JP6019296B1 - Telemedicine support system and telemedicine support method - Google Patents

Abstract

A telemedicine support system is provided that can reduce both the economic burden of a medical examinee and the burden of an organization that provides telemedicine. A telemedicine support system is configured to apply a part or all of medical expenses for a target examinee P based on medical record information for the target examinee P received from a doctor terminal 2 or a target first user terminal 3 The insurance organization's burden, which is the burden of the insurance organization to which the examinee P joins, and the insurance organization's settlement information as part of the difference between the calculated insurance organization's burden and the standard insurance organization's burden. The system usage expense settlement unit 115 is used for settlement. [Selection] Figure 9

Description

  The present invention relates to a remote medical care support system and a remote medical care support method.

  Conventionally, remote medical treatment is known in which a doctor treats a patient via an information communication technology (see, for example, Patent Document 1).

  The examinee can use the remote medical treatment to keep the medical expenses lower than the face-to-face medical treatment.

  In particular, patients with chronic diseases need to receive medical care regularly, but remote medical care is most suitable for patients who cannot make time for face-to-face medical care.

JP, 2015-90572, A

  However, remote medical care is positioned as medical care to supplement visiting medical care in remote areas such as remote islands, and has not been widely spread.

  The cause is that few institutions provide telemedicine.

  Particularly in medical institutions such as hospitals, since remote medical care costs are lower than in face-to-face medical care, it is difficult to make a sufficient profit in remote medical care. As a result, the remuneration of doctors engaged in telemedicine is also lower than the remuneration of doctors engaged in face-to-face medical care, and as a result, it becomes difficult to secure doctors engaged in telemedicine.

  In addition, in order to conduct telemedicine, it is necessary to construct and maintain a telemedicine system. However, medical costs are determined based on the medical practice performed, so the operating costs of telemedicine must be covered by medical costs. It is difficult.

  Since telemedicine costs are lower than face-to-face medical care, it will become increasingly unprofitable if medical institutions bear the operating costs of telemedicine.

  On the other hand, if the operating cost of telemedicine is collected from the remote medical examinee, the burden on patients with chronic diseases who frequently use telemedicine will increase.

  Therefore, an object of the present invention is to provide a telemedicine support system and method capable of reducing both the economical burden on the examinee and the burden on the organization providing the telemedicine.

The telemedicine support system of the present invention is
A network system comprising one or more doctor terminals that communicate with a plurality of user terminals and a remote medical assistance server,
Medical care available time zone information including a medical care available time zone, which is a time zone in which a doctor associated with the one or more doctor terminals can engage in medical care, and a standard insurance organization which is a standard insurance organization burden A storage unit for storing information on the burden amount;
From the first user terminal, which is one of the plurality of user terminals, a target medical examination time zone desired by the target examinee related to the first user terminal to receive medical examination is received, and the available medical examination time Referring to the band information, the doctor in charge who can engage in the medical care in the desired medical treatment time period is extracted, and communication between the doctor terminal in charge as the doctor terminal of the doctor in charge and the first user terminal is established. A medical appointment receiving unit that transmits communication establishment information for the communication to one or both of the doctor terminal in charge and the first user terminal;
The patient remark information received from the first user terminal with which communication has been established based on the communication establishment information is output to the doctor terminal in charge, and the doctor remark information input from the doctor terminal in charge is output to the first user. A telemedicine support unit that transmits to the terminal;
Based on the medical record information for the target examinee received from the doctor terminal in charge or the first user terminal, a part of or all of the medical expenses for the target examinee is borne by the insurance organization to which the target examinee joins And a system usage cost for settlement using the insurance organization settlement information as a part of the difference between the calculated insurance organization burden and the standard insurance organization burden. And a settlement unit.

  According to the remote medical care support system of the said structure, a medical treatment reservation reception part receives a medical treatment desired time slot | zone from a 1st user terminal, and a medical treatment can be performed in the said medical treatment desired time slot | zone by referring to a medical treatment available time slot | zone information. Extract the doctor in charge.

  As a result, a medical appointment is established in a time zone desired by the target examinee and in a time zone convenient for the doctor in charge. For this reason, even if the target examinee does not have the time to receive the face-to-face medical care, it is possible to receive the medical care by specifying the time to receive the medical checkup, thereby reducing the time burden on the target examinee. In addition, since medical care can be performed at a time convenient for the doctor in charge, it is possible to utilize a doctor who is difficult to perform full-time medical care, such as a doctor who is raising a child.

  The medical appointment receiving unit transmits communication establishment information for establishing communication between the doctor in charge and the first user terminal to one or both of the doctor terminal in charge and the first user terminal.

  Then, the telemedicine support unit outputs the examiner remark information received from the first user terminal with which communication has been established based on the communication establishment information, so that the doctor in charge can recognize the recipient remark information.

  Further, the telemedicine support unit transmits the inputted doctor utterance information to the first user terminal to the first user terminal. By outputting this doctor remark information at the first user terminal, the target examinee can recognize the doctor remark information input by the doctor in charge.

  In this way, remote medical care is supported between the target examinee and the doctor in charge.

  Then, based on the received medical record information, the system use cost settlement unit calculates an insurance organization burden amount that is a part or all of the medical cost of the subject medical examinee.

  Then, the system usage fee settlement section uses the settlement information of the insurance organization as a system usage fee for a part of the difference between the insurance organization burden amount and the standard insurance organization burden amount for the insurance organization to which the target examinee joins. Settlement. As a result, the system usage fee is collected from the insurance organization to which the subject examinee joins, not the subject examinee.

  As a result, the target medical examinee can use the remote medical treatment without incurring a system usage fee, so that the burden on the cost of the target medical examinee is reduced in the remote medical examination.

  In addition, a part of the difference between the insurance organization burden and the standard insurance organization burden is determined as the system usage cost. Here, the insurance organization burden is the insurance burden of the medical expenses for telemedicine. As described above, the telemedicine costs are lower than the medical expenses for face-to-face medical care. It will be lower than the insurance organization's burden. Therefore, if the insurance organization burden is less than the standard insurance organization burden, the sum of the system usage costs that are part of the difference between the insurance organization burden and the standard insurance organization burden is less than the standard insurance organization burden. It becomes. Therefore, the substantial burden on the insurance organization does not increase. As a result, the insurance premium of the insurance organization can be low, and the economic burden on the examinee can be further reduced.

  Further, as described above, in the telemedicine support system, since it is possible to utilize doctors who are difficult to perform full-time medical care, it is easy to secure doctors. In addition, as described above, the operating cost of the telemedicine support system is covered by the system usage fee collected from the insurance organization. As a result, the burden on the institution providing telemedicine is reduced.

  As described above, according to the remote medical care support system configured as described above, it is possible to reduce both the economical burden on the examinee and the burden on the organization providing the remote medical care.

In the telemedicine support system of the present invention,
The storage unit stores medical record information associating medical examination time points, examinees, and insurance organization burdens,
The telemedicine support system refers to the medical chart information, and obtains insurance organization burden data indicating the relationship between the insurance organization burden of the examinee associated with one insurance organization and the point in time of the medical treatment. It is preferable to be configured to include a data transmission unit that transmits to an organization terminal.

  According to the remote medical care support system configured as described above, the insurance organization burden data indicating the relationship between the insurance organization burden and the point of care is transmitted to the terminal of the insurance organization to which the examinee subscribes.

  In particular, when the chronic illness of each subscriber goes toward healing or comfort, the medical expenses are gradually reduced, and the insurance organization burden is also gradually reduced. With such insurance organization burden data indicating the transition of the insurance organization burden, it is possible for the person in charge of the insurance organization to recognize the effect of reducing the time-series insurance organization burden by using the telemedicine system.

In the telemedicine support system configured as described above,
Preferably, the data transmission unit transmits reference insurance organization burden data indicating the reference insurance organization burden and the insurance organization burden data to the terminal.

  According to the remote medical care support system having the above configuration, the standard insurance organization burden amount data and the insurance organization burden amount data are transmitted to the terminal of the insurance organization. It can be grasped while comparing with the organization burden. In particular, if the insurance organization burden is lower than the standard insurance burden, the person in charge can be notified of the effect of reducing the insurance organization burden more effectively.

In the telemedicine support system of the present invention,
The storage unit stores medical record information associating the examinee with one or both of the medical time point and the health condition information of the examinee and the medicine information prescribed for the examinee,
The telemedicine support system refers to the medical chart information, and includes one or both of the medical treatment time point and the health condition information associated with one medical examinee and the medical information prescribed for the one medical examinee. It is preferable to include a data transmission unit that transmits the first health state data indicating the relationship to the user terminal of the one examinee.

  According to the remote medical care support system of the said structure, the 1st health condition data which show the relationship with one or both of the medical condition information and the medical condition information of the medical examinee prescribed to the said medical examinee and the medical examination information contained in the medical chart information Is transmitted to the user terminal of the examinee. As a result, it is possible to notify the examinee of time-series health state transitions by using the telemedicine support system.

  In addition, in the case of chronic diseases with long-term treatment, even if the health condition tends to improve, it is difficult to realize the actual condition, and as a result, the patient's motivation for continuous medical examination decreases, leading to separation from medical care. There is a problem.

  According to the remote medical care support system having the above configuration, when the first health condition data is provided to the user terminal, the health condition of the examinee is using the remote medical care and the symptom is getting better. , The patient can feel visually that his / her health condition is improving. As a result, it is possible to avoid a decrease in motivation for continuous medical examinations, and therefore, it is possible to encourage the examinee to continue receiving remote medical examinations.

In the telemedicine support system of the present invention,
The storage unit stores medical record information associating one or both of health status information including a medical time point and a disease name and prescription medicine information,
The telemedicine support system includes:
By receiving a request for health condition information including a disease name from a second user terminal, which is one of the user terminals, and referring to the medical record information, the health condition information including the received disease name and a prescribed medicine Extract one or both of the information
It is comprised so that the data transmission part which transmits the 2nd health status data which shows the time-sequential transition of one or both of the extracted health status information and the information of the prescribed medicine to the said 2nd user terminal is comprised. Preferably it is.

  According to the remote medical care support system of the said structure, when the health condition information request | requirement containing a disease name is received from a 2nd user terminal by a data transmission part, the health condition information containing the said disease name is referred by referring to the said medical chart information And / or information on the prescribed medication is extracted.

  Then, the data transmission unit transmits second health condition data indicating time-series transition of one or both of the extracted health condition information and prescription medicine information to the second user terminal. Even if the user has not used the remote medical support server until now, the remote medical support server can transmit the health information including the disease name of interest to the remote medical support server via the second user terminal. 2nd health condition data is transmitted.

  This makes it possible to provide useful information when considering the use of the remote medical care support server to users who have not used the remote medical care support server.

The whole block diagram of a telemedicine support system. The figure which shows a patient list. The figure which shows a doctor list. The figure which shows an insurance organization list. The figure which shows a medical treatment assistance information list. The figure which shows a medical examination information list. The figure which shows a reservation list. Medical available time zone information list. The figure which shows a reference | standard insurance organization burden information list. The whole flowchart of a series of processes of remote medical care support. The flowchart of a reservation reception process. The flowchart of a medical assistance information registration process. The flowchart of a remote medical treatment support process. The flowchart of a medical expense claim and reward payment process. The block diagram of a medical examination information screen. The flowchart of a system use expense settlement process. The flowchart of an insurance organization burden amount data provision process. FIG. 11A is a graph created from insurance organization burden data, FIG. 11B is a graph created from the first health status data, and FIG. 11C is a graph created from the second health status data. The flowchart of a 1st health condition data provision process. The flowchart of a 2nd health condition data provision process.

The telemedicine support system of the present invention will be described with reference to FIGS.

(Remote medical care support system)
The telemedicine support system is a system that supports telemedicine performed between a doctor and a patient.

  As shown in FIG. 1, the remote medical care support system includes a remote medical care support server 1 and one or more doctor terminals 2. Each of the remote medical care support server 1 and the doctor terminal 2 is configured to be able to communicate with each of the first user terminal 3, the second user terminal 5, and one or a plurality of insurance organization terminals 4 via a network such as the Internet. Has been. In FIG. 1, one doctor terminal 2, a first user terminal 3, an insurance organization terminal 4, and a second user terminal 5 are illustrated.

(Remote medical support server)
The telemedicine support server 1 includes a server control unit 11, a server storage unit 12, and a server communication unit 15. A part or all of the computer constituting the remote medical care support server 1 may be constituted by another terminal, for example, a computer constituting the doctor terminal 2. For example, a part or all of the remote medical care support server 1 may be configured by one or a plurality of doctor terminals 2 as mobile stations.

  The server control unit 11 includes an arithmetic processing unit such as a CPU (Central Processing Unit), a memory, an I / O (Input / Output) device, and the like. The server control unit 11 may be configured by a single processor or may be configured by a plurality of processors that can communicate with each other.

  The server control unit 11 reads and executes a predetermined program, thereby performing a medical treatment reservation receiving unit 111, a medical treatment support information registration unit 112, a medical treatment information registration unit 113, a medical cost determination unit 114, and a system that execute arithmetic processing described later. It functions as a usage cost settlement unit 115 and a data transmission unit 116.

  The server storage unit 12 includes, for example, a storage device such as a ROM (Read Only Memory), a RAM (Random Access Memory), and an HDD (Hard Disk Drive). The server storage unit 12 is configured to store a calculation result of the server control unit 11 or data received by the server control unit 11 via the server communication unit 15.

  The server storage unit 12 includes a examinee list 121, a doctor list 122, an insurance organization list 123, a medical treatment support information list 124, a medical examination information list 125, a reservation list 126, a medical treatment available time zone information list 127, and a reference insurance organization burden information list. 128 and payment institution information 129 are stored. Note that the information included in each of the examinee list 121, the medical assistance information list 124, and the medical examination information list 125 corresponds to “medical chart information” of the present invention.

  As shown in FIG. 2A, the examinee list 121 includes a examinee ID column 1211, a examinee name column 1212, a gender column 1213, an age column 1214, a disease name column 1215, an insurance number column 1216, and a communication. A destination column 1217, a burden ratio column 1218, and a settlement information column 1219 are included.

  The examinee ID column 1211 stores an ID (identification) for identifying each examinee. The examinee name column 1212 stores the name and name of each examinee. The sex column 1213 stores the sex of each patient. The age column 1214 stores the age of each patient. The disease name column 1215 stores the disease name of each patient. The insurance number column 1216 stores the insurance number assigned to each examinee. This insurance number includes an ID for identifying the insurance organization to which each examinee has joined. The contact address column 1217 stores contact information of each examinee, for example, an e-mail address. The burden ratio column 1218 stores the self-burden ratio of each examinee for medical expenses. The payment information column 1219 stores information for billing and payment to each of the examinees such as a credit card number and an expiration date.

  The information included in the examinee list 121 can be input, for example, when the examinee registers in the remote medical assistance system.

  The doctor list 122 includes a doctor ID column 1221, a doctor name column 1222, a gender column 1223, a specialized column 1224, a contact address column 1225, and a reward payee information column 1226, as shown in FIG. 2B. .

  The doctor ID column 1221 stores a doctor ID for identifying each doctor. The doctor name column 1222 stores the name and name of each doctor. The sex column 1223 stores the sex of each doctor. The specialty column 1224 stores disease names included in each specialist field of the doctor. Instead, the specialty column 1224 may store names of doctors' specialized fields (for example, “internal medicine”). The contact column 1225 stores the contact information of each doctor, for example, an e-mail address. The reward payee information column 1226 stores, for example, account information as information on payees of each doctor's reward.

  Information included in the doctor list 122 is input, for example, when a doctor registers in the remote medical care system.

  As shown in FIG. 2C, the insurance organization list 123 includes an insurance organization ID column 1231, an insurance organization name column 1232, a payment information column 1233, and a system use start date column 1234.

  The insurance organization ID column 1231 stores an ID for identifying each insurance organization. The insurance organization name column 1232 stores each insurance organization name. The settlement information column 1233 stores settlement information necessary for billing and settlement such as withdrawal account information or credit card number of each insurance organization. The system use start date column 1234 stores the date when each insurance organization started using the telemedicine support system (for example, the date when the insurance organization member first received telemedicine via the telemedicine support system). doing.

  The medical assistance information list 124 is a list of medical assistance information registered in advance by the examinee before the medical examination, and as shown in FIG. 2D, the examinee ID column 1241, the registration date / time column 1242, the blood pressure column 1243, and the like. A body temperature column 1244, a weight column 1245, a recent illness column 1246, a recently taken medicine column 1247, and a message column 1248. The medical assistance information list 124 may include a column including information necessary for medical care.

  The examinee ID column 1241 stores the examinee ID. The registration date / time column 1242 stores the date / time when the information was registered. The blood pressure column 1243 stores blood pressure values. The body temperature column 1244 stores a value indicating body temperature. The weight column 1245 stores a value indicating the weight. The recently affected disease column 1246 stores a character string indicating the disease name. The recently consumed medicine column 1247 stores a character string indicating medicine. The message column 1248 stores a character string input by the examinee.

  The examination information list 125 stores a list of examination information related to the examination results in the remote examination. As shown in FIG. 2E, the examination person ID column 1251, the examination date / time column 1252, the symptom / diagnosis result column 1253, and the like. , A prescription content column 1254, a doctor ID column 1255, a medical score column 1256, and a doctor comment column 1257.

  The examinee ID column 1251 stores the examinee ID of the examinee to be examined (target examinee). The consultation date and time column 1252 stores the date and time when the remote medical examination was received. The symptom / diagnosis result column 1253 stores doctor's opinion information in the telemedicine. The prescription content column 1254 stores the name and number of prescription medicines. The doctor ID column 1255 stores the doctor ID of the doctor who has been examined (the doctor in charge). The medical score column 1256 stores the medical score for the target examinee in telemedicine. The doctor comment column 1257 stores comments from the doctor in charge to the subject patient.

  As shown in FIG. 2F, the appointment list 126 includes a visitor ID column 1261, a doctor ID column 1262, and an appointment time zone column 1263.

  The examinee ID column 1261 stores the examinee ID for which remote medical treatment is reserved. The doctor ID column 1262 stores a doctor ID in charge of the remote medical care. The appointment time zone column 1263 stores the appointment appointment time zone for the remote medical examination.

  The medical care available time zone information list 127 is a list of available medical care time zone information related to the time zones that can be treated by each doctor. As shown in FIG. 2G, a medical doctor ID column 1271 and a medical care available time zone column 1272 are provided. Including.

  The doctor ID column 1271 stores the doctor ID of each doctor. The medical available time zone column 1272 stores the medical available time zone of each doctor.

  As shown in FIG. 2H, the reference insurance organization burden information list 128 includes a examinee ID column 1281 and a reference insurance organization burden column 1282.

  The examinee ID column 1281 stores the examinee ID of each examinee. The standard insurance organization burden column 1282 stores the insurance organization burden amount that is a standard for each examinee.

  The insurance organization burden as a standard for each examinee is, for example, the insurance organization burden of the medical expenses (including drug charges) for face-to-face medical care calculated from the health condition of the examinee on the first visit date of each examinee. It is a forehead. Instead, the insurance organization burden of medical expenses (for example, average medical expenses) per face-to-face medical treatment calculated from the health condition of the medical examinees on each medical examination day from the first time to the predetermined times of each medical examinee You may employ | adopt as an insurance organization burden amount used as the reference | standard for every examinee. Alternatively, at least one piece of information on the gender, age, and disease name of the examinee is obtained from the examinee list 121, and among the medical expenses in the average face-to-face medical treatment of the examinee that applies to the obtained information The insurance organization burden may be adopted as the standard insurance organization burden. In addition, a preset medical cost may be set as the reference insurance organization burden.

  The payment institution information 129 is information relating to an insurance medical expenses payment institution that is a billing destination for insurance medical expenses. Supplementally, in general, the medical institution reports the insurance medical fee and the insurance number to the insurance medical fee payment organization and receives payment of the insurance medical fee. The insurance medical fee payment organization charges the insurance medical fee to the insurance organization specified by the insurance number.

  The server communication unit 15 is connected to a public communication network (for example, the Internet) as a network, and communicates with external terminals such as the doctor terminal 2, the first user terminal 3, the insurance organization terminal 4, and the second user terminal 5. It is comprised by.

(Doctor terminal)
The doctor terminal 2 includes a doctor terminal control unit 21, a doctor terminal storage unit 22, a doctor terminal output unit 23, a doctor terminal input unit 24, and a doctor terminal communication unit 25.

  The doctor terminal 2 is configured by a computer such as a desktop computer that is designed in size, shape, and weight so as to be installed at a specific location. The doctor terminal 2 may be configured by a computer whose size, shape, and weight are designed so that it can be carried by a doctor D who is a user of the doctor terminal 2, such as a tablet terminal or a smartphone.

  The doctor terminal control unit 21 includes an arithmetic processing device such as a CPU, a memory, an I / O device, and the like. A remote medical care support program downloaded from the remote medical care support server 1 is installed in the doctor terminal control unit 21. When the remote medical care support program is activated, the doctor terminal control unit 21 is configured to execute arithmetic processing described later.

  The doctor terminal storage unit 22 is configured by a storage device such as a ROM, RAM, or HDD. The doctor terminal storage unit 22 is configured to store a doctor ID 221 of a doctor D registered in advance and communication establishment information 222 stored in a reservation reception process described later.

  The doctor terminal output unit 23 is configured by a display device such as a liquid crystal panel, and the doctor terminal input unit 24 is configured by a position input device such as a touch pad, which is combined to form a touch panel. In addition to or instead of this, the doctor terminal input unit 24 may include a keyboard. The doctor terminal output unit 23 further includes a speaker. The doctor terminal input unit 24 further includes a microphone.

  The doctor terminal communication unit 25 is configured to communicate with an external terminal such as the remote medical care support server 1 via wired communication or wireless communication in accordance with a communication standard such as WiFi (registered trademark).

(First user terminal)
The first user terminal 3 includes a first user terminal control unit 31, a first user terminal storage unit 32, a first user terminal output unit 33, a first user terminal input unit 34, and a first user terminal communication unit 35. With.

  The first user terminal control unit 31 downloads the remote medical care downloaded from the insurance organization terminal 4 (or the insurance organization server or the remote medical care support server 1 to which the target examinee P subscribes) instead of installing the remote medical assistance program. A consultation support program is installed. When the remote medical examination support program is started, the first user terminal control unit 31 is configured to execute arithmetic processing described later.

  The first user terminal storage unit 32 stores the examinee ID 321 and the communication establishment information 322 of the target examinee P who is the user of the first user terminal 3 instead of the doctor ID 221 and the communication establishment information 222. Except for the above points, the first user terminal 3 has the same configuration as the doctor terminal 2.

(Insurance organization terminal)
The insurance organization terminal 4 includes an insurance organization terminal control unit 41, an insurance organization terminal storage unit 42, an insurance organization terminal output unit 43, an insurance organization terminal input unit 44, and an insurance organization terminal communication unit 45.

  The insurance organization terminal 4 has no telemedicine support program installed, the insurance organization terminal storage unit 42 stores the insurance organization ID 421 of the insurance organization instead of the doctor ID 221, and the insurance organization terminal storage unit 42 establishes communication It has the same configuration as the doctor terminal 2 except that the information 222 is not stored.

(Second user terminal)
The second user terminal 5 includes a second user terminal control unit 51, a second user terminal storage unit 52, a second user terminal output unit 53, a second user terminal input unit 54, and a second user terminal communication unit 55. With.

  The second user terminal 5 has the same configuration as the doctor terminal 2 except that the telemedicine support program is not installed and the second user terminal storage unit 52 does not store the doctor ID 221 and the communication establishment information 222. Have.

(Overview of a series of remote medical treatment support processes)
With reference to FIG. 3, an overall outline of a series of processes for remote medical care support will be described.

  The remote medical care support server 1, the doctor terminal 2, and the first user terminal 3 execute a reservation reception process described later (FIG. 3 / STEP 100). By the reservation reception process, the appointment date and time for telemedicine is reserved, and communication establishment information for establishing communication with each other is transmitted to the doctor terminal 2 and the first user terminal 3.

  Note that FIG. 3 / STEP 100 corresponds to the “medical appointment reception step” of the present invention.

  The remote medical care support server 1, the doctor terminal 2, and the first user terminal 3 execute a medical care support information registration process to be described later (FIG. 3 / STEP 200). Through the medical support information registration process, the medical support information of the target examinee P is additionally registered in the medical support information list 124 before receiving the remote medical checkup, and this information is shared with the doctor D in charge of the remote medical checkup of the target examinee P. Is done.

  The remote medical care support server 1, the doctor terminal 2, and the first user terminal 3 execute a remote medical care support process to be described later (FIG. 3 / STEP 300). The doctor terminal 2 and the first user terminal 3 establish communication using the communication establishment information and perform remote medical care support between the doctor D in charge and the target examinee P. After the end of the telemedicine, the doctor terminal 2 transmits the diagnosis information for the target examinee P to the remote diagnosis support server 1 and adds it to the diagnosis information list 125.

  Note that FIG. 3 / STEP 200 and STEP 300 correspond to the “television support step” of the present invention.

  The telemedicine support server 1, the doctor terminal 2, and the first user terminal 3 execute a medical billing / reward payment process described later (FIG. 3 / STEP 400). The telemedicine support server 1 determines the medical fee for telemedicine based on the medical examination information registered in FIG. 3 / STEP 200 and STEP 300, charges the insurance medical fee for telemedicine to the insurance payment institution, and remotes the target medical examinee P. The self-payment fee for the medical treatment and the payment of the remuneration for the doctor D in charge are performed.

  The remote medical care support server 1 executes a system use cost settlement process described later (FIG. 3 / STEP 500). The telemedicine support server 1 uses the settlement information of the insurance organization to settle the system usage fee.

  Note that FIG. 3 / STEP 500 corresponds to the “system usage cost settlement step” of the present invention.

(Reservation acceptance process)
The reservation acceptance process will be described with reference to FIG.

  First, the doctor terminal control unit 21 determines whether or not a medical available time zone has been input from the doctor D in charge via the doctor terminal input unit 24 (FIG. 4 / STEP 120).

  If the determination result is negative (FIG. 4 / STEP 120... NO), the doctor terminal control unit 21 executes the process of FIG. 4 / STEP 120 again.

  When the determination result is affirmative (FIG. 4 / STEP 120... YES), the doctor terminal control unit 21 is input from the doctor ID of the doctor D in charge registered in the doctor terminal storage unit 22 and the doctor D in charge. Medical available time zone information including a medical available time zone is created and transmitted to the remote medical care support server 1 via the doctor terminal communication unit 25 (FIG. 4 / STEP 121).

  The medical appointment receiving unit 111 determines whether or not medical available time zone information has been received via the server communication unit 15 (FIG. 4 / STEP110).

  If the determination result is negative (FIG. 4 / STEP 110... NO), the medical appointment receiving unit 111 executes the process of FIG. 4 / STEP 110 again.

  When the determination result is affirmative (FIG. 4 / STEP 110... YES), the medical appointment receiving unit 111 adds the medical available time zone information to the medical available time zone information list 127 shown in FIG. 4 / STEP 111).

  The first user terminal control unit 31 determines whether or not a reservation application operation for designating a desired medical treatment time zone from the target examinee P is detected via the first user terminal input unit 34 (FIG. 4 / STEP 130). .

  Prior to FIG. 4 / STEP 130, the medical appointment receiving unit 111 that has received access from the first user terminal 3 recognizes the name of the subject medical examinee P by referring to the medical examinee list 121, and creates the doctor list 122. A doctor who specializes in the name of the disease is extracted by referring to the extracted list of available doctors by referring to the list of information on available medical hours 127, and the available time zone for the first user is extracted. It may be transmitted to the terminal 3 and output to the first user terminal output unit 33.

  When the determination result is negative (FIG. 4 / STEP 130... NO), the first user terminal control unit 31 executes the process of FIG. 4 / STEP 130 again.

  When the determination result is affirmative (FIG. 4 / STEP 130... YES), the first user terminal control unit 31 is registered in advance in the first user terminal storage unit 32 via the first user terminal communication unit 35. Reservation application information including the examinee ID of the subject examinee P and the desired medical treatment time zone input from the subject examinee P is created and transmitted to the remote examination support server 1 (FIG. 4 / STEP 131).

  The medical appointment receiving unit 111 determines whether or not reservation application information has been received via the server communication unit 15 (FIG. 4 / STEP 112).

  When the determination result is negative (FIG. 4 / STEP 112... NO), the medical appointment receiving unit 111 executes the process of FIG. 4 / STEP 112 again.

  When the determination result is affirmative (FIG. 4 / STEP 112... YES), the medical appointment receiving unit 111 creates the medical examinee list 121, the doctor list 122, and the medical care available time zone information list 127 based on the reservation application information. Referring to FIG. 4 (STEP 113), a doctor in charge who is a doctor who can handle the desired medical treatment time zone indicated in the reservation application information is extracted.

  More specifically, the medical appointment receiving unit 111 refers to the examinee list 121 and recognizes the disease name of the subject examinee P by using the examinee ID of the subject examinee P included in the reservation application information. The medical appointment receiving unit 111 refers to the doctor list 122 and the available medical care time zone information list 127, and can respond to the name of the subject medical examinee P and corresponds to the desired medical treatment time zone included in the reservation application information. Recognize the doctor in charge.

  For example, when the target examinee P is “Oda × Men” and the desired medical treatment time zone is “2016/4/15 15:00: 00-15: 15:00”, the medical appointment receiving unit 111 The patient name “high blood pressure” of the target patient P is recognized by referring to the patient list 121 and using the patient ID “1” of the target patient P “Oda × M” included in the reservation application information. Then, the medical appointment reservation unit 111 specializes in the disease name “high blood pressure” of the target examinee P by referring to the doctor list 122 and the available medical care time zone information list 127, and the desired medical treatment time zone “2016/4 / Recognizing the doctor “○ Stone x” who can handle 15 15:00: 00 to 15: 15:00 ”as the doctor in charge. In addition, the medical treatment reservation reception part 111 may recognize the doctor who can respond from the medical treatment time zone information list 127 and the medical treatment time zone as a doctor in charge.

  The medical appointment receiving unit 111 adds the examinee ID of the target examinee P, the doctor ID of the doctor in charge, and the reserved time zone that is the desired medical time zone to the reservation list 126 (FIG. 4 / STEP 114).

  For example, as shown in the field 1264 of FIG. 2F, the medical appointment receiving unit 111 receives the subject ID “1” of the target examinee P “* da × m” and the doctor ID of the doctor in charge “○ ishi × yuki”. “11” and a reservation time zone “2016/4/15 15:00:00 to 15:15:00”, which is a desired medical treatment time zone, are added to the reservation list 126.

  The medical appointment receiving unit 111 recognizes the contact information of the target medical examiner P with reference to the medical examinee list 121, and that the reservation is received for the contact information of the target medical examiner P via the server communication unit 15. And reservation acceptance information including communication establishment information to the doctor in charge and doctor information of the doctor in charge (FIG. 4 / STEP 115).

  Here, the communication establishment information to the doctor in charge is, for example, information necessary for receiving a remote medical examination by the doctor in charge, for example, using the doctor ID of the doctor in charge and the videophone service by the remote medical assistance server 1. Information such as contact information of the doctor in charge as information for using the external videophone service.

  The first user terminal control unit 31 determines whether or not reservation acceptance information has been received via the first user terminal communication unit 35 (FIG. 4 / STEP 132).

  When the determination result is negative (FIG. 4 / STEP132... NO), the first user terminal control unit 31 executes the process of FIG. 4 / STEP132 again.

  If the determination result is affirmative (FIG. 4 / STEP132... YES), the first user terminal control unit 31 indicates that the reservation included in the reservation reception information has been received and the doctor information of the doctor in charge. While outputting to the output part 33 (FIG. 4 / STEP133), the communication establishment information contained in reservation reception information is memorize | stored in the 1st user terminal memory | storage part 32 (FIG. 4 / STEP134).

  The medical appointment receiving unit 111 recognizes the contact information of the doctor in charge D with reference to the doctor list 122 and sends the contact information of the doctor D in charge to the appointment time zone and the target examinee P via the server communication unit 15. The reservation reservation information including the communication establishment information and the subject information of the subject subject P is transmitted (FIG. 4 / STEP 116).

  Here, the communication establishment information for the target examinee P is, for example, information necessary for receiving a remote medical examination by the target examinee P, and is the same information as the communication establishment information for the doctor in charge.

  The doctor terminal control unit 21 determines whether or not the appointment reservation information has been received via the doctor terminal communication unit 25 (FIG. 4 / STEP 122).

  If the determination result is negative (FIG. 4 / STEP 122... NO), the doctor terminal control unit 21 executes the process of FIG. 4 / STEP 122 again.

  If the determination result is affirmative (FIG. 4 / STEP 122... YES), the doctor terminal control unit 21 sends the reservation time zone included in the reserved reservation information and the examinee information of the subject examinee P to the doctor terminal output unit 23. While outputting (FIG. 4 / STEP123), the communication establishment information contained in charge reservation information is memorize | stored in the doctor terminal memory | storage part 22 (FIG. 4 / STEP124).

  With the above processing, the reservation acceptance processing is completed. One of the transmissions of the communication establishment information to the doctor terminal 2 or the first user terminal 3 may be omitted.

(Medical support information registration process)
The medical assistance information registration process will be described with reference to FIG.

  The first user terminal control unit 31 determines whether or not the medical assistance information has been input via the first user terminal input unit 34 (FIG. 5 / STEP 230). As shown in FIG. 2D, the medical support information is obtained by a doctor such as a blood pressure, a body temperature, a weight, a recent illness, a recently swallowed illness, and a message inputted by the examinee ID and the target examinee P. This information includes information that can be referenced.

  When the determination result is negative (FIG. 5 / STEP 230... NO), the first user terminal control unit 31 executes FIG. 5 / STEP 230 again. The examinee ID may be input by the target examinee P or may be read from the first user terminal storage unit 32.

  If the determination result is affirmative (FIG. 5 / STEP 230... YES), the first user terminal control unit 31 transmits medical support information to the remote medical support server 1 via the first user terminal communication unit 35. (FIG. 5 / STEP231).

  Among the medical support information, for some or all of the blood pressure, body temperature, and body weight, the values measured by the wearable sensor worn by the subject examinee P or the measuring instrument used by the subject examinee P are: It may be transmitted to the remote medical care support server 1 via wireless communication or wired communication together with the examiner ID registered in the wearable sensor or the measuring device.

  The medical assistance information registration unit 112 determines whether or not medical assistance information has been received via the server communication unit 15 (FIG. 5 / STEP 210).

  If the determination result is negative (FIG. 5 / STEP 210... NO), the medical assistance information registration unit 112 executes FIG. 5 / STEP 210 again.

  If the determination result is affirmative (FIG. 5 / STEP 210... YES), the medical assistance information registration unit 112 adds the medical assistance information to the medical assistance information list and registers it (FIG. 5 / STEP 211).

  The medical assistance information registration unit 112 recognizes the doctor in charge D with reference to the reservation list 126 and recognizes the contact information of the doctor in charge D with reference to the doctor list 122 based on the ID of the examinee included in the medical assistance information. Then, the medical assistance information is transmitted to the contact information of the doctor D in charge (FIG. 5 / STEP 212).

  The doctor terminal control unit 21 determines whether or not medical assistance information has been received (FIG. 5 / STEP 220).

  If the determination result is negative (FIG. 5 / STEP 220... NO), the doctor terminal control unit 21 executes FIG. 5 / STEP 220 again.

  If the determination result is affirmative (FIG. 5 / STEP 220... YES), the doctor terminal control unit 21 outputs medical assistance information to the doctor terminal output unit 23 (FIG. 5 / STEP 221).

  With the above processing, the medical assistance information registration processing is completed.

(Remote medical treatment support processing)
With reference to FIG. 6, the remote medical care support processing will be described.

  The doctor terminal control unit 21 determines whether or not a connection operation from the doctor D in charge is detected via the doctor terminal input unit 24 (FIG. 6 / STEP 320).

  If the determination result is negative (FIG. 6 / SETP320... NO), the doctor terminal control unit 21 executes the process of FIG. 6 / SETP320 again.

  If the determination result is affirmative (FIG. 6 / SETP320... YES), the doctor terminal control unit 21 creates a connection request from the communication establishment information 222 stored in the doctor terminal storage unit 22, and sends the connection request to the doctor. It transmits to the 1st user terminal 3 via the terminal communication part 25 (FIG. 6 / STEP321).

  The first user terminal control unit 31 determines whether or not a connection request has been received via the first user terminal communication unit 35 (FIG. 6 / STEP 330).

  When the determination result is negative (FIG. 6 / SETP330... NO), the first user terminal control unit 31 executes the process of FIG. 6 / SETP330 again.

  When the determination result is affirmative (FIG. 6 / SETP330... YES), the first user terminal control unit 31 stores the connection request in the first user terminal storage unit 32 and establishes a connection to the doctor terminal 2. A connection establishment notification is sent to notify that it has been done (FIG. 6 / STEP 331).

  The doctor terminal control unit 21 determines whether or not the doctor speech information is input via the doctor terminal input unit 24 (FIG. 6 / STEP 322). For example, the doctor terminal control unit 21 may recognize the remarks of the doctor D in charge input via a microphone as the doctor terminal input unit 24 as doctor remark information. Moreover, the doctor terminal control part 21 may recognize the character string etc. which were input through operation to the keyboard or touch panel as the doctor terminal input part 24 as doctor speech information, for example.

  If the determination result is affirmative (FIG. 6 / STEP 322... YES), the doctor terminal control unit 21 transmits doctor speech information to the first user terminal 3 via the doctor terminal communication unit 25 (FIG. 6 / STEP 323). ).

  When the determination result is negative (FIG. 6 / STEP 322... NO), the doctor terminal control unit 21 executes the process of FIG. 6 / STEP 324.

  Moreover, after FIG. 6 / STEP331, the 1st user terminal control part 31 determines whether the examinee remark information was input via the 1st user terminal input part 34 (FIG. 6 / STEP332).

  For example, the first user terminal control unit 31 may recognize the remarks of the target examinee P input via a microphone as the first user terminal input unit 34 as the recipient remark information. Moreover, the 1st user terminal control part 31 may recognize the character string etc. which were input through operation to the keyboard as the 1st user terminal input part 34, or a touch panel, for example, as examinee remark information.

  When the determination result is affirmative (FIG. 6 / STEP 332... YES), the first user terminal control unit 31 transmits the examinee remark information to the doctor terminal 2 via the first user terminal communication unit 35 (FIG. 6). 6 / STEP333).

  When the determination result is negative (FIG. 6 / STEP 332... NO), the first user terminal control unit 31 executes the process of FIG. 6 / STEP 334.

  In FIG. 6 / STEP324, the doctor terminal control part 21 determines whether the examiner remark information has been received from the first user terminal 3 via the doctor terminal communication part 25.

  If the determination result is affirmative (FIG. 6 / STEP 324... YES), the doctor terminal control unit 21 outputs the received patient remark information to the doctor terminal output unit 23 (FIG. 6 / STEP 325).

  When the determination result is negative (FIG. 6 / STEP324... NO), the doctor terminal control unit 21 executes the process of FIG. 6 / STEP326.

  In FIG. 6 / STEP 326, the doctor terminal control unit 21 determines whether an end operation has been detected via the doctor terminal input unit 24 or the connection with the first user terminal 3 has been disconnected.

  If the determination result is affirmative (FIG. 6 / STEP 326... YES), the doctor terminal control unit 21 executes the process of FIG. 6 / STEP 327.

  When the determination result is negative (FIG. 6 / STEP 326... NO), the doctor terminal control unit 21 executes the process of FIG. 6 / STEP 322.

  In FIG. 6 / STEP334, the 1st user terminal control part 31 determines whether the doctor speech information was received from the doctor terminal 2 via the 1st user terminal communication part 35. In FIG.

  When the determination result is affirmative (FIG. 6 / STEP 334... YES), the first user terminal control unit 31 outputs the received doctor speech information to the first user terminal output unit 33 (FIG. 6 / STEP 335).

  When the determination result is negative (FIG. 6 / STEP 334... NO), the first user terminal control unit 31 executes the process of FIG. 6 / STEP 336.

  In FIG. 6 / STEP336, the 1st user terminal control part 31 detects completion | finish operation via the 1st user terminal input part 34, or determines whether the connection with the doctor terminal 2 was cut | disconnected.

  When the determination result is affirmative (FIG. 6 / STEP 336... YES), the first user terminal control unit 31 transmits a disconnection notification to the doctor terminal 2 via the first user terminal communication unit 35 (FIG. 6). 6 / STEP337).

  When the determination result is negative (FIG. 6 / STEP 336... NO), the first user terminal control unit 31 executes the process of FIG. 6 / STEP 332.

  In FIG. 6 / STEP 327, the doctor terminal control unit 21 transmits a disconnection notification to the first user terminal 3 via the doctor terminal communication unit 25.

  The doctor terminal control unit 21 creates diagnosis information for the target examinee P based on information input via the doctor terminal input unit 24 (FIG. 6 / STEP 328). Information input via the doctor terminal input unit 24 includes symptoms / diagnosis results, prescription contents, medical scores, and doctor comments. The medical examination information for the target medical examiner P includes the medical examiner ID included in the communication establishment information, the medical examination date and time that is the time when the connection establishment notification is received, the symptom / diagnosis result, the prescription content, and the doctor ID of the doctor D And medical scores and doctor comments. Among these, the medical score is a medical score related to a doctor's examination performed in the telemedicine support process.

  For example, the examination information for the target examinee P “○ da × m” includes the examinee ID “1”, the date and time of reception “2016/4/15 12:00,” and the symptom / diagnosis result “hypertension reducing drug”. ”, The prescription content“ medicine 12 capsules / 30 meals per day ”, the doctor ID“ 11 ”of the doctor in charge D, the medical score“ 100 ”, and the doctor comment“ Reserve alcohol and salt in this condition. Please include habitual exercise consciously. "

  The doctor terminal control unit 21 transmits the created examination information to the remote medical care support server 1 via the doctor terminal communication unit 25 (FIG. 6 / STEP 329).

  Note that the examination information input from the target examinee P to the first user terminal 3 may be transmitted to the remote examination support server 1.

  The medical examination information registration unit 113 determines whether or not the medical examination information has been received via the server communication unit 15 (FIG. 6 / STEP 310).

  When the determination result is negative (FIG. 6 / STEP 310... NO), the diagnosis information registration unit 113 executes the process of FIG. 6 / STEP 310 again.

  If the determination result is affirmative (FIG. 6 / STEP 310... YES), the diagnosis information registration unit 113 adds the received diagnosis information to the diagnosis information list 125 (FIG. 6 / STEP 311). For example, the field 1258 shown in FIG. 2E is added to the examination information list 125 as examination information for the target examinee P “○ da × m”.

  Thus, the telemedicine support process ends.

(Medical billing / reward payment processing)
With reference to FIG. 7, the medical billing / reward payment process will be described.

  The medical cost determination unit 114 determines the self-pay amount of the target medical examinee P using a predetermined calculation formula based on the medical score of the target medical examinee P included in the medical examination information list 125 (FIG. 7 / STEP410). . Here, the self-payment amount of the target examinee P is an amount determined based on the medical score in the remote medical treatment by the doctor D in charge in the remote medical treatment support processing (FIG. 3 / STEP300), and the medicine cost of the prescribed medicine is Not included.

  The medical cost determining unit 114 transmits billing data including the self-payment amount of the target medical examiner P determined through the server communication unit 15 and the medical examination information of the target medical examinee P to the first user terminal 3 (FIG. 7 / STEP411). ).

  The first user terminal control unit 31 determines whether or not billing data has been received via the first user terminal communication unit 35 (FIG. 7 / STEP 430).

  When the determination result is negative (FIG. 7 / STEP 430... NO), the first user terminal control unit 31 executes the process of FIG. 7 / STEP 430 again.

  If the determination result is affirmative (FIG. 7 / STEP 430... YES), the first user terminal control unit 31 displays a diagnosis information screen 6 including the received diagnosis information and billing data as shown in FIG. 1 is output to the user terminal output unit 33 (FIG. 7 / STEP 431).

  The examination information screen 6 is configured as, for example, a Web screen, and includes a name display 611, a person ID display 612, a doctor name display 621, a doctor ID display 622 of the doctor in charge, and a doctor ID of the doctor in charge. A photo display 623 for displaying a photograph of the doctor in charge stored in association with each other, a reception date display 631, a symptom / diagnosis result display 632, a prescription content display 641, a prescription content shipment display 642, a doctor comment 651, In addition, the present self-payment amount display 661 and the next reservation display 671 are included.

  Here, when the first user terminal control unit 31 detects that the prescription content dispatch display 642 is pressed via the first user terminal input unit 34, a screen for transmitting the prescription content that cannot be edited to the pharmacy by e-mail or the like. Is displayed. In addition to or instead of this, the first user terminal control unit 31 may transmit a file in which an electronic signature is added to the prescription content to the first user terminal 3. In addition, when the first user terminal control unit 31 detects that the next reservation display 671 is pressed via the first user terminal input unit 34, the first user terminal control unit 31 displays a reservation reception screen and executes the processing of FIG.

  After FIG. 7 / STEP 411, the medical expense determination unit 114 uses the payment information of the target examinee P included in the examinee list 121 to settle the self-pay amount of the target examinee P (FIG. 7 / STEP 412). For example, the medical expense determination unit 114 performs the payment of the self-pay amount by transmitting the credit information and the self-pay amount included in the payment information of the target examinee P to the payment server specified from the credit information.

  Further, the medical cost determination unit 114 determines the medical fee of the doctor D in charge using the medical score and a predetermined formula (FIG. 7 / STEP 413).

  The medical expense determination unit 114 transmits the doctor reward data to the doctor terminal 2 via the server communication unit 15 (FIG. 7 / STEP 414).

  The medical expense determination unit 114 uses the remuneration payee information of the doctor D in charge included in the doctor list 122 to perform payment of remuneration for the doctor D in charge (FIG. 7 / STEP 415). For example, the medical expense determination unit 114 performs settlement of payment of the remuneration for the doctor D in charge by transmitting the account information of the doctor D in charge and the medical fee to the bank server specified from the account information.

  Further, the doctor terminal control unit 21 determines whether or not the medical reward data is received via the doctor terminal communication unit 25 (FIG. 7 / STEP 420).

  When the determination result is negative (FIG. 7 / STEP 420... NO), the doctor terminal control unit 21 executes the process of FIG. 7 / STEP 420 again.

  When the determination result is affirmative (FIG. 7 / STEP 420... YES), the doctor terminal control unit 21 outputs a medical reward screen including the received medical reward data to the doctor terminal output unit 23 (FIG. 7 / STEP 421). .

  Thus, the medical billing / reward payment processing is completed.

(System usage fee settlement processing)
With reference to FIG. 9, the system usage cost settlement process will be described.

  The system usage fee settlement unit 115 determines whether or not the target medical examinee out of the medical expenses based on the medical examination information of the target medical examinee P included in the medical examination information list 125 and the burden ratio of the target medical examinee P included in the medical examinee list 121. An insurance organization burden amount that is a burden amount of the insurance organization that P joins is calculated (FIG. 9 / STEP 510). Here, the insurance organization burden is the sum of the insurance medical expenses temporarily paid by the insurance medical expenses paying institution and the insurance organization burden of the medical expenses specified from the prescriptions included in the medical examination information. It is.

  For example, the burden ratio of the target examinee P is BR, the medical score included in the medical examination information is W point, the medical score is X yen, and the total amount of medicine 1 is prescribed in Y capsules, and the external medicine fee When the unit price of the medicine 1 acquired from the server is Z yen per capsule, the system use cost settlement unit 115 calculates the insurance organization burden IB by the following equation (1).

  The system usage cost settlement unit 115 determines a part of the difference between the standard insurance organization burden amount and the insurance organization burden amount of the target examinee P shown in the reference insurance organization burden amount information list 128 as the system usage cost (FIG. 9). / STEP511). For example, the system usage fee settlement unit 115 determines 50% of the difference between the reference insurance organization burden amount and the insurance organization burden amount of the target examinee P as the system usage cost.

  The system usage fee settlement unit 115 recognizes the insurance organization ID of the target examinee P included in the examinee list 121 and uses the insurance organization settlement information specified from the insurance organization ID included in the insurance organization list 123. Then, the determined system use cost is settled (FIG. 9 / STEP 512).

  Thus, the system usage cost settlement process is completed.

(Insurance organization burden data provision processing)
Next, with reference to FIG. 10 and FIG. 11A, an insurance organization burden data provision process for providing time series data of the insurance organization burden of the insurance organization to the person in charge of the insurance organization will be described.

  The insurance organization terminal control unit 41 determines whether or not a display request operation for insurance organization burden data has been input via the insurance organization terminal input unit 44 (FIG. 10 / STEP 640).

  When the determination result is negative (FIG. 10 / STEP 640... NO), the insurance organization terminal control unit 41 executes the process of FIG. 10 / STEP 640 again.

  If the determination result is affirmative (FIG. 10 / STEP 640... YES), the insurance organization terminal control unit 41 issues an insurance organization burden data request including the insurance organization ID stored in the insurance organization terminal storage unit 42 as an insurance policy. It transmits to the remote medical care support server 1 via the organization terminal communication part 45 (FIG. 10 / STEP641).

  The data transmission unit 116 determines whether or not the insurance organization burden data request has been received via the server communication unit 15 (FIG. 10 / STEP 610).

  If the determination result is negative (FIG. 10 / STEP 610... NO), the data transmission unit 116 executes the process of FIG. 10 / STEP 610 again.

  If the determination result is affirmative (FIG. 10 / STEP 610... YES), the data transmission unit 116 refers to the examinee list 121 from the insurance organization ID included in the insurance organization burden data request, and sends the insurance organization to the insurance organization. The patient ID of the patient who has joined is specified (FIG. 10 / STEP 611). For example, the data transmission unit 116 refers to the examinee list 121 shown in FIG. 2A from the insurance organization ID “101” included in the insurance organization burden data request from the insurance organization “A Health Insurance”, and starts the insurance number. The medical checkup IDs “1” and “3” of the medical checkups “* da × m” and “× kawa ○ mi” whose insurance organization IDs are included are identified.

  The data transmission unit 116 refers to the examination information list 125 and recognizes the examination information including the identified examinee ID (FIG. 10 / STEP 612).

  For example, the data transmission unit 116 extracts and recognizes the fields having the examinee IDs “1” and “3” from the diagnosis information list 125 shown in FIG. 2E.

  The data transmission unit 116 calculates the insurance organization burden for each unit period based on the recognized medical examination information (FIG. 10 / STEP 613).

  For example, the data transmission unit 116 calculates the insurance organization burden for each unit period “one month” using the above formula (1). For example, from the consultation information list 125 shown in FIG. 2E, the insurance organization burden for January 2016 to April 2016 is calculated.

  The data transmission unit 116 recognizes the reference insurance organization burden amount for each unit period of the insurance organization by referring to the reference insurance organization burden information list 128 (FIG. 10 / STEP 614). For example, the data transmission unit 116 refers to the reference insurance organization burden information list 128 shown in FIG. 2H, thereby making the reference insurance organization contributions “10,000”, “12,” of the examinee IDs “1” and “3”. 000 ". Then, the data transmission unit 116 calculates the reference insurance organization burden for each unit period of the insurance organization from the number of consultations for each unit period of the examinee IDs “1” and “3” specified from the examination information list 125. . Further, the data transmission unit 116 may recognize the system use start date of the insurance organization by referring to the insurance organization list 123, and may use the start end of the data as the system use start date.

  The data transmission unit 116 calculates a part (for example, 50%) of the difference between the standard insurance organization burden for each unit period and the insurance organization burden for each unit period as the system usage cost for each unit period (FIG. 10). / STEP615).

  The data transmission unit 116 creates time-series insurance organization burden data based on the standard insurance organization burden for each unit period, the insurance organization burden for each unit period, and the system usage cost for each unit period (see FIG. 10 / STEP616).

  FIG. 11A is a line graph of the insurance organization burden included in the insurance organization burden data in chronological order. The vertical axis in FIG. 11A is the amount of money, and the horizontal axis in FIG. 11A is the period. The dashed line is a graph showing the transition of the standard insurance organization burden, the one-dot chain line is the graph showing the transition of the insurance organization burden, and the two-dot chain line is the transition of the amount of the insurance organization burden plus the system usage cost It is a graph.

  The data transmission unit 116 transmits the created insurance organization burden data to the insurance organization terminal 4 via the server communication unit 15 (FIG. 10 / STEP 617).

  The insurance organization terminal control unit 41 determines whether the insurance organization burden data has been received via the insurance organization terminal communication unit 45 (FIG. 10 / STEP 642).

  When the determination result is negative (FIG. 10 / STEP 642... NO), the insurance organization terminal control unit 41 executes the process of FIG. 10 / STEP 642 again.

  If the determination result is affirmative (FIG. 10 / STEP 642... YES), the insurance organization terminal control unit 41 converts the received insurance organization burden data into, for example, the graph shown in FIG. This is output (FIG. 10 / STEP 643).

  This completes the insurance organization burden data provision processing.

(First health condition data provision process)
With reference to FIG. 11B and FIG. 12, the 1st health condition data provision process which provides the data which show the time-sequential change of the health condition of object examinee P with respect to the 1st user terminal 3 of object examinee P is performed. explain.

  The first user terminal control unit 31 determines whether or not a display request operation for the first health condition data is input via the first user terminal input unit 34 (FIG. 12 / STEP 730).

  When the determination result is negative (FIG. 12 / STEP 730... NO), the first user terminal control unit 31 executes the process of FIG. 12 / STEP 730 again.

  When the determination result is affirmative (FIG. 12 / STEP 730... YES), the first user terminal control unit 31 includes the first examinee ID of the subject examinee P stored in the first user terminal storage unit 32. The health condition data request is transmitted to the remote medical care support server 1 via the first user terminal communication unit 35 (FIG. 12 / STEP 731).

  The data transmission unit 116 determines whether or not the first health condition data request has been received via the server communication unit 15 (FIG. 12 / STEP 710).

  If the determination result is negative (FIG. 12 / STEP 710... NO), the data transmission unit 116 executes the process of FIG. 12 / STEP 710 again.

  If the determination result is affirmative (FIG. 12 / STEP 710... YES), the data transmission unit 116 determines the medical assistance information list 124 based on the examinee ID of the subject examinee P included in the first health condition data request. Then, referring to the examination information list 125, the medical assistance information and the examination information including the examinee ID are recognized (FIG. 12 / STEP 711). Even if the data transmission unit 116 does not receive the first health condition data request, the data transmission unit 116 periodically performs the processing of FIG. You may transmit 1st health condition data previously.

  For example, the data transmission unit 116 extracts and recognizes information of the field that is the subject ID “1” of the target examinee P from the medical assistance information list 124 and the examination information list 125 illustrated in FIGS. 2D and 2E. .

  Based on the recognized information, the data transmission unit 116 recognizes the health condition of the target patient P at each point in time (FIG. 12 / STEP712).

  For example, the data transmission unit 116 refers to the medical assistance information list 124 to recognize the blood pressure of the target medical examinee P at each medical examination time point, and refers to the medical examination information list 125 to recognize the number of medicines taken per day. May be. It should be noted that the health status of the medical assistance information having the registration date and time closest to the date and time of diagnosis included in the diagnosis information list 125 can be recognized as the health status of the target patient P at the time of the diagnosis. Further, the item “blood pressure” of the health condition to be recognized may be determined by referring to a correspondence table (not shown) based on the disease name “hypertension” of the target patient P in the patient list 121.

  The data transmission unit 116 creates time-sequential first health condition data based on the health condition of the target examinee P at each consultation time (FIG. 12 / STEP 713).

  The data transmission unit 116 transmits the created first health condition data to the first user terminal 3 via the server communication unit 15 (FIG. 12 / STEP 714).

  The first user terminal control unit 31 determines whether or not the first health condition data has been received via the first user terminal communication unit 35 (FIG. 12 / STEP 732).

  If the determination result is negative (FIG. 12 / STEP 732... NO), the first user terminal control unit 31 executes the process of FIG. 12 / STEP 732 again.

  If the determination result is affirmative (FIG. 12 / STEP 732... YES), the first user terminal control unit 31 converts the received first health condition data into, for example, the graph shown in FIG. 33 (FIG. 12 / STEP 733).

  FIG. 11B is a graph created based on the first health condition data. The left vertical axis in FIG. 11B is blood pressure, the right vertical axis in FIG. 11B is the number of medicines taken per day, and the horizontal axis in FIG. 11B is the period. The solid line is a graph showing the blood pressure transition, and the broken line is a graph showing the transition of the number of medicines taken per day. In addition, a point t1 indicating each consultation time point in a part of the graph includes a link to the examination information screen in which the link of the prescription content transmission display is deleted from the examination information screen shown in FIG.

  Thus, the first health condition data provision process ends.

(Second health status data provision process)
Referring to FIG. 11C and FIG. 13, the remote medical treatment related to the disease name designated by the prospective examiner UP to the second user terminal 5 of the prospective examiner UP who does not use the remote medical treatment support service of the remote medical assistance server 1. The second health condition data providing process for providing second health condition data indicating the time-series transition of the health condition of the support service user (examinee) will be described.

  The second user terminal control unit 51 determines whether or not a second health condition data display request operation including designation of a disease name is input via the second user terminal input unit 54 (FIG. 13 / STEP 850).

  If the determination result is negative (FIG. 13 / STEP 850... NO), the second user terminal control unit 51 executes the process of FIG. 13 / STEP 850 again.

  If the determination result is affirmative (FIG. 13 / STEP 850... YES), the second user terminal control unit 51 sends a second health condition data request including the specified disease name via the second user terminal communication unit 55. To the remote medical care support server 1 (FIG. 13 / STEP 851).

  The data transmission unit 116 determines whether or not the second health condition data request has been received via the server communication unit 15 (FIG. 13 / STEP 810).

  If the determination result is negative (FIG. 13 / STEP 810... NO), the data transmission unit 116 executes the process of FIG. 13 / STEP 810 again.

  When the determination result is affirmative (FIG. 13 / STEP 810... YES), the data transmission unit 116 refers to the examinee list 121 from the disease names included in the second health condition data request, and is associated with the disease names. The patient ID is recognized (FIG. 13 / STEP 811).

  For example, the data transmission unit 116 refers to the examinee list 121 from the disease name “high blood pressure” included in the second health condition data request, and recognizes the examinee ID “1” associated with the disease name “high blood pressure”. .

  With reference to the medical assistance information list 124 and the medical examination information list 125, the field including the examinee ID is recognized (FIG. 13 / STEP812).

  For example, the data transmission unit 116 extracts and recognizes information on the field having the examinee ID “1” from the medical assistance information list 124 and the medical examination information list 125 illustrated in FIG. 2E.

  Based on the recognized information, the data transmission unit 116 recognizes the health status of each patient at each consultation time (FIG. 13 / STEP 813).

  For example, the data transmission unit 116 refers to the medical assistance information list 124 to recognize the blood pressure of each medical examinee at each medical examination time, and refers to the medical examination information list 125 to recognize the number of medicines taken per day. Also good. It should be noted that the health status of the medical assistance information having the registration date and time closest to the date and time of diagnosis included in the diagnosis information list 125 can be recognized as the health status of each patient at the time of the diagnosis. The item “blood pressure” of the recognition target health condition may be determined by referring to a correspondence table (not shown) based on the designated disease name “high blood pressure”.

  The data transmitting unit 116 creates time-series second health condition data based on the health condition of each examinee at each consultation time (FIG. 13 / STEP 814).

  The data transmission unit 116 transmits the created second health condition data to the second user terminal 5 via the server communication unit 15 (FIG. 13 / STEP 815).

  The second user terminal control unit 51 determines whether or not the second health condition data is received via the second user terminal communication unit 55 (FIG. 13 / STEP852).

  When the determination result is negative (FIG. 13 / STEP852... NO), the second user terminal control unit 51 executes the process of FIG. 13 / STEP852 again.

  When the determination result is affirmative (FIG. 13 / STEP852... YES), the second user terminal control unit 51 converts the received second health condition data into, for example, the graph shown in FIG. (FIG. 13 / STEP 853).

  FIG. 11C is a line graph showing a time-series transition of the health state for each patient included in the second health state data. The left vertical axis in FIG. 11C is the blood pressure, and the horizontal axis in FIG. 11C is the period. The graph of each examinee may be a graph showing the transition of the health state for a certain period (for example, one year) starting from each consultation start date. The solid line, the alternate long and short dash line, and the alternate long and two short dashes line are graphs showing the transition of blood pressure for each patient. In addition, at the point t2 indicating each consultation time point in each graph, the personal information such as the name of the examinee and the examinee ID, the prescription content transmission display, the reservation reception display, etc. are deleted from the examination information screen shown in FIG. A link to the consultation information screen is included.

  Thus, the second health condition data transmission process ends.

  DESCRIPTION OF SYMBOLS 1 ... Remote medical care support server, 2 ... Doctor terminal, 3 ... 1st user terminal (user terminal), 4 ... Insurance organization terminal, 111 ... Medical treatment reservation reception part, 112 ... Medical care support information registration part, 113 ... Medical examination information registration part , 114 medical cost determination unit, 115 system usage cost settlement unit, 116 data transmission unit, 12 server storage unit, 121 patient list, 122 doctor list, 123 insurance organization list, 124 medical support information List 125: Examination information list 126: Reservation list 127: Medical treatment available time zone information list 128: Standard insurance organization burden information list 129: Payment institution information 21: Doctor terminal control unit (remote medical care support unit) .

Claims (6)

A network system comprising one or more doctor terminals that communicate with a plurality of user terminals and a remote medical assistance server,
Medical care available time zone information including a medical care available time zone, which is a time zone in which a doctor associated with the one or more doctor terminals can engage in medical care, and a standard insurance organization which is a standard insurance organization burden A storage unit for storing information on the burden amount;
From the first user terminal, which is one of the plurality of user terminals, a target medical examination time zone desired by the target examinee related to the first user terminal to receive medical examination is received, and the available medical examination time Referring to the band information, the doctor in charge who can engage in the medical care in the desired medical treatment time period is extracted, and communication between the doctor terminal in charge as the doctor terminal of the doctor in charge and the first user terminal is established. A medical appointment receiving unit that transmits communication establishment information for the communication to one or both of the doctor terminal in charge and the first user terminal;
The patient remark information received from the first user terminal with which communication has been established based on the communication establishment information is output to the doctor terminal in charge, and the doctor remark information input from the doctor terminal in charge is output to the first user. A telemedicine support unit that transmits to the terminal;
Based on the medical record information for the target examinee received from the doctor terminal in charge or the first user terminal, a part of or all of the medical expenses for the target examinee is borne by the insurance organization to which the target examinee joins And a system usage cost for settlement using the insurance organization settlement information as a part of the difference between the calculated insurance organization burden and the standard insurance organization burden. A telemedicine support system comprising a settlement unit. The telemedicine support system according to claim 1,
The storage unit stores medical record information associating medical examination time points, examinees, and insurance organization burdens,
The telemedicine support system refers to the medical chart information, and obtains insurance organization burden data indicating the relationship between the insurance organization burden of the examinee associated with one insurance organization and the point in time of the medical treatment. A telemedicine support system characterized by comprising a data transmitter for transmitting to a terminal of an organization. The telemedicine support system according to claim 2,
The said data transmission part transmits the data which superimposed the reference insurance organization burden amount data which show the said reference insurance organization burden amount on the said insurance organization burden amount data to the said terminal, The remote medical treatment support system characterized by the above-mentioned. In the telemedicine support system according to any one of claims 1 to 3,
The storage unit stores medical record information associating the examinee with one or both of the medical time point and the health condition information of the examinee and the medicine information prescribed for the examinee,
The telemedicine support system refers to the medical chart information, so that the relationship between the medical treatment time point associated with one medical examinee and one or both of the health condition information and the medical information prescribed for the medical examinee A telemedicine support system, comprising: a data transmission unit configured to transmit first health condition data indicating the condition to the user terminal of the examinee. In the telemedicine support system according to any one of claims 1 to 4,
The storage unit stores medical record information associating one or both of health status information including a medical time point and a disease name and prescription medicine information,
The telemedicine support system includes:
By receiving a request for health condition information including a disease name from a second user terminal, which is one of the user terminals, and referring to the medical record information, the health condition information including the received disease name and a prescribed medicine Extract one or both of the information
It is comprised so that the data transmission part which transmits the 2nd health status data which shows the time-sequential transition of one or both of the extracted health status information and the information of the prescribed medicine to the said 2nd user terminal is comprised. Telemedicine support system characterized by Communicating with a plurality of user terminals and serving as a reference, and a reference time zone information including a medical time zone in which a doctor associated with one or a plurality of doctor terminals can engage in medical treatment. A method in which one or both of one or a plurality of doctor terminals and a remote medical care support server including a storage unit that stores information on a standard insurance organization burden amount which is an insurance organization burden amount is executed in cooperation with each other,
From the first user terminal, which is one of the plurality of user terminals, a target medical examination time zone desired by the target examinee related to the first user terminal to receive medical examination is received, and the available medical examination time Referring to the band information, the doctor in charge who can engage in the medical care in the desired medical treatment time period is extracted, and communication between the doctor terminal in charge as the doctor terminal of the doctor in charge and the first user terminal is established. A medical appointment reception step for transmitting communication establishment information for one or both of the doctor terminal in charge and the first user terminal;
The patient remark information received from the first user terminal with which communication has been established based on the communication establishment information is output to the doctor terminal in charge, and the doctor remark information input from the doctor terminal in charge is output to the first user. Telemedicine support step to send to the terminal;
Based on the medical record information for the target examinee received from the doctor terminal in charge or the first user terminal, a part of or all of the medical expenses for the target examinee is borne by the insurance organization to which the target examinee joins And a system usage cost for settlement using the insurance organization settlement information as a part of the difference between the calculated insurance organization burden and the standard insurance organization burden. A telemedicine support method comprising: a settlement step.