs at least one of issuing coupons. According to the above configuration, the user's evaluation value is determined based on the determination result. And a point is provided with respect to a user based on the determined evaluation value, or a coupon is issued. Thereby, a user can raise the motivation according to the instruction | indication regarding health.

  The health management device according to the above aspect further includes a storage unit that stores information representing a correspondence relationship between the type of instruction and the action information of the user, and the acquisition unit includes the type of instruction and the user's action information. Information representing the behavior information of the user generated by referring to information representing a correspondence relationship with the behavior information is acquired. According to the above configuration, appropriate user behavior information can be automatically obtained by referring to the information indicating the correspondence relationship between the stored instruction type and the user behavior information.

  ADVANTAGE OF THE INVENTION According to this invention, the medical person can grasp | ascertain the user's action with respect to an instruction | indication, and can provide the technique which can manage a user's health state.

FIG. 1 schematically illustrates an example of an application scene of the health management system according to the embodiment. FIG. 2 schematically illustrates an example of the hardware configuration of the measurement terminal according to the embodiment. FIG. 3 schematically illustrates an example of a hardware configuration of the user terminal according to the embodiment. FIG. 4 schematically illustrates an example of the hardware configuration of the medical staff terminal according to the embodiment. FIG. 5 schematically illustrates an example of a hardware configuration of the health management device according to the embodiment. FIG. 6 schematically illustrates an example of the hardware configuration of the service server according to the embodiment. FIG. 7 schematically illustrates an example of the hardware configuration of the service server according to the embodiment. FIG. 8 schematically illustrates an example of a functional configuration of the control unit in the health management device according to the embodiment. FIG. 9 illustrates an example of a determination method for the relationship between blood pressure data and user input data and a medication instruction according to the embodiment. FIG. 10 illustrates another example of a relationship between blood pressure data and user input data and a determination method for a medication instruction according to the embodiment. FIG. 11 schematically illustrates an example of a functional configuration of the control unit in the service server according to the embodiment. FIG. 12 is a flowchart illustrating an example of a processing procedure of the health management device according to the embodiment. FIG. 13 is a flowchart illustrating an example of a processing procedure of the service server according to the embodiment.

  Hereinafter, an embodiment according to an aspect of the present invention (hereinafter, also referred to as “this embodiment”) will be described with reference to the drawings. However, this embodiment described below is only an illustration of the present invention in all respects. It goes without saying that various improvements and modifications can be made without departing from the scope of the present invention. That is, in implementing the present invention, a specific configuration according to the embodiment may be adopted as appropriate. Although data appearing in this embodiment is described in a natural language, more specifically, it is specified by a pseudo language, a command, a parameter, a machine language, or the like that can be recognized by a computer.

§1 Application Example First, an example of a scene to which the present invention is applied will be described with reference to FIG.

  As shown in FIG. 1, the health management system includes a measurement terminal 100, a user terminal 200, a medical staff terminal 300, a health management device 400, and external service servers 500 and 600.

  In the health management system shown in FIG. 1, the measurement terminal 100 is wirelessly connected to the user terminal 200, for example. The user terminal 200, the health management device 400, and the external service servers 500 and 600 are connected to each other via a wide area network 700. In addition, the health management device 400 is connected to the medical staff terminal 300 via a local network (not shown). The configuration of the health management system is not limited to the configuration shown in FIG.

  For example, the measurement terminal 100 may be connected to the health management device 400 without using the user terminal 200. In addition, part or all of the functions (processing) realized by the health management device 400 may be performed by the service server 500 or the service server 600.

  The measurement terminal 100 is, for example, a wristwatch type wearable device. The measurement terminal 100 is worn by the user to measure biological information such as the blood pressure value of the user. Measurement terminal 100 also includes a medication confirmation button (operation unit) that accepts user input during medication. Moreover, the measurement terminal 100 measures the user's exercise state by being worn by the user.

  The user terminal 200 is an information communication terminal used by an individual user, for example, and includes a portable information communication terminal such as a smartphone, a mobile phone, a tablet PC, or a notebook PC. The user terminal 200 transfers the biological information measured by the measurement terminal 100 to the health management device 400. Further, the user terminal 200 may display an instruction from the health management device 400. Note that the user terminal 200 may transmit an instruction from the health management apparatus 400 to the measurement terminal 100, and the measurement terminal 100 may display the instruction from the health management apparatus 400.

  The medical person terminal 300 is an information communication device used by a medical person, and includes, for example, a desktop PC, a notebook PC, or a tablet PC. The medical staff terminal 300 displays a function for transmitting a user's health management instruction to the health management apparatus 400 and information on the user's health status transmitted from the health management apparatus 400 in accordance with the operation of the medical staff. With functions.

  The health management device 400 is configured by a server used by a hospital, for example. The health management device 400 includes an acquisition unit 415 and a determination unit 416. In addition, the health management device 400 may include an instruction transmission unit 414. The instruction transmission unit 414 transmits an instruction from the medical staff terminal 300 to the user terminal 200 or the measurement terminal 100. The acquisition unit 415 acquires information representing the user's action state in response to the instruction in a predetermined period after the instruction is transmitted. The determination unit 416 determines whether or not the user has performed an action associated with the instruction based on the acquired information indicating the action state. The health management apparatus 400 transmits the determination result to the service server 500.

  The service server 500 is, for example, a server used by a service provider, for example, a reward program server. The service server 500 receives the determination result transmitted from the health management device 400 and determines the evaluation value of the user according to the determination result. And the service server 500 performs the process for giving a user a point or issuing a coupon according to the determined evaluation value.

  The service server 600 is a server used by an insurance company, for example. The service server 600 performs, for example, a discount process for insurance premiums according to the points for the users who have been given points.

  As described above, the health management device 400 transmits a health management instruction from a medical person to the user (patient). Then, the health management device 400 acquires information representing the user's behavior state in response to the instruction, and determines whether or not the user has performed an action associated with the instruction based on the information representing the behavior state. Thereby, for example, a medical practitioner can grasp the user's behavior with respect to the instruction and can manage the health condition. Moreover, the medical person can give further instructions, such as a treatment policy suitable for a user and life improvement, by grasping | ascertaining the user's action with respect to an instruction | indication.

§2 Configuration example [Hardware configuration]
<Measurement terminal 100>
Next, an example of the hardware configuration of the measurement terminal 100 according to the present embodiment will be described with reference to FIG.

  As shown in FIG. 2, the measurement terminal 100 according to the present embodiment includes a control unit 110, a communication unit 120, a storage unit 130, an operation unit 140, a display unit 150, a biosensor 160, and an acceleration sensor 170.

  The control unit 110 includes a CPU (Central Processing Unit) 111 and a memory 112. The memory 112 includes a RAM (Random Access Memory), a ROM (Read Only Memory), and the like. The memory 112 stores a program executed by the CPU 111 or functions as a work memory. The control unit 110 performs various types of operation control, data processing, and the like when the CPU 111 executes a program using the memory 112.

  The communication unit 120 is a communication interface for communicating with the user terminal 200. The communication unit 120 transmits data to the user terminal 200 and receives data from the user terminal 200. Communication by the communication unit 120 may be either wireless communication or wired communication. In the present embodiment, the communication unit 120 will be described assuming that it communicates with the user terminal 200 by short-range wireless communication. However, the communication unit 120 is not limited to this, and may communicate using a communication cable or may communicate via a network such as a LAN (Local Area Network).

  The storage unit 130 stores a program for controlling the measurement terminal 100, setting data for setting various functions of the measurement terminal 100, measurement data measured by the biosensor 160 and the acceleration sensor 170, and the like. The storage unit 130 may be used as a work memory when the program is executed.

  The operation unit 140 includes operation devices such as a touch panel and operation buttons (operation keys). The operation unit 140 detects an operation by the user and outputs an operation signal indicating the operation content to the control unit 110. The operation unit 140 includes a medication confirmation button as a touch panel and operation buttons. The medication confirmation button is a button indicating that the user has taken medication by accepting user input. The user input corresponding to the medication is desirably performed immediately after the medication, but may be performed immediately before the medication or at the time of the medication. The medication time is calculated by user input corresponding to the medication. The medication time is calculated based on time information by a clock unit (not shown). In addition, the type of medicine taken may be input by user input of the operation unit 140. The type of medicine may be input in advance. The control unit 110 associates the medication time obtained from the user input with the type of medicine taken, and generates user input data (medicine confirmation information).

  The display unit 150 includes a display screen (for example, an LCD (Liquid Crystal Display) or EL (Electroluminescence) display), an indicator, and the like. The display unit 150 displays information according to a control signal from the control unit 110. The display unit 150 displays an instruction from the health management device 400, for example.

  The biometric sensor 160 measures the biometric information of the user. The control unit 110 associates the measured biological information with the measurement time and generates biological data. For example, the biological sensor 160 includes a blood pressure sensor 161. The blood pressure sensor 161 continuously measures the blood pressure value as the biological information of the user. The control unit 110 associates the measurement time with the measured blood pressure value and generates blood pressure data.

  The blood pressure sensor 161 is a continuous measurement blood pressure sensor. The blood pressure sensor 161 continuously measures the values of blood pressure (for example, systolic blood pressure and diastolic blood pressure). The blood pressure sensor 161 continuously measures blood pressure for each beat, but is not limited to this.

  For example, as the blood pressure sensor 161, a continuous measurement type blood pressure sensor using a PTT method, a tonometry method, an optical method, a radio wave method, an ultrasonic method, or the like can be applied. The PTT method is a method of measuring a pulse wave propagation time (PTT) and estimating a blood pressure value from the measured pulse wave propagation time. The tonometry method is a method in which a blood pressure value is measured using information detected by a pressure sensor by bringing a pressure sensor into direct contact with a living body part through which an artery such as the radial artery of the wrist passes. The optical system, radio wave system, and ultrasonic system are systems in which light, radio waves, or ultrasonic waves are applied to blood vessels and blood pressure values are measured from the reflected waves.

  The blood pressure sensor 161 may include a blood pressure sensor that cannot be continuously measured (hereinafter referred to as a discontinuous blood pressure sensor). For example, a discontinuous blood pressure sensor measures a user's blood pressure using a cuff as a pressure sensor (oscillometric method). Discontinuous blood pressure sensors (particularly, oscillometric blood pressure sensors) tend to have higher measurement accuracy than continuous blood pressure sensors. For this reason, the blood pressure sensor 101 may measure blood pressure with higher accuracy by operating a discontinuous blood pressure sensor instead of the continuous blood pressure sensor with a certain condition being satisfied as a trigger.

  When a non-continuous blood pressure sensor is used as the blood pressure sensor 161, for example, the user's blood pressure value may be measured using a user input corresponding to medication as a trigger. Furthermore, the blood pressure value of the user may be measured again after a predetermined time from the user input corresponding to the medication. Thereby, the blood pressure values immediately after taking the medicine and after a predetermined time from taking the medicine can be measured.

  In addition, the biological sensor 160 includes sensors other than the blood pressure sensor 161, and can measure pulse wave information, pulse information, electrocardiographic information, heart rate information, and body temperature information in addition to blood pressure values as biological information. it can.

  The acceleration sensor 170 measures the acceleration received by the main body of the measurement terminal 100. For example, the acceleration sensor 170 measures 3-axis or 6-axis acceleration. The control unit 110 calculates the amount of user activity (for example, calorie consumption) from the measured acceleration. In addition, the control unit 110 calculates the number of steps, the walking distance, and the walking time of the user from the measured acceleration. Then, the control unit 110 associates the calculated activity amount with the measurement time and generates activity amount data. In addition, the control unit 110 associates the measurement time with each of the calculated number of steps, walking distance, and walking time, and generates walking data.

  Note that physical quantities related to activities other than the amount of activity, the number of steps, the walking distance, and the walking time may be calculated by sensors other than the acceleration 170, or physical quantity data in which the measurement time is linked to the physical quantities may be generated.

<User terminal 200>
Next, an example of a hardware configuration of the user terminal 200 according to the present embodiment will be described using FIG.

  As illustrated in FIG. 3, the user terminal 200 according to the present embodiment includes a control unit 210, a storage unit 220, an operation unit 230, a communication unit 240, and a display unit 250.

  The control unit 210 includes a CPU 211 and a memory 212. The memory 212 includes a RAM and a ROM. The memory 212 stores a program executed by the CPU 211 and functions as a work memory. The control unit 210 performs various types of operation control, data processing, and the like by the CPU 211 executing a program using the memory 212.

  The storage unit 220 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a program executed by the control unit 210. The storage unit 220 may store data generated by the measurement terminal 100 and the like. The storage unit 220 may store display data displayed on the display unit 250.

  The operation unit 230 includes, for example, a touch panel provided on the display screen of the display unit 250. The operation unit 230 is not limited to this, and may include operation buttons, a keyboard, a mouse, and the like. The operation unit 230 detects an operation by the user and outputs an operation signal indicating the operation content to the control unit 210. The operation unit 230 may include a medication confirmation button instead of the operation unit 140 of the measurement terminal 100. In addition, the type of medicine taken may be input by user input of the operation unit 230.

  The communication unit 240 is a communication interface for communicating with the measurement terminal 100, the health management device 400, the service server 500, and the service server 600. The communication unit 240 transmits data to the measurement terminal 100 and receives data from the measurement terminal 100. In addition, the communication unit 240 transmits data to the health management device 400, the service server 500, and the service server 600 via the network 700, and transmits data from the health management device 400, the service server 500, and the service server 600. To receive. Communication by the communication unit 240 may be either wireless communication or wired communication. In the present embodiment, the description will be made assuming that the network is, for example, the Internet. However, the present invention is not limited to this, and may be another type of network such as a LAN, and a pair using a communication cable such as a USB cable. 1 communication may be sufficient.

  The display unit 250 includes a display screen (for example, an LCD or an EL display). The display unit 250 displays information according to a control signal from the control unit 210. The display unit 250 may display an instruction from the health management device 400 instead of the display unit 150 of the measurement terminal 100.

<Medical person terminal 300>
Next, an example of the hardware configuration of the medical staff terminal 300 according to the present embodiment will be described with reference to FIG.

  As illustrated in FIG. 4, the medical staff terminal 300 according to the present embodiment includes a control unit 310, a storage unit 320, an operation unit 330, a communication unit 340, and a display unit 350.

  The control unit 310 includes a CPU 311 and a memory 312. The memory 312 includes RAM, ROM, and the like. The memory 312 stores a program executed by the CPU 311 or functions as a work memory. The control unit 310 performs various types of operation control, data processing, and the like when the CPU 311 executes a program using the memory 312.

  The storage unit 320 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a program executed by the control unit 310. The storage unit 320 stores user consultation information generated by the control unit 310. The consultation information is, for example, information representing a user's consultation history (a consultation date, a diagnosis result, etc.). The user's consultation history is input by a medical person when the user receives a consultation. In addition, the storage unit 320 may store an instruction from the medical person to the user.

  The operation unit 330 includes, for example, a touch panel provided on the display screen of the display unit 350. The operation unit 330 is not limited to this, and may include operation buttons, a keyboard, a mouse, and the like. The operation unit 330 detects an operation by a medical person and outputs an operation signal indicating the operation content to the control unit 310.

  The communication unit 340 is a communication interface for communicating with the health management device 400. The communication unit 340 transmits data to the health management device 400 and receives data from the health management device 400. Communication by the communication unit 340 may be either wireless communication or wired communication. In the present embodiment, the communication unit 340 is described assuming that it communicates with the health management device 400 via another type of network such as a LAN, but the present invention is not limited to this, and the communication unit 340 uses a communication cable for serial communication. It may also include those that communicate.

  Display unit 350 includes a display screen (for example, an LCD or an EL display). Display unit 350 displays information in accordance with a control signal from control unit 310.

<Health management device 400>
Next, an example of a hardware configuration of the health management device 400 according to the present embodiment will be described with reference to FIG.

  As illustrated in FIG. 5, the health management device 400 according to the present embodiment includes a control unit 410, a storage unit 420, and a communication unit 430.

  The control unit 410 includes a CPU 411 and a memory 412. The memory 412 includes a RAM and a ROM. The memory 412 stores a program executed by the CPU 411 or functions as a work memory. The control unit 410 performs various types of operation control, data processing, and the like when the CPU 411 executes a program using the memory 412.

  The storage unit 420 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a health management program 421 executed by the control unit 410.

  The communication unit 430 is a communication interface for communicating with the user terminal 200, the medical staff terminal 300, the service server 500, and the service server 600. The communication unit 430 transmits data to the medical staff terminal 300 via the local network and receives data from the medical staff terminal 300. The communication unit 430 transmits data to the user terminal 200, the service server 500, and the service server 600 via the network 700, and receives data from the user terminal 200, the service server 500, and the service server 600. Or Communication by the communication unit 430 may be either wireless communication or wired communication.

<Service server 500>
Next, an example of the hardware configuration of the service server 500 according to the present embodiment will be described with reference to FIG.

  As illustrated in FIG. 6, the service server 500 according to the present embodiment includes a control unit 510, a storage unit 520, and a communication unit 530. Control unit 510 includes a CPU 511 and a memory 512.

  The control unit 510, the storage unit 520, the communication unit 530, the CPU 511, and the memory 512 are the same as the control unit 410, the storage unit 420, the communication unit 430, the CPU 411, and the memory 412 of the health management device 400, respectively. However, the storage unit 520 of the service server 500 includes a reward program 521 executed by the control unit 510.

<Service server 600>
Next, an example of the hardware configuration of the service server 600 according to the present embodiment will be described with reference to FIG.

  As illustrated in FIG. 7, the service server 600 according to the present embodiment includes a control unit 610, a storage unit 620, and a communication unit 630. Control unit 610 includes a CPU 611 and a memory 612.

  The control unit 610, the storage unit 620, the communication unit 630, the CPU 611, and the memory 612 are the same as the control unit 410, the storage unit 420, the communication unit 430, the CPU 411, and the memory 412 of the health management device 400, respectively. However, the storage unit 620 of the service server 600 includes a program executed by the control unit 610. For example, the control unit 610 executes a program stored in the storage unit 620 to perform a discount on insurance premiums according to the points, etc., for a user who has been given points.

[Function configuration]
<Health management device 400>
Next, an example of a functional configuration of the control unit 410 in the health management device 400 according to the present embodiment will be described with reference to FIG.

  The control unit 410 of the health management device 400 expands the health management program 421 stored in the storage unit 420 in the memory 412. Then, the control unit 410 interprets and executes the health management program 421 developed in the memory 412 by the CPU 411 and controls each component. Accordingly, as illustrated in FIG. 8, the control unit 410 of the health management device 400 according to the present embodiment includes an instruction reception unit 413, an instruction transmission unit 414, an acquisition unit 415, a determination unit 416, and a determination result transmission unit 417. Function.

  The instruction receiving unit 413 receives an instruction for user health management from the medical staff terminal 300. The instruction for the user's health management is input to the medical staff terminal 300 based on the diagnosis result of the user by the medical staff. The instructions for health care are, for example, a consultation instruction, an exercise instruction, a medication instruction, and the like.

  The consultation instruction is an instruction that instructs the user to consult a medical institution. The medical person instructs the user to receive a medical checkup, for example, on a predetermined day or a predetermined period in accordance with a medical checkup instruction. The exercise instruction is an instruction that instructs the user to exercise. For example, the medical person instructs the user to perform an exercise having an amount of activity equal to or greater than a predetermined value (for example, an exercise whose calorie consumption is equal to or greater than a predetermined value) in a predetermined period (for example, one day). Alternatively, the medical person instructs the user to walk more than a predetermined value (a predetermined number of steps, a predetermined distance, or a predetermined time), for example, for a predetermined period (for example, one day) by an exercise instruction. The medication instruction is an instruction that instructs the user to take a predetermined medicine at a predetermined time. The medical person instructs the user to take a predetermined medicine at a predetermined time of the day (for example, in the morning and night), for example, according to a medication instruction. In the following description, a case where the predetermined drug is a blood pressure lowering agent will be described as an example, but the present invention is not limited thereto.

  The instruction transmission unit 414 transmits the instruction for health management received by the instruction reception unit 413 to the user terminal 200 or the measurement terminal 100. The instruction transmitting unit 414 may transmit the instruction every time the instruction is received by the instruction receiving unit 413, or may periodically transmit the instruction once the instruction is received by the instruction receiving unit 413. Good.

  The acquisition unit 415 acquires information (hereinafter referred to as “behavior information”) indicating a user's behavior state with respect to a given instruction. For example, the acquisition unit 415 acquires user behavior information in a predetermined period after the instruction is given. The acquisition unit 415 acquires appropriate user behavior information according to the type of instruction transmitted. Information indicating what kind of user action information corresponding to the type of instruction is stored in the storage unit 420. The information is, for example, table information indicating a correspondence relationship between the type of instruction and user behavior information. Then, the measurement terminal 100 automatically generates corresponding user behavior information by referring to the information as necessary, and the acquisition unit 415 acquires the user behavior information.

  More specifically, when a consultation instruction is transmitted, the acquisition unit 415 acquires consultation information from the medical staff terminal 300 as behavior information. The consultation information is information generated by the medical staff terminal 300 and representing a user's consultation history (a consultation date, a diagnosis result, etc.). The user's consultation history is input by a medical person when the user receives a consultation. The acquisition unit 415 acquires user consultation information in a predetermined period (for example, a consultation date or a consultation period corresponding to the instruction) after the instruction is given.

  When an exercise instruction is transmitted, the acquisition unit 415 acquires information indicating exercise history (hereinafter referred to as exercise information) from the measurement terminal 100 as behavior information. The exercise information is activity amount data or walking data generated by the measurement terminal 100. The activity amount data is data including the activity amount (calorie consumption) of the user and the measurement time. The walking data is data including the number of steps of the user, the walking distance, and the walking time and their measurement times. The acquisition unit 415 acquires user exercise information in a predetermined period (for example, one day) after the instruction is given. The acquisition unit 415 may acquire data including an amount of activity, the number of steps, a walking distance, and a physical quantity related to an activity other than the walking time and its measurement time.

  In addition, when a medication instruction is transmitted, the acquisition unit 415 acquires information representing a medication history (hereinafter referred to as medication information) from the measurement terminal 100 via the user terminal 200 as behavior information. The medication information is blood pressure data and user input data generated by the measurement terminal 100. The blood pressure data is data in which the measurement time is associated with the blood pressure value of the user. The user input data is data including the type of medicine taken by the user and the time of taking the medicine. The acquisition unit 415 acquires user medication information in a predetermined period (for example, one day) after the instruction is given.

  In addition, it is not necessary to input user input data for every medicine by inputting the kind of medicine to be taken in advance and the time to take medicine. In this case, the acquisition unit 415 may acquire only blood pressure data. That is, the acquisition process is automatically executed.

  Moreover, the acquisition part 415 may acquire not only blood pressure data but the biometric data containing the biometric information influenced by medication.

  The determination unit 416 determines whether or not the user has performed an action associated with the instruction based on the acquired action information. That is, the determination unit 416 determines whether or not the user has followed an instruction from a medical professional.

  When the consultation information is acquired, the determination unit 416 determines whether the user has performed an action associated with the instruction based on the consultation information as the behavior information. More specifically, the determination unit 416 confirms the date of consultation of the consultation information, for example. Then, the determination unit 416 determines whether the user has followed the consultation instruction based on, for example, whether the consultation date is a consultation date or a consultation period corresponding to the instruction. The consultation date or period corresponding to the instruction is stored in the storage unit 420, for example. Then, the stored consultation date or consultation period is read out and checked by comparing with the actual consultation date.

  When the exercise information is acquired, the determination unit 416 determines whether or not the user has performed an action associated with the instruction based on the exercise information (activity data or walking data) as the action information. . More specifically, the determination unit 416 confirms the activity amount and measurement time of the activity amount data, for example. Thereby, the determination unit 416 can calculate an activity amount (for example, calorie consumption) for a predetermined period (for example, one day). Then, for example, the determination unit 416 determines whether or not the user has followed the exercise instruction based on whether or not the amount of activity during the predetermined period is equal to or greater than a predetermined value set in advance (range of the first threshold). . The first threshold value is stored in the storage unit 420, for example.

  Alternatively, the determination unit 416 checks, for example, at least one of the number of steps in the walking data, the walking distance, and the walking time and the measurement time. Accordingly, the determination unit 416 can calculate at least one of the number of steps, the walking distance, and the walking time in a predetermined period (for example, one day). Then, for example, the determination unit 416 determines whether or not the user has followed the exercise instruction based on whether or not at least one of the number of steps in the predetermined period, the walking distance, and the walking time is equal to or greater than a predetermined value (second threshold range). Determine whether or not. The second threshold value is stored in the storage unit 420, for example.

  When the medication information is acquired, the determination unit 416 determines whether or not the user has performed an action associated with the instruction based on the medication information (blood pressure data and user input data) as the behavior information. .

  More specifically, the determination unit 416 first checks the type of medication taken and the medication time in the user input data. Then, the determination unit 416 compares the type and time of medication taken with the prescription information, and determines whether or not the type and time of medication taken are in accordance with the prescription information. The prescription information corresponds to, for example, a medication instruction from a medical person, and is stored in the storage unit 420. Further, the blood pressure value and measurement time of the blood pressure data are confirmed. Thereby, the determination part 416 can confirm the fluctuation | variation log | history of the blood pressure value within predetermined time (for example, several hours) from a medication time. Then, the determination unit 416 determines whether or not the user has obeyed the medication instruction based on whether or not the fluctuation history of the blood pressure value within a predetermined time from the medication time is greater than or equal to a predetermined value (third threshold range). To do.

  Here, the user input data is self-reported by the user. For this reason, even if the user is not actually taking medication, the user can declare the medication. That is, the user input alone is insufficient and low in reliability to determine whether or not the user has actually taken the medicine. On the other hand, in this embodiment, as described above, blood pressure data is confirmed together with user input (reporting of medication). Thereby, the declaration of medication and the actual blood pressure fluctuation associated therewith can be confirmed, and it can be determined whether or not the user has actually taken the medication.

  FIG. 9 illustrates an example of a determination method for the relationship between blood pressure data and user input data and a medication instruction according to the present embodiment.

  As shown in FIG. 9, the determination unit 416 confirms the type of medicine (blood pressure lowering agent A) and the medication time (time t1) in the user input data. Furthermore, the determination unit 416 confirms a blood pressure value fluctuation history within a predetermined time (time from time t1 to time t2) from the medication time (time t1). This predetermined time is set based on the time when the effect of the medicine is sufficiently exhibited, and may be appropriately set according to the user. For example, the predetermined time may be automatically set based on accumulation of past history data of the user. Further, the predetermined time may be automatically set based on accumulation of past history data of a group of persons other than the user. Then, the determination unit 416 determines that the user has taken medicine (followed the medication instruction) when the blood pressure value falls below the threshold BPth1 within a predetermined time. On the other hand, the determination unit 416 determines that the user is not taking medication (does not follow the medication instruction) when the blood pressure value does not decrease to the threshold BPth1 within a predetermined time. The threshold value BPth1 is set according to the lowest value of the antihypertensive effect obtained by taking the medicine, and may be set as appropriate according to the user. For example, the threshold value BPth1 may be automatically calculated based on accumulation of past history data of the user. The user's past history data is accumulated and stored in the storage unit 420. The threshold value BPth1 may be automatically calculated based on accumulation of past history data of a group of persons other than the user. For example, the threshold BPth1 may be an average of the blood pressure value before the change and the blood pressure value after the change.

  FIG. 10 illustrates another example of a relationship between blood pressure data and user input data and a determination method for a medication instruction according to the present embodiment.

  In FIG. 10, unlike FIG. 9, the determination unit 416 confirms the drug type (blood pressure lowering agent A) and the medication time (time t1) in the user input data, and the blood pressure value at the medication time (time t1) and the medication The blood pressure value after a predetermined time (time t2) from the time is confirmed. Further, the determination unit 416 calculates a difference BP1 between these blood pressure values. Then, when the blood pressure difference BP1 is equal to or greater than the threshold value BPth2, the determination unit 416 determines that the user has taken medicine (followed the medication instruction). On the other hand, when the blood pressure difference BP1 is smaller than the threshold BPth2, the determination unit 416 determines that the user is not taking medicine (does not follow the medication instruction). The threshold value BPth2 is set according to the minimum value of the antihypertensive effect obtained by taking the drug, and may be set as appropriate according to the user. For example, the threshold BPth2 may be automatically calculated based on the accumulation of the user's past history data. The threshold BPth2 may be automatically calculated based on accumulation of past history data of a group of persons other than the user.

  In addition, although blood pressure data was demonstrated to the example as biometric data, it is not restricted to this. Pulse wave data, pulse data, electrocardiogram data, heart rate data, and body temperature data may be generated by associating the measurement time with each of the pulse wave information, pulse information, electrocardiogram information, heart rate information, and body temperature information. Then, it may be determined from the relationship between the biometric data and the medication whether the user has actually taken the medication. In addition, based on the relationship between the drug other than the antihypertensive agent and the biological data, it is possible to determine the medication instruction regarding the drug other than the antihypertensive agent.

  Again, as illustrated in FIG. 8, the determination result transmission unit 417 transmits the determination result determined by the determination unit 416 (that is, the determination result as to whether or not the user has followed the instruction) to the service server 500.

<Service server 500>
Next, an example of a functional configuration of the control unit 510 in the service server 500 according to the present embodiment will be described with reference to FIG.

  The control unit 510 of the service server 500 expands the reward program 521 stored in the storage unit 520 in the memory 512. The control unit 510 interprets and executes the reward program 521 expanded in the memory 512 by the CPU 511 and controls each component. Accordingly, as illustrated in FIG. 11, the control unit 510 of the service server 500 according to the present embodiment functions as a computer including the determination result receiving unit 513, the evaluation value determining unit 514, and the evaluation value processing unit 515.

  The determination result receiving unit 513 receives a determination result as to whether or not the user has followed instructions (a consultation instruction, an exercise instruction, and a medication instruction) from the health management device 400.

  The evaluation value determination unit 514 determines the user's evaluation value based on the determination result received by the determination result reception unit 513. For example, the evaluation value determination unit 514 increases the evaluation value when the user follows the instruction, and decreases the evaluation value when the user does not follow the instruction. Moreover, the evaluation value determination unit 514 may determine each evaluation value according to the determination result of each instruction, or may determine the comprehensive evaluation value according to the determination result of all instructions. Alternatively, the evaluation value determination unit 514 may determine each evaluation value and the overall evaluation value.

  Based on the evaluation value determined by the evaluation value determination unit 514, the evaluation value processing unit 515 gives points to the user or issues a coupon. Points are given to users with high evaluation values (users following instructions), and are used, for example, for discounting insurance premiums at the service server 600 (insurance company). Similarly, coupons, such as gourmet coupons or travel coupons, are issued to users with high evaluation values (users who follow the instructions). By giving such points and issuing coupons, the user can be motivated to follow instructions regarding health. However, not limited to the above, for example, a gym gym coupon may be issued to a user who has a low evaluation value for an exercise instruction (a user who did not follow the exercise instruction). Thereby, it is possible to prompt the user who does not follow the exercise instruction to exercise.

  The service server 500 may implement part or all of the functions (processing) realized by the health management device 400 described above. In this case, the determination result transmission unit 417 and the determination result reception unit 513 may be omitted, and the determination result obtained by the determination unit 416 is directly used by the evaluation value determination unit 514. The service server 600 may implement part or all of the functions (processing) realized by the health management device 400 and the service server 500.

§3 Example of operation [Health management device 400]
Next, an operation example of the health management device 400 will be described with reference to FIG. FIG. 12 is a flowchart illustrating an example of a processing procedure of the health management device 400. Note that the processing procedure described below is merely an example, and each processing may be changed as much as possible. Further, in the processing procedure described below, steps can be omitted, replaced, and added as appropriate according to the embodiment.

(Step S11)
In step S <b> 11, the control unit 410 functions as the instruction receiving unit 413, and receives an instruction for health management (a consultation instruction, an exercise instruction, and a medication instruction) from the medical staff terminal 300.

(Step S12)
In the next step S12, the control unit 410 functions as the instruction transmission unit 414, and transmits the instruction for health management received in step S11 to the user terminal 200 or the measurement terminal 100.

(Step S13 (Steps S131, S132, S133))
In the next step S13, the control unit 410 functions as the acquisition unit 415, and acquires user behavior information for the instruction given in step S12.

  More specifically, when a consultation instruction is transmitted, the control unit 410 acquires consultation information from the medical staff terminal 300 as behavior information in step S131.

  When an exercise instruction is transmitted, the control unit 410 acquires exercise information (activity data or walking data) from the measurement terminal 100 via the user terminal 200 as behavior information in step S132.

When a medication instruction is transmitted, the control unit 410 acquires medication information (blood pressure data and user input data) from the measurement terminal 100 via the user terminal 200 as behavior information in step S133 (step S14 (step S141). , S142, S143))
In the next step S14, the control unit 410 functions as the determination unit 416, and based on the behavior information acquired in step S13, whether or not the user has performed an action associated with the instruction (instruction Or not).

  More specifically, when the consultation information is acquired, the control unit 410 determines whether the user has performed an action associated with the instruction with respect to the instruction based on the diagnosis information as the behavior information in step S141 (the consultation instruction). Or not).

  When exercise information is acquired, the control unit 410 performs an action associated with the instruction with respect to the instruction based on the exercise information (activity data or walking data) as the action information in step S142. Whether or not (followed exercise instructions) is determined.

  When the medication information is acquired, the control unit 410 performs an action associated with the instruction with respect to the instruction based on the medication information (blood pressure data and user input data) as the behavior information in step S143. It is determined whether or not (the medication instruction was followed).

(Step S15)
In the next step S15, the control unit 410 functions as the determination result transmission unit 417, and transmits the determination result determined in step S14 to the service server 500.

[Service Server 500]
Next, an operation example of the service server 500 will be described with reference to FIG. FIG. 13 is a flowchart illustrating an example of a processing procedure of the service server 500. Note that the processing procedure described below is merely an example, and each processing may be changed as much as possible. Further, in the processing procedure described below, steps can be omitted, replaced, and added as appropriate according to the embodiment.

(Step S21)
In step S <b> 21, control unit 510 functions as determination result receiving unit 513, and receives a determination result as to whether or not the user has followed instructions (a consultation instruction, exercise instruction, and medication instruction) from health management device 400.

(Step S22)
In next step S22, control unit 510 functions as evaluation value determination unit 514, and determines the evaluation value of the user based on the determination result received in step S21.

(Step S23)
In the next step S23, the control unit 510 functions as the evaluation value processing unit 515, and gives points or issues a coupon to the user based on the evaluation value determined in step S22.

§4 Action / Effect As described above, in this embodiment, the health management device 400 transmits an instruction for health management (a consultation instruction, an exercise instruction, and a medication instruction) from a medical person to a user (patient). . Then, the health management device 400 acquires user action information (visit information, exercise information, and medication information) for the instruction, and the user performs an action associated with the instruction with respect to the instruction based on the action information. It is determined whether it has been performed, that is, whether the user has followed the instruction. Thereby, the medical practitioner can grasp the user's behavior with respect to the instruction and can manage the health condition. In addition, by grasping the user's behavior with respect to the instruction, the medical person can give further instructions such as a treatment policy and life improvement suitable for the user.

  Moreover, in this embodiment, when determining whether the user followed the medication instruction, the threshold value for the determination is set based on the accumulated history data (biological data) of the user. That is, the threshold corresponds to a change in the user's own biometric data accompanying a change with time. Thereby, it can be determined more accurately whether the user has followed the medication instruction.

  In the present embodiment, the service server 500 determines the user's evaluation value based on the determination result obtained by the health management device 400. And the service server 500 gives a point with respect to a user based on the determined evaluation value, or issues a coupon. Thereby, a user can raise the motivation according to the instruction | indication regarding health.

  The present invention is not limited to the above-described embodiment as it is, and can be embodied by modifying the constituent elements without departing from the scope of the invention in the implementation stage. Further, various inventions can be formed by appropriately combining a plurality of constituent elements disclosed in the embodiment. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, you may combine suitably the component covering different embodiment.

100: Measuring terminal,
110 ... Control unit, 120 ... Communication unit, 130 ... Storage unit,
140 ... operation unit, 150 ... display unit, 160 ... biological sensor,
170 ... acceleration sensor,
111 ... CPU, 112 ... memory,
161: Blood pressure sensor,
200 ... user terminal,
210 ... control unit, 220 ... storage unit, 230 ... operation unit,
240 ... communication unit, 250 ... display unit,
211 ... CPU, 212 ... memory,
300 ... medical personnel terminal,
310 ... control unit, 320 ... storage unit, 330 ... operation unit,
340 ... communication unit, 350 ... display unit,
311 ... CPU, 312 ... memory,
400 ... health management device,
410 ... Control unit, 420 ... Storage unit, 430 ... Communication unit,
411 ... CPU, 412 ... memory,
413 ... Instruction receiving unit, 414 ... Instruction transmitting unit, 415 ... Acquisition unit,
416 ... determination unit, 417 ... determination result transmission unit,
421 ... health care program,
500 ... service server,
510 ... Control unit, 520 ... Storage unit, 530 ... Communication unit,
511 ... CPU, 512 ... memory,
513 ... Determination result receiving unit, 514 ... Evaluation value determining unit,
515 ... evaluation value processing unit,
521 ... Reward program,
600 ... service server,
610 ... Control unit, 620 ... Storage unit, 630 ... Communication unit,
611 ... CPU, 612 ... memory

Claims (12)

An acquisition unit for acquiring information representing the user's behavioral state in a predetermined period after an instruction for health management is given to the user;
A determination unit that determines whether or not the user has performed an action associated with the instruction based on the information indicating the acquired action state;
Comprising
Health care device. The acquisition unit acquires information representing a visit history of the user in a predetermined period after a visit instruction is given to the user as information representing the behavior state,
The determination unit determines whether or not the user has performed an action associated with the instruction with respect to the consultation instruction based on the information representing the acquired consultation history;
The health management device according to claim 1. The acquisition unit acquires information indicating an exercise history of the user in a predetermined period after an exercise instruction is given to the user as information indicating the action state,
The determination unit determines whether or not the user has performed an action associated with the instruction with respect to the exercise instruction, based on the information representing the acquired exercise history.
The health management device according to claim 1. The acquisition unit acquires the amount of activity of the user in a predetermined period after the exercise instruction is given as information representing the exercise history,
The determination unit performs an action associated with the instruction with respect to the exercise instruction based on whether or not the acquired amount of activity of the user is within a preset first threshold range. Determine whether or not
The health management device according to claim 3. The acquisition unit acquires at least one of the number of steps, the walking distance, and the walking time of the user in a predetermined period after the exercise instruction is given as information representing the exercise history,
The determination unit determines whether the user responds to the exercise instruction based on whether at least one of the acquired number of steps, walking distance, and walking time is within a preset second threshold range. It is determined whether or not an action associated with the instruction has been performed.
The health management device according to claim 3. The acquisition unit acquires information representing a medication history of the user in a predetermined period after a medication instruction is given to the user as information representing the behavior state,
The determination unit determines whether or not the user has taken a medication associated with the instruction with respect to the medication instruction based on the information indicating the acquired medication history.
The health management device according to claim 1. The acquisition unit includes, as information indicating the medication history, medication confirmation information including a type of medication taken by the user and a medication time, which is input by an operation unit during a predetermined period after the medication instruction is given. Acquired,
The determination unit, based on a comparison result between the acquired medication confirmation information and prescription information corresponding to the medication instruction, has the user performed an action associated with the medication instruction? Determine whether or not
The health management device according to claim 6. The acquisition unit further acquires, as information representing the medication history, a change history of the biometric information of the user affected by medication in a predetermined time after the medication confirmation information is input,
The determination unit determines whether or not the user is associated with the instruction with respect to the medication instruction based on whether or not the change history of the acquired biological information is within a preset third threshold range. To determine whether or not
The health management device according to claim 7. An evaluation value determination unit that determines an evaluation value of the user based on a determination result by the determination unit;
Based on the determined evaluation value, an evaluation value processing unit that performs at least one of giving a point to the user and issuing a coupon;
Further comprising
The health management device according to any one of claims 1 to 8. A storage unit for storing information representing a correspondence relationship between the type of instruction and the action information of the user;
The acquisition unit acquires information representing the user behavior information generated by referring to information representing a correspondence relationship between the type of the instruction and the user behavior information;
The health management device according to any one of claims 1 to 9. A health management method executed by a device for managing the health status of a user,
Obtaining information representing the user's behavioral state in a predetermined period after an instruction for health care is given to the user;
A step of determining whether or not the user has performed an action associated with the instruction based on the information indicating the acquired action state;
Comprising
Health care method. Making a processor function as each part with which the health care device according to any one of claims 1 to 10 is provided,
Health care program.