{"id":1311,"date":"2017-03-23T12:32:26","date_gmt":"2017-03-23T03:32:26","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1311"},"modified":"2017-03-23T12:32:26","modified_gmt":"2017-03-23T03:32:26","slug":"%e4%bd%95%e3%82%82%e3%81%97%e3%81%aa%e3%81%84%e3%81%a8%e3%81%84%e3%81%86%e3%82%8f%e3%81%96","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1311","title":{"rendered":"\u4f55\u3082\u3057\u306a\u3044\u3068\u3044\u3046\u201c\u308f\u3056\u201d"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\uff0d<br \/>\nIona Heath. The art of doing nothing, European Journal of General Practice, 2012; 18:4, 242-246<\/p>\n<p>\uff0d\u8981\u7d04\uff0d<br \/>\n<span style=\"text-decoration: underline;\"><strong>\u4ed6\u8005\u304b\u3089\u306e\u77e5\u6075<\/strong><\/span><br \/>\n\u30fb\u30b8\u30b0\u30e0\u30f3\u30c8\u30fb\u30d0\u30a6\u30de\u30f3\uff08\u30dd\u30fc\u30e9\u30f3\u30c9\u51fa\u8eab\u306e\u793e\u4f1a\u5b66\u8005\uff09\u306f\u3001\u305d\u306e\u8457\u66f8\u306e\u4e2d\u3067\u30ab\u30fc\u30eb\u30fb\u30e4\u30b9\u30d1\u30fc\u30b9\uff08\u30c9\u30a4\u30c4\u306e\u54f2\u5b66\u8005\u30fb\u7cbe\u795e\u79d1\u533b\uff09\u306e\u8a00\u8449\u300c\u79c1\u305f\u3061\u306e\u6642\u9593\u306f\u3001\u3069\u306e\u3088\u3046\u306b\u305d\u308c\u3092\u4f7f\u3046\u304b\u3068\u3044\u3046\u89b3\u70b9\u304b\u3089\u8003\u3048\u5f97\u3089\u308c\u3066\u3044\u308b\u3002\u4f55\u3082\u3057\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u3042\u308b\u306b\u3082\u95a2\u308f\u3089\u305a\u3002\u300d\u3092\u5f15\u7528\u3057\u3066\u3044\u308b\u3002<br 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\/>\n\u25cf\u60a3\u8005\u306f\u8a3a\u65ad\u3092\u5fc5\u8981\u3068\u3057\u3066\u3044\u308b\u3060\u308d\u3046\u304b\uff1f\u305d\u308c\u306f\u60a3\u8005\u3092\u672c\u5f53\u306b\u52a9\u3051\u3046\u308b\u3060\u308d\u3046\u304b\uff1f\u3069\u3093\u306a\u7a2e\u985e\u306e\u30b1\u30a2\u304c\u3001\u305d\u306e\u6642\u30fb\u305d\u306e\u5834\u306b\u9069\u3057\u3066\u3044\u308b\u3060\u308d\u3046\u304b\uff1f<br \/>\n\u30fb\u30cf\u30f3\u30b9\u30fb\u30b2\u30aa\u30eb\u30af\u30fb\u30ac\u30c0\u30de\u30fc\uff08\u30c9\u30a4\u30c4\u306e\u89e3\u91c8\u5b66\u306e\u54f2\u5b66\u8005\uff09\u306f\u3001\u8003\u3048\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u3069\u308c\u304f\u3089\u3044\u91cd\u8981\u3067\u91cd\u3044\u3082\u306e\u304b\u3092\u6b21\u306e\u3088\u3046\u306b\u6559\u3048\u3066\u304f\u308c\u308b\u3002\u300c\u8003\u3048\u308b\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u305d\u308c\u81ea\u8eab\u304c\u9b42\u306e\u4e2d\u3067\u5bfe\u8a71\u3092\u3057\u3066\u3044\u308b\u3002\u3053\u308c\u306f\u30d7\u30e9\u30c8\u30f3\u304c\u8003\u3048\u308b\u3053\u3068\u306b\u3064\u3044\u3066\u8ff0\u3079\u305f\u3082\u306e\u3067\u3042\u308a\u3001\u305d\u306e\u610f\u5473\u3068\u306f\u3001\u7406\u89e3\u3067\u304d\u306a\u3044\u554f\u3044\u304c\u751f\u3058\u305f\u969b\u3001\u305d\u308c\u306b\u3064\u3044\u3066\u8003\u3048\u308b\u3053\u3068\u306f\u6211\u3005\u81ea\u8eab\u306b\u540c\u6642\u306b\u4e0e\u3048\u30fb\u4e0e\u3048\u3089\u308c\u308b\u7b54\u3048\u3092\u8074\u304f\u3053\u3068\u3067\u3042\u308b\u3002\u300d<br \/>\n\u25cfEBM\u306b\u304a\u3051\u308b\u5584\u610f\u304b\u3089\u306e\u5f37\u8abf\u3055\u308c\u3066\u304d\u305f\u907a\u7523\u306f\u3001\u533b\u7642\u4f9b\u7d66\u306e\u6848\u5185\u3092\u8a2d\u8a08\u3059\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u6025\u5897\u30fb\u62e1\u6563\u3055\u305b\u3001\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u306b\u9023\u52d5\u3057\u305f\u652f\u6255\u3044\u3092\u52d5\u6a5f\u3065\u3051\u3001\u8003\u3048\u308b\u305f\u3081\u306e\u5c0f\u4f11\u6b62\u306a\u3057\u306b\u51e6\u65b9\u3092\u7d99\u7d9a\u3059\u308b\u59ff\u306b\u5909\u3048\u3089\u308c\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u3002<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>\u5f85\u3064<\/strong><\/span><br \/>\n\u25cf\u5f85\u3064\u3068\u3044\u3046\u3053\u3068\u306f\u3057\u3070\u3057\u3070\u52c7\u6c17\u304c\u3044\u308b\u3002\u8a3a\u65ad\u3084\u6cbb\u7642\u306e\u30c4\u30fc\u30eb\u306b\u3001\u81ea\u7136\u306b\u4f55\u304c\u8d77\u3053\u308b\u306e\u304b\u3092\u898b\u308b\u305f\u3081\u306b\u3001\u6642\u9593\u3092\u4f7f\u3046\u3053\u3068\u304c\u3042\u308b\u3002\u3053\u308c\u3089\u306f\u4f55\u3082\u3057\u306a\u3044\u3068\u3044\u3046\u308f\u3056\u306e\u57fa\u672c\u7684\u306a\u30b9\u30ad\u30eb\u3068\u306a\u308b\u3002\u904e\u5270\u8a3a\u65ad\u3084\u904e\u5270\u6cbb\u7642\u306e\u9b45\u529b\u7684\u306a\u7f60\u306b\u9665\u3089\u306a\u3044\u305f\u3081\u306b\u3082\u3001\u6975\u3081\u3066\u91cd\u8981\u3067\u3042\u308b\u3002<br \/>\n\u30fbNZ\u306eGP\u3067\u8a69\u4eba\u306eGlen Colquhoun\u306e\u4e00\u3064\u306e\u8a69\u304c\u3001\u5f85\u3064\u3053\u3068\u306e\u91cd\u8981\u6027\u3092\u3046\u307e\u304f\u8868\u73fe\u3057\u3066\u3044\u308b\u3002<br \/>\n\u300c\u5360\u3044\u306e\u307e\u3059\u307e\u3059\u6d17\u7df4\u3055\u308c\u305f\u65b9\u6cd5\u306f\u3001\u533b\u5b66\u306e\u5b9f\u8df5\u306b\u304a\u3044\u3066\u4f7f\u308f\u308c\u3066\u3044\u308b\u3002\u30fb\u30fb\u30fb\u6b21\u306b\u4f55\u304c\u8d77\u3053\u308b\u304b\u3092\u898b\u308b\u306e\u3092\u5f85\u3064\u3053\u3068\u306b\u3088\u3063\u3066\u3002\u300d<br \/>\n\u25cf\u6b21\u306b\u4f55\u304c\u8d77\u3053\u308b\u306e\u304b\u3092\u5f85\u3064\u3053\u3068\u306f\u3001\u9ad8\u4fa1\u3067\u5a01\u5727\u7684\u306a\u6280\u8853\u304c\u5229\u7528\u53ef\u80fd\u3067\u5897\u5927\u3057\u3066\u3044\u308b\u306e\u306b\u76f4\u9762\u3057\u3066\u3044\u308b\u304b\u3089\u3053\u305d\u3001\u6700\u3082\u6d17\u7df4\u3055\u308c\u9ad8\u3044\u6559\u990a\u306e\u3042\u308b\u65b9\u6cd5\u3068\u306a\u308b\u3002<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>\u305d\u3053\u306b\u3044\u308b\u30fb\u8a3c\u4eba\u3068\u306a\u308b<\/strong><\/span><br \/>\n\u25cf\u305f\u3060\u305d\u3053\u306b\u3044\u308b\u3053\u3068\u3002\u60a3\u8005\u306e\u305d\u3070\u306b\u3044\u308b\u3053\u3068\u3002<br \/>\n\u30fbGP\u3092\u8868\u73fe\u3057\u305f\u30d9\u30b9\u30c8\u306a\u66f8\u7c4d\u3068\u79c1\u304c\u8003\u3048\u3066\u3044\u308b\u3001\u679c\u5831\u8005\u30b5\u30b5\u30eb\uff08A fortunate man\uff09\u3092\u66f8\u3044\u305f\u3001\u30b8\u30e7\u30f3\u30fb\u30d0\u30fc\u30b8\u30e3\u30fc\u306f\u6b21\u306e\u3088\u3046\u306b\u66f8\u3044\u3066\u3044\u308b\u300c\u5f7c\u306f\u75c5\u6c17\u306b\u3042\u308b\u4eba\u3092\u6cbb\u7642\u3059\u308b\u3088\u308a\u3082\u3001\u5f7c\u3089\u306e\u4eba\u751f\u306e\u5ba2\u89b3\u7684\u306a\u8a3c\u4eba\u3068\u306a\u3063\u3066\u3044\u308b\u3088\u3046\u3060\u3063\u305f\u3002\u300d<br \/>\n\u30fbZbigniew Herbert\u306e\u8a69\u3092\u82f1\u8a33\u3057\u305f\u30ab\u30fc\u30da\u30f3\u30bf\u30fc\u592b\u59bb\u306f\u3001\u300c\u79c1\u305f\u3061\u306e\u81ea\u7531\u3084\u6b63\u78ba\u3055\u3092\u6c7a\u3081\u308b\u306e\u306f\u3001\u771f\u306b\u5468\u56f2\u306e\u82e6\u75db\u3092\u53d7\u3051\u3001\u305d\u306e\u8a3c\u4eba\u3067\u3044\u308b\u3053\u3068\u306b\u8010\u3048\u3001\u305d\u308c\u306b\u5bfe\u3057\u3066\u62b5\u6297\u3057\u7d9a\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u304b\u3069\u3046\u304b\u3067\u3059\u300d\u3068\u8ff0\u3079\u3066\u3044\u308b\u3002<br \/>\n\u25cf\u5bb6\u5ead\u533b\u306b\u3068\u3063\u3066\u306e\u3053\u306e\u614b\u5ea6\u306f\u3001\u30a2\u30c9\u30dc\u30ab\u30b7\u30fc\u3078\u306e\u8cac\u4efb\u3042\u308b\u6d3b\u52d5\u3068\u540c\u69d8\u3067\u3042\u308b\u3002\u79c1\u305f\u3061\u306f\u8868\u73fe\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u305a\u3001\u58f0\u3092\u4e0a\u3052\u308b\u3053\u3068\u306e\u3067\u304d\u306a\u3044\u4eba\u305f\u3061\u306e\u4ee3\u308f\u308a\u306b\u653f\u6cbb\u5bb6\u3084\u653f\u7b56\u7acb\u6848\u8005\u306b\u58f0\u3092\u4e0a\u3052\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u30fb\u30fb\u30fb\u30a2\u30c9\u30dc\u30ab\u30b7\u30fc\u306f\u69cb\u9020\u7684\u306a\u6cbb\u7642\u65b9\u6cd5\u3068\u306a\u308b\u3002\u30ce\u30eb\u30a6\u30a7\u30fc\u3067\u51fa\u4f1a\u3063\u305f\u82e5\u3044\u5faa\u74b0\u5668\u533b\u306e\u6b4c\u3046\u6b4c\u8a5e\u306e\u4e2d\u3067\u3001\u300c\u2018I know I can see you through this\u300d\u304c\u7e70\u308a\u8fd4\u3057\u6d41\u308c\u308b\u6642\u306b\u3001\u3086\u3063\u304f\u308a\u3068\u6c17\u3065\u3044\u305f\u3053\u3068\u304c\u3042\u3063\u305f\u3002\u305d\u308c\u306f\u7d50\u675f\u3068\u9003\u3052\u306a\u3044\u3068\u3044\u3046\u7d04\u675f\u3092\u793a\u3057\u305f\u95a2\u308f\u308a\u5408\u3044\u306e\u5ba3\u8a00\u306b\u805e\u3053\u3048\u305f\u3002<br \/>\n\u30fb\u30a2\u30fc\u30b5\u30fc\u30fb\u30af\u30e9\u30a4\u30f3\u30de\u30f3\uff08\u7c73\u56fd\u306e\u4eba\u985e\u5b66\u8005\u3067\u7cbe\u795e\u79d1\u533b\uff09\u3082\u540c\u69d8\u306e\u3053\u3068\u3092\u6b21\u306e\u3088\u3046\u306b\u8ff0\u3079\u3066\u3044\u308b\u3002\u300c\u5171\u611f\u7684\u306a\u8a3c\u4eba\u306f\u3001\u75c5\u3092\u6301\u3063\u305f\u4eba\u9593\u3068\u3044\u308b\u3068\u304d\u306e\u57fa\u672c\u7684\u306a\u95a2\u308f\u308a\u5408\u3044\u3067\u3059\u3002\u305d\u3057\u3066\u3001\u4f55\u3089\u304b\u306e\u6c17\u3065\u304d\u3084\u305d\u306e\u7d4c\u9a13\u3078\u306e\u4fa1\u5024\u4ed8\u3051\u3068\u306a\u308b\u75c5\u3044\u306e\u8a9e\u308a\u3092\u4fc3\u9032\u3055\u305b\u307e\u3059\u3002\u3053\u308c\u304c\u533b\u5e2b\u306b\u306a\u308b\u3053\u3068\u306e\u9053\u5fb3\u7684\u306a\u4e2d\u6838\u3067\u3042\u308aillness\u306e\u4f53\u9a13\u3067\u3059\u3002\u300d<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>\u5bb3\u3092\u9632\u3050<\/strong><\/span><br \/>\n\u30fb\u3053\u308c\u306b\u3064\u3044\u3066\u306f2012\u5e74\u306e\u6700\u521d\u306e\u9803\u306e\u5185\u79d1\u96d1\u8a8c\u306b\u4e88\u60f3\u3082\u3064\u304b\u306a\u3044\u7d50\u8ad6\u3067\u63b2\u8f09\u3055\u308c\u3066\u3044\u308b\u3002<br \/>\n\u30fb\u30a6\u30e9\u30b8\u30df\u30fc\u30eb\u30fb\u30ca\u30dc\u30b3\u30d5\u306e\u300c\u4eba\u9593\u6027\u306e\u611b\u304a\u3057\u3044\u3068\u3053\u308d\u306f\u3001\u8ab0\u304b\u304c\u826f\u3044\u884c\u3044\u306b\u6c17\u3065\u3044\u3066\u3044\u306a\u3044\u6642\u306b\u3001\u305d\u306e\u4eba\u306f\u81ea\u5206\u306e\u60aa\u3044\u3053\u3068\u306b\u3044\u3064\u3082\u6c17\u304c\u3064\u3044\u3066\u3044\u308b\u300d\u3068\u3044\u3046\u8a00\u8449\u304c\u3042\u308b\u3002<br \/>\n\u30fb\u79c1\u305f\u3061\u306f\u3001\u533b\u5e2b\u305f\u3061\u304c\u60a3\u8005\u306b\u30d9\u30b9\u30c8\u3057\u304b\u5c3d\u3055\u3057\u3066\u304a\u3089\u305a\u3001\u305d\u306e\u7d50\u679c\u3001\u7d20\u6674\u3089\u3057\u304f\u30fb\u6e80\u8db3\u306e\u3042\u308b\u3082\u306e\u3092\u5f7c\u3089\u306e\u4eba\u751f\u306b\u63d0\u4f9b\u3057\u3066\u3044\u308b\u3068\u78ba\u4fe1\u3057\u3066\u3044\u308b\u30fb\u30fb\u30fb\u3053\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u3064\u304b\u306a\u3044\u30dd\u30b8\u30c6\u30a3\u30d6\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u306e\u30eb\u30fc\u30d7\u306b\u6355\u3089\u3048\u3089\u308c\u3066\u3044\u308b\u3088\u3046\u306b\u898b\u3048\u308b\u3002\u300c\u300d<\/p>\n<p>\u6700\u5f8c\u306b<br \/>\n\u30fb\u4f55\u3082\u3057\u306a\u3044\u3053\u3068\u306f\u3001\u4e0d\u9069\u5f53\u3067\u6642\u671f\u5c1a\u65e9\u306a\u30e9\u30d9\u30eb\u4ed8\u3051\u3057\u305f\u308a\u3001\u5e73\u51e1\u3067\u4eba\u9593\u7684\u306a\u60a9\u307f\u3092\u533b\u5b66\u7684\u306b\u6271\u3063\u305f\u308a\u3001\u7121\u76ca\u306a\u6cbb\u7642\u3092\u958b\u59cb\u3057\u3066\u3057\u307e\u3046\u306a\u3069\u3001\u3055\u3063\u3068\u7d50\u8ad6\u3092\u6025\u3050\u3088\u308a\u3082\u671b\u307e\u3057\u3044\u3002<br \/>\n\u30fb\u4f55\u3082\u3057\u306a\u3044\u3068\u3044\u3046\u308f\u3056\u306e\u7591\u554f\u306e\u306a\u3044\u5229\u70b9\u3068\u305d\u306e\u610f\u6b32\u304c\u9ad8\u3044\u3046\u3061\u306b\u3001\u30a8\u30e1\u30fb\u30bb\u30bc\u30fc\u30eb\u304b\u3089\u306e\u8b66\u544a\u306b\u8033\u3092\u50be\u3051\u3088\u3046\u3002\u300c\u79c1\u306e\u4f53\u3068\u79c1\u306e\u5fc3\u306b\u6ce8\u610f\u3057\u3088\u3046\u3002\u3042\u306a\u305f\u306e\u8155\u7d44\u307f\u306e\u5168\u3066\u306b\u6ce8\u610f\u3092\u3057\u3088\u3046\u3001\u50b2\u6162\u3067\u60f3\u50cf\u529b\u306b\u6b20\u3051\u305f\u89b3\u5ba2\u306e\u3088\u3046\u306a\u614b\u5ea6\u306b\u6ce8\u610f\u3092\u3057\u3088\u3046\u3002\u306a\u305c\u306a\u3089\u4eba\u751f\u306f\u58ee\u5927\u306a\u7269\u8a9e\u3067\u306f\u306a\u304f\u3001sea of sorrow\u306f\u821e\u53f0\u524d\u90e8\u306e\u3082\u306e\u3067\u3082\u306a\u3044\u3002\u4eba\u304c\u6ce3\u3044\u3066\u3044\u308b\u306e\u306f\u898b\u305b\u7269\u306e\u718a\u3067\u306f\u306a\u3044\u3002\u300d<br \/>\n\u30fb\u4f55\u3082\u3057\u306a\u3044\u3068\u3044\u3046\u308f\u3056\u3092\u990a\u3063\u3066\u3044\u3053\u3046\u3002\u3057\u304b\u3057\u305d\u308c\u306f\u89b3\u5ba2\u7684\u306a\u60f3\u50cf\u529b\u306e\u306a\u3044\u614b\u5ea6\u306b\u907f\u96e3\u3059\u308b\u3053\u3068\u3067\u306f\u306a\u3044\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2017\u5e743\u670822\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\uff0d Iona Heath. The art of doing nothing, European Journal of General Practice, 2012; 18:4, 242-246 \uff0d\u8981\u7d04\uff0d \u4ed6\u8005\u304b &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1311\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u4f55\u3082\u3057\u306a\u3044\u3068\u3044\u3046\u201c\u308f\u3056\u201d<\/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],"tags":[],"class_list":["post-1311","post","type-post","status-publish","format-standard","hentry","category-23"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1311","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=1311"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1311\/revisions"}],"predecessor-version":[{"id":1312,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1311\/revisions\/1312"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1311"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1311"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1311"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}