JP2012165800A - Device for supporting home medication compliance, program, and method for confirming home medication compliance - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a device for supporting medication compliance, capable of folding and storing an ODP (one dose package) medicine prescribed for a long period, informing a patient of a medication time at home, and enabling the patient to take out the ODP medicine necessary for the number of doses.SOLUTION: The support device includes: a means for causing a medicine forwarding mechanism 2 to forward the length of a dose of the ODP medicine 1a when the medication time comes; a means for causing a stopper mechanism to operate even if the medicine is pulled to take out the medicine; a means for causing an alarm output section to alarm during the set time; a means for causing a medicine detecting sensor 3 to sense the medicine if the medicine is taken out and stopping the alarm output; a means for communicating a contact telephone number and emitting a continuous or DTMF (dual-tone multi-frequency) sound if the medicine is not taken out through a medicine outlet port even if the medication time elapses; and a means for communicating a second registered contact number thereafter if the first registered contact number is not available when a plurality of contact numbers are registered.

Description

The present invention allows a patient with a chronic disease such as hypertension at home to know the medication time by an alarm, and can take out the medicine that is packaged once every medication time such as morning, noon, night, before going to bed, etc. You ’ll be able to see and record that information,
If you do not take the medicine after a certain period of time from the time of taking the medicine, send information that you do not take the medicine to the caregiver's phone, and the caregiver will speak to the patient by phone or other means to encourage the medication. The present invention relates to a medication compliance support apparatus, a program, and a medication compliance confirmation method.

It is difficult for elderly people at home to take medication at a fixed time every day, especially high blood pressure
It is considered difficult for patients with chronic diseases such as these to take medication continuously. In particular, living alone or
It is difficult to manage the person in patients with dementia.

As for the current patient's medication method, the patient or family will choose the necessary medicine from the medicine bag or medicine box received from the pharmacy when it is time to take the medicine. Or, if the patient is unable to manage medication by himself, the visiting nurse takes the medication at the time of the visit.

The product that is currently on the market is a medication box with a timer in the medicine box.
The alarm will sound and inform you of the medication, set of medication and medication time,
And medication management can only be done at the individual responsibility of the patient or caregiver.

On the other hand, doctors prescribing drugs are diagnosed on the premise that patients are taking medicines as prescribed, especially in patients with hypertension, blood pressure measurements are taken on the premise that they have taken antihypertensive drugs. Even if the blood pressure is not lowered, it is judged that the effect of the drug is not exerted, and it is considered that the drug is excessively administered, which increases the physical burden due to the side effects of the patient and further increases the medical cost. .

As an example of a medicine box that notifies the medication time with an alarm, for example, Patent Document 1 discloses a clock box in a medicine box.
Function and an open / close sensor to notify the medication time with an alarm and record the opening and closing of the medicine box.
There is something that reminds the patient that. In addition, as an example of a method for informing medication information to the outside, for example, Patent Document 2 discloses medication schedule information by e-mail from a terminal device.
There is something to receive.

JP 2002-209980 A JP 2007-26254 A

The first problem to be solved is a packaged medicine (hereinafter, referred to as a long-term prescription).
It is intended to provide folding and storage of “packaging medicine”) at every medication time.

A second problem to be solved is to provide a medication compliance support apparatus that can notify a patient of medication time at home and can take out a packaged medicine by the number of times of medication.

A third problem to be solved is to send information not taken to a caregiver or the like when the patient does not take medication even after the medication time has passed at home, and the caregiver contacts the patient to encourage medication.

A fourth problem to be solved is to share information on patient compliance between two or more third parties such as a caregiver, a pharmacy, and a medical institution.

In order to solve the first and second problems described above, a medicine storage section that stores a medicine that is packaged every predetermined time for taking medicine, a medicine feeding mechanism that sends the medicine to a medicine outlet, and a medicine A medicine detection unit that detects that a certain amount of medicine has been delivered and further detects that the medicine has been taken out, and a stopper mechanism that prevents taking out more than the required amount of medicine even if the medicine is pulled to take out the medicine. In addition, the setting unit for setting the time for taking the medicine, the setting contents, and the time for taking the medicine are displayed.
Or / and a display section for displaying the time when the medicine was taken and the time when the medicine was taken, an alarm section for notifying that it is the time for taking the medicine, and an outing switch for taking out the medicine at a time other than the set time. A storage unit for storing information that has been taken out, that is, information that the medicine has been taken out, information that has not been taken out, that is, information that the medicine has not been taken, and information that the outing switch has been pressed, that is, information that the medicine has been taken out And a communication unit for transmitting the information to the outside.

Moreover, in order to solve said 3rd subject, when a patient does not take medicine, it exists in communicating with a contact telephone number from a communication control part via a general telephone line.

In order to solve the above fourth problem, information on taking, not taking, and going out sent to the management server and information automatically communicated to the contact information are accumulated in the management center, and caregivers, pharmacies,
And a program to share medication management information between two or more third parties in a medical institution.

By using the medication compliance support apparatus of the present invention, the patient can know the medication time by an alarm, and can take out the medicine determined at the prescribed medication time. If you do not take medication even after the medication time has passed, information that you do not take medication will be sent to registrants such as caregivers who have registered in advance, and the registrant will forget to take the medication by calling the patient and prompting the patient to take the medication. Can be eliminated.

Many of the home patient health management systems that have been researched and developed in the past require an Internet connection, so when actually introducing it to an elderly home, new Internet contracts and operational costs are required. It was a drag and it was difficult to make a business. Since the medication compliance support apparatus of the present invention is operated by connecting to a general telephone line that is generally popular in elderly homes, it is an apparatus that can be easily introduced to elderly people.

The visiting nurse can use the contact information of the medication compliance support apparatus of the present invention for the medication management guidance of the patient in charge.

The pharmacist can use the contact information of the medication compliance support apparatus of the present invention for the medication management guidance of the patient in charge.

Information transmitted from the medication compliance support apparatus of the present invention is managed by the management server
Thus, information on patient compliance can be grasped by sharing information with the pharmacist, visiting nurse, doctor, etc., and the doctor can determine the effect of the drug. It is particularly useful for determining the effects of antihypertensive drugs on hypertensive patients or determining the effects of midnight after administration of drugs to patients with dementia.

In addition, by managing the medication status of home patients, it can be confirmed from a remote location that you are living as usual, and when you are not taking medication, you can check the safety by contacting the phone, and as a monitoring device Can be used.

1 is an overview perspective view of a medication compliance support apparatus according to a first embodiment of the present invention. It is sectional drawing of the medication compliance assistance apparatus of FIG. It is a figure of the jig | tool which sets an encapsulated medicine in the medication compliance assistance apparatus of FIG. It is a block diagram of the setting method of the medication compliance assistance apparatus of FIG. It is a block diagram regarding the apparatus control of the medication compliance assistance apparatus of FIG. FIG. 2 is a block diagram of the medication management method of FIG. 1. FIG. 2 is a block diagram of a medication management method when the medication compliance support device of FIG. 1 is managed by a management server.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

1 to 3 relate to the first embodiment of the present invention, FIG. 1 is a perspective view of the outline, and FIG.
FIG. 3 is a diagram of a jig for setting a packaged medicine, FIG. 4 is a block diagram of a setting method, FIG. 5 is a block diagram relating to apparatus control, FIG. 6 is a block diagram of a medication management method, and FIG. It is a block diagram of the medication management method in the case of managing with a server.

First, a method for setting a medicine in the apparatus of the present invention will be described. For example, 28 days for taking in the morning,
The drug setting jig 10 is inserted into the tip portion of the encapsulated drug 1a connected for 30 days, 60 days, or 90 days. Open the medicine set door 9 of the device, above the medicine feed mechanism 2
The medicine setting jig 10 is sandwiched between the lower rollers, and the leading end portion of the encapsulated medicine 1a is set so as to be detected by the medicine detection unit having the medicine detection sensor 3. The medicine setting jig 10 is taken out after the medicine is set. The rest of the set encapsulated medicine 1a is folded and stored in a mountain fold. Needless to say, the encapsulated drug is folded so that it is not caught until the end. In the same way, set the drugs before going to bed day, night. Drug
The upper and lower rollers of the feed mechanism 2 are at both ends of the encapsulated drug 1a, and loosen the encapsulated drug 1a.
Set so as not to stop. Further, as a method for setting the medicine, there is a method in which the encapsulated medicine 1a is wound using a drum.

Next, the medication time setting 7b, the alarm duration setting 7c, and the contact phone number setting 7d in FIG. 4 will be described. Based on the patient's meal time, for example, in the morning time 7
The setting unit 7 inputs the time 30 minutes, the daytime medication time 12:30, the nighttime medication time 18:30, and the medication time before bedtime 21:00. Next, with the alarm duration setting 7c,
The time for continuously outputting the alarm is input at the setting unit 7 as, for example, 30 minutes. This alarm duration can be changed. Next, in the contact phone number setting 7d, the contact phone number of a caregiver or the like is input in the setting unit 7 in order to have the patient contact by phone when the patient forgets to take the medicine. Multiple telephone numbers may be registered. The above settings are stored in the storage unit 15 included in the setting unit 7.

The device is installed in a place where it is easy to take medicine such as in the vicinity of the pot in the living room, and the telephone line modular jack 4 is branched from the general telephone line in the home and connected.

Next, the medication management method of the medication compliance support apparatus of the present invention will be described with reference to FIG.
explain. The clock function is set by the time measuring mechanism 12 and displayed on the display 11. When the medication time set in the medication time setting 7b is reached, the medicine feeding mechanism 2 sends out the medicine by the length of one packaged medicine, specifically, the distance between the perforations of the packaged medicine. The length is detected by a drug detection sensor 3 such as a light reflection sensor. After the medicine is delivered by the medicine feeding mechanism 2, the stopper mechanism 8 prevents the medicine from being taken out more than necessary even if the medicine is pulled, and vice versa. Prevents getting in. Since a single dose of the drug comes out to the take-out port at the time of medication, the patient can cut out and take out the drug along the perforation. For example, other methods may be used for the medicine feeding mechanism 2 without depending on the electromagnetic motor. Further, for example, for 30 minutes set in the alarm duration setting 7c, an alarm sound or a melody that prompts the patient to take medication is output from the alarm output unit 13 to inform the patient of the time for taking the medication. Alarm sound and melody can be changed. The alarm sound and melody will continue to sound until the patient removes the prescribed medication. When the patient takes out the medicine, the medicine detection sensor 3 detects and takes information that the medicine has been taken into the storage unit 15.

If the medicine is not taken out after the time set in the alarm duration setting 7c, for example, 30 minutes, the communication control unit 14 communicates with the general telephone line to the telephone number entered in the contact telephone number setting 7d. The telephone number is displayed on the telephone number display of the contact, and a continuous sound of “Peep” is transmitted to notify the contact telephone that the patient is not taking the medicine. If the contact phone has a phone number registration function, the patient name is displayed on the phone display by registering the patient phone number.
When a plurality of contacts are registered and the first registered contact does not receive a call, the contact is made to the second registered contact. In the same manner, the communication is made to the contact information. In addition, you may make it notify the information which the patient took in the medication time.

A caregiver such as a family member who knows that the patient is not taking medication informs the patient that he or she has forgotten to take the medication verbally and prompts him to take the medication. Speaking verbally using the phone also serves to communicate with the patient and build a relationship of trust.

The emphasis on human intervention regarding the medication management method of the present invention is because it is a secondary requirement to build a trusting relationship between the patient and a caregiver or a medical welfare service representative.

When the patient goes out, for example, he / she cannot take the medicine at home in the daytime, so the predetermined medicine can be taken out by pressing the outing switch 6 before going out. When the outing switch 6 is pressed, for example, it is considered that the medicine has been taken in the daytime, and the device in the daytime is not started. That is, information indicating that the patient has taken the medicine is stored in the storage unit 15. In addition, the device is normally activated from the evening medication time.

The medication compliance support device can be used by hemiplegic patients because the patient can cut out and take out a single dose of medicine along the perforation and press the go-out button with one hand. . In addition to voice display,
By adding means that can be judged by tactile sense such as Braille display or balloon picture,
It can also be used by visually impaired people.

The medication management method of the medication compliance support apparatus of the present invention will be further described with reference to FIG. The patient takes out the medicine 17 and takes the medicine 18 when the medication time 16 is reached. If the set time elapses 19 without taking out the medicine 17 at the medication time 16,
Call the registered contact phone call + “Peep tone” 20 to inform caregivers such as family members that the patient is not taking medication. All outgoing information and the like are stored in the storage unit 15. “Peep dial tone” may be another dial tone, or another means may be used. Next, a caregiver such as a family member contacts the patient by telephone or the like and prompts the patient to take medication 18.

As described above, by using the first embodiment of the present invention for a one-to-one relationship between a patient and, for example, a caregiver, it is possible to inform the patient of the medication time or to encourage the caregiver to take the patient. At this time, a management server or the like is not required, and can be easily introduced into the patient's home, and medication management can be performed while suppressing the introduction cost. The medication information is stored in the storage unit 15 and can be taken out to an external storage device as necessary.

Next, according to the first embodiment of the present invention, a method of sharing a medication management information by installing a CTI system, which is a system for managing audio by a computer, and a management server will be described with reference to the drawings. FIG. 7 is a block diagram of a medication management method when managed by the management server.

Next, a medication management method will be described with reference to FIG. When the patient is at the medication time 16 and takes out the medicine 17, the management server telephone number + “# 2” 21 is transmitted,
The information on the medication 18 and the time taken are stored in the management server.

If the patient does not take out the medicine 17 even after the set time 19, the management server telephone number + “# 1” 23 is transmitted. The CTI system and the management server that have received the non-administration information communicate with the phone of a caregiver such as a family member and inform that the patient is not taking medication by voice contact or email transmission 24. Information obtained by telephone communication with caregivers such as family members is also stored in the management server. Needless to say, if the first registered contact does not receive a call, it communicates with the second registered contact and stores that information in the management server. A caregiver such as a family member who knows that the patient is not taking medication contacts the patient by telephone or the like and informs the patient that he / she has forgotten to take medication. Caregivers such as family members can use e-mail
The communication end notification 25 is transmitted to the management server by means, and the contact end notification 25 and time are stored in the management server. There is also a method of operating by directly calling the patient's house by voice call 24 from the management server.

If the outing switch 6 is pressed when the patient goes out, the management server telephone number + “# 3”
22 is transmitted and the outing information and time are stored in the management server.

When the patient goes out with a mobile phone or the like, the management server can notify the medication time by e-mail or voice from the mobile phone or the like.

The patient's medication, non-medicine, outing information, contact information and contact information to the patient are accumulated in the management server with the time.

The patient medication management information is managed by a management server, and the medication information is shared by caregivers, pharmacists, visiting nurses, doctors, and the like.

The administration center performs server management of the medication compliance support apparatus of the present invention, so that patient medication information can be provided to medical welfare personnel.

DESCRIPTION OF SYMBOLS 1 Drug storage part 1a Encapsulated medicine 1b Drug 2 Drug feed mechanism 3 Drug detection sensor 4 Telephone line modular jack 5 Device body 6 Outing switch 7 Setting part 7a Drug setting 7b Medication time setting 7c Alarm duration setting 7d Contact telephone Number setting 8 Stopper mechanism 9 Drug setting door 10 Drug setting jig 11 Display display 12 Timing mechanism 13 Alarm output unit 14 Communication control unit 15 Storage unit 16 Medication time 17 Drug take-out 18 Drug use 19 Set time elapsed 20 Contact phone call + "Peep dial tone"
21 CTI phone number + “# 2”
22 CTI phone number + “# 3”
23 CTI phone number + “# 1”
24 Voice contact or email 25 Notification of contact termination

Claims (8)

At the time of taking medicine, the medicine feed mechanism sends out the length of one packaged medicine, the stopper mechanism works even if the medicine is pulled to take out the medicine, and the medication time During the time set from the alarm output unit, a means for outputting an alarm, a means for detecting the medicine detection sensor when the medicine is taken out and stopping the alarm output, and the medicine from the medicine outlet even if the set medication time has passed If it is not picked up, means to communicate with the contact phone number to send continuous sound or push sound, and if multiple contacts are registered, if the first registered contact cannot communicate And a means for communicating with the second and subsequent registered contacts, and a means for detecting a medicine detection sensor when the medicine is taken out after communication and stopping the alarm output. Medicine compliance support device. A means that allows a predetermined medicine to be taken out by pressing an outing switch before going out, a means for preventing the apparatus from being activated by the amount of the taken out medicine by pressing the outing switch, and a part for the taken out medicine. The medication compliance support apparatus according to claim 2, further comprising means for restarting the apparatus after the elapse of time. The medication compliance support apparatus according to claim 2, further comprising means for communicating from the communication control unit to a contact telephone number via a general telephone line when medication is not taken even after the alarm duration input by the setting unit. A medicine storage unit that folds and stores a packaged medicine every predetermined medication time, a medicine feeding mechanism that sends the medicine to the medicine outlet, and detects that the medicine has been delivered for a certain length, and further medicine A drug detection unit that detects that the drug has been taken out, a stopper unit that prevents the drug from being taken out more than the required amount even if the drug is pulled to take out the drug, and a setting unit that sets a time for taking the drug. , Display the setting contents, display that it is the time of taking medicine, and / or display part that displays the time when the medicine was taken and time of taking the medicine, the alarm part that informs that it is the time of taking the medicine, and going out Occasionally there is an outing switch that can take out the medicine at times other than the set time, and information that the medicine has been taken out, that is, information that the medicine has been taken, and information that has not been taken out, that is, medication And have no information, the information going out switch is pressed, i.e. go to a storage unit that stores the information that was medication, the medication compliance supporting apparatus and a communication unit for transmitting information of medication to the outside. 5. The medication compliance support apparatus according to claim 4, wherein the medicine storage unit is configured to be separable from 1 to 4 times depending on the number of times a patient takes medication. This is a medication management method using a medication compliance support device having a communication unit for transmitting information to the outside, a management server for managing data, and a CTI system, where the CTI system and the management server receive medication from the medication compliance support device. A medication management method comprising a step of automatically notifying a patient by not being taken by receiving information that has not been retrieved by automatically sending it to a contact telephone number. When taking out the medicine, it communicates information to the management server that the medicine has been taken.When the medicine is not taken out even after the medication time has passed, it communicates information that is not being taken to the management server. The medication management method according to claim 6, further comprising a step of communicating information that the medication has been taken to a management server. Claims taken, not taken or sent to the management server according to claim 7, and information sent to the contact information is accumulated in a management center, and patient compliance between two or more third parties A medication management method further comprising a step of sharing information.

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