JP2004303180A - Medical information providing system and medical information providing program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical information providing system capable of providing medical information on medical workers by selecting the medical workers suitable for treatment. <P>SOLUTION: This medical information providing system 1 is mainly composed of a management server 2 having a medical information database MID forming a database of medical information MI on the medical workers MM; sick or wounded person terminals 3 used by sick or wounded persons CK; and medical person terminals 4 used by medical workers MM such as physicians. The management server 2 selects or retrieves and extracts the medical worker MM suitable for the treatment of the sick or wounded person CK, by a medical specialist team according to sick or wounded person information SI sent from the sick or wounded person terminal 3, and provides the sick or wounded person terminal 3 with the medical information MI on the medical worker MM selected or the like and further provides the medical person terminal 4 with the sick or wounded person information SI on the sick or wounded person CK. The management server 2 further transfers instruction information DI on the treatment provided from the medical person terminal 4, to the sick or wounded person terminal 3. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medical information providing system and a medical information providing program, and in particular, grasps a medical condition and condition of an injured patient, and is a medical worker such as a doctor or a nurse suitable for treatment and a medical facility such as a hospital. The present invention relates to a medical information providing system and a medical information providing program capable of providing medical information including the introduction of medical information.
[0002]
[Prior art]
2. Description of the Related Art Conventionally, a person suffering from an illness or a person who has been injured due to an accident (hereinafter referred to as the "injured person") must go to a medical facility such as a hospital to treat the illness or injury. There is. Especially in the recent years when the transition to an aging society has been almost completed in recent years, the annual medical expenses have increased remarkably, and the involvement of medical care in social life has become even closer than before. I have. In addition, the number of medical-related facilities such as hospitals, pharmacies, nursing homes, and rehabilitation facilities has increased, and people engaged in medical care working in such facilities (so-called “medical services such as doctors, nurses, pharmacists, and caregivers”) have been developed. The number of workers ”) also tends to increase.
[0003]
By the way, when the victim seeks a medical examination in a hospital, it is important to determine which hospital or doctor to consult from among many hospitals as described above. There were few. That is, the reasons for determining the hospital (physician) to be examined are, for example, 1) a hospital with high traffic convenience, such as near home or work, or on the way to work, 2) experience of consultation before And 3) hospitals recommended by family members and acquaintances, and 4) hospitals with good reputation (rumors) in the neighborhood. In other words, the subjective judgment of the patient was large, and the judgment criteria for the decision were ambiguous. In particular, there was almost no objective judgment on the high level of physician's medical examination / diagnosis skills, the management system of medical facilities, and the degree of facility improvement.
[0004]
Furthermore, modern medical treatment is often performed on a tight schedule, as commonly referred to as “waiting 4 hours, consulting 2 minutes”, etc., and a physician directly confronts and diagnoses a single patient. Time is very limited. For this reason, it is difficult to accurately grasp the symptoms of the victim in a short time and make a diagnosis, which is a factor inducing a medical accident (medical mistake) that frequently occurs in recent years.
[0005]
In addition, among medical staff such as doctors and nurses, there is a considerable number of medical technicians with inexperienced (or below average) medical care technology due to lack of experience in specialized fields. It is expected that the short-term medical examination described above tends to promote an environment where medical errors such as misdiagnosis are likely to occur. For this reason, when the victim was examined, many people wondered whether the doctor in charge had excellent medical skills. However, these judgments and evaluations may require specialized medical knowledge, and it is also true that it is difficult for ordinary people to make objective judgments.
[0006]
Furthermore, it has been reported that there are many medical-related facilities with a lack of awareness of crisis management that seek to conceal the entire hospital in the event of a medical accident or medical error. In addition to their ability, they often raised distrust in the management system of medical facilities.
[0007]
The above-mentioned prior art is naturally performed by those skilled in the art, and the applicant has not found any document or the like describing this prior art at the time of filing the present application.
[0008]
[Problems to be solved by the invention]
Therefore, in order to prevent the above-mentioned medical accidents and the like, more and more people carefully select medical facilities and doctors to be treated. In addition, the so-called “second opinion” activities and behaviors, in which the victim listens to the opinions of specialists other than the attending physician and checks the treatment policy, etc., have become widely spread, and the victim has been treated independently. There was also a strong tendency to adopt such a posture.
[0009]
However, as described above, medical technology has a high degree of specialization, so that people with poor medical knowledge often cannot make an appropriate judgment due to a small amount of information and a lack of cognitive ability. In addition, it is necessary to first determine which medical department (surgery, internal medicine, dermatology, otolaryngology, etc.) should be diagnosed according to one's own symptoms. In some cases, the department of hospitals, which is commonly referred to as a hospital practice department, was turned into a "trowl". Furthermore, when there is only one doctor in a village such as a remote place, or in the case of a non-medical village, such residents rarely have the opportunity to hear the many opinions of medical experts. Furthermore, even multiple medical professionals residing in such areas have not been able to adequately treat specific diseases and injuries that require advanced medical knowledge, treatment methods and treatment facilities. .
[0010]
Therefore, there is a high possibility that appropriate treatment or the like is delayed and the symptoms are further worsened. In addition, in recent years, there have been many reports of infectious diseases caused by extremely infectious pathogens, and there have been many reports of secondary infections to healthcare workers such as doctors and nurses and hospital staff. Have been. Therefore, it is necessary to grasp the symptoms of the victim in advance, take appropriate protective measures, and then consult directly with the victim or perform a medical treatment, or perform medical treatment to prevent secondary infection. Was needed.
[0011]
In view of the above circumstances, the present invention searches for and extracts medical workers such as doctors and nurses suitable for treatment from a database based on victim information indicating the symptoms and condition of the victim, and provides appropriate advice on treatment. It is an object of the present invention to provide a medical information providing system and a medical information providing program capable of providing necessary information such as the information from a remote place.
[0012]
[Means for Solving the Problems]
In order to solve the above-mentioned problem, a medical information providing system according to the present invention is a medical information providing system that manages and provides medical information on medical personnel with a management server connected to a communication network, The server stores a medical information database which is a database of the medical information including information on occupation types, specialized fields, careers, and years of practical experience of the medical personnel including doctors, nurses, pharmacists, and caregivers. Means, an inquiry about the symptoms and condition of the patient, an inquiry data distribution means for distributing inquiry data for acquiring as patient information to a distribution request destination, and the patient information input to the inquiry data. Receiving the patient information via the communication network, and the medical worker suitable for treating the patient; Based on patient information, a medical specialist selects from the medical information in the medical information database, and provides the victim information to a medical terminal used by the selected medical worker. Providing means, a medical information providing means for providing the medical information corresponding to the selected medical worker to a transmission destination of the victim information, and transmitting from the medical person terminal to the provided victim information. And instruction information transfer means for receiving, via the communication network, instruction information including instructions relating to the treatment of the victim, and transferring the instruction information to a destination of the victim information. I have.
[0013]
Therefore, according to the medical information providing system of the present invention, the management server stores medical personnel (radiologists, manipulants, masseurs, masseurs, acupuncturists, etc.) registered in advance, such as doctors, nurses, pharmacists, and caregivers. Etc.) may be stored as medical information, and constructed as a medical information database. This makes it possible for the medical professional to select a medical worker by comprehensively judging the specialty of the medical worker and the level of medical technology based on the medical information. In addition, the medical information may include information such as a residence of a medical worker (name of a medical-related facility at work) and a telephone number or an e-mail address that the victim can directly contact. Here, the medical specialist is a person (team) who can select a suitable medical worker etc. according to the patient information and is composed of a plurality of medical workers having medical knowledge such as doctors. Is desirable.
[0014]
Then, the victim information indicating the medical condition or condition of the victim is transmitted over the communication network, and the management server receives the victim information. Here, in order to accurately indicate the condition of the victim, etc., the patient information is used according to a plurality of input / question items for inputting the victim information. Done. Such medical inquiry data is equivalent to a so-called “medical inquiry form”. The delivery of the interview data is assumed to be uploaded to a homepage operated by the management server and made available for browsing the homepage by browser software or the like, or delivered as an attached file of an e-mail. It is possible.
[0015]
Furthermore, the management server that has received the victim information has a plurality of medical information including information on the careers of medical workers stored in advance as a database and stored as a medical information database, and performs appropriate treatment and treatment based on the victim information. A medical worker such as a doctor who can give instructions such as advice is selected. Here, the selection of the medical staff is made based on the judgment made by a medical professional (one or a plurality of teams may be contracted) or resident with an operating company that operates the management server. Then, victim information indicating symptoms and the like of the victim is provided to the medical staff terminal used by the selected medical staff.
[0016]
The selected medical practitioner is not necessarily limited to a physician.For example, if it is determined that the condition can be treated only by prescribing a drug, a pharmacist with extensive expertise should be selected. There is also.
[0017]
Thereafter, the management server receives, from the medical terminal used by the selected medical worker, instruction information including instructions and advice on treatment to be taken according to the symptoms and the like of the patient based on the patient information, and To the destination of user information. As a result, the management server mediates between the victim and the healthcare worker, and even if the victim has little medical knowledge, the management server can receive a medical examination such as a doctor suitable for treatment from the beginning. . In addition, for healthcare professionals, especially if the victim complains of a highly infectious disease, the diagnosis can be made indirectly based on the victim's information, and treatment instructions can be given based on the instruction information. Therefore, the risk of secondary infection of the medical staff can be avoided as compared with the case where a medical examination is conducted directly facing the victim. In addition, even in the case of directly examining the victim of such an infectious disease, it is possible to take protective measures against secondary infection in advance. Thereafter, the victim can directly contact the healthcare worker (or a medical facility where the healthcare worker works) or the like, and see a doctor or the like who has specialized and advanced medical technology in the relevant field. And receive treatment directly.
[0018]
In addition, the selection of medical professionals conducted by medical professionals for direct medical consultation by medical professionals described above depends on, for example, the area where the injured and inhabited people are It is also possible to consider regional characteristics. For example, if the victim is a resident of Hokkaido and the physician or the like found is living or working in Okinawa, the burden is imposed by various factors, such as economics and time, so it is a direct problem as a real problem. Difficult to get a diagnosis. Therefore, the condition of the medical staff to be searched may be limited to, for example, doctors near Hokkaido.
[0019]
On the other hand, when a medical worker with a specific symptom and a specialized skill does not exist near the injured patient or the like, the selection may be made without considering the regional characteristics described above. In this case, the range in which the medical staff resides is, of course, not limited to Japan, but may be for medical staff from all over the world. As a result, it is possible to receive medical examinations using the latest medical technologies in Japan and the United States, not only in non-medical villages in Japan, but also in countries and regions where medical technology overseas is lagging. .
[0020]
Furthermore, the medical information providing system of the present invention may further include, in addition to the above-described configuration, "the management server searches for the medical worker suitable for treating the victim based on the received victim information and the medical information database. Extraction means for extracting, and a second victim information providing means for providing the victim information via the communication network to the medical terminal corresponding to the extracted medical staff. It may be something.
[0021]
Therefore, in addition to the operation of the medical information providing system of the present invention, a management server is searched and extracted by the management server based on the patient information. By this, since the receiving of the patient information and the provision of the patient information to the medical terminal are performed by the processing of the management server without depending on the judgment of the medical professional, the instruction is given to the patient terminal (the patient). The time during which information is sent is reduced. In addition, in order to confirm the search and the extraction by the management server, the extraction result may be artificially checked by the above-mentioned medical professional.
[0022]
Further, in addition to the above configuration, the medical information providing system according to the present invention may further include a “delivery terminal that is connected to the communication network and is mainly used by the victim, that requests the management server to deliver the inquiry data. A requesting means, a patient information inputting means for receiving the distributed inquiry data, and inputting the patient information indicating the symptoms and condition of the patient to the inquiry data, and transmitting the input victim information to the communication. Patient information transmitting means for transmitting via a network, the medical information provided from the management server, medical information receiving means for receiving via the communication network, the instruction information transferred from the management server, Instruction information receiving means for receiving via the communication network ".
[0023]
Therefore, according to the medical information providing system of the present invention, the victim terminal used mainly by the victim sends the victim information created by the victim entering the inquiry data to the management server, Further, it becomes possible to receive the provision of medical information on the medical staff from the management server. As a result, the patient can receive, as medical information, information of a doctor or the like suitable for treatment of his or her own symptoms. In other words, the best human resources for the treatment will be introduced. Therefore, the victim can take an action such as receiving a direct consultation based on the medical information. In addition, based on the instruction information transferred from the management server, it is possible to receive advice on points to be noted in daily life, or to receive recommendation for emergency hospitalization or close examination. It is desirable that the user of the victim's terminal mainly perform the operation by himself or herself, but when the symptoms and condition are deteriorating, or in the case of the elderly, infants, etc., the victim's terminal is directly operated. When it is not possible, a caregiver such as a family may operate the victim terminal as a substitute and input the victim information.
[0024]
Further, the medical information providing system of the present invention, in addition to the above-described configuration, further includes: `` the medical physician terminal receives the victim information provided from the management server, and receives the victim information via the communication network; Instruction information transmitting means for generating the instruction information based on the received victim information and transmitting the instruction information to the management server. "
[0025]
Therefore, according to the medical information providing system of the present invention, the medical technician terminal receives the victim information provided from the management server, and creates instruction information relating to the treatment of the victim according to the received victim information. , To the management server. Thereby, it is possible to give an accurate instruction to the victim, such as recommending the above-mentioned hospitalization, without depending on the geographical limitation of the symptoms and the like of the victim.
[0026]
Further, in addition to the above configuration, the medical information providing system according to the present invention may further include a configuration in which "the medical technician terminal connects the treatment instruction information including at least one of the accepted patient information and the instruction information to the communication network. Further comprising a treatment instruction information providing means for providing to the second medical person terminal, the second medical person terminal, the treatment instruction information provided from the medical person terminal by the treatment instruction information providing means, Treatment instruction information accepting means for accepting via the communication network, and second instruction information sending means for creating the instruction information based on the accepted treatment instruction information and sending the instruction information to the management server via the communication network And ".
[0027]
Therefore, according to the medical information providing system of the present invention, it is possible for the medical worker who has received the victim information to directly give an instruction for treatment as described above, but the medical terminal that has received the victim information is At the discretion of the health care provider (eg, a physician) who uses the patient, the victim can be placed in a second health care provider terminal used by another health care worker (eg, a nurse, pharmacist, or even a physician with high expertise in the field). Information can be provided, and the instruction information can be sent to the patient terminal from another medical worker. In other words, a medical worker more suitable for treatment is selected based on the personal connections and experience of the medical worker searched based on the patient information.
[0028]
In this way, if the doctor receives the patient information via the medical terminal, the pharmacist will give advice on the medicine based on the doctor's instructions, or the nurse will visit the patient and give medical treatment such as injection. Can be performed. That is, the treatment can be performed in cooperation with medical personnel such as doctors, nurses, pharmacists, and caregivers. Therefore, even when a doctor or the like resides in a remote place, the medical technique possessed by the doctor can be transmitted by an indirect instruction to a nurse or the like, and efficient treatment can be performed.
[0029]
Furthermore, the medical information providing system of the present invention, in addition to the above-described configuration, further includes "the medical information further includes facility data relating to a scale, facilities, and a management system for medical facilities including hospitals, nursing homes, and prescription pharmacies. The facility data is used to select at least one of the medical specialist in the medical care worker's victim information providing means and the extraction by the extracting means. ' I do not care.
[0030]
Therefore, according to the medical information providing system of the present invention, hospitals, pharmacies, nursing facilities, and the like corresponding to the workplaces of medical workers such as doctors and nurses are included in the medical information databased in the medical information database. And information on a medical office management system such as a scale and facilities. That is, it is possible for the medical specialist and the extraction means to judge the degree of the treatment system of the entire hospital, such as whether the doctors and the like have the personal ability of the medical technology and the sufficient facilities required for the treatment. is there.
[0031]
Further, the medical information providing system of the present invention may have a configuration in which “the medical information further includes rating data including third-party evaluations of the medical staff and the medical facilities” in addition to the above configuration. Absent.
[0032]
Therefore, according to the medical information providing system of the present invention, the medical information includes the medical rating data corresponding to the “ranking” indicating the third-party evaluation of the medical worker and the medical facility. Thereby, the victim who has been provided with the medical information by the selection or extraction can autonomously determine whether to consult a doctor or the like based on the contents of the medical rating data. In other words, when a doctor with a high evaluation is selected or extracted, the victim can be examined with confidence, while when a doctor with a low evaluation is selected or extracted, the patient can consult another doctor. You can do what you want. In this way, in addition to receiving medical examinations by healthcare professionals selected and extracted from nearby areas in consideration of regional characteristics, doctors (or medical-related facilities) with high rankings are considered without considering regional characteristics. Can be selected by the doctor.
[0033]
The medical information providing program according to the present invention is a medical information database in which medical information having information on occupations, special fields, careers, and years of practical experience of medical workers including doctors, nurses, pharmacists, and caregivers is provided. Storage means for storing a database, inquiry data distribution means for performing an inquiry about the symptoms and condition of the victim and distributing inquiry data for acquiring as the victim information to a distribution request destination, and the illness entered in the inquiry data Patient information, receiving the patient information via a communication network, the medical worker suitable for the treatment of the patient, based on the received patient information, based on the received patient information, a medical professional in the medical information database of the medical A victim information provider for providing the victim information to a medical terminal used by the selected medical staff. Means, a destination of the victim information, a medical information providing means for providing the medical information corresponding to the selected medical worker, and, for the provided victim information, transmitted from the medical terminal. Instruction information including instructions relating to the treatment of the patient is received via the communication network, and a management server connected to the communication network functions as instruction information transfer means for transferring the instruction information to a destination of the patient information. Based on the received information of the patient and the medical information database, the medical worker suitable for the treatment of the patient is searched and extracted, and the extracting means corresponds to the extracted medical worker. The management server is further provided as a second victim information providing unit for providing the victim information to the medical technician terminal via the communication network. The distribution request means for requesting the management server to distribute the medical inquiry data, accepting the distributed medical inquiry data, and providing the medical examination data with the victim information indicating the symptoms and condition of the victim. Patient information input means for receiving input, the victim information input, the victim information sending means sending out via the communication network, the medical information provided from the management server, via the communication network Medical information receiving means for receiving, and the instruction information transferred from the management server, as the instruction information receiving means for receiving via the communication network, the victim terminal connected to the communication network, mainly used by the patient Function, '' and `` using the victim information provided from the management server, Patient information receiving means to receive through, and create the instruction information based on the received victim information, and function the medical technician terminal as instruction information sending means to send to the management server ", "The management server is provided as treatment instruction information providing means for providing treatment instruction information including at least one of the received patient information and the instruction information to a second medical technician terminal connected to the communication network. The treatment instruction information provided by the medical instruction terminal by the treatment instruction information providing means, the treatment instruction information receiving means receiving the treatment instruction information via the communication network, and the instruction based on the received treatment instruction information. Second instruction information transmitting means for generating information and transmitting the generated information to the management server via the communication network; , It is mainly composed of the second medical profession to terminal function "ones.
[0034]
Therefore, according to the medical information providing program of the present invention, by executing the program, it is possible to cause the management server, the victim's terminal, the medical technician's terminal, and the second medical physician's terminal to perform the above-described operations, respectively. Become.
[0035]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, a medical information providing system 1 according to an embodiment of the present invention will be described with reference to FIGS. FIG. 1 is an explanatory diagram showing a schematic configuration of a medical information providing system 1 of the present embodiment, FIG. 2 is a block diagram showing a functional configuration of a management server 2 in the medical information providing system 1, and FIG. FIG. 4 is a block diagram showing a functional configuration of the patient terminal 3 and the medical terminal 4 in the providing system 1. FIGS. 4 to 6 show the management server 2, the patient terminal 3, and the medical terminal 4 in the medical information providing system 1. 6 is a flowchart showing the flow of the processing of FIG.
[0036]
As shown in FIGS. 1 to 3, the medical information providing system 1 according to the present embodiment is connected to the Internet I via a communication line L and is engaged in medical services such as doctors, nurses, pharmacists, and caregivers. Occupation type, specialty field, achievements, years of practical experience of medical personnel MM, and medical personnel data MD including third-party rating data RD and hospitals, prescription pharmacies, and nursing / welfare where the medical personnel MM mainly works The medical information MI including the facility data SD related to the scale and facilities of the medical facilities including the facilities and the like is connected to the management server 2 having the medical information database MID and the Internet I, and the victim CK is connected. It is mainly composed of a patient terminal 3 mainly used and a medical terminal 4 connected to the Internet I and used by a medical worker MM.
[0037]
The functional configuration of the management server 2 in the medical information providing system 1 according to the present embodiment will be further described. As shown in FIG. 2, the medical inquiry data QD for inputting the patient information SI in a predetermined format is Inquiry data distribution means 10 for distributing to the patient terminal 3 in response to a distribution request, and storage means 11 for storing various data and information such as the inquiry data QD to be distributed and a medical information database MID in which the medical information MI is made into a database. And the patient information receiving means 12 for receiving the patient information SI input from the patient terminal 3 in accordance with the format of the inquiry data QD, and having abundant medical knowledge based on the received patient information SI. A medical professional team TM composed of a plurality of doctors etc. assigns a medical worker MM suitable for treatment of the patient CK to the medical information database M. A victim information providing means 13 for providing the victim information SI of the victim CK to the medical terminal 4 used by the selected medical worker MM via the Internet I; A medical worker MM suitable for treating the victim CK based on the medical information database MID, and extracting and providing means 14 for extracting and providing the medical worker MM to the medical professional terminal 4; The medical information providing means 15 for providing the medical information MI corresponding to the MM to the patient terminal 3 via the Internet I, and the instruction information DI including the instruction regarding the treatment of the patient CK sent from the medical terminal 4 And instruction information transfer means 16 for receiving the information via the Internet I and transferring the information to the victim terminal 3 to which the victim information SI is to be transmitted. Here, the extraction providing unit 14 corresponds to the extraction unit and the second victim information providing unit in the present invention.
[0038]
Further, the management server 2 receives, as other functional components, a management-side communication unit 19 having a management-side transmission control unit 17 and a management-side reception control unit 18 capable of transmitting and receiving various data and information. It has a management-side display control means 20 and a management-side display means 21 for controlling display of various data and information.
[0039]
As shown in FIG. 3, the victim terminal 3 has, as its functional configuration, a distribution requesting unit 31 for requesting the management server 2 to distribute the inquiry data QD, and the inquiry data distributed from the management server 2. The patient information input means 32 which receives the QD, receives the patient information SI indicating the symptom and condition of the patient CK in the inquiry data QD, and sends out the input patient information SI via the Internet I. Patient information transmitting means 33, medical information receiving means 34 for receiving medical information MI provided from the management server 2 via the Internet I, and instruction information receiving means 35 for receiving transferred instruction information DI. It is mainly composed.
[0040]
Further, the victim terminal 3 is connected to a victim-side transmission control unit 36 and a victim-side reception control unit 37 that can transmit and receive various data and information to and from the management server 2 as another functional configuration. Patient-side communication means 38, patient-side storage means 39 for storing the received medical information MI, instruction information DI, and the like, and patient-side display control means 40 for displaying and controlling the medical information MI, instruction information DI, and the like. And a patient-side display means 41.
[0041]
On the other hand, as shown in FIG. 3, the medical technician terminal 4 receives the victim information SI provided from the management server 2 via the Internet I based on the victim information receiving means 51 and the received victim information SI. Instruction information DI that includes a treatment policy and advice relating to treatment of the victim CK, and sends the instruction information DI to the management server 2; A treatment instruction information providing unit 53 for providing treatment instruction information DDI including at least one of the instruction information DI, a treatment instruction information receiving unit 54 for receiving treatment instruction information DDI sent from another medical technician terminal 4, The second instruction information sending unit (here, the instruction information sending unit 52 creates the instruction information DI based on the medical treatment instruction information DDI and sends it to the management server 2. It is mainly constituted by a function of a) and that.
[0042]
Further, the medical technician terminal 4 includes, as other functional components, a medical technician-side transmission control unit 55 and a medical technician side capable of transmitting and receiving various data and information to and from the management server 2 and the patient / disease terminal 3. A medical person-side communication means 57 connected to the reception control means 56, a medical person-side storage means 59 for storing the received victim information SI and the like, a medical person-side display control means 60 for displaying and controlling the victim information SI and the like, It further has a medical person side display means 61. Note that the medical technician terminal 4 has both functions of the treatment instruction information providing unit 53 that creates and sends the treatment instruction information DDI and the treatment instruction information receiving unit 54 that receives the treatment instruction information DDI. Can function as the second medical technician terminal 4a.
[0043]
Here, a commercially available general-purpose server can be used as the management server 2, and a well-known hardware device such as a hard disk as the storage unit 11, a communication device such as a modem as the communication unit 19, and a monitor display as the display unit 21 is used. Have been. Similarly, as the victim terminal 3 and the medical terminal 4, a commercially available personal computer and a portable information terminal such as a mobile phone or a PDA having a function of connecting to the Internet I can be used. The screens are constituted by communication devices such as modems as the communication means 38 and 57 applied thereto, storage devices such as hard disks as the storage means 33 and 59, and a cathode ray tube (CRT) and liquid crystal as the display means 41 and 61. Can be used.
[0044]
Next, the respective processing flows of the management server 2, the victim's terminal 3, and the medical terminal 4 (including the second medical terminal 4a) in the medical information providing system 1 of the present embodiment will be described with reference to FIGS. A description will be given based on the flowchart of FIG. Here, steps S1 to S13, steps T1 to T13, and steps U1 to U10 in FIGS. 4 to 6 correspond to the medical information providing program of the present invention.
[0045]
First, the victim terminal 3 connected to the Internet I detects the presence or absence of an instruction to request distribution of the inquiry data QD for inputting the victim information SI indicating the symptoms and the like of the victim CK in a predetermined format. (Step T1). Then, if there is an instruction to request distribution of the inquiry data (YES in step T1), a request to distribute the inquiry data QD is made to the management server 2 connected via the Internet I (step T2). On the other hand, if there is no instruction to request distribution of the inquiry data QD (NO in step T1), the process in step T1 is continued.
[0046]
Note that the interview data QD can be used to easily form the victim information SI according to a predetermined format by sequentially answering preset input items and question items when creating the victim information SI. It is intended to be able to create. In other words, along with basic information such as the name and date of birth of the victim CK, information necessary for treatment, such as medical history, operation history, presence / absence of allergy to medicines, symptoms, and the name of the medicine being taken, is provided. Is entered. Further, the inquiry data QD is formed so as to prompt the input of the patient information SI specialized for each specialty (internal medicine, surgery, otolaryngology, ophthalmology, etc.) in order to input more detailed information. It may provide the interview data QD.
[0047]
On the other hand, the management server 2 detects the presence / absence of a request for distribution of the inquiry data QD from the above-mentioned patient terminal 3 (step S1). Then, when there is a distribution request of the inquiry data QD from the patient terminal 3 (YES in step S1), the inquiry data QD is distributed to the distribution request destination to the distribution request destination in response to the distribution request (step S1). S2). On the other hand, when there is no distribution request of the inquiry data QD (NO in step S1), the management server 2 continues the processing of step S1.
[0048]
Then, the patient terminal 3 receives the inquiry data QD distributed in response to the distribution request from the management server 2, and receives inputs of answers to various inputs and question items described in the inquiry data QD (step T3). . As a result, the transmitted patient information SI can be created. Thereafter, the created victim information SI is transmitted to the management server 2 (step T4).
[0049]
On the other hand, the management server 2 after distributing the inquiry data QD detects whether or not the victim information SI is transmitted from the victim terminal 3 (step S3). Then, when transmission of the victim information SI is detected (YES in step S3), the victim information SI is accepted and stored in the storage unit 11 (step S4). On the other hand, when transmission of the victim information SI is not detected (NO in step S3), the management server 2 continues to perform the processing of step S3.
[0050]
Thereafter, based on the received victim information SI and the medical information MI stored in the medical information database MID, the management server 2 responds to the symptom and condition of the victim CK, and performs medical service having medical technology suitable for treatment. The person MM is selected based on the judgment of the medical expert team (or one person is acceptable), or is extracted based on the extraction providing means 14 of the management server 2 (step S5). Here, the selection / extraction of the medical worker MM suitable for the treatment may be left to the judgment of a person by the medical professional team TM, but may be extracted by the management server 2 based on the victim information SI. Is also good. Further, the information extracted by the management server 2 may be confirmed by the medical specialist team TM.
[0051]
If there is a medical worker MM suitable for the symptoms of the victim CK (YES in step S6), the medical information MI corresponding to the medical worker MM or the like is provided to the victim terminal 3 ( Step S7). Furthermore, the victim information SI which can grasp the symptoms etc. of the victim CK is provided to the medical staff terminal 4 used by the medical staff MM or the like via the Internet I (step S8). On the other hand, if the medical worker MM suitable for the symptoms of the patient CK is not found as a result of the search (NO in step S6), the fact that there is no such medical worker MM is notified to the patient terminal 3. (Step S9). It should be noted that the setting may be made such that the medical worker MM is always selected and extracted based on the medical information MI without providing an opportunity to notify that there is no such person.
[0052]
Here, in the victim terminal 3 after transmitting the victim information SI, the process of detecting the presence or absence of the medical information MI provided from the management server 2 is performed (step T5), and the medical information MI is detected (step T5). At T5, the medical information MI is accepted (step T6) and stored in the storage unit 11 (step T7). On the other hand, when the medical information MI is not detected (NO in step T5), it is further determined whether or not a notification indicating that there is no corresponding medical worker MM or the like is given from the management server 2 (step T10). If the notification has been made (YES in step T10), a notification is accepted (step T11), and the process proceeds to step T12. On the other hand, if the notification has not been made (NO in step T10), the process in step T5 is continued, and the process waits until the medical information MI is provided.
[0053]
Here, after providing the victim information SI to the medical profession terminal 4, the management server 2 provides the medical clerk terminal 4 to the management server 2 and provides the instruction information including the instruction and advice relating to the treatment of the victim CK. It is detected whether or not DI has been accepted (step S10). If the instruction information DI is detected (YES in step S10), the accepted instruction information DI is transferred to the patient terminal 3 (step S11). On the other hand, when the instruction information DI is not detected (NO in step S10), the process of step S10 is repeated, and the detection of the reception of the instruction information DI is continued.
[0054]
Then, the management server 2 detects the presence or absence of an instruction to end the system (step S12), and if there is an instruction to end (YES in step S12), ends the system (step S13). On the other hand, if there is no termination instruction (NO in step S12), the process returns to step S1, and the system is continued.
[0055]
After receiving the medical information MI, the victim terminal 3 detects the presence or absence of the instruction information DI transferred from the management server 2 (step T8). If the instruction information DI is detected (YES in step T8), the instruction is given. Information DI is received (step T9). On the other hand, when the instruction information DI is not detected (NO in step T8), the victim terminal 3 continues the processing in step T8. Thereafter, the victim terminal 3 that has received the instruction information DI detects whether there is an instruction to end the system (step T12), and if there is an instruction to end (YES in step T12), ends the system (step T13). On the other hand, when there is no end instruction (NO in step T12), the process returns to step T1 and the system is continued.
[0056]
Further, the medical technician terminal 4 is used by the above-mentioned medical worker MM, and first detects the presence or absence of the patient information SI provided from the management server 2 in step S8 (step U1). At this time, if the victim information SI is detected (YES in step U1), the patient information SI is accepted (step U2). On the other hand, if the victim information SI is not detected (NO in step U1), the information is provided from the medical staff terminal 4 used by another medical staff MM (for example, corresponding to the doctor A or the nurse in FIG. 1). The presence or absence of the treatment instruction information DDI is detected (step U3). Here, when the treatment instruction information DDI is detected (YES in step U3), the treatment instruction information DDI is accepted (step U4), and the instruction information DI concerning the treatment of the patient CK to be transmitted to the management server 2 is transmitted. It is created and provided to the management server 2 (step U5). Then, the process proceeds to a process in step U8. On the other hand, when the treatment instruction information DDI is not detected (NO in step U3), it is determined that neither the patient information SI nor the treatment instruction information DDI has been received, and the process of step U1 is continued.
[0057]
Then, after receiving the patient information SI, the medical technician terminal 4 provides the instruction information DI directly to the management server 2, or sends the instruction information DI to the second medical technician terminal 4a used by another medical worker MM. The medical treatment instruction information DDI is provided to the terminal, and an instruction as to whether or not to provide the instruction information DI from the second medical staff terminal 4a is detected (step U6). Then, when providing the treatment instruction information DDI to the second medical staff terminal 4a (YES in step U6), the treatment instruction information DDI is provided via the Internet I (step U8). On the other hand, when providing the instruction information DI from the medical technician terminal 4 without providing the treatment instruction information DDI (NO in step U6), the instruction information DI is provided to the management server 2 (step U7). Note that the management server 2 receives the instruction information DI provided from the medical profession terminal 4 or the second medical profession terminal 4a, and transfers the instruction information DI shown in step S11 to the victim terminal 3.
[0058]
Thereafter, the medical profession terminal 4 (or the second medical profession terminal 4a) that has provided the instruction information DI detects the presence or absence of an instruction to end the system (step U9), and when there is an instruction to end (YES in step U9). Then, the system is terminated (step U10). On the other hand, when there is no end instruction (NO in step U9), the process returns to step U1, and the system is continued.
[0059]
As described above, the medical information providing system 1 of the present embodiment allows the victim CK to input the questionnaire data QD and determine the symptoms and the like through the Internet I based on the created patient information SI. The extraction is performed by the house team TM or the management server 2, and a medical worker MM suitable for treatment is selected. Then, the medical information MI about the selected or extracted medical worker MM is provided to the victim terminal 3, and the victim CK can browse it. Further, the management server 2 provides the patient information 4 to the medical terminal 4 used by the selected or extracted medical worker MM, and transmits the instruction information DI including advice on treatment from the medical terminal 4 to the medical terminal 4. The victim terminal 3 can be transmitted as the victim SI via the management server 2. Note that it is desirable that the process be performed as short as possible from the reception of the victim information SI to the transfer of the instruction information DI to the victim terminal 3. For example, an instruction is given within 30 minutes in total. It is preferable to provide the patient information SI as the information DI.
[0060]
Thereby, the appropriate medical department (surgery, otolaryngology, etc.) to which the victim CK consults according to his or her own symptoms is indicated, and the medical information MI about the medical staff MM such as doctors with high medical technology is provided. You. Therefore, the victim CK can make direct contact with the doctor's name, office, and contact information (phone number / e-mail address) included in the provided medical information MI. As a result, the victim CK can receive a consultation from a doctor or the like who is suitable for the treatment from the beginning, and can receive the treatment promptly without having to go to the medical department as in the past. And unnecessary payment of medical expenses is less likely to occur.
[0061]
In this case, a determination may be made as to whether or not the victim CK should be examined based on the rating data RD indicating the third-party evaluation included in the medical information MI. Note that the rating data RD may be in the form of a ranking in which points such as actual results and years of experience are pointed in advance from subjective data such as opinions and impressions of the victim CK who has been consulted in the past, It is desirable that the information is provided as one of the materials that allows the victim CK to independently determine whether to consult.
[0062]
On the other hand, the selected or extracted doctor or the like can recognize the symptoms and the like of the victim CK in advance based on the victim information SI, and can perform necessary treatment immediately after the medical examination. Furthermore, when the victim CK suffers from an infectious disease, a medical examination can be performed after taking measures to prevent infection beforehand, so that hospital-acquired infection and secondary infection do not spread. In addition, since the third-party evaluation is determined and disclosed based on the rating data RD, the healthcare professional MM such as a doctor has a consciousness to raise his own evaluation, As a result, the evaluation of the victim CK will be increased overall.
[0063]
Furthermore, according to the medical information providing system 1 of the present embodiment, even when the medical worker MM and the victim CK are resident in distant areas, the victim information SI and the instruction information DI can be exchanged with each other. The user can receive instructions and advice on appropriate treatment according to symptoms and the like. Therefore, even a victim CK who lives in a no-medicine village or a place where there is no specialist in the vicinity can receive advanced medical treatment. In addition, since a diagnosis or the like by a doctor having excellent medical technology overseas can be performed, obstacles due to regional characteristics can be resolved. Therefore, consultation from excellent doctors and the like all over the world becomes possible.
[0064]
In addition, the medical worker MM (for example, the doctor A in FIG. 1) using the medical terminal 4 provided with the victim information SI from the management server 2 creates the instruction information DI based on the victim information SI. Then, it can be provided to the management server 2. Further, instead of providing the instruction information DI by itself, the second medical terminal 4a used by another medical worker MM (eg, doctor B, nurse C, pharmacist D in FIG. 1) is treated. Instruction information DDI can also be provided. That is, at the discretion of the medical worker MM who has been provided with the victim information SI, a medical worker MM (such as a doctor B) having the ability related to more optimal medical technology is selected, or the medical worker MM of the victim CK is actually selected. The patient goes out to the hospital and instructs the nurse C to perform medical treatment such as injection, or instructs the pharmacist D to prepare a medicine based on the prescription determined by the doctor A, and further administers the medicine to the victim CK. You can do things. That is, the nurse C and the pharmacist D each having specialized medical technology can perform medical activities according to the instruction of the doctor A or the like, and the victim CK can be assisted by the teamwork of the medical technician MM. Become like The medical worker MM may include a visiting caregiver who goes to the victim CK and performs a nursing activity.
[0065]
As described above, the present invention has been described with reference to the preferred embodiments. However, the present invention is not limited to these embodiments, and various improvements can be made without departing from the gist of the present invention as described below. And design changes are possible.
[0066]
That is, in the medical information providing system 1 of the present embodiment, a system in which the provider of the victim information SI is provided to the doctor is illustrated, but the provider of the victim information SI provided from the management server 2 is limited to the doctor. It is not done. For example, the patient information SI may be directly sent to the pharmacist D by selection by the medical professional team TM, and instructions may be given for preparation based on a prescription and administration of the prepared medicine.
[0067]
In addition, the selection or extraction of the medical worker MM suitable for the treatment may be performed only by the management server 2. As a result, it is possible to reduce the time required from the reception of the victim information SI to the transfer of the instruction information DI. In addition, the operating company that operates the management server 2 charges the victim CK or the registered healthcare professional MM who uses the victim terminal 3 according to the use of this system, or sets a predetermined contract fee (monthly fee). Etc.) can be collected.
[0068]
【The invention's effect】
As described above, the medical information providing system of the present invention mediates between the victim and a medical worker such as a doctor by the management server, and provides necessary and useful information to the victim for the consultation to the victim. Can be provided. As a result, it is possible to receive a medical examination by a doctor suitable for his or her own symptoms from the beginning, and the optimal treatment for improving the symptoms and the like is appropriately selected. Therefore, recovery from the disease is prompt. Further, since various types of information are transmitted and received via the communication network, a system capable of receiving advanced medical care can be established even in a medical facility such as a non-medical village or an area where human resources engaged in medical care are scarce. In addition, protection against strong infectious diseases that frequently occur in recent years can be performed in advance, and the risk of nosocomial infection and secondary infection can be reduced. Further, the medical information providing program of the present invention can cause the management server, the victim's terminal, and the medical person's terminal to have the above-described respective effects.
[Brief description of the drawings]
FIG. 1 is an explanatory diagram illustrating a schematic configuration of a medical information providing system according to an embodiment.
FIG. 2 is a block diagram showing a functional configuration of a management server in the medical information providing system.
FIG. 3 is a block diagram showing a functional configuration of a victim terminal and a medical terminal in the medical information providing system.
FIG. 4 is a flowchart showing a flow of processing of a management server, a patient terminal, and a medical terminal in the medical information providing system.
FIG. 5 is a flowchart showing a processing flow of a management server and a victim terminal in the medical information providing system.
FIG. 6 is a flowchart showing a flow of processing of a medical technician terminal in the medical information providing system.
[Explanation of symbols]
1 medical information providing system
2 Management server
3 victim's terminal
4. Medical terminal (second medical terminal)
4a Second medical person terminal (medical person terminal)
10 Interview data distribution means
11 storage means
12 Patient information receiving means
13 Patient information provision means
14. Extraction providing means (extraction means, second victim information providing means)
15 Medical information provision means
16 Instruction information transfer means
31 Delivery request means
32 Victim information input means
33 Victim information transmission means
34 Medical information reception means
35 Instruction information receiving means
51 Victim information receiving means
52 Instruction information sending means
53 Treatment instruction information providing means
54 Treatment instruction information receiving means
CK victim
DDI treatment instruction information
DI instruction information
I Internet (communication network)
MI medical information
MID medical information database
MM medical worker
QD interview data
RD Rating Data
SD facility data
SI victim information
TM Medical Expert Team (Medical Expert)

Claims (12)

A medical information providing system that manages and provides medical information on medical staff with a management server connected to a communication network,
The management server,
A storage means for storing a medical information database in which the medical information having information on occupations, specialty fields, careers, and years of practical experience of the medical personnel including doctors, nurses, pharmacists, and caregivers,
An inquiry data distribution means for conducting an inquiry about the symptoms and condition of the victim, and distributing inquiry data for obtaining as the patient information to a distribution request destination;
The victim information input to the inquiry data, victim information receiving means for receiving via the communication network,
The medical worker suitable for the treatment of the patient is selected from the medical information in the medical information database by a medical professional based on the received patient information, and the selected medical worker is used. Victim information providing means for providing the victim information to a medical technician terminal,
To the destination of the victim information, medical information providing means for providing the medical information corresponding to the selected medical staff,
For the provided victim information, instruction information including instructions for treatment of the victim sent from the medical technician terminal is received via the communication network and transferred to the destination of the victim information. A medical information providing system comprising an instruction information transfer unit. The management server,
Based on the received patient information and the medical information database, searching for the medical worker suitable for the treatment of the patient, extraction means to extract,
The medical device terminal corresponding to the extracted medical worker, further comprising a second patient information providing means for providing the patient information via the communication network. Medical information providing system as described. The victim terminal connected to the communication network and mainly used by the victim,
Distribution request means for requesting the management server to distribute the medical examination data,
Patient information input means for receiving the distributed interview data and receiving input of the victim information indicating the symptoms and condition of the victim to the interview data,
Victim information transmitting means for transmitting the input victim information via the communication network,
The medical information provided from the management server, medical information receiving means for receiving via the communication network,
3. The medical information providing system according to claim 1, further comprising: instruction information receiving means for receiving the instruction information transferred from the management server via the communication network. The medical technician terminal,
The victim information provided from the management server, the victim information receiving means for receiving via the communication network,
4. The apparatus according to claim 1, further comprising: instruction information transmitting means for creating the instruction information based on the received patient information and transmitting the instruction information to the management server. The medical information providing system described in 1. The medical technician terminal,
The treatment instruction information including at least one of the received patient information and the instruction information, the treatment instruction information providing means for providing to the second medical personnel terminal connected to the communication network, further comprising:
The second medical staff terminal,
The treatment instruction information provided from the medical technician terminal by the treatment instruction information providing means, treatment instruction information receiving means for receiving via the communication network,
And a second instruction information transmitting means for generating the instruction information based on the received treatment instruction information and transmitting the instruction information to the management server via the communication network. Item 5. The medical information providing system according to any one of Items 4. The medical information,
Hospitals, nursing homes, and healthcare-related facilities including prescription pharmacies are further configured with facility data related to scale, equipment, and management system,
4. The medical facility according to claim 2, wherein at least one of selection of the medical specialist in the medical information providing unit and extraction by the extracting unit is performed using the facility data. Item 6. The medical information providing system according to any one of Items 5. The medical information,
7. The medical information providing system according to claim 6, further comprising rating data including third-party evaluations for the medical staff and the medical facility. A storage means for storing a medical information database in which medical information including information on occupations, specialty fields, careers, and years of practical experience of medical personnel including doctors, nurses, pharmacists, and caregivers is stored. An inquiry data distribution unit that performs an inquiry about symptoms and conditions and distributes inquiry data for obtaining as patient information to a distribution request destination, and receives the victim information input in the inquiry data via a communication network. Patient information receiving means, the medical staff suitable for the treatment of the patient, based on the received patient information, was selected from among the medical information in the medical information database by a medical professional, was selected. A victim information providing means for providing the victim information to a medical technician terminal used by the medical staff, and a destination of the victim information are selected. Medical information providing means for providing the medical information corresponding to the performed medical worker, and instruction information including an instruction related to treatment of the victim sent from the medical technician terminal with respect to the provided victim information. And a management server connected to the communication network as instruction information transfer means for receiving the information via the communication network and transferring the information to a destination of the patient information. Based on the received patient information and the medical information database, the medical worker suitable for the treatment of the patient is searched for and extracted, and the extracting means, and the medical terminal corresponding to the extracted medical worker 9. The medical information providing program according to claim 8, further comprising causing the management server to further function as second victim information providing means for providing the victim information via the communication network. Distribution request means for requesting the management server to distribute the inquiry data, patient information for receiving the distributed inquiry data, and receiving input of the victim information indicating the symptoms and condition of the victim in the inquiry data Input means, the input victim information, the victim information transmitting means for transmitting via the communication network, the medical information provided from the management server, medical information receiving means for receiving via the communication network, and Connecting the instruction information transferred from the management server to the communication network as instruction information receiving means for receiving the instruction information via the communication network, and functioning a victim terminal mainly used by the victim. The medical information providing program according to claim 8 or 9, wherein Means for receiving the patient information provided from the management server via the communication network, and the instruction information based on the received patient information; and sending the instruction information to the management server 11. The medical information providing program according to claim 8, wherein the medical information terminal is caused to function as an instruction information transmitting unit that performs the instruction. The management server is further provided as treatment instruction information providing means for providing treatment instruction information including at least one of the accepted patient information and the instruction information to a second medical staff terminal connected to the communication network. The treatment instruction information provided by the medical technician terminal by the treatment instruction information providing means via the communication network; and the instruction information based on the received treatment instruction information. And causing the second medical technician terminal to function as second instruction information transmitting means for transmitting to the management server via the communication network. Medical information provision program described in one.

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