WO2023229016A1 - Système de coopération médicale, procédé de coopération médicale et programme - Google Patents

Système de coopération médicale, procédé de coopération médicale et programme Download PDF

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Publication number
WO2023229016A1
WO2023229016A1 PCT/JP2023/019556 JP2023019556W WO2023229016A1 WO 2023229016 A1 WO2023229016 A1 WO 2023229016A1 JP 2023019556 W JP2023019556 W JP 2023019556W WO 2023229016 A1 WO2023229016 A1 WO 2023229016A1
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evaluation
medical institution
medical
evaluation result
person
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PCT/JP2023/019556
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English (en)
Japanese (ja)
Inventor
直樹 曲尾
玲子 田中
智裕 鈴木
正隆 笠井
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積水化学工業株式会社
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data

Definitions

  • the present invention relates to a medical cooperation system, a medical cooperation method, and a program.
  • This application claims priority to Japanese Patent Application No. 2022-085276 filed in Japan on May 25, 2022, the contents of which are incorporated herein.
  • a dementia system is known that calculates a patient's dementia level based on audio data obtained by recording a conversation between a doctor and a patient (see, for example, Patent Document 1).
  • An object of the present invention is to enable coordination of suggestions regarding dementia and responses regarding dementia among a plurality of environments where dementia-related responses are performed.
  • a medical cooperation system that is used in a medical institution or a predetermined environment outside the medical institution other than the medical institution, and includes an evaluation device that performs an evaluation regarding the cognitive function of an evaluated person.
  • an evaluation unit that evaluates the state of the cognitive function of the person to be evaluated based on biological-related information including at least speech utterances of the person inputted into the evaluation device; and an evaluation unit that outputs the evaluation result by the evaluation unit. and a result output unit, the evaluation result output unit transmits the evaluation result to a medical institution server of a predetermined medical institution among medical institution servers provided corresponding to medical institutions and capable of storing evaluation result information.
  • Medical collaboration system is used in a medical institution or a predetermined environment outside the medical institution other than the medical institution, and includes an evaluation device that performs an evaluation regarding the cognitive function of an evaluated person.
  • an evaluation unit that evaluates the state of the cognitive function of the person to be evaluated based on biological-related information including at least speech utterances of the person inputted into the evaluation device; and an evaluation unit that
  • One aspect of the present invention is a medical cooperation method in a medical cooperation system that is used in a medical institution or a predetermined environment outside the medical institution other than the medical institution, and includes an evaluation device that performs an evaluation regarding the cognitive function of a person being evaluated.
  • the step of outputting the evaluation results includes a medical cooperation step of transmitting the evaluation results to a medical institution server of a predetermined medical institution among medical institution servers provided corresponding to medical institutions and capable of accumulating evaluation result information. It is a system.
  • One aspect of the present invention is to provide a computer included in a medical cooperation system that is used in a medical institution or a predetermined environment outside the medical institution other than the medical institution and that includes an evaluation device that performs an evaluation regarding the cognitive function of a person to be evaluated.
  • the evaluation result output unit transmits the evaluation result to a medical institution server of a predetermined medical institution among medical institution servers provided corresponding to medical institutions and capable of storing evaluation result information. This is a program to do this.
  • the effect is that suggestions regarding dementia and coordination regarding dementia-related responses can be achieved between multiple environments where dementia-related responses are performed.
  • 1 is a diagram illustrating a configuration example of a medical cooperation system according to the present embodiment.
  • 1 is a diagram showing an example of a functional configuration of an evaluation device according to the present embodiment. It is a figure showing an example of evaluator information concerning this embodiment. It is a figure showing an example of evaluation result information concerning this embodiment. It is a figure showing an example of medical institution server information concerning this embodiment. It is a figure showing an example of corresponding medical institution information concerning this embodiment.
  • It is a flowchart which shows the example of a process procedure which the evaluation apparatus based on this embodiment performs in connection with the evaluation of dementia.
  • a medical cooperation system that is used in a medical institution or a predetermined environment outside the medical institution other than the medical institution, and includes an evaluation device that performs an evaluation regarding the cognitive function of a person to be evaluated, an evaluation unit that evaluates the state of the cognitive function of the person to be evaluated based on biological related information including at least the voice uttered by the person to be evaluated, which is input to the evaluation device; an evaluation result output unit that outputs an evaluation result by the evaluation unit, The evaluation result output unit transmits the evaluation result to a medical institution server of a predetermined medical institution among medical institution servers provided corresponding to medical institutions and capable of storing evaluation result information.
  • the evaluation result output unit When the evaluation device is used in the medical institution, the evaluation result output unit outputs an evaluation result including presentation of evaluation results for each predetermined item, and the evaluation device is configured to output an evaluation result including presentation of evaluation results for each predetermined item, and to The medical cooperation system according to [1], which outputs a comprehensive evaluation result derived based on the evaluation results for each item when used in a hospital. [3] The evaluation result output unit determines whether the environment in which the evaluation device is used is the medical institution or an environment outside the medical institution, and outputs an evaluation result according to the determined environment. [2] Medical coordination system. [4] When the evaluation device is used in an environment outside the medical institution, the evaluation result output unit transmits evaluation result information including the evaluation result and information of the person to be evaluated to the medical institution server.
  • the evaluation result output unit transmits the evaluation result information to a medical institution server selected based on information of the corresponding evaluated person. 4], the medical cooperation system described in [4].
  • the evaluation result output unit sends the evaluation to the medical institution server corresponding to the address indicated by the information of the person being evaluated included in the evaluation result information.
  • the medical cooperation system described in [5] that transmits result information.
  • the evaluation result output unit transmits the evaluation result information to a medical institution server of a medical institution corresponding to the evaluation result of the evaluation result information.
  • a medical cooperation method in a medical cooperation system that is used in a medical institution or a predetermined environment outside the medical institution other than the medical institution, and includes an evaluation device that performs an evaluation regarding the cognitive function of an evaluated person, an evaluation step of evaluating the state of the cognitive function of the person to be evaluated based on biological related information including at least the voice uttered by the person to be evaluated, which is input into the evaluation device; an evaluation result output step for outputting the evaluation result of the evaluation step,
  • the evaluation result output step transmits the evaluation result to a medical institution server of a predetermined medical institution among medical institution servers provided corresponding to medical institutions and capable of storing evaluation result information.
  • a computer included in a medical cooperation system that is used in a medical institution or a predetermined environment outside the medical institution other than the medical institution, and includes an evaluation device that performs an evaluation regarding the cognitive function of the person to be evaluated, an evaluation unit that evaluates the state of the cognitive function of the person to be evaluated based on biological related information including at least the voice uttered by the person to be evaluated, which is input into the evaluation device;
  • a program for functioning as an evaluation result output unit that outputs evaluation results by the evaluation unit, The evaluation result output unit transmits the evaluation result to a medical institution server of a predetermined medical institution among medical institution servers provided corresponding to medical institutions and capable of storing evaluation result information.
  • An evaluation device that is used in a medical institution or a predetermined environment outside the medical institution other than the medical institution, and performs an evaluation regarding the cognitive function of an evaluated person, an evaluation unit that evaluates a state regarding the cognitive function of the evaluated person based on biological related information including at least the input voice uttered by the evaluated person; an evaluation result output unit that outputs the evaluation result by the evaluation unit, The evaluation result output unit transmits the evaluation result to a medical institution server of a predetermined medical institution among medical institution servers provided corresponding to medical institutions and capable of storing evaluation result information.
  • FIG. 1 shows an example of the configuration of a medical cooperation system according to this embodiment.
  • evaluations regarding cognitive functions are performed for the evaluated persons in each of the external medical institution environment group 10 and the medical institution group 20.
  • the evaluation device 100 is used to evaluate the cognitive function of the person to be evaluated.
  • the evaluation device 100 evaluates the cognitive function of the person to be evaluated.
  • the evaluation results of the evaluation device 100 are used to give advice to the person being evaluated, thereby giving the person an awareness (suggestion) regarding dementia and improving cognitive function. It is possible to encourage patients to undergo medical examinations, treatment, etc. Thereby, in the medical cooperation system of this embodiment, it is also possible to promote early detection and early treatment of dementia.
  • the environment group 10 outside the medical institution includes one or more environments 11 outside the medical institution. In the figure, three environments 11-1, 11-2, and 11-3 are shown as the environment 11 outside the medical institution.
  • the environment outside the medical institution 11 is not a medical institution, but is an environment in which the evaluation device 100 of this embodiment can be used to evaluate the cognitive function of the person to be evaluated.
  • One environment 11 outside a medical institution may be, for example, a dementia screening performed by a local government.
  • the environment outside the medical institution 11 may be, for example, an event held by local governments, private organizations, companies, etc. individually or in collaboration, and whose program contents include dementia screening.
  • the environment outside the medical institution 11 may be a nursing care facility or the like.
  • the environment outside the medical institution 11 may also include institutions that conduct medical examinations and the like by local governments, companies, and the like.
  • the environments 11 (11-1, 11-2, 11-3) outside the medical institution are environments in which evaluations regarding cognitive functions are performed using the evaluation devices 100 (100-1, 100-2, 100-3), respectively. be.
  • the evaluation device 100 in the environment 11 outside the medical institution is used by a person in charge of evaluation in the corresponding environment 11 outside the medical institution.
  • the medical institution group 20 includes one or more medical institutions 21.
  • the medical institution 21 is an institution where medical examinations, medical care, etc. are provided by persons with doctor qualifications.
  • the medical institutions 21 may also include institutions that perform medical checkups, for example. Note that, depending on the case, an institution that conducts a medical checkup may be treated as an institution included in the environment 11 outside the medical institution.
  • three medical institutions 21-1, 21-2, and 21-3 are shown as medical institutions 21. Medical institutions 21-1, 21-2, and 21-3 indicate, for example, medical institutions that can accommodate one person to be evaluated.
  • a medical institution 21-1 corresponds to a family doctor
  • a medical institution 21-2 corresponds to a support doctor
  • a medical institution 21-3 corresponds to a specialist.
  • a doctor or the like uses the evaluation device 100 to diagnose dementia for a person to be evaluated.
  • the medical institution 21 is an environment in which evaluations regarding cognitive function are performed.
  • the evaluation device 100 used in each of the outside medical institution environment 11 and the medical institution 21 may be, for example, a smartphone, a tablet terminal, or the like.
  • a dementia evaluation application is installed in the evaluation device 100.
  • the person being evaluated speaks when having a conversation with a person in charge in the environment 11 outside the medical institution.
  • the person to be evaluated may have a conversation with a doctor, etc. when receiving a medical examination at the medical institution 21, or respond to requests to make specific sounds, phrases, sentences, etc. for diagnosis. Speak.
  • the evaluation device 100 on which the evaluation application operates acquires the voice (an example of biological-related information) obtained by collecting the sound with the microphone while the person being evaluated is speaking as described above as evaluation voice data. .
  • the evaluation device 100 evaluates the cognitive function of the person to be evaluated by analyzing the acquired evaluation audio data.
  • the evaluation device 100 in this embodiment evaluates speech corresponding to a fixed speech type. To evaluate the voice corresponding to the fixed speech type, the evaluation device 100 determines the frequency characteristics (acoustic spectrum) of the voice uttered by the person to be evaluated, and extracts feature amounts from the determined acoustic spectrum. The evaluation device 100 evaluates cognitive function based on the extracted feature amounts.
  • each of the medical institutions 21 includes a medical institution server 200 (200-1, 200-2, 200-3).
  • the evaluation device 100 of the medical institution 21 transmits information indicating the evaluation result (evaluation result information) to the medical institution server 200 of the same medical institution 21 via the network NW.
  • the medical institution server 200 stores the transmitted evaluation result information as evaluation result history information.
  • the evaluation device 100 in the environment 11 outside the medical institution also transmits evaluation result information to the medical institution server 200 (200-1 to 200-3) via the network NW, and causes the medical institution server 200 to store the evaluation result information. I can do it.
  • the evaluation device 100 may have a similar configuration in the outside medical institution environment 11 and the medical institution 21. However, the evaluation device 100 changes the manner in which the evaluation results are output depending on whether the environment in which the evaluation device 100 is used is the environment outside the medical institution 11 or the medical institution 21. Specifically, the evaluation device 100 uses evaluation audio data to perform evaluation for each of a plurality of predetermined items. The evaluation device 100 of this embodiment may be configured to score the results of evaluation for each item, for example, within a predetermined numerical range.
  • the evaluation device 100 determines whether the environment in which it is used during the evaluation is the medical institution 21 or the environment outside the medical institution 11 (evaluation environment determination). For example, a user such as a doctor or a person in charge may perform an operation on the evaluation device 100 to register whether the usage environment is the medical institution 21 or the environment outside the medical institution 11.
  • the evaluation device 100 stores usage environment information indicating whether the registered usage environment is the medical institution 21 or the environment outside the medical institution 11.
  • the evaluation device 100 may perform evaluation environment determination depending on whether the use environment information indicates the medical institution 21 or the environment outside the medical institution 11.
  • the evaluation device 100 determines that the environment in which it is used is the medical institution 21 through the evaluation environment determination, it outputs an evaluation result (detailed evaluation result) presenting the evaluation results for each item.
  • the evaluation result for each item may indicate, for example, the score obtained by the evaluation for each item. Further, in addition to the score, more specifically estimated symptoms may also be presented.
  • the evaluation device 100 determines that the environment in which it is used is the outside medical institution environment 11 through the evaluation environment determination, it outputs an evaluation result (simple evaluation result) that is a synthesis of the evaluation results for each item. .
  • the evaluation result obtained by integrating the evaluation results for each item may be, for example, a single score (total score) indicating the overall evaluation result based on the score for each item.
  • the overall score in such a simple evaluation result may be derived based on, for example, the average value, median value, normal distribution, etc. of scores for each item.
  • the evaluation device 100 is used in an environment where a person, such as a doctor, who has medical expertise regarding dementia is conducting examinations.
  • the person conducting the examination such as a doctor
  • the person conducting the examination will request detailed information as an evaluation result by the evaluation device 100. Therefore, when the evaluation device 100 is used at the medical institution 21, it outputs detailed evaluation results to meet the needs of the person undergoing medical examination as described above.
  • the person in charge of the evaluation using the evaluation device 100 in the environment 11 outside the medical institution does not necessarily have specialized knowledge like a doctor.
  • the evaluation results presented to the person in charge may include, for example, an index representing the state of the cognitive function of the person to be evaluated.
  • the evaluation device 100 when the evaluation device 100 is used in the environment 11 outside a medical institution, it is configured to output a simple evaluation result.
  • the evaluation results are appropriately determined based on the simple evaluation result and the detailed evaluation result depending on whether the environment in which the evaluation device 100 is used is the environment outside the medical institution 11 or the medical institution 21. It is possible to switch the output of
  • the person being evaluated may fill in the answers to the questions using an evaluation question sheet, and a doctor or the like may judge the degree of dementia based on the answers. I was concerned. However, such evaluation of dementia requires a relatively long time, for example, about 20 minutes.
  • the evaluation device 100 of this embodiment that performs evaluation corresponding to a fixed utterance type, for example, depending on how the trained model used for evaluation is constructed, for example, about five utterances of the evaluator can be used. By acquiring voice data as samples, it is possible to obtain evaluation results with a certain level of accuracy or higher. In other words, it is possible to reduce the time required for evaluating dementia while maintaining the accuracy of the evaluation.
  • the person in charge uses the evaluation device 100 in an environment 11 outside a medical institution to evaluate the dementia of a person to be evaluated, based on the simple evaluation results output by the evaluation device 100, Assume that the overall score shown corresponds to a range in which a visit to a medical institution is recommended.
  • the person in charge can, for example, arrange for the person to be evaluated to undergo a medical examination at the medical institution 21 serving as a family doctor.
  • a doctor who is a diagnostician can make a diagnosis using the evaluation device 100-11.
  • the doctor at the medical institution 21-1 can, for example, efficiently and accurately make a judgment regarding dementia and perform treatment, etc., by referring to the evaluation results regarding the person to be evaluated outputted by the evaluation device 100-11. can.
  • the doctor at the medical institution 21 serving as the family doctor determines that more advanced diagnosis or treatment is necessary, the doctor at the medical institution 21-2 serving as a support doctor or the medical institution 21-2 serving as a specialist may request the person being evaluated to receive treatment at the medical institution 21-2 serving as a support doctor or at a medical institution 21-2 serving as a specialist. can be introduced.
  • a diagnostician such as a doctor at the medical institution 21-2 who serves as a support doctor can also use the evaluation device 100-12 to make judgments, treatments, etc. regarding dementia. Furthermore, if the doctor at the medical institution 21-2, who serves as a support doctor, determines that advanced diagnosis or treatment is necessary, he or she can introduce the person to be evaluated to the medical institution 21-3, which is a specialist. A doctor serving as a diagnostician in the medical institution 21-3 as a specialist can also use the evaluation device 100-13 to make judgments, treatments, etc. regarding dementia. In addition, if the doctor at the medical institution 21-3, who is a specialist, determines that support from a support doctor is necessary for, for example, rehabilitation, he/she may refer the evaluated person to the medical institution 21-2 that provides the support doctor. can.
  • each of the evaluation devices 100 can cause the medical institution server 200 to store the evaluation result information by transmitting evaluation result information indicating the evaluation result to the medical institution server 200 via the network NW.
  • the evaluation device 100 of the medical institution 21 may be configured to transmit evaluation result information to the medical institution server 200 of the same medical institution 21, for example, by default. Furthermore, the evaluation device 100 of the medical institution 21 may be configured to be able to transmit evaluation result information to the medical institution servers 200 of other medical institutions 21 according to designation by operation. Furthermore, the evaluation device 100 in the environment outside the medical institution 11 may be configured to be able to transmit evaluation result information to the medical institution server 200 of the medical institution 21 designated by operation.
  • the evaluation device 100 of the environment outside the medical institution 11 selects a medical institution 21 where the person to be evaluated can receive treatment based on the evaluation result, and if the person to be evaluated decides to visit the aforementioned medical institution 21, for example, In this case, the evaluation result information may be transmitted to the medical institution server 200 of the selected medical institution 21.
  • the evaluation device 100 in the environment outside the medical institution 11 specifies the medical institution 21 where the person to be evaluated should receive evaluation and treatment based on the address of the person to be evaluated, and sends the evaluation device to the medical institution server 200 of the specified medical institution 21. Result information may be transmitted.
  • the medical institution servers 200 of each of the multiple medical institutions 21 that cooperate can The evaluation result information of the person may be sent and received.
  • the evaluation result information is exchanged in an environment including the environment 11 outside the medical institution and the medical institution 21, so that the environments outside the medical institution 11 and the medical institution 21 are the same. It becomes possible to share evaluation result information. By sharing evaluation result information in this way, it is possible to collaborate regarding dementia response (dementia n evaluation, diagnosis, treatment, etc.) in an environment that includes the outside medical institution environment 11 and the medical institution 21. becomes. Specifically, by transmitting evaluation result information from the evaluation device 100 used in the environment 11 outside the medical institution to the medical institution server 200 of one or more medical institutions 21, the environment 11 outside the medical institution and the medical institution 21 are Cooperation regarding dementia response will be established between the two groups.
  • the functions of the evaluation device 100 in the figure are realized by a CPU (Central Processing Unit) and a GPU (Graphics Processing Unit) included in the evaluation device 100 as hardware executing a program.
  • a CPU Central Processing Unit
  • GPU Graphics Processing Unit
  • the evaluation device 100 shown in the figure includes a communication section 101, a microphone 102, a display section 103, an operation section 104, a control section 105, and a storage section 106.
  • the communication unit 101 performs communication via the network NW.
  • the microphone 102 collects audio and obtains audio data of the collected audio.
  • the display unit 103 includes a display device and performs display under the control of the control unit 105.
  • the operation unit 104 includes input devices and operators included in the evaluation apparatus 100, and outputs operation information according to the operation to the control unit 105.
  • the evaluation device 100 may include a touch panel in which a display unit 103 is combined with an operation unit 104 as a touch input device.
  • the control unit 105 executes various controls in the evaluation device 100.
  • the control unit 105 includes an evaluation unit 151 and an evaluation result output unit 152.
  • the evaluation unit 151 analyzes the voice data obtained by collecting sound with the microphone 102 and determines the state regarding the cognitive function of the person to be evaluated.
  • the evaluation result output unit 152 outputs the evaluation result by the evaluation unit 151.
  • the evaluation result output unit 152 may output the evaluation result to be displayed on the display unit 103.
  • the evaluation result output unit 152 transmits evaluation result information indicating the evaluation result by the evaluation unit 151 to the medical institution server 200 as an output of the evaluation result.
  • the storage unit 106 stores various information corresponding to the evaluation device 100.
  • the storage unit 106 includes an evaluated person information storage unit 161, a medical institution server information storage unit 162, and a usage environment information storage unit 163.
  • the evaluated person information storage unit 161 stores evaluated person information for each evaluated person.
  • FIG. 3 shows an example of evaluator information corresponding to one evaluator.
  • the evaluated person information includes areas of evaluated person ID, evaluated person basic information, and evaluation result history information.
  • the evaluator ID area stores an evaluator ID uniquely assigned to the corresponding evaluator.
  • the evaluator basic information area stores evaluator basic information of the corresponding evaluator.
  • the evaluator basic information is basic information regarding the corresponding evaluator, and may include information such as name, age, gender, address, etc.
  • the evaluation result history information area stores evaluation result history information of the corresponding evaluator.
  • the evaluation result history information includes information on evaluation results obtained by the evaluation apparatus 100 performing evaluations on the corresponding evaluated person.
  • FIG. 4 shows an example of one piece of evaluation result information corresponding to one evaluation in the evaluation history result information.
  • the evaluation result information in the figure includes evaluation date and time, evaluation device ID, evaluation environment information, evaluator information, and evaluation result area.
  • the evaluation date and time area stores the evaluation date and time when the corresponding evaluation was performed.
  • the evaluation device ID area stores the evaluation device ID of the evaluation device 100 that has executed the corresponding evaluation (diagnosis).
  • the evaluation environment information area stores evaluation environment information.
  • the evaluation environment information is information that specifies the environment outside the medical institution 11 or the medical institution 21 as the environment in which the evaluation device 100 that has performed the corresponding evaluation is used.
  • the evaluator information area stores evaluator information. This is information indicating the user (evaluator) who operated the evaluation device 100 when evaluating the response.
  • the evaluation result area stores evaluation results.
  • an example is shown in which score values obtained for each of N evaluation items 1 to N are stored as evaluation results.
  • the medical institution server information storage unit 162 stores medical institution server information.
  • the medical institution server information is information regarding each medical institution server 200 that is a candidate for the destination of the evaluation result information.
  • FIG. 5 shows an example of medical institution server information.
  • Medical institution server information corresponding to one medical institution server 200 includes each area of medical institution server ID, network address, and corresponding medical institution information.
  • the medical institution server ID field stores a medical institution server ID indicating the corresponding medical institution server 200.
  • the network address field stores the network address of the corresponding medical institution server 200.
  • the corresponding medical institution information area stores corresponding medical institution information including predetermined information regarding the medical institution 21 corresponding to the corresponding medical institution server 200.
  • FIG. 6 shows an example of corresponding medical institution information.
  • the corresponding medical institution information shown in the figure includes a medical institution ID and each area of medical institution information.
  • the medical institution ID field stores a medical institution ID indicating the corresponding medical institution 21.
  • the medical institution information area stores medical institution information regarding the corresponding medical institution 21.
  • the medical institution information in the figure includes fields such as medical institution name, medical institution type, location, and corresponding treatment method.
  • the medical institution name area stores the name of the corresponding medical institution 21 (medical institution name).
  • the medical institution type area stores the medical institution type.
  • the medical institution type indicates the type of medical institution 21, such as a family doctor, support doctor, specialist, advanced medical hospital, or the like.
  • the location area stores information indicating the location of the corresponding medical institution 21.
  • the corresponding treatment method field stores information indicating treatment methods that the corresponding medical institution 21 can handle.
  • Step S100 The evaluator at the medical institution 21 or the environment outside the medical institution 11 has a conversation with the subject, for example, to have the subject speak.
  • the evaluator causes the evaluation device 100 running the evaluation application to collect sound under the situation where the person to be evaluated is having a conversation.
  • the evaluation unit 151 of the evaluation device 100 acquires audio data of the voice collected by the microphone 102.
  • the evaluation unit 151 may store the acquired audio data in the storage unit 106.
  • Step S102 The evaluation unit 151 analyzes the audio data acquired in step S100, and evaluates the person to be evaluated for each of a plurality of predetermined evaluation items related to dementia.
  • the voice data acquired in step S100 may also include the voice of the evaluator who is having a conversation with the person being evaluated.
  • the evaluation unit 151 discriminates between the diagnostician's voice and the evaluated person's voice included in the voice data based on, for example, the result of recognizing the content of the utterance.
  • the evaluation unit 151 may analyze the voice of the discriminated person to be evaluated, perform evaluation for each predetermined item, and calculate a score according to the evaluation result.
  • the evaluation unit 151 also derives a comprehensive evaluation result that combines the evaluation results for each evaluation item.
  • the evaluation unit 151 may calculate a score (total score) as a comprehensive evaluation result by performing a predetermined calculation using the score for each evaluation item.
  • the evaluation unit 151 may use a trained model that is configured to output evaluation results (scores) for each evaluation item according to the input of audio data through machine learning.
  • a trained model may be constructed, for example, by inputting learning data in which various speech patterns are associated with scores for each evaluation item into a learning device and causing the learning device to learn.
  • Step S104 The evaluation unit 151 adds the evaluation result information indicating the evaluation result obtained in step S102 to the evaluation result history information in the evaluated person information of the corresponding evaluated person stored in the evaluated person information storage unit. Let me remember it like this.
  • Step S106 The evaluation result output unit 152 determines whether the environment (usage environment) in which the evaluation device 100 is used for evaluation is the medical institution 21 or the environment outside the medical institution 11.
  • the evaluation result output unit 152 determines whether the usage environment is the medical institution 21 or the outside medical institution environment 11 depending on whether the usage environment information stored in the usage environment information storage unit 163 indicates the medical institution 21 or the outside environment 11. 11 may be determined.
  • Step S108 If it is determined in step S106 that the usage environment is the medical institution 21, the evaluation result output unit 152 outputs the detailed evaluation result as the evaluation result of the current step S102. That is, the evaluation result output unit 152 outputs the evaluation result including the presentation of the score for each item obtained by the evaluation in step S102 so as to be displayed on the display unit 103.
  • Step S110 If it is determined in step S106 that the usage environment is the outside medical institution environment 11, the evaluation result output unit 152 does not present the score for each item, but displays the overall score as the evaluation result in step S102 this time.
  • the simple evaluation results to be presented are output to be displayed on the display unit 103.
  • Step S112 After outputting the evaluation result in step S108 or step S110, the evaluation result output unit 152 determines the medical institution server 200 to which the evaluation result is to be transmitted.
  • the evaluation result output unit 152 When the evaluation result information is provided to the medical institution 21 closest to the address of the person to be evaluated, the evaluation result output unit 152 outputs the location of the medical institution ( 6), the location closest to the address shown in the evaluator basic information (FIG. 3) of the evaluator information of the evaluator to be evaluated is specified. In specifying such a location, the evaluation result output unit 152 may use map information provided on the network or stored in the storage unit 106, for example. The evaluation result output unit 152 determines the medical institution server 200 associated with the medical institution information including the specified location as the destination.
  • the evaluation result output unit 152 outputs the stored corresponding treatment method obtained in step S102. Identify medical institution information ( Figure 6) that matches the evaluation results. The evaluation result output unit 152 determines the medical institution server 200 associated with the identified medical institution information as the destination.
  • Step S114 The evaluation result output unit 152 transmits evaluation result information indicating the evaluation result of the current step S102 to the medical institution server 200 determined in step S112.
  • the evaluation result output unit 152 specifies the network address associated with the medical institution server 200 determined in step S112 as the destination.
  • the evaluation result information transmitted to the medical institution server 200 is the evaluation result information stored in step S104 to be added to the evaluation result history information, and may have a structure similar to that shown in FIG. 4, for example.
  • the evaluation device 100 may perform the evaluation using information related to the living body, such as the person's line of sight (an example of living body-related information), in addition to the speech uttered by the person being evaluated.
  • the evaluation device 100 may include a camera.
  • the evaluator images the eyes of the person to be evaluated using the camera of the evaluation device 100.
  • the evaluation device 100 recognizes the line of sight of the imaged eye and extracts a feature amount according to the recognized line of sight.
  • the evaluation device may perform an evaluation regarding dementia based on the feature amount extracted from the uttered voice and the feature amount extracted from the line of sight.
  • a behavior history indicating the behavior of the person to be evaluated in daily life may be acquired.
  • a camera or a sensor such as a load sensor may be installed on the floor, bedroom, bed, etc. of the person being evaluated, and the behavior history information server may store the sensor information detected by the sensor.
  • the behavior history server may store the operation history of home appliances, lighting, etc. at home as behavior history information.
  • the behavior history may be stored in a wearable device that is directly worn by the person being evaluated.
  • the evaluation device 100 may acquire the behavior history information of the evaluator stored in the behavior history server via the network as described above, and may also perform the evaluation using the acquired behavior history information. .
  • a part of the configuration in the evaluation device 100 in FIG. 2 may be provided in another device such as a cloud server.
  • the evaluation device 100 and the cloud server may communicate and cooperate via a network, so that the same functions as the evaluation device 100 of the embodiment described above may be realized.
  • the evaluation device 100 functions as a thin client that transmits voice data obtained by collecting sounds with a microphone 102 to a cloud server, and displays display data of evaluation results transmitted from the cloud server on a display unit 103. It can be made to work.
  • the cloud server may have the functions of the evaluation section 151, the evaluation result output section 152, and the storage section 106.
  • Such a cloud server performs an evaluation based on the audio data transmitted from the evaluation device 100, and transmits display data indicating a detailed evaluation result or a simple evaluation result to the evaluation device 100 depending on the usage environment of the evaluation device 100. , the evaluation results are displayed on the display unit 103 of the evaluation device 100.
  • the cloud server also determines the medical institution server 200 to which the evaluation result information is to be transmitted, and transmits the evaluation result information to the determined medical institution server 200.
  • a program for realizing the functions of the evaluation device 100, the medical institution server 200, etc. described above is recorded on a computer-readable recording medium, and the program recorded on the recording medium is read into a computer system and executed. By doing so, processing as the above-mentioned evaluation device 100, medical institution server 200, etc. may be performed.
  • "reading a program recorded on a recording medium into a computer system and executing it” includes installing the program on the computer system.
  • the "computer system” here includes hardware such as an OS and peripheral devices. Further, a “computer system” may include a plurality of computer devices connected via a network including the Internet, a WAN, a LAN, a communication line such as a dedicated line, etc.
  • “computer-readable recording media” refers to portable media such as flexible disks, magneto-optical disks, ROMs, and CD-ROMs, HDDs (Hard Disk Drives) built into computer systems, and SSDs (Solid State Drives).
  • the recording medium storing the program may be a non-transitory recording medium such as a CD-ROM.
  • the recording medium also includes a recording medium provided internally or externally that can be accessed from the distribution server to distribute the program.
  • the code of the program stored in the recording medium of the distribution server may be different from the code of the program in a format executable by the terminal device.
  • ⁇ computer-readable recording medium'' refers to a storage medium that retains a program for a certain period of time, such as volatile memory (RAM) inside a computer system that serves as a server or client when a program is transmitted via a network.
  • RAM volatile memory
  • the above-mentioned program may be for realizing part of the above-mentioned functions.
  • it may be a so-called difference file (difference program) that can realize the above-mentioned functions in combination with a program already recorded in the computer system.

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Abstract

La présente invention concerne un système de coopération médicale qui comporte un dispositif d'évaluation qui est utilisé dans des institutions médicales ou dans un environnement d'institution non médicale prescrit autre que les institutions médicales et qui est destiné à effectuer une évaluation relative à la fonction cognitive d'une personne évaluée. Le système de coopération médicale est configuré pour comprendre une unité d'évaluation destinée à évaluer l'état relatif à la fonction cognitive de la personne évaluée, sur la base d'informations biologiques qui comprennent au moins la parole prononcée de la personne évaluée, la parole prononcée ayant été entrée dans le dispositif d'évaluation ; et une unité de délivrance de résultat d'évaluation qui délivre un résultat d'évaluation de l'unité d'évaluation. Le système de coopération médicale est configuré de telle sorte que l'unité de délivrance de résultat d'évaluation transmet le résultat d'évaluation à un serveur d'institution médicale d'une institution médicale prescrite, parmi des serveurs d'institution médicale qui sont disposés à correspondre aux institutions médicales et qui sont capables d'accumuler des informations de résultat d'évaluation.
PCT/JP2023/019556 2022-05-25 2023-05-25 Système de coopération médicale, procédé de coopération médicale et programme WO2023229016A1 (fr)

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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2018015139A (ja) * 2016-07-26 2018-02-01 ヤンマー株式会社 認知症検査システム
JP2021058573A (ja) * 2019-10-08 2021-04-15 サントリーホールディングス株式会社 認知機能予測装置、認知機能予測方法、プログラム及びシステム

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2018015139A (ja) * 2016-07-26 2018-02-01 ヤンマー株式会社 認知症検査システム
JP2021058573A (ja) * 2019-10-08 2021-04-15 サントリーホールディングス株式会社 認知機能予測装置、認知機能予測方法、プログラム及びシステム

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