JP2004054493A - Health care cafeteria plan support system and its method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a health care cafeteria plan supporting system capable of providing a health management service whose quality is high by widening the choices of a health business service, and giving health promotion incentive to a user. <P>SOLUTION: A service provider server 1 transmits service use results used by a user who is belonging to an enterprise by using points issued according to a use fee paid by an enterprise to an agent server. At the time of receiving the service use results of each user, the agent server calculates the number of distribution of points to be used at the time of using a service to each user belonging to the enterprise based on the service use results of each user. Then, the agent server calculates the points per one service based on the use results of the service of the user for each service at the time of accepting the user's application for the use of the service. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a healthcare cafeteria plan support system that provides a healthcare service.
[0002]
[Prior art]
Under the current situation that 90% of the health insurance unions are said to be in the red, the insurance insurance, which is the original purpose, is not working properly in most health insurance. Further, in the conventional cafeteria plan, the scope of coverage is "corporate welfare", and "health management" is not focused.
[0003]
Until now, Health Insurance has been conducting health examinations and health screenings within the framework of insurance business expenses as a health management business, but the details were not decided by the members but by the company. As a result, there were problems that did not match the needs of the members, lacked flexibility, the quality of the menu was evaluated only in terms of cost, and it was difficult to understand what services could be offered.
For this reason, the conventional health insurance system could only provide unified services to members. In addition, there was no backup system to effectively implement measures for the Reserve Army (= yellow traffic light), or a framework or incentive for active participation of the Reserve Army.
[0004]
[Problems to be solved by the invention]
The present invention has been made in view of such circumstances, and aims to provide high-quality health management services by expanding the options of health business service services and providing users with health promotion incentives. To provide a healthcare cafeteria plan support system that can
[0005]
[Means for Solving the Problems]
SUMMARY OF THE INVENTION The present invention has been made to solve the above problems, and the invention according to claim 1 uses a plurality of service provider servers managed by a plurality of service providers that provide health management services, and uses the services. A cafeteria plan business providing a health management data platform for integrally managing health management service use result data, wherein a plurality of company servers respectively managed by a plurality of companies and the provider server and the company server are connected via the Internet. The business server is issued in accordance with a usage fee paid by a company, and distributes the number of points used at the time of using a service to each user belonging to the company. Calculate based on each service use record and accept service use application Sometimes, the points per service, based on historical service of the user, characterized by calculating for each service.
[0006]
According to a second aspect of the present invention, in the first aspect of the present invention, the business server receives and stores usage results for each user from the service provider server, and stores the user terminal and the predetermined user terminal. Upon receiving a health management data transmission request from the provider server, transmitting a list of past service use results for each user to the request source, and the request source receiving the service use list data and displaying the list. It is characterized by.
[0007]
According to a third aspect of the present invention, there are provided a health management service, a plurality of service providers respectively managing a plurality of provider servers, and a plurality of companies using the service provided by the service provider, a plurality of companies respectively managing the services. A cafeteria plan company server connected to the server via the Internet and providing a health management data platform for unified management of the health management service use result data, is issued according to the usage fee paid by the company and uses the service. First calculating means for calculating the number of points to be distributed to each user belonging to the company based on the service usage record of each user, and one service when a service use application is accepted The points per hit are used for the service usage of the user. Zui it, characterized by comprising a second calculating means for calculating for each service.
[0008]
The invention according to claim 4 is characterized in that a plurality of service provider servers respectively managed by a plurality of service providers providing a health management service, a plurality of company servers respectively managed by a plurality of companies using the service, Healthcare cafeteria plan support comprising a service provider server and a cafeteria plan operator server connected to the plurality of company servers via the Internet and providing a health management data platform for unified management of health management service use result data In the system, the service provider server transmits a service use record used by a user belonging to the company to the company server using points issued according to a usage fee paid by the company, and the company server Is for each user Upon receiving the service usage record, the number of points to be used at the time of using the service to each user belonging to the company is calculated based on the service use record of each user. The hit points are calculated for each service on the basis of the user's service use results.
[0009]
According to a fifth aspect of the present invention, in the fourth aspect of the present invention, the business server further receives and stores usage results for each user from the service provider server, and stores the user terminal and the predetermined Receiving a health management data transmission request from the provider server, transmits a list of past service usage results for each user to the request source, and the request source receives the service usage results list data and displays the list. It is characterized by doing.
[0010]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, an embodiment of the present invention will be described with reference to the drawings. FIG. 1 shows an overall configuration diagram of a healthcare cafeteria plan support system according to the embodiment. Reference numerals 1-A and 1-B denote SP servers managed by a service provider (hereinafter referred to as SP) that provides health management services. Reference numeral 1-A is installed in a hospital, and reference numeral 1-B is installed in a sports club. Reference numerals 2-A and B denote company servers managed by a company that uses the service provided by the SP. The company server 2-A is connected to the user terminals A1 to A3 via the network, It is connected to user terminals B1 to B3. The user terminals A1 to A3 are terminals that allow a user who uses a health management service provided by a company to view a service use application and a result of using the health management service. Reference numeral 3 denotes a cafeteria plan business which is connected to the SP servers 1-A and B and the company servers 2-A and B via the Internet 10 and provides a health management data platform for unified management of health management service use result data. Server.
[0011]
Reference numerals 4-A and B are databases that are connected to the SP servers 1-A and B and store service use results, and reference numerals 4-A are used to store the results of health examinations performed by a health examination user at a hospital. The stored health check DB, symbol 4-B, is a use situation DB that stores the use situation of sports clubs by sports club users. Reference numerals 5, 6 and 7-A and B are DBs connected to the cafeteria plan operator server 3, and the service DB 5 includes services provided by the SP registered in the health management data platform. It is remembered. The point DB 6 also stores the current point balance of points issued to each user, the point usage history, points required to use each service, etc., according to the usage fee paid by the service user every year. Is stored. Reference numerals 7-A and 7-B denote DBs storing the same data as the health check DB 4-A and the use status DB 4-B, respectively.
[0012]
FIG. 2 shows a configuration diagram of the cafeteria plan business server 3. Reference numeral 21 denotes a point issuance program for calculating points to be issued according to the amount paid by the company or the health insurance union at the time of newly joining the company health management data platform or at the beginning of the fiscal year, and issuing the points to the service user. Reference numeral 22 denotes a next issue point of the point issued by the point issue program 21 which is calculated at the next issue according to the use result of each service user, and further, points required for service use at the next service application. , Is a point addition weighting program that is calculated for each service based on the usage results of each service user. Reference numeral 23 indicates that when a service user makes a service use application at the user terminals A1 to B3, a service use application request is received from the user terminal, and the point balance of the user is equal to or more than the points required for use. This is an application program for issuing a service use request to the SP server 1 if there is a balance, and subtracting points required for use from the user's point balance. Reference numeral 24 denotes a control unit that reads out and executes the point issuing program 21, the point addition weighting program 22, and the application program 23. Based on the execution result of each program, the SP unit 1-A, B and the company It controls data communication with the servers 2-A and B.
[0013]
Hereinafter, a specific processing flow of the healthcare cafeteria plan support system will be described. FIG. 3 shows a processing cycle from SP service registration to use status reporting in the healthcare cafeteria plan support system according to the embodiment.
[0014]
(1) Provider registration phase When an SP such as a hospital or sports club newly subscribes to the health management data platform of the cafeteria plan operator, the SP servers 1-A and B establish the contents and services of the services provided by the SP. The service provision condition data such as points required in place of the usage fee is transmitted to the cafeteria plan company server 3. The cafeteria plan operator server 3 receives the service provision condition data from the SP and updates the service DB 5. The user can know at the user terminals A1 to B3 that a new service has been registered in the health management data platform by updating the service DB5.
[0015]
(2) The first phase of the year The company that intends to use the service provided by the SP using the health management data platform pays the cafeteria plan operator an annual service usage fee at the beginning of the year. In response to the payment of the usage fee, in the cafeteria plan company server 3, the control unit 24 activates a point issuing program, and issues points to all the corporate users according to the paid service usage fee, The issued points are stored in the point DB 6 for each individual.
Next, the number of points to be used at the time of using the service and distributed to each user belonging to the company is calculated based on the service usage results of each user.
First, the control unit 24 activates the point addition weighting program 22. In addition, at the time of new subscription, since the data which is the service use result of the last fiscal year is not accumulated, the processing by the point addition weighting program 22 is omitted.
[0016]
When the point issuance program 22 is started, the control unit 24 reads the health check result data of each company user and the use status data of the sports club of the last year from the health check DB 7-A and the use status DB 7-B. Based on the read data, the control unit 24 determines that the neutral fat is 200 in a certain year and that the user determined to be in the red zone in the health checkup in one year goes to a sports club for one year, and the neutral fat becomes 100. When the value has changed to a normal value, each point of the read data is compared with a condition value predetermined in a point addition weighting program, such as issuing 10 points more than usual, and points are added. The added points are stored in the point DB 6 for each individual.
[0017]
Next, the points per service are calculated for each service based on the user's service usage results. That is, based on the data read out from the health check DB 7-A and the use situation DB 7-B, the control unit 24, for example, among the sports club users last year, those who showed a high use situation, It is assumed that the sports club paid and used can be used with 8 points this year, and the condition value predetermined in the point addition weighting program is changed for each individual and stored in the point DB 6.
[0018]
As described above, the cafeteria plan company server 3 determines the points that can be used by each company user this year, and notifies the company servers 2-A and B of the points. Upon receipt of the notification, the enterprise servers 2-A and B notify the user terminals A1 to B3 of points available to each enterprise user this year. The notification of the points that each individual can use may be made in a booklet or the like.
[0019]
(3) Service use application phase The user inputs a personal ID and a password issued by a company in advance at the user terminals A1 to B3, and logs on to the health management data platform. The user can apply for the service registered in the health management data platform within the range of the notified points. The application may be made not only through the Internet but also through media such as paper, telephone, and mobile phone.
Now, when the user logs on to the health management data platform from the user terminal A1, the cafeteria plan operator server 3 starts the application program 23 and reads out the services registered in the health management data platform from the service DB / 5. Next, the cafeteria plan company server 3 reads out the points and the point balance required by the logged-on user for using each service from the point DB 6. Next, the health check result and the use status of the sports club, which are service use results, are read from the health check DB 7-A and the use status DB 7-B. Then, these data are transmitted to the user terminal A1. Since the user terminal A1 displays a list of transmission data from the cafeteria plan operator server 3, the user can examine a service to apply for based on past health management data.
[0020]
When the user determines the service to be applied, the user terminals A1 to B3 transmit an application message to the cafeteria plan operator server 3. Upon receiving the application message, the cafeteria plan company server 3 transmits the user's application message to the SP server 1 if the user's point balance is equal to or more than the points required for using the service.
[0021]
(4) When the user of the service use phase starts using the applied service, for example, the SP servers 1-A and B provide, as service use results, health check results such as neutral fat, cholesterol, and blood sugar levels, and sports clubs. The usage status, such as how many times an average week and how many types of exercises are performed, is stored in the health check DB 4-A and the usage status DB 4-B. Then, the SP servers 1-A and 1-B use the cafeteria plan company server to store the same service use results as the health check results stored in the health check DB 4-A and the use status DB 4-B and the use status of the sports club. Send to 3. The cafeteria plan company server 3 receives the service use results and stores them in the health check DB 7-A and the use status DB 7-B. As described above, the service use result is provided to the cafeteria plan company server 3.
[0022]
The cafeteria plan company server 3 receives the service use record and notifies the company servers 2-A and B of the service use record. Upon receipt of the notification, the company servers 2-A and B notify the user terminals A1 to B3 of the service use results.
In addition to the service user, the SP of a hospital or the like sends a health management data browsing request to the cafeteria plan operator server 3 as necessary, and the service provider records the authentication from the cafeteria plan operator server 3. In response to the request, by logging on to the health management data platform, the stored health management data can be browsed and used for medical activities.
[0023]
(5) Year-end phase SP servers 1-A and 1-B read, at the end of the year or at the end of use of the service, the use results of the current year in units of individuals and the entire company from DBs 4-A and B, and provide a cafeteria. The information is transmitted to the plan operator server 3. The cafeteria plan company server 3 starts the point issuance program again in response to the use result of the current year. For example, when paying 10 points for a sports club and applying for one year, at least five times are used for each company. According to the set value to be determined, a search is made for users whose use results have not reached the set value. The company can also charge the searched users for the usage points.
[0024]
【The invention's effect】
As described above, according to the first, third, and fourth aspects of the invention, the service provider server uses the service used by the user using the points issued according to the usage fee paid by the company. The result is transmitted to the service server, and upon receiving the service use result for each user, the service server determines the number of points to be used at the time of use of the service to each user belonging to the company and provides the service for each user. It is calculated based on the actual use of services, and when receiving a service application, points per service are calculated for each service based on the actual use of services by the user. Giving the promotion incentive has the effect of providing high quality health care services.
[0025]
According to the second and fifth aspects of the present invention, the business server receives and records the use results of each user from the service provider server, and receives a health management data transmission request from the user terminal and a predetermined provider server. And, the list data of past service use results for each user is transmitted to the request source, and the request source receives the service use list data and displays it in a list, so that the user's health condition can be seen more closely. Will be able to In addition, for a doctor in charge at a hospital or the like, the monitoring ability of a user who is a patient is enhanced, so that an effect such as a warning can be promptly taken before the user becomes ill.
[Brief description of the drawings]
FIG. 1 is an overall configuration diagram of a healthcare cafeteria plan support system according to an embodiment of the present invention.
FIG. 2 is a configuration diagram of a cafeteria plan business server 3 in FIG.
FIG. 3 is an explanatory diagram showing a processing cycle from service provision registration of SP1 to use status report in the embodiment shown in FIG. 1;
[Explanation of symbols]
1-A, B: SP server 2-A, B: Corporate server 3: Cafeteria plan operator server 10: Internet 21: Point issuing program 22: Point addition weighting program 23: Application program 24: Control unit 25: Communication unit

Claims (5)

A plurality of service provider servers respectively managed by a plurality of service providers providing health care services, a plurality of company servers respectively managed by a plurality of companies using the service, and the provider server and the company server and the Internet via the Internet. And a cafeteria plan operator server that provides a health management data platform for unified management of health management service usage data,
The business server is issued according to a usage fee paid by a company, and calculates the number of points to be distributed to each user belonging to the company based on the service usage result for each user, which is used when a service is used. A healthcare cafeteria plan support system wherein, upon receiving a service use application, a point per service is calculated for each service based on the user's service usage record. The business server receives and stores the usage record of each user from the service provider server, and upon receiving a health management data transmission request from the user terminal and a predetermined provider server, stores the past user data. Send the service usage list data to the request source,
The healthcare cafeteria plan support system according to claim 1, wherein the request source receives the list data of the service use results and displays the list. A plurality of service providers that provide health care services are connected via the Internet to a plurality of provider servers that respectively manage the services, and a plurality of companies that use the services provided by the service providers are connected to the plurality of company servers that each manages via the Internet. , A cafeteria plan operator server that provides a health management data platform for unified management of health management service usage data,
The number of points issued according to the usage fee paid by the company and distributed to each user belonging to the company, which is used at the time of using a service, is calculated based on the use result of the service use result for each user. 1 arithmetic means;
A healthcare cafeteria plan support, comprising: a second calculating means for calculating points per service for each service based on the user's service usage record when receiving a service use application. Business server. A plurality of service provider servers respectively managed by a plurality of service providers providing health care services; a plurality of company servers respectively managed by a plurality of companies using the service; the plurality of service provider servers and the plurality of companies In a healthcare cafeteria plan support system, which is connected to a server via the Internet and includes a cafeteria plan operator server that provides a healthcare data platform for unified management of healthcare service usage data,
The service provider server transmits to the business server a service usage record used by a user belonging to the business using points issued according to a usage fee paid by the business,
Upon receiving the service use results for each user, the business server determines the number of points to be distributed to each user belonging to the company based on the service use results for each user. A healthcare cafeteria plan support method, comprising: calculating, when receiving a service use application, calculating points per service for each service based on the user's service usage record. The business server further receives and stores the usage record of each user from the service provider server, and when receiving a health management data transmission request from the user terminal and a predetermined provider server, the past user Send list data of service usage results for each request to the request source,
5. The healthcare cafeteria plan support method according to claim 4, wherein the request source receives and displays a list of service use results.

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