JP2023115328A - Apparatus, method and program for continuously providing medication guidance after drug delivery - Google Patents

Abstract

Kind Code: A1 To provide a method for continuously providing medication guidance after drug delivery. A patient first transmits prescription information to a server (110) (S201). Server 110 determines the order of priority among drugs as necessary (S202). Next, the server 110 selects one or more questions from the set of questions associated with each drug (S203), and includes the question sentences or question identifiers of the questions in the first terminal 120. Question information is transmitted (S204). At the first terminal 120, the plurality of questions included in the received question information and at least part of the plurality of answer candidates for each question are displayed on the display screen 400, and the answer information of the selected answer is transmitted to the server 110. (S205). The server 110 determines whether or not the answer text or answer identifier included in the received answer information is correct (S206). is generated (S207). [Selection drawing] Fig. 2

Description

TECHNICAL FIELD The present invention relates to a device, method and program for continuously providing medication guidance after drug delivery.

Currently, a patient who has been diagnosed by a doctor hands over an issued prescription at a pharmacy and receives a medicine from a pharmacist. A patient receives medication guidance from a pharmacist when receiving a medication. Patent Literature 1 by the applicant discloses a technique for enabling a pharmacist to provide a patient with sufficient medication guidance.

Patent No. 6381088

In this way, pharmacists provide guidance to patients so that they can take their medications appropriately, and there are techniques to facilitate this. In terms of the entire period, pharmacists have limited opportunities to provide guidance to patients. is not fully understood.

If the pharmacist can continue to communicate with each patient even after the drug is delivered, it is possible to continue to grasp the patient's condition. It is currently unrealistic to continue to take As an example, in the case of a pharmacy visited by 100 patients a day, if it is assumed that the pharmacy is open for 20 days in January, it will deliver drugs to 2000 patients per month. Since more than one drug is often issued at once, the number of drugs reaches several thousand. A pharmacist cannot give appropriate guidance to each patient unless he/she can fully grasp the patient's situation.

The present invention has been made in view of such problems, and its object is to provide a device, method, or program for continuously performing medication guidance after drug delivery.

In order to achieve such an object, a first aspect of the present invention is a method for continuously providing medication guidance after drug delivery, comprising: selecting one or more questions associated with the drug based on the drug name or drug identifier of the included drug; and sending question texts or question identifiers of the one or more questions to the first terminal. and sending question information including answer sentences or answer identifiers of a plurality of answer candidates for each question; and receiving answer information including answer sentences or answer identifiers of answers selected by the patient from the first terminal. and determining whether or not the answer contained in the answer information is correct, and generating an alert to be displayed on the second terminal used by the pharmacist if the answer is incorrect.

A second aspect of the present invention is the first aspect, wherein the alert includes an answer sentence or answer identifier of an answer determined to be inappropriate and a question sentence or question identifier of a corresponding question. characterized by

A third aspect of the present invention is the first aspect, characterized in that the selection is performed by referring to associations between medicines and a set of questions.

A fourth aspect of the present invention is the third aspect, wherein the selection is a priority given to each question among a set of questions associated with the drug included in the prescription information. It is characterized in that it is performed in descending order of

A fifth aspect of the present invention is the fourth aspect, wherein when the answer included in the answer information is correct, the priority of the question corresponding to the answer determined to be correct is lowered for a predetermined period of time. It is characterized by

Further, according to a sixth aspect of the present invention, according to the first aspect, guidance information including guidance sentences or guidance identifiers for the drug that is the target of the alert is received from the second terminal. and transmitting the guidance information to the first terminal.

Further, a seventh aspect of the present invention is the first aspect, wherein when a plurality of drugs are included in the prescription information, the group of each drug is determined, and one or more belonging to the group with the highest priority The selection is performed for a plurality of drugs.

In addition, an eighth aspect of the present invention is a program for causing a computer to execute a method for continuously performing medication guidance after drug delivery, wherein the method comprises: from a first terminal used by a patient selecting one or more questions associated with the drug based on the drug name or drug identifier of the drug included in the received prescription information; and sending the one or more questions to the first terminal. transmitting question information including a question text or a question identifier and a plurality of answer candidate answer texts or answer identifiers for each question; a step of receiving answer information; a step of determining whether or not the answer contained in the answer information is correct, and generating an alert to be displayed on the second terminal used by the pharmacist if the answer is incorrect; including.

A ninth aspect of the present invention is a device for continuously providing medication guidance after delivery of a medication, wherein Based on the identifier, one or more questions associated with the drug are selected, and the first terminal displays the question sentences or question identifiers of the one or more questions and a plurality of answer candidates for each question. Question information including an answer sentence or an answer identifier is transmitted, answer information including an answer sentence or an answer identifier of an answer selected by the patient is received from the first terminal, and the answer included in the answer information is correct. It determines whether there is, and if incorrect, generates an alert for display on a second terminal used by the pharmacist.

According to one aspect of the present invention, one or more questions can be selected based on the patient's prescription information, sent to the patient terminal, and an alert can be displayed on the pharmacist terminal when the corresponding answer is inappropriate. By doing so, it is possible to grasp the patient's situation after drug delivery, efficiently detect patients who may have problems from among a large number of patients, and give priority to highly necessary medication guidance. can be done.

1 illustrates a system according to an embodiment of the invention; FIG. 1 is a flow diagram of a method in an embodiment of the invention; It is a figure which shows an example of the prescription information produced|generated in one Embodiment of this invention. It is a figure which shows an example of a patient's answer screen in one Embodiment of this invention. FIG. 4 is a diagram showing an example of an alert notification screen for a pharmacist in one embodiment of the present invention; FIG. 4 is a diagram showing an example of a message transmission screen for the pharmacist according to one embodiment of the present invention to transmit a message including medication instructions to the patient.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

FIG. 1 shows a system according to one embodiment of the invention. The system 100 includes a server 110 and a first terminal 120 used by a patient and a second terminal 130 used by a pharmacy or pharmacist, which can communicate with each other via the server 100 .

The first terminal 120 can be a mobile terminal such as a smartphone or a tablet, has an imaging device, and images a two-dimensional code 141 representing prescription information described in a prescription to generate prescription information. The two-dimensional code 141 is described in a document 140 such as a medicine notebook data sheet that is delivered together with the drug, and the patient can take an image of this using the first terminal 120 at home, for example.

The server 110 includes a communication unit 111 such as a communication interface, a processing unit 112 such as a processor and a CPU, and a storage unit 113 including a storage device or storage medium such as a memory or hard disk. Execution may comprise one or more devices, computers or servers. The server 110 may further include a database 114 for storing data necessary for sending a question sentence, which will be described later, in addition to the storage unit 113. However, in the following description, the storage unit 113 and Mention. Also, the program may include one or more programs, and may be recorded on a computer-readable storage medium to be a non-transitory program product. The program can be stored in a storage device or storage medium accessible from the storage unit 113 or the server 110 and executed by the processing unit 112 . Although not shown, the first terminal 120 and the second terminal 130 can also have the same configuration. The first terminal 120 and the second terminal 130 each have an application installed as necessary to enable continuous medication guidance according to the present embodiment.

FIG. 2 shows a flowchart of a method for continuously providing medication guidance after drug delivery according to the present embodiment. First, the patient sends prescription information generated by photographing the two-dimensional code 141 written on the document 140 at home or the like with the first terminal device 120 such as a smartphone to the server 110 (S201). Here, the two-dimensional code 141 is described as being written on the document 140, but it may be electronically received by the first terminal 120, and the two-dimensional code 141 is processed by processing the two-dimensional code 141. The prescription information represented should just be generated.

FIG. 3 shows an example of generated prescription information. "Yutaka Nakao" is described as the patient's name, "Mucodyne Tablet 250 mg" as the drug name, and YJ code "2233002F1174" as the drug identifier. As shown in the figure, drug names other than "mucodyne tablet 250 mg" may be described, and information on a plurality of drugs may be included in the prescription information. The format of the prescription information 300 is not necessarily the same depending on the system that generated the two-dimensional code 141 . Moreover, the prescription information is not limited to that represented by the two-dimensional code 141, and may include at least one of drug names and drug identifiers of one or more drugs.

If the prescription information includes multiple drugs, the server 110 determines the order of priority among the drugs as necessary (S202). For example, a first group including narcotics, anticancer drugs, etc. that can cause serious side effects, a second group that can cause side effects that are milder than drugs belonging to the first group but have a higher risk, and side effects It is conceivable to classify patients into a third group in which there is a low level of concern but a high need for continuous medication guidance, and a fourth group in which other drugs are included. In one embodiment, a group is determined for each of a plurality of drugs included in the prescription information, and one or more drugs belonging to the highest priority group are subjected to subsequent processing, and highly necessary medication guidance is provided. can be prioritized.

Next, the server 110 selects one or more questions from a set of questions associated with each drug for the drugs included in the prescription information (S203), and sends the plurality of questions to the first terminal 120. (S204). The server 110 stores the correspondence between the drug and the set of questions in the storage unit 113 or a storage medium or storage device accessible from the server 110. The drug included in the prescription information received from the first terminal 120 At least a portion of the set of questions can be extracted based on the name or drug identifier. In one embodiment, during or after extraction, a predetermined number of top questions can be selected for transmission to the first terminal 120 by referring to the priority given to each question. . The transmission of the selected questions may occur periodically or in response to receiving some notification from the first terminal 120, and may occur at various times.

As an example, the following 14 question sentences may be associated with the drug "insulin".
“Do you store unused insulin in the refrigerator?”
"Do you check if the liquid comes out before injecting?"
"Have you pushed the injection button all the way to the end?"
"Do you remove the needle after counting the specified number of seconds after pressing the injection button?"
“Can insulin be stored at room temperature (1-30°C) after opening?”
“Do you dispose of needles that have been used once?”
"Do you understand how to dispose of used needles?"
"Does the injection site bleed after the injection?"
“Is the skin hardened at the injection site?”
“Are you careful not to inject the same site continuously?”
“Do you have any pain or numbness in your toes, soles, or fingers?”
“Do you have trouble seeing things or reading letters?”
“Do you have trouble urinating or are you easily swollen?”
“Are you easily tired or short of breath just by moving a little?”

It is conceivable to assign a score to each question, determine the order of priority among the questions according to the magnitude of the score, and select the top three questions. In order to more efficiently understand the patient's situation, the order of priority is to include information other than prescription information, such as the past response history of the patient who sent the question information, and the past response history not limited to the patient who sent the question information. You may decide to take it into consideration.

At the first terminal 120, the plurality of questions included in the received question information and at least a portion of the plurality of answer candidates for each question are displayed on the display screen 400, and the patient preferably selects the answer by tapping or clicking. The reply information including the reply sentence or reply identifier is transmitted to the server 110 (S205). FIG. 4 shows an example of the answer screen. Three question sentences are displayed, and for each question, answer sentences of a plurality of answer candidates are displayed so as to be selectable. In other words, as an example, the question information transmitted from the server 110 preferably has a format in which a plurality of answer candidates for each question can be selectively displayed by tapping on a portable terminal such as a smartphone or tablet. In FIG. 4, questions after question 3 that are displayed by scrolling are omitted. The server 110 stores the received response information in the storage unit 113 or a storage medium or storage device accessible from the server 110 in association with at least one of the patient who responded and the prescription information entered by the patient.

The server 110 determines whether or not the answer text or answer identifier included in the received answer information is correct (S206). is generated (S207). The pharmacist using the second terminal 130 can thus continuously grasp the patient's situation even after the medicine is delivered, and efficiently detect a patient who may have a problem from among many patients. That is, it is possible to efficiently triage and give priority to highly necessary medication guidance.

If the determination result is correct, the server 110 stores that the correct answer has been given to the question (S208), and lowers the priority of the question so that the question is not selected for a predetermined period of time. is preferred. This makes it possible to grasp the patient's situation in more detail, to more efficiently detect patients who may have problems, and to give priority to highly-needed medication guidance. Examples of the predetermined period include January, March, and the like. Since a plurality of questions are included in the question information, it is assumed that some questions will be answered appropriately and other questions will be answered incorrectly.

The suitability of the answer can be determined by the server 110 referring to the correspondence between the answer and its suitability. The association may be stored in a storage medium or storage device accessible from the storage unit 113 or the server 110 . Specifically, a correct answer is flagged as 1, and an incorrect answer is flagged as 0. 1 is associated with "confirmed", and 0 is associated with "sometimes forgotten", "not confirmed", and "don't know how to do it".

The generated alert is sent to an application installed on the second terminal 130 and viewed on the application, in addition to when the second terminal 130 accesses and views the website provided by the server 110. There is As an example, the alert may display the question to which the inappropriate answer was given and the answer to the question, and prompt the pharmacist to create a message for the patient if necessary. . FIG. 5 shows an example of the alert notification screen. In the above description, generation of an alert based on the prescription information received by the server 110 was described. is also conceivable. Examples of such input information include body conditions such as body temperature and the number of defecations, as shown in FIG.

The pharmacist using the second terminal 130 checks the displayed alert, and generates a message including medication instructions for the patient if it is determined that a response is necessary (S209). FIG. 6 shows an example of a message creation screen. The pharmacist can select an instructional text for the drug that is the target of the alert, and can transmit a message including the selected instructional text to the first terminal 110 via the server 110 (S210). . From the viewpoint of the server 110, guidance information including guidance sentences or guidance identifiers for drugs that are alert targets is received from the second terminal 130, and the guidance information is transmitted to the first terminal 110. .

In the above description, the case where the server 110 received the prescription information for the first time was described. Selection may be performed by lowering the priority of questions to which appropriate answers have been given, based on the patient's past answer history.

It should be noted that, unless there is a description of "only" such as "only based on", "only in response to", or "only when", additional information may also be considered in this specification. Note that it is assumed Also, as an example, it should be noted that the statement "do b when a" does not necessarily mean "always do b when a" or "do b immediately after a" unless explicitly stated otherwise. want to be Moreover, the description of "each a constituting A" does not necessarily mean that A is composed of a plurality of constituent elements, but includes that the constituent elements are singular.

Also, just in case, any method, program, terminal, device, server, or system (hereinafter "method, etc."), even if there is an aspect that operates differently from the operations described in this specification, each of the present invention Aspects are directed to acts that are identical to any of the acts described herein, and that there are acts that are different from those described herein, the methods, etc. It should be added that it is not out of the scope of the embodiments.

100 system 110 server 111 communication unit 112 processing unit 113 storage unit 114 database 120 first terminal 130 second terminal 140 document 141 two-dimensional code 300 prescription information 400 answer screen 500 alert notification screen 600 message creation screen

Claims (8)

A method for continuously providing medication guidance after drug delivery,
a computer selecting one or more questions associated with a drug based on the drug name or drug identifier of the drug included in the prescription information received from the first terminal used by the patient;
After receiving the notification from the first terminal, the computer transmits the question sentences or question identifiers of the one or more questions and the answer sentences or answer identifiers of a plurality of answer candidates to each question to the first terminal. sending query information containing
receiving, from the first terminal, answer information including the answer text or answer identifier of the answer selected by the patient. The method of claim 1, wherein
The computer determines whether or not the answer contained in the answer information is correct, and if incorrect, generates an alert for display on the second terminal used by the pharmacist. 3. The method of claim 2, wherein
The alert includes the answer sentence or answer identifier of the answer determined to be inappropriate and the question sentence or question identifier of the corresponding question. 3. The method of claim 1 or 2,
The selection is characterized by referring to the correspondence between the drug and the set of questions. 5. The method of claim 4, wherein
The selection is performed in descending order of priority given to each question among a set of questions associated with the drug included in the prescription information. 3. The method of claim 2, wherein
the step of receiving, from the second terminal, instructional information including an instructional text or an instructional identifier of the drug that is the target of the alert, and transmitting the instructional information to the first terminal; It is characterized by further comprising: A program for causing a computer to execute a method for continuously providing medication guidance after drug delivery, the method comprising:
the computer selecting one or more questions associated with the drug based on the drug name or drug identifier of the drug included in the prescription information received from the first terminal used by the patient;
After receiving the notification from the first terminal, the computer transmits the question sentences or question identifiers of the one or more questions and the answer sentences or answer identifiers of a plurality of answer candidates to each question to the first terminal. sending query information containing
receiving, from the first terminal, answer information including the answer text or answer identifier of the answer selected by the patient. A device for continuously performing medication guidance after drug delivery,
selecting one or more questions associated with the drug based on the drug name or drug identifier of the drug included in the prescription information received from the first terminal used by the patient;
After receiving the notification from the first terminal, to the first terminal, the question information including the question sentences or question identifiers of the one or more questions and the answer sentences or answer identifiers of a plurality of answer candidates for each question and receive, from the first terminal, answer information including the answer sentence or answer identifier of the answer selected by the patient.

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