JP2022184003A - Health guidance system, terminal for health guidance, and method for health guidance - Google Patents

Abstract

To provide a health guidance system, a terminal for a health guidance, and a method for a health guidance that can conduct a health guidance and improve an evaluation.SOLUTION: A health guidance system 100 is for providing a health guidance to a medical examinee of a medical checkup, and includes: storage means for storing the result of a medical checkup of a medical examinee, risk factor information specified by the result of the medical checkup, and health guidance information on the content of guidance on the risk factor information; acquisition means for acquiring the result of the medical checkup of the medical examinee as a target of the health guidance; setting means for setting the time of the health checkup that has specified the risk factor information as a reference year on the basis of the risk factor information; conversion means for re-arranging in time series based on the reference year; and guidance means for providing a health guidance to the medical examinee with reference to the risk factor information of each medical examinee and the health guidance information.SELECTED DRAWING: Figure 1

Description

TECHNICAL FIELD The present invention relates to a health guidance system, a health guidance terminal, and a health guidance method for evaluating health guidance for a person undergoing a health checkup.

Conventionally, as a technique for evaluating risk factors such as diseases from the results of medical examinations, for example, a program for predicting the risk of developing a disease or the risk of recurrence of a disease disclosed in Patent Document 1 has been proposed.

In the program for predicting the onset risk or recurrence risk of a disease of Patent Document 1, by inputting first data based on one or both of a test sample collected from a subject and biological information obtained from the subject , to predict the risk of disease onset or recurrence within a predetermined period. The calculation unit generates and acquires a plurality of second data based on two or more index parameters, constructs a plurality of first learning models and a plurality of second learning models, and constructs a plurality of first learning models. selecting a plurality of first selected learning models and a plurality of second selected learning models for each model and a plurality of second learning models.

JP 2018-67266 A

Conventionally, in Japan, employers' medical examinations based on the Industrial Safety and Health Act, specific medical examinations and specific health guidance based on the Act on Securement of Medical Care for the Elderly, and various medical examinations and examinations based on the Health Promotion Act have been carried out. Citizens have an opportunity to see a doctor about once a year, and the government is taking the lead in digitizing and accumulating the results of health checkups and examinations as electronic data. The results of past medical examinations and examinations are combined for each individual examinee and evaluated based on changes over time, and the examinees are evaluated as a group. It is used for guidance, etc.

Medical checkup and examination results accumulated as electronic data can be used as useful big data, for example, "risk factors" such as blood test results and their evaluations are extracted from the medical checkup and examination results, and machine learning is performed using these as inputs. and deep learning algorithms are used to estimate and output comprehensive risk assessment results and health status after one year. The black box-like device cannot be used by those who provide health guidance based on the results of medical examinations and examinations as the basis for encouraging behavioral changes in those undergoing medical examinations.

In this regard, in the technology disclosed in Patent Document 1, the computing unit generates and acquires a plurality of second data based on two or more index parameters, and constructs a plurality of first learning models and a plurality of second learning models. A model is used to predict the risk of disease onset or recurrence within a given period of time. However, in a mechanism that incorporates machine learning and deep learning, although the algorithm that connects the input value and the output value is clear, the weighting of the input value that acts on the obtained output value and the function for calculating the output value are It is obtained by recursive calculation using the results of physical examinations and examinations as teacher data, and cannot explain the relationship between input values and output values logically.

In addition, since it is difficult to quantitatively evaluate how effectively the implemented health management and health guidance worked, instead of evaluating other indicators such as the health guidance implementation rate, it is possible to qualitatively evaluate what was done and how. However, there is no evaluation of businesses that provide health management and health guidance.

SUMMARY OF THE INVENTION Accordingly, the present invention has been devised in view of the above-described problems, and aims to provide a health guidance system, a health guidance terminal, and a health guidance system capable of improving health guidance and evaluation. It is to provide a method.

A health guidance system according to a first aspect of the invention is a health guidance system that provides health guidance to a person undergoing a health checkup, wherein the result of the health checkup of the person undergoing the health checkup and the risk specified by the result of the health checkup storage means for storing factor information and health guidance information related to the content of guidance for the risk factor information; acquisition means for acquiring the health checkup result of the examinee who was the target of the health guidance; setting means for setting, based on the risk factor information specified by the result of the health checkup, the period of the health checkup at which the risk factor information was specified as a reference year; conversion means for referring to the risk factor information and the health guidance information and sorting them in chronological order based on the reference year set by the setting means; guidance means for providing health guidance to the examinee based on the risk factor information and the health guidance information.

A health guidance system according to a second invention is characterized in that, in the first invention, the health guidance information stored in the storage means is improved, maintained, or deteriorated indicating the effect of health guidance on the risk factor information of the examinee. The effect information includes at least one of

A health guidance system according to a third invention is the first invention or the second invention, wherein the storage means stores the costs incurred in the health checkup of the examinee, the costs incurred in the health guidance, and after the health checkup It is characterized by storing medical expense information including at least one of medical expenses incurred.

A health guidance system according to a fourth invention, in the second invention, further comprises calculating means for referring to the effect information stored in the storage means and calculating the proportion of the effect for each risk factor information, The guidance means provides health guidance to the examinee based on the effect ratio calculated by the calculation means.

A health guidance system according to a fifth invention is the health guidance system according to the fourth invention, wherein the risk factor information for each examinee and the health guidance information in chronological order based on the reference year rearranged by the conversion means; It is characterized by further comprising evaluation means for evaluating the content of the health guidance given to the examinee by the guidance means based on the ratio calculated by the calculation means.

A health guidance terminal according to a sixth aspect of the invention is a health guidance terminal that provides health guidance to a person undergoing a health checkup, and is specified by a health checkup result related to the health checkup of the examinee, and the health checkup result. a storage unit for storing risk factor information and health guidance information related to the content of guidance for the risk factor information; a setting unit for setting, based on the risk factor information specified by the obtained health checkup result, the health checkup period at which the risk factor information was specified as a reference year; and for each other examinee stored in the storage unit A conversion unit that refers to the risk factor information and the health guidance information of the above, and sorts them in chronological order based on the reference year set by the setting unit; and a guidance unit that provides health guidance to the examinee based on the risk factor information and the health guidance information.

A health guidance method according to a seventh aspect of the invention is a health guidance method for providing health guidance to a person undergoing a health checkup, wherein the health checkup result of the health checkup of the examinee and the risk specified by the health checkup result a storage step of storing factor information and health guidance information relating to guidance content for the risk factor information; an acquisition step of acquiring the health checkup result of the examinee who was the target of the health guidance; a setting step of setting, based on the risk factor information specified by the result of the medical checkup, the health checkup period in which the risk factor information was specified as a reference year; A conversion step of referring to the risk factor information and the health guidance information and sorting them in chronological order based on the reference year set in the setting step; and a guidance step of providing health guidance to the examinee based on the risk factor information and the health guidance information.

According to the first to fifth inventions, the setting means sets, as the reference year, the health checkup period in which the risk factor information is specified based on the risk factor information specified by the health checkup results. Therefore, it is possible to extract, as time-series data, the results of physical examinations/examinations before and after the results of physical examinations/examinations that match. As a result, health guidance and evaluation can be improved.

Further, according to the first to fifth inventions, the converting means refers to the risk factor information and the health guidance information for each examinee, and arranges them in chronological order based on the reference year set by the setting means. change. Therefore, the extracted medical checkup/examination results, which are time-series data, can be rearranged based on the matching medical checkup/examination results. As a result, it is possible to predict changes in the patient's risk factors, and to provide logical explanations on the basis of such predictions, thereby improving health guidance and evaluation.

In addition, according to the first to fifth inventions, the guidance means is based on the risk factor information for each of the other examinees rearranged by the conversion means and the health guidance information, and the examinees who have received health guidance health guidance information. For this reason, it can be explained logically as the basis for urging patients to change their behavior through health guidance. As a result, health guidance and evaluation can be improved.

In particular, according to the second invention, the health guidance information includes effect information indicating the degree of effect of the health guidance on the examinee. For this reason, it can be explained logically as the basis for urging patients to change their behavior through health guidance. As a result, it becomes possible to improve the accuracy of the evaluation of the business that provides health guidance.

In particular, according to the third invention, the storage means further stores information on costs incurred after medical examinations and health guidance. Estimate future medical expenses for examinees by extracting and aggregating the medical expenses of other examinees after the base year using time-series data rearranged based on the results of medical examinations and examinations that match those of the examinees. can. For this reason, those who provide health guidance based on the results of medical examinations and examinations can use the results as a basis for reducing medical costs when encouraging behavioral changes in the recipients of medical examinations. As a result, health guidance and evaluation can be improved.

In particular, according to the fourth invention, the calculation means calculates the ratio of the effect for each risk factor information. Therefore, the evaluation means can evaluate the health guidance information of the examinee who is the target of the health guidance based on the ratio of effectiveness. As a result, health guidance and evaluation can be improved.

In particular, according to the fifth invention, the evaluation means evaluates the content of health guidance. For this reason, based on the risk factor information and health guidance information for each examinee in chronological order based on the base year, and the effect ratio calculated by the calculation method, the content of health guidance for the examinee by the guidance means can be evaluated. As a result, it becomes possible to improve the accuracy of the evaluation of the business that provides health guidance.

Moreover, according to the sixth aspect, the setting unit sets the health checkup period in which the risk factor information is specified as the reference year, based on the risk factor information specified by the health checkup result. Therefore, it is possible to extract, as time-series data, the results of physical examinations/examinations before and after the results of physical examinations/examinations that match. As a result, health guidance and evaluation can be improved.

Also, according to the seventh invention, the setting step sets the health checkup time when the risk factor information is specified as the reference year based on the risk factor information specified by the health checkup results. Therefore, it is possible to extract, as time-series data, the results of physical examinations/examinations before and after the results of physical examinations/examinations that match. As a result, health guidance and evaluation can be improved.

FIG. 1 is a schematic diagram showing an example of a health guidance system according to this embodiment. FIG. 2 is a schematic diagram showing an example of the operation of the health guidance system according to this embodiment. FIG. 3(a) is a schematic diagram showing an example of the configuration of the health guidance system according to this embodiment, and FIG. 3(b) is a schematic diagram showing an example of the functions of the health guidance system according to this embodiment. FIG. 4 is a schematic diagram showing an example of a database in this embodiment. FIG. 5 is a schematic diagram showing an example of the operation of the health guidance system according to this embodiment. FIG. 6 is a schematic diagram showing an example of the operation of the health guidance system in this embodiment. FIG. 7 is a flow chart showing an example of the operation of the health guidance system according to this embodiment.

An example of a health guidance system, a health guidance terminal, and a health guidance method according to embodiments to which the present invention is applied will be described below with reference to the drawings.

(Health Guidance System 100)
An example of a health guidance system 100 and a health guidance terminal 1 according to the present embodiment will be described with reference to FIG.

A health guidance system 100 in this embodiment has a health guidance terminal 1 as shown in FIG. 1, for example. The health guidance terminal 1 includes, for example, a health checkup terminal 3a at a health checkup implementation institution that conducts a health checkup via a public communication network 4, and an evaluation terminal 3b at a third party institution that evaluates the content of health guidance. , and a server 2 having a database for storing information on health checkup results of examinees and health guidance information on guidance content. The health guidance terminal 1 is connected via a public communication network 4, for example, and acquires various types of information such as medical examinations, examination results, medical expenses, etc. of the examinee who is the subject of health guidance via the server 2. FIG.

In the health guidance system 100, for example, as shown in FIG. 2, the health guidance terminal 1 is used to access the server 2 to acquire the health checkup results of the examinee for whom health guidance is to be provided. The health guidance terminal 1 sets, as the reference year, the health check-up period in which the risk factor information is specified, based on the risk factor information specified by the obtained health check-up result, for example.

The server 2 rearranges the risk factor information and health guidance information for each examinee in chronological order based on the reference year set by the health guidance terminal 1, for example. The health guidance terminal 1 refers to, for example, the risk factor information and the health guidance information for each other examinee rearranged in the server 2, and provides health guidance to the examinee.

The health checkup terminal 3a, for example, performs a health checkup for the person who will receive health guidance at the health guidance terminal 1, and acquires health checkup result information. The health checkup terminal 3a may be installed in, for example, a health checkup institution, and may have a plurality of terminals. The evaluation terminal 3b, for example, evaluates the content of health guidance (health guidance information) provided by the health guidance terminal 1. FIG. The evaluation terminal 3b can be used to measure various effects, such as the effect of health guidance for each health checkup implementation entity, the effect of health guidance for each provider of health guidance, and the effect of improving health conditions and optimizing medical expenses. Evaluate the usefulness of

The health checkup result information is, for example, various health checkup results of the examinee input from the health checkup terminal 3a at each health checkup institution, such as "A: No problem", "B: Guidance required", etc. Presented. The health checkup result information may also include, for example, risk factor information specified by the health checkup result.

The risk factor information is, for example, information individually indicated as a factor of medical checkup results, and includes items such as "obesity" and "hypertension". The risk factor information may include, for example, information such as the degree and range of the risk factor information. Various types of health checkup information, health checkup results, risk factor information, and the like may be associated with each other.

The health guidance information is presented to the examinee as guidance content based on, for example, health checkup results. The health guidance information is rearranged using, for example, the health checkup period in which the risk factor information was specified as the reference year, and the content of the health guidance is based on the risk factor information and the health guidance information for each examinee. The health guidance information may be represented, for example, as a numerical value such as 0 to 5, indicating whether the degree of obesity (BMI) is obese or not. When extracting and evaluating the health checkup results of examinees, for example, for examinees who are "obesity = 1", by setting "obesity = 0", the risk of developing lifestyle-related diseases is reduced. You may make it present the simulation result of.

Also, the health guidance information is, for example, for each individual examinee or for each group of specific risk factor information, the effect of the health condition on the risk factor information (for example, "improvement", "maintenance of the status quo", "worsening", and their effects). rate of increase/decrease, tendency, transition, difference, etc.) may be presented. Presentation of health status is presented to matching examinees, for example, as progress (e.g. 2 years ago, 1 year ago, etc.) or prediction (e.g., 1 year later, 2 years later, etc.) based on the reference year. You may make it

The health guidance information is presented, for example, based on the health checkup results of the examinee, but the method of presentation, timing and number of times of presentation, frequency of presentation, destination of presentation, format of presentation, and the like are arbitrary.

(Health Guidance Terminal 1)
Next, an example of the health guidance terminal 1 in this embodiment will be described with reference to FIG. FIG. 3(a) is a schematic diagram showing an example of the configuration of the health guidance terminal 1 according to this embodiment, and FIG. 3(b) is a schematic diagram showing an example of the functions of the health guidance terminal 1 according to this embodiment. It is a diagram.

For example, as shown in FIG. 3A, the health guidance terminal 1 includes a housing 10, a CPU (Central Processing Unit) 101, a ROM (Read Only Memory) 102, a RAM (Random Access Memory) 103, A storage unit 104 and I/Fs 105 to 107 are provided. Each configuration 101 - 107 is connected by an internal bus 110 .

The CPU 101 controls the health guidance terminal 1 as a whole. ROM 102 stores the operation code of CPU 101 . A RAM 103 is a work area used when the CPU 101 operates.

The storage unit 104 stores various types of information such as health checkup results related to health checkups performed by the examinee, risk factor information specified by the health checkup results, and health guidance information related to the content of guidance for the risk factor information. As the storage unit 104, for example, a data storage device such as a HDD (Hard Disk Drive), an SSD (Solid State Drive), a USB memory, or a cloud is used. For example, the health guidance terminal 1 may have a GPU (Graphics Processing Unit) not shown. Having a GPU enables higher-speed arithmetic processing than usual.

The I/F 105 is an interface for sending and receiving various information to and from the health guidance terminal 1, and for example, via the public communication network 4, the server 2, the health checkup terminal 3a, the evaluation terminal 3b, or the like. It may be an interface for sending and receiving various information with.

The I/F 106 is an interface for sending and receiving information with the input unit 108 . A keyboard, for example, is used as the input unit 108 , and the instructor or the like using the health guidance terminal 1 inputs various information or control commands for the health guidance terminal 1 through the input unit 108 .

The I/F 107 is an interface for sending and receiving various information with the display unit 109 . The display unit 109 outputs various types of information such as health checkup result information stored in the storage unit 104, or the processing status of the health guidance terminal 1 and the like. A display is used as the display unit 109, and may be of a touch panel type, for example.

FIG. 3B is a schematic diagram showing an example of the functions of the health guidance terminal 1. As shown in FIG. The health guidance terminal 1 includes a storage unit 11 , an acquisition unit 12 , a setting unit 13 , a conversion unit 14 , a guidance unit 15 , a calculation unit 16 and an evaluation unit 17 . Note that each function shown in FIG. 3B is implemented by the CPU 101 using the RAM 103 as a work area and executing a program stored in the storage unit 104 or the like, and may be controlled by artificial intelligence, for example.

<Storage Unit 11, Database>
The storage unit 11 stores, for example, health checkup results related to health checkups performed by the examinee, risk factor information specified by the health checkup results, and health guidance information related to guidance content for the risk factor information.

The storage unit 11 may store, for example, health guidance information in association with effect information including at least one of improvement, maintenance of the status quo, and deterioration, which indicates the effect of health guidance on the patient's risk factor information. . The storage unit 11 may store medical expense information including at least one of the cost of the health checkup performed by the examinee, the cost of health guidance, and the medical expenses incurred after the health checkup.

Storage unit 11 retrieves various databases stored in storage unit 104 as needed. For example, as shown in FIG. 4, the storage unit 104 stores various data and information related to the examinee, the institution performing the health checkup, the examinee's health checkup, health checkup item information, health checkup result information, risk factor information, and health guidance. In addition to a data table related to information (health guidance group), etc., a data table (not shown) storing medical expenses such as medical examination costs, health guidance costs, etc. may be stored.

In addition, the storage unit 11 may store the health checkup results input at each health checkup institution through a plurality of health checkup terminals 3a at the health checkup institution in association with each other. In addition, the storage unit 11 stores, for example, the effect of the health condition on the risk factor information of the examinee, such as "A: No problem" and "B: Guidance required", which are various medical examination results of the examinee who has undergone the medical examination. Certain "improvement", "maintenance of the status quo", "worsening", and their rate of increase or decrease, tendency, transition, difference, etc. may be stored in chronological order for a plurality of years. Part or all of the various information stored in the storage unit 11 may be stored in the storage unit 104, for example.

Here, with reference to FIG. 4, various kinds of information about the physical examination of the examinee, which are stored in the storage unit 11, for example, will be described in detail. FIG. 4 shows an example of a database in this embodiment.

The database stored in the storage unit 11 stores, for example, various types of information relating to physical examinations of examinees. As various types of information related to medical examinations of examinees, for example, "AAA001", "BBB001", and "EEE001" as examinee IDs for identifying examinees, and " Examinee's name, date of birth, gender, address, telephone number, e-mail, special notes, progress information, etc." Health checkup cost, health guidance cost, name of person in charge, etc.”, as information that specifies the time when the examinee received the health checkup. Information on examination items, for example, "health examination item information"; For example, "Risk Factor Information (Risk Factor Range)" is information about the scope, and "Health Guidance Information (Health Guidance Group)" is information about the content of health guidance by health guidance organizations and the grouping of subjects. remembered.

The database stored in the storage unit 11 and the storage unit 104 stores, for example, various information related to the health checkup of the examinee. be. In the database, for example, the accumulation and updating of the medical checkup result information of the examinees are performed via the medical checkup terminal 3a. Various information such as health guidance information given to the examinee via the health guidance terminal 1 may be referred to in the database via the evaluation terminal 3b. The timing and frequency of updating the database are arbitrary.

<Acquisition unit 12>
The acquisition unit 12 refers to a database stored in the server 2 via, for example, a plurality of health checkup terminals 3a at the health checkup implementing institution, and obtains information about the examinee who is the subject of health guidance and the examinee who is the subject of health guidance. Get the health checkup results of

For example, by inputting a patient ID that identifies the patient via the health guidance terminal 1, the acquiring unit 12 can acquire the health checkup results related to the patient ID. By inputting the month and day, health checkup item information, health checkup result information, risk factor information, health guidance information, or the like, the health checkup result of the examinee who received health guidance may be acquired.

<Setting unit 13>
The setting unit 13, for example, based on the specified risk factor information included in the health checkup result of the examinee who is the target of health guidance acquired by the acquisition unit 12, sets the health checkup timing at which the risk factor information is specified. Set as the base year.

Here, the setting of the reference year in the setting unit 13 will be described in detail with reference to FIGS. 5 and 6. FIG. FIG. 5 shows an example of the operation of the health guidance system 100 in this embodiment.

The setting unit 13 refers to the storage unit 11, for example, and specifies factor information for which health guidance is required from the health checkup results of the patient A who receives health guidance acquired by the acquisition unit 12. FIG. For example, as shown in FIG. 4, the setting unit 13 is identified by the examinee ID "AAA001" of the examinee A as the examinee to whom health guidance is to be given, the examination date "2021.05.10", and the health checkup item information The risk factor information "obesity 1 degree (BMI: 20 to 30)" is specified based on the health checkup result information "B: Guidance required (obesity degree)" performed in the "ordinary health checkup".

The setting unit 13 sets, for example, the medical checkup date “2021.05.10” as the reference year based on the specified risk factor information “Obesity 1 degree (BMI: 20 to 30)”. For example, if a plurality of pieces of risk factor information are included in the results of health checkups performed at the same time, the setting unit 13 may set the reference year based on each piece of risk factor information. good.

The setting unit 13 adds the risk factor information “obesity 1 degree (BMI: 20-30)” is specified. The setting unit 13 sets the risk factor information "Obesity 1 degree (BMI: 20 to 30)" of the patient A and, for example, the patient B (patient ID "BBB001", medical examination date "2020.04.02"). and patient C (patient ID “EEE001”, date of consultation “2019.04.30”).

<Converter 14>
The conversion unit 14 refers to the risk factor information and health guidance information for each examinee stored in the storage unit 11, for example, and sorts them in chronological order based on the reference year set by the setting unit 13.

For example, as shown in FIG. 2021.05.10” as the reference year, and the risk factor information “obesity 1 degree (BMI: 20 to 30)” of the date of examination “2021.05.10” of examinee B and the year of examination of examinee C The risk factor information “obesity 1 degree (BMI: 20 to 30)” for the date “2019.04.30” is sorted.

The conversion unit 14 rearranges, for example, the risk factor information and health guidance information for each examinee stored in the storage unit 11 in chronological order with reference to the reference year set by the setting unit 13 . For example, based on the rearranged reference years, the conversion unit 14 positions health checkup results, health guidance information and the like before the reference year as "-1 year", "-2 years", and the like. For example, based on the rearranged reference years, the conversion unit 14 positions health checkup results, health guidance information, etc. after the reference year as “+1 year”, “+2 years”, etc. Health checkup results, health guidance information, etc. for person B and patient C are linked.

For example, as shown in FIG. 6, based on the reference year, the conversion unit 14 refers to, for example, health checkup results, health guidance information, medical expenses, effect information (percentage) of health checkup information before the base year, and the like. It is possible to judge whether or not the guidance and advice such as the health guidance information of 1 is appropriate, and to improve the health guidance and evaluation.

Further, as shown in FIG. 6, for example, the conversion unit 14 refers to, for example, health checkup results, health guidance information, medical expenses, effect information (ratio) of health checkups and health guidance after the base year based on the base year. As a result, it becomes possible to provide guidance and advice on future health guidance information, etc., and improve health guidance and evaluation.

The effect information (ratio) of health checkups and health guidance is calculated by the calculation unit 16, which will be described later, based on, for example, the base year for each risk factor information, and the effect of health guidance for multiple years on the examinee is, for example, "deteriorated", " "maintain the status quo", "improve", etc. may be output together with the ratio of each effect. The output of health guidance effect information (percentage) is shown, for example, as predictions for one year later (+1 year) as "35% worsening", "35% maintaining the status quo", and "30% improving". As the reference information and evidence information to be shown, health checkup result information as health checkup results related to these effects and health guidance information as health guidance may be linked.

<Guidance Section 15>
The guidance unit 15 refers to, for example, the risk factor information and the health guidance information for each of the other examinees rearranged by the conversion unit 14, and provides health guidance to the examinees. The guidance unit 15 provides health guidance to the examinee based on the effect ratio calculated by the calculation unit 16 and the like.

The guidance unit 15 refers to the risk factor information and health guidance information for each examinee converted by the conversion unit 14 and stored in the storage unit 11 via the health guidance terminal 1, for example. Health guidance is provided based on the calculated effects of health guidance over a number of years (for example, percentages of obesity levels of “35% worsening”, “35% maintaining the status quo”, and “30% improving”).

For example, in the health guidance for the examinee A who underwent a health checkup this time, the guidance unit 15 provides, for example, the contents of the health checkup result information of the examinee A and other information linked to the risk factor information of the health checkup result of the examinee A. It is also possible to compare text information, numerical information, etc. described in the medical examination result of the examinee and the health guidance information, extract an appropriate wording, and use it as the basis for the health guidance for the examinee A.

In addition, for example, when the health checkup result of examinee A is in a state close to “35% deterioration”, the guidance unit 15 provides the health checkup result information of “maintaining the current state 35” or “improving 30%”. Present. The guidance unit 15 refers to, for example, health checkup result information of the examinee A, refers to health guidance effect information (ratio) one year later (+1 year), and further two years later (+2 years), and obtains a plurality of Health guidance may be provided annually. The amount of health guidance and the content of the health guidance for the patient A by the guidance unit 15 may be, for example, text information, voice, or video. , may be appropriately instructed by the medical examiner, and is optional.

For example, in a scene where health guidance is provided, the guidance unit 15 uses the health checkup results of the examinee A for whom health guidance is to be provided. It is also possible to retrieve and extract data that matches A's health checkup result.

The guidance unit 15 refers to the storage unit 11 based on, for example, the state of the risk factor, and determines, for example, “suspicious of obesity = 1, 0”, “suspicious of hypertension = 1, 0”, “consciousness Guidance may be given to risk factor information that matches all of "symptom presence/absence=1, 0". Further, the guidance unit 15 may, for example, give guidance to both pieces of risk factor information in which only the risk factor of 1 (present) matches among the evaluations of "presence or absence of 1 or 0." As a result, it is possible to predict the health check-up status and health status of the examinee A one year later and two years later based on the ratio of the numerical value with the highest degree of agreement with the health status of the examinee A.

For example, when the degree of matching with the risk factor information of examinee A (the number of persons is small), the guidance unit 15 operates the range of the risk factor information, the information about the examinees, the numerical value of the medical checkup result, and the like. You may enable it to narrow down by.

The guidance unit 15 refers to, for example, the storage unit 11, and collects results and ratios of various data such as medical examination results for each year of a plurality of examinees (if the overall evaluation of examinee A is "B: Guidance required"). , the probability of improvement to become "A: No problem", the probability of maintaining "B: Guidance required", etc.) are presented. As a result, for example, a public health nurse or the like who provides health guidance or the like can explain to the examinee using the predicted value and probability of the examinee's health condition one year or two years from now.

<Calculation unit 16>
The calculation unit 16 refers to the effect information stored in the storage unit 11, for example, and calculates the ratio of the effect for each risk factor information. The calculation unit 16 calculates the values of the risk factors of the examinee A completely for each group extracted in units of time series after 1 year, 2 years, and N years after the reference year set by the setting unit 13, for example. Only other matching patients (for example, patient B, patient C, etc.) may be extracted.

Further, the calculation unit 16 may extract a target group by, for example, a method of partial matching with only specific risk factors. As a result, by using partial matching, it is possible, for example, to expand the population of other patients to be extracted, and it is possible to change the weighting of risk factors in a specific population and perform evaluation. .

The calculation unit 16 statistically processes the medical checkup/examination results in units of the reference year of the medical checkup period of the examinee A set by the setting unit 13 . The calculation unit 16 calculates, for example, how the risk factor information of the patient A of interest changes (for example, the ratio of "improvement", "maintenance of the status quo", and "deterioration") using, for example, a known probability distribution. You may do so. As a result, it is possible to provide appropriate explanations and guidance for each risk factor information to the patient receiving health guidance.

For example, the calculation unit 16 superimposes a data group obtained by rearranging medical checkup/examination results in chronological order and a data group obtained by rearranging medical expenses paid in chronological order, and calculates the reference year of the risk factor information of examinee A. In addition to the probability distributions after 1 year, 2 years, and N years based on , an estimate of medical expenses to be paid for each year may be calculated. As a result, changes in risk factor information can be expected by implementing health management, health guidance, etc., and it is possible to improve the estimated value of the medical expenses to be paid to the patient A.

<Evaluation unit 17>
The evaluation unit 17, for example, based on the risk factor information and health guidance information for each examinee in chronological order based on the reference year rearranged by the conversion unit 14, and the effect ratio calculated by the calculation unit 16 to evaluate the contents of the health guidance for the examinee by the guidance unit 15.

The evaluation unit 17 evaluates the effects of, for example, health guidance. For example, in order to calculate the effect of health guidance, the evaluation unit 17 refers to the storage unit 11 and acquires in chronological order the health checkup result data before and after the health guidance information data on which health guidance was provided. do. For example, the evaluation unit 17 compares the health checkup result information of one year before the health guidance (reference year -1) with various health checkup results included in the health checkup result information of the first year, and evaluates the health of the examinee A. Evaluate the content of past health guidance for examinees based on changes in examination results (deterioration, maintenance, improvement).

For example, the evaluation unit 17 performs the same operation on a group that has not received health guidance, and evaluates the content of past health guidance for the examinee based on the transition (worsening/maintenance/improvement) of the health checkup result of the examinee A. You may do so. As a result, the effect of health guidance can be evaluated by comparing the improvement rate of the group that received health guidance with the improvement rate of the group that did not receive health guidance, and evaluating the content of health guidance for the examinees.

The evaluation unit 17 refers to, for example, the latest health checkup information result stored in the storage unit 11, divides into a plurality of groups based on the effect information of certain specific risk factor information, and provides health guidance for each group. is subdivided into groups based on whether or not health guidance is used (“use or not of health guidance = 1, 0”), and changes in health checkup result information (deterioration, maintenance, improvement) in the next fiscal year (base year + 1) between the two groups may be evaluated by For this reason, if health guidance is effective, the group that uses health guidance (whether or not health guidance is used = 1) will be the group that does not use health guidance (whether or not health guidance is used = 0). a smaller proportion of exacerbations compared to the group of patients with This makes it possible to quantitatively evaluate the effect of health guidance by calculating the difference between the numerical values indicating the effect information of the risk factor information.

<Server 2>
The server 2 stores, for example, various types of information described above. The server 2 accumulates various kinds of information sent via the public communication network 4, for example. The server 2 may store, for example, information similar to that of the storage unit 104 , and transmit/receive various information to/from one or more health guidance terminals 1 via the public communication network 4 . That is, the health guidance terminal 1 may use the server 2 instead of the storage unit 104 .

<Medical checkup terminal 3a>
The health checkup terminal 3a is provided, for example, in a health checkup institution that conducts health checkups for examinees. The health checkup terminal 3a may be connected to, for example, a health checkup institution server (not shown) provided in the health checkup institution, and may refer to various information stored in the health examination institution server. Further, the health checkup terminal 3a may be connected to equipment or the like for performing various health checkups, measurements, or measurements for examining the examinee.

The health checkup terminal 3a may store the health checkup result of the examinee who received health guidance, for example, in the health checkup terminal 3a, or transmit the result to the server 2 or the server of the health checkup implementing institution. As a result, it is possible to acquire the health checkup result by the health guidance terminal 1 .

<Evaluation terminal 3b>
The evaluation terminal 3b evaluates the content of the health guidance information provided by the health guidance terminal 1, for example. The evaluation terminal 3b refers to, for example, a data table stored in the server 2, and evaluates based on the contents of the health guidance given to the examinee and information indicating the progress of the examinee after the health checkup. I do.

The evaluation terminal 3b can be used to measure various effects, such as the effect of health guidance for each health checkup implementation entity, the effect of health guidance for each provider of health guidance, and the effect of improving health conditions and optimizing medical expenses. The evaluation of usefulness may be performed by comparing various types of health checkup result information in the data table stored in the server 2 with effect information and the like.

The evaluation terminal 3b evaluates statistically processed health checkup/examination results and health guidance information, for example, in units of years in the future of the reference year of the examinee set by the setting unit 13, and evaluates based on the results. You may make it As a result, for example, it is possible to present the correlation between the implementation rate and the degree of improvement of risk factors to the examinees who have undergone medical examinations. Furthermore, at the time of health guidance, for example, the need for health management and health guidance can be explained using numerical values, and behavioral change can be encouraged.

The evaluation terminal 3b may quantitatively evaluate the effectiveness of health management, health guidance, etc., for example, in units of businesses that have implemented health management, health guidance, and the like. As a result, it will be possible for health checkup/examination providers to evaluate outsourced providers. Moreover, the evaluation terminal 3b may evaluate the effect of health guidance on a per health checkup implementation body basis, and may also evaluate the health guidance effect on a health guidance provider basis, for example.

The evaluation terminal 3b may have, for example, a function of acquiring statistically processed results of various data acquired from the database of the server 2, and an application that operates various functions. The evaluation terminal 3b may be connected to, for example, another evaluation implementing agency (not shown), or may refer to an implementing agency server in which the evaluation results evaluated by the other evaluation terminal 3b are stored. good.

<Public communication network 4>
The public communication network 4 is, for example, an Internet network or the like to which the health guidance terminals 1 and the like are connected via communication circuits. The public communication network 4 may be composed of a so-called optical fiber communication network. Moreover, the public communication network 4 may be realized by a known communication network such as a wireless communication network, in addition to the wired communication network.

(Example of operation of health guidance system 100)
Next, an example of the operation of the health guidance system 100 according to this embodiment will be described. FIG. 7 is a flow chart showing an example of the operation of the health guidance system 100 in this embodiment.

For example, as shown in FIG. 7, the health guidance system 100 includes storage means S110, acquisition means S120, setting means S130, conversion means S140, guidance means S150, calculation means S160, and evaluation means S170. may be provided with at least one of

<Storage Means S110>
First, risk factor information and health guidance information are stored (storage means S110). The storage unit 11 stores, for example, health checkup results related to the health checkup of the examinee, risk factor information specified by the health checkup results, and health guidance information related to guidance content for the risk factor information. The storage unit 11 stores, in a database via the server 2, the medical examination result information of the examinee who has been examined by the medical examination terminal 3a.

The storage unit 11 is accessed by the health guidance terminal 1, the health guidance terminal 1, and the evaluation terminal 3b, for example, and associates various information shown in FIG. stored in chronological order.

<Acquisition means S120>
Acquisition means S120 acquires the health checkup result of the examinee who is the target of health guidance (acquisition means S120). For example, the acquisition unit 12 acquires the health checkup result information of the examinee stored in the storage unit 11 via the health guidance terminal 1 .

The acquiring unit 12 inputs, for example, the "patient ID" of the patient who has received health guidance, and acquires the corresponding health checkup result information of the patient. Based on the "patient ID", the acquisition unit 12 obtains, for example, "patient information", "health guidance institution information", "date of examination", "medical examination item information", "effect information", "risk factor information" or "health guidance information" may be various kinds of information.

For example, when "patient ID=AAA001" is input, the acquiring unit 12 acquires, for example, "examination date=2021. "Medical checkup result information=B: Guidance required (obesity level)" is obtained as the result of the medical checkup performed on "Medical checkup item information=Normal medical checkup" on 05.10. The acquiring unit 12 acquires “risk factor information=obesity 1 degree (BMI: 20 to 30)” included in the health checkup result information.

The acquisition unit 12 collects, for example, health checkup result information linked to "patient ID=AAA001", other information selected by a health advisor at a health guidance institution, and other health checkup results of other examinees. It may be acquired. The health checkup period and health checkup result of the health checkup result of the examinee acquired by the acquisition unit 12 can be retrieved as appropriate, and the examinees to whom health guidance is given may be narrowed down.

<Setting means S130>
The setting means S130 sets the health checkup time as the reference year (setting means S130). The setting unit 13 refers to, for example, the health checkup result information related to “patient ID=AAA001” acquired by the acquisition unit 12, and adds “health checkup date=2021.05.10” as the latest health checkup result. Risk factor information "risk factor information = obesity 1 degree (BMI: 20 30)”, the health checkup period in which the risk factor information was specified is set as the reference year (for example, “FY2021”).

The reference year set by the setting unit 13 may be, for example, the past medical examination period or a plurality of periods, and the set reference year is arbitrary.

<Conversion Means S140>
The conversion means S140 rearranges in chronological order with reference to the reference year (conversion means S140). The converting unit 14 stores, for example, the storage unit 11 and obtains by the obtaining unit 12 the risk factor information for each of a plurality of examinees, the target examinee's past health guidance information, etc. Sort in chronological order based on the person's reference year (for example, "2021").

The conversion unit 14 converts, for example, "medical checkup result information=B: guidance required (obesity)", which is the medical checkup result of the examinee (patient A, "patient ID=AAA001"), and risk factor information "risk factor Information = Obesity 1 degree (BMI: 20 to 30)", for example, the medical examination result of another examinee B ("patient ID = BBB001") "health examination result information = B: Guidance required (obesity degree) ”, risk factor information “risk factor information = obesity 1 degree (BMI: 20 to 30)”, and medical examination result of examinee C (“patient ID = EEE001”) “medical examination result information = B: guidance required (degree of obesity)” and the like are rearranged in chronological order according to the reference year of the examinee A.

<Guidance Means S150>
Guidance means S150 provides health guidance to the examinee (guidance means S150). The guidance unit 15 refers to, for example, the risk factor information and the health guidance information for each other examinee rearranged by the conversion unit 14, and presents health guidance to the examinee. As a result, health advisors can use this information as a basis for encouraging behavioral changes in patients, and can provide appropriate health guidance.

The guidance unit 15 presents health checkup result information, health guidance information, etc. of other examinees rearranged by the conversion unit 14 based on the reference year set by the setting unit 13 according to the state of each risk factor information, for example. , recommendations may be made to the health advisor via the health guidance terminal 1 .

<Calculation means S160>
The calculating means S160 calculates the ratio of the effect (calculating means S160). The calculation unit 16 calculates the degree of effect on the risk factor information, for example, based on the latest health checkup result information of the examinee and the contents of the past health guidance information.

The calculation unit 16 calculates, for example, the health guidance information “health guidance A (group A)” of the medical examination date “2020.04.02” of the medical examinee (patient B, “patient ID=BBB001”) and the medical examination date Based on the health checkup result information "A: No problem" on the date "2021.04.02", the health checkup result of the examinee B has improved, so the effect information is counted as "improvement". The calculation unit 16 counts, for example, “health guidance A (group A)” in the same manner, and uses a method of partial matching for only specific risk factors to determine the effect of health guidance information on health guidance for risk factors. Calculate

The calculation unit 16 may change the weighting of risk factors in a specific population by increasing the population to be extracted, for example, and evaluate the effect of the corresponding health guidance results. As a result, for example, how the risk factor information of the patient A of interest changes (for example, the ratio of "improvement", "maintenance of the status quo", and "deterioration") is calculated using, for example, a known probability distribution.

Further, the calculation unit 16 may extract a target group by, for example, a method of partial matching with only specific risk factors. As a result, by using partial matching, it is possible, for example, to expand the population of other patients to be extracted, and it is possible to change the weighting of risk factors in a specific population and perform evaluation. .

The calculation unit 16 statistically processes the medical checkup/examination results in units of the reference year of the medical checkup period of the examinee A set by the setting unit 13 . The calculation unit 16 calculates, for example, how the risk factor information of the patient A of interest changes (for example, the ratio of "improvement", "maintenance of the status quo", and "deterioration") using, for example, a known probability distribution. You may do so.

<Evaluation Means S170>
The evaluation means S170 evaluates the contents of the health guidance (evaluation means S170). The evaluation unit 17 is based on the risk factor information and health guidance information for each examinee in chronological order based on the reference year rearranged by the conversion unit 14, and the effect ratio calculated by the calculation unit 16. , to evaluate the contents of the health guidance for the examinee by the guidance unit 15;

The evaluation unit 17 compares, for example, the health checkup result information of one year ago (reference year - 1) of the examinee who is the target of health guidance with various health checkup results included in the health checkup result information of the first year. , the contents of the past health guidance for the examinee are evaluated from the transition (worsening/maintenance/improvement) of the health checkup result of the examinee A.

For example, the evaluation unit 17 may perform the same operation on a group for which no health guidance has been given, and evaluate the transition (deterioration/maintenance/improvement) of the health checkup result of the examinee A. As a result, the effect of health guidance can be evaluated by comparing the improvement rate of the group receiving health guidance with the improvement rate of the group not receiving health guidance.

As a result, it is possible to refer to the health guidance information based on the patient's risk factor information for the health checkup results of the patient, thereby improving health guidance and evaluation. Operation of system 100 ends.

Further, according to the present embodiment, the conversion unit 14 uses, for example, the past health checkup results and other risk factor information of the examinee A as a reference, and provides health guidance based on the health checkup results and risk factor information of other examinees. Information may be sorted. As a result, for example, health advisors can use this as a basis for encouraging behavioral changes in patients, and can improve health guidance and evaluation.

Further, according to the present embodiment, the guidance unit 15 may provide health guidance to, for example, a specific health guidance group. For example, the guidance unit 15 selects a group in which the health condition has improved (from “deteriorated” to “maintenance of the current state”, “maintained the current state” to “improved”, etc.), or a group in which the health condition has deteriorated (from “maintenance of the current state” to Health guidance may be provided based on a comparison of "improved" to "deteriorated". The guidance unit 15 divides, for example, into two groups (for example, “health guidance group A” and “health guidance group B”) “whether or not health guidance is used=1,0” and “whether or not lifestyle habits are improved=1,0”. , health guidance may be given to the patient A based on the range of the risk factor information or the difference in the numerical values.

Further, according to the present embodiment, the guidance unit 15 performs a search again by switching, for example, the state of "use of health guidance" in the health checkup result of the examinee A, and based on this result, the examinee A It is also possible to register from the group of "use of health guidance=0" not using health guidance to the health guidance group of "use of health guidance=1". Therefore, even if the examinee A does not use health guidance, it is possible to improve the probability that the health condition of the examinee A will improve. As a result, the health instructor can provide health guidance based on the identified risk factor information to the patient A while presenting specific effects thereof, for example, based on the operation of the risk factor information. .

Further, according to the present embodiment, the guidance unit 15 provides guidance based on, for example, one of the reference years of the medical checkup/examination result of the target examinee A, and also, for example, the health checkup is worse than the previous year. It is also possible to narrow down the population using a comparison value such as , obtain a probability distribution that takes into account changes over time, and provide health guidance based on the symptom prediction shown by the probability distribution. This eliminates the black box and makes it possible to explain to the examinee based on the data of the statistical processing results.

In addition, according to the present embodiment, the evaluation unit 17 may subdivide and compare according to, for example, the content and method of health guidance (presence or absence of active intervention, frequency of intervention, etc.). This makes it possible to evaluate the effects of health guidance in detail. For example, the evaluation unit 17 can evaluate the health guidance as a numerical value such as "a method of conducting regular interviews with the examinees by public health nurses is more effective (improvement effect XX%)". It will be possible to evaluate how to prioritize the health care of people with disabilities.

In addition, according to the present embodiment, the evaluation unit 17 evaluates the effect of health guidance on a per health checkup implementation basis, for example, and may also evaluate the effect of health guidance on a per health guidance provider basis, for example. good. Furthermore, the evaluation unit 17 may evaluate the cost-effectiveness of health-checkup-executing bodies' health-care guidance, for example, using monetary amounts. The evaluation unit 17 can measure and evaluate the effect of health guidance as the effect of medical cost optimization by combining, for example, three pieces of data: health checkup result information, health guidance implementation status, and medical cost.

Further, according to the present embodiment, as shown in FIGS. 5 and 6, data generated periodically, such as health checkup result information and health guidance information, are arranged in chronological order for each examinee and shown in horizontal lines. can be drawn. Next, it searches for data that meet the conditions, such as focusing on specific risk factors, and connects them with vertical lines. Furthermore, for example, when connecting vertical lines, horizontal lines that do not have data that satisfies the conditions may not be connected. By performing this process, for example, a grid-like structure in which data are connected by horizontal and vertical lines is generated. A series of these algorithms may be provided as a program via the server 2, for example. As a result, horizontal lines connected by vertical lines, for example, indicate other patients who have the same risk factors as the patient, and can be used to create a health guidance group. Further, for example, by tracing a horizontal line of each examinee to go back to the past, it is possible to acquire health checkup result information and health guidance information.

Furthermore, according to the present embodiment, as shown in FIGS. 5 and 6, for example, by rearranging the data connected by horizontal lines based on the vertical lines, the destination (grid The right side of the structure in the form of a health checkup, so the latest data with high risk factors will be focused on, and there will be nothing on the right side). Specifically, an estimated value is obtained by collecting and statistically processing the data of other examinees on the right side. By processing in this way, it is possible to predict changes in future health checkup result information and risk factors of the examinee. This makes it possible to explain the grounds for prediction, unlike, for example, known techniques and machine learning and deep learning algorithms in prior art.

Further, according to the present embodiment, for example, the algorithm described above may be applied to the digital marketing field, such as determining what kind of product a consumer who has purchased a certain product is likely to purchase next. .

Further, according to the present embodiment, the storage step for performing the storage means S110, the acquisition step for performing the acquisition means S120, the setting step for performing the setting means S130, the conversion step for performing the conversion means S140, the guidance step for performing the teaching means S150, the calculation The calculating step performing the means S160 and the evaluating step performing the evaluating means S170 may be provided as a health guidance method. As a result, health guidance and evaluation can be improved.

While embodiments of the invention have been described, the embodiments have been presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and modifications can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the scope of the invention described in the claims and equivalents thereof.

1: health guidance terminal 2: server 3a: health checkup terminal 3b: evaluation terminal 4: public communication network 10: housing 11: storage unit 12: acquisition unit 13: setting unit 14: conversion unit 15: guidance unit 16 : calculation unit 17 : evaluation unit 100 : health guidance system 101 : CPU
102: ROM
103: RAM
104: Storage unit 105: I/F
106: I/F
107: I/F
108: Input unit 109: Display unit 110: Internal bus A: Patient B: Patient C: Patient S110: Storage means S120: Acquisition means S130: Setting means S140: Conversion means S150: Guidance means S160: Calculation means S170: means of evaluation

Claims (7)

A health guidance system that provides health guidance to a person undergoing a health checkup,
storage means for storing health checkup results related to the health checkup of the examinee, risk factor information specified by the health checkup results, and health guidance information related to guidance content for the risk factor information;
Acquisition means for acquiring the results of the health checkup of the examinee who is the subject of health guidance;
setting means for setting, as a reference year, a health checkup period in which the risk factor information is specified based on the risk factor information specified by the health checkup result acquired by the acquisition means;
conversion means for referring to the risk factor information and the health guidance information for each other patient stored by the storage means and sorting them in chronological order based on the reference year set by the setting means;
Guidance means for providing health guidance to the examinee based on the risk factor information for each other examinee and the health guidance information rearranged by the conversion means;
A health guidance system characterized by comprising: The health guidance information stored in the storage means is effect information including at least one of improvement, maintenance, and deterioration indicating the effect of health guidance on the risk factor information of the examinee. The health guidance system according to claim 1. The storage means stores medical expense information including at least one of the costs incurred in the health checkup of the examinee, the costs incurred in the health guidance, and the medical care costs incurred after the health checkup. 3. The health guidance system according to claim 1 or 2. further comprising calculating means for referring to the effect information stored in the storage means and calculating the proportion of the effect in the risk factor information;
3. The health guidance system according to claim 2, wherein said guidance means provides health guidance to said examinee based on said ratio calculated by said calculation means. Based on the risk factor information and the health guidance information for each examinee in chronological order based on the reference year rearranged by the conversion means, and the effect ratio calculated by the calculation means 5. The health guidance system according to claim 4, further comprising evaluation means for evaluating the content of said health guidance given to said patient by said guidance means. A health guidance terminal for providing health guidance to a person undergoing a health checkup,
a storage unit that stores a health checkup result of the health checkup of the examinee, risk factor information specified by the health checkup result, and health guidance information about guidance content for the risk factor information;
an acquisition unit that acquires the results of the health checkup of the examinee who has received health guidance;
a setting unit configured to set, based on the risk factor information specified by the health checkup result acquired by the acquisition unit, a health checkup time when the risk factor information is specified as a reference year;
a conversion unit that refers to the risk factor information and the health guidance information for each other examinee stored in the storage unit and sorts them in chronological order based on the reference year set by the setting unit;
a guidance unit that provides health guidance to the examinee based on the risk factor information and the health guidance information for each other examinee rearranged by the conversion unit;
A terminal for health guidance, comprising: A health guidance method for providing health guidance to a person undergoing a health checkup,
a storage step of storing health checkup results related to the health checkup of the examinee, risk factor information specified by the health checkup results, and health guidance information regarding guidance content for the risk factor information;
an obtaining step of obtaining the results of the health checkup of the examinee for whom health guidance has been provided;
a setting step of setting, based on the risk factor information specified by the health checkup results acquired in the acquiring step, the time of the health checkup at which the risk factor information was specified as a reference year;
a converting step of referring to the risk factor information and the health guidance information for each other patient stored in the storing step and sorting them in chronological order based on the reference year set in the setting step;
a guidance step of providing health guidance to the examinee based on the risk factor information for each of the other examinees rearranged by the conversion step and the health guidance information;
A health guidance method characterized by having

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