JP2002222266A - Bidirectional health care system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide continuance of nutritional therapy or exercise therapy by applying a stimulus that provokes awareness to an individual on the nutritional therapy or the exercise therapy by bidirectional medical information distribution and support. SOLUTION: A health care management program for carrying out the nutritional management, the exercise management or simple caregiving management is prepared and it is distributed to an information terminal device 1 of a patient. On the basis of the health care management program, the patient carries out the nutritional management by selecting a meal menu of every meal from a selection menu and photographing a cuisine by a digital camera for those difficult to select, and carries out the exercise management by constantly carrying an exercise amount measurement monitor and taking records. A data management center applies a stimulus provoking continuance of self-management to the patient during a term the patient carries out the nutritional management or the exercise management from a server 4 of the data management center.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a two-way health management system using two-way medical information distribution and support utilizing information technology (IT).

[0002]

2. Description of the Related Art According to the 2000 Health and Welfare White Paper, national medical expenses have continued to increase, and as shown in FIG.
It is reported that the annual amount will be 30.40 trillion yen, of which the medical expenses for the elderly will be 11.4 trillion yen, accounting for 1/3. Right now, the ever-increasing national healthcare costs are causing the national financial crisis.

On the other hand, the operation of insurance money for national health insurance and social insurance, etc., which support national medical care, has become difficult due to a low interest rate policy, and has fallen into the red. In particular, 90% of corporate health insurance societies fall into the red, and more and more unions are disbanding. In other words, the medical and insurance system in Japan is in a serious situation with the aging of society, which is unprecedented in the world.

Under these circumstances, due to changes in the social and industrial structure, lifestyle-related diseases (hypertension, hyperlipidemia, diabetes mellitus, hepatic dysfunction) of the middle-aged and senior citizens due to stress, lack of exercise, overeating, etc. Increasing year by year, including the reserve army in 1999, 13.7 million people with diabetes, about 30 million with hypertension, about 20 million with hyperlipidemia, and about 10 million with liver dysfunction And the estimated medical cost is 6
Trillion yen (Ministry of Health and Welfare 19999.7: "Overview of National Medical Expenditures for FY 1997", JMAR Healthcare Marketing Research Series 19999.3: Fact-finding <1st>"
And "Creating a Regional Network for Guiding Diabetes Care", Japan Diabetes Association, Medical and Dental Medicine Publishing 2000.4).

[0005] Lifestyle-related diseases caused by lack of exercise, stress, overwork, and overeating create oxidative conditions in the circulatory system, and are thought to induce cancer formation starting from decreased immune function and genetic damage. Can be

[0006] A lifestyle-related disease is a disease that is caused by a problem in the lifestyle of the individual with an inherent genetic predisposition. So, change your eating habits, acquire exercise habits,
If we can change the previous unfavorable lifestyle, the early lifestyle diseases will surprisingly improve. At present, genetic predisposition cannot be helped.Therefore, the only way to prevent or stop the progress of lifestyle-related diseases is to change the occupations, preferences, values, personality, etc. that regulate lifestyles. It is impossible to rely solely on the person's will and voluntary actions because it is a part related to the person's fundamentals. Here, the prevention and treatment of lifestyle-related diseases by changing the lifestyle Was difficult.

[0007]

It is known that lifestyle-related diseases such as hypertension, hyperlipidemia, diabetes mellitus, and liver disease are effective diseases for which diet therapy and exercise therapy are effective. Due to awareness of health care and appropriate patterns of living behavior. The attending physician also recommends nutrition and exercise therapies, but the difficulties of medical care that science cannot do alone are that it cannot be easily continued.

[0008] The reasons why diet therapy and exercise therapy cannot be continued for lifestyle-related diseases are as follows. 1. She is shed in everyday life and forgets the purpose and necessity of therapy. 2. I do not know the specific method, and I will do it appropriately. 3. He has little medical knowledge and makes wrong decisions. 4. The effect of the therapy is not clearly recognized, it seems the same whether it is done or not, and it is interrupted.

[0009] Regarding these problems, an effective method has not yet been established, because even if a dietitian or the like continues to provide guidance on nutritional therapy or exercise therapy, medical fees cannot be obtained.

On the other hand, recent advances in IT (information technology)
Personal computers (hereinafter, referred to as PCs) are provided to employees in companies, and most of the work is performed using electronic information as a medium. In addition, multifunctional phones, faxes, mobile phones, PHSs, PCs, and the like have become widespread at home, and communication using electronic media such as e-mail and the Internet has become a common lifestyle.

The object of the present invention is to provide an IT
Through the interactive distribution of nutritional / exercise and medical information utilizing (information technology) and the data processing and management services in it, patients with lifestyle-related diseases and their reserves, or allergic diseases caused by constitution and eating habits Proper and ongoing self-management of nutritional management, exercise management, and simple nursing care management for children who have malnutrition, elderly people with malnutrition, and healthy people who strive to prevent and maintain health. It is an object of the present invention to provide a two-way health management system that provides a “motivated (aware)” distribution stimulus for the purpose of facilitating the continuation of the management.

[0012]

SUMMARY OF THE INVENTION In order to solve the above-mentioned problems which cannot be continued, the present invention provides nutrition management, exercise management,
Create a management program for simple care and care management for patients with lifestyle-related diseases and their reserves, or children with allergies due to constitution or eating habits, elderly people with malnutrition, Inputting and delivering to an information terminal device to a healthy person who takes care of prevention and health maintenance, while the patient performs the management based on the program, inputs the information to the information terminal device, and inputs the information to the information terminal device. The management center that has received the information from the server owned by the center should give self-data, medical information, and advice to support the act so that the patient can continue proper self-management at the timing that triggers the continuation of self-management. It is characterized by.

In the nutrition management, a meal menu for each meal is selected from a selection menu, or necessary items of calories are filled in, and for those difficult to perform, a record on a digital camera is calculated by a professional staff. The exercise management is performed by always carrying and recording an exercise amount measurement monitor, and the simple care management is performed by exchanging text information or image information with a digital camera.

[0014]

Next, an embodiment of the present invention will be described with reference to the drawings.

FIG. 1 is a conceptual diagram showing an interactive health management system of the present invention. The interactive health management system shown in FIG. 1 includes an information terminal device 1 owned by a lifestyle-related disease patient,
An information terminal device 2 provided in a health management room / hospital of a company or school, and an information terminal device 3 provided in a company / local government;
It is composed of a server 4 of an IT healthcare data management center (ASP: application service provider), and the information terminal device 1, the information terminal device 2, the information terminal device 3 and the server 4 are each provided with a communication network 5
Connected to each other.

[0016] Possession of patients with lifestyle-related diseases and their reserves, or children with allergies or other malnutrition-related diseases caused by their constitution or eating habits, as well as healthy persons who are committed to preventing and maintaining health. PCs, mobile phones, PHSs, PDAs (Persona)
l Digital Assistants) Further, home electric appliances such as a television and a refrigerator having a function as an information terminal are used.

Next, the operation of the interactive health management system will be described with reference to the flowchart of FIG. 2. First, when a group checkup is performed at a company, region, school, or the like, and a medical checkup using a health checkup is performed, the health management room is checked.・ At the hospital
The test results from the analysis center are checked by screening software, and patients with lifestyle-related diseases and reserves are identified (step 101). This will identify patients or reserves who need or are effective in nutrition or exercise therapy.

This screening software checks the following items and picks up patients with lifestyle-related diseases and reserves. 1. BMI (body mass In) from height and weight
dex) is calculated and the degree of obesity is checked. 2. Fasting blood glucose level, urine glucose level, glycated hemoglobin level, insulin level (IRI: immunoreactive)
insulin) C-peptide value (CPR: C-pe)
ptide immunoreactivity and 75 g glucose oral tolerance test (OGTT: oral)
The tendency to diabetes is checked by determining the value of any or all of the glucose tolerance. 3. Triglyceride value (TG: triglyceride)
de) Total cholesterol level (TC: total cho)
Lesterol), HDL-cholesterol level (HD
LC: high density lipoprot
ein-cholesterol) and LDL-cholesterol level (LDL-C: low density)
The tendency for hyperlipidemia is checked by determining the value of any or all of the lipoprotein-cholesterol. 4. GOT / GPT / ALP / γ-GTP / TTT / Z
The tendency of liver dysfunction by liver function markers such as TT and total bilirubin level is checked. 5. Check for hypertension trends by systolic / diastolic blood pressure.

The numerical values of the above items are divided into three stages of lifestyle-related diseases, boundary type serving as a reserve army, and normal, and the test results are input to obtain patients with lifestyle-related diseases and boundary type (hereinafter referred to as patients with lifestyle-related diseases). Pick up automatically.

The lifestyle-related disease patients can be picked up by the screening software in a health management room or a hospital, or a test result from an analysis center can be transmitted to a server 4 of a data management center (ASP) to perform data management. It may be performed at the center (ASP).

Next, in a facility such as a health care room, a hospital, a school, or a nursing home, a pattern-based health care program for each clinical test result by specialized staff such as doctors, nurses, dietitians, and medical information managers. , A program suitable for the patient is automatically created (step 102).
This patterned health management program is created in advance. If there is no pattern-based health management program that is suitable for patients with lifestyle-related diseases, a specialized healthcare professional / dietitian will create a separate health management program.

The created health management program is directly distributed or distributed from the information terminal device 2 to the information terminal device 1 owned by the lifestyle-related disease patient. A health management program may be created in the data management center, and the created health management program may be distributed from the server 4 to the information terminal device 1.

This health management program is a program for calculating or measuring a target nutrient (mainly calorie) intake for one day, one week, one month and a target energy consumption for one day, one week, one month. .

The health management program is an information terminal device for patients with lifestyle-related diseases and their reserves, children with allergic diseases, elderly people with malnutrition, and healthy people who are committed to preventing and maintaining health. Is input and distributed to the patient, the patient performs nutrition management, exercise management, and simple care management based on the program, and inputs the status (step 103).

In the nutrition management, a menu for each meal is selected from a selection menu displayed on the display means of the information terminal device 1, or a necessary item centering on calories is entered,
For those that are difficult to do, have the professional staff calculate the recording on the digital camera.

Exercise management is performed by automatically calculating and recording the energy consumption by always carrying an exercise amount measurement monitor. The exercise amount measurement monitor is a device that can calculate energy consumption from the number of steps and exercise intensity. The exercise amount measurement monitor is periodically connected to the information terminal device 1 such as a PC or a PDA, and energy consumption data of a lifestyle-related disease patient is input to the information terminal device 1.

The input data is automatically graphed and can be monitored daily.

During this time, the Data Management Center (ASP)
Distributes related medical information, product information, successful cases, etc. from the server 4 to the information terminal device 1 for patients with lifestyle-related diseases while performing fixed-point observations, in order to improve the continuation and effect of nutrition therapy and exercise therapy. Continue to provide the stimulus that inspires the essential “continuation of self-management (notice)”

Next, a regular checkup is carried out to input clinical test data that cannot be obtained by nutritional and exercise management monitoring, evaluation is carried out by a specialist and a registered dietitian, the program is reviewed, and the patient with a lifestyle-related disease is examined. (Step 104).

The lifestyle-related disease patient further performs nutrition management and exercise management based on the reprogrammed health management program (step 105), and the data management center (ASP) transmits the relevant medical information, product information, Distribute successful cases, etc., and continue to provide stimuli that inspire “continuation of self-management (awareness)” that is essential for continuing and improving nutrition and exercise therapy.

While the lifestyle-related disease patient is carrying out nutritional management and exercise management, the lifestyle-related disease patient receives the medical information in the server 4 managed and updated by the data management center (ASP) from the information terminal device 1. It is possible to access information / product information / success case sites.

Also, the health management staff of companies and schools
By accessing the server 4 from the information terminal device 2, it is possible to share the health management status while protecting the privacy of individuals, and to provide timely individual guidance (one t
o one).

In addition, the clinical results obtained at the multi-institution by the same protocol obtained by executing the same program are analyzed by collecting data under a supervising physician or a supervising dietitian to prepare a “prediction curve”. And "Lifestyle-related disease treatment guidelines". With this, "autonomous treatment" for lifestyle-related diseases, which has been ambiguous until now, is established, and significant improvement in medical economics is expected.

Further, the collected data is an important data asset value for companies and local governments in the fields of medicine and food, medical care and insurance. Companies and municipalities have information terminal devices 3
By accessing the server 4 from, the collected data can be effectively used. Improvements to the system based on these data include pharmaceuticals, food, sports equipment,
It is also expected to provide a new market for IT-related equipment manufacturers and lead to revitalization of the industry.

[0035]

As described above, according to the present invention, a data management center (ASP), a doctor, a nurse, a registered dietitian, and a medical doctor can perform fixed point observation for an individual who is performing nutrition therapy and exercise therapy. Since useful information distributed from an information manager and the like and timely advice and encouragement messages by individual correspondence are distributed, nutrition therapy and exercise therapy can be continued.

Further, the present invention has been difficult to monitor the nutrition and exercise management and simple care management by using a digital camera, an exercise amount measurement monitor, and a portable blood pressure monitor. In addition, since accurate data input can be easily performed, the above-described therapy can be easily performed.

According to the present invention, clinical results at multiple centers using the same program (protocol) can be used to prove the usefulness and effectiveness of the therapy and to be applied to “future prediction using current data”. Is also possible. More practical nutrition and exercise therapy programs based on vast amounts of data can be expected to be used as "treatment guidelines for lifestyle-related diseases" in the future.

[Brief description of the drawings]

FIG. 1 is a conceptual diagram showing an interactive health management system of the present invention.

FIG. 2 is a flowchart illustrating an operation of the interactive health management system.

FIG. 3 is a diagram showing transition of medical expenses.

[Explanation of symbols]

 1-3 information terminal device 4 server 5 communication network

Claims (10)

[Claims] 1. A management program for performing nutrition management, exercise management, and simple nursing care management is prepared to prepare a patient with a lifestyle-related disease and its reserve army, or a child with an allergic disease caused by physical constitution or eating habits. Undernourished elderly,
Furthermore, input and distribution to an information terminal device for healthy people who are concerned about disease prevention and health maintenance, whereas the patient,
The management is performed based on the program, the information is input to the information terminal device, and the management center that has received the information performs an action so that the patient can continue appropriate self-management from a server of the center. An interactive health care system characterized in that self-data, medical information, and advice for providing support are provided at a timing inspiring continuation of self-management. 2. In the nutrition management, a meal menu for each meal is selected from a selection menu, or a necessary item of calories is filled in. For those difficult to perform, a record on a digital camera is calculated by a professional staff. The exercise management is performed by always carrying and recording an exercise amount measurement monitor, and the simple care management is performed by exchanging text information or image information with a digital camera. An interactive health care system according to item 1. 3. The patient with a lifestyle-related disease and the reserve army thereof,
Obesity, diabetes, hyperlipidemia, liver dysfunction,
The interactive health care system according to claim 1, wherein a high blood pressure tendency is checked and extracted. 4. The health management program according to claim 1, further comprising:
A lifestyle-related disease patient is created by selecting a program suitable for the lifestyle-related disease patient from among the healthcare programs patterned for each clinical test result by a nutritionist, and included in the patterned healthcare program. The interactive health care system according to any one of claims 1 to 3, wherein the program is individually created by a specialized physician / nutritional manager if there is no program suitable for the health care system. 5. A regular checkup is conducted, clinical test data is inputted, and an evaluation is made by a specialist and a registered dietitian.
The interactive health management system according to claim 1, wherein the health management program is reviewed. 6. A health management program for performing nutrition management and exercise management is created and distributed to an information terminal device of a lifestyle-related disease patient, and the patient performs the management based on the program, and The information is input to the information terminal device, and the management center receives a stimulus from the server of the management center to inspire the lifestyle-related disease patient to continue self-management during the period in which the lifestyle-related disease patient is performing nutrition management and exercise management. A health care method characterized by giving. 7. The nutrition management is carried out by selecting a meal menu for each meal from a selection menu, and photographing a dish which is difficult to select with a digital camera. 7. The health management method according to claim 6, wherein the method is performed by carrying and recording. 8. The patient according to claim 6, wherein said lifestyle-related disease patient is extracted by checking obesity degree, diabetes tendency, hyperlipidemia tendency, liver dysfunction tendency and hypertension tendency.
Health management method described in. 9. The health management program according to claim 1, wherein the
A lifestyle-related disease patient is created by selecting a program suitable for the lifestyle-related disease patient from among the healthcare programs patterned for each clinical test result by a nutritionist, and included in the patterned healthcare program. The health management method according to any one of claims 6 to 8, wherein the program is individually created by a specialized doctor / nutrition manager if there is no program suitable for the health management program. 10. A periodic medical checkup and input of clinical test data, an evaluation by a specialist and a registered dietitian, and
The health management method according to claim 6, wherein the health management program is reviewed.