WO2001090983A1 - Medical service method using communication network - Google Patents

Medical service method using communication network Download PDF

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Publication number
WO2001090983A1
WO2001090983A1 PCT/KR2001/000851 KR0100851W WO0190983A1 WO 2001090983 A1 WO2001090983 A1 WO 2001090983A1 KR 0100851 W KR0100851 W KR 0100851W WO 0190983 A1 WO0190983 A1 WO 0190983A1
Authority
WO
WIPO (PCT)
Prior art keywords
medical
patient
information
treatment
communication network
Prior art date
Application number
PCT/KR2001/000851
Other languages
French (fr)
Inventor
Byung-Moon Ahn
Original Assignee
Ahn Byung Moon
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from KR1020010027963A external-priority patent/KR20010107635A/en
Application filed by Ahn Byung Moon filed Critical Ahn Byung Moon
Priority to AU58910/01A priority Critical patent/AU5891001A/en
Publication of WO2001090983A1 publication Critical patent/WO2001090983A1/en

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Classifications

    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Definitions

  • the present invention relates to a medical service method using communication network by which contract is made between selected domestic and foreign medical institutions regarding medical service, insurance companies are interconnected via communication networks, medical information of patients is received for treatment via the communication networks between domestic and foreign medical institutions when insured patients are treated, whereby treatment contents are transmitted fore request of medical cost from related medical institutions to insurance companies via communication network, thereby receiving related medical cost.
  • Figure 1 is a schematic conceptional drawing for illustrating a service system relative to medical service perform between medical institutions and insurance companies according to the prior medical service, where the system includes a client 1, a first medical institution 2 for primarily taking charge of medical service against the client's disease, a secondary medical institution 3 for taking charge of medical service against the client's disease, a tertiary medical institution 4 for taking charge of medical service against the client's disease, a foreign hospital 5 for taking charge of medical service at a foreign country against the client's disease and an insurance company 6 where the client is insured for curing his or her disease.
  • the client 1 receives a medical service against the affected disease at the primary medical institution 2 according to a medical service step arranged under the current national medical insurance system, and in case the client 1 is not satisfied with a result of the medical service at the primary medical institution 2, the client 1 gets treatment at the secondary medical institution 2, and in case the client 1 still feels dissatisfied at of result of the medical service at the secondary medical institution 2, the client 1 can get the medical treatment at the tertiary medical institution 3.
  • the client 1 if the client 1 is economically wealthy, he or she discriminates whether to get medical treatment at a local hospital or at a foreign hospital, and if the client 1 decides to get the medical service from a local hospital, he or she get the treatment through the above-mentioned steps, and if the client 1 decides to receives the medical service from a foreign hospital, the client 1 personally selects a foreign hospital 5 and travels to a foreign country to get a medical treatment at the foreign hospital 5.
  • the client 1 may personally selects a foreign hospital 5 to get the medical service while or after receiving the medical treatment at the primary, secondary or tertiary institution (2, 3 or 4), or may select a foreign hospital 5 priorly contracted with the above institutions to get the medical treatment.
  • the client 1 affected with the disease may terminate the medical service if he or she is satisfied with a medical treatment result at one of the institutions (2, 3 or 4), and if the client 1 requests medical service fee to the insurance company 6, the company 6 discriminates whether the disease the client 1 is affected with is the disease insured by the client 1, and if the disease is discriminated to be the one insured, the insurance company 6 pays the medical fee to a medical institution where the medical service is terminated according to clauses of the insurance policy the client 1 is insured for.
  • the present invention is disclosed to solve the aforementioned problems and it is an object of the present invention to provide a medical service method using communication network by which contract is made between selected domestic and foreign medical institutions regarding medical service, insurance companies are interconnected via communication networks, medical information of patients is received for treatment, via the communication network between domestic and foreign medical institutions when insured patients are treated, whereby treatment contents are transmitted for request of medical cost from related medical institutions to insurance companies via communication network, thereby receiving related medical cost.
  • Figure 1 is a schematic drawings for illustrating a medical service system for a medical service performed between a medical institution and an insurance company according to the prior medical service.
  • Figure 2 is a schematic diagram for illustrating a medical service system between a medical institution and an insurance company applied to medical service method utilizing communication network according to the present invention.
  • Figure 3 is a flow chart for explaining a conception of Figure 2
  • Figure 4 is a block diagram for illustrating a first embodiment of a medical service system where a medical service method utilizing communication network according to the present invention is applied.
  • Figure 5a and 5b are flow charts for explaining a medical service method utilizing communication network according to the present invention.
  • Figure 6 is a block diagram for illustrating a second embodiment of a medical service system where a medical service method utilizing communication network according to the present invention is applied.
  • First patient control server 22 First patient control database
  • a medical service method using communication network comprising the steps of:
  • the aforementioned communication network is a super speed communication network or an exclusive communication network.
  • the predetermined medical institution is a first, a second or a third medical institution.
  • the relevant medical institution is characterized in that it stores medical information on a relevant patient control database when medical treatment is completed to send same to the integrated patient control server, where the integrated patient control server stores same on an integrated patient control database and to send the stored medical information to a medical institution which requests same.
  • the medical information is characterized in that it is an entire medical information necessary for treatment of a patient.
  • the medical information is characterized in that it contains name of disease, treatment data, doctors who have treated the patient, and medical treatment opinion.
  • the aforementioned method further comprises a step of receiving a latest medical information from an integrated patient control server via communication network when the latest medical information and/or telemedicine are required during medical treatment at the relevant medical institution, and/or exchanging information relative to disease with other medical institutions to apply same during medical treatment of a patient.
  • the method further comprises a step of receiving and transmitting image data during telemedicine to enable a remotely-controlled operation on a patient.
  • the method further comprises the steps of:
  • the method further comprises a step of sending the medical information and medical fee request via email.
  • the method further comprises a step of prompting the relevant medical institution to store medical information of a patient on a relevant patient control database when medical treatment is completed.
  • the method still further comprises a step of prompting the foreign medical institution to transmit a latest medical information according to the contract periodically or irregularly via communication network to an integrated patient control sever.
  • Figure 2 is a conceptional schematic diagrams for illustrating a medical service system between a medical institution and an insurance company applied to medical service method utilizing communication network according to the present invention constitutional elements are same as what is described in Figure 1 and only different codes are provided thereto.
  • first, second and third medical institution and foreign medical institution are all of plural conception but expressed in singular form. Position of medical institutions are irrelevant to areas.
  • Figure 3 is a flow chart for explaining a conception of Figure 2.
  • Figure 4 is a block diagram for illustrating a first embodiment of a medical service system here a medical service method utilizing communication network according to the present invention is applied, where the system includes a first patient control server 21 at a first medical institution 12, a first patient control database 22 at the first medical institution 12, an integrated patient control server 23, an integrated patient control database 24, a second patient control server 25 at a second medical institution 13, a second patient control database 26 at the second medical institution 13, a third patient control server 27 at a third medical institution 14, a third patient control database 28 at a third medical institution 14, a foreign patient control server 29 at a foreign medical institution 15, a foreign patient control database 30 at the foreign medical institution 15, an insurance company control server 31 at an insurance company 16, and an insurance company control database 32 at the insurance company 16.
  • the first patient control server 21 at the first medical institution 12 discriminates whether an outpatient (client) 11 is insured, and if the client 11 is not insured and disease of the client 11 is not the insured one, the client 11 is made to receive a general insurance treatment at the first medical institution 12.
  • treatment information of the client 11 is stored on the first patient control database 22 while the treatment information and medical fee request are sent and administered via communication network.
  • the integrated patient control server 23 stores all the treatment information and medical free request transmitted through the communication network on the integrated patient control database 24 for integrated control, and the stored treatment information and medical fee request are transmitted via the communication network when requested.
  • the second patient control server 25 at the second medical institution 13 receives client 11 who is impossible to be treated at the first medical institution 12 and also receives medical information of the client 11 from the integrated patient control service 23 to discriminate whether the client 11 is treatable, and if the client 11 is treatable, the second medical institution 13, when treating the client 11, receives a latest medical information through communication network or exchanges medical information through telemedicine with upper and lower medical institutions and stores the medical information of the client 11 at the second patient control database 26 when treatment is finished, thereby controlling and transferring the medical treatment information and medical fee request via the communication network.
  • the third patient control server 27 at the third medical institution 14 is transferred with a client 11 who is impossible to be treated at the second medical institution 13 and receives a medical treatment information of the client 11 from the integrated patient control server 23 to discriminate whether the client 11 is treatable, and if the client 11 is treatable, the third medical institution 14, when treating the client 11 whose disease is insured, receives a latest medical information through communication network or exchanges the medical information through telemedicine with upper and lower medical institutions and stores the medical information of the client 11 at the third patient control database 28 when treatment is completed, thereby controlling and transferring the medical information and medical fee request through the communication network.
  • the 15 is transferred with a client 11 who is impossible to be treated at the third medical institution 14 and receives from the integrated patient control server 23 the medical treatment information of the client 11 at the first and second medical institutions 12 and 13 to check if the client 11 is treatable, and if the client 11 is treatable, the foreign patient control server 29, when treating the client 11 whose disease is insured, receives a latest medical information through the communication network or exchanges the medical information through the communication network with domestic upper and lower medical institutions and when the medical treatment is finished, the medical treatment information of the client 11 is stored on the foreign patient control database 30, thereby controlling and transferring the medical treatment information and medical fee request through the communication network.
  • the insurance company control server 31 at the insurance company 16 receives from the integrated patient control server 23 the medical treatment information of the first, second, third medical institutions (12 ⁇ 14) and foreign medical institution 15, and medical fee request to store same on the insurance company control database 32 and examines the medical fee according to the medical treatment information of the insured client 11 to control information relative to payment of the medical fee.
  • the first, second and third patient control servers 21, 25 and 27, the integrated patient control server 23, the foreign patient control server 29 and the insurance company control server 31 are connected with super high speed communication network or exclusive communication network, where it should be noted that the first, second and the third patient control servers 21, 25 and 27 are of plural conception but are only expressed in singular form for explanation purpose while the foreign patient control server 29 is applied to both the singular and plural conceptions.
  • Figure 5a and 5b are flow charts for explaining a medical service method utilizing communication network according to the present invention while
  • Figure 6 is a block diagram for illustrating a second embodiment of a medical service system where a medical service method utilizing communication network according to the present invention is applied, where the second embodiment further includes the credit card company control server 33 which pays for premium of the client 11 who is insured in the component elements illustrated in Figure 4 or which receives a medical fee request from the integrated patient control server 23 via the communication network to store same on the credit card company database 34 and to pay for medical fee against an insured disease or an uninsured disease.
  • step SI and S2 First of all, domestic and foreign medical institutions, that is, the first, second and third medical institutions 12, 13 and 14 and foreign medical institution 15 for providing medical service and latest medical information of a client are selected, where contracts are made for supplying the medical service and the latest medical information between the first, second and third medical institution 12, 13 and 14 and the foreign medical institution 15. (step SI and S2)
  • an insurance merchandise relevant to the contract is developed by both the selected domestic and foreign medical institutions to build up a super high speed communication network or exclusive communication network where the developed insurance merchandise is sold on/off line and insurances of ordinary people who want to be insured are checked, examined, approved, and insurance policies are issued, and information of insured clients are databased, whereby the client 11 who is insured against the insurance merchandise pays a certain amount of money to the insurance company 15 every month, (steps S3 ⁇ S8)
  • the foreign medical institution provides periodically or irregularly the medical service and latest medical information of the client to the domestic medical institutions according to the contract.
  • the client 11 contracts a disease
  • the first medical institution 12 discriminates whether the disease the client 11 has contracted is insured, and if the disease is not insured, the first medical institution 12 performs a general insurance treatment, and if insured, discriminates whether the disease is treatable.
  • the first medical institution 12 comes to treat the client 11, and if necessary, is transferred with a latest medical information through the communication network, or exchanges medical information with a higher medical institution utilizing telemedicine to apply same to treatment.
  • the first medical institution 12 requests medical fees to the insurance company 16 through the communication network via an integrated server (not shown), where the insurance company 16 examines the requested medical fees and pays the medical fees.
  • the first medical institution 12 may use the telemedicine to receive and transmit image data, thereby enabling to performs a remote operation on a patient.
  • medical treatment information of the client 11 is stored on a server (not shown) of the first medical institution 12 and transferred to an integrated server through the communication network via email, where the integrated server stores same on the integrated database to control the medical treatment information of the client 11.
  • the medical treatment information including all treatment information necessary for treatment of a patient contains such information as name of disease, date treated, names of doctors who treated, medical opinion, etc.
  • the client 11 may request transfer to the second medical institution 13, or personally visit the second medical institution 13 for treatment.
  • the second medical institution 13 discriminates according to the contract whether the client 11 can pay a visit thereto or treatment of the client 11 transferred from the first medical institution 12 can be possible, and if it is discriminated that the client 11 can be treated, the second medical institution 13 receives medical treat information from server of the first medical institution 12 or from the integrated server to refer thereto while the client 11 is treated, and if necessary, receives a latest medical information via communication network, or utilizes the telemedicine to exchange medical information with a higher medical institution to apply same to treatment, and when the medical treatment is finished, requests medical fee to the insurance company 16. The insurance company 16 screens the requested medical fee to pay same.
  • the second medical institution 13 utilizes the telemedicine to transmit and receive image data such that it is possible to perform operations on patients via remote control.
  • the medical treatment information of the client 11 is stored through a server (not shown) of the second medical institution 13 and transmitted to the integrated server via communication network in email, where the integrated server stores same on the integrated database to control the medical treatment information of the client 11.
  • the medical treatment information which is all medical information necessary for treatment of a patient includes, by way of example, name of disease, treatment data, names of doctors who have treated the patient, treatment opinion, etc.
  • the client 11 may be transferred or request transfer to the third medical institution 14 or personally pays a visit to the third medical institution 14 for treatment.
  • the third medical institution 14 discriminates according to the contract whether the client 11 can pay a visit thereto or treatment of the client 11 transferred from the second medical institution 12 can be possible, and if it is discriminated that the client 11 can be treated, the third medical institution 14 receives medical treat information from server of the first and/or second medical institution 12, 13 or from the integrated server to refer thereto while the client 11 is treated, and if necessary, receives a latest medical information via communication network, or utilizes the telemedicine to exchange medical information with a higher medical institution to apply same to treatment, and when the medical treatment is finished, requests medical fee to the insurance company 16. The insurance company 16 screens the requested medical fee to pay same.
  • the third medical institution 14 utilizes the telemedicine to transmit and receive image data such that it is possible to perform operations on patients via remote control.
  • the medical treatment information of the client 11 is stored through a server (not shown) of the third medical institution 14 and transmitted to the integrated server via communication network in email, where the integrated server stores same on the integrated database to control the medical treatment information of the client 11.
  • the medical treatment information which is all medical information necessary for treatment of a patient includes, by way of example, name of disease, treatment data, names of doctors who have treated the patient, treatment opinion, etc.
  • the client 11 may be transferred or request transfer to the foreign medical institution 15 or personally pays a visit to the foreign medical institution 15 for treatment.
  • the foreign medical institution 15 discriminates according to the contract whether the client 11 can pay a visit thereto or treatment of the client 11 transferred from the second medical institution 13 can be possible, and if it is discriminated that the client 11 can be treated, the third medical institution 13 receives medical treat information from server of the first, second and third medical institutions 12, 13, 14 or from the integrated server to refer thereto while the client 11 is treated, and if necessary, receives a latest medical information via communication network, or utilizes the telemedicine to exchange medical information with higher and lower medical institution to apply same to treatment, and when the medical treatment is finished, requests medical fee to the insurance company 16. The insurance company 16 screens the requested medical fee to pay same.
  • the medical treatment information of the client 11 is stored through a server (not shown) of the foreign medical institution 15 and transmitted to the integrated server via communication network in email, where the integrated server stores same on the integrated database to control the medical treatment information of the client 11.
  • the medical treatment information which is all medical information necessary for treatment of a patient includes, by way of example, name of disease, treatment data, names of doctors who have treated the patient, treatment opinion, etc.
  • domestic and foreign medical institutions are selected, and insurance merchandises are developed and sold by the selected domestic and foreign medical institutions as well as the insurance company, and receive insurance fee from the client 11.
  • a discrimination is made as to whether the client is insured with insurance merchandise for the disease the client 11 is attacked with, and if the disease is not the one insured, the client 11 is made to be treated with a regular insurance treatment, and if the disease is the one insured, the client 11 is allowed to be treated at a medical institution where the disease can be treated.
  • a latest medical information or information is exchanged with a higher medical institution via telemedicine or operation is performed by remote control to thereby allow the client 11 to receive a better medical service, here the medical institution can receive appropriate medical fees from the insurance company 16 pursuant to the insurance merchandise.
  • an insurance merchandise pursuant to the contract is developed and marketed by selected domestic and foreign medical institutions as well as the insurance company to build a high speed communication network or exclusive communication network, where developed insurance merchandise is sold on/off line and insurance subscription by general public is screened and approved, and insurance policy is issued. Then information on clients who have subscribed is databased where the client 11 who has subscribed to the insurance merchandise is requested to pay a predetermined amount of money to the insurance company 16 every month, (steps S3 ⁇ S8)
  • the foreign medical institution 16 sends medical service and latest medical information periodically or irregularly to the integrated patient control server 23 via communication network according to the contract, where the integrated patient control server 23 stores same on the integrated patient control database 24, and when there is a request from a predetermined medical institution, the integrated patient control server 23 sends same to relevant medical institutions via communication network.
  • the client 11 when attached with a disease, receives medical treatment at the first medical institution 12 contracted with the insurance company 16 according to medical service steps under the current national medical insurance system, where the first medical institution 12 discriminates whether a disease the client 1 1 is seized with is insured, ad if not insured, the first medical institution 12 performs a regular insurance treatment, and if the disease is insured, the first medical institution 12 discriminates whether the disease is treatable, (steps ST1 ⁇ ST4)
  • step ST4 if the treatment is possible, the first medical institution 12 treats the client 11, and if a latest medical information is needed, the latest medical information is received from the integrated patient control server 23 via communication network to apply same to the treatment, and if telemedicine is needed, a latest medical information is exchanged with the higher medical institution and the foreign medical institution via communication network to apply same to the treatment, (steps ST5 ⁇ ST9)
  • the first patient control server 21 stores the treatment information of the client 11 on the first patient control database 22, (step ST10 and ST11) and if the patient (client) 11 is satisfactory with the treatment, (step ST17), the first patient control server 21 stores the medical treatment information of the client 11 on the first patient control database 22 and transfers the medical treatment information and medical fee request to the integrated patient control server 23 via communication network, where the integrated patient control server 23 stores the transferred medical treatment information of the client 11 and medical fee request on the integrated patient control database 24, and successively transfers to the insurance company 16 the medical treatment information and the medical fee request via communication network, (steps ST12 ⁇ ST14)
  • image data can be received and transmitted during exchange of the latest medical information to thereby enable to perform a remotely controlled operation and the medical treatment information of the client 11 is sent in email via communication network, where the medical treatment information which is all the necessary medical information for treatment of patient includes, by way of example, name of disease, treatment date, names of doctors who have treated, medical opinion, etc.
  • the insurance company control server 31 in the insurance company 16 stores the medical treatment information and medical fee request transmitted from the integrated patient control server 23 on the insurance company control data base 32, and screens the medical fee pursuant to the medical treatment information to pay the medical fees, (step ST15 and ST16)
  • the client 11 requests transfer to the second medical institution or personally pays a visit thereto for treatment.
  • the second medical institution 13 discriminates according to the contract whether the client 11 can pay a visit thereto or treatment of the client 11 transferred from the first medical institution 12 can be possible, (step ST18) and if it is discriminated that the client 11 can be treated, the second medical institution 13 receives medical treat information from the integrated patient control server 23 to treat the client 11. (step ST19)
  • the latest medical information is received from the integrated patient control server 23 via communication network to apply same to the treatment, and if telemedicine is needed, a latest medical information is exchanged with the higher medical institution and the foreign medical institution via communication network to apply same to the treatment, (steps ST20 ⁇ ST23)
  • the second patient control server 25 stores the treatment information of the client 11 on the second patient control database 26, (step ST24 and ST25) and if the patient (client) 11 is satisfactory with the treatment, (step ST26), the second patient control server 25 stores the medical treatment information of the client 11 on the second patient control database 26 and transfers the medical treatment information and medical fee request to the integrated patient control server 23 via communication network, where the integrated patient control server 23 stores the transferred medical treatment information of the client 11 and medical fee request on the integrated patient control database 24, and successively transfers to the insurance company 16 the medical treatment information and the medical fee request via communication network, (steps ST12 ⁇ ST14)
  • image data can be received and transmitted during exchange of the latest medical information to thereby enable to perform a remotely controlled operation and the medical treatment information of the client 11 is sent in email via communication network, where the medical treatment information which is all the necessary medical information for treatment of patient includes, by way of example, name of disease, treatment date, names of doctors who have treated, medical opinion, etc.
  • the insurance company control server 31 in the insurance company 16 stores the medical treatment information and medical fee request transmitted from the integrated patient control server 23 on the insurance company control data base 32, and screens the medical fee pursuant to the medical treatment information to thereby pay the medical fees, (step ST15 and ST 16)
  • the client 11 requests transfer to the third medical institution 14 or personally pays a visit thereto for treatment.
  • the third medical institution 14 discriminates according to the contract whether treatment of the client 11 who pays a visit thereto or who is transferred from the second medical institution 13 can be possible, (step ST27) and if it is discriminated that the client 11 can be treated, the third medical institution 14 receives medical treat information from the integrated patient control server 23 to treat the client 11. (step ST28)
  • the third patient control server 27 stores the treatment information of the client 11 on the third patient control database 28, (step ST33 and ST34) and transfers the medical treatment information and medical fee request to the integrated patient control server 23 via communication network, where the integrated patient control server 23 stores the transferred medical treatment information of the client 1 1 and medical fee request on the integrated patient control database 24, and successively transfers to the insurance company 16 the medical treatment information and the medical fee request via communication network, (steps ST12 ⁇ ST14)
  • image data can be received and transmitted during exchange of the latest medical information to thereby enable to perform a remotely controlled operation and the medical treatment information of the client 11 is sent in email via communication network, where the medical treatment information which is all the necessary medical information for treatment of patient includes, by way of example, name of disease, treatment date, names of doctors who have treated, medical opinion, etc.
  • the insurance company control server 31 in the insurance company 16 stores the medical treatment information and medical fee request transmitted from the integrated patient control server 23 on the insurance company control data base 32, and screens the medical fee pursuant to the medical treatment information to thereby pay the medical fees, (step ST15 and ST 16)
  • the client 11 requests transfer to the foreign medical institution 15 or personally pays a visit thereto for treatment.
  • the foreign patient control server 29 at the foreign medical institution 14 receives the medical information from the integrated patient control server 23 via communication network to treat the client 11 who personally pays a visit thereto or who is transferred from the second medical institution 13, and when the treatment is finished, the foreign patient control server 29 stores the treatment information of the client 11 on the foreign patient control database 30, (step ST35 and ST36) transfers the medical treatment information and medical fee request to the integrated patient control server 23 via communication network, where the integrated patient control server 23 stores the transferred medical treatment information of the client 11 and medical fee request on the integrated patient control database 24, and successively transfers to the insurance company 16 the medical treatment information and the medical fee request via communication network, (step ST13 and ST14)
  • image data can be received and transmitted during exchange of the latest medical information to thereby enable to perform a remotely controlled operation and the medical treatment information of the client 11 is sent in email via communication network, where the medical treatment information which is all the necessary medical information for treatment of patient includes, by way of example, name of disease, treatment date, names of doctors who have treated, medical opinion, etc.
  • the insurance company control server 31 in the insurance company 16 stores the medical treatment information and medical fee request transmitted from the integrated patient control server 23 on the insurance company control data base 32, and screens the medical fee pursuant to the medical treatment information to thereby pay the medical fees, (step ST15 and ST16)
  • Figure 6 illustrates a case where a credit card company is further included to elements illustrated in Figure 4, where, when the client 11 pays the insurance premium or when medical fees are paid for diseases not insured, or when the patient is hospitalized for a long time or when medical fees are high due to expensive medicines, the credit car company pays for the insurance company in a lump sum or in installments.

Abstract

A medical service method using communication network, the method having an advantage in that a contract is made between selected domestic medical institutions and foreign medical institutions, and insurance company is connected thereto via communication network, where, when an insured patient is treated, medical information of the patient is received via the communication network by the domestic and foreign medical institution for treatment of the patient, and the relevant domestic and foreign medical institutions send treated medical contents to the insurance company to request medical fees via communication network and receive same, such that a client can reduce the burden of paying medical fees when treated at a foreign medical institution, and receive a direct treatment for an afflicted disease to thereby enable to rule out over-charged medical service.

Description

MEDICAL SERVICE METHOD USING COMMUNICATION NETWORK
TECHNICAL FIELD RELATED TO THE INVENTION AND PRIOR ART
The present invention relates to a medical service method using communication network by which contract is made between selected domestic and foreign medical institutions regarding medical service, insurance companies are interconnected via communication networks, medical information of patients is received for treatment via the communication networks between domestic and foreign medical institutions when insured patients are treated, whereby treatment contents are transmitted fore request of medical cost from related medical institutions to insurance companies via communication network, thereby receiving related medical cost.
People's income level has been upgraded along with nation's economic development, and as a result, there is a great demand where required level of people wanting to receive good quality of medical service has been also increased, such that each insurance company is made to develop to market own medical insurances, thereby allowing people to receive even in Korean a good quality of medical service through purchase of specialized insurance merchandise.
Now, medical service method according to the prior art will be described in detail with reference to the companying drawings.
Figure 1 is a schematic conceptional drawing for illustrating a service system relative to medical service perform between medical institutions and insurance companies according to the prior medical service, where the system includes a client 1, a first medical institution 2 for primarily taking charge of medical service against the client's disease, a secondary medical institution 3 for taking charge of medical service against the client's disease, a tertiary medical institution 4 for taking charge of medical service against the client's disease, a foreign hospital 5 for taking charge of medical service at a foreign country against the client's disease and an insurance company 6 where the client is insured for curing his or her disease.
Now, detailed description will be made with reference to the attached drawing for describing about medical service method according to the prior art thus constructed.
First of all, when a client (patient) 1 is affected with disease, the client 1 receives a medical service against the affected disease at the primary medical institution 2 according to a medical service step arranged under the current national medical insurance system, and in case the client 1 is not satisfied with a result of the medical service at the primary medical institution 2, the client 1 gets treatment at the secondary medical institution 2, and in case the client 1 still feels dissatisfied at of result of the medical service at the secondary medical institution 2, the client 1 can get the medical treatment at the tertiary medical institution 3.
Meanwhile, if the client 1 is economically wealthy, he or she discriminates whether to get medical treatment at a local hospital or at a foreign hospital, and if the client 1 decides to get the medical service from a local hospital, he or she get the treatment through the above-mentioned steps, and if the client 1 decides to receives the medical service from a foreign hospital, the client 1 personally selects a foreign hospital 5 and travels to a foreign country to get a medical treatment at the foreign hospital 5.
At this time, the client 1 may personally selects a foreign hospital 5 to get the medical service while or after receiving the medical treatment at the primary, secondary or tertiary institution (2, 3 or 4), or may select a foreign hospital 5 priorly contracted with the above institutions to get the medical treatment.
Meanwhile, in case a client 1 is insured in an insurance company 6 against a specific disease to have paid a premium, the client 1 affected with the disease may terminate the medical service if he or she is satisfied with a medical treatment result at one of the institutions (2, 3 or 4), and if the client 1 requests medical service fee to the insurance company 6, the company 6 discriminates whether the disease the client 1 is affected with is the disease insured by the client 1, and if the disease is discriminated to be the one insured, the insurance company 6 pays the medical fee to a medical institution where the medical service is terminated according to clauses of the insurance policy the client 1 is insured for.
However, there is a problem in the medical service method according to the prior art thus described in that an appropriate medical service cannot be provided because of low insurance fees under the current national medical insurance system, in case of long term medical treatment or high medical charges, and lots of absurdities occurred such as extra medical services being provided which have little direct relations with the disease afflicted with a patient.
Because of the reasons thus described, local clients seeking for high quality of medical services at foreign hospitals should have to pay a lot of expenses involving hefty medical fees, long term stay at foreign countries and the like.
TECHNICAL SUBJECT TO BE REALIZED BY THE INVENTION The present invention is disclosed to solve the aforementioned problems and it is an object of the present invention to provide a medical service method using communication network by which contract is made between selected domestic and foreign medical institutions regarding medical service, insurance companies are interconnected via communication networks, medical information of patients is received for treatment, via the communication network between domestic and foreign medical institutions when insured patients are treated, whereby treatment contents are transmitted for request of medical cost from related medical institutions to insurance companies via communication network, thereby receiving related medical cost.
It is another object of the present invention to provide a medical service method using communication network by which a contract is made between a selected local medical institution and a foreign medical institution regarding medical service and latest medical information is received via communication network according to the contract to provide a better medical service to an insured patient when the patient is medi-cared.
It is still another object of the present invention to provide a medical service method using communication network by which a contract is made between a selected local medical institution and a foreign medical institution where an insurance company is inter-connected therewith via communication network to collect opinions of other medical institutions by way of telemedicine via communication network to apply same to medical treatment for better medical service to a an insured patient.
There is still further object of the present invention to provide a medical service method using communication network by which a contract is made between a selected local medical institution and a foreign medical institution regarding medical services hereby an insurance company and a credit card company are mter-connected via communication network, enabling medical fees against treatment of disease not carried by the contracted insurance to be paid in a lump sum or in installment via communication network.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 is a schematic drawings for illustrating a medical service system for a medical service performed between a medical institution and an insurance company according to the prior medical service.
Figure 2 is a schematic diagram for illustrating a medical service system between a medical institution and an insurance company applied to medical service method utilizing communication network according to the present invention.
Figure 3 is a flow chart for explaining a conception of Figure 2
Figure 4 is a block diagram for illustrating a first embodiment of a medical service system where a medical service method utilizing communication network according to the present invention is applied.
Figure 5a and 5b are flow charts for explaining a medical service method utilizing communication network according to the present invention.
Figure 6 is a block diagram for illustrating a second embodiment of a medical service system where a medical service method utilizing communication network according to the present invention is applied.
DESCRIPTION OF PRINCIPAL PARTS IN THE DRAWINGS
21 : First patient control server 22 : First patient control database
23 : Integrated patient control server
24 : Integrated patient control database
25 : Second patient control server
26 : Second patient control database
27 : Third patient control server
28 : Third patient control database
29 : Foreign patient control server
30 : Foreign patient control database
31 : insurance company control server
32 : insurance company control database
33 : credit card company control server
34 : credit card company control database
STRUCTURE AND OPERATION OF THE INVENTION
In accordance with one object of the present invention, there is provided a medical service method using communication network, the method, wherein local and foreign medical institutions for providing medical service and latest medical information to patients are selected, and a contract is made between the selected local and foreign medical institutions for providing medical service and latest medical information to the patients whereby insurance goods according to the contract is developed and marketed with an insurance company while an insurance contract is concluded with ordinary people to request medical fees of patient from the insurance company, the method comprising the steps of:
connecting the local, foreign medical institutions and the insurance company via communication network and discriminating whether a disease of a patient is the one insured according to clauses of the insurance policy when the patient comes to the institutions, and if the disease is not the one insured a general insurance medication is given while if the disease is the one insured, a discrimination is made as to whether the disease can be treated at a predetermined medical institution and a permission is given to the patient to be treated at the predetermined relevant medical institution, (a);
prompting an insurance company control server to examine a medical information and medical fee request of a patient to pay the medical fee to a relevant medical institution when the medical information and medical fee request of the patient are sequentially transmitted to an integrated patient control server and insurance company control server via communication network following termination of medical service at the relevant medical institution, (b); and
prompting a prior-contracted foreign medical institution to receive medical information from an integrated patient control server to treat a patient with reference thereto and to perform the step of (b) in case medical treatment is impossible at the predetermined medical institution of (b) step, (c).
The aforementioned communication network is a super speed communication network or an exclusive communication network. The predetermined medical institution is a first, a second or a third medical institution.
The relevant medical institution is characterized in that it stores medical information on a relevant patient control database when medical treatment is completed to send same to the integrated patient control server, where the integrated patient control server stores same on an integrated patient control database and to send the stored medical information to a medical institution which requests same.
The medical information is characterized in that it is an entire medical information necessary for treatment of a patient.
The medical information is characterized in that it contains name of disease, treatment data, doctors who have treated the patient, and medical treatment opinion.
The aforementioned method further comprises a step of receiving a latest medical information from an integrated patient control server via communication network when the latest medical information and/or telemedicine are required during medical treatment at the relevant medical institution, and/or exchanging information relative to disease with other medical institutions to apply same during medical treatment of a patient.
The method further comprises a step of receiving and transmitting image data during telemedicine to enable a remotely-controlled operation on a patient.
The method further comprises the steps of:
receiving medical information of a first medical institution stored on an integrated patient control server during medical treatment in case the relevant medical institution is a second medical institution and treating a patient with reference to the information; and
receiving medical information of a first and a second medical institution stored on an integrated patient control server during medical treatment in case the relevant medical institution is a third medical institution and treating a patient with reference to the information.
The method further comprises a step of sending the medical information and medical fee request via email.
The method further comprises a step of prompting the relevant medical institution to store medical information of a patient on a relevant patient control database when medical treatment is completed.
The method still further comprises a step of prompting the foreign medical institution to transmit a latest medical information according to the contract periodically or irregularly via communication network to an integrated patient control sever.
These and other objects, features and advantages of a present invention can be understood by detailed description in the preferred embodiments with reference to the accompanying drawings.
Now, preferred embodiments of the present invention will be described with reference to the accompanying drawings.
Figure 2 is a conceptional schematic diagrams for illustrating a medical service system between a medical institution and an insurance company applied to medical service method utilizing communication network according to the present invention constitutional elements are same as what is described in Figure 1 and only different codes are provided thereto.
It should be noted that the first, second and third medical institution and foreign medical institution are all of plural conception but expressed in singular form. Position of medical institutions are irrelevant to areas.
Figure 3 is a flow chart for explaining a conception of Figure 2.
Figure 4 is a block diagram for illustrating a first embodiment of a medical service system here a medical service method utilizing communication network according to the present invention is applied, where the system includes a first patient control server 21 at a first medical institution 12, a first patient control database 22 at the first medical institution 12, an integrated patient control server 23, an integrated patient control database 24, a second patient control server 25 at a second medical institution 13, a second patient control database 26 at the second medical institution 13, a third patient control server 27 at a third medical institution 14, a third patient control database 28 at a third medical institution 14, a foreign patient control server 29 at a foreign medical institution 15, a foreign patient control database 30 at the foreign medical institution 15, an insurance company control server 31 at an insurance company 16, and an insurance company control database 32 at the insurance company 16.
The first patient control server 21 at the first medical institution 12 discriminates whether an outpatient (client) 11 is insured, and if the client 11 is not insured and disease of the client 11 is not the insured one, the client 11 is made to receive a general insurance treatment at the first medical institution 12.
If the client 11 is insured and disease of the client 11 is insured, a discrimination is made as to whether medical treatment to the client 11 is possible, and if the treatment is possible, and if treatment is performed to the client 11 whose disease is insured at the first medical institution 12, a latest medical information is received through the communication network, or medical information is exchanged with an upper echelon medical institution via telemedicine, here treatment information of the client 11 is stored on the first patient control database 22 while the treatment information and medical fee request are sent and administered via communication network.
The integrated patient control server 23 stores all the treatment information and medical free request transmitted through the communication network on the integrated patient control database 24 for integrated control, and the stored treatment information and medical fee request are transmitted via the communication network when requested.
The second patient control server 25 at the second medical institution 13 receives client 11 who is impossible to be treated at the first medical institution 12 and also receives medical information of the client 11 from the integrated patient control service 23 to discriminate whether the client 11 is treatable, and if the client 11 is treatable, the second medical institution 13, when treating the client 11, receives a latest medical information through communication network or exchanges medical information through telemedicine with upper and lower medical institutions and stores the medical information of the client 11 at the second patient control database 26 when treatment is finished, thereby controlling and transferring the medical treatment information and medical fee request via the communication network.
The third patient control server 27 at the third medical institution 14 is transferred with a client 11 who is impossible to be treated at the second medical institution 13 and receives a medical treatment information of the client 11 from the integrated patient control server 23 to discriminate whether the client 11 is treatable, and if the client 11 is treatable, the third medical institution 14, when treating the client 11 whose disease is insured, receives a latest medical information through communication network or exchanges the medical information through telemedicine with upper and lower medical institutions and stores the medical information of the client 11 at the third patient control database 28 when treatment is completed, thereby controlling and transferring the medical information and medical fee request through the communication network.
The foreign patient control server 29 of the foreign medical institution
15 is transferred with a client 11 who is impossible to be treated at the third medical institution 14 and receives from the integrated patient control server 23 the medical treatment information of the client 11 at the first and second medical institutions 12 and 13 to check if the client 11 is treatable, and if the client 11 is treatable, the foreign patient control server 29, when treating the client 11 whose disease is insured, receives a latest medical information through the communication network or exchanges the medical information through the communication network with domestic upper and lower medical institutions and when the medical treatment is finished, the medical treatment information of the client 11 is stored on the foreign patient control database 30, thereby controlling and transferring the medical treatment information and medical fee request through the communication network.
The insurance company control server 31 at the insurance company 16 receives from the integrated patient control server 23 the medical treatment information of the first, second, third medical institutions (12 ~ 14) and foreign medical institution 15, and medical fee request to store same on the insurance company control database 32 and examines the medical fee according to the medical treatment information of the insured client 11 to control information relative to payment of the medical fee.
The first, second and third patient control servers 21, 25 and 27, the integrated patient control server 23, the foreign patient control server 29 and the insurance company control server 31 are connected with super high speed communication network or exclusive communication network, where it should be noted that the first, second and the third patient control servers 21, 25 and 27 are of plural conception but are only expressed in singular form for explanation purpose while the foreign patient control server 29 is applied to both the singular and plural conceptions.
Figure 5a and 5b are flow charts for explaining a medical service method utilizing communication network according to the present invention while Figure 6 is a block diagram for illustrating a second embodiment of a medical service system where a medical service method utilizing communication network according to the present invention is applied, where the second embodiment further includes the credit card company control server 33 which pays for premium of the client 11 who is insured in the component elements illustrated in Figure 4 or which receives a medical fee request from the integrated patient control server 23 via the communication network to store same on the credit card company database 34 and to pay for medical fee against an insured disease or an uninsured disease.
Now, a concept of the medical service method using the communication network according to the present invention will be described with reference to Figures 2 and 3.
First of all, domestic and foreign medical institutions, that is, the first, second and third medical institutions 12, 13 and 14 and foreign medical institution 15 for providing medical service and latest medical information of a client are selected, where contracts are made for supplying the medical service and the latest medical information between the first, second and third medical institution 12, 13 and 14 and the foreign medical institution 15. (step SI and S2)
Successively, an insurance merchandise relevant to the contract is developed by both the selected domestic and foreign medical institutions to build up a super high speed communication network or exclusive communication network where the developed insurance merchandise is sold on/off line and insurances of ordinary people who want to be insured are checked, examined, approved, and insurance policies are issued, and information of insured clients are databased, whereby the client 11 who is insured against the insurance merchandise pays a certain amount of money to the insurance company 15 every month, (steps S3 ~ S8)
Furthermore, the foreign medical institution provides periodically or irregularly the medical service and latest medical information of the client to the domestic medical institutions according to the contract.
Successively, when the client 11 contracts a disease, he or she gets medical treatment at the first medical institution 12 contracted with the insurance company 16 according to medical service step under the current national medical insurance system, where the first medical institution 12 discriminates whether the disease the client 11 has contracted is insured, and if the disease is not insured, the first medical institution 12 performs a general insurance treatment, and if insured, discriminates whether the disease is treatable.
As a result of the discrimination, if the disease is treatable, the first medical institution 12 comes to treat the client 11, and if necessary, is transferred with a latest medical information through the communication network, or exchanges medical information with a higher medical institution utilizing telemedicine to apply same to treatment. When the medical treatment is finished, the first medical institution 12 requests medical fees to the insurance company 16 through the communication network via an integrated server (not shown), where the insurance company 16 examines the requested medical fees and pays the medical fees. The first medical institution 12 may use the telemedicine to receive and transmit image data, thereby enabling to performs a remote operation on a patient.
At this time, medical treatment information of the client 11 is stored on a server (not shown) of the first medical institution 12 and transferred to an integrated server through the communication network via email, where the integrated server stores same on the integrated database to control the medical treatment information of the client 11. The medical treatment information including all treatment information necessary for treatment of a patient contains such information as name of disease, date treated, names of doctors who treated, medical opinion, etc.
Meanwhile, in case medical treatment is impossible at the first medical institution 12 or the treatment is not satisfactory when the treatment is finished, the client 11 may request transfer to the second medical institution 13, or personally visit the second medical institution 13 for treatment.
At this time, the second medical institution 13 discriminates according to the contract whether the client 11 can pay a visit thereto or treatment of the client 11 transferred from the first medical institution 12 can be possible, and if it is discriminated that the client 11 can be treated, the second medical institution 13 receives medical treat information from server of the first medical institution 12 or from the integrated server to refer thereto while the client 11 is treated, and if necessary, receives a latest medical information via communication network, or utilizes the telemedicine to exchange medical information with a higher medical institution to apply same to treatment, and when the medical treatment is finished, requests medical fee to the insurance company 16. The insurance company 16 screens the requested medical fee to pay same. At this location, the second medical institution 13 utilizes the telemedicine to transmit and receive image data such that it is possible to perform operations on patients via remote control.
The medical treatment information of the client 11 is stored through a server (not shown) of the second medical institution 13 and transmitted to the integrated server via communication network in email, where the integrated server stores same on the integrated database to control the medical treatment information of the client 11.
The medical treatment information which is all medical information necessary for treatment of a patient includes, by way of example, name of disease, treatment data, names of doctors who have treated the patient, treatment opinion, etc.
Meanwhile, in case it is impossible to treat the client 11 at the second medical institution 13 or if the client 11 does not feel satisfactory thereat, the client 11 may be transferred or request transfer to the third medical institution 14 or personally pays a visit to the third medical institution 14 for treatment.
At this time, the third medical institution 14 discriminates according to the contract whether the client 11 can pay a visit thereto or treatment of the client 11 transferred from the second medical institution 12 can be possible, and if it is discriminated that the client 11 can be treated, the third medical institution 14 receives medical treat information from server of the first and/or second medical institution 12, 13 or from the integrated server to refer thereto while the client 11 is treated, and if necessary, receives a latest medical information via communication network, or utilizes the telemedicine to exchange medical information with a higher medical institution to apply same to treatment, and when the medical treatment is finished, requests medical fee to the insurance company 16. The insurance company 16 screens the requested medical fee to pay same. At this location, the third medical institution 14 utilizes the telemedicine to transmit and receive image data such that it is possible to perform operations on patients via remote control.
The medical treatment information of the client 11 is stored through a server (not shown) of the third medical institution 14 and transmitted to the integrated server via communication network in email, where the integrated server stores same on the integrated database to control the medical treatment information of the client 11.
The medical treatment information which is all medical information necessary for treatment of a patient includes, by way of example, name of disease, treatment data, names of doctors who have treated the patient, treatment opinion, etc.
Meanwhile, in case it is impossible to treat the client 11 at the third medical institution 14 or if the client 11 does not feel satisfactory thereat, the client 11 may be transferred or request transfer to the foreign medical institution 15 or personally pays a visit to the foreign medical institution 15 for treatment.
Then, the foreign medical institution 15 discriminates according to the contract whether the client 11 can pay a visit thereto or treatment of the client 11 transferred from the second medical institution 13 can be possible, and if it is discriminated that the client 11 can be treated, the third medical institution 13 receives medical treat information from server of the first, second and third medical institutions 12, 13, 14 or from the integrated server to refer thereto while the client 11 is treated, and if necessary, receives a latest medical information via communication network, or utilizes the telemedicine to exchange medical information with higher and lower medical institution to apply same to treatment, and when the medical treatment is finished, requests medical fee to the insurance company 16. The insurance company 16 screens the requested medical fee to pay same.
The medical treatment information of the client 11 is stored through a server (not shown) of the foreign medical institution 15 and transmitted to the integrated server via communication network in email, where the integrated server stores same on the integrated database to control the medical treatment information of the client 11.
The medical treatment information which is all medical information necessary for treatment of a patient includes, by way of example, name of disease, treatment data, names of doctors who have treated the patient, treatment opinion, etc.
As mentioned above, domestic and foreign medical institutions are selected, and insurance merchandises are developed and sold by the selected domestic and foreign medical institutions as well as the insurance company, and receive insurance fee from the client 11. When the client 11 is afflicted with a disease, a discrimination is made as to whether the client is insured with insurance merchandise for the disease the client 11 is attacked with, and if the disease is not the one insured, the client 11 is made to be treated with a regular insurance treatment, and if the disease is the one insured, the client 11 is allowed to be treated at a medical institution where the disease can be treated. If necessary, a latest medical information or information is exchanged with a higher medical institution via telemedicine or operation is performed by remote control to thereby allow the client 11 to receive a better medical service, here the medical institution can receive appropriate medical fees from the insurance company 16 pursuant to the insurance merchandise.
Now, medical service method using communication network according to the present invention will be described in more details with reference to Figures 4, 5 and 6.
First of all, domestic and foreign medical institutions, that is, first, second and third domestic medical institutions 12, 13 and 14 and foreign medical institution 15 to be provided with medical information, are selected, where a contract is made between the first, second and third domestic medical institutions 12, 13 and 14 and the foreign medical institution 15 for supply of medical service to the patient and latest medical information, (step SI and S2)
Successively, an insurance merchandise pursuant to the contract is developed and marketed by selected domestic and foreign medical institutions as well as the insurance company to build a high speed communication network or exclusive communication network, where developed insurance merchandise is sold on/off line and insurance subscription by general public is screened and approved, and insurance policy is issued. Then information on clients who have subscribed is databased where the client 11 who has subscribed to the insurance merchandise is requested to pay a predetermined amount of money to the insurance company 16 every month, (steps S3 ~ S8)
The foreign medical institution 16 sends medical service and latest medical information periodically or irregularly to the integrated patient control server 23 via communication network according to the contract, where the integrated patient control server 23 stores same on the integrated patient control database 24, and when there is a request from a predetermined medical institution, the integrated patient control server 23 sends same to relevant medical institutions via communication network.
Successively, the client 11, when attached with a disease, receives medical treatment at the first medical institution 12 contracted with the insurance company 16 according to medical service steps under the current national medical insurance system, where the first medical institution 12 discriminates whether a disease the client 1 1 is seized with is insured, ad if not insured, the first medical institution 12 performs a regular insurance treatment, and if the disease is insured, the first medical institution 12 discriminates whether the disease is treatable, (steps ST1 ~ ST4)
As a result of discrimination at step ST4, if the treatment is possible, the first medical institution 12 treats the client 11, and if a latest medical information is needed, the latest medical information is received from the integrated patient control server 23 via communication network to apply same to the treatment, and if telemedicine is needed, a latest medical information is exchanged with the higher medical institution and the foreign medical institution via communication network to apply same to the treatment, (steps ST5 ~ ST9)
When the treatment is finished, the first patient control server 21 stores the treatment information of the client 11 on the first patient control database 22, (step ST10 and ST11) and if the patient (client) 11 is satisfactory with the treatment, (step ST17), the first patient control server 21 stores the medical treatment information of the client 11 on the first patient control database 22 and transfers the medical treatment information and medical fee request to the integrated patient control server 23 via communication network, where the integrated patient control server 23 stores the transferred medical treatment information of the client 11 and medical fee request on the integrated patient control database 24, and successively transfers to the insurance company 16 the medical treatment information and the medical fee request via communication network, (steps ST12 ~ ST14)
By utilizing the telemedicine, image data can be received and transmitted during exchange of the latest medical information to thereby enable to perform a remotely controlled operation and the medical treatment information of the client 11 is sent in email via communication network, where the medical treatment information which is all the necessary medical information for treatment of patient includes, by way of example, name of disease, treatment date, names of doctors who have treated, medical opinion, etc.
Then, the insurance company control server 31 in the insurance company 16 stores the medical treatment information and medical fee request transmitted from the integrated patient control server 23 on the insurance company control data base 32, and screens the medical fee pursuant to the medical treatment information to pay the medical fees, (step ST15 and ST16)
Meanwhile, if treatment is impossible at the first medical institution at the above-mentioned step ST4 or the treatment is not satisfactory at step ST17 following treatment at the first medical institution, the client 11 requests transfer to the second medical institution or personally pays a visit thereto for treatment.
At this time, the second medical institution 13 discriminates according to the contract whether the client 11 can pay a visit thereto or treatment of the client 11 transferred from the first medical institution 12 can be possible, (step ST18) and if it is discriminated that the client 11 can be treated, the second medical institution 13 receives medical treat information from the integrated patient control server 23 to treat the client 11. (step ST19)
If a latest medical information is needed, the latest medical information is received from the integrated patient control server 23 via communication network to apply same to the treatment, and if telemedicine is needed, a latest medical information is exchanged with the higher medical institution and the foreign medical institution via communication network to apply same to the treatment, (steps ST20 ~ ST23)
When the treatment is finished, the second patient control server 25 stores the treatment information of the client 11 on the second patient control database 26, (step ST24 and ST25) and if the patient (client) 11 is satisfactory with the treatment, (step ST26), the second patient control server 25 stores the medical treatment information of the client 11 on the second patient control database 26 and transfers the medical treatment information and medical fee request to the integrated patient control server 23 via communication network, where the integrated patient control server 23 stores the transferred medical treatment information of the client 11 and medical fee request on the integrated patient control database 24, and successively transfers to the insurance company 16 the medical treatment information and the medical fee request via communication network, (steps ST12 ~ ST14)
By utilizing the telemedicine, image data can be received and transmitted during exchange of the latest medical information to thereby enable to perform a remotely controlled operation and the medical treatment information of the client 11 is sent in email via communication network, where the medical treatment information which is all the necessary medical information for treatment of patient includes, by way of example, name of disease, treatment date, names of doctors who have treated, medical opinion, etc.
Then, the insurance company control server 31 in the insurance company 16 stores the medical treatment information and medical fee request transmitted from the integrated patient control server 23 on the insurance company control data base 32, and screens the medical fee pursuant to the medical treatment information to thereby pay the medical fees, (step ST15 and ST 16)
Meanwhile, if treatment is impossible at the first medical institution at the above-mentioned step ST18 or the treatment is not satisfactory at step ST26 following treatment at the first medical institution, the client 11 requests transfer to the third medical institution 14 or personally pays a visit thereto for treatment.
At this time, the third medical institution 14 discriminates according to the contract whether treatment of the client 11 who pays a visit thereto or who is transferred from the second medical institution 13 can be possible, (step ST27) and if it is discriminated that the client 11 can be treated, the third medical institution 14 receives medical treat information from the integrated patient control server 23 to treat the client 11. (step ST28)
If a latest medical information is needed, the latest medical information is received from the integrated patient control server 23 via communication network to apply same to the treatment, and if telemedicine is needed, a latest medical information is exchanged with the higher medical institution and the foreign medical institution via communication network to apply same to the treatment, (steps ST29 ~ ST32) When the treatment is finished, the third patient control server 27 stores the treatment information of the client 11 on the third patient control database 28, (step ST33 and ST34) and transfers the medical treatment information and medical fee request to the integrated patient control server 23 via communication network, where the integrated patient control server 23 stores the transferred medical treatment information of the client 1 1 and medical fee request on the integrated patient control database 24, and successively transfers to the insurance company 16 the medical treatment information and the medical fee request via communication network, (steps ST12 ~ ST14)
By utilizing the telemedicine, image data can be received and transmitted during exchange of the latest medical information to thereby enable to perform a remotely controlled operation and the medical treatment information of the client 11 is sent in email via communication network, where the medical treatment information which is all the necessary medical information for treatment of patient includes, by way of example, name of disease, treatment date, names of doctors who have treated, medical opinion, etc.
Then, the insurance company control server 31 in the insurance company 16 stores the medical treatment information and medical fee request transmitted from the integrated patient control server 23 on the insurance company control data base 32, and screens the medical fee pursuant to the medical treatment information to thereby pay the medical fees, (step ST15 and ST 16)
Meanwhile, if treatment is impossible at the third medical institution 14 at the above-mentioned step ST27 or the treatment is not satisfactory or following treatment at the third medical institution, the client 11 requests transfer to the foreign medical institution 15 or personally pays a visit thereto for treatment.
Successively, the foreign patient control server 29 at the foreign medical institution 14 receives the medical information from the integrated patient control server 23 via communication network to treat the client 11 who personally pays a visit thereto or who is transferred from the second medical institution 13, and when the treatment is finished, the foreign patient control server 29 stores the treatment information of the client 11 on the foreign patient control database 30, (step ST35 and ST36) transfers the medical treatment information and medical fee request to the integrated patient control server 23 via communication network, where the integrated patient control server 23 stores the transferred medical treatment information of the client 11 and medical fee request on the integrated patient control database 24, and successively transfers to the insurance company 16 the medical treatment information and the medical fee request via communication network, (step ST13 and ST14)
By utilizing the telemedicine, image data can be received and transmitted during exchange of the latest medical information to thereby enable to perform a remotely controlled operation and the medical treatment information of the client 11 is sent in email via communication network, where the medical treatment information which is all the necessary medical information for treatment of patient includes, by way of example, name of disease, treatment date, names of doctors who have treated, medical opinion, etc.
Then, the insurance company control server 31 in the insurance company 16 stores the medical treatment information and medical fee request transmitted from the integrated patient control server 23 on the insurance company control data base 32, and screens the medical fee pursuant to the medical treatment information to thereby pay the medical fees, (step ST15 and ST16)
Furthermore, Figure 6 illustrates a case where a credit card company is further included to elements illustrated in Figure 4, where, when the client 11 pays the insurance premium or when medical fees are paid for diseases not insured, or when the patient is hospitalized for a long time or when medical fees are high due to expensive medicines, the credit car company pays for the insurance company in a lump sum or in installments.
As apparent from the foregoing, there is an advantage in the medical service method using communication network according to the present invention thus described in that a contract is made between selected domestic medical institutions and foreign medical institutions, and insurance company is connected thereto via communication network, where, when an insured patient is treated, medical information of the patient is received via the communication network by the domestic and foreign medical institution for treatment of the patient, and the relevant domestic and foreign medical institutions send treated medical contents to the insurance company to request medical fees via communication network and receive same, such that a client can reduce the burden of paying medical fees when treated at a foreign medical institution, and receive a direct treatment for an afflicted disease to thereby enable to rule out over-charged medical service.
There is another advantage in that domestic medical institutions can obtain a stable income through payment of high premiums to thereby stabilize management of hospitals, and particularly the third medical institutions can regularly receive updated latest information from leading foreign medical institutions and also obtain assistance of medical technology through telemedicine, thereby improving medical service to the clients. Although the preferred embodiments of the invention have been disclosed for illustrative purposes, those skilled in the art will appreciate that various modifications, additions and substitutions are possible, without departing from the scope and spirit of the invention as disclosed in the accompanying claims.

Claims

WHAT IS CLAIMED IS:
1. A medical service method using communication network, the method, wherein local and foreign medical institutions for providing medical service and latest medical information to patients are selected, and a contract is made between the selected local and foreign medical institutions for providing medical service and latest medical information to the patients whereby insurance goods according to the contract is developed and marketed with an insurance company while an insurance contract is concluded with ordinary people to request medical fees of patient from the insurance company, the method comprising the steps of:
connecting the local, foreign medical institutions and the insurance company via communication network and discriminating whether a disease of a patient is the one insured according to clauses of the insurance policy when the patient comes to the institutions, and if the disease is not the one insured a general insurance medication is given while if the disease is the one insured, a discrimination is made as to whether the disease can be treated at a predetermined medical institution and a permission is given to the patient to be treated at the predetermined relevant medical institution, (a);
prompting an insurance company control server to examine a medical information and medical fee request of a patient to pay the medical fee to a relevant medical institution when the medical information and medical fee request of the patient are sequentially transmitted to an integrated patient control server and insurance company control server via communication network following termination of medical service at the relevant medical institution, (b); and
prompting a prior-contracted foreign medical institution to receive medical information from an integrated patient control server to treat a patient with reference thereto and to perform the step of (b) in case medical treatment is impossible at the predetermined medical institution of (b) step, (c).
2. The method as defined in claim 1, wherein the communication network is a super speed communication network or an exclusive communication network.
3. The method as defined in claim 1, wherein the predetermined medical institution is a first, a second or a third medical institution.
4. The method as defined in claim, wherein the relevant medical institution stores medical information on a relevant patient control database when medical treatment is completed to send same to the integrated patient control server, here the integrated patient control server stores same on an integrated patient control database and to send the stored medical information to a medical institution which requests same.
5. The method as defined in claim 1, wherein the medical information is an entire medical information necessary for treatment of a patient.
6. The method as defined in claim 1, wherein the medical information contains name of disease, treatment date, doctors who have treated the patient, and medical treatment opinion.
7. The method as defined in claim 1, further comprising a step of receiving a latest medical information from an integrated patient control server via communication network when the latest medical information and/or telemedicine are required during medical treatment at the relevant medical institution, and/or exchanging information relative to disease with other medical institutions to apply same during medical treatment of a patient.
8. The method as defined in claim 7, further comprising a step of receiving and transmitting image data during telemedicine to enable a remotely-controlled operation on a patient.
9. The method as defined in claim 8, further comprising the steps of:
receiving medical information of a first medical institution stored on an integrated patient control server during medical treatment in case the relevant medical institution is a second medical institution and treating a patient with reference to the information; and
receiving medical information of a first and a second medical institution stored on an integrated patient control server during medical treatment in case the relevant medical institution is a third medical institution and treating a patient with reference to the information.
10. The method as defined in claim 1, wherein the medical information and medical fee are requested via email.
11. The method as defined in claim 1 , further comprising a step of prompting the relevant medical institution to store medical information of a patient on a relevant patient control database when medical treatment is completed.
12. The method as defined in claim 1, further comprising the step of prompting the foreign medical institution to transmit a latest medical information according to the contract periodically or irregularly via communication network to an integrated patient control server.
PCT/KR2001/000851 2000-05-23 2001-05-23 Medical service method using communication network WO2001090983A1 (en)

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KR2000-27705 2000-05-23
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KR1020010027963A KR20010107635A (en) 2000-05-23 2001-05-22 method for medical treatment service using communication network

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JP5963031B1 (en) * 2015-12-22 2016-08-03 高崎 将紘 Insurance providing apparatus, method, and computer program
CN107845423A (en) * 2017-11-03 2018-03-27 天津理工大学 A kind of medical services APP systems based on big data
CN107977545A (en) * 2017-11-22 2018-05-01 安徽普生源生物科技有限公司 Medical method and its Telemedicine System based on real-time Communication for Power
CN110310736A (en) * 2018-03-27 2019-10-08 苏州景昱医疗器械有限公司 The data interactive method and system of implantable medical program-controlled equipment

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