{"id":1942,"date":"2020-07-16T11:49:03","date_gmt":"2020-07-16T02:49:03","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1942"},"modified":"2020-07-16T11:49:03","modified_gmt":"2020-07-16T02:49:03","slug":"%e7%9b%ae%e6%a8%99%e8%a8%ad%e5%ae%9a%e3%81%a8%e3%81%84%e3%81%86%e3%80%8c%e6%9c%aa%e7%9f%a5%e3%81%ae%e9%a0%98%e5%9f%9f%e3%80%8d%e3%83%97%e3%83%a9%e3%82%a4%e3%83%9e%e3%83%aa%e3%83%bb%e3%82%b1%e3%82%a2","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1942","title":{"rendered":"\u76ee\u6a19\u8a2d\u5b9a\u3068\u3044\u3046\u300c\u672a\u77e5\u306e\u9818\u57df\u300d:\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u8a3a\u7642\u306b\u304a\u3051\u308b\u591a\u75be\u60a3\u4f75\u5b58\u60a3\u8005\u3068\u306e\u65b0\u305f\u306a\u76f8\u4e92\u4ea4\u6d41\u6d3b\u52d5\u3092\u8abf\u6574\u3059\u308b"},"content":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d
\nJ Murdoch et al. The \u201cunknown territory\u201d of goal-setting: Negotiating a novel interactional activity within primary care doctor-patient consultations for patients with multiple chronic conditions. Social Science & Medicine. 2020<\/p>\n

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\n\u672c\u7814\u7a76\u306f\u3001\u751f\u7269\u533b\u5b66\u7684\u306a\u52b9\u679c\u7684\u306a\u6162\u6027\u75be\u60a3\u306e\u7ba1\u7406\u3068\u4e88\u9632\u3001\u6163\u7fd2\u7684\u306a\u533b\u5e2b\u60a3\u8005\u95a2\u4fc2\u3001\u305d\u3057\u3066\u60a3\u8005\u4e3b\u5c0e\u3067\u3042\u308b\u3079\u304d\u3068\u3044\u3046\u76ee\u6a19\u8a2d\u5b9a\u3068\u3044\u3046\u8003\u3048\u65b9\u306e\u4e09\u3064\u306e\u9593\u306e\u7dca\u5f35\u95a2\u4fc2\u3092\u5177\u4f53\u7684\u306b\u793a\u3057\u305f\u5178\u578b\u4f8b\u3060\u3068\u8a00\u3048\u308b\u3002\u3053\u306e\u7dca\u5f35\u95a2\u4fc2\u306e\u7d50\u679c\u3068\u3057\u3066\u3001GP\u3068\u60a3\u8005\u306b\u306f\u3001\u76f8\u624b\u306e\u8a3a\u7642\u306e\u30d5\u30ec\u30fc\u30e0\u3068\u306e\u9593\u3067\u306e\u8abf\u6574\u3060\u3051\u3067\u306a\u304f\u3001\u305d\u308c\u3088\u308a\u5e83\u3044\u30d8\u30eb\u30b9\u30b1\u30a2\u306b\u304a\u3051\u308b\u8a00\u8aac\u3068\u306e\u9593\u3067\u306e\u8abf\u6574\u304c\u6c42\u3081\u3089\u308c\u3066\u3044\u305f\u3002<\/p>\n

\u3053\u306e\u30c7\u30fc\u30bf\u304b\u3089\u306f\u3001\u76ee\u6a19\u8a2d\u5b9a\u306e\u539f\u5247\u3067\u3042\u308b\u3001\u60a3\u8005\u4e3b\u5c0e\u3001\u60a3\u8005\u4e2d\u5fc3\u3001GP\u304c\u5354\u50cd\u30b9\u30bf\u30f3\u30b9\u3092\u53d6\u308b\u3001\u3068\u3044\u3046\u7279\u5fb4\u3092\u8a3a\u7642\u73fe\u5834\u306b\u843d\u3068\u3057\u8fbc\u3080\u306e\u306f\u6642\u306b\u96e3\u3057\u3044\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u3002\u4f8b\u3048\u3070\u3001\u60a3\u8005\u304c\u8a3a\u5bdf\u304c\u76ee\u6a19\u8a2d\u5b9a\u306e\u5834\u3060\u3068\u3044\u3046\u76ee\u7dda\u3092\u6301\u3063\u3066\u3044\u306a\u3044\u5834\u5408\u306f\u3001GP\u304c\u305d\u3046\u3044\u3046\u76ee\u7dda\u306b\u60a3\u8005\u304c\u5408\u308f\u305b\u308b\u3088\u3046\u306b\u7a4d\u6975\u7684\u306b\u4fc3\u3057\u305f\u308a\u3001\u60a3\u8005\u306b\u3068\u3063\u3066\u5207\u5b9f\u304b\u3064GP\u304c\u652f\u63f4\u3067\u304d\u305d\u3046\u306a\u76ee\u6a19\u3092GP\u304c\u8a3a\u7642\u4e2d\u306b\u63a2\u3057\u56de\u308b\u3068\u3044\u3046\u8a66\u307f\u3092\u8a98\u767a\u3059\u308b\u3002
\n\u3000\u60a3\u8005\u304c\u8a3a\u7642\u306f\u76ee\u6a19\u8a2d\u5b9a\u306e\u5834\u3060\u3068\u3044\u3046\u76ee\u7dda\u3092\u6301\u3063\u3066\u3044\u308b\u5834\u5408\u3067\u3042\u3063\u3066\u3082\u3001GP\u306e\u6301\u3064\u76ee\u6a19\u3068\u3059\u308a\u5408\u308f\u305b\u3067\u304d\u306a\u3044\u3001\u3042\u308b\u3044\u306f\u3001\u81e8\u5e8a\u7684\u306b\u4ed6\u306e\u75be\u60a3\u306e\u7d4c\u904e\u306b\u60aa\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u5834\u5408\u3001GP\u306f\u76ee\u6a19\u3092\u60a3\u8005\u4e3b\u5c0e\u30fb\u60a3\u8005\u4e2d\u5fc3\u306b\u3059\u308b\u3068\u3044\u3046\u539f\u5247\u3092\u5b88\u308b\u304b\u3001\u4ee3\u66ff\u306e\u76ee\u6a19\u3092\u63d0\u793a\u3059\u308b\u304b\u306e\u9593\u306e\u5c90\u8def\u306b\u7acb\u305f\u3055\u308c\u3001\u901a\u5e38\u306f\u5f8c\u8005\u3092\u9078\u629e\u3057\u3066\u3044\u305f\u3002\u307e\u305f\u3001\u60a3\u8005\u304c\u76ee\u6a19\u3068\u3044\u3046\u3088\u308a\u306f\u512a\u5148\u4e8b\u9805(\u5143\u6c17\u3067\u3044\u308b\u3001\u306a\u3069\u306e\u3088\u3046\u306b)\u3057\u304b\u6e96\u5099\u3057\u3066\u3044\u306a\u3044\u5834\u5408\u306f\u3001GP\u306f\u3053\u306e\u300c\u8a3a\u5bdf\u306e\u5834\u306f\u76ee\u6a19\u8a2d\u5b9a\u306e\u305f\u3081\u306b\u3042\u308b\u300d\u3068\u3044\u3046\u30d5\u30ec\u30fc\u30e0\u3067\u7d9a\u3051\u308b\u306e\u304b\u3001\u76ee\u6a19\u8a2d\u5b9a\u306e\u30d5\u30ec\u30fc\u30e0\u3092\u3084\u3081\u3066\u60a3\u8005\u306e\u76f8\u8ac7\u306b\u4e57\u308b\u3060\u3051\u306b\u3059\u308b\u306e\u304b\u3092\u6c7a\u3081\u308b\u5fc5\u8981\u304c\u51fa\u3066\u3044\u305f\u3002<\/p>\n

\u76ee\u6a19\u8a2d\u5b9a\u3068\u3044\u3046\u6d3b\u52d5\u3092\u8a3a\u7642\u306e\u4e2d\u306b\u53d6\u308a\u5165\u308c\u305f\u5834\u5408\u3001\u300c\u60a3\u8005\u306e\u76ee\u6a19\u3092\u9054\u6210\u3059\u308b\u65b9\u7565\u306f\u3001\u751f\u7269\u533b\u5b66\u306b\u304a\u3051\u308b\u500b\u3005\u306e\u75be\u60a3\u3078\u306e\u6cbb\u7642\u306e\u8996\u70b9\u306e\u4e2d\u3067\u8a31\u5bb9\u3067\u304d\u308b\u3082\u306e\u3067\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u300d\u3068\u3044\u3046\u6697\u9ed9\u306e\u30eb\u30fc\u30eb\u304c\u8ab2\u3055\u308c\u3066\u3044\u305f\u3002\u3053\u306e\u6697\u9ed9\u306e\u30eb\u30fc\u30eb\u3092\u660e\u793a\u3057\u305f\u4e0a\u3067\u306e\u8abf\u6574\u3084\u5408\u610f\u70b9\u306e\u63a2\u7d22\u304c\u306a\u3051\u308c\u3070\u3001\u76ee\u6a19\u8a2d\u5b9a\u3068\u3044\u3046\u6d3b\u52d5\u306f\u96e3\u822a\u3057\u3001\u60a3\u8005\u306e\u62b5\u6297\u3092\u751f\u3080\u3068\u3044\u3048\u308b\u3002
\n\u3053\u3046\u3057\u305f\u62b5\u6297\u306f\u3001\u53e4\u5178\u7684\u306a\u533b\u5e2b\u60a3\u8005\u95a2\u4fc2\u306b\u304a\u3051\u308b\u5206\u65ad\u3092\u53cd\u6620\u3057\u3066\u3044\u308b\u3002(\u60a3\u8005\u306e\u76ee\u6a19\u3068\u30a8\u30d3\u30c7\u30f3\u30b9\/\u8a31\u5bb9\u3055\u308c\u308b\u533b\u7642\u5b9f\u8df5\/\u533b\u5e2b\u81ea\u8eab\u306e\u7d4c\u9a13\u306e\u9593\u306b\u672c\u8cea\u7684\u306b\u3042\u308b\u7dca\u5f35\u3001\u3055\u3089\u306b\u306f\u3088\u308a\u5e83\u3044\u30ec\u30d9\u30eb\u3067\u5b58\u5728\u3059\u308b\u300c\u4eba\u53e3\u30ec\u30d9\u30eb\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u500b\u5225\u306e\u60a3\u8005\u306b\u9069\u7528\u3057\u3066\u3088\u3044\u306e\u304b\u300d\u3068\u3044\u3046\u502b\u7406\u7684\u306a\u8ad6\u4e89\u304c\u533b\u5e2b\u60a3\u8005\u306e\u4ea4\u6d41\u306b\u6301\u3061\u8fbc\u307e\u308c\u3066\u3044\u308b)
\n\u3053\u306e\u5206\u65ad\u306e\u88cf\u306b\u306f\u3001\u76ee\u6a19\u8a2d\u5b9a\u3084\u60a3\u8005\u4e2d\u5fc3\u6027\u3068\u3044\u3046\u7406\u5ff5\u306e\u80cc\u666f\u306b\u3042\u308b\u4e8c\u5143\u8ad6\u304c\u5f71\u97ff\u3057\u3066\u3044\u308b\u3068\u8a00\u3048\u3088\u3046\u3002\u3064\u307e\u308a\u3001\u60a3\u8005\u306b\u76ee\u6a19\u3092\u9078\u3093\u3067\u3082\u3089\u3046\u305f\u3081\u306b\u306f\u3001\u60a3\u8005\u306e\u4fa1\u5024\u89b3\u3092\u78ba\u8a8d\u3059\u308b\u3068\u3044\u3046\u884c\u3044\u304c\u3001\u30b1\u30a2\u3092\u5b9f\u65bd\u3059\u308b\u3088\u308a\u3082\u300c\u624b\u524d\u306b\u300d\u304b\u3064\u300c\u72ec\u7acb\u3057\u3066\u300d\u884c\u308f\u308c\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3001\u3068\u3044\u3046\u524d\u63d0\u3067\u3042\u308b\u3002\u305d\u306e\u7d50\u679c\u3001\u30b1\u30a2\u3092\u63d0\u4f9b\u3059\u308b\u3068\u306f\u5168\u304f\u7570\u306a\u308b\u6d3b\u52d5\u3067\u3042\u308b\u3001\u300c\u76ee\u6a19\u8a2d\u5b9a\u300d\u3068\u3044\u3046\u3082\u306e\u304c\u8a3a\u7642\u304b\u3089\u5207\u308a\u96e2\u3055\u308c\u3066\u3001\u5148\u884c\u3059\u308b\u3082\u306e\u3068\u3057\u3066\u5f62\u4f5c\u3089\u308c\u3001\u4eba\u5de5\u7684\u306a\u9806\u5e8f\u95a2\u4fc2\u3092\u4f5c\u3063\u3066\u3057\u307e\u3046\u305f\u3081\u3001\u78ba\u8a8d\u3057\u305f\u4fa1\u5024\u3092\u6162\u6027\u75be\u60a3\u306b\u304a\u3051\u308b\u6cbb\u7642\u3092\u6c7a\u3081\u308b\u8b70\u8ad6\u306e\u4e2d\u306b\u57cb\u3081\u8fbc\u3080\u3068\u3044\u3046\u96e3\u3057\u3044\u30bf\u30b9\u30af\u306b\u533b\u5e2b\u3082\u60a3\u8005\u3082\u5dfb\u304d\u8fbc\u307e\u308c\u308b\u3053\u3068\u306b\u306a\u308b\u3002<\/p>\n

\u5f37\u307f\u3068\u7d50\u8ad6
\n\u30fb\u3053\u306e\u7814\u7a76\u306b\u3088\u3063\u3066\u3001\u76ee\u6a19\u8a2d\u5b9a\u3068\u3044\u3046\u539f\u5247\u3092\u8a3a\u7642\u306e\u4e2d\u306b\u57cb\u3081\u8fbc\u3082\u3046\u3068\u3057\u305f\u6642\u306b\u3001\u3069\u306e\u3088\u3046\u306a\u96e3\u3057\u3055\u304c\u751f\u3058\u308b\u306e\u304b\u3092\u793a\u3059\u3053\u3068\u304c\u3067\u304d\u305f\u3002
\n\u30fb\u4eca\u56de\u306e\u7814\u7a76\u306fRCT\u3068\u3044\u3046\u4eba\u5de5\u7684\u306a\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u306e\u4e2d\u3067\u306f\u3042\u308b\u304c\u3001\u4e2d\u3067\u8d77\u304d\u305f\u3053\u3068\u306f\u3001\u533b\u5b66\u306e\u4e16\u754c\u3068\u751f\u6d3b\u4e16\u754c\u304c\u3001\u76ee\u6a19\u8a2d\u5b9a\u3068\u3044\u3046\u65b0\u305f\u306a\u6d3b\u52d5\u306e\u4e2d\u3067\u3069\u306e\u3088\u3046\u306b\u95a2\u308f\u308a\u5408\u3046\u306e\u304b\u3092\u793a\u3057\u3066\u3044\u308b\u3068\u8003\u3048\u308b\u3002
\n\u30fb\u76ee\u6a19\u8a2d\u5b9a\u306b\u304a\u3044\u3066\u6700\u7d42\u7684\u306b\u81f3\u3063\u305f\u76ee\u6a19\u306f\u3001\u6a29\u529b\u304c\u3069\u3053\u306b\u3042\u308b\u304b\u3001\u60a3\u8005\u306e\u512a\u5148\u4e8b\u9805\u306f\u3069\u306e\u3088\u3046\u306b\u7406\u89e3\u3055\u308c\u305f\u304b\uff1f\u306b\u3064\u3044\u3066\u306e\u8abf\u6574\u3092\u901a\u308a\u629c\u3051\u305f\u7523\u7269\u3067\u3042\u308b\u3068\u307f\u306a\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u60a3\u8005\u306e\u512a\u5148\u9806\u4f4d\u304c\u3069\u3046\u6271\u308f\u308c\u308b\u304b\u306f\u91cd\u8981\u306a\u9375\u3060\u304c\u3001\u305d\u3082\u305d\u3082\u60a3\u8005\u306f\u76ee\u6a19\u8a2d\u5b9a\u3068\u3044\u3046\u6d3b\u52d5\u306b\u5bfe\u3057\u3066\u3069\u3093\u306a\u7406\u89e3\u3092\u6301\u3063\u3066\u3044\u308b\u306e\u304b\u3092\u5206\u6790\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u3053\u306e\u7814\u7a76\u3067\u306f\u76ee\u6a19\u8a2d\u5b9a\u6163\u308c\u3057\u3066\u3044\u306a\u3044\u60a3\u8005\u306f\u3001\u76ee\u6a19\u8a2d\u5b9a\u3092\u8a3a\u7642\u306e\u4e2d\u3067\u884c\u304a\u3046\u3068\u3057\u3066\u3082\u751f\u6d3b\u306b\u3068\u3063\u3066\u610f\u5473\u306e\u3042\u308b\u76ee\u6a19\u306f\u8a2d\u5b9a\u3055\u308c\u306b\u304f\u3044\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u305f\u3002
\n\u3000\u3088\u308a\u6839\u672c\u7684\u306a\u61f8\u5ff5\u306f\u3001\u76ee\u6a19\u8a2d\u5b9a\u3068\u60a3\u8005\u4e2d\u5fc3\u6027\u3068\u3044\u3046\u7406\u5ff5\u306e\u6839\u5e79\u306b\u3042\u308b\u30b8\u30ec\u30f3\u30de\u3067\u3042\u308b\u3002GP\u306f\u3069\u3093\u306a\u6642\u306b\u3001\u60a3\u8005\u306e\u76ee\u6a19\u3084\u512a\u5148\u4e8b\u9805\u3092\u8ffd\u6c42\u3059\u308b\u3068\u3044\u3046\u3084\u308a\u65b9\u3092\u3084\u3081\u308b\u306e\u304b\u3001\u305d\u3057\u3066\u3001\u305f\u3060\u60a3\u8005\u306e\u61f8\u5ff5\u306b\u3064\u3044\u3066\u3001\u4ecb\u5165\u3092\u884c\u308f\u305a\u805e\u304d\u7d9a\u3051\u308b\u533b\u5e2b\u306e\u4fa1\u5024\u306f\u4f55\u304b\u3001\u305d\u3057\u3066\u3001\u3053\u3046\u3044\u3063\u305f\u8996\u70b9\u306f\u3069\u3046\u3059\u308c\u3070\u3001GP\u306e\u6280\u8853\u3068\u77e5\u8b58\u3092\u6162\u6027\u8907\u6570\u75be\u60a3\u306e\u6cbb\u7642\u306b\u5c55\u958b\u3059\u308b\u52b9\u7387\u7684\u306a\u3084\u308a\u65b9\u3092\u76ee\u6307\u3059\u3068\u3044\u3046\u3042\u308a\u65b9\u3068\u4e21\u7acb\u53ef\u80fd\u306a\u306e\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u3010\u958b\u50ac\u65e5\u30112020\u5e747\u67081\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d J Murdoch et al. The \u201cunknown territory\u201d of goal-setting: Negotiating a novel interactional activity wit … \u7d9a\u304d\u3092\u8aad\u3080 \u76ee\u6a19\u8a2d\u5b9a\u3068\u3044\u3046\u300c\u672a\u77e5\u306e\u9818\u57df\u300d:\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u8a3a\u7642\u306b\u304a\u3051\u308b\u591a\u75be\u60a3\u4f75\u5b58\u60a3\u8005\u3068\u306e\u65b0\u305f\u306a\u76f8\u4e92\u4ea4\u6d41\u6d3b\u52d5\u3092\u8abf\u6574\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":[23,6],"tags":[],"class_list":["post-1942","post","type-post","status-publish","format-standard","hentry","category-23","category-6"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1942","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=1942"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1942\/revisions"}],"predecessor-version":[{"id":1943,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1942\/revisions\/1943"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1942"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1942"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1942"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}