Medical system for shared patient and physician decision making

• US 6,584,445 B2
• Filed: 04/30/2001
• Issued: 06/24/2003
• Est. Priority Date: 10/22/1998
• Status: Expired due to Term

• Current Assignee: Computerized Health Evaluation Systems Incorporated
• Original Assignee: Computerized Health Evaluation Systems Incorporated
• Inventors: Papageorge, Basil
• Primary Examiner(s): Myhre, James W.
• Application Number:
  US09/846,176
• Publication Number:
  US 20020184050A1
• Time in Patent Office: 785 Days
• Field of Search: 705/2, 705/3, 434/236
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A computerized health evaluation system for joint patient and physician decision making concerning particular medical diseases and conditions. The system includes a computer system with a patient input module for patient input of patient data concerning the patient'"'"'s lifestyle and preferences, a physician input module for physician input of physical and physiological data, and a database of the latest medical findings concerning the particular disease and condition. The computer system uses an algorithm for weighing the patient data and the physician data in view of the database and generating a report setting forth various treatment options. Based upon the report, the patient and physician will jointly decide on a treatment approach.

Claims

1. A computerized health evaluation system for joint patient and physician treatment decision making concerning particular medical diseases and conditions, comprising a computer system having:

a database of the latest medical findings concerning the particular disease and condition and their treatment options and the outcomes, costs, risks, and benefits associated therewith;

a patient input module for patient input of patient factors concerning the patient'"'"'s lifestyle and treatment preferences;

a physician input module for physician input of physical and physiological information; and

an algorithm for weighting the patient'"'"'s information and the physician'"'"'s findings in view of the database and for generating a graphical report which graphically displays the potential risks and benefits of all viable treatment options based upon the weighting of the patient data and the physician input of physical and physiological factors in view of the database so that the patient and physician can make a more informed medical decision.

2. The computerized health evaluation system of claim 1, wherein the patient and physician enter patient information and physical and physiological information in electronic form via a computer network.

3. The computerized health evaluation system of claim 1, wherein the patient and physician enter patient factors and physical and physiological findings respectively via at least one of an interactive telephone system, questionnaire forms submitted via facsimile, and via questionnaire forms manually entered or scanned into the computer system.

4. The computerized health evaluation system of claim 1, wherein the patient information comprises functional status, patient lifestyle, work factors, economic factors, long term plans, and treatment preferences.

5. The computerized health evaluation system of claim 1, wherein the physical and physiological information comprises diagnostic test results, symptoms, physical exam findings, disease progression rate, preliminary treatment plan, reactions to outcomes across treatments, and patient history.

6. The computerized health evaluation system of claim 1, wherein the report generated includes information that informs the patient about the particular disease and condition and treatment options, assesses urgency for intervention, compares costs, risks and benefits of any identified preferred treatment to those of competing treatment plans, assesses the patient'"'"'s candidacy for more than one option, assesses the severity of the disease and condition using clinical indicators, quantifies patient risk aversion level, presents patient'"'"'s functional level and rate of decline, and discussion points about treatment options based on patient and physician inputs to facilitate in treatment selection.

7. The computerized health evaluation system of claim 1, wherein the patient and physician will jointly decide on a treatment approach based upon the report.

8. A method for computerized health evaluation for joint patient and physician decision making concerning particular medical diseases and conditions, comprising the following steps:

providing a computer system having a patient input module for patient input of patient information concerning the patient'"'"'s lifestyle and preferences, a physician input module for physician input of physical and physiological findings, a database of the latest medical findings concerning the particular disease and condition, and a computer algorithm for weighting the patient factors and the physician findings in view of the database and generating a graphical report setting forth various treatment options based upon the weighting of the patient factors and the physician input of physical and physiological findings in view of the database so that the patient and physician can make a more informed medical decision;

having the patient enter the patient'"'"'s functional status, lifestyle, work factors, economic factors, long term plans, and treatment preferences in the patient input module;

having the physician enter physical and physiological findings comprising diagnostic test results, symptoms, physical exam findings, disease progression rate, preliminary treatment plan, reaction to outcome among treatment, and patient history into the physician input module;

using the computer algorithm for processing and weighting the patient factors and physical and physiological findings in view of the database to determine the potential risks and benefits of each viable treatment options based upon the patient factors and the physical and physiological findings in view of the database;

generating a graphical report that includes information that informs the patient about the particular disease and condition and treatment options, assesses urgency for intervention, compares costs, risks and benefits of any identified preferred treatment to those of competing treatment plans, assesses the patient'"'"'s candidacy for more than one option, assesses the severity of the disease and condition using clinical indicators, quantifies patient risk aversion level, presents patient'"'"'s functional level and rate of decline, and discussion points about treatment options based on patient and physician inputs for use in treatment selection; and

having the patient and physician jointly decide on the treatment based upon the graphical report.