JP2012234438A - Residence decision support device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To support an adequate decision whether residence in a nursing facility is to admit.SOLUTION: A residence decision support device 10 is operated by a facility representative who has to decide whether a residence candidate of a nursing facility is admitted to reside. The residence decision support device 10 stores a facility medical score indicating a difficulty level of medical treatment that the nursing facility can provide, and receives input of a necessary medical score indicating a difficulty level of medical treatment that the residence candidate for the nursing facility needs from the facility representative. Then the device presents to the facility representative whether the necessary medical score is equal to or less than the facility medical score.

Description

  The present invention relates to a data processing technique, and more particularly, to a technique for supporting determination of entering a care facility.

  With the progress of an aging society, the number of nursing care facilities and the number of residents in nursing care facilities are increasing. The following Patent Document 1 proposes a system that has a server in which a database in which user information related to a user of a care service is stored is recorded, and that can be used by a plurality of care-related businesses. .

JP 2002-163367 A

  Prior to moving into a nursing facility, it is common to have an interview with the person considering the occupancy and the person in charge of the nursing facility to determine whether or not to move into the nursing facility. However, the person in charge at the care facility is not necessarily a person who has medical knowledge, and from the viewpoint of the stability of management of the care facility, it is easy to work with an incentive to fill the vacant floor. I was allowed to move in. As a result, it was a cause of troubles at a later date, such as not being able to provide sufficient care services to residents.

  The present invention has been made in view of these problems, and an object of the present invention is to provide a technique for assisting in appropriately determining whether or not to move into a care facility.

  In order to solve the above-described problem, an occupancy determination support device according to an aspect of the present invention includes a reference information holding unit that holds a first facility index value that indicates the difficulty level of a medical action that can be provided in a care facility, and a care facility. The occupant reviewer information receiving unit that receives the input of the first request index value indicating the difficulty level of the medical action required by the resident reviewer, and whether the first request index value is equal to or less than the first facility index value And an evaluation presenting unit that presents such information to the user.

  It should be noted that any combination of the above-described constituent elements and a representation of the present invention converted between an apparatus, a method, a system, a program, a recording medium storing the program, and the like are also effective as an aspect of the present invention.

  ADVANTAGE OF THE INVENTION According to this invention, it can support determining appropriately the permission of entering into a nursing care facility.

It is a figure which shows the structure of the information system of embodiment. It is a figure which shows the example of a display of an input sheet. It is a figure which shows the example of a display of a term explanation sheet. It is a figure which shows the example of a display of a symptom evaluation chart. It is a figure which shows the example of a display of a medical practice evaluation chart. It is a figure which shows the example of a display of an index value chart. It is a figure which shows the example of a display of a facility state chart. It is a block diagram which shows the function structure of the occupancy determination assistance apparatus of FIG. It is a figure which shows the example of the color attached | subjected to a severity score.

  FIG. 1 shows a configuration of an information system according to an embodiment. The information system 100 includes an occupancy determination support device 10 and an EC server 12. The occupancy determination support device 10 and the EC server 12 are connected via a communication network 14 such as LAN, WAN, or the Internet.

  The occupancy determination support device 10 is an information processing device operated by a resident reviewer who is considering occupancy in a care facility or a person in charge of a care facility who interviews the family (hereinafter also referred to as “facility clerk”). It is. The move-in examiner may be, for example, a care recipient or a supporter. The person in charge of the facility is, for example, a counselor employed at the care facility, and is not necessarily a person who is familiar with the management status and medical care of the care facility. As will be described later, the occupancy determination support device 10 assists the facility person in charge so that it is possible to appropriately determine whether the occupant who enters the care facility is allowed to move in. The occupancy determination support device 10 is a smartphone, but may be a desktop PC, a notebook PC, a tablet terminal, or the like.

  The EC server 12 is an electronic commerce server that provides a website for online sales of applications that can be installed on a smartphone. The occupancy determination support device 10 functions as the occupancy determination support device 10 by downloading and installing an occupancy determination support program for a care facility from the EC server 12. The functional configuration of the occupancy determination support device 10 will be described later.

  Hereinafter, with reference to FIG. 2 to FIG. 7, a user interface provided to the person in charge of the facility by the occupancy determination support device 10, in other words, information displayed on the display of the occupancy determination support device 10 will be described. These pieces of information are presented to the facility staff in order to assist the facility staff to appropriately determine whether or not the examiner entering the care facility is allowed to enter.

  FIG. 2 shows a display example of the input sheet 20. The input sheet 20 is a sheet for inputting information such as a current symptom of an occupant examiner and a medical practice performed by a medical institution. For example, a sheet displayed on spreadsheet software may be used. The main symptom name column 22 is set with main symptom names held by the occupants.

  The symptom input area 24 indicates items of chronic symptoms that occur accompanying the symptoms (disease) held by the resident examiner. In the score setting field 28 for each of these items, a score indicating the severity of symptoms is set. It can be said that this score is a score indicating the degree of difficulty of the care service that should be provided to the occupant in the care facility. FIG. 2 shows that the higher the score is, the more severe it is, and the higher the degree of difficulty of the care service that should be provided to the occupants in the care facility.

  The medical practice input area 26 indicates items of medical practice required by the resident reviewer, in other words, the resident reviewer is provided by the medical institution. In the score setting field 28 of each item, a score indicating the difficulty level of medical practice is set. FIG. 2 shows that the higher the score, the higher the difficulty of medical practice.

  When any one of the severity scores 0 to 5 on the right side of the score setting field 28 of the input sheet 20 is selected (for example, pointed by the user), an auxiliary comment 30 for assisting determination of a value to be set in the score setting field 28 Will pop up. The auxiliary comment 30 shows a specific definition of the severity of symptoms and the difficulty of medical practice according to each score. The underline of the check item and memo column in the figure indicates that a link to another sheet describing the explanation is set. For example, when the link setting character string 32 of FIG. 2 is selected by the facility person in charge, the term explanation sheet shown in FIG. 3 is displayed. FIG. 3 explains in detail the Hugh Jones classification of the check item “chronic respiratory failure”.

  Note that the input items of the input sheet 20 differ depending on the name of the examiner's disease. That is, the item of the symptom input area 24 and the item of the medical practice input area 26 are different for each resident's disease. FIG. 2 shows the input items corresponding to the main disease name “colon cancer”. For example, when the main disease name is “stroke”, the item of the symptom input area 24 is “understanding ability (deafness / sight loss / sensory disorder)” ) ”,“ Expressive ability (articulation disorder / motor aphasia) ”,“ dysphagia ”and“ motor paralysis ”may be displayed. The medical practice input area 26 includes “home oxygen (HOT)”, “suction”, “tube feeding / home IVH”, “peripheral drip (dehydration / pneumonia / urinary tract infection)”, “infection (infectious disease) Sex) "," CAPD (peritoneal dialysis) "," chronic respiratory failure "and" ventilator ".

  For example, when the main disease name is “diabetes”, the items in the symptom input area 24 include “diabetic ophthalmopathy (retinopathy / cataract)”, “diabetic nephropathy (chronic renal failure before dialysis)”, “diabetes “Sex”, “degree of hypoglycemic attack”, and “history of hyperglycemic coma” may be displayed. In addition, items of the medical practice input area 26 include “number of times of insulin injection / blood glucose level measurement”, “insulin injection method”, “hemoglobin A1c”, “home oxygen (HOT)”, “suction (intratracheal)”, “ Tube feeding / home IVH ”,“ peripheral infusion (dehydration / pneumonia / urinary tract infection) ”,“ infection (contagious) ”,“ CAPD (peritoneal dialysis) ”,“ chronic respiratory failure ”and“ ventilator ” May be included.

  FIG. 4 shows a display example of a symptom evaluation chart. The symptom evaluation chart includes a symptom evaluation table 110 and a symptom evaluation radar chart 120 and is displayed as a result of score input to the input sheet 20. The item column 112 of the symptom evaluation table 110 corresponds to an item in the symptom input area 24 of the input sheet 20 (hereinafter also referred to as “symptom item”). In the personal evaluation column 114, a score input to each symptom item of the input sheet 20 (hereinafter also referred to as “symptom score”) is set. In the facility standard column 116, the severity of symptoms that can be dealt with by the care service of the care facility (hereinafter referred to as “facility correspondence score”) is set. In the hospital correspondence column 118, the severity of a symptom requiring treatment in the hospital (hereinafter also referred to as “hospital correspondence score”) is set.

  The symptom evaluation radar chart 120 is a radar chart showing the magnitude relationship between a symptom score (solid line graph), a facility-corresponding score (dotted line graph), and a hospital-corresponding score (dashed line graph) for each of a plurality of symptom items. . In principle, since the hospital correspondence score is equal to or higher than the facility correspondence score, the symptom evaluation table 110 and the symptom evaluation radar chart 120 indicate whether the symptom score is equal to or lower than the facility correspondence score and whether it is equal to or lower than the hospital correspondence score. It can be said that it is a chart indicating whether or not.

  FIG. 5 shows a display example of a medical practice evaluation chart. The medical practice evaluation chart includes a medical practice evaluation table 130 and a medical practice evaluation radar chart 140 and is displayed as a result of score input to the input sheet 20. The item column 132 of the medical practice evaluation table 130 corresponds to the item of the medical practice input area 26 of the input sheet 20 (hereinafter also referred to as “medical practice item”). In the personal evaluation column 134, a score (hereinafter also referred to as “necessary medical score”) input to each medical practice item of the input sheet 20 is set. In the facility standard column 136, an index value (hereinafter also referred to as “facility medical score”) indicating the difficulty level of medical practice that can be provided in the care facility is set. In the hospital correspondence column 138, an index value (hereinafter, also referred to as “hospital medical score”) indicating the difficulty level of medical practice that requires treatment in the hospital is set.

  The medical practice evaluation radar chart 140 is a radar that indicates the magnitude relationship between a necessary medical score (solid line graph), a facility medical score (dotted line graph), and a hospital medical score (dashed line graph) for each of a plurality of medical practice items. It is a chart. In principle, since the hospital medical score is equal to or higher than the facility medical score, the medical practice evaluation table 130 and the medical practice evaluation radar chart 140 indicate whether or not the necessary medical score is equal to or lower than the facility medical score and below the hospital medical score. It can be said that this is a chart showing whether or not.

  FIG. 6 shows a display example of the index value chart. The index value chart 150 shows a comprehensive evaluation taking into consideration the occupancy limit, hospitalization risk, and both, and is displayed as a result of score input to the input sheet 20. The occupancy limit is an index value indicating how close the required medical score is to the facility medical score across a plurality of medical practice items. In general, the symptom score of residents in nursing homes increases with time (chronic symptoms become more severe), so the occupancy limit is determined by the residents of nursing homes (or those who are considering moving into nursing homes). It can be said that it is an index value indicating the magnitude of the possibility that it will be difficult to live in the facility in the future. Specifically, the occupancy limit is calculated as the ratio of the total required medical score to the total of the facility medical scores over a plurality of medical practice items. In the example of FIG. 5, since 15/22 = 68%, the occupancy limit is indicated as “2: D”. The calculated ratio (for example, the above 68%) itself may be displayed.

  The risk of hospitalization is an index value indicating how close the required medical score is to the hospital medical score over a plurality of medical practice items. It can be said that this is an index value indicating the degree of possibility that a resident of a nursing facility (or a person who considers entering a nursing facility) will be admitted to the hospital in the future. Specifically, the hospitalization risk is calculated as a ratio of the total required medical score to the total hospital medical score over a plurality of medical practice items. In the example of FIG. 5, 15/41 = 37%, so the tenancy limit is indicated as “4: B”. The calculated ratio (for example, 37% described above) itself may be displayed. As the comprehensive evaluation, “3: C” which is an average value (herein also referred to as an intermediate value) of the occupancy limit “2: D” and the hospitalization risk “4: B” is shown.

  FIG. 7 shows a display example of the facility state chart. The facility state chart 50 divides the occupancy limit into a plurality of sections (value ranges), and the difference between the ideal number of occupants predetermined for each section and the current number of occupants corresponding to each section Indicates the situation. The vertical axis in the figure is the number of residents, and each of the resident objects 52 corresponds to one resident. The horizontal axis of the figure shows a plurality of occupancy limits. As shown in the figure, each section of the limit of occupancy is displayed in association with each of support required 1 to degree of care 5.

  A current distribution graph 54 (solid line) in FIG. 7 shows the distribution of the current number of residents in each section of the tenancy limit. The ideal distribution graph 56 (broken line) shows an ideal distribution of the number of residents in each section of the limit of occupancy. The hatched resident object 52 in FIG. 3 indicates an excess of the current resident number with respect to the ideal resident number in each section of the occupancy limit. On the other hand, the dashed tenant object 52 indicates a shortage of the current number of residents relative to the ideal number of residents in each section of the tenancy limit.

  Although not shown in FIG. 7, the resident's age and the name of the main illness are displayed in the resident object 52 (excluding the broken-line resident object 52). Furthermore, each resident object 52 has links to resident symptom evaluation charts, medical practice evaluation charts, and index value charts set in advance. When a certain resident object 52 is selected by the person in charge of the facility, a symptom evaluation chart (FIG. 4), a medical practice evaluation chart (FIG. 5), and an index value chart (FIG. 4) of the resident who is the link destination of the resident object 52 6) is displayed. Thereby, a resident's health condition can be grasped easily.

  FIG. 8 is a block diagram illustrating a functional configuration of the occupancy determination support device 10 of FIG. The occupancy determination support device 10 includes an input screen information holding unit 60, a reference information holding unit 62, a resident information holding unit 64, a reference information update unit 66, a resident information update unit 68, and an input screen presentation unit 70. And an occupant examiner information reception unit 72, an evaluation result presentation unit 74, a facility state presentation unit 76, and an evaluation processing unit 78.

  Each block shown in the block diagram of the present specification can be realized in terms of hardware by an element such as a CPU of a computer or a mechanical device, and in terms of software, it can be realized by a computer program or the like. The functional block realized by those cooperation is drawn. Therefore, those skilled in the art will understand that these functional blocks can be realized in various forms by a combination of hardware and software. For example, each functional block in FIG. 8 may be installed in a hard disk or a flash memory of the occupancy determination support device 10, appropriately read into the main memory of the occupancy determination support device 10, and executed by the CPU.

  In FIG. 8, the facility staff and the function block of the occupancy determination support device 10 are directly connected by arrows, but each functional block of the occupancy determination support device 10 is a touch panel display provided in the occupancy determination support device 10 (smartphone). The information is acquired from the facility person in charge by obtaining the input information of the facility person in charge. Similarly, the information is presented to the person in charge of the facility by displaying the information on the touch panel display.

  The input screen information holding unit 60 is a storage area that holds data of the input sheet 20 corresponding to each of a plurality of types of symptoms (diseases). For example, data of different input sheets 20 that are associated in advance with colorectal cancer, stroke, and diabetes are stored.

  The reference information holding unit 62 is an ideal occupancy of each section of the facility correspondence score and the hospital correspondence score described in FIG. 4, the facility medical score and the hospital medical score described in FIG. 5, and the occupancy limit property described in FIG. This is a storage area for holding the number of persons (hereinafter also referred to as “the number of ideal tenants”). These pieces of information are recorded in the reference information holding unit 62 in advance according to the number of caregivers at the care facility, the medical system, the number of beds, and the like.

  The reference information holding unit 62 holds a facility correspondence score, a hospital correspondence score, a facility medical score, and a hospital medical score for each of a plurality of types of symptoms (diseases). For example, the names of plural types of symptoms and the facility-corresponding score, the hospital-corresponding score, the facility medical score, and the hospital medical score of each input item of the input sheet 20 corresponding to the symptom may be held in association with each other. For example, the value in the facility criteria column 116 in FIG. 4 is a facility correspondence score associated with the main disease name “colon cancer” in FIG. 2, and the value in the hospital correspondence column 118 is also the main disease name “colon cancer” in FIG. It is a hospital correspondence score that is associated.

  The resident information holding unit 64 is a storage area that holds information regarding each of a plurality of resident who are resident in the care facility. The information regarding each resident includes at least a symptom evaluation chart, a medical practice evaluation chart, a occupancy limit, and a hospitalization risk value set in advance based on the information of each item included in the input sheet 20 of FIG. .

  The reference information update unit 66 includes the facility-corresponding score and the hospital-corresponding score described in FIG. 4, the facility medical score and the hospital medical score described in FIG. 5, and the ideal number of residents in each occupancy limit section described in FIG. It is detected that change information indicating at least one of the changed values is input by the user. Then, according to the changed value indicated by the change information, at least one of the facility correspondence score, the hospital correspondence score, the facility medical score, the hospital medical score, and the ideal resident number stored in the reference information holding unit 62 is updated. To do.

  The resident information update unit 68 detects that information related to each of a plurality of residents occupying the care facility, that is, information on each item included in the input sheet of FIG. 2 in this embodiment, is input by the user. . Then, the resident information is recorded in the resident information holding unit 64.

  The input screen presenting unit 70 receives the name of a resident who has been admitted by the person in charge of the facility, acquires the data of the input sheet 20 associated with the disease name from the input screen information holding unit 60, and displays the data on the touch panel display. The occupant reviewer information reception unit 72 receives the occupant reviewer information input to the input sheet 20, for example, the symptom score input to the symptom input area 24 and the necessary medical score input to the medical practice input area 26. get.

  The evaluation result presentation unit 74 displays a symptom evaluation chart, a medical practice evaluation chart, and an index value chart set in an evaluation processing unit 78 described later on the touch panel display. The facility state presentation unit 76 detects a facility state chart display request input to the touch panel display, and causes the touch panel display to display the facility state chart set in the evaluation processing unit 78 described later.

  The evaluation processing unit 78 executes an evaluation process for setting various charts based on information input to the input sheet 20. The evaluation processing unit 78 includes an occupant examiner information evaluation unit 80 and a facility state evaluation unit 82.

  The move-in examiner information evaluation unit 80 acquires the symptom score input to each symptom item (score setting field 28 in the symptom input area 24) of the input sheet 20. At the same time, the facility-corresponding score and the hospital-corresponding score associated with the main disease name of the input sheet 20 are acquired from the plural types of facility-corresponding scores and hospital-corresponding scores stored in the reference information holding unit 62. And the symptom evaluation table | surface 110 which set those scores, and the symptom evaluation radar chart 120 which shows the magnitude relationship of a score are set.

  Further, the occupant examiner information evaluation unit 80 acquires the necessary medical score input to each medical practice item (score setting field 28 of the medical practice input area 26) of the input sheet 20. At the same time, among the plural types of facility medical scores and hospital medical scores stored in the reference information holding unit 62, the facility medical score and the hospital medical score associated with the main disease name of the input sheet 20 are acquired. And the medical practice evaluation table | surface 130 which set those scores, and the medical practice evaluation radar chart 140 which shows the magnitude relationship of a score are set.

  Further, the occupant examiner information evaluation unit 80 calculates occupancy limit and hospitalization risk index values according to the necessary medical score, facility medical score, and hospital medical score. Then, an index value chart is set according to these index values.

  The facility state evaluation unit 82 stores the ideal occupancy number for each section of the occupancy limit stored in the reference information holding unit 62 and the occupancy limit value of each of the current occupants stored in the resident information holding unit 64. The facility state chart 50 is set according to the above. At that time, a hyperlink to the display page of the corresponding resident symptom evaluation chart and medical practice evaluation chart is added to each of the plurality of resident objects 52 arranged in the facility state chart 50.

The operation of the above configuration will be described below.
The person in charge of the facility downloads and installs the occupancy determination support program from the EC server 12 to the smartphone. Thereafter, the smartphone functions as the occupancy determination support device 10. The person in charge of the facility customizes the facility correspondence score, the hospital correspondence score, the facility medical score, and the initial values of the hospital medical score set in advance in the reference information holding unit 62 according to the state of the care facility or partner hospital as appropriate. To do. In this case, the reference information update unit 66 of the occupancy determination support device 10 receives various score change information from the person in charge of the facility and updates the score stored in the reference information holding unit 62. The person in charge of the facility inputs the current resident information of his / her care facility to the occupancy determination support device 10. In this case, the resident information update unit 68 of the occupancy determination support device 10 receives the entered resident information and records it in the resident information holding unit 64.

  When the input screen presentation unit 70 of the occupancy determination support device 10 receives a display request for the input sheet 20 designating the illness name of the occupant examiner from the facility person in charge, the input screen information holding unit 60 associates the illness name with the disease name in advance. The stored input sheet 20 is acquired. Then, the input sheet 20 is displayed on the display of the occupancy determination support device 10.

  The occupant reviewer information reception unit 72 of the occupancy determination support device 10 acquires the symptom score and the necessary medical score of the occupant reviewer input to the input sheet 20. The evaluation processing unit 78 sets a symptom evaluation chart according to the symptom score input to the input sheet 20, the predetermined facility-corresponding score, and the hospital-corresponding score. In addition, the evaluation processing unit 78 sets a medical practice evaluation chart and an index value chart according to the necessary medical score input to the input sheet 20 and predetermined facility medical scores and hospital medical scores. The evaluation result presentation unit 74 displays a symptom evaluation chart, a medical practice evaluation chart, and an index value chart on the display.

  The facility state presentation unit 76 of the occupancy determination support device 10 receives a display request for the resident's acceptance state in the care facility from the facility person in charge. The evaluation processing unit 78 acquires the ideal number of residents in each section of the occupancy limit index value from the reference information holding unit 62, and acquires the current occupancy limit index value of each resident from the resident information holding unit 64. To do. And the facility state chart 50 which shows the deviation state of the ideal resident number of each area of the tenancy limit index value and the current resident number is set. The facility state presentation unit 76 displays the facility state chart 50 on the display.

  According to the occupancy determination support device 10 of the present embodiment, the facility person in charge of the occupancy examiner moves in by presenting the medical practice evaluation chart, the symptom evaluation chart, the index value chart, and the facility state chart to the facility person in charge. We can help you to judge whether or not you are right or wrong.

  First, an application example of the medical practice evaluation chart is shown. Here, the necessary medical score indicates the level of difficulty of medical practice that must be provided to the tenant. By checking the medical practice evaluation chart, the person in charge of the facility can intuitively grasp whether or not there is a necessary medical score that exceeds the facility medical score in a plurality of types of medical practice items. For example, if it is confirmed that there is at least one necessary medical score that exceeds the facility medical score, the facility person in charge determines to refuse to move in. In addition, the medical staff evaluation chart can facilitate communication between the person in charge of the facility, the management of the care facility, a doctor, and the like.

  Next, an example of using the symptom evaluation chart is shown. Here, the symptom score indicates the degree of difficulty corresponding to the chronic symptom. In other words, the symptom score indicates the magnitude of costs such as manpower and time required for the care facility to cope with the chronic symptom. By checking the symptom evaluation chart, the person in charge of the facility can intuitively grasp whether or not there is a symptom score that exceeds the facility-corresponding score in the items of multiple types of chronic symptoms. For example, when the presence of a symptom score that exceeds the facility-corresponding score is confirmed, the facility person in charge determines whether to allow or reject occupancy depending on the number of vacant beds in the nursing facility and the degree of manpower. The symptom evaluation chart can facilitate communication between the person in charge of the facility, the management of the care facility, a doctor, and the like.

  Next, an example of using the index value chart is shown. Occupancy limit and hospitalization risk are index values that indicate the likelihood that it will be difficult in the future for the occupant to reside in the nursing facility. The higher the value, the more care the nursing facility should provide. This indicates that the degree of difficulty of the service is high, and there is a high possibility that the care facility will move to a hospital or the like within a short period of time. By checking the index value chart, the facility person in charge can determine whether or not the move-in examiner is allowed to move in from the viewpoint of all of the plurality of medical practice items.

  Next, the utilization example of a facility state chart is shown. The ideal distribution graph 56 is a management point of view that if a resident moves away due to hospitalization or the like within a short period of time, the income of the care facility decreases, and if the resident is only minor injuries, the income of the care facility also decreases. Are predetermined. Therefore, the management of the care facility becomes more stable as the difference between the current distribution graph 54 and the ideal distribution graph 56 becomes smaller. By checking the facility state chart, the facility person in charge can determine whether the move-in examiner is allowed to move in consideration of the management stability of the care facility.

  The present invention has been described based on the embodiments. This embodiment is an exemplification, and it will be understood by those skilled in the art that various modifications can be made to combinations of the respective constituent elements and processing processes, and such modifications are also within the scope of the present invention. is there.

  A first modification will be described. In the above embodiment, the occupancy limit index value is calculated based on the necessary medical score and the facility medical score, and the hospitalization risk index value is calculated based on the necessary medical score and the hospital medical score. As a modification, the occupancy limit index value may be calculated based on the symptom score and the facility-corresponding score, and the hospitalization risk index value may be calculated based on the symptom score and the hospital-corresponding score. As described above, the symptom score indicates the degree of difficulty corresponding to the chronic symptom, and the chronic symptom generally worsens, so the occupancy limit index value and the hospitalization risk index value of the modified example This also indicates the magnitude of the possibility that it will be difficult for the prospective occupant to live in a care facility in the future. By checking the index value chart in which the occupancy limit index value and the hospitalization risk index value of this modified example are set, the person in charge of the facility determines whether or not the occupant reviewer is allowed to move in from the viewpoint of the entire plurality of symptom items. can do.

  A second modification will be described. In the above embodiment, the horizontal axis of the facility state chart 50 is the occupancy limit index value. As a modification, the horizontal axis of the facility state chart 50 may be a hospitalization risk index value. As described above, if a resident moves to a hospital, the care facility cannot obtain income. Therefore, setting the horizontal axis as the hospitalization risk index value is useful in that the management stability of the care facility can be considered. In this case, the reference information holding unit 62 holds the ideal number of residents in each section of hospitalization risk. The facility state evaluation unit 82 only needs to operate in the same manner as in the case where the horizontal axis indicates the tenancy limit.

  A third modification will be described. In the embodiment described above, the tenant determination support program is provided from the EC server 12 to the smartphone of the person in charge of the facility, and the smartphone on which the program is installed functions as the occupancy determination support device 10. As a modification, a server device connected to a facility staff terminal (such as a smartphone or a notebook PC) via a communication network functions as the occupancy judgment support device 10 and provides an occupancy judgment support service to the facility staff terminal. May be. Specifically, the server device transmits and displays the data of the input sheet 20 to the facility staff terminal, and the facility staff terminal transmits the various scores input to the input sheet 20 to the server device. May be. The server device may set various chart data in accordance with the score received from the facility staff terminal, and transmit the data to the facility staff terminal for display.

  A fourth modification will be described. Although not mentioned in the above embodiment, a different color may be appropriately assigned to each score in the severity score field on the right side of the score setting field 28 of the input sheet 20. For example, a color indicating the type of care facility that can typically be associated with each of the severity scores may be added. FIG. 9 shows examples of colors assigned to the severity score. In the figure, as the value in the level column is larger, types of care facilities that can provide advanced care and medical care are set. According to this modification, it is possible to make the task of determining the score to be set in the score setting field 28 easier.

  A fifth modification will be described. Although not mentioned in the above embodiment, the evaluation processing unit 78 may hold a message corresponding to various chart data. For example, information indicating the magnitude relationship between a plurality of types of index values may be stored in association with messages to the facility staff. And when setting various charts, you may set the message according to the magnitude relationship of multiple types of index value. The evaluation result presentation unit 74 may display the message set by the evaluation processing unit 78 on the display together with various charts. This makes it easier for the person in charge of the facility to appropriately determine whether the occupant is admitted.

  For example, when the required medical score exceeds the facility medical score in at least one of a plurality of medical practice items in the medical practice evaluation chart, the evaluation processing unit 78 sets a message that the occupant should be denied May be. Further, when the symptom score exceeds the facility-corresponding score in at least one of the plurality of symptom items in the symptom evaluation chart, the evaluation processing unit 78 determines whether or not the excess item can be handled according to the degree of busyness of the care facility. You may set a message to be considered.

  Even if the required medical score is lower than the facility medical score in all medical practice items, the occupancy limit index value or the admission risk index value is within a predetermined range (for example, the occupancy limit index is 2 or less in FIG. If the sex is 3 or less), a message may be set indicating whether or not to permit occupancy should be considered according to the busyness of the care facility. The same applies to the case where the symptom score is lower than the facility-corresponding score for all symptom items.

  In addition, even if the required medical score is less than or equal to the facility medical score in all medical practice items, the occupancy limit index value is a value belonging to the section where the current occupancy exceeds the ideal occupancy number in the facility state chart The evaluation processing unit 78 may set a message indicating that the occupant should be refused to enter or a message indicating whether to permit occupancy or not depending on the busyness of the care facility.

  It should also be understood by those skilled in the art that the functions to be fulfilled by the constituent elements recited in the claims are realized by the individual constituent elements shown in the embodiments and the modified examples or by their linkage. For example, the first facility index value, the second facility index value, the first required index value, and the second required index value described in the claims are the facility medical score, the facility-corresponding score, and the necessary medical care described in the embodiment, respectively. It may correspond to a score or a symptom score. Further, the occupancy determination support device described in the claims may be a facility staff terminal that functions as the occupancy determination support device described in the embodiment, and the occupancy determination support device described in the second modification example. It may be a functioning server device.

  10 occupancy determination support device, 60 input screen information holding unit, 62 reference information holding unit, 64 resident information holding unit, 66 reference information updating unit, 68 resident information updating unit, 70 input screen presenting unit, 72 occupant reviewer information Reception part, 74 Evaluation result presentation part, 76 Facility state presentation part, 78 Evaluation processing part, 80 Resident examination person information evaluation part, 82 Facility state evaluation part, 100 Information system.

Claims (8)

A reference information holding unit for holding a first facility index value indicating a difficulty level of medical practice that can be provided in a care facility;
An occupant reviewer information receiving unit that receives an input of a first request index value indicating a difficulty level of medical practice required by the occupant considering the care facility;
An evaluation presentation unit that presents to the user whether or not the first required index value is less than or equal to the first facility index value;
An occupancy determination support device characterized by comprising: The reference information holding unit holds a plurality of types of first facility index values corresponding to a plurality of types of diseases,
The occupant reviewer information receiving unit displays an input screen for a first request index value corresponding to the illness of the occupant reviewer, and receives the first request index value input on the input screen,
The said evaluation presentation part presents to a user whether the 1st request | requirement parameter | index value input into the said input screen is below the 1st plant | facility parameter | index value according to the disease of the said tenant examination person, It is characterized by the above-mentioned. The tenant determination support device according to Item 1. The reference information holding unit holds a plurality of types of first facility index values for a plurality of types of medical practices that can be provided at the care facility,
The occupant reviewer information receiving unit receives input of a plurality of types of first request index values for a plurality of types of medical practices required for the occupant reviewer,
In the future, the evaluation presenting unit may estimate the ratio of the total of the plurality of types of first request index values to the total of the plurality of types of first facility index values in the future. The occupancy determination support device according to claim 1, further presenting as an index value indicating a magnitude of the possibility of difficulty. The reference information holding unit further holds a plurality of types of medical institution index values indicating difficulty levels of a plurality of types of medical practices to be performed in the medical institution,
The occupant reviewer information receiving unit receives input of a plurality of types of first request index values for a plurality of types of medical practices required for the occupant reviewer,
The evaluation presenting unit indicates a ratio of the total of the plurality of types of first request index values to the total of the plurality of types of medical institution index values, and the possibility that the examiner may be admitted to the medical institution in the future. The occupancy determination support device according to claim 1 or 2, further presenting as an index value indicating a magnitude.   The system further comprises a reference information update unit that receives change information of the first facility index value from a user and updates the first facility index value held in the reference information holding unit according to the change information. The occupancy determination support device according to any one of 1 to 4. The reference information holding unit further holds a second facility index value indicating the severity of a symptom that can be handled in a care facility,
The occupant reviewer information receiving unit further receives an input of a second request index value indicating the severity of the symptom of the occupant reviewer,
The occupancy determination support device according to any one of claims 1 to 5, wherein the evaluation presentation unit further presents whether or not the second required index value is equal to or less than the second facility index value. When the index value indicating the magnitude of the possibility that it will be difficult in the future to live in the care facility is called the occupancy limit index value,
A facility information holding unit for holding an ideal number of occupants determined in advance for each tenant limit index value in the care facility;
A resident information holding unit for holding a tenant limit index value of each current resident of the care facility;
A facility state presenting unit that presents to the user the divergence between the ideal number of tenants and the current number of tenants for each tenancy limit index value in the care facility;
The occupancy determination support device according to claim 3, further comprising: A function of accepting an input of a first required index value indicating a difficulty level of medical practice required by a person who considers entering a care facility from a user;
By referring to the storage area that holds the first facility index value indicating the difficulty level of medical practice that can be provided at the care facility, the user can determine whether the first required index value is less than or equal to the first facility index value. The function to present to
A computer program for realizing a computer.