JP2004038990A - Method and system of health management service provision for people staying at home - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a health management service provision business which can centrally manage health care for a large number of people who stay at home while saving the people staying at home time and trouble. <P>SOLUTION: A service beneficiary device 2 which automatically generates electric measurement data by measuring sugar in urine evacuated from a human body with time at home is distributed to registered people who stays at home. The measurement data for each person staying at home is collected at a health care center 1 through the Internet 3. Health conditions of the people staying at home are managed with time based on health care basic data and the collected measurement data, and necessary service to maintain health of the people staying at home is provided. <P>COPYRIGHT: (C)2004,JPO

Description

The present invention uses a toilet-installed testing device for testing components such as sugar, blood, proteins, hormones, and vitamins contained in urine, and allows an individual to stay at home (hereinafter, a home individual is referred to as a home resident). The present invention relates to a home healthcare service providing method for providing a healthcare service for supporting the health management, and a home healthcare service providing system for implementing the method.

記述 In the following description, the term “at home” does not limit the individual to being at home. For example, the concept of “at home” includes that the individual is in a facility that does not aim at health care, such as a company or government office where he or she works daily.

Patent Document 1 proposes a toilet-installed urinary sugar analyzer having a urine analysis function, which can sample and analyze urine using a toilet and support an individual's health check. The present invention relates to a sampling device for sampling urine excreted by an individual in a toilet for urine analysis, and more particularly, to a cleaning mechanism for a urine collection container.

に お い て In this urine sugar testing device, the urine sampler is attached to the tip of the swing arm. When collecting urine, the urine collector moves from a rest position below the toilet seat to a urine collection position in the toilet bowl by rotation of the swing arm. Urine collected by the urine sampler is pumped through a urine collection tube and a urine suction tube to a urine test device outside the toilet and inspected. After the urine is collected, the urine collector returns to the rest position below the toilet seat by the rotation of the swing arm, where it is washed by the washing water injected from the nozzle. Hereinafter, this urine sugar testing device is referred to as a first conventional testing device.

Patent Document 2 describes a urinal with a urine sugar sensor that can easily perform a urine sugar check. Hereinafter, this toilet with a urine sugar sensor is referred to as a second conventional inspection apparatus.

This toilet has an arm, a urine sugar sensor advance / retreat mechanism for moving the arm up and down to a predetermined position on the toilet, and a sensitive part which reacts to urine sugar. The sensitive part is detachably attached to the tip of the arm. After the urine is discharged, the urine sugar sensor descends and is immersed in the urine in the urine reservoir. Then, urine sugar contained in urine accumulated in the urine accumulation section of the toilet is inspected. The sensitive part is retracted to the storage position after being washed with water and applied with a preservative after use. In this way, the urine sugar sensor can be used repeatedly.

Next, conventional home health management will be described. Conventionally, the method of managing health at home is usually to record thermometers, weight scales, blood pressure meters and body fat meters that can be easily obtained at home, and if abnormal values occur, It is common to see a doctor.
For diseases such as diabetes, renal disease, and liver disease, for which the disease state can be determined from the chemical component values contained in urine, urine should be collected in a container provided at a hospital or health center and examined. I was going.

In addition, as a health management service on the Internet, if you enter your qualitative medical condition, height, weight, quantitative numerical data of regular medical examination data, etc., a possible disease is automatically displayed. There is a service to receive comments from doctors.
JP-A-8-319647 JP-A-10-170512

１ The first conventional inspection apparatus has the following problems.

Since the position of the urine sampler and the position of the device that inspects the collected urine are far apart, piping systems such as urine collection tubes and urine suction tubes are necessary.In addition, pumps for pumping urine to the inspection device, urine An electromagnetic valve for controlling the injection and discharge to the inspection device is also required.

This increases the size of the device and complicates its structure, resulting in a high possibility of failure and high maintenance costs. In addition, there is also a problem that it takes time to test urine, and that a large amount of water must be used to keep the inside of the apparatus clean and the amount of the chemical solution used.

The problem with the second conventional testing apparatus is that when urine is discharged, the water and urine in the urine pool filled with water are always mixed. When urine and water mix, their mixing ratio is not always constant. For example, even the same person may urinate in large quantities or only in small quantities. Further, since the amount of excretion per one time is also affected by age and temperature, a reproducible measured value cannot be obtained.

In addition, in order to obtain accurate measurement values, it is preferable to first remove water from the urine pool by performing an operation such as flushing the urine pool with drainage or blowing compressed air. It is described in the book.

Therefore, the urine test by the second conventional test device can only perform a rough test, and if an accurate test is intended, various driving units and additional mechanisms are required.

Further, regarding home health management, the above-mentioned conventional home health management methods and health management services on the Internet have the following problems.
The first problem is that the resident does not receive a doctor's diagnosis or input his / her own condition on the Internet unless there are any subjective symptoms. Therefore, even if the resident has no subjective symptoms, or if there is a subjective symptom, if the resident does not have medical knowledge to judge that the subjective symptoms should be diagnosed by the doctor, the doctor will be diagnosed You lose your opportunity.

The second problem is that, especially in health care for conditions requiring urinalysis, such as diabetes, a urine sugar test cannot be performed at home, so the patient must go to a hospital or health center for examination. There is trouble. Furthermore, as is well known, urine sugar changes depending on the time after meals and human physiological conditions. Therefore, when receiving a test at a hospital or a health center, it is common to fast for a predetermined time before the test. .
Due to such troubles, there is no method of health management except for annual medical checkups conducted by the company, government office, or local government of the company where the work is done, for conditions that require health care in daily life. There is a problem.

The third problem is that, in the conventional home healthcare service, continuous data necessary for health management for the disease state is not always sufficiently obtained at home. Therefore, it is troublesome to input the actual health status of the home occupants. There are few benefits to patients. As a result, there is a problem that the home health care service is unlikely to become a business.

An object of the present invention is to provide a home health care service providing method and a home health care service providing system using a toilet-installed urine test apparatus that can easily and at home perform urine tests over time. Accordingly, it is to solve the third problem described above.

In order for this service to be a business, the following mechanism is required for the health management service for the resident.
1) Measurement data necessary for home health care can be easily and constantly generated without special technical knowledge.
2) Measurement data generated by many homeowners is easily collected.
3) The collected measurement data is managed intensively, and the health condition of the resident is inferred from the measurement data, and an appropriate service corresponding to the inferred health condition is provided to the resident.
In order to solve this problem, the first method of providing a home health care service of the present invention is a method in which personal data necessary for health management of the registered home is registered as health management basic data, and A health management center having a function of inferring the health status of the home resident based on the provided measurement data and providing the home resident with a service necessary for health management or a service adapted to the inferred health status. Built on the internet,
Enjoy a home healthcare service with a biosensor device that measures predetermined chemical components contained in substances discharged from the human body over time at the position where the substances are discharged and automatically generates electrical measurement data Distributed to the home occupants trying to
Collecting measurement data for each registered resident at the health management center from the resident via the Internet,
Based on the health management basic data and the collected measurement data, manage the health status of the resident over time, and provide services necessary for maintaining the health of the resident.
Includes procedures.

In this manner, the distributed biosensor device automatically detects a predetermined chemical component contained in a substance discharged from the human body at a position where the substance is discharged and automatically generates electrical measurement data. Therefore, at home, when a predetermined chemical component is discharged from the human body, it is only necessary to perform a simple act of disposing the biosensor device at the discharge position, and the subsequent process of generating measurement data is automatic. Done in Therefore, the above-described mechanism 1) is achieved.

計 測 Since the measurement data generated at home is an electric signal, it can be easily collected via the Internet at a health management center constructed on the Internet. In this way, the above-described mechanism 2) is achieved.

The measurement data collected from each resident is centrally managed by a health management center, and the health management center has a function to provide services necessary for health management or services that are in accordance with inferred health conditions. Thus, the above-described mechanism 3) is achieved.

In addition, in relation to the biosensor device, "the discharged position" means, for example, when the discharged material is urine, the material is excreted, such as "in the toilet bowl". This is a position concept that is distinguished from a position that is artificially guided by a conduit or the like after discharge because the position is left as it is. Further, “elapsed time” means “every elapse of time”, and does not necessarily have to be performed at regular intervals. For example, when the substance to be excreted is urine, the urine may be excreted each time. It is sufficient to set a time interval so as not to burden the resident, but it is desirable to collect measurement data based on a time that affects the physiology of the human body, such as a meal time or a sleep time.

A home health care service providing system for implementing the home health care service providing method,
Personal data necessary for the health management of the registered resident is registered as basic health management data, and has a database that stores measurement data provided by the resident over time, and measurement provided by the resident is provided. It has a function of inferring the health status of the resident based on the data, and providing the resident with a service necessary for health management or a service adapted to the inferred health status, and is configured on the Internet. Health management center
A biosensor that detects a predetermined chemical component contained in a substance discharged from the human body at the position where the substance is discharged over time and converts the detected value into an electric signal, and processes the output of the biosensor. Output control for automatically generating measurement data, and transmitting the measurement data together with the time data at which the measurement was performed to the health care center via the Internet, and the health management via the Internet. A service receiver device having a signal processing unit for performing input control for inputting information transmitted from the center, and an information terminal for transmitting and receiving signals between the signal processing unit and the Internet (the home health care system) Corresponding to the biosensor device in the management service providing method),
The service receiver device transmits the measurement data generated over time to the Internet with the health management center as a transmission destination, and the health management center transmits the received measurement data to the registered resident at the transmission source. The health condition of the home worker based on the measurement data received with reference to the registered health management basic data, and informs the home user of information necessary for health management or the inferred health status. Providing services adapted to the situation.

In one embodiment of the present invention, the substance excreted from the body of the home is urine excreted from the home,
The service receiver device is arranged in a toilet at the time of measurement, detects a predetermined chemical component in urine chemical components as a measurement component, and converts the detected value into an electric signal, a biosensor, and the biosensor A signal processing unit that processes the generated electric signal outside the toilet, and a component related to a pathological condition that changes in accordance with a daily health condition in the chemical components of urine as a measurement component. The measurement component is measured over time.

The health care center provides all registered homes with information arranged and processed so that knowledge related to the specific medical condition can be extracted as a basic service, and the homeowners can select. As a selection service that can be provided, a service suitable for the inferred health condition of the specific disease state is provided.

糖 As an example of a biosensor, sugar, ketone, 3? Hydroxybutyric acid, C? Sensors that measure peptides or other chemical components related to diabetes can be used. In this case, the condition to be managed at home is diabetes.

As another example of a biosensor, a sensor that measures bile acid, pyruvate, urobilinogen, bilirubin, or other chemical components related to liver disease can be used. In this case, the condition to be managed at home is liver disease.

As another example of a biosensor, a sensor that measures protein, albumin, creatinine, oxalic acid, or other chemical components related to kidney disease can be used. In this case, the condition targeted for home health care is kidney disease.

As another embodiment of the sensor, a sensor that measures lactic acid, pH of urine, or other chemical components that are indicators of the degree of stress or fatigue can be used.

Also, the health management center infers the health status of the home resident based on the measurement data provided by the home resident and the health management basic data stored in the database, and the home resident may have a disease. If it is inferred, an expert system (diagnosis system) for searching for optimal advice for the disease can be provided.

The Health Management Center is a dedicated specialist who can refer to the basic data of health management and diagnose the health status of the home resident based on the measurement data provided by the home resident and provide support to the home health management. Alternatively, an expert linked to the health management center on the Internet can be assigned.

In addition, the health care center may provide a dedicated specialist who can provide assistance to the home patient regarding diet, exercise therapy, or medication as a service adapted to the inferred health condition of the home user, or An expert linked to the health care center on the Internet can be assigned.

The health care center provides a food provider linked to the health care center on the Internet, which provides foods provided to the home by the health care center to carry out a diet treatment adapted to the inferred health condition. Can have.

(5) The health care center can perform a detailed examination on the pathological condition inferred from the measurement data to the at-home at home using the teaching information and the materials that have been sent in advance, as the optional service.

The Health Care Center has a business alliance with a testing company that has the function of testing the condition of the home resident, and provides the health management basic data and measurement data of the home resident to the testing company as an optional service. Can be subjected to a predetermined medical condition test.

The service receiver device has a function of measuring the number of times the biosensor has been used and the cumulative time used, and a calibration value of the biosensor, and transmitting the measured value to the health care center as maintenance data for the biosensor. The management center accumulates maintenance data in a database as a biosensor maintenance service, and further notifies the home user of the current biosensor state and life expectancy notice from the maintenance data stored in the database. It can be performed.

In such a home health care service providing system, the frequency of use is analyzed from the maintenance data stored in the database, the replacement time of the biosensor, the necessary time of the consumables are inferred, Service is delivered in advance before the shortage occurs, and a service is provided in which a monthly service fee is determined and charged according to the frequency.

According to the second method of providing a home health care service of the present invention, a daily health condition is provided in which personal data necessary for health management of the registered home is registered as health management basic data and provided by the home. Infer the health status of the home resident based on the measurement data related to the specific disease state that changes in response to the above, and provide the home resident with a service necessary for health management or a service adapted to the inferred health status. In the home healthcare service providing method by the healthcare center that has the function of providing and is built on the Internet,
Based on the health management basic data and the measurement data, the registered personal data and pathological condition of the resident are classified into a plurality of types, and a list of the resident who belongs to each type is created, and is registered via the Internet. Recruiting at-home who have a desire for inter-home communication
The list of the resident who belongs to the same type of the resident resident is published to the resident who applied for the type.
With this home health management service, homes with the same medical condition can exchange information and cooperate with each other to improve their health and encourage each other.

In the third method for providing a home health care service of the present invention, personal data necessary for health management of the registered home is registered as basic health management data, and based on measurement data provided by the home. Infer the health status of the resident, and build a health management center on the Internet that has a function to provide the resident with a service necessary for health management or a service suitable for the inferred health status,
Enjoy home healthcare services with home inspection devices that automatically generate electrical measurement data by measuring the values of chemical components related to disease states at home over time that are contained in urine excreted from the human body. Distributed to the home
Collecting measurement data for each registered resident at the health management center from the resident via the Internet,
If the measured data is within a predetermined range for a predetermined period or more than a predetermined number of times, a certificate for requesting a discount on life insurance premiums is issued.

The home health care service providing method and home health care service system of the present invention automatically generate electrical measurement data of a predetermined chemical component contained in urine by a biosensor device. Necessary data can be collected without troublesome work. As a result, the health of many homeowners can be intensively managed, and a home healthcare service can be established as a business.

FIG. 1 is a configuration diagram of an example of an inspection apparatus used in the method for providing a home health care service of the present invention.
The inspection device 101 includes a urine sampler 102, a biosensor 103, a support unit 104, and a signal processing unit 105.

The urine sampler 102 is arranged in the toilet at the time of measurement, and collects urine. The biosensor 103 is disposed inside the urine sampler, detects a chemical component contained in urine that changes depending on a disease state, and converts it into an electric signal. The support unit 104 supports the urine sampler 102 and transmits an electric signal generated by the biosensor 103 to the signal processing unit 105. The signal processing unit 105 processes the electric signal from the biosensor 103 outside the toilet.
The signal processing unit 105 includes a calculation unit (not shown), a storage unit (not shown), and a display unit 106. The calculation unit calculates an electrical signal generated by the biosensor 103 to generate electrical measurement data. The storage unit stores the measurement data. The display unit 106 displays an electric signal or measurement data.

The biosensor 103 of this example can be replaced according to the measurement item of the disease state to be tested. In this example, a biosensor having a function of performing the following measurement according to each disease state is prepared.
Disease condition: Diabetes measurement item: Sugar, ketone body, 3? Hydroxybutyric acid, C? Peptides, other chemicals that change with the state of diabetes,
Disease condition: Kidney disease measurement item: Protein, albumin, creatinine, oxalic acid, and other chemical substances that change depending on the state of kidney disease Disease condition: liver disease Lactate changes with dietary content, pH changes with dietary content
The signal processing unit 105 also includes a sensor calibration device.

(4) When the user uses the inspection apparatus, the urine collector 102 automatically or manually moves from the storage location to a predetermined position on the bowl. Urine collected in the urine sampler 102 is analyzed by a biosensor 103 in the urine sampler. The electric signal from the biosensor 103 is processed by the signal processing unit 105, and the result is displayed on the display unit 106. The signal processing unit 105 can be integrated with the biosensor and the urine collector. The result calculated by the signal processing unit 105 is stored in the storage unit.

FIG. 2 is a diagram of the signal processing unit 105 viewed from the side. The upper part is a display part 106, under which a storage liquid tank 107 and a calibration liquid tank 108 are stored. The preservation solution always fills the urine sampler after measuring the urine or the calibration solution and comes into contact with the biosensor 103, and plays a role of maintaining the performance of the biosensor for a long time. The preservation solution contains a certain concentration of salts, a buffer for keeping the pH constant, and a preservative for preventing the growth of bacteria. The calibration liquid is generated by adding a certain concentration of a substance to be measured to the above-mentioned storage liquid. For example, when measuring sugar, glucose is contained in the calibration solution.

FIG. 3 is a diagram showing an operation procedure at the time of urine measurement and at the time of calibration. At the time of urine measurement (left side in the figure), the urine collector moves to a predetermined use position and the preservative solution is replaced with urine (step A), urine is measured (step B), and the urine collector is moved to the original storage position. And the inside of the urine sampler is washed with tap water (step c). The water inside the urine sampler is replaced with the preservative solution (step d). Finally, the sensor is capped to prevent drying of the sensor due to evaporation of the preservative solution, and enters a standby state. At the time of calibration (right side in the figure), the urine collector moves to a predetermined position and the storage solution is replaced with the calibration solution (step a), the calibration solution is measured (step b), and the urine sampler is returned to the original position. And the interior of the urine sampler is washed with tap water (step c). The water inside the urine sampler is replaced with the preservative solution (step d). Finally, the sensor is capped to prevent drying of the sensor due to evaporation of the preservative solution, and enters a standby state.
In addition, it is also possible to use a storage solution instead of tap water, in which case the number of steps is reduced. Since a predetermined amount or more of the preservation solution or the calibration solution is injected into the urine collection device, a simple pump can be applied. In addition, since the urine collector is small, a small amount of liquid is required for replacement.

FIG. 4 shows the time response characteristics of the current output from the biosensor when measuring the sugar in urine. The current reaches the saturation value in about 3 seconds, and the difference obtained by subtracting the current value at the measurement start time (time 0) from the current value at this time depends on the urinary sugar concentration. By calculating the reference sugar concentration from the sensor output of the calibration solution having a known sugar concentration, an accurate urine sugar concentration can be calculated.

(4) By inputting the user's name and ID number into the signal processing unit 105 when using the inspection apparatus, a database showing the health condition of each individual can be created.

Furthermore, it is also possible to save the time of urine collection by incorporating a timer in the signal processing unit 105.

If the signal processing unit 105 is provided with a portable biosensor data input terminal, it is possible to integrate various types of data.

(4) It is also possible to incorporate a statistical processing unit for statistically processing the database in the signal processing unit 105. By transmitting the database or the statistically processed data to the medical institution via the line, the health condition of the user can be diagnosed while at home.

食 It is also possible to control your diet based on these databases.

Furthermore, by transmitting these data to a meal delivery company via a data line, a daily meal menu can be sent via the data line. It is also possible to deliver meals based on this menu.

These menus may be created based on instructions from medical institutions.

Since two-way communication with a medical institution is possible, the diagnosis result can be stored in the storage unit. It is also possible to attach a medical prescription to the diagnosis result.
In addition, the history of the health condition and the diagnosis result stored in the storage unit can be used for various services according to the health condition of the individual, such as a life insurance premium calculation standard.

FIG. 5 is a block diagram of an embodiment of a home health care service providing system for implementing the home health care service providing method of the present invention.
In the home healthcare service providing system of the present embodiment, a healthcare center 1 as a service provider and a service receiver (homecare) device 2 are connected via the Internet 3.

The health management center 1 has a database (not shown) and an expert system for diagnosis (not shown). In the database, personal data necessary for the health management of the registered resident is registered as health management basic data, and measurement data provided by the resident over time is accumulated.

When the expert system infers the health status of the resident based on the measurement data provided by the resident and the personal data stored in the database, and infers that the resident may have a disease. In, a search is made for the optimal advice for the disease, and further, a service necessary for health management or a service suitable for the inferred health condition is searched.

The health management center 1 refers to the basic health management data, diagnoses the health status of the home resident based on the measurement data provided by the home resident, and provides a dedicated professional who can provide support to the home health management. The home or a professional who has a business alliance with the health care center and is linked on the Internet.

In addition, the health management center 1 has a dedicated specialist who can provide support to home occupants for diet, exercise therapy, or medication as a service suitable for the inferred health condition, or the health management. Experts linked to the center belong.

(4) The health management center 1 is linked to a food provider that provides foods and ingredients prepared by the health management center in order to implement a diet therapy suitable for the inferred health condition.

The home resident (service receiver device) 2 includes a home inspection device 21 and an information terminal 24, and the home inspection device 21 includes an inspection device 22 and an information processing device 23. The inspection device 22 has the same configuration as the inspection device 101 in FIG. 1, and detects a predetermined chemical component that changes in accordance with a disease state, which is included in a substance excreted from the body, at home over time, Automatically converts detected values into electrical measurement data. The information processing device 23 processes the output of the inspection device 22 to automatically generate measurement data in a predetermined format, and converts the measurement data along with the time data at which the measurement was performed via the Internet 3 into the health management center 1. And an input control for inputting information (service) transmitted from the health care center 1 via the Internet 3. The information terminal 24 exchanges signals between the information processing device 23 and the Internet 3. The information terminal 24 can include a dedicated terminal, a set-top box connected to a television, a personal computer, a mobile phone, and a facsimile machine.

The home inspection apparatus 21 transmits the measurement data generated over time to the Internet 3 via the information terminal 24 with the health management center 1 as a destination, and the health management center 1 If the transmission is from the registered resident (service receiver device) 2, it is registered in the database. If necessary, the health care center 1 inputs the registered health care basic data and the received measurement data to the expert system, and outputs the expert system or an expert (usually a doctor) to which the health care center belongs. By inferring the health status of the home resident 2 by the diagnosis, the home resident is provided with information necessary for health management or a service suitable for the diagnosed health status.

In this embodiment, the services provided by the health management center 1 to the resident 2 include a basic service S1 and a selection service S2.
The basic service S1 is a service provided by the health management center 1 to all registered occupants, and the selection service S2 is a service that can be selected by the occupants.

Hereinafter, a service provided by the health management center 1 will be described for an embodiment using a urinary sugar meter as the inspection device 22.
In the present embodiment, the health care center 1 provides, as the basic service S1, a tabulation and visualization service of urine sugar level so that knowledge of diabetes related to urine sugar measured by the biosensor 22 can be extracted. provide. For this purpose, the health management center 1 graphs (visualizes) past measurement values, average values, urinary sugar level change trends by measurement time, and the like based on the aggregated measurement data, and provides the home resident ( (A service receiver device) 2. By visualizing the measurement data in this way, it becomes easy for the resident to know his / her own health condition. Further, the data obtained by this processing is registered in the database. In addition, as a basic service S1, the health care center 1 notifies the home occupant of the home health management as a comment for a medical condition that does not require an expert's diagnosis. The health management center 1 further provides education about diabetes to the home resident.

(5) The health care center 1 provides home care support as an optional service provided by a specialist in a specific medical condition.

In this embodiment, the selection service S2 includes an expert advice service S3, an inspection service S4, and a maintenance service S5. Further, as special services, there are a mailing list providing service S6 and an insurance premium reduction support service S7.

ア ド バ イ ス The expert advice service S3 further includes a comprehensive advice service S31, a diet therapy support service S32, an exercise therapy support service S33, and a medication support service S34.

The comprehensive advice service S31 creates comprehensive advice for diabetes by an expert (mainly a physician) based on the measurement data collected by the health management center 1, and sends the advice to the resident 2 via the Internet. The service to be provided.
In this way, accurate doctor's judgment (advice) can be easily obtained at home based on the latest measurement data.

Diet therapy support service S32 is based on the meal time, meal content, past measured values, average value, urinary sugar change trends by measurement time extracted from the data collected at the center, etc. At least one meal menu (considering calories, nutritional balance, tastes, etc.) optimal for the user is provided through the Internet, adding the opinion of the house. Further, if the home delivery service is selected, foods and meals for preparing the above meal menu are delivered from the food supplier (related company).

As described above, by summing up the urine sugar data and other data, it is possible to organize an optimal meal menu in real time (on an ad hoc basis). For example, "The last few days are in good shape, so let's add another one."

Exercise therapy support service S33 is suitable for exercise therapists, sports instructors, etc., based on at-home exercise information extracted from data compiled at the center, past measured values, average values, urinary glucose change trends by measurement time, etc. Determine an appropriate exercise menu and provide it to the home resident through the Internet. In addition, we recommend appropriate exercise equipment.

効果 Thus, by accurately grasping the correlation between urine sugar data and exercise amount, the effect of exercise therapy can be improved.

The medication support service S34 uses a doctor, a pharmacist to provide the type of medication in real time based on the drug used at home, past measured values, average values, urinary sugar level change trends by measurement time, etc., extracted from the data collected at the center. Determine dosage and provide information to home resident through internet.

(4) The type and dosage of appropriate medication can be easily determined based on real-time urine sugar data, and the effect of home health care can be improved.

The test service S4 is a service for testing a diabetic condition (glucose tolerance state). In this examination, a detailed examination of the disease state is performed at home using the teaching information and the materials sent in advance. In this embodiment, a glucose tolerance test (a test in which a glucose solution is taken on an empty stomach and a urine glucose level is measured after a certain period of time) is performed at home, and detailed information on the state of the home resident, Collects biochemical information from home residents via the Internet to understand more detailed conditions of home residents. A comparison is made between the past information of the resident who is stored in the health management center 1 and the data of other resident who are registered in the database, and a highly reliable test is performed.
In this way, people who have little chance of receiving a checkup, such as self-employed persons and housewives, can easily test for diabetes. In addition, the glucose tolerance test is more likely to detect an abnormal glucose tolerance at an earlier stage than a normal medical examination (fasting urine test), and is also effective for those who are regularly tested.

Note that, among the round arrows between the test service S4 and the resident 2 in FIG. 5, the arrow from the test service S4 toward the resident 2 indicates that the health care center 1 uses the resident 2 for the test service. This indicates a case in which the teaching information for a glucose tolerance test is directly transmitted by telephone or fax, and an arrow line from the resident 2 to the inspection service S4 is a case in which questions from the resident are directly received by telephone or fax. Is represented. Glucose used for the glucose tolerance test is provided to the home resident 2 from the related company 5 at the instruction of the health management center 1.

The maintenance service S5 is a service for supporting the maintenance of the urinary sugar meter. The sensor use cumulative time and the sensor use cumulative number are measured for each use by a timer and a counter built in the urinary glucose meter, and transmitted to the health management center 1 together with the measurement data. With this maintenance service S5, the life of the biosensor and the consumption of consumables are determined from the data comprehensively collected by the health management center 1, and the state of the biosensor 22 and a notice of the life are notified to the resident 2 via the Internet. I do. Further, a replacement part and consumables are sent from a urine sugar maker (related company) 5 through a courier service or the like.

In this manner, the health management center 1 can perform maintenance management of the home examination device without the home resident being visited by the trader. Further, parts can be replaced at an appropriate timing.
In FIG. 5, a thick arrow between the related trader 5 and the resident 2 indicates the movement of an object. In many cases, an object flows from the related company 5 to the resident 2. For example, when a part of the home inspection device 2 is inspected by the related company 5, the object flows from the home inspection device 2 to the related company 5. .

The health management center 1 performs a disease-specific mailing list service S6 and an insurance premium reduction support service S7 as other selection services S2. Although these services are not directly related to medical treatment, they improve the awareness of health care of the resident 2.
The disease state-specific mailing list service S6 is a service for creating a mailing list based on data such as urinary sugar level, age, and gender collected via the Internet 3. The health management center 1 recruits home residents who have a request for inter-home communication registered via the Internet, and publishes a list of home patients with the same condition as the applied home to the applied home of the relevant condition. I do. The applicant communicates information (up-to-date information, advice, competition, etc.) in the mailing list.
In this way, it is possible to help treatment by sharing common worries about diabetes etc. with peers (mailing lists) of similar disease states and ages.

The insurance premium reduction support service S7 is a service that provides materials for reducing the premium from the following year onward, based on the urine sugar level and the number of measurements for a certain period (for example, one year) collected via the Internet 3.
In this way, for example, when the progress of the disease state is not recognized from the urinary sugar level in the case where the periodic measurement is performed, a service for issuing a certificate for discounting the next year's insurance premium becomes possible.

FIG. 6 is a block diagram showing a data flow of an embodiment of a home health care service providing system for implementing the home health care service providing method of the present invention, and FIG. 7 is a home health health care of the present invention. FIG. 7 is a block diagram showing a service flow of the embodiment of FIG. 6 in the management service providing system.

Referring to FIG. 6, all data is collected from the resident 2 at the health care center 1, and necessary data flows to the specialist 4 and the related company 5.
The resident (user of a urinary glucose meter) 2 transmits the health management basic data (hereinafter, referred to as basic data) and urine sugar data to the health management center 1 on the Internet.

(4) The basic data is registered in advance in the database of the health management center 1 (prior to the resident receiving the substantial service of the health management center 1). As basic data, the home resident 2 transmits the home resident's age, gender, height, weight, body fat percentage, blood pressure, exercise intensity, sleep time, meal time, and meal amount to the health management center 1. Further, by adding the genetic information of the resident at home by the genetic test as basic data, the reliability of the service can be improved and the range of the service can be increased. These basic data may normally be transmitted (input) once, but may be retransmitted at any time or periodically if there is a change, change, addition, or the like. In addition, the inspection company provides a service for measuring an inspection item not equipped at home. For example, a genetic test or a special test for hormones, antibodies, and the like in samples such as urine and blood are performed to perform a detailed examination of the disease state. When the service is selected, a member such as a container for collecting and transporting the sample is sent from the related company 5 in advance.

(4) The urinary sugar data, the measurement date and time, the cumulative use time of the sensor, the cumulative number of use of the sensor, and the calibration value are transmitted from the resident 2 to the health management center 1. Among these, the sensor use cumulative time and the sensor use cumulative number are values that are measured for each use by a timer and a counter built in the urinary glucose meter and stored in a memory in the information processing device. Further, the urinary glucose meter deteriorates depending on the usage time due to a chemical reaction with urine. For that reason, the urinary glucose meter is sometimes calibrated by immersion in a standard solution, and is automatically recorded in the information processing device 23. The calibration value transmitted from the resident 2 to the health management center 1 is the last calibration value.

Among the data transmitted to the health management center 1, the basic data is registered in the database as the health management basic data, and the urine sugar value of the urine sugar data is calibrated by the calibration value, and is displayed together with the measurement date and time in an easy-to-read format. (It is processed into a form that makes it easy to extract the condition of diabetes), stored in a database, and transmitted on the Internet with the home resident as a destination. This processed data is a basic service for the home resident. Of the urine sugar data, the sensor use cumulative time and the sensor use cumulative number are further compiled in the health management center 1 for a sensor state survey and used for the maintenance service S5.

When the resident 2 selects any of the comprehensive advice service S31, the diet therapy service S32, the exercise therapy service S33, and the medication support service S34 among the selection services, the processed urine sugar data is Viewed by pharmacist, nutritionist or exercise therapist.

Although FIG. 6 illustrates an embodiment in which the expert 4 is independent of the health care center 1, in such an embodiment, the expert is affiliated with the health care center 1 as a business, and Above, a site linked to the health management center 1 is configured. In this case, the processed urine sugar data is transmitted from the health management center 1 to the Internet 3 with the expert 4 as a destination. However, the health management center 1 may have both full-time experts and affiliated experts. In such a case, the health management center 1 requests a service from a partner specialist via the Internet for a service that cannot be handled by a dedicated specialist.

The health care center 1 further has a business partnership with a food supplier, a urinary glucose meter manufacturer, or a life insurance company to provide a diet support service S32, a maintenance service S5, or an insurance premium reduction support service S7, They are linked on the Internet.

If there is a request from the home resident, the health management center 1 sends the processed urine sugar data to the related company (life insurance company) 5 on the Internet 3 to reduce the life insurance premium. Send. In addition, the health management center 1 transmits the result of the above-described sensor state survey to the related company (urine glucose meter maker) 5 on the Internet 3 for maintenance of the urinary glucose meter.

健康 In response to the data flow shown in FIG. 6, the health care service flows as shown by the arrow in FIG. In FIG. 7, a thick arrow indicates a flow of an object, and other arrows indicate a flow of information.

At-home services include basic services, medication advice, meal advice, exercise advice, medical condition judgment and comprehensive advice, mailing list services, meal provision services, maintenance support services (part replacement services, consumable supply services), and insurance premium reduction support. The service is shown. Of these services, the services other than the basic services are optional services.

の う ち Among these services, basic services, medication advice, meal advice, exercise advice, medical condition judgment, and mailing list service are information services provided by the health management center 1. The meal providing service, the parts replacement service, the consumables providing service, and the insurance premium reduction support service (issuing an insurance contract) are goods services, and are provided to the resident by the related company 5 through the home delivery company 6.

矢 The arrows from the expert 4 in FIG. 7 indicate the flow of two types of services. The first service is a service for providing expert knowledge to the health management center 1. The second service is a service for directly downloading the service of the expert 4 to the resident 2. Since the expert 4 is linked to the health management center 1 on the Internet, the resident 2 reads the page of the health management center 1 on the display screen of the information processing device 23 at home, and displays the display screen of the page. By clicking on the link character or link image of the expert at the link destination, the page of the expert 4 can be accessed.

(4) The thin arrow from the related company 5 indicates the same service flow. The resident 2 reads the page of the health management center 1 on the display screen of the information processing device 23 at home, and clicks the link character or the link image of the related company 5 to which the link is made on the display screen of the page. Thereby, the page of the related company 5 can be accessed, and desired information can be obtained through the Internet.

The above embodiment is an example in which a urinary glucose meter is used as a biosensor, and therefore, the disease state to be health managed is diabetes.
However, the present invention can be applied to a case where a biosensor other than a urinary sugar meter is used. As described above, by replacing the biosensor 103, the test apparatus 101 in FIG. 1 can measure the following items according to the health management target condition.
Disease condition: Diabetes measurement item: Sugar, ketone body, 3? Hydroxybutyric acid, C? Peptides, other chemicals that change with the state of diabetes,
Disease condition: Kidney disease measurement item: Protein, albumin, creatinine, oxalic acid, and other chemical substances that change depending on the state of kidney disease Disease condition: liver disease Lactate changes with dietary content, pH changes with dietary content
By combining and analyzing these data, the degree of stress, fatigue, etc. can be used as a guide even if there is no problem as a disease state.

As another service, when you suspect that you have a sickness, etc., using a home-based measuring device, or when you want to conduct a more detailed medical condition test, urine, blood, and gene tests can be performed by a specialized (clinical) testing company. We can also provide the services we receive.

In addition, as a service for maintenance of components necessary for home health care, the trend of usage frequency is analyzed from the maintenance data stored in the database, and the time to replace biosensors and the time to need consumables are inferred. There is a service in which necessary components are delivered before they run short, and a monthly service fee is determined and charged according to the frequency.

The above health management services are services for registered homeowners and are in principle paid. Paid services are charged according to the type of service. The service price may be collected by itself, included in the device, or the service price may include the device price.
In addition, the health management center 1 can open a homepage on the Internet to disclose information related to the activity of the health management center 1 or provide a free service.

It is a lineblock diagram of an example of an inspection device used for a home health care service provision system of the present invention. FIG. 3 is a diagram of the signal processing unit 105 viewed from a side. It is a figure which shows the operation | movement procedure at the time of urine measurement and at the time of calibration. It is a figure which shows the time response characteristic of the electric current output from a biosensor at the time of measuring the sugar in urine. It is a block diagram showing one embodiment of a home health care service provision system for carrying out the home health care service provision method of the present invention. FIG. 6 is a block diagram showing a data flow of the home health care service providing system of FIG. 5. FIG. 7 is a block diagram illustrating a service flow according to the embodiment of FIG. 6.

Explanation of reference numerals

1 Health Management Center 2 Service Recipient Device (Homebound)
3 Internet 4 Expert 5 Related company 6 Delivery company 21 Home inspection device 22 Inspection device 23 Information processing device 24 Information terminal 101 Inspection device 102 Urine collector 103 Biosensor 104 Support unit 105 Signal processing unit 106 Display unit 107 Storage liquid tank 108 Calibration Liquid tank

Claims (24)

Personal data necessary for the health management of the registered resident is registered as health management basic data, and based on the measurement data provided by the resident, infers the health status of the resident, and provides the resident with Build a health management center on the Internet that has a function to provide services necessary for health management or services that are in accordance with inferred health conditions,
Attempting to enjoy home healthcare services with a biosensor device that automatically detects predetermined chemical components contained in substances discharged from the human body at the discharge position and automatically generates electrical measurement data Distributed to homeowners who
Collecting measurement data for each registered resident at the health management center from the resident via the Internet,
Based on the health management basic data and the collected measurement data, manage the health status of the resident over time, and provide services necessary for maintaining the health of the resident.
How to provide home health care service. The substance excreted from the body of the home is urine excreted from the home,
At the time of measurement, a biosensor which is disposed in the toilet and detects a predetermined chemical component in the urine chemical component as a measurement component, and converts the detected value into an electric signal, and the electric signal generated by the biosensor, The biosensor device is configured using a signal processing unit that performs processing outside the toilet, and a component related to a disease state that changes in accordance with daily health among urine chemical components is used as a measurement component. The home care health management method according to claim 1, wherein is measured over time. The health care center provides all registered homes with information arranged and processed so that knowledge related to the specific medical condition can be extracted as a basic service, and the homeowners select. 3. The method of providing a home health care service according to claim 2, wherein a service suitable for the inferred health condition of the specific condition is provided as a selectable service that can be performed. If the condition for health care is diabetes, sugar, ketone, 3? Hydroxybutyric acid, C? The method for providing a home health care service according to claim 2, wherein a biosensor for measuring a peptide or another chemical component related to diabetes is used. The biosensor for measuring bile acids, pyruvic acid, urobilinogen, bilirubin, or other chemical components related to liver disease, when the disease state targeted for health care is liver disease, is used according to claim 2. How to provide home health care service. The method according to claim 2, wherein when the disease state to be managed for health is kidney disease, a biosensor for measuring protein, albumin, creatinine, oxalic acid, or other chemical components related to kidney disease is used. How to provide home health care service. The sensor according to claim 2, wherein when the disease state of the health care target is stress or fatigue, a sensor that measures lactic acid, pH of urine, or other chemical components that are indicative of the degree of stress or fatigue is used. How to provide home health care service. Personal data necessary for the health management of the registered resident is registered as basic health management data, and has a database that stores measurement data provided by the resident over time, and measurement provided by the resident is provided. It has a function of inferring the health status of the resident based on the data, and providing the resident with a service necessary for health management or a service adapted to the inferred health status, and is configured on the Internet. Health management center
A biosensor that detects a predetermined chemical component contained in a substance discharged from the human body over time at its discharge position and converts the detected value into an electric signal, and processes the output of the biosensor. Automatically generate measurement data, and output the measurement data, along with the time data at which the measurement was performed, to the health care center via the Internet, and from the health care center via the Internet. A signal processing unit for performing input control for inputting the transmitted information, and a service receiver device having an information terminal for transmitting and receiving a signal between the signal processing unit and the Internet,
The service receiver device transmits the measurement data generated over time to the health management center as a transmission destination on the Internet, and the health management center transmits the received measurement data to the registered home. When the transmission source is used, the health condition of the resident is inferred based on the received measurement data with reference to the registered health management basic data, and the resident is provided with information necessary for health management or inference. Provide services that match the health conditions
Home health care service providing system. The substance excreted from the body of the home is urine excreted from the home,
The biosensor is disposed in the toilet during operation, and detects a measured component using a component related to a disease state, which changes in response to a daily health condition, in a chemical component of urine as a measured component, and detects the detected component. The system according to claim 8, wherein the signal processing unit is disposed outside the toilet and processes the electric signal generated by the biosensor to generate measurement data. The health care center infers the health status of the home resident based on the measurement data provided by the home resident and the health management basic data stored in the database, and the home resident may have a disease. The system according to claim 8, further comprising an expert system that searches for optimal advice for the disease when the inference is made. The health care center is a dedicated staff capable of diagnosing the health status of the resident based on measurement data provided by the resident with reference to the health management basic data and providing support to the resident for health management. Have an expert or an expert linked to the health care center on the Internet,
The system according to claim 10. The health care center is a dedicated specialist who can provide assistance to the resident about diet, exercise therapy, or medication as a service adapted to the inferred health condition, or the health care center and the Internet The system according to claim 11, wherein the expert linked above belongs. The health management center provides foods provided by the health management center to home occupants to perform a diet therapy adapted to the inferred health condition, and foods linked to the health management center on the Internet. 13. The system of claim 12, having a provider. The health care center is arranged and processed so that all registered occupants can extract knowledge about a specific disease state related to the chemical component measured by the biosensor as a basic service. It provides data and provides support provided by the expert for the particular condition as a selection service that can be selected by the resident. The home health care service providing system according to claim 12. 15. The health care center according to claim 14, wherein, as the selection service, the health care center performs a detailed examination on a pathological condition inferred from measurement data at home using the teaching information and the material that have been sent in advance, as the selection service. system. The health management center has formed a business tie-up with a testing company having a function of performing a home condition test, and as a selection service, provides home health management basic data and measurement data to the testing company, The system according to claim 15, which causes the testing company to perform a predetermined medical condition test. The condition is diabetes, and the biosensor has sugar, ketone, 3? Hydroxybutyric acid, C? 10. The home health care service providing system according to claim 9, wherein the sensor is a sensor that measures a peptide or other chemical components related to diabetes. The condition is liver disease, and the biosensor comprises a bile acid,
The home care healthcare service providing system according to claim 9, wherein the sensor is a sensor that measures pyruvate, urobilinogen, bilirubin, or other chemical components related to liver disease. The home health according to claim 9, wherein the condition is kidney disease, and the biosensor is a sensor that measures protein, albumin, creatinine, oxalic acid, or other chemical components related to kidney disease. Management service providing system. 10. The home healthcare service providing system according to claim 9, wherein the biosensor is a sensor that measures lactic acid, pH of urine, or other chemical components that are indicators of the degree of stress and fatigue. The service receiver device has a function of measuring the number of times the biosensor has been used and the cumulative time used and measuring the calibration value of the biosensor, and transmitting the measured value to the health care center as maintenance data for the biosensor, The health care center stores the maintenance data in a database as a maintenance service for the biosensor, and based on the maintenance data stored in the database, informs the resident of the current biosensor status and life expectancy. 9. The system of claim 8, wherein said system provides notification. Personal data necessary for the health management of the registered resident is registered as basic health management data, and has a database that stores measurement data provided by the resident over time, and measurement provided by the resident is provided. It has a function of inferring the health status of the resident based on the data, and providing the resident with a service necessary for health management or a service adapted to the inferred health status, and is configured on the Internet. Health management center
A biosensor that detects a predetermined chemical component contained in a substance discharged from the human body at a position where the substance is discharged over time and converts the detected value into an electronic signal, and processes an output of the biosensor. Automatically generate measurement data, and output the measurement data, along with the time data at which the measurement was performed, to the health care center via the Internet, and from the health care center via the Internet. A signal processing unit for performing input control for inputting the transmitted information, and a service receiver device having an information terminal for transmitting and receiving a signal between the signal processing unit and the Internet,
The service receiver device transmits the measurement data generated over time to the health management center as a transmission destination on the Internet, and the health management center transmits the received measurement data to the registered home. When the transmission source is used, the health condition of the resident is inferred based on the received measurement data with reference to the registered health management basic data, and the resident is provided with information necessary for health management or inference. Provide services that match the health conditions
The service receiver device further has a function of measuring the number of times the biosensor has been used and the accumulated time used and a calibration value of the biosensor, and transmitting the measured value to the health care center as maintenance data for the biosensor. The health care center stores the maintenance data in a database as a biosensor maintenance service, and further, based on the maintenance data stored in the database, informs the home resident of the current state and life of the biosensor. In the home health care service providing method in the home health care service providing system for giving notice of the advance notice,
Analyze the trend of usage frequency from the maintenance data stored in the database, infer the replacement time of the biosensor, the necessary time of the consumables, and deliver the necessary parts in advance before the necessary parts are insufficient. In addition, a home health care service providing method for determining and charging a monthly service fee according to the frequency. Personal data necessary for the health management of registered homes are registered as basic health management data, and measurement data related to specific medical conditions that are provided by the homes and that change according to daily health conditions It has a function of inferring the health status of the resident based on the Internet and providing a service necessary for health management or a service adapted to the inferred health status to the resident, and is built on the Internet. In the home healthcare service provision method by the healthcare center,
Based on the health management basic data and the measurement data, the registered personal data and medical condition are classified into a plurality of types, and a list of at-home residents belonging to each type is created.
Recruiting registered homes having a request for inter-home communication via the Internet,
A method of providing a health care service for a home resident, in which a list of home occupants of the same type as the home resident is published to the home resident of the type. Personal data necessary for the health management of the registered resident is registered as health management basic data, and based on the measurement data provided by the resident, infers the health status of the resident, and provides the resident with Build a health management center on the Internet that has a function to provide services necessary for health management or services that are in accordance with inferred health conditions,
Enjoy home healthcare services with home inspection devices that automatically generate electrical measurement data by measuring the values of chemical components related to disease states at home over time that are contained in urine excreted from the human body. Distributed to the home
Collecting measurement data for each registered resident at the health management center from the resident via the Internet,
For a predetermined period, when the measurement data of a predetermined number or more is within a predetermined range, a certificate for requesting a discount on life insurance premiums is issued,
How to provide home health care service.

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