Medical consulting support system for the purpose of decreasing medica expense In the intensive Care Unit

以减少重症监护室医疗费用为目的的医疗咨询支持系统

• 批准号: 13672360
• 负责人: SOEJIMA Yoshiyuki
• 金额: $ 1.41万
• 依托单位: Yamaguchi University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2001
• 资助国家: 日本
• 起止时间: 2001 至 2002
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13672360/
• 关键词: medical consulting support system; SQL server; medical expenses; database; Access 97; File Maker 5.0; TCP; IP; wireless LAN; データベースシステム; LAN; ネットワーク環境; Microsoft SQL server; Microsoft Access; Filemaker pro; 高額医療抑制

1 .Use and Reconstruction of existing network infrastructureIn our Intensive care uni, We had constructed Intra-hospital LAN, Intra-university LAN and Intra-unit LAN for medical records. We connected Intra-hospital LAN with Intra-unit LAN for medical records. The medical consulting support systems that has made in this time was constructed on Infra-hospital LAN and Intra-unit LAN for medical records. And we use wireless LAN and small portable computers for data transfer between bed and database server2. Construction of network system for medical consulting support systemWe used windows 4.0 NT server as network operating system and use TCP/IP as network protocol. Windows 98,2000 & 4.0 NT workstation Macintosh OS 8.5 & 9.0 were used as client operating system. We used Microsoft SQL server ,Access 97 and File Maker 5.0 as database soft.3. Development database system for medical consulting support systema. Drug prescription consulting support system.In our system, We can input Drug prescri … More ption by using window menu easily. And we can make a list of nurse treatment.b. Laboratory prescription consulting support and reading systemBy using this system, we can transfer laboratory data from laboratory database server. We can evaluate the severity of illness.c. Consulting support system for making a bill of medical expensesBy using small portable computers, We make a bill of medical expenses and transfer data to database server through wireless LAN. We set up web server for the purpose of referring for information about newest medical expenses and feed back information for the next therapy.4.Efficancy and Estimation of this medical consulting support systemPatients: A total of 58 postoperative patients who received coronary artery bypass graft (CABG) and subtotal esophagectomy (STEG). CABG is 29 Patients. STEG is 29 Patients. CABG patients were allocated to two groups: a database group (n=11) and a non database group(n=18). STEG patients were also allocated to two groups: a database group (n=15) and a non database group (n=14). Total medical expense decreased 10% by using medical consulting support system. In CABG patients, Dosage, Injection and Examination charges decreased by using this systems. In STEG patients, Dosage Injection, Examination, X ray and food charges decreased. Less

1.在我们的重症监护室中使用和重建现有网络基础架构，我们构建了医院内LAN，大学内LAN和单位内LAN的医疗记录。我们将医院内LAN与单位内LAN连接以进行病历。此时制造的医疗咨询支持系统是在内科医院LAN和单位内LAN上建造的，用于医疗记录。而且，我们使用无线LAN和小型便携式计算机进行床和数据库服务器之间的数据传输2。用于医疗咨询支持的网络系统的构建Systemwe使用Windows 4.0 NT服务器作为网络操作系统，并将TCP/IP用作网络协议。 Windows 98,2000和4.0 NT工作站Macintosh OS 8.5和9.0用作客户端操作系统。我们将Microsoft SQL Server，Access 97和File Maker 5.0用作数据库Soft.3。医疗咨询支持系统的开发数据库系统。药物处方咨询支持系统。在我们的系统中，我们可以通过窗口菜单来输入药物处方……更多。我们可以列出护士待遇。实验室处方咨询支持和阅读系统使用此系统，我们可以从实验室数据库服务器传输实验室数据。我们可以评估疾病的严重程度。咨询支持系统，用于通过使用小型便携式计算机制作医疗费用，我们通过无线LAN向数据库服务器进行医疗费用，并将数据传输到数据库服务器。我们设置了Web服务器，目的是参考有关最新医疗费用的信息，并为下一次治疗提供了供电信息。4。此医疗咨询支持系统患者的效率和估计：共有58例接受冠状动脉搭桥术后的术后患者，这些患者接受了冠状动脉搭桥术（CABG）和次要食管切除术（Steg）。 CABG是29名患者。 Steg是29名患者。将CABG患者分配给两组：数据库组（n = 11）和一个非数据库组（n = 18）。 Steg患者还分配给两组：数据库组（n = 15）和一个非数据库组（n = 14）。通过使用医疗咨询支持系统，总医疗费用减少了10％。在CABG患者中，使用该系统减少了剂量，注射和检查费用。在Steg患者中，注射剂量，检查，X射线和食物费用减少。较少的