JP7448902B2 - Medical examination management system - Google Patents

Description

TECHNICAL FIELD The present invention relates to a medical examination management system used during a complete medical checkup, health examination, etc. in which a patient undergoes a plurality of medical examination items.

In a complete medical checkup or health checkup, it is common for a patient to undergo a plurality of examination items. Moreover, there may be multiple types of courses available for complete medical checkups and health checkups, and the examination items may vary depending on each patient, depending on the patient's wishes or the requests of the organization to which he or she belongs.

In this way, in a complete medical checkup or health checkup, multiple examinees undergo multiple examination items, so the employees of the medical examination facility that conducts the complete medical checkup, etc., ask each examinee for the next examination item. It is being carried out to provide guidance. This type of conventional guidance by employees takes time to grasp the situation in the next department and cannot make accurate judgments instantly, resulting in patients concentrating on one department and waiting for a long time. An inefficient situation has arisen where they are forced to do so.

Therefore, Patent Document 1 discloses a medical checkup management system that includes a plurality of examination equipment for different examination items and a control computer that manages the waiting order of a plurality of examinees for each examination item and allocates the examinees sequentially. A portable RFID for the examinee that can be sent and received from the system side and in which the unique ID of the examinee is registered, and an RFID reader that reads the start and end information of the examination from the RFID attached to each of the examination equipment. and a communication means for transmitting facility use instruction information from the control computer to the patient's portable RFID via an antenna, and the control computer transmits the start information and end information via the RFID reader. A medical checkup management system is disclosed, which is characterized in that, upon receiving information, it calculates the optimal order of use of each examination equipment and transmits consultation instruction information to the corresponding user's portable RFID.

Further, Patent Document 2 discloses a first function of transmitting and receiving data to and from another device through a first communication device that performs short-range wireless communication, and a second function that transmits and receives data to and from another device through a second communication device that performs wireless communication different from the short-range wireless communication. A health checkup guidance system comprising: an information server having a second function of transmitting and receiving data to and from the device; and a display terminal that transmits and receives data to and from the information server through the short-range wireless communication or the wireless communication. , the information server includes a receiving means for receiving identification information unique to the patient from the patient's medical card using the first function, and information on the patient including the examination subject to be examined by the patient in association with the identification information of the patient. a storage means for storing information; a writing means for writing the identification information on the display terminal used by the patient using the first function; and a writing means for writing the identification information on the display terminal used by the patient; and a first transmitting means for transmitting the patient information corresponding to the information by the second function, and the display terminal transmits the patient information corresponding to the patient information based on the patient information transmitted by the first transmitting means. Disclosed is a health checkup guide system having a display means for displaying guide information that guides a person to a subject to be examined.

Patent Document 1 uses items such as the start and end information of a medical examination, the standard processing time for test items, and the number of queues to efficiently manage the waiting order of a large number of people, thereby reducing the waiting time of patients. However, Patent Document 1 does not take into account the travel distance between each medical department or the travel speed (walking speed) of each patient, and therefore does not allow for precise management.

Patent Document 2 acquires the expected waiting time from the number of people waiting and the average consultation time, and also displays guidance information that guides the patient to the department in which the patient will be examined, so although it is more friendly to the patient, it is still Since it does not take into account the travel distance between each clinical department or the travel speed of each patient, it is not sufficient for precise management.

Japanese Patent Application Publication No. 2006-302006

Patent No. 6377466

In view of the above-mentioned circumstances, the present invention has been developed to efficiently and precisely treat patients in order to reduce waiting time of patients in medical checkups, health checkups, etc. in which patients undergo a plurality of examination items. The purpose is to provide a medical examination management system that can guide you to the department for the next examination item, and to improve the work efficiency of medical examination facilities such as hospitals that conduct comprehensive medical examinations and health examinations, and the work efficiency of their employees. .

A first aspect of the present invention is a medical examination management system in which a reception terminal, a clinical department terminal, a server, and a patient terminal are connected to each other so as to be able to communicate with each other, and the reception terminal controls the movement speed of the patient and The clinical department terminal includes a reception information receiving means for receiving reception information including examination items of a patient, and a reception sending means for transmitting the reception information to the server, and the clinical department terminal receives the medical examination registration information of the patient in the medical department and the start of the medical examination. a clinical department information receiving means for receiving clinical department information including information and examination completion information; and a clinical department transmitting means for transmitting the clinical department information to the server, the server receiving the reception information and the clinical department information. a management information storage means for storing inter-department route distances, which are the distances between the reception desk and each clinical department and between each clinical department; a waiting number calculation means for calculating the number of people waiting; an average time calculation means for calculating the average examination time for each clinical department from the examination start information and the examination end information; a travel time calculation means for calculating the travel time to each clinical department; a determination means for determining the next medical department to be visited from the average examination time, the number of people waiting, and the travel time; management information transmitting means for transmitting next medical department information including the name of the next medical department to be visited to the patient terminal, the patient terminal having patient receiving means for receiving the next medical department information , further comprising patient display means for displaying the next medical department information.

A second aspect of the present invention is a medical examination management system in which a reception terminal, a clinical department terminal, a server, and a patient terminal are connected to each other so as to be able to communicate with each other, and the reception terminal controls the movement speed of the patient and The clinical department terminal includes a reception information receiving means for receiving reception information including examination items of a patient, and a reception sending means for transmitting the reception information to the server, and the clinical department terminal receives the medical examination registration information of the patient in the medical department and the start of the medical examination. A clinical department information receiving means for receiving clinical department information including information, checkup completion information, and number of people waiting, and a clinical department transmitting means for transmitting the clinical department information to the server, and the server receives the reception information and the clinical department information. management information receiving means for receiving information; management information storage means for storing inter-department route distances, which are the distances between the reception desk and each clinical department and between each clinical department; an average time calculation means for calculating the average time required for a medical examination for each department; a travel time calculation means for calculating a travel time for each examinee to each clinical department from the inter-department route distance and the travel speed; and the average time required for a medical examination. and a determining means for determining the next medical department to be visited from the number of people waiting and the travel time, and next medical department information including the name of the next medical department determined by the determining means to the patient terminal. The patient terminal is characterized by comprising a management information transmitting means for transmitting the information, and a patient receiving means for receiving the next medical department information, and a patient displaying means for displaying the next medical department information.

A third aspect of the present invention is characterized in that the reception information includes medical examination order constraint information.

A fourth aspect of the present invention is characterized in that the reception information includes walking status information including whether or not the patient can use stairs, whether or not he or she uses a cane or wheelchair, and whether or not an assistant is required.

A fifth aspect of the present invention is characterized in that the travel time calculation means refers to the walking state information and corrects and calculates the travel time.

A sixth aspect of the present invention is characterized in that the management information storage means stores information on the reception and inter-department routes between each clinical department and between each clinical department.

A seventh aspect of the present invention is that the patient terminal includes a location information acquisition unit that acquires current location information of the patient, and a patient transmission device that transmits the current location information to the server, and the management information The receiving unit receives the current location information, and the server includes a clock unit that obtains the current time, and a route that is a distance between the current location and each clinical department based on the current location information and the inter-department route information. A route intermediate distance acquisition means is provided for acquiring an intermediate distance, and when the patient does not move from the current position for a predetermined period of time, the travel time calculation means calculates a correction for each clinical department from the route intermediate distance and the moving speed. It is characterized in that the travel time is calculated, and the determination means determines the department to be visited next from the average examination time, the number of people waiting, and the corrected travel time.

In an eighth aspect of the present invention, the management information storage means stores layout information of a medical examination facility, and the determination means stores the average examination time required, the number of people waiting, the travel time, and the department to each medical department. The management information transmitting means determines the crowd-avoiding inter-department route and the crowd-avoiding medical department based on the total number of people waiting in other clinical departments located along the inter-department route, and the management information transmitting means determines the crowd-avoiding inter-department route determined by the determining means. Crowd avoidance information including inter-department route information, the name of the crowd avoidance medical department, and the layout information is transmitted to the patient terminal, and the patient receiving means receives the crowd avoidance information and displays the patient display. The means is characterized in that the layout information displays the name of the crowd avoidance medical department and the route between the crowd avoidance departments.

A ninth aspect of the present invention is that the determining means calculates, in addition to the average examination time required, the number of people waiting, and the travel time used in determining the next medical department, Determine the next medical department you should visit based on the average time required for a medical examination in the desired medical department, the average time required for a medical examination for each medical department excluding those in which the medical examination has already been completed, the number of people waiting, and the travel time. It is characterized by

According to the first aspect of the present invention, there is provided a waiting number calculating means for calculating the waiting number of people in each clinical department, an average time calculating means for calculating the average examination time required for each clinical department, and a moving time to each clinical department. Since we have provided a travel time calculation means to calculate the travel time and a determination means to determine the next medical department, we can efficiently and precisely provide information to patients so as to reduce their waiting time. It becomes possible to guide you to the medical department for the next examination item. Furthermore, since the medical department terminal receives the examination registration information, examination start information, and examination completion information of the examination recipient, the latest examination status of each examination patient can be grasped at the examination facility.

According to the second aspect of the present invention, there is provided a medical department information receiving means for receiving the number of people waiting in a medical department, an average time calculating means for calculating the average examination time required for each medical department, and a means for calculating the average time required for a medical examination for each medical department, and a means for calculating the average time required for a medical examination for each medical department. Since we have provided a means for calculating travel time and a determining means for determining the next medical department, we can efficiently and precisely inform patients about their next visit in order to reduce their waiting time. It will be possible to guide you to the medical department for the following examination items. Furthermore, since the medical department terminal receives the examination registration information, examination start information, and examination completion information of the examination patient, the latest examination status of each examination patient can be grasped at the examination facility.

According to the third aspect of the present invention, since the reception information includes the screening order constraint information, there are screening items that have restrictions such that the screening can only be performed after other specific screening items. Even if there are such items, it is possible to guide the patient to the department that will perform the next examination item in an appropriate order.

According to the fourth aspect of the present invention, the reception information includes walking state information including whether or not the patient can use stairs, whether or not the patient uses a cane or wheelchair, and whether or not an assistant is required. This makes it possible to guide the patient to a medical department that will appropriately perform the following examination items.

According to the fifth aspect of the present invention, the travel time calculation means refers to the walking state information and calculates the travel time by correcting it, so that the travel time can be calculated more accurately according to the patient's walking state. Therefore, it becomes possible to more efficiently and accurately guide the medical department that will carry out the next examination item.

According to the sixth aspect of the present invention, since the management information storage means stores the information on the route between the reception and each clinical department and between each clinical department, the medical department in which the next examination item is to be performed. When guiding the patient, it becomes possible to guide the patient to a more appropriate route.

According to the seventh aspect of the present invention, if the patient does not move from the current location for a predetermined period of time, the travel time calculation means calculates the corrected travel time of the patient to each medical department from the intermediate route distance and travel speed. However, since the determination means determines which department the patient should visit next based on the average examination time, number of people waiting, and corrected travel time, for example, if the patient takes a break on the way to the next department. When the patient goes to the toilet or goes to the bathroom, the system re-determines which department the patient should visit next and guides the patient, making it possible to provide more efficient and precise guidance on the next examination item.

According to the eighth aspect of the present invention, the management information storage means stores the layout information, and the determination means determines the average examination time, the number of people waiting, and the total value of the number of people waiting in the clinical departments located along the inter-department route. The crowd avoidance medical department and crowd avoidance inter-department route are determined from the time, and the patient display means displays layout information showing the crowd avoidance medical department name and crowd avoidance inter-department route. During periods when infectious diseases, etc. are prevalent, the next treatment to be visited is determined by considering the congestion status of the route to each department (i.e., the total number of people waiting in the departments located along the route between departments). By guiding the patient along with the layout of the department as a crowd-avoiding department, it becomes possible to guide the patient along an efficient and relatively safe route.

According to the ninth aspect of the present invention, the determination means includes, in addition to the average required time for a medical examination, the number of people waiting, and the travel time, the average required time for a medical examination in the next medical department and the medical department in which the medical examination has already been completed. It becomes possible to determine which department to visit next based on the average examination time, number of people waiting, and travel time for each department except for .

1 is a schematic diagram showing an example of the configuration of a medical examination management system of the present invention. It is a figure showing an example of reception information of the present invention. It is a figure showing an example of examination items of the present invention. It is a figure showing an example of clinical department information of the present invention. FIG. 3 is a diagram showing an example of information stored in a management information storage unit of the present invention. It is a flowchart which shows an example of the process of medical examination management in the basic aspect of this invention.

Hereinafter, embodiments for carrying out the present invention will be described with reference to the drawings.

FIG. 1 shows an example of the configuration of a medical examination management system according to the present invention. As shown in FIG. 1, in the medical examination management system of the present invention, a patient terminal 110, a clinical department terminal 120, a reception terminal 130, and a server 140 are connected so as to be able to communicate with each other. Therefore, for example, the medical department terminal 120 and the reception terminal 130 can be configured to be able to refer to information stored in the management information storage section 149 of the server 140.

The reception terminal 130 is, for example, a computer, and includes a memory composed of a CPU (Central Processing Unit), a RAM (Random Access Memory), etc., a storage device composed of an HDD (Hard Disk Drive), etc., a keyboard and a touch panel. It is equipped with an input device consisting of devices such as devices, and an output device consisting of a display, printer, etc.

The reception terminal 130 includes a reception information reception section 131 and a reception transmission section 132.

As shown in FIGS. 2 and 3, the reception information reception unit 131 receives and stores reception information including the movement speed of each patient and examination items of each patient. The examination items can be stored as in the examination course correspondence table shown in FIG. The reception information can include the examination date, examinee ID, examinee's name, examinee terminal ID, scheduled start time of examination, examination course, medical department ID, name of medical department, etc. As shown in FIG. 3, the reception information can preferably include examination order constraint information. In FIG. 3, visual acuity test DDD is set as an examination order constraint for fundus examination HHH, which is an examination item. This means that fundus examination can only be performed after the visual acuity test has been completed. In addition, the reception information preferably includes whether or not the patient can use stairs, that is, whether or not the patient can use the stairs in the examination facility, and whether or not the patient uses a cane or wheelchair, that is, whether or not the patient uses a cane or wheelchair when walking. Walking status information such as whether or not a wheelchair is required and whether or not an assistant is required, that is, whether or not an assistant is required for walking can be included.

The movement speed is measured in advance by having the examinee walk a predetermined distance with a device equipped with a GPS reception function, a clock function, etc. If the patient terminal 110 has these functions, it is possible and desirable to measure the moving speed by the patient terminal 110.

The reception information receiving unit 131 can receive the above-mentioned reception information by inputting it from the input device of the reception terminal 130, for example. Further, the reception information receiving unit 131 can also receive part or all of the reception information by transmitting and receiving it to and from the patient terminal 110.

The reception transmitter 132 transmits the above-mentioned reception information to the server 140.

The clinical department terminal 120 is, for example, a computer, and includes a memory including a CPU (Central Processing Unit) and a RAM (Random Access Memory), a storage device including an HDD (Hard Disk Drive), a keyboard, and the like. It is equipped with an input device such as a touch panel, and an output device such as a display or printer. Although only one clinical department terminal 120 is shown in FIG. 1, a plurality of clinical department terminals 120 are usually present because one can be provided for each medical department that performs examination items. Further, the number of the medical department terminal 120 is not limited to one for each medical department, but it is also possible to provide a plurality of medical department terminals 120 in one medical department.

The medical department terminal 120 includes a medical department information receiving section 121 and a medical department transmitting section 122. The medical department terminal 120 is operated by a receptionist, nurse, doctor, etc. of each medical department.

As shown in FIG. 4, the medical department information reception unit 121 receives medical department information including medical examination registration information, medical examination start information, and medical examination end information of patients in each medical department. The medical department information can further include a medical department ID, date of consultation, patient ID, patient name, and patient terminal ID. Although not shown in FIG. 4, the medical department information may also include information such as medical examination result information, for example. It is also possible to set access authority for clinical department information according to the content of the information, so that, for example, among clinical department information, examination result information can only be accessed by doctors and nurses. It is also possible.

The medical examination registration information is the time at which the examinee accepted the medical examination at the relevant medical department. The medical examination start information is the time at which the medical examination of the patient was started in the relevant medical department. The medical examination end information is the time when the medical examination of the examinee was completed in the relevant medical department. In this way, since each clinical department terminal 120 receives each examinee's examination registration information, examination start information, and examination end information, it is possible to display the examination items that each examinee has already undergone, the examination items that are currently being examined, and guidance. It will be possible to grasp the latest status of the following medical departments, etc.

The medical department information reception unit 121 can receive medical department information by inputting it from the input device of the medical department terminal 120, for example. Further, the medical department information reception unit 121 can also receive part or all of the medical department information by transmitting and receiving it to and from the patient terminal 110. Furthermore, if the examination equipment for carrying out examinations in each clinical department and the examination management system of the present invention are connected to enable communication with each other, the examination start information and examination end information may be transmitted from each examination apparatus. It is also possible to accept the start notification and the end notification of the medical examination.

The medical department transmitting unit 122 transmits medical department information to the server 140. The medical department transmitting unit 122 can also be configured to be able to transmit medical department information to the patient terminal 110. For example, the medical department transmitting unit 122 transmits medical examination result information among the medical department information to the patient terminal 110, thereby allowing the patient to immediately grasp his or her own medical examination results.

The server 140 is, for example, a computer, and includes a memory composed of a CPU (Central Processing Unit), a RAM (Random Access Memory), etc., a storage device composed of an HDD (Hard Disk Drive), etc., a keyboard, a touch panel, etc. It has an input device consisting of a computer, and an output device consisting of a display, printer, etc. The HDD stores the medical examination management program and the like of the present invention. The functions of the server 140 are realized by the CPU reading out the medical examination management program from the HDD to the memory and executing it.

The server 140 includes a management information reception section 141 , an average time calculation section 143 , a travel time calculation section 144 , a determination section 145 , a management information transmission section 146 , and a management information storage section 149 .

The server 140 can include a waiting number calculation unit 142. Further, the server 140 can preferably include a clock section 147 and a route intermediate distance acquisition section 148.

The management information receiving unit 141 receives reception information transmitted from the reception terminal 130 and clinical department information transmitted from the clinical department terminal 120.

The management information storage unit 149 stores inter-department route distances, which are the distances between the reception desk and each medical department, and between each medical department. In the present invention, the inter-department route means the route between the reception desk and each clinical department and the route between each clinical department, and the inter-department route distance means the distance of the inter-department route. Here, for example, the inter-departmental route between clinical department AAA and clinical department BBB is not necessarily one route, and there is a counterclockwise route and a clockwise route within the examination facility, as well as a route between clinical department AAA and clinical department BBB. If the locations are on different floors, there may be multiple routes, such as a route using stairs and a route using an elevator. The management information storage unit 149 can preferably store inter-department route information that specifies the inter-department route between reception and each clinical department and between each clinical department, and as described above, If a plurality of inter-department routes exist, all of the plurality of inter-department route information can be stored. When a plurality of inter-department routes exist in this manner, the management information storage unit 149 can store the distances including these plurality of inter-department route distances. The management information storage unit 149 can further store reception information and clinical department information, as shown in FIG. Furthermore, the management information storage unit 149 can preferably store layout information within the medical examination facility. The layout information is map information indicating the arrangement of each clinical department, passages, etc. within the medical examination facility. If the medical examination facility has an elevator, the management information storage unit 149 can store the average waiting time of the elevator and the average time required for each floor that the elevator moves up and down.

The average time calculation unit 143 calculates the average time required for a medical examination in each medical department from the medical examination start information and the medical examination end information included in the medical department information transmitted from the medical department terminal 120. Specifically, the average examination time calculation unit 143 calculates the examination from the end time of each examinee, with the end of the examination of a predetermined time or a predetermined number of examinees as one unit for each medical department that implements each examination item. The time required for the examination of each examinee is calculated by subtracting the start time, and the total time required for the examination for the one unit is calculated by summing the time required for the examination of the examinees within the one unit, and this is calculated as the total examination time for the one unit. Calculate the average time required for each medical examination by dividing by the number of patients. The average time calculation unit 143 can, for example, update the average time required for a medical examination using 10 minutes as a unit, or update the average time required for a medical examination using the completion of examinations of 10 patients as a unit, for example.

The travel time calculation unit 144 calculates the travel time of each patient to each medical department from the inter-department route distance and travel speed. The travel time calculation unit 144 basically calculates the travel time by dividing the inter-course route distance by the travel speed. Depending on the route between departments, the route may straddle floors, and in this case, the route between departments may include a section of stairs or an elevator. The travel time calculation unit 144 calculates the travel time for the stair section by multiplying the travel speed by a correction coefficient of, for example, 0.8, that is, assuming that the walking speed is slower than for the flat section. In addition, when using an elevator, the travel time calculation unit 144 adds the average waiting time for the elevator and the average time required to move up and down the required number of floors, since the movement is not done in a two-dimensional manner. Calculate travel time. If there are multiple inter-department routes to each medical department, the travel time calculation unit 144 can calculate the travel time for each inter-department route.

In a preferred embodiment of the present invention, when the reception information includes walking state information of the patient, such as whether or not the patient can use stairs, whether or not the patient uses a cane or wheelchair, and whether or not an assistant is required, the travel time calculation unit 144 In calculating the travel time, a predetermined correction coefficient is used to calculate the travel time. Specifically, if the availability of stairs is OK, the travel time calculation unit 144 calculates the travel time for the section of stairs and elevators, as described above, when stairs and elevators are present in the inter-department route. calculate. If the use of stairs is rejected (NG), the travel time calculation unit 144 calculates the travel time as described above for the elevator section if there are stairs and elevators in the interdepartment route, but it calculates the travel time for the route using stairs as described above. No calculations are made for If the question of whether or not a cane or wheelchair is used is determined (NO), the travel time calculation unit 144 calculates the travel time in the same way as in the normal case. If the user uses a cane or wheelchair (YES), the travel time calculation unit 144 multiplies the travel speed by a correction coefficient of, for example, 0.8 to correct and calculate the travel time. Regarding the necessity of an assistant, the travel time calculation unit 144 calculates the travel time in substantially the same manner as in the case of whether or not a cane or wheelchair is used. In addition, in cases where a person uses a cane or wheelchair, or if a caregiver is required, the elevator door opening/closing speed is slow and the elevator door remains open for a long time. Correction can be performed using a correction coefficient.

When the server 140 includes a waiting number calculation unit 142, it calculates the waiting number of people in each medical department from the medical examination registration information and examination start information of each medical department. Specifically, it is calculated by subtracting the number of medical examination start information from the number of medical examination registration information at a certain point in time. This is calculated by subtracting the number of patients for whom screening has started from the number of patients for whom screening registration has been accepted. This means calculating the number of people waiting to be seen. Note that the medical examination registration information and medical examination start information here can include medical examination registration information and medical examination start information for general outpatients as well as those undergoing medical checkups and health examinations, etc., and this allows for more accurate waiting times. This is desirable because it allows you to know the number of people.

In the present invention, it is also possible to adopt a configuration in which the server 140 does not include the waiting number calculating section 142. In this case, for example, in each clinical department, an employee of the medical examination facility can visually check the number of people waiting in that department, that is, the number of patients waiting for medical examinations such as medical checkups and health checkups, and the general outpatients waiting for examination. It is also possible to enter the visually observed number of people waiting using the input device of the department terminal 120, and the medical department terminal 120 accepts the number of people waiting as clinical department information, and the determination unit 145, which will be described later, uses this as the number of people waiting.

The determining unit 145 calculates the average examination time required for each clinical department calculated by the average time calculating unit 143, the waiting number of each medical department calculated by the waiting number calculating unit 142, or the number of people waiting for each medical department received by each clinical department terminal 120. Based on the number of people waiting and the travel time to each medical department calculated by the travel time calculation unit 144, the medical department in which each patient will undergo the next examination item is determined. Specifically, the determination unit 145 calculates the travel time to each medical department (the time required for each medical department) by the value obtained by multiplying the average examination time required for each medical department by the number of people waiting in each medical department for each patient. If there are multiple inter-department routes, add up the travel time (travel time when using each inter-department route), and calculate the travel time for each patient for each department and for each inter-department route. Obtain the predicted time to start the next examination, which is the predicted time until the start of the examination, and compare the values of the predicted next examination start time for each clinical department and the corresponding inter-department route, and choose the smallest value, that is, the earliest examination. The clinical department and inter-departmental route where the process is started are determined as the next clinical department and the recommended inter-departmental route. Here, when calculating the predicted time to start the next medical examination, the determining unit 145 excludes the medical department in which the patient will perform the medical examination item for which the patient has already completed the medical examination.

In a preferred embodiment of the present invention, when the reception information includes examination order constraint information, the determination unit 145 refers to the examination items included in the reception information and determines whether examination order restrictions are set for each examination item. Determine whether For a medical examination item for which no medical examination order constraint is set, the determination unit 145 calculates the predicted start time of the next medical examination for the medical department that implements the medical examination item, as described above. On the other hand, if there is a checkup item for which a checkup order constraint is set, the determination unit 145 refers to the checkup completion information included in the clinical department information, and selects the checkup item that should be examined first as a checkup order constraint. Determine whether the medical examination has been completed. If the examination for the examination item that should be examined first has been completed, the determination unit 145 performs the examination for the examination item for which the examination order constraint is set, as described above. Calculate the predicted start time of the next examination for the clinical department to be examined. On the other hand, if the examination for the examination item that should be examined first has not been completed, the determining unit 145 selects the medical department that will perform the examination item for which the examination order constraint is set, when calculating the predicted start time of the next examination. Exclude.

The management information transmitting unit 146 transmits the next medical department information, which has been determined by the determining unit 145 and includes the name of the medical department that each patient should visit next, to the patient terminal 110.

The patient terminal 110 is, for example, a tablet-type mobile information terminal, a smartphone, or the like, but from the viewpoint of visibility and operability, a tablet-type information terminal having a display of an appropriate size is desirable. The patient terminal 110 includes a patient receiving section 111 and a patient display section 112. The patient terminal 110 preferably includes a location information acquisition section 113 and a patient transmission section 114. Furthermore, the patient terminal 110 can include a patient clock section (not shown). Although only one patient terminal 110 is shown in FIG. 1, there are usually a plurality of patient terminals 110 because they are distributed to each patient undergoing a medical examination.

The patient receiving unit 111 receives the next medical department information transmitted from the server 140.

The examinee display unit 112 displays information on the next medical department that the examinee receiving unit 111 consulted, that is, the name of the next medical department that the examinee should visit. Preferably, the examinee display unit 112 displays layout information indicating a recommended inter-department route to the next medical department.

In a preferred embodiment of the present invention, if the patient stops for a break or a restroom on the way to the next department, the travel time will be significantly longer than the travel time when determining the next department. A configuration for correcting the travel time and determining the next medical department to be examined will be described below. According to this preferred embodiment, if a patient stops for a break or a restroom on the route between departments, it will take more travel time than originally planned, so the number of people waiting in the next department determined at the beginning will be reduced from the initial number There is a possibility that the number of patients has increased more than expected, and it is possible to avoid a situation in which patients who have taken a break, etc. are inefficiently forced to wait in the initially determined clinical department.

In this preferred embodiment, the patient terminal 110 includes a location information acquisition unit 113 that acquires current location information of the patient, and a patient transmission unit 114 that transmits the current location information to the server 140, and the server 140 has a current time and a route intermediate distance acquisition unit 148 that calculates or acquires the intermediate route distance, which is the distance between the current position and each clinical department, from the current position information and inter-department route information.

The management information storage unit 149 stores inter-department route distances, and in a preferred embodiment, inter-department route information. The intermediate route distance acquisition unit 148 refers to the inter-department route distance and the inter-department route information, and also receives the current position information of the examinee from the examinee terminal 110, thereby determining which point on the inter-department route the examinee is at. It is ascertained whether the department exists and calculates the distance from a point on the route between the departments to each department, that is, the distance along the route.

By referring to the current location information of the patient received from the location information acquisition unit 113 and the current time of the clock unit 147, if the patient does not move from the current position for a predetermined period of time, for example, 5 minutes, that is, if the patient does not move from the current position for a predetermined time, for example, 5 minutes, Since it is assumed that the patient has stopped by, the en route distance acquisition unit 148 calculates the en route distance as described above, and the travel time calculation unit 144 calculates the route distance and travel speed from the current location to each clinical department. The determining means 145 calculates the corrected travel time, which is the time taken to travel to the hospital, and re-determines the department to which the patient should visit next based on the average travel time, the number of people waiting, and the corrected travel time. The calculation of the corrected travel time by the travel time calculation unit 144 here is substantially the same as the method of calculating the travel time by the travel time calculation unit 144 described above, and the determination by the determination unit 145 is performed by the determination unit 145 described above. This is almost the same as the method for determining which department to visit next.

Next, in a preferred embodiment of the present invention, in a period when an infectious disease such as influenza is prevalent, when determining which department a patient should visit next, the number of people waiting in a department located along the route between departments, In other words, a configuration will be described in which the density of people is taken into consideration and an inter-department route with a low density of people is determined.

In this preferred embodiment, the management information storage unit 149 stores layout information of the medical examination facility.

In a basic aspect of the present invention, the determination unit 145 determines the next treatment the patient should receive based on the average examination time required for each department, the number of people waiting in each department, and the travel time to each department. However, in the present preferred embodiment, the determining unit 145 instead determines the crowd-avoiding medical department that the patient should visit next using the following method.

In this preferred embodiment, the determining unit 145 is similar to the basic embodiment of the present invention in that it uses the average time required for a medical examination in each clinical department, the number of people waiting in each clinical department, and the travel time to each clinical department. be. However, in this preferred embodiment, the determination unit 145 uses, in addition to these, the total number of people waiting in each medical department and other medical departments located along the inter-departmental route to each medical department. That is, in this preferred embodiment, the determination unit 145 calculates the average examination time required for each medical department, the number of people waiting in each medical department, the travel time to each medical department, and the number of other patients located on the inter-departmental route to each medical department. The total number of people waiting in a medical department is used to determine which medical department the patient should visit next to avoid overcrowding. Specifically, for example, the determination unit 145 multiplies the average time required for a medical examination in each medical department by the number of people waiting in each medical department, adds to this the travel time of each inter-departmental route to each medical department, and further, For each clinical department and each inter-departmental route, compare the values obtained by adding up the total number of people waiting in each clinical department and other clinical departments located along the inter-departmental route to each clinical department, and find the most The inter-department route corresponding to the department with a low value is assumed to be a relatively safe route in the event of an infectious disease outbreak with low population density, and the relevant department is determined to be the next department to visit as a department to avoid crowding. At the same time, the corresponding inter-department route is determined to be the congestion-avoiding inter-department route to be used. If there are clinical departments and inter-departmental routes that have the same value, the determination unit 145 determines the average examination of each clinical department for those clinical departments and inter-departmental routes, as in the basic aspect of the present invention. The next medical department to be visited is determined using the required time, the number of people waiting in each department, and the travel time to each department.

In this preferred embodiment, the management information transmitting unit 146 transmits the crowd avoidance information including the name of the crowd avoidance medical department determined by the determination unit 145, inter-department route information regarding the crowd avoidance inter-department route, and layout information to the patient terminal 110. .

In this preferred embodiment, the patient reception unit 111 receives crowd avoidance information transmitted from the server 140.

In this preferred embodiment, the patient display unit 112 displays layout information indicating the name of the congestion avoidance medical department and the route between the crowd avoidance departments on the display of the patient terminal 110.

Next, in the present invention, a mode of predicting the next medical department that a patient should visit will be explained.

In this preferred embodiment, the determining unit 145 determines, in addition to the average examination time, number of people waiting, and travel time used in determining the next medical department, the determination unit 145 determines the average examination time required for the next medical department. , it is possible to predict and determine which department the patient should visit next based on the average examination time, number of people waiting, and travel time for each department, excluding departments where examinations have already been completed. Specifically, the determination unit 145 first multiplies the average time required for a medical examination in each clinical department by the number of people waiting in that department, adds the travel time for each inter-department route to the relevant medical department, and then calculates the Calculate the predicted time to start the medical examination. Next, the determining unit 145 multiplies the average time required for a medical examination in the relevant clinical department by the number of people waiting in each clinical department by the average required time for a medical examination in each clinical department excluding the relevant medical department and the already visited clinical departments. The value obtained by adding up the travel time for each inter-department route to the clinical department is added to the predicted next examination start time to obtain the predicted successive examination start time for each inter-department route for each clinical department. The predicted successive examination start time is the time at which the examination is predicted to start for each patient in the next medical department. If there are multiple clinical departments that have the same value of the predicted start time of the next medical examination for the next medical department, the determination unit 145 compares the predicted start time of the next medical examination one after another for the clinical departments that have the same value of the predicted start time of the next medical examination. Then, the department with the smallest predicted successive examination start time is determined to be the department to be visited next.

Next, the medical examination management process in the basic aspect of the present invention will be explained using the flowchart of FIG.

At the reception desk of the screening facility, the patient informs the receptionist of the screening facility his/her name, whether or not he/she can use stairs, whether or not he/she uses a cane/wheelchair, and whether or not an assistant is required. The reception information reception unit 131 of the reception terminal 130 accepts this information when input by the receptionist, searches for and accepts the scheduled start time and course of the examination of the examinee using the examinee's name, The patient ID and date of examination given to each patient are accepted. While holding the patient terminal 110 distributed by the receptionist, the patient walks, for example, 5 meters, measures the moving speed, and transmits the measured movement speed from the patient terminal 110 to the reception terminal 130 (step 1).

The reception information is transmitted from the reception transmission unit 132 of the reception terminal 130 to the server 140 (step 2).

The clinical department information reception unit 121 of the clinical department terminal 120 receives medical examination registration information regarding patients who have already arrived at the relevant medical department and completed reception, and medical examination start information that has received a medical examination start notification from a medical examination device in the relevant medical department. The medical department transmitting unit 122 receives the medical examination end information obtained by receiving the medical examination end notification from the medical examination device, and transmits this medical department information to the server 140 (step 3).

The management information receiving unit 141 of the server 140 receives the information transmitted from the reception terminal 130 and the clinical department terminal 120 (step 4).

The waiting number calculating unit 142 calculates the waiting number of people in each clinical department from the medical examination registration information and the medical examination start information (step 5). For example, if there are 10 pieces of medical examination registration information and six pieces of medical examination start information in a certain medical department, the number of people waiting in the medical department is calculated to be four.

The average time calculation unit 143 calculates the average time required for a medical examination in each clinical department from the medical examination start information and the medical examination end information (step 6). For example, the examination start information and examination end information received within the past hour in a certain medical department are extracted for each examinee. If the examination start time for examinee A is 9:00 and the examination end time is 9:10, the required time for examination for examinee A is 10 minutes. Similarly, the time required for the examination for each other examinee is calculated, and the average value of these examination times is calculated, and the result is set as the average time required for the examination in the relevant clinical department. The average time required for a medical examination is updated by the average time calculation unit 143 every predetermined time period or every time a predetermined number of people complete a medical examination.

The travel time calculation unit 144 calculates the travel time for each inter-department route for each patient by referring to the inter-department route distance stored in the management information storage unit 149 and the travel speed received from the reception terminal 130 ( Step 7). Since the starting point for the first medical department is usually the reception, the inter-department route distance from the reception to each department is used here. For example, when the travel time calculation unit 144 calculates that the inter-department route distance of inter-department route A from the reception desk to the department where the height and weight test items are performed is 20 m, and the patient's travel speed is 1.25 m/s. If inter-department route A is used from the reception desk to the department for height and weight testing, the travel time is calculated to be 16 seconds. Similarly, the travel time calculation unit 144 calculates the travel time using the inter-department route distance and travel speed to each medical department included in the examination items of the examinee. If there are multiple inter-department routes to the same department, travel time is calculated for each inter-department route.

The determining unit 145 adds the travel time of each examinee to each department along the inter-department route to the calculated average examination time for each department multiplied by the number of people waiting in each corresponding department. Then, obtain the predicted next examination start time for each clinical department and each inter-department route, compare the predicted next examination start time for each clinical department and each inter-departmental route, and select the treatment with the smallest value of next examination start time. The department and inter-department route are determined as the department the patient should visit next and the recommended inter-department route to be used when moving to the department (step 8). For example, if the average time required for a medical examination in a department that performs height and weight tests is 1 minute, the number of people waiting is 5, and the travel time is 16 seconds, then the predicted start time for the next examination in the department for height and weight tests is 5 minutes. It will be 16 seconds. The determination unit 145 similarly calculates the predicted start time of the next medical examination for each other clinical department and for each inter-departmental route if there are multiple inter-departmental routes, compares the predicted start time of each next medical examination, and selects the smallest value. The department with the predicted start time for the next checkup is determined to be the department to be visited next.

The management information transmitting unit 146 transmits the next medical department information including the name of the next medical department determined by the determining unit 145 to the patient terminal 110 (step 9). Here, the management information transmitting unit 146 preferably transmits inter-department route information and layout information to the relevant medical department to the patient terminal 110.

The patient receiving unit 111 of the patient terminal 110 receives the next medical department information transmitted from the server 140 (step 10).

The patient display unit 112 displays the name of the department to which the patient receiving unit 111 should visit next on the display of the recipient terminal 110 (step 11). Preferably, the examinee display unit 112 further displays inter-department route information to the relevant medical department together with layout information (map information indicating a recommended inter-departmental route to the relevant medical department).

When the examination for the examination item in the next medical department guided as described above is completed, the next examination is performed in substantially the same steps as above, excluding the department that will carry out the examination item for which the examination has been completed. The medical department to which the patient should be examined is determined and notified to the patient, and steps substantially similar to those described above are repeated until all of the examination items for the patient are completed.

110 Patient terminal 111 Patient receiving unit 112 Patient display unit 113 Location information acquisition unit 114 Patient transmitting unit 120 Clinical department terminal 121 Clinical department information receiving unit 122 Clinical department transmitting unit 130 Reception terminal 131 Reception information receiving unit 132 Reception transmission Unit 140 Server 141 Management information reception unit 142 Waiting person calculation unit 143 Average time calculation unit 144 Travel time calculation unit 145 Judgment unit 146 Management information transmission unit 147 Clock unit 148 Intermediate route distance acquisition unit 149 Management information storage unit

Claims (9)

A medical examination management system in which a reception terminal, a clinical department terminal, a server, and a patient terminal are connected so as to be able to communicate with each other,
The reception terminal is
a reception information receiving means for receiving reception information including the travel speed of the patient and examination items of the patient;
comprising reception transmission means for transmitting the reception information to the server,
The clinical department terminal is
a medical department information reception means for receiving medical department information including medical examination registration information, medical examination start information, and medical examination end information of a patient in the medical department;
comprising a medical department transmitting means for transmitting the medical department information to the server,
The server is
management information receiving means for receiving the reception information and the clinical department information;
management information storage means for storing inter-department route distances that are distances between the reception desk and each clinical department and between each clinical department;
Waiting number calculation means for calculating the number of people waiting in each clinical department from the medical examination registration information and the medical examination start information;
an average time calculation means for calculating an average time required for a medical examination in each clinical department from the medical examination start information and the medical examination end information;
a travel time calculation means for calculating the travel time of each patient to each clinical department from the inter-department route distance and the travel speed;
determining means for determining the next medical department to be visited from the average time required for the medical examination, the number of people waiting, and the travel time;
comprising a management information transmitting means for transmitting next medical department information including the name of the next medical department determined by the determining means to the patient terminal;
The patient terminal is
Patient receiving means for receiving the next medical department information;
A medical examination management system comprising: patient display means for displaying the next medical department information. A medical examination management system in which a reception terminal, a clinical department terminal, a server, and a patient terminal are connected so as to be able to communicate with each other,
The reception terminal is
a reception information receiving means for receiving reception information including the travel speed of the patient and examination items of the patient;
comprising reception transmission means for transmitting the reception information to the server,
The clinical department terminal is
a medical department information receiving means for receiving medical department information including medical examination registration information, medical examination start information, medical examination end information, and number of people waiting in the medical department;
comprising a medical department transmitting means for transmitting the medical department information to the server,
The server is
management information receiving means for receiving the reception information and the clinical department information;
management information storage means for storing inter-department route distances that are distances between the reception desk and each clinical department and between each clinical department;
an average time calculation means for calculating an average time required for a medical examination in each clinical department from the medical examination start information and the medical examination end information;
a travel time calculation means for calculating the travel time of each patient to each clinical department from the inter-department route distance and the travel speed;
determining means for determining the next medical department to be visited from the average time required for the medical examination, the number of people waiting, and the travel time;
comprising a management information transmitting means for transmitting next medical department information including the name of the next medical department determined by the determining means to the patient terminal;
The patient terminal is
Patient receiving means for receiving the next medical department information;
A medical examination management system comprising: patient display means for displaying the next medical department information. 3. The medical examination management system according to claim 1, wherein the reception information includes medical examination order constraint information. 4. The reception information includes walking status information including whether or not the patient can use stairs, whether or not he or she uses a cane or wheelchair, and whether or not an assistant is required. Medical examination management system. 5. The medical examination management system according to claim 4, wherein the travel time calculation means refers to the walking state information and corrects and calculates the travel time. The medical examination management system according to any one of claims 1 to 5, wherein the management information storage means stores information on routes between reception desks and each clinical department, and between each clinical department. The patient terminal is
a location information acquisition means for acquiring current location information of the patient;
comprising patient transmission means for transmitting the current location information to the server,
The management information receiving means receives the current location information,
The server is
Clock means for obtaining the current time;
comprising a route intermediate distance acquisition means for acquiring a route intermediate distance, which is a distance between the current position and each clinical department, from the current position information and the inter-department route information;
If the patient does not move from the current location for a predetermined time,
The travel time calculation means calculates a corrected travel time to each medical department from the intermediate route distance and the travel speed,
7. The medical examination management system according to claim 6, wherein the determining means determines the department to be examined next based on the average examination time, the number of people waiting, and the corrected travel time. The management information storage means stores layout information of a medical examination facility,
The determining means is
The inter-department route to avoid crowding and the medical department to avoid crowding are determined from the average examination time, the number of people waiting, the travel time, and the total number of people waiting in other departments located on the route between departments to each department. ,
The management information transmitting means transmits crowd avoidance information including inter-department route information regarding the crowd avoidance inter-department route determined by the determination means, the name of the crowd avoidance medical department, and the layout information to the patient terminal;
The patient receiving means receives the crowd avoidance information,
7. The medical examination management system according to claim 6, wherein the examinee display means displays the layout information indicating the name of the crowd avoidance medical department and the route between the crowd avoidance departments. The determining means is
In addition to the average examination time, the number of people waiting, and the travel time used in determining the next medical department to visit,
Based on the average time required for a medical examination in the next medical department, the average time required for a medical examination for each medical department excluding the medical department in which the medical examination has already been completed, the number of people waiting, and the travel time, determine the time required for the next medical examination. The medical examination management system according to any one of claims 1 to 8, characterized in that the medical examination management system determines the appropriate medical department.