{"id":1280,"date":"2017-03-01T11:01:53","date_gmt":"2017-03-01T02:01:53","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1280"},"modified":"2017-03-01T11:01:53","modified_gmt":"2017-03-01T02:01:53","slug":"ambulatory-care-sensitive-conditions%ef%bc%88%e3%83%97%e3%83%a9%e3%82%a4%e3%83%9e%e3%83%aa%e3%83%bb%e3%82%b1%e3%82%a2%e3%81%ae%e7%8f%be%e5%a0%b4%e3%81%a7%e9%81%a9%e5%88%87%e3%81%ab%e3%83%9e%e3%83%8d","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1280","title":{"rendered":"Ambulatory care sensitive conditions\uff08\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u73fe\u5834\u3067\u9069\u5207\u306b\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u3059\u308c\u3070\u4e0d\u8981\u306a\u5165\u9662\u3092\u907f\u3051\u3089\u308c\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u72b6\u614b\uff09\u306b\u3088\u308b\u5165\u9662\u3068\u5bb6\u5ead\u533b\u306b\u3088\u308b\u7d99\u7d9a\u6027\u306e\u95a2\u4fc2"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\u2015
\nIsaac B, Adam S et al. Association between continuity of care in general practice and hospital admissions for ambulatory care sensitive conditions: cross sectional study of routinely collected, person level data. BMJ. 2016;356:j84.<\/p>\n

\u2015\u8981\u7d04\u2015
\n\u3010\u76ee\u7684\u3011
\n\u3000\u5bb6\u5ead\u533b\u306b\u3088\u308b\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u304cambulatory care sensitive conditions\uff08\u203b\uff11\uff1b\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u73fe\u5834\u3067\u9069\u5207\u306b\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u3059\u308c\u3070\u4e0d\u8981\u306a\u5165\u9662\u3092\u907f\u3051\u3089\u308c\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u72b6\u614b\uff09\u306b\u3088\u308b\u5165\u9662\u3068\u95a2\u9023\u304c\u3042\u308b\u304b\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u3002<\/p>\n

\u3010\u30c7\u30b6\u30a4\u30f3\u3011
\n\u3000\u6a2a\u65ad\u7814\u7a76<\/p>\n

\u3010\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3011
\n\u3000\u82f1\u56fdClinical Practice Research Datalink\u306b\u53c2\u52a0\u3057\u63a5\u7d9a\u3057\u3066\u3044\u308b\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u307e\u305f\u306f\u30bb\u30ab\u30f3\u30c0\u30ea\u30fb\u30b1\u30a2\u306e200\u306e\u5bb6\u5ead\u533b\u7642\u306e\u533b\u7642\u6a5f\u95a2\u3002<\/p>\n

\u3010\u53c2\u52a0\u8005\u3011
\n\u30002011\u5e744\u6708\u304b\u30892013\u5e743\u6708\u307e\u3067\u306e\u9593\u306b\u5c11\u306a\u304f\u3068\u3082\uff12\u56de\u5bb6\u5ead\u533b\u3092\u53d7\u8a3a\u3057\u305f\uff16\uff12\u6b73\u304b\u3089\uff18\uff12\u6b73\u306e\u4eba230,472\u540d\u3002<\/p>\n

\u3010\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u3011
\n\u30002011\u5e744\u6708\u304b\u30892013\u5e743\u6708\u307e\u3067\u306e\u671f\u9593\u306e\u60a3\u80051\u4eba\u3042\u305f\u308a\u306eambulatory care sensitive conditions\uff08\u5bb6\u5ead\u533b\u304c\u5916\u6765\u3067\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u53ef\u80fd\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u308b\uff09\u306b\u3088\u308b\u5165\u9662\u6570\u3002<\/p>\n

\u3010\u7d50\u679c\u3011
\n\u3000usual provider of care index\uff08UPC\uff1b \u203b\uff12\uff09\u3092\u7528\u3044\u3066\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u3092\u8a55\u4fa1\u3057\u305f\u3002
\n\u3000\u5e73\u5747\u306eUPC\u306f0.61\u3002\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u306e\u9ad8\u3055\u306b\u3088\u308b3\u30b0\u30eb\u30fc\u30d7\u306b\u5206\u3051\u3066\u3082\u5e74\u9f62\u30fb\u6027\u5225\u30fb\u793e\u4f1a\u7d4c\u6e08\u7684\u72b6\u614b\u306b\u9055\u3044\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u306e\u4f4e\u3044\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u3088\u308a\u983b\u56de\u306b\u53d7\u8a3a\u3059\u308b\u50be\u5411\u304c\u898b\u3089\u308c\u305f\uff08Table1\uff09\u3002\u307e\u305f\u3001\u533b\u5e2b\u6570\u306e\u591a\u3044\u533b\u7642\u6a5f\u95a2\u307b\u3069UPC\u306f\u4f4e\u3044\u50be\u5411\u306b\u3042\u3063\u305f\uff08\u5927\u304d\u306a\u533b\u7642\u6a5f\u95a2\u30670.59\uff0c\u5c0f\u3055\u306a\u533b\u7642\u6a5f\u95a2\u30670.70\uff09\uff08Table2\uff09\u3002
\n\u3000\u5e73\u5747\u3059\u308b\u3068\u7814\u7a76\u6a5f\u95a2\u306b\u304a\u3044\u3066\u60a3\u80051\u4eba\u3042\u305f\u308a0.16\u56de\u306eambulatory care sensitive conditions\u306b\u3088\u308b\u5165\u9662\u3092\u7d4c\u9a13\u3057\u3066\u3044\u305f\uff08Table1\uff09\u3002
\n\"\u5c71\u7530\u5148\u751f\u56f3\u2460\"<\/a><\/p>\n

\"\u5c71\u7530\u5148\u751f\u56f3\u2461\"<\/a><\/p>\n

\u3000\u9ad8\u9f62\u306a\u307b\u3069\u3001\u5c02\u9580\u533b\u3078\u306e\u7d39\u4ecb\u304c\u591a\u3044\u307b\u3069\u3001\u6162\u6027\u75be\u60a3\u304c\u591a\u3044\u307b\u3069\u3001\u5bb6\u5ead\u533b\u3078\u306e\u53d7\u8a3a\u304c\u983b\u56de\u306a\u307b\u3069ambulatory care sensitive conditions\u306b\u3088\u308b\u5165\u9662\u306f\u591a\u3044\u50be\u5411\u306b\u3042\u3063\u305f\uff08Table3\uff09\u3002
\n\"\u5c71\u7530\u5148\u751f\u56f3\u2462\"<\/a><\/p>\n

\u3000\u3053\u3046\u3044\u3063\u305f\u5171\u5909\u91cf\u3092\u8abf\u6574\u3059\u308b\u3068\u3001UPC\u304c\u9ad8\u3044\u60a3\u8005\u307b\u3069ambulatory care sensitive conditions\u306b\u3088\u308b\u5165\u9662\u306f\u6e1b\u308b\u50be\u5411\u306b\u3042\u3063\u305f\uff08Table4\uff09\u3002
\n\"\u5c71\u7530\u5148\u751f\u56f3\u2463\"<\/a><\/p>\n

\u3000\u30e2\u30c7\u30eb\u5316\u3057\u4eba\u53e3\u7d71\u8a08\u7684\u30fb\u60a3\u8005\u306e\u81e8\u5e8a\u72b6\u6cc1\u3092\u8abf\u6574\u3057\u305f\u5834\u5408\u3002\u5168\u3066\u306e\u60a3\u8005\u306eUPC\u304c0.2\u4e0a\u6607\u3059\u308b\u3068\u5165\u9662\u306f6.22\uff05\u6e1b\u5c11\u3059\u308b\uff0895%CI 4.87\uff05-7.55%\uff0cTable5\uff09\u3002
\n\u3000\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u89e3\u6790\u3067\u306f\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u983b\u56de\u5229\u7528\u60a3\u8005\u306b\u304a\u3044\u3066\u305d\u306e\u95a2\u9023\u6027\u306f\u3088\u308a\u5f37\u56fa\u306b\u73fe\u308c\u305f\u3002\u983b\u56de\u5229\u7528\u8005\u7a0bambulatory care sensitive conditions\u306b\u3088\u308b\u5165\u9662\u304c\u5897\u3048\u308b\u50be\u5411\u306b\u3042\u308a\uff08\u5bb6\u5ead\u533b\u3092\u7814\u7a76\u671f\u9593\u306b18\u56de\u4ee5\u4e0a\u53d7\u8a3a\u3057\u305f\u60a3\u80051\u4eba\u3042\u305f\u308a0.36\u56de\u306e\u5165\u9662\u30012-4\u56de\u306e\u60a3\u80051\u4eba\u3042\u305f\u308a0.04\u56de\u306e\u5165\u9662\uff09\u3001UPC\u304c0.2\u4e0a\u6607\u3059\u308b\u3068ambulatory care sensitive conditions\u306b\u3088\u308b\u5165\u9662\u304c\u6709\u610f\u306b\u6e1b\u5c11\u3059\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u305f\uff08Table5\uff09\u3002
\n\"\u5c71\u7530\u5148\u751f\u56f3\u2464\"<\/a><\/p>\n

\u3010\u7d50\u8ad6\u3011
\n\u3000\u5bb6\u5ead\u533b\u7642\u306b\u304a\u3051\u308b\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\uff08\u3053\u306e\u6587\u732e\u3067\u306fUPC\uff09\u3092\u6539\u5584\u3059\u308b\u30682\u6b21\u533b\u7642\u306e\u30b3\u30b9\u30c8\u3092\u524a\u6e1b\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u3068\u304f\u306b\u533b\u7642\u3092\u983b\u56de\u306b\u5229\u7528\u3059\u308b\u60a3\u8005\u306b\u304a\u3044\u3066\u306f\u305d\u3046\u3067\u3042\u308b\u3002
\n\u3000\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u3092\u4fc3\u9032\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u60a3\u8005\u3084\u5bb6\u5ead\u533b\u7642\u306e\u73fe\u5834\u3067\u50cd\u304f\u3082\u306e\u306e\u7d4c\u9a13\u3082\u6539\u5584\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<\/p>\n

\u3010What is already known on this topic\u3011
\n\u3000\u4e88\u671f\u305b\u306c\u5165\u9662\u3092\u6e1b\u3089\u3059\u305f\u3081\u306b\u591a\u304f\u306e\u30d8\u30eb\u30b9\u30b1\u30a2\u30b7\u30b9\u30c6\u30e0\u306f\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u3078\u306e\u30a2\u30af\u30bb\u30b9\u306e\u8fc5\u901f\u3055\u3068\u5e73\u7b49\u6027\u306b\u7126\u70b9\u3092\u5f53\u3066\u3066\u304d\u305f\u3002\u82f1\u56fd\u306b\u304a\u3044\u3066\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u306f\u4f4e\u4e0b\u306e\u50be\u5411\u306b\u3042\u308a\u3001\u305d\u308c\u306f\u304a\u305d\u3089\u304f\u30a2\u30af\u30bb\u30b9\u306e\u6539\u5584\u30fb\u4fc3\u9032\u3068\u7d99\u7d9a\u6027\u306e\u9593\u306b\u30c8\u30ec\u30fc\u30c9\u30aa\u30d5\u304c\u3042\u308b\u305f\u3081\u3067\u3042\u308d\u3046\u3002\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u306f\u60a3\u8005\u3068\u533b\u5e2b\u306e\u6e80\u8db3\u5ea6\u306b\u95a2\u9023\u3057\u3066\u3044\u308b\u304c\u3001\u5165\u9662\u3068\u306e\u95a2\u9023\u306f\u660e\u3089\u304b\u306b\u3055\u308c\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/p>\n

\u3010What this study adds\u3011
\n\u3000\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u306f\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u3067\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u53ef\u80fd\u306aAmbulatory care-sensitive conditions\u306b\u3088\u308b\u5165\u9662\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u3002\u5bb6\u5ead\u533b\u306e\u983b\u7e41\u306a\u5229\u7528\u8005\u306b\u304a\u3044\u3066\u306f\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u3068Ambulatory care-sensitive conditions\u306b\u3088\u308b\u5165\u9662\u306e\u95a2\u9023\u304c\u6700\u3082\u5f37\u304f\u8a8d\u3081\u3089\u308c\u305f\u3002\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u3092\u6539\u5584\u3055\u305b\u308b\u6226\u7565\u306f\u30b1\u30a2\u306e\u8cea\u3068\u30b3\u30b9\u30c8\u3092\u540c\u6642\u306b\u6539\u5584\u3055\u305b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u304c\u3001\u305d\u306e\u65b9\u6cd5\u306b\u3064\u3044\u3066\u306f\u8a55\u4fa1\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n

\u203b\uff11 Ambulatory care-sensitive conditions (ACSCs)
\n\u3000\u4ee5\u4e0b\u306e\u30ea\u30f3\u30af\u3092\u53c2\u7167\u3057\u3066\u4e0b\u3055\u3044\uff0e
\n\u3000http:\/\/fujinumayasuki.hatenablog.com\/entry\/2013\/10\/08\/162442<\/a><\/span><\/p>\n

\u203b\uff12 Usual provider of care index\uff08UPC\uff09
\n\u3000UPC\uff1dnumbers of visits with assigned provider\/total visits
\n\"\u5c71\u7530\u5148\u751f\u56f3\u2465\"<\/a><\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
\n2017\u5e743\u67081\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\u2015\u6587\u732e\u540d\u2015 Isaac B, Adam S et al. Association between continuity of care in general practice and hospital admission … \u7d9a\u304d\u3092\u8aad\u3080 Ambulatory care sensitive conditions\uff08\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u73fe\u5834\u3067\u9069\u5207\u306b\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u3059\u308c\u3070\u4e0d\u8981\u306a\u5165\u9662\u3092\u907f\u3051\u3089\u308c\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u72b6\u614b\uff09\u306b\u3088\u308b\u5165\u9662\u3068\u5bb6\u5ead\u533b\u306b\u3088\u308b\u7d99\u7d9a\u6027\u306e\u95a2\u4fc2<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23,8],"tags":[],"class_list":["post-1280","post","type-post","status-publish","format-standard","hentry","category-23","category-8"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1280","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1280"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1280\/revisions"}],"predecessor-version":[{"id":1288,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1280\/revisions\/1288"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1280"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1280"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}