JPS61123971A - Method of calculating patients' share of expenses in calculator for medical use - Google Patents

Abstract

PURPOSE:To calculate the patients' total share of expenses for a given data, and to prevent occurrence of error in the total, by calculating the patients' share of expense for each item of treatment at a specified hospital or the like, based on the patients' share of expenses file stored in the patients' share of expense data. CONSTITUTION:When the patient is examined by the doctor and treatment data are inputted on the keyboard 1, calculation of points is carried out n the patient data processor 3, via an input data processor 2. Based on such data, point data are added to the patients' share of expense calculator 4 and the results of calculation are stored in the point data file in a memory 8 constituted of a RAM or the like. Simultaneously, by the key in data from the keyboard 1, the data from the patient data processor 3 are displayed on a CRT display 7, as the display device, via an output data processor 5. Also by the command from the keyboard 1, various data are stored in a magnetic disk 6 for monthly processing and the prescribed data, as necessary, is printed out as printed document 10 by a printer 9.

Description

DETAILED DESCRIPTION OF THE INVENTION B) Field of Industrial Application The present invention relates to a method for calculating patient charges in a medical computer that processes various medical treatment data at a patient's medical institution.

(1) Conventional technology Generally, when a patient receives treatment and medication at various medical institutions, the medical institution, that is, the hospital or the private practitioner, calculates points according to the health insurance and calculates the patient's contribution.

By the way, when calculating the patient's co-payments using an automatic computer computer, in addition to the initial consultation fee, data related to medical treatment, treatment, medication, etc. were input from the keyboard, and the data was processed by the data processing section of the medical computer. , a method is adopted in which the information is displayed on a display and printed on a printer.

As an example, Japanese Patent Publication No. 58-43780 proposes a system in which insurance data including a patient's insurance history is simply stored in a file in calendar date order.

(c) Problems to be Solved by the Invention In the above-mentioned Japanese Patent Publication No. 58-43780 cited as a conventional example, an error occurs in the calculation of the patient co-payments shown in the following table IK due to the recent revision of the law regarding insurance medical care.

That is, in Table 1 above, if a patient visits the hospital multiple times in one day, an error of 1 will occur in the total amount of patient charges.

For example, a social insurance employee receives medical treatment in the morning and scores 128 points.
Afternoon busyness is also given a score of 128, and Table 1 (At's la) K is calculated based on the morning and afternoon medical treatment, and both are less than 1,500 yen, and the patient's fee is 100 yen each, whereas on the same day... The total score is 256 points, and the treatment cost is 35 points.
00 yen or less, the corresponding patient copayment is 3
000 yen, which resulted in a 100 yen error in the patient's copayments on the day.

In order to eliminate the above-mentioned drawbacks, the present invention provides a keyboard, an input data processing unit, a patient data processing unit, Patient fee calculation department,
Consisting of a storage means, an output data processing section, and a display, the storage means reads out the date and number of medical treatment points as a busy hospital visit day each time the patient data processing section performs a medical treatment, and calculates the patient copayment amount using the patient copayment calculation*. The data is then displayed on the display via the patient data processing section and the output data processing section.

(E) Effect The patient co-payment file storing patient co-payment data provided in the storage means of the present invention allows the patient co-payment to be calculated (automatically calculated) for each treatment a patient receives at a predetermined hospital or private practice. It is possible to prevent patient charges from being calculated by adding up the data on the relevant days, as shown in the figure above, and it is also easier to correct input errors that occur due to data keying in from the keyboard.

(F) Embodiment The present invention will be explained with reference to the drawings. Fig. 1 is a block diagram of the configuration of a method for calculating patient co-payments in the medical computer of the present invention, and Fig. 2 shows the patient co-payments in the storage means used for the same method. A state diagram showing an example of the data structure of a file, and FIG. 3 shows a flowchart of the same method.

Next, in FIG. 1, 11) is a keyboard for inputting various data, (2) is an input data processing section, (3) is a patient data processing section, (4) is a patient copayment calculation section, and (5) is a keyboard for inputting various data. Output data processing unit, (6) is a magnetic disk as an external storage device, (7) is a CRT display as a display means, (8) is a memory including a storage element such as a RAM, and (9) is the creation of a printed document Ql. A printer is shown as a printing device for.

Next, to explain the operation buttons of the present invention, when a patient receives medical treatment from a doctor and inputs medical data from the keyboard (1), the input data processing unit (21) passes the input data processing unit (21) to the patient data processing unit (3) K. Calculate the score and based on that data [
, patient charge calculation unit (4) K. The above point data is added, and the calculation result is stored in a point data file in a memory (8) constituted by a RAM or the like.

At the same time, data from the patient data processing section (3) is displayed on a CRT display (7) as a display device via the output data processing section (5) in response to key-in data from the keyboard (1). In addition, various data are stored on the magnetic disk (6) for processing according to commands from the keyboard (1), and predetermined data is printed out as a printed document () by the printer (9) as necessary. .

Therefore, Fig. 2 shows the processing flow of the patient copayment calculation unit (4). To explain this in more detail, it receives "medical point data for each visit" from the patient data processing unit (3), and after calculating the points of the input valve this time, the CRT display (7) K screen is displayed.

As shown in FIG. 3, this example shows that the patient received medical treatment twice and three times on the 1st and 3rd, respectively. On the above screen, specify how many times you want to correct your score. In the example of FIG. 3, if you want to modify the value at which the cursor is placed and add 36 points, the following three points will be involved.

(In the case of the first visit on the 111th (K change from "2" to "1"), 128 + 36 = 164 (points), and the patient fee increases by 100 yen from 100 yen to 200 yen.

(11) If the second dose per day is used as shown in the diagram, 25
4+36=290C points), and the patient's copayment remains at 300 yen.

G11l If it is the third time in a day (changed from "2" to "3"), the contribution will be increased by 100 yen.

As a result of the above corrections, the increase/decrease in patient copayments will be calculated.
The patient data processing unit (3) receives “medical point data for each visit”
Then, the "value of increase/decrease contribution" is handed over, and one work is completed.

Here, when the patient copayment calculation unit (4)K calculates the patient copayment, the above! Table 2 shows the data on which the correction screen for the example shown in Figure 3 is based (at the time of medical treatment at a hospital that accepts a fixed amount for social insurance). In Table 2 below, as mentioned above, patients receive medical care twice a day and three times a day, and the medical points are calculated each time, and the patient's co-payment is calculated accordingly.

Among the above data, the patient's visit to the hospital and the number of treatment points shown in FIG. 4 are sequentially stored in a memory (8) provided in the patient data processing unit (31) as a data file for each visit.

In this way, as shown in Figure 3 and rJI/c4, the data for each patient's treatment is sequentially stored in a data file in memory, and the data is displayed on the screen of a display device such as a KCRT display. can be displayed individually and the first key-in mistake (input mistake) can be corrected using the keyboard.

If the items of hospital visits, treatment points, and patient copayments shown in Figure 3 above are corrected and stored on a magnetic disk as an external memory, they can be aggregated monthly by insurance medical treatment, and can be updated as necessary. It is also possible to type out a printed document (11) from the printer (9) via the output data processing section (5) from the reading K of the patient data processing section (3).

(G) Effects of the Invention According to the patient co-payment calculation power formula in the medical calculator of the present invention, the patient co-payment can be calculated by calculating the points for each patient's medical treatment, and errors as in the conventional method can be avoided. This can be prevented, and it is also possible to recalculate the patient's contribution due to human error.

[Brief explanation of the drawing]

Fig. 1 is a block diagram for explaining the patient contribution calculation method in the medical computer of the present invention, Fig. 2 is a flowchart of the 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 method. Explanation of main books (1)...Keyboard, (2)...Input data processing section, (3)...Patient data processing section, (4)...Patient copayment calculation section, (7) ...CRT display. Applicant: SANYO Electric Co., Ltd. (1 person) and 1 other representative: Patent attorney: Yasuo Sano Figure 1 Figure 2

Claims (1)

[Claims] (1) It has a keyboard, an input data processing section, a patient data processing section, a patient copayment calculation section, an output data processing section, a display device, and a storage means, and the patient's unique data and medical practice data can be inputted from the keyboard using the keyboard. The patient data processing unit inputs the data to the patient data processing unit through the input data processing unit, adds the data processed by the patient data processing unit to the patient copayment calculation unit, and stores patient-specific data provided in the patient data processing unit. For medical use, characterized in that it automatically calculates patient charges related to daily medical treatment using a patient head record file and a medical practice file storing the medical practice data, and also makes it possible to recalculate the patient burden due to an input error. Patient co-payment calculation method on computer.