JPH0644268B2 - Calculation method of patient contribution in medical computer - Google Patents

Description

TECHNICAL FIELD The present invention relates to a patient burden calculation method in a medical computer for processing various medical care data in a medical institution of a patient.

(B) Conventional Technology In general, when a patient receives medical treatment at various medical institutions and receives treatment and medication, the medical institution, that is, a hospital or a medical practitioner calculates points according to health insurance and calculates a patient contribution.

By the way, when automatically calculating this patient contribution with an electronic calculator, until now, in addition to the initial consultation fee, data related to medical treatment, treatment, medication, etc. is input from the keyboard, and the data processing unit of the medical computer processes the data. A method of displaying on a display and printing with a printer is adopted.

As one example thereof, as shown in Japanese Patent Publication No. 58-43780, a method has been proposed in which insurance data including insurance history of a patient is simply stored in a file in calendar day order.

(C) Problems to be Solved by the Invention In Japanese Patent Publication No. 58-43780, which has been given as a conventional example, an error occurs in the calculation of the patient burden shown in the following Table 1 due to the revision of the law concerning insurance medical care this time.

In other words, the patient contribution must be calculated for each visit, but when calculating the daily contribution for the aggregation work (when multiple visits are made on the same day), the medical treatment amount for that day (the number of treatment points x 10) If you calculate the contribution based on the above, the amount will be different from the actual contribution that must be calculated according to the law.

For example, the social insurance person received medical treatment in the morning and received 128 points,
Similarly, when the medical examinations in the morning and afternoon in (a) of Table 1 (A) are calculated at 128 medical examination points in the afternoon, both are 1500.
It is less than JPY and the patient contribution is 100 JPY each, whereas the total points on the day are 256 points and the medical treatment amount is 350.
It corresponds to 0 yen or less, and the corresponding patient's burden is 3
There was a drawback that it would be 00 yen, and a difference of 100 yen would occur with the patient's burden on the day.

In addition, if the medical care data is changed due to an input error, etc., it is necessary to calculate the difference in the patient contribution, but the new law requires that the conventional technology based on the old law, that is, data processing by the old method, be accurate. It is impossible to calculate the difference.

(D) Means for Solving Problems The present invention eliminates the above-mentioned drawbacks, and a keyboard, an input data processing unit, a patient data processing unit, and a patient burden for calculating a patient burden from the number of medical care points for each visit. It is composed of a money calculation unit, a storage unit, an output data processing unit, and a display. The medical care points for each visit are read from the storage unit by the patient data processing unit each time the medical treatment is performed, and the patient contribution calculation unit calculates the patient contribution. The calculated data is displayed on the display via the patient data processing unit and the output data processing unit.

(E) Operation By storing the medical care score data for each visit provided in the storage means of the present invention, the patient burden is calculated (automatically calculated) for each medical treatment of the patient at a predetermined hospital or practitioner. It is possible to prevent the difference from the method in which the patient contribution is calculated by summing up the relevant days as described above, and to specify the number of times of medical treatment even if there is a correction of an input error due to data key-in from the keyboard. Therefore, it becomes possible to accurately calculate the contribution amount.

(F) Embodiments The present invention will be described with reference to the drawings. FIG. 1 is a block diagram showing a configuration of a patient burden calculation method in a medical computer according to the present invention, FIG. 2 is a flowchart of the method, and FIG. In the method, a screen state diagram for designating the number of visits on a predetermined day, and FIG. 4 is a data configuration diagram of the number of medical care points for each visit.

Next, in FIG. 1, (1) is a keyboard for inputting various data, (2) is an input data processing unit, (3) is a patient data processing unit, (4) is a patient burden calculation unit, and (5) Is an output data processing unit, (6) is a magnetic disk as an external storage device, (7) is a CRT display as a display unit, (8) is a memory including storage elements such as RAM, and (9) is a printed document ( A printer is shown as a printing device for making 10).

Next, the operation of the present invention will be described. When a patient receives medical treatment from a doctor and inputs medical treatment data as a result from the keyboard (1), the patient data processing unit (3) passes through the input data processing unit (2). The points are calculated, and based on the data, the points data is added to the patient contribution calculation unit (4), and the calculation result is stored in the points data file in the memory (8) composed of RAM or the like. .

At the same time, by the key-in data from the keyboard (1), the data from the patient data processing unit (3) is output via the output data processing unit (5) to the CRT display (7) as a display device.
Is displayed in. In addition, various data are stored in the magnetic disk (6) for month processing by a command from the keyboard (1), and predetermined data is printed out as a print document () by the printer (9) as needed. .

Then, referring to FIG. 2 showing the processing flow of the patient contribution calculation unit (4), after the operator inputs the medical treatment data, the patient data processing unit (3) reads “medical point data for each visit”.
CRT display after receiving points and calculating points for this input
The screen is displayed in (7). As shown in FIG. 3, one example is that the patient is treated twice and three times on the 1st and 3rd days, respectively. Perform the work to specify how many times the score should be corrected on the above screen. In the case of correcting the value where the cursor is placed in the example of FIG. 3 and adding 36 points, the following three will be described.

(i) In the case of the first time of the day (changed from “2” to “1”) 128 + 36 = 164 (points), and the patient contribution increases from 100 yen to 200 yen by 100 yen.

(ii) If left as it is for the second time as shown in the figure, 254 + 36 = 290 (points), and the patient contribution remains 300 yen.

(iii) In the case of the third time a day (change from "2" to "3") Therefore, the contribution will be increased by 100 yen.

As a result of the above correction, the increase / decrease calculation of the patient contribution is performed,
"Data of medical care points per visit" and "value of increase / decrease contribution" are delivered to the patient data processing unit (3), the patient data processing unit (3) finishes the work of the patient contribution calculating unit, and the memory Store in (8).

Here, when the patient contribution calculation unit (4) calculates the patient contribution, the data that is the basis of the correction screen in the example of FIG. 3 is shown in Table 2 (a hospital that employs a fixed amount of social insurance). At the time of medical treatment) In Table 2 below, as mentioned above, twice a day, three days and three
The medical care points are calculated each time, and the patient contribution is calculated correspondingly.

Of the above data, the patient's visit date and the number of medical care points are stored in the memory (8) provided in the patient data processing unit (3) as a data file for each sequential number of times as shown in FIG. In this way, as shown in FIGS. 3 and 4, the data for each diagnosis of the patient is sequentially stored in the data file in the memory, and the data is further displayed on the screen of the display device such as a CRT display. Displayed individually, the keyboard allows you to correct the first key-in miss.

If the items of visit date, number of medical care points and patient's contribution shown in FIG. 3 above are stored in the magnetic disk as the external memory after correction, monthly summation by insurance medical treatment can be performed, and if necessary, By reading the patient data processing unit (3), the printed document (10) is output from the printer (9) via the output data processing unit (5).
You can also type out.

(G) Effect of the Invention According to the patient burden calculation method in the medical computer of the present invention, the patient burden can be calculated from the number of medical care points for each patient visit, and the difference in the calculation result in the conventional example does not occur. This can be prevented in advance, and even if the medical care data is changed due to an input error, the patient contribution can be accurately calculated.

[Brief description of drawings]

FIG. 1 is a block diagram for explaining a patient burden calculation method in a medical computer according to the present invention, FIG. 2 is a flowchart of a main part of the method, and FIG. 3 is a screen state diagram for explaining the method. , FIG. 4 shows one state of the data file in the memory used in the same system. Description of main drawing numbers (1) …… Keyboard, (2) …… Input data processing unit, (3)…
… Patient data processing unit, (4) …… Patient contribution calculation unit, (7)…
… CRT display.

Claims (1)

[Claims] 1. A keyboard, an input data processing unit, a patient data processing unit, a patient burden calculation unit, an output data processing unit, a display device and a storage means, and the keyboard is used to input patient specific data and medical action data. It is input to the patient data processing unit via the data processing unit, the output processed by the patient data processing unit is applied to the patient contribution calculation unit, and each patient visits according to multiple visits on the same day. The medical care point data of is read by the patient data processing unit and the patient contribution calculation unit calculates the patient contribution,
The data corresponding to the calculation result is output via the patient data processing unit and the output processing unit, and the date for the input and the number of times of the plurality of times are displayed on the display unit, and the input in the calculation of the patient contribution is made. A patient contribution calculation method for a medical computer characterized by enabling correction of mistakes.