JP2016042300A - Home-visiting medical care support system, home-visiting medical care support method, and home-visiting medical care support program - Google Patents
Home-visiting medical care support system, home-visiting medical care support method, and home-visiting medical care support program Download PDFInfo
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本発明は、訪問診療を支援するための訪問診療支援、システム訪問診療支援方法及び訪問診療支援プログラムに関する。 The present invention relates to a home medical care support, a system home medical care support method, and a home medical care support program for supporting home medical care.
近年、定期的（例えば、２週間ごと）に医師や看護師等が老人福祉施設等を訪問し、患者を診察する訪問診療が行われている。この訪問診療では、外来通院が困難な場合に、医師や看護師等（以下、ユーザ）が老人福祉施設等を訪問し、患者が使用する医療機器の管理や指導、在宅患者の状態管理、投薬管理等を行っている。最近では、点滴、尿の留置カテーテルや人工呼吸器等を老人福祉施設等で装着する患者も増加し、医療関係者の継続的管理が必要な治療形態が多くなるなど、訪問診療のニーズが極めて高まっている。このため、上記訪問診療を支援するシステムが多数、開発・提案されている。 In recent years, doctors, nurses, etc. visit a welfare facility for the elderly and visit patients regularly (for example, every two weeks). In this visit, when it is difficult to visit an outpatient clinic, a doctor, nurse, etc. (hereinafter referred to as a user) visits a welfare facility for the elderly, manages and provides guidance for the medical equipment used by the patient, manages the condition of the patient at home, and administers medication. Management and so on. Recently, there are an increasing number of patients wearing infusion catheters, urinary catheters, ventilators, etc. at welfare facilities for the elderly, and the need for on-site medical care is extremely high. It is growing. For this reason, many systems that support the above-mentioned visit medical treatment have been developed and proposed.
例えば、利用者端末と通信ネットワークを介して繋がり、質問情報と、当該質問に対して予想される一または二以上の回答情報と、各回答情報に関連付けて健康状態に関する要注意度を利用者ごとに保存した利用者ファイルと、入力された質問を利用者端末へ送信し、利用者端末から送られてくる利用者の回答を受信し、利用者ファイルを参照して受信した回答に対する要注意度を抽出し、当該要注意度をもとに異常の兆候の有無を判定する訪問診療支援システムが提案されている（例えば、特許文献１参照）。 For example, it is connected to a user terminal via a communication network, and the question information, one or more answer information expected for the question, and the degree of caution regarding the health status associated with each answer information for each user. The user file saved in and the input question are sent to the user terminal, the user's answer sent from the user terminal is received, and the degree of caution with respect to the received answer by referring to the user file There is proposed a home-visit medical care support system that extracts a symptom and determines the presence or absence of an abnormality sign based on the degree of caution (see, for example, Patent Document 1).
上記のように、訪問診療の広まりに伴い、患者の診療状況を容易に把握することのできる訪問診療支援システムの提供が求められている。 As described above, with the spread of visiting medical care, provision of a visiting medical care support system capable of easily grasping the medical condition of a patient is demanded.
本発明は、上記課題の解決のためになされたものであり、患者の診療状況を容易に把握できる訪問診療支援システム、訪問診療支援方法及び訪問診療支援プログラムを提供することを目的とする。 The present invention has been made to solve the above-described problems, and an object of the present invention is to provide a visit medical care support system, a home medical care support method, and a home medical care support program that can easily grasp the medical treatment status of a patient.
上記の課題を解決すべく、本発明に係る訪問診療支援システムは、訪問診療を支援するための訪問診療支援システムであって、訪問診療の被対象者である患者の名前と、患者の訪問診療、往診及び電話再診の年月日とが関連付けて記憶されている記憶部と、記憶部の情報を参照し、訪問診療、往診及び電話再診の夫々の回数を所定の期間ごとに集計する集計部と、所定の期間ごとに、集計された回数を対応づけて表示させる表示制御部とを備えている。このような構成により、ユーザは、患者の診療状況を容易に把握することができる。また、ユーザは、往診及び電話再診が多い患者については、注意が必要であることを容易に把握することができる。 In order to solve the above-mentioned problems, a home-visit medical care support system according to the present invention is a home-visit medical care support system for supporting home-visit medical treatment. Referring to the information stored in the storage unit, which is associated with the date of the home visit and telephone re-examination, and the information in the storage unit, the number of visits, home visits, and telephone re-examinations is totaled for each predetermined period. A totaling unit and a display control unit that displays the totaled number of times in association with each other for each predetermined period are provided. With such a configuration, the user can easily grasp the medical condition of the patient. In addition, the user can easily grasp that attention is necessary for a patient who frequently visits and visits by telephone.
本発明では、訪問診療、往診及び電話再診の回数に、夫々重みづけ係数を乗算して所定の期間ごとの点数を算出する算出部をさらに備え、表示制御部は、所定の期間ごとに、算出された点数を対応づけて表示させることができる。このような構成により、ユーザは、例えば、訪問診療については重みづけを軽くし、往診及び電話再診については、重みづけを重くするなど、診療の種類の重要度に応じて柔軟に訪問診療支援システムを運用することができる。 The present invention further includes a calculation unit that calculates the number of points for each predetermined period by multiplying the number of visits, home visits, and telephone visits by a weighting coefficient, and the display control unit is provided for each predetermined period. The calculated points can be displayed in association with each other. With such a configuration, the user can flexibly support visiting medical care according to the importance of the type of medical care, such as reducing the weighting for visiting medical care and increasing the weighting for home visits and telephone revisiting. The system can be operated.
本発明では、記所定の期間ごとに、算出された点数が所定の閾値を超えるか否かを判定する判定部と、点数が所定の閾値を超えたと判定された場合に警告を発する警告部とをさらに備えることができる。このような構成により、注意が必要である患者が自動的に通知されるため、ユーザは、注意が必要である患者を容易に把握することができる。 In the present invention, a determination unit that determines whether or not the calculated score exceeds a predetermined threshold for each predetermined period, and a warning unit that issues a warning when it is determined that the score exceeds the predetermined threshold; Can further be provided. With such a configuration, since a patient who needs attention is automatically notified, the user can easily grasp a patient who needs attention.
上記の課題を解決すべく、本発明の訪問診療支援方法は、訪問診療を支援するための訪問診療支援方法であって、訪問診療の被対象者である患者の名前と、患者の訪問診療、往診及び電話再診の年月日とを関連付けて記憶する工程と、記憶された情報を参照し、訪問診療、往診及び電話再診の夫々の回数を所定の期間ごとに集計する工程と、所定の期間ごとに、集計された回数を対応づけて表示させる工程とを備えている。 In order to solve the above problems, the home-visit medical care support method of the present invention is a home-visit medical care support method for supporting home-visit medical treatment, which includes the name of a patient who is a subject of home-visit medical treatment, A process of associating and storing the date of the home visit and the telephone revisit, a step of referring to the stored information, and counting the number of visits, home visits, and telephone revisits for each predetermined period; And displaying the total number of times in association with each other period.
上記の課題を解決すべく、本発明のプログラムは、コンピュータに、上述の訪問診療支援方法における各段階を実行させる。 In order to solve the above-described problems, the program of the present invention causes a computer to execute each stage in the above-described visiting medical care support method.
以下、図面を参照して本発明の実施の形態を説明する。 Embodiments of the present invention will be described below with reference to the drawings.
図１に示すように、訪問診療支援システム１は、サーバ２と、訪問診療時に携帯する携帯端末３とを備える。サーバ２と携帯端末３とは、インターネット等のネットワーク４を介して接続される。 As shown in FIG. 1, the home-visit medical care support system 1 includes a server 2 and a mobile terminal 3 that is carried during home-visit medical treatment. The server 2 and the portable terminal 3 are connected via a network 4 such as the Internet.
サーバ２は、例えば、コンピュータシステムであり、キーボード、マウス、タッチパネル等の入出力装置、ＣＰＵ（Central Processing Unit）等の演算部及びＲＡＭ（Random Access Memory）、ＲＯＭ（read only memory）等の記憶装置を備えた本体、ＣＲＴ（Cathode Ray Tube）やＬＣＤ（Liquid Crystal Display）等の表示装置等から構成される。 The server 2 is, for example, a computer system, an input / output device such as a keyboard, a mouse, and a touch panel, a calculation unit such as a CPU (Central Processing Unit), and a storage device such as a RAM (Random Access Memory) and a ROM (read only memory). And a display device such as a CRT (Cathode Ray Tube) or LCD (Liquid Crystal Display).
図２に示すように、サーバ２は、少なくとも、記憶部２０１、制御部２０２及び通信部２０３を備える。サーバ２の記憶部２０１には、訪問診療を行う医者や看護師等（以下、ユーザＵ）が携帯端末３を操作して患者ごとに入力した定期的（例えば、２週間ごと）な訪問診療（以下、訪問診療）、患者の急変時等、患者の求めに応じてその都度訪問する予定外の訪問診療（以下、往診）、訪問診療及び往診時に発行する処方箋（投与が必要な医薬品とその服用量、投与方法などを記載した薬剤師に対する文書）及び居宅療養管理指導書（医師が通院困難な要介護者等の入居先施設を訪問して、療養上の管理及び指導を記載した文書）の内容、緊急時の電話による問い合わせ（以下、電話再診）等の診療結果のデータ（以下、患者データ）が記憶されている。 As illustrated in FIG. 2, the server 2 includes at least a storage unit 201, a control unit 202, and a communication unit 203. The storage unit 201 of the server 2 has regular (for example, every two weeks) visit treatment (for example, every two weeks) input for each patient by a doctor, nurse, or the like (hereinafter referred to as user U) who conducts visit treatment by operating the mobile terminal 3. (Hereinafter referred to as “visit treatment”), sudden visits of patients, etc., unplanned visits (hereinafter referred to as “home visits”), visit medical treatments, prescriptions issued during visits and visits (medicine requiring administration and its use) Documents for pharmacists describing the amount, administration method, etc.) and home care management guidance book (documents describing treatment management and guidance by visiting doctors' resident facilities where caregivers are difficult to visit) Data of medical results (hereinafter referred to as patient data) such as an emergency telephone inquiry (hereinafter referred to as telephone reexamination) is stored.
記憶部２０１には、患者ごとに、名前、性別、年齢等のパーソナルデータ（個人情報）、入居先の老人福祉施設等の施設名、患者データ（訪問診療、往診及び電話再診の診療結果や訪問診療及び往診時に発行する処方箋及び居宅療養管理指導書の内容）、各患者データの入力状況（ステータス）、入力者名（作成者情報）等が入力日時（年月日及び時間）とともに関連付けて記憶されている。 The storage unit 201 stores, for each patient, personal data (personal information) such as name, gender, and age, facility name such as a welfare facility for the elderly in the resident area, patient data (visit medical treatment results of visiting medical care, home visits, and telephone reexaminations) Prescriptions issued at home visits and home visits and contents of home care management guidance), input status (status) of each patient data, input person name (creator information), etc. are associated with the input date and time (date and time) It is remembered.
ここで、入力状況とは、少なくとも、患者データの入力が完了した状態、患者データを入力中である作成中の状態及び患者データの入力がされていない未入力の状態の項目を有する。本発明では、この入力状況を患者データに関連付けて記憶しているので、ユーザＵは、各患者データの入力が完了しているのか、入力途中であるのか、未入力であるのかを容易に確認することができる。 Here, the input status includes at least items of a state in which patient data has been input, a state in which patient data is being input, and a state in which patient data has not been input. In the present invention, since this input situation is stored in association with patient data, the user U can easily confirm whether each patient data has been input, is being input, or has not yet been input. can do.
なお、その他の入力状況の項目として、削除、対応済、未対応等の項目を設けてもよい。削除とは、患者が診療を辞める等して、本来はデータを保存しておく必要がなくなったものをメモ代わりに残しておく場合の項目である。対応済、未対応とは、往診や電話再診があった場合に、診療を行ったか否か等の状況を表す項目である。 It should be noted that items such as deleted, supported, unsupported, etc. may be provided as other items of input status. Deletion is an item in the case where a patient quits medical care and leaves what is no longer necessary to save data instead of a memo. “Supported” or “Not supported” is an item that indicates a situation such as whether or not medical care has been performed in the case of a home visit or a telephone revisit.
サーバ２の制御部２０２は、携帯端末３からの要求に応じて、記憶部２０１に記憶されている患者データを読み出したり、携帯端末３から送信される患者データに基づき、記憶部２０１に記憶されている患者データを編集（更新）する。また、サーバ２の通信部２０３は、ネットワーク４を介して、携帯端末３からの患者データの受信及び携帯端末３へ患者データの送信を行う。 The control unit 202 of the server 2 reads patient data stored in the storage unit 201 in response to a request from the mobile terminal 3 or stores it in the storage unit 201 based on patient data transmitted from the mobile terminal 3. Edit (update) patient data. The communication unit 203 of the server 2 receives patient data from the mobile terminal 3 and transmits patient data to the mobile terminal 3 via the network 4.
携帯端末３は、例えば、タブレット型端末やスマートフォンであり、タッチパネル、ＣＰＵ等の演算部及びＲＡＭ、ＲＯＭ等の記憶装置、ＬＣＤ等の表示装置、音声を出力するスピーカ、音声を集音するマイク等から構成される。ユーザＵは、訪問診等の際に携帯端末３を携帯し、患者データを入力する。 The mobile terminal 3 is, for example, a tablet-type terminal or a smartphone, and includes a touch panel, a calculation unit such as a CPU, a storage device such as a RAM and a ROM, a display device such as an LCD, a speaker that outputs sound, a microphone that collects sound, and the like Consists of The user U carries the portable terminal 3 at the time of home visit etc. and inputs patient data.
図３に示すように、携帯端末３は、少なくとも、操作部３０１、記憶部３０２、制御部３０３、通信部３０４、集計部３０５、算出部３０６、判定部３０７、警告部３０８、表示制御部３０９を備える。 As illustrated in FIG. 3, the mobile terminal 3 includes at least an operation unit 301, a storage unit 302, a control unit 303, a communication unit 304, a totaling unit 305, a calculation unit 306, a determination unit 307, a warning unit 308, and a display control unit 309. Is provided.
操作部３０１は、ユーザＵによる操作を受け付ける。ユーザＵは、操作部３０１を操作してサーバ２に記憶されている患者データをダウンロードして閲覧することができる。また、ユーザＵは、操作部３０１を操作して患者データを入力し、サーバ２に記憶されている患者データを編集することができる。 The operation unit 301 receives an operation by the user U. The user U can operate the operation unit 301 to download and browse patient data stored in the server 2. In addition, the user U can operate the operation unit 301 to input patient data and edit patient data stored in the server 2.
記憶部３０２は、制御部３０３からの指示に基づいて、サーバ２からダウンロードされた患者データを記憶したり、ユーザＵにより操作部３０１を用いて入力、編集された患者データを記憶する。また、記憶部３０２には後述する算出部３０６が使用する訪問診療、往診及び電話再診ごとの重みづけ係数と、判定部３０７が使用する閾値とが記憶されている。 The storage unit 302 stores patient data downloaded from the server 2 based on an instruction from the control unit 303, or stores patient data input and edited by the user U using the operation unit 301. Further, the storage unit 302 stores a weighting coefficient for each visit medical treatment, home visit, and telephone revisit used by the calculation unit 306 described later, and a threshold used by the determination unit 307.
制御部３０３は、操作部３０１の操作に基づいて、サーバ２から送信される患者データの記憶部３０２への記憶や記憶部３０２に記憶されている患者データの編集（更新）、読み出しを行う。 Based on the operation of the operation unit 301, the control unit 303 stores patient data transmitted from the server 2 in the storage unit 302, edits (updates), and reads out patient data stored in the storage unit 302.
通信部３０４は、ネットワーク４を介して、サーバ２からの患者データの受信及びサーバ２へ患者データの送信を行う。 The communication unit 304 receives patient data from the server 2 and transmits patient data to the server 2 via the network 4.
集計部３０５は、記憶部３０２のデータを参照し、訪問診療、往診及び電話再診の夫々の回数を所定の期間（例えば、一か月）ごとに集計する。 The totaling unit 305 refers to the data in the storage unit 302 and totals the number of visit medical treatments, home visits, and telephone revisits every predetermined period (for example, one month).
算出部３０６は、集計部３０５により集計された訪問診療、往診及び電話再診の回数に夫々重みづけ係数を乗算して、所定の期間ごとの点数を算出する。 The calculation unit 306 multiplies the number of visits, home visits, and telephone visits counted by the counting unit 305 by a weighting factor to calculate a score for each predetermined period.
判定部３０７は、所定の期間ごとに、算出部３０６により算出された点数が所定の閾値を超えるか否かを判定する。 The determination unit 307 determines whether the score calculated by the calculation unit 306 exceeds a predetermined threshold for each predetermined period.
警告部３０８は、判定部３０７が、所定の閾値を超えたと判定した場合に警告を発する。なお、警告部３０８による警告は、後述の表示制御部３０９により画面表示させるようにしてもよいし、携帯端末３のスピーカから音声として出力するようにしてもよい。 The warning unit 308 issues a warning when the determination unit 307 determines that a predetermined threshold has been exceeded. The warning by the warning unit 308 may be displayed on the screen by a display control unit 309 described later, or may be output as a sound from the speaker of the mobile terminal 3.
表示制御部３０９は、記憶部３０２に記憶されている患者データを編集する診療編集画面を表示する。図４及び図５は、表示制御部３０９により携帯端末３の表示装置に表示される画面（診療編集画面）の一例である。 The display control unit 309 displays a medical care editing screen for editing patient data stored in the storage unit 302. 4 and 5 are examples of screens (medical edit screens) displayed on the display device of the mobile terminal 3 by the display control unit 309. FIG.
図４及び図５に示すように診療編集画面では、患者ごとに、名前、性別、年齢等のパーソナルデータ（個人情報）、入居先の老人福祉施設等の施設名、患者データ（訪問診療、往診及び電話再診の各診療結果や処方箋及び居宅療養管理指導書の内容）、各患者データの入力状況（ステータス）、入力者名（文書作成者情報）等を患者ごとに編集することができる。ユーザＵは、図４及び図５に示す画面（診療編集画面）を操作して患者データを編集することができる。 As shown in FIGS. 4 and 5, on the clinical edit screen, for each patient, personal data (personal information) such as name, gender, and age, facility name such as a welfare facility for the elderly, etc., patient data (visit medical treatment, home visit) In addition, it is possible to edit each patient's medical examination result, prescription and contents of home medical care management instruction), input status (status) of each patient data, input person name (document creator information), and the like. The user U can edit patient data by operating the screens (medical edit screen) shown in FIGS. 4 and 5.
また、表示制御部３０９は、算出部３０６により、所定の期間ごとに算出された点数を対応づけて携帯端末３の表示装置に表示させる。図６は、表示制御部３０９により携帯端末３の表示装置に表示される画面の一例である。 In addition, the display control unit 309 causes the calculation unit 306 to display the points calculated for each predetermined period on the display device of the mobile terminal 3 in association with each other. FIG. 6 is an example of a screen displayed on the display device of the mobile terminal 3 by the display control unit 309.
図６に示すように、表示制御部３０９は、縦軸を年月、横軸を点数として、所定の期間ごとに算出部３０６により算出された点数をグラフとして表示する。各棒グラフは、内訳がわかるように、訪問診療、往診及び電話再診ごとに表示形態が異なるように表示される。図６に示す例では、訪問診療、往診及び電話再診ごと表示される色が異なっている。 As shown in FIG. 6, the display control unit 309 displays the score calculated by the calculation unit 306 for each predetermined period as a graph with the vertical axis indicating the year and month and the horizontal axis indicating the score. Each bar graph is displayed in a different display form for each visit, home visit, and telephone revisit so that the breakdown can be understood. In the example shown in FIG. 6, the displayed colors are different for each home visit, home visit, and telephone revisit.
このような構成により、ユーザＵは、各患者の診療状況を容易に把握することができる。また、ユーザＵは、往診及び電話再診が多い患者については、注意が必要であることを容易に把握することができる。さらに、ユーザＵは、訪問診療については重みづけを軽くし、往診及び電話再診については、重みづけを重くするなど、診療の重要度に応じて柔軟に訪問診療支援システムを運用することができる。 With such a configuration, the user U can easily grasp the medical condition of each patient. Further, the user U can easily grasp that attention is necessary for a patient who frequently visits and visits by phone. Furthermore, the user U can flexibly operate the visiting medical care support system according to the importance of the medical care, such as reducing the weighting for the home medical care and increasing the weighting for the home visit and the telephone revisit. .
なお、図４〜図６に示す画面の移行は、例えば、ユーザＵが、携帯端末３のタッチパネルに触れた状態で指を滑らせる、いわゆるスワイプを行うと、その指の移動方向を検知し、なぞった方向に基づいて画面が移行するように構成されている。このため、本を読む時にページをめくるのと同様の感覚で図４〜図６の画面を移行できる。なお、他の形態として、画面上に図４〜図６の画面間で表示を移行できる移行ボタンを設けてもよい。 4 to 6, for example, when the user U performs a so-called swipe that slides a finger while touching the touch panel of the mobile terminal 3, the movement direction of the finger is detected. The screen is configured to shift based on the traced direction. For this reason, the screen of FIGS. 4-6 can be transferred with the same feeling as turning a page when reading a book. As another form, a transition button that can shift the display between the screens of FIGS. 4 to 6 may be provided on the screen.
また、この実施形態では、インターネット等のネットワーク４を介して接続され、物理的に離間したサーバ２に患者データを記憶しているが、サーバ２を設けずに、携帯端末３だけでシステムを構築してもよい。 In this embodiment, patient data is stored in a server 2 that is connected via a network 4 such as the Internet and is physically separated, but a system is constructed only by the mobile terminal 3 without providing the server 2. May be.
さらに、本実施形態では、算出部３０６が算出した訪問診療、往診及び電話再診の点数を横軸としたグラフを表示しているが、集計部３０５が集計した訪問診療、往診及び電話再診の回数を横軸としたグラフを表示するようにしてもよい。訪問診療、往診及び電話再診の回数だけを表示しても、患者の容体の傾向を把握することができる。 Furthermore, in the present embodiment, a graph with the horizontal axis representing the points of visit medical treatment, home visit, and telephone revisit calculated by the calculation unit 306 is displayed. You may make it display the graph which made the frequency | count of a horizontal axis. Even if only the number of visits, visits, and telephone visits is displayed, the patient's physical tendency can be grasped.
図７は、訪問診療支援システム１の動作を示すフローチャートである。
初めに、集計部３０５は、記憶部３０２のデータを参照し、訪問診療、往診及び電話再診の夫々の回数を所定の期間（例えば、一か月）ごとに集計する（ステップＳ１０１）。
FIG. 7 is a flowchart showing the operation of the visiting medical care support system 1.
First, the totaling unit 305 refers to the data in the storage unit 302 and totals the number of visit medical treatments, home visits, and telephone revisits every predetermined period (for example, one month) (step S101).
次に、算出部３０６は、集計部３０５により集計された訪問診療、往診及び電話再診の回数に夫々重みづけ係数を乗算して、所定の期間ごとの点数を算出する（ステップＳ１０２）。 Next, the calculation unit 306 multiplies the number of visits, home visits, and telephone visits totaled by the totalization unit 305 by a weighting coefficient to calculate a score for each predetermined period (step S102).
次に、表示制御部３０９は、図６に示すように、所定の期間ごとに、算出部３０６により算出された点数を対応づけて携帯端末３の表示装置に表示させる（ステップＳ１０３）。 Next, as shown in FIG. 6, the display control unit 309 causes the display device of the mobile terminal 3 to display the score calculated by the calculation unit 306 in association with each other for a predetermined period (step S <b> 103).
次に、判定部３０７は、所定の期間ごとに、算出部３０６により算出された点数が所定の閾値を超えるか否かを判定する（ステップＳ１０４）。 Next, the determination unit 307 determines whether or not the score calculated by the calculation unit 306 exceeds a predetermined threshold for each predetermined period (step S104).
次に、警告部３０８は、判定部３０７が、所定の閾値を超えたと判定した場合（ステップＳ１０４のＹｅｓ）、警告を発する（ステップＳ１０５）。なお、警告部３０８による警告は、表示制御部３０９に画面表示させるようにしてもよいし、携帯端末３のスピーカから音声として出力するようにしてもよい。 Next, when the determination unit 307 determines that the predetermined threshold has been exceeded (Yes in step S104), the warning unit 308 issues a warning (step S105). The warning by the warning unit 308 may be displayed on the screen of the display control unit 309 or may be output as a sound from the speaker of the mobile terminal 3.
以上のように、本発明の訪問診療支援処理システム、訪問診療支援方法、及び訪問診療支援プログラムは、訪問診療の被対象者である患者の名前と、患者の訪問診療、往診及び電話再診の年月日とが関連付けて記憶し、この記憶した情報を参照し、訪問診療、往診及び電話再診の夫々の回数を所定の期間ごとに集計した後、訪問診療、往診及び電話再診の回数に夫々重みづけ係数を乗算して所定の期間ごとの点数を算出し、所定の期間ごとに、算出された点数を対応づけて表示させている。 As described above, the visit medical treatment support processing system, the home medical care support method, and the home medical care support program of the present invention include the name of the patient who is the subject of the home medical care, the patient's home medical care, home visit, and telephone revisit. The number of visits, visits, and telephone visits is counted after a predetermined period of time. Each is multiplied by a weighting coefficient to calculate a score for each predetermined period, and the calculated score is displayed in association with each other for each predetermined period.
このため、ユーザＵは、患者の診療状況を容易に把握することができる。また、ユーザＵは、往診及び電話再診が多い患者については、注意が必要であることを容易に把握することができる。また、ユーザＵは、例えば、訪問診療については重みづけを軽くし、往診及び電話再診については、重みづけを重くするなど、診療の重要度に応じて柔軟に訪問診療支援システムを運用することができる。 For this reason, the user U can grasp | ascertain the medical treatment situation of a patient easily. Further, the user U can easily grasp that attention is necessary for a patient who frequently visits and visits by phone. In addition, the user U, for example, reduces the weighting for the visiting medical care and increases the weighting for the home visit and telephone reexamination, so that the user U can flexibly operate the visiting medical care support system according to the importance of the medical care. Can do.
さらに、本発明では、記所定の期間ごとに、算出された点数が所定の閾値を超えるか否かを判定し、点数が所定の閾値を超えたと判定された場合に警告を発するようにしている。このため、注意が必要である患者が自動的に通知されるため、ユーザＵは、注意が必要である患者を容易に把握することができる。 Further, in the present invention, it is determined whether or not the calculated score exceeds a predetermined threshold for each predetermined period, and a warning is issued when it is determined that the score exceeds the predetermined threshold. . For this reason, since the patient who needs attention is automatically notified, the user U can easily grasp the patient who needs attention.
なお、本発明の一実施形態である訪問診療支援システム１を例に本発明を説明したが、本発明は、上記の実施形態に限定されるものではなく、本発明の目的を達成できる範囲での変形、改良等は本発明に含まれるものである。 In addition, although this invention was demonstrated to the example of the visit medical treatment assistance system 1 which is one embodiment of this invention, this invention is not limited to said embodiment, In the range which can achieve the objective of this invention. Such modifications and improvements are included in the present invention.
以上で説明したように、本発明の訪問診療支援処理システム、訪問診療支援方法、及び訪問診療支援プログラムは、患者のデータ入力の状況を容易に把握することができるので、訪問診療の支援に好適である。 As described above, the home-visit medical care support processing system, home-visit medical care support method, and home-visit medical care support program of the present invention can easily grasp the status of patient data input, and thus are suitable for support of home-visit medical treatment. It is.
１ 訪問診療支援システム
２ サーバ
３ 携帯端末
４ ネットワーク
２０１ 記憶部
２０２ 制御部
２０３ 通信部
３０１ 操作部
３０２ 記憶部
３０３ 制御部
３０４ 通信部
３０５ 集計部
３０６ 算出部
３０７ 判定部
３０８ 警告部
３０９ 表示制御部
DESCRIPTION OF SYMBOLS 1 Visit medical care support system 2 Server 3 Portable terminal 4 Network 201 Storage part 202 Control part 203 Communication part 301 Operation part 302 Storage part 303 Control part 304 Communication part 305 Total part 306 Calculation part 307 Determination part 308 Warning part 309 Display control part
Claims (5)
訪問診療の被対象者である患者の名前と、前記患者の訪問診療、往診及び電話再診の年月日とが関連付けて記憶されている記憶部と、
前記記憶部の情報を参照し、前記訪問診療、前記往診及び前記電話再診の夫々の回数を所定の期間ごとに集計する集計部と、
前記所定の期間ごとに、前記集計された回数を対応づけて表示させる表示制御部と、
を備えることを特徴とする訪問診療支援システム。 A visiting medical assistance system for supporting visiting medical care,
A storage unit in which a name of a patient who is a subject of a visit medical treatment and a date of the visit medical treatment, a home visit, and a telephone revisit of the patient are stored in association with each other;
Referring to the information in the storage unit, and a totaling unit that counts the number of visits, visits, and telephone visits for each predetermined period;
For each of the predetermined periods, a display control unit that displays the tabulated count in association with each other,
A visit medical care support system characterized by comprising:
表示制御部は、
前記所定の期間ごとに、前記算出された点数を対応づけて表示させることを特徴とする請求項１に記載の訪問診療支援システム。 A calculation unit that calculates the score for each predetermined period by multiplying the number of visits, visits, and telephone visits by a weighting factor,
The display control unit
The visiting medical assistance system according to claim 1, wherein the calculated score is displayed in association with each other for each predetermined period.
前記点数が所定の閾値を超えたと判定された場合に警告を発する警告部と
をさらに備えることを特徴とする請求項２に記載の訪問診療支援システム。 A determination unit that determines whether the calculated score exceeds a predetermined threshold value for each predetermined period;
The visiting medical assistance system according to claim 2, further comprising: a warning unit that issues a warning when it is determined that the score exceeds a predetermined threshold.
訪問診療の被対象者である患者の名前と、前記患者の訪問診療、往診及び電話再診の年月日とを関連付けて記憶する工程と、
前記記憶された情報を参照し、前記訪問診療、前記往診及び前記電話再診の夫々の回数を所定の期間ごとに集計する工程と、
前記所定の期間ごとに、集計された回数を対応づけて表示させる工程と、
を備えることを特徴とする訪問診療支援方法。 A visiting medical support method for supporting home medical care,
Storing the name of the patient who is the subject of the visit medical treatment and the date of the visit medical treatment, home visit and telephone revisit of the patient in association with each other;
Referring to the stored information, and counting the number of visits, visits, and telephone visits for each predetermined period; and
For each predetermined period, displaying the total number of times in association with each other,
A method for supporting home-visit medical treatment, comprising:
The program for making a computer perform each step of Claim 4.
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