Home health check system

Abstract

To provide a home health check system which performs inspection and measurement of QOL in addition to medical activities by nurses or the like to a patient at home and can share the results with the nurses or the like.SOLUTION: In the home health check system, health-related data including measurement or confirmations regarding a patient at home is sent from a terminal to a database part and is stored when a pharmacist replenishes medicines for the patient, the database part notifies concerned pharmacies, doctors, nurses, and nursing care managers of the fact that the data has been transmitted from the terminal, the concerned pharmacies, doctors, nurses, and nursing care managers are accessible to the database part, and the health-related data includes measurement data obtained by non-medical apparatuses, self-check data as collection of daily conditions of the patient, a health-related check list, and contents of consultations from the patient, and the non-medical apparatuses are apparatuses transferred into the home of the patient by the pharmacist.SELECTED DRAWING: Figure 1

Description

[Technical field]

[0001] The present invention relates to an at-home health check system, and more particularly to technology for a health check system performed by a pharmacist when distributing medicines. [Background technology]

[0002] Traditionally, home medical care has been provided by nurses and other medical professionals, but naturally, the focus has been primarily on medical treatment, with the objective goal of improving illness. Recently, the importance of addressing quality of life (QOL) has been emphasized. Ideally, nurses should be able to follow up on patients' QOL, but it is difficult to check QOL at the same time as providing medical care within a set time frame. Therefore, there was a need for a system to provide quality of life care for home-care patients, separate from the medical activities of nurses and other medical professionals. To address this issue, various techniques have been proposed. For example, (See Patent Document 1) has been proposed and is a publicly known technique. More specifically, patient information on patients is classified into reference information and time-series information, and further, attributes of a user who registered the patient information are associated with each piece of patient information and stored. The patient information and attributes of a target patient are acquired, and the patient information of the target patient is divided into areas for reference information and time-series information for each attribute and displayed within one screen of a display unit. However, there is no mention of obtaining information regarding QOL in home medical care, and the problem remains unresolved. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Patent Publication No. 2017-228099 Summary of the Invention [Problem to be solved by the invention]

[0004] In view of the above problems, the present invention has an objective of providing a home health check system that can conduct tests and surveys regarding QOL for patients at home, separate from medical procedures performed by nurses, and that can share the results with nurses, etc. [Means for solving the problem]

[0005] In order to solve the above problems, the present invention provides a method in which, when a pharmacist replenishes medication for a patient at home, health-related data measured or confirmed about the patient is transmitted from a terminal to a database unit and stored, and the database unit notifies the relevant pharmacy, doctor, nurse, and care manager that data has been transmitted from the terminal, and the relevant pharmacy, doctor, nurse, and care manager can access the database unit, the health-related data includes measurement data using non-medical equipment, self-check data collecting the patient's condition on a daily basis, health-related checklists, and inquiries from the patient, and the non-medical equipment is equipment brought into the patient's home by the pharmacist.

[0006] In addition, the health-related data of the present invention includes either or both of patient image data photographed of a patient and life space image data photographed of the patient's living space, and the patient image data includes at least photographs of the patient's complaints about symptoms, the patient's gait, tremors, and facial expressions, and the life space image data includes at least photographs of the condition of the room, the management of medication, and the installation and usage of heating and cooling equipment, and the patient image data and life space image data are taken as still image data or video data.

[0007] Furthermore, the non-medical device of the present invention employs means including at least one of a body composition analyzer, a bone health measuring device, and an oral function measuring device.

[0008] Furthermore, the self-check data of the present invention includes at least one of the patient's daily bowel movement status, sleep status, and oral frailty check, and the data in a record sheet in which the patient or their family member has written down the patient's daily bowel movement status, sleep status, and oral frailty check is input by the pharmacist into a terminal during the patient's visit.

[0009] Furthermore, the checklist of the present invention employs means including a frailty check, a swallowing check, and a medication status check.

[0010] Furthermore, the terminal of the present invention may be a tablet or a smartphone.

[0011] Furthermore, the present invention employs a means in which, if the difference between the data value stored in the database unit and the past data value is equal to or greater than a specified value, the database unit issues a warning to the pharmacist and notifies the relevant pharmacy, doctor, nurse, and care manager of the contents of the prescription suggested by the pharmacist in response to the notification.

[0012] Furthermore, when the database unit of the present invention detects changes in the health-related data for multiple patients by season, region, age, gender, level of care required, or a combination thereof, it employs means for notifying the relevant pharmacy, doctor, nurse, and care manager of the trend of such changes.

[0013] Furthermore, in the present invention, when the difference between the value of the data stored in the database unit and the value of the past data is equal to or greater than a specified value, the database unit employs a means for notifying a warning or advice to a close relative who has been registered in advance.

[0014] Furthermore, in the present invention, if the difference between the value of the data stored in the database unit and the value of the past data is equal to or greater than a specified value, the database unit notifies the patient or family member to guide them to video content. Effect of the Invention

[0015] According to the home health check system of the present invention, tests and surveys regarding QOL can be conducted on home-based patients in addition to medical procedures performed by nurses, and the results can be shared with nurses, etc., thereby improving the satisfaction of home-based patients. [Brief description of the drawings]

[0016] [Figure 1] 1 is a system diagram showing an embodiment of a home health check system according to the present invention. [Diagram 2] FIG. 2 is an explanatory diagram showing collection of measurement data by a mobile terminal in the home health check system according to the present invention. [Diagram 3] FIG. 2 is an explanatory diagram showing a patient basic information table in the home health check system according to the present invention. [Figure 4] FIG. 2 is an explanatory diagram showing a patient diagnostic information table in the home health check system according to the present invention. [Diagram 5] FIG. 4 is an explanatory diagram showing a screen of a mobile terminal in the home health check system according to the present invention. [Figure 6] FIG. 2 is a sequence diagram showing a process from data analysis to response in the home health check system according to the present invention. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0017] The greatest feature of the home health check system of the present invention is that it can obtain information related to improving QOL and provide and share it with nurses, etc., separately from medical procedures performed by nurses, etc. Hereinafter, an embodiment of a home health check system according to the present invention will be described with reference to the drawings. The home health check system described below is not limited to the examples described below, but can be modified as appropriate within the scope of the technical idea of ​​the present invention, i.e., within the scope of shapes, dimensions, structures, etc. that can achieve the same functional effects.

[0018] The present invention will be described with reference to FIGS. FIG. 1 is a system diagram showing an embodiment of a home health check system according to the present invention. FIG. 2 is an explanatory diagram showing collection of measurement data by a mobile terminal in the home health check system according to the present invention. FIG. 3 is an explanatory diagram showing a patient basic information table in the home health check system according to the present invention. FIG. 4 is an explanatory diagram showing a patient diagnostic information table in the home health check system according to the present invention. FIG. 5 is an explanatory diagram showing the screens of a mobile terminal in the home health check system according to the present invention, where (a) is a normal display screen and (b) is a screen displaying detailed information. FIG. 6 is a sequence diagram showing the process from data analysis to response in the home health check system according to the present invention.

[0019] The home health check system 1 is a system that performs tests and surveys on QOL in addition to medical procedures by nurses, etc., and shares the results with nurses, etc. In terms of QOL, it is important that each patient lives life in their own way. Possible physical factors that affect QOL include decreased activity, body pain, and decreased physical function. To investigate these, it is important to take measurements using a body composition scale, bone health measuring device, tongue pressure measuring device, and oral function measuring device, take pictures of the patient, take pictures of the patient's living space, and understand the bowel movements and sleep patterns that are part of the patient's daily life. It is also important to complete checklists related to QOL and to check whether the patient himself is satisfied. In addition to QOL, oral function measuring devices can detect a decrease in saliva secretion. From the decrease in saliva secretion, it is possible to estimate and prevent the progression of periodontal disease caused by an increase in the concentration of sugar in saliva, the adhesion of plaque, and the accelerated proliferation of bacteria. It is also possible to estimate the possibility of diabetes from the decrease in saliva secretion.

[0020] In this embodiment, the workers who carry out the QOL examinations and surveys are pharmacists. Pharmacists visit patients at home regularly, about two to four times a month, to distribute and replenish medications, making this an ideal place to regularly check and investigate any changes in QOL. Also, while only medical professionals such as nurses can use medical devices, non-medical pharmacists can use them for items related to QOL such as body fat percentage and bone health. Some oral function measuring devices can be used by non-medical pharmacists. Pulse oximeters that measure blood oxygen saturation and tongue pressure measuring devices that measure tongue pressure are medical devices, but they can be used by non-medical personnel as well. In addition, with the patient's consent, the pharmacist may photograph and record the patient and the patient's living space. Photographing includes both video and still photography. In addition, since pharmacists visit patients' homes to distribute and replenish medications, they often visit by car, which makes it easy and appropriate for them to bring with them equipment such as body mass index meters, bone health monitors, pulse oximeters, tongue pressure measuring devices, and oral function measuring devices. In this way, pharmacists are ideally placed to provide care related to QOL, and the results can be shared with doctors, nurses, care managers, etc. via a database, making this a system that can improve total patient satisfaction. The home health check system 1 includes a database unit 10 and a mobile terminal 30. The acquired data includes data from measuring devices 40 including non-medical devices, data extracted from a self-check sheet 50, data extracted from a check sheet 60, and data obtained from consultation information 70.

[0021] The database unit 10 is a part that stores and manages data acquired when a pharmacist makes a home visit. The database unit 10 is roughly composed of a storage unit 11 and a control unit 12 . The storage unit 11 is a section that mainly stores a patient basic information table 20 and a patient diagnosis information table 21. The patient basic information table 20 is a compilation of basic information about each patient at home and information about doctors, nurses, etc. involved in home care. Unless there is a change, the information is stored as is. The patient diagnostic information table 21 is a compilation of data acquired when a pharmacist visits a patient at home. The data is sequentially accumulated as it is received. The control unit 12 is a part that manages, analyzes, and inputs and outputs information. Data is mainly transmitted from the mobile terminal 30 to the database unit 10 via the Internet N. The control unit 12 receives data from the mobile terminal 30. If the data is measurement data of a patient, the control unit 12 instructs the storage unit 11 to store the data in the patient diagnosis information table 21 of the corresponding patient. The system also compares the obtained data with data from past patients. If the difference between the data and the past patients is greater than a specified value, the system notifies the pharmacist accordingly. Other notices will be provided as necessary.

[0022] The mobile terminal 30 collects data on patients at home and is managed by a pharmacist. The mobile terminal 30 may be a tablet or a smartphone. The mobile terminal 30 is connected to the database unit 10 via the Internet N, and transmits data of patients at home to the database unit 10 and receives past data from the database unit 10. The data acquired by the mobile terminal 30 includes measurement data from a measuring device 40, data compiled from self-check sheets 50 recorded by patients and their families every day, data from various check sheets 60, and consultation information 70 obtained by speaking to the patient or receiving consultations from the patient. The mobile terminal 30 is equipped with a camera, for example, and can easily digitize the sheets that the patient fills out each day by taking pictures of them. In addition, each data and basic information of the patient can be displayed on the display screen 31 of the mobile terminal 30.

[0023] The data acquired by the mobile terminal 30 will be described with reference to FIG. The measuring device 40 is brought by a pharmacist and delivered to the patient's home. Pharmacists often use cars to carry large amounts of medicines for distribution and refilling. Therefore, it is easy to carry the measuring device 40. In addition, the portable device is related to QOL and is composed of devices that can be used by non-medical personnel, so no medical problems will occur.

[0024] The measuring instruments 40 include a body mass meter 41, a bone health measuring device 42, a pulse oximeter 43, a tongue pressure measuring device 44, an oral function measuring device 45, an image taking device 46, and the like. The Body Composition Scale 41 can measure weight, body fat percentage, visceral fat level, BMI, skeletal muscle percentage, basal metabolism, etc. Since a decline in athletic ability is a major factor in QOL, regular and continuous measurement with the Body Composition Scale 41 is important. The bone health measuring device 42 is a device for simply measuring bone density. As a medical device, a bone density measuring device is installed in a medical institution, and therefore it is not possible to carry out measurements frequently. However, since bone density is an important factor in old age, it is preferable to measure it periodically. By using the bone health measuring device 42, which is a non-medical device, the condition of bones can be regularly checked at home. Although the pulse oximeter 43 is a medical device, it can be used by non-medical personnel as well. Measurement results from the pulse oximeter 43 may change depending on age, so regular and continuous measurement can be used to estimate physical disorders, etc. The tongue pressure measuring device 44 is a medical device, but can be used by non-medical personnel as well. It is a device that measures the tongue motor function as maximum tongue pressure. When eating, the tongue has the function of receiving food in the mouth so that it does not go down the throat while chewing, and of sending it to the back of the throat. Tongue strength (tongue pressure) is required for such functions. Strengthening the tongue can help prevent choking and aspiration pneumonia. Therefore, measuring tongue pressure is important. Tongue pressure measurements can be used as a screening index for oral function tests related to eating, swallowing, and articulation functions. Some of the oral function measuring devices45 can be used even by non-medical personnel. They are devices that measure the degree of decline in oral function as a numerical value. There are also non-medical devices that can be used. Decline in oral function is strongly related to oral frailty. Oral frailty is a general term that encompasses a range of declines in oral function, such as slight choking, spilling food, and difficulty speaking, as well as declines in eating function and even declines in physical and mental functions, and is an important element of frailty. Oral function measurements include mucosal moisture, saliva volume, maximum bite force, and oral diadochokinesis (the number of times each syllable is pronounced, / pa, / ta, and / ka). The image capture device 46 is for capturing images of the patient and the patient's living space, and generates video data or still image data. When a pharmacist visits the patient's home, the pharmacist captures images of the patient and the patient's living space with the patient's consent. By sharing image data of the patient's condition and living space with doctors, nurses, care managers, etc., the information can be used to formulate care plans. More useful patient image data can be obtained by taking videos of the patient's main complaint, as well as videos of the patient's gait (how they walk), tremors (hand tremors), and facial expressions (depression, dementia). For example, if a patient has a headache, they can be asked to indicate the area of ​​pain, and the level of pain (throbbing, pounding, etc.) can be confirmed through images. Similarly, if a patient has stomach pain, they can be asked to indicate which part of their stomach hurts, and their condition can be confirmed through images. Also, by taking pictures of the patient's complaints about their symptoms, not just their main complaint, it can be used as a reference for a comprehensive assessment. Living space image data regarding the patient's living space can be made more useful by taking video or still images that show the degree of clutter in the room, the state of medication management, and the installation and usage of heating and cooling equipment. For example, by checking the state of clutter around a patient's bed using images, it can be used as a reference for whether dementia is suspected. Also, since a messy room can lead to patients forgetting to take their prescribed medication, images can be used to adjust the warnings and advice given to patients. In addition, by understanding the condition of the room through images, the risk of falls can be shared with the medical team.In addition, by checking the presence or absence of air conditioners and their usage status through images, the risk of heat stroke can be shared with doctors and other medical teams. The image capture device 46 may be a general camera that can be used by a pharmacist to capture still and video images. The image data may be either video data or still image data. Video data allows the movement of a patient to be grasped, and still image data allows the generation of images with a higher resolution than videos. When explaining a condition, a still image may be more effective at conveying the situation succinctly. In this way, by appropriately combining moving image data and still image data, effective data can be obtained.

[0025] The self-check sheet 50 includes a bowel movement status recording sheet 51 and a sleep status recording sheet 52. There is also an oral frailty checklist for checking for deterioration of the oral cavity. The defecation status recording sheet 51 is a sheet on which the patient or a family member writes down the number of defecations each day, the hardness of the stool, and the like. The pharmacist inputs the data from the completed sheet into the mobile terminal 30. This can be done manually, or by taking a picture with a camera and automatically acquiring the data through image recognition. This data is stored in the database unit 10 as daily data and can be used to improve QOL, and can also be used to help with treatment by sharing it with doctors, nurses, etc. The sleep status recording sheet 52 is a record of daily sleep status. It is a sheet on which the patient or a family member writes down wake-up time, bedtime, etc. Sleep status is an important factor in QOL. As with the bowel movement status recording sheet 51, sharing it with a doctor, nurse, etc. can also be useful in treatment. The Oral Frailty Checklist is used to check the state of oral health daily or periodically. The patient or a family member fills out a number of questions about the oral cavity. Questions include whether or not you choke while eating, whether you are concerned about dry mouth, etc. Oral decay is an important factor in quality of life. Sharing this information with doctors, nurses, etc. can also be useful in treatment.

[0026] Check Sheet 60 is for checking the status of elements related to QOL. The checklist includes a frailty check, a swallowing check, and a medication status check. The Frailty Checklist 61 is a checklist for checking the tendency towards dementia, which is closely related to QOL. By checking it regularly, patients themselves can recognize the tendency. The checklist consists of several items and is evaluated based on a total score. Input into the mobile terminal 30 may involve capturing the entire sheet, or just the total score. The swallowing check sheet 62 is a sheet for checking the ability to swallow. Since food is an important factor in terms of QOL, it is important to regularly and continuously check whether swallowing is smooth or not. The taste check sheet 63 is a sheet for checking the presence or absence of taste, etc. Since food is an important element in terms of QOL, it is important to regularly and continuously check whether taste is normal. Additionally, the Oral Frailty Checklist, which measures the degree of oral frailty, can also be included as a checklist.

[0027] The consultation information 70 is a verbal exchange between the pharmacist and the patient. In order to improve the QOL, it is important to accurately understand what the patient needs. In that sense, it is necessary to verbally communicate with the patient and summarize the contents of the communication. The patient's thoughts are extracted by providing the calling information 71. The calling information 71 serves as an introduction to receive the consultation information 72, which can then be used to expand the information. Although some aspects of consultation information 70 are difficult to digitize, it is an essential part of improving QOL. When a nurse speaks to a patient, the patient will likely view it as a medical procedure and will likely not talk about anything unrelated to treatment. A pharmacist can casually discuss a variety of topics and get a sense of the patient's perspective. Furthermore, by using the prompting information 71 effectively, questions that would normally be hesitated to ask can be obtained, which can serve as a guide for understanding the state of the patient's QOL.

[0028] This information is input to the mobile terminal 30, and is sent in bulk to the database unit 10 where it is stored. Therefore, since information related to the patient's QOL is continuously stored in the database unit 10, it becomes possible to check changes over a long period of time.

[0029] The basic flow of this system will be explained using Figure 1. When a pharmacist visits a patient at home to replenish the patient's medication, the pharmacist measures or checks the patient's health-related data using a measuring device 40 or the like. The data is once input into a mobile terminal 30, and is then transmitted from the mobile terminal 30 to a database unit 10 via the Internet N and stored in a memory unit 11. When the database unit 10 receives the data from the mobile terminal 30, it notifies the relevant pharmacy, doctor 40, nurse 40, and care manager 40 by email or the like that the data has been sent from the mobile terminal 30. The relevant pharmacies, doctors 40, nurses 40, and care managers 40 can access the database unit 10. For health-related data, they can refer to a patient diagnosis information table 21 including measurement data from the measuring devices 40, self-check data that collects the daily condition of the patient, a health-related checklist, and consultation details from the patient. The measuring device 40 also includes non-medical devices that are brought into the patient's home by the pharmacist. In addition, non-medical devices include at least body composition analyzers and bone health measuring devices.

[0030] The contents of the patient basic information table 20 and the patient diagnostic information table 21 stored in the database unit 10 will be described with reference to FIGS. 3 shows an example of data in the patient basic information table 20. The patient basic information table 20 compiles basic information about patients. It is possible to ascertain the condition of a patient, medical personnel, etc. from the address and name, etc. The IDNo is a unique number for each patient. This is general personal information such as the patient's name, gender, age, address, phone number, and email address. Family composition is information about family members involved at home, such as their names, relationships, and email addresses. The email address is where emails are sent if the patient is unable to receive them themselves. Close relatives are relatives who do not live with the patient but should be contacted in important situations. Contact is generally done by email. The purpose of the medical condition is to understand past and present illnesses. Anything related to QOL, such as injuries, should also be included. Enter the name, telephone number, email address, etc. of the responsible pharmacist, doctor, nurse, or care manager. The email address is used as the destination for notifications from the database unit 10. The contents will be amended as and when necessary.

[0031] FIG. 4 is an example of data in the patient diagnostic information table 21. The patient diagnostic information table 21 is a cumulative summary of the patient's diagnostic results. No. is simply a sequential number. The measurement date and time is basically the date and time of a home visit. The body composition amount is, for example, the body fat percentage. The increase or decrease in weight and body fat percentage is related to QOL. Bone health is measured using equipment that measures bone health. Although there are devices that can measure bone density, they are large and installed in hospitals, and cannot be measured easily. Bone health is a simple test that uses ultrasound to examine the condition of the bones. There are five stages, from A to E, which serve as a guide to the condition of bones. In terms of quality of life, bone condition is important as it affects all human movements. Blood oxygen saturation is also important from a medical perspective. As people age, their blood oxygen saturation can decrease, so it is important to keep track of the level. The tongue pressure value, like swallowing ability, is closely related to eating and is therefore important in terms of QOL. The unit used is kPa. In addition, oral function measurements, which quantify the deterioration of the oral cavity, are important as one element of frailty. The table shows the values ​​of oral diadochokinesis. The bowel movement status is indicated by a scale of 1 to 7. Although only one item is shown in the table, upper and lower limits may also be included. Sleep status indicates the quality of sleep, and is determined by factors such as the duration of sleep and the comfort of waking up. Frailty checks are determined by how many items correspond to frailty. The number tends to increase with age. There are 15 check items, and if you have four or more items, you are likely to be frail. The image data includes patient image data, which is image data of the patient himself / herself, and life space image data, which is image data of the patient's life space. Image data can be used to help estimate the condition of the patient and their living space. The patient image data includes gait data, tremor data, facial expression data, and data related to the patient's main complaint. The life space image data includes data on the state of the room, data on the state of medicine, and data on the installation and usage of heating and cooling equipment. Image data is managed by file number. * indicates that it is a still image. The patient image data will be described in detail later. The patient is asked to walk and their movements are recorded as gait data. By checking the video of the patient's gait, a doctor can estimate the degree of movement disorder and the progress of rehabilitation. Video data of the tremor is captured and saved as tremor data. For example, the patient is asked to extend his / her arm in front of him / her and the tremor is checked. By having a doctor check the video of the tremor, it is possible to check whether the patient has an idiopathic disease such as Parkinson's disease, a cerebrovascular disorder such as cerebral infarction, or a drug-induced or hereditary disease. The patient's face is photographed and facial expression data is collected. Doctors can then check the video of the patient's facial expression or changes in facial expression to determine whether the patient has dementia or not. We record videos of patients talking about their complaints and use them as data related to their complaints. By having patients show us what their complaints are, we can confirm their condition through images. Details of the life space image data will be described later. The degree of mess in the room is photographed and used as data on the state of the room. Doctors can then check the images to see if the patient has dementia or other conditions. The system takes pictures of the medication management status and stores them as data on the medication status. By checking the medication management status through images, it becomes possible to identify the possibility of a patient forgetting to take their medication, and the person in charge can provide appropriate advice. The placement and usage status of heating and cooling equipment will be photographed and used as data related to the equipment. By checking the images to see whether air conditioners are installed and in use, the risk of heat stroke can be shared with doctors and other medical teams. This data is shared with doctors, nurses, etc., and, for example, by having the doctor write comments on the images, information about the patient's condition can be shared with all involved parties.

[0032] The mobile device screen will be explained with reference to Figure 5. Figure 5 is an example of a smartphone screen. If you are using a tablet, you may want to change the layout and display content. 5(a) is a screen displaying information on a specific patient in the home health check system 1. Basic information 32 is displayed at the top. Name, ID number, sex, age, level of daily living activities, level of cognitive function, and certification information are displayed. A radar chart 33 is displayed in the middle section. By displaying in this format, it is possible to intuitively grasp which items are poor. In this example, body composition, oxygen saturation, muscle mass, and bone health are displayed. The center part has the lowest value, and the outer ring has the highest value. In this example, it is clear that bone health is low and that action should be taken. At the bottom, there are provided a button for displaying information extracted from the self-check sheet and a button for displaying observation information including information obtained from the consultation request information 70.

[0033] Figure 5(b) shows the details of body composition displayed on the screen of Figure 5(a). You can see the change in body composition value over time. For example, if you want to view the details of your body composition, tap the word "body composition" on the radar chart 33. This will display the details of your body composition, as shown in Figure 5(b). The graph shows your body composition values ​​on a weekly basis. Also, a report on changes in the values ​​is displayed below the graph. In this way, each piece of information can be confirmed on the display screen 31, so that a pharmacist who visits a patient at home can easily understand the patient's QOL.

[0034] An example of how to respond when there is a change in the measured value will be described with reference to FIG. A pharmacist visits a patient at home, performs various measurements, etc., inputs the data into the mobile terminal 30, and transmits it to the database unit 10 (S101). The data sent to the database unit 10 is stored in the storage unit 11 (S102). The control unit 12 compares the sent data with the past data stored in the storage unit 11. It determines whether the difference between the values ​​is equal to or greater than a specified value (S103). If the value is equal to or greater than the specified value, a warning to that effect is sent to the pharmacist's mobile terminal 30 (S104). On the display screen 31 of the mobile terminal 30, for example, a warning message such as that shown in detailed information 34 is displayed. The pharmacist creates a prescription proposal corresponding to the contents of the notification (S105). The prescription proposal contents are transmitted (S106) using the mobile terminal 30. The database unit 10 receives the proposal contents and notifies the pharmacy, doctor, nurse, care manager, etc. of the proposal contents (S107). In response, each person in charge considers how to respond (S108). In this way, this system not only obtains information related to QOL, but also shares the information obtained with medical professionals, thereby improving not only QOL but the quality of medical care as a whole.

[0035] A different approach can be taken by using a home health check system. For example, if a patient is receiving home medical care alone and there is a change in a quality of life value, the patient's next of kin can be notified. First, the names, relationships, email addresses, etc. of close relatives are added to the patient basic information table 20. The database unit 10 compares the data newly sent from the mobile terminal 30 with the patient diagnostic information table 21, and if there is an increase or decrease exceeding a prescribed value, the close relatives are notified of this fact. In this way, notifications can be sent to distant relatives to inform them of changes in the patient's condition.

[0036] For example, if a value related to QOL changes, information about video content that corresponds to that change can be sent to the patient or their family. The database unit 10 prepares in advance information about video content that patients should view in response to changes in each QOL element. The database unit 10 compares the data newly sent from the mobile terminal 30 with the patient diagnostic information table 21, and if there is an increase or decrease exceeding a prescribed value, it notifies the patient and his / her family by email of the contents of the elements that have changed beyond the prescribed limit and guidance on video contents to be viewed when responding to the change. By providing notifications in this way, patients and their families can recognize changes in factors related to QOL and can also check the video content to see what measures they need to take, thereby improving the quality of their QOL.

[0037] The patient diagnosis information table 21 of many patients is stored in the memory unit 11 of the database unit 10. Therefore, it is possible to grasp the tendency of change in the data related to QOL by season, region, age, sex, level of care required, or a combination thereof. When a change is detected, the trend of change can be notified to the relevant pharmacies, doctors, nurses, and care managers, thereby improving the quality of medical care overall. For example, if bone health changes with the seasons, it would be possible to formulate a prescription to improve bone health in response to the changes. Furthermore, if the tendency of body composition varies from region to region, it is possible to propose diet, exercise, etc. relating to body composition for each region.

[0038] In this way, according to the present invention, tests and surveys regarding QOL can be conducted on patients at home in addition to medical procedures performed by nurses, and the results can be shared with nurses, etc., thereby improving the satisfaction of patients at home.

[0039] In addition, since non-medical equipment can be used to measure QOL, people other than medical professionals can perform the measurements, and data can be obtained easily.

[0040] In addition, since the patient's self-check sheets can be compiled, the results of the self-check sheets can be shared with many related parties.

[0041] In addition, the measuring devices that can be used are portable body composition meters, bone health measuring devices, tongue pressure measuring devices, and oral function measuring devices, which are therefore mobile and can be brought into the homes of patients at home.

[0042] The checklist also includes a frailty check, making it possible to identify the early stages of dementia.

[0043] In addition, since it is possible to notify relevant parties according to the difference from past data, it is responsive, complete, and convenient.

[0044] In addition, by using trends analyzed from a large amount of data, it is possible to take early action on multiple patients. [Industrial Applicability]

[0045] It is understood that the home health check system according to the present invention has great industrial applicability as a health check system performed by pharmacists when distributing medicines. [Explanation of symbols]

[0046] 1. Home health check system 10 Database Section 11 Storage section 12 Control section 20 Patient Basic Information Table 21 Patient Diagnosis Information Table 30 Mobile Devices 31 Display screen 32 Basic information 33 Radar Chart 34 More information 40 Measuring equipment 41 Body composition 42 Bone health measuring device 43 Pulse oximeter 44 Tongue pressure measuring device 45 Oral function measuring device 46 Image capture device 50 Self-check sheet 51 Defecation status record sheet 52 Sleep status record sheet 60 Check Sheet 61 Frailty Check Sheet 62 Swallowing Check Sheet 63 Taste Check Sheet 70 Call for Consultation Information 71 Call Information 72 Consultation Information 80 Related party terminals N Internet

Claims

1. A health check system for a home patient, comprising: A database unit consisting of a memory unit and a control unit, When a pharmacist refills a patient's medicine at home, health-related data measured or confirmed about the patient is transmitted from the terminal to a database unit and stored therein; The database unit notifies the relevant pharmacy, doctor, nurse, and care manager that the data has been transmitted from the terminal, The relevant pharmacies, doctors, nurses, and care managers can access the database unit, The health-related data includes measurement data from non-medical devices, self-check data that collects the patient's daily condition, a health-related checklist, and consultation details from the patient, A home health check system, wherein the non-medical equipment is equipment that the pharmacist has brought into the patient's home.

2. The health-related data includes either or both of patient image data obtained by photographing the patient and life space image data obtained by photographing the patient's life space, The patient image data includes at least one of the patient's complaints about symptoms, the patient's gait, tremor, and facial expression, The life space image data includes at least images of the state of the room, the state of medicine management, and the installation and use state of heating and cooling equipment, 2. The home health check system according to claim 1, wherein the patient image data and the life space image data are still image data or video data.

3. 2. The home health check system according to claim 1, wherein the non-medical device includes at least one of a body composition analyzer, a bone health measuring device, and an oral function measuring device.

4. The self-check data includes at least one of the patient's daily bowel movement status, sleep status, and oral frailty check, The home health check system according to claim 1, characterized in that the pharmacist inputs data from a record sheet in which the patient or his / her family member has recorded the patient's daily bowel movement status, sleep status, and oral frailty check into the terminal during the patient's visit.

5. 2. The home health check system according to claim 1, wherein the checklist includes a frailty check, a swallowing check, and a medication status check.

6. The home health check system according to claim 1 , wherein the terminal is a mobile terminal, such as a tablet or a smartphone.

7. The home health check system of claim 1, characterized in that if the difference between the data value stored in the database unit and the past data value is greater than or equal to a specified value, the database unit notifies the pharmacist of an alert and notifies the relevant pharmacy, doctor, nurse, and care manager of the prescription suggestions made by the pharmacist in response to the notification.

8. The home health check system of claim 1, characterized in that when the database unit detects a change in the health-related data for multiple patients by season, region, age, gender, level of care required, or a combination thereof, it notifies relevant pharmacies, doctors, nurses, and care managers of the trend of change.

9. The home health check system of claim 1, characterized in that if the difference between the data value stored in the database unit and the past data value is equal to or greater than a specified value, the database unit issues a warning or advice to pre-registered close relatives.

10. The home health check system of claim 1, characterized in that if the difference between the data value stored in the database unit and the past data value is greater than or equal to a specified value, the database unit notifies the patient or family member to guide them to video content.

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