JP2003296448A - Medical care reservation management method and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a unified reception method for patients including reserved patients and those without reservation and a means for smoothly determining the medical care order and improving a notification method in a method for controlling the reservation of the medical care time zone in a case where a necessary time is fluctuated for every patient, for every doctor examining the patient, or according to the content of the medical care just like an examination and a treatment in a hospital, the reservation of the medical care managing the practical medical care reception order, and the reception order. <P>SOLUTION: This medical care reservation management method is provided with a medical care time storage means 2 storing statistical information of the medical care time corresponding to a medical care window ID and a patient ID, a reception information storage means 12 storing the medical care reception information in a time frame for every medical care window ID, a reservation condition input means 3 for inputting medical care conditions, a medical care time results search means 7 searching result values of the medical care time from the medical time storage means 2, and a reception information updating means 9 setting the medical care reception information based on the medical care conditions and the medical care time result values. <P>COPYRIGHT: (C)2004,JPO

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention changes the required time for each patient, each doctor to be examined, and the contents of medical treatment, such as medical examination and treatment in hospitals, clinics, etc. (hereinafter referred to as hospitals). The present invention relates to a method for reservation of medical treatment hours and management of actual medical treatment reception order and management of medical treatment reception order.

[0002]

2. Description of the Related Art Conventionally, most of the methods for reserving medical treatment in a hospital and receiving medical treatment on the day have been as follows. In other words, for appointment, set a time frame for each consultation window, decide how many people can be accepted for each unit time frame, find an opening in the time frame desired by the patient, and receive medical treatment in that time zone as a guide I am making a reservation.

In addition, the treatment of non-reserved patients is determined in the order of reception on the day, at the discretion of the clerk or the nurse, while deciding the order of treatment while observing the progress of medical treatment and the availability of reserved patients.
In this way, medical treatment depends on the subject, the doctor in charge, and the content of medical treatment.
Furthermore, since the time required for each patient changes each time, it is difficult to carry out the actual medical treatment time at the hospital as scheduled, so far we have proposed the following improvements and ingenuity of the medical treatment time reservation reception method. Has been done.

In Japanese Patent Laid-Open No. 7-93409 (reservation management system), a reservation screen having input fields for a reservation date, a reservation start time, and a required time is provided with a treatment input field for inputting a treatment to be performed on the reservation date. When the treatment code is input, the required time corresponding to the treatment code is retrieved from the treatment table and reflected as reservation data to realize accurate reservation time management.

Further, Japanese Laid-Open Patent Publication No. 8-22491 (acceptance system) provides, for each doctor, capability information indicating the number of patients who can be treated during a predetermined time frame set by dividing the time into predetermined unit times. By setting a doctor ability table to be stored in each doctor and providing schedule information for each doctor indicating the hours during which medical treatment can be performed, the patient can be specifically requested and notified of the scheduled start time of medical treatment at the time of reception. A reception system has been proposed.

[0006]

As described above, in the general medical treatment reservation acceptance system which has been conventionally implemented, the reservation is made depending on how many people can be accepted in a unit time. Therefore, the number of persons accepted per unit time is limited. Was inflexible in operation and became an obstacle in operation. In addition, the reservation time at the time of reservation acquisition is a guide only, and the actual medical treatment time will be postponed or changed a lot as a result of repeating the order with the non-reserved patient, so reservation at the time of reservation acquisition There is a need for certainty that medical treatment will be actually performed during these hours.

[0007] In particular, regarding the order of reception of non-reserved patients, the reserved patients are managed by "time", while the non-reserved patients are managed by "reception order", and each management method is different. Therefore, the actual drawing in to the examination room is managed in order according to the judgment of the receptionist, the nurse, etc., which is unfair and may cause trouble. Also,
If the appointment time is surely linked to the medical treatment time, the operation tends to be restricted by the acquisition frame, and when the progress of the actual medical treatment fluctuates, the operation rate is deteriorated or the operation is not smooth.

Further, even with the proposed publicly known technique, according to Japanese Patent Application Laid-Open No. 7-93409 (reservation management system), the time required for medical treatment is further improved by using the treatment code indicating the content of medical treatment. Although it has the effect of improving accuracy, it seems that the solution to the other problems mentioned above cannot be realized. Another known technique, JP-A-8-22491
In the gazette (acceptance system), it may be possible to improve the accuracy of notifying the expected waiting time by specifically asking the patient for the scheduled start time of medical treatment at the time of reception, but handling unscheduled patients, And it seems that the problems of smooth operation and efficiency cannot be solved.

In order to solve the above problems, the present invention provides a unified reception method including reserved patients and non-reserved patients, and means for realizing a smooth determination of medical treatment order and improvement of a notification method. The purpose is to

[0010]

FIG. 1 shows a block diagram of a medical treatment reservation acceptance management device of the present invention. Each program of the present invention causes a computer to function each means constituting the apparatus. Medical appointment reservation management device reserves medical treatment in advance to receive medical examinations, examinations, treatments, etc. by doctors at hospitals, or accepts medical examinations on the day and waits for turns at each actual medical examination location. The figure shows means for controlling the flow of medical treatment of a patient, and relating to functions of reservation reception, medical reception reception of reserved patients and non-reserved patients, and medical record management. The configuration shown in the figure will be described below.

Reference numeral 2 is a medical service ID that identifies a medical service queue.
And a medical treatment time storage means for storing statistical information of the time required for medical treatment corresponding to the patient ID for identifying the patient. The actual time of medical treatment is statistically processed and stored for each medical treatment counter and for each patient who receives the medical examination. 12 is the medical service I
It is a reception information storage unit that stores reception information of medical treatment in a time frame set by being divided for each D. Although medical treatment is scheduled for each day, a medically scheduled time zone is scheduled for each medical treatment counter, but the time frame set by dividing the time of medical treatment for patients when reserving medical treatment or receiving medical treatment is set. I'm trying to get things planned for either.
That is, this reception information includes the patient ID, the estimated time required for medical treatment of the patient, and the medical treatment order within the time frame for each patient who has already reserved medical treatment in each time frame or has received the medical treatment on the same day. It is information.

Regarding reservation reception, 3 is a reservation condition input means for inputting a reservation condition including at least a patient ID for identifying a patient who wishes to receive medical treatment, a medical service ID, and a time frame set separately. Numeral 9 is a medical treatment time record searching means for searching the statistical value stored in the medical treatment time storage means 2 for the actual value of the medical treatment time corresponding to the inputted reservation condition, and 9 is the inputted reservation condition and the searched medical treatment time. It is a reception information updating unit that sets reception information for medical treatment of a patient in the reception information storage unit 12 based on the actual value.

[0013] Next, regarding medical treatment reception, when receiving medical treatment of a non-reserved patient who has not reserved medical treatment, 4 inputs a medical treatment counter ID, a patient ID, and a time frame for which medical treatment is desired as medical treatment reception information, and reserves the patient. Is a medical treatment reception input means for inputting the patient ID to search the reception information and input the medical treatment reception information based on the reservation information when 8 arrives at the hospital, and 8 is the reception information stored in the reception information storage means 12. Is a reception information retrieving means for retrieving in the input time frame, and 10 is set to have a number obtained by adding 1 to the number of reserved patients existing in the reception information in which the medical treatment order of the non-reserved patients in the time frame is retrieved. When the medical treatment is received when the reserved patient arrives, the medical treatment order notifier notifies the medical treatment order of the numbers starting with 1 in the order of arrival among the reserved patients within the same time frame. It is.

Reference numeral 11 indicates the time required for medical treatment searched by the medical treatment time record retrieving means 7 in the time frame input as the medical treatment condition by the reception information updating means 9 from the reservation condition inputting means 3 or the medical treatment reception inputting means 4. When the remaining time stored as the reception information of the frame exceeds the remaining time of the time frame before and after the time frame, the medical time frame changing means changes the start time and the end time of each time frame.

Regarding the medical record management, 1 is a medical treatment start time notifying means for notifying the medical treatment start time together with the medical treatment counter ID and the patient ID, and 5 is a medical treatment end for notifying the medical treatment end time together with the medical treatment counter ID and the patient ID. Reference numeral 6 is a time notifying means, which indicates a medical treatment time calculated from the notified start time and end time of the medical treatment in correspondence with the medical treatment contact ID and in combination with the combination of the medical treatment contact ID and the patient ID. This is a medical-care-time record update unit that updates the actual statistical value of the medical care time stored in the storage unit 2.

[0016]

BEST MODE FOR CARRYING OUT THE INVENTION In this embodiment, a form realized by a computer program executed on a computer used for general purpose such as a personal computer and a workstation is shown. The medical treatment reservation management program of the present invention is realized as a medical treatment reservation reception management device by executing it as a computer program on a computer including a processing device, a main storage device, an input / output device, and the like. The computer program is provided by being stored in a portable medium such as a floppy (registered trademark) disk or a CD-ROM, a main storage device or an auxiliary storage device of another computer connected to the network, or the like.

The computer program of the present invention is loaded directly from a portable medium to a main storage device of a computer, or in a computer provided with an auxiliary storage device, once copied or installed from the portable medium to the auxiliary storage device, the main program It is loaded into the storage device and executed. In addition, even if it is stored in another device connected to the network and provided, it is loaded into the main storage device after being received from the other device via the network, or in a computer provided with the auxiliary storage device, the auxiliary storage device. It is loaded into the main memory and executed after copying.

FIG. 2 shows a block diagram of an embodiment of the present invention. In the present embodiment, for a patient who receives medical treatment at a hospital, a medical treatment time zone that is close to the patient's desired time is found in a pre-scheduled medical treatment time period, and medical treatment is booked. The present invention relates to medical treatment reservation reception management for confirming the medical treatment order of a reserved patient, and also for non-reserved patients who have not made medical treatment reservations and confirming the medical treatment order.

First, the structure will be described with reference to FIG. Two
Reference numeral 0 denotes a medical treatment appointment reception management device, which realizes functions such as reservation reception, reserved patient medical treatment reception, non-reserved patient medical treatment reception, medical record management, and reception information management by executing a computer program provided in a computer. Is.
Reference numeral 201 denotes a patient DB, which stores attribute information about the patient and medical care time record statistical data based on the medical record of the patient. Reference numeral 202 denotes a medical care DB, which stores the medical care reception information received in the medical care time frame of each medical care counter of the hospital, the status information according to the progress of medical care, and the medical care time record statistical data of each medical care counter. To do. Each computer program advances the execution of the process based on the information stored in these databases.

The patient possesses a patient ID card issued when he / she receives medical treatment at a hospital, and the attribute of the person can be presented by using this. Reference numeral 21 is a reservation acceptance machine, and the patient presenting the patient ID card 211 is a reservation acceptance machine 2
Make a reservation using 1. For patients who do not have or have not issued this ID card, the reception desk 23 operated by the hospital staff at the counter makes reservations, registers arrivals for the consultation of the reserved patients, and accepts medical treatments for non-reserved patients. At the time of registration of arrival of a reserved patient or reception of medical treatment of a non-reserved patient, a medical treatment order slip 231 is issued at the window reception machine 23.

Further, a reserved patient who has brought the patient ID card 221 can use the medical reception desk 22 to receive medical treatment on the day. At this time, the medical treatment order slip 222 is issued. As will be described later, the medical treatment order slip 222 or 231 is presented with the medical treatment order for each divided time frame. Medical treatment in the hospital includes medical examination in the examination room 24, examinations such as electrocardiogram and radiography in the examination room 25, and treatment in the rehabilitation room 26. Multiple medical treatments are performed in parallel and divided into respective time frames. Since we will treat patients, we will have to queue up for each treatment and wait for their turn. This medical treatment order is the medical treatment order sheet 222 issued by the medical treatment reception desk 22 on the day.
Alternatively, the medical order slip 231 issued at the reception desk 23
It is operated in the order shown in.

When the medical treatment is completed and completed, the medical treatment DB 2
The state of the reception information stored in 02 is updated, and the time required for medical treatment at each medical treatment counter is divided into the medical treatment DB 202, and the time required for medical treatment for each patient is further divided for each medical treatment counter in the patient DB 201. The data is statistically processed, updated, and stored. As described above, the medical treatment appointment reception / management apparatus according to the embodiment of the present invention uses the statistical information of the past medical treatment results regarding the medical treatments that have been reserved and received on the same day, or the medical treatments that the non-reserved patients have received on the same day without reservation. Scheduled based on the above, and implemented in a fair order so that it can be smoothly implemented at each consultation counter, and as a mechanism to increase the accuracy of estimating the time required for future medical treatment by recording statistical information of medical treatment results. It is intended to work.

FIG. 3 is an explanatory view (1) of the medical treatment time frame and the medical treatment order. Thus, the reservation management method according to the embodiment of the present invention will be described as an example. In (a), the medical treatment time frame of the doctor K of internal medicine is illustrated. Doctor's consultation is one of the medical treatments that can be queued up, and a timetable for medical treatment is prepared for each medical treatment counter, and the scheduled patients are allocated and reserved. That is, it is assumed that each patient will be treated between what time of day and what time of day, so that he / she promises to come to the examination room and wait in that time zone.

A time frame is defined as a time zone in which the timetable is divided and set. In FIG. 3A, the time frames NK (1) to NK (6) of the doctor K of the internal medicine are illustrated at intervals of 30 minutes. As a spare time from 12:00 to 30 minutes, it is a time used when there are many patients who desire the morning or when the actual medical treatment time exceeds the schedule. FIG. 3B illustrates a state in which the patients reserved for the time frame NK (1) and the non-reserved patient mm are accepted. Here, the reserved patient aa reserves a medical treatment time of 10 minutes, the reserved patient bb reserves a medical treatment time of 5 minutes, and the non-reserved patient mm who has received medical treatment on the day has a reservation of 5 minutes, which is 30 minutes. It indicates that the remaining time of the time frame is 10 minutes.

Here, the medical treatment time of each patient is set as the medical treatment time required for the current medical treatment based on the past statistics of medical treatment. For patients who have no medical history, it is set based on the statistical value of the medical hours for each medical service. A circle mark attached to each patient ID indicates a reserved patient. In addition, the circle with a number is the order of medical treatment numbered when receiving medical treatment for medical treatment on the day. The medical treatment order is the order within the time frame of each medical treatment. This is for the patient mm and indicates that it is the third medical examination order. Only non-reserved patients mm have a medical treatment order, as shown here, even if there are reserved patients in the same time frame and the medical treatment on the day has not been completed yet. This is possible because the numbers are assigned so that the order is later than that of the reserved patient of another person.

Next, in FIG. 3C, the reserved patient b
Since b has accepted the medical treatment on the day, the first number is assigned to the reserved patients in the same time frame. In FIG. 3 (d), the medical service reception time on the day is set to be a deadline rather than reception after a predetermined time for each time frame of each medical treatment, and reserved patients who have not received the medical service by that time. Indicates that the reservation is canceled. That is, since the reserved patient aa indicated by ● is canceled, this reserved time zone is incorporated in the remaining time.

Then, as shown in (e), when the medical treatment of the patient who has received the medical treatment within the time frame is completed, this remaining time is recombined with the remaining time of the next time frame, and the remaining time of the next time frame is reduced accordingly. The start time is advanced. In the embodiment of the present invention, as described above, the operation of allocating the reserved patient and the non-reserved patient to the medical treatment time frame and notifying the medical treatment order at the time of reception proceeds.

FIG. 4 is an explanatory view (No. 2) of the medical treatment time frame and the medical treatment order. Here, a method of allocating medical treatment by expanding or changing a desired time frame at the time of reservation reception or at the time of reception of medical treatment of a non-reserved patient on the day will be described. When there is a new medical treatment request in the time frame, the time required for medical treatment uses the value determined from the actual statistical information as described above. If there is enough remaining time in this time frame for this time or more, it can be assigned there, but when the remaining time in that time frame is insufficient, there is remaining time in the preceding and following time frames and it is desired by incorporating it. The time frame is changed when it is possible to receive medical treatment during the time frame.

As a concrete example, FIG. 4 (a) shows the arrangement of the medical treatment time frames of the doctor K of internal medicine. When there is a new reservation request for NK (3), as shown in (b), NK
When the remaining time of (3) is 12 minutes and the medical treatment time of, for example, 24 minutes is required, the time frame NK (2) before and after that,
The remaining time in NK (4) is 12 minutes and 24 minutes, respectively, so by incorporating from these, it is possible to reserve a time of 24 minutes.

At this time, the time frame is changed so that the central time does not change and the remaining time is equally incorporated. This example shows how this is achieved by incorporating the remaining time of 6 minutes each. According to this method, it is possible to make a medical treatment schedule so that the medical treatment appointment scheduled in each time frame can be realized and the remaining time can be effectively used.

Next, in order to realize each function of the embodiment of the present invention, a configuration of information stored in the medical care DB 202 and the patient DB 201, which are commonly referred to and updated by each computer program of the medical care reservation acceptance management device. Will be described. The patient DB 201 stores the attributes and various histories of each patient. Specifically, FIG. 5B shows an example of the patient-by-person individual medical care time record statistical information. Also, medical care DB
202 stores information necessary for common control.
Specifically, FIG. 5 (a) shows an example of the medical service time-based statistical information by medical service counter, and FIG. 6 shows an example of the medical service time frame by medical service hospital and the reception information stored therein according to the explanatory diagram of the medical service reception information. Is shown.

First, the medical treatment time record statistical information for each individual patient will be described with reference to FIG. The structure of this information corresponds to the unit of medical care received in the past corresponding to the patient ID for identifying each patient,
That is, it is composed of a medical care counter ID indicating a counter that has formed a queue for receiving medical care, a total of medical care times received there, the number of times of medical care, and an average medical care time calculated therefrom.
Specifically, in FIG. 5 (b), the patient aa has an internal medicine AA doctor (N
AA) received medical treatment 5 times, and the total medical treatment time is recorded as 50 minutes. Similarly, it shows that the patient has undergone two X-ray examinations (XRR) and is recorded as taking a total of 40 minutes. And these average times are 10
Minutes and 20 minutes are calculated.

In the embodiment of the present invention, when the reservation is received, the actual results for each patient are referred to this DB, and if the ID of the medical treatment to be visited this time is stored, the statistical value calculated here, for example, the average. By using the medical treatment time, the medical treatment time is estimated for each patient and each medical treatment to be received and used as a reservation time. This statistic, as shown here, can be used for recent past data as well as for all past practice. That is, it is necessary to deal with changes in medical care technology, patient symptoms, doctor technology, etc., and various statistical values may be used.

When the patient is a medical treatment department having no medical treatment history, the medical treatment time statistical information for each medical treatment counter shown in FIG. 5A is used. Explaining with the specific example shown here, the cumulative time of medical treatment for each medical treatment ID,
The number of medical treatments and the average medical treatment time as one of the statistical values are stored, and are stored in a part of the medical treatment DB 202.

The record of the medical treatment time as described above can be input in batch from another device which records the medical treatment time every time the medical treatment is performed, and can be input in real time. Alternatively, the end time may be received to count the number of medical treatments and accumulate the medical treatment time. Before moving on to the description of the operation of each function, the reception information commonly referred to and updated will be described with reference to the explanatory view of the medical treatment reception information in FIG. FIG. 6A shows an example of the medical treatment time frame by medical treatment counter. Up to now, it has been explained that the time frame for medical treatment is divided and set for each medical treatment counter that forms a line for the patient to receive medical treatment. This setting of the medical treatment time frame is performed by dividing the medical treatment time zones of the medical treatment counters according to the medical treatment type and other circumstances, and a specific example is shown in FIG.
The content of (a) will be described. Here, the internal medicine A that provides medical treatment
It shows the setting of a medical treatment time frame of a doctor A and a doctor BB on a certain day, and the doctor AA sets the time frame by dividing from 9:00 to 12:00 in 30-minute increments. Each time frame should be identified by ID, and NAA (1) from 9:00 to 9:30
Shows the medical treatment frame for the time period up to the minute. The time from 12:00 to 30 minutes is a spare time, which is used for adjusting the time for reservation and medical treatment.

The setting of the time frame for the BB doctor of internal medicine is to set the medical treatment time from 10:00 to 15:00, and from 10:00 to 1 hour, 11
An example is shown in which three time frames, one hour from hour and one hour from 14:00, are set. In this way, the time frame is set under each condition for each medical care unit forming the medical care queue. In FIG. 6B, the medical treatment is reserved, the medical treatment is accepted on the day, and the time frame of the medical treatment is changed as the actual medical treatment progresses, and the reservation reflecting these changes is made. It shows a state in which information for controlling reception and guidance of external patients according to the actual situation is collectively stored in the medical care DB 202 as reception information.

The figure specifically shows an example of reception information regarding the medical treatment time frame of the internal medicine AA doctor as of 9:10 on March 14. As shown in (a), the medical treatment time frame NAA (1) has a start time of 9:00 and an end time of 9:30, and two patients currently reserved and one patient who is not reserved and accepted on the day are recorded. . Reservation patient aa is scheduled treatment time 10 minutes, patient b
In b, the schedule of 5 minutes is recorded. Unscheduled patient mm has scheduled medical treatment time of 5 minutes. The current time is 9:10, and the time frame NAA (1) is the time when the medical examination is actually progressing. In addition, the medical service reception of each time frame ends at a predetermined time before the start time, and the medical service reception of NAA (1) is completed. When the medical reception is completed, the reservation of the reserved patient is canceled if the medical reception is not completed by then.

[0038] In this example, the patient aa was recorded as a reserved patient, but since the medical treatment was not accepted, the cancellation is indicated by a cross mark in the medical treatment order. Moreover, the cross mark is also shown in the actual medical treatment time so that the actual result is not recorded. Remaining time is the scheduled medical treatment time for reserved patients and non-reserved patients who received medical treatment outside the same day reservation within 30 minutes of this medical treatment time frame, and for the treated patients, 8 minutes after subtracting the total medical treatment time of 22 minutes It can be seen that is recorded. For patient bb, the actual time has become 7 minutes, which is longer than the scheduled 5 minutes after completion of medical treatment.

As for the medical examination order, the reserved patient bb, which was in time for the medical treatment reception time, was the first receptionist among the reserved patients in this time frame, and therefore the first appointment was for the non-reserved patient mm, which was the first time at the time of reception on the day. Since the patient was an unscheduled patient, the leading order, that is, the number 3 in the order after the two reserved patients was added. In this state, patient mm is under medical treatment, but when the medical treatment is completed, this time frame NAA (1) stores the actual time, and as a result, the remaining time remains in the next time frame NAA.
It will be incorporated in (2).

Since the structure of each DB and the role of the reception information have been clarified by the above-mentioned examples, the operation of each function will be described below with the flowchart. FIG. 7 shows a flow chart of reservation reception. As shown in step S71, the appointment is normally made by the day before, the consultation window ID (medical treatment subject, doctor name if necessary), date, time zone, patient ID to be seen.
By inputting (patient name) into the medical treatment reservation acceptance management device according to the embodiment of the present invention, the acceptance processing starts with this as a reservation condition.

The reservation conditions may be entered at the hospital counter, or the contents accepted by telephone may be entered by the receptionist into the reception desk 23, or the patient may enter the reservation reception desk 21.
You may input by operating. Further, it may be input via the Internet or via a mobile terminal. Step S72
Then, the patient DB 201 is searched by the entered patient ID, and if the clinic contact ID desired for the clinic this time is registered, the average value of the actual time required for the clinic recorded corresponding to that is acquired. In the case of a patient who has not received this hospital so far, the medical care DB 202 is searched by the medical care ID and the average value of the time required for medical care is acquired as the actual statistical value of the corresponding medical care counter.

In step S73, the time estimated to be required for medical treatment acquired here and the free time (remaining time) of the reservation stored in the medical treatment DB and stored and managed as the medical treatment reception information for each time frame are set. By comparison, it is determined whether or not it is possible to allocate to the selected time frame. If not, step S7
In step 4, reselection of the time zone is requested to the person in charge of the appointment process or the patient, an empty time frame is displayed, and the desired time frame is selected.

In step S75, the reception information of the time frame for reserving the input reserved patient ID and the retrieved medical time actual result statistical value, which is the scheduled medical time and the remaining available time, is updated. In this way, the reservation remembers which patients will be scheduled for treatment on the specified date, consultation desk, and time frame, and how much more time is available to book for that time frame. Has been updated.

Next, FIG. 8 shows a flow chart for receiving medical treatment. If the patient is a reserved patient in step S81, the medical care acceptance device 22 is caused to read the patient ID card and the patient ID is input in step S83, and the reserved content is searched for in the medical care DB 202 for medical treatment by checking the reserved content in step S84. It is acquired as reception information within the consultation time frame of the counter. And patient ID
The reception information corresponding to is updated from the reservation state to the medical treatment reception state, and in step S85, the medical treatment order within the time frame is numbered and issued with the reception order number among the reserved patients within the same time frame.

If the patient is an unscheduled patient in step S81,
In the same way as the person in charge of reception at the counter explained the processing of the reservation reception, in step S82, the patient ID, the medical treatment ID, and the medical treatment time frame are input, and the medical treatment actual time statistical value by the patient ID or medical treatment for each medical treatment medical treatment is performed. Search for time statistics and enter the expected medical treatment time. In the case of a non-reserved patient, a new medical treatment time is secured in the time frame in step S84, and therefore the remaining time indicating the medical treatment receivable time of the time frame is deleted by the allocated time and updated.

In step S85, in the case of a non-reserved patient, the medical treatment order is numbered in the order of reception starting from the number obtained by adding 1 to the number of reserved patients in the same time frame, and the order is notified. In this way, the medical treatment reception desk on the day uses the window reception machine 23 or the medical treatment reception machine 22 to notify that the reserved patient has arrived at the hospital for medical treatment and notifies the medical order, and for the non-reserved patient, the new medical reception is performed. Receive the desired time frame of medical treatment and notify the medical treatment order at the same time.

FIG. 9 shows a flow chart of medical record management. Both reserved patients and non-reserved patients are called in the order notified by the counter of each medical treatment queue to receive medical treatment, and the medical record is recorded each time each medical treatment is completed. As part of that, medical treatment is performed in step S91. The actual time is input from the examination room 24, the examination room 25, and the rehabilitation room 26 which performed each medical treatment to the medical treatment reservation acceptance management device by some method.

In step S92, the medical care time statistical information is updated for each medical care counter. That is, the medical care DB 202
The update of the statistical information stored in is performed so that at least the total value of the medical treatment times of all medical treatments at the medical treatment counter is added and the number of medical treatments is counted. As a result, the average value of the medical treatment time is obtained, and by using this value, the medical treatment time is estimated when the reservation of the patient who has no medical record is accepted.

In step S93, the patient DB 201
Regarding the update of the information for each patient stored in, the medical hours statistical information for each patient and each medical contact is updated. In other words, the above-mentioned actual medical treatment time is divided by the medical treatment counter for each patient and added up, and the number of times of medical treatment is counted. As a result, it is possible to estimate the time to reserve the medical treatment time of the patient who has received medical treatment based on the results of the average medical treatment time, and configure the reservation time frame with a time close to the actual time.

It should be noted that it is also possible to memorize these performance statistical values according to more detailed medical care contents and input the classification at the time of accepting a reservation, so that the accuracy can be more finely improved. (Supplementary Note 1) A medical treatment reservation management method executed in a device for managing medical treatment reservations and reception of a patient, wherein a patient ID for identifying a patient and a medical service ID for identifying a type of medical treatment.
And a step of receiving the medical treatment reservation desired date and the medical treatment reservation desired time as a medical treatment reservation, and a patient storing the actual statistical value of the medical treatment time required for medical treatment for each combination of the patient ID and the medical treatment contact ID at the time of the medical treatment reservation reception. The DB is searched for the actual statistical value of the combination of the patient ID and the medical contact ID at the time of receiving the medical appointment, and if there is the actual statistical value, the value is used as the time required for medical treatment to make the medical appointment. When the time is determined and there is no actual statistical value, the corresponding medical contact ID retrieved from the medical care DB storing the actual value of the medical time required for medical care for each medical care ID
Determining the medical treatment reservation time as the time required for the medical treatment based on the actual statistical value of No., determining the medical treatment reservation date and time based on the determined medical treatment reservation time, and using the determined medical treatment reservation date and time as the medical treatment counter ID And a step of storing the information in a reception information storage means that is divided for each settable time frame.

(Supplementary Note 2) The medical care appointment management method according to Supplementary note 1, wherein the medical treatment counter ID is an identification name corresponding to any of a subject name to be examined, a doctor name, a treatment name, and an examination name. (Supplementary Note 3) When the medical appointment time exceeds the remaining time within the corresponding time frame of the corresponding medical contact ID in the reception information storage means, the remaining time of the time frame before and after the outside time frame is taken in. The medical appointment management method according to appendix 1, further comprising a step of changing a start time and an end time of each of the time frames.

(Supplementary Note 4) A method for managing a medical treatment reservation executed in a device for managing medical treatment reservation and reception of a patient, wherein a patient ID for identifying a patient and a medical treatment counter ID for identifying the type of medical treatment are used as medical treatment reception. The patient ID and the clinic contact ID are stored in a reception information storage unit that stores the patient IDs that have been reserved by dividing into the time frame that is set for each clinic contact ID based on the date when the clinic is accepted. Search whether or not a reservation is made in combination with
If a reservation is made, the order of medical treatment is assigned in the order in which the medical reception is received among the reserved patients in the same time frame of the same medical treatment ID of the reception information storage means, and if no reservation is made, the reservation is made. As a non-patient, a step of sequentially allocating medical treatment order such that a number obtained by adding 1 to the number of reserved patients in the same time frame as the time when the medical treatment is accepted is first, and a medical treatment reservation management method. .

(Supplementary Note 5) At the time of receiving medical treatment for the non-reserved patient, the patient DB is searched for the actual statistical value of the combination of the patient ID and the medical contact ID. When the medical treatment reservation time is determined as the time required for medical treatment, and there is no actual result statistical value, it is determined from the medical treatment counter DB that stores the actual statistical value of the medical treatment time required for medical treatment for each medical treatment ID. The step of deciding the medical treatment reservation time as the time required for the medical treatment based on the actual statistical value of the medical treatment ID to be performed, and determining whether the determined medical treatment reservation time can be taken within the same time frame as when the medical treatment is received, and the reservation is made. If it is possible to take it, the medical treatment order is sequentially assigned so that the number obtained by adding 1 to the number of reserved patients is first in the time frame at the time of medical treatment reception. Booking time slots Capture the remaining time that has not been done,
Further changing the medical treatment time frame, and sequentially allocating the medical treatment order so that the number obtained by adding 1 to the number of reserved patients within the time frame at the time of medical treatment reception is stored in the reception information storage means. The medical appointment management method according to appendix 4, which is characterized in that

(Supplementary Note 6) The reception information storage means further stores a medical treatment reception deadline time, and when the medical treatment reception deadline time is exceeded, a reservation is made within the corresponding time frame and the medical treatment reception is made. 6. The medical treatment appointment management method according to appendix 4, further comprising the step of deleting a patient ID that has not been registered.

(Supplementary Note 7) A program to be executed in a device for managing medical treatment reservation and reception of a patient, in which the patient ID for identifying a patient, a medical treatment counter ID for identifying the type of medical treatment, and a medical treatment reservation. The step of receiving the desired date and the desired time for medical treatment reservation as a medical treatment reservation, and the patient DB storing the actual statistical value of the medical treatment time required for medical treatment for each combination of the patient ID and the medical treatment contact ID at the time of receiving the medical treatment reservation. Search for the actual statistical value of the combination of the patient ID and the medical contact ID at the time of medical treatment reservation reception,
If there is the actual result statistical value, the medical treatment reservation time is determined as the time required for medical treatment, and if the actual result statistical value does not exist, the actual result of the medical treatment time required for the medical treatment for each medical contact ID. Searched from the medical treatment DB that stores the value,
Deciding the medical treatment reservation time as the time required for medical treatment using the actual statistical value of the corresponding medical treatment counter ID, deciding the medical treatment reservation date and time based on the determined medical treatment reservation time, and the determined medical treatment reservation And a step of storing the date and time in the reception information storage means in which the date and time is divided for each time frame that can be set for each medical service ID.

(Supplementary Note 8) A program for causing a device for managing medical treatment appointment and reception of a patient to execute the process, which identifies the patient ID for identifying the patient and the type of medical treatment. A step of receiving a medical treatment desk ID as a medical treatment reception desk, and a reception information storage means for storing a reserved patient ID by dividing the medical treatment desk ID into a time frame set for each medical treatment desk ID. Whether or not a reservation is made is searched by a combination of the patient ID and the medical treatment counter ID, and if a reservation is made, the number of reserved patients in the same time frame of the same medical treatment counter ID in the reception information storage means is searched. Allocate the medical treatment order in the order in which the medical treatment reception is received, and if no appointment is made, consider it as a non-reserved patient and add 1 to the number of reserved patients within the same time frame as the time when the medical treatment is received. And a step of sequentially allocating medical treatment orders such that the numbers are at the beginning, and a medical treatment appointment management program.

[0057]

As is apparent from the above description, according to the present invention, a more accurate medical treatment time can be obtained by using the statistical value of the medical treatment time for each medical treatment counter, that is, for each queue and for each patient. Reservations can be made, and waiting times for medical treatment can be reduced. Further, it is possible to clearly notify the reserved patient and the non-reserved patient of the medical treatment order within each medical treatment time frame at the time of reception of medical treatment. Further, it is possible to grasp the time zone when the medical treatment can be received in real time. As a result, it is possible for patients to have a smooth medical examination and to have a comfortable medical treatment, and for hospitals, there is an effect of improving the operational efficiency of medical treatment.

[Brief description of drawings]

FIG. 1 is a block diagram of the present invention

FIG. 2 is a configuration diagram of an embodiment of the present invention.

[Fig. 3] Explanatory diagram of medical treatment time frame and medical treatment order (No. 1)

[FIG. 4] Explanatory drawing of medical treatment time frame and medical treatment order (Part 2)

[Figure 5] Explanatory drawing of medical hours actual result statistical information

FIG. 6 is an explanatory diagram of medical treatment reception information.

[Fig. 7] Flowchart for reservation acceptance

[Fig. 8] Flow chart of medical reception

[Fig. 9] Flow chart of medical record management

[Explanation of symbols]

1 Medical treatment start time notification means 2 Medical time storage means 3 Reservation condition input means 4 Medical reception input means 5 Medical treatment end time notification means 6 medical hours actual result update means 7 Medical hours actual results search method 8 Reception information search means 9 Reception information update means 10 Medical treatment order notification means 11 Medication time frame changing means 12 Reception information storage means

   ─────────────────────────────────────────────────── ─── Continued front page    (72) Inventor Naoyuki Kobayashi             1 Shimonoboro Techno Park, Atsubetsu-ku, Sapporo-shi, Hokkaido             1-5, Fujitsu Hokkaido Syst             In system engineering (72) Inventor Koji Hikichi             1 Shimonoboro Techno Park, Atsubetsu-ku, Sapporo-shi, Hokkaido             1-5, Fujitsu Hokkaido Syst             In system engineering

Claims (5)

[Claims] 1. A medical treatment reservation management method executed by a device for managing medical treatment reservations and reception of patients, comprising a patient ID for identifying a patient, a medical treatment desk ID for identifying the type of medical treatment, a desired medical treatment reservation date, and medical treatment. A step of receiving a desired reservation time as a medical treatment reservation, and a case where the medical treatment reservation is received in a patient DB that stores the actual statistical value of the medical treatment time required for the medical treatment for each combination of the patient ID and the medical treatment counter ID at the time of the medical treatment reservation reception It is searched whether or not there is a performance statistic value of a combination of the patient ID and the clinic contact ID, and if there is the performance statistic value, the medical treatment appointment time is determined as the time required for medical treatment, and the performance result is obtained. If there is no statistical value, the actual statistical value of the corresponding medical contact ID retrieved from the medical information DB that stores the actual value of the medical time required for medical treatment for each medical care ID is retrieved. A step of deciding a medical treatment reservation time as a time required for medical treatment, a step of deciding a medical treatment reservation date and time based on the determined medical treatment reservation time, and a step of setting the determined medical treatment reservation date and time for each medical treatment contact ID And a step of storing the information in a reception information storage means divided for each time frame. 2. The medical treatment appointment management method according to claim 1, wherein the medical treatment contact ID is an identification name corresponding to any of a subject name, a doctor name, a treatment name, and an examination name to be examined. 3. A medical treatment reservation management method executed in a device for managing medical treatment reservations and reception of patients, wherein a step of receiving a patient ID for identifying a patient and a medical treatment counter ID for identifying a type of medical treatment as a medical treatment reception. And the patient ID and the medical contact ID in the reception information storage means for storing the reserved patient ID divided into the time frames set for each medical care ID on the date of the medical reception.
It is searched whether or not a reservation has been made in combination with, and if a reservation has been made, in the order in which the medical reception is received among the reserved patients in the same time frame with the same medical contact ID of the reception information storage means. The medical treatment order is allocated, and when the medical treatment is not reserved, the medical treatment order is sequentially allocated as a non-reserved patient such that the number obtained by adding 1 to the number of reserved patients within the same time frame as the time when the medical treatment is accepted is first. A medical appointment management method comprising the steps of :. 4. The patient DB at the time of receiving medical treatment for the non-reserved patient
It is searched whether or not there is a performance statistical value of a combination of a patient ID and a medical contact ID, and if there is the performance statistical value, the medical appointment time is determined as the time required for medical treatment, and the performance If there is no statistical value, from the medical treatment counter DB that stores the actual statistical value of the medical treatment time required for medical treatment for each medical treatment counter ID, the actual medical treatment statistical value of the corresponding medical treatment counter ID is treated as the time required for medical treatment. The step of deciding the appointment time and determining whether or not the decided appointment time can be taken within the same time frame as when the medical treatment is accepted. When the medical treatment order is sequentially allocated so that the number with 1 added is the first and the medical treatment reservation time cannot be taken, the unreserved remaining time of the time frame following the time frame is taken in and the medical treatment time frame is set. change,
A step of sequentially allocating a medical examination order such that a number obtained by adding 1 to the number of reserved patients within the time frame when the medical examination is accepted and storing the number in the reception information storage means is further provided. The medical treatment appointment management method described in 3. 5. A program to be executed by an apparatus for managing medical treatment reservation and reception of a patient, wherein the apparatus has a patient ID for identifying a patient, a medical treatment counter ID for identifying the type of medical treatment, and a desired medical treatment appointment date. And a step of receiving the medical treatment reservation desired time as a medical treatment reservation, and the medical treatment reservation in a patient DB that stores the actual statistical value of the medical treatment time required for medical treatment for each combination of the patient ID and the medical treatment contact ID at the time of receiving the medical treatment reservation. It is searched whether or not there is a statistical record value of the combination of the patient ID and the medical contact ID at the time of reception, and if there is the statistical record value, the medical treatment appointment time is determined as the time required for medical treatment, When there is no actual statistical value, the actual result of the corresponding medical contact ID retrieved from the medical information DB that stores the actual value of the medical time required for medical treatment for each medical ID. Deciding a medical treatment reservation time as a time required for medical treatment, deciding a medical treatment reservation date and time based on the determined medical treatment reservation time, and deciding the determined medical treatment reservation date and time for each medical treatment contact ID And a step of storing in a reception information storage means that is divided for each settable time frame.