{"id":2592,"date":"2024-04-03T11:02:56","date_gmt":"2024-04-03T02:02:56","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2592"},"modified":"2024-04-03T11:02:56","modified_gmt":"2024-04-03T02:02:56","slug":"%e6%82%a3%e8%80%85%e5%8d%94%e5%83%8d","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2592","title":{"rendered":"\u60a3\u8005\u5354\u50cd"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nJulia James. Health Policy Brief: Health Affairs. FEBRUARY 14, 2013<\/p>\n<p>\u2015\u8981\u7d04\u2015<\/p>\n<p>\u4f55\u304c\u8ab2\u984c\u304b\uff1f<br 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\/>\n\u300c\u60a3\u8005\u306e\u6d3b\u6027\u5316\u300d\uff08Patient activation\uff09\u3068\u306f\u3001\u60a3\u8005\u306e\u77e5\u8b58\u3001 \u6280\u80fd\u3001\u80fd\u529b\u3001\u81ea\u5df1\u306e\u5065\u5eb7\u3084\u30b1\u30a2\u3092\u7ba1\u7406\u3059\u308b\u610f\u6b32\u306e\u3053\u3068\u3067\u3042\u308b\u3002\u300c\u60a3\u8005\u5354\u50cd\u300d\u306f\u3001\u3088\u308a\u5e83\u3044\u6982\u5ff5\u3067\u3042\u308a\u3001\u60a3\u8005\u306e\u6d3b\u6027\u5316\u3068\u3001\u6d3b\u6027\u5316\u3092\u9ad8\u3081\u3001\u4e88\u9632\u7684\u30b1\u30a2\u3092\u53d7\u3051\u305f\u308a\u5b9a\u671f\u7684\u306b\u904b\u52d5\u3057\u305f\u308a\u3059\u308b\u3088\u3046\u306a\u3001\u60a3\u8005\u306e\u7a4d\u6975\u7684\u306a\u884c\u52d5\u3092\u4fc3\u9032\u3059\u308b\u3088\u3046\u306b\u30c6\u3099\u30b5\u3099\u30a4\u30f3\u3055\u308c\u305f\u76f8\u4e92\u4ecb\u5165\u3092\u7d44\u307f\u5408\u308f\u305b\u305f\u3082\u306e\u3067\u3042\u308b \u3002\u60a3\u8005\u53c2\u52a0\u306f\u3001\u5065\u5eb7\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u6539\u5584\u3001\u60a3\u8005\u30b1\u30a2\u306e\u5411\u4e0a\u3001\u30b3\u30b9\u30c8\u524a\u6e1b \u3068\u3044\u3046 &#8220;\uff13\u3064\u306e\u76ee\u6a19 &#8220;\u3092\u9054\u6210\u3059\u308b\u305f\u3081\u306e\u6226\u7565\u306e\u3072\u3068\u3064\u3067\u3042\u308b\u3002\u3053\u306eHealth Policy Brief\u306f\u3001Health Affairs \u8a8c2013\u5e742\u6708\u53f7\u306b\u63b2\u8f09\u3055\u308c\u305f\u60a3\u8005\u53c2\u52a0\u306b\u95a2\u3059\u308b\u4e3b\u8981\u306a\u8abf\u67fb\u7d50\u679c\u3092\u307e\u3068\u3081\u305f\u3082\u306e\u3066\u3099\u3042\u308b\u3002<\/p>\n<p>\u80cc\u666f<br 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\/>\n\u3053\u306e\u3088\u3046\u306a\u554f\u984c\u3092\u8a8d\u8b58\u3057\u30012001\u5e74\u306b\u51fa\u3055\u308c\u305f\u533b\u5b66\u7814\u7a76\u6240\u306e\u5831\u544a\u66f8\u300cCrossing the Quality Chasm:21\u4e16\u7d00\u306e\u65b0\u3057\u3044\u533b\u7642\u30b7\u30b9\u30c6\u30e0)\u306f\u3001&#8221;\u60a3\u8005\u4e2d\u5fc3&#8221;\u306e\u533b\u7642\u30b7\u30b9\u30c6\u30e0\u3092\u5b9f\u73fe\u3059\u308b\u305f\u3081\u306e\u6539\u9769\u3092\u6c42\u3081\u305f\u3002\u3053\u306e\u5831\u544a\u66f8\u3067\u306f\u3001&#8221;\u60a3\u8005\u500b\u4eba\u306e\u55dc\u597d\u3001\u30cb\u30fc\u30b9\u3099\u3001\u4fa1\u5024\u89b3\u3092\u5c0a\u91cd\u3057\u3001\u305d\u308c\u306b\u5fdc\u3048\u308b\u533b\u7642\u3092\u63d0\u4f9b\u3057\u3001\u60a3\u8005\u306e\u4fa1\u5024\u89b3\u304c\u3059\u3079\u3066\u306e\u81e8\u5e8a\u4e0a\u306e\u6c7a\u5b9a\u3092\u5c0e\u304f\u3088\u3046\u306b\u3059\u308b&#8221;\u30b7\u30b9\u30c6\u30e0\u3092\u69cb\u60f3\u3057\u3066\u3044\u308b\u3002\u3053\u306e\u8a8d\u8b58\u304b\u3089\u3001\u4e00\u90e8\u3067\u306f\u3042\u308b\u304c\u3001\u60a3\u8005\u5354\u50cd\u3068\u3044\u3046\u5206\u91ce\u304c\u751f\u307e\u308c\u305f\u3002<br \/>\n\u60a3\u8005\u5354\u50cd\u306b\u306f\u69d8\u3005\u306a\u5074\u9762\u304c\u3042\u308b\u3002American Institutes for Re-search\u306eKristin Carman\u6c0f\u3068\u5171\u8457\u8005\u306f\u3001\u60a3\u8005\u5354\u50cd\u3092\u4e3b\u306b3\u3064\u306e\u30ec\u30d8\u3099\u30eb\u3066\u3099\u6982\u5ff5\u5316\u3057\u305f\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u3092\u63d0\u6848\u3057\u3066\u3044\u308b(\u56f3\u88681) \u3002<br 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\/>\nCarman\u3068\u5171\u8457\u8005\u3089\u304c\u8ff0\u3079\u305f\u7b2c\u4e00\u30ec\u30d9\u30eb\u306e\u95a2\u4e0e\u306b\u5408\u81f4\u3059\u308b\u6226\u7565\u306e\u3072\u3068\u3064\u306f\u3001\u5171\u6709\u610f\u601d\u6c7a\u5b9a\u3067\u3042\u308b\u3002\u307e\u305a\u3001\u533b\u7642\u63d0\u4f9b\u8005\u3068\u60a3\u8005\u306f\u610f\u601d\u6c7a\u5b9a\u304c\u5fc5\u8981\u3067\u3042\u308b\u3053\u3068\u3092\u8a8d\u8b58\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u6b21\u306b\u3001\u5229\u7528\u53ef\u80fd\u306a\u6700\u826f\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u624b\u306b\u5165\u308c\u3001\u7406\u89e3\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u3002\u6700\u5f8c\u306b\u3001\u60a3\u8005\u306e\u55dc\u597d\u3092\u6cbb\u7642\u306e\u6c7a\u5b9a\u306b\u53d6\u308a\u5165\u308c\u308b\u3053\u3068\u3067\u3042\u308b\u3002<br 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\/>\n\u3088\u308a\u5e83\u7bc4\u306a\u60a3\u8005\u53c2\u52a0<br \/>\nCarman\u3068\u5171\u8457\u8005\u305f\u3061\u304c\u8ff0\u3079\u3066\u3044\u308b\u7b2c2\u3001\u7b2c3\u306e\u30ec\u30d9\u30eb\u306e\u30a8\u30f3\u30b2\u30fc\u30b8\u30e1\u30f3\u30c8\u3068\u4e00\u8cab\u3057\u3066\u3044\u308b\u306e\u306f\u3001\u533b\u7642\u6a5f\u95a2\u304c\u60a3\u8005\u306e\u30cb\u30fc\u30ba\u3084\u55dc\u597d\u3092\u6e80\u305f\u3059\u3088\u3046\u306b\u7d44\u7e54\u5316\u3057\u3001\u305d\u306e\u55dc\u597d\u304c\u3088\u308a\u5e83\u7bc4\u306a\u5bfe\u5fdc\u3092\u5f62\u6210\u3059\u308b\u306e\u306b\u5f79\u7acb\u3064\u3088\u3046\u306a\u30d7\u30ed\u30b0\u30e9\u30e0\u3067\u3042\u308b\u3002\u4f8b\u3048\u3070\u3001Conversation Project\u3068Conversation Ready 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\/>\n\u8a8d\u77e5\u306e\u554f\u984c\uff1a\u30ed\u30d0\u30fc\u30c8\u30fb\u30cb\u30fc\u30b9\u3068\u30a8\u30af\u30b9\u30d7\u30ec\u30b9\u30fb\u30b9\u30af\u30ea\u30d7 \u30c4\u306e\u5171\u540c\u7814\u7a76\u8005\u306f\u3001\u4eba\u9593\u306e\u610f\u601d\u6c7a\u5b9a\u80fd\u529b\u3084\u6ce8\u610f\u529b\u3092\u7dad\u6301\u3059\u308b\u80fd\u529b\u306b\u306f\u9650\u754c\u304c\u3042\u308b\u3053\u3068\u306f\u3088\u304f\u77e5\u3089\u308c\u3066\u304a\u308a\u3001\u305d\u308c\u304c\u60a3\u8005\u3068\u306e\u95a2\u308f\u308a\u306e\u969c\u58c1\u306b\u306a\u3063\u3066\u3044\u308b\u3068\u6307\u6458\u3057\u3066\u3044\u308b\u3002<br \/>\n\u30b3\u30b9\u30c8\u3092\u8003\u3048\u308b\u3053\u3068\u3078\u306e\u5acc\u60aa\uff1a\u7279\u306b\u60a3\u8005\u3092\u7406\u89e3\u3055\u305b\u308b\u306e\u304c\u96e3\u3057\u3044\u3068\u601d\u308f\u308c\u308b\u306e\u304c\u3001\u533b\u7642\u306b\u95a2\u3059\u308b\u610f\u601d\u6c7a\u5b9a\u306b\u304a\u3044\u3066\u30b3\u30b9\u30c8\u3092\u8003\u616e\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u3002<br \/>\n\u533b\u7642\u63d0\u4f9b\u8005\u304c\u95a2\u4e0e\u3059\u308b\u8981\u56e0\uff1aHealth Af-fairs\u8a8c2013\u5e742\u6708\u53f7\u3067\u7e70\u308a\u8fd4\u3057\u53d6\u308a\u4e0a\u3052\u3089\u308c\u3066\u3044\u308b\u30c6\u30fc\u30de\u306f\u3001\u60a3\u8005\u5354\u50cd\u6226\u7565\u3092\u5b9f\u65bd\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u533b\u7642\u73fe\u5834\u306e\u6587\u5316\u3084\u904b\u55b6\u3092\u5927\u304d\u304f\u5909\u3048\u308b\u5fc5\u8981\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002\u6642\u9593\u7684\u5236\u7d04\u3001\u533b\u7642\u5f93\u4e8b\u8005\u306e\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u4e0d\u8db3\u3001\u30a4\u30f3\u30bb\u30f3\u30c6\u30a3\u30d6\u306e\u6b20\u5982\u3001\u60c5\u5831\u30b7\u30b9\u30c6\u30e0\u306e\u6b20\u70b9\u306a\u3069\u3001\u591a\u304f\u306e\u969c\u58c1\u304c\u7814\u7a76\u306b\u3088\u3063\u3066\u6307\u6458\u3055\u308c\u3066\u3044\u308b\u3002\u81e8\u5e8a\u533b\u304c\u7b2c\u4e00\u306e\u969c\u58c1\u3068\u3057\u3066\u6700\u3082\u983b\u7e41\u306b\u6307\u6458\u3057\u305f\u306e\u306f\u6642\u9593\u7684\u5236\u7d04\u3067\u3042\u3063\u305f\u3002<\/p>\n<p>\u653f\u7b56\u7684\u610f\u5473\u5408\u3044\u306f\u4f55\u304b\uff1f<br \/>\n\u9023\u90a6\u3084\u5dde\u306e\u653f\u7b56\u7acb\u6848\u8005\u306f\u3001\u533b\u7642\u8cbb\u3092\u524a\u6e1b\u3057\u3001\u8cea\u3092\u5411\u4e0a\u3055\u305b\u308b\u305f\u3081\u306e\u6226\u7565\u3068\u3057\u3066\u3001\u60a3\u8005\u5354\u50cd\u3092\u4fc3\u3057\u3066\u3044\u308b\u3002<\/p>\n<p>\u6b21\u306e\u8ab2\u984c\u306f\u4f55\u304b\uff1f<br \/>\n\u60a3\u8005\u5354\u50cd\u578b\u533b\u7642\u304c\u91cd\u8981\u3067\u3042\u308b\u3053\u3068\u306f\u3001\u3053\u308c\u307e\u3067\u306b\u3082\u8a3c\u660e\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u60a3\u8005\u5354\u50cd\u578b\u533b\u7642\u306e\u30d9\u30b9\u30c8\u30d7\u30e9\u30af\u30c6\u30a3\u30b9\u3092\u6c7a\u5b9a\u3059\u308b\u305f\u3081\u3001\u307e\u305f\u60a3\u8005\u5354\u50cd\u578b\u533b\u7642\u3068\u30b3\u30b9\u30c8\u524a\u6e1b\u306e\u95a2\u4fc2\u3092\u3088\u308a\u5b8c\u5168\u306b\u5b9f\u8a3c\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u3055\u3089\u306a\u308b\u7814\u7a76\u304c\u5fc5\u8981\u3067\u3042\u308b\u3068\u3044\u3046\u306e\u304c\u3001\u3053\u306e\u5206\u91ce\u306e\u5c02\u9580\u5bb6\u306e\u610f\u898b\u3067\u3042\u308b\u3002\u305d\u306e\u4e00\u65b9\u3067\u3001\u533b\u7642\u6a5f\u95a2\u306b\u60a3\u8005\u5354\u50cd\u306b\u5bfe\u3059\u308b\u8cac\u4efb\u3092\u8ca0\u308f\u305b\u308b\u305f\u3081\u306b\u3001\u304b\u306a\u308a\u306e\u52aa\u529b\u304c\u7d9a\u3051\u3089\u308c\u3066\u3044\u308b\u3002<br \/>\n\u4f8b\u3048\u3070\u3001\u5168\u7c73\u533b\u7642\u8cea\u4fdd\u8a3c\u59d4\u54e1\u4f1a\uff08National Committee for Quality Assurance\uff09\u306f\u3001\u533b\u7642\u8a08\u753b\u3084\u533b\u7642\u6a5f\u95a2\u304c\u63d0\u4f9b\u3059\u308b\u30b1\u30a2\u306e\u8cea\u3092\u8ffd\u8de1\u8abf\u67fb\u3059\u308b\u975e\u55b6\u5229\u56e3\u4f53\u3067\u3042\u308b\u304c\u3001\u60a3\u8005\u304c\u81ea\u5206\u306e\u5065\u5eb7\u3084\u30b1\u30a2\u306b\u3069\u308c\u3060\u3051\u7a4d\u6975\u7684\u306b\u95a2\u4e0e\u3057\u3066\u3044\u308b\u304b\u3092\u5224\u65ad\u3059\u308b\u305f\u3081\u306b\u3001\u69d8\u3005\u306a\u8a55\u4fa1\u3092\u7fa9\u52d9\u3065\u3051\u3066\u3044\u308b\u3002\u4f8b\u3048\u3070\u3001\u60a3\u8005\u4e2d\u5fc3\u306e\u533b\u7642\u65bd\u8a2d\uff08patient-centered medical home\uff09\u306e\u8981\u4ef6\u3092\u6e80\u305f\u3057\u3066\u3044\u308b\u3068\u8a8d\u5b9a\u3055\u308c\u305f\u3044\u533b\u7642\u6a5f\u95a2\u306f\u3001\u81e8\u5e8a\u533b\u304c\u60a3\u8005\u306e\u610f\u601d\u6c7a\u5b9a\u306b\u95a2\u4e0e\u3057\u3066\u3044\u308b\u304b\u3001\u3042\u308b\u3044\u306f\u60a3\u8005\u304c\u75c5\u72b6\u3092\u7ba1\u7406\u3059\u308b\u305f\u3081\u306e\u30b5\u30dd\u30fc\u30c8\u3092\u63d0\u4f9b\u3057\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3092\u554f\u3046\u60a3\u8005\u8abf\u67fb\u3092\u5b9f\u65bd\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u3057\u304b\u3057\u3001\u533b\u7642\u6a5f\u95a2\u304c\u60a3\u8005\u306b\u3069\u306e\u3088\u3046\u306b\u3001\u307e\u305f\u3069\u306e\u7a0b\u5ea6\u95a2\u4e0e\u3057\u3066\u3044\u308b\u304b\u3092\u6e2c\u5b9a\u3057\u3001\u500b\u4eba\u306e\u5065\u5eb7\u7dad\u6301\u30fb\u5897\u9032\u306e\u53ef\u80fd\u6027\u3092\u30d5\u30eb\u306b\u767a\u63ee\u3055\u305b\u308b\u305f\u3081\u306b\u3001\u3055\u3089\u306b\u591a\u304f\u306e\u3053\u3068\u304c\u3067\u304d\u308b\u306f\u305a\u3060\u3068\u3044\u3046\u70b9\u3067\u306f\u3001\u5e83\u304f\u610f\u898b\u304c\u4e00\u81f4\u3057\u3066\u3044\u308b\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/89528656c7164b6e779cdf59002c3570.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/89528656c7164b6e779cdf59002c3570.png\" alt=\"\" width=\"1230\" height=\"1466\" class=\"aligncenter size-full wp-image-2594\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/89528656c7164b6e779cdf59002c3570.png 1230w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/89528656c7164b6e779cdf59002c3570-252x300.png 252w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/89528656c7164b6e779cdf59002c3570-859x1024.png 859w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/89528656c7164b6e779cdf59002c3570-768x915.png 768w\" sizes=\"auto, (max-width: 1230px) 100vw, 1230px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/0b445697ab94e76ba9525c78a5da4db5.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/0b445697ab94e76ba9525c78a5da4db5.png\" alt=\"\" width=\"1212\" height=\"678\" class=\"aligncenter size-full wp-image-2595\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/0b445697ab94e76ba9525c78a5da4db5.png 1212w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/0b445697ab94e76ba9525c78a5da4db5-300x168.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/0b445697ab94e76ba9525c78a5da4db5-1024x573.png 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2024\/04\/0b445697ab94e76ba9525c78a5da4db5-768x430.png 768w\" sizes=\"auto, (max-width: 1212px) 100vw, 1212px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112023\u5e7412\u670813\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015 Julia James. Health Policy Brief: Health Affairs. FEBRUARY 14, 2013 \u2015\u8981\u7d04\u2015 \u4f55\u304c\u8ab2\u984c\u304b\uff1f \u60a3\u8005\u304c\u3088\u308a\u7a4d\u6975\u7684\u306b\u533b\u7642\u306b\u95a2\u4e0e\u3059\u308b\u3053\u3068\u3067\u3001\u3088\u308a\u826f\u3044 &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=2592\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u60a3\u8005\u5354\u50cd<\/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":[5,23,2],"tags":[],"class_list":["post-2592","post","type-post","status-publish","format-standard","hentry","category-5","category-23","category-2"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2592","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=2592"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2592\/revisions"}],"predecessor-version":[{"id":2596,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2592\/revisions\/2596"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2592"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2592"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}