JP2002157339A - Health check and life habit improvement instruction system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To improve a health check and life habit improvement instruction system capable of easily collecting answers to check items, and realizing the quick processing and valid utilization of a checked result. SOLUTION: Instead of conventional check by a document distribution and collection system, a trained operator 1a in a company 1 requested to execute check makes a conversation with a resident 4 over a telephone, and instantaneously inputs collected answers to a computer 2, and records acquired totaled data 7 in a CD-ROM, and gives an advice 5 for life habit improvement by analyzing the data, and delivers advice data 6 and the records to a self- governing body. A self-governing body 8 or the company 1 conducts a follow-up check of the resident under the life improvement guidance based on the record data, and rewrites the record data based on the checked result. Therefore, it is possible to execute health check in the next term by referring to the records, and to simplify the storage and recording of the checked data.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an effective system for, for example, local governments to conduct health surveys and health guidance for residents.

[0002]

2. Description of the Related Art As a part of the National Health Insurance business, in order to provide health guidance to residents and maintain health of residents and reduce medical expenses by each local government, insured by National Health Insurance through a specialized research organization A health survey is conducted for each individual to provide health guidance.

[0003] In many cases, this survey method involves distributing and collecting the questionnaires prepared by the respective local governments. The survey collects basic data, aggregates the data, and gives special instructions based on the survey results. Health guidance is provided to insured persons who require medical care, and based on this individual data, trends in total medical expenses are estimated and administrative policies are formulated.

[0004]

However, such conventional methods of investigation and processing and utilization of examination results have the following problems (1) to (4) in particular.

(1) Survey method The conventional inhabitant health survey is a questionnaire method distributed on paper, and it is a one-sided question, in which the question item cannot be understood, there is no corresponding answer, and especially when the answer is free. Has no answer. Therefore, in the paper survey, the answers to the surveys were unreliable, there were no answers, and there were many replies without even mentioning their names, so it was hard to say that it was an effective basic data for residents.

(2) Data Input Method After Investigation In the conventional paper inspection method, a punching input in a CSV (Computer Service Volunteer) format to the described paper system takes a long processing time and a danger of an input error. Is big.

(3) Advice method after health survey Conventional health advice after a health survey includes, for example,
This is a system in which health guidance such as smoking cessation, abstinence, and salt reduction are provided in parallel, ie, side by side, to give health advice uniformly because of simply smoking cigarettes, drinking alcohol, and eating too much salt. .

(4) Method of reporting aggregated data Conventionally, the organizational aggregation of health surveys is an old system in which data is collected only in CSV format, and the delivery of survey results to the local government of the contractor is on paper. However, the municipal health instructor (health nurse) cannot provide specific guidance after the health survey because the data is simply tabulated for each survey item. Furthermore, residents cannot view their own data on a widely used personal computer.

It is an object of the present invention to provide a health survey and lifestyle improvement guidance system in which it is easy to obtain an answer to a survey item, and the survey result can be promptly processed and effectively utilized.

[0010]

That is, the present invention provides a system in which an investigator conducts a health survey on a subject through a communication line, a system for inputting information obtained in the health survey, A health survey and lifestyle improvement guidance system (hereinafter, a system of the present invention) having a system for quantifying the degree of lifestyle-related disease for each of the subjects to be surveyed based on this information and ordering the lifestyle-related improvement guidance content. It is called.)
It is related to.

According to the system of the present invention, a researcher inputs information obtained by researching a research target via a communication line, and, based on the input information, a lifestyle-related disease for each research target. Quantifies the degree of onset of the disease and orders the lifestyle improvement guidance content, so that the investigator can obtain sufficient answers immediately by asking questions directly to the subject by telephone, etc. By doing so, it is possible to input immediately. Furthermore, by setting a standard for quantifying the incidence of lifestyle-related diseases for each lifestyle item, the incidence of lifestyle-related diseases, such as the five major lifestyle-related diseases, is quantified to improve lifestyle for the survey subjects. The contents of the instruction can be ordered, and the subject can be advised on lifestyle improvement in this order. As a result, the survey can be performed more easily than before, and the information input to the computer can be easily rewritten based on the results of lifestyle improvement and the subsequent accumulation of health survey data. You can browse your data via the Internet.

[0012]

DESCRIPTION OF THE PREFERRED EMBODIMENTS The system of the present invention described above is characterized in that the surveyor requested by the client to perform the survey records the information from the survey in a recording medium and delivers the information to the client.
It is desirable that the person to be surveyed can appropriately read the personal information stored in the recording medium.

[0013] Further, transmission and reception between the client or the surveyor and the subject can be performed bidirectionally via the Internet, and after the survey, the client or the surveyor performs the survey. It is desirable to be able to carry out follow-up surveys and guidance for people.

Hereinafter, embodiments of the present invention will be described in detail.

In the system of the present invention, for example, a client (hereinafter, referred to as a local government) requests a health survey of a research target (hereinafter, referred to as a resident) to a researcher, and the requested researcher (hereinafter, referred to as a local government). This is a system in which a survey is conducted and reported to the municipality, and the municipality implements a series of operations to provide guidance on lifestyle improvement to residents of the municipality based on the survey results. Instead of using a traditional one-way paper question, the method uses a telephone (preferably a video phone), a specially trained operator answers the questions of the respondents and proceeds through the survey, the answers are immediately entered into a computer, The input data is recorded on a CD-ROM and delivered to the municipality along with the paper record. At the same time, advice on lifestyle improvement for residents is provided based on the data, and materials for this advice are sent to the municipality. Provides, the municipality by the individual information of the provided lifestyle improvement guidance from the company, along with the rewriting of the record of the new information by the follow-up to the residents after the survey, the data of the subsequent health survey CD-
It is stored and recorded in the ROM.

FIG. 1 is a block diagram showing a technical method according to the present embodiment. That is, the company 1, which conducts a survey in accordance with a contract with the local government, asks a predetermined question while directly interacting with the residents via the operator 1a using a telephone (including a mobile phone) or the like, and immediately gives a sufficient answer to the computer 2 Enter

Various formats (to be described in detail later) used for this survey are set in the computer 2 as a series of styles of the lifestyle-related disease detection system. 1
The operator 1a is required to have a wealth of knowledge in addition to the operation technique a, as well as the communication technique.

Therefore, in order to carry out the call survey, the company 1 has to prepare a manual for information education and call technology education for the local information 11 such as customs and dialects of the local government, medical institutions 12, health facilities and medical facilities 13, and the like. 14 is standardized, and thorough training is provided to the operator 1a.

The personal information of the inhabitants 4 obtained by this survey is tabulated in a predetermined format and recorded as, for example, a health survey tabulated data 7 on a CD-ROM.
The OM is delivered to a local health guidance manager 8 (hereinafter sometimes referred to as a local government). Therefore, there is no need to print and distribute a survey form as in the related art, and once a survey format has been constructed, it can be used repeatedly.

Further, the company 1 individually quantifies the onset of, for example, the five major lifestyle-related diseases based on the obtained information, further ranks the onset of the onset, and provides an individual advice sheet 5 for lifestyle improvement guidance. Create and advise individual residents,
The content of the advice document is C as advice data 6.
It is recorded on the D-ROM and delivered to the local government 8.

The local government 8 provides lifestyle improvement guidance to a person who needs lifestyle improvement guidance via a public health nurse based on the individual data of the residents delivered from the company 1. It also provides materials to medical institutions 9 that are used by the government, and provides guidance on primary and secondary prevention in cooperation with local governments 8 and medical institutions.

In addition, the local government 8 independently performs a follow-up survey on the residents who have provided guidance on lifestyle improvement using, for example, the videophone 10 or through a company, and rewrites the previously recorded data. The data is also transmitted to the server 3.

On the other hand, the inhabitants 4 can access the server 3 to view the data of the survey relating to themselves. In addition, the company 1 provides a health guidance seminar to the residents 4 at the request of the local government 8, and the company 1 provides follow-up guidance by telephone or the like to the target of the lifestyle improvement guidance described above based on the advice contents described later. At the same time, the target person can ask the company 1 questions and consultations on the contents of the advice by telephone or the like.

FIG. 2 shows a flow chart of the process of the present embodiment described above. In other words, those surveyed extraction A ₁ during the start of the survey first is made. The subject of this survey is, for example, an insured person of National Health and Health, and is shown to the company 1 that has entrusted the survey work from a local municipal government to the elderly and the like. Alternatively, the company 1 is notified that a health survey is to be conducted.

Therefore, based on a manual as shown in FIG. 12, for example, the operator 1a confirms by telephone whether or not the telephone survey A ₂ shown in FIG. 2 is possible. proceeds to survey began a _3, the operator 1a displays the format of the questions, such as shown in FIGS. 13 to 23 for example (questionnaire by either writing) on the screen of the computer 2, surveyed while interacting with the phone Is immediately input to the computer 2.

[0026] However, if you can not be investigated by the phone moves to the start of the survey A ₄ by mail, questionnaire shown in FIGS. 13 to 23 are mailed to those surveyed, is the questionnaire at a later date be recovered A ₅ .

[0027] After the end of the study is none of the telephone survey and mail survey in the investigation compiled A ₆ is compiled, is counted as another data surveyed, continue data analysis A ₇ is made. For this analysis, a lifestyle disease incidence detection table (to be referred to as a detection table hereinafter; see FIG. 6), which will be described later, is used. ₈ and the advice will be sent in writing to the respondents.

Further, based on the advice for each individual, an advice analysis A ₉ is performed on the tendency of the local government as a whole by gender, age, and district, and the analysis result is recorded on a CD-ROM, for example, and is recorded by the company 1 to the local government. Delivered to 8. Accordingly, municipalities based on the analysis result or the like, performs a lifestyle modification and follow-up A ₁₀ by public health nurses, etc. for panelist, follow up the results with the rewriting and storing a recording of data by, next survey article It is said.

[0029] Figure 3 shows a flow diagram of those surveyed extract A ₁ in the process (FIG. 2) of the present embodiment described above. That is, the company 1 selects from the list of subjects to be surveyed indicated by the local government 8 a national health insurance subscriber, a social health subscriber,
Refer to age, gender, medical examination results (needs guidance, treatment required, etc.), excellent insurers (who have never used a health insurance card) and expensive medical staff, etc. extract the appropriate human, in primary prevention purposes, medical examinations, etc. grasp lifestyle do not know in order to (grasp risk factor), for example, it divided depending on whether 65 years of age or B ₁ or the age criteria, over 65 study is carried out by dividing the survey B ₂ or 65 under the age study B _3.

FIG. 4 shows a flow diagram of details of the data analysis A ₇ in FIG. That is, survey response data analysis C
₁ using a computer, based on nutrition, diet, physical activity, exercise, rest, mental health, tobacco, drinking, teeth, diabetes, cardiovascular disease, cancer, medical expenses and living environment The good points of the lifestyle and the points that need improvement are analyzed, and the past medical expenses in the local government are analyzed, for example, by district, gender, and age.

[0031] Then, detection table (see FIG. 6 of this analysis results in five major lifestyle diseases onset of ordering detection system C _2,
Details will be described later. ) Is used to detect the degree of onset and to create advice materials for the health of the person, so that the accumulated data or health examination data C up to the previous year can be used.
Match ₃ with survey data analysis. Thus, it is possible to compare the data processing C ₄ by matching a direct diagnosis in addition to survey data enables to create an advice article detailed lifestyle improvements.

However, if there is no medical examination data C _3, a medical examination analysis C ₅ by a doctor is performed, and advice data is created based on the direct analysis by the doctor based on the result of the medical examination, and the advice sending C ₆ is executed. Done.

FIG. 5 is the 5 major lifestyle disease onset degree detection system C ₂ in FIG. 4 described above, it is a flow diagram illustrating a process for detecting the onset of. That is, analysis of survey responses data D ₁ based on FIGS. 13 23 already described is started.

In the detection table used in this analysis, for example, numerical values ranked according to the answer contents for each of the question items in FIGS. 13 to 23 are determined in advance, and the risk factor items are effective in preventing lifestyle-related diseases. Targets are indicated as (+), and adverse effects are indicated as (-). In particular, items related to the five major lifestyle-related diseases (cancer, diabetes, hypertension, heart disease, and stroke) are collected. The number of points is represented as a total number, and the number of points for each disease name is represented as a total. Then, the ratio of the negative factors is the onset risk ratio = (total of the number of negative points for each disease name) / ｛(the number of risk factor items for each disease name) ×
(For example, in the case of cancer: -80 / 21 × (-6) = 63.5)
%).

[0035] Thus, each of the points are entered by the operator 1a according to the answer, the one individual lifestyle data replacing D ₂ made in FIG. 5, after the onset study completion, which is quantified as the number of points in real The degrees are totaled, and the risk factor for development is quantified D ₃ for each of the five major lifestyle-related diseases as the risk ratio of occurrence.

[0036] Then, on the basis of the onset risk ratio calculated, as shown in FIG. 7, performs ranking D ₄ in disease order of development factors for each five major lifestyle diseases in FIG 5, at the same time for each panelist for example, as shown in FIG. 8, roughly ingestion factors than the in-vivo information factors and external, which was ranking quantified, the highest extracted disease occurrence factor lifestyle of the order hierarchy D ₅ of diseases ranking in 5 Is made.

[0037] In addition, relatives in the five major lifestyle-related diseases disease's D ₇ presence or absence of investigation in FIG. 5 is performed, the main advice determination D ₈ case, in reference to the name of a disease of the relatives the disease who is present is made. However, if there is no sick person among the relatives, the main advice decision D ₉ for the first lifestyle-related disease is made based on the above-mentioned hierarchy, and the secondary advice decision D for the second to fifth lifestyle-related diseases is made. ₆ is made, and a lifestyle improvement advice decision D ₁₀ is made in the order of priority for providing guidance,
These instruction content is stored recorded as data D ₁₁ of the previous year or health diagnosis of the person.

In FIG. 8, the bar graph of each item indicates the number of points for each item in FIG. 6, and the plot points indicate the total number. Whether a polygonal line connecting the plot points is on the plus side,
Depending on whether the factor is on the negative side, the external or internal risk factor is displayed so that the person can easily understand it.

FIG. 9 shows an example of a life survey report given to the person for the lifestyle determination guidance to the person determined as described above. That is, as a result of the quantification using the detection table shown in FIG. 6, as shown in FIG. 7, the high-risk illness of this person is cancer, as shown in FIG. Improvement items are listed in order of importance, and advice content is described.

The contents are expressed by a method (a method based on psychology and behavior analysis) in which a person tends to generate a behavior or psychology based on the analysis described above to improve his / her lifestyle. . This process of advice create sending A ₈ in FIG. 2 is finished.

FIG. 10 shows the advice analysis A shown in FIG.
FIG. ₉ is a flowchart showing the details of No. ₉ ; That is, when the analysis E ₁ advice, sex E ₃ based on personal advice E _2,
Analyze the age E ₄ and by District E _5, trends and characteristics such as whole town E ₆ are estimated, the analysis result is CD-R
Was recorded in the OM to create E ₇ the record, it is used as a material of tutoring E ₈ by public health nurses, etc. on the basis of this advice.

As described above, this advice analysis is based on advice to individuals, and analyzes and traces data in which risk factors are likely to appear or high-priced medical personnel in a future lifestyle of a person having risk factors. create a data list, connect to the next year make a follow-up E _9.

FIG. 11 is a flowchart showing a specific method of the follow-up surveys A ₁₀ and E ₉ shown in FIG. 2 and FIG. In other words, this follow-up survey is conducted by individual guidance F
Implemented by ₁ . And then the state of the person who received the advice by this tutoring is obtained as new data, the follow-up data F ₂ company 1 and the server 3 receives F ₃ by e-mail.

[0044] Thus, company 1 on the basis of the follow-up data, the rewritten F ₄ of the recording of five major lifestyle onset ranking detection system of the computer 2, recheck lifestyle improvement advice F ₅ for the human Then, the current risk factor degree F ₆ is rechecked, and these are used as transmission data F ₇ for individual guidance of public health nurses.

According to the present embodiment, a specially educated operator 1a of the company 1, which is requested by the local government 8 to conduct a health survey of residents, asks questions while interacting with the residents using a telephone or the like in accordance with a manual. Since the answer is immediately input to the lifestyle-related disease occurrence detection system set in advance, the answer is easy to obtain, and based on the obtained data, it is converted into a constant as the five major lifestyle-related disease incidences. In addition to providing guidance for improving the lifestyle of the person, all results including follow-up surveys are recorded on a CD-ROM and rewritten. The inhabitants can also browse the survey results regarding themselves via the Internet, and the local government 8 can effectively use the survey results and the follow-up survey results as data for the next survey.

Therefore, a CD-ROM capable of recording an enormous amount of information
Since surveys and records are performed using the ROM, it is not necessary to prepare a large amount of survey forms as in the past, and material costs and printing costs associated therewith can be greatly reduced. The system calculates the estimated lifestyle-related disease-causing factors for each individual and aggregates them into survey groups (by age, gender, and region), thereby estimating the development trends and treatment costs for each lifestyle-related disease performed by the Ministry of Health and Welfare. And the tendency of future medical expenses can be estimated with high probability.

As described above, by using the health survey system according to the present embodiment, the survey can be carried out in a short time and with high efficiency, and the results of the survey can be fully utilized. Can be eliminated.

The above embodiment can be variously modified based on the technical idea of the present invention.

For example, various formats of the format used in the lifestyle disease occurrence detection system can be appropriately set in addition to the above-described embodiment.

In the embodiment, advice on lifestyle improvement is provided for five major lifestyle-related diseases (cancer, diabetes, hypertension, heart disease, and stroke). However, the present invention is not limited to this. Can also be targeted.

Further, the system of the embodiment has been described as an example in which the system is applied to health surveys of local governments and guidance for improving lifestyle habits for residents who are subscribed to the National Health Insurance. However, the present invention is not limited to this. And can be used as a reference when enrolling in these insurances.

Also, for example, when a life insurance company recruits new policyholders, the policyholder submits data of a health survey using the above system to the life insurance company, thereby giving benefits to the policyholder. It can also be used as a means of promoting new products for insurance companies.

Further, when a resident receives a preventive medical checkup or a sickness medical checkup, the data of the result of the resident's investigation by the above system can be used as a reference.

Also, a person other than the above-mentioned subject can access the company 1 or the server 3 and use this system in order to know his / her health condition and the like.

Further, this system can be applied in place of the inquiry at the time of initial consultation or re-examination at a general hospital or the like.

[0056]

As described above, the present invention provides a system in which a researcher conducts a health survey on a research subject via a communication line, a system for inputting information obtained in the health survey, The system has a system for quantifying the onset of lifestyle-related diseases for each of the subjects based on the information and ordering the contents of lifestyle improvement instruction, so that the surveyor can directly ask the subjects by telephone or the like. A sufficient answer can be obtained immediately, and the input can be made immediately by inputting the information into the computer while interacting by telephone or the like. Furthermore, by setting a standard for quantifying the incidence of lifestyle-related diseases for each lifestyle item, the incidence of lifestyle-related diseases, such as the five major lifestyle-related diseases, is quantified to improve lifestyle for the survey subjects. The contents of the instruction can be ordered, and the subject can be advised on lifestyle improvement in this order. As a result, the survey can be performed more easily than before, and the information input to the computer can be easily rewritten based on the results of lifestyle improvement and the subsequent accumulation of health survey data. You can browse your data via the Internet.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a technical method according to an embodiment of the present invention.

FIG. 2 is a flowchart showing a health survey process according to the embodiment.

FIG. 3 is a flow chart of a survey subject extraction according to the embodiment;

FIG. 4 is a flowchart of data analysis according to the embodiment.

FIG. 5 is a flowchart of detection of the five major lifestyle-related disease onset ranks according to the embodiment.

FIG. 6 is a diagram showing a lifestyle disease incidence detection table according to the embodiment.

FIG. 7 is a graph showing an estimated risk factor degree based on a detection result.

FIG. 8 is a graph showing the risk factors according to the embodiment according to the inside and outside the body.

FIG. 9 is a diagram showing a life survey report according to the embodiment.

FIG. 10 is a flowchart of advice analysis according to the embodiment.

FIG. 11 is a flowchart of a follow-up survey according to the embodiment.

FIG. 12 is a diagram showing an example of a survey manual according to the embodiment.

FIG. 13 is a diagram showing an example of a survey content according to the embodiment.

FIG. 14 is a diagram showing an example of the contents of a survey according to the embodiment.

FIG. 15 is a diagram showing an example of a survey content according to the embodiment.

FIG. 16 is a diagram showing an example of the contents of a survey according to the embodiment.

FIG. 17 is a diagram showing an example of the contents of a survey according to the embodiment.

FIG. 18 is a diagram showing an example of the contents of a survey according to the embodiment.

FIG. 19 is a diagram showing an example of a survey content according to the embodiment.

FIG. 20 is a diagram showing an example of the contents of a survey according to the embodiment.

FIG. 21 is a diagram showing an example of a survey content according to the embodiment.

FIG. 22 is a diagram showing an example of the contents of a survey according to the embodiment.

FIG. 23 is a diagram showing still another example of the contents of the investigation according to the embodiment.

[Explanation of symbols]

DESCRIPTION OF SYMBOLS 1 ... Company 1a ... Operator 2 ... Computer 3 ... Server 4 ... Resident 5 ... Advice document 6 ... Advice data 7 ... Total data 8 ... Health guidance management person (municipality) 9 ... medical institutions 10 --- PC or TV telephone 11 ... regional information 12 ... medical institution 13 ... medical insurance facility 14 ... manual A ₁ ~A ₁₀ ··· Health survey process B ₁ ~B ₃ ··· surveyed extraction process C ₁ -C ₆ · · · data analysis process D ₁ ~D ₁₁ ··· 5 large lifestyle onset of detection process E ₁ to E ₉ · ... advice document creation process F ₁ ~F ₇ ··· follow-up process

Claims (3)

[Claims] 1. A system in which a researcher conducts a health survey on a research subject via a communication line, a system for inputting information obtained in the health survey, and a system for each of the research subjects based on the information. A health survey and lifestyle improvement guidance system comprising a system for quantifying the degree of onset of lifestyle-related diseases and ordering lifestyle improvement guidance content. 2. The investigator requested to perform the survey by the client records the information from the survey on a recording medium and delivers the information to the client, and the personal information stored in the recording medium is the subject of the survey. Claim 1 which allows a person to read as appropriate
Health survey and lifestyle improvement guidance system described in. 3. The bidirectional transmission and reception between the client or the researcher and the research target via the Internet is not possible, and after the research, the client or the researcher specifies the research target. 3. The health survey and lifestyle improvement guidance system according to claim 1 and 2, wherein a follow-up survey / guidance is possible.