JP2002358371A - Health care system, information management device, method thereof, computer program, and computer readable recording medium - Google Patents

Abstract

PROBLEM TO BE SOLVED: To promote treatment through therapeutic exercises for lifestyle related diseases by improving the convenience of patients, doctors, therapeutic exercise facilities and affiliated medical institutions. SOLUTION: A healthcare center has a patient information database 36, a family doctor information database 37, a designated therapeutic exercise facility database 38, an information database for affiliated medical institutions 39, and a guidance database for habitual living diseases 40. A patient terminal 32, a doctor terminal 33, a terminal for the designated therapeutic exercise facilities 34, and a terminal for the affiliated medical institutions 35 are connected to a healthcare center Web server 31 via the Internet 30. For instance, if a patient with the habitual living disease searches a designated therapeutic exercise facility located near to his or her movement zone, and inputs the zone as a retrieval condition through the terminal 32, then, the system retrieves the designated therapeutic exercise facilities located near to the patient from the designated therapeutic exercise facility database 38 belonging to Web server 31 and sends the facility data to the terminal 32. Consequently, the patient can decide a designated therapeutic exercise facility at the patient's wish based on the retrieved facilities.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to information for providing an information management service relating to health care in which a database is constructed for patients, doctors (primary physicians), designated exercise therapy facilities, affiliated medical institutions, etc. via a network such as the Internet. The present invention relates to a healthcare system connected to a management device and promoting cooperation of exercise therapy in cooperation with each other, and further relates to an information management device, a method, a computer program, and a computer-readable storage medium used in the healthcare system.

[0002]

2. Description of the Related Art In order to treat lifestyle-related diseases, which are a serious cause of cardiovascular diseases accompanied by medical expenses exceeding the highest mortality rate of cancer, without increasing drug medical expenses and side effects of drugs. The promotion of "exercise therapy" is shouted. 2000 6
As of the current month, for lifestyle-related diseases such as hypertension, hyperlipidemia, and diabetes, if an exercise therapy based on a physician's exercise therapy prescription is performed at a designated exercise therapy facility to treat the disease, the facility usage fee will be taxed. Medical expenses are deductible.

[0003] Based on the above background, first, in order to clarify the problems of the current system, referring to FIG. 18, medical expenses when exercise therapy is performed based on an exercise therapy prescription. Describe the mechanism for receiving deductions. Note that the solid arrow in FIG. 18 indicates the case where the attending physician performs the exercise prescription, and the dotted arrow indicates the case where the partner medical institution performs the exercise prescription based on the patient's introduction from the attending physician.

In FIG. 18, when the physician 2 prescribes exercise, the processing is performed according to the solid arrow, and the patient 1 having a lifestyle-related disease presents a health insurance card and is diagnosed by the physician 2, and the physician 2 If it is determined that exercise therapy is more appropriate than treatment, a prescription for exercise therapy is created and issued (arrow (1)). The patient 1 receives the prescription for the exercise therapy, and pays the medical expenses such as a consultation fee and a prescription fee (arrow (10)).

[0005] The patient 1 goes to the designated exercise therapy facility 3, submits a prescription for exercise therapy, and requests execution of exercise therapy (arrow (2)). In this case, the designated exercise therapy facility 3 notifies the partner medical institution 4 in advance of the exercise therapy, and determines the schedule by listening to the convenience of both parties (arrows).
(3)).

[0006] Exercise therapy staff of the affiliated medical institution 4 that received the request (composed of the Japan Medical Association certified sports physician, nurse, health exercise instructor, nutritionist, clinical laboratory technician, etc .:
The “staff” performs a medical check to determine whether or not an exercise load test is possible, and if possible, performs an exercise load test.

[0007] The patient 1 is required to exercise the exercise program prepared by the staff of the affiliated medical institution 4 and the exercise instructor of the designated exercise therapy facility 3 in accordance with the result and the prescription of the exercise therapy prepared and issued by the attending physician 2. Exercise therapy consisting of a diet improvement program, a lifestyle improvement program, etc. The staff of the affiliated medical institution 4 cooperates with the attending physician 2 (arrow (4) -b) to instruct the patient 1 on exercise therapy.
Give advice and follow-up (arrow (4) -a).

[0008] The patient 1 regularly receives a consultation with the attending physician 2 and has a course of exercise therapy (arrow (4)-).
c) When the exercise therapy is continued and the illness is improved and the exercise therapy is completed, the facility usage fee is paid to the designated exercise therapy facility 3 (arrow (8)), and the designated exercise therapy administration gives the “exercise therapy prescription”.
You will receive a receipt for the facility usage fee that clearly indicates that you have exercised based on (9).

Since the designated exercise therapy facility 3 issues the exercise therapy report and the exercise therapy certificate to the partner medical institution 4 (arrow (5)), the partner medical institution 4 issues the exercise therapy report. The signature is sent to the patient 1 along with the exercise therapy certificate (arrow (6)). Patient 1 brings the exercise therapy report and the exercise therapy certificate to the attending physician 2 and receives a medical examination. After examining the patient 1, the doctor 2 examines the patient 1 and signs and names the exercise therapy certificate. And give it to the patient (arrow (7)).

After performing the above procedure, the patient 1
When the tax return was filed at the end of the year, the taxpayer 5 issued a medical certificate to the tax office 5 with the receipt of the exercise therapy implementation certificate and the facility usage fee stating that the exercise was performed based on the "exercise therapy prescription" above. If you apply for a deduction (arrow (12)), you can receive a national tax refund (arrow (13)).

On the other hand, when the partner medical institution 4 prescribes exercise by referring the patient from the attending physician 2 (arrow (11) '),
Processing is performed according to the dotted arrow, and (1) → (1) ′, ((4) −
a, (4) -b, (4) -c) → (4) ′, (5) → (5) ′, (7) →
The processing is performed by replacing each with (7) ′.

The solid arrows (14) and (15) indicate claims and receipt of insurance medical expenses for the delivery of the exercise therapy prescription by the attending physician 2, and the dotted arrows (14) 'and (15)' indicate Claims and receipt of insurance medical expenses when the affiliated medical institution 4 exercises prescriptions by referral of patients, and claims and receipts of insurance medical expenses for exercise load tests and various examination costs performed in the affiliated medical institution 4 is there. Although not described in the above, various medical examination, guidance, examination costs, etc. paid by the patient at the attending physician 2 and the affiliated medical institution 4 are covered by insurance medical treatment and are also subject to medical expenses deduction.

[0013]

As described above, the conventional mechanism for receiving medical expenses deduction when the exercise therapy is performed based on the "exercise therapy prescription" has been described. However, the following problems can be pointed out. Procedures are complicated and exchange of documents is complicated. Insufficient information on designated exercise therapy facilities (not only information on facilities directly affiliated with the attending physician, but also information on facilities near the patient's home or on the way to work).

Further, although not directly related to the description of the mechanism for receiving the medical expenses deduction, the following problems can be cited. Lack of understanding and the need to understand the need for exercise therapy, which is different from treatment and rehabilitation (lack of information on specific exercise therapy).

[0015] Regarding the above, the Ministry of Health and Welfare issued a notice on April 22, 1999, "On preservation by electronic media such as medical care," which enabled preservation of medical records by electronic media and network sharing. Since test values and other information can be shared electronically,
Unless the current system is amended, even if the exchange of documents is required afterwards, the actual exchange of data can be done easily electronically, so it is thought that efficient processing will be possible and it will be realized This is one of the objects of the present invention.

Regarding the above, although there are still few designated exercise therapy facilities that satisfy the designated requirements designated by the Ministry of Health and Welfare, information on the latest designated exercise therapy facilities is provided so that facilities that are easily accessible to patients can be easily found. One of the objects of the present invention is to construct a system including a database (DB) that can register and provide an information providing service via a network such as the Internet.

Furthermore, in order to compensate for the lack of understanding of the above-mentioned exercise therapy and the lack of recognition of the necessity, a patient who has accessed the health care system according to the present invention is provided with specific contents of an exercise therapy program corresponding to the type of disease. It is one of the objects of the present invention to construct a system that can be provided.

The "motion monitoring system" disclosed in JP-A-8-503142 and the "adaptive interactive exercise system" described in JP-A-11-501233 are disclosed. "Providing users with a user monitor that can send exercise data to a central computer allows them to exercise anywhere and without the expense of a tutor, and benefits from exercise programs Can do it, "the patient, the attending physician,
It can be said that this is different from the purpose of the present invention, which aims at network-type medical treatment based on information sharing by linking designated exercise therapy facilities, partner medical institutions, and the like via a network.

[0019]

Means for Solving the Problems Hereinafter, a health care system will be described as a means for solving the above problems. The health care system of the present invention comprises a user terminal, an information management device for providing services related to health care, and Is a health care system connected via a network, wherein a database storing means in which information about exercise therapy facilities is registered is constructed, and the database storing means is based on a search condition inputted from the user terminal. And information retrieval means for retrieving the corresponding exercise therapy facility information from the information processing apparatus.

Further, another health care system according to the present invention is a health care system in which a user terminal and an information management device for providing services related to health care are connected via a network. Database storing means for registering information about a physician performing exercise prescription for exercise, and information searching means for searching the database storing means for information on a corresponding physician based on a search condition input from the user terminal. It is characterized by

Another health care system according to the present invention is a health care system in which a user terminal and an information management device for providing services related to health care are connected via a network. A database storage means in which a database in which information on medical institutions affiliated with doctors who perform exercise prescription for treatment of habitual diseases is registered is constructed, and the database is stored based on search conditions input from the user terminal. Information retrieval means for retrieving information on the medical institution from the means.

Further, another health care system of the present invention is a health care system in which a user terminal and an information management apparatus for providing services related to health care are connected via a network, and wherein the prevention of lifestyle-related diseases is prevented. as well as/
Or, a database storage unit that registers guidance information about treatment, and an information providing unit that provides guidance information about prevention and / or treatment of the lifestyle-related disease read from the database storage unit in response to a request from the user terminal. It is characterized by having the following.

Another health care system according to the present invention is a health care system in which a doctor's terminal and an information management device for providing services related to health care are connected via a network. Database storage means for registering information about patients with lifestyle-related diseases input from the database, and information providing means for providing information about the patients read from the database storage means in response to a use request from the network. The feature is that it is provided.

[0024]

Embodiments of a health care system, an information management device, a method, a computer program, and a computer-readable storage medium according to the present invention will be described below with reference to the drawings.

FIG. 1 is a block diagram showing the configuration of the health care system according to the present embodiment. In FIG.
Is a Web server of the healthcare center, and transmits and receives various information via the Internet 30 to perform exercise therapy with patients, attending physicians, designated exercise therapy facilities, affiliated medical institutions, and the like.

Reference numeral 32 denotes a plurality of (1 to i) patient terminals PC,
33 is a terminal PC of a plurality (1 to j) of doctors, 34 is a terminal PC of a plurality (1 to k) of designated exercise therapy facilities, and 35 is a terminal PC of a plurality (1 to n) of affiliated medical institutions.
A Web browser for receiving Web data transmitted by the b server 31 and displaying the Web data on the display device of each terminal PC is provided.

Reference numerals 36 to 40 denote database (DB) groups, which are a patient information DB, an attending physician information DB, a designated exercise therapy facility information DB, an affiliated medical institution information DB, and a lifestyle-related disease guidance DB, respectively. Reference numeral 42 denotes a unit for receiving and registering information on the patient, attending physician, designated exercise therapy facility, and affiliated medical institutions, and 43 denotes a password authentication unit;
4 is a search condition data receiving / storing unit, 45 is a DB selection & search unit, and 46 is a Web server unit.

FIG. 2 is based on the flow of processing for applying the current exercise therapy and the accompanying medical expenses deduction as described in the conventional example, and is based on the patient, the attending physician, the designated exercise therapy facility, and the affiliated medical institution. FIG. 4 is a diagram illustrating an outline of a processing operation in the present embodiment, which aims at network-based medical care based on information sharing in which networks are linked by a network, focusing on various data flows.

In FIG. 2, the basic processing flow is the same as that in FIG. 18 described above. The solid arrow indicates the exercise prescription by the attending physician. Is performed. That is,
Arrows (1) and (1) 'indicate the flow of preparing and issuing a medical examination & exercise therapy prescription. The arrow (2) indicates the flow of submitting a prescription for exercise therapy and requesting the execution of exercise therapy. The arrow (3) indicates a flow for informing the partner medical institution about the exercise therapy in advance. The arrow (4) -a indicates the flow of guidance / advice for exercise therapy and follow-up of exercise therapy in cooperation with the attending physician. Arrow (4)
-B represents the flow of cooperation with the attending physician. Arrows (4) -c indicate the follow-up flow of the exercise therapy. The arrow (4) 'indicates the flow of medical examination, guidance / advice for exercise therapy, and follow-up of exercise therapy. The arrow (5) indicates the flow of the exercise therapy report + the exercise therapy certificate. Arrow (5) 'indicates the flow of the exercise therapy certificate. The arrow (6) indicates the flow of the exercise therapy report (signed and stamped) + the exercise therapy certificate. Arrow (7),
(7) 'represents the flow of the exercise therapy certificate (signed and stamped). An arrow (8) indicates a flow of payment of a facility use fee for exercise therapy. The arrow (9) indicates the flow of the receipt of the facility usage fee that clearly indicates that the exercise was performed based on the “exercise therapy prescription”. Arrows (10) and (10) 'indicate the flow of payment of the medical expenses copayment. The arrow (11) 'indicates the flow of the exercise therapy request. The arrow (12) indicates the flow of the final return (medical expenses deduction request) + exercise therapy implementation certificate (signed and stamped) + facility use fee receipt. The arrow (13) indicates the flow of the national tax refund. Arrows (14) and (14) 'represent the flow of insurance medical billing. Arrows (15) and (15) ′ represent the flow of insurance medical expenses.

In FIG. 2, the health care center 14 is the center, and the patient PC, the attending physician 11, the designated exercise therapy facility 12, and the terminal PC of the affiliated medical institution 13
The point that 32-35 is connected via a network such as the Internet 30 so that various kinds of information can be transmitted and received is different from that described with reference to FIG. That is, the attending physician 11, the designated exercise therapy facility 12, and the affiliated medical institution 13 register their information in the DB of the health care center,
The patient 10 and other stakeholders search and use those DBs, and the attending physician 11 registers the latest various test data of the patient 10 and refers to it at any time and from any place to efficiently exercise exercise therapy The system is used for the medical treatment of the patient 10 and provides guidance for the prevention / treatment of lifestyle-related diseases to back up the health care of the patient 10. The arrow (16) indicates the flow of various patient data / search condition / result data / guidance Web data. Arrow (17)
Indicates the flow of physician registration data / search condition / result data / various patient data. The arrow (18) indicates the flow of designated exercise therapy facility registration data / various patient data. The arrow (19) indicates the flow of the affiliated medical institution registration data / various patient data.

In the following, as a specific example, when a patient 10 (Ms. A) is examined by the attending physician 11, it is determined that exercise therapy is appropriate for treating hypertension, and a prescription for exercise therapy is given. After searching and searching the DB of the health care center 14 for an overview of the guidance for preventing and treating hypertension, searching for designated exercise therapy facilities, deciding which facilities are easy to use, and providing I will explain the procedure of the process of applying for medical expenses deduction for my expenses after receiving a medical examination, exercise examination, and various examinations and exercise therapy with my medical treatment prescription and insurance card.

FIG. 3 is a flowchart showing a processing operation mainly in the Web server 31 of the health care center 14,
The flowchart of FIG. 4 mainly shows each terminal PC3 of the patient 10, the attending physician 11, the designated exercise therapy facility 12, and the affiliated medical institution 13.
3 shows processing operations in 3 to 35.

First, the attending physician 11, designated exercise therapy facility 12, and affiliated medical institution 13 shown in FIG.
4 will be described. In the health care center 14, the process of step S1 of FIG. 3 is performed, the web server 31 is activated, a home page of the health care center is created, and a command from each terminal PC is awaited (step S1 of FIG. 3).

For example, when a certain designated exercise therapy facility 12 registers in the DB of the health care center 14, first the terminal P
Launch the C34 web browser and launch the Internet 3
The web server 31 of the health care center 14 is accessed via the Web browser 0, and the home page data of the health care center is downloaded and displayed on the display device (step S20 in FIG. 4). FIG. 5 shows an example of a homepage screen of the healthcare center. Here, "Register, Modify, Search"
A menu and a “lifestyle-related disease prevention / treatment guidance” menu are set. In addition, a selection button 501 is set.

In the homepage shown in FIG.
In the “Search” menu, “Registration” − “Designated Exercise Therapy Facility” is selected by default.
When 01 is clicked and selected with a mouse or the like, the operation is detected (step S21 in FIG. 4), and the information registration / correction Web page (in this example, designated exercise therapy facility information registration)
/ Correction Web page).

The Web server 31 detects a selection signal operated by the terminal PC 34 (step S in FIG. 3).
2) Requested information registration / correction Web page data (in this example, designated exercise therapy facility information registration / correction Web
After transmitting the “b page data” (step S in FIG. 3)
3), and waits for a reply (step S in FIG. 3)
4).

The terminal PC 34 receives and displays information registration / correction Web page data (in this example, designated exercise therapy facility information registration / correction Web page data) transmitted from the Web server 31. FIG. 6 shows a terminal PC 34.
9 shows an example of a designated exercise therapy facility information registration / modification screen displayed on the display device of FIG. Here, you can enter information about the facility name, address, the nearest station and how long it will take you to take a bus or walk from there, the number of parking lots that can be parked, the facility overview, the staff, the names of affiliated medical institutions, etc. It has become.

At the terminal PC 34, for example, after inputting the registration data as shown in FIG. 7, by selecting the designated exercise therapy facility registration button 601, the input registration data is transmitted to the Web server 31 (step in FIG. 4). S2
2). Thereafter, the process proceeds to step S20, and the home page of the health care center shown in FIG. 5 is displayed again.

When the Web server 31 receives the registration data transmitted from the terminal PC 34, it registers it in the designated exercise therapy facility DB 38 (in the case of updating, it is updated).
(Step S5 in FIG. 3).

The procedure in which the attending physician 11 registers in the attending physician information DB 37 is performed in a similar manner. FIG. 8 shows the terminal P
13 shows an example of a screen for registering / modifying physician information displayed on the display device of C33. Here, the doctor (hospital) name, address,
Information about the nearest station and how long it takes to take a bus or walk from there, the number of parkable parking lots, specialty, names of affiliated medical institutions, etc. can be entered. For example, registration data as shown in FIG. And then enter the physician registration button 8
01 may be selected.

The procedure in which the affiliated medical institution 13 registers in the affiliated medical institution information DB 39 is performed in the same manner. FIG. 10 shows an example of the affiliated medical institution information registration / correction screen displayed on the display device of the terminal PC 35. Here, you can enter information about the institution name, address, the nearest station and how long it will take by bus or foot from there, the number of parkable parking lots, exercise load test equipment, exercise therapy staff, etc. Then, for example, after inputting registration data as shown in FIG.
1 may be selected.

The above procedure is executed in each of the terminal PCs 33 to 35, whereby the health care center 14 shown in FIG.
Physician information DB37, designated exercise therapy facility information DB3
8. The affiliated medical institution information DB 39 is created. Note that the creation of the lifestyle-related disease guidance DB 40 is a process performed inside the health care center 14, and a description thereof will be omitted, and the description will be made assuming that it has already been created.

As described above, the patient A
After the medical examination, it is diagnosed that exercise therapy is appropriate for the treatment of hypertension, and a prescription for exercise therapy is prepared and issued. Are registered in the patient information DB 36 of the health care center 14 from the terminal PC 33 of the attending physician 11 in the same manner as in the registration process of each facility described above. This data is password-locked by the password authentication unit 43 of the Web server 31, and both reading and writing are restricted. It should be noted that the password lock is similarly activated for the registration correction of each facility.

When the patient A receives a prescription for exercise therapy for treating hypertension from the attending physician 11, the patient A searches the DB of the health care center 14 using the terminal PC 32, and outlines the guidance for prevention and treatment of hypertension. Can be checked. Hereinafter, a processing operation for checking the outline of the prevention / treatment guidance will be described.

When the homepage of the health care center shown in FIG. 5 is displayed and the user selects “hypertension” in the “lifestyle-related disease prevention / treatment guidance” menu and then selects the selection button 501, the operation is detected. (Step S21 in FIG. 4), and the process proceeds to Step S30.

The Web server 31 detects that “hypertension” in the “lifestyle-related disease prevention / treatment guidance” menu is selected by the terminal PC 32 (step S in FIG. 3).
2) The guidance data for the requested "hypertension" is read from the lifestyle-related disease guidance DB 40 and transmitted (step S11 in FIG. 3).

The terminal PC 32 stores the homepage of the health care center, which is the current display data, in the storage area, and then receives and displays the hypertension guidance data transmitted from the Web server 31 (step S3 in FIG. 4).
0). FIG. 12 shows an example of a hypertension guidance screen displayed on the display device of the terminal PC 32. here,
The effective treatments for hypertension such as “1, salt reduction therapy”, “2, alcohol reduction therapy”, “3, weight loss therapy”, and “4, exercise therapy” are displayed. In particular, in "1.
Food list buttons 1201 to 1203 are set for each content such as “salt 5 g / day or less”, “calcium 800 mg or more”, and “magnesium 350 mg or more”, and a specific food list can be provided by selecting it. It is supposed to be. A return button 1204 is set.

The terminal PC 32 repeatedly determines whether there is another web data display request (step S31 in FIG. 4) or whether the return button is selected (step S32 in FIG. 4). For example, "800 mg of calcium
If the “more than” food list button 1202 is selected,
The Web server 31 detects this (step S12 in FIG. 3), and transmits food list data of foods rich in calcium.

The terminal PC 32 stores the guidance data of hypertension, which is the current display data, in the storage area, and then receives and displays the food list data transmitted from the Web server 31 (step S30 in FIG. 4). FIG. 13 shows an example of a food list screen for foods high in calcium. Here, a return button 1301 is set.

In this case as well, in the terminal PC 32, another W
Whether there is a request to display eb data (step S3 in FIG. 4)
1) Whether the return button is selected (step S3 in FIG. 4)
The judgment of 2) is repeatedly executed. For example, when the return button 1301 on the food list screen of FIG. 13 is selected,
This is detected (step S32 in FIG. 4), and it is detected whether or not the immediately preceding data stored is the home page (step S33 in FIG. 4). After calling and displaying the guidance data, which is the data of step (3) in FIG.
4) A processing routine for repeating steps S31 and S32 is executed.

When the return button 1301 on the food list screen shown in FIG. 13 is selected in the Web server 31,
Since the immediately preceding data is not the home page data, step S12 is continuously executed as it is (step S12 in FIG. 3).

When the return button 1201 is selected on the guidance screen shown in FIG. 12, the terminal PC 32 detects that the immediately preceding data is a home page (step S33 in FIG. 4), and proceeds to step S2.
Shift to the process of 0.

Since the Web server 31 also detects that the immediately preceding data is home page data (step S12 in FIG. 3), the processing shifts to step S1.

According to the processing operation described above, the patient A can use the terminal PC32 to use the “lifestyle-related disease prevention / treatment guidance” menu on the homepage of the health care center to obtain his / her illness (hypertension). Get an overview of prevention and treatment guidance.

Further, the patient A searches the healthcare center homepage using the terminal PC32 to select an easy-to-use designated exercise therapy facility after knowing the outline of the preventive and therapeutic guidance, and conducts exercise. Decide which facilities are accessible to deliver the therapy. Less than,
A processing operation for determining a facility that is easy to use will be described.

In the state in which the home page of the health care center shown in FIG. 5 is displayed, after selecting “designated exercise therapy facility” in the “search” menu and selecting the selection button 501, it is detected (FIG. 4). Step S21) and proceed to step S23.

The Web server 31 transmits the search parameter input Web data through steps S1 and S2 (step S6 in FIG. 3), and enters a parameter return standby state (step S7 in FIG. 3).

The terminal PC 32 receives and displays the search parameter input Web page data transmitted from the Web server 31 (step S23 in FIG. 4). FIG. 14 shows an example of a search parameter input screen displayed on the display device of the terminal PC 32. Here, the name of the database to be searched (in this example, the designated exercise therapy facility DB) is displayed, and information on an activity range input field (routine used daily), address input, and the like can be input. It has become. A search button 1401 for instructing a search is set.

While the search parameter input screen is being displayed, the system enters a parameter input and search button selection wait state (step S24 in FIG. 4). Then, if the search button 1401 is selected after the parameters are input in the terminal PC 32 as shown in FIG. 15, for example, the search parameters are transmitted to the Web server 31 and the search result data reception standby state is set ( Step S25 in FIG. 4).

The Web server 31 executes a search of the database (in this example, the designated exercise therapy facility information DB 38) based on the search parameters returned from the terminal PC 32, and searches the search result data list for the terminal P which has requested the search.
The data is transmitted to C32 (step S8 in FIG. 3), and the apparatus enters a standby state for selecting an item in the search result data list (step S9 in FIG. 3).

The terminal PC 32 receives and displays the search result data list (step S26 in FIG. 4), and waits for an item selection from the display search data list (step S27 in FIG. 4). FIG. 16 shows an example of a search result data list display screen displayed on the display device of the terminal PC 32.

When the terminal PC 32 selects, for example, “XX training gym” in the search data list in FIG. 16, the selection is detected in the Web server 31 (step S 9 in FIG. 3), and the selected “XX training gym” is selected. The data introducing "Jim" is transmitted (step S10 in FIG. 3), and the process returns to step S1.

The terminal PC 32 receives and displays data introducing “XX training gym” transmitted from the Web server 31 (step S 28 in FIG. 4), and waits for selection of a return button (step S 29 in FIG. 4). ). FIG. 17 shows an example of an introduction screen of “XX training gym” displayed on the display device of the terminal PC 32. Here, as described with reference to FIGS. 6 and 7, the information already registered in the designated exercise therapy facility DB 38 by the XX training gym is displayed.

By the above-described processing operation, the patient A can obtain the search result of the institution where the exercise therapy is performed within his or her own activity range, and can determine a desired institution from the search result.

Next, after deciding on a facility where the exercise therapy is to be performed, bring the prescription and the insurance card of the exercise therapy that has been issued, receive a medical examination, receive various examinations and exercise therapy, and bear the burden for that. The procedure of the process of applying for the deducted medical expenses will be described. The process after deciding on the facility where the exercise therapy is to be performed is almost the same as the process described with reference to FIG.
The difference is that the result data of the various examinations is registered in the patient information DB 36 of the health care center 14, and this data can be referred to anytime and from any place. And loss of costs can be avoided.

For example, when a prescription for exercise therapy given by the attending physician is submitted to the designated exercise therapy facility 12 to request guidance on exercise therapy treatment, the exercise instructor of the designated exercise therapy facility 12 and the partner medical institution 13 A patient profile and various examination data are required to determine whether or not to perform an exercise load test, the type of the exercise load test, the magnitude of the load, and the like, in cooperation with the staff and the attending physician 11. Even in this case, if not much time has passed since the reception by the attending physician 11,
The user can refer to and use data registered in the patient information DB 36 of the health care center 14.

In the medical examination at the time of follow-up observation during the exercise therapy, the latest test data can be referred to from the patient information DB 36 and used.

With the above-mentioned effects, the treatment by lifestyle therapy for exercise-related diseases can be promoted. The attending physician can request the patient to make a medical treatment prescription by preparing and issuing a prescription for exercise therapy. In addition, medical treatment costs can be reduced due to medical consultation costs, designated exercise therapy facilities can increase facility use revenues, patients can receive root treatment without worrying about side effects of pickling, and In addition, the health insurance union can reduce the cost of medical care by eliminating high drug costs and duplicate testing costs.

(Other Embodiments) In order to operate various devices to realize the functions of the above-described embodiments, an apparatus connected to the various devices or a computer in a system is used in the above-described embodiments. Supply the software program code to realize the functions of
The present invention also includes those implemented by operating the various devices according to programs stored in a computer (CPU or MPU) of the system or apparatus.

In this case, the software program code itself implements the functions of the above-described embodiment, and the program code itself constitutes the present invention. As a transmission medium of the program code, a communication medium (a wired line or a wireless line such as an optical fiber) in a computer network (a WAN such as a LAN or the Internet, a wireless communication network, etc.) system for propagating and supplying the program information as a carrier wave. Etc.) can be used.

Further, means for supplying the program code to a computer, for example, a recording medium storing such a program code constitutes the present invention. As a recording medium for storing such a program code, for example, a flexible disk, a hard disk, an optical disk, a magneto-optical disk, a CD-ROM, a magnetic tape, a nonvolatile memory card, a ROM, and the like can be used.

Further, when the computer executes the supplied program code, not only the functions of the above-described embodiment are realized, but also the OS (Operating System) or other operating system in which the program code runs on the computer. It goes without saying that such program codes are also included in the embodiments of the present invention when the functions of the above-described embodiments are realized in cooperation with the application software or the like.

Further, after the supplied program code is stored in a memory provided on a function expansion board of a computer or a function expansion unit connected to the computer, the function expansion board or the function expansion unit is specified based on the instruction of the program code. It is needless to say that the present invention also includes a case where the CPU or the like provided for performs part or all of the actual processing, and the processing realizes the functions of the above-described embodiments.

[0074]

As described above, according to the present invention, for example, a patient with a lifestyle-related disease, who is a user, can use an exercise therapy facility or an exercise prescription for treatment of lifestyle-related disease from his / her own terminal via a network. Physicians, medical exercise facilities, medical institutions affiliated with these doctors, and the like, and a desired facility or the like can be determined based on the range of activity of the user.

Further, a patient with a lifestyle-related disease as a user can obtain preventive / treatment guidance information on his / her own disease from his / her own terminal via a network.

Further, by registering information on patients with lifestyle-related diseases in the database by the attending physician, the information of the patient (patient profile, various test data, etc.) can be coordinated with designated exercise therapy facilities, affiliated medical institutions, the attending physician, etc. Therefore, convenience can be improved.

[0077] The effects described above can promote the treatment of lifestyle-related diseases by exercise therapy.

[Brief description of the drawings]

FIG. 1 is a diagram showing an outline of a health care system according to the present embodiment.

FIG. 2 is a diagram for explaining a mechanism for receiving medical expenses deduction when an exercise therapy is performed based on an exercise therapy prescription by applying the health care system of the present embodiment.

FIG. 3 is a flowchart showing a processing operation on the health care center 14 side.

FIG. 4: Patient 10, attending physician 11, designated exercise therapy facility 1
2 is a flowchart showing a processing operation on the affiliated medical institution 13 side.

FIG. 5 is a diagram showing an example of a home page of a health care center.

FIG. 6 is a diagram showing an example of a designated exercise therapy facility information registration / modification screen.

FIG. 7 is a diagram showing an input example of a designated exercise therapy facility information registration / modification screen.

FIG. 8 is a diagram showing an example of a screen for registering / modifying physician information;

FIG. 9 is a diagram showing an input example of a screen for registering / modifying physician information;

FIG. 10 is a diagram showing an example of an affiliated medical institution information registration / modification screen.

FIG. 11 is a diagram showing an input example of an affiliated medical institution information registration / modification screen.

FIG. 12 is a diagram showing an example of a guidance screen for hypertension.

FIG. 13 is a diagram showing an example of a food list screen for foods with high calcium content.

FIG. 14 is a diagram showing an example of a search parameter input screen.

FIG. 15 is a diagram showing an input example of a search parameter input screen.

FIG. 16 is a diagram showing an example of a search result data list display screen.

FIG. 17 is a diagram showing an example of an introduction screen of “XX training gym”.

FIG. 18 is a diagram for explaining a conventional mechanism for receiving medical expenses deduction when exercise therapy is performed based on an exercise therapy prescription.

[Explanation of symbols]

32 Patient terminal (built-in web browser) 33 Physician's terminal (built-in web browser) 34 Terminal of designated exercise therapy facility (built-in web browser) 35 Terminal of affiliated medical institution (built-in web browser) 36 Patient information DB 37 Physician information DB 38 Designated Exercise Therapy Facility Information DB 39 Partner Medical Institution Information DB 40 Lifestyle Disease Guidance DB 42 Patient / Physician / Designated Exercise Therapy Facility / Partner Medical Institution Information Data Reception and DB Registration Means 43 Password Authentication Means 44 Search Condition Data Reception Means 45 DB Selection & search means 46 Web server function

Claims (25)

[Claims] 1. A health care system in which a user terminal and an information management device for providing services related to health care are connected via a network, wherein: a database storage means for registering information about an exercise therapy facility; A health care system comprising: an information search unit configured to search the corresponding exercise therapy facility information from the database storage unit based on a search condition input from a user terminal. 2. The health care system according to claim 1, wherein the exercise therapy facility information includes location information, and a user's activity range can be input as the search condition. 3. A terminal for a plurality of exercise therapy facilities is connected to the network, and a registration means is provided for registering information on the exercise therapy facilities input from the terminals of the respective exercise therapy facilities in the database. The health care system according to claim 1, wherein: 4. The health care system according to claim 1, wherein information about the exercise therapy facility registered in the database can be updated. 5. The health care system according to claim 4, wherein a certain restriction is imposed on the updating. 6. A health care system in which a user terminal and an information management device for providing services related to health care are connected via a network, wherein a user who prescribes exercise for treating a lifestyle-related disease is provided. A health care system comprising: a database storage unit in which information is registered; and an information search unit that searches the database storage unit for information on a corresponding doctor based on a search condition input from the user terminal. 7. The network is connected to terminals of a plurality of physicians who perform exercise prescriptions, and includes registration means for registering information about physicians inputted from the terminals of the respective physicians in the database. The health care system according to claim 6, characterized in that: 8. A health care system in which a user terminal and an information management device for providing services related to health care are connected via a network, wherein the exercise prescription for treating an exercise therapy facility or a lifestyle-related disease is provided. A database storage means for registering information about medical institutions affiliated with the doctor performing the information, and an information search means for searching for information on the medical institution from the database storage means based on search conditions input from the user terminal. A health care system comprising: 9. The network is connected to terminals of a plurality of medical institutions affiliated with an exercise therapy facility or a doctor who performs exercise prescription for treatment of lifestyle-related diseases. 9. The health care system according to claim 8, further comprising a registration unit for registering information about the medical institution to be inputted in the database. 10. A health care system in which a user terminal and an information management device for providing services related to health care are connected via a network, wherein guidance information on prevention and / or treatment of lifestyle-related diseases is registered. Database storage means, and information providing means for providing guidance information on prevention and / or treatment of the lifestyle-related disease read from the database storage means in response to a request from the user terminal. Health care system. 11. A health care system in which a doctor's terminal and an information management device for providing services related to health care are connected via a network, wherein a patient with a lifestyle-related disease input from the doctor's terminal is provided. A health care system, comprising: a database storage unit that registers the above information; and an information providing unit that provides information on the patient read from the database storage unit in response to a use request from the network. . 12. The health care system according to claim 11, wherein a certain restriction is imposed on input and / or use of information on the patient with the lifestyle-related disease. 13. An information management apparatus for providing healthcare-related services via a network, wherein the database storage means registers information on exercise therapy facilities, and a search condition input from the network. An information management device comprising: an information search unit that searches for relevant exercise therapy facility information from a database storage unit. 14. An information management apparatus for providing services related to health care via a network, wherein the database storage means registers information about a doctor who prescribes exercise for treating lifestyle-related diseases, and An information management apparatus comprising: an information search unit that searches for information of a corresponding doctor from the database storage unit based on a search condition input from the database. 15. An information management apparatus for providing services related to health care via a network, comprising information on a medical institution affiliated with an exercise therapy facility or a doctor who prescribes exercise for treating lifestyle-related diseases. An information management apparatus, comprising: a database storage unit in which a database is registered; and an information search unit that searches for information on a corresponding medical institution from the database storage unit based on a search condition input from the network. 16. An information management device for providing services related to health care via a network, wherein the database storage means registers guidance information on prevention and / or treatment of lifestyle-related diseases, and a request from the network. Prevention of the lifestyle-related diseases read from the database storage means in response to
Or an information providing means for providing guidance information on treatment. 17. An information management device for providing a service relating to health care via a network, comprising: a database storage means for registering information on lifestyle-related diseases inputted from a doctor's terminal on the network; Information providing means for providing information on the patient read from the database storage means in response to a use request from the network. 18. An information management method for providing healthcare-related services via a network, comprising: a database that registers information on exercise therapy facilities based on search conditions input from the network. An information management method comprising: an information search process for searching for exercise therapy facility information. 19. An information management method for providing a service related to health care via a network, wherein an exercise prescription for treating lifestyle-related diseases is performed based on a search condition input from the network. An information management method comprising an information search process for searching for information on a doctor from a database in which information on doctors is registered. 20. An information management method for providing a service relating to health care via a network, comprising: a method for treating an exercise therapy facility or a lifestyle-related disease based on a search condition input from the network. An information management method comprising: an information search process for searching information of a medical institution registered from information about a medical institution associated with a doctor who prescribes exercise. 21. An information management method for providing a service relating to health care via a network, wherein guidance information on prevention and / or treatment of lifestyle-related diseases is registered in response to a request from the network. An information management method, comprising: an information providing process for providing information read from a database that has been read. 22. An information management method for providing a service relating to health care via a network, comprising constructing a database in which information on patients with lifestyle-related diseases inputted from a terminal of a doctor on the network is registered. An information management method characterized by comprising: a database construction process to be performed; and an information providing process of providing information on the patient read from the database in response to a use request from the network. 23. A computer program for causing a computer to function as each means according to claim 13. Description: 24. A computer program for causing a computer to execute each process according to claim 18. Description: 25. A computer-readable storage medium storing the computer program according to claim 23.