JP2022025362A - Operational management system - Google Patents

Operational management system Download PDF

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JP2022025362A
JP2022025362A JP2020128137A JP2020128137A JP2022025362A JP 2022025362 A JP2022025362 A JP 2022025362A JP 2020128137 A JP2020128137 A JP 2020128137A JP 2020128137 A JP2020128137 A JP 2020128137A JP 2022025362 A JP2022025362 A JP 2022025362A
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JP6943494B1 (en
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淳一 谷田部
Junichi Yatabe
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Abstract

To provide a face-to-face medical care operational management system that can easily and surely realize non-regular face-to-face medical cares, and can experience the hospital management.SOLUTION: A face-to-face medical care operation management system 1 is for performing a face-to-face medical care in a medical institution (clinic) Y as a medical care base where a medical service worker X performs a face-to-face medical care in an online medical care. The system includes: medical institution information storage means 100; medical service worker information storage means 110; patient information storage means 120; face-to-face medical care demand calculation means 130; medical institution specification means 140; face-to-face medical care time zone specification means 150; area specification means 160; staff specification means 170; face-to-face medical care date/time determination means 180; work shift managing means 190; and payment balance calculation means 200.SELECTED DRAWING: Figure 1

Description

本発明のオンランライン診療において対面診療を例えば不定期に行うための診療拠点の運営を管理する対面診療運営管理システムに関するものである。 The present invention relates to a face-to-face medical care operation management system that manages the operation of a medical care base for performing face-to-face medical care, for example, irregularly in the online medical care of the present invention.

遠隔診療システムとしては、近年、種々のシステムが考案されている。例えば、遠隔診療システムとしては、下記特許文献1に示すように、表示画面及びビデオ通話機能を備え、撮像部と、医師端末装置から取得した医師の画像及び撮像部で撮像して得られた遠隔診療対象者の画像を出力する出力部とを備える。 As a telemedicine system, various systems have been devised in recent years. For example, as shown in Patent Document 1 below, the telemedicine system has a display screen and a video call function, and is a remote image obtained by imaging with an image pickup unit and a doctor's image and an image pickup unit acquired from a doctor terminal device. It is provided with an output unit that outputs an image of a medical treatment subject.

特開2019-133271公報JP-A-2019-133271

しかしながら、実際に遠隔診療やオンライン診療を行う場合には、初診の対面診療や定期的な対面診療が必要となるところ、従来の遠隔診療システムでは、かかる対面診療に対する運営支援の視点はなかった。 However, when actually performing telemedicine or online medical care, face-to-face medical care for the first visit or regular face-to-face medical care is required, but the conventional telemedicine system does not have a viewpoint of operational support for such face-to-face medical care.

一方で、対面診療のために、新たに遠隔診療やオンライン診療を行う事業者が、拠点となる診療機関やクリニックを開設することも考えられるが、遠隔診療やオンライン診療における対面診療は不定期であるため現実的ではない。 On the other hand, for face-to-face medical care, it is conceivable that a business operator that newly provides telemedicine or online medical care may open a medical institution or clinic as a base, but face-to-face medical care in telemedicine or online medical care is irregular. It is not realistic because it is there.

また、開業を考える医師は、対面診療を限られた時間の中で行い、病院経営のシミュレーションを行ってみたいとのニーズもある。 There is also a need for doctors who are thinking of opening a business to perform face-to-face medical care within a limited time and to simulate hospital management.

以上の事情に鑑みて、本発明は、不定期の対面診療を簡易かつ確実に実現することができ、病院経営の経験が可能な対面診療運営管理システムを提供することを目的とする。 In view of the above circumstances, it is an object of the present invention to provide a face-to-face medical care operation management system capable of easily and surely realizing irregular face-to-face medical care and having experience in hospital management.

第1発明の対面診療運営管理システムは、医療機関の通常診療時間外に該医療機関を利用して対面診療を行う時間外診療の診療拠点の運営を管理する対面診療運営管理システムであって、
前記診療拠点となる医療機関の医療機関情報として少なくとも該医療機関の通常診療時間帯を含めて記憶する医療機関情報記憶手段と、
前記診療拠点となる診療機関の通常診療時間外の時間帯を、前記医療機関情報記憶手段により記憶された医療機関情報から、対面診療可能時間帯として特定する対面診療時間帯特定手段と、
前記対面診療に従事する医療従事者の医療従事者情報として少なくとも属性と勤務可能な時間帯とを含めて記憶する医療従事者情報記憶手段と、
前記対面診療時間帯特定手段により特定された対面診療可能時間帯に通勤可能な医療従事者を、前記医療従事者情報記憶手段により記憶された医療従事者情報から特定するスタッフ特定手段と、
前記スタッフ特定手段により特定された医療従事者に対して、前記診療拠点となる医療機関と前記対面診療時間帯特定手段により特定された対面診療時間帯とを通知して、当該対面診療時間帯での勤務シフトを確定する対面診療日時決定手段と
を備えることを特徴とする。
The face-to-face medical care operation management system of the first invention is a face-to-face medical care operation management system that manages the operation of a medical care base for overtime medical care in which face-to-face medical care is performed using the medical institution outside the normal medical care hours of the medical institution.
A medical institution information storage means for storing at least the normal medical treatment time zone of the medical institution as the medical institution information of the medical institution serving as the medical treatment base.
A face-to-face medical treatment time zone specifying means for specifying a time zone outside the normal medical treatment hours of the medical institution serving as the medical treatment base as a face-to-face medical treatment possible time zone from the medical institution information stored by the medical institution information storage means.
A medical worker information storage means for storing at least attributes and working hours as medical worker information of a medical worker engaged in face-to-face medical care.
A staff identification means for identifying a medical worker who can commute to work during the face-to-face medical care time zone specified by the face-to-face medical care time zone specifying means from the medical worker information stored by the medical worker information storage means.
Notify the medical staff specified by the staff specifying means of the medical institution serving as the medical treatment base and the face-to-face medical treatment time zone specified by the face-to-face medical treatment time zone specifying means, and in the face-to-face medical treatment time zone. It is characterized by being provided with a means for determining the date and time of face-to-face medical care to determine the work shift.

第1発明の対面診療運営管理システムは、予め登録された診療拠点となる医療機関について、その医療機関情報から通常診療時間外の時間帯、すなわち、休診日や診療日でも診療時間外の早朝や夜間の時間帯が、対面診療可能時間帯として特定される。 In the face-to-face medical care operation management system of the first invention, regarding a medical institution that is a pre-registered medical care base, from the medical institution information, a time zone outside the normal medical care hours, that is, an early morning outside the medical care hours even on a holiday or a medical treatment day. The night time zone is specified as the face-to-face medical treatment available time zone.

そして、特定された対面診療時間帯に対して、医療従事者情報から予め登録された医療従事者である医師や医療事務スタッフの勤務可能時間帯等の勤務条件から通勤可能な医療従事者が特定される。 Then, for the specified face-to-face medical treatment time zone, the medical staff who can commute to work is specified from the working conditions such as the working hours of doctors and medical office staff who are medical workers registered in advance from the medical worker information. Will be done.

これにより、特定された医療従事者に対して、勤務依頼として、診療拠点となる医療機関と対面診療時間帯とを通知してその勤務シフトを確定することで、対面診療可能時間帯に簡易かつ確実に医療従事者を配置して運営することができる。 As a result, by notifying the specified medical staff of the medical institution that serves as the medical treatment base and the face-to-face medical treatment time zone as a work request and confirming the work shift, it is easy to make the face-to-face medical treatment possible time zone. It is possible to reliably assign and operate medical staff.

そして、開業を考える医師は、その医療機関において、通常診療時間外の時間帯を利用して対面診療を行って、その経費・人件費などの試算を行うことができ、病院経営のシミュレーションを行うことができる。 Then, a doctor who is thinking of opening a business can perform face-to-face medical treatment at the medical institution during a time zone outside the normal medical treatment hours, and can make a trial calculation of the expenses, labor costs, etc., and perform a simulation of hospital management. be able to.

このように、第1発明の対面診療運営管理システムによれば、不定期の対面診療を簡易かつ確実に実現することができ、病院経営の経験が可能となる。 As described above, according to the face-to-face medical care operation management system of the first invention, irregular face-to-face medical care can be realized easily and surely, and the experience of hospital management becomes possible.

第2発明の対面診療運営管理システムは、第1発明において、
前記スタッフ特定手段は、新規採用スタッフに対して設定されたトレーニング期間の経過後の前記対面診療可能時間帯において通勤可能な医療従事者として特定することを特徴とする。
The face-to-face medical care operation management system of the second invention is described in the first invention.
The staff identification means is characterized in that it is identified as a medical worker who can commute to work during the face-to-face medical treatment available time zone after the training period set for the newly hired staff has elapsed.

第2発明の対面診療運営管理システムによれば、新規採用スタッフについては、採用される側も採用する側もできる限り早く勤務を開始したいところ、スタッフ特定手段は、新規採用スタッフに対して設定されたトレーニング期間の経過を条件として、新規採用スタッフの属性および対面診療可能時間帯と当該新規採用スタッフの勤務可能な時間帯とのマッチングを行い、通勤可能な医療従事者を新規採用スタッフを特定対象とすることができる。 According to the face-to-face medical care operation management system of the second invention, for newly hired staff, both the hired side and the hired side want to start working as soon as possible, and the staff identification means is set for the newly hired staff. Based on the elapse of the training period, the attributes of newly hired staff and the time zone in which face-to-face medical treatment is possible are matched with the working time zone of the newly hired staff, and medical staff who can commute are identified as newly hired staff. Can be.

このように、第2発明の対面診療運営管理システムによれば、対面診療を、新規採用スタッフの活用を促進しつつ簡易かつ確実に実現することができる。 As described above, according to the face-to-face medical care operation management system of the second invention, face-to-face medical care can be easily and surely realized while promoting the utilization of newly hired staff.

第3発明の対面診療運営管理システムは、第1または第2発明において、
前記診療拠点となる医療機関を含むエリアを特定するエリア特定手段を備え、
前記スタッフ特定手段は、前記エリア特定手段により特定されたエリア毎に前記対面診療時間帯特定手段により特定された対面診療可能時間帯に通勤可能な医療従事者を特定することを特徴とする。
The face-to-face medical care operation management system of the third invention is described in the first or second invention.
Equipped with area identification means to specify the area including the medical institution that serves as the medical treatment base,
The staff specifying means is characterized in that a medical worker who can commute to work during the face-to-face medical treatment available time zone specified by the face-to-face medical treatment time zone specifying means is specified for each area specified by the area specifying means.

第3発明の対面診療運営管理システムによれば、医療従事者はできる限り近場で勤務を希望することが多いところ、診療拠点となる医療機関を含むように予めエリアを定めておくことで(逆に、予めエリア分割を行い、各エリアに診療拠点となる医療機関を配置しておくことで)、該医療機関を含む一定範囲のエリアを特定可能し、該エリアに通勤可能な医療従者を特定することができる。 According to the face-to-face medical care operation management system of the third invention, medical professionals often want to work as close as possible, but by predetermining the area to include the medical institution that will be the medical care base ( On the contrary, by dividing the area in advance and arranging a medical institution as a medical treatment base in each area), it is possible to specify a certain range of areas including the medical institution, and medical staff who can commute to the area can be specified. Can be identified.

例えば、当該エリアに通勤可能か否かは、単にエリア内やその隣接エリアに医療従事者が居住しているか否かにより判定してもよいが、これに加えてまたは代えて、医療従事者の通勤可能な時間帯から、当該医療機関への往復通勤時間を差し引いた勤務時間が確保されるか否かにより判定してもよい。 For example, whether or not a person can commute to the area may be determined simply by whether or not a health worker resides in or adjacent to the area, but in addition to or instead of this, the health care worker's It may be determined whether or not the working hours are secured by subtracting the round-trip commuting time to the medical institution from the commuting time zone.

このように、第3発明の対面診療運営管理システムによれば、対面診療を、診療拠点となるエリアを加味しつつ簡易かつ確実に実現することができる。 As described above, according to the face-to-face medical care operation management system of the third invention, face-to-face medical care can be easily and surely realized while taking into consideration the area serving as a medical care base.

第4発明の対面診療運営管理システムは、第3発明において、
前記エリア特定手段により特定される前記診療拠点となる医療機関を含むエリアにおいて、該エリアにおけるオンライン診療を行う患者の対面診療頻度と、前記スタッフ特定手段により特定される通勤可能な医療従事者とに基づいて、対面診療開設日時を決定する対面診療日時決定手段を備えることを特徴とする。
The face-to-face medical care operation management system of the fourth invention is described in the third invention.
In an area including a medical institution that serves as a medical treatment base specified by the area specifying means, the frequency of face-to-face medical treatment of patients performing online medical treatment in the area and the commuting medical staff specified by the staff specifying means Based on this, it is characterized by providing a means for determining the date and time of face-to-face medical care, which determines the date and time of opening the face-to-face medical care.

第4発明の対面診療運営管理システムによれば、診療拠点となる医療機関を含むように予めエリアを定めておくことで(逆に、予めエリア分割を行い、各エリアに診療拠点となる医療機関を配置しておくことで)、オンライン診療の患者のケアをエリア単位で行うことが可能となる。そのため、そのエリアにおけるオンライン診療の患者の対面診療頻度を加味して、診療拠点となる医療機関の対面診療開設日を設定することができる。 According to the face-to-face medical care operation management system of the fourth invention, by predetermining an area so as to include a medical institution that serves as a medical care base (conversely, the area is divided in advance and each area becomes a medical institution that serves as a medical care base. By arranging), it becomes possible to provide care for patients in online medical care on an area-by-area basis. Therefore, it is possible to set the face-to-face medical care opening date of the medical institution that serves as the medical care base in consideration of the face-to-face medical care frequency of the patients in the online medical care in the area.

このように、第4発明の対面診療運営管理システムによれば、オンライン対面診療を、診療拠点となる医療機関内のエリアの患者の対面診療の必要性を考慮することができ、簡易かつ確実に実現することができる。 As described above, according to the face-to-face medical care operation management system of the fourth invention, it is possible to easily and surely consider the necessity of face-to-face medical care for patients in the area within the medical institution as the medical care base for online face-to-face medical care. It can be realized.

第5発明の対面診療運営管理システムは、第1~第4発明のいずれかにおいて、
前記診療拠点における対面診療の収支を計算する収支計算管理手段を備えることを特徴とする。
The face-to-face medical care operation management system of the fifth invention is defined in any one of the first to fourth inventions.
It is characterized by providing a balance calculation management means for calculating the balance of face-to-face medical care at the medical center.

第5発明の対面診療運営管理システムによれば、収支計算管理手段により診療拠点における対面診療の収支を実際に計算することができ、開業を考える医師は、その医療機関において、通常診療時間外の時間帯を利用して対面診療を行った際の経費・人件費などの試算を行うことができ、実際に病院経営のシミュレーションを行うことができる。 According to the face-to-face medical care operation management system of the fifth invention, the balance of face-to-face medical care at a medical center can be actually calculated by the balance calculation management means, and a doctor who considers opening a medical institution can actually calculate the balance of the face-to-face medical care at the medical institution outside the normal medical treatment hours. It is possible to make a trial calculation of expenses, labor costs, etc. when face-to-face medical treatment is performed using the time zone, and it is possible to actually simulate hospital management.

このように、第5発明の対面診療運営管理システムによれば、不定期の対面診療を簡易かつ確実に実現することができ、実際に病院経営の経験が可能となる。 As described above, according to the face-to-face medical care operation management system of the fifth invention, irregular face-to-face medical care can be realized easily and surely, and the experience of hospital management can be actually realized.

本実施形態の対面診療運営管理システムの概要を示すシステム構成図。The system block diagram which shows the outline of the face-to-face medical care operation management system of this embodiment. 図1の対面診療運営管理システムにおける処理内容を示すフローチャート。The flowchart which shows the processing content in the face-to-face medical care operation management system of FIG. 図2に続く対面診療運営管理システムにおける処理内容を示すフローチャート。The flowchart which shows the processing content in the face-to-face medical care operation management system following FIG.

図1に示すように、本実施形態の対面診療運営管理システム1は、例えば、オンランライン診療において、医療従事者Xが対面診療を行うための診療拠点となる医療機関(クリニック)Yで対面診療を行うための運営管理システムであって、医療機関情報記憶手段100と、医療従事者情報記憶手段110と、患者情報記憶手段120と、対面診療需要算出手段130と、医療機関特定手段140と、対面診療時間帯特定手段150と、エリア特定手段160と、スタッフ特定手段170と、対面診療日時決定手段180と、勤務シフト管理手段190と、収支計算管理手段200とを備える。 As shown in FIG. 1, the face-to-face medical care operation management system 1 of the present embodiment is, for example, in face-to-face medical care at a medical institution (clinic) Y, which is a medical care base for medical staff X to perform face-to-face medical care in online medical care. Medical institution information storage means 100, medical worker information storage means 110, patient information storage means 120, face-to-face medical care demand calculation means 130, medical institution identification means 140, and the like. It includes a face-to-face medical care time zone specifying means 150, an area specifying means 160, a staff specifying means 170, a face-to-face medical care date / time determining means 180, a work shift management means 190, and a balance calculation management means 200.

医療機関情報記憶手段100は、メモリまたはハードディスク等により構成される記憶手段であって、診療拠点となる医療機関Yの医療機関情報として少なくとも該医療機関Yの通常診療時間帯と所在地とを含めて記憶する。 The medical institution information storage means 100 is a storage means composed of a memory, a hard disk, or the like, and includes at least the normal medical treatment time zone and the location of the medical institution Y as medical institution information of the medical institution Y serving as a medical treatment base. Remember.

そのほか、医療機関情報記憶手段100に記憶される医療機関情報としては、診療科目、診療設備のほか、診療報酬計算のためのマニュアルなどが含まれる。 In addition, the medical institution information stored in the medical institution information storage means 100 includes medical treatment subjects, medical treatment equipment, and a manual for calculating medical treatment fees.

医療従事者情報記憶手段110は、メモリまたはハードディスク等により構成される記憶手段であって、対面診療に従事する医療従事者Xの医療従事者情報として少なくとも属性(医師・看護師・医療事務など)と勤務可能な時間帯とを含めて記憶する。 The medical worker information storage means 110 is a storage means composed of a memory, a hard disk, or the like, and has at least attributes (doctors, nurses, medical office work, etc.) as medical worker information of the medical worker X engaged in face-to-face medical care. And memorize including the hours when you can work.

そのほか、医療従事者情報記憶手段110に記憶される医療従事者情報としては、属性に関連した職務情報(勤務経歴、資格など)のほか、通勤起点と通勤可能なエリアなどが含まれる。 In addition, the medical worker information stored in the medical worker information storage means 110 includes job information (work history, qualifications, etc.) related to attributes, as well as a commuting starting point and a commuting area.

患者情報記憶手段120は、メモリまたはハードディスク等により構成される記憶手段であって、通常はオンライン診療を受けている患者情報として、該患者の生体情報・健康情報のほか、これらの情報に基づいて作成される診療提案書、カルテ(診療録)、処方内容、オンライン診療頻度や対面診療頻度を含めて記憶する。 The patient information storage means 120 is a storage means composed of a memory, a hard disk, or the like, and is usually used as patient information undergoing online medical treatment, based on the patient's biological information / health information as well as these information. Memorize the created medical treatment proposal, medical record (medical record), prescription content, online medical treatment frequency and face-to-face medical treatment frequency.

ここで、生体情報は、生体に関する種々の生理学的・解剖学的情報等の種々の情報であって、DNA情報のように個人が特定される情報(年齢・性別)のほか、心拍数や血圧データのように個人が特定されない情報の両方を含む概念である。さらに、生体情報には、これらの情報の履歴も含まれる。一方、健康情報は、利用者の自覚症状など、利用者の申告情報を含む概念である。 Here, the biological information is various information such as various physiological and anatomical information about the living body, and in addition to information that identifies an individual (age and gender) such as DNA information, heart rate and blood pressure. It is a concept that includes both non-personally identifiable information such as data. Furthermore, the biometric information also includes a history of such information. On the other hand, health information is a concept that includes user-declared information such as the user's subjective symptoms.

また、そのほか、患者情報記憶手段120に記憶される患者情報としては、保険情報のほか、居住地と通院可能なエリアなどが含まれる。 In addition, the patient information stored in the patient information storage means 120 includes insurance information, a place of residence, an area where the patient can go to the hospital, and the like.

対面診療需要算出手段130は、診療拠点となる医療機関Yを含むエリア(患者が通院可能なエリア)において、そのエリアにおけるオンラン診療を行う患者の対面診療頻度から、そのエリアにおける対面診療の需要(必要性)を算出する。 The face-to-face medical care demand calculation means 130 is a demand for face-to-face medical care in an area (area where patients can go to the hospital) including a medical institution Y, which is a medical care base, based on the frequency of face-to-face medical care of patients who perform on-run medical care in the area. Necessity) is calculated.

具体的に、対面診療需要算出手段130が算出する対面診療の需要(必要性)は、診療拠点となる医療機関Yを含むエリアにおける患者数が対面診療を必要とする期間内(例えば向こう1か月)に何人いるかを算出する。 Specifically, the demand (necessity) for face-to-face medical care calculated by the face-to-face medical care demand calculation means 130 is within the period in which the number of patients in the area including the medical institution Y, which is the medical care base, requires face-to-face medical care (for example, the other side). Calculate how many people there are in a month).

これにより、診療拠点となる医療機関Yを含むように予めエリアを定めておくことで(逆に、予めエリア分割を行い、各エリアに診療拠点となる医療機関Yを適切に配置しておくことで)、オンライン診療の患者のケアをエリア単位で行うことが可能となるところ、そのエリアにおけるオンライン診療の患者の対面診療頻度を加味して、診療拠点となる医療機関Yの対面診療開設日を設定することができる。 As a result, by defining the area in advance so as to include the medical institution Y that will be the medical treatment base (conversely, the area should be divided in advance and the medical institution Y that will be the medical treatment base should be appropriately arranged in each area. In), where it is possible to provide care for patients with online medical care on an area-by-area basis, the opening date of face-to-face medical care at medical institution Y, which is the medical care base, is set in consideration of the frequency of face-to-face medical care for patients with online medical care in that area. Can be set.

医療機関特定手段140は、対面診療需要算出手段130により算出された対面診療の需要が所定以上の場合に、そのエリアにおける対面診療を行う診療拠点となる医療機関(クリニック)Yを特定する。 The medical institution specifying means 140 specifies a medical institution (clinic) Y that serves as a medical care base for performing face-to-face medical care in the area when the demand for face-to-face medical care calculated by the face-to-face medical care demand calculating means 130 is equal to or higher than a predetermined value.

なお、医療機関特定手段140により特定される医療機関Yは、(もともと1つエリアに診療拠点となる医療機関Yを1つ配置している場合のように)そのエリアにおいて1つであってもよく、(もともと1つエリアに診療拠点となる医療機関Yを複数配置している場合には)複数であってもよい。 Even if the number of medical institutions Y specified by the medical institution specifying means 140 is one in that area (as in the case where one medical institution Y that is originally a medical treatment base is arranged in one area). Often, there may be a plurality of medical institutions Y (when a plurality of medical institutions Y, which are originally medical bases, are arranged in one area).

対面診療時間帯特定手段150は、医療機関特定手段140により特定された診療拠点となる診療機関の通常診療時間外の時間帯を、医療機関情報記憶手段100により記憶された医療機関情報から、対面診療可能時間帯として特定する。 The face-to-face medical treatment time zone specifying means 150 sets the time zone outside the normal medical treatment hours of the medical institution that is the medical treatment base specified by the medical institution specifying means 140 from the medical institution information stored by the medical institution information storage means 100. Specify as a medical treatment time zone.

エリア特定手段160は、医療機関特定手段140により特定された診療拠点となる医療機関Yを含むエリアを特定する。ここで、エリア特定手段160は、もともと1つエリアに診療拠点となる医療機関Yを1つ配置している場合には省略してもよいが、そのような場合でも、診療拠点となる医療機関Yを配置するためのエリア(患者の通院可能エリア)とは別に、後述する医療従事者Xの通勤のためのエリア(通勤可能エリア)として別に特定してもよい。 The area specifying means 160 specifies an area including a medical institution Y which is a medical treatment base specified by the medical institution specifying means 140. Here, the area specifying means 160 may be omitted when one medical institution Y to be a medical treatment base is originally arranged in one area, but even in such a case, the medical institution to be a medical treatment base may be omitted. In addition to the area for arranging Y (patient's commuting area), it may be specified separately as the commuting area (commuting area) of the medical worker X, which will be described later.

また、医療従事者Xの通勤可能エリアは、その属性に応じて、拡大または縮小してもよい。例えば、医師であれば、新幹線を利用した通勤エリアを通常の通勤エリアや通院エリアから拡大させて設定させたり、看護師や医療事務は通勤時間を減らすように通勤エリアを通常の通勤エリアや通院エリアから縮小させて設定してもよい。 Further, the commuting area of the medical worker X may be expanded or contracted according to its attributes. For example, if you are a doctor, you can set the commuting area using the Shinkansen by expanding it from the normal commuting area or hospital area, and if you are a nurse or medical office, you can set the commuting area to reduce the commuting time. It may be reduced from the area and set.

スタッフ特定手段170は、対面診療時間帯特定手段150により特定された対面診療可能時間帯に通勤可能であって、エリア特定手段160により特定されたエリア(通勤可能エリア)の医療従事者Xを、医療従事者情報記憶手段110により記憶された医療従事者情報から特定する。 The staff specifying means 170 can commute to work in the face-to-face medical treatment available time zone specified by the face-to-face medical treatment time zone specifying means 150, and the medical worker X in the area (commuting possible area) specified by the area specifying means 160 can be used as a medical worker X. It is specified from the medical worker information stored by the medical worker information storage means 110.

ここで、スタッフ特定手段170は、診療拠点となる医療機関Yおよび予測される対面診療患者数などから、必要な医療従事者Xの種別および人数(例えば、医師1名、看護師2名、医療事務1名など)を充足するように特定する。 Here, the staff identification means 170 uses the medical institution Y as a medical treatment base, the expected number of face-to-face medical treatment patients, and the like, and the type and number of necessary medical staff X (for example, one doctor, two nurses, and medical care). Specify to satisfy (1 clerical person, etc.).

対面診療日時決定手段180は、スタッフ特定手段170により特定される必要な医療従事者Xの種別および人数が確保されることを条件として、その条件を満たす日時(例えば、当該医療機関Yの休診日)を対面診療日時として決定する。 The face-to-face medical treatment date / time determination means 180 is provided with the condition that the type and number of necessary medical workers X specified by the staff identification means 170 are secured, and the date and time satisfying the condition (for example, the holiday of the medical institution Y). ) Is determined as the date and time of face-to-face medical care.

勤務シフト管理手段190は、医療従事者Xの勤務シフトを管理する所謂グループウエアであって、対面診療日時決定手段180により決定された日時および医療機関Yでの医療従事者Xの勤務スケジュールが登録される。 The work shift management means 190 is so-called groupware that manages the work shift of the medical worker X, and the date and time determined by the face-to-face medical care date / time determination means 180 and the work schedule of the medical worker X at the medical institution Y are registered. Will be done.

収支計算管理手段200は、医療機関Yを診療拠点とする対面診療の収支を計算する。具体的に、収支計算管理手段200は、当該対面診療日時における医療報酬である売上から経費を差し引いた収支計算を行う。さらに、収支計算後の利益の分配をレベニューシェア方式で、医療機関Yと運営会社と医師との間で分配する計算も可能である。加えて、患者数に応じた収支計算シミュレーションおよび分配シミュレーションのほか、レセプト(診療報酬明細書)の作成なども可能である。 The income and expenditure calculation management means 200 calculates the income and expenditure of face-to-face medical care with the medical institution Y as a medical treatment base. Specifically, the income and expenditure calculation management means 200 performs the income and expenditure calculation by subtracting the expense from the sales which is the medical remuneration at the face-to-face medical treatment date and time. Furthermore, it is also possible to calculate the distribution of profits after the income and expenditure calculation by the revenue sharing method between the medical institution Y, the operating company, and the doctor. In addition, in addition to income and expenditure calculation simulation and distribution simulation according to the number of patients, it is also possible to create medical receipts (medical receipts).

以上が本実施形態の対面診療運営管理システム1の構成である。なお、以上の構成において、各処理部および処理手段100~200は、それぞれ例えば、CPU(Central Processing Unit)、ROM(Read Only memory)、RAM(Random Access Memory)等のハードウェアにより構成され、後述する各種処理を実行するプログラムをメモリ(不図示)に記憶保持し、そのプログラムを実行することにより、各種処理を実行するための演算装置(シーケンサ)として機能する。 The above is the configuration of the face-to-face medical care operation management system 1 of the present embodiment. In the above configuration, each processing unit and processing means 100 to 200 are each composed of hardware such as a CPU (Central Processing Unit), a ROM (Read Only memory), and a RAM (Random Access Memory), which will be described later. A program for executing various processes is stored in a memory (not shown), and by executing the program, it functions as an arithmetic unit (sequencer) for executing various processes.

次に、図2および図3を参照して、本実施形態における対面診療運営管理システム1の処理内容を説明する。 Next, the processing contents of the face-to-face medical care operation management system 1 in the present embodiment will be described with reference to FIGS. 2 and 3.

図2を参照して、オンライン診療において対面診療を行う医療機関Yの登録処理および医療従事者Xの登録処理について説明する。 With reference to FIG. 2, the registration process of the medical institution Y and the registration process of the medical worker X who perform face-to-face medical care in online medical care will be described.

まず、当該対面診療運営管理システム1を運用するオンライン診療支援会社が、オンライン診療における対面診療の診療拠点となる医療機関(クリニック)Yの募集を開始し、医療機関Yから協力の申し出があると、その医療機関Yについての医療機関情報が医療機関情報記憶手段100に記憶保持される(STEP100/図2)。 First, the online medical care support company that operates the face-to-face medical care operation management system 1 has started recruiting medical institutions (clinics) Y that will be the medical care bases for face-to-face medical care in online medical care, and the medical institution Y has offered to cooperate. , The medical institution information about the medical institution Y is stored in the medical institution information storage means 100 (STEP 100 / FIG. 2).

ここで、医療機関情報記憶手段100に記憶保持される医療機関情報は、医療機関Yの通常診療時間帯(例えば、月、火、水、金の9時~12時および14時~17時、土の9時から12時)と、医療機関Yの所在地(住所)のほか、診療科目、所属スタッフ(所属医師、所属看護師、所属医療事務など)、診療設備および診療報酬計算のためのマニュアルなども含まれる。 Here, the medical institution information stored in the medical institution information storage means 100 is the normal medical treatment time zone of the medical institution Y (for example, Monday, Tuesday, Wednesday, Friday from 9:00 to 12:00 and 14:00 to 17:00, (9 am to 12 pm on Saturday), the location (address) of medical institution Y, medical treatment subjects, affiliated staff (affiliated doctors, affiliated nurses, affiliated medical office work, etc.), medical equipment and manuals for medical fee calculation Etc. are also included.

また、オンライン診療支援会社が、オンライン診療において不定期に行われる対面診療に従事する医療従事者Xの募集(医師の募集、看護師の募集、医療事務の募集、必要に応じて薬剤師)を開始し、医療従事者Xから協力の申し出があると、その医療従事者Xについて、面接(直接面接やWEBなどのテレビ会議での面接)が行われ、採用者については、その医療従事者情報が医療従事者情報記憶手段110に記憶保持される(STEP110/図2)。 In addition, an online medical care support company has started recruiting medical professionals X (recruitment of doctors, recruitment of nurses, recruitment of medical office work, pharmacists as necessary) engaged in face-to-face medical care that is performed irregularly in online medical care. However, when the medical worker X offers to cooperate, an interview (direct interview or interview at a video conference such as WEB) is conducted for the medical worker X, and the medical worker information is provided for the employer. It is stored in the medical worker information storage means 110 (STEP 110 / FIG. 2).

なお、予め勤務予定の対面診療の拠点となる医療機関(クリニック)Yが決まっている場合には、その医療機関Yの関係者が面接に参加してもよい。 If the medical institution (clinic) Y that will be the base for face-to-face medical treatment scheduled to work has been decided in advance, the persons concerned with the medical institution Y may participate in the interview.

ここで、医療従事者情報記憶手段110に記憶保持される医療従事者情報は、属性として医師・看護師・医療事務・薬剤師の種別(職務経歴や専門医などの資格を含む)、勤務可能な時間帯、通勤起点および通勤可能なエリアなどが含まれる。 Here, the medical worker information stored in the medical worker information storage means 110 includes the types of doctors, nurses, medical offices, and pharmacists (including work experience and qualifications such as specialists) and working hours as attributes. Includes obi, commuting starting point and commuting area.

そして、新規採用スタッフの医療従事者Xについては、スタッフトレーニング期間が設定される(STEP115/図2)。 Then, a staff training period is set for the medical worker X of the newly hired staff (STEP 115 / FIG. 2).

スタッフトレーニング期間は、医療従事者Xが対面診療の拠点となる医療機関Yでの勤務のためのプログラムが実行される勤務準備期間であって、その医療従事者Xの属性に応じて予め設定された期間であって、その医療従事者Xの勤務経歴に基づいて延長短縮の補正が施されるようになっている。その後、スタッフトレーニング期間において、当該プログラムが実行される。 The staff training period is a work preparation period in which the program for working at the medical institution Y, where the medical worker X is the base of face-to-face medical care, is executed, and is preset according to the attributes of the medical worker X. During this period, the extension and shortening amendments are made based on the work history of the medical worker X. Then, during the staff training period, the program is executed.

なお、本実施形態では、説明を省略するが、患者情報記憶手段120には、上述のように、通常はオンライン診療を受けている患者情報として、該患者の生体情報・健康情報のほか、これらの情報に基づいて作成される診療提案書、カルテ(オンライン診療頻度や対面診療頻度を含む)、処方内容、保険情報のほか、居住地と通院可能なエリアなどが、予め記憶保持されている。 Although the description is omitted in the present embodiment, as described above, the patient information storage means 120 includes the patient's biological information / health information as well as the patient's biometric information / health information as the patient information that is normally undergoing online medical treatment. In addition to medical treatment proposals, medical records (including online medical treatment frequency and face-to-face medical treatment frequency), prescription contents, and insurance information created based on the information in the above, the place of residence and the area where the patient can go to the hospital are stored in advance.

以上が、オンライン診療において対面診療を行う医療機関Yの登録処理および医療従事者Xの登録処理の詳細である。 The above is the details of the registration process of the medical institution Y and the registration process of the medical worker X who perform face-to-face medical care in online medical care.

次に、図3を参照して、医療従者Xが医療機関(クリニック)Yで対面診療を行えるようにするための対面診療運営管理処理の内容を説明する。 Next, with reference to FIG. 3, the contents of the face-to-face medical care operation management process for enabling the medical attendant X to perform face-to-face medical care at the medical institution (clinic) Y will be described.

まず、対面診療運営管理システム1は、対面診療需要算出手段130が、予め全国を複数に分割した運営管理エリアにおいて、そのエリアにおけるオンラン診療を行う患者の対面診療頻度から、そのエリアにおける対面診療の需要(必要性)を算出する(STEP130/図3)。 First, in the face-to-face medical care operation management system 1, the face-to-face medical care demand calculation means 130 performs face-to-face medical care in the area based on the frequency of face-to-face medical care of patients who perform on-run medical care in the area in the operation management area divided into a plurality of areas in advance. Calculate the demand (necessity) (STEP130 / Fig. 3).

そして、対面診療需要算出手段130によるSTEP130の対面診療需要算出処理において算出された需要患者数(当該エリアにおいて向こう1か月の間に対面診療を必要とする患者数)が閾値となる人数以上いる場合いる場合には、医療機関特定手段140が、当該エリアにおける対面診療を行う診療拠点となる医療機関(クリニック)Yを一または複数特定する(STEP140/図3)。 Then, the number of demand patients calculated in the face-to-face medical care demand calculation process of STEP 130 by the face-to-face medical care demand calculation means 130 (the number of patients who require face-to-face medical care in the next month in the area) is equal to or more than the threshold value. In some cases, the medical institution identifying means 140 identifies one or more medical institutions (clinics) Y that serve as medical treatment bases for face-to-face medical treatment in the area (STEP 140 / FIG. 3).

次に、対面診療時間帯特定手段150が、医療機関特定手段140によりSTEP140で特定された診療拠点となる診療機関の通常診療時間外の時間帯を、医療機関情報記憶手段100により記憶された医療機関情報から、対面診療可能時間帯を特定する(STEP150/図3)。 Next, the face-to-face medical treatment time zone specifying means 150 stores the time zone outside the normal medical treatment hours of the medical institution that becomes the medical treatment base specified by the medical institution specifying means 140 in STEP 140 by the medical institution information storage means 100. From the institutional information, the time zone in which face-to-face medical treatment is possible is specified (STEP150 / Fig. 3).

これにより、予め登録された診療拠点となる医療機関Yについて、その医療機関情報から通常診療時間外の時間帯、すなわち、休診日や診療日でも診療時間外の早朝や夜間の時間帯が、対面診療可能時間帯として特定される。 As a result, for the medical institution Y that is the medical institution Y registered in advance, the time zone outside the normal medical treatment hours, that is, the early morning and nighttime hours outside the medical treatment hours even on holidays and medical treatment days, is face-to-face. It is specified as a medical treatment time zone.

次いで、エリア特定手段160が、医療機関特定手段140により特定された診療拠点となる医療機関Yを含むエリア(医療従事者Xの通勤のためのエリア(通勤可能エリア))を特定する(STEP160/図3)。 Next, the area specifying means 160 specifies an area (area for commuting of the medical worker X (commuting area)) including the medical institution Y which is the medical treatment base specified by the medical institution specifying means 140 (STEP 160 / Figure 3).

ここで、医療従事者Xはできる限り近場で勤務を希望することが多いところ、診療拠点となる医療機関Yを含むように予め通勤可能エリアを定めておくことで(逆に、予めエリア分割を行い、各エリアに診療拠点となる医療機関Yを適切に配置しておくことで)、該医療機関Yを含む一定範囲のエリアを特定可能し、該エリアに通勤可能な医療従者を特定することができる。 Here, since the medical worker X often wants to work as close as possible, by predetermining the commuting area so as to include the medical institution Y which is the medical treatment base (conversely, the area is divided in advance). By appropriately arranging the medical institution Y as a medical treatment base in each area), it is possible to identify a certain range of areas including the medical institution Y, and identify medical staff who can commute to the area. be able to.

なお、当該エリアに通勤可能か否かは、単にエリア内やその隣接エリアに医療従事者Xが居住しているか否かにより判定してもよいが、これに加えてまたは代えて、医療従事者Xの通勤可能な時間帯から、当該医療機関Yへの往復通勤時間を差し引いた勤務時間が確保されるか否かにより判定してもよい。 Whether or not it is possible to commute to the area may be determined simply by whether or not the medical worker X resides in or adjacent to the area, but in addition to or instead of this, the medical worker It may be determined whether or not the working hours are secured by subtracting the round-trip commuting time to the medical institution Y from the commuting time zone of X.

次に、スタッフ特定手段170が、対面診療時間帯特定手段150によりSTEP150で特定された対面診療可能時間帯に通勤可能であって、エリア特定手段160によりSTEP160で特定されたエリア(通勤可能エリア)の医療従事者X(例えば、医師1名、看護師2名、医療事務1名など)を、医療従事者情報記憶手段110により記憶された医療従事者情報から特定する(STEP170/図3)。 Next, the staff specifying means 170 can commute to work in the face-to-face medical treatment possible time zone specified by the face-to-face medical treatment time zone specifying means 150 in STEP 150, and the area specified in STEP 160 by the area specifying means 160 (commuting area). The medical worker X (for example, one doctor, two nurses, one medical office worker, etc.) is identified from the medical worker information stored by the medical worker information storage means 110 (STEP 170 / FIG. 3).

これにより、STEP150で特定された対面診療時間帯に対して、医療従事者情報から予め登録された医療従事者Xである医師や医療事務スタッフの勤務可能時間帯等の勤務条件から通勤可能な医療従事者Xが特定される。 As a result, for the face-to-face medical treatment time zone specified in STEP 150, medical treatment that allows commuting from the working conditions such as the working hours of the doctor and the medical office staff who are the medical staff X registered in advance from the medical staff information. Worker X is identified.

ここで、スタッフ特定手段170は、新規採用スタッフに対しては、STEP115で設定されたトレーニング期間の経過を条件として、トレーニング期間の経過後の対面診療可能時間帯において通勤可能な医療従事者Xを特定する。 Here, the staff identification means 170 provides the newly hired staff with a medical worker X who can commute to work during the face-to-face medical treatment time zone after the training period has elapsed, provided that the training period set in STEP 115 has elapsed. Identify.

これにより、新規採用スタッフに関しては、採用される側も採用する側もできる限り早く勤務を開始したいところ、スタッフ特定手段170は、トレーニング期間の経過を条件として、新規採用スタッフの属性および対面診療可能時間帯と当該新規採用スタッフの勤務可能な時間帯とのマッチングを行い、通勤可能な医療従事者Xとして新規採用スタッフを特定対象とすることができる。 As a result, regarding newly hired staff, both the hired side and the hired side want to start working as soon as possible, but the staff identification means 170 can be used for the attributes of newly hired staff and face-to-face medical care provided that the training period has elapsed. By matching the time zone with the workable time zone of the newly hired staff, the newly hired staff can be specified as the commuting medical worker X.

次いで、対面診療日時決定手段180は、スタッフ特定手段170によりSTEP170で特定される必要な医療従事者Xの種別および人数が確保されることを条件として、その条件を満たす日時(例えば、当該医療機関Yの休診日)を対面診療日時として仮決定し、SSTEP170で特定された医療従事者Xのすべてに勤務依頼の通知を行う(STEP180/図3)。 Next, the face-to-face medical care date / time determination means 180 is provided with the condition that the type and the number of necessary medical workers X specified in STEP 170 are secured by the staff specifying means 170, and the date and time satisfying the condition (for example, the medical institution concerned). (Y's holiday) is tentatively determined as the face-to-face medical treatment date and time, and the work request is notified to all of the medical staff X specified in SSTEP170 (STEP180 / FIG. 3).

そして、勤務依頼の通知を行った医療従事者Xからの同意(またはNGが一定期間内にないこと)を条件として、STEP180により仮決定された対面診療日時での対面診療を決定する(STEP185/図3)。 Then, on condition that the consent from the medical worker X who notified the work request (or that NG is not within a certain period of time), the face-to-face medical treatment at the face-to-face medical treatment date and time tentatively determined by STEP 180 is determined (STEP 185 /. Figure 3).

このように、STEP170で特定された医療従事者Xに対して、勤務依頼として、診療拠点となる医療機関Yと対面診療時間帯とを通知してその勤務シフトを確定することで、対面診療可能時間帯に簡易かつ確実に医療従事者Xを配置して運営することができる。 In this way, face-to-face medical care is possible by notifying the medical worker X specified in STEP 170 of the medical institution Y, which is the medical care base, and the face-to-face medical care time zone as a work request, and confirming the work shift. It is possible to easily and reliably assign and operate the medical worker X in the time zone.

最後に、勤務シフト管理手段190が、医療従事者Xの勤務シフトを管理する所謂グループウエアに、対面診療日時決定手段180によりSTEP180、185で決定された日時および医療機関Yでの医療従事者Xの勤務スケジュールの登録を行う(STEP190/図3)。 Finally, the work shift management means 190 is attached to the so-called groupware that manages the work shift of the medical worker X, the date and time determined in STEP 180 and 185 by the face-to-face medical care date and time determination means 180, and the medical worker X at the medical institution Y. Register the work schedule of (STEP190 / Fig. 3).

そして、実際に、対面診療日時で対面診療が行われると、収支計算管理手段200により、医療機関Yを診療拠点とする対面診療の収支計算管理処理が行われる(STEP200/図3)。 Then, when the face-to-face medical treatment is actually performed on the date and time of the face-to-face medical treatment, the income and expenditure calculation management means 200 performs the income and expenditure calculation management process of the face-to-face medical treatment with the medical institution Y as the medical treatment base (STEP200 / FIG. 3).

STEP200において、収支計算管理手段200は、当該対面診療日時における医療報酬である売上から経費(勤務シフト管理手段190により登録された医療従事者Xの人件費および必要経費)を差し引いた収支計算を行う。 In STEP 200, the income and expenditure calculation management means 200 calculates the income and expenditure by subtracting the expenses (personnel expenses and necessary expenses of the medical worker X registered by the work shift management means 190) from the sales which are the medical remuneration at the face-to-face medical treatment date and time. ..

これにより、診療拠点における対面診療の収支を実際に計算することができ、例えば、開業を考える医師は、その医療機関Yにおいて、通常診療時間外の時間帯を利用して対面診療を行った際の経費・人件費などの試算を行うことができ、実際に病院経営のシミュレーションを行うことができる。 As a result, the balance of face-to-face medical care at the medical center can be actually calculated. It is possible to make a trial calculation of expenses, labor costs, etc., and to actually simulate hospital management.

以上が、医療従者Xが医療機関(クリニック)Yで対面診療を行うための対面診療運営管理処理の詳細であり、かかる本実施形態の対面診療運営管理システム1によれば、不定期の対面診療を簡易かつ確実に実現することができ、病院経営の経験が可能となる。 The above is the details of the face-to-face medical care operation management process for the medical attendant X to perform face-to-face medical care at the medical institution (clinic) Y. According to the face-to-face medical care operation management system 1 of the present embodiment, irregular face-to-face medical care is performed. Can be realized easily and surely, and the experience of hospital management becomes possible.

なお、本実施形態では、オンランライン診療において、医療従事者Xが対面診療を行うための診療拠点となる医療機関(クリニック)Yで対面診療を行うための運営管理システムとして説明したが、医療機関の通常診療時間外に該医療機関を利用して対面診療を行うための運営管理システムであれば、これに限定されるものではない。例えば、若手医師が独立開業のために、病院経営シミュレーションを行うために行う対面診療の運営管理システムであってもよい。 In the present embodiment, in the online medical care, the operation management system for performing face-to-face medical care at the medical institution (clinic) Y, which is the medical care base for the medical staff X to perform face-to-face medical care, has been described. The system is not limited to this as long as it is an operation management system for performing face-to-face medical treatment using the medical institution outside the normal medical treatment hours. For example, it may be an operation management system for face-to-face medical care performed by a young doctor to perform a hospital management simulation for independent opening.

1…対面診療運営管理システム、100…医療機関情報記憶手段、110…医療従事者情報記憶手段、120…患者情報記憶手段、130…対面診療需要算出手段、140…医療機関特定手段、150…対面診療時間帯特定手段、160…エリア特定手段、170…スタッフ特定手段、180…対面診療日時決定手段、190…勤務シフト管理手段、200…収支計算管理手段、X…医療従事者、Y…医療機関(クリニック)。 1 ... Face-to-face medical care operation management system, 100 ... Medical institution information storage means, 110 ... Medical worker information storage means, 120 ... Patient information storage means, 130 ... Face-to-face medical care demand calculation means, 140 ... Medical institution identification means, 150 ... Face-to-face Medical treatment time zone identification means, 160 ... Area identification means, 170 ... Staff identification means, 180 ... Face-to-face medical treatment date and time determination means, 190 ... Work shift management means, 200 ... Balance calculation management means, X ... Medical staff, Y ... Medical institution (clinic).

第1発明の対面診療運営管理システムは、医療機関の通常診療時間外に該医療機関を利用して対面診療を行う時間外診療の診療拠点の運営を管理する対面診療運営管理システムであって、
前記診療拠点となる医療機関の医療機関情報として少なくとも該医療機関の通常診療時間帯を含めて記憶する医療機関情報記憶手段と、
前記診療拠点となる診療機関の通常診療時間外の時間帯を、前記医療機関情報記憶手段により記憶された医療機関情報から、対面診療可能時間帯として特定する対面診療時間帯特定手段と、
前記対面診療に従事する医療従事者の医療従事者情報として少なくとも属性と勤務可能な時間帯とを含めて記憶する医療従事者情報記憶手段と、
前記対面診療時間帯特定手段により特定された対面診療可能時間帯に通勤可能な医療従事者を、前記医療従事者情報記憶手段により記憶された医療従事者情報から特定するスタッフ特定手段と、
前記スタッフ特定手段により特定された医療従事者に対して、前記診療拠点となる医療機関と前記対面診療時間帯特定手段により特定された対面診療時間帯とを通知して、当該対面診療時間帯での勤務シフトを確定する対面診療日時決定手段と
前記診療拠点となる医療機関を含むエリアを特定するエリア特定手段と
を備え、
前記スタッフ特定手段は、前記エリア特定手段により特定されたエリア毎に前記対面診療時間帯特定手段により特定された対面診療可能時間帯に通勤可能な医療従事者を特定し、
前記対面診療日時決定手段は、前記エリア特定手段により特定される前記診療拠点となる医療機関を含むエリアにおいて、該エリアにおけるオンライン診療を行う患者の患者情報記憶手段に記憶された対面診療頻度から算出される対面診療の需要と、前記スタッフ特定手段により特定される通勤可能な医療従事者とに基づいて、対面診療開設日時を決定することを特徴とする
The face-to-face medical care operation management system of the first invention is a face-to-face medical care operation management system that manages the operation of a medical care base for overtime medical care in which face-to-face medical care is performed using the medical institution outside the normal medical care hours of the medical institution.
A medical institution information storage means for storing at least the normal medical treatment time zone of the medical institution as the medical institution information of the medical institution serving as the medical treatment base.
A face-to-face medical treatment time zone specifying means for specifying a time zone outside the normal medical treatment hours of the medical institution serving as the medical treatment base as a face-to-face medical treatment possible time zone from the medical institution information stored by the medical institution information storage means.
A medical worker information storage means for storing at least attributes and working hours as medical worker information of a medical worker engaged in face-to-face medical care.
A staff identification means for identifying a medical worker who can commute to work during the face-to-face medical care time zone specified by the face-to-face medical care time zone specifying means from the medical worker information stored by the medical worker information storage means.
Notify the medical staff specified by the staff specifying means of the medical institution serving as the medical treatment base and the face-to-face medical treatment time zone specified by the face-to-face medical treatment time zone specifying means, and in the face-to-face medical treatment time zone. Means for determining the date and time of face-to-face medical care to determine the work shift of
With area identification means to specify the area including the medical institution that serves as the medical treatment base
Equipped with
The staff specifying means identifies a medical worker who can commute to work during the face-to-face medical treatment available time zone specified by the face-to-face medical treatment time zone specifying means for each area specified by the area specifying means.
The face-to-face medical care date / time determination means is calculated from the face-to-face medical care frequency stored in the patient information storage means of the patient who performs online medical care in the area in the area including the medical institution serving as the medical care base specified by the area specifying means. It is characterized in that the date and time for opening face-to-face medical care is determined based on the demand for face-to-face medical care to be performed and the medical staff who can commute to work specified by the staff identification means .

このように、第1発明の対面診療運営管理システムによれば、不定期の対面診療を簡易かつ確実に実現することができ、病院経営の経験が可能となる。
また、第1発明の対面診療運営管理システムによれば、医療従事者はできる限り近場で勤務を希望することが多いところ、診療拠点となる医療機関を含むように予めエリアを定めておくことで(逆に、予めエリア分割を行い、各エリアに診療拠点となる医療機関を配置しておくことで)、該医療機関を含む一定範囲のエリアを特定可能し、該エリアに通勤可能な医療従者を特定することができる。
例えば、当該エリアに通勤可能か否かは、単にエリア内やその隣接エリアに医療従事者が居住しているか否かにより判定してもよいが、これに加えてまたは代えて、医療従事者の通勤可能な時間帯から、当該医療機関への往復通勤時間を差し引いた勤務時間が確保されるか否かにより判定してもよい。
このように、第1発明の対面診療運営管理システムによれば、対面診療を、診療拠点となるエリアを加味しつつ簡易かつ確実に実現することができる。
さらに、第1発明の対面診療運営管理システムによれば、診療拠点となる医療機関を含むように予めエリアを定めておくことで(逆に、予めエリア分割を行い、各エリアに診療拠点となる医療機関を配置しておくことで)、オンライン診療の患者のケアをエリア単位で行うことが可能となる。そのため、そのエリアにおけるオンライン診療の患者の対面診療頻度を加味して、診療拠点となる医療機関の対面診療開設日を設定することができる。
このように、第1発明の対面診療運営管理システムによれば、オンライン対面診療を、診療拠点となる医療機関内のエリアの患者の対面診療の必要性を考慮することができ、簡易かつ確実に実現することができる。
As described above, according to the face-to-face medical care operation management system of the first invention, irregular face-to-face medical care can be realized easily and surely, and the experience of hospital management becomes possible.
In addition, according to the face-to-face medical care operation management system of the first invention, where medical professionals often desire to work as close as possible, the area should be defined in advance so as to include the medical institution that serves as the medical care base. (Conversely, by dividing the area in advance and arranging medical institutions that serve as medical treatment bases in each area), it is possible to specify a certain range of areas including the medical institution, and medical care that can commute to the area. A follower can be identified.
For example, whether or not a person can commute to the area may be determined simply by whether or not a health worker resides in or adjacent to the area, but in addition to or instead of this, the health care worker's It may be determined whether or not the working hours are secured by subtracting the round-trip commuting time to the medical institution from the commuting time zone.
As described above, according to the face-to-face medical care operation management system of the first invention, face-to-face medical care can be easily and surely realized while taking into consideration the area serving as a medical care base.
Further, according to the face-to-face medical care operation management system of the first invention, by predetermining an area so as to include a medical institution to be a medical care base (conversely, the area is divided in advance and each area becomes a medical care base. (By arranging a medical institution), it becomes possible to provide care for patients in online medical care on an area-by-area basis. Therefore, it is possible to set the face-to-face medical care opening date of the medical institution that serves as the medical care base in consideration of the face-to-face medical care frequency of the patients in the online medical care in the area.
As described above, according to the face-to-face medical care operation management system of the first invention, it is possible to easily and surely consider the necessity of face-to-face medical care for patients in the area of the medical institution as the medical care base for online face-to-face medical care. It can be realized.

発明の対面診療運営管理システムは、第1または第2発明において、
前記診療拠点における対面診療の収支を計算する収支計算管理手段を備えることを特徴とする。
The face-to-face medical care operation management system of the third invention is described in the first or second invention .
It is characterized by providing a balance calculation management means for calculating the balance of face-to-face medical care at the medical center.

発明の対面診療運営管理システムによれば、収支計算管理手段により診療拠点における対面診療の収支を実際に計算することができ、開業を考える医師は、その医療機関において、通常診療時間外の時間帯を利用して対面診療を行った際の経費・人件費などの試算を行うことができ、実際に病院経営のシミュレーションを行うことができる。 According to the face-to-face medical care operation management system of the third invention, the balance of face-to-face medical care at a medical center can be actually calculated by the balance calculation management means, and a doctor who considers opening a medical institution can actually calculate the balance of the face-to-face medical care at the medical institution outside the normal medical treatment hours. It is possible to make a trial calculation of expenses, labor costs, etc. when face-to-face medical treatment is performed using the time zone, and it is possible to actually simulate hospital management.

このように、第発明の対面診療運営管理システムによれば、不定期の対面診療を簡易かつ確実に実現することができ、実際に病院経営の経験が可能となる。 As described above, according to the face-to-face medical care operation management system of the third invention, irregular face-to-face medical care can be realized easily and surely, and the experience of hospital management can be actually realized.

Claims (5)

医療機関の通常診療時間外に該医療機関を利用して対面診療を行う時間外診療の診療拠点の運営を管理する対面診療運営管理システムであって、
前記診療拠点となる医療機関の医療機関情報として少なくとも該医療機関の通常診療時間帯を含めて記憶する医療機関情報記憶手段と、
前記診療拠点となる診療機関の通常診療時間外の時間帯を、前記医療機関情報記憶手段により記憶された医療機関情報から、対面診療可能時間帯として特定する対面診療時間帯特定手段と、
前記対面診療に従事する医療従事者の医療従事者情報として少なくとも属性と勤務可能な時間帯とを含めて記憶する医療従事者情報記憶手段と、
前記対面診療時間帯特定手段により特定された対面診療可能時間帯に通勤可能な医療従事者を、前記医療従事者情報記憶手段により記憶された医療従事者情報から特定するスタッフ特定手段と、
前記スタッフ特定手段により特定された医療従事者に対して、前記診療拠点となる医療機関と前記対面診療時間帯特定手段により特定された対面診療時間帯とを通知して、当該対面診療時間帯での勤務シフトを確定する対面診療日時決定手段と
を備えることを特徴とする対面診療運営管理システム。
It is a face-to-face medical care operation management system that manages the operation of the medical care base for overtime medical care that uses the medical institution to perform face-to-face medical care outside the normal medical care hours of the medical institution.
A medical institution information storage means for storing at least the normal medical treatment time zone of the medical institution as medical institution information of the medical institution serving as the medical treatment base.
A means for specifying a face-to-face medical treatment time zone that specifies a time zone outside the normal medical treatment hours of the medical institution serving as the medical treatment base as a face-to-face medical treatment possible time zone from the medical institution information stored by the medical institution information storage means.
Medical worker information storage means for storing at least attributes and working hours as medical worker information of medical workers engaged in face-to-face medical care, and
A staff identification means for identifying a medical worker who can commute to work during the face-to-face medical care time zone specified by the face-to-face medical care time zone specifying means from the medical worker information stored by the medical worker information storage means.
Notify the medical staff specified by the staff specifying means of the medical institution serving as the medical treatment base and the face-to-face medical treatment time zone specified by the face-to-face medical treatment time zone specifying means, and in the face-to-face medical treatment time zone. A face-to-face medical care operation management system characterized by being provided with a means for determining the date and time of face-to-face medical care that determines the work shift.
請求項1記載の対面診療運営管理システムにおいて、
前記スタッフ特定手段は、新規採用スタッフに対して設定されたトレーニング期間の経過後の前記対面診療可能時間帯において通勤可能な医療従事者として特定することを特徴とする対面診療運営管理システム。
In the face-to-face medical care operation management system according to claim 1,
The staff identification means is a face-to-face medical care operation management system characterized in that it is specified as a medical worker who can commute to work during the face-to-face medical care available time zone after the training period set for newly hired staff has elapsed.
請求項1または2記載の対面診療運営管理システムにおいて、
前記診療拠点となる医療機関を含むエリアを特定するエリア特定手段を備え、
前記スタッフ特定手段は、前記エリア特定手段により特定されたエリア毎に前記対面診療時間帯特定手段により特定された対面診療可能時間帯に通勤可能な医療従事者を特定することを特徴とする対面診療運営管理システム。
In the face-to-face medical care operation management system according to claim 1 or 2.
Equipped with area identification means to specify the area including the medical institution that serves as the medical treatment base,
The staff specifying means is characterized in that it identifies a medical worker who can commute to work in the face-to-face medical care time zone specified by the face-to-face medical care time zone specifying means for each area specified by the area specifying means. Operation management system.
請求項3記載の対面診療運営管理システムにおいて、
前記エリア特定手段により特定される前記診療拠点となる医療機関を含むエリアにおいて、該エリアにおけるオンライン診療を行う患者の対面診療頻度と、前記スタッフ特定手段により特定される通勤可能な医療従事者とに基づいて、対面診療開設日時を決定する対面診療日時決定手段を備えることを特徴とする対面診療運営管理システム。
In the face-to-face medical care operation management system according to claim 3,
In the area including the medical institution that serves as the medical care base specified by the area specifying means, the frequency of face-to-face medical care of patients performing online medical care in the area and the commuting medical staff specified by the staff specifying means Based on this, a face-to-face medical care operation management system characterized by being provided with a means for determining a face-to-face medical care date and time for determining a face-to-face medical care opening date and time.
請求項1乃至4のうちいずれか1項記載の対面診療運営管理システムにおいて、
前記診療拠点における対面診療の収支を計算する収支計算管理手段を備えることを特徴とする対面診療運営管理システム。
In the face-to-face medical care operation management system according to any one of claims 1 to 4,
A face-to-face medical care operation management system comprising a balance calculation management means for calculating the balance of face-to-face medical care at the medical care base.
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Patent Citations (4)

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JP2002074118A (en) * 2000-08-25 2002-03-15 Nec Corp Method and system for managing business trip service reservation and computer readable recording medium
JP2002183147A (en) * 2000-11-30 2002-06-28 Ge Medical Systems Global Technology Co Llc Method and device for area data registration and retrieval system
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