JP7594160B2 - Medical and nursing care cooperation system, medical and nursing care cooperation server, medical and nursing care cooperation method, and medical and nursing care cooperation program - Google Patents

Description

The present invention relates to a medical and nursing care coordination system, a medical and nursing care coordination server, a medical and nursing care coordination method, and a medical and nursing care coordination program.

As the aging of society progresses, many nursing care facilities are opening. Care recipients and their families consult with medical institution staff, such as medical social workers, nurses, and administrative staff at the hospital where the patient is admitted, to select another medical institution or nursing care facility. Medical institution staff need to check the admission system and available beds of other medical institutions and nursing care facilities depending on the patient's various circumstances, such as physical function and financial situation. This places an increasing burden on medical institution staff.

On the other hand, some nursing care facilities are now offering a service that discloses available bed status via the Internet. For example, Patent Document 1 discloses a system that manages available bed status, user information, and user usage status at nursing care facilities.

JP 2017-157210 A

Due to an increase in elderly patients, advances in medical technology, and a reduction in hospital stays (length of stays) due to government policies to rationalize medical costs, many medical institutions are tending to specialize in acute care (medical care that specializes in advanced medical care such as emergency care and surgery). As a result, many patients are now in need of advanced medical treatment after being discharged from the hospital, and in recent years, there has been a growing need for discharge support from medical institution staff such as medical social workers.

The main means by which medical institution staff, such as medical social workers, contact other medical institutions and nursing facilities are by telephone and fax. As a result, they must explain the health condition and requests of other medical institutions, nursing facilities, and patients (those using the nursing facility after being discharged from hospital) one by one, and check such things as whether they can accept patients, the availability of beds, when they can move in, and the arrangement of pamphlets. In addition, other medical institutions and nursing facilities are also short-staffed, and it is often difficult to get through to the counselors in charge by phone. As such, the burden on medical institution staff is extremely heavy. And the burden on nursing facility staff is also heavy.

In addition, due to policies to rationalize medical expenses, the length of hospital stays (number of days hospitalized) is being shortened, and the number of patients admitted and discharged per day at medical institutions is on the rise. As a result, the amount of discharge support work for medical institution staff, especially medical social workers, is increasing, and their burden and responsibilities are growing day by day.

There are also home care services that allow patients to receive nursing care services while staying at home. Home care services may also be selected as support after discharge from hospital. In this case, medical institution staff must suggest a facility that provides home care services suitable for the patient/user from among the many home care services available. Furthermore, when a home care service user moves into a nursing care facility, the care manager (care manager) must find a nursing care facility or medical institution suitable for the user, which places a heavy burden on the care manager. Furthermore, users may move from one medical institution to another. In this case, medical institution staff, such as medical social workers, may search for another medical institution. In the following, medical institutions will also be referred to simply as institutions. Nursing care facilities and facilities that provide home care services will also be referred to simply as facilities.

In view of the above problems, the present invention aims to provide technology that reduces the burden on medical institution and nursing facility staff and supports the discharge of patients and users and their transfer to medical institutions or nursing facilities.

In order to solve the above problems, the medical care coordination system of the present invention includes a storage unit that stores patient/user information including at least patient/user identification information for identifying a patient/user, patient/user attribute information related to the attributes of the patient/user, and desired institution/facility information related to information on a host institution/facility desired by the patient/user, institution/facility identification information for identifying the host institution/facility, and institution/facility attribute information associated with the patient/user attribute information and the desired institution/facility information, the institution/facility information including at least the institution/facility attribute information related to information on the host institution/facility, and a processing unit that, upon receiving input of patient/user information via a terminal, stores the patient/user information in the storage unit and, based on the institution/facility information stored in the storage unit, searches for institutions/facility that can accept the patient/user after the patient/user leaves the institution/facility currently being used, and displays the search results on the display unit of the terminal.

According to the medical and nursing care cooperation system of the present invention, by managing patient/user information and institution/facility information, it is possible to reduce the burden on medical institution staff and nursing facility staff and extract institutions/facilities where patients can live after discharge. In other words, it is possible to provide a matching system between medical institutions, nursing facilities, and facilities that provide home care services. As a result, it is possible to provide a service that streamlines the work of medical institution staff and facility staff and allows patients/users to select institutions/facilities that satisfy them. For example, in the case of moving from a medical institution to a nursing facility, it is possible to provide a service that streamlines the discharge support work of medical institution staff, especially medical social workers, and allows patients to select a nursing facility that satisfies them. In addition, by reducing the burden of discharge support work on medical institution staff, especially medical social workers, it is possible to prevent resignations and contribute to the provision of stable social welfare services. In addition, the work burden of nursing facility staff is reduced because the effort of answering the phone and other matters is reduced. Furthermore, the medical and nursing care coordination system of the present invention can be applied to matching between medical institutions, nursing care facilities, and facilities that provide home care services, in other words, BtoB (Business to Business), and can also be applied when patients or individual users search for medical institutions, nursing care facilities, and facilities that provide home care services, in other words, BtoC (Business to Consumer).

Patients/users include patients at medical institutions, users of nursing care facilities, users of home care services, and individuals receiving care or recuperation at home. Host institutions/facilities include medical institutions where patients are hospitalized (hereinafter, medical institutions will include hospitals, as an example), medical institutions, nursing care facilities, and home care services other than the nursing care facility or home care service currently being used. Terminals include PCs, laptops, tablets, and smartphones. These terminals allow access to various information, reducing the workload of medical institution and facility staff and allowing them to spend more time with patients/users. In addition, individual patients/users, or their families, can easily search for medical institutions, nursing care facilities, and home care services.

Here, in the medical care coordination system according to the present invention, the processing unit has a communication unit for coordinating between the institution/facility currently in use and the receiving institution/facility, and the communication unit includes at least one of a chat unit for sending and receiving messages in real time, a videoconferencing unit for communicating using video and audio, a vacancy information sharing unit for sharing vacancy information regarding the availability of the institution/facility, and a material sharing unit for sharing materials including pamphlets of the institution/facility, and the memory unit may store history information regarding the history of the communication unit.

The communication section includes a chat section, a video conference section, a vacancy information sharing section, and a document sharing section, which can reduce the burden on medical institution and facility staff while reducing waste and hassle. In addition, patients/users, or their families, can easily search for medical institutions, nursing facilities, and home care services. For example, in the case of telephone calls, reconfirmation is required because no records are left, and calls back when the person is absent. However, by providing a chat section, conversation history can be recorded, reducing the hassle of reconfirmation and calls back due to no records being left. When sharing vacancy information by telephone, there are similar problems as above, but by providing a vacancy information sharing section, the hassle of reconfirmation and calls back due to no records being left can be reduced. In addition, for example, in the case of faxes, there are problems such as coming to work to send and receive faxes, delayed responses due to delayed confirmation of receipt, miscommunication, and mistaking faxes for other faxes, but by providing a chat section, these problems can be solved. In addition, a paperless system can be realized. Furthermore, when mailing or handing out pamphlets, the time and effort required to prepare envelopes and stamps, make visits, print, etc. can be burdensome, but the inclusion of a document sharing unit can reduce this hassle. It can also reduce the time lost through mailing, enabling quick information sharing. When visiting, in addition to the time required for the visit, health management such as disinfection and temperature checks are required, but the inclusion of a video conferencing unit can reduce this hassle. In addition to the above, the communication unit may be configured to include at least one of a telephone unit for making telephone calls, a fax unit for sending and receiving faxes, and an email unit for sending and receiving emails.

In addition, in the medical care coordination system according to the present invention, the memory unit stores patient/user information and institution/facility information as matching information when the receiving institution/facility has been decided, and the processing unit has an operation management unit for centrally managing information between the institution/facility currently in use and the receiving institution/facility, and the operation management unit may include a matching unit that excludes personal information from the patient/user information in the matching information, queries the patient/user information and institution/facility information against the matching information, searches for an institution/facility suitable for the patient/user, and displays the searched information on the display unit of the terminal.

Previously, when searching for a host institution or facility, it was necessary to rely on the knowledge and experience of medical institution and facility staff. By providing a search unit, it is possible to search for host institutions and facilities while reducing the burden on medical institution and facility staff, and by providing a matching unit, the medical and nursing care coordination system can automatically suggest the most suitable host institution or facility based on past matching information. Personal information includes names, addresses, etc. that identify individuals. In addition, patients/users, or their families, can search for medical institutions, nursing care facilities, and home services by referring to past matching information.

In addition, in the medical care coordination system according to the present invention, the processing unit has an operation management unit for centrally managing information between the institution/facility being used and the receiving institution/facility, and the operation management unit may include at least one of a search unit, a daily report management unit for managing daily work report information of medical institution staff or facility staff in charge of the patient/user, a shift management unit for managing shift information of medical institution staff or facility staff, and a medical record management unit for managing medical record information of the patient/user.

The search unit described above can be included in the work management unit. By configuring the work management unit to further include a daily report management unit, a shift management unit, and a medical record management unit, medical institutions and facilities can share information within the organization and centrally manage it, while strengthening internal cooperation and streamlining work. It is also effective in promoting telework. The search unit performs an automatic search by inputting conditions, so it is possible to narrow down the candidate recipients in a short time. In addition, inquiries to facilities, etc., which were previously required, are no longer necessary. The daily report management unit reduces the effort of submitting reports by hand. In addition, it is possible to achieve a paperless system, and further, it is possible to attach photos, reference materials, etc., and share important information. The shift management unit allows medical institution or facility staff to check their shifts at any time. In addition, it is possible to grasp the unevenness of the load of medical institution or facility staff, thereby preventing overwork. The medical record management unit makes it possible to share the medical record information of patients and users.

In addition, in the medical and nursing care collaboration system according to the present invention, the processing unit has a security unit, and the security unit may include at least one of an encryption processing unit that performs encryption processing when communicating with a terminal, a monitoring unit that forcibly disconnects in the event of unauthorized access, a medical record safety management unit that hides personal information about the medical record information of patients/users and manages it using patient/user identification information, and an access management unit that restricts access authority.

The medical and nursing care collaboration system according to the present invention is provided with a security unit, making it possible to provide a highly secure and safe matching system between medical institutions, nursing facilities, and facilities that provide home care services, and further a matching system between individuals and medical institutions, nursing facilities, and facilities that provide home care services. Specifically, the inclusion of an encryption processing unit makes it possible to prevent eavesdropping, etc. The inclusion of a monitoring unit makes it possible to forcibly disconnect suspicious external connections. The inclusion of a medical record safety management unit makes it possible to prevent the leakage of medical record information. The inclusion of an access management unit makes it possible to set and restrict access rights.

In the medical and nursing care collaboration system according to the present invention, the storage unit may store information for each institution or facility in a separate storage location.

By separating the storage locations for each institution/facility information, it is possible to prevent information leaks and also to prevent problems such as malfunctions and slow operation caused by the usage of a specific patient/user affecting other patients/users. It is also possible to separate the storage locations for each patient/user information.

Here, in the medical care collaboration system according to the present invention, the institution/facility attribute information includes vacancy information regarding the availability of the institution/facility, and the processing unit may classify institutions/facilities into those that are available for immediate occupancy, those that are scheduled to have vacancies, and those that are not scheduled to have vacancies but are suitable for the patient/user attribute information, based on the institution/facility attribute information including the vacancy information, and display the classification on the display unit of the terminal.

This allows medical institution staff, facility staff, patients/users, individual patients/users, or their families to see at a glance not only institutions/facilities with vacant rooms, but also institutions/facilities that are scheduled to have vacant rooms, and even institutions/facilities that are considered most suitable for patients/users.

In addition, in the medical care coordination system according to the present invention, the storage unit stores at least one of the patient/user's medical record information and the daily work report information of the medical institution staff in charge of the patient/user, and the processing unit may include an update unit that extracts information related to the patient/user attribute information from the patient/user's medical record information and the daily work report information, and inputs or updates the patient/user attribute information.

This will reduce the burden on medical institution staff. It will also make it possible to search for more suitable receiving institutions and facilities based on the latest patient and user attribute information.

In addition, in the medical care collaboration system according to the present invention, the patient/user attribute information may include discharge information relating to the discharge date, and when the discharge information is input or updated, the search unit may extract institutions/facilities that can accept the patient/user after discharge and display them on the display unit of the terminal.

Here, even if there are vacant rooms at the receiving institution/facility, there has traditionally been no concrete means of offering consultation. The medical and nursing care coordination system of the present invention can also enable the receiving institution/facility to offer consultation if there are vacant rooms at the receiving institution/facility (or if there are plans for vacant rooms).

Specifically, in the medical care coordination system according to the present invention, when the search unit receives input of admission request information regarding admission requests via the terminal, the search unit stores the admission request information in the memory unit, and may extract patients/users that can be admitted based on the admission request information, institution/facility information, and patient/user information stored in the memory unit, and display the extracted patients/users on the display unit of the terminal.

This allows the receiving institution/facility to identify patients/users to whom it can make a consultation offer when it has a vacant room (or when it plans to have a vacant room). Consultation offers include various consultation offers between medical institutions, nursing care facilities, and facilities that provide home care services, such as a consultation offer from a medical institution to another medical institution, and a consultation offer from a medical institution to a nursing care facility or a facility that provides home care services. Well, consultation offers include various consultation offers when individual patients or users search for medical institutions, nursing care facilities, and facilities that provide home care services.
Nursing homes and facilities providing home care services

The search unit may extract available patients/users, display them on the display unit of the terminal, accept the designation of the patient/user to whom a consultation offer is ultimately made via the terminal, and transmit the institution/facility information to the terminal associated with the designated patient/user.

This allows the host institution/facility to identify patients/users to whom it can offer consultations and make them available if it has vacant rooms (or if it plans to have vacant rooms). Additionally, medical institution staff can receive consultations from host institutions/facility.

The function of offering consultation from the receiving institution/facility may be made to function independently of the function of the medical institution searching for the receiving institution/facility. For example, the present invention is a medical care coordination system that includes a memory unit that stores patient/user identification information for identifying the patient/user, patient/user attribute information related to the patient/user information, and desired institution/facility information related to the information of the receiving institution/facility desired by the patient/user, and institution/facility identification information for identifying the receiving institution/facility, and institution/facility attribute information associated with the patient/user attribute information and the desired institution/facility information, and includes at least the institution/facility attribute information related to the information of the receiving institution/facility, and a processing unit that, upon receiving input of the receiving request information related to the receiving request via the receiving terminal, stores the receiving request information in the memory unit, and extracts available patients/users based on the receiving request information, institution/facility information, and patient/user information stored in the memory unit, and displays them on the display unit of the receiving terminal.

According to the medical and nursing care coordination system of the present invention, if the receiving institution or facility has a vacant room (or if it plans to have a vacant room), the receiving institution or facility can identify patients or users to whom it can offer consultation.

The above-mentioned medical and nursing care coordination system can be configured with a medical and nursing care coordination server. The medical and nursing care coordination system may also be configured to further include a terminal in addition to the medical and nursing care coordination server.

Here, the present invention can also be specified as a medical and nursing care coordination method. For example, the present invention is a medical and nursing care coordination method in which a computer executes processing including a storage step of storing in a storage unit the patient/user identification information for identifying a patient/user, patient/user attribute information related to the patient/user information, and desired institution/facility information related to the information of a host institution/facility desired by the patient/user, institution/facility identification information for identifying the host institution/facility, and institution/facility attribute information associated with the patient/user attribute information and the desired institution/facility information, the institution/facility information including at least the institution/facility attribute information related to the information of the host institution/facility, and a processing step of storing the patient/user information in the storage unit when input of the patient/user information is received via a terminal, and extracting institutions/facility that can accept the patient/user after discharge based on the institution/facility information stored in the storage unit and displaying the extracted institutions/facility on the display unit of the terminal.

In addition to the above, the present invention may be specified as a program executed by a medical care coordination system (computer) or a terminal (computer). For example, the present invention is a medical care coordination program that causes a computer to execute a process including a storage step of storing in a storage unit the patient/user identification information for identifying a patient/user, patient/user attribute information related to the patient/user information, and desired institution/facility information related to the information of a host institution/facility desired by the patient/user, institution/facility identification information for identifying the host institution/facility, and institution/facility attribute information associated with the patient/user attribute information and the desired institution/facility information, which includes at least the institution/facility attribute information related to the information of the host institution/facility, and a processing step of storing the patient/user information in the storage unit when input of the patient/user information is received via a terminal, and extracting institutions/facility that can accept the patient/user after discharge based on the institution/facility information stored in the storage unit and displaying them on the display unit of the terminal. The present invention may also be specified as a recording medium on which such a program is recorded.

The present invention provides technology that reduces the burden on medical institution and nursing facility staff and supports patients and users in being discharged from hospitals and transferring to medical institutions or nursing facilities.

FIG. 1 shows an overview of a medical and nursing care cooperation system according to the first embodiment. FIG. 2 shows a functional block diagram of the medical and nursing care cooperation server according to the first embodiment. FIG. 3 shows an example of a patient information database. FIG. 4 shows an example of the facility information database. FIG. 5 shows an example of a medical institution information database. FIG. 6 shows an example of the user information database. FIG. 7 is a functional block diagram of the medical institution terminal according to the first embodiment. FIG. 8 is a functional block diagram of the facility terminal according to the first embodiment. FIG. 9 shows a sequence diagram illustrating an example of information processing by the medical care coordination system according to the first embodiment. FIG. 10 shows an example of a login screen according to the first embodiment. FIG. 11 shows an example of a home screen (for medical institutions) according to the first embodiment. FIG. 12 shows an example of a patient information screen (for medical institutions) according to the first embodiment. FIG. 13 shows an example of a patient registration screen (for medical institutions) according to the first embodiment. FIG. 14 shows an example of a facility search screen (for medical institutions) according to the first embodiment. FIG. 15 shows an example of a facility search result screen (for medical institutions) according to the first embodiment. FIG. 16 shows an example of a facility information screen according to the first embodiment. FIG. 17 shows an example of a medical institution registration screen (for medical institutions) according to the first embodiment. FIG. 18 shows an example of a hospital addition screen according to the first embodiment. FIG. 19 shows an example of a hospital correction screen according to the first embodiment. FIG. 20 shows an example of a person in charge setting screen (for medical institutions) according to the first embodiment. FIG. 21 shows an example of a person in charge addition screen according to the first embodiment. FIG. 22 shows an example of a person in charge correction screen according to the first embodiment. FIG. 23 illustrates an example of a home screen (for a care facility) according to the first embodiment. FIG. 24 shows an example of a patient information screen (for a care facility) according to the first embodiment. FIG. 25 shows an example of a facility registration screen (for a care facility) according to the first embodiment. FIG. 26 shows an example of a facility modification screen according to the first embodiment. FIG. 27 shows an example of a staff member setting screen (for a care facility) according to the first embodiment. FIG. 28 shows an example of a person in charge addition screen according to the first embodiment. FIG. 29 shows an example of a person in charge correction screen according to the first embodiment. FIG. 30 shows an example of a login screen according to the second embodiment. FIG. 31 shows an example of a home screen (for medical institutions). FIG. 32 shows an example of a patient information screen (for medical institutions) according to the second embodiment. FIG. 33 shows an example of a patient registration screen (for medical institutions) according to the second embodiment. FIG. 34 shows an example of a facility search screen (for medical institutions) according to the second embodiment. FIG. 35 shows an example of a facility search result screen (for medical institutions) according to the second embodiment. FIG. 36 shows an example of a facility information screen according to the second embodiment. FIG. 37 shows an example of a medical institution registration screen (for medical institutions) according to the second embodiment. FIG. 38 shows an example of a hospital addition screen according to the second embodiment. FIG. 39 shows an example of a person in charge addition screen according to the second embodiment. FIG. 40 shows an example of a home screen (for a care facility) according to the second embodiment. FIG. 41 shows an example of a patient information screen (for a nursing facility) according to the second embodiment. FIG. 42 shows an example of a care facility registration screen (for care facilities) according to the second embodiment. FIG. 43 shows an example of the facility addition screen.

Next, an embodiment of the present invention will be described with reference to the drawings. In the embodiment, an example will be described in which the medical and nursing care coordination system according to the present invention is introduced to a medical institution and a nursing care facility. Specifically, a medical and nursing care coordination system 100 including a medical and nursing care coordination server 1, a medical institution terminal 2, and a facility terminal 3 will be described.

First Embodiment
<Outline of the information processing system>
1 shows an overview of a medical care coordination system according to a first embodiment. The medical care coordination system 100 according to the first embodiment includes a medical care coordination server 1, a plurality of medical institution terminals 2, and a plurality of facility terminals 3. The medical care coordination server 1, the plurality of medical institution terminals 2, and the plurality of facility terminals 3 are connected via a network N. An example of the network N is the Internet using a telephone line network, but the network N may be any network that allows the medical care coordination server 1, the plurality of medical institution terminals 2, and the plurality of facility terminals 3 to communicate with each other, and the form of the network is not particularly limited.

<Medical and nursing care collaboration system>
The medical and nursing care cooperation server 1 constitutes a part of the medical and nursing care cooperation system according to the present invention and functions as a server. The medical and nursing care cooperation server 1 functions as a server computer that searches for nursing care facilities as receiving institutions and facilities, processes consultation offers (hereinafter also simply referred to as offers) from nursing care facilities, etc., for the medical institution terminal 2 (an example of a terminal) and the facility terminal 3 (an example of a terminal) that are accessed. FIG. 2 shows a functional block diagram of the medical and nursing care cooperation server 1 according to the first embodiment. The medical and nursing care cooperation server 1 includes a processing unit 11, an operation unit 12, a display unit 13, a communication unit 14, and a storage unit 15, and the processing unit 11 has a CPU 111 and a memory 112. A VPS server (virtual private server) is used for the medical and nursing care cooperation server 1, and partitions are made for each database of the medical institution and the nursing care facility, and the data storage location is physically separated within the server. For example, partitions may be made for each database of patient/user information, and the data storage location may be physically separated within the server. The consultation offers include various consultation offers between medical institutions, nursing care facilities, and facilities that provide home care services, such as a transfer consultation offer from a medical institution to another medical institution, and a consultation offer from a medical institution to a nursing care facility or a facility that provides home care services. Well, the consultation offers include various consultation offers when an individual patient or user searches for a medical institution, a nursing care facility, or a facility that provides home care services.

The operation unit 12 of the medical care coordination server includes, for example, a keyboard, a pointing device, a touch panel, and operation buttons. The display unit 13 of the medical care coordination server includes, for example, a liquid crystal display device, a plasma display panel, a CRT (Cathode Ray Tube), an electroluminescence panel, and the like. The communication unit 14 of the medical care coordination server includes, for example, a communication module (for example, a network card) that realizes connection to a network.

The processing unit 11 of the medical care coordination server includes a CPU (Central Processing Unit) 111 and a memory 112. The CPU 111 of the medical care coordination server controls each piece of hardware in the medical care coordination server 1, and also causes functional units such as the memory unit 15 and the processing unit 11 to function in accordance with a control program stored in the memory 112 of the medical care coordination server. The functional units can be configured as computer programs executed on the CPU 111 of the medical care coordination server. These functional units may also be configured as dedicated processors.

The processing unit 11 of the medical and nursing care cooperation server includes a communication unit 113, a business management unit 114, and a security unit 115. The communication unit 113 cooperates between the medical institution (an example of the institution/facility of the present invention) where the patient is hospitalized (in use) and the nursing care facility (an example of the receiving institution/facility of the present invention), and has a chat unit, a video conference unit, a vacancy information sharing unit, and a document sharing unit. The chat unit enables real-time message transmission and reception. The video conference unit enables video and audio calls. The vacancy information sharing unit enables the sharing of vacancy information regarding the vacancy status of the nursing care facility. The vacancy information can be stored in the memory unit 15 of the medical and nursing care cooperation server. The vacancy information sharing unit accepts operation instructions via the medical institution terminal 2, and displays necessary information of the vacancy information on the display unit 23 of the medical institution terminal in accordance with the operation instructions. The document sharing unit enables the sharing of documents including pamphlets for the nursing care facility. The documents can be stored in the memory unit 15 of the medical and nursing care cooperation server. The document sharing unit receives operation instructions via the medical institution terminal 2, and displays the information contained in the document on the display unit 23 of the medical institution terminal in accordance with the operation instructions. For example, a chat button corresponding to the chat unit, a video conference button corresponding to the video conference unit, a vacancy information sharing button corresponding to the vacancy information sharing unit, and a document sharing button corresponding to the document sharing unit are displayed on the medical institution terminal 2 or the facility terminal 3, and when each button is selected, the function of the selected functional unit is executed. In addition to the above, the communication unit 113 may be configured to further include at least one of the functional units of a telephone unit that enables telephone conversations, a fax unit that enables fax transmission and reception, and an email unit that enables email transmission and reception.

The business management unit 114 centrally manages information between the medical institution and the nursing care facility being used. The business management unit 114 has a search unit, a matching unit, a daily report management unit, a shift management unit, and a medical record management unit. When the search unit accepts input of patient information (an example of patient/user information) via the medical institution terminal 2 (an example of a terminal) or the facility terminal 3 (an example of a terminal), it stores the patient information in the storage unit 15 of the medical care and nursing care cooperation server, and searches for a nursing care facility that can accept the patient after leaving the medical institution being used based on the facility information (an example of institution/facility information) stored in the storage unit 15, and displays it on the display unit 23 of the medical institution terminal. The matching unit stores the patient information and facility information when the accepting nursing care facility is decided as matching information in the storage unit 15 of the medical care and nursing care cooperation server, and excludes the patient's personal information (name, date of birth, sex, address, etc.) from the matching information, and queries the patient information and facility information to the matching information to search for a medical institution suitable for the patient, and displays it on the display unit 23 of the medical institution terminal. The daily report management unit manages daily work report information of the medical institution staff in charge of the patient. The daily work report information can be stored in the storage unit 15 of the medical care cooperation server. The daily report management unit accepts operation instructions via the medical institution terminal 2, and displays necessary information of the daily work report information on the display unit of the medical institution terminal according to the operation instructions. The shift management unit manages shift information of the medical institution staff. The shift information can be stored in the storage unit 15 of the medical care cooperation server. The shift management unit accepts operation instructions via the medical institution terminal 2, and displays necessary information of the shift information on the display unit of the medical institution terminal according to the operation instructions. The medical record management unit manages medical record information of the patient. The medical record information can be stored in the storage unit 15 of the medical care cooperation server. The medical record management unit accepts operation instructions via the medical institution terminal 2, and displays necessary information of the medical record information on the display unit of the medical institution terminal according to the operation instructions. For example, a search button corresponding to the search section, a matching button corresponding to the matching section, a daily report management button corresponding to the daily report management section, a shift management button for the shift management section, and a medical record management button corresponding to the medical record management section are displayed on the medical institution terminal 2 or the facility terminal 3, and when each button is selected, the function of the selected functional section is executed.

The security unit 115 has an encryption processing unit, a monitoring unit, a medical record safety management unit, and an access management unit. The encryption processing unit performs encryption processing when communicating between the medical institution terminal 2 and the medical care coordination server 1, and when communicating with the facility terminal 3. The monitoring unit forcibly disconnects the connection if unauthorized access occurs. The medical record safety management unit manages the patient's medical record information using patient identification information, with personal information hidden. The access management unit restricts access authority. As an example, in order to realize a video conference on a web browser with high security, the medical care coordination server 1 uses WebRTC (Web Real-Time Communication). Using WebRTC enables P2P communication (Pear2Pear communication), and the communication content is encrypted. In addition, the medical and nursing care coordination server 1 functions as a signaling server, and the medical and nursing care coordination server 1 as a signaling server is also encrypted using WSS (Web Security Service).

The storage unit 15 of the medical and nursing care collaboration system can be configured with semiconductor element memory such as a hard disk drive (HDD: HARD DISK DRIVE) or a solid state drive (SDD: SOLID STATE DRIVE). The storage unit 15 of the medical and nursing care collaboration server stores patient/user information, institution/facility attribute information, etc. The database in which the patient/user information and institution/facility attribute information are recorded is partitioned for each medical institution and nursing facility, and the data storage locations are physically separated within the server. Note that the database in which the patient/user information and institution/facility attribute information are recorded may be partitioned for each patient and user, and the data storage locations may be physically separated within the server.

Here, FIG. 3 shows an example of a patient information database. The patient information database stores corresponding data with the following items: patient ID, name, phonetic spelling, sex, date of birth, address, hospital (an example of a medical institution), level of care required, guarantor, budget, ADL, date of discharge, facility search, comment entry field, and medical record image. The items and the corresponding data are only examples and are not limited to these. The patient information database can appropriately record data required for processing (e.g., patient search) performed by the medical care coordination system 100. The patient ID is an example of patient/user identification information of the present invention and identifies the patient. The name, phonetic spelling, sex, date of birth, address, hospital, level of care required, guarantor, budget, ADL, date of discharge, facility search, comment entry field, and medical record image are examples of patient/user attribute information of the present invention. The name, phonetic spelling, sex, date of birth, address, and guarantor are included in the personal information of the present invention. Addresses are classified by postal code, prefecture, city/ward head, street address, and building name. Levels of care required are classified as independent, pending application, assistance required 1, assistance required 2, and care required 1 to 5. Guarantees are those who provide guarantors for patients, and include parents, spouses, brothers/sisters, children, other relatives, guardians, case workers, and others. Budgets are budgets related to nursing care facilities. ADL (Activities of Daily Living) "Living" refers to the patient's activities of daily living, including bathing (independent, supervised, partial assistance, full assistance), dressing (independent, supervised, partial assistance, full assistance), cognition (rank I, II, IIa, IIb, III, IIIa, IIIb, IV, M, remarks), communication ability (hearing, eyesight, writing, others), excretion (independent, supervised, partial assistance, full assistance), infectious diseases (scabies, syphilis, HIV, tuberculosis, MRSA, ESBL, others), eating (independent, supervised, partial assistance, full assistance), and medical procedures (home oxygen therapy, bedsores, insulin administration, artificial dialysis, pacemaker) , colostomy, catheter urinary balloon, tracheostomy, sputum suction (minimum maximum), tube feeding, gastrostomy, total parenteral nutrition (IVH), cancer/terminal cancer, ALS, others), dementia (Alzheimer's disease, vascular dementia, Lewy body dementia, others), Parkinson's disease, schizophrenia), rehabilitation (physiotherapist, occupational therapist, speech-language-hearing therapist), medication management (independent, supervised, partial assistance, full assistance), mobility (independent, supervised, partial assistance, full assistance), oral care (independent, supervised, partial assistance, full assistance), pressure ulcers/skin problems (pressure ulcers, other skin conditions).Discharge date is the date the patient was discharged from the hospital. The facility search includes the level of care required (independent, application pending (enter date), assistance required 1-2, care required 1-5), medical system by nurses (not required at all times, required at all times), monthly fee (less than 150,000 yen, 150-200,000 yen, 200-250,000 yen, 250-300,000 yen, 300,000 yen or more, welfare recipient), and entrance fee. The comment entry field records any comment entered. The medical record image is an image of the patient's medical record. Although not shown in the figure, in addition to the above, the patient information database records status, work process, and contact. The status is the status of the patient's housing consultation status. The work process is for managing the housing consultation status process and includes "send medical record", "notify availability for collection", "introduce to patient", and "discard offer". Contact is a history when chat is used, and includes the date and time the message was sent, whether it was "read" when the other party opened it, and the content of the message.

Figure 4 shows an example of a facility information database. The facility information database has the following items, and stores the corresponding data: facility ID, name (facility name), address (location), telephone number, fax number, website address, minimum usage fee, maximum usage fee, lump sum, initial fee, vacant room (private room), vacant room (double room), most recent number of vacant beds, most recent date of vacant bed, size (private room), size (double room), number of rooms (private rooms), number of rooms (double rooms), route, notes, reception system, facility information (characteristics, etc.), staff system, facility type, and medical record image. The items and the corresponding data are examples and are not limited to these. The facility information database can appropriately record data necessary for processing (e.g., facility search) performed by the medical and nursing care collaboration system 100. The facility ID is an example of the institution/facility identification information of the present invention, and identifies the nursing care facility. Name (facility name), address (location), telephone number, fax number, website address, minimum usage fee, maximum usage fee, lump sum, initial fee, vacant room (private room), vacant room (double room), most recent number of vacant beds, most recent date of vacant bed, size (private room), size (double room), number of rooms (private rooms), number of rooms (double rooms), route, remarks, admission system, facility information (characteristics, etc.), staff system, facility type, and medical record image are examples of institution/facility information of the present invention. The name of the nursing facility is the name of the nursing facility displayed on the screen. The address includes the postal code, prefecture, ward/city/county/town/village, street number, and building name. The minimum usage fee is the usage fee (lower limit) of the nursing facility. The maximum usage fee is the usage fee (upper limit) of the nursing facility. The lump sum is the lump sum of the nursing facility. The initial fee is the initial fee of the nursing facility. The vacant room (private room) is the number of vacant private rooms in the nursing facility. Vacant rooms (double rooms) is the number of double rooms available at the nursing facility. The most recent number of vacant beds is the latest status of the number of vacant beds. The most recent date of vacant beds is the date on which the vacant bed information was most recently updated. Size (private room) is the size of the private rooms at the nursing facility. Size (double room) is the size of the double rooms at the nursing facility. Number of rooms (private rooms) is the number of private rooms at the nursing facility. Number of rooms (double rooms) is the number of double rooms at the nursing facility. Route is the access route to the nursing facility. Notes is a free-form note field. Acceptance system includes guarantor (guarantor required, guarantor not required, consultation required), age limit (60 years old or older, 65 years old or older, consultation required), level of care required (independent, application in progress (specify date), level of support required 1 to 5), dementia (consultation available, consultation not available, consultation required), acceptance area (nationwide, community-based, consultation required), and welfare recipient (consultation available, consultation not available, consultation required). Facility information (features) include room capacity (single room, double room, other (free description)), room facilities (toilet attached, bath attached, kitchen attached, nursing bed attached, furniture attached, other (free description)), building information (mechanical bath/special bath, karaoke, mahjong, Go/Shogi, gardening/vegetable garden, community space, smoking area, no smoking inside the building, drinking allowed, free to go out, pets allowed, other (free description)), attached businesses (day service, day care, hospital (medical, dental), visiting care, visiting nursing, home care support business, others (free description)), infectious diseases (scabies, syphilis, HIV, tuberculosis, MRSA, ESBL, others), medical procedures (home oxygen therapy, bedsores, insulin administration, dialysis, pacemaker, colostomy, catheter urinary balloon, tracheotomy, sputum suction (minimum maximum), tube feeding, gastrostomy, total parenteral nutrition (IVH), cancer/terminal cancer, ALS, others, dementia (Alzheimer's disease, vascular dementia, Lewy body dementia, others, Staffing includes Parkinson's disease, schizophrenia, and rehabilitation (physiotherapists, occupational therapists, speech-language-hearing therapists). Staffing is as follows: caregivers (daytime only, 24-hour on-site, 3 residents: 1 or more caregivers, 2.5 residents: 1 or more caregivers, 2 residents: 1 or more caregivers, 1.5 residents: 1 or more caregivers, others), nurses (daytime only, 24-hour on-site, absent (home care, home care (nighttime available)), functional training (available (physiotherapists, occupational therapists, speech-language-hearing therapists, nurses, judo therapists, masseurs) Includes: shiatsu therapist, acupuncturist, other (free entry), none (visiting rehabilitation/massage), other (free entry), doctor (on duty only during the day, on duty 24 hours a day, absent (home visits, home visits (nighttime available)). Facility types include nursing care homes, residential nursing homes, health-care homes, serviced housing for the elderly, care homes, group homes, special nursing homes for the elderly, nursing care facilities for the elderly, and nursing care hospitals. Medical record images are images of the patient's medical records.

Figure 5 shows an example of a medical institution information database. The medical institution information database has fields for hospital ID, hospital name (medical institution name), postal code, address, telephone number, fax number, and website address, and stores the corresponding data. The fields and the corresponding data are merely examples and are not limited to these. The medical institution information database can appropriately record data necessary for processing performed by the medical and nursing care collaboration system 100 (for example, searching for medical institutions).

Figure 6 shows an example of a user information database. The user information database has fields for user ID, user name, user role, email address, display name, password, and user authority, and stores the corresponding data. The fields and the corresponding data are merely examples and are not limited to these. The user information database can appropriately record data required to realize the processing performed by the medical care coordination system 100. Users are users of the medical care coordination system 100, and include medical institution staff and facility staff. Users may also include patients, users of nursing care facilities, and family members of users of nursing care facilities. User authority can be set in stages, and for example, only those who have been granted authority can register and delete institution/facility information and patient/user information.

<Medical institution terminal>
FIG. 7 shows a functional block diagram of the medical institution terminal according to the first embodiment. The medical institution terminal 2 (an example of a terminal) is a terminal on the medical institution side, and accepts input of patient information, medical institution information, etc., and conditions for searching for nursing care facilities. The medical institution terminal 2 accesses the medical care cooperation server 1, receives the processing result executed by the processing unit 11 of the medical care cooperation server as a Web service, and displays it on the display unit 33 of the medical institution terminal. Note that an application for performing an institution/facility search, etc. may be installed in the medical institution terminal 2. Examples of the medical institution terminal 2 include a personal computer, a notebook computer, a tablet, and a smartphone (for example, an Android mobile phone (Android: registered trademark) or an iPhone (registered trademark)). FIG. 7 shows a functional block diagram of the medical institution terminal according to the first embodiment. The medical institution terminal 2 in FIG. 7 is a tablet or a smartphone, and includes a processing unit 21, an operation unit 22, a display unit 23, a camera 24, a communication unit 25, a location information acquisition unit (GPS) 26, a direction sensor 27, and a memory unit 28. The camera 24, the location information acquisition unit (GPS) 26, and the orientation sensor 27 may be omitted.

The processing unit 21 of the medical institution terminal controls the medical institution terminal 2 based on information from the medical care coordination server 1 and operation instructions from a user (e.g., a medical institution staff member). The processing unit 21 of the medical institution terminal includes a CPU 211 of the medical institution terminal and a memory 212 of the medical institution terminal. The CPU 211 of the medical institution terminal controls each hardware of the medical institution terminal 2, and in addition to the functions of a mobile terminal such as a mobile phone, receives the processing results executed by the processing unit 11 of the medical care coordination server and displays them on the display unit 23 according to a control program recorded in the memory 212 of the medical institution terminal. The medical institution terminal 2 may be provided with functional units (e.g., a storage unit, a processing unit) corresponding to each function of the medical care coordination server 1. The memory 212 of the medical institution terminal is a memory (storage medium) that stores various data and control programs, and is composed of a rewritable flash memory or the like.

The operation unit 22 of the medical institution terminal accepts instructions from a user (e.g., a medical institution staff member). The operation unit 22 of the medical institution terminal is composed of, for example, a touch panel or a push button. Signals corresponding to various operations are input to the processing unit 21 of the medical institution terminal.

The display unit 23 of the medical institution terminal displays the results of the processing executed by the processing unit 11 of the medical care coordination server (e.g., search results for nursing care facilities). The display unit 23 of the medical institution terminal is configured, for example, with a liquid crystal display, an organic EL display, etc.

The camera 24 of the medical institution terminal takes pictures of medical institution staff and patients during video conferences, captures information about patients (e.g., photos of patients), reads barcodes, etc. The camera 24 of the medical institution terminal is composed of a module that has an optical system and an image receiving element and acquires digital images. The acquired digital images (hereinafter also simply referred to as images) are displayed on the display unit 23 of the medical institution terminal.

The communication unit 25 of the medical institution terminal connects to the network and communicates with the medical and nursing care coordination server 1, etc.

The GPS (location information acquisition unit) 26 detects the location of the medical institution terminal 2 based on GPS signals from one or more GPS (Global Positioning System) satellites. Location information relating to the detected location is input to the processing unit 21 of the medical institution terminal. As a result, the processing unit 21 of the medical institution terminal is able to grasp the location of the medical institution terminal 2. Note that the location information acquisition unit 26 may detect the location of the medical institution terminal 2 based on signals from one or more wireless communication base stations, for example. Existing technology may be used as appropriate to acquire the location information.

The orientation sensor 27 of the medical institution terminal detects the direction (horizontal direction) and angle (vertical direction) of the medical institution terminal 2. A signal corresponding to the detected direction and angle is input to the processing unit 21 of the medical institution terminal. As a result, the processing unit 21 of the medical institution terminal is able to grasp the direction and angle of the medical institution terminal 2.

The storage unit 28 of the medical institution terminal stores various information. The storage unit 28 of the medical institution terminal can be configured, for example, with a semiconductor element memory, etc.

<Facility terminal>
FIG. 8 shows a functional block diagram of the facility terminal according to the first embodiment. The facility terminal 3 (an example of a terminal) is a terminal on the nursing care facility side, and accepts input of facility information of the nursing care facility, conditions for searching for patients to whom an offer is to be made, and the like. The facility terminal 3 accesses the medical and nursing care cooperation server 1, receives the processing result executed by the processing unit 11 of the medical and nursing care cooperation server as a Web service, and displays it on the display unit 33 of the facility terminal. Note that an application for performing an institution/facility search, etc. may be installed in the facility terminal 3. Examples of the facility terminal 3 include a personal computer, a notebook computer, a tablet, and a smartphone (for example, an Android mobile phone (Android: registered trademark) or an iPhone (registered trademark)). The facility terminal 3 in FIG. 8 is a tablet or a smartphone, and includes a processing unit 31, an operation unit 32, a display unit 33, a camera 34, a communication unit 35, a location information acquisition unit (GPS) 36, a direction sensor 37, and a storage unit 38. The camera 34, the location information acquisition unit (GPS) 36, and the direction sensor 37 may be omitted.

The processing unit 31 of the facility terminal controls the facility terminal 3 based on information from the medical and nursing care coordination server 1 and operation instructions from a user (e.g., facility staff). The processing unit 31 of the facility terminal includes a CPU 311 of the facility terminal and a memory 312 of the facility terminal. The CPU 311 of the facility terminal controls each piece of hardware of the facility terminal 3, and in addition to the functions of a mobile terminal such as a mobile phone, receives the processing results executed by the processing unit 11 of the medical and nursing care coordination server and displays them on the display unit 33 according to a control program recorded in the memory 312 of the facility terminal. The facility terminal 3 may be provided with functional units (e.g., a storage unit, a processing unit) corresponding to each function of the medical and nursing care coordination server 1. The memory 312 of the facility terminal is a memory (storage medium) that stores various data and control programs, and is composed of a rewritable flash memory or the like.

The operation unit 32 of the facility terminal accepts instructions from a user (e.g., a facility staff member). The operation unit 22 of the facility terminal is composed of, for example, a touch panel or a push button. Signals corresponding to various operations are input to the processing unit 31 of the facility terminal.

The display unit 33 of the facility terminal displays the results of the processing performed by the processing unit 11 of the medical and nursing care coordination server (e.g., search results for patients to whom an offer has been made). The display unit 33 of the facility terminal is configured, for example, with a liquid crystal display, an organic EL display, etc.

The camera 34 of the facility terminal takes pictures of facility staff during video conferences, records information about the facility (e.g., photos of the facility), reads barcodes, etc. The camera 34 of the facility terminal is composed of a module that has an optical system and an image receiving element and acquires digital images. The acquired digital images (hereinafter also simply referred to as images) are displayed on the display unit 33 of the facility terminal.

The communication unit 35 of the facility terminal connects to the network and communicates with the medical and nursing care coordination server 1, etc.

The GPS (location information acquisition unit) 36 detects the location of the facility terminal 3 based on GPS signals from one or more GPS (Global Positioning System) satellites. Location information relating to the detected location is input to the processing unit 31 of the facility terminal. As a result, the processing unit 31 of the facility terminal is able to grasp the location of the facility terminal 3. Note that the location information acquisition unit 36 may detect the location of the facility terminal 3 based on signals from one or more wireless communication base stations, for example. Existing technology may be used as appropriate to acquire the location information.

The orientation sensor 37 of the facility terminal detects the direction (horizontal direction) and angle (vertical direction) of the facility terminal 3. A signal corresponding to the detected direction and angle is input to the processing unit 31 of the facility terminal. As a result, the processing unit 31 of the facility terminal is able to grasp the direction and angle of the facility terminal 3.

The facility terminal's memory unit 38 stores various information. The facility terminal's memory unit 38 can be configured, for example, with a semiconductor element memory.

<Operation>
Next, the operation of the medical care cooperation system 100 according to the first embodiment will be described with reference to the drawings. FIG. 9 shows a sequence diagram showing an example of information processing by the medical care cooperation system according to the first embodiment. FIG. 9 is an example of information processing in which a website that provides a matching service between medical institutions and nursing facilities is accessed by the medical institution terminal 2 or the facility terminal 3, and matching between medical institutions and nursing facilities is realized. When a matching service is provided on a website, after accessing the website by the medical institution terminal 2 or the facility terminal 3, information processing is started to realize input of patient information, input of facility information, search for facilities, search for patients, etc. User instruction reception (step S01), request, processing based on the request (step S02), response, processing based on the response (step S03) are appropriately repeated, and a predetermined screen is displayed on the display unit 2 of the medical institution terminal or the display unit 33 of the facility terminal. Note that an application (hereinafter simply referred to as an app) capable of executing processing required to receive the matching service, such as input of patient information, input of facility information, search for facilities, and search for patients, may be installed on the medical institution terminal 2 and the facility terminal 3, and part of the processing executed by the medical care cooperation server 1 may be executed on the medical institution terminal 2 or the facility terminal 3.

<Specific examples of processing>
Next, specific examples of processing will be described for services for medical institutions and services for nursing facilities, along with screen examples. Note that the screens are merely examples and are not limited to these. Widgets such as tabs, buttons, check boxes, and entry fields displayed on the screen are examples of interface parts (UI) of a graphical user interface (GUI), and are not limited to these.

<Login screen>
FIG. 10 shows an example of a login screen according to the first embodiment. The login screen displays a user name and password input field, a "remember user information" check box, and a login button. By inputting the URL of the login screen, a user name (login user name), and a password provided by the administrator of the medical and nursing care cooperation system 100, the user can log in to the management screen of the matching service provided by the medical and nursing care cooperation system 100. Note that the services provided by medical institutions and nursing care facilities are different. Specifically, when logging in with a user name on the medical institution side, a screen required mainly for searching for nursing care facilities is displayed, and when logging in with a user name on the nursing care facility side, a screen required for searching for patients (for making an offer to patients) is displayed. Below, the services for medical institutions and services for nursing care facilities are described separately.

<Home screen (for medical institutions)>
FIG. 11 shows an example of a home screen (for medical institutions) according to the first embodiment. On the home screen (for medical institutions), a main menu is displayed in the upper right corner of the screen. On the main menu, home, patient registration, facility search, medical institution registration, person in charge setting, and logout are displayed as menu tabs (or menu buttons), and transition to each screen is made by selecting each tab. On the home screen (for medical institutions), an overview of registered patient information can be confirmed. In the example of FIG. 11, for each patient, selection (read/unread), registration date, person in charge name (medical institution staff), patient information (name, age, sex, area), and latest status (patient attribute information) are displayed. Patient information can be searched by narrowing down the patient information. In addition, read/unread are displayed in different colors. When the selection (read/unread) or the patient's name is selected, transition to the patient information screen can be made, and details of the selected patient information can be confirmed. When the details of the patient information are confirmed, "unread" in the selection is switched to "read". As the latest status, the latest status of the patient (for example, inquiries about housing consultation, contact status, etc.) is displayed.

<Patient information screen (for medical institutions)>
FIG. 12 shows an example of a patient information screen (for medical institutions) according to the first embodiment. The patient information screen displays a menu tab, patient information (name, age, sex, region), history, and an update button. The history includes status, work process, and contact information for each facility that has been exchanged. The status is the history of the work process. The work process is configured to be able to be sent by selecting waiting for a response, tentative acceptance, discarded offer, and already occupied. For example, when waiting for a response is selected and the send button is selected, the fact that a response is waiting is recorded as the status and is sent to the facility terminal 3. In the contact section, a chat screen is displayed, and messages can be sent and received in real time with the nursing facility by chat (an example of a chat section). When a message is entered in the message entry field and the post button is selected, the message is sent. The chat history can be checked by operating the scroll bar.

<Patient registration screen (for medical institutions)>
FIG. 13 shows an example of a patient registration screen (for medical institutions) according to the first embodiment. FIG. 13 shows a part of the patient registration screen. In the patient registration screen, patient information is input. The input patient information is stored in the storage unit 15 of the medical and nursing care cooperation server. In addition to the menu tab, the patient registration screen shown in FIG. 13 displays a name, a phonetic spelling, a gender, a date of birth, an address, a hospital, a level of care required, a guarantor, a budget, a discharge date, a condition for a patient, a desired nursing care facility, an image file upload, and a button to register with this content. The level of care required can be selected from independent, application in progress, support required 1, support required 2, care required 1, care required 2, care required 3, care required 4, and care required 5. The burden category can be selected from 10%, 20%, and 30% burden. The discharge date can be selected from a calendar. As for the patient conditions, the ADLs are as follows: walking (independent, supervised, some assistance, full assistance), transfer (independent, supervised, some assistance, full assistance), excretion (independent, supervised, some assistance, full assistance), eating (independent, supervised, some assistance, full assistance), medication management (independent, supervised, some assistance, full assistance), oral care (independent, supervised, some assistance, full assistance), bathing (independent, supervised, some assistance, full assistance, wiping, showering, lift bath, mechanical bath/special bath), dressing (independent, supervised, some assistance, full assistance), cognition (yes, and also selectable for desire to go home, loud voice, reversal of day and night, delusions, violence, anxiety, restlessness, tendency to depression, and Other and space to write comments), communication skills (problems), speech (impaired), hearing (right ear, left ear, both ears), eyesight (right eye, left eye, both eyes), medical procedures (yes, in addition to home oxygen, bedsores, insulin administration, dialysis, pacemaker, colostomy, catheter urinary balloon, phlegm suction (space to write comments), tracheotomy, tube feeding, gastrostomy, total parenteral nutrition (IVH), malignant tumors, terminal cancer, ALS, other (space to write comments), rehabilitation (physiotherapist, occupational therapist, speech-language-hearing therapist), infectious diseases (yes, in addition to hepatitis B, hepatitis C, HBS antigen, MRS) Users can select or enter information about A, ESBL, scabies, syphilis, HIV, tuberculosis, and others (there is a comment entry field). Users can also select or enter information about the desired nursing facility, such as admission fees (none, less than 1 million yen, less than 5 million yen, less than 10 million yen, over 10 million yen), monthly fees (less than 150,000 yen, less than 200,000 yen, less than 250,000 yen, over 250,000 yen, welfare), region (selectable by prefecture, no preference), and comments (comment field). When uploading an image file, a file selection button, the type of file to upload, and other category names are displayed. By selecting the file selection button, a file stored in the storage unit 25 of the medical institution terminal can be selected. In the upload file type, medical information report, nursing summary, rehabilitation summary, test data, image data, medical examination report, and others can be selected. In the other category name, appropriate information for identifying the file can be input. In "Which hospital would you like to register at?", the hospital to register at can be selected from the displayed hospitals. By selecting the button to register with this content, the information selected and input on the patient registration screen are registered.

<Facility search screen (for medical institutions)>
FIG. 14 shows an example of a facility search screen (for medical institutions) according to the first embodiment. FIG. 14 shows a portion of the facility search screen. Search conditions for nursing care facilities are input on the facility search screen. After input, when the search button for these conditions is selected, nursing care facilities that meet the input conditions are searched for and the search results are displayed. In addition to menu tabs, the facility search screen displays area selection and facility condition selection. In area selection, it is possible to select a prefecture, and it is possible to input a city, ward, town, or village, or a number below a city, ward, town, or village. When selecting facility conditions, you can select or enter the following: facility type (choices include special nursing home for the elderly, nursing care facility for the elderly, dementia-friendly communal living care, nursing home for the elderly, residential nursing home, health-oriented nursing home, serviced housing for the elderly, low-cost nursing home), facility name (free text field), nearest station (free text field), walking distance (free text field), move-in costs (yes, no, also minimum (free text field) 1 million yen to maximum (free text field) 1 million yen), initial depreciation (yes, no), monthly costs (minimum (free text field) 1 million yen to maximum (free text field) 1 million yen), welfare assistance (yes, no), vacant rooms (free text field), and scheduled vacancies (select from the calendar).

<Facility search results screen (for medical institutions)>
FIG. 15 shows an example of a facility search result screen (for medical institutions) according to the first embodiment. In addition to menu tabs, the facility search result screen displays the number of search results and an overview of other medical institutions and nursing facilities that meet the conditions. The overview of other medical institutions and nursing facilities displays the following items and corresponding data: offer of admission, brochure printing, prefecture, city, ward, town, village, facility type, facility name, address, nearest station, admission fee, initial depreciation, monthly fee, welfare assistance, vacant rooms, and scheduled vacancies. When the name of a facility is selected, the screen transitions to the selected facility information screen, where the details of the facility can be confirmed.

<Facility information screen>
FIG. 16 shows an example of a facility information screen according to the first embodiment. FIG. 16 shows a part of the facility information screen. In addition to the menu tab, the facility information screen displays the facility name, a photo of the facility, facility information, nursing care facility conditions, a button for offering a consultation on moving in, and a button for returning to the search results. The facility information displays the following items and corresponding data: management type, furigana, location, telephone number, fax number, HP address, management corporation, parking space, nearest station, nearest bus stop, walking time (hours), moving-in fee (minimum 10,000 yen to maximum 10,000 yen), amortization, monthly fee (minimum 10,000 yen to maximum 10,000 yen), total capacity, total number of rooms, single room (vacant), double room (vacant), other (vacant), single room (scheduled to be vacant), double room (scheduled to be vacant), other (scheduled to be vacant), and remarks. In the nursing care facility conditions, items such as age limit (e.g., no restrictions), bathing support (e.g., lift bath), attached business (e.g., day rehabilitation), other (e.g., guarantor consultation required), cognitive impairment (e.g., consultation available), medical procedure (e.g., home oxygen, bedsore, insulin administration, artificial dialysis, pacemaker, colostomy, etc.), rehabilitation (e.g., physical therapist 〇, occupational therapist 〇, speech-language-hearing ...

<Medical institution registration screen (for medical institutions)>
17 shows an example of a medical institution registration screen (for medical institutions) according to the first embodiment. In addition to menu tabs, the medical institution registration screen displays an add hospital button and a list of registered medical institutions (hospital name, creation user name). When the add hospital button is selected, the screen transitions to the add hospital screen. Furthermore, when a hospital name is selected, the screen transitions to the hospital modification screen for the selected hospital.

<Hospital addition screen>
FIG. 18 shows an example of a hospital addition screen according to the first embodiment. In addition to menu tabs, the hospital addition screen has the following fields: hospital name, postal code, prefecture, city/ward/town, street address/building name, telephone number, fax number, and website address, and allows input of data corresponding to these fields. The hospital addition screen also displays a button to go to confirmation screen and a button to return to hospital list. When the button to go to confirmation screen is selected, the screen transitions to a confirmation screen (not shown) for confirming the information that has been input. When the button to return to hospital list is selected, the screen transitions to the hospital list (medical institution registration screen).

<Hospital modification screen>
FIG. 19 shows an example of a hospital correction screen according to the first embodiment. Like the hospital addition screen, the hospital correction screen has menu tabs as well as the following fields: hospital name, postal code, prefecture, city/ward/town, street address/building name, telephone number, fax number, and website address, allowing correction of data corresponding to each field. The hospital correction screen also displays an update button, a delete information button, and a return to previous page button. When the update button is selected, the hospital information is corrected. When the delete information button is selected, the information of the hospital being displayed is deleted. When the return to previous page button is selected, the screen transitions to a hospital list (medical institution registration screen.

<Person in charge setting screen (for medical institutions)>
20 shows an example of a person in charge setting screen (for medical institutions) according to the first embodiment. In addition to menu tabs, the person in charge setting screen displays an Add Person In Charge button and a list of registered persons (login ID, person in charge name, user authority, registration date). When the Add Person In Charge button is selected, the screen transitions to the Add Person In Charge screen. Furthermore, when a login ID or person in charge name is selected, the screen transitions to the person in charge modification screen for the selected person.

<Add person in charge screen>
FIG. 21 shows an example of a person in charge addition screen according to the first embodiment. In addition to a menu tab, the person in charge addition screen has the following items, which can be input or selected: login ID (required), email address (required), person in charge name (required), furigana (required), password (required), and user authority (selectable by hospital manager or general hospital user). The person in charge addition screen also displays a button to go to confirmation screen and a button to return to the person in charge settings list. When the button to go to confirmation screen is selected, the screen transitions to a confirmation screen (not shown) where the input information can be confirmed. When the button to return to the person in charge settings list is selected, the screen transitions to the person in charge settings list (person in charge settings screen).

Figure 22 shows an example of the person in charge modification screen according to the first embodiment. Like the person in charge addition screen, the person in charge modification screen has the following items in addition to the menu tabs: login ID (required), email address (required), person in charge name (required), furigana (required), password (required), and user authority (selectable by hospital manager or general hospital user), and allows modification of data corresponding to each item. The person in charge modification screen also displays an update button and a return to person in charge settings list button. When the update button is selected, the person in charge information is modified. When the return to person in charge list button is selected, the screen transitions to the person in charge list (person in charge settings screen).

<Home screen (for nursing care facilities)>
FIG. 23 shows an example of a home screen (for nursing facilities) according to the first embodiment. On the home screen (for nursing facilities), a main menu is displayed in the upper right corner of the screen. On the main menu, home, patient search, facility registration, person in charge setting, and logout are displayed as menu tabs (or menu buttons), and by selecting each tab, transition to each screen is made. On the home screen (for nursing facilities), an overview of patient information (excluding personal information) during consultation for admission can be confirmed. In the example of FIG. 23, for each patient, selection (read/unread), registration date, patient information (patient ID, age, sex, hospital name), and latest status (patient attribute information) are displayed. Read/unread are displayed in different colors. When the selection (read/unread) or patient ID is selected, transition to the patient information screen (for nursing facilities) can be made, and details of the selected patient information can be confirmed. When the details of the patient information are confirmed, "unread" in the selection is switched to "read". As the latest status, the latest status of the patient (for example, inquiries about admission consultation, contact status, etc.) is displayed.

<Patient information screen (for nursing care facilities)>
FIG. 24 shows an example of a patient information screen (for nursing facilities) according to the first embodiment. The patient information screen (for nursing facilities) displays a menu tab, patient information (patient ID, age, need for nursing care, hospital name), history, and an update button. The history includes status, work process, and contact information for each facility that has been exchanged. The status is the history of the work process. The work process is configured to be able to be sent by selecting waiting for a response, tentative acceptance, discarded offer, and already occupied. For example, when waiting for a response is selected and the send button is selected, the fact that a response is waiting is recorded as the status and is sent to the medical institution terminal 2. In the contact, a chat screen is displayed, and messages can be sent and received in real time with the medical institution by chat. When a message is entered in the message entry field and the post button is selected, the message is sent. The chat history can be checked by operating the scroll bar.

<Facility registration screen (for nursing care facilities)>
FIG. 25 shows an example of a facility registration screen (for nursing care facilities) according to the first embodiment. In the facility registration screen (for nursing care facilities), facility information is input. The input facility information is stored in the storage unit 15 of the medical and nursing care cooperation server. In the facility registration screen (for nursing care facilities) shown in FIG. 25, in addition to the menu tab, a facility addition button, and a list of registered facilities, the facility name, prefecture, city, ward, town, village, address, vacant room, scheduled vacant room, update date, and update items and corresponding data are displayed. When the facility addition button is selected, the screen transitions to a facility addition screen. When the facility name is selected, the screen transitions to a facility modification screen. Although not shown, in addition to the menu tab, the facility modification screen displays the current vacant room information, scheduled vacant room, and facility information for the selected nursing care facility, and allows information modification. In the current vacant room information, the number of private rooms, the number of double rooms, and other modifications are possible. In the scheduled vacant rooms, the number of private rooms and the date, the number of double rooms and the date, and the number of other rooms and the date can be modified. The facility modification screen also displays an update button, an edit detailed information other than availability button, and a return to facility list button. When the update button is selected, the facility information is modified. When the edit detailed information other than availability button is selected, the screen transitions to the facility addition screen (for nursing care facilities) where the facility information can be modified. When the return to facility list button is selected, the screen transitions to the facility list (facility registration screen).

<Add facility screen (for nursing care facilities)>
Fig. 26 shows an example of a facility addition screen (for nursing care facility) according to the first embodiment. Fig. 26 shows a part of the facility addition screen (for nursing care facility) according to the first embodiment. The facility addition screen (for nursing care facility) allows input of facility information. In the facility addition screen (for nursing care facilities) shown in FIG. 26, in addition to the menu tab, the following items are displayed: facility type (selectable from special nursing home for the elderly, nursing care health facility for the elderly, dementia-friendly communal living care, nursing home for the elderly, residential type nursing home, health type nursing home, elderly housing with service, and low-cost nursing home), nursing care facility name, furigana, postal code, prefecture, city, ward, town, or village, city, ward, town, or village or less, opening date, telephone number, fax number, website address, operating corporation, parking space, nearest station (line station), nearest bus stop, walking distance (minutes), entry fee (selectable as "none", minimum 10,000 yen to maximum 10,000 yen), amortization (yes, no), monthly fee (minimum 10,000 yen to maximum 10,000 yen), total capacity, total number of rooms, single room (room, area...minimum ^m2 to maximum ^m2 ), double room (room, area...minimum ^m2 to maximum ^m2 ), and others (room, area...minimum ^m2 ). ~ Maximum ^m2 ), single room (vacant rooms), double room (vacant rooms), other (vacant rooms), single room (planned vacancy, year/month/day), double room (planned vacancy, year/month/day), other (planned vacancy, year/month/day). Notes (free text field) are available and can be entered or selected. In addition, as conditions for acceptance, there are attached facilities (select from special nursing home for the elderly, nursing home for the elderly, dementia-friendly communal living care, nursing home for the elderly, residential nursing home, health-care nursing home, serviced housing for the elderly, low-cost nursing home, visiting care, visiting nursing, visiting bathing, day care, day rehabilitation, short-term residential care, home care support facility, welfare equipment rental facility, hospital, dental clinic, other (free text)), Age restrictions (choice of 60 years or older, 65 years or older, or no questions asked), level of care required (choice of independent, application pending, support required 1, support required 2, nursing care required 1, nursing care required 2, nursing care required 3, nursing care required 4, or nursing care required 5), bathing support (choice of wipe-down, shower bath, lift bath, mechanical bath/special bath), cognitive impairment (choice of consultation possible, consultation not possible, consultation required, desire to return home, loud voice, reversal of day and night, delusions, violence, anxiety, restlessness, tendency to depression, other (free description)), medical procedures (home oxygen, bedsores/bed sores, insulin It is possible to select or enter the following items and corresponding data: phosphorus administration, artificial dialysis, pacemaker, artificial anus stoma, catheter urine, balloon, phlegm suction, tracheotomy, tube feeding, gastrostomy, total parenteral nutrition (IVH), malignant tumor/terminal cancer, ALS), rehabilitation (physiotherapist (yes, △, ×), occupational therapist (yes, △, ×), speech-language-hearing therapist (yes, △, ×), other (yes, △, ×)), other, guarantor (guarantor required, guarantor not required, consultation required, other), staffing, daytime (caregiver, nurse, doctor, functional trainer, physiotherapist, occupational therapist, speech-language-hearing therapist, other), nighttime (caregiver, nurse, doctor), room (toilet attached, bed attached, furniture attached, kitchen attached, storage space attached), other (karaoke, mahjong, go/shogi, gardening/vegetable garden, pets allowed, smoking area, drinking allowed, other (free description)).

<Personnel setting screen (for nursing care facilities)>
27 shows an example of a person in charge setting screen (for nursing facilities) according to the first embodiment. In addition to menu tabs, the person in charge setting screen (for nursing facilities) displays an Add Person In Charge button and a list of registered persons (login ID, person in charge name, user authority, registration date). When the Add Person In Charge button is selected, the screen transitions to the Add Person In Charge screen. Furthermore, when a login ID or person in charge name is selected, the screen transitions to the person in charge modification screen for the selected person.

<Add person in charge screen>
FIG. 28 shows an example of a person in charge addition screen according to the first embodiment. In addition to the menu tab, the person in charge addition screen has the following items: login ID (required), email address (required), person in charge name (required), furigana (required), password (required), and user authority (selectable by the care facility manager or general care facility user), which can be input or selected. The person in charge addition screen also displays a button to go to confirmation screen and a button to return to the person in charge settings list. When the button to go to confirmation screen is selected, the screen transitions to a confirmation screen (not shown) for confirming the input information. When the button to return to the person in charge settings list is selected, the screen transitions to the person in charge settings list (person in charge settings screen).

Figure 29 shows an example of the person in charge modification screen according to the first embodiment. Like the person in charge addition screen, the person in charge modification screen has menu tabs as well as fields for login ID, email address (required), person in charge name (required), furigana (required), password (required), and user authority, allowing information to be modified. The person in charge modification screen also displays an Update button and a Return to person in charge settings list button. When the Update button is selected, the person in charge information is modified. When the Return to person in charge list button is selected, the screen transitions to the person in charge list (person in charge settings screen).

＜Effects＞
According to the medical care cooperation system 100 according to the first embodiment, by providing the operation management unit 114, particularly the search unit, it is possible to manage patient information (an example of patient/user information) and facility information (an example of institution/facility information), thereby reducing the burden on medical institution staff and nursing facility staff, and extracting nursing facilities where patients can enter after discharge. In other words, it is possible to provide a matching system between medical institutions and nursing facilities. As a result, it is possible to provide a service that streamlines the work of medical institution staff and facility staff, and allows patients (an example of patients/users) to select a nursing facility (an example of an institution/facility) that satisfies them. It is possible to provide a service that streamlines the discharge support work of medical institution staff, particularly medical social workers, and allows patients to select a nursing facility that satisfies them. In addition, by reducing the burden of discharge support work on medical institution staff, particularly medical social workers, it is possible to prevent turnover and contribute to the provision of stable social welfare services. In addition, the work burden of nursing facility staff is reduced because the effort of telephone correspondence, etc. is reduced.

Furthermore, by providing the communication unit 113 with a chat unit, a video conference unit, a vacancy information sharing unit, and a document sharing unit, it is possible to reduce the burden on medical institution and facility staff while eliminating unnecessary work and hassle. For example, when using the telephone, double-checking is required or calling back if no one is present because no records are kept, but by providing a chat unit, a conversation history can be kept, reducing the hassle of double-checking and calling back because no records are kept.

In addition, by providing the security unit 115, it is possible to provide a highly secure and safe matching system between medical institutions and nursing facilities. Specifically, by providing an encryption processing unit, it is possible to prevent eavesdropping, etc. By providing a monitoring unit, it is possible to forcibly disconnect suspicious connections from the outside. By providing a medical record safety management unit, it is possible to prevent the leakage of medical record information. By providing an access management unit, it is possible to set and restrict access rights. For video conferencing, by using WebRTC, communication content is encrypted by Pear2Pear. In addition, the signaling server (which manages each other's IP) is also encrypted by wss. In addition, even if there is a security hole in WebRTC, it is updated along with the browser update. As a result, high security can be ensured for the exchange of video in video conferencing. Even if video or data is leaked, it cannot be decrypted because it is encrypted data. In addition, by allowing only authenticated users to connect, even higher security can be ensured. In addition, by forcibly disconnecting unexpected suspicious connections by peer monitoring, security measures outside WebRTC are also improved.

Second Embodiment
Next, a medical and nursing care cooperation system according to the second embodiment will be described. The configuration of the medical and nursing care cooperation system according to the second embodiment is basically the same as the medical and nursing care cooperation system 100 according to the first embodiment. Therefore, the description will be omitted. Below, specific examples of processing will be described with reference to examples of screens for services for medical institutions and services for nursing facilities, focusing on the differences from the first embodiment.

<Login screen>
FIG. 30 shows an example of a login screen according to the second embodiment. The login screen displays a login ID (corresponding to the login user name in the first embodiment) and a password input field, "Login", and "Forgot your password?". By inputting the URL, login ID, and password of the login screen provided by the administrator of the medical care cooperation system 100, the user can log in to the management screen of the matching service provided by the medical care cooperation system 100. Note that the services provided by medical institutions and nursing care facilities are different. Specifically, when logging in with the login ID of the medical institution, a screen required for searching for nursing care facilities is displayed, and when logging in with the login ID of the nursing care facility, a screen required for searching for patients (offering to patients) is displayed. Also, when logging in with the login ID of the administrator, the administrator screen is displayed. Note that when "Forgot your password?" is selected, "If you have forgotten your password", "If you are in charge or a manager, please contact the administrator" and "If you are an administrator, please contact the XX Management Office (info@xxxx.co.jp)" are displayed. Below, the following will be explained separately for medical institutions and nursing care facilities.

Figure 31 shows an example of a home screen (for medical institutions). On the home screen (for medical institutions), a main menu is displayed in the upper right corner of the screen. On the main menu, home, patient registration, facility search, my page, and logout are displayed as menu tabs (or menu buttons), and by selecting each tab, transitions to each screen. On the home screen (for medical institutions), an overview of registered patient information can be confirmed. In the example of Figure 31, the left side of the screen displays the patient information for each patient, including the furigana, name, date of birth, and part of the address. Patient information can be searched by entering the search ID, furigana, and date of birth in the patient search at the top of the home screen. "Patient details" is displayed for each patient as patient information, and when "Patient details" is selected, transitions to the patient information details screen, where the details of the selected patient can be confirmed. In addition, the facility name is displayed in the center of the home screen. This facility is the facility to which the patient made an offer for consultation on admission. "Confirm" is displayed along with the facility name, and selecting "Confirm" transitions to the facility details screen. In addition, a check box is arranged along with the facility name. Checking a checkbox will send an offer to the checked facility. Once the offer has been sent, "An offer has been made" will be displayed in the message area on the right side of the home screen as a result of the offer being sent. If the checkbox is checked and "Cancel checked offer" is selected, the offer to the facility will be canceled, and a message to that effect will be sent to the facility and displayed in the message area on the right side of the home screen. Additionally, "Search for facilities to make an offer to" is displayed in the center of the home screen, and selecting "Search for facilities to make an offer" will take you to the facility search screen.

On the right side of the home screen, there is a message area (an example of a chat section), where messages can be sent and received in real time, and exchanges with the facility to which the offer was made are displayed. At the bottom of the message area, there is a message input field and "Send" where any message can be entered and sent. In addition, "Fixed phrases" are provided near the message input field, and when "Fixed phrases" are selected, fixed phrases for messages are displayed and can be selected. When an offer is sent or canceled, a notice is displayed in the message area to that effect. In addition, "Start video call" is displayed in the message area, and when selected, a video call (an example of a video conference section) is possible. In addition, in the message area, "Select file" and "Send" are displayed, and when "Select file" is selected, a file can be selected (an example of a material sharing section). In addition, when "Send" is selected, the selected file is sent (an example of a material sharing section). In addition, in the message area, "Mark offer as completed" and "Update" are displayed. When "Mark offer as completed" is selected, the offer is completed, and the name of the facility for which the offer was completed and the message in the message area are erased from the screen. When "Update" is selected, the contents of the message area are updated.

<Patient information screen (for medical institutions)>
FIG. 32 shows an example of a patient information screen (for medical institutions) according to the second embodiment. The patient information screen displays patient information (search ID, identification code, furigana, name, sex, date of birth, age), address (zip code, prefecture, city, ward, town, town name, street address, building, etc.), medical insurance information (type: national health insurance, etc., burden ratio, presence or absence of limit amount certificate), nursing care insurance information (nursing care category, burden ratio), presence or absence of limit amount certificate, certification expiration date, documents, etc.), and the contents can be changed. Examples of types of medical insurance information include national health insurance, late-stage elderly medical insurance, social insurance, seamen's insurance, mutual aid association, and welfare assistance, which can be selected. The burden ratio of medical insurance (corresponding to the burden category in the first embodiment) is displayed as 10%, 20%, 30%, 100% (self-paid), welfare assistance, and others, which can be selected. The care classification (corresponding to the level of care required in the first embodiment) is displayed as independent, pending application, support required 1, support required 2, care required 1, care required 2, care required 3, care required 4, and care required 5, unknown, and can be selected. The burden rate of the long-term care insurance information is displayed as 10% (including those receiving welfare), 20%, 30%, 100% (self-paid), and unknown, and can be selected. In addition, the top of the patient information screen displays the last update date and time along with "update" and "delete". When "update" is selected, the patient information is updated if it has been changed. When "delete" is selected, the patient information is deleted.

In addition, "Open detailed items" is displayed at the bottom of the patient information screen. When "Open detailed items" is selected, further detailed information on the patient information is displayed. Specifically, mobility, meals, problem behaviors, medical procedures, degree of independence in daily life for elderly people with dementia, degree of independence in daily life for elderly people with disabilities (degree of bedriddenness), and HDS-R (Hasegawa Dementia Scale) are displayed and can be entered. For mobility, walking alone, supervision, cane, walker, wheelchair, and stretcher are displayed with checkboxes and can be checked. For meals, assistance, independence, partial assistance, and full assistance are displayed with checkboxes and can be checked. For staple foods, cooked rice, soft rice, whole porridge, porridge jelly, 5-minute porridge, 3-minute porridge, and gruel are displayed with checkboxes and can be selected. For form, bite-sized, chopped, extra-chopped, thick, and thick with water only are displayed with checkboxes and can be checked. In the case of therapeutic diets, diabetic diet, calorie-restricted diet, salt-restricted diet, potassium-restricted diet, and others are displayed with checkboxes and can be checked, and text can be input for the others. In the case of problem behaviors, depression, schizophrenia, delusions of persecution, wandering, violence/abusive language, vocalization, collecting habits, day/night reversal, pica, food theft, urination, defecation, sexual troubles, and others are displayed with checkboxes and can be checked, and text can be input for the others. In the case of medical procedures, gastrostomy, nasogastric/enteral tube feeding, IVH (total parenteral nutrition), artificial ventilator, tracheotomy or endotracheal intubation, infusion, stoma, indwelling catheter, drain, artificial dialysis, oxygen inhalation, insulin, phlegm suction, bedsore, pacemaker, pain control for malignant tumors, MRSA, HBs, HCV, TPHA, scabies, and others are displayed with checkboxes and can be checked, and text can be input for the others. For the degree of independence in daily living for elderly people with dementia, check boxes are displayed along with Independent, I, II, IIa, IIb, III, IIIa, IIIb, IV, and M, which can be selected. For the degree of independence in daily living for elderly people with disabilities (degree of being bedridden), check boxes are displayed along with Independent, J, J1, J2, A, A1, A2, B, B1, B2, C, C1, and C2, which can be selected. For the Hasegawa Dementia Scale-R (HDS-R), numbers can be entered.

<Patient registration screen (for medical institutions)>
Fig. 33 shows an example of a patient registration screen (for medical institutions) according to the second embodiment. Fig. 33 shows a part of the patient registration screen. Patient information is input on the patient registration screen. The input patient information is stored in the storage unit 15 of the medical care coordination server. On the patient registration screen shown in Fig. 33, it is possible to input information corresponding to the items on the patient information input screen.

<Facility search screen (for medical institutions)>
FIG. 34 shows an example of a facility search screen (for medical institutions) according to the second embodiment. FIG. 34 shows a part of the facility search screen. In the facility search screen, search conditions for nursing facilities are input. After input, when the search button is selected with this condition, nursing facilities that meet the input conditions are searched for, and the search results are displayed. In the facility search screen, free word search, search by area/route, and search by facility conditions are possible. In the facility condition selection, conditions can be set and searched for for type, monthly fee, initial cost, age, level of care required, welfare assistance, absence of guarantor, medical system, and special conditions. In the type, general, comprehensive, rehabilitation in recovery, medical treatment, mental, disability, special nursing home, elderly health care facility, paid elderly home, serviced elderly housing, group home, and care house are displayed with check boxes and can be selected. For monthly fee and initial cost, a search can be performed by specifying a range. For age, no designation, 40 years old or older, 60 years old or older, and 65 years old or older are displayed with check boxes and can be selected. For the level of care required, it is the same as the nursing care classification. For "welfare" and "no guarantor", "yes" are displayed with a check box and can be selected. For "medical care system", "dementia", "mental illness", "dialysis", "diabetes", "insulin", "gastrostomy", "nasogastric feeding", "phlegm suction", "IVH (high calorie infusion)", "home oxygen", "catheter placement", "stoma", "artificial ventilator", "tracheotomy", "pacemaker", "cancer", "terminal cancer", "ALS", "MRSA", "HBs", "HCV", "TPHA", and "scabies" are displayed with a check box and can be selected. For "special conditions", "24-hour nurse", "24-hour caregiver", "rehabilitation available", "hospital/clinic on-site", "end-of-life care available", "smoking allowed", "karaoke available", "pets allowed", "day care on-site", "couple room available", "furnished", "mechanical bath/special bath available", "close to station", "free to go out", "close to supermarket", "no entrance fee", and "trial stay available" are displayed with a check box and can be selected.

<Facility search results screen (for medical institutions)>
FIG. 35 shows an example of a facility search result screen (for medical institutions) according to the second embodiment. In the facility search result screen, the setting and changing of search conditions are displayed on the left side of the screen, and items that can be entered on the facility search screen are displayed, allowing the setting and changing of search conditions. On the right side of the screen, an overview of each nursing facility that meets the search conditions is displayed as a search result. As an overview of the foreign language facility, the admission fee, monthly fee, vacant rooms, scheduled vacancies, area, nearest station, etc. are displayed. In addition, "View on MAP" is displayed, and when selected, the screen transitions to a map screen, where the nursing facility can be confirmed on the map. "Other rooms" are displayed near "Vacant rooms" and "Scheduled vacancies", and when selected, the status of other rooms in the same facility can be confirmed. In addition, a "Print" mark and a "Check" mark are displayed, and when selected, the display state changes (color is added), and a "Print" button and an "Offer" button are displayed at the top of the screen. When the "Print" button is selected, the facility information for which the "Print" mark is selected is printed. When the "Offer" button is selected, an offer is made to the facility for which the "Check" mark is selected. At the top of the screen, the "Bulk Print" button and the "Bulk Offer" button are displayed, and selecting either will execute the bulk print or bulk offer. When a facility is selected, the screen transitions to the facility information screen, where the facility information details can be confirmed.

<Facility information screen>
FIG. 36 shows an example of a facility information screen according to the second embodiment. The facility information screen displays the type of facility, facility name, facility name in furigana, address (postal code, prefecture, city, ward, town, town name, house number, building, etc.), main number, transportation access information (train, bus), website URL, and detailed information. The facility information screen also displays the five levels of care required (minimum to maximum), monthly fee (minimum to maximum), age, welfare assistance, guarantor, whether or not there is an entry fee, entry fee (minimum to maximum), medical system, medical system, problematic behaviors, and special conditions, which correspond to the facility search screen.

<Medical institution registration screen (for medical institutions)>
FIG. 37 shows an example of a medical institution registration screen (for medical institutions) according to the second embodiment. The screen is displayed by logging in with the administrator's login ID, selecting "Home" displayed on the tab of the administrator screen, and selecting "List of hospitals and staff members". On the medical institution registration screen (list of hospitals), a list of registered medical institutions is displayed on the left side of the screen together with the hospital name, address, and registration date. An Add Hospital button is also displayed, and when the Add Hospital button is selected, the screen transitions to the Add Hospital screen. An Edit button is also displayed for each hospital name, and when the Edit button is selected, the screen transitions to a screen for editing the hospital information, where the hospital information can be edited. On the right side of the screen, a list of staff members is displayed together with the staff member's name, authority, and email address. A Register Staff Member button is also displayed, and when the Register Staff Member button is selected, the screen transitions to a screen for editing the staff member, where the hospital information can be edited. An Edit button is also displayed for each staff member's name, and when the Edit button is selected, the screen transitions to a screen for editing the staff member, where the hospital information can be edited.

<Hospital addition screen>
FIG. 38 shows an example of a hospital addition screen according to the second embodiment. In the hospital addition screen, the hospital name, the hospital name in furigana, the address, the prefecture, the main number, and the direct line number to the cooperation room are displayed and can be input. In addition, the type, the monthly fee, the welfare assistance, the difference in bed charges, the amenity fee, the guarantor, the hospitalization deposit, the format registration, the medical department, and the characteristic items can be input. In the type, check boxes are displayed and the following options are selectable: general, convalescent rehabilitation, convalescent care, comprehensive community care, mental health, and others. When the check box is checked, an input field for the number of hospital beds, including the input field for the vacant beds, is displayed and can be input. In the difference in bed charges, an add button is provided, and when the add button is selected, the number of people in the room and the difference in charges can be input. In the amenity charges, an add button is provided, and when the add button is selected, the plan name and the additional cost can be input. In the format registration, materials such as pamphlets can be uploaded. In the medical departments, check boxes are displayed along with internal medicine, respiratory medicine, respiratory surgery, gastroenterology, gastroenterology, urology, cardiology, neurosurgery, neurology, psychosomatic medicine, psychiatry, surgery, orthopedics, plastic surgery, dermatology, otolaryngology, ophthalmology, obstetrics and gynecology, rehabilitation, dentistry, oral surgery, and others, which can be selected, and text can be entered for others. In the feature items, check boxes are displayed along with respite care available, ALL DO available, respite hospitalization available, financial management available, Wi-Fi available, near station, convenience store available, face-to-face visits available, remote visits available, and others, which can be selected, and text can be entered for others. Although not shown in the figure, on the hospital modification screen, the same items as on the hospital addition screen can be modified.

<Add person in charge screen>
FIG. 39 shows an example of a person in charge addition screen according to the second embodiment. On the person in charge addition screen (person in charge registration screen), the person in charge name, furigana, user authority (person in charge, manager), email address, ID, password, and registration destination selection are displayed and can be input. The registration destination selection is the medical institution (hospital) to register. After inputting each item, when the register button at the bottom of the screen is selected, the input contents are registered. Although not shown, on the person in charge modification screen, the same items as on the person in charge addition screen can be modified.

<Home screen (for nursing care facilities)>
FIG. 40 shows an example of a home screen (for nursing facilities) according to the second embodiment. On the home screen (for nursing facilities), a main menu is displayed in the upper right corner of the screen. On the main menu, home, my page, and logout are displayed as menu tabs (or menu buttons), and by selecting each tab, transition to each screen is made. On the home screen (for nursing facilities), an overview of registered patient information can be confirmed. In the example of FIG. 40, the hospital in which the patient is admitted, age, gender, and part of the address are displayed as patient information for each patient on the left side of the screen. Patient information can be searched by inputting a search ID, age, care level, and whether or not an offer has been made in the patient search at the top of the home screen. As patient information, "Patient details" are displayed for each patient, and when "Patient details" is selected, transition is made to a patient information details screen, where details of the selected patient can be confirmed. On the right side of the home screen, a message area (an example of a chat section) is provided, where messages can be sent and received in real time, and exchanges with the patient to whom an offer has been made are displayed. Before the offer, "Make an offer to stay" is displayed, and when "Make an offer to stay" is selected after a patient is selected, an offer is made to the selected patient. At the bottom of the message area, a message input field and "Send" are provided, and any message can be input and sent. In addition, "Fixed text" is provided near the message input field, and when "Fixed text" is selected, fixed text messages are displayed and can be selected. When an offer is sent or an offer is cancelled, a notice is displayed in the message area to that effect. In addition, "Start video call" is displayed in the message area, and when selected, a video call (an example of a video conference section) is possible. In addition, "Select file" and "Send" are displayed in the message area, and when "Select file" is selected, a file can be selected (an example of a material sharing section). In addition, when "Send" is selected, the selected file is sent (an example of a material sharing section). In addition, "Update" is provided, and when "Update" is selected, the contents of the message area are updated.

Figure 41 shows an example of a patient information screen (for nursing care facilities) according to the second embodiment. The patient information screen displays patient information (search ID, identification code, sex, age), address (prefecture, city, ward, town, town name), medical insurance information (type (national health insurance, etc., burden ratio, presence or absence of limit amount certificate), nursing care insurance information (nursing care category, burden ratio), presence or absence of limit amount certificate, certification expiration date, documents, etc.), and the contents can be changed. In addition, the top of the patient information screen displays "update" and "delete" as well as the last update date and time. When "update" is selected, the patient information is updated if the patient information is changed. When "delete" is selected, the patient information is deleted. In addition, "open detailed items" is displayed at the bottom of the patient information screen. When "open detailed items" is selected, further detailed information of the patient information is displayed. Specifically, movement, meals, problem behavior, medical procedures, degree of independence in daily life of elderly people with dementia, degree of independence in daily life of elderly people with disabilities (degree of bedriddenness), and HDS-R (Hasegawa Dementia Scale) are displayed and can be entered. For mobility, walking alone, supervision, cane, walker, wheelchair, and stretcher are displayed with checkboxes and can be checked. For meals, assistance, independence, partial assistance, and full assistance are displayed with checkboxes and can be checked. For staple foods, cooked rice, soft rice, whole porridge, porridge jelly, 5-minute porridge, 3-minute porridge, and gruel are displayed with checkboxes and can be selected. For food format, bite-sized, chopped, extra-chopped, thick, and thick with water only are displayed with checkboxes and can be checked. For therapeutic foods, diabetic foods, calorie-restricted foods, salt-restricted foods, potassium-restricted foods, and others are displayed with checkboxes and can be checked, and for others, text can be entered. For problem behaviors, depression, schizophrenia, delusions of persecution, wandering, violence/abusive language, vocalization, collecting, day-night reversal, pica, eating stolen food, urination, defecation, sexual problems, and others are displayed with checkboxes and can be checked, and for others, text can be entered. For medical procedures, check boxes are displayed for gastrostomy, nasogastric/tube feeding, IVH (total parenteral nutrition), artificial respirator, tracheotomy or endotracheal intubation, drip infusion, stoma, indwelling catheter, drain, artificial dialysis, oxygen inhalation, insulin, sputum suction, bedsore, pacemaker, pain control for malignant tumors, MRSA, HBs, HCV, TPHA, scabies, and others, and text can be entered for others. For the degree of independence in daily life of elderly people with dementia, check boxes are displayed for independence, I, II, IIa, IIb, III, IIIa, IIIb, IV, and M, and these can be selected. For the degree of independence in daily life of elderly people with disabilities (degree of being bedridden), check boxes are displayed for independence, J, J1, J2, A, A1, A2, B, B1, B2, C, C1, and C2, and these can be selected. For HDS-R (Hasegawa Dementia Scale-R), numbers can be entered.

<Nursing care facility registration screen (for nursing care facilities)>
FIG. 42 shows an example of a nursing facility registration screen (for nursing facilities) according to the second embodiment. It is displayed by logging in with the administrator's login ID, selecting "Home" displayed on the tab of the administrator screen, and selecting "Nursing care/personnel list". In the medical institution registration screen (facility list), the items of facility name, location, vacant room, upcoming scheduled vacancy, and upcoming scheduled vacancy date are displayed as a facility list at the top of the screen, and corresponding data is displayed. In addition, a facility addition button is provided, and when the facility addition button is selected, the screen transitions to a facility addition screen, where a facility can be added. In addition, an edit button is provided, and when the edit button is selected, the screen transitions to an edit screen of facility information, where the facility information can be edited. In the lower part of the screen, the items of person in charge name, authority, email address, and creation date are displayed as a nursing facility/personnel list, and corresponding data is displayed. In addition, a person in charge registration button is provided, and when the person in charge registration button is selected, the screen transitions to a person in charge addition screen, where a person in charge can be added.

<Add facility screen>
FIG. 43 shows an example of a facility addition screen. On the facility addition screen, the type of facility (general, comprehensive, rehabilitation, medical treatment, mental, disability, special nursing home, elderly health facility, paid elderly home, elderly housing with service, group home, care house), facility name, facility name in furigana, address (postal code, prefecture), main number, homepage URL, and detailed information are displayed and can be input. In addition, the number of rooms can be registered, the level of nursing care required (minimum to maximum), monthly fee (minimum to maximum), age, welfare assistance, guarantor, entry fee, format registration, and document input are possible. Furthermore, detailed items are displayed with check boxes for the medical system, problem behavior, and particular conditions, and can be selected.

＜Effects＞
The medical and nursing care cooperation system according to the second embodiment can also provide the same effect as the medical and nursing care cooperation system according to the first embodiment. For example, it is possible to extract a nursing care facility (an example of a nursing care facility) that can be entered after discharge by reducing the burden on medical institution staff and nursing care facility staff. In other words, it is possible to provide a matching system between medical institutions and nursing care facilities. As a result, it is possible to provide a service that allows the patient (an example of a patient/user) to select a nursing care facility (an example of an institution/facility) that satisfies the patient by streamlining the work of medical institution staff and facility staff. It is possible to provide a service that allows the patient to select a nursing care facility that satisfies the patient by streamlining the discharge support work of medical institution staff, especially medical social workers. In addition, by reducing the burden of discharge support work on medical institution staff, especially medical social workers, it is possible to prevent turnover and contribute to the provision of stable social welfare services. In addition, the work burden of nursing care facility staff can be reduced because the effort of telephone correspondence, etc. is reduced.

Furthermore, by providing the communication unit 113 with a chat unit, a video conference unit, a vacancy information sharing unit, and a document sharing unit, it is possible to reduce the burden on medical institution and facility staff while eliminating unnecessary work and hassle. For example, when using the telephone, double-checking is required or calling back if no one is present because no records are kept, but by providing a chat unit, a conversation history can be kept, reducing the hassle of double-checking and calling back because no records are kept.

In addition, by providing the security unit 115, it is possible to provide a highly secure and safe matching system between medical institutions and nursing care facilities. Specifically, by providing an encryption processing unit, it is possible to prevent eavesdropping, etc. By providing a monitoring unit, it is possible to forcibly disconnect suspicious external connections.

<Other embodiments>
In the first and second embodiments, the medical care cooperation system 100 has been described as a system that provides a matching service between a medical institution and a nursing facility. In other words, the medical care cooperation system 100 has been described as being applied to matching between medical institutions and nursing facilities, in other words, BtoB (Business to Business). The medical care cooperation system 100 is not limited to matching between medical institutions and nursing facilities, but can be widely applied to matching between medical institutions, nursing facilities, and facilities that provide home services, in other words, BtoB (Business to Business). In addition, the medical care cooperation system 100 can also be applied to BtoC (Business to Consumer) when a patient or individual user searches for a medical institution, nursing facility, or home service. For example, the medical care cooperation system 100 can function as a tool to search for a nursing facility when it is difficult to care for one's family at home. Instead of the medical institution terminal 2 or the facility terminal 3, a personal terminal used by an individual accesses the website, inputs the personal ID, password, etc., and then starts information processing to realize facility search, etc. User instruction reception (step S01), request, processing based on the request (step S02), response, processing based on the response (step S03) are appropriately repeated, and a specified screen is displayed on the display unit of the personal terminal. Note that an application (hereinafter simply referred to as an app) capable of executing processing required to receive BtoC matching services, such as searching for facility information, may be installed on the personal terminal, and some of the processing executed by the medical care coordination server 1 may be executed on the personal terminal.

When the medical and nursing care coordination system 100 is used as a tool for individuals to search for nursing care facilities, it can have the following functions. Specifically, in facility searches, it can have the following functions: a search function for popular keywords, a search function for searching by region/station, a search function for searching by rankings, a search function for searching by market price, a search function for searching by available rooms, a search function for searching for high-end facilities, a search function for searching for low-priced facilities, and a search function for searching for facilities that can accommodate dementia. The data necessary to realize each of these functions can be stored in advance in the memory unit 15 of the medical and nursing care coordination system.

Once the facility search has been processed, a list will be displayed as the search results. For the facilities displayed in the list, you can select "Add to information request/tour list", "Request information free of charge", "Tour" or "Call". If "Add to information request/tour list" is selected, the selected facility will be added to the information request/tour list. If "Request information free of charge" is selected, materials for the selected facility will be sent to you. If "Tour" is selected, you can apply to tour the selected facility. If "Telephone" is selected, telephone information for the selected facility will be displayed.

In addition, by selecting any facility from the list, the facility details screen can display detailed information such as the facility's exterior, interior, and 360-degree images. The details screen can also include reviews and special features. The details screen can also display the availability of facilities and support more prominently than other displays. Furthermore, the details screen can display details of the fee plan, the market average in the surrounding area, whether or not there is a trial stay, a list of services, information that explains the service implementation system such as various plans by the operator, photos and explanations of various facilities, meal content, floor map, availability of cooperating medical institutions, staff structure, availability of qualifications, resident composition, frequently asked questions, map information, and information on nearby facilities.

Although the embodiments of the present invention have been described above, the medical and nursing care coordination system etc. according to the present invention are not limited to these, and these can be combined as much as possible. Various modifications can be implemented without departing from the gist of the present invention.

1... Medical and nursing care cooperation system 2... Medical institution terminal 3... Facility terminal 100... Medical and nursing care cooperation system

Claims (11)

a storage unit that stores patient/user information including at least patient/user identification information for identifying a patient/user, patient/user attribute information relating to the attributes of the patient/user, and desired institution/facility information relating to information on a host institution/facility desired by the patient/user, institution/facility identification information for identifying the host institution/facility, and institution/facility attribute information associated with the patient/user attribute information and the desired institution/facility information, the institution/facility information including at least institution/facility attribute information relating to information on the host institution/facility;
a processing unit including a search unit that, when input of patient/user information is accepted via a terminal that accepts the input of patient/user information, stores the patient/user information in a storage unit, and further searches for institutions/facility information stored in the storage unit using the input patient/user information as a search condition to find institutions/facility that can accept the patient/user after the patient/user leaves the institution/facility currently being used, and displays the search results on a display unit of the terminal that accepts the input of patient/user information,
The patient/user information includes the patient's address, the budget for the nursing facility, the patient's discharge date, and the level of care required, which is a step-by-step classification of the patient's/user's level of care required.
The institution/facility attribute information includes the address of the facility, the facility usage fee, the vacant rooms and most recent vacant beds in the facility, and the facilities and staff structure of the nursing care facility.
When the processing unit receives input of the patient's/user's address, the budget for the nursing facility, the patient's discharge date, and the level of nursing care required, which is a step-by-step classification of the level of nursing care required for the patient/user, as search criteria via the terminal that accepts input of patient/user information, it searches for the address of the facility corresponding to the patient's address as the search criteria, the facility usage fee corresponding to the budget as the search criteria, vacant rooms and most recently available beds in the facility corresponding to the patient's discharge date as the search criteria, and the equipment and staff structure of the nursing facility corresponding to the level of nursing care required as the search criteria, and displays the institutions/facilities that correspond to the search criteria on the display unit of the terminal that accepts input of patient/user information as institutions/facilities that can accept the patient/user after they leave the institution/facility they are currently using,
A medical and nursing care coordination system in which, when the processing unit receives input of acceptance request information via the terminal of the receiving institution/facility , it stores the acceptance request information in the memory unit, and further, using the input acceptance request information as a search condition, extracts acceptable patients/users from the institution/facility information and patient/user information stored in the memory unit, and displays them on the display unit of the terminal of the receiving institution/facility. The processing section has a communication section for coordinating between the institution/facility in use and the receiving institution/facility;
The communication unit includes at least one of a chat unit for sending and receiving messages in real time, a video conference unit for communicating by video and audio, a vacancy information sharing unit for sharing vacancy information regarding the availability of an institution or facility, and a material sharing unit for sharing materials including brochures of the institution or facility;
The medical and nursing care cooperation system according to claim 1 , wherein the storage unit stores history information relating to a history of the communication unit. The storage unit stores the patient/user information and the institution/facility information as matching information when the receiving institution/facility is decided,
The processing section has an operation management section for unifying the management of information between the institution/facility in use and the receiving institution/facility,
The medical and nursing care collaboration system of claim 1 or 2, wherein the business management unit includes a matching unit that excludes personal information from the patient/user information in the matching information, queries the patient/user information and institution/facility information against the matching information, searches for institutions/facility suitable for the patient/user, and displays the searched information on a display unit of a terminal that accepts input of patient/user information. The processing section has an operation management section for unifying the management of information between the institution/facility in use and the receiving institution/facility,
The medical and nursing care coordination system of any one of claims 1 to 3, wherein the business management unit includes at least one of a search unit, a daily report management unit that manages daily work report information of medical institution staff or facility staff in charge of patients/users, a shift management unit that manages shift information of medical institution staff or facility staff, and a medical record management unit that manages medical record information of patients/users. The processing unit has a security unit,
A medical and nursing care collaboration system as described in any one of claims 1 to 4, wherein the security unit includes at least one of a terminal that accepts input of patient/user information, an encryption processing unit that encrypts communications with terminals at the receiving institution/facility, a monitoring unit that forcibly disconnects in the event of unauthorized access, a medical record safety management unit that hides personal information regarding patient/user medical record information and manages it using patient/user identification information, and an access management unit that restricts access authority. The medical and nursing care collaboration system according to any one of claims 1 to 5, wherein the storage unit stores the information in separate storage locations for each institution or facility information. The institution/facility attribute information includes vacancy information regarding the availability of the institution/facility;
A medical and nursing care collaboration system as described in any one of claims 1 to 6, wherein, when there is a vacant room at the receiving institution/facility, the search unit classifies institutions/facilities from institution/facility attribute information including vacancy information into institutions/facilities with vacant rooms, institutions/facilities that are scheduled to have vacant rooms, and institutions/facilities that are not scheduled to have vacant rooms but are suitable for the patient/user attribute information, and displays them on a terminal that accepts input of patient/user information among the terminals that accept input of patient/user information. Patient/user attribute information includes discharge information regarding the discharge date,
A medical and nursing care collaboration system as described in any one of claims 1 to 7, wherein when discharge information is input or updated, the search unit searches for institutions or facilities that can accept the patient/user after discharge and displays the information on the display unit of a terminal that accepts input of patient/user information. The medical and nursing care collaboration system of claim 1, wherein the search unit extracts available patients/users, displays them on the display unit of the receiving institution/facility's terminal, accepts the designation of the patient/user to whom a consultation offer is ultimately made via the receiving institution/facility's terminal, and transmits the institution/facility information to a terminal that accepts input of the designated patient/user among terminals that accept input of patient/user information. a storage step of storing in a storage unit patient/user identification information for identifying a patient/user, patient/user attribute information relating to the attributes of the patient/user, patient/user information including at least desired institution/facility information relating to information on a host institution/facility desired by the patient/user, institution/facility identification information for identifying the host institution/facility, and institution/facility attribute information associated with the patient/user attribute information and the desired institution/facility information, the institution/facility information including at least institution/facility attribute information relating to information on the host institution/facility;
a processing step of: when input of patient/user information is accepted via a terminal that accepts the input of patient/user information, storing the patient/user information in a storage unit; and further, using the input patient/user information as a search condition, searching for institutions/facility information stored in the storage unit for institutions/facility that can accept the patient/user after the patient/user leaves the institution/facility currently being used, and displaying the institutions/facility information on a display unit of the terminal that accepts the input of patient/user information;
The patient/user information includes the patient's address, the budget for the nursing facility, the patient's discharge date, and the level of care required, which is a step-by-step classification of the patient's/user's level of care required.
The institution/facility attribute information includes the address of the facility, the facility usage fee, the vacant rooms and most recent vacant beds in the facility, and the facilities and staff structure of the nursing care facility.
In the processing step, input of the patient's address, the budget for the nursing care facility, the patient's discharge date, and the level of nursing care required, which is a step-by-step classification of the level of nursing care required for the patient/user, as search criteria is accepted via a terminal that accepts input of patient/user information, and the address of the facility corresponding to the patient's address as the search criteria, the facility usage fee corresponding to the budget as the search criteria, vacant rooms and most recently available beds in the facility corresponding to the patient's discharge date as the search criteria, and the equipment and staff structure of the nursing care facility corresponding to the level of nursing care required as the search criteria are searched for, and the institutions/facilities corresponding to the search criteria are displayed on the display unit of the terminal that accepts input of patient/user information as institutions/facilities that can accept the patient/user after they leave the institution/facility they are currently using,
In the processing step , when input of acceptance request information regarding the acceptance request is accepted via the terminal of the receiving institution/facility, the acceptance request information is stored in a memory unit, and further, using the input acceptance request information as a search condition, acceptable patients/users are extracted from the institution/facility information and patient/user information stored in the memory unit, and displayed on the display unit of the receiving institution/facility's terminal. This is a medical and nursing care collaboration method. a storage step of storing in a storage unit patient/user identification information for identifying a patient/user, patient/user attribute information relating to the attributes of the patient/user, patient/user information including at least desired institution/facility information relating to information on a host institution/facility desired by the patient/user, institution/facility identification information for identifying the host institution/facility, and institution/facility attribute information associated with the patient/user attribute information and the desired institution/facility information, the institution/facility information including at least institution/facility attribute information relating to information on the host institution/facility;
a processing step of, when input of patient/user information is accepted via a terminal that accepts the input of patient/user information, storing the patient/user information in a storage unit, and further, searching for institutions/facility information stored in the storage unit using the input patient/user information as a search condition to find institutions/facility that can accept the patient/user after the patient/user has left the institution/facility currently being used, and displaying the search results on a display unit of the terminal that accepts the input of patient/user information;
The patient/user information includes the patient's address, the budget for the nursing facility, the patient's discharge date, and the level of care required, which is a step-by-step classification of the patient's/user's level of care required.
The institution/facility attribute information includes the address of the facility, the facility usage fee, the vacant rooms and recent vacant beds in the facility, and the facilities and staff structure of the nursing care facility.
In the processing step, input of the patient's address, the budget for the nursing care facility, the patient's discharge date, and the level of nursing care required, which is a step-by-step classification of the level of nursing care required for the patient/user, as search criteria is accepted via a terminal that accepts input of patient/user information, and the address of the facility corresponding to the patient's address as the search criteria, the facility usage fee corresponding to the budget as the search criteria, vacant rooms and most recently available beds in the facility corresponding to the patient's discharge date as the search criteria, and the equipment and staff structure of the nursing care facility corresponding to the level of nursing care required as the search criteria are searched for, and the institutions/facilities corresponding to the search criteria are displayed on the display unit of the terminal that accepts input of patient/user information as institutions/facilities that can accept the patient/user after they leave the institution/facility they are currently using,
In a processing step , when input of desired acceptance information regarding the acceptance request is accepted via the terminal of the receiving institution/facility, the medical and nursing care collaboration program stores the desired acceptance information in a memory unit, and further uses the input desired acceptance information as a search condition to extract acceptable patients/users from the institution/facility information and patient/user information stored in the memory unit, and displays them on the display unit of the receiving institution/facility's terminal.