{"id":3011,"date":"2026-07-02T16:44:26","date_gmt":"2026-07-02T07:44:26","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=3011"},"modified":"2026-07-02T16:44:26","modified_gmt":"2026-07-02T07:44:26","slug":"%e5%ae%b6%e5%ba%ad%e5%8c%bb%e3%81%ae%e3%82%b0%e3%83%ab%e3%83%bc%e3%83%97%e8%a8%ba%e7%99%82%e6%89%80%e3%81%ae%e9%ab%98%e6%a5%ad%e7%b8%be%e3%81%ae%e4%ba%88%e6%b8%ac%e5%9b%a0%e5%ad%90","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=3011","title":{"rendered":"\u5bb6\u5ead\u533b\u306e\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\u6240\u306e\u9ad8\u696d\u7e3e\u306e\u4e88\u6e2c\u56e0\u5b50"},"content":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d<br \/>\nNicole Kain, Nigel Ashworth, Nancy Hernandez-Ceron, Homeira Hamayeli-Mehrabani, Iryna Hurava, Kushagr Kumar. Predictors of high-performing family medicine clinics. Canadian Family Physician Jun 2026, 72 (6) 400-407<\/p>\n<p>\uff0d\u8981\u7d04\uff0d<br \/>\n<strong>Introduction\uff08\u80cc\u666f\u3068\u76ee\u7684\uff09<\/strong><br \/>\n\u25cf\u7814\u7a76\u306e\u80cc\u666f\u3068\u5206\u304b\u3063\u3066\u3044\u308b\u3053\u3068\uff1a<br \/>\n\u8fd1\u5e74\u300c\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\uff08Group practice\uff09\u300d\u3078\u306e\u79fb\u884c\u304c\u4e16\u754c\u7684\u306b\u63a8\u9032\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u5358\u72ec\u8a3a\u7642\uff08Solo practice\uff09\u306b\u6bd4\u3079\u3001\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\u306f\u30b5\u30dd\u30fc\u30c8\u4f53\u5236\u306e\u3042\u308b\u826f\u597d\u306a\u52b4\u50cd\u74b0\u5883\u3092\u63d0\u4f9b\u3057\u3001\u533b\u5e2b\u306e\u30a6\u30a7\u30eb\u30d3\u30fc\u30a4\u30f3\u30b0\uff08\u5b64\u7acb\u611f\u306e\u8efd\u6e1b\uff09\u3084\u60a3\u8005\u30b1\u30a2\u306e\u8cea\uff08\u8a3a\u7642\u6642\u9593\u306e\u5ef6\u9577\u3084\u5171\u540c\u610f\u601d\u6c7a\u5b9a\uff09\u3092\u5411\u4e0a\u3055\u305b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n<p>\u25cf \u5206\u304b\u3063\u3066\u3044\u306a\u3044\u3053\u3068\uff08\u89e3\u6c7a\u3059\u3079\u304d\u8ab2\u984c\uff09\uff1a<br \/>\n\u3057\u304b\u3057\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\u304c\u5b9f\u969b\u306b\u60a3\u8005\u30b1\u30a2\u306e\u6210\u679c\u3092\u5411\u4e0a\u3055\u305b\u308b\u306e\u304b\u3001\u307e\u305f\u3069\u306e\u3088\u3046\u306a\u8981\u56e0\u304c\u30b0\u30eb\u30fc\u30d7\u5168\u4f53\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u3092\u5de6\u53f3\u3059\u308b\u306e\u304b\u306b\u3064\u3044\u3066\u306e\u76f4\u63a5\u7684\u306a\u8a3c\u62e0\u306f\u3053\u308c\u307e\u3067\u4e0d\u900f\u660e\u3067\u3057\u305f\u3002\u30ab\u30ca\u30c0\u30fb\u30a2\u30eb\u30d0\u30fc\u30bf\u5dde\u3067\u306f\u5bb6\u5ead\u533b\u306e\u7d0456%\u304c\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u3001\u533b\u7642\u898f\u5236\u6a5f\u95a2\u3067\u3042\u308b\u30a2\u30eb\u30d0\u30fc\u30bf\u5dde\u533b\u5e2b\u4f1a\uff08CPSA\uff09\u306f\u30af\u30ea\u30cb\u30c3\u30af\u30ec\u30d9\u30eb\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u3092\u8a55\u4fa1\u30fb\u6539\u5584\u3059\u308b\u305f\u3081\u306e\u67a0\u7d44\u307f\u300cGroup Practice Review\uff08GPR\uff09\uff1a\u81e8\u5e8a\u8a3a\u7642\u3092\u8a55\u4fa1\u3057\u6539\u5584\u3059\u308b\u305f\u3081\u306b\u8a2d\u8a08\u3055\u308c\u305f\u3001\u8cbb\u7528\u5bfe\u52b9\u679c\u304c\u9ad8\u304f\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u305f\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u3067\u3042\u308b\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\u30ec\u30d3\u30e5\u30fc\u300d\u3092\u958b\u767a\u3057\u3066\u30d1\u30a4\u30ed\u30c3\u30c8\u7814\u7a76\u3092\u884c\u3044\u307e\u3057\u305f\u304c\u3001\u30b5\u30f3\u30d7\u30eb\u30b5\u30a4\u30ba\u304c\u5c0f\u3055\u304b\u3063\u305f\u305f\u3081\u3001\u30af\u30ea\u30cb\u30c3\u30af\u9593\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u306e\u9055\u3044\u3092\u4e88\u6e2c\u3059\u308b\u8981\u56e0\uff08\u4e88\u6e2c\u56e0\u5b50\uff09\u3092\u691c\u8a3c\u3059\u308b\u307e\u3067\u306b\u306f\u81f3\u3063\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<p>\u25cf \u672c\u7814\u7a76\u306e\u76ee\u7684\uff1a<br \/>\n\u30a2\u30eb\u30d0\u30fc\u30bf\u5dde\u5185\u306e\u3088\u308a\u5927\u898f\u6a21\u3067\u30e9\u30f3\u30c0\u30e0\u306b\u62bd\u51fa\u3055\u308c\u305f\u5bb6\u5ead\u533b\u30fb\u4e00\u822c\u533b\u306e\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\u30af\u30ea\u30cb\u30c3\u30af\u3092\u5bfe\u8c61\u306bGPR\u306e\u67a0\u7d44\u307f\u3092\u9069\u7528\u3057\u3001CPSA\u306e\u8a3a\u7642\u57fa\u6e96\uff08SOP\uff09\u3078\u306e\u9075\u5b88\u5ea6\uff08\uff1d\u30af\u30ea\u30cb\u30c3\u30af\u5168\u4f53\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u306e\u4ee3\u66ff\u6307\u6a19\uff09\u306b\u95a2\u9023\u3059\u308b\u6f5c\u5728\u7684\u306a\u30ea\u30b9\u30af\u8981\u56e0\u304a\u3088\u3073\u4fdd\u8b77\u8981\u56e0\u3092\u691c\u8a3c\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u884c\u308f\u308c\u307e\u3057\u305f\u3002<\/p>\n<p><strong>Method\uff08\u65b9\u6cd5\uff09<\/strong><br \/>\n\u25cf \u7814\u7a76\u30c7\u30b6\u30a4\u30f3\uff1a 2017\u5e74\u304b\u30892019\u5e74\u306b\u304b\u3051\u3066\u5b9f\u65bd\u3055\u308c\u305f\u524d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3002<br \/>\n\u25cf \u5bfe\u8c61\uff08\u30af\u30ea\u30cb\u30c3\u30af\u306e\u9078\u5b9a\uff09\uff1a<br \/>\n\u30a2\u30eb\u30d0\u30fc\u30bf\u5dde\u306e594\u540d\u306e\u5bb6\u5ead\u533b\uff08FM\uff09\u304a\u3088\u3073\u4e00\u822c\u533b\uff08GP\uff09\u3092\u64c1\u3059\u308b\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\u30af\u30ea\u30cb\u30c3\u30af\u304b\u3089\u5358\u7d14\u7121\u4f5c\u70ba\u62bd\u51fa\u3055\u308c\u305f70\u65bd\u8a2d\u3002<br \/>\n\u203b\u300c\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\u300d\u306e\u5b9a\u7fa9\u306f\u3001\u540c\u3058\u8a3a\u7642\u6240\u3067\u50cd\u304d\u3001\u884c\u653f\u30d7\u30ed\u30bb\u30b9\u3084\u30ea\u30bd\u30fc\u30b9\u306e\u8cac\u4efb\u3092\u5171\u6709\u3057\u3001\u304a\u4e92\u3044\u306e\u60a3\u8005\u3092\u76f8\u4e92\u306b\u30ab\u30d0\u30fc\uff08\u8a3a\u7642\u5bfe\u5fdc\uff09\u3067\u304d\u308b2\u4eba\u4ee5\u4e0a\u306e\u533b\u5e2b\u3068\u3055\u308c\u307e\u3057\u305f\u3002\u30b3\u30df\u30e5\u30cb\u30c6\u30a3\u30d9\u30fc\u30b9\u3067\u306f\u306a\u3044\u30af\u30ea\u30cb\u30c3\u30af\u3084\u3001\u4ed6\u79d1\u306e\u5c02\u9580\u533b\u3092\u542b\u3080\u30af\u30ea\u30cb\u30c3\u30af\u3001\u904e\u53bb\u306e\u8abf\u67fb\u5bfe\u8c61\u8005\u306a\u3069\u306f\u9664\u5916\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>\u25cf \u6e2c\u5b9a\u3055\u308c\u305f\u5909\u6570\uff1a<br \/>\n\u25cb \u72ec\u7acb\u5909\u6570\uff08\u8aac\u660e\u5909\u6570\uff09\uff1a<br \/>\n1. \u533b\u5e2b\u30fb\u8a3a\u7642\u7279\u6027\uff1a \u4eba\u53e3\u7d71\u8a08\u5b66\u306a\u7279\u5fb4\u3001\u5c02\u9580\u533b\u8cc7\u683c\uff08CCFP\uff09\u306e\u6709\u7121\u3001\u8a3a\u7642\u5e74\u6570\u3001\u60a3\u8005\u6570\u3001\u9031\u3042\u305f\u308a\u306e\u7a3c\u50cd\u65e5\u6570\u3002\u203b\u4e00\u90e8\u8a8d\u5b9a\u306b\u3070\u3089\u3064\u304d\u304c\u53cd\u6620<br \/>\n2. \u8a3a\u7642\u57fa\u6e96\uff08SOP)\u9075\u5b88\u5ea6\uff1a \u73fe\u5730\u8abf\u67fb\u54e1\u306b\u3088\u308b\u8a55\u4fa1\u3002\u300c\u30c9\u30ad\u30e5\u30e1\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3068\u8a18\u9332\u7ba1\u7406\u300d\u300c\u51e6\u65b9\u300d\u300c\u611f\u67d3\u4e88\u9632\u3068\u7ba1\u7406\u300d\u300c\u60a3\u8005\u306e\u30a2\u30af\u30bb\u30b9\u3068\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u300d\u300c\u5c02\u9580\u7684\u8cac\u4efb\u300d\u306e5\u9818\u57df\u306b\u304a\u3051\u308b\u9075\u5b88\u5272\u5408\u3092\u7b97\u51fa\u3002\u203b\u30b9\u30b3\u30a2\u304c90\uff05\u4ee5\u4e0a\u304c\u9ad8\u696d\u7e3e\u3068\u5206\u985e<br \/>\n3. \u30c1\u30e3\u30fc\u30c8\u30b9\u30b3\u30a2\uff1a \u72ec\u7acb\u3057\u305f\u8a13\u7df4\u3092\u53d7\u3051\u305fCPSA\u306e\u770b\u8b77\u5e2b\u304c\u3001\u5404\u30af\u30ea\u30cb\u30c3\u30af10\u4ef6\u306e\u60a3\u8005\u30ab\u30eb\u30c6\u3092\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\u306b\u57fa\u3065\u3044\u3066\u30ec\u30d3\u30e5\u30fc\u3057\u3001\u8a18\u8f09\u306e\u8cea\uff08\u60a3\u8005\u306e\u8b58\u5225\u60c5\u5831\u3001\u7dca\u6025\u9023\u7d61\u5148\u3001\u6295\u85ac\u6b74\u3001\u30a2\u30ec\u30eb\u30ae\u30fc\u6b74\u3001\u75c5\u6b74\u3068\u793e\u4f1a\u6b74\u3001\u5065\u5eb7\u5897\u9032\u306e\u8a08\u753b\u3001\u66f4\u65b0\u65e5\uff09\u3092\u8a55\u4fa1\u3002<br \/>\n4. \u82e6\u60c5\u30c7\u30fc\u30bf\uff1a CPSA\u306b\u5bc4\u305b\u3089\u308c\u305f\u3001\u767b\u9332\u5e74\u3042\u305f\u308a\u306e\u5e73\u5747\u82e6\u60c5\u4ef6\u6570\u3002<br \/>\n5. \u51e6\u65b9\u30c7\u30fc\u30bf\uff1a 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\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u5206\u6790\u3092\u7528\u3044\u3066\u3001\u9ad8\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u306e\u30af\u30ea\u30cb\u30c3\u30af\u3092\u4e88\u6e2c\u3059\u308b\u4e3b\u8981\u306a\u56e0\u5b50\u3092\u62bd\u51fa\u3002<\/p>\n<p><strong>Results\uff08\u7d50\u679c\uff09<\/strong><br \/>\n\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u5206\u6790\u306e\u7d50\u679c\u3001\u30af\u30ea\u30cb\u30c3\u30af\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\uff08SOP\u9075\u5b88\u5ea6\uff09\u3092\u5de6\u53f3\u3059\u308b4\u3064\u306e\u91cd\u8981\u306a\u4e88\u6e2c\u56e0\u5b50\u304c\u7279\u5b9a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>1. \u51e6\u65b9\u306e\u5b9f\u8df5\uff08\u30ea\u30b9\u30af\u56e0\u5b50\uff09\uff1a<br \/>\n\u7279\u306b\u9ad8\u7528\u91cf\u306e\u30d9\u30f3\u30be\u30b8\u30a2\u30bc\u30d4\u30f3\u51e6\u65b9\u306a\u3069\u306e\u6709\u5bb3\u306a\u51e6\u65b9\u306e\u5272\u5408\u304c\u9ad8\u3044\u30af\u30ea\u30cb\u30c3\u30af\u306f\u3001SOP\u9075\u5b88\u7387\u304c\u8457\u3057\u304f\u4f4e\u304f\u306a\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n<p>2. \u9031\u3042\u305f\u308a\u306e\u7a3c\u50cd\u65e5\u6570\uff08\u30ea\u30b9\u30af\u56e0\u5b50\uff09\uff1a<br \/>\n\u7a3c\u50cd\u65e5\u6570\u304c\u591a\u304f\u4ed5\u4e8b\u91cf\u304c\u904e\u91cd\u306a\u30af\u30ea\u30cb\u30c3\u30af\u306f\u3001SOP\u3092\u9075\u5b88\u3057\u306b\u304f\u3044\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>3. \u533b\u5e2b\u306e\u6570\uff08\u4fdd\u8b77\u56e0\u5b50\uff09\uff1a<br \/>\n\u30af\u30ea\u30cb\u30c3\u30af\u306b\u6240\u5c5e\u3059\u308b\u533b\u5e2b\u306e\u6570\u304c\u591a\u3044\u307b\u3069\u3001\u9ad8\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u306b\u5206\u985e\u3055\u308c\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n<p>4. \u30c1\u30e3\u30fc\u30c8\uff08\u30ab\u30eb\u30c6\uff09\u30b9\u30b3\u30a2\uff08\u4fdd\u8b77\u56e0\u5b50\uff09\uff1a<br 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\/>\n\u30fb\u30af\u30ea\u30cb\u30c3\u30af\u306e\u898f\u6a21\u304c\u5927\u304d\u3044\u3053\u3068\uff08\u4fdd\u8b77\u8981\u56e0\uff09<br \/>\n\u30fb3\u3064\u76ee\u306e\u8981\u56e0\u306e\u3088\u308a\u826f\u3044\u8a3a\u7642\u8a18\u9332\u30b9\u30b3\u30a2\uff08\u4fdd\u8b77\u8981\u56e0\uff09\u307e\u305f\u306f\u9031\u3042\u305f\u308a\u306e\u52e4\u52d9\u65e5\u6570\u306e\u5897\u52a0\uff08\u30ea\u30b9\u30af\u8981\u56e0\uff09\u306f\u30012\u3064\u306e\u30e2\u30c7\u30eb\u9593\u3067\u7570\u306a\u3063\u3066\u3044\u305f\u3002<\/p>\n<p><strong>Discussion\uff08\u8003\u5bdf\u30fb\u9650\u754c\u30fb\u8ab2\u984c\uff09<\/strong><br \/>\n\u25cf \u672c\u7814\u7a76\u306e\u610f\u7fa9\u3068\u89e3\u91c8\uff1a<br \/>\n\u672c\u7814\u7a76\u306f\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u306e\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\u306b\u304a\u3044\u3066\u3001\u30af\u30ea\u30cb\u30c3\u30af\u30ec\u30d9\u30eb\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u4e88\u6e2c\u56e0\u5b50\u3092\u691c\u8a3c\u3057\u305f\u5148\u99c6\u7684\u306a\u7814\u7a76\u3067\u3059\u3002\u660e\u3089\u304b\u306b\u306a\u3063\u305f4\u3064\u306e\u8981\u56e0\u306f\u3001\u30ef\u30fc\u30af\u30ed\u30fc\u30c9\u3001\u30c1\u30fc\u30e0\u69cb\u6210\u3001\u30b1\u30a2\u306e\u8abf\u6574\u3068\u3044\u3063\u305f\u300c\u30b7\u30b9\u30c6\u30e0\u30ec\u30d9\u30eb\u306e\u8981\u56e0\u300d\u304c\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u306e\u91cd\u8981\u306a\u6c7a\u5b9a\u56e0\u5b50\u3067\u3042\u308b\u3068\u3059\u308b\u8fd1\u5e74\u306e\u77e5\u898b\u3068\u4e00\u81f4\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u7279\u306b\u91cd\u8981\u306a\u793a\u5506\u3068\u3057\u3066\u3001\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\u3068\u3044\u3046\u5f62\u614b\u305d\u306e\u3082\u306e\u304c\u81ea\u52d5\u7684\u306b\u5b89\u5168\u306a\u533b\u7642\u3092\u4fdd\u969c\u3059\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u3068\u3044\u3046\u70b9\u3067\u3059\u3002\u4e00\u90e8\u306e\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u533b\u5e2b\u9593\u3067\u4e0d\u9069\u5207\u306a\u51e6\u65b9\u884c\u52d5\u304c\u5bb9\u8a8d\u3055\u308c\u308b\u300c\u30ed\u30fc\u30ab\u30eb\u306a\u898f\u7bc4\uff08\u6587\u5316\uff09\u300d\u304c\u5171\u6709\u3055\u308c\u3001\u30af\u30ea\u30cb\u30c3\u30af\u5168\u4f53\u306b\u30ea\u30b9\u30af\u306e\u9ad8\u3044\u51e6\u65b9\u30d1\u30bf\u30fc\u30f3\u304c\u5b9a\u7740\u3057\u3066\u3057\u307e\u3046\u30ea\u30b9\u30af\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002\u305d\u306e\u305f\u3081\u3001\u500b\u3005\u306e\u533b\u5e2b\u3060\u3051\u3067\u306a\u304f\u3001\u30af\u30ea\u30cb\u30c3\u30af\u5358\u4f4d\u3067\u306e\u51e6\u65b9\u6587\u5316\u3084\u884c\u52d5\u3092\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3059\u308b\u3053\u3068\u306e\u91cd\u8981\u6027\u304c\u5f37\u8abf\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u307e\u305f\u696d\u7e3e\u3092\u4e88\u6e2c\u3059\u308b\u4e0a\u3067\u91cd\u8981\u306a\u65b0\u3057\u3044\u6307\u6a19\u306f\u3001\u8a3a\u7642\u8a18\u9332\u306e\u8cea\u3092\u53cd\u6620\u3059\u308b\u30c1\u30e3\u30fc\u30c8\u30b9\u30b3\u30a2\u3067\u3057\u305f\u3002\u826f\u597d\u306a\u8a3a\u7642\u8a18\u9332\u306f\u3001\u3088\u308a\u5f37\u56fa\u306a\u5185\u90e8\u30d7\u30ed\u30bb\u30b9\u3084\u5065\u5168\u306a\u30b0\u30eb\u30fc\u30d7\u6587\u5316\u3092\u793a\u3059\u53ef\u80fd\u6027\u3082\u3042\u308a\u307e\u3059\u3002\u30c1\u30e3\u30fc\u30c8\u30b9\u30b3\u30a2\u306e\u4e88\u6e2c\u529b\u306f\u3001\u6587\u66f8\u306e\u8cea\u304c\u30b0\u30eb\u30fc\u30d7\u5168\u4f53\u306e\u696d\u7e3e\u3092\u793a\u3059\u6709\u610f\u7fa9\u306a\u6307\u6a19\u3068\u306a\u308a\u5f97\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u25cf \u7814\u7a76\u306e\u9650\u754c\uff08Limitations\uff09\uff1a<br \/>\n1. \u81e8\u5e8a\u7684\u80fd\u529b\u306e\u5168\u5bb9\u975e\u53cd\u6620\uff1a SOP\u306e\u9075\u5b88\u306f\u898f\u5236\u4e0a\u304a\u3088\u3073\u904b\u55b6\u4e0a\u306e\u5e83\u7bc4\u306a\u8cea\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u533b\u5e2b\u306e\u76f4\u63a5\u7684\u306a\u81e8\u5e8a\u7684\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\uff08\u80fd\u529b\uff09\u306e\u3059\u3079\u3066\u306e\u5074\u9762\u3092\u5b8c\u5168\u306b\u6349\u3048\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<br \/>\n2. \u80cc\u666f\u30c7\u30fc\u30bf\u306e\u4e0d\u8db3\uff1a \u60a3\u8005\u306e\u793e\u4f1a\u7d4c\u6e08\u7684\u30b9\u30c6\u30fc\u30bf\u30b9\u3001\u5730\u57df\u7279\u6027\u3001\u60a3\u8005\u5c64\u306e\u75be\u60a3\u591a\u69d8\u6027\u306a\u3069\u3001\u51e6\u65b9\u3084\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u3046\u308b\u80cc\u666f\u30c7\u30fc\u30bf\uff08\u6587\u8108\u30c7\u30fc\u30bf\uff09\u304c\u8003\u616e\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002<br \/>\n3. \u81ea\u5df1\u5831\u544a\u30d0\u30a4\u30a2\u30b9\uff1a \u533b\u5e2b\u306e\u7279\u6027\u3084\u7a3c\u50cd\u65e5\u6570\u306a\u3069\u306e\u4e00\u90e8\u30c7\u30fc\u30bf\u306f\u81ea\u5df1\u5831\u544a\u306b\u4f9d\u5b58\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u56fa\u6709\u306e\u30d0\u30a4\u30a2\u30b9\u304c\u542b\u307e\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<br \/>\n4. \u4e00\u822c\u5316\u306e\u9650\u754c\uff1a \u30ab\u30ca\u30c0\u30fb\u30a2\u30eb\u30d0\u30fc\u30bf\u5dde\u306e70\u306e\u30af\u30ea\u30cb\u30c3\u30af\u3092\u5bfe\u8c61\u3068\u3057\u305f\u7814\u7a76\u3067\u3042\u308b\u305f\u3081\u3001\u4ed6\u306e\u533b\u7642\u4f53\u5236\u3084\u5730\u57df\u306b\u305d\u306e\u307e\u307e\u9069\u7528\u3067\u304d\u308b\u3068\u306f\u9650\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>\u25cf \u6b8b\u3055\u308c\u305f\u8ab2\u984c\u3068\u4eca\u5f8c\u306e\u5c55\u671b\uff1a<br \/>\n\u4eca\u5f8c\u306f\u3001\u3088\u308a\u5927\u898f\u6a21\u3067\u591a\u69d8\u306a\u30b5\u30f3\u30d7\u30eb\u3092\u7528\u3044\u3066\u3053\u308c\u3089\u306e\u7d50\u679c\u3092\u518d\u73fe\u3057\u3001\u56e0\u679c\u95a2\u4fc2\u3092\u660e\u78ba\u306b\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u9ad8\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u306a\u30af\u30ea\u30cb\u30c3\u30af\u306e\u300c\u30d9\u30b9\u30c8\u30d7\u30e9\u30af\u30c6\u30a3\u30b9\uff08\u6700\u826f\u306e\u4e8b\u4f8b\uff09\u300d\u3092\u8a73\u3057\u304f\u5206\u6790\u3059\u308b\u3053\u3068\u3067\u3001\u52b9\u7387\u7684\u306a\u30ea\u30bd\u30fc\u30b9\u914d\u5206\u3084\u8a55\u4fa1\u30d7\u30ed\u30bb\u30b9\u306e\u7c21\u7d20\u5316\u306b\u7e4b\u3052\u308b\u3053\u3068\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u30ea\u30b9\u30af\u3092\u62b1\u3048\u308b\u30af\u30ea\u30cb\u30c3\u30af\u3092\u65e9\u671f\u306b\u767a\u898b\u30fb\u652f\u63f4\u3059\u308b\u305f\u3081\u306e\u5b9f\u7528\u7684\u306a\u30c4\u30fc\u30eb\u306e\u958b\u767a\u304c\u4eca\u5f8c\u306e\u8ab2\u984c\u3068\u3057\u3066\u6b8b\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112026\u5e747\u67081\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d Nicole Kain, Nigel Ashworth, Nancy Hernandez-Ceron, Homeira Hamayeli-Mehrabani, Iryna Hurava, Kushagr Ku &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=3011\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u5bb6\u5ead\u533b\u306e\u30b0\u30eb\u30fc\u30d7\u8a3a\u7642\u6240\u306e\u9ad8\u696d\u7e3e\u306e\u4e88\u6e2c\u56e0\u5b50<\/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":[1,18],"tags":[],"class_list":["post-3011","post","type-post","status-publish","format-standard","hentry","category-1","category-18"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/3011","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=3011"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/3011\/revisions"}],"predecessor-version":[{"id":3012,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/3011\/revisions\/3012"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3011"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3011"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3011"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}