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WO2003096246A1 - Medical care supporting system and medical care supporting method - Google Patents

Medical care supporting system and medical care supporting method Download PDF

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Publication number
WO2003096246A1
WO2003096246A1 PCT/JP2003/005703 JP0305703W WO03096246A1 WO 2003096246 A1 WO2003096246 A1 WO 2003096246A1 JP 0305703 W JP0305703 W JP 0305703W WO 03096246 A1 WO03096246 A1 WO 03096246A1
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WO
WIPO (PCT)
Prior art keywords
patient
treatment
information
medical
support system
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2003/005703
Other languages
French (fr)
Japanese (ja)
Inventor
Tadashi Goino
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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Filing date
Publication date
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Publication of WO2003096246A1 publication Critical patent/WO2003096246A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1113Local tracking of patients, e.g. in a hospital or private home
    • A61B5/1115Monitoring leaving of a patient support, e.g. a bed or a wheelchair
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/41Detecting, measuring or recording for evaluating the immune or lymphatic systems
    • A61B5/411Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient; User input means
    • A61B5/742Details of notification to user or communication with user or patient; User input means using visual displays
    • A61B5/743Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00ICT specially adapted for the handling or processing of medical references
    • G16H70/20ICT specially adapted for the handling or processing of medical references relating to practices or guidelines

Definitions

  • the present invention relates to a medical care support system and a medical care support method.
  • FIG. 8 is a configuration diagram of a virtual general hospital information system 51 that provides a method of exchanging patient medical information.
  • the virtual general hospital information system 51 is composed of a patient terminal 52 used by the patient, a doctor information database 53 storing doctor information, and a search device 54 that accesses and searches the doctor information database 53. And a doctor terminal 55 used by a doctor to accept a reservation application.
  • the search device 54 is accessed using 52 to display a search screen on the screen of the patient terminal 52, and a search request is made by specifying the patient's symptoms, the hospital area, and the like on the search screen.
  • the search device 54 accesses the doctor information database 53, and the patient terminal 5
  • a search is made for a doctor who satisfies the conditions entered in 2 and the search result is sent back to the patient terminal 52.
  • the patient selects a doctor based on the search results, and the doctor
  • This type of system which selects a caregiver (helper) instead of a doctor,
  • FIG. 9 is a configuration diagram of the care service system 56.
  • Nursing care The service system 5 6 has a helper punk 5 7, and the helper bank 5 7 has a care manager 5 8, an operator 5 9 and a home helper 6 via the Internet.
  • Helper punk 5 7 is used for various databases 6 1 to 6 4
  • a helper information registration unit 65 A helper information registration unit 65, a reservation processing unit 66, and the like.
  • the care manager 58 When a patient (need-to-care person) selects a caregiver in the nursing care service system 5 6, the care manager 58 creates a care plan draft for the requested patient, and uses the care plan draft as a search criterion.
  • Send to The helper information registration unit 65 receives the search condition, searches the helper information database 62, and sends the search result back to the care manager 58.
  • the care manager 58 selects the best caregiver from the search results, sends the selection result to the helper bank 57, and makes the reservation processing unit 6
  • the virtual general hospital information system 51 and the nursing care service system 56 can only secure doctors and caregivers. For this reason, for example, bedridden patients cannot go out freely, and there is a problem that they cannot receive treatment at the optimal time for the patient. In addition, if a patient is bedridden, etc., even if they receive treatment, they need to assist a third party in order to go to a hospital or nursing care center. there were.
  • the present invention has been made in view of the above problems, and an object of the present invention is to provide a medical care support system and a medical care support method that enable a patient to easily receive treatment.
  • an input unit for receiving patient information relating to treatment of a patient, a communication unit capable of transmitting and receiving various information via a network, and a communication unit installed on the patient side.
  • Means for performing treatment or nursing care for the patient fetching the patient information from the patient side via the communication means, and generating treatment information on a treatment method for the patient according to the patient information
  • a medical care support system including a prescription setting unit that performs the prescription setting.
  • the execution means captures treatment information on the treatment method from the prescription setting means via the communication means, and drives the actuator according to the treatment information to execute the execution means.
  • the medical care support system further includes display means installed on the patient side.
  • the patient information includes request information regarding treatment
  • the prescription setting means fetches the request information via the communication means, selects a physician who satisfies the patient's request according to the request information, and selects the selected treatment.
  • a selection screen of a patient is displayed on the display means, and a treatment method is obtained in accordance with the medical knowledge data of the caregiver selected on the selection screen.
  • the medical care support system further includes at least one of the therapist and the treatment method.
  • a display means for displaying a selection screen for selecting one of them.
  • One of the patient and therapist is set to the requester, and the other is set to the presenter presenting the conditions relating to the transaction, and the requester bids out the presenter showing the most preferable conditions among the presenters.
  • the treatment person or the treatment method is selected using the display means according to the auction.
  • the input means is a voice input means for inputting voice
  • the prescription setting means generates treatment information on a treatment method for a patient according to the voice data of the voice input means.
  • the input unit is a photographing unit capable of photographing a patient
  • the prescription setting unit generates treatment information on a treatment method for the patient in accordance with the image data of the photographing unit.
  • the input means is a measuring means for measuring a health condition of a human body
  • the prescription setting means generates treatment information on a treatment method for a patient according to the measurement data of the measuring means.
  • the execution unit is a care device that provides care to the patient. It is preferable that the execution unit is a care bed.
  • the execution means is a medical treatment device that adjusts components in the air to perform medical treatment.
  • the executing means is a medical treatment apparatus for performing aromatherapy therapy having a plurality of scent generating sources having different scents, and the control means determines the scent generating source based on the treatment information. It is preferable to generate a whole predetermined scent.
  • the medical care support system further includes a storage unit connected to the prescription setting unit, for storing and storing the patient information.
  • the prescription setting means generates the treatment information on the treatment method according to the patient information of the patient who has requested the treatment method among the patient information stored in the database by the storage means.
  • a medical and nursing support method used in a medical and nursing support system including an execution unit for performing treatment or nursing for the patient is provided.
  • the support method includes the steps of: loading patient information relating to the treatment of the patient by the input means; capturing the captured patient information by the prescription setting means via the network and communication means; Generating treatment information relating to a treatment method for the patient; capturing the treatment information via the network and communication means; and controlling the actuator according to the captured treatment information.
  • Driving the execution means to operate the execution means.
  • the medical / care support system includes a display unit provided on the patient side, the patient information includes request information regarding treatment, and a step of obtaining a treatment method for the patient includes the prescription setting unit.
  • a nursing care server comprising: a receiving unit for receiving, via a network, patient information input by a patient via an inputting unit; A prescription setting unit connected to the prescription setting unit for generating treatment information on a treatment method optimal for the patient based on the patient information; Transmitting means for transmitting, via the network, treatment information relating to the treatment method obtained by the prescription setting means to treatment executing means for treating the patient.
  • FIG. 1 is a schematic configuration diagram of a medical care support system according to one embodiment.
  • (A) of FIG. 2 is a schematic perspective view of a nursing care bed with an assisting function
  • (b) of FIG. 2 is a schematic perspective view of a medical treatment device.
  • Figure 3 is a screen diagram of the search result display screen.
  • Fig. 4 is a screen diagram of the detail screen.
  • Figure 5 is a screen diagram of the bidding screen.
  • FIG. 6 is a screen diagram of the re-input screen.
  • FIG. 7 is a screen diagram of the selection screen.
  • FIG. 8 is a schematic configuration diagram of a conventional virtual general hospital information system.
  • FIG. 9 is a schematic configuration diagram of another conventional care service system.
  • FIG. 1 is a configuration diagram of the medical care support system 1.
  • the medical care support system 1 includes a care server 2, an input device 3 as an input means, and a care device 4 as an execution means, and the input device 3 and the care device 4 are connected to the care server 2 via the Internet N as a network. It is connected to the.
  • the nursing care server 2 is installed on the provider side of the treatment method, and the input device 3 and the nursing care device 4 are installed on the patient 6 side.
  • the medical institution 5 registered in the medical and nursing support system 1 is connected to the Internet N.
  • the medical institution 5 includes, for example, a hospital and a nursing care center.
  • the input device 3 includes a communication terminal 7 and a measuring device 8 as a measuring means.
  • Communication terminal '7 is, for example, a personal computer having a transmitting / receiving unit 9, and is used when inputting registration information, illness information, request information, and the like.
  • registration information includes parameters such as name, address, gender, date of birth, age, occupation, contact information, e-mail address, physical condition, and presence / absence of disability.
  • the disease information is information on the disease afflicted by patient 6, such as name, gender, date of birth, address, occupation, presence of infectious disease, disease name, degree of illness, co-morbidity, allergy, seizure, and physical condition. Includes parameters such as presence or absence of dysfunction, whether or not to administer prescription drugs, whether or not to restrict meals, contact information, contact information, etc.
  • the request information is the request of the patient 6 regarding the treatment, such as treatment contents, diagnosis (test), cost, treatment skill level, time, care, helper, hospital, doctor, prescription (drug), qualification (license, license). And other parameters.
  • the input device 3 includes a camera 10 as a photographing unit (input unit) and a microphone 11 as an audio input unit (input unit).
  • the camera 10 and the microphone 11 are connected to the communication terminal 7.
  • the microphone 11 photographs the patient 6 and, for example, photographs the state of the patient 6, the blood color of the face, and the like.
  • the microphone 1 1 inputs the voice of the patient 6.
  • the measurement device 8 is a device for examining a patient, and includes, for example, a blood pressure measurement device, a blood measurement device, a urine test device, and the like. Among them, as the blood pressure measuring device, a device that can measure by simply causing the fingertip to be damaged by the detector may be used.
  • the transmission / reception unit 9 of the communication terminal 7 transmits / receives various information (data) to / from the nursing care server 2 via the Internet N.
  • the transmission / reception unit 9 performs registration processing, illness information, request information, image data captured by the camera 10, audio data input by the microphone 11, measurement equipment 8
  • the measurement data measured by is sent to the nursing care server 2 via the Internet N.
  • Disease information, request information, image data, audio data, and measurement data are patient information.
  • the nursing care server 2 includes a registration information database 12, an input information database 13 as a storage means, and a treatment person information database 14. Registration information is stored in the registration information database 12, and the registration information can be updated sequentially.
  • Input information database 13 contains disease information, request information, image data, audio data, and measurement data. Each information (data) is stored in the input information database 13 every time the input device 3 performs an input process.
  • the therapist information database 14 stores therapist information on the therapist, and the therapist information can be updated sequentially.
  • the parameters include the name, gender, year, specialty, area, hospital, affiliation, performance, book, doctor's registration number, consultation date, number of consultations, etc., when the treating person is a physician.
  • the therapist is a caregiver, the name, gender, date of birth, address, contact information, age, qualifications, achievements, counseling status, therapist status, emergency contact information, face photo , Body photograph, physical characteristics, health status, nursing care schedule, introduction comment, nursing scenery image, etc. are used as parameters. It is also possible to update the information of the therapist from the medical institution 5.
  • the nursing care server 2 includes a control processing unit 15 and a transmission / reception unit 16.
  • the control processing unit 15 is responsible for overall control of the nursing care server 2 and includes a search processing unit 17 and a treatment method setting unit 18.
  • the search processing unit 17 searches the therapist information database 14 based on the disease information and the request information, and selects a doctor (caregiver) who satisfies the request of the patient 6.
  • the treatment method setting section 18 takes in the therapist information from the therapist information database 14 and based on the medical knowledge data determined by the therapist information, the disease information and image data
  • the optimal treatment method for patient 6 is determined based on the voice data, measurement data, and the like.
  • the search processing section 17 and the treatment method setting section 18 are prescription setting means.
  • the transmission / reception section 16 can communicate with the transmission / reception section 9 of the communication terminal 7 and the reception section 19 of the nursing care device 4 via the Internet N.
  • the transmission / reception unit 16 exchanges various information (data) with the transmission / reception unit 9 of the input device 3. Further, when a treatment method is requested by the treatment method setting unit 18, the transmission / reception unit 16 transmits treatment information (drive signal) on the treatment method to the care device 4 via the Internet N.
  • the transmitting / receiving section 9, the transmitting / receiving section 16 and the receiving section 19 are communication means.
  • the nursing care device 4 is a device that actually performs treatment (nursing care) for the patient 6, and includes a receiving unit 19, a control unit 20 as control means, and an actuator 21.
  • the control unit 20 drives the actuator 21 based on the drive signal received by the reception unit 19, and the protection device 4 is operated by the drive of the actuator 21 by the control unit 20.
  • the control unit 20 includes a microcomputer having a CPU, a ROM, a RAM, and the like, and the actuator 21 includes, for example, a motor, a cylinder, and a valve.
  • the nursing care device 4 is, for example, a nursing care bed 22 with an assisting function shown in FIG.
  • the care device 4 includes, for example, a massager 23 on a bed and auxiliary devices 24 and 24 extending from both sides.
  • the control unit 20 drives the motor (actuator) 21 a to move the massager 23 based on the drive signal from the nursing care server 2. Further, the control unit 20 drives the motor (actuator) 21 b to move the auxiliary device 24 based on the drive signal from the consultation server 2.
  • the massager 23 massages the patient 6 lying on the care bed 22, while the rescue device 24 takes care of the patient 6 instead of the healer's hand.
  • the nursing care device 4 is not limited to the nursing care bed 22 and may be, for example, a medical treatment device 25 shown in FIG. 2 (b) for performing a therapy such as aromatherapy to enhance the effect of improving the mind and body.
  • the medical treatment device 25 contains a plurality (three in this example) of aroma oils 26a to 26c (fragrance sources), and the aroma oils 26a to 26c have different aromas depending on the therapy. It is.
  • the medical treatment device 25 has valves (actuator) 27 a to 27 c according to the number of oils, and the control unit 20 opens and closes the valves 27 a to 27 c based on a drive signal from the nursing care server 2. To generate a scent according to the physical and mental state of the patient 6.
  • the care device 4 may be a negative ion generator (not shown).
  • a negative ion generator is a device that generates negative ions in the air, neutralizes the prions in the air, purifies the indoor air, deodorizes, and activates biological functions.
  • Negative ion devices are installed in, for example, hospital rooms, bedrooms, living rooms, dining rooms, bathrooms, corridors, conference rooms, medical rooms, and the like.
  • the patient 6 enters registration information to use the medical / nursing support system 1 to register for use and obtains a special ID, and thereafter uses the ID to use the medical / nursing support system 1 . For this reason, when using the medical and nursing support system 1, it is possible to save time and effort for inputting various information every time. It is less likely that the medical care support system 1 will be used without permission.
  • the patient 6 uses the communication terminal 7 to input disease information and request information.
  • priority may be given to the items of the request. For example, it is possible to input the cost and the medical treatment level as the request that must be satisfied with priority.
  • the transmission / reception unit 9 transmits the disease information and the request information to the nursing care server 2 via the Internet N, and the transmission / reception unit 16 receives various information on the nursing care server 2 side.
  • the search processing unit 17 searches the therapist information database 14 based on the disease information and the request information, and the therapist (doctor, caregiver) who satisfies the request of the patient 6. Select all. That is, the search processing unit 17 picks up a doctor who can treat the disease of the patient 6 and can satisfy the request of the patient 6.
  • the transmission / reception unit 16 transmits the selection result to the transmission / reception unit 9 of the communication terminal 7 via the Internet N, and the communication terminal 7 displays the search result display screen 2 9 ( Hereinafter, it is referred to as a display screen).
  • the display screen 29 displays a list of the therapists (doctors, caregivers) selected by the search processing unit 17, and displays a photograph, the institution's name, etc. for each of the therapists.
  • the photo column 30 shows a photo of the healer
  • the institution / name column 31 shows the name of the institution to which the healer belongs and the name of the healer.
  • the display screen 29 is linked to the next lower layer. For example, when a numerical value on the left end of the display screen 29 is clicked, a detailed screen 32 shown in FIG. 4 is displayed according to each patient.
  • the detail screen 32 displays the detailed information of the caregiver selected on the display screen 29. If the caregiver is a caregiver as shown in Fig. 4, the caregiver's video screen 33, the institution- Name, gender, age, address, commuting time, skills, years of service, height and weight, qualifications (license, license), etc. are displayed. If the treating person is a physician, it is not shown, for example, but not shown on the screen of the physician, institution / name, affiliation, gender, age, achievement, book, doctor's registration number, consultation date, number of consultations, The consultation schedule and the like are displayed. Display screen 29 and detail screen 32 are selection screens.
  • the detail screen 3 2 shown in FIG. 4 is provided with two check buttons 3 4 and 35.
  • a 2D image is displayed on the video screen 33, and a 3D check button is displayed.
  • 3 5 is selected, a 3D image is displayed.
  • the video screen 33 is provided with a video switching function, and the video angle and zoom of the 3D image can be arbitrarily changed using the video switching function.
  • a comment field 36 is provided on the detail screen 32, and the comment field 36 describes the appeal comment of the therapist ⁇ comment about the qualifications held.
  • the detail screen 3 2 is provided with an “OK” button 37, and the patient 6 clicks the “ ⁇ ⁇ ” button 37 when he / she wants to perform a consultation procedure with the therapist displayed on the detail screen 32. "When the OK button 37 is clicked, the transmission / reception unit 9 sends a confirmation signal to the nursing care server 2, and the treatment method setting unit 18 inputs the confirmation signal and selects it on the detail screen 32.
  • the treating person is accepted as the doctor in charge of patient 6. With this, a treatment contract is established between patient 6 and the treating person.
  • Patient 6 enters further disease information.
  • the disease information for example, the selection of symptoms, the time of occurrence of symptoms, the use of drugs, the effects of external disorders, the presence or absence of chronic illness, the sleeping time, the amount of alcohol and tobacco, the working hours, etc., using the communication terminal 7 are used. Enter in order.
  • the disease information may be input in a form written on a sheet on the screen of the communication terminal 7 or in an automatic communication (interactive form) with the nursing care server 2 using, for example, a chat @ Internet telephone.
  • the patient 6 measures blood pressure, blood, urine, heart rate, body temperature, and the like using the measuring device 8 in addition to the input of disease information. Further, the camera 10 photographs the patient 6, and the microphone 11 inputs the voice of the patient 6. After completing the input work before the consultation, the transmitting / receiving unit 9 transmits the disease information, the measurement data, the image data, and the voice data to the nursing care server 2 via the Internet N, and the nursing care server 2 side performs the treatment method.
  • the setting unit 18 captures various information (various data).
  • the treatment method setting unit 18 fetches the treatment information of the designated doctor (caregiver) from the treatment information database 14 and uses the treatment information as medical knowledge data.
  • the treatment method setting unit 18 uses the medical knowledge data as a database and seeks treatment methods (care methods) based on disease information, measurement data, image data, and voice data.
  • treatment methods care methods
  • the treatment method setting section 18 determines the treatment method based on the image data, the complexion and the blood color of the patient 6 are obtained.
  • the voice quality of patient 6 is analyzed to determine the treatment method.
  • the contracted therapist is competent, appropriate treatment methods will be derived accordingly.
  • the treatment method setting unit 18 also seeks a treatment method by reflecting past disease information and measurement data accumulated in the input information database 13. In other words, looking at past disease information and measurement data stored in the input information database 13, for example, if patient 6 has been stable for several days, If so, the patient is asked for a treatment method that reflects the condition at that time and provided to the patient 6. Also, at each consultation, only a simple consultation was performed without collecting detailed disease information or measurement data, and by looking at the input information database 13, the tendency of patient 6's condition was examined and a treatment method was determined. Is also good.
  • the transmission / reception unit 16 transmits treatment information (drive signal) corresponding to the treatment method to the care device 4 via the Internet N.
  • the nursing device 4 (the nursing bed 22 and the recuperation device 25 in this example) is driven by itself based on the drive signal sent from the nursing server 2 to execute treatment for the patient 6.
  • the treatment performed by the nursing care device 4 includes, for example, administration of medicines, exchange of medicines, body massage, exchange of bandages, changing clothes, assisting in eating, measurement of blood pressure, blood, etc., generation of aromatherapy aroma, and the like. Can be Therefore, the patient 6 can receive almost the same treatment (care) as the contracted caregiver with the nursing device 4 without going to a hospital or the like.
  • a measuring device 8 is installed in each room such as a hospital room, a living room, a dining room, and the like.
  • the measuring device 8 measures the number of negative ions for each room, and the nursing care server 2 takes in the measurement data via the Internet N.
  • the nursing care server 2 calculates the optimal number of negative ions for each room taking into account the number of patients 6, the number of healthy subjects, the size of the room, the number of ventilation fans, etc. based on the measurement data, and calculates the number of negative ions for each room.
  • the corresponding drive signal is sent to the negative ion generator via the internet N.
  • the negative ion generator generates negative ions according to the drive signal, and purifies the air in the room to treat the patient 6.
  • the nursing care device 4 is brought in or installed in a train, a train, an automobile, or the like, and the nursing care is provided to the patient 6 via the Internet N using the medical and nursing support system 1. In this way, the patient 6 can receive the same care without a caregiver or a physician, and can travel freely even if he / she is ill or dysfunctional.
  • the care server 2 may determine a treatment method (care method) based on the image data from the camera 10. More specifically, the camera 10 photographs the interior of a ship, an airplane, a train, an automobile, or the like, and the communication terminal 7 transmits the image data to the nursing care server 2 via the Internet N.
  • the nursing care server 2 determines a treatment method in consideration of the image data, and transmits the treatment information to the care device 4 via the Internet N to drive the care device 4.
  • the treatment method will be a high-quality method according to the moving object on which the patient 6 is riding and the room inside, and the patient 6 will be able to use the quality according to the situation even if he / she is on a ship, airplane, train, car, etc. High treatment methods.
  • the contract between the patient 6 and the healer may be made using an auction.
  • the normal auction will be described below in detail.
  • the display screen 29 shown in FIG. 3 includes a current bid amount column 38, a bid column 39, and a remaining time column 40. Columns 38 to 40 are provided for each clinician, and column 38 for the current bid amount is the final bid amount at the time of connection to the medical and nursing care support system 1, and column 38 for the bid is The number and remaining time fields 40 show the remaining time for the auction.
  • the patient 6 browses the bid amount on the display screen 29 and the display items on the detail screen 32, and selects the most appropriate medical treatment in terms of treatment technology and cost.
  • the patient 6 enters the bid amount that the patient 6 can present in the current bid column 38 on which the treating person is displayed on the display screen 29. If more than one patient 6 applies for an appointment with a therapist, the patient 6 with the highest bid at the end of the auction will be able to contract with that therapist.
  • the number of contractors of the patient 6 is not limited to one, and may be plural, and the contract may be made with a predetermined number of persons from the top.
  • the medical care support system 1 is a system that provides information on the caregiver to the patient 6 in the form of an auction, so that a business is established between the medical institution 5 and the patient 6 regarding the provision of a treatment method. . Therefore, for the medical institution 5 If you look at it, it is possible to provide treatment at a high cost. On the other hand, if the patient 6 pays a high cost, he / she will always receive the treatment he / she wants. Also, if the bidder's bidding price is high, the healer is popular, and the treatment technology is excellent, and it is also a criterion for the medical level of the healer.
  • the form of the auction may be a reverse auction. More specifically, for example, the patient 6 inputs disease information and request information from the communication terminal 7 and requests the medical care support system 1 for treatment. Then, the nursing care server 2 notifies all the medical institutions 5 registered in the medical care support system 1 via the Internet N that a medical treatment request has been made. The medical institution 5 determines whether or not the patient 6 can perform the treatment, and if the treatment can be performed, sends the treatment method, cost, and the like that can be provided to the patient 6 back to the nursing care server 2.
  • the bid screen 41 shown in FIG. 5 is displayed on the screen 28 of the communication terminal 7.
  • the bidding screen 41 lists the therapists who participated in the reverse auction, the photo column 42 shows the photo of the healer, the institution / name column 43 shows the name of the institution to which the healer belongs and its treatment. The name of the person is displayed.
  • the treatment technology column 44 shows the treatment technology, the time to treatment, the location of the hospital, and the like, and the cost column 45 shows the treatment cost.
  • the patient 6 browses the bidding screen 41 to select the most preferred healer, and performs a medical agreement with the healer.
  • Bid screen 4 1 is also selected llf side.
  • the medical care support system 1 is a system that provides information on the caregiver to the patient 6 in the form of a reverse auction. Therefore, the business between the medical institution 5 and the patient 6 regarding the provision of the treatment method. Holds. Therefore, the patient 6 can receive the treatment at a more suitable condition as possible, for example, at a low cost, at a medical institution where the treatment can be performed immediately, and at a location close to the patient. Also, if the medical institution 5 presents favorable conditions to the patient 6, the patient 6 can easily gather and the patient 6 can be secured accordingly.
  • the form of the auction may be a time (due) auction or a position (distance, location) auction instead of a normal auction / reverse auction.
  • a time auction the form in which the patient 6 who pays the treatment fee the earliest due date will beat the healer, or the healer who has the shortest care time (care time)
  • care time the form in which the patient 6 who pays the treatment fee the earliest due date will beat the healer, or the healer who has the shortest care time (care time)
  • position auction in which a therapist belonging to the medical institution 5 closest to the patient 6 is auctioned off.
  • the re-entry screen 4 6 has an item entry field 4 7 and a change value entry field 4 8. If you want to change the bid amount, due date, nursing care time, nursing care period, place, location, etc. Enter “Bid amount” in 7 and enter a new input value in the change value input field 4 8. For this reason, the bid price can be changed at the time of the auction.
  • the care device 4 may have a virtual function.
  • the nursing care device 4 may be a device that virtually executes treatment as if the healer is actually performing treatment. In this case, if you receive virtual care by your preferred caregiver (for example, a female caregiver), you will feel more relaxed mentally and physically, and the recovery will be quicker.
  • an ideal person image may be registered in the input information database 13 using the communication terminal 7, and treatment may be performed using a simulation image of the person.
  • the nursing care device 4 has a virtual function
  • the partial function also has a function of providing a virtual nursing room to the patient 6. In this way, if the nursing room is the desired interior decoration, layout, and color for the patient 6, the effect of the mental and physical treatment of the patient 6 is further enhanced.
  • the nursing room is a room that a celebrity or celebrity has used for medical treatment before, using the nursing room in the same way has a high effect on the mind and body, and is also effective as part of treatment.
  • a search screen 49 shown in FIG. 7 is displayed on a screen 28, and a desired one of the patient 6 is selected.
  • a list of nursing rooms is displayed on the search screen 4'9, and the appearance of the nursing room and comments on the nursing room are displayed.
  • the comment section for example, "Celebrity Z wanted to treat diabetes with natural remedies, so he selected a medical room suitable for natural remedies, and selected a specialized doctor, caregiver, dietitian, etc. for treatment. After three months, he recovered and completed medical treatment. "
  • the search screen 49 is provided with a selection number input field 50a and an "OK" button 50b.
  • Patient 6 browses the overview and comments of the nursing room, selects the most suitable nursing room, enters the number of the nursing room in the selection number input field 50 a of the search screen 49, and then clicks ⁇ OK j Click on button 50 b. Then, the nursing care equipment 4 provides the nursing room virtually, and the patient 6 can be treated (care) as if he / she were actually in the nursing room.
  • the nursing room may be auctioned using an auction in the same manner as when a bidder is awarded.
  • the medical care support system 1 has an answering function.
  • the answering function is a function to record the treatment message and listen to it later if the patient 6 cannot hear the treatment message in real time.
  • the patient 6 can use the answering function to transmit disease information and request information to the therapist in a time lag. In this case, it is possible to respond even if the treatment message from the therapist cannot be heard in real time or if the patient cannot transmit disease information or request information in real time.
  • the nursing care device 4 Since the nursing care device 4 is driven based on the treatment information transmitted from the nursing care server 2 via the Internet N to perform treatment for the patient 6, the patient 6 can easily perform treatment without going to the medical institution 5. Can receive. In addition, since the medical care support system 1 allows the patient 6 to perform the procedure up to receiving treatment by himself, the patient 6 can receive treatment without the help of a third party.
  • the patient 6 When selecting a therapist, the patient 6 inputs request information using the communication terminal 7, and the patient 6 selects the most appropriate one from the therapists satisfying the request, and the medical knowledge of the therapist. Receive treatment based on Therefore, the patient 6 can be treated by the care device 4 according to a treatment method that meets his needs.
  • the medical care support system 1 is a system that provides information about the caregiver to the patient 6 in the form of an auction, a business is established between the medical institution 5 and the patient 6 regarding the provision of a treatment method. . Therefore, the medical institution 5 can perform the treatment at high cost, and the patient 6 can receive the treatment under suitable conditions. Also, if the auction takes the form of a reverse auction, the patient 6 can receive better treatment under the best possible conditions, and the medical institution 5 should present the preferable conditions to the patient 6. If this is the case, it becomes easier for patients 6 to gather, and it is easier to secure patients 6 accordingly.
  • the treatment method setting unit 18 seeks a treatment method by also reflecting past disease information and measurement data stored in the input information database 13 and reflected the past state of patient 6. A method of treatment can be provided.
  • the treatment method setting unit 18 obtains the treatment method based on the measurement data of the measuring device 8 installed in the input device 3, so that the treatment method based on the measurement data can be provided to the patient 6. Therefore, the treatment performed by the nursing care device 4 can be a preferable treatment that matches the health condition of the patient 6.
  • the medical and nursing support system 1 is adopted for ships, airplanes, trains, cars, etc., patients 6 can receive appropriate treatment and nursing care even when riding on each moving body, so they can go out on a trip freely. it can.
  • the embodiment is not limited to the above, and for example, may be changed to the following mode.
  • the nursing device 4 may be a disease, such as a wheelchair, a walking device, a toilet device, a chair, a table, a rehabilitation device, a meal device, an assistive device, a posture changer, etc., in addition to the nursing bed 2 2.
  • the device is not particularly limited as long as it is a device for treating (care) the patient 6.
  • the medical treatment device 25 is not limited to a device using aroma oil, but may be a device using a candle.
  • the execution means is not limited to the nursing device 4, but may be a treatment device for performing treatment such as surgery on the patient 6. In this case, treatment can be received via the Internet N without going to the medical institution 5.
  • the communication terminal 7 is not limited to a personal computer, and may be, for example, a mopile, a mobile phone, an Internet television, or an interactive television.
  • the measuring device 8 is not limited to a blood pressure measuring device, a blood measuring device, a urine test device, and the like, and the type of the device is not particularly limited as long as it can measure a state value that is an index of the health condition of the patient 6.
  • the Internet N may be either wireless or wired.
  • the network is not limited to the Internet N, and various information (including data) can be communicated. If so, the communication format is not particularly limited. '
  • therapists are not limited to physicians and caregivers. For example, a physician, a dentist, an ophthalmologist, an acupuncturist, a therapist, a counselor, a chiropractic, etc. You may be in a job category.
  • auction / reverse auction The form of auction is usually auction / reverse auction, and is not limited to the time (due date) auction or location (distance, location) auction previously filed by the applicant, and the auction is formed by the relationship between the provider and the buyer. It is only necessary to take the following. Also, auction transactions may be eliminated.
  • the treatment method provided to the patient 6 is not limited to the configuration determined by the treatment method setting unit 18 of the care server 2.
  • the nursing care device 4 may be configured to be remotely operable from the medical institution 5 side, and the medical institution 5 may remotely control the nursing care device 4 to treat the patient 6 based on disease information or the like from the patient 6. .

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Abstract

A medical care supporting system where a patient can be easily treated. The supporting system comprises input means (3) for acquiring patient information on the treatment of the patient, communication means (9, 16, 19) for transmitting/receiving various information over a network (N), executing means (caring device) (4) installed on the patient side, having an actuator (21) and adapted for treating or caring the patient, and prescription setting means (17, 18) for collecting patient information from the patient side through the communication means and adapted for creating treatment information on the treatment method for the patient according to the patient information. The execution means includes control means (20) for acquiring the treatment information from the prescription setting means through the communication means and driving the actuator according to the treatment information to operate the execution means.

Description

' 明細書  ' Specification

医療介護支援システム及び医療介護支援方法  Medical care support system and medical care support method

[技術分野] [Technical field]

本発明は、 医療介護支援システム及ぴ医療介護支援方法に関するものである。  The present invention relates to a medical care support system and a medical care support method.

[背景技術]  [Background technology]

医療や治療は日々飛躍的に進歩しているが、 医療や治療の利用者である患者や 外来者にとって、 治療、 診断検査、 介護、 リハビリ、 カンゥンセリング、 薬剤、 費用、 待ち受け時間等についての要望を満たすような情報やサービスを提供する システムが、 十分、 整備されていない。 このため、 多くの患者が訪れる大病院ゃ 国公立病院等の総合病院では、 待合室での順番待ち、 料金収納や薬の処方箋の受 け渡し順番待ち等に多くの時間がかかり、 病院で混雑を招く原因となっていた。 そこで、 総合病院の混雑解消を目的として、 例えば特開 2 0 0 0— 2 8 2 9 2 Medical care and treatment are progressing rapidly every day, but for patients and outpatients who use medical care and treatment, treatment, diagnostic tests, nursing care, rehabilitation, compensating, drugs, costs, standby time, etc. There is not enough system to provide information and services that meet the demands. For this reason, large hospitals, which are visited by many patients, and general hospitals such as national public hospitals, take a lot of time to wait in a waiting room, wait for a fee, and wait for a delivery of medicine prescriptions. It was a cause for inviting. Therefore, for the purpose of eliminating congestion in general hospitals, for example, Japanese Patent Application Laid-Open No. 2000-282829

2号公報には患者医療情報の交換方法及ぴ端末が開示されている。 図 8は、 患者 医療情報の交換方法を提供する仮想総合病院情報システム 5 1の構成図である。 仮想総合病院情報システム 5 1は、 患者が使用する患者用端末 5 2と、 医師情報 が蓄積された医師情報データベース 5 3と、 医師情報データベース 5 3にァクセ スして検索を行う検索装置 5 4と、 医師が予約の申し込みを受け付ける際に使用 する医師用端末 5 5とを含む。 No. 2 discloses a method of exchanging patient medical information and a terminal. FIG. 8 is a configuration diagram of a virtual general hospital information system 51 that provides a method of exchanging patient medical information. The virtual general hospital information system 51 is composed of a patient terminal 52 used by the patient, a doctor information database 53 storing doctor information, and a search device 54 that accesses and searches the doctor information database 53. And a doctor terminal 55 used by a doctor to accept a reservation application.

仮想総合病院情報システム 5 1で患者が医師を探したいときには、 患者用端末 When a patient wants to find a doctor in the virtual general hospital information system 51, a patient terminal

5 2を用いて検索装置 5 4にアクセスして患者用端末 5 2の画面に検索画面を表 示し、 その検索画面に患者の症状や病院の地域等を指定することで検索要求を行 う。 検索装置 5 4は、 医師情報データベース 5 3にアクセスして、 患者用端末 5The search device 54 is accessed using 52 to display a search screen on the screen of the patient terminal 52, and a search request is made by specifying the patient's symptoms, the hospital area, and the like on the search screen. The search device 54 accesses the doctor information database 53, and the patient terminal 5

2から入力された条件を満たす医師の検索を行って検索結果を患者用端末 5 2に. 送り返す。 患者はその検索結果を基にして医師を選び出し、 医師が医師用端末 5A search is made for a doctor who satisfies the conditions entered in 2 and the search result is sent back to the patient terminal 52. The patient selects a doctor based on the search results, and the doctor

5にて受け付けると、 診察の受付が完了する。 If you accept at 5, the consultation will be completed.

医師ではなく介護者 (ヘルパー) を選ぶこの種のシステムとして、 例えば特開 This type of system, which selects a caregiver (helper) instead of a doctor,

2 0 0 1 - 3 1 8 9 9 0号公報には介護サービスシステム及ぴヘルパー検索方法 が開示されている。 図 9は、 介護サービスシステム 5 6の構成図である。 介護サ 一ビスシステム 5 6はヘルパーパンク 5 7を備え、 ヘルパーバンク 5 7にはィン ターネットを介してケアマネジャー 5 8、 遣事業者 5 9及ぴホームヘルパー 6Japanese Patent Publication No. 2001-1991 discloses a care service system and a helper search method. FIG. 9 is a configuration diagram of the care service system 56. Nursing care The service system 5 6 has a helper punk 5 7, and the helper bank 5 7 has a care manager 5 8, an operator 5 9 and a home helper 6 via the Internet.

0がアクセス可能である。 ヘルパーパンク 5 7は、 各種データベース 6 1〜6 40 is accessible. Helper punk 5 7 is used for various databases 6 1 to 6 4

、 ヘルパー情報登録部 6 5、 予約処理部 6 6等を有している。 , A helper information registration unit 65, a reservation processing unit 66, and the like.

介護サービスシステム 5 6で患者 (要介護者) が介護者を選び出す場合には、 ケアマネジャー 5 8は依頼を受けた患者のケアプラン案を作成し、 そのケアプラ ン案を検索条件としてヘルパーバンク 5 7に送信する。 ヘルパー情報登録部 6 5 は検索条件を受け付けてヘルパー情報データベース 6 2内を検索し、 ケアマネジ ヤー 5 8に対し検索結果を送り返す。 ケアマネジャー 5 8は、 検索結果から最適 な介護者を選択してその選択結果をヘルパーバンク 5 7に送信し、 予約処理部 6 When a patient (need-to-care person) selects a caregiver in the nursing care service system 5 6, the care manager 58 creates a care plan draft for the requested patient, and uses the care plan draft as a search criterion. Send to The helper information registration unit 65 receives the search condition, searches the helper information database 62, and sends the search result back to the care manager 58. The care manager 58 selects the best caregiver from the search results, sends the selection result to the helper bank 57, and makes the reservation processing unit 6

6は選択結果を受け付けて介護者の予約を完了する。 6 receives the selection result and completes the reservation of the caregiver.

ところが、 仮想総合病院情報システム 5 1や介護サービスシステム 5 6では、 医師や介護者を確保することしかできないという現状がある。 このため、 例えば 寝たきりの患者は自由に出歩くことができないので、 患者にとって最適なときに 治療を受けることができないという問題があった。 また、 患者が寝たきり等の場 合、 治療を受けるにしても病院や介護センター等に赴くためには第 3者の手助け が必要であるので、 患者の周囲の人に負担をかけてしまう問題もあった。  However, the virtual general hospital information system 51 and the nursing care service system 56 can only secure doctors and caregivers. For this reason, for example, bedridden patients cannot go out freely, and there is a problem that they cannot receive treatment at the optimal time for the patient. In addition, if a patient is bedridden, etc., even if they receive treatment, they need to assist a third party in order to go to a hospital or nursing care center. there were.

[発明の開示]  [Disclosure of the Invention]

本発明は前記の問題点に鑑みてなされたものであって、 その目的は、 患者が簡 単に治療を受けることができる医療介護支援システム及び医療介護支援方法を提 供することにある。  The present invention has been made in view of the above problems, and an object of the present invention is to provide a medical care support system and a medical care support method that enable a patient to easily receive treatment.

上記目的を達成するために、 本発明の第 1の態様では、 患者の治療に関する患 者情報を取り込む入力手段と、 ネットワークを介して各種情報の送受信が可能な 通信手段と、 前記患者側に設置され、 ァクチユエータを有し、 前記患者に対して 治療又は介護を行う実行手段と、 前記患者側から前記患者情報を前記通信手段を 介して取り込み、 前記患者情報に従って患者の治療方法に関する治療情報を生成 する処方設定手段とを備える医療介護支援システムが提供される。 前記実行手段 は、 前記治療方法に関する治療情報を前記処方設定手段から前記通信手段を介し て取り込み、 前記治療情報に従って前記ァクチユエータを駆動して該実行手段を 動作させる制御手段を含む。 In order to achieve the above object, according to a first aspect of the present invention, there is provided an input unit for receiving patient information relating to treatment of a patient, a communication unit capable of transmitting and receiving various information via a network, and a communication unit installed on the patient side. Means for performing treatment or nursing care for the patient, fetching the patient information from the patient side via the communication means, and generating treatment information on a treatment method for the patient according to the patient information And a medical care support system including a prescription setting unit that performs the prescription setting. The execution means captures treatment information on the treatment method from the prescription setting means via the communication means, and drives the actuator according to the treatment information to execute the execution means. Including control means for operating.

医療介護支援システムは、 さらに、 前記患者側に設置された表示手段を備えこ とが好ましい。 前記患者情報は治療に関する要望情報を含み、 前記処方設定手段 は、 前記通信手段を介して前記要望情報を取り込み、 前記要望情報に応じて患者 の要望を満たす治療者を選び出し、 選び出された治療者の選択画面を前記表示手 段に表示させ、 前記選択画面で選択された治療者の医療知識データに従つて治療 方法を求めることが好ましい。  It is preferable that the medical care support system further includes display means installed on the patient side. The patient information includes request information regarding treatment, the prescription setting means fetches the request information via the communication means, selects a physician who satisfies the patient's request according to the request information, and selects the selected treatment. It is preferable that a selection screen of a patient is displayed on the display means, and a treatment method is obtained in accordance with the medical knowledge data of the caregiver selected on the selection screen.

医療介護支援システムは、 さらに、 前記治療者及ぴ治療方法のうち少なくとも The medical care support system further includes at least one of the therapist and the treatment method.

—方を選択するための選択画面が表示される表示手段を備えることが好ましい。 前記患者及び治療者のうち一方が依頼者に、 他方が取引に関する条件を提示す る提示者に設定され、 前記提示者のうち最も好適な条件を示した提示者を、 前記 依頼者が競り落とすォークシヨンにより、 前記治療者又は治療方法が前記表示手 段を用いて選定されることが好ましい。 It is preferable to provide a display means for displaying a selection screen for selecting one of them. One of the patient and therapist is set to the requester, and the other is set to the presenter presenting the conditions relating to the transaction, and the requester bids out the presenter showing the most preferable conditions among the presenters. It is preferable that the treatment person or the treatment method is selected using the display means according to the auction.

前記入力手段は音声を入力する音声入力手段であり、 前記処方設定手段は、 前 記音声入力手段の音声データに従つて患者の治療方法に関する治療情報を生成す ることが好ましい。  Preferably, the input means is a voice input means for inputting voice, and the prescription setting means generates treatment information on a treatment method for a patient according to the voice data of the voice input means.

前記入力手段は患者を撮影可能な撮影手段であり、 前記処方設定手段は、 前記 撮影手段の画像データに従つて患者の治療方法に関する治療情報を生成すること が好ましい。  It is preferable that the input unit is a photographing unit capable of photographing a patient, and the prescription setting unit generates treatment information on a treatment method for the patient in accordance with the image data of the photographing unit.

前記入力手段は人体の健康状態を測定する測定手段であり、 前記処方設定手段 は、 前記測定手段の測定データに従って患者の治療方法に関する治療情報を生成 することが好ましい。  It is preferable that the input means is a measuring means for measuring a health condition of a human body, and the prescription setting means generates treatment information on a treatment method for a patient according to the measurement data of the measuring means.

前記実行手段は、 前記患者に対して介護を行う介護装置であることが好ましい 前記実行手段は介護べッドであることが好ましい。  It is preferable that the execution unit is a care device that provides care to the patient. It is preferable that the execution unit is a care bed.

前記実行手段は空気中の成分を調整して療養を行う療養装置であることが好ま しい。  It is preferable that the execution means is a medical treatment device that adjusts components in the air to perform medical treatment.

前記実行手段は香りの異なる複数の香り発生源を有するァロマテラピー療法を 行う療養装置であり、 前記制御手段は前記香り発生源のうち前記治療情報から決 まる所定の香りを発生させることが好ましい。 The executing means is a medical treatment apparatus for performing aromatherapy therapy having a plurality of scent generating sources having different scents, and the control means determines the scent generating source based on the treatment information. It is preferable to generate a whole predetermined scent.

医療介護支援システムは、 さらに、 前記処方設定手段に接続され、 前記患者情 報を保存して蓄積する記憶手段を備えることが好ましい。  It is preferable that the medical care support system further includes a storage unit connected to the prescription setting unit, for storing and storing the patient information.

処方設定手段は、 前記記憶手段によつてデータベース化された前記患者情報の うち、 治療方法の依頼を行った患者の患者情報に従って治療方法に関する治療情 報を生成することが好ましい。  It is preferable that the prescription setting means generates the treatment information on the treatment method according to the patient information of the patient who has requested the treatment method among the patient information stored in the database by the storage means.

本発明の第 2の態様では、 患者の治療に関する患者情報を取り込む入力手段と 、 ネットワークを介して各種情報の送受信が可能な通信手段と、 前記患者側に設 置され、 制御手段及びァクチユエータを有し、 該患者に対して治療又は介護を行 う実行手段とを備えた医療介護支援システムに用いられる医療介護支援方法が提 供される。 その支援方法は、 前記入力手段によって前記患者の治療に関する患者 情報を取り込む工程と、 前記取り込まれた患者情報を、 前記処方設定手段が前記 ネットワーク及ぴ通信手段を介して取り込み、 前記患者情報に従つて前記患者の 治療方法に関する治療情報を生成する工程と、 前記治療情報を、 前記制御手段が 前記ネットワーク及び通信手段を介して取り込む工程と、 前記制御手段が、 前記 取り込んだ治療情報に従って、 前記ァクチユエータを駆動して前記実行手段を動 作させる工程とを備える。  According to a second aspect of the present invention, there are provided input means for receiving patient information relating to treatment of a patient, communication means capable of transmitting and receiving various information via a network, and control means and an actuator provided on the patient side. In addition, a medical and nursing support method used in a medical and nursing support system including an execution unit for performing treatment or nursing for the patient is provided. The support method includes the steps of: loading patient information relating to the treatment of the patient by the input means; capturing the captured patient information by the prescription setting means via the network and communication means; Generating treatment information relating to a treatment method for the patient; capturing the treatment information via the network and communication means; and controlling the actuator according to the captured treatment information. Driving the execution means to operate the execution means.

その方法において、 前記医療介護支援システムは、 前記患者側に設置された表 示手段を含み、 前記患者情報は治療に関する要望情報を含み、 前記患者の治療方 法を求める工程は、 前記処方設定手段が、 前記通信手段を介して前記要望情報を 取り込み工程と、 前記処方設定手段が、 前記要望情報に応じて患者の要望を満た す治療者を選び出す工程と、 前記処方設定手段が、 選び出された治療者の選択画 面を前記ネットワーク及び通信手段を介して前記表示手段に表示させ、 前記選択 画面で選択される治療者の医療知識データに従つて治療方法を求める工程とを含 むことが好ましい。  In the method, the medical / care support system includes a display unit provided on the patient side, the patient information includes request information regarding treatment, and a step of obtaining a treatment method for the patient includes the prescription setting unit. A step of taking in the request information via the communication means, a step of the prescription setting means selecting a physician satisfying a patient's request according to the request information, and a step of selecting the prescription setting means. Displaying the selected screen of the clinician on the display means via the network and the communication means, and determining a treatment method according to the medical knowledge data of the clinician selected on the selection screen. preferable.

本発明の第 3の態様では、 介護用サーバが提供され、 その介護用サーバは、 入 力手段を介して患者が入力した患者情報を、 ネットワークを介して受信する受信 手段と、 前記受信手段に接続され、 前記患者情報に基づき患者にとって最適な治 療方法に関する治療情報を生成する処方設定手段と、 前記処方設定手段に接続さ れ、 前記処方設定手段により求められた治療方法に関する治療情報を、 前記患者 に対して治療を行う治療実行手段に前記ネットワークを介して送信する送信手段 とを備える。 According to a third aspect of the present invention, there is provided a nursing care server, the nursing care server comprising: a receiving unit for receiving, via a network, patient information input by a patient via an inputting unit; A prescription setting unit connected to the prescription setting unit for generating treatment information on a treatment method optimal for the patient based on the patient information; Transmitting means for transmitting, via the network, treatment information relating to the treatment method obtained by the prescription setting means to treatment executing means for treating the patient.

[図面の簡単な説明] [Brief description of drawings]

本発明を、 本発明の目的及ぴ特徴とともにより良く理解するため、 添付図面と ともに以下の代表的な実施の形態の記载を参照する。  For a better understanding of the present invention, together with objects and features of the invention, reference is made to the following description of exemplary embodiments, together with the accompanying drawings.

図 1は、 一実施形態における医療介護支援システムの概略的な構成図である。 図 2の ( a ) は捕助機能付き介護べッドの概略的な斜視図であり、 図 2の ( b ) は療養装置の概略的な斜視図である。  FIG. 1 is a schematic configuration diagram of a medical care support system according to one embodiment. (A) of FIG. 2 is a schematic perspective view of a nursing care bed with an assisting function, and (b) of FIG. 2 is a schematic perspective view of a medical treatment device.

図 3は、 検索結果表示画面の画面図。  Figure 3 is a screen diagram of the search result display screen.

図 4は、 詳細画面の画面図である。  Fig. 4 is a screen diagram of the detail screen.

図 5は、 入札画面の画面図である。  Figure 5 is a screen diagram of the bidding screen.

図 6は、 再入力画面の画面図である。  FIG. 6 is a screen diagram of the re-input screen.

図 7は、 選択画面の画面図である。  FIG. 7 is a screen diagram of the selection screen.

図 8は、 従来における仮想総合病院情報システムの概略的な構成図である。 図 9は、 他の従来における介護サービスシステムの概略的な構成図である。  FIG. 8 is a schematic configuration diagram of a conventional virtual general hospital information system. FIG. 9 is a schematic configuration diagram of another conventional care service system.

[発明を実施するための最良の方法] [Best mode for carrying out the invention]

以下、 本発明を具体化した医療介護支援システム及び医療介護支援方法の一実 施形態を図 1〜図 Ίに従って説明する。  Hereinafter, an embodiment of a medical care support system and a medical care support method embodying the present invention will be described with reference to FIGS.

図 1は、 医療介護支援システム 1の構成図である。 医療介護支援システム 1は 介護用サーバ 2、 入力手段である入力装置 3及び実行手段である介護装置 4を備 え、 入力装置 3及び介護装置 4はネットワークであるインターネット Nを介して 介護用サーバ 2に接続されている。 介護用サーバ 2は治療方法の提供側に設置さ れ、 入力装置 3及び介護装置 4は患者 6側に設置される。 インターネッ ト Nには 医療介護支援システム 1に登録した医療機関 5が接続され、 医療機関 5は例えば 病院や介護センター等を含む。  FIG. 1 is a configuration diagram of the medical care support system 1. The medical care support system 1 includes a care server 2, an input device 3 as an input means, and a care device 4 as an execution means, and the input device 3 and the care device 4 are connected to the care server 2 via the Internet N as a network. It is connected to the. The nursing care server 2 is installed on the provider side of the treatment method, and the input device 3 and the nursing care device 4 are installed on the patient 6 side. The medical institution 5 registered in the medical and nursing support system 1 is connected to the Internet N. The medical institution 5 includes, for example, a hospital and a nursing care center.

入力装置 3は通信端末 7、 測定手段である測定機器 8を備えている。 通信端末 '7は送受信部 9を有する例えばパーソナルコンピュータであり、 登録情報、 疾病 情報、 要望情報等を入力するときに使用される。 各種情報のうち、 登録情報は氏 名、 住所、 性別、 生年月日、 年齢、 職業、 連絡先、 メールアドレス、 身体、 障害 の有無等のパラメータを含む。 登録情報入力後には I Dが発行され、 以降は通信 端末 7から I Dを入力することで医療介護支援システム 1の使用が許可される。 疾病情報は患者 6が患った病気に関する情報であり、 氏名、 性別、 生年月日、 住所、 職業、 伝染病の有無、 疾病名、 疾病程度、 併発合併症、 アレルギーの有無 、 発作の有無、 身体的障害の有無、 処方薬投与の有無、 食事制限の有無、 連絡先 、 綮急連絡先等のパラメータを含む。 さらに、 要望情報は治療に関する患者 6の 要望であり、 治療内容、 診断 (検査) 、 費用、 治療技術レベル、 時間、 介護、 へ レパー、 病院、 医師、 処方箋 (薬剤) 、 資格 (免許、 ライセンス) 等のパラメ一 タを含む。 The input device 3 includes a communication terminal 7 and a measuring device 8 as a measuring means. Communication terminal '7 is, for example, a personal computer having a transmitting / receiving unit 9, and is used when inputting registration information, illness information, request information, and the like. Among various types of information, registration information includes parameters such as name, address, gender, date of birth, age, occupation, contact information, e-mail address, physical condition, and presence / absence of disability. After the registration information is input, an ID is issued, and thereafter, by using the communication terminal 7 to input the ID, use of the medical care support system 1 is permitted. The disease information is information on the disease afflicted by patient 6, such as name, gender, date of birth, address, occupation, presence of infectious disease, disease name, degree of illness, co-morbidity, allergy, seizure, and physical condition. Includes parameters such as presence or absence of dysfunction, whether or not to administer prescription drugs, whether or not to restrict meals, contact information, contact information, etc. In addition, the request information is the request of the patient 6 regarding the treatment, such as treatment contents, diagnosis (test), cost, treatment skill level, time, care, helper, hospital, doctor, prescription (drug), qualification (license, license). And other parameters.

また、 入力装置 3は撮影手段 (入力手段) であるカメラ 1 0、 音声入力手段 ( 入力手段) であるマイク 1 1を備え、 カメラ 1 0及びマイク 1 1は通信端末 7に 接続されている。 マイク 1 1は患者 6を撮影し、 例えば患者 6の状態や顔の血色 等を撮影する。 マイク 1 1は患者 6の音声を入力する。 測定機器 8は患者を検診 する機器であり、 例えば血圧測定機器、 血液測定機器、 尿検査機器等がある。 こ のうち、 血圧測定機器としては指先を検出器に蝕れさせるだけで測定可能な機器 を用いてもよい。  The input device 3 includes a camera 10 as a photographing unit (input unit) and a microphone 11 as an audio input unit (input unit). The camera 10 and the microphone 11 are connected to the communication terminal 7. The microphone 11 photographs the patient 6 and, for example, photographs the state of the patient 6, the blood color of the face, and the like. The microphone 1 1 inputs the voice of the patient 6. The measurement device 8 is a device for examining a patient, and includes, for example, a blood pressure measurement device, a blood measurement device, a urine test device, and the like. Among them, as the blood pressure measuring device, a device that can measure by simply causing the fingertip to be damaged by the detector may be used.

また、 通信端末 7の送受信部 9はインターネット Nを介して介護用サーバ 2と 各種情報 (データ) の送受信を行う。 送受信部 9は送信処理を行う場合、 通信端 末 7で入力された登録情報、 疾病情報、 要望情報、 カメラ 1 0により撮影された 画像データ、 マイク 1 1により入力された音声データ、 測定機器 8により測定さ れた測定データをインターネット Nを介して介護用サーバ 2に送信する。 疾病情 報、 要望情報、 画像データ、 音声データ及び測定データは、 患者情報である。 介護用サーバ 2は登録情報データベース 1 2、 記憶手段である入力情報データ ベース 1 3、 治療者情報データベース 1 4を備えている。 登録情報データベース 1 2には登録情報が格納され、 登録情報は逐次更新可能となっている。 入力情報 データベース 1 3には疾病情報、 要望情報、 画像データ、 音声データ、 測定デ一 タが格納され、 各情報 (データ) は入力装置 3で入力処理が行われる度に入力情 報データベース 1 3に蓄積される。 また、 治療者情報データベース 1 4には治療 者に関する治療者情報が格納され、 治療者情報も逐次更新可能である。 The transmission / reception unit 9 of the communication terminal 7 transmits / receives various information (data) to / from the nursing care server 2 via the Internet N. The transmission / reception unit 9 performs registration processing, illness information, request information, image data captured by the camera 10, audio data input by the microphone 11, measurement equipment 8 The measurement data measured by is sent to the nursing care server 2 via the Internet N. Disease information, request information, image data, audio data, and measurement data are patient information. The nursing care server 2 includes a registration information database 12, an input information database 13 as a storage means, and a treatment person information database 14. Registration information is stored in the registration information database 12, and the registration information can be updated sequentially. Input information database 13 contains disease information, request information, image data, audio data, and measurement data. Each information (data) is stored in the input information database 13 every time the input device 3 performs an input process. The therapist information database 14 stores therapist information on the therapist, and the therapist information can be updated sequentially.

治療者情報は、 治療者が医師の場合、 氏名、 性別、 年餘、 専門、 地域、 病院、 所属科、 実績、 著書、 医師登録番号、 診察日、 診察件数等をパラメータとしてい る。 一方、 治療者情報は、 治療者が介護者の場合、 氏名、 性別、 生年月日、 住所 、 連絡先、 年齢、 資格、 実績、 カウンセリングの有無、 テラピス ト資格の有無、 緊急連絡先、 顔写真、 身体写真、 身体的特徴、 健康状態、 介護スケジュール、 紹 介コメント、 介護風景画像等をパラメータとしている。 また、 治療者情報は医療 機関 5から更新することも可能である。  If the therapist is a physician, the parameters include the name, gender, year, specialty, area, hospital, affiliation, performance, book, doctor's registration number, consultation date, number of consultations, etc., when the treating person is a physician. On the other hand, if the therapist is a caregiver, the name, gender, date of birth, address, contact information, age, qualifications, achievements, counseling status, therapist status, emergency contact information, face photo , Body photograph, physical characteristics, health status, nursing care schedule, introduction comment, nursing scenery image, etc. are used as parameters. It is also possible to update the information of the therapist from the medical institution 5.

介護用サーバ 2は制御処理部 1 5及び送受信部 1 6を備えている。 制御処理部 1 5は介護用サーバ 2の全体制御を司るもので、 検索処理部 1 7と治療方法設定 部 1 8とを備えている。 検索処理部 1 7は疾病情報、 要望情報に基づき治療者情 報データベース 1 4を検索して、 患者 6の要望を満たす医師 (介護者) を選択す る。 治療方法設定部 1 8は医師 (介護者) が指定されると治療者情報データべ一 ス 1 4から治療者情報を取り込み、 その治療者情報により決まる医療知識データ に基づき、 疾病情報、 画像データ、 音声データ、 測定データ等を基に患者 6にと つて最適な治療方法を求める。 検索処理部 1 7及び治療方法設定部 1 8は、 処方 設定手段である。  The nursing care server 2 includes a control processing unit 15 and a transmission / reception unit 16. The control processing unit 15 is responsible for overall control of the nursing care server 2 and includes a search processing unit 17 and a treatment method setting unit 18. The search processing unit 17 searches the therapist information database 14 based on the disease information and the request information, and selects a doctor (caregiver) who satisfies the request of the patient 6. When a physician (caregiver) is designated, the treatment method setting section 18 takes in the therapist information from the therapist information database 14 and based on the medical knowledge data determined by the therapist information, the disease information and image data The optimal treatment method for patient 6 is determined based on the voice data, measurement data, and the like. The search processing section 17 and the treatment method setting section 18 are prescription setting means.

また、 送受信部 1 6はィンターネット Nを介して通信端末 7の送受信部 9と、 介護装置 4の受信部 1 9と通信可能となっている。 送受信部 1 6は入力装置 3の 送受信部 9との間で各種情報 (データ) のやり取りをしている。 また、 送受信部 1 6は治療方法設定部 1 8により治療方法が求められると、 その治療方法に関す る治療情報 (駆動信号) をインターネット Nを介して介護装置 4に送信する。 送 受信部 9、 送受信部 1 6及ぴ受信 ¾ 1 9は、 通信手段である。  Further, the transmission / reception section 16 can communicate with the transmission / reception section 9 of the communication terminal 7 and the reception section 19 of the nursing care device 4 via the Internet N. The transmission / reception unit 16 exchanges various information (data) with the transmission / reception unit 9 of the input device 3. Further, when a treatment method is requested by the treatment method setting unit 18, the transmission / reception unit 16 transmits treatment information (drive signal) on the treatment method to the care device 4 via the Internet N. The transmitting / receiving section 9, the transmitting / receiving section 16 and the receiving section 19 are communication means.

介護装置 4は患者 6に対し実際に治療 (介護) を行う装置であり、 受信部 1 9 の他に制御手段である制御部 2 0とァクチユエ一タ 2 1とを備えている。 制御部 2 0は受信部 1 9が受信した駆動信号に基づきァクチユエータ 2 1を駆動し、 介 護装置 4は制御部 2 0によるァクチユエータ 2 1の駆動によって稼動している。 なお、 '制御部 2 0は C P U、 R OM, R AM等を有するマイクロコンピュータを 含み、 ァクチユエータ 2 1は例えばモータ、 シリンダ、 弁などを含む。 The nursing care device 4 is a device that actually performs treatment (nursing care) for the patient 6, and includes a receiving unit 19, a control unit 20 as control means, and an actuator 21. The control unit 20 drives the actuator 21 based on the drive signal received by the reception unit 19, and the protection device 4 is operated by the drive of the actuator 21 by the control unit 20. The control unit 20 includes a microcomputer having a CPU, a ROM, a RAM, and the like, and the actuator 21 includes, for example, a motor, a cylinder, and a valve.

• 介護装置 4は、 例えば図 2 ( a ) に示す捕助機能付き介護ベッド 2 2である。 介護装置 4は例えば寝台上のマッサージ器 2 3と、 両側から延出する補助器 2 4 , 2 4とを備えている。 制御部 2 0は介護用サーバ 2からの駆動信号に基づき、 モータ (ァクチユエータ) 2 1 aを駆動してマッサージ器 2 3を動かす。 また、 制御部 2 0は介議用サーバ 2からの駆動信号に基づき、 モータ (ァクチユエータ ) 2 1 bを駆動して補助器 2 4を動かす。 マッサージ器 2 3は介護べッド 2 2上 に寝た患者 6をマッサージし、 一方の捕助器 2 4は治療者の手の代わりとなって 患者 6をケアする。 • The nursing care device 4 is, for example, a nursing care bed 22 with an assisting function shown in FIG. The care device 4 includes, for example, a massager 23 on a bed and auxiliary devices 24 and 24 extending from both sides. The control unit 20 drives the motor (actuator) 21 a to move the massager 23 based on the drive signal from the nursing care server 2. Further, the control unit 20 drives the motor (actuator) 21 b to move the auxiliary device 24 based on the drive signal from the consultation server 2. The massager 23 massages the patient 6 lying on the care bed 22, while the rescue device 24 takes care of the patient 6 instead of the healer's hand.

また、 介護装置 4は介護べッド 2 2に限らず、 例えばァロマテラピー等の心身 改善効果を高める療法を行う図 2 ( b ) に示す療養装置 2 5でもよい。 療養装置 2 5には複数種 (本例では 3つ) のァロマオイル 2 6 a〜 2 6 c (香り発生源) が収容され、 ァロマオイル 2 6 a〜2 6 cは療法に応じて香りが異なるものであ る。 療養装置 2 5はオイル数に合わせて弁 (ァクチユエータ) 2 7 a〜 2 7 cを 有し、 制御部 2 0は介護用サーバ 2からの駆動信号に基づき弁 2 7 a〜2 7 cの 開閉を制御して、 患者 6の心身状態に応じた香りを発生させる。  Further, the nursing care device 4 is not limited to the nursing care bed 22 and may be, for example, a medical treatment device 25 shown in FIG. 2 (b) for performing a therapy such as aromatherapy to enhance the effect of improving the mind and body. The medical treatment device 25 contains a plurality (three in this example) of aroma oils 26a to 26c (fragrance sources), and the aroma oils 26a to 26c have different aromas depending on the therapy. It is. The medical treatment device 25 has valves (actuator) 27 a to 27 c according to the number of oils, and the control unit 20 opens and closes the valves 27 a to 27 c based on a drive signal from the nursing care server 2. To generate a scent according to the physical and mental state of the patient 6.

さらに、 介護装置 4はマイナスイオン発生装置 (図示省略) でもよい。 現代の 社会環境や生活環境では空気中にプラスイオンが多く存在し、 プラスイオンはス トレス、 病気、 生体機能の低下、 汚染物質、 臭い、 病原菌の原因となる。 マイナ スイオン発生装置は空気中にマイナスイオンを発生して、 空気中にあるプラスィ オンを中和させて室内の空気の浄化、 消臭、 生体機能の活性化を行う装置である 。 マイナスイオン装置は、 例えば病室、 寝室、 居間、 食堂、 浴室、 廊下、 会議室 、 療養室等に設置される。  Further, the care device 4 may be a negative ion generator (not shown). In today's social and living environment, there are many positive ions in the air, and positive ions cause stress, illness, deterioration of biological functions, pollutants, odors, and pathogenic bacteria. A negative ion generator is a device that generates negative ions in the air, neutralizes the prions in the air, purifies the indoor air, deodorizes, and activates biological functions. Negative ion devices are installed in, for example, hospital rooms, bedrooms, living rooms, dining rooms, bathrooms, corridors, conference rooms, medical rooms, and the like.

次に、 医療介護支援システム 1の作用について説明する。 まず、 患者 6は医療 介護支援システム 1を使用するにあたって登録情報を入力して使用登録を行って 専用の I Dを取得し、 これ以降では I Dを入力して医療介護支援システム 1の使 用を行う。 このため、 医療介護支援システム 1を使用する際に、 毎回、 種々の情 報を打ち込む入力作業を行う手間が省ける上に、 I D登録制を用いることで他人 に医療介護支援システム 1を勝手に使用される可能性も低くなる。 Next, the operation of the medical care support system 1 will be described. First, the patient 6 enters registration information to use the medical / nursing support system 1 to register for use and obtains a special ID, and thereafter uses the ID to use the medical / nursing support system 1 . For this reason, when using the medical and nursing support system 1, it is possible to save time and effort for inputting various information every time. It is less likely that the medical care support system 1 will be used without permission.

続いて、 医療介護支援システム 1で治療提供を受けたい場合、 患者 6は通信端 末 7を用いて疾病情報、 要望情報を入力する。 ここで、 要望情報を入力する場合 には要望の項目に優先付けをしてもよく、 例えば優先的に必ず満たしたい要望と して費用、 治療技術レベルを入力することも可能である。 送受信部 9は疾病情報 、 要望情報をインターネット Nを介して介護用サーバ 2に送信し、 介護用サーバ 2側では送受信部 1 6が各種情報を受信する。  Subsequently, when the medical care support system 1 wants to provide treatment, the patient 6 uses the communication terminal 7 to input disease information and request information. Here, when inputting the request information, priority may be given to the items of the request. For example, it is possible to input the cost and the medical treatment level as the request that must be satisfied with priority. The transmission / reception unit 9 transmits the disease information and the request information to the nursing care server 2 via the Internet N, and the transmission / reception unit 16 receives various information on the nursing care server 2 side.

介護用サーバ 2が各種情報を受信すると、 検索処理部 1 7は疾病情報、 要望情 報に基づき治療者情報データベース 1 4を検索して、 患者 6の要望を満たす治療 者 (医師、 介護者) を全て選び出す。 即ち、 検索処理部 1 7は患者 6が患った病 気を治療可能で、 かつ患者 6の要望を満たし得る医師をピックァップする。 送受 信部 1 6はその選択結果をインターネット Nを介して通信端末 7の送受信部 9に 送信し、 通信端末 7は表示手段である画面 2 8上に図 3に示す検索結果表示画面 2 9 (以下、 表示画面と記す) を表示する。  When the nursing care server 2 receives the various information, the search processing unit 17 searches the therapist information database 14 based on the disease information and the request information, and the therapist (doctor, caregiver) who satisfies the request of the patient 6. Select all. That is, the search processing unit 17 picks up a doctor who can treat the disease of the patient 6 and can satisfy the request of the patient 6. The transmission / reception unit 16 transmits the selection result to the transmission / reception unit 9 of the communication terminal 7 via the Internet N, and the communication terminal 7 displays the search result display screen 2 9 ( Hereinafter, it is referred to as a display screen).

表示画面 2 9には検索処理部 1 7によって選び出された治療者 (医師、 介護者 ) が一覧表示され、 各々の治療者ごとに写真、 機関 '氏名等が表示される。 写真 の欄 3 0には治療者の写真が、 機関 ·氏名の欄 3 1には治療者が所属する機関名 とその治療者の氏名とが表示される。 また、 表示画面 2 9は一つ下の階層にリン クされ、 例えば表示画面 2 9の左端の数値をクリックすると各々の治療者に応じ て図 4に示す詳細画面 3 2が表示される。  The display screen 29 displays a list of the therapists (doctors, caregivers) selected by the search processing unit 17, and displays a photograph, the institution's name, etc. for each of the therapists. The photo column 30 shows a photo of the healer, and the institution / name column 31 shows the name of the institution to which the healer belongs and the name of the healer. In addition, the display screen 29 is linked to the next lower layer. For example, when a numerical value on the left end of the display screen 29 is clicked, a detailed screen 32 shown in FIG. 4 is displayed according to each patient.

詳細画面 3 2には表示画面 2 9で選択された治療者の詳細情報が表示され、 図 4に示すように治療者が介護者である場合には、 介護者の映像画面 3 3、 機関 - 氏名、 性別、 年齢、 住所、 通勤時間、 技能、 勤務年数、 身長体重、 資格 (免許、 ライセンス) 等が表示される。 また、 治療者が医師である場合には、 図示はしな いが例えば医師の映像画面、 機関 ·氏名、 所属科、 性別、 年齢、 実績、 著書、 医 師登録番号、 診察日、 診察件数、 診察スケジュール等が表示される。 表示画面 2 9及ぴ詳細画面 3 2は選択画面である。  The detail screen 32 displays the detailed information of the caregiver selected on the display screen 29. If the caregiver is a caregiver as shown in Fig. 4, the caregiver's video screen 33, the institution- Name, gender, age, address, commuting time, skills, years of service, height and weight, qualifications (license, license), etc. are displayed. If the treating person is a physician, it is not shown, for example, but not shown on the screen of the physician, institution / name, affiliation, gender, age, achievement, book, doctor's registration number, consultation date, number of consultations, The consultation schedule and the like are displayed. Display screen 29 and detail screen 32 are selection screens.

図 4に示す詳細画面 3 2には 2つのチェックボタン 3 4 , 3 5が設けられ、 2 D用チェックポタン 3 4が選択されると映像画面 3 3には 2 D画像が、 3 Dチェ ックポタン 3 5が選択されると 3 D画像が表示される。 また、 映像画面 3 3には 映像切換機能が設けられ、 映像切換機能を用いて 3 D画像の映像アングル、 ズ一 ム変更が任意に行える。 また、 詳細画面 3 2にはコメント欄 3 6が設けられ、 コ メント欄 3 6には治療者のアピールコメントゃ保有している資格等についてのコ メントが記載される。 The detail screen 3 2 shown in FIG. 4 is provided with two check buttons 3 4 and 35. When the 2D check button 34 is selected, a 2D image is displayed on the video screen 33, and a 3D check button is displayed. When 3 5 is selected, a 3D image is displayed. The video screen 33 is provided with a video switching function, and the video angle and zoom of the 3D image can be arbitrarily changed using the video switching function. In addition, a comment field 36 is provided on the detail screen 32, and the comment field 36 describes the appeal comment of the therapist ゃ comment about the qualifications held.

患者 6は表示画面 2 9や詳細画面 3 2をチヱックしながら、 自分にとつて最適 な治療者を選び出す。 詳細画面 3 2には 「O K」 ポタン 3 7が設けられ、 患者 6 は詳細画面 3 2に表示された治療者と診察の手続きを行いたいときには 「Ο Κ」 ポタン 3 7をクリックする。 「O KJ ポタン 3 7がクリックされると送受信部 9 は確定信号を介護用サーバ 2に送信し、 治療方法設定部 1 8はその確定信号を入 力して、 詳細画面 3 2で選択された治療者を患者 6の担当医として受け付ける。 これにより、 患者 6と治療者との間で治療の契約が成立する。  While checking the display screen 29 and the detail screen 32, the patient 6 selects the most appropriate physician for himself. The detail screen 3 2 is provided with an “OK” button 37, and the patient 6 clicks the “Ο Κ” button 37 when he / she wants to perform a consultation procedure with the therapist displayed on the detail screen 32. "When the OK button 37 is clicked, the transmission / reception unit 9 sends a confirmation signal to the nursing care server 2, and the treatment method setting unit 18 inputs the confirmation signal and selects it on the detail screen 32. The treating person is accepted as the doctor in charge of patient 6. With this, a treatment contract is established between patient 6 and the treating person.

治療契約の成立後、 患者 6はさらに詳しい疾病情報を入力する。 疾病情報とし ては、 例えば症状の選択、 症状の発生時期、 薬剤使用の有無、 外的障害の影響、 持病の有無、 睡眠時間、 アルコールやタバコの量、 労働時間等を通信端末 7を用 いて順に入力していく。 また、 疾病情報の入力は通信端末 7の画面上のシートに 書き込む形式の他に、 例えばチヤットゃインターネット電話を用いて介護用サー パ 2とのオートコミュニケーション (対話形式) で入力するものでもよい。  After the treatment contract is concluded, Patient 6 enters further disease information. As the disease information, for example, the selection of symptoms, the time of occurrence of symptoms, the use of drugs, the effects of external disorders, the presence or absence of chronic illness, the sleeping time, the amount of alcohol and tobacco, the working hours, etc., using the communication terminal 7 are used. Enter in order. The disease information may be input in a form written on a sheet on the screen of the communication terminal 7 or in an automatic communication (interactive form) with the nursing care server 2 using, for example, a chat @ Internet telephone.

また、 患者 6は疾病情報の入力の他に、 測定機器 8を用いて血圧、 血液、 尿、 心拍数、 体温等を測定する。 さらに、 カメラ 1 0は患者 6を撮影し、 マイク 1 1 は患者 6の音声を入力する。 診察の前段階での入力作業が済むと、 送受信部 9は 疾病情報、 測定データ、 画像データ、 音声データをインターネット Nを介して介 護用サーバ 2に送信し、 介護用サーバ 2側では治療方法設定部 1 8が各種情報 ( 各種データ) を取り込む。  The patient 6 measures blood pressure, blood, urine, heart rate, body temperature, and the like using the measuring device 8 in addition to the input of disease information. Further, the camera 10 photographs the patient 6, and the microphone 11 inputs the voice of the patient 6. After completing the input work before the consultation, the transmitting / receiving unit 9 transmits the disease information, the measurement data, the image data, and the voice data to the nursing care server 2 via the Internet N, and the nursing care server 2 side performs the treatment method. The setting unit 18 captures various information (various data).

治療方法設定部 1 8は治療者情報データベース 1 4から指定された医師 (介護 者) の治療者情報を取り込み、 その治療者情報を医療知識データとする。 治療方 法設定部 1 8はその医療知識データをデータベースとして、 疾病情報、 測定デー タ、 画像データ、 音声データに基づき治療方法 (介護方法) を求める。 ここで、 治療方法設定部 1 8は画像データで治療方法を求める場合、 患者 6の顔色、 血色 を分析して治療法法を決め、 音声データで治療方法を求める場合、 患者 6の声質 を分析して治療方法を決めている。 ここで、 契約した治療者が有能であれば、 そ の分だけ適切な治療方法が導き出される。 The treatment method setting unit 18 fetches the treatment information of the designated doctor (caregiver) from the treatment information database 14 and uses the treatment information as medical knowledge data. The treatment method setting unit 18 uses the medical knowledge data as a database and seeks treatment methods (care methods) based on disease information, measurement data, image data, and voice data. Here, when the treatment method setting section 18 determines the treatment method based on the image data, the complexion and the blood color of the patient 6 are obtained. In order to determine the treatment method by analyzing the voice data, the voice quality of patient 6 is analyzed to determine the treatment method. Here, if the contracted therapist is competent, appropriate treatment methods will be derived accordingly.

. また、 治療方法設定部 1 8は入力情報データベース 1 3に蓄積された過去の疾 病情報や測定データも反映して治療方法を求めている。 即ち、 入力情報データべ ース 1 3に蓄積された過去の疾病情報や測定データを見て、 例えば患者 6がここ 何日かは安定した状態が続いている場合や、 最近序々に体調が悪化している場合 など、 そのときの状態を反映して治療方法を求めて患者 6に提供する。 また、 毎 回の診察で詳細な疾病情報や測定データを取らずとも簡単な診察のみを行い、 入 力情報データベース 1 3を見ることで患者 6の容態の傾向を調べて治療方法を求 めてもよい。  The treatment method setting unit 18 also seeks a treatment method by reflecting past disease information and measurement data accumulated in the input information database 13. In other words, looking at past disease information and measurement data stored in the input information database 13, for example, if patient 6 has been stable for several days, If so, the patient is asked for a treatment method that reflects the condition at that time and provided to the patient 6. Also, at each consultation, only a simple consultation was performed without collecting detailed disease information or measurement data, and by looking at the input information database 13, the tendency of patient 6's condition was examined and a treatment method was determined. Is also good.

治療方法設定部 1 8により治療方法が求まると、 送受信部 1 6はその治療方法 に応じだ治療情報 (駆動信号) をィンターネット Nを介して介護装置 4に送信す る。 介護装置 4 (本例では介護ベッド 2 2、 療養装置 2 5 ) は介護用サーバ 2か ら送られた駆動信号に基づき、 自ら駆動して患者 6に対し治療を実行する。 介護 装置 4が行う治療としては、 例えば薬の投与、 薬の交換、 体のマッサージ、 包帯 の交換、 洋服の着せ替え、 食事の手助け、 血圧や血液等の測定、 ァロマテラピー の香りの生成等が挙げられる。 従って、 患者 6は病院等に出掛けずに、 契約した 治療者とほぼ同等の治療 (介護) を介護装置 4で受けられる。  When the treatment method is determined by the treatment method setting unit 18, the transmission / reception unit 16 transmits treatment information (drive signal) corresponding to the treatment method to the care device 4 via the Internet N. The nursing device 4 (the nursing bed 22 and the recuperation device 25 in this example) is driven by itself based on the drive signal sent from the nursing server 2 to execute treatment for the patient 6. The treatment performed by the nursing care device 4 includes, for example, administration of medicines, exchange of medicines, body massage, exchange of bandages, changing clothes, assisting in eating, measurement of blood pressure, blood, etc., generation of aromatherapy aroma, and the like. Can be Therefore, the patient 6 can receive almost the same treatment (care) as the contracted caregiver with the nursing device 4 without going to a hospital or the like.

また、 介護装置 4がマイナスイオン装置の場合には病室、 居間、 食堂等の部屋 ごとに測定機器 8を設置しておく。 測定機器 8は部屋別にマイナスィオン数を測 定し、 介護用サーバ 2はインターネット Nを介してその測定データを取り込む。 介護用サーバ 2は測定データに基づき患者 6の数、 健常者数、 室内の広さ、 換気 扇の数などを考慮に入れて各部屋ごとに最適なマイナスイオン数を算出し、 その 算出値に応じた駆動信号をィンターネット Nを介してマイナスイオン発生装置に 送る。 マイナスイオン発生装置は駆動信号に応じたマイナスイオンを発生し、 室 内の空気を浄ィヒして患者 6を療養する。  When the nursing care device 4 is a negative ion device, a measuring device 8 is installed in each room such as a hospital room, a living room, a dining room, and the like. The measuring device 8 measures the number of negative ions for each room, and the nursing care server 2 takes in the measurement data via the Internet N. The nursing care server 2 calculates the optimal number of negative ions for each room taking into account the number of patients 6, the number of healthy subjects, the size of the room, the number of ventilation fans, etc. based on the measurement data, and calculates the number of negative ions for each room. The corresponding drive signal is sent to the negative ion generator via the internet N. The negative ion generator generates negative ions according to the drive signal, and purifies the air in the room to treat the patient 6.

ところで、 患者 6は疾病を患っていたり、 身体に何らかの機能障害を有してい るために、 自由に旅行等に出掛けることができない現実がある。 しかし、 船、 飛 行機、 列車、 自動車等に介護装置 4を持ち込み或いは設置しておき、 医療介護支 援システム 1を用いてインターネット Nを介して患者 6に介護を行う。 このよう にすれば、 患者 6は介護者や医師が直接同行しなくても同様の介護が受けられ、 疾病や機能障害を患っていても自由に旅行にも出掛けられる。 By the way, there is a reality that the patient 6 cannot go on a trip freely because he is sick or has some dysfunction in his body. But ship, flying The nursing care device 4 is brought in or installed in a train, a train, an automobile, or the like, and the nursing care is provided to the patient 6 via the Internet N using the medical and nursing support system 1. In this way, the patient 6 can receive the same care without a caregiver or a physician, and can travel freely even if he / she is ill or dysfunctional.

この場合、 介護用サーバ 2はカメラ 1 0からの画像データに基づき治療方法 ( 介護方法) を求めてもよい。 詳述すると、 カメラ 1 0は船、 飛行機、 列車、 自動 車等の室内を撮影し、 通信端末 7はその画像データをインターネット Nを介して 介護用サーバ 2に送信する。 介護用サーバ 2は画像データも考慮に入れて治療方 法を求め、 その治療情報を介護装置 4にインターネット Nを介して送信して介護 装置 4を駆動させる。 これにより、 治療方法は患者 6が乗っている移動体やその 室内に応じたクォリティーの高い方法となり、 患者 6は船、 飛行機、 列車、 自動 車等に乗っていても、 その状況に応じたクォリティーの高い治療方法を受けられ る。  In this case, the care server 2 may determine a treatment method (care method) based on the image data from the camera 10. More specifically, the camera 10 photographs the interior of a ship, an airplane, a train, an automobile, or the like, and the communication terminal 7 transmits the image data to the nursing care server 2 via the Internet N. The nursing care server 2 determines a treatment method in consideration of the image data, and transmits the treatment information to the care device 4 via the Internet N to drive the care device 4. As a result, the treatment method will be a high-quality method according to the moving object on which the patient 6 is riding and the room inside, and the patient 6 will be able to use the quality according to the situation even if he / she is on a ship, airplane, train, car, etc. High treatment methods.

また、 患者 6と治療者との契約はオークションを用いて行うようにしてもよい 。 以下に通常オークションを詳述すると、 図 3に示す表示画面 2 9には現在の入 札額の欄 3 8、 入札の欄 3 9、 残り時間の欄 4 0が設けられている。 欄 3 8〜4 0は各々の治療者ごとに設けられ、 現在の入札額の欄 3 8には医療介護支援シス テム 1へ接続した時点での最終入札額、 入札の欄 3 9には入札数、 残り時間の欄 4 0にはオークションの残り時間が表示される。  The contract between the patient 6 and the healer may be made using an auction. The normal auction will be described below in detail. The display screen 29 shown in FIG. 3 includes a current bid amount column 38, a bid column 39, and a remaining time column 40. Columns 38 to 40 are provided for each clinician, and column 38 for the current bid amount is the final bid amount at the time of connection to the medical and nursing care support system 1, and column 38 for the bid is The number and remaining time fields 40 show the remaining time for the auction.

患者 6は表示画面 2 9上の入札額や詳細画面 3 2上の表示項目を閲覧して、 治 療技術や費用的に最も好ましい治療者を選び出す。 患者 6は表示画面 2 9上でそ の治療者が表示された現在の入札額の欄 3 8に、 患者 6が提示可能な入札額を入 力する。 1人の治療者に対し複数の患者 6が予約を申し込んだ場合、 オークショ ンの期限が終了した時点で最高額の入札額を提示した患者 6がその治療者と契約 可能となる。 なお、 患者 6の契約者数は 1人に限らず複数人でもよく、 上位から 所定人数と契約可としてもよい。  The patient 6 browses the bid amount on the display screen 29 and the display items on the detail screen 32, and selects the most appropriate medical treatment in terms of treatment technology and cost. The patient 6 enters the bid amount that the patient 6 can present in the current bid column 38 on which the treating person is displayed on the display screen 29. If more than one patient 6 applies for an appointment with a therapist, the patient 6 with the highest bid at the end of the auction will be able to contract with that therapist. In addition, the number of contractors of the patient 6 is not limited to one, and may be plural, and the contract may be made with a predetermined number of persons from the top.

この場合、 医療介護支援システム 1はオークシヨンという形態で患者 6に治療 者の情報を提供するシステムであるので、 治療方法の提供という事柄に関して医 療機関 5と患者 6との間でビジネスが成立する。 従って、 医療機関 5側にとって みれば高い費用で治療を行うことが可能となり、 一方の患者 6にとつても高い費 用を払えば自分が受けたい治療が必ず受けられることになる。 また、 治療者の入 札額が高額であれば、 その治療者は人気があるということで治療技術が優れてい ることにもなり、 治療者の医療レベルの判断基準にもなる。 In this case, the medical care support system 1 is a system that provides information on the caregiver to the patient 6 in the form of an auction, so that a business is established between the medical institution 5 and the patient 6 regarding the provision of a treatment method. . Therefore, for the medical institution 5 If you look at it, it is possible to provide treatment at a high cost. On the other hand, if the patient 6 pays a high cost, he / she will always receive the treatment he / she wants. Also, if the bidder's bidding price is high, the healer is popular, and the treatment technology is excellent, and it is also a criterion for the medical level of the healer.

また、 オークションの形態は逆オークションとしてもよい。 以下に詳述すると 、 例えば患者 6が通信端末 7から疾病情報、 要望情報を入力して医療介護支援シ ステム 1に治療を依頼する。 すると、 介護用サーバ 2は医療介護支援システム 1 に登録済みの全ての医療機関 5に、 インターネット Nを通じて治療依頼があった 旨を通知する。 医療機関 5はその患者 6に対し治療が行える力否かを判断し、 治 療が行えるのであれば患者 6に対し提供できる治療方法、 費用等を介護用サーバ 2に送り返す。  The form of the auction may be a reverse auction. More specifically, for example, the patient 6 inputs disease information and request information from the communication terminal 7 and requests the medical care support system 1 for treatment. Then, the nursing care server 2 notifies all the medical institutions 5 registered in the medical care support system 1 via the Internet N that a medical treatment request has been made. The medical institution 5 determines whether or not the patient 6 can perform the treatment, and if the treatment can be performed, sends the treatment method, cost, and the like that can be provided to the patient 6 back to the nursing care server 2.

このとき、 通信端末 7の画面 2 8には図 5に示す入札画面 4 1が表示される。 入札画面 4 1には逆オークションに参加した治療者が一覧表示され、 写真の欄 4 2には治療者の写真が、 機関 ·氏名の欄 4 3には治療者が所属する機関名とその 治療者の氏名とが表示される。 また、 治療技術の欄 4 4には治療技術、 治療まで の時間、 病院の位置等が、 費用の欄 4 5には治療にかかる費用が表示される。 患 者 6は入札画面 4 1を閲覧して最も好ましい治療者を選び出し、 その治療者と診 察契約の手続きを行う。 入札画面 4 1も選択 llf面である。  At this time, the bid screen 41 shown in FIG. 5 is displayed on the screen 28 of the communication terminal 7. The bidding screen 41 lists the therapists who participated in the reverse auction, the photo column 42 shows the photo of the healer, the institution / name column 43 shows the name of the institution to which the healer belongs and its treatment. The name of the person is displayed. The treatment technology column 44 shows the treatment technology, the time to treatment, the location of the hospital, and the like, and the cost column 45 shows the treatment cost. The patient 6 browses the bidding screen 41 to select the most preferred healer, and performs a medical agreement with the healer. Bid screen 4 1 is also selected llf side.

この場合も、 医療介護支援システム 1は逆ォークシヨンという形態で患者 6に •治療者の情報を提供するシステムであるので、 治療方法の提供という事柄に関し て医療機関 5と患者 6との間でビジネスが成立する。 従つて、 患者 6はよりょレヽ 治療を、 できるだけ好適な条件、 例えば安価な費用、 直ぐに治療を行ってもらえ る、 立地位置が近い医療機関等で受けられる。 また、 医療機関 5側としては患者 6にとつて好適な条件を提示すれば患者 6が集まり易くなり、 それだけ患者 6を 確保できることにもなる。  In this case as well, the medical care support system 1 is a system that provides information on the caregiver to the patient 6 in the form of a reverse auction. Therefore, the business between the medical institution 5 and the patient 6 regarding the provision of the treatment method. Holds. Therefore, the patient 6 can receive the treatment at a more suitable condition as possible, for example, at a low cost, at a medical institution where the treatment can be performed immediately, and at a location close to the patient. Also, if the medical institution 5 presents favorable conditions to the patient 6, the patient 6 can easily gather and the patient 6 can be secured accordingly.

オークションを行う場合、 オークションの形態は通常オークションゃ逆オーク ションに代えて、 時間 (期日) オークションや位置 (距離、 場所) オークション でもよい。 例えば、 時間オークションとしては治療費を支払う期日が最も早い患 者 6が治療者を競り落とす形式や、 介護時間 (介護期間) が最も短い治療者が患 者 6を競り落とす形式がある。 また、 位置オークションとしては患者 6に最も近 い医療機関 5に属する治療者を競り落とす形式がある。 When conducting an auction, the form of the auction may be a time (due) auction or a position (distance, location) auction instead of a normal auction / reverse auction. For example, in a time auction, the form in which the patient 6 who pays the treatment fee the earliest due date will beat the healer, or the healer who has the shortest care time (care time) There is a form to beat the person 6 down. In addition, there is a form of position auction in which a therapist belonging to the medical institution 5 closest to the patient 6 is auctioned off.

また、 オークション時に入力する入力値を変更するときには、 画面 2 8に図 6 に示す再入力画面 4 6が表示される。 再入力画面 4 6には項目入力欄 4 7と変更 値入力欄 4 8とが設けられ、 入札額, 期日、 介護時間、 介護期間、 場所、 位置な どを変更したい場合には項目入力欄 4 7に 「入札額」 と入力し、 変更値入力欄 4 8に新たな入力値を入力する。 このため、 オークション時に入札額の変更が行え る。  Also, when changing the input value to be input at the time of the auction, a re-input screen 46 shown in FIG. The re-entry screen 4 6 has an item entry field 4 7 and a change value entry field 4 8. If you want to change the bid amount, due date, nursing care time, nursing care period, place, location, etc. Enter “Bid amount” in 7 and enter a new input value in the change value input field 4 8. For this reason, the bid price can be changed at the time of the auction.

また、 介護装置 4はパーチャル機能を備えていてもよい。 即ち、 介護装置 4は あたかも治療者が実際に治療を行っているかのように、 バーチャル的に治療を実 行する装置でもよい。 この場合、 自分にとって好みの治療者 (例えば女性の介護 者) にバーチャルで介護を受ければ、 心身ともにリラックス感が高まり回復も早 まる。 また、 通信端末 7を用いて理想の人物像を入力情報データベース 1 3に登 録し、 その人物のシミュレーシヨン映像により治療を行うようにしてもよい。 介護装置 4がパーチャル機能を備える場合、 そのパーチヤノレ機能には仮想の療 養室を患者 6に提供する機能も有している。 このように、 療養室が患者 6にとつ て好みの室内装飾、 レイアウト、 色合いであれば、 患者 6の心身の療養効果も一 層高まる。 また、 療養室が有名人や著名人が以前に療養のために使用した部屋で あれば、 同じようにその療養室を使用すれば心身に及ぼす影響も高く、 治療の一 環として効果もある。  Further, the care device 4 may have a virtual function. In other words, the nursing care device 4 may be a device that virtually executes treatment as if the healer is actually performing treatment. In this case, if you receive virtual care by your preferred caregiver (for example, a female caregiver), you will feel more relaxed mentally and physically, and the recovery will be quicker. Alternatively, an ideal person image may be registered in the input information database 13 using the communication terminal 7, and treatment may be performed using a simulation image of the person. When the nursing care device 4 has a virtual function, the partial function also has a function of providing a virtual nursing room to the patient 6. In this way, if the nursing room is the desired interior decoration, layout, and color for the patient 6, the effect of the mental and physical treatment of the patient 6 is further enhanced. Also, if the nursing room is a room that a celebrity or celebrity has used for medical treatment before, using the nursing room in the same way has a high effect on the mind and body, and is also effective as part of treatment.

また、 療養室は画面 2 8に図 7に示す検索画面 4 9を表示して、 患者 6が所望 するものが選択される。 即ち、 検索画面 4' 9には療養室の一覧が表示され、 療養 室の外観とその療養室に関するコメントとが表示される。 コメント欄には例えば 、 「有名人 Zさんは糖尿病を自然療法により治療を希望していたため、 自然療法 に適した療養室を選ぴ、 専門の医師、 介護者、 栄養士等をそれぞれ選定して治療 に当たり、 3力月後に回復して療養を終えた」 等と記載される。  In the nursing room, a search screen 49 shown in FIG. 7 is displayed on a screen 28, and a desired one of the patient 6 is selected. In other words, a list of nursing rooms is displayed on the search screen 4'9, and the appearance of the nursing room and comments on the nursing room are displayed. In the comment section, for example, "Celebrity Z wanted to treat diabetes with natural remedies, so he selected a medical room suitable for natural remedies, and selected a specialized doctor, caregiver, dietitian, etc. for treatment. After three months, he recovered and completed medical treatment. "

検索画面 4 9には選択番号入力欄 5 0 aと、 「O K」 ボタン 5 0 bとが設けら れている。 患者 6は療養室の概観やコメントを閲覧して、 最も適した療養室を選 び出し、 検索画面 4 9の選択番号入力欄 5 0 aに療養室の番号を入力し、 「O K j ポタン 5 0 bをクリックする。 すると、 介護装 ¾ 4はその療養室をバーチャル により提供し、 患者 6はあたかも実際にその療養室にいるかのように治療 (介護 ) が受けられる。 また、 療養室は治療者を落札する場合と同様に、 オークション を用いて落札される形式でもよい。 The search screen 49 is provided with a selection number input field 50a and an "OK" button 50b. Patient 6 browses the overview and comments of the nursing room, selects the most suitable nursing room, enters the number of the nursing room in the selection number input field 50 a of the search screen 49, and then clicks `` OK j Click on button 50 b. Then, the nursing care equipment 4 provides the nursing room virtually, and the patient 6 can be treated (care) as if he / she were actually in the nursing room. The nursing room may be auctioned using an auction in the same manner as when a bidder is awarded.

さらに、 医療介護支援システム 1はアンサーリング機能を備えている。 アンサ 一リング機能は患者 6がリアルタイムに治療メッセージが聞けない場合、 その治 療メッセージを録音しておいて後に聞く機能である。 また、 患者 6はアンサーリ ング機能を用いて、 タイムラグで治療者に疾病情報や要望情報を伝えることも可 能である。 この場合、 治療者からの治療メッセージをリアルタイムで聞くことが できなかつたり、 患者が疾病情報や要望情報をリアルタィムで伝達できなくても 対応可能になる。  Furthermore, the medical care support system 1 has an answering function. The answering function is a function to record the treatment message and listen to it later if the patient 6 cannot hear the treatment message in real time. In addition, the patient 6 can use the answering function to transmit disease information and request information to the therapist in a time lag. In this case, it is possible to respond even if the treatment message from the therapist cannot be heard in real time or if the patient cannot transmit disease information or request information in real time.

従って、 本実施形態では以下のような効果を得ることができる。  Therefore, in the present embodiment, the following effects can be obtained.

( 1 ) 介護装置 4はインターネット Nを介して介護用サーバ 2から送信される 治療情報に基づき駆動して患者 6に治療を実行するので、 患者 6は医療機関 5に 赴くことなく簡単に治療を受けることができる。 また、 医療介護支援システム 1 は治療を受けるまでの手順を患者 6が 1人で行えるので、 患者 6は第 3者の手助 けを借りずに治療の提供を受けることができる。  (1) Since the nursing care device 4 is driven based on the treatment information transmitted from the nursing care server 2 via the Internet N to perform treatment for the patient 6, the patient 6 can easily perform treatment without going to the medical institution 5. Can receive. In addition, since the medical care support system 1 allows the patient 6 to perform the procedure up to receiving treatment by himself, the patient 6 can receive treatment without the help of a third party.

( 2 ) 治療者を選択するときには患者 6が通信端末 7を用いて要望情報を入力 し、 患者 6はその要望を満たす治療者の中から最適なものを選択して、 その治療 者の医療知識に基づく治療方法の提供を受ける。 従って、 患者 6は自分の要望を 満たした治療方法に沿って介護装置 4により治療を受けることができる。  (2) When selecting a therapist, the patient 6 inputs request information using the communication terminal 7, and the patient 6 selects the most appropriate one from the therapists satisfying the request, and the medical knowledge of the therapist. Receive treatment based on Therefore, the patient 6 can be treated by the care device 4 according to a treatment method that meets his needs.

( 3 ) 医療介護支援システム 1はォークシヨンという形態で患者 6に治療者の 情報を提供するシステムであるので、 治療方法の提供という事柄に関して医療機 関 5と患者 6との間でビジネスが成立する。 従って、 医療機関 5側にとってみれ ば高い費用で治療を行うことができ、 一方の患者 6にとつても好適な条件で治療 を受けることができる。 また、 オークションが逆オークションの形態をとる場合 には、 患者 6はよりよい治療を、 できるだけ好適な条件で受けることができ、 医 療機関 5側としては患者 6にとつて好適な条件を提示すれば患者 6が集まり易く なり、 それだけ患者 6を確保し易くできる。 ( 4 ) 治療方法設定部 1 8は入力情報データベース 1 3に蓄積された過去の疾 病情報や、 測定データも反映して治療方法を求めているので、 患者 6の過去の状 態を反映した治療方法を提供することができる。 (3) Since the medical care support system 1 is a system that provides information about the caregiver to the patient 6 in the form of an auction, a business is established between the medical institution 5 and the patient 6 regarding the provision of a treatment method. . Therefore, the medical institution 5 can perform the treatment at high cost, and the patient 6 can receive the treatment under suitable conditions. Also, if the auction takes the form of a reverse auction, the patient 6 can receive better treatment under the best possible conditions, and the medical institution 5 should present the preferable conditions to the patient 6. If this is the case, it becomes easier for patients 6 to gather, and it is easier to secure patients 6 accordingly. (4) The treatment method setting unit 18 seeks a treatment method by also reflecting past disease information and measurement data stored in the input information database 13 and reflected the past state of patient 6. A method of treatment can be provided.

( 5 ) 治療方法設定部 1 8は入力装置 3に設置された測定機器 8の測定データ に基づき治療方法を求めるので、 測定データに基づく治療方法を患者 6に提供す ることができる。 このため、 介護装置 4が行う治療を患者 6の健康状態に見合つ た好ましい治療とすることができる。  (5) The treatment method setting unit 18 obtains the treatment method based on the measurement data of the measuring device 8 installed in the input device 3, so that the treatment method based on the measurement data can be provided to the patient 6. Therefore, the treatment performed by the nursing care device 4 can be a preferable treatment that matches the health condition of the patient 6.

( 6 ) 介護装置 4がマイナスイオン発生装置の場合、 インターネット Nを介し てマイナスイオン発生装置を駆動することで、 プラスイオンを除去して患者 6を 療養することができる。  (6) When the nursing device 4 is a negative ion generator, by driving the negative ion generator via the Internet N, positive ions can be removed and the patient 6 can be treated.

( 7 ) 医療介護支援システム 1を船、 飛行機、 列車、 自動車等に採用すれば、 患者 6は各移動体に乗っても好適な治療や介護を受けられるので、 自由に旅行等 に出掛けることができる。  (7) If the medical and nursing support system 1 is adopted for ships, airplanes, trains, cars, etc., patients 6 can receive appropriate treatment and nursing care even when riding on each moving body, so they can go out on a trip freely. it can.

なお、 実施形態は前記に限定されず、 例えば、 次の態様に変更してもよい。 The embodiment is not limited to the above, and for example, may be changed to the following mode.

• 介護装置 4は介護べッド 2 2の他に、 例えば車椅子、 歩行器具、 トイレ器 具、 椅子、 テーブル、 リハビリ用具、 食事用具、 補助用具、 体位変換器等でもよ く、 疾患している患者 6を治療 (介護) する装置であれば、 その機種は特に限定 されない。 また、 療養装置 2 5はァロマオイルを用いたものに限らず、 お香ゃ蠟 燭を用いたものでもよい。 • The nursing device 4 may be a disease, such as a wheelchair, a walking device, a toilet device, a chair, a table, a rehabilitation device, a meal device, an assistive device, a posture changer, etc., in addition to the nursing bed 2 2. The device is not particularly limited as long as it is a device for treating (care) the patient 6. The medical treatment device 25 is not limited to a device using aroma oil, but may be a device using a candle.

• 実行手段は介護装置 4に限定されず、 患者 6に対し手術等の治療を行う治 療装置でもよい。 この場合、 医療機関 5に赴くことなくインターネット Nを介し て治療を受けることができる。  • The execution means is not limited to the nursing device 4, but may be a treatment device for performing treatment such as surgery on the patient 6. In this case, treatment can be received via the Internet N without going to the medical institution 5.

• 通信端末 7はパーソナルコンピュータに限定されず、 例えばモパイル、 携 帯電話、 インターネットテレビ、 双方向テレビでもよい。  • The communication terminal 7 is not limited to a personal computer, and may be, for example, a mopile, a mobile phone, an Internet television, or an interactive television.

- 測定機器 8は血圧測定機器、 血液測定機器、 尿検査機器等に限定されず、 患者 6の健康状態の指標となる状態値を測定できる機器であればその機種は特に 限定されない。  -The measuring device 8 is not limited to a blood pressure measuring device, a blood measuring device, a urine test device, and the like, and the type of the device is not particularly limited as long as it can measure a state value that is an index of the health condition of the patient 6.

• インターネット Nは無線、 有線のどちらを用いてもよい。 また、 ネットヮ ークはインターネット Nに限定されず、 各種情報 (データも含む) を通信可能で あればそめ通信形式は特に限定されない。 ' • The Internet N may be either wireless or wired. In addition, the network is not limited to the Internet N, and various information (including data) can be communicated. If so, the communication format is not particularly limited. '

• 治療者は医師や介護者に限定されず、 例えば整体師、 歯科医、 眼科医、 緘 灸師、 セラピスト、 カウンセラー、 カイロプラクティック等、 患者 6に対し治療 を行える治療医であればどのような職種でもよい。  • Therapists are not limited to physicians and caregivers. For example, a physician, a dentist, an ophthalmologist, an acupuncturist, a therapist, a counselor, a chiropractic, etc. You may be in a job category.

- ォークションの形態は通常ォークションゃ逆ォークション、 本願出願人が 以前に出願した時間 (期日) オークションや位置 (距離、 場所) オークションに 限定されず、 提供者と購買者との関係から成るオークションの形態をとるもので あればよい。 また、 オークション取引をなく してもよい。  -The form of auction is usually auction / reverse auction, and is not limited to the time (due date) auction or location (distance, location) auction previously filed by the applicant, and the auction is formed by the relationship between the provider and the buyer. It is only necessary to take the following. Also, auction transactions may be eliminated.

• 患者 6に提供する治療方法は、 介護用サーバ 2の治療方法設定部 1 8で求 まる構成に限定されない。 例えば、 医療機関 5側から介護装置 4を遠隔操作可能 な構成とし、 患者 6からの疾病情報等に基づいて医療機関 5が介護装置 4を遠隔 操作して患者 6を治療するようにしてもよい。  • The treatment method provided to the patient 6 is not limited to the configuration determined by the treatment method setting unit 18 of the care server 2. For example, the nursing care device 4 may be configured to be remotely operable from the medical institution 5 side, and the medical institution 5 may remotely control the nursing care device 4 to treat the patient 6 based on disease information or the like from the patient 6. .

Claims

1 請求の範囲 1 Claims 1. 患者の治療に関する患者情報を取り込む入力手段 (3) と、 1. An input means (3) for capturing patient information regarding patient treatment; ネットワークを介して各種情報の送受信が可能な通信手段 (9, 16, 1 9) と、  Communication means (9, 16, 19) capable of transmitting and receiving various information via a network, 前記患者側に設置され、 ァクチユエータ (21) を有し、 前記患者に対して治 療又は介護を行う実行手段 (4) と、  Execution means (4) installed on the patient side, having an actuator (21) for treating or nursing the patient; 前記患者側から前記患者情報を前記通信手段を介して取り込み、 前記患者情報 に従って患者の治療方法に関する治療情報を生成する処方設定手段 (1 7, 1 8 ) と、  A prescription setting means (17, 18) for capturing the patient information from the patient side via the communication means, and generating treatment information on a treatment method for the patient according to the patient information; を備え、  With 前記実行手段は、 前記治療情報を前記処方設定手段から前記通信手段を介して 取り込み、 前記治療情報に従って前記ァクチユエータを駆動して該実行手段を動 作させる制御手段 (20) を含むことを特徴とする医療介護支援:  The execution means includes a control means (20) for fetching the treatment information from the prescription setting means via the communication means, and driving the actuator according to the treatment information to operate the execution means. Medical care support: 2. 請求項 1に記載の医療介護支援システムは、 さらに、 2. The medical care support system according to claim 1, further comprising: 前記患者側に設置された表示手段 (28) を備え、  Display means (28) installed on the patient side, 前記患者情報は治療に関する要望情報を含み、  The patient information includes request information regarding treatment, 前記処方設定手段は、 前記通信手段を介して前記要望情報を取り込み、 前記要 望情報に応じて患者の要望を満たす治療者を選び出し、 選び出された治療者の選 択画面を前記表示手段に表示させ、 前記選択画面で選択された治療者の医療知識 データに従って治療方法を求めることを特徴とする医療介護支援 V  The prescription setting unit captures the request information via the communication unit, selects a physician satisfying the patient's request according to the request information, and displays a selection screen of the selected dentist on the display unit. Medical care support V characterized by displaying a medical treatment data according to the medical knowledge data of the medical caregiver selected on the selection screen. 3. 請求項 1または 2に記載の医療介護支援システムは、 さらに、 3. The medical care support system according to claim 1 or 2, further comprises: 前記治療者及び治療方法のうち少なくとも一方を選択するための選択画面が表 示される表示手段 (28) を備え、  Display means (28) for displaying a selection screen for selecting at least one of the treatment person and the treatment method; 前記患者及び治療者のうち一方が依頼者に、 他方が取引に関する条件を提示す る提示者に設定され、  One of the patient and therapist is set as the requester and the other is set as the presenter presenting the terms and conditions related to the transaction, 前記提示者のうち最も好適な条件を示した提示者を、 前記依頼者が競り落とす オークシヨンにより、 前記治療者又は治療方法が前記表示手段を用いて選定され ることを特徴とする医療介護支援システム。 Among the presenters, the presenter who showed the most preferable condition is auctioned off by the client. A medical care support system, wherein the treatment person or treatment method is selected using the display means by auction. 4 . 請求項 1〜3のうちいずれか一つに記載の医療介護支援システムにおい て、 4. In the medical and nursing support system according to any one of claims 1 to 3, 前記入力手段は音声を入力する音声入力手段 (1 1 ) であり、  The input means is voice input means (11) for inputting voice, 前記処方設定手段は、 前記音声入力手段の音声データに従って患者の治療方法 に関する治療情報を生成することを特徴とする医療介護支援システム。  The medical care support system, wherein the prescription setting means generates treatment information on a treatment method for a patient according to voice data of the voice input means. 5 . 請求項 1〜4のうちいずれか一つに記載の医療介護支援システムにおい て、 , 5. In the medical care support system according to any one of claims 1 to 4, 前記入力手段は患者を撮影可能な撮影手段 (1 0 ) であり、  The input means is a photographing means (10) capable of photographing a patient, 前記処方設定手段は、 前記撮影手段の画像データに従って患者の治療方法に関 する治療情報を生成することを特徴とする医療介護支援:  The medical care support system, wherein the prescription setting means generates treatment information on a treatment method for a patient according to the image data of the photographing means. 6 . 請求項 1〜 5のうちいずれか一つに記載の医療介護支援システムにおい て、 6. In the medical and nursing support system according to any one of claims 1 to 5, 前記入力手段は人体の健康状態を測定する測定手段 (8 ) であり、  The input means is a measuring means (8) for measuring a health condition of a human body, 前記処方設定手段は、 前記測定手段の測定データに従って患者の治療方法に関す る治療情報を生成することを特徴とする医療介護支援システム。 The medical care support system, wherein the prescription setting means generates treatment information on a treatment method for a patient according to the measurement data of the measurement means. 7 . 請求項 1〜 6のうちいずれか一つに記載の医療介護支援システムにおい て、 7. In the medical and nursing support system according to any one of claims 1 to 6, 前記実行手段は、 前記患者に対して介護を行う介護装置であることを特徴とす る医療介護支援システム。  The medical care support system, wherein the execution means is a care device for providing care to the patient. 8 . 請求項 1〜 7のうちいずれか一つに記載の医療介護支援システムにおい て、 8. In the medical and nursing support system according to any one of claims 1 to 7, . 前記実行手段は介護ベッド (2 2 ) であることを特徴とする医療介護支援シス テム。 A medical care support system characterized in that the execution means is a care bed (2 2). Tem. 9 . 請求項 1〜 8のうちいずれか一つに記載の医療介護支援システムにおい て、 9. In the medical and nursing support system according to any one of claims 1 to 8, 前記実行手段は空気中の成分を調整して療養を行う療褰装置 (2 5 ) であるこ とを特徴とする医療介護支援システム。  The medical care support system, wherein the execution means is a medical treatment device (25) for adjusting the components in the air to perform medical treatment. 1 0 . 請求項 1〜8のうちいずれか一^ 3に記載の医療介護支援システムにお いて、 10. The medical care support system according to any one of claims 1 to 8, wherein: 前記実行手段は香りの異なる複数の香り発生源 (2 6 a〜2 6 c ) を有するァ ロマテラピー療法を行う療養装置 (2 5 ) であり、  The execution means is a medical treatment device (25) for performing aromatherapy therapy having a plurality of scent generating sources (26a to 26c) having different scents, 前記制御手段は前記香り発生源のうち前記治療情報から決まる所定の香りを発 生させる.ことを特徴とする医療介護支援システム。  The medical care support system, wherein the control means generates a predetermined scent determined from the treatment information among the scent generation sources. 1 1 . 請求項 1〜 1 0のうちいずれか一つに記載の医療介護支援システムは11. The medical care support system according to any one of claims 1 to 10 、 さらに、 , And 前記処方設定手段に接続され、 前記患者情報を保存して蓄積する記憶手段 (1 3 ) を備え、  Storage means (13) connected to the prescription setting means for storing and accumulating the patient information; 前記処方設定手段は、 前記記憶手段によつてデータベース化された前記患者情 報のうち、 治療方法の依頼を行った患者の患者情報に従って治療方法に関する治 療情報を生成することを特徴とする医療介護支援:  The medical treatment system, wherein the prescription setting means generates treatment information on a treatment method in accordance with patient information of a patient who has requested a treatment method, among the patient information stored in the database by the storage means. Care support: 1 2 . 患者の治療に関する患者情報を取り込む入力手段 (3 ) と、 ネットヮ ークを介して各種情報の送受信が可能な通信手段 (9, 1 6, 1 9 ) と、 前記患 者側に設置され、 制御手段 (2 0 ) 及ぴァクチユエータ ( 2 1 ) を有し、 該患者 に対して治療又は介護を行う実行手段 (4 ) とを備えた医療介護支援システムに 用いられる医療介護支援方法であって、 1 2. Input means (3) for capturing patient information related to patient treatment, communication means (9, 16, 19) capable of transmitting and receiving various information via a network, and installed on the patient side And a control means (20) and an actuator (21), and an execution means (4) for performing treatment or care for the patient. So, 前記入力手段によつて前記患者の治療に関する患者情報を取り込む工程と、 前記取り込まれた患者情報を、 前記処方設定手段が前記ネットワーク及び通信 手段を介して取り込み、 前記患者情報に従つて前記患者の治療方法に関する治療 情報を生成する工程と、 A step of inputting patient information relating to the treatment of the patient by the input means; and the prescription setting means transmits the input patient information to the network and communication. Capturing through a means and generating treatment information on a method of treating the patient according to the patient information; 前記治療情報を、 前記制御手段が前記ネットワーク及び通信手段を介して取り. 込む工程と、  The control means taking in the treatment information via the network and the communication means. 前記制御手段が、 前記取り込んだ治療情報に従って、 前記ァクチユエ一タを駆 動して前記実行手段を動作させる工程と  A step in which the control means drives the actuator according to the received treatment information to operate the execution means; を備えることを特徴とする医療介護支援方法。  A medical care support method comprising: 1 3 . 請求項 1 2に記載の方法において、 13. The method according to claim 12, wherein: 前記医療介護支援システムは、 前記患者側に設置された表示手段 (2 8 ) を含 み、 前記患者情報は治療に関する要望情報を含み、  The medical care support system includes display means (28) installed on the patient side, the patient information includes request information regarding treatment, 前記患者の治療方法を求める工程は、  The step of determining a method of treating the patient, 前記処方設定手段が、 前記通信手段を介して前記要望情報を取り込み工程と、 前記処方設定手段が、 前記要望情報に応じて患者の要望を満たす治療者を選ぴ 出す工程と、  A step in which the prescription setting means captures the request information via the communication means; anda step in which the prescription setting means selects a physician satisfying a patient's request in accordance with the request information. 前記処方設定手段が、 選び出された治療者の選択画面を前記ネットヮ一ク及ぴ 通信手段を介して前記表示手段に表示させ、 前記選択画面で選択される治療者の 医療知識データに従って治療方法を求める工程と  The prescription setting means displays a selection screen of the selected therapist on the display means via the network and communication means, and the treatment method is performed according to the medical knowledge data of the therapist selected on the selection screen. The process of finding を含むことを特徴とする医療介護支援方法。  A medical care support method comprising: 1 4 . 入力手段を介して患者が入力した患者情報を、 ネットワークを介して 受信する受信手段 (1 6 ) と、 14. Receiving means (16) for receiving, via a network, patient information input by the patient via the input means, 前記受信手段に接続され、 前記患者情報に基づき患者にとつて最適な治療方法 に関する治療情報を生成する処方設定手段 (1 7 , 1 8 ) と、  Prescription setting means (17, 18), connected to the receiving means, for generating treatment information on an optimal treatment method for a patient based on the patient information; 前記処方設定手段に接続され、 前記処方設定手段により求められた治療方法に 関する治療情報を、 前記患者に対して治療を行う治療実行手段に前記ネットヮ一 クを介して送信する送信手段 (1 6 ) と  Transmission means (16) connected to the prescription setting means and transmitting treatment information on the treatment method determined by the prescription setting means to treatment executing means for treating the patient via the network. ) When を備えことを特徴とする介護用サーバ。  A nursing care server comprising:
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