JPWO2003077169A1 - Method for calculating loan for advanced medical device, program thereof, advanced medical device introduction support system, and advanced medical device introduction support method - Google Patents

Abstract

The medical institution conducts medical work with the lending of advanced medical equipment, and the supporter who lent the advanced medical equipment receives payment of the rental fee (monthly consideration). It was decided to calculate based on the operational status of Services provided by supporters when introducing advanced medical devices can be included in the rental fee.

Description

〔対価の計算・支払に係る動作〕
次に、第４図及び第５図を参照して対価の計算・支払いに係る動作を説明する。
第４図は、対価の計算に係るシーケンスチャートである。第５図は、支援サーバ１１の対価の計算に係る動作を説明するフローチャートである。
第４図に示すように、支援サーバ１１は、Ｓ１１で送信される検診者数情報を受信する。そして、Ｓ１２で受信した検診者数情報に基づいて「月額対価」を計算し、Ｓ１３でこの計算した「月額対価」の額を、医療機関２に通知する。通知を受けた医療機関２は、Ｓ１４で「月額対価」を支払い、これを支援サーバ１１に通知する（支払通知、Ｓ１５）。なお、このように支援サーバ１１が「月額対価」の額を事前に通知するのは、「月額対価」が固定ではなく、その都度計算されるものだからである。もちろん、「月額対価」の通知を省略する構成としてもよい。なお、検診者数情報の受信は、請求の範囲の「高度医療機器の期間ごとの稼動状況を、貸与料の計算要素として取得するステップ」などに相当する。
処理装置１１１が実行する第４図のＳ１２の処理を、第５図のフローチャートを参照して詳細に説明する。即ち、第４図のＳ１２では、以下に説明する処理がなされる（貸与料を計算するプログラムが実行される）。
まず、支援サーバ１１が検診者数情報を受信し（Ｓ１２１）、検診者数情報に含まれる医療機関ＩＤに基づいて、記憶装置１１２に記憶されている「支払済み金額」、「既支払回数」、「支払総額の前回値」を取得する（Ｓ１２２）。続いて、医療機関ＩＤに基づいて「支払総額（今回値）」を計算する式（１）〜（４）を取得し、「支払総額（今回値）」を計算する（Ｓ１２３）。医療機関ＩＤと計算式とは、紐付されて支援サーバ１１の記憶装置１１２に記憶されている。
なお、記憶装置１１２には、予め入出力装置１１３や通信装置１１４を介して、「高度医療機器の購入金額」、「サービスの対価」が、医療機関ＩＤと紐付けして記憶されている（取得されている）。
次に、Ｓ１２４で今回支払う「月額対価」を計算する。「月額対価」の計算は次のように行なう。即ち、医療機関ＩＤに基づいて「月額対価」を計算する式（５）を記憶装置１１２から取得し、この式（５）にＳ１２１で受信した検診者数情報に含まれている「検診者数」を代入して「月額対価」を計算する。
処理装置１１１は、「月額対価」を計算すると、Ｓ１２５で、「月額対価」と「支払済み金額」と「支払総額」とから、今回の支払いが最終回か否かを判断する。具体的には、「月額対価」＋「支払済み金額」＜「支払総額（今回値）」か否かを判断して、不等式の左辺が右辺の「支払総額」に満たない場合（ＹＥＳ）は、Ｓ１２４で計算した「月額対価」を正式な「月額対価」として当該医療機関２に通知する（Ｓ１２６）。通知に対応して支払いがあると、支払確認後、「支払済み金額」を更新する（Ｓ１２７）。そして、「既支払回数」をインクリメント（Ｓ１２８）して記憶し、Ｓ１２１で、当該医療機関２についての検診者数情報の受信を待つ。
一方、Ｓ１２５で、不等式の左辺が右辺の「支払総額」以上の場合（ＮＯ）は、Ｓ１２９で「月額対価」を再計算し、再計算した「月額対価」を当該医療機関２に通知する。計算式は、「月額対価」＝「支払総額」−「支払済み金額」である。つまり、Ｓ１２９では、「月額対価」と「支払済み金額」の合計が、「支払総額」を超えてしまうことがないようにしている。また、Ｓ１２９では、今回の支払いが最終回であることも、当該医療機関２に通知する。医療機関２からの支払いがあると、支払確認後、「支払済み金額」を更新すると共に、「支払終了」を設定する（Ｓ１３０、最終回の設定）。「支払終了」を設定すると、次回の処理が行なわれなくなる。
このようにして、毎回の「月額対価」の支払いが行なわれ、「支払終了」が設定される。この「月額対価」の支払いによれば、支払う「月額対価」が多くなるほど「支払総額」が少なくなるようになっており、医療機関２にとって都合がよい。一方、「検診者数」が少ないと、ＰＥＴシステム（高度医療機器）２５による収入も少ないが、その分、支援者１に毎月支払う「月額対価」も少なくて済むので、医療機関２にとって都合がよい。また、計算式を医療機関２（あるいは高度医療機器２５）ごとに設定できることから、医療機関２（あるいは高度医療機２５）ごとに種々の支払プランを組むことができ、この点からも医療機関２にとって都合がよい。つまり、この例では、式（１）〜式（５）を使用して「支払総額」、「月額対価」を計算したが、医療機関２や高度医療機器２５によって、係数Ｋが異なったものにしたり、式自体が異なったものにしたりできる。ちなみに、Ｋの値が大きいと早期に支払終了になる。一方、Ｋの値が小さいと、長い期間にはなるが、毎月少ない額を無理なく支払うことができる。なお、支払終了後のＰＥＴシステム２５の所有権などの取扱は、契約により定められるものとする。
〔支払パターンの比較〕
次に、第６図は、医療機関２が年度ごとに支援者１に支払う金額を、高度医療機器２５を、購入、定額リース、本件方法の、３つ導入の仕方により導入した場合の支払いパターンを比較した図である。
実線で示す本件方法の場合は、初期の支払い（出費）を抑えることができるので、破線で示す購入（医療機関２が自前で購入）と比較した場合はもちろん、一点鎖線で示すリースの場合と比較しても、医療機関２は、高度医療機器２５を断然導入し易いことが判る。また、リースの場合は、導入後に検診者数が伸びないときでも契約時に決められた定額のリース料を支払わなければならないが、本件方法の場合は、導入後に検診者数が伸びないときでも検診者数に応じた支払いであるので、高度医療機器２５により得られる利益（売上など）の範囲内で支払いを行なうことも可能であり、医療機関２にとって負担が少なく大変都合がよい。よって、高度医療機器２５の医療機関２への導入が促進される。
ちなみに、第６図では、本件方法の支払期間がリース期間よりも長いように表現（設定）されているが、契約内容にもよるが、検診者数が多ければ、リースよりも支払いの終了（満了）期間を短くすることができる。しかも、期間を短くすれば、前記した説明の通り支払総額を少なくすることができるので、医療機関２の自己努力が促される。この点からも本件方法は優れているといえる。
〔エンジニアリング、機器の選定、各種計画の策定、各種契約など〕
ところで、医療機関２がＰＥＴシステム（高度医療機器）２５を導入するためには、購入の場合についていえば、第７図に示すように、エンジニアリング、運営計画策定、機器選定、運転・メンテナンス計画、機器の据付・調整、機器の立上げ、官庁申請、建物設計などを行なわなければならない。備品の調達も行なわなければならない。また、地方自治体への申請手続きなどや、金融機関、保険会社、運転会社などとの契約も行なわなければならない。これらは、専門の技術を必要とする大変な作業であったり、手間のかかる作業であったりする。なお、第７図は、医療機関２が高度医療機器２５を自前調達（購入）で導入するとした場合の契約関係・手続関係を模式的に示す図である。
同様に、リースの場合についていえば、第８図に示すように、地方自治体への固定資産税の支払い、金融機関からの融資・返済、保険会社との保険契約はリース会社が行なうものの、なおもエンジニアリング、運営計画策定、機器選定、運転・メンテナンス計画、機器の据付・調整、機器の立上げ、官庁申請、建物設計などを行なわなければならない。備品の調達も行なわなければならない。また、リース会社との契約もあるし、運転会社との契約もある。なお、第８図は、医療機関２が高度医療機器２５をリースで導入するとした場合の契約関係・手続関係を模式的に示す図である。
一方、本件方法についていえば、第９図に示すように、支援者１が、エンジニアリング、運営計画提案、機器調達、運転・メンテナンス計画提案、機器の立上げ支援、官庁申請支援、建物設計支援、ファイナンスなどのサービスを行なう。また、支援者１が、運転会社との契約、機器の売買契約、メンテナンス契約、地方自治体への固定資産税の支払い、保険会社との契約も行なう。従って、本件方法の場合は、医療機関２が行なうのは、支援者１との契約だけでよい。つまり、医療機関２は、購入（自前調達）の場合やリースの場合における種々の煩いから開放される。なお、第９図は、医療機関２が高度医療機器２５を本件方法で導入するとした場合の契約関係・手続関係を模式的に示す図である。
また、既に説明したように、この高度医療機器２５を医療機関２に貸し出す際に支援者１が行なうエンジニアリングなどのサービスの費用を、毎月支払う月額対価に含めることができる。なお、高度医療機器（ＰＥＴシステム）２５の導入に際して行なわれるエンジニアリングや運営計画提案などは、例えば以下の内容である。
（エンジニアリング）
ＰＥＴシステム２５には、薬剤合成に必要な核種製造装置（加速器２５１）、薬剤合成装置（合成装置２５２）、薬剤検定装置、ＰＥＴカメラシステム（カメラ２５３、画像解析装置）、その他各種付属機器が必要となる。それらの機器は、病院における検診内容及び研究の有無に大きく依存するものである。
エンジニアリングは、病院（医療機関２）の計画に応じて、最適な機器を選定すると共に、必要な付属機器も選定する。また、選定した機器を購入すると同時に、適切な工程及び品質管理の基で設置する。なお、機器選定提案もこのエンジニアリングに含めることができる。
（運営計画提案）
ＰＥＴ検診は、使用する放射性薬剤の種類、検診者数によって、薬剤合成・ＰＥＴカメラシステムのスケジュールが大きく異なる。ここでは、日、週、月、年間の運営スケジュールを、検診予定者数、使用薬剤の種類から最適化するための提案を行なう。
（運転・メンテナンス計画）
ＰＥＴシステム２５で使用する主要機器である核種製造装置（加速器２５１）、薬剤合成装置（合成装置２５２）、ＰＥＴカメラシステム（カメラ２５３、画像解析措置）などは、定期検査により常時、機器の信頼性を維持する必要がある。運転・メンテナンス計画は、そのために必要な定期検査の合理的な実施回数、年間の運転スケジュールを考慮した定期検査実施時期の設定及びその費用の低減策を計画する。
（官庁申請支援業務）
ＰＥＴシステム２５の運転にあたっては、文部科学省に対するＲＩ（Ｒａｄｉｏ Ｉｓｏｔｏｐｅ）使用許可申請、厚生労働省に対する診療放射線施設届けなど、種々の許認可申請が必要である。官庁申請支援業務では、申請書作成業務などを補助する。
（建物設計支援）
ＰＥＴシステム２５は、ＲＩ及び加速器２５１を使用する施設のため、「放射線障害防止法」に従った放射線遮蔽、密閉構造で設計する必要がある。また、薬剤製造施設であることから、日本核医学会と日本アイソトープ協会からでている管理基準に準拠した設計であることが望まれている。建物設計支援は、これらの各種基準をとりまとめて、建物設計に反映させると同時に、医療従事者の外部被曝をできるだけ最小にする配置計画などを実施する。
〔その他〕
なお、第１実施形態の説明において、「月額対価」をＰＥＴシステム全体として計算したが、加速器など構成機器ごとに計算するようにしてもよい。また、対価は月ごとではなく、半年ごとや１年ごと、あるいは１週間ごとに計算するようにしてもよい。また、支払終了（支払の満期）を設けることとしたが、ＰＥＴシステムが医療機関に設置されている限り、検診者数（稼動状況）に基づいた対価を支払うようにしてもよい。
以上説明した第１実施形態の高度医療機器導入支援サービス（高度医療機器の貸与料の計算方法、そのプログラム、高度医療機器導入支援システム）によれば次のような効果があり、医療機関への高度医療機器（ＰＥＴシステム）の導入が促進される。
即ち、支援者が高度医療機器を購入するので、医療機関は、大きな投資をすることなく高度医療機器による診療、健診などを行なえる。しかも、支援者が高度医療機器を購入するので、医療機関は、地方自治体に対する固定資産税の申告手続などの煩い、金融機関に対する資金調達などの煩い、保険会社に対する保険手続の煩いから開放される。さらに、支援者がエンジニアリング、各種計画の策定など、専門性・技術性を有する作業を行なう。このため、医療機関は、専門性・技術性を有する作業を行なわなければならないという大きな煩いからも開放される。
また、医療機関は、検診者数に応じた対価（月額対価、貸与料）を支援者に支払えばよいので、検診者数が少なければ支払う金額も少なくて済む。この点、検診者数などの高度医療機器の稼動状況に無関係に対価を支払わなければならない購入やリースとは異なる。このため、検診者数が伸びないために、高度医療機器から得られる収益が少ないときも、検診者数に応じた（収益に応じた）対価の支払いができるので、医療機関にとって大変都合がよい。
また、導入に際して行なうエンジニアリング、各種計画の策定などのサービスに対する対価を、医療機関の選択により、月額対価に含めることができる。つまり、エンジニアリングなどの費用も、検診者数（高度医療機器の稼動状況）に応じた支払いとすることができる。従って、導入時の費用の支出が抑制され、この点からも高度医療機器の医療機関への導入が促進される。
また、医療機関ごと、高度医療機器ごとに計算式が設定可能であり、多様なプランに対応して支援者に支払う対価を計算（設定）することができる。換言すると、支援者は、医療機関に対して多様なプランでの対価の支払いを可能とする。
また、検診者数に基づいて対価を計算するに際して、通信回線を介して検診者数を確実に入力することができる。また、検診者数は加速器の稼働時間、放射性薬剤の使用量などの稼動状況に簡単に置き換えることができる。
また、検診者数を送受することにより、支援者１は、統計データを作成することもできる。例えば、支援者１が複数の医療機関２のデータを集めて統計化することにより、検診者数の少ない医療機関２の問題点を浮き彫りにしたり、改善点を提案したりすることができる。
なお、高度医療機器の導入が促進されると、国民の健康増進、国家財政における医療費の支出の抑制につながるという公益的な効果も生じる。
≪第２実施形態≫
次に、本発明の第２実施形態を、図面を参照して詳細に説明する。
なお、第２実施形態は、高度医療機器としてのＰＥＴシステムの導入を検討している医療機関（貸与先）に対して、支援者（貸与元）が第１図及び第２図に示すイメージやスキームに基づいた導入プランを提示する実施形態に係るものである。ちなみにこの第２実施形態は、本発明の「高度医療機器の貸与料の計算方法」、「高度医療機器の貸与料の計算プログラム」、「高度医療機器導入支援方法」を具現化したものである。
以下の説明において、第１実施形態と重複する構成などについては同一の符号を付して、その説明を省略することとする。
〔高度医療機器導入支援サービス（プラン提示システム）〕
第１０図は、第２実施形態の高度医療機器導入支援サービスを実現するためのプラン提示システムの全体構成図である。医療機関２に対してＰＥＴシステムの導入プランの提示を行なう貸与額試算サーバ１２は、第１０図に示すように、処理装置１２１、記憶装置１２２、入出力装置１２３、通信装置１２４を含んで構成される。貸与額試算サーバ１２は、ＰＥＴシステム（第２図の符号２５参照）の導入を検討する者（医療機関２）や、ＰＥＴシステムの導入を医療機関２に説明する者が操作するＷｅｂ端末２２からの依頼（機器選定要求）に対して、ＰＥＴシステムの機器の構成案を選定して提示する機能（機器構成案提示機能）を有する。また、Ｗｅｂ端末２２からの依頼に対して、年度別の貸与料を計算（額試算）してＷｅｂ端末２２に回答する機能（額試算回答機能）を有する。なお、貸与額試算サーバ１２には、Ｗｅｂ端末２２との情報の送受信を可能とするためのＷＷＷ（Ｗｏｒｌｄ Ｗｉｄｅ Ｗｅｂ）サーバプログラムが、ＣＰＵやＲＡＭなどから構成される処理装置１２１に起動・展開している。ちなみに、Ｗｅｂ端末２２には、閲覧用のブラウザソフトがインストールされているものとする。
貸与額試算サーバ１２のハードディスクなどから構成される記憶装置１２２には、後で説明する第１１図〜第１４図に示すような情報が記憶されている。ルータなどから構成される通信装置１２４は、インターネットでの情報の送受信を可能とするため、ＴＣＰ／ＩＰ（Ｔｒａｎｓｐｏｒｔ Ｃｏｎｔｒｏｌ Ｐｒｏｔｏｃｏｌ／Ｉｎｔｅｒｎｅｔ Ｐｒｏｔｏｃｏｌ）による通信をサポートする機能を有する。
（機器情報）
ここで、第１１図〜第１４図を説明する。
第１１図は、貸与額試算サーバ１２の記憶装置１２２に記憶された粒子発生装置（第２図の加速器２５１に相当）に関する機器情報を示す。この第１１図に示すように、粒子発生装置に関しては、粒子発生数（単位時間当たり）、ＲＩの種類、電源容量、金額、設置面積及び重量が機器情報として複数の粒子発生装置Ａ、Ｂ、…各々に対して記憶されている。なお、第１１図の粒子発生装置Ａ、Ｂ、…は、加速器のメーカ名と型式番号を示す情報であり、ここでは機器特定情報と呼ぶ。
第１２図〜第１４図は、貸与額試算サーバ１２の記憶装置１２２に記憶されたそれぞれ合成装置、カメラ及び画像処理装置に関する機器情報を示す図であり、第１２図に示すように、合成装置（第２図の符号２５２参照）に関しては、薬剤の種類、薬剤の生成効率、処理時間、電源容量、金額、設置面積及び重量が記憶されている。また、第１３図に示すように、カメラ（第２図の符号２５３参照）に関しては、感度、分解能、信号処理時間、金額、設置面積及び重量が記憶されている。さらに、第１４図に示すように、画像処理装置に関しては、画像処理時間、主メモリの容量、金額、設置面積及び重量が記憶されている。なお、第１実施形態では、画像処理装置はカメラの構成の一部として記載した。
このように、記憶装置１２２には、ＰＥＴシステムの装置ごとに金額、処理能力、設置面積、重量などの情報が記憶されている。なお、第１１図〜第１４図の機器情報は一例であり、機器情報として設定される項目やその内容はこれに限られるものではない。
〔高度医療機器の選定・支払プラン提示に係る動作〕
以下、医療機関２がＰＥＴシステム（高度医療機器）の導入を検討する場合を、第１５図のシーケンスチャートに基づいて、第１１図〜第１４図、第１６図〜第１８図を参照して説明する。
まず、支援者１は、特定のメーカに偏ることなく、いろいろなメーカや代理店などから最新の機器情報を広く収集し、これを第１１図〜第１４図に示すようなフォーマットで記憶装置１２２に記憶する（Ｓ２０１，Ｓ２０２）。もちろん、特定のメーカの機器情報のみを記憶するものとしてもよい。次に、医療機関２から支援者１に対してＰＥＴシステムの構成案の提示を依頼（機器選定要求）する。本実施形態では、支援者１が貸与額試算サーバ１２をＷｅｂサーバとしてホームページを開設しているので、医療機関２は、そのホームページ上でＰＥＴシステムに対する要求（条件）を入力して支援者１にシステム構成案の提示を依頼する（機器選定要求情報の送信、Ｓ２０３）。そして、その条件に適合した機器を貸与額試算サーバ１２が選定し（Ｓ２０４）、選定したＰＥＴシステムに関する情報をＷｅｂ端末２２に送信する（選定機器情報の送信、Ｓ２０５）。
ここで、第１５図のステップＳ２０３〜Ｓ２０５で行なわれる処理を、第１０図〜第１４図、第１６図〜第１８図を参照して説明する。
第１６図は、支援者１が開設しているホームページの初期画面を示し、医療機関２から支援者１のホームページにアクセスしたときに医療機関２のＷｅｂ端末２２の図示しない入出力装置に接続されたモニタに表示されるものである。第１６図に示すように、初期画面上には「ＰＥＴシステム構成案提示依頼」という文字が表示され、その文字をマウスポインタでクリックすることにより条件入力画面が現われる。
第１７図は、入力選択画面を示す。この図に示すように、条件入力の第１段階として「ＰＥＴシステム全体の条件を設定」と「機器ごとの条件を設定」の２つを表示させ、条件の設定をＰＥＴシステム全体に対して行なうか、機器ごとに行なうかをマウスポインタによるクリックで選択する。なお、第１７図の画面において、「戻る」をクリックすると１つ前の画面（ここでは第１６図）が表示され、「Ｔｏｐへ」をクリックすると常に第１６図に示す初期画面が表示される。これは以下に説明する各表示画面においても同様である。
第１７図の表示画面において「ＰＥＴシステム全体の条件を設定」が選択されると、次に第１８図に示すＰＥＴシステム全体の条件設定画面が表示される。第１８図に示すように、この画面では条件として「予算」、「検診人数」、「設置面積」及び「重量」という文字が表示されると共に、数字を入力するための入力欄が表示される。更にその横には、各条件の優先順位を入力するための入力欄が設けられている。この画面において、Ｗｅｂ端末２２の操作者は、マウスポインタにより入力欄をクリックするとその入力欄に数字が入力可能となるので、各条件を設定すると共に、どの条件を優先すべきかを示す優先順位を設定する。なお、数値が入力されていない条件については、貸与額試算サーバ１２はその条件についての要求がないものとして扱う。このように条件及び優先順位の設定が完了したら、マウスポインタにより「決定」をクリックする。
条件入力画面において「決定」がクリックされると、その時点で入力されている条件と優先順位の情報（以下「機器選定要求情報」という）が支援者１の対価貸与額試算サーバ１２に送信され（機器選定要求情報の送信、Ｓ２０３）、処理装置１２１は送信された機器選定要求情報を記憶装置１２２に記憶させる。また、処理装置１２１は、記憶装置１２２に記憶させた機器選定要求情報から優先順位の一番高い条件を確認する。また、処理装置１２１は、条件と優先順位にマッチした粒子発生装置、合成装置、カメラ、画像装置を含んだＰＥＴシステムの組合せを全て抽出する（機器選定、Ｓ２０４）。
処理装置１２１は、システム構成案の抽出処理が終了したら、その時点で記憶装置１２２に記憶されているシステム構成案を表にまとめ、表情報（選定機器情報）として記憶装置１２２に表Ｎｏ．を付けて記憶させると共に、医療機関２のＷｅｂ端末２２に送信する（Ｓ２０５）。第１９図にシステム構成案をまとめた表を示す。第１９図に示すように、この選定機器情報たる表には、選択された各機器の機器特定情報（粒子発生装置Ａ、Ｂ、…）、１日の検診可能人数、総額、総設置面積及び総重量を表示する欄が設けられており、各欄にはシステム構成案と共に記憶されている情報が記入される。表情報が与えられたＷｅｂ端末２２は、表情報に基づいて図示しないモニタのブラウザ画面に第１９図に示す表を表示させる。医療機関２では、モニタに表示された表を参考にして、導入するＰＥＴシステムの構成を検討する。
第１９図のシステム構成案Ｎｏ．の欄の各番号はリンク設定されており、番号をマウスポインタでクリック（ＰＥＴシステム選択決定）すると第２０図に示す画面が表示されるようになっている。第２０図は、貸与額試算条件入力画面である。第２０図に示すようにこの画面は、システム構成案Ｎｏ．、総額、注意書きが表示されている。また、年度別の検診者数（想定される期間ごとの稼動状況）を入力する年度別検診者数入力欄が設けられている。この検診者数入力欄は、マウスポインタでクリックした後、例えば、初年度の欄には５（人数／日）、２年度の欄には７（人数／日）などと、見込みの数値を順次入力して行く。入力が完了したら、マウスポインタにより「決定」をクリックする。
説明を第１５図に戻す（適宜図１０など参照）。
「決定」をクリックすると、クリックした番号の情報（ＰＥＴシステム選択決定情報）と入力した年度別検診者数を含む貸与額試算設定情報が、第１５図に示すように、Ｗｅｂ端末２２から貸与額試算サーバ１２に送信される（Ｓ２０６）。貸与額試算サーバ１２は、貸与額試算設定情報を受信すると貸与額の計算を、ＣＧＩ（Ｃｏｍｍｏｎ Ｇａｔｅ−ｗａｙ Ｉｎｔｅｒｆａｃｅ）処理により行なう（額試算、Ｓ２０７）。なお、ここでの貸与額の計算は、第１実施形態で説明した式（１）〜式（５）を用いて、第１実施形態と同様にして行なわれる。ここで、式（５）は「月額対価」を算出するものであるから、月ごとに「月額対価」が計算される。「月額対価」は１２ヶ月分をまとめることで貸与額としての「年度別支払額」に変換される。ちなみに、式（１）〜式（５）は、顧客（医療機関２）の要望に応じて、Ｗｅｂ端末２２の側から計算式のパラメータ（例えば係数Ｋ）を設定することができるようにしてあってもよい。
また、貸与額試算サーバ１２は、選択決定されたＰＥＴシステムを購入した場合と、定額リースの場合の年度別支払額を、同様にＣＧＩ処理により計算する。
計算（額試算）した、購入の場合の年度別支払額、定額リースの場合の年度別支払額、本件方法（高度医療機器貸出支援方法）の場合の年度別支払額のデータとこれらをグラフ表示するＷｅｂページを共に、支払プラン情報としてＷｅｂ端末２２に送信する（Ｓ２０８）。
Ｗｅｂ端末２２には、第１実施形態で参照した第６図のグラフが画面表示される。これにより、ＰＥＴシステムを貸与される医療機関２は、対価をどのように支払えばよいのかが、購入の場合、リースの場合と対比して理解される。このグラフから、本プラン（本件方法）による場合は、初期投資を大幅に押さえることができるのが一目瞭然で判る。もちろん、初期から稼働率が高ければ、その分多くの対価を無理なく支援者１に支払うことができる。
〔その他〕
（変形例１）
なお、第２０図において「決定」をマウスポインタでクリックすると、Ｗｅｂ端末２２上で額試算（本件方法の試算、必要に応じて購入及びリースの試算）を行なうと共にその結果をグラフ化する小さなプログラム（アプレット）を貸与額試算サーバ１２がＷｅｂ端末２２に送信し、前記した貸与額試算サーバ１２側のＣＧＩ処理によらずとも、Ｗｅｂ端末２２側にて、額試算とその結果のグラフ化を行なうようにしてもよい。再度の額試算やグラフ化の処理が、通信回線を介さないで行なえる分、早くなるからである。また、第２０図において、Ｗｅｂ端末２２で年度別の検診者数（見込みの値）を入力する操作を省いて、貸与額試算サーバ１２の側で年度別の検診者数を設定（標準パターンを設定）するようにしてもよい。
（変形例２）
また、第２実施形態では、例えば営業マンが携帯できるようなノート型のコンピュータに、第１１図〜第１４図に示されるような情報を記憶し、さらに、額試算を行なうための計算式（第１実施形態の式（１）〜式（５））を記憶し、通信回線としてのインターネットを介して貸与額試算サーバ１２にアクセスすることなく、機器の選定及び額試算を行なえるように構成してもよい。つまり、ノート型のコンピュータに、貸与額試算サーバ１２が有している機器構成提示機能、額試算回答機能を持たせてもよい。併せて、額試算の結果をグラフ化する機能を持たせてもよい。
（変形例３）
また、第２実施形態では、貸与額試算サーバ１２が第１１図〜第１４図に示される機器情報を参照してＰＥＴシステムの提案を行なうこととしたが（貸与額試算サーバ１２がいわば見積りを行なうこととしたが）、第２１図（ａ）（ｂ）に示すように、予めメーカなどから取っておいた見積り額を、直接Ｗｅｂ端末２２から入力して、額試算結果をＷｅｂ端末２２のモニタにグラフ表示するようにしてもよい。つまり、貸与額試算サーバ１２が第１１図〜第１４図に示すような機器情報を記憶し、第１６図〜第１９図に示されるような機器の選定を行なうことを省く構成としてもよい（請求の範囲における「高度医療機器の貸与料の計算プログラム」に相当）。
ここで、第２１図（ａ）は、年間費用（貸与額）の額試算の条件を入力する表示画面である。この第２１図（ａ）では、１．導入ＰＥＴシステムの価格を入力（加速器、合成装置、カメラ、画像解析装置）し、２．耐用年数を入力し、３．リース期間とリース料を入力し、４．減価償却方法を定率か定額かのチェックボックスにチェックマークを付け、計算ボタンをマウスでクリックする。リース期間とリース料は予めリース会社に見積りを取っておいて入力するか、妥当なリース期間とリース料を適宜入力する。また、額試算の条件としての機器の金額は、例えば予め機器メーカなどから見積りを取っておく。
第２１図（ａ）の計算ボタンをマウスでクリックすると、次の第２１図（ｂ）の額試算結果をグラフ化した画面が表示される。この第２１図（ｂ）は、第６図と同様の図であり、医療機関２にとって、導入初期における出費が少なくて済むことがわかる。なお、第２１図（ａ）（ｂ）の両画面は、第２実施形態でいえばＷｅｂ端末２２に表示されるものである。
また、第２実施形態では、第２２図に示すように、建物設計支援などの見積りを、Ｗｅｂ端末２２を介して支援者１に依頼できるようにしておいてもよい。なお、第２２図では、依頼する項目のチェックボックスにチェックを付け、詳細設定ボタンをマウスでクリックすると、見積り依頼の詳細設定ができるようになっている。
（変形例４）
同様に第２実施形態では、第２３図に示すように、運転・メンテナンス計画提案の見積りを、Ｗｅｂ端末２２を介して支援者１に依頼できるようにしておいてもよい。なお、第２３図でも、依頼する項目のチェックボックスにチェックを付け、詳細設定ボタンをマウスでクリックすると、見積り依頼の詳細設定ができるようになっている。
（変形例５）
また、第２実施形態では、第１６図に画面で示されるように、「ＰＥＴシステム発注依頼」という文字をマウスでクリックすると、選定した機器を本方法の導入プランに基づいて発注することができるようにしてあってもよい。
以上説明したこの第２実施形態によれば次のような効果があり、医療機関への高度医療機器（高額医療機器）の導入が促進される。
即ち、医療機関の要望に応じた高度医療機器（ＰＥＴシステム）の選定を、インターネットを介して行なうことができる。このため、機器選定という大きな負担のかかる作業の工数を、大幅に削減することができる。
つまり、病院や検診施設などの医療機関において高度医療機器を導入する場合、高度医療機器を構成する機器の選定や機器メーカへの発注などを行なわなければならないが、そのためには各機器メーカの製品について性能や金額などを逐一調査しなければならず、高度医療機器導入時の医療機関の負担は非常に大きかった。殊に、ＰＥＴシステムの場合、ユーザとなる医療機関が、電子・機械・情報処理などの技術を駆使したＰＥＴシステムの各機器の性能を把握して、必要とされる適切な機器を選定することは容易ではなかった。しかし、この第２実施形態によれば、ＰＥＴシステムの機器を容易に選定することができる。
なお、機器の選定に際しては、入力する情報量が少なくても、貸与額試算サーバが医療機関の要求を満足する高度医療機器のシステム構成を、金額を含めて提示する。よって、医療機関などは希望に添ったシステム構成の提案と見積りを、労力をかけずに簡単に取ることができる。しかも、機器が特定のメーカのものに偏ることがないので、医療機関として選択範囲が広がり非常に都合がよい。
また、高度医療機器の価格が判ったところで、本件方法による導入プランでの支払パターンを知ることができる。しかも、本件方法と購入とリースとを比較することができるので、医療機関はどのようにして高度医療機器を導入するかを適切に決定することができる。また、比較は、Ｗｅｂ端末に表示されたグラフにより行なうことができる。よって、視覚的に導入プランを検討することができる。また、貸与額試算サーバから額試算及び結果をグラフ化するアプレットを送信すると、再試算、再グラフ化（グラフの更新）を迅速に行なうことができる。よって、高度医療機器の導入を検討している医療機関や販売を行なっている営業マンなどは、能率よく導入の検討や説明を行なうことができる。
産業上の利用可能性
以上説明した通り、本発明は以下の優れた効果を奏する。即ち、本発明によれば、高度医療機器の医療機関への導入が促進される。
【図面の簡単な説明】
第１図は、本発明に係る第１実施形態の高度医療機器導入支援方法などにより実現される高度医療機器導入支援サービスのイメージを模式的に示した図である。
第２図は、本発明に係る第１実施形態の高度医療機器導入支援サービスのスキームを模式的に示す図である。
第３図は、本発明に係る第１実施形態の高度医療機器導入支援サービスを実現するための支援システムの全体構成を示すブロック図である。
第４図は、対価の計算・支払いに係るシーケンスチャートである。
第５図は、第３図の支援サーバの対価の計算に係る動作を説明するフローチャートである。
第６図は、第２図の医療機関が年度ごとに支援者に支払う金額を、高度医療機器を、購入、定額リース、本件方法の、３つ導入の仕方により導入した場合の支払いパターンを比較した図である。
第７図は、医療機関が高度医療機器を自前調達（購入）で導入するとした場合の契約関係・手続関係を模式的に示す図である。
第８図は、医療機関が高度医療機器をリースで導入するとした場合の契約関係・手続関係を模式的に示す図である。
第９図は、医療機関が高度医療機器を第１図及び第２図の本件方法で導入するとした場合の契約関係・手続関係を模式的に示す図である。
第１０図は、本発明に係る第２実施形態の高度医療機器導入支援サービスを実現するためのプラン提示システムの構成図である。
第１１図は、第１０図に示す貸与額試算サーバの記憶装置に記憶された粒子発生装置に関する機器情報を示す図である。
第１２図は、第１０図に示す貸与額試算サーバの記憶装置に記憶された合成装置に関する機器情報を示す図である。
第１３図は、第１０図に示す貸与額試算サーバの記憶装置に記憶されたカメラに関する機器情報を示す図である。
第１４図は、第１０図に示す貸与額試算サーバの記憶装置に記憶された画像処理装置に関する機器情報を示す図である。
第１５図は、第１０図に示す貸与額試算サーバとＷｅｂ端末とで行なわれる処理を示すシーケンスチャートである。
第１６図は、支援者が開設しているホームページの初期画面を示す図である。
第１７図は、入力選択画面を示す図である。
第１８図は、ＰＥＴシステム全体の条件設定画面を示す図である。
第１９図は、抽出されたシステム構成案を表にまとめた図である。
第２０図は、貸与額試算条件入力画面である。
第２１図は、（ａ）は年間費用（貸与額）の額試算の条件を入力する表示画面を示す図である。（ｂ）は額試算結果をグラフ化した画面を示す図である。
第２２図は、建物設計支援などの見積り依頼を受け付ける際に用いられる表示画面を示す図である。
第２３図は、運転・メンテナンス提案の見積り依頼を受け付ける際に用いられる表示画面を示す図である。 Technical field
The present invention can contribute to the promotion of introduction of advanced medical equipment to medical institutions such as hospitals, a method for calculating a rental fee for advanced medical equipment, a program thereof, an advanced medical equipment introduction support system, and an advanced medical equipment introduction support method About.
Background art
In recent years, advanced medical devices have attracted attention. For example, PET (Positron Emission Tomography: positron emission tomography [tomographic apparatus]) using a radiopharmaceutical is drawing attention as an advanced medical device for screening for cancer. This cancer screening by PET is described in detail in “PET Communication 1999 SUMMER No. 27”, pages 1 to 14, published by Advanced Medical Technology Research Institute.
The introduction of a PET system for performing cancer screening by PET is being considered in medical institutions such as hospitals, clinics, and screening facilities because cancer can be detected at an early stage. When introducing, there are cases where a medical institution purchases and introduces an advanced medical device on its own, or introduces it with a lease.
However, advanced medical devices such as a PET system are very expensive because, for example, advanced medical treatment is realized by making full use of radiation technology and high technology. That is, the advanced medical device can be said to be an expensive medical device. For this reason, it is not possible to easily introduce advanced medical devices, except in the case where funds are abundant.
In addition, when a medical institution purchases advanced medical equipment on its own, engineering, operation plan, equipment selection, operation / maintenance plan formulation, start-up, submission of various documents to the government office (application for government office), and building design There must be.
By the way, since advanced medical devices such as PET can detect cancer very early, for example, it becomes possible to reduce the total treatment cost (that is, the financial burden on the patient) cheaper than the case where cancer is not detected early. . This is very favorable not only from the patient's household but also from the viewpoint of the national economy. In addition, if advanced medical equipment can treat intractable diseases that were impossible in the past, it will greatly reduce the burden on the caregiver and eliminate the burden at all. There is. It is also very convenient if advanced medical equipment can predict disease in advance. Therefore, it is necessary to promote the introduction of advanced medical equipment.
Disclosure of the invention
Therefore, the present invention provides a method for calculating a rental fee for an advanced medical device, its program, an advanced medical device introduction support system, and an advanced medical device introduction support method that can promote the introduction of an expensive advanced medical device. This is the main issue.
In the present invention that solves the above-mentioned problems, the medical institution is lent (rented) with advanced medical equipment to perform medical work, and the person who lent (rented) advanced medical equipment pays the rental fee (consideration). This rental fee (consideration) is calculated based on the price of advanced medical equipment and the operation status after introduction, thereby promoting and supporting the introduction of advanced medical equipment to medical institutions.
The “medical institution” is, for example, a hospital, a clinic, a sanatorium, a research institute, etc., and performs medical examinations, treatments, medical examinations, researches, etc. using advanced medical equipment. The “advanced medical device” includes PET, heavy particle beam irradiation device, MRI (Magnetic Resonance Imaging) and the like.
Further, “lending to a medical institution” includes both cases of actual lending and cases of lending in the future. The loan fee calculated when lending in the future has a position as, for example, trial calculation or simulation.
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings.
<< First Embodiment >>
First, a first embodiment of the present invention will be described in detail with reference to the drawings.
In addition, 1st Embodiment concerns on embodiment regarding payment of the consideration (lending fee) to the supporter of a medical institution (lending destination) after introduce | transducing advanced medical equipment lent from a supporter (lending origin). Is. Incidentally, the first embodiment of the present invention includes a “calculation method for a rental fee for an advanced medical device”, a “calculation program for a rental fee for an advanced medical device (excluding a graphed portion)”, and an “advanced medical device introduction support system”. Is embodied.
[Advanced medical equipment introduction support service]
First, an advanced medical device introduction support service (advanced medical support service) realized by the advanced medical device introduction support method will be described with reference to FIG.
FIG. 1 is a diagram schematically showing an image of an advanced medical device introduction support service realized by an advanced medical device introduction support method or the like.
(supporter)
The supporter 1 shown in FIG. 1 has financial power and technical power, and provides the medical institution 2 with high-level medical equipment, operation service and maintenance service with high financial power and technical power. An organization that provides introduction support services.
The supporter 1 receives a consideration (lending fee) from the medical institution 2 by providing (lent) the advanced medical device to the medical institution 2. In addition, the supporter 1 receives compensation from the medical institution 2 by providing an operation service and a maintenance service. The cost of services (services) performed at the time of introduction can be included in the loan fee. Services provided at the time of introduction include, for example, engineering, operation plan proposal, equipment selection proposal, operation / maintenance plan proposal, government application support, and building design support. For example, engineering requires specialized knowledge and technology, and the medical institution 2 does not have it. In addition, the application for the government office is a troublesome work for the medical institution 2.
(Medical institution)
The medical institution 2 shown in FIG. 1 has medical staff, medical technology, and land / building, and is provided with advanced medical equipment and operation services and maintenance services as needed from the supporter 1 for medical examination. It is an organization that provides advanced medical services to people and patients.
Specifically, the medical institution 2 is a hospital or the like, and performs examination / diagnosis of a patient using an advanced medical device provided (lent) by the supporter 1 and introduced. In addition, we will examine and diagnose patients introduced by neighboring medical institutions. Furthermore, a health checkup (medical checkup) is performed. For example, for a medical practice subject to insurance, the medical institution 2 obtains a medical fee by submitting a medical fee bill (receipt) to the Social Insurance Medical Fund or the Federation of National Health Insurance Organizations. In addition, as a free medical treatment, the full amount of compensation is obtained from patients and the like. For patients, etc., who receive highly advanced medical care at a specially approved insurance medical institution, the special medical expenses system is applied to the portion excluding advanced medical technology (special fee [own expense]), and health insurance is provided. listen.
Next, the advanced medical equipment introduction support service will be further described with reference to FIG.
FIG. 2 is a diagram schematically showing a scheme of an advanced medical device introduction support service. The advanced medical device 25 here is a PET system. Incidentally, the PET system 25 has a system configuration including an accelerator 251, a synthesizing device 252, and a camera 253 instead of a single device / apparatus.
The supporter 1 shown in FIG. 2 provides (lends) the PET system 25 procured in consideration of the request of the medical institution 2 to the medical institution 2. Further, the supporter 1 performs operation and maintenance of the accelerator 251, maintenance of the synthesizing device 252, and maintenance of the camera 253 based on an agreement or contract with the medical institution 2. The supporter 1 provides an engineer and an operation manager for driving the accelerator 251. Incidentally, since the operation of the synthesizer 252 corresponds to the manufacture of pharmaceuticals and the operation of the camera 253 corresponds to a diagnostic act, the supporter 1 does not perform the operation. Further, the supporter 1 does not provide an engineer and an operation manager for the synthesis device 252 and the camera 253.
The medical institution 2 shown in FIG. 2 synthesizes the PET system 25 provided by the supporter 1 using the positron emitting nuclide (for example, 18F [fluorine 18]) obtained as a result of the supporter 1 operating the accelerator 251 as a raw material. The apparatus 252 is operated to produce (pharmaceutical) a pharmaceutical product (for example, FDG [fluorodeoxytyglucose]) as a radiopharmaceutical containing a positron emitting nuclide. The medical institution 2 administers the manufactured medicine to a patient and the like, and then operates (manipulates) the camera 253 to take a tomographic photograph to make a diagnosis. In the medical institution 2, pharmaceuticals operating the synthesizer 252 and photography and diagnosis by operating the camera 253 are doctors, medical radiographers, nurses, and pharmacists. In the scheme of FIG. 2, the land / building where the PET system 25 is installed is that of the medical institution 2.
The medical institution 2 obtains research income as a result of using the PET system 25. As clinical income, insurance reward (medical fee), highly advanced fee, and medical fee (free medical fee) are obtained. These are the funds for payment of the consideration (loan fee).
[Calculation and payment of consideration (support system)]
The medical institution 2 pays the supporter 1 the consideration (rental fee) lent to the PET system 25. In other words, the supporter 1 receives payment from the medical institution 2 for the value of the PET system 25 lent to the medical institution 2.
Hereinafter, calculation and payment (acquisition) of consideration in the advanced medical device introduction support service will be described in detail.
FIG. 3 is a block diagram showing the overall configuration of a support system for realizing an advanced medical device introduction support service.
As shown in FIG. 3, the support system is a system having a support server 11 managed by the supporter 1 as a core, and terminals 21 of a plurality of medical institutions 2 are connected via a communication line. The support server 11 corresponds to the “advanced medical device introduction support system” in the claims.
In FIG. 3, reference numeral 111 is a processing device of the support server 11, reference numeral 112 is the storage device, reference numeral 113 is the input / output device, and reference numeral 114 is the communication device. Reference numeral 211 denotes a processing device of the terminal 21, reference numeral 212 denotes the storage device, reference numeral 213 denotes the input / output device, and reference numeral 214 denotes the communication device. The symbol CN is a counter that counts the number of examiners.
A program for calculating “monthly consideration” based on the number of examiners transmitted by the terminal 21 of the medical institution 2 is activated and deployed in the processing device 111 configured by the CPU, RAM, and the like of the support server 11. This program calculates and sets the “lending fee for each period” and “the final number of payments” in the claims. The function of this program will be described in detail later with reference to flowcharts and the like. The “period” is a month in this embodiment, but may be a week, a year, a half year, a quarter, or the like. The storage device 112 including the hard disk of the support server 11 stores a calculation formula for calculating “monthly consideration”. This storage device 112 corresponds to “calculation formula storage means” in the claims. By the way, the calculation formulas are roughly divided into formulas for calculating “total payment (total price)” and calculation formulas for calculating “monthly consideration” to be paid monthly.
(a formula)
“Total payment (total price)” is calculated by the following calculation formula as an example.
(1) Total payment = purchase amount of advanced medical equipment + margin + service consideration + interest
(2) Margin = f (total number of payments)
(3) Interest rate = f (total number of payments)
(4) Total number of payments = INT ([Previous value of total payment-Amount paid] / Average monthly consideration for the past 6 months) + Number of payments already made
However, until the second year, the total number of payments = 72
Here, “service consideration” is the cost of services such as engineering performed by the supporter 1 when the PET system 25 is introduced. “Margin” is a fee for supporter 1, but in equation (2), “margin” is set to increase as “total number of payments” increases. “Interest rate” is also set to increase as “total number of payments” increases in equation (3).
Note that the “total number of payments” in the formulas (2) and (3) is set to 72 times (6 years) as a provisional initial value, for example, until the second year, as in the formula (4). From the 3rd fiscal year onward, the “total payments” will be estimated using the formula based on the “previous value of total payment”, “paid amount”, “average monthly payment over the past 6 months”, and “number of payments” It is. However, the “total number of payments” here is a variable used only for setting “margin” and “interest amount”. In addition, there are two variables, “the previous value of total payment” and “total payment” because “total payment” varies depending on “total number of payments”.
Incidentally, the “purchase amount of advanced medical equipment” and “consideration for service” are fixed values in this embodiment.
In the first embodiment, payment of the consideration (monthly consideration) is performed every month. This “monthly consideration” is calculated by the following calculation formula as an example.
(5) Monthly consideration = K x number of examinees
Here, K is a coefficient (yen / month / person).
In the first embodiment, this “monthly consideration” calculation formula is individually set for each customer (medical institution) 2 or for each advanced medical device (PET system) 25, and the value of K is the medical institution 2 or Depending on the PET system 25, it may be different. Note that K is, for example, sales (or profit) as the medical institution 2 per examiner, or a coefficient related to the sales.
In addition, depending on the medical institution 2 (or PET system 25), the “monthly consideration” may be a fixed and pay-as-you-go system such as “basic monthly fee + K ′ × number of examinees”, or an incentive term is added. Or In addition, depending on the medical institution 2 (or the PET system 25), the “number of examiners” may be the operating time of the devices constituting the PET system 25 (for example, the operating time of the accelerator 251). How to calculate “monthly consideration” depends on the contract between the supporter 1 and the medical institution 2.
By the way, in the present embodiment, the “monthly consideration” is set to increase as the “number of examiners” increases (see formula (5)). In addition, when the “monthly consideration” to be paid increases, it is natural that the “total number of payments” (payment period) can be reduced (see Expression (4)). If the “total number of payments” can be reduced, the “margin” and “interest amount” are reduced and calculated by equation (1), as can be seen from equations (2) and (3). This is convenient for the medical institution 2. Incidentally, the reason that the “margin” and “interest amount” can be reduced by reducing the “total number of payments” is because the supporter 1 can quickly collect funds.
When the processing device 211 of the terminal 21 of the medical institution 2 shown in FIG. 3 reaches a predetermined time (for example, the 20th day of each month [squeezing day]), the examination of the examiner number counter CN is performed as the operation status of each period of the PET system 25. A program that acquires the number of persons and transmits this information to the support server 11 as number-of-examiner information is developed. The number-of-examiner information transmitted to the support server 11 has the following format. The medical institution ID is unique for each medical institution 2. The number of examiners is the difference between the current value and the previous value of the examiner number counter CN. The previous value is the number of the examiner counter CN on the previous data collection date (for example, the previous month 20th). The number of examiners is not for each camera even when there are a plurality of cameras 253 but for the medical institution 2 as a whole. Of course, the number of examiners for each camera 253 may be used. Note that the number of examiners may be a manually input value or a value managed by the business processing system of the medical institution 2.

[Operations related to calculation / payment of consideration]
Next, operations related to calculation / payment of consideration will be described with reference to FIG. 4 and FIG.
FIG. 4 is a sequence chart relating to calculation of consideration. FIG. 5 is a flowchart for explaining the operation of the support server 11 related to the calculation of the consideration.
As shown in FIG. 4, the support server 11 receives the number of examiners transmitted in S11. Then, the “monthly consideration” is calculated based on the number-of-examination information received in S12, and the calculated “monthly consideration” is notified to the medical institution 2 in S13. Receiving the notification, the medical institution 2 pays the “monthly consideration” in S14 and notifies the support server 11 of this (payment notification, S15). The reason why the support server 11 notifies the amount of the “monthly consideration” in advance is that the “monthly consideration” is not fixed but is calculated each time. Of course, the “monthly consideration” notification may be omitted. In addition, reception of the number-of-examinee information corresponds to “a step of acquiring the operation status for each period of the advanced medical device as a calculation element of the rental fee” in the claims.
The process of S12 of FIG. 4 executed by the processing device 111 will be described in detail with reference to the flowchart of FIG. That is, in S12 of FIG. 4, the process described below is performed (a program for calculating a loan fee is executed).
First, the support server 11 receives the number-of-examiner information (S121), and based on the medical institution ID included in the number-of-examiner information, “paid amount”, “number of paid” stored in the storage device 112. , “Previous value of total payment” is acquired (S122). Subsequently, formulas (1) to (4) for calculating “total payment (current value)” based on the medical institution ID are acquired, and “total payment (current value)” is calculated (S123). The medical institution ID and the calculation formula are associated with each other and stored in the storage device 112 of the support server 11.
In the storage device 112, “purchased amount of advanced medical equipment” and “service price” are stored in advance in association with the medical institution ID via the input / output device 113 and the communication device 114 ( Have been acquired).
Next, the “monthly consideration” to be paid this time is calculated in S124. “Monthly consideration” is calculated as follows. That is, the formula (5) for calculating the “monthly consideration” based on the medical institution ID is acquired from the storage device 112, and the “number of examiners” included in the number of examiners received in S121 in this formula (5). To calculate "monthly consideration".
When calculating the “monthly consideration”, the processing device 111 determines whether or not the current payment is the final payment from “monthly consideration”, “paid amount”, and “total payment” in S125. Specifically, it is determined whether or not “monthly consideration” + “paid amount” <“total payment (current value)”, and if the left side of the inequality is less than the “total payment” on the right side (YES) The “monthly consideration” calculated in S124 is notified to the medical institution 2 as an official “monthly consideration” (S126). If there is a payment corresponding to the notification, the “paid amount” is updated after confirming the payment (S127). Then, the “paid number of payments” is incremented (S128) and stored, and in S121, reception of the number of examiners for the medical institution 2 is awaited.
On the other hand, if the left side of the inequality is greater than or equal to the “total payment” on the right side in S125 (NO), the “monthly consideration” is recalculated in S129, and the recalculated “monthly consideration” is notified to the medical institution 2. The calculation formula is “monthly consideration” = “total payment” − “paid amount”. That is, in S129, the sum of the “monthly consideration” and the “paid amount” does not exceed the “total payment”. In S129, the medical institution 2 is also notified that the current payment is the final payment. When there is a payment from the medical institution 2, after the payment is confirmed, the “paid amount” is updated and “payment end” is set (S130, final setting). If “end of payment” is set, the next processing is not performed.
In this way, payment of “monthly consideration” is performed each time, and “payment end” is set. According to the payment of the “monthly consideration”, the “total payment” increases as the “monthly consideration” to be paid increases, which is convenient for the medical institution 2. On the other hand, if the “number of examiners” is small, income from the PET system (advanced medical equipment) 25 is also small, but since the “monthly consideration” paid to the supporter 1 every month is small, it is convenient for the medical institution 2. Good. In addition, since the calculation formula can be set for each medical institution 2 (or advanced medical device 25), various payment plans can be set for each medical institution 2 (or advanced medical device 25). Convenient for. In other words, in this example, “total payment” and “monthly consideration” are calculated using the equations (1) to (5), but the coefficient K varies depending on the medical institution 2 and the advanced medical device 25. Or the formula itself can be different. By the way, if the value of K is large, payment is terminated early. On the other hand, if the value of K is small, it will be a long period, but a small amount can be paid without difficulty every month. It should be noted that the handling of the ownership of the PET system 25 after the end of payment is determined by a contract.
[Comparison of payment patterns]
Next, FIG. 6 shows the payment pattern when the medical institution 2 pays the supporter 1 every fiscal year when the advanced medical device 25 is introduced by three methods of purchase, fixed-rate lease, and this method. FIG.
In the case of this method indicated by a solid line, the initial payment (expense) can be suppressed, so when compared to the purchase indicated by the broken line (purchased by the medical institution 2 on its own), as well as the lease indicated by the dashed line Even if it compares, it turns out that the medical institution 2 is easy to introduce the advanced medical device 25 by all means. In the case of leasing, even if the number of examiners does not increase after introduction, the fixed lease fee determined at the time of contract must be paid, but in the case of this method, even if the number of examiners does not increase after introduction. Since the payment is in accordance with the number of persons, it is possible to make payment within the range of profits (sales, etc.) obtained by the advanced medical device 25, which is very convenient for the medical institution 2 with less burden. Therefore, introduction of the advanced medical device 25 into the medical institution 2 is promoted.
By the way, in Fig. 6, the payment period of this method is expressed (set) so that it is longer than the lease period, but depending on the contract details, if the number of examiners is large, the payment end ( (Expiration) period can be shortened. Moreover, if the period is shortened, the total payment amount can be reduced as described above, so that the self-effort of the medical institution 2 is promoted. From this point, it can be said that this method is excellent.
[Engineering, equipment selection, various plans, various contracts, etc.]
By the way, in order to introduce the PET system (advanced medical device) 25 by the medical institution 2, as shown in FIG. 7, engineering, operation plan formulation, device selection, operation / maintenance plan, Equipment installation / adjustment, equipment startup, government application, building design, etc. must be performed. Equipment must also be procured. In addition, application procedures with local governments and contracts with financial institutions, insurance companies, operating companies, etc. must be made. These are laborious operations that require specialized techniques or are laborious operations. FIG. 7 is a diagram schematically showing a contract relationship / procedure relationship in a case where the medical institution 2 introduces the advanced medical device 25 by own procurement (purchase).
Similarly, in the case of leasing, as shown in Fig. 8, although the leasing company makes property tax payments to local governments, loans and repayments from financial institutions, and insurance contracts with insurance companies, Also, engineering, operation planning, equipment selection, operation / maintenance planning, equipment installation / adjustment, equipment startup, government application, building design, etc. must be performed. Equipment must also be procured. There are also contracts with leasing companies and contracts with operating companies. FIG. 8 is a diagram schematically showing a contract relationship / procedure relationship when the medical institution 2 introduces the advanced medical device 25 by lease.
On the other hand, regarding this method, as shown in FIG. 9, the supporter 1 can provide engineering, operation plan proposal, equipment procurement, operation / maintenance plan proposal, equipment start-up support, government application support, building design support, Provide services such as finance. The supporter 1 also makes a contract with the operating company, equipment sales contract, maintenance contract, payment of property tax to the local government, and contract with the insurance company. Therefore, in the case of this method, the medical institution 2 only needs to make a contract with the supporter 1. That is, the medical institution 2 is freed from various troubles in the case of purchase (in-house procurement) or lease. FIG. 9 is a diagram schematically showing the contract relationship / procedure relationship when the medical institution 2 introduces the advanced medical device 25 by this method.
Further, as already described, the cost of services such as engineering performed by the supporter 1 when the advanced medical device 25 is lent to the medical institution 2 can be included in the monthly consideration paid every month. In addition, the engineering, management plan proposal, etc. performed when introducing the advanced medical device (PET system) 25 have the following contents, for example.
(engineering)
The PET system 25 requires a nuclide production device (accelerator 251), a drug synthesizer (synthesizer 252), a drug tester, a PET camera system (camera 253, an image analyzer), and other various accessories necessary for drug synthesis. It becomes. These devices are highly dependent on the contents of the examination in the hospital and the presence or absence of research.
Engineering selects the most appropriate equipment and necessary accessory equipment according to the plan of the hospital (medical institution 2). At the same time as purchasing the selected equipment, install it based on appropriate processes and quality control. Equipment selection proposals can also be included in this engineering.
(Operation plan proposal)
In PET screening, the schedule of the drug synthesis / PET camera system varies greatly depending on the type of radiopharmaceutical used and the number of examiners. Here, a proposal is made for optimizing the daily, weekly, monthly, and annual management schedules based on the number of people scheduled to be examined and the types of drugs used.
(Operation and maintenance plan)
Nuclide production equipment (accelerator 251), drug synthesizer (synthesizer 252), PET camera system (camera 253, image analysis measures), etc., which are the main equipment used in the PET system 25, are always reliable by regular inspection. Need to maintain. In the operation / maintenance plan, a reasonable number of periodic inspections necessary for that purpose, the setting of the period for periodic inspections taking into consideration the annual operation schedule, and measures for reducing the cost are planned.
(Office application support work)
For the operation of the PET system 25, various permission applications are required, such as an RI (Radio Isotope) use permission application to the Ministry of Education, Culture, Sports, Science and Technology and a medical radiation facility delivery to the Ministry of Health, Labor and Welfare. In the government application support business, it assists in the preparation of application forms.
(Building design support)
Since the PET system 25 is a facility that uses the RI and the accelerator 251, it is necessary to design the PET system 25 with a radiation shielding / sealing structure in accordance with the “radiation damage prevention method”. In addition, since it is a drug manufacturing facility, it is desired that the design conforms to the management standards issued by the Japanese Nuclear Medicine Society and the Japanese Isotope Association. The building design support collects these various standards and reflects them in the building design, and at the same time implements an arrangement plan that minimizes the external exposure of medical workers as much as possible.
[Others]
In the description of the first embodiment, the “monthly consideration” is calculated for the entire PET system, but may be calculated for each component device such as an accelerator. The consideration may be calculated not every month, but every half year, every year, or every week. In addition, although payment termination (payment maturity) is provided, as long as the PET system is installed in a medical institution, compensation based on the number of examiners (operation status) may be paid.
According to the advanced medical device introduction support service of the first embodiment described above (the calculation method of the rental fee of the advanced medical device, its program, the advanced medical device introduction support system), the following effects can be obtained. Introduction of advanced medical equipment (PET system) is promoted.
That is, since the supporter purchases the advanced medical device, the medical institution can perform the medical treatment and the medical examination using the advanced medical device without making a large investment. Moreover, since the supporter purchases the advanced medical device, the medical institution is freed from troublesome procedures such as property tax reporting procedures for local governments, fundraising for financial institutions, and insurance procedures for insurance companies. . In addition, the supporter performs work with expertise and technical skills, such as engineering and the formulation of various plans. For this reason, a medical institution is freed from the great annoyance of having to perform work with expertise and technicality.
In addition, the medical institution only has to pay the supporter a consideration according to the number of examiners (monthly consideration, lending fee), so if the number of examiners is small, the amount to be paid is small. This is different from purchases and leases that require payment regardless of the operating status of advanced medical devices such as the number of examiners. For this reason, since the number of examiners does not increase, even when there is little revenue from advanced medical equipment, it is possible to pay the price according to the number of examiners (according to the income), which is very convenient for medical institutions. .
In addition, consideration for services such as engineering performed at the time of introduction and development of various plans can be included in the monthly consideration depending on the selection of the medical institution. In other words, the cost of engineering and the like can be paid according to the number of examiners (operating status of advanced medical devices). Therefore, the expenditure of the expense at the time of introduction is suppressed, and also from this point, introduction of advanced medical devices to medical institutions is promoted.
Moreover, a calculation formula can be set for each medical institution and for each advanced medical device, and the consideration paid to the supporter can be calculated (set) corresponding to various plans. In other words, the supporter can pay for the medical institution with various plans.
In addition, when calculating the price based on the number of examiners, the number of examiners can be reliably input via the communication line. In addition, the number of examiners can be easily replaced by operating conditions such as the operating time of the accelerator and the amount of radiopharmaceutical used.
The supporter 1 can also create statistical data by sending and receiving the number of examiners. For example, when the supporter 1 collects and statistics the data of a plurality of medical institutions 2, problems of the medical institution 2 with a small number of examiners can be highlighted, or improvement points can be proposed.
If the introduction of advanced medical devices is promoted, there will also be a public benefit effect that will lead to an increase in the health of the people and a reduction in the expenditure of medical expenses in the national finance.
<< Second Embodiment >>
Next, a second embodiment of the present invention will be described in detail with reference to the drawings.
In the second embodiment, a supporter (loaner) gives an image shown in FIGS. 1 and 2 to a medical institution (loaner) considering introduction of a PET system as an advanced medical device. It is based on embodiment which presents the introduction plan based on a scheme. Incidentally, this second embodiment embodies the “calculation method of rental fee for advanced medical equipment”, “calculation program for rental fee of advanced medical equipment”, and “support method for introducing advanced medical equipment” of the present invention. .
In the following description, the same components as those in the first embodiment are denoted by the same reference numerals, and the description thereof is omitted.
[Advanced medical equipment introduction support service (plan presentation system)]
FIG. 10 is an overall configuration diagram of a plan presentation system for realizing the advanced medical device introduction support service of the second embodiment. The loan amount calculation server 12 that presents the introduction plan of the PET system to the medical institution 2 includes a processing device 121, a storage device 122, an input / output device 123, and a communication device 124 as shown in FIG. Is done. The loan amount calculation server 12 is operated from a Web terminal 22 operated by a person (medical institution 2) considering introduction of the PET system (see reference numeral 25 in FIG. 2) or a person explaining the introduction of the PET system to the medical institution 2. In response to the request (device selection request), a function (device configuration plan presentation function) for selecting and presenting a device configuration plan of the PET system is provided. In addition, it has a function of calculating a loan fee for each fiscal year (amount estimation) and responding to the Web terminal 22 in response to a request from the Web terminal 22 (amount estimation response function). In the loan amount calculation server 12, a WWW (World Wide Web) server program for enabling transmission / reception of information to / from the Web terminal 22 is activated and expanded on a processing device 121 including a CPU, a RAM, and the like. ing. Incidentally, it is assumed that browsing software is installed in the Web terminal 22.
Information such as shown in FIGS. 11 to 14 described later is stored in the storage device 122 composed of the hard disk of the loan amount calculation server 12 or the like. The communication device 124 configured by a router or the like has a function of supporting communication by TCP / IP (Transport Control Protocol / Internet Protocol) in order to enable transmission / reception of information on the Internet.
(Equipment information)
Here, FIGS. 11 to 14 will be described.
FIG. 11 shows device information related to the particle generator (corresponding to the accelerator 251 in FIG. 2) stored in the storage device 122 of the loan amount calculation server 12. As shown in FIG. 11, regarding the particle generator, the number of generated particles (per unit time), the type of RI, the power capacity, the amount of money, the installation area, and the weight are a plurality of particle generators A, B, ... remembered for each. Note that the particle generators A, B,... In FIG. 11 are information indicating the manufacturer name and model number of the accelerator, and are referred to herein as device specifying information.
12 to 14 are diagrams showing device information relating to the synthesizing device, the camera, and the image processing device respectively stored in the storage device 122 of the loan amount calculation server 12, and as shown in FIG. 12, the synthesizing device With regard to (see reference numeral 252 in FIG. 2), the type of medicine, the production efficiency of medicine, the processing time, the power capacity, the amount of money, the installation area, and the weight are stored. As shown in FIG. 13, sensitivity, resolution, signal processing time, amount, installation area, and weight are stored for the camera (see reference numeral 253 in FIG. 2). Further, as shown in FIG. 14, the image processing apparatus stores image processing time, main memory capacity, amount, installation area and weight. In the first embodiment, the image processing apparatus is described as a part of the camera configuration.
As described above, the storage device 122 stores information such as the amount of money, processing capacity, installation area, and weight for each device of the PET system. The device information in FIGS. 11 to 14 is an example, and items set as the device information and the contents thereof are not limited to this.
[Operations related to selection of advanced medical equipment and payment plan presentation]
Hereinafter, the case where the medical institution 2 considers the introduction of the PET system (advanced medical equipment) is referred to FIG. 11 to FIG. 14 and FIG. 16 to FIG. 18 based on the sequence chart of FIG. explain.
First, the supporter 1 widely collects the latest device information from various manufacturers and distributors without being biased toward a specific manufacturer, and stores it in the storage device 122 in a format as shown in FIGS. (S201, S202). Of course, only device information of a specific manufacturer may be stored. Next, the medical institution 2 requests the supporter 1 to present a PET system configuration plan (device selection request). In this embodiment, since the supporter 1 has opened a homepage using the loan amount calculation server 12 as a Web server, the medical institution 2 inputs a request (condition) for the PET system to the supporter 1 on the homepage. The system configuration proposal is requested (transmission of device selection request information, S203). Then, the loan amount calculation server 12 selects a device that meets the conditions (S204), and transmits information on the selected PET system to the Web terminal 22 (transmission of selected device information, S205).
Here, the processing performed in steps S203 to S205 of FIG. 15 will be described with reference to FIGS. 10 to 14 and FIGS. 16 to 18. FIG.
FIG. 16 shows an initial screen of the home page established by the supporter 1. When the medical institution 2 accesses the home page of the supporter 1, it is connected to an input / output device (not shown) of the Web terminal 22 of the medical institution 2. Displayed on the monitor. As shown in FIG. 16, a character “PET system configuration proposal presentation request” is displayed on the initial screen, and a condition input screen appears by clicking the character with a mouse pointer.
FIG. 17 shows an input selection screen. As shown in this figure, as the first stage of the condition input, “Set conditions for the entire PET system” and “Set conditions for each device” are displayed, and the conditions are set for the entire PET system. Or click for each device by clicking with the mouse pointer. In the screen of FIG. 17, clicking “Return” displays the previous screen (in this case, FIG. 16), and clicking “To Top” always displays the initial screen shown in FIG. . The same applies to each display screen described below.
When “Set conditions for entire PET system” is selected on the display screen of FIG. 17, the condition setting screen for the entire PET system shown in FIG. 18 is then displayed. As shown in FIG. 18, on this screen, the words “budget”, “number of people to be examined”, “installation area” and “weight” are displayed as conditions, and an input field for entering numbers is displayed. . Next to that, there is an input field for inputting the priority of each condition. In this screen, when the operator of the Web terminal 22 clicks on the input field with the mouse pointer, a number can be entered in the input field. Therefore, each condition is set and a priority order indicating which condition should be prioritized is set. Set. Note that the loan amount calculation server 12 treats a condition for which no numerical value is input as a request for the condition. When the setting of the condition and the priority order is completed as described above, “OK” is clicked with the mouse pointer.
When “decision” is clicked on the condition input screen, the condition and priority information (hereinafter referred to as “device selection request information”) input at that time is transmitted to the supporter 1's consideration lending amount calculation server 12. (Transmission of device selection request information, S203), the processing device 121 causes the storage device 122 to store the transmitted device selection request information. In addition, the processing device 121 confirms the highest priority condition from the device selection request information stored in the storage device 122. In addition, the processing device 121 extracts all combinations of PET systems including a particle generation device, a synthesis device, a camera, and an image device that match the conditions and priority (device selection, S204).
When the extraction processing of the system configuration plan is completed, the processing device 121 summarizes the system configuration plan stored in the storage device 122 at that time, and stores the table No. in the storage device 122 as table information (selected device information). Is stored and transmitted to the Web terminal 22 of the medical institution 2 (S205). FIG. 19 shows a table summarizing the proposed system configuration. As shown in FIG. 19, in the table which is the selected device information, the device specifying information (particle generators A, B,...) Of each selected device, the number of people who can be screened per day, the total amount, the total installation area and Columns for displaying the total weight are provided, and information stored together with the system configuration plan is entered in each column. The web terminal 22 given the table information displays the table shown in FIG. 19 on the browser screen of the monitor (not shown) based on the table information. In the medical institution 2, the configuration of the PET system to be introduced is examined with reference to the table displayed on the monitor.
System configuration plan No. 1 in FIG. Each number in the column is linked, and when the number is clicked with the mouse pointer (PET system selection decision), the screen shown in FIG. 20 is displayed. FIG. 20 is a loan amount calculation condition input screen. As shown in FIG. 20, this screen is a system configuration plan no. , Total amount, notices are displayed. In addition, there is provided a year-by-year checker number input column for inputting the number of checkers by year (operation status for each assumed period). After clicking with the mouse pointer in this checker number input field, for example, 5 (number / day) for the first year field, 7 (number / day) for the second year field, and so on. Go typing. When input is completed, click “OK” with the mouse pointer.
The description returns to FIG. 15 (see FIG. 10 as appropriate).
When “decision” is clicked, the information on the clicked number (PET system selection decision information) and the entered loan amount trial calculation setting information including the number of examiners classified by year are sent from the Web terminal 22 as shown in FIG. It is transmitted to the trial calculation server 12 (S206). When the loan amount calculation server 12 receives the loan amount calculation setting information, the loan amount calculation server 12 calculates the loan amount by a CGI (Common Gate-way Interface) process (amount calculation, S207). Here, the calculation of the loan amount is performed in the same manner as in the first embodiment using the equations (1) to (5) described in the first embodiment. Here, since the equation (5) is for calculating the “monthly consideration”, the “monthly consideration” is calculated for each month. “Monthly consideration” is converted into “annual payment amount” as a loan amount by collecting 12 months. Incidentally, the formulas (1) to (5) are set so that the parameter (for example, coefficient K) of the calculation formula can be set from the Web terminal 22 side according to the request of the customer (medical institution 2). May be.
In addition, the loan amount calculation server 12 similarly calculates the annual payment amount in the case of purchasing the PET system selected and determined and in the case of the fixed amount lease by the CGI process.
Calculated (amount calculation), payment by year for purchase, payment by year for fixed lease, data for payment by year for this method (Advanced Medical Device Lending Support Method) and these graphs The Web page to be transmitted is transmitted to the Web terminal 22 as payment plan information (S208).
The web terminal 22 displays the graph of FIG. 6 referred to in the first embodiment on the screen. Thereby, the medical institution 2 that is lent to the PET system understands how to pay the consideration in the case of purchase as compared to the case of lease. From this graph, it can be seen at a glance that the initial investment can be significantly reduced in the case of this plan (method). Of course, if the operation rate is high from the beginning, it is possible to pay the supporter 1 with a reasonable amount of the corresponding amount.
[Others]
(Modification 1)
In FIG. 20, when “OK” is clicked with the mouse pointer in FIG. 20, a small program that makes a trial calculation on the Web terminal 22 (a trial calculation of this method, purchase and lease trial calculations as necessary) and graphs the result. (Applet) is transmitted from the loan amount calculation server 12 to the Web terminal 22, and the amount calculation and graph of the result are graphed on the Web terminal 22 side without using the CGI processing on the loan amount calculation server 12 side. You may do it. This is because the amount calculation and graphing process can be performed again without using a communication line. Further, in FIG. 20, the operation of inputting the number of examiners by year (expected value) on the Web terminal 22 is omitted, and the number of examiners by year is set on the loan amount calculation server 12 side (standard pattern is changed). Setting).
(Modification 2)
Further, in the second embodiment, for example, information as shown in FIGS. 11 to 14 is stored in a notebook computer that can be carried by a salesman, and a calculation formula ( (1) to (5)) of the first embodiment are stored, and the device can be selected and the amount estimated without accessing the loan amount estimation server 12 via the Internet as a communication line. May be. In other words, the notebook computer may be provided with the device configuration presentation function and the amount estimate reply function that the loan amount estimate server 12 has. In addition, a function for graphing the result of the trial calculation may be provided.
(Modification 3)
In the second embodiment, the loan amount calculation server 12 proposes a PET system with reference to the device information shown in FIGS. 11 to 14 (the loan amount calculation server 12 makes an estimate, so to speak). However, as shown in FIGS. 21 (a) and 21 (b), an estimated amount previously obtained from a manufacturer or the like is directly input from the Web terminal 22, and the estimated result of the amount is stored in the Web terminal 22. A graph may be displayed on the monitor. That is, the loan amount estimation server 12 may store the device information as shown in FIGS. 11 to 14 and omit the selection of the devices as shown in FIGS. 16 to 19 ( Corresponds to “Advanced Medical Device Loan Calculation Program” in the claims).
Here, FIG. 21 (a) is a display screen for inputting the conditions for the trial calculation of the annual cost (loan amount). In FIG. 21 (a), 1. Enter the price of the introduced PET system (accelerator, synthesizer, camera, image analyzer); 2. Enter the service life, 3. Enter the lease term and lease fee. Check the check box for the depreciation method, fixed rate or fixed amount, and click the calculation button with the mouse. Enter the lease period and lease fee by estimating the lease company in advance, or enter an appropriate lease period and lease fee as appropriate. Further, the amount of the device as the condition for the trial calculation is estimated in advance from a device manufacturer, for example.
When the calculation button in FIG. 21 (a) is clicked on with a mouse, a screen showing the result of the trial calculation in FIG. 21 (b) is displayed. FIG. 21 (b) is the same diagram as FIG. 6, and it can be seen that the medical institution 2 can spend less at the initial stage of introduction. Note that both screens of FIGS. 21A and 21B are displayed on the Web terminal 22 in the second embodiment.
Further, in the second embodiment, as shown in FIG. 22, an estimate such as building design support may be requested to the supporter 1 via the Web terminal 22. In FIG. 22, when the check box of the item to be requested is checked and the detailed setting button is clicked with the mouse, the detailed setting of the estimate request can be performed.
(Modification 4)
Similarly, in the second embodiment, as shown in FIG. 23, the supporter 1 may be requested to estimate the driving / maintenance plan proposal via the Web terminal 22. Also in FIG. 23, if the check box of the item to be requested is checked and the detailed setting button is clicked with the mouse, the detailed setting of the estimate request can be performed.
(Modification 5)
In the second embodiment, as shown in the screen of FIG. 16, when the letter “PET system order request” is clicked with the mouse, the selected device can be ordered based on the introduction plan of this method. It may be like that.
According to the second embodiment described above, there are the following effects, and introduction of advanced medical equipment (expensive medical equipment) into a medical institution is promoted.
That is, it is possible to select an advanced medical device (PET system) according to a request from a medical institution via the Internet. For this reason, the man-hour of the operation | work which requires the big burden of apparatus selection can be reduced significantly.
In other words, when introducing advanced medical devices in medical institutions such as hospitals and screening facilities, it is necessary to select devices that make up the advanced medical devices and place orders with device manufacturers. The performance and amount of money had to be investigated one by one, and the burden on medical institutions when introducing advanced medical devices was very large. In particular, in the case of PET systems, the medical institution that is the user must grasp the performance of each device of the PET system that makes full use of technologies such as electronics, machines, and information processing, and select the appropriate equipment that is required. Was not easy. However, according to the second embodiment, the device of the PET system can be easily selected.
When selecting a device, even if the amount of information to be input is small, the loan amount calculation server presents the system configuration of the advanced medical device that satisfies the requirements of the medical institution, including the amount. Therefore, a medical institution or the like can easily make a proposal and estimate of a system configuration that meets the needs without taking any effort. In addition, since the equipment is not biased to that of a specific manufacturer, the selection range is widened as a medical institution, which is very convenient.
In addition, when the price of advanced medical equipment is known, it is possible to know the payment pattern in the introduction plan by this method. In addition, since the present method, purchase and lease can be compared, the medical institution can appropriately determine how to introduce the advanced medical device. The comparison can be performed using a graph displayed on the Web terminal. Therefore, the introduction plan can be examined visually. In addition, if an applet for graphing the amount calculation and the result is sent from the loan amount calculation server, re-calculation and re-graphing (updating the graph) can be performed quickly. Therefore, a medical institution considering introduction of advanced medical equipment or a salesperson conducting sales can efficiently examine and explain introduction.
Industrial applicability
As described above, the present invention has the following excellent effects. That is, according to the present invention, introduction of advanced medical equipment into a medical institution is promoted.
[Brief description of the drawings]
FIG. 1 is a diagram schematically showing an image of an advanced medical device introduction support service realized by the advanced medical device introduction support method of the first embodiment according to the present invention.
FIG. 2 is a diagram schematically showing a scheme of the advanced medical device introduction support service of the first embodiment according to the present invention.
FIG. 3 is a block diagram showing the overall configuration of a support system for realizing the advanced medical device introduction support service of the first embodiment according to the present invention.
FIG. 4 is a sequence chart relating to calculation / payment of consideration.
FIG. 5 is a flowchart for explaining an operation related to calculation of the consideration of the support server of FIG.
Fig. 6 compares the payment pattern when the medical institution of Fig. 2 pays the supporter for each fiscal year when advanced medical devices are introduced by purchasing, fixed-rate leasing, and this method. FIG.
FIG. 7 is a diagram schematically showing a contract relationship / procedure relationship when a medical institution introduces advanced medical equipment by own procurement (purchase).
FIG. 8 is a diagram schematically showing contract relations / procedure relations when a medical institution decides to introduce advanced medical equipment by lease.
FIG. 9 is a diagram schematically showing a contract relationship / procedure relationship when a medical institution introduces an advanced medical device by the method of FIGS. 1 and 2.
FIG. 10 is a configuration diagram of a plan presentation system for realizing the advanced medical device introduction support service of the second embodiment according to the present invention.
FIG. 11 is a diagram showing device information relating to the particle generating device stored in the storage device of the loan amount calculation server shown in FIG.
FIG. 12 is a diagram showing device information related to the synthesizing device stored in the storage device of the loan amount calculation server shown in FIG.
FIG. 13 is a diagram showing the device information about the camera stored in the storage device of the loan amount calculation server shown in FIG.
FIG. 14 is a diagram showing device information related to the image processing apparatus stored in the storage device of the loan amount calculation server shown in FIG.
FIG. 15 is a sequence chart showing processing performed by the loan amount calculation server and the Web terminal shown in FIG.
FIG. 16 is a diagram showing an initial screen of a homepage established by a supporter.
FIG. 17 is a diagram showing an input selection screen.
FIG. 18 is a diagram showing a condition setting screen for the entire PET system.
FIG. 19 is a table summarizing the extracted system configuration proposals in a table.
FIG. 20 is a loan amount calculation condition input screen.
FIG. 21A is a diagram showing a display screen for inputting conditions for trial calculation of annual expenses (loan amount). (B) is a figure which shows the screen which graphed the amount calculation result.
FIG. 22 is a diagram showing a display screen used when an estimate request such as building design support is received.
FIG. 23 is a diagram showing a display screen used when accepting an estimate request for an operation / maintenance proposal.

Claims (22)

A method of calculating a loan fee when lending advanced medical equipment to a medical institution using a computer,
The price of the advanced medical device and the operation status for each period are used as the calculation elements of the loan fee,
When a loan source includes a service performed by a lender when lending the advanced medical device to a lender, the cost of the service is a calculation element of the lending fee,
Calculating a rental fee for each period of the advanced medical device based on at least the calculation element;
A method for calculating rental fees for advanced medical devices. The method for calculating a rental fee for an advanced medical device according to claim 1, wherein the final number of payments of the rental fee is set based on an accumulated amount of the paid rental fee. The service provided by the lender is at least one of engineering, operation plan proposal, equipment selection proposal, operation / maintenance plan proposal, government application application support, and building design support. The method for calculating a rental fee for an advanced medical device according to item 1. The service provided by the lender is at least one of engineering, operation plan proposal, equipment selection proposal, operation / maintenance plan proposal, government application application support, and building design support. The method for calculating the rental fee for advanced medical equipment according to item 2. The operating status of the advanced medical device installed at the loan destination is acquired via a communication line, according to any one of claims 1 to 4. How to calculate rental fees for advanced medical equipment. The calculation of the rental fee is performed based on a calculation formula determined for each of the advanced medical device or the medical institution and based on the calculation formula. 5. The method for calculating a rental fee for an advanced medical device according to any one of items 4 to 4. 6. The advanced medical treatment according to claim 5, wherein the loan fee is calculated based on the calculation formula obtained for each of the advanced medical device or the medical institution. How to calculate the equipment rental fee. 5. The method according to claim 1, wherein the operating status is at least one of the number of examiners, operating time, and amount of medicine used for the advanced medical device. Calculation method for advanced medical equipment rental fees as described in 1. 6. The method for calculating a rental fee for an advanced medical device according to claim 5, wherein the operating status is at least one of the number of examiners of the advanced medical device, the operating time, and the amount of medicine used. . 7. The method for calculating a rental fee for an advanced medical device according to claim 6, wherein the operating status is at least one of the number of examiners of the advanced medical device, the operating time, and the amount of medicine used. . The method for calculating a rental fee for an advanced medical device according to claim 7, wherein the operating status is at least one of the number of examiners, operating time, and amount of medicine used for the advanced medical device. . To calculate the rental fee for advanced medical equipment to be lent to medical institutions,
On the computer,
Obtaining a price of the advanced medical device as a calculation element of a rental fee;
When a loan source includes a service performed by a lender when lending the advanced medical device to a lender, the cost of the service is acquired as a calculation element of the loan fee;
Obtaining the operating status of each period of the advanced medical device as a calculation element of the rental fee;
Calculating a rental fee for each period of the advanced medical device based on at least the calculation element obtained by each of the steps;
Running
A program for calculating rental fees for advanced medical devices. 13. The program for calculating a loan fee for an advanced medical device according to claim 12, further comprising a step of setting a final number of payments of the loan fee based on an accumulated amount of the paid loan fee. . 13. The program for calculating a rental fee for an advanced medical device according to claim 12, further comprising a step of graphing the calculated rental fee for each period in time series. 14. The program for calculating a rental fee for an advanced medical device according to claim 13, further comprising a step of graphing the calculated rental fee for each period in time series. The program for calculating the rental fee of the advanced medical device is transmitted from a server that is connectable via a communication line to a terminal, and the steps are executed at a destination terminal. The program for calculating a rental fee for an advanced medical device according to any one of claims 12 to 15. An advanced medical equipment introduction support system that supports introduction of advanced medical equipment in a medical institution by a supporter who purchased advanced medical equipment renting the purchased advanced medical equipment to a medical institution for payment. ,
An operation status acquisition means for acquiring an operation status for each period of the advanced medical device via a communication line;
A calculation formula storage means for storing a calculation formula for calculating a price for each period of the advanced medical device based on the operating status of the advanced medical device;
A calculation unit that reads the calculation formula from the calculation formula storage unit, and calculates the consideration from the read calculation formula and the acquired operating status,
An advanced medical device introduction support system characterized by comprising: The calculation formula storage means is configured to store a calculation formula determined for each advanced medical device or medical institution, and the consideration calculation means is based on the calculation formula determined for each advanced medical device or medical institution. The advanced medical device introduction support system according to claim 17, wherein the system is configured to calculate a consideration. The operating status is at least one of the number of examiners, operating time, and amount of drug used for the advanced medical device. The advanced medical device introduction support system according to claim 17 or claim 18, wherein the system is calculated. An advanced medical device introduction support method for supporting the introduction of an advanced medical device to a medical institution by purchasing an advanced medical device that meets the requirements of the medical institution, renting it after receiving payment of the consideration,
Obtaining device selection request information including at least one of the use of the advanced medical device, the number of examiners, and a budget;
Selecting a highly medical device that satisfies the device selection request information based on device information related to specifications and price of the highly medical device;
Outputting information on the selected advanced medical device together with the amount of the device;
A step of setting or acquiring the operating status for each assumed period of the advanced medical device;
Reading the calculation formula from the storage means storing the calculation formula for calculating the price for each period of the advanced medical device based on the operating status;
Calculating and outputting the consideration for each period from the operating status and the read calculation formula;
An advanced medical device introduction support method characterized by comprising: An advanced medical device introduction support method for supporting the introduction of an advanced medical device to a medical institution by purchasing an advanced medical device that meets the requirements of the medical institution, renting it after receiving payment for the consideration,
Obtaining device selection request information including at least one of the use of the advanced medical device, the number of examiners, and the budget via a communication line;
Selecting a highly medical device that satisfies the device selection request information based on device information related to specifications and price of the highly medical device stored in the storage means;
Transmitting information on the selected advanced medical device together with the price of the device via a communication line;
Setting the operating status for each assumed period of the advanced medical device, or obtaining via a communication line;
Reading the calculation formula from the storage means storing the calculation formula for calculating the price for each period of the advanced medical device based on the operating status;
Calculating the consideration from the operating status and the read calculation formula;
Transmitting the calculated consideration via a communication line;
An advanced medical device introduction support method characterized by comprising: Based on the price of the selected equipment, data that can be graphed in time series for the payment amount for each period when purchased and / or leased and the consideration for each period calculated by the above formula Generating step,
The advanced medical device introduction support method according to claim 20 or claim 21, characterized by comprising:

Images