Medical treatment guidance support system and method

Abstract

To provide a medical treatment guidance support system capable of efficiently managing medical guidance for patients from multiple medical institutions.SOLUTION: A medical treatment guidance support system 10 includes: an input unit 15 that acquires multiple pieces of instruction sheet information indicating the content of medical guidance requested by multiple medical institutions 3 from multiple medical institution terminals 30 utilized by the multiple medical institutions 3; an instruction content coordination unit 11 that compares the multiple pieces of instruction sheet information and determines the need for adjustments to the medical guidance provided to a patient 2 by the multiple medical institutions, and when determined that an adjustment is necessary, creates a treatment guidance plan using the multiple pieces of instruction sheet information; and an output unit 16 that outputs a confirmation request including the treatment guidance plan for the patient. The input unit 15 receives the confirmation result, which is the patient's response to the confirmation request, and the output unit 16 transmits the confirmation result to at least one of the multiple medical institution terminals 30, depending on the response.SELECTED DRAWING: Figure 2

Description

[Technical Field]

[0001] The present invention relates to a technique for implementing and supporting medical guidance for patients. [Background technology]

[0002] Currently, patients visit medical institutions for diagnosis, examination, and medical guidance. For example, diabetes patients (including those at risk) are given an explanation of the disease and guidance on various medical treatments, such as home treatment methods and lifestyle habits.

[0003] Such medical guidance itself is disclosed in Non-Patent Document 1. Non-Patent Document 1 describes medical guidance in which, when a patient visits a medical institution, in addition to receiving an examination and treatment from a doctor, the patient also receives explanations of the disease and home treatment methods from medical professionals other than doctors, such as nurses.

[0004] Furthermore, Patent Document 1 describes an interactive health management system as IT technology for supporting nutritional therapy and health therapy. Specifically, Patent Document 1 addresses the issue of "providing individuals undergoing nutritional therapy and exercise therapy with interactive medical information distribution and support to stimulate awareness and encourage continuation of the nutritional therapy and exercise therapy." To address this issue, Patent Document 1 discloses an interactive health management system in which "a health management program for nutritional management, exercise management, and simple nursing care management is created and distributed to a patient's information terminal device 1; based on the health management program, the patient selects a meal menu for each meal from a selection menu; for difficult meals, the patient manages nutrition by taking photos of the food with a digital camera; exercise management is performed by constantly carrying and recording an exercise monitor; and a data management center provides stimuli to the patient from a server 4 of the data management center during the patient's period of nutritional and exercise management to encourage continued self-management." [Prior art documents] [Non-patent literature]

[0005] Non-Patent Document 1 Working Group for Creating the "Comprehensive Guide for Countermeasures against Discontinuation of Diabetes Medical Examinations", "Manual for Countermeasures against Discontinuation of Diabetes Medical Examinations", May 2016, https: / / human-data.or.jp / wp / wp-content / uploads / 2018 / 07 / dm_jushinchudan_manual_e.pdf Patent Document

[0006] Patent Document 1 Japanese Patent Application Laid-Open No. 2002-222266 Summary of the Invention Problems to be Solved by the Invention

[0007] Here, since medical guidance requires a certain amount of time and labor and the number of medical staff is limited, it is difficult to implement it in detail for all patients. As an example of this difficulty, the following problems exist.

[0008] For example, when a patient visits multiple medical institutions, it is very difficult to directly grasp the treatment status at other medical institutions if medical guidance is provided at each medical institution. Therefore, it is difficult to achieve consistency in the guidance content, and it is difficult to provide appropriate guidance to the patient.

[0009] Also, for example, from the perspective of an insurer in the health insurance business, duplicate medical expense payments for guidance content are inherently unnecessary. Therefore, the insurer needs to determine the cost claim and payment destination for the implemented medical guidance. Alternatively, from the perspective of the insurer, a medical expense payment claim with duplicate guidance content is an unnecessary payment, and a cost claim process including assessment is required.

[0010] Furthermore, for example, it is important to grasp the status of a patient during treatment at home after returning home, but the time and labor of the implementer of medical guidance become an issue, and it is difficult to provide guidance to many patients.

[0011] As described above, according to Non-Patent Document 1 and Patent Document 1, it has been difficult to efficiently realize delicate convalescence guidance.

Means for Solving the Problem

[0012] In order to solve the above problems, the present invention supports convalescence guidance in a convalescence guidance institution that manages convalescence in a plurality of medical institutions and a plurality of patients. In the support of convalescence guidance, the content of convalescence guidance requested by each medical institution is grasped, and the convalescence guidance is adjusted according to the grasped content.

[0013] More specifically, in a convalescence guidance support device that supports convalescence guidance in a convalescence guidance institution that conducts convalescence guidance for a plurality of medical institutions and a plurality of patients, from a plurality of medical institution devices used by the plurality of medical institutions, an input unit that acquires a plurality of memo information indicating the content of convalescence guidance requested by the corresponding medical institution, compares the plurality of memo information, determines the necessity of adjustment for the convalescence guidance from the plurality of medical institutions to the patient, and when it is determined that the adjustment is necessary, uses the plurality of memo information to create a convalescence guidance plan. A guidance content adjustment unit, and an output unit that outputs a confirmation request including the convalescence guidance plan to the patient, the input unit receives a confirmation result that is the patient's response to the confirmation request, and the output unit transmits the confirmation result to at least one of the plurality of medical institution devices according to the response. It is a convalescence guidance support device.

[0014] The present invention also includes a convalescence guidance support method by the convalescence guidance support device, a program for causing the convalescence guidance support device to function as a computer, and a storage medium storing the same.

Effect of the Invention

[0015] According to the present invention, it becomes possible to more efficiently manage convalescence guidance for a patient requested by a plurality of medical institutions.

Brief Description of the Drawings

[0016]

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

Figure 8

Figure 9

Figure 10

Figure 11

Figure 12

Figure 13

Figure 14

Figure 15

Figure 16

Figure 17

Figure 18

Figure 19

Figure 20

Mode for Carrying Out the Invention

[0017] In this embodiment, a convalescence guidance institution 1 for implementing and managing convalescence guidance for patients from medical institutions is provided. First, the participants, organizations, and their schemes involved in the convalescence guidance including the convalescence guidance institution 1 will be described. FIG. 1 is a diagram showing an overview of the convalescence guidance including the convalescence guidance institution 1 in this embodiment.

[0018] The convalescence guidance institution 1 makes proposals and the like regarding convalescence guidance to patients (Patient A2a, Patient B2b) in response to requests from medical institutions (Medical Institution A3-a, Medical Institution B3-b, Medical Institution C3-c). Hereinafter, these specific contents will be described with reference to FIG. 1. First, the convalescence guidance institution 1 receives requests for guidance (instructions) for convalescence guidance from each of the medical institutions A3-a, B3-b, and C3-c.

[0019] Receiving these, the convalescence guidance institution 1 adjusts the content of the convalescence guidance based on the content of the instructions for each patient. For this purpose, the convalescence guidance institution 1 determines whether there are duplications, contradictions, etc. in the guidance contents of multiple medical institutions for a certain patient or the content of the convalescence guidance, and determines the necessity for adjustment. As a result, if adjustment is necessary, the convalescence guidance institution 1 makes the adjustment.

[0020] In this adjustment, it is desirable that the convalescence guidance institution 1 requests the target patient to confirm at least one of the necessity of adjustment and the adjusted convalescence guidance, and conducts various convalescence guidances according to the response to this request. Then, the convalescence guidance institution 1 conducts the adjusted convalescence guidance. Hereinafter, the content will be exemplified with reference to FIG. 1. First, the convalescence guidance institution 1 conducts medical visit recommendation, diet guidance, and patient education as the adjusted convalescence guidance for patient A2a. Here, the medical visit recommendation means recommending a visit to a medical institution. The diet guidance means guidance on diet for patients with lifestyle-related diseases such as diabetes. The patient education means education related to the disease, such as the onset and exacerbation of the disease, lifestyle habits such as diet and exercise, and treatment content, for the patient.

[0021] Also, in FIG. 1, the convalescence guidance institution 1 realizes medical visit recommendation and exercise guidance via the regional business operator 6 for patient B2-b. Here, the regional business operator 6 is an individual or organization capable of implementing convalescence guidance, including medical institutions such as family doctors, visiting nursing stations, local governments, etc. Here, the regional business operator 6 receives the adjusted guidance request from the convalescence guidance institution 1 and conducts exercise guidance for patient B2-b accordingly. Then, the regional business operator 6 reports on the exercise guidance for patient B2-b. Receiving this, the convalescence guidance institution 1 pays the regional business operator 6 the remuneration for the exercise guidance.

[0022] As described above, when the convalescence guidance for each patient is implemented, the convalescence guidance institution 1 reports on the convalescence guidance and requests payment of the remuneration to each medical institution. Receiving this, each medical institution reports on the convalescence guidance and requests payment of the remuneration to the review and payment institution 4 such as the National Health Insurance Federation.

[0023] Then, the review and payment institution 4 reports on the convalescence guidance and requests payment of the remuneration to the insurer 5 which is the operator of health insurance such as national health insurance and mutual aid associations. Receiving this, the insurer 5 conducts a review on these and makes payments to each medical institution. The report on the convalescence guidance and the request for payment of the remuneration from the review and payment institution 4 to the insurer 5 may include items for medical acts such as treatment and examination implemented at each medical institution related to the convalescence guidance.

[0024] In addition, each medical institution receives payment of remuneration from the insurer 5 and pays the remuneration for the recuperation guidance to the recuperation guidance institution 1. Further, the recuperation guidance institution 1 pays the remuneration for the exercise guidance for the patient B2-b to the regional business operator. Thus, the description of the scheme in this embodiment is completed. In this embodiment, for the patient, the necessity of adjustment is determined for the guidance contents of a plurality of medical institutions or the contents of the recuperation guidance, and adjustment is performed according to this result, thereby realizing more appropriate recuperation guidance. Note that the patient in this embodiment may be the object of the recuperation guidance and may be before the administration of drug treatment. Thus, each example which is a specific example for realizing this embodiment will be described.

Example

[0025] First, Example 1 will be described. FIG. 2 is a system configuration diagram of the recuperation guidance support system 100 in Example 1. In FIG. 2, in the recuperation guidance support system 100, the recuperation guidance support device 10 is connected to various devices such as each medical institution terminal 30-a to 30-c, each patient terminal 20-a, and the patient terminal 20-b.

[0026] Here, the configuration of the recuperation guidance support device 10 will be described. The recuperation guidance support device 10 includes a guidance content adjustment unit 11, a cost claim adjustment unit 12, a recuperation guidance management unit 13, an interruption response management unit 14, an input unit 15, an output unit 16, and a storage unit 17.

[0027] First, the guidance content adjustment unit 11 cross-checks the instruction sheet information from the medical institution terminals 30-a to 30-c and performs adjustments to the convalescence guidance for each of the plurality of patients. For this purpose, the guidance content adjustment unit 11 determines the necessity for adjustment. To determine the necessity for adjustment, the guidance content adjustment unit 11 determines the presence or absence of duplication or contradiction in the convalescence guidance in the instruction sheet information. Then, when there is a necessity for adjustment, the guidance content adjustment unit 11 performs the adjustment. Note that the guidance content adjustment unit 11 may execute the adjustment process on the condition of answering the confirmation request for adjustment from the patient terminal used by the corresponding patient. As a result, as described with reference to FIG. 1, the convalescence guidance institution 1 can realize the recommendation for medical treatment for patient A2-a, patient B2-b, and the like.

[0028] Furthermore, the guidance content adjustment unit 11 identifies the main medical institution from among the plurality of medical institution terminals 30-a to 30-c that have requested the convalescence guidance that requires adjustment. For example, when there is one medical institution that requests the convalescence guidance, the medical institution is the main medical institution. When receiving requests for convalescence guidance from a plurality of medical institutions simultaneously, or when a patient who is receiving convalescence guidance at the request of a certain medical institution receives a new request for convalescence guidance from another medical institution different from the said medical institution, the adjustment of the guidance content and the identification of the main medical institution are performed.

[0029] For example, the main medical institution is identified from among the medical institutions that have requested overlapping or contradictory convalescence guidance. For example, the guidance content adjustment unit 11 may identify the main medical institution according to the content of the requested convalescence guidance, or may identify the main medical institution according to the attributes of the medical institution.

[0030] Here, when identifying the main medical institution according to the convalescence guidance, for example, when there are overlapping convalescence guidances, the medical institution where the medical treatment for the corresponding convalescence guidance has progressed the most, or the medical institution where the patient last visited can be identified as the main medical institution. Also, when the convalescence guidances are contradictory, the medical institution that has requested the convalescence guidance estimated to be optimal based on the condition of the target patient can be identified. Further, when identifying the main medical institution according to the attributes of the medical institution, it can be identified according to the scale of the medical institution, the number of medical staff, the specialized field, etc. Additionally, the guidance content adjustment unit 11 may identify the main medical institution according to the response from the patient terminal used by the corresponding patient to the confirmation request. Also, the adjustment process of the guidance content adjustment unit 11 includes the interruption or termination of the convalescence guidance.

[0031] Note that the main medical institution refers to the medical institution that will conduct management and medical treatment for the target patient hereafter. This includes the request for convalescence guidance for the corresponding patient, that is, the issuance of instruction sheet information.

[0032] In addition, the fee billing adjustment unit 12 adjusts the billing of the remuneration for the adjusted convalescence guidance. This adjustment includes the calculation of the remuneration and the identification of the billing destination. Also, for example, the fee billing adjustment unit 12 conducts the billing process for the remuneration in a limited manner for the identified main medical institution. Further, the convalescence guidance management unit 13 manages the adjusted convalescence guidance. This management includes various types of information that are changed as a result of the adjustment of the convalescence guidance and the update of the table.

[0033] In addition, the interruption response management unit 14 performs management processing related to the interruption of convalescence guidance. For example, the interruption response management unit 14 resumes or cancels interrupted examinations and convalescence guidance. For this purpose, the interruption response management unit 14 grasps various situations such as the treatment of patients with interrupted examinations and convalescence guidance. Also, when examinations and convalescence guidance are interrupted due to the situation of medical institutions, convalescence guidance institutions, and their related parties (medical staff and instructors), the interruption response management unit 14 grasps the situation that caused the interruption. Since the convalescence guidance is linked to the examination in the medical institution, here, both the examination and the convalescence guidance may be targeted by the interruption response management unit 14, or either one of them may be targeted. Also, various medical acts other than examinations may be targeted.

[0034] In addition, the input unit 15 receives or acquires information (for example, the situation that caused the interruption) used in the above-mentioned guidance content adjustment unit 11 to the interruption response management unit 14. This acquisition, etc. includes acquisition based on the reception of information from other devices and the input from the user. In addition, the output unit 16 outputs the processing results in the above-mentioned guidance content adjustment unit 11 to the interruption response management unit 14. This output includes transmission to other devices and display to the user.

[0035] Furthermore, the storage unit 17 stores information such as various masters and various tables. These are used in the processing in the guidance content adjustment unit 11 to the interruption response management unit 14, or are created and updated as a result thereof.

[0036] Note that the convalescence guidance support device 10 is connected to the instructor terminal 10a. And the instructor terminal 10a is used by the instructor who conducts the convalescence guidance. And the instructor can use the functions of the convalescence guidance support device 10 via the instructor terminal 10a. For example, the instruction sheet information can be confirmed, and the report of the result of the convalescence guidance can be input. Also, the instructor terminal 10a is realized by a computer such as a PC, a tablet, or a smartphone. Note that the instructor terminal 10a and the convalescence guidance support device 10 may be realized by one computer.

[0037] In addition, the medical institution terminals 30-a to 30-c are examples of medical institution devices used by medical institutions A3-a to C3-c, respectively. They have functions to receive inputs from and output to each user (medical staff), and are realized by computers such as PCs, tablets, and smartphones. Further, the medical institution terminal 30-c is connected to the recuperation guidance support device 10 via the in-hospital system 300-c of the medical institution C3-c. The in-hospital system 300-c is an information processing system used to manage medical operations at the medical institution C3-c and can be realized by a server, network, etc. Note that there may be multiple medical institution terminals at each medical institution.

[0038] Also, the patient terminals 20-a and 20-b are used by patients A2-a and B2-b, respectively. They each have functions to receive inputs from and output to each user (patient), and are realized by computers such as PCs and tablets.

[0039] In addition, the regional operator system 60 is an information processing system used by the regional operator 6 and can be realized by a single computer, multiple computers, or a network. Note that each device of these recuperation guidance support systems 100 is connected to each other via various networks including a wide area network such as the Internet. With the above, the description of the recuperation guidance support system 100 ends, and an implementation example of the recuperation guidance support device 10 will be described.

[0040] FIG. 3 is a configuration diagram showing an implementation example of the recuperation guidance support device 10 in the first embodiment. In the first embodiment, the recuperation guidance support device is realized by a server that executes processing according to a program. For this reason, the recuperation guidance support device 10 has a processing device 101, a communication device 102, a main storage device 103, and a secondary storage device 104, and these are connected to each other via a communication path.

[0041] Here, the processing device 101 can be realized by a processor such as a CPU, and executes calculations according to various programs described later. The communication device 102 has an interface function for connecting to the network 70, and corresponds to the input unit 15 and the output unit 16 in FIG. 2. Note that the network 70 is connected to the medical institution terminal, the patient terminal, the in-hospital system 300-c, and the regional business operator system 60 in FIG. 2. As a result, the convalescence guidance support device 10 can communicate with these devices.

[0042] In addition, the main memory device 103 can be realized by a so-called memory, and programs and information used in the processing of these programs for the calculations in the processing device 101 are expanded. Also, the auxiliary storage device 104 can be realized by a storage such as a hard disk drive, and stores programs and various information (masters, tables). In this way, the auxiliary storage device 104 corresponds to the storage unit 17 in FIG. 2.

[0043] Here, the main memory device 103 stores, as programs, a guidance content adjustment program 105, a fee billing adjustment program 106, a convalescence guidance management program 107, and an interruption response management program 108.

[0044] Note that each of the above programs has the following correspondence with each part in FIG. 2. Guidance content adjustment program 105: Guidance content adjustment unit 11 Fee billing adjustment program 106: Fee billing adjustment unit 12 Convalescence guidance management program 107: Convalescence guidance management unit 13 Interruption response management program 108: Interruption response management unit 14 That is, the processing device 101 executes the processing of the guidance content adjustment unit 11, the fee billing adjustment unit 12, the convalescence guidance management unit 13, and the interruption response management unit 14 according to the guidance content adjustment program 105, the fee billing adjustment program 106, the convalescence guidance management program 107, and the interruption response management program 108.

[0045] Also, each program is distributed via the network 70 or stored in a storage medium, and then installed in the convalescence guidance support device 10. Also, each program is not an independent program by itself, and each can be realized by a configuration module of one program.

[0046] Also, the main memory device 103 stores, as the master and tables which are the information used in the first embodiment, the convalescence guidance service master 109, the medical institution / attending physician master 110, the patient master 111, the instructor master 112, the convalescence guidance operation master 113, the convalescence guidance operation table for each patient 114, the convalescence guidance operation table for each instructor 115, the interruption response management master 116, the instruction sheet table 117, and the implementation report table 118.

[0047] Hereinafter, each of these pieces of information will be described. FIG. 4 shows the convalescence guidance service master 109 used in the first embodiment. The convalescence guidance service master 109 is data that shows the content of convalescence guidance and serves as a basis. The convalescence guidance service master 109 of the first embodiment has, as shown in FIG. 4, each item of SID, type ID, duplication management method, insurance target, service name, service provider, service outline, location, telephone number, remote response, registration date, and abolition date.

[0048] First, the SID is an item for identifying convalescence guidance. The type ID is an item for identifying the type of convalescence guidance, and for example, the types as shown in FIG. 4 can be used. That is, as the type, nutritional diet guidance, exercise guidance, medication guidance, disease-specific rehabilitation guidance, oxygen therapy guidance, medical examination recommendation (hospital visit support), and other items can be used.

[0049] In addition, the duplication management method is an item for determining whether duplicate confirmation is required for the convalescence guidance of instruction note information from multiple medical institutions. When this item is 0, duplicate confirmation is not required, and when it is 1, it indicates that duplicate confirmation is necessary. Note that the duplication management method is an example of an item for determining the necessity of adjusting convalescence guidance, and other items for determining whether confirmation of contradictions is required may also be used. Note that for the items for determining the necessity of adjusting convalescence guidance, multiple items such as duplication and contradiction may be provided.

[0050] In addition, the insurance target is an item for determining whether it is an object of health insurance. When this item is 0, it is not an object, and when it is 1, it indicates that it is an object. Also, the service name is an item indicating the name of the convalescence guidance. Also, the service outline is an item indicating the content (outline) of the corresponding convalescence guidance. Also, the service provider indicates the entity that conducts the convalescence guidance. In the example of FIG. 4, in addition to self-implementation, Company A and Company B are shown. Here, the self-company refers to the convalescence guidance institution 1 shown in FIG. 1. Also, the location and phone number are items indicating the location and phone number of the service provider, respectively.

[0051] In addition, the remote support is an item indicating whether remote support is possible for the corresponding convalescence guidance. In this item, 0 indicates impossible, 1 indicates that only remote (remote implementation) is possible, and 2 indicates that both remote and face-to-face support are possible. Also, the registration date is an item indicating the date and time when the corresponding convalescence guidance starts or the date and time when the corresponding record is registered. Furthermore, the cancellation date is an item indicating the date and time when the service itself of the corresponding convalescence guidance is cancelled.

[0052] Next, FIG. 5 is a diagram showing the medical institution / attending physician master 110 used in Example 1. The medical institution / attending physician master 110 is master data for managing each medical institution and the attending physician of the patients working there or a physician who can become an attending physician (hereinafter simply referred to as the attending physician). In Example 1, as shown in FIG. 5, the medical institution / attending physician master 110 is composed of a medical institution master 110-1 and an attending physician master 110-2, but these may be configured integrally. Hereinafter, each of the medical institution master 110-1 and the attending physician master 110-2 will be described.

[0053] First, the medical institution master 110-1 is information about medical institutions (medical institutions A3-a to C3-c in Example 1 respectively). In Example 1, the medical institution master 110-1 has items such as HID, medical institution name, department names 1 to 8, location, telephone number, registration date, and cancellation date. First, the HID is an item for identifying the corresponding medical institution. Also, the medical institution name is an item indicating the name of the corresponding medical institution. Also, department names 1 to 8 respectively indicate the names of the departments of the corresponding medical institution. If the number of departments installed in the corresponding medical institution is less than 8, NULL is indicated in the corresponding item.

[0054] Also, the location and telephone number are items indicating the location and telephone of the corresponding medical institution respectively. Also, the registration date is an item indicating the date and time when the corresponding medical institution, that is, the corresponding record was registered. Furthermore, the cancellation date is an item indicating the date and time when the corresponding medical institution itself went out of business or the service of convalescence guidance in Example 1 was cancelled. Note that the registration date and cancellation date may be set for each department.

[0055] Next, the attending physician master 110-2 is information about the attending physician. Note that in Example 1, it is targeted at physicians, but the scope can be expanded to medical staff. In Example 1, the attending physician master 110-2 has items such as DID, name, affiliated HIDs 1 to 4, registration dates 1 to 4, and cancellation dates 1 to 4.

[0056] First, DID is an item that identifies the attending physician in question. Name is an item that indicates the name of the attending physician in question. Also, Affiliation HID1-4 are each items that indicate the medical institutions where the attending physician in question works. The reason for preparing multiple Affiliation HIDs is that a physician may work at multiple medical institutions. Therefore, if the number of medical institutions where the attending physician in question works is less than 4, NULL is indicated in the corresponding item.

[0057] In addition, Registration Date 1-4 are each items that indicate the date and time when the attending physician in question became involved in medical guidance, for example, the date and time when the physician started working (registered) at the corresponding medical institution or the date and time when the corresponding medical institution was registered in this system. Furthermore, Cancellation Date 1-4 are each items that indicate the date and time when the attending physician in question left the corresponding medical institution or the date and time when the corresponding medical institution was cancelled.

[0058] Next, FIG. 6 is a diagram showing Patient Master 111 used in Example 1. Patient Master 111 is master data regarding a patient who is the subject of medical guidance. As shown in FIG. 6 in Example 1, Patient Master 111 has items such as PID, Patient Name, Gender, Date of Birth, Address, Phone Number, Remote Support, Registration Date, and Cancellation Date. First, PID is an item that identifies the patient in question. Patient Name is an item that indicates the name of the patient in question.

[0059] Also, Gender, Date of Birth, Address, and Phone Number are each examples of patient attributes. Here, in terms of gender, 1 indicates male and 0 indicates female. Note that the address may be the place of work or the like, and may also include other attributes (such as blood type). Furthermore, as an attribute, it is desirable to provide patient terminal information that identifies Patient Terminal 20 used by the patient, such as an email address. As patient terminal information, the medical guidance application (program) installed on Patient Terminal 20, the identification information of the patient on Patient Terminal 20 or this application may be used.

[0060] In addition, remote support is an item indicating whether the corresponding patient can receive recuperation guidance remotely. Therefore, in this item, 0 indicates that remote support is not available, and 1 indicates that remote support is available. Also, the registration date is an item indicating the date and time when the corresponding patient became involved in recuperation guidance, for example, the date and time when recuperation guidance starts. Further, the cancellation date is an item indicating the date and time when the corresponding patient is no longer involved in recuperation guidance, for example, the date and time when recuperation guidance ends.

[0061] Next, FIG. 7 is a diagram showing the instructor master 112 used in the first embodiment. The instructor master 112 is master data regarding the instructor who conducts recuperation guidance. The instructor master 112 has items of NID, instructor name, gender, date of birth, address, telephone number, remote support, registration date, and cancellation date, as shown in FIG. 7 in the first embodiment. First, the NID is an item for identifying the corresponding instructor. The instructor name is an item indicating the name of the corresponding instructor.

[0062] Also, gender, date of birth, affiliated location, and telephone number are examples of the attributes of the instructor. Here, in terms of gender, 1 indicates male and 0 indicates female. The affiliated location is the affiliated location such as the recuperation guidance institution 1 where one belongs or works. Note that the affiliated location may be the address of the corresponding instructor, or may include other attributes (such as blood type).

[0063] In addition, remote support is an item indicating whether the corresponding instructor can conduct recuperation guidance remotely. Therefore, in this item, 0 indicates that remote support is not available, and 1 indicates that remote support is available. Also, the registration date is an item indicating the date and time when the corresponding instructor became involved in recuperation guidance, for example, the date and time when starting work as an instructor. Further, the cancellation date is an item indicating the date and time when the corresponding instructor is no longer involved in recuperation guidance, for example, the date and time when the corresponding instructor retires.

[0064] Next, FIG. 8 is a diagram showing the convalescence guidance operation master 113 used in Example 1. The convalescence guidance operation master 113 is master data for managing the implementation and operation of convalescence guidance. In Example 1, the convalescence guidance operation master 113 is provided for each SID, that is, for each convalescence guidance. In FIG. 8, 113-1 shows an example where the SID is 1, that is, the convalescence guidance is online nutrition guidance (nutrition guidance in remote mode), and 113-2 shows an example where the SID is 4, that is, the convalescence guidance is outpatient support.

[0065] Also, as shown in FIG. 8, the convalescence guidance operation master 113 in Example 1 has items such as business ID, business name, required time, business implementation form, medical institution ID flag, doctor ID flag, doctor ID flag, patient ID flag, and instructor ID flag. First, the business ID is an item for identifying the business that constitutes the corresponding convalescence guidance (113-1: online nutrition guidance, 113-2: outpatient support). Also, the business name is an item indicating the name of the corresponding business. Note that the business indicates the unit that constitutes the convalescence guidance.

[0066] Also, the required time is an item indicating the required time for the corresponding business. Also, the business implementation form is an item indicating the form of implementing the corresponding business. For example, 0 indicates face-to-face, 1 indicates online (implementation in remote mode), and 3 indicates automatic processing. Note that automatic processing indicates that it is executed on the side of the convalescence guidance support system 100. Also, the medical institution ID flag and the doctor ID flag are items indicating the necessity of registering the medical institution ID (HID) of the medical institution involved in the business and the doctor ID (DID) of the doctor (attending doctor) when implementing the corresponding business, respectively.

[0067] Also, the patient ID flag is an item indicating the necessity of registering the patient ID (PID) of the patient who is involved in this business, that is, who receives the convalescence guidance, when implementing the corresponding business. Also, the instructor ID flag is an item indicating the necessity of registering the instructor ID (NID) of the instructor who is involved in this business, that is, who implements the convalescence guidance, when implementing the corresponding business.

[0068] In the above medical institution ID flag to instructor ID flag, if it is 0, it indicates that the corresponding ID does not need to be registered, and if it is 1, it indicates that registration is required. Also, the registration of the medical institution ID flag to instructor ID flag means registration in the patient-specific convalescence guidance operation table 114 and instructor-specific convalescence guidance operation table 115 described later.

[0069] Next, FIG. 9 is a diagram showing the patient-specific convalescence guidance operation table 114 used in Example 1. The patient-specific convalescence guidance operation table 114 is a data table provided for each patient (for each PID) used when implementing convalescence guidance. That is, 114-1 in FIG. 9 shows an example of the patient correspondence work of convalescence guidance for a patient with PID 1, and 114-2 shows an example of the patient correspondence work of convalescence guidance for a patient with PID 2.

[0070] Also, as shown in FIG. 9, the patient-specific convalescence guidance operation table 114 in Example 1 has items such as business ID, business name, business start time, business end time, business implementation form, HID, DID, PID, NID, and additional information. First, the business ID is an item for identifying the business that constitutes the convalescence guidance to be implemented for the corresponding patient (PID is 1 or 2). Also, the business name is an item indicating the name of the corresponding business.

[0071] In addition, the business start time and the business end time respectively indicate the time when the corresponding business started and the time when it ended. Also, the business implementation form is the same item as that in FIG. 8. Further, HID, DID, PID, and NID are items that identify the medical institution, the attending physician, the patient, and the instructor involved in the corresponding business, respectively. Here, in the example shown in 114-1 of FIG. 9, it shows that the patient (PID: 1) usually visited medical institution A3-a but has changed to medical institution C3-c. Note that for each of HID, DID, PID, and NID, it may be recorded only limitedly when the medical institution ID flag, the physician ID flag, the patient ID flag, and the instructor ID flag in the recuperation guidance operation master 113 are 1. Alternatively, the medical institution ID flag, the physician ID flag, the patient ID flag, and the instructor ID flag may be omitted, and HID, DID, PID, and NID may be recorded normally.

[0072] Furthermore, in 114-2, it shows that the patient (PID: 2) is visiting medical institution C3-c. Still further, in the example shown in 114-1 of FIG. 9, it shows that the attending physician of the patient (PID: 1) is the doctor with DID: 1, and in the example of 114-2, it shows that the attending physician of the patient (PID: 2) is the doctor with DID: 2. And these attending physicians have not been changed. Still further, in the example shown in 114-1 of FIG. 9, it shows that the instructor of the patient (PID: 1) has changed from the instructor with NID: 2 to the instructor with NID: 2 at the same timing as the medical institution where the patient goes to the hospital. Also, in the example of 114-2, it shows that the instructor of the patient (PID: 2) is consistently the instructor with NID: 1. Note that in the example of FIG. 9, the item of PID is provided, but this item can be omitted. Also, when the item of PID is provided, the table can be configured integrally for multiple patients.

[0073] Furthermore, the attached information is an item indicating various types of information related to the corresponding business. In the example of FIG. 9, ISID and PRID are used as the attached information. ISID is information for identifying a memo or memo information related to the corresponding business. Also, PRID is information for identifying an implementation report related to the corresponding business. By using ISID as the attached information in this way, it is possible to confirm the content of the memo, that is, the request for convalescence guidance from a medical institution, when implementing the corresponding business. Also, by using PRID as the attached information, it becomes possible to add or refer to appropriate reports during the actual guidance, guidance start report, and implementation report operations.

[0074] Next, FIG. 10 is a diagram showing the convalescence guidance operation table 115 for each instructor used in Example 1. The convalescence guidance operation table 115 for each instructor is a data table provided for each instructor (for each NID) used when implementing and carrying out convalescence guidance. That is, 115-1 in FIG. 10 shows an example of the business for the instructor with NID 1, and 115-2 shows an example of the business for the instructor with NID 2. In this way, the convalescence guidance operation table 115 for each instructor is information for the instructor and is more appropriately used when the instructor conducts convalescence guidance. In contrast, the convalescence guidance operation table 114 for each patient organizes the business of convalescence guidance from the perspective of the patient.

[0075] Also, as shown in FIG. 10, the convalescence guidance operation table 115 for each instructor in Example 1 has items such as business ID, business name, business start time, business end time, business implementation form, HID, DID, PID, NID, and attached information. First, the business ID is an item for identifying the business constituting the convalescence guidance to be implemented by the corresponding instructor (NID: 1, 2). Also, the business name is an item indicating the name of the corresponding business.

[0076] In addition, the business start time and the business end time respectively indicate the time when the corresponding business started and the time when it ended. Also, the business implementation form is the same item as that in FIGS. 8 and 9. Further, HID, DID, PID, and NID are items that identify the medical institution, the attending physician, the patient, and the instructor involved in the corresponding business, respectively. Here, in the example shown in 115-1 of FIG. 10, it shows that the corresponding instructor is in charge of two patients (PID: 1, 2). Note that for each of HID, DID, PID, and NID, it may be recorded restrictively only when the medical institution ID flag, physician ID flag, patient ID flag, and instructor ID flag in the rehabilitation guidance operation master 113 are 1. Alternatively, the medical institution ID flag, physician ID flag, patient ID flag, and instructor ID flag may be omitted, and HID, DID, PID, and NID may be recorded normally.

[0077] Furthermore, in 115-2, it shows that the corresponding instructor is in charge of one patient (PID: 1). In the example of FIG. 10, the item of NID is provided, but this item can be omitted. Also, when the item of NID is provided, the table can be composed integrally for multiple data providers. Additionally, the supplementary information is an item that indicates various information related to the corresponding business and is the same item as the patient-specific rehabilitation guidance operation table 114. Note that the patient-specific rehabilitation guidance operation table 114 and the instructor-specific rehabilitation guidance operation table 115 may be composed of an integrated table.

[0078] Next, FIG. 11 is a diagram showing the interruption response management master 116 used in the first embodiment. The interruption response management master 116 is master data that is used to execute management processing related to interruptions in the interruption response management unit 14 and that classifies the causes of interruptions in the first embodiment. As this management processing, the interruption response management unit 14 uses the interruption response management master 116 to identify a response plan such as resuming interrupted rehabilitation guidance. For this purpose, in the first embodiment as shown in FIG. 11, the interruption response management master 116 has items for cause classification ID, cause classification name, cause ID, remarks, and responses 1 to 3. Note that resuming includes continuing the interrupted rehabilitation guidance, performing the rehabilitation guidance again, and newly performing another rehabilitation guidance.

[0079] First, the cause classification ID is an item that identifies the cause classification, which is the classification of the cause of the interruption. Also, the cause classification name is an item that indicates the name of the cause classification, which is the classification of the cause of the interruption. Also, the cause ID is an item that identifies the cause of the interruption. Also, the cause name is an item that indicates the name of the cause of the interruption. Here, the cause classification is a grouping of causes.

[0080] Also, the remarks indicate the content of the cause of the interruption and are an item that makes the cause name more specific. Also, responses 1 to 3 are items that respectively indicate response plans for the interruption, and the number thereof may be 1 or more and is not limited to 3. This response plan may be treated as one of the rehabilitation guidances. By using such an interruption response management master 116, the interruption response management unit 14 will identify a response plan according to the cause name, cause classification ID, etc. received by the input unit 15. Then, the output unit 16 outputs the identified response plan. As a result, the instructor can confirm the response plan and execute advice to the patient as part of the rehabilitation guidance.

[0081] Next, FIG. 12 is a diagram showing the instruction sheet table 117 used in Example 1. The instruction sheet table 117 is a data table that records the instruction sheet information transmitted from the medical institution terminals 30-a to 30-c. FIG. 12 shows each item of the instruction sheet information, and a plurality of instruction sheet information will be recorded in the instruction sheet table 117. This instruction sheet information is information indicating a request for medical guidance from a medical institution, and has each item of (1) medical institution information, (2) patient basic information, (3) patient disease information, (4) patient examination information, (5) instruction status of life and exercise, (6) nutrition guidance instruction, and (7) special notes. Hereinafter, each of these items will be described.

[0082] (1) The medical institution information is information regarding the medical institution that issued the corresponding instruction sheet information. The specific items of the medical institution information are as shown in the figure. Here, this medical institution information can also be obtained from the medical institution / attending physician master 110. That is, the instruction sheet information including the HID and DID is received from the medical institution terminals 30-a to 30-c, and the guidance content adjustment unit 11 searches the medical institution / attending physician master 110 using the HID and DID as keys to identify the medical institution name and the like. Conversely, the medical institution name and the attending physician name may be included in the transmitted instruction sheet information, and the guidance content adjustment unit 11 may use these to identify the HID, DID, and other information from the medical institution / attending physician master 110.

[0083] Also, (2) the patient basic information is information regarding the patient who is the subject of the medical guidance. The specific items of this patient basic information are as shown in the figure. Here, this patient basic information can also be obtained from the patient master 111. That is, the instruction sheet information including the PID is received from the medical institution terminals 30-a to 30-c, and the guidance content adjustment unit 11 searches the patient master 111 using the PID as a key to identify attributes such as the patient name. Conversely, the patient name may be included in the transmitted instruction sheet information, and the guidance content adjustment unit 11 may use these to identify the PID and other information from the patient master 111.

[0084] In addition, (3) patient disease information is information regarding the diseases of the patients who are the targets of convalescence guidance, particularly information regarding the diseases related to convalescence guidance. The specific items of this patient disease information are as shown in the illustration. This patient disease information is obtained from the medical institution terminals 30-a to 30-c, such as through manual input by the attending physician or medical record information.

[0085] In addition, (4) patient examination information is information regarding the examinations of the patients who are the targets of convalescence guidance. The specific items of this patient examination information are as shown in the illustration. This patient examination information is obtained from the medical institution terminals 30-a to 30-c, such as through manual input by the attending physician or medical record information.

[0086] In addition, (5) the status of instructions on life and exercise is information indicating instructions from the attending physician regarding the lifestyle and exercise of the target patients. The specific items of this status of instructions on life and exercise are as shown in the illustration, but the instruction content is specified as either yes / no (for the sake of convenience, both yes / no are described in the figure). Note that the status of instructions on life and exercise corresponds to the above-mentioned type ID of 2. Therefore, the type ID: 2 may be described as the header of the status of instructions on life and exercise. This status of instructions on life and exercise is also obtained from the medical institution terminals 30-a to 30-c, such as through manual input by the attending physician or medical record information.

[0087] In addition, (6) nutritional guidance instructions are information indicating instructions from the attending physician regarding nutritional guidance (including dietary guidance) for the target patients. The specific items of this nutritional guidance instructions are as shown in the illustration. Note that the nutritional guidance instructions correspond to the above-mentioned type ID of 1. Therefore, the type ID: 1 may be described as the header of the nutritional guidance instructions. This nutritional guidance instructions are also obtained from the medical institution terminals 30-a to 30-c, such as through manual input by the attending physician or medical record information.

[0088] In addition, (7) the special notes are other information regarding the convalescence guidance desired by the attending physician. The specific items of the special notes are as shown in the illustration. This special note is also acquired from the attending physician's manual input, medical record information, etc. by the medical institution terminals 30-a to 30-c. Also, this special note is acquired from the medical institution terminals 30-a to 30-c from the attending physician's manual input, medical record information, etc.

[0089] Thus, the description of the information used in Example 1 is completed. Subsequently, the content of the process executed in Example 1 will be described. FIG. 13 is a sequence diagram showing the content of the process in Example 1.

[0090] First, in step S1, the medical institution terminal 30-a transmits the instruction sheet information as described in FIG. 12 to the convalescence guidance support device 10 according to the operation of the attending physician. That is, the instruction sheet information indicating the guidance request from the attending physician is transmitted. The input unit 15 of the convalescence guidance support device 10 receives this. In response to this, based on the received instruction sheet information, the guidance content adjustment unit 11 identifies which record constituting the convalescence guidance service master 109 corresponds to the content of the convalescence guidance.

[0091] For this purpose, the following methods are assumed. First, in the medical institution terminal 30-a, the instruction sheet information includes the SID or the type ID, and the guidance content adjustment unit 11 searches the recuperation guidance service master 109 using the SID or the type ID as a key. Second, the instructor terminal 10a accepts a designation. For this purpose, the guidance content adjustment unit 11 outputs the received instruction sheet information to the instructor terminal 10a via the output unit 16. Then, the instructor terminal 10a accepts an input from the instructor to specify the content of the recuperation guidance such as the SID for the instruction sheet information. As a result, the guidance content adjustment unit 11 specifies the content of the recuperation guidance from the recuperation guidance service master 109 according to the input for specifying the content of the recuperation guidance. As a result, hereinafter, it is assumed that the online nutrition guidance with the SID of 1 is specified as the recuperation guidance. When the recuperation guidance is specified in this way, hereinafter, in each step, the specified recuperation guidance will be executed according to the recuperation guidance operation master 113. In this specification, the output and transmission via the output unit 16 mean that the output unit 16 physically outputs and transmits.

[0092] Also, in step S2, the guidance content adjustment unit 11 of the recuperation guidance support device 10 transmits a schedule adjustment request for performing the recuperation guidance indicated by the instruction sheet information to the patient terminal 20 used by the target patient via the output unit 16. According to the response from the patient terminal 20 in response to this, the guidance content adjustment unit 11 specifies the schedule for performing the recuperation guidance.

[0093] Also, in step S3, the guidance content adjustment unit 11 of the recuperation guidance support device 10 refers to the recuperation guidance operation master 113-1 (SID: 1, online nutrition guidance), and first executes the status confirmation and guidance process of the service ID 1-1. For this purpose, the guidance content adjustment unit 11 transmits, to the patient terminal 20 via the output unit 16, the status confirmation request to the patient and the guidance content according to the response to this according to the instruction sheet information.

[0094] Also, in step S4, the guidance content adjustment unit 11 transmits a result notification indicating the start of guidance to the medical institution terminal 30-a that has transmitted the instruction sheet information via the output unit 16. That is, the business ID 1-3 of the convalescent guidance operation master 113-1 is executed. Furthermore, in step S5, the business ID 1-2 of the convalescent guidance operation master 113-1 is executed. That is, the guidance content adjustment unit 11 transmits the content of the continuous guidance to the patient terminal 20 via the output unit 16. Then, the guidance content adjustment unit 11 receives an answer to the continuous guidance from the patient terminal 20 via the output unit 16. Such continuous guidance is continuously executed. That is, the interaction in step S5 may be executed multiple times. As a result, the convalescent guidance regarding the guidance request in step S1 ends.

[0095] As a result, in step S6, the business ID 1-3 of the convalescent guidance operation master 113-1 is executed. That is, the guidance content adjustment unit 11 transmits a result notification of the convalescent guidance, that is, an implementation report, to the medical institution terminal 30-a via the output unit 16. Furthermore, in step S7, the fee billing adjustment unit 12 transmits an end confirmation and a fee billing for the requested online nutritional guidance to the medical institution terminal 30-a via the output unit 16. Note that Figure 8 does not include the business ID corresponding to step S7 because the end confirmation and the fee billing process in step S7 are common operations for each convalescent guidance and are thus omitted. However, the operations corresponding to step S7 may be included in the convalescent guidance operation master 113.

[0096] In response to step S7, in step S8, the fee billing adjustment unit 12 receives a payment notification from the medical institution terminal 30-a via the input unit 15. The payment notification means, for example, a report of payment from the medical institution A3-a to the convalescent guidance institution 1 in Figure 1.

[0097] As described above, steps S1 to S8 are the implementation unit period of the recuperation guidance. It is desirable that this implementation unit period be the insurance claim unit period (for example, one month) as shown in the figure. Therefore, it is desirable to configure the recuperation guidance operation master 113 with the insurance claim unit period. However, this implementation unit period is just an example, and other unit periods may be used.

[0098] Furthermore, in step S9, similar to step S1, the instruction sheet information is transmitted from the medical institution terminal 30-a to the recuperation guidance support device 10. In this case, hereafter, the same processing as steps S2 to S8 is executed. In this case, the recuperation guidance does not necessarily have to be the online nutrition guidance (SID: 1).

[0099] Also, in step S10, similar to step S1, the instruction sheet information is transmitted from the medical institution terminal 30-b to the recuperation guidance support device 10. That is, the instruction sheet information is transmitted from a medical institution terminal different from that in step S1 or step S8. Thus, when multiple guidance requests continue simultaneously, step S10 is executed. The multiple guidance requests here refer to the guidance requests in step S9 and step S10, and these are guidance requests for which the completion confirmation has not been performed respectively. Also, the fact that multiple guidance requests continue simultaneously means that multiple recuperation guidances or a recuperation guidance and its request continue simultaneously.

[0100] Then, in step S11, the guidance content adjustment unit 11 performs adjustment processing on a plurality of guidance requests that are ongoing simultaneously in cooperation with other devices. This adjustment processing includes determination of the necessity for adjustment by comparing prescription information and processing according to the result. In the first embodiment, as an example of the adjustment processing, duplicate processing of guidance requests is performed. That is, duplicate confirmation is performed for the guidance requests in steps S9 and S10, and processing is performed to eliminate the duplicates if any. For this purpose, the guidance content adjustment unit 11 compares the prescription information transmitted from the medical institution terminal 30-a with the prescription information transmitted from the medical institution terminal 30-b to determine the necessity for duplicate confirmation. Then, the guidance content adjustment unit 11 updates the patient-specific convalescence guidance operation table 114 and the instructor-specific convalescence guidance operation table 115 according to this result.

[0101] Hereinafter, the details of this step S11 will be described with reference to FIG. 14. Here, the prescription information transmitted from the medical institution terminal 30-a is referred to as the first prescription information, and the prescription information transmitted from the medical institution terminal 30-b is referred to as the second prescription information. FIG. 14 is a flowchart showing the detailed processing flow of the duplicate processing (step S11) in the first embodiment. First, in step S111, the guidance content adjustment unit 11 checks whether duplicate elimination processing is necessary for the guidance requests in steps S9 and S10. For this purpose, the guidance content adjustment unit 11 processes as follows, for example.

[0102] First, the guidance content adjustment unit 11 compares the first instruction sheet information with the second instruction sheet information, and compares (2) the patient basic information in these, preferably the PIDs included therein, with each other. As a result, if they match, the guidance content adjustment unit 11 compares (1) the medical institution information in the first instruction sheet information and the second instruction sheet information, preferably the HIDs and the DIDs, with each other. And if at least one of, more preferably both of, the HIDs and the DIDs do not match, the guidance content adjustment unit 11 compares at least one of (5) the instruction status of life and exercise and (6) the nutrition guidance instructions with each other. If at least a part of each of these pieces of information matches, the guidance content adjustment unit 11 determines that it is necessary to perform duplicate elimination processing for the first instruction sheet information and the second instruction sheet information.

[0103] Here, it is desirable to perform the comparison of at least one of (5) the instruction status of life and exercise and (6) the nutrition guidance instructions as follows. The guidance content adjustment unit 11 determines whether at least one of the SIDs and the type IDs of the first instruction sheet information and the second instruction sheet information matches. Or, the guidance content adjustment unit 11 compares the SID and the type ID, and if the SID corresponds to the type ID of the convalescence guidance service master 109, determines that it is necessary to perform elimination processing. Also, the guidance content adjustment unit 11 may perform text analysis processing on the content of (5) the instruction status of life and exercise and (6) the nutrition guidance instructions, and if they are similar or match, determine that it is necessary to perform elimination processing.

[0104] As a result of the above, if duplicate elimination processing is necessary (Y), the process proceeds to step S112. Also, if duplicate elimination processing is not necessary (N), this processing flow ends, and the processing after step S12 is executed.

[0105] Also, in step S112, the guidance content adjustment unit 11 creates duplicate elimination case information using the overlapping first instruction sheet information and second instruction sheet information. For this purpose, the guidance content adjustment unit 11 extracts (5) living and exercise instruction status and (6) nutritional guidance instructions from the first instruction sheet information and the second instruction sheet information. Then, the guidance content adjustment unit 11 creates a recuperation guidance plan for eliminating duplicates from (5) living and exercise instruction status and (6) nutritional guidance instructions. The recuperation guidance plan may be the instruction sheet table 117 shown in FIG. 12, or may include (1), (2), (5) to (7) among these.

[0106] The creation of the recuperation guidance plan is executed as follows. (A) First, the guidance content adjustment unit 11 selects (1) medical institution information that satisfies a predetermined condition, preferably HID and DID, from the first instruction sheet information and the second instruction sheet information, and uses this as the (1) medical institution information of the recuperation guidance plan. The predetermined conditions include selecting the (1) medical institution information of the second instruction sheet information, which is the newer instruction sheet information, or selecting the (1) medical institution information of a medical institution or attending physician for which the content of (3) patient disease information and (4) patient examination information is more suitable. This more suitable medical institution or attending physician can be determined using the departments included in the medical institution - attending physician master 110 or the specialties (not shown in FIG. 5). Furthermore, it is also possible to select the (1) medical institution information of the instruction sheet information of the more advanced (5) living and exercise instruction status and (6) nutritional guidance instructions.

[0107] (B) Next, the guidance content adjustment unit 11 identifies the instruction sheet information including the (1) medical institution information selected in (A) from the first instruction sheet information and the second instruction sheet information. Then, the guidance content adjustment unit 11 identifies the (5) living and exercise instruction status and (6) nutritional guidance instructions of the identified instruction sheet information.

[0108] (C) Then, the guidance content adjustment unit 11 creates a recuperation guidance plan including the (1) medical institution information selected in (A) and the (5) living and exercise instruction status and (6) nutritional guidance instructions selected in (B).

[0109] Also, in step S113, the guidance content adjustment unit 11 transmits a confirmation notice including a convalescence guidance plan to the patient terminal 20 of the target patient via the output unit 16. This confirmation notice also includes a confirmation request as to whether the patient can accept the convalescence guidance plan including a change of medical institution for the convalescence guidance plan. Therefore, the confirmation notice to the patient terminal 20 may be at least the confirmation request. Here, the change of medical institution means the change from medical institution A of the first prescription information to medical institution B of the second prescription information. Then, the input unit 15 receives the confirmation result for the confirmation notice from the patient terminal 20, and the guidance content adjustment unit 11 accepts this.

[0110] Also, the output destination of the confirmation request and the confirmation notice is not limited to the patient terminal 20. For example, it may be output to the instructor terminal 10a, and the instructor may convey this to the patient orally or by phone for confirmation. Also, the output unit 16 may output this by voice to the phone of the target patient (for example, the patient terminal 20 or a landline). In this way, the output unit 16 only needs to be able to output the confirmation request and the confirmation notice to the patient. Furthermore, the output unit 16 may use at least one of the patient terminal 20, the instructor terminal 10a, and the medical institution terminal 30 (for example, the patient terminal 20 and the instructor terminal 10a) as the output destination.

[0111] Furthermore, the input unit 15 may be configured to receive the confirmation result from at least one of the patient terminal 20, the instructor terminal 10a, and the medical institution terminal 30 (for example, the patient terminal 20 and the instructor terminal 10a). More preferably, the confirmation result is received from the output destination of the confirmation request and the confirmation notice.

[0112] Note that steps S112 and S113 may be performed as follows. First, in step S112, the guidance content adjustment unit 11 creates a first convalescence guidance plan and a second convalescence guidance plan indicating the content of the first instruction sheet information and the second instruction sheet information, respectively. Then, in step S113, the guidance content adjustment unit 11 transmits a confirmation notice including the first convalescence guidance plan and the second convalescence guidance plan to the patient terminal 20 via the output unit 16. And the guidance content adjustment unit 11 receives a selection result for the first convalescence guidance plan and the second convalescence guidance plan from the patient terminal 20 via the input unit 15. As a result of the above, the guidance content adjustment unit 11 will confirm whether to change the medical institution from medical institution A to medical institution B or the attending doctor from the patient. That is, it will be confirmed whether the main medical institution is medical institution A or medical institution B.

[0113] Then, in step S114, the guidance content adjustment unit 11 determines whether to change the medical institution from medical institution A to medical institution B using the confirmation result in step S113. As a result, if the change is not necessary (N), the process proceeds to step S115. Here, if the change is not necessary, the guidance content adjustment unit 11 will specify the main medical institution as medical institution A. Also, if the change is necessary (Y), the process proceeds to step S116. Here, if the change is necessary, the guidance content adjustment unit 11 will specify the main medical institution as medical institution B.

[0114] Also, in step S115, the guidance content adjustment unit 11 transmits the confirmation result for the confirmation notice in step S113 to the medical institution terminal 30-b via the output unit 16. That is, it is notified that the main medical institution for the target patient is medical institution A for convalescence guidance.

[0115] Also, in step S116, the guidance content adjustment unit 11 transmits the confirmation result for the confirmation notice in step S113 to the medical institution terminal 30-a and the medical institution terminal 30-b via the output unit 16. That is, it is notified that the main medical institution is changed to medical institution B.

[0116] Also, in step S117, the convalescence guidance management unit 13 updates the patient-specific convalescence guidance operation table 114 and the instructor-specific convalescence guidance operation table 115 according to the created convalescence guidance plan. More specifically, the HID and DID of the patient-specific convalescence guidance operation table 114 and the instructor-specific convalescence guidance operation table 115 are updated to the HID and DID of the convalescence guidance plan. As a result, subsequent convalescence guidance will be implemented according to the second instruction sheet information requested by medical institution B.

[0117] Here, a specific example of the update in step S117 will be described with reference to the patient-specific convalescence guidance operation table 114-3 and the instructor-specific convalescence guidance operation table 115-3. First, FIG. 15 is a diagram showing the patient-specific convalescence guidance operation table 114-3 updated when the requester of convalescence guidance is changed in Example 1. In FIG. 15, the HID of business IDs 1-1 and 1-2 is 2, and the DID is 2.

[0118] In contrast, in the patient-specific convalescence guidance operation table 114-1 (FIG. 9) before the update, the HID is 1 and the DID is 3. That is, in step S117, the convalescence guidance management unit 13 updates the HID of business IDs 1-1 and 1-2 from 1 to 2 and the DID from 3 to 2 respectively. That is, regarding the requester of convalescence guidance, the medical institution is updated from medical institution A3-a with HID: 1 to medical institution B3-b with HID: 2. Furthermore, regarding the attending physician of the requester of convalescence guidance, it is updated from the attending physician with DID: 3 to the attending physician with DID: 2.

[0119] Also, FIG. 16 is a diagram showing the instructor-specific convalescence guidance operation table 115-3 updated when the requester of convalescence guidance is changed in Example 1. In FIG. 16, the HID of business IDs 1-1 to 1-4 is 2, and the DID is 2.

[0120] In contrast, in the pre-update convalescence guidance operation table 115-2 (Figure 10) for each instructor, the HID is 1 and the DID is 3. That is, in step S117, the convalescence guidance management department 13 updates the HID of business ID1-1 and business ID1-2 from 1 to 2, and the DID from 3 to 2 respectively. That is, as described in Figure 15, for the requester of convalescence guidance, the medical institution is updated from medical institution A3-a with HID:1 to medical institution B3-b with HID:2. Furthermore, for the attending physician of the requester of convalescence guidance, it is updated from the attending physician with DID:3 to the attending physician with DID:2. Note that the business start time and business end time in Figures 15 and 16 show an example set to be about one month after those in Figures 9 and 10. With the above, the explanation of the detailed processing flow in Figure 14 is completed, and we return to the explanation of Figure 13.

[0121] In step S12 of Figure 13, the guidance content adjustment unit 11 transmits, via the output unit 16, a schedule adjustment request for performing convalescence guidance indicated by the first instruction sheet information to the patient terminal 20 used by the target patient. Whether to follow the first instruction sheet information or the second instruction sheet information is determined according to the determination result in step S114 of Figure 14. In Figure 13, it shows the case where it is changed to medical institution B3-b and processed according to the second instruction sheet information. Then, hereafter, in steps S13 to S18, the same processing as steps S3 to S8 is executed. At this time, the medical institution terminal uses the medical institution terminal 30-b. As a result, the convalescence guidance will be implemented in response to the request of medical institution B.

[0122] Here, the fee billing process and payment process in steps S16 and S17 will be explained. Figure 17 is a flowchart showing the detailed processing flow of the result notification process to the fee payment process (steps S16 and S17) in Example 1.

[0123] First, as the result notification process, in step S161, the guidance content adjustment unit 11 transmits a report on the implementation of convalescence guidance to the medical institution terminal 30-b via the output unit 16. Although the transmission destination is different from that in step S6, the content is the same process. Also, the guidance content adjustment unit 11 records the transmitted implementation report in the storage unit 17 in the implementation report table 118.

[0124] Here, a specific example of the implementation report will be described. FIG. 18 is a diagram showing the implementation report table 118 used in the first embodiment. The implementation report table 118 is a data table that records the implementation reports transmitted in step S6 and step S16. In FIG. 18, each item of the implementation report is shown, and a plurality of implementation reports will be recorded in the implementation report table 118. This implementation report is information indicating the guidance content of the convalescence guidance from the convalescence guidance institution 1, and has each item of (1) guidance institution information, (2) patient basic information, (3) guidance content, (4) continuous guidance, (5) instruction status of life and exercise, and (6) special remarks. Hereinafter, each of these items will be described.

[0125] (1) Guidance institution information is information regarding the convalescence guidance institution 1 that has performed the corresponding convalescence guidance. The specific items of the guidance institution information are as shown in the figure. This guidance institution information is obtained from the instructor terminal 10a from the instructor's manual input or the content previously stored in the storage unit 17.

[0126] Also, (2) patient basic information is information regarding the patient who is the subject of the convalescence guidance. The specific items of this patient basic information are as shown in the figure, and in addition to the (2) patient basic information in the instruction sheet table 117, the ISID is recorded. Here, this patient basic information can also be obtained from the patient master 111. That is, the guidance content adjustment unit 11 receives the instruction sheet information including the PID from the medical institution terminals 30-a to 30-c, searches the patient master 111 using the PID as a key, and can specify attributes such as the patient name. Conversely, the guidance content adjustment unit 11 may also use these to specify the PID and other information from the patient master 111 by including the patient name in the transmitted instruction sheet information.

[0127] Also, (3) the guidance content is information indicating the content of the convalescence guidance provided to the patient who is the subject of the convalescence guidance. The specific items of this guidance content are as shown in the illustration. This guidance content is obtained from the instructor terminal 10a through manual input by the instructor or the like.

[0128] Also, (4) the continuous guidance is information indicating the content of the continuous guidance determined by the instructor for the patient who is the subject of the convalescence guidance. The specific items of this continuous guidance are as shown in the illustration, and although not shown here, the instruction content such as whether it is available or not is specified (for the sake of convenience, both availability and non-availability are described in the figure).

[0129] Furthermore, (6) the special remarks indicate other contact matters regarding the convalescence guidance that the instructor wishes to communicate to the medical institution or the attending physician of the client. This special remark is also obtained from the instructor terminal 10a through manual input by the instructor. This concludes the description of FIG. 18.

[0130] Also, in step S162, the guidance content adjustment unit 11 determines whether one month, which is the implementation unit period since the start of the corresponding convalescence guidance, has elapsed and whether the business of the convalescence guidance scheduled to be implemented during this period has been completed. As a result, if the business is completed (Y), the process proceeds to step S171. If not completed (N), this processing flow ends.

[0131] Also, in step S171, the fee billing adjustment unit 12 calculates the fee billing amount for the business implemented during the implementation unit period (one month) for medical institution B3-b. For this purpose, for example, the fee billing adjustment unit 12 can calculate using the unit price for each business recorded in the convalescence guidance operation master 113.

[0132] Also, in step S172, the fee billing adjustment unit 12 transmits, via the output unit 16, a fee bill including the calculated fees, confirmation of the end of the implemented recuperation guidance, and the fee bill to the medical institution terminal 30-b. That is, fee billing and end confirmation are performed for medical institution B, which is the main medical institution. Then, in step S173, the fee billing adjustment unit 12 determines whether it has received a payment notice from the medical institution terminal 30-b after a predetermined period has elapsed since step S171, that is, whether the receipt of the billed amount has been completed. As a result, if a payment notice is received in step S18 (Y), this processing flow ends. If a payment notice has not been received (N), the process proceeds to step S174.

[0133] Then, in step S174, the fee billing adjustment unit 12 executes a re-billing process for medical institution B3-b by the same process as in step S172. With the above, the description of Example 1 ends. According to Example 1, even when the requester of the recuperation guidance is changed, it is possible to appropriately perform the recuperation guidance and related operations such as fee settlement while confirming the target patient.

Example

[0134] In Example 1, the examination payment institution 2 is assumed, but in Example 2, the examination payment institution 2 is omitted. Hereinafter, the participants and organizations involved in the recuperation guidance in Example 2 and their schemes will be described. FIG. 19 is a diagram showing an overview of the recuperation guidance including the recuperation guidance institution 1 in Example 2.

[0135] In FIG. 19, the recuperation guidance institution 1 makes proposals regarding recuperation guidance to patients (patient A2a, patient B2b) in response to requests from medical institutions (medical institution A3-a, medical institution B3-b, medical institution C3-c), which is common to FIG. 1. However, in the scheme of FIG. 1, each medical institution reports and bills the insurer via the examination payment institution 4, whereas in Example 2, the recuperation guidance institution 1 reports and bills the insurer 5 directly and receives payment. Hereinafter, the configuration and processing for realizing these differences will be mainly described.

[0136] Figure 20 is a system configuration diagram of the recuperation guidance support system 100 in Embodiment 2. Figure 20 has an insurer system 80 added compared to Figure 2 in Embodiment 1. The insurer system 80 is an information processing system used by the insurer 5 and can be realized by a single computer or multiple computers and a network. Further, the insurer system 80 is connected to the recuperation guidance support device 10 via a network.

[0137] Also, in Steps S6 to S8 and Steps S16 to S18 of Embodiment 1, between the recuperation guidance support device 10 and the medical institution terminal 30, implementation reports, end confirmations, and fee claims are transmitted, and fee payment notifications are received. In comparison, in Embodiment 2, further, between the recuperation guidance support device 10 and the insurer system 80, implementation reports, end confirmations, and fee claims are transmitted, and fee payment notifications are received. This will be described below.

[0138] First, similar to Step S6, the guidance content adjustment unit 11 transmits a notification of the result of recuperation guidance, that is, an implementation report, to the insurer system 80 via the output unit 16. The content of the implementation report is the same as in Embodiment 1.

[0139] Also, similar to Step S7, the fee claim adjustment unit 12 transmits an end confirmation and a fee claim for the recuperation guidance requested by the medical institution to the insurer system 80 via the output unit 16. Then, similar to Step S8, the fee claim adjustment unit 12 receives a fee payment notification from the insurer system 80 via the input unit 15. In Embodiment 2 as well, the fee claim adjustment unit 12 calculates the fee claim amount, which can be calculated using the unit price for each service for each implementation unit period in the same manner as in Embodiment 1. However, in Embodiment 2, after the adjustment process, the fee claim amount for all medical institutions that have carried out recuperation guidance is calculated.

[0140] With the above, the description of Example 2 ends. According to Example 2, the examination payment institution 4 can be omitted, and additional services such as appropriate convalescence guidance and cost settlement based on this can be implemented with a simpler scheme. Further, the present invention is not limited to the above-described respective examples, and various modifications and application examples are also included. Also, a configuration in which Example 1 and 2 are combined, some medical institutions use the examination payment institution 4, and others do not, is also included in the present invention. Further, the convalescence guidance institution 1 may dynamically change the use or non-use of the examination payment institution 4 according to the timing and cost. Also, a plurality of convalescence guidance institutions 1 and the convalescence guidance support devices 10 used thereby may be used. Furthermore, a plurality of insurers 5 and a plurality of convalescence guidance institutions 1 may be prepared.

Explanation of Signs

[0141] 1... Convalescence guidance institution, 2... Patient, 3... Medical institution, 4... Examination payment institution, 5... Insurer, 6... Regional operator, 10... Convalescence guidance support device, 10a... Instructor terminal, 11... Guidance content adjustment unit, 12... Fee claim adjustment unit, 13... Convalescence guidance management unit, 14... Interruption response management unit, 15... Input unit, 16... Output unit, 17... Storage unit, 20... Patient terminal, 30... Medical institution terminal, 80... Insurer system, 100... Convalescence guidance support system, 300-c... In-hospital system

Claims

1. In a convalescence guidance support device that supports convalescence guidance at a convalescence guidance institution that provides convalescence guidance to a plurality of medical institutions and a plurality of patients, an input unit that extracts a plurality of memo information indicating the content of convalescence guidance requested by the corresponding medical institution from a plurality of medical institution devices used by the plurality of medical institutions; a guidance content adjustment unit that compares the plurality of memo information, determines the necessity of adjustment for the convalescence guidance from the plurality of medical institutions to the patient, and creates a convalescence guidance plan using the plurality of memo information when it is determined that the adjustment is necessary; an output unit that outputs a confirmation request including the convalescence guidance plan to the patient; the input unit receives a confirmation result that is the patient's response to the confirmation request; the output unit transmits the confirmation result to at least one of the plurality of medical institution devices according to the response, a convalescence guidance support device.

2. In the convalescence guidance support device according to claim 1, the output unit transmits the confirmation request to a patient terminal used by the patient; the input unit receives the confirmation result from the patient terminal, a convalescence guidance support device.

3. In the convalescence guidance support device according to claim 1, the guidance content adjustment unit determines the duplication of the convalescence guidance requested by the plurality of medical institutions, a convalescence guidance support device.

4. In the convalescence guidance support device according to claim 3, the guidance content adjustment unit identifies a main medical institution for the convalescence guidance to the patient from the medical institutions that requested the overlapping convalescence guidance, a convalescence guidance support device.

5. In the convalescence guidance support device according to claim 4, further, a convalescence guidance support device having a fee billing adjustment unit that performs fee billing processing for the main medical institution.

6. In the convalescence guidance support device according to claim 2, the guidance content adjustment unit creates a first convalescence guidance plan and a second convalescence guidance plan as the convalescence guidance plan; the output unit transmits the first convalescence guidance plan and the second convalescence guidance plan to the patient terminal; the input unit receives a selection result of the first convalescence guidance plan and the second convalescence guidance plan from the patient terminal, a convalescence guidance support device.

7. In a convalescence guidance support method by a convalescence guidance support device that supports convalescence guidance at a convalescence guidance institution that provides convalescence guidance to a plurality of medical institutions and a plurality of patients, The input unit acquires a plurality of slip information indicating the content of the recuperation guidance requested by the corresponding medical institution from a plurality of medical institution devices used by the plurality of medical institutions. The guidance content adjustment unit collates the plurality of slip information, determines the necessity of adjustment for the recuperation guidance from the plurality of medical institutions to the patient, and if it is determined that the adjustment is necessary, creates a recuperation guidance plan using the plurality of slip information. The output unit outputs a confirmation request including the recuperation guidance plan for the patient. The input unit receives a confirmation result that is the patient's response to the confirmation request. A recuperation guidance support method in which the output unit transmits the confirmation result to at least one of the plurality of medical institution devices according to the response.

8. In the recuperation guidance support method according to Claim 7. The output unit transmits the confirmation request to a patient terminal used by the patient. A recuperation guidance support method in which the input unit receives the confirmation result from the patient terminal.

9. In the recuperation guidance support method according to Claim 7. A recuperation guidance support method in which the guidance content adjustment unit determines the duplication of the recuperation guidance requested by the plurality of medical institutions.

10. In the recuperation guidance support method according to Claim 9. A recuperation guidance support method in which the guidance content adjustment unit identifies the main medical institution for the recuperation guidance for the patient from the medical institutions that requested the overlapping recuperation guidance.

11. In the recuperation guidance support method according to Claim 10. Furthermore, a recuperation guidance support method in which a fee billing adjustment unit performs a fee billing process for the main medical institution.

12. In the recuperation guidance support method according to Claim 8. The guidance content adjustment unit creates a first recuperation guidance plan and a second recuperation guidance plan as the recuperation guidance plan. The output unit transmits the first recuperation guidance plan and the second recuperation guidance plan to the patient terminal. A recuperation guidance support method in which the input unit receives a selection result of the first recuperation guidance plan and the second recuperation guidance plan from the patient terminal.

Images