{"id":2177,"date":"2021-08-13T17:36:10","date_gmt":"2021-08-13T08:36:10","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2177"},"modified":"2021-08-13T17:36:10","modified_gmt":"2021-08-13T08:36:10","slug":"covid-19%e3%83%91%e3%83%b3%e3%83%87%e3%83%9f%e3%83%83%e3%82%af%e3%81%ab%e4%bc%b4%e3%81%86%e3%80%81%e7%b1%b3%e5%9b%bd%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e3%81%8c%e3%82%93%e6%a4%9c%e8%a8%ba%e4%b8%8d","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2177","title":{"rendered":"COVID-19\u30d1\u30f3\u30c7\u30df\u30c3\u30af\u306b\u4f34\u3046\u3001\u7c73\u56fd\u306b\u304a\u3051\u308b\u304c\u3093\u691c\u8a3a\u4e0d\u8db3\u306e\u95a2\u9023\u6027\u306b\u3064\u3044\u3066"},"content":{"rendered":"

\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002<\/p>\n

\u2015\u6587\u732e\u2015
\nRonald C. Chen, MD, MPH; Kevin Haynes, PharmD, MSCE; Simo Du, MBBS, MHS; John Barron, PharmD; Aaron J. Katz, PharmD, PhD
\nAssociation of Cancer Screening Deficit in the United States With the COVID-19 Pandemic\uff0eJAMA Oncol. 2021;7(6):878<\/p>\n

\u2015\u8981\u7d04\u2015
\n\u91cd\u8981\u6027<\/strong>\uff1a
\nCOVID-19\u30d1\u30f3\u30c7\u30df\u30c3\u30af\u306f\u3001\u304c\u3093\u691c\u8a3a\u306e\u6025\u6fc0\u306a\u6e1b\u5c11\u3092\u3082\u305f\u3089\u3057\u305f\u3002\u3057\u304b\u3057\u3001\u30d1\u30f3\u30c7\u30df\u30c3\u30af\u306b\u4f34\u3046\u7c73\u56fd\u3067\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306e\u7dcf\u91cf\u306e\u6e1b\u5c11\u3068\u3001\u7570\u306a\u308b\u5730\u57df\u3084\u793e\u4f1a\u7d4c\u6e08\u7684\u5730\u4f4d\uff08SES\uff09\u306e\u6307\u6a19\u306b\u3088\u308b\u500b\u4eba\u3078\u306e\u5f71\u97ff\u306e\u9055\u3044\u306b\u3064\u3044\u3066\u306f\u3001\u307e\u3060\u5b8c\u5168\u306b\u306f\u89e3\u660e\u3055\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\n

\u76ee\u7684<\/strong>\uff1a
\nCOVID-19\u30d1\u30f3\u30c7\u30df\u30c3\u30af\u306b\u95a2\u9023\u3059\u308b\u4e73\u304c\u3093\u3001\u5927\u8178\u304c\u3093\u3001\u524d\u7acb\u817a\u304c\u3093\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u7387\u3092\u3001\u7570\u306a\u308b\u5730\u57df\u304a\u3088\u3073\u7570\u306a\u308bSES\u6307\u6570\u56db\u5206\u4f4d\u306e\u500b\u4eba\u306b\u3064\u3044\u3066\u5b9a\u91cf\u5316\u3057\u30012020\u5e74\u306b\u304a\u3051\u308b\u7c73\u56fd\u4eba\u53e3\u5168\u4f53\u306e\u304c\u3093\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u4e0d\u8db3\u3092\u63a8\u5b9a\u3059\u308b\u3002<\/p>\n

\u30c7\u30b6\u30a4\u30f3\u3001\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3001\u53c2\u52a0\u8005<\/strong>\uff1a
\n\u3053\u306e\u30ec\u30c8\u30ed\u30b9\u30da\u30af\u30c6\u30a3\u30d6\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3067\u306f\u3001\u7c73\u56fd\u306e\u5730\u7406\u7684\u306b\u591a\u69d8\u306a\u5730\u57df\u306e\u30e1\u30c7\u30a3\u30b1\u30a2\u30a2\u30c9\u30d0\u30f3\u30c6\u30fc\u30b8\u304a\u3088\u3073\u5546\u696d\u533b\u7642\u30d7\u30e9\u30f3\u306b\u52a0\u5165\u3057\u3066\u3044\u308b\u7d046,000\u4e07\u4eba\u3092\u5bfe\u8c61\u3068\u3057\u305f\u3001\u5358\u4e00\u652f\u6255\u3044\u306e\u884c\u653f\u8acb\u6c42\u30c7\u30fc\u30bf\u3068\u767b\u9332\u60c5\u5831\u304b\u3089\u306a\u308b\u30d8\u30eb\u30b9\u30b3\u30a2\u7d71\u5408\u7814\u7a76\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u3002\u53c2\u52a0\u8005\u306f\u30012018\u5e74\u30012019\u5e74\u30012020\u5e74\u306e1\u6708\u304b\u30897\u6708\u306b\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u306b\u767b\u9332\u3055\u308c\u305f\u500b\u4eba\u3067\u3001\u5206\u6790\u6307\u6a19\u6708\u4ee5\u524d\u306b\u5bfe\u8c61\u3068\u306a\u308b\u304c\u3093\u306e\u8a3a\u65ad\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u4eba\u3067\u3057\u305f\u3002<\/p>\n

\u203b\u30e1\u30c7\u30a3\u30b1\u30a2\uff08Medicare\uff09\u306f\u300165 \u624d\u4ee5\u4e0a\u306e\u9ad8\u9f62\u8005\u3068 65 \u624d\u672a\u6e80\u306e\u969c\u5bb3\u8005\u5411\u3051\u306e\u7c73\u56fd\u306e\u516c\u7684 \u533b\u7642\u4fdd\u967a\u30d7\u30ed\u30b0\u30e9\u30e0\u3067\u3042\u308b\u3002\u7c73\u56fd\u306e 65 \u624d\u4ee5\u4e0a\u306e\u9ad8\u9f62\u8005\u306e\u307b\u307c\u5168\u54e1\u304c\u30e1\u30c7\u30a3\u30b1\u30a2\u306b\u52a0\u5165\u3057\u3001\u305d\u306e\u6570\u306f 2013 \u5e74\u306b\u304a\u3044\u3066 4,350 \u4e07\u4eba\u306b\u4e0a\u3063\u305f\u3002\u307e\u305f\u3001\u969c\u5bb3\u8005\u306e\u52a0\u5165\u8005\u6570\u306f 88\u4e07\u4eba\u3067\u3042\u308a\u3001\u5408\u8a08\u3059\u308b\u3068 5,230 \u4e07\u4eba\u3001\u56fd\u6c11\u5168\u4f53\u306e\u7d046\u4eba\u306b1\u4eba\u304c\u30e1\u30c7\u30a3\u30b1\u30a2\u3092\u5229\u7528\u3057\u3066\u3044\u308b\u3002 \u30e1\u30c7\u30a3\u30b1\u30a2\u306f4\u3064\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u306b\u5206\u304b\u308c\u3066\u3044\u308b\u3002\u305d\u308c\u3089\u306f\u3001\u30d1\u30fc\u30c8 A\uff08\u75c5\u9662\u4fdd\u967a\uff09\u3001\u30d1\u30fc\u30c8 B\uff08\u88dc\u8db3\u7684\u533b\u7642\u4fdd\u967a\uff09\u3001\u30d1\u30fc\u30c8C\uff08\u30e1\u30c7\u30a3\u30b1\u30a2\u30fb\u30a2\u30c9\u30d0\u30f3\u30c6\u30fc\u30b8\uff09\u3001\u30d1\u30fc\u30c8 D\uff08\u5916 \u6765\u51e6\u65b9\u85ac\u7d66\u4ed8\uff09\u3067\u3042\u308a\u3001\u305d\u308c\u305e\u308c\u8ca1\u6e90\u304c\u7570\u306a\u308b\u3002
\nhttps:\/\/www.dir.co.jp\/report\/research\/economics\/usa\/20141027_009074.pdf<\/p>\n

\u4ecb\u5165<\/strong>\uff1a\u5206\u6790\u6307\u6a19\u306e\u6708\u3068\u5e74<\/p>\n

\u4e3b\u8981\u306a\u7d50\u679c\u3068\u6e2c\u5b9a\u65b9\u6cd5<\/strong>\uff1a\u4e73\u304c\u3093\u3001\u5927\u8178\u304c\u3093\u3001\u524d\u7acb\u817a\u304c\u3093\u306e\u691c\u8a3a\u306e\u30ec\u30bb\u30d7\u30c8\u3002<\/p>\n

\u7d50\u679c<\/strong>\uff1a
\n2020\u5e74\u306e3\u6708\u304b\u30895\u6708\u306b\u304b\u3051\u3066\u30013\u3064\u306e\u304c\u3093\u306e\u691c\u8a3a\u306f2019\u5e74\u306b\u6bd4\u3079\u3066\u6025\u6fc0\u306b\u6e1b\u5c11\u3057\u30014\u6708\u306b\u6700\u3082\u6025\u6fc0\u306a\u6e1b\u5c11\u304c\u898b\u3089\u308c\uff08\u4e73\u304c\u3093\uff1a90.8\uff05\u6e1b\u3001\u5927\u8178\u304c\u3093\uff1a79.3\uff05\u6e1b\u3001\u524d\u7acb\u817a\u304c\u3093\uff1a63.4\uff05\u6e1b\uff09\u3001\u4e73\u304c\u3093\u3068\u524d\u7acb\u817a\u304c\u3093\u3067\u306f7\u6708\u307e\u3067\u306b\u6708\u9593\u691c\u8a3a\u7387\u304c\u307b\u307c\u5b8c\u5168\u306b\u56de\u5fa9\u3057\u305f\u3002\uff08Figure1\uff0e\uff09
\nCOVID-19\u30d1\u30f3\u30c7\u30df\u30c3\u30af\u306b\u4f34\u3046\u7c73\u56fd\u4eba\u53e3\u5168\u4f53\u306e\u691c\u8a3a\u4e0d\u8db3\u306e\u7d76\u5bfe\u5024\u306f\u3001\u4e73\u304c\u3093\u3067390\u4e07\u4eba\u3001\u5927\u8178\u304c\u3093\u3067380\u4e07\u4eba\u3001\u524d\u7acb\u817a\u304c\u3093\u3067160\u4e07\u4eba\u3068\u63a8\u5b9a\u3055\u308c\u305f\u3002
\n\u5730\u57df\u5225\u306b\u898b\u308b\u3068\u3001\u5317\u6771\u90e8\u304c\u6700\u3082\u6025\u6fc0\u306b\u691c\u8a3a\u6570\u304c\u6e1b\u5c11\u3057\u3001\u897f\u90e8\u306f\u4e2d\u897f\u90e8\u3084\u5357\u90e8\u306b\u6bd4\u3079\u3066\u56de\u5fa9\u304c\u9045\u308c\u3066\u3044\u305f\u3002\u4f8b\u3048\u3070\u30014\u6708\u306e\u4e73\u304c\u3093\u691c\u8a3a\u7387\u306e\u5909\u5316\u7387\uff082020\u5e74\u5bfe2019\u5e74\uff09\u306f\u3001\u897f\u90e8\u3067\u306f-87.3\uff05\uff0895\uff05CI\u3001-87.9\uff05\uff5e-86.7\uff05\uff09\u3001\u5317\u6771\u90e8\u3067\u306f-94.5\uff05\uff0895\uff05CI\u3001-94.9\uff05\uff5e-94.1\uff05\uff09\u3068\u306a\u3063\u3066\u3044\u308b\uff08\u4f4e\u4e0b\uff09\u30027\u6708\u306f\u3001\u4e2d\u897f\u90e8\u306e-0.3\uff05\uff0895\uff05\u4fe1\u983c\u533a\u9593\u3001-2.1\uff05\uff5e1.5\uff05\uff09\u304b\u3089\u897f\u90e8\u306e-10.6\uff05\uff08\u540c\u3001-12.6\uff05\uff5e-8.4\uff05\uff09\u307e\u3067\u306e\u7bc4\u56f2\u3067\u3042\u3063\u305f\uff08\u56de\u5fa9\uff09\u3002
\nSES\u5225\u3067\u306f\u3001SES\u6307\u6570\u304c\u6700\u3082\u9ad8\u3044\u56db\u5206\u4f4d\u306e\u500b\u4eba\u3067\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306e\u6e1b\u5c11\u5e45\u304c\u6700\u3082\u5927\u304d\u304f\u30012020\u5e74\u306b\u306fSES\u306b\u3088\u308b\u304c\u3093\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306e\u683c\u5dee\u304c\u7e2e\u5c0f\u3059\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002\u4f8b\u3048\u3070\u3001SES\u6307\u6570\u304c\u6700\u3082\u4f4e\u3044\u56db\u5206\u4f4d\u3068\u6700\u3082\u9ad8\u3044\u56db\u5206\u4f4d\u306e\u500b\u4eba\u306e10\u4e07\u4eba\u306e\u52a0\u5165\u8005\u3042\u305f\u308a\u306e\u524d\u7acb\u817a\u304c\u3093\u691c\u8a3a\u7387\u306f\u30012019\u5e744\u6708\u306b\u306f\u305d\u308c\u305e\u308c3525\uff0895\uff05CI\u30013444\uff5e3607\uff09\u30684329\uff0895\uff05CI\u30014271\uff5e4386\uff09\u3067\u3042\u3063\u305f\u306e\u306b\u5bfe\u3057\u30012020\u5e744\u6708\u306b\u306f1535\uff0895\uff05CI\u30011480\uff5e1589\uff09\u30681338\uff0895\uff05CI\u30011306\uff5e1370\uff09\u3067\u3042\u3063\u305f\u3002\u591a\u5909\u91cf\u89e3\u6790\u306e\u7d50\u679c\u3001\u9060\u9694\u533b\u7642\u5229\u7528\u306f\u3088\u308a\u9ad8\u3044\u304c\u3093\u691c\u8a3a\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\u3002<\/p>\n

Limitations<\/strong>:
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\n\u307e\u305f\u3001\u89e3\u6790\u306b\u4f7f\u7528\u3057\u305f\u30b3\u30fc\u30c9\u306e\u591a\u304f\u306f\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u691c\u67fb\u306b\u7279\u5316\u3057\u305f\u3082\u306e\u3060\u3063\u305f\u304c\u3001\u30b3\u30fc\u30c9\u306b\u3088\u3063\u3066\u306f\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3068\u4ed6\u306e\u81e8\u5e8a\u7684\u9069\u5fdc\u306e\u305f\u3081\u306e\u691c\u67fb\u3092\u533a\u5225\u3057\u306a\u3044\u3082\u306e\u3082\u3042\u3063\u305f\u3002\u5bfe\u8c61\u3068\u306a\u308b\u304c\u3093\u306e\u65e2\u5f80\u6b74\u306e\u306a\u3044\u4eba\u3092\u542b\u3081\u308b\u3053\u3068\u3067\u3001\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u4ee5\u5916\u306e\u76ee\u7684\u3067\u5b9f\u65bd\u3055\u308c\u305f\u691c\u67fb\u304c\u4e0d\u6b63\u78ba\u306b\u30ab\u30a6\u30f3\u30c8\u3055\u308c\u308b\u3068\u3044\u3046\u9650\u754c\u306f\u4e00\u90e8\u7de9\u548c\u3055\u308c\u305f\u3002<\/p>\n

\u7d50\u8ad6\u3068\u95a2\u9023\u6027<\/strong>\uff1a
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\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

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\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002 \u2015\u6587\u732e\u2015 Ronald C. Chen, MD, MPH; Kevin Hayne … \u7d9a\u304d\u3092\u8aad\u3080 COVID-19\u30d1\u30f3\u30c7\u30df\u30c3\u30af\u306b\u4f34\u3046\u3001\u7c73\u56fd\u306b\u304a\u3051\u308b\u304c\u3093\u691c\u8a3a\u4e0d\u8db3\u306e\u95a2\u9023\u6027\u306b\u3064\u3044\u3066<\/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":[33,5],"tags":[],"class_list":["post-2177","post","type-post","status-publish","format-standard","hentry","category-whats-new","category-5"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2177","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=2177"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2177\/revisions"}],"predecessor-version":[{"id":2183,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2177\/revisions\/2183"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2177"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2177"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}