WO2021121381A1 - Système et procédé de gestion de rééducation - Google Patents

Système et procédé de gestion de rééducation Download PDF

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Publication number
WO2021121381A1
WO2021121381A1 PCT/CN2020/137586 CN2020137586W WO2021121381A1 WO 2021121381 A1 WO2021121381 A1 WO 2021121381A1 CN 2020137586 W CN2020137586 W CN 2020137586W WO 2021121381 A1 WO2021121381 A1 WO 2021121381A1
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WIPO (PCT)
Prior art keywords
rehabilitation
prescription
management
patient
module
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PCT/CN2020/137586
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English (en)
Chinese (zh)
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赵红梅
吴清生
何明军
张惠荣
黄艺聪
张锦辉
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赛客（厦门）医疗器械有限公司
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Publication of WO2021121381A1 publication Critical patent/WO2021121381A1/fr

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    • 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
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/20—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
    • 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
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT 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
    • 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
    • G16H40/60—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 operation of medical equipment or devices
    • G16H40/67—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 operation of medical equipment or devices for remote operation
    • 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
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • 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
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Definitions

  • the invention relates to the field of rehabilitation medical management, in particular to a rehabilitation management system and method.
  • COPD chronic obstructive pulmonary disease
  • Respiratory rehabilitation training can improve the psychological condition and lung function of patients with chronic obstructive pulmonary disease (COPD), and improve the quality of life of COPD patients. Based on the insufficiency of medical resources and the principle of saving, most patients with chronic obstructive pulmonary disease (COPD) need to recover at home, so remote rehabilitation training management is needed.
  • COPD chronic obstructive pulmonary disease
  • Chinese patent CN109215791 A discloses a health management method, system, equipment and storage medium based on multi-information decision-making.
  • the method includes: establishing a processing interval for evaluating the health of the user; acquiring the user's biological signal and exercise signal , And calculate the corresponding health evaluation through the biosignal and motion signal in the corresponding interval; judge whether the user is in a healthy state according to the health evaluation of the exercise interval, the emotional interval and the sleep interval; if the user is at least one treatment interval in the unhealthy state State, match the corresponding feedback training according to the health evaluation of the exercise zone, the emotional zone and the sleep zone to assist the user in adjusting the current health status.
  • the multi-source sensor information is highly integrated from the software and hardware system level to form a health management centered on the physical and mental health assessment model.
  • the invention is mainly aimed at healthy people or sub-healthy people. It uses wearable software and hardware, algorithms, and feedback technology to form a big data physical and mental health assessment model for health management.
  • Chinese patent CN105912880A discloses a smart home respiratory health management system, including home end, hospital end, home end and hospital end through the communication module to achieve information interaction, home end includes respiratory signal acquisition device, display unit, hospital end includes respiratory signal arrival Reminder module, patient data collection management module, work reminder module, diagnosis result feedback module, interactive module, through the pre-amplifier unit, demodulation unit, gain and bias unit connected in sequence to the respiration signal acquisition unit in the respiration signal acquisition device , A/D conversion unit, thereby improving the accuracy of breath measurement under weak signals.
  • the A/D conversion unit adopts multi-bit A/D and has a wide range of variable resistance detection.
  • the hospital end reaches the reminder module through the breath signal, Patient data collection management module, work reminder module, diagnosis result feedback module, interactive module, realize work reminder, patient data collection, user management, result analysis, interactive discussion, etc.
  • the interactive function of the invention at the home and hospital ends is limited to the respiratory signal acquisition device, which has limited functions, and also lacks all-round health management for people in the rehabilitation stage.
  • the purpose of the present invention is to provide a rehabilitation management system and method to provide comprehensive health management.
  • a rehabilitation management system including: doctor end, operation end, family end and rehabilitation management platform,
  • the rehabilitation management platform is used to communicate with the doctor end, the operation end, and the home end, perform data interaction, and provide data statistics and data analysis functions;
  • the doctor terminal is used for the doctor's overall management of the patient, and the overall management includes: patient evaluation, report query, prescription editing, and questionnaire distribution;
  • the operating terminal is used for medical staff to receive a rehabilitation prescription issued by a doctor, and to help the patient perform prescription tasks and perform questionnaire evaluation tasks according to the rehabilitation prescription;
  • the home terminal is used for patients to obtain rehabilitation prescriptions issued by doctors, perform prescription tasks, and perform questionnaire evaluation tasks.
  • the rehabilitation prescription includes: exercise prescription, medication prescription and nutrition prescription.
  • the doctor terminal includes a login and registration module, a patient management module, an evaluation module, a prescription module, an early warning module, a report management module, and a questionnaire management module.
  • the patient management module is used to select operating instructions, the operating instructions include detailed instructions, evaluation instructions, report instructions, delete instructions, and questionnaires, and the detailed instructions are used to view the user's information system and history;
  • the evaluation instruction is used to perform rehabilitation evaluation; the report instruction is used to view historical rehabilitation evaluation details; the delete instruction is used to delete the currently managed patient; the questionnaire instruction is used to send a questionnaire evaluation task to the patient.
  • the evaluation module is used to generate an evaluation report according to the type of evaluation required by the patient.
  • the assessment type includes at least one of chronic obstructive pulmonary disease, asthma, pulmonary fibrosis, and pulmonary hypertension;
  • the assessment content of the assessment report includes an assessment scale, vital signs data, lung function data, diaphragm At least one of B-ultrasound, walking test data, blood gas analysis data, and blood routine.
  • the prescription module is used for the generation, maintenance and management of rehabilitation prescriptions.
  • the report management module is used to manage and query historical data and reports.
  • doctor terminal also includes a follow-up management module, and the follow-up management module is used to record the date of the follow-up and the content of the follow-up feedback.
  • the operation terminal includes a task management module and an equipment management module.
  • the medical staff can view the prescription task data of the patients being served through the task management module; the equipment management module is used to manage required medical testing equipment and rehabilitation equipment.
  • the prescription task data includes: the patient’s basic personal information, the prescription validity period, the completion percentage of today’s tasks, and the number of days absent from work; by querying a certain patient in the task management module, the patient’s rehabilitation prescribed by the doctor can be obtained. The latest status of the prescription, and the specific execution of the patient's prescription task.
  • the operating terminal is an application program running on a mobile terminal.
  • the home terminal includes an account management module, an equipment management module, and a rehabilitation prescription module.
  • the account management module is used for registration and authentication, so as to obtain prescription tasks issued by a doctor; and the equipment management module is used for managing required medical care. Testing equipment and rehabilitation equipment; the rehabilitation prescription module is used to query rehabilitation prescriptions.
  • the home terminal is an application program running on a mobile terminal.
  • the home terminal completes registration authentication by binding an account with a mobile phone number or other identity information.
  • the exercise prescription also includes exercise task guidance, and the exercise task guidance includes one or more of graphic and video action demonstrations and AI teaching modules.
  • the data analysis includes one or more of measurement data statistical analysis, questionnaire evaluation analysis, rehabilitation image data storage analysis, and AI big data case analysis.
  • the rehabilitation management system further includes a doctor-patient online interaction module, and the doctor-patient online interaction module refers to the establishment of a direct connection between the patient and the doctor at the doctor end and the family end through graphics or video.
  • the rehabilitation management platform is also provided with an external data interface for docking with a third-party platform system.
  • a rehabilitation management method applied to the above-mentioned rehabilitation management system including:
  • the doctor checks the patient's data through the doctor's terminal, writes a rehabilitation prescription, and forms a prescription task;
  • Medical staff read prescription tasks through the operation terminal, and supervise, guide or assist patients to perform prescription tasks and perform questionnaire evaluation tasks;
  • the patient reads and executes the prescription task through the home terminal; and uploads the patient data generated from the execution of the prescription task to the rehabilitation management platform through the home terminal;
  • the rehabilitation management platform provides data interaction, data storage, and report statistical analysis for doctors, operators, and families.
  • the invention provides a rehabilitation management system, which is a comprehensive rehabilitation management system integrating a doctor end used by doctors, an operation end used by therapists (rehabilitation nurses), and a home end used by home patients.
  • the system can match a variety of application scenarios; it can be used in the hospital, remote monitoring outside the hospital, home management combined inside and outside the hospital, etc., to achieve a complete closed loop from in-hospital rehabilitation evaluation to in-hospital rehabilitation implementation to family rehabilitation management.
  • Figure 1 is a block diagram of the rehabilitation management system of the present invention
  • Figure 2 is a patient management interface on the doctor's side according to an embodiment of the present invention.
  • FIG. 3 is an evaluation type selection interface on the doctor side according to an embodiment of the present invention.
  • Figure 4 is a prescription editing interface on the doctor's side according to an embodiment of the present invention.
  • FIG. 5 is a questionnaire sending interface on the doctor side according to an embodiment of the present invention.
  • Fig. 6 is a message management interface of the doctor terminal according to an embodiment of the present invention.
  • FIG. 7 is a task management interface of the operation terminal of an embodiment of the present invention.
  • FIG. 8 is a device adding interface of the operation terminal according to an embodiment of the present invention.
  • FIG. 9 is a rehabilitation prescription interface of the operation terminal of an embodiment of the present invention.
  • FIG. 10 is a rehabilitation task interface on the home side according to an embodiment of the present invention.
  • Fig. 11 is a home device adding interface according to an embodiment of the present invention.
  • the present invention discloses a specific embodiment of a rehabilitation management system, including: a doctor end, an operation end, a family end, and a rehabilitation management platform.
  • the doctor terminal is used for overall management of patients, and the global management includes: patient evaluation, data analysis, prescription editing, questionnaire issuance, and early warning management;
  • the operation terminal is used for medical staff to receive rehabilitation prescriptions issued by doctors, Help patients perform rehabilitation prescriptions and evaluate training tasks;
  • the home terminal is used for patients to obtain rehabilitation prescriptions issued by doctors, execute rehabilitation prescriptions, and evaluate training tasks.
  • the rehabilitation management platform can also be connected to the HIS system (hospital information system). After authorization by the hospital and the patient, the relevant diagnosis and treatment records of the patient in the hospital can be obtained to realize the sharing of medical data. More effective medical data can help rehabilitation The accuracy of the assessment.
  • HIS system hospital information system
  • the doctor's terminal can be based on PC and visit based on browser; or visit based on application of mobile terminal.
  • Those skilled in the art should understand that the use of a PC or a mobile terminal to perform operations on a management end such as a doctor end is a conventional technical means in the art.
  • the doctor terminal includes a login and registration module, a patient management module, an evaluation module, a prescription module, an early warning module, a report management module, and a questionnaire management module.
  • the above modules display and perform operations in the form of an interface.
  • the doctor accesses the rehabilitation management platform through the doctor’s terminal, and clicks "Rehabilitation Management” and "Rehabilitation Management Patient” in the left menu bar to enter the patient management interface, which displays patient information and patient rehabilitation.
  • the patient information includes: the patient’s name and gender; the patient’s rehabilitation management information includes: monitoring indicators, patient type, rehabilitation prescription, prescription validity period, task items and completion status.
  • the prescription validity period, task items and completion status give the rehabilitation
  • the current information and execution status of the prescription; the clickable operation controls are: the "View Details” button in the Rehabilitation Prescription column, the "View Details” button in the Completion Status column, and the "Details” and “Evaluation” in the "Operation” column "", “Report”, “Send Questionnaire” and “Delete” five operation buttons.
  • Fig. 3 is the rehabilitation evaluation interface of the platform, in which the evaluation type can be selected.
  • the evaluation types include but are not limited to the chronic obstructive pulmonary disease, asthma, pulmonary interstitial fibrosis, and pulmonary hypertension modules listed in the examples. Click on this interface to see the specific evaluation items. After confirmation, enter the rehabilitation evaluation and form an evaluation report.
  • the assessment content includes but is not limited to those listed in the examples: assessment scale, vital signs (such as body temperature, heart rate, blood oxygen saturation, etc.), lung function data (FVC, FEV1, etc.) ), six-minute walk test data, blood gas analysis data, diaphragm B ultrasound, blood routine, etc.
  • Evaluation types and evaluation content can be further added or refined based on the advancement of medical methods. Relevant information can be obtained through the hospital information system, or through the patient's home medical testing instrument.
  • the doctor’s prescription editing interface can be accessed by clicking the "View Details" button in the rehabilitation prescription column under the "Rehabilitation Management Patient” interface.
  • Rehabilitation prescriptions include exercise prescriptions, nutrition prescriptions and medication prescriptions. Prescriptions for different periods can be set, prescriptions can be set by day, week, and month, and smart reminders are provided. With the improvement of services, the types of prescriptions can be further increased.
  • the exercise prescription includes breathing muscle exercise, bedside exercise of upper and lower limbs, relaxation, stretching, breathing exercises, etc., and according to different prescription types, different training difficulty, training level, training time, and training times can be set. Wait.
  • the system can provide a default rehabilitation exercise prescription for reference according to the patient's assessment, and the doctor can also customize the rehabilitation exercise prescription according to the actual situation of the hospital and the patient.
  • the exercise prescription may also provide exercise task guidance.
  • the exercise task guidance includes graphic and/or video action demonstrations, such as breathing exercises.
  • an embedded AI teaching module is also provided. The AI teaching module compares and analyzes rehabilitation training actions and standard actions through AI, reminding the correction to approach the standard actions.
  • Nutritional prescription Nutritional management is also a key part of rehabilitation management. Therefore, individualized recipes can be customized according to needs, and recipes can be customized by day, week, and month to form a nutritional prescription.
  • Medication prescription According to the medication prescription issued by the doctor, intelligently remind the medication.
  • medication prescriptions include prescription drugs prescribed by a doctor and treatment prescriptions such as atomization and oxygen therapy.
  • this embodiment provides an example of the questionnaire sending interface of the questionnaire management module.
  • questionnaire management module Through the questionnaire management module, questionnaire history queries, questionnaire reports, and questionnaires can be read.
  • the questionnaire interface provides multiple templates.
  • the doctor checks the corresponding evaluation scale according to the patient's condition to quickly form the questionnaire and send it to the patient.
  • the evaluation scale given in this embodiment includes dyspnea index (mMRC), COPD assessment test (CAT), number of exacerbations, COPD screening questionnaire, ACT (adult), ACT (child), PHQ-9 , GAD-7, Pittsburgh Sleep Quality Index (PSQI), etc., doctors can also customize the questionnaires they need.
  • the applicable population of this questionnaire mainly includes patients with home rehabilitation therapy such as chronic obstructive pulmonary disease, asthma, emphysema, pulmonary hypertension, and interstitial lung disease.
  • the early warning management module includes monitoring index setting and message management. When the monitoring index exceeds the threshold, a message is generated.
  • the doctor can set the contact method through the message management according to the importance of the message, such as telephone, SMS, and patient contact.
  • the contact method can also be other communication methods, such as instant communication methods such as WeChat, and the contact can be made through text or voice messages.
  • the message management is divided into unread messages and read messages.
  • the message types are divided into over-limit warning, prescription expiration warning, task incomplete warning, etc. You can choose telephone contact or SMS notification to process the message, click to read the message The current message will become a read message. If you delete the message, the message will be closed and no longer displayed.
  • the doctor’s end also includes a follow-up management module and a doctor-patient online interaction module.
  • the doctor can record the date of follow-up and follow-up feedback through the follow-up module; the doctor-patient online interaction module provides a channel for graphics or video, and the corresponding setting is also set on the family side.
  • Interactive module to establish a direct connection between doctors and patients on the doctor's end and the family's end. In order to provide more convenient medical services.
  • the operating terminal is mainly used for on-site rehabilitation management of patients by medical staff in areas such as wards, rehabilitation rooms, and patients' homes. Therefore, mobile terminals such as mobile phones and tablets are generally used to run corresponding applications on the mobile terminals.
  • the application program includes a login module, a task management module, and a device management module.
  • the task management module is used to synchronize patient data managed under a doctor's account. The medical staff can view and maintain the task execution data of the patients served through the task management module.
  • the login module is used for the login management of medical staff.
  • Medical staff can log in to the operating terminal through mobile terminals, such as mobile phones, tablets, and other rehabilitation management applications. After logging in, they can enter the task management interface of the task management module, as shown in Figure 7, the interface includes: (1) Patient's Basic personal information; (2) Prescription validity period; (3) Percentage of tasks completed today; (4) Number of days absent from work, etc. In this way, it is convenient for medical staff to perform one-to-many management of patients, and supervise, guide or assist patients in performing prescription tasks.
  • Figure 8 shows the device management interface of the device management module on the operating side.
  • the operation terminal is connected with multiple in-hospital testing instruments, meters and rehabilitation equipment, and patients can be tested or rehabilitated through these testing instruments, meters and rehabilitation equipment.
  • the testing data and rehabilitation exercise data can be directly collected through the operation terminal and uploaded and stored. In the rehabilitation management platform, as the basis for evaluation.
  • Figure 9 shows the task management module interface of the operation terminal.
  • the task management module interface choose to query a specific patient and enter the personal task management interface.
  • medical staff can understand the latest status of the current patient's rehabilitation prescription issued by the doctor and perform the prescription task for the current patient The progress is monitored.
  • the home terminal includes an account management module, a device management module, and a task management module.
  • the account management module is used for registration and authentication, so as to obtain prescription tasks issued by a doctor.
  • the home terminal is run on mobile terminals such as mobile phones and tablets in the form of APP software or WeChat applets. Patients and related personnel (such as family members, caregivers, etc.) can use tasks
  • the interface of the management module can intuitively see the execution of the prescription task, and the patient executes it on time according to the prompts of the interface.
  • the home side implements equipment management through the equipment management module to realize the connection between the mobile terminal and the home medical detection instrument.
  • the "equipment management” displays the equipment that has been added to the management, including respiratory endurance training equipment and pulse oximeter. , Sphygmomanometers, intelligent limb exercise machines and other medical testing instruments and rehabilitation equipment, the testing data obtained from the medical testing instruments and the motion data obtained from the rehabilitation equipment are uploaded to the rehabilitation management platform through the mobile terminal.
  • the rehabilitation management system of the embodiment of the present invention is a comprehensive rehabilitation management system that integrates the doctor end used by doctors, the operation end used by medical staff (such as therapists, rehabilitation nurses, etc.), and the home end used by home patients.
  • the system can match a variety of application scenarios; it can be used in the hospital, remote monitoring outside the hospital, home management combined inside and outside the hospital, etc., realizing the dynamic whole process from in-hospital rehabilitation evaluation to in-hospital diagnosis, prescription, rehabilitation implementation and home rehabilitation management The complete closed loop.
  • the present invention also discloses a rehabilitation management method, which is applied to the above-mentioned rehabilitation management system, including:
  • the doctor checks the patient's data through the doctor's terminal, writes a rehabilitation prescription, and forms a prescription task;
  • Medical staff read the prescription task through the operation terminal, and supervise and guide the patient to perform the prescription task;
  • the patient reads and executes the prescription task through the home terminal; the patient data generated by the execution of the prescription task is uploaded to the rehabilitation management platform through the home terminal;
  • the rehabilitation management platform performs data storage and data analysis; the data stored in the data includes: patient data, rehabilitation prescriptions, the patient data includes measurement data and questionnaire evaluation; the data analysis includes: statistical analysis of measurement data to form statistics Charts; questionnaire evaluation and analysis; recovery image data storage analysis, AI big data case analysis, etc., summarize the basic information of different patients, conditions, rehabilitation treatment plan implementation, and effect data analysis, as big data to provide doctors with the basis for subsequent rehabilitation prescriptions.
  • the rehabilitation management platform is also provided with external interfaces for docking with third-party platform systems, such as the hospital information system of the hospital, and the third-party health management platform.
  • third-party platform systems such as the hospital information system of the hospital, and the third-party health management platform.

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Abstract

Système et procédé de gestion de rééducation, qui se rapportent au domaine de la gestion médicale de la rééducation. Le système comprend : un bout de plateforme, un bout de fonctionnement, un bout domestique, et une plateforme de gestion de rééducation. Le bout de plateforme, le bout de fonctionnement et le bout domestique accèdent à la plateforme de gestion de rééducation et réalisent des interactions de données au moyen de la plateforme de gestion de rééducation ; le bout de plateforme est utilisé pour gérer globalement des patients, et la gestion globale comprend : une évaluation du patient, une analyse de données, une modification de prescription et une délivrance de questionnaire ; le bout de fonctionnement est utilisé par le personnel médical pour recevoir des prescriptions de rééducation délivrées par des médecins et pour aider les patients à effectuer les prescriptions de rééducation et pour évaluer des tâches d'entraînement ; et le bout domestique est utilisé par les patients pour obtenir les prescriptions de rééducation délivrées par les médecins, pour exécuter les prescriptions de rééducation et pour évaluer les tâches d'entraînement. Le système de gestion de rééducation incorpore le bout de plateforme utilisé par des médecins, le bout de fonctionnement utilisé par des thérapeutes (infirmières de rééducation), et le bout domestique utilisé par des patients à domicile, ce qui permet d'obtenir une boucle fermée complète à partir d'une évaluation de rééducation à l'hôpital à des exercices de rééducation à l'hôpital à des fins de gestion de rééducation à domicile.
PCT/CN2020/137586 2019-12-20 2020-12-18 Système et procédé de gestion de rééducation WO2021121381A1 (fr)

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