{"id":1552,"date":"2018-09-12T18:02:32","date_gmt":"2018-09-12T09:02:32","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1552"},"modified":"2018-09-12T18:02:32","modified_gmt":"2018-09-12T09:02:32","slug":"%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%e8%87%a8%e5%ba%8a%e6%8e%a8%e8%ab%96","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1552","title":{"rendered":"\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u81e8\u5e8a\u63a8\u8ad6"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\u2015
\nNorbert Donner-Banzoff, et.al.The Phenomenology of the Diagnostic Process: A Primary Care-Based Survey. Medical decision making. 2017; Vol1:27-34<\/p>\n

\u2015\u8981\u7d04\u2015
\nIntroduction:
\n\u8a3a\u65ad\u3092\u884c\u3046\u81e8\u5e8a\u5bb6\u306b\u3068\u3063\u3066\u60a3\u8005\u306e\u8a00\u8449\u3084\u75c5\u6b74\u3001\u75be\u60a3\u306e\u6709\u75c5\u7387\u3001\u8996\u899a\u7684\u306a\u5370\u8c61\u3001\u8eab\u4f53\u8a3a\u5bdf\u306e\u6240\u898b\u306a\u3069\u83ab\u5927\u306a\u60c5\u5831\u304c\u5f97\u3089\u308c\u308b\u3002\u4eba\u9593\u306e\u8133\u306f\u9650\u754c\u304c\u3042\u308a\u3001\u591a\u304f\u306e\u60c5\u5831\u306f\u30ce\u30a4\u30ba\u3068\u306a\u3063\u3066\u3044\u308b\u3002\u3067\u306f\u3044\u304b\u306b\u60c5\u5831\u3092\u53ce\u96c6\u3057\u3001\u9078\u629e\u3057\u3001\u91cd\u307f\u3065\u3051\u3057\u3001\u7121\u8996\u3057\u3066\u3044\u308b\u3060\u308d\u3046\uff1f\u3044\u3064\u60c5\u5831\u53ce\u96c6\u3092\u3068\u3081\u3001\u7d9a\u3051\u3066\u3044\u308b\u3060\u308d\u3046\uff1f\u533b\u5b66\u754c\u3067\u6700\u3082\u5f71\u97ff\u529b\u306e\u3042\u308b\u81e8\u5e8a\u63a8\u8ad6\u306e\u30e2\u30c7\u30eb\u306fElstein\u3089\u306e\u63d0\u5531\u3057\u305f\u4eee\u8aac\u6f14\u7e79\u6cd5\u3068\u306a\u3063\u3066\u3044\u308b\u3002\u3053\u306e\u30e2\u30c7\u30eb\u3067\u306f\u65e9\u671f\u306b\u8a3a\u65ad\u4eee\u8aac\u304c\u5f62\u6210\u3055\u308c\u308b\u304c\u3001\u8a3a\u65ad\u4eee\u8aac\u304c\u751f\u307e\u308c\u308b\u524d\u306b\u8d77\u3053\u308b\u30d7\u30ed\u30bb\u30b9\u306f\u308f\u304b\u3063\u3066\u3044\u306a\u3044\u3002\u4e00\u3064\u304b\u305d\u308c\u4ee5\u4e0a\u306e\u4eee\u8aac\u304c\u53d7\u3051\u5165\u308c\u3089\u308c\u308b\u3068\u304d\u3001\u81e8\u5e8a\u5bb6\u306f\u6570\u767e\u304b\u3089\u5343\u304b\u30893\u3064\u304b4\u3064\u306e\u8aac\u660e\u53ef\u80fd\u306a\u7bc4\u56f2\u3078\u72ed\u3081\u3066\u3044\u308b\u3002\u79c1\u305f\u3061\u306f\u30c7\u30fc\u30bf\u53ce\u96c6\u306e\u6700\u521d\u306e\u6bb5\u968e\u3067\u4e2d\u5fc3\u7684\u306a\u5f79\u5272\u3092\u2018Inductive Foraging\u2019\u3068\u3057\u3066\u63d0\u5531\u3057\u3066\u3044\u308b\u3002
\n\u3000\u79c1\u305f\u3061\u306e\u76ee\u7684\u306f\u7dcf\u5408\u8a3a\u7642\u533b(\u4ee5\u4e0b\u3001GP)\u304c\u8a3a\u65ad\u306b\u7528\u3044\u308b\u8a8d\u77e5\u6226\u7565\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u3053\u3068\u3060\u3063\u305f\u3002\u7d50\u679c\u306b\u57fa\u3065\u304d\u3001\u6570\u591a\u304f\u306e\u9451\u5225\u3092\u8003\u616e\u3057\u306a\u3044\u3068\u3044\u3051\u306a\u3044GP\u3084\u305d\u308c\u4ee5\u5916\u306e\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3067\u306e\u73fe\u8c61\u5b66\u3092\u63d0\u793a\u3059\u308b\u3002<\/p>\n

\"201809\u4e0a\u91ce\uff11\"<\/a><\/p>\n

Method:
\n\u30c9\u30a4\u30c4\u306e\u30d8\u30c3\u30bb\u30f3\u5dde\u30de\u30fc\u30eb\u30d6\u30eb\u30b0-\u30d3\u30fc\u30c7\u30f3\u30b3\u30d7\u30d5\u7fa4\u3067\u52e4\u52d9\u3057\u30015\u5e74\u4ee5\u4e0a\u306e\u81e8\u5e8a\u7d4c\u9a13\u3068\u5352\u524d\u3001\u5352\u5f8c\u306e\u6559\u80b2\u7d4c\u9a13\u3092\u6709\u3059\u308b12\u4eba\u306e\u5e38\u52e4\u306eGP\u3078\u7814\u7a76\u3078\u306e\u53c2\u52a0\u3092\u4f9d\u983c\u3057\u3001\u5168\u54e1\u304b\u3089\u540c\u610f\u3092\u5f97\u305f\u3002\u305d\u308c\u305e\u308c\u306eGP\u306e3.5\u65e5\u306e\u52e4\u52d9\u3092\u8a55\u4fa1\u3057\u305f\u3002\u60a3\u8005\u306f\u75c7\u72b6\u3084\u53ef\u80fd\u6027\u306e\u3042\u308b\u8a3a\u65ad\u3068\u306f\u7121\u95a2\u4fc2\u306b\u7d44\u307f\u5165\u308c\u3089\u308c\u305f\u3002\u6162\u6027\u75be\u60a3\u306e\u5b9a\u671f\u901a\u9662\u3084\u4eca\u56de\u306e\u53d7\u8a3a\u524d\u306b\u8a3a\u65ad\u3055\u308c\u305f\u75be\u60a3\u306e\u518d\u8a3a\u3068\u3044\u3063\u305f\u3001\u8a3a\u65ad\u3068\u306f\u7570\u306a\u308b\u7406\u7531\u3067\u306e\u53d7\u8a3a\u306f\u9664\u5916\u3057\u305f\u3002
\n\u3000\u53c2\u52a0\u3057\u305fGP\u306f\u305d\u308c\u305e\u308c\u306e\u60a3\u8005\u3078\u7814\u7a76\u306b\u3064\u3044\u3066\u8aac\u660e\u3057\u3001\u7814\u7a76\u3078\u306e\u53c2\u52a0\u3068\u8a3a\u7642\u306e\u30d3\u30c7\u30aa\u9332\u753b\u3078\u306e\u6587\u66f8\u3067\u306e\u540c\u610f\u3092\u5f97\u305f\u3002\u540c\u610f\u5f8c\u306bGP\u306f\u901a\u5e38\u306e\u8a3a\u7642\u3092\u884c\u3044\u3001\u305d\u306e\u5f8c\u306b\u8a3a\u65ad\u63a8\u8ad6\u3092\u8aac\u660e\u3057\u3066\u3082\u3089\u3046\u305f\u3081\u534a\u69cb\u9020\u5316\u9762\u63a5\u3092\u884c\u3063\u305f\u3002\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3082\u8a3a\u5bdf\u3068\u540c\u69d8\u306b\u30d3\u30c7\u30aa\u9332\u753b\u3092\u884c\u3063\u305f\u3002
\n\u3000\u8a3a\u7642\u3068GP\u3078\u306e\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u306f\u8a00\u8449\u901a\u308a\u306b\u6587\u5b57\u8d77\u3053\u3057\u3055\u308c\u3001\u8cea\u7684\u30c7\u30fc\u30bf\u5206\u6790\u30bd\u30d5\u30c8\u306eMAXQDA\u306b\u3088\u3063\u3066\u30b3\u30fc\u30c9\u3055\u308c\u305f\u3002\u904e\u53bb\u306b\u51fa\u7248\u3055\u308c\u305f\u7814\u7a76\u3092\u5f15\u7528\u3057\u3001GP\u306e\u8a3a\u65ad\u63a8\u8ad6\u3068\u60c5\u5831\u53ce\u96c6\u306e\u632f\u308b\u821e\u3044\u3092\u63cf\u51fa\u3059\u308b\u30ab\u30c6\u30b4\u30ea\u5316\u3092\u884c\u3063\u305f\u3002\u305d\u306e\u5f8c\u3001\u30e9\u30f3\u30c0\u30e0\u306b\u9078\u3070\u308c\u305f3\u3064\u306e\u8a3a\u7642\u3068\uff13\u3064\u306e\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u306b\u3088\u308a\u4fe1\u983c\u5ea6\u3092\u8abf\u67fb\u3057\u305f\u30022\u4eba\u306e\u76f2\u691c\u5316\u3055\u308c\u305f\u72ec\u7acb\u3057\u305f\u8a55\u4fa1\u8005\u304c\u30c7\u30fc\u30bf\u306e\u30b3\u30fc\u30c9\u3092\u9ad8\u3044\u4fe1\u983c\u6027\u3092\u3082\u3063\u3066\u884c\u3044\u300184\uff05\u306e\u4e00\u81f4\u3060\u3063\u305f\u3002\u3053\u306e\u7814\u7a76\u306f\u30de\u30fc\u30eb\u30d6\u30eb\u30b0\u5927\u5b66\u533b\u5b66\u90e8\u306e\u502b\u7406\u59d4\u54e1\u4f1a\u3067\u627f\u8a8d\u3092\u5f97\u305f\u3002<\/p>\n

\"201809\u4e0a\u91ce2\"<\/a><\/p>\n

Result:
\n12\u4eba\u306eGP\u306e\u3046\u3061\u30015\u4eba\u304c\u5973\u6027\u3060\u3063\u305f\u3002\u5e73\u5747\u5e74\u9f62\u306f53\u6b73\u3067\u3042\u308a\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306b\u5f93\u4e8b\u3057\u305f\u671f\u9593\u306f2 1\u5e74\u3060\u3063\u305f(\u8a73\u7d30\u306fTable2)\u3002\u9664\u5916\u57fa\u6e96\u306b\u3042\u3066\u306f\u307e\u308b\u8a3a\u7642\u3092\u9664\u304f\u3068\u3001168\u56de\u306e\u8a3a\u65ad\u30a8\u30d4\u30bd\u30fc\u30c9\u3092\u542b\u3080134\u4f8b\u306e\u8a3a\u7642\u304c\u5206\u6790\u306e\u5bfe\u8c61\u3068\u306a\u3063\u305f(Figure2\u306e\u30d5\u30ed\u30fc\u30c1\u30e3\u30fc\u30c8\u53c2\u7167\u3001\u60a3\u8005\u306e\u7279\u6027\u306fTable3\u3092\u53c2\u7167)\u3002
\n\u8a3a\u7642\u306e\u5e73\u5747\u6642\u9593\u306f9\u520659\u79d2(2\u520645\u79d2\u304b\u308928\u520615\u79d2)\u3001\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u306f2\u5206\u304b\u308918\u5206\u306e\u9593\u3067\u7d42\u3048\u305f(\u5e73\u57476\u520635\u79d2)\u3002
\n\u3000Inductive Foraging\u306f122\u4f8b\u306e\u8a3a\u7642(91\uff05)\u3067\u307f\u3089\u308c\u305f\u3002\u6b8b\u308b12\u4f8b\u306e\u3046\u30615\u4f8b\u306f\u6280\u8853\u7684\u7406\u7531\u3067\u8a3a\u7642\u306e\u958b\u59cb\u304c\u9332\u753b\u3055\u308c\u3066\u3044\u306a\u304b\u3063\u305f\u3002\u3053\u306e\u6bb5\u968e\u306e\u6240\u8981\u6642\u9593\u306e\u5e73\u5747\u306f34\u79d2(6-176\u79d2)\u3067\u3042\u308a\u3001\u8a3a\u65ad\u30a8\u30d4\u30bd\u30fc\u30c9\u306b\u304b\u304b\u308b14.6\uff05\u3092\u5360\u3081\u3066\u3044\u305f\u300270\u4f8b(57\uff05)\u3067GP\u304c\u9589\u9396\u7684\u8cea\u554f\u3092\u306a\u3052\u304b\u3051\u308b\u3053\u3068\u3067Inductive Foraging\u3092\u7d42\u308f\u3089\u305b\u3066\u3044\u305f\u3002
\n\u79c1\u305f\u3061\u306f\u9650\u3089\u308c\u305f\u554f\u984c\u9818\u57df\u3092GP\u304c\u63a2\u7d22\u3059\u308b\u8a3a\u65ad\u30d7\u30ed\u30bb\u30b9\u306e\u4e2d\u9593\u6bb5\u968e\u3067\u7279\u5b9a\u3057\u305f\u3002Triggered Routines\u306f163\u306e\u8a3a\u65ad\u30a8\u30d4\u30bd\u30fc\u30c9\u306e\u3046\u3061\u300162\u56de(38\uff05)\u3067\u89b3\u5bdf\u3055\u308c\u305f\u3002Descriptive Questions\u306f137\u56de(84\uff05)\u89b3\u5bdf\u3055\u308c\u305f\u3002\u8eab\u4f53\u8a3a\u5bdf\u306f120\u4f8b(89\uff05)\u306e\u8a3a\u7642\u3067\u884c\u308f\u308c\u305f\u3002
\n\u3000\u53ce\u96c6\u3055\u308c\u305f\u60c5\u5831\u304b\u3089\u7279\u5b9a\u306e\u75be\u60a3\u306e\u78ba\u8a3c\u3068\u9664\u5916\u3092\u884c\u3046\u3053\u3068\u306f\u4eee\u8aac\u6f14\u7e79\u6cd5\u306e\u512a\u308c\u305f\u7279\u5fb4\u3067\u3042\u308b\u3002\u3057\u304b\u3057GP\u306f\u3053\u306e\u65b9\u7565\u309263\u56de(39\uff05)\u306e\u8a3a\u65ad\u30a8\u30d4\u30bd\u30fc\u30c9\u3067\u3057\u304b\u7528\u3044\u3066\u3044\u306a\u304b\u3063\u305f\u3002\u91cf\u7684\u306b\u8a3a\u65ad\u306e\u624b\u304c\u304b\u308a\u306b\u3064\u3044\u3066\u5206\u6790\u3057\u305f\u3068\u3053\u308d\u3001inductive foraging\u306f31\uff05\u306b\u5bc4\u4e0e\u3057\u3066\u304a\u308a\u3001\u4eee\u8aac\u691c\u8a3c\u3067\u306f12\uff05\u3057\u304b\u624b\u304c\u304b\u308a\u3092\u5f97\u3089\u308c\u306a\u304b\u3063\u305f\u3002<\/p>\n

\"201809\u4e0a\u91ce3\"<\/a><\/p>\n

\"201809\u4e0a\u91ce4\"<\/a><\/p>\n

Discussion:
\n134\u4f8b\u306e\u8a3a\u7642\u306b\u304a\u3051\u308b\u7814\u7a76\u3067\u3001GP\u306fInductive Foraging\u3001Triggered Routines\u3001hypothesis testing\u3092\u8a3a\u65ad\u306e\u8a55\u4fa1\u306e\u70ba\u306b\u7528\u3044\u3066\u3044\u305f\u3002\u4eca\u56de\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u7814\u7a76\u3067\u306f\u3001\u8a3a\u65ad\u306e\u624b\u304c\u304b\u308a\u3092\u5f97\u308b\u3046\u3048\u3067\u30aa\u30fc\u30d7\u30f3\u306a\u65b9\u7565\u306f\u4e2d\u5fc3\u7684\u306a\u5f79\u5272\u3092\u679c\u305f\u3059\u3082\u306e\u306e\u4eee\u8aac\u691c\u8a3c\u306e\u8ca2\u732e\u306f\u9650\u3089\u308c\u305f\u3082\u306e\u3060\u3063\u305f\u3002
\n\u3000\u79c1\u305f\u3061\u306e\u7814\u7a76\u306f\u3001\u3053\u306e\u5206\u91ce\u306e\u307b\u3068\u3093\u3069\u306e\u51fa\u7248\u3055\u308c\u305f\u7814\u7a76\u3068\u306f\u7570\u306a\u308a\u5b9f\u969b\u306e\u60a3\u8005\u3067\u8abf\u67fb\u3092\u884c\u3063\u305f\u3002\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u306e\u73fe\u5834\u3067\u767a\u751f\u3059\u308b\u75c7\u72b6\u3084\u75c5\u6c17\u306b\u95a2\u3059\u308b\u8a3a\u7642\u3068\u306a\u3063\u3066\u304a\u308a\u3001\u305d\u306e\u7d50\u679c\u3001\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u30d7\u30ed\u30bb\u30b9\u304c\u60a3\u8005\u306e\u554f\u984c\u306e\u5168\u7bc4\u56f2\u306b\u308f\u305f\u3063\u3066\u53cd\u6620\u3055\u308c\u3066\u3044\u308b\u3002\u5bfe\u8c61\u306f\u7d4c\u9a13\u8c4a\u5bcc\u306a\u5b9f\u8df5\u8005\u3084\u6559\u80b2\u306b\u7a4d\u6975\u7684\u306b\u95a2\u4e0e\u3057\u3066\u3044\u308b\u5074\u306b\u610f\u56f3\u7684\u306b\u504f\u3063\u3066\u3044\u308b\u305f\u3081\u3001\u7d4c\u9a13\u8c4a\u5bcc\u306aGP\u306e\u63a8\u8ad6\u306e\u8a73\u7d30\u306a\u8aac\u660e\u3092\u5f97\u308b\u3053\u3068\u304c\u3067\u304d\u305f\u3002\u3057\u304b\u305d\u306e\u8a8d\u77e5\u30d7\u30ed\u30bb\u30b9\u306f\u5b9f\u969b\u306b\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u306b\u5f93\u4e8b\u3059\u308b\u533b\u5e2b\u3068\u7570\u306a\u3063\u3066\u3044\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002
\n\u7814\u7a76\u3055\u308c\u305f\u8a2d\u5b9a\u306e\u81ea\u7136\u6027\u3092\u4fdd\u3064\u305f\u3081\u306e\u79c1\u305f\u3061\u306e\u52aa\u529b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u30d3\u30c7\u30aa\u9332\u753b\u3068\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u306f\u3001\u304a\u305d\u3089\u304fGP\u306e\u884c\u52d5\u3084\u8aac\u660e\u3092\u59a8\u3052\u3066\u3044\u307e\u3057\u305f\u3002\u79c1\u305f\u3061\u306f\u3001\u975e\u516c\u5f0f\u306e\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u3068\u79c1\u305f\u3061\u306e\u5370\u8c61\u304b\u3089\u3001GP\u304c\u3088\u308a\u7a4d\u6975\u7684\u3067\u3001\u3088\u308a\u591a\u304f\u306e\u4eee\u8aac\u3092\u7acb\u3066\u3001\u3044\u3064\u3082\u3088\u308a\u3082\u591a\u304f\u306e\u60c5\u5831\u3092\u53ce\u96c6\u3059\u308b\u3053\u3068\u304c\u3042\u308b\u3053\u3068\u3092\u5b66\u3073\u307e\u3057\u305f\u3002\u305d\u306e\u7d50\u679c\u3001\u6211\u3005\u306e\u7814\u7a76\u3067\u306f\u4eee\u8aac\u691c\u5b9a\u306e\u983b\u5ea6\u306f\u304a\u305d\u3089\u304f\u904e\u5927\u8a55\u4fa1\u3055\u308c\u3066\u3044\u308b\u3002
\n\u3000\u8a8d\u77e5\u6226\u7565\u306e\u5dee\u7570\u306f\u5fc5\u305a\u3057\u3082\u660e\u78ba\u3067\u306f\u306a\u304b\u3063\u305f\u3002GP\u304b\u3089\u306e\u8cea\u554f\u304c\u3001triggered routines\u307e\u305f\u306f\u4eee\u8aac\u306e\u8a55\u4fa1\u3068\u3057\u3066\u7406\u89e3\u3055\u308c\u308b\u3079\u304d\u304b\u3069\u3046\u304b\u3092\u5224\u65ad\u3059\u308b\u3053\u3068\u306f\u6642\u3005\u56f0\u96e3\u3060\u3063\u305f\u3002\u8abf\u67fb\u3057\u305f\u30b3\u30f3\u30bb\u30d7\u30c8\u306e\u660e\u78ba\u306a\u5b9a\u7fa9\u3092\u7e70\u308a\u8fd4\u3057\u958b\u767a\u3057\u3001\u7c21\u6f54\u306a\u30d5\u30a9\u30fc\u30de\u30c3\u30c8\u306b\u843d\u3068\u3057\u3053\u3093\u3060\uff08Table1\u53c2\u7167\uff09\u3002\u3053\u308c\u306f\u3001\u533b\u5b66\u7684\u306b\u9069\u683c\u306a\u89b3\u5bdf\u8005\u3092\u8a13\u7df4\u3059\u308b\u3053\u3068\u3068\u4f75\u305b\u3066\u3001\u30c7\u30fc\u30bf\u5206\u6790\u306e\u9ad8\u3044\u4fe1\u983c\u6027\u3092\u3082\u305f\u3089\u3057\u305f\u3002\u6211\u3005\u306f\u3001\u8eab\u4f53\u691c\u67fb\u306b\u3088\u3063\u3066\u5f97\u3089\u308c\u305f\u624b\u304c\u304b\u308a\u3092\u5225\u500b\u306b\u5831\u544a\u3057\u3066\u3044\u308b\u304c\u3001\u3053\u308c\u306f\u7279\u5b9a\u306e\u8a8d\u77e5\u6226\u7565\u3067\u306f\u306a\u3044\u3002\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u306b\u304a\u3051\u308b\u8eab\u4f53\u8a3a\u5bdf\u306f\u5e38\u306b\u7126\u70b9\u304c\u5408\u3063\u3066\u304a\u308a\u3001triggered routines\u306b\u4f3c\u3066\u3044\u308b\u3002
\n\u3000GP\u306b\u3088\u3063\u3066\u5f97\u3089\u308c\u305f\u624b\u304c\u304b\u308a\u306e\u5b9a\u91cf\u7684\u8abf\u67fb\u306f\u6211\u3005\u306e\u7814\u7a76\u306e\u5927\u304d\u306a\u5f37\u307f\u3067\u3042\u308b\u304c\u3001\u95a2\u9023\u6027\u3067\u306f\u306a\u304f\u3066\u305d\u306e\u6570\u3060\u3051\u306e\u8a55\u4fa1\u306b\u3068\u3069\u307e\u3063\u305f\u3002Triggered routines\u307e\u305f\u306fhypothesis testing\u306b\u3088\u3063\u3066\u5f97\u3089\u308c\u305f\u624b\u304c\u304b\u308a\u306f\u3001inductive foraging\u306e\u9593\u306b\u63d0\u4f9b\u3055\u308c\u308b\u3082\u306e\u3088\u308a\u8a3a\u65ad\u306b\u3068\u3063\u3066\u3088\u308a\u91cd\u8981\u3060\u3063\u305f\u3068\u63a8\u6e2c\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u6211\u3005\u306e\u7814\u7a76\u306f\u9650\u3089\u308c\u305f\u6570\u306e\u5074\u9762\u306b\u96c6\u4e2d\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u305a\u3001\u3069\u306e\u3088\u3046\u306b\u533b\u5e2b\u304c\u5f97\u3089\u308c\u305f\u77e5\u898b\u306e\u30d1\u30bf\u30fc\u30f3\u3092\u69cb\u7bc9\u3059\u308b\u304b\u3001\u611f\u60c5\u3001\u76f4\u89b3\u3001\u307e\u305f\u306f\u4ed6\u306e\u975e\u5206\u6790\u7684\u306a\u6226\u7565\u304c\u30d7\u30ed\u30bb\u30b9\u306b\u3069\u306e\u3088\u3046\u306b\u5f71\u97ff\u3059\u308b\u304b\u306f\u8a55\u4fa1\u306e\u5bfe\u8c61\u306b\u306a\u3089\u306a\u304b\u3063\u305f\u3002
\n\u3000\u60a3\u8005\u306b\u6700\u521d\u306e\u30c7\u30fc\u30bf\u53ce\u96c6\u30d7\u30ed\u30bb\u30b9\u3092\u59d4\u306d\u3001\u305d\u306e\u5f8c\u306e\u6bb5\u968e\u3067\u306e\u307f\u4ecb\u5165\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u3001GP\u306f\u8907\u6570\u306e\u8a3a\u65ad\u53ef\u80fd\u6027\u3092\u6709\u3059\u308b\u8a2d\u5b9a\u306b\u9069\u5fdc\u3059\u308b\u3002Inductive foraging\u306f\u60a3\u8005\u306e\u82e6\u75db\u611f\u3092\u7de9\u548c\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u8a3a\u65ad\u554f\u984c\u306e\u7a7a\u9593\u3092\u5b9a\u7fa9\u3059\u308b\u305f\u3081\u306b\u4e0d\u53ef\u6b20\u3067\u3042\u308b\u3002\u60a3\u8005\u4e2d\u5fc3\u306e\u533b\u7642\u3068\u8a3a\u65ad\u7684\u63a8\u8ad6\u306e\u4e16\u754c\u306f\u3001\u305d\u308c\u306b\u3088\u3063\u3066\u8abf\u548c\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002<\/p>\n

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\u2015\u6587\u732e\u540d\u2015 Norbert Donner-Banzoff, et.al.The Phenomenology of the Diagnostic Process: A Primary Care-Based Survey. … \u7d9a\u304d\u3092\u8aad\u3080 \u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u81e8\u5e8a\u63a8\u8ad6<\/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-1552","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\/1552","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=1552"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1552\/revisions"}],"predecessor-version":[{"id":1557,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1552\/revisions\/1557"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1552"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1552"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1552"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}