{"id":2215,"date":"2022-01-04T11:06:31","date_gmt":"2022-01-04T02:06:31","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2215"},"modified":"2022-01-04T11:06:31","modified_gmt":"2022-01-04T02:06:31","slug":"%e8%a8%aa%e5%95%8f%e7%9c%8b%e8%ad%b7%e3%81%a8%e5%bd%93%e6%97%a5%e3%81%ae%e6%95%91%e6%80%a5%e5%a4%96%e6%9d%a5%e5%8f%97%e8%a8%ba%e3%81%ae%e9%96%a2%e9%80%a3%e6%80%a7%e3%81%ab%e5%af%be%e3%81%99%e3%82%8b","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2215","title":{"rendered":"\u8a2a\u554f\u770b\u8b77\u3068\u5f53\u65e5\u306e\u6551\u6025\u5916\u6765\u53d7\u8a3a\u306e\u95a2\u9023\u6027\u306b\u5bfe\u3059\u308b\u6642\u9593\u5916\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u3078\u306e\u30a2\u30af\u30bb\u30b9\u306e\u5f71\u97ff"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\u2015
\nAaron Jones, et al. Effect of Access to After-Hours Primary Care on the Association Between Home Nursing Visits and Same-Day Emergency Department Use. The Annals of Family Medicine. 2020; 18 (5): 406-412.<\/p>\n

\u2015\u8981\u7d04\u2015
\nIntroduction<\/strong>
\n\u7406\u8ad6\u7684\u306b\u306f\u3001\u6642\u9593\u5916\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\uff08\u203b\u5b9a\u7fa9\u306fMethod\u53c2\u7167\uff09\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3092\u5897\u3084\u3059\u3053\u3068\u3067\u3001\u7dca\u6025\u6027\u306e\u4f4e\u3044\u60a3\u8005\u304c\u6551\u6025\u5916\u6765\u3092\u53d7\u8a3a\u3059\u308b\u3053\u3068\u3092\u6291\u5236\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u3057\u304b\u3057\u3001\u3053\u306e\u4eee\u8aac\u3092\u691c\u8a3c\u3057\u305f\u65e2\u5b58\u306e\u6587\u732e\u3067\u306f\u3001\u6642\u9593\u5916\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3092\u5897\u3084\u3059\u3053\u3068\u304c\u6551\u6025\u90e8\u53d7\u8a3a\u8005\u306e\u6e1b\u5c11\u306b\u95a2\u9023\u3059\u308b\u3068\u3044\u3046\u7814\u7a76\u3082\u3042\u308c\u3070\u3001\u5dee\u304c\u306a\u3044\u3068\u3044\u3046\u7814\u7a76\u3082\u3042\u308a\u3001\u76f8\u53cd\u3059\u308b\u7d50\u679c\u304c\u51fa\u3066\u3044\u308b\u3002
\n\u3053\u308c\u307e\u3067\u306e\u8abf\u67fb\u3067\u306f\u3001\u30ab\u30ca\u30c0\u30fb\u30aa\u30f3\u30bf\u30ea\u30aa\u5dde\u306e\u5728\u5b85\u770b\u8b77\u60a3\u8005\u306f\u3001\u8a2a\u554f\u770b\u8b77\u3092\u53d7\u3051\u305f\u65e5\u306e\u5348\u5f8c5\u6642\u4ee5\u964d\u306b\u6551\u6025\u5916\u6765\u3092\u53d7\u8a3a\u3059\u308b\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3053\u3068\u304c\u308f\u304b\u3063\u3066\u3044\u308b\u3002\u30aa\u30f3\u30bf\u30ea\u30aa\u5dde\u306e\u8a2a\u554f\u770b\u8b77\u306f\u3001\u30bf\u30b9\u30af\u4e2d\u5fc3\u3001\u8a2a\u554f\u4e2d\u5fc3\u306e\u30e2\u30c7\u30eb\u3067\u904b\u55b6\u3055\u308c\u3066\u304a\u308a\u3001\u770b\u8b77\u5e2b\u304c\u4e8b\u524d\u306b\u6c7a\u3081\u3089\u308c\u305f\u30bf\u30b9\u30af\u3092\u8d85\u3048\u3066\u884c\u52d5\u3059\u308b\u67d4\u8edf\u6027\u304c\u5236\u9650\u3055\u308c\u3001\u5305\u62ec\u7684\u306a\u8a3a\u7642\u304c\u59a8\u3052\u3089\u308c\u3001\u5f53\u65e5\u306e\u6551\u6025\u5916\u6765\u53d7\u8a3a\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u539f\u56e0\u3068\u306a\u3063\u3066\u3044\u308b\u3068\u8003\u3048\u3089\u308c\u308b\u3002\u3053\u306e\u3088\u3046\u306a\u53d7\u8a3a\u306e\u5834\u5408\u3001\u6642\u9593\u5916\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3092\u5897\u3084\u3059\u3053\u3068\u3067\u3001\u5f53\u65e5\u306e\u6551\u6025\u5916\u6765\u53d7\u8a3a\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002
\n\u6211\u3005\u306f\uff0c\u3053\u306e\u95a2\u9023\u6027\u304c\u6642\u9593\u5916\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u3078\u306e\u30a2\u30af\u30bb\u30b9\u306e\u826f\u3055\u306b\u3088\u3063\u3066\u5909\u5316\u3059\u308b\u304b\u3069\u3046\u304b\u3092\u691c\u8a0e\u3057\u305f\uff0e<\/p>\n

Method<\/strong>
\n2014\uff5e2016\u5e74\u306b\u30ab\u30ca\u30c0\u30fb\u30aa\u30f3\u30bf\u30ea\u30aa\u5dde\u306e\u5728\u5b85\u4ecb\u8b77\u60a3\u8005\uff0819\u6b73\u4ee5\u4e0a\uff09\u3092\u5bfe\u8c61\u306b\u3001\u96c6\u56e3\u30d9\u30fc\u30b9\u306e\u30b1\u30fc\u30b9\u30af\u30ed\u30b9\u30aa\u30fc\u30d0\u30fc\u7814\u7a76\u3092\u884c\u3063\u305f\u3002\u7de9\u548c\u7684\u306a\u5728\u5b85\u30b1\u30a2\u3092\u53d7\u3051\u3066\u3044\u308b\u60a3\u8005\u306f\u3001\u5c02\u9580\u7684\u306a\u770b\u8b77\u30b1\u30a2\u3092\u53d7\u3051\u3066\u3044\u308b\u305f\u3081\u3001\u30b3\u30db\u30fc\u30c8\u304b\u3089\u9664\u5916\u3057\u305f\u3002
\n\u5348\u5f8c5\u6642\u4ee5\u964d\u306e\u6551\u6025\u90e8\u53d7\u8a3a\u3092\u30b1\u30fc\u30b9\u671f\u9593\u3068\u3057\u3066\u9078\u629e\u3057\uff0c\u540c\u4e00\u60a3\u8005\u5185\u3067\uff0c\u524d\u9031\u5185\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u671f\u9593\u3068\u30de\u30c3\u30c1\u3055\u305b\u305f\u3002\u9031\u672b\u3068\u4f11\u65e5\u306f\u9664\u5916\u3057\u305f\u3002\u8a2a\u554f\u770b\u8b77\u306e\u8a2a\u554f\u3068\u540c\u65e5\u306e\u6551\u6025\u90e8\u53d7\u8a3a\u3068\u306e\u95a2\u9023\u3092\u6761\u4ef6\u4ed8\u304d\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u3067\u63a8\u5b9a\u3057\u305f\u3002\u6642\u9593\u5916\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306b\u306f\u3001\u5e73\u65e5\u306e\u5348\u5f8c5\u6642\u4ee5\u964d\u306b\u533b\u5e2b\u306e\u30aa\u30d5\u30a3\u30b9\u307e\u305f\u306f\u60a3\u8005\u306e\u81ea\u5b85\u3067\u884c\u308f\u308c\u305f\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u304c\u542b\u307e\u308c\u3001\u5348\u5f8c5\u6642\u4ee5\u964d\u306e\u4e88\u5b9a\u3055\u308c\u305f\u8a3a\u7642\u6642\u9593\u5185\u306b\u884c\u308f\u308c\u305f\u30b1\u30a2\u3082\u542b\u307e\u308c\u308b\u3002\u6642\u9593\u5916\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u3078\u306e\u30a2\u30af\u30bb\u30b9\u306f\u3001\u60a3\u8005\u30ec\u30d9\u30eb\u3068\u8a3a\u7642\u6240\u30ec\u30d9\u30eb\u3067\u6e2c\u5b9a\u3057\u3001\u4ea4\u4e92\u4f5c\u7528\u9805\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u7528\u3044\u3066\u52b9\u679c\u306e\u4fee\u6b63\u3092\u691c\u8a3c\u3057\u305f\u3002\u89e3\u6790\u306f\u3001\u3059\u3079\u3066\u306e\u6551\u6025\u5916\u6765\u53d7\u8a3a\u8005\u3068\u3001\u5165\u9662\u3057\u3066\u3044\u306a\u3044\u7dca\u6025\u6027\u306e\u4f4e\u3044\u30b5\u30d6\u30bb\u30c3\u30c8\u306b\u5206\u3051\u3066\u884c\u3063\u305f\u3002<\/p>\n

Results<\/strong>
\nTable 1)
\n\u5408\u8a0811,840\u4eba\u306e\u60a3\u8005\u304c\u89e3\u6790\u306b\u53c2\u52a0\u3057\u305f\u3002
\n\"\"<\/a><\/p>\n

Figure 1)
\n\u904e\u53bb\uff11\u5e74\u4ee5\u5185\u306b\u6642\u9593\u5916\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u5229\u7528\u6b74\u306e\u3042\u308b\u60a3\u8005\u306f\u3001\u6642\u9593\u5916\u8a3a\u7642\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u60a3\u8005\u3068\u6bd4\u8f03\u3057\u3066\u3001\u5f53\u65e5\u306e\u6642\u9593\u5916\u6551\u6025\u5916\u6765\u53d7\u8a3a\u306e\u30ea\u30b9\u30af\u5897\u52a0\u304c\u5c0f\u3055\u304b\u3063\u305f\uff08OR = 1.18; 95\uff05 CI, 1.06-1.30 vs OR = 1.31; 95\uff05 CI, 1.25-1.39\uff09\u3002\u4fee\u98fe\u52b9\u679c\u306f\u3001\u5165\u9662\u3057\u3066\u3044\u306a\u3044\u6551\u6025\u5916\u6765\u53d7\u8a3a\u8005\u3067\u3088\u308a\u5f37\u304b\u3063\u305f\uff08OR = 1.11; 95\uff05 CI, 0.97-1.28 vs OR = 1.41; 95\uff05 CI, 1.31-1.51\uff09\u3002
\n\u306a\u304a\u3001\u8a3a\u7642\u6240\u30ec\u30d9\u30eb\u306e\u6642\u9593\u5916\u8a3a\u7642\u306e\u63d0\u4f9b\u72b6\u6cc1\u3092\u56db\u5206\u4f4d\u306b\u5206\u985e\u3057\u3066\u3044\u308b\u3002
\n\"\"<\/a><\/p>\n

Figure 2)
\n\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u533b\u306e\u8a3a\u7642\u5f62\u614b\u3001\u5730\u57df\u6027\u3001\u60a3\u8005\u306e\u8eab\u4f53\u6a5f\u80fd\u3001\u540c\u5c45\u4ecb\u8b77\u8005\u306e\u6709\u7121\u306b\u3088\u308b\u6f5c\u5728\u7684\u306a\u4fee\u98fe\u52b9\u679c\u3092\u8abf\u6574\u3057\u305f\u3082\u306e\u3002\u7d50\u679c\u306f\u540c\u69d8\u3060\u3063\u305f\u3002
\n\"\"<\/a><\/p>\n

Discussion<\/strong>
\n\u4eca\u56de\u306e\u7d50\u679c\u306f\u3001\u6642\u9593\u5916\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3092\u62e1\u5927\u3059\u308b\u3053\u3068\u304c\u6709\u76ca\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u304c\u3001\u540c\u6642\u306b\u591a\u304f\u306e\u7591\u554f\u3082\u63d0\u8d77\u3057\u3066\u3044\u308b\u3002
\n\u8a3a\u7642\u6240\u30ec\u30d9\u30eb\u3067\u306e\u6642\u9593\u5916\u8a3a\u7642\u306e\u63d0\u4f9b\u3092\u691c\u8a0e\u3057\u305f\u3068\u3053\u308d\u3001\u56e0\u679c\u95a2\u4fc2\u306e\u5178\u578b\u3067\u3042\u308b\u4e00\u8cab\u3057\u305f\u7528\u91cf\u53cd\u5fdc\u95a2\u4fc2\u306f\u89b3\u5bdf\u3055\u308c\u306a\u304b\u3063\u305f\u3002\u3053\u306e\u3088\u3046\u306b\u8a3a\u7642\u6240\u30ec\u30d9\u30eb\u3067\u4e00\u8cab\u6027\u304c\u306a\u3044\u306e\u306f\u3001\u6642\u9593\u5916\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u304c\u5229\u7528\u3067\u304d\u308b\u304b\u3069\u3046\u304b\u306e\u597d\u307f\u3084\u610f\u8b58\u306a\u3069\u3001\u60a3\u8005\u30ec\u30d9\u30eb\u306e\u8981\u56e0\u304c\u91cd\u8981\u3067\u3042\u308b\u305f\u3081\u3068\u8003\u3048\u3089\u308c\u308b\u3002\u4eca\u5f8c\u306e\u7814\u7a76\u3067\u306f\u3001\u8a3a\u7642\u6240\u30ec\u30d9\u30eb\u3067\u306e\u6642\u9593\u5916\u8a3a\u7642\u306e\u63d0\u4f9b\u72b6\u6cc1\u304c\u6551\u6025\u90e8\u306e\u5229\u7528\u306b\u53ca\u307c\u3059\u5f71\u97ff\u306b\u3064\u3044\u3066\u3055\u3089\u306b\u691c\u8a0e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3068\u601d\u308f\u308c\u308b\u3002<\/p>\n

\u7814\u7a76\u306e\u9650\u754c\uff1a<\/strong>
\n\u2460\u3069\u306e\u6551\u6025\u5916\u6765\u60a3\u8005\u304c\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u3067\u3088\u308a\u9069\u5207\u306b\u8a3a\u5bdf\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u304b\u3092\u5224\u65ad\u3059\u308b\u6b63\u78ba\u306a\u65b9\u6cd5\u304c\u306a\u3044\u3002
\n\u2461\u8acb\u6c42\u30d9\u30fc\u30b9\u306e\u30c7\u30fc\u30bf\u3092\u4f7f\u7528\u3057\u305f\u305f\u3081\u3001\u6642\u9593\u5916\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u3078\u306e\u30a2\u30af\u30bb\u30b9\u306e\u6e2c\u5b9a\u306f\u5229\u7528\u3057\u305f\u304b\u3069\u3046\u304b\u306e\u8abf\u67fb\u306e\u307f\u3068\u306a\u3063\u3066\u3044\u308b\u3002
\n\u2462\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u8a2a\u554f\u770b\u8b77\u306e\u5f8c\u306e\u6551\u6025\u5916\u6765\u53d7\u8a3a\u3068\u3044\u3046\u975e\u5e38\u306b\u7279\u6b8a\u306a\u554f\u984c\u3092\u691c\u8a0e\u3057\u3066\u3044\u308b\u3002\u3053\u306e\u3053\u3068\u306f\u8abf\u67fb\u7d50\u679c\u3092\u6551\u6025\u90e8\u306e\u5229\u7528\u5168\u4f53\u306b\u4e00\u822c\u5316\u3067\u304d\u306a\u3044\u3053\u3068\u3092\u610f\u5473\u3059\u308b\u3002\u3057\u304b\u3057\u3001\u672c\u7814\u7a76\u3067\u5f97\u3089\u308c\u305f\u77e5\u898b\u306f\u3001\u65b0\u305f\u306a\u5065\u5eb7\u554f\u984c\u304c\u7279\u5b9a\u3055\u308c\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u3001\u4ed6\u306e\u30d8\u30eb\u30b9\u30b1\u30a2\u81e8\u5e8a\u533b\u3068\u306e\u9762\u4f1a\u5f8c\u306e\u6551\u6025\u5916\u6765\u53d7\u8a3a\u306b\u4e00\u822c\u5316\u3055\u308c\u308b\u3068\u8003\u3048\u308b\u306e\u304c\u59a5\u5f53\u3060\u308d\u3046\u3002<\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
\n2021\u5e749\u67088\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\u2015\u6587\u732e\u540d\u2015 Aaron Jones, et al. Effect of Access to After-Hours Primary Care on the Association Between Home Nursing … \u7d9a\u304d\u3092\u8aad\u3080 \u8a2a\u554f\u770b\u8b77\u3068\u5f53\u65e5\u306e\u6551\u6025\u5916\u6765\u53d7\u8a3a\u306e\u95a2\u9023\u6027\u306b\u5bfe\u3059\u308b\u6642\u9593\u5916\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u3078\u306e\u30a2\u30af\u30bb\u30b9\u306e\u5f71\u97ff<\/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":[4,23],"tags":[],"class_list":["post-2215","post","type-post","status-publish","format-standard","hentry","category-4","category-23"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2215","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=2215"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2215\/revisions"}],"predecessor-version":[{"id":2219,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2215\/revisions\/2219"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2215"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2215"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2215"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}