JP2003085290A - Health information control system and its program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a health information control system capable of evaluating health improvement by controlling the health information of a person who receives medical check through a health event. SOLUTION: This system is provided with a health control computer 2 having a storing means 11 for storing health information 3 prepared for each person who receives medical check in a health information data base HID, an extracting means 12 for extracting a person who participates in a health event in order to receive medical check, a performance information accepting means 13 for accepting performance history information DI of the health event, an updating means 14 for adding the performance history information DI or the like to the health information 3, and for updating it, a comparing and evaluating means 15 for comparing the updated performance history information DI with non-updated one, and for making health improvement evaluation RE, a report preparing means 16 for preparing a report RP, a correcting means 17 for correcting the health information 3 according to correction information CI, a means 18 for extracting a person who needs to receive medical check again, and a medical check reception information accepting means 20 for accepting medical check reception information RI from the person who needs to receive medical check again.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a health information management system and a health information management program, and in particular, a medical examinee who has undergone a plurality of medical examinations carried out continuously in a specific group. The present invention relates to a health information management system and a health information management program for managing information on health of the.

[0002]

2. Description of the Related Art Conventionally, in a specific group such as a company and a school, a plurality of medical examinations are conducted at a predetermined frequency (for example, once a year) for employees and students who are members of the group. It may be continuously implemented over the years. In this health checkup, medical tests such as blood test, urine test, blood pressure, electrocardiogram, X-ray, internal medical examination, and physical examination such as physical strength measurement such as muscle strength, instantaneous force, and flexibility are appropriately performed in a group. Selected and implemented for employees and others. In order to carry out and operate such medical examinations, medical knowledge and a lot of specialized testing equipment are required, so each company manages the implementation of these medical examinations with specialized skills and staff. Implementation is often outsourced to an organization such as a management company. In these management companies, a medical examination car loaded with inspection equipment etc. is sent to each company together with specialized staff,
Conducting health checkups. In addition, in order to collectively carry out a medical examination for a large number of people, a medical examination site having inspection equipment and the like has been set up, and a medical examination person visits the medical site to perform a medical examination.

The examinee who has undergone the medical examination subsequently receives a diagnostic result table from the management company that operated the medical examination. In this diagnosis result table, together with personal information such as the name and date of birth of the examinee, the diagnosis results of each item tested / measured in the health checkup are summarized in a list form. In the predetermined column of each item, the numerical value showing the measurement result and the standard value in consideration of gender and age are described, and further, the judgment result determined based on the degree of deviation between the numerical value and the standard value is attached. ing. For example, when the numerical value is within the standard value range, A is on the boundary line within the standard value range, B is a case where the standard value is slightly deviated, and C is a case where the standard value is greatly deviated. It is classified and judged. In other words, items that show a large deviation from the standard value indicate that there is some abnormality in the health condition of the examinee, and the extent that the examinee himself has his own health condition based on this judgment,
It can be grasped. Here, in the judgment, the computer mainly performs the judgment process automatically based on a database to which these pieces of information are input in advance, and the result is often output.

[0004] In addition, the above-mentioned diagnosis result table shows simple advice based on a questionnaire concerning lifestyle habits that were simultaneously conducted at the time of conducting a health examination (for example, "let's reduce the number of cigarettes smoked", ""Let's exercise appropriately" etc.), or if the judgment result is bad (corresponding to C or D judgment), there is a statement that recommends a detailed examination at a medical institution. As a result, the examinee can receive advice, recommendations, etc., try to improve their lifestyles, undergo a detailed examination at a medical institution, and receive appropriate treatment and treatment at an early stage. In addition, a health seminar may be held after the health checkup, which may be useful for improving the lifestyle and health of the examinee.

[0005]

However, it is difficult for the general public to understand in detail because a high degree of medical knowledge is required to grasp the contents of each test item in the above-mentioned diagnosis result table. . Further, even if the diagnosis result is a bad judgment, the words for prompting a detailed examination at the medical institution are merely added to the diagnosis result table, and the examinee is not forced to go to the medical institution. In other words, it is necessary for the examinee to take action actively in order to undergo a detailed examination by a doctor, and in some cases these are left alone because of busyness. In addition, the conventional system does not have a means to grasp the health condition of the examinee between the distribution of the diagnosis result table and the next medical examination, so it is necessary to receive appropriate medical treatment at an early stage. Could be exacerbated. Among them, this tendency was particularly strong in people suffering from so-called lifestyle-related diseases such as diabetes because they had few subjective symptoms.

On the other hand, after the health checkup, a health seminar for the purpose of improving lifestyle and health promotion was sometimes held, but the participation history of participants was recorded, but the health seminar was held. Results such as guidance and consultation history at the university were not recorded. In addition, information related to measurement results such as blood pressure measurements obtained at health seminars, etc. is not effectively utilized, and these result records and measurement information are combined with the diagnostic results of health examinations for comprehensive health information. I had no control.

[0007] In addition, as described above, the medical examination is often carried out continuously at a predetermined frequency at each company a plurality of times, and the medical examination result table distributed after the medical examination shows that
In many cases, the numerical values of past items were simply listed as a list of numbers. Therefore, there was no means to compare and evaluate the health status and lifestyle of individual examinees in the past and present.

In addition, the entire group such as a company that conducts a health check has not been evaluated. for that reason,
The managers of companies and general affairs managers who manage the health of employees cannot recognize the effect of improving the health of the entire company through the implementation of the health check, and the significance of performing the health check and the health information Sometimes I didn't feel the importance of management. Therefore, the health checkup is only mandatory, and the health status of employees has not been actively managed.

Therefore, in view of the above situation, it is possible to update and manage the health information of the examinees through various health events to be carried out after the health examination, and further to evaluate the health improvement for each examinee or for each group. Health information management system,
And the provision of a health information management program.

[0010]

In order to solve the above problems, the health information management system according to the invention of claim 1
A health information management system that uses a health management computer to manage information related to the health of the examinees who have undergone regular or irregular health examinations in a specific group including companies and schools. Then, the health management computer creates a health information for each of the examinees based on a diagnosis result of the health examination and a lifestyle habit survey result regarding a lifestyle of the examinee, and a storage unit that stores the health information in a health information database. An extracting unit that extracts the examinees who participate in a health event for improving lifestyles performed between the medical examination and the next medical examination based on the health information of the health information database,
Execution information acceptance means for accepting execution history information including participation history and experience history in which the examinee participated in the health event extracted by the extraction means, and the execution history information newly accepted by the execution information acceptance means Update means for adding at least one of the diagnosis result of the health check performed and the lifestyle survey result to the health information of the examinee and updating the health information database, and the updated health. Based on the result of the health improvement evaluation evaluated by the comparative evaluation means, which compares the information database with that before the update, and performs the health improvement evaluation of at least one of the examinees or the groups. And a report preparing means for preparing a report.

Here, the health management computer is installed in a management company that manages the execution of the health examination and manages the health information. In addition, the lifestyle-related survey results on lifestyle habits include, for example, years of smoking experience, number of cigarettes smoked per day, amount and frequency of alcohol for one week, amount of exercise and frequency for one week, as well as past medical history and current illness. This is a survey of existing diseases.

[0012] The medical examination means various medical tests,
Physical examinations include physical examinations and interviews, and specific examination items include physical examination (height, weight, body fat, etc.), circulatory system (blood pressure, electrocardiogram, etc.), kidney / urinary system. (Urinalysis, renal function, etc.), respiratory system (chest X-ray, etc.), digestive system (rectal examination, stool test, liver function, etc.), metabolic system (blood sugar level, cholesterol level, neutral fat, etc.), blood,
Serum system (blood acid, hepatitis virus, syphilis, etc.), visual system (visual acuity, fundus examination, etc.), auditory system (hearing, etc.), mammary gland, reproductive system, cranial nervous system (MRI), etc. In the physical fitness test, items such as muscle strength, muscle endurance, instantaneous power, flexibility, balance, agility, and whole body endurance are included. further,
The inquiry survey includes, in addition to the above-mentioned lifestyle habit survey, a health degree evaluation, a physical activity / disability degree, a life function evaluation, a mental health degree / mental symptom evaluation scale, and the like. Furthermore, in the medical examination, a medical examination by a doctor is also performed. In addition, the above-mentioned inspection measurement items carried out in the medical examination are
In many cases, it is determined and appropriately selected in consideration of the implementation cost, the inspection time, and the like.

[0013] A health event for improving lifestyle is an event held after a health checkup, and is made possible by improving health awareness of the examinee, eating habits, and regular exercise. It is intended to help examinees lead a healthy life. That is, by participating in a health event, it is possible to give an opportunity to start smoking cessation or to start a new exercise, and further, to maintain an improved lifestyle. At this time, in order to recognize the effects after the health checkup, simple test and measurement equipment (for example, weight scale, body fat scale, and blood pressure monitor) are installed at the venue where the health event is held. Sometimes

Further, the extraction means for extracting the participants in the health event is a person who is judged to be required to improve his / her lifestyle as a result of the health examination, that is, a person who is currently suffering from some illness, and the person himself / herself. It is intended for people with lifestyle-related diseases such as diabetes and hypertension who have no subjective symptoms. Participation in the health event is not limited to the selection of participants based on the diagnosis result, but it is also possible to participate according to the wishes of the examinee himself.

The health improvement evaluation is to compare and evaluate the degree of improvement in the health condition of the examinees or the health of the whole group as a result of participating in the health event. For example, it is graphed and the evaluation results are created as a report.

Therefore, according to the health information management system of the invention of claim 1, health information is created for each examinee based on the result of the health examination and the result of the lifestyle habit survey.
It is stored in the health management database. Then, the participants in the health event are extracted based on the stored health information. Furthermore, the health information is updated based on the execution history information including the participation history when the examinee participates in the health event and the diagnosis result at the next health checkup. afterwards,
The updated health information is compared with the health information before the update, a health improvement evaluation is performed, and a report is prepared based on the evaluation result. Thereby, the health information of the examinees can be collectively managed by the health management computer, and further, the health improvement evaluation can be performed for each examinee or group by participating in the health event.

A health information management system according to a second aspect of the present invention is the health information management system according to the first aspect of the present invention, wherein the health event is explained and instructed by health staff including a doctor. Health information sessions to be held, health communication guidance to provide health improvement guidance to the examinees using communication means including mail or e-mail, convene the examinees, and present experiences of the examinees An implementation schedule including at least one of health seminars for group education including, and a combination of the type of the health event, the order of implementation, the frequency of implementation, and the number of implementations during the mutual health examination. It is carried out based on.

Here, health-related staff refers to people having the ability to give appropriate health advice and guidance such as public health nurses, nutritionists, and exercise instructors (sports instructors) in addition to doctors. is there. At the health briefing session, the doctor individually interviews the doctor and receives a detailed explanation of the diagnosis results, and advice and advice for improving eating habits by the health-related staff,
It is an opportunity to improve lifestyle habits by actually experiencing and practicing exercise and training useful for health. The participation history and experience history when participating in the health briefing session, the history of consultation with health-related staff, and the result of the questionnaire conducted at the health briefing session are treated as execution history information.

Further, the health communication guidance is to send a questionnaire about health from the management company to the home of each examinee using a predetermined communication means (for example, mail and electronic mail). Then, the management company accepts the answers to the questionnaire and the questions about feelings about health and feelings of anxiety from the examinees. Then, the person in charge (health-related staff, etc.) responds to the question, thereby eliminating the doubts and anxiety about the health of the examinee. By sending these questionnaires and the like repeatedly for a predetermined period, they function as a check means when improving the lifestyle of the examinee. Here, the answer result of the questionnaire and the question correspond to the execution history information.

On the other hand, the health seminar means that people having the same medical history (for example, diabetes, hypertension, hyperlipidemia, smoking habits, low back pain, osteoporosis, etc.) are convened in small groups, It will be a place for group education in which doctors explain illness, advice on eating habits and lifestyles, and discuss each person's approach to illness as an experience story. With this, referring to the approach of people with the same illness, it can be useful for treatment of their own illness,
It is possible to encourage each other and tackle the disease.
The health seminar will also be conducted under the initiative of the health staff. Here is the history of participation in health seminars,
The presentation history and the like correspond to the execution history information.

Therefore, according to the health information management system of the second aspect of the invention, in addition to the function of the health information management system of the first aspect of the invention, health events including health briefing sessions, health communication guidance, and health seminars can be performed. Examinees participate.
Then, the health management computer receives the execution history information including the participation history and the like and adds it to the health information of each examinee,
The health information database is updated.

A health information management system according to a third aspect of the present invention is the health information management system according to the second aspect, wherein the execution history information is the information obtained by an interview between the doctor and the examinee at the health briefing session. A correction that further includes correction information created by the doctor when the doctor determines that the diagnosis result needs to be corrected, and the health management computer corrects the health information of the examinee based on the correction information. It further comprises means.

Therefore, according to the health information management system of the third aspect of the invention, in addition to the function of the health information management system of the second aspect of the invention, when the doctor determines that the diagnosis result needs to be corrected. The correction information is created in and is added to the execution history information. Then, the health management computer that receives the execution history information including the correction information corrects the diagnosis result of the examinee based on the correction information and updates the health information.

Here, as a result of the health examination, the computer uniformly determines the deviation from the standard value of the inspection item previously stored in the database or the like as described above. Therefore, without taking into consideration the physical condition of the examinee on the day of the medical examination, for example, if a person has a cold on the day of the medical examination and feels sick, the measured values for each test item deviate from the standard values. It is supposed to be lost. In such a case, it becomes possible to explain the above situation by an interview with a doctor and request to correct the determination of the diagnosis result. This allows the doctor to correct the diagnostic result determined by the computer,
A health information database based on accurate health information is constructed, and the accuracy of the health information management system is improved.

A health information management system according to a fourth aspect of the present invention is the health information management system according to any one of the first to third aspects, wherein the health management computer is based on the diagnosis result. Examination-requiring person extracting means for extracting examination-requiring persons who require detailed examination at a medical institution, and medical examination information receiving means for receiving medical examination information including medical examination status or reasons for non-examination at the medical institution from the medical examination required person And second updating means for adding the medical examination information received by the medical examination information receiving means to the health information and updating the health information database.

Here, the subject to be inspected is a person whose determination of the result of the health examination is particularly bad and needs an examination and examination by a specialist immediately, and the health management computer extracts these. For example, it corresponds to the above-mentioned classification D determination, and the case where the deviation from the standard value is large, or the case where it is clear that a person has some disease by diagnosis.

Therefore, according to the health information management system of the fourth aspect of the present invention, in addition to the function of the health information management system of the first aspect of the present invention, a precision inspection at a medical institution or the like can be performed. Persons requiring inspection who are determined to be necessary are extracted based on the diagnosis result. Then, by oral or postal mail, a medical examination encouragement for recommending the medical examination to the person requiring examination is carried out. After that, the health management computer receives the medical examination information from the person requiring examination, adds the medical examination information to the health information, and updates the health information database. Here, the medical examination information indicates that the person requiring examination actually receives a detailed examination at a medical institution and notifies the result, the medical examination situation during the current visit to the hospital, or the fact that the medical examination cannot be performed due to various circumstances. Includes the reasons for non-examination mentioned above. As a result, it is possible to encourage examinees to be examined at a medical institution so that appropriate medical treatment and treatment can be performed at an early stage, and by receiving the examination information, the health condition of the examinees concerned can be grasped successively. You can do it.

A health information management program according to the invention of claim 5 creates health information for each of the examinees based on the result of the health examination and the result of the lifestyle habit survey concerning the lifestyle of the examinee, and stores it in the health information database. Storage means for storing, extraction means for extracting, based on the health information in the health information database, the examinees who participate in a health event for improving lifestyle habits performed between the health check and the next health check, Participation history that the examinee extracted by the extraction means participated in the health event,
And execution information receiving means for receiving execution history information including experience history, at least one of the execution history information received by the execution information receiving means, the diagnosis result of the newly executed health check, and the lifestyle habit investigation result. Update means for adding either one to the health information of the examinee and updating the health information database, comparing the updated health information database with before update, and at least one of the examinee or the group The health management computer functions as a comparative evaluation means for performing one health improvement evaluation and as a report preparation means for preparing a report based on the result of the health improvement evaluation evaluated by the comparative evaluation means. .

Therefore, according to the health information management program of the fifth aspect of the invention, when executed, the health management computer executes the health check computer for each examinee based on the diagnosis result of the health examination and the lifestyle habit survey result regarding the lifestyle of the examinee. Based on the health information in the health information database, the health information is created and stored in the health information database, and the examinees who participate in the health event to improve lifestyle habits between the health examination and the next health examination are registered. Extract. Then, the execution history information including the participation history and the experience history in which the extracted examinee participates in the health event is received, and the received execution history information and the diagnosis result of the newly implemented health checkup and the lifestyle habit survey result At least one of them is added to the health information of the examinee, and the health information database is updated. Furthermore, the updated health information database is compared with that before the update, at least one of the health improvement evaluation by the examinee and the group is performed, and a report is prepared based on the evaluated health improvement evaluation result. .

A health information management program according to a sixth aspect of the present invention is the health information management program according to the fifth aspect, wherein the execution history information is the diagnosis result obtained by an interview between a doctor and the examinee at a health briefing session. Further includes correction information created by the doctor when it is determined by the doctor that correction is required, and the health management computer as the correction means for correcting the health information of the examinee based on the correction information. It is intended to function further.

Therefore, according to the health information management program of the sixth aspect of the present invention, in addition to the function of the health information management program of the fifth aspect of the invention, when executed, the health management computer causes the health management computer to carry out the health examination at the doctor and the examinee. The execution history information further includes correction information created by the doctor when the doctor determines that the diagnosis result needs to be corrected during the interview with the doctor, and the health information of the examinee is corrected based on the correction information.

A health information management program according to a seventh aspect of the present invention is the health information management program according to the fifth or sixth aspect, which is based on the diagnosis result and requires a detailed examination at a medical institution. Inspector extraction means for extracting an inspector, consultation information reception means for receiving consultation information including the consultation status at the medical institution or reasons for non-examination from the inspection person, and the consultation received by the consultation information reception means The health management computer is further functioned as a second updating means for adding information to the health information and updating the health information database.

Therefore, according to the health information management program of the invention of claim 7, in addition to the action of the health information management program of the invention of claim 5 or 6, when it is executed,
The health management computer extracts an inspector requiring a detailed inspection at a medical institution based on the diagnosis result. Then, it receives the medical examination information including the medical examination status or the reason for non-medical consultation from the extracted inspector, adds the received medical examination information to the health information, and updates the health information database.

[0034]

BEST MODE FOR CARRYING OUT THE INVENTION A health information management system according to an embodiment of the present invention will be described below with reference to FIGS. FIG. 1 is an explanatory diagram showing a configuration of a health information management system 1 which is an embodiment of the present invention, and FIG. 2 shows a functional configuration of a health management computer 2 in the health information management system 1 which is an embodiment. Is a block diagram,
3 to 6 are flowcharts showing the flow of processing of the health management computer 2, FIG. 7 is an explanatory diagram showing an example of health improvement evaluation for each examinee, and FIG. 8 is an example of health improvement evaluation for each group. FIG.

The health information management system 1 of this embodiment is
As shown in FIGS. 1 and 2, a health check computer 2 installed in a management company HP that manages a health check HD performed in a company C (corresponding to a group), and a medical examination and physical fitness performed in the health check HD. The health information 3 is created based on the diagnosis result DR including the measurement result and the lifestyle survey result LR of the examinee M, and the health information 3 for each examinee M
A health information database HID that stores the information is constructed.
After the medical examination HD, the examinee M participates,
Participation in various health events to experience (health briefing session HE, health communication instruction HC, health seminar HS, etc.) and execution history information DI including experience history are added to health information 3 and the health information database HID is updated. To do. further,
Person S requiring inspection, such as detailed inspection, based on the diagnosis result DR
M is extracted. Here, in the health information management system 1 of the present embodiment, the health examination HD and the various health events HE, HC, and HS are cycles based on the implementation schedule DS in which the implementation order, the number of implementations, and the like are set in advance (see FIG. 1). ).

Furthermore, various health events HE, HC, H
After giving a detailed explanation of S, the health briefing session HE gathers a plurality of examinees M at the designated date and time and receives an explanation about the contents of the diagnosis result DR of the health examination HD through an interview with a doctor, The related staff (public health nurses, dietitians, sports instructors, etc.) receive guidance and advice for improving lifestyle habits such as eating habits and exercise methods, and hands-on training. That is, a doctor or the like explains the diagnosis result DR of the health check HD in detail, so that the contents of the diagnosis result DR can be easily grasped, and various advices and instructions can be used to improve lifestyle habits. And health briefing session H
The health management computer 2 collects the execution history information DI including the participation history, the guidance history, and the experience history of the examinee M who participated in E, and the health information 3 is updated. Further, when it is necessary to correct the diagnosis result DR through an interview with a doctor, the diagnosis result DR can be corrected.

On the other hand, the health communication guidance HC is a management company H
From P to a predetermined communication means (for example,
A questionnaire A including a health awareness survey is sent via mail, etc., and the management company HP receives the answer to the questionnaire A of the examinee M and the questions and questions about health in response to this, and sends a reply to this again. A person in charge (health-related staff, etc.) conducts communication guidance for improving health. Furthermore, the health seminar HS is a collection of examinees M who have a history of having the same disease,
This is a meeting to talk about each other's experiences and report on their treatment efforts. Then, the health information 3 is updated based on the execution history information DI corresponding to the experience results of the various health events HE, HC, and HS. In addition, at the venue where the health briefing session HE and the health seminar HS are held, inspection equipment (weight scale,
A sphygmomanometer, etc.) is installed, and the person M to be examined can also measure it. Then, this measurement result can be added to the execution history information DI.

Next, the health management computer 2 for managing the health information 3 of the examinee M will be specifically described.
The health management computer 2 has the functional configuration shown in FIG.
As shown in, health information 3 is created for each examinee M based on the diagnosis result DR of the health examination HD and the lifestyle habit investigation result LR concerning the lifestyle of the examinee M, and is stored in the health information database HID for storage. The storage means 11 and the extraction means 12 for extracting the examinees who participate in various health events HE, HC, and HS for improving lifestyle habits performed after the health examination HD based on the health information 3 in the health information database HID. Then, the examinee M extracted by the extracting means 12 receives the execution history information DI including the participation history in the health events HE, HC, HS, etc., the execution history information DI received, and the execution history information DI newly executed. The health checkup HD2 (see FIG. 7) and the lifestyle survey result LR are added to the health information 3 of the examinee M to obtain health information data. Updating means for updating the over scan HID 1
4 and the updated health information database HID compared to before the update, the health improvement evaluation RE in the examinee M or company C
It is necessary to correct the diagnosis result DR through the interview between the doctor and the examinee M at the health briefing session HE, the comparison evaluation means 15 for performing the above, the report creation means 16 for creating the report RP based on the comparison evaluation means 15. If judged, the correction means 17 that corrects the health information 3 by the correction information CI created based on the doctor's diagnosis, and the required examination that requires re-examination at a medical institution or a detailed examination based on the diagnosis result DR. Inspector extraction means 18 for extracting the person SM and the recommended inspector SM
From the examination information receiving means 20 for receiving the examination information RI. Here, the updating means 14 of the present embodiment
Has a function as a second updating unit that adds the medical examination information RI received from the inspector SM to the health information 3 and updates the health information database.

Further, the health management computer 2 has data input means 21 for inputting various data, display control means 22 and display means 23 for signal-controlling and displaying various data, and various data signals. An output control means 24 and an output means 25 for controlling and outputting are provided.

Here, a commercially available personal computer is used as the health management computer 2, and the data input means 21 is an optical character recognition device (OC).
R), keyboard, and mouse are used respectively, and a monitor display as the display means 23 and the output means 2
As 5, a laser printer, an inkjet printer, or the like is used. As a result, the health information management system 1 can be constructed at a relatively low cost by combining existing devices. The data input means 21
The keyboard and the mouse used as are also functioning as operating means for operating the health management computer 2.

Next, the processing flow of the health management computer 2 in the health information management system 1 of this embodiment will be described with reference to the flowcharts of FIGS. 3 to 6.
Here, steps S1 to S43 in the flowcharts of FIGS. 3 to 6 correspond to the health information management program of the present invention.

First, the health examination HD is carried out in a specific group (company C in FIG. 1) (step S1). The health check HD is carried out by the management of the management company HP that installs and manages the health management computer 2 in the health information management system 1 of the present embodiment. Then, together with the diagnosis result DR of the examinee M who has undergone the medical examination HD, the daily lifestyle habits (dietary habits, exercise, ingestion of favorite items, etc.) are surveyed for each medical examinee M at the same time when the medical examination HD is performed. If it is carried out, it is detected whether the lifestyle management survey result LR based on the survey result is accepted by the health management computer 2 (step S2), and the diagnosis result DR and the lifestyle survey result LR are accepted (in step S2). If YES, the health information 3 for each examinee M is created and stored in the health information database HID (step S
3). Here, the creation of the health information 3 is performed based on a database (not shown) for determination of the determination classifications A to D described above for each inspection item. Detailed description is omitted. On the other hand, if the diagnosis result DR and the lifestyle habit investigation result LR are not received (NO in step S2), the process of step S2 is continued.

Then, it is detected whether or not the health examination HD has already been performed in the past and the data at that time (hereinafter referred to as the past data) is accumulated in the health information database HID. As described above, the company C and the like often carry out the health examination HD regularly. Therefore,
Whether or not the past data is accumulated when the past health checkup HD is performed is detected, and if there is the past data (YES in step S4), the evaluation is made by comparing with the health information 3 of the newly accumulated health information database HID. The presence or absence of an instruction to perform is detected (step S5). On the other hand, if there is no past data (NO in step S4), the process of step S5 is canceled and the process proceeds to step S6.

Then, if there is an instruction not to compare and evaluate the past data (YES in step S5),
The examinees M who participate in the health briefing session HE are extracted (step S6). Here, the examinee M who participates in the health briefing session HE
Is the medical examinee M stored in the health information database HID
It is performed based on the health information 3 for each. That is, in the diagnosis result DR of the health examination HD, the examinee M whose measured value of each test item deviates from the standard value range (corresponding to the C or D judgment of the A to D judgments described above) is selected and predetermined. The date and time and the venue are notified to the examinee M by the notifying means (phone, facsimile, mail, electronic mail, etc.) (step S10). At this time, at the same time, extraction of the person SM to be inspected (e.g., a person whose deviation from the standard value is particularly large among the above-mentioned D determinations) that requires particularly reexamination at a medical institution is extracted (step S11). ). On the other hand, if there is an instruction to perform a comparative evaluation with the past data (NO in step S5), a health improvement evaluation RE is performed (step S7), and a report RP is created (step S).
8) and output (step S9) are performed. In addition,
Since the details of the health improvement evaluation RE will be described later, the description thereof will be omitted here.

Health briefing session HE is held (step S
12) and execution history information DI including the participation history and the guidance history of the examinees M who participated are created for each examinee M. At this time, a medical examination recommendation RS that recommends a medical examination for a detailed examination or the like to the person SM requiring examination in step S11 is performed (step S1).
3). Specifically, we recommend that you take a detailed examination at a medical institution, verbally and in writing, and at the same time, consult information R at the medical institution.
Distribution of a prescribed form in which I can be entered will be made. On this form, the medical examination results received by the inspector SM at a medical institution,
Information such as the status of consultation during the visit to the hospital, or information about whether or not to receive the consultation due to a special reason is entered as the consultation information RI, and then returned to the management company HP.

Then, the health management computer 2 receives the execution history information DI created by the health briefing session HE (step S14). At this time, the execution history information D
I is input to the health management computer 2 by the OCR of the data input means 21, a keyboard or the like, and is stored in the health information database HID. Here, the OCR is particularly preferable because it has an advantage that the data input work can be processed in a short time. In addition, at the health briefing session HE, the doctor M
If it is determined that the correction is necessary, the correction information CI is created by the doctor, and the execution history information DI is added with the correction information CI and sent to the health management computer 2. The correction information CI is added to the execution history information DI received by the health management computer 2.
Is included (YE in step S15)
S), the diagnosis result DR is corrected (step S16), and then the health information database HID is updated (step S17). On the other hand, the correction information CI is added to the execution history information DI.
Is not included (N in step S15
O), the process of step S16 is canceled, and the health information database HI is based on the other execution history information DI.
Only D is updated (step S17).

Then, it is determined whether or not to receive the consultation information RI sent from the inspector SM who performed the examination recommendation RS (step S18). If the medical examination information RI is received (YES in step S18), the health information database HID is updated based on the medical examination information RI (step S19). On the other hand, when the consultation information RI is not received (NO in step S18), step S19
Cancel the process of. By receiving the medical examination information RI, the health condition of the medical examinee M can be grasped more accurately, so that the accuracy of the entire health information management system 1 can be improved.

Then, it is judged whether or not there is an instruction to carry out the health improvement evaluation RE based on the contents of the updated health information database HID (step S20). Here, a simple measuring device (such as a weight scale and a blood pressure monitor) is installed in advance at the venue where the health briefing session HE is held, and the examinee M who participated can measure each item by himself / herself. it can.
Then, this measurement result can be attached to the execution history information DI. Therefore, it is possible to measure when there are changes such as weight loss and blood pressure decrease during the period from the implementation of the health checkup HD to the participation in the health briefing session HE.
This measurement result can be reflected in the health information 3.
And when carrying out the health improvement evaluation RE (step S
20), the health improvement evaluation RE is performed based on the reflected results (step S21), and the report R
P is created (step S22) and the report RP is output (step S23). On the other hand, when the health improvement evaluation RE is not performed (N in step S20
O), the processing from step S21 to step S23 is canceled. In addition, health improvement evaluation RE and report RP
Since a detailed description of the above will be given later, the description thereof will be omitted here.

Next, it is detected whether or not there is an instruction to carry out health communication guidance HC (step S24). Health communication guidance HC
If there is an instruction to carry out (Y in step S24
ES), the examinee M who receives the health communication guidance HC is extracted (step S25). On the other hand, if the health communication instruction HC execution instruction is not detected (N in step S24)
O), the subsequent process is canceled and the process proceeds to step S30. In addition, the selection of the examinees M for health communication guidance is as follows.
In addition to the one based on the above-mentioned diagnosis result DR, a candidate who has previously communicated the intention to participate in the management company HP at the time of receiving a medical examination may be extracted. In this case, for example, by providing an item to that effect in the lifestyle habit survey result LR, the health information 3 including such data can be created, and the health management computer 2 can perform extraction based on this data. Become so.

The management company HP extracted in step S25 mails the questionnaire A to the examinee M (step S26). This is to investigate the lifestyle of the examinee M after receiving the medical examination HD, and to provide appropriate health guidance by using communication means such as mail, living in a remote place,
This is done for people who are busy with their work and do not have enough time. Then, the management company HP receives the response from the examinee M to the sent questionnaire A (step S2).
7) Further, the comments and advice of the health staff related to the reply are sent again to the examinee M (step S28).

Incidentally, in the flow chart in FIG.
Although the steps S26 to S28 are performed once, the steps may be repeated a plurality of times. At this time, the health-related staff uses a browsing terminal (not shown) provided in the management company HP to
The health information 3 relating to the examinee M in the health information database HID can be browsed. As a result, when making a reply to the answer, since it is possible to browse the health information 3 of the examinee M and grasp the health condition, it is possible to give appropriate advice each time. Further, since reply histories such as past advices are accumulated as the execution history information DI, even if the person in charge changes, for example, the same content of advices may be sent in duplicate. Absent.

Then, the execution history information DI is accumulated by the mail exchange between the management company HP and the examinee M. Then, the health information database HID is updated based on the accumulated execution history information DI (step S29).

Then, the presence or absence of an instruction to carry out the health seminar HS is detected (step S30). Health seminar H
If there is an instruction to carry out S (YES in step S30), the examinees M participating in the health seminar HS are extracted (step S31), and the relevant person is notified (step S32). Then, the health seminar HS is held (step S33), the execution history information DI is received (step S34), and the health information database HID is updated (step S35). Here, health seminar HS
For the examinees M who participate in, the extraction is carried out, for example, for persons suffering from a specific lifestyle-related disease such as diabetes, and the contents specific to these people as described above are carried out. On the other hand, if there is no instruction to carry out the health seminar HS (NO in step S30), the subsequent processing is canceled,
Then, the process proceeds to step S36.

Thereafter, it is determined whether or not there is an instruction to carry out the health improvement evaluation RE (step S36). If there is an instruction to carry out the health improvement evaluation RE (YES in step S36), the health improvement is evaluated based on the data accumulated and updated in the health information database HID (step S37), and then the report RP is created ( Step S4
0) and output (step S41).

Here, the health improvement evaluation RE will be described in detail. When the examinee M receives various health events HE,
Participants in HC and HS, and M who is a medical examinee through instruction and hands-on training
Consciousness for health of people, such as improving eating habits,
It is expected that lifestyle habits will change, such as a decrease in the intake of luxury items (a decrease in the number of cigarettes smoked, a decrease in the amount of alcohol, etc.) and an increase in the amount of exercise for one week. Therefore, the health condition of the examinee M may be improved along with such a change, and it may be possible to represent it by a specific numerical value. Therefore, these effects can be digitized and graphed by performing various statistical processes. For example, as shown in FIG. 7, changes in the blood pressure of the examinee M (FIG. 7A) and changes in body weight / body fat percentage (FIG. 7).
(B)), health checkup HD and health events HE, HS
Graphing the changes over time, HE,
Each time I participate in the HS, the numerical value changes, and this can be visually and easily recognized. In the example of FIGS. 7A and 7B, the respective blood pressures at the time of participating in the health briefing session HE and the health seminar HS conducted during the first health examination HD1 and the second health examination HD2,
Weight and body fat percentage tend to decrease gradually.
And create a report RP based on this evaluation result,
It is individually distributed to the examinees M. Therefore, it is difficult for the examinee M to grasp the health condition of each medical examination HD, which was difficult in the past.
Can be recognized. As a result, awareness of health will continue to improve, and people will be closer to a healthier life.

On the other hand, as shown in FIGS. 8A and 8B, the health improvement evaluation RE for each company C can be performed. That is, it is possible to analyze the participation status in various health events HE, HC, and HS and the change in the judgment classification of the diagnosis result in each inspection item. For example, the first health check H
When various health events HE, HC, HS are held between D1 and the second health checkup HD2, the change in the judgment classification becomes worse between those who participated in such events and those who did not. When divided into maintenance and improvement, as shown in FIGS. 8 (a) and 8 (b), it is often the case that those who clearly participated in the event improved the determination result.
That is, it is possible to evaluate the entire specific group such as the company C and recognize the usefulness of the health information management system 1 of the present embodiment.

On the other hand, if there is no instruction to carry out the health improvement evaluation RE (NO in step S36), it is detected whether or not there is an instruction to carry out the health communication instruction HC again (step S).
38). When health communication guidance HC is to be re-executed (YES in step S38), the process returns to step S25. On the other hand, if the health communication guidance HC is not re-executed (NO in step S38), the presence or absence of an instruction to re-execute the health seminar HS is detected (step S39), and if it is re-executed (YES in step S39), The process returns to step S31. On the other hand, when the re-execution is not performed (NO in step S39), the process proceeds to step S42. As a result, the health communication guidance HC and the health seminar HS can be repeated based on the implementation schedule DS.

Then, the presence or absence of the system termination instruction is detected (step S42), and if the system termination instruction is present (YES in step S42), the system is terminated (step S43). On the other hand, if there is no instruction to terminate the system (NO in step S42), step S1
Return to processing and continue the system.

As described above, the health information management system 1 of this embodiment stores the health information 3 of the examinee M after the health examination HD in the health information database HID of the health management computer 2 and manages it. can do. Furthermore, the health history 3 that the examinee M has experienced at the health events HE, HC, and HS can be received as the execution history information DI, and the health information 3 can be sequentially updated. Thereby, the health condition of the examinee M can be continuously grasped, and the health condition of the examinee M between the conventionally difficult health examination HD1 and the next health examination HD2 (see FIG. 7) can be managed. Further, the improvement effect can be evaluated as a health improvement evaluation RE for each examinee M or each group. In particular, when a company or the like adopts the health information management system 1 of the present embodiment and carries out health management, it is possible to easily make the manager or person in charge of the company aware of the usefulness of this system. Therefore, the effect of increasing the number of companies adopting this system can be expected. It is also possible to connect the health management computer 2 to a terminal device installed in the company C or the like via a communication network such as the Internet and execute the health improvement evaluation RE in real time according to an instruction from the terminal device.

Also, at the health events HE, HC, HS,
Each can receive appropriate guidance and advice from health-related staff. Furthermore, the health information 3 of the examinee M
Is sequentially updated to the health information database HID as a whole, it is possible to give instructions according to the situation. In addition, the health awareness of the examinee M can be improved, and promotion of health can be promoted more effectively.

Furthermore, in this embodiment, various health events H are performed according to the preset execution schedule DS.
By carrying out E, HC, and HS, the health condition of the examinee M can be continuously grasped and managed for a long period of time. In addition, the medical examinee M having a health problem is selectively extracted based on the health information database HID to encourage participation in the health events HE, HC, HS, and further, a recommended medical examination RS at a medical institution is provided. Since it can be performed, early treatment can be recommended to people who have been left unchecked even after the medical examination HD has been poorly performed. Further, it is possible to prevent the health condition from further deteriorating.

Although the present invention has been described above with reference to the preferred embodiments, the present invention is not limited to these embodiments, and as shown below, within the scope not departing from the gist of the present invention. Various improvements and design changes are possible.

That is, in the health information management system 1 of the present embodiment, the processing flow of the health management computer 2 has been shown based on the flowcharts of FIGS. 3 to 6.
It is not limited to this. For example, the implementation schedule DS in which the implementation order and the number of implementations of the various health events HE, HC, HS are set can be appropriately selected and combined according to the situation of the individual company C or the like. Further, the recommended medical examination RS is shown at the same time as the health briefing session HE, but the present invention is not limited to this, and it is individually provided to the person SM to be inspected during each health event HE, HC, HS. You can do it. At this time, the medical examination information RI can be received each time.

Health events HE, HC, and
The content of the HS is not limited to advice and guidance, and can be changed according to the situation. For example, at the health briefing session HE and the health seminar HS, the execution target regarding the health of the participants is set, and the next time. The degree of achievement of the goal at the event may be evaluated, or the health related product may be experienced and sold. Furthermore, since family environment is important for improving lifestyle, it is possible to allow family participation.

Further, as means for receiving various information such as the execution history information DI, for example, a health event HE,
It is also possible to receive information by connecting a computer installed in each of the HC and HS venues and the home of the examinee M and the health management computer 2 to a communication network such as the Internet. As a result, the work of inputting data can be reduced, and the health information database HID can be updated in real time. At this time, needless to say, the health management computer 2 and the computer need to be provided with a communication means such as a modem. Furthermore, the created report RP and the like can also be transmitted as electronic information. Further, by constructing a system connected to the above-described network, it is also possible to notify the recommended medical examination RS to the person SM to be inspected by these network systems, and the labor for notification can be saved.

[0066]

As described above, claim 1 or claim 2 is provided.
The health information management system of the invention can manage the health information of the examinee between the health examinations by the health management computer. In addition, execution history information including the participation history of various health events (health briefing sessions, health communication guidance, health seminars) in which the examinees participated, and the results of newly performed health checkups were added to the health information. hand,
The health information database can be updated. Then, based on the updated health information database, it is possible to compare and evaluate the effect of improvement related to health by each examinee or each group to which the examinee belongs. This makes it possible to recognize the usefulness of the system. Further, since a plurality of health events are carried out according to the implementation schedule set based on the combination between the health examinations, it is possible to grasp the health information of the examinee between the health examinations in more detail. Moreover, depending on the situation, appropriate advice and the like can be received from health-related staff each time, so that the health condition of the examinee is less likely to deteriorate.

According to the health information management system of the third aspect of the invention, in addition to the effect of the health information management system of the second aspect of the invention, the doctor can correct the diagnosis result, and the correction information including the correction content is the execution history information. Attached to the health care computer. As a result, the health information database based on the accurate diagnosis result is constructed, and the accuracy of the health information management system using this is improved.

According to the health information management system of the fourth aspect of the invention, in addition to the effect of the health information management system of any one of the first to third aspects of the invention, an inspector requiring a detailed examination is selected. It Then, the health management computer can receive the medical examination information including the medical examination condition that the extracted person to be inspected has medically examined at a medical institution or the like. Thereby, the examination progress of the person requiring inspection can be grasped.

By executing the health information management program of the inventions of claims 5 to 7, the health management computer achieves the effects of the health information management system of the inventions of claims 1 to 4 described above. be able to.

[Brief description of drawings]

FIG. 1 is an explanatory diagram showing a configuration of a health information management system according to an embodiment.

FIG. 2 is a block diagram showing a functional configuration of a health management computer in the health information management system according to the embodiment.

FIG. 3 is a flowchart showing a processing flow of a health management computer.

FIG. 4 is a flowchart showing a processing flow of a health management computer.

FIG. 5 is a flowchart showing a processing flow of a health management computer.

FIG. 6 is a flowchart showing a processing flow of the health management computer.

FIG. 7 is a graph showing an example of a health improvement evaluation for each examinee, and is an explanatory diagram showing a) changes in blood pressure and b) changes in weight / body fat.

FIG. 8 is a graph showing an example of a group health improvement evaluation, and is an explanatory diagram showing changes in a) the state of improvement of hypertension and b) the state of improvement of hyperlipidemia.

[Explanation of symbols]

1 Health information management system 2 health management computer 3 health information 11 storage means 12 Extraction means 13 Execution information reception means 14 Update means 15 Comparative evaluation means 16 Report preparation means 17 Corrective measures 18 Inspector required extraction means 20 Medical examination information reception means CI correction information DI execution history information DR diagnosis result DS implementation schedule HC health communication guidance (health event) HD, HD1, HD2 health examination HE health briefing session (health event) HID health information database HS Health Seminar (Health Event) LR Lifestyle Survey Results M examinee RE Health improvement evaluation RI consultation information RP report SM inspector required

Continued front page    (72) Inventor Masahiro Ochiai             20-20 Izumi 2-20, Higashi-ku, Nagoya-shi, Aichi             Expression company Amano Sokenai (72) Inventor Noriyuki Hayashi             20-20 Izumi 2-20, Higashi-ku, Nagoya-shi, Aichi             Expression company Amano Sokenai (72) Inventor Etsuko Yamada             20-20 Izumi 2-20, Higashi-ku, Nagoya-shi, Aichi             Expression company Amano Sokenai (72) Inventor Yuko Yoshida             20-20 Izumi 2-20, Higashi-ku, Nagoya-shi, Aichi             Expression company Amano Sokenai

Claims (7)

[Claims] 1. A health management computer manages information related to the health of a medical examinee who has undergone a medical examination that is continuously or regularly performed a plurality of times in a specific group including companies and schools. A health information management system, wherein the health management computer creates health information for each examinee based on a diagnosis result of the health examination and a lifestyle habit survey result regarding the lifestyle of the examinee, and stores the health information in a health information database. A storage unit for storing, and an extraction for extracting the examinee who participates in a health event for improving a lifestyle performed between the medical examination and the next medical examination based on the health information of the health information database. Means, and an execution record including a participation history and an experience history in which the examinee extracted by the extraction means participates in the health event. Execution information receiving means for receiving information, at least one of the execution history information received by the execution information receiving means and the diagnosis result of the health check newly performed and the lifestyle survey result of the examinee Update means for adding to the health information and updating the health information database, and comparing the updated health information database with that before the update to evaluate the health improvement of at least one of the examinee and the group. A health information management system, comprising: a comparative evaluation means for performing; and a report preparation means for preparing a report based on the result of the health improvement evaluation evaluated by the comparative evaluation means. 2. The health event is provided to the examinee by using a health information session where health related staff including doctors explain and guide the diagnosis result, and communication means including mail or email. Includes at least one of health seminars that conduct health improvement communication that provides life improvement guidance, convenes the examinees, and conducts group education that includes presentations of experiences between the examinees, and during the mutual medical examination. , The types of health events,
The health information management system according to claim 1, wherein the health information management system is implemented based on an execution schedule set by combining an execution order, an execution frequency, and an execution frequency. 3. The execution history information is correction information created by the doctor when it is determined by the doctor that the diagnosis result needs to be corrected in an interview between the doctor and the examinee at the health briefing session. 3. The health information management system according to claim 2, further comprising: a modification unit that modifies the health information of the examinee based on the modification information. 4. The health care computer, based on the diagnosis result, a required person to be inspected extracting means for extracting an required person to be inspected that requires a detailed examination at a medical institution, and the inspected person to be inspected from the medical institution. Medical information reception means for receiving medical examination information including the medical examination status or reason for non-medical consultation in the above, and the second medical information updating means for adding the medical examination information received by the medical examination information receiving means to the health information and updating the health information database. The health information management system according to any one of claims 1 to 3, further comprising: 5. A storage unit that creates health information for each of the examinees based on the result of the health examination and the result of the lifestyle habit survey regarding the lifestyle of the examinee and stores it in the health information database, the health examination and the next time. Extraction means for extracting, based on the health information in the health information database, the examinees who participate in a health event for improving lifestyle habits performed during the medical examination, and the examinees extracted by the extracting means. Participation history that participated in the health event, and execution information receiving means for receiving execution history information including experience history, the execution history information received by the execution information receiving means and the diagnosis result of the newly executed health check And / or at least one of the lifestyle survey results is added to the health information of the examinee, and the health information database is added. By updating means for updating the health information, comparing the updated health information database with that before updating, and conducting a health improvement evaluation for at least one of the examinee and the group, and the comparative evaluation means. A health information management program characterized by causing a health management computer to function as a report creating means for creating a report based on the evaluated result of the health improvement evaluation. 6. The execution history information further includes correction information created by the doctor when the doctor determines that the diagnosis result needs to be corrected in an interview between the doctor and the examinee at a health briefing session. The health information management program according to claim 5, further comprising: causing the health management computer to further function as a correction unit that corrects the health information of the examinee based on the correction information. 7. An examinee-requiring person extracting means for extracting an examinee-requiring person who needs a detailed examination at a medical institution based on the diagnosis result, and a medical examination situation or non-examination from the medical examiner. The health management computer is used as a second updating means for adding medical examination information received by the medical examination information receiving means for receiving medical examination information including a reason, and the medical examination information received by the medical examination information receiving means, and updating the health information database. The health information management program according to claim 5 or 6, characterized by further functioning.