WO2018235652A1 - Dispositif de gestion de santé, procédé de gestion de santé et programme de gestion de santé - Google Patents

Dispositif de gestion de santé, procédé de gestion de santé et programme de gestion de santé Download PDF

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Publication number
WO2018235652A1
WO2018235652A1 PCT/JP2018/022221 JP2018022221W WO2018235652A1 WO 2018235652 A1 WO2018235652 A1 WO 2018235652A1 JP 2018022221 W JP2018022221 W JP 2018022221W WO 2018235652 A1 WO2018235652 A1 WO 2018235652A1
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WIPO (PCT)
Prior art keywords
user
instruction
health management
information
medication
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PCT/JP2018/022221
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English (en)
Japanese (ja)
Inventor
出野 徹
直樹 土屋
善之 森田
皓介 井上
和 松岡
Original Assignee
オムロンヘルスケア株式会社
オムロン株式会社
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Publication of WO2018235652A1 publication Critical patent/WO2018235652A1/fr

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

Definitions

  • the present invention relates to a health management device, a health management method, and a health management program.
  • Japanese Patent Laid-Open Publication No. 2017-012604 proposes a health data management system (portable information terminal).
  • the health data management system in JP-A-2017-012604 has a database inside, and manages index data in this database.
  • the index data is based on biological information and activity information of a subject (user) measured by the measuring device. According to the health data management system, the subject can easily use index data indicating the health status of the individual measured by the measurement device by the health data management system.
  • the user himself / herself can store itself in the database of the portable information terminal by storing index data based on biological information and activity information measured by the measuring device. You can easily grasp the health condition of
  • a person having specialized knowledge about medical care and health such as a doctor (hereinafter, referred to as a medical person) to always grasp the health condition of the user (patient).
  • the present invention has been made in view of such circumstances in one aspect, and an object of the present invention is to allow a medical professional to grasp the user's behavior in response to an instruction and to manage the user's health condition. It is to provide the technology that can be done.
  • the present invention adopts the following configuration in order to solve the problems described above.
  • the health management apparatus includes: an acquisition unit that acquires information indicating an action state of the user in a predetermined period after the user is given an instruction for health management; And a determination unit that determines whether the user has performed an action associated with the instruction based on the information indicating the action state.
  • the medical staff when an instruction for health management is given from the medical staff to the user, information representing the action state of the user in response to the instruction is acquired in a predetermined period thereafter. Then, it is determined whether the user has performed the action associated with the instruction based on the acquired information indicating the action state.
  • the medical staff can grasp the action of the user in response to the instruction, and can manage the health condition.
  • the medical staff can also give further instructions such as a treatment policy and life improvement suitable for the user.
  • the acquisition unit acquires, as the information representing the behavior state, information representing a consultation history of the user in a predetermined period after the consultation instruction is given to the user.
  • the determination unit determines whether or not the user has performed an action associated with the consultation instruction with respect to the consultation instruction, based on the information indicating the acquired consultation history.
  • the acquisition unit acquires, as information representing the action state, information representing an exercise history of the user in a predetermined period after the exercise instruction is given to the user.
  • the determination unit determines whether the user has performed an action associated with the exercise instruction based on the acquired information indicating the exercise history. According to the above configuration, when the medical person gives an exercise instruction, it is possible to grasp the action of the user in response to the exercise instruction, and to manage the health condition.
  • the acquisition unit acquires, as information representing the exercise history, an activity amount of the user in a predetermined period after the exercise instruction is given, and the determination unit It is determined whether or not the user has performed an action associated with the exercise instruction based on whether the acquired user activity amount is in the range of the first threshold set in advance. Do. According to the above configuration, it is possible to grasp the action of the user in response to the instruction by using the amount of activity of the user as the information representing the exercise history.
  • the acquisition unit may set, as the information indicating the exercise history, at least one of the number of steps of the user, a walking distance, and a walking time in a predetermined period after the exercise instruction is given. Is acquired, and the determination unit determines whether the user exercises the exercise based on whether or not at least one of the acquired user's number of steps, walking distance, and walking time is in a range of a second preset threshold. It is determined whether or not an action associated with the instruction has been performed in response to the instruction. According to the above configuration, the action of the user in response to the instruction can be grasped using at least one of the number of steps of the user, the walking distance, and the walking time as the information representing the exercise history.
  • the acquisition unit acquires, as information representing the behavior state, information representing a medication history of the user in a predetermined period after the user is given a medication instruction.
  • the determination unit determines, based on the acquired information on the medication history, whether or not the user has taken the medication instruction associated with the medication instruction. According to the above configuration, when the medical doctor gives a medication instruction, it is possible to grasp the behavior of the user with respect to the medication instruction and to manage the health condition.
  • the acquisition unit may input, as information representing the medication history, the operation unit during a predetermined period after the medication instruction has been given, of the medicine the medication was taken.
  • the medication confirmation information including the type and the medication time is acquired, and the determination unit determines the medication instruction based on the comparison result between the acquired medication confirmation information and the prescription information corresponding to the medication instruction. In response, it is determined whether or not the action associated with the instruction has been performed.
  • the acquisition unit may input, as information representing the medication history, the operation unit during a predetermined period after the medication instruction has been given, of the medicine the medication was taken.
  • the medication confirmation information including the type and the medication time is acquired, and the determination unit determines the medication instruction based on the comparison result between the acquired medication confirmation information and the prescription information corresponding to the medication instruction. In response, it is determined whether or not the action associated with the instruction has been performed.
  • the user input data the medication confirmation information
  • the acquisition unit may, as information representing the medication history, change history of biological information of the user affected by medication during a predetermined time after the medication confirmation information is input.
  • the determination unit further determines whether the user responds to the medication instruction based on whether or not the acquired change history of the biological information is within the range of a third preset threshold. It is determined whether or not the associated action has been taken. According to the above configuration, it is possible to grasp the action of the user in response to the instruction by further using the fluctuation history of the biological information of the user as the medication information. This can improve the reliability of the determination as to whether or not the user has taken the drug.
  • an evaluation value determination unit that determines an evaluation value of the user based on a determination result by the determination unit, and provision of points to the user based on the determined evaluation value.
  • an evaluation value processing unit that performs at least one of issuing of a coupon. According to the above configuration, the evaluation value of the user is determined based on the determination result. Then, points are given or coupons are issued to the user based on the determined evaluation value. This can motivate the user to follow the health related instructions.
  • the health management device further includes a storage unit that stores information indicating a correspondence between the type of the instruction and the action information of the user, and the acquiring unit further includes the type of the instruction and the user's Information representing the action information of the user generated with reference to information representing the correspondence with the action information is acquired. According to the above configuration, it is possible to automatically obtain appropriate user action information by referring to the information representing the correspondence between the stored type of instruction and the action information of the user.
  • the medical staff can grasp the user's action to directions, and can provide the art which can manage a user's health condition.
  • FIG. 1 schematically exemplifies an application scene of the health management system according to the embodiment.
  • FIG. 2 schematically illustrates an example of the hardware configuration of the measurement terminal according to the embodiment.
  • FIG. 3 schematically illustrates an example of the hardware configuration of the user terminal according to the embodiment.
  • FIG. 4 schematically illustrates an example of the hardware configuration of the medical staff terminal according to the embodiment.
  • FIG. 5 schematically illustrates an example of the hardware configuration of the health management device according to the embodiment.
  • FIG. 6 schematically illustrates an example of the hardware configuration of the service server according to the embodiment.
  • FIG. 7 schematically illustrates an example of the hardware configuration of the service server according to the embodiment.
  • FIG. 8 schematically illustrates an example of a functional configuration of a control unit in the health management device according to the embodiment.
  • FIG. 9 illustrates an example of a relationship between blood pressure data and user input data according to an embodiment and a determination method for a medication instruction.
  • FIG. 10 illustrates another example of the relationship between blood pressure data and user input data according to an embodiment and a determination method for a medication instruction.
  • FIG. 11 schematically illustrates an example of a functional configuration of a control unit in the service server according to the embodiment.
  • FIG. 12 is a flowchart illustrating an example of the processing procedure of the health management device according to the embodiment.
  • FIG. 13 is a flowchart illustrating an example of the processing procedure of the service server according to the embodiment.
  • the present embodiment an embodiment according to one aspect of the present invention (hereinafter, also referred to as “the present embodiment”) will be described based on the drawings.
  • the embodiment described below is merely an illustration of the present invention in all respects. It goes without saying that various improvements and modifications can be made without departing from the scope of the present invention. That is, in the implementation of the present invention, a specific configuration according to the embodiment may be appropriately adopted.
  • data appearing in the present embodiment is described in natural language, more specifically, it is specified by a pseudo language, a command, a parameter, a machine language or the like that can be recognized by a computer.
  • the health management system includes a measurement terminal 100, a user terminal 200, a medical staff terminal 300, a health management device 400, and external service servers 500 and 600.
  • the measurement terminal 100 is wirelessly connected to the user terminal 200, for example.
  • the user terminal 200, the health management device 400, and the external service servers 500 and 600 are connected to each other via the wide area network 700.
  • the health management device 400 is connected to the medical staff terminal 300 via a local network (not shown).
  • the configuration of the health management system is not limited to the configuration shown in FIG.
  • the measurement terminal 100 may be connected to the health management device 400 without passing through the user terminal 200.
  • the service server 500 or the service server 600 may implement some or all of the functions (processes) realized by the health management device 400.
  • the measurement terminal 100 is, for example, a watch-type wearable device.
  • the measurement terminal 100 measures biological information such as a blood pressure value of the user by being attached to the user.
  • the measurement terminal 100 also includes a medication confirmation button (operation unit) for receiving user input at the time of medication.
  • the measurement terminal 100 measures the exercise state of the user by being worn by the user.
  • the user terminal 200 is, for example, an information communication terminal used by an individual user, and includes, for example, a portable information communication terminal such as a smartphone, a mobile phone, a tablet PC, or a notebook PC.
  • the user terminal 200 transfers the biological information measured by the measurement terminal 100 to the health management device 400. Further, the user terminal 200 may display an instruction from the health management device 400.
  • the user terminal 200 may transmit an instruction from the health management device 400 to the measurement terminal 100, and the measurement terminal 100 may display the instruction from the health management device 400.
  • the medical staff terminal 300 is an information communication apparatus used by a medical staff, and includes, for example, a desktop PC, a notebook PC, or a tablet PC.
  • the medical staff terminal 300 displays a function of transmitting an instruction for health management of the user to the health management device 400 according to the operation of the medical staff, and information on the health condition of the user transmitted from the health management device 400. It has a function.
  • the health management device 400 is configured by, for example, a server used by a hospital.
  • the health management device 400 includes an acquisition unit 415 and a determination unit 416.
  • the health management device 400 may include the instruction transmission unit 414.
  • the instruction transmission unit 414 transmits an instruction from the medical staff terminal 300 to the user terminal 200 or the measurement terminal 100.
  • the acquisition unit 415 acquires information representing the action state of the user in response to the instruction during a predetermined period after the transmission of the instruction.
  • the determination unit 416 determines whether the user has performed an action associated with the instruction, based on the information indicating the acquired action state. Then, the health management device 400 transmits the determination result to the service server 500.
  • the service server 500 is, for example, a server used by a service provider, and is, for example, a reward program server.
  • the service server 500 receives the determination result transmitted from the health management device 400, and determines the evaluation value of the user according to the determination result. Then, the service server 500 performs processing for giving points or issuing coupons to the user according to the determined evaluation value.
  • the service server 600 is, for example, a server used by an insurance company.
  • the service server 600 performs premium discount processing and the like according to the points for the user to whom the points are given.
  • the health management device 400 transmits an instruction from the medical staff for health management to the user (patient). Then, the health management device 400 acquires information indicating the action state of the user in response to the instruction, and determines based on the information indicating the action state whether or not the user has performed the action associated with the instruction. Thereby, for example, the medical staff can grasp the action of the user in response to the instruction, and can manage the health condition. In addition, by grasping the action of the user in response to the instruction, the medical staff can give further instructions such as a treatment policy and life improvement suitable for the user.
  • the measurement terminal 100 includes a control unit 110, a communication unit 120, a storage unit 130, an operation unit 140, a display unit 150, a living body sensor 160, and an acceleration sensor 170.
  • the control unit 110 includes a central processing unit (CPU) 111 and a memory 112.
  • the memory 112 includes a random access memory (RAM), a read only memory (ROM), and the like.
  • the memory 112 stores a program executed by the CPU 111 or functions as a work memory.
  • the control unit 110 performs various kinds of operation control, data processing, and the like by the CPU 111 executing a program using the memory 112.
  • the communication unit 120 is a communication interface for communicating with the user terminal 200.
  • the communication unit 120 transmits data to the user terminal 200 and receives data from the user terminal 200.
  • Communication by the communication unit 120 may be either wireless communication or wired communication.
  • the communication unit 120 will be described on the assumption that the communication unit 120 communicates with the user terminal 200 by short distance wireless communication.
  • the communication unit 120 is not limited to this, and communication may be performed using a communication cable, or communication may be performed via a network such as a LAN (Local Area Network).
  • the storage unit 130 stores a program for controlling the measurement terminal 100, setting data for setting various functions of the measurement terminal 100, measurement data measured by the biological sensor 160 and the acceleration sensor 170, and the like.
  • the storage unit 130 may be used as a work memory when the program is executed.
  • the operation unit 140 includes, for example, operation devices such as a touch panel and operation buttons (operation keys).
  • the operation unit 140 detects an operation by the user, and outputs an operation signal indicating the content of the operation to the control unit 110.
  • the operation unit 140 includes a medication confirmation button as a touch panel and operation buttons.
  • the medication confirmation button is a button indicating that the user has taken medication by receiving user input.
  • the user input corresponding to the drug administration is preferably performed immediately after drug administration, but may be performed immediately before or at the time of drug administration.
  • the medication time is calculated by user input corresponding to the medication.
  • the medication time is calculated based on time information from a clock unit (not shown).
  • the type of medicine taken may be input by the user input of the operation unit 140.
  • the type of medicine may be input in advance.
  • the control unit 110 links user medication time obtained from the user input and the type of medicine taken, and generates user input data (completion confirmation information).
  • the display unit 150 includes a display screen (for example, an LCD (Liquid Crystal Display) or an EL (Electroluminescence) display), an indicator, and the like.
  • the display unit 150 displays information in accordance with the control signal from the control unit 110.
  • the display unit 150 displays, for example, an instruction from the health management device 400.
  • the biometric sensor 160 measures biometric information of the user.
  • the control unit 110 links the measurement time to the measured biological information to generate biological data.
  • the biometric sensor 160 includes a blood pressure sensor 161.
  • the blood pressure sensor 161 continuously measures blood pressure values as biological information of the user.
  • the control unit 110 links the measurement time to the measured blood pressure value to generate blood pressure data.
  • the blood pressure sensor 161 is a continuous measurement type blood pressure sensor.
  • the blood pressure sensor 161 continuously measures the values of blood pressure (for example, systolic blood pressure and diastolic blood pressure).
  • the blood pressure sensor 161 continuously measures blood pressure for each pulse, but is not limited thereto.
  • a blood pressure sensor of a continuous measurement type using a PTT method, a tonometry method, an optical method, a radio wave method, an ultrasonic method or the like can be applied.
  • the PTT method is a method of measuring pulse wave transmission time (PTT) and estimating a blood pressure value from the measured pulse wave transmission time.
  • the tonometry method is a method in which a pressure sensor is brought into direct contact with a living body site through which an artery such as a radial artery of the wrist passes and blood pressure values are measured using information detected by the pressure sensor.
  • the optical method, the radio wave method, and the ultrasonic method are methods in which light, radio waves or ultrasonic waves are applied to blood vessels and blood pressure values are measured from the reflected waves.
  • the blood pressure sensor 161 may also include a blood pressure sensor that can not be measured continuously (hereinafter, referred to as a non-continuous blood pressure sensor).
  • the non-continuous type blood pressure sensor measures the user's blood pressure using, for example, a cuff as a pressure sensor (oscillometric method).
  • Discontinuous blood pressure sensors (especially oscillometric blood pressure sensors) tend to have higher measurement accuracy than continuous blood pressure sensors. Therefore, the blood pressure sensor 101 may measure the blood pressure with higher accuracy by operating the non-continuous blood pressure sensor instead of the continuous blood pressure sensor, triggered by the satisfaction of a certain condition.
  • the user's blood pressure value may be measured by using a user input corresponding to medication as a trigger. Furthermore, the blood pressure value of the user may be measured again after a predetermined time from the user input corresponding to the medication. Thereby, blood pressure values can be measured immediately after and after a predetermined period of time from taking the drug.
  • the biological sensor 160 may measure pulse wave information, pulse information, electrocardiogram information, heart rate information, and body temperature information as biological information by including a sensor other than the blood pressure sensor 161. it can.
  • the acceleration sensor 170 measures the acceleration that the main body of the measurement terminal 100 receives. For example, the acceleration sensor 170 measures acceleration in three or six axes.
  • the control unit 110 calculates the amount of activity (for example, consumed calories) of the user from the measured acceleration. Further, the control unit 110 calculates the number of steps of the user, the walking distance, and the walking time from the measured acceleration. Then, the control unit 110 links activity time to the calculated activity amount to generate activity amount data. Further, the control unit 110 links the measurement time to each of the calculated number of steps, the walking distance, and the walking time to generate walking data.
  • the physical quantity related to the activity amount, the number of steps, the walking distance, and the activity other than the walking time may be calculated by a sensor other than the acceleration 170, and physical quantity data in which the measurement time is linked to the physical quantity may be generated.
  • the user terminal 200 includes a control unit 210, a storage unit 220, an operation unit 230, a communication unit 240, and a display unit 250.
  • Control unit 210 includes a CPU 211 and a memory 212.
  • the memory 212 includes a RAM, a ROM, and the like.
  • the memory 212 stores a program executed by the CPU 211 or functions as a work memory.
  • the control unit 210 performs various operation control, data processing, and the like by the CPU 211 executing a program using the memory 212.
  • the storage unit 220 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a program executed by the control unit 210. In addition, the storage unit 220 may store data and the like generated by the measurement terminal 100. In addition, the storage unit 220 may store display data and the like displayed on the display unit 250.
  • the operation unit 230 includes, for example, a touch panel provided on the display screen of the display unit 250.
  • the operation unit 230 is not limited to this, and may include operation buttons, a keyboard, a mouse, and the like.
  • the operation unit 230 detects an operation by the user, and outputs an operation signal indicating the content of the operation to the control unit 210.
  • the operation unit 230 may include a medication confirmation button instead of the operation unit 140 of the measurement terminal 100.
  • the type of medicine taken may be input by the user input of the operation unit 230.
  • the communication unit 240 is a communication interface for communicating with the measurement terminal 100, the health management device 400, the service server 500, and the service server 600.
  • the communication unit 240 transmits data to the measurement terminal 100 and receives data from the measurement terminal 100.
  • the communication unit 240 transmits data to the health management device 400, the service server 500, and the service server 600 via the network 700, or transmits data from the health management device 400, the service server 500, and the service server 600.
  • Receive Communication by the communication unit 240 may be either wireless communication or wired communication.
  • the network will be described assuming, for example, the Internet, but is not limited to this, and may be another type of network such as a LAN, and one pair using a communication cable such as a USB cable It may be one communication.
  • the display unit 250 includes a display screen (for example, an LCD or an EL display).
  • the display unit 250 displays information in accordance with the control signal from the control unit 210.
  • the display unit 250 may display an instruction from the health management device 400 instead of the display unit 150 of the measurement terminal 100.
  • the medical staff terminal 300 includes a control unit 310, a storage unit 320, an operation unit 330, a communication unit 340, and a display unit 350.
  • Control unit 310 includes a CPU 311 and a memory 312.
  • the memory 312 includes a RAM, a ROM, and the like.
  • the memory 312 stores a program executed by the CPU 311 or functions as a work memory.
  • the control unit 310 performs various types of operation control, data processing, and the like by the CPU 311 executing a program using the memory 312.
  • the storage unit 320 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a program executed by the control unit 310.
  • the storage unit 320 stores the user's consultation information generated by the control unit 310.
  • the examination information is, for example, information representing a user's examination history (date of examination, diagnosis result, etc.).
  • the visit history of the user is input by the medical staff when the user visits.
  • the storage unit 320 may store an instruction from the medical staff to the user.
  • Operation unit 330 includes, for example, a touch panel provided on the display screen of display unit 350.
  • the operation unit 330 is not limited to this, and may include operation buttons, a keyboard, a mouse, and the like.
  • the operation unit 330 detects an operation by a medical person and outputs an operation signal indicating the content of the operation to the control unit 310.
  • the communication unit 340 is a communication interface for communicating with the health management device 400.
  • the communication unit 340 transmits data to the health management device 400 and receives data from the health management device 400.
  • Communication by the communication unit 340 may be either wireless communication or wired communication.
  • the communication unit 340 will be described on the assumption that the communication unit 340 communicates with the health management device 400 via another type of network such as a LAN, but the present invention is not limited to this. Communication may be included.
  • the display unit 350 includes a display screen (for example, an LCD or an EL display).
  • the display unit 350 displays information in accordance with the control signal from the control unit 310.
  • the health management device 400 includes a control unit 410, a storage unit 420, and a communication unit 430.
  • Control unit 410 includes a CPU 411 and a memory 412.
  • the memory 412 includes a RAM, a ROM, and the like.
  • the memory 412 stores a program executed by the CPU 411 or functions as a work memory.
  • the control unit 410 performs various types of operation control, data processing, and the like by the CPU 411 executing a program using the memory 412.
  • the storage unit 420 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a health management program 421 executed by the control unit 410.
  • the communication unit 430 is a communication interface for communicating with the user terminal 200, the medical staff terminal 300, the service server 500, and the service server 600.
  • the communication unit 430 transmits data to the medical staff terminal 300 via the local network, and receives data from the medical staff terminal 300.
  • Communication unit 430 transmits data to user terminal 200, service server 500, and service server 600 via network 700, and receives data from user terminal 200, service server 500, and service server 600.
  • To Communication by the communication unit 430 may be either wireless communication or wired communication.
  • the service server 500 includes a control unit 510, a storage unit 520, and a communication unit 530.
  • Control unit 510 includes a CPU 511 and a memory 512.
  • the control unit 510, the storage unit 520, the communication unit 530, the CPU 511, and the memory 512 are the same as the control unit 410, the storage unit 420, the communication unit 430, the CPU 411, and the memory 412 of the health management device 400, respectively.
  • the storage unit 520 of the service server 500 includes a reward program 521 executed by the control unit 510.
  • the service server 600 includes a control unit 610, a storage unit 620, and a communication unit 630.
  • Control unit 610 includes a CPU 611 and a memory 612.
  • control unit 610, the storage unit 620, the communication unit 630, the CPU 611, and the memory 612 are the same as the control unit 410, the storage unit 420, the communication unit 430, the CPU 411, and the memory 412 of the health management device 400, respectively.
  • the storage unit 620 of the service server 600 includes a program executed by the control unit 610. For example, by executing the program stored in storage unit 620, control unit 610 performs, for example, discounting of premium according to the point to the user to whom the point is given.
  • the control unit 410 of the health management device 400 deploys the health management program 421 stored in the storage unit 420 in the memory 412. Then, the control unit 410 causes the CPU 411 to interpret and execute the health management program 421 developed in the memory 412 to control each component.
  • the control unit 410 of the health management device 400 includes the instruction receiving unit 413, the instruction transmitting unit 414, the acquiring unit 415, the determining unit 416, and the determination result transmitting unit 417. Function.
  • the instruction receiving unit 413 receives an instruction for health management of the user from the medical staff terminal 300.
  • the instruction for the health management of the user is input to the medical staff terminal 300 based on the diagnosis result of the user by the medical staff.
  • the instruction for health management is, for example, a consultation instruction, an exercise instruction, a medication instruction, and the like.
  • the consultation instruction is an instruction to instruct the user to have a medical institution receive a medical examination.
  • the medical doctor instructs the user to receive a medical examination, for example, on a predetermined day or a predetermined period, according to the medical examination instruction.
  • the exercise instruction is an instruction to command the user to exercise.
  • the medical instruction instructs the user to exercise having an activity amount equal to or more than a predetermined value, for example, in a predetermined period (for example, one day), according to the exercise instruction.
  • the medical practitioner instructs the user to walk by a exercise instruction, for example, at least a predetermined value (predetermined number of steps, a predetermined distance, or a predetermined time) in a predetermined period (for example, one day).
  • the medication instruction is an instruction to instruct the user to take a prescribed medicine at a prescribed time.
  • the medical practitioner instructs the user to take a prescribed medicine at a prescribed time of day (for example, morning and night) according to the medication instruction.
  • a predetermined medicine is an antihypertensive agent
  • the present invention is not limited thereto.
  • the instruction transmission unit 414 transmits the instruction for health management received by the instruction reception unit 413 to the user terminal 200 or the measurement terminal 100.
  • the instruction transmission unit 414 may transmit the instruction each time the instruction is received by the instruction reception unit 413, or may transmit the instruction periodically once the instruction is received by the instruction reception unit 413. Good.
  • the acquisition unit 415 acquires information (hereinafter referred to as action information) representing the action state of the user in response to the given instruction. For example, the acquisition unit 415 acquires user's action information in a predetermined period after the instruction is given. The acquiring unit 415 acquires appropriate user behavior information in accordance with the type of the transmitted instruction. Information indicating what kind of action information of the user corresponding to the type of instruction is is stored in the storage unit 420. The said information is table information showing the correspondence of the kind of instruction
  • action information representing the action state of the user in response to the given instruction. For example, the acquisition unit 415 acquires user's action information in a predetermined period after the instruction is given. The acquiring unit 415 acquires appropriate user behavior information in accordance with the type of the transmitted instruction. Information indicating what kind
  • the acquisition unit 415 acquires examination information from the medical staff terminal 300 as action information.
  • the examination information is information generated by the medical staff terminal 300 and representing a user's examination history (date of examination, diagnosis result, etc.).
  • the visit history of the user is input by the medical staff when the user visits.
  • the acquisition unit 415 acquires the user's visit information in a predetermined period (for example, a visit date or visit period corresponding to the instruction) after the instruction is given.
  • the acquisition unit 415 acquires information representing exercise history (hereinafter referred to as exercise information) from the measurement terminal 100 as action information.
  • the exercise information is activity amount data or walking data generated by the measurement terminal 100.
  • the activity amount data is data including the user's activity amount (calories consumed) and the measurement time thereof.
  • the walking data is data including each of the number of steps of the user, the walking distance, and the walking time and their measurement times.
  • the acquisition unit 415 acquires exercise information of the user in a predetermined period (for example, one day) after the instruction is given.
  • the acquisition unit 415 may acquire data including an activity amount, the number of steps, a walking distance, and physical quantities regarding activities other than walking time and their measurement times.
  • the acquisition unit 415 acquires information (hereinafter referred to as medication information) representing medication history from the measurement terminal 100 via the user terminal 200 as activity information.
  • the medication information is blood pressure data and user input data generated by the measurement terminal 100.
  • the blood pressure data is data in which the measurement time is linked to the blood pressure value of the user.
  • the user input data is data including the type of medicine taken by the user and the time of taking the medicine.
  • the acquisition unit 415 acquires user medication information in a predetermined period (for example, one day) after the instruction is given.
  • the acquisition unit 415 may acquire only blood pressure data. That is, the acquisition process is performed automatically.
  • the acquiring unit 415 may acquire not only blood pressure data but also biological data including biological information affected by medication.
  • the determination unit 416 determines whether the user has performed an action associated with the instruction based on the acquired action information. That is, the determination unit 416 determines whether the user has followed an instruction from the medical staff.
  • the determination unit 416 determines whether the user has performed an action associated with the instruction based on the examination information as the action information. More specifically, the determination unit 416, for example, confirms the consultation date of the visit information. Then, the determination unit 416 determines whether or not the user has followed the consultation instruction based on, for example, whether the consultation date is a consultation date or a consultation period corresponding to the instruction. Note that the consultation date or the consultation period corresponding to the instruction is stored, for example, in the storage unit 420. Then, the stored visit date or visit period is read out and compared with the actual visit date to determine.
  • the determination unit 416 determines whether the user has performed an action associated with the instruction based on the exercise information (activity amount data or walking data) as the action information. . More specifically, the determination unit 416 confirms, for example, the activity amount and measurement time of the activity amount data. Thus, the determination unit 416 can calculate the amount of activity (for example, consumed calories) for a predetermined period (for example, one day). Then, the determination unit 416 determines whether or not the user has followed the exercise instruction based on, for example, whether or not the activity amount in a predetermined period is equal to or greater than a predetermined value (a range of the first threshold) set in advance. . The first threshold is stored in, for example, the storage unit 420.
  • the determination unit 416 confirms at least one of the number of steps of walking data, the walking distance, and the walking time and the measurement time. Thereby, the determination unit 416 can calculate at least one of the number of steps in a predetermined period (for example, one day), the walking distance, and the walking time. Then, the determination unit 416 determines whether the user follows the exercise instruction based on, for example, whether at least one of the number of steps in a predetermined period, the walking distance, and the walking time is equal to or greater than a predetermined value (a range of the second threshold). It is determined whether or not.
  • the second threshold is stored in, for example, the storage unit 420.
  • the determination unit 416 determines whether the user has performed an action associated with the instruction based on the medication information (blood pressure data and user input data) as the action information. .
  • the determination unit 416 first confirms the type of medicine taken and the time of administration of the user input data. Then, the determination unit 416 compares the type and time of medication taken with the prescription information with the prescription information, and determines whether the type and time of medication taken are the same as the prescription information.
  • the prescription information corresponds to, for example, a medication instruction from a medical practitioner, and is stored in the storage unit 420. Furthermore, check the blood pressure value and measurement time of the blood pressure data. Thereby, the determination unit 416 can confirm the fluctuation history of the blood pressure value within a predetermined time (for example, several hours) from the time of medication. Then, the determination unit 416 determines whether or not the user follows the medication instruction based on whether or not the fluctuation history of the blood pressure value within a predetermined time from the medication time is equal to or more than the predetermined value (the third threshold range). Do.
  • the user input data is self-reported by the user. For this reason, the user can declare medication even if he is not actually taking medication. That is, user input alone is not reliable enough to determine whether the user has actually taken a drug.
  • the blood pressure data is confirmed together with the user input (reporting of medication). This makes it possible to confirm the declaration of medication and the actual blood pressure value fluctuation associated therewith, and it is possible to determine whether the user has actually taken a medication.
  • FIG. 9 illustrates an example of a relationship between blood pressure data and user input data according to the present embodiment and a determination method for a medication instruction.
  • the determination unit 416 confirms the type of medicine (hypertension reducing agent A) and the dosing time (time t1) of the user input data. Furthermore, the determination unit 416 checks the change history of the blood pressure value in a predetermined time (time from time t1 to time t2) from the medication time (time t1).
  • the predetermined time may be set based on the time when the effect of the drug sufficiently appears, and may be set appropriately according to the user. For example, the predetermined time may be automatically set based on accumulation of historical data of the user in the past. Moreover, this predetermined time may be automatically set based on accumulation of past history data of the measurement subject group other than the user.
  • the determination unit 416 determines that the user has taken the medication (in accordance with the medication instruction). On the other hand, when the blood pressure value does not decrease to the threshold BPth1 within the predetermined time, the determination unit 416 determines that the user is not taking medication (not following the medication instruction).
  • the threshold value BPth1 may be set according to the lowest value of the step-down effect obtained by taking the drug, and may be set appropriately according to the user. For example, the threshold BPth1 may be automatically calculated based on accumulation of historical data of the user in the past. The user's past history data is accumulated and stored in the storage unit 420. In addition, the threshold BPth1 may be automatically calculated based on accumulation of historical data of the subject group other than the user. For example, the threshold BPth1 may be an average of the blood pressure value before change and the blood pressure value after change.
  • FIG. 10 illustrates another example of the relationship between blood pressure data and user input data according to the present embodiment and a determination method for a medication instruction.
  • the determination unit 416 confirms the type of medicine (hypertension reducing agent A) and the medication time (time t1) of the user input data, the blood pressure value for medication time (time t1) and the medication The blood pressure value after a predetermined time (time t2) from the time is confirmed. Further, the determination unit 416 calculates the difference BP1 of these blood pressure values. Then, when the blood pressure value difference BP1 is equal to or greater than the threshold BPth2, the determination unit 416 determines that the user has taken the medication (in accordance with the medication instruction).
  • the determination unit 416 determines that the user is not taking medication (in accordance with the medication instruction).
  • the threshold value BPth2 may be set according to the lowest value of the step-down effect obtained by taking the drug, and may be set appropriately according to the user. For example, the threshold BPth2 may be automatically calculated based on accumulation of historical data of the user in the past. In addition, the threshold BPth2 may be automatically calculated based on accumulation of past history data of the measurement subject group other than the user.
  • Pulse wave data, pulse data, electrocardiogram data, heart rate data, and body temperature data may be generated by linking measurement time to pulse wave information, pulse information, electrocardiogram information, heart rate information, and body temperature information. Then, based on the relationship between the biological data and the medication, it may be determined whether the user has actually taken the medication. In addition, it is also possible to determine the medication instruction for a drug other than the antihypertensive agent from the relationship between the drug other than the antihypertensive drug and the biological data.
  • the determination result transmission unit 417 transmits the determination result determined by the determination unit 416 (that is, the determination result of whether the user has followed the instruction) to the service server 500.
  • the control unit 510 of the service server 500 loads the reward program 521 stored in the storage unit 520 in the memory 512. Then, the control unit 510 causes the CPU 511 to interpret and execute the reward program 521 developed in the memory 512 to control each component.
  • the control unit 510 of the service server 500 functions as a computer including the determination result receiving unit 513, the evaluation value determining unit 514, and the evaluation value processing unit 515.
  • the determination result receiving unit 513 receives, from the health management device 400, a determination result as to whether or not the user has followed instructions (a consultation instruction, an exercise instruction, and a medication instruction).
  • the evaluation value determination unit 514 determines the evaluation value of the user based on the determination result received by the determination result reception unit 513. For example, the evaluation value determination unit 514 increases the evaluation value when the user follows the instruction, and lowers the evaluation value when the user does not follow the instruction. In addition, the evaluation value determination unit 514 may determine each evaluation value according to the determination result of each instruction, or may determine a comprehensive evaluation value according to the determination results of all the instructions. Alternatively, the evaluation value determination unit 514 may determine any of each evaluation value and the comprehensive evaluation value.
  • the evaluation value processing unit 515 gives points to the user or issues a coupon based on the evaluation value determined by the evaluation value determination unit 514.
  • the points are given to a user with a high evaluation value (a user according to the instruction), and used, for example, for discounting premiums on the service server 600 (insurance company).
  • a coupon for example, a gourmet coupon or a travel coupon, is issued to a user with a high evaluation value (a user who follows the instruction).
  • Such point grant and coupon issuance can motivate the user to follow the health related instructions.
  • a gym gym coupon may be issued to a user having a low evaluation value for an exercise instruction (a user who did not follow the exercise instruction). This can prompt the user who does not follow the exercise instruction to exercise.
  • the service server 500 may implement some or all of the functions (processes) realized by the health management device 400 described above. In this case, the determination result transmission unit 417 and the determination result reception unit 513 may not be provided, and the determination result obtained by the determination unit 416 is directly used by the evaluation value determination unit 514.
  • the service server 600 may perform some or all of the functions (processes) realized by the health management device 400 and the service server 500.
  • FIG. 12 is a flowchart illustrating an example of the processing procedure of the health management device 400.
  • the process sequence demonstrated below is only an example, and each process may be changed as much as possible.
  • steps may be omitted, replaced, and added as appropriate according to the embodiment.
  • Step S11 the control unit 410 functions as the instruction reception unit 413, and receives an instruction (medical instruction, exercise instruction, and medication instruction) for health management of the user from the medical staff terminal 300.
  • an instruction medical instruction, exercise instruction, and medication instruction
  • control unit 410 functions as instruction transmission unit 414, and transmits the instruction for health management received in step S11 to user terminal 200 or measurement terminal 100.
  • control unit 410 functions as acquisition unit 415, and acquires the user's action information in response to the instruction given in step S12.
  • control part 410 acquires medical examination information from the medical staff terminal 300 as action information in step S131.
  • control unit 410 acquires exercise information (activity amount data or walking data) from the measurement terminal 100 via the user terminal 200 as activity information in step S132.
  • the control unit 410 acquires medication information (blood pressure data and user input data) from the measurement terminal 100 via the user terminal 200 as activity information in step S133. (Step S14 (steps S141, S142, S143)) In the next step S14, the control unit 410 functions as the determination unit 416, and based on the action information acquired in step S13, whether the user has performed an action associated with the instruction (instruction Determine whether or not).
  • control unit 410 performs an action associated with the instruction in response to the instruction based on the examination information as the action information in step S141 (a consultation instruction Determine whether or not
  • control unit 410 When exercise information is acquired, the control unit 410 performs an action associated with the instruction in response to the instruction based on the exercise information (activity data or walking data) as action information in step S142. It is determined whether or not (following the exercise instruction) or not.
  • control unit 410 performs an action associated with the instruction in response to the instruction based on the medication information (blood pressure data and user input data) as the action information in step S143. It is determined whether or not (in accordance with the medication instruction).
  • Step S15 In the next step S15, the control unit 410 functions as the determination result transmission unit 417, and transmits the determination result determined in step S14 to the service server 500.
  • FIG. 13 is a flowchart illustrating an example of the processing procedure of the service server 500.
  • the process sequence demonstrated below is only an example, and each process may be changed as much as possible.
  • steps may be omitted, replaced, and added as appropriate according to the embodiment.
  • control unit 510 functions as determination result receiving unit 513, and receives a determination result as to whether or not the user follows instructions (a consultation instruction, an exercise instruction, and a medication instruction) from health management device 400.
  • control unit 510 functions as evaluation value determination unit 514, and determines the user's evaluation value based on the determination result received in step S21.
  • control unit 510 functions as evaluation value processing unit 515, and grants a point or issues a coupon to the user based on the evaluation value determined in step S22.
  • the health management device 400 transmits the health care instruction (medical instruction, exercise instruction, and medication instruction) from the medical staff to the user (patient). . Then, the health management device 400 acquires the user's action information (the consultation information, the exercise information, and the medication information) in response to the instruction, and based on the action information, the user performs the action associated with the instruction. It is determined whether or not the user has done the instruction. Thereby, the medical staff can grasp the action of the user in response to the instruction, and can manage the health condition. In addition, by grasping the action of the user in response to the instruction, the medical staff can give further instructions such as a treatment policy and life improvement suitable for the user.
  • the medical staff can grasp the action of the user in response to the instruction, and can manage the health condition.
  • the medical staff can give further instructions such as a treatment policy and life improvement suitable for the user.
  • the threshold for the determination is set based on the accumulated history data (biometric data) of the user. That is, the threshold corresponds to the fluctuation of the user's own biometric data due to the yearly change. This makes it possible to more accurately determine whether the user has followed the medication instruction.
  • the service server 500 determines the evaluation value of the user based on the determination result obtained by the health management device 400. Then, the service server 500 gives points to the user or issues a coupon based on the determined evaluation value. This can motivate the user to follow the health related instructions.
  • the present invention is not limited to the above embodiment as it is, and at the implementation stage, the constituent elements can be modified and embodied without departing from the scope of the invention.
  • various inventions can be formed by appropriate combinations of a plurality of components disclosed in the above embodiments. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, components in different embodiments may be combined as appropriate.

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Abstract

L'objectif de la présente invention est de fournir une technique qui permet à un professionnel de santé de comprendre le comportement d'un utilisateur en réponse à une instruction, et de gérer l'état de santé de l'utilisateur. Un dispositif de gestion de santé selon un aspect de la présente invention est pourvu de : une unité d'acquisition qui acquiert des informations indiquant un état d'action d'un utilisateur dans une période prescrite après que des instructions de gestion de santé ont été données à l'utilisateur; et une unité de détermination qui, sur la base des informations acquises indiquant l'état d'action, détermine si, en réponse aux instructions, l'utilisateur a effectué des actions correspondant aux instructions.
PCT/JP2018/022221 2017-06-19 2018-06-11 Dispositif de gestion de santé, procédé de gestion de santé et programme de gestion de santé WO2018235652A1 (fr)

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