WO2023202373A1

WO2023202373A1 - Disease management method and apparatus, computer storage medium, and electronic device

Info

Publication number: WO2023202373A1
Application number: PCT/CN2023/086245
Authority: WO
Inventors: 王军; 黄立炜
Original assignee: 北京京东拓先科技有限公司
Priority date: 2022-04-22
Filing date: 2023-04-04
Publication date: 2023-10-26
Also published as: CN114974613A

Abstract

The present invention relates to the technical field of internet medical service, and provides a disease management method and apparatus, a computer storage medium, and an electronic device. The disease management method comprises: receiving an online inquiry request, the online inquiry request comprising a chronic disease type of a patient; matching a reception doctor for the patient according to the chronic disease type so as to establish an online inquiry link between a reception doctor terminal and a patient terminal; receiving a health plan made by the reception doctor terminal according to an online inquiry result, and pushing the health plan to the patient terminal to remind the patient to execute the health plan on time, the health plan comprising a drug treatment plan and a non-drug treatment plan; and receiving a post-diagnosis follow-up visit plan made by the reception doctor terminal according to the online inquiry result, and sending reminding information to the reception doctor terminal according to the post-diagnosis follow-up visit plan. (FIG. 1)

Description

Disease management methods and devices, computer storage media, electronic equipment

Cross-references to related applications

This disclosure requires the priority of the Chinese patent application with application number CN202210430848.2 and titled "Disease Management Methods and Devices, Computer Storage Media, Electronic Equipment" submitted on April 22, 2022. The entire content of this Chinese patent application incorporated by reference into this disclosure.

Technical field

The present disclosure relates to the field of Internet medical technology, and in particular to a disease management method, disease management device, computer storage medium and electronic equipment.

Background technique

Chronic disease is a general term for a type of disease that has an insidious onset, long course, protracted illness, and complicated causes, some of which have not yet been fully identified.

At present, the main treatment place for chronic diseases is the hospital. After the patient is diagnosed in the hospital, the doctor will issue drug prescriptions and non-drug prescriptions (that is, non-drug auxiliary therapies, such as dietary advice, exercise advice, etc.). After the patient is discharged from the hospital, he will The hospital has no monitoring and management methods for patients' out-of-hospital conditions and cannot follow up on patients' conditions in real time.

In view of this, there is an urgent need to develop a new disease management method and device in this field.

It should be noted that the information disclosed in the above background section is only used to enhance understanding of the background of the present disclosure.

Contents of the invention

The purpose of this disclosure is to provide a disease management method, disease management device, computer storage medium and electronic equipment.

Additional features and advantages of the disclosure will be apparent from the following detailed description, or, in part, may be learned by practice of the disclosure.

According to one or more embodiments of the present disclosure, a disease management method is provided, including: receiving an online consultation request; the online consultation request includes the patient's chronic disease type; and matching the patient with the patient according to the chronic disease type. Consult a doctor to establish an online consultation link between the receiving doctor terminal and the patient terminal; receive the health plan formulated by the receiving doctor terminal based on the online consultation results, and push the health plan to the patient terminal to Remind the patient to implement the health plan on time; the health plan includes a drug treatment plan and a non-drug treatment plan; receive the post-diagnosis follow-up plan formulated by the receiving doctor terminal based on the online consultation results, and according to the post-diagnosis follow-up plan Follow-up plan, sending reminder information to the receiving doctor terminal.

According to one or more embodiments of the present disclosure, a disease management device is provided, including: an online consultation module, configured to receive an online consultation request; the online consultation request includes the patient's chronic disease type; and the matching model A block for matching the receiving doctor to the patient according to the type of chronic disease to establish an online consultation link between the receiving doctor terminal and the patient terminal; a health plan formulation module for receiving the online consultation from the receiving doctor terminal. A health plan formulated as a result of the diagnosis, and the health plan is pushed to the patient terminal to remind the patient to implement the health plan on time; the health plan includes a drug treatment plan and a non-drug treatment plan; follow-up after diagnosis A module configured to receive a post-diagnosis follow-up plan formulated by the incoming doctor terminal based on the online consultation results, and send reminder information to the incoming doctor terminal based on the post-diagnosis follow-up plan.

According to one or more embodiments of the present disclosure, a computer storage medium is provided with a computer program stored thereon, and when the computer program is executed by a processor, the above disease management method is implemented.

According to one or more embodiments of the present disclosure, an electronic device is provided, including: a processor; and a memory for storing executable instructions of the processor; wherein the processor is configured to execute the executable instructions via Follow instructions to carry out the disease management methods described above.

It should be understood that the above general description and the following detailed description are exemplary and explanatory only, and do not limit the present disclosure.

Description of drawings

The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments consistent with the disclosure and together with the description, serve to explain the principles of the disclosure. Obviously, the drawings in the following description are only some embodiments of the present disclosure. For those of ordinary skill in the art, other drawings can be obtained based on these drawings without exerting creative efforts.

Figure 1 shows a schematic flow chart of a disease management method in an embodiment of the present disclosure;

Figure 2 shows a schematic flow chart of conducting a thorough assessment of a patient's condition through a condition questionnaire in an embodiment of the present disclosure;

Figure 3 shows a schematic diagram of an interface for displaying a CAT questionnaire in an embodiment of the present disclosure;

Figure 4 shows a schematic diagram of the interface for displaying the mMRC questionnaire in an embodiment of the present disclosure;

Figure 5 shows a schematic interface diagram of an incoming doctor formulating a health plan through interactive operations in an embodiment of the present disclosure;

Figure 6 shows a schematic diagram of an interface for displaying scheduled tasks in an embodiment of the present disclosure;

Figure 7 shows a graph drawn by the oxygen generator according to the collected data in the embodiment of the present disclosure;

Figure 8 shows a schematic diagram of the measurement results of the pulmonary function monitor in the embodiment of the present disclosure;

Figure 9 shows a data change trend chart drawn by the pulmonary function monitor in the embodiment of the present disclosure;

Figure 10 shows a schematic diagram of an interface displaying a follow-up plan in an embodiment of the present disclosure;

Figure 11 shows a schematic interface diagram of a to-be-processed task list of a treating doctor in an embodiment of the present disclosure;

Figure 12 shows a schematic diagram of an interface for displaying details of follow-up tasks in an embodiment of the present disclosure;

Figure 13 shows an overall flow diagram of a disease management method in an exemplary embodiment of the present disclosure;

Figure 14 shows a schematic structural diagram of a disease management device in an exemplary embodiment of the present disclosure;

Figure 15 is a schematic structural diagram of an electronic device in an exemplary embodiment of the present disclosure.

Detailed ways

Example embodiments will now be described more fully with reference to the accompanying drawings. Example embodiments may, however, be embodied in various forms and should not be construed as limited to the examples set forth herein; rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the concepts of the example embodiments. To those skilled in the art. The described features, structures or characteristics may be combined in any suitable manner in one or more embodiments. In the following description, numerous specific details are provided to provide a thorough understanding of embodiments of the disclosure. However, those skilled in the art will appreciate that the technical solutions of the present disclosure may be practiced without one or more of the specific details described, or other methods, components, devices, steps, etc. may be adopted. In other instances, well-known technical solutions have not been shown or described in detail to avoid obscuring aspects of the disclosure.

The terms "a", "an", "the" and "said" are used in this specification to indicate the existence of one or more elements/components/etc.; the terms "include" and "have" are used to indicate an open-ended Inclusive is intended and means that there may be additional elements/components/etc. in addition to the listed elements/components/etc.; the terms "first" and "second" etc. are used as labels only and do not refer to The number of its objects is limited.

Furthermore, the drawings are merely schematic illustrations of the present disclosure and are not necessarily drawn to scale. The same reference numerals in the drawings represent the same or similar parts, and thus their repeated description will be omitted. Some of the block diagrams shown in the figures are functional entities and do not necessarily correspond to physically or logically separate entities.

At present, the main treatment place for chronic diseases is still the hospital. After the patient is diagnosed in the hospital, the doctor will issue drug prescriptions and non-drug prescriptions (that is, non-drug auxiliary therapies, such as dietary advice, exercise advice, etc.). After the patient is discharged from the hospital, he will The hospital has no means of monitoring and managing patients' conditions outside the hospital.

With the development of Internet hospitals, some patients can also conduct follow-up consultations and purchase medicines for chronic diseases online. However, most Internet hospitals are limited to consultation and prescription scenarios such as picture and text consultation/telephone consultation, and have not implemented it for patients. The subsequent health management link.

In the embodiments of the present disclosure, a disease management method is first provided, which overcomes, at least to a certain extent, the technical problem in the related art of being unable to perform long-term follow-up and monitoring of post-diagnosis conditions of patients with chronic diseases.

Figure 1 shows a schematic flowchart of a disease management method in an embodiment of the present disclosure. The execution subject of the disease management method may be a server that performs disease management.

Referring to Figure 1, a disease management method according to one embodiment of the present disclosure includes the following steps:

Step S110: Receive an online consultation request; the online consultation request includes the patient's chronic disease type;

Step S120: Match the treating doctor to the patient according to the type of chronic disease to establish an online consultation link between the treating doctor's terminal and the patient's terminal;

Step S130, receive the health plan formulated by the receiving doctor terminal based on the online consultation results, and push the health plan to the patient terminal to remind the patient to implement the health plan on time; the health plan includes a drug treatment plan and a non-drug treatment plan;

Step S140: Receive the post-diagnosis follow-up plan formulated by the incoming doctor terminal based on the online consultation results, and send reminder information to the incoming doctor terminal according to the post-diagnosis follow-up plan.

In the technical solution provided by the embodiment shown in Figure 1, on the one hand, an online consultation request is received, and a doctor is matched to the patient according to the chronic disease type included in the online consultation request, so as to establish a connection between the doctor terminal and the patient terminal. The online consultation link allows patients to seek medical treatment online, avoiding the problem of low medical efficiency caused by patients with chronic diseases frequently going out for medical treatment. Further, receive the health plan formulated by the receiving doctor terminal based on the online consultation results, and push the health plan to the patient terminal to remind the patient to implement the health plan on time, and to urge the patient to implement the health plan on time to ensure the implementation of the health plan. . On the other hand, receiving the post-diagnosis follow-up plan formulated by the receiving doctor terminal based on the online consultation results, and sending reminder information to the receiving doctor terminal according to the post-diagnosis follow-up plan can solve the problem of the lack of tracking of the patient's post-diagnosis status in related technologies. Technical issues to achieve tracking and long-term monitoring of patients’ post-diagnosis conditions.

The specific implementation process of each module in Figure 1 is described in detail below:

Digital Therapeutics (DTx) is an intervention program driven by software programs and based on evidence-based medicine to treat, manage or prevent diseases. Digital therapeutics can be used alone or in conjunction with medications, medical devices or other therapies. It affects patients through information (such as text, pictures, videos on the App), physical factors (such as sound, light, current, magnetic field and their combinations), drugs, etc. to optimize patient care and health outcomes.

In this disclosure, a set of disease management methods based on evidence-based medicine is designed based on digital therapy. Through this method, the following processes can be systematically performed: patient archiving - online consultation - prescribing of digital therapy - issuing health plans (including drugs) Treatment plan and non-drug treatment plan) - Patient execution plan - Data return (device collection data and software collection data) - Data analysis and early warning + regular detection report generation - Assigning doctor tasks - Doctor execution tasks (including follow-up and intervention), Therefore, the doctor (hospital) terminal and the patient terminal can be combined to perform long-term tracking and monitoring of the post-diagnosis status of patients with chronic diseases.

In step S110, an online consultation request is received; the online consultation request includes the patient's chronic disease type.

In this step, before sending the consultation request for the first time, the patient can log in to the above-mentioned disease management method through a mobile terminal and other devices, and then enter relevant personal information (such as name, gender, ID number, chronic disease type, etc.) into the disease management method. ) to register. After the registration is completed, the disease management method will establish a patient file for the patient to facilitate the storage of medical treatment data and quick call during subsequent medical treatment.

Furthermore, the patient can initiate an online consultation request. For example, the online consultation request can include the patient's chronic disease type.

In step S120, the patient is matched with a treating doctor according to the type of chronic disease to establish an online consultation link between the treating doctor's terminal and the patient's terminal.

In this step, after receiving the above-mentioned online consultation request, it can first be determined that the online consultation request is a directed consultation request (that is, the consultation request contains the information of a designated doctor, and the patient has designated his consultation request. doctor), if it is a directed consultation request, the patient can be matched with the designated receiving doctor, so that the designated receiving doctor can conduct online consultation with the patient. If it is determined that the online consultation request is a non-directed consultation request (that is, the consultation request does not contain the information of the designated treating doctor, and the patient has not designated his treating doctor), then the online consultation request can be determined based on the online consultation request. The chronic disease type included in the consultation request matches the patient with the treating doctor corresponding to the chronic disease type. Furthermore, the treating doctor with the least waiting number can be selected to establish an online connection between the treating doctor terminal and the patient terminal. Consultation link, so that the attending doctor can conduct online consultation with the patient.

It should be noted that after matching the receiving doctor, information such as the number of people waiting and the estimated waiting time can also be sent to the patient terminal, so that the patient can understand the waiting time and avoid delays in treatment when the doctor is unable to contact the patient. .

It should be noted that after receiving the online consultation request, a condition questionnaire can also be issued to the patient terminal to conduct a thorough assessment of the patient's condition. Specifically, with reference to Figure 2, Figure 2 shows a schematic flow chart of conducting a thorough assessment of a patient's condition through a condition questionnaire in an embodiment of the present disclosure, including steps S201 to S203:

In step S201, a condition questionnaire is delivered to the patient terminal.

In this step, a condition questionnaire can be delivered to the patient terminal. There is a preset correlation between the condition questionnaire and the chronic disease type. Different questionnaires can be configured for different chronic disease types.

Specifically, the type of chronic disease is COPD (the full name of COPD is chronic obstructive pulmonary disease, which is characterized by persistent respiratory symptoms and airflow limitation. It is a chronic airway inflammatory disease, mainly of the airways and lungs. (Inflammation of the body causes changes in the structure of the airways and lungs, eventually resulting in airflow restriction that is not completely reversible, that is, "short of breath"). The disease questionnaire can include a disease assessment questionnaire and nutritional assessment. Questionnaires, psychological assessment questionnaires, sleep assessment questionnaires, physical fitness assessment questionnaires, etc.

Among them, the condition questionnaire can include CAT (COPD Self-Assessment Test) and mMRC (mMRC is mainly used to evaluate the degree of dyspnea in COPD patients and only reflects the single symptom of dyspnea), which can be set according to the actual situation. There are no special restrictions on this. Figure 3 shows a schematic diagram of the interface for displaying the CAT questionnaire in an embodiment of the present disclosure, and Figure 4 shows a schematic diagram of the interface for displaying the mMRC questionnaire in an embodiment of the present disclosure.

Nutritional assessment questionnaires can include Nutritional Risk Screening 2002, Subjective Comprehensive Assessment Method, General Malnutrition Screening Tool, etc., which can be set according to the actual situation. This disclosure does not impose special restrictions on this.

Psychological assessment questionnaires can include GAD-7 (Generalized Anxiety Scale), PHQ-9 (Depression Screening Scale), Delirium Symptom Rating Scale, etc., which can be set according to the actual situation. This disclosure does not impose special restrictions on this .

The sleep assessment questionnaire may include the STOPBANG screening questionnaire (i.e., sleep apnea preliminary screening scale), which can be set according to the actual situation, and this disclosure does not specifically limit this.

The physical fitness assessment questionnaire can include a 6-minute walk test, self-perceived fatigue rating scale, etc., and can be set according to the actual situation. This disclosure does not impose special restrictions on this.

After the above-mentioned condition questionnaire is issued, patients can fill in the above-mentioned condition questionnaire according to their actual situation and submit it after completion.

In step S202, the patient's condition assessment result is determined based on the condition questionnaire submitted by the patient terminal.

In this step, referring to Figures 3 and 4, it can be seen that the disease questionnaire in the present disclosure includes multiple questions, each question corresponds to multiple options, and the disease symptoms of each option gradually worsen. Thus, each The option sets an evaluation score, taking the "severity of dyspnea" in Figure 4 as an example. When the patient selects "dyspnea only occurs during strenuous activities" in advance, the corresponding evaluation score is 1 point, and the patient When selecting "Having difficulty breathing when walking fast or going up a gentle slope", the corresponding assessment score is 2 points, and the patient chooses "Due to difficulty breathing, walking slower than peers, or needing to stop when walking on level ground at one's own speed" When the patient chooses "Walking for 100m or several minutes on flat ground and needs to stop to breathe", the corresponding evaluation score is 4 points, and when the patient chooses "Cannot leave because of obvious difficulty in breathing""I also feel short of breath when I move around the house or when changing clothes", the corresponding evaluation score is 5 points. Therefore, the evaluation score corresponding to each questionnaire can be calculated (i.e., the above-mentioned condition evaluation results).

For example, after calculating the evaluation scores corresponding to each questionnaire, they can also be weighted and averaged to obtain a comprehensive score. Then, based on the comprehensive score, the patient's disease level can be determined.

In step S203, the condition questionnaire and condition assessment results are sent to the receiving doctor terminal.

In this step, the condition questionnaire, condition assessment results, disease level and other basic information obtained in the above step S202 can be sent to the terminal of the treating doctor of the patient. After the condition questionnaire and condition assessment results are sent to the receiving doctor's terminal, on the one hand, the receiving doctor can make health plans for the patient based on the above condition questionnaire and condition assessment results; on the other hand, the receiving doctor can also make health plans for the patient based on the above condition questionnaire and condition assessment results. Based on the results of the condition assessment, a post-diagnosis follow-up plan will be developed for the patient.

The following describes the relevant process of formulating a health plan in conjunction with step S130:

In step S130, the health plan formulated by the receiving doctor terminal based on the online consultation results is received, and the health plan is pushed to the patient terminal to remind the patient to implement the health plan on time; the health plan includes a drug treatment plan and a non-drug treatment plan.

In this step, after receiving the above-mentioned condition questionnaire, condition assessment results, disease level and other basic information, the receiving doctor can combine the online consultation results with the above-mentioned basic information to formulate a health plan for the patient and add it to the server. Enter the above health plan, and then the server can push the above health plan to the patient terminal to remind the patient to implement the above health plan on time.

By way of example, the health plan may include a drug treatment plan and a non-drug treatment plan.

Among them, the drug treatment plan includes the drug prescription and medication plan prescribed for the patient, that is, what drugs the patient takes and the method and frequency of use of the drugs.

Non-drug treatment plans can include exercise plans, post-diagnosis monitoring plans, instrument-assisted treatment plans, diet plans, work and rest time plans, etc., which can be set according to the actual situation, and this disclosure does not impose special restrictions on this.

Among them, the exercise plan can include: exercise training (yes/no enable), aerobic training (yes/no enable), training method - walking, jogging, cycling or treadmill, etc., training duration, exercise frequency, exercise intensity, precautions ), resistance exercise training (yes/no enabled, exercise method - antibody weight, elastic equipment, weight equipment, etc., training duration, exercise frequency, exercise intensity, precautions), breathing exercise (yes/no enabled, breathing training method).

A post-clinic monitoring plan may include: Pulmonary function testing (yes/no enabled, testing frequency).

Instrument-assisted treatment plans may include: airway clearance (yes/no enabled, airway clearance protocol (manual expectoration, Active circulation technology, vibration inspiratory positive pressure), oxygen therapy (yes/no activation, oxygen therapy flow rate, daily oxygen therapy duration), non-invasive ventilation (yes/no activation, daily ventilation duration).

A meal plan can include: meal times and recipes for each meal.

The work and rest time plan can include: early rising time, lunch break time, and late bed time.

It should be noted that a health plan template can be pre-configured in this disclosure, and the health plan template contains relevant configuration items of the above-mentioned drug treatment plan and non-drug treatment plan. Furthermore, the treating doctor can interactively operate under each configuration item. (For example: selecting the corresponding options or manually entering relevant information) to quickly formulate health plans for different patients to improve the efficiency of health plan generation.

Referring to Figure 5, Figure 5 shows a schematic interface diagram of an incoming doctor formulating a health plan through interactive operations in an embodiment of the present disclosure. As shown in Figure 5, if a drug treatment plan needs to be enabled, the incoming doctor can open the interface after the medication plan. Enable the button, and then an edit box will be displayed, in which the treating doctor can enter a specific medication plan. At the same time, this disclosure supports deleting the medication plan. If the breathing exercise plan needs to be enabled, the treating doctor can open the enable button after "Respiratory Induction", and then the configuration items related to "Respiratory Induction" can be displayed, as shown in the figure: type, duration, frequency, and then, The treating physician can choose from different options for configuring the breathing exercise program. If it is necessary to enable aerobic exercise in the exercise plan, the treating doctor can open the enable button after "aerobic exercise", and then the configuration items related to "aerobic exercise" can be displayed, as shown in the figure: Type, Intensity, duration, frequency, and in turn, the treating doctor can choose different options to configure the aerobic exercise program. At the same time, in this disclosure, the receiving doctor only needs to click the "Add" button in Figure 5 to add customized content, which is fast, convenient, and easy to operate.

After the receiving doctor formulates the above health plan, he can click the "Confirm Send" button in Figure 5. Then, the server can convert the above health plan into a scheduled task and send it to the patient terminal according to the execution time of each plan.

Exemplarily, Figure 6 shows a schematic diagram of an interface for displaying scheduled tasks in an embodiment of the present disclosure. As shown in Figure 6, the medication plan and plan details, the respiratory exercise plan and plan details, and the aerobic exercise plan can be displayed on the patient's mobile terminal. and plan details, oxygen therapy plan and plan details, pulmonary function monitoring plan and plan details, and further, for the "medication plan, respiratory exercise plan and aerobic exercise plan", the patient can click the "Complete" button behind the plan to enter Its implementation, and for plans that require instrument assistance such as the "oxygen therapy plan and pulmonary function monitoring plan" (the oxygen therapy plan requires the assistance of an oxygen concentrator, the pulmonary function monitoring plan requires the assistance of a pulmonary function monitor), patients can When executing the plan, bind the device information to upload the relevant plan execution status through the device.

Taking the oxygen therapy plan shown in Figure 6 as an example, the patient needs to click the "Bind Device" button, and then complete the preparation by selecting the device information (category/brand model), scanning the device information code, or entering the device number. Binding of the oxygen machine equipment, and then, in the subsequent process, when the patient uses the oxygen machine to implement the health plan, the patient can quickly upload the data by clicking the relevant data upload button, etc.

For example, after the patient clicks the "Go to Complete" button behind the medication plan in Figure 6, it can be displayed An implementation record form, which can include multiple detailed columns, such as: drug name, specifications, inhalation method, medication frequency, single dose, medication cycle, medication records, etc., as shown in Table 1:

Table 1

Furthermore, for example, the patient can fill in the specific implementation situation after each detailed column according to his or her actual situation, for example: enter "Budesonide Formoterol Powder Inhalation" in the drug name column, and enter "160ug: 4.5ug*120 puffs", enter "oral inhalation" in the inhalation method column, enter "twice a day" in the medication frequency column, enter "2 puffs/time" in the single dose column, enter "7" in the medication cycle column Day", enter "2021-10-28 12:00" in the medication record column to record the implementation of the medication plan in detail.

After the patient clicks the "Complete" button behind the breathing exercise in Figure 6, an execution record form can be displayed, which can include multiple detailed columns, such as: type, training parameters (duration, frequency), training records, etc. ,As shown in table 2:

Table 2

Furthermore, for example, the patient can fill in the specific execution status after each detailed column according to his or her actual situation, for example: enter "abdominal breathing" after the type column, enter "7 times/week, 10 minutes/ times", enter "2021-10-28 12:00" in the training record column to record its implementation in detail.

For example, after the patient clicks the "Go to Complete" button behind the aerobic exercise in Figure 6, an execution record form may be displayed, which may include multiple detailed columns, such as: type, training parameters, training records, etc. ,as shown in Table 3:

table 3

Furthermore, for example, the patient can fill in the specific execution status after each detailed column according to his or her actual situation, for example: enter "aerobic training - power bike" after the type column, and enter "target heart rate 90 to 110" in the training parameter column. /min, 3 times/week", enter "2021-10-28 12:00" in the training record column to record its implementation in detail.

For example, after the patient is bound and uses the oxygen concentrator, the data collected in the oxygen concentrator can refer to Table 4:

Table 4

Exemplarily, after collecting the data, relevant curves can also be drawn based on the data. Refer to Figure 7. Figure 7 shows a curve drawn by the oxygen generator in the embodiment of the present disclosure based on the collected data, so as to intuitively and clearly Indicates changes in data.

For example, after the patient is bound and uses the pulmonary function monitor, the data collected by the pulmonary function monitor can refer to Table 5:

table 5

Exemplarily, after each respiratory data is collected, the flow rate-volume curve can be drawn and displayed, as shown in Figure 8. Figure 8 shows a schematic diagram of the measurement results of the lung function monitor in the embodiment of the present disclosure. Refer to Figure 8 can include three parts: flow velocity-volume diagram, measurement results and predicted lung function. After collecting the data within the preset time period, you can also draw a change trend chart based on the data changes within the preset time period (which can be the last week, the last two weeks, the last four weeks, or a custom time period), refer to Figure 9, Figure 9 shows the data change trend graph drawn by the pulmonary function monitor in the embodiment of the present disclosure, so that the treating doctor can quickly understand the dynamic change process of the data through FIG. 9 .

After the patient implements the above health plan, he or she can upload relevant health plan execution records and physical sign monitoring data to the server through the patient terminal, and then the server can receive the above health plan execution records and physical sign monitoring data, and then, for example, can perform pre-treatment Analyze and organize the above data within a set period of time (for example: one month, you can set or change it according to the actual situation) to generate a health monitoring report.

It should be noted that after receiving the health plan execution record and physical sign monitoring data uploaded by the patient terminal, the health plan execution record can also be compared with the pre-executed health plan to determine whether the health plan execution record meets the preset execution conditions. , if not satisfied, an alarm message will be sent to the patient terminal and the receiving doctor terminal. For example, when the medication plan included in the health plan is twice a day, and the patient has not taken medication for 3 consecutive days in the health plan execution record , then alarm information needs to be sent to patients and treating doctors. Or, when the oxygen therapy equipment included in the health plan is used more than 5 days a week, but the average number of days used by patients per week in the health plan execution record is less than 5 days, an alarm message needs to be sent to the patient terminal and the receiving doctor terminal.

Various physical sign monitoring data can also be compared with preset normal values to determine whether there are abnormalities in the physical sign monitoring data. If it is determined that the physical sign monitoring data is abnormal, the relevant abnormal data can be displayed and reported to the receiving doctor's terminal. Send alarm information to the patient terminal. For example, when it is detected that the PEF value uploaded by the pulmonary function monitor is greater than or equal to 20%, that is, a certain physical sign monitoring data of the patient is abnormal, an alarm message needs to be sent to the patient terminal and the receiving doctor's terminal.

Among them, the specific content of the above alarm information can be set according to the actual situation, and this disclosure does not impose special restrictions on this. The alarm information sent to the patient's terminal can be in the form of IM messages (Instant Messaging), public account messages, text messages, etc. The alarm information sent to the receiving doctor can be in the form of IM messages, adding pending tasks, etc., all of which can be based on The actual situation is determined by oneself, and this disclosure does not impose any special restrictions on this.

Next, referring to Figure 1, the relevant process of formulating a post-diagnosis follow-up plan will be described below in conjunction with step S140:

In step S140, a post-diagnosis follow-up plan formulated by the receiving doctor terminal based on the online consultation results is received, and reminder information is sent to the receiving doctor terminal according to the post-diagnosis follow-up plan.

In this step, after receiving the above-mentioned condition questionnaire, condition assessment results, disease level and other basic information, the receiving doctor can combine the online consultation results with the above-mentioned basic information to perform post-diagnosis for the patient. Follow-up plan, and enter the above-mentioned post-diagnosis follow-up plan. The post-diagnosis follow-up plan is the follow-up plan for the patient's condition after the consultation, for example: understanding the patient's condition changes and/or through telephone or online voice/video. or psychological changes, the patient's opinions and suggestions on the hospital, etc. The frequency of execution of the follow-up plan can be set according to the patient's condition, and this disclosure does not specifically limit this. For example, the post-diagnosis follow-up plan formulated by the treating doctor may be: voice follow-up of the patient every 3 weeks.

Exemplarily, refer to Figure 10, which shows a schematic diagram of an interface for displaying follow-up plans in an embodiment of the present disclosure. Referring to Figure 10, each follow-up plan can correspond to a follow-up plan ID, which is used to distinguish different follow-up plans. Furthermore, it can also The publisher and creation time of the follow-up plan are displayed. Furthermore, the details of the follow-up plan can include: name of the follow-up plan, department, whether to start, and follow-up baseline type. Furthermore, you can set up a follow-up reminder to be sent to the patient 1 week after the visit, and 2 weeks after the visit. Send CAT and mMRC questionnaires to patients for self-assessment of changes in their condition.

It should be noted that the follow-up plan can also include a follow-up visit time. Furthermore, the server can also send follow-up reminder information to the patient based on the follow-up visit time in the follow-up plan to avoid delays in the patient's follow-up visit.

After the receiving doctor formulates the above-mentioned post-diagnosis follow-up plan, to-be-processed tasks can be generated according to the post-diagnosis follow-up plan and added to the receiving doctor's to-be-processed task list. Figure 11 shows the to-be-processed tasks of the receiving doctor in an embodiment of the present disclosure. Refer to Figure 11 for the schematic interface diagram of the processing task list. It can display the number of currently pending tasks for the treating doctor, the number of tasks completed today, the number of total tasks completed, the number of follow-up tasks, the number of equipment warning tasks, and the number of scenario tasks. At the same time, the disclosure also supports quick query of a pending task through information such as the affiliated doctor (ie, the receiving doctor), patient label, patient name, task type, task status, and follow-up time. Specifically, each pending task can include the following information: basic patient information, doctor, task type, follow-up time, task status, creation time, task completion time, etc. Furthermore, if the receiving doctor clicks "View File" in the operation section " button, you can jump to the patient's detailed information page. If the receiving doctor clicks the "Details" button in the operation section, you can jump to Figure 12.

Figure 12 shows a schematic diagram of an interface for displaying details of a follow-up task in an embodiment of the present disclosure, which may include: task overview, patient information, monitored patient abnormal data, outbound call records (i.e., historical follow-up records) and other information, so that doctors can quickly see the patients Learn about task details and patient details. This disclosure can formulate a health management plan based on the patient's condition, guide the patient in home treatment and rehabilitation, follow up on the implementation of the patient's health management plan, monitor the patient's dynamic health data, and provide regular follow-up for health intervention and guidance, etc. Therefore, the present disclosure has at least the following technical effects:

For patients, it can improve patient experience, improve implementation compliance, prevent sudden diseases, reduce the risk of acute attacks, reduce hospitalization rates, save family expenses and medical resources, and improve the quality of life.

For doctors, compared with the traditional medical model where services must be provided by doctors, their work efficiency is greatly improved. In addition, it can also help doctors track changes in patients' conditions, and the risk warning function can remind doctors to proactively intervene in high-risk patients. At the same time, information covering patients’ physiology, psychology, lifestyle, natural environment and other dimensions can be collected with the help of instruments and equipment, which can help enrich doctors’ understanding of the evolution of chronic diseases in different situations. Improve the understanding of laws and provide more real-world data for clinical scientific research, thereby improving doctors’ professional cognition and scientific research capabilities.

In an optional implementation, after generating a health monitoring report based on the health plan execution record and physical sign monitoring record uploaded by the patient terminal, the above health monitoring report can also be pushed to the receiving doctor terminal, and then the receiving doctor terminal Previously formulated health plans and post-diagnosis follow-up plans can be updated based on the information in the above-mentioned health monitoring reports. For example, if the medication plan in the pre-established health plan is to be taken twice a day for half a year, and the health monitoring report shows that after the patient takes the medication and exercises on time, the physical signs tend to be within the normal range, the above medication plan can be changed. Adjust to take it twice a day for three months. At the same time, for example, the frequency of follow-up visits corresponding to the post-diagnosis follow-up plan can be reduced to update the health plan and post-diagnosis follow-up plan.

In an optional implementation, the present disclosure can also regularly or irregularly push patient education information related to the patient's chronic disease type to the patient terminal, so as to achieve the purpose of providing health guidance to the patient and helping him to recover. Figure 13 shows the overall flow chart of the disease management method in the embodiment of the present disclosure, including steps S1301 to S1308:

In step S1301, the patient terminal sends an online consultation request;

In step S1302, the receiving doctor terminal receives the patient;

In step S1303, the attending doctor formulates a health plan, which mainly includes: subjective information collection (i.e., information obtained through questionnaires), objective information collection (i.e., online consultation results), and risk assessment (i.e., patient's condition severity assessment) , formulate/adjust health plans;

In step S1304, the patient actively implements the health plan (including drug treatment plan and non-drug treatment plan);

In step S1305, the treating doctor formulates a follow-up plan;

In step S1306, the patient terminal receives follow-up consultation reminders, patient education articles, etc.;

In step S1307, generate tasks to be processed according to the follow-up plan and remind the treating doctor;

In step S1308, the patient receives follow-up visits.

The present disclosure also provides a disease management device. Figure 14 shows a schematic structural diagram of a disease management method in an exemplary embodiment of the present disclosure; as shown in Figure 14, the disease management device 1400 may include an online consultation module 1410 and a matching module 1420 , health plan formulation module 1430 and post-diagnosis follow-up module 1440:

The online consultation module 1410 is used to receive an online consultation request; the online consultation request includes the patient's chronic disease type;

The matching module 1420 is used to match the treating doctor for the patient according to the type of chronic disease, so as to establish an online consultation link between the treating doctor's terminal and the patient's terminal;

The health plan formulation module 1430 is used to receive the health plan formulated by the receiving doctor terminal based on the online consultation results, and push the health plan to the patient terminal to remind the patient to implement the health plan on time. ;Said health plans include drug treatment plans and non-drug treatment plans;

The post-diagnosis follow-up module 1440 is configured to receive a post-diagnosis follow-up plan formulated by the receiving doctor terminal based on the online consultation results, and send reminder information to the receiving doctor terminal according to the post-diagnosis follow-up plan.

In an exemplary embodiment of the present disclosure, after receiving the online consultation request, the online consultation module 1410 is configured to:

Send a condition questionnaire to the patient terminal; the condition questionnaire has a preset association with the chronic disease type. The condition questionnaire includes multiple questions, each question corresponds to multiple options, and each option corresponds to one Evaluate the score; determine the patient's condition assessment result based on the condition questionnaire submitted by the patient terminal; send the condition questionnaire and the condition assessment result to the receiving doctor terminal.

In an exemplary embodiment of the present disclosure, the health plan formulation module 1430 is configured to:

Receive health plan execution records and physical sign monitoring data uploaded by the patient terminal; analyze and organize the health plan execution records and physical sign monitoring data within a preset time period to generate a health monitoring report.

In an exemplary embodiment of the present disclosure, after receiving the health plan execution record and physical sign monitoring data uploaded by the patient terminal, the health plan formulation module 1430 is configured to:

When the health plan execution record does not meet the preset execution conditions, alarm information is sent to the receiving doctor terminal and the patient terminal; when the physical sign monitoring data is abnormal, alarm information is sent to the receiving doctor terminal and the patient terminal. The patient terminal sends alarm information.

In an exemplary embodiment of the present disclosure, after generating the health monitoring report, the health plan formulation module 1430 is configured to:

The health monitoring report is pushed to the receiving doctor terminal, so that the receiving doctor updates the health plan and the post-diagnosis follow-up plan according to the health monitoring report.

In an exemplary embodiment of the present disclosure, the post-diagnosis follow-up module 1440 is configured to:

Pushing patient education information to the patient terminal to provide health guidance to the patient; the patient education information has a preset association with the chronic disease type.

In an exemplary embodiment of the present disclosure, after receiving the post-diagnosis follow-up plan formulated by the receiving doctor terminal based on the online consultation results, the post-diagnosis follow-up module 1440 is configured to:

Obtain the follow-up time included in the post-diagnosis follow-up plan; and send follow-up prompt information to the patient terminal according to the follow-up time.

In an exemplary embodiment of the present disclosure, the non-drug treatment plan includes at least any one of the following: an exercise plan, a post-diagnosis monitoring plan, and an instrument-assisted treatment plan.

The specific details of each module in the above disease management device have been described in detail in the corresponding disease management method, so they will not be described again here.

It should be noted that although several modules or units of equipment for action execution are mentioned in the above detailed description, this division is not mandatory. In fact, according to embodiments of the present disclosure, the features and functions of two or more modules or units described above may be embodied in one module or unit. On the contrary, the features and functions of a module or unit described above can be further divided into multiple modules or units. to be concrete.

Furthermore, although various steps of the methods of the present disclosure are depicted in the drawings in a specific order, this does not require or imply that the steps must be performed in that specific order, or that all of the illustrated steps must be performed to achieve the desired results. result. Additionally or alternatively, certain steps may be omitted, multiple steps may be combined into one step for execution, and/or one step may be decomposed into multiple steps for execution, etc.

Through the above description of the embodiments, those skilled in the art can easily understand that the example embodiments described here can be implemented by software, or can be implemented by software combined with necessary hardware. Therefore, the technical solution according to the embodiment of the present disclosure can be embodied in the form of a software product, which can be stored in a non-volatile storage medium (which can be a CD-ROM, U disk, mobile hard disk, etc.) or on the network , including several instructions to cause a computing device (which may be a personal computer, a server, a mobile terminal, a network device, etc.) to execute a method according to an embodiment of the present disclosure.

This application also provides a computer-readable storage medium. The computer-readable storage medium may be included in the electronic device described in the above embodiments; it may also exist independently without being assembled into the electronic device.

The computer-readable storage medium may be, for example, but is not limited to, an electrical, magnetic, optical, electromagnetic, infrared, or semiconductor system, apparatus or device, or any combination thereof. More specific examples of computer readable storage media may include, but are not limited to: an electrical connection having one or more wires, a portable computer disk, a hard drive, random access memory (RAM), read only memory (ROM), removable Programmed read-only memory (EPROM or flash memory), fiber optics, portable compact disk read-only memory (CD-ROM), optical storage device, magnetic storage device, or any suitable combination of the above. In this disclosure, a computer-readable storage medium may be any tangible medium that contains or stores a program for use by or in connection with an instruction execution system, apparatus, or device.

Computer-readable storage media may transmit, propagate, or transport a program for use by or in connection with an instruction execution system, apparatus, or device. Program code embodied on a computer-readable storage medium may be transmitted using any suitable medium, including but not limited to: wireless, wire, optical cable, RF, etc., or any suitable combination of the above.

The computer-readable storage medium carries one or more programs. When the one or more programs are executed by an electronic device, the electronic device implements the method described in the above embodiments.

In addition, an electronic device capable of implementing the above method is also provided in an embodiment of the present disclosure.

Those skilled in the art will understand that various aspects of the present disclosure may be implemented as systems, methods, or program products. Therefore, various aspects of the present disclosure may be embodied in the following forms, namely: a complete hardware implementation, a complete software implementation (including firmware, microcode, etc.), or an implementation combining hardware and software aspects, which may be collectively referred to herein as "Circuits", "modules" or "systems".

An electronic device 1500 according to this embodiment of the present disclosure is described below with reference to FIG. 15 . The electronic device 1500 shown in FIG. 15 is only an example and should not have any influence on the functions and scope of use of the embodiments of the present disclosure. limit.

As shown in Figure 15, electronic device 1500 is embodied in the form of a general computing device. The components of the electronic device 1500 may include, but are not limited to: the above-mentioned at least one processing unit 1510, the above-mentioned at least one storage unit 1520, a bus 1530 connecting different system components (including the storage unit 1520 and the processing unit 1510), and the display unit 1540.

Wherein, the storage unit stores program code, and the program code can be executed by the processing unit 1510, so that the processing unit 1510 performs various exemplary methods according to the present disclosure described in the "Example Method" section of this specification. Implementation steps. For example, the processing unit 1510 can perform as shown in Figure 1: Step S110, receiving an online consultation request; the online consultation request includes the patient's chronic disease type; Step S120, based on the chronic disease type, The patient matches the receiving doctor to establish an online consultation link between the receiving doctor terminal and the patient terminal; step S130, receive the health plan formulated by the receiving doctor terminal based on the online consultation results, and push the health plan to The patient terminal is used to remind the patient to execute the health plan on time; the health plan includes a drug treatment plan and a non-drug treatment plan; Step S140: Receive the diagnosis plan formulated by the receiving doctor terminal based on the online consultation results. and a post-diagnosis follow-up plan, sending reminder information to the receiving doctor terminal according to the post-diagnosis follow-up plan.

The storage unit 1520 may include a readable medium in the form of a volatile storage unit, such as a random access storage unit (RAM) 15201 and/or a cache storage unit 15202, and may further include a read-only storage unit (ROM) 15203.

Storage unit 1520 may also include a program/utility 15204 having a set of (at least one) program modules 15205 including, but not limited to: an operating system, one or more application programs, other program modules, and program data, Each of these examples, or some combination, may include the implementation of a network environment.

Bus 1530 may be a local area representing one or more of several types of bus structures, including a memory unit bus or memory unit controller, a peripheral bus, a graphics acceleration port, a processing unit, or using any of a variety of bus structures. bus.

Electronic device 1500 may also communicate with one or more external devices 1600 (e.g., keyboard, pointing device, Bluetooth device, etc.), may also communicate with one or more devices that enable a user to interact with electronic device 1500, and/or with Any device that enables the electronic device 1500 to communicate with one or more other computing devices (eg, router, modem, etc.). This communication may occur through input/output (I/O) interface 1550. Furthermore, the electronic device 1500 may also communicate with one or more networks (eg, a local area network (LAN), a wide area network (WAN), and/or a public network, such as the Internet) through the network adapter 1560. As shown, network adapter 1560 communicates with other modules of electronic device 1500 via bus 1530. It should be understood that, although not shown in the figures, other hardware and/or software modules may be used in conjunction with electronic device 1500, including but not limited to: microcode, device drivers, redundant processing units, external disk drive arrays, RAID systems, tape drives And data backup storage system, etc.

Other embodiments of the disclosure will be readily apparent to those skilled in the art from consideration of the specification and practice of the invention disclosed herein. This application is intended to cover any variations, uses, or adaptations of the disclosure that follow the general principles of the disclosure and include common knowledge or customary technical means in the technical field that are not disclosed in the disclosure. . It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the disclosure being indicated by the following claims.

Claims

A disease management approach that includes:

Receive an online consultation request; the online consultation request includes the patient's chronic disease type;

Match the treating doctor to the patient according to the type of chronic disease to establish an online consultation link between the treating doctor's terminal and the patient's terminal;

Receive the health plan formulated by the receiving doctor terminal based on the online consultation results, and push the health plan to the patient terminal to remind the patient to implement the health plan on time; the health plan includes drug treatment programs and nonpharmacological treatment plans;

Receive a post-diagnosis follow-up plan formulated by the incoming doctor terminal based on the online consultation results, and send reminder information to the incoming doctor terminal based on the post-diagnosis follow-up plan.
The method according to claim 1, wherein after receiving the online consultation request, the method further includes:

Send a condition questionnaire to the patient terminal; the condition questionnaire has a preset association with the chronic disease type. The condition questionnaire includes multiple questions, each question corresponds to multiple options, and each option corresponds to one evaluation score;

Determine the patient's condition assessment results based on the condition questionnaire submitted by the patient terminal;

The condition questionnaire and the condition assessment result are sent to the receiving doctor terminal.
The method of claim 1, further comprising:

Receive health plan execution records and physical sign monitoring data uploaded by the patient terminal;

Analyze and organize the health plan execution records and physical sign monitoring data within the preset time period to generate a health monitoring report.
The method according to claim 3, wherein after receiving the health plan execution record and physical sign monitoring data uploaded by the patient terminal, the method further includes any one or more of the following:

When the health plan execution record does not meet the preset execution conditions, send alarm information to the receiving doctor terminal and the patient terminal;

When the physical sign monitoring data is abnormal, alarm information is sent to the receiving doctor terminal and the patient terminal.
The method of claim 3, wherein after generating the health monitoring report, the method further includes:

The health monitoring report is pushed to the receiving doctor terminal, so that the receiving doctor updates the health plan and the post-diagnosis follow-up plan according to the health monitoring report.
The method of claim 5, further comprising:

Push patient education information to the patient terminal to provide health guidance to the patient;

There is a preset correlation between the patient education information and the chronic disease type.
The method according to claim 5, wherein after receiving the online consultation, the receiving doctor terminal After a post-diagnosis follow-up plan is developed as a result, the method also includes:

Obtain the follow-up time included in the post-diagnosis follow-up plan;

According to the follow-up time, follow-up prompt information is sent to the patient terminal.
The method according to any one of claims 1 to 7, wherein the non-drug treatment plan includes at least any one of the following: an exercise plan, a post-diagnosis monitoring plan, and an instrument-assisted treatment plan.
A disease management device, which includes:

An online consultation module, configured to receive an online consultation request; the online consultation request includes the patient's chronic disease type;

A matching module, used to match the treating doctor for the patient according to the type of chronic disease, so as to establish an online consultation link between the treating doctor's terminal and the patient's terminal;

A health plan formulation module, configured to receive the health plan formulated by the receiving doctor terminal based on the online consultation results, and push the health plan to the patient terminal to remind the patient to implement the health plan on time; Said health plan includes a drug treatment plan and a non-drug treatment plan;

The post-diagnosis follow-up module is used to receive the post-diagnosis follow-up plan formulated by the receiving doctor terminal based on the online consultation results, and send reminder information to the receiving doctor terminal according to the post-diagnosis follow-up plan.
A computer storage medium on which a computer program is stored, wherein when the computer program is executed by a processor, the disease management method according to any one of claims 1 to 8 is implemented.
An electronic device, including:

processor; and

memory for storing executable instructions for the processor;

Wherein, the processor is configured to execute the disease management method of any one of claims 1 to 8 via executing the executable instructions.