JP2003304341A - Care system - Google Patents

Care system

Info

Publication number
JP2003304341A
JP2003304341A JP2002109990A JP2002109990A JP2003304341A JP 2003304341 A JP2003304341 A JP 2003304341A JP 2002109990 A JP2002109990 A JP 2002109990A JP 2002109990 A JP2002109990 A JP 2002109990A JP 2003304341 A JP2003304341 A JP 2003304341A
Authority
JP
Japan
Prior art keywords
care
insured
nursing
insurance
long
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2002109990A
Other languages
Japanese (ja)
Inventor
Fumio Takahashi
文夫 高橋
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hitachi Information Technology Co Ltd
Original Assignee
Hitachi Hybrid Network Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Hitachi Hybrid Network Co Ltd filed Critical Hitachi Hybrid Network Co Ltd
Priority to JP2002109990A priority Critical patent/JP2003304341A/en
Publication of JP2003304341A publication Critical patent/JP2003304341A/en
Pending legal-status Critical Current

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  • Telephonic Communication Services (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

<P>PROBLEM TO BE SOLVED: To link all-time supervision of physical information for a person insured by care insurance, care related dealers, care related organizations, etc., including persons insured by care insurance. <P>SOLUTION: The system provides automatic transmission of physical information of the person insured by the care insurance to medical institutions via the Internet based on fulltime connection, the all-time supervision of physical information by the medical institutions, actions for the persons insured by the care insurance using voice, TV image, and video chat in case of emergency, efficiency enlargement, opening, and service expansion of the care business realized by information network totalization for visiting care person, care dealers, finance organizations, related sections of local government. <P>COPYRIGHT: (C)2004,JPO

Description

【発明の詳細な説明】Detailed Description of the Invention

【0001】[0001]

【発明の属する技術分野】本発明は常時接続のインター
ネットを用いた介護システムに係り、被介護保険者と訪
問介護者、介護会社、病院・介護老人福祉施設・介護老
人保健施設・介護療養型医療施設等医療機関、介護保険
所轄市町村部署及び金融機関において各種情報の一元化
及び連動により、各機関の介護に関わる業務を円滑に行
う介護システムに関する。
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a nursing care system using an always-connected Internet, including a care recipient insurer, a visiting caregiver, a nursing care company, a hospital / elderly care welfare facility / nursing care health facility / nursing care medical treatment. The present invention relates to a nursing care system that smoothly carries out work related to nursing care of each institution by centralizing and linking various types of information in medical institutions such as facilities, long-term care insurance municipalities, and financial institutions.

【0002】[0002]

【従来の技術】介護保険制度に伴う被介護保険者、訪問
介護者含む介護業者、病院等関係医療機関、市町村の介
護保険所轄部署、介護用品業者、金融機関間には従来一
連の繋がりが無く、各々被介護者を介在して個別に介護
業務、診療業務、介護保険制度の運用や保険金の徴収、
介護物品の提供や集金等、各々個別に運用している。こ
の為被介護保険者又はその家族や関係者の介護に関する
所轄市町村への利用の申請、介護保険制度の行使、保険
料の支払いなど介護保険制度に係る頻雑な事務作業自体
に係る負荷も大きい。また被介護者には健康状態等身体
管理が定常的に必要である場合も多いが医療機関による
十分なケアがなされていない場合も多く、多くの被介護
保険者は不安を抱えている。
[Prior Art] There is no conventional series of connections between the insured under the long-term care insurance system, caregivers including visiting caregivers, related medical institutions such as hospitals, municipal insurance departments responsible for long-term care insurance, nursing care products providers, and financial institutions. , Individual care work, medical care work, operation of long-term care insurance system and collection of insurance money through the care recipient,
It operates individually, such as providing nursing care items and collecting money. For this reason, the burden on the frequent office work itself related to the long-term care insurance system, such as application for the use of the insured insurer or his / her family or related persons to the jurisdiction of the municipality concerning the care, exercise of the long-term care insurance system, payment of insurance premiums, etc., is large. . In addition, the cared person often needs physical management such as health condition on a regular basis, but in many cases the medical care facility does not provide sufficient care, and many cared insurers have anxiety.

【0003】[0003]

【発明が解決しようとする課題】以上のように、現状の
介護保険制度を基調とした介護システムにおいては次の
ような状況となっている。被介護保険者の健康状態は、
居宅サービス事業者や居宅介護支援事業者及び介護保健
施設などの訪問介護者(ヘルパー)や医師・看護婦等医
療機関者が被介護保険者を訪問することによって、初め
て把握されるため、被介護保険者の健康状態の急変に対
応できないケースも多く、被介護保険者は訪問介護者や
医師・看護婦が不在の時の健康状態に不安を感じてお
り、また訪問看護者や医療機関は患者である被介護者を
迅速に救護できないのではないかと按じている。また、
通常介護業務を行った訪問介護者や医療機関は、業務後
自宅や事務所務に戻った後、その都度介護報告書を作成
したり、業務報告を行わなければならず、訪問介護者や
医療機関など介護保険制度に関わった場合の報告書作成
に手間がかかる。また、その後の介護会社による報告資
料の提出、それを受けて所轄の各市町村の各部署では介
護保険の事務を行わなければならず、各部署では多大な
手間が必要となる。また介護に用いる介護用品を購入し
た場合の支払いでは、介護用品業者への被介護者保険者
と管轄市町村の支払い分担などについて費やされる負荷
も軽くない。
As described above, in the nursing care system based on the current nursing care insurance system, there are the following situations. The health status of the care recipient is
Home care service providers, home care support companies and visiting caregivers (helpers) such as nursing care facilities and medical institutions such as doctors and nurses are first grasped by visiting the insured person. In many cases, it is not possible for an insurer to respond to sudden changes in the health condition of the insurer, and the insured person is worried about the health condition when the visiting caregiver or doctor / nurse is absent. It is argued that it may not be possible to quickly rescue the cared person. Also,
The visiting caregiver or medical institution that performed normal care work must prepare a nursing care report or perform a work report each time after returning to the home or office duties after the work. It takes time and effort to create a report when involved in a long-term care insurance system such as an institution. In addition, after that, the nursing care company must submit the report materials, and in response to that, each department of each municipality under its jurisdiction must perform the care insurance affairs, which requires a great deal of time and effort. When paying for nursing care products used for nursing care, the burden of payments to the care product insurers and the municipalities under their jurisdiction is not light.

【0004】本発明の目的は、被介護者の健康状態を定
常的に監視し、訪問看護者や看護会社、医療機関との連
動により健康状況の急変に対処することができる介護シ
ステムを提供することにある。本発明の他の目的は、訪
問介護者及び介護事業者、所轄市町村、金融機関や介護
用品業者と介護業務情報を一元化し共有することによ
り、介護保険負担料金の算出や保険料支払い、介護用品
提供等、被介護保険者や介護保険制度に携わる関連者に
利便な介護システムを提供することにある。
An object of the present invention is to provide a nursing care system capable of constantly monitoring the health condition of a care receiver and coping with a sudden change in the health condition by linking with a visiting nurse, a nursing company, and a medical institution. Especially. Another object of the present invention is to centralize and share nursing care work information with visiting caregivers, caregivers, municipalities in jurisdiction, financial institutions and nursing care products providers, thereby calculating long-term care insurance charges, paying insurance premiums, and nursing care products. It is to provide a convenient nursing care system to the insured and related persons involved in the nursing care insurance system.

【0005】[0005]

【課題を解決するための手段】上記目的を達成するため
に、本発明による介護システムでは、常時接続のインタ
ーネットを利用し、介護関連事業者間で情報を共有する
ことのより達成される。被介護保険者自身の身体情報や
介護データの情報や情報をリアルタイムに発信しその情
報を共有化することにより、行政や医療機関、金融機関
など関連業者が情報の一元化されることで達成される。
In order to achieve the above object, the care system according to the present invention is achieved by sharing information between care-related businesses by utilizing the always-connected Internet. Achieved by centralizing information for related companies such as governments, medical institutions, and financial institutions by transmitting in real time the information and information of the insured person's own physical information and care data, and sharing the information. .

【0006】[0006]

【発明の実施の形態】以下、本発明の実施の形態を、実
施例を用い、図を参照して説明する。図1は本発明によ
る介護システムの一実施例を示すブロック図である。図
において、被介護保険者宅1にはインターネットで常時
接続される介護端末(パソコンや携帯端末やその専用装
置)3を設置する。また、被介護者の血圧、脈拍及び体
温等を測定し、データを電波で発信する身体情報発信装
置が設けられている。被介護者がこの身体情報発信装置
を装着すると、被介護者の血圧、脈拍及び体温等が測定
され、それらのデータが自動的に発信される。この身体
情報発信装置からデータが発信されると、介護端末3に
予め設定されているアドレス、例えば、医療機関等必要
な部署に送信される。介護端末3としては、パソコン、
電話、テレビ電話、ビデオチャット機能等を利用するこ
とができる。
BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of the present invention will be described below with reference to the drawings using examples. FIG. 1 is a block diagram showing an example of a nursing care system according to the present invention. In the figure, a care terminal (a personal computer, a mobile terminal, or a dedicated device thereof) 3 that is constantly connected to the Internet is installed in the insured person's home 1. Further, there is provided a physical information transmitting device that measures the blood pressure, pulse, body temperature, etc. of the cared person and transmits the data by radio waves. When the cared person wears this physical information transmitting device, the cared person's blood pressure, pulse, body temperature, etc. are measured, and those data are transmitted automatically. When data is transmitted from this physical information transmission device, it is transmitted to an address preset in the care terminal 3, for example, to a necessary department such as a medical institution. As the care terminal 3, a personal computer,
You can use telephone, videophone, video chat function, etc.

【0007】介護端末3は訪問介護者宅4、介護事業会
社(居宅サービス事業者や居宅介護支援事業者や介護保
健施設など)5、金融機関6、医療機関7、介護用品業
者8や市町村の所轄部署9とインターネットを介在して
接続されており、介護サービスに係わるソフトウェアア
プリケーションを持つ端末及びサーバを設置する。
The nursing care terminal 3 includes a home for a caregiver 4, a nursing care business company (home service business operator, home care support business operator, nursing care health facility, etc.) 5, a financial institution 6, a medical institution 7, a nursing care product provider 8 and municipalities. It is connected to the department 9 having jurisdiction over the Internet, and a terminal and a server having software applications related to nursing care services are installed.

【0008】介護端末3は24時間365日、常時イン
ターネットに接続されている。また、被介護保険者が自
宅1で身体情報発信装置2を体に装着すると、血圧、脈
拍、体温等のデータが介護端末3に発信され、介護端末
3から医療機関7等の関係部署に送信される。即ち、被
介護者につけられた2身体情報発信装置2は一定時間ご
と(例えば5分)に1被介護保険者の身体データを介護
端末3に送信し、介護端末3は被介護保険者の身体デー
タを2身体情報発信装置より受信した場合、自動的に常
時接続のインターネットを介して、被介護保険者の掛か
り付けの病院等登録医療機関に対し被介護保険者の身体
データを送信する。データを受信した医療機関7では、
その受信データを自動又は手動にて解析し、該当被介護
保険者の身体状態を把握する。
The care terminal 3 is always connected to the Internet for 24 hours 365 days. When the insured person wears the physical information transmitting device 2 on his / her body at home 1, data such as blood pressure, pulse, and body temperature are transmitted to the care terminal 3 and transmitted from the care terminal 3 to the relevant departments such as the medical institution 7. To be done. That is, the two physical information transmission devices 2 attached to the care receiver send the body data of one care recipient to the care terminal 3 at regular intervals (for example, 5 minutes), and the care terminal 3 displays the body of the care recipient. When the data is received from the two physical information transmitting devices, the physical data of the insured person is automatically transmitted to the registered medical institution such as a hospital which the insured person takes care of via the always-connected Internet. At the medical institution 7 that received the data,
The received data is analyzed automatically or manually to grasp the physical condition of the insured person.

【0009】医療機関7では、複数の被介護者宅1の介
護端末3から送信された身体情報を被介護者毎にまとめ
た表として出力し、異常値がある場合には、アラームを
発したり、異常値の表示部分をブリンクさせたりするな
どして、関係者の注意を喚起するようにしてもよい。ま
た、その被介護保険者の健康データに異常値が見られた
場合、医療機関から被介護保険者に対して常時接続のイ
ンターネットを介して音声や静止画、動画などテレビ電
話・会議・チャット等の機能などの音声及び画像等マル
チメディアで1被介護保険者の呼び出しを行い、その呼
び出しに1被介護保険者に応答を促す。医療機関7では
その被介護保険者の応答状況により被介護者の状況把握
が可能となり、その状況によりそのテレビ画像やチャッ
ト機能等を用いて診療を行い、更には、医療対応者等の
派遣を行う。
The medical institution 7 outputs the physical information transmitted from the care terminals 3 of the plurality of care receiver homes 1 as a table for each care receiver, and when there is an abnormal value, an alarm is issued. Alternatively, the display of the abnormal value may be blinked to call the attention of the person concerned. In addition, if an abnormal value is found in the health data of the insured person, a voice call, a still image, a video, etc. can be made from the medical institution to the insured person via the Internet, which is always connected to the videophone, conference, chat, etc. Call one care-receiver by multimedia such as voice and image such as function, and prompt one care-receiver to respond to the call. At the medical institution 7, it becomes possible to grasp the status of the cared person based on the response status of the cared insured person, and according to the status, medical treatment is performed by using the TV image or the chat function, and further, the dispatch of a medical support person, etc. To do.

【0010】訪問介護者は被介護保険者宅1で介護作業
を行った場合、その作業内容等報告を介護端末3から情
報を入力し送信する。医療機関7へは個別に取得した被
介護保険者の身体状態等のデータ送信等も行う。介護事
業会社5は市町村所轄部署9へ介護保険実施報告を送信
する。訪問介護者は関連の介護事業会社5に作業時間等
内容報告を送信する。
[0010] When the visiting caregiver performs a nursing work in the insured person's home 1, he / she inputs information from the nursing terminal 3 and sends a report of the work content. Data such as the physical condition of the insured person who is individually acquired is also transmitted to the medical institution 7. The long-term care business company 5 transmits the long-term care insurance implementation report to the department 9 under the jurisdiction of the municipality. The visiting caregiver sends a content report such as work hours to the related care business company 5.

【0011】市町村所轄部署9では被介護保険者の介護
端末3から被介護保険者自身や訪問介護者、医療機関7
等の関連事業会社、介護用品業者8から送信されてきた
介護データや被介護保険者が使用したり、提供したりし
た介護物品を元に介護費用や介護保険料の算出や請求作
業を行う。また、市町村所轄部署は住民税の軽減措置の
連絡、保険料の支払に関する連絡、支払金額に対する市
町村の負担額等を被介護保険者に連絡する。
In the department 9 under the jurisdiction of the municipality, from the care terminal 3 of the insured person, the insured person himself / herself, the visiting caregiver, and the medical institution 7
Based on the nursing care data transmitted from the related business companies such as the above and the nursing care product supplier 8 and the nursing care products used or provided by the insured person, calculation of the nursing care cost and the nursing care insurance premium and the billing work are performed. In addition, the departments in charge of municipalities will inform the insureds about the reduction of resident tax, contact regarding payment of insurance premiums, and the burden of municipalities on the amount paid.

【0012】介護用品業者8では、被介護保険者や訪問
介護者、医療機関7、介護事業会社5、市町村所轄部署
9からの発注や要求により当該介護保険者に要求された
介護用品等の配達や請求を行う。被介護保険者や被介護
保険者から依頼された訪問介護者、介護事業会社5から
介護用品業者8にインターネット10を介して介護用品
の注文があった場合には、その介護用品を発送し、更
に、インターネット10を介して金融機関に対して決済
を行うことができる。
The nursing care product provider 8 delivers the nursing care products and the like requested by the nursing care insurer in response to an order or request from the insured person or visiting caregiver, the medical institution 7, the nursing care business company 5, and the department 9 under the jurisdiction of the municipality. And make a bill. When a care insured person, a visiting caregiver requested by the care insured person, or a care business company 5 orders a care product to the care product provider 8 via the Internet 10, the care product is shipped. Further, payment can be made to a financial institution via the Internet 10.

【0013】金融機関6では市町村所轄部署9や医療機
関7、介護事業会社5、介護用品業者8からの請求によ
り、被介護保険者の口座からの料金引き落としの事前通
知や確認通知、また9市町村所轄部署からの振込手続き
を被介護保険者に対して行う。
At the financial institution 6, upon request from the municipality-controlled department 9, medical institution 7, nursing care business 5, nursing care product provider 8, advance notice and confirmation of charge deduction from the insured person's account, and 9 municipalities Perform the transfer procedure from the competent department to the insured person.

【0014】以上述べたように、本発明によれば、被介
護保険者の健康状態の把握が定常的に行われ、健康状態
の突発的な変化にも医療機関での迅速な対応が可能とな
る。また訪問介護者や介護会社は作業報告を被介護保険
者宅1にある介護端末で作成して発信することができる
ので、作業報告等実作業以外の作業が軽減される。市町
村の所轄部署においては介護保険制度の利用料金や点数
計算等事務作業の軽減となる。介護用品業者は被介護保
険者への迅速な物品の提供が可能となる。また、金融機
関に対してインターネットで決済することができるた
め、被介護保険者は介護保険料支払いの手間、所轄市町
村は徴収の手間が軽減され、介護用品業者は提供物品の
料金徴収も軽減される。
As described above, according to the present invention, the health condition of the insured person can be constantly grasped, and a medical institution can promptly respond to a sudden change in the health condition. Become. Further, since the visiting caregiver and the nursing care company can create and send the work report at the care terminal in the insured person home 1, the work other than the actual work such as the work report can be reduced. In the departments under the jurisdiction of the municipality, it will be possible to reduce administrative work such as usage fees and points calculation for the nursing care insurance system. The care product provider can promptly provide the insured person with an article. In addition, since it is possible to make payments to financial institutions via the Internet, care insureds can reduce the burden of paying nursing care premiums, municipalities in charge can reduce the collection of fees, and care product providers can reduce the collection of charges for provided goods. It

【0015】[0015]

【発明の効果】訪問介護者及び介護事業者、所轄市町
村、金融機関や介護用品業者と介護業務情報を一元化し
共有することができるので、介護保険負担料金の算出や
保険料支払い、介護用品提供等、被介護保険者や介護保
険制度に携わる関連者に利便な介護システムを得ること
ができる。
[Effects of the Invention] Since it is possible to centralize and share nursing care work information with visiting caregivers and caregivers, municipalities under their jurisdiction, financial institutions and caregivers, it is possible to calculate care insurance burden charges, pay insurance premiums, and provide care products. It is possible to obtain a convenient care system for the insured and related persons involved in the care insurance system.

【図面の簡単な説明】[Brief description of drawings]

【図1】本発明による介護システムの一実施例を示すブ
ロック図である。
FIG. 1 is a block diagram showing an example of a care system according to the present invention.

【符号の説明】[Explanation of symbols]

1…被介護保険者宅、2…身体情報発信装置、3…介護
端末、4…訪問介護者宅、5…介護事業会社、6…金融
機関、7…医療機関、8…介護用品業者、9…市町村所
轄部署、10…常時接続インターネット。
1 ... Nursing home for insured person, 2 ... Physical information transmitting device, 3 ... Nursing care terminal, 4 ... Home for visiting caregiver, 5 ... Nursing business company, 6 ... Financial institution, 7 ... Medical institution, 8 ... Nursing care product supplier, 9 … Municipal departments, 10… Always connected Internet.

Claims (3)

【特許請求の範囲】[Claims] 【請求項1】被介護保険者宅、被介護保険者所轄の市町
村所轄部署、介護業者または訪問介護者宅、被介護保険
者に介護用品を提供する介護用品業者、金融機関とを常
時接続のインターネットで接続し、被介護保険者所轄の
市町村の介護保険管理と介護保険料管理、被介護保険者
への介護業者及び訪問介護者の作業管理と、被介護保険
者に介護用品を提供する介護用品業者の介護物品納入や
料金徴収やこれに関わる金融機関での料金支払いを該イ
ンターネットを通じて連動して行うことを特徴とする介
護システム。
[Claim 1] Homes for insured insured persons, departments under the jurisdiction of the insured persons, homes for caregivers or visiting caregivers, care product providers that provide care products to insured persons, and financial institutions are always connected. Connect with the Internet, manage long-term care insurance and long-term care insurance in municipalities under the control of long-term care insurers, work management of long-term care providers and visiting caregivers, and provide nursing care products to long-term care insurers A nursing care system characterized in that delivery of a nursing care item by a goods supplier, collection of a fee, and payment of a fee at a financial institution involved therewith are linked through the Internet.
【請求項2】被介護保険者宅、医療機関の間を常時接続
のインターネットを用いて接続し、被介護保険者の身体
状態を病院等医療機関で常時監視し、該病院等医療機関
では被介護保険者を、インターネットを用いて問診や検
診をおこなうことを特徴とする介護システム。
2. The home of the insured person and the medical institution are connected to each other using the always-connected Internet, and the physical condition of the insured person is constantly monitored at a medical institution such as a hospital. A nursing care system characterized by conducting interviews and screenings for care insurers using the Internet.
【請求項3】請求項2記載の介護システムにおいて、該
被介護保険者は身体の状況を身体情報発信装置によっ
て、該病院等医療機関に送信することを特徴とする介護
システム。
3. The care system according to claim 2, wherein the insured person sends the physical condition to the medical institution such as the hospital by a physical information transmitting device.
JP2002109990A 2002-04-12 2002-04-12 Care system Pending JP2003304341A (en)

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Application Number Priority Date Filing Date Title
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006209404A (en) * 2005-01-27 2006-08-10 Tatsuya Okino Medical product supply support method in home-visit nursing service providing establishment
CN105809444A (en) * 2014-12-30 2016-07-27 北京奇虎科技有限公司 High safety payment system and method
WO2017061282A1 (en) * 2015-10-05 2017-04-13 コニカミノルタ株式会社 Care plan adjustment system and care plan adjustment method
JP2019133271A (en) * 2018-01-29 2019-08-08 大日本印刷株式会社 Telemedicine terminal device, computer program, and server

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006209404A (en) * 2005-01-27 2006-08-10 Tatsuya Okino Medical product supply support method in home-visit nursing service providing establishment
CN105809444A (en) * 2014-12-30 2016-07-27 北京奇虎科技有限公司 High safety payment system and method
CN105809444B (en) * 2014-12-30 2021-07-09 北京奇虎科技有限公司 High-security payment system and method
WO2017061282A1 (en) * 2015-10-05 2017-04-13 コニカミノルタ株式会社 Care plan adjustment system and care plan adjustment method
JPWO2017061282A1 (en) * 2015-10-05 2018-07-26 コニカミノルタ株式会社 Care plan adjustment system and care plan adjustment method
JP2019133271A (en) * 2018-01-29 2019-08-08 大日本印刷株式会社 Telemedicine terminal device, computer program, and server
JP7024451B2 (en) 2018-01-29 2022-02-24 大日本印刷株式会社 Telemedicine terminal device and computer program

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