JP2016177644A - Health care business support device, health care business support method and health care business support program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To support evaluation of a health care business which has been executed based on a health state of an insured person.SOLUTION: A health care business support device 10 comprises: a storage part 11 for storing receipt data and health checkup result data of an object person of a health care business; a request part 12a for requiring execution of the health care business based on first data containing an execution period and execution method for executing the health care business, and the object; an acquisition part 12b for acquiring second data containing the execution result of the health care business executed based on the execution method; an extraction part 12c for extracting the receipt data and health checkup result data of the object corresponding to the health care business in the execution period, based on an extraction rule corresponding to the execution method; a creation part 12d for determining measurement data corresponding to the execution method based on the extraction result by the extraction part 12c, and associating the measurement data and the second data to create support data; and a support part 12e for performing control for supporting evaluation of the health care business, based on the created support data.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a health business support device, a health business support method, and a health business support program that support evaluation of a health business.

  For example, Patent Literature 1 discloses a health business support system that predicts a medical cost reduction effect by health guidance and selects a cost-effective guidance target person.

JP 2012-128670 A

  Insurers implement health services to improve the health of the insured. However, it may be difficult for an insurer to evaluate whether a health service implemented for an insured person has been effective.

  An object of this invention is to support evaluation of the implemented health business based on the health condition of an insured person.

  The present invention relates to the health based on the first data including a storage unit that stores the receipt data and medical examination result data of the subject of the health business, and the implementation period and the implementation method of the subject and the health business. Based on an extraction rule corresponding to the implementation method, a request unit that requests implementation of the project, an acquisition unit that acquires second data including an implementation result of the health project implemented based on the implementation method, An extraction unit that extracts from the storage unit at least one of the receipt data and the medical examination result data of the subject corresponding to the health service in an implementation period; and when the second data is acquired, an extraction result by the extraction unit The measurement data corresponding to the implementation method is obtained based on the data, and the support data for supporting the evaluation of the health business by associating the measurement data with the second data. A creation unit for creating data, a health service support apparatus characterized by having a a support unit for performing control to support the evaluation of the health service, based on the assistance data created.

  In the present invention, the creation unit could not extract at least one of the receipt data and the medical examination result data when the extracting unit could not extract at least one of the reception data and the medical examination result data. It is preferable to create the support data including information indicating.

  In this invention, the said memory | storage part memorize | stores the performance data of the said health business, and the said creation part produces the said support data containing the said performance data, when the said memory | storage part has memorize | stored the said performance data Is preferred.

  In the present invention, the extraction unit is configured to store at least one of the reception data and the medical examination result data of the subject before and after the implementation period based on an extraction rule corresponding to the implementation method. The creation unit generates state data indicating the state of the subject from before the implementation period based on at least one of the received receipt data and the medical examination result data, and the generated state data It is preferable to create the support data including:

  In the present invention, it is preferable that the creation unit creates the support data by associating a target value of the health business, the measurement data, and the second data.

  In the present invention, it is preferable that the creating unit creates the support data including cost data indicating the cost of the implemented health service.

  In this invention, it is preferable that the said support part assists selection of the said health business implemented from the said some health business based on the said support data.

  The present invention is a health business support method executed by a health business support device, and the step of requesting the implementation of the health business based on first data including an implementation period and an implementation method for implementing the health business with the target person And the step of acquiring the second data including the implementation result of the health business carried out based on the implementation method, and the storage unit storing the receipt data and the medical examination result data of the target person of the health business, Based on the extraction rule corresponding to the implementation method, extracting at least one of the receipt data and the medical examination result data of the subject corresponding to the health service in the implementation period, and acquiring the second data Then, based on the data extraction result from the storage unit, measurement data corresponding to the implementation method is obtained, and the measurement data and the second data are obtained. And generating support data for supporting the evaluation of the health service in association with each other, and performing control for supporting the evaluation of the health service based on the generated support data. It is a health business support method.

  The present invention includes a step of requesting a computer, which is a health business support apparatus, to execute the health business based on first data including an implementation period and a method of implementing the health business with the target person, and the implementation method. The second data including the implementation result of the health business implemented based on the above, and the storage unit storing the receipt data and the medical examination result data of the target person of the health business corresponding to the implementation method Based on the extraction rule, extracting at least one of the receipt data and the medical examination result data of the subject corresponding to the health service in the implementation period, and acquiring the second data, from the storage unit On the basis of the data extraction result, measurement data corresponding to the implementation method is obtained, and the measurement data and the second data are associated with each other. A health business support program that executes a step of creating support data for supporting evaluation of a health business, and a step of performing control for supporting evaluation of the health business based on the created support data. is there.

  The present invention can support the evaluation of the implemented health business based on the health status of the insured.

FIG. 1 is a diagram illustrating an example of a health service system according to the present embodiment. FIG. 2 is a diagram illustrating an example of a health business cycle. FIG. 3 is a diagram illustrating an example of the first data. FIG. 4 is a diagram illustrating an example of the second data. FIG. 5 is a diagram illustrating an example of receipt data. FIG. 6 is a diagram illustrating an example of health check result data. FIG. 7 is a diagram illustrating an example of measurement data. FIG. 8 is a diagram illustrating an example of support data. FIG. 9 is a flowchart illustrating a processing procedure of the health service support apparatus that supports the evaluation of the health service. FIG. 10 is a diagram illustrating a modified example of the support data.

  Embodiments for carrying out the present invention will be described in detail with reference to the drawings.

(Embodiment)
FIG. 1 is a diagram illustrating an example of a health service system according to the present embodiment. A health business system 1 shown in FIG. 1 is a system used for implementation, evaluation, management, etc. of a health business. The health business includes, for example, various health businesses corresponding to lifestyle-related disease countermeasures, cancer countermeasures, and the like. Examples of health services for lifestyle-related diseases include health services such as prevention of seriousness, encouragement of treatment for untreated patients, specific health guidance, and improvement of the health checkup rate. In the following description, an example in which the health business is a health business for preventing aggravation in lifestyle-related disease countermeasures will be described, but the health business is not limited to this. Insured persons covered by health services include dependents.

  As shown in FIG. 1, the health business system 1 includes a health business support device 10 and an implementation side terminal 50. The health business support device 10 is a computer system that supports health business. The health business support device 10 has a function of supporting the insurer in selecting, implementing, and evaluating a health business. The insurer is the health business operator. The health business support device 10 and the implementation-side terminal 50 are configured to be able to communicate via a network.

  The implementation side terminal 50 is a computer or a tablet-type terminal used by a practitioner who implements a health service. The implementation-side terminal 50 performs processing in response to a request from the health business support device 10 and transmits the processing result to the health business support device 10.

  FIG. 2 is a diagram illustrating an example of a health business cycle. As shown in FIG. 2, the cycle of the health business includes a planning process P1, an implementation process P2, an evaluation process P3, and an improvement process P4 as one cycle. The planning process P1 is a process of planning a health business according to health risks. The implementation process P2 is a process of implementing the health business planned in the planning process P1. The evaluation process P3 is a process of evaluating the implementation result of the health business implemented in the implementation process P2. The improvement process P4 is a process of examining improvement based on the implementation result of the health business.

  In addition, the cycle of a health business can also make the planning process P1, the implementation process P2, and the evaluation process P3 into one cycle. For example, when high evaluation is obtained in the evaluation process P3, the cycle omits the improvement process P4 and moves to the planning process P1. The health business cycle includes a first cycle composed of a planning process P1, an implementation process P2, an evaluation process P3, and an improvement process P4, and a second cycle composed of a planning process P1, an implementation process P2, and an evaluation process P3. And may be combined. For example, the health business may be implemented in the second cycle and then in the first cycle. For example, the health business may be realized to switch between the first cycle and the second cycle based on the implementation result.

  The health business support device 10 supports a health business implemented in a cycle including a planning process P1, an implementation process P2, an evaluation process P3, and an improvement process P4. In the health business cycle shown in FIG. 2, the health business support device 10 requests the implementation of the health business and supports the evaluation of the health business.

  In the planning process P1, the insurer selects a health business for preventing aggravation of life-style related diseases as a health business to be implemented from a plurality of health businesses. The purpose of prevention of severity in lifestyle-related disease countermeasures is to prevent aggravation by selecting high-risk people who are being treated or untreated high-risk people, and providing health guidance and treatment recommendations. For this reason, an insurer determines the target person who implements a health business among high-risk insured persons. When the health business is selected in the planning process P1, the health business support device 10 creates the first data 11b including the target period of the health business, the implementation period and the implementation method for implementing the health business, and the first Data 11b is transmitted to the execution side terminal 50. Thereby, the cycle of health business shifts from the planning process P1 to the implementation process P2.

  In the implementation process P2, the implementation side terminal 50 supports the implementation of the health business based on the target person, the implementation period, and the implementation method indicated by the received first data 11b. The implementer of the health business conducts the health business on the target person by the requested implementation method. When the implementation result of the health business is input by the implementer, the implementation-side terminal 50 creates the second data 11c including items corresponding to the implementation method based on the input data, and supports the second data 11c with the health business support Transmit to device 10.

  In the implementation process P2, when the health business support device 10 acquires the second data 11c including the implementation result of the health business implemented based on the requested implementation method from the implementation side terminal 50, the health business support device 10 supports the evaluation of the health business. Start processing. In the evaluation process P3, the health business support device 10 generates support data 11g for supporting the evaluation of the health business based on the second data 11c and at least one of the subject's receipt data 11d and the medical examination result data 11e. The control is performed to support the evaluation of the health business based on the support data 11g. In the present embodiment, the health business support device 10 supports the evaluation of the health business by displaying the created support data 11g on the display unit 14. Thereby, the cycle of the health service can be automatically transferred from the implementation process P2 to the evaluation process P3.

  In the evaluation process P3, the insurer evaluates the health business by referring to the support data 11g of the health business support device 10, and makes a decision to shift to the planning process P1 or the improvement process P4 according to the evaluation result. . For example, when a predetermined effect is not obtained by the implemented health business, the health business cycle shifts from the implementation process P3 to the improvement process P4. The insurer executes a health business improvement simulation in the improvement process P4. For example, when a predetermined effect is obtained by the implemented health business, the health business cycle shifts from the implementation process P3 to the planning process P1. The insurer plans the next health business in the planning process P1.

  As described above, when the health business support device 10 requests the implementation of the health business and acquires the second data 11c in response to the end of the health business, the health business support device 10 and at least one of the subject's receipt data 11d and the medical examination result data 11e Support data 11g is created based on the second data 11c. Thereby, the health business support apparatus 10 can shift the cycle of the health business from the implementation process P2 to the evaluation process P3 with the acquisition of the implementation result of the health business as a trigger.

  Upon obtaining the second data 11c, the health business support device 10 obtains measurement data 11f corresponding to the health business implementation method based on at least one of the receipt data 11d and the medical examination result data 11e, and the measurement data 11f The support data 11g associated with the second data 11c supports the evaluation of the health business. Thereby, the health business support device 10 searches for data corresponding to the health business from the receipt data 11d and the medical examination result data 11e, and the work for the insurer or the like to collect the subject's receipt data 11d and the medical examination result data 11e. By eliminating the need for work, the efficiency of the health business evaluation by the insurer can be improved. Furthermore, the health business support device 10 can contribute to improving the accuracy of the evaluation by the insurer by supporting the evaluation of the health business based on the health status of the insured person and the implementation result of the health business.

  When the health business implemented this time has been implemented in the past, the storage unit 11 stores performance data 11h indicating the results of the health business. For example, if a health service has been implemented for an insured person in their 50s in the past, the actual data 11h includes information for identifying the health service and an insured person in the 50s who is the target of the health service. And information indicating the implementation result of the health project. The information indicating the implementation result of the health business includes, for example, information such as the implementation content and the result. When the implementation of the health business is completed, the performance data 11h is created so that the health business can be identified based on the first data 11b, the second data 11c, the support data 11g, and the like.

  When the performance data 11h indicating the past performance of the health business is stored in the storage unit 11, the health business support device 10 includes the second data 11c, at least one of the receipt data 11d and the health examination result data 11e, Support data 11g including actual data 11h is created. Thereby, the health business support device 10 can support the evaluation of the health business based on the support data 11g that can compare the result of the current health business with the past result of the same health business. it can. As a result, the insurer can objectively evaluate the health business while comparing with past implementation results.

  For example, it is assumed that an insurer previously implemented a health service for an insured in his 50s, this time for an insured in his 40s. In this case, since the health business support device 10 stores the record data 11h corresponding to the insured in the 50s in the storage unit 11, the support data 11g including the record data 11h is created, and the created support data Supports the evaluation of health services based on 11g. As a result, the insurer can compare the implementation results for insured people in their 40s with the implementation results for insured people in their 50s to determine which age the health service is effective. . For example, if an insurer determines that the implementation result of the 40s is more effective than the implementation result of the 50s, the insurer may implement the health business to another insured of the 40s, or the insured of the 30s It can be considered to try to implement it. In this way, the health business support device 10 shows the results of the health business, and in order to improve the health of the insured person, it is effective to evaluate what kind of target person the health business is implemented. Can also help.

  Next, the configuration of the health service support apparatus 10 shown in FIG. 1 will be described. As illustrated in FIG. 1, the health business support device 10 includes a storage unit 11, a control unit 12, an operation unit 13, a display unit 14, and a communication unit 15. The storage unit 11, the operation unit 13, the display unit 14, and the communication unit 15 are electrically connected to the control unit 12.

  The storage unit 11 stores programs and data. The storage unit 11 is, for example, a RAM (Random Access Memory), a flash memory, a hard disk drive, or the like, or a combination thereof. The storage unit 11 is also used as a work area for temporarily storing the processing result of the control unit 12. Part or all of the program and data stored in the storage unit 11 may be downloaded from another device via the communication unit 15 or may be stored in an external storage device.

  The storage unit 11 includes, for example, a support program 11a, which is a health care provider support program, first data 11b, second data 11c, receipt data 11d, medical examination result data 11e, measurement data 11f, support data 11g, and performance data 11h. Remember. The support program 11a causes the control unit 12 of the health business support device 10 to realize various functions for supporting the health business. The first data 11b includes information on the target person and the health service. The 2nd data 11c contains the information regarding the implementation result of the health business corresponding to the 1st data 11b. The receipt data 11d includes information regarding medical records of the insured person at the medical institution. The medical examination result data 11e includes information related to the result of the medical examination of the insured. The measurement data 11f includes various types of information corresponding to the health service in the implementation period among at least one of the receipt data 11d and the medical examination result data 11e corresponding to the subject. The support data 11g includes various types of information for supporting the evaluation of the health business. The performance data 11h includes information on the performance of the health business.

  The control unit 12 is an arithmetic processing device. The arithmetic processing unit includes, for example, a CPU (Central Processing Unit) and an MCU (Micro Control Unit), but is not limited thereto. The control unit 12 controls various operations of the health business support device 10 to realize various functions.

  The control unit 12 includes a request unit 12a, an acquisition unit 12b, an extraction unit 12c, a creation unit 12d, and a support unit 12e.

  When the health project is planned in the planning process P1, the request unit 12a creates the first data 11b, and executes a process for requesting the implementation of the health business based on the first data 11b. The request unit 12a may automatically request the implementation of the health business, or may request the implementation of the health business in response to a request from the insurer. In this embodiment, although the request | requirement part 12a demonstrates the case where it requests | requires implementation of a health business by transmitting the 1st data 11b to the implementation side terminal 50 outside the own machine, it is not limited to this. For example, the request unit 12a may request the implementation of the health business by outputting the first data 11b to the display unit 14 of the own device.

  In the implementation process P2, the acquisition unit 12b executes a process of acquiring the second data 11c including the implementation result of the health business implemented based on the requested implementation method. In the present embodiment, the acquisition unit 12b describes the case where the second data 11c is acquired from the implementation-side terminal 50, and the second data 11c is stored in the storage unit 11 in association with the first data 11b. It is not limited. For example, the acquisition unit 12b may acquire the second data 11c based on the input data input via the operation unit 13, or the second data from the storage location stored in accordance with the end of the implementation of the health business. 11c may be acquired.

  Based on the extraction rules corresponding to the implementation method of the health business in the implementation process P2, the extraction unit 12c includes the receipt data 11d and the medical examination result data 11e of all subjects corresponding to the implementation method in the implementation period of the health business. A process of extracting at least one from the storage unit 11 is executed. The extraction rule is a rule that defines at least one of the receipt data 11d and the medical examination result data 11e to be extracted in order to confirm the disease state of the subject who has performed the health business, the presence or absence of the medical examination, and the like.

  For example, when the health business is prevention of aggravation in a lifestyle-related disease countermeasure, the extraction rule is to extract the receipt data 11d related to the lifestyle-related disease that is a target of the prevention of the aggravation, and the weight, blood pressure, urine protein, The medical examination items such as serum creatinine level and the like, and extraction of medical examination result data 11e having abnormal item values are defined. In addition, when the health service is a treatment recommendation for an untreated person in the lifestyle-related disease countermeasure, the confirmation method of the health business is confirmation of the number of target persons who have given the treatment recommendation. In this case, the extraction rule defines the extraction of the receipt data 11d for confirming whether the subject has been treated.

  In the implementation process P2 or the evaluation process P3, the creation unit 12d executes a process for creating the support data 11g in response to the end of the acquisition of the second data 11c by the acquisition unit 12b. The creation unit 12d obtains measurement data 11f corresponding to the health business implementation method based on at least one of the receipt data 11d and the medical examination result data 11e extracted by the extraction unit 12c. For example, the creation unit 12d extracts information necessary for the evaluation of the health service from at least one of the receipt data 11d and the medical examination result data 11e, and takes the statistics of the target person from the extracted information. The creating unit 12d creates support data 11g for supporting the evaluation of the health business by associating the measurement data 11f with the second data 11c.

  The creation unit 12d creates support data 11g including the performance data 11h, the second data 11c, and the measurement data 11f when the performance data 11h indicating the results of the health business performed in the past is stored in the storage unit 11. To do. The creation unit 12d preferably creates the support data 11g so that the insurer can compare the implementation result of the health business this time with the past implementation result.

  In addition, the extraction unit 12c may not be able to extract data. For example, when the insured person is not in the hospital even if the health service is implemented, the extractor 12c cannot extract the receipt data 11d because the insured person's receipt data 11d does not exist. For example, when the insured person has not undergone a medical examination, the medical examination result data 11e of the insured person does not exist, and thus the extraction unit 12c cannot extract the medical examination result data 11e. Therefore, when the extraction unit 12c cannot extract at least one of the receipt data 11d and the medical examination result data 11e, the generation unit 12d generates support data 11g including information indicating that the extraction cannot be performed. As described above, the health care support device 10 includes information indicating that at least one of the receipt data 11d and the health check result data 11e cannot be extracted in the support data 11g, so that the insurer has implemented the health business. It can be confirmed that the insured has not started the hospital and has not received a medical examination.

  The creation unit 12d executes processing for creating cost data of the implemented health business. When the creation unit 12d creates cost data based on a unit price table of a health care provider, the creation unit 12d creates support data 11g including measurement data 11f, second data 11c, and cost data. The creation unit 12d may be configured to acquire cost data from the outside of the health business support device 10.

  In the evaluation process P3, the support unit 12e executes control for supporting the evaluation of the health business based on the created support data 11g. In this embodiment, although the support part 12e demonstrates the case where it supports the evaluation of health business by displaying the support data 11g on the display part 14, it is not limited to this. For example, the support unit 12e may output the support data 11g from a printer, or may transmit the support data 11g to the insurer's terminal device via the communication unit 15.

  The operation unit 13 includes one or more devices for receiving user operations. Devices for accepting user operations include, for example, a keyboard and a mouse. The operation unit 13 inputs a signal corresponding to the accepted operation to the control unit 12.

  The display unit 14 is, for example, a display device such as a liquid crystal display (Liquid Crystal Display) or an organic EL display (Organic Electro-Luminescence Display). The display unit 14 displays information such as characters, graphics, and images in accordance with signals input from the control unit 12.

  The communication unit 15 is a communication device that performs communication via a network. The communication unit 15 performs data communication with an external electronic device such as the implementation-side terminal 50 via the network.

  The first data 11b will be described with reference to FIG. FIG. 3 is a diagram illustrating an example of the first data 11b. The first data 11b is created according to the selection of the health business and stored in the storage unit 11. The first data 11b includes items such as a health service, an implementation period, an implementation method, a target value, a measurement method, a measurement cycle, and a subject. There are as many items as the number of target persons who will implement health services. In addition, the measuring method has shown the method in which the implementer who implemented health business measures an implementation result.

  Information indicating the health business is set in the health business item. Information indicating the implementation period of the health service is set in the implementation period item. In the item of implementation method, information on the implementation method of the health project is set. In the target value item, information related to the target value of the health business is set. In the measurement method item, information on a measurement method corresponding to the implementation method of the health service is set. In the measurement cycle item, information on a cycle for measuring the implementation result of the health service is set. In the item of the target person, information on the target person who implements the health service is set.

  In the example shown in FIG. 3, information indicating the prevention of aggravation in lifestyle-related disease countermeasures is set in the item of health business. In the implementation period item, information indicating the implementation period from August 2014 to January 2015 is set. Information indicating the implementation of health guidance by interview and telephone is set in the item of implementation method. In the target value item, information indicating the number of target implementers is set.

  In the item of the measurement method, information indicating the number of persons to whom contact has been made, the number of performers (the number of implementations), the number of suspended persons, and the number of terminated persons is set. The number of subjects who have been contacted indicates the number of subjects who have been contacted among the subjects of the health service. The number of practitioners (number of times of execution) indicates the number of persons who performed telephone guidance and interview guidance after adjustment with the attending physician (number of times of execution). The number of suspended persons indicates the number of subjects who have suspended health services. The number of completed persons indicates the number of target persons who have completed the implementation of the health service.

  In the measurement cycle item, information indicating that the measurement cycle is monthly is set. Information on the subject is set in the item of the subject. The information of the target person is, for example, predetermined information among information such as an identifier for specifying the insured person, the name of the insured person, and the date of birth. The first data 11b may be configured to include personal information of the target person, or may be configured not to include personal information.

  The second data 11c will be described with reference to FIG. FIG. 4 is a diagram illustrating an example of the second data 11c. The second data 11c is stored, for example, when a health business implementation is requested or when a health business implementation result is acquired. The second data 11c includes items corresponding to the measurement method of the first data 11b. When the measurement cycle is monthly, the second data 11c includes items such as a month, the number of contacts, the number of performers (times), the number of suspended persons, and the number of terminated persons.

  In the month item, information indicating a month which is a divided period obtained by dividing the implementation period is set. In the item of the number of contacts, information indicating the number of target persons who contacted in the corresponding month is set. In the item of the number of implementers (times), the number of subjects who implemented the health business and the number of implementations are set in the corresponding month. In the item of the number of suspended persons, the number of persons who have suspended the health service in the corresponding month is set. The number of persons who finished the health service in the corresponding month is set in the item of the number of persons who finished.

  In the example illustrated in FIG. 4, the second data 11 c includes a plurality of pieces of information corresponding to each month from August 2014 to January 2015. In August information, “5 people” is set in the number of contacts item, “5 people (6 times)” is set in the number of enforcers (number of times), and “0 people” is set in the number of interrupters number "Is set, and" 0 "is set in the item of the number of finishers. In September information, “10 people” is set in the number of contacts item, “8 people (8 times)” is set in the number of implementers (number of times), and “0 people” is set in the number of interrupters number "Is set, and" 0 "is set in the item of the number of finishers. In the information for October, “9 people” is set in the number of contacts item, “7 people (7 times)” is set in the number of implementers (number of times), and “1 person” is set in the number of persons suspended. "Is set, and" 0 "is set in the item of the number of finishers. In November information, "9 people" is set in the number of contacts item, "8 people (8 times)" is set in the number of implementers (number of times), and "1 person" is set in the number of interrupters "Is set, and" 1 person "is set in the item of the number of finishers. As for the information of December, “8 people” is set in the item of the number of contacts, “7 people (7 times)” is set in the item of the number of implementers (times), and “1 person” is set in the item of the number of interrupters "Is set, and" 2 people "is set in the item of the number of finishers. In January information, “7 people” is set in the number of contacts item, “6 people (6 times)” is set in the number of implementers (number of times), and “1 person” is set in the number of persons suspended ”Is set, and“ 6 ”is set in the item of the number of finishers.

  The receipt data 11d will be described with reference to FIG. FIG. 5 is a diagram illustrating an example of the receipt data 11d. The receipt data 11d is stored, for example, when provided by a medical institution or the like. The receipt data 11d includes items such as year, month, insured person, injury and illness name, medical treatment content, and score.

  In the year / month item, information indicating the year / month when the receipt data 11d is registered is set. Information for specifying the insured person is set in the item of the insured person. In the item of injury and illness name, information for specifying the injury or illness that the insured has received medical care at the medical institution is set. In the item of medical treatment content, information for specifying medical practice, medical supplies, specific equipment, etc. performed for the insured in the medical institution is set. In the score item, information related to the billing score generated by the medical treatment content is set. Based on this score, the medical cost can be calculated.

  The medical examination result data 11e will be described with reference to FIG. 6. FIG. 6 is a diagram illustrating an example of the medical examination result data 11e. The medical examination result data 11e is stored, for example, when provided by an insured person or a medical institution. The medical examination result data 11e includes items such as date, insured person, medical examination item, and item value, for example. There are at least as many items of health check items and item values as the number of health check items that have been examined by the insured.

  In the date field, information indicating the date on which the medical examination is performed, the date on which the medical examination result data 11e is registered, and the like are set. Information for specifying the insured person is set in the item of the insured person. Information for specifying an item to be diagnosed in the health examination is set in the item of the health examination item. In the item value item, information related to the measurement value (checkup result) of the checkup item is set.

  The measurement data 11f will be described with reference to FIG. FIG. 7 is a diagram illustrating an example of the measurement data 11f. The measurement data 11f is stored, for example, when the health project implementation result is acquired or when the health project implementation is completed. The measurement data 11f includes items such as, for example, month, receipt confirmation, number of persons corresponding to a reception, confirmation of medical examination results, and number of persons corresponding to medical examination results. The number of people who have received a receipt means the number of people who received a receipt related to health services.

  In the month item, information indicating the month in the implementation period is set. In the item of receipt confirmation, information indicating whether the subject's receipt confirmation is performed or not is set. Information indicating the number of subjects who have detected a receipt corresponding to the health service from the subject's receipt is set in the item of the number of relevant people in the receipt. When there is no receipt related to the health business, information indicating “0” is set in the item of the number of applicable persons. Information indicating whether the checkup result of the subject has been checked or not is set in the checkup result check item. In the item of the number of persons corresponding to the medical examination result, information indicating the number of target persons whose item values of the medical examination items corresponding to the health business are abnormal is set from the medical examination result of the subject person. When there is no medical examination result, nothing is set in the item of the number of persons in the medical examination result.

  In the example illustrated in FIG. 7, the measurement data 11 f includes a plurality of pieces of information corresponding to each month from August 2014 to January 2015. For August-September information, “Implementation” is set in the item of receipt confirmation, “0” is set in the item of the number of relevant persons in the receipt, and “Not implemented” is set in the item of confirmation of health check result Nothing is set in the item of the number of applicable people in the medical examination result. For information on October, “Perform” is set in the item of receipt confirmation, “0” is set in the item of the number of relevant persons in the receipt, “Execution” is set in the item of confirmation of health check result, “2 people” is set in the item of the number of applicable people in the result. For November-November information, “Implementation” is set in the item of receipt confirmation, “1 person” is set in the item of the number of corresponding persons in the reception, and “Not implemented” is set in the item of confirmation of medical examination result Nothing is set in the item of the number of applicable people in the medical examination result.

  The support data 11g will be described with reference to FIG. FIG. 8 is a diagram illustrating an example of the support data 11g. The support data 11g is stored, for example, when the implementation of the health business is completed. The support data 11g is data for supporting the evaluation of the health business by associating the second data 11c and the measurement data 11f. The example shown in FIG. 8 shows the support data 11g for supporting the evaluation of the health business performed for the first time.

  In the example illustrated in FIG. 8, the support data 11g is data obtained by adding information indicating the health business, the number of subjects, the target value, the measurement cycle, and the cost to the information that associates the second data 11c with the measurement data 11f. ing. In this way, the support data 11g indicates to the insurer the relationship between the implementation status of the health business implementation period and the measurement results of the subject's receipts, medical examination results, etc. Can assist in confirming actions.

  For example, if the insurer can confirm that the receipt corresponding to the health business is measured based on the support data 11g, the target person who implemented the health business is likely to have started the hospital. It can be evaluated that this is the effect of the health service. For example, if an insurer can confirm that a receipt corresponding to a health service has not been measured even though the health service has been performed, the insurer can evaluate that the effect of the performed health service has not appeared. For example, the insurer can estimate the cost-effectiveness of the health business by referring to the result of the health business, the measurement result of the receipt, and the cost.

  In the present embodiment, the case where the support data 11g includes information indicating expenses is described, but the present invention is not limited to this. For example, the support data 11g may not include information indicating the cost.

  Next, a processing procedure of the health service support apparatus 10 that supports the evaluation of the health service will be described with reference to FIG. FIG. 9 is a flowchart illustrating a processing procedure of the health service support device 10 that supports the evaluation of the health service. The processing procedure shown in FIG. 9 is realized by the control unit 12 executing the support program 11a. The support program 11a is a program for causing the health business support apparatus 10 that is a computer to execute the health business support method according to the embodiment.

  As illustrated in FIG. 9, the control unit 12 of the health business support device 10 acquires information about the health business as step S <b> 101. Specifically, the control unit 12 acquires information on the health business to be implemented, the implementation period, the implementation method, the target value, the measurement method, the measurement cycle, the subject, and the like, and stores them in the storage unit 11. The control unit 12 may acquire information input by an insurer or the like, or may acquire information from a predetermined storage device. Then, the control part 12 advances a process to step S102.

  As step S102, the control unit 12 creates the first data 11b including the target person, the implementation period and implementation method of the health business, based on the information related to the health business acquired in step S101. Then, the control part 12 requests | requires implementation of health business based on the 1st data 11b as step S103. Specifically, the control unit 12 transmits the first data 11 b to the implementation side terminal 50 via the communication unit 15. Then, the control part 12 advances a process to step S104.

  When requesting the implementation of the health business, the control unit 12 determines whether or not the second data 11c including the implementation result of the health business has been acquired in step S104. Specifically, the control unit 12 determines that the second data 11c has been acquired when the acquisition unit 12b has acquired the second data 11c. When the 2nd data 11c is not acquired (Step S105, No), control part 12 re-executes processing after Step S104. When the second data 11c is acquired (step S105, Yes), the control unit 12 advances the process to step S106.

  The control part 12 determines whether the health business is complete | finished based on the 2nd data 11c as step S106. Specifically, the control unit 12 determines that the health service has ended when the second data 11c includes all the implementation results in the implementation period. The determination of the end of the health service may be determined that the health service has ended when the implementation period has elapsed. When the health business has not ended (No at Step S107), the control unit 12 re-executes the processes after Step S104. When the health business has ended (step S107, Yes), the control unit 12 advances the process to step S108.

  As step S108, the control unit 12 stores at least one of the subject's receipt data 11d and the medical examination result data 11e corresponding to the health business in the implementation period based on the health business implementation period of the first data 11b. Extract from Specifically, when the measurement cycle of the health business is monthly, the control unit 12 searches the target person's data corresponding to the health business for each month of the implementation period, and stores the search result in the storage unit 11. . If the measurement cycle of the health business is the final result, the control unit 12 searches for data of the target person corresponding to the health business during the implementation period, and stores the search result in the storage unit 11. Note that the search result includes a result of failure to search the receipt data 11d and the medical examination result data 11e. Then, the control part 12 advances a process to step S109.

  In step S109, the control unit 12 specifies measurement data corresponding to the implementation method of the health business based on the result extracted in step S108. Specifically, when the measurement cycle of the health business is monthly, the control unit 12 is based on at least one of the extracted receipt data 11d and the medical examination result data 11e, or a result indicating that the data has been extracted. Then, measurement data such as statistical values corresponding to the health service is specified for each month of the implementation period, and the specified result is stored in the storage unit 11. In addition, when the measurement cycle of the health business is the final result, the control unit 12 calculates the cumulative value corresponding to the health business in the implementation period from the extraction results of the receipt data 11d and the medical examination result data 11e of a plurality of subjects. The measurement data is specified, and the specified result is stored in the storage unit 11. Then, the control part 12 advances a process to step S110.

  As step S110, the control unit 12 creates cost data indicating the cost of the implemented health business. Specifically, the control unit 12 calculates the cost of the implemented health business based on a predetermined unit price table or the like, and creates cost data indicating the calculated cost. The unit price table is a table showing the unit price of the health service. The cost data may be created based on the cost charged by the health service provider. Then, the control part 12 advances a process to step S111.

  In step S111, the control unit 12 associates the measurement data 11f, the second data 11c, the target value, and the cost data to create support data 11g that supports the evaluation of the health business, and stores the support data 11g in the storage unit 11. Remember. For example, as shown in FIG. 8, the control unit 12 preferably creates the support data 11g so that the insurer can compare the measurement data 11f and the second data 11c. Then, the control part 12 advances a process to step S112.

  In step S112, the control unit 12 executes control for supporting the evaluation of the health business based on the created support data 11g. For example, the control unit 12 supports the evaluation of the health business by displaying the support data 11g on the display unit 14 in response to a display request from an insurer or the like. For example, the control unit 12 supports the evaluation of the health business by transmitting the support data 11g to the electronic device via the communication unit 15 in response to a transmission request from the electronic device outside the health business support device 10. To do. Thereafter, when the support of the health business is completed, the control unit 12 ends the processing procedure illustrated in FIG.

  In the present embodiment, the health business support device 10 has shown the processing procedure for supporting the evaluation of the health business to be performed for the first time. However, the present invention is not limited to this. For example, the processing procedure shown in FIG. 9 may be a processing procedure for supporting evaluation of a health business that has been performed in the past.

  For example, the processing procedure illustrated in FIG. 9 adds processing for determining whether or not the record data 11h corresponding to the health service is stored in the storage unit 11 between Step S110 and Step S111. And when the performance data 11h is not memorize | stored, a process sequence is deform | transformed so that the control part 12 may perform the process of already demonstrated step S111. When the actual data 11h is stored, the control unit 12 associates the measurement data 11f, the second data 11c, the target value, the cost data, and the actual data 11h with the support data 11g that supports the evaluation of the health business. The processing procedure may be added so that the support data 11g is created and stored in the storage unit 11, and then the process proceeds to step S112.

  The present embodiment can be modified without departing from the spirit and scope of the invention. Furthermore, this embodiment and its modification examples can be combined as appropriate. For example, the above embodiment may be modified as follows.

  In the above-described embodiment, the health business support device 10 describes the case where the measurement data 11f is created from the receipt data 11d, the medical examination result data 11e, and the like during the health business implementation period, but is not limited thereto. For example, the health business support device 10 may be configured to refer to the subject's receipt data 11d, medical examination result data 11e, and the like before the implementation period.

(Modification)
The health business support apparatus 10 according to the modification has the same configuration as the health business support apparatus 10 shown in FIG. 1 except that the function of the support program 11a and the configuration of the support data 11g are different. Therefore, in the following, a modification will be described using the health business support device 10 as an example.

  Based on the extraction rule corresponding to the implementation method, the extraction unit 12c of the health business support device 10 obtains at least one of the subject's receipt data 11d and the medical examination result data 11e corresponding to the implementation method before and during the implementation period A process of extracting from the storage unit 11 is executed. The term “before the implementation period” means a predetermined period before the implementation period that does not include the implementation period. The extraction unit 12c stores the extracted data in the storage unit 11 separately for the implementation period and before the implementation period.

  The creation unit 12d generates state data indicating the state of the subject from before the implementation period based on at least one of the receipt data 11d and the medical examination result data 11e extracted by the extraction unit 12c, and includes the generated state data Support data 11g is created. The state data includes information indicating the attendance status of the subject corresponding to the health service, the presence or absence of disease, and the like.

  A modification of the health service support device 10 will be described with reference to FIG. FIG. 10 is a diagram illustrating a modification of the support data 11g. The support data 11g includes items such as health business, implementation period, target value, measurement cycle, and cost. The support data 11g has the same configuration as the support data 11g shown in FIG. 8 in terms of health business, target value, measurement cycle, and cost.

  The support data 11g associates the second data 11c, the measurement data 11f, and the state data before the implementation period. The predetermined period may be set by the insurer, or a period corresponding to the health business may be determined in advance. The support data 11g allows the insurer to analyze the status of the subject's medical examination before and after the implementation of the health project, whether or not the health examination items have been improved, etc., by dividing the data into the health project implementation period and before the implementation period. it can. As a result, the insurer can improve the accuracy of the evaluation of the implemented health business based on the implementation result of the health business and the measurement data 11f such as the receipt and the medical examination result.

  In the example illustrated in FIG. 10, the support data 11g has been described as not including the above-described actual data 11h, but may be configured to include the above-described actual data 11h.

  In the above-described embodiment, the health business support device 10 has been described with respect to the case where the support for evaluation using the support data 11g is performed in the evaluation process P3 in the health business cycle, but the present invention is not limited to this.

  For example, the health business support device 10 may be configured to support improvement of the health business in the improvement process P4 based on the support data 11g. Specifically, the health business support device 10 uses the support data 11g as a result of the health business, obtains a prediction result when the health business target is changed, and supports improvement of the health business based on the prediction result. Also good.

  For example, the health business support device 10 may be configured to select a health business in the planning process P1 based on the support data 11g. Specifically, the health business support device 10 stores the support data 11g in the storage unit 11 as the results of the previous year, and selects the health business, determines the target person to implement the health business, etc. Assist based on.

  In the above embodiment, the health business support device 10 has been described with respect to the case where the implementation side terminal 50 requests the implementation of the health business, but the present invention is not limited to this. For example, the health business support device 10 may be configured to request the implementation by the own device without requesting the implementation of the health business at the implementation side terminal 50.

  Although the present embodiment has been described above, the present embodiment is not limited to the above-described content. In addition, the above-described components include those that can be easily assumed by those skilled in the art, those that are substantially the same, and those in a so-called equivalent range. Furthermore, the above-described components can be appropriately combined. Furthermore, various omissions, substitutions, or changes of components can be made without departing from the scope of the present embodiment.

DESCRIPTION OF SYMBOLS 1 Health business system 10 Health business support apparatus 11 Memory | storage part 12 Control part 12a Request part 12b Acquisition part 12c Extraction part 12d Creation part 12e Support part 13 Operation part 14 Display part 15 Communication part 50 Execution side terminal

Claims (9)

A storage unit for storing the receipt data and medical examination result data of the target person of the health service;
A requesting unit for requesting the implementation of the health business based on the first data including the implementation period and the implementation method of implementing the health business with the target person;
An acquisition unit for acquiring second data including an implementation result of the health business implemented based on the implementation method;
Based on the extraction rule corresponding to the implementation method, an extraction unit that extracts from the storage unit at least one of the receipt data and the medical examination result data of the subject corresponding to the health service in the implementation period;
When the second data is acquired, measurement data corresponding to the implementation method is obtained based on the extraction result by the extraction unit, and the measurement data and the second data are associated with each other to support the evaluation of the health business A creation unit that creates support data for
A support unit that performs control for supporting evaluation of the health business based on the created support data;
A health business support apparatus characterized by comprising:   The creation unit, when the extraction unit could not extract at least one of the receipt data and the medical examination result data, information indicating that at least one of the reception data and the medical examination result data could not be extracted The health service support apparatus according to claim 1, wherein the support data includes the support data. The storage unit stores performance data of the health business,
The health business support apparatus according to claim 1, wherein the creation unit creates the support data including the performance data when the storage unit stores the performance data. The extraction unit extracts from the storage unit at least one of the receipt data and the medical examination result data of the subject before and after the implementation period based on an extraction rule corresponding to the implementation method,
The creation unit generates state data indicating the state of the subject from before the implementation period based on at least one of the extracted receipt data and medical examination result data, and includes the generated state data The health business support apparatus according to any one of claims 1 to 3, wherein data is created.   The health project according to any one of claims 1 to 4, wherein the creation unit creates the support data by associating the target value of the health business, the measurement data, and the second data. Support device.   The health business support apparatus according to claim 1, wherein the creation unit creates the support data including cost data indicating a cost of the implemented health business.   The health service according to any one of claims 1 to 6, wherein the support unit supports the selection of the health service to be implemented from among the plurality of health services based on the support data. Support device. A health business support method executed by a health business support device,
Requesting the implementation of the health project based on the first data including the implementation period and the implementation method of the subject and the health project;
Obtaining second data including an implementation result of the health business implemented based on the implementation method;
Based on the extraction rule corresponding to the implementation method from the storage unit storing the subject's receipt data and medical examination result data of the health business, the subject's receipt corresponding to the health business in the implementation period Extracting at least one of data and the medical examination result data;
When the second data is acquired, measurement data corresponding to the implementation method is obtained based on a data extraction result from the storage unit, and the health data is evaluated by associating the measurement data with the second data. Creating assistance data to assist, and
Performing control for supporting evaluation of the health business based on the created support data;
A health business support method characterized by comprising: To computer which is health care support device,
Requesting the implementation of the health project based on the first data including the implementation period and the implementation method of the subject and the health project;
Obtaining second data including an implementation result of the health business implemented based on the implementation method;
Based on the extraction rule corresponding to the implementation method from the storage unit storing the subject's receipt data and medical examination result data of the health business, the subject's receipt corresponding to the health business in the implementation period Extracting at least one of data and the medical examination result data;
When the second data is acquired, measurement data corresponding to the implementation method is obtained based on a data extraction result from the storage unit, and the health data is evaluated by associating the measurement data with the second data. Creating assistance data to assist, and
Performing control for supporting evaluation of the health business based on the created support data;
Health business support program to execute.

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