JP2002197200A - Disease management system utilizing internet - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a disease management system utilizing the Internet in which a medical institution can easily prepare a treatment plan in which the treatment can be standardized, and which can automatically manage a situation of implementation of the prepared treatment plan. SOLUTION: The disease management system 1 utilizing the Internet comprises a terminal device 10 and a center device 3. The terminal device 10 transmits prescription implementation information when a patient 9 implemented the prescription directed by a regular doctor 4. The center device 3 provides a treatment plan preparation information for the regular doctor 4 to prepare the treatment plan according to the disease of the patient 9 to a personal computer 5 of the regular doctor 4 through the Internet 8, stores the treatment plant prepared based on the treatment plan preparation information, and manages the situation of implementation of the treatment plan based on the prescription implementation information transmitted from the terminal device 10.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a disease management system using the Internet, which provides information for a medical institution to prepare a treatment plan required for treating a patient's disease.

[0002]

2. Description of the Related Art Conventionally, when a doctor at a medical institution treats, for example, a patient with diabetes, which is a chronic disease, it is necessary for the doctor to continuously manage the treatment contents of the patient. Therefore, a treatment plan called a critical path according to the disease state of each patient is created in advance. This critical path is a treatment plan that is implemented over time and is created in a tabular form on paper, and is used for clinical tests, treatment, nursing care, medication, etc. necessary for disease management. It is shown. Then, the doctor manages the implementation status of the treatment plan by means of writing the implementation status of the clinical examination, treatment, nursing care, medication, etc. indicated on the treatment plan on paper, and continuously treats the patient. It is proceeding.

[0003]

As described above, a doctor prepares a treatment plan in order to continuously proceed with treatment of a patient. However, in order to prepare a treatment plan, conventionally, a physician takes considerable time and effort. There is a problem that there is. In addition, doctors may have different treatment plans for the same disease,
Standardization of treatment is extremely difficult. Furthermore, the artificial management means that the doctor checks the implementation status of the treatment plan of each patient and accurately writes the implementation status in the treatment plan is too time-consuming for the doctor. There is a problem that it cannot be used effectively.

Therefore, according to the present invention, it is possible for a medical institution to easily create a treatment plan capable of standardizing treatment by using the Internet and to automatically manage the implementation status of the created treatment plan. An object of the present invention is to provide a disease management system using the Internet that can be used.

[0005]

The above object can be attained by a disease management system using the Internet described in the claims.

According to the disease management system using the Internet according to the first and second aspects, the center device transmits, via the Internet, treatment plan creation information for a medical institution to create a treatment plan according to a patient's disease. It is possible to provide the medical institution and store the treatment plan created based on the treatment plan creation information, and automatically manage the implementation status of the treatment plan based on the prescription execution information transmitted from the terminal device. it can. Thus, the medical institution can easily create a treatment plan that enables standardization of treatment, and can automatically manage the implementation status of the created treatment plan.

According to the third aspect of the present invention, the implementation status of the treatment plan stored in the center device can be monitored by the personal computer of the medical institution, and the treatment plan can be monitored. Since the correction can be made, the medical institution can effectively use the present system.

According to the fourth aspect of the present invention, the center device can transmit warning information for prompting transmission of prescription execution information to the terminal device. It is possible to prevent forgetting to transmit the execution information.

According to the disease management system using the Internet according to the fifth aspect, the center device can transmit information analyzed based on the prescription execution information transmitted from the terminal device to the terminal device. Patients can be conscious of health management and can promote lifestyle improvement.

[0010] According to the disease management system using the Internet according to the sixth aspect, when the center device determines that the prescription execution information transmitted from the terminal device includes abnormal information, the center device transmits the abnormal information to the personal institution of the medical institution. Since it can be transmitted to the computer, the medical institution can make an appropriate and prompt diagnosis for the patient.

According to the seventh aspect of the present invention, since the center device can output the management information on the patient, the medical institution can provide the patient with appropriate advice based on the management information. can do.

According to the disease management system using the Internet according to the present invention, since the center device can charge the medical institution for the use of the system by the medical institution, the center device can be provided as a profit means. it can.

According to the ninth aspect of the present invention, since the center device allows the prescription execution information of the patient to be viewed on the terminal device of the patient, the patient can check his / her prescription execution status. You can check.

[0014]

Next, an embodiment of the present invention will be described. FIG. 1 is a system diagram showing the overall configuration of a disease management system 1 using the Internet. In the description of the embodiments of the invention,
"Disease Management System 1 Using the Internet"
Simply referred to as the disease management system 1. As shown in FIG. 1, a disease management system 1 includes a center device 3 installed in a management center 2, a personal computer 5 of a family doctor (for example, a clinic) 4, and a family doctor 4.
When a situation that cannot be determined by the above occurs or when it is determined that a specialized examination is necessary, the family doctor 4 connects the personal computer 7 of a specialist (for example, a relatively large hospital) 6 for consultation for treatment or the like to the Internet 8. In addition to the connection, the terminal device 10 of the patient 9 and the center device 3, the terminal device 10 and the personal computer 5 of the family doctor 4, and the personal computer 5 of the family doctor 4 and the personal computer 7 of the specialist 6
Are connected by a communication line 11 (including a wired system and a wireless system). Note that the management center 2 may be located anywhere as long as Internet communication is possible. Further, the communication line 11 may be replaced with the Internet 8.

The center device 3 installed in the management center 2 is used by a doctor of a family doctor 4 using a personal computer 5 to easily create a treatment plan capable of standardizing treatment corresponding to a disease of a patient 9. It stores treatment plan creation information, and when the center device 3 is accessed from the personal computer 5, the treatment plan creation information can be provided to the personal computer 5 via the Internet 8.

FIG. 2 shows treatment plan creation information for diabetes treatment stored in the center device 3 installed in the management center 2. When the doctor of the family doctor 4 accesses the center device 3 from the personal computer 5 in accordance with predetermined operation guidance, the treatment plan creation information for diabetes treatment as shown in FIG.
a is displayed on the screen 5 a of the personal computer 5. No. 1 to No. 10
By selecting or setting the above information, a treatment plan for a diabetic patient can be created.

The doctor of the family doctor 4 uses the personal computer 5 as described above to make N as shown in FIG.
o. No. 1 to No. When 10 pieces of information are selected or set, the center apparatus 3 displays a screen serving as a base for creating a treatment plan for a diabetic patient on the personal computer 5.
Is displayed on the screen 5a.

The following screen information is stored in the center device 3 as information for preparing a treatment plan for a diabetic patient. That is, the annual treatment plan input screen shown in FIG. 3, the exercise treatment plan input screen shown in FIG. 4, the diet treatment plan input screen shown in FIG. 5, the pharmacotherapy treatment plan input screen shown in FIG. Information such as a home examination treatment plan input screen shown in FIG. 7 and a medical institution annual examination treatment plan input screen shown in FIG. 8 are stored. The screens shown in FIGS. 3 to 8 will be supplementarily described later.

As described above, the doctor of the GP 4
When the personal computer 5 accesses the center device 3 to create the above-described treatment plan, the center device 3 saves each treatment plan created by the personal computer 5.

The center device 3 reports the execution status of each stored treatment plan to the terminal device 1 of each patient 9.
In addition to the automatic management based on the prescription execution information of each patient 9 transmitted from 0, the execution status of each treatment plan can be monitored by the personal computer 5, and the treatment plan can be corrected as necessary. Can be done.

The prescription execution information input to the center device 3 from the terminal device 10 of each patient 9 is shown in FIG.
o. 11 to No. There is information as shown in FIG. That is, (No. 11) Exercise prescription implementation information (No. 12) Dietary prescription implementation information (No. 13) Pharmacotherapy implementation information (No. 14) Life improvement implementation information (No. 15) Home examination implementation information (No. 15) 16) Consultation information (No. 17) Subjective symptoms in daily life

The above-described prescription information is stored in each patient 9
Is transmitted from the terminal device 10 to the center device 3, the center device 3 automatically manages the execution status of the treatment plan of the corresponding patient 9 based on the prescription execution information.

Next, a method of using the disease management system 1 will be described. In order to make the explanation concrete, treatment of diabetes, which is a chronic disease, will be described as an example of the disease of the patient 9. Diabetes, which is a chronic disease, has patients ranging from diagnosis, discovery, treatment, and hospitalization to complications such as nephropathy, retinopathy, and neuropathy. Therefore, the doctor of the family doctor 4 analyzes the present condition of the patient 9 and accesses the center device 3 from the personal computer 5 as described above, and makes each treatment plan (see FIGS. 3 to 8) suitable for the patient 9. create.

FIG. 3 shows a screen of the annual treatment plan of the patient 9 created by the personal computer 5. As shown in FIG. 3, the annual treatment plan is a plan of an exercise prescription, a meal prescription, drug use information, a home examination schedule, a medical institution examination schedule, and the like of the patient 9.

FIG. 4 shows a personal computer 5.
It is a screen of the exercise therapy treatment plan created in. As shown in FIG.
This is set based on 0 kcal, and various instruction data related to exercise performed by the patient 9 on the prescription day is set.

FIG. 5 shows a diet treatment plan created by the personal computer 5. As shown in FIG. 5, the treatment plan for this diet was 1840 k
The setting is based on the cal and the indicated exercise amount of 300 kcal, and sets instruction data such as the time and unit of a meal (breakfast, lunch, dinner, and snack) to be taken by the patient 9 on the prescription day. Note that the type of food to be taken by the patient 9 is selected based on a food exchange table (not shown).

FIG. 6 shows a screen of a medical treatment plan created by the personal computer 5. As shown in FIG. 6, in the treatment plan of this drug therapy, a medicine name taken by the patient 9 and a medicine name of an injection medicine are set on the prescription day, and the medicine taking time is set.

FIG. 7 is a screen of a home examination treatment plan created by the personal computer 5. As shown in FIG. 7, according to the treatment plan of the home examination, the patient 9 examines a blood glucose level, a urinalysis, and a blood pressure measurement (high and low) on a prescription day before and after breakfast, before and after lunch, before and after dinner, and before bedtime. And the target upper limit and lower limit of each inspection value are set.

FIG. 8 is a screen of a medical institution annual examination and treatment plan created by the personal computer 5. As shown in FIG. 8, the treatment plan of this medical institution annual examination is as follows. It is set to perform over.

FIG. 10 shows a case where the center device 3 transmits the patient 9 based on the prescription execution information transmitted from the terminal 10 of the patient 9.
7 is an analysis screen obtained by analyzing the home prescription implementation status. FIG.
As shown in the figure, this screen is
This screen shows the patient's prescription execution status from the first to the third month of the month, and this screen shows the status of the patient's intake and consumption, medication, injection, examination, and the like.

FIG. 11 is an analysis screen in which the center device 3 analyzes the home management status of the patient 9 on a specific day (March 6, 2001) based on the prescription execution information transmitted from the terminal device 10 of the patient 9. It is. As shown in FIG. 11, this screen displays the status of the patient's physical activity, diet, medication, injection, blood glucose test, urine test, blood pressure test, etc., for 24 hours on a specific day.

FIG. 12 shows that the center device 3 evaluates the exercise results of the patient 9 based on the prescription execution information transmitted from the terminal device 10 of the patient 9 and displays the evaluation information on the screen 10 a of the terminal device 10. FIG. FIG.
As shown in FIG. 2, on this screen, exercise evaluation comments for evaluating the exercise actually performed by the patient 9 with respect to the indicated exercise amount are displayed, and an exercise information advice column for the patient 9 and an exercise intensity are displayed. Blocks are provided to display status and physical activity levels.

FIG. 13 shows that the center device 3 evaluates the meal result of the patient 9 based on the prescription execution information transmitted from the terminal device 10 of the patient 9, and displays the evaluation information on the screen 10a of the terminal device 10. FIG. FIG.
As shown in FIG. 3, on this screen, a meal evaluation comment and a salt evaluation comment for evaluating the intake of the meal actually taken by the patient 9 with respect to the indicated intake are displayed, and the screen is displayed with respect to the consumed food. A block is provided for displaying the dietary balance and the dietary balance of breakfast, lunch, dinner, snacks and evening snacks.

FIG. 14 shows that the center device 3 uses the prescription execution information transmitted from the terminal device 10 of the patient 9 to extract foods (cereals, fruits, meat / fish, favorite food, milk, This is a screen for analyzing fats and oils and the like and displaying the analysis result on the screen 10a of the terminal device 10. FIG.
As shown in FIG. 4, this screen shows that the patient 9 has breakfast, lunch,
The foods and their amounts taken at each dinner and comments on the intake of each food are displayed.

FIG. 15 shows that the center apparatus 3 analyzes the home inspection value of the patient 9 based on the prescription execution information transmitted from the terminal apparatus 10 of the patient 9, and displays the inspection result on the screen 10a of the terminal apparatus 10. It is a screen for displaying. As shown in FIG. 15, on this screen, the transition of the blood glucose level, the transition of the blood pressure level, and the transition of the urinary glucose level of the patient 9 are displayed, as well as the evaluation of the examination status and the general advice for the patient. .

As described above, the center device 3 updates the execution status of each treatment plan created as described above corresponding to the disease of each patient 9 by the prescription execution transmitted from the terminal device 10 of the patient 9. Manage automatically based on information. In addition, comments and advice information based on the analysis result of the prescription execution information can be transmitted to the terminal device 10 of each patient 9 and the information can be displayed on the screen 10a of the terminal device 10. Thereby, the doctor of the family doctor 4 can effectively use the treatment plan created by the doctor for the treatment of the patient 9 and can provide the patient 9 with accurate and effective treatment information.

In the process in which the center apparatus 3 manages the implementation status of the treatment plan, the treatment plan may not be implemented as scheduled, or the patient 9 may not be able to improve his or her condition. In such a case, the doctor of the GP 4 may consult the specialist 6 for treatment and examination and receive advice from the specialist 6. In such a case, the doctor of the GP 4 transmits necessary information from the personal computer 5 to the personal computer 7 of the specialist 6 and receives advice.

In the course of implementing the treatment plan, patient 9
When the doctor 4 receives a regular diagnosis, the doctor listens to the patient 9 about the above-mentioned exercise prescription, meal prescription, drug prescription, test execution, control target values, and the like. In addition, based on test results such as a blood test, an electrocardiogram test, a fundus test, a renal function test, and an X-ray test, the presence or absence of a complication of the patient 9 is diagnosed. The doctor may determine that the treatment plan needs to be modified based on the information received and the test results.

As described above, the doctor of the family doctor 4
When receiving the advice of the specialist 6 or when it is determined that the treatment plan needs to be corrected based on the information received from the patient 9 and the test results, the doctor accesses the center device 3 from the personal computer 5 and The medical treatment plan to be corrected stored in the personal computer 5 is corrected while being displayed on the personal computer 5 and stored again in the center device 3. The center apparatus 3 can monitor the implementation status of the treatment plan by accessing from the personal computer 5 of the family doctor 4 and the personal computer 7 of the specialist 6.

The center device 3 analyzes the prescription execution information transmitted from the terminal device 10, and if there is an abnormality (or an abnormal value) in the analysis result, the emergency information is automatically sent to the personal computer 5 of the family doctor 4. Can be transmitted by e-mail or facsimile, so that the doctor of the family doctor 4 can urgently contact the patient 9 and diagnose the patient 9 promptly.

When the time for transmitting the prescription execution information of the patient 9 from the terminal device 10 approaches, the center device 3 activates an alarm provided on the terminal device 10. Thereby, the center device 3 can warn the patient 9 to transmit the prescription execution information without fail.

Further, the center device 3 can output a management sheet in which management information on the patient 9 is described. Thereby, the doctor of the family doctor 4 can give more detailed information to the patient 9 based on the management information.

As described above, the center device 3 is transmitted from the personal computers 5 and 7 of the family doctor 4 and the specialist 6.
Is accessed, the treatment plan is created using the treatment plan creation information stored in the center device 3, and is stored in the center device 3 to manage the implementation status of the treatment plan. The usage fee is calculated and charged to the GP 4 (which may be charged to the specialist 6). Further, the terminal device 10 of the patient 9 is connected to the center device 3.
The patient 9 browses his / her own exercise execution information, meal execution information, etc.
Charges the usage fee to the patient 9. In addition, the terminal device 1
The usage fee of 0 is also charged to the patient 9. For this reason, the disease management system 1 can be provided as a management resource of a company, a medical corporation, or the like. In the above description, the doctor 4
And access to the center device 3 from the personal computers 5 and 7 of the specialist 6 to create a treatment plan using the treatment plan creation information stored in the center device 3, and then store the treatment plan in the center device 3 to store the treatment plan. Is described, the treatment plan can be created by a doctor going to the management center 2 and operating the center device 3. Also in this case, the center device 3 can automatically manage the treatment plan.

In the above embodiment, the use of the disease management system 1 for preparing a treatment plan for a diabetic patient and managing the implementation status of the prepared treatment plan has been described. Can be used not only for diabetes but also for creating a treatment plan for other diseases and managing the implementation status.

Since various treatment plans created by many medical institutions are stored in the center device 3, the number of databases used by medical institutions to create treatment plans gradually increases. For this reason, the doctor can search the database relating to a lot of treatment plan creation information, so that the standardization of the treatment proceeds, and efficient and effective treatment can be realized.

[0046]

According to the present invention, a medical institution can easily create a treatment plan that can standardize treatment by using the Internet and automatically manage the implementation status of the created treatment plan. can do. Thereby, an efficient and effective treatment can be realized.

[Brief description of the drawings]

FIG. 1 is a system diagram showing the overall configuration of a disease management system using the Internet.

FIG. 2 is a display diagram of treatment plan creation information for diabetes treatment stored in a center device of a disease management system using the Internet.

FIG. 3 is a diagram of an annual treatment plan input screen created by a disease management system using the Internet.

FIG. 4 is an input screen view of a treatment plan for exercise created by a disease management system using the Internet.

FIG. 5 is an input screen diagram of a meal-related treatment plan created by the disease management system using the Internet.

FIG. 6 is an input screen diagram of a treatment plan for medication created by a disease management system using the Internet.

FIG. 7 is an input screen diagram of a treatment plan for a patient's home examination created by the disease management system using the Internet.

FIG. 8 is an input screen diagram of a treatment plan for an annual examination of a patient by a medical institution created by a disease management system using the Internet.

FIG. 9 is an information display diagram showing types of prescription execution information input from the terminal device of the patient to the center device.

FIG. 10 is a diagram of a patient's home management status analysis screen.

FIG. 11 is a view showing a patient specific day management status screen.

FIG. 12 is a view showing an exercise result evaluation screen of a patient.

FIG. 13 is a view of a patient's meal result evaluation screen.

FIG. 14 is a view of a patient's meal detail result screen.

FIG. 15 is a view of a patient's test result screen.

[Explanation of symbols]

 1 Disease management system using the Internet 2 Management center 3 Center device 4 Family doctor 5 Personal computer 6 Specialist 7 Personal computer 8 Internet 9 Patient 10 Terminal device 11 Communication line

 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Inventor Kohei Kitao Eighth Higashi-Katabata-cho, Higashi-ku, Nagoya City, Aichi Prefecture Inside Suzuken Co., Ltd.

Claims (9)

[Claims] 1. A terminal device for transmitting prescription execution information when a patient performs a prescription instructed by a medical institution, and treatment plan creation information for the medical institution to create a treatment plan according to the patient's disease. A center that provides to a medical institution via the Internet, stores a treatment plan created based on the treatment plan creation information, and manages the implementation status of the treatment plan based on prescription execution information transmitted from the terminal device. A disease management system using the Internet, characterized by comprising a device. 2. The disease management system using the Internet according to claim 1, wherein the prescription execution information transmitted from the terminal device to the center device includes patient's life information, examination information, and medication information. A disease management system using the Internet, characterized by the following. 3. The disease management system using the Internet according to claim 1 or 2, wherein the execution status of the treatment plan stored in the center device is monitored by a personal computer of a medical institution, and the treatment plan is monitored. A disease management system using the Internet, which can be modified. 4. The disease management system according to claim 1, wherein the center device transmits warning information to the terminal device to urge the terminal device to transmit the prescription execution information. A disease management system using the Internet. 5. The disease management system according to claim 1, wherein the center device transmits information analyzed based on prescription execution information transmitted from the terminal device to the terminal device. A disease management system using the Internet, characterized by being able to do so. 6. The disease management system using the Internet according to claim 1, wherein the center device determines that there is abnormal information in the prescription execution information transmitted from the terminal device. A disease management system using the Internet, wherein information is transmitted to the medical institution. 7. The disease management system using the Internet according to claim 1, wherein the center device is capable of outputting management information on the patient. . 8. The disease management system using the Internet according to claim 1, wherein the center device charges the medical institution a usage fee based on the use of the system by the medical institution. A disease management system that uses the Internet as a feature. 9. The disease management system using the Internet according to claim 1, wherein the center device can browse the prescription execution information of the patient by a terminal device of the patient. A disease management system using the Internet.