JP4696181B1 - Reservation processing system, reservation processing method, and reservation processing program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To efficiently provide medical care to a reservation patient and a visiting patient on the day with a small waiting time, and to be able to operate flexibly according to a judgment of a doctor and the like, and to evaluate a doctor who made the judgment next. The reservation processing system 1 that can be used for the determination of the above is provided.
SOLUTION: When an interruption registration unit 34 and an interruption registration unit 34 execute an interruption process of medical treatment in the reservation processing system 1, the medical treatment time and the medical treatment relating to the medical treatment classification of the flowable reservation to be interrupted Based on the preliminary time of the doctor who is in charge of the implementation, the expected time required for the appointment medical treatment set in the time frame is pushed out behind the time frame to determine whether or not stress time has occurred to stress the patient The interrupt registration unit 34 executes an interrupt process if a forced execution input is received even when the situation determination unit 38 determines that a stress time has occurred. It was.
[Selection] Figure 2

Description

  The present invention relates to a reservation processing system, a reservation processing method, and a reservation processing program that accept a service reservation and interrupt the user on the day, for example.

  2. Description of the Related Art Conventionally, a reservation service for receiving a reservation in advance has been performed in a medical service at a hospital. Further, in order to provide services not only to the reserved user but also to the user who visited the hospital on the day, the service is provided by adjusting the reservation user and the user on the day.

  A service time allocation method has been proposed as a method of processing such reservation users and users on the day (see Patent Document 1). In this method, a free time is calculated from the reservation time allocation, it is determined whether or not there is a free time that is equal to or greater than the service time of the current day, and if there is a free time, the current day is assigned to that free time. Further, when there is no free time longer than the service time, the free time is assigned to the free time that minimizes the total waiting time when the forced time is assigned.

  In addition, there is also proposed a medical reservation management method for the purpose of realizing a unified reception method including a reserved patient and a non-reserved patient, a smooth determination of a medical order, and an improvement of a notification method (see Patent Document 2). ). In this method, it is proposed that the remaining time when the medical treatment of a patient who has received medical treatment within the time frame is completed is rearranged to the remaining time of the next time frame, or the start time of the next time frame is increased by that amount. Has been.

  However, these methods are limited to mechanical processing, have a low degree of operational freedom, and cannot be connected to evaluations of doctors in charge who accept and execute services.

JP 2009-129308 A JP 2003-296448 A

  In view of the above-described problems, the present invention can efficiently provide services to a reservation user and a user on the day with a small waiting time, and can be flexibly operated according to the determination of a person in charge, etc. The purpose is to provide a reservation processing system, a reservation processing method, and a reservation processing program that can be used to evaluate the person in charge, etc. To do.

The present invention relates to service time information by contents in which service time required for each service category is predetermined, spare time information by person in charge assigning spare time to a plurality of persons in charge of service, and serviceable time Storage means for storing time frame information divided into a plurality of time frames, service reservation reception means for receiving service reservations in units of time frames and adjusting the schedule, and the service reservations are assigned to the time frames Occurs between a reservation and a reservation when executing the service interrupt process by the service interrupt process executing means for executing a service interrupt process for interrupting a flowable service reservation in the schedule. the clearance time, the service time and the service according to the service classification flowable service reservation for interrupt processing If the personnel in charge of the implementation of the scan preliminary time and adding the time or more and an interrupt-friendly and determines the interrupt determination section, the service interruption processing execution means, the interrupt determination part Ri configuration der to perform the service interruption processing if it has accepted the forcing input even when it is determined that the interrupt disabled by, for each person in charge, the service reservation allocated to the time frame Stress time storage processing means for storing in the storage means the stress time when the service execution completion time is delayed from the end time of the time frame and stresses the user, and the person in charge if the stress time occurs frequently the longer than the pre-adjusted set the preliminary time, reservation and a preliminary time adjusting means for adjusting shorter than before adjustment of setting the preliminary time of the person the less occurrence of the stress-time Characterized in that it is a management system.

  According to the present invention, it is possible to efficiently provide a service to a reservation user and a user on the day with a small waiting time, and it is possible to operate flexibly according to the determination of the person in charge, etc. It is possible to provide a reservation processing system, a reservation processing method, and a reservation processing program that can be evaluated and used for the next judgment.

The system block diagram of a reservation processing system. The functional block diagram which shows the function which each apparatus of a reservation processing system performs. Explanatory drawing of the data structure of the various data memorize | stored in a memory | storage part. Explanatory drawing of the data structure of the various data memorize | stored in a memory | storage part. The flowchart of the operation | movement which interrupts a flowable reservation by doctor judgment. The flowchart of the operation | movement which interrupts a flowable reservation by system judgment. Explanatory drawing of the schedule adjustment in an interruption process. Explanatory drawing of the schedule adjustment in the interruption process at the time of a several doctor presence. Explanatory drawing of the schedule adjustment in the interruption process by system judgment.

  Hereinafter, an embodiment of the present invention will be described with reference to the drawings.

  FIG. 1 is a system configuration diagram of the reservation processing system 1. As shown in the figure, the reservation processing system 1 includes a plurality of patient terminals (user terminals) 2, a communication line 3, a router 4, a management server 5, a plurality of doctor terminals (person-in-charge terminals) 6, and a gate device. 7 is mainly composed.

The patient terminal 2 is a terminal for confirming the availability of a reservation (service reservation) and making a reservation application, and communicates with the management server 5 through the communication line 3 by a router or the like not shown.
The communication line 3 is a communication line such as the Internet, and enables communication between computers at remote locations.

The router 4 is installed in a hospital which is an example of a facility, and allows a computer in the hospital to communicate through the communication line 3.
The management server 5 stores various data, and executes reception of reservations, management of medical treatment progress on the day, interrupt processing of patients coming to the day for reservation schedules, and the like.

  The doctor terminal 6 is a terminal that is operated and input by a doctor (person in charge) who performs medical care (service), and performs start and end of medical care for a reserved patient, input of acceptance of an interrupt, warning display, notification of possible interruption, and the like. . In addition, it is good also as the operation which the auxiliary operator who assists a doctor performs operation input.

  The gate device 7 includes an antenna for non-contact communication, a communication unit, a control unit, and a storage unit, communicates with a non-contact IC card or the like possessed by the patient, and which patient has passed, and the direction in which the patient has passed. It detects whether the room is entering or leaving, and transmits a detection signal to the management server 5.

Each of the patient terminal 2, the management server 5, and the doctor terminal 6 includes a control unit configured by a CPU, a ROM, and a RAM, a storage unit configured by a hard disk, an input unit configured by a keyboard and a mouse, a liquid crystal It consists of hardware such as display means composed of a display, communication means composed of a LAN board, etc., and external connection means composed of USB, etc., and the control means is in accordance with a program stored in the storage means. Perform various operations.
The management server 5 may be installed in the building where the service is operated as shown in FIG. 1 via a router. However, the management server 5 may be installed in an independent server center via the communication line 3. It is good to install in.

FIG. 2 is a functional block diagram showing functions executed by each device of the reservation processing system 1.
The patient terminal 2 is provided with a reservation input unit (service reservation receiving means) 11 for executing a reservation input. The reservation input unit 11 accesses the management server 5 according to a program stored in the storage unit of the patient terminal 2, acquires and displays the reservation status, and executes a reservation process for applying for a reservation in an empty time frame.

  The doctor terminal 6 includes a reservation input unit (service reservation receiving unit) 21, a break input unit (break allocation unit) 22, a day input unit 23, an interrupt input unit 24, a warning display unit (warning unit) 25, and a forced interrupt unit. (Forced execution input) 26, an interrupt enable notification unit 27, a reserve time update instruction unit 51, a start input unit 52, and an end input unit 53 are provided.

The reservation input unit 21 executes a reservation process in which a hospital operator inputs a reservation received by telephone or the like into the schedule.
The break input unit 22 executes a break input process for inputting a doctor's break time into the schedule.

The day input unit 23 executes a process of accepting the patient coming on the day and inputting it as a flowable reservation (flowable service reservation) in the schedule.
The interrupt input unit 24 executes an interrupt input process for interrupting a flowable reservation during the gap time when a gap time occurs between the reservations in the schedule.

  The warning display unit 25 executes a process of displaying a warning that the next reservation may be pushed out of the time frame when executing the interrupt input process. In addition, when a break reservation is pushed out of the time frame, a break reduction display indicating that the break time is reduced is performed.

  In addition, if the doctor who is warned is a doctor who has caused a severe stress time to exceed a predetermined amount, there is a very high possibility that stress time will be generated if forcible interrupt processing is performed. A severe warning is displayed. Here, the severe stress time refers to a stress time that occurs as a result of forcibly performing an interrupt process according to the judgment of a doctor even if a warning is given by the system. This stress time is managed separately from the normal stress time as a severe stress time.

  The forced interrupt unit 26 receives an input for forcibly performing an interrupt process according to the judgment of the doctor if an interrupt process is performed even if there is a warning in the warning display unit 25, and inputs the received forced interrupt instruction to the interrupt registration unit 34. Send to.

  The interruptable notification unit 27 performs interruptable notification processing for notifying that a flowable reservation can be interrupted during the gap time when a gap time occurs between reservations in the schedule. Execute.

  The spare time update instruction unit 51 executes a spare time update instruction process for giving an instruction to update the spare time determined for each doctor according to the daily performance. The reserve time here is for judging whether or not to allow overtime when another flowable reservation is interrupted in the gap time between reservations. Determined. Therefore, a long spare time is assigned to a doctor who has a lot of time excess, and a short spare time is assigned to a doctor who rarely exceeds the time.

As a specific calculation method of the spare time, it can be obtained by the following function f using two values of a stress time (ST) and a severe stress time (secondary ST).
<Formula 1>
Preliminary time = f (ST, secondary ST)
* ST = stress time, secondary ST = severe stress time

  Although various calculation formulas can be adopted for the function f, as an example, the following calculation formula with a weighted average can be used.

<Formula 2>
aST + (1-a) secondary ST
* (0 ≦ a ≦ 1)

The preliminary time obtained in this way can be said to be a doctor's judgment ability value and judgment experience value derived from the stress time and the severe stress time.
The start input unit 52 executes start input processing for inputting that medical treatment has started.
The end input unit 53 executes end input processing for inputting that the medical care is ended.

  The management server 5 includes a confirmation registration unit 31, a storage unit (storage unit) 32, an interrupt availability determination unit 33, an interrupt registration unit 34, an interruptable frame detection unit 35, a spare time update unit 36, and a spare time recalculation unit. 37, situation determination unit (stress time generation determination unit) 38, stress time registration unit (stress time storage processing unit) 39, break determination unit 40, severe stress time registration unit (stress time storage processing unit) 41, and severity determination unit 42 is provided. Note that the interrupt registration unit 34 and the interruptable frame detection unit 35 function as service interrupt processing execution means.

  The confirmation registration unit 31 receives a reservation input from the reservation input unit 11, a reservation input from the reservation input unit 21, a break input from the break input unit 22, and a flowable reservation input from the day input unit 23, and a storage unit 32. The reservation input section 11 and the reservation input section indicate that registration is possible if a registration instruction is received if a registration instruction is received if possible, and registration is not possible if impossible. 21, reply to the break input unit 22 or the day input unit 23.

  The storage unit 32 stores various data, and performs data reading and update registration. Details of the data will be described later with reference to FIG.

  The interrupt enable / disable determining unit 33 receives the interrupt input from the interrupt input unit 24, refers to the storage unit 32, determines whether interrupt is possible, and transmits the warning data to the warning display unit 25 if interrupt is impossible. If the interrupt is possible, interrupt registration is performed in the storage unit 32 through the interrupt registration unit 34. Warning data to be transmitted to the warning display unit 25 can be interrupted if it is only the time necessary for medical treatment, but it is possible to generate stress time warning data indicating that it is not appropriate to interrupt when considering the spare time; In the first place, it is selectively determined from non-interruptible data indicating that the time required for medical treatment is insufficient.

  The interrupt registration unit 34 is a storage unit when it is determined by the interrupt enable / disable determination unit 33 that it is possible to interrupt, or when a warning is displayed by the warning display unit 25 but a forced interrupt by the forced interrupt unit 26 is input. Execute interrupt registration to 32.

  The interruptable frame detection unit 35 detects the presence of an interruptable frame periodically or at the timing of the situation determination in the situation determination unit 38 to be described later, and sends the detected interruptible frame to the interruptability notification unit 27. Send.

The spare time update unit 36 updates and registers the new spare time recalculated by the spare time recalculation unit 37 in the storage unit 32.
The preliminary time recalculation unit 37 recalculates whether or not the preliminary time allocated to the doctor is appropriate according to the actual occurrence of the stress time stored in the storage unit 32, and transmits the calculation result to the preliminary time update unit 36. To do. In this recalculation, the stress time and the severe stress time in the stress time management data 81 generated on the day after the currently set spare time is calculated, and the calculation is performed based on the stress time, the severe stress time, and the spare time. .

  This calculation can be executed using Equation 1 and Equation 2 described above. Note that the calculation method is not limited to this, and an appropriate calculation formula is adopted, such as calculating the average value after weighting these items as the average value of stress time, severe stress time, and reserve time. can do.

  More specifically, for example, it can be calculated as follows. First, as an element for calculating the spare time, an average stress time (STA: based on stress time) and an average severe stress time (secondary STA: based on severe stress time) are stored for each doctor. deep. The average stress time and the average severe stress time are obtained by totaling the past stress time and the average severe stress time, respectively, and taking an average value, and can also be called a calculated stress time and a calculated severe stress time.

Then, the stress time of the day for each doctor (current day STA) and the severe stress time of the day (secondary STA on the day) are calculated daily as actual results for the day.
Calculating factors for doctor A's spare time: STA, secondary STA
Storage location as the actual value of doctor A: STA on the day, secondary STA on the day
STA on the day is an average value of individual stress times (ST) that occurred on that day.
The secondary STA on the day is the average value of the individual severe stress times (secondary ST) that occurred on that day.

  Then, after the end of the business day, the average stress time is updated to the current average stress time and the average value of the current day STA, and the average severe stress time is updated to the current average severe stress time and the average of the current day secondary STA. Update to value. Note that the timing of this update is not limited to after the end of business on the day, but can be set at an appropriate timing, for example, at regular time intervals or every time the day stress time or the day severe stress time occurs.

  Thus, on the next business day, the processing is advanced using the new STA (new average stress time) calculated in this way and the spare time calculated based on the new secondary STA (new average severe stress time). Can do. In this sense, it is the STA and the secondary STA that perform price washing.

  When the status determination unit 38 receives an input of medical treatment start from the start input unit 52, receives an input of medical treatment end from the end input unit 53, or receives an input of entry or exit from the gate device 7, Referring to the storage unit 32, it is determined whether or not a stress time is generated by stressing the next appointment patient due to the time taken for medical care, and how much stress time is generated.

  The stress time registration unit 39 registers the stress time received from the break determination unit 40 in the storage unit 32. In addition, when the reservation pushed out by the stress time is a break time, it may be configured not to be registered as the stress time, but may be configured to be registered as the stress time because the rest time of the doctor is reduced.

  The break determination unit 40 determines whether or not the reservation pushed out by the stress time received from the situation determination unit 38 is a break time, and the determination result together with the stress time is a stress time registration unit 39 and a severe stress time registration unit. 41.

The severe stress time registration unit 41 registers the severe thing determined by the severeness determination unit 42 in the storage unit 32 as the severe stress time.
The severeness determination unit 42 determines whether or not the stress time that has occurred is a severe one that has occurred due to a forced interrupt despite the warning displayed by the warning display unit 25, and the determination result together with the stress time It transmits to the time registration part 41.

  3 and 4 are explanatory diagrams of the data structure of various data stored in the storage unit 32. FIG.

FIG. 3A is a data configuration diagram of the medical treatment category master data (stress time storage processing means) 71.
The medical treatment category master data 71 is composed of a medical treatment category (service category) and a standard medical treatment time (usually required service time) (minutes). The standard consultation time is set. In the medical treatment category, an abbreviation and details of contents are stored. The reference medical treatment time of the medical treatment category master data 71 is configured so that the appropriate standard medical treatment time is recalculated every day (price washing) based on the actual data 82 indicating the daily medical treatment results and is brought close to the actual value. Good.

FIG. 3B is a data configuration diagram of time frame master data (time frame information) 72.
The time frame master data 72 includes a frame number, a time frame, and a frame time. A sequential unique number is stored in the frame number, a time frame number is stored in the time frame, and a date, start time, and end time are stored in the frame time. Although the time frame master data is set in units of days, the present invention is not limited to this, and the day part of the frame time may be set in an appropriate unit, such as setting in day units.

FIG. 3C is a data configuration diagram of the symptom classification master data 73.
The symptom category master data 73 includes a symptom category and a reference increase / decrease time. The symptom classification is composed of abbreviations and details, and the reference increase / decrease time stores a numerical value indicating how much time is increased / decreased for each symptom with respect to the reference diagnosis time of the diagnosis classification.

FIG. 3D is a data configuration diagram of the in-frame medical treatment number master data 74.
The in-frame medical treatment number master data 74 includes a frame number, a time frame, and an in-frame medical treatment number. The frame number stores a sequential unique number, the time frame stores a time frame number, and the number of medical treatments within the frame stores a numerical value indicating how many medical treatments are accepted in the time frame. In the example shown in the figure, it is assumed that there are two doctors and it is stored that two medical treatments can be accepted in parallel within the same time frame.

FIG. 3E is a data configuration diagram of the patient data 75.
The patient data 75 stores information about the patient such as a patient ID, a patient name, a sex, and a date of birth. The patient data 75 may be divided into member patient data for registering only members and non-member patient data for registering non-members (Mr. Ichimi), and the operation may be performed to increase the membership service.

FIG. 3F is a data configuration diagram of doctor data (spare time information by person in charge) 76.
The doctor data 76 includes a doctor ID, a doctor name, an average stress time (ST), and an average severe stress time (secondary ST). The average stress time is a spare time that the doctor expects when a flowable appointment is interrupted between appointments, and is calculated by an average of the stress times so far. The average severe stress time stores the average value of the severe stress times when the stress time is generated by forcibly performing the interrupt process despite the warning.

FIG. 3G is a data configuration diagram of the reservation data 77.
The reservation data 77 is a reservation number. , Frame number, patient ID, reservation category, and reservation reception date and time. As a result, it is possible to know which patient is making a reservation in which reservation number in which frame number, and when the reservation is accepted.

FIG. 3H is a data configuration diagram of the day reception data 78.
The reception data 78 on the day is the reservation number. , Frame number, patient ID, reservation category, and reception date and time on that day. As a result, it is possible to know which patient is making a reservation in which reservation number in which frame number (the reception on the day is a temporary visit reservation) and when the reservation is accepted.

  It should be noted that the reservation No. And reservation number 77 of reservation data 77. Are configured not to overlap. In this embodiment, the reservation number 77 of the reservation data 77 is displayed. No. 1 and the reservation No. Is started from 101, which is larger than the number of reservations that can be accepted, so that duplicate numbers do not occur.

FIG. 4A is a data configuration diagram of the stress time management data 81 generated on the day.
The stress time management data 81 generated on the day includes a date, a doctor ID, a stress time category (ST category), and a stress time (ST time), and manages the stress time generated on the day.

The stress time category indicates whether the generated stress time is a normal stress time (ST) without warning or a severe stress time (secondary ST) generated by forcible interrupt processing despite the warning. I remember it.
As the stress time (ST time), an actual measurement value of the stress time of the day or the severe stress time of the day is stored.

  This day-occurrence stress time management data 81 makes it possible to know when and how many doctors have generated which time of which stress time. Further, the preliminary time allocated to each doctor can be recalculated (price washing) by the stress time management data 81 generated on the day. It should be noted that this price washing can be performed at an appropriate timing, for example, at a certain time after the end of a day's work or immediately.

FIG. 4B is a data configuration diagram of the performance data 82.
The actual data 82 includes a frame number, a reservation No. , Medical form, warning, doctor ID, and medical time (medical date, medical start time, medical end time).

  The form of medical treatment is “normal”, which indicates that the processing of appointments and visits on the day was processed normally without interruption processing, and “doctor's judgment”, which indicates that the treatment was carried out ahead of time by interrupting the doctor's judgment. One of the three forms of “system determination” indicating that the system has been determined by the notification unit 27 and interrupted to carry out medical treatment in advance is stored.

  Because the warning is “Yes” indicating that there was a warning when interrupt processing by “Doctor's judgment” or “System judgment” was performed, and “No” indicating that it was not interrupted. “−” Indicating that the determination is unnecessary is stored.

Based on this record data 82, which reservation No. It is possible to grasp what kind of medical treatment and when and what doctor was treated at what time, and whether there was a warning in accepting the medical treatment at that time.
In the example shown in the figure, three reservation numbers “No. It is understood that the medical care is being carried out. In other words, according to the in-frame medical treatment number master data 74, since the number of in-frame medical treatments is 2 for that one time frame, only 2 people can accept reservations, but the actual medical treatment is divided by the surplus medical treatment time. It can be seen that 3 treatments, more than 2 people who were the number of treatments at the time of appointment, were performed. In addition, reservation No. For patient 101, it can be read that the medical treatment was executed even though the “warning” was once given when the medical treatment was carried out at the discretion of the doctor.

FIG. 5 is a flow chart showing an operation for performing the advance treatment by interrupting the flowable reservation, which is a temporary reservation for the visiting patient on the day, based on the judgment of the doctor.
The control means of the doctor terminal 6 is a selection in which a temporary reserved patient to be treated (that is, a flowable reservation for a patient who visits the day) is selected by the interrupt input unit 24 by a doctor who has completed the medical treatment reserved within the time frame. An input is accepted (step S1).

  The control means of the management server 5 calculates the time frame connection gap time A by referring to the medical treatment category master data 71 and the time frame master data 72 of the storage unit 32 by the interrupt availability determination unit 33 (step S2). This time frame connection gap time A is used for the gap time of the current time frame indicating the remaining time of the time frame including the current time of the doctor, and for the medical treatment of the reserved patient reserved in the time frame from the next time frame. This is a time obtained by adding the gap time obtained by subtracting the estimated time (the reference medical treatment time and the reference increase / decrease time).

  The control means of the management server 5 refers to the doctor data 76 in the storage unit 32 by the interrupt availability determination unit 33 and calculates the estimated medical treatment time B after adding the preliminary time (step S3). This estimated medical treatment time B after addition of the preliminary time is a time obtained by adding the preliminary time of the doctor to the expected time required for the medical treatment of the temporary appointment patient selected in step S1. The expected time here is calculated by referring to the medical treatment category master data 71 and the symptom category master data 73, and is calculated during the execution of step S2.

The control means of the management server 5 determines whether or not the time frame connection gap time A is equal to or longer than the estimated medical treatment time B after adding the preliminary time by the interrupt enable / disable determining unit 33 (step S4).
If the time frame connection gap time A is equal to or longer than the estimated medical treatment time B after adding the preliminary time (step S4: Yes), the control means of the management server 5 uses the interrupt registration unit 34 to select the temporarily reserved patient selected in step S1. For the flowable patient, an interruption process (service interruption process) assigned to the time frame connection gap time A with the medical treatment time ahead is executed, and the medical treatment start is registered (step S5). The registration of the medical treatment start time and the like is executed for the record data 82. At this time, “normal” is registered in the medical treatment form of the record data 82.

  When the time frame connection gap time A is less than the assumed medical treatment time B after adding the preliminary time (step S4: No), the control unit of the management server 5 transmits the warning data by the interrupt enable / disable determining unit 33. And the control means of the doctor terminal 6 which received this performs warning display by the warning display part 25 (step S6). This warning display is a display indicating that the medical examination end time of the next appointment is pushed out behind the time frame in consideration of the spare time and cannot be accepted.

  If no forced interrupt is input (step S7: No), the process is terminated, and if a forced interrupt is input by the input unit of the doctor terminal 6 (step S7: Yes), the control unit of the management server 5 Then, the interrupt registration unit 34 executes an interrupt process (service interrupt process) for assigning a flowable patient to the time frame connection gap time A as in step S5 (step S8).

The control means of the management server 5 performs forced assignment by using the interrupt registration unit 34, sets a warning flag, registers the start of medical care (step S9), and ends the process. This warning flag is executed by registering “Yes” in the “Warning” item of the record data 82. At this time, “doctor judgment” is registered in the medical treatment form of the record data 82.
If A = B in step S4, the process proceeds to step S5. However, the process may proceed to step S6.

  FIG. 6 is a flowchart of the system notification operation in which the management server 5 of the reservation processing system 1 determines whether or not advance reservation is possible and notifies it.

The control means of the management server 5 calculates the doctor-specific time frame connection gap time A by the number of doctors M using the interruptable frame detection unit 35 (step S11).
The control means of the management server 5 sorts the doctor-specific time frame connection gap time A in the descending order by the interruptable frame detection unit 35, and sets the doctor-specific time frame connection gap time A as an array of doctor-specific time frames An. Is created (step S12).

  The control means of the management server 5 assigns 1 to the variable n by the interruptable frame detection unit 35 (step S13), and repeats the following processing for n ≦ M (step S20: Yes).

  The control means of the management server 5 uses the interruptable frame detection unit 35 to calculate an estimated medical treatment time B after adding the preliminary time for the doctor n and substitute it into the doctor-specific required time Bn (step S14). The determination at this time is that the first temporary reservation patient, that is, the temporary reservation patient stored in the reception data 78 on the day, the temporary reservation patient who has not yet started medical care, has the earliest reception time on the reception day. Patients are targeted. Then, the control means of the management server 5 refers to the medical treatment category master data 71 and the symptom classification master data 73 to calculate the expected time required for medical treatment, and further calculates the estimated medical time B after adding the preliminary time for each doctor. To do.

  The control means of the management server 5 advances the process to step S19 if the doctor-specific gap time An is smaller than the doctor-specific required time Bn (step S15: No), and if larger (step S15: Yes), detects an interruptable frame. The unit 35 executes an interruption possible notification to the doctor n (step S16).

  If no interrupt approval input is made for the interrupt enabled display displayed by the interrupt enabled notification unit 27 on the display means of the doctor terminal 6 (step S17: No), the process proceeds to step S19, and the interrupt approval is received. If an input is made (step S17: Yes), the interruption process (service interruption process) which allocates the medical treatment of the flowable patient to the doctor n's current schedule is executed (step S18), and the process ends. At this time, the interruptable frame detection unit 35 stores “system determination” in the “medical form” of the record data 82. In this system determination, since there is no warning, “None” is stored in the “Warning” item.

  If An <Bn in Step S15 or No in Step S17, the control means of the management server 5 adds 1 to the variable n (Step S19), and n ≦ M (Step S20: Yes), Step S14 Return to the process and repeat.

By repeating this, it is determined whether or not the doctor can be assigned in order from the doctor with the larger time frame connection gap time A by doctor, and the assignment is completed when the doctor accepts it.
Alternatively, if n> M is satisfied in step S20 (step S20: No), the control unit of the management server 5 ends the process.

  With the above configuration and operation, it is possible to efficiently provide medical services with a small waiting time to reserved patients and visiting patients on the day, and it can be flexibly operated according to the judgment of doctors, etc., and the doctor who made the judgment It is possible to provide a reservation processing system 1 that can be used for the next determination.

  That is, as shown in the explanatory diagram when interrupt is possible in FIG. 7A, from the state where the reserved patients displayed in the schedule of FIG. The gap time (2) is moved, and the gap time (1) of the current time frame (9:00 to 10:00) and the gap time (2) of the next time frame as shown in the schedule of FIG. 7 (A2). The gap time (1) + (2) combined with the above is calculated as the doctor-specific time frame connection gap time A. Then, as shown in the schedule of FIG. 7 (A3), the estimated medical time B after adding the preliminary time obtained by adding the preliminary time of the doctor to the predicted medical time of the flowable patient to be interrupted is the time frame connection gap time by doctor. If it falls within A, as shown by the arrow Y2, it is possible to carry out an interruption process without any problem and carry out medical treatment in advance.

  Further, as shown in the explanatory diagram at the time of the interrupt impossible warning in FIG. 7B, from the state where the reserved patients displayed in the schedule of FIG. And the gap time (1) of the current time frame (9:00 to 10:00) and the gap time (2) of the next time frame as shown in the schedule of FIG. 7 (B2). ) Is calculated as a doctor-specific time frame connection gap time A. Then, as shown in the schedule of FIG. 7 (B3), the estimated medical time B after adding the preliminary time obtained by adding the preliminary time of the doctor to the predicted medical time of the flowable patient to be interrupted is the time frame connection gap time by doctor. If it does not fall within A (over time T occurs), it is not appropriate to perform the interrupt processing as indicated by arrow Y4, and a warning can be output.

  In addition, assignment processing for a plurality of doctors can be executed. In this case, as shown in FIG. 8 (A), all the reservations stored in the reservation buffer of FIG. 8 (A1) are stored in the schedules of each doctor shown in FIG. 8 (A2) (doctor 1 schedule, doctor 2 schedule, and The doctor 3 schedule) is assigned according to a predetermined rule, and the patients on that day are also assigned in the order of visit from the visit buffer of the day visit shown in FIG. 8 (A3). Here, the medical examination 1 is directly assigned to the vacant time frame of the doctor 3 as indicated by the arrow Y5.

  Next, since the patient who visited the hospital on the day 2 who visited the hospital on the day does not have a free time frame in the morning, if it is allocated as it is, it will be allocated after the afternoon. Here, as shown in the doctor-by-doctor schedule of FIG. 8 (B2), the gap time of each doctor's time frame is added, and the gap time (1), which is the doctor-by-doctor's time frame connection gap time A, doctor 2 The gap time (2) which is the doctor-specific time frame connection gap time A and the gap time (3) which is the doctor-specific time frame connection gap time A of the doctor 3 are obtained. Then, the calculated doctor time frame connection gap times A are sorted, and in the case of the illustrated example, they are in the order of (1), (2), and (3).

  Considering the doctor 1, since the doctor's spare time is long, the assumed medical treatment time B after adding the spare time is longer than the gap time (1) and becomes a warning target. As for the doctor 2, although the gap time (2) is shorter than the gap time (1) of the doctor 1, since the doctor's spare time is short, the estimated medical treatment time B after the addition of the spare time is shorter than the gap time (2). do not become. For this reason, as shown by the arrow Y6, it can be determined that the medical examination 2 on that day can be assigned to the gap time (2) of the doctor 2. Therefore, when an interruptable notification is made to the doctor 2 and the interrupt is approved by the doctor 2, it is assigned to the gap time (2) of the doctor 2.

  Further, when a notification indicating that interrupt processing is possible is made based on system judgment, a search is made for a gap time that can be interrupted by advancing the visit on the day from the state where the reservation and the visit on the day are assigned as shown in FIG. That is, as shown in FIG. 9B, when the gap time (1) of the doctor 1 and the gap time (2) of the doctor 3 are compared, the gap time (1) of the doctor 1 is longer. In this way, the medical checkup 8 on the day of the doctor 2 is moved to the gap time (1) of the doctor 1. Along with this, the medical checkup 9 on the day of the visit that was assigned as a tentative reservation behind the doctor 1 is assigned forward as shown by the arrow Y8 at the time when the doctor 2 is free. In this way, it is possible to efficiently process appointments and visits on the day, and proceed with medical care with as little waiting time as possible.

  In this way, it is possible to reduce the waiting time by allocating the gap time that becomes the remaining time after processing the reservation in the adjacent time frame, and assigning the visit patient's medical care to this gathered gap time, In addition, prior appointment patients can be treated in a timely manner.

  In addition, since a preliminary time is set for the doctor, it is possible to determine and warn of the possibility that stress time will occur due to delay in the medical treatment of the reserved patient in anticipation of the preliminary time.

  In addition, since the spare time is managed for each doctor, if the doctor does not generate stress time, the spare time is naturally shortened, and the estimated medical time B after adding the spare time can be made as close as possible to the expected time required for medical care. it can. As a result, it can be assigned even if the difference between the time frame connection gap time A and the expected time is small. If the doctor is prone to generate stress time, the preliminary time becomes long, and even if the difference between the time frame connection gap time A and the expected time is small, the preliminary time is considered to exceed the time. However, even in this case, a warning can be displayed, and it is possible to prevent the stress time from actually occurring in advance.

  Further, even if there is a warning, the forced interrupting section 26 can forcibly perform the interrupt processing, so that it is possible to accept and process the visit on the day flexibly according to the judgment of the doctor. In other words, not only can the rigid schedule defined by the system be obediently maintained, but also medical treatment can be carried out flexibly according to the situation of the place.

  In addition, if a stress time occurs due to a forced interrupt process performed by the forced interrupt unit 26 despite a warning, the stress time is managed separately from the normal stress time. It is possible to judge a doctor who often generates stress time and a doctor who does not, and this can lead to the evaluation of the doctor.

Further, since the preliminary time recalculating unit 37 can perform the preliminary time washing, the necessary preliminary time can be appropriately adjusted based on the actual value. As a result, the actual values are reflected daily, and the more time passes, the more used, the closer the spare time approaches the actual value of doctor ability. Therefore, the initial value of the preliminary time set at the time of introducing the system is washed with a correct value reflecting the doctor's ability as time passes. In this way, efficient operation without waste can be performed.
In addition, even when the doctor has become accustomed to medical care and predicting the possibility of interrupt processing, and the occurrence of stress time has decreased, the spare time recalculation unit 37 makes necessary spare time in accordance with the reduction of stress time. Can be calculated shortly and the setting can be updated.

Moreover, since not only a patient reservation but also a break can be reserved, it is possible to prevent the doctor from resting and eating.
Further, since the stress time that stresses the patient due to the delay of the medical treatment for the appointment and the doctor stress time that the doctor feels stress by shortening the rest time are handled separately, the doctor can be evaluated appropriately. In other words, it is possible to lower the evaluation of the doctor who stressed the patient by delaying the medical treatment of the reserved patient, and grasp the doctor who is engaged in the medical treatment even at the expense of his / her break and give appropriate guidance It can also be done. Thereby, a doctor can be evaluated appropriately and it is also possible to deal with a mental and psychosomatic trouble of the doctor at an early stage.

  In addition, even when multiple doctors perform individual medical treatment, it is possible to assign a reserved patient or a patient visiting the day to each doctor, and also to perform an interruption process to advance the patient visiting the day, so smooth operation can be performed. . Even if it is incorporated in the doctor's schedule as a flowable appointment for the patient coming on the day, if a sufficient time frame connection gap time A occurs for another doctor, it can be interrupted to the time frame connection gap time A, Furthermore, since it is possible to assign another patient on the same day to the vacant time frame connection gap time A of the original doctor and move it forward, medical treatment can be advanced very efficiently.

  In the above-described embodiment, the start input and the end input of the medical care can be executed by either the input at the doctor terminal 6 or the passage through the gate device 7, but only one of them may be performed.

  In addition, the reservation processing system 1 is configured using the patient terminal 2, the management server 5, and the doctor terminal 6, but may be configured as a stand-alone type with one computer.

  The present invention is not limited only to the configuration of the above-described embodiment, and many embodiments can be obtained.

  The present invention can be used for reservation processing in the medical field such as doctors and dentists, and also processes reservation users and users on the day such as beauty salon reservation processing, massage and beauty treatment reservation processing It can be used with appropriate services.

DESCRIPTION OF SYMBOLS 1 ... Reservation processing system, 11, 21 ... Reservation input part, 22 ... Break input part, 25 ... Warning display part, 26 ... Forced interruption part, 32 ... Memory | storage part, 34 ... Interrupt registration part, 35 ... Interruption possible Frame detection unit, 36 ... preliminary time update unit, 37 ... preliminary time recalculation unit, 38 ... situation determination unit, 39 ... stress time registration unit, 41 ... severe stress time registration unit, 71 ... medical treatment category master data, 72 ... time Frame master data, 76 ... Doctor data

Claims (6)

Service time information by content that predetermines the service time required for each service category,
Preliminary time information for each person who assigned a spare time to each person in charge of service, and
Storage means for storing time frame information obtained by dividing a serviceable time into a plurality of time frames;
Service reservation accepting means for accepting service reservation in units of the time frame and adjusting the schedule;
A service interruption process executing means for executing a service interruption process for interrupting a flowable service reservation in the schedule in which the service reservation is allocated in the time frame;
When the service interruption processing is executed by the service interruption processing execution means, the gap time generated between the reservations is determined based on the service time for the service classification of the flowable service reservation to be interrupted and the service An interrupt enable / disable determination unit that determines that an interrupt is possible if the time is equal to or greater than the sum of the spare time of the person in charge of implementation;
Said service interruption processing execution means, Ri configuration der to execute the interrupt judging unit service interruption processing if it has accepted the forcing input even when it is determined that the interrupt disabled by,
Stress for storing stress time when stress is applied to the user by causing the service execution completion time of the service reservation assigned within the time frame to be delayed from the end time of the time frame for each person in charge. Time storage processing means;
If the occurrence of the stress time is large, the reserve time of the person in charge is set longer than the setting before adjustment, and if the occurrence of the stress time is small, the reserve time for adjusting the reserve time of the person in charge to be shorter than the setting before adjustment. And a reservation processing system. A warning means for outputting warning information when the interruption determination unit determines that the interruption is impossible ;
The stress time storage processing means determines the stress time as a severe stress time when a delay occurs due to execution of a service interrupt process by the service interrupt process execution means in spite of a warning from the warning means. The reservation processing system according to claim 1 , wherein the reservation processing system is configured to store in the storage unit. A break assignment means for assigning a break reservation of the person in charge within the time frame;
Said warning means, said When booking extruded by a service interruption processing to the back of the time frame was the break reservation, according to claim 2, wherein the break time is configured to perform a break decrease indication that reduced Reservation processing system. Set up multiple schedules for each person in charge on the same day,
The service reservation accepting unit is configured to determine a person in charge who can assign a service reservation from a time frame of the same time zone of the plurality of person-by-person schedules,
The service interruption processing execution means is configured to interrupt a flowable service reservation in the time frame of the earliest person in charge who has been found by searching for a person-by-person schedule that does not generate stress time by the interruption availability determination unit. Item 4. The reservation processing system according to item 1, 2 or 3 . Service time information by content that predetermines the service time required for each service category, spare time information by person in charge assigning spare time to each person in charge of service, and service available time in multiple times The time frame information divided into frames is stored in the storage means,
The service reservation accepting means adjusts the schedule by accepting the service reservation in the time frame unit,
Service interrupt processing execution means executes service interrupt processing for interrupting a flowable service reservation in the schedule in which the service reservation is allocated in the time frame,
When the service interruption processing is executed by the service interruption processing execution means, the service time for the service classification of the flowable service reservation in which the gap time generated between the reservations is interrupted and the execution of the service If it is more than the sum of the spare time of the person in charge in charge, the interrupt enable / disable determination unit determines that interrupt is possible ,
The service interrupt process executing means executes a service interrupt process if a forced execution input is accepted even when the interrupt enable / disable determining unit determines that an interrupt is impossible ,
For each person in charge, the stress time storage processing means determines the stress time when the service execution completion time of the service reservation assigned within the time frame is delayed from the end time of the time frame and stresses the user. Storing in the storage means;
The reserve time adjustment means sets the reserve time of the person in charge longer than the setting before the adjustment if the stress time occurs frequently, and sets the reserve time of the person in charge before the adjustment if the stress time is small. Reservation adjustment method that adjusts shorter . Computer
Service time information by content that predetermines the service time required for each service category, spare time information by person in charge assigning spare time to each person in charge of service, and service available time in multiple times Storage means for storing time frame information divided into frames;
Service reservation accepting means for accepting service reservation in units of the time frame and adjusting the schedule;
A service interruption process executing means for executing a service interruption process for interrupting a flowable service reservation in the schedule in which the service reservation is allocated in the time frame;
When the service interruption processing is executed by the service interruption processing execution means, the gap time generated between the reservations is determined based on the service time for the service classification of the flowable service reservation to be interrupted and the service If it is equal to or more than the sum of the spare time of the person in charge in charge of the implementation, it functions as an interruptability determination unit that determines that an interrupt is possible ,
Even if it is determined that the interrupt is impossible by the interrupt enable / disable determining unit , the service interrupt process executing means executes a service interrupt process if a forced execution input is received ,
The computer,
Stress for storing stress time when stress is applied to the user by causing the service execution completion time of the service reservation assigned within the time frame to be delayed from the end time of the time frame for each person in charge. Time storage processing means;
If the occurrence of the stress time is large, the reserve time of the person in charge is set longer than the setting before adjustment, and if the occurrence of the stress time is small, the reserve time for adjusting the reserve time of the person in charge to be shorter than the setting before adjustment. Reservation processing program that functions as an adjusting means .

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