{"id":2949,"date":"2025-12-03T13:52:36","date_gmt":"2025-12-03T04:52:36","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2949"},"modified":"2025-12-03T13:52:36","modified_gmt":"2025-12-03T04:52:36","slug":"%e4%b8%80%e8%88%ac%e9%96%8b%e6%a5%ad%e5%8c%bb%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e3%83%97%e3%83%a9%e3%82%bb%e3%83%9c%e6%b2%bb%e7%99%82%e3%81%ae%e5%87%a6%e6%96%b9%e3%81%ae%e5%ae%9f%e6%85%8b","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2949","title":{"rendered":"\u4e00\u822c\u958b\u696d\u533b\u306b\u304a\u3051\u308b\u30d7\u30e9\u30bb\u30dc\u6cbb\u7642\u306e\u51e6\u65b9\u306e\u5b9f\u614b"},"content":{"rendered":"<p>-\u6587\u732e\u540d-<br \/>\nFabian Wolters, Kaya Peerdeman, Jacobijn Gussekloo, et al. Prescriptions of Essentially Placebo Treatments Among General Practitioners in 21 Countries. JAMA Netw Open. 2025;8(9):e2532672.<\/p>\n<p>-\u8981\u7d04-<br \/>\nIntroduction\uff1a<br \/>\n\u533b\u5e2b\u306f\u3001\u85ac\u7406\u5b66\u7684\u307e\u305f\u306f\u751f\u7269\u5b66\u7684\u306b\u60a3\u8005\u306e\u75c7\u72b6\u304c\u6539\u5584\u3059\u308b\u3053\u3068\u3092\u671f\u5f85\u3057\u3066\u3044\u306a\u3044\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u6cbb\u7642\u6cd5\u3092\u51e6\u65b9\u3059\u308b\u3053\u3068\u304c\u3042\u308b\uff08\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\uff09\u3002\u65e2\u5b58\u306e\u7814\u7a76\u3067\u306f\u3001\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u3092\u884c\u3063\u305f\u3053\u3068\u306e\u3042\u308b\u4e00\u822c\u958b\u696d\u533b\uff08GP\uff09\u306e\u5272\u5408\u306e\u63a8\u5b9a\u5024\u306f\u300129\u301c97%\u3068\u5927\u304d\u304f\u7570\u306a\u308b\u3002\u65e2\u5b58\u306e\u7814\u7a76\u306f\u69d8\u3005\u306a\u56fd\u3067\u5b9f\u65bd\u3055\u308c\u3001\u591a\u69d8\u306a\u80cc\u666f\u7279\u6027\u3092\u6301\u3064\u533b\u5e2b\u3092\u5bfe\u8c61\u3068\u3057\u3066\u3044\u308b\u3002\u307e\u305f\u3001\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u306e\u5b9a\u7fa9\u3082\u69d8\u3005\u3067\u3042\u308a\u3001\u4eca\u56de\u306f\u6709\u52b9\u6210\u5206\u3092\u542b\u3080\/\u542b\u307e\u306a\u3044\u3092\u533a\u5225\u305b\u305a\u3001\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u3068\u5b9a\u7fa9\u3057\u305f\u3002<br \/>\nGP\u306f\u3001\u826f\u597d\u306a\u533b\u5e2b\u60a3\u8005\u95a2\u4fc2\u3092\u7dad\u6301\u3059\u308b\u305f\u3081\u306b\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u3092\u3057\u3066\u3044\u308b\u3088\u3046\u306b\u898b\u3048\u308b\u304c\u3001\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u3092\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u60a3\u8005\u306b\u4f1d\u3048\u305a\u3001\u610f\u56f3\u7684\u306b\u66d6\u6627\u306b\u3057\u3066\u3044\u308bGP\u304c\u591a\u304f\u3001\u60a3\u8005\u306b\u767a\u899a\u3057\u305f\u5834\u5408\u306b\u95a2\u4fc2\u3082\u5931\u308f\u308c\u308b\u30ea\u30b9\u30af\u304c\u3042\u308b\u3002\u307e\u305f\u30d7\u30e9\u30bb\u30dc\u304c\u542b\u3080\u6709\u52b9\u6210\u5206\u306b\u3088\u308a\u3001\u60a3\u8005\u3092\u6709\u5bb3\u4f5c\u7528\u306b\u3055\u3089\u3059\u53ef\u80fd\u6027\u3082\u3042\u308b\u3002<br \/>\n\u30d7\u30e9\u30bb\u30dc\u306e\u51e6\u65b9\u7387\u3092\u3088\u308a\u6b63\u78ba\u306b\u63a8\u5b9a\u3057\u3001\u30ea\u30b9\u30af\u306e\u898f\u6a21\u3068\u3001\u4ee3\u66ff\u624b\u6bb5\u306b\u95a2\u3059\u308b\u6559\u80b2\u306a\u3069\u306e\u4ecb\u5165\u306e\u5fc5\u8981\u6027\u3092\u5224\u65ad\u3059\u308b\u305f\u3081\u306b\u300121\u30ab\u56fd\uff08\u4e3b\u306b\u30e8\u30fc\u30ed\u30c3\u30d1\uff09\u306eGP\u3092\u5bfe\u8c61\u306b\u3001\u540c\u3058\u8868\u73fe\u3068\u5b9a\u7fa9\u3092\u4f7f\u7528\u3057\u3066\u3001\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u306e\u983b\u5ea6\u3068\u5f7c\u3089\u306e\u80cc\u666f\u7279\u6027\u306b\u3064\u3044\u3066\u8abf\u67fb\u3057\u305f\u3002<br \/>\nMethod\uff1a<\/p>\n<p>\u30c7\u30b6\u30a4\u30f3 (Design)<\/p>\n<p>\u6a2a\u65ad\u7684\u8abf\u67fb\u7814\u7a76<br \/>\n\u5bfe\u8c61\uff1a\u30aa\u30f3\u30e9\u30a4\u30f3\u30a2\u30f3\u30b1\u30fc\u30c8\u306b\u56de\u7b54\u3057\u305f\u30e8\u30fc\u30ed\u30c3\u30d120\u30ab\u56fd\u3068\u30a4\u30b9\u30e9\u30a8\u30eb\u306eGP<br \/>\n\u3000\u3000\uff08\u552f\u4e00\u306e\u57fa\u6e96\uff1a\u56de\u7b54\u6642\u306bGP\u3068\u3057\u3066\u50cd\u3044\u3066\u3044\u308b\u3053\u3068\uff09<br \/>\n\u9023\u7d61\u65b9\u6cd5\uff1a\u5404\u56fd\u306e\u4ee3\u8868\u8005\u304c\u3001\u500b\u4eba\u7684\u306a\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u307e\u305f\u306f\u65e2\u5b58\u306e\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u3092\u7528\u3044\u3066\u9023\u7d61<br \/>\n\u30aa\u30f3\u30e9\u30a4\u30f3\u30a2\u30f3\u30b1\u30fc\u30c8\u306e\u5b9f\u65bd\u671f\u9593\uff1a2019\u5e7412\u670812\u65e5\u304b\u30892021\u5e748\u67084\u65e5<br \/>\n\u5206\u6790\u65e5\uff1a2022\u5e744\u670828\u65e5<\/p>\n<p>\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u3068\u6e2c\u5b9a (MAIN OUTCOMES AND MEASURES)<br \/>\n \u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\uff1a\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u306e\u983b\u5ea6\uff08\u9031\u3042\u305f\u308a\u306e\u983b\u5ea6\u53ca\u3073\u8a3a\u5bdf\u4ef6\u6570\u306b\u5bfe\u3059\u308b\u5272\u5408\uff09<br \/>\n\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\uff1a\u983b\u5ea6\u3068GP\u306e\u80cc\u666f\u7279\u6027\uff08\u6027\u5225\u3001\u5e74\u9f62\u3001\u30d7\u30e9\u30bb\u30dc\u306b\u95a2\u3059\u308b\u6559\u80b2\u3001\u7d4c\u9a13\u5e74\u6570\u3001\u8a3a\u5bdf\u3057\u305f\u60a3\u8005\u6570\u3001\u9031\u3042\u305f\u308a\u306e\u52b4\u50cd\u6642\u9593\uff09\u3068\u306e\u95a2\u9023<\/p>\n<p>\u8a2d\u5b9a (Setting)<br \/>\n\u30c7\u30fc\u30bf\u306f European General Practice Research Network (EGPRN) \u3092\u901a\u3058\u3066\u53ce\u96c6\u3055\u308c\u305f\u3002<br \/>\n\u7d71\u8a08\u5206\u6790 (Statistical Analysis)<br \/>\n\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306f\u3001\u63a8\u5b9a\u9031\u9593\u51e6\u65b9\u6570\u306b\u6a19\u6e96\u5316\u3055\u308c\u305f\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u3067\u3042\u308a\u3001\u3053\u306e\u6570\u5024\u3092\u9031\u3042\u305f\u308a\u306e\u8a3a\u5bdf\u60a3\u8005\u6570\u3067\u5272\u3063\u3066\u3001\u8a3a\u5bdf\u306b\u304a\u3051\u308b\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u306e\u5272\u5408\u3092\u8a08\u7b97\u3057\u305f\u3002\u500b\u3005\u306e\u7279\u6027\u3068\u306e\u95a2\u9023\u3092\u8abf\u3079\u308b\u305f\u3081\u306b\u3001\u591a\u5909\u91cf\u7dda\u5f62\u56de\u5e30\u5206\u6790\u306b\u3001\u6027\u5225\u3001\u5e74\u9f62\u3001\u6559\u80b2\u306e\u8a8d\u8b58\u3055\u308c\u305f\u8cea\u3001\u7d4c\u9a13\u5e74\u6570\u3001\u60a3\u8005\u6570\u3001\u52b4\u50cd\u6642\u9593\u3001\u304a\u3088\u3073\u52df\u96c6\u65b9\u6cd5\u304c\u8981\u56e0\u3068\u3057\u3066\u5165\u529b\u3055\u308c\u305f\u3002\u56de\u5e30\u5206\u6790\u306b\u306f\u3001\u3059\u3079\u3066\u306e\u5909\u6570\u3067\u6709\u52b9\u306a\u30b9\u30b3\u30a2\u3092\u6301\u3064669\u4eba\u306e\u56de\u7b54\u8005\u306e\u307f\u304c\u542b\u307e\u308c\u305f\u3002\u30dc\u30f3\u30d5\u30a7\u30ed\u30fc\u30cb\u88dc\u6b63\u304c\u9069\u7528\u3055\u308c\u305f\u3002\u56fd\u9593\u306e\u7d71\u8a08\u7684\u6bd4\u8f03\u306f\u3001\u30b5\u30f3\u30d7\u30eb\u306e\u5c0f\u3055\u3055\u306e\u305f\u3081\u306b\u884c\u308f\u308c\u306a\u304b\u3063\u305f\u3002<\/p>\n<p>Results\uff1a<br \/>\n\u53c2\u52a0\u8005 (Participants)<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/1fef35f744e41e6f4926ca98db82d757.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/1fef35f744e41e6f4926ca98db82d757.jpg\" alt=\"\" width=\"718\" height=\"352\" class=\"alignnone size-full wp-image-2954\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/1fef35f744e41e6f4926ca98db82d757.jpg 718w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/1fef35f744e41e6f4926ca98db82d757-300x147.jpg 300w\" sizes=\"auto, (max-width: 718px) 100vw, 718px\" \/><\/a><\/p>\n<p>\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u306e\u7a2e\u985e (Types of Essentially Placebo Prescriptions)<br \/>\n\u6700\u3082\u591a\u304b\u3063\u305f\u306e\u306f\u4f55\u3089\u304b\u306e\u7a2e\u985e\u306e\u30d3\u30bf\u30df\u30f3\u3067\u3042\u308a\u3001\u6b21\u306b\u4ed6\u306e\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3068\u30db\u30e1\u30aa\u30d1\u30b7\u30fc\u306a\u3069\u306e\u4ee3\u66ff\u533b\u7642\u304c\u7d9a\u3044\u305f\u3002\u6297\u751f\u7269\u8cea\u3084\u30d9\u30f3\u30be\u30b8\u30a2\u30bc\u30d4\u30f3\u306a\u3069\u306e\u6709\u5bb3\u4f5c\u7528\u306e\u3042\u308b\u85ac\u304c\u8a00\u53ca\u3055\u308c\u305f\u306e\u306f\u3054\u304f\u7a00\u3002\u7a7a\u306e\u30d1\u30c3\u30c1\u3084\u751f\u7406\u98df\u5869\u6c34\u306a\u3069\u306e\u7d14\u7c8b\u306a\u30d7\u30e9\u30bb\u30dc\u3082\u7a00\u3060\u3063\u305f\u3002<br \/>\n\u5408\u8a08818\u4eba\u306e\u56de\u7b54\u8005\u304c\u51e6\u65b9\u983b\u5ea6\u3092\u56de\u7b54\u3057\u3001689\u4eba\uff0884%\uff09\u304c\u5c11\u306a\u304f\u3068\u3082\u4e00\u5ea6\u306f\u30d7\u30e9\u30bb\u30dc\u3092\u51e6\u65b9\u3057\u305f\u3053\u3068\u304c\u3042\u308b\u3068\u56de\u7b54\u3057\u305f \u3002<br \/>\n\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u7387<br \/>\n\u25cf\t\u5168\u56de\u7b54\u8005\u3067\u306f2\u9031\u9593\u306b1\u56de\uff08\u4e2d\u592e\u5024\uff3b\u56db\u5206\u7bc4\u56f2\uff3d\u30010.5\uff3b0.1\u301c2.0\uff3d\u56de\/\u9031\uff09<br \/>\n\u25cf\t\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u7d4c\u9a13\u304c\u3042\u308b\u56de\u7b54\u8005\u3067\u306f\u90311\u56de\uff08\u4e2d\u592e\u5024\uff3b\u56db\u5206\u7bc4\u56f2\uff3d\u30011\uff3b0.3\u301c3.0\uff3d\u56de\/\u9031\uff09<br \/>\n1\u8a3a\u5bdf\u3042\u305f\u308a\u306e\u51e6\u65b9\u7387<br \/>\n\u25cf\t\u5168\u56de\u7b54\u8005\u3067\u306f150\u56de\u306e\u8a3a\u5bdf\u306b1\u56de\uff08\u4e2d\u592e\u5024\uff3b\u56db\u5206\u7bc4\u56f2\uff3d\u30010.67\uff3b0.06\u301c2.50\uff3d\uff05\uff09<br \/>\n\u25cf\t\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u7d4c\u9a13\u304c\u3042\u308b\u56de\u7b54\u8005\u3067\u306f100\u56de\u306b1\u56de1.00%\uff08\u4e2d\u592e\u5024\uff3b\u56db\u5206\u7bc4\u56f2\uff3d\u30011.00\uff3b0.31\u301c3.21\uff3d%\uff09<br \/>\n\u25cf\t\u56fd\u306b\u3088\u3063\u3066\u7570\u306a\u308a\u3001\u82f1\u56fd\u306e0.1%\u304b\u3089\u30d5\u30e9\u30f3\u30b9\u306e2.5%\u307e\u3067\u5dee\u304c\u3042\u3063\u305f\u3002<\/p>\n<p>\u51e6\u65b9\u7387\u3068\u80cc\u666f\u5909\u6570 (Prescribing Rate and Background Variables)<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/fc3e5d94fdc026505ba5ab1a125da53c.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/fc3e5d94fdc026505ba5ab1a125da53c.jpg\" alt=\"\" width=\"1060\" height=\"440\" class=\"alignnone size-full wp-image-2953\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/fc3e5d94fdc026505ba5ab1a125da53c.jpg 1060w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/fc3e5d94fdc026505ba5ab1a125da53c-300x125.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/fc3e5d94fdc026505ba5ab1a125da53c-1024x425.jpg 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/fc3e5d94fdc026505ba5ab1a125da53c-768x319.jpg 768w\" sizes=\"auto, (max-width: 1060px) 100vw, 1060px\" \/><\/a><\/p>\n<p>\u80cc\u666f\u5909\u6570\u3092\u56e0\u5b50\u3068\u3057\u3001\u8a3a\u7642\u3042\u305f\u308a\u306e\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u306e\u7387\u3092\u7d50\u679c\u5909\u6570\u3068\u3057\u3066\u7dda\u5f62\u56de\u5e30\u5206\u6790\u3092\u5b9f\u65bd\u3057\u305f\u3002\u56e0\u5b50\u306e\u4e00\u89a7\u3068\u305d\u308c\u3089\u306e\u9593\u306e\u30d4\u30a2\u30bd\u30f3\u76f8\u95a2\u4fc2\u6570\u306fTable3\u306b\u793a\u3059\u3002\u8a3a\u7642\u5e74\u6570\u3068\u5e74\u9f62\u306e\u76f8\u95a2\u304c\u9ad8\u304f\u3001\u5171\u7dda\u6027\u306e\u30ea\u30b9\u30af\u304c\u61f8\u5ff5\u3055\u308c\u305f\u305f\u3081\u3002\u6700\u7d42\u5206\u6790\u3067\u306f\u3001\u958b\u696d\u5e74\u6570\u3092\u7dad\u6301\u3057\u3001\u5e74\u9f62\u306f\u9664\u5916\u3057\u305f\u3002<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/d485fb8e9ec22867c06d11d180d51e82.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/d485fb8e9ec22867c06d11d180d51e82-1024x310.jpg\" alt=\"\" width=\"660\" height=\"200\" class=\"alignnone size-large wp-image-2952\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/d485fb8e9ec22867c06d11d180d51e82-1024x310.jpg 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/d485fb8e9ec22867c06d11d180d51e82-300x91.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/d485fb8e9ec22867c06d11d180d51e82-768x232.jpg 768w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/d485fb8e9ec22867c06d11d180d51e82.jpg 1065w\" sizes=\"auto, (max-width: 660px) 100vw, 660px\" \/><\/a><br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/c07ed3b3e2a49a5d35869f18f791dc95.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/c07ed3b3e2a49a5d35869f18f791dc95.jpg\" alt=\"\" width=\"977\" height=\"265\" class=\"alignnone size-full wp-image-2951\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/c07ed3b3e2a49a5d35869f18f791dc95.jpg 977w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/c07ed3b3e2a49a5d35869f18f791dc95-300x81.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/c07ed3b3e2a49a5d35869f18f791dc95-768x208.jpg 768w\" sizes=\"auto, (max-width: 977px) 100vw, 977px\" \/><\/a><\/p>\n<p>\u7dda\u5f62\u56de\u5e30\u306f\u3001\u5b9f\u8cea\u7684\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u7387\uff08\u8a3a\u5bdf\u3042\u305f\u308a\u306e\u5272\u5408\uff09\u3092\u8aac\u660e\u3057\u305f(R2}=0.07;P<.001) \u3002\n\u51e6\u65b9\u7387\u306f\u3001\u7537\u6027GP\u3001\u7d4c\u9a13\u5e74\u6570\u306e\u9577\u3044GP\u3001\u9031\u3042\u305f\u308a\u306e\u52e4\u52d9\u6642\u9593\u304c\u77ed\u3044GP\u3067\u9ad8\u304b\u3063\u305f\u3002 \u5404\u6709\u610f\u5909\u6570\u306e\u5bc4\u4e0e\u5ea6\u306f\u5c0f\u3055\u304b\u3063\u305f\uff08\u3059\u3079\u3066\u306e\u534a\u504f\u76f8\u95a2\u6570 \u226614\uff09\u3002\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/2ec3ecfc46d698bba093b191da1a7e1e.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/2ec3ecfc46d698bba093b191da1a7e1e-300x160.jpg\" alt=\"\" width=\"300\" height=\"160\" class=\"alignnone size-medium wp-image-2950\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/2ec3ecfc46d698bba093b191da1a7e1e-300x160.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2025\/12\/2ec3ecfc46d698bba093b191da1a7e1e.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Discussion\uff1a<br \/>\n\u3000\u3053\u306e\u7814\u7a76\u3067\u306f\u3001818\u4eba\u306eGP\u306e\u56de\u7b54\u3092\u8abf\u67fb\u3057\u3001\u56de\u7b54\u8005\u306e84%\u304c\u30ad\u30e3\u30ea\u30a2\u306e\u4e2d\u3067\u5c11\u306a\u304f\u3068\u3082\u4e00\u5ea6\u306f\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u6cbb\u7642\u3092\u51e6\u65b9\u3057\u305f\u3053\u3068\u304c\u5206\u304b\u3063\u305f\u3002\u5e73\u5747\u3057\u3066\u3001\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u306f2\u9031\u9593\u306b1\u56de\u3001\u307e\u305f\u306f150\u56de\u306e\u8a3a\u5bdf\u306b1\u56de\u767a\u751f\u3057\u305f\u3002\u51e6\u65b9\u7387\u306f\u56fd\u306b\u3088\u3063\u30660.1%\u304b\u30892.5%\u307e\u3067\u7570\u306a\u3063\u305f\u3002\u30d7\u30e9\u30bb\u30dc\u6cbb\u7642\u306f\u3001\u7537\u6027\u3001\u7d4c\u9a13\u5e74\u6570\u304c\u9577\u3044\u4eba\u3001\u307e\u305f\u306f\u9031\u3042\u305f\u308a\u306e\u52b4\u50cd\u6642\u9593\u304c\u5c11\u306a\u3044\u4eba\u306b\u3088\u3063\u3066\u3088\u308a\u983b\u7e41\u306b\u4e0e\u3048\u3089\u308c\u3066\u3044\u305f\u304c\u3001\u3053\u308c\u3089\u306e\u9055\u3044\u306f\u3059\u3079\u3066\u5c0f\u3055\u306a\u3082\u306e\u3060\u3063\u305f \u3002<br \/>\n\u3000\u305f\u3060\u3057\u63a8\u5b9a\u5024\u306f\u81ea\u5df1\u7533\u544a\u306b\u57fa\u3065\u304f\u3082\u306e\u3067\u3042\u308a\u3001\u8a18\u61b6\u3084\u793e\u4f1a\u7684\u671b\u307e\u3057\u3055\u306b\u3088\u308b\u30d0\u30a4\u30a2\u30b9\u306e\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u614e\u91cd\u306b\u89e3\u91c8\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b \u3002<br \/>\n\u3000\u672c\u7814\u7a76\u304c\u65e2\u5b58\u306e\u7814\u7a76\u3068\u7570\u306a\u308b\u5074\u9762\u306e1\u3064\u306f\u3001\u500b\u3005\u306e\u7279\u6027\u3068\u51e6\u65b9\u7387\u3068\u306e\u95a2\u9023\u3067\u3042\u308b\u3002\u4ee5\u524d\u306e\u7814\u7a76\u3067\u306f\u3001\u6027\u5225\u3084\u5e74\u9f62\u3068\u306e\u95a2\u9023\u304c\u306a\u3044\u304b\u3001\u307b\u3068\u3093\u3069\u898b\u3089\u308c\u306a\u304b\u3063\u305f\u304c\u3001\u6027\u5225\u3068\u5e74\u9f62\u3001\u304a\u3088\u3073\u9031\u3042\u305f\u308a\u306e\u52b4\u50cd\u6642\u9593\u3068\u5b9f\u52d9\u7d4c\u9a13\u5e74\u6570\u3068\u306e\u95a2\u9023\u3092\u898b\u3064\u3051\u305f\u3002\u305f\u3060\u3057\u3001\u89b3\u5bdf\u3055\u308c\u305f\u95a2\u9023\u306f\u6bd4\u8f03\u7684\u5c0f\u3055\u304f\u3001\u5c0f\u3055\u306a\u7814\u7a76\u3067\u306f\u89b3\u5bdf\u3055\u308c\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u3042\u308b\u3044\u306f\u5076\u7136\u306e\u767a\u898b\u3067\u3042\u308b\u53ef\u80fd\u6027\u3055\u3048\u3042\u308b \u3002<br \/>\n\u3053\u306e\u7814\u7a76\u306e\u7d50\u679c\u306f\u3001\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u304c\u983b\u7e41\u3067\u3042\u308b\u3068\u540c\u6642\u306b\u983b\u7e41\u3067\u306f\u306a\u3044\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u3002\u500b\u3005\u306eGP\u306b\u3068\u3063\u3066\u306f\u307e\u308c\u306b\u3057\u304b\u767a\u751f\u3057\u306a\u3044\u305f\u3081\u3001\u7121\u5bb3\u3068\u898b\u306a\u3055\u308c\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u304c\u3001GP\u306b\u5f53\u3066\u306f\u307e\u308b\u4e8b\u5b9f\u306f\u3001\u96c6\u56e3\u30ec\u30d9\u30eb\u3067\u306f\u591a\u6570\u306e\u8a3a\u5bdf\u3067\u767a\u751f\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u610f\u5473\u3059\u308b\u3002\u60a3\u8005\u306e\u8996\u70b9\u304b\u3089\u306f\u3001150\u5206\u306e1\u306e\u78ba\u7387\u3067\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u85ac\u3092\u53d7\u3051\u53d6\u308b\u53ef\u80fd\u6027\u306f\u61f8\u5ff5\u3055\u308c\u308b\u304b\u3082\u3057\u308c\u306a\u3044 \u3002<br \/>\n\u30ea\u30b9\u30af\u304c\u3042\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u51e6\u65b9\u304c\u884c\u308f\u308c\u3066\u3044\u308b\u3053\u3068\u304b\u3089\u3001\u305d\u308c\u3089\u306e\u30ea\u30b9\u30af\u3092\u4e0a\u56de\u308b\u52d5\u6a5f\u304c\u3042\u308b\u306f\u305a\u3067\u3042\u308b\u3002\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u6cbb\u7642\u306e\u80cc\u5f8c\u306b\u3042\u308b\u610f\u601d\u6c7a\u5b9a\u30d7\u30ed\u30bb\u30b9\u3068\u3001\u305d\u308c\u304c\u3082\u305f\u3089\u3059\u30ea\u30b9\u30af\u3068\u5bb3\u306b\u3064\u3044\u3066\u3001\u3055\u3089\u306a\u308b\u7814\u7a76\u3092\u63a8\u5968\u3059\u308b\u3002<br \/>\nLimitations\uff1a<br \/>\n\u25cf\t\u56de\u7b54\u7387\u304c\u56fd\u306b\u3088\u3063\u3066\u7570\u306a\u308a\u3001\u52df\u96c6\u65b9\u6cd5\uff08\u56fd\u3068\u5171\u5909\u52d5\uff09\u3082\u51e6\u65b9\u7d4c\u9a13\u306e\u306a\u3044\u30b0\u30eb\u30fc\u30d7\u3068\u3042\u308b\u30b0\u30eb\u30fc\u30d7\u3067\u7570\u306a\u3063\u3066\u3044\u305f \u3002\u3053\u308c\u306f\u3001\u5b9f\u8cea\u7684\u306a\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u304c\u305d\u308c\u307b\u3069\u8ad6\u4e89\u7684\u3067\u306f\u306a\u3044\u56fd\u306eGP\u306b\u3068\u3063\u3066\u30a2\u30f3\u30b1\u30fc\u30c8\u3078\u306e\u95a2\u5fc3\u304c\u4f4e\u304f\u3001\u51e6\u65b9\u7387\u304c\u904e\u5c0f\u8a55\u4fa1\u3055\u308c\u3066\u3044\u308b\u53ef\u80fd\u6027\u306a\u3069\u3001\u30d0\u30a4\u30a2\u30b9\u3092\u793a\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b \u3002<br \/>\n\u25cf\t\u500b\u4eba\u7684\u306a\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u3092\u901a\u3058\u3066\u52df\u96c6\u3055\u308c\u305f\u53c2\u52a0\u8005\u306f\u3001\u52df\u96c6\u3057\u305f\u4ee3\u8868\u8005\u3068\u3088\u308a\u985e\u4f3c\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u5747\u8cea\u6027\u304c\u8a87\u5f35\u3055\u308c\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b \u3002<br \/>\n\u25cf\t\u56fd\u3042\u305f\u308a\u306e\u53c2\u52a0\u8005\u6570\u304c\u6bd4\u8f03\u7684\u5c11\u306a\u304b\u3063\u305f\u305f\u3081\u3001\u56fd\u9593\u306e\u7d71\u8a08\u7684\u6bd4\u8f03\u306f\u3067\u304d\u305a\u3001\u5404\u56fd\u306e\u4ee3\u8868\u7684\u306a\u30b5\u30f3\u30d7\u30eb\u3092\u63d0\u4f9b\u3057\u3066\u3044\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b \u3002<br \/>\n\u25cf\t\u30a4\u30b9\u30e9\u30a8\u30eb\u3092\u9664\u304d\u3001\u30e8\u30fc\u30ed\u30c3\u30d1\u8af8\u56fd\u306e\u307f\u304c\u542b\u307e\u308c\u3066\u304a\u308a\u3001\u4ed6\u306e\u56fd\u306e\u8a3a\u7642\u306b\u4e00\u822c\u5316\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u306a\u3044\u3002<br \/>\nConclusions\uff1a<br \/>\n21\u30ab\u56fd\u306eGP\u3092\u5bfe\u8c61\u3068\u3057\u305f\u672c\u8abf\u67fb\u7814\u7a76\u3067\u306f\u3001\u672c\u8cea\u7684\u306b\u30d7\u30e9\u30bb\u30dc\u51e6\u65b9\u3068\u306a\u308b\u30b1\u30fc\u30b9\u306f\u8a3a\u7642\u306e\u3054\u304f\u4e00\u90e8\u306b\u7559\u307e\u308b\u3082\u306e\u306e\u3001\u307b\u3068\u3093\u3069\u306eGP\u306b\u304a\u3044\u3066\u5b9a\u671f\u7684\u306b\u884c\u308f\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u305f\u3002\u4eca\u5f8c\u306e\u7814\u7a76\u3067\u306f\u3001\u3053\u3046\u3057\u305f\u51e6\u65b9\u306e\u80cc\u666f\u306b\u3042\u308b\u6b63\u78ba\u306a\u610f\u601d\u6c7a\u5b9a\u30d7\u30ed\u30bb\u30b9\u3068\u6cbb\u7642\u7d4c\u904e\u306b\u3064\u3044\u3066\u3055\u3089\u306b\u8abf\u67fb\u3059\u3079\u304d\u3067\u3042\u308b<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112025\u5e7412\u67083\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"<p>-\u6587\u732e\u540d- Fabian Wolters, Kaya Peerdeman, Jacobijn Gussekloo, et al. Prescriptions of Essentially Placebo Treatmen &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=2949\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u4e00\u822c\u958b\u696d\u533b\u306b\u304a\u3051\u308b\u30d7\u30e9\u30bb\u30dc\u6cbb\u7642\u306e\u51e6\u65b9\u306e\u5b9f\u614b<\/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":[9,23],"tags":[],"class_list":["post-2949","post","type-post","status-publish","format-standard","hentry","category-9","category-23"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2949","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=2949"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2949\/revisions"}],"predecessor-version":[{"id":2955,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2949\/revisions\/2955"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2949"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2949"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2949"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}