JP2002203041A - Upgrading and management efficiency enhancement support system for clinic - Google Patents

Abstract

PROBLEM TO BE SOLVED: To upgrade the medical care in a practicing clinic and a satellite clinic, thereby solving problems related to a clinic and a hospital. SOLUTION: This medical care support system supports, as its feature, the medical care in a regional medical care department through the communication between the regional medical care department and a specialized diagnosis department with a two-way communication means. In this system, as its feature, the regional medical care department is the practicing clinic, and the specialized diagnosis department is a specialized diagnosis room set up by a medical association. In this system, as its feature, the regional medical care department is the satellite clinic of a hospital, and the specialized diagnosis department is a specialized staff doctor's room provided in the hospital. In this system, as its feature, the regional medical care department is a common clinic, and the specialized diagnosis department is a specialized diagnosis room set up by the medical association. In this system, as its feature, the regional medical care department is the common clinic, and the specialized diagnosis department is the specialized staff doctor's room provided in the hospital. In this system, as its feature, the Internet is used as the communication means.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical support system for clinics, and more particularly to a medical support system for medical clinics opened by a regional medical association and a satellite medical support system for hospitals.

[0002]

2. Description of the Related Art It has been a long time since the decline of clinics and the desire of large hospitals for patients have been pointed out. What happens when a child gets hot at dawn on Sunday? Whether it's a small cold, you'll probably want to let him sleep for a day or see a doctor, get up early, spur taxi fare and take you to the local city's core hospital. right. It will take some time to prepare for the child, not get enough meals, and still arrive at 9 am just before the start of the consultation. The reception is a long line, and even if you give the child a sofa in the waiting room, you will probably have three hours to wait. The atmosphere is not calm due to the indoor heating, stagnant air, and the surrounding noise. I was worried that I thought, "If I had a serious illness," my parents' worries could be transmitted to my children, and my parents would also want to cry.

[0003] A message to her boss that she is only taking a break in the morning to her workplace is blown into her colleague's mobile phone, but she is forced to take a day off. What will happen tomorrow? The name was finally called near noon, but the examination was over in a few seconds. It is generally said that influenza is the worse diagnosis, and that you take him home early and let him sleep. If you don't want to bother the doctor anymore, you will drop down without hearing what you want to hear. After leaving the consultation room, she is in a difficult state again. How long does it take to get medicine and close the bill? The use of the hospital cafeteria, telephone calls to work, and withdrawal of deposits with bank cards when cash is not available continue to be necessary.

[0004] However, looking back, they grow up and become adults while suffering from any illness. It is not so rare. Not only children, but also adults and the elderly.
One who is living must someday perish. You may miss out on a rare illness that is fooled by your symptoms, but once you get down, you should consider it a fate. I always think so, but if I get sick, I want to get the latest and best diagnosis. Ordinary thinking and crisis behavior do not coincide. And there is a widespread belief in the belief that large hospitals farther away will provide a more accurate diagnosis than medical clinics nearby.
"Have a family doctor who is well aware of you and your family on a daily basis." Such guidance is repeated hundreds of times, but the nation's separation from clinics and the desire for large hospitals is increasing. Although the hospital is a place to house inpatients, the reality is quite different. An outpatient is rushing. People who exchange greetings in the morning and evening and engage in neighborhood association activities together also rush to take a taxi to a large hospital in the neighboring town if they get sick. The manga members of the Yamada family come to Hirooka Sense's clinic when they want to talk too much with their chicks. Anyway, Hirooka Sense is the best thing in town, so the waiting room is like a free coffee shop. Hairdressing since the Edo era, barbershops were now one of the socializing places in the town, but as barbershops are commercialized and systematized, private practice clinics such as Hirooka Sense have replaced them. Is it going on? A familiar teacher should be able to consult with confidence. Medical people may think so. But diagnosing the disease is not easy or fortune-telling. What if there is a misdiagnosis? Or a new illness that the teacher doesn't know? Advances in modern medicine are finally moving to the genetic analysis of each individual. However, humans make judgments within a range that they can understand. I don't think Hirooka Sense, who drinks with himself and plays karaoke, is familiar with cutting-edge genetics. Suppose that a couple was invited to a 50th anniversary party of the company and that they needed to dress in formal wear. What should I wear, or should I go to a nearby clothing store to buy everyday clothes and underwear? The master there will surely know your three size and the matching shade. However, you should judge that you have never dealt with evening dresses. If you don't have any special tips or information, you'll be on your way to urban department stores. But what if these parties are called twice or three times? Although the department store products are safe, you may start to think that they lack the appeal of your identity. So you go to a specialty store that has partnered with a talented designer. It is a division of functions between local stores, department stores, and specialty stores. But IT technology is fundamentally changing this picture. If you can get the latest design tailoring using IT technology at the local storefront, it is no longer a Dasai local store. You can find any number of similar examples. After all, the school's sale is a lecturer who teaches lessons that do not get tired of talking well and remain in my mind. 3 of poor teachers
Elementary school children spend one hour each way to major private schools in central Tokyo because they judge that an instructor who is a good instructor can acquire one hour rather than a time lecture. Then, is the small school in front of the station only culled? Not necessarily. Such small schools collaborate to recruit good instructors. And the lectures can be sent all at once to the monitors in the classrooms around the country. This is called TV class, and is used in universities where campuses are divided. After a good lecture, eager questions from children will follow. The response is
The instructor of the cram school (many of which is also the manager) can do it. He understands each child's comprehension and weaknesses, so he should be able to answer and understand more appropriately. However, in the medical field, such ingenuity has hardly been considered. The clinic director makes the diagnosis with decades of knowledge and subsequent experience, which is really important. Also,
Acceptance, accounting, medication (although the division of medicine has recently progressed)
All are done in the clinic. The idea of division of labor is brilliantly lacking. For this reason, it is necessary to hire at least a clerk to accept and account, a nurse is required, and at the beginning of the month, the doctor will have to twist his head all night with a twisted headband. The reason why the labor costs of a paperworker and a medical consultant are many times different, and management is not going to be easier if it is not overlooked. It is legal for doctors to work as clerks, but it is economically unreasonable. Conversely, having a clerk substitute for a doctor constitutes a crime of "unqualified medical care."

[0005] Also, measures have been taken to return the patient to the clinic. First, restrict the opening of hospitals. as a result,
Outpatient counters in hospitals will become even more crowded. Second, the unit price of medical examinations (medical remuneration points) at clinics will be higher than at hospitals. As a result, part of the burden on the patient is increased in conjunction with the medical fee, and some patients who avoid the burden increase the hospital orientation. Third, increase the burden when patients come directly to a large hospital without a referral from a clinic. As a result, the total number of patients (if you go to a large hospital after all, consultation at the first clinic will result in extra trouble), and the total medical expenses will not increase Then, the overall medical fee score will be reduced. Four, new fees will be set up in clinics that refer patients to large hospitals. However, the high reward that does not match the cost of creating a letter of referral is the creation of a kind of unearned income, which is squeezed somewhere in the total medical expenses. What this means is that even if you artificially take measures to survive a clinic with economic incentives, you end up with time and delay. Furthermore, considering the economic structure of medical insurance alone, such a method is an economic inequity treatment between clinics and large hospitals, and in light of the public nature of medical insurance, It is likely to violate the spirit of "equality based on".

[0006] Regardless of the clinic or hospital, there is no support from medical insurance for its capital investment. This has been the rule of medical insurance in Japan. No matter how large the investment funds are, they are to be reimbursed with medical fees obtained after opening. In this regard, large hospitals, which require a large amount of funding, have to bear the burden of borrowing interest rates. Nevertheless, the medical fee means that clinics are given preferential treatment for the same service. If the medical insurance operator determines that the clinic is superior in medical care technology, it can be said that it is a discretion in restoring the health of the subscriber. But the opposite is true. In clinics, clinics are inferior. As a result, preferentially paying for insurance to keep the clinic from running into trouble is unlikely to be fulfilling the duties delegated by the subscriber. The job of the health insurance operator is to restore and secure the health of the members.

[0007] If it is necessary to secure a privately run small clinic and to strengthen the business from another viewpoint other than medical insurance, instead of using a separate pocket called medical insurance by the convenience method, It is the "streak" that launches measures.
For example, as in the United Kingdom, it is stipulated by law that large hospitals cannot be opened unless they pass through the gates of clinics, or the law restricts the opening of large hospitals only by the government and reduces the total number.

[0008] So, is there no longer any way for a private clinic to survive? Considering this, it returns to the problem to be solved by the present invention.
We will now conclude our conclusions. I don't think it's good to have a sick child and run a taxi to a large hospital like the parents mentioned above. There is a doctor familiar with the face nearby, and I will have a consultation there for at least 10 minutes. Children calm down and mothers are safe. The child took a pill and slept soundly, and was nervous in the evening.
That's what most diseases are. Temporal, mental,
Economically, a familiar physician nearby is always good. The only problem is these "family doctors"
The people think that there is no guarantee that they are familiar with the use knowledge and technology of all kinds of people. And maybe the same family doctor. The training of doctors is a department unit. It is difficult for surgically raised people to consult patients suffering from neurosis, and doctors who retire from obstetrics at a large hospital and practice may not be good at diagnosing skin cancer. However, this is a big hospital and a big difference. Outpatients are diagnosed by one physician, unless otherwise noted. Patients should be transferred to the doctor who is best at allocating them to the doctor, but it is possible that amateur patients and misjudgment of reception will not be transferred to a different department because of misjudgment of acceptance. I can't say. It cannot be said that a physician who has been sought after for three minutes is unlikely to make a diagnosis based on a prediction. Moreover, doctors at large hospitals are usually young. That also means that you have little experience. Fortunately, the team should be able to make the decision, but it is possible that the treatment will continue with a misdiagnosis in the belt-conveyor-type patient treatment. (In this case, you got the wrong partner
It is not a mistake other than the diagnosis of making the wrong drip bottle. ) Most private practitioners have only one physician. One person's ability naturally has its limits. So bring your knowledge and cooperate. "Three people are the wisdom of Wenju" is believed to be in the hospital. Then shouldn't the practitioner do that too? The specific measures will be described below. But that requires some tricks. If there is a strategy that can be implemented immediately, a smart person should already be doing it.

[0009]

SUMMARY OF THE INVENTION Accordingly, an object of the present invention is to improve the medical treatment in a medical office and a satellite medical office, thereby solving the above-mentioned problems.

[0010]

A medical support system according to the present invention supports communication in a regional medical department by communicating between a local medical department and a specialized diagnostic department by means of two-way communication means. Is a practicing clinic, the specialized diagnostic department is a specialized diagnostic room established by the Medical Association, and the regional medical department is a satellite clinic of a hospital, and the specialized diagnostic department is a specialized staff doctor room established in the hospital. And the Internet is used as the communication means.

[0011]

DESCRIPTION OF THE PREFERRED EMBODIMENTS The medical support system according to the present invention includes:
There is a support system for opening clinics by a diagnostic support center established by the Regional Medical Association and a support system for satellite clinics by a main hospital.
It is assumed that an insurance card (insurance card) will be issued as a C card.

[0012] In Japan, everyone has insurance. But, as is well known, not everyone has the same insurance. Examples of the adverse effects that accompany it can be illustrated like mountains. However, we will give it to the next opportunity.
There are many things that can be done in a separate system. One of them is to make insurance cards into IC cards. Despite being discussed and proof-of-concept for nearly a decade, it has not yet been put into practice. It may be too much to say that the seven mysteries of the modern age are, but it is rare to find things that are so neglected despite their harmlessness.

The outline is as follows. Issue an IC card with a built-in IC to all citizens. Of course, each one. IC
Forgery is almost impossible because it is a card. Eliminating consultations with counterfeit insurance cards will be eliminated. Even if the subscription system changes, it is not necessary to collect or reissue an insurance card. If you go to a clinic or hospital and insert the card into the reader, your current subscription and qualifications will be instantly displayed on the monitor. This is a great advantage for medical institutions. If you get a medical card with an old insurance card, the insurer will refuse to pay the medical institution. Not surprisingly, medical institutions just work. An IC insurance card can solve this kind of problem.

Next, a large amount of information is stored in the IC card. When a medical checkup is received, the laboratory enters this into the person's IC insurance card. Patient's IC at clinic or hospital
By extracting such basic data from the health insurance card and loading it into the personal computer of the hospital, the trouble of newly asking and examining can be greatly reduced. (A prerequisite for this is the standardization of inspections.) This insurance card IC has been demonstrated in Yatsushiro City, Kumamoto Prefecture for several years by the Social Insurance Agency. We distributed 100,000 copies to various insurance members, but there were no concerns about medical expenses. It is a request of the majority of people that individual insurance cards are transferred to single-person or child-care-giving students in remote areas. The biggest reason for this is the concern that medical expenses may increase, but since it was denied, there should be no obstruction to the application of an IC insurance card. Thus, the implementation of an IC insurance card will be implemented sooner or later. This will be the stage device for the sophistication and management efficiency of clinics.

Next, a new clinic image will be described. (1) When a patient visits a clinic, he first inserts his IC insurance card into the reader at the reception. The insurance card is submitted once a month, and on the other days, the medical institution presents its own card (usually a magnetic card), but such double investment is no longer necessary. Become. You only need to carry your insurance card. (2) At that time, the medical insurance to which the patient belongs is recorded, the billing destination of the medical expenses is clarified, and the patient's medical record is automatically searched and put out to the doctor. Also, if the patient has undergone a medical examination since the last time, the record is again automatically shown to the physician. [It doesn't matter if the doctor fills out the chart on a PC or writes it on paper. It has been pointed out that electronic medical records can easily lead to misdiagnosis. This is another problem that can be addressed by other security measures (user authentication, network, encryption, data protection, system protection). (3) Doctors can have considerable information in advance, and can greatly reduce interviews and examinations. The number of patients can be managed by that much, and the clinic you are doing has the corresponding benefits. (4) In order to minimize labor costs at clinics, there will be one administrative staff member other than a doctor. There are no nurses in principle. Doctors concentrate on their work in a short time. For this reason, the clinic facilities are used alternately on an hourly basis. In order to prevent complicated work such as lending between doctors, it is desirable to build a clinic building with public funds or insurance resources and lend it to a plurality of doctors on a timely basis. It is a form of public private management. (5) Working hours, for example, the surgeon A
Fire, Thursday, Friday and Saturday morning. Doctor B of the internal medicine, sun, fire, water,
Thu, gold afternoon. Doctor C of the neurology decides on weekday nights and so on. For the local residents, specialized departments will be allocated as appropriate, and medical hours will be reduced from 8:00 to 13
If the time is from 13:30 to 18:30 and from 19:00 to 24:00, it is possible to consult before or after work. Also, if it is open on Saturdays, Sundays and public holidays, the sense of security will be several times higher and the total number of consultations may be reduced. (It is possible to move forward one hour at a time in regions where there is no evening, but in that case, the convenience store will be used as a “clinic version of Seven-Eleven.”) (6) The doctor's computer is the user of the doctor at this clinic Is shared by four doctors. However, by setting it as a password, the input contents of other doctors cannot be seen without permission. What are the four doctors?
In addition to Dr. A (surgery), Dr. B (internal medicine), Dr. Hei (pediatrics), and Dr. Ding (otology) are specialists. Of course, there is no necessity for these four fields.
It's just the colleagues who joined when Kawabata found this room and recruited shared users. This clinic is rented equally by four people. All four are independent clinic managers. However, the facilities are shared.
Formally, it looks like a lawyer's co-office, but differs in that they are used separately by time. There is a coffee shop in the daytime and a snack at night, but there is a shop that the manager is different,
Close to that. It is not efficient to use the facilities only during the day. Therefore, it is effective if used by four people like this. The use time is from 8:00 am to 12:00 pm, but it is divided into three times from 8:00 am to 1:00 pm (A time zone)
From 1:30 pm to 6:30 pm (B time zone), from 7:00 pm to 1
It is divided into 5 hours until 2:00 (C time zone). Since there are 7 days a week, there are 21 frames. Kawabata is the moon,
I wanted to be on C, Tue, Thu, Fri, Sat, because he was in the evening. Those who are good at morning, those who want to work during the day,
Those who want to work on Sunday will negotiate and decide. The timetable at Dr. A's clinic is as follows. Of course, Dr. Otsu's time zone is for internal medicine, Dr. Hei's time zone is for pediatrics, and Dr. Ding's time zone is for otolaryngology. (7) Each doctor's work in the clinic should be reduced to about 25 hours a week. The next challenge is how to use the remaining time.

[0016] Such measures improve patient access to the clinic. However, as we have repeated many times, if the clinic's trust in diagnostic technology is not as high as that of a large hospital, it will not lead to a full-fledged recovery in demand. In this regard, a clinic support system by the regional medical association is necessary. It depends on being able to organize this. State what it should be. (1) The Regional Medical Association establishes a clinic support center. However, the size of a few rooms equipped with IT equipment is sufficient for facilities. Therefore, if there is enough space in the medical association office, that is enough. If you don't have one, you can rent an office building. (2) The support center will have specialized diagnosis rooms for each of several medical departments, each of which will have a number of specialists at all times. Since it is open hours for clinics under the umbrella, 8
It is from time to 24:00. In addition, we do not specifically invite doctors for that purpose. Practitioners also have their own specialty. It is for this reason that the working hours of each practitioner were 25 hours a week earlier, and the remaining 1
Half of the five hours are spent at the center, and the other half are attending academic societies, studying at libraries, going to colleges, or being trained at large hospitals. (3) At each clinic, if a doctor presses a button when he / she needs specialized knowledge, the clinic will be in a video conference with the specialized diagnosis room of that department. Thus, the final diagnosis will be made while the doctors in the specialty diagnosis room, the practitioners in the clinic, and the patient talk with each other. (4) A dedicated administrative assistant will be assigned to each specialized diagnosis room to search for documents and diagnosis examples using a personal computer. In addition, advanced inspection
Perform procedures on behalf of the practitioner to send patients requiring hospitalization and surgery to the appropriate hospital. (5) An administrative department will be set up in the support center, and medical practitioners will be able to create charts, create prescriptions, and perform accounting procedures on request. In the case of 6, the prescription was issued at the clinic and the receipt of partial burden was not dared to be written, but the prescription created at the support center is sent to the clinic, and the clinic passes it to the patient. In addition, accounting is also performed at the center, and the clerk at the clinic will deduct it from the patient's IC insurance card. (This requires an IC insurance card to have a credit function, but this is technically simple. (6) At present, medical fees are paid to each doctor who has opened a clinic. Therefore, a separate contract is concluded between each doctor and this support center, and expenses are paid according to the details of the commission and the number of times of consultation for specialized diagnosis.

The functions of the opening medical office and the specialized diagnosis center in the network system for supporting the advancement of diagnosis and the management efficiency of the operating office will be described. As described above, this system is converted into an IC card for residents nationwide. It is assumed that an insurance card (insurance card) will be issued.

<< Practice Clinic >> (1) By inserting the patient's insurance card into the reader, the checkup data stored in the card is displayed on the monitor, and interviews and examinations are substantially omitted. (2) When it is necessary to seek advice in a specialized field, the terminal operation causes a two-way video conference with the room in charge of the specialized diagnostic center, and at the same time, necessary information is automatically transmitted. (3) The clinic will be used alternately by multiple physicians, extending business hours to improve patient convenience. Drastically reduce the doctor's assigned time per week from the current time and dedicate that time to work at specialized diagnostic centers. (4) The functions of the clinic will be simplified as much as possible, prescriptions will be issued but medication will not be given (medical division of labor), and the credit function will be used to store part of the burden on the insurance card. In the clinic,
In addition to the physician, there will be only administrative assistants.

<< Specialized Diagnosis Center (established by the Regional Medical Association) >> (1) A specialized diagnosis room is organized for each medical department, and a plurality of doctors in the clinic alternately fill up. (2) In the specialty diagnosis room, search the PC for literature and diagnosis examples,
Alternatively, an assistant clerk will be assigned to refer the patient requiring advanced examination, hospitalization, or surgery to the appropriate clinic or hospital. (3) A clinic office support room will be set up at the center to support administrative processes such as chart creation and accounting procedures. (4) The cost of operating the center will be borne by the number of consultations from each clinic.

Next, the functions of the satellite clinic and the specialized diagnosis support center in the advanced diagnosis system of the satellite clinic in the hospital will be described.
This system is based on the premise that an insurance card (insurance card) made into an IC card is issued to residents in the whole country.

<< Satellite Clinic >> (1) By inserting the patient's insurance card into the reader, the examination data stored in the card is displayed on the monitor, and the interview and examination are substantially omitted. (2) When it is necessary to seek advice in a specialized field, the terminal operation causes a two-way video conference with the room in charge of the specialized diagnosis center of the main hospital, and at the same time, necessary information is automatically transmitted. (3) The consultation time will be greatly extended (ideally 24 hours), but doctors will be dispatched from the main hospital on a rotating basis. Doctors increase their knowledge and experience by working in the main hospital and clinics. (4) Minimize administrative functions in clinics and reduce expenses. A prescription sent by the main hospital is issued, but no prescription is given (medicine division of labor), and a part of the burden is stored by a credit function built into the insurance card based on the statement of the main hospital. The clinic will have only clerical assistants besides doctors.

<< Specialized Diagnosis Support Center (established in the main hospital) >> (1) Each medical department of the main hospital has a clinic diagnosis support function, and doctors belonging to the department take turns. (2) In the specialty diagnosis room, search the PC for literature and diagnosis examples,
Alternatively, an assistant clerk will be assigned to introduce the patient requiring advanced examination, hospitalization, or surgery to the department in charge. (3) Administrative processing such as chart creation and accounting procedures at clinics will be processed collectively at the main hospital. (4) The operating expenses of the center will be allocated from the medical revenues of the main hospital and satellite clinics.

[0023]

[Function] When a plurality of doctors work on a shift basis, the medical treatment time can be greatly extended, the convenience of the patient can be improved, and the family doctor system can be promoted. Non-specialized medical treatment can be performed using the remote diagnosis support in the specialist staff doctor's office. With the help of in-hospital clerical processing, clerical processing can be performed only by assistant clerks (which leads to a reduction in operating costs). The latest medical examination data (numerical values) can be read and displayed from the health ministry IC card information, and the settlement information can be transmitted to the hospital office. It is possible to specialize in hospitalization, surgery, and specialized examinations without conducting outpatient consultations at the main hospital.

[0024]

DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention will be described in detail with reference to embodiments. FIG. 1 is a schematic diagram of an embodiment in which the present invention is applied to a network system for supporting the advancement of diagnosis and the management efficiency of medical clinics.
Is an embodiment in which the present invention is applied to a diagnostic advanced system in a hospital satellite clinic.Hereinafter, an embodiment of the present invention will be described based on the drawings, but the detailed configuration is not limited to the embodiment. Absent.

Embodiment 1 << Support System for Opening Medical Clinic >> A system in which a specialized medical examination room established by a regional medical association and an open medical clinic are connected via the Internet so that advanced medical care can be performed at the open medical clinic. And a specialized diagnosis room with a terminal device A, a clinic office support room with a terminal device B capable of accessing a patient database, an in-hospital network connecting each terminal device, and an internet connection to the network via the Internet. A medical clinic provided with a terminal device C that can be connected to the storage device, the contents of an insurance card and basic data relating to the patient who owns the medical device are stored. And an IC card. In the figure, D denotes a Web server, which has functions of distributing medical information / medical information, authentication of a clinic, and authentication of a patient ID, in addition to the functions of a normal server.

A plurality of doctors are alternately packed in the specialty diagnosis room, and remote diagnosis can be performed by two-way communication, and a chart of the patient is displayed on the monitor of the terminal device A. Therefore, the doctor in charge makes a diagnosis based on the information, and when the diagnosis is completed, writes necessary information in the medical chart and transfers the information to the terminal device B.

The clinic office support room is provided with a terminal device B connected to the network in the center via the Internet, and performs chart creation / storage / management, accounting processing procedures, and hospitalization / surgery procedures. Further, the terminal device B confirms the patient who has accessed via the Internet, reads out the patient's chart from the database, and transfers it to the terminal devices A and C.

The opening clinic is provided with a terminal device C for connecting to a terminal device A of the specialized diagnosis room and a terminal device B of the medical office support room via the Internet. When inserted into a card reader,
The examination data stored in the IC card is displayed on the monitor and also on the monitor of the terminal device A in the specialized diagnosis room. In addition, a number of doctors and assistant clerks dispatched on a time-shift basis are stationed in the specialized diagnosis room, and a specialized staff team is organized in advance for internal medicine, surgery, etc. The doctor in charge provides remote diagnosis support in real time through the monitor based on the patient data, and when the diagnosis is completed, the doctor in the clinic writes the treatment content in the patient chart on the monitor screen. The patient pays with an IC card.

Embodiment 2 << Satellite Clinic Support System >> A special diagnosis support center in a main hospital and a regional satellite clinic are connected via the Internet, and a local satellite clinic receives medical treatment equivalent to that of a hospital. System that can
Specialist doctor's room of the specialized diagnosis support center in the main hospital equipped with the terminal device A, office treatment room equipped with the terminal device B capable of accessing a patient database, an in-hospital network connecting each terminal device, and the network A local satellite clinic equipped with a terminal device C connectable via the Internet, the contents of an insurance card and basic data relating to the patient who owns the medical device are stored. -Built with an IC card as a changeable recording medium.

In the specialist staff doctor room, a specialist doctor is stationed for each medical department, and remote diagnosis can be performed by two-way communication. The monitor of the terminal device A displays the chart of the patient. Since it is displayed, the doctor in charge makes a diagnosis based on the information, and when the diagnosis is completed, writes necessary information in the medical chart and transfers it to the terminal device B.

The in-hospital office processing room is provided with a terminal device B connected to the in-center network via the Internet, and performs chart creation / storage / management, accounting procedures and hospitalization / surgery procedures. Further, the terminal device B confirms the patient who has accessed via the Internet, reads out the patient's chart from the database, and transfers it to the terminal devices A and C.

The regional satellite clinic is provided with a terminal device C for connecting to a terminal device A in the specialized staff doctor room and a terminal device B in the medical office support room via the Internet. When the card is inserted into the card reader of the device C, the examination data stored in the IC card is displayed on the monitor and also on the monitor of the terminal device A in the specialist staff doctor room. Also, in the specialist staff doctor room, doctors for each medical department are stationed, and a specialized staff team is formed in advance for internal medicine, surgery, etc., and the doctor in charge is based on patient data. Then, remote diagnosis support is performed in real time through the monitor, and when the diagnosis is completed, the doctor in the clinic writes the treatment contents in the patient chart on the monitor screen. The patient pays with an IC card.

[0033]

Since the medical support system of the present invention is configured as described above, a high-level diagnosis can be performed even at a local clinic, so that a patient can have a satisfactory diagnosis even at a nearby clinic. . It is possible to improve the medical treatment and improve the management efficiency of medical clinics by using IT technologies such as the conversion of consultation tickets to ICs and medical treatment by videoconferencing.

[Brief description of the drawings]

FIG. 1 is a schematic diagram of an embodiment in which the present invention is applied to a network system for supporting the advancement of diagnosis and the management efficiency of medical clinics.

FIG. 2 is an embodiment in which the present invention is applied to a diagnostic advanced system in a satellite clinic in a hospital.

Claims (6)

[Claims] 1. A medical support system for communicating between a regional medical department and a specialized diagnostic department by two-way communication means to support medical treatment in the regional medical department. 2. The medical support system according to claim 1, wherein the regional medical care section is a medical practice office, and the specialty diagnosis section is a specialty diagnosis room established by a medical association. 3. The medical support system according to claim 1, wherein the regional medical department is a satellite clinic of a hospital, and the specialized diagnostic department is a specialized staff doctor room provided in the hospital. 4. The medical support system according to claim 1, wherein the regional medical department is a shared medical office, and the specialized diagnostic department is a specialized diagnostic room established by a medical association. 5. The medical support system according to claim 1, wherein the regional medical department is a shared medical office, and the specialized diagnostic department is a specialized staff doctor room provided in the hospital. 6. The medical support system according to claim 1, wherein the communication means uses the Internet.