JP2001084301A - Medical care system for bedridden patient or quasi- patient - Google Patents

Abstract

PROBLEM TO BE SOLVED: To accelerate home medical care and to improve the medical care of a bedridden patient or a quasi-patient by constructing the mutual network of the bedridden patient or quasi-patient at home, a clinic, a hospital and specified organ for connecting them with each other. SOLUTION: The specified organ 5 for connecting the bedridden patient or quasi- patient 2 at home and the clinic 3 and the hospital 4 with each other is provided, the patient 2 registers himself/herself in the specified organ 5, the clinic 3 and the hospital 4 make a contract with the specified organ 5 and thus, the network system is constructed. Then, within the network system, when the patient 2 is introduced by the specified organ 5, the doctor of the clinic 3 examines the patient 2 for the first time, introduces the hospital 4 under the contract with the specified organ 5, recommends a test in the hospital 4, then performs periodical home medical care thereafter and records the medical care in a home medical treatment notebook. Further, the hospital 4 performs the first time test of the patient 2, performs the medical care and medical consultations or the like at all times in the form of cooperating with the clinic 3 and supporting the clinic 3 and records them in the home medical treatment notebook.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical nursing system for bedridden patients or quasi-patients, and more particularly to an internetwork of bedridden or quasipatients at home, clinics and hospitals, and specific institutions interconnecting them. The present invention relates to a bedridden or quasi-patient medical nursing system for constructing a system.

[0002]

2. Description of the Related Art Conventionally, with regard to this kind of home care nursing, a clinic independently opens a medical consultation service 365 days a year,
In addition, home health care nursing and hospital
Open a medical consultation window 24 hours a day, 65 days, and provide home medical nursing, as well as hospitals and other establishments,
Services that provide services centered on home care are known.

[0003]

This kind of conventional home care nursing is, for example, in the case of home care nursing performed by a clinic,
A medical consultation service is required 24 hours a day, 365 days a year, and an emergency response is also required. Therefore, the burden and restrictions on doctors and clinics are large, and these clinics are not currently implemented in most clinics. or,
Even when a hospital performs home care nursing, the hospital makes a medical visit and performs the medical nursing, and when hospitalization is continued, hospitalization is continued, so the profitability of the hospital is lower than the burden of doctors and nursing. It is difficult to continue nursing at home. or,
In the case of establishing a separate corporation to provide home-based care services, the service fee tends to be high, so there was a defect that patients could not be supported. Furthermore, in addition to the above-mentioned home care nursing, a home care nursing method in which a clinic and a hospital cooperate can be considered, but at present, cooperation between a clinic and a hospital is not performed smoothly, and this method is hardly implemented. Absent.

[0004] Because of these inconveniences, the promotion of home medical nursing has been delayed, and currently only about 7 to 8% of bedridden elderly people in the country receive home medical services. However, in the future, many bedridden patients or quasi-patients will need to receive safe and sufficient home medical nursing care, suppress an increase in medical expenses, and shorten the number of hospital stays. In addition, it is likely that there will be a need to promote good home health care nursing for the continuation of the current insurance system.

[0005] On the other hand, as a measure of the national or government, the medical fee is revised and the "home medical care fee" is set, but the later the medical fee score is revised, the home medical fee can be calculated together with the home medical treatment. It has become. Also recently,
The public nursing care insurance system is scheduled to be implemented, and in light of the coming super-aging society in the country, a new gold plan has been formulated, and the “home medical care fee” "Is being raised again, and the development of home healthcare is being promoted.

Therefore, bedridden or quasi-patients at home,
And the establishment of a mutual network of clinics, hospitals, and specific institutions interconnecting them to promote home medical nursing and to improve the technical nursing of bedridden or quasi-patients A problem arises, and the present invention aims to solve this problem.

[0007]

SUMMARY OF THE INVENTION The present invention has been proposed to achieve the above object, and comprises a bedridden or quasi-patient at home, a clinic, a hospital, and a specific organization interconnecting them. An internetwork system to be constructed, wherein the patient registers with the specific institution, and the clinic and the hospital make a contract with the specific institution to form a network system, and within the network system, the clinic The physician, when referred to the patient by the specific institution, visits the patient and performs a first consultation, and at the time of the first consultation, introduces the patient to the hospital contracted with the specific institution, A test at the hospital is recommended, and the clinician's physician and nurse (physician) perform subsequent regular home care nursing of the patient and are Recorded in a medical notebook, and the hospital conducts an initial examination of the patient, cooperates with the clinic, and always provides medical nursing and medical consultation in a form that supports the clinic. The present invention also provides a bedridden or quasi-patient medical nursing system configured to record the medical nursing in the home medical notebook.

[0008]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS One embodiment of the present invention will be described below in detail with reference to FIGS. In FIG. 1, reference numeral 1 denotes a bedridden or quasi-patient medical nursing system. The bedridden or quasi-patient medical nursing system 1 includes a bedridden or quasi-patient 2, a clinic 3, and a hospital 4. , And a mutual network system constructed from a specific institution 5 interconnecting them.

[0009] The specific institution 5 calls on the patient 2 to register with the specific institution 5, and the patient 2 in response to the call registers with the specific institution 5. The specific institution 5 calls on the clinic 3 and the hospital 4 to participate in the system, and the clinic 3 and the hospital 4 in response to the call conclude a contract with the specific institution 5. With the contract, the clinic 3
When the doctor is referred to the patient 2 by the specific institution 5,
The patient 2 is visited for the first consultation, and the patient 2 is referred to the hospital 4 contracted with the specific institution 5, and a test at the hospital 4 is recommended. The doctor 3 and the nurse (chief) perform regular home medical care for the patient 2 thereafter, and record the medical care in the home medical notebook. Further, the hospital 4 performs an initial examination of the patient 2 and cooperates with the clinic 3 to perform examination, medical nursing, and medical consultation in a form that supports the clinic 24 hours a day, 365 days a year. The medical nursing will be recorded in the home medical notebook. The clinic 3 is located at the hospital 4
Even after the examination and medical nursing conducted in, medical care nursing at home shall be continued. In addition, the patient 2 is required to perform the first examination performed in the hospital 4 at the time of the registration, and the patient 2 is to keep a home medical notebook.

[0010] When the patient 2 is registered, the specific institution 5 introduces the patient 2 contracted to the specific institution 5 to an appropriate nearby clinic 3, and the specified clinic 3 The doctor visits the patient 2 and makes a first consultation. At the time of the first consultation, the doctor at the clinic 3 introduces the hospital 4 contracted to the specific institution 5 and recommends an examination performed at the hospital 4. Furthermore,
The doctor and nurse (person) at the clinic 3 perform regular home medical nursing thereafter, and record the medical nursing in a home medical notebook. Then, the patient 2 carries out the first examination at the hospital 4 referred to a doctor at the clinic 3 while bringing the home medical treatment notebook. After the examination, the hospital 4 records necessary items in the home medical notebook and returns it to the patient 2.

Thereafter, the patient 2 receives the home medical nursing at the clinic 3 and, at the instruction of the clinic 3 or according to the condition of the patient 2, any time during the 24 hours 365 days. At the hospital 4, medical nursing or medical consultation can be received. In addition, the said home medical care notebook is said clinic 3
And when the hospital 4 performs medical nursing.

When the specific institution 5 is contacted by the patient 2 by telephone or the like, the clinic 3 or the hospital 4
Call for appropriate action or call forward. Alternatively, it is possible to arrange an ambulance or the like as needed. In addition, the specific institution 5 can provide various auxiliary services such as taxi, food distribution, linen, helper arrangement, etc. in order to support the bedridden or quasi-patient medical nursing system 1. Further, it is also possible to make a doctor or a nurse (person) resident at the specific institution 5 and carry out medical consultation and home medical nursing in a form that complements the home medical nursing system 1 for bedridden patients or quasi-patients.

According to the bedridden or quasi-patient medical nursing system 1, the specific institution 5 has a large number of patients 2,2.
... is recommended to be registered in the system 1, and a large number of patients 2,2 are accepted and registered. Furthermore, the specific institution 5 has a number of clinics 3, 3.
And hospitals 4, 4…, and a number of clinics 3, 3…
And contracts with the hospitals 4, 4,... To provide home care nursing care for the patient 2 by a doctor and a nurse (chief) at the appropriate clinic 3. Then, the specific institution 5 introduces an appropriate hospital 4 to the clinic 3.

In addition, the clinic 3 does not need to provide a medical consultation service 24 hours a day, 365 days a year. Further, the patient 2 who has received medical nursing once at the hospital 4 is again regarded as a patient at the clinic 3 You can then receive home health care nursing. In addition, the clinic 3 can grasp the contents of the examination and the medical nursing performed at the hospital 4 from the home medical care notebook.

Further, the hospital 4 can also immediately judge the condition of the patient based on the first examination and the home medical notebook, and can perform medical nursing based on the judgment.

Further, the patient 2 can check the contents of medical nursing by the home medical care notebook, and can continuously receive medical treatment by the specified clinic 3 and hospital 4, and further, 365 days a day, 24 hours a day. It is possible to receive medical consultation and medical nursing, and it is possible to recuperate with peace of mind.

Thus, the home medical nursing system 1 for bedridden patients or quasi-patients enables smooth cooperation between the clinic 3 and the hospital 4, and promotes home medical nursing.

Further, as for the network of the medical nursing system for bedridden patients or quasi-patients, an information network system as shown in FIG. 2 may be constructed. However, it is not limited to this.

In FIG. 2, reference numeral 6 denotes an information network system.
From a patient information terminal 7 installed in the home of the clinic, a clinic information terminal 8 installed in the clinic 3, a hospital information terminal 9 installed in the hospital 4, and an information device 10 installed in the specific institution 5. It is constructed and connected to each other via a communication device.

The patient information terminal 7 includes a home medical card input / output device 7a for inputting / outputting a home medical card K in which medical nursing contents are recorded, instead of the home medical notebook,
A symptom input device 7b for inputting symptoms of the home patient 2, and a diagnosis receiving device 7c for receiving and displaying the answered data based on the data transmitted by the symptom input device 7b.
And a medical consultation transmission / reception device 7d for transmitting and receiving voice data or digital data for medical consultation, and a nurse call transmission / reception device 7e for transmitting and receiving voice data or digital data for emergency contact.

The clinic information terminal 8 receives data from the home medical card input / output device 8a and the symptom input device 7b, displays the diagnosis result of the symptom, and inputs the diagnosis result data of the doctor. A symptom diagnosis device 8b for transmitting the diagnosis result data, a medical consultation transmission / reception device 8c,
And a nurse call transmission / reception device 8d.

Further, the hospital information terminal 9 comprises a home medical card input / output device 9a, a symptom diagnosis device 9b, a medical consultation transmission / reception device 9c, and a nurse call transmission / reception device 9d.

The specific institution information terminal 9 stores a data retrieval device 9a, medical nursing data to be output to the symptom diagnosis device 8b, and data necessary for the information network system 6. And a data storage device 9 for providing data to the data search device 9a.
b and a nurse call transmission / reception device 9c.

The information terminals 7, 8, 9, 10
Each of the components is arbitrarily selected as necessary.

Next, the operation of the symptom input device 7b, the symptom diagnosis devices 8b and 9b, the data search device 10a, and the data storage device 10b will be described. When the patient 2 or his or her family inputs data on the symptoms of the patient 2 to the symptom input device 7b of the patient information terminal 7, the data is transmitted to the symptom diagnosis device 8a of the clinic information terminal 8, and the symptom diagnosis device 8a is If necessary, the diagnosis result is displayed while transmitting and receiving data to and from the data search device 10a and the data storage device 10b of the specific institution information terminal 10. Based on the diagnosis result, the doctor of the clinic 3 inputs the final diagnosis result after making a doctor's judgment and transmits the final diagnosis result to the diagnosis receiving device 7c of the patient information terminal 7.
Can confirm the final diagnosis result displayed on the diagnosis receiving device 7c. When communication with the clinic information terminal 8 is not possible, the symptom input device 7 of the patient information terminal 7 is used.
b to the symptom diagnosing device 9b of the hospital information terminal 9 and similarly receive the diagnosis result.

The home medical card input / output device 7a,
Numerals 8a and 9a are used by a doctor or a nurse (chief) at the clinic 3 or the hospital 4 to input and output medical nursing data to the home care card K. The patient 2 is also output and confirmed. It is possible.

The medical consultation transmission / reception devices 7d, 8
c and 9c are a medical consultation transmitting and receiving device 7d of the patient information terminal 7 and a medical consulting transmitting and receiving device 8 of the clinic information terminal 8;
c or the medical consultation receiving device 9c of the hospital information terminal 9
And the patient 2 can perform medical consultation.

Further, the nurse call transmitting / receiving device 7e,
8d, 9d, 10c are the nurse call transmitting / receiving device 7e of the patient information terminal 7 and the nurse call transmitting / receiving device 8d of the clinic information terminal 8, or the nurse call transmitting / receiving device 9d of the hospital information terminal 9, or the identification. A nurse call transmission / reception device 10c of the institutional information terminal 10 is connected so that transmission / reception can be performed in response to an emergency message from the patient 2. The nurse call transmitting / receiving device 8d of the clinic information terminal 8 and the nurse call transmitting / receiving device 10c of the specific institution information terminal 10 can be transferred to the nurse call transmitting / receiving device 9d of the hospital information terminal 9.

Thus, the information network system 6 enables the patient 2 to receive a diagnosis of a symptom and a medical consultation while staying at home, to perform a nurse call, and to use the home medical card K. The contents of medical nursing can be confirmed through In addition, the clinic 3 and the hospital 4 can share information via the home medical card K, and mutual cooperation is promoted.

The present invention can be variously modified without departing from the spirit of the present invention, and it goes without saying that the present invention extends to the modified ones.

[0031]

According to the present invention, as described in detail in the above-described embodiment, a bedridden patient or a quasi-patient at home, a clinic and a specific institution connecting the hospital to each other, construct an mutual network system, and A doctor and a nurse (person) perform home medical nursing, and the hospital referred by the doctor at the clinic cooperates with the first examination and the clinic, and
In the form of supporting the clinic, medical nursing and medical consultation are always performed in the hospital, and the doctors and nurses of the clinic and the medical nursing performed in the hospital are: Since the information is recorded in the home medical notebook, the cooperation between the clinic and the hospital can be performed smoothly, and the home medical notebook can also share information between the clinic and the hospital. . Also, the clinic is always
There is no need to provide medical nursing and medical consultation, etc.
Patients can also receive medical nursing at clinics and hospitals with peace of mind. In this way, it is an invention that has a truly significant effect, such as promoting home medical nursing and improving medical nursing for bedridden or quasi-patients.

[Brief description of the drawings]

FIG. 1 illustrates an embodiment of the present invention, a homebound nursing care system for bedridden or quasi-patients.

FIG. 2 is an information network system of a home-care nursing system for a bedridden patient or a quasi-patient shown in FIG.

[Explanation of symbols]

1 Homebound nursing care system for bedridden or quasi-patients 2 Bedridden or quasipatients 3 Clinics 4 Hospitals 5 Specific institutions

 ──────────────────────────────────────────────────続 き Continuing on the front page (71) Applicant 599128686 Eiichi Saito 1-110-101 Namiki, Kanazawa-ku, Yokohama-shi, Kanagawa Prefecture (72) Inventor Takumi Nakano 3-21-21-202, Kitano, Niiza-shi, Saitama ( 72) Inventor Takahisa Harada 9-14-13 Hino, Konan-ku, Yokohama-shi, Kanagawa Prefecture (72) Inventor Sotaro Mizusawa 1-1-11-11, Minamimaioka, Totsuka-ku, Yokohama-shi, Kanagawa Prefecture F term (reference) 4C341 LL30 5B049 AA01 BB41 GG02

Claims (1)

[Claims] 1. An internetwork system constructed by a bedridden or quasi-patient at home, a clinic, a hospital, and a specific institution connecting them, wherein the patient registers with the specific institution, The clinic and the hospital make a contract with the specific institution to construct a network system, and within the network system, the doctor of the clinic, when a patient is referred by the specific institution,
The patient is visited for a first consultation, and at the time of the first consultation, the patient is referred to a hospital contracted with the specific institution, a test at the hospital is recommended, and A doctor and a nurse perform regular home medical care of the patient thereafter and record the medical nursing in a home medical notebook. Further, the hospital performs an initial examination of the patient and In cooperation with the clinic and in support of the clinic, medical nursing and medical consultation are always performed in the hospital, and the medical nursing is recorded in the home medical notebook. A bedridden or quasi-patient medical nursing system characterized by the following.