{"id":1579,"date":"2018-10-24T09:22:29","date_gmt":"2018-10-24T00:22:29","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1579"},"modified":"2018-10-24T09:22:29","modified_gmt":"2018-10-24T00:22:29","slug":"%e8%a8%ba%e7%99%82%e7%af%84%e5%9b%b2%e3%81%ae%e5%b9%85%e5%ba%83%e3%81%95%e3%81%af%e5%ae%b6%e5%ba%ad%e5%8c%bb%e3%81%ae%e7%87%83%e3%81%88%e5%b0%bd%e3%81%8d%e3%81%ae%e5%b0%91%e3%81%aa%e3%81%95%e3%81%a8","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1579","title":{"rendered":"\u8a3a\u7642\u7bc4\u56f2\u306e\u5e45\u5e83\u3055\u306f\u5bb6\u5ead\u533b\u306e\u71c3\u3048\u5c3d\u304d\u306e\u5c11\u306a\u3055\u3068\u95a2\u9023\u3059\u308b"},"content":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d<br \/>\nAmanda K.H. et al. Burnout and Scope of Practice in New Family Physicians. Annals of Family Medicine. Vol.16, No.3. May\/June 2018.<\/p>\n<p>\uff0d\u8981\u7d04\uff0d<br \/>\n\u3010\u76ee\u7684\u3011<br \/>\n\u5bb6\u5ead\u533b\u306f\u305d\u306e\u8a3a\u7642\u7bc4\u56f2\u3084\u8a3a\u7642\u306e\u5834\u306e\u5e45\u5e83\u3055\u304b\u3089\u3001\u6700\u3082\u71c3\u3048\u5c3d\u304d\u304c\u591a\u3044\u8a3a\u7642\u79d1\u306e\u3046\u3061\u306e\u4e00\u3064\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002\u4e00\u65b9\u3067\u3001\u71c3\u3048\u5c3d\u304d\u3068\u5bb6\u5ead\u533b\u306e\u5e45\u5e83\u3044\u8a3a\u7642\u306e\u95a2\u9023\u306b\u3064\u3044\u3066\u306e\u5148\u884c\u7814\u7a76\u306f\u306a\u3044\u3002<br \/>\n\u3010\u65b9\u6cd5\u3011<br \/>\n2016\u5e74\u306bAmerican Board of Family Medicine (ABFM)\u304c\u65bd\u884c\u3057\u305fNational Family Medicine Graduate Survey\u306e\u5bfe\u8c61\u8005\u3067\u3001\u5916\u6765\u3067\u7d99\u7d9a\u7684\u306a\u8a3a\u7642\u3092\u884c\u3063\u3066\u3044\u308b1,617\u540d\u3092\u4e8c\u6b21\u89e3\u6790\u3057\u305f\u3002\u5148\u884c\u7814\u7a76\u3092\u53c2\u8003\u306b\u71c3\u3048\u5c3d\u304d\u306e\u5b9a\u7fa9\u306f\u300c\u9031\u306b1\u56de\u4ee5\u4e0a\u71c3\u3048\u5c3d\u304d\u3092\u611f\u3058\u308b\u3053\u3068\u304c\u3042\u308b\u3068\u306e\u81ea\u5df1\u7533\u544a\u300d\u3068\u3057\u305f\u3002<br \/>\n\u3000\u307e\u305a\u3001\u5bb6\u5ead\u533b\u306e\u8a3a\u7642\u9818\u57df\u30928\u9818\u57df\u3001\u3088\u304f\u3042\u308b\u624b\u6280\u309217\u7a2e\u985e\u3001\u8a3a\u7642\u306e\u5834\u30929\u7a2e\u985e\u306b\u307e\u3068\u3081\u305f(Table 1\u30fb2)\u3002\u305d\u3057\u3066\u3001\u4e8c\u5909\u91cf\u89e3\u6790(Table 3)\u3068\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u5206\u6790(Table 4)\u306b\u3088\u308a\u3001\u71c3\u3048\u5c3d\u304d\u3068\u8a3a\u7642\u7bc4\u56f2\u306e\u5e45\u5e83\u3055\u306e\u95a2\u9023\u306b\u3064\u3044\u3066\u8abf\u67fb\u3057\u305f\u3002<br \/>\n\u3010\u7d50\u679c\u3011<br \/>\n41.9\uff05\u304c\u71c3\u3048\u5c3d\u304d\u3092\u7533\u544a\u3057\u305f\u3002\u5bfe\u8c61\u8005\u306f\u5e73\u574735.9\u6b73\u3067\u300158.6%\u304c\u5973\u6027\u30021\u65e5\u5e73\u5747\u8a3a\u7642\u60a3\u8005\u6570\u306f20.3\u540d\u3067\u300174.2%\u304c\u6642\u9593\u5916\u96fb\u8a71\u5bfe\u5fdc\u3092\u884c\u3044\u300152.2%\u304c\u9031\u672b\u307e\u305f\u306f\u591c\u9593\u306b\u8a3a\u7642\u3092\u884c\u3063\u3066\u3044\u305f\u3002\u8a3a\u7642\u9818\u57df\u307e\u305f\u306f\u624b\u6280\u306e\u6570\u306e\u5e73\u5747\u5024\u306f7.7\u3067\u3042\u3063\u305f(Table 2)\u3002<br \/>\n\u71c3\u3048\u5c3d\u304d\u306f\u7537\u6027\u3067\u5c11\u306a\u3044\u50be\u5411\u304c\u3042\u308a(\u71c3\u3048\u5c3d\u304d\u3042\u308a37.2% vs \u71c3\u3048\u5c3d\u304d\u306a\u305744.4%, P=.004)\u3001\u5973\u6027\u306f\u7537\u6027\u3088\u308a\u95a2\u9023\u304c\u5f37\u304b\u3063\u305f(OR=1.32, 95% CI 1.07-1.62, P=.009)\u3002\u4e00\u65b9\u3067\u30011\u65e5\u5e73\u5747\u8a3a\u7642\u60a3\u8005\u6570\u30fb\u6642\u9593\u5916\u96fb\u8a71\u5bfe\u5fdc\u4ef6\u6570\u30fb\u9031\u672b\u307e\u305f\u306f\u591c\u9593\u8a3a\u7642\u4ef6\u6570\u306f\u95a2\u9023\u304c\u306a\u304b\u3063\u305f(Table 3\u30fb4)\u3002<br \/>\n\u3000\u307e\u305f\u3001\u71c3\u3048\u5c3d\u304d\u306f\u300c\u81ea\u65bd\u8a2d\u4ee5\u5916\u306b\uff11\u3064\u4ee5\u4e0a\u8a3a\u7642\u306e\u5834\u304c\u3042\u308b\u300d\u3068\u5c11\u306a\u3044\u50be\u5411\u304c\u3042\u308a(\u71c3\u3048\u5c3d\u304d\u3042\u308a48.4% vs \u71c3\u3048\u5c3d\u304d\u306a\u305757.6%, P=.001)\u3001\u3068\u304f\u306b\u75c5\u9662\u3068\u5728\u5b85\u306f\u95a2\u9023\u304c\u5f37\u304b\u3063\u305f\u3002\u5165\u9662\u533b\u7642(OR=0.70, 95% CI 0.56-0.87, P=.0017)\u3001\u7523\u5a66\u4eba\u79d1\u8a3a\u7642(OR=0.64, 95% CI 0.47-0.88, P=.0058)\u3001\u300c\u8a3a\u7642\u9818\u57df\u307e\u305f\u306f\u624b\u6280\u306e\u6570\u304c\u591a\u3044\u3053\u3068\u300d\u306f\u71c3\u3048\u5c3d\u304d\u306e\u5c11\u306a\u3055\u3068\u6709\u610f\u306b\u95a2\u9023\u3057\u305f\u304c\u3001\u5c0f\u5150\u6551\u6025\u306f\u95a2\u9023\u304c\u306a\u304b\u3063\u305f(Table 3\u30fb4)\u3002<br \/>\n\u3010\u8003\u5bdf\u3011<br \/>\n\u3000\u672c\u7814\u7a76\u306e\u9650\u754c\u306f\u3001\u6a2a\u65ad\u7814\u7a76\u306e\u305f\u3081\u56e0\u679c\u306e\u9006\u8ee2\u304c\u3042\u308a\u5f97\u308b\u3053\u3068\u3001\u81ea\u5df1\u7533\u544a\u5f62\u5f0f\u306e\u305f\u3081\u300c\u793e\u4f1a\u7684\u671b\u307e\u3057\u3055\u30d0\u30a4\u30a2\u30b9\u300d\u307e\u305f\u306f\u300c\u601d\u3044\u51fa\u3057\u30d0\u30a4\u30a2\u30b9\u300d\u304c\u3042\u308b\u3053\u3068\u3067\u3042\u308a\u3001\u3055\u3089\u306a\u308b\u7814\u7a76\u304c\u671b\u307e\u308c\u308b\u3002<br \/>\n\u3010\u7d50\u8ad6\u3011<br \/>\n\u5e45\u5e83\u3044\u8a3a\u7642\u7bc4\u56f2\uff08\u3068\u304f\u306b\u5165\u9662\u533b\u7642\u30fb\u7523\u5a66\u4eba\u79d1\u533b\u7642\u30fb\u5728\u5b85\u533b\u7642\uff09\u3092\u63d0\u4f9b\u3057\u3066\u3044\u308b\u82e5\u624b\u5bb6\u5ead\u533b\u306f\u3001\u71c3\u3048\u5c3d\u304d\u306e\u7533\u544a\u304c\u6709\u610f\u306b\u5c11\u306a\u304b\u3063\u305f\u3002\u672c\u7814\u7a76\u306e\u77e5\u898b\u306f\u3001\u5305\u62ec\u6027\u306f\u71c3\u3048\u5c3d\u304d\u306e\u5c11\u306a\u3055\u3068\u95a2\u9023\u3057\u3001\u3053\u308c\u306f\u533b\u5e2b\u306e\u5065\u5eb7\u3092\u7dad\u6301\u3057\u3064\u3064\u826f\u8cea\u3067\u4f4e\u30b3\u30b9\u30c8\u306a\u30b1\u30a2\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3092\u6539\u5584\u3059\u308b\u3068\u3044\u3046\u6587\u8108\u306b\u304a\u3044\u3066\u91cd\u8981\u3067\u3042\u308b\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f\uff11.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f\uff11-525x1024.png\" alt=\"201810\u4eca\u6c5f\uff11\" width=\"525\" height=\"1024\" class=\"alignleft size-large wp-image-1580\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f\uff11-525x1024.png 525w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f\uff11-154x300.png 154w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f\uff11.png 598w\" sizes=\"auto, (max-width: 525px) 100vw, 525px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f2.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f2-543x1024.png\" alt=\"201810\u4eca\u6c5f2\" width=\"543\" height=\"1024\" class=\"alignleft size-large wp-image-1581\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f2-543x1024.png 543w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f2-159x300.png 159w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f2.png 598w\" sizes=\"auto, (max-width: 543px) 100vw, 543px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f3.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f3-649x1024.png\" alt=\"201810\u4eca\u6c5f3\" width=\"640\" height=\"1010\" class=\"alignleft size-large wp-image-1582\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f3-649x1024.png 649w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f3-190x300.png 190w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f3.png 828w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f4.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f4.png\" alt=\"201810\u4eca\u6c5f4\" width=\"598\" height=\"618\" class=\"alignleft size-large wp-image-1583\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f4.png 598w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/10\/201810\u4eca\u6c5f4-290x300.png 290w\" sizes=\"auto, (max-width: 598px) 100vw, 598px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112018\u5e7410\u670824\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d Amanda K.H. et al. Burnout and Scope of Practice in New Family Physicians. Annals of Family Medicine. Vo &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1579\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u8a3a\u7642\u7bc4\u56f2\u306e\u5e45\u5e83\u3055\u306f\u5bb6\u5ead\u533b\u306e\u71c3\u3048\u5c3d\u304d\u306e\u5c11\u306a\u3055\u3068\u95a2\u9023\u3059\u308b<\/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-1579","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\/1579","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=1579"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1579\/revisions"}],"predecessor-version":[{"id":1584,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1579\/revisions\/1584"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1579"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1579"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}