JP6808160B1 - Drug use and health behavior habituation system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system which enhances the certainty of behavior for drug administration or health, can be operated without using expensive equipment, is simple, inexpensive, has excellent cost-effectiveness, and is expected to improve the penetration rate. SOLUTION: A folding card 1 having a predetermined code readable by a computer terminal is written on the inside and a date is written on the outside, and a drug 2 or a material for health behavior is at least sealed. To give the user a pack 10 containing a transparent bag 3 for encapsulation so that the internal medicine 2 and the like can be seen from the outside and the code cannot be read by a computer terminal, and take the medicine or take action on the corresponding day of the date. When the user who is given the pack 10 uses the medicine 2 or the like, he / she opens the transparent bag 3 for encapsulation, opens the folding card 1, reads the inner code with a computer terminal, and reads the user's habituation system. Disseminate information to related parties such as family members and medical offices. [Selection diagram] Fig. 1

Description

The present invention relates to a drug use and health behavior habituation system, in particular, a simple, inexpensive and cost-effective system that enhances the certainty of drug administration or behavior for health and can be operated without the use of expensive equipment. It is related to a habituation system that has excellent effects, can be used for secondary effects (safety confirmation), etc., and is expected to improve the penetration rate.

Currently, the penetration rate and lifestyle penetration of smartphones are high, and many applications for preventing and improving lifestyle-related diseases are on the market. On the other hand, information sharing between medical institutions and out-of-hospital dispensing pharmacies is not sufficient in terms of drug adherence and lifestyle habits.

So far, for example, WO2018 / 159269 has been added to the surface of the packaging material of a medicine package in a medication support robot for the purpose of surely confirming that the correct user has taken the correct drug. The dimension code, etc. is read by a code reader, the information corresponding to the read code is acquired from the database, and the medicine package taken out from the medicine package holder (or the medicine package held in the medicine package holder) is correct. A medication support device, a medication support system, a medication support method, and a program for confirming whether or not the drug is taken are disclosed (Patent Document 1).

However, with the above technology, even if it is possible to confirm whether or not the drug is the correct drug for the user without making any mistakes from the existence of many users, the subsequent users themselves can be sure to take the drug. It is not possible to confirm whether or not the drug has been taken and whether the drug can be made a habit.

In addition, Non-Patent Document 1 describes that an anti-tuberculosis drug prescribed by a practitioner at home (in the community) must be surely taken for a long period of time even after the tuberculosis patient is discharged from the hospital. Nevertheless, a system to check it has not yet been provided.

The Ministry of Health, Labor and Welfare has also pointed out the problem of residual drug and drug administration adherence for lifestyle-related diseases (patients actively participate in the decision of treatment policy and receive treatment according to the decision), and IoT etc. It is required to overcome with.

As long as you take a drug, you may forget to take the drug. The development of systems to reduce this has been done so far, but the balance between certainty (not 100%) and the system equipment (its complexity and cost) = cost-effective mechanism for improving medication adherence. I can't find it.

Examples of regional DOTS (Observed Treatment, Short-course) and drug clinical trials are given as evidence that has not been found.

(Regional DOTS)
Patients with tuberculosis need anti-tuberculosis drugs for the period of time required for outpatient treatment at general medical institutions to continue treatment after being hospitalized at a tuberculosis specialist medical institution for the cure. You need to be sure to continue taking it. However, the confirmation is still confirmed only by the method of relying on the patient's self-report such as outpatient, visit, telephone contact, etc., depending on the risk of interruption. (See Weekly Nihon Medical News, October 3, 2019 (No. 4982)) (Non-Patent Document 1)

(Clinical drug clinical trial)
One of the reasons for clinical trials of drug clinical trials, in which healthy subjects are administered on a trial basis in Phase 1 to see if adverse events appear or not, is because various tests such as blood sampling are frequent, but the investigational drug is used. The system of staying in a facility with restricted diet, life and movement and loose monitoring during the study period has not changed in the last 20 years to ensure that it is taken reliably. This means that there is no system for reliable medication management based on the administration protocol.

In addition, there is a problem of residual medicine, and patients have various lifestyles and pathological conditions, so a highly versatile system is required. Until now, it was self-reported, so there are still doubts about the effectiveness of the report. For this reason, a system that is useful for clinical trials and can be finally applied to safety confirmation and incentives has been desired.

WO2018 / 159269A Weekly Nippon Medical News, October 3, 2019 (No. 4982) Published by Japan Medical News, Inc. on October 19, 2019.

The present invention provides a simple, inexpensive, cost-effective, and promising system that enhances the certainty of behavior for drug administration or health and can be operated without the use of expensive equipment. The purpose is.

As a result of diligent research to solve the above problems, the present inventor has implemented a drug adherence improvement program using a QR code (registered trademark, the same applies hereinafter) in a lifestyle-related disease improvement application for smartphones, and provides medication guidance at dispensing pharmacies. It was also found that a habituation system for health behavior, including improvement of drug adherence, which is useful for sharing information between medical institutions and pharmacies, can achieve the above-mentioned purpose.

The present invention has been made based on the above findings, and provides the following inventions.
1. 1. (1) A folding card with a two-dimensional bar code that can be read by a smartphone or tablet terminal as a computer terminal on the inside and a date on the outside, and (2) drugs or materials for health behavior. , Is at least sealed, the drug or material inside is visible from the outside, and the two-dimensional bar code cannot be read by the computer terminal. A habituation system for taking medication or acting daily,
When the user given the pack uses the drug or material, the pack is opened, the folding card is opened, and the two-dimensional bar code inside is read by the computer terminal for the user. A text regarding the promotion of medication or behavior is displayed on the screen of the terminal, and after the user confirms the text , a smartphone or tablet as a computer terminal for the user's family, medical office (medical institution), pharmacy or other related parties . to the terminal, drug use and health behavior habits system, wherein the information from the user's name as the pack comprising and opening date after opening the medicament or object member is transmitted.

2 . At least two of the medical office, the pharmacy, and the related parties cooperate to promote drug use or health behavior of the user by sharing the information with the smartphone or tablet terminal for each of the two parties. , The drug use and health behavior habituation system according to claim 1 .

3 . An information processing program for executing the drug use and health behavior habituation system described in 1 above.
For smartphones or tablets as computer terminals for users
By reading the two-dimensional bar code inside the folding card, a step of confirming the name of the corresponding user, the fact that the drug or material was opened from the pack, and information including the opening date and time, and
In response to the confirmation step, and proceeds from the computer over end end for the user to transmittable state the information, the information of the user families, medical office (medical institution), or pharmacies for other parties computer Steps to make a call to a smartphone or tablet terminal as a terminal ,
An information processing program characterized by executing.

According to the present invention, a system that enhances the certainty of behavior for drug administration or health, is simple, inexpensive, cost-effective, and can be operated without using expensive equipment, and is expected to improve the penetration rate. Can be provided.

In addition, the system of the present invention is simple, easy to understand, and even for people who cannot use smartphones, as opposed to those that use only IoT, such as conventional adherence improvement systems, that are multifunctional and self-contained. The behavior can be confirmed by pressing the button three times and scanning with the built-in camera, and information can be shared with the family of the user (patient, etc.) and hospitals (medical offices) such as pharmacies, and it is a participatory type.

In the present invention, it is not possible to confirm that the drug is taken or injected by the person himself / herself after opening the package (currently, there is a method for confirming the drug administration using weak radio waves), but the certainty of administration is improved. It is the first system that can be used for cost-effective methods and secondary effects (safety confirmation).

In addition, according to a preferred embodiment of the present invention, it also has the following effects.
(1) Not only oral medicines such as tablets and capsules, but also dietary supplements to supplement senile malnutrition in the refrigerator and injectable medicines such as insulin were taken, administered, orally taken, or blood glucose measurement and oral administration It is possible if you pack the blood glucose meter and the internal medicine in the same bag and insert the folding card.

(2) It is invalid for those who open the package and discard the medicine, but it is possible to check in real time whether or not the medicine was taken correctly at the required time, and if there is no notification of taking or acting even after the time of taking the medicine. , You can contact me to confirm whether you have taken medication or acted.

(3) It is possible to solve the following problems and limitations of printing 2D barcodes, enclosing and scanning print cards, and bundled systems such as RFID and NFC cards.
If you can see it from the outside, you can scan from the outside and scan without opening and finish. Since injections are not opened, there is no scanning operation, so some people do not hit them and turn them around next time. In the case of RFID and wireless systems, the problem is what to do with the equipment and authentication system that scans to send a signal that the drug bag of the day was taken and taken on the go. In the NFC (Suica (registered trademark) card) system, when scanning with a smartphone, it is difficult to operate because it recognizes that the package is close to the smartphone.

(4) It can be operated at an overwhelmingly low cost compared to other systems.
The penetration rate of smartphones today is remarkable, and it is cheap and simple to operate. Although it is a rough estimate, assuming that it takes 6 months to become a habit, if you have a smartphone and a printer, you can operate it for about 15,000 yen, excluding the operating cost of the system.
Smartphones that can scan 2D barcodes and send e-mails, and users such as patients who can use smartphones themselves, printers that can print 2D barcodes, and sealers for making packages (2,000 to 10,000 yen), As consumables, a packaging film and seal print paper (up to 1000 yen / month) are required.
Operations using hospitals and applications can be operated by printing a printed card and distributing it to patients, assisting in packaging, watching over by e-mail with exemption, and giving advice at outpatient visits.

(5) Rather than a medication support system, it is a system that comprehensively supports not only medication behavior but also habituation, adherence improvement, and health maintenance behavior, and enables visualization of health behavior including medication.
In addition to improving medication adherence, if operated in the workplace, it is possible to fairly trace health behavior (taking dietary supplements and supplements, taking medicine from hospitals, etc.) for each workplace, and Habit tracker (Habit tracker) It can be used for daily checklists), competition based on points between workplaces, and incentives.

It is a schematic diagram which shows the medicine used in the habituation system which concerns on one Embodiment of this invention, and the pack which enclosed the folding card with a bar code inside. It is the schematic which shows the state which opened the pack of FIG. 1, took out the thing inside, and opened the folding card. FIG. 5 is a schematic diagram showing a syringe (or injection) used in the habituation system according to an embodiment of the present invention and a pack in which a folding card with a barcode is enclosed. It is the schematic which shows the state which opened the pack of FIG. 3, took out the inside thing, and opened a folding card. It is a schematic diagram which shows the medication calendar used in the habituation system which concerns on one Embodiment of this invention. It is a schematic enlarged view which shows the part (small case part) of the medication calendar of FIG. 5 enlarged. It is a schematic enlarged view which shows the state which removed the clear small case with a pack attached to the medication calendar of FIG. It is a schematic enlarged view which shows the part (clear pocket part) of the medication calendar of FIG. 5 enlarged. It is schematic explanatory diagram which shows the step of transmitting information using the information processing program for executing the habituation system which concerns on one Embodiment of this invention. It is schematic explanatory diagram which shows the step which receives information using the information processing program for executing the habituation system which concerns on one Embodiment of this invention.

Hereinafter, the present invention will be described in detail based on its preferred embodiment.
As shown in FIG. 1, the system according to the embodiment of the present invention has (1) a predetermined two-dimensional bar code (QR code) that can be read by a smartphone as a computer terminal on the inside, and a date on the outside. The user was given a pack 10 in which the folding card 1 (paper surface) on which the above was written and (2) the drug 2 were sealed in at least a transparent bag 3 for encapsulation, and the corresponding date on the surface of the card 1 was given. It is a habituation system of drug use to make people take the drug.

As the pack 10, a transparent bag 3 for encapsulation such as a transparent plastic plastic bag in which the date on the surface of the drug 2 and the surface of the card 1 can be visually recognized from the outside is used, and the QR code written on the inside of the card 1 can be visually recognized. Instead, it is folded in half so that it cannot be read by a smartphone.

Then, the user who is given the pack 10 in which the folding card 1 and the drug 2 of FIG. 1 are enclosed opens the pack 10 when using the drug 2 (date indicated on the surface of the card 1). Take out the folding card 1 and the drug 2. Then, as shown in FIG. 2, the surface of the QR code inside the folding card 1 taken out together with the drug 2 (powder 11 and the tablet 12 in this embodiment) from the transparent bag 3 for encapsulation of the pack 10 is opened. The user confirms the predetermined contents of the smartphone screen displayed by scanning and reading by holding the QR code over the smartphone. The user takes drug 2 before and after the scan. After that, the user touches the send button or the like on the martphone screen to send predetermined information to his / her family, medical office (medical institution), pharmacy or other related persons (specifically, a specific user packs 10). Information such as the opening date and time of opening the drug 2) is sent by e-mail.

Regarding the e-mail information sent here, the doctor and the patient (user) mainly exchange medication confirmation, but with the consent of the patient himself, (1) whether or not the patient is taking medication Information, (2) the content of the doctor's advice, and either (1) or (2) above can be automatically obtained without any intervention by the pharmacist at the dispensing pharmacy. In short, information can be shared simply by adding the pharmacist's email address to the destination of the patient's and doctor's email addresses, and the destination of the information may be reversed. Information can be provided to other facilities (for example, health center, traffic operation control room, etc.) on the premise that the consent of the patient is obtained. That is, according to the system according to the present embodiment, it is useful for both one-to-one (doctor and patient) single use and the work of a licensed secondary user (pharmacist or person in charge of another facility). ..

In addition to medical offices or pharmacies, information transmission targets include related parties of users, specifically, related parties and institutions authorized by users including public institutions or their families.

In the present embodiment, a two-dimensional bar code is preferably used as the readable code, but the code is not limited thereto.

Further, in the present embodiment, a smartphone is preferably used as the computer terminal, but the present invention is not limited to this, and a tablet terminal or other computer can be appropriately used.

The habituation system according to the present embodiment, in particular, promotes the user's drug use or health behavior by sharing information in cooperation with at least two of the medical office, the pharmacy, and the related parties. Is possible.

Next, how to use and apply the habituation system according to this embodiment will be described. This system is roughly divided into three parts (the following parts 1 to 3). In each part, it is important to pay attention to when, who, what, what, and why.

[Part 1 (Preparation)]
Barcode printing + drug packaging <method>
A paper (bi-fold card type) in which a two-dimensional bar code (QR code, hereinafter simply referred to as "bar code") is printed on the inside of the medicine prescribed by the hospital according to the dosing schedule, and the date and time of taking the drug is written on the table. Package in a transparent bag with paper).
The size of the paper and the size of the package can be changed at any time according to the purpose of use and the items to be packed. For example, it can be a small case for a medicine calendar (see FIGS. 5 to 7) or a size that fits in a wallet.

<Notes>
The following points should be noted when printing barcodes and packaging drugs.
(I) The barcode cannot be seen from the surface of the package.
(II) The date, date, etc. to indicate when to act must be entered in the table on the form.
(III) The printed content of the barcode is original.
(1) The barcode differs depending on the date and time of administration (days from the start of administration, morning, noon, evening, before going to bed).
(2) The content of an e-mail (hereinafter, simply referred to as "e-mail") is sent to a specific address by clicking a predetermined icon, etc., instead of simply guiding to a related website by scanning with a smartphone. It has a function that can be used (priority is given to user convenience).
(3) The content of the e-mail sent when scanning confirms to the user that "this medicine is taken on what day after administration", and habituation = bald words and beans to improve adherence. You can insert wording that encourages you to contact your knowledge and family (it can be changed or deleted depending on the situation).

[Part 2 (Execution)]
Opening → Barcode scanning with smartphone + text confirmation / email transmission <method>
Open the drug package with the same date and time of administration. The barcode printed on the back is scanned by a smartphone equipped with a scanner function (code reader function). Check the text displayed by the specified application on the smartphone, and tap the character to send an email. Then an email is sent.

<Notes>
-Medication and insulin administration may be performed before or after barcode scanning + e-mail transmission, but it is preferable to administer or administer insulin before administration or oral administration in order to adjust the administration time and habits.
・ If you only take the medicine once in the morning or once for dinner, you do not have to take your smartphone out of the house.
The merit is that if you make a pocket for your smartphone on the medicine calendar and set an alarm, you will not skip medication and your habit of taking medication will become established. On the other hand, as a demerit, if you are at home, this is fine, but if you are a wandering person, it is more useful to always carry your smartphone and send out location information.
・ If you have to take the medicine on the go, such as 3 times a day, you can avoid forgetting to take it during the day by carrying a smartphone case and a case to put the medicine.

Originality We can provide the most suitable product for each person according to the situation.
Smartphones and medication calendars Carrying cases are also available on the market and can be used by both those who take the medicine at home and those who take it out.
The reason is that the function of the smartphone is used, but alarms are set in advance or only the minimum necessary actions are required from the person concerned, and complicated actions (character input etc.) are abolished. Although it is simple in itself, it is considered that this balance is good because the displayed contents are different every day so that you will not get bored.

[Part 3 (confirmation)]
Confirmation and Fordback <Method>
The user sends an email. → The organizer confirms. → Perform confirmation processing according to purpose.
Of course, you can send it only to the user's family, but it is important for the medical institution or pharmacy to know whether or not you are taking the medicine and give appropriate advice to the user and his / her family. However, it can be overworked for a single doctor, pharmacist, or healthcare professional to watch because the medication time can be at night or early in the morning. For this reason, use a mailing software or application that allows you to log in only with secure and authorized items and can refer to the history, so that the user and his / her family members can easily see it (calendar format and points are added). It is also possible to make improvements to existing software) and send confirmation emails if necessary.

Confirmation emails include, for example, contacting the user (patient) or a person who has obtained permission from his / her family (preferably in writing) and is not taking medication (including public institutions such as the Health Center Regional Comprehensive Institution), and points are added. , Bald emails, contacting family members when there is something wrong with the user, etc.

Table 1 shows the results of verifying the effect of the habituation system of this embodiment. This verification shows how behavioral habits changed between the two months of intervention and the two months before and after it.

The description in Table 1 has the following meanings.
Circled numbers 1 to 8: Each user of this system (classified by age, gender, daily medication and weekly medication in the lower row of Table 1)
Pre: The result of verifying the medication status of each user for 2 months before applying this system.
(The numbers in the table are the number of times you missed a dose, the same applies below)
Intervention: The result of verifying each user's medication status for 2 months while applying this system.
Post: The result of verifying the medication status of each user after applying this system for 2 months.

As is clear from the results in Table 1 above, by applying the habituation system of the present invention, all users had forgotten to take the drug before the application, but half of the users during the application (intervention column). It can be seen that the above users did not forget to take the medicine, and even the users who missed the medicine during the application were significantly reduced compared to before the application. In addition, after applying this system, there are some users who forget to take the medicine even if they do not use this system, but there are also users who can continue the habit of not forgetting to take the medicine. In particular, the difference is obvious when comparing before and after applying this system.

This system may be terminated when the effect of habituation is observed after continuous use for a certain period of time, but it may be continued when the effect is insufficient or to improve the effect. The user or his / her family can freely choose the period of use of this system or its resumption, and the medical office can assist it.

Another embodiment of the present invention is not the habituation of drug use as in the above-described embodiment, but a habituation system for healthy behavior, and as shown in FIG. 3, (1) a computer inside. A folding card 21 (paper) on which a predetermined two-dimensional bar code (QR code) that can be read by a smartphone as a terminal is written and a date is written on the outside, and (2) a syringe 22 (insulin GLP-1 preparation, etc.) And a pack 20 sealed in at least a transparent bag 23 for encapsulation) to give the user a health action to ensure that the injection is made by a syringe on the relevant day of the date on the surface of the card 21. It is a habituation system.

As the pack 20, an internal syringe 22 and a transparent bag 23 for encapsulation such as a transparent plastic plastic bag in which the date on the surface of the card 21 can be visually recognized are used, and the QR code written on the inside of the card 21 can be visually recognized. Instead, it is folded in half so that it cannot be read by a smartphone.

Then, when the user is given the pack 20 in which the folding card 21 and the syringe 22 of FIG. 3 are enclosed, when using the syringe 22 (date written on the surface of the card 21), the pack 20 is opened from the inside. Take out the folding card 21 and the syringe 22. Then, as shown in FIG. 4, the surface of the QR code inside the folding card 21 taken out together with the syringe 22 from the transparent bag 23 for encapsulation of the pack 20 is opened. The user confirms the predetermined contents of the smartphone screen displayed by scanning and reading by holding the QR code over the smartphone. The user uses the syringe 22 before and after the scan to prepare necessary injections such as insulin and inject the injection. After that, the user touches the send button on the smartphone screen to send predetermined information to his / her family, medical office (medical institution), pharmacy, or other related parties (specifically, a specific user sends the specified information from Pack 20). Information such as the opening date and time of opening the syringe 22) is sent by e-mail.

Next, a drug adherence improvement program using the QR code according to the present invention was implemented in a smartphone lifestyle-related disease improvement application, and it was verified whether it was useful for medication guidance at dispensing pharmacies and information sharing between medical institutions and pharmacies.

The contents of this program were explained and practical skills were given to pharmacists, and a questionnaire evaluation was conducted. The subjects were 13 pharmacists from 5 pharmacies excluding 1 pharmacy who declined in terms of security, and 4 elements that are characteristic of the program were ranked, and their usefulness was analyzed by conjoint analysis.

1. 1. Drug adherence, 2. Data sharing, 3. Lifestyle sharing, 4. The order of access method is the most useful, and this evaluation is not related to the form of establishment of the pharmacy or the years of experience of the pharmacist.

In the self-administered questionnaire results, each pharmacy evaluates a system in which each consenting patient has his / her own data and can select a medical institution or pharmacy that can be referred to at his / her own discretion. On the other hand, we recognized differences in the handling of personal information between facilities.

The system of this embodiment can be applied even if the living area changes without depending on a medical institution or a pharmacy, and is expected to be useful even in the event of a disaster, which is close to the concept of Personal Health Record.
In addition, there are cases in which the health maintenance behavior of individual patients has improved by sharing information data among multiple occupations. The secondary use pharmacy consults with the pharmacy about behavioral habit-inhibiting factors that could not be stated on the primary use hospital side, and the pharmacist feeds back to the doctor to make the patient's treatment content more convenient for the patient. I admitted a case where I could change it to something.

As yet another embodiment of the present invention, a habituation system combined with a medication calendar will be described. It is easy to understand how to combine calendars to make it a habit, and it is possible to avoid forgetting to take medicine and continue easily.

In the present embodiment, for example, as shown in FIG. 5, the medication calendar 30 displaying the day of the week vertically and the week horizontally (a plurality of clear small cases 31 that can be removed every day, and a lower portion), for example, every week. A soft board with two clear pockets 32) or the like is preferably used. This is an example of using other materials with the drug, assuming a weekly injection on Sunday. In this example of the medication calendar 30, as shown in FIG. 6, three clear small cases corresponding to three days' worth of packs 10 (with folding card 1 and medication 2) to be taken from Tuesday to Thursday of the first week, respectively. It is inserted in 31.

When using the medication calendar 30, for example, as shown in FIG. 7, the hook-and-loop fastener attached to the medication calendar 30, for example, Magic Tape (registered trademark), with the drug-containing pack 10 in the clear small case 31. It can be removed from the sticking tape 33 such as Velcro (registered trademark) tape or Velcro (registered trademark), and can be carried around for easy use, and can be kept in a required state in a refrigerator or the like. Then, by applying this system, the pack 10 can be taken out, opened by the user, scanned by the QR code of the card 1, and the administration of the drug 2 can be facilitated. After that, the clear small case 31 can be attached by contacting the clear small case 31 with the adhesive tape 33 at the original position by the adhesive tape 34 on the back surface thereof.

As shown in FIG. 8, when the clear pocket 32 of the medication calendar 30 is used, a slightly larger pack or the like containing a material can be inserted. For example, FIG. 8 shows an example in which the pack 20 (with the folding card 21 and the syringe 22) is inserted into the clear pocket 32. Also in this example, when the system is applied, the pack 20 can be taken out from the clear pocket 32, opened by the user, scanned by the QR code of the card 21, and the syringe 22 can be easily used.

Also, for example, the medicine and the protein drink for weight loss prevention may be packed together and kept in the refrigerator.
However, in the habituation system of the present invention, it is not always necessary to attach the above calendar. This is because, for example, a family member who returns home in the evening and goes to work early in the morning may keep his mother's lunch medicine and protein drink in the refrigerator every day.

The habituation system of the above-described embodiment uses a drug-packed system, but the present invention is not limited to a drug-only pack. For example, for good health, you can put together what you want to do in the morning in a pack.
For example, medicines and injections such as insulin GLP-1 preparations, etc., are important for daily life, although there is a limit to the hygiene and packable size of daily necessities (keys, cash, foods) other than medicines. It is more habitual to bundle and pack expensive items, so a wide range of applications is possible.

The habituation system of the present invention can be applied not only to a system for improving medication adherence but also to a wide variety of purposes. For example, it can be applied to confirmation (monitoring) and habituation for surely taking an anti-tuberculosis drug, and its purpose is not particularly limited.

The merits of the habituation system of the present invention are as described below.
(1) It is said that habits such as taking medicine usually take root in 3 to 6 months, so you can acquire habits by monitoring with this system in the meantime.

(2) If the person concerned can open the medicine or food supplement contained in the pack and turn over the included 2D barcode to scan it, the family, medical institution, pharmacy, etc. will scan it. You can be aware of it when you do.
Therefore, if the opening email cannot be confirmed even at the scheduled opening time, it is known that the patient has not taken the drug, and it is possible to contact the patient to confirm the safety such as survival confirmation. At that time, if the satellite positioning system (GPS) function of the terminal such as a smartphone is turned on, it is possible to know where the person is.
In addition, if the person does not appear on the smartphone when contacting the smartphone, it is highly possible that the person is out without the smartphone, and it can be used for daily safety confirmation.

(3) By replying to the e-mail, it will lead to a sense of security of the person concerned, and by distributing the points to the reply e-mail, it will lead to incentives and motivation of the person.

(4) It can be used as proof that you are definitely taking the medicine or that you are taking action for your health. It also provides evidence, for example, that clinical trials and anti-tuberculosis drugs are being taken exactly as instructed on that day.

Since the habituation system of the present invention is highly applicable and easy to understand, it can be implemented in various electronic devices.

The present invention is also an information processing program for executing the above-mentioned drug use and health behavior habituation system, in which a computer reads the code inside the folding card to obtain the name and medication of the corresponding user. A step of confirming the date of the action and a step of shifting to a state in which information on the name of the user and the date of taking the medication or the action can be transmitted from the terminal of the computer according to the confirmation step, and transmitting the information. And, an information processing program characterized by executing the above can be provided.

The steps when a user transmits information by using the information processing program for executing the habituation system according to the above-described embodiment will be described. As shown in FIG. 9, in the first step, a user who is given a pack containing a folding card, a drug, or the like taps the camera icon of the smartphone. In the second step, scan and read the QR code of the card taken through the camera and tap "Open in Safari". If tapping the second step does not proceed automatically, tap "Click here to compose an email" on the opened screen. After that, in the third step, the content of the email is displayed and tap the "↑" screen. As a result, the user can send information such as medication and confirm the content of the reply mail received from the medical office or the like.

Next, the steps when the medical office receives information using the information processing program will be described. As shown in FIG. 10 (upper figure), in this step, the doctor who received the information mail such as medication sent from the user displays the transmission date and time displayed in chronological order for each target user. If you reply to this target user, you can reply by e-mail. Further, as shown in FIG. 10 (lower figure), the doctor can reflect the information on the calendar and list it, and share the information of the calendar with the target user.

If the user executes the habituation system using the above information processing program on a computer terminal such as a smartphone, the information on the date when the user took the medicine or the date when the user acted for health and the name of the user can be obtained. It will be possible for family members, medical offices (medical institutions), pharmacies, and other users and related parties authorized by their families to receive it by e-mail or the like.

At this time, for example, in the medical office, it becomes possible to reply to the user by e-mail by putting in the calendar the habituation with the user by the e-mail from the specific patient user. In other words, the doctor in charge replaced the user information with a calendar and said to the user, "I saw an email about taking the medicine. I did my best. Next time, the next dose will be on October 0, which is a little more. You can give feedback with the content such as "Let's take it at an early time." The general doctor and pharmacist need to see a large number of users, such as dozens, but it will be possible to easily grasp and confirm the situation of a specific user three days ago and one week ago. Doctors can check the days when users took the drug and get a fair idea of who took the drug and who did not. If security is ensured, it is possible to reply at a place other than the medical office as long as it can be connected to the Internet, so it is possible to respond to emergencies, confirm safety, and distribute the workload. In addition, in a health group or a self-help group (for example, a person with alcohol dependence) in the workplace, by setting a point system or ranking for a plurality of users, it becomes clear at a glance whether or not they are taking medication. For example, are you taking the medicine prescribed by your doctor at your workplace at the right time, or you are taking your blood glucose at the right time by packing a glucose meter measurement test strip, or a bus company in a remote location? It is possible for the operation manager to recognize it if he / she understands it, and there is a possibility that a safer late-night bus operation will be possible. (The applicant is an industrial physician at a bus company and is working on the medication adherence problem for drivers who work irregularly.)

In this way, by utilizing the habituation system of the present invention and the program for executing the habituation system, other users are doing their best even if the user cannot do it alone, and the approach by group dynamism further improves the habituation. it can.

In the past, doctors took it for granted that patients were taking medicine (I thought), but in reality, taking medicine is stressful and painful in daily life for patients, but I can not tell the doctor and I am taking medicine. There was a thing that I didn't (I understand).
Source) 2007 Subsidy for Promotion of Health Business for the Elderly "Survey research on problems in taking medications for the elderly and the effects of pharmacists' home-visit drug management guidance and home care management guidance"
https://www.mhlw.go.jp/file/06-Seisakujouhou-11120000-Iyakushokuhinkyoku/sankou_4.pdf

The reality is that doctors have not yet grasped the whole picture of such a situation (there is no system to grasp it). It is expected that the habituation system of the present invention will allow doctors and the like in medical offices to understand how important it is to take medication and habituate healthy behavior.

Further, the habituation system of the present invention enables the medical office and the pharmacy to share information about the user to feed back the information to each other, and the doctor on the medical office side and the pharmacist on the pharmacy side can cooperate with each other. As described above, the habituation system of the present invention and the program for executing the habituation system can be utilized as a simple and versatile communication tool.

The present invention enhances the certainty of behavior for drug administration or health, is simple, inexpensive and cost-effective, and can be operated without using expensive equipment, and has secondary effects (safety confirmation), etc. It has industrial applicability as a habituation system that can be used and is expected to improve the penetration rate.

10, 20 ... Pack (pack containing medicine or materials for health behavior)
1,21 ... Folding card (bar code written inside)
2 ... Drug 11 ... Powder 12 ... Tablets 3, 23 ... Transparent bag for encapsulation 22 ... Syringe (or injection)
30 ... Medication calendar 31 ... Clear small case 32 ... Clear pocket 33, 34 ... Sticking tape

Claims (3)

(1) A folding card with a two-dimensional bar code that can be read by a smartphone or tablet terminal as a computer terminal on the inside and a date on the outside, and (2) drugs or materials for health behavior. , Is at least sealed, the drug or material inside is visible from the outside, and the two-dimensional bar code cannot be read by the computer terminal. A habituation system for taking medication or acting daily,
When the user given the pack uses the drug or material, the pack is opened, the folding card is opened, and the two-dimensional bar code inside is read by the computer terminal for the user. A text regarding the promotion of medication or behavior is displayed on the screen of the terminal, and after the user confirms the text , a smartphone or tablet as a computer terminal for the user's family, medical office (medical institution), pharmacy or other related parties . to the terminal, drug use and health behavior habits system, wherein the information from the user's name as the pack comprising and opening date after opening the medicament or object member is transmitted. At least two of the medical office, the pharmacy, and the related parties cooperate to promote drug use or health behavior of the user by sharing the information with the smartphone or tablet terminal for each of the two parties. , The drug use and health behavior habituation system according to claim 1 . An information processing program for executing the drug use and health behavior habituation system according to claim 1.
For smartphones or tablets as computer terminals for users
By reading the two-dimensional bar code inside the folding card, a step of confirming the name of the corresponding user, the fact that the drug or material was opened from the pack, and information including the opening date and time, and
In response to the confirmation step, and proceeds from the computer over end end for the user to transmittable state the information, the information of the user families, medical office (medical institution), or pharmacies for other parties computer Steps to make a call to a smartphone or tablet terminal as a terminal ,
An information processing program characterized by executing.