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WO2003096246A1 - Systeme de soins medicaux et procede de prise en charge de soins medicaux - Google Patents

Systeme de soins medicaux et procede de prise en charge de soins medicaux 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
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English (en)
Japanese (ja)
Inventor
Tadashi Goino
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Individual
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of WO2003096246A1 publication Critical patent/WO2003096246A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1113—Local tracking of patients, e.g. in a hospital or private home
    • A61B5/1115—Monitoring leaving of a patient support, e.g. a bed or a wheelchair
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/41—Detecting, measuring or recording for evaluating the immune or lymphatic systems
    • A61B5/411—Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
    • A61B5/743—Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT 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
    • G16H40/60—ICT 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
    • G16H40/63—ICT 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
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00—ICT specially adapted for the handling or processing of medical references
    • G16H70/20—ICT 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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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Business, Economics & Management (AREA)
  • Business, Economics & Management (AREA)
  • Bioethics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Physiology (AREA)
  • Immunology (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Vascular Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

L'invention concerne un système de soins médicaux, dans lequel un patient peut être facilement traité. Ce système comprend des moyens d'entrée (3) permettant d'acquérir l'information sur le patient concernant le traitement de celui-ci, des moyens de communication (9, 16, 19) permettant de transmettre/recevoir différentes informations concernant un réseau (N), des moyens d'exécution (dispositif de soins) (4) installés du côté du patient, ayant un actionneur (21) et permettant le traitement ou les soins du patient, et des moyens d'établissement d'une prescription (17, 18) permettant de collecter des informations sur le patient par l'intermédiaire des moyens de communication et permettant de créer des informations sur le traitement prévu pour le patient selon les informations sur le patient. Les moyens d'exécution comprennent des moyens de commande (20) permettant d'acquérir les informations sur le traitement provenant des moyens d'établissement de la prescription par l'intermédiaire des moyens de communication et d'entraîner l'actionneur selon l'information sur le traitement afin de mettre en route les moyens d'exécution.
PCT/JP2003/005703 2002-05-07 2003-05-07 Systeme de soins medicaux et procede de prise en charge de soins medicaux Ceased WO2003096246A1 (fr)

Applications Claiming Priority (2)

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JP2002132040A JP2003323491A (ja) 2002-05-07 2002-05-07 医療介護支援システム及び医療介護支援方法
JP2002-132040 2002-05-07

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US7773777B2 (en) * 2003-11-26 2010-08-10 Koninklijke Philips Electronics N.V. System for providing a personalized experience to a person in a medical environment
JP2005312644A (ja) * 2004-04-28 2005-11-10 Kanebo Cosmetics Inc コンサルテーションツール
WO2019057295A1 (fr) * 2017-09-22 2019-03-28 Brainlab Ag Agrégation de données d'état anatomique ou physiologique
JP6775778B2 (ja) * 2019-03-07 2020-10-28 株式会社メディエイド 情報管理装置、情報管理システム、及びプログラム
JP7590707B2 (ja) * 2020-03-30 2024-11-27 東京瓦斯株式会社 介護補助システム、診療補助システム、及びプログラム
JP7455021B2 (ja) * 2020-07-29 2024-03-25 株式会社フジ医療器 マッサージシステム

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JPH1133002A (ja) * 1997-05-19 1999-02-09 Global:Kk 介護システム
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