JP3113232U - Patient aftercare device - Google Patents

Abstract

The present invention relates to a device for aftercare of a patient who has visited a hospital or a patient who has been discharged from a hospital, and to provide appropriate advice to the patient after discharge or timely visit so that the patient can perform aftercare more accurately.
Advice or attention for ensuring that the patient himself or herself performs subsequent aftercare treatment based on the diagnosis of the doctor at the time of discharge or visit uses the mail system of the personal computer 12 or the mobile phone 11. Provide a device that is transmitted to the patient in a timely manner. A mail to be transmitted is created by a doctor for each individual patient. The system includes a template storage unit 15 and an individual mail creation unit 16, and a plurality of templates (models) 20 are registered in the template storage unit 15 in advance for each doctor or each disease type. The planned transmission means 18 automatically transmits the individual mail text whose system date is the transmission date to the mail address stored in association with the mail text.
[Selection] Figure 1

Description

  This device relates to a device for aftercare of a patient who has visited or discharged from a hospital, and relates to an aftercare system using e-mail.

  An information processing system called a receipt system or an electronic medical record system is used as a system for managing office work such as insurance claims in hospitals and managing illnesses of individual patients. Management of illnesses for individual patients, such as the medical condition of patients in hospital and visiting hospitals, and doctors' prescriptions, is performed by the above-described system, particularly an electronic medical record system. The electronic medical record records the visit history, the symptoms and treatments at the visit, and the doctor can refer to those records and perform appropriate treatment for the inpatient and the visit patient.

When a patient who is discharged from the hospital after receiving treatment in the hospital or needs to continue taking medication, the doctor informs the patient at the time of discharge or visit, and the patient revisits according to the doctor's instructions. Self-administration, such as visiting the hospital again every day or taking the medicine as instructed.
Japanese Patent Laid-Open No. 2003-203040

  However, patients often forget a revisit day or forget to take medicine when their condition recovers. It is sufficient if the recovery of symptoms is a result of cure of the disease, but depending on the disease, even if the symptoms recover, it is necessary to continue taking the drug to cure the disease, or whether it is completely cured Diagnosis is necessary. Furthermore, in some cases, it may be preferable to change the type of medicine to be taken after a predetermined number of days have passed, or to change the type of medicine and the number of times of taking it according to the subjective symptoms.

  At present, it is normal to write down the date of re-examination, the type of medicine, and how to take it to the patient and hand it to the patient. It is rather rare to reconfirm the date of revisiting and how to take medicines with this memo, and it cannot be said that the patient's self-management discharge or aftercare after visiting the hospital is sufficient.

  This device was made to solve these problems, and it is timely and appropriate for patients after discharge or visit while respecting the patient's independence and without taking too much trouble on the hospital side. The issue is to give advice and ensure that the patient's own aftercare is performed more accurately.

  This device uses the mail system of the personal computer 12 or the mobile phone 11 for advice or attention to ensure that the patient himself or herself performs subsequent aftercare treatment based on the diagnosis of the doctor at the time of discharge or visit. The above-mentioned problems are solved by providing a device that is transmitted to a patient in a timely manner.

  The email to be sent is created for each individual patient according to the doctor's instructions when the patient leaves or visits. The doctor can also create it directly. The system includes a template storage unit 15 and an individual mail creation unit 16, and a plurality of templates (models) 20 are registered in the template storage unit 15 in advance for each doctor or each disease type. The mail sentence 21 can be created in a short time using the individual mail creation means 16 by the doctor selecting a template and adding necessary comments to individual patients, thereby reducing the work load on the doctor and the hospital side. To do.

  The transmission date is designated by a doctor's instruction when an individual mail text is created. The date should be specified as a relative date, that is, the day when the email message was created as a reference, such as one day, two days, one week later, etc., and the date is converted to an absolute date and the patient ID or email address And memorize it with individual mail sentences. The planned transmission means 18 registered in the system automatically transmits the individual mail text whose system date is the transmission date to the mail address stored in association with the mail text.

  The aftercare device of the present invention that performs the above-described operation is performed using an information processing system connected to the Internet. In general, a server 1 having Internet connection means, and a reception terminal 4 and a doctor terminal 5 connected to the server via a LAN are used. At present, there are many hospitals that are already operating the REST system 2 and the electronic medical record system 3, so that data can be exchanged with these systems as much as possible so that each patient's data and doctor names can be shared. To do.

  When the reception system 2 and the electronic medical chart system 3 are operating, the reception terminal 4 and the doctor terminal 5 are also connected to the server of the reception system and the electronic medical chart system via a LAN. When there are a plurality of doctors, a plurality of doctor terminals 5 are naturally installed, and a plurality of reception terminals 4 are installed in a large hospital.

  The system of the present invention includes an Internet connection means, a mail address storage means 14, a template storage means 15 for storing a plurality of templates 20 that are the basis of individual mail sentences, a patient ID, a transmission date, and a necessary date in the called template. Individual mail creation means 16 for entering a comment, mail text storage means 17 for storing the created individual mail text 21, and individual mail text 21 whose transmission date is the system date are described in each mail text. Plan transmission means 18 for transmitting to a mail address corresponding to the patient ID.

  When the system of the present invention is used, the mail address of the patient is registered in the mail address storage means 14 in association with the patient ID of the patient who desires mail. In the template storage unit 15, a plurality of reference mail sentences prepared for each doctor and each kind of disease are registered. The mail text 21 created by the individual mail creating means 16 is stored in the mail text storage means 17. The stored individual e-mail sentence 21 is extracted by the plan transmission means, with the transmission date being the system date, and automatically transmitted.

  The system of this invention can include a known mail broadcast system. By including an e-mail broadcast system, it becomes possible to notify the patient who the doctor is in charge of the absence due to the emergency of the doctor. Furthermore, the system of the present invention further comprises means for receiving mail from the patient, means for storing the received mail, and means for classifying or searching the received mail or the stored mail based on the patient ID and doctor ID. It can be. By providing such additional means, when a patient visits for re-examination, the doctor can easily check the message from the patient, and by using it as a reference for understanding the medical condition and diagnosis, More appropriate treatment can be performed.

  According to the aftercare device of this device, appropriate advice according to the doctor's instructions at the time of discharge or visit of the patient is notified by email to the patient at the most appropriate date and time for giving the advice, and the mail For example, patients will be able to confirm the medical condition at that time, check the date and time of revisiting, and check medications, etc., so that aftercare and post-visit patient self-management will be performed more appropriately. This has the effect of becoming

  Hereinafter, embodiments of the present invention will be described with reference to the drawings. FIG. 1 is a diagram showing an example of a system of the present invention (hereinafter referred to as “the present system”) in a hospital where two or more doctors are installed and a well-known response system and electronic medical record system are introduced.

  In the figure, 1 is a server of this system, 2 is an existing reception system, 3 is an existing electronic medical record system, 4 is a reception terminal, 5 is a doctor terminal, and 6 is the Internet. Although only one reception terminal 4 and doctor terminal 5 are shown in the figure, a plurality of these reception terminals 4 and doctor terminals 5 are installed depending on the scale of the hospital. The server 1 includes means for connecting to the Internet 6, and is connected to the reception system 2, the electronic medical chart system 3, the reception terminal 4, and the doctor terminal 5 through a LAN.

  The reception terminal 4 is connected with a medical examination ticket reading device 8 and a medical examination card issuing device 9, and the medical doctor terminal 5 is connected with a medical examination card reading device 10. In this example, it is assumed that the patient ID recorded on the examination ticket is transferred in a machine-readable form such as a barcode to a consultation form issued for the patient by the function of the receipt system 2. If such a transfer is not performed, the doctor terminal 5 also needs an examination ticket reader.

  In FIG. 1, 11 is a mobile phone owned by a patient, 12 is a personal computer, and these patient-side terminals are connected to the server 1 of this system via the Internet 6 via respective providers.

  The server 1 has a mail address storage means 14 for storing an address book 19, a template storage means 15 for storing a template list 20, an individual mail sentence creation program 16, a storage means 17 for an individual mail sentence 21, and a plan for stored mail sentences. A transmission program 18 is registered. The template list 20 and the individual mail sentence creation program 16 can also be placed in the doctor terminal 5 or the reception terminal 4.

  If the doctor directly operates the doctor terminal 5 to create an individual mail sentence, the template list 20 and the individual mail sentence creation program 16 are placed on the server 1 and transfer necessary resources to the doctor terminal 5 when necessary. Or, the one corresponding to each doctor is placed on the doctor terminal 5. On the other hand, if data input to the system is performed at the reception or the like based on a doctor's instruction, these are placed on the server 1 or the reception terminal 4. In this embodiment, the template list 20 and the individual data sentence creation program 16 are placed on the server 1 and these data are called and input by the receiving terminal 4 as an example.

  The address book 19 is a database that stores patient IDs and patient mail addresses in association with each other. When this system is separated from the reception system 2 and the electronic medical record system 3 and becomes an independent system, the name, address, telephone number, etc. of the patient are also registered in the address book 19. An example of an address book input screen in such a case is shown in FIG. This address book includes data input means and record search means by patient ID and doctor name.

  In the template list 20, a plurality of reference mail sentences and their titles are registered by classifying the doctor in charge and depending on the case, depending on the type of disease. The individual mail text creating program 16 includes a template selecting means for selecting one of the registered templates 20, an editing means for editing the title and reference mail text, a comment input means, a transmission date specifying means, Patient ID transcription means for associating the read patient ID with the individual mail and sender transcription means for transcription of the doctor name from the user name of the doctor terminal 5 are provided.

  For example, the template email message is “The medicine you are taking now is taken twice a day after morning and evening meals. Remember to continue taking it for a while even after the symptoms recover. `` Please take it, '' or `` Since it has been a week since I came to the hospital, I think my symptoms have improved, but if my symptoms have not changed, I may want to change my medicine. Please come to the clinic as soon as possible. "Or" Tomorrow (XX day) is the promised re-check day. Please remember to be in time for reception hours (XX hours to XX hours). " In the above sentence, the description items can be changed according to the medical condition of each patient and additional comments can be input. An example of this input screen is illustrated in FIG. The patient name entered in the address field here is the one transferred from the address book 19 of this system or the database of the reception system 2 on the basis of the patient ID read by the medical examination card reader 9.

  In order to avoid mistakes, it is effective to select and input the transmission date column from the pull-down menu. The pull-down menu has options for specifying relative dates and other options such as one day, two days, three days, one week, two weeks, and so on. Arbitrary dates can be entered. When a relative date is input, the relative date is displayed as the transmission date, and the absolute date corresponding to the relative date is stored in the individual mail text storage means together with the created mail text.

  The planned transmission program 18 selects a mail sentence whose transmission date is the system date at a certain time every day from the individual mail sentences 21 stored in the individual mail sentence storage means 17, and is associated with the mail sentence. This program automatically sends to an e-mail address. The mail address is designated by searching the address book 19 with the patient ID associated with the individual mail text.

  FIG. 4 is a flowchart showing the operation procedure of the planned transmission program 18. First, in step 50, one record is read from the mail list, and in step 51, the mail transmission date is acquired. In step 52, the acquired transmission date is compared with the system date. For e-mails whose send date is earlier than the current date and have not been sent, read the e-mail transmission data, read the template specified for e-mail transmission, create the e-mail body and title, create the additional text part from the comment data, Create a destination, send the email, and mark the email sent. In this example, only the date of transmission is specified, but the planned transmission program 18 can be operated multiple times every day by specifying the date and time. In this case, as a matter of course, an unsent mail whose transmission date / time is before the system date / time is transmitted.

  If the transmission procedure is completed or the transmission date of the read record is after the current day or after transmission, it is determined in step 53 whether there is next mail transmission data. repeat. When the processing for one patient is completed, it is determined in step 54 whether there is next patient data. If there is, the next patient data is read and the above procedure is repeated. By automatically executing the above-mentioned procedure every day at a predetermined time, the created mail text is transmitted to the patient's personal computer or mobile phone on the transmission date when it is determined.

  FIG. 2 is a diagram for explaining the outline of the flow of procedures when an outpatient visits a hospital that employs the present system.

  When the patient who visits has an examination ticket, the patient passes the examination ticket to the reception desk, and the staff passes the examination ticket through the card reader. The display of the reception terminal 4 displays the patient ID, patient name, sex, date of birth, mail address, telephone number, doctor in charge, last visit date, visit history, and past mail history. In the case of the first visit or when the attending doctor is absent and the attending doctor needs to be changed, the attending doctor is changed and the consultation form is printed.

  If the patient does not have an examination ticket, the staff will register a new patient. The registered items are patient ID, patient name, gender, date of birth, e-mail address, telephone number, and the like. When mail by this system is required, mail transmission is set. Then, the doctor in charge is specified, and the consultation form is printed. The patient ID is printed on the consultation form with the same barcode as the patient ID on the examination ticket. The reception staff updates the data of the last visit date, and gives the output medical examination slip to the patient.

  The patient gives a medical examination slip to a doctor or nurse at the clinic. The doctor or nurse reads the bar code on the consultation form with the consultation form reading device 10 and calls the electronic medical record from the read patient ID, and the doctor makes an examination.

  In the case of a new medical examination, the doctor asks again whether or not to send an e-mail, and changes the e-mail transmission setting if necessary. Then, the doctor fills in the prescription on the electronic medical record. For patients who need to send mail, doctors write mail delivery instructions. In this instruction sheet, a designated transmission date, a mail template type, a comment, and a patient ID are entered.

  The reception calls the reception software, fills in the prescription designated by the doctor, charges the patient based on the output data of the reception software, and returns the examination ticket. The pharmacist delivers the medicine to the patient according to the medicine slip.

  The reception calls the template specified in the instruction based on the mail delivery instruction, inputs a comment, indicates the mail transmission date, and stores the created mail sentence 21 in the individual mail sentence storage means 17. . The stored mail sentence 21 is transmitted to the patient by the planned transmission program 18 on the transmission date designated in the above-described procedure.

  The above procedure shows the procedure when a doctor designates an individual e-mail text as an instruction and the operator of the reception terminal 4 inputs it to the system based on the instruction. If it is a doctor, the doctor can directly create and register the individual mail sentence 21 as electronic data using the doctor terminal 5.

  In this way, the mail text 21 addressed to each individual patient created at the time of the visit is automatically transmitted to the patient's mobile phone 11 or personal computer 12 on the transmission date. It is possible to check the medical condition, taking medicine, the date of revisiting, etc. at the appropriate time, so that more appropriate aftercare of the patient after visiting or leaving the hospital becomes possible.

The figure which shows one Embodiment of this invention The figure which shows the outline of the flow of the procedure in the hospital of the visit patient in the hospital provided with this system Figure showing an example of patient data input screen Figure showing an example of an individual mail text creation screen Flow chart showing processing procedure of plan transmission means

Explanation of symbols

15 Template storage means
16 Individual mail text creation program
17 Mail text storage means
18 Plan transmission program
20 templates
21 Mail text

Claims (3)

  Mail address storage means for storing the registered patient's mail address in association with the patient ID, template storage means (15) for storing a plurality of templates (20), and patient ID or its mail address in the called template Individual mail creation means (16) for associating the transmission date and necessary comments, mail text storage means (17) for storing the created individual mail text (21), and an individual mail text for which the transmission date is a system date And a plan transmission means (18) for transmitting a message to a mail address associated with each mail text or a mail address corresponding to a patient ID.   A mail address storage means for storing the registered patient's mail address in association with the patient ID, a template storage means (15) for storing a plurality of templates 20, a patient ID or its mail address in the called template, and transmission Individual mail creation means (16) for associating date and time and necessary comments, mail text storage means (17) for storing the created individual mail text (21), and individual unsent messages whose transmission date is earlier than the system date and time An aftercare apparatus for visiting patients, comprising plan transmission means (18) for transmitting the mail text to the mail address described in each mail text or the mail address corresponding to the patient ID.   The aftercare apparatus for visiting patients according to claim 1, wherein the template storage means (15) stores a plurality of templates (20) including a reference mail sentence prepared for each doctor.

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