JP7378004B1 - Online medical interview system and patient terminal using pharmacies - Google Patents

Abstract

[Purpose] It is possible to improve patient satisfaction during medical interviews, and to improve the quality of medical interviews by taking advantage of the pharmacist's expertise. It is possible to shorten the patient's waiting time at the pharmacy, avoiding burdens and inefficiencies on the patient's side, giving the pharmacist an opportunity to collect patient information, and eliminating the need for medical interviews that were previously conducted at medical institutions. We provide an online medical interview system that utilizes pharmacies, etc., which can realize a medical task shift where pharmacies conduct and report to medical institutions. [Structure] A patient who has applied for a consultation at a certain medical institution can select one of the multiple pharmacies, pharmacists, etc. displayed on the terminal screen as the person who can take charge of the interview from now on. This is a system that has been developed. [Selection diagram] Figure 1

Description

The present invention relates to an online medical interview system.

Under the revised Pharmacists Act and Pharmaceutical Devices Act, which went into effect in September 2020, pharmacists are required to follow up on medication administration after issuing drugs (to do so, pharmacists must collect information on each patient). It has been made mandatory to make efforts to provide feedback to the prescribing doctors, etc. with the patient information obtained during the upload process, and to promote collaboration. Additionally, on August 1, 2021, a certification system for community-affiliated pharmacies and specialized medical institution-affiliated pharmacies was implemented as pharmacies with specific functions. Regional affiliated pharmacies are required to provide unified and continuous information sharing of medication information with other medical care facilities, not only for outpatient visits, but also for home medical care and admission/discharge. Ta. Meanwhile, the Ministry of Internal Affairs and Communications is collaborating with individual medical and health information managed and accumulated by medical institutions and dispensing pharmacies to improve disease prevention and prevention in order to solve issues such as increasing medical and nursing care costs and uneven distribution of medical resources. We are proceeding with the creation of a medical information sharing network (EHR) for use in By linking with EHR, additional information such as ``prescription information,'' ``interview,'' ``test results,'' and ``disease name'' is also linked. In this way, "pharmaceutical collaboration" efforts are currently underway to allow medical institutions and pharmacies to exchange information with each other and provide better medical care to patients.

Patent No. 5599600

However, currently, as shown in Figure 4, for example, when a patient visits a medical institution, he or she fills in his/her name and address on a medical questionnaire, and then either fills in the answers to each question on the questionnaire by himself/herself, or Questions are asked by the staff, the staff answers verbally, the staff writes them down, and then the staff enters the written information into the electronic medical record. After the treatment, the patient visits a dispensing pharmacy and receives similar questions from the pharmacist.

As such, currently, it is considered that doctors are fine with pharmacists dispensing medicines according to the prescription, and pharmacists are also fine with dispensing medicines as instructed. However, in order for pharmacists to be viewed by patients as someone they can consult with, there is a limit to just handing out medicine. Although pharmacists have six years of university training in pharmaceutical medicine and have a wealth of knowledge, they often work in the dispensing room at pharmacies, so their expertise is not utilized.

As mentioned above, pharmacists are required by the Pharmacists Act to collect patient information for medication guidance and medication follow-up after medication delivery. Therefore, currently, patients not only have to answer questions from their doctors before being examined at medical institutions, but also have to answer questions from pharmacists when they visit dispensing pharmacies after the doctor's examination and prescription. Both medical institutions and dispensing pharmacies have to receive and answer duplicate questions from medical professionals, resulting in a double burden of questions being placed on patients.

Furthermore, in order to reduce the time and effort required to interview patients, medical institutions have traditionally displayed multiple interview questions one after another using a program on the screen of an automatic medical interview device terminal installed in a medical institution's reception/waiting room, etc. Attempts have also been made to acquire the patient's interview result information by having the patient enter answers using button operations, etc., and to reflect this acquired interview result information in electronic medical records, etc., or to display it on the doctor's terminal at the time of consultation. (For example, see Patent Document 1). However, although such attempts may certainly reduce the burden on doctors, they are not interviews conducted by medical professionals, but rather inorganic questions that are automatically displayed one after another by a program. As a result of the stress of having to think and answer one answer after another even though the patient is not feeling well, the quality of the interview deteriorates (in some cases, the quality of subsequent medical treatment based on such interview result information is reduced). In addition, there is a risk that patient satisfaction at the time of the medical interview will decrease significantly.Also, on the patient's side, there is a burden of having to undergo the same interview again at the dispensing pharmacy after treatment at the medical institution. remained the same.

The present invention has been made by focusing on the problems of the conventional technology as described above, and it is possible to greatly improve patient satisfaction during medical interviews, and also to improve the quality of medical interviews by making use of the pharmacist's expertise. It is possible to avoid the burden and inefficiency on the patient's side due to duplicative medical examinations at both the medical institution and the dispensing pharmacy, reduce the patient's waiting time at the pharmacy, and improve the pharmacist's side. It is possible to secure an opportunity to interview patients (i.e., an opportunity to collect patient information for medication guidance and medication follow-up after medication issuance), and furthermore, it is possible to secure an opportunity to interview patients (that is, an opportunity to collect patient information for medication guidance and medication follow-up after medication delivery). ``Pharmaceutical cooperation that involves a medical task shift in which pharmacies conduct medical interviews and report to medical institutions,'' thereby increasing communication and business opportunities for dispensing pharmacies with patients and revitalizing pharmacy business. The purpose is to provide an online medical interview system that utilizes pharmacies, etc.

In order to solve the above-mentioned problems, the online medical interview system using a pharmacy according to the present invention includes, when a patient applies to a medical institution for medical treatment or consultation by a doctor at the medical institution, a consultation application reception section that receives the application; When the medical consultation application reception department receives an application for medical treatment or medical examination from the patient, it informs the patient who made the application that there are multiple pharmacists who belong to multiple pharmacies outside the medical institution and who are currently Only the multiple people who can conduct interviews are presented as "multiple interview staff candidates who can now conduct interviews that will be part of the applied medical treatment or medical examination," and the patient is asked to conduct the multiple interviews. Information presented by the interviewer selection presentation unit that selects one of the interviewer candidates as the “interviewer who will now conduct the interview that will be part of the applied medical treatment or medical examination” and the information presented by the interviewer selection presentation unit. In response to this, when the patient selects "the interviewer who will now conduct the interview that will be part of the applied medical treatment or medical examination," the patient's interview will be conducted online by the selected interviewer. and a medical interview providing unit that allows doctors at the medical institution to perform medical treatment or consultation on patients who have received the online interview following the application for the medical treatment or examination, using the interview results obtained from the online interview. , an interview result recording unit for recording the interview results for medical treatment or consultation by the doctor, and a patient who has applied for medical treatment or examination at a medical institution can, following the application, be sent to a plurality of hospitals outside the medical institution. Select one of the candidates in charge of the interview and ask that person to conduct the medical interview or interview that will be part of the medical examination using the online interview, and the doctor at the medical institution can use the results of the interview. It is characterized in that the medical treatment or medical examination can be carried out, so that the person in charge of interviewing outside the medical institution and the doctor inside the medical institution can cooperate with each other to handle the medical treatment or examination of the patient. be.

Furthermore, in the online medical interview system using a pharmacy according to the present invention, when a patient applies to a medical institution for medical treatment or examination by a doctor of the medical institution, a consultation application reception section that receives the application, and a consultation application reception section are provided. When an application for medical treatment or medical examination is received from the patient, the patient who made the application is requested to inform the patient of the patient who has made the application that the patient has received medical treatment from multiple pharmacies outside the medical institution or from a group that includes multiple pharmacists affiliated with the medical institution. Only the plurality of people who are eligible to conduct interviews from now on are presented as "multiple interview staff candidates who can now conduct interviews that will be part of the applied medical treatment or medical examination", and an interviewer selection presentation unit that allows a person to select one of the plurality of interviewer candidates as the “interviewer who will now conduct the interview that will be a part of the applied medical treatment or medical examination”; When the patient side selects "the interviewer who will now conduct the interview that will be part of the applied medical treatment or consultation" in response to the information presented by the presentation unit, the selected interviewer will be assigned to the patient. A medical interview providing department that allows the medical interview to be conducted through an online medical interview; It is equipped with an interview result recording unit that records the results of the interview for medical treatment or examination by the doctor, so that a patient who has applied for medical treatment or examination at a medical institution can, following the application, return to the medical institution. The doctor at the medical institution selects one of the multiple candidates in charge of interviews outside of the company and asks that person to conduct an interview that will be a part of the medical treatment or examination through the online interview, and the doctor at the medical institution The medical treatment or examination can be performed using the results, and the person in charge of the interview outside the medical institution and the doctor inside the medical institution can collaborate to handle the medical treatment or examination of the patient. This is a characteristic feature.

Further, the patient terminal according to the present invention is a patient terminal installed and operated by a medical institution for use by a patient who visits the medical institution to apply for medical treatment or consultation, and where the patient When you apply for medical treatment or examination by a doctor, the application reception function accepts the application, and when the application for medical treatment or examination from the patient is accepted by the medical institution, based on the information from the server side. , only those pharmacists who belong to multiple pharmacies outside the medical institution and who are available to conduct medical interviews from now on will be able to conduct medical interviews that will become part of the medical treatment or medical examination that was applied for. , multiple interviewer candidates", and the patient is asked to select one of the multiple interviewer candidates as "the person in charge of interviewing who will now conduct the interview that will be part of the applied medical treatment or medical examination." When the patient side selects "the interviewer who will now conduct the interview that will be part of the applied medical treatment or medical examination" in response to the interviewer selection function that allows the patient to select as follows: Equipped with an interview provision function that allows the selected interviewer to conduct an online interview with the patient in cooperation with the server side, so that a patient who has applied for medical treatment or examination at a medical institution can continue to make the application. , select one of a plurality of interview staff candidates outside the medical institution and ask that person to conduct an interview that will be a part of the medical treatment or examination using the online interview, and thereby, the medical institution The present invention is characterized in that the person in charge of the external interview and the doctor inside the medical institution are able to cooperate with each other to treat or examine the patient.

Further, in the online interview system of the present invention, the interviewer selection presentation unit selects the patient from among a plurality of pharmacies or pharmacists based on information regarding the patient including the patient's attributes and the patient's residential area or address. A plurality of pharmacies or pharmacists desirable as interviewers may be selected, and the selected pharmacies or pharmacists may be recommended as multiple interviewer candidates that the patient can select.

Furthermore, the online medical interview system of the present invention transmits at least a part of the patient's vital signs acquired by the medical institution to the pharmacy or the same pharmacist selected by the patient as the person in charge of the medical interview. The device may also include a vital sign transmitter that transmits the vital signs before the vital signs are performed.

In the present invention, a patient who has applied for a consultation at a certain medical institution can be sent to multiple pharmacies (displayed on the terminal screen, etc.) as candidates who can be examined from now on. pharmacies outside the institution) or from a group that includes multiple pharmacists working at each pharmacy (group of candidates in charge of interviews), or multiple pharmacies that have been presented as multiple candidates who can be interviewed from now on. The user can select one of the pharmacists from among the pharmacists as the person in charge of taking the interview from now on, and have the person take the interview online with the selected person. Therefore, according to the present invention, a patient can select one of the pharmacies or their pharmacists from among a plurality of highly specialized pharmacies or their pharmacists based on his or her wishes or judgment, and the patient can receive the interview that he or she has selected. The pharmacy or pharmacist acting as the person in charge will now take an online medical interview, and after the patient has been interviewed by the pharmacist, the patient can proceed to "examination/treatment by a doctor using the results of the medical interview." In addition to greatly improving patient satisfaction at the time of treatment (as well as at the time of consultation/treatment), since a "questionnaire by a pharmacist" is conducted before treatment, drugs can be purchased at the pharmacy of the same pharmacist who interviewed you after treatment. If you choose to pick it up, you can avoid the hassle of having to ask a pharmacist at the pharmacy. In other words, in this case, the person in charge of the interview selected by the patient is a pharmacist with a high level of medical expertise, so the results of the interview conducted by such a pharmacist will be of high quality and can be effectively used in subsequent medical treatment by the doctor. This not only improves the overall quality of medical care, but also allows patients to go to the pharmacy after the doctor's interview and treatment, since the pharmacist has already conducted the interview before the doctor's treatment. It is possible to eliminate the waste of having to receive the same interview from the pharmacist again when requesting dispensing based on a prescription, and the waiting time at the pharmacy can be shortened.

Furthermore, in the present invention, as described above, a pharmacist at a pharmacy conducts an interview with the patient before the doctor examines the patient at the medical institution, and the medical institution can use the information on the results of the interview. We realized a task shift from medical institutions to pharmacies. Therefore, according to the present invention, by seeing the results of such a professional interview by the pharmacist, the doctor can better understand the patient's situation, and the medical treatment by the doctor can be of high quality. Pharmacies are also being asked to become patient-oriented "family pharmacies," and by taking charge of patient interviews, pharmacies are able to collect information on patients' diseases and past medical history, dietary habits and intake of health foods, and whether or not they smoke. This allows pharmacies to collect information from multiple angles and report to doctors, giving pharmacies an opportunity to move away from dispensing-centered operations.

As described above, according to the present invention, by providing the above-mentioned interview person selection presentation section, etc., it is possible to avoid the burden on the patient side and inefficiency that would otherwise be caused by being forced to take two interviews, one from a medical institution and one from a pharmacy. This allows pharmacists to have an opportunity to interview patients (i.e., to collect patient information for medication guidance and medication follow-up after medication delivery), and also to improve communication between dispensing pharmacies and medical institutions. In addition to strengthening cooperation, dispensing pharmacies can increase communication and business opportunities for patients, thereby revitalizing pharmacy business.

Further, in the present invention, the interviewer selection presentation unit selects the interviewee who is about to take the interview based on "information indicating that the interviewer is ready to take the interview now" transmitted from each of the plurality of pharmacies or pharmacists. If the patient is presented with only multiple pharmacies (or multiple pharmacists) who are available to conduct the interview as candidates for the patient to select, the person selected by the patient will be Even if there is, you will almost certainly be able to conduct the interview now (therefore, if the person in charge selected by the patient happened to be away at the time of selection, a video call for the interview, etc.) (It is possible to avoid inconveniences such as things that could not be done immediately).

Further, in the present invention, the interviewer selection presentation unit selects the patient from among a plurality of pharmacies or pharmacists based on information regarding the patient including attributes such as the patient's age and gender and the patient's residential area or address. When selecting multiple pharmacies or pharmacists that are desirable as interviewers and recommending the selected pharmacies or pharmacists as multiple interviewer candidates from which the patient can select, the patient It is possible to avoid inconveniences such as a decrease in patient satisfaction during the interview due to selecting a pharmacist who is not suitable for the patient as the person in charge of the interview.

Furthermore, in the present invention, when all or a part of the patient's vital signs acquired by the medical institution are transmitted to the pharmacy or pharmacist selected by the patient as the person in charge of the interview before the interview, the pharmacy or pharmacist will be able to conduct a more comprehensive interview while also referring to the patient's vital signs.

FIG. 2 is a functional block diagram showing an example of the electrical configuration of the present embodiment. FIG. 2 is a schematic diagram showing the operation and overall flow of the online medical interview system according to the present embodiment. FIG. 2 is a schematic diagram showing an example of the configuration and operation of a patient-side terminal in the online medical interview system according to the present embodiment. FIG. 4 is a schematic diagram showing the flow of medical interviews in a conventional medical institution.

Hereinafter, one embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a functional block diagram showing an example of the electrical configuration of this embodiment, FIG. 2 is a schematic diagram showing the operation and overall flow of the online medical interview system according to this embodiment, and FIG. 3 is an online medical interview system according to this embodiment. FIG. 2 is a schematic diagram showing an example of the configuration and operation of a patient-side terminal in the system.

In Figure 1, reference numeral 1 denotes a patient terminal installed at the reception desk of a medical institution, which includes a card reader that reads information on each patient's ID card such as my number card and consultation ticket, a display that each patient can view, and a display that each patient can view. 2 is a patient terminal (for example, composed of a computer) equipped with operable input buttons, a camera, a microphone, a speaker, etc., and 2 is a management server provided at the medical institution (it may also be provided on the cloud). ), 3a, 3b, 3c... are a plurality of pharmacy side terminals (A pharmacy side terminal, B pharmacy side terminal, C pharmacy side terminal, ...For example, it consists of a personal computer, etc.).

Further, in FIG. 1, 11 is a patient information acquisition unit that acquires patient information such as name, address, age, gender, etc. input from the patient side via the card reader of the patient terminal 1, and 12 is the patient information acquisition unit. Department 11 is a patient database that records acquired patient information, and 13 is a pharmacy database that records information such as names, addresses, and working pharmacists of pharmacies in the area (or nationwide) of the medical institution in question. .

In FIG. 1, reference numeral 15 indicates "( Information on whether or not the pharmacist at the pharmacy is in a state where it is possible to conduct a medical interview from now This is an interview possible status acquisition section that receives and acquires information such as "You are away from your desk so you cannot take an interview now" via the network 4 and the transmitting/receiving section 14 in the management server 2. The inquiry availability status acquisition unit 15 receives, for example, information such as ``Do a medical inquiry now'' transmitted from each of the pharmacy terminals 3a to 3c (including terminals on the pharmacist's side) that have connected to and logged in to the site managed by the management server 2. Information indicating whether or not the pharmacy is in a state where it is possible is received via the transmitting/receiving section 14 and transmitted to the pharmacy selection information generating section 16, which will be described later.

In FIG. 1, reference numeral 16 indicates whether the patient has access to a plurality of pharmacies (or pharmacists) based on information from the patient information acquisition unit 11, the patient database 12, the pharmacy database 13, and the inquiry availability status acquisition unit 15. This is a pharmacy selection information generation unit that generates selection screen information from which a desired interviewer can be selected and sends it to the patient terminal 1. The pharmacy selection information generation unit 16 generates, for example, the patient's address, age, gender, and the department in which the patient will be examined (or is likely to receive treatment) from the patient information acquisition unit 11 and/or the patient database 12, and the pharmacy database. The address of each pharmacy, the field of specialty and gender of each affiliated pharmacist from 13, and whether the pharmacist of each pharmacy is "in a state where it is possible to conduct an interview from now on" from the inquiry availability status acquisition unit 15. Based on the information, the selection screen information suitable for the patient to select the desired interviewer from among multiple pharmacies (or pharmacists) (for example, the name of several pharmacies and the name and image of each pharmacist) Generates screen information (screen information that displays the interviewer candidates side by side and displays input operation buttons, etc. that allow you to select which of them will be the interviewer) and sends that information to the patient terminal 1. and display it on that display.

In FIG. 1, 17 indicates that when the patient inputs on the screen of the patient-side terminal 1 which one of the multiple pharmacies (or pharmacists) to select as the candidate for the interview, This is a selection result acquisition unit that receives and acquires information indicating selection results. Further, 18 instructs the pharmacy selected by the patient or its pharmacist (here, it is assumed that Pharmacy B or its pharmacist is selected) based on the information from the selection result acquisition unit 17 to interview the patient. This is an interview requesting unit that transmits a request text to request (or an inquiry text inquiring whether or not the interview to the patient can be accepted) via the transmitting/receiving unit 14.

Further, in FIG. 1, reference numeral 19 denotes an inquiry acceptance acquisition unit that receives and acquires an acceptance text accepting an inquiry when the inquiry requesting unit 18 sends a request text, for example, from the terminal 3b on the B pharmacy side; The patient's vital signs (data such as body temperature, blood pressure, heart rate/pulse rate, respiratory rate, oxygen concentration, etc.) that have been measured and acquired in advance at the medical institution based on the output from the medical interview acceptance acquisition unit 19, For example, a vital sign transmitter 22 retrieves vital signs from a medical database 21 including electronic medical records and transmits them to the terminal 3b side of the pharmacy B before an interview; This is a video call connection unit that performs a video call connection for an interview between the patient (equipped with a display, a microphone, a video camera, etc.) and the B pharmacy side terminal 3b, which is the person in charge of the interview. Note that the patient's vital signs can be measured and acquired by, for example, automatically acquiring the patient's body temperature data with a thermography camera installed in the patient terminal 1, or by using a blood pressure monitor and a blood pressure monitor installed in the patient terminal 1. This may be performed by acquiring the patient's blood pressure and heart rate data using a heart rate monitor.

After the interview via video call is completed, the pharmacist at Pharmacy B generates interview result information consisting of a questionnaire (mainly text data) and images (still images, videos), etc., based on the interview content during the video call. is created and transmitted from the B pharmacy side terminal 3b to the management server 2 side. On the management server 2 side, the interview result acquisition unit 23 receives and acquires the interview results transmitted from the B pharmacy side terminal 3b, and records them in the electronic medical record of the medical database 21.

Next, the operation and overall flow of the online medical interview system according to this embodiment will be explained with reference to FIG. 2. First, when a patient visits a medical institution and requests a consultation at the reception desk, the medical institution measures the patient's vital signs (for example, using a thermography camera, blood pressure monitor, heart rate monitor, etc. installed on the patient terminal 1) and provides medical care. It is recorded in the database 21 (see FIG. 1) or the like. Then, the patient uses the patient terminal 1 installed at the reception desk, waiting room, or private booth of the medical institution to select the pharmacy (or pharmacist) with which he or she will conduct the interview online from now on. At this time, the patient-side terminal 1 first displays a screen like the one shown in the upper left image of Figure 3 on the display, and informs the patient whether the patient is using the hospital for the first time or is using the hospital for the second or subsequent time. Ask the students to answer whether they are ``persons'' or not.

If the patient's answer to the question on the screen shown in the upper left of FIG. Display the screen shown in the upper right image on the display, and select "Search by area or city" to present multiple candidates for the interview. , ``Search using a map,'' ``Search by phone number,'' ``Search by address,'' etc., to select a method for presenting multiple candidates. If the patient wishes/selects the "Search from near the hospital", the patient terminal 1 receives the patient's wish/selection information for "Search from near the hospital" and the patient information acquisition unit 11. , the patient database 12, the pharmacy database 13, and the information from the inquiry availability status acquisition unit 15, the pharmacy selection information generation unit 16 (see FIG. 1) selects among a plurality of pharmacies (or pharmacists). , select multiple pharmacies (or pharmacists) that can be recommended as candidates to take the interview from now on, display and present them on the display, and ask the patient to select one from among these multiple candidates. Prompt on screen. In addition, the patient terminal 1 will be able to determine if the answer from the patient is to ``search by area or city,'' ``search using a map,'' ``search by phone number,'' or ``search by address.'' In such cases, patients are prompted to enter their region/city, operate a map, enter their phone number, and address on the screen to select the pharmacy (pharmacist) who will be in charge of the interview.

On the other hand, if the patient's answer to the question on the screen shown in the upper left of FIG. A screen prompts the patient to select the pharmacy (pharmacist) who conducted the patient's previous interview as the person in charge of the current interview. However, even in this case, if the patient wishes, the patient-side terminal 1 may allow the patient to make a selection using the same method as in the case where the patient answers "For those using (this hospital) for the first time."

After the patient selects the pharmacy (pharmacist) who will be the interviewer in this way, the management server 2 sends an interview request to the selected pharmacy (pharmacist) (see interview request section 18 in Figure 1). , reception of medical interview acceptance from the pharmacy (pharmacist) (see medical interview acceptance acquisition unit 19 in Figure 1), transmission of patient's vital signs to the pharmacy (pharmacist) (see vital sign transmission unit 20 in Figure 1), etc. After going through the procedures and operations, a video call connection is made between the terminal on the pharmacy (pharmacist) side and the patient terminal 1, and the pharmacist uses, for example, generation AI (image at the bottom right of Figure 2). Reference) Conduct an online medical interview. In addition, when conducting this online interview, if the pharmacy and hospital in question have introduced an online qualification confirmation system (a system that allows qualification information to be confirmed online using the IC chip of the My Number card or the symbol number of the health insurance card, etc.). The pharmacy (or pharmacist) can also view drug information such as the patient's medication history and specific medical examination information before interviewing the patient.

After the online interview is completed, the pharmacy (or pharmacist) will provide information on the interview results including the questionnaire (e.g. patient's vital values, allergy history obtained from the patient, history of side effects due to medication, changes in physical condition, medication confirmation, symptom confirmation) , including information on drinking and smoking habits, etc.) using generation AI (see the image at the bottom right of Figure 2) and sending it to the management server 2, and the management server 2 side, The medical interview result acquisition unit 23 (see FIG. 1) receives and acquires this, and records it in the electronic medical record in the medical database 21.

The patient terminal 1 (installed at the reception desk, waiting room, private booth, etc. of the medical institution) is also equipped with a printer, so that the patient can visit the pharmacy ( Alternatively, the patient can print out the questionnaire data sent by the pharmacist) to the management server 2 and bring it with him to the doctor's appointment.

As explained above, in this embodiment, a patient who has applied for a consultation at a certain medical institution is displayed and presented on the screen of the patient terminal 1 as multiple candidates who can now take charge of the interview. Select one of the pharmacies or pharmacists from the group containing multiple pharmacies or pharmacists (group of candidates in charge of medical interview) as the person in charge of the interview from now on, and share the information with the selected person in charge of the interview. You can take an online medical interview from . Therefore, according to the present embodiment, a patient selects one of the pharmacies or its pharmacists from among a plurality of pharmacies or pharmacists with high medical specialization based on his/her wishes or judgment, and Have the pharmacy or pharmacist in charge of the interview take the online interview now (instead of at a future scheduled date and time), and after the pharmacist takes the interview, the patient can continue to receive the following information: This can greatly improve patient satisfaction at the time of interview (and examination/treatment), and since the pharmacist will conduct an interview before the consultation, the pharmacist can proceed to the interview after the consultation. If you pick up your medication at the same pharmacist's pharmacy that gave you the medication, you can avoid the hassle of having to be examined by a pharmacist at the pharmacy. In other words, in this case, the person in charge of the interview selected by the patient is a pharmacist with a high level of medical expertise, so the results of the interview conducted by such a pharmacist will be of high quality and can be effectively used in subsequent medical treatment by the doctor. This not only improves the overall quality of medical care, but also allows patients to go to the pharmacy after the doctor's interview and treatment, since the pharmacist has already conducted the interview before the doctor's treatment. It is possible to eliminate the waste of having to receive the same interview from the pharmacist again when requesting dispensing based on a prescription, and the waiting time at the pharmacy can be shortened.

In addition, in this embodiment, as described above, the pharmacist at the pharmacy conducts an interview with the patient before the doctor examines the patient at the medical institution, and the results of the interview are sent to the medical institution so that they can be incorporated into the electronic medical record, etc. I have to. This will result in a task shift from medical institutions to pharmacies regarding patient interviews, which will not only shorten patient waiting times at medical institutions, but also improve By looking at the results of the interview, doctors can better understand the patient's situation, allowing them to devote sufficient time to medical treatment. As pharmacies are being asked to become patient-oriented "family pharmacies," they are collecting information from multiple angles, including patients' diseases and past medical history, dietary habits and intake of health foods, and whether or not they smoke. Reports can be made, patients can visit medical institutions with peace of mind by consulting with a pharmacist, and pharmacies are also able to move away from dispensing-centered operations. In this way, according to the present embodiment, the screen for selecting a person in charge of interviewing is displayed on the patient terminal 1, and the patient selects a pharmacy (pharmacist) to conduct the interview. This not only improves the quality of patient interviews, but also avoids the burden and inefficiency on patients who have to conduct almost duplicate interviews at both medical institutions and dispensing pharmacies. In addition to strengthening the collaboration between dispensing pharmacies and medical institutions, it also provides opportunities for dispensing pharmacies to communicate with patients and business opportunities. It is possible to increase the amount of money and revitalize the business of pharmacies.

Further, in the present embodiment, the pharmacy selection information generation unit 16 generates information based on the information sent from each pharmacy (pharmacist) indicating that the patient is ready for the medical interview. The patient can select only "Multiple pharmacies (pharmacists) who can conduct medical interviews" as interview staff candidates, and display the selected interview staff candidates on the patient terminal 1's interview staff selection screen. Since this is displayed, it is almost certain that the interviewer will be able to start the interview from now on, regardless of the interviewer selected by the patient. This can avoid inconveniences such as being unable to immediately make a video call for an interview because the patient was away at the time.)

Further, in this embodiment, the pharmacy selection information generation unit 16 generates information about the patient, such as the patient's attributes such as age and gender, and the patient's residential area or address, based on The patient can select "multiple pharmacies (pharmacists) that match It is possible to effectively avoid a situation where patient satisfaction at the time of interview is reduced due to selecting a pharmacist who is not suitable for the patient.

Furthermore, in this embodiment, all or part of the patient's vital signs measured or acquired by the medical institution are sent to the pharmacy or pharmacist selected by the patient as the person in charge of the interview before the interview. , the pharmacist will be able to conduct a more comprehensive interview while also referring to the patient's vital signs.

Although the present embodiment has been described above, the present invention is not limited to this and various changes can be made. For example, in the embodiment, the patient-side terminal 1 is a terminal installed in a reception/waiting room or a private booth in a medical institution, but in the present invention, the patient-side terminal 1 is, for example, a smartphone or tablet carried by a patient. , a personal computer in the patient's home, etc., which transmits and receives information to and from the management server 2 via a network 4 such as the Internet. Further, the management server 2 may also be provided on the cloud of the network 4. Further, in the embodiment, the pharmacy selection information generation unit 16 receives and obtains “information indicating that the patient is in a state where the medical examination can be performed now” from each pharmacy (pharmacist). Based on the information from (see Figure 1), only "multiple pharmacies (pharmacists) that can be interviewed now" are sent to the patient terminal 1 as candidates for interviewing that the patient can select. However, in the present invention, for example, only "a plurality of pharmacies (pharmacists) who can conduct medical interviews from now on" can log into the site operated by the management server 2. If the rules are set in advance, all pharmacies or pharmacists (that is, pharmacies or pharmacists who are logged in to the site) that the medical interview requesting section 18 (see Figure 1) can request for online medical interviews will be able to Since the ability to conduct an interview = multiple pharmacies (pharmacists) who are logged in, the pharmacy selection information generating section can 16, the patient-side terminal 1 selects only "multiple pharmacies (pharmacists) that can be interviewed from now on" selected from the logged-in pharmacies or pharmacists as candidates for the interview that the patient can select. The data can be sent to the patient and displayed and presented to the patient. Further, in the embodiment, the patient-side terminal 1 selects only a plurality of pharmacies (or pharmacists) that can be interviewed from now on based on the screen information from the pharmacy selection information generation unit 16 (here, the patient-side terminal 1 Only the plurality of pharmacies that have sent the "information indicating that they are in a state where they can now conduct an interview" received by the status acquisition unit 15 are displayed on the screen on the patient's side as interview staff candidates that the patient can select. However, in the present invention, on the screen of the patient-side terminal 1, a plurality of interview candidates are displayed on the screen of the patient-side terminal 1, regardless of whether they are "in a state where they can conduct the interview now" or not. Display the pharmacies (or pharmacists), and then display multiple pharmacies (or pharmacists) that have sent the above-mentioned "information indicating that they are ready to conduct a medical interview". Some kind of mark may be displayed on the screen so that only the patient (or the pharmacist) can see that the patient is in a state where he or she can take an interview.

Furthermore, in the embodiment described above, the online medical interview is performed using a video call using the video call connection unit 22 (see FIG. 1), but in the present invention, the online medical interview may be performed using only audio. Furthermore, in the embodiment, a plurality of interviewer selection screens (information on the screen generated by the pharmacy selection information generation unit 16 in FIG. 1) displayed on the patient terminal 1 for the patient to select an interviewer are provided. Although the screen that displays a pharmacy (or a plurality of pharmacists) as interviewer candidates has been exemplified, the "screen displayed on the patient terminal 1 for the patient to select an interviewer" according to the present invention includes, for example, For example, a screen where multiple pharmacies (or multiple pharmacists) and one or more trainees or medical students are candidates for the interview, etc. may also be displayed on the screen as part of the candidates in charge of interview. Furthermore, in the embodiment described above, the patient's vital signs are transmitted from the medical institution to the pharmacy (or pharmacist) before the online medical interview by the pharmacy (pharmacist) (see vital sign transmitter 20 in FIG. 1). In the invention, such transmission may be omitted.

1 Patient terminal 2 Management server 3a, 3b, 3c Pharmacy side terminal 4 Network 11 Patient information acquisition unit 12 Patient database 13 Pharmacy database 14 Transmission/reception unit 15 Interview availability status acquisition unit 16 Pharmacy selection information generation unit 17 Selection result acquisition unit 18 Interview Request unit 19 Medical interview acceptance acquisition unit 20 Vital sign transmission unit 21 Medical database 22 Video call connection unit 23 Medical interview result acquisition unit

Claims (5)

When a patient applies to a medical institution for medical treatment or examination by a doctor at the medical institution, a consultation application reception department that accepts the application;
When the medical consultation application reception department receives an application for medical treatment or medical examination from the patient, it informs the patient who made the application that there are multiple pharmacists who belong to multiple pharmacies outside the medical institution and who are currently Only the multiple people who can conduct interviews are presented as "multiple interview staff candidates who can now conduct interviews that will be part of the applied medical treatment or medical examination," and the patient is asked to conduct the multiple interviews. an interviewer selection presentation unit that allows one of the candidates to be selected as the "interviewer who will now conduct the interview that will be a part of the applied medical treatment or medical examination";
When the patient side selects "the interviewer who will now conduct the interview that will be part of the applied medical treatment or medical examination" in response to the information presented by the interviewer selection presentation section, the selected interviewer an interview providing department that causes a person to interview the patient via online interview;
Following the application for medical treatment or consultation, the doctor at the medical institution can use the interview results obtained from the online interview to perform medical treatment or examination for the patient who has received the online interview. an interview result recording unit for recording medical treatment or examination by;
Following the application, a patient who has applied for medical treatment or examination at a medical institution, selects one of the multiple interview staff candidates outside the medical institution and has that person attend the said medical treatment or examination. The medical interview will be conducted through the online interview, and the doctor at the medical institution will be able to use the results of the interview to conduct the medical treatment or examination. An online inquiry system utilizing a pharmacy, characterized in that a doctor within a medical institution is able to cooperate with the patient to provide treatment or consultation for the patient. When a patient applies to a medical institution for medical treatment or examination by a doctor at the medical institution, a consultation application reception department that accepts the application;
When the medical consultation application reception department receives an application for medical treatment or medical examination from the patient, the patient who made the application is notified of multiple pharmacies outside the medical institution or a group including multiple pharmacists belonging thereto. Only the plurality of people included in the list who can be interviewed now are "candidates in charge of interviewing who can now conduct interviews that will be part of the medical treatment or medical examination that was applied for." an interviewer selection presentation unit that allows the patient to select one of the plurality of interviewer candidates as the "interviewer who will now conduct the interview that will be a part of the applied medical treatment or medical examination"; and,
When the patient side selects "the interviewer who will now conduct the interview that will be part of the applied medical treatment or medical examination" in response to the information presented by the interviewer selection presentation section, the selected interviewer an interview providing department that causes a person to interview the patient via online interview;
Following the application for the medical treatment or examination, the doctor at the medical institution can use the interview results obtained through the online interview to perform medical treatment or examination for the patient who has received the online interview. an interview result recording unit for recording medical treatment or examination by;
Following the application, a patient who has applied for medical treatment or examination at a medical institution, selects one of the multiple interview staff candidates outside the medical institution and has that person attend the said medical treatment or examination. The medical interview will be conducted through the online interview, and the doctor at the medical institution will be able to use the results of the interview to conduct the medical treatment or examination. An online inquiry system utilizing a pharmacy, characterized in that a doctor within a medical institution is able to cooperate with the patient to provide treatment or consultation for the patient. A patient terminal installed and operated by a medical institution for use by patients who visit the medical institution to apply for medical treatment or consultation,
A consultation application reception function that accepts an application when a patient applies for medical treatment or examination by a doctor at a medical institution;
When the medical institution accepts an application for medical treatment or consultation from the patient, based on information from the server side, it is determined that there are multiple pharmacists who belong to multiple pharmacies outside the medical institution and who are currently Only the multiple people who can conduct the interviews are presented as "multiple interview staff candidates who can now conduct the interviews that will be part of the applied medical treatment or medical examination", and the patient side is presented with the multiple interview staff candidates An interviewer selection function that allows one of the candidates to be selected as the "interviewer who will now conduct the interview that will be part of the applied medical treatment or medical examination";
When the patient side selects "the interviewer who will now conduct the interview that will be part of the applied medical treatment or consultation" in response to the interviewer selection function, in cooperation with the server side, the patient selects the an interview providing function that allows the person in charge of interviewing the patient to conduct an online interview with the patient;
Following the application, a patient who has applied for medical treatment or examination at a medical institution, selects one of the multiple interview staff candidates outside the medical institution and has that person attend the said medical treatment or examination. In this way, the person in charge of the interview outside the medical institution and the doctor inside the medical institution can cooperate with each other to treat or examine the patient. A patient terminal installed and operated within a medical institution, characterized by: The interviewing person selection presentation unit selects a plurality of pharmacies or pharmacists that are desirable as the interviewing person for the patient from among a plurality of pharmacies or pharmacists based on patient information including the patient's attributes and the patient's residential area or place of address. The online medical interview using a pharmacy according to claim 1 or 2, wherein the patient selects a plurality of pharmacies or pharmacists, and recommends the selected pharmacies or pharmacists as a plurality of interviewer candidates that the patient can select. system. a vital sign transmitter that transmits at least a part of the patient's vital signs acquired by the medical institution to a pharmacy selected by the patient as an interviewer or to the same pharmacist before the online interview is conducted; An online medical interview system utilizing a pharmacy according to claim 1 or 2, comprising:

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