WO2021084745A1 - 医療施設評価装置、医療施設評価方法、及びコンピュータプログラム - Google Patents

医療施設評価装置、医療施設評価方法、及びコンピュータプログラム Download PDF

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Publication number
WO2021084745A1
WO2021084745A1 PCT/JP2019/043101 JP2019043101W WO2021084745A1 WO 2021084745 A1 WO2021084745 A1 WO 2021084745A1 JP 2019043101 W JP2019043101 W JP 2019043101W WO 2021084745 A1 WO2021084745 A1 WO 2021084745A1
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Prior art keywords
medical facility
evaluation
medical
evaluation information
transfer destination
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English (en)
French (fr)
Japanese (ja)
Inventor
昌洋 林谷
久保　雅洋
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NEC Corp
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NEC Corp
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Priority to JP2021554032A priority Critical patent/JPWO2021084745A1/ja
Priority to PCT/JP2019/043101 priority patent/WO2021084745A1/ja
Priority to US17/771,909 priority patent/US20220398522A1/en
Publication of WO2021084745A1 publication Critical patent/WO2021084745A1/ja
Anticipated expiration legal-status Critical
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    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06Q—INFORMATION 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
    • G06Q10/00—Administration; Management
    • G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • G06Q10/063—Operations research, analysis or management
    • G06Q10/0639—Performance analysis of employees; Performance analysis of enterprise or organisation operations
    • G06Q10/06393—Score-carding, benchmarking or key performance indicator [KPI] analysis
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT 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
    • G16H40/20—ICT 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 management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Definitions

  • the present invention relates to a medical facility evaluation device for evaluating a medical facility such as a hospital, a medical facility evaluation method, and a technical field of a computer program.
  • Patent Document 1 discloses a technique for searching a medical treatment type hospital located in an area desired by a patient.
  • Patent Document 2 discloses a technique for searching a hospital to which a patient in a general hospital is transferred after the initial treatment is completed.
  • Patent Document 3 discloses a technique for extracting and presenting hospital candidates with high user satisfaction.
  • the present invention has been made in view of the above problems, and provides a medical facility evaluation device, a medical facility evaluation method, and a computer program that make it possible to find a medical facility with a high degree of suitability as a transfer destination of a patient. Is the subject.
  • One aspect of the medical facility evaluation device of the present invention is an acquisition means for acquiring quantitatively measured evaluation information for a medical facility that is a candidate for a transfer destination of a patient, and the patient based on the evaluation information. It is provided with a calculation means for calculating a score indicating the degree of suitability as a transfer destination of the medical facility.
  • One aspect of the medical facility evaluation method of the present invention is an acquisition step of acquiring quantitatively measured evaluation information for a medical facility that is a candidate for a patient's transfer destination, and the patient based on the evaluation information. It includes a calculation step of calculating a score indicating the degree of suitability as a transfer destination of the medical facility.
  • One aspect of the computer program of the present invention is an acquisition step of acquiring quantitatively measured evaluation information for a medical facility that is a candidate for a transfer destination of a patient, and the medical treatment for the patient based on the evaluation information.
  • FIG. 1 is a block diagram showing an overall configuration of the medical facility evaluation device according to the first embodiment.
  • FIG. 2 is a block diagram showing a hardware configuration of the medical facility evaluation device according to the first embodiment.
  • the medical facility evaluation device 1 is a device that evaluates a medical facility to which a patient is transferred.
  • the term "medical facility” here does not mean direct medical care such as hospitals of various sizes such as acute care hospitals and convalescent hospitals, as well as long-term care facilities, elderly housing with care, and small-scale multifunctional facilities. It is a broad concept that includes facilities. Further, the “transfer” in the present embodiment assumes that the patient moves from the acute care hospital to another hospital (for example, a convalescent hospital, a long-term care facility, a small-scale multifunctional facility, etc.) according to the patient's symptoms. There is.
  • the medical facility evaluation device 1 includes an evaluation information acquisition unit 110 and a score calculation unit 120 as main components.
  • the evaluation information acquisition unit 110 is configured to be able to acquire evaluation information of medical facilities.
  • the "evaluation information" here is information related to the evaluation of medical facilities and is quantitatively measured information.
  • the evaluation information may be expressed as, for example, an evaluation value indicating the height of the evaluation.
  • the evaluation information acquisition unit 110 may be able to acquire a plurality of evaluation information (more specifically, evaluation information regarding a plurality of different items).
  • the evaluation information acquisition unit 110 includes a user evaluation acquisition unit 111, a staff evaluation acquisition unit 112, and a facility data evaluation acquisition unit 113 in order to acquire a plurality of evaluation information.
  • the user evaluation acquisition unit 111 is configured to be able to acquire user evaluation information indicating evaluations from users of medical facilities (for example, patients and their families).
  • the user evaluation information includes, for example, information on user satisfaction. The method for quantitatively measuring user satisfaction will be described in detail later.
  • the staff evaluation acquisition unit 112 is configured to be able to acquire staff evaluation information indicating the evaluation from the receiving staff of the medical facility.
  • the receiving staff of the medical facility includes, for example, a nurse or a social worker who coordinates the transfer at the medical facility of the transfer source.
  • the staff evaluation information is information obtained as a result of evaluating the medical facility to be transferred from the viewpoint of the receiving staff who transfers the patient (in other words, the viewpoint of the hospital of the transfer source). For example, the patient to be transferred. Includes information evaluated from the coverage ratio of acceptance conditions, responses to questions from the acceptance source, etc.
  • the facility data evaluation acquisition unit 113 is configured to be able to acquire facility data evaluation information indicating evaluation based on facility data of medical facilities.
  • Facility data includes, for example, the number of days a patient is hospitalized in a medical facility, the number of days from the start of transfer adjustment to the actual transfer, the degree of recovery of the patient after transfer (for example, FIM: Functional Independence Measure, etc.), and the transfer from the host in the past. Includes data on past performance such as the number of patients.
  • facility data includes the distance from the host (in other words, the distance traveled at the time of transfer), the means of transportation from the host (for example, public transportation such as trains and buses), and the presence or absence of highways. It may include information on the location of the facility, information on medical equipment and various facilities owned by the facility, and the like.
  • the score calculation unit 120 is configured to be able to calculate the score of the medical facility based on the evaluation information acquired by the evaluation information acquisition unit 110.
  • the score calculated here represents the degree of suitability of the transferred patient to the medical facility in the form of a numerical value or the like. Goodness of fit indicates the degree to which each medical facility is suitable for transferring a patient.
  • the score calculation unit 120 according to the present embodiment is acquired by the user evaluation information acquired by the user evaluation acquisition unit 111, the staff evaluation information acquired by the staff evaluation acquisition unit 112, and the facility data evaluation acquisition unit 113. From the facility data evaluation information, one score for the medical facility is calculated. The specific calculation method of the score will be described in detail later.
  • the medical facility evaluation device 1 includes a CPU (Central Processing Unit) 11, a RAM (Random Access Memory) 12, a ROM (Read Only Memory) 13, and a storage device 14. It has.
  • the medical facility evaluation device 1 may further include an input device 15 and an output device 16.
  • the CPU 11, the RAM 12, the ROM 13, the storage device 14, the input device 15, and the output device 16 are connected via the data bus 17.
  • the CPU 11 reads a computer program.
  • the CPU 11 may read a computer program stored in at least one of the RAM 12, the ROM 13, and the storage device 14.
  • the CPU 11 may read a computer program stored in a computer-readable recording medium using a recording medium reading device (not shown).
  • the CPU 11 may acquire (that is, may read) a computer program from a device (not shown) arranged outside the medical facility evaluation device 1 via a network interface.
  • the CPU 11 controls the RAM 12, the storage device 14, the input device 15, and the output device 16 by executing the read computer program.
  • a functional block for evaluating a medical facility is realized in the CPU 11.
  • the evaluation information acquisition unit 110 and the score calculation unit 120 described above are realized in, for example, the CPU 11.
  • the RAM 12 temporarily stores the computer program executed by the CPU 11.
  • the RAM 12 temporarily stores data temporarily used by the CPU 11 when the CPU 11 is executing a computer program.
  • the RAM 12 may be, for example, a D-RAM (Dynamic RAM).
  • the ROM 13 stores fixed data that normally does not change.
  • the fixed data may include a computer program executed by the CPU 11.
  • the ROM 13 may be, for example, a P-ROM (Programmable ROM).
  • the storage device 14 stores data stored in the medical facility evaluation device 1 for a long period of time.
  • the storage device 14 may store a computer program executed by the CPU 11. Further, the storage device 14 may operate as a temporary storage device of the CPU 11.
  • the storage device 14 may include, for example, at least one of a hard disk device, a magneto-optical disk device, an SSD (Solid State Drive), and a disk array device.
  • the input device 15 is a device that receives an input instruction from the user of the medical facility evaluation device 1.
  • the input device 15 may include, for example, at least one of a keyboard, a mouse and a touch panel.
  • the output device 16 is a device that outputs information about the medical facility evaluation device 1 to the outside.
  • the output device 16 may be a display device capable of displaying information regarding the medical facility evaluation device 1.
  • Each of the input device 15 and the output device 16 may be a smartphone, tablet, PC, or the like used by medical personnel.
  • FIG. 3 is a flowchart showing an operation flow of the medical facility evaluation device according to the first embodiment.
  • the user evaluation acquisition unit 111 first acquires the user evaluation information (step S101). Subsequently, the staff evaluation acquisition unit 112 acquires the staff evaluation information (step S102). Subsequently, the facility data evaluation acquisition unit 113 acquires the facility data evaluation information (step S103).
  • the processes of steps S101 to S103 are not limited to the order described above, and may be executed simultaneously in parallel or may be executed one after the other.
  • the score calculation unit 120 sets the weight used for calculating the score (that is, the weight applied to each of the user evaluation information, the staff evaluation information, and the facility data evaluation information) (step). S104). Then, the score calculation unit 120 calculates the score of the medical facility using the set weight (step S105).
  • FIG. 4 is a diagram showing an example of a score calculation method using weights.
  • the evaluation values "85”, “90”, and “75” are acquired as the user evaluation information, the staff evaluation information, and the facility data evaluation information.
  • the evaluation value is assumed to be a perfect score of 100 points.
  • weights "1", “2”, and “1” are set for each of the user evaluation information, the staff evaluation information, and the facility data evaluation information, respectively. This weight may be preset according to the importance of each evaluation information, or may be arbitrarily set at the time of score calculation.
  • the score calculated by the score calculation unit 120 is a value that takes into account the weights set in each evaluation information. In this way, it is possible to calculate a score that reflects the importance of each evaluation value.
  • the score calculation method described above is merely an example, and the score may be calculated using another method.
  • Quantification method of patient satisfaction Next, a specific quantification method of patient satisfaction (that is, a specific acquisition method of user evaluation information) will be described.
  • Patient satisfaction may be determined according to the time required from when the inpatient calls the staff of the medical facility to when the staff of the medical facility responds.
  • patient satisfaction is determined by the time it takes for the staff of the medical facility to arrive at the patient after the inpatient presses the nurse call. In this case, it may be determined that the shorter the time required for the staff to start the response, the higher the patient satisfaction.
  • the time required for the staff to start responding may be measured using a wearable sensor, GPS (Global Positioning System), an image captured by a camera, a sensor installed in or around the bed, or the like.
  • patient satisfaction may be determined according to the cumulative time that the staff of the medical facility responded to the inpatient. Specifically, it may be determined that the longer the cumulative time the staff has responded, the higher the patient satisfaction.
  • the cumulative time handled by the staff may be measured using a wearable sensor, GPS, an image captured by a camera, or the like.
  • the patient satisfaction may be acquired according to the amount of activity and sleep time of the inpatient. Specifically, it may be determined that the greater the amount of activity of the patient or the longer the sleep time of the patient, the higher the patient satisfaction.
  • the amount of activity of the inpatient includes, for example, the amount of rehabilitation. In addition to rehabilitation, the amount of activity of the inpatient may include the distance walked by the inpatient and the amount of activity performed by other inpatients. The amount of activity and sleep time of the inpatient may be measured using a wearable sensor or the like.
  • the patient satisfaction may be obtained according to the amount of conversation of the inpatient. Specifically, it may be determined that the greater the conversation volume of the patient, the higher the patient satisfaction.
  • the amount of conversation of the inpatient may be measured using a voice recorder or the like.
  • the patient satisfaction may be acquired according to the period during which the inpatient's emotional state is a positive emotion (for example, an emotion of "joy” or “enjoyment”). Specifically, it may be determined that the longer the inpatient emotional state is positive (particularly in the latter half of hospitalization), the higher the patient satisfaction.
  • the emotional state of the inpatient may be measured using, for example, a camera image, an IoT device, a wearable sensor, or the like.
  • the score of the medical facility (specifically, whether each medical facility is suitable for transferring a patient to another hospital).
  • the score indicating the degree) can be quantitatively measured and suitably calculated from the evaluation information. Therefore, it is possible to easily find an appropriate medical facility as a transfer destination, and it is possible to efficiently perform transfer adjustment (discharge adjustment).
  • FIG. 5 is a block diagram showing the overall configuration of the medical facility evaluation device according to the second embodiment.
  • the same components as those shown in FIG. 1 are designated by the same reference numerals.
  • the medical facility evaluation device 1 is configured to include a transfer destination presentation unit 130 in addition to the configuration of the first embodiment (see FIG. 1).
  • the transfer destination presentation unit 130 is configured to be able to present a medical facility suitable as a patient's transfer destination based on the scores of a plurality of medical facilities calculated by the score calculation unit.
  • the transfer destination presentation unit 130 is configured to extract medical facilities suitable as transfer destinations from, for example, a plurality of transfer destination candidates, and output a list of the extracted medical facilities to a display or the like.
  • FIG. 6 is a flowchart showing an operation flow of the medical facility evaluation device according to the second embodiment.
  • the same reference numerals are given to the same processes as those shown in FIG.
  • the evaluation information acquisition unit 110 acquires each evaluation information (steps S101 to S103) as in the first embodiment, and scores.
  • the calculation unit 120 calculates the score (steps S104 to S105).
  • the transfer destination presentation unit 130 determines whether or not the scores of all the transfer destination candidates have been calculated (step S201). That is, the transfer destination presentation unit 130 determines whether or not the scores have been calculated for all the medical facilities that the patient can select as the transfer destination, or for some medical facilities that have been selected as the transfer destination in advance.
  • step S201 If the scores have not been calculated for all the transfer destination candidates (step S201: NO), the evaluation target is changed to a medical facility for which the score has not yet been calculated (step S202), and the processes of steps S101 to S105 are executed. To. By repeating the process in this way, the scores of all the transfer destination candidates will be calculated.
  • the transfer destination presentation unit 130 extracts the medical facility with a high score from the transfer destination candidates (step S203).
  • the number of medical facilities extracted here may be only one medical facility having the highest score, or a plurality of medical facilities may be extracted in order from the highest score. Alternatively, the number of medical facilities to be extracted is not limited, and medical facilities with a score of a certain level or higher may be extracted.
  • the transfer destination presentation unit 130 outputs the extracted medical facility as a medical facility suitable for transfer (step S204).
  • the configuration in which the scores are calculated for all the transfer destination candidates is given in step S201, but it is determined whether or not the scores are calculated for a certain number or more of the transfer destination candidates. You may do so. In this case, the medical facility with a high score may be extracted from the transfer destination candidates for which the score has been calculated.
  • the medical facility to which the patient is transferred may depend on the patient's symptoms and the like.
  • a convalescent hospital is preferable as the transfer destination
  • a nursing care facility or a multifunctional facility may not be suitable. In such a case, it becomes easy to select a medical facility suitable as a transfer destination by presenting the convalescent hospital and other facilities separately.
  • FIG. 7 is a diagram showing a display example of a transfer destination suitable for a patient.
  • scores are calculated for each of a plurality of transfer destination candidates (hospitals A to H). Specifically, the score of hospital A is “80”, the score of hospital B is “70”, the score of hospital C is “60”, the score of hospital D is “90”, the score of hospital E is “70”, The score of hospital F is “85”, the score of hospital G is “60”, and the score of hospital H is "65”.
  • the transfer destination presentation unit 130 is set to present three transfer destinations.
  • the transfer destination presentation unit 130 is "hospital D (score 90)" as the most suitable medical facility for transfer, "hospital F (score 85)” as the second most suitable medical facility, and third.
  • Hospital D score 90
  • hospital F score 85
  • Hospital A is presented as a medical facility suitable for.
  • data on each medical facility may be presented.
  • the data for each medical facility includes, but is not limited to, for example, factors that increase the score for each medical facility (for example, the type of evaluation information and the evaluation value that greatly contributed to the increase in the score).
  • a medical facility suitable as a transfer destination is presented based on the score of the transfer destination candidate. In this way, it is possible to easily determine a medical facility suitable for transfer as compared with the case where only the score of each medical facility is output (that is, presented).
  • the medical facility evaluation device is an acquisition means for acquiring quantitatively measured evaluation information for a medical facility that is a candidate for a patient's transfer destination, and the medical treatment for the patient based on the evaluation information. It is a medical facility evaluation device characterized by being provided with a calculation means for calculating a score indicating the degree of suitability as a transfer destination of the facility.
  • Appendix 2 The medical facility evaluation device according to Appendix 2 is further provided with a presentation means for presenting the medical facility to be recommended as a transfer destination of the patient based on the score of each of the plurality of medical facilities.
  • Appendix 3 The medical facility evaluation device according to Appendix 3, wherein the presenting means presents a factor that increases the score of the medical facility that should be recommended as a transfer destination of the patient. Facility evaluation device.
  • the evaluation information includes at least one of an evaluation by a user of the medical facility, an evaluation by a staff receiving the medical facility, and an evaluation based on information about the medical facility.
  • Appendix 5 In the medical facility evaluation device described in Appendix 5, the evaluation information relates to the time required for the staff of the medical facility to respond to the inpatient after the inpatient of the medical facility calls the staff of the medical relocation.
  • the medical facility evaluation device according to Appendix 4 which is characterized by containing information.
  • Appendix 6 The medical facility evaluation device according to Appendix 6 is described in Appendix 4 or 5, wherein the evaluation information includes information on the cumulative time in which the staff of the medical facility responded to the inpatient of the medical facility. This is a medical facility evaluation device.
  • the medical facility evaluation device is characterized in that the evaluation information includes at least one of information regarding the amount of activity, sleep time, and conversation amount of the inpatient in the medical facility.
  • the medical facility evaluation device according to any one of the items.
  • Appendix 8 The medical facility evaluation device according to Appendix 8 is characterized in that the evaluation information includes information on the period during which the emotional state of the inpatient in the medical facility is positive, any one of Appendix 4 to 7. It is a medical facility evaluation device described in.
  • the acquisition means acquires a plurality of types of the evaluation information, and the calculation means weights each of the plurality of types of the evaluation information to calculate the score.
  • the medical facility evaluation device according to any one of Supplementary Provisions 1 to 8, characterized in that.
  • the medical facility evaluation method described in Appendix 10 includes an acquisition step of acquiring quantitatively measured evaluation information for a medical facility that is a candidate for a patient's transfer destination, and the medical treatment for the patient based on the evaluation information. It is a medical facility evaluation method characterized by including a calculation step of calculating a score indicating the degree of suitability as a transfer destination of the facility.
  • Appendix 11 The computer program described in Appendix 11 includes an acquisition process for acquiring quantitatively measured evaluation information for a medical facility that is a candidate for a patient's transfer destination, and the medical facility for the patient based on the evaluation information. It is a computer program characterized by having a computer execute a calculation step of calculating a score indicating the degree of suitability as a transfer destination.
  • Appendix 12 The recording medium described in Appendix 12 is a recording medium on which the computer program described in Appendix 11 is recorded.
  • the present invention can be appropriately modified within the scope of the claims and within the scope not contrary to the gist or idea of the invention that can be read from the entire specification, and the medical facility evaluation device, the medical facility evaluation method, and the computer accompanied by such changes.
  • the program is also included in the technical idea of the present invention.

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PCT/JP2019/043101 2019-11-01 2019-11-01 医療施設評価装置、医療施設評価方法、及びコンピュータプログラム Ceased WO2021084745A1 (ja)

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JP2021554032A JPWO2021084745A1 (https=) 2019-11-01 2019-11-01
PCT/JP2019/043101 WO2021084745A1 (ja) 2019-11-01 2019-11-01 医療施設評価装置、医療施設評価方法、及びコンピュータプログラム
US17/771,909 US20220398522A1 (en) 2019-11-01 2019-11-01 Medical facility evaluation apparatus, medical facility evaluation method, and computer program

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JP7527072B1 (ja) 2023-02-21 2024-08-02 ユニックスイノベーション株式会社 介護施設紹介の分析装置及び退院支援代行システム

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JP2007080212A (ja) * 2005-09-16 2007-03-29 Medstar:Kk 医療情報システム
US20170053080A1 (en) * 2014-04-30 2017-02-23 Battelle Memorial Institute Decision support system for hospital quality assessment
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20230274209A1 (en) * 2020-12-14 2023-08-31 Mitsubishi Electric Corporation Facility evaluation apparatus and facility evaluation method
JP7527072B1 (ja) 2023-02-21 2024-08-02 ユニックスイノベーション株式会社 介護施設紹介の分析装置及び退院支援代行システム

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