JP2001067403A - Home health management system - Google Patents

Home health management system

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Publication number
JP2001067403A
JP2001067403A JP23901699A JP23901699A JP2001067403A JP 2001067403 A JP2001067403 A JP 2001067403A JP 23901699 A JP23901699 A JP 23901699A JP 23901699 A JP23901699 A JP 23901699A JP 2001067403 A JP2001067403 A JP 2001067403A
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health
weather
data
disease
member
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JP23901699A
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Japanese (ja)
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Katsutoshi Ishikawa
勝敏 石川
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Care Network:Kk
有限会社ケアー・ネットワーク
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Priority to JP23901699A priority Critical patent/JP2001067403A/en
Publication of JP2001067403A publication Critical patent/JP2001067403A/en
Application status is Pending legal-status Critical

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    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A90/00Technologies having an indirect contribution to adaptation to climate change
    • Y02A90/10Information and communication technologies [ICT] supporting adaptation to climate change.
    • Y02A90/20Information and communication technologies [ICT] supporting adaptation to climate change. specially adapted for the handling or processing of medical or healthcare data, relating to climate change
    • Y02A90/22Information and communication technologies [ICT] supporting adaptation to climate change. specially adapted for the handling or processing of medical or healthcare data, relating to climate change for administrative, organizational or management aspects influenced by climate change adaptation
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A90/00Technologies having an indirect contribution to adaptation to climate change
    • Y02A90/10Information and communication technologies [ICT] supporting adaptation to climate change.
    • Y02A90/20Information and communication technologies [ICT] supporting adaptation to climate change. specially adapted for the handling or processing of medical or healthcare data, relating to climate change
    • Y02A90/26Information and communication technologies [ICT] supporting adaptation to climate change. specially adapted for the handling or processing of medical or healthcare data, relating to climate change for diagnosis or treatment, for medical simulation or for handling medical devices

Abstract

PROBLEM TO BE SOLVED: To provide a health management system which automatically makes a detailed check presupposing an individual health history as to daily health data and gives advice about health and sickness at any time, and predicts sickness accompanying the changes of weather and takes previous treatments.
SOLUTION: For this health management system, a computer network system equipped with a two-way video, audio, and data communication function is structured among a health care contact member HM, a care center CS, and a medical institution CD; and daily health data on members are monitored on terminal equipment TE at a service center and the medical institution and stored as member's individual databases and model discriminants which make clear the correlation between weather factors affecting the functions of the body and sickness are prepared to predict sickness accompanying the changes of weather.
COPYRIGHT: (C)2001,JPO

Description

【発明の詳細な説明】 DETAILED DESCRIPTION OF THE INVENTION

【0001】 [0001]

【発明の属する技術分野】本発明は、高齢者など在宅健康管理委託を希望する者の日々の健康状況をチェックするとともに適宜健康・医療アドバイスを行い、また、気象条件と関連性の高い疾病発生を予防するためのネットワークシステムを構築しようとするものである。 The present invention relates to performs the appropriate health and medical advice as well as check the day-to-day health situation of those who wish to home health management commission, such as the elderly, also, weather conditions and the relevant disease outbreaks it is intended to build a network system to prevent.

【0002】 [0002]

【従来の技術】健康保健のお陰で、健康に対する費用はただのような錯覚に陥り、「病気になったら病院へ行く」ようになり、人間ドックにも1年に1回行けば良いほうである。 Thanks to the Background of the Invention health insurance, costs for health fall into the illusion of free, looks like "go to the hospital If you get sick", it is better to be if you go once a year to complete medical checkup . 健康を気にしながらも、自己の健康に対する具体的なケアの方法が分からない。 While to care about health, I do not know the specific method of care for the self of health. また一方、我々が高齢者へのいろいろなソーシャルサポートを行う場合があるが、これがすべて良い結果をもたらすとは限らない。 On the other hand, we Although there is a case to perform a variety of social support to the elderly, this is not always bring all the good result. 不適切なサポートは高齢者の自立能力を抑制したり、迷惑を感じさせる悪い例もある。 Improper support is there or to suppress the independence ability of the elderly, is also bad example to feel annoying. 良い効果も悪い効果も、効果のないもののある。 Good effect and bad effect, of having no effect. 独居老人に対する在宅給食サ一ビスも普及してきたが、生活機能が健全なのに、 Home meals mono-bis also has been popular for elderly people living alone, to life function it is healthy,
毎日の生活行動を欠如させ、悪い効果しかもたらさない場合もある。 To lack the life behavior of every day, in some cases it does not result in only a bad effect.

【0003】 [0003]

【発明が解決しようとする課題】一方、テレビ電話を医者との間に設置し、「遠隔診療」なるものを行つているケースは、これはただの映像付き通信であり、健康管理のシステムではない。 The object of the invention is to be Solved On the other hand, was placed between the doctor a TV phone, "telemedicine" is case is Gyotsu the thing is, this is the only equipped with a video communication, in the health care system is Absent.

【0004】また、健康と気象の関係については一部の医学関係者の間での研究では、解析データがないので、 [0004] Also, in the study between the health and medical officials about the relationship of some weather, because there is no analysis data,
消防署の救急出動回数等で行っている程度である。 Is the degree to which is carried out in the emergency dispatch number of times of the fire station.

【0005】高齢者の中には健康管理に不安を持ち、養護老人ホームなどに入る向きもあるが、一方在宅のまま日常生活を送りたいと願う人も多い。 [0005] has an anxiety to health management in the elderly, but there is also a direction to enter, such as in nursing homes for the elderly, on the other hand people who want to send daily life remains home often.

【0006】そこで、本発明の目的とするところは、在宅のまま日々の健康データについて個人的健康履歴を前提にした詳細なチェックを自動的に行うことができ、逐次健康・疾病についてアドバイスを行い得るとともに、 [0006] Accordingly, it is an object of the present invention, the home remains day-to-day health data a detailed check of the personal health history to assumptions about can be performed automatically, and perform advice on sequential health and disease along with the get,
気象の変化に伴う疾病の発生可能性を予測し、事前の手当を講じることによって疾病の発症率を抑え得る健康管理システムを提供しようとするものである。 Predicting the likelihood of diseases associated with changes in weather, it is intended to provide a health management system that may suppress the incidence of the disease by taking advance of the allowance.

【0007】 [0007]

【課題を解決するための手段】上記目的を達成するため、本発明においては、まず健康管理委託会員と管理センターと医療機関の三者間において、公衆回線、専用回線、CATV回線などを利用して双方向映像・音声・データ通信機能を具備したコンピュータネットワークシステムを構築し、三社相互間における情報伝達網を確立した上で、在宅健康管理委託会員が自宅の端末器を介して入力・送信する日々の健康データをサービスセンターと医療機関の端末器に表示させて監視するとともに、当該会員の健康履歴として個別データーベース化して蓄積し、日々、入力・送信されて来る健康データを分析して逐次健康・医療アドバイスを遂行するようにする。 In order to achieve the above object, according to an aspect of, in the present invention, in between the three parties of the first health management commission member and the management center and medical institutions, using public line, a dedicated line, and CATV line building a computer network system comprising a two-way video, audio, data communication function Te, after establishing a communication network between the three companies each other, an input-transmission-home health care commission members through a home terminal unit to with monitoring by displaying daily health data to the terminal device of the service center and medical institutions, and accumulates the individual database as health history of the members, daily, by analyzing the health data which is input and transmitted so as to perform a sequential health and medical advice. さらにまた、体の機能に影響を与える気象因子を説明変数、 Furthermore, the explanatory variable weather factors that affect the function of the body,
疾病発生を目的変数として数量化理論II類に基づく多変量解析を行って気象と疾病発生予測との相関関係を明らかにしたモデル判別式を作成し、気象変化を予測して気象予測を提供するとともにモデル判別式に基いて予測した疾病発生確率に従って、適宜疾病発生の予防措置を講じ、未然に疾病の発生を予防し得るようにしたものである。 The disease occurs by performing multivariate analysis based on the quantification theory type II as target variable to create distinctly model discriminant a correlation between the weather and disease occurrence prediction provides a weather forecast predicts the weather change accordance disease probability predicted based on the model discriminant with, take precautions appropriate disease occurrence, is obtained by adapted to prevent the occurrence of disease in advance.

【0008】すなわち、本発明は、健康管理委託会員と管理センターと医療機関の三者間において、公衆回線、 [0008] That is, the present invention is, in between the three parties of the health care commission member and the management center and the medical institution, a public line,
専用回線、CATV回線などを利用して双方向映像・音声・データ通信機能を具備したコンピュータネットワークシステムを構築し、端末器を介して入力・送信される会員の日々の健康データを管理センターと医療機関の端末器に表示させて監視するとともに会員の個別データーベースとして蓄積し、逐次健康・医療アドバイスを遂行するとともに、体の機能に影響を与える気象因子を説明変数、疾病発生を目的変数として数量化理論II類に基づく多変量解析を行って気象と疾病発生予測との相関関係を明らかにしたモデル判別式を作成し、気象変化の予想とともに疾病発生確率を予測して疾病発生の予防を図るようにした在宅健康管理システムを特徴としている。 Dedicated line, by using, for example CATV line Constructs a computer network system comprising a two-way video, audio, data communication functions, control center and medical daily health data of the member to be input and transmitted via the terminal device be displayed on the engine of the terminal device stored as a member separate database with monitors sequentially with performing the health and medical advice quantity description variable weather factors affecting the function of the body, the disease occurs as a dependent variable create distinctly model discriminant a correlation between the weather and the disease occurrence prediction by performing multivariate analysis based on the theory type II, achieving prevention of disease outbreaks by predicting the disease probability with the expected weather change It is characterized by a home health management system that was so.

【0009】これにより、健康管理委託会員が自宅に設置された端末器を利用して測定・入力した日々の健康データは、管理センター及び医療機関の端末器において監視され、適宜双方向通信を介して健康・医療アドバイスが行われるとともに異常が検知されたときには医療機関が遠隔診療を行うほか、状況に応じて医療スタッフが会員宅に急行し、医療措置を行う態勢をとることができる。 [0009] Thus, daily health data measured and entered utilizing the health care commission member is installed in the home terminal device is monitored in the terminal unit of the management center and medical institutions, through an appropriate bi-directional communication medical institution when an abnormality is detected with is performed health and medical advice Te is in addition to perform remote medical treatment, medical staff rushed to the member's home depending on the situation, it is possible to take a posture to perform the medical procedure. また、会員から送信された日々の健康データは、個別にデータベース化して蓄積されることにより、会員の健康データの異常値は自動的に検出することができる。 Also, daily health data transmitted from the member by being accumulated in a database separately, outliers health data members can be detected automatically.

【0010】会員が自宅に置かれた端末器を利用して定時または随時に測定・入力する健康データとしては、 [0010] as a health data by the member to measure and input on time or at any time by using a terminal device that is placed in the home,
1. 1. 体温 2. Body temperature 2. 脈拍 3. Pulse 3. 血圧 4. Blood pressure 4. 体重 5. Body weight 5. 体調データなどであり、1〜4の測定結果は自動入力される。 Physical condition data and the like, the measurement results of 1-4 is automatically input.
5の体調データはリモート機器で会員が容易に入力できるようにする。 5 physical condition data so that members can be easily entered in the remote device.

【0011】また、健康データを個別にデータベース化し、数量化理論II類に基づく多変量解析を行って気象と疾病発生予測との相関関係を明らかにしたモデル判別式を作成することにより気象変化に伴う疾病発生を予測することにより疾病発生の予防を図り得る点が本発明の在宅健康管理システムの大きな特徴点となっている。 Further, a database separate health data, weather changes by creating a clear to model discriminant a correlation between the weather and the disease occurrence prediction by performing multivariate analysis based on the quantification theory type II viewpoint of obtaining work to prevent disease occurrence is a major aspect of home health care system of the present invention by predicting the disease outbreaks associated.

【0012】すなわち、本発明者らが気象の変化が疾病を誘発する関係を鋭意研究を行った結果、各会員から集めた膨大な生データの解明に数量化II類に拠り解析するに当たり、体の機能に影響を与える気象因子として、気温(最高気温・最低気温の前日比較、一日の最高気温最低気温の気温差・週間平均気温差)積算温度、気圧配置(前日比較)、寒冷・温暖前線、水上気圧(前日比較)、湿度変化、日照量、風向、風速を選定し、これらの気象データを判別モデルの説明変数として使用することにより疾病発生を予測可能としたものである。 [0012] In other words, when changing the present invention we have of the weather is a result of intense research the relationship to induce the disease, to analyze more quantity of type II to the elucidation of the vast raw data collected from each member, the body as weather factors that affect the function, temperature (the day before the comparison of the maximum temperature, minimum temperature, temperature difference-week average temperature difference between the highest temperature lowest temperature of the day) accumulated temperature, pressure distribution (the day before comparison), cold-warm front, water pressure (the day before comparison), humidity change, amount of sunlight, wind direction, selects the wind speed, in which the disease occurred was predictable by using these weather data as an explanatory variable of the discriminant model.

【0013】上記の数量化理論II類は、明らかにしたい事項(これを目的変数という)と、それに関係する多数の事柄(これを説明変数という)が共に質的データであるときの多変量解析である。 [0013] Quantification Theory II compounds described above, be apparent to want matters (this is called the dependent variable), multivariate analysis when many things related thereto (referred explanatory variables the same) are both qualitative data it is. したがっで、本発明においては疾病発生の有無が目的変数であり、これと関係の深い気象条件が説明変数となる。 Therefore in a target variable is the presence or absence of pathology occur in the present invention, this deep weather related is explanatory variables.

【0014】この多変量解析とは、相互に関連する多数のデータを統計的に解析し、多種多様なデータを要約したり、データの背後にある疾病発生の現象の構造を明らかにする分析方法の総称であり、分析を行うに当たっては、上記の目的変数と説明変数との関係を調べ、目的変数に強い影響を及ぼしている説明変数を発見し、関係式を作成するものである。 [0014] This and multivariate analysis, and statistical analysis of a large number of data related to each other, a wide or summarize various data reveals analytical method the structure of the phenomenon of disease outbreaks behind the data a generic, carrying out the analysis examined the relationship between the objective variable and explanatory variables, found explanatory variables has had a strong influence on the dependent variable, it is to create a relationship. そして、予測に当たっては、将来においてもこの関係式が成り立つものとしてこの式を用いる。 Then, the prediction when the the formula is used as also this relationship holds true in the future.

【0015】本発明を実施するに当たっては、疾病の発生と関係が深いと思われる気象条件を選択する必要がある。 [0015] In practicing the present invention, it is necessary to select the weather conditions associated with the occurrence of the disease seems to deep. そこで、会員から集めた健康データから観察された疾病と関係のある気象データをつぶさに検討したところ、主に脳溢血・クモ膜下出血・心筋梗塞・不正脈・脳梗塞・糖尿病・喘息発作・関節炎・花粉症・風邪・インフルエンザ・食中毒・ノイローゼ・自殺・熱中症において気温、気圧、湿度、風速、風向、気圧、日照量の変化に当該気象条件を特定できることが明らかになった。 Therefore, it was diligently studied meteorological data relevant with disease observed from health data collected from the member, mainly cerebral hemorrhage, subarachnoid hemorrhage, myocardial infarction, illegal pulse, cerebral infarction, diabetes, asthma attack, arthritis, temperature in hay fever, cold, influenza food poisoning, neurosis, suicide, heat stroke, pressure, humidity, wind speed, wind direction, air pressure, to be able to identify the weather conditions to changes in the amount of sunlight revealed. その理由並びに選定使用する説明変数(気象データ)は下記のとおりである。 The reason, as well as selected using explaining variables (weather data) are as follows. 1. 1. 最高または最低気温差(気温差は北海道を除く全域):前日との気温差が5℃以上上昇または下降した場合。 Highest or lowest temperature difference (temperature difference throughout except for Hokkaido): If the temperature difference between the day before has been raised or lowered 5 ℃ or more. 最低気温または最高気温の変化が体感温度として、 As a change in the minimum temperature or a maximum temperature sensible temperature,
明確に認識できる気温差を5℃として設定する。 Setting the temperature difference can be clearly recognized as 5 ° C.. この変化した気温を身体に暴露した場合の皮膚温と核心温との差を埋める生理的活動から派生する疾病は当然季節により異なるが、脳溢血、心筋梗塞、糖尿病、喘息、関節炎、風邪、インフルエンザ、くも膜下出血、脳梗塞、熱中症などである。 Varies depending disease course season to derive the changed temperature from physiological activities offset differences of skin temperature and core temperature Metropolitan when exposed to the body, apoplexy, myocardial infarction, diabetes, asthma, arthritis, colds, flu, subarachnoid hemorrhage, cerebral infarction, and the like heat stroke.

【0016】2. [0016] 2. 一日内気温差:一日の最低気温と最高気温との差が11℃以上ある場合。 One day in the temperature difference: If the difference between the lowest temperature and the highest temperature of the day is equal to or greater than 11 ℃. 特に寒冷期においては日中の比較的暖かい気温を身体に暴露したあとで、急に冷え込んだ時には脳溢血、心筋梗塞、喘息発作など、 Especially after you were exposed to the body a relatively warm temperatures during the day in the cold season, when I suddenly chilly is cerebral hemorrhage, myocardial infarction, such as asthma attacks,
また夏では熱中症が重要である。 In addition it is important to heat stroke in the summer.

【0017】3. [0017] 3. 湿度:冬から早春にかけて湿度40% Humidity: the humidity over the early spring from winter 40%
以下でインフルエンザ。 Influenza below. 40%以下で皮膚湿疹。 40% less than in the skin eczema. 60% 60%
以上で関節炎痛。 Arthritis pain or more. 晩春から夏にかけて80%以上で脳梗塞の発症が多く見られ、その予報に役立つ。 The onset of cerebral infarction is often seen at 80% or more over the summer from late spring, it will help in the forecast.

【0018】4. [0018] 4. 最高気温前日差5℃以上上昇または下降:春から晩春および秋から初冬にかけては喘息、また春には花粉症。 The highest temperature the day before difference 5 ℃ or more raised or lowered: hay fever asthma, also in the spring is over the early winter from late spring from the spring and autumn. 初冬から冬にかけて脳内出血、脳血栓、 Brain hemorrhage, cerebral thrombosis from early winter to winter,
脳梗塞、心筋梗塞、肺炎の発症が多い。 Cerebral infarction, myocardial infarction, is often the onset of pneumonia.

【0019】5. [0019] 5. 最低気温前日差5℃以上上昇または下降:冬から早春には狭心症、晩春から夏にかけては麻疹、風疹、夏場は熱中症、不正脈、晩秋から冬へは脳内出血、脳血栓、脳梗塞、心筋梗塞、肺炎ならびにアトピーがある。 The lowest temperature the day before difference 5 ℃ or more raised or lowered: angina in early spring from winter, measles summer from late spring, rubella, summer heat stroke, illegal pulse, brain hemorrhage from late autumn to winter, cerebral thrombosis, cerebral infarction, myocardial infarction, there is pneumonia, as well as atopy.

【0020】6. [0020] 6. 前線通過前:晩春から夏にかけては、 Front before passing through: From late spring to summer,
脳梗塞、晩秋から冬にかけてはリュウマチ、関節炎の痛みに対する発症が有意に増加する。 Cerebral infarction, rheumatism is winter from late autumn, is developed for the pain of arthritis increases significantly.

【0021】7. [0021] 7. 前線通過時:早春においては、喘息および花粉症が、夏においては脳梗塞および熱中症がまた秋から冬にかけては喘息が、さらに冬場においては脳溢血・クモ膜下出血・心筋梗塞・不正脈・アトピー性皮膚炎の発症が増加する。 Front passing at the time: In the early spring, asthma and hay fever, cerebral infarction and asthma and winter heat stroke is also from the autumn, further cerebral hemorrhage, subarachnoid hemorrhage, myocardial infarction, unauthorized pulse-atopy in the winter, in summer onset of sexual dermatitis increases. この「前線通過」に関する判定は次の要件のうち1つ以上該当する場合を指すものとする。 Determination on this "front passage" shall refer to if one or more of the following requirements.

【0022】すなわち、何れも1時間変化量において、 [0022] That is, both the 1 hour variation,
風向45度以上、風速5m/sec以上、気温5℃以上、湿度20%以上の場合の1つ以上。 Wind direction 45 degrees or more, wind speed 5 m / sec or more, the temperature 5 ° C. or more, one or more cases of more than 20% humidity.

【0023】8. [0023] 8. 高気圧:冬から早春においては脳内出血、脳血栓、脳梗塞、心筋梗塞、不正脈、春から晩春においては結核感染、喘息、夏は熱中症、脳梗塞、秋から冬にかけては喘息が増加する。 Hyperbaric: intracerebral hemorrhage in early spring from winter, cerebral thrombosis, cerebral infarction, myocardial infarction, illegal pulse, tuberculosis infection in late spring from the spring, asthma, summer heat stroke, cerebral infarction, asthma is from autumn to winter to increase.

【0024】9. [0024] 9. 低気圧:早春から春にかけてはうつ病、初夏および秋から晩秋ではリュウマチが要注意である。 Low pressure: is to spring from early spring depression, in the late autumn from early summer and autumn is a rheumatism Needs Attention. 夏は脳内出血、脳血栓、初冬から冬にかけて心筋梗塞、脳内出血、脳血栓である。 Summer brain hemorrhage, cerebral thrombosis, myocardial infarction and winter from early winter, brain hemorrhage, is a cerebral thrombosis.

【0025】なお、高気圧・低気圧の判定については、 [0025] It should be noted that the determination of high pressure and low pressure,
前24時間変化量が+10hpaで「高気圧」、−10 "High pressure" in the previous 24 hours, the amount of change is + 10hpa, -10
hpaで低気圧と判定するものとする。 It shall be determined cyclones in hpa.

【0026】但し、1,020hpa以上なら前24時間変化量如何に関わらず「高気圧」と判定する。 [0026] However, regardless of the 24 hours the amount of change how before if more 1,020hpa as "high pressure" is determined.

【0027】10. [0027] 10. 日最大風速5m以上:冬から早春にかけて脳内出血、脳血栓、心筋梗塞、不正脈が増加する。 Day maximum wind speed 5m more: brain hemorrhage over the early spring from winter, cerebral thrombosis, myocardial infarction, illegal pulse increases.

【0028】11. [0028] 11. 大雪・雷雨の直前: 偏頭痛。 Of heavy snow, thunderstorm just before: migraine.

【0029】12. [0029] 12. 大気汚染を伴う霧: 気管支炎、肺炎 13. Fog with the air pollution: bronchitis, pneumonia 13. 大気の逆転層: 850〜750hpa付近の場合は喘息発作の説明変数に付加するものとする。 Inversion layer of the atmosphere: in the case of near 850~750hpa shall be added to the explanatory variable of asthma attacks.

【0030】数量化理論II類による分析においては、変数は全てカテゴリーデータでなければならない。 [0030] In the analysis by quantification theory type II, a variable must be a category data all. このため、上記選定した各気象データ、すなわち、一日内気温差、湿度、最高気温前日差、最低気温前日差、前線通過前、前線通過時、高気圧、低気圧、日最大風速、大雪・ Therefore, the weather data and the selected, i.e., one day the temperature difference, the humidity, the maximum temperature day difference, minimum temperature day difference, before front passes, at front passage, high pressure, low pressure, Japan maximum wind, snow,
雷雨の直前、大気汚染を伴う霧、不快指数等のデータは全てカテゴリーデータとする。 Just before the thunderstorm, fog with the air pollution, data such as the discomfort index is all category data.

【0031】ついで、これらのデータをコンピュータに入力すると、偏相関係数(各説明変数の影響の強さを表わす係数)とレンジが算出され、説明変数については、 [0031] Then, after entering such data to the computer, the partial correlation coefficient (coefficient representing the intensity of impact of each explanatory variable) range is calculated, for explanatory variables,
それぞれのカテゴリースコアと相関比(説明変数全体での影響の強さを表わす係数)が算出される。 Each category score and correlation ratio (coefficient representing the intensity of the impact of the entire explanatory variable) is calculated.

【0032】数量化理論II類は、目的変数の群の判別に貢献する度合に応じて、説明変数の各カテゴリーに得点を与える手法であり、この得点が上記カテゴリースコアである。 [0032] Quantification Theory II compound, depending on the degree of contribution to the determination of the group of target variable is a technique that gives a score to each category of the explanatory variables, the score is the category scores. サンプルごとに当てはまるカテゴリーのカテゴリースコアを足し合わせた値をサンプルスコアといい、 The value obtained by adding the category score of categories that apply to each sample is called the sample score,
このサンプルスコアを算出する式を判別モデル式という。 The equation for calculating this sample score of discriminant model formula. このサンプルスコアの値から各々のサンプルが目的変数のどの群に属するか(疾病の発症の可能性の大小) Or each sample from the value of the sample score belongs to which group the objective variable (magnitude of possibility of onset of the disease)
を判別することができる。 It is possible to determine.

【0033】本システムにおいては、このサンプルを毎日継続的に、しかも大量に収集することができ、日々のカテゴリーデータとの相関比を算出し、精度を上げることができる上に、地域差、特に生活慣習(冬の暖房形態やトイレの形式など)、食物特性(塩分濃度など)をも説明変数として検証を行う。 [0033] In the present system, the samples every day continuously, yet can be collected in large quantities, to calculate the correlation ratio of the day-to-day category data, on which it is possible to increase the accuracy, regional differences, especially life practices (such as the winter heating form and toilets of format), to verify as also explanatory variables food characteristics (such as salt concentration). それによって、従来明らかでなかった東日本から東北地方にかけて特に脳卒中の疾病が多発する判別を得ることができた。 Thereby, diseases especially of stroke conventionally not clear East toward Tohoku region could be obtained determination that frequently.

【0034】このように本発明の在宅健康管理システムは、会員の健康状態を数値化してデータベースとして蓄積し、常時監視体制下におくことによって健康上の異常状態を早期に発見して早期措置を講じ得るようにするとともに、疾病の発生と気象の変化との相関関係を明らかにしてモデル判別式を準備し、これにより気象の変化に伴う疾病の発生を予測して予防措置を講じることを可能にしたものである。 [0034] Thus home health care system of the present invention, accumulated as a database by digitizing the health of members, early measures early detection of an abnormal state of health by placing under constant surveillance thereby to be taken, to prepare a model discriminant reveals the correlation between the change in the occurrence and weather disease allows preventive measures thereby to predict the occurrence of diseases associated with changes in weather it is obtained by the.

【0035】 [0035]

【発明の実施の形態】図1は、本発明に係る在宅健康管理システムの一例を示す概要図で、健康管理委託会員H Figure 1 DETAILED DESCRIPTION OF THE INVENTION, in schematic diagram showing an example of a home health care system according to the present invention, health care commission member H
Mと管理センターCSと契約医療機関CDの三者間において、公衆回線、専用回線、CATV回線などを利用した双方向映像・音声・データ通信機能を具備したコンピュータネットワークシステムが構築されている。 In between the three parties of M and the management center CS and contract medical institutions CD, a public line, a dedicated line, a computer network system that includes a two-way video, audio, and data communication function using, such as CATV line is built. この例では健康管理委託会員HMは、管理センターCSとの双方向通信においてCATV回線を利用したグループG1 Health management commission member HM In this example, the group was using a CATV line in two-way communication with the management center CS G1
とISDN回線を利用したグループG2の2種類を例示している。 It illustrates two types of group G2 by using an ISDN line with.

【0036】健康管理委託会員HMの自宅にはマイク・ [0036] Mike at home health care commission member HM
スピーカ・CCDカメラ・液晶タッチパネル式コンピュータあるいはCATV用セットトップボックス(ST Speaker-CCD camera and LCD touch panel computer or CATV set-top box (ST
B)のようなテレビ出力型コンピュータ・自動入力式計測器などが接続された簡易入力方式の端末器TEが設置されている。 Terminal device TE simple input method such as a TV-output computer autofill Instruments is connected like B) it is installed. 管理センターCSには各種情報の入出力を行うとともに会員HMから送られてくる日々の健康データを監視する端末器、当該日々の健康データをデータベース化して蓄えるサーバ、日々の健康データとデータベース内データを比較して異常の有無を判断する演算処理装置、刻々と変化する気象データーの精細情報を取得する端末器、取得した気象データを蓄える気象データベースサーバ、気象状況と健康データとの相関関係に基いて疾病の発生確率を予測し、データベース化した気象−疾病データベースなどが設置されている。 Management center CS terminal device for monitoring the daily health data transmitted from the member HM performs input and output of various information., Stores a database of the daily health data server, daily health data and database data processor for determining the presence or absence of an abnormality by comparing a constantly changing terminal device for acquiring fine information of weather data for weather database server for storing the acquired weather data, based on the correlation between the weather conditions and the health data such diseases database is installed - have to predict the probability of disease, weather and database. また、契約医療機関CDと管理センターCSとは専用回線で接続され、 In addition, the contract medical institution CD and the management center CS are connected by a dedicated line,
マイク・スピーカ・CCDカメラなどが接続された端末器TEを介して会員HMから送られてくる日々の健康データを監視するとともに双方向映像・音声通信によって適宜健康・医療アドバイスを送る。 Send appropriate health and medical advice by the interactive video and audio communication with monitoring the daily health data transmitted from the member HM via the terminal device TE to a microphone speaker-CCD camera is connected.

【0037】会員HMは端末器TEを介して毎日定時または臨時に血圧、体温、脈拍、体重等の基本データを測定し、自動入力する。 [0037] member HM blood pressure, body temperature, pulse rate, the basic data of the body weight and the like were measured daily scheduled or ad hoc via the terminal device TE, automatically input. また自覚症状から派生する健康状態などをリモートコントローラ又は簡易データ入力端末等で入力する。 The inputting a health derived from subjective symptoms on the remote control or the simple data input terminal or the like. これらの健康データは、管理センター、 These health data, management center,
契約医療機関の端末器に表示され、常時監視されるとともにデータベース化され、データに異常値が表示された場合はアラームが作動し、医師または管理センターが緊急対応するなど必要な医療措置がとられるようになっている。 Is displayed on the terminal device of the contract medical institution, into a database while being continuously monitored, if the abnormal value data is displayed alarm is activated, medical measures necessary, such as a physician or management center urgent corresponding taken It has become way.

【0038】毎日の健康データや自覚症状をベースにした体調データはデータベース化してサーバーに蓄積するとともに、グラフ化して健康度の傾向を把握することもできる。 The physical condition data which is based on daily health data and subjective symptoms, together with the accumulated in the server in a database, it is also possible to grasp the trend of health as a graph. また、医師が健康度の傾向をチェックし、早めに診察を促し、双方向映像・音声通信によって在宅診療を行うこともできる。 In addition, the doctor will check the tendency of health, early to encourage the medical examination, it is also possible to carry out a home medical care by two-way video and audio communication.

【0039】また、管理センターが双方向映像・音声通信網を介して各種の生活支援サービス・情報提供サービスを行うことにより、高齢者等の生活環境における問題点を抽出して生活の質を高め、健康の増進を図るための指導・助言・情報等を提供し、健康で明るい在宅日常生活をサポートするトータルサポートシステムとして利用することができる。 [0039] In addition, by the management center performs various types of life support services and information providing services via two-way video and audio communication network, improve the quality of life to extract the problems in the living environment, such as the elderly , it can be used as a total support system that provides such guidance, advice and information to pursue the promotion of health, to support the bright home everyday life in good health.

【0040】「生活支援サービス」の一例をあげれば次の通りである。 [0040], which is the next street To give an example of a "life support services".

【0041】1. [0041] 1. 健康増進生活指導サービス 健康データの解析に基づき、運動や食事等、健康増進のための個人指導を行う。 Based on the analysis of the health-promoting lifestyle guidance service health data, such as exercise and diet, personal guidance for health promotion do.

【0042】2. [0042] 2. カロリー管理サービス 糖尿病など、病状に応じた最適食事内容の情報や摂取カロリーの管理支援を行う。 Such as calorie management services diabetes, to manage support of optimal diet of information and calorie intake in response to the condition.

【0043】3. [0043] 3. 会員交流・社会活動斡旋サービス 会員同士の双方向映像による交流や管理センターが様々な社会活動への参加を誘引する。 Exchange and management center by the bi-directional image of the member exchanges and social activities mediation service member with each other to attract the participation in various social activities.

【0044】4. [0044] 4. クラブ活動支援サービス 趣味等を中心にした会員同士の交流会の開催やクラブ活動を支援する。 To support the holding and club activities of exchange meeting between members with a focus on club activities support services hobby like.

【0045】5. [0045] 5. 安心旅行施設利用サービス 管理センター契約温泉旅館等の施設を、会員が安心して利用することができる。 The peace of mind travel facility use service management center contract Onsen Ryokan facilities or the like, it is possible to use members with peace of mind.

【0046】6. [0046] 6. 経済活動支援サービス 自分の資格や特技を管理センターに登録。 Registered in the management center for economic activity support service their qualifications and feats. それを生かし活動できる先を紹介支援する。 To introduce support the activities can be above taking advantage of it.

【0047】また、「情報提供サービス」の一例をあげれば次の通りである。 [0047] In addition, the next street As an example of the "information services".

【0048】1. [0048] 1. ショッピングサービス 日常の必需品を映像で紹介。 Featured in the video shopping service daily necessities. 欲しい商品を端末器に入力し注文する。 Enter want the goods to the terminal device to order. 配達サービス。 Delivery service. 2. 2. 病種・治療薬情報サービス 病気に罹った時の病名・調剤された薬についての情報検索サービス 3. Information retrieval service 3 for the name of the disease and dispensing has been medicine when suffering from disease species or therapeutic drug information service illness. 健康気象情報サービス 喘息・心臓発作・脳溢血・糖尿病・風邪など季節や気象に左右される病気のケア情報を毎日提供する。 To provide health weather information service asthma, heart attack, cerebral hemorrhage, diabetes, flu, such as the care information depends on the disease to the season and the weather every day.

【0049】4. [0049] 4. 元気な生活お便りサービス 遠隔地の肉親から遠い故郷の高齢者へ、メール、ビデオレター等のお便りサービス。 From the immediate family of a healthy life letter service remote areas to the distant home of the elderly, e-mail, letter service, such as a video letter.

【0050】5. [0050] 5. おもいでのミュージックサービス 人間の一番活動的なころの17才〜24才のころの音楽や歌は、高齢になっても忘れること無く、その音楽を聞くと当時のごとく元気になることを応用した音楽サービス。 Memories of the music service man of the most active time of the music and songs of the time of the 17-year-old to 24 years old, without forgetting even in the elderly, was applied to become healthy as of the time and listen to the music music service. 本人の聞きたい曲名をあらかじめデータベースに入力しておき、家庭用端末の簡易データ入力端末又はリモコン操作で何時でも簡単に聞けるようにするサービス。 The song you want to hear of the person have entered in advance in the database, simple data input terminal or service that can listen at any time easily with the remote control operation of the home terminal.

【0051】6. [0051] 6. 何時でも使っ手、お互い様支え合いサービス 会員の日常生活で、特抜や手を貸して助けあえる項目を予めデータベースに登録し、必要な時お互いに助け合うサービスシステム。 At any time using the hand, in the daily life of service members support each other Otagaisama, pre-registered in a database item to meet help lend a Toku抜 and hands, service system help each other when needed.

【0052】 [0052]

【発明の効果】以上の通り、本発明によれば、健康管理委託会員と管理センターと医療機関の三者をコンピュータネットワークシステムを介して有機的に結び付け、双方向映像・音声・データ通信機能を駆使して在宅のまま日々の健康データについて個人的健康履歴を前提にした詳細なチェックを行うことができるものであり、逐次健康・疾病について個別・具体的にアドバイスを行い得るとともに、緊急時には直ちに適当な措置をとることができ、また、気象の変化と疾病の発生可能性との相関関係を明らかにすることにより、予測される気象変化に応じた事前の手当を講じることができるため疾病の発症を未然に予防し得る画期的な在宅健康管理システムを提供し得たのである。 As described above, according to the present invention, according to the present invention, organically tied the three parties of the health care commission member and the management center and the medical institutions via the computer network system, two-way video, audio, and data communication function it is those personal health history for the day-to-day health data remains at home by making full use can be carried out detailed checks on the assumption, along with the get done individual-specific advice on successive health and disease, immediately in the event of an emergency can take appropriate measures, also by revealing the correlation between the likelihood of weather changes and disease, disease it is possible to take pre allowance in response to weather changes that are predicted than it was able to provide a breakthrough home health management system that may prevent in advance the onset.

【0053】なお、管理センターが介入することにより、双方向映像・音声・データ通信網を利用して各種生活支援サービス、情報提供サービスを行うこともでき、 [0053] It should be noted, can by the management center to intervene, various life support services using a two-way video, voice and data communications network, is also possible to provide information services,
高齢者等の生活環境における問題点を抽出して生活の質を高め、健康の増進を図るための指導・助言・情報等を提供し、健康で明るい在宅日常生活をサポートするトータルサポートシステムとして利用することができるという利点も有している。 Improve the quality of life to extract the problems in the living environment, such as the elderly, provide such guidance, advice and information to pursue the promotion of health, use as a total support system to support the bright home everyday life in good health also has the advantage of being able to.

【図面の簡単な説明】 BRIEF DESCRIPTION OF THE DRAWINGS

【図1】本発明に係る在宅健康管理システムの概要図。 Schematic diagram of a home health management system according to the present invention; FIG.

【符号の説明】 DESCRIPTION OF SYMBOLS

HM…健康管理委託会員 CS…管理センター C HM ... health management commission member CS ... management center C
D…契約医療機関 TE…端末器 D ... contract medical institution TE ... terminal device

Claims (1)

    【特許請求の範囲】 [The claims]
  1. 【請求項1】 健康管理委託会員と管理センターと医療機関の三者間において、公衆回線、専用回線、CATV 1. A tripartite of health management commission member and the management center and the medical institution, a public line, a dedicated line, CATV
    回線などを利用して双方向映像・音声・データ通信機能を具備したコンピュータネットワークシステムを構築し、端末器を介して入力・送信される会員の日々の健康データをサービスセンターと医療機関の端末器に表示させて監視するとともに会員の個別データーベースとして蓄積し、逐次健康・医療アドバイスを遂行するとともに、体の機能に影響を与える気象因子を説明変数、疾病発生を目的変数として数量化理論II類に基づく多変量解析を行って気象と疾病発生予測との相関関係を明らかにしたモデル判別式を作成し、気象変化の予想とともに疾病発生確立を予測して疾病発生の予防を図ることを特徴とする在宅健康管理システム。 By utilizing such line to construct a computer network system comprising a two-way video, audio, data communication functions, the terminal device of the service center and medical institutions daily health data of the member to be input and transmitted via the terminal device to display accumulated as a member of the individual database while monitoring the sequential health and medical advice with performing, quantification theory type II weather factors that affect the function of the body explanatory variables, the disease occurs as a dependent variable multivariate analysis based on performing create distinctly model discriminant a correlation between the weather and disease occurrence prediction, and characterized in that to predict the disease occurrence established with expected weather changes achieve prevention of disease outbreaks home health management system to.
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WO2004114180A1 (en) * 2003-06-18 2004-12-29 Matsushita Electric Industrial Co., Ltd. Biological information utilization system, biological information utilization method, program, and recording medium
JP2006510451A (en) * 2002-12-18 2006-03-30 カーディアック・ペースメーカーズ・インコーポレーテッド Advanced patient management for correlating the data
JP2007086906A (en) * 2005-09-20 2007-04-05 Terumo Corp Blood pressure prediction device
JP2007140683A (en) * 2005-11-15 2007-06-07 Terumo Corp Device for predicting development of disease of circulatory organ
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