{"id":2433,"date":"2023-09-27T13:46:37","date_gmt":"2023-09-27T04:46:37","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2433"},"modified":"2023-09-27T13:46:37","modified_gmt":"2023-09-27T04:46:37","slug":"%e9%ab%98%e9%bd%a2%e8%80%85%e3%81%b8%e3%81%ae%e3%83%99%e3%83%b3%e3%82%be%e3%82%b8%e3%82%a2%e3%82%bc%e3%83%94%e3%83%b3%e5%87%a6%e6%96%b9%e3%82%92%e6%b8%9b%e3%82%89%e3%81%99%e6%96%b9%e6%b3%95","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2433","title":{"rendered":"\u9ad8\u9f62\u8005\u3078\u306e\u30d9\u30f3\u30be\u30b8\u30a2\u30bc\u30d4\u30f3\u51e6\u65b9\u3092\u6e1b\u3089\u3059\u65b9\u6cd5"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\uff0d
\nDonovan T.Maust, Linda Takamine et al. Strategies Associated With Reducing Benzodiazepine Prescribing to Older Adults: A Mixed Methods Study. Ann Fam Med. 2022;20:328-335.<\/p>\n

\u2015\u8981\u7d04\uff0d
\n\u3010\u30a4\u30f3\u30c8\u30ed\u30c0\u30af\u30b7\u30e7\u30f3\u3068\u7814\u7a76\u306e\u76ee\u7684\u3011
\n\u9ad8\u9f62\u8005\u306b\u5bfe\u3059\u308b\u30d9\u30f3\u30be\u30b8\u30a2\u30bc\u30d4\u30f3\u7cfb\u85ac\u5264\uff08BZD\uff09\u306e\u5b89\u5168\u6027\u306e\u554f\u984c\u306f30\u5e74\u4ee5\u4e0a\u3082\u524d\u304b\u3089\u77e5\u3089\u308c\u3066\u3044\u308b\u3002 BZD\u51e6\u65b9\u3092\u6e1b\u3089\u3059\u69d8\u3005\u306a\u4ecb\u5165\u304c\u884c\u308f\u308c\u3066\u304d\u305f\u304c\u3001\u7c73\u56fd\u306b\u304a\u3051\u308bBZD\u306e\u4f7f\u7528\u91cf\u306f\u6a2a\u3070\u3044\u304c\u7d9a\u3044\u3066\u3044\u308b\u304c\u3001\u7c73\u56fd\u306e\u3042\u308b\u9000\u5f79\u8ecd\u4eba\uff08VA\uff09\u306e\u56e3\u4f53\u306e\u9ad8\u9f62\u8005\u3067\u306fBZD\u306e\u51e6\u65b9\u30922013\u5e74\u304b\u30892017\u5e74\u306b\u304b\u3051\u3066\u7d041\/2\u306b\u307e\u3067\u6e1b\u3089\u3057\u305f\u3068\u3044\u3046\u6210\u529f\u4e8b\u4f8b\u3082\u3042\u308b\u3002\u3053\u306e\u671f\u9593\u306fVAPDSI\u3068\u3044\u3046\u5411\u7cbe\u795e\u85ac\u306e\u5b89\u5168\u6027\u3068\u52b9\u679c\u306b\u95a2\u3059\u308bQI\u6d3b\u52d5\u304c\u884c\u308f\u308c\u3066\u3044\u305f\u3002\u305d\u306e\u6d3b\u52d5\u306e\u30d5\u30a7\u30fc\u30ba2\uff082015-2017\uff09\u3067\u306f1\/3\u306e\u533b\u7642\u6a5f\u95a2\u304c\u7279\u306b\u9ad8\u9f62\u8005\u306eBZD\u51e6\u65b9\u3092\u6e1b\u3089\u3059\u3053\u3068\u3092\u512a\u5148\u3057\u3066\u53d6\u308a\u7d44\u3093\u3060\u3002
\n\u3053\u306e\u7814\u7a76\u3067\u306fVA\u306e\u533b\u7642\u6a5f\u95a2\u5185\u3067\u9069\u7528\u3055\u308c\u305f\u73fe\u5b9f\u4e16\u754c\u306b\u304a\u3051\u308bBZD\u51e6\u65b9\u3092\u6e1b\u3089\u3059\u53d6\u308a\u7d44\u307f\u3092\u8abf\u3079\u308b\u305f\u3081\u306b\u30c7\u30b6\u30a4\u30f3\u3055\u308c\u305f\u3002 \u7b2c\u4e00\u306b\u91cf\u7684\u624b\u6cd5\u3092\u7528\u3044\u3066BZD\u51e6\u65b9\u6e1b\u5c11\u3068\u3044\u3046\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u3088\u308a\u5404\u533b\u7642\u6a5f\u95a2\u306e\u9806\u4f4d\u4ed8\u3051\u3092\u884c\u3063\u305f\u3002BZD\u51e6\u65b9\u6e1b\u306b\u512a\u5148\u7684\u306b\u53d6\u308a\u7d44\u3080\u533b\u7642\u6a5f\u95a2\uff08priority facilities\uff09\u304c\u3088\u308aBZD\u51e6\u65b9\u306e\u6e1b\u5c11\u5e45\u304c\u5927\u304d\u3044\u3068\u3044\u3046\u4eee\u8aac\u3092\u7acb\u3066\u305f\u3002 \u7b2c\u4e8c\u306b\u91cf\u7684\u7814\u7a76\u306e\u7d50\u679c\u306b\u3042\u308b\u80cc\u666f\u3092\u77e5\u308b\u305f\u3081\u306b\u8cea\u7684\u624b\u6cd5\u3092\u7528\u3044\u3001\u5404\u533b\u7642\u6a5f\u95a2\u3067\u884c\u308f\u308c\u305f\u5177\u4f53\u7684\u306aBZD\u51e6\u65b9\u3092\u6e1b\u3089\u3059\u305f\u3081\u306e\u65b9\u6cd5\u3092\u63a2\u3063\u305f\u3002<\/p>\n

\u3010\u65b9\u6cd5\u3011
\n\u91cf\u7684\u624b\u6cd5\u306e\u90e8
\nVeterans Health Administration Corporate Data Warehouse\u3068\u3044\u3046\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u3092\u7528\u3044\u3066VAPDSI\u306e\u30d5\u30a7\u30fc\u30ba\uff12\u306e\u671f\u9593BZD\u306e\u9577\u671f\u4f7f\u7528\u8005\u306e\u30b3\u30db\u30fc\u30c8\u3092\u4f5c\u6210\u3057\u305f\u3002\u5404\u533b\u7642\u6a5f\u95a2\u306eBZD\u51e6\u65b9\u3092\u60a3\u80051\u4eba\u30011\u65e5\u5f53\u305f\u308a\u306e\u30ed\u30e9\u30bc\u30d1\u30e0\u91cf\u306b\u63db\u7b97\u3057\u7d4c\u6642\u7684\u306b\u8a08\u6e2c\u3002\u533b\u7642\u6a5f\u95a2\u3092BZD\u51e6\u65b9\u6e1b\u306b\u512a\u5148\u7684\u306b\u53d6\u308a\u7d44\u3080priority facilities\u3068nonpriority facilities\u306b\u5206\u985e\u3057\u5f8c\u307b\u3069\u7d50\u679c\u306e\u9805\u3067\u793a\u3059\u3088\u3046\u306a\u30b0\u30e9\u30d5\u306b\u8868\u3057\u305f\u3002
\n\u8cea\u7684\u624b\u6cd5\u306e\u90e8
\n\u91cf\u7684\u624b\u6cd5\u306e\u90e8\u3067\u9ad8\u3044\u7d50\u679c\u3092\u5f97\u305f\u533b\u7642\u6a5f\u95a2\uff08high-performing facilities\uff09\u3068\u4f4e\u3044\u7d50\u679c\u306b\u3068\u3069\u307e\u3063\u305f\u65bd\u8a2d\uff08low-performing facilities\uff09\u8907\u6570\u3092\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u8abf\u67fb\u306e\u5bfe\u8c61\u3068\u3057\u305f\u3002\u533b\u7642\u6a5f\u95a2\u9078\u5b9a\u306b\u306f\u591a\u69d8\u6027\u3092\u6301\u305f\u305b\u308b\u305f\u3081\u65bd\u8a2d\u898f\u6a21\u3084\u5730\u7406\u7684\u306a\u4f4d\u7f6e\u3082\u8003\u616e\u3057\u305f\u3002\u5f53\u521d\u306fpriority facilities \u304b\u30896\u65bd\u8a2d\u3001nonpriority facilities\u304b\u30896\u65bd\u8a2d\u9078\u5b9a\u3059\u308b\u610f\u56f3\u304c\u3042\u3063\u305f\u304c\u3001\u305d\u306e\u4eee\u8aac\u306b\u53cd\u3057\u3066\u8907\u6570\u306enonpriority facilities\u304c\u9ad8\u9806\u4f4d\u3092\u7372\u5f97\u3057\u3066\u304a\u308a\u30015\u65bd\u8a2d\u52a0\u3048\u3066\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3092\u884c\u3046\u4e8b\u3068\u3057\u305f\u3002\u5404\u533b\u7642\u6a5f\u95a2\u306ePDSI\u306e\u4ee3\u8868\u8005\u306b\u96fb\u8a71\u3067\u306e\u534a\u69cb\u9020\u5316\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3092\u884c\u3044\u3001BZD\u6e1b\u91cf\u306e\u305f\u3081\u306b\u3069\u306e\u3088\u3046\u306a\u65b9\u6cd5\u3092\u3068\u308a\u305d\u308c\u306f\u306a\u305c\u63a1\u7528\u3055\u308c\u305f\u306e\u304b\u3001\u969c\u58c1\u306f\u4f55\u3060\u3063\u305f\u306e\u304b\u306a\u3069\u306e\u60c5\u5831\u3092\u3061\u3087\u3046\u3057\u3085\u3057\u305f\uff0e<\/p>\n

\u3010\u7d50\u679c\u3011
\nTable1\uff1a \u3000\u3000\u60a3\u8005\u306e\u60c5\u5831\u3002
\nTable2\uff1a \u3000\u3000\u5168\u4f53\u306e\u7d50\u679c\u3002
\nFigure1A\uff1a \u533b\u7642\u6a5f\u95a2\u6bce\u306eBZD\u51e6\u65b9\u306e\u6e1b\u5c11\u5e45\u3068\u9806\u4f4d\u3092\u30b0\u30e9\u30d5\u5316\u3057\u305f\u3082\u306e\u3002
\n\uff08Priority facility \u306e\u307f\u306a\u3089\u305a nonpriority facility\u3082\u4e0a\u4f4d\u306b\u305f\u304f\u3055\u3093\u4e26\u3093\u3067\u3044\u308b\u3053\u3068\u304c\u6ce8\u76ee\u70b9\uff09
\nFigure1B\uff1a \u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u8abf\u67fb\u306b\u9078\u5b9a\u3055\u308c\u305f\u65bd\u8a2d\u306e\u307f\u3092\u8868\u793a\u3057\u305f\u3082\u306e\u3002
\nTable3\uff1a \u3000\u3000\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u8abf\u67fb\u306b\u9078\u5b9a\u3055\u308c\u305f\u65bd\u8a2d\u306b\u304a\u3051\u308b\u53d6\u308a\u7d44\u307f\u3002\u8cea\u7684\u624b\u6cd5\u306e\u90e8\u306b\u304a\u3044\u3066BZD\u51e6\u65b9\u6e1b\u306b\u7a4d\u6975\u7684
\n\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u308b\u304b\u3069\u3046\u304b\u3001\u3067\u306f\u306a\u304f\u6e1b\u91cf\u306e\u305f\u3081\u306b\u3069\u306e\u3088\u3046\u306a\u624b\u6cd5\u3092\u9078\u629e\u3057\u3066\u3044\u308b\u306e\u304b\u3067
\nhigh-performing facilities\u3068\u306a\u308b\u304blow-performing facilities\u3068\u306a\u308b\u304b\u304c\u5206\u304b\u308c\u308b\u3053\u3068\u304c
\n\u793a\u3055\u308c\u305f\u3002\u672c\u7814\u7a76\u3067\u306f\u305d\u308c\u3092\u53d7\u52d5\u7684\u624b\u6cd5\uff08Passive Strategies\uff09\u3068\u80fd\u52d5\u7684\u624b\u6cd5
\n\uff08Active Strategies\uff09\u3068\u306b\u5206\u3051\u305f\u3002<\/p>\n

\u3010\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3011
\n\u672c\u7814\u7a76\u306e\u9650\u754c
\n\u30fb\tRCT\u3067\u306f\u306a\u3044\u305f\u3081\u3001\u7279\u5b9a\u306e\u624b\u6cd5\u3092\u7528\u3044\u308b\u3053\u3068\u304c\u533b\u7642\u6a5f\u95a2\u306e\u6210\u679c\u306b\u5e30\u3059\u308b\u3001\u3068\u3044\u3046\u8ff0\u3079\u65b9\u306f\u3067\u304d\u306a\u3044\u3002
\n\u30fb\t\u91cf\u7684\u624b\u6cd5\u306e\u90e8\u3067\u306f\u5730\u57df\u306e\u73fe\u5834\u3067\u89b3\u5bdf\u3055\u308c\u305fBZD\u3092\u8a08\u6e2c\u3057\u305f\u308f\u3051\u3067\u306f\u306a\u3044\u305f\u3081\u3001\u771f\u306b\u60a3\u8005\u306eBZD\u66b4\u9732\u304c\u6e1b\u3063\u305f\u304b\u3069\u3046\u304b\u3092\u53cd\u6620\u3057\u3066\u3044\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002
\n\u30fb\t\u9577\u671f\u9593\u306e\u30b1\u30a2\u306b\u304a\u3051\u308bBZD\u51e6\u65b9\u3092\u8003\u616e\u3057\u3066\u3044\u306a\u3044\u3002
\n\u30fb\t\u5404\u533b\u7642\u6a5f\u95a2\u306ePDSI\u4ee3\u8868\u8005\u306b\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3057\u305f\u305f\u3081\u3001\u6700\u524d\u7dda\u306e\u73fe\u5834\u306e\u30b9\u30bf\u30c3\u30d5\u304c\u7d4c\u9a13\u3057\u3066\u3044\u308b\u624b\u6cd5\u3092\u5b8c\u5168II\u53cd\u6620\u3057\u3066\u3044\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002
\n\u30fb\t\u9000\u5f79\u8ecd\u4eba\u3068\u3044\u3046\u96c6\u56e3\u3067\u884c\u3063\u305f\u7814\u7a76\u3067\u3042\u308a\u3001\u3053\u306e\u7d50\u679c\u304c\u975e\u9000\u5f79\u8ecd\u4eba\u306e\u30d8\u30eb\u30b9\u30b7\u30b9\u30c6\u30e0\u3084\u82e5\u3044\u60a3\u8005\u306b\u307e\u3067\u4e00\u822c\u5316\u3067\u304d\u308b\u304b\u306f\u4e0d\u660e\u3067\u3042\u308b\u3002<\/p>\n

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

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

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

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

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