JP2005141375A - In-hospital service system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an in-hospital service system providing appropriate patient management while enhancing amenities for inpatients. <P>SOLUTION: A terminal is positioned alongside an inpatient's bed and connected to a server that processes the purchase of articles, whereby even patients not able to move freely because of their conditions or the like can purchase articles by themselves without restrictions on time to provide increased amenities. Patients' medical information and articles' nutrition information can be reflected on restrictions on the purchase of food and beverage, foods, and treatments to provide for appropriate patient health management. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to an in-hospital service system, and more particularly to an in-hospital service system for improving in-patient amenity and patient management.

  When a patient living in the hospital wants to purchase a product, he / she goes to the store in the hospital to buy it by himself or, if that is not possible, asks another person (family, person in the same room, medical staff, etc.) Was.

  In recent years, Internet shopping has been actively performed due to the spread of information infrastructure such as networks and personal computers. Although information infrastructure infrastructure is in place in many hospitals, the target audience is medical staff, not patients. If you are admitted to the hospital, you will not be able to receive services such as Internet shopping, and the amenity environment of the patient will deteriorate. Even if a hospital that provides information infrastructure to patients and a bedside information system that provides necessary information to patients and medical staff at the bedside has been introduced, provision of hospital information, medical information, and TV functions Information provision is the main.

As a known example of the bedside information system, the following Patent Document 1 is known.
JP 2000-175732 A

  In general, inpatients live in hospitals for the purpose of treating diseases. The base of life has moved from home to the hospital, and various daily necessities are required. For such patients, there are shops in the hospital.

  Patients who can walk can go to the store, but patients who cannot walk can only ask the surrounding people (family members, people in the same room, medical staff, etc.). Even if walking is possible, patients with viral illnesses (infenza, SARS, etc.) will be isolated in the hospital room, so patients with stable symptoms will not be able to satisfy one purchase. Even patients who do not have such a disease are hesitant to go to a store where outsiders come and go while the disease is prevalent.

  For example, even if a patient who cannot walk as expected during infusion treatment arrives at a store, it is difficult to move around in a store crowded with customers, where goods are placed narrowly. Even if you can reach the target product position, it is not always the product you want and you have to purchase it without any choice. In addition, there is a product that you want, but you can't take it back to the room and you might give up.

  On the other hand, if the patient feels uneasy about how the current body is affected by taking the product he / she wants to buy (drink), it is best to consult with the medical staff. I wonder if I can ask such a question. Furthermore, the calorie, the component, etc. which the patient ingested are managed by the medical staff, and the patient's arbitrary intake of food and drink will disturb the management and delay the treatment.

  The present invention has been made in view of the above circumstances, and an object thereof is to provide an in-hospital service system that enables appropriate patient management while improving in-patient amenity.

  In order to achieve the above object, an in-hospital service system according to claim 1 is a terminal device arranged on the bedside of an inpatient in a medical institution, and indicates information indicating purchase of a product based on patient instruction input. , Means for transmitting the input information to a predetermined server device and receiving information indicating whether or not to accept the purchase of the product from the server device, and the received information in a predetermined format A terminal device having means for outputting, a means for receiving information indicating purchase of a product from the terminal device, a determination unit for determining whether to accept purchase of the product based on the received information, And a server device having means for transmitting information indicating a result of the determination to the terminal device.

  In the in-hospital service system according to the first aspect, an inpatient can purchase a product in a hospital room using a bedside terminal, and the amenity of the patient can be improved.

  In addition, since it is not possible to purchase a product that is not preferable for the patient to purchase freely from the viewpoint of treatment or the like, appropriate patient management is possible.

  The in-hospital service system according to claim 2 is the in-hospital service system according to claim 1, wherein the server device stores medical information storage means storing medical information for each patient and nutrition information of food and drink And a nutrition information storage unit, wherein the determination unit determines whether to accept purchase of the product using the medical information storage unit and the nutrition information storage unit.

  Since food and drink are taken into the body by the patient and have a great influence on the health condition, if the patient's purchase of merchandise is allowed without restriction, the influence on the health condition and treatment problems may occur. However, there are various cases regarding the influence on the health condition and the occurrence of treatment problems depending on the disease name and medical condition of each patient and the nutrition information of each food and drink.

  Even in such a case, the in-hospital service system according to claim 2 makes it possible to appropriately manage the patient's health by determining the purchase of the product based on the medical information and the nutrition information.

  In the in-hospital service system according to claim 2, food and drink include foods and medicines, soft drinks and carbonated drinks, alcohols, tobacco, etc., and nutrition information includes calories and nutritional components (proteins, carbohydrates, lipids). Etc.). In addition, the medical information may include information such as a disease name, medical condition, treatment, medication content, and dietary restrictions.

  The in-hospital service system according to claim 3 is the in-hospital service system according to claim 1 or 2, wherein the server device further includes means for outputting a product purchase history for each patient in a predetermined format. It is characterized by.

  In the hospital service system according to claim 3, medical staff such as doctors can refer to each patient's product purchase history, which can be reflected in treatment plans, hospital meals, etc. It is possible to manage the patient's health.

  The in-hospital service system according to claim 4 is the in-hospital service system according to any one of claims 1 to 3, wherein the server device includes a price storage unit in which a price for each product is stored in advance, and the storage It further has means for calculating and tabulating the amount of payment for each patient based on the price of the product.

  In the in-hospital service system according to claim 4, since the patient's payment amount is calculated and aggregated, the patient does not need troublesome money management, and the medical institution can easily manage the money together with the hospitalization fee and the like. .

  That is, in the hospital service system according to the fourth aspect, more appropriate patient management can be performed.

  According to the in-hospital service system according to the present invention, appropriate patient management can be performed while improving the amenity of inpatients.

  Hereinafter, preferred embodiments of an in-hospital service system according to the present invention will be described in detail with reference to the accompanying drawings.

  FIG. 1 is a block diagram of an in-hospital service system 10 according to the present embodiment, and FIG. 2 is a block diagram of the server 1, the electronic medical chart 5, and the terminals 2 to 4 in FIG.

  As shown in FIG. 1, the hospital service system 10 according to the present embodiment includes a server 1, a hospital bedside terminal 2, a store terminal 3, a medical office accounting terminal 4, an electronic medical record 5, and a server 1 to an electronic medical record 5. It has a local area network (LAN) 6 to be connected.

  The server 1 transfers data such as purchased product information and patient information between the hospital room bedside terminal 2, the shop terminal 3, the medical office accounting terminal 4, and the electronic medical record 5 via the LAN 6.

  The hospital room bedside terminal 2 is a terminal that is placed on the bedside of an inpatient and handles data related to the patient, such as television, video, the Internet, and medical records. The store terminal 3 is a terminal that handles data related to sales business such as guidance, order receipt, ordering, delivery, etc., and is installed either in the hospital, outside the hospital, or both. The medical office accounting terminal 4 is a terminal that handles data such as medical expenses generated by treatment. The electronic medical record 5 is a system that electronically handles data generated at a medical site other than the medical record by a computer, and cooperates with the in-hospital service system 10.

  The LAN 6 is an example of a hospital network, but it may be a local network or a worldwide network such as the Internet in addition to a hospital network. In this case, since the LAN 6 handles diagnostic information that is highly confidential to the individual patient, a network in which security is ensured is used.

  In addition, the server 1, the electronic medical chart 5, and the terminals 2 to 4 have a monitor 7, an operation unit 8, and a computer 9 as shown in FIG.

  The computer 9 controls the monitor 7 and the operation unit 8. The monitor 7 displays various programs in the case of the server 1, displays product information, patient personal information, TV data, etc. in the case of the hospital bedside terminal 2, and in the case of the store terminal 3, provides guidance on sales products, orders, Ordering / delivery information and the like are displayed. In the case of the medical office accounting terminal 4, medical expenses and patient information are displayed. In the case of the electronic medical record 5, data generated in the medical field such as medical records and patient management information are displayed.

  The operation unit 8 is an input device such as a pointing device such as a pen, a tablet, a touch panel, a mouse, and a trackball, a keyboard, a voice input, a card reader, and a barcode reader. The target to be input is an input operation of various information including input of patient recognition information such as a patient card. In the case of the server 1, input / output operation of various programs, and in the case of the hospital room bedside terminal 2, the desired product is input. Operation for selecting or inquiring about the product, operation for ordering / ordering the product or notifying delivery information in the case of the shop terminal 3, input of patient information in the case of the medical office accounting terminal 4, medical expenses / An operation for calculating a product cost, and in the case of the electronic medical record 5, an operation for inputting a medical record, patient management information and the like is performed.

  Next, processing in the hospital service system 10 will be described with reference to FIGS. 3, 4, 5, 6, and 7. 3 is a sequence diagram of processing in the hospital service system 10, FIG. 4 is a terminal screen diagram accompanying the sequence of FIG. 3, FIG. 5 is a database content of product information 100 and patient information 200 on the server 1, and FIG. FIG. 7 is a terminal screen diagram accompanying the sequence of FIG. 6.

  First, processing from product purchase to payment will be described with reference to FIGS. The patient inputs patient personal authentication information such as the patient's name, ID, and PW (Pass Word) from the hospital bedside terminal 2 in order to prove that the operator is the patient himself (step 21). This input method includes direct input, dedicated card, barcode, biometric authentication input, and the like. The bedside terminal screen is a screen like 21A. When the patient personal authentication information is input, the server 1 authenticates whether it is the authentication information of the person himself / herself. When correctly authenticated, information as shown on the 22A screen is provided to the hospital bedside terminal 2.

  The patient selects the product purchase item 22B through the operation unit 8 (step 22). The server 1 accesses the product list information database, and provides information as shown on the 23A screen toward the hospital bedside terminal 2.

  The patient inputs items such as the desired product, quantity, delivery time, etc., as shown on the order table screen 23B, using the operation unit 8 (step 23). The server 1 can refer to the order information at the shop terminal 3.

  The store terminal 3 that has accepted the order confirms whether or not there is a stock of goods (step 31).

  If there is a product inventory, the order receipt table 24A is transmitted to the patient again to confirm the purchased product, delivery time, etc. (step 32).

  The patient sees the order table screen 24A and confirms whether the ordered product, quantity, and delivery time have been correctly received (step 24). If there is a change in the contents of the order, the change item 24B is pointed, and the process returns to (Step 23) and is input again. If there is no change, the confirmation item 24 </ b> C is pointed and confirmation information is transmitted to the store terminal 3.

  The shop terminal 3 delivers the goods in accordance with the desired time based on the confirmation information (step 33).

  The patient receives the merchandise and transmits a receipt table 25A to the store terminal 3 (step 25). When the store terminal 3 receives the receipt table 25A, the delivered item 33B of the order management table 33A on the server 1 is converted from “not yet delivered” to “finished: delivered” to the store terminal 3. Is displayed. The order management table 33A represents the order status of the patient, the delivery status, and the entry status of the intake management table / purchase price table.

  If the intake management table item 33C of the order management table 33A is “not filled”, the purchased product information 34B is input to the patient information (intake management table 34A) (step 34). Whether or not the purchased product information 34B is entered in the intake management table 34A is entered when the intake management table item 100E of the product information 100 is “YES”. And the item of the component information (the calorie 100F-fat 100I etc.) of the goods relevant to intake management is also entered in the intake management table 34A. The merchandise information 100 is a database that records information about merchandise, and includes a merchandise number 100B, a merchandise name 100C, a price 100D, information on whether or not to fill in an intake management table 100E, product ingredient information (such as calories 100F to fat 100I), and the like. It is recorded.

  The medical staff refers to the patient information (intake management table 34A) from the electronic medical record terminal 5 and reflects it in the treatment (step 51). For example, if the medical staff is a nutrition manager, it is possible to change the contents of dinner and adjust the total energy intake of the patient based on the situation of the intake management table 34A.

  Next, if the purchase price table item 33D and the purchase price table item 33D of the order management table 33A are “not yet filled”, the product purchase price 35B is input to the patient information (product purchase price table 35A) (step 35). .

  The accounting staff refers to the patient information (product purchase price table 35A) from the medical office accounting terminal 4, and charges the patient for the product purchase price together with the hospital fee bill (step 41).

  The patient refers to the bill from the hospital bedside terminal 2 and pays the product purchase price together with the hospitalization fee (step 26).

  As described above, in the hospital service system 10, even a patient who is restricted in movement can purchase a product using the hospital bedside terminal 2, and the patient's amenity can be improved. Moreover, in the hospital service system 10, the nutritional component of the food and drink ingested by the patient can be reflected in the treatment, meal content, etc., and appropriate health management of the patient can be performed. Furthermore, the payment for the product purchase is made in a lump sum together with the hospitalization fee, and there is no need to exchange cash for each product purchase.

  Next, with reference to FIGS. 6 and 7, a case will be described in which the patient is hospitalized for treatment, but wants to purchase a product but is concerned about whether the purchase has an effect on the body. The processes such as the input of patient personal authentication information and the selection of merchandise purchase items are the same as steps 21 to 22 in FIG.

  When selecting a purchased product, if it is desired to ask a medical staff, an inquiry screen 27A is transmitted from the hospital bedside terminal 2 to the electronic medical record terminal 5 (step 27).

  The medical staff refers to the inquiry screen 27A, sets the product name and patient name on the ingestion product search screen 52A, and performs a search (step 52).

  Based on the product information 100, patient information 200, and intake management table 34A on the server 1, the ingestion product search determines what state the patient is currently in and provides ingestion product search result information 53A. The medical staff can also individually search the merchandise information 100, the patient information 200, and the intake management table 34A to make an independent determination (step 53).

  The medical staff sets the answer result of step 53 on the 54A screen and transmits it to the patient (step 54).

  The product name of the answer result is set to the ingestion restricted product name 55E of the purchased product management table 55A (step 55).

  The patient sees the answer result screen 54A and determines whether to purchase or not (step 28).

  A case where a patient orders a product that should not be purchased will be described. The processes such as the input of patient personal authentication information and the selection of merchandise purchase items are the same as steps 21 to 22 in FIG. The patient inputs items such as the desired product, quantity, delivery time, etc., as shown on the order table screen 23B, using the operation unit 8 (step 29). Upon receiving the order, the server 1 refers to the purchased product management table 55A, and first checks whether or not the patient has an intake restriction 55D. If the intake restriction presence / absence 55D is “present: intake restriction present”, the intake restriction product name 55E is searched to check whether there is a target product.

  If there is the same order product in the ingestion restricted product name 55E, the order is rejected and an order rejection screen 36A is transmitted to the patient (step 36). Note that the processing of (Step 29) and (Step 36) is executed after (Step 23) of FIG.

  As described above, in the hospital service system 10, since food such as food and drink whose intake is restricted due to the influence on the health condition and treatment is not accepted for purchase, appropriate health management of the patient can be performed.

It is a figure which shows the structure of the hospital service system which concerns on one Embodiment of this invention. 1 is a block diagram illustrating a configuration of a server, an electronic medical record, and each terminal according to an embodiment of the present invention. It is a figure which shows the example of the sequence in the hospital service system concerning one embodiment of this invention. It is a figure which shows the example of a terminal screen concerning one embodiment of this invention. It is a figure which shows the database content of the merchandise information and patient information on a server concerning one Embodiment of this invention. It is a figure which concerns on one Embodiment of this invention and shows the other example of the sequence in the hospital service system. It is a figure which concerns on one Embodiment of this invention and shows the other example of a terminal screen.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Server, 2 ... Hospital bedside terminal, 3 ... Shop terminal, 4 ... Medical office accounting terminal, 5 ... Electronic medical record, 6 ... LAN

Claims (4)

A terminal device arranged on the bedside of an inpatient in a medical institution, and means for inputting information indicating purchase of a product based on an instruction input by the patient, and transmitting the input information to a predetermined server device A terminal device having means for receiving information indicating whether or not to accept the purchase of the product from the server device, and means for outputting the received information in a predetermined format;
Means for receiving information indicating purchase of a product from the terminal device; determination means for determining whether to accept purchase of the product based on the received information; and information indicating a result of the determination A server device having means for transmitting to
Including hospital service system.   The server device further includes medical information storage means in which medical information for each patient is stored and nutrition information storage means in which nutrition information of food and drink is stored, and the determination means includes the medical information storage means and the nutrition information storage. The in-hospital service system according to claim 1, wherein it is determined whether or not to accept the purchase of the product using a means.   The in-hospital service system according to claim 1, wherein the server device further includes means for outputting a product purchase history for each patient in a predetermined format. 2. The server apparatus according to claim 1, further comprising: a price storage unit in which a price for each product is stored in advance; and a unit that calculates and aggregates a payment amount for each patient based on the stored price of the product. The in-hospital service system according to claim 3.

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