Online medical consultation system, online medical consultation method, and program

Abstract

To provide an online medical treatment system, method, and program that make a generation state of a medical treatment expense clear in an online medical treatment.SOLUTION: An online medical treatment system has: a patient terminal that reflects a patient; a hospital terminal that conducts an online medical treatment over the patient terminal and video call; and a medical treatment management server that manages an online medical treatment over the video call. The medical treatment management server has: a connection permission unit; a connection disconnection unit; a time management unit that measures a time until the connection disconnection unit disconnects the video call since the time the video call is permitted by the connection permission unit; an expense calculation unit that calculates a billing amount of the medical treatment expense on the basis of the time the time management unit measures; and an operation detection unit that detects a start operation of the online medical treatment in the hospital terminal. The expense calculation unit does not include a time until the operation detection unit detects the start operation of the online medical treatment since the time the connection permission unit connects the video call between the patient terminal and the hospital terminal of the time the time management unit measures in a billing object of the medical treatment expense.SELECTED DRAWING: Figure 1

Description

Technical Field

[0001] The present invention relates to an online medical treatment system, an online medical treatment method, and a program.

Background Art

[0005] The objective is to provide an online medical consultation system that can clearly define the status of medical expenses incurred during online consultations. [Means for solving the problem]

[0006] The online medical consultation system according to the present invention comprises a patient terminal that displays the patient, a hospital terminal that conducts online medical consultations with the patient terminal via video call, and a management device that manages the online medical consultations via video call. The management device comprises a connection permission unit that permits video calls between the patient terminal and the hospital terminal, a connection disconnection unit that disconnects the video call between the patient terminal and the hospital terminal, a time management unit that measures the time from when the video call is permitted by the connection permission unit until the video call is disconnected by the connection disconnection unit, a cost calculation unit that calculates the amount of medical expenses to be billed based on the time measured by the time management unit, and the hospital terminal The system includes an operation detection unit that detects the start and end operations of online medical consultations, and the cost calculation unit does not include in the billing of medical expenses the time from when the video call between the patient terminal and the hospital terminal is established by the connection permission unit until the start operation of the online medical consultation is detected by the operation detection unit, out of the time measured by the time management unit, and does not include in the billing of medical expenses the time from when the end operation of the online medical consultation is detected by the operation detection unit until the video call between the patient terminal and the hospital terminal is disconnected by the connection disconnection unit, out of the time measured by the time management unit.

[0007] Preferably, the management device further includes a status display unit on the patient terminal that indicates whether or not medical fees have been incurred, the status display unit displays on the patient terminal that no fees have been incurred until the operation to start the online consultation is detected by the operation detection unit, and from the time the operation to end the online consultation is detected, and the status display unit displays on the patient terminal that fees have been incurred from the time the operation to start the online consultation is detected by the operation detection unit until the operation to end the online consultation is detected.

[0008] Preferably, the management device further comprises a reservation management unit that manages the reservation time for online medical consultations reserved from the patient terminal, and an information management unit that manages information collected by video calls authorized by the connection authorization unit, wherein the connection authorization unit authorizes video calls between the patient terminal and the hospital terminal from a predetermined time before the reservation time managed by the reservation management unit, and the information management unit manages information collected by video calls authorized by the connection authorization unit from a predetermined time before the reservation time.

[0009] Preferably, the operation detection unit detects an extension operation of the online medical consultation on the hospital terminal, the status display unit displays on the patient terminal that a fee has been incurred since the operation detection unit detected the extension operation, and the fee calculation unit includes the time from when the operation detection unit detected the extension operation to when the operation termination operation was detected as part of the time measured by the time management unit for billing purposes.

[0010] Preferably, the management device further includes a call status monitoring unit that monitors the status of a video call between the patient terminal and the hospital terminal, and if the call status monitoring unit determines that the video call has been disconnected within the reserved time managed by the reservation management unit and before the operation detection unit detects an termination operation, the connection permission unit permits the connection of the video call between the patient terminal and the hospital terminal.

[0011] The online medical consultation method according to the present invention comprises a patient terminal that displays the patient, a hospital terminal that conducts online medical consultations with the patient terminal via video call, and a management device that manages the online medical consultations via video call. The management device includes a connection permission step that permits a video call between the patient terminal and the hospital terminal, a connection disconnection step that disconnects the video call between the patient terminal and the hospital terminal, a time management step that measures the time from when the video call is permitted by the connection permission unit until the video call is disconnected by the connection disconnection unit, a cost calculation step that calculates the amount of medical consultation fees based on the time measured by the time management unit, and the online medical consultation method on the hospital terminal. The cost calculation step includes an operation detection step for detecting the start and end operations of a medical consultation, wherein the cost calculation step does not include in the billing of medical expenses the time from when the video call between the patient terminal and the hospital terminal is established by the connection permission step until the start operation of the online medical consultation is detected by the operation detection step, and the cost calculation step does not include in the billing of medical expenses the time from when the end operation of the online medical consultation is detected by the operation detection step until the video call between the patient terminal and the hospital terminal is disconnected by the connection disconnection step, among the time measured by the time management step.

[0012] The program according to the present invention comprises a patient terminal that displays a patient, a hospital terminal that conducts online medical consultations via video call with the patient terminal, and a management device that manages the online medical consultations via video call. The management device includes a connection permission step that authorizes a video call between the patient terminal and the hospital terminal, a connection disconnection step that disconnects the video call between the patient terminal and the hospital terminal, a time management step that measures the time from when the video call is authorized by the connection permission unit until the video call is disconnected by the connection disconnection unit, a cost calculation step that calculates the amount of medical expenses to be billed based on the time measured by the time management unit, and a start operation for online medical consultations on the hospital terminal. The system includes an operation detection step that detects the start and end operations, and the cost calculation step does not include in the cost calculation the time measured by the time management step from when the video call between the patient terminal and the hospital terminal is established by the connection permission step until the operation to start the online consultation is detected by the operation detection step, and the cost calculation step does not include in the cost calculation the time measured by the time management step from when the end operation of the online consultation is detected by the operation detection step until the video call between the patient terminal and the hospital terminal is disconnected by the connection disconnection step. [Effects of the Invention]

[0013] This allows for a clearer understanding of the costs incurred during online medical consultations. [Brief explanation of the drawing]

[0014] [Figure 1] This diagram illustrates the overall configuration of online medical consultation system 1. [Figure 2] This diagram illustrates the hardware configuration of the medical management server 7. [Figure 3] This diagram illustrates the functional configuration of the medical management server 7. [Figure 4] This diagram illustrates an example screen for owner terminal 3. [Figure 5]This diagram illustrates an example screen for hospital terminal 5. [Figure 6] This table explains the billing / non-billing status based on the video call connection status and the consultation status. [Figure 7] This is a flowchart explaining the online medical consultation process (S10). [Modes for carrying out the invention]

[0015] Embodiments of the present invention will be described with reference to the drawings. In this example, we will describe a case where the patient is a pet and receives an online consultation from a veterinary hospital. However, online consultation system 1 can also be used when the patient is a person and the person receives an online consultation. Figure 1 is a diagram illustrating the overall configuration of online medical consultation system 1. As illustrated in Figure 1, the online medical consultation system 1 includes a pet owner terminal 3, a hospital terminal 5, and a medical management server 7, which are connected to each other via a network 9. The owner terminal 3 is a portable information terminal such as a smartphone, personal computer, or tablet, and is an internet-connected device with a camera function. The owner terminal 3 has dedicated application software provided by the medical management server 7 installed. By launching this application software, the owner terminal 3 displays the pet patient and receives medical treatment or consultations about the pet via video call with the hospital terminal 5. The owner terminal 3 is an example of a patient terminal according to the present invention.

[0016] Hospital terminal 5 is an internet-connected computer terminal with a camera function, and it conducts online consultations with pet owner terminal 3 via video call. Specifically, hospital terminal 5 has dedicated application software provided by the medical management server 7 installed, and it launches this application software to conduct online consultations. Hospital terminal 5 is a terminal operated by medical professionals, and it conducts remote consultations or examinations of pets via video call with pet owner terminal 3.

[0017] The medical treatment management server 7 is a computer terminal that can be connected to the Internet, and manages online medical treatment through video calls between the pet owner terminal 3 and the hospital terminal 5. Specifically, the medical treatment management server 7 manages online medical treatment reservations, initiates, monitors, and ends video calls, displays the billing status, calculates medical treatment fees, and settles medical treatment fees. The medical treatment management server 7 is an example of the management device according to the present invention.

[0018] FIG. 2 is a diagram illustrating the hardware configuration of the medical treatment management server 7. As illustrated in FIG. 2, the medical treatment management server 7 includes a CPU 200, a memory 202, an HDD 204, a network interface 206 (network IF 206), a display device 208, and an input device 210, and these components are connected to each other via a bus 212. The CPU 200 is, for example, a central processing unit. The memory 202 is, for example, a volatile memory and functions as a main memory device. The HDD 204 is, for example, a hard disk drive device, and stores a computer program (for example, the online medical treatment management program 70 in FIG. 3) and other data files (for example, user information registration database, reservation information database 610, medical treatment information database 620). The network IF 206 is an interface for communicating wired or wirelessly, and realizes communication in the network 9, for example. The display device 208 is, for example, a liquid crystal display. The input device 210 is, for example, a keyboard and a mouse.

[0019] FIG. 3 is a diagram illustrating the functional configuration of the medical treatment management server 7. As illustrated in Figure 3, the medical management server 7 in this example has the medical management program 70 installed, and is configured with a user information registration database (user information registration DB600), a reservation information database 610 (reservation information DB610), and a medical information database 620 (medical information DB620). The medical management program 70 includes a user information registration unit 700, a reservation management unit 702, a connection permission unit 704, a connection disconnection unit 706, a time management unit 708, an operation detection unit 710, a cost calculation unit 712, a status display unit 714, an information management unit 716, a call status monitoring unit 718, a statement creation unit 720, and a settlement unit 722. Furthermore, part or all of the medical management program 70 may be implemented using hardware such as ASICs, or it may be implemented by partially borrowing the functions of an OS (Operating System).

[0020] In the medical management program 70, the user information registration unit 700 receives pet owner information, pet information, and payment information for pets receiving online medical consultations via the owner terminal 3, and stores them as user information in the user information registration DB 600. Pet owner information includes the owner's name, date of birth, email address, telephone number, postal code, and address. Pet information includes the pet's name, type, breed, sex, whether or not it has been spayed / neutered, coat color, size, weight, date of birth, personality, living place, daily diet, favorite foods, MicroChipID, rabies information, vaccination date, vaccine type, medical history, insurance company, insurance number, insurance expiration date, and a photo of the pet. Payment information includes the payment method to be used. The reservation management unit 702 manages online consultations booked from the owner terminal 3. Specifically, the reservation management unit 702 displays to the owner terminal 3 the available dates and times for consultations or appointments at the animal hospital selected by the owner. The reservation management unit 702 receives the reservation date and time selected by the owner from the owner terminal 3, and then notifies the hospital terminal 5 of the reservation date and time at the animal hospital selected by the owner, thereby obtaining the reservation.

[0021] The connection authorization unit 704 permits video calls between the owner terminal 3 and the hospital terminal 5. Specifically, the connection authorization unit 704 permits video calls between the owner terminal 3 and the hospital terminal 5 from a predetermined time before the reservation time managed by the reservation management unit 702. More specifically, the connection authorization unit 704 displays to the owner terminal 3 that it is possible to connect to the hospital terminal 5 from 10 minutes before the reservation time, as illustrated in Figure 4(b), and enables connection to the hospital terminal 5 by pressing the connect button. The connection authorization unit 704 enables the reconnection of the video call between the owner terminal 3 and the hospital terminal 5 if the video call is disconnected due to a communication failure or error by the owner or doctor.

[0022] The connection disconnection unit 706 disconnects the video call between the pet owner terminal 3 and the hospital terminal 5. Specifically, the connection disconnection unit 706 disconnects the video call when either the pet owner terminal 3 or the hospital terminal 5 terminates the application program of the online medical consultation system 1. The time management unit 708 measures the time from when the video call is authorized by the connection authorization unit 704 until the connection is actually established and the video call is disconnected by the connection disconnection unit 706. The operation detection unit 710 detects the start and end operations of online medical consultations on the hospital terminal 5. The operation detection unit 710 also detects operations to extend online medical consultations on the hospital terminal 5.

[0023] The cost calculation unit 712 calculates the amount of medical treatment costs based on the time measured by the time management unit 708. Specifically, the cost calculation unit 712 does not include in the medical treatment costs the time measured by the time management unit 708 from when the video call between the owner terminal 3 and the hospital terminal 5 is established by the connection permission unit 704 until the start operation of the online consultation is detected by the operation detection unit 710. Furthermore, the cost calculation unit 712 does not include in the medical treatment costs the time measured by the time management unit 708 from when the end operation of the online consultation is detected by the operation detection unit 710 until the video call between the owner terminal 3 and the hospital terminal 5 is disconnected by the connection disconnection unit 706. In addition, the cost calculation unit 712 includes in the medical treatment costs the time measured by the time management unit 708 from when the extension operation is detected by the operation detection unit 710 until the end operation is detected. This allows the online medical consultation system 1 to charge for consultations only for the actual consultation time, rather than for the entire duration of the video call connection.

[0024] The status display unit 714 displays to the owner terminal 3 whether or not a consultation fee has been incurred. Specifically, the status display unit 714 displays to the owner terminal 3 that no fee has been incurred until the operation detection unit 710 detects the start of the online consultation and from the time the end of the online consultation is detected. Furthermore, the status display unit 714 displays to the owner terminal 3 that a fee has been incurred from the time the operation detection unit 710 detects the start of the online consultation until the end of the online consultation is detected. In addition, the status display unit 714 displays to the owner terminal 3 that a fee has been incurred from the time the operation detection unit 710 detects an extension operation. This allows pet owners to be aware of whether or not charges are incurred during video calls (charged / non-charged).

[0025] The Information Management Unit 716 manages information collected through video calls authorized by the Connection Permission Unit 704. Specifically, the Information Management Unit 716 stores the information collected through video calls in the Medical Information DB 620. In addition to medical treatment details, the Information Management Unit 716 also manages information collected through authorized video calls from before the predetermined time of the appointment. For example, the Information Management Unit 716 manages the content of the medical interview and the corresponding records. The call status monitoring unit 718 monitors the status of the video call between the owner terminal 3 and the hospital terminal 5. Specifically, the call status monitoring unit 718 determines whether the video call between the owner terminal 3 and the hospital terminal 5 is connected or disconnected. If the video call is disconnected by the connection disconnection unit 706 and not due to an action by the owner or doctor (for example, due to a communication failure), the call status monitoring unit 718 requests the connection permission unit 704 to reconnect the video call between the owner terminal 3 and the hospital terminal 5. The item creation unit 720 creates an online medical billing statement based on the medical expenses calculated by the cost calculation unit 712 and the medical treatment details managed by the information management unit 716, and sends it to the pet owner terminal 3. The settlement unit 722 performs the settlement based on the settlement method registered in the user information registration DB 600.

[0026] Figure 4 shows the operation screen of the online medical consultation system 1 on the owner's terminal 3. As illustrated in Figure 4(a), online medical consultations can be booked and confirmed from the home screen of the online medical consultation system 1. When the remote start button on the home screen is pressed, reservation information is displayed as shown in the reservation guidance screen in Figure 4(b). The connection permission unit 704 then allows connection to the hospital terminal 5 10 minutes before the start of the reservation time, and pressing the connect button enables a video call connection with the hospital terminal 5. As illustrated in the standby screen of Figure 4(c), when connected to the hospital terminal 5, the status display area will show that no charges have been incurred, and prompts to check the audio and camera will be displayed. Once the consultation begins, as illustrated in Figure 4(d), the pet's image is displayed, "Consultation in Progress" is shown in the status display area, and the status changes to indicate that a fee is being charged. Furthermore, a countdown timer for the consultation time begins and is displayed.

[0027] Furthermore, as illustrated in Figure 4(e), the appointment management unit 702 displays a message to the owner terminal 3 indicating that the appointment time is approaching, specifically when there are less than 3 minutes remaining until the end of the appointment time. Additionally, as illustrated in Figure 4(f), the appointment management unit 702 displays a message to the owner terminal 3 asking if they wish to extend the appointment time when there are less than 2 minutes remaining until the end of the appointment time. Thus, with the online medical consultation system 1, the status of the consultation fee is displayed on the owner's terminal 3, allowing the owner to be aware of when they are being charged. In addition, a countdown timer for the consultation time is displayed, preventing situations where questions cannot be asked due to time running out, and allowing the owner to ask questions to the doctor while being mindful of the time.

[0028] Figure 5 shows the operation screen of the online medical consultation system 1 on the hospital terminal 5. As illustrated in the reservation guidance screen in Figure 5(a), the hospital terminal 5 displays the reservation time and a button to connect to the owner terminal 3, and the connection authorization unit 704 enables a video call connection with the owner terminal 3. As illustrated in the standby screen of Figure 5(b), when the connect button is pressed on the hospital terminal 5, a video call is initiated. The hospital terminal 5 displays the video of the pet and the doctor, whether or not a charge is being made in the status display, a countdown timer for the consultation time, pre-acquired appointment questionnaire information, pet information, owner information, and past consultation history. In addition, the start, extend, and end buttons for the consultation, which are operated by the doctor, are enabled and displayed. As illustrated in the in-treatment screen in Figure 5(c), when the operation detection unit 710 detects that the doctor has pressed the start button for treatment, the status display shows "Treatment / Consultation in Progress" and switches to a display indicating that a fee is being incurred. Furthermore, the reservation management unit 702 starts and displays a countdown of the treatment time. By displaying the billing / non-billing status and allowing doctors to clearly define the start and end of consultations, it becomes possible to ensure that charges are not incurred for time spent outside of the doctor's consultation, such as conversations between the veterinary nurse and the pet owner after the consultation, or answering questions that were missed during the consultation. This lowers the psychological barrier for pet owners to seek online consultations and helps build trust in the veterinary hospital.

[0029] Figure 6 is a table illustrating the billing / non-billing status based on the connection status of the video call between the pet owner terminal 3 and the hospital terminal 5, and the status of the medical consultation. As illustrated in Figure 6, the connection status between the owner terminal 3 and the hospital terminal 5 can be "connected" or "disconnected". The treatment status can be "before treatment", "during treatment", or "after treatment". "Before treatment" refers to the period before the operation detection unit 710 detects the start of treatment on the hospital terminal 5. "During treatment" refers to the period from when the operation detection unit 710 detects the start of treatment on the hospital terminal 5 until when the operation detection unit 710 detects the end of treatment on the hospital terminal 5. "After treatment" refers to the period after the operation detection unit 710 detects the end of treatment on the hospital terminal 5. When the video call is disconnected, no consultation fees will be charged, even if it is the scheduled time for the consultation. Online consultation system 1 does not charge before or after the consultation, and no consultation fees are incurred, even when the video call is connected. Charges and consultation fees are incurred only during the consultation. Therefore, there is no charge for allowing time for communication between the veterinary nurse or doctor and the pet owner, or for time to calm the pet down, before the examination, in order to ensure a smooth consultation.

[0030] Figure 7 is a flowchart illustrating the online medical consultation process (S10). Online medical consultation processing (S10) describes the process from when an online consultation is booked, through the start of the online consultation, disconnection of the video call due to a communication failure, restoration of the video call, extension of the consultation, end of the consultation, and payment. As illustrated in Figure 7, in step 100 (S100), the user information registration unit 700 of the medical management server 7 receives owner information, pet information, and payment information entered from the owner terminal 3, and stores them in the user information registration DB 600.

[0031] In step 105 (S105), the reservation management unit 702 of the medical management server 7 displays the available dates and times for online consultations at the veterinary hospital associated with the user (pet owner) in the user information. If no veterinary hospital is registered, the reservation management unit 702 displays candidate veterinary hospitals that offer online consultations to the owner terminal 3 based on the information entered from the owner terminal 3. The owner selects their veterinarian from the displayed hospitals, and the user information registration unit 700 registers the owner and their veterinary hospital in the user information DB 600. The owner selects a consultation time from the available dates and times via the owner terminal 3, and the reservation management unit 702 makes an online consultation reservation for the selected date and time and notifies the hospital terminal 5. The reservation management unit 702 also stores the acquired reservation information in the reservation information DB 610.

[0032] In step 110 (S110), the connection authorization unit 704 of the medical management server 7 authorizes the connection of a video call between the pet owner terminal 3 and the hospital terminal 5 from a predetermined time before the scheduled online medical consultation time registered in the reservation information DB 610. The connection authorization unit 704 enables the video call connection button displayed on the pet owner terminal 3, making the video call possible from a predetermined time before the scheduled appointment time. In step 115 (S115), the call status monitoring unit 718 monitors the connection status of the video call between the owner terminal 3 and the hospital terminal 5 from the time the connection permission unit 704 permits the video call.

[0033] In step 120 (S120), the status display unit 714 of the medical management server 7 displays to the owner terminal 3 that no charges have been incurred yet, that is, that no charges have been incurred. In step 125 (S125), the operation detection unit 710 of the medical management server 7 detects that a doctor has pressed the start medical consultation button on the hospital terminal 5. In step 130 (S130), the status display unit 714 indicates that charges are being incurred on the owner terminal 3, that is, that charges are being incurred based on time. In step 135 (S135), the call status monitoring unit 718 detects that the video call between the owner terminal 3 and the hospital terminal 5 has been disconnected without the connection disconnection unit 706.

[0034] In step 140 (S140), the call status monitoring unit 718 determines whether the disconnection occurred within the scheduled appointment time. If it is still within the appointment time, the call status monitoring unit 718 requests permission from the connection authorization unit 704 to reconnect the video call between the owner terminal 3 and the hospital terminal 5, and proceeds to S145 (S140: Yes). If it is not within the appointment time, the online consultation process (S10) proceeds to S180 (S140: No). In step 145 (S145), the connection authorization unit 704 authorizes the reconnection of the video call between the owner terminal 3 and the hospital terminal 5. In step 150 (S150), the status display unit 714 displays that charges are being incurred on the owner terminal 3 during the reconnected video call, i.e., that charges are being made based on time.

[0035] In step 155 (S155), the operation detection unit 710 of the medical management server 7 detects that the doctor has pressed the extension button for the medical consultation on the hospital terminal 5. In step 160 (S160), the status display unit 714 indicates that the treatment will be extended, and therefore the owner terminal 3 will incur charges, that is, will be charged based on time. In step 165 (S165), the operation detection unit 710 of the medical management server 7 detects that the doctor has pressed the end-of-consultation button on the hospital terminal 5. In step 170 (S170), the status display unit 714 displays to the owner terminal 3 that the medical treatment has been completed and no charges have been incurred, i.e., that no charges have been incurred. In step 175 (S175), the owner terminal 3 or the hospital terminal 5 performs an operation to disconnect the video call, and the connection disconnection unit 706 disconnects the video call. In step 180 (S180), the cost calculation unit 712 of the medical management server 7 calculates the medical fee based on the time from the start to the end of the consultation detected by the operation detection unit 710, out of the video call communication time managed by the time management unit 708. Furthermore, the detail creation unit 720 of the medical management server 7 creates a billing statement for the online consultation and sends it to the owner terminal 3. In step 185 (S185), the settlement unit 722 of the medical management server 7 performs the settlement based on the settlement method registered in the user information DB 600.

[0036] As described above, the online medical consultation system 1 of this embodiment allows online consultations, from booking to payment, to be conducted over the network. Furthermore, since the billing status of the video call between the pet owner terminal 3 and the hospital terminal 5 is displayed on the pet owner terminal 3, pet owners can be aware of the costs, clearly see where expenses are being incurred, and prevent unnecessary charges from continuing. In addition, with the online medical consultation system 1, charges are not incurred for the entire duration of the video call connection, but only for the actual consultation time, and no charges are incurred for the time before the consultation start operation or after the consultation end operation. As a result, pet owners do not incur unnecessary payments. [Explanation of Symbols]

[0037] 1… Online medical consultation system 3…Owner's device 5…Hospital terminals 7…Medical management server 9…Network 70…Medical Management Program 600...User Information Registration Database 610...Reservation Information Database 620…Medical Information Database 700...User Information Registration Section 702...Reservation Management Department 704...Connection permission section 706...Connection / Disconnection Point 708…Time management department 710... Operation detection unit 712... Cost Calculation Department 714...Status display section 716…Information Management Department 718... Call Status Monitoring Unit 720...Detailed Statement Creation Department 722...Payment Department

Claims

1. A patient terminal that displays the patient's image, a hospital terminal that conducts online medical consultations via video call with the patient terminal, and a management device that manages the online medical consultations via video call. It has, The aforementioned control device is A connection authorization unit that allows video calls between the patient terminal and the hospital terminal, A connection disconnection unit for disconnecting the video call between the patient terminal and the hospital terminal, A time management unit measures the time from when the video call is permitted by the connection permission unit until the video call is disconnected by the connection disconnection unit, A cost calculation unit calculates the amount of medical expenses based on the time measured by the aforementioned time management unit, An operation detection unit that detects the start and end operations of online medical consultations on the hospital terminal, It has, The aforementioned cost calculation unit does not include in the billing of medical expenses the time measured by the time management unit from the time from when the video call between the patient terminal and the hospital terminal is established by the connection permission unit until the operation detection unit detects the start of the online medical consultation. The aforementioned cost calculation unit does not include in the calculation of medical expenses the time measured by the time management unit from the time the operation detection unit detects the end of the online medical consultation until the connection disconnection unit disconnects the video call between the patient terminal and the hospital terminal. Online medical consultation system.

2. The aforementioned control device is The patient terminal has a status display unit that shows whether or not medical expenses have been incurred. It further possesses, The status display unit displays on the patient terminal that no charges have been incurred until the operation to start the online consultation is detected by the operation detection unit, and from the time the operation to end the online consultation is detected. The status display unit displays on the patient terminal that charges are being incurred from the time the operation detection unit detects the start of the online consultation until the operation to end the online consultation is detected. The online medical consultation system according to claim 1.

3. The aforementioned control device is A reservation management unit manages the reservation time for online medical consultations booked from the patient terminal, The Information Management Unit manages the information collected through video calls authorized by the Connection Authorization Unit. It further possesses, The connection authorization unit authorizes video calls between the patient terminal and the hospital terminal from a predetermined time before the reservation time managed by the reservation management unit. The information management unit manages the information collected by the connection authorization unit through video calls authorized from a predetermined time before the scheduled time. The online medical consultation system according to claim 1.

4. The operation detection unit detects the extension operation of online medical consultation on the hospital terminal, The status display unit displays on the patient terminal that charges have been incurred since the extension operation was detected by the operation detection unit. The aforementioned cost calculation unit includes, in its calculation of medical expenses, the time measured by the time management unit, from the time the extension operation is detected by the operation detection unit until the termination operation is detected. The online medical consultation system according to claim 2.

5. The aforementioned control device is Call status monitoring unit that monitors the status of video calls between the patient terminal and the hospital terminal. It further possesses, If the call status monitoring unit determines that the video call has been disconnected within the reserved time managed by the reservation management unit and before the operation detection unit detects the termination operation, the connection permission unit permits the video call connection between the patient terminal and the hospital terminal. The online medical consultation system according to claim 3.

6. An online medical consultation system comprising a patient terminal that displays the patient, a hospital terminal that conducts online medical consultations via video call with the patient terminal, and a management device that manages the online medical consultations via video call, The management device performs a connection authorization step that allows a video call between the patient terminal and the hospital terminal, The management device performs a connection disconnection step that disconnects the video call between the patient terminal and the hospital terminal, The management device includes a time management step that measures the time from when the video call is permitted by the connection permission step until the video call is disconnected by the connection disconnection step, The management device performs a cost calculation step that calculates the amount of medical expenses to be billed based on the time measured by the time management step, The management device includes an operation detection step that detects the start and end operations of online medical consultations on the hospital terminal, It has, The aforementioned cost calculation step does not include in the billing of medical fees the time measured by the time management step, from the time when the video call between the patient terminal and the hospital terminal is established by the connection permission step until the start operation of the online medical consultation is detected by the operation detection step. The aforementioned cost calculation step does not include in the billing of medical fees the time measured by the time management step, specifically the time from when the operation detection step detects the end of the online medical consultation until the connection disconnection step disconnects the video call between the patient's terminal and the hospital's terminal. Online medical consultation methods.

7. In an online medical consultation system comprising a patient terminal that displays the patient, a hospital terminal that conducts online medical consultations via video call with the patient terminal, and a computer that manages the online medical consultations via video call, A connection permission step that allows a video call between the patient terminal and the hospital terminal, A connection disconnection step to disconnect the video call between the patient terminal and the hospital terminal, A time management step that measures the time from when the video call is permitted by the connection permission step until the video call is disconnected by the connection disconnection step, A cost calculation step that calculates the amount of medical expenses based on the time measured in the aforementioned time management step, An operation detection step for detecting the start and end operations of online medical consultations on the hospital terminal, The computer is made to execute the above, The aforementioned cost calculation step does not include in the billing of medical fees the time measured by the time management step, from the time when the video call between the patient terminal and the hospital terminal is established by the connection permission step until the start operation of the online medical consultation is detected by the operation detection step. The aforementioned cost calculation step does not include in the billing of medical fees the time measured by the time management step, specifically the time from when the operation detection step detects the end of the online medical consultation until the connection disconnection step disconnects the video call between the patient's terminal and the hospital's terminal. program.

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