JP5350858B2 - Regional medical cooperation support server, regional medical cooperation support method, and regional medical cooperation support program - Google Patents

Description

  The present invention relates to a regional medical cooperation support server, a regional medical cooperation support method, and a regional medical cooperation support program in a regional medical cooperation system.

In recent years, regional medical cooperation has been promoted for the purpose of improving the quality of medical care and optimizing medical expenses. Regional medical cooperation is intended to provide appropriate medical care to all patients by sharing roles based on the characteristics of medical institutions such as clinics and hospitals in each region.
For example, Patent Literature 1 or Patent Literature 2 proposes a technology that supports regional medical cooperation by supporting introduction of patients between medical institutions in a regional medical cooperation system.

JP 2005-122380 A JP 2008-33780 A

  However, the technology described in the above-mentioned patent document promotes the patient to receive medical treatment from an appropriate medical institution by supporting introduction of the patient between medical institutions, and improves the quality of medical care and the cost of medical expenses. Although it is supposed to promote optimization, the effect is not clearly shown. Here, conventionally, there is no mechanism for grasping the impact on the medical expenses due to the regional medical cooperation, the quantitative effect measurement of the influence on the medical expenses due to the introduction of the regional medical cooperation, and the medical care due to the introduction of the regional medical cooperation. There was no attempt to use the impact on costs for the calculation of the budget for medical expenses. Here, it is desirable to improve the quality of medical care and promote the optimization of medical expenses through regional medical cooperation.

  The present invention has been made in view of such circumstances, and clarifies the effect of regional medical cooperation on medical expenses, and outputs information that can be used to formulate a medical expenses budget. An information processing server, an information processing method, and an information processing program are provided.

  In order to solve the above-described problems, the present invention provides a regional medical cooperation support server connected to a medical institution terminal of a medical institution that performs a medical practice by regional medical cooperation for a patient in each region, and the server is within a certain period of time. From the estimated medical cost storage unit in which the estimated value of the medical cost for each region required according to the medical practice performed without depending on the regional medical cooperation on the patient is stored in advance, and the medical institution terminal for each region, Receipt data receiving unit that receives the receipt data including the actual value of the medical expenses corresponding to the medical practice performed on the patient within a certain period, the estimated value of the medical expenses for each area, and the medical expenses for each area The medical cost comparison part which compares the actual value of this, and the output part which outputs the comparison result by a medical cost comparison part are provided, It is characterized by the above-mentioned.

  Further, the present invention is such that the regional medical cooperation support server is connected to an examination / payment institution apparatus of an examination / payment institution that stores in advance receipt data based on a medical practice performed for each area within a certain period of time. The apparatus further includes a receipt data extraction unit that reads out the receipt data stored in the apparatus, and the medical cost comparison unit is included in the estimated medical cost stored in the estimated medical cost storage unit and the receipt data extracted by the receipt data extraction unit. It is characterized by comparing the actual value of medical expenses for each region.

  In the present invention, the receipt data includes a period within a certain period in which the medical practice is performed for each region and information indicating a disease corresponding to the medical practice. The medical cost is compared for each period within a certain period.

  In addition, the present invention is connected to a medical institution terminal of a medical institution that performs a medical practice based on regional medical cooperation for a patient in each region, and a medical practice that is performed on the patient within a certain period without using regional medical cooperation. A regional medical cooperation support method of a regional medical cooperation support server provided with an estimated medical cost storage unit in which an estimated value of medical cost for each region required in advance is stored, wherein the receipt data receiving unit Receiving the receipt data including the actual value of the medical cost according to the medical practice performed on the patient within a certain period from the medical institution terminal, and the medical cost comparison unit The step of comparing the estimated value with the actual value of the medical cost for each region, and the output unit outputting the comparison result by the medical cost comparison unit are provided.

  In addition, the present invention is connected to a medical institution terminal of a medical institution that performs a medical practice based on regional medical cooperation for a patient in each region, and a medical practice that is performed on the patient within a certain period without using regional medical cooperation. The receipt data receiving unit from the medical institution terminal for each region, to the computer of the regional medical cooperation support server provided with the estimated medical cost storage unit in which the estimated value of the medical cost for each region required in advance is stored. A step of receiving receipt data including a medical cost actual value corresponding to a medical practice performed on a patient within a certain period of time, and a medical cost comparison unit; This is a regional medical cooperation support program for executing the step of comparing the actual medical cost value and the step of outputting the comparison result by the medical cost comparison unit.

  As described above, according to the present invention, a regional medical cooperation support server connected to a medical institution terminal of a medical institution that performs a medical practice by regional medical cooperation for a patient in each region is provided to the patient within a certain period. On the other hand, an estimated value of medical expenses for each region that is required according to the medical practice performed without using regional medical cooperation is stored in advance, and is performed on the patient within a certain period from the medical institution terminal for each region. Receive receipt data that includes the actual medical cost value according to the medical practice, compare the estimated medical cost value for each region with the actual medical cost value for each region, and output the comparison result Therefore, for example, by clarifying the difference between the estimated medical cost and the actual medical cost, it becomes possible to measure the quantitative effect of introducing regional medical cooperation, calculate the medical cost budget in the region, etc. Medical expenses that the local government should bear Supporting regional medical cooperation in each region in the country by becoming certain, promoting the optimization of medical expenses for the entire region and the whole country, and providing high-quality and efficient medical care to patients It can be expected to promote.

It is a figure which shows the outline | summary of the regional medical cooperation system by one Embodiment of this invention. It is a block diagram which shows the structure of the regional medical cooperation system by one Embodiment of this invention. It is a figure which shows the example of data of the patient basic information by one Embodiment of this invention. It is a figure which shows the example of data of the medical treatment information by one Embodiment of this invention. It is a figure which shows the data example of the introduction information by one Embodiment of this invention. It is a figure which shows the example of data of the receipt data transmission request by one Embodiment of this invention. It is a figure which shows the example of data of the receipt data by one Embodiment of this invention. It is a figure which shows the example of the comparison result calculated for every area by one Embodiment of this invention. It is a figure which shows the example of the comparison result calculated for every period by one Embodiment of this invention. It is a figure which shows the example of the comparison result calculated for every disease by one Embodiment of this invention. It is a figure which shows the data example of the test result transmission request data by one Embodiment of this invention. It is a figure which shows the example of data of the test result by one Embodiment of this invention. It is a sequence diagram which shows the operation example of the regional medical cooperation system by one Embodiment of this invention. It is a flowchart which shows the operation example of the regional medical cooperation assistance server by one Embodiment of this invention.

Hereinafter, an embodiment of the present invention will be described with reference to the drawings.
First, with reference to FIG. 1, the outline | summary of the regional medical cooperation system 1 by this embodiment is demonstrated. The regional medical cooperation support server 300 according to the present embodiment uses the web service unit 312 included in the regional medical cooperation support server 300 to introduce patients between the core hospital and the clinic based on the regional medical cooperation path in which the process of medical practice is determined. Publish a web service for reverse referrals. The regional medical cooperation support server 300 receives medical data including information such as the patient who performed the medical practice and the medical treatment contents from a computer terminal installed in the core hospital or clinic where the medical practice is performed. Here, medical data is transmitted from the hospital data extraction gateway 121 of the core hospital from the core hospital having the hospital information system 140 capable of collecting the medical data, and the regional medical cooperation support server 300 has the medical service provided by itself. The data is received via the data reception standard interface 311. On the other hand, the regional medical cooperation support server 300 receives medical data via the web service unit 312 from a clinic or the like that has not introduced the hospital information system.

  The disease-specific cooperation path unit 391 provided in the regional medical cooperation support server 300 aggregates medical data for each disease and outputs statistics based on the disease-specific cooperation path in which the process of medical practice performed for each disease is defined. . Receipt data corresponding to medical practice performed on a patient by a medical institution is stored in a receipt data storage unit 420 provided in an examination / payment institution that examines and submits the receipt data to an insurer. The regional medical cooperation support server 300 receives and stores the receipt data transmitted from the receipt data extraction gateway 431 of the examination payment institution via the receipt data reception interface 341. Further, the clinical test result stored in the clinical test result storage unit 510 provided in the clinical test result storage unit 510 of the clinical test maker is transmitted to the regional medical cooperation support server 300 by the test result extraction gateway 521. The regional medical cooperation support server 300 receives and stores the transmitted clinical test result via the test result value reception / conversion interface 381. The regional medical cooperation support server 300 codes the received clinical test result data and receipt data as medical data. In this way, the regional medical cooperation system 1 supports regional medical cooperation.

  FIG. 2 is a diagram illustrating a configuration of the regional medical cooperation system 1 that performs medical cost comparison according to the present embodiment. As described above, the regional medical cooperation system 1 includes the core hospital terminal 100, the clinic terminal 200, the regional medical cooperation support server 300, the examination and payment institution terminal 400, and the clinical laboratory maker 500. Here, the core hospital refers to a medical institution that has hospitalization facilities that exceed the number of beds specified in the secondary medical zone, and the clinic refers to hospitalization that does not have hospitalization facilities or does not meet the specified number of beds. A medical institution with equipment. The secondary medical zone is a regional unit established for the purpose of developing general hospital beds and medical beds in hospitals according to health care plans, etc., and the prefectures are divided into multiple regions according to their size and population. Plans such as the number of standard beds are made for each secondary medical area. Regional medical cooperation is planned in units of such secondary medical areas. In the present embodiment, an example in which medical expenses are compared for each region of such a secondary medical area will be described.

The core hospital terminal 100 is a computer terminal installed in the core hospital, and includes a medical data input unit 110, a medical data transmission unit 120, and a receipt data transmission unit 130.
The medical data input unit 110 accepts input of medical data according to the medical practice performed in the core hospital. The medical data includes, for example, basic patient information, medical information, and introduction information. FIG. 3 is a diagram illustrating an example of data of patient basic information. The basic patient information includes information such as a patient ID (Identifier) for identifying a patient, a patient's name, gender, date of birth, address, telephone number, and insurance information for identifying the insurance the patient has joined. . FIG. 4 is a diagram illustrating an example of medical information data. The medical information includes information such as the date of the medical examination performed on the patient, the next medical treatment schedule, the medical treatment results, the medical treatment items, the examination results, etc. in association with the patient ID. Here, the medical treatment results and medical treatment items include, for example, information indicating the disease of the patient who performed the medical treatment. FIG. 5 is a diagram illustrating an example of introduction information data. The referral information is information according to the patient to be introduced from the medical institution to another medical institution, and the information identifying the referral medical institution in association with the patient ID, the referral source Dr (Doctor), the referral destination Dr (Doctor) ), Referral department, referral department, referral contents, reason for referral, appointment schedule at the referral destination, introduction period (only if there is a period)

The medical data transmission unit 120 transmits the medical data input to the medical data input unit 110 to the regional medical cooperation support server 300.
The receipt data transmission unit 130 generates receipt data according to a predetermined format based on the medical data input to the medical data input unit 110 and transmits the receipt data to the examination and payment institution apparatus 400.

The clinic terminal 200 is a computer terminal installed in a medical institution such as each clinic, and includes a medical data input unit 210, a medical data transmission unit 220, and a receipt data transmission unit 230.
The medical data input unit 210 accepts input of medical data according to the medical practice performed at the clinic. The medical data transmission unit 220 transmits the medical data input to the medical data input unit 110 to the regional medical cooperation support server 300. The receipt data transmission unit 230 generates receipt data according to a predetermined format based on the medical data input to the medical data input unit 210 and transmits the receipt data to the examination and payment institution apparatus 400.

  The regional medical cooperation support server 300 is a computer device installed in a shared data center connected to the core hospital terminal 100, the clinic terminal 200, the examination payment institution device 400, and the clinical laboratory maker device 500. The regional medical cooperation support server 300 includes a medical data reception unit 310, a receipt data storage unit 320, a receipt data collection unit 340, an estimated medical cost input unit 350, an estimated medical cost storage unit 360, and a medical cost comparison unit 370. And an inspection result collection unit 380 and an output unit 390.

  The medical data receiving unit 310 receives medical data transmitted from the core hospital terminal 100 or the clinic terminal 200. The medical data receiving unit 310 may receive the reception data converted into the format of the reception data in which the medical data is determined by the core hospital terminal 100 or the clinic terminal 200, or the format for each medical institution. Different medical data may be received and converted into a predetermined format of receipt data. In addition, the medical data receiving unit 310 provides the core hospital terminal 100 or the clinic terminal 200 with a web page for inputting the receipt data through a GUI (Graphical User Interface), and receives the received data according to the transmitted web page. You may make it receive.

  The receipt data storage unit 320 stores receipt data based on the medical data received by the medical data reception unit 310. The receipt data includes medical expenses (amount) made for medical practice. FIG. 6 is a diagram illustrating a data example of the receipt data stored in the receipt data storage unit 420. The receipt data includes information such as patient ID, target month, medical institution information, department of receipt, insurance information, disease name information, implementation details, and amount of money. Here, the patient ID is identification information of a patient who has performed medical practice. The target month is information indicating the month in which medical practice was performed on the corresponding patient. The medical institution information is information for identifying a medical institution that has performed a medical practice. Here, the medical institution information includes information indicating the location of the medical institution, and the information indicating the location may be, for example, information indicating the area of the medical institution in the secondary medical area.

  The receipt data collection unit 340 transmits a receipt data transmission request for requesting transmission of the receipt data stored in the examination / payment institution apparatus 400 to the examination / payment institution apparatus 400. FIG. 7 is a diagram illustrating an example of data included in the receipt data transmission request that the receipt data collection unit 340 transmits to the examination and payment institution apparatus 400. The receipt data transmission request includes information indicating a target month indicating a period for requesting transmission of receipt data, a patient ID, a target medical institution, and a reception department. The reception department is information indicating a department where medical practice is performed. When the receipt data collection unit 340 receives the receipt data transmitted from the examination and payment institution apparatus 400 in response to the receipt data transmission request, the receipt data collection unit 340 stores the receipt data in the receipt data storage unit 320.

The estimated medical cost input unit 350 stores in advance an estimated value of the medical cost for each region that is required according to the medical practice performed on the patient within a certain period without using regional medical cooperation. For example, the estimated medical cost input unit 350 receives, for each region, each period, and each disease, an estimated medical cost after a certain period calculated based on the current medical cost. Specifically, the estimated medical costs are simulated based on papers and theories based on actual medical costs by region, population, number of patients for each disease, number of complications, etc. for a specific year. This is a calculated value.
The estimated medical cost storage unit 360 receives the estimated medical cost input to the estimated medical cost input unit 350.

  Based on the receipt data stored in the receipt data storage unit 320, the medical cost comparison unit 370 calculates a medical cost for each type within a certain period, for each patient, for each period, for each disease, and the like. Of the estimated medical costs stored in the cost storage unit 360, the corresponding type of medical costs is read out, calculated, and compared. For example, the medical cost comparison unit 370 calculates the difference between the estimated medical cost and the actual medical cost for each type determined within a specific year. FIG. 8 is a diagram illustrating a comparison result between the estimated medical cost and the actual medical cost for each region that are compared and calculated by the medical cost comparison unit 370. FIG. 9 is a diagram illustrating a comparison result between the estimated medical cost and the actual medical cost for each period that are compared and calculated by the medical cost comparison unit 370. Here, it is a comparison result for each period in units of months. FIG. 10 is a diagram illustrating a comparison result between the estimated medical cost and the actual medical cost for each disease that the medical cost comparison unit 370 compares and calculates.

  The test result collection unit 380 transmits a test result data transmission request to the clinical test maker apparatus 500, and receives a test result transmitted from the clinical test maker apparatus 500 in response to the transmitted test result data transmission request. FIG. 11 is a diagram illustrating an example of data included in the inspection result data transmission request transmitted by the inspection result collection unit 380. The test result data transmission request includes information on the patient ID, the target date, the target medical institution, and the target result type.

  The output unit 390 outputs the comparison result calculated by the medical cost comparison unit 370 and the clinical test result received by the test result collection unit 380. The output unit 390 may be a display that displays an image, a printing unit that prints a comparison result or the like on a paper medium, and the like. The user of the regional medical cooperation support server 300 can know the quantitative effect of the introduction of the regional medical cooperation by referring to the comparison result output from the output unit 390. In addition, the user can calculate the medical cost budget in the region based on the comparison result, and can clarify the medical cost that the country or local government should bear.

  Further, the output unit 390 has a web service function, medical data transmitted from the core hospital terminal 100 and the clinic terminal 200, receipt data read from the examination and payment institution device 400, and examination received from the clinical laboratory maker device 500 A result or the like is transmitted in response to a request from the core hospital terminal 100 or the clinic terminal 200, and the core hospital terminal 100 and the clinic terminal 200 are referred to each other. Thereby, the core hospital terminal 100 and the clinic terminal 200 can easily exchange information such as medical treatment contents and test results for the same patient with other medical institutions.

The examination / payment institution apparatus 400 includes a receipt data receiving unit 410, a receipt data storage unit 420, and a receipt data transmission unit 430.
The receipt data receiving unit 410 receives the receipt data transmitted from the regional medical cooperation support server 300 and stores it in the receipt data storage unit 420.
The receipt data storage unit 420 stores the receipt data corresponding to the format determined in the regional medical cooperation.

  The receipt data transmission unit 430 reads the reception data stored in the reception data storage unit 420 in response to the reception data transmission request received from the reception data collection unit 340 of the regional medical cooperation support server 300, and receives the read reception data. The data is transmitted to the data collection unit 340. Here, the receipt data storage unit 430 reads only the receipt data corresponding to the patient ID included in the receipt data transmission request from the regional medical cooperation support server 300 from the receipt data transmission unit 420 and sends it to the regional medical cooperation support server 300. You may make it transmit. Thus, since the receipt data is the patient's personal information, when the receipt data storage unit 430 transmits the receipt data, it is not necessary to transmit all or arbitrary reception data stored in the receipt data transmission unit 420. Instead, only the receipt data corresponding to the patient ID included in the receipt data transmission request is read and transmitted.

The clinical test maker device 500 is a computer device that stores the results of a clinical test performed based on a request from a medical institution, and includes a clinical test result storage unit 510 and a clinical test result transmission unit 520. .
The clinical test result storage unit 510 stores a result of a clinical test performed based on a request from a medical institution. FIG. 12 is a diagram illustrating a data example of test result data stored in the clinical test result transmission unit 510. The test result data includes information indicating a patient ID, a target date, medical institution information, a test result item code, a test result item, test result contents, and a test result unit.

  The clinical test result transmission unit 520 reads the test result from the clinical test result storage unit 510 in response to the test result data transmission request transmitted from the test result collection unit 380, and sends the read test result to the regional medical cooperation support server 300. Send.

FIG. 13 is a sequence diagram illustrating an example in which data is transmitted and received by the regional medical cooperation system 1 according to the present embodiment.
When a medical practice is performed at the core hospital, the medical data input unit 110 of the core hospital terminal 100 accepts input of medical data regarding the medical practice performed on the patient. The medical data input to the core hospital terminal 100 by the user includes patient basic information, medical information, and introduction information. The medical data transmission unit 120 of the core hospital terminal 100 transmits the input medical data to the regional medical cooperation support server 300 (step S1). Similarly, when a medical practice is performed at the clinic, the clinical data input unit 210 of the clinic terminal 200 accepts input of clinical data regarding the medical practice performed on the patient. The medical data transmission unit 220 of the clinic terminal 200 transmits the input medical data to the regional medical cooperation support server 300 (step S2).

  The medical data receiving unit 310 of the regional medical cooperation support server 300 receives the medical data transmitted from the core hospital terminal 100 or the clinic terminal 200. The regional medical cooperation support server 300 compares the basic patient information received by the medical data receiving unit 310 with the basic patient information stored in advance in its own storage area. It is determined whether it is stored in the storage area. Here, basic patient information received from the core hospital terminal 100 or clinic terminal 200 based on information such as the patient's name, gender, date of birth, address, and telephone number included in the basic patient information is stored in advance. It is possible to determine whether the basic patient information corresponding to the same patient corresponds to the same patient. Here, the regional medical cooperation support server 300 determines that the patient ID included in the basic patient information transmitted from the core hospital terminal 100 or the clinic terminal 200 is an ID uniquely given in each medical institution. The unique patient ID in the medical institution is converted into a patient ID for identifying the patient in the regional medical cooperation support server 300 (step S3). The regional medical cooperation support server 300 stores the medical data received from the core hospital terminal 100 or the clinic terminal 200 in its own storage area.

  The receipt data collection unit 340 of the regional medical cooperation support server 300 transmits a receipt data transmission request to the examination payment organization apparatus 400 (step S4). Upon receipt of the receipt data transmission request transmitted from the regional medical cooperation support server 300, the receipt data transmission unit 430 of the examination payment organization apparatus 400 reads the receipt data stored in the receipt data storage unit 420, and reads the received receipt data. Information to be identified is stored in a receipt data transmission patient list table indicating that the receipt data has been transmitted to the regional medical cooperation support server 300 (step S5), and is transmitted to the regional medical cooperation support server 300 (step S6). .

  The test result collection unit 380 of the regional medical cooperation support server 300 transmits a test result data transmission request to the clinical test maker device 500 (step S7). Upon receiving the test result transmission request transmitted from the regional medical cooperation support server 300, the clinical test result transmitting unit 520 of the clinical test maker device 500 reads the test result stored in the clinical test result storage unit 510 and reads the read test result. Information for identifying the result is stored in the examination result transmission patient list table indicating that the examination result has been transmitted to the regional medical cooperation support server 300 (step S8), and is transmitted to the regional medical cooperation support server 300 (step S8). S9). Thus, in the regional medical cooperation support server 300, the receipt data input and stored in the core hospital terminal 100, the clinic terminal 200, and the examination and payment institution apparatus 400, and the test results stored in the clinical laboratory maker apparatus 500 are stored. Information etc. are collected and stored.

Next, with reference to FIG. 14, an example of a processing operation in which the regional medical cooperation support server 300 performs a medical cost comparison for each region will be described.
When the regional medical cooperation is not performed, the estimated medical cost input unit 350 receives an estimated value of the medical cost that is required according to the medical practice for the patient within a certain period, and is stored in advance for each region. (Step S11). The receipt data collection unit 340 extracts the receipt data stored in the examination and payment institution apparatus 400 every month, calculates the actual value of medical expenses based on the extracted receipt data, and stores it in the receipt data storage unit 320. (Step S12). The medical cost comparison unit 370 calculates a comparison result between the actual medical cost stored in the receipt data storage unit 320 and the estimated medical cost stored in the estimated medical cost storage unit 360 (step S13). The output unit 390 outputs the comparison result calculated by the medical cost comparison unit 370.

  As described above, according to the present embodiment, it becomes possible to measure the quantitative effects of the introduction of regional medical cooperation, calculate the medical cost budget in the region, etc. By clarifying this situation, regional medical cooperation will advance in each region of the country, and while promoting the appropriateness of medical expenses for the entire region and the entire country, providing high-quality and efficient medical care to patients It can be expected to promote. Further, for example, by accumulating the medical expenses for each patient, it is possible to calculate the medical expenses required for regional medical cooperation in the area. In addition, graphs of changes in the medical costs and the number of patients for each region and disease, and the actual results of simulations of medical costs, etc. when the patient's medical condition worsens without regional medical cooperation By taking the difference from the medical expenses, it is possible to quantitatively calculate the effect of performing regional medical cooperation.

In the future, by measuring the medical costs based on the number of specialists, etc., and comparing the rate of change in medical costs for each disease year by year, with and without the entire region, disease unit, and regional medical cooperation. A medical cost simulation may be performed. Thus, by utilizing the receipt data, it is possible to compare the medical expenses with and without the regional medical cooperation and clarify the baseline for calculating the medical expenses budget.
In addition, by referring to the test result transmitted from the clinical test maker device 500 to the regional medical cooperation support server 300 and output from the output unit 390, the treatment effect when the regional medical cooperation is performed, It is possible to simulate the optimal number of specialists and hospitals. Further, for example, referring to the receipt data stored in the receipt data storage unit 320, for example, when the number of patients with a specific disease becomes a certain number or more, or a threshold value in which a clinical test result of a specific patient is determined By outputting a warning message when the condition worsens beyond the threshold, it is possible to grasp an early response to a change in the medical situation and a change in a disease state across hospitals. As a result, it is possible to prevent information transmission errors when introducing patients between medical institutions.

  Note that a program for realizing the function of the processing unit in the present invention is recorded on a computer-readable recording medium, and the program recorded on the recording medium is read into a computer system and executed, thereby executing regional medical cooperation. Support may be provided. Here, the “computer system” includes an OS and hardware such as peripheral devices. The “computer system” includes a WWW system having a homepage providing environment (or display environment). The “computer-readable recording medium” refers to a storage device such as a flexible medium, a magneto-optical disk, a portable medium such as a ROM and a CD-ROM, and a hard disk incorporated in a computer system. Further, the “computer-readable recording medium” refers to a volatile memory (RAM) in a computer system that becomes a server or a client when a program is transmitted via a network such as the Internet or a communication line such as a telephone line. In addition, those holding programs for a certain period of time are also included.

  The program may be transmitted from a computer system storing the program in a storage device or the like to another computer system via a transmission medium or by a transmission wave in the transmission medium. Here, the “transmission medium” for transmitting the program refers to a medium having a function of transmitting information, such as a network (communication network) such as the Internet or a communication line (communication line) such as a telephone line. The program may be for realizing a part of the functions described above. Furthermore, what can implement | achieve the function mentioned above in combination with the program already recorded on the computer system, what is called a difference file (difference program) may be sufficient.

DESCRIPTION OF SYMBOLS 1 Regional medical cooperation system 100 Core hospital terminal 110 Medical data input part 120 Medical data transmission part 121 Hospital data extraction gateway 130 Receipt data transmission part 140 Hospital information system 200 Clinic terminal 210 Medical data input part 220 Medical data transmission part 230 Receipt Data transmission unit 300 Regional medical cooperation support server 310 Medical data reception unit 311 Medical data reception standard interface 312 Web service unit 320 Receipt data storage unit 340 Receipt data collection unit 341 Receipt data reception interface 350 Estimated medical cost input unit 360 Estimated medical treatment Cost storage unit 370 Medical cost comparison unit 380 Test result collection unit 381 Test result value reception / conversion interface 390 Output unit 391 Linkage unit by disease 400 Examination payment institution 410 Receipt data receiving unit 420 receipt data transmission unit 430 receipt data storage unit 431 receipt data extraction gateway 500 clinical testing maker 510 clinical test result transmitter 520 clinical test result storage unit 521 the test result extraction gateway

Claims (5)

Regions that receive medical data including information on patients who have performed medical practice and medical treatment contents from multiple medical institutions terminals installed at multiple medical institutions of different scales, and publish web services including patient introductions A medical cooperation support server,
An estimated value of medical expenses required for medical treatment performed if the web service is not used for the patient within a certain period of time, calculated based on past medical expenses An estimated medical cost storage unit in which an estimated value of medical costs after a certain period is stored in advance;
A receipt data receiving unit that receives, from the plurality of medical institution terminals, receipt data including actual medical cost values according to medical practices performed on the patient within the predetermined period;
A medical cost comparison unit that compares the estimated value of the medical cost and the actual value of the medical cost;
An output unit for outputting a comparison result by the medical cost comparison unit;
A regional medical cooperation support server characterized by comprising: The regional medical cooperation support server is connected to an examination / payment institution device of an examination / payment institution in which the receipt data based on a medical practice performed for each area within the predetermined period is stored in advance,
A receipt data extraction unit for reading the receipt data stored in the examination and payment institution apparatus;
The medical cost comparison unit includes an estimated value of the medical cost stored in the estimated medical cost storage unit, and an actual value of the medical cost for each region included in the receipt data extracted by the receipt data extraction unit. The regional medical cooperation support server according to claim 1, wherein: The receipt data includes a period within the predetermined period in which medical practice was performed for each region, and information indicating a disease corresponding to the medical practice,
The regional medical cooperation support server according to claim 1 or 2, wherein the medical cost comparison unit compares the medical cost for each disease and for each period within the predetermined period. Regions that receive medical data including information on patients who have performed medical practice and medical treatment contents from multiple medical institutions terminals installed at multiple medical institutions of different scales, and publish web services including patient introductions a medical cooperation support server, with respect to the patient within a certain period of time, be if the estimated value of the medical expenses of each region that is required in accordance with the medical practice to be performed in case you did not use the web service The regional medical cooperation support method of the regional medical cooperation support server provided with the estimated medical cost storage unit in which the estimated value of the medical cost after a certain period calculated based on the past medical expenses is stored in advance,
A step of receiving, from the plurality of medical institution terminals, a receipt data including an actual value of medical expenses according to a medical practice performed on the patient within the predetermined period;
A medical cost comparison unit comparing the estimated value of the medical cost for each region with the actual value of the medical cost for each region;
An output unit outputting a comparison result by the medical cost comparison unit;
Regional medical cooperation support method characterized by comprising. Regions that receive medical data including information on patients who have performed medical practice and medical treatment contents from multiple medical institutions terminals installed at multiple medical institutions of different scales, and publish web services including patient introductions a medical cooperation support server, with respect to the patient within a certain period of time, be if the estimated value of the medical expenses of each region that is required in accordance with the medical practice to be performed in case you did not use the web service The computer of the regional medical cooperation support server provided with the estimated medical cost storage unit in which the estimated value of the medical cost after a certain period calculated based on the past medical cost is stored in advance,
A step of receiving, from the plurality of medical institution terminals, a receipt data including an actual value of medical expenses according to a medical practice performed on the patient within the predetermined period;
A medical cost comparison unit comparing the estimated value of the medical cost for each region with the actual value of the medical cost for each region;
An output unit outputting a comparison result by the medical cost comparison unit;
Community medical cooperation support program to execute.

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