JP2019149087A - Care level optimization device, daily life obstruction factor omission prevention device, and method and program for the same - Google Patents

Abstract

To reduce or prevent a mistake in a care level for each care support item written (input, selected) in the a problem summary table.SOLUTION: An analysis server 3 includes a normative model storage part 12 storing a normative model which is created for each of a plurality of care support items and which, when one or a plurality of specific daily life obstruction factors are present, estimates a care level highly compatible with the daily life obstruction factor. Summary table data 42 is inputted which includes respective care levels for the daily life obstruction factors and the plurality of care support items for a specific user. The analysis server 3 estimates an estimated care level based on the normative model by use of the daily life obstruction factors of the summary table 42 for each of the plurality of care support items. When the estimated care level does not agree with the input care level through comparison, inquiry data is outputted.SELECTED DRAWING: Figure 2

Description

  The present invention relates to a care level optimization device, a daily life inhibition factor omission prevention device, a care level optimization method, a daily life inhibition factor omission prevention method, and a program for realizing the method.

  In the long-term care insurance system, care support specialists (care managers) have a care plan that takes into account the mental and physical conditions of the user (care recipient), the environment in which they are placed, and the wishes of the user and their family. The role of creating and communicating and adjusting so that necessary services such as medical care and nursing care are smoothly provided by the service provider is required.

  In creating a care plan, it is necessary to grasp the user's condition, etc., and to find out issues through the organization and analysis of information. In order to share basic information of the users grasped by the care manager among various occupations, and to express what kind of thought the care manager derived the problems to be solved in the user's life in general, A summary table is used.

  The purpose of the issue summary table is to help users maintain and improve their quality of life, taking into account their current status and abilities in deriving issues (needs) to be solved in their overall lives. By clarifying the problem that was analyzed as a professional, until the problem to be solved was extracted before supporting the independent daily life is there. The issue summary table is created at the timing before preparation of a care plan, and is useful for the creation of a complete care plan.

  However, care managers have different experiences and ways of thinking, so there may be omissions or incorrect entries (judgments that differ from many other care managers) in the task summary table.

  Patent Document 1 discloses that the care service information is shared by all organizations or people related to care, such as the Regional Comprehensive Support Center, care providers, and families of care recipients, and appropriate care services based on the shared care information. Provide care support system and care support program However, it does not take into account differences in the experience and way of thinking of each care manager.

JP 2010-205263 A

  It is an object of the present invention to make it possible to create a high-quality problem organizing summary table even if there are differences in the experience and concept of each care manager.

  Another object of the present invention is to reduce or prevent errors in the care level entry for each care support item that is entered (input, selected) in the task summary table.

  It is another object of the present invention to reduce or prevent the lack of daily life obstruction factors that should be entered (input, selected) in the problem organization summary table.

  The care level optimization device according to the first invention is a device for optimizing a care level selected for each of a plurality of care support items in a problem organization summary table created for each user. A storage means for storing a normative model for estimating a nursing care level that is created for each of the nursing care support items and is highly compatible with one or more specific daily life obstruction factors; One or more daily life obstruction factors corresponding to the user selected from multiple choices of daily life obstruction factors and multiple care support items are selected from multiple levels of care levels. Receiving means for receiving an input with a care level corresponding to the user, and each of a plurality of care support items is received by the receiving means. Comparison means for comparing the estimated care level estimated based on the normative model using one or a plurality of daily life impediments and the input care level received by the receiving means, and the estimated care level and the input Output means for outputting inquiry data when the care level does not match is provided.

  The task summary table is generally created by a care manager for each specific user, and the above-mentioned factors for each of the above-mentioned user's independent daily life obstruction factors (daily life obstruction factors) The user's care level is included. Factors that interfere with daily life include low back pain, depression, living environment, physical strength / muscular weakness, single life, dementia, etc., among which the user corresponds, physical aspect, mental aspect, family, living environment , Life environment, likes and dislikes, finances, pre-existing conditions, etc. Care support items include, for example, movement (indoor movement, outdoor movement), meal (meal content, food intake, cooking), excretion (urination / defecation, excretion), oral cavity (oral hygiene, oral care), medication, bathing, Includes changing clothes, cleaning, washing, etc.

  According to the first invention, when there are one or a plurality of specific daily life obstruction factors, a care level that is highly compatible with the daily life obstruction factors is estimated. A reference model is prepared in advance. As mentioned above, the problem organization summary table created by the care manager includes the daily life impediments for specific users. Based on the normative model, the daily life impediments in the task organization summary table are used. The care level for each care support item can be estimated. The reference model is created from teacher data, for example. In this case, it can be said that the estimated level of care is the correct or appropriate level of care. Teacher data is typically created by experienced care managers.

  The estimated nursing care level estimated from the normative model is compared with the input nursing care level that is input (selected) in the task summary summary table that is being created. The care manager who has created the care level can recognize that the care level that he / she entered (selected) does not follow the estimated care level estimated from the norm model. For example, care managers with little experience or care managers unfamiliar with creating task summary tables can greatly reduce caregiver level entry (selection) errors, as if they were created by experienced care managers. It is possible to create a high-quality task summary summary table.

  For example, when the care level is a four-stage level (any one of the four levels of care is input (selected)), the estimated care level is any one of the four levels of care Alternatively, it may be a plurality of consecutive levels of four levels of care, for example, two consecutive levels. In other words, the estimated nursing care level can have a range. As a result, the query data can be output when the input nursing care level and the estimated nursing care level do not completely match, or the query data can be displayed if there is a slight difference (for example, one level difference). Query data can also be output when there is a significant difference (for example, a difference in two levels) without output. If the care level includes at least three levels, the estimated care level can be widened.

  The contents of the inquiry data may be varied according to the degree of mismatch between the input nursing care level and the estimated nursing care level (for example, the difference between the first level and the two levels).

  As the inquiry data, visual data or auditory data is typically used so that the care manager who creates the task summary table can recognize the inquiry. For example, the inquiry data may be image data representing an icon displayed on the display screen of the display device, or may be text data representing the contents of the inquiry. Of course, it may be audio data. The care manager who has received the inquiry will check the input care level for the care support item pointed out in the inquiry, and correct it if necessary.

  The device for preventing loss of daily life obstruction factor according to the second invention is a device for preventing the loss of daily life obstruction factor selected in the problem organization summary table created for each user, and a plurality of care support items Is created for at least one of the above, and is selected from a memory means for storing a normative model that associates a candidate for daily life impediments required for a specific level of nursing care, and a choice of multiple daily life impediment factors Accepting input of one or more daily life impediments corresponding to the user and the care level corresponding to the user selected from a plurality of levels of care for each of the multiple care support items If the care level accepted by the accepting means is the specific care level for the care support item having the reference model, Comparing means for comparing the daily life hindrance factors identified in the normative model with the daily life hindrance factors received by the receiving means, and when the daily life hindrance factors are not included in the daily life hindrance factors Output means for outputting inquiry data.

  The normative model of the first invention takes the daily life impediment factor as an input and the care level as an output, whereas the norm model of the second invention takes the care level as an input and outputs an everyday life impediment factor It is. The normative model of the second invention is created for at least one of a plurality of care support items, and associates daily life impediment factor candidates required for a specific care level. For example, for the nursing support item “indoor movement”, the candidate for the daily life impediment necessary when the nursing level “all assistance” is selected is defined in the reference model. All of the above-mentioned candidates for obstructing daily life are included even though the care level “All Assistance” is selected for the care support item “indoor movement” in the task arrangement summary table created by the care manager It can be understood from the normative model that this is not done. Since it is possible to inform care managers of the lack of obstructive factors in daily life that are considered essential (the possibility of missing is high), the completion of a high-quality and complete task summary summary table, and further enhancement of subsequent care You can expect to create a plan.

  The present invention provides a method for controlling the above-described care level optimization device, a program for causing a computer to execute the method, a method for controlling the above-described daily life inhibiting factor omission prevention device, and a program for causing the computer to execute the method. Also provide.

It is a block diagram of a problem rearranging summary table creation system. It is a block diagram of an analysis server. A summary chart of the issues is shown. It is a flowchart which shows the flow of a process of an analysis server.

  FIG. 1 shows the overall configuration of the problem organization summary table creation system. FIG. 2 shows an analysis server constituting the task rearranging summary table creation system. FIG. 3 shows an assignment summary table.

  In general, a plurality of (or even one) task rearrangement summary table creation devices (clients) 2 are provided in the task rearrangement summary table creation system 1. The problem organizing summary table creating apparatus 2 can communicate with the analysis server 3 through a network 4 such as the Internet.

  The task rearranging summary table creation device 2 is a computer device for creating the task rearrangement summary table 30 shown in FIG. 3, and inputs such as a CPU (Central Processing Unit), a keyboard, and a mouse for controlling the overall operation thereof. In order to make a device, a display device for displaying the created and organized issue summary table 30 on the screen, a communication device that transmits and receives data through the network 4, an operating system program (OS), and a computer device function as the issue summary table creation device. A storage device for storing the program and the like.

  Task summary table 30 is created for each specific user (caregiver) for whom a care plan should be created, and the user maintains the quality of life while taking into account the current status and capabilities of the user. What kind of care support specialists (care managers) are required to clarify the problems that occur in the course of improvement and extract the problems that should be solved in supporting independent daily life It is made clear whether the problem analysis was done by thinking.

  Referring to FIG. 3, the task arrangement summary table 30 shown in FIG. 3 was created for the user name “Nippon Taro” (identification number: 1001, gender: male), and is a factor that impedes independent daily life. Daily life obstruction factor input field 31 for inputting (Daily life obstruction factor) by selection, Care level selection field 32 for accepting selection of multiple levels of care support levels for each of a plurality of care support items, For each nursing support item, the factor input column 33 for specifying (associating) the factors from the daily life inhibition factors input in the above-mentioned daily life inhibition factor input column 31, the improvement / maintenance possibility selection column 34, And a remarks column 35.

  In the daily life obstruction factor input field 31, objective facts collected by the care manager about the obstruction factors of the user's independent daily life are selected from a plurality of options for obstructing daily life prepared in advance. It is input with.

  In the care level selection field 32, an option (current situation) for selecting a user's care level is prepared for each of a plurality of care support items. The care support items in this embodiment include indoor movement, outdoor movement, meal contents, meal contents, meal intake, cooking, urination / defecation, excretion movement, oral hygiene, oral care, medication, bathing, etc. For each nursing support item, there are four levels of independence, oversight, partial and total assistance, or two levels of care with and without hindrance, from which the user's care level is selected. The Of the four levels of care, self-reliance, watching, partial assistance, and full assistance, “self-reliance” is a care level that does not require care (care-free level), and the remaining “watching”, “partial assistance” and “ “Full assistance” is the level of care that requires care (the level of care required). With regard to the two-stage care level with no trouble and trouble, “no trouble” is the care-free level, and “no trouble” is the care level.

  In the factor input column 33, the factors causing the situation of the care support items whose care level selected in the care level selection column 32 is the level requiring care (other than “independence” and “no obstacle”) are described above. The daily life inhibition factor input field 31 is selected (identified) as one of the daily life inhibition factors. For example, referring to the care support item “bath” in the task summary table 30 shown in FIG. 3, it is the level of care required (partial assistance), and the factor input field 33 contains “Risk of infection by bladder debris” (circle The numbers 3) and “living environment (cleaning of the room is inadequate)” (circled number 5) are selected. The factor input column 33 associates the care support item at the level of need for care with the daily life inhibition factor input to the daily life inhibition factor input column 31 as the factor. For each care support item at the level of need for care, the care manager checks which of the daily life obstruction factors entered in the daily life obstruction factor input field 31 corresponds to the factor.

  In the improvement / maintenance possibility selection column 34, the possibility of the situation during the certification validity period is improved for the care support items whose care level selection column 32 is the level requiring care (other than "independence" and "no obstacle"). , Selected by either maintenance or deterioration.

  In the remarks column 35, the contents and goals of assistance for any care support item are entered.

  The daily life obstruction factor input in the daily life obstruction factor input field 31 has a correlation with the care level for each care support item. For example, when the daily life inhibition factor input field 31 does not include any dietary inhibition factor, the care level selected in the care level selection field 32 for the care support item “meal intake” is generally “independence”. On the other hand, the daily care level entry column 31 does not contain any dietary factors, but the care level selected in the care level selection column 32 for the care support item “meal intake” is “all assistance”. If there is, there is a high possibility that the care level is selected incorrectly or that the obstruction factor to be entered in the daily life obstruction factor input field 31 is missing (input omission). As will be described later, the task organizing summary table creation system 1 uses the machine learning method for daily life obstruction factors (including combinations) input to the daily life obstruction factor input field 31 and care support items. Understand the degree of correlation (strength of relevance) with the level of care selected, and point it out when you think there is an error. For example, even a care manager with little experience or a care manager who is not accustomed to creating the task arrangement summary table 30 can create a substantial (no habit) task arrangement summary table 30.

  Referring to FIG. 1, analysis server 3 includes a reference model generation device 10 and an analysis device 20. With reference to FIG. 2, the reference model generation device 10 includes a reference model generation unit 11 and a reference model storage unit 12. The analysis device 20 includes an analysis unit 21, an inquiry content storage unit 22, and a reference model storage unit 12. The reference model storage unit 12 is used for both the reference model generation device 10 and the analysis device 20. The analysis server 3 is also a computer device including a CPU, a communication device, a storage device, and the like. One computer device may function as the reference model generation device 10 and the analysis device 20, or each of the reference model generation device 10 and the analysis device 20 may be configured by separate computer devices.

  First, the process of the reference model generation device 10 of the analysis server 3 will be described.

  The reference model generation device 10 learns the correlation between the daily life impediments (including combinations) included in the task rearrangement summary table 30 and the care level of each of the multiple care support items included in the task rearrangement summary table 30. Care level that is highly compatible with the factors that interfere with daily life (independence, watching, partial assistance or all assistance (may be more than one), or no trouble or any trouble) A reference model for predicting each of the care support items is generated. A normative model is created for each nursing support item, and based on the daily life impediments that are entered, the nursing level that is entered (selected) for each nursing support item (independence, watching, partial assistance, or full assistance, Or, it can be used to detect an error of “no trouble and trouble”. Conversely, for each care support item, it can be used to detect the lack of daily life obstruction factors that should be entered in the daily life obstruction factor input column 31 based on the input care level.

  Referring to FIG. 2, a plurality of teacher data (learning data sets) 41 are given to the reference model generation unit 11. The teacher data 41 is, for example, a task arrangement summary table 30 with accurate description contents supervised by a care manager with extensive experience. The daily life impediment factors included in the teacher data 41 and the care level for each care support item are used to generate a normative model to be described next.

  The normative model takes specific daily life impediments (including combinations) as input and outputs a specific level of care. To estimate (predict) the level of care when there are specific daily life impediments Used. The reference model is generated for each care support item.

  Various algorithms can be considered for the reference model and its generation.

  The simple one is an algorithm that associates a unique level of care for each factor and its combination. If there are three daily life obstruction factors that can be simplified and entered into the daily life obstruction factor input field 31, "back pain", "depression" and "cannot receive support from relatives" Estimated level of care when only “back pain” is listed as an obstruction factor (independence, watching, partial or full assistance) or when only “depression” is listed as an obstruction Estimated level of nursing care, estimated level of nursing care when only “no support from relatives” is listed as a hindrance factor, when “back pain” and “depression” are listed as hindering factors Estimated level of care, “Depression” and “Unable to receive support from relatives” when the estimated level of care, “back pain” and “I cannot receive support from relatives” are listed as obstructive factors Two Estimated long-term care model when listed as harmful factors, and estimated level of long-term care when all three of “back pain”, “depression” and “unable to receive support from relatives” are listed as obstruction factors These seven data are used as reference models.

  Assuming that the care level of the care support item is determined from the daily life impediment factors (a combination thereof), a model formula for discriminating the care level from the daily life impediment factors can be created. This model formula predicts the objective variable from the explanatory variable, with the daily life impediment included in the teacher data 41 as the explanatory variable and the care level included in the teacher data 41 as the objective variable. Since both explanatory variables and objective variables are qualitative data, a model expression can be obtained by using the quantification type 2 analysis method as an example, and a care level (objective variable) using a sample score calculated from the model expression. ) Can be predicted. Quantification type 2 is one of data analysis methods that can be used to determine to which of a plurality of categories a new sample belongs based on known data classified into a plurality of categories. The analysis method of the quantification type 2 is disclosed in Japanese Patent No. 6193737 and “Quantitative Data Discriminant Analysis Quantification Type 2” (Tomoro Satoshi, Yasunori Fujikoshi, Hyundai Mathematics Co., Ltd., April 1, 2011) Be familiar with. The explanatory variables may include gender, residential area, family composition, past history, etc., in addition to factors that hinder daily life.

  Further, for each care support item, the probability (ratio) that a specific care level is selected when one or more specific daily life obstruction factors are included is calculated based on the teacher data 41. This can also be used as a reference model. For example, it is conceivable to use Bayesian estimation.

  Simplified normative models (rules) can also be prepared. For example, if “bedridden” is included in the factors that interfere with daily life, it is appropriate that the nursing care level of the nursing support item “indoor movement” is “partial assistance” or “full assistance”. If “bedridden” is included in the factors that interfere with daily life, it may be “partial assistance” regarding the level of care of the care support item “indoor movement”, whether or not other factors that inhibit daily life are included. Alternatively, a reference model that outputs “all assistance” (or both) may be prepared.

  The reference model may further include a model in which the care level input in the care level selection field 32 is input and the daily life inhibition factor input field 31 is output. For example, for the care support item “indoor movement”, when the care level “all assistance” is selected, one or more candidate inhibition factors that should be entered in the daily life inhibition factor input field 31 are specified in the norm model. deep. The normative model indicates that none of the above inhibition factor candidates are included in the daily life inhibition factor entry field 31 even though the nursing care level “all assistance” is selected for the care support item “indoor movement”. Can be grasped from. In other words, it is possible to inform the care manager of the lack of factors that impede daily life that are considered essential (the possibility of missing is high).

  In any case, a normative model is created for each care support item in the normative model generation unit 11 and stored in the normative model storage unit 12 in advance.

  Next, the analyzer 20 will be described. FIG. 4 is a flowchart showing a processing flow of the analyzer 20 (analyzer 21).

  The care manager creates a task rearrangement summary table (refer to FIG. 3 for input items) using the task rearrangement summary table creation device (client) 2. After completing the general input, the client 2 transmits data (processing target data) representing the problem organization summary table 42 to the analysis server 3 (analysis device 20). The task organization summary table 42 transmitted from the client 2 is received by the analysis unit 21 of the analysis device 20 (see FIG. 2, step 51).

  The analysis unit 21 of the analysis device 20 that has received the task organization summary table 42 from the client 2 executes the following processing for each of a plurality of care support items included in the task organization summary table 42.

  First, the normative model for the first care support item i (i = 1) is read from the normative model storage unit 12, and the read-out normative model is used to obstruct the daily life input to the received task organization summary table 42. Estimate (predict) the level of care that is highly compatible with the factors (steps 52 and 53). As described above, the estimated (predicted) nursing care level (hereinafter referred to as the estimated nursing care level) may be one or a plurality of times.

  Next, the estimated nursing care level is compared with the nursing care level (hereinafter referred to as the input nursing care level) entered in the task summary summary table 42 received from the client 2 for the first nursing care support item, and whether they match. It is determined whether or not there is a defect (steps 54 and 55).

  If the input nursing care level and the estimated nursing care level match (including the case where they are included), the analyzer 20 does not perform any special processing (YES in step 55). Proceed to the processing of the second care support item (step 58).

  If the input nursing care level and the estimated nursing care level do not match, the analysis device 20 transmits inquiry data about the first nursing support item to the client 2 (NO in step 55, step 56).

  The inquiry data may be incorrect in the care level entered for a specific care support item for the care manager who is creating the task summary summary table 42 using, for example, the task summary summary table creation device (client) 2 It may be icon data for notifying that there is an error, data blinking the specific care support item name, text data that points out the error more specifically, or text data that inquires about the reason . For example, reconsider the care level of the “care support item“ indoor movement ”. ”And“ Daily life obstruction factors include XX, △△, XX ”, so it is considered appropriate to set the care level of the care support item“ *** ”to“ all assistance ” . If there is a special reason for “partial assistance”, please fill in the remarks column. "Can be used as data to be displayed on the display screen of the client 2.

  When the input nursing care level and the estimated nursing care level do not match, the contents of the inquiry data may be further varied depending on the degree of mismatch. For example, when the difference between the input nursing care level and the estimated nursing care level is 1 level (for example, “watch” and “partial assistance”) and when it is at 2 levels (“watch” and “full assistance”) Is transmitted to the client 2.

  The inquiry data may be unique for each care support item, or a plurality of care support items may be divided into several groups, and the contents of the inquiry data may be different for each group. In any case, the inquiry data (or its template data) transmitted from the analysis apparatus 20 to the client 2 is stored in advance in the inquiry content storage unit 22 provided in the analysis apparatus 20, and is read out to the client 2 Sent to.

  The care manager who has been inquired by the inquiry data (received an indication) can notice an error, for example, and the task summary table 42 will be corrected to correct the error. Even a care manager with little experience or a care manager who is not familiar with the creation of a task summary summary table can create a complete (error-free) task summary summary table. The prepared task summary table can be raised to the quality as if it was created by an experienced care manager.

  The same processing is repeated for the remaining care support items (NO in step 57, step 58). When the processing for all the care support items is completed, the processing of the analyzer 20 is completed (YES in step 57).

  As described above, a normative model is stored in the normative model storage unit 12 with the care level input in the care level selection field 32 as input and the daily life inhibition factor input field 31 as output. If so, the analysis device 20 also executes processing using the reference model. For example, in the task arrangement summary table 42 sent from the client 2, the care model “in-house movement” is selected for the care support item “indoor movement”, but the reference model is entered in the daily life obstruction factor input field 31. If there is no candidate for obstructing daily life when the care level “All assistance” is selected for the care support item “indoor movement” as defined in, the inquiry data to inform the client 2 Can be sent to.

  Further, the normative model may be updated by newly adding the revised task arrangement summary table 42 to the teacher data 41.

  The reference model described above can also be used for the three-level situation possibilities “improvement”, “maintenance”, or “deterioration” selected in the improvement / sustainability selection column 34 (see FIG. 3). In this case, the normative model includes one or more daily life impediment factors input in the daily life impediment factor input field 31 and the care level selected for each care support item in the care level selection field 32 as inputs. The possibility of improvement / maintenance (either improvement, maintenance or deterioration) is output. Judge whether the possibility of improvement / maintenance described in the problem summary table 42 sent from client 2 matches the possibility of improvement / maintenance stored in the norm model for each care support item When it is determined that they do not match, the inquiry data is transmitted to the client 2 as described above. The level selection in the improvement / maintenance selection column 34 is optimized. Instead of the inquiry data, text data to be entered as text in the remarks column 35 may be transmitted. It is possible to clarify the circumstances that do not match the normative model.

  The normative model described above can also be used for the text to be entered (input) in the remarks column 35 (see FIG. 3) of the problem organization summary table 42. For example, for each daily life obstruction factor (including combination) entered in the daily life obstruction factor input field 31, for each care level for each care support item, or for each daily life obstruction factor and one or more care support items For each combination with a specific level of care, the text to be written (or often written) in the remarks column 35 is stored in advance in the normative model storage unit 12 as a normative model. The analysis device 20 that has received the assignment summary table 42 from the client 2 selects appropriate sentence data (candidates) from among a large number of sentence data stored in the normative model storage unit 12 and transmits it to the client 2. The Since it is possible to enter appropriate text in the remarks column 35 simply by selecting one or more text data from among the plurality of text data transmitted from the analyzer 20, the burden of creating the remarks column 35 can be reduced. Can do.

1. Task arrangement summary table creation system 2. Issue arrangement summary table creation device (client)
3 Analysis server (care level optimization device, daily life obstruction factor omission prevention device)
10 Reference model generator
11 Reference model generator
12 Reference model storage
20 Analyzer
21 Analysis Department
22 Inquiry content storage
30 Assignment summary table
41 Teacher data
42 Assignment summary data

Claims (7)

A device for optimizing the level of care selected for each of a plurality of care support items in the problem organization summary table created for each user,
A storage means for storing a normative model for estimating a nursing care level which is created for each of a plurality of care support items and has a high suitability for one or more specific daily life obstruction factors. ,
One or more daily life obstruction factors corresponding to the user selected from multiple choices of daily life obstruction factors and multiple care support items are selected from multiple levels of care levels. Accepting means for accepting input of the care level corresponding to the user,
For each of a plurality of care support items, an estimated care level estimated based on the normative model using one or more daily life impediment factors accepted by the accepting means, and an input care level received by the receiving means Comparing means for comparing the estimated nursing care level with the input nursing care level and output means for outputting inquiry data when the input nursing care level does not match,
A care level optimization device comprising: The care level includes at least three levels,
The care level optimization device according to claim 1. A device for preventing the lack of daily life obstruction factors selected in the problem summary table created for each user,
Storage means for storing a normative model created for at least one of a plurality of care support items and associated with daily life impediment factors required for a specific care level;
One or more daily life obstruction factors corresponding to the user selected from multiple choices of daily life obstruction factors and multiple care support items are selected from multiple levels of care levels. Accepting means for accepting input of the care level corresponding to the user,
When the level of care received by the receiving means for the care support item having the normative model is the specific care level, the daily life impediment candidate identified in the normative model and the daily life received by the receiving means A comparison means for comparing the life impediment factors, and an output means for outputting inquiry data when the daily life impediment factors are not included in the daily life impediment factors,
Daily life obstruction factor missing prevention device equipped with. A method for controlling a device for optimizing a care level selected for each of a plurality of care support items in an issue summary table created for each user,
A reference model that is created for each of a plurality of care support items and estimates a care level that is highly compatible with the daily life obstruction factor when one or more specific daily life obstruction factors exist is stored in the storage means Aside,
One or more daily life obstruction factors corresponding to the user selected from multiple choices of daily life obstruction factors and multiple care support items are selected from multiple levels of care levels. Accept the input of the care level corresponding to the above user by accepting means,
For each of a plurality of care support items, an estimated care level estimated based on the normative model using one or more daily life impediment factors accepted by the accepting means, and an input care level received by the receiving means And by means of comparison,
Inquiry data is output by an output means when the estimated care level and the input care level do not match.
Control method of care level optimization device. A method of controlling a device for preventing a lack of daily life obstruction factors selected in a task summary table created for each user,
A normative model created for at least one of a plurality of care support items and associated with daily life impediment factors required for a specific care level is stored in a storage means.
One or more daily life obstruction factors corresponding to the user selected from multiple choices of daily life obstruction factors and multiple care support items are selected from multiple levels of care levels. Accept the input of the care level corresponding to the above user by accepting means,
When the level of care received by the receiving means for the care support item having the normative model is the specific care level, the daily life impediment candidate identified in the normative model and the daily life received by the receiving means Compare life-inhibiting factors with comparison means,
When the received daily life obstruction factor is not included in the received daily life obstruction factor candidate, the inquiry means outputs the inquiry data.
A control method of a device for preventing loss of daily life obstruction factors. Causing a computer to execute the control method of the care level optimization device according to claim 4;
program. Causing a computer to execute the control method of the daily life inhibiting factor omission prevention device according to claim 5;
program.

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