JP2020190992A - Care service assisting method, care service assisting system, and care service assisting server - Google Patents

Abstract

To enable a user in a slight poor health condition to receive a care service desired by the user and improve a utilization rate of a care facility.SOLUTION: A computer of a care service assisting system acquires health information that pertains to a health condition for the day of each of a plurality of users; inquires of a target user, among the plurality of users, whose health condition for the day indicated by the health information satisfies a prescribed condition, about a desire for a care service content for the day and acquires desired care service information relating to the desire for a care service content for the day; alters a schedule on the basis of the health information and desired care service information and schedule information relating to the preset schedule of care service for the day of each of the plurality of users; creates a re-schedule plan relating to the schedule after the alteration, and notifies each of the plurality of users of information about the schedule of care service for the day of each user in the re-schedule plan.SELECTED DRAWING: Figure 1

Description

The present disclosure relates to a technique for improving the utilization rate of a nursing facility.

Conventionally, a technique for efficiently caring for a user in a long-term care facility has been known. For example, Patent Document 1 discloses a technique for efficiently picking up and dropping off users visiting a nursing care facility. Specifically, Patent Document 1 optimizes the user based on the personal information of the user, the business information about the business, and the reservation information indicating the reservation status of the pick-up service, which are stored in advance in the database. It is disclosed that it will be distributed to the shuttle car.

Japanese Unexamined Patent Publication No. 2006-18570

However, in conventional long-term care facilities, if a user complains of poor physical condition on the day of using the long-term care facility, the user is unconditionally rested at home in order to avoid an epidemic in the facility. Was being done. For this reason, the user may complain of a slight illness that does not affect others due to low-grade fever or fatigue, and even if he / she desires nursing care in a private room of a nursing care facility, he / she may receive the desired nursing care. could not. In addition, in the above measures, when the user complains of poor physical condition, the resources of the care facility are unconditionally surplus, and there is a problem that the operating rate of the care facility is reduced.

Since the technology disclosed in Patent Document 1 is intended for users who have been decided to visit a long-term care facility, the above-mentioned problem caused by not allowing the user to visit the long-term care facility unconditionally cannot be solved. It was.

In the nursing care service support method according to one aspect of the present disclosure, the computer of the nursing care service support system acquires health information which is information on the health condition of the day for each of the plurality of users, and among the plurality of users, the said The target user whose health condition on the day indicates the condition of the predetermined condition is inquired about the desired long-term care content of the day, and the desired long-term care information regarding the desired long-term care content of the day is acquired. Based on the desired long-term care information and the preset schedule information regarding the long-term care schedule of each of the plurality of users on the day, the schedule is modified to provide a rescheduling plan for the modified schedule. It is created, and each of the plurality of users is notified of information regarding the care schedule of the day of each user in the reschedule proposal.

According to the present disclosure, it is possible to have a user who is in a state of slight physical illness receive the long-term care desired by the user, and it is possible to improve the operating rate of the long-term care facility.

It is a figure which shows an example of the whole structure of the care service support system in the 1st Embodiment of this disclosure. It is a block diagram which shows an example of the structure of a facility terminal. It is a figure which shows an example of the data structure of the user information DB. It is a figure which shows an example of the data structure of the facility resource information DB. It is a figure which shows an example of the data structure of the schedule information DB. It is a figure which shows an example of the setting method of schedule information. It is a flowchart which shows an example of reschedule processing executed in the care service support system of this disclosure. It is a flowchart which shows an example of reschedule processing executed in the care service support system of this disclosure. It is a figure which shows an example of the process which modifies the care content of each user according to the biological information. It is a figure which shows an example of the process which modifies the care schedule of the user whose care content is decided according to the biological information. It is a figure which shows an example of the process which changes the care schedule of the target user according to the care content desired by the target user.

(Background to one aspect of this disclosure)
Users of long-term care facilities may suddenly complain of poor physical condition on the day of using the long-term care facilities due to various causes such as infectious diseases such as norovirus and influenza, colds, and fatigue. In particular, when a user who complains of poor physical condition due to an infectious disease or a cold or the like visits a care facility, the disease may spread in the care facility and worsen the physical condition of other users. For this reason, conventionally, in a long-term care facility, when a user complains of poor physical condition on the day of using the long-term care facility, the user is unconditionally recuperated at home.

However, in the above measures, the user complains of a slight illness that does not affect others due to low-grade fever or fatigue, and even if he / she desires nursing care in a private room of a nursing care facility, he / she will receive the desired nursing care. I couldn't receive it. In addition, in the above measures, if the user complains of poor physical condition, there will be an unconditional surplus in the resources of the nursing facility such as the facilities and equipment of the nursing facility and the labor of the staff of the nursing facility, and the operation of the nursing facility will be operated. There was a problem that the rate was reduced.

Since the technology disclosed in Patent Document 1 is a technology intended for users who are determined to visit a long-term care facility, it is necessary to solve the above-mentioned problem caused by not allowing the user to visit the long-term care facility unconditionally. I couldn't.

Therefore, the present inventor has made the following diligent studies on improving the operating rate of the long-term care facility by having the user who is in a slight illness receive the long-term care desired by the user. We have come up with each aspect of the present disclosure.

In the nursing care service support method according to one aspect of the present disclosure, the computer of the nursing care service support system acquires health information which is information on the health condition of the day for each of the plurality of users, and among the plurality of users, the said The target user whose health condition on the day indicates the condition of the predetermined condition is inquired about the desired long-term care content of the day, and the desired long-term care information regarding the desired long-term care content of the day is acquired. Based on the desired long-term care information and the preset schedule information regarding the long-term care schedule of each of the plurality of users on the day, the schedule is modified to provide a rescheduling plan for the modified schedule. It is created, and each of the plurality of users is notified of information regarding the care schedule of the day of each user in the reschedule proposal.

In this configuration, desired long-term care information regarding the desire for long-term care content on the day is acquired from a target user whose health condition on the day meets a predetermined condition. Therefore, a condition indicating that the user's health condition is a state of minor physical condition that does not affect others due to low-grade fever, fatigue, or the like can be defined as the predetermined condition. As a result, the target user is a user whose health condition satisfies the predetermined condition and is in a state of minor physical illness, and desired long-term care information regarding the desired long-term care content of the day can be obtained from the target user.

Then, in this configuration, a reschedule plan is created based not only on the health information regarding the health condition of each of the plurality of users and the preset schedule information, but also on the desired long-term care information acquired from the target user. Therefore, it is possible to create a reschedule plan that allows the target user to receive the desired care in consideration of the care content of the day desired by the target user. In this configuration, each user is notified of information about the care schedule of each user on the day in the created reschedule plan. Therefore, the target user can confirm whether or not he / she can receive the desired long-term care.

That is, according to this configuration, by setting the predetermined conditions as described above, it is possible to create a reschedule plan in which the target user who is in a state of slight physical illness can receive the desired long-term care. For this reason, it is possible to reduce the chance of surplus resources in the nursing facility as compared with the case where the target user is unconditionally rested at home as in the conventional case. As a result, the utilization rate of the nursing facility can be improved.

In the above aspect, the health information may be information on the body temperature of each of the plurality of users on the day.

According to this configuration, based on the body temperature of each of multiple users on the day, a reschedule plan that allows the target user to receive the desired care by adding the care content of the day desired by the target user is created. it can.

In the above aspect, the predetermined condition may be that the body temperature of each of the plurality of users on the day is higher than the body temperature on the day before the day by more than a predetermined value.

According to this configuration, the body temperature has risen above a predetermined value from the previous day, and the target user is a user who is considered to have a fever, and the target user can receive the desired long-term care. You can create a draft schedule.

In the above aspect, the predetermined condition is that the body temperature of each of the plurality of users on the day is higher than the body temperature on the day before the day by more than a predetermined value and is equal to or lower than the predetermined body temperature. It may be that.

According to this configuration, the target user is a user whose body temperature has risen above a predetermined value from the previous day and is below the predetermined body temperature and is considered to have a slight fever. You can create a reschedule plan that allows you to receive the desired care.

In the above aspect, the computer further acquires morbidity information indicating whether or not the family living together with each of the plurality of users suffers from an infectious disease on the day, and the predetermined conditions are the plurality of users. The body temperature of each user on the day is higher than the body temperature on the day before the day by more than a predetermined value, and the morbidity information for each of the plurality of users is not infected with an infectious disease. It may be to show that.

If a family member living with a user has an infectious disease, it is highly probable that the user is infected with the infectious disease. In this configuration, users whose morbidity information indicates that they are suffering from an infectious disease are not treated as target users. Therefore, it is possible to avoid creating a rescheduling plan that allows the user to receive the desired long-term care indicating that the morbidity information indicates that he / she is suffering from an infectious disease. As a result, the risk of other users being infected with the infectious disease can be reduced by receiving the care desired by the user whose morbidity information indicates that the user is infected with the infectious disease.

In the above aspect, the long-term care content may include long-term care in a private room and long-term care at home.

According to this configuration, when the target user wishes to receive long-term care in a private room or at home as the content of long-term care on the day, the target user receives long-term care in the private room or at home that he / she desires. You can create a reschedule proposal that you can.

In the above aspect, the schedule information includes the number of the plurality of users, the equipment resources of the nursing care facility used by the plurality of users, the number of caregivers required for the care of each of the plurality of users, and the nursing care. It may be set based on the human resources of the facility.

In this configuration, the schedule information includes the number of multiple users, the equipment resources of the long-term care facility used by the multiple users, the number of caregivers required for the care of each of the multiple users, and the human resources of the long-term care facility. It is set based on. Therefore, based on the schedule information, it is possible to create a reschedule plan so that there is no surplus in the equipment resources and human resources of the nursing facility.

In the above aspect, when the schedule of the long-term care of the target user on the day in the proposed reschedule does not match the schedule desired by the target user, the target user is requested to provide the care content of the day. The desired long-term care information may be re-acquired by inquiring again, and the rescheduling plan may be recreated using the re-acquired desired long-term care information.

According to this configuration, if the care schedule of the target user on the day in the reschedule proposal does not match the schedule desired by the target user, the desired care information is reacquired from the target user and the reacquisition is performed. A reschedule plan is recreated based on the desired long-term care information. Therefore, it is possible to more reliably create a reschedule plan that allows the target user to receive the desired long-term care.

The present disclosure can also be realized as a computer program that causes a computer to execute each characteristic step included in the above-mentioned method. Needless to say, such a computer program can be distributed via a computer-readable non-temporary recording medium such as a CD-ROM or a communication network such as the Internet.

In addition, the long-term care service support system according to another aspect of the present disclosure includes a first acquisition unit that acquires health information that is information on the health condition of the day for each of the plurality of users, and the above-mentioned one of the plurality of users. With the second acquisition department that inquires about the desired long-term care content of the day to the target user whose health condition on the day indicates the predetermined condition, and acquires the desired long-term care information regarding the desired long-term care content of the day. , The schedule is modified based on the health information and the desired nursing care information, and the preset schedule information regarding the nursing care schedule of the day of each of the plurality of users, and the modified schedule. It is provided with a preparation unit for creating a rescheduling plan and a notification unit for notifying each of the plurality of users of information regarding the nursing care schedule of each user on the day in the reschedule plan.

In addition, the long-term care service support server according to another aspect of the present disclosure includes the first acquisition unit that acquires health information that is information on the health condition of the day for each of the plurality of users, and the above-mentioned one of the plurality of users. With the second acquisition department that inquires about the desired long-term care content of the day to the target user whose health condition on the day indicates the condition of the predetermined condition and acquires the desired long-term care information regarding the desired long-term care content of the day. , The schedule is modified based on the health information and the desired nursing care information, and the preset schedule information regarding the nursing care schedule of the day of each of the plurality of users, and the modified schedule. It is provided with a preparation unit for creating a rescheduling plan and a notification unit for notifying each of the plurality of users of information regarding the nursing care schedule of each user on the day in the reschedule plan.

It should be noted that all of the embodiments described below show a specific example of the present disclosure. The numerical values, shapes, components, steps, order of steps, etc. shown in the following embodiments are examples, and are not intended to limit the present disclosure. Further, among the components in the following embodiments, the components not described in the independent claims indicating the highest level concept are described as arbitrary components. Moreover, in all the embodiments, each content can be combined.

(First Embodiment)
Hereinafter, embodiments of the present invention will be described with reference to the drawings. FIG. 1 is a diagram showing an example of the overall configuration of the long-term care service support system 1 according to the first embodiment of the present disclosure. The long-term care service support system 1 manages information on the users of the long-term care facility and resources of the long-term care facility, and information on the long-term care schedule of each of the plurality of users, and based on the information, the long-term care schedule of each user. It is a system that creates and manages information.

Here, the user of the long-term care facility corresponds to a user who receives care by the staff of the long-term care facility (an example of a long-term care worker). The resources of the long-term care facility correspond to equipment resources such as private rooms, bathrooms, dining tables and shuttle buses provided in the long-term care facility, and human resources such as staff working in the long-term care facility.

As shown in FIG. 1, the nursing care service support system 1 includes a DB (database) server 10, a biological sensor 20, a user terminal 30, a staff terminal 40, and a facility terminal 50. The DB server 10, the biosensor 20, the user terminal 30, the staff terminal 40, and the facility terminal 50 are connected to each other so as to be able to communicate with each other via the network NT. The network NT is composed of, for example, a public communication network including a mobile phone communication network, an Internet communication network, and the like. In FIG. 1, for convenience of explanation, only one biosensor 20, user terminal 30, and staff terminal 40 are shown. However, the present invention is not limited to this, and the long-term care service support system 1 may include a plurality of biosensors 20, a plurality of user terminals 30, and a plurality of staff terminals 40.

The DB server 10 is composed of one or more computers provided with a storage device such as an HDD (hard disk drive). The DB server 10 manages the information used in the care service support system 1 by using the user information DB (database) 131, the facility resource information DB 132, and the schedule information DB 133 that can be accessed via the network NT.

The user information DB 131 stores information about users of nursing care facilities (hereinafter, user information). The user information is stored in the user information DB 131 when the user makes a contract to use the long-term care facility by the system administrator, and is updated at least once a year.

The facility resource information DB 132 stores information related to the resources of the nursing facility (hereinafter referred to as facility resource information). The facility resource information is stored in the facility resource information DB 132 by the system administrator when the nursing care service support system 1 is introduced, and is updated at least once a year.

The schedule information DB 133 stores information regarding the care schedule received by each user (hereinafter, schedule information). The schedule information is stored in the schedule information DB 133 irregularly by each user by the date set by the long-term care facility. Details of the user information DB 131, the facility resource information DB 132, and the schedule information DB 133 will be described later.

The biosensor 20 is composed of, for example, a biosensor with a communication function installed in the home of a user of a nursing care facility. Not limited to this, the biosensor 20 may be composed of a biosensor with a communication function that can be worn on the user's body. The biological sensor 20 detects biological information (an example of health information) such as body temperature, blood pressure, sweating amount, and heart rate, which represents the health condition of the user, and the detected biological information is transmitted to the facility terminal 50 via the network NT. Send to.

The user terminal 30 is composed of, for example, a personal computer installed in the home of a user of a nursing care facility. Not limited to this, the user terminal 30 may be composed of a tablet terminal or a smartphone owned by the user of the nursing facility or the contact person of the user. The contact person of the user is a family member living with the user who communicates with the staff of the care facility about the use of the care facility by the user on behalf of the user.

Specifically, the user terminal 30 includes a processor that controls the entire user terminal 30, a display unit that displays various information under the control of the processor, and an operation unit that accepts operations of the user terminal 30. And. Further, the user terminal 30 includes a communication unit that transmits and receives various information to and from an external device under the control of the processor, and a speaker that outputs various voices under the control of the processor. The display unit is, for example, a display device such as a liquid crystal display. The operation unit is, for example, an input device such as a touch panel, a keyboard, and a mouse. The communication unit is a wireless communication interface circuit and / or a wired communication interface circuit for the user terminal 30 to communicate with an external device via the network NT.

The user terminal 30 transmits and receives various information to and from the facility terminal 50, and displays the information received from the facility terminal 50 on the display unit. In addition, the user terminal 30 causes the speaker to output a voice indicating information received from the facility terminal 50.

The staff terminal 40 is composed of, for example, a personal computer installed in a nursing facility. Not limited to this, the staff terminal 40 may be composed of a tablet terminal or a smartphone owned by the staff of the care facility. The staff terminal 40 includes the same processor, display unit, operation unit, communication unit, and speaker as the user terminal 30. The staff terminal 40 transmits and receives various information to and from the facility terminal 50, and displays the information received from the facility terminal 50 on the display unit. Further, the staff terminal 40 causes the speaker to output a voice indicating information received from the facility terminal 50.

The facility terminal 50 is composed of, for example, a server device or a personal computer installed in a nursing care facility, and controls the entire nursing care service support system 1.

FIG. 2 is a block diagram showing an example of the configuration of the facility terminal 50. Specifically, as shown in FIG. 2, the facility terminal 50 includes a processor 56 that controls the entire facility terminal 50, a display unit 51 that displays various information under the control of the processor 56, and the facility terminal 50. It is provided with an operation unit 52 for receiving the operation of. The facility terminal 50 controls a communication unit 53 that transmits and receives various information to and from an external device under the control of the processor 56, a speaker 54 that outputs various voices under the control of the processor 56, and the processor 56. A memory 55 for storing information and a program used for the above is provided.

The processor 56 is composed of, for example, a CPU, and functions as a first acquisition unit 561, a second acquisition unit 562, a creation unit 563, and a notification unit 564. Here, the first acquisition unit 561, the second acquisition unit 562, the creation unit 563, and the notification unit 564 provide, for example, a nursing care service support program in which the processor 56 is stored in the memory 55 and the computer functions as the facility terminal 50. It is realized by executing. The nursing care service support program may be provided to the market by downloading from the network NT, or may be provided to the market by being recorded on a computer-readable non-temporary recording medium.

The first acquisition unit 561 acquires the biological information transmitted from the biosensor 20 (FIG. 1) and received by the communication unit 53 from the communication unit 53. Further, the first acquisition unit 561 acquires the biological information transmitted from the user terminal 30 (FIG. 1) and received by the communication unit 53 from the communication unit 53. The first acquisition unit 561 controls the communication unit 53 and transmits the acquired biometric information to the DB server 10 to store the acquired biometric information in the user information DB 131.

Specifically, the user of the long-term care facility or the contact person of the user operates the biosensor 20 (FIG. 1) before the user uses the long-term care facility, for example, immediately after the user wakes up. , The biometric information of the day of the user is detected, and the detected biometric information is transmitted to the facility terminal 50. Alternatively, the user of the long-term care facility or the contact person of the user obtains the biometric information of the day of the user by using a thermometer, a blood pressure monitor, or the like before using the long-term care facility such as when waking up. Then, the user of the nursing facility or the contact person of the user inputs the acquired biometric information of the user into the user terminal 30, operates the user terminal 30, and inputs the input biometric information to the facility terminal. Send to 50. As a result, the first acquisition unit 561 acquires the biometric information on the day when the user uses the long-term care facility.

The first acquisition unit 561 has acquired the communication address of the biosensor 20, the communication address of the user terminal 30, and the identifier of the user by referring to the communication information table registered in advance. It suffices to specify which user's biometric information is the biometric information. The communication information table is stored in the user information DB 131 in advance. The first acquisition unit 561 controls the communication unit 53 and refers to the communication information table stored in the user information DB 131. However, not limited to this, the processor 56 controls the communication unit 53 at a predetermined timing such as when the facility terminal 50 is started, and stores the communication information table read from the user information DB 131 in the memory 55. You may. Then, the first acquisition unit 561 may refer to the communication information table stored in the memory 55.

The second acquisition unit 562 satisfies that the health condition of the user on the day satisfies a predetermined change condition (an example of a predetermined condition) among the biometric information of the plurality of users on the day acquired by the first acquisition unit 561. It is determined whether or not there is biometric information indicating. Here, the change condition is determined by the biometric information of the user when the user is in a slight physical condition due to, for example, low-grade fever or fatigue.

For example, it is assumed that the biological information is information indicating the body temperature of the user. In this case, the change condition is that, for example, the body temperature on the day of the user is higher than the body temperature on the day before the day by more than a predetermined value (for example, 0.5 ° C.), and the body temperature (for example) For example, it may be determined that the temperature is 38 ° C. or lower.

When the change condition is defined in this way, the second acquisition unit 562 controls the communication unit 53, and is acquired by the first acquisition unit 561 and stored in the user information DB 131 of a plurality of users. Refer to the biometric information of the day and the day before the day. Then, in the second acquisition unit 562, the body temperature of the user on the day of the referenced biometric information is higher than the body temperature of the user on the day before the day by more than a predetermined value, and , Determines if there is biometric information indicating that the body temperature is below a predetermined temperature.

It is assumed that the second acquisition unit 562 determines that there is biometric information indicating that the health condition of the user on the day satisfies the change condition. In this case, the second acquisition unit 562 inquires of the user (hereinafter, the target user) corresponding to the biometric information or the contact person of the target user about the care content of the day desired by the target user. Here, the contents of long-term care include long-term care in a private room provided in a long-term care facility, long-term care at home, and the like. Home-based long-term care means that the staff of the long-term care facility visits the user's home to care for the user.

Specifically, the second acquisition unit 562 refers to the communication information table in the same manner as the first acquisition unit 561 to obtain the address of the user terminal 30 used by the target user or the contact person of the target user. get. The second acquisition unit 562 controls the communication unit 53 and sends a message to the acquired address to inquire about the desired care content of the day (for example, "Please reply the desired care content today." ) Is sent.

After the inquiry, the second acquisition unit 562 receives the desired long-term care regarding the desired long-term care content of the day, which is transmitted from the user terminal 30 used by the target user or the contact person of the target user and received by the communication unit 53. Get information.

Specifically, the second acquisition unit 562 makes the inquiry, and the communication unit of the user terminal 30 used by the target user or the contact person of the target user inquires about the desired care content on the day. Suppose you receive a message. In this case, the processor of the user terminal 30 displays the received message on the display unit of the user terminal 30, and displays the operation screen for inputting the desired care content on the day on the display unit of the user terminal 30. Display on.

In response to this, it is assumed that the target user or the contact person of the target user inputs the long-term care content (for example, "long-term care in a private room") desired by the user to the user terminal 30. In this case, the processor of the user terminal 30 controls the communication unit of the user terminal 30 to transmit the desired long-term care information indicating the input long-term care content to the facility terminal 50.

As a result, the second acquisition unit 562 acquires the desired long-term care information transmitted from the user terminal 30 and received by the communication unit 53 from the communication unit 53. In addition, the second acquisition unit 562 may specify which user wants the desired long-term care information by referring to the communication information table.

The creation unit 563 includes biometric information of a plurality of users acquired by the first acquisition unit 561, desired long-term care information acquired by the second acquisition unit 562, and a schedule of long-term care for each of the plurality of users on the day (hereinafter, on the day). The schedule of the day is modified based on the schedule information (hereinafter, the schedule information of the day) regarding the schedule). The schedule information of the day is stored in advance in the schedule information DB 133. Then, the preparation unit 563 prepares a reschedule draft regarding the same-day schedule after the modification. Details of the method for creating the reschedule proposal by the preparation unit 563 will be described later.

The notification unit 564 controls the communication unit 53 to use the schedule information of each user on the day in the reschedule draft created by the creation unit 563, and is used by each user or the contact person of each user. It is transmitted to the person terminal 30.

(Information managed by DB server 10)
Next, the information managed by the DB server 10 will be described in detail. FIG. 3 is a diagram showing an example of the data structure of the user information DB 131. Note that FIG. 3 shows only information about one user, but this is just an example, and the user information DB 131 exists for each of the plurality of users.

One initial information table is assigned to each of the user and the family living with the user in the user information DB 131. Further, in the user information DB 131, when a user attends each nursing care event performed at a nursing care facility, the number of staff required to care for the user (necessary for the care of each of a plurality of users). One manpower information table is assigned to show an example of the number of caregivers). Hereinafter, the number of staff who care for users will be referred to as manpower.

In the example of FIG. 3, in the user information DB 131, the initial information table 131A corresponding to the user whose name is "A" and the continuation relationship with the user who lives with the user are "daughter" and "daughter". Four initial information tables 131B, 131C, 131D, 131E corresponding to each of the families of "husband", "grandchild 1", and "grandchild 2", and one manpower information table corresponding to the user whose name is "A". 131X and are assigned.

The initial information table 131A includes fields of "name", "nickname", "age", "care / support degree", "face", "family living together", "family living separately", and "contact person". The user's name is stored in the "Name" field. The user's nickname is stored in the "Nickname" field. The age of the user is stored in the "age" field. The result of the user's certification for long-term care is stored in the "Long-term care / support level" field. For example, in the initial information table 131A of FIG. 3, "need care 1" is stored. Image data of the user's face is stored in the "face" field. The family living with the user is stored in the "family living together" field. For example, in the initial information table 131A of FIG. 3, "daughter", "daughter husband", "grandchild 1", and "grandchild 2" are stored. In the "separate family" field, the family living separately from the user is stored. For example, in the initial information table 131A of FIG. 3, the "son" is stored. The contact person of the user is stored in the "contact person" field in the order of priority of contact. For example, in the initial information table 131A of FIG. 3, the contact person of the user is stored in the order of "daughter" and "son". This indicates that priority is given to contacting the "daughter" regarding the user, and if the contact cannot be made, the contact is made to the "son".

The initial information tables 131B to 131E are provided with fields of "relationship", "name", "age", "mobile number", "affiliation", "holiday", and "remarks", respectively. The relationship for the user is stored in the "relationship" field. The "name" and "age" are the same as those in the initial information table 131A. In the "mobile phone number" field, the number of the mobile phone rented from the nursing care facility used by the user is stored. In the "affiliation" field, the organization to which the family living with the user belongs is stored. In the example of FIG. 3, the organizations to which "daughter", "daughter husband", "grandchild 1", and "grandchild 2" belong are "Company S", "Company P", "K High School", and "T Junior High School", respectively. ". In the "holiday" field, the holidays of the family living with the user are stored. In the "Remarks" field, information related to the family living with the user is stored, which is useful for caring for the user. In the example of FIG. 3, the information related to "daughter", "grandchild 1", and "grandchild 2", which are useful for caring for the user, are "10-16 work" and "smart", respectively. , And "slow in the club".

In the manpower information table 131X, a long-term care event that can be carried out at a long-term care facility and a manpower required when the user attends the event are stored in association with each other. In the manpower information table 131X of FIG. 3, for example, the event “meal” and the manpower “0.10” are stored in association with each other. Here, manpower is expressed by the number of staff "people / hour" required per hour. That is, this example shows that while a user is attending the event "meal", the user needs to be cared for by "0.10" staff per hour.

FIG. 4 is a diagram showing an example of the data structure of the facility resource information DB 132. The facility resource information DB 132 is assigned an equipment resource table 132A for storing information on equipment resources of a nursing facility and a human resource table 132B for storing information on human resources of a nursing facility. ..

Specifically, in the equipment resource table 132A, the equipment and equipment provided in the long-term care facility, the capacity of the equipment and equipment, and the number of the equipment and equipment are stored in association with each other. In the equipment resource table 132A of FIG. 4, for example, the “shuttle bus” which is the equipment and equipment provided in the nursing care facility, the capacity “5” of the “shuttle bus”, and the number “2” of the “shuttle bus” correspond to each other. It is attached and remembered.

In the human resource table 132B, a time zone and an attendance flag indicating whether or not a staff member goes to work during the time zone are stored in association with each other. For example, in the human resource table 132B of FIG. 4, the attendance flag indicating that the time zone "10: 00-11: 00" and the staff "SA" go to work in the time zone "10: 00-11: 00" "1" and the attendance flag "0" indicating that the staff "SB" does not go to work in the time zone "10: 00-11: 00" are stored in association with each other.

FIG. 5 is a diagram showing an example of the data structure of the schedule information DB 133. Note that FIG. 5 shows only information regarding the care schedules of a plurality of users in a certain day, but this is an example, and the schedule information DB 133 exists for a plurality of days.

The schedule information DB 133 is assigned a schedule table 133A for storing schedule information regarding the care schedules of a plurality of users in a certain day. Specifically, the schedule table 133A stores schedule information in which a time zone, a nursing care event attended by each user in the time zone, and manpower required in the time zone are associated with each other. Here, the manpower required for each time zone is the total manpower required when each user attends each event in each time zone based on the manpower information table 131X (Fig. 3) corresponding to each user. Calculated as a value.

For example, in the schedule table 133A of FIG. 5, the nursing care event "bathing" in which the user "A" attends the time zone "11: 00-12: 00" and the time zone "11: 00-12: 00" The long-term care event "bathing" in which the user "B" attends the time zone "11: 00-12: 00" and the user "C" attend the time zone "11: 00-12: 00". Necessary for the long-term care event "bathing", the long-term care event "bathing" in which the user "D" attends the time zone "11: 00-12: 00", and the time zone "11: 00-12: 00" Manpower "2.00" and is stored in association with each other.

<How to set schedule information>
The schedule information stored in the schedule information DB 133 is set based on the number of a plurality of users, the equipment resources of the care facility, the human resources of the care facility, and the manpower. Hereinafter, an example of how to set the schedule information for a certain target day will be described with reference to FIG. FIG. 6 is a diagram showing an example of a method of setting schedule information on a certain target day.

First, the user of the long-term care facility sets the date on which the user uses the long-term care facility within a predetermined period (for example, one month) (hereinafter, the date of use) for the user terminal 30 by the predetermined deadline date and time. , Enter the information indicating the long-term care event that the user attends on each usage day (hereinafter referred to as input schedule information). Then, the user operates the user terminal 30 to transmit the input input schedule information to the facility terminal 50. When the communication unit 53 receives the input schedule information transmitted from the user terminal 30 in the facility terminal 50, the processor 56 acquires the input schedule information from the communication unit 53. Further, the processor 56 controls the communication unit 53 and stores the acquired input schedule information in the schedule information DB 133.

At the predetermined deadline date and time, the processor 56 controls the communication unit 53, refers to the manpower information table 131X (FIG. 3) corresponding to each user, and each user who uses the nursing care facility on the target day. Understand the manpower required when a person attends each nursing care event. For example, Table 131XA in FIG. 6 is required when each user "A", "B", "C", "D" who uses the nursing care facility on the target day attends the nursing care event "bathing". An example is shown in which the processor 56 grasps that the manpower is "0.2", "0.3", "0.5", and "1.0".

In addition, the processor 56 controls the communication unit 53 to refer to the input schedule information of each user stored in the schedule information DB 133. As a result, the processor 56 grasps the long-term care event attended by each user on the target day. For example, in Table 131XB of FIG. 6, users "A" to "D" are nursing care events "pick-up", "bus boarding / alighting", "meal", "bathing", "gymnastics / rehabilitation", It shows an example in which the processor 56 grasps to attend the "break / discourse".

Based on these grasped contents, the processor 56 grasps the manpower required for each time zone of the nursing care event on the target day. For example, in the processor 56, as shown in Tables 131XA and 131XB of FIG. 6, each user "A" to "D" attends the nursing care event "bathing" on the target day, and each user "A" to "D" attends the care event "bathing". It is assumed that the manpower required when "D" attends the nursing care event "bathing" is "0.2", "0.3", "0.5", and "1.0". In this case, as shown in Table 131XC of FIG. 6, the processor 56 uses the grasped total manpower "2.00" as the manpower "2" required for the time zone when the nursing care event "bathing" is performed on the target day. Grasp as "0.00".

Then, the processor 56 sets a time zone for performing each event on the target day based on the grasped information 131XA to 131XC and the information stored in the facility resource information DB 132 (FIG. 4).

Specifically, the processor 56 sets a restriction condition that the manpower required for each time zone of the target day and the number of users attending the event during each time zone are determined by the equipment resources and human resources of the long-term care facility. Set the time zone for each event on the target day to meet the requirements. The restriction conditions are grasped from the restriction conditions stored in the equipment resource table 132A (FIG. 4), which are determined by the number and capacity of equipment and fixtures of the nursing facility, and the human resource table 132B (FIG. 4). The restrictions and conditions set by the number of staff working in each time zone apply.

For example, as shown in Table 131XB of FIG. 6, the processor 56 sets a time zone for performing the event "bathing" in which the four users "A" to "D" attend on the target day. In this case, the processor 56 is "capacity in one bathroom" according to the number "1" and the capacity "4" of the equipment "bathroom" related to the event "bathing" stored in the equipment resource table 132A (FIG. 4). It is judged that the restriction condition that "up to 4 people can take a bath at the same time" is set. Further, the processor 56 has a manpower of 1.00 or less in the time zone of 10:00 to 11:00, depending on the number of staff who go to work in each time zone, which is grasped from the human resource table 132B (FIG. 4). It is judged that the restriction conditions such as "it can be secured" and "a manpower of 2.00 or less can be secured during the time zone from 11:00 to 16:00" are set.

In this case, the processor 56 satisfies the above-mentioned restriction condition "up to 4 people can bathe in one bathroom at the same time" regardless of the time zone in which the event "bathing" is performed. to decide. Therefore, as shown in Table 131XC of FIG. 6, the processor 56 has the manpower "2.00" required for the time zone in which the event "bathing" is performed on the target day, and the above-mentioned restriction condition "10: 00-11: 00" The event "A manpower of 1.00 or less can be secured in the time zone of 11:00 to 16:00" and "A manpower of 2.00 or less can be secured in the time zone of 11:00 to 16:00." Set the time zone for "bathing". For example, the schedule table 133A of FIG. 5 shows an example in which the processor 56 sets the time zone for performing the event "bathing" to the time zone of "11: 00-12: 00" satisfying the above-mentioned restriction condition.

Further, the processor 56 sets the time zone for performing each nursing care event on the target day, and then sets the manpower required for each time zone after the setting. Specifically, as shown in the schedule table 133A of FIG. 5, the time zone in which the processor 56 performs the event "bathing" in which the four users "A" to "D" attend on the target day is set as the time zone. It is assumed that it is set to "11: 00-12: 00". In this case, the processor 56 refers to the manpower information table 131X (FIG. 3) corresponding to each user "A" to "D". As a result, the processor 56 requires manpower of "0.2", "0.3", "0.5" when each user "A" to "D" attends the event "bathing". Grasp that it is "1.0". Then, as shown in the schedule table 133A of FIG. 5, the processor 56 sets the total value "2.00" of the grasped manpower to the manpower "2." required for the time zone "11: 00-12: 00". Set as "00".

<Reschedule processing flow>
Next, the reschedule processing executed in the nursing care service support system 1 of the present disclosure will be described. The user may suddenly complain of poor physical condition on the day of using the long-term care facility due to various causes such as infectious diseases such as norovirus and influenza, colds, and fatigue. Therefore, in the long-term care service support system 1, each of the days is taken into consideration so as not to affect the physical condition of other users and not to waste the resources of the long-term care facility, taking into account the degree of poor physical condition of the user. Reschedule processing is performed to modify the user's care schedule. 7 and 8 are flowcharts showing an example of reschedule processing executed in the nursing care service support system 1 of the present disclosure.

The processor 56 executes reschedule processing every time the date changes. As shown in FIG. 7, when the reschedule process is started, the first acquisition unit 561 uses the nursing care facility on the day when the reschedule process is started, as described above, until the predetermined time is reached. The biometric information of the day of the user transmitted from the biosensor 20 (FIG. 1) or the user terminal 30 (FIG. 1) used by the user is acquired. Then, the first acquisition unit 561 stores the acquired biometric information in the user information DB 131 (step S01). Here, the predetermined time is set to, for example, a predetermined time (for example, one hour) before the business start time of the nursing facility.

In step S01, the first acquisition unit 561 grasps the user of the nursing care facility on the day by referring to the schedule information of the day stored in the schedule information DB 133. When there is a user who could not acquire the biometric information of the day by the predetermined time, the first acquisition unit 561 obtains the biometric information of the previous day of the user stored in the user information DB 131. Acquired as biometric information of the day of the user.

However, not limited to this, if there is a user who could not acquire the biometric information of the day by the predetermined time, the first acquisition unit 561 obtains the predetermined biometric information of the user. It may be acquired as biometric information of the day. Here, the predetermined biometric information may be, for example, biometric information when the user is in a healthy state.

After step S01, the second acquisition unit 562 determines whether or not there is biometric information acquired in step S01 that indicates that the health condition of the user on the day satisfies a predetermined change condition. (Step S02).

In step S02, it is assumed that the second acquisition unit 562 determines that there is biometric information indicating that the health condition of the user on the day satisfies the change condition (YES in step S02). In this case, as described above, the second acquisition unit 562 inquires of the target user corresponding to the biometric information or the contact person of the target user about the care content of the day desired by the target user (step S03). ). Then, the second acquisition unit 562 acquires the desired long-term care information regarding the long-term care content of the day desired by the target user, which is transmitted from the user terminal 30 (step S04). As a result, it is possible to target a user who is in a slightly unwell condition whose health condition satisfies the change condition, and to obtain desired long-term care information regarding the desired long-term care content of the day from the target user.

On the other hand, in step S02, it is assumed that the second acquisition unit 562 determines that there is no biometric information indicating that the health condition of the user on the day satisfies the change condition (NO in step S02). In this case, the creation unit 563 determines whether or not there is biometric information acquired in step S01 that indicates that the health condition of the user on the day satisfies a predetermined isolation condition (step S05). ).

Here, the isolation condition is that of the user when, for example, the user strongly feels unwell due to an infectious disease, a cold, a high fever, etc., and it is considered necessary to isolate the user from others. It is determined by biometric information. For example, it is assumed that the biological information is information indicating the body temperature of the user. In this case, the isolation condition may be defined as, for example, that the body temperature of the user on the day is higher than the predetermined body temperature (for example, 38 ° C.).

In step S05, it is assumed that the creation unit 563 determines that there is no biological information indicating that the health condition of the user on the day satisfies the isolation condition (NO in step S05). In this case, since there is no biometric information indicating that the health condition of the user on the day satisfies the predetermined change conditions and isolation conditions in the biometric information acquired in step S01, the biometric information on the day of the user is included. It is considered that no one complains of poor physical condition. In this case, since it is not necessary to modify the schedule on the day, the processor 56 ends the reschedule process.

On the other hand, when step S04 is performed or when it is determined in step S05 that there is biometric information indicating that the isolation condition is satisfied (YES in step S05), the health condition is changed or changed among the users on the day. It is considered that there are users who complain of poor physical condition that satisfy the isolation conditions. In these cases, the creating unit 563 performs steps S11 to S13 as shown in FIG. As a result, the creation unit 563 is stored in the biological information acquired in step S01, the desired long-term care information acquired in step S04, the schedule information of the day stored in the schedule information DB 133, and the facility resource information DB 132. The schedule for the day will be modified based on the facility resource information provided. Then, the preparation unit 563 prepares a reschedule draft regarding the same-day schedule after the modification.

Specifically, in step S11, the creation unit 563 acquires the schedule information of the day from the schedule information DB 133 (step S11).

In step S12, the creation unit 563 provides the communication unit with the user information (hereinafter, the user information of the day) corresponding to the user who is set to receive long-term care on the day in the schedule information acquired in step S11. The 53 is controlled and acquired from the user information DB 131 (FIG. 3). Further, the creation unit 563 controls the communication unit 53 to acquire the facility resource information stored in the facility resource information DB 132 (FIG. 4) (step S12).

For example, it is assumed that the schedule information shown in FIG. 5 is acquired in step S11. In this case, in step S12, the creation unit 563 grasps the users "A" to "D" who are set to receive long-term care on the day in the acquired schedule information (FIG. 5). Then, the creation unit 563 changes the grasped users "A" to "D" from the initial information tables 131A to 131E (FIG. 3) and the manpower information table 131X (FIG. 3) of the user information DB 131 (FIG. 3). Acquire the associated user information as the user information of the day. Also. In step S12, the creation unit 563 converts the information stored in the facility resource table 132A (FIG. 4) and the human resource table 132B (FIG. 4) provided in the facility resource information DB 132 (FIG. 4) into the facility resource information. Get as.

In step S13, the creation unit 563 is based on the user's current-day biological information, desired long-term care information, current-day schedule information, current-day user information, and facility resource information acquired in steps S01, S04, S11, and S12. , The current day schedule indicated by the current day schedule information is modified. Then, the creation unit 563 creates a reschedule proposal regarding the modified schedule (step S13). As described above, in step S13, the reschedule proposal is created based not only on the biometric information of the day of the user and the schedule information of the day, but also on the desired long-term care information acquired from the target user. Therefore, it is possible to create a reschedule plan that allows the target user to receive the desired care in consideration of the care content of the day desired by the target user. The details of step S13 will be described later.

Next, in step S02, it is determined that there is biometric information indicating that the health condition of the user on the day satisfies the change condition, and it is assumed that there is a target user corresponding to the biometric information (YES in step S14). In this case, the notification unit 564 requests the target user to confirm whether or not the current day schedule of the target user in the reschedule draft created in step S13 is as desired by the target user ( Step S15).

Specifically, in step S15, the notification unit 564 refers to the communication information table stored in the user information DB 131, and the user terminal 30 used by the target user or the contact person of the target user. Get the address of. Then, the notification unit 564 controls the communication unit 53 to request confirmation of whether or not the current day schedule is as desired together with the information regarding the current day schedule of the target user in the reschedule draft created in step S13. The message to be sent is sent to the acquired address.

In response to this, at the user terminal 30 used by the target user or the contact person of the target user, when the communication unit receives the information regarding the care schedule of the target user on the day in the reschedule proposal and the above message, The processor displays the information and the message received by the communication unit on the display unit. As a result, the target user or the contact person of the target user can confirm whether the same-day schedule of the target user in the reschedule draft created in step S13 is as desired by the target user. Then, the target user operates the user terminal 30, inputs the confirmation result of whether or not it is as desired by the target user to the user terminal 30, and transmits the input confirmation result to the facility terminal 50. To do.

After step S15, it is assumed that the confirmation result transmitted from the user terminal 30 and received by the communication unit 53 indicates that the confirmation result is as desired by the target user (YES in step S16). In this case, the notification unit 564 performs a process of updating and notifying the schedule information of the day (step S17).

Specifically, in step S17, the notification unit 564 controls the communication unit 53 to update the schedule information of the day stored in the schedule information DB 133 according to the reschedule draft created in step S13.

Then, the notification unit 564 notifies each user of the day of the information regarding the current day schedule of each user in the reschedule draft created in step S13. Specifically, the notification unit 564 refers to the communication information table stored in the user information DB 131, and refers to the address of the user terminal 30 used by each user on the day or the contact person of each user. To get. Then, the notification unit 564 controls the communication unit 53 to transmit the information regarding the current day schedule of each user in the reschedule draft created in step S13 to the acquired address.

In addition, the notification unit 564 notifies each staff member of the reschedule proposal created in step S13. Specifically, the notification unit 564 controls the communication unit 53 and refers to the address of the staff terminal 40 used by each staff, which is stored in advance in the facility resource information DB 132. Then, the notification unit 564 controls the communication unit 53 to transmit the reschedule draft created in step S13 to the referenced address.

If it is determined in step S05 (FIG. 7) that there is biometric information indicating that the health condition of the user on the day satisfies the isolation condition (YES in step S05), even if the target user does not exist. (NO in step S14), a reschedule proposal is created in step S13. Therefore, in this case as well (NO in step S14), step S17 is performed. After step S17, the processor 56 ends the reschedule process.

On the other hand, it is assumed that after step S15, the confirmation result transmitted from the user terminal 30 and received by the communication unit 53 does not meet the target user's request (does not match the schedule desired by the target user). (NO in step S16). Further, in step S13, the creation unit 563 creates a plurality of reschedule proposals, and among the plurality of reschedule proposals, there are reschedule proposals not used in step S15 (hereinafter, unconfirmed reschedule proposals). (YES in step S18).

In this case, the notification unit 564 confirms to the target user whether or not the target user's same-day schedule in the unconfirmed reschedule proposal is as desired by the target user in the same manner as in step S15. Request (step S19). After step S19, it is determined that the confirmation result transmitted from the user terminal 30 used by the target user and received by the communication unit 53 is not as desired by the target user (does not match the schedule desired by the target user). It is assumed that it has been shown (NO in step S20). In this case, the processes after step S18 are performed.

On the other hand, after step S19, when the confirmation result transmitted from the user terminal 30 used by the target user and received by the communication unit 53 indicates that the confirmation result is as desired by the target user (YES in step S20). ), Step S17 is performed using the unconfirmed reschedule plan used in step S19.

Further, it is assumed that the creation unit 563 created a plurality of reschedule proposals in step S13, but as a result of repeating steps S18 to S20, there are no unconfirmed reschedule proposals (NO in step S18). In this case, the processes after step S03 are performed. As a result, in step S03, the target user is inquired again about the desired long-term care content of the day, in step S04, the desired long-term care information is reacquired, and in step S13, the re-acquired long-term care information is used. Recreate the reschedule proposal. Therefore, it is possible to more reliably create a reschedule plan that allows the target user to receive the desired long-term care.

As described above, according to this configuration, it is possible to create a reschedule plan that allows the target user who is in a slightly unwell state to receive the desired long-term care. For this reason, it is possible to reduce the chance of surplus resources in the nursing facility as compared with the case where the target user is unconditionally rested at home as in the conventional case. As a result, the utilization rate of the nursing facility can be improved.

<How to create a reschedule plan>
Next, an example of a method of creating a reschedule proposal by the creation unit 563 in step S13 (FIG. 8) will be described. In the following description, the biological information is assumed to be information indicating the body temperature of the user. The change condition used in step S02 (FIG. 7) is that the body temperature of the user on the day is higher than the body temperature on the day before the day by more than 0.5 ° C and is 38 ° C or less. It is assumed that it has been done. It is assumed that the isolation condition used in step S05 (FIG. 7) is that the body temperature of the user on the day is higher than 38 ° C.

The change condition used in step S02 (FIG. 7) is not limited to the above, and for example, the body temperature of the user on the day is higher than the body temperature on the day before the day by more than 0.5 ° C. It may be defined.

Further, as shown in FIG. 5, it is assumed that the reschedule process is executed when the schedule information of the day when the reschedule process is executed is stored in the schedule table 133A. As a result, it is assumed that the determination results shown in Table 91 of FIG. 9 are obtained in steps S02 and S05, and step S13 is executed.

FIG. 9 is a diagram showing an example of a process of modifying the care content of each user according to biological information. In Table 91 of FIG. 9, the determination result “Δ” indicates that the body temperature of each user on the day satisfies the change condition. The determination result "x" indicates that the body temperature of each user on the day satisfies the above isolation condition. The determination result "○" indicates that the body temperature of each user on the day does not satisfy both the above-mentioned change condition and the above-mentioned isolation condition. That is, in Table 91 of FIG. 9, the body temperature of the users "A" and "B" on the day satisfies the change condition, and the body temperature of the user "C" on the day does not satisfy both the change condition and the isolation condition. It indicates that the body temperature on the day of "D" satisfies the isolation condition.

Further, the desired long-term care information of the target user “A” acquired in step S04 (FIG. 7) indicates care at home, and the desired long-term care information of the target user “B” acquired in step S04 is the long-term care facility. It shall indicate long-term care in a private room to be prepared.

In this case, since the body temperature of the users "A" and "B" on the day satisfies the change condition, the users "A" and "B" feel a slight illness due to a slight fever or fatigue. it is conceivable that. Therefore, even if the users "A" and "B" visit the long-term care facility, it is considered that the physical condition of other users does not deteriorate so much at the long-term care facility. Therefore, the preparation unit 563 tentatively determines the care content of the target user who is considered to be feeling a slight illness in this way as the care content indicated by the desired long-term care information acquired from the target user.

Specifically, as shown by the symbol “○” in Table 92 of FIG. 9, the creation unit 563 obtains the care content of the target user “A” in step S04 and obtains the desired care of the target user “A”. Temporarily decide on "3. Visit" for home care indicated by the information. Similarly, the creation unit 563 tentatively determines the care content of the target user “B” as the care “2. Private room” in the private room indicated by the desired care information of the target user “B” acquired in step S04. ..

Since the body temperature of the user "C" on the day does not satisfy both the above-mentioned change conditions and the above-mentioned isolation conditions, it is considered that the user "C" has a normal temperature. In this case, even if the user "C" visits the long-term care facility, it is considered that the physical condition of other users at the long-term care facility will not be affected. For this reason, the preparation unit 563 does not modify the care content of the user on the day, which is considered to be normal.

Specifically, as shown in the schedule table 133A of FIG. 5, the same-day schedule of the user “C” is the content of the long-term care normally performed in the long-term care facility. Therefore, as shown by the symbol “⊚” in Table 92 of FIG. 9, the creating unit 563 determines the care content of the user “C” as the normal care “1. Normal”.

Since the body temperature of the user "D" on the day satisfies the above isolation conditions, it is considered that the user "D" strongly feels unwell due to an infectious disease, high fever, or the like. In this case, when the user "D" visits the long-term care facility, it is considered that the disease may spread in the long-term care facility. For this reason, the preparation unit 563 determines the care content of the user who is considered to have a strong feeling of poor physical condition as a rest at home.

Specifically, the preparation unit 563 determines the care content of the user “D” as “4. Home” for rest at home, as indicated by the symbol “⊚” in Table 92 of FIG.

Next, the preparation unit 563 modifies the day schedule of the users "C" and "D" whose care contents are confirmed. Specifically, as shown in Table 101 of FIG. 10, the preparation unit 563 first sets the events attended by the users "C" and "D" whose care contents are confirmed according to the confirmed care contents. Set.

FIG. 10 is a diagram showing an example of a process of modifying the long-term care schedule of a user whose long-term care content is determined according to biological information. In Table 101 of FIG. 10, "1" indicates that the user attends the event, and "0" indicates that the user is absent from the event.

As shown in Table 101 of FIG. 10, the preparation unit 563 sets the event attended by the user “C” whose care content is confirmed to be normal care, to be the event “pick-up” and “bus” performed in normal care. Set to "Getting on and off", "Meal", "Bathing", "Gymnastics / Rehabilitation", and "Break / Discourse".

On the other hand, the user "D" whose care content is confirmed as "4. Home" for rest at home cannot attend the care event held at the care facility. Therefore, the creation unit 563 sets that the user "D" is absent from all the events, as shown in Table 101 of FIG.

When the creation unit 563 completes the setting of the event attended by the users "C" and "D" whose care contents are confirmed, the user "A" whose care contents are tentatively decided as shown in Table 101 of FIG. And "B" is temporarily set to be absent from all events.

Next, the creation unit 563 controls the communication unit 53, refers to the manpower information table 131X (FIG. 3) corresponding to each user, and the users "C" and "D" whose care contents are confirmed are determined. Understand the manpower required when attending each event set according to the care content.

Specifically, the creation unit 563 refers to the manpower information table 131X corresponding to the user “C”, and as shown in Table 102 of FIG. 10, the user “C” is set according to the care content. The manpower required when attending the events "pick-up", "getting on and off the bus", "meal", "bathing", "gym / rehabilitation", and "break / discourse" is "0.25", "0. It is understood that it is "20", "0.30", "0.50", "0.10", and "0.10".

On the other hand, as described above, the creation unit 563 has set that the user "D" is absent from all the events according to the care content of the user "D". Therefore, as shown in Table 102 of FIG. 10, the preparation unit 563 grasps that the manpower required when the user “D” attends the event according to the care content is “0.00”. To do.

Next, the creation unit 563 grasps the manpower required when the user whose care content is tentatively decided attends each event tentatively set according to the tentatively decided care content.

Specifically, as described above, the preparation unit 563 temporarily determines that the users "A" and "B" whose care content has been provisionally determined will be absent from all events according to the provisionally determined care content. I set it. Therefore, as shown in Table 102 of FIG. 10, the creation unit 563 requires that the manpower required when the users “A” and “B” attend the event according to the care content is “0.00”. Know that there is.

Then, the creation unit 563 grasps the manpower required for the time zone when each event is performed when only the care of the user whose care content is confirmed is performed based on the grasped contents. Further, the creation unit 563 subtracts the grasped manpower from the manpower required for the time zone in which each event is performed in the same-day schedule before the reschedule processing is performed. As a result, the creation unit 563 can allocate the result of the subtraction to the time zone in which the user performs each event when caring for a user whose care content has not been determined, as a surplus of manpower. Grasp.

For example, as shown in Table 102 of FIG. 10, only the manpower “0.50” when the user “C” attends the event “bathing” is required during the time zone when the event “bathing” is performed. Therefore, as shown in the "manpower" column of Table 102 in FIG. 10, the creation unit 563 grasps that the manpower required for the time zone in which the event "bathing" is performed is "0.50". In addition, the creation unit 563 applies the grasped manpower "0.50" to the manpower "2." required for the time zone when the event "bathing" is performed in the initial schedule (FIG. 5) before reschedule processing. Subtract from "00". As a result, the creation unit 563 uses the subtraction result "1.50" as the user "A" and "B" when the care content is not determined for the users "A" and "B". It is grasped as a surplus of manpower "1.50" that can be assigned to the time zone when "B" performs each event.

Then, the creation unit 563 sets the time zone in which the user whose care content is confirmed performs each event based on the grasped information and the information stored in the facility resource information DB 132 (FIG. 4). To do.

Specifically, in the creation unit 563, the manpower required for each time zone and the number of users attending the event during each time zone are the same as in the case where the processor 56 generates the schedule information. Set the time zone for each event by the user whose long-term care content has been confirmed so as to satisfy the restriction conditions set by the equipment resources and human resources. Further, the creation unit 563 sets the time zone for performing each event in the same manner as when the processor 56 generates the schedule information, and then sets the manpower required for each time zone after the setting.

For example, as shown in Table 101 of FIG. 10, the creation unit 563 sets a time zone for performing the event "bathing" in which the user "C" attends. In this case, the creation unit 563 sets the number of equipment "bathrooms" related to the event "bathing" stored in the equipment resource table 132A (FIG. 4) "1" and the capacity "4" to "one bathroom". It is judged that the restriction condition that "up to 4 people can take a bath at the same time" is set. In addition, the creation unit 563 determines that "10: 00-11: 00 time zone has manpower of 1.00 or less," depending on the number of staff members who go to work in each time zone, as determined from the human resource table 132B (FIG. 4). It is judged that the restriction conditions such as "It is possible to secure manpower of 2.00 or less can be secured during the time zone from 11:00 to 16:00" are set.

In this case, the preparation unit 563 satisfies the above-mentioned restriction condition "up to 4 people can bathe in one bathroom at the same time" regardless of the time zone in which the event "bathing" is performed. Judge. Therefore, as shown in Table 133-0 of FIG. 10, the creation unit 563 sets the manpower "0.50" required for the time zone for performing the event "bathing" to the above-mentioned restriction condition "10: 00-11: 00". The event "A manpower of 1.00 or less can be secured in the time zone of 11:00 to 16:00" and "A manpower of 2.00 or less can be secured in the time zone of 11:00 to 16:00." Set the time zone for "bathing". For example, in Table 133-0 of FIG. 10, the creation unit 563 sets the time zone for the event “bathing” to the initial same-day schedule before the above-mentioned restriction conditions are satisfied and the reschedule processing is performed (FIG. 5). An example of setting in the same time zone of "11: 00-12: 00" as above is shown.

Then, as shown in Table 102 of FIG. 10, the creation unit 563 knows that the manpower required when the user “C” attends the event “bathing” is “0.50”. , As shown in Table 133-0 of FIG. 10, the grasped manpower "0.50" is set as the manpower "0.50" required for the time zone "11: 00-12: 00".

Next, the preparation unit 563 modifies the day schedule of the users "A" and "B" whose care contents are tentatively determined. Specifically, as shown in Table 111 of FIG. 11, the preparation unit 563 first sets the event attended by the users "A" and "B" whose care contents are tentatively decided according to the tentatively decided care contents. And set.

FIG. 11 is a diagram showing an example of a process of modifying the care schedule of the target user according to the care content desired by the target user. In Table 111 of FIG. 11, "1" indicates that the target user or user attends the event, and "0" indicates that the target user or user is absent from the event.

As shown in Table 111 of FIG. 11, the creation unit 563 turns the event attended by the target user “A” whose care content is tentatively decided to be home care into an event “visit” performed in home care. Set. In addition, as shown in Table 111 of FIG. 11, the creation unit 563 arranges an event attended by the target user “B” whose care content is tentatively determined to be care in a private room, as an event “pick-up” performed in care in a private room. , "Getting on and off the bus", "Meal", "Relax".

Next, the creation unit 563 controls the communication unit 53, refers to the manpower information table 131X (FIG. 3) corresponding to each target user, and the target users “A” and “B” whose care contents are tentatively determined. ”, Grasp the manpower required when attending each event set according to the care content.

Specifically, the creation unit 563 refers to the manpower information table 131X corresponding to the target user “A”, and as shown in Table 112 of FIG. 11, the target user “A” responds to the care content. Grasp that the manpower required when attending the set event "visit" is "1.00". Similarly, the creation unit 563 refers to the manpower information table 131X corresponding to the target user “B”, and as shown in Table 112 of FIG. 11, the target user “B” is set according to the care content. Manpower required for attending the events "pick-up", "getting on and off the bus", "meal", and "rest" is "0.25", "0.00", "0.10", "0. Know that it is "00".

Then, based on the above grasped contents, the creation unit 563 grasps the manpower required for the time zone in which each event is performed after modifying the schedule on the day. Further, the creation unit 563 subtracts the grasped manpower from the manpower required for the time zone in which each event is performed in the schedule on the day before the reschedule processing is performed. As a result, the creation unit 563 grasps the result of the subtraction as the difference in manpower generated in the time zone in which each event is performed by modifying the schedule on the day.

For example, as shown in Table 112 of FIG. 11, if the schedules of the target users “A”, “B” and the user “D” are modified, the user “C” will be in the time zone when the event “bathing” is performed. Only requires manpower "0.50" when attending the event "bathing". Therefore, as shown in the "manpower" column of Table 112 of FIG. 11, the creation unit 563 requires that the manpower required for the time zone of the event "bathing" after the modification of the schedule on the day is "0.50". To grasp. In addition, the creation unit 563 applies the grasped manpower "0.50" to the manpower "2." required for the time zone when the event "bathing" is performed in the initial schedule (FIG. 5) before reschedule processing. Subtract from "00". As a result, the creation unit 563 grasps the result of the subtraction "1.50" as the difference in manpower generated in the time zone when the event "bathing" is performed by modifying the schedule on the day.

On the other hand, as shown in Table 112 of FIG. 11, the manpower “1.00” is required when the target user “A” attends the event “visit” by modifying the schedule of the target user “A”. become. Therefore, as shown in the "manpower" column of Table 112 of FIG. 11, the creation unit 563 requires that the manpower required for the time zone for the event "visit" after the modification of the schedule on the day is "1.00". To grasp. However, in the initial same-day schedule (Fig. 5) before the reschedule processing, there is no time zone for the event "visit". Therefore, the creation unit 563 sets the grasped manpower "1.00" from the manpower "0.00" required for the time zone of the event "visit" in the initial schedule on the day before the reschedule processing. Subtract. As a result, the creation unit 563 grasps the result of the subtraction "-1.00" as the difference in manpower generated in the time zone when the event "visit" is performed by modifying the schedule on the day.

Then, the creation unit 563 is a time zone in which the target user whose care content is tentatively determined based on the grasped information and the information stored in the facility resource information DB 132 (FIG. 4) performs each event. To set. Further, after setting the time zone for performing each event, the creation unit 563 sets the manpower required for each time zone after the setting in the same manner as when the processor 56 generates the schedule information.

When there are a plurality of target users, the creation unit 563 determines the order of the target users for setting the time zone according to a predetermined creation condition. In this example, the creation condition is set so that the target user whose long-term care content is tentatively decided for long-term care in a private room is prioritized over the target user whose long-term care content is tentatively decided for long-term care at home. It is assumed that there is. However, the creation conditions are not limited to this, and may be, for example, in order of age of the target users.

Specifically, the preparation unit 563 sets the target user "B" whose care content is tentatively determined to be in a private room according to the above preparation conditions, and the target user whose care content is tentatively determined to be home care. Prioritizing over "A", first, the time zone in which the target user "B" performs each event is set.

More specifically, in the creation unit 563, the manpower required for each time zone and the number of users attending the event during each time zone are the equipment of the long-term care facility in the same manner as when the processor 56 generates the schedule information. The time zone in which the target user "B" whose care content is tentatively determined performs each event is set so as to satisfy the restriction conditions determined by the resources and human resources.

As a result, for example, as shown in Tables 131-1 and 131-2 of FIG. 11, the creation unit 563 has an event "pick-up", "bus ride", "meal", in which the target user "B" attends. The time zone for "rest" is "10: 00-10: 40, 16: 10-16: 50", "10: 40-10: 50, 16: 00-16: 10", "12: 00-" It is set to "13:00" and "10: 50-12: 00, 13: 00-16: 00". Then, the creation unit 563 sets the manpower required for the time zone in the same manner as when the processor 56 generates the schedule information.

Next, the creation unit 563 sets a time zone in which the target user “A” whose care content is tentatively determined to be home care is to perform the event “visit”. However, as shown in Table 112 of FIG. 11, the difference in manpower generated in the time zone when the event “visit” is performed by modifying the schedule on the day shows a negative value “-1.00”. This indicates that manpower was required by "1.00" more than before the reschedule processing was executed. Therefore, if the target user "A" carelessly sets the time zone for the event "visit", there is a risk that manpower will be insufficient in the set time zone. Therefore, the creation unit 563 preferentially determines the time zone in which the target user "A" performs the event "visit" from the time zone in which the event having a large difference in manpower is set.

Specifically, as shown in Table 112 of FIG. 11, by modifying the schedule on the day, the difference in manpower generated during the time zone when the event "bathing" is performed is "1.50", and the event "meal" is set. The difference in manpower that occurs during the time period is "0.60". Therefore, the creation unit 563 first sets the time zone in which the target user "A" performs the event "visit" to the time zone "11: 00-" in which the event "bathing" having the largest difference in manpower is set. Consider setting it to "12:00".

Specifically, it is assumed that the creation unit 563 has made the setting. In this case, as shown in Table 133-1 of FIG. 11, the manpower required for the time zone “11: 00-12: 00” when the target user “A” performs the event “visit” is “1.50”. , The restriction condition that "a manpower of 2.00 or less can be secured in the time zone from 11:00 to 16:00", which is grasped from the human resource table 132B (FIG. 4), is satisfied. Therefore, the creation unit 563 sets the time zone in which the target user "A" performs the event "visit" to the time zone "11: 00-12: 00" in which the event "bathing" is set. Then, the creation unit 563 sets the manpower required for the time zone in the same manner as when the processor 56 generates the schedule information.

As a result, the creation unit 563 provides schedule information in which the time zone, the long-term care event attended by each user in the time zone, and the manpower required for the time zone are associated with each other, as shown in Table 133-1 of FIG. , Create as the first reschedule proposal.

In the same manner as described above, the creation unit 563 sets the time zone in which the target user "A" performs the event "visit" to the event "meal" in which the difference in manpower is the next largest value "0.60". Consider setting the time zone "12: 00-13: 00" in which "" is set.

Specifically, the creation unit 563 sets the time zone in which the target user "A" performs the event "visit" and the time zone "12:00" in which the event "meal" having the next largest difference in manpower is set. It is assumed that it is set to "-13: 00". As shown in Table 133-2 of FIG. 11, in this case, the manpower required for the time zone “12: 00-13: 00” when the target user “A” performs the event “visit” is “1.40”. , The restriction condition that "a manpower of 2.00 or less can be secured in the time zone from 11:00 to 16:00", which is grasped from the human resource table 132B (FIG. 4), is satisfied. Therefore, the creation unit 563 sets the time zone in which the target user "A" performs the event "visit" to the time zone "12: 00-13: 00" in which the event "meal" is set. Then, the creation unit 563 sets the manpower required for the time zone in the same manner as when the processor 56 generates the schedule information.

As a result, the creation unit 563 provides schedule information in which the time zone, the long-term care event attended by each user in the time zone, and the manpower required for the time zone are associated with each other, as shown in Table 133-2 of FIG. , Create as a second reschedule proposal.

On the other hand, assuming that the target user sets the time zone for each event to a certain time zone, it is assumed that the manpower required for the time zone does not satisfy the restriction condition. In this case, the creation unit 563 determines that the assumed setting cannot be made, and considers setting the time zone in which the target user performs each event to another time zone.

In the same manner as described above, the preparation unit 563 prepares a predetermined number of reschedule proposals.

(Modification example)
The following modifications can be adopted in the present disclosure.

(1) In the above embodiment, an example has been described in which the facility terminal 50 acquires information indicating the user's body temperature as biological information from the user terminal 30 on the day when the user uses the nursing care facility. However, not limited to this, on the day when the user uses the long-term care facility, whether or not the facility terminal 50 is infected with the infectious disease from the user terminal 30 and the family living with the user on the day. The morbidity information indicating the above may be obtained.

Specifically, a user of a nursing facility or a contact person of the user inputs the morbidity information into the user terminal 30, operates the user terminal 30, and inputs the input morbidity information to the facility terminal 50. You just have to send it. Then, the first acquisition unit 561 may acquire the morbidity information transmitted from the user terminal 30 (FIG. 1) and received by the communication unit 53 from the communication unit 53.

Then, the change condition used in step S02 (FIG. 7) is that the body temperature on the day of the user is higher than the body temperature on the day before the day by more than a predetermined value (for example, 0.5 ° C.) and , The morbidity information about the user may be set to indicate that he / she is not infected with an infectious disease. Then, the isolation condition used in step S05 (FIG. 7) is that the body temperature on the day of the user is higher than the predetermined body temperature (for example, 38 ° C.), or the morbidity information about the user is the user. It may be set to indicate that the family living with is suffering from an infectious disease on the day.

For example, even if the body temperature of the user on the day is higher than the body temperature on the day before the user by more than a predetermined value, the morbidity information about the user is transmitted to the family living with the user on the day. It indicates that you have an infectious disease. In this case, in this configuration, in step S02 (FIG. 7), it is determined that the biometric information of the user is not the biometric information indicating that the health condition of the user on the day satisfies the change condition.

On the other hand, in step S05 (FIG. 7), the biometric information of the user is determined to be biometric information indicating that the health condition of the user on the day satisfies the isolation condition. As a result, in the preparation of the reschedule plan in step S13 (FIG. 8), the care content of the user whose family living together on the day of using the care facility is suffering from an infectious disease is modified to rest at home. Can be done. As a result, the risk of another user being infected with an infectious disease can be reduced by receiving the desired care of the user.

(2) In the above embodiment, the biometric information of the day of the user is acquired from the biosensor 20 or the user terminal 30, and in step S02, the biometric information indicating that the health condition of the user satisfies a predetermined change condition. The presence or absence was judged. However, instead of this, the user or its contact person inputs information indicating the user's health condition (hereinafter referred to as health information) into the user terminal 30 and operates the user terminal 30 to operate the facility terminal 50. You may send it to. Then, in step S02, it may be determined whether or not there is health information indicating that the health condition of the user satisfies a predetermined change condition.

(3) If step S05 (FIG. 7) is omitted and it is determined in step S02 (FIG. 7) that there is no biometric information indicating that the user's health condition satisfies the change condition, reschedule processing is performed. You may end it.

(4) In the above embodiment, in step S3 (FIG. 7), the second acquisition unit 562 requests the target user or the user terminal 30 used for communication of the target user for the care content of the day. An example of sending a message to inquire about is explained. However, instead of this, the second acquisition unit 562 sends a message to the staff terminal 40 to instruct the staff to inquire the target user about the desired care content of the day. May be good. In response to this, the staff terminal 40 may output the voice indicating the message by the speaker. As a result, the staff using the staff terminal 40 may inquire about the request of the care content of the target user on the day by telephone or the like.

In the same manner as this, in steps S15 (FIG. 8) and S19 (FIG. 8), the notification unit 564 asks the target user to confirm whether or not the target user's day schedule in the reschedule proposal is as desired. A message to instruct the staff to request may be sent to the staff terminal 40. As a result, the staff using the staff terminal 40 may request the target user by telephone or the like to confirm whether or not the target user's day schedule in the reschedule proposal is as desired.

(5) In step S13, a plurality of creation conditions used by the creation unit 563 when creating the reschedule proposal may be determined. Then, in step S18 (FIG. 8), when the unconfirmed reschedule proposal no longer exists, the creation condition is changed to an unused creation condition and the processing after step S13 (FIG. 8) is not performed yet. It may be repeated until there are no more conditions for creating usage. In this case, the creation unit 563 can create various reschedule proposals. As a result, it is possible to reduce the chance of inquiring the target user about the care content of the day again.

(6) In the above-described embodiment and the modified embodiment, the mode in which the facility terminal 50 performs all the processing has been described, but instead of this, the DB server 10 executes the same processing as the processing performed by the facility terminal 50. You may do so. In this case, the biosensor 20, the user terminal 30, and the staff terminal perform the same communication process as the process of communicating various information between the biosensor 20, the user terminal 30, and the staff terminal 40 and the facility terminal 50. It may be performed between the 40 and the DB server 10 without the facility terminal 50 or via the facility terminal 50.

Alternatively, step S17 (FIG. 8) may be changed as follows. That is, the notification unit 564 transmits the reschedule proposal to the DB server 10, and the processor of the DB server 10 updates and notifies the transmitted reschedule proposal in the same manner as in step S17 (FIG. 8). You may try to perform the processing.

According to the present disclosure, it is useful for improving the utilization rate of long-term care facilities while reducing the risk of disease epidemics in long-term care facilities.

1: Nursing care service support system 561: First acquisition department 562: Second acquisition department 563: Creation department 564: Notification department

Claims (10)

The computer of the long-term care service support system
Obtain health information, which is information on the health condition of the day for each of multiple users,
Among the plurality of users, the target user whose health condition on the day indicates that the health condition of the day satisfies a predetermined condition is inquired about the desire for the care content on the day, and the desired care regarding the desire for the care content on the day. Get information,
Based on the health information, the desired long-term care information, and preset schedule information regarding the long-term care schedule of each of the plurality of users, the schedule is modified to relate to the modified schedule. Create a reschedule and
Notify each of the plurality of users of information regarding the nursing care schedule of each user on the day in the reschedule proposal.
Nursing care service support method. The health information is information on the body temperature of each of the plurality of users on the day.
The long-term care service support method according to claim 1. The predetermined condition is that the body temperature of each of the plurality of users on the day is higher than the body temperature on the day before the day by more than a predetermined value.
The long-term care service support method according to claim 2. The predetermined condition is that the body temperature of each of the plurality of users on the day is higher than the body temperature on the day before the day by more than a predetermined value and is equal to or lower than the predetermined body temperature.
The long-term care service support method according to claim 2. The computer further acquires morbidity information indicating whether or not the family living together with each of the plurality of users suffers from an infectious disease on the day.
The predetermined conditions are that the body temperature of each of the plurality of users on the day is higher than the body temperature of the day before the day by more than a predetermined value, and the morbidity of each of the plurality of users. The information is to show that you are not infected,
The long-term care service support method according to claim 2. The contents of long-term care include long-term care in a private room and long-term care at home.
The long-term care service support method according to claim 1. The schedule information includes the number of the plurality of users, the equipment resources of the nursing care facility used by the plurality of users, the number of caregivers required for the care of each of the plurality of users, and the personnel of the nursing care facility. Set based on resources,
The long-term care service support method according to claim 1. If the schedule of the long-term care of the target user in the proposed reschedule does not match the schedule desired by the target user, the target user is inquired again about the desire for the long-term care content of the day. The desired long-term care information is reacquired, and the rescheduling plan is recreated using the reacquired desired long-term care information.
The long-term care service support method according to claim 1. The first acquisition department that acquires health information, which is information on the health condition of the day for each of multiple users,
Of the plurality of users, the target user whose health condition on the day indicates that the health condition of the day satisfies a predetermined condition is inquired about the desire for the care content on the day, and the desired care information regarding the desire for the care content on the day. With the second acquisition department to acquire
Based on the health information, the desired long-term care information, and preset schedule information regarding the long-term care schedule of each of the plurality of users, the schedule is modified to relate to the modified schedule. The creation department that creates the reschedule proposal and
A notification unit that notifies each of the plurality of users of information regarding the nursing care schedule of each user on the day in the reschedule proposal.
Nursing care service support system equipped with. The first acquisition department that acquires health information, which is information on the health condition of the day for each of multiple users,
Of the plurality of users, the target user whose health condition on the day indicates that the health condition of the day satisfies a predetermined condition is inquired about the desire for the care content on the day, and the desired care information regarding the desire for the care content on the day. With the second acquisition department to acquire
Based on the health information, the desired long-term care information, and preset schedule information regarding the long-term care schedule of each of the plurality of users, the schedule is modified to relate to the modified schedule. The creation department that creates the reschedule proposal and
A notification unit that notifies each of the plurality of users of information regarding the nursing care schedule of each user on the day in the reschedule proposal.
Nursing care service support server equipped with.

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