JP6769417B2 - Servers, doctor equipment, instructor equipment, computer programs and telemedicine support methods - Google Patents

Description

The present invention relates to a server, a doctor's device, an instructor's device, a computer program, and a telemedicine support method.

Taking medication alone is not enough to cure lifestyle-related diseases, but it is important to improve lifestyle-related habits such as eating, exercising, or sleeping. On the other hand, with the recent development of information and communication technology, a telemedicine support system in which a doctor treats a patient remotely has been proposed (see Patent Document 1).

Japanese Patent No. 6019296

In order to improve lifestyle habits, for example, it is necessary for doctors to provide appropriate guidance and treatment management at least once a month, and there is a problem that the burden on doctors is heavy. In addition, telemedicine by doctors, as in Patent Document 1, is strongly positioned as a supplement to home-visit medical care in remote areas such as remote islands, and although it is useful for medical care by sharing patient information, it is useful for medical care with patients. There is no communication function, and it is not enough as a means to improve lifestyle.

The present invention has been made in view of such circumstances, and an object of the present invention is to provide a server, a doctor device, an instructor device, a computer program, and a telemedicine support method capable of improving a patient's lifestyle. ..

The server according to the embodiment of the present invention is a guidance for remotely instructing a finding information acquisition unit that acquires doctor's findings information from a doctor's device of a doctor who performs telemedicine and the findings information acquired by the findings information acquisition unit. From the start to the end of the improvement guidance between the finding information output unit that outputs to the instructor's device of the person, and the terminal device of the subject of telemedicine, the instructor makes an instruction based on the finding information. A chat function providing unit that can repeatedly exchange a message related to the created instruction content and a message created by the target person according to the instruction content without the permission of the doctor, and the target person according to the improvement instruction. guidance report acquisition for acquiring the relevant guidance segment of the plurality of guidance segment allocated in accordance with the spirit of the guidance reporting and the guidance reporting indicating the opinion leaders against the result of the improvement activities conducted from the leader device It is provided with a unit and an instruction report output unit that outputs the instruction report acquired by the instruction report acquisition unit and the corresponding instruction category to the doctor device.

The doctor device according to the embodiment of the present invention is a doctor device of a doctor who performs telemedicine, and has a display screen, an output unit for outputting the doctor's findings information, and guidance for performing remote guidance based on the findings information. Respond to improvement guidance by the instructor through a chat that allows the message related to the instruction content created by the person and the message created by the subject of telemedicine according to the instruction content to be exchanged repeatedly without the permission of the doctor. acquisition unit for acquiring relevant guidance segment of the plurality of guidance segment allocated in accordance with the spirit of the guidance reporting and the guidance reporting indicating the opinion leaders against the result of the subject improvement activities conducted Te and , A display control unit that displays the guidance report acquired by the acquisition unit and the corresponding guidance category on the display screen .

The instructor device according to the embodiment of the present invention is an instructor device for an instructor who performs remote guidance, and includes an acquisition unit for acquiring finding information of a doctor who performs telemedicine, and from the start to the end of improvement guidance. A message relating to the guidance content created by the instructor based on the finding information and a message created by the target person according to the guidance content between the instructor device and the terminal device of the target person for telemedicine. Chat unit preparative be replaced repeatedly without the permission of the physician, according to the gist of the teaching reported and the guidance reporting indicating the opinion leaders against the result of the subject improvement activities performed in accordance with the improved guidance It is provided with an output unit that outputs the corresponding guidance category among the plurality of guidance categories assigned to the doctor's device to the doctor's device.

The computer program according to the embodiment of the present invention acquires the doctor's findings information from the doctor's device of the doctor who performs remote medical care, and outputs the acquired findings information to the instructor's device of the instructor who performs remote guidance. Then, from the start to the end of the improvement guidance, a message relating to the guidance content created by the instructor based on the finding information and the guidance content between the instructor device and the terminal device of the subject of remote medical treatment. It provides a chat function that allows the message created by the subject to be exchanged repeatedly without the permission of the doctor, and gives the instructor's view on the results of the improvement activities performed by the subject in response to the improvement guidance. The instruction report to be shown and the corresponding instruction category among the plurality of instruction categories assigned according to the gist of the instruction report are acquired from the instructor device, and the acquired instruction report and the corresponding instruction category are output to the doctor device. To execute the process.
Further, the computer program according to the embodiment of the present invention outputs a doctor's finding information to a computer, and a message related to the teaching content created by an instructor who gives remote guidance based on the finding information, and the guidance content. The instructor for the results of the improvement activities performed by the subject in response to the improvement guidance by the instructor through a chat that allows the message created by the subject of telemedicine to be exchanged repeatedly without the permission of the doctor. The processing of acquiring the instruction report showing the view of the above and the corresponding instruction category among the plurality of instruction categories assigned according to the summary of the instruction report, and displaying the acquired instruction report and the corresponding instruction category on the display screen. To execute.
Further, in the computer program according to the embodiment of the present invention, a computer acquires information on the findings of a doctor who performs telemedicine, and a leader device of a leader who performs remote guidance and a terminal device of a person who is a target of telemedicine. From the start to the end of the improvement guidance, the doctor permits the message related to the guidance content created by the instructor based on the finding information and the message created by the subject according to the guidance content. Of the multiple guidance categories assigned according to the summary of the guidance report and the guidance report showing the instructor's view on the results of the improvement activities performed by the subject in response to the improvement guidance by repeatedly exchanging even if there is no The corresponding instruction category of the above is output to the doctor's device of the doctor, and the process is executed.

The remote diagnosis support method according to the embodiment of the present invention is a remote medical care support method using a server, and the server acquires doctor's findings information from a doctor's device of a doctor who performs remote medical care, and the acquired findings information. Is output to the instructor's device of the instructor who performs telemedicine, and from the start to the end of the improvement instruction, guidance is given between the instructor's device and the terminal device of the subject of telemedicine based on the findings information. It provides a chat function that allows the message related to the guidance content created by the person and the message created by the target person according to the guidance content to be repeatedly exchanged without the permission of the doctor, and the target according to the improvement guidance. Gets the user corresponding guidance segment of the results to a plurality of instruction segments allocated in accordance with the spirit of the guidance reporting and the guidance reporting indicating the opinion leaders against the improvement activities conducted from the leader device, The acquired guidance report and the corresponding guidance category are output to the doctor's device.

According to the present invention, the lifestyle of a patient can be improved.

It is a schematic diagram which shows an example of the structure of the telemedicine support system of this embodiment. It is a block diagram which shows an example of the configuration of the server of this embodiment. It is a block diagram which shows an example of the structure of the doctor apparatus of this embodiment. It is a block diagram which shows an example of the structure of the instructor apparatus of this embodiment. It is a block diagram which shows an example of the structure of the terminal apparatus of this embodiment. It is a schematic diagram which shows the display example displayed on the display screen of the doctor apparatus of this embodiment. It is a schematic diagram which shows the 1st display example displayed on the display screen of the instructor apparatus of this embodiment. It is a schematic diagram which shows the 2nd display example displayed on the display screen of the instructor apparatus of this embodiment. It is a schematic diagram which shows the display example displayed on the display screen of the terminal device of this embodiment. It is a schematic diagram which shows the 3rd display example displayed on the display screen of the instructor apparatus of this embodiment. It is a schematic diagram which shows the 4th display example displayed on the display screen of the instructor apparatus of this embodiment. It is a schematic diagram which shows the 5th display example displayed on the display screen of the instructor apparatus of this embodiment. It is a schematic diagram which shows the 6th display example displayed on the display screen of the instructor apparatus of this embodiment. It is a flowchart which shows an example of the processing procedure of the server of this embodiment. It is a flowchart which shows an example of the processing procedure of the server of this embodiment. It is a flowchart which shows an example of the processing procedure of the terminal apparatus of this embodiment. It is a flowchart which shows an example of the processing procedure of the terminal apparatus of this embodiment. It is a flowchart which shows an example of the processing procedure of the doctor apparatus of this embodiment. It is a flowchart which shows an example of the processing procedure of the instructor apparatus of this embodiment. It is a flowchart which shows an example of the processing procedure of the instructor apparatus of this embodiment.

Hereinafter, embodiments of the present invention will be described with reference to the drawings. FIG. 1 is a schematic diagram showing an example of the configuration of the telemedicine support system of the present embodiment. The telemedicine support system includes a doctor device 10 used by a doctor who performs telemedicine, an instructor device 20 used by an instructor (improvement guidance staff) who provides remote guidance, and a terminal device used by a patient (target patient, target person). 30 and server 50 and the like are provided. The doctor device 10, the instructor device 20, the terminal device 30, and the server 50 are connected to each other via the communication network 1. The server 50 has a function of controlling and managing the exchange of information between the doctor device 10, the instructor device 20, and the terminal device 30. Although only one terminal device 30 is shown in FIG. 1 for convenience, there are as many terminal devices 30 as there are target patients. Further, a plurality of doctor devices 10 and instructor devices 20 may also exist.

It includes a doctor device 10 and a display screen 11, and is composed of an information processing device such as a personal computer or a tablet. The instructor device 20 includes a display screen 21, and is composed of, for example, an information processing device such as a personal computer or a tablet. The terminal device 30 includes a display screen 31, and is composed of, for example, a smartphone, a tablet, a notebook personal computer, or the like. The terminal device 30 can be connected to a device 40 such as a biosensor or a measuring instrument (for example, a blood pressure monitor, a pedometer, etc.) by short-range communication. The device 40 can detect the vital data described later and output it to the terminal device 30.

A videophone can be made between the doctor device 10 and the terminal device 30. This allows the patient to receive telemedicine by a doctor.

Chat messages can be exchanged between the leader device 20 and the terminal device 30. As a result, the patient can receive remote guidance (improvement guidance) by the instructor. The instructor is not limited to one person, and may be a health instruction team consisting of a plurality of people such as a public health nurse, a nurse, a pharmacist, a registered dietitian, a psychological counselor, and an exercise instructor.

FIG. 2 is a block diagram showing an example of the configuration of the server 50 of the present embodiment. The server 50 includes a control unit 51 that controls the entire server 50, a first communication unit 52, a second communication unit 53, a third communication unit 54, a chat function providing unit 55, a patient DB 56, and the like.

The first communication unit 52 has functions as a finding information acquisition unit and a guidance report output unit, and provides a communication function with the doctor device 10 via the communication network 1.

The second communication unit 53 has functions as a finding information output unit, a guidance content acquisition unit, a second message output unit, a guidance report acquisition unit, a data output unit, and a reservation status output unit, and provides guidance via the communication network 1. A communication function with the person device 20 is provided.

The third communication unit 54 has functions as a first message output unit, a message acquisition unit, and a vital data acquisition unit, and provides a communication function with the terminal device 30 via the communication network 1.

The chat function providing unit 55 has a function as a display control unit, and provides a chat message exchange (transmission / reception) function between the instructor device 20 and the terminal device 30. The message includes, for example, a character string, a pictogram, an icon, etc. displayed on the display screen.

The patient DB 56 is a database that records information about the patient separately for each patient. For example, the patient name, the vital data of the patient, the doctor's findings information (treatment policy) based on the remote medical care performed for the patient, and the patient. Records information such as a chat log showing the history of chat messages between the patient and the instructor, and an improvement instruction report reported to the doctor by the instructor. Although not shown, patient information may include, for example, health data such as gender, age, height, and weight, and test data such as a blood test.

Vital data is data on a living body, and includes, for example, blood pressure, heart rate, body weight, number of steps, sleep time, food intake, and the like. The vital data may be detected by the device 40 and output to the terminal device 30, for example, or may be directly detected by an application in the terminal device 30.

FIG. 3 is a block diagram showing an example of the configuration of the doctor device 10 of the present embodiment. In addition to the display screen 11, the doctor device 10 includes a control unit 12, a communication unit 13, an input unit 14, a storage unit 15, a display control unit 16, a videophone processing unit 17, and the like that control the entire device.

The communication unit 13 has functions as an output unit and an acquisition unit, and provides a communication function with the server 50 via the communication network 1.

The input unit 14 is composed of, for example, a keyboard, a mouse, a touch pad, a touch panel, and the like, and can input characters and perform operations on icons, buttons, menu bars, windows, cursors, and the like on the display screen 11. The input unit 14 may be provided with a voice input function so as to receive the voice of a doctor.

The storage unit 15 can store information acquired from the server 50, information input from the input unit 14, and the like.

The display control unit 16 performs a process for displaying predetermined information on the display screen 11.

The videophone processing unit 17 includes a camera, a microphone, a speaker, and the like, and executes a process for making a videophone call with the terminal device 30.

FIG. 4 is a block diagram showing an example of the configuration of the leader device 20 of the present embodiment. In addition to the display screen 21, the instructor device 20 includes a control unit 22, a communication unit 23, an input unit 24, a storage unit 25, a display control unit 26, a chat message processing unit 27, and the like that control the entire device.

The communication unit 23 has functions as an output unit and an acquisition unit, and provides a communication function with the server 50 via the communication network 1.

The input unit 24 has a function as a reception unit, and is composed of, for example, a keyboard, a mouse, a touch pad, a touch panel, and the like. The input unit 24 can input characters and operate icons, buttons, menu bars, windows, cursors, and the like on the display screen 11. The input unit 24 may be provided with a voice input function to receive the voice of the instructor.

The storage unit 25 can store information acquired from the server 50, information input from the input unit 24, and the like.

The display control unit 26 performs a process for displaying predetermined information on the display screen 21.

The chat message processing unit 27 executes a process for sending and receiving a chat message to and from the terminal device 30.

FIG. 5 is a block diagram showing an example of the configuration of the terminal device 30 of the present embodiment. In addition to the display screen 31, the terminal device 30 includes a control unit 32, a communication unit 33, an input unit 34, a storage unit 35, an interface unit 36, a display control unit 37, a chat message processing unit 38, and a videophone that control the entire device. It includes a processing unit 39 and the like.

The communication unit 33 provides a communication function with the server 50 via the communication network 1.

The input unit 34 is composed of a touch panel or the like, and can input characters and perform operations on icons, buttons, menu bars, windows, cursors, and the like on the display screen 11. The input unit 34 may be provided with a voice input function to receive the voice of the patient.

The storage unit 35 can store information acquired from the server 50, information input from the input unit 34, and the like.

The interface unit 36 provides an interface function with the device 40.

The display control unit 37 performs a process for displaying predetermined information on the display screen 31.

The chat message processing unit 38 executes a process for sending and receiving a chat message to and from the instructor device 20.

The videophone processing unit 39 includes a camera, a microphone, a speaker, and the like, and executes a process for making a videophone call with the doctor device 10.

The processing performed by the display control unit 37, the chat message processing unit 38, and the videophone processing unit 39 can be realized by an application program (computer program). That is, the computer program is loaded into the RAM (not shown) included in the terminal device 30, and each process of the loaded computer program is executed by the CPU, whereby the display control unit 37, the chat message processing unit 38, and the videophone processing unit are executed. 39 processes can be realized.

Next, the operation of the telemedicine support system of the present embodiment will be described.

FIG. 6 is a schematic view showing a display example displayed on the display screen 11 of the doctor device 10 of the present embodiment. FIG. 6 can be displayed on the display screen 11 when, for example, a doctor performs telemedicine on a patient. As shown in FIG. 6, the patient information area 101, the data area 102, the finding input area 103, and the like are displayed on the display screen 11.

In the patient information area 101, a patient's nomination, a medical treatment date, and the like are displayed. Health data, inspection data, and the like are displayed in the data area 102. The health data can include information such as gender, age, height, weight, and step count data of the patient. In addition, the test data can include the results of blood tests and the like. The information displayed in the patient information area 101 and the data area 102 can be acquired from the server 50 before performing telemedicine.

As a result of performing remote medical treatment (for example, medical treatment by videophone or general telephone, interview, etc.) for the patient in the finding input area 103, the treatment policy for the patient can be input as finding information. In the example of FIG. 6, "Please take measures against hypertension" is input as the finding information. The finding information is information that serves as a guideline for remote guidance (life improvement guidance) by the instructor following telemedicine. In the example of FIG. 6, the phrase "please take measures against hypertension" is illustrated as the finding information, but the finding information is not limited to the example of FIG. For example, measures related to diet, measures related to exercise, measures related to smoking or drinking may be used.

When the finding information is input via the input unit 14, the communication unit 13 outputs the input finding information to the server 50.

The first communication unit 52 of the server 50 acquires the doctor's findings information from the doctor device 10.

The second communication unit 53 of the server 50 outputs the finding information acquired by the first communication unit 52 to the instructor device 20. The finding information can be output in response to a request (access, etc.) from the instructor device 20.

FIG. 7 is a schematic view showing a first display example displayed on the display screen 21 of the instructor device 20 of the present embodiment. As shown in FIG. 7, the patient list area 201 displays the target patient in a manner distinguishable from other patients. In the example of FIG. 7, the name of the target patient is displayed in bold and surrounded by a frame. In addition, in the finding information area 202, as patient information, in addition to the instruction (P) from the doctor: "Please take measures against hypertension" (finding information), the previous medical treatment day and the next medical treatment day (example of FIG. 7). Then, unreserved) etc. are displayed. In addition, test data such as health data and blood tests can be displayed in the finding information area 202.

The communication unit 23 of the instructor device 20 acquires the doctor's findings information from the server 50.

The display control unit 26 of the instructor device 20 displays the finding information acquired by the communication unit 23. By acquiring the doctor's findings, the instructor can propose appropriate improvement guidance based on the findings.

FIG. 8 is a schematic view showing a second display example displayed on the display screen 21 of the instructor device 20 of the present embodiment. As shown in FIG. 8, in the chat area 203, chat messages sent and received between the instructor (registered dietitian in the example of FIG. 8) and the patient (Taro Dainippon in the example of FIG. 8) are displayed. To. Further, in the chat area 203, vital data acquired by the patient himself (in the example of FIG. 8, display values of a pedometer and a sphygmomanometer taken by a camera provided in the terminal device 30) can be displayed. In the following, the nutrition manager will be taken as an example as an instructor, but the instructor is not limited to the nutrition manager.

As shown in Fig. 8, the registered dietitian (instructor) said at 10:00 on May 2, "Taro Dainippon has high blood pressure, so be careful about reducing salt. For example, exercise is also good. When a message relating to the instruction content created based on the doctor's findings information is input from the input unit 24 of the instructor device 20, the input message is displayed on the display screen 21.

The communication unit 23 outputs the input message to the server 50.

The second communication unit 53 of the server 50 acquires the message created by the registered dietitian from the instructor device 20. As shown in FIG. 8, the content of instruction includes specific action guidelines and advice for improving the lifestyle of the patient. Further, the message includes, for example, a character string, a pictogram, an icon, etc. displayed on the display screen.

The third communication unit 54 of the server 50 outputs the message acquired by the second communication unit 53 to the terminal device 30. As a result, for example, the terminal device 30 can display the message "Mr. Taro Dainippon has high blood pressure, so be careful about reducing salt. For example ... Exercise is also good."

When the patient receives a message such as "I tried my best! Today's steps and blood pressure. I will walk further tomorrow" at 18:00 on May 4, the terminal device 30 receives a message at the input unit 34 of the terminal device 30. The communication unit 33 of the above outputs the received message to the server 50.

The third communication unit 54 of the server 50 acquires the message created by the patient from the terminal device 30. As shown in FIG. 8, the message created by the patient includes, for example, actions, impressions, future plans, etc. performed by the patient according to the content of instruction by the instructor.

The third communication unit 54 of the server 50 outputs the acquired patient message to the instructor device 20. The communication unit 23 of the instructor device 20 acquires the message created by the patient. The display control unit 26 displays the patient's message acquired by the communication unit 23 on the display screen 21. As a result, for example, the instructor device 20 can display the message "I tried my best! Today's steps and blood pressure. I will walk further tomorrow" created by the patient, as shown in FIG. ..

As shown in FIG. 8, transmission and reception of a message (not shown) is similarly repeated at 19:00 on May 5th and 18:00 on May 7th. In addition, the registered dietitian wrote a message at 10:00 on May 9th, such as "You did your best last week! This week ...".

As described above, messages can be exchanged between the registered dietitian (instructor) who guides lifestyle improvement and the patient based on the doctor's findings information, and the patient can exchange messages without increasing the burden on the doctor. Lifestyle guidance for improving the lifestyle of patients can be provided in a timely manner, and the lifestyle of patients can be improved.

Further, the chat function providing unit 55 can control to display the message related to the instruction content created by the registered dietitian and the message created by the patient on the display screens of the instructor device 20 and the terminal device 30 in chronological order. it can.

The display control unit 26 of the instructor device 20 displays, for example, a message related to the instruction content created by the nutrition manager and a message created by the patient in chronological order in response to the function provision from the chat function providing unit 55. Displaying in chronological order includes, for example, displaying messages in the order in which they were created, as shown in FIG.

As described above, since the messages of the nutrition manager and the patient are displayed in chronological order, the nutrition manager can accurately grasp the feedback from the patient and provide appropriate advice to the patient. ..

In addition, since the messages of the registered dietitian and the patient are displayed in chronological order, it is possible to facilitate communication between the registered dietitian and the patient.

Further, the input unit 34 of the terminal device 30 receives the input of vital data related to the patient. The communication unit 33 outputs the vital data received by the input unit 34 to the server 50.

The third communication unit 54 of the server 50 acquires vital data related to the patient from the terminal device 30. The third communication unit 54 outputs the acquired vital data related to the patient to the instructor device 20. In the instructor device 20, the display control unit 26 can display vital data (images of numerical values of a pedometer and a sphygmomanometer) as shown in FIG.

As mentioned above, the patient can provide the results of improvement guidance to the nutrition manager as objective data. In addition, the nutrition manager can obtain the result of improvement guidance as objective data, and can appropriately give guidance to the patient.

The second communication unit 53 of the server 50 outputs the vital data acquired by the third communication unit 54 to the instructor device 20 in association with the message created by the patient. For example, in the instructor device 20, the display control unit 26 can display the vital data of the patient in association with the message created by the patient, such as the message created on May 4 in FIG. ..

As described above, the nutrition manager (instructor) can obtain the result of the improvement instruction as objective data together with the message, and can appropriately give the instruction to the patient.

The patient DB 56 has a function as a recording unit, and can record the vital data acquired by the third communication unit 54 as a chat log in association with the message created by the patient. As a result, the patient's subjective message and the objective data can be associated and recorded, so that improvement guidance can be given in consideration of the patient's past activity status.

FIG. 9 is a schematic view showing a display example displayed on the display screen 31 of the terminal device 30 of the present embodiment. As shown in FIG. 9, in the chat area 301, chat messages sent and received between the instructor (registered dietitian in the example of FIG. 9) and the patient (Taro Dainippon in the example of FIG. 9) are displayed. To. In addition, patient vital data can be displayed in the chat area 301. The chat message and vital data displayed in the chat area 301 are the same as those displayed in the chat area 203 of the instructor device 20.

As shown in FIG. 9, the display control unit 37 displays a message related to the guidance content created by the nutrition manager who provides remote guidance based on the findings information of the doctor who performs telemedicine. The content of the instruction includes specific action guidelines and advice for improving the lifestyle of patients. The message includes, for example, a character string, a pictogram, an icon, etc. displayed on the display screen 31.

The input unit 34 accepts the input of the message by the patient. The message input by the patient includes, for example, the actions, impressions, and future plans of the patient according to the guidance provided by the nutrition manager.

As described above, the patient can appropriately exchange messages with the instructor who instructes the improvement of life based on the findings of the doctor, and the continuity of the improvement instruction is enhanced. For example, lifestyle-related diseases. Can improve the condition of.

In addition, the display control unit 37 displays the message created by the nutrition manager and the message created by the patient in chronological order. As a result, the patient can accurately grasp the content of the guidance from the nutrition manager.

FIG. 10 is a schematic view showing a third display example displayed on the display screen 21 of the instructor device 20 of the present embodiment. As shown in FIG. 10, the guidance report prepared by the nutrition manager or the improvement guidance staff is input to the guidance report area 204. The guidance report reports to the doctor the guidance result based on the result of the improvement activity actually performed by the patient in response to the remote guidance. In the example of Fig. 10, a guidance report is created such as "This month, we worked on improvement by exercise guidance. We are highly motivated and will continue to support while watching the blood pressure level."

The input unit 24 accepts the input of the instruction report. The communication unit 23 outputs the guidance report received by the input unit 24 to the server 50.

The second communication unit 53 of the server 50 acquires the guidance report from the leader device 20. The first communication unit 52 outputs the guidance report acquired by the second communication unit 53 to the doctor device 10.

The communication unit 13 of the doctor device 10 acquires the guidance report from the server 50. The display control unit 16 displays the guidance report acquired by the communication unit 13 on the display screen 11. That is, on the display screen 11 of the doctor device 10, a guidance report regarding remote guidance provided by an improvement support staff such as a nutrition manager is displayed based on the findings information of the doctor.

As a result, doctors can view the results of improvement guidance given to patients based on the treatment policy (finding information) in the previous telemedicine in the form of a report by the improvement support staff (instructor). Therefore, it is possible to save the trouble of browsing various data about the patient and reduce the burden on the doctor. In addition, by referring to the read guidance report, it can be used for planning the treatment policy in the next telemedicine.

Further, the communication unit 13 of the doctor device 10 can acquire the chat message and vital data displayed in the chat area 203 of FIG. 10 from the server 50. Whether or not to acquire the chat message and vital data can be selected by the doctor from the input unit 14 of the doctor device 10, for example. The display control unit 16 can display the chat message and vital data acquired by the communication unit 13 on the display screen 11.

As a result, the messages of the nutrition manager and the patient are displayed in chronological order, so that the doctor can obtain detailed information on the guidance report as needed.

In addition, the doctor can obtain the result of the improvement guidance as objective data, and can appropriately perform the next telemedicine for the patient.

The input unit 34 of the terminal device 30 can accept the input of reservation information for telemedicine between the patient and the doctor. This allows the patient to easily make an appointment for telemedicine.

The communication unit 33 outputs the reservation information received by the input unit 34 to the server 50.

The third communication unit 54 of the server 50 acquires reservation information from the terminal device 30. The second communication unit 53 outputs the reservation information acquired by the third communication unit 54 to the instructor device 20.

The communication unit 23 of the leader device 20 acquires reservation information from the server 50. The display control unit 26 displays the reservation information acquired by the communication unit 23 on the display screen 21. In the example of FIG. 10, since "unreserved" is displayed in the column of the next medical treatment day, it can be seen that the patient has not yet made an appointment for telemedicine with the doctor.

This allows the nutrition manager to encourage the patient to make an appointment for the next telemedicine if the patient has not made an appointment for the next telemedicine, so that the doctor can make the next telemedicine in a timely manner. It can be done reliably.

FIG. 11 is a schematic view showing a fourth display example displayed on the display screen 21 of the instructor device 20 of the present embodiment. In the example of FIG. 11, in addition to the guidance report area 204, the report division area 205 is arranged. In the report division area 205, one of a plurality of predetermined divisions assigned according to the gist of the guidance report is input. Prescribed categories (also called guidance categories) should be divided into, for example, continuation (continuation of support), strengthening (strengthening, changing, adding support, etc.), and ending (end of support) according to the summary of the guidance report. Can be done. In the example of FIG. 11, "continuation" is input or selected.

That is, the input unit 24 of the instructor device 20 has a function as a division reception unit, and receives input of one of a plurality of predetermined divisions assigned according to the gist of the instruction report. The category may be directly type-input, or as shown in FIG. 11, a selection menu may be displayed and a required category may be selected.

The communication unit 23 outputs the division received by the input unit 24 to the server 50.

The second communication unit 53 of the server 50 acquires the classification from the leader device 20. The first communication unit 52 outputs the classification acquired by the second communication unit 53 to the doctor device 10.

The communication unit 13 of the doctor device 10 acquires the classification from the server 50. The display control unit 16 displays the division on the display screen 11. The division displayed on the display screen 11 of the doctor device 10 can be the same as the report division area 205 shown in FIG.

As a result, the effect of the improvement guidance given to the patient based on the treatment policy (finding information) in the previous telemedicine by the doctor can be briefly summarized (in the example of FIG. 11, "continuation"). The doctor can immediately recognize the effect of the improvement guidance, and the burden on the doctor can be further reduced.

FIG. 12 is a schematic view showing a fifth display example displayed on the display screen 21 of the instructor device 20 of the present embodiment. In the example of FIG. 12, in the chat area 203, the chat message between the nutrition manager and the patient (Mai Sekiya) and the vital data of the patient are displayed. In addition, in the guidance report area 204, a guidance report is input such as "We have worked on improvement by exercise guidance as a measure against blood pressure, but in the future we should emphasize diet and strengthen support." Further, in the report category area 205, a category of "strengthening" indicating the gist of the guidance report is input (selected).

As a result, the effect of the improvement guidance given to the patient based on the treatment policy (finding information) in the previous telemedicine by the doctor can be briefly summarized (in the example of FIG. 12, "strengthening"). The doctor can immediately recognize the effect of the improvement guidance, and the burden on the doctor can be further reduced.

FIG. 13 is a schematic view showing a sixth display example displayed on the display screen 21 of the instructor device 20 of the present embodiment. In the example of FIG. 13, in the chat area 203, a chat message performed between the nutrition manager and the patient (healthy Hanako) and vital data of the patient are displayed. In addition, in the guidance report area 204, "It seems that you have a good habit of eating and exercising. Your blood pressure level has stabilized. We would like to end the active improvement support once and set it to the follow-up level." The guidance report has been entered. Further, in the report category area 205, a category "end" indicating the gist of the guidance report is input (selected).

As a result, it is possible to briefly summarize the effects of improvement guidance given to the patient based on the treatment policy (finding information) in the previous telemedicine by the doctor (in the example of FIG. 13, "end"). The doctor can immediately recognize the effect of the improvement guidance, and the burden on the doctor can be further reduced.

14 and 15 are flowcharts showing an example of the processing procedure of the server 50 of the present embodiment. The server 50 acquires the doctor's findings information from the doctor device 10 (S11), determines whether or not there is a request for the findings information from the instructor device 20 (S12), and if there is no request (NO in S12), The process of step S12 is continued.

When there is a request for finding information (YES in S12), the server 50 outputs the finding information to the instructor device 20 (S13), determines whether or not the improvement guidance has been started (S14), and the improvement guidance is given. If it has not been started (NO in S14), the process of step S14 is continued. When the improvement guidance is started (YES in S14), the server 50 determines whether or not the chat regarding the improvement guidance is started between the instructor device 20 and the terminal device 30 (S15).

If the chat has not been started (NO in S15), the server 50 continues the process of step S15. When the chat is started (YES in S15), the server 50 determines whether or not the message created by the instructor has been acquired from the instructor device 20 (S16).

When the instructor's message is acquired (YES in S16), the server 50 outputs the acquired message to the terminal device 30 (S17), and performs the process of step S18 described later. If the leader's message has not been acquired (NO in S16), the server 50 performs the process of step S18, which will be described later, without performing the process of step S17.

The server 50 determines whether or not the message created by the patient has been acquired from the terminal device 30 (S18). When the patient's message is acquired (YES in S18), the server 50 determines whether or not the patient's vital data has been acquired from the terminal device 30 (S19).

When the patient's vital data is acquired (YES in S19), the server 50 associates the acquired vital data with the patient's message and outputs it to the instructor device 20 (S20), and performs the process of step S22 described later. If the patient's vital data has not been acquired (NO in S19), the server 50 outputs the patient's message to the instructor device 20 (S21), and performs the process of step S22 described later. If the patient's message has not been acquired (NO in S18), the server 50 performs the process of step S22 described later.

The server 50 determines whether or not the chat has ended (S22), and if the chat has not ended (NO in S22), performs the processes after step S16. When the chat is finished (YES in S22), the server 50 determines whether or not the improvement guidance is finished (S23), and when the improvement guidance is not finished (NO in S23), the processing after step S15 is performed. Do.

The server 50 acquires a guidance report to the doctor from the leader device 20 (S24). In addition to the guidance report, it is also possible to obtain a category showing the gist of the guidance report. The server 50 determines whether or not there is a request for a guidance report from the doctor device 10 (S25), and if there is no request for a guidance report (NO in S25), the process of step S25 is continued. When there is a request for a guidance report (YES in S25), the server 50 outputs the guidance report to the doctor device 10 (S26), and ends the process.

16 and 17 are flowcharts showing an example of the processing procedure of the terminal device 30 of the present embodiment. The terminal device 30 determines whether or not there is an appointment for telemedicine between the patient and the doctor (S41), and if there is no appointment for telemedicine (NO in S41), accepts the appointment for telemedicine (S42). , The process of step S43 described later is performed. When there is an appointment for telemedicine (YES in S41), the terminal device 30 performs the process of step S43, which will be described later, without performing the process of step S42.

The terminal device 30 determines whether or not the telemedicine has been started (S43), and if the telemedicine has not been started (NO in S43), the process of step S43 is continued. When the telemedicine is started (YES in S43), the terminal device 30 performs the telemedicine by videophone (S44) and determines whether or not the telemedicine is completed (S45).

If the telemedicine has not been completed (NO in S45), the terminal device 30 performs the process of step S44. When the telemedicine is completed (YES in S45), the terminal device 30 determines whether or not the next telemedicine reservation is input (S46), and when the telemedicine reservation is input (YES in S46), The reservation for telemedicine is accepted (S47), and the process of step S48 described later is performed.

When there is no input of the telemedicine reservation (NO in S46), the terminal device 30 performs the process of step S48 described later without performing the process of step S47. The terminal device 30 determines whether or not the improvement guidance has been started (S48), and if the improvement guidance has not been started (NO in S48), the process of step S48 is continued.

When the improvement guidance is started (YES in S48), the terminal device 30 determines whether or not a chat regarding the improvement guidance has been started between the instructor device 20 and the terminal device 30 (S49). If the chat has not been started (NO in S49), the terminal device 30 continues the process of step S49. When the chat is started (YES in S49), the terminal device 30 determines whether or not the message created by the instructor has been acquired from the instructor device 20 via the server 50 (S50).

When the instructor's message is acquired (YES in S50), the terminal device 30 displays the acquired message (S51) and performs the process of step S52 described later. When the message of the instructor has not been acquired (NO in S50), the terminal device 30 performs the process of step S52 described later without performing the process of step S51.

The terminal device 30 determines whether or not the input of the message created by the patient has been accepted (S52). When the input of the patient's message is accepted (YES in S52), the terminal device 30 determines whether or not the input of the patient's vital data is accepted (S53).

When the input of the patient's vital data is accepted (YES in S53), the terminal device 30 displays the patient's vital data in association with the patient's message, and outputs the patient's vital data to the instructor device 20 via the server 50 (S54). , The process of step S56 described later is performed. When the input of the patient's vital data is not accepted (NO in S53), the terminal device 30 displays the patient's message and outputs it to the instructor device 20 via the server 50 (S55), and in step S56 described later. Perform processing. When the input of the patient's message is not accepted (NO in S52), the terminal device 30 performs the process of step S56 described later.

The terminal device 30 determines whether or not the chat has ended (S56), and if the chat has not ended (NO in S56), the processing after step S50 is performed. When the chat is completed (YES in S56), the terminal device 30 determines whether or not the improvement guidance is completed (S57), and when the improvement guidance is not completed (NO in S57), the processing after step S49. I do. When the improvement guidance is completed (YES in S57), the terminal device 30 ends the process.

FIG. 18 is a flowchart showing an example of the processing procedure of the doctor device 10 of the present embodiment. The doctor device 10 accepts the input of the doctor's finding information (S61), and outputs the received finding information to the server 50 (S62). The doctor device 10 determines whether or not there is an operation to start telemedicine between the patient and the doctor (S63), and if there is no operation to start telemedicine (NO in S63), the process of step S63 is continued.

When there is an operation to start telemedicine (YES in S63), the doctor device 10 acquires a guidance report of improvement guidance by the instructor from the server 50 (S64), and the guidance classification (for example, "continue", "strengthen"). , "End", etc.) (S65). When there is a guidance category (YES in S65), the doctor device 10 displays a guidance report for improvement guidance together with the guidance category (S66), and performs the process of step S68 described later.

When there is no guidance category (NO in S65), the doctor device 10 displays a guidance report for improvement guidance (S66), and determines whether or not detailed information on improvement guidance is requested (S68). When there is a request for detailed information (YES in S68), the doctor device 10 acquires and displays a chat message between the instructor and the target patient (S69), and ends the process. If no detailed information is requested (NO in S68), the physician device 10 ends the process.

19 and 20 are flowcharts showing an example of the processing procedure of the leader device 20 of the present embodiment. The instructor device 20 determines whether or not the improvement guidance has been started (S81), and if the improvement guidance has not been started (NO in S81), the process of step S81 is continued. When the improvement guidance is started (YES in S81), the instructor device 20 acquires the information about the patient and the doctor's findings information from the server 50 and displays them (S82).

The instructor device 20 determines whether or not a chat regarding improvement guidance has been started with the terminal device 30 (S83). If the chat has not been started (NO in S83), the instructor device 20 continues the process of step S83. When the chat is started (YES in S83), the instructor device 20 accepts the input of the message created by the instructor (S84).

The instructor device 20 displays the instructor's message and outputs the instructor's message to the patient's terminal device 30 via the server 50 (S85). The instructor device 20 determines whether or not the message created by the patient has been acquired from the terminal device 30 via the server 50 (S86). When the patient's message is acquired (YES in S86), the instructor device 20 determines whether or not the patient's vital data has been acquired from the terminal device 30 via the server 50 (S87).

When the patient's vital data is acquired (YES in S87), the instructor device 20 displays the patient's vital data in association with the patient's message (S88), and performs the process of step S90 described later. When the vital data of the patient has not been acquired (NO in S87), the instructor device 20 displays the patient's message (S89) and performs the process of step S90 described later. When the patient's message has not been acquired (NO in S86), the instructor device 20 performs the process of step S90 described later.

The instructor device 20 determines whether or not the chat has ended (S90), and if the chat has not ended (NO in S90), the process after step S84 is performed. When the chat ends (YES in S90), the instructor device 20 determines whether or not the chat has started again (S91), and when the chat starts again (YES in S91), the processing after step S84. I do.

When the chat is not started again (NO in S91), the instructor device 20 determines whether or not the instruction category is input (selected) (S92), and when there is an input of the instruction category (YES in S92), together with the instruction category. The input of the guidance report is accepted (S93), the guidance classification and the guidance report are output to the server 50 (S94), and the process is terminated.

When there is no input of the instruction category (NO in S92), the instructor device 20 accepts the input of the instruction report (S95), outputs the instruction report to the server 50 (S96), and ends the process.

As described above, according to the present embodiment, the doctor does not have the burden of providing life improvement guidance by himself / herself. In addition, public health nurses, nutrition managers, exercise instructors, etc., who are specialists in improvement guidance, can provide improvement support for patients as a team. Patients do not have to pay for medical expenses individually, and it is expected that the continuity of instruction will increase, behavior change will occur, and the condition will improve. In addition, in health insurance associations, the medical burden is reduced by making patients healthy, which is also useful as health and medical services for union members. In this way, the originally required life improvement guidance according to the doctor's instructions is appropriately provided without imposing a burden on the doctor. In addition, for the patient, it is possible to contribute to the substantial prevention of the aggravation of the patient without incurring a high medical cost.

The server according to the present embodiment is a finding information acquisition unit that acquires doctor's findings information from a doctor's device of a doctor who performs telemedicine, and an instructor who performs remote guidance on the findings information acquired by the findings information acquisition unit. A finding information output unit that outputs to the instructor device, an instruction content acquisition unit that acquires a message related to the instruction content created by the instructor based on the finding information from the instructor device, and an instruction content acquisition unit that acquires the message. The first message output unit that outputs a message related to the instruction content to the terminal device of the target person for telemedicine, the message acquisition unit that acquires the message created by the target person from the terminal device, and the message acquisition unit acquire the message. It includes a second message output unit that outputs a message to the leader device.

The telemedicine support method according to the present embodiment is a telemedicine support method using a server, and the server acquires doctor's findings information from a doctor's device of a doctor who performs telemedicine, and obtains the acquired findings information. Output to the instructor's device of the instructor who performs remote instruction, acquire the message related to the instruction content created by the instructor based on the findings information from the instructor device, and receive the message related to the acquired instruction content in telemedicine. Is output to the terminal device of the target person, the message created by the target person is acquired from the terminal device, and the acquired message is output to the instructor device.

The finding information acquisition department acquires the doctor's finding information from the doctor's device of the doctor who performs telemedicine. The doctor performs telemedicine with the subject based on information about the subject (patient) in advance (for example, health data such as height, weight, steps, test data such as blood test, etc.), and treatment based on the result of the telemedicine. The policy can be input from the doctor's device as finding information.

The finding information output unit outputs the acquired finding information to the instructor device of the instructor who performs remote instruction. The findings information can be output in response to a request (access, etc.) from the instructor device.

The instruction content acquisition department acquires a message related to the instruction content created by the instructor based on the finding information from the instructor device. The content of the instruction includes specific action guidelines and advice for improving the lifestyle of the subject. The message includes, for example, a character string, a pictogram, an icon, etc. displayed on the display screen.

The first message output unit outputs a message related to the acquired instruction content to the terminal device of the target person for telemedicine. As a result, for example, the terminal device can display a message related to the instruction content.

The message acquisition unit acquires the message created by the target person from the terminal device. The message created by the subject includes, for example, the actions, impressions, and future plans of the subject according to the content of the instruction given by the instructor.

The second message output unit outputs the acquired message of the target person to the instructor device. Thereby, for example, the instructor device can display the message created by the target person.

With the above configuration, messages can be exchanged between the instructor who guides lifestyle improvement and the patient based on the doctor's findings information, and the patient's lifestyle can be changed without increasing the burden on the doctor. Lifestyle guidance for improvement can be provided in a timely manner, and the lifestyle of patients can be improved.

The server according to the present embodiment controls to display the message related to the instruction content created by the instructor and the message created by the target person in chronological order on the display screens of the instructor device and the terminal device. It is equipped with a display control unit.

The display control unit controls to display the message related to the instruction content created by the instructor and the message created by the target person in chronological order on the display screens of the instructor device and the terminal device. Displaying in chronological order includes, for example, displaying messages in the order in which they were created.

With the above configuration, the messages of the instructor and the target person are displayed in chronological order, so that communication between the instructor and the target person can be smoothly performed.

The server according to the present embodiment outputs the guidance report acquisition unit that acquires the instruction report of the remote instruction given by the instructor from the instructor device and the instruction report acquired by the instruction report acquisition unit to the doctor device. It is equipped with a guidance report output unit.

The instruction report acquisition department acquires the instruction report of the remote instruction given by the instructor from the instructor device. The instructor can input an instruction report showing the instruction result based on the result of the improvement activity actually performed by the subject according to the instruction content from the instructor device.

The guidance report output unit outputs the guidance report acquired by the guidance report acquisition unit to the doctor's device. For example, a doctor's device can display a guidance report.

With the above configuration, the doctor can view the results of improvement guidance given to the patient based on the treatment policy (finding information) in the previous telemedicine in the form of a report by the instructor. , The trouble of browsing various data about the patient can be saved, and the burden on the doctor can be reduced. In addition, by referring to the read guidance report, it can be used for planning the treatment policy in the next telemedicine.

In the server according to the present embodiment, the guidance report acquisition unit acquires one of a plurality of predetermined categories assigned according to the gist of the guidance report, and the guidance report output unit obtains the guidance report. Outputs the classification acquired by the acquisition unit.

The guidance report acquisition department acquires one of a plurality of predetermined categories assigned according to the gist of the guidance report. Depending on the gist of the guidance report, the predetermined division can be divided into, for example, continuation (continuation of support), strengthening (strengthening, changing, adding, etc. of support), and ending (end of support).

The guidance report output unit outputs the classification acquired by the guidance report acquisition unit. For example, in a doctor's device, the classification can be displayed.

With the above configuration, the doctor can immediately recognize the effect of the improvement guidance given to the patient based on the treatment policy (finding information) in the previous telemedicine, and further reduce the burden on the doctor. Can be done.

The server according to the present embodiment has a vital data acquisition unit that acquires vital data related to the target person from the terminal device, and a data output unit that outputs the vital data acquired by the vital data acquisition unit to the instructor device. And.

The vital data acquisition unit acquires vital data related to the target person from the terminal device. The vital data is, for example, data on a living body detected by an application in a terminal device, a biological sensor, a measuring instrument, or the like, and includes, for example, blood pressure, heart rate, body weight, steps, sleep time, meal intake, and the like.

The data output unit outputs the vital data acquired by the vital data acquisition unit to the instructor device. For example, the instructor device can display vital data.

With the above configuration, the instructor can obtain the result of the improvement instruction as objective data, and can appropriately give the instruction to the target person.

The server according to the present embodiment includes a recording unit that records the vital data acquired by the vital data acquisition unit in association with the message created by the target person.

The recording unit records the vital data acquired by the vital data acquisition unit in association with the message created by the target person. As a result, the subjective message of the subject and the objective data can be associated and recorded, so that improvement guidance can be given in consideration of the past activity status of the subject.

In the server according to the present embodiment, the data output unit outputs the vital data acquired by the vital data acquisition unit to the instructor device in association with the message created by the target person.

The data output unit outputs the vital data acquired by the vital data acquisition unit to the instructor device in association with the message created by the target person. For example, the leader device can display the vital data of the target person in association with the message created by the target person.

With the above configuration, the instructor can obtain the result of the improvement instruction as objective data, and can appropriately give the instruction to the target person.

The server according to the present embodiment includes a reservation status output unit that outputs the reservation status of telemedicine by a doctor to the instructor device.

The reservation status output unit outputs the reservation status of the telemedicine by the doctor to the instructor device. As a result, the instructor can urge the subject to make an appointment for the next telemedicine if the subject has not made an appointment for the next telemedicine, so that the next telemedicine by the doctor can be timely. And it can be done reliably.

The doctor device according to the present embodiment is a doctor device of a doctor who performs telemedicine, and has an output unit that outputs doctor's findings information and a guidance report created by an instructor who provides remote guidance based on the findings information. It has an acquisition unit to acquire.

The output unit outputs the doctor's findings information to the server. In addition, the doctor performs telemedicine with the subject based on the information about the subject (patient) in advance (for example, health data such as height, weight, steps, test data such as blood test, etc.), and the result of the telemedicine is obtained. Based treatment policy can be input from the doctor's device as finding information.

The acquisition department acquires the instruction report created by the instructor who provides remote instruction based on the finding information from the server. The instructor can input an instruction report showing the instruction result based on the result of the improvement activity actually performed by the target person according to the instruction content from the instructor device, and the instructor device inputs the instruction report to the server. Can be output to. The doctor device can display the acquired guidance report.

With the above configuration, the doctor can view the results of improvement guidance given to the patient based on the treatment policy (finding information) in the previous telemedicine in the form of a report by the instructor. , The trouble of browsing various data about the patient can be saved, and the burden on the doctor can be reduced. In addition, by referring to the read guidance report, it can be used for planning the treatment policy in the next telemedicine.

The doctor device according to the present embodiment includes a display control unit that displays predetermined information on a display screen, and is a doctor device of a doctor who performs remote medical treatment. The display control unit is remote based on the doctor's findings information. Display the guidance report created by the instructor who gives guidance.

The display control unit displays a guidance report created by an instructor who provides remote guidance based on the doctor's findings. As a result, the doctor can view the results of the improvement guidance given to the patient based on the treatment policy (finding information) in the previous telemedicine in the form of a report by the instructor. It is possible to save the trouble of browsing various data related to the patient and reduce the burden on the doctor. In addition, by referring to the read guidance report, it can be used for planning the treatment policy in the next telemedicine.

In the doctor's device according to the present embodiment, the display control unit displays one of a plurality of predetermined categories assigned according to the gist of the guidance report.

The display control unit displays one of a plurality of predetermined categories assigned according to the gist of the guidance report. Depending on the gist of the guidance report, the predetermined division can be divided into, for example, continuation (continuation of support), strengthening (strengthening, changing, adding, etc. of support), and ending (end of support).

With the above configuration, the doctor can immediately recognize the effect of the improvement guidance given to the patient based on the treatment policy (finding information) in the previous telemedicine, and further reduce the burden on the doctor. Can be done.

In the doctor device according to the present embodiment, the display control unit displays a message related to the instruction content created by the instructor and a message created by the subject of telemedicine in chronological order.

The display control unit displays a message related to the instruction content created by the instructor and a message created by the subject of telemedicine in chronological order. The content of the instruction includes specific action guidelines and advice for improving the lifestyle of the subject. The message includes, for example, a character string, a pictogram, an icon, etc. displayed on the display screen. The message created by the subject includes, for example, the actions, impressions, and future plans of the subject according to the content of the instruction given by the instructor. Displaying in chronological order includes, for example, displaying messages in the order in which they were created.

With the above configuration, the messages of the instructor and the target person are displayed in chronological order, so that the doctor can obtain detailed information on the instruction report as needed.

In the doctor's device according to the present embodiment, the display control unit displays vital data related to the target person in association with a message created by the target person.

The display control unit displays the vital data related to the target person in association with the message created by the target person. The vital data is, for example, data on a living body detected by an application in a terminal device, a biological sensor, a measuring instrument, or the like, and includes, for example, blood pressure, heart rate, body weight, steps, sleep time, meal intake, and the like.

With the above configuration, the doctor can obtain the result of the improvement guidance as objective data, and can appropriately perform the next telemedicine for the subject.

The instructor device according to the present embodiment is an instructor device for an instructor who performs remote guidance, and is an acquisition unit that acquires the finding information of a doctor who performs telemedicine, and guidance for performing remote guidance based on the finding information. A reception department that accepts the input of messages related to the guidance content created by the instructor, an acquisition department that acquires the message created by the target person of telemedicine, and a reception department that accepts the input of the instruction report of the remote instruction given by the instructor. It is provided with an output unit that outputs the guidance report received by the reception unit.

The acquisition department acquires the findings information of the doctor who performs telemedicine from the server. The doctor performs telemedicine with the subject based on information about the subject (patient) in advance (for example, health data such as height, weight, steps, test data such as blood test, etc.), and treatment based on the result of the telemedicine. The policy can be input from the doctor's device as finding information. The doctor device can output the finding information to the server. By acquiring the doctor's findings, the instructor can propose appropriate improvement guidance based on the findings.

The reception department accepts the input of a message related to the instruction content created by the instructor who provides remote instruction based on the finding information. The content of the instruction includes specific action guidelines and advice for improving the lifestyle of the subject. The message includes, for example, a character string, a pictogram, an icon, etc. displayed on the display screen.

The acquisition department acquires the message created by the subject of telemedicine. The message created by the subject includes, for example, the actions, impressions, and future plans of the subject according to the content of the instruction given by the instructor.

The reception department accepts the input of the instruction report of the remote instruction given by the instructor. The instructor can input an instruction report showing the instruction result based on the result of the improvement activity actually performed by the subject according to the instruction content from the instructor device.

The output unit outputs the guidance report received by the reception unit to the server. The doctor device can acquire the guidance report via the server and display the acquired guidance report.

With the above configuration, it is possible to provide the doctor with the result of the improvement guidance given to the patient based on the treatment policy (finding information) in the previous telemedicine by the doctor in the form of a report by the instructor. Therefore, the labor of the doctor who browses various data about the patient can be saved, and the burden on the doctor can be reduced. In addition, it can be used for planning a treatment policy in the next telemedicine by a doctor.

The instructor device according to the present embodiment includes a division reception unit that receives input of one of a plurality of predetermined divisions assigned according to the gist of the instruction report, and the output unit is the division reception unit. Output the classification received in.

The division reception unit accepts input of one of a plurality of predetermined divisions assigned according to the gist of the guidance report. The predetermined division can be divided into, for example, continuation (continuation of support), strengthening (strengthening, change, addition, etc. of support), and end (end of support) according to the gist of the guidance report.

The output unit outputs the classification received by the classification reception unit to the server. The doctor's device can acquire the classification via the server and display the acquired classification.

With the above configuration, the effect of improvement guidance given to the patient based on the treatment policy (finding information) in the previous telemedicine by the doctor can be summarized briefly, and the doctor immediately recognizes the effect of the improvement guidance. It is possible to further reduce the burden on the doctor.

The instructor device according to the present embodiment includes a display control unit that displays predetermined information on a display screen, and is an instructor device for an instructor who performs remote guidance, and the display control unit performs remote medical treatment. The doctor's findings information is displayed, and the message related to the guidance content created by the instructor who provides remote guidance based on the findings information and the message created by the subject of telemedicine are displayed in chronological order.

The display control unit displays the findings information of the doctor who performs telemedicine. By acquiring the doctor's findings, the instructor can propose appropriate improvement guidance based on the findings.

The display control unit displays a message related to the instruction content created by the instructor who provides remote instruction based on the finding information and a message created by the subject of the telemedicine in chronological order. The content of the instruction includes specific action guidelines and advice for improving the lifestyle of the subject. The message includes, for example, a character string, a pictogram, an icon, etc. displayed on the display screen. The message created by the subject includes, for example, the actions, impressions, and future plans of the subject according to the content of the instruction given by the instructor. Displaying in chronological order includes, for example, displaying messages in the order in which they were created.

With the above configuration, the messages of the instructor and the target person are displayed in chronological order, so that the instructor can accurately grasp the feedback from the target person and provide appropriate advice to the target person. it can.

In the instructor device according to the present embodiment, the display control unit displays vital data related to the target person in association with a message created by the target person.

The display control unit displays the vital data related to the target person in association with the message created by the target person. The vital data is, for example, data on a living body detected by an application in a terminal device, a biological sensor, a measuring instrument, or the like, and includes, for example, blood pressure, heart rate, body weight, steps, sleep time, meal intake, and the like.

With the above configuration, the instructor can obtain the result of the improvement instruction as objective data and can provide appropriate advice to the target person.

The computer program according to the present embodiment is a computer program for causing a computer to provide support to a person subject to telemedicine, and is an instructor who provides the computer with remote guidance based on the findings of a doctor who performs telemedicine. The process of displaying the message related to the instruction content created by the target person and the process of accepting the input of the message by the target person are executed.

The computer program displays a message related to the guidance content created by the instructor who provides remote guidance based on the findings of the doctor who performs telemedicine. The content of the instruction includes specific action guidelines and advice for improving the lifestyle of the subject. The message includes, for example, a character string, a pictogram, an icon, etc. displayed on the display screen.

The computer program accepts the input of the message by the target person. The message by the subject includes, for example, the actions, impressions, future plans, etc. performed by the subject according to the content of the instruction by the instructor.

With the above configuration, the subject can appropriately exchange messages with the instructor who instructes lifestyle improvement based on the findings information of the doctor, and the continuity of improvement instruction is enhanced, for example, lifestyle habits. The condition of the disease can be improved.

The computer program according to the present embodiment causes the computer to execute a process of displaying a message related to the instruction content created by the instructor and a message created by the target person in chronological order.

The computer program displays the message related to the instruction content created by the instructor and the message created by the target person in chronological order. As a result, the target person can accurately grasp the content of the instruction from the instructor.

The computer program according to the present embodiment causes the computer to execute a process of accepting the input of vital data related to the target person.

The computer program accepts the input of vital data related to the target person. The vital data is, for example, data on a living body detected by an application in a terminal device, a biological sensor, a measuring instrument, or the like, and includes, for example, blood pressure, heart rate, body weight, steps, sleep time, meal intake, and the like.

With the above configuration, the subject can provide the result of the improvement guidance to the leader as objective data.

The computer program according to the present embodiment causes the computer to execute a process of accepting input of reservation information for telemedicine.

The computer program accepts input of telemedicine appointment information. As a result, the subject can easily make an appointment for telemedicine.

1 Communication network 10 Doctor's device 11 Display screen 12 Control unit 13 Communication unit 14 Input unit 15 Storage unit 16 Display control unit 17 TV telephone processing unit 20 Instructor device 21 Display screen 22 Control unit 23 Communication unit 24 Input unit 25 Storage unit 26 Display control unit 27 Chat message processing unit 30 Terminal device 31 Display screen 32 Control unit 33 Communication unit 34 Input unit 35 Storage unit 36 Interface unit 37 Display control unit 38 Chat message processing unit 39 TV telephone processing unit 40 Equipment 50 Server 51 Control unit 52 1st communication unit 53 2nd communication unit 54 3rd communication unit 55 Chat function providing unit 56 Patient DB
101 Patient information area 102 Data area 103 Finding input area 201 Patient list area 202 Finding information area 203 Chat area 204 Guidance reporting area 205 Reporting division area 301 Chat area

Claims (14)

The finding information acquisition department that acquires the doctor's findings information from the doctor's device of the doctor who performs telemedicine,
A finding information output unit that outputs the finding information acquired by the finding information acquisition unit to the instructor's device of the instructor who performs remote guidance, and
From the start to the end of the improvement guidance, between the instructor device and the terminal device of the subject of telemedicine, according to the message related to the instruction content created by the instructor based on the findings information and the instruction content. A chat function providing unit that can repeatedly exchange messages created by the target person without the permission of the doctor.
Wherein the relevant guidance segment of the plurality of guidance segment allocated in accordance with the spirit of the guidance reporting and the guidance reporting indicating the opinion leaders against the result of the subject improvement activities performed in accordance with the improved guidance Guidance report acquisition department acquired from the instructor device,
A server including a guidance report output unit that outputs a guidance report acquired by the guidance report acquisition unit and a corresponding guidance category to the doctor's device. The first aspect of claim 1 includes a display control unit that controls to display a message related to the instruction content created by the instructor and a message created by the target person in chronological order on the display screens of the instructor device and the terminal device. The listed server. A vital data acquisition unit that acquires vital data related to the target person from the terminal device,
The server according to claim 1 or 2 , further comprising a data output unit that outputs vital data acquired by the vital data acquisition unit to the instructor device. The server according to claim 3 , further comprising a recording unit that records the vital data acquired by the vital data acquisition unit in association with a message created by the target person. The data output unit
The server according to claim 3 , wherein the vital data acquired by the vital data acquisition unit is associated with a message created by the target person and output to the instructor device. The server according to any one of claims 1 to 5 , further comprising a reservation status output unit that outputs the reservation status of telemedicine by a doctor to the instructor device. It is a doctor's device of a doctor who performs telemedicine.
Display screen and
An output unit that outputs doctor's findings information,
A message related to the guidance content created by the instructor who provides remote guidance based on the finding information and a message created by the subject of telemedicine according to the guidance content can be repeatedly exchanged without the permission of the doctor. through chat, among the plurality of guidance segment allocated in accordance with the spirit of the guidance reporting and the guidance reporting indicating the opinion leaders against the result of the subject improvement activities performed in accordance with the improved guidance by the leaders an acquisition unit to acquire the leadership segment of the relevant,
A doctor's device including a display control unit that displays a guidance report acquired by the acquisition unit and a corresponding guidance category on the display screen . The display control unit
The doctor device according to claim 7 , wherein a message related to the instruction content created by the instructor and a message created by the subject of telemedicine are displayed in chronological order. The display control unit
The doctor's device according to claim 8 , wherein the vital data relating to the target person is displayed in association with a message created by the target person. It is a leader device for leaders who provide remote guidance.
The acquisition department that acquires the findings of doctors who perform telemedicine,
From the start to the end of the improvement guidance, between the instructor device and the terminal device of the subject of telemedicine, according to the message related to the instruction content created by the instructor based on the findings information and the instruction content. With a chat unit that can repeatedly exchange messages created by the subject without the permission of the doctor.
Wherein the relevant guidance segment of the plurality of guidance segment allocated in accordance with the spirit of the guidance reporting and the guidance reporting indicating the opinion leaders against the result of the subject improvement activities performed in accordance with the improved guidance A leader device with an output unit that outputs to a doctor's device. On the computer
Obtaining doctor's findings information from the doctor's device of a doctor who performs telemedicine,
The acquired findings information is output to the instructor device of the instructor who provides remote instruction.
From the start to the end of the improvement guidance, between the instructor device and the terminal device of the subject of telemedicine, according to the message related to the instruction content created by the instructor based on the findings information and the instruction content. To provide a chat function that allows the message created by the subject to be exchanged repeatedly without the permission of the doctor.
The guidance report showing the instructor's view on the result of the improvement activity performed by the target person in response to the improvement guidance, and the corresponding guidance category among the plurality of guidance categories assigned according to the summary of the guidance report. Obtained from the device
Output the acquired guidance report and the corresponding guidance category to the doctor's device.
A computer program that executes processing. On the computer
Outputs doctor's findings and
A message related to the guidance content created by the instructor who provides remote guidance based on the finding information and a message created by the subject of telemedicine according to the guidance content can be repeatedly exchanged without the permission of the doctor. Of the guidance report showing the instructor's view on the result of the improvement activity performed by the target person in response to the improvement guidance by the instructor and the plurality of instruction categories assigned according to the summary of the guidance report through chat. Obtain the applicable instruction category and
Display the acquired guidance report and applicable guidance classification on the display screen,
A computer program that executes processing. On the computer
Obtain information on the findings of doctors who perform telemedicine,
A message related to the guidance content created by the instructor based on the above-mentioned findings information from the start to the end of the improvement guidance between the instructor device of the instructor who performs remote guidance and the terminal device of the target person of telemedicine. And the message created by the subject according to the instruction content is repeatedly exchanged without the permission of the doctor.
The doctor sets the corresponding guidance category among the guidance report showing the instructor's view on the result of the improvement activity performed by the subject in response to the improvement guidance and the plurality of guidance categories assigned according to the summary of the guidance report. Output to the doctor's device,
A computer program that executes processing. It is a telemedicine support method using a server.
The server
Obtaining doctor's findings information from the doctor's device of a doctor who performs telemedicine,
The acquired findings information is output to the instructor device of the instructor who performs remote instruction, and
From the start to the end of the improvement guidance, between the instructor device and the terminal device of the subject of telemedicine, according to the message related to the instruction content created by the instructor based on the findings information and the instruction content. To provide a chat function that allows the message created by the subject to be exchanged repeatedly without the permission of the doctor.
Wherein the relevant guidance segment of the plurality of guidance segment allocated in accordance with the spirit of the guidance reporting and the guidance reporting indicating the opinion leaders against the result of the subject improvement activities performed in accordance with the improved guidance Obtained from the leader device,
A telemedicine support method that outputs the acquired guidance report and the corresponding guidance category to the doctor's device.

Images