{"id":2287,"date":"2023-03-27T16:26:46","date_gmt":"2023-03-27T07:26:46","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2287"},"modified":"2023-03-27T16:26:46","modified_gmt":"2023-03-27T07:26:46","slug":"oecd35%e3%82%ab%e5%9b%bd%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e3%83%95%e3%82%9a%e3%83%a9%e3%82%a4%e3%83%9e%e3%83%aa%e3%83%bb%e3%82%b1%e3%82%a2%e3%81%ae%e6%b8%ac%e5%ae%9a","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2287","title":{"rendered":"OECD35\u30ab\u56fd\u306b\u304a\u3051\u308b\u30d5\u309a\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u6e2c\u5b9a"},"content":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d
\nStephen J. Zyzanski, et al. Measuring Primary Care Across 35 OECD Countries. Annals of Family Medicine. VOL. 19, NO. 6, NOVEMBER\/DECEMBER 2021.<\/p>\n

\uff0d\u8981\u7d04\uff0d
\n\u3010\u76ee\u7684\u3011
\nPerson-Centered Primary Care Measure\uff08PCPCM\uff09\u306e\u5fc3\u7406\u6e2c\u5b9a\u7279\u6027\u3068\u30b9\u30b3\u30a2\u309228\u8a00\u8a9e\uff0cOECD\uff08\u7d4c\u6e08\u5354\u529b\u958b\u767a\u6a5f\u69cb\uff09\u52a0\u76df35\u30ab\u56fd\u306b\u304a\u3044\u3066\u691c\u8a0e\u3057\u305f\u3002
\nPCPCM\u306b\u3064\u3044\u3066\uff08\u672c\u6587\u3088\u308a\uff09
\n11\u9805\u76ee\u306e\u60a3\u8005\u5831\u544a\u5f0f\u306e\u6e2c\u5b9a\u6cd5\u3067\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u306e\u5e45\u5e83\u3044\u7bc4\u56f2\u3068\u7d71\u5408\u7684\u3001\u5305\u62ec\u7684\u306a\u6027\u8cea\u3092\u8a55\u4fa1\uff08\u30a2\u30af\u30bb\u30b9\u6027\u3001\u652f\u63f4\u3001\u30b3\u30df\u30e5\u30cb\u30c6\u30a3\u306e\u72b6\u6cc1\u3001\u5305\u62ec\u6027\u3001\u7d99\u7d9a\u6027\u3001\u8abf\u6574\u3001\u5bb6\u65cf\u306e\u72b6\u6cc1\u3001\u76ee\u6a19\u6307\u5411\u306e\u30b1\u30a2\u3001\u5065\u5eb7\u5897\u9032\u3001\u7d71\u5408\u3001\u95a2\u4fc2\uff09\u3002\u4f55\u767e\u4eba\u3082\u306e\u60a3\u8005\u3001\u81e8\u5e8a\u5bb6\u3001\u4fdd\u967a\u8005\u304c\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306b\u304a\u3044\u3066\u91cd\u8981\u3067\u3042\u308b\u3068\u8a00\u3046\u3053\u3068\u306b\u57fa\u3065\u3044\u3066\u958b\u767a\u3002\u672c\u7814\u7a76\u306f\u3001PCPCM\u3092\u591a\u69d8\u306a\u8a00\u8a9e\u3084\u56fd\u3067\u4f7f\u7528\u3067\u304d\u308b\u3088\u3046\u306b\u3057\u3001\u5c06\u6765\u306e\u7814\u7a76\u3067\u691c\u8a0e\u3067\u304d\u308b\u56fd\u3054\u3068\u306e\u9055\u3044\u306b\u95a2\u3059\u308b\u4e88\u5099\u7684\u4eee\u8aac\u3092\u523a\u6fc0\u3057\u3001\u5404\u56fd\u306e\u533b\u7642\u3078\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u306e\u81ea\u7136\u5b9f\u9a13\u306b\u57fa\u3065\u304f\u653f\u7b56\u3084\u5b9f\u8df5\u3092\u5c0e\u304f\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u3044\u308b\u3002
\n\u3010\u65b9\u6cd5\u3011
\n\u6709\u6599\u306e\u30aa\u30f3\u30e9\u30a4\u30f3\u30b5\u30f3\u30d7\u30ea\u30f3\u30b0\u30b5\u30fc\u30d3\u30b9\u3092\u5229\u7528\u3057\u3001\u5404\u56fd\u306e\u6210\u4eba360\u4eba\u306e\u5e74\u9f62\u3068\u6027\u5225\u3092\u4ee3\u8868\u3059\u308b\u30b5\u30f3\u30d7\u30eb\u3092\u4f9d\u983c\u3057\u305f\u3002\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u306b\u3064\u3044\u3066\u60a3\u8005\u3084\u81e8\u5e8a\u533b\u304c\u6700\u3082\u91cd\u8981\u3067\u3042\u308b\u3068\u3059\u308b\u610f\u898b\u306b\u57fa\u3065\u3044\u3066\u958b\u767a\u3055\u308c\u3001\u65e2\u306b\u691c\u8a3c\u6e08\u307f\u306e11\u9805\u76ee\u306e\u60a3\u8005\u5831\u544a\u5f0f\u6e2c\u5b9a\u6cd5\u3067\u3042\u308bPCPCM\u3092\u5b9f\u65bd\u3057\u305f\u3002\u307e\u305f\u3001\u4eba\u53e3\u7d71\u8a08\u3001Patient-Enablement Instrument\uff08\u6ce8\uff1a\u60a3\u8005\u306e\u5bfe\u51e6\u80fd\u529b\u3001\u7406\u89e3\u3001\u5065\u5eb7\u3078\u306e\u81ea\u4fe1\u5ea6\u306a\u3069\u306e\u8a55\u4fa1\u5c3a\u5ea6\uff09
\n\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u533b\u3084\u8a3a\u7642\u6240\u306b\u304b\u304b\u3063\u3066\u3044\u308b\u5e74\u6570\u3001\u533b\u5e2b\u304c\u7d50\u679c\u3092\u77e5\u308b\u3053\u3068\u3067\u30b1\u30a2\u304c\u5411\u4e0a\u3059\u308b\u3068\u601d\u3046\u304b\u3069\u3046\u304b\u3001\u30a2\u30f3\u30b1\u30fc\u30c8\u306b\u7b54\u3048\u308b\u306e\u304c\u5927\u5909\u3060\u3063\u305f\u304b\u3069\u3046\u304b\u3068\u306e\u95a2\u9023\u304b\u3089\u69cb\u6210\u59a5\u5f53\u6027\u3092\u8a55\u4fa1\u3057\u305f\u3002\u6211\u3005\u306f\u3001\u5404\u56fd\u306b\u304a\u3051\u308bPCPCM\u306e\u5fc3\u7406\u6e2c\u5b9a\u7279\u6027\u3092\u8a55\u4fa1\u3057\u3001\u5404\u56fd\u306b\u304a\u3051\u308bPCPCM\u306e\u7dcf\u5f97\u70b9\u3068\u9805\u76ee\u5225\u5f97\u70b9\u3092\u5831\u544a\u3057\u305f\u3002
\n\u3010\u7d50\u679c\u3011
\nPCPCM\u306f\u3059\u3079\u3066\u306e\u8a00\u8a9e\u3068\u56fd\u306b\u304a\u3044\u3066\u78ba\u304b\u306a\u5fc3\u7406\u6e2c\u5b9a\u5b66\u7684\u7279\u6027\u3092\u793a\u3057\uff0c\u30af\u30ed\u30f3\u30d0\u30c3\u30af\u306e\u30a2\u30eb\u30d5\u30a1\u306f0.88\u304b\u30890.95\uff0c\u4fee\u6b63\u9805\u76ee\u7dcf\u76f8\u95a2\u306f0.47\u304b\u30890.81\uff0c\u5927\u591a\u6570\u306e\u56fd\u30670.50\u53f0\u524d\u534a\u304b\u30890.70\u53f0\u5f8c\u534a\u3067\u3042\u3063\u305f\uff0e\u8907\u6570\u56de\u306e\u5206\u6790\u306b\u3088\u308a\u3001\u4e26\u884c\u59a5\u5f53\u6027\u306e\u5f37\u3044\u8a3c\u62e0\u304c\u793a\u3055\u308c\u305f\u30021\u70b9\u304b\u30894\u70b9\u307e\u3067\u306e\u7bc4\u56f2\u3067\u3001\u5168\u4f53\u306e\u5e73\u5747\u70b9\u306f2.74\u70b9\u3067\u3042\u308a\u3001\u6a19\u6e96\u504f\u5dee\u306f0.19\u70b9\u3067\u3042\u3063\u305f\u3002\uff08Table 1\uff09
\nPCPCM\u306e\u5e73\u5747\u70b9\u306f\u3001\u6700\u3082\u4f4e\u3044\u30b9\u30a6\u30a7\u30fc\u30c7\u30f3\uff082.28\uff09\u304b\u3089\u6700\u3082\u9ad8\u3044\u30c8\u30eb\u30b3\uff083.08\uff09\u307e\u3067\u3067\u3042\u308a\u3001\u30c9\u30a4\u30c4\u304c2\u4f4d\uff083.01\uff09\u3001\u7c73\u56fd\u304c3\u4f4d\uff082.99\uff09\u3067\u3042\u3063\u305f\u3002\uff08Table 2\uff09
\n\u3010\u7d50\u8ad6\u3011
\nPCPCM\u306e\u8907\u6570\u56fd\u306b\u308f\u305f\u308b\u5185\u90e8\u4e00\u8cab\u6027\u3068\u540c\u6642\u691c\u8a3c\u306f\u3001\u60a3\u8005\u3084\u81e8\u5e8a\u533b\u304c\u91cd\u8981\u3060\u3068\u8a00\u3046\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u6a5f\u80fd\u306e\u5e45\u306e\u4e00\u8cab\u6027\u3092\u5f37\u304f\u8a3c\u660e\u3059\u308b\u3082\u306e\u3067\u3042\u308b\u3002\u307e\u305f\u3001\u5404\u56fd\u306b\u304a\u3051\u308b\u7dcf\u5f97\u70b9\u3068\u9805\u76ee\u5225\u5f97\u70b9\u306e\u591a\u69d8\u6027\u306f\u3001\u5404\u56fd\u306e\u653f\u7b56\u3001\u6163\u884c\u3001\u4eba\u53e3\u7d71\u8a08\u3001\u6587\u5316\u304c\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306b\u4e0e\u3048\u308b\u5f71\u97ff\u306b\u3064\u3044\u3066\u8208\u5473\u6df1\u3044\u4eee\u8aac\u3092\u751f\u307f\u51fa\u3057\u3001PCPCM\u3092\u7528\u3044\u305f\u751f\u614b\u5b66\u7684\u5206\u6790\u3068\u500b\u4eba\u30c7\u30fc\u30bf\u5206\u6790\u3092\u3055\u3089\u306b\u9032\u3081\u308b\u5f37\u3044\u52d5\u6a5f\u3068\u306a\u308b\u3002<\/p>\n

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

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

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\nQ2=\u79c1\u306e\u8a3a\u7642\u6240\u306f\u3001\u79c1\u306e\u30b1\u30a2\u306e\u307b\u3068\u3093\u3069\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b
\nQ3=\u79c1\u306e\u30b1\u30a2\u306b\u304a\u3044\u3066\u3001\u533b\u5e2b\u306f\u79c1\u306e\u5065\u5eb7\u306b\u5f71\u97ff\u3059\u308b\u3059\u3079\u3066\u306e\u8981\u7d20\u3092\u8003\u616e\u3057\u3066\u3044\u308b
\nQ4=\u79c1\u306e\u8a3a\u7642\u6240\u306f\u3001\u79c1\u304c\u8907\u6570\u306e\u5834\u6240\u304b\u3089\u53d7\u3051\u308b\u30b1\u30a2\u3092\u8abf\u6574\u3057\u3066\u3044\u308b
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\u3010\u958b\u50ac\u65e5\u3011
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\uff0d\u6587\u732e\u540d\uff0d Stephen J. Zyzanski, et al. Measuring Primary Care Across 35 OECD Countries. Annals of Family Medicine. … \u7d9a\u304d\u3092\u8aad\u3080 OECD35\u30ab\u56fd\u306b\u304a\u3051\u308b\u30d5\u309a\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u6e2c\u5b9a<\/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-2287","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\/2287","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=2287"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2287\/revisions"}],"predecessor-version":[{"id":2291,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2287\/revisions\/2291"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2287"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2287"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}