Information processing device, information processing method, and information processing program
The information processing apparatus and method provide a comprehensive evaluation of caregiver contributions by quantifying achievements and adjusting for various factors, enhancing caregiver motivation and improving care recipient independence.
Patent Information
- Application Number
- JP2024001639
- Authority / Receiving Office
- JP · JP
- Patent Type
- Applications
- Current Assignee / Owner
- Filing Date
- 2024-01-10
- Publication Date
- 2025-07-23
AI Technical Summary
Existing systems struggle to accurately evaluate the contribution of individual caregivers in a team setting to the self-support assistance of care recipients in care facilities, making it difficult to assess their effectiveness in promoting independence.
An information processing apparatus and method that includes a care achievement acquisition unit, contribution rate acquisition unit, and contribution degree analysis unit to quantify and analyze the contribution of each caregiver based on care achievements and improvement indicators like the LIFE index, adjusting for factors such as work shifts and caregiver skills.
Enables fair and accurate evaluation of caregiver contributions, motivating staff to enhance care recipient independence and improving the overall condition of care recipients.
Smart Images

Figure 2025108037000001_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to an information processing apparatus, an information processing method, and an information processing program.
Background Art
[0002] In Japan, due to the improvement of living standards, the improvement of sanitary environment, and the improvement of medical standards accompanying the high economic growth after the war, the trend of increasing life expectancy has become remarkable. Therefore, combined with the decline in the birth rate, it has become an aging society with a high aging rate. In such an aging society, an increase in the number of care recipients who require care, such as due to illness, injury, and aging, is assumed.
[0003] Providing high-quality and efficient care to users (care recipients) living in care facilities leads to the independence of the care recipients. By promoting the independence of the care recipients, not only does the QOL (Quality of Life) of the care recipients themselves improve, but it also leads to a reduction in the burden of caregiving work for caregivers. On the other hand, in order to provide high-quality and efficient care to care recipients, it is required to stably provide care to care recipients in care facilities. For this purpose, in order to maintain the motivation of caregivers for their work, the fairness and appropriateness of the evaluation of caregiving work are essential. It is also necessary to verify whether the care interventions (services) provided to care recipients by caregivers are being effectively carried out.
[0004] In relation to this, Patent Document 1 below discloses a care intervention effect verification device that evaluates each of a group that performs care interventions and a group that does not perform care interventions based on past data related to the care of a plurality of care recipients using a predetermined evaluation index, and determines the effect of care interventions.
Prior Art Documents
Patent Documents
[0005]
Patent Document 1
Summary of the Invention
Problems to be Solved by the Invention
[0006] However, in care at general care facilities, care is often provided to care recipients by a team composed of multiple care staff rather than just one person. Therefore, even if the effect of care intervention has been confirmed, it is difficult to evaluate how much each caregiver contributes to the self-support assistance of the care recipient.
[0007] The present invention has been made in view of the above circumstances, and an object thereof is to provide an information processing apparatus, an information processing method, and an information processing program capable of evaluating how much each caregiver contributes to the self-support assistance of the care recipient.
Means for Solving the Problems
[0008] The above problems of the present invention are solved by the following means.
[0009] (1) An information processing apparatus having a care achievement acquisition unit that acquires care achievements corresponding to care provided to a care recipient by care staff during a predetermined period, a contribution rate acquisition unit that acquires a contribution rate representing the degree of contribution to the self-support of the care recipient for the care during the predetermined period, and a contribution degree analysis unit that analyzes the contribution degree of the care staff to the self-support assistance of the care recipient based on the care achievements and the contribution rate.
[0010] (2) The care achievements are achievements related to the physical functions of the care recipient corresponding to the care, the contribution rate is an index representing the improvement of the state of the care recipient, the care achievement acquisition unit scores the care achievements of each day for each care staff, and the contribution degree analysis unit calculates the contribution degree by adding up the products of the scored care achievements of each month and the contribution rate over the predetermined period. The information processing apparatus according to (1) above.
[0011] (3) The care performance acquisition unit evaluates the contribution of the care staff to the care performance of each month based on the difference between the care performance of each month and the care performance of the predetermined period, for the information processing apparatus according to (2) above.
[0012] (4) The care performance acquisition unit calculates the care performance of each month by dividing the total amount of care provided to the care recipient each month by the product of the number of days in each month and the number of care recipients, and calculates the care performance of the predetermined period by dividing the total amount of care provided to the care recipient during the predetermined period by the product of the number of days in the predetermined period and the number of care recipients, for the information processing apparatus according to (3) above.
[0013] (5) The care performance acquisition unit calculates the difference between the care performance of each day of each month and the care performance of each month, distributes the difference among the care staff involved in the care performance, and evaluates the contribution to the care performance of each month by adding up the distributed care performance over each month, for the information processing apparatus according to (1) or (2) above.
[0014] (6) The contribution rate acquisition unit calculates the contribution rate based on at least any one of the LIFE indicators consisting of the group of BI (Barthel Index), DBD13, and Vitality Index, for the information processing apparatus according to (1) or (2) above.
[0015] (7) The contribution rate acquisition unit calculates the contribution rate based on the difference between the average value of the LIFE indicator for the entire unit including a plurality of care recipients at the current time and the average value of the LIFE indicator for the entire unit at a time before the predetermined period from the current time, for the information processing apparatus according to (6) above.
[0016] (8) The contribution rate acquisition unit calculates the average value of the LIFE indicator for the entire unit by dividing the sum of the LIFE indicators of all care recipients belonging to the unit by the number of all care recipients, for the information processing apparatus according to (7) above.
[0017] (9) The amount of care provided to the care recipient by the care staff is determined based on the work shifts of the care staff each month, the information processing apparatus according to (1) or (2) above.
[0018] (10) A step (a) of obtaining care results corresponding to the care provided to the care recipient by the care staff during a predetermined period, a step (b) of obtaining a contribution rate representing the degree of contribution to the independence of the care recipient for the care during the predetermined period, and a step (c) of analyzing the contribution degree of the care staff to the independence support of the care recipient based on the care results and the contribution rate, an information processing method.
[0019] (11) A procedure (a) of obtaining care results corresponding to the care provided to the care recipient by the care staff during a predetermined period, a procedure (b) of obtaining a contribution rate representing the degree of contribution to the independence of the care recipient for the care during the predetermined period, and a procedure (c) of analyzing the contribution degree of the care staff to the independence support of the care recipient based on the care results and the contribution rate, an information processing program for causing a computer to execute a process including the above.
Effect of the Invention
[0020] According to the present invention, it is possible to appropriately evaluate the contribution of the caregiver to the independence support of the care recipient regarding the care provided by the caregiver. As a result, the caregiver will be more proactive in the independence support of the care recipient, and it is expected that the condition of the care recipient will be further improved.
Brief Description of the Drawings
[0021]
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Modes for Carrying Out the Invention
[0022] Hereinafter, with reference to the drawings, an information processing apparatus, an information processing method, and an information processing program according to an embodiment of the present invention will be described. In the drawings, the same elements are denoted by the same reference numerals, and redundant descriptions are omitted. Also, the dimensional ratios in the drawings are exaggerated for convenience of explanation and may be different from the actual ratios.
[0023] <First Embodiment> (Monitoring System 1) FIG. 1 is a diagram showing the overall configuration of a monitoring system 1 according to the first embodiment. The monitoring system 1 includes a plurality of detection units 10, a server 20, a fixed terminal 30, and one or more mobile terminals 40. These are communicably connected to each other via a network 50 such as a LAN (Local Area Network), a telephone network, or a data communication network by wire or wirelessly. The network 50 may include a relay device that relays communication signals. In the example shown in FIG. 1, the detection units 10, the server 20, the fixed terminal 30, and the mobile terminals 40 are communicably connected to each other by a network 50 such as a wireless LAN (e.g., a LAN according to the IEEE802.11 standard) including an access point 51.
[0024] The monitoring system 1 is preferably installed, for example, in a building such as a hospital or a nursing home. In the example shown in FIG. 1, the monitoring system 1 is arranged inside a building of a facility including a plurality of rooms including a plurality of rooms in which a plurality of care recipients 80 respectively reside and care stations. Hereinafter, the rooms in which the care recipients 80 respectively reside are also simply referred to as "rooms".
[0025] The detection unit 10 is respectively arranged in the living rooms on each floor (floors (1) to (3)), which are the observation areas of the care target person 80. In the example shown in FIG. 1, on floor (1), four detection units 10 are respectively arranged in the living rooms of persons A, B, C, and D, who are the care target person 80. Although not shown in the figure, on other floors as well, a plurality of detection units 10 are respectively arranged in the living rooms of the care target person 80. Each care staff 70 carries a mobile terminal 40. The server 20 may be an external server connected to the network 50. Also, the fixed terminal 30 may be omitted, and the server 20 or the mobile terminal 40 may have its function.
[0026] (Detection unit 10) FIG. 2 is a diagram showing the interior of the living room of the care target person 80 where the detection unit 10 shown in FIG. 1 is arranged. FIG. 3 is a block diagram illustrating the hardware configuration of the detection unit 10 shown in FIG. 1.
[0027] As shown in FIG. 2, the camera 14 and the body movement sensor 15 are arranged, for example, on the ceiling of the living room. The camera 14 and the body movement sensor 15 may be arranged on the upper part of the wall or attached to the bed 90. The care call unit 16 is arranged, for example, at an appropriate position on the wall.
[0028] As shown in FIG. 3, the detection unit 10 includes a control unit 11, a communication unit 12, a storage unit 13, a camera 14, a body movement sensor 15, and a care call unit 16, and these components are interconnected by a bus. Each component may be mounted in a single housing or in individual housings respectively.
[0029] The control unit 11 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), a ROM (Read Only Memory), etc. The control unit 11 performs control and arithmetic processing of each part of the detection unit 10 according to a program. Details of the functions of the control unit 11 will be described later.
[0030] The communication unit 12 is an interface circuit (such as a LAN card, a wireless communication circuit, etc.) for communicating with, for example, a server 20 via a LAN.
[0031] The storage unit 13 includes an HDD (Hard Disk Drive), an SSD (Solid State Drive), etc. The storage unit 13 stores various programs and various data.
[0032] The camera 14 can image a shooting area including, for example, the bed 90 and output a captured image (image data). The camera 14 can be configured to include an imaging optical system and a two-dimensional image sensor. The captured image includes still images and moving images. The camera 14 can be, for example, a visible light camera or a near-infrared camera. Hereinafter, the captured image captured by the camera 14 is also simply referred to as a "captured image".
[0033] The body movement sensor 15 transmits microwaves to a predetermined irradiation area and receives the reflected waves, thereby detecting the Doppler shift of the microwaves generated by the body movement (such as respiratory movement) of the care recipient 80 as the body movement. The predetermined irradiation area is an area where the care recipient 80 can be irradiated with microwaves, and can be, for example, an area including a part or all of the bed 90. The body movement sensor 15 detects the body movement of the chest (the up and down movement of the chest) accompanying the respiratory movement of the care recipient 80, and detects the abnormality of the minute body movement by detecting the disturbance of the cycle in the body movement of the chest or the amplitude in the body movement of the chest below a preset threshold value.
[0034] The care call unit 16 includes a push-button type switch and detects a care call when the switch is pushed by the care recipient 80. Instead of the push-button type switch, a care call may be detected based on the voice of the care recipient 80 by a voice microphone. Note that the care call unit 16 may include a microphone and a speaker for voice calls with the mobile terminal 40.
[0035] The control unit 11 recognizes the actions of the care recipient 80 from the captured images. The actions to be recognized include, for example, getting up, getting out of bed, getting out of a seat, falling, tumbling, walking, and going out.
[0036] The control unit 11 detects the silhouette of an image (hereinafter referred to as the "human silhouette") from a plurality of captured images (for example, moving images). The human silhouette can be detected, for example, by extracting a range of pixels with relatively large differences by time difference obtained by differentiating images with time before and after the shooting time. The human silhouette may be detected by a background difference method that differentiates the background image from the captured image. The human silhouette may be replaced by the joint points detected from the captured image using a learned neural network model. The actions of the care recipient 80 can be detected from the temporal changes in the posture (for example, standing position, sitting position, and lying position) of the care recipient 80 recognized based on the human silhouette. The actions of the care recipient 80 may be detected from the relative positional relationship between the human silhouette and the indoor fixtures such as the bed 90. For example, "getting up" may be detected as an action (state) in which the human silhouette crosses the area of the bed 90 preset as a coordinate area in the captured image.
[0037] When a minute body movement abnormality is detected by the body movement sensor 15, the control unit 11 transmits an event notification including the detected minute body movement abnormality, the name of the care recipient 80, and the detection time to the server 20 via the communication unit 12.
[0038] When a care call is detected by the care call unit 16, the control unit 11 transmits an event notification including the occurrence of the care call, the name of the care recipient 80, and the detection time to the server 20 via the communication unit 12.
[0039] (Server 20) FIG. 4 is a block diagram illustrating the hardware configuration of the server 20. The server 20 includes a control unit 21, a communication unit 22, and a storage unit 23, which are interconnected by a bus. The server 20 functions as an information processing device.
[0040] The control unit 21 includes a CPU, a RAM, a ROM, and the like. The control unit 21 controls each part of the server 20 and performs arithmetic processing according to a program. Details of the functions of the control unit 21 will be described later.
[0041] The communication unit 22 is constituted by an interface circuit for communicating with, for example, the detection unit 10, the fixed terminal 30, and the mobile terminal 40 via a LAN.
[0042] The storage unit 23 is constituted by an HDD, an SSD, etc., and stores an OS (Operating System), various programs such as information processing programs, and various data. Also, in the present embodiment, the storage unit 23 stores care records, work schedules, and the like.
[0043] <Functions of the control unit 21> FIG. 5 is a conceptual diagram for explaining the basic concept (analysis model) of the information processing method in the present embodiment.
[0044] The control unit 21 realizes a function of analyzing the contribution degree of the care staff 70 to the self-support assistance of the care recipient 80 by executing an information processing program. In this specification, self-support assistance includes maintaining the state of the care recipient 80 towards self-support and improving the state of the care recipient 80. In this specification, the state of the care recipient 80 may include, for example, the health state, the state of motor function, the mental state, the activity state, etc. of the care recipient 80. In the analysis model shown in the figure, the case where three components of input, output, and outcome are included is exemplified.
[0045] The input is the care provided to the care recipient 80 by the care staff 70 according to a predetermined work schedule. The work schedule is, for example, a table in which the working days (including information such as the number of working days, working hours, and working time zones) of each care staff 70 are defined for each month. The work schedule is created by an administrator such as a care manager and stored in the storage unit 23 in advance.
[0046] The amount of care provided to the care recipient 80 generally increases as the number of working days D of the care staff 70 increases, but it is not necessarily proportional to the number of working days D. This is because, for example, even with the same number of working days D, the amount of care provided can vary depending on the care skills and experience of the care staff 70. Also, the quality of care provided to the care recipient 80 depends on the care skills and experience of the care staff 70. Furthermore, the amount and quality of care provided can also vary depending on the compatibility between the care recipient 80 and the care staff 70.
[0047] Also, much of the care considered to contribute to the self - support of the care recipient 80 is often carried out during the daytime. Therefore, generally, more care that contributes to the self - support of the care recipient 80 is provided during the daytime than during the nighttime. As a result, care staff 70 on daytime duty have more opportunities to carry out care that contributes to self - support than those on nighttime duty.
[0048] Thus, the amount of care provided that contributes to self - support depends on various factors. Summing up the various factors related to the contribution to the self - support of the care recipient 80 as the coefficient α, the amount of care provided to the care recipient 80 can be calculated based on the number of working days D×coefficient α. α is adjusted, for example, to be larger when the working time period is during the daytime than when it is during the nighttime, and to be larger as the skills of the care staff 70 are higher (the longer the experience) compared to when the skills are lower (the shorter the experience).
[0049] The output is the care achievement corresponding to the care provided to the care recipient 80 by the care staff 70. The care achievement can be, for example, the achievement regarding the physical function of the care recipient 80 corresponding to the care. The care achievement can be obtained, for example, from the care records of the care recipient 80. When focusing on the care records related to self - support, the care achievement includes, for example, the amount of moisture, the amount of food intake, the walking distance (exercise amount), etc.
[0050] The outcome represents the state of care recipient 80. The state of care recipient 80 can be evaluated using methods generally used in the care industry to assess the state of care recipients. As an index for evaluating the state of care recipient 80, for example, an index representing the state of care recipient 80 in LIFE (hereinafter referred to as the "LIFE index") can be used. LIFE (Long - term care Information system For Evidence) is a scientific care information system promoted by the Ministry of Health, Labour and Welfare. The LIFE index includes, for example, BI (Barthel Index), DBD13, and Vitality Index.
[0051] In the analysis model of this embodiment, based on the concept that an input (i.e., care) is input to output an output (i.e., care performance), and as a result of the output, the outcome (i.e., the state of care recipient 80) changes. Therefore, if an appropriate input (care) is input and an output corresponding to the input is output, it is expected that a good outcome (the state of care recipient 80) will be obtained. Conversely, when a good outcome is obtained, evaluate which output has influenced the good outcome and which input corresponds to the output of that output. Thereby, it is possible to evaluate which care staff 70 has contributed to the self - support of care recipient 80.
[0052] Thus, in this embodiment, the care performance corresponding to the care provided to care recipient 80 and the state of care recipient 80 are obtained, and the provided care is organized as input, the care performance as output, and the state of care recipient 80 as outcome. Thereby, it is possible to identify the care staff 70 involved in the care of care recipient 80 who has obtained a good outcome.
[0053] In addition, by setting the output target so as to achieve good outcomes and comparing the target output with the actual output, the care staff 70 can grasp the current situation of the output (deficiencies and areas for improvement). Furthermore, when the target is not achieved, the administrator can provide guidance and support to the responsible care staff 70. As a result, countermeasures can be taken at an early stage, and the achievement of good outcomes can be realized earlier.
[0054] FIG. 6 is a block diagram illustrating the functions of the control unit 21 shown in FIG. 4. The control unit 21 functions as a care performance acquisition unit 211, a contribution rate acquisition unit 212, a contribution degree analysis unit 213, and a contribution degree output unit 214. These functions are realized by the CPU executing an information processing program.
[0055] The care performance acquisition unit 211 acquires the care performance corresponding to the care provided to the care recipient 80 by the care staff 70. More specifically, the care performance acquisition unit 211 acquires the care performance corresponding to the care provided to the care recipient 80 by the care staff 70 over a predetermined period (e.g., six months). The care performance acquisition unit 211 can acquire the daily care performance from, for example, the care records of the care recipient 80. The amount of care provided to the care recipient 80 by the care staff 70 can be determined based on the work shifts (number of working days, working hours, etc.) of the care staff 70 each month.
[0056] The contribution rate acquisition unit 212 acquires the contribution rate representing the degree of contribution to the independence of the care recipient 80 for the care over a predetermined period in each unit. The contribution rate is, for example, an indicator representing the improvement of the state of the care recipient 80 and can be, for example, the LIFE indicator.
[0057] The contribution degree analysis unit 213 analyzes the contribution degree of the care staff 70 to the independent support of the care recipient 80 based on the care performance and the contribution rate. The specific analysis method will be described later.
[0058] The contribution output unit 214 displays the contribution of the care staff 70 to the independent support of the care recipient 80 on the display of the display unit 34 of the fixed terminal 30 or on the display of the input display unit 44 of the mobile terminal 40. The contribution can be displayed together with additional information such as, for example, the name or ID of the care staff 70, the period during which care was provided, the unit name in charge of the care staff 70, and the rank among all care staff 70. Also, the contribution can be displayed in various forms such as numerical values, tables, graphs, etc.
[0059] <fixed terminal 30> FIG. 7 is a block diagram illustrating the hardware configuration of the fixed terminal 30. The fixed terminal 30 is a PC (Personal Computer) and includes a control unit 31, a communication unit 32, a storage unit 33, a display unit 34, and an input unit 35. Since the basic configurations of the control unit 31, the communication unit 32, and the storage unit 33 are the same as those of the corresponding elements of the server 20, duplicate explanations are omitted.
[0060] The display unit 34 is constituted by, for example, a liquid crystal display and displays various information. The input unit 35 is constituted by a keyboard or a touch panel and receives operation inputs of various information by an administrator or the like.
[0061] The control unit 31 can receive, via the input unit 35, the input of a table in which the correspondence between the unique ID identifying the detection unit 10 and the care recipient 80 is registered, transmit it to the server 20, and store it in the storage unit 23.
[0062] Also, the control unit 31 can receive, via the input unit 35, a table in which the correspondence between the unique ID identifying the mobile terminal 40 and the care staff 70 is registered, transmit it to the server 20, and store it in the storage unit 23.
[0063] Also, the control unit 31 can receive, via the input unit 35, a table in which the correspondence between the care staff 70 and the care recipient 80 in charge of the care staff 70 is registered, transmit it to the server 20, and store it in the storage unit 23.
[0064] In addition, the control unit 31 can receive, via the input unit 35, the work schedule of the care staff 70 or the like, transmit it to the server 20, and store it in the storage unit 23.
[0065] In addition, when the care staff 70 or technical staff or the like installs the detection unit 10 in each room (living room) through the fixed terminal 30, they associate the room number with the detection unit 10. Further, the care staff 70 or technical staff or the like calibrates and designates the position information of the fixtures in the living room such as the bed 90, that is, the overhead view contour information by the ceiling camera 14. Furthermore, the care staff 70 or technical staff or the like also associates the personal ID (name, identification number, etc.) of the care recipient 80 living in the room with each room number. The fixed terminal 30 manages a list of care recipients including the personal ID of the care recipient 80, the room number, the name of the assigned care staff, the affiliated unit, etc. The unit is composed of, for example, a team consisting of at least one care recipient 80 and a plurality of care staff 70. The list of care recipients can be shared within the monitoring system 1.
[0066] <Mobile terminal 40> FIG. 8 is a block diagram illustrating the hardware configuration of the mobile terminal 40. The mobile terminal 40 includes a control unit 41, a wireless communication unit 42, a storage unit 43, an input display unit 44, an audio input / output unit 45, and a position detection unit 46, which are interconnected by a bus. The mobile terminal 40 can be composed of a portable communication terminal device such as a tablet computer, a smartphone, or a mobile phone. Since the basic configuration of the control unit 41 is the same as that of the control unit 21 of the server 20, duplicate descriptions are omitted.
[0067] The wireless communication unit 42 performs wireless communication with each device via the access point 51 or directly using standards such as Wi-Fi and Bluetooth (registered trademark).
[0068] The storage unit 43 is composed of an SSD or an SD card and stores a portable application corresponding to the monitoring system 1 (hereinafter referred to as the "monitoring app"), various programs, and various data.
[0069] The input display unit 44 is constituted by, for example, a touch panel in which a touch sensor is superimposed on a display surface such as a liquid crystal. The input display unit 44 displays various information and accepts various inputs.
[0070] The voice input / output unit 45 is, for example, a speaker and a microphone, and enables a voice call by the care staff 70 with another mobile terminal 40 by the wireless communication unit 42. The voice input / output unit 45 can enable a voice call between the care staff 70 and the care recipient 80 with the detection unit 10 via the server 20 by the wireless communication unit 42.
[0071] The position detection unit 46 is, for example, a GPS module or the like, and detects the position of the mobile terminal 40. Note that the position of the mobile terminal 40 may be detected by the control unit 41 using signals transmitted from each beacon installed at a predetermined installation position.
[0072] The control unit 41 realizes various functions by executing the monitoring application. For example, the control unit 41 functions as an input unit by executing the monitoring application and cooperating with the input display unit 44. When the care staff 70 provides care to the care recipient 80, information regarding the care of the care recipient 80 is input through the input unit. The input care-related information is transmitted to the server 20 by the wireless communication unit 42 and stored in the care record of the storage unit 23.
[0073] (Information processing method) Hereinafter, a method for analyzing the contribution degree of the care staff 70 to the self-support assistance of the care recipient 80 will be described with reference to FIGS. 9 to 15.
[0074] FIG. 9 is a flowchart exemplifying the processing procedure of the information processing method in the first embodiment. The processing of the flowchart in the figure is realized by the CPU of the control unit 21 executing an information processing program. FIG. 10 is a schematic diagram exemplifying the distribution of the scored output to the care staff 70. Further, FIG. 11 is a schematic diagram exemplifying the monthly total of the output scores. FIG. 12 is a diagram exemplifying the unit to which the care staff 70 belongs each month. FIG. 13 is a diagram conceptually explaining the conversion from the output score of each unit to the output coefficient. FIG. 14 is a diagram exemplifying the output scores of each unit from January to June, and FIG. 15 is a diagram specifically explaining the conversion from the output score of each unit to the output coefficient.
[0075] As shown in FIG. 9, first, the care result acquisition unit 211 acquires an output (step S101). The care result acquisition unit 211 acquires the daily output corresponding to the care provided to the care recipient 80 by the care staff 70 from the care record for a predetermined period.
[0076] Next, the care result acquisition unit 211 calculates the monthly total of the output scores (step S102). As shown in FIG. 10, the care result acquisition unit 211 scores the care results daily and distributes the scored care results to the care staff 70 in charge of the care of the care recipient 80 on the day when the care of the care recipient 80 is performed. In the figure, the case where the scored care results are distributed to the care staff a to e is exemplified. By scoring the care results, that is, the output, the care performed each day is quantified (indexed). Further, by distributing the scores to each care staff 70 in charge of the care, the score corresponding to the care performed by each care staff 70 each day (hereinafter referred to as "output score") is calculated.
[0077] Then, as shown in FIG. 11, the care performance acquisition unit 211 calculates the monthly total of the output scores for each of the care staff 70 of care staff a to e. In the example shown in the figure, for each month from April to September, the total of the output scores from the beginning to the end of the month is calculated. For example, the output scores (total) for April to September calculated for care staff a are op_a4 to op_a9, respectively. The care performance acquisition unit 211 outputs the calculated monthly total of the output scores to the contribution analysis unit 213.
[0078] Next, the contribution rate acquisition unit 212 acquires the contribution rate (step S103). Specifically, the contribution rate acquisition unit 212 acquires, for example, the LIFE index as an index for evaluating the outcome (the state of the care recipient 80), and converts the change amount of the LIFE index for each unit into a coefficient every predetermined period (for example, six months). In this specification, the result of converting the change amount of the index (hereinafter also referred to as the "outcome score") into a coefficient is also referred to as the "outcome coefficient". Usually, the outcome is often gradually reflected in the state of the care recipient 80 over time by the care implemented over a long period of about several weeks to several months. Therefore, it is considered that it is less likely to change immediately due to the care provided by the care staff 70 for one day or several days. Therefore, the contribution rate acquisition unit 212 may be configured to calculate the outcome coefficient of the care recipient 80 every predetermined period. By introducing the outcome coefficient, the output is linked to the change in the state of the care recipient 80.
[0079] In addition, the state of the care recipient 80 is diverse, and since the state of each care recipient 80 is different in each unit, there may be variations in the state of the care recipient 80 (that is, the value of the LIFE index) within the unit. For example, since the degree of the disease and the degree of motor function are different for each care recipient 80, variations may occur in the value of the LIFE index. For this reason, the average value of the LIFE index of all care recipients 80 belonging to the unit can be used for calculating the outcome coefficient.
[0080] On the other hand, the unit may be organized according to the condition of the care recipient 80. For example, the unit organization may be performed such that care recipients 80 with the same degree of disease or motor function are assigned to the same unit. In such a case, the condition of the care recipient 80 may differ for each unit. When there is little difference in the condition of the care recipient 80 within each unit, instead of using the average value of the LIFE indicators of all care recipients 80 for calculating the outcome coefficient, the LIFE indicator of a specific care recipient 80 may be used as a representative value for calculating the outcome coefficient.
[0081] As shown in FIG. 12, in the present embodiment, for the sake of explanation, a case where only two units A and B are organized will be exemplified. Care staff a to e belong to either of the two units A and B. For example, in April, care staff a to c belong to unit A, and care staff d and e belong to unit B. That is, in April, a team consisting of care staff a to c and a team consisting of care staff d and e are organized. Similarly, from May to September, care staff a to e belong to either of the two units A and B, and two teams are organized.
[0082] As shown in FIG. 13, for example, the contribution rate acquisition unit 212 sets the outcome scores for units A and B as oc_A and oc_B, respectively, and converts these oc_A and oc_B into outcome coefficients (oc_A' and oc_B'), respectively. The contribution rate acquisition unit 212 outputs the outcome coefficient as a contribution rate to the contribution degree analysis unit 213.
[0083] Hereinafter, the method for calculating the outcome coefficient will be described more specifically. The control unit 21 calculates, for example, the change amount of the BI value of the LIFE indicator using the following mathematical formula 1.
[0084] Change amount of the indicator (BI value) = Average value of the BI value of the unit at the current time - Average value of the BI value of the unit six months ago... (Mathematical formula 1) In the example shown in FIG. 14, the output scores (change amounts of BI values) of units A to D are -0.67, -0.88, +0.8, and +0.5. In this case, unit C is the unit with the highest output, and unit B is the unit with the lowest output. The reason for taking the difference between the average values of the BI values at the current time and six months ago is that it is considered that there are variations in the BI values of the 80 care recipients within the same unit. The control unit 21 calculates the average value of the BI values of the unit using, for example, the following mathematical formula 2.
[0085] Average value of the BI value of the unit = Sum of the BI values of all 80 care recipients belonging to the unit ÷ Number of all 80 care recipients belonging to the unit... (Mathematical formula 2) When both the output score and the output score are negative, multiplying them as they are will result in a positive value. In this case, although both the output score and the output score are low, the calculated contribution degree will be large, which causes inconvenience. Therefore, as shown in FIG. 15, the contribution rate acquisition unit 112 converts the output score to be all positive, for example, by adding +1 to the output scores of all units, and then converts it to the output score. As a result, when both the output score and the output score are low, the contribution degree will be low, so there is no inconvenience.
[0086] Next, the contribution degree analysis unit 213 analyzes the contribution degree of the 80 care recipients to the self-support support (step S104). The contribution degree analysis unit 213 analyzes the contribution degree of the 70 care staff to the self-support support of the 80 care recipients based on the care results and the contribution rate.
[0087] Specifically, the contribution degree analysis unit 213 multiplies the output score of each month by the output coefficient according to the unit to which the 70 care staff belongs, and calculates the sum of each month for a predetermined period. For example, the contribution degrees cont_a and cont_b by the care staff a and b are as shown in the following mathematical formulas 3 and 4 respectively. cont_a = op_a4 × oc_A’ + op_a5 × oc_A’ + op_a6 × oc_A’ + … + op_a9 × oc_A’ … (Mathematical formula 3) cont_b = op_b4 × oc_A’ + op_b5 × oc_A’ + op_b6 × oc_B’ + … + op_a9 × oc_B’ … (Equation 4) Here, op_a4 is the output score of caregiver a in April, and op_b4 is the output score of caregiver b in April (the same applies to op_a5, op_b5, etc.).
[0088] Thus, in this embodiment, the contribution analysis unit 213 multiplies the output score of each month by the outcome coefficient obtained by normalizing the change amount (outcome score) of the index for evaluating the outcome, and calculates the total for each month over a predetermined period (six months from April to September). Thereby, the contribution analysis unit 213 can evaluate the contribution of the caregiver 70 to the independent living support of the care recipient 80 in consideration of the outcome.
[0089] On the other hand, if the care provided by the caregiver 70 is evaluated only based on the output as in the prior art, there is a possibility that it cannot be correctly evaluated whether the care provided by the caregiver 70 has contributed to the independent living support of the care recipient 80.
[0090] Next, the contribution output unit 114 outputs the contribution (step S105). The contribution output unit 214 displays the contribution of the caregiver 70 to the independent living support of the care recipient 80 on the display of the display unit 34 of the fixed terminal 30 or on the display of the input display unit 44 of the mobile terminal 40.
[0091] Thus, in the process of the flowchart shown in FIG. 7, the control unit 21 acquires the care results corresponding to the care provided to the care recipient 80 by the caregiver 70 during a predetermined period, and acquires the contribution rate for the care during the predetermined period. Then, based on the care results and the contribution rate, the control unit 21 analyzes the contribution of the caregiver 70 to the independent living support of the care recipient 80 and displays the analysis result on the display.
[0092] According to the information processing apparatus, information processing method, and information processing program of the present embodiment described above, it is possible to appropriately evaluate the contribution of the care staff 70 to the self - support assistance of the care recipient 80 regarding the care provided by the care staff 70. As a result, since the care staff 70 will work more actively for the self - support assistance of the care recipient 80, it is expected that the state of the care recipient 80 will be further improved.
[0093] <Second Embodiment> In the second embodiment, for each unit, based on the output score of each month within a predetermined period, the relative height of the output score of each month and the contribution degree of the care staff 70 to the output are evaluated. In order to avoid duplication of explanation, the description of the same configuration as that of the first embodiment is omitted.
[0094] FIG. 16 is a diagram showing the relative height of the output score of each month of unit A and a specific example of team formation.
[0095] As a method for evaluating the relative height of the output score of each month within a predetermined period (for example, six months), for example, a method of evaluating using the difference between the output score of each month (average value for one month) and the output score of the predetermined period (average value of the predetermined period) can be mentioned. The control unit 21 can calculate the output score of each month and the output score of the predetermined period respectively, for example, using the following formulas 5 and 6.
[0096] Output score of each month (one - month average value) = Total amount of care implemented in that month (such as amount of moisture) provided to the care recipients 80 of unit A÷(Number of days in that month×Number of care recipients 80)…(Formula 5) Output score of the predetermined period (average value of the predetermined period) = Total amount of care implemented for the predetermined period provided to the care recipients 80 of unit A÷(Number of days in the predetermined period×Number of care recipients 80)…(Formula 6) The control unit 21 can evaluate the relative height of the output score of each month based on the sign and magnitude of the difference using the following formula 7.
[0097] Difference between the output score of each month and the output score of a predetermined period = Output score of each month - Output score of a predetermined period... (Equation 7) When the sign of the difference is positive, the output score of each month is greater than the output score of the predetermined period. Conversely, when the sign of the difference is negative, the output score of each month is smaller than the output score of the predetermined period.
[0098] As shown in FIG. 16, for the six months from January to June, the difference between the output score of each month and the output score of a predetermined period, and the team composition of that month are illustrated. For January to April, the output score of each month is smaller than the output score of the predetermined period. On the other hand, for May and June, the output score of each month is greater than the output score of the predetermined period. Since the differences for May and June are 15.75 and 50.73 respectively, the output score in June is the highest from January to June. Therefore, for Unit A, it can be evaluated that the team composition in June (care staff a, c, e) has the highest contribution to the output score.
[0099] The contribution output unit 214 can be configured to display the evaluation result of the contribution of the care staff 70 to the output on the display of the display unit 34 of the fixed terminal 30 or on the display of the input display unit 44 of the mobile terminal 40.
[0100] According to the information processing apparatus, information processing method, and information processing method of the second embodiment described above, in addition to the effects of the first embodiment, the following effects are achieved.
[0101] Based on the output score of each month within a predetermined period, the relative height of the output score of each month and the contribution degree of the care staff 70 to the output can be evaluated.
[0102] <Third Embodiment> In the third embodiment, based on the output scores for each day of each month, the relative height of the output score for each day and the contribution degree of the care staff 70 to the output are evaluated. To avoid redundant explanations, the description of the same configurations as those in the first and second embodiments will be omitted.
[0103] FIG. 17 is a diagram showing the relative height of the output score for each day of June of unit A and a specific example of shifts.
[0104] As a method for evaluating the relative height of the output score for each day of each month, for example, a method of evaluating using the difference between the output score for each day and the output score for each month (average value for one month) can be mentioned. The control unit 21 can evaluate the relative height of the output score for each day based on the sign and magnitude of the difference, for example, by using the following mathematical formula 8.
[0105] Difference between the output score for each day and the output score for each month = Output score for each day - Output score for each month... (Mathematical formula 8) When the sign of the difference is positive, the output score for each day is larger than the output score for each month. Conversely, when the sign of the difference is negative, the output score for each day is smaller than the output score for each month.
[0106] As shown in FIG. 17, for the 30 days from the 1st to the 30th of June, the difference between the output score for each day and the output score for June, and the work shifts for each day of June are illustrated. For the 2nd, 5th, and 29th, the output score for each day is smaller than the output score for June. On the other hand, for the 1st, 3rd, 4th, 6th, 28th, and 30th, the output score for each day is larger than the output score for June. In this case, among the numerical values shown in the figure, the 1st, 3rd, 28th, and 30th are the days with high output scores. The control unit 21 determines that the care staff 70 on duty during these days has a high contribution degree to the output.
[0107] Furthermore, the control unit 21 distributes the difference between the output score of each day and the output score of June to the care staff 70 included in the work shift of that day. For example, in the case of day 1, for a score of 68.50, two care staff 70 belong to Unit A. Since 68.50÷2 = 34.25, 34.25 is distributed to care staff a and c respectively. Similarly, in the case of day 2, since -14.65÷2 = -7.325, -7.325 is distributed to care staff c and e respectively.
[0108] In this way, by distributing the output score of each day to the care staff 70 who worked on that day, the control unit 21 can calculate how much each care staff 70 contributed to the output in June.
[0109] The contribution degree output unit 214 may be configured to display the evaluation result of the contribution of the care staff 70 to the output on the display of the display unit 34 of the fixed terminal 30 or on the display of the input display unit 44 of the mobile terminal 40.
[0110] According to the information processing apparatus, information processing method, and information processing method of the present embodiment described above, in addition to the effects of the first and second embodiments, the following effects can be achieved.
[0111] Based on the output score of each day in each month, the relative height of the output score of each day and the contribution degree of the care staff 70 to the output can be evaluated.
[0112] The configuration of the system described above explains the main configuration in describing the features of the above-described embodiment, and is not limited to the above-described configuration, and various modifications can be made within the scope of the claims.
[0113] For example, in the above-described first to third embodiments, the case where the information processing apparatus of the present invention is realized as a part of the server 20 of the monitoring system 1 has been exemplified and described, but the present invention is not limited to such a case. For example, the information processing apparatus may be realized as a single PC that holds care records. Alternatively, the information processing apparatus may be a PC outside the monitoring system 1 and configured to be able to acquire care records from the monitoring system 1.
[0114] Also, in the above-described first to third embodiments, the case where the control unit 21 functions as the care achievement acquisition unit 211, the contribution rate acquisition unit 212, the contribution degree analysis unit 213, and the contribution degree output unit 214 has been described. However, the present invention is not limited to such a case. For example, the control unit 31 or the control unit 41 may be configured to perform the same functions as the care achievement acquisition unit 211, the contribution rate acquisition unit 212, the contribution degree analysis unit 213, and the contribution degree output unit 214 instead of the control unit 21.
[0115] Also, in the above-described first to third embodiments, the case where the contribution degree is analyzed by paying attention to, for example, the moisture content, the amount of food intake, the walking distance (exercise amount), etc. as the care achievements related to self-care support has been described, but the present invention is not limited to such a case. The contribution degree analysis unit 113 may be configured to analyze the contribution degree of the care staff 70 to the self-care support of the care recipient 80 using other care achievements related to self-care support.
[0116] Also, in the above-described first to third embodiments, the case where the care achievement acquisition unit 211 acquires care achievements from care records has been mainly exemplified, but the present invention is not limited to such a case. For example, the care achievement acquisition unit 211 may be configured to acquire care achievements from a record of the walking distance (exercise amount) of the care recipient 80 estimated based on a captured image captured by the camera 14 of the detection unit 10.
[0117] In addition, in the flowchart described above, steps other than those shown in the flowchart may be included, or some steps may not be included. Also, the order of the steps is not limited to the above-described embodiments. Furthermore, each step may be executed in combination with other steps as one step, may be executed included in other steps, or may be divided into a plurality of steps and executed.
[0118] Moreover, the means and methods for performing various processes in the above-described embodiments can be realized by either a dedicated hardware circuit or a programmed computer. The above program may be provided by a computer-readable recording medium such as a USB memory or a DVD (Digital Versatile Disc)-ROM, or may be provided online via a network such as the Internet. In this case, the program recorded on the computer-readable recording medium is usually transferred and stored in a storage device such as a hard disk. Also, the above program may be provided as a single application software, or may be incorporated into the software of the device as one function.
Explanation of Reference Numerals
[0119] 1 Monitoring system, 10 Detection unit, 11 Control unit, 12 Communication unit, 13 Storage unit, 14 Camera, 15 Body movement sensor, 16 Call button unit, 20 Server, 21 Control unit, 211 Care performance acquisition unit, 212 Contribution rate acquisition unit, 213 Contribution degree analysis unit, 214 Contribution degree output unit, 22 Communication unit, 23 Storage unit, 30 Fixed terminal, 31 Control unit, 32 Communication unit, 33 Memory unit, 34 Display unit, 35 Input unit, 40 Mobile terminal, 41 Control unit, 42 Wireless communication unit, 43 Memory unit, 44 Input and display unit, 45 Audio input / output unit, 46 Position detection unit, 70 Care staff, 80 Care recipient, 90 Bed.
Claims
1. A care achievement acquisition unit that acquires care achievements corresponding to care provided to a care recipient by care staff during a predetermined period; A contribution rate acquisition unit that acquires a contribution rate representing the degree of contribution to the independence of the care recipient for the care during the predetermined period; An information processing apparatus, comprising: a contribution degree analysis unit that analyzes the contribution degree of the care staff to the independence support of the care recipient based on the care achievements and the contribution rate.
2. The care achievement is an achievement regarding the physical function of the care recipient corresponding to the care; The contribution rate is an index representing the improvement of the state of the care recipient; The care achievement acquisition unit scores the care achievements of each day for each care staff, and the contribution degree analysis unit calculates the contribution degree by adding up the products of the monthly care achievements after being scored and the contribution rate over the predetermined period. The information processing apparatus according to Claim 1.
3. The care achievement acquisition unit: Evaluates the contribution of the care staff to the monthly care achievement based on the difference between the monthly care achievement and the care achievement during the predetermined period. The information processing apparatus according to Claim 2.
4. The care achievement acquisition unit: Calculates the monthly care achievement by dividing the total amount of care provided to the care recipient each month by the product of the number of days in each month and the number of care recipients, and calculates the care achievement during the predetermined period by dividing the total amount of care provided to the care recipient during the predetermined period by the product of the number of days in the predetermined period and the number of care recipients. The information processing apparatus according to Claim 3.
5. The care achievement acquisition unit: Calculates the difference between the care achievement of each day of each month and the care achievement of each month; Distributes the difference among the care staff involved in the care achievement, and evaluates the contribution to the care achievement of each month by adding up the distributed care achievements for each care staff over each month. The information processing apparatus according to Claim 1 or 2.
6. The contribution rate acquisition unit calculates the contribution rate based on at least any one of the LIFE indicators consisting of the group of BI (Barthel Index), DBD13, and Vitality Index. The information processing apparatus according to Claim 1 or 2.
7. The contribution rate acquisition unit calculates the contribution rate based on the difference between the average value of the LIFE index for the entire unit including a plurality of care recipients at the current time and the average value of the LIFE index for the entire unit at a time before the predetermined period from the current time. The information processing apparatus according to claim 6.
8. The contribution rate acquisition unit calculates the average value of the LIFE index for the entire unit by dividing the sum of the LIFE indices of all care recipients belonging to the unit by the number of all care recipients. The information processing apparatus according to claim 7.
9. The amount of care provided to the care recipient by the care staff is determined based on the work shift of the care staff each month. The information processing apparatus according to claim 1 or 2.
10. A step (a) of acquiring care results corresponding to the care provided to the care recipient by the care staff during a predetermined period; A step (b) of acquiring a contribution rate representing the degree of contribution to the independence of the care recipient for the care during the predetermined period; A step (c) of analyzing the contribution of the care staff to the independence support of the care recipient based on the care results and the contribution rate. An information processing method.
11. A procedure (a) of acquiring care results corresponding to the care provided to the care recipient by the care staff during a predetermined period; A procedure (b) of acquiring a contribution rate representing the degree of contribution to the independence of the care recipient for the care during the predetermined period; A procedure (c) of analyzing the contribution of the care staff to the independence support of the care recipient based on the care results and the contribution rate. An information processing program for causing a computer to execute a process including the above.
Citation Information
Patent Citations
Long-term care work management system
JP2022071789A