JP2001306700A - Care business support system and portable communication terminal - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a care business support system and a portable communication terminal which can efficiently and smoothly unify and control a care service schedule and a care result between a person who needs to be supported in living and a visiting attendant. SOLUTION: The visiting attendant carries a portable communication terminal 14 capable of communicating with a server 22 storing a care service schedule that a home care support company 38 or home service company 36 plans through a radio communication line 26, receives the care service schedule information from the server 22 and displays it, and provides care service according to the displayed schedule. Then care service result information is inputted by using the portable communication terminal 14 and a financial institution 40 receives and reports the charge according to the care service result information, so the care service schedule and care result can efficiently and smoothly be unified and controlled.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a care service support system and a mobile communication terminal, and more particularly to a care service support system for managing a care service of a life support provided by a visiting care worker (home helper) to a care recipient in need. And a mobile communication terminal.

[0002]

2. Description of the Related Art Conventionally, in a portable terminal used for a home-visit nursing support system, a column for checking whether or not a nursing item has been performed is displayed.
A portable terminal in which a nursing item that has not been performed last time is displayed in a different form is disclosed in Japanese Patent No. 2944941.

[0003]

However, in the portable terminal for a home-visit nursing support system disclosed in Japanese Patent No. 2944941, patient data to be visited is transmitted from a server of the home-visit nursing station using a communication means such as a LAN. It was necessary to download, carry the downloaded information to the visiting home, rewrite the nursing information, and transfer the nursing information again to the server of the nursing station via the communication means. Therefore, the master of nursing information is 2 during home visit nursing.
However, it was not always possible to quickly change nursing information, such as changing the schedule according to the care site. In addition, the mobile terminal must download the nursing information and upload the nursing information to the server.

[0004] The present invention has been made in view of such circumstances, and provides a care service schedule and a record of nursing care for a visiting care worker who provides life support for nursing care services to those requiring care. It is an object of the present invention to provide a nursing care support system and a mobile communication terminal that can efficiently and smoothly manage the unit.

[0005]

In order to achieve the above object, the invention according to claim 1 provides a care service schedule information of a care recipient in need of care and a visiting care worker who provides care service to the caregiver. And a server having communication means capable of transmitting and receiving information to and from a portable communication terminal carried by the visiting care worker while storing the nursing service result information, and wirelessly transmitting and receiving information to and from the server. Communication means capable of performing, a display means capable of displaying information received from the server, a mobile communication terminal including an input means for inputting care information by the visiting care worker, and the server and the mobile communication. A communication line means provided with a communication device capable of transmitting and receiving information using at least a wireless communication means with a terminal.

According to the present invention, the visiting care worker can use the portable communication terminal capable of wirelessly communicating with the server storing the care service schedule prepared by the home care support service provider or the home service service provider. The information is received from the server and confirmed, and the nursing service is performed based on the displayed schedule. Since the care service result information is input using the mobile communication terminal, the care schedule and the care result can be efficiently and centrally managed. In addition, payment and notification can be performed through a financial institution based on the service result information, and the entire service such as a care service schedule and care performance can be efficiently and smoothly managed in a unified manner. .

[0007]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Preferred embodiments of a care service support system and a portable communication terminal according to the present invention will be described below with reference to the accompanying drawings.

FIG. 1 is a configuration diagram showing an embodiment of a care service support system according to the present invention.

According to the figure, a care service support system 10
Is one or more nursing homes in which the nursing home resides.
2, 12, 12,..., A home helper (visiting care worker) who visits the care recipient's home 12 at a predetermined date and time to care for the care recipient, and a portable voice carried by each home helper. A communication terminal 14 such as a radio telephone equipped with a communication means or an electronic organizer capable of transmitting and receiving information by wireless communication
The communication terminal 16 (schedule creation means) of the home service provider to which the home helper belongs, the communication terminal 18 (schedule creation means) of the home care support provider (care manager), the care recipient, the National Health Insurance Federation ( Nursing care service provider) and the communication terminal 20 of the financial institution that receives the nursing care service charge from the local government and pays the service usage fee to the home service provider, the schedule of home helpers, the results management of home-visit nursing care, and article requests necessary for care. A home helper based on a device such as a server 22 having a database capable of storing management information such as data and transmitting / receiving information to / from other communication devices, and article request information stored in the server 22 Supplier 24, which supplies articles for nursing care to nursing homes, and nursing homes 12, 12, 12 When the communication terminal 14, 16, 18,
20 and a communication line 26 such as a public line for transmitting and receiving information between the server 22 and the article supplier 24.

FIG. 2 shows a diagram relating to the home helper performance management business, and FIG. 3 shows an operation flow of the care business support system.

According to FIG. 2, the present nursing care support system includes a care recipient (user) 30 receiving care at the care recipient home 12 and a home helper providing life support for a care service. 32, a home service provider 36, a home care support provider 38 (care manager) operated by a local government, and a financial institution 40 such as a finance company and a bank.
(Utilization fee notification means), the server center 42 in which the server 22 is installed, and the National Federation of Health Insurance
6) is included.

Referring to FIG. 3, the general operation method of the nursing care support system 10 is as follows.
Is created and the database of the server 22 (DB in FIG. 3)
Is abbreviated). When there is a change such as cancellation from the user, the communication terminal 16 of the home service provider 36 reads out the service providing slip from the database of the server 22 and changes the schedule of the home helper 32 for the care recipient requiring care. Then, the service providing form of the home helper 32 is registered in the database of the server 22. FIG. 4 shows an embodiment of the service provision slip.

The home helper 32 operates a portable communication terminal 14 (such as an i-mode mobile phone provided by the NTT mobile communication network) capable of wireless communication, and provides service contents and the like registered in the database of the server 22. Can be read and confirmed. According to the present invention, the home helper 32 carries a wireless communication type communication terminal, so that the home helper 32 can stay at home or anywhere in a communication network where wireless communication is possible. It is possible to acquire information from 22 databases. Although the server 22 is located at one location, it may be distributed at multiple locations.

FIG. 5 shows an embodiment of the display displayed on the display means 52 of the portable telephone type communication terminal 14.

According to the figure, the display means 5 of the communication terminal 14
2, a menu screen dedicated to each home helper 32 is displayed, and various display items and desired care information are selected by operating the input means 54 including a cursor key, a number key, and a control key. It is possible to do. Each item is displayed in a different display form. For example, when browsing the schedule of the home helper 32, the display mode is changed by color, and the “schedule” item 56 displayed in blue is selected and determined.

In addition, the item 58 of "certification of nursing care" displayed in red and a yellow display in which information such as the name, age, address, symptom, hobby, career, and contents of nursing care are displayed. Item 60... Of “caregiver information required” can be selected. By changing the display mode in this way, it is possible to easily distinguish the items.

In this state, for example, when the date is set by selecting the item 56 of “schedule”, information based on the service providing slip is transmitted from the database of the server 22 and the display means 52 displays the date of the date selected by the home helper 32. A schedule 62 in which the care recipient, time, service content, and the like are described is displayed. The home helper 32 performs a care service based on the schedule 62. Note that a function of selecting corresponding to each individual requiring care may be assigned to a numeric key or the like of the input unit 54.

When the home helper 32 completes the implementation of the nursing care service, the home helper 32 starts communication for notifying the server 22 of the completion of the nursing care service from the care recipient home 12 via the communication terminal 14. Then, as the result of the nursing care service, the contents of the nursing care service and the nursing results such as the nursing time are input by operating the input means 54 and registered in the database of the server 22. Then, the home helper 32 checks the next schedule and shifts to the next task. If there is a sudden change in the next schedule from the home service provider 36 or the like, a notification to that effect is registered in the database of the server 22 and can be confirmed on the display means 52 of the communication terminal 14. If there is a schedule change that requires urgency in particular, the communication is started by calling the communication terminal 14 carried by the home helper 32 from the server 22 and information on the schedule change is displayed on the display means 52. It may be. At this time, the communication terminal 14 may emit a ringing sound to notify the home helper 32 of a change in the nursing care service schedule.

FIG. 6 shows an embodiment of the home helper activity content record form.

The database of the server 22 stores information on the activities of the home helper 32.
When printed out, the activity content record table shown in the figure is obtained.

In FIG. 3, the communication terminal 16 (PC) of the home service provider 36 pays a usage fee to the financial institution 40 based on the results of the nursing care service of the home helper 32 stored in the database of the server 22. Perform notification processing. At this time, the financial institution 40 may notify the care-requiring person 30 (user) and the National Federation of Health Insurance (the long-term care health business operator 46) of the usage fee directly to carry out the collection. Further, the notification of the usage fee may be made by using the communication line 26, a dedicated communication line, or a notification means such as mailing.

The home care support company 38 prepares, for example, a payment management slip and a care payment bill at the end of every month based on the results of the care stored in the database of the server 22.

FIG. 7 shows the details of the care service support system according to the embodiment of the present invention.

As shown in FIG. 1, in the care service support system 10A, the communication line 26 shown in FIG. 1 is provided with the Internet 72 composed of one or more providers 70, 70,. Have been. Note that the wireless communication network 74 is constituted by a public line communication network of a mobile phone. The server 22 includes an authentication server and a WE.
B server, AP server that runs application software of the nursing care system, database server (DB
Server) and a router. A monitoring computer (monitoring PC 76) that manages the entire nursing care support system according to the present invention and performs maintenance.
May be provided.

As shown in FIG. 7, an existing communication network such as the Internet 72, a portable telephone, a PHS
The use of the wireless communication network 74 makes it possible to easily construct a care service support system. The care recipient (user) 30 also communicates with the Internet provider 70 using a personal computer (PC) or a home game machine in the care recipient home 12, and
It is possible to easily check the care schedule stored in the database of the server 22, browse the expenses, and the like.

FIG. 8 shows a flow of a care support business using the care service support system.

According to the figure, the care-requiring person 30 proceeds to step S.
At 100 “care service request” (hereinafter abbreviated as S100), a request for a care service according to the degree of care required is made to the home care support business 38 (care manager) such as a local government. In addition, the home helper 32 performs
1. Create a schedule for the work date and time in "Create a schedule for home helpers"
6 to the database of the server 22.

The home care support company 38 prepares a service provision slip and registers it in the DB in S102, and the communication terminal 18
(Scheduling means), the care request from each caregiver 30, 30,... And each registered home helper 3
A care service schedule is created by assigning a charge based on the desired schedule of 2, 32.
In the database.

At this time, as the information on the care recipient 30, the relationship between the residential area of the home helper 32, the address of the care recipient home 12 and the traffic situation, the time required for the care recipient 30,
Optimization calculation method based on desired care content, qualification information of home helper 32 necessary for care, nursing experience information, number of caregivers, career information of care recipient 30 required, hobby, compatibility with home helper 32, etc. Use to create a care schedule.

The information on the home helper 32 includes information on the area where the home helper 32 lives, address information,
Traffic situation information, available transportation means information, available nursing care content information, acquired nursing care qualification information, nursing care service available time zone information, nursing care experience information, home helper 3
2, career information, hobby information, work pattern evaluation value of the home helper 32, previous desired satisfaction rate, compatibility with the care recipient 30, leave interval evaluation value, specified days off rate, various care evaluation values, adaptation A care schedule is created using an optimization operation method based on degrees and the like.

In the above-described optimization calculation method, each information on the care-requiring person 30 and each information on the home helper 32 are digitized, and the genetic algorithm method (Geneti algorithm) is used.
c Algorithm) and annealing method (Simulated Annealin
g) Create a care service schedule using a scheduling algorithm such as

By creating a nursing care service schedule using the above-described scheduling algorithm, the nursing care service schedule can be optimized according to the desire of each home helper 32 for work, and the home helper 32 and the care recipient 30 can be connected as much as possible. To make the combination compatible with each other, and to make the number of vacation days and holiday days on weekends and holidays as equal as possible among the home helpers 32, 32,... About each home helper 32, 32
It is possible to create a care service schedule so that there is no difference between the care service schedules.

In the above description, the home care support company 38
Described in the example in which the communication terminal 18 creates a care service schedule, but the server 22 which is an information processing device connected via the communication line 26, the home service provider 3
The communication terminal 16 or the like 6 may acquire the information on the care recipient 30 and the information on the home helper 32 and create a care service schedule using the above-described optimization operation method.

When the care service schedule created in S102 is stored in the database of the server 22, the next S
At 104 “publication of helper schedule”, the care schedule of the home helper 32 and the care recipient 30 is disclosed as necessary, and can be viewed.

The care recipient 30 can browse the nursing care service schedule via a document or communication such as the Internet in S106 "Confirm service content schedule". Further, the communication terminal 16 of the home service provider 36 confirms the schedule of the home helper 32 and the contents of nursing care in S108 “Confirmation of service contents”. S110
According to the judgment of “whether or not the contents have changed?”
It is determined whether 0) is canceled or the schedule of the home helper 32 is changed. If the schedule has changed, S1
Proceeding to 12 "Reflect the correction details in the schedule", a process of changing the care service schedule stored in the database of the server 22 is performed. At this time, the server 22
The care system AP server provided therein may adjust the care service schedule again using the scheduling algorithm technique.

If there is no change in the nursing care service schedule in S110, or if the change in the nursing care service schedule stored in the database has been completed in S112, S114 "each person's DB service In “provide slip confirmation”, the home helper 32 checks the service offer slip shown in FIG. If the home helper 32 wishes to change the schedule in the next step S116 “Are there any changes?”
The process branches to S118 “Reflect the correction contents in the schedule” and operates the communication terminal 14 to perform processing for correcting the care service schedule stored in the server 22. At this time, the care system AP server provided in the server 22 may adjust the care service schedule again using the method of the scheduling algorithm.

If there is no change in the contents of the nursing care service schedule in S116, the process branches to S120 "Service execution based on the schedule", and one or more home helpers 32 go to the care-requiring person's home 12 to carry out. Carry out nursing care services. Then, when the home helper 32 completes the implementation of the nursing care service, S122 “service results
In “register and record in B”, the communication for notifying the completion of the nursing care service to the server 22 from the care-requiring home via the communication terminal 14 is started. Then, the operation contents of the nursing service and the nursing results such as the nursing time are input by operating the input means 54 and registered in the database of the server 22.

On the other hand, the care recipient 30 receives the desired nursing service in S124 “Receive the service”, and then proceeds to S12.
In 6 “authentication”, the assistant such as the care recipient 30 or the family member on the care recipient 30 side performs authentication indicating that the care service has been received. This authentication method uses a personal computer or a game machine provided in the care-requiring person's home 12 to send the personal identification number and the completed care content to the server 22 via the Internet 72.
May be notified, or the authentication content may be input by operating the input means 54 of the communication terminal 14 carried by the home helper 32.

When the service record is registered and recorded in S122, the home care support business 38
Executes the settlement of the usage fee at the end of each month, for example. The home care support company 38, in S124 “Create payment management slip based on the performance data, create a long-term care payment bill”, the results of the nursing care service performed and submitted by the home helper 32 stored in the database of the server 22 Based on the nursing care service result information authenticated by the care giver 30, a process of creating a document for notifying the National Health Insurance Federation (the care health business operator 46) of the usage fee is performed. Then, in the next S126 "Send to National Federation", the usage fee is notified. When the National Health Insurance Federation (nursing care business operator 46) receives the notice of the usage fee, S128
After confirming the results of the nursing care service in “Confirmation of nursing care results”, a service use fee is paid to the financial institution 40 in S130 “Payment of service use fee”.

Further, when the service record is registered and recorded in S122, the home service provider 36 performs the settlement of the usage fee at the end of each month, for example. The home service provider 36 determines the financial institution 4 based on the nursing care service results stored in the database of the server 22 in S132 “Billing the financing company based on the results data”.
The process of creating a document for notifying the user of the usage fee to 0 and the notification of the usage fee to the financial institution 40 are performed.

In the next step S134, "management of labor of belonging helper,
Evaluation ”for salary management, labor management,
Evaluations, desired satisfaction rates, and other data are compiled, and these results are reflected in the next nursing care service schedule.

When the financial institution 40 receives the notification of the nursing care service charge issued in S132 in S136 "Pay service charge", the financial institution pays the service charge to the home service provider 36. And S138
Proceed to “Utilization fee billing based on the system (90% to the Federation of National Health Insurance, 10% to those requiring long-term care)”, and notify the usage fee based on the nursing care system,
6) and the usage fee is received from the care recipient 30 and a series of processing is ended. The care recipient 30 pays the usage fee to the financial institution 40 in S140 “Payment of service usage fee (10%)”.

[0043]

As described above, according to the nursing care support system according to the present invention, a wireless communication line is provided for a home care support provider or a server storing a care service schedule prepared by a home service provider. The visiting care worker carries a mobile communication terminal capable of wireless communication via the terminal, the visiting care worker receives the care service schedule information from the server, displays and confirms the care service schedule information, and provides the care service based on the displayed schedule. carry out. Therefore, since the care service result information is input using the mobile communication terminal, the care schedule and the care result can be efficiently and unitarily managed. Furthermore, since the payment and notification are performed via the financial institution based on the service result information, the entire service such as the nursing care service schedule and the nursing care performance can be efficiently and smoothly centrally managed. Become.

Also, the visiting care worker can obtain work information by wireless communication, so that home work can be performed.

[Brief description of the drawings]

FIG. 1 is a configuration diagram showing an embodiment of a care service support system according to the present invention.

FIG. 2 is a diagram showing a diagram related to home helper performance management work.

FIG. 3 is a diagram showing an operation flow of a care service support system.

FIG. 4 is a diagram showing an embodiment of a service provision slip.

FIG. 5 is a diagram showing an embodiment of a display displayed on a display unit of the mobile phone communication terminal.

FIG. 6 is a diagram showing an embodiment of a home helper activity content record slip.

FIG. 7 is a diagram showing details of a care service support system according to the present invention.

FIG. 8 is a diagram showing a flow of a nursing care support business using the nursing care support system.

[Explanation of symbols]

10 nursing care support system, 12 nursing home, 1
4, 16, 18, 20: communication terminal, 22: server, 24
... Article supplier, 26 ... Communication line, 30 ... Need caregiver, 32
... Home helper, 36 ... Home service provider, 38 ...
Home care support business, 40 ... financial institution, 42 ... server center, 46 ... care health business, 52 ... display means, 54
... input means, 70 ... provider, 72 ... Internet, 74 ... wireless communication network

 ────────────────────────────────────────────────── ─── Continuing on the front page (72) Fumitaka Hayata 1-1-114 Uchikanda, Chiyoda-ku, Tokyo F-term in Hitachi Plant Construction Co., Ltd. 5B049 AA01 AA02 BB41 CC32 CC36 DD00 DD01 DD05 EE00 FF04 FF09 GG03 GG06 GG07

Claims (4)

[Claims] 1. A server that stores care service schedule information of a visiting care worker who provides a care service to a care recipient in need of care and a care service result information; A portable communication terminal having display means for displaying received information, and input means for inputting care information; and communication line means for wirelessly transmitting and receiving information between the server and the portable communication terminal. Nursing care support system characterized by the following. 2. A schedule creation for reading out the care service request information of the care-requiring person and the schedule of the visiting care worker from the server to create a care service schedule, and transmitting the information of the care service schedule to the server. Means, at least the nursing care service result information submitted by the visiting care worker, and nursing care service result information authenticated by the care-requiring person side, and a usage fee notification means for notifying a nursing care service usage fee; and the usage fee notification. A financial institution that pays a usage fee to the home service provider based on the usage fee notified from the means, and that collects a usage fee from a care-requiring person or a long-term care health care provider, etc. One nursing care support system. 3. A home care support company registers the contents of a care service for a care recipient in a server via a communication means, and the home service company accesses the server to check the contents of the care service and to provide home care. Register the member in the server, access the server from a portable communication terminal carried by the visiting care worker, and register the result of the care service corresponding to the contents of the care service in the server. Registering the authentication of the results of the nursing care service of the visiting caregivers, the home care support business registers in the server a notification of the nursing care fee created based on the results of the nursing care services of the visiting caregivers, A financial institution that pays the home service provider based on the notification of the nursing care fee registered in the server; . 4. A mobile communication terminal used in a nursing care support system and carried by a visiting care worker, capable of wirelessly accessing and transmitting / receiving information to a server in which information related to the nursing care work is stored. Communication means; display means for displaying the information received from the server in a different display form for each item; and input means for inputting the information by the visiting caregiver. A mobile communication terminal, wherein a key for selecting a caregiver corresponds.