WO2021215073A1 - Information-processing system, information-processing device, information-processing method, information-processing program, communication terminal, and control method and control program thereof - Google Patents

Information-processing system, information-processing device, information-processing method, information-processing program, communication terminal, and control method and control program thereof Download PDF

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Publication number
WO2021215073A1
WO2021215073A1 PCT/JP2021/004143 JP2021004143W WO2021215073A1 WO 2021215073 A1 WO2021215073 A1 WO 2021215073A1 JP 2021004143 W JP2021004143 W JP 2021004143W WO 2021215073 A1 WO2021215073 A1 WO 2021215073A1
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WIPO (PCT)
Prior art keywords
health
subscriber
information
business
selection
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PCT/JP2021/004143
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French (fr)
Japanese (ja)
Inventor
雄士 山本
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株式会社ミナケア
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Publication of WO2021215073A1 publication Critical patent/WO2021215073A1/en

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR 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
    • G06Q50/00—Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
    • G06Q50/10—Services
    • G06Q50/22—Social work
    • 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
    • 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
    • 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

Definitions

  • the present invention relates to a management technique for a health business.
  • Patent Document 1 includes a technique for implementing a health business for an insured person, evaluating the health business based on the medical receipt data and examination result data of the target person, and supporting the implementation. It is disclosed.
  • An object of the present invention is to provide a technique for solving the above-mentioned problems.
  • the information processing system A means of selecting a member who needs to be provided with a health service among the members who join the insurer, and a means of selecting a member.
  • Health business selection means for selecting the health business to be provided to the subscribers who join the insurer, and A control means for controlling the selected subscriber and the selected health service to be associated with each other. It is an information processing system equipped with The subscriber selection means is Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber.
  • Derivation means for deriving the health risk level of the subscriber based on the health condition related information, and An evaluation means for evaluating the health management status of the subscriber based on the health management related information, and In consideration of the risk level and the health management situation, a selection means for selecting a subscriber who needs to be provided with a health business among the subscribers who join the insurer, and Have.
  • the information processing device is Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber.
  • Derivation means for deriving the health risk level of the subscriber based on the health condition related information, and An evaluation means for evaluating the health management status of the subscriber based on the health management related information, and In consideration of the risk level and the health management situation, a selection means for selecting a subscriber who needs to be provided with a health business among the subscribers who join the insurer, and To be equipped.
  • the information processing method Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber.
  • the information processing program Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber.
  • the communication terminal is A requesting means for requesting the information processing device to select a subscriber who needs to be provided with a health business, along with selection conditions including health risk types and health management status.
  • a receiving means for receiving information on a subscriber who is required to provide a health service and is selected by the information processing apparatus based on the selection conditions.
  • Notification instruction means for instructing the information processing device to notify the subscriber selected as needing to provide the health business to the effect that participation in the health business is necessary. To be equipped.
  • the control method of the communication terminal is A request step that requires the information processing device to select a subscriber who needs to be provided with a health service, along with selection conditions including health risk types and health management status.
  • a reception step for receiving information on a subscriber who is required to provide a health service and is selected by the information processing device based on the selection conditions.
  • a notification instruction step for instructing the information processing device to notify the subscribers selected as needing to provide the health business that they need to participate in the health business, and a notification instruction step. including.
  • the control program of the communication terminal A request step that requires the information processing device to select a subscriber who needs to be provided with a health service, along with selection conditions including health risk types and health management status.
  • the health business can be efficiently managed.
  • FIG. 1 It is a block diagram which shows the functional structure of the virtual health business management support server as an information processing apparatus generated in the cloud server which concerns on 2nd Embodiment of this invention. It is a figure which shows the structure of the acquisition database which concerns on 2nd Embodiment of this invention. It is a figure which shows the structure of the processing database which concerns on 2nd Embodiment of this invention. It is a figure which shows an example which asks the subject person who is a necessary subscriber for the health business which concerns on 2nd Embodiment of this invention. It is a figure which shows another example which seeks the subject who is a subscriber who needs the health business which concerns on 2nd Embodiment of this invention.
  • “Insurer” includes “public insurer” and “private insurer”.
  • “public insurer” includes “health insurance association”.
  • target person indicates a member who is required to provide a health service among the members who join the insurer.
  • a “health promotion company” is also called a “health company”.
  • “Individual attribute information” indicates information related to a subscriber such as gender, age, occupation, job title, and work status.
  • the "health condition-related information” includes information indicating a health condition such as medical examination information and information indicating a health condition represented by a stress check.
  • Health management-related information includes medical receipt information, health business participation status, and information indicating the health management status and intention to participate in health management behavior represented by lifestyle.
  • Health management status includes the status of "treatment status” based on medical receipt information, the status of participation in health services, and the status of working on health management such as "contents of participation” based on lifestyle.
  • Health business-related information is information indicating the implementation contents of health business regardless of the implementer.
  • the information processing system 100 as the first embodiment of the present invention will be described with reference to FIG.
  • the information processing system 100 is a system that manages a health business.
  • the information processing system 100 includes a subscriber selection unit 101, a health business selection unit 102, and a control unit 103.
  • the subscriber selection unit 101 selects a subscriber who needs to be provided with a health service among the subscribers who join the insurer.
  • the health business selection department 102 selects the health business to be provided to the subscribers who join the insurer.
  • the control unit 103 controls so as to associate the selected health business with the selected subscriber.
  • the subscriber selection unit 101 has an acquisition unit 111, a derivation unit 112, an evaluation unit 113, and a selection unit 114.
  • the acquisition unit 111 includes personal attribute information about the subscriber who joins the insurer, health condition-related information including medical examination information collected about the subscriber, and health management-related information including receipt information from the medical institution for the subscriber. Get information and.
  • the derivation unit 112 derives the health risk level of the subscriber based on the health status related information.
  • the evaluation unit 113 recognizes the health management status of the subscriber based on the health management related information.
  • the selection unit 114 selects a member who needs to be provided with a health service among the members who join the insurer in consideration of the risk level and the health management situation.
  • the health business management support server controls the selection of the subscribers who are required to provide the health business and the selection of the health business to be provided.
  • the health business management support server provides risk levels derived based on health status-related information including medical examination information and health management-related information including receipt information, especially when selecting subscribers who need to be provided with health business.
  • the health business management support server manages the health business by selecting the subscribers who are required to provide the health business.
  • a risk designation that specifies the type of risk and a health management status designation that specifies the health management status are performed as a condition for selecting a subscriber who is required to provide a health business.
  • the health management status includes the treatment content extracted from the receipt information and the level of awareness of the subscriber regarding the treatment derived from the receipt information.
  • health management-related information may be further considered in deriving the risk level.
  • subscribers who are required to provide health services are selected without medication information included as health care related information or exclusion without specific risk.
  • the health business management support server of the present embodiment has a database that stores the subscriber in association with the health condition-related information and the health management information. Then, the information of the subscribers who were required to provide the health service is presented.
  • the presentation includes presenting a list of target persons who were required to provide health services to the operator and sending an e-mail notifying the subscriber that the provision of health services was selected as necessary.
  • the risk levels and treatment status of multiple related risks are considered to select the subscribers who need to be provided with health services. That is, the treatment status designation that specifies the treatment status is performed as a condition for selecting the subscribers who are required to provide the health service.
  • the subscribers who are required to provide the health service include various necessary levels such as the subscribers who are required to provide the health services and the subscribers who are desirable to provide the health services, and the fact may be presented to that effect.
  • the health services provided also include various levels of participation, such as health services that should be participated in and health services that should be participated, and may be presented to that effect.
  • FIGS. 2A to 3G show the configuration and operation of the information processing system 200 including the health business management support server 210 as the information processing device.
  • the sequences and flowcharts of FIGS. 3A to 3G show the data flow and processing procedure in the information processing system 200, and include online processing and offline processing.
  • FIG. 2A is a diagram showing a configuration of an information processing system 200 including a health business management support server 210 as an information processing device according to the present embodiment.
  • the information processing system 200 includes a health business management support server 210 as an information processing device, an insurer 220 including a plurality of insurers 221 to 22 m, and a health promotion company 230 including a plurality of health promotion companies 231 to 23n. Be prepared.
  • the information processing system 200 includes a communication terminal 240 that receives support from a health business management support server 210 that includes a communication terminal 241 of an operator and a communication terminal 242 of a subscriber.
  • the health business management support server 210 includes health information related to the subscriber submitted by each insurer 221 to 22 m (health status related information such as personal attribute information and medical examination information, and health management related information such as receipt information). ) Includes an insurer database 211 that stores confidentially.
  • the health business management support server 210 includes a health business database 212 that stores health businesses proposed by each health promotion company 231 to 23n. The health business may be proposed by the insurer 220 and stored in the health business database 212.
  • the health business management support server 210 refers to the health information stored in the insurer database 211 to select a target person who is a subscriber who needs the health business, and the health business stored in the health business database 212. To match with the processing recommended for insurers and target persons.
  • the implementation history of the health business, the participation history of the participants in the health business, the change in the risk level of the participants who participated in the health business, etc. are collected, the health business is evaluated, and the health promotion company 231 ⁇ Improve the creation of health business plans for 23n.
  • the selection method of health services and the selection method of target persons who are in need of health services implement more appropriate health services, and improve productivity by maintaining the health of the participants. Aim. That is, as a condition for selecting a subscriber who needs a health business, a participation history designation for designating a participation history in an insurance business is performed.
  • the communication terminals 241 and 242 execute the health business management application, connect to the health business management support server 210, history of health information by the health business management support server 210, and a target person who is a subscriber who needs the health business. Receive support such as selection of health services and selection of recommended health services.
  • FIG. 2B is a diagram showing an outline of the operation of the information processing system 200 including the health business management support server 210 as the information processing device according to the present embodiment.
  • the display screens of the communication terminals 241 and 242 are shown in the operation outline of FIG. 2B, they do not show continuous screen transitions, and scenes characteristic of the present embodiment are selected and shown. ing.
  • the health business management support server 210 selects the target person who needs the health business from the subscribers of the insurer, and selects the target person. An outline of the operation in which appropriate health services are recommended is given. In addition, FIG. 2B also shows an outline of operations for selecting a target person who needs the selected health business and recommending the health business for the health business selected for recommendation.
  • the display screen 251 is a logon screen of the health business management application.
  • selection conditions are set in order to select a target person who needs a health business.
  • a subscriber selected as a target person who needs a health business based on the selection conditions and a "recommended health business" appropriate for the selected subscriber are selected and introduced.
  • the health business to be implemented is notified to each subscriber's facsimile notification 250 and the subscriber's communication terminal 242.
  • the terminal of the health business operator (health promotion company) 230 is notified of the evaluation result of the proposed health business.
  • the evaluation result of the health business is notified to the communication terminals 241 and 242.
  • FIG. 2C is a diagram showing a configuration of a database included in the health business management support server 210 as an information processing device according to the present embodiment.
  • the upper figure of FIG. 2C shows the configuration of the insurer database 211 of the health business management support server 210.
  • the health business management support server 210 selects the target person who needs the health business from the subscribers to the insurer based on the selection conditions set from the communication terminal 241.
  • the insurer database 211 associates each insurer A to N with the union condition ID 261 for identifying the insurer and the selection condition, and sets the target person selection condition 262 and the selected target person number 263.
  • the target person selection condition 262 includes the risk status, which is a risk condition for a subscriber who needs a health business, the treatment status received by the subscriber included in the health management status, the participation status of the subscriber in the health business, and health. Includes the required level of business, etc.
  • the target person selection condition 262 is not limited to the conditions described above. For example, the consciousness level described later may be included.
  • the figure below in FIG. 2C shows the configuration of the health business database 212 owned by the health business management support server 210.
  • the health business proposed by the health promotion company 230 or the insurer 220 is associated with the target person who needs the health business of each insurer.
  • the health business database 212 is associated with the health business ID 271 for identifying the health business proposed by the health promotion company 230, and includes the health promotion company (or insurer) ID 272, the health business related information 273, and participation in the health business.
  • Condition 274 and is stored.
  • Health business related information 273 includes the number of participants (capacity) in the health business, the cost of implementing the health business such as the implementation period and the implementation interval, the detailed contents of the health business, and the like.
  • the health business participation condition 274 stores the conditions of the subscriber who is determined to need to participate in this health business. It is desirable that the health project participation condition 274 corresponds to the target person selection condition 262, but the relationship between them may be different.
  • FIG. 2D is a diagram showing a configuration of a selection table in the health business management support server 210 as an information processing device according to the present embodiment.
  • the upper figure in FIG. 2D is a health business selection table 280 for selecting and implementing a health business that is recommended for participation by each insurer selected based on the selection conditions.
  • the health business selection table 280 is associated with the insurer condition ID 281 shown in FIG. 2C and the number of target persons 282 selected based on the target person selection condition 262, and the health business recommended to the subscribers having the number of target persons 282.
  • the 283 and the implementation result 284 of the selected health project are stored.
  • the recommended health business 283 includes the health business ID, its priority, and the like.
  • the implementation result 284 when a plurality of health projects are implemented, the implementation results of each are stored. Further, the implementation result 284 may store the implementation history including the progress of each health project participant.
  • the middle figure in FIG. 2D is a target person selection table 285 for selecting insurers and their subscribers who are desired to participate in the proposed or recommended health services.
  • the target person selection table 285 stores the participating insurer 287, which is preferably applied, and the implementation result 288 of the health business, in association with the health business ID 286 shown in FIG. 2C.
  • Participating insurers 287 include insurer IDs and target persons selected based on the health business participation condition 274.
  • the figure below in Fig. 2D is a health project evaluation table 290 for evaluating the implementation of each health project and proposing improvements.
  • the health business evaluation table 290 stores the implementation history 292, each implementation evaluation 293, the total evaluation 294, and the improvement proposal 295 in association with the health business ID 291.
  • FIG. 3A is a sequence diagram showing an operation procedure of medical information collection in the information processing system 200 including the health business management support server 210 as the information processing device according to the present embodiment.
  • the health business management support server 210 provides the respective health business management applications to the communication terminals 241 and 242 in step S301. Then, in step S302, the communication terminals 241 and 242 cooperate with the health business management support server 210 to start the health business management application.
  • step S303 the insurer 220 submits the attribute information of the registered individual (subscriber) and the health condition-related information including the acquired medical examination information to the health business management support server 210.
  • step S304 the health business management support server 210 stores and retains the individual attribute information and health condition-related information submitted by the insurer 220 in the database.
  • step S305 the insurer 220 submits health management-related information including receipt information to the health business management support server 210.
  • the health business management support server 210 stores and retains the health management-related information submitted by the insurer 220 in a database.
  • the health condition-related information or the health management-related information extracted from the stress check, the questionnaire information, and the like may be transmitted from the communication terminals 241 and 242 to the health business management support server 210 at any time in step S307.
  • FIG. 3B is a sequence showing an operation procedure of selecting a health business associated with a target person who is a selected subscriber in an information processing system 200 including a health business management support server 210 as an information processing device according to the present embodiment. It is a figure.
  • the appropriate health proposed by the health promotion company 230 is set for the target person who is a subscriber who needs a health business.
  • the project is selected, and the subscriber's communication terminal 242 is notified of the information on the health project to encourage participation.
  • the operation procedure for reflecting the results or effects of the health business in the subsequent subscriber search and health business selection is shown.
  • step S311 the communication terminal 241 inputs a determination condition that serves as a criterion for selecting a subscriber who needs a health business, for example, a risk level threshold value.
  • the health business management support server 210 sets the received determination condition in step S312.
  • the health promotion company 230 proposes the generated health business plan in step S313.
  • step S314 the health business management support server 210 sets the health business-related information and the health business selection conditions for selecting the health business as the health business plan.
  • step S315 the communication terminal 241 inputs the target person selection conditions such as the risk type and the consultation content for selecting the subscriber who needs the health business.
  • step S316 the health business management support server 210 selects a target person and a group thereof who need a health business according to various target person selection conditions. Then, in step S317, the health business management support server 210 selects an appropriate health business for the selected target group.
  • step S3108 the communication terminal 241 instructs the health business management support server 210 to send an e-mail to the selected target group.
  • step S319 the health business management support server 210 predicts cost-effectiveness based on the health business and the target person, and sends information to the communication terminal 242 by mass mail to recommend or solicit information to the health business in descending order of profit margin.
  • the communication terminal 242 displays the information on the recommendation / solicitation of the health business received by e-mail in step S320.
  • the e-mail may include photos and videos of health services. Further, in the present embodiment, the simultaneous transmission by e-mail is shown, but it may be a facsimile transmission, a telephone notification, or the like.
  • step S321 the communication terminals 241 and 242 input the implementation history of the health business and the participation history of the subscriber, for example, on a monthly cycle or irregularly.
  • step S322 the health business management support server 210 accumulates the implementation history of the health business and the participation history of the subscribers.
  • the health business management support server 210 evaluates the results of the health business at a predetermined cycle in step S323 based on the implementation history of the health business, the participation history of the subscribers, and the change in the risk level of the subscribers. Then, in step S324, the health business management support server 210 reflects the evaluation result of the health business in the selection of the health business and the derivation of the risk level.
  • FIG. 3C is a flowchart showing a processing procedure for selecting a health business associated with a target person who is a selected subscriber in an information processing system 200 including a health business management support server 210 as an information processing device according to the present embodiment. Is.
  • the information processing system 200 registers the subscriber with the insurer in step S330.
  • the information processing system 200 collects data for health business management support in step S331.
  • the information processing system 200 performs a process corresponding to step S304 in FIG. 3A. That is, acquisition of information including individual attribute information or medical history of the subscriber, acquisition of health condition-related information including medical examination information from the medical examination results of the subscriber, and receipt information of the subscriber from hospitals and medical facilities. Acquire health management related information including.
  • the information processing system 200 acquires other health-related information, such as a history of participation in a health business, by a process corresponding to step S306 in FIG. 3A.
  • step S332 the information processing system 200 derives the risk level for each check target risk of the subscriber from the health condition-related information collected in step S332. Further, in step S333, the information processing system 200 evaluates the health management status including the consultation status of the subscriber from the health management related information collected in step S332. Then, in step S334, the information processing system 200 selects a target person who is a subscriber who needs a health business based on the risk level of the subscriber and the health management status. In step S335, the information processing system 200 selects an appropriate health business for the selected subscriber, or plans an appropriate health business by itself.
  • step S336 the information processing system 200 presents the information recommending or soliciting participation in the health business to the subscriber, for example, by e-mail or facsimile.
  • step S337 the information processing system 200 analyzes the participant's participation history in the health business, the implementation history of the health business, and the change in the risk level, evaluates the results of the health business, and the subsequent health business is required. It will be reflected in the presentation of health services to various subscribers (target persons).
  • FIG. 3D is a sequence diagram showing a detailed operation procedure of selecting a subscriber who needs to be provided with a health business in an information processing system 200 including a health business management support server 210 as an information processing device according to the present embodiment.
  • the health business management support server 210 in response to an inquiry or selection instruction from the operator's communication terminal 241, the health business management support server 210 is based on health management-related information including receipt information and health condition-related information including medical examination information. The procedure for notifying the target person who is required to participate in the health business is shown.
  • steps S341 to S348 correspond to S315 to S317 of FIG. 3B
  • steps S351 to S353 correspond to S318 to S320 of FIG. 3B.
  • step S341 the communication terminal 241 requests the health business management support server 210 to select all the target persons who are currently required to provide the health business.
  • the health insurance management support server 210 receives the selection request, and in step S342, based on the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification) and the stratification of the present embodiment described later in FIGS. 7B and 7C, the health insurance management support server 210 has health. Generate information on all target persons who are required to provide the business, for example, the total number of target persons and a list of the information.
  • the communication terminal 240 displays and outputs the information of all the target persons who are required to provide the health business acquired from the health business management support server 210 as a display or an information list.
  • the output includes display and printing, but may also include transmission and output to a storage medium.
  • the target person list is displayed by the selection instruction in the breakdown of all the target persons as shown in the display screen 442 of FIG. 4A, and further, the specific target person is selected and instructed from the target person list. It is desirable to have a configuration that outputs detailed information of the selected target person.
  • the health business management support server 210 may set a flag for all the target persons who are required to provide the health business stored in the database and the target risk, and hold the selection result.
  • the health business management support server 210 generates a target person selection condition in step S345 and transmits it to the communication terminal 241.
  • the communication terminal 241 includes the target person selection condition received in step S346, and the display screen of FIG. 4A. Display a setting screen such as 443.
  • a risk condition and a consultation condition are included as the target person selection condition.
  • step S347 the communication terminal 241 sets the target person selection conditions for narrowing down the target persons who are required to provide the health business, and sets the target person selection conditions for the health business management support server 210.
  • the health business management support server 210 receives information on the target persons who are required to provide the health business narrowed down according to the target person selection conditions in step S348, for example, the number of target persons and a list of the information. , Is generated.
  • the generation of information on the target persons who are required to provide health services is executed based on the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification) and the stratification of the present embodiment described later in FIGS. 7B and 7C.
  • the communication terminal 241 displays and outputs the information of the target person who is required to provide the health business acquired from the health business management support server 210 as a display or an information list.
  • the output includes display and printing, but may also include transmission and output to a storage medium.
  • the communication terminal 241 displays a list of target persons as shown in the display screen 442 of FIG. 4A, and further, by instructing the selection of a specific target person from the target person list, detailed information on the selected target person can be obtained. It is desirable to have a configuration for output.
  • the health business management support server 210 may set a flag for the target person who is required to provide the health business stored in the database and the target risk, and hold the selection result.
  • step S352 the communication terminal 241 broadcasts an e-mail containing the content of recommending or soliciting the health business to the target person who is required to provide the selected health business to the health business management support server 210. Notify by.
  • the health business management support server 210 executes simultaneous transmission of e-mails to the destinations of the target person in step S353.
  • the e-mail may include photos and videos of health services. Further, in the present embodiment, the simultaneous transmission by e-mail is shown, but it may be a facsimile transmission, a telephone notification, a written delivery, or the like.
  • FIG. 3E is a sequence diagram showing an operation procedure of target person selection associated with the selected health business in the information processing system 200 including the health business management support server 210 as the information processing device according to the present embodiment.
  • the same steps as those in FIG. 3B are assigned the same step numbers, and duplicate description will be omitted.
  • step S361 the operator's communication terminal 241 selects a recommended health business in response to the guidance of the health business plan accumulated in the health business database 212 of the health business management support server 210.
  • the health business management support server 210 selects a recommended health business from the health business plans accumulated in the health business database 212 in step S362.
  • the selection of health services is made in consideration of the goals of the health services, the number of participants, and costs.
  • the health business management support server 210 selects a target person or a group of subscribers who need to participate in the selected health business, and notifies the communication terminal 241.
  • the selected health business is also notified.
  • step S364 the communication terminal 241 notifies the selected health business and the target person or the group who is a subscriber who needs the health business correspondingly.
  • FIG. 3F is a flowchart showing a processing procedure of target person selection associated with the selected health business in the information processing system 200 including the health business management support server 210 as the information processing device according to the present embodiment.
  • the same step number as the step of FIG. 3C is assigned the same step number, and duplicate description is omitted.
  • step S371 the information processing system 200 selects a health business recommended to the insurer and the subscriber from the accumulated health business plan. Then, in step S372, the information processing system 200 selects a target person and a group thereof who are subscribers who need to participate in the selected health business.
  • FIG. 3G is a sequence diagram showing a detailed operation procedure of selecting a target person associated with a health business in an information processing system 200 including a health business management support server 210 as an information processing device according to the present embodiment.
  • the health business management support server 210 is required to participate in the selected health business in response to the selection of the health business recommended by the operator's communication terminal 241 and the health business management support server 210.
  • the operation procedure for notifying the health business target person is shown.
  • the selection of the health business target required to participate in the health business by the health business management support server 210 is performed based on the health management related information including the receipt information and the health condition related information including the medical examination information. ..
  • FIG. 1 the health management related information including the receipt information and the health condition related information including the medical examination information.
  • steps S381 to S383, S348, and S349 correspond to S361 to S364 in FIG. 3B. Further, in FIG. 3G, the same step numbers as those in FIG. 3D are assigned the same step numbers, and duplicate description will be omitted.
  • step S381 the communication terminal 241 selects a recommended health business from the health business plans accumulated in the health business database 212.
  • the health business management support server 210 selects a recommended health business from the health business plans accumulated in the health business database 212 in step S382.
  • step S383 the health business management support server 210 generates a target person selection condition for selecting a target person who is a subscriber who needs to participate in the selected health business.
  • the target person selection conditions are acquired.
  • FIG. 4A is a diagram showing an outline of the operation of selecting a target person who needs to be provided with a health business by a health business management support server as an information processing device according to the present embodiment. Although four display screens 441 to 444 are shown in the operation outline of FIG. 4A, they do not show continuous screen transitions, and scenes characteristic of the present embodiment are selected and shown. There is.
  • FIG. 4A shows an outline of the operation of selecting a target person who needs a health business from the subscribers of the insurer on the health business management support server 210 by operating from the communication terminal 241.
  • the display screen 441 is a logon screen of the health business management application.
  • the display screen 442 displays the total number of target persons who need the health insurance business based on the default conditions from the medical examination information and the disease information of the currently registered subscribers.
  • the display screen 442 as the overlapping breakdown of the total number of target persons requiring the health insurance business, it was derived as "specific health guidance target person (motivation)" and "specific health guidance target person (active)".
  • the number of people is a number that can be derived according to the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification).
  • the number of people who have been derived as "other health business target persons" is the number of people who are overlooked by the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification) and are not derived even though health business is necessary.
  • An example of deriving such "other health business target persons" will be described below with reference to FIGS. 7B and 7C.
  • the display screen 443 is a screen for inputting the target person selection conditions for narrowing down the target health business and the target number of people in consideration of the risk and cost according to the health business plan from the total number of target people who need the health business. be.
  • the display screen 443 is not a format for inputting a target person selection condition formula, but a format in which the operator can select from two main conditions, a risk condition and a consultation condition.
  • As the risk condition the type of risk that the subscriber has or a combination thereof is selected.
  • the consultation conditions it is selected whether or not the consultation corresponds to the type of risk that the subscriber has.
  • the display screen 443 shows some of the risk conditions and the consultation conditions, but the combination is not limited to these, and various risks and consultations can be combined, and the target health business and the number of target persons who require the health business. Can be narrowed down.
  • the display screen 444 displays a list of target person information selected from the database of the health business management support server 210 based on the risk conditions and the consultation conditions input on the display screen 443.
  • the operator determines that the target health project or the number of selected target persons is appropriate, the operator gives a notification to the selected target person to recommend or solicit the target health project, for example. You may instruct them to send them all at once by e-mail.
  • the operator changes the risk conditions and the consultation conditions to search for an appropriate health business.
  • FIG. 4B is a diagram showing an outline of the risk level derived in consideration of the health management status according to the present embodiment. That is, in the present embodiment, the risk level is derived from the health condition-related information including the medical examination information, but as shown in FIG. 4B, the risk level may be derived in consideration of the health management status. In this case, the selection of the target persons who are the subscribers who need the health business is made by considering the risk level instead of considering the risk level and the health management situation, but it is practically the same.
  • FIG. 4B illustrates an example of stratification of blood pressure risk into risk levels, but other risk types are appropriately stratified corresponding to the risk. For example, risk levels such as smoking risk without medical examination information are stratified by referring to questionnaire information.
  • the stratification to the risk level in FIG. 4B is an example, and the stratification is not limited to this, and various stratifications capable of appropriately classifying the subscribers in the health business are possible.
  • the blood pressure risk in FIG. 4B is stratified into five risk levels. In order from the highest level, high risk 440 ⁇ risk 450 ⁇ consultation solicitation 460 ⁇ health guidance 470 ⁇ no risk 480. In addition, at the levels of high risk 440 and risk 450, it is classified based on the receipt information, such as whether the patient has been examined or not, and if the patient has been examined, whether or not there is medication (490).
  • the number of people who need a health business is added. However, even if the number of people who need health services is narrowed down to the reserve army of risk level such as solicitation for consultation 460 and health guidance 470, or the number of people who have not received high risk 440 and risk 450 is narrowed down to the number of people who need health services. good. It is desirable that how health services are implemented should be planned so that costs can be reduced while reducing risks.
  • Fig. 4B "not examined” and “examined / no medication” indicate the health management status, and "risk continuation” indicates the risk level. Then, the health business is set and matched for each of the target persons of the number (the number of target subscribers) in each box.
  • the receipt data also contains information that can be used to estimate the severity of the disease, and this information can also be used to evaluate the risk level.
  • FIG. 5A is a block diagram showing a functional configuration of the cloud server 510 according to the present embodiment.
  • the cloud server 510 includes a communication control unit 501, a health business acquisition unit 502, a database 503, an information input unit 540, and a virtual health business management as an information processing device of the present embodiment generated in the cloud server 510.
  • Support servers 210-1 to 210-n are provided.
  • the communication control unit 501 controls communication between the operator's communication terminal 241 and the subscriber's communication terminal 242 and the health promotion company 230's terminals.
  • the health business acquisition unit 502 acquires the health business input from the information input unit 540 or received from the terminal of the health promotion company 230 by the communication control unit 501.
  • the health business acquired by the health business acquisition unit 502 is held in the health business holding area 530 in the database.
  • Subscriber information, medical examination information, and receipt information are input from the information input unit 540 to the virtual health business management support servers 210-1 to 210-n generated in the cloud server 510.
  • health-related information such as questionnaire information received by the communication control unit 501 from the communication terminals 241,242 is input to the virtual health business management support servers 210-1 to 210-n.
  • the virtual health business management support servers 210-1 to 210-n store the acquired information in the server areas 503-1 to 503-n of the database 503, which are confidentially separated from each other. Then, based on the acquired information, the subscribers selected as needing to be provided with the health business are associated with the health business provided and selected by the health promotion company, and the communication terminal 242 is provided with the health business. Send solicitation information. In addition, it may be a facsimile transmission or the like.
  • FIG. 5B is a block diagram showing a functional configuration of a virtual health business management support server 210 as an information processing device generated in the cloud server according to the present embodiment.
  • the functional configuration of the virtual health business management support server 210 a configuration for narrowing down the target persons who need a health business in consideration of the health management status, which is a feature of the present embodiment, will be described.
  • the configuration of one virtual health business management support server 210 as an information processing device will be described.
  • the functional configuration unit that is less related to the processing of the present embodiment is omitted.
  • the same reference numbers are assigned to the functional components similar to those in FIG. 5A, and duplicate description will be omitted.
  • the virtual health business management support server 210 includes a database 503.
  • the database 503 has an acquisition database 531 and a processing database 532 as an area for each server in FIG. 5A.
  • the acquisition database 531 includes personal attribute information, medical receipt information, medical examination information, and other health status related information.
  • the personal attribute information is information that identifies the subscriber and information related to the subscriber, and includes the gender, age, social environment of the affiliation location information, the environmental information of the subscriber's affiliation location, and the like. .. Receipt information is information about the treatment of the subscriber.
  • the health check information is information about the result of the health check of the subscriber.
  • Other health status-related information is information related to the health of the subscriber, and includes, for example, the medical history and treatment history of the subscriber, questionnaire information, and the like. If possible, the other health status-related information may include the medical record information of the subscriber.
  • the risk level derived by the risk level derivation unit 545, the treatment content extracted by the treatment content extraction unit 546, and the consciousness level derived by the consciousness level derivation unit 547 are associated with each subscriber. Is stored.
  • the virtual health business management support server 210 includes an individual attribute information acquisition unit 541, a receipt information acquisition unit 542, a medical examination information acquisition unit 543, an information storage processing unit 544, and optional health condition related information acquisition.
  • a unit 552 is provided.
  • the individual attribute information acquisition unit 541, the receipt information acquisition unit 542, and the medical examination information acquisition unit 543 acquire each information from the information input unit 540 of the cloud server 510.
  • the information input unit 540 may be an offline input, an online input, or an input by a storage medium.
  • the personal attribute information acquisition unit 541 acquires the registered or input information for identifying the subscriber and the information related to the subscriber.
  • the receipt information acquisition unit 542 acquires the receipt information.
  • the medical examination information acquisition unit 543 acquires medical examination information.
  • the health condition-related information acquisition unit 552 acquires health condition-related information other than the medical examination information input from the communication terminal 240, such as questionnaire information.
  • the information storage processing unit 544 names the information acquired by the individual attribute information acquisition unit 541, the receipt information acquisition unit 542, the medical examination information acquisition unit 543, and the health condition related information acquisition unit 552 by the subscriber, and acquires the database 531. Is stored in the database 503.
  • the virtual health business management support server 210 includes a risk level derivation unit 545, a treatment content extraction unit 546, and a consciousness level derivation unit 547. Further, the virtual health business management support server 210 includes a health business target person selection unit 548, a target person selection condition acquisition unit 550, and a health business target person notification unit 551.
  • the risk level derivation unit 545 derives the risk level for each risk of each subscriber from the name-identified medical examination information. In the derivation of the risk level in the risk level derivation unit 545, in addition to the existing guideline (legal stratification) of the Ministry of Health, Labor and Welfare, the stratification of the present embodiment described above in FIG. 4B may be performed.
  • the treatment content extraction unit 546 extracts the treatment content of each subscriber from the received receipt information that has been identified.
  • the consciousness level derivation unit 547 derives the consciousness level for the health of each subscriber by referring to the treatment history from the received receipt information.
  • the Health Business Target Selection Department 548 has a health business target selection table 549, and is a subscriber who is required to provide a health business based on the risk level and the treatment content and awareness level, which is the treatment status. Select a target person. If there are target person selection conditions acquired by the target person selection condition acquisition unit 550, the health business target person selection department 548 selects the target person according to the acquired target person selection conditions. On the other hand, the health business target person selection unit 548 selects the target person according to the default condition when there is no selection condition acquired by the target person selection condition acquisition unit 550. The target person selection condition acquisition unit 550 sends a target person selection condition setting screen to the communication terminal 241 and acquires the target person selection condition selected by the operator.
  • the health business target person notification unit 551 provides information on the target persons who are required to provide the health business, which is the selection result by the health business target person selection unit 548, such as the number of target persons and the list of target persons, on the communication terminal 241. Notify to.
  • FIG. 5B does not show the configuration related to the simultaneous transmission of e-mails to the target persons who are required to provide health services.
  • the information about the subscriber and the information on the health business are inserted into the template corresponding to the contents of the e-mail stored in the database 503 in advance and transmitted to the communication terminal 242 of the subscriber. If you do, you can send all at once.
  • FIG. 6 is a diagram showing the configuration of the acquisition database 531 according to the present embodiment.
  • the acquisition database 531 stores the acquisition data collected by the health business management support server 210 for use in health insurance management.
  • the acquisition database 531 includes subscriber information 610 including personal attribute information acquired from the information input unit 540, health management-related information 620 including receipt information, medical examination information, questionnaire information acquired from the communication terminal 241 and the like.
  • the health condition related information 630 is stored by name identification by the subscriber.
  • the subscriber information 610 includes a name 612, an address 613, contact information 614 such as a telephone number and an email address, attribute information 615, a medical history 616, and working conditions in association with the subscriber ID 611. Memorize the environment 617.
  • the attribute information 615 includes the date of birth, gender, age, relationship with the subscriber, subscriber classification indicating the position of participation in the health insurance, and the like.
  • the subscriber information 610 also includes a history of treatment for illness.
  • the health management-related information 620 includes the medical institution 622 that received the medical examination, the medical institution 622 that received the medical examination, the medical examination date and time 623, the medical examination content 624, and the cost 625 expressed in reward points, which were acquired by the medical receipt information acquisition unit 542 in association with the medical receipt ID 621.
  • the subscriber ID 626 and the like are stored.
  • the consultation content 624 includes the name of the disease and the content of the treatment.
  • the medical examination information 632 acquired by the medical examination information acquisition unit 543 and the questionnaire information 633 acquired from the communication terminal 241 are stored in association with the subscriber ID 631.
  • the subscriber information 610, the health management related information 620, and the health condition related information 630 are shown separately in FIG. 6, they may be stored as one table corresponding to the subscriber ID.
  • FIG. 7A is a diagram showing the configuration of the processing database 532 according to the present embodiment.
  • the processing database 532 stores the processing data generated by the health business management support server 210 processing the data stored in the acquisition database 531 for the management of the health business.
  • the processing database 532 stores personal attribute information 712, which is subscriber information, and risk level information 713 derived from health condition-related information such as medical examination information and questionnaire information, in association with the subscriber ID 711. ..
  • the processing database 532 stores the health management status 714 and the cost information 715 including the treatment status extracted from the health management related information such as the receipt information in association with the subscriber ID 711. Then, the processing database 532 sets a flag 716 as to whether the health business is necessary or not, which is the result of selection by the health business management support server 210 with reference to the risk level information 713, the health management status 714, the cost information 715, and the like.
  • the risk level information 713 stores information about each risk, for example, obesity risk level 731, BMI (Body Mass Index) level status 732, smoking level 733, blood pressure risk level status 734, and the like.
  • Each risk includes measurements if there are measurements, presence or absence of risk, risk level, situation (eg, risk increase, decrease, maintenance, etc.).
  • the health management status 714 including the treatment status corresponds to the target risk 741 and corresponds to the treatment content 742 which is the actual treatment information from the receipt information and the health of the subscriber derived from the receipt information and the questionnaire information.
  • the treatment content 742 includes the treatment date and time, the treatment content including the prescription, the treatment result, and the like.
  • Awareness level 743 includes an awareness level for each risk and a total awareness level for overall health.
  • FIG. 7B is a diagram showing an example of seeking a target person who is a subscriber who needs the health business according to the present embodiment.
  • FIG. 7B is overlooked in the existing Ministry of Health, Labor and Welfare guidelines (statutory stratification) due to the combination of obesity risk and smoking risk and disease-related risk levels for subscribers who require health services in this embodiment. It shows how to select the subscribers who need the health care business.
  • the subscribers who need the health business are selected as the target persons in consideration of the protection guidance level or higher of the disease-related risk.
  • the "intervention candidate total" at the bottom left is the number of people who need health services derived according to the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification).
  • Fig. 7B the subscribers who are excluded from the subjects who need the health business in the derivation according to the existing guidelines (statutory stratification) of the Ministry of Health, Labor and Welfare should be added to the subjects who need the health business. By doing so, we are trying to improve efficiency by reducing oversights of the target people in the health business.
  • FIG. 7C is a diagram showing another example of seeking a target person who is a subscriber who needs the health business according to the present embodiment.
  • FIG. 7C is also overlooked in the existing Ministry of Health, Labor and Welfare guidelines (statutory stratification) due to the combination of obesity risk and smoking risk and disease-related risk levels for subscribers who require health services in this embodiment. It shows how to select the target people who need the health care business.
  • the subscribers who need the health business are selected as the target persons in consideration of the consultation recommendation level or higher of the disease-related risk.
  • Fig. 7C the "subtotal" at the bottom left is the number of people who need health services derived according to the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification).
  • Fig. 7C the subscribers who are excluded from the target persons who need the health business in the derivation according to the existing guidelines (statutory stratification) of the Ministry of Health, Labor and Welfare shall be the target persons who need the health business. By doing so, we are trying to improve efficiency by reducing oversights of the target people in the health business.
  • FIG. 7D is a diagram showing the configuration of the consciousness level derivation table 780 for deriving the consciousness level of the subscriber according to the present embodiment.
  • the consciousness level derivation table 780 is a consciousness level derivation unit 547 for deriving the degree of consciousness that the subscriber wants to reduce the risk in consideration of the risk level and the treatment status / coping status as the health management status. Used in.
  • the consciousness level derivation table 780 is an example, and the present invention is not limited to this. Using the information that can be collected by the health business management support server 210, it is possible to combine various information that derives the degree of consciousness that the subscriber wants to reduce the risk.
  • the consciousness level derivation table 780 stores the combination of the risk level 782 and the treatment status / coping status 783 as the health management status for each of the target risks 781. Then, the consciousness level 784 is stored in association with the combination of the risk level 782 and the treatment status / coping status 783 as the health management status.
  • FIG. 8 is a diagram showing the configuration of the health business target person selection table 549 according to the present embodiment.
  • the health business target person selection table 549 is a target person who is a subscriber who needs a health business based on the default conditions of the health business target person selection unit 548 or the target person selection conditions set from the communication terminal 241. Is used to select.
  • the health business target person selection table 549 stores the selection result 802 in association with the target person selection condition 801.
  • Target selection conditions include risk types and risk level thresholds related to risk levels, and already-visited / unvisited and awareness levels related to health management status.
  • the selection result 802 the selection result indicating the target person who is a subscriber who needs the health business in each risk type, the combined logical formula of how to combine each selection result, and the set risk
  • the total result 821 which indicates the target person who is a subscriber who needs the health business in the type, is stored.
  • the combined formula all the target persons can be added without duplication, the target persons having a plurality of risks can be selected, and the priorities can be given according to the risk type.
  • the total result 821 indicating the number of target persons requiring the health business and the target persons is notified from the health business management support server 210 to the communication terminal 241.
  • the target persons with risks of all risk types are the total number of target persons shown on the display screen 442 of FIG. 4A.
  • FIG. 9 is a block diagram showing a hardware configuration of the health business management support server 210 as an information processing device according to the present embodiment.
  • the CPU (Central Processing Unit) 910 is a processor for arithmetic control, and the functional configuration unit of FIG. 5 is realized by executing a program.
  • the number of CPUs 910 may be one or a plurality.
  • the ROM (Read Only Memory) 920 stores fixed data and programs such as initial data and programs.
  • the network interface 930 controls communication with the communication terminals 241,242 via the network.
  • the CPU 910, ROM 920, and network interface 930 are shared function components included in the cloud server 510 and are shown in bold frames.
  • the other functional components shown below indicate one of the virtual health business management support servers 210-1 to 210-n.
  • the RAM (Random Access Memory) 940 is a random access memory used by the CPU 910 as a temporary storage work area.
  • the RAM 940 has an area for storing data necessary for realizing the present embodiment.
  • the personal attribute information 941 is the attribute information of the subscriber acquired from the information input unit 540.
  • the medical examination information 942 as the health condition-related information is the medical examination information acquired from the information input unit 540.
  • the receipt information 943 as the health management-related information is the receipt information acquired from the information input unit 540.
  • the other health condition-related information 946 is information including questionnaire information acquired from the communication terminals 241,242.
  • the database storage information 944 is information stored in the acquisition database 531 of the database 503.
  • the target person selection information 945 is stored in the processing database 532 of the database 503, including the risk level information and the health management status of the result of being named by the subscriber from the acquisition database 531 and processed by the health business management support server 210. Information.
  • the health business target person selection table 549 is a table used to select a subscriber who needs a health business according to the target person selection conditions shown in FIG. 8 as a target person.
  • the health business target person (total result) 821 is information on the target person who needs the health business selected using the health business target person selection table 549.
  • the health business notification information 947 is information for notifying the target person who needs the health business and recommending the health business, and in the present embodiment, it is notified by, for example, an e-mail.
  • the transmission / reception data 948 is data that is transmitted / received to / from an external device such as a communication terminal 241,242 via the network interface 930.
  • the storage 950 stores a database and various parameters used by the CPU 910, or the following data or programs necessary for realizing the present embodiment.
  • Database 503 has an acquisition database 531 and a processing database 532. As shown in FIG. 6, the acquisition database 531 stores the data collected by the health business management support server 210. As shown in FIG. 7A, the processing database 532 stores the data processed and generated by the health business management support server 210 from the acquisition database 531.
  • the health business management support server control program 951 is a program that controls the entire health business management support server 210 as an information processing device.
  • the database generation module 953 is a module that generates an acquisition database 531 named by the subscriber from the data collected by the health business management support server 210.
  • the risk level derivation module 954 is a module for deriving the risk level of each subscriber from the health condition-related data stored in the acquisition database 531.
  • the health management status evaluation module 955 is a module that evaluates the health management status including the treatment status of each subscriber from the health management related data stored in the acquisition database 531.
  • the health business target person selection module 956 is a module that selects a subscriber who needs a health business as a target person according to the target person selection conditions in consideration of the risk level and the health management situation.
  • the health business notification module 957 is a module that sends a health business recommendation notification to a person who needs a health business.
  • RAM 940 and the storage 950 in FIG. 9 do not show programs and data related to general-purpose functions and other feasible functions of the health business management support server 210 as an information processing device.
  • FIG. 10A is a flowchart showing a processing procedure of the health business management support server 210 as an information processing device according to the present embodiment. The flowchart of FIG. 10A is executed by the CPU 910 of FIG. 9 using the RAM 940 to realize the functional component of FIG. 5B.
  • step S1011 the health business management support server 210 determines whether or not the health business management support server 210 is acquiring data used for management of the insurer. When it is determined that the data used for the management of the insurer is acquired, the health business management support server 210 executes the management data acquisition process in step S1013.
  • the health business management support server 210 determines in step S1021 whether or not it is a health business management process. If it is determined that the process is for health business management, the health business management support server 210 executes the health business target person selection process in step S1023. Then, in step S1025, the health business management support server 210 executes the necessary notification processing of the health business to the target person.
  • the health project management support server 210 determines in step S1031 whether or not it is another process. If it is determined to be another process, the health business management support server 210 executes the other process in step S1033.
  • FIG. 10B is a flowchart showing the procedure of the management data acquisition process (S1013) according to the present embodiment.
  • the health business management support server 210 waits for the acquisition of the individual attribute information from the information input unit 540 in step S1041, and if the personal attribute information is input, the health business management support server 210 waits for the personal attribute information to be input, and the health business management support server 210 waits for the personal attribute information to be input in step S1043.
  • the acquired personal attribute information is registered in the database 503.
  • step S1045 the health business management support server 210 waits for the acquisition of medical examination information or the like as health condition-related information from the information input unit 540, or the acquisition of questionnaire information or the like from the communication terminals 241 and 242. If health condition-related information such as medical examination information and questionnaire information is acquired, the health business management support server 210 registers the acquired health condition-related information in the database 503 in step S1047.
  • step S1049 the health business management support server 210 waits for the acquisition of receipt information as health management-related information from the information input unit 540. If the receipt information is acquired, the health business management support server 210 registers the health management-related information including the acquired receipt information in the database 503 in step S1051.
  • step S1053 the health business management support server 210 waits for the reception of other health status-related information from the communication terminals 241 and 242 via the communication control unit 501. If received, the health business management support server 210 registers the received other health condition-related information in the database 503 in step S1053.
  • FIG. 10C is a flowchart showing the procedure of the health business target person selection process (S1023) according to the present embodiment.
  • step S1061 the health business management support server 210 acquires health condition-related information including medical examination information of each subscriber from the acquisition database 531 of the database 503.
  • step S1063 the health business management support server 210 derives the risk level for each risk from the health condition-related information including the health examination information of each subscriber and sets it in the processing database 532 of the database 503.
  • step S1065 the health business management support server 210 acquires health management-related information including receipt information of each subscriber from the acquisition database 531 of the database 503.
  • step S1067 the health business management support server 210 extracts the health management status including the treatment content from the health management related information including the receipt information of each subscriber and sets it in the processing database 532 of the database 503.
  • step S1069 the health business management support server 210 derives the consciousness level from the health management related information such as the receipt information of each subscriber and sets it in the processing database 532 of the database 503.
  • step S1071 the health business management support server 210 determines whether or not all the registered subscribers have been processed. If it is determined that all the subscribers have not been processed, the health business management support server 210 returns to step S1061 and repeats the processes of steps S1061 to S1069 for the next subscriber.
  • the health business management support server 210 determines in step S1073 whether or not the target person selection condition has been received from the communication terminal 241. If it is determined that the target person selection condition has not been received, the health business management support server 210 selects the health business target person by the legal layering and the example layering in step S1073. On the other hand, if it is determined that the target person selection condition has been received, the health business management support server 210 has a risk level that matches the target person selection condition in step S1075, and the treatment content and awareness level as the health management status. Select the health business target person corresponding to. Then, the health business management support server 210 outputs the selection result to the communication terminal 241 (or 242) in step S1079.
  • FIG. 11 is a block diagram showing a functional configuration of the communication terminal 241 according to the present embodiment.
  • the functional component part which is less related to the processing of this embodiment is omitted.
  • FIG. 11 shows the configuration of the communication terminal 241 for the operator, and the configuration of the communication terminal 242 for the subscriber is omitted.
  • the communication terminal 241 includes a communication control unit 1101, an application acquisition unit 1102, an application execution unit 1103, and an input / output interface 1104.
  • the input / output interface 1104 is connected to a display unit 1141 that displays output information and the status of the communication terminal 241, an operation unit 1142 that instructs the operation of the communication terminal 241, and optionally a printing unit 1143 and a storage medium 1144.
  • the communication control unit 1101 controls communication with the health business management support server 210 via the network.
  • the application acquisition unit 1102 acquires the health business management application for subscribers provided by the health business management support server 210.
  • the application execution unit 1103 includes a display / operation control unit 1131, a target person selection condition acquisition unit 1136, a target person selection condition transmission unit 1137, a health business target person acquisition unit 1138, and a health business target person output unit 1139. To be equipped.
  • the display / operation control unit 1131 controls the output to the display unit 1141 and the input from the operation unit 1142.
  • the target person selection condition acquisition unit 1136 acquires the target person selection condition set by the operation unit 1142 from the target person selection condition setting screen displayed on the display unit 1141.
  • the target person selection condition transmission unit 1137 transmits the target person selection condition acquired by the target person selection condition acquisition unit 1136 to the health business management support server 210.
  • the health business target person acquisition unit 1138 acquires the selection result of the target person who is a subscriber who is required to provide the health business using the target person selection condition on the health business management support server 210.
  • the health business target person output unit 1139 displays the information of the target person who is a subscriber who is required to provide the health business acquired from the health business management support server 210 by the health business target person acquisition unit 1138, and the printing unit 1141. Output to 1143 or storage medium 1144.
  • FIG. 12A is a flowchart showing a processing procedure of the communication terminal 241 according to the present embodiment.
  • the CPU executes a program stored in the storage constituting the communication terminal 241 using the RAM, and realizes the functional configuration unit shown in FIG.
  • step S1231 the communication terminal 241 determines whether or not it is an instruction to select a target person who needs to be provided with a health service. When it is determined that the instruction is for selecting the target person, the communication terminal 241 executes the target person selection request process in step S1233.
  • the communication terminal 241 determines in step S1241 whether or not it is another process. When it is determined that the process is other, the communication terminal 241 executes the other process in step S1243.
  • FIG. 12B is a flowchart showing the procedure of the health business target person request processing (S1233) according to the present embodiment.
  • step S1251 the communication terminal 241 waits for reception from the health business management support server 210 of all the target persons who need to provide the health business without inputting the target person selection conditions. Upon receiving all the target persons, the communication terminal 241 outputs the information of all the target persons who need to provide the health business received from the health business management support server 210 in step S1253 in a predetermined format.
  • step S1255 the communication terminal 241 waits for transmission of the target person selection condition to the health business management support server 210.
  • the communication terminal 241 waits for the reception of the selection result from the health business management support server 210 in step S1257.
  • the communication terminal 241 outputs the information of the target person who needs to provide the health business, which is the received selection result, in step S1259.
  • step S1261 the communication terminal 241 determines whether or not there is an instruction for e-mail notification of the health business to the target person who needs to provide the health business. If it is determined that there is an e-mail notification instruction, the communication terminal 241 broadcasts a health business notification to the target person in step S1263.
  • the target persons are narrowed down in consideration of the health management status including the risk level and the treatment status of the subscriber, and the selection of the target person and the selection of the health business are associated with each other to efficiently carry out the health business. Can be managed.
  • the health business can be carried out within an appropriate range in which the solicitation to the health business is successful.
  • the health business management support server as an information processing device according to a third embodiment of the present invention.
  • the health business management support server according to the present embodiment further acquires the participation history of the subscriber in the health business, and refers to the participation history in the health business to manage the health of the subscriber. It differs in that it derives the level of awareness of.
  • the health business management support server of the present embodiment stores the subscriber, the health condition-related information, the receipt information as the health management-related information, and the participation history in the health business in association with each other in the database.
  • the provision of the health business is provided in consideration of the risk level corresponding to the specified risk type, the treatment status as health management related information, and the history of participation in the health business. Select the target person who is a required subscriber. Since other configurations and operations are the same as those in the second embodiment, the same configurations and operations are designated by the same reference numerals and detailed description thereof will be omitted.
  • Information processing system The operation of the information processing system 1300 including the health business management support server 1310 as the information processing device of the present embodiment will be described with reference to FIGS. 13 and 14.
  • FIG. 13 is a diagram showing an outline of the operation of the information processing system 1300 including the health business management support server 1310 as the information processing device according to the present embodiment.
  • the same components as those in FIG. 4A are designated by the same reference numbers, and duplicate description will be omitted.
  • the display screen 1343 is an input screen of the target person selection conditions for efficiently selecting (narrowing down) the subscribers who recommend or solicit participation in the health business in the present embodiment.
  • the display screen 1343 includes risk conditions, consultation conditions, and health business conditions.
  • the health project conditions indicate the setting of participation / non-participation in project A and participation / non-participation in project B.
  • the types of target person selection conditions are not limited to FIG.
  • FIG. 14 is a sequence diagram showing an operation procedure of the information processing system 1300 including the health business management support server 1310 as the information processing device according to the present embodiment.
  • the same steps as those in FIG. 3A are designated by the same step numbers, and duplicate description will be omitted.
  • step S1408 the insurer 220 reports the participant's participation information in the health business to the health business management support server 1310 as health management related information. Further, from the communication terminals 241,242, in step S1410, the participant's participation information in the health business is reported to the health business management support server 1310 as the health management related information.
  • the health business management support server 1310 acquires the participant's participation information in the health business from the insurer 220 or the communication terminals 241,242 and stores it in the database 503 in association with the subscriber.
  • FIG. 15 is a block diagram showing a functional configuration of a virtual health business management support server 1310 as an information processing device according to the present embodiment.
  • the same reference numbers are assigned to the functional components similar to those in FIG. 5B, and duplicate description will be omitted.
  • the virtual health business management support server 1310 includes a database 1503.
  • Database 1503 has an acquisition database 1531 that includes information on participation in health services as health management related information.
  • the database 1503 has a processing database 1532 including the contents of the health business in which the subscriber participated, the receipt information as health management related information, and the awareness level derived from the health business participation information.
  • the virtual health business management support server 1310 has a health business participation information acquisition unit 1543, an awareness level derivation unit 1547, a health business target person selection unit 1548, and a health management related information acquisition unit 1552.
  • the health business participation information acquisition unit 1543 acquires health business participation information from the information input unit 540 or the communication terminals 241,242.
  • the health management-related information acquisition unit 1552 acquires other health management-related information from the communication terminals 241,242.
  • the consciousness level derivation unit 1547 derives the consciousness level for maintaining the health of the subscriber from the treatment contents received by the subscriber and the contents of the participating health business as health management-related information stored in the processing database 1532.
  • the Health Business Target Person Selection Department 1548 has a Health Business Target Person Selection Table 1549, and is a target who recommends or solicits a health business, taking into consideration the history of participation / non-participation of the subscriber in the health business. Select a person.
  • FIG. 16 is a diagram showing the configuration of the acquisition database 1531 according to the present embodiment.
  • the same reference numbers as those in FIG. 6 are assigned the same reference numbers, and duplicate description will be omitted.
  • the acquisition database 1531 further includes the health business information 1630 collected and held in advance by the health business management support server 1310, or acquired from the communication terminal 241 for the operator.
  • the health business information 1630 stores the health business participation information 1632 in association with the subscriber ID 1631.
  • Health project participation information 1632 includes the date and time of participation in the health project and the content of the project.
  • FIG. 17A is a diagram showing the configuration of the processing database 1532 according to the present embodiment.
  • the same components as those in FIG. 7A are designated by the same reference numbers, and duplicate description will be omitted.
  • the processing database 1532 includes the health management status 1714 of the subscriber evaluated from the health management related information including the treatment status and the participation status of the health business.
  • the health management status 1714 stores the health project participation content 1742 and the consciousness level 1743 derived from the treatment content and the health project participation content.
  • the health project participation content 1742 stores the date and time of participation in the health project, the project content of the health project, and the participation result including the impression of participation, in association with the project ID that identifies the health project.
  • the consciousness level 1743 is the consciousness level derived from the treatment content 742 that the subscriber received, the consciousness level derived from the health project participation content 1742 in which the subscriber participated, and further, the treatment content 742 and the health project participation content. It may include the level of consciousness derived from 1742.
  • Awareness level 1743 also includes an awareness level for each risk and a total awareness level for overall health.
  • FIG. 17B is a diagram showing the configuration of the consciousness level derivation table 1780 for deriving the consciousness level of the subscriber according to the present embodiment.
  • the consciousness level derivation table 1780 derives the degree of consciousness that the subscriber wants to reduce the risk for each risk, considering the risk level, the treatment status / coping status as the health management status, and the participation status in the health business. Therefore, it is used in the consciousness level derivation unit 1547.
  • the consciousness level derivation table 1780 is an example, and the present invention is not limited to this. Using the information that can be collected by the health business management support server 1310, it is possible to combine various information that derives the degree of consciousness that the subscriber wants to reduce the risk.
  • FIG. 17B the same components as those in FIG. 7D are designated by the same reference numbers, and duplicate description will be omitted.
  • FIG. 17B shows only examples of consciousness levels derived from treatment content 742 and health service participation content 1742.
  • the consciousness level derivation table 1780 stores the participation status in the health business as the health management status 1783 as a condition for deriving the consciousness level 784.
  • FIG. 18 is a diagram showing the configuration of the health business target person selection table 1549 according to the present embodiment.
  • the same reference numbers as those in FIG. 8 are assigned the same reference numbers, and duplicate description will be omitted.
  • the health business target person selection table 1549 considers the consciousness level with which the consultation content and the participation content of the health business are referred to as the consciousness level of the target person selection condition 1801.
  • FIG. 19A is a flowchart showing the procedure of the management data acquisition process (S1013) according to the present embodiment.
  • S1013 management data acquisition process
  • FIG. 19A the same steps as those in FIG. 10B are assigned the same step numbers, and duplicate description will be omitted.
  • step S1945 the health business management support server 1310 waits for the acquisition of the participated health business related information, questionnaire information, etc. from the information input unit 540 and the communication terminals 241,242. If health business-related information, questionnaire information, etc. are acquired, the health business management support server 1310 registers the acquired health management-related information including the acquired health business participation information in the database 503 in the database 503 in step S1947. .. Further, in step S1955, the health business management support server 1310 receives other health condition-related information or other health management-related information from the communication terminals 241,242 and registers it in the database 503 in association with the subscriber. do.
  • FIG. 19B is a flowchart showing the procedure of the health business target person selection process (S1023) according to the present embodiment.
  • S1023 the same steps as in FIG. 10C are assigned the same step numbers, and duplicate description will be omitted.
  • the health business management support server 1310 mainly attaches the health business participation information of each subscriber from the acquisition database 1531 of the database 1503.
  • the health business management support server 1310 derives the awareness level from the treatment content and the health business participation content as health management-related information of each subscriber and sets them in the processing database 1532 of the database 1503.
  • the health business management support server 1310 determines in step S1973 whether or not the target person selection condition including participation in the health business has been received from the communication terminal 241. .. If it is determined that the target person selection condition has been received, the health business management support server 1310 has a risk level that matches the target person selection condition in step S1975, and the treatment content and the health business participation content as the health management status. And select the health business target person corresponding to the consciousness level.
  • the target persons are narrowed down in consideration of the risk level of the subscriber, the treatment status as the health management status, and the participation information in the health business, and the selection of the target person and the selection of the health business are associated with each other. Therefore, the health business can be managed efficiently. In other words, since the willingness to participate in the health business is taken into consideration, the health business can be implemented within an appropriate range in which the solicitation to the health business is more successful.
  • the health business management support server as an information processing device according to a third embodiment of the present invention.
  • the health business management support server according to the present embodiment asks the subscriber for the necessary level, which is the degree to which the health business needs to be provided, and the health business according to the necessary level. It differs in that it manages.
  • the required level is set to indicate the degree to which the health care business is required to be provided to the subscriber by referring to at least one of the risk level severe, the risk number which is the severe level, and the treatment level. Since other configurations and operations are the same as those of the second embodiment or the third embodiment, the same configurations and operations are designated by the same reference numerals and detailed description thereof will be omitted.
  • FIG. 20 is a diagram showing an outline of the operation of the information processing system 2000 including the health business management support server 2010 as the information processing device according to the present embodiment.
  • the same components as those in FIG. 4A are designated by the same reference numbers, and duplicate description will be omitted.
  • the display screen 2033 is an input screen of the target person selection conditions for efficiently selecting (narrowing down) the subscribers who recommend or solicit participation in the health business in the present embodiment.
  • the target person selection condition of the display screen 2033 includes a risk condition, a consultation condition, and a level condition. Further, the level condition indicates the setting of the required level threshold value ( ⁇ ) and the setting of the risk level threshold value ( ⁇ ).
  • the types of target person selection conditions are not limited to FIG. 20.
  • FIG. 21 is a block diagram showing a functional configuration of a virtual health business management support server 2010 as an information processing device according to the present embodiment.
  • the same reference numbers are assigned to the functional components similar to those in FIG. 5B, and duplicate description will be omitted.
  • the virtual health business management support server 2010 includes a database 2103.
  • Database 2103 has a processing database 2132 that includes risk levels, treatment content, awareness levels, as well as required levels of participation in subscribers who need to provide health services.
  • the virtual health business management support server 2010 has a health business target person selection unit 2148, a target person selection condition acquisition unit 2150 including a necessary level, and a necessary level derivation unit 2152.
  • the health business target person selection department 2148 has a health business target person selection table 2149, and selects a target person who needs a health business from the subscribers in consideration of the necessary level as a target person selection condition.
  • the target person selection condition acquisition unit 2150 acquires the target person selection condition including the required level from the communication terminal 241.
  • the required level derivation unit 2152 considers the risk level derived by the risk level derivation unit 545, the treatment content extracted by the treatment content extraction unit 546, and the consciousness level derived by the consciousness level derivation unit 547.
  • the consciousness level may be derived by the consciousness level deriving unit 1547 in the third embodiment.
  • the required level is retained in the processing database 2132 and is considered as a target person selection condition by the Health Business Target Person Selection Department 2148.
  • FIG. 22 is a diagram showing the configuration of the processing database 2132 according to the present embodiment.
  • the same components as those in FIG. 7A are designated by the same reference numbers, and duplicate description will be omitted.
  • the processing database 2132 further stores the required level 2218 derived by the required level derivation unit 2152.
  • the processing database 2132 may include the health management status 1714 including the treatment status and the health business participation status in the third embodiment.
  • FIG. 23A is a diagram showing the configuration of the health business target person selection table 2149 according to the present embodiment.
  • the same components as those in FIG. 8 are designated by the same reference numbers, and duplicate description will be omitted.
  • the health business target person selection table 2149 includes the required level as the target person selection condition 2301.
  • FIG. 23B is a diagram showing an example of obtaining the required level of the health business according to the present embodiment.
  • FIG. 23B shows an example of deriving the required level when the risks overlap, but is not limited to this.
  • the risk overlap situation 2310 shows the degree of risk overlap.
  • the overlapping risk numbers 2320 are also used as the required level, as shown in the Risk Overlapping Table 2330.
  • the required level for participants to participate in health services is derived from the combination of overlapping risk types and the combination of risk levels of each risk.
  • the required level may be set as a response level for each subscriber or as a priority for participation of each subscriber in each health project.
  • FIG. 23C is a diagram showing the configuration of the required level derivation table 2340 for deriving the required level according to the present embodiment.
  • the required level derivation table 2340 shows the degree of required level for each subscriber to participate in the health business, taking into consideration the risk status, the treatment status / coping status as the health management status, and the participation status of the health business. Used by the required level derivation unit 2152 to derive. It is possible to use each risk level as it is as the required level, but FIG. 23C shows the derivation of the required level in consideration of the treatment status as the health management status and the participation status of the health business.
  • the required level derivation table 2340 of FIG. 23C is an example, and is not limited thereto. Using the information that can be collected by the health business management support server 2010, it is possible to derive various information and combinations thereof to derive the degree of the required level of participation in the health business.
  • the required level derivation table 2340 stores the risk status 2342 and the health management status 2343 including the treatment status and the health business participation status in association with the subscriber ID 2341. Then, the required level derivation table 2340 stores the required level 2344 derived based on the risk status 2342 and the health management status 2343 including the treatment status and the health business participation status.
  • Risk status 2342 includes overlapping risks and risk levels for each risk.
  • Health management status 2343 including treatment status and health project participation status, includes treatment content, project participation content, and derived awareness levels.
  • Required level 2344 includes the required level for each risk and the total required level for the subscriber.
  • FIG. 24 is a flowchart showing the procedure of the health business target person selection process (S1023) according to the present embodiment.
  • the same steps as those in FIG. 10C are designated by the same step numbers, and duplicate description will be omitted.
  • step S2470 the health business management support server 2010 derives the required level from the risk level, the treatment content as the health management status, the consciousness level, and the like, and sets the required level for each subscriber and each risk of each subscriber. ..
  • the health business management support server 2010 determines in step S2473 whether or not the target person selection condition including the required level has been received from the communication terminal 241. If it is determined that the target person selection condition has been received, the health business management support server 2010 has a risk level that matches the target person selection condition in step S2475, and the treatment content as the health management status and the participation content of the health business. And select the health business target person corresponding to the consciousness level and the necessary level.
  • the target persons are narrowed down in consideration of the risk level of the subscriber, the treatment status as the health management status, and the necessary level of the health business, and the selection of the target person and the selection of the health business are associated with each other. , Can manage health services efficiently. That is, since the target persons are selected in consideration of the importance of the participants' participation in the health business, effective and efficient health business can be implemented.
  • the exchange of information between the health business management support server and the communication terminal of the subscriber was explained by exchanging information by e-mail, not only e-mail but also the communication terminal of the subscriber has a predetermined application to make inquiries and displays. It may be a configuration. Further, the configuration may be such that a communication means such as a document or a telephone is used.
  • the cost is not considered in the selection of the target person for the health business.
  • the cost when the subscriber is hospitalized or consulted due to illness the loss to the company due to the subscriber's hospitalization, the implementation cost of the health business and its effect, etc. It is also possible to adjust the selection result of the person, and such processing is also included in the present invention.
  • the invention of the present application has been described above with reference to the embodiment, the invention of the present application is not limited to the above embodiment.
  • Various changes that can be understood by those skilled in the art can be made within the scope of the present invention in terms of the structure and details of the present invention.
  • Also included in the scope of the present invention are systems or devices in which the different features contained in each embodiment are combined in any way. That is, the health business can be managed more appropriately and efficiently by various combinations that are not limited to the risk level of the subscriber, the treatment status, the participation information of the health business, and the required level of the health business.
  • the present invention may be applied to a system composed of a plurality of devices, or may be applied to a single device. Furthermore, the present invention is also applicable when the information processing program that realizes the functions of the embodiment is supplied directly or remotely to the system or device. Therefore, in order to realize the functions of the present invention on a computer, a program installed on the computer, a medium containing the program, and a WWW (World Wide Web) server for downloading the program are also included in the scope of the present invention. .. In particular, at least a non-transitory computer readable medium containing a program for causing a computer to execute the processing steps included in the above-described embodiment is included in the scope of the present invention.

Abstract

This information-processing system is for efficiently managing health services by narrowing down target persons while taking health management conditions into consideration, and associating selection of the target persons with selection of health services. The system comprises: a subscriber selection unit that selects a subscriber requiring provision of a health service, from subscribers subscribing to an insurer; a health service selection unit that selects a health service to be provided to the subscriber; and a control unit that performs control to associate the selected subscriber with the selected health service. The subscriber selection unit has: an acquisition unit that acquires personal attribute information related to subscribers, health condition-related information including health checkup information collected from the subscribers, and health management-related information including receipt information for the subscribers from medical institutions; a calculation unit that calculates risk levels of the health of the subscribers on the basis of the health condition-related information; an assessment unit that assesses the health management conditions of the subscribers on the basis of the health management-related information; and a selection unit that selects a subscriber requiring provision of a health service while taking into consideration the risk level and the health management conditions.

Description

情報処理システム、情報処理装置、情報処理方法、情報処理プログラム、通信端末およびその制御方法と制御プログラムInformation processing system, information processing device, information processing method, information processing program, communication terminal and its control method and control program
　本発明は、保健事業の管理技術に関する。 The present invention relates to a management technique for a health business.
　上記技術分野において、特許文献１には、被保険者の対象者に対して保健事業を実施して、対象者のレセプトデータや検診結果データにより保健事業を評価してその実施を支援する技術が開示されている。 In the above technical field, Patent Document 1 includes a technique for implementing a health business for an insured person, evaluating the health business based on the medical receipt data and examination result data of the target person, and supporting the implementation. It is disclosed.
特開２０１６－１７７６４４号公報Japanese Unexamined Patent Publication No. 2016-177644
　しかしながら、上記文献に記載の技術では、対象となる症状におけるハイリスク者を保健事業の対象者に選定しており、対象者の絞り込みに健康管理状況を考慮していなかった。そして、対象者の選定と保健事業の選定とを対応付けることにより、保健事業の効率的な実施を考慮していなかった。 However, in the technology described in the above document, high-risk persons with the target symptoms were selected as the target persons of the health business, and the health management situation was not considered in narrowing down the target persons. Then, by associating the selection of the target person with the selection of the health business, the efficient implementation of the health business was not considered.
　本発明の目的は、上述の課題を解決する技術を提供することにある。 An object of the present invention is to provide a technique for solving the above-mentioned problems.
　上記目的を達成するため、本発明に係る情報処理システムは、
　保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する加入者選定手段と、
　前記保険者に加入する加入者に提供する保健事業を選定する保健事業選定手段と、
　前記選定される加入者と前記選定される保健事業とを対応付けるよう制御する制御手段と、
　を備える情報処理システムであって、
　前記加入者選定手段は、
　　前記保険者に加入する加入者に関する個人の属性情報と、前記加入者に関して収集された健診情報を含む健康状態関連情報と、前記加入者に対する医療機関からのレセプト情報を含む健康管理関連情報とを取得する取得手段と、
　　前記健康状態関連情報に基づいて、前記加入者の健康のリスクレベルを導出する導出手段と、
　　前記健康管理関連情報に基づいて、前記加入者の健康管理状況を評価する評価手段と、
　　前記リスクレベルと前記健康管理状況とを考慮して、前記保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する選定手段と、
　を有する。 In order to achieve the above object, the information processing system according to the present invention
A means of selecting a member who needs to be provided with a health service among the members who join the insurer, and a means of selecting a member.
Health business selection means for selecting the health business to be provided to the subscribers who join the insurer, and
A control means for controlling the selected subscriber and the selected health service to be associated with each other.
It is an information processing system equipped with
The subscriber selection means is
Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber. And how to get
Derivation means for deriving the health risk level of the subscriber based on the health condition related information, and
An evaluation means for evaluating the health management status of the subscriber based on the health management related information, and
In consideration of the risk level and the health management situation, a selection means for selecting a subscriber who needs to be provided with a health business among the subscribers who join the insurer, and
Have.
　上記目的を達成するため、本発明に係る情報処理装置は、
　保険者に加入する加入者に関する個人の属性情報と、前記加入者に関して収集された健診情報を含む健康状態関連情報と、前記加入者に対する医療機関からのレセプト情報を含む健康管理関連情報とを取得する取得手段と、
　前記健康状態関連情報に基づいて、前記加入者の健康のリスクレベルを導出する導出手段と、
　前記健康管理関連情報に基づいて、前記加入者の健康管理状況を評価する評価手段と、
　前記リスクレベルと前記健康管理状況とを考慮して、前記保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する選定手段と、
　を備える。 In order to achieve the above object, the information processing device according to the present invention is
Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber. How to get and how to get
Derivation means for deriving the health risk level of the subscriber based on the health condition related information, and
An evaluation means for evaluating the health management status of the subscriber based on the health management related information, and
In consideration of the risk level and the health management situation, a selection means for selecting a subscriber who needs to be provided with a health business among the subscribers who join the insurer, and
To be equipped.
　上記目的を達成するため、本発明に係る情報処理方法は、
　保険者に加入する加入者に関する個人の属性情報と、前記加入者に関して収集された健診情報を含む健康状態関連情報と、前記加入者に対する医療機関からのレセプト情報を含む健康管理関連情報とを取得する取得ステップと、
　前記健康状態関連情報に基づいて、前記加入者の健康のリスクレベルを導出する導出ステップと、
　前記健康管理関連情報に基づいて、前記加入者の健康管理状況を評価する評価ステップと、
　前記リスクレベルと前記健康管理状況とを考慮して、前記保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する選定ステップと、
　を含む。 In order to achieve the above object, the information processing method according to the present invention
Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber. Get step to get and get
Derivation steps to derive the health risk level of the subscriber based on the health status related information, and
An evaluation step for evaluating the health management status of the subscriber based on the health management related information, and
In consideration of the risk level and the health management situation, a selection step for selecting a member who needs to be provided with a health business among the members who join the insurer, and a selection step.
including.
　上記目的を達成するため、本発明に係る情報処理プログラムは、
　保険者に加入する加入者に関する個人の属性情報と、前記加入者に関して収集された健診情報を含む健康状態関連情報と、前記加入者に対する医療機関からのレセプト情報を含む健康管理関連情報とを取得する取得ステップと、
　前記健康状態関連情報に基づいて、前記加入者の健康のリスクレベルを導出する導出ステップと、
　前記健康管理関連情報に基づいて、前記加入者の健康管理状況を評価する評価ステップと、
　前記リスクレベルと前記健康管理状況とを考慮して、前記保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する選定ステップと、
　をコンピュータに実行させる。 In order to achieve the above object, the information processing program according to the present invention
Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber. Get step to get and get
Derivation steps to derive the health risk level of the subscriber based on the health status related information, and
An evaluation step for evaluating the health management status of the subscriber based on the health management related information, and
In consideration of the risk level and the health management situation, a selection step for selecting a member who needs to be provided with a health business among the members who join the insurer, and a selection step.
Let the computer run.
　上記目的を達成するため、本発明に係る通信端末は、
　健康のリスク種類および健康管理状況を含む選定条件を伴って、保健事業の提供が必要な加入者の選定を情報処理装置に要求する要求手段と、
　前記選定条件に基づいて前記情報処理装置で選定された、保健事業の提供が必要とされる加入者の情報を受信する受信手段と、
　前記保健事業の提供が必要として選定された加入者へ、前記保健事業への参加が必要な旨を通知するよう前記情報処理装置に指示する通知指示手段と、
　を備える。 In order to achieve the above object, the communication terminal according to the present invention is
A requesting means for requesting the information processing device to select a subscriber who needs to be provided with a health business, along with selection conditions including health risk types and health management status.
A receiving means for receiving information on a subscriber who is required to provide a health service and is selected by the information processing apparatus based on the selection conditions.
Notification instruction means for instructing the information processing device to notify the subscriber selected as needing to provide the health business to the effect that participation in the health business is necessary.
To be equipped.
　上記目的を達成するため、本発明に係る通信端末の制御方法は、
　健康のリスク種類および健康管理状況を含む選定条件を伴って、保健事業の提供が必要な加入者の選定を情報処理装置に要求する要求ステップと、
　前記選定条件に基づいて前記情報処理装置で選定された、保健事業の提供が必要とされる加入者の情報を受信する受信ステップと、
　前記保健事業の提供が必要として選定された加入者へ、前記保健事業への参加が必要な旨を通知するよう前記情報処理装置に指示する通知指示ステップと、
　を含む。 In order to achieve the above object, the control method of the communication terminal according to the present invention is
A request step that requires the information processing device to select a subscriber who needs to be provided with a health service, along with selection conditions including health risk types and health management status.
A reception step for receiving information on a subscriber who is required to provide a health service and is selected by the information processing device based on the selection conditions.
A notification instruction step for instructing the information processing device to notify the subscribers selected as needing to provide the health business that they need to participate in the health business, and a notification instruction step.
including.
　上記目的を達成するため、本発明に係る通信端末の制御プログラムは、
　健康のリスク種類および健康管理状況を含む選定条件を伴って、保健事業の提供が必要な加入者の選定を情報処理装置に要求する要求ステップと、
　前記選定条件に基づいて前記情報処理装置で選定された、保健事業の提供が必要とされる加入者の情報を受信する受信ステップと、
　前記保健事業の提供が必要として選定された加入者へ、前記保健事業への参加が必要な旨を通知するよう前記情報処理装置に指示する通知指示ステップと、
　をコンピュータに実行させる。 In order to achieve the above object, the control program of the communication terminal according to the present invention
A request step that requires the information processing device to select a subscriber who needs to be provided with a health service, along with selection conditions including health risk types and health management status.
A reception step for receiving information on a subscriber who is required to provide a health service and is selected by the information processing device based on the selection conditions.
A notification instruction step for instructing the information processing device to notify the subscribers selected as needing to provide the health business that they need to participate in the health business, and a notification instruction step.
Let the computer run.
　本発明によれば、効率的に保健事業を管理することができる。 According to the present invention, the health business can be efficiently managed.
本発明の第１実施形態に係る情報処理システムの構成を示すブロック図である。It is a block diagram which shows the structure of the information processing system which concerns on 1st Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムの構成を示す図である。It is a figure which shows the structure of the information processing system including the health business management support server as the information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムの動作概要を示す図である。It is a figure which shows the operation outline of the information processing system including the health business management support server as the information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバが有するデータベースの構成を示す図である。It is a figure which shows the structure of the database which the health business management support server as an information processing apparatus which concerns on 2nd Embodiment of this invention has. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバにおける選定テーブルの構成を示す図である。It is a figure which shows the structure of the selection table in the health business management support server as an information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムにおける、医療情報収集の動作手順を示すシーケンス図である。It is a sequence diagram which shows the operation procedure of medical information collection in the information processing system including the health business management support server as the information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムにおける、選定された加入者に対応付けた保健事業選定の動作手順を示すシーケンス図である。It is a sequence diagram which shows the operation procedure of the health business selection corresponding to the selected subscriber in the information processing system including the health business management support server as the information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムにおける、選定された加入者に対応付けた保健事業選定の処理手順を示すフローチャートである。It is a flowchart which shows the processing procedure of the health business selection corresponding to the selected subscriber in the information processing system including the health business management support server as the information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムにおける、保健事業の提供が必要な加入者選定の詳細な動作手順を示すシーケンス図である。It is a sequence diagram which shows the detailed operation procedure of the subscriber selection which needs to provide the health business in the information processing system including the health business management support server as the information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムにおける、選定された保健事業に対応付けた加入者選定の動作手順を示すシーケンス図である。It is a sequence diagram which shows the operation procedure of the subscriber selection corresponding to the selected health business in the information processing system including the health business management support server as the information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムにおける、選定された保健事業に対応付けた加入者選定の処理手順を示すフローチャートである。It is a flowchart which shows the processing procedure of the subscriber selection corresponding to the selected health business in the information processing system including the health business management support server as the information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムにおける、保健事業に対応付けた加入者選定の詳細な動作手順を示すシーケンス図である。It is a sequence diagram which shows the detailed operation procedure of the subscriber selection corresponding to the health business in the information processing system including the health business management support server as the information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバによる保健事業の提供が必要な加入者選定の動作概要を示す図である。It is a figure which shows the operation outline of the operation outline of the subscriber selection which needs to provide the health business by the health business management support server as the information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る健康管理状況も考慮して導出されるリスクレベルの概要を示す図である。It is a figure which shows the outline of the risk level derived in consideration of the health management situation which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係るクラウドサーバの機能構成を示すブロック図である。It is a block diagram which shows the functional structure of the cloud server which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係るクラウドサーバ内に生成された情報処理装置としての仮想の保健事業管理支援サーバの機能構成を示すブロック図である。It is a block diagram which shows the functional structure of the virtual health business management support server as an information processing apparatus generated in the cloud server which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る取得データベースの構成を示す図である。It is a figure which shows the structure of the acquisition database which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る処理データベースの構成を示す図である。It is a figure which shows the structure of the processing database which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る保健事業が必要な加入者である対象者を求める一例を示す図である。It is a figure which shows an example which asks the subject person who is a necessary subscriber for the health business which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る保健事業が必要な加入者である対象者を求める他例を示す図である。It is a figure which shows another example which seeks the subject who is a subscriber who needs the health business which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る加入者の意識レベルを導出する意識レベル導出テーブルの構成を示す図である。It is a figure which shows the structure of the consciousness level derivation table which derives the consciousness level of the subscriber which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る保健事業対象者選定テーブルの構成を示す図である。It is a figure which shows the structure of the health business subject selection table which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての仮想の保健事業管理支援サーバのハードウェア構成を示すブロック図である。It is a block diagram which shows the hardware configuration of the virtual health business management support server as an information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る情報処理装置としての仮想の保健事業管理支援サーバの処理手順を示すフローチャートである。It is a flowchart which shows the processing procedure of the virtual health business management support server as an information processing apparatus which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る管理データ取得処理の手順を示すフローチャートである。It is a flowchart which shows the procedure of the management data acquisition processing which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る保健事業対象者選定処理の手順を示すフローチャートである。It is a flowchart which shows the procedure of the health business target person selection process which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る通信端末の機能構成を示すブロック図である。It is a block diagram which shows the functional structure of the communication terminal which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る通信端末の処理手順を示すフローチャートである。It is a flowchart which shows the processing procedure of the communication terminal which concerns on 2nd Embodiment of this invention. 本発明の第２実施形態に係る保健事業対象者要求処理の手順を示すフローチャートである。It is a flowchart which shows the procedure of the health business subject request processing which concerns on 2nd Embodiment of this invention. 本発明の第３実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムの動作概要を示す図である。It is a figure which shows the operation outline of the information processing system including the health business management support server as the information processing apparatus which concerns on 3rd Embodiment of this invention. 本発明の第３実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムの動作手順を示すシーケンス図である。It is a sequence diagram which shows the operation procedure of the information processing system including the health business management support server as the information processing apparatus which concerns on 3rd Embodiment of this invention. 本発明の第３実施形態に係るクラウドサーバ内の情報処理装置としての仮想の保健事業管理支援サーバの機能構成を示すブロック図である。It is a block diagram which shows the functional structure of the virtual health business management support server as an information processing apparatus in the cloud server which concerns on 3rd Embodiment of this invention. 本発明の第３実施形態に係る取得データベースの構成を示す図である。It is a figure which shows the structure of the acquisition database which concerns on 3rd Embodiment of this invention. 本発明の第３実施形態に係る処理データベースの構成を示す図である。It is a figure which shows the structure of the processing database which concerns on 3rd Embodiment of this invention. 本発明の第２実施形態に係る加入者の意識レベルを導出する意識レベル導出テーブルの構成を示す図である。It is a figure which shows the structure of the consciousness level derivation table which derives the consciousness level of the subscriber which concerns on 2nd Embodiment of this invention. 本発明の第３実施形態に係る保健事業対象者選定テーブルの構成を示す図である。It is a figure which shows the structure of the health business subject selection table which concerns on 3rd Embodiment of this invention. 本発明の第３実施形態に係る管理データ取得処理の手順を示すフローチャートである。It is a flowchart which shows the procedure of the management data acquisition processing which concerns on 3rd Embodiment of this invention. 本発明の第３実施形態に係る保健事業対象者選定処理の手順を示すフローチャートである。It is a flowchart which shows the procedure of the health business target person selection process which concerns on 3rd Embodiment of this invention. 本発明の第４実施形態に係る情報処理装置としての保健事業管理支援サーバを含む情報処理システムの動作概要を示す図である。It is a figure which shows the operation outline of the information processing system including the health business management support server as the information processing apparatus which concerns on 4th Embodiment of this invention. 本発明の第４実施形態に係るクラウドサーバ内の情報処理装置としての仮想の保健事業管理支援サーバの機能構成を示すブロック図である。It is a block diagram which shows the functional structure of the virtual health business management support server as an information processing apparatus in the cloud server which concerns on 4th Embodiment of this invention. 本発明の第４実施形態に係る処理データベースの構成を示す図である。It is a figure which shows the structure of the processing database which concerns on 4th Embodiment of this invention. 本発明の第４実施形態に係る保健事業対象者選定テーブルの構成を示す図である。It is a figure which shows the structure of the health business subject selection table which concerns on 4th Embodiment of this invention. 本発明の第４実施形態に係る保健事業の必要レベルを求める一例を示す図である。It is a figure which shows an example which obtains the required level of the health business which concerns on 4th Embodiment of this invention. 本発明の第４実施形態に係る必要レベルを導出する必要レベル導出テーブルの構成を示す図である。It is a figure which shows the structure of the necessary level derivation table which derives the necessary level which concerns on 4th Embodiment of this invention. 本発明の第４実施形態に係る保健事業対象者選定処理の手順を示すフローチャートである。It is a flowchart which shows the procedure of the health business target person selection process which concerns on 4th Embodiment of this invention.
　以下に、図面を参照して、本発明の実施の形態について例示的に詳しく説明する。ただし、以下の実施の形態に記載されている構成要素は単なる例示であり、本発明の技術範囲をそれらのみに限定する趣旨のものではない。 Hereinafter, embodiments of the present invention will be described in detail exemplarily with reference to the drawings. However, the components described in the following embodiments are merely examples, and the technical scope of the present invention is not limited to them.
　本明細書で用いられる以下の文言は、次のように定義される。「保険者」は、「公的保険者」と「民間保険者」とを含む。例えば、「公的保険者」としては「健康保険組合」が含まれる。また、「対象者」は、保険者に加入する加入者の中で保健事業の提供が必要とされる加入者のことを示す。また、「健康づくり業者」は「保健事業業者」とも称される。「個人の属性情報」は、性別や年齢、職種や役職、勤務状況などの加入者に関連する情報を示す。「健康状態関連情報」は、健診情報やストレスチェックに代表される健康状態を示す情報などの健康状態を表す情報を含む。「健康管理関連情報」は、レセプト情報や保健事業参加状況、生活様式に代表される、健康管理の状況や健康管理行動への参加の意思を示す情報を含む。「健康管理状況」は、レセプト情報に基づく「治療状況」や、保健事業参加状況、生活様式に基づく「参加内容」などの健康管理に取り組んでいる状況を含む。「保健事業関連情報」は、実施者を問わず、保健事業の実施内容を示す情報である。 The following wording used in this specification is defined as follows. "Insurer" includes "public insurer" and "private insurer". For example, "public insurer" includes "health insurance association". In addition, "target person" indicates a member who is required to provide a health service among the members who join the insurer. In addition, a "health promotion company" is also called a "health company". "Individual attribute information" indicates information related to a subscriber such as gender, age, occupation, job title, and work status. The "health condition-related information" includes information indicating a health condition such as medical examination information and information indicating a health condition represented by a stress check. "Health management-related information" includes medical receipt information, health business participation status, and information indicating the health management status and intention to participate in health management behavior represented by lifestyle. "Health management status" includes the status of "treatment status" based on medical receipt information, the status of participation in health services, and the status of working on health management such as "contents of participation" based on lifestyle. "Health business-related information" is information indicating the implementation contents of health business regardless of the implementer.
　［第１実施形態］
　本発明の第１実施形態としての情報処理システム１００について、図１を用いて説明する。情報処理システム１００は、保健事業を管理するシステムである。 [First Embodiment]
The information processing system 100 as the first embodiment of the present invention will be described with reference to FIG. The information processing system 100 is a system that manages a health business.
　図１に示すように、情報処理システム１００は、加入者選定部１０１と、保健事業選定部１０２と、制御部１０３と、を含む。加入者選定部１０１は、保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する。保健事業選定部１０２は、保険者に加入する加入者に提供する保健事業を選定する。制御部１０３は、選定される保健事業と選定される加入者とを対応付けるよう制御する。 As shown in FIG. 1, the information processing system 100 includes a subscriber selection unit 101, a health business selection unit 102, and a control unit 103. The subscriber selection unit 101 selects a subscriber who needs to be provided with a health service among the subscribers who join the insurer. The health business selection department 102 selects the health business to be provided to the subscribers who join the insurer. The control unit 103 controls so as to associate the selected health business with the selected subscriber.
　そして、加入者選定部１０１は、取得部１１１と、導出部１１２と、評価部１１３と、選定部１１４と、を有する。取得部１１１は、保険者に加入する加入者に関する個人の属性情報と、加入者に関して収集された健診情報を含む健康状態関連情報と、加入者に対する医療機関からのレセプト情報を含む健康管理関連情報とを取得する。導出部１１２は、健康状態関連情報に基づいて、加入者の健康のリスクレベルを導出する。評価部１１３は、健康管理関連情報に基づいて、加入者の健康管理状況を認識する。選定部１１４は、リスクレベルと健康管理状況とを考慮して、保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する。 Then, the subscriber selection unit 101 has an acquisition unit 111, a derivation unit 112, an evaluation unit 113, and a selection unit 114. The acquisition unit 111 includes personal attribute information about the subscriber who joins the insurer, health condition-related information including medical examination information collected about the subscriber, and health management-related information including receipt information from the medical institution for the subscriber. Get information and. The derivation unit 112 derives the health risk level of the subscriber based on the health status related information. The evaluation unit 113 recognizes the health management status of the subscriber based on the health management related information. The selection unit 114 selects a member who needs to be provided with a health service among the members who join the insurer in consideration of the risk level and the health management situation.
　本実施形態によれば、加入者の健康管理状況を考慮して保健事業の対象者を絞り込み、対象者の選定と保健事業の選定とを対応付けることにより、効率的に保健事業を管理することができる。 According to this embodiment, it is possible to efficiently manage the health business by narrowing down the target persons of the health business in consideration of the health management situation of the subscribers and associating the selection of the target persons with the selection of the health business. can.
　［第２実施形態］
　次に、本発明の第２実施形態に係る情報処理装置としての保健事業管理支援サーバについて説明する。本実施形態に係る保健事業管理支援サーバは、保健事業の提供が必要とされる加入者の選定と、提供する保健事業の選定とを対応付ける制御を行う。保健事業管理支援サーバは、特に保健事業の提供が必要とされる加入者の選定において、健診情報を含む健康状態関連情報に基づいて導出されたリスクレベルと、レセプト情報を含む健康管理関連情報に基づいて認識された健康管理状況とを考慮する。そして、保健事業管理支援サーバは、保健事業の提供が必要とされる加入者を選定することにより、保健事業を管理する。すなわち、保健事業の提供が必要とされる加入者の選定条件として、リスクの種類を指定するリスク指定や健康管理状況を指定する健康管理状況指定が行われる。なお、健康管理状況としては、レセプト情報から抽出された治療内容と、レセプト情報から導出された加入者の治療への意識レベルとが含まれる。なお、リスクレベルの導出には、さらに健康管理関連情報を考慮してもよい。また、保健事業の提供が必要とされる加入者は、健康管理関連情報として含まれる服薬情報、または、特定のリスク無しによる除外なしに選定される。また、本実施形態の保健事業管理支援サーバは、加入者と、健康状態関連情報および健康管理情報とを関連付けて記憶するデータベースを有する。そして、保健事業の提供が必要とされた加入者の情報を提示する。その提示には、保健事業の提供が必要とされた対象者一覧のオペレータへの提示と、保健事業の提供が必要として選定された旨を加入者に通知するメール送信と、が含まれる。さらに、関連する複数種類のリスクのリスクレベルと治療状況とを考慮して、保健事業の提供が必要とされる加入者が選定される。すなわち、保健事業の提供が必要とされる加入者の選定条件として、治療状況を指定する治療状況指定が行われる。なお、保健事業の提供が必要とされた加入者には、提供が必須な加入者や提供が望ましい加入者などの種々の必要レベルが含まれており、その旨が提示されてもよい。また、提供される保健事業についても、参加すべき保健事業や参加が望ましい保健事業などの種々の参加レベルが含まれており、その旨が提示されてもよい。 [Second Embodiment]
Next, a health business management support server as an information processing device according to the second embodiment of the present invention will be described. The health business management support server according to the present embodiment controls the selection of the subscribers who are required to provide the health business and the selection of the health business to be provided. The health business management support server provides risk levels derived based on health status-related information including medical examination information and health management-related information including receipt information, especially when selecting subscribers who need to be provided with health business. Consider with the recognized health care situation based on. Then, the health business management support server manages the health business by selecting the subscribers who are required to provide the health business. That is, as a condition for selecting a subscriber who is required to provide a health business, a risk designation that specifies the type of risk and a health management status designation that specifies the health management status are performed. The health management status includes the treatment content extracted from the receipt information and the level of awareness of the subscriber regarding the treatment derived from the receipt information. In addition, health management-related information may be further considered in deriving the risk level. In addition, subscribers who are required to provide health services are selected without medication information included as health care related information or exclusion without specific risk. In addition, the health business management support server of the present embodiment has a database that stores the subscriber in association with the health condition-related information and the health management information. Then, the information of the subscribers who were required to provide the health service is presented. The presentation includes presenting a list of target persons who were required to provide health services to the operator and sending an e-mail notifying the subscriber that the provision of health services was selected as necessary. In addition, the risk levels and treatment status of multiple related risks are considered to select the subscribers who need to be provided with health services. That is, the treatment status designation that specifies the treatment status is performed as a condition for selecting the subscribers who are required to provide the health service. It should be noted that the subscribers who are required to provide the health service include various necessary levels such as the subscribers who are required to provide the health services and the subscribers who are desirable to provide the health services, and the fact may be presented to that effect. In addition, the health services provided also include various levels of participation, such as health services that should be participated in and health services that should be participated, and may be presented to that effect.
　《情報処理システム》
　以下、図２Ａ～図３Ｇを参照して、情報処理装置としての保健事業管理支援サーバ２１０を含む情報処理システム２００の構成および動作を説明する。なお、図３Ａ～図３Ｇのシーケンスやフローチャートは、情報処理システム２００におけるデータの流れや処理手順を示しており、オンラインの処理とオフラインの処理とを含んでいる。 << Information processing system >>
Hereinafter, the configuration and operation of the information processing system 200 including the health business management support server 210 as the information processing device will be described with reference to FIGS. 2A to 3G. The sequences and flowcharts of FIGS. 3A to 3G show the data flow and processing procedure in the information processing system 200, and include online processing and offline processing.
　（システム構成）
　図２Ａは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０を含む情報処理システム２００の構成を示す図である。 (System configuration)
FIG. 2A is a diagram showing a configuration of an information processing system 200 including a health business management support server 210 as an information processing device according to the present embodiment.
　情報処理システム２００は、情報処理装置としての保健事業管理支援サーバ２１０と、複数の保険者２２１～２２ｍを含む保険者２２０と、複数の健康づくり業者２３１～２３ｎを含む健康づくり業者２３０と、を備える。また、情報処理システム２００は、オペレータの通信端末２４１と加入者の通信端末２４２とを含む保健事業管理支援サーバ２１０の支援を受ける通信端末２４０と、を備える。 The information processing system 200 includes a health business management support server 210 as an information processing device, an insurer 220 including a plurality of insurers 221 to 22 m, and a health promotion company 230 including a plurality of health promotion companies 231 to 23n. Be prepared. In addition, the information processing system 200 includes a communication terminal 240 that receives support from a health business management support server 210 that includes a communication terminal 241 of an operator and a communication terminal 242 of a subscriber.
　保健事業管理支援サーバ２１０は、各保険者２２１～２２ｍから提出された加入者に係わる健康情報（個人の属性情報、健診情報などの健康状態関連情報およびレセプト情報などの健康管理関連情報を含む）を機密に格納する保険者データベース２１１を含む。また、保健事業管理支援サーバ２１０は、各健康づくり業者２３１～２３ｎから提案された保健事業を格納する保健事業データベース２１２を含む。なお、保健事業は、保険者２２０から提案されて保健事業データベース２１２に格納される場合もある。保健事業管理支援サーバ２１０は、保険者データベース２１１に格納された健康情報を参照して保健事業を必要とする加入者である対象者を選定する処理と、保健事業データベース２１２に格納された保健事業を選定して保険者や対象者に推奨する処理とのマッチングを図る。そして、保健事業の実施履歴、保健事業への加入者の参加履歴、保健事業に参加した加入者のリスクレベルの変化、などを収集して、保健事業の評価を行って、健康づくり業者２３１～２３ｎにおける保健事業計画作成の改善を図る。また、保健事業の選定方法の評価、保健事業を必要とする加入者である対象者の選定方法の評価を行って、より適切な保健事業の実施を行い加入者の健康維持による生産性の向上を図る。すなわち、保健事業を必要とする加入者の選定条件として、保険事業への参加履歴を指定する参加履歴指定が行われる。 The health business management support server 210 includes health information related to the subscriber submitted by each insurer 221 to 22 m (health status related information such as personal attribute information and medical examination information, and health management related information such as receipt information). ) Includes an insurer database 211 that stores confidentially. In addition, the health business management support server 210 includes a health business database 212 that stores health businesses proposed by each health promotion company 231 to 23n. The health business may be proposed by the insurer 220 and stored in the health business database 212. The health business management support server 210 refers to the health information stored in the insurer database 211 to select a target person who is a subscriber who needs the health business, and the health business stored in the health business database 212. To match with the processing recommended for insurers and target persons. Then, the implementation history of the health business, the participation history of the participants in the health business, the change in the risk level of the participants who participated in the health business, etc. are collected, the health business is evaluated, and the health promotion company 231 ~ Improve the creation of health business plans for 23n. In addition, we will evaluate the selection method of health services and the selection method of target persons who are in need of health services, implement more appropriate health services, and improve productivity by maintaining the health of the participants. Aim. That is, as a condition for selecting a subscriber who needs a health business, a participation history designation for designating a participation history in an insurance business is performed.
　通信端末２４１、２４２は、保健事業管理アプリケーションを実行して、保健事業管理支援サーバ２１０と接続し、保健事業管理支援サーバ２１０による健康情報の履歴、保健事業を必要とする加入者である対象者の選定、推奨する保健事業の選定、などの支援を受ける。 The communication terminals 241 and 242 execute the health business management application, connect to the health business management support server 210, history of health information by the health business management support server 210, and a target person who is a subscriber who needs the health business. Receive support such as selection of health services and selection of recommended health services.
　（動作概要）
　図２Ｂは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０を含む情報処理システム２００の動作概要を示す図である。なお、図２Ｂの動作概要には、通信端末２４１、２４２の表示画面が示されているが、これらは連続する画面遷移を示してなく、本実施形態に特徴的な場面が選択されて示されている。 (Outline of operation)
FIG. 2B is a diagram showing an outline of the operation of the information processing system 200 including the health business management support server 210 as the information processing device according to the present embodiment. Although the display screens of the communication terminals 241 and 242 are shown in the operation outline of FIG. 2B, they do not show continuous screen transitions, and scenes characteristic of the present embodiment are selected and shown. ing.
　図２Ｂには、通信端末２４１から設定された選定条件に基づいて、保健事業管理支援サーバ２１０において保険者の加入者から保健事業が必要となる対象者を選定して、選定された対象者に適切な保健事業が推奨される動作概要が示されている。また、図２Ｂには、推奨するために選定された保健事業に対して、選定された保健事業が必要となる対象者を選定してその保健事業を推奨する動作概要も示されている。 In FIG. 2B, based on the selection conditions set from the communication terminal 241, the health business management support server 210 selects the target person who needs the health business from the subscribers of the insurer, and selects the target person. An outline of the operation in which appropriate health services are recommended is given. In addition, FIG. 2B also shows an outline of operations for selecting a target person who needs the selected health business and recommending the health business for the health business selected for recommendation.
　表示画面２５１は、保健事業管理アプリケーションのログオン画面である。表示画面２５２では、保健事業が必要となる対象者を選定するために選定条件が設定される。表示画面２５３では、選定条件に基づいて保健事業が必要となる対象者として選定された加入者と、選定された加入者に適切な「おすすめ保健事業」が選定されて紹介される。表示画面群２５４では、実施予定の保健事業が各加入者のファクシミリ通知２５０や加入者の通信端末２４２に通知される。また、保健事業業者（健康づくり業者）２３０の端末には、提案した保健事業の評価結果が通知される。なお、保健事業の提案が通信端末２４１や２４２からされた場合には、保健事業の評価結果が通信端末２４１や２４２に通知される。 The display screen 251 is a logon screen of the health business management application. On the display screen 252, selection conditions are set in order to select a target person who needs a health business. On the display screen 253, a subscriber selected as a target person who needs a health business based on the selection conditions and a "recommended health business" appropriate for the selected subscriber are selected and introduced. In the display screen group 254, the health business to be implemented is notified to each subscriber's facsimile notification 250 and the subscriber's communication terminal 242. In addition, the terminal of the health business operator (health promotion company) 230 is notified of the evaluation result of the proposed health business. When the proposal of the health business is made from the communication terminals 241 and 242, the evaluation result of the health business is notified to the communication terminals 241 and 242.
　一方、表示画面２５５では、「おすすめ保健事業」が表示されてオペレータにより選定される。表示画面２５６では、選定された保健事業を必要とする加入者が参加者候補として表示される。そして、表示画面群２５４に繋がる。 On the other hand, on the display screen 255, "Recommended health business" is displayed and selected by the operator. On the display screen 256, the subscribers who need the selected health business are displayed as participant candidates. Then, it is connected to the display screen group 254.
　（データベース）
　図２Ｃは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０が有するデータベースの構成を示す図である。 (Database)
FIG. 2C is a diagram showing a configuration of a database included in the health business management support server 210 as an information processing device according to the present embodiment.
　図２Ｃの上図は、保健事業管理支援サーバ２１０が有する保険者データベース２１１の構成である。保険者データベース２１１を用いて、通信端末２４１から設定された選定条件に基づいて、保健事業管理支援サーバ２１０において保険者への加入者から保健事業が必要となる対象者が選定される。保険者データベース２１１は、各保険者Ａ～Ｎのそれぞれに、保険者とその選定条件を識別するための組合条件ＩＤ２６１に対応付けて、対象者選定条件２６２と、選定された対象者人数２６３と、を記憶する。対象者選定条件２６２には、保健事業を必要とする加入者のリスク条件であるリスク状況、健康管理状況に含まれる加入者が受けている治療状況や加入者による保健事業への参加状況、保健事業の必要レベル、などが含まれる。対象者選定条件２６２はかかる記載の条件に限定されるものではない。例えば、後述の意識レベルなどを含んでもよい。 The upper figure of FIG. 2C shows the configuration of the insurer database 211 of the health business management support server 210. Using the insurer database 211, the health business management support server 210 selects the target person who needs the health business from the subscribers to the insurer based on the selection conditions set from the communication terminal 241. The insurer database 211 associates each insurer A to N with the union condition ID 261 for identifying the insurer and the selection condition, and sets the target person selection condition 262 and the selected target person number 263. Remember ,. The target person selection condition 262 includes the risk status, which is a risk condition for a subscriber who needs a health business, the treatment status received by the subscriber included in the health management status, the participation status of the subscriber in the health business, and health. Includes the required level of business, etc. The target person selection condition 262 is not limited to the conditions described above. For example, the consciousness level described later may be included.
　図２Ｃの下図は、保健事業管理支援サーバ２１０が有する保健事業データベース２１２の構成である。保健事業データベース２１２を用いて、健康づくり業者２３０または保険者２２０から提案された保健事業と、各保険者の保健事業が必要となる対象者とが対応付けられる。保健事業データベース２１２は、健康づくり業者２３０から提案された保健事業を識別するための保健事業ＩＤ２７１に対応付けて、健康づくり業者（または保険者）ＩＤ２７２と、保健事業関連情報２７３と、保健事業参加条件２７４と、を記憶する。保健事業関連情報２７３は、保健事業への参加人数（定員）、実施期間や実施間隔など、保健事業を実施する経費、保健事業の詳細内容、などを含む。また、保健事業参加条件２７４は、この保健事業に参加する必要があると判断される加入者の条件を記憶する。なお、保健事業参加条件２７４は対象者選定条件２６２に対応するのが望ましいが、互いの関連が付けは異なってもよい。 The figure below in FIG. 2C shows the configuration of the health business database 212 owned by the health business management support server 210. Using the health business database 212, the health business proposed by the health promotion company 230 or the insurer 220 is associated with the target person who needs the health business of each insurer. The health business database 212 is associated with the health business ID 271 for identifying the health business proposed by the health promotion company 230, and includes the health promotion company (or insurer) ID 272, the health business related information 273, and participation in the health business. Condition 274 and is stored. Health business related information 273 includes the number of participants (capacity) in the health business, the cost of implementing the health business such as the implementation period and the implementation interval, the detailed contents of the health business, and the like. In addition, the health business participation condition 274 stores the conditions of the subscriber who is determined to need to participate in this health business. It is desirable that the health project participation condition 274 corresponds to the target person selection condition 262, but the relationship between them may be different.
　（選定テーブル）
　図２Ｄは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０における選定テーブルの構成を示す図である。 (Selection table)
FIG. 2D is a diagram showing a configuration of a selection table in the health business management support server 210 as an information processing device according to the present embodiment.
　図２Ｄの上図は、各保険者で選定条件に基づいて選定された加入者に対して、参加を推奨する保健事業を選定し、実施させるための保健事業選定テーブル２８０である。保健事業選定テーブル２８０は、図２Ｃに示した保険者条件ＩＤ２８１、および対象者選定条件２６２に基づき選定された対象者数２８２に対応付けて、この対象者数２８２の加入者に推奨する保健事業２８３と、選択して実施された保健事業の実施結果２８４と、を記憶する。推奨する保健事業２８３は、保健事業ＩＤ、その優先度などを含む。なお、実施結果２８４には、複数の保健事業が実施された場合にはそれぞれの実施結果が記憶される。さらに、実施結果２８４には、各保健事業参加者の経過を含む実施履歴が記憶されてもよい。 The upper figure in FIG. 2D is a health business selection table 280 for selecting and implementing a health business that is recommended for participation by each insurer selected based on the selection conditions. The health business selection table 280 is associated with the insurer condition ID 281 shown in FIG. 2C and the number of target persons 282 selected based on the target person selection condition 262, and the health business recommended to the subscribers having the number of target persons 282. The 283 and the implementation result 284 of the selected health project are stored. The recommended health business 283 includes the health business ID, its priority, and the like. In addition, in the implementation result 284, when a plurality of health projects are implemented, the implementation results of each are stored. Further, the implementation result 284 may store the implementation history including the progress of each health project participant.
　図２Ｄの中図は、提案されたあるいは推奨される保健事業に参加することが望まれる、保険者とその加入者を選定するための対象者選定テーブル２８５である。対象者選定テーブル２８５は、図２Ｃに示した保健事業ＩＤ２８６に対応付けて、好適に適用される参加保険者２８７と、その保健事業の実施結果２８８と、を記憶する。参加保険者２８７としては、保険者ＩＤと保健事業参加条件２７４に基づいて選定された対象者とを含む。 The middle figure in FIG. 2D is a target person selection table 285 for selecting insurers and their subscribers who are desired to participate in the proposed or recommended health services. The target person selection table 285 stores the participating insurer 287, which is preferably applied, and the implementation result 288 of the health business, in association with the health business ID 286 shown in FIG. 2C. Participating insurers 287 include insurer IDs and target persons selected based on the health business participation condition 274.
　図２Ｄの下図は、各保健事業の実施評価をして改善を提案するための保健事業評価テーブル２９０である。保健事業評価テーブル２９０は、保健事業ＩＤ２９１に対応付けて、実施履歴２９２と、各実施評価２９３と、トータル評価２９４と、改善提案２９５と、を記憶する。 The figure below in Fig. 2D is a health project evaluation table 290 for evaluating the implementation of each health project and proposing improvements. The health business evaluation table 290 stores the implementation history 292, each implementation evaluation 293, the total evaluation 294, and the improvement proposal 295 in association with the health business ID 291.
　（動作シーケンス）
　図３Ａは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０を含む情報処理システム２００における、医療情報収集の動作手順を示すシーケンス図である。 (Operation sequence)
FIG. 3A is a sequence diagram showing an operation procedure of medical information collection in the information processing system 200 including the health business management support server 210 as the information processing device according to the present embodiment.
　保健事業管理支援サーバ２１０は、ステップＳ３０１において、通信端末２４１、２４２にそれぞれの保健事業管理アプリケーションを提供する。そして、通信端末２４１、２４２は、ステップＳ３０２において、保健事業管理支援サーバ２１０と協働して保健事業管理アプリケーションを起動する。 The health business management support server 210 provides the respective health business management applications to the communication terminals 241 and 242 in step S301. Then, in step S302, the communication terminals 241 and 242 cooperate with the health business management support server 210 to start the health business management application.
　保険者２２０は、ステップＳ３０３において、登録されている個人（加入者）の属性情報と、取得した健診情報を含む健康状態関連情報とを、保健事業管理支援サーバ２１０に提出する。保健事業管理支援サーバ２１０は、ステップＳ３０４において、保険者２２０により提出された個人の属性情報、健康状態関連情報を、データベースに格納保持する。 In step S303, the insurer 220 submits the attribute information of the registered individual (subscriber) and the health condition-related information including the acquired medical examination information to the health business management support server 210. In step S304, the health business management support server 210 stores and retains the individual attribute information and health condition-related information submitted by the insurer 220 in the database.
　保険者２２０は、ステップＳ３０５において、レセプト情報などを含む健康管理関連情報を、保健事業管理支援サーバ２１０に提出する。保健事業管理支援サーバ２１０は、保険者２２０により提出された健康管理関連情報を、データベースに格納保持する。なお、ストレスチェックやアンケート情報などから抽出された、健康状態関連情報または健康管理関連情報は、ステップＳ３０７において、随時に通信端末２４１、２４２から保健事業管理支援サーバ２１０に送信されてもよい。 In step S305, the insurer 220 submits health management-related information including receipt information to the health business management support server 210. The health business management support server 210 stores and retains the health management-related information submitted by the insurer 220 in a database. The health condition-related information or the health management-related information extracted from the stress check, the questionnaire information, and the like may be transmitted from the communication terminals 241 and 242 to the health business management support server 210 at any time in step S307.
　図３Ｂは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０を含む情報処理システム２００における、選定された加入者である対象者に対応付けた保健事業選定の動作手順を示すシーケンス図である。図３Ｂには、オペレータの通信端末２４１から保健事業が必要な加入者を選定する条件を設定すると、保健事業が必要な加入者である対象者に、健康づくり業者２３０から提案された適切な保健事業が選定されて、加入者の通信端末２４２に保健事業の情報を報知して参加を促す。そして、保健事業の成果あるいは効果を以降の加入者検索や保健事業選択に反映させる動作手順が示されている。 FIG. 3B is a sequence showing an operation procedure of selecting a health business associated with a target person who is a selected subscriber in an information processing system 200 including a health business management support server 210 as an information processing device according to the present embodiment. It is a figure. In FIG. 3B, when the conditions for selecting a subscriber who needs a health business are set from the operator's communication terminal 241, the appropriate health proposed by the health promotion company 230 is set for the target person who is a subscriber who needs a health business. The project is selected, and the subscriber's communication terminal 242 is notified of the information on the health project to encourage participation. Then, the operation procedure for reflecting the results or effects of the health business in the subsequent subscriber search and health business selection is shown.
　通信端末２４１は、ステップＳ３１１において、保健事業が必要な加入者を選定するための基準となる判定条件、例えばリスクレベルの閾値などを入力する。保健事業管理支援サーバ２１０は、ステップＳ３１２において、受信した判定条件を設定する。健康づくり業者２３０は、ステップＳ３１３において、生成した保健事業計画を提案する。保健事業管理支援サーバ２１０は、ステップＳ３１４において、保健事業計画として、保健事業関連情報とその保健事業を選定する保健事業選定条件を設定する。 In step S311 the communication terminal 241 inputs a determination condition that serves as a criterion for selecting a subscriber who needs a health business, for example, a risk level threshold value. The health business management support server 210 sets the received determination condition in step S312. The health promotion company 230 proposes the generated health business plan in step S313. In step S314, the health business management support server 210 sets the health business-related information and the health business selection conditions for selecting the health business as the health business plan.
　通信端末２４１は、ステップＳ３１５において、保健事業を必要とする加入者を選定するためのリスク種類や受診内容などの対象者選定条件を入力する。保健事業管理支援サーバ２１０は、ステップＳ３１６において、種々の対象者選定条件に従って、保健事業を必要とする対象者とそのグループを選定する。そして、保健事業管理支援サーバ２１０は、ステップＳ３１７において、選定した対象者グループに対する適切な保健事業を選択する。 In step S315, the communication terminal 241 inputs the target person selection conditions such as the risk type and the consultation content for selecting the subscriber who needs the health business. In step S316, the health business management support server 210 selects a target person and a group thereof who need a health business according to various target person selection conditions. Then, in step S317, the health business management support server 210 selects an appropriate health business for the selected target group.
　通信端末２４１は、ステップＳ３１８において、選定した対象者グループに対するメールの一斉送信を保健事業管理支援サーバ２１０に指示する。保健事業管理支援サーバ２１０は、ステップＳ３１９において、保健事業や対象者に基づいて費用対効果を予測して、利益率の高い順に保健事業への勧奨あるいは勧誘する情報を一斉メールで通信端末２４２に提示する。通信端末２４２は、ステップＳ３２０において、メールで受信した保健事業の勧奨/勧誘の情報を表示する。なお、電子メールには、保健事業の写真や動画が含まれてもよい。また、本実施形態においては、電子メールによる一斉送信を示すが、ファクシミリ送信や電話通知などであってもよい。 In step S318, the communication terminal 241 instructs the health business management support server 210 to send an e-mail to the selected target group. In step S319, the health business management support server 210 predicts cost-effectiveness based on the health business and the target person, and sends information to the communication terminal 242 by mass mail to recommend or solicit information to the health business in descending order of profit margin. Present. The communication terminal 242 displays the information on the recommendation / solicitation of the health business received by e-mail in step S320. The e-mail may include photos and videos of health services. Further, in the present embodiment, the simultaneous transmission by e-mail is shown, but it may be a facsimile transmission, a telephone notification, or the like.
　通信端末２４１、２４２は、ステップＳ３２１において、例えば毎月周期であるいは不定期で、保健事業の実施履歴と加入者の参加履歴を入力する。保健事業管理支援サーバ２１０は、ステップＳ３２２において、保健事業の実施履歴と加入者の参加履歴とを蓄積する。 In step S321, the communication terminals 241 and 242 input the implementation history of the health business and the participation history of the subscriber, for example, on a monthly cycle or irregularly. In step S322, the health business management support server 210 accumulates the implementation history of the health business and the participation history of the subscribers.
　また、保健事業管理支援サーバ２１０は、所定周期で、ステップＳ３２３において、保健事業の実施履歴や加入者の参加履歴、加入者のリスクレベルの変化に基づいて、保健事業の成果を評価する。そして、保健事業管理支援サーバ２１０は、ステップＳ３２４において、保健事業による評価結果を、保健事業の選定やリスクレベルの導出などに反映させる。 In addition, the health business management support server 210 evaluates the results of the health business at a predetermined cycle in step S323 based on the implementation history of the health business, the participation history of the subscribers, and the change in the risk level of the subscribers. Then, in step S324, the health business management support server 210 reflects the evaluation result of the health business in the selection of the health business and the derivation of the risk level.
　図３Ｃは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０を含む情報処理システム２００における、選定された加入者である対象者に対応付けた保健事業選定の処理手順を示すフローチャートである。 FIG. 3C is a flowchart showing a processing procedure for selecting a health business associated with a target person who is a selected subscriber in an information processing system 200 including a health business management support server 210 as an information processing device according to the present embodiment. Is.
　情報処理システム２００は、ステップＳ３３０において、保険者へ加入者を登録する。情報処理システム２００は、ステップＳ３３１において、保健事業管理支援のためのデータを収集する。ステップＳ３３１の保健事業管理支援のためのデータ収集において、情報処理システム２００は、図３ＡのステップＳ３０４に相当する処理を行う。すなわち、加入者個人の属性情報あるいは既往歴などを含む情報の取得、加入者の健康診断結果などからの健診情報を含む健康状態関連情報の取得、病院や診療施設から加入者のレセプト情報を含む健康管理関連情報の取得を行う。そして、情報処理システム２００は、図３ＡのステップＳ３０６に相当する処理により、その他の健康関連情報、例えば保健事業への参加履歴などの取得を行う。 The information processing system 200 registers the subscriber with the insurer in step S330. The information processing system 200 collects data for health business management support in step S331. In the data collection for the health business management support in step S331, the information processing system 200 performs a process corresponding to step S304 in FIG. 3A. That is, acquisition of information including individual attribute information or medical history of the subscriber, acquisition of health condition-related information including medical examination information from the medical examination results of the subscriber, and receipt information of the subscriber from hospitals and medical facilities. Acquire health management related information including. Then, the information processing system 200 acquires other health-related information, such as a history of participation in a health business, by a process corresponding to step S306 in FIG. 3A.
　情報処理システム２００は、ステップＳ３３２において、ステップＳ３３２で収集された健康状態関連情報から、加入者の各チェック対象リスクにおけるリスクレベルを導出する。また、情報処理システム２００は、ステップＳ３３３において、ステップＳ３３２で収集された健康管理関連情報から、加入者の受診状況を含む健康管理状況を評価する。そして、情報処理システム２００は、ステップＳ３３４において、加入者のリスクレベルと健康管理状況とに基づいて、保健事業が必要な加入者である対象者の選定をする。情報処理システム２００は、ステップＳ３３５において、選定された加入者である対象者に対する適切な保健事業を選択する、あるいは、自ら適切な保健事業を計画する。そして、情報処理システム２００は、ステップＳ３３６において、保健事業の参加を推奨あるいは勧誘する情報の加入者への提示、例えばメールやファクシミリなどによる提示を行う。情報処理システム２００は、ステップＳ３３７において、加入者の保健事業への参加履歴、保健事業の実施履歴、リスクレベルの変化を分析して、保健事業の成果の評価を行い、以降の保健事業が必要な加入者（対象者）への保健事業の提示に反映させる。 In step S332, the information processing system 200 derives the risk level for each check target risk of the subscriber from the health condition-related information collected in step S332. Further, in step S333, the information processing system 200 evaluates the health management status including the consultation status of the subscriber from the health management related information collected in step S332. Then, in step S334, the information processing system 200 selects a target person who is a subscriber who needs a health business based on the risk level of the subscriber and the health management status. In step S335, the information processing system 200 selects an appropriate health business for the selected subscriber, or plans an appropriate health business by itself. Then, in step S336, the information processing system 200 presents the information recommending or soliciting participation in the health business to the subscriber, for example, by e-mail or facsimile. In step S337, the information processing system 200 analyzes the participant's participation history in the health business, the implementation history of the health business, and the change in the risk level, evaluates the results of the health business, and the subsequent health business is required. It will be reflected in the presentation of health services to various subscribers (target persons).
　図３Ｄは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０を含む情報処理システム２００における、保健事業の提供が必要な加入者選定の詳細な動作手順を示すシーケンス図である。図３Ｄには、オペレータの通信端末２４１からの問い合わせあるいは選定指示に応答して、保健事業管理支援サーバ２１０がレセプト情報を含む健康管理関連情報や健診情報を含む健康状態関連情報に基づいて、保健事業への参加が必要とされる対象者を報知する動作手順が示されている。なお、図３Ｄにおいて、ステップＳ３４１～Ｓ３４８は図３ＢのＳ３１５～Ｓ３１７に相当し、ステップＳ３５１～Ｓ３５３は図３ＢのＳ３１８～Ｓ３２０に相当する。 FIG. 3D is a sequence diagram showing a detailed operation procedure of selecting a subscriber who needs to be provided with a health business in an information processing system 200 including a health business management support server 210 as an information processing device according to the present embodiment. In FIG. 3D, in response to an inquiry or selection instruction from the operator's communication terminal 241, the health business management support server 210 is based on health management-related information including receipt information and health condition-related information including medical examination information. The procedure for notifying the target person who is required to participate in the health business is shown. In addition, in FIG. 3D, steps S341 to S348 correspond to S315 to S317 of FIG. 3B, and steps S351 to S353 correspond to S318 to S320 of FIG. 3B.
　通信端末２４１は、ステップＳ３４１において、保健事業管理支援サーバ２１０に対して、保健事業の提供が現在必要とされる全対象者の選定を要求する。健保管理支援のサーバ２１０は、選定要求を受けて、ステップＳ３４２において、既存の厚労省の指針（法定階層化）および図７Ｂ、図７Ｃで後述する本実施形態の階層化に基づいて、保健事業の提供が必要とされる全対象者の情報、例えば、全対象者数やその情報一覧、を生成する。そして、通信端末２４０は、ステップＳ３４３において、保健事業管理支援サーバ２１０から取得した保健事業の提供が必要とされる全対象者の情報を表示や情報一覧として出力する。出力には、表示と印刷が含まれるが、さらに、送信や記憶媒体への出力が含まれてもよい。なお、通信端末２４１においては、図４Ａの表示画面４４２のような全対象者の内訳における選択指示によって、その対象者一覧を表示し、さらに、対象者一覧から特定の対象者を選択指示することによって、選択された対象者の詳細情報を出力する構成とするのが望ましい。また、保健事業管理支援サーバ２１０は、ステップＳ３４４において、データベースに格納された保健事業の提供が必要とされる全対象者、さらに対象リスクにフラグを設定して選定結果を保持してもよい。 In step S341, the communication terminal 241 requests the health business management support server 210 to select all the target persons who are currently required to provide the health business. In response to the selection request, the health insurance management support server 210 receives the selection request, and in step S342, based on the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification) and the stratification of the present embodiment described later in FIGS. 7B and 7C, the health insurance management support server 210 has health. Generate information on all target persons who are required to provide the business, for example, the total number of target persons and a list of the information. Then, in step S343, the communication terminal 240 displays and outputs the information of all the target persons who are required to provide the health business acquired from the health business management support server 210 as a display or an information list. The output includes display and printing, but may also include transmission and output to a storage medium. In the communication terminal 241, the target person list is displayed by the selection instruction in the breakdown of all the target persons as shown in the display screen 442 of FIG. 4A, and further, the specific target person is selected and instructed from the target person list. It is desirable to have a configuration that outputs detailed information of the selected target person. Further, in step S344, the health business management support server 210 may set a flag for all the target persons who are required to provide the health business stored in the database and the target risk, and hold the selection result.
　保健事業管理支援サーバ２１０は、ステップＳ３４５において、対象者選定条件を生成して通信端末２４１に送信し、通信端末２４１は、ステップＳ３４６において、受信した対象者選定条件を含む、図４Ａの表示画面４４３のような設定画面を表示する。本実施形態においては、対象者選定条件として、例えばリスク条件と受診条件とを含んでいる。 The health business management support server 210 generates a target person selection condition in step S345 and transmits it to the communication terminal 241. The communication terminal 241 includes the target person selection condition received in step S346, and the display screen of FIG. 4A. Display a setting screen such as 443. In the present embodiment, for example, a risk condition and a consultation condition are included as the target person selection condition.
　通信端末２４１は、ステップＳ３４７において、保健事業の提供が必要とされる対象者を絞り込むための対象者選定条件を設定して、保健事業管理支援サーバ２１０に対して、設定した対象者選定条件による保健事業の提供が必要とされる対象者の選定を要求する。保健事業管理支援サーバ２１０は、対象者選定要求を受けて、ステップＳ３４８において、対象者選定条件により絞り込んだ保健事業の提供が必要とされる対象者の情報、例えば、対象者数やその情報一覧、を生成する。なお、保健事業の提供が必要とされる対象者の情報の生成は、既存の厚労省の指針（法定階層化）および図７Ｂ、図７Ｃで後述する本実施形態の階層化に基づいて実行される。そして、通信端末２４１は、ステップＳ３４９において、保健事業管理支援サーバ２１０から取得した保健事業の提供が必要とされる対象者の情報を表示や情報一覧として出力する。出力には、表示と印刷が含まれるが、さらに、送信や記憶媒体への出力が含まれてもよい。なお、通信端末２４１においては、図４Ａの表示画面４４２のような対象者一覧を表示し、さらに、対象者一覧から特定の対象者を選択指示することによって、選択された対象者の詳細情報を出力する構成とするのが望ましい。また、保健事業管理支援サーバ２１０は、ステップＳ３５１において、データベースに格納された保健事業の提供が必要とされる対象者、さらに対象リスクにフラグを設定して選定結果を保持してもよい。 In step S347, the communication terminal 241 sets the target person selection conditions for narrowing down the target persons who are required to provide the health business, and sets the target person selection conditions for the health business management support server 210. Request the selection of subjects who need to be provided with health services. In response to the target person selection request, the health business management support server 210 receives information on the target persons who are required to provide the health business narrowed down according to the target person selection conditions in step S348, for example, the number of target persons and a list of the information. , Is generated. The generation of information on the target persons who are required to provide health services is executed based on the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification) and the stratification of the present embodiment described later in FIGS. 7B and 7C. Will be done. Then, in step S349, the communication terminal 241 displays and outputs the information of the target person who is required to provide the health business acquired from the health business management support server 210 as a display or an information list. The output includes display and printing, but may also include transmission and output to a storage medium. The communication terminal 241 displays a list of target persons as shown in the display screen 442 of FIG. 4A, and further, by instructing the selection of a specific target person from the target person list, detailed information on the selected target person can be obtained. It is desirable to have a configuration for output. Further, in step S351, the health business management support server 210 may set a flag for the target person who is required to provide the health business stored in the database and the target risk, and hold the selection result.
　通信端末２４１は、ステップＳ３５２において、保健事業管理支援サーバ２１０に対して、選定された保健事業の提供が必要とされる対象者に対する保健事業を推奨するまたは勧誘する内容を含む電子メールの一斉送信による通知指示を行う。保健事業管理支援サーバ２１０は、通知指示を受けて、ステップＳ３５３において、対象者の送信先へ電子メールの一斉送信を実行する。なお、電子メールには、保健事業の写真や動画が含まれてもよい。また、本実施形態においては、電子メールによる一斉送信を示すが、ファクシミリ送信や電話通知、あるいは書面発送などであってもよい。 In step S352, the communication terminal 241 broadcasts an e-mail containing the content of recommending or soliciting the health business to the target person who is required to provide the selected health business to the health business management support server 210. Notify by. Upon receiving the notification instruction, the health business management support server 210 executes simultaneous transmission of e-mails to the destinations of the target person in step S353. The e-mail may include photos and videos of health services. Further, in the present embodiment, the simultaneous transmission by e-mail is shown, but it may be a facsimile transmission, a telephone notification, a written delivery, or the like.
　図３Ｅは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０を含む情報処理システム２００における、選定された保健事業に対応付けた対象者選定の動作手順を示すシーケンス図である。なお、図３Ｅにおいて、図３Ｂと同様のステップには同じステップ番号を付して、重複する説明を省略する。 FIG. 3E is a sequence diagram showing an operation procedure of target person selection associated with the selected health business in the information processing system 200 including the health business management support server 210 as the information processing device according to the present embodiment. In FIG. 3E, the same steps as those in FIG. 3B are assigned the same step numbers, and duplicate description will be omitted.
　オペレータの通信端末２４１は、ステップＳ３６１において、保健事業管理支援サーバ２１０の保健事業データベース２１２に蓄積された保健事業計画の案内を受けて、推奨する保健事業を選定する。また、保健事業管理支援サーバ２１０は、ステップＳ３６２において、保健事業データベース２１２に蓄積された保健事業計画から推奨する保健事業を選定する。なお、保健事業の選定は、保健事業の目標や参加人数、費用などを考慮して選定される。保健事業管理支援サーバ２１０は、ステップＳ３６３において、選定された保健事業への参加を必要とする加入者である対象者やそのグループを選定して、通信端末２４１に通知する。なお、推奨する保健事業の選定を保健事業管理支援サーバ２１０が行った場合は、選定された保健事業も通知する。通信端末２４１は、ステップＳ３６４において、選定された保健事業と、対応してその保健事業を必要とする加入者である対象者やそのグループとを通知する。 In step S361, the operator's communication terminal 241 selects a recommended health business in response to the guidance of the health business plan accumulated in the health business database 212 of the health business management support server 210. In addition, the health business management support server 210 selects a recommended health business from the health business plans accumulated in the health business database 212 in step S362. The selection of health services is made in consideration of the goals of the health services, the number of participants, and costs. In step S363, the health business management support server 210 selects a target person or a group of subscribers who need to participate in the selected health business, and notifies the communication terminal 241. When the health business management support server 210 selects the recommended health business, the selected health business is also notified. In step S364, the communication terminal 241 notifies the selected health business and the target person or the group who is a subscriber who needs the health business correspondingly.
　図３Ｆは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０を含む情報処理システム２００における、選定された保健事業に対応付けた対象者選定の処理手順を示すフローチャートである。なお、図３Ｆにおいて、図３Ｃのステップと同様のステップには同じステップ番号を付して、重複する説明を省略する。 FIG. 3F is a flowchart showing a processing procedure of target person selection associated with the selected health business in the information processing system 200 including the health business management support server 210 as the information processing device according to the present embodiment. In addition, in FIG. 3F, the same step number as the step of FIG. 3C is assigned the same step number, and duplicate description is omitted.
　情報処理システム２００は、ステップＳ３７１において、蓄積された保健事業計画から保険者および加入者に推奨する保健事業を選定する。そして、情報処理システム２００は、ステップＳ３７２において、選定された保健事業への参加を必要とする加入者である対象者とそのグループを選定する。 In step S371, the information processing system 200 selects a health business recommended to the insurer and the subscriber from the accumulated health business plan. Then, in step S372, the information processing system 200 selects a target person and a group thereof who are subscribers who need to participate in the selected health business.
　図３Ｇは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０を含む情報処理システム２００における、保健事業に対応付けた対象者選定の詳細な動作手順を示すシーケンス図である。図３Ｇには、オペレータの通信端末２４１や保健事業管理支援サーバ２１０の推奨する保健事業の選定に応答して、保健事業管理支援サーバ２１０が、選定された保健事業への参加が必要とされる保健事業対象者を報知する動作手順が示されている。ここで、保健事業管理支援サーバ２１０による保健事業への参加が必要とされる保健事業対象の選定は、レセプト情報を含む健康管理関連情報や健診情報を含む健康状態関連情報に基づいて行われる。なお、図３Ｇにおいて、ステップＳ３８１～Ｓ３８３、Ｓ３４８、Ｓ３４９は図３ＢのＳ３６１～Ｓ３６４に相当する。また、図３Ｇにおいて、図３Ｄと同様のステップには同じステップ番号を付して、重複する説明を省略する。 FIG. 3G is a sequence diagram showing a detailed operation procedure of selecting a target person associated with a health business in an information processing system 200 including a health business management support server 210 as an information processing device according to the present embodiment. In FIG. 3G, the health business management support server 210 is required to participate in the selected health business in response to the selection of the health business recommended by the operator's communication terminal 241 and the health business management support server 210. The operation procedure for notifying the health business target person is shown. Here, the selection of the health business target required to participate in the health business by the health business management support server 210 is performed based on the health management related information including the receipt information and the health condition related information including the medical examination information. .. In addition, in FIG. 3G, steps S381 to S383, S348, and S349 correspond to S361 to S364 in FIG. 3B. Further, in FIG. 3G, the same step numbers as those in FIG. 3D are assigned the same step numbers, and duplicate description will be omitted.
　通信端末２４１は、ステップＳ３８１において、保健事業データベース２１２に蓄積された保健事業計画から推奨する保健事業を選定する。また、保健事業管理支援サーバ２１０は、ステップＳ３８２において、保健事業データベース２１２に蓄積された保健事業計画から推奨する保健事業を選定する。そして、保健事業管理支援サーバ２１０は、ステップＳ３８３において、選定された保健事業への参加を必要とする加入者である対象者を選定するための対象者選定条件を生成する。なお、健康づくり業者２３０が対象者選定条件を設定する場合は、その対象者選定条件を取得する。 In step S381, the communication terminal 241 selects a recommended health business from the health business plans accumulated in the health business database 212. In addition, the health business management support server 210 selects a recommended health business from the health business plans accumulated in the health business database 212 in step S382. Then, in step S383, the health business management support server 210 generates a target person selection condition for selecting a target person who is a subscriber who needs to participate in the selected health business. When the health promotion company 230 sets the target person selection conditions, the target person selection conditions are acquired.
　《保健事業管理支援サーバの動作概要》
　図４Ａは、本実施形態に係る情報処理装置としての保健事業管理支援サーバによる保健事業の提供が必要な対象者選定の動作概要を示す図である。なお、図４Ａの動作概要には、４つの表示画面４４１～４４４が示されているが、これらは連続する画面遷移を示してなく、本実施形態に特徴的な場面が選択されて示されている。 << Outline of operation of health business management support server >>
FIG. 4A is a diagram showing an outline of the operation of selecting a target person who needs to be provided with a health business by a health business management support server as an information processing device according to the present embodiment. Although four display screens 441 to 444 are shown in the operation outline of FIG. 4A, they do not show continuous screen transitions, and scenes characteristic of the present embodiment are selected and shown. There is.
　図４Ａは、通信端末２４１からの操作によって、保健事業管理支援サーバ２１０において保険者の加入者から保健事業が必要となる対象者を選定する動作概要を示している。表示画面４４１は、保健事業管理アプリケーションのログオン画面である。ログオンすると、表示画面４４２では、現在登録済みの加入者の健診情報や疾病情報などからデフォルトの条件に基づいて、健保事業が必要となる全対象者数が表示されている。なお、表示画面４４２において、健保事業が必要となる全対象者数の重複する内訳として、「特定保健指導対象者（動機付け）」および「特定保健指導対象者（積極的）」として導出された人数は、既存の厚労省の指針（法定階層化）に従って導出され得る数字である。一方、「その他の保健事業対象者」として導出された人数は、既存の厚労省の指針（法定階層化）では見落とされて、保健事業が必要であるにも関わらず導出されない人数である。かかる「その他の保健事業対象者」を導出する例については、以下に図７Ｂおよび図７Ｃで説明する。 FIG. 4A shows an outline of the operation of selecting a target person who needs a health business from the subscribers of the insurer on the health business management support server 210 by operating from the communication terminal 241. The display screen 441 is a logon screen of the health business management application. When logged on, the display screen 442 displays the total number of target persons who need the health insurance business based on the default conditions from the medical examination information and the disease information of the currently registered subscribers. In addition, on the display screen 442, as the overlapping breakdown of the total number of target persons requiring the health insurance business, it was derived as "specific health guidance target person (motivation)" and "specific health guidance target person (active)". The number of people is a number that can be derived according to the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification). On the other hand, the number of people who have been derived as "other health business target persons" is the number of people who are overlooked by the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification) and are not derived even though health business is necessary. An example of deriving such "other health business target persons" will be described below with reference to FIGS. 7B and 7C.
　表示画面４４３は、保健事業が必要となる全対象者数から、保健事業計画に則ってリスクとコストとを考慮して対象保健事業や対象人数を絞り込むための対象者選定条件を入力する画面である。表示画面４４３では、対象者選定条件式を入力する形式ではなく、大きく２つの条件、リスク条件と受診条件からオペレータが選択できる形式である。リスク条件としては、加入者が有するリスクの種類、あるいは、その組み合わせを選択する。さらに、受診条件では、加入者が有するリスクの種類に対応する受診を行っているか否かを選択する。表示画面４４３には、リスク条件と受診条件の一部を示したが、これらに限定されず種々のリスクと受診との組み合わせが可能であり、保健事業が必要となる対象保健事業や対象者数を絞り込むことが可能になる。 The display screen 443 is a screen for inputting the target person selection conditions for narrowing down the target health business and the target number of people in consideration of the risk and cost according to the health business plan from the total number of target people who need the health business. be. The display screen 443 is not a format for inputting a target person selection condition formula, but a format in which the operator can select from two main conditions, a risk condition and a consultation condition. As the risk condition, the type of risk that the subscriber has or a combination thereof is selected. Furthermore, in the consultation conditions, it is selected whether or not the consultation corresponds to the type of risk that the subscriber has. The display screen 443 shows some of the risk conditions and the consultation conditions, but the combination is not limited to these, and various risks and consultations can be combined, and the target health business and the number of target persons who require the health business. Can be narrowed down.
　表示画面４４４は、表示画面４４３で入力されたリスク条件および受診条件に基づいて、保健事業管理支援サーバ２１０のデータベースから選定された対象者情報の一覧が表示されている。なお、図示はしないが、オペレータは、対象保健事業や選定された対象者数が適切であると判定すると、選定された対象者に対して対象保健事業の推奨あるいは勧誘するための通知を、例えば電子メールで一斉送信するように指示してもよい。一方、オペレータは、対象保健事業や選定された対象者数が適切でないと判定すると、リスク条件や受診条件を変更して適切な保健事業を探索する。 The display screen 444 displays a list of target person information selected from the database of the health business management support server 210 based on the risk conditions and the consultation conditions input on the display screen 443. Although not shown, when the operator determines that the target health project or the number of selected target persons is appropriate, the operator gives a notification to the selected target person to recommend or solicit the target health project, for example. You may instruct them to send them all at once by e-mail. On the other hand, when the operator determines that the target health business or the number of selected subjects is not appropriate, the operator changes the risk conditions and the consultation conditions to search for an appropriate health business.
　（リスクレベル）
　図４Ｂは、本実施形態に係る健康管理状況も考慮して導出されるリスクレベルの概要を示す図である。すなわち、本実施形態においては、リスクレベルの導出は健診情報を含む健康状態関連情報から行われるが、図４Ｂに示すように、健康管理状況も考慮してリスクレベルを導出してもよい。この場合には、保健事業が必要とされる加入者である対象者の選定は、リスクレベルと健康管理状況とを考慮するのでなくリスクレベルの考慮で行われるが、実質的では同じである。図４Ｂには、血圧リスクのリスクレベルへの階層化の例を説明するが、他のリスク種類にはそのリスクに対応する適切な階層化が行われる。例えば、健診情報のない喫煙リスクなどのリスクレベルの階層化は、アンケート情報などを参照して行われる。なお、図４Ｂのリスクレベルへの階層化は一例であって、これに限定されず、保健事業における加入者の適切な分類が可能な種々の階層化が可能である。 (Risk level)
FIG. 4B is a diagram showing an outline of the risk level derived in consideration of the health management status according to the present embodiment. That is, in the present embodiment, the risk level is derived from the health condition-related information including the medical examination information, but as shown in FIG. 4B, the risk level may be derived in consideration of the health management status. In this case, the selection of the target persons who are the subscribers who need the health business is made by considering the risk level instead of considering the risk level and the health management situation, but it is practically the same. FIG. 4B illustrates an example of stratification of blood pressure risk into risk levels, but other risk types are appropriately stratified corresponding to the risk. For example, risk levels such as smoking risk without medical examination information are stratified by referring to questionnaire information. The stratification to the risk level in FIG. 4B is an example, and the stratification is not limited to this, and various stratifications capable of appropriately classifying the subscribers in the health business are possible.
　図４Ｂの血圧リスクは、５階層のリスクレベルに階層化されている。高レベルから順に、高危険４４０→危険４５０→受診勧誘４６０→保健指導４７０→リスクなし４８０となる。また、高危険４４０や危険４５０のレベルでは、受診済みか未受診か、受診済みの場合に投薬が有るか無いかなどを、レセプト情報に基づいて分類する（４９０）。 The blood pressure risk in FIG. 4B is stratified into five risk levels. In order from the highest level, high risk 440 → risk 450 → consultation solicitation 460 → health guidance 470 → no risk 480. In addition, at the levels of high risk 440 and risk 450, it is classified based on the receipt information, such as whether the patient has been examined or not, and if the patient has been examined, whether or not there is medication (490).
　簡単な保健事業が必要となる加入者の選定においては、リスクなし４８０以外は保健事業が必要な人数に加えられる。しかしながら、受診勧誘４６０や保健指導４７０などの危険レベルの予備軍に保健事業が必要な人数を絞っても、あるいは、高危険４４０および危険４５０の未受診を保健事業が必要な人数として絞ってもよい。どのように保健事業を実施するかは、リスクを抑えつつ、コストも抑えられるように計画されるのが望ましい。 In the selection of subscribers who need a simple health business, except for 480 without risk, the number of people who need a health business is added. However, even if the number of people who need health services is narrowed down to the reserve army of risk level such as solicitation for consultation 460 and health guidance 470, or the number of people who have not received high risk 440 and risk 450 is narrowed down to the number of people who need health services. good. It is desirable that how health services are implemented should be planned so that costs can be reduced while reducing risks.
　図４Ｂ中の「未受診」や「受診済み・投薬なし」などは健康管理状況を表し、「リスク継続」などはリスクレベルを表している。そして、各囲み内の数字（対象となる加入者数）の対象者のそれぞれに対して保健事業が設定、マッチングされることになる。なお、レセプトデータからは健康管理状況・治療状況のほかに、疾病の重症度を推測できる情報も含まれており、この情報をリスクレベルの評価に使うこともできる。 In Fig. 4B, "not examined" and "examined / no medication" indicate the health management status, and "risk continuation" indicates the risk level. Then, the health business is set and matched for each of the target persons of the number (the number of target subscribers) in each box. In addition to the health management status and treatment status, the receipt data also contains information that can be used to estimate the severity of the disease, and this information can also be used to evaluate the risk level.
　《クラウドサーバの機能構成》
　図５Ａは、本実施形態に係るクラウドサーバ５１０の機能構成を示すブロック図である。 << Functional configuration of cloud server >>
FIG. 5A is a block diagram showing a functional configuration of the cloud server 510 according to the present embodiment.
　クラウドサーバ５１０は、通信制御部５０１と、保健事業取得部５０２と、データベース５０３と、情報入力部５４０と、クラウドサーバ５１０内に生成された本実施形態の情報処理装置としての仮想の保健事業管理支援サーバ２１０－１～２１０－ｎと、を備える。通信制御部５０１は、オペレータの通信端末２４１，加入者の通信端末２４２および健康づくり業者２３０の端末との通信を制御する。保健事業取得部５０２は、情報入力部５４０から入力された、あるいは、通信制御部５０１で健康づくり業者２３０の端末から受信された保健事業を取得する。保健事業取得部５０２で取得された保健事業は、データベース内の保健事業保持領域５３０に保持される。 The cloud server 510 includes a communication control unit 501, a health business acquisition unit 502, a database 503, an information input unit 540, and a virtual health business management as an information processing device of the present embodiment generated in the cloud server 510. Support servers 210-1 to 210-n are provided. The communication control unit 501 controls communication between the operator's communication terminal 241 and the subscriber's communication terminal 242 and the health promotion company 230's terminals. The health business acquisition unit 502 acquires the health business input from the information input unit 540 or received from the terminal of the health promotion company 230 by the communication control unit 501. The health business acquired by the health business acquisition unit 502 is held in the health business holding area 530 in the database.
　クラウドサーバ５１０内に生成された仮想の保健事業管理支援サーバ２１０－１～２１０－ｎには、情報入力部５４０から加入者情報、健診情報およびレセプト情報が入力される。また、仮想の保健事業管理支援サーバ２１０－１～２１０－ｎには、通信制御部５０１が通信端末２４１，２４２から受信したアンケート情報などの健康関連情報が入力される。仮想の保健事業管理支援サーバ２１０－１～２１０－ｎは、取得した情報をそれぞれ機密に分離されたデータベース５０３のサーバ用領域５０３－１～５０３－ｎに格納する。そして、取得した情報に基づいて、保健事業の提供が必要と選定された加入者と、健康づくり業者から提供されて選定された保健事業とを対応付けて、通信端末２４２に対して保健事業の勧誘情報を送信する。なお、ファクシミリ送信などであってもよい。 Subscriber information, medical examination information, and receipt information are input from the information input unit 540 to the virtual health business management support servers 210-1 to 210-n generated in the cloud server 510. In addition, health-related information such as questionnaire information received by the communication control unit 501 from the communication terminals 241,242 is input to the virtual health business management support servers 210-1 to 210-n. The virtual health business management support servers 210-1 to 210-n store the acquired information in the server areas 503-1 to 503-n of the database 503, which are confidentially separated from each other. Then, based on the acquired information, the subscribers selected as needing to be provided with the health business are associated with the health business provided and selected by the health promotion company, and the communication terminal 242 is provided with the health business. Send solicitation information. In addition, it may be a facsimile transmission or the like.
　《仮想の保健事業管理支援サーバの機能構成》
　図５Ｂは、本実施形態に係るクラウドサーバ内に生成された情報処理装置としての仮想の保健事業管理支援サーバ２１０の機能構成を示すブロック図である。以下、仮想の保健事業管理支援サーバ２１０の機能構成としては、本実施形態の特徴である、健康管理状況を考慮した保健事業が必要とされる対象者の絞り込みをする構成を中心に説明する。なお、図５Ｂにおいては、情報処理装置として１つの仮想の保健事業管理支援サーバ２１０の構成について説明する。図５Ｂでは、本実施形態の処理と関連が少ない機能構成部は省略している。また、図５Ｂにおいて、図５Ａと同様の機能構成部については同じ参照番号を付して、重複する説明は省略する。 << Functional configuration of virtual health business management support server >>
FIG. 5B is a block diagram showing a functional configuration of a virtual health business management support server 210 as an information processing device generated in the cloud server according to the present embodiment. Hereinafter, as the functional configuration of the virtual health business management support server 210, a configuration for narrowing down the target persons who need a health business in consideration of the health management status, which is a feature of the present embodiment, will be described. In addition, in FIG. 5B, the configuration of one virtual health business management support server 210 as an information processing device will be described. In FIG. 5B, the functional configuration unit that is less related to the processing of the present embodiment is omitted. Further, in FIG. 5B, the same reference numbers are assigned to the functional components similar to those in FIG. 5A, and duplicate description will be omitted.
　仮想の保健事業管理支援サーバ２１０はデータベース５０３を備える。データベース５０３は、図５Ａの各サーバ用領域として取得データベース５３１と処理データベース５３２とを有する。取得データベース５３１には、個人の属性情報とレセプト情報と健診情報と他の健康状態関連情報とが含まれる。個人の属性情報は、加入者を識別する情報および加入者に関連する情報であり、加入者の性、年齢、社会環境である所属場所情報や加入者の所属場所での環境情報なども含まれる。レセプト情報は、加入者の治療に関する情報である。健診情報は加入者の健康診断結果に関する情報である。他の健康状態関連情報は、加入者の健康に関連する情報であり、例えば、加入者の病歴や治療歴、アンケート情報などが含まれる。なお、他の健康状態関連情報には、可能であれば加入者のカルテ情報などが含まれてもよい。処理データベース５３２には、リスクレベル導出部５４５が導出したリスクレベルと、治療内容抽出部５４６が抽出した治療内容と、意識レベル導出部５４７が導出した意識レベルと、が各加入者に対応付けられて格納される。 The virtual health business management support server 210 includes a database 503. The database 503 has an acquisition database 531 and a processing database 532 as an area for each server in FIG. 5A. The acquisition database 531 includes personal attribute information, medical receipt information, medical examination information, and other health status related information. The personal attribute information is information that identifies the subscriber and information related to the subscriber, and includes the gender, age, social environment of the affiliation location information, the environmental information of the subscriber's affiliation location, and the like. .. Receipt information is information about the treatment of the subscriber. The health check information is information about the result of the health check of the subscriber. Other health status-related information is information related to the health of the subscriber, and includes, for example, the medical history and treatment history of the subscriber, questionnaire information, and the like. If possible, the other health status-related information may include the medical record information of the subscriber. In the processing database 532, the risk level derived by the risk level derivation unit 545, the treatment content extracted by the treatment content extraction unit 546, and the consciousness level derived by the consciousness level derivation unit 547 are associated with each subscriber. Is stored.
　また、仮想の保健事業管理支援サーバ２１０は、個人の属性情報取得部５４１と、レセプト情報取得部５４２と、健診情報取得部５４３と、情報格納処理部５４４と、オプショナルな健康状態関連情報取得部５５２と、を備える。個人の属性情報取得部５４１と、レセプト情報取得部５４２と、健診情報取得部５４３とは、クラウドサーバ５１０の情報入力部５４０から各情報を取得する。なお、情報入力部５４０は、オフライン入力、オンライン入力あるいは記憶媒体による入力であってよい。個人の属性情報取得部５４１は、登録あるいは入力された加入者を識別する情報や加入者に関連する情報を取得する。レセプト情報取得部５４２は、レセプト情報を取得する。健診情報取得部５４３は、健診情報を取得する。健康状態関連情報取得部５５２は、通信端末２４０から入力された健診情報以外の健康状態関連情報、例えばアンケート情報などを取得する。情報格納処理部５４４は、個人の属性情報取得部５４１、レセプト情報取得部５４２、健診情報取得部５４３および健康状態関連情報取得部５５２が取得した情報を加入者により名寄せして、取得データベース５３１としてデータベース５０３に格納する。 In addition, the virtual health business management support server 210 includes an individual attribute information acquisition unit 541, a receipt information acquisition unit 542, a medical examination information acquisition unit 543, an information storage processing unit 544, and optional health condition related information acquisition. A unit 552 is provided. The individual attribute information acquisition unit 541, the receipt information acquisition unit 542, and the medical examination information acquisition unit 543 acquire each information from the information input unit 540 of the cloud server 510. The information input unit 540 may be an offline input, an online input, or an input by a storage medium. The personal attribute information acquisition unit 541 acquires the registered or input information for identifying the subscriber and the information related to the subscriber. The receipt information acquisition unit 542 acquires the receipt information. The medical examination information acquisition unit 543 acquires medical examination information. The health condition-related information acquisition unit 552 acquires health condition-related information other than the medical examination information input from the communication terminal 240, such as questionnaire information. The information storage processing unit 544 names the information acquired by the individual attribute information acquisition unit 541, the receipt information acquisition unit 542, the medical examination information acquisition unit 543, and the health condition related information acquisition unit 552 by the subscriber, and acquires the database 531. Is stored in the database 503.
　また、仮想の保健事業管理支援サーバ２１０は、リスクレベル導出部５４５と、治療内容抽出部５４６と、意識レベル導出部５４７と、を備える。さらに、仮想の保健事業管理支援サーバ２１０は、保健事業対象者選定部５４８と、対象者選定条件取得部５５０と、保健事業対象者通知部５５１と、を備える。 Further, the virtual health business management support server 210 includes a risk level derivation unit 545, a treatment content extraction unit 546, and a consciousness level derivation unit 547. Further, the virtual health business management support server 210 includes a health business target person selection unit 548, a target person selection condition acquisition unit 550, and a health business target person notification unit 551.
　リスクレベル導出部５４５は、名寄せされた健診情報から各加入者の各リスクについてのリスクレベルを導出する。リスクレベル導出部５４５におけるリスクレベルの導出には、既存の厚労省の指針（法定階層化）に加えて、図４Ｂで前述した本実施形態の階層化が行われてもよい。治療内容抽出部５４６は、名寄せされたレセプト情報から各加入者の治療内容を抽出する。意識レベル導出部５４７は、名寄せされたレセプト情報から治療履歴を参照して各加入者の健康に対する意識レベルを導出する。 The risk level derivation unit 545 derives the risk level for each risk of each subscriber from the name-identified medical examination information. In the derivation of the risk level in the risk level derivation unit 545, in addition to the existing guideline (legal stratification) of the Ministry of Health, Labor and Welfare, the stratification of the present embodiment described above in FIG. 4B may be performed. The treatment content extraction unit 546 extracts the treatment content of each subscriber from the received receipt information that has been identified. The consciousness level derivation unit 547 derives the consciousness level for the health of each subscriber by referring to the treatment history from the received receipt information.
　保健事業対象者選定部５４８は、保健事業対象者選定テーブル５４９を有し、リスクレベルと、治療状況である治療内容や意識レベルとに基づいて、保健事業の提供が必要とされる加入者である対象者を選定する。なお、保健事業対象者選定部５４８は、対象者選定条件取得部５５０が取得した対象者選定条件が有る場合は、取得した対象者選定条件に従って対象者を選定する。一方、保健事業対象者選定部５４８は、対象者選定条件取得部５５０が取得した選定条件が無い場合は、デフォルトの条件に従って対象者を選定する。対象者選定条件取得部５５０は、通信端末２４１に対象者選定条件の設定画面を送って、オペレータが選択した対象者選定条件を取得する。保健事業対象者通知部５５１は、保健事業対象者選定部５４８による選定結果である保健事業の提供が必要とされる対象者の情報、例えば、対象者数や対象者一覧などを、通信端末２４１に通知する。 The Health Business Target Selection Department 548 has a health business target selection table 549, and is a subscriber who is required to provide a health business based on the risk level and the treatment content and awareness level, which is the treatment status. Select a target person. If there are target person selection conditions acquired by the target person selection condition acquisition unit 550, the health business target person selection department 548 selects the target person according to the acquired target person selection conditions. On the other hand, the health business target person selection unit 548 selects the target person according to the default condition when there is no selection condition acquired by the target person selection condition acquisition unit 550. The target person selection condition acquisition unit 550 sends a target person selection condition setting screen to the communication terminal 241 and acquires the target person selection condition selected by the operator. The health business target person notification unit 551 provides information on the target persons who are required to provide the health business, which is the selection result by the health business target person selection unit 548, such as the number of target persons and the list of target persons, on the communication terminal 241. Notify to.
　なお、図５Ｂには、保健事業の提供が必要とされる対象者への電子メールの一斉送信に係る構成は図示されていない。しかし、オペレータの通信端末２４１からの要求に従って、データベース５０３にあらかじめ保持された電子メールの内容に対応するテンプレートに加入者に関する情報や保健事業の情報を挿入して、加入者の通信端末２４２に送信を行えば一斉送信できる。 Note that FIG. 5B does not show the configuration related to the simultaneous transmission of e-mails to the target persons who are required to provide health services. However, according to the request from the operator's communication terminal 241, the information about the subscriber and the information on the health business are inserted into the template corresponding to the contents of the e-mail stored in the database 503 in advance and transmitted to the communication terminal 242 of the subscriber. If you do, you can send all at once.
　（取得データベース）
　図６は、本実施形態に係る取得データベース５３１の構成を示す図である。取得データベース５３１は、健保管理に用いるために保健事業管理支援サーバ２１０が収集した取得データを格納する。取得データベース５３１は、情報入力部５４０から取得した個人の属性情報を含む加入者情報６１０と、レセプト情報を含む健康管理関連情報６２０と、健診情報あるいは通信端末２４１から取得したアンケート情報などを含む健康状態関連情報６３０とを、加入者で名寄せして格納する。 (Acquisition database)
FIG. 6 is a diagram showing the configuration of the acquisition database 531 according to the present embodiment. The acquisition database 531 stores the acquisition data collected by the health business management support server 210 for use in health insurance management. The acquisition database 531 includes subscriber information 610 including personal attribute information acquired from the information input unit 540, health management-related information 620 including receipt information, medical examination information, questionnaire information acquired from the communication terminal 241 and the like. The health condition related information 630 is stored by name identification by the subscriber.
　加入者情報６１０としては、加入者ＩＤ６１１に対応付けて、氏名６１２と、住所６１３と、電話番号やメールアドレスなどの連絡先６１４と、属性情報６１５と、病歴６１６と、労働条件なども含む生活環境６１７と、を記憶する。なお、属性情報６１５には、生年月日、性別、年齢、加入者との続柄、健保への参加位置を示す加入者区分、などを含む。なお、加入者情報６１０には、病気の治療歴も含まれる。 The subscriber information 610 includes a name 612, an address 613, contact information 614 such as a telephone number and an email address, attribute information 615, a medical history 616, and working conditions in association with the subscriber ID 611. Memorize the environment 617. The attribute information 615 includes the date of birth, gender, age, relationship with the subscriber, subscriber classification indicating the position of participation in the health insurance, and the like. The subscriber information 610 also includes a history of treatment for illness.
　健康管理関連情報６２０としては、レセプトＩＤ６２１に対応付けて、レセプト情報取得部５４２が取得した、受診した医療機関６２２と、受診日時６２３と、受診内容６２４と、報酬点で表した費用６２５と、加入者ＩＤ６２６と、を記憶する。なお、受診内容６２４には、病名や治療内容などを含む。 The health management-related information 620 includes the medical institution 622 that received the medical examination, the medical institution 622 that received the medical examination, the medical examination date and time 623, the medical examination content 624, and the cost 625 expressed in reward points, which were acquired by the medical receipt information acquisition unit 542 in association with the medical receipt ID 621. The subscriber ID 626 and the like are stored. The consultation content 624 includes the name of the disease and the content of the treatment.
　健康状態関連情報６３０としては、加入者ＩＤ６３１に対応付けて、健診情報取得部５４３が取得した健診情報６３２と、通信端末２４１から取得したアンケート情報６３３と、を記憶する。 As the health status related information 630, the medical examination information 632 acquired by the medical examination information acquisition unit 543 and the questionnaire information 633 acquired from the communication terminal 241 are stored in association with the subscriber ID 631.
　なお、図６では加入者情報６１０と健康管理関連情報６２０と健康状態関連情報６３０とを分けて示したが、加入者ＩＤに対応して１つのテーブルとして格納してもよい。 Although the subscriber information 610, the health management related information 620, and the health condition related information 630 are shown separately in FIG. 6, they may be stored as one table corresponding to the subscriber ID.
　（処理データベース）
　図７Ａは、本実施形態に係る処理データベース５３２の構成を示す図である。処理データベース５３２は、保健事業管理支援サーバ２１０が保健事業の管理のため取得データベース５３１に格納されたデータを処理して生成した処理データを格納する。 (Processing database)
FIG. 7A is a diagram showing the configuration of the processing database 532 according to the present embodiment. The processing database 532 stores the processing data generated by the health business management support server 210 processing the data stored in the acquisition database 531 for the management of the health business.
　処理データベース５３２は、加入者ＩＤ７１１に対応付けて、加入者情報である個人の属性情報７１２と、健診情報やアンケート情報などの健康状態関連情報から導出されたリスクレベル情報７１３と、を記憶する。また、処理データベース５３２は、加入者ＩＤ７１１に対応付けて、レセプト情報などの健康管理関連情報から抽出された治療状況を含む健康管理状況７１４および費用情報７１５と、を記憶する。そして、処理データベース５３２は、リスクレベル情報７１３、健康管理状況７１４、費用情報７１５などを参照して保健事業管理支援サーバ２１０が選定した結果である、保健事業が必要か不必要かのフラグ７１６を記憶する。 The processing database 532 stores personal attribute information 712, which is subscriber information, and risk level information 713 derived from health condition-related information such as medical examination information and questionnaire information, in association with the subscriber ID 711. .. In addition, the processing database 532 stores the health management status 714 and the cost information 715 including the treatment status extracted from the health management related information such as the receipt information in association with the subscriber ID 711. Then, the processing database 532 sets a flag 716 as to whether the health business is necessary or not, which is the result of selection by the health business management support server 210 with reference to the risk level information 713, the health management status 714, the cost information 715, and the like. Remember.
　リスクレベル情報７１３は、各リスクについての情報、例えば、肥満リスクレベル７３１、ＢＭＩ(Body Mass Index)レベルの状況７３２、喫煙レベル７３３、血圧リスクレベルの状況７３４、などを記憶する。各リスクには、測定値がある場合の測定値、リスクの有無、リスクレベル、状況（例えば、リスク上昇、下降、維持など）などを含む。 The risk level information 713 stores information about each risk, for example, obesity risk level 731, BMI (Body Mass Index) level status 732, smoking level 733, blood pressure risk level status 734, and the like. Each risk includes measurements if there are measurements, presence or absence of risk, risk level, situation (eg, risk increase, decrease, maintenance, etc.).
　治療状況を含む健康管理状況７１４は、対象リスク７４１にそれぞれ対応付けて、レセプト情報からの実際の治療情報である治療内容７４２と、レセプト情報やアンケート情報などから導出された加入者の健康への配慮の度合いを示す意識レベル７４３と、を含む。治療内容７４２は、治療日時、処方箋を含む治療内容、治療結果などを含む。意識レベル７４３は、各リスクに対する意識レベルと、健康全体に対するトータル意識レベルと、を含む。 The health management status 714 including the treatment status corresponds to the target risk 741 and corresponds to the treatment content 742 which is the actual treatment information from the receipt information and the health of the subscriber derived from the receipt information and the questionnaire information. Includes awareness level 743, which indicates the degree of consideration. The treatment content 742 includes the treatment date and time, the treatment content including the prescription, the treatment result, and the like. Awareness level 743 includes an awareness level for each risk and a total awareness level for overall health.
　（保健事業必要加入者）
　図７Ｂは、本実施形態に係る保健事業が必要な加入者である対象者を求める一例を示す図である。図７Ｂは、本実施形態において、保健事業が必要となる加入者を肥満リスクおよび喫煙リスクと、疾患系のリスクレベルとの組み合わせから、既存の厚労省の指針（法定階層化）では見落とされている保健事業が必要となる加入者を選定する方法を示している。なお、図７Ｂでは、疾患系リスクの保護指導レベル以上を考慮して保健事業が必要となる加入者を対象者として選定している。 (Health business required subscribers)
FIG. 7B is a diagram showing an example of seeking a target person who is a subscriber who needs the health business according to the present embodiment. FIG. 7B is overlooked in the existing Ministry of Health, Labor and Welfare guidelines (statutory stratification) due to the combination of obesity risk and smoking risk and disease-related risk levels for subscribers who require health services in this embodiment. It shows how to select the subscribers who need the health care business. In addition, in FIG. 7B, the subscribers who need the health business are selected as the target persons in consideration of the protection guidance level or higher of the disease-related risk.
　図７Ｂにおいて、左下の「介入候補計」が、既存の厚労省の指針（法定階層化）に従って導出された保健事業が必要となる対象者数である。 In Fig. 7B, the "intervention candidate total" at the bottom left is the number of people who need health services derived according to the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification).
　これに対して、「服薬有り」のために対象外となった５４０名（７５２）と、「肥満リスク無し」のために対象外となった１８６８名（７５１）との合計２４０８名（７５３）が、疾病リスクがあっても保健事業が必要となる対象者から除外された人数となる。 On the other hand, a total of 2408 (753), 540 (752) who were excluded due to "taking medication" and 1868 (751) who were excluded due to "no risk of obesity". However, even if there is a risk of illness, the number of people excluded from those who need health services.
　図７Ｂの選定によって、既存の厚労省の指針（法定階層化）に従った導出では保健事業が必要となる対象者から除外された加入者を、保健事業が必要となる対象者に加えることにより、保健事業における対象者の見逃しを減らして効率化を図っている。 By the selection of Fig. 7B, the subscribers who are excluded from the subjects who need the health business in the derivation according to the existing guidelines (statutory stratification) of the Ministry of Health, Labor and Welfare should be added to the subjects who need the health business. By doing so, we are trying to improve efficiency by reducing oversights of the target people in the health business.
　図７Ｃは、本実施形態に係る保健事業が必要な加入者である対象者を求める他例を示す図である。図７Ｃも、本実施形態において、保健事業が必要となる加入者を肥満リスクおよび喫煙リスクと、疾患系のリスクレベルとの組み合わせから、既存の厚労省の指針（法定階層化）では見落とされている保健事業が必要となる対象者を選定する方法を示している。なお、図７Ｃでは、疾患系リスクの受診勧奨レベル以上を考慮して保健事業が必要となる加入者を対象者として選定している。 FIG. 7C is a diagram showing another example of seeking a target person who is a subscriber who needs the health business according to the present embodiment. FIG. 7C is also overlooked in the existing Ministry of Health, Labor and Welfare guidelines (statutory stratification) due to the combination of obesity risk and smoking risk and disease-related risk levels for subscribers who require health services in this embodiment. It shows how to select the target people who need the health care business. In addition, in FIG. 7C, the subscribers who need the health business are selected as the target persons in consideration of the consultation recommendation level or higher of the disease-related risk.
　図７Ｃにおいて、左下の「小計」が、既存の厚労省の指針（法定階層化）に従って導出された保健事業が必要となる対象者数である。 In Fig. 7C, the "subtotal" at the bottom left is the number of people who need health services derived according to the existing guidelines of the Ministry of Health, Labor and Welfare (legal stratification).
　これに対して、受診勧奨レベル以上の疾患系リスクが１つでもある１３７５名（７６１）の内の、服薬者数３０８名（７６２）が、服薬中でも他の受診勧奨リスクがあるにも関わらず保健事業が必要となる対象者から除外された人数となる。 On the other hand, out of 1375 (761) who have at least one disease-related risk above the recommended consultation level, 308 (762) who take the drug have other risks of recommending consultation even while taking the drug. The number of people excluded from those who need health services.
　図７Ｃの選定によって、既存の厚労省の指針（法定階層化）に従った導出では保健事業が必要となる対象者から除外された加入者を、保健事業が必要となる対象者とすることにより、保健事業における対象者の見逃しを減らして効率化を図っている。 By the selection of Fig. 7C, the subscribers who are excluded from the target persons who need the health business in the derivation according to the existing guidelines (statutory stratification) of the Ministry of Health, Labor and Welfare shall be the target persons who need the health business. By doing so, we are trying to improve efficiency by reducing oversights of the target people in the health business.
　（意識レベル導出テーブル）
　図７Ｄは、本実施形態に係る加入者の意識レベルを導出する意識レベル導出テーブル７８０の構成を示す図である。意識レベル導出テーブル７８０は、各リスクについて、リスクレベルや健康管理状況としての治療状況／対処状況を考慮して、加入者のリスクを軽減したい意識の度合いを導出するために、意識レベル導出部５４７で使用される。なお、意識レベル導出テーブル７８０は一例であって、これに限定されない。保健事業管理支援サーバ２１０が収集可能な情報を用いて、加入者のリスクを軽減したい意識の度合いを導出する種々の情報とその組み合わせが可能である。 (Awareness level derivation table)
FIG. 7D is a diagram showing the configuration of the consciousness level derivation table 780 for deriving the consciousness level of the subscriber according to the present embodiment. The consciousness level derivation table 780 is a consciousness level derivation unit 547 for deriving the degree of consciousness that the subscriber wants to reduce the risk in consideration of the risk level and the treatment status / coping status as the health management status. Used in. The consciousness level derivation table 780 is an example, and the present invention is not limited to this. Using the information that can be collected by the health business management support server 210, it is possible to combine various information that derives the degree of consciousness that the subscriber wants to reduce the risk.
　意識レベル導出テーブル７８０は、対象リスク７８１のそれぞれに対して、リスクレベル７８２と健康管理状況としての治療状況／対処状況７８３との組み合わせを記憶する。そして、リスクレベル７８２と健康管理状況としての治療状況／対処状況７８３との組み合わせに対応付けて、意識レベル７８４を記憶する。 The consciousness level derivation table 780 stores the combination of the risk level 782 and the treatment status / coping status 783 as the health management status for each of the target risks 781. Then, the consciousness level 784 is stored in association with the combination of the risk level 782 and the treatment status / coping status 783 as the health management status.
　（保健事業対象者選定テーブル）
　図８は、本実施形態に係る保健事業対象者選定テーブル５４９の構成を示す図である。保健事業対象者選定テーブル５４９は、保健事業対象者選定部５４８がデフォルトの条件、または、通信端末２４１から設定された対象者選定条件に基づいて、保健事業が必要となる加入者である対象者を選定するために用いられる。 (Health business target person selection table)
FIG. 8 is a diagram showing the configuration of the health business target person selection table 549 according to the present embodiment. The health business target person selection table 549 is a target person who is a subscriber who needs a health business based on the default conditions of the health business target person selection unit 548 or the target person selection conditions set from the communication terminal 241. Is used to select.
　保健事業対象者選定テーブル５４９は、対象者選定条件８０１に対応付けて選定結果８０２を記憶する。対象者選定条件としては、リスクレベルに関連するリスク種類やリスクレベル閾値、健康管理状況に関連する既受診／未受診や意識レベルなどが含まれる。そして、選定結果８０２としては、各リスク種類における保健事業が必要となる加入者である対象者を示す選定結果と、各選定結果をどのように結合するかの結合論理式と、設定されたリスク種類における保健事業が必要となる加入者である対象者を示すトータル結果８２１と、を記憶する。なお、結合論理式としては、全ての対象者を重複なく加えたり、複数のリスクを有する対象者を選別したり、リスク種類によって優先順位を付けたりすることができる。 The health business target person selection table 549 stores the selection result 802 in association with the target person selection condition 801. Target selection conditions include risk types and risk level thresholds related to risk levels, and already-visited / unvisited and awareness levels related to health management status. Then, as the selection result 802, the selection result indicating the target person who is a subscriber who needs the health business in each risk type, the combined logical formula of how to combine each selection result, and the set risk The total result 821, which indicates the target person who is a subscriber who needs the health business in the type, is stored. As the combined formula, all the target persons can be added without duplication, the target persons having a plurality of risks can be selected, and the priorities can be given according to the risk type.
　なお、本実施形態においては、選定結果として、保健事業が必要となる対象者数や対象者を示すトータル結果８２１が、保健事業管理支援サーバ２１０から通信端末２４１に通知される。全リスク種類のリスク有りの対象者が、図４Ａの表示画面４４２に示した全対象者数となる。 In the present embodiment, as the selection result, the total result 821 indicating the number of target persons requiring the health business and the target persons is notified from the health business management support server 210 to the communication terminal 241. The target persons with risks of all risk types are the total number of target persons shown on the display screen 442 of FIG. 4A.
　《保健事業管理支援サーバのハードウェア構成》
　図９は、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０のハードウェア構成を示すブロック図である。 << Hardware configuration of health business management support server >>
FIG. 9 is a block diagram showing a hardware configuration of the health business management support server 210 as an information processing device according to the present embodiment.
　図９で、ＣＰＵ(Central Processing Unit)９１０は演算制御用のプロセッサであり、プログラムを実行することで図５の機能構成部を実現する。ＣＰＵ９１０は１つであっても複数であってもよい。ＲＯＭ(Read Only Memory)９２０は、初期データおよびプログラムなどの固定データおよびプログラムを記憶する。ネットワークインタフェース９３０は、ネットワークを介して、通信端末２４１，２４２との通信を制御する。なお、ＣＰＵ９１０とＲＯＭ９２０とネットワークインタフェース９３０は、クラウドサーバ５１０が備える共有機能構成部であり太枠で示している。以下に示す他の機能構成部は、各仮想の保健事業管理支援サーバ２１０－１～２１０－ｎの１つを示している。 In FIG. 9, the CPU (Central Processing Unit) 910 is a processor for arithmetic control, and the functional configuration unit of FIG. 5 is realized by executing a program. The number of CPUs 910 may be one or a plurality. The ROM (Read Only Memory) 920 stores fixed data and programs such as initial data and programs. The network interface 930 controls communication with the communication terminals 241,242 via the network. The CPU 910, ROM 920, and network interface 930 are shared function components included in the cloud server 510 and are shown in bold frames. The other functional components shown below indicate one of the virtual health business management support servers 210-1 to 210-n.
　ＲＡＭ(Random Access Memory)９４０は、ＣＰＵ９１０が一時記憶のワークエリアとして使用するランダムアクセスメモリである。ＲＡＭ９４０には、本実施形態の実現に必要なデータを記憶する領域が確保されている。個人の属性情報９４１は、情報入力部５４０から取得された加入者の属性情報である。健康状態関連情報としての健診情報９４２は、情報入力部５４０から取得した健診情報である。健康管理関連情報としてのレセプト情報９４３は、情報入力部５４０から取得されたレセプトの情報である。他の健康状態関連情報９４６は、通信端末２４１，２４２から取得されたアンケート情報などを含む情報である。データベース格納情報９４４は、データベース５０３の取得データベース５３１に格納される情報である。対象者選定情報９４５は、取得データベース５３１から加入者で名寄せし、保健事業管理支援サーバ２１０で処理された結果のリスクレベル情報と健康管理状況とを含み、データベース５０３の処理データベース５３２に格納される情報である。保健事業対象者選定テーブル５４９は、図８に示した、対象者選定条件に従って保健事業が必要となる加入者を対象者として選定するために使用されるテーブルである。保健事業対象者（トータル結果）８２１は、保健事業対象者選定テーブル５４９を用いて選定された保健事業が必要となる対象者の情報である。保健事業通知情報９４７は、保健事業が必要となる対象者に通知して保健事業への勧奨をするための情報であり、本実施形態においては、例えば電子メールで通知される。送受信データ９４８は、ネットワークインタフェース９３０を介して、通信端末２４１，２４２などの外部装置と送受信されるデータである。 The RAM (Random Access Memory) 940 is a random access memory used by the CPU 910 as a temporary storage work area. The RAM 940 has an area for storing data necessary for realizing the present embodiment. The personal attribute information 941 is the attribute information of the subscriber acquired from the information input unit 540. The medical examination information 942 as the health condition-related information is the medical examination information acquired from the information input unit 540. The receipt information 943 as the health management-related information is the receipt information acquired from the information input unit 540. The other health condition-related information 946 is information including questionnaire information acquired from the communication terminals 241,242. The database storage information 944 is information stored in the acquisition database 531 of the database 503. The target person selection information 945 is stored in the processing database 532 of the database 503, including the risk level information and the health management status of the result of being named by the subscriber from the acquisition database 531 and processed by the health business management support server 210. Information. The health business target person selection table 549 is a table used to select a subscriber who needs a health business according to the target person selection conditions shown in FIG. 8 as a target person. The health business target person (total result) 821 is information on the target person who needs the health business selected using the health business target person selection table 549. The health business notification information 947 is information for notifying the target person who needs the health business and recommending the health business, and in the present embodiment, it is notified by, for example, an e-mail. The transmission / reception data 948 is data that is transmitted / received to / from an external device such as a communication terminal 241,242 via the network interface 930.
　ストレージ９５０は、ＣＰＵ９１０が使用する、データベースや各種のパラメータ、あるいは本実施形態の実現に必要な以下のデータまたはプログラムが記憶されている。データベース５０３は、取得データベース５３１と処理データベース５３２とを有する。取得データベース５３１は、図６に示したように、保健事業管理支援サーバ２１０が収集したデータを格納する。処理データベース５３２は、図７Ａに示したように、取得データベース５３１から保健事業管理支援サーバ２１０が処理して生成したデータを格納する。 The storage 950 stores a database and various parameters used by the CPU 910, or the following data or programs necessary for realizing the present embodiment. Database 503 has an acquisition database 531 and a processing database 532. As shown in FIG. 6, the acquisition database 531 stores the data collected by the health business management support server 210. As shown in FIG. 7A, the processing database 532 stores the data processed and generated by the health business management support server 210 from the acquisition database 531.
　ストレージ９５０には、以下のプログラムが格納される。保健事業管理支援サーバ制御プログラム９５１は、情報処理装置としての保健事業管理支援サーバ２１０の全体を制御するプログラムである。データベース生成モジュール９５３は、保健事業管理支援サーバ２１０が収集したデータから加入者により名寄せした取得データベース５３１を生成するモジュールである。リスクレベル導出モジュール９５４は、取得データベース５３１に格納された健康状態関連のデータから、各加入者のリスクレベルを導出するモジュールである。健康管理状況評価モジュール９５５は、取得データベース５３１に格納された健康管理関連のデータから、各加入者の治療状況を含む健康管理状況を評価するモジュールである。保健事業対象者選定モジュール９５６は、リスクレベルや健康管理状況を考慮して、対象者選定条件に従って、保健事業が必要となる加入者を対象者として選定するモジュールである。保健事業通知モジュール９５７は、保健事業が必要となる対象者に保健事業の勧奨通知を送信するモジュールである。 The following programs are stored in the storage 950. The health business management support server control program 951 is a program that controls the entire health business management support server 210 as an information processing device. The database generation module 953 is a module that generates an acquisition database 531 named by the subscriber from the data collected by the health business management support server 210. The risk level derivation module 954 is a module for deriving the risk level of each subscriber from the health condition-related data stored in the acquisition database 531. The health management status evaluation module 955 is a module that evaluates the health management status including the treatment status of each subscriber from the health management related data stored in the acquisition database 531. The health business target person selection module 956 is a module that selects a subscriber who needs a health business as a target person according to the target person selection conditions in consideration of the risk level and the health management situation. The health business notification module 957 is a module that sends a health business recommendation notification to a person who needs a health business.
　なお、図９のＲＡＭ９４０やストレージ９５０には、情報処理装置としての保健事業管理支援サーバ２１０が有する汎用の機能や他の実現可能な機能に関連するプログラムやデータは図示されていない。 Note that the RAM 940 and the storage 950 in FIG. 9 do not show programs and data related to general-purpose functions and other feasible functions of the health business management support server 210 as an information processing device.
　《保健事業管理支援サーバの処理手順》
　図１０Ａは、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２１０の処理手順を示すフローチャートである。図１０Ａのフローチャートは、図９のＣＰＵ９１０がＲＡＭ９４０を使用して実行し、図５Ｂの機能構成部を実現する。 << Processing procedure of health business management support server >>
FIG. 10A is a flowchart showing a processing procedure of the health business management support server 210 as an information processing device according to the present embodiment. The flowchart of FIG. 10A is executed by the CPU 910 of FIG. 9 using the RAM 940 to realize the functional component of FIG. 5B.
　保健事業管理支援サーバ２１０は、ステップＳ１０１１において、保健事業管理支援サーバ２１０が保険者の管理に使用するデータの取得であるか否かを判定する。保険者の管理に使用するデータの取得であると判定された場合、保健事業管理支援サーバ２１０は、ステップＳ１０１３において、管理データ取得処理を実行する。 In step S1011 the health business management support server 210 determines whether or not the health business management support server 210 is acquiring data used for management of the insurer. When it is determined that the data used for the management of the insurer is acquired, the health business management support server 210 executes the management data acquisition process in step S1013.
　保険者の管理に使用するデータの取得でないと判定された場合、保健事業管理支援サーバ２１０は、ステップＳ１０２１において、保健事業管理の処理であるか否かを判定する。保健事業管理の処理であると判定された場合、保健事業管理支援サーバ２１０は、ステップＳ１０２３において、保健事業対象者選定処理を実行する。そして、保健事業管理支援サーバ２１０は、ステップＳ１０２５において、対象者に対して必要な保健事業の通知処理を実行する。 If it is determined that the data used for the management of the insurer is not acquired, the health business management support server 210 determines in step S1021 whether or not it is a health business management process. If it is determined that the process is for health business management, the health business management support server 210 executes the health business target person selection process in step S1023. Then, in step S1025, the health business management support server 210 executes the necessary notification processing of the health business to the target person.
　保険者の管理に使用するデータの取得でなく、保健事業管理の処理でないと判定された場合、保健事業管理支援サーバ２１０は、ステップＳ１０３１において、他の処理であるか否かを判定する。他の処理であると判定された場合、保健事業管理支援サーバ２１０は、ステップＳ１０３３において、他の処理を実行する。 If it is determined that the process is not the health business management process rather than the acquisition of the data used for the insurer's management, the health project management support server 210 determines in step S1031 whether or not it is another process. If it is determined to be another process, the health business management support server 210 executes the other process in step S1033.
　（管理データ取得処理）
　図１０Ｂは、本実施形態に係る管理データ取得処理（Ｓ１０１３）の手順を示すフローチャートである。 (Management data acquisition process)
FIG. 10B is a flowchart showing the procedure of the management data acquisition process (S1013) according to the present embodiment.
　保健事業管理支援サーバ２１０は、ステップＳ１０４１において、情報入力部５４０からの個人の属性情報の取得を待って、個人の属性情報の入力があれば、保健事業管理支援サーバ２１０は、ステップＳ１０４３において、取得した個人の属性情報をデータベース５０３に登録する。 The health business management support server 210 waits for the acquisition of the individual attribute information from the information input unit 540 in step S1041, and if the personal attribute information is input, the health business management support server 210 waits for the personal attribute information to be input, and the health business management support server 210 waits for the personal attribute information to be input in step S1043. The acquired personal attribute information is registered in the database 503.
　保健事業管理支援サーバ２１０は、ステップＳ１０４５において、情報入力部５４０からの健康状態関連情報としての健診情報などの取得、または通信端末２４１、２４２からのアンケート情報などの取得を待つ。健診情報やアンケート情報などの健康状態関連情報の取得があれば、保健事業管理支援サーバ２１０は、ステップＳ１０４７において、取得した健康状態関連情報をデータベース５０３に登録する。 In step S1045, the health business management support server 210 waits for the acquisition of medical examination information or the like as health condition-related information from the information input unit 540, or the acquisition of questionnaire information or the like from the communication terminals 241 and 242. If health condition-related information such as medical examination information and questionnaire information is acquired, the health business management support server 210 registers the acquired health condition-related information in the database 503 in step S1047.
　保健事業管理支援サーバ２１０は、ステップＳ１０４９において、情報入力部５４０からの健康管理関連情報としてのレセプト情報の取得を待つ。レセプト情報の取得があれば、保健事業管理支援サーバ２１０は、ステップＳ１０５１において、取得したレセプト情報を含む健康管理関連情報をデータベース５０３に登録する。 In step S1049, the health business management support server 210 waits for the acquisition of receipt information as health management-related information from the information input unit 540. If the receipt information is acquired, the health business management support server 210 registers the health management-related information including the acquired receipt information in the database 503 in step S1051.
　保健事業管理支援サーバ２１０は、ステップＳ１０５３において、通信制御部５０１を介した通信端末２４１、２４２からの他の健康状態関連情報の受信を待つ。受信があれば、保健事業管理支援サーバ２１０は、ステップＳ１０５３において、受信した他の健康状態関連情報をデータベース５０３に登録する。 In step S1053, the health business management support server 210 waits for the reception of other health status-related information from the communication terminals 241 and 242 via the communication control unit 501. If received, the health business management support server 210 registers the received other health condition-related information in the database 503 in step S1053.
　（保健事業対象者選定処理）
　図１０Ｃは、本実施形態に係る保健事業対象者選定処理（Ｓ１０２３）の手順を示すフローチャートである。 (Health business target selection process)
FIG. 10C is a flowchart showing the procedure of the health business target person selection process (S1023) according to the present embodiment.
　保健事業管理支援サーバ２１０は、ステップＳ１０６１において、各加入者の健診情報を含む健康状態関連情報をデータベース５０３の取得データベース５３１から取得する。保健事業管理支援サーバ２１０は、ステップＳ１０６３において、各加入者の健診情報などを含む健康状態関連情報から各リスクについてリスクレベルを導出してデータベース５０３の処理データベース５３２に設定する。 In step S1061, the health business management support server 210 acquires health condition-related information including medical examination information of each subscriber from the acquisition database 531 of the database 503. In step S1063, the health business management support server 210 derives the risk level for each risk from the health condition-related information including the health examination information of each subscriber and sets it in the processing database 532 of the database 503.
　保健事業管理支援サーバ２１０は、ステップＳ１０６５において、各加入者のレセプト情報を含む保健管理関連情報をデータベース５０３の取得データベース５３１から取得する。保健事業管理支援サーバ２１０は、ステップＳ１０６７において、各加入者のレセプト情報などを含む保健管理関連情報から治療内容を含む健康管理状況を抽出してデータベース５０３の処理データベース５３２に設定する。また、保健事業管理支援サーバ２１０は、ステップＳ１０６９において、各加入者のレセプト情報などの健康管理関連情報から意識レベルを導出してデータベース５０３の処理データベース５３２に設定する。 In step S1065, the health business management support server 210 acquires health management-related information including receipt information of each subscriber from the acquisition database 531 of the database 503. In step S1067, the health business management support server 210 extracts the health management status including the treatment content from the health management related information including the receipt information of each subscriber and sets it in the processing database 532 of the database 503. Further, in step S1069, the health business management support server 210 derives the consciousness level from the health management related information such as the receipt information of each subscriber and sets it in the processing database 532 of the database 503.
　保健事業管理支援サーバ２１０は、ステップＳ１０７１において、登録された全加入者に対して処理済みであるか否かを判定する。全加入者に対して処理済みでないと判定された場合、保健事業管理支援サーバ２１０は、ステップＳ１０６１に戻って、次の加入者に対してステップＳ１０６１～Ｓ１０６９までの処理を繰り返す。 In step S1071, the health business management support server 210 determines whether or not all the registered subscribers have been processed. If it is determined that all the subscribers have not been processed, the health business management support server 210 returns to step S1061 and repeats the processes of steps S1061 to S1069 for the next subscriber.
　全加入者に対して処理済みであると判定された場合、保健事業管理支援サーバ２１０は、ステップＳ１０７３において、通信端末２４１から対象者選定条件を受信したか否かを判定する。対象者選定条件を受信してないと判定されれば、保健事業管理支援サーバ２１０は、ステップＳ１０７３において、法定階層化および本例階層化により、保健事業対象者を選定する。一方、対象者選定条件を受信したと判定されれば、保健事業管理支援サーバ２１０は、ステップＳ１０７５において、対象者選定条件に合致するリスクレベルを有し、健康管理状況としての治療内容および意識レベルに対応する保健事業対象者を選定する。そして、保健事業管理支援サーバ２１０は、ステップＳ１０７９において、通信端末２４１（または２４２）に選定結果を出力する。 When it is determined that all the subscribers have been processed, the health business management support server 210 determines in step S1073 whether or not the target person selection condition has been received from the communication terminal 241. If it is determined that the target person selection condition has not been received, the health business management support server 210 selects the health business target person by the legal layering and the example layering in step S1073. On the other hand, if it is determined that the target person selection condition has been received, the health business management support server 210 has a risk level that matches the target person selection condition in step S1075, and the treatment content and awareness level as the health management status. Select the health business target person corresponding to. Then, the health business management support server 210 outputs the selection result to the communication terminal 241 (or 242) in step S1079.
　《通信端末の機能構成》
　図１１は、本実施形態に係る通信端末２４１の機能構成を示すブロック図である。なお、図１１では、本実施形態の処理と関連が少ない機能構成部は省略している。また、図１１にはオペレータ用の通信端末２４１の構成を示し、加入者用の通信端末２４２の構成については省略する。 << Functional configuration of communication terminal >>
FIG. 11 is a block diagram showing a functional configuration of the communication terminal 241 according to the present embodiment. In addition, in FIG. 11, the functional component part which is less related to the processing of this embodiment is omitted. Further, FIG. 11 shows the configuration of the communication terminal 241 for the operator, and the configuration of the communication terminal 242 for the subscriber is omitted.
　通信端末２４１は、通信制御部１１０１と、アプリ取得部１１０２と、アプリ実行部１１０３と、入出力インタフェース１１０４と、を備える。入出力インタフェース１１０４には、出力情報や通信端末２４１の状態を表示する表示部１１４１と、通信端末２４１の動作を指示する操作部１１４２と、オプションとして印刷部１１４３や記憶媒体１１４４と、が接続される。通信制御部１１０１は、ネットワークを介した、保健事業管理支援サーバ２１０との通信を制御する。アプリ取得部１１０２は、保健事業管理支援サーバ２１０から提供される加入者用の保健事業管理アプリケーションを取得する。 The communication terminal 241 includes a communication control unit 1101, an application acquisition unit 1102, an application execution unit 1103, and an input / output interface 1104. The input / output interface 1104 is connected to a display unit 1141 that displays output information and the status of the communication terminal 241, an operation unit 1142 that instructs the operation of the communication terminal 241, and optionally a printing unit 1143 and a storage medium 1144. NS. The communication control unit 1101 controls communication with the health business management support server 210 via the network. The application acquisition unit 1102 acquires the health business management application for subscribers provided by the health business management support server 210.
　アプリ実行部１１０３は、表示／操作制御部１１３１と、対象者選定条件取得部１１３６と、対象者選定条件送信部１１３７と、保健事業対象者取得部１１３８と、保健事業対象者出力部１１３９と、を備える。 The application execution unit 1103 includes a display / operation control unit 1131, a target person selection condition acquisition unit 1136, a target person selection condition transmission unit 1137, a health business target person acquisition unit 1138, and a health business target person output unit 1139. To be equipped.
　表示／操作制御部１１３１は、表示部１１４１への出力および操作部１１４２からの入力を制御する。対象者選定条件取得部１１３６は、表示部１１４１に表示された対象者選定条件設定画面から操作部１１４２により設定された対象者選定条件を取得する。対象者選定条件送信部１１３７は、対象者選定条件取得部１１３６が取得した対象者選定条件を保健事業管理支援サーバ２１０に送信する。保健事業対象者取得部１１３８は、保健事業管理支援サーバ２１０で対象者選定条件も用いた保健事業の提供が必要とされる加入者である対象者の選定結果を取得する。保健事業対象者出力部１１３９は、保健事業対象者取得部１１３８が保健事業管理支援サーバ２１０から取得した保健事業の提供が必要とされる加入者である対象者の情報を表示部１１４１、印刷部１１４３または記憶媒体１１４４に出力する。 The display / operation control unit 1131 controls the output to the display unit 1141 and the input from the operation unit 1142. The target person selection condition acquisition unit 1136 acquires the target person selection condition set by the operation unit 1142 from the target person selection condition setting screen displayed on the display unit 1141. The target person selection condition transmission unit 1137 transmits the target person selection condition acquired by the target person selection condition acquisition unit 1136 to the health business management support server 210. The health business target person acquisition unit 1138 acquires the selection result of the target person who is a subscriber who is required to provide the health business using the target person selection condition on the health business management support server 210. The health business target person output unit 1139 displays the information of the target person who is a subscriber who is required to provide the health business acquired from the health business management support server 210 by the health business target person acquisition unit 1138, and the printing unit 1141. Output to 1143 or storage medium 1144.
　なお、図１１では、保健事業についての電子メールの加入者への一斉送信やファクシミリ送信を指示する構成については省略している。 Note that in FIG. 11, the configuration for instructing the simultaneous transmission and facsimile transmission of e-mails about the health business to the subscribers is omitted.
　《通信端末の処理手順》
　図１２Ａは、本実施形態に係る通信端末２４１の処理手順を示すフローチャートである。このフローチャートは、通信端末２４１を構成するストレージに格納されたプログラムをＣＰＵがＲＡＭを使用して実行し、図１１の機能構成部を実現する。 << Processing procedure of communication terminal >>
FIG. 12A is a flowchart showing a processing procedure of the communication terminal 241 according to the present embodiment. In this flowchart, the CPU executes a program stored in the storage constituting the communication terminal 241 using the RAM, and realizes the functional configuration unit shown in FIG.
　通信端末２４１は、ステップＳ１２３１において、保健事業の提供が必要となる対象者の選定指示であるか否かを判定する。対象者の選定指示であると判定された場合、通信端末２４１は、ステップＳ１２３３において、対象者選定要求処理を実行する。 In step S1231, the communication terminal 241 determines whether or not it is an instruction to select a target person who needs to be provided with a health service. When it is determined that the instruction is for selecting the target person, the communication terminal 241 executes the target person selection request process in step S1233.
　対象者の選定指示でないと判定される場合、通信端末２４１は、ステップＳ１２４１において、その他の処理であるか否かを判定する。その他の処理であると判定さる場合、通信端末２４１は、ステップＳ１２４３において、その他の処理を実行する。 If it is determined that the instruction is not the selection of the target person, the communication terminal 241 determines in step S1241 whether or not it is another process. When it is determined that the process is other, the communication terminal 241 executes the other process in step S1243.
　（保健事業対象者要求処理）
　図１２Ｂは、本実施形態に係る保健事業対象者要求処理（Ｓ１２３３）の手順を示すフローチャートである。 (Processing of requests from people targeted for health services)
FIG. 12B is a flowchart showing the procedure of the health business target person request processing (S1233) according to the present embodiment.
　通信端末２４１は、ステップＳ１２５１において、対象者選定条件を入力しない保健事業の提供が必要となる全対象者の保健事業管理支援サーバ２１０からの受信を待つ。全対象者の受信があると、通信端末２４１は、ステップＳ１２５３において、保健事業管理支援サーバ２１０から受信した保健事業の提供が必要となる全対象者の情報を所定のフォーマットで出力する。 In step S1251, the communication terminal 241 waits for reception from the health business management support server 210 of all the target persons who need to provide the health business without inputting the target person selection conditions. Upon receiving all the target persons, the communication terminal 241 outputs the information of all the target persons who need to provide the health business received from the health business management support server 210 in step S1253 in a predetermined format.
　通信端末２４１は、ステップＳ１２５５において、保健事業管理支援サーバ２１０への対象者選定条件の送信を待つ。保健事業管理支援サーバ２１０への対象者選定条件の送信があると、通信端末２４１は、ステップＳ１２５７において、保健事業管理支援サーバ２１０からの選定結果の受信を待つ。保健事業管理支援サーバ２１０からの選定結果の受信があると、通信端末２４１は、ステップＳ１２５９において、受信した選定結果である保健事業の提供が必要となる対象者の情報を出力する。 In step S1255, the communication terminal 241 waits for transmission of the target person selection condition to the health business management support server 210. When the target person selection condition is transmitted to the health business management support server 210, the communication terminal 241 waits for the reception of the selection result from the health business management support server 210 in step S1257. When the selection result is received from the health business management support server 210, the communication terminal 241 outputs the information of the target person who needs to provide the health business, which is the received selection result, in step S1259.
　通信端末２４１は、ステップＳ１２６１において、保健事業の提供が必要となる対象者への保健事業の電子メール通知の指示があるか否かを判定する。電子メール通知の指示があると判定されると、通信端末２４１は、ステップＳ１２６３において、対象者へ保健事業の通知を一斉送信する。 In step S1261, the communication terminal 241 determines whether or not there is an instruction for e-mail notification of the health business to the target person who needs to provide the health business. If it is determined that there is an e-mail notification instruction, the communication terminal 241 broadcasts a health business notification to the target person in step S1263.
　本実施形態によれば、加入者のリスクレベルおよび治療状況を含む健康管理状況を考慮して対象者を絞り込み、対象者の選定と保健事業の選定とを対応付けることにより、効率的に保健事業を管理することができる。特に、治療状況から加入者の健康への意識レベルを考慮するので、保健事業への勧誘が成功する適切な範囲に対し、保健事業を実行することができる。 According to this embodiment, the target persons are narrowed down in consideration of the health management status including the risk level and the treatment status of the subscriber, and the selection of the target person and the selection of the health business are associated with each other to efficiently carry out the health business. Can be managed. In particular, since the level of awareness of the health of the subscriber is taken into consideration from the treatment situation, the health business can be carried out within an appropriate range in which the solicitation to the health business is successful.
　［第３実施形態］
　次に、本発明の第３実施形態に係る情報処理装置としての保健事業管理支援サーバについて説明する。本実施形態に係る保健事業管理支援サーバは、上記第２実施形態と比べると、さらに加入者の保健事業への参加履歴を取得し、保健事業への参加履歴を参照して加入者の健康管理への意識レベルを導出する点で異なる。本実施形態の保健事業管理支援サーバは、データベースに、加入者と、健康状態関連情報と、健康管理関連情報としてのレセプト情報および保健事業への参加履歴とを関連付けて記憶する。そして、リスクの種類がリスク指定されると、指定されたリスクの種類に対応するリスクレベルと、健康管理関連情報としての治療状況および保健事業への参加履歴とを考慮して、保健事業の提供が必要とされる加入者である対象者を選定する。その他の構成および動作は、第２実施形態と同様であるため、同じ構成および動作については同じ符号を付してその詳しい説明を省略する。 [Third Embodiment]
Next, a health business management support server as an information processing device according to a third embodiment of the present invention will be described. Compared with the second embodiment, the health business management support server according to the present embodiment further acquires the participation history of the subscriber in the health business, and refers to the participation history in the health business to manage the health of the subscriber. It differs in that it derives the level of awareness of. The health business management support server of the present embodiment stores the subscriber, the health condition-related information, the receipt information as the health management-related information, and the participation history in the health business in association with each other in the database. Then, when the type of risk is designated as a risk, the provision of the health business is provided in consideration of the risk level corresponding to the specified risk type, the treatment status as health management related information, and the history of participation in the health business. Select the target person who is a required subscriber. Since other configurations and operations are the same as those in the second embodiment, the same configurations and operations are designated by the same reference numerals and detailed description thereof will be omitted.
　《情報処理システム》
　図１３および図１４を参照して、本実施形態の情報処理装置としての保健事業管理支援サーバ１３１０を含む情報処理システム１３００の動作を説明する。 << Information processing system >>
The operation of the information processing system 1300 including the health business management support server 1310 as the information processing device of the present embodiment will be described with reference to FIGS. 13 and 14.
　（動作概要）
　図１３は、本実施形態に係る情報処理装置としての保健事業管理支援サーバ１３１０を含む情報処理システム１３００の動作概要を示す図である。なお、図１３において、図４Ａと同様の構成要素には同じ参照番号を付して、重複する説明を省略する。 (Outline of operation)
FIG. 13 is a diagram showing an outline of the operation of the information processing system 1300 including the health business management support server 1310 as the information processing device according to the present embodiment. In FIG. 13, the same components as those in FIG. 4A are designated by the same reference numbers, and duplicate description will be omitted.
　表示画面１３４３は、本実施形態における、保健事業への参加を推奨あるいは勧誘する加入者を効率的に選定（絞り込む）ための対象者選定条件の入力画面である。表示画面１３４３は、リスク条件と受診条件と保健事業条件とを含む。また、保健事業条件には、事業Ａへの参加／不参加や事業Ｂへの参加／不参加の設定が示されている。なお、対象者選定条件の種類は、図１３に限定されるものではない。 The display screen 1343 is an input screen of the target person selection conditions for efficiently selecting (narrowing down) the subscribers who recommend or solicit participation in the health business in the present embodiment. The display screen 1343 includes risk conditions, consultation conditions, and health business conditions. In addition, the health project conditions indicate the setting of participation / non-participation in project A and participation / non-participation in project B. The types of target person selection conditions are not limited to FIG.
　（動作シーケンス）
　図１４は、本実施形態に係る情報処理装置としての保健事業管理支援サーバ１３１０を含む情報処理システム１３００の動作手順を示すシーケンス図である。なお、図１４において、図３Ａと同様のステップには同じステップ番号を付して、重複する説明を省略する。 (Operation sequence)
FIG. 14 is a sequence diagram showing an operation procedure of the information processing system 1300 including the health business management support server 1310 as the information processing device according to the present embodiment. In FIG. 14, the same steps as those in FIG. 3A are designated by the same step numbers, and duplicate description will be omitted.
　保険者２２０からは、ステップＳ１４０８において、健康管理関連情報として加入者の保健事業への参加情報を保健事業管理支援サーバ１３１０に報告する。また、通信端末２４１，２４２からは、ステップＳ１４１０において、健康管理関連情報として加入者の保健事業への参加情報を保健事業管理支援サーバ１３１０に報告する。保健事業管理支援サーバ１３１０は、加入者の保健事業への参加情報を保険者２２０または通信端末２４１，２４２から取得して、加入者に関連付けてデータベース５０３に格納する。 In step S1408, the insurer 220 reports the participant's participation information in the health business to the health business management support server 1310 as health management related information. Further, from the communication terminals 241,242, in step S1410, the participant's participation information in the health business is reported to the health business management support server 1310 as the health management related information. The health business management support server 1310 acquires the participant's participation information in the health business from the insurer 220 or the communication terminals 241,242 and stores it in the database 503 in association with the subscriber.
　《仮想の保健事業管理支援サーバ》
　図１５は、本実施形態に係る情報処理装置としての仮想の保健事業管理支援サーバ１３１０の機能構成を示すブロック図である。なお、図１５において、図５Ｂと同様の機能構成部には同じ参照番号を付して、重複する説明を省略する。 << Virtual health business management support server >>
FIG. 15 is a block diagram showing a functional configuration of a virtual health business management support server 1310 as an information processing device according to the present embodiment. In FIG. 15, the same reference numbers are assigned to the functional components similar to those in FIG. 5B, and duplicate description will be omitted.
　仮想の保健事業管理支援サーバ１３１０は、データベース１５０３を備える。データベース１５０３は、健康管理関連情報として保健事業の参加に関する情報を含む取得データベース１５３１を有する。また、データベース１５０３は、加入者が参加した保健事業の内容と、健康管理関連情報としてのレセプト情報や保健事業参加情報から導出された意識レベルと、を含む処理データベース１５３２を有する。 The virtual health business management support server 1310 includes a database 1503. Database 1503 has an acquisition database 1531 that includes information on participation in health services as health management related information. In addition, the database 1503 has a processing database 1532 including the contents of the health business in which the subscriber participated, the receipt information as health management related information, and the awareness level derived from the health business participation information.
　また、仮想の保健事業管理支援サーバ１３１０は、保健事業参加情報取得部１５４３と、意識レベル導出部１５４７と、保健事業対象者選定部１５４８と、健康管理関連情報取得部１５５２と、を有する。保健事業参加情報取得部１５４３は、情報入力部５４０または通信端末２４１，２４２から保健事業参加情報を取得する。健康管理関連情報取得部１５５２は、通信端末２４１，２４２から他の保健管理関連情報を取得する。意識レベル導出部１５４７は、処理データベース１５３２に格納された、健康管理関連情報としての加入者が受診した治療内容および参加した保健事業内容から、加入者の健康維持への意識レベルを導出する。保健事業対象者選定部１５４８は、保健事業対象者選定テーブル１５４９を有し、加入者の保健事業への参加／不参加の履歴も考慮に入れて、保健事業を推奨あるいは勧誘する加入者である対象者を選定する。 Further, the virtual health business management support server 1310 has a health business participation information acquisition unit 1543, an awareness level derivation unit 1547, a health business target person selection unit 1548, and a health management related information acquisition unit 1552. The health business participation information acquisition unit 1543 acquires health business participation information from the information input unit 540 or the communication terminals 241,242. The health management-related information acquisition unit 1552 acquires other health management-related information from the communication terminals 241,242. The consciousness level derivation unit 1547 derives the consciousness level for maintaining the health of the subscriber from the treatment contents received by the subscriber and the contents of the participating health business as health management-related information stored in the processing database 1532. The Health Business Target Person Selection Department 1548 has a Health Business Target Person Selection Table 1549, and is a target who recommends or solicits a health business, taking into consideration the history of participation / non-participation of the subscriber in the health business. Select a person.
　（取得データベース）
　図１６は、本実施形態に係る取得データベース１５３１の構成を示す図である。なお、図１６において、図６と同様の構成要素には同じ参照番号を付して、重複する説明は省略する。 (Acquisition database)
FIG. 16 is a diagram showing the configuration of the acquisition database 1531 according to the present embodiment. In FIG. 16, the same reference numbers as those in FIG. 6 are assigned the same reference numbers, and duplicate description will be omitted.
　取得データベース１５３１には、さらに、保健事業管理支援サーバ１３１０があらかじめ収集して保持する、あるいは、オペレータ用の通信端末２４１から取得した保健事業情報１６３０が含まれている。保健事業情報１６３０は、加入者ＩＤ１６３１に対応付けて保健事業参加情報１６３２を記憶する。保健事業参加情報１６３２は、保健事業への参加日時と事業内容とを含んでいる。 The acquisition database 1531 further includes the health business information 1630 collected and held in advance by the health business management support server 1310, or acquired from the communication terminal 241 for the operator. The health business information 1630 stores the health business participation information 1632 in association with the subscriber ID 1631. Health project participation information 1632 includes the date and time of participation in the health project and the content of the project.
　（処理データベース）
　図１７Ａは、本実施形態に係る処理データベース１５３２の構成を示す図である。なお、図１７Ａにおいて、図７Ａと同様の構成要素には同じ参照番号を付して、重複する説明は省略する。 (Processing database)
FIG. 17A is a diagram showing the configuration of the processing database 1532 according to the present embodiment. In FIG. 17A, the same components as those in FIG. 7A are designated by the same reference numbers, and duplicate description will be omitted.
　処理データベース１５３２には、治療状況および保健事業参加状況を含む健康管理関連情報から評価された加入者の健康管理状況１７１４が含まれる。健康管理状況１７１４には、保健事業参加内容１７４２と、治療内容と保健事業参加内容から導出された意識レベル１７４３が記憶されている。保健事業参加内容１７４２は、保健事業を識別する事業ＩＤに対応付けて、保健事業への参加日時と、保健事業の事業内容と、参加感想などを含む参加結果とを記憶する。ここで、意識レベル１７４３は、加入者が受診した治療内容７４２から導出された意識レベル、加入者が参加した保健事業参加内容１７４２から導出された意識レベル、さらに、治療内容７４２および保健事業参加内容１７４２から導出された意識レベルを含んでよい。また、意識レベル１７４３は、各リスクに対する意識レベルと、健康全体に対するトータル意識レベルと、を含む。 The processing database 1532 includes the health management status 1714 of the subscriber evaluated from the health management related information including the treatment status and the participation status of the health business. The health management status 1714 stores the health project participation content 1742 and the consciousness level 1743 derived from the treatment content and the health project participation content. The health project participation content 1742 stores the date and time of participation in the health project, the project content of the health project, and the participation result including the impression of participation, in association with the project ID that identifies the health project. Here, the consciousness level 1743 is the consciousness level derived from the treatment content 742 that the subscriber received, the consciousness level derived from the health project participation content 1742 in which the subscriber participated, and further, the treatment content 742 and the health project participation content. It may include the level of consciousness derived from 1742. Awareness level 1743 also includes an awareness level for each risk and a total awareness level for overall health.
　（意識レベル導出テーブル）
　図１７Ｂは、本実施形態に係る加入者の意識レベルを導出する意識レベル導出テーブル１７８０の構成を示す図である。意識レベル導出テーブル１７８０は、各リスクについて、リスクレベルと、健康管理状況としての治療状況／対処状況および保健事業への参加状況を考慮して、加入者のリスクを軽減したい意識の度合いを導出するために、意識レベル導出部１５４７で使用される。なお、意識レベル導出テーブル１７８０は一例であって、これに限定されない。保健事業管理支援サーバ１３１０が収集可能な情報を用いて、加入者のリスクを軽減したい意識の度合いを導出する種々の情報とその組み合わせが可能である。なお、図１７Ｂにおいて、図７Ｄと同様の構成要素には同じ参照番号を付して、重複する説明は省略する。図１７Ｂには、治療内容７４２および保健事業参加内容１７４２から導出された意識レベルの例のみが示されている。 (Awareness level derivation table)
FIG. 17B is a diagram showing the configuration of the consciousness level derivation table 1780 for deriving the consciousness level of the subscriber according to the present embodiment. The consciousness level derivation table 1780 derives the degree of consciousness that the subscriber wants to reduce the risk for each risk, considering the risk level, the treatment status / coping status as the health management status, and the participation status in the health business. Therefore, it is used in the consciousness level derivation unit 1547. The consciousness level derivation table 1780 is an example, and the present invention is not limited to this. Using the information that can be collected by the health business management support server 1310, it is possible to combine various information that derives the degree of consciousness that the subscriber wants to reduce the risk. In FIG. 17B, the same components as those in FIG. 7D are designated by the same reference numbers, and duplicate description will be omitted. FIG. 17B shows only examples of consciousness levels derived from treatment content 742 and health service participation content 1742.
　意識レベル導出テーブル１７８０には、意識レベル７８４を導出する条件として、健康管理状況１７８３として保健事業への参加状況が記憶されている。 The consciousness level derivation table 1780 stores the participation status in the health business as the health management status 1783 as a condition for deriving the consciousness level 784.
　（保健事業対象者選定テーブル）
　図１８は、本実施形態に係る保健事業対象者選定テーブル１５４９の構成を示す図である。なお、図１８において、図８と同様の構成要素には同じ参照番号を付して、重複する説明は省略する。 (Health business target person selection table)
FIG. 18 is a diagram showing the configuration of the health business target person selection table 1549 according to the present embodiment. In FIG. 18, the same reference numbers as those in FIG. 8 are assigned the same reference numbers, and duplicate description will be omitted.
　保健事業対象者選定テーブル１５４９は、対象者選定条件１８０１の意識レベルとして、受診内容と保健事業の参加内容とが参照された意識レベルを考慮する。 The health business target person selection table 1549 considers the consciousness level with which the consultation content and the participation content of the health business are referred to as the consciousness level of the target person selection condition 1801.
　（管理データ取得処理）
　図１９Ａは、本実施形態に係る管理データ取得処理（Ｓ１０１３）の手順を示すフローチャートである。なお、図１９Ａにおいて、図１０Ｂと同様のステップには同じステップ番号を付して、重複する説明は省略する。 (Management data acquisition process)
FIG. 19A is a flowchart showing the procedure of the management data acquisition process (S1013) according to the present embodiment. In FIG. 19A, the same steps as those in FIG. 10B are assigned the same step numbers, and duplicate description will be omitted.
　保健事業管理支援サーバ１３１０は、ステップＳ１９４５において、情報入力部５４０や通信端末２４１，２４２からの参加した保健事業関連情報やアンケート情報などの取得を待つ。保健事業関連情報やアンケート情報などの取得があれば、保健事業管理支援サーバ１３１０は、ステップＳ１９４７において、取得した保健事業参加情報を含む健康管理関連情報を加入者に対応付けてデータベース５０３に登録する。さらに、保健事業管理支援サーバ１３１０は、ステップＳ１９５５において、他の健康状態関連情報、または、他の健康管理関連情報を通信端末２４１，２４２から受信して、加入者に対応付けてデータベース５０３に登録する。 In step S1945, the health business management support server 1310 waits for the acquisition of the participated health business related information, questionnaire information, etc. from the information input unit 540 and the communication terminals 241,242. If health business-related information, questionnaire information, etc. are acquired, the health business management support server 1310 registers the acquired health management-related information including the acquired health business participation information in the database 503 in the database 503 in step S1947. .. Further, in step S1955, the health business management support server 1310 receives other health condition-related information or other health management-related information from the communication terminals 241,242 and registers it in the database 503 in association with the subscriber. do.
　（保健事業対象者選定処理）
　図１９Ｂは、本実施形態に係る保健事業対象者選定処理（Ｓ１０２３）の手順を示すフローチャートである。なお、図１９Ｂにおいて、図１０Ｃと同様のステップには同じステップ番号を付して、重複する説明は省略する。 (Health business target selection process)
FIG. 19B is a flowchart showing the procedure of the health business target person selection process (S1023) according to the present embodiment. In FIG. 19B, the same steps as in FIG. 10C are assigned the same step numbers, and duplicate description will be omitted.
　保健事業管理支援サーバ１３１０は、ステップＳ１９６８において、各加入者の保健事業参加情報をデータベース１５０３の取得データベース１５３１から主付くする。保健事業管理支援サーバ１３１０は、ステップＳ１９６９において、各加入者の健康管理関連情報としての治療内容および保健事業参加内容などから意識レベルを導出してデータベース１５０３の処理データベース１５３２に設定する。 In step S1968, the health business management support server 1310 mainly attaches the health business participation information of each subscriber from the acquisition database 1531 of the database 1503. In step S1969, the health business management support server 1310 derives the awareness level from the treatment content and the health business participation content as health management-related information of each subscriber and sets them in the processing database 1532 of the database 1503.
　全加入者に対して処理済みであると判定された場合、保健事業管理支援サーバ１３１０は、ステップＳ１９７３において、通信端末２４１から保健事業参加を含む対象者選定条件を受信したか否かを判定する。対象者選定条件を受信したと判定されれば、保健事業管理支援サーバ１３１０は、ステップＳ１９７５において、対象者選定条件に合致するリスクレベルを有し、健康管理状況としての治療内容、保健事業参加内容および意識レベルに対応する保健事業対象者を選定する。 When it is determined that all the subscribers have been processed, the health business management support server 1310 determines in step S1973 whether or not the target person selection condition including participation in the health business has been received from the communication terminal 241. .. If it is determined that the target person selection condition has been received, the health business management support server 1310 has a risk level that matches the target person selection condition in step S1975, and the treatment content and the health business participation content as the health management status. And select the health business target person corresponding to the consciousness level.
　本実施形態によれば、加入者のリスクレベルと、健康管理状況としての治療状況および保健事業への参加情報を考慮して対象者を絞り込み、対象者の選定と保健事業の選定とを対応付けることにより、効率的に保健事業を管理することができる。すなわち、保健事業への参加意欲までを考慮に入れるので、保健事業への勧誘がより成功する適切な範囲に対して保健事業を実施することができる。 According to this embodiment, the target persons are narrowed down in consideration of the risk level of the subscriber, the treatment status as the health management status, and the participation information in the health business, and the selection of the target person and the selection of the health business are associated with each other. Therefore, the health business can be managed efficiently. In other words, since the willingness to participate in the health business is taken into consideration, the health business can be implemented within an appropriate range in which the solicitation to the health business is more successful.
　［第４実施形態］
　次に、本発明の第３実施形態に係る情報処理装置としての保健事業管理支援サーバについて説明する。本実施形態に係る保健事業管理支援サーバは、上記第２実施形態および第３実施形態と比べると、加入者に保健事業の提供が必要な度合いである必要レベルを求めて、必要レベルにより保健事業を管理する点で異なる。本実施形態においては、リスクレベルの重度、重度レベルであるリスク数および治療レベルの少なくとも１つを参照して、加入者に保健事業の提供が必要な度合いを示す必要レベルを設定する。その他の構成および動作は、第２実施形態または第３実施形態と同様であるため、同じ構成および動作については同じ符号を付してその詳しい説明を省略する。 [Fourth Embodiment]
Next, a health business management support server as an information processing device according to a third embodiment of the present invention will be described. Compared with the second embodiment and the third embodiment, the health business management support server according to the present embodiment asks the subscriber for the necessary level, which is the degree to which the health business needs to be provided, and the health business according to the necessary level. It differs in that it manages. In the present embodiment, the required level is set to indicate the degree to which the health care business is required to be provided to the subscriber by referring to at least one of the risk level severe, the risk number which is the severe level, and the treatment level. Since other configurations and operations are the same as those of the second embodiment or the third embodiment, the same configurations and operations are designated by the same reference numerals and detailed description thereof will be omitted.
　《情報処理システムの動作概要》
　図２０は、本実施形態に係る情報処理装置としての保健事業管理支援サーバ２０１０を含む情報処理システム２０００の動作概要を示す図である。なお、図２０において、図４Ａと同様の構成要素には同じ参照番号を付して、重複する説明を省略する。 << Overview of information processing system operation >>
FIG. 20 is a diagram showing an outline of the operation of the information processing system 2000 including the health business management support server 2010 as the information processing device according to the present embodiment. In FIG. 20, the same components as those in FIG. 4A are designated by the same reference numbers, and duplicate description will be omitted.
　表示画面２０３３は、本実施形態における、保健事業への参加を推奨あるいは勧誘する加入者を効率的に選定（絞り込む）ための対象者選定条件の入力画面である。表示画面２０３３の対象者選定条件は、リスク条件と受診条件とレベル条件とを含む。また、レベル条件には、必要レベルの閾値（α）の設定やリスクレベルの閾値（β）の設定が示されている。なお、対象者選定条件の種類は、図２０に限定されるものではない。 The display screen 2033 is an input screen of the target person selection conditions for efficiently selecting (narrowing down) the subscribers who recommend or solicit participation in the health business in the present embodiment. The target person selection condition of the display screen 2033 includes a risk condition, a consultation condition, and a level condition. Further, the level condition indicates the setting of the required level threshold value (α) and the setting of the risk level threshold value (β). The types of target person selection conditions are not limited to FIG. 20.
　《仮想の保健事業管理支援サーバ》
　図２１は、本実施形態に係る情報処理装置としての仮想の保健事業管理支援サーバ２０１０の機能構成を示すブロック図である。なお、図２１において、図５Ｂと同様の機能構成部には同じ参照番号を付して、重複する説明を省略する。 << Virtual health business management support server >>
FIG. 21 is a block diagram showing a functional configuration of a virtual health business management support server 2010 as an information processing device according to the present embodiment. In FIG. 21, the same reference numbers are assigned to the functional components similar to those in FIG. 5B, and duplicate description will be omitted.
　仮想の保健事業管理支援サーバ２０１０は、データベース２１０３を備える。データベース２１０３は、リスクレベル、治療内容、意識レベルと、さらに、保健事業の提供が必要となる加入者における参加の必要レベルとを含む処理データベース２１３２を有する。 The virtual health business management support server 2010 includes a database 2103. Database 2103 has a processing database 2132 that includes risk levels, treatment content, awareness levels, as well as required levels of participation in subscribers who need to provide health services.
　仮想の保健事業管理支援サーバ２０１０は、保健事業対象者選定部２１４８と、必要レベルを含む対象者選定条件取得部２１５０と、さらに、必要レベル導出部２１５２と、を有する。保健事業対象者選定部２１４８は、保健事業対象者選定テーブル２１４９を有し、対象者選定条件として必要レベルを考慮して、加入者から保健事業を必要とする対象者を選定する。対象者選定条件取得部２１５０は、通信端末２４１から必要レベルを含む対象者選定条件を取得する。必要レベル導出部２１５２は、リスクレベル導出部５４５が導出したリスクレベルと、治療内容抽出部５４６が抽出した治療内容と、意識レベル導出部５４７が導出した意識レベルとを考慮して、加入者の保健事業への参加の必要レベルを導出する。なお、意識レベルは、第３実施形態における意識レベル導出部１５４７によって導出したものでもよい。必要レベルは、処理データベース２１３２に保持されるとともに、保健事業対象者選定部２１４８において対象者選定条件として考慮される。 The virtual health business management support server 2010 has a health business target person selection unit 2148, a target person selection condition acquisition unit 2150 including a necessary level, and a necessary level derivation unit 2152. The health business target person selection department 2148 has a health business target person selection table 2149, and selects a target person who needs a health business from the subscribers in consideration of the necessary level as a target person selection condition. The target person selection condition acquisition unit 2150 acquires the target person selection condition including the required level from the communication terminal 241. The required level derivation unit 2152 considers the risk level derived by the risk level derivation unit 545, the treatment content extracted by the treatment content extraction unit 546, and the consciousness level derived by the consciousness level derivation unit 547. Derive the required level of participation in health services. The consciousness level may be derived by the consciousness level deriving unit 1547 in the third embodiment. The required level is retained in the processing database 2132 and is considered as a target person selection condition by the Health Business Target Person Selection Department 2148.
　（処理データベース）
　図２２は、本実施形態に係る処理データベース２１３２の構成を示す図である。なお、図２２において、図７Ａと同様の構成要素には同じ参照番号を付して、重複する説明を省略する。 (Processing database)
FIG. 22 is a diagram showing the configuration of the processing database 2132 according to the present embodiment. In FIG. 22, the same components as those in FIG. 7A are designated by the same reference numbers, and duplicate description will be omitted.
　処理データベース２１３２は、さらに、必要レベル導出部２１５２が導出した必要レベル２２１８を記憶する。なお、処理データベース２１３２には、第３実施形態における、治療状況および保健事業参加状況を含む健康管理状況１７１４が含まれてもよい。 The processing database 2132 further stores the required level 2218 derived by the required level derivation unit 2152. The processing database 2132 may include the health management status 1714 including the treatment status and the health business participation status in the third embodiment.
　（保健事業対象者選定テーブル）
　図２３Ａは、本実施形態に係る保健事業対象者選定テーブル２１４９の構成を示す図である。なお、図２３Ａにおいて、図８と同様の構成要素には同じ参照番号を付して、重複する説明を省略する。 (Health business target person selection table)
FIG. 23A is a diagram showing the configuration of the health business target person selection table 2149 according to the present embodiment. In FIG. 23A, the same components as those in FIG. 8 are designated by the same reference numbers, and duplicate description will be omitted.
　保健事業対象者選定テーブル２１４９は、対象者選定条件２３０１として、必要レベルが含まれる。 The health business target person selection table 2149 includes the required level as the target person selection condition 2301.
　図２３Ｂは、本実施形態に係る保健事業の必要レベルを求める一例を示す図である。図２３Ｂには、リスクが重複する場合の必要レベルの導出の例が示されているが、これの限定されるものではない。 FIG. 23B is a diagram showing an example of obtaining the required level of the health business according to the present embodiment. FIG. 23B shows an example of deriving the required level when the risks overlap, but is not limited to this.
　リスクの重複状況２３１０には、リスクの重なり具合が図示されている。重なったリスク個数２３２０は、リスクの重複表２３３０に示されるように、必要レベルとしても使用される。さらに、重複するリスクの種類の組み合わせ、各リスクのリスクレベルの組み合わせなどから、加入者が保健事業に参加する必要レベルが導出される。必要レベルは、各加入者に対応レベルが設定されても、加入者の各保健事業に対する参加優先順位として設定されてもよい。 The risk overlap situation 2310 shows the degree of risk overlap. The overlapping risk numbers 2320 are also used as the required level, as shown in the Risk Overlapping Table 2330. Furthermore, the required level for participants to participate in health services is derived from the combination of overlapping risk types and the combination of risk levels of each risk. The required level may be set as a response level for each subscriber or as a priority for participation of each subscriber in each health project.
　（必要レベル導出テーブル）
　図２３Ｃは、本実施形態に係る必要レベルを導出する必要レベル導出テーブル２３４０の構成を示す図である。必要レベル導出テーブル２３４０は、各加入者について、リスク状況と、健康管理状況としての治療状況／対処状況および保健事業参加状況などを考慮して、加入者が保健事業の参加する必要レベルの度合いを導出するために、必要レベル導出部２１５２で使用される。なお、必要レベルとして、各リスクレベルをそのまま使用することも可能であるが、図２３Ｃでは、健康管理状況としての治療状況や保健事業参加状況なども考慮した必要レベルの導出について示す。図２３Ｃの必要レベル導出テーブル２３４０は一例であって、これに限定されない。保健事業管理支援サーバ２０１０が収集可能な情報を用いて、保健事業に参加する必要レベルの度合いを導出する種々の情報とその組み合わせが可能である。 (Required level derivation table)
FIG. 23C is a diagram showing the configuration of the required level derivation table 2340 for deriving the required level according to the present embodiment. The required level derivation table 2340 shows the degree of required level for each subscriber to participate in the health business, taking into consideration the risk status, the treatment status / coping status as the health management status, and the participation status of the health business. Used by the required level derivation unit 2152 to derive. It is possible to use each risk level as it is as the required level, but FIG. 23C shows the derivation of the required level in consideration of the treatment status as the health management status and the participation status of the health business. The required level derivation table 2340 of FIG. 23C is an example, and is not limited thereto. Using the information that can be collected by the health business management support server 2010, it is possible to derive various information and combinations thereof to derive the degree of the required level of participation in the health business.
　必要レベル導出テーブル２３４０は、加入者ＩＤ２３４１に対応付けて、リスク状況２３４２と、治療状況および保健事業参加状況を含む健康管理状況２３４３と、を記憶する。そして、必要レベル導出テーブル２３４０は、リスク状況２３４２と、治療状況および保健事業参加状況を含む健康管理状況２３４３とに基づいて導出された必要レベル２３４４を記憶する。リスク状況２３４２は、重複リスクと各リスクのリスクレベルとを含む。治療状況および保健事業参加状況を含む健康管理状況２３４３は、治療内容と事業参加内容および導出された意識レベルを含む。必要レベル２３４４は、各リスクに対する必要レベルと、加入者に対して総合した必要レベルと、を含む。 The required level derivation table 2340 stores the risk status 2342 and the health management status 2343 including the treatment status and the health business participation status in association with the subscriber ID 2341. Then, the required level derivation table 2340 stores the required level 2344 derived based on the risk status 2342 and the health management status 2343 including the treatment status and the health business participation status. Risk status 2342 includes overlapping risks and risk levels for each risk. Health management status 2343, including treatment status and health project participation status, includes treatment content, project participation content, and derived awareness levels. Required level 2344 includes the required level for each risk and the total required level for the subscriber.
　（保健事業対象者選定処理）
　図２４は、本実施形態に係る保健事業対象者選定処理（Ｓ１０２３）の手順を示すフローチャートである。なお、図２４において、図１０Ｃと同様のステップには同じステップ番号を付して、重複する説明を省略する。 (Health business target selection process)
FIG. 24 is a flowchart showing the procedure of the health business target person selection process (S1023) according to the present embodiment. In FIG. 24, the same steps as those in FIG. 10C are designated by the same step numbers, and duplicate description will be omitted.
　保健事業管理支援サーバ２０１０は、ステップＳ２４７０において、リスクレベルと、健康管理状況としての治療内容および意識レベルなどから必要レベルを導出して各加入者および各加入者の各リスクに必要レベル設定を行う。 In step S2470, the health business management support server 2010 derives the required level from the risk level, the treatment content as the health management status, the consciousness level, and the like, and sets the required level for each subscriber and each risk of each subscriber. ..
　全加入者に対して処理済みであると判定された場合、保健事業管理支援サーバ２０１０は、ステップＳ２４７３において、通信端末２４１から必要レベルを含む対象者選定条件を受信したか否かを判定する。対象者選定条件を受信したと判定されれば、保健事業管理支援サーバ２０１０は、ステップＳ２４７５において、対象者選定条件に合致するリスクレベルを有し、健康管理状況としての治療内容、保健事業参加内容および意識レベル、必要レベルに対応する保健事業対象者を選定する。 When it is determined that all the subscribers have been processed, the health business management support server 2010 determines in step S2473 whether or not the target person selection condition including the required level has been received from the communication terminal 241. If it is determined that the target person selection condition has been received, the health business management support server 2010 has a risk level that matches the target person selection condition in step S2475, and the treatment content as the health management status and the participation content of the health business. And select the health business target person corresponding to the consciousness level and the necessary level.
　本実施形態によれば、加入者のリスクレベルと、健康管理状況としての治療状況および保健事業の必要レベルを考慮して対象者を絞り込み、対象者の選定と保健事業の選定とを対応付けることにより、効率的に保健事業を管理することができる。すなわち、加入者の保健事業への参加の重要度を考慮して対象者を選定するので、効果的で効率的な保健事業を実施することができる。 According to the present embodiment, the target persons are narrowed down in consideration of the risk level of the subscriber, the treatment status as the health management status, and the necessary level of the health business, and the selection of the target person and the selection of the health business are associated with each other. , Can manage health services efficiently. That is, since the target persons are selected in consideration of the importance of the participants' participation in the health business, effective and efficient health business can be implemented.
　［他の実施形態］
　なお、保健事業管理支援サーバと加入者の通信端末との情報のやり取りをメールでのやり取りで説明したが、メールに限らず加入者の通信端末に所定のアプリを持たせて問い合わせや表示をする構成であってもよい。また、書面や電話などの通信手段を利用する構成であってもよい。 [Other Embodiments]
In addition, although the exchange of information between the health business management support server and the communication terminal of the subscriber was explained by exchanging information by e-mail, not only e-mail but also the communication terminal of the subscriber has a predetermined application to make inquiries and displays. It may be a configuration. Further, the configuration may be such that a communication means such as a document or a telephone is used.
　また、上記実施形態においては、保健事業対象者選定において、コストについて考慮されていない。しかし、加入者が疾病により入院した場合や受診した場合の費用や、加入者の入院などによる会社などへの損失、そして、保健事業の実施コストとその効果、などを考慮して、保健事業対象者の選定結果を調整することも可能であり、かかる処理も本発明に含まれる。 Further, in the above embodiment, the cost is not considered in the selection of the target person for the health business. However, in consideration of the cost when the subscriber is hospitalized or consulted due to illness, the loss to the company due to the subscriber's hospitalization, the implementation cost of the health business and its effect, etc. It is also possible to adjust the selection result of the person, and such processing is also included in the present invention.
　以上、実施形態を参照して本願発明を説明したが、本願発明は上記実施形態に限定されるものではない。本願発明の構成や詳細には、本願発明のスコープ内で当業者が理解し得る様々な変更をすることができる。また、それぞれの実施形態に含まれる別々の特徴を如何様に組み合わせたシステムまたは装置も、本発明の範疇に含まれる。すなわち、加入者のリスクレベル、治療状況、保健事業への参加情報、および保健事業の必要レベルに限定されない種々の組み合わせによって、より適切で効率的に保健事業を管理することができる。 Although the invention of the present application has been described above with reference to the embodiment, the invention of the present application is not limited to the above embodiment. Various changes that can be understood by those skilled in the art can be made within the scope of the present invention in terms of the structure and details of the present invention. Also included in the scope of the present invention are systems or devices in which the different features contained in each embodiment are combined in any way. That is, the health business can be managed more appropriately and efficiently by various combinations that are not limited to the risk level of the subscriber, the treatment status, the participation information of the health business, and the required level of the health business.
　また、本発明は、複数の機器から構成されるシステムに適用されてもよいし、単体の装置に適用されてもよい。さらに、本発明は、実施形態の機能を実現する情報処理プログラムが、システムあるいは装置に直接あるいは遠隔から供給される場合にも適用可能である。したがって、本発明の機能をコンピュータで実現するために、コンピュータにインストールされるプログラム、あるいはそのプログラムを格納した媒体、そのプログラムをダウンロードさせるＷＷＷ(World Wide Web)サーバも、本発明の範疇に含まれる。特に、少なくとも、上述した実施形態に含まれる処理ステップをコンピュータに実行させるプログラムを格納した非一時的コンピュータ可読媒体（non-transitory computer readable medium）は本発明の範疇に含まれる。 Further, the present invention may be applied to a system composed of a plurality of devices, or may be applied to a single device. Furthermore, the present invention is also applicable when the information processing program that realizes the functions of the embodiment is supplied directly or remotely to the system or device. Therefore, in order to realize the functions of the present invention on a computer, a program installed on the computer, a medium containing the program, and a WWW (World Wide Web) server for downloading the program are also included in the scope of the present invention. .. In particular, at least a non-transitory computer readable medium containing a program for causing a computer to execute the processing steps included in the above-described embodiment is included in the scope of the present invention.
　この出願は、２０２０年０４月２２日に出願された日本国特許出願　特願２０２０－０７５９３５号を基礎とする優先権を主張し、その開示の全てをここに取り込む。 This application claims priority based on Japanese Patent Application No. 2020-075935 filed on April 22, 2020, and incorporates all of its disclosures here.

Claims (25)

  1. 　保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する加入者選定手段と、
    　前記保険者に加入する加入者に提供する保健事業を選定する保健事業選定手段と、
    　前記選定される加入者と前記選定される保健事業とを対応付けるよう制御する制御手段と、
    　を備える情報処理システムであって、
    　前記加入者選定手段は、
    　　前記保険者に加入する加入者に関する個人の属性情報と、前記加入者に関して収集された健診情報を含む健康状態関連情報と、前記加入者に対する医療機関からのレセプト情報を含む健康管理関連情報とを取得する取得手段と、
    　　前記健康状態関連情報に基づいて、前記加入者の健康のリスクレベルを導出する導出手段と、
    　　前記健康管理関連情報に基づいて、前記加入者の健康管理状況を評価する評価手段と、
    　　前記リスクレベルと前記健康管理状況とを考慮して、前記保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する選定手段と、
    　を有する情報処理システム。     A means of selecting a member who needs to be provided with a health service among the members who join the insurer, and a means of selecting a member.
    Health business selection means for selecting the health business to be provided to the subscribers who join the insurer, and
    A control means for controlling the selected subscriber and the selected health service to be associated with each other.
    It is an information processing system equipped with
    The subscriber selection means is
    Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber. And how to get
    Derivation means for deriving the health risk level of the subscriber based on the health condition related information, and
    An evaluation means for evaluating the health management status of the subscriber based on the health management related information, and
    In consideration of the risk level and the health management situation, a selection means for selecting a subscriber who needs to be provided with a health business among the subscribers who join the insurer, and
    Information processing system with.
  2. 　前記制御手段は、前記加入者選定手段により選定された加入者に対して適切な保健事業を、前記保健事業選定手段に選定させる請求項１に記載の情報処理システム。 The information processing system according to claim 1, wherein the control means causes the subscriber selected by the subscriber selection means to select an appropriate health business by the health business selection means.
  3. 　前記制御手段は、前記保健事業選定手段により選定された保健事業の提供が必要な加入者を、前記加入者選定手段により選定させる請求項１に記載の情報処理システム。 The information processing system according to claim 1, wherein the control means selects a subscriber who needs to be provided with a health business selected by the health business selection means by the subscriber selection means.
  4. 　保険者に加入する加入者に関する個人の属性情報と、前記加入者に関して収集された健診情報を含む健康状態関連情報と、前記加入者に対する医療機関からのレセプト情報を含む健康管理関連情報とを取得する取得手段と、
    　前記健康状態関連情報に基づいて、前記加入者の健康のリスクレベルを導出する導出手段と、
    　前記健康管理関連情報に基づいて、前記加入者の健康管理状況を評価する評価手段と、
    　前記リスクレベルと前記健康管理状況とを考慮して、前記保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する選定手段と、
    　を備える情報処理装置。     Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber. How to get and how to get
    Derivation means for deriving the health risk level of the subscriber based on the health condition related information, and
    An evaluation means for evaluating the health management status of the subscriber based on the health management related information, and
    In consideration of the risk level and the health management situation, a selection means for selecting a subscriber who needs to be provided with a health business among the subscribers who join the insurer, and
    Information processing device equipped with.
  5. 　前記健康状態関連情報は、前記加入者の健康状態の診断結果、前記加入者の病歴または病気の治療歴を含み、前記健康状態関連情報および前記健康管理関連情報の少なくとも一方は、前記加入者のアンケート情報を含む請求項４に記載の情報処理装置。 The health condition-related information includes the diagnosis result of the health condition of the subscriber, the medical history or the treatment history of the illness of the subscriber, and at least one of the health condition-related information and the health management-related information is of the subscriber. The information processing apparatus according to claim 4, which includes questionnaire information.
  6. 　前記評価手段は、前記健康管理状況として、前記レセプト情報から治療内容または治療履歴を抽出して、前記治療内容または前記治療履歴から前記加入者の治療への意識レベルを導出する請求項４または５記載の情報処理装置。 The evaluation means claims 4 or 5 for extracting the treatment content or treatment history from the receipt information as the health management status and deriving the level of awareness of the subscriber to the treatment from the treatment content or the treatment history. The information processing device described.
  7. 　前記導出手段は、さらに前記健康管理関連情報を考慮して、前記加入者の健康のリスクレベルを導出する請求項４乃至６のいずれか１項に記載の情報処理装置。 The information processing device according to any one of claims 4 to 6, wherein the out-licensing means further takes into consideration the health management-related information and derives the health risk level of the subscriber.
  8. 　前記選定手段は、前記健康管理関連情報として含まれる服薬情報、または、特定のリスク無しによる除外なしに、保健事業の提供が必要とされる加入者を選定する請求項４乃至７のいずれか１項に記載の情報処理装置。 The selection means is any one of claims 4 to 7 for selecting medication information included as the health management-related information or a subscriber who is required to be provided with a health business without exclusion without a specific risk. The information processing device described in the section.
  9. 　前記加入者と、前記健康状態関連情報および前記健康管理関連情報とを関連付けて記憶するデータベースをさらに備える請求項４乃至８のいずれか１項に記載の情報処理装置。 The information processing device according to any one of claims 4 to 8, further comprising a database that stores the subscriber in association with the health condition-related information and the health management-related information.
  10. 　前記選定手段により保健事業の提供が必要とされた加入者の情報を提示する提示手段をさらに備える請求項４乃至９のいずれか１項に記載の情報処理装置。 The information processing device according to any one of claims 4 to 9, further comprising a presentation means for presenting information on a subscriber whose health business is required to be provided by the selection means.
  11. 　前記提示手段は、保健事業の提供が必要とされた加入者の一覧をオペレータに提示する手段と、保健事業の提供が必要として選定された旨を加入者に通知する手段と、を含む請求項１０に記載の情報処理装置。 The claim includes a means for presenting a list of subscribers who are required to provide a health service to an operator and a means for notifying the subscriber that a list of subscribers who are required to provide a health service is selected. The information processing apparatus according to 10.
  12. 　前記選定手段は、関連する複数種類のリスクにおけるリスクレベルおよび健康管理状況を考慮して、保健事業の提供が必要とされる加入者を選定する請求項４乃至１１のいずれか１項に記載の情報処理装置。 The selection means according to any one of claims 4 to 11, which selects a subscriber who is required to provide a health service in consideration of the risk level and the health management situation in a plurality of related types of risks. Information processing device.
  13. 　前記選定手段は、リスクレベルの重度、重度レベルであるリスク数および治療レベルの少なくとも１つを参照して、保健事業の提供が必要な度合いを示す必要レベルを設定する必要レベル設定手段を有し、前記設定された必要レベルをさらに考慮して、保健事業の提供が必要とされる加入者を選定する請求項４乃至１２のいずれか１項に記載の情報処理装置。 The selection means has a necessary level setting means for setting a necessary level indicating the degree to which a health service is required to be provided by referring to at least one of a risk level severity, a risk number which is a severe level, and a treatment level. The information processing apparatus according to any one of claims 4 to 12, further considering the set required level, and selecting a subscriber who is required to provide a health service.
  14. 　保健事業の提供が必要とされる加入者の選定条件として、リスクの種類を指定するリスク指定手段と、
    　前記選定条件として、健康管理状況を指定する健康管理状況指定手段と、
    　をさらに備え、
    　前記選定手段は、前記リスク指定手段が指定した前記リスクの種類に対応するリスクレベルと、前記健康管理状況指定手段が指定した健康管理状況とを考慮して、保健事業の提供が必要とされる加入者を選定する請求項４乃至１３のいずれか１項に記載の情報処理装置。     Risk designation means for designating the type of risk and risk designation means for selecting the subscribers who are required to provide health services
    As the selection conditions, a health management status designation means for designating the health management status and a health management status designation means,
    With more
    The selection means is required to provide a health business in consideration of the risk level corresponding to the type of risk designated by the risk designation means and the health management status designated by the health management status designation means. The information processing apparatus according to any one of claims 4 to 13, which selects a subscriber.
  15. 　前記取得手段は、さらに前記加入者の保健事業への参加履歴を取得し、
    　前記評価手段は、さらに前記保健事業への参加履歴を参照して、前記加入者の治療への意識レベルを導出する請求項６に記載の情報処理装置。     The acquisition means further acquires the participation history of the subscriber in the health business,
    The information processing device according to claim 6, wherein the evaluation means further refers to the history of participation in the health business and derives the level of awareness of the subscriber regarding treatment.
  16. 　前記加入者と、前記健康状態関連情報と、前記健康管理関連情報としての前記レセプト情報および前記保健事業への参加履歴とを関連付けて記憶するデータベースをさらに備える請求項１５に記載の情報処理装置。 The information processing device according to claim 15, further comprising a database that stores the subscriber, the health condition-related information, the receipt information as the health management-related information, and the participation history of the health business.
  17. 　保健事業の提供が必要とされる加入者の選定条件として、リスクの種類を指定するリスク指定手段と、
    　前記選定条件として、健康管理状況に含まれる治療状況を指定する治療状況指定手段と、
    　前記選定条件として、前記健康管理状況に含まれる前記保健事業への参加履歴を指定する参加履歴指定手段と、
    　をさらに備え、
    　前記選定手段は、前記リスク指定手段が指定した前記リスクの種類に対応するリスクレベルと、前記治療状況指定手段が指定した治療状況と、前記参加履歴指定手段が指定した前記保健事業への参加履歴とを考慮して、保健事業の提供が必要とされる加入者を選定する請求項１５または１６に記載の情報処理装置。     Risk designation means for designating the type of risk and risk designation means for selecting the subscribers who are required to provide health services
    As the selection conditions, a treatment status designation means for designating the treatment status included in the health management status and a treatment status designation means
    As the selection condition, a participation history designation means for designating the participation history of the health business included in the health management status, and a participation history designation means.
    With more
    The selection means includes a risk level corresponding to the type of risk designated by the risk designation means, a treatment status designated by the treatment status designation means, and a participation history in the health business designated by the participation history designation means. The information processing apparatus according to claim 15 or 16, which selects a subscriber who is required to provide a health service in consideration of the above.
  18. 　前記個人の属性情報は、前記加入者の所属場所の情報と前記所属場所での前記加入者を取り巻く環境情報とを含む請求項４乃至１７のいずれか１項の情報処理装置。 The information processing device according to any one of claims 4 to 17, wherein the individual attribute information includes information on the place of affiliation of the subscriber and environmental information surrounding the subscriber at the place of affiliation.
  19. 　前記選定手段により選定された加入者に対して、適切な保健事業を選定する保健事業選定手段をさらに備える請求項４乃至１８のいずれか１項に記載の情報処理装置。 The information processing device according to any one of claims 4 to 18, further comprising a health business selection means for selecting an appropriate health business for a subscriber selected by the selection means.
  20. 　保健事業を選定する保健事業選定手段をさらに備え、
    　前記選定手段は、前記保健事業選定手段により選定された保健事業に対応して、前記保健事業の提供が必要な加入者を選定する請求項４乃至１９のいずれか１項に記載の情報処理装置。     Further equipped with means for selecting health services,
    The information processing apparatus according to any one of claims 4 to 19, wherein the selection means selects a subscriber who needs to be provided with the health business in response to the health business selected by the health business selection means. ..
  21. 　保険者に加入する加入者に関する個人の属性情報と、前記加入者に関して収集された健診情報を含む健康状態関連情報と、前記加入者に対する医療機関からのレセプト情報を含む健康管理関連情報とを取得する取得ステップと、
    　前記健康状態関連情報に基づいて、前記加入者の健康のリスクレベルを導出する導出ステップと、
    　前記健康管理関連情報に基づいて、前記加入者の健康管理状況を評価する評価ステップと、
    　前記リスクレベルと前記健康管理状況とを考慮して、前記保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する選定ステップと、
    　を含む情報処理方法。     Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber. Get step to get and get
    Derivation steps to derive the health risk level of the subscriber based on the health status related information, and
    An evaluation step for evaluating the health management status of the subscriber based on the health management related information, and
    In consideration of the risk level and the health management situation, a selection step for selecting a member who needs to be provided with a health business among the members who join the insurer, and a selection step.
    Information processing methods including.
  22. 　保険者に加入する加入者に関する個人の属性情報と、前記加入者に関して収集された健診情報を含む健康状態関連情報と、前記加入者に対する医療機関からのレセプト情報を含む健康管理関連情報とを取得する取得ステップと、
    　前記健康状態関連情報に基づいて、前記加入者の健康のリスクレベルを導出する導出ステップと、
    　前記健康管理関連情報に基づいて、前記加入者の健康管理状況を評価する評価ステップと、
    　前記リスクレベルと前記健康管理状況とを考慮して、前記保険者に加入する加入者の中で保健事業の提供が必要とされる加入者を選定する選定ステップと、
    　をコンピュータに実行させる情報処理プログラム。     Personal attribute information about the subscriber who joins the insurer, health condition related information including medical examination information collected about the subscriber, and health management related information including receipt information from the medical institution for the subscriber. Get step to get and get
    Derivation steps to derive the health risk level of the subscriber based on the health status related information, and
    An evaluation step for evaluating the health management status of the subscriber based on the health management related information, and
    In consideration of the risk level and the health management situation, a selection step for selecting a member who needs to be provided with a health business among the members who join the insurer, and a selection step.
    An information processing program that causes a computer to execute.
  23. 　健康のリスク種類および健康管理状況を含む選定条件を伴って、保健事業の提供が必要な加入者の選定を情報処理装置に要求する要求手段と、
    　前記選定条件に基づいて前記情報処理装置で選定された、保健事業の提供が必要とされる加入者の情報を受信する受信手段と、
    　前記保健事業の提供が必要として選定された加入者へ、前記保健事業への参加が必要な旨を通知するよう前記情報処理装置に指示する通知指示手段と、
    　を備える通信端末。     A requesting means for requesting the information processing device to select a subscriber who needs to be provided with a health business, along with selection conditions including health risk types and health management status.
    A receiving means for receiving information on a subscriber who is required to provide a health service and is selected by the information processing apparatus based on the selection conditions.
    Notification instruction means for instructing the information processing device to notify the subscriber selected as needing to provide the health business to the effect that participation in the health business is necessary.
    Communication terminal equipped with.
  24. 　健康のリスク種類および健康管理状況を含む選定条件を伴って、保健事業の提供が必要な加入者の選定を情報処理装置に要求する要求ステップと、
    　前記選定条件に基づいて前記情報処理装置で選定された、保健事業の提供が必要とされる加入者の情報を受信する受信ステップと、
    　前記保健事業の提供が必要として選定された加入者へ、前記保健事業への参加が必要な旨を通知するよう前記情報処理装置に指示する通知指示ステップと、
    　を含む通信端末の制御方法。     A request step that requires the information processing device to select a subscriber who needs to be provided with a health service, along with selection conditions including health risk types and health management status.
    A reception step for receiving information on a subscriber who is required to provide a health service and is selected by the information processing device based on the selection conditions.
    A notification instruction step for instructing the information processing device to notify the subscribers selected as needing to provide the health business that they need to participate in the health business, and a notification instruction step.
    Control method of communication terminal including.
  25. 　健康のリスク種類および健康管理状況を含む選定条件を伴って、保健事業の提供が必要な加入者の選定を情報処理装置に要求する要求ステップと、
    　前記選定条件に基づいて前記情報処理装置で選定された、保健事業の提供が必要とされる加入者の情報を受信する受信ステップと、
    　前記保健事業の提供が必要として選定された加入者へ、前記保健事業への参加が必要な旨を通知するよう前記情報処理装置に指示する通知指示ステップと、
    　をコンピュータに実行させる通信端末の制御プログラム。     A request step that requires the information processing device to select a subscriber who needs to be provided with a health service, along with selection conditions including health risk types and health management status.
    A reception step for receiving information on a subscriber who is required to provide a health service and is selected by the information processing device based on the selection conditions.
    A notification instruction step for instructing the information processing device to notify the subscribers selected as needing to provide the health business that they need to participate in the health business, and a notification instruction step.
    A control program for a communication terminal that causes a computer to execute.
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Publication number Priority date Publication date Assignee Title
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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2012128670A (en) * 2010-12-15 2012-07-05 Hitachi Ltd Health services support system, health services support apparatus and health services support program
JP2015090689A (en) * 2013-11-07 2015-05-11 株式会社日立製作所 Medical data analysis system and medical data analysis method
JP2016177644A (en) * 2015-03-20 2016-10-06 みずほ情報総研株式会社 Health care business support device, health care business support method and health care business support program
JP2017111487A (en) * 2015-12-14 2017-06-22 株式会社東芝 Extraction method and extraction device for untreated subscriber group having illness
JP2019204491A (en) * 2018-05-18 2019-11-28 株式会社フリービットＥｐａｒｋヘルスケア Specific health guidance promotion system and server device
JP2020003882A (en) * 2018-06-25 2020-01-09 国立研究開発法人理化学研究所 Risk evaluation method, risk evaluation device, and risk evaluation program

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2015069531A (en) 2013-09-30 2015-04-13 株式会社Ｌｓｉメディエンス Group insurance business operation system

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2012128670A (en) * 2010-12-15 2012-07-05 Hitachi Ltd Health services support system, health services support apparatus and health services support program
JP2015090689A (en) * 2013-11-07 2015-05-11 株式会社日立製作所 Medical data analysis system and medical data analysis method
JP2016177644A (en) * 2015-03-20 2016-10-06 みずほ情報総研株式会社 Health care business support device, health care business support method and health care business support program
JP2017111487A (en) * 2015-12-14 2017-06-22 株式会社東芝 Extraction method and extraction device for untreated subscriber group having illness
JP2019204491A (en) * 2018-05-18 2019-11-28 株式会社フリービットＥｐａｒｋヘルスケア Specific health guidance promotion system and server device
JP2020003882A (en) * 2018-06-25 2020-01-09 国立研究開発法人理化学研究所 Risk evaluation method, risk evaluation device, and risk evaluation program

Non-Patent Citations (6)

* Cited by examiner, † Cited by third party
Title
ANONYMOUS: "About the business plan of adoption consortium", WEB.ARCHIVE.ORG, 22 December 2018 (2018-12-22), pages 1 - 54, XP055866714 *
ANONYMOUS: "Healthcare Information cooperation business by corporate insurers utilizing Genki Labo", WEB ARCHIVE.ORG, 22 December 2018 (2018-12-22), pages 1 - 18, XP055866722, Retrieved from the Internet <URL:https://web.archive.org/web/20181222145659if_/http://www.meti.go.jp/committee/kenkyukai/shoujo/jisedai_healthcare/kenkou_toushi_wg/kenkou_iryou_joho/pdf/h28_03_03_03.pdf> [retrieved on 20211129] *
ANONYMOUS: "Point of formulation for data health plan", TOKUTEIKENSHIN, 3 September 2014 (2014-09-03), pages 1 - 22, XP055866718 *
PROMOTING BEHAVIORAL CHANGE UTILIZING HEALTH AND MEDICAL INFORMATION, February 2017 (2017-02-01), Retrieved from the Internet <URL:https://www.jahis.jp/files/user/02_katsudo%26hokoku/07%20H28%E5%B9%B4%E5%BA%A6_%E3%80%,90%E7%89%B9%E5%88%A5%E8%AC%9B%E6%BC%94%E3%80%91%E5%81%A5%E5%BA%B7%E3%83%BB%E5%8C%BB%E7%99%82%E6%83%85%E5%A0%B1%E3%82%92%E6%B4%BB%E7%94%A8%E3%81%97%E3%81%9F%E8%A1%8C%E5%8B%95%E5%A4%89%E5%AE%B9%E3%81%AE%E4%BF%83%E9%80%B2%E3%81%AB%E5%90%91%E3%81%91%E3%81%A6.pdf> [retrieved on 20200722] *
TAKAHASHI, SHOK O: "Improving medical practice efficiency - Disease management program to support evidence-based health care (EBH)", OPERATIONS RESEARCH AS A MANAGEMENT SCIENCE RESEARCH, vol. 54, no. 7, 1 July 2009 (2009-07-01), pages 390 - 394, ISSN: 0030-3674 *
YAMAMOTO YUJI: "First structural reform: Health investment by companies and insurers", KANTEI, 22 February 2017 (2017-02-22), pages 1 - 11, XP055866728, Retrieved from the Internet <URL:https://www.kantei.go.jp/jp/singi/keizaisaisei/miraitoshikaigi/suishinkaigo_iryokaigo_dai5/siryou2.pdf> [retrieved on 20211129] *

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