WO2001090977A1 - Systeme fournisseur d'informations medicales, procede de transmission d'informations medicales, procede d'estimation du cout d'un examen medical en hopital, base de donnees d'informations medicales et terminal patient - Google Patents

Systeme fournisseur d'informations medicales, procede de transmission d'informations medicales, procede d'estimation du cout d'un examen medical en hopital, base de donnees d'informations medicales et terminal patient Download PDF

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Publication number
WO2001090977A1
WO2001090977A1 PCT/JP2000/006536 JP0006536W WO0190977A1 WO 2001090977 A1 WO2001090977 A1 WO 2001090977A1 JP 0006536 W JP0006536 W JP 0006536W WO 0190977 A1 WO0190977 A1 WO 0190977A1
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WO
WIPO (PCT)
Prior art keywords
hospital
medical
information
patient
terminal
Prior art date
Application number
PCT/JP2000/006536
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English (en)
Japanese (ja)
Inventor
Hideki Kosaku
Satoshi Aida
Yoichi Takada
Original Assignee
Kabushiki Kaisha Toshiba
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Kabushiki Kaisha Toshiba filed Critical Kabushiki Kaisha Toshiba
Publication of WO2001090977A1 publication Critical patent/WO2001090977A1/fr

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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00Administration; Management
    • G06Q10/10Office automation; Time management

Definitions

  • Medical information provision system Medical information provision system, medical information provision method, hospital consultation cost estimation method, medical information database and patient terminal
  • the present invention relates to a medical information providing system, a medical information providing method, a hospital consultation cost estimating method, a medical information database, and a patient terminal for providing medical treatment cost estimation information to a patient.
  • the patient is less likely to be informed of the cost of the consultation and examination, and may be in trouble at the payment stage because of unexpected charges.
  • the cost of these consultations and tests may vary depending on the doctor who performs the consultation and the equipment used for the tests, etc., and the total cost will vary considerably depending on the hospital. In many cases, patients may regret that they had to go to another hospital after paying for the expenses.
  • this invention does not allow a conventional patient consultation system to know in advance the cost of going to a certain hospital, which is reasonable for the patient. There was a problem that the hospital could not be selected.
  • the purpose of the present invention is to provide a method for estimating a hospital consultation cost, which makes it possible to know the cost of consultation in advance. Disclosure of invention
  • the present invention provides a hospital information providing system connected to a plurality of patient terminals and a plurality of hospital terminals, wherein the medical information database stores medical information, and the medical information database is connected to the medical information database. And a medical information terminal provided in response to a request for a hospital information providing service from one of the patient terminals. Then, one of the patient terminals is prompted to transmit the medical condition information and the hospital selection condition information, and the medical information database is received based on the medical condition information and the hospital selection condition information received from one of the patient terminals.
  • FIG. 1 is a diagram showing a configuration example of a medical information providing system according to an embodiment of the present invention.
  • Fig. 2 is a diagram showing the information transmitted and received among the four terminals of the patient terminal, the provider terminal, the medical information database, and the hospital terminal in Fig. 1 and the procedure.
  • Fig. 3 is a diagram showing the operation procedure of the provider terminal in Fig. 1.
  • FIG. 4 is a view showing a medical condition input screen (1) displayed on the patient terminal of FIG.
  • FIG. 5 is a view showing a medical condition input screen (2) displayed on the patient terminal of FIG.
  • FIG. 6 is a diagram showing a hospital selection condition input screen displayed on the patient terminal of FIG.
  • FIG. 7 is a diagram showing a display screen of a hospital list transmitted from the provider terminal of FIG. 1 to the patient terminal.
  • FIG. 8 is a diagram showing another configuration example of the system of the present embodiment.
  • FIG. 9 is a diagram showing another example of information transmitted and received among the four terminals of the patient terminal, the provider terminal, the medical information database, and the hospital terminal of FIG. 1 and a procedure thereof.
  • FIG. 1 shows an example of the configuration of a medical information providing system according to a preferred embodiment of the present invention.
  • the medical information providing system 20 includes a medical information provider terminal 24 and a medical information database 25 connected to the medical information provider terminal 24.
  • the medical information provider terminal 24 is connected to a plurality of hospital terminals 22 installed in a plurality of hospitals and a plurality of patient terminals 23 via a network 21 such as a dedicated line or a public line.
  • the medical information database 25 stores various kinds of information necessary for identifying a candidate for a hospital to visit from a patient based on information on a medical condition or the like known from the patient. Specifically, it stores articles, academic societies or general medical information, and hospital medical information for each hospital.
  • the medical information provider uses the terminal 24 to collect in advance and store it in the medical information database 25.
  • the medical information provider uses its terminal 24 to collect as much detail as possible at each hospital. Such data may indicate that each hospital has been hospitalized for a given medical condition, However, it is data on past cases of how much time was spent and how much it took for a medical examination, examination, and treatment to be completed, and how much it cost. Also, in the medical information database 25, such as bills for bed charges for consultations, examinations, treatments, and hospitalizations at those hospitals, are collected and stored in the medical information database 25.
  • the data to be stored include the policy of each hospital, contact information such as its address and telephone number, specialty areas, achievements, the doctors who belong to them, their specialty, background, Status of installed medical equipment, sickrooms and other facilities, presence / absence of home medical care, presence of day care centers, after-hours medical treatment, absence of medical treatment and home visits, third-party institutions and public institutions.
  • contact information such as its address and telephone number, specialty areas, achievements, the doctors who belong to them, their specialty, background, Status of installed medical equipment, sickrooms and other facilities, presence / absence of home medical care, presence of day care centers, after-hours medical treatment, absence of medical treatment and home visits, third-party institutions and public institutions
  • the evaluation of the hospital by the country, information from other patients who used it (reputation), etc. are mentioned.
  • the medical information provider uses the terminal 24 to access each hospital terminal 22. Then, the data of those hospitals should be collected constantly or at regular intervals, and collected and stored in the medical information database 25.
  • Fig. 2 shows the information transmitted and received among the patient terminal 23, the provider terminal 24, the medical information database 25, and the hospital terminal 22 shown in Fig. 1 and the procedure thereof.
  • Figure 1 shows the operation procedure of the provider terminal in Fig. 1.
  • the patient registers with the provider personal information for member registration, such as name, age, address, telephone number, health insurance number, e-mail address, fax number, etc.
  • the provider terminal 24 provides the patient with D and password are issued and returned, and the personal information is registered in the database 25 together with the ID and password (S1).
  • ID and password S1
  • hospital information for member registration with the provider for example, information such as hospital name, address, telephone number, e-mail address, fax number, and department of medical care is provided.
  • the provider terminal 24 issues an ID and a password to the hospital for which registration is desired, replies, and transmits the hospital information together with the ID and the password. Register in database 25.
  • the password is transmitted to the provider terminal 24 together with the password and the passcode.
  • the provider terminal 24 inquires the database 25 of the transmitted ID and the password, and if the password matches, the connection of the patient terminal 23 is permitted (b). Guin).
  • the provider terminal 24 enters the patient terminal 23 with the medical questionnaire (two types in this case) for the patient to enter the medical condition and the patient to enter the hospital search conditions. Send the hospital search condition slip and, and prompt the transmission of the medical condition information and the hospital search condition information.
  • the medical questionnaire two types in this case
  • Figures 4 and 5 show two types of medical questionnaire (1) displayed on the patient terminal 23 according to the transmitted medical condition information and hospital search condition information.
  • FIG. 6 shows a hospital selection condition input screen. From the keyboard of the patient terminal 23, directly enter the part of the patient who has a physical problem as a medical condition. Alternatively, click the part list on the right and select a part from the part list that appears. Or click on a specific point on the chart displayed on the left This allows you to point out where you want to see the problem. This has the advantage that it is very easy to enter the part to be examined, rather than using a keyboard or the like.
  • the specific symptom of the site pointed out above is directly input.
  • selecting from a list has the advantage of being simple, it does not always list all symptoms.
  • direct keyboard input has the advantage of always being able to describe symptoms appropriately, but it also has the disadvantage that input is cumbersome. Since the specific symptoms vary depending on the patient, not only the selection input from the list, but also the symptoms are broadly described by the selection input, and more descriptive by the direct input. Describing the symptoms has the advantage that the input is relatively easy and the symptoms can be pointed out more precisely.
  • the input by the patient may be input directly by the keyboard as described above, or may be input by voice for users who are not free to input. It is possible. In this case, speech recognition processing is required, but it may be performed on either the patient terminal side or the medical information provider side.
  • the next button 31 is clicked to display the screen shown in FIG. 5, and further input is continued.
  • the input of a medical condition by a patient is a kind of medical interview, and is performed on items that are performed at the time of the medical interview.
  • the onset time, onset frequency, medical history, drug history, age, gender, and average sleep time can be directly input.
  • a hospital selection condition input screen shown in FIG. 6 is displayed.
  • This screen consists of search condition items and condition value items.
  • the search condition items include, for example, the distance from home, the presence or absence of home medical care, the presence or absence of home visits, Includes the presence of overtime consultation, the appointment of a physician, and installed medical equipment.
  • As the condition value, a distance, a doctor's name, and the like are input. This condition can be set for multiple items by repeating the condition setting while clicking the "Set another condition" button.
  • the medical information provider terminal 24 Upon receiving the medical condition information and the hospital selection condition information, the medical information provider terminal 24 returns a notification of the completion of the request reception together with the response time information.
  • the medical information provider terminal 24 records the medical condition information and the hospital selection condition information in the database 25 (S2, S3), and also uses the medical condition information and the hospital selection condition information as keywords. Search the stored data in database 25 as the Restore multiple hospitals. Specifically, by accessing the medical information database 25 that stores medical information as described above, first, based on the medical condition entered by the patient from the patient terminal 23, an appropriate Determine the disease name. Next, examine the disease based on the name of the disease, and determine the appropriate medical department to be treated. Next, search for a hospital that has the relevant department and satisfies the set hospital selection conditions. The searched hospital results are reported to the medical information provider terminal 24.
  • the medical information provider terminal 24 transmits a request sheet for estimation etc. together with the medical condition information to the hospital terminals 22 of the plurality of hospitals that have been restored (S4). .
  • Requested hospital terminal 22 sends information such as disease name, estimate of medical treatment cost, treatment policy, treatment period, necessity of hospitalization, etc. to medical information provider terminal 24 .
  • the medical information provider terminal 24 collects this information from the plurality of hospital terminals 22 (S5), and creates a hospital list (S6).
  • FIG. 7 shows a display example of a hospital list.
  • the hospital list includes the name of the hospital, the location of the hospital, the treatment policy, the estimated treatment costs, and the duration of the treatment, along with the name of the disease and the need for hospitalization.
  • the matters common to hospitals include the disease name, appropriate medical department, and whether hospitalization is necessary or required to go to hospital, and the matters that differ from hospital to hospital include the hospital name, the policy of the hospital, the location, The cost of medical treatment usually required to completely cure a patient a in the case of a medical condition This is the period of medical care usually required.
  • the cost and duration of consultation may vary, and in such cases, the cost and duration are not the usual costs.
  • a plurality of hospitals may be displayed on the screen of the patient terminal 23. Patients can select the hospital they are looking at by seeing the normal cost of consultation at the hospital, the time to complete treatment, the hospital's policy, location, etc. .
  • the reservation agency request information is transmitted to the medical information provider terminal 24 together with the selected hospital information and the desired date and time information (S8).
  • the reservation request information is transmitted from the provider terminal 24 to the hospital terminal 22 together with the desired date and time information (S9).
  • a notification of reservation completion is sent from the hospital terminal 22 to the provider terminal 24. Then, the medical information provider terminal 24 to the patient terminal 23 is notified of the reservation completion and the access method to the hospital (transportation, transportation Fees required for transportation, time required to get to the facility, timetables for transportation, maps, etc.) are sent.
  • the provider terminal 24 registers the history information until the reservation is completed in the database 25 (S10).
  • the medical information provider terminal 24 accesses the medical information database 25 in response to an input such as a patient's medical condition, so that the name of the disease can be immediately identified. The case was explained.
  • a medical information provider terminal 24 can also be in charge of an interview with a person in charge.
  • the person in charge is a doctor, but it is not necessary to be a doctor, and that the person is educated and trained to conduct an interview and is deemed appropriate.
  • anyone is fine.
  • a search for a hospital according to a medical condition is performed, and a search such as a consultation cost is performed.
  • a search such as a consultation cost is performed.
  • the application for appointment from the patient terminal was made directly to the relevant hospital, but the medical information provider terminal It is also possible to centrally manage the application for a reservation from the hospital and the notification of the reservation confirmation for it from this terminal or medical information database.
  • the medical information provider may provide some medical institutions and apply directly to the hospital for other medical institutions.
  • Centrally making medical appointment appointments using the terminal of the medical information provider has the advantage that when canceling appointments between hospitals, reservations can be made flexibly and efficiently. is there .
  • the medical information database is connected to the medical information provider terminal, and the provider stores the information on the medical information itself and the hospital information in the database.
  • the company accumulates information on consultation costs and other information, and retrieves information from the database via a medical information provider terminal when an inquiry is made.
  • the database since the database is always provided by the terminal of the medical information provider, there is no access from other third parties, and the security is not secured. It is good in terms of quality.
  • the medical information provider can quickly respond to a request from a patient at the time of receiving a reservation.
  • FIG. 8 shows an example of such a configuration of the embodiment of the present invention.
  • This system comprises a network 61, a hospital WWW server 62a, 62b connected to the network, and a patient terminal 63a, 633, respectively.
  • the medical information provider provides information necessary for the patient to be involved in the appropriate medical department, such as the name of the disease corresponding to the medical condition, the appropriate medical department, etc., from hospitals, academic societies, dissertations, etc. Register it in the medical information database WWW server 65 via the provider WWW server 64.
  • the procedure for the patient to check the consultation cost is basically the same as in Figure 2.
  • the input method described in the above embodiment can be used.
  • a patient b who wants to know what a medical condition has appeared and how much it will cost for that medical condition uses a browser at the patient b terminal 63b.
  • the user accesses the medical information database WWW Sano 65 connected to the network and inputs a medical condition.
  • the server b 5 makes an inquiry to the patient b terminal 6 3 b and asks for the medical condition. You will be able to interactively make decisions about appropriate departments, for example, by asking them to contact you in detail.
  • the link destination will be displayed when the search results are displayed on the screen of the patient b terminal 63b. Then, you can click this link destination. You can then access the hospital's WWW service to learn more about the hospital.
  • the homepage (HP) is set on the WWW server of each hospital.
  • the database such as past medical care data and fee schedule is set in each hospital. You may.
  • this server accesses the database at each hospital and sends it to the patient terminal. The result will be answered. Therefore, in this case, the accumulated amount of the medical information database WWW server 65 may be small.
  • the medical information database information is stored not only by the medical information provider terminal but also directly from each hospital, the information is stored in the medical information provider.
  • the burden is small, and there is an advantage that medical information can be efficiently accumulated.
  • the present invention can also be used for visiting a hospital and knowing the cost of consultation on the way.
  • the medical information database 25 estimates from the medical condition information. As long as the information that can be extracted is accumulated, an estimate can be obtained by searching the medical information database 25 as shown in FIG. In other words, based on the database 25 already stored, the past cases of the identified hospitals and the bedding rates for consultations, examinations, treatments and hospitalizations at these hospitals are not included. What kind of patient needs to be hospitalized in the event of a medical condition, whether it can be cured by visiting the hospital, how long it took to complete the treatment, and how much cost is required You can find out what is hot. Based on the results of this past survey and the tariff, it is clear how long the hospital will have to pay for the above-mentioned medical condition.
  • the medical care appointment is performed on behalf of the provider terminal 24, but as shown in Fig. 9, the patient makes an appointment directly to the selected hospital. It is also possible to send reservation information directly from the patient terminal 23 to the hospital terminal 23 in order to enter the reservation information.
  • the present invention is suitable for providing medical care cost estimation information to patients.

Abstract

Cette invention se rapporte à une système fournisseur d'informations médicales (20) connecté à des terminaux patient (23) et à des terminaux hôpital (22) et comprenant une base de données d'informations médicales (25), dans laquelle sont stockées les informations médicales, et un terminal d'informations médicales (24) connecté à cette base de données d'informations médicales. Le terminal d'informations médicales (24) sollicite l'un des terminaux patient pour qu'il lui transmette des informations de symptômes et des informations d'état de sélection d'hôpital en réponse à une requête demandant un service fournisseur d'informations d'hôpital, il effectue une recherche dans la base de données d'informations médicales en fonction de ces informations de symptômes et de ces informations d'état de sélection d'hôpital reçues en provenance du terminal patient, il spécifie les hôpitaux, il transmet les informations de symptômes au terminal hôpital de l'hôpital spécifié, il sollicite l'hôpital spécifié pour qu'il lui transmette des informations concernant le coût d'un examen médical, il crée une liste de cet hôpital contenant les coûts d'un examen médical sur la base de l'information concernant le coût de cet examen médical, et il transmet cette liste d'hôpital au terminal patient.
PCT/JP2000/006536 2000-05-22 2000-09-22 Systeme fournisseur d'informations medicales, procede de transmission d'informations medicales, procede d'estimation du cout d'un examen medical en hopital, base de donnees d'informations medicales et terminal patient WO2001090977A1 (fr)

Applications Claiming Priority (2)

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JP2000/149769 2000-05-22
JP2000149769 2000-05-22

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006243950A (ja) * 2005-03-01 2006-09-14 Canon System Solutions Inc 情報処理装置及びその制御方法、プログラム
KR20160054377A (ko) * 2014-11-06 2016-05-16 김웅대 유무선 통신을 이용한 치과 서비스 시스템 및 그 방법
JP2016533591A (ja) * 2013-08-28 2016-10-27 ポキットドク インコーポレイテッド 裁定取引に基づく医療サービスのためのシステム及び方法
JP2017079065A (ja) * 2015-10-20 2017-04-27 和 庄野 医療機関マッチングシステム
WO2017158754A1 (fr) * 2016-03-16 2017-09-21 リーズンホワイ株式会社 Système médical et programme
JP2018200567A (ja) * 2017-05-26 2018-12-20 一般財団法人日本気象協会 コンピュータプログラム、端末、方法およびサーバ
WO2019150605A1 (fr) * 2018-01-31 2019-08-08 リーズンホワイ株式会社 Système de recherche, système de fourniture d'informations, dispositif côté client, dispositif côté hôte, procédé de fourniture d'informations, programme de fourniture d'informations, programme côté client et programme côté hôte

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JPH09265503A (ja) * 1996-03-29 1997-10-07 Fujitsu General Ltd 診察予約システム
JPH09305627A (ja) * 1996-05-20 1997-11-28 Fujitsu General Ltd 病院検索システム
JPH10301994A (ja) * 1997-04-25 1998-11-13 N D Software Kk 診療費試算方法及び装置
JPH11353324A (ja) * 1998-04-08 1999-12-24 Ricoh Co Ltd 病診連携管理システムおよび病診連携管理方法ならびに該方法を記録した記録媒体
JP2000123087A (ja) * 1998-10-20 2000-04-28 Hitachi Ltd 介護サービス利用費用額及び保険給付上限額管理システム

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH09265503A (ja) * 1996-03-29 1997-10-07 Fujitsu General Ltd 診察予約システム
JPH09305627A (ja) * 1996-05-20 1997-11-28 Fujitsu General Ltd 病院検索システム
JPH10301994A (ja) * 1997-04-25 1998-11-13 N D Software Kk 診療費試算方法及び装置
JPH11353324A (ja) * 1998-04-08 1999-12-24 Ricoh Co Ltd 病診連携管理システムおよび病診連携管理方法ならびに該方法を記録した記録媒体
JP2000123087A (ja) * 1998-10-20 2000-04-28 Hitachi Ltd 介護サービス利用費用額及び保険給付上限額管理システム

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006243950A (ja) * 2005-03-01 2006-09-14 Canon System Solutions Inc 情報処理装置及びその制御方法、プログラム
JP2016533591A (ja) * 2013-08-28 2016-10-27 ポキットドク インコーポレイテッド 裁定取引に基づく医療サービスのためのシステム及び方法
KR20160054377A (ko) * 2014-11-06 2016-05-16 김웅대 유무선 통신을 이용한 치과 서비스 시스템 및 그 방법
KR101671328B1 (ko) * 2014-11-06 2016-11-01 김웅대 유무선 통신을 이용한 치과 서비스 시스템 및 그 방법
JP2017079065A (ja) * 2015-10-20 2017-04-27 和 庄野 医療機関マッチングシステム
WO2017158754A1 (fr) * 2016-03-16 2017-09-21 リーズンホワイ株式会社 Système médical et programme
JPWO2017158754A1 (ja) * 2016-03-16 2019-01-17 リーズンホワイ株式会社 医療システム及びプログラム
JP2018200567A (ja) * 2017-05-26 2018-12-20 一般財団法人日本気象協会 コンピュータプログラム、端末、方法およびサーバ
JP7025131B2 (ja) 2017-05-26 2022-02-24 一般財団法人日本気象協会 コンピュータプログラム、端末、方法およびサーバ
WO2019150605A1 (fr) * 2018-01-31 2019-08-08 リーズンホワイ株式会社 Système de recherche, système de fourniture d'informations, dispositif côté client, dispositif côté hôte, procédé de fourniture d'informations, programme de fourniture d'informations, programme côté client et programme côté hôte
JPWO2019150605A1 (ja) * 2018-01-31 2021-02-04 リーズンホワイ株式会社 検索システム、情報提供システム、クライアント側装置、ホスト側装置、情報提供方法、情報提供プログラム、クライアント側プログラム、及びホスト側プログラム

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