System for collecting patient's sense of values for treatment

Abstract

To support treatment of a patient.SOLUTION: An information processing apparatus 2 comprises: a first selection unit 102a that, on the basis of a state of at least one of a disease and treatment of a patient at a first point of time, selects a first stage from a plurality of stages related to the disease or the treatment; a first acquisition unit 108a that acquires first sense of values information related to the patient's sense of values in the first stage; a generation unit 110 that generates support information for supporting the treatment of the patient on the basis of the first sense of values information; and an output control unit 112 that controls the support information to be output from a terminal device 3c of a medical worker.SELECTED DRAWING: Figure 6

Description

[Technical field]

[0001] The present invention relates to a system for collecting patient values ​​regarding treatment. [Background technology]

[0002] Conventionally, there are known technologies that support communication between patients and medical service providers. For example, Patent Document 1 describes a method, a computer system, and a computer program product for two-way document generation for medical communication. According to this computer program product, patient data can be received from a patient and medical service provider data from a medical service provider, and appropriate documents can be presented through a machine learning model. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] U.S. Patent Publication No. 2020-0093278 Summary of the Invention [Problem to be solved by the invention]

[0004] However, the treatment of patients cannot be sufficiently supported by the method disclosed in Patent Document 1. For example, there is room for further consideration regarding the collection of information on the values ​​of patients.

[0005] In view of the above problems, an object of the present invention is to support the treatment of patients. [Means for solving the problem]

[0006] An information processing device according to one embodiment of the present disclosure includes a first selection unit that selects a first stage from multiple stages related to a disease or treatment based on the state of at least one of the patient's disease and treatment at a first time point, a first acquisition unit that acquires first value information related to the patient's values ​​at the first stage, a generation unit that generates support information to support the patient's treatment based on the first value information, and an output control unit that controls the support information to be output on a terminal device of a medical professional.

[0007] A program according to another embodiment of the present disclosure causes a computer to function as: a reception means for receiving input of first value information regarding a patient's values ​​at a first stage, the first stage being selected from a plurality of stages related to a disease or treatment based on the state of at least one of the patient's disease and treatment at a first time point; and an output control means for controlling support information for supporting the patient's treatment to be output on a terminal device of a medical professional, the support information being generated based on the first value information.

[0008] An information processing method according to another embodiment of the present disclosure causes a computer to execute the steps of selecting a first stage from a plurality of stages related to a disease or treatment based on the state of at least one of the patient's disease and treatment at a first time point, acquiring first value information related to the patient's values ​​at the first stage, generating support information for supporting the patient's treatment based on the first value information, and controlling the support information to be output on a terminal device of a medical professional. Effect of the Invention

[0009] The present disclosure can assist in the treatment of patients. [Brief description of the drawings]

[0010] [Figure 1] FIG. 1 is a functional block diagram of the system 1. [Diagram 2] FIG. 2 is a sequence diagram for explaining the operation of the system 1. [Diagram 3] FIG. 11 is a diagram illustrating an example of question information. [Figure 4] FIG. 13 is a diagram for explaining an example of a display screen of a patient terminal device 3a. [Diagram 5] FIG. 13 is a diagram for explaining an example of a display screen of a patient terminal device 3a. [Figure 6] FIG. 13 is a diagram for explaining an example of a display screen of a doctor terminal device 3c. [Figure 7] FIG. 2 is a hardware configuration diagram of an information processing device 2. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0011] Preferred embodiments of the present disclosure will now be described with reference to the accompanying drawings, in which the same reference numerals denote the same or similar configurations.

[0012] In this disclosure, the terms "part", "means", "apparatus", and "system" do not simply mean physical means, but also include cases where the functions of the "part", "means", "apparatus", and "system" are realized by software. Furthermore, the functions of one "part", "means", "apparatus", or "system" may be realized by two or more physical means, devices, or software, and the functions of two or more "parts", "means", "apparatus", or "system" may be realized by one physical means, device, or software.

[0013] <1. Overview of System 1> An overview of a system 1 according to the present disclosure (hereinafter, simply referred to as "system 1") will be described. System 1 can present support information generated based on information related to a patient's values ​​regarding treatment to a medical professional who is treating the patient.

[0014] Generally, chronic diseases often require long-term treatment. Therefore, it is particularly important for medical professionals to determine the treatment policy after understanding the patient's values ​​regarding treatment (hereinafter simply referred to as "values"). However, it may not be easy for patients to clearly communicate their own values ​​to medical professionals. In addition, a patient's values ​​cannot be determined collectively and fixedly at the time of diagnosis, but may change depending on the progress of treatment or disease. Therefore, it has been difficult for medical professionals to understand the values ​​of each individual patient according to the stage of treatment or disease. One example of the effect of System 1 is to solve such problems.

[0015] In the present disclosure, the patient is a person suffering from a chronic disease such as cancer (including lung cancer, breast cancer, stomach cancer, colon cancer, uterine cancer, ovarian cancer, etc.), leukemia, sarcoma, myeloma, stroke, myocardial infarction, hypertensive disease, diabetes, liver cirrhosis, chronic renal failure, and mental illness (including depression, schizophrenia, and dementia). In the following embodiment, the patient is described as a person suffering from breast cancer (hereinafter referred to as a "cancer patient"), but the scope of application of the present disclosure is not limited thereto.

[0016] In addition, in the present disclosure, medical professionals include doctors, nurses, pharmacists, physical therapists, occupational therapists, clinical laboratory technicians, counselors, etc. In the following embodiments, the medical professionals are described as doctors, but the scope of application of the present disclosure is not limited thereto.

[0017] An example of the operation of the information processing device 2 included in the system 1 according to the present disclosure will be briefly described. The information processing device 2 first selects the cancer stage of the cancer patient. Next, the information processing device 2 collects value information of the cancer patient at the selected cancer stage by asking the cancer patient questions based on shared decision-making. Next, the information processing device 2 generates support information to be presented to the doctor based on the collected value information. Finally, the information processing device 2 transmits the support information to the doctor's terminal device 3c.

[0018] <2. Functional configuration of System 1> An example of the configuration of the system 1 will be described with reference to Fig. 1. The system 1 includes an information processing device 2, a patient terminal device 3a, a family terminal device 3b, a doctor terminal device 3c, and a communication network 5. Hereinafter, when the patient terminal device 3a, the family terminal device 3b, and the doctor terminal device 3c are not particularly distinguished from each other, they will be collectively referred to as "terminal device 3". The information processing device 2 and the terminal device 3 are configured to be able to communicate with each other via the communication network 5. Each device will be described in detail below.

[0019] [Information processing device 2] The information processing device 2 is a server device that uses the terminal device 3 as a client device. The information processing device 2 is typically a web server device.

[0020] The information processing device 2 includes a control unit 10, a storage unit 14, a network interface unit 16, and a bus 18. The control unit 10, the storage unit 14, and the network interface unit 16 are electrically connected to each other via the bus 18.

[0021] -Storage part 14- The storage unit 14 stores various information required for the operation of the information processing device 2. The storage unit 14 also stores various programs executed by the control unit 10, which will be described later. The storage unit 14 also stores at least value information, disease background information, treatment background information, question information, and answer information. At least a part of this information can be collectively referred to as patient background information.

[0022] (Values ​​information) The value information is information about the values ​​of a cancer patient. In the present disclosure, the value includes the thoughts, goals, life events, and thoughts on how the cancer patient wants to treat the cancer.

[0023] The value information includes information indicating how important the cancer patient is to one or more factors, such as communication with doctors, not feeling physical pain, spending time in a place of their choice, spending time with hope, and not causing trouble to others.

[0024] In addition, value information includes information about what cancer patients are concerned about (e.g., concerned about treatment, concerned about work, etc.), what they are worried about (e.g., worried about finances, worried about aftereffects, etc.), what they want to prioritize (e.g., wanting to prioritize treatment, wanting to prioritize time with family, etc.), and what they most want to know about (e.g., wanting to know details about the treatment plan, wanting to know the cause of the disease, etc.).

[0025] The value information also includes information about the goals and life events of the cancer patient. The information about the goals and life events of the cancer patient includes, for example, information about the goals to be achieved in cancer treatment, information about important events in the daily life of the cancer patient, and information about interactions with family and friends of the cancer patient.

[0026] Values ​​include, for example, thoughts on the merits and demerits of each treatment method (e.g., surgery, medication, radiation, etc.), thoughts on the balance between treatment and daily life, thoughts on acceptable side effects and pain, and thoughts on the time and financial costs of treatment. In the case of breast cancer, values ​​include the intention to accept the risk and preserve as much of the breast as possible, or to remove a relatively large portion of the breast and eliminate as much risk as possible.

[0027] Cancer requires a longer period of treatment than other diseases and places a greater burden on cancer patients. Therefore, the values ​​of cancer patients are important when deciding on a cancer treatment plan.

[0028] Furthermore, in one embodiment, the value information includes, for each of a plurality of stages, information on the value of the cancer patient corresponding to that stage. The value information may include information on the transition of values ​​of the cancer patient through the plurality of stages. For example, the value information includes information on the values ​​of the cancer patient when the cancer stage was "Stage 1" (described below) and when the cancer stage was "Stage 2."

[0029] Cancer patients' values ​​may change depending on the stage of their cancer or their patient journey. For example, the more advanced the stage of cancer, the more willing they may be to choose an effective treatment plan even if it means accepting risks. Also, for example, the more advanced the stage of cancer, the more willing they may be to lower the priority of daily life and undergo intensive treatment even if it means spending time and money. Also, for example, when cancer progresses to the terminal stage and the chances of recovery are low, they may be more willing to prioritize spending time with their family over treatment.

[0030] (Disease Background Information) The disease background information is information about the disease state of a cancer patient. An example of the disease background information is information about a cancer patient's disease record from diagnosis to the present. The disease background information includes information about at least one of the cancer type, cancer stage, circumstances at the time of diagnosis, cancer symptoms, physical condition, and mental condition of the cancer patient.

[0031] In the present disclosure, the type of cancer is identified based on the type of cancer-related protein, the shape and growth pattern of the cancer tumor, and the presence or absence of genetic influence. For example, when the cancer is breast cancer, the types of cancer identified based on the type of cancer-related protein include hormone receptor positive breast cancer, HER2 (human epidermal growth factor receptor 2) positive breast cancer, and triple negative breast cancer (so-called triple negative). In addition, the types of cancer identified based on the shape and growth pattern of the cancer tumor include invasive ductal carcinoma (IDC), ductal carcinoma in situ (DCIS), invasive lobular carcinoma (ILC), lobular carcinoma in situ (LCIS), and papillary carcinoma. The type of cancer is important in determining a cancer treatment policy.

[0032] In the present disclosure, the stage of cancer indicates an index for evaluating how far the cancer has spread in the body and how far it has progressed at each site. In one embodiment, the stage of cancer is expressed as "Stage 0" to "Stage 4" (or "Stage 1" to "Stage 4"). In this case, "Stage 0" (or "Stage 1") indicates the mildest condition compared to other stages, and "Stage 4" indicates the most severe condition compared to other stages. In one embodiment, the stage of cancer is determined based on the TNM classification. In this case, the stage of cancer is determined by the size of the tumor (T: Tumor), metastasis to lymph nodes (N: Node), and metastasis to other organs (M: Metastasis).

[0033] In the present disclosure, the terms "first stage" and "second stage" are used to mean two different stages. In other words, the fact that the stage of cancer is "stage N" does not necessarily mean that the stage of cancer is "stage N" (where N is an integer from 1 to 4). For example, the "first stage" may be "stage 3" and the "second stage" may be "stage 1." Also, for example, the "first stage" may refer to "stage 1" and the "second stage" may refer to "stage 2."

[0034] In the present disclosure, the status at the time of diagnosis indicates whether the cancer patient is in the first or recurrent stage at the time of diagnosis. Whether the cancer patient is in the first or recurrent stage may affect the physical or mental support required, which is important in determining the cancer treatment policy.

[0035] In the present disclosure, a cancer symptom refers to the impact that cancer has on the mind and body of a cancer patient, such as weight loss, fatigue, drowsiness, changes in skin or eye color, pain, loss of appetite, nausea, fever, a lump, and coughing or shortness of breath.

[0036] In the present disclosure, the physical condition includes, for example, information regarding the cancer patient's main physical complaint, the intensity of the physical impact of cancer, and the duration of the physical symptoms of cancer, etc. The intensity of the physical impact of cancer is expressed, for example, by a scale rating, a score, etc.

[0037] In the present disclosure, the mental state includes, for example, information regarding the cancer patient's main mental complaint, the intensity of the mental depression, the duration of the mental depression, etc. The intensity of the mental depression is expressed, for example, by a scale evaluation and a score.

[0038] In addition, mental states may be expressed, for example, by feelings of anxiety due to the uncertainty of the future of treatment, feelings of depression due to the knowledge that one's own life is at risk, stress due to side effects of treatment or financial problems, feelings of loneliness due to temporary isolation from society, and feelings of loss due to the loss of physical functions or characteristics lost during the treatment process.

[0039] (Treatment background information) The treatment background information is information about the state of the treatment of a cancer patient. An example of the treatment background information is information about the records of the treatment of a cancer patient from diagnosis to the present. The treatment background information includes information about the treatment schedule, treatment history, auxiliary treatment history, and treatment concerns or worries of the cancer patient.

[0040] A treatment schedule is a plan for the treatment of a cancer patient. In one embodiment, a treatment schedule is a combination of the content of the treatment and the time point at which the treatment is performed. In addition, in the present disclosure, treatment includes actions that can improve the physical or mental state of a cancer patient. Examples of treatment include surgery (including tumor removal and breast reconstruction), hospitalization, discharge, outpatient care, medication, rehabilitation, exercise, recuperation, diet, and counseling.

[0041] In the present disclosure, a medical history is defined as a history of treatments that a cancer patient has previously undergone to remove or shrink a cancer tumor, such as tumor removal surgery, chemotherapy, hormone therapy, radiation therapy, immunotherapy, cryotherapy, and ablation therapy.

[0042] In the present disclosure, a history of adjuvant treatment is defined as a history of treatment that can improve the physical or mental condition of a cancer patient (excluding treatments such as removing cancer tumors). Such treatments include, for example, breast reconstruction, exercise therapy, diet therapy, and counseling.

[0043] (Question information) The question information is information regarding questions for a cancer patient. In one embodiment, the questions for a cancer patient include questions regarding the values ​​of the cancer patient, questions regarding the disease of the cancer patient, and questions regarding the treatment of the cancer patient.

[0044] Questions regarding cancer patients' values ​​include, for example, questions about the cancer patient's feelings, goals, life events, and attitudes toward each treatment method, questions about their attitudes toward balancing treatment with daily life, questions about acceptable side effects and pain, and questions about the time or monetary costs of treatment.

[0045] In one embodiment, the one or more questions regarding the values ​​of cancer patients are associated with at least some of a plurality of stages related to a disease or treatment, which will be described later. For example, the storage unit 14 stores one or more questions targeted at "Stage 1" cancer patients in association with a stage called "Stage 1," and stores one or more questions targeted at "Stage 2" cancer patients in association with a stage called "Stage 2." In other words, the question information can be said to include information regarding the correspondence between a plurality of stages and one or more questions associated with each of the plurality of stages.

[0046] In one embodiment, the questions regarding the values ​​of the cancer patient include questions to support shared decision making. Examples of questions to support shared decision making include questions to select a treatment plan that is preferable for the cancer patient from multiple treatment plans, questions to select the level of risk that the cancer patient is willing to accept, and questions regarding the granularity of information that the cancer patient wants to know (for example, whether the patient wants to know the principle of the disease, or whether the patient does not need to know the principle if measures against the disease are known, etc.).

[0047] Questions about a cancer patient's disease include, for example, questions about the type of cancer, questions about the stage of cancer, questions about the circumstances at the time of diagnosis, questions about cancer symptoms, questions about physical condition, and questions about mental condition.

[0048] Questions regarding the cancer patient's treatment include, for example, questions regarding desired treatment schedule, questions regarding whether or not the patient has had a history of treatment, questions regarding whether or not the patient has had a history of supplemental treatment, questions regarding values, and questions regarding concerns or worries regarding treatment.

[0049] (Answer information) The answer information is information regarding answers to questions for the cancer patient. In one embodiment, the answers to questions for the cancer patient include answers regarding the values ​​of the cancer patient, answers regarding the disease of the cancer patient, and answers regarding the treatment of the cancer patient. In this case, the answers regarding the values ​​of the cancer patient may also be treated as value information. Furthermore, the answers regarding the disease of the cancer patient may also be treated as disease background information. Furthermore, the answers regarding the treatment of the cancer patient may also be treated as treatment background information.

[0050] (More information for cancer patients) The storage unit 14 further stores other information related to the cancer patient, such as the age, family structure, household income, medical expenses, interests or worries in life, goals, and gender of the cancer patient.

[0051] This information may also be useful in supporting treatment. In general, the younger the cancer patient, the faster the cancer progresses, so the timing of surgery can be determined according to age. In addition, depending on family structure, there may be restrictions on the treatment options that cancer patients can choose. In addition, depending on the household income of a cancer patient, there may be restrictions on undergoing expensive treatment (for example, advanced medical care that is not covered by public health insurance).

[0052] In addition, the other information on the cancer patient includes information on the patient journey of the cancer patient. In the present disclosure, the patient journey includes a process in which at least one of the disease and treatment progresses after the cancer patient is diagnosed. In one embodiment, the patient journey includes multiple processes, and which process the cancer patient belongs to is determined based on both the disease background information and the treatment background information. That is, typically, the process of the patient journey is not determined based on only one of the disease background information and the treatment background information. For example, if a first-onset cancer patient has stage 2 cancer and another recurrent cancer patient (i.e., a cancer patient who has been treated once) has stage 2 cancer, even if the physical symptoms are similar, the mental burden experienced by both may be different. That is, compared to the stage of cancer, the process of the patient journey can be said to be an index that can express the condition of a cancer patient more multifacetedly.

[0053] (Other information regarding the disease and treatment) The storage unit 14 further stores other information related to diseases and treatments, such as a plurality of treatment plans and the types of diseases for which each treatment plan is effective.

[0054] -Control unit 10- The control unit 10 executes various programs stored in the storage unit 14 to function as a receiving unit 100, a selecting unit 102, a deciding unit 104, a transmitting unit 106, an acquiring unit 108, a generating unit 110, and an output control unit 112.

[0055] (Receiving unit 100) The receiving unit 100 receives various information. In one embodiment, the receiving unit 100 receives patient background information (i.e., disease background information and treatment background information) from another device. The other device is, for example, a terminal device 3, a device included in an electronic medical record system, and a storage device connected to the information processing device 2. In one embodiment, the information received by the receiving unit 100 is stored in the storage unit 14 and becomes processable in the control unit 10.

[0056] (Selection unit 102) The selection unit 102 selects a stage corresponding to a predetermined time point from a plurality of stages related to a disease or treatment based on at least one of a disease and a treatment state of the cancer patient at the predetermined time point. In one embodiment, information regarding at least one of a disease and a treatment state of the cancer patient is included in the patient background information.

[0057] In one embodiment, the selection unit 102 includes a first selection unit 102a that selects a first stage from a plurality of stages based on at least one of the disease and treatment status of the cancer patient at a first time point, and a second selection unit 102b that selects a second stage from a plurality of stages based on at least one of the disease and treatment status of the cancer patient at a second time point. That is, the first stage is the stage of the cancer patient at the first time point, and the second stage is the stage of the cancer patient at the second time point.

[0058] In the present disclosure, the first time point and the second time point may be determined by any method. In one embodiment, the second time point is a time point a predetermined period of time after the first time point. In another embodiment, the first time point and the second time point are determined based on treatment milestones (e.g., time of diagnosis, time of surgery, time of initiation of medication, a predetermined period of time after initiation of medication treatment, time of hospitalization, time of discharge, etc.). The first time point may be, for example, immediately after the diagnosis of a cancer patient. Also, the second time point may be, for example, after surgery.

[0059] In one embodiment, the selection unit 102 selects the stage of cancer of a cancer patient. In this case, the selection unit 102 selects the stage of cancer from "Stage 0" to "Stage 4" based on, for example, the size of the tumor of the cancer patient, the presence or absence of metastasis to lymph nodes, and metastasis to other organs.

[0060] If the disease background information includes information on the stage of cancer, the selection unit 102 may select the stage of cancer of the cancer patient based on the information. For example, if the disease background information includes information that the stage of cancer of the cancer patient is "Stage 2", the selection unit 102 may select "Stage 2" from "Stage 0" to "Stage 4".

[0061] In another embodiment, the selection unit 102 selects the process of the patient journey of the cancer patient. In this case, the selection unit 102 selects the process of the patient journey based on, for example, the stage of cancer, the time since the cancer diagnosis, the treatment history, and the situation at the time of diagnosis of the cancer patient.

[0062] (Decision unit 104) The determining unit 104 determines one or more questions to be sent to the cancer patient depending on the stage selected by the selecting unit 102 .

[0063] In one embodiment, the determining unit 104 determines questions to be sent to the cancer patient by referring to a correspondence relationship between a plurality of stages in the question information and one or more questions associated with each of the plurality of stages. For example, in a case where questions Q1 to Q3 are associated with the first stage and questions Q4 to Q6 are associated with the second stage in the question information, if the selecting unit 102 selects the first stage, the determining unit 104 determines questions Q1 to Q3 as one or more questions to be sent to the cancer patient.

[0064] (Transmitter 106) The transmitting unit 106 transmits the one or more questions determined by the determining unit 104 to the patient terminal device 3a.

[0065] In one embodiment, the questions transmitted by the transmitting unit 106 include questions regarding a first treatment plan and a second treatment plan among a plurality of treatment plans effective for the disease of the cancer patient. One example of the questions regarding the first treatment plan and the second treatment plan is a question for grasping the cancer patient's thoughts on each of the first treatment plan and the second treatment plan. Another example of the questions regarding the first treatment plan and the second treatment plan is a question for grasping which of the first treatment plan and the second treatment plan is preferable for the cancer patient.

[0066] In one embodiment, the first and second treatment plans may be in a relationship in which, when one is selected, the selection of the other is restricted. That is, the first and second treatment plans may be in a trade-off relationship. For example, when the first treatment plan is "performing drug therapy" and the second treatment plan is "performing tumor resection surgery without performing drug therapy", the first and second treatment plans can be said to be in a trade-off relationship. Also, for example, when the first treatment plan is "accepting the possibility that fertility may be affected" and the second treatment plan is "maintaining fertility", the first and second treatment plans can be said to be in a trade-off relationship. Also, for example, when the first treatment plan is "performing treatment within the scope of insurance coverage" and the second treatment plan is "performing treatment not covered by insurance", the first and second treatment plans can be said to be in a trade-off relationship.

[0067] In another embodiment, the first treatment policy is a policy of performing a treatment that obtains a first benefit and impairs a second benefit, and the second treatment policy is a policy of performing a treatment that impairs the first benefit and obtains a second benefit. Note that the benefits in the present disclosure include, for example, high efficacy of the treatment, few side effects of the treatment, low monetary cost required for the treatment, low time cost required for the treatment, short period required for the treatment, high quality of daily life, etc.

[0068] (Acquisition part 108) The acquiring unit 108 acquires value information related to the values ​​of a cancer patient at a predetermined stage. In one embodiment, the predetermined stage is a stage selected by the selecting unit 102. That is, the acquiring unit 108 acquires value information related to the values ​​of a cancer patient at a stage selected from a plurality of stages based on at least one of the states of the cancer patient's disease and treatment. The acquiring unit 108 acquires, for example, value information related to the values ​​of a cancer patient when the cancer stage is "Stage 1" (an example of a stage selected based on at least one of the states of the cancer patient's disease and treatment).

[0069] In one embodiment, the value information includes information about answers to one or more questions sent by the sending unit 106. That is, it can also be said that the acquiring unit 108 acquires answer information as the value information.

[0070] The value information includes first value information on the cancer patient's values ​​at a first stage and second value information on the cancer patient's values ​​at a second stage. In other words, it can be said that the acquiring unit 108 includes a first acquiring unit 108a that acquires the first value information of the cancer patient and a second acquiring unit 108b that acquires the second value information.

[0071] In the present disclosure, acquiring information includes making the information processable by the control unit 10. Acquiring information includes at least one of receiving the information from another device via the communication network 5 and reading the information from the storage unit 14.

[0072] (Generation unit 110) The generating unit 110 generates support information for supporting the treatment of a cancer patient based on the value information acquired by the acquiring unit .

[0073] In one embodiment, the support information includes information regarding the relationship between the first value information and the second value information. The information regarding the relationship between the first value information and the second value information includes information that allows the first value information and the second value information to be compared. One example of displaying information that allows the first value information and the second value information to be compared is displaying the first value information and the second value information side by side on a display screen. Another example of displaying information that allows the first value information and the second value information to be compared is displaying at least one of the differences, transitions, differences, and similarities between the first value information and the second value information using a table, a graph, or the like.

[0074] (Output control unit 112) The output control unit 112 controls the support information generated by the generation unit 110 to be output to the doctor terminal device 3c. In the present disclosure, the output control unit 112 is described as controlling the support information to be displayed on the doctor terminal device 3c.

[0075] In the present disclosure, controlling the terminal device 3 to output specified information includes at least one of transmitting the specified information to the terminal device 3 and transmitting a control signal to the terminal device 3 for outputting the specified information.

[0076] --Network Interface Section 16-- The network interface unit 16 is for communicating with other devices via the communication network 5. The communication may be realized, for example, by the TCP / IP protocol. stomach.

[0077] [Terminal device 3] The terminal device 3 is a device used by a user. The user is, for example, a cancer patient, a family member of the cancer patient, or a doctor who treats the cancer patient. The terminal device 3 is, for example, an electronic device such as a smartphone, a smart watch, a tablet terminal, or a personal computer. The terminal device 3 can function a web browser or application software, etc.

[0078] The user can input various information (e.g., patient background information) through an input interface provided in the terminal device 3. The input of various information may be in the form of a chatbot, in the form of free description in a text box, in the form of checkbox selection, or by voice input. When the input is in the form of free description in a text box, keywords may be extracted and accepted as the input. When the input is in the form of checkbox selection, check boxes for topics and subtopics that are more detailed and linked to the topics may be provided for each item of specified information, and the input of various information may be accepted when the user checks the checkbox.

[0079] In the present disclosure, the patient-use terminal device 3a will be described as a smartphone. A cancer patient can operate the patient-use terminal device 3a by touching a touch panel display provided on the patient-use terminal device 3a.

[0080] In addition, in this disclosure, the doctor terminal device 3c is described as a personal computer. A doctor can operate the doctor terminal device 3c by using a mouse and a keyboard connected to the doctor terminal device 3c.

[0081] <3. Operation of information processing device 2> An example of the operation of the information processing device 2 will be described with reference to Figures 2 to 6. In this example, the stage of a cancer patient's disease or treatment will be described as a cancer stage. That is, the stage of a cancer patient is indicated by any one of "Stage 0" to "Stage 4."

[0082] FIG. 2 is a sequence diagram for explaining the operations of the information processing device 2 and the terminal device 3. As shown in FIG.

[0083] (S100: Selection of stage at first point) First, the information processing device 2 selects a stage of cancer (corresponding to a first stage) at a first time point based on at least one of the disease and treatment status of the cancer patient at the first time point (S100). In this example, it is assumed that the information processing device 2 selects "Stage 1" as the first stage.

[0084] (S102: Determining questions according to the stage) Next, the information processing device 2 determines a question to be transmitted to the patient terminal device 3a according to the cancer stage selected in S100 (S102).

[0085] Fig. 3 is a diagram for explaining an example of question information stored in the information processing device 2. The question information in Fig. 3 includes information regarding a correspondence relationship between a plurality of cancer stages and one or more questions associated with each of the plurality of cancer stages.

[0086] Specifically, five questions are associated with "Stage 1": Q1 ("Do you have any goals or important life events?"), Q2 ("Do you want your doctor to actively suggest a treatment plan, or do you want to take the lead in deciding on a treatment plan?"), Q3 ("Which is better, surgical treatment or medication?"), Q4 ("Which is better, a highly effective drug with strong side effects, or a weakly effective drug with weak side effects?"), and Q5 ("Are you able to accept the possibility that it may affect your fertility?").

[0087] In addition to questions Q1 to Q5, a total of seven questions are associated with "Stage 2," including question Q6 ("Which is better: a large resection, or accepting the risks and performing as small a resection as possible?") and question Q7 ("Do you wish to receive palliative care?").

[0088] In addition, a total of four questions are associated with "Stage 3", namely Question Q1-Question Q2 and Question Q6-Question Q7.

[0089] In addition, for "Stage 4," two questions are associated: question Q2 and question Q8 ("Would you like to receive life-prolonging treatment if you become unconscious?").

[0090] In this example, "Stage 1" is selected as the stage of cancer in S100. Therefore, the information processing device 2 selects questions Q1 to Q5 as candidates for questions to be transmitted to the patient terminal device 3a.

[0091] (S104: Sending the decided question) 2, next, the information processing device 2 transmits some of the questions determined in S102 to the patient terminal device 3a (S104). In this example, the information processing device 2 transmits questions Q1 to Q3 and question Q5.

[0092] (S106: Displaying questions and accepting answers) Next, the patient terminal device 3a displays the question received in S104, and receives an answer to the question from the cancer patient (S106).

[0093] Fig. 4 is a diagram for explaining an example of a display screen of the patient terminal device 3a in S106. In the example of the display screen of Fig. 4, a title d1, a question d96, a question d100, a question d108, a question d116, a text box d98, a radio button display area d102, a radio button display area d110, a radio button display area d118, a legend d104, a legend d106, a legend d112, a legend d114, a legend d120, a legend d122, and a send button d124 are displayed.

[0094] The title d1 indicates the title of the display screen. In the example display screen of FIG. 4, "Question List" is displayed.

[0095] The questions d96, d100, d108, and d116 indicate the content of questions determined according to the stage of cancer. In the display screen example of FIG. 4, the question d96 displays "Do you have any goals or important life events?". The question d100 displays "Which is better, surgical treatment or medication treatment?". The question d108 displays "Do you want your doctor to actively suggest a treatment plan?". The question d116 displays "Are you willing to accept the possibility that your fertility may be affected?". The questions d100, d108, and d116 correspond to the questions Q3, Q2, and Q5 in FIG. 3, respectively.

[0096] The text box d98 is a text box in which the cancer patient can input an answer corresponding to the question d96. In the example display screen of Fig. 4, "Living with hope" is input as the goal of the cancer patient, and "Grandchild's graduation ceremony in March 2022" is input as the life event of the cancer patient.

[0097] The radio button display area d102, the radio button display area d110, and the radio button display area d118 are areas that display radio buttons that the cancer patient can select as an answer.

[0098] The legend d104 and the legend d106 show the legends corresponding to the question d100 ("Which is better, surgical treatment or medication treatment?") and the radio button display area d102. In the example display screen of FIG. 4, the legend d104 displays "medication." Also, the legend d106 displays "surgery." In this case, the closer the radio button selected by the cancer patient as an answer to the legend d104 ("medication"), the higher the willingness to receive medication treatment. Also, the closer the radio button selected by the cancer patient as an answer to the legend d106 ("surgery"), the higher the willingness to receive surgical treatment. In the example display screen of FIG. 4, the radio button corresponding to the answer "rather surgery" is selected.

[0099] The legend d112 and the legend d114 show the legends corresponding to the question d108 ("Do you want your doctor to actively suggest a treatment plan?") and the radio button display area d110. In the display screen example of FIG. 4, the legend d112 shows "I want them to suggest." Also, the legend d114 shows "I want to decide for myself." In this case, the closer the radio button selected by the cancer patient as an answer is to the legend d112 ("I want them to suggest"), the more the cancer patient wants the doctor to take the lead in deciding the treatment plan. Also, the closer the radio button selected by the cancer patient as an answer is to the legend d114 ("I want to decide for myself"), the more the cancer patient wants to take the lead in deciding the treatment plan. In the display screen example of FIG. 4, the radio button corresponding to the answer "I would rather like them to suggest" is selected.

[0100] The legend d120 and the legend d122 show the legends corresponding to the question d116 ("Are you willing to accept the possibility that your fertility may be affected?") and the radio button display area d118. In the example display screen of FIG. 4, the legend d120 displays "unacceptable." Also, the legend d122 displays "acceptable." In this case, the closer the radio button selected by the cancer patient as an answer to the legend d120 ("unacceptable"), the more reluctant the cancer patient is to select a treatment plan that may affect fertility. Also, the closer the radio button selected by the cancer patient as an answer to the legend d122 ("acceptable"), the more proactive the cancer patient is to select an effective treatment plan even if fertility is affected. In the example display screen of FIG. 4, the radio button corresponding to the answer "rather unacceptable" is selected.

[0101] The send button d124 is a button that allows the cancer patient to send answer information to the information processing device 2 by pressing it.

[0102] (S108: Sending the answer) Returning to FIG. 2, next, the patient terminal device 3a transmits the answer received in S106 to the information processing device 2 as the first value information (S108).

[0103] (S110: Generation of support information) Next, the information processing device 2 generates support information (S110). Display examples of the support information will be described later.

[0104] (S200: Selection of stage at second point) Next, the information processing device 2 selects a stage of cancer (corresponding to a second stage) at the second time point based on at least one of the disease and treatment status of the cancer patient at the second time point (S200). In this example, it is assumed that the information processing device 2 selects "Stage 2" as the second stage.

[0105] (S202: Determining questions according to the stage) Next, the information processing device 2 determines the questions to be transmitted to the patient terminal device 3a according to the cancer stage selected in S200 (S202). In this example, it is assumed that "Stage 2" is selected as the cancer stage in S200. Therefore, the information processing device 2 selects questions Q1 to Q7 as questions to be transmitted to the patient terminal device 3a (see FIG. 3).

[0106] (S204: Sending the decided question) Next, the information processing device 2 transmits some of the questions determined in S202 to the patient terminal device 3a (S204). In this example, it is assumed that the information processing device 2 transmits the question Q3 and the questions Q5 to Q7.

[0107] (S206: Displaying questions and accepting answers) Next, the patient terminal device 3a displays the question received in S204, and receives an answer to the question from the cancer patient (S206).

[0108] Fig. 5 is a diagram for explaining an example of a display screen of the patient terminal device 3a in S206. In the example of the display screen of Fig. 5, the title d2, the question d200, the question d208, the question d216, the question d224, the radio button display area d202, the radio button display area d210, the radio button display area d218, the radio button display area d226, the legend d204, the legend d206, the legend d212, the legend d214, the legend d220, the legend d222, the legend d228, the legend d230, and the send button d232 are displayed. Of these, the title d2 and the send button d232 are the same as the title d1 and the send button d124 described with reference to Fig. 4, respectively, and therefore will not be described below.

[0109] Questions d200, d208, d216, and d224 indicate questions determined according to the stage of cancer. Note that questions d200 and d216 are similar to questions d100 and d116 described with reference to FIG. 4, and therefore will not be described below.

[0110] In the example display screen of FIG. 5, the question d208 reads, "Which is better: a large resection or a small resection while accepting the risks?". Also, the question d224 reads, "Do you wish to receive palliative care? (additional cost required)." The questions d208 and d224 correspond to questions Q6 and Q7 in FIG. 3, respectively.

[0111] The radio button display area d202, the radio button display area d210, the radio button display area d218, and the radio button display area d226 are areas that display radio buttons that the cancer patient can select as an answer.

[0112] The legends d204 and d206 are similar to the legends d104 and d106 described with reference to Fig. 4, respectively, and therefore will not be described. In the example display screen of Fig. 5, the radio button corresponding to the answer "Can't say either way" is selected.

[0113] The legend d212 and the legend d214 show the legends corresponding to the question d208 ("Which is better, a large resection method or a method of resecting as small as possible while accepting the risks?") and the radio button display area d210. In the display screen example of FIG. 5, the legend d212 displays "I don't mind a large resection." Also, the legend d214 displays "I want to resect it small." In this case, the closer the radio button selected by the cancer patient as an answer is to the legend d212 ("I don't mind a large resection"), the more the cancer patient wants to resect the tumor reliably, even if it means the resection area becomes larger. Also, the closer the radio button selected by the cancer patient as an answer is to the legend d214 ("I want to resect it small"), the more the cancer patient wants to keep the resection area small, even if it means accepting the risks. In the display screen example of FIG. 5, the radio button corresponding to the answer "I want to resect it small" is selected.

[0114] The legend d220 and the legend d222 are similar to the legend d120 and the legend d122 described with reference to Fig. 4, respectively, and therefore will not be described. In the example display screen of Fig. 5, the radio button corresponding to the answer "acceptable" is selected.

[0115] The legend d228 and the legend d230 show the legends corresponding to the question d224 ("Do you want palliative care? (additional cost required)") and the radio button display area d226. In the display screen example of FIG. 5, the legend d228 shows "Do not want". Also, the legend d230 shows "Want". In this case, the closer the radio button selected by the cancer patient as an answer is to the legend d228 ("Do not want"), the more likely it is that the cancer patient prioritizes financial cost over receiving palliative care. Also, the closer the radio button selected by the cancer patient as an answer is to the legend d230 ("Want"), the more likely it is that the cancer patient wants to receive palliative care even if it costs extra. In the display screen example of FIG. 5, the radio button corresponding to the answer "Rather do not want" is selected. (S208: Sending the answer) Returning to FIG. 2, next, the patient terminal device 3a transmits the answer received in S206 to the information processing device 2 as second value information (S208).

[0116] (S210: Generation of support information) Next, the information processing device 2 generates support information (S210). Display examples of the support information will be described later.

[0117] (S212: Sending a request) Next, the doctor terminal device 3c transmits a request for displaying the support information to the information processing device 2 in response to an operation by the doctor (S212). The request is, for example, an HTTP request.

[0118] (S214: Sending support information) Next, in response to the request received in S212, the information processing device 2 transmits the support information to the doctor terminal device 3c (S214). The support information is transmitted, for example, by an HTTP response or the like.

[0119] (S216: Display of support information) Next, the doctor terminal device 3c displays the support information received in S214. Fig. 6 is a diagram for explaining an example of a display screen of the doctor terminal device 3c. In the example of the display screen of Fig. 6, a title d3 and a value information table d300 are displayed.

[0120] The title d3 indicates the title of the display screen. In the example display screen of FIG. 6, "Support Information" is displayed.

[0121] The value information table d300 is a table that displays the relationship between the first value information acquired in S108 and the second value information acquired in S208. In the value information table d300, information on values ​​at multiple stages is associated with each of multiple items.

[0122] Specifically, the example display screen in Figure 6 shows that in response to the question "Do you have any goals or important life events?" (corresponding to question Q1 in Figure 3), the cancer patient answered that he or she had a goal of "living with hope" and a life event of "grandchild's graduation ceremony in March 2022."

[0123] In addition, the example display screen in Figure 6 shows that in response to the question "Do you want your doctor to actively suggest a treatment plan, or would you like to take the lead in deciding on a treatment plan?" (corresponding to question Q2 in Figure 3), cancer patients at "Stage 1" held the value that they "would rather have the doctor make suggestions."

[0124] In addition, the example display screen in Figure 6 shows that in response to the question "Which is better, surgical treatment or medical treatment?" (corresponding to question Q3 in Figure 3), cancer patients had a value of "rather prefer surgery" at "Stage 1" and a value of "cannot say either way" at "Stage 2."

[0125] In addition, the example display screen in Figure 6 shows that in response to the question "Are you willing to accept the possibility that it may affect your fertility?" (corresponding to question Q5 in Figure 3), cancer patients held the value that they were "rather unacceptable" at "Stage 1," and "acceptable" at "Stage 2."

[0126] In addition, in the example display screen of Figure 6, in response to the question "Which is better: a large resection, or accepting the risks and making as small a resection as possible?" (corresponding to question Q6 in Figure 3), it is displayed that the cancer patient's value at "Stage 2" was "I would like to have a small resection."

[0127] In addition, in the example display screen of Figure 6, in response to the question "Do you wish to receive palliative care?" (corresponding to question Q7 in Figure 3), it is displayed that the cancer patient held the value of "wanting to have a small surgical removal" at "Stage 2."

[0128] <4. Effects of the information processing device 2> As described above, the information processing device 2 according to one embodiment of the present disclosure includes a first selection unit 102a that selects a first stage from multiple stages related to a disease or treatment based on at least one of the state of the patient's disease and treatment at a first time point, a first acquisition unit 108a that acquires first value information related to the patient's values ​​at the first stage, a generation unit 110 that generates support information to support the patient's treatment based on the first value information, and an output control unit 112 that controls the support information to be output on the medical worker's terminal device 3c.

[0129] As mentioned above, when treating an illness, it is desirable for medical professionals to determine a treatment plan after fully understanding the patient's values.

[0130] However, it is not always easy for patients to clearly communicate their values ​​to medical professionals. For example, patients may not even know what preferences they should convey to medical professionals when deciding on a treatment plan.

[0131] In addition, patients' values ​​are not something that can be determined collectively and fixedly at the time of diagnosis, but can change according to the progression of treatment and the disease. For example, as the cancer stage progresses, cancer patients may become more willing to choose a treatment plan that involves accepting risks.

[0132] In contrast, the information processing device 2 allows medical staff to dynamically grasp the patient's values ​​according to each of multiple stages of the patient's disease or treatment. In other words, the patient and medical staff can share values ​​in real time and decide on a treatment plan with mutual consent.

[0133] In one embodiment, the patient is suffering from a chronic disease, including cancer, stroke, myocardial infarction, hypertensive disease, diabetes, cirrhosis of the liver, renal failure, bone fracture, schizophrenia, depression, dementia, and the like.

[0134] Treatment of chronic diseases often takes a long time, and medical professionals and patients must choose an appropriate treatment plan from among multiple treatment plans depending on the patient's condition. In addition, patients' values ​​are likely to change during long-term treatment. Under such a premise, it is very important for medical professionals to dynamically grasp patients' values.

[0135] Also, in one embodiment, the patient is a cancer patient.

[0136] Among chronic diseases, cancer is one of the diseases that places a particularly large physical and mental burden. In addition, there are many different treatment options available for cancer treatment. Under these circumstances, it is particularly important for medical professionals to dynamically understand the values ​​of patients and provide appropriate support.

[0137] In addition, in one embodiment, the information processing device 2 further includes a second selection unit 102b that selects a second stage from a plurality of stages based on at least one state of the patient's disease and treatment at a second time point different from the first time point, and a second acquisition unit 108b that acquires second value information regarding the patient's values ​​at the second stage, and the generation unit 110 generates support information further based on the second value information.

[0138] As described above, a patient's values ​​may change depending on the progress of treatment or disease. According to this configuration, support information is generated based on first value information related to the patient's values ​​at a first time point and second value information related to the patient's values ​​at a second time point. As a result, the information processing device 2 can more efficiently support medical professionals in dynamically grasping the patient's values.

[0139] In one embodiment, the support information includes information regarding a relationship between the first value information and the second value information.

[0140] According to this configuration, information on the difference, transition, dissimilarity, and similarity between the first value information and the second value information is presented to the medical staff. As a result, the information processing device 2 can more efficiently support the medical staff in dynamically grasping the values ​​of the patient.

[0141] Additionally, in one embodiment, the multiple stages correspond to stages of a disease or progress in a patient journey.

[0142] The stage of a disease (e.g., the stage of cancer) and the process of the patient journey have clinically important meanings. According to this configuration, values ​​according to the stage of a patient's disease or the process of the patient journey are presented to medical professionals. As a result, it becomes easier for medical professionals to utilize the support information.

[0143] In addition, in one embodiment, the information processing device 2 further includes a memory unit 14 that stores one or more questions in association with each of the multiple stages, and a transmission unit 106 that transmits one or more questions associated with the first stage to the patient's terminal device, and the first value information includes information regarding answers to the one or more questions associated with the first stage.

[0144] Generally, a patient's values ​​are determined by the patient himself / herself (not by others). With this configuration, support information is generated based on information about answers to questions posed to the patient. As a result, medical professionals can grasp the patient's values ​​with a higher degree of accuracy.

[0145] In addition, the questions appropriate for grasping the patient's values ​​may differ depending on the stage of the patient's disease or treatment. For example, it may not be appropriate to ask a patient immediately after diagnosis a question to confirm his / her intention regarding end-of-life care (also called terminal care). With this configuration, the questions presented to the patient are determined according to the stage of the patient's disease or treatment. As a result, it becomes possible to appropriately determine questions for grasping the patient's values ​​at each of the multiple stages.

[0146] Additionally, in one embodiment, the one or more questions associated with each of the plurality of stages includes a question that supports shared decision making.

[0147] According to this configuration, the answers to the questions presented to the patient are more useful for sharing values ​​between the patient and the medical practitioner, which may result in effects such as increased patient autonomy in treatment, increased patient satisfaction with the decision on the treatment policy, higher quality decision-making, promotion of the patient's understanding of risks, strengthening of the relationship between the patient and the medical practitioner, and reduction of unnecessary medical procedures.

[0148] In one embodiment, the memory unit 14 further stores a plurality of treatment plans effective for the patient's disease, the plurality of treatment plans including a first treatment plan and a second treatment plan, and the one or more questions associated with the first stage include a question regarding the first treatment plan and a question regarding the second treatment plan.

[0149] This configuration allows medical professionals to understand the patient's thoughts on each of a number of treatment plans, which allows medical professionals and patients to make higher quality decisions.

[0150] In one embodiment, the first and second treatment plans are selected from a plurality of treatment plans based on patient background information used to determine the patient's treatment plan. The patient background information includes at least one of disease background information related to at least one of the patient's disease type, disease stage, disease symptoms, diagnosis status, physical condition, and mental condition, and treatment background information related to at least one of the patient's treatment schedule, treatment history, supplementary treatment history, values ​​regarding treatment, and treatment interests or concerns.

[0151] According to this configuration, appropriate questions are presented to the patient with higher accuracy. As a result, higher quality decision-making is possible by the patient and medical professionals. For example, for patients whose cancer has metastasized throughout the body, drug therapy is generally effective. In such a case, the first treatment plan may be to administer a specific drug with strong side effects and effects, and the second treatment plan may be to administer a drug with relatively weak side effects and effects. In this way, by setting the first and second treatment plans, among multiple treatment plans, as treatment plans that are considered to be adoptable (or recommended to be adopted) by the patient based on the patient background information, higher quality decision-making can be made.

[0152] The effects of the information processing device 2 described above are merely examples and do not limit the scope of application of the present disclosure.

[0153] <5. Hardware configuration> 7, an example of a hardware configuration in which the above-mentioned information processing device 2 and terminal device 3 are realized by a computer 70 will be described. Note that the functions of each device can also be realized by dividing them into multiple devices.

[0154] As shown in FIG. 7, a computer 70 includes a processor 700 , a storage device 702 , an input I / F 704 , a data I / F 706 , a communication I / F 708 , and a display device 710 .

[0155] The processor 700 controls various processes in the computer 70 by executing programs stored in the storage device 702. For example, each functional unit included in the control unit of the information processing device 2 and the terminal device 3 can be realized by the processor 700 executing the programs stored in the storage device 702.

[0156] The storage device 702 is a storage medium such as a random access memory (RAM), etc. The RAM temporarily stores the program code of the program executed by the processor 700 and data required when the program is executed.

[0157] The storage device 702 may also be a non-volatile storage medium such as a hard disk drive (HDD) or a flash memory. The storage device 702 stores an operating system and various programs for implementing the above-mentioned configurations. The storage medium storing the various programs may be a non-transitory computer readable medium. In addition, the storage device 702 may store a table for registering various information and a DB for managing the table. Such programs and data are loaded into the storage device 702 as necessary and referred to by the processor 700.

[0158] The input I / F 704 is a device for receiving input from a user. Specific examples of the input I / F 704 include a camera, a button, a microphone, a keyboard, a mouse, a touch panel, various sensors, and a wearable device. The input I / F 704 may be connected to the computer 70 via an interface such as a Universal Serial Bus (USB).

[0159] The data I / F 706 is a device for inputting data from outside the computer 70. A specific example of the data I / F 706 is a drive device for reading data stored in various storage media. The data I / F 706 may be provided outside the computer 70. In that case, the data I / F 706 is connected to the computer 70 via an interface such as a USB.

[0160] The communication I / F 708 is a device for performing data communication with an external device of the computer 70 via the communication network 5 in a wired or wireless manner. The communication I / F 708 may be provided outside the computer 70. In that case, the communication I / F 708 is connected to the computer 70 via an interface such as a USB.

[0161] The display device 710 is a device for displaying various types of information. Specific examples of the display device 710 include a liquid crystal display, an organic EL (Electro-Luminescence) display, and a display of a wearable device. The display device 710 may be provided outside the computer 70. In that case, the display device 710 is connected to the computer 70 via, for example, a display cable. In addition, when a touch panel is adopted as the input I / F 704, the display device 710 can be configured integrally with the input I / F 704.

[0162] The components of the information processing device 2 and the terminal device 3 described in the above embodiment are assumed to realize a predetermined process in cooperation with other hardware by the processor 700 executing a program stored in the storage device 702. In other words, these components are assumed to be software or firmware, and also corresponding hardware, and in both concepts, they are also described as "functions," "means," "parts," "processing circuits," "units," or "modules," and can be interpreted as each of these.

[0163] <6. Variations> The information processing device 2 may obtain information on feedback regarding the questions determined by the determination unit 104 from a cancer patient or a medical professional, and change the method of determining the questions based on the feedback. Specifically, the determination unit 104 may determine the questions by using a learning model that has learned the relationship between patient background information associated with each of a plurality of cancer patients and feedback on the questions sent to each of the plurality of cancer patients. That is, by inputting the patient background information of the cancer patient to such a learning model, a question that is estimated to be effective for the cancer patient can be obtained as an output.

[0164] In the above embodiment, the output control unit 112 has been described as controlling the support information to be displayed on the terminal device 3, but this is not limited thereto. The output control unit 112 may also control the support information to be output from the terminal device 3 as, for example, sound.

[0165] In the above embodiment, the cancer patient answers the questions by selecting a radio button (see Figs. 4 and 5), but this is not limited to this. The cancer patient may answer the questions by using a text box, selecting a tag, checking a check box, using a slide bar, inputting a score, etc.

[0166] In the above embodiment, the information processing device 2 transmits some of the one or more questions determined by the determination unit 104 to the patient terminal device 3a, but the present invention is not limited to this. The information processing device 2 may transmit all of the one or more questions determined by the determination unit 104 to the patient terminal device 3a.

[0167] In the above embodiment, the support information is described as being displayed on the doctor terminal device 3c, but this is not limited to the above. The support information may be transmitted from the information processing device 2 to the patient terminal device 3a and the family terminal device 3b and displayed on these terminal devices 3.

[0168] <7. Other embodiments> The following aspects are also included within the scope of the present disclosure.

[0169] [Appendix 1] An information processing device 2 according to one embodiment of the present disclosure includes a first selection unit 102a that selects a first stage from multiple stages related to a disease or treatment based on at least one of the state of the patient's disease and treatment at a first time point, a first acquisition unit 108a that acquires first value information related to the patient's values ​​at the first stage, a generation unit 110 that generates support information for supporting the patient's treatment based on the first value information, and an output control unit 112 that controls the support information to be output on a terminal device 3c of a medical professional.

[0170] [Appendix 2] In the information processing device 2 described in Appendix 1, the patient may be a person suffering from a chronic disease including cancer, stroke, myocardial infarction, hypertensive disease, diabetes, cirrhosis of the liver, renal failure, fracture, schizophrenia, depression, dementia, etc.

[0171] [Appendix 3] In the information processing device 2 described in Supplementary note 2, the patient may be a cancer patient.

[0172] [Appendix 4] The information processing device 2 described in any one of Supplementary Notes 1 to 3 may further include a second selection unit 102b that selects a second stage from a plurality of stages based on at least one state of the patient's disease and treatment at a second time point different from the first time point, and a second acquisition unit 108b that acquires second value information regarding the patient's values ​​at the second stage, and the generation unit 110 may generate support information further based on the second value information.

[0173] [Appendix 5] In the information processing device 2 according to any one of Supplementary Note 1 to Supplementary Note 4, the support information may include information on a relationship between the first value information and the second value information.

[0174] [Appendix 6] In the information processing device 2 according to any one of Supplementary Note 1 to Supplementary Note 5, the multiple stages may correspond to stages of a disease or a process of a patient journey.

[0175] [Appendix 7] The information processing device 2 described in any one of Appendices 1 to 6 may further include a memory unit 14 that stores one or more questions in association with each of the multiple stages, and a transmission unit 106 that transmits one or more questions associated with the first stage to the patient's terminal device, and the first value information may include information regarding answers to the one or more questions associated with the first stage.

[0176] [Appendix 8] In the information processing device 2 described in Supplementary Note 7, the one or more questions associated with each of the multiple stages may include a question that supports shared decision making.

[0177] [Appendix 9] In the information processing device 2 described in Appendix 7 or Appendix 8, the memory unit 14 may further store a plurality of treatment plans effective for the patient's disease, the plurality of treatment plans may include a first treatment plan and a second treatment plan, and the one or more questions associated with the first stage may include a question regarding the first treatment plan and a question regarding the second treatment plan.

[0178] [Appendix 10] In the information processing device 2 described in Supplementary Note 9, the first treatment plan and the second treatment plan may be treatment plans selected from a plurality of treatment plans based on patient background information used to determine a treatment plan for a patient.

[0179] [Appendix 11] In the information processing device 2 described in Supplementary Note 10, the patient background information may include disease background information regarding at least one of the patient's disease type, disease stage, disease symptoms, circumstances at the time of diagnosis, physical condition, and mental condition.

[0180] [Appendix 12] In the information processing device 2 described in Supplementary Note 10 or Supplementary Note 11, the patient background information may include treatment background information regarding at least one of the patient's treatment schedule, treatment history, auxiliary treatment history, values ​​regarding treatment, and treatment interests or concerns.

[0181] [Appendix 13] A program according to another embodiment of the present disclosure causes a computer 70 to function as: a reception means for receiving input of first value information regarding a patient's values ​​at a first stage, the first stage being selected from a plurality of stages related to a disease or treatment based on the state of at least one of the patient's disease and treatment at a first time point; and an output control means for controlling support information for supporting the patient's treatment to be output on a medical professional's terminal device 3c, the support information being generated based on the first value information.

[0182] [Appendix 14] An information processing method according to another aspect of the present disclosure causes a computer 70 to execute the steps of selecting a first stage from a plurality of stages related to a disease or treatment based on the state of at least one of the patient's disease and treatment at a first time point, acquiring first value information related to the patient's values ​​at the first stage, generating support information for supporting the patient's treatment based on the first value information, and controlling the support information to be output on a terminal device 3c of a medical professional. [Explanation of symbols]

[0183] 1...system, 2...information processing device, 3...terminal device, 3a...patient terminal device, 3b...family terminal device, 3c...medical worker terminal device, doctor terminal device, 10...control unit, 14...storage unit, 70...computer, 100...receiving unit, 102...selecting unit, 102a...first selecting unit, 102b...second selecting unit, 104...determining unit, 106...transmitting unit, 108...acquiring unit, 108a...first acquiring unit, 108b...second acquiring unit, 110...generating unit, 112...output control unit

Claims

1. A first selection unit that selects a first stage from a plurality of stages related to a disease or a treatment based on at least one of a state of the disease and a treatment of the patient at a first time point; A first acquisition unit that acquires first value information regarding a value of the patient at the first stage; A generating unit that generates support information for supporting treatment of the patient based on the first value information; an output control unit that controls the support information to be output on a terminal device of a medical worker; An information processing device comprising:

2. 2. The information processing device according to claim 1, wherein the patient is suffering from a chronic disease including at least one of cancer, leukemia, sarcoma, myeloma, stroke, myocardial infarction, hypertensive disease, diabetes, cirrhosis of the liver, chronic renal failure, depression, schizophrenia, and dementia.

3. The information processing device according to claim 2 , wherein the patient is a cancer patient.

4. A second selection unit that selects a second stage from the plurality of stages based on at least one of a state of a disease and a treatment of the patient at a second time point different from the first time point; A second acquisition unit that acquires second value information regarding the patient's value in the second stage; Further equipped with The information processing device according to claim 1 , wherein the generation unit generates the support information further based on the second value information.

5. The information processing apparatus according to claim 4 , wherein the support information includes information regarding a relationship between the first value information and the second value information.

6. The information processing device according to claim 1 , wherein the plurality of stages correspond to stages of a disease or a course of a patient journey.

7. a storage unit that stores one or more questions in association with each of a plurality of stages; a transmitter for transmitting to the patient's terminal device one or more questions associated with the first stage; Further equipped with The information processing apparatus of claim 1 , wherein the first value information includes information regarding answers to one or more questions associated with the first stage.

8. The apparatus of claim 7 , wherein the one or more questions associated with each of the plurality of stages include a question that supports shared decision making.

9. The storage unit further stores a plurality of treatment plans effective for the patient's disease; the plurality of treatment strategies include a first treatment strategy and a second treatment strategy; The information processing device according to claim 7 , wherein the one or more questions associated with the first stage include a question regarding the first treatment plan and a question regarding the second treatment plan.

10. The information processing apparatus according to claim 9 , wherein the first treatment plan and the second treatment plan are treatment plans selected from the plurality of treatment plans based on patient background information used in determining a treatment plan for the patient.

11. The program according to claim 10 , wherein the patient background information includes disease background information relating to at least one of a type of disease, a stage of disease, symptoms of disease, a situation at the time of diagnosis, a physical condition, and a mental condition of the patient.

12. The program of claim 10 , wherein the patient background information includes medical background information regarding at least one of the patient's treatment schedule, medical history, adjunctive medical history, and medical concerns or concerns.

13. Computer, a receiving means for receiving an input of first value information regarding a value of a patient at a first stage, the first stage being selected from a plurality of stages regarding a disease or a treatment based on at least one of a state of the patient's disease and a treatment at a first time point; an output control means for controlling so that support information for supporting the treatment of the patient is outputted on a terminal device of a medical worker, the support information being generated based on the first value information; A program that functions as a

14. On the computer, selecting a first stage from a plurality of stages relating to a disease or treatment based on a state of the disease and / or treatment of the patient at a first time point; acquiring first value information relating to the patient's values ​​at the first stage; generating support information for supporting treatment of the patient based on the first value information; A step of controlling so that the support information is output on a terminal device of a medical worker; An information processing method.

Images