JP2000271090A - Health control system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a health control system by which the anxiety of a user at the time of presenting the health condition of the user is not increased. SOLUTION: The health control system provided with a judging part for judging the health degree of the user by comparing newest vital data with a proper range calculated from vital data measured until then and stored in a data storing part and a display part 2 for informing the user of the judged result is provided with an interview examination master table storing the contents of an interview examination, a processing part for selecting interview examination items from the interview examination master table to present them to the user, operation buttons 8 (8a to 8c) to be used for answering to the presented items, and interview examination answer data table for storing answers to the interview examination obtained from the user and a cause estimating means for estimating a main cause of the change in his/her health degree from the answers to the interview examination stored in the interview examination answer data table to display the estimated cause on the part 2.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a health management system capable of collecting vital data of an individual and contributing to maintenance of health using the obtained vital data.

[0002]

2. Description of the Related Art With the rapid aging of society in recent years, medical financing in Japan has become tight, and it is necessary to respond to this. The government will increase the burden of medical expenses on the people and, as a basic policy, shift from the conventional policy of "early detection and early treatment of illness" to "improving health to prevent illness". I'm watching.

[0003] As one of the means for effectively performing the above-mentioned "building health to prevent illness", a "health management system" has been proposed. This is data relating to a health condition that can be measured in a user's living room (for example, biological information such as a blood pressure value measured by a sphygmomanometer and a body temperature measured by a thermometer, and is hereinafter referred to as vital data) in each household. The data is measured and the data is periodically transmitted from a dedicated health management terminal to a center device installed in a medical institution, a health center, or the like via a network. The vital data received by the center device is analyzed by an expert, and the result is fed back to the user as advice for maintaining health.

[0004] According to such a health management system, daily health management at home can be performed under the guidance of a specialist, and more reliable health management can be performed. Can be expected to be reduced. In the health management system described above, by installing a health management terminal in the sick room and installing a center device in the consultation room, when a doctor actually examines a patient,
By using vital data that is recorded on a regular basis, it is possible to reduce the time required for interviews and to easily check vital data that is indispensable for accurate diagnosis.
It is considered to be used as a doctor support system from the viewpoint of improving the work efficiency of medical professionals such as doctors.

[0005] In the conventional health management system, there is a system in which, other than the feedback from the center device, the vital data is simply analyzed in the health management terminal and the result is notified to the user. In this device, vital data measured by a vital sensor is accumulated, and the accumulated vital data is analyzed by a statistical method. Then, a range of normal values that can be generally determined to be healthy for a certain vital sensor is obtained as a standard value range, and the user's health condition is determined by comparing the standard value range with the latest vital data. Has become.

As the above-mentioned health management system, for example, Japanese Patent Publication No. 5-80901 and Japanese Patent Publication No. 5-8080
There is one described in No. 2. Japanese Patent Publication No. Hei 5-80901 discloses that statistical analysis of personal user vital data is performed, a standard value range determined to be healthy is limited, and health management is performed with high accuracy. In addition, Japanese Patent Publication No. 5-80802 describes the trend of the current health condition by comparing statistical values such as the average and standard deviation of accumulated vital data with the latest vital data, and predicts the health condition. It is to do.

[0007]

However, in the health management system configured as described above, the trend of vital data is determined based on whether the vital data value is within or outside the standard value range. Although it is possible to make uncertain health predictions about whether a person is rising, maintaining, or falling,
It was not possible to know the factors such as why such a tendency had occurred, and in some cases, there was a risk of increasing the user's anxiety.

SUMMARY OF THE INVENTION The present invention has been made in view of the above problems, and has as its object to provide a health condition that does not increase the user's anxiety when presenting the user's health condition. To provide a management system.

[0009]

According to the first aspect of the present invention,
Determine the health level of the user by comparing the data storage unit that stores user vital data with the appropriate range of vital data calculated from the latest vital data and the vital data stored in the data storage unit In a health management system including a determination unit and a display unit for notifying a user of a determined result, a process of presenting an inquiry item to the user from the inquiry master table for accumulating the contents of an inquiry, and the inquiry table. Section, an operation button used when answering the presented question item, a question answer data table for accumulating the question answer obtained from the user, and a health degree from the question answer stored in the question answer data table. And a factor estimating means for estimating a changed factor, wherein the estimated factor is displayed on a display unit.

[0010] According to a second aspect of the present invention, in the health management system according to the first aspect, the processing unit is configured to randomly update an inquiry item selected from an inquiry master table. .

According to a third aspect of the present invention, in the health management system according to the first or second aspect, the processing unit comprises:
The present invention is characterized in that the interview item selected from the interview master table is updated based on the factor estimated by the factor estimating means.

[0012]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, a health management system according to an embodiment of the present invention will be described in detail with reference to FIGS. FIG. 1 is a schematic configuration diagram of a health management system. FIG. 2 is a schematic block diagram of the center device. FIG.
FIG. 2 is a schematic block diagram of a health management terminal. FIG. 4 is a schematic structural diagram of a database in the data storage unit of the center device. FIG. 5 is a diagram showing an example of the inquiry response data table. FIG. 6 is a diagram showing an example of the inquiry list after the inquiry update.

The health management system according to the present embodiment comprises:
It includes a center device 1, health management terminals 5a to 5n, and a network line 4 connecting the center device 1 and health management terminals 5a to 5n. Health management terminals 5a to 5n
Is for processing / managing a user's vital data (biological information) measured by a vital sensor (not shown), and is installed in each living room of the user using the health management system. The center device 1 includes health management terminals 5a to 5
n collects and accumulates vital data managed in n, and is installed in a hospital, a health center, or the like. The vital data collected in the center device 1 is analyzed by a specialist such as a doctor, and the result is fed back to the user, thereby maintaining the health of the user. Health management terminals 5a to 5n
Is connected to a center device 1 installed in a hospital, a health center or the like via a network line 4 such as a telephone line network, a CATV line network, and a PHS line network.

The center device 1 has health management terminals 5a-5
n has a function of collecting / accumulating data stored by the display unit 2, a display unit 2 including a display or the like, a processing unit 9,
Judgment unit 10, factor estimating means 11, data storage unit 12
And a data communication unit 13.
Numeral 3 is connected to a network line 4 via a line connection adapter 3.

The health management terminals 5a to 5n process / manage data input by the user, and include a display unit 6, a vital sensor connection unit 7, and three operation buttons 8.
a, 8b, 8c, a data processing unit 14, a data storage unit 15, an inquiry response data reception unit 16, a data communication unit 1,
7 and a vital data receiving unit 18.

The vital sensor is used to measure body temperature, weight, blood pressure,
It is a device that can collect the user's health condition such as blood sugar level,
Communication line 5 between health management terminals 5a to 5n and vital sensor
Transmission and reception of vital data and the like are performed by wired communication using serial communication, parallel communication, or the like via the Internet.

Vital data and inquiry response data transmitted from the health management terminals 5a to 5n via the network line 4 are once stored in the data communication unit 13 and are processed by the processing unit 9
Are processed and stored in the data storage unit 12. The determination unit 10 determines that the processing unit 9
Before data is stored in the system, the degree of health is determined for each vital sensor measured by the user, and it is checked whether or not there is an abnormality in the vital data. The criterion for judging whether or not the vital data has an abnormality and the process in the case of judging the abnormality will be described later.

In the health management terminals 5a to 5n, vital data is received from the vital sensor by the vital data receiving unit 18 via the vital sensor connection unit 7. The vital data input through the vital sensor connection unit 7 is temporarily stored in the vital data receiving unit 1.
8 and processed by the data processing unit 14, and then stored in the data storage unit 15.

In the health management terminals 5a to 5n, the user can respond to the inquiry displayed on the display unit 6 by operating the three operation buttons 8a, 8b and 8c. And these three operation buttons 8a, 8b,
According to 8c, a Yes-No answer to a question such as “Do you have a cold?” Or “How much do you drink?”
It is possible to give a numerical answer to an inquiry such as For example, in the case of a Yes-No type answer, the button 8a displays "Ye
“s” is assigned to the button 8b, and “No” is assigned to the button 8a or 8b by pressing the button 8b.
"s" and "No" can be input. In the case of a numerical answer, a numerical value is displayed on the display unit 6, and “numeric decrease” is displayed on the button 8 a and “numeric increase” is displayed on the button 8 b in response to the numerical value.
However, "decision" is assigned to the button 8c,
After operating the buttons 8a and 8b to set the numerical value displayed on the display unit 6 to a desired value, pressing the button 8c inputs the numerical value.

The inquiry response data input through the three operation buttons 8a, 8b, 8c is temporarily stored in the inquiry response data receiving unit 16, processed in the data processing unit 14, and then stored in the data storage unit 15. It has become.
When the data processing unit 14 performs communication processing, the vital data and the inquiry response data that are stored from the data storage unit 15 are taken out, written to the data communication unit 17, and transmitted to the center device 1 via the network line 4. It has become.

The vital sensor connection section 7 is provided for connecting the vital sensor to the health management terminals 5a to 5n using a serial cable or a parallel cable. The transmission and reception of data between the health management terminals 5a to 5n and the vital sensor is not limited to wired communication, and wireless communication using infrared light, specific low power, or the like may be used. Further, both wired communication and wireless communication may be used. Furthermore, in the present embodiment, it is assumed that the health management terminals 5a to 5n and the vital sensor are provided separately, but the health management terminals 5a to 5n and the vital sensor are integrated. You may do so. However, if the health management terminals 5a to 5n and the vital sensor are provided separately as in the present embodiment, it is convenient for the user to be able to measure vital data at any place.

The database structure of the data storage unit 12 in the center device 1 is as shown in FIG. That is,
A user table 19 for managing user information, an interview answer data table 20 for managing the answers to the interviews, an interview master table 21 for managing the interview items together with the ID numbers assigned to the individual interview items, a vital sensor a, ...
.. n, and an appropriate range table 23 for managing an appropriate range for each vital sensor for each user.

The user table 19 includes fields such as a user ID, a name, a date of birth, a gender, an address, a postal code, and an address. Fields are provided for each user.
Further, the user table 19 is provided with a question item ID field for managing the ID number of the question item and a use / unused selection field for each vital sensor.
The ID number of the interview item presented to the user and the type of the vital sensor used by the user are stored.

The questionnaire response data table 20 contains the user I
Fields such as D, question answer date and time, question item ID, and question answer result are provided, and the question answer data transmitted from the health management terminals 5a to 5n is stored. The inquiry master table 21 includes fields such as an inquiry item ID, an inquiry item, and the like, and the inquiry items to which the inquiry item IDs are individually attached are accumulated. In the health management system according to the present embodiment, an inquiry item to be assigned to a user is selected from the inquiry master table 21. Further, the contents of the inquiry master table 21 can be easily updated (added, changed, deleted).

Vital sensor tables 22a to 22n
Each table is provided with fields such as a user ID, data input date and time, and vital data value.
The user's vital data transmitted from 5n is stored. The vital data includes, for example, a systolic blood pressure value and a diastolic blood pressure value when the vital sensor is a “sphygmomanometer”, a body temperature value measured by a “thermometer”, and an electrocardiogram measured by an “electrocardiograph”. Data and "scale"
, A step value measured by a “pedometer”, and a body fat percentage measured by a “body fat meter”. It is assumed that a vital sensor other than these may be used, and data can be accumulated by preparing a table as needed. The appropriate range table 23 includes fields such as a user ID, a vital sensor ID, and an appropriate range, and stores the appropriate range of vital data calculated for each vital sensor by the determination unit 10 for each user.

Next, the operation of the health management system according to the present embodiment will be described. In the health management system according to the present embodiment, the determination unit 10 determines the degree of health based on the vital data of the user. Here, the degree of health indicates the state of the user's health objectively. In the present embodiment, a health index relative to a certain reference value or a certain reference area is used. And its tendency to change.

In the judgment section 10, the data communication section 13
Is compared with the proper range of vital data stored in the suitable range table 23 in the data storage unit 12 for each vital data, and if it is within the proper range, it is determined to be “normal”. If it is out of the proper range, it is determined to be “abnormal”.

If it is determined as “abnormal” as a result of the determination of the degree of health, the factor estimating means 11 searches the data in the inquiry response data table 20 for the factor of the degree of health abnormality. More specifically, as shown in FIG. 5, the answers are listed in a time series for each of the inquiry items as far back as the past month, and the tendency of the change in the answer is examined for each of the inquiry items. In FIG. 5, if the user answers “Yes” to the questionnaire item, “○” is marked, and if the user answers “No”, “×” is marked. Is not considered to have a positive effect on the improvement of Then, the number of “x” is calculated for each question item, and it is presumed that a large number of “×” is a cause of deterioration in the degree of health. In the present embodiment, if the number of “x” accounts for 50% or more of the predetermined number of recent interview responses, the inquiry item is determined to be an “abnormal factor”. I have. For questions answered in numerical values, if the questionnaire answer data is linearly approximated by the least squares method and the slope exceeds a certain threshold S (here, S = 3),
The question item is determined to be an “abnormal factor”.

In the example shown in FIG. 5, the question item "Is the amount of meals appropriate?" Is an "abnormal factor", and the other question items are "non-abnormal factors". . The question item determined by the factor estimating means 11 to be an “abnormal factor” is displayed on the display unit 2 of the center device 1 or the display unit 6 of the health management terminal 5. In the present embodiment, in addition to the questionnaire items, the wording for presenting the cause to the user is also registered.
6, a specific message such as "Possible cause is overeating or anorexia."

In the health management system according to the present embodiment, the inquiry response data of the user is accumulated, and the tendency of the measured vital data is analyzed. In addition to displaying trends such as "downtrend," when a vital data abnormality occurs, it notifies the user of the cause and allows the user to advise on the improvement of the vital data abnormality. It is possible to provide a health management system that does not increase the user's anxiety when presenting the user's health condition.

It should be noted that the question items for asking the user to answer may be changed randomly. Further, when the factor estimating means 11 specifies a factor of the change in the degree of health, a question item for asking the user to answer the health management terminals 5a to 5n may be changed based on the specified factor.
That is, add the interview items related to the identified factors, and delete the interview items not related to the identified factors,
Change it.

For example, consider a case in which the question item "Is the amount of food appropriate?" Is determined to be an "abnormal factor". In the present embodiment, it is possible to set up to eight interview items up to eight items, of which five items are fixed and do not always change, and the remaining three items can be freely changed at the lower side. Has become. Therefore, in the above-mentioned “abnormal factor”, since overeating or anorexia was specified as the factor of the abnormality, three preliminarily registered question items related to the “abnormal factor”, for example, “snacks” The judgment unit 9 automatically selects / adds "Do you not do it?", "Do you get burp?", And "Do you take nutrition in good balance?" See FIG. 6). It goes without saying that the ID number of the medical examination item in the user table 19 is changed with this addition.

[0033] This makes it possible to eliminate the user's tiredness in inputting the questionnaire answer, which is caused by repeatedly answering the same questionnaire item, and to perform an appropriate questionnaire according to the transition of the user's health condition. As a result, it becomes possible to accurately identify the cause of the vital data abnormality.

In the present embodiment, the judgment unit 1
0 and the data storage unit 12 are provided in the center device 1 and the display unit 2
And the vital data receiving unit 18 is the health management terminals 5a to 5
n, the functions of the determination unit 10 and the data storage unit 12 may be provided in the health management terminals 5a to 5n. In this case, if the measured vital data is input to the health management terminals 5a to 5n, the health management terminals 5a to 5n can be used as a stand-alone terminal that automatically outputs advice for maintaining the health condition. The system can be used as a system for performing medical examinations or as a system for supporting the judgment and guidance of doctors and public health nurses.

[0035]

As described above, according to the first aspect of the present invention, the data storage unit for storing the vital data of the user, and the latest vital data and the vital data stored in the data storage unit are calculated. Accumulate the contents of the interview in a health management system that includes a judgment unit that judges the user's health level by comparing it with the appropriate range of the vital data obtained, and a display unit that notifies the user of the judgment result. Questionnaire master table, a processing unit that presents the questionnaire items to the user from the questionnaire master table, operation buttons used to answer the presented questionnaire items, and accumulate the questionnaire answers obtained from the user. And a factor estimating means for estimating a factor that has changed the health degree from the questionnaire responses accumulated in the questionnaire response data table. In the event that a vital data abnormality has occurred, the user is notified of the cause of the abnormality, so that the user can be advised on the improvement of the vital data abnormality. It is possible to provide a health management system that does not increase the user's anxiety when presenting a health condition.

According to the second aspect of the present invention, there is provided the first aspect.
In the health management system described above, the processing unit randomly updates the interview items selected from the interview master table, so that the user keeps answering the same interview items, thereby becoming tired of performing the interview answers. This has the effect of making it possible to prevent the occurrence.

In the invention according to claim 3, claim 1 is
Alternatively, in the health management system according to claim 2, since the processing unit updates the inquiry item selected from the inquiry master table based on the factor estimated by the factor estimating means, the transition of the health condition of the user. In addition to the above, it is possible to perform an appropriate medical inquiry according to the condition, and it is possible to accurately identify the cause of the vital data abnormality.

[Brief description of the drawings]

FIG. 1 is a schematic configuration diagram of a health management system.

FIG. 2 is a schematic block diagram of a center device.

FIG. 3 is a schematic block diagram of a health management terminal.

FIG. 4 is a schematic structural diagram of a database in a data storage unit of the center device.

FIG. 5 is a diagram showing an example of an inquiry response data table.

FIG. 6 is a diagram illustrating an example of a medical inquiry list after a medical inquiry update.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Center apparatus 2 Display part 4 Network line 5 Health management terminal 7 Vital sensor connection part 8 Operation button 9 Processing part 10 Judgment part 11 Factor estimation means 12 Data storage part 20 Interview answer data table 21 Interview master table

 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Inventor Jin Sakakibara 1048 Kadoma Kadoma, Osaka Prefecture Matsushita Electric Works Co., Ltd. In-house (72) Inventor Masaru Hashimoto 1048 Kadoma Kadoma, Kadoma, Osaka Pref.Matsushita Electric Works, Ltd. Osamu Kadoma 1048 Kadoma, Osaka Prefecture Matsushita Electric Works Co., Ltd.

Claims (3)

[Claims] 1. A data storage unit for storing vital data of a user, and the latest vital data and an appropriate range of vital data calculated from the vital data stored in the data storage unit, thereby comparing the vital data of the user. In a health management system including a judgment unit for judging the degree of health and a display unit for notifying a user of the judgment result, an interview master table for accumulating interview contents and an interview item selected from the interview master table. A processing unit to be presented to the user, an operation button used to answer the presented questionnaire item, a questionnaire answer data table for storing the questionnaire answer obtained from the user, and a questionnaire answer data table A factor estimating means for estimating a factor that has changed the health degree from the questionnaire response, and the estimated factor is displayed on the display unit. Kang management system. 2. The health management system according to claim 1, wherein the processing unit randomly updates an inquiry item selected from an inquiry master table. 3. The health care system according to claim 1, wherein the processing unit updates an inquiry item selected from the inquiry master table based on the factor estimated by the factor estimating unit. Management system.