JP6375080B1 - Medical support system and medical support method - Google Patents

Abstract

A community where both those who are in need of support and medical professionals can easily, quickly and accurately determine the health status of those who need support, and which are well-linked between care and medical care Provided are a medical support system and a medical support method capable of realizing a comprehensive care system.
The score calculation unit 12 quantifies and scores the health information data acquired by the health information acquisition unit 11 in accordance with preset evaluation items, and calculates a score indicating the health status of the care recipient. The common language conversion unit 13 is an index indicating the health status of the cared person calculated by the score calculation unit 12 and is an index indicating the health status and is a weather that can be shared by both the care worker and the medical worker Convert to the common language that is the expression of the forecast. The hospitalization necessity determination unit 14 compares the score indicating the health status of the care recipient calculated by the score calculation unit 12 with a predetermined reference value set in advance, and there is a need for hospitalization when the score is equal to or higher than the reference value. Is determined.

Description

  The present invention relates to a medical support system and a medical support method, and in particular, a medical support system and a medical service for sharing information on a person who needs support between a person who needs assistance and a medical worker. It relates to support methods.

In recent years, an aging society has progressed, and the population of those who need assistance, such as elderly people, has continued to increase significantly. Under such circumstances, the demand for nursing care and medical care is expected to increase further in the future, so in the area where you lived as much as possible with the purpose of maintaining the dignity of the elderly and supporting independent living, It is promoted to build a comprehensive support service provision system (comprehensive community care system) in order to continue a unique life to the end of life.
In order to realize this comprehensive community care system, cooperation between nursing care and medical care has been widely demanded. For example, if the care-related information held by nursing care facilities, etc. and the medical-related information held by medical institutions can be shared with each other using information processing technology, It is possible to consistently grasp the period and further to the life after discharge, and it is possible to perform optimal care or medical treatment according to each elderly person.

For example, Patent Document 1 describes a nursing care system that is linked to a medical system that shares information between medical care and nursing care. Specifically, in the system of Patent Document 1, the access authority is defined, thereby ensuring the security of highly confidential information and achieving cooperation between the medical and nursing care systems.
Patent Document 2 describes an elderly information management system using a network. Specifically, in the system of Patent Document 2, the health status of the elderly and various requests and consultations can be grasped as needed, and information on the elderly is transmitted to medical institutions and the like.

Japanese Patent Laying-Open No. 2015-028773 JP 2010-244091 A

  However, it has been a long time since the cooperation between nursing care and medical care was screamed in order to realize a comprehensive community care system, and various systems such as Patent Documents 1 and 2 have been constructed. The current situation is that cooperation with medical care is not always working.

One of the reasons is the problem that the expressions used by medical personnel are different from those related to those who need support such as care workers. For example, care workers at the nursing care site express the health status of the elderly, such as “I feel nauseous and I feel cold sweat when I touch the body”. , “Blood pressure is 80/40, SpO2 is 89%, JCS is two digits”, etc.
In such a situation where expressions are different, it is natural that cooperation between care and medical care is not successful. On the medical side, care workers also insist that care and medical care cannot be coordinated unless they study medical care. However, for the caregiver, the viewpoint of care is centered on the aspect of supporting the lives of the elderly, and the expressions used by the caregivers understand the health status closely linked to the daily lives of the elderly, etc. It is easy to show. Therefore, even if it is changed to use medical terms suddenly at a nursing care site, it is difficult to say that it will work, and conversely, there is a risk that it will interfere with daily care work.

In addition, as an adverse effect of poor coordination between care and medical care, there are many elderly people who are admitted to the hospital for the first time after their health condition is too bad, and are unable to return to their homes or care facilities again. There is a fact that it is.
In order to avoid this, it is important for the caregiver to also determine the appropriate timing of hospitalization, but in order to quickly find any obstacles or exacerbations of health, depending on the health status of each patient in the medical field There is a need for a sense born from the experience that leads to the diagnosis process and treatment that doctors always repeat in the head. However, sharing such a sense on the care side is not possible overnight and is difficult in practice.

  On the other hand, among the daily tweets that the people concerned who need assistance such as care workers who are in contact with the elderly, etc. on a daily basis intuitively feel the judgment of the health status of the elderly, etc. It is often the case that important elements are included. However, it is difficult for doctors to pick up only important ones from countless tweets generated by care workers and accurately determine the health status of the elderly.

  Furthermore, those who need assistance such as care workers need to pay attention to various things and sometimes encounter different problems every day. At each time, it is difficult to constantly request responsible judgment from a care worker or the like who is busy with a huge amount of work. In particular, some caregivers may be taking care of their family members and relatives, even if they are not professionals such as qualified persons, so they have the same responsibilities. It is cruel.

  Therefore, the present invention has been made in view of the above-mentioned problems, and the purpose of the present invention is to make it possible for both a person who needs assistance and a person concerned and a medical worker to check the health status of those who need assistance. To provide a medical support system and a medical support method capable of easily, quickly and accurately determining, and capable of realizing a comprehensive community care system in which care and medical care are suitably linked.

  According to the medical support system of the present invention, the problem is that medical information is shared between a person in need of support and a person in need of support via a computer. A support system, wherein the computer quantifies the health information according to a health information acquisition unit that acquires health information indicating a health condition of the person who needs the support, and a predetermined evaluation item of a medical institution. A score calculation unit for calculating a score indicating the health status of the person who needs the support, a person who is related to the person who needs the support and is an index indicating the health status, and the medical worker A common language conversion unit that converts to a common language capable of common recognition in both, a hospitalization necessity determination unit that determines that there is a need for hospitalization when the score does not satisfy a predetermined requirement, and the score or the List common languages To further comprising a result displaying unit, and is solved by.

  The medical support method of the present invention is a medical support method for sharing information on a person in need of support between a person who is related to the person in need of support and a medical worker by a computer. The health information acquisition process for acquiring health information indicating the health status of the person who needs the support, and the health information acquired by the health information acquisition process according to the evaluation items of a medical institution defined in advance. The health information is quantified and scored, a score calculation process for calculating a score indicating the health condition of the person who needs the support, and the score calculated by the score calculation process is an index indicating a health condition, A common language conversion process for converting the language into a common language that can be commonly recognized by both the medical staff and a person related to the person who needs support, and the points calculated by the score calculation process Result of displaying the common language converted by the score calculated by the score calculation process or the common language conversion process, and the hospitalization necessity determination process for determining that there is a need for hospitalization when the predetermined requirement is not satisfied It is solved by executing display processing.

In the medical support system or the medical support method of the present invention configured as described above, the health of a person who needs support such as an elderly person obtained from a person related to a person who needs support such as a care worker The health information indicating the condition is digitized according to the evaluation items of the medical institution prescribed in advance, and the score indicating the health condition of the person who needs support is calculated, and the score is an index indicating the health condition and needs support The language is converted into a common language that can be shared by both the person concerned and the health care professional, and the score does not meet the prescribed requirements, that is, if the score is high, the condition of poor health If the score is equal to or higher than the specified reference value, or if the score is lower than the specified reference value under the condition that the health condition is poor if the score is low, it is determined that hospitalization is necessary. To do. Then, the score or the common language converted from the score is displayed so that both the person who needs support and the related person and the medical staff can confirm.
As described above, in the present invention, the professional judgments of both the care judgment performed at the care site and the medical judgment performed at the medical site are scored with importance, and the care workers with different specialties are scored. We established a common language that links medical professionals and others. Thereby, both a care worker etc. and a medical worker can judge the health state of elderly people etc. easily, quickly and correctly, and can determine the necessity of hospitalization automatically. As a result, it is possible to realize a comprehensive community care system that suitably links nursing care and medical care.
Also, by scoring the health status of the elderly and the like and making it a common language, anyone can see and understand, and the reason for hospitalization determination can be grasped objectively and logically (visualization). In particular, the optimal timing for hospitalization is not misunderstood, so the style of “almost hospitalization at home” is established while supporting the dignity of the elderly and independent living, and the life of the elderly is favorably supported. can do. On the other hand, care workers and medical professionals can objectively and logically understand how their work is reflected, so they participate directly in the health management of the elderly and others. You can get a sense of satisfaction.
In addition, for care workers, etc., the same quality of work can be carried out according to certain rules (standardization of work), so the amount of work and stress of care workers, who are forced to carry out their self-judgment duties, should be alleviated. Can do.

  In addition, when a preferable configuration is described for the medical support system, the health information acquisition unit extracts a predetermined keyword set in advance from text data input by a person related to the person who needs the support. Good.

  In this way, by extracting predetermined keywords from text data such as casual tweets such as care workers who are in contact with the elderly, etc. Even slight changes of the elderly and the like that have been felt can be reflected without omission, and the health status of the elderly and the like can be more accurately determined. Moreover, since it can be set as the report method which attached importance to the conversation between the care workers etc. which are usually performed also for the care workers etc., a effort is simplified without requiring a special operation | work.

  In addition, when a preferable configuration is described for the medical support system, the health information acquisition unit extracts a predetermined keyword set in advance from voice data input by a person related to the person who needs the support. Good.

  In this way, by reading the voices (words) produced by care workers, etc., extracting the predetermined keywords from the voice data and scoring them, it is possible to eliminate the trouble of the care workers etc. entering the terminal Can do. As a result, it is possible to reflect the slight changes of the elderly and the like felt by the care workers in daily life without any omissions, and it is possible to more accurately determine the health status of the elderly and the like. Further, if the system is activated by voice, operability is further improved.

  Moreover, if a suitable structure is described about said medical assistance system, it is good for the said score calculation part to calculate a score by changing specific gravity for every said evaluation item.

  In this way, by calculating the score by changing the specific gravity for each evaluation item, for example, abnormalities such as consciousness state, respiratory state, circulatory state, etc. directly related to life can be reflected greatly in the score. It is possible to determine the health condition of the person more accurately.

  Moreover, if a suitable structure is described about said medical assistance system, the said result display part is good to perform the display containing the content which instruct | indicates the next action with respect to the person who needs the said assistance.

  In this way, maintaining the dignity of the elderly etc. without mistaking the optimal timing of hospitalization by performing display including the contents instructing the next action such as emergency hospitalization and follow-up according to the determination result It is possible to establish a style of “substantially staying at home” while supporting an independent life, and to support the lives of elderly people and the like more appropriately. In particular, it is possible to quickly respond to elderly people who are determined to be hospitalized.

  In addition, when a preferable configuration is described for the medical support system, the result display unit displays the score or the common language on a map together with the position information of the person who needs the support in a state where the necessity of hospitalization can be identified. It is good to display.

  In this way, by displaying information on the elderly etc. on the map, it is possible to visually grasp at what glance what kind of health elderly, etc. exist in which area or which care facility. .

  In a preferred configuration of the medical support system, the common language may be a character or a pattern indicating weather information that is a metaphor of the health condition of the person who needs the support to the weather.

  In this way, by using the method of weather forecast as a common language that links both care and medical care with different specialties, both care workers and medical professionals are prevented from relying on their respective technical terms. With expressions used in weather forecasts such as cloudy and rainy, everyone can more directly understand the health status of the elderly and others.

  In addition, when a preferable configuration is described for the medical support system, the computer stores history information indicating attributes of the person who needs the support and history information indicating a past health state for each person who needs the support. The hospitalization necessity determination unit may further determine whether or not hospitalization is necessary using the attribute and the history information as determination elements.

  As described above, the history information indicating the health status such as the age and sex of the elderly and the like, the past diagnosis result and the medical history, and the like are included in the attribute and history information when determining the necessity of hospitalization. By considering the amount of change from the past health condition, etc., the necessity of hospitalization can be more accurately determined according to each elderly person.

  In addition, when a preferable configuration is described for the medical support system, the history information storage unit stores information indicating the past hospital stay days of the person who needs the support in association with the score at the time of hospitalization or the common language. It is good to do.

  In this way, by storing the past actual number of hospitalization days in association with the score and common language when it is determined that hospitalization is required, the pattern of long and short of the judgment score when hospitalized and the actual number of hospitalization days Can be treated as big data and statistically analyzed. Also, by analyzing these, it is possible to visualize the appropriateness of medical expenses.

  In addition, to describe a preferable configuration for the medical support system, the computer includes a road traffic information acquisition unit that acquires road traffic information indicating traffic congestion or regulation of the road, and the support that is determined to be hospitalized. A transport time predicting unit that predicts transport time to the medical institution by linking the position information of the necessary person and the road traffic information, and the result display unit is the medical institution of the person in need of the support It is good to display the transport time or arrival time.

  In this way, road traffic information indicating road traffic congestion and regulations acquired from the outside is linked with location information such as nursing care facilities where elderly people determined to be hospitalized are required, such as hospitals that are hospitalized By calculating and displaying the transport time to the medical institution in consideration of the congestion situation and the like, it is possible to know a more accurate time than the elderly arrive at the hospital or the like. Therefore, the medical institution can clarify the time standard for hospitalization preparation, streamline the work of medical staff such as nursing staff who accept hospitalization, and reduce overtime hours. You can also.

  According to the medical support system and the medical support method of the present invention, both a person who needs assistance and a medical worker can easily, quickly and accurately determine the health status of the person who needs assistance. Therefore, it is possible to provide a medical support system and a medical support method capable of realizing a comprehensive community care system that suitably links care and medical care.

It is a conceptual diagram which shows the community comprehensive care system in which care and medical care cooperated. It is a conceptual diagram which shows the community comprehensive care system in which care and medical care cooperated. It is a schematic block diagram of a medical assistance system. It is the figure which showed the structure of the medical assistance apparatus from the functional surface. It is a figure which shows an example of an evaluation item. It is a figure which shows an example of an evaluation item. It is a figure which shows an example of a common language. It is a flowchart which shows the flow of a medical assistance process. It is a flowchart which shows the flow of a score calculation process. It is a figure which shows an example of a tweet evaluation item. It is a flowchart which shows the flow of a hospitalization necessity determination process. It is the schematic which shows the relationship between the change of a total score, and a hospitalization pattern. It is a conceptual diagram which shows the care facility using a medical assistance system, and the flow of work of a medical institution in association. It is a figure which shows an example of the weather forecast figure which shows the caregiver's health condition. It is a figure which shows an example of a care receiver list before health information input. It is a figure which shows an example of a balloon explanatory note. It is a figure which shows an example of a care receiver list after a result display. It is a figure which shows an example of the weather forecast figure which shows the caregiver's health condition.

Hereinafter, an embodiment of the present invention (hereinafter referred to as “the present embodiment”) will be described.
In this embodiment, information on a person who needs assistance, such as an elderly person, is shared between a person who needs assistance such as a care worker (hereinafter referred to as a care worker) and a health care worker In addition, the present invention relates to an invention of a medical support system that can realize cooperation between care and medical care.
The care in this embodiment is not limited to care in a narrow sense such as taking care of elderly people, persons with disabilities, sick people, etc., and those who need support (hereinafter referred to as care recipients). Person)) to provide some kind of support for living such as general care.
The embodiments described below are merely examples for facilitating the understanding of the present invention, and do not limit the present invention. That is, the present invention can be changed and improved without departing from the gist thereof, and the present invention includes its equivalents.

<Regional comprehensive care system>
First, an outline of a regional comprehensive care system that is realized by using the medical support system S according to the present embodiment and that appropriately links nursing care and medical care will be described.
FIG.1 and FIG.2 is a figure which shows notionally the regional comprehensive care system in which care and medical care cooperated.

A care recipient such as an elderly person may be living at home or may be in an elderly facility or a care facility. In this embodiment, both are expressed as being at home, but in the former case, the family and relatives often care for the cared person, and in the latter case, the care worker or social Special staff such as welfare workers and other care workers, so-called special care staffs, provide care for the care recipients.
As shown in FIG. 1, the cared person in the above environment is supported by a local care service, a home-visit nursing station, a home-care medical doctor, and the like. In addition, when the health condition deteriorates, by being admitted to a medical institution such as a hospital equipped with hospitalization facilities, it is possible to live a personal life while maintaining the personal dignity of “almost at home at home”.

Specifically, as shown in Fig. 2, while living a person's life at home, elderly facilities, nursing care facilities, etc., depending on poor physical condition or exacerbation, visiting a doctor or visiting a doctor, etc. I am admitted to a medical institution in Japan and perform treatment and health assessment. If there is a problem with your health condition, you may move to a treatment bed where medical care is more substantial, but if your health condition improves, you will be discharged and returned to your home, elderly facility, nursing facility, etc. You can live a life like that person. By repeating the above-mentioned cycle, the cared person can live his / her own life while maintaining the dignity of the individual from the stable period, the end of life (aging), to the end of life.
The medical support system S according to the present embodiment is particularly involved in judgments when visiting a hospital or outpatient to a doctor or the like, or being admitted to a medical institution, depending on poor physical condition or exacerbation.

  In addition, the care worker in this embodiment is not limited to a nursing care professional staff, but includes all family members and relatives who are engaged in the care of the care recipient, etc. Including In addition, the medical staff in the present embodiment refers to a person who is engaged in medical work such as a doctor, nurse, or family doctor of a medical institution and has a high degree of medical expertise.

<Schematic configuration of medical support system according to this embodiment>
Next, the configuration of the medical support system S, that is, a system (apparatus) that realizes cooperation between care and medical care will be described with reference to FIG.
FIG. 3 is a schematic configuration diagram of a medical support system S according to an embodiment of the present invention.

In the present embodiment, as shown in FIG. 3, a plurality of devices including a medical support device (hereinafter, this device 1) are involved in medical support, that is, cooperation between care and medical care.
Specifically, the medical support system S includes the apparatus 1 provided on the medical institution side and a medical worker that is installed on the medical institution side and is communicably connected to the apparatus 1 via a local network such as a hospital LAN. Terminal 2 and a care worker terminal 3 installed in a care facility or the like and connected to be communicable via a communication network N such as the Internet or 3G or 4G. In addition, a voice input device 4 is communicably connected to the medical worker terminal 2 and the care worker terminal 3.
That is, in the present embodiment, cooperation between care and medical care is realized by the above-described device group functioning as a system.

  The apparatus 1 is configured by, for example, a server computer managed by a medical institution. The detailed configuration of the device 1 will be described later.

The medical worker terminal 2 and the care worker terminal 3 are each provided with a data transmission unit and a reception unit for enabling data transmission / reception, thereby enabling data transmission / reception with the apparatus 1. It has become. The care worker terminal 3 includes input means such as a keyboard and a touch panel in addition to the voice input device 4 such as a voice input microphone so that the care worker inputs health information of the care recipient. The medical staff terminal 2 is also provided with input means such as a keyboard and a touch panel in addition to the voice input device 4 such as a voice input microphone so that the medical staff can input various information.
The medical worker terminal 2 and the care worker terminal 3 are not particularly limited as long as they are capable of at least data communication and can display received data. In addition to these dedicated terminals, various devices such as general-purpose personal computers, tablet terminals, smartphones, mobile phones and PHS can be used.

<Detailed Configuration of Medical Support Device According to this Embodiment>
Next, a detailed configuration of the apparatus 1 will be described.
The apparatus 1 is configured by a server computer managed by a medical institution, and includes a CPU as a calculation unit that performs control and data calculation / processing, a ROM as a read-only storage device, a main memory (main storage device) ) As a constituent element, a communication interface for transmitting / receiving data to / from devices capable of communication such as various information terminals, a hard disk drive as an auxiliary storage device, an input device, and an output device.
The hard disk drive functions as a storage unit, and various information is stored in a database. In addition, in the data stored in the hard disk drive, various programs for operating the apparatus 1 and causing it to function as a medical support apparatus are installed in advance, and these programs are read and executed by the CPU. By doing so, the function as a medical support device is exhibited.

FIG. 4 is a diagram showing the configuration of the apparatus 1 in terms of functions.
The configuration of the apparatus 1 will be described again from the functional aspect. As shown in FIG. 4, the apparatus 1 includes a health information acquisition unit 11, a score calculation unit 12, a common language conversion unit 13, a hospitalization necessity determination unit 14, and results. The display unit 15, the conveyance time prediction unit 16, the road traffic information acquisition unit 17, and the history information storage unit 18 are included as main components. These are responsible for various data processing executed by the apparatus 1, and are configured by the cooperation of the above-described hardware components constituting the apparatus 1 and the installed program. Hereinafter, each functional unit will be described individually.

The health information acquisition unit 11 is realized by the CPU, the memory, the communication interface, the input device, and the like of the device 1 cooperating with various programs. The health information acquisition unit 11 performs a health information acquisition process for acquiring health information indicating the health status of the care receiver transmitted from the care worker terminal 3. The data input from the care worker terminal 3 is acquired by receiving the data via the communication network N.
Here, the health information is data input by a keyboard, voice, etc. In addition to numerical data such as body temperature, blood pressure, blood glucose level, SpO2, etc., symptoms such as dehydration-like symptoms, food consumption, vomiting, diarrhea, etc. Including the information necessary for judging the health status of the care recipient in a comprehensive manner. The health information also includes text data and voice data such as tweets from caregivers' observation and awareness, or keywords extracted from the text data and voice data. Note that numerical data such as body temperature, blood pressure, blood glucose level, and SpO2 may be automatically transferred on time from an automatic measuring instrument such as a wearable biometric instrument attached to the care recipient.

The score calculation unit 12 is realized by the CPU, the memory, the hard disk drive, and the like of the apparatus 1 cooperating with various programs. The score calculation unit 12 has a core function of the present apparatus 1 together with a common language conversion unit 13 and a hospitalization necessity determination unit 14 which will be described later, and the health information data acquired by the health information acquisition unit 11 is set in advance. A score calculation process for calculating a score indicating the health status of the care recipient is performed by quantifying and scoring according to the items.
In this embodiment, in order to quickly grasp the health status of the care recipient, a large item, a small item that subdivides the large item, and a tweet item are set as evaluation items, and a score is automatically assigned to each item. (First assessment logic). At this time, weighting of points is set for each evaluation item. For example, the specific gravity of points is increased for evaluation items that are directly related to life such as a conscious state, a respiratory state, and a circulatory state.

Here, an example of the evaluation items in the present embodiment will be specifically described.
FIG. 5 is a table showing an example of a large item among evaluation items, and FIG. 6 is a table showing an example of a tweet item among evaluation items.

As shown in FIG. 5, in the large items in the present embodiment, 12 items are set for the health status of the cared person, and the points from 1.0 to 5.1 are considered in consideration of mild to severe. It is attached. That is, an item with a light symptom is set to 1.0 points, and an item more deeply related to life gradually has a higher specific gravity. Each item is classified into categories such as a conscious state, a respiratory state, and a circulatory state. Furthermore, each item is classified into items that take care workers' observation into account, numerical entry items, and items that can be recognized by anyone.
Specifically, as major items: 1. Dehydration-like symptoms (1.0 points, state of consciousness) 2. Meal loss (1.0 points, state of consciousness) 3. Reduction in urine volume (number of times) (1.0 points, cardiovascular condition) Vomiting (1.0 points, state of consciousness), 5. Diarrhea (1.0 point, state of consciousness), 6. 6. Abnormal blood glucose (2.1 points, state of consciousness), Fever 38 degrees or more (2.1 points, conscious state), 8. SpO2 90% or less (3.1 points, respiratory condition), 9. Blood pressure 90 or less (3.1 points, circulatory condition), 10. Melena / vomiting (4.1 points, cardiovascular condition), 11. Consciousness disorder (5.1 points, state of consciousness), 12. Twelve items of vomiting once + SpO2 90% or less (5.1 points, consciousness state + respiratory state) are set.

Further, in the present embodiment, small items that are scored finely according to the severity are appropriately set in association with the large items.
Specifically, For dehydration-like symptoms, a. Reduced water intake and b. Each of the above a. Or b. In the case of one of these, 0 points are set, and in the case of two simultaneously, 1.0 points are set to be added. 6). For blood glucose abnormality, a. 80 or less: 1 point, b. 70 or less: 2 points, c. 400 or more: 2 points, d. 500 or more: It is set to add 3 points. 7). For a fever of 38 degrees or more, a. More than 39 degrees: It is set to add 1 point. 8). For SpO2 of 90% or less, a. 85-89%: 0 points, b. 80 to 84%: set to add one point. 9. If the blood pressure is 90 or less, a small item a. 80-99: 0 points, b. 70-79: 1 point, c. 180 or more: 0 points, d. 200 or more: It is set to take into account 1 point. On the other hand, 2. 2. Reduced food consumption 3. decrease in urine volume (number of times); Vomiting, 5. Diarrhea, 10 Melena, vomiting, 12. For vomiting once + SpO2 90% or less, there is no particular setting for small items.
The above small items are examples, and may be changed as appropriate.

In addition, as shown in FIG. 6, when a predetermined keyword is set in advance and the corresponding keyword is included in text data or voice data such as a care worker's tweets, it is picked up and each of them is picked up. It is set to add one point. If the same keyword appears twice, it is set to automatically omit it.
For example, the tweet items include: “Longly heard”, “Deterioration of condition”, “Fever when calling”, “Vomiting at night”, “Tangled”, “Night response with antipyretic”, “Edema of the lower limbs”, "Large vomiting", "Less food vomiting", "Infusion, instructions for antibiotics", "Suspected aspiration pneumonia", "Inadequate awakening", "Low water intake", "Inactive", "Abdominal pain" Other words necessary for medical treatment such as “urinary turbidity” and “caregiver anxiety” are appropriately set as keywords.
Note that the above keyword is an example, and the present invention is not limited to this. For example, it is possible to add and accumulate keywords by continuously operating the system. Also, it is possible to set a fine score for each keyword instead of a uniform score.

  The common language conversion unit 13 is realized by the CPU, the memory, the hard disk drive, and the like of the apparatus 1 cooperating with various programs. The common language conversion unit 13 has a core function of the present apparatus 1 together with a score calculation unit 12 and a hospitalization necessity determination unit 14 which will be described later, and a score indicating the health status of the care recipient calculated by the score calculation unit 12 Is a common language conversion process that converts an index into a common language that can be recognized by both a care worker and a medical worker.

FIG. 7 is a table showing an example of the common language.
As shown in FIG. 7, in this embodiment, as a common language that is a means for linking care and medical care, the health condition is compared to the weather so that everyone can easily understand it without relying on technical terms. The weather forecast expression is used. And so that the state of health can be directly understood by listening to words as much as possible using the expression of this weather forecast, it is classified into 7 with a range of scores for each, depending on the score calculated by the score calculation process Thus, the health status of the cared person is assigned to one of the seven categories.
Specifically, 0 points is “sunny health”, 0.1 to 1.0 points is “sunny and cloudy health”, 1.1 to 2.0 points is “cloudy health”, 2 .1 to 3.0 points for “cloudy then rain health”, 3.1 to 4.0 points for “light rain health”, 4.1 to 5.0 points for “heavy rain health”, 5 .In case of 1 point or more, it is set as “heavy rain thunder health”.
In addition, a coping method or the like is set for each expression of the weather forecast. For example, in the case of “sunny health” and “sunny and cloudy health”, follow-up observation, and in the case of “sunny and cloudy health”, hospitalization is performed if the elapsed judgment days (3 days) continue. In the case of “cloudy health”, follow-up observation and a visit request are made, and if the number of days for judging the progress (2 days) continues, the patient is hospitalized. In the case of “cloudy and rainy health”, the patient will be hospitalized if he / she does not relieve after the visit request, oral drug administration, and the number of days elapsed (2 days). In the case of “healthy rain”, strict observation and re-reporting the next day, and if it does not relieve in the number of days elapsed (1 day), it will be hospitalized. In the case of “heavy rain health”, the patient is admitted to the hospital on the same day and then admitted by a nursing taxi. In the case of “heavy rain thunder health”, emergency hospitalization and ambulance use will result in hospitalization.

  The hospitalization necessity determination unit 14 is realized by the CPU, the memory, the hard disk drive, and the like of the apparatus 1 cooperating with various programs. This hospitalization necessity determination unit 14 has a core function of the present apparatus 1 together with the score calculation unit 12 and the common language conversion unit 13, and the score indicating the health status of the care recipient calculated by the score calculation unit 12 is Compared with a predetermined reference value set in advance, a hospitalization necessity determination process is performed for determining that there is a need for hospitalization when the reference value is equal to or greater than the predetermined reference value.

In the present embodiment, it is determined whether or not the total score calculated from the input contents of the large item, the small item, and the tweet item exceeds a score set in advance as a reference value for hospitalization required (second assessment logic). ).
For example, when the total score is 2.1, it becomes “cloudy and rainy health” in the above-mentioned common language, and it is determined that there is no need for hospitalization. Even in this case, it is determined that there is a need for hospitalization if the change over time is grasped and the same condition does not improve after two days. On the other hand, when the total score is 4.1, the common language indicates “heavy rain health”, and it is determined that hospitalization is necessary, and the patient is hospitalized during the day.

Further, in the hospitalization necessity determination process, not only the score is simply determined, but also attributes such as the age of the cared person included in the history information data 18a stored in the history information storage unit 18 described later, The medical history, the amount of change from the past health condition, etc. are also included in the determination factors, and the necessity of hospitalization is determined comprehensively.
For example, if it is 80 to 89 years old, 1 point is added or if it is 90 years old or more, 2 points are added. In addition, the score itself exceeds the reference value, but when the age is still young, or when the amount of change from the numerical value indicating the past health condition is small, that is, when the physical condition does not change much Therefore, the necessity of hospitalization is not determined uniformly, and the necessity of hospitalization is comprehensively determined for each care recipient in consideration of individual circumstances such as attributes and changes over time.

When managing the health of the elderly, symptoms may suddenly worsen depending on fever, respiratory status, and dietary status. For this reason, in this embodiment as well, symptom is discovered early and linked to hospitalization for health management. For example, in the adult community-acquired pneumonia clinical practice guideline, the admission standard is determined by ADROP, that is, Age (age), Dehydration (dehydration), Respiration (respiration), Orientation (consciousness), and Blood Pressure (blood pressure) are the determination criteria. It has become. Further, in the urinary tract infection hospitalization criteria, fever of 38 degrees or more, poorly controlled blood sugar, and the like are the judgment criteria.
The necessity determination of hospitalization in this embodiment is also performed according to the above.

The result display unit 15 is realized by the CPU, the memory, the communication interface, the hard disk drive, the output device, and the like of the apparatus 1 cooperating with various programs. The result display unit 15 includes a score calculated by the score calculation unit 12, a common language converted by the common language conversion unit 13, a hospitalization necessity determination result determined by the hospitalization necessity determination unit 14, and a conveyance time prediction described later. The result display process which displays the conveyance time, arrival time, etc. which were estimated by the part 16 on the terminal 2 for medical workers and the terminal 3 for care workers is performed.
For example, in order to make it visible to both care workers and medical workers, in addition to attributes such as name, age, gender, etc. for each care recipient in the form of reports and lists, the score of each item and those The total score (total score) is summed up, the weather forecast expression that compares the health condition to the weather as a common language, and the action to be taken by the care recipient, that is, whether or not hospitalization is required.
In addition, it is displayed on the map what kind of health care recipient is present in which area or where care facility. Specifically, using a weather forecast expression that is a common language, a sunny mark, a rain mark, or the like is displayed on the map as a weather forecast map showing the health status of the care recipient. Further, for a cared person who needs to be hospitalized, the transport time from the current position of a care facility or the like to the medical institution or the arrival time at the medical institution is displayed on the map. At this time, the transport route may be displayed.

The transport time prediction unit 16 is realized by the CPU, the memory, the hard disk drive, and the like of the apparatus 1 cooperating with various programs. The transport time prediction unit 16 performs transport time prediction processing for predicting transport time to a medical institution that is a hospitalization destination for a cared person who is determined to be hospitalized.
Specifically, the distance or route from the current position information of the care facility where the care recipient is present to the medical institution where the patient is admitted to the road traffic information obtained from the road traffic information obtained by the road traffic information obtaining unit 17 described later. The transport time from the care facility to the medical institution is calculated taking into account information related to traffic jams and regulations. At this time, the shortest transport route is searched in consideration of the congestion situation.

The road traffic information acquisition unit 17 is realized by the CPU, the memory, the communication interface, the input device, and the like of the device 1 cooperating with various programs. The road traffic information acquisition unit 17 performs a road information acquisition process for acquiring road traffic information indicating traffic congestion or regulation of the road from an external database.
Specifically, real-time road traffic information such as future traffic jam forecasts, current traffic jam information, lane restrictions, traffic closures, traffic regulations, etc., stored in or distributed from an external database (not shown) Through N.

The history information storage unit 18 is realized by the CPU, the memory, the hard disk drive, and the like of the apparatus 1 cooperating with various programs. The history information storage unit 18 stores and accumulates various information including health information indicating the health status of the cared person acquired by the health information acquisition unit 11 from the care worker terminal 3 as history information data 18a. It is.
The history information data 18a includes information identifying the cared person such as a code number, information indicating attributes such as the name, age, date of birth, sex, and address of the cared person, the medical history of the cared person and the cared person The information etc. which show the health status of the person in association with the reporting date and time are included.

  In addition, the history information storage unit 18 stores, as past performance examples, the score when it is determined that hospitalization is necessary for each care recipient and the number of days actually hospitalized at that time in association with each other. Is stored as statistical data 18b that statistically indicates long and short patterns related to the actual number of days of hospitalization according to the score at the time of hospitalization determination.

The function of the device 1 is enjoyed by a medical institution that manages and operates the device 1, a nursing care facility, and the like. As a method of providing the function to the user, for example, a cloud service, Even a method such as ASP can be used.
Moreover, this apparatus 1 is not restricted to what was constructed | assembled by one server apparatus, The thing constructed | assembled using the some server apparatus may be used.

<Medical support method according to this embodiment>
Next, a medical support method according to this embodiment will be described.
The medical support method according to the present embodiment is realized by using the apparatus 1 that functions as a computer. In other words, the medical support method according to the present embodiment is applied to the medical support process executed by the apparatus 1. Yes.
Hereinafter, as a description of the medical support method according to the present embodiment, the flow of processing by the apparatus 1 and each process during the processing will be described.

(1) Medical Support Processing FIG. 8 is a flowchart showing the flow of medical support processing.
The medical support process executed by the computer constituting the apparatus 1 proceeds according to the flow of FIG.

First, a health information acquisition process is executed by the health information acquisition unit 11 (S101).
Specifically, the health information acquisition unit 11 receives and acquires the health information indicating the health status of the care receiver input from the care worker terminal 3 via the communication network N.

Next, a score calculation process in which the score calculation unit 12 converts the health information acquired by the health information acquisition process (S101) into a numerical value according to a preset evaluation item, and calculates a score indicating the health status of the care recipient. Is executed (S102).
Specifically, based on the first assessment logic, the acquired health information is scored for each of the above-mentioned large items, small items, and tweet items set in advance as evaluation items, and the scores for each item and their scores are calculated. Calculate the total score.

Here, a specific example of the score calculation process based on the first assessment logic will be described with reference to FIG.
FIG. 9 is a flowchart showing the flow of the score calculation process. FIG. 10 is a diagram showing an example of a tweet evaluation item referred to in the score calculation process.
Here, a case will be described as an example in which text data such as observations by care workers and awareness tweets are acquired in the above-described health information acquisition process.

In the score calculation process, when a tweet character string, that is, text data such as a tweet by observation or awareness of a care worker, is received in the above-described health information acquisition process (S201), the tweet evaluation items shown in FIG. 10 are listed. All the data is read from the tweet evaluation master that is the check item master (S202).
As shown in FIG. 10, the tweet evaluation items are defined from state 1 to state n (for example, n = 15), and the character string of text data indicating each state is divided into a first half part and a second half part. By combining them, one state is indicated.
For example, in state 1, the front character string defines “breathing”, “breath”, “voice”, etc., and the rear character string contains “sound”, “noise”, “gas”, “unusual”, “he” ”,“ Withered ”, etc. In state 2, the previous character string is defined as “dandan”, “stepped”, “more”, “a little”, “a little bit”, “a little bit”, “amber color”, etc. “War” “Pain” “Coming” “Suffering” “Well” “Well”… etc. At this time, even if the keyword of the character string has the same meaning, it is possible to cope with various tweet entry and expression methods of care workers such as kanji, hiragana, katakana, and whether or not there is a sending kana.

After all the data is read from the evaluation master, in this embodiment, matching processing is performed n times (state 1 to state n).
First, in order to check the previous character string, it is determined whether or not the character of the previous character string in the array is blank (S203). If it is blank (S203: YES), it is determined whether or not the matching process has been performed n times (S204). If it has already been performed n times (S204: YES), the process is terminated as the end of the loop. If not performed n times (S204: NO), the previous character string is repeatedly inspected until n times.
On the other hand, if the character in the previous character string in the array is not blank (S203: NO), it is determined whether there is a previous character string in the tweet character string (S205), and if there is a previous character string (S205: YES) ), The processing from the beginning of the tweet character string to the previous character string is set as one character string A, and the character string B is processed from the end of the previous character string to the end of the tweet character string (S206).
Subsequently, in order to inspect the subsequent character string, it is determined whether or not the character of the subsequent character string in the array is blank (S207). If the character string is blank (S207: YES), the process returns to the previous character string check, but if the character in the subsequent character string in the array is not blank (S207: NO), whether or not there is a subsequent character string in the AB character string. If there is a subsequent character string (S208: YES), it is determined whether or not the position of the subsequent character string appears within 10 characters from the previous character (S209). If it appears within 10 characters (S209: YES), the check item master state 1 and state evaluation are obtained as return values (S210). Then, after the process of excluding fever and vomiting is checked (S211), it is determined whether or not the matching process has been performed n times (S212). If the matching process has already been performed n times (S212: YES) Then, the process is terminated as a loop end. If it has not been performed n times (S212: NO), it repeats from the inspection of the previous character string until n times.

Returning to the description of the overall medical support process in FIG. 8, the total score calculated by the score calculation process (S102) by the common language conversion unit 13 is an index indicating a health condition and is a care worker. Language conversion processing is performed to convert the language into a common language that can be commonly recognized by both the medical staff and the medical staff (S103).
Specifically, as shown in FIG. 7, the weather forecast expression in which the health status is classified into seven according to the weather is used as a common language, and the health status of the cared person is classified into the seven categories according to the total score. It is converted into a common language by allocating to either.

Next, the total score calculated by the score calculation process (S102) by the hospitalization necessity determination unit 14 is compared with a predetermined reference value set in advance. A hospitalization necessity determination process for determining “hospitalization” is executed (S104).
Specifically, the total score is compared with the reference score based on the second assessment logic. In addition, here, history information regarding the corresponding cared person is read from the history information storage unit 18, attributes such as the age of the cared person included in the history information, past medical history, amount of change from past health condition, etc. Is also included in the determination element, and the necessity of hospitalization is determined comprehensively.

Here, with reference to FIG. 11, the specific example of the hospitalization necessity determination process based on a 2nd assessment logic is demonstrated.
FIG. 11 is a flowchart showing the flow of hospitalization necessity determination processing. FIG. 12 is a schematic diagram showing the relationship between the change in the total score and the hospitalization pattern.

In the hospitalization necessity determination process, after acquiring the total score data for the latest n days (in this embodiment, 4 days) indicating the individual's health status calculated in the above-described score calculation process, the total score shown in FIG. All the data is read from the determination master indicating the relationship between the language and the common language (S301).
Then, a process of comparing the total score for four times (four days) with the data of the determination master is performed in order from the newest date. First, it is determined whether or not the total score is 4.1 or more (S302). If the total score is 4.1 or more (S302: YES), an e-mail notification is made (S303), a hospitalization determination column, etc. An in-patient comment indicating that hospitalization is required is output (S304), and a countermeasure comment such as “Please do” is output in the warning display column (S305).
If the total score is not 4.1 or more (S302: No), then whether or not today's total score is 3.1 or more and yesterday's total score is 0.1 or more is determined. Judgment is made (S306), and if the above condition is met (S306: YES), e-mail notification is made (S303), a hospitalization comment indicating hospitalization required is output in the hospitalization judgment column, etc. (S304), a warning display column, etc. A countermeasure comment such as “Please do” is output (S305).
If the above condition is not met (S306: No), then it is determined whether the total score for today, the previous day, and the day before the previous day is 1.1 or more (S307), and the above condition is met. (S307: YES), e-mail notification is made (S303), hospitalization comments indicating hospitalization required are output in the admission judgment column (S304), and "Please do" in the warning display column etc. A legal comment is output (S305).
If the above condition is not met (S307: No), then it is determined whether or not the total score of all four times is 0.1 or more (S308). If the above condition is met (S308: YES), send an email notification (S303), output a hospitalization comment indicating hospitalization required in the hospitalization judgment column, etc. (S304), and output a countermeasure comment such as “Please do” in the warning display column, etc. (S305).
On the other hand, if the above condition is not met (S308: No), it is finally determined whether or not the total score of today is 0.1 or more (S309), and if the total score of today is 0.1 or more. If this is the case (S309: YES), a coping method comment such as “Please do” is output in the admission judgment column or the like (S310). If today's total score is not greater than or equal to 0.1 (S309: NO), the process ends.

  As shown in FIG. 12, in the present embodiment, the health of the cared person over several days is obtained by performing a plurality of checks, for example, even when the total score is not at a level corresponding to immediate hospitalization. A comprehensive judgment can be made from the state. As a result, the health status of the cared person can be determined more accurately, so that the optimal timing for hospitalization is not mistaken.

  In this embodiment, the hospitalization necessity determination process (S104) is executed after the common language conversion process (S103). However, the hospitalization necessity determination process (S104) is performed before the common language conversion process (S103). It may be executed or may be processed simultaneously.

If it is determined that hospitalization is required as a result of the hospitalization necessity determination process (S104) (S105: Yes), the transport time prediction unit 16 from the current position of a care facility where the care recipient is present to the medical institution where the patient is hospitalized A transport time prediction process for predicting the transport time is executed (S106).
Specifically, the information on the traffic congestion and regulations obtained from the road traffic information acquired by the road traffic information acquisition unit 17 is added to the distance or route from the care facility to the medical institution, and the care Calculate the transportation time from facilities to medical institutions. At this time, the shortest transportation route is searched in consideration of the congestion situation and the like.

Then, the result display unit 15 calculates the score of each item calculated by the score calculation process (S102), the total score obtained by summing them, the expression of the weather forecast that is the common language converted by the common language conversion process (S103), and the necessity for hospitalization. The result display process which displays the necessity of hospitalization determined by the rejection determination process (S104) and the transport time predicted by the transport time prediction process (S106) on the medical worker terminal 2 and the care worker terminal 3 is performed. This is executed (S107), and the process is terminated.
Specifically, the contents related to the above are displayed on a map together with position information such as a form such as a report or a list or a nursing facility.

  On the other hand, if it is determined that hospitalization is not necessary as a result of the hospitalization necessity determination process (S104) (S105: No), the result display unit 15 calculates the contents other than the transport time, that is, the score calculation process (S102). The score of each item and the total score obtained by summing them, the expression of the weather forecast that is the common language converted by the common language conversion process (S103), and the necessity of hospitalization determined by the hospitalization necessity determination process (S104) The result display process to be displayed on the medical worker terminal 2 and the care worker terminal 3 is executed (S107), and the process ends.

(2) Method for Using Medical Support System Next, an example of a method for using the medical support system S including the apparatus 1 that executes the above-described processing will be described using specific examples.
FIG. 13 is a conceptual diagram showing the care facility using the medical support system S and the flow of work of the medical institution, and is a diagram showing the flow when there is a care recipient who needs to be hospitalized here. FIG. 14 is a diagram showing an example of a weather forecast diagram showing the health status of the care recipient. FIG. 15 is a diagram illustrating an example of a list of care recipients before inputting health information. FIG. 16 is a diagram illustrating an example of a balloon explanation. FIG. 17 is a diagram illustrating an example of a care recipient list after the results are displayed. FIG. 18 is a diagram showing an example of a weather forecast diagram showing the health status of the care recipient.

As shown in FIG. 13, the functions of the medical support system S of the present embodiment include a care facility equipped with a care worker terminal 3 operated by a care worker, and a medical engagement operated by a medical worker. It is enjoyed by a medical institution equipped with a terminal 2 for a person.
Care workers such as care facilities and health care workers of medical institutions, especially those who are in a responsible position such as leaders and doctors, have mobile phones / PHSs and can always be contacted anytime and anywhere. is there.

First, when the medical support system S is activated on the care worker terminal 3 or the medical worker terminal 2, the medical support system S displays an initial screen on the care worker terminal 3 and the medical worker terminal 2, Position information of each care facility and medical institution existing in a predetermined area as shown in FIG. 14 is displayed on a map.
The medical support system S may be configured to automatically start when the voice of the care worker is input to the care worker terminal 3 via the voice input device 4. Moreover, it can also be started automatically using a nurse call or the like by the care recipient as a trigger.

In addition, although the care facility etc. displayed here and a medical institution are the care facilities etc. or medical institution which cooperated by introducing the medical assistance system S concerning this embodiment, they exist in the area of a predetermined range. If it is a nursing facility or a medical institution, the introduction restriction is not particularly limited. Further, in the case of home care, the location information of the home is displayed on the map like XX's home.
In particular, when a caregiver of a home caregiver registers for this medical support system S and desires a medical service, even if the medical institution does not recognize the corresponding individual without registering, The system administrator obtains information from the medical support system S and transmits it to the medical institution side, thereby linking this care with medical care even if the care recipient is not in a specific care facility. It is possible to participate in the regional inclusion system.

A care worker, such as a care facility, browses and confirms information on a care recipient belonging to the care facility, etc., by clicking on the map and specifying the care facility to which the care facility belongs.
Specifically, since a screen of a list (tenant status report list) on which information of care recipients as shown in FIG. 15 is displayed on the screen of the terminal 3 for the care worker, the care worker Confirm by looking at the screen.
The information on the cared person displayed in the resident status report list may be displayed in the order of bad numerical values, that is, in the order of poor health. At this time, when there is no today's numerical data, the previous day's numerical data may be displayed in a poor order. In addition, for a cared person who is not particularly in good health, numerical data spanning a plurality of days from several days ago to today may be displayed so that the progress can be grasped at a glance.

The care worker inputs the health status of the cared person in charge to the resident status report list at a predetermined time every day (for example, every morning at 10:00).
Specifically, for the large items specified in advance in the symptom column of the resident status report list in FIG. This large item specifically shows the contents required by the medical staff in order to judge the health status of the care recipient. In addition, small items are set for the large items as necessary. If there are items corresponding to the large items, they are appropriately selected by clicking or the like as necessary. For example, when a column below the large item is clicked, a pop-up mark indicating the small item is displayed, and the corresponding small item can be selected from the pop-up mark. In addition, a comment is directly entered in a remarks column or a tweet item column (not shown) regarding points etc. that the care worker has noticed.
Here, the input method may be a method of inputting from a keyboard, or a method of inputting voice through the voice input device 4 such as a microphone. In addition, for some of the major items, such as SpO2, blood pressure, heat, blood sugar, urine volume, etc., numerical values are automatically transferred from an automatic measuring instrument such as a wearable biometric instrument attached to the care recipient on time. It is good also as composition which is automatically inputted into a resident status report list.
In the resident status report list, for example, a pop-up function is added to the column of facility name, reporter name, job title, etc., and the facility name, reporter name, job title, etc. can be easily selected. The date column displays the date of the current day in conjunction with the computer.

  Further, on the screen, a message for assisting a care worker as illustrated in FIG. 16 is displayed as an explanatory text in a balloon. For example, it may be an explanatory text indicating the operation method, such as “Please select the right item and then press the [Execute] button.” Or “There is no response to the voice call or the situation around you cannot be understood correctly. "? Isn't it a food you don't like, but do you eat more than usual?"

When the health status of the care recipient is input from the terminal 3 for the care worker, the medical support system S uses the acquired health information as an evaluation item based on the first assessment logic described above. Are scored for each large item, small item, and tweet item, and the score for each item and the total score is calculated.
Then, the total score is converted into a common language that is an index indicating a health condition and can be commonly recognized by both a care worker and a medical worker. In the present embodiment, a weather forecast expression in which the health condition is classified into seven according to the weather is used as a common language, and the health condition of the cared person is assigned to one of the seven classifications according to the total score. , Convert to a common language.

The medical support system S displays the score for each item calculated as described above, the total score obtained by summing them, and the expression of the weather forecast converted from the total score, the terminal 3 for the care worker and the terminal 2 for the medical worker To display.
Specifically, a resident status report list reflecting the score and weather forecast as shown in FIG. 17 is created and displayed. For example, Hanako Tokyo (caregiver) falls under dehydration, fever 38.1 degrees, anorexia, and vomiting, so the score added to each item and the total score “5.1” point is displayed. In addition, as a common language weather forecast, “heavy rain thunder health” corresponding to the total score is displayed.
Moreover, as shown in FIG. 18, it displays as a weather forecast map also on the map which displays the positional information of each nursing care facility etc. which exist in the area of a predetermined range, and a medical institution. For example, if △△ Hanako Tokyo at a nursing center is equivalent to “heavy rain thunder health”, a weather forecast mark indicating “heavy torpedo health” on the map and information about Hanako Tokyo will be displayed at the location of the nursing center. . When this weather forecast mark is clicked on the terminal 3 for the care worker or the terminal 2 for the medical worker, it is possible to confirm the necessity of medical treatment including necessity of dispatching an ambulance and determination of hospital visit or hospitalization.

Since the tenant status report list and the weather forecast map as described above are displayed on the terminal 3 for the care worker, the care worker confirms the display contents. At this time, for example, if there is a care recipient who needs to be confirmed, such as Hanako Tokyo, it is highlighted, so the risk of oversight by the caregiver is reduced.
Actually, since the score is immediately calculated and converted into the common language, the score is displayed almost simultaneously with the input of the caregiver's experience.

On the other hand, the same information is also transmitted to the medical staff terminal 2 and a resident status report list and a weather forecast map are displayed. The medical staff confirms the display contents.
At this time, you may check the list of resident status reports for each of the nursing care facilities you are working with, but at a glance you can see the care facilities where there are serious caregivers whose health conditions have deteriorated on the weather forecast map. Since it can be discriminated, it is efficient to select the care facility etc. by clicking on the map and confirm the details. For example, the weather forecast mark indicating “heavy torpedo health” is displayed at the care center location where it is displayed and blinking, etc., and is displayed prominently. The information of Hanako Tokyo can be displayed by clicking on the care center. At this time, based on the history information of Hanako Tokyo, the displayed information can be displayed as a graph or table in which the past progress is displayed over time. In addition, for example, when there is a care recipient who needs to be confirmed, such as Hanako Tokyo, it is highlighted, so that the risk of oversight is reduced on the part of the medical staff.
In addition, if there is a cared person who is expected to be highly hospitalized, it is automatically applied to the mobile phone / PHS owned by a responsible person such as a doctor or person in charge among medical personnel in medical institutions. It is good also as a structure which contacts regularly. In addition, an urgency level may be set for each item, and for example, an emergency contact may be made in the case of consciousness disorder or the like.

Further, the medical support system S compares the total score with the reference score based on the second assessment logic, attributes such as the age of the care recipient, past medical history, amount of change from the past health condition, etc. Is also included in the determination element, and finally the necessity of hospitalization is finally determined. Then, the transport time from the current position of the care facility where the care recipient is present to the medical institution where the patient is hospitalized is predicted.
Specifically, in the present embodiment, 4.1 points or more are hospitalized during the day, 5.1 or more are urgent hospitalization and the standard score is set. For example, in the case of Hanako Tokyo, The total score “5.1” is compared with the reference value in consideration of the past health condition and the like, and it is determined that it corresponds to the emergency hospitalization. In addition, taking into account information related to traffic congestion and regulations obtained from road traffic information, the transportation time from △△ care center where Hanako Tokyo is located to □□ hospital is calculated. At this time, when there are a plurality of medical institutions, a medical institution that can be transported in the shortest time is preferentially selected.

The medical support system S displays the result of the final determination on the terminal 3 for the care worker and the terminal 2 for the medical worker. At this time, the cared person who satisfies the hospitalization criteria is highlighted in both the resident status report list and the weather forecast map. In addition, the transport time from the care facility to the medical institution is also displayed.
It is also possible to simultaneously display the weather forecast that is the previously displayed common language and the information of the final determination result.

On the medical institution side, it is possible to easily confirm at a glance the health status of today's care recipients such as all the nursing care facilities that are linked by the weather forecast mark displayed on the weather forecast map displayed on the medical staff terminal 2 be able to. In addition, if there are care recipients who need to be hospitalized, for example, Hanako Tokyo: 5.1 weather forecast points, 15 minutes to □□ hospital, together with a weather forecast mark indicating “heavy rain thunder health” It is displayed on the weather forecast map. Therefore, it is possible to efficiently prepare for hospitalization such as securing a hospital bed. At this time, a medical worker's mobile phone / PHS can be contacted to promptly prepare for hospitalization.
In addition, since it is displayed about the patient who has decided to take care, it respond | corresponds suitably.

  On the other hand, the care facility side can confirm the determination result of the care recipient and the time required for transportation to the medical institution by using the weather forecast map displayed on the care worker terminal 3. At this time, if a decision on hospitalization is added, a mobile phone / PHS or the like owned by a care worker is contacted to give an instruction to start preparation for hospitalization. In addition, a care worker and a medical worker, for example, a mutual medical social worker between the care facility side and the medical institution side contact each other to determine the final arrival time and the like. Then, on the care facility side, the care worker contacts the family of the care recipient.

Moreover, since the medical care information provision form creation screen is displayed on the terminal 3 for the care worker, the care worker creates the medical care information provision form and transmits it to the medical institution. At this time, the medical support system S may automatically create a medical information provision form by clicking and specifying the name of the care recipient who needs hospitalization and send it to the medical institution.
The medical institution side views and confirms the received medical care information provision form at the medical staff terminal 2 and creates an inpatient medical record.

Thereafter, the care facility side arranges transportation by taxi, ambulance, etc., and the medical institution side performs hospitalization procedures as soon as the transported care recipient arrives. When all the work is completed, the screens of both the medical worker terminal 2 and the care worker terminal 3 return to the initial screen, and each care facility or the like existing in a predetermined area as shown in FIG. And the location information of the medical institution is displayed on the map.
In this embodiment, hospitalization during the day is hospitalization using a nursing care taxi or the like, and emergency hospitalization is distinguished from hospitalization using an ambulance.

<Summary>
As described above, according to the present embodiment, as a common language linking both medical care and nursing care with different specialties, the weather forecasting method is used, and certain items such as large items, small items, and tweets are input. The scored result (caregiver's health condition) is classified into 7 and automatically assigned to the weather forecast expression to determine the necessity of hospitalization.
This prevents people from relying on technical terms and knows the health status of the cared person, such as where it is raining in which care facility (region), etc. Both the care worker and the medical staff can quickly and accurately grasp the state, and the necessity of hospitalization can be determined.
Therefore, cooperation between care and medical care can be performed quickly and accurately, and a regional comprehensive system that links care and medical care can be suitably promoted. In addition, the style of “almost at home from time to time” can be established as the position of the cared person, and the cared person can be supported with peace of mind.

In addition, the reporting method emphasizes conversations between caregivers engaged in normal care work, and everyone is the same homogenous in accordance with certain rules of simplifying reports from care workers and checking each item. You will be able to carry out your work.
Thereby, the standardization of work is achieved, and the work volume and stress of the care worker who is chased by the responsibility of self-judgment can be reduced.

In addition, the health status (symptoms) is scored for each item, the health status of the cared person is scored, and objectively and logically expressed by the weather forecast, each item indicating the health status of the cared person The expression of the weather forecast showing the score and the total score will be understandable by anyone, and the whole process leading to hospitalization will be visualized, and anyone can grasp the reason for hospitalization objectively and logically .
Also, by scoring in this way, caregivers can share the feelings born from experiences that lead to the diagnosis process and treatment that doctors always repeat in the head. On the other hand, the number of care workers' tweets and the like can also be scored, so that the care workers can share the senses of slight changes and the like felt in their daily lives.
Also, from the aspect of improving staff satisfaction, caregivers and healthcare professionals can understand the work they have done logically and feel that they are participating in the health management of the care recipient. Can be given to both health care professionals and healthcare professionals.

  In addition, by using the road traffic information to calculate and show the transportation time from the care facility to the hospitalized medical institution, it is possible to shorten the time spent for hospitalization preparation and reduce overtime hours for nurses. .

As described above, in the present embodiment, the medical support system that can share information on the care recipient and realize cooperation between care and medical care between the care worker and the medical worker has been described. The above embodiment is merely an example for facilitating the understanding of the present invention, and does not limit the present invention. In other words, it is not limited to nursing care in a narrow sense, as long as it is a system that shares the information of those who need some kind of support between the persons concerned who need some kind of support and medical workers The present invention can be applied.
Further, in the present embodiment, the cared person who is mainly in the care facility has been described, but it can be used in each home where the cared person is present. For example, a dedicated initial screen and information input screen such as a screen for care facilities and elderly facilities, a screen for home patients, a screen for facility managers, a screen for medical institutions, a screen for superusers, etc. are prepared. Thus, health management can be performed not only for various facilities but also for home patients, and it is possible to cope with teletherapy appropriately.
In this embodiment, the point addition method is used when judging the health status of the care recipient, but a point reduction method may be used.

In the above embodiment, a single computer constitutes the medical support apparatus. However, it is only necessary to realize the entire system, and it is possible to distribute each function.
That is, in the above embodiment, the health information acquisition unit 11, the score calculation unit 12, the common language conversion unit 13, the hospitalization necessity determination unit 14, the result display unit 15, the transport time prediction unit 16, the road traffic information acquisition unit 17 and The history information storage unit 18 is realized by a single computer. However, the present invention is not limited to this, and the medical support apparatus may be configured by a plurality of computers. For example, it is good also as providing the score calculation part 12 grade | etc., At the care worker terminal side.

The medical support system of the present invention is necessary for all nursing care facilities and all medical institutions, and serves as basic software for promoting a comprehensive community care system. In other words, by promoting the cooperation between medical care and nursing care, and by building a system that can manage the health status of elderly people who are living in nursing care facilities, etc. Can be promoted. In particular, with the medical support system of the present invention, the thorough health management of the care recipient such as the elderly living in each care facility, etc., and each care facility etc. existing within a predetermined area and the medical institution Integration within the group that strengthens cooperation and realizes a comprehensive community care system can be achieved.
Also, in Japan's finances, in order to balance the basic fiscal balance by 2025, even if economic growth continues in the 2% range, it is necessary to improve the annual balance by about 30 trillion yen. (For example, if you only need to increase the consumption tax, conversion is 25% tax rate). As a result, fiscal spending for medical care and long-term care due to aging must be the key to fiscal consolidation.
The medical support system of the present invention will become an indispensable system for society because it contributes to the soundness of the Japanese government's finances while improving the efficiency of medical and nursing work sites, compensating for the shortage of human resources, and maintaining high service quality. Be expected.
The medical support system of the present invention can be used not only in Japan but also in countries where an aging society is progressing, such as China and Korea, in view of the aging society in the whole world.

1 This device (medical support device)
2 Terminal for healthcare workers 3 Terminal for care workers 4 Voice input device 11 Health information acquisition unit 12 Score calculation unit 13 Common language conversion unit 14 Hospitalization necessity determination unit 15 Result display unit 16 Transport time prediction unit 17 Road traffic information acquisition Unit 18 history information storage unit 18a history information data 18b statistical data S medical support system N communication network

Claims (11)

A medical support system for sharing information on a person in need of support between a person who is related to a person in need of assistance and a medical worker through a computer,
The computer
A health information acquisition unit for acquiring health information indicating the health status of the person in need of the support;
A score calculation unit that quantifies and scores the health information according to the evaluation items of a medical institution defined in advance, and calculates a score indicating the health status of the person who needs the support;
A common language conversion unit that converts the score into a common language that is an indicator of a health condition and can be commonly recognized by both the medical staff and a person related to the person in need of the support;
A hospitalization necessity determination unit that determines that there is a need for hospitalization when the score does not satisfy a predetermined requirement,
A result display unit for displaying the score or the common language;
A medical support system characterized by comprising:   The medical support system according to claim 1, wherein the health information acquisition unit extracts a predetermined keyword set in advance from text data input by a person related to the person who needs the support.   The medical support system according to claim 1, wherein the health information acquisition unit extracts a predetermined keyword set in advance from voice data input by a person who is related to the person who needs the support.   The medical support system according to any one of claims 1 to 3, wherein the score calculation unit calculates a score by changing a specific gravity for each evaluation item.   The medical support system according to any one of claims 1 to 4, wherein the result display unit performs display including content instructing a next action for a person who needs the support.   The said result display part displays the said score or the said common language on a map with the positional information of the person who needs the said support in the state which can identify the necessity of hospitalization. The medical support system of Claim 1.   The medical support system according to any one of claims 1 to 6, wherein the common language is a character or a pattern indicating weather information in which the health condition of the person who needs the support is compared with the weather. The computer
A history information storage unit that stores history information indicating the attributes of the person who needs the support and past health status for each person who needs the support;
The medical support system according to any one of claims 1 to 7, wherein the hospitalization necessity determination unit determines whether or not hospitalization is necessary using the attribute and the history information as determination elements.   9. The medical support system according to claim 8, wherein the history information storage unit stores information indicating past hospitalization days of a person who needs the support in association with the score at the time of hospitalization or the common language. . The computer
A road traffic information acquisition unit for acquiring road traffic information indicating traffic jams or regulations;
A transport time predicting unit that predicts transport time to a medical institution by linking the location information of the person who needs the support determined to be hospitalized and the road traffic information;
The medical support system according to any one of claims 1 to 9, wherein the result display unit displays a transport time or an arrival time of the person who needs the support to the medical institution. A medical support method for sharing information of a person who needs support between a person who is related to a person who needs support and a medical worker by a computer,
The computer is
Health information acquisition processing for acquiring health information indicating the health status of the person in need of the support;
A score calculation process in which the health information acquired by the health information acquisition process is scored by quantifying the health information in accordance with a predetermined evaluation item of a medical institution, and calculating a score indicating the health status of the person who needs the support When,
Commonly converting the score calculated by the score calculation process into a common language that is an indicator of health status and that can be commonly recognized by both the person in need of the support and a person related to the medical staff and the medical staff Language conversion processing,
A hospitalization necessity determination process for determining that there is a need for hospitalization when the score calculated by the score calculation process does not satisfy a predetermined requirement;
A result display process for displaying the score calculated by the score calculation process or the common language converted by the common language conversion process;
The medical support method characterized by performing.

Images