JP2005235024A - Home care support system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a system capable of facilitating a home care support. <P>SOLUTION: A medical support system for supporting execution of a home treatment in which a patient is treated by use of predetermined home medical equipment comprises a first medical site with an information communication terminal, which takes on acute phase (initial) treatments and medical instructions; a patient support service site; an information communication network; a transmitting means transmitting at least one information of operation information of home medical equipment with which the patient performs, as the home treatment, peritoneal dialysis treatment, home oxygen treatment, home infusion/nutrient treatment, home pain management treatment or the like in home, compliance information of the patient who receives the home treatment, and biological information of the patient from the patient home to the first medical site; and a means transmitting maintenance information of the home medical equipment to the patient support service site through the information communication network. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

The present invention relates to a home healthcare support system.

Over the past few years, the Ministry of Health, Labor and Welfare's policy has been to clarify the division of functions between the core hospital and regional medical institutions, avoiding excessively concentrated patients in the core hospital (high-function hospital) and reducing the efficiency of medical care. is there. In line with this, after performing acute phase (early) treatment (180 days), patients who have a relatively stable medical condition are treated at home with peritoneal dialysis therapy, home oxygen therapy, home infusion and nutrition therapy, Home pain management therapy is spreading.

In such home therapy, peritoneal dialysis therapy, home oxygen therapy, home infusions and nutrition are based on the prescription of a doctor at a hospital (medical site) who has been admitted to a basic hospital for a short period of time and has undergone acute (initial) treatment. Therapy is performed. In home oxygen therapy, a system that collects operation information of an oxygen concentrator and patient's biological information has been proposed (for example, Patent Document 1: Japanese Patent No. 3071719).
Japanese Patent No. 3071719

However, in the system related to the implementation of home treatment according to the prior art, (1) a doctor can easily and directly know in real time important information related to this home treatment, such as driving information of home medical equipment that performs home treatment. Therefore, doctors must give medical guidance to patients at home without being able to confirm these important information directly. (2) Biological information of patients (body temperature, blood pressure, blood glucose, blood oxygen saturation, etc.) Information) could not be obtained sequentially from the patient who is performing home treatment at the patient's home, so the doctor could not carry out reliable medical guidance from this point as well. (3) Medical treatment used for home therapy Cannot deliver equipment for delivery quickly, (4) Difficult to grasp the real-time operation status of equipment delivered and used for shortage of goods, (5) Complicated home insurance premium calculation and billing That, there was a problem and the like is. The home medical support system of the present invention has been made to solve such problems.

In order to solve the above problems, a home medical support system according to the present invention is a medical support system for supporting the execution of home medical treatment in which a patient is treated using a predetermined home medical device. On the other hand, the first medical site with information and communication terminals, patient support service site, server, information and communication network, and home treatment when the patient is at home. At least one of driving information of home medical devices for performing peritoneal dialysis therapy, home oxygen therapy, home infusion / nutritional therapy, home pain management therapy, compliance information of patients receiving home therapy, and patient biometric information Transmission means for transmitting information from the patient's home side to the first medical site via the information communication network, and driving information including maintenance information for home medical equipment Via an information communication network, characterized means for transmitting to the patient support service site, in that it consists of. The at least one information includes image information and / or sound information, and can be monitored in real time. Also, home management guidance contents such as infusions, medications, etc. performed at home, meal support, care support, etc. are transmitted to the first medical site, calculated as insurance premiums, and sent to the server of the first medical site. It is stored together with patient identification information. In addition, the patient is in charge of acute (initial) treatment and medical guidance, and is instructed by a first medical site equipped with an information communication terminal to provide home medical equipment, a blood pressure monitor, a blood glucose meter, a pulse meter, A biological information measuring device such as a thermometer is delivered from a patient support service site.

In the above-mentioned system, (1) doctors can easily and directly know in real time important information related to home treatment such as driving information of home medical equipment that performs home treatment. (2) Patient's biological information (biological information such as body temperature, blood pressure, blood glucose, blood oxygen saturation, etc.) can be provided at the patient's home. Can be obtained sequentially from a patient, doctors can perform reliable medical guidance, (3) can quickly deliver medical equipment used for home therapy, and (4) equipment used for short delivery It is extremely easy to grasp the driving situation in real time, and (5) insurance premium calculation and billing for home treatment are automatically calculated.

  Hereinafter, it will be described in detail with reference to the drawings. FIG. 1 shows an overall system of a home medical care (home medical treatment / treatment) support system according to the present invention. 1 is a patient site (home patient home), 2 is a patient support service site (health management support site), 3 is a first medical site (medical institution that performs acute treatment), 3a is a family medical site, and 4 is a management site Nutritionist site, 5 is a dispensing pharmacy, 6 is a care site for visiting care, day care, etc. 7 is an information communication network such as a telephone line, LAN, Internet, etc. 10, 20, 30, 40, 50, 60, 300 are computers, Reference numerals 10a, 20a, 30a, 40a, 50a, 60a, and 300a each include a program (RAM, ROM, etc.) for controlling the system of each site by a CPU (control unit). 11, 21, 31, 41, 51, 61, 301 are external communication units (information communication terminals), 12, 22, 32, 42, 52, 62, 302 are display units, 13, 23, 33, 43, 53, 63 and 303 are input units, 14, 24, 34, 44, 54, 64 and 304 are storage units, and 16, 26, 36, 46, 56, 66 and 306 are servers. In the server 26, information on home patients, information on medical sites (medical institutions) for acute treatment, information on family doctors, information on registered dietitians, information on dispensing pharmacies, home medical equipment (peritoneal dialysis equipment, oxygen Concentrator, home infusion / nutritional pump, insulin infusion pump, etc.) and care site information can be centrally managed. The server 26 may be provided independently of each site. Reference numeral 17 denotes a home medical device (peritoneal dialysis device, oxygen concentrator, home infusion / nutrition pump, Lee Ward Tensulin infusion pump, etc.). The patient site 1 includes a blood glucose meter (diabetes test kit), a blood pressure meter, an electrocardiograph, a respiratory sensor, a pulse sensor, a thermometer, a body weight / body fat meter, a urine tester, a blood test instrument, blood as necessary. Biological information measuring devices and testing devices such as testing kits and urine testing kits are also placed, and the health management support site 2 and the living body via the information communication network 7 by a console (not shown) for the biological information measuring devices and testing devices. The information can be transmitted to the first medical site 3, the urgent medical site 3a, and the like. If each site 1, 2, 3, 3a, 4, 5, 6 is equipped with an imaging means such as a camera, still images and moving images can be transmitted and received between each site, and more detailed correspondence is possible. is there.

FIG. 2 is an example of a screen displayed on the display unit 22 when storing and registering in the server 26 of the patient support service site (health management site) 2. The patient support service site 2 may be provided together with the first medical site 3. (A) is a new registration screen when a patient is newly registered at the patient support service site 2. On this screen, when the patient's name, address, date of birth, health insurance card number, attending physician (primary physician or attending physician), and telephone number are entered, the patient identification (ID) number is assigned and displayed. It is preferable that the searched screen, input change screen, and delete screen have the same display form. If the home biometric information measuring device is already registered and used (rented), that device is displayed. In the screen of FIG. 2A, “oxygen concentrating device” is displayed as a home medical device, indicating that the oxygen concentrating device is being used (rented). Then, detailed operation information is also displayed. If you have a history (basic disease), enter and register the name of the disease. Also, enter and register information about lifestyle such as smoking and drinking.

(B) is a new registration screen when a doctor is newly registered at any one of the first medical site 3, the family doctor site 3 a, and the patient support service site 2. It is preferable that the searched screen, input change screen, and delete screen have the same display form.

(C) is a new registration screen when a care site is newly registered at the care site (visiting nursing center, day care center) 6 or the patient support service site 2. It is preferable that the searched screen, input change screen, and delete screen have the same display form.

(D) is a new registration screen for registering a new dispensing pharmacy from the patient support service site 2 or the dispensing pharmacy 55. It is preferable that the searched screen, input change screen, and delete screen have the same display form.

(E) is a new registration screen when a new registered dietitian is newly registered at the registered dietitian site 4 or the patient support service site 2. It is preferable that the searched screen, input change screen, and delete screen have the same display form.

FIG. 3 shows home medical care in the server 26 of the patient support service site 2 for centralized device management of home medical devices (peritoneal dialysis device, oxygen concentrator, home infusion / nutritional pump, insulin infusion pump, etc.). It is an example of the screen displayed on the display part 22 in the case of classifying and storing and registering equipment for each product name.

The patient support service site 2 may be provided in combination with other sites such as the first medical site 3 and the care site 6. (A) is a search for device history, etc., when newly registering home medical devices (peritoneal dialysis devices, oxygen concentrators, home infusion / nutritional pumps, insulin infusion pumps, etc.) at the patient support service site 2 It is an initial screen when performing. On this screen, the product name (displayed as “oxygen concentrator” on the screen), product code, machine number, inventory location, etc. can be entered and registered. Further, it is preferable that the input change screen and the delete screen have the same display form.

(B) is a screen for confirming the history of the product name, home medical device (peritoneal dialysis device, oxygen concentrator, home infusion / nutritional pump, insulin infusion pump, etc.). In this example, the oxygen concentrator is extracted from the server 26 and displayed in a list, such as the patient ID, machine number, current status (inventory, patient's house, etc.), management site name, and accumulated usage time.

(C) is a new registration screen when newly registering devices of home medical devices (peritoneal dialysis device, oxygen concentrator, home infusion / nutritional pump, insulin infusion pump, etc.) at the patient support service site 2. On this screen, the product name is scrolled to select and confirm the pre-registered oxygen concentrator, home infusion / nutritional pump, insulin infusion pump, etc., or newly register and confirm the product. The product code is also scrolled from a pre-registered number to be selected and confirmed, or a new product code is registered. The management site (where the care site is managed) is registered in advance, and the management (care site, etc.) is scrolled to select and confirm, or a new management site is registered and confirmed.

(D) is a new registration screen of a history of home medical equipment (peritoneal dialysis device, oxygen concentrator, home infusion / nutritional pump, insulin infusion pump, etc.). As the latest information, a management site, an inventory site, an accumulated operation time, etc. are stored and registered.

According to the above-described system, it is possible to centrally manage which home medical device is operated for which home patient and how the home medical device is operated. In order to enable such centralized management, the home medical device 17 is provided with a wireless (infrared communication, etc.) and / or wired external communication unit so that it can communicate with the external communication unit 11 of the computer 10 at the patient site 1. Alternatively, transmission from the external communication unit 11 to the server 26 via the information communication network 7 and the external communication unit 21 may be possible. In the embodiment, the “oxygen concentrator” has been described as an example. However, the peritoneal dialysis device, the home infusion / nutritional pump, the insulin infusion pump, and the like can be managed in the same manner. In this way, patient compliance information and home medical device information at home can be readily grasped in real time, and based on the patient information / home medical device information stored in the server 26 of the patient support service site 2 as necessary. It is possible to instruct the managing dietitian site 4, the dispensing pharmacy 5, and the care site 6 from the home doctor site 3 a to provide appropriate home medical support.

It is a figure which shows the whole home medical assistance system of this invention. It is an example of the screen displayed on the display part in the case of memorize | storing and registering in the server of a patient assistance service site. It is an example of the screen displayed on the display part in the case of searching, when memorizing and registering a home medical device in the server of a patient support service site.

Explanation of symbols

1 registrant (member) site, 2 patient support service site, 3 first medical site, 3a family medical site, 4 tube nutritionist site, 5 home healthcare equipment service site, 6 care site, 7 information communication network, 10 , 20, 30, 40, 50, 60, 300 Computer, 10a, 20a, 30a, 40a, 50a, 60a, 300a CPU (control unit) 11, 21, 31, 41, 51, 61, 301 External communication unit, 12, 22, 32, 42, 52, 62, 302 Display unit, 13, 23, 33, 43, 53, 63, 303 Input unit, 14, 24, 34, 44, 54, 64, 304 Storage unit, 16, 26, 36, 46, 56, 66, 306 Server, 17 Home medical equipment

Claims (4)

A medical support system for supporting the execution of home treatment in which a patient is treated using a predetermined home medical device, and is responsible for acute (initial) treatment and medical guidance for the patient, First medical site equipped with information communication terminal, patient support service site, server, information communication network, and peritoneal dialysis therapy, home oxygen therapy, home infusion / nutritional therapy, home as the patient is at home At least one information among driving information of home medical equipment for performing pain management therapy, compliance information of the patient receiving the home treatment, and biological information of the patient from the patient home side via the information communication network Transmitting means for transmitting to the first medical site;
And a means for transmitting operation information including maintenance information of the home medical device to the patient support service site via the information communication network. The home medical support system according to claim 1, wherein the at least one information includes image information and / or audio information and can be monitored in real time. Home management guidance contents such as infusion, medication, etc., meal support, care support, etc. implemented at home are transmitted to the first medical site, calculated as insurance premiums, and the server of the first medical site The home care support system according to claim 1, wherein the home care support system is stored together with patient identification information. Responsible for acute (initial) treatment and medical guidance for the patient, and according to instructions from a first medical site equipped with an information communication terminal, home medical equipment, blood pressure monitor, blood glucose meter, pulse meter, thermometer A home medical support system characterized in that a biological information measuring device such as the above is delivered from the patient support service site.

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