{"id":432,"date":"2012-06-04T05:00:56","date_gmt":"2012-06-03T20:00:56","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=432"},"modified":"2015-08-06T15:02:39","modified_gmt":"2015-08-06T06:02:39","slug":"%e7%b7%a9%e5%92%8c%e3%82%b1%e3%82%a2%e3%81%ae%e3%82%a2%e3%83%83%e3%83%97%e3%83%87%e3%83%bc%e3%83%88","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=432","title":{"rendered":"\u7de9\u548c\u30b1\u30a2\u306e\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8"},"content":{"rendered":"

\u3010\u6587\u732e\u540d\u3011
\n\u8457\u8005\u540d\uff1aKeith M. Swetz, et al.
\n\u6587\u732e\u30bf\u30a4\u30c8\u30eb\uff1aIn the Clinic: Palliative Care.\u00a0
\n\u96d1\u8a8c\u540d\u30fb\u66f8\u7c4d\u540d\uff1aAnnals of Internal Medicine: page ITC2-2~ITC2-16
\n\u767a\u884c\u5e74\uff1a2012.<\/p>\n

\u3010\u8981\u7d04\u3011<\/p>\n

\uff1c\u7de9\u548c\u30b1\u30a2 vs. \u30db\u30b9\u30d4\u30b9\uff1e
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\n\u30fb\u60a3\u8005\u304c\u7de9\u548c\u30b1\u30a2\u3092\u53d7\u3051\u308b\u6642\u3001\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\u304c\u7981\u6b62\u307e\u305f\u306f\u8a31\u5bb9\u3055\u308c\u308b\u306e\u304b\uff1f
\n\u30fb\u5927\u534a\u306e\u4fdd\u967a\u306b\u3088\u308a\u3069\u306e\u3088\u3046\u306b\u7de9\u548c\u30b1\u30a2\u306e\u8cbb\u7528\u304c\u652f\u6255\u308f\u308c\u3001\u307e\u305f\u30db\u30b9\u30d4\u30b9\u3068\u306f\u3069\u306e\u3088\u3046\u306b\u9055\u3046\u306e\u304b\uff1f
\n\u30fb\u975e\u5e38\u306b\u91cd\u7be4\u306a\u60a3\u8005\u306b\u304a\u3051\u308b\u4e88\u5f8c\u3084\u751f\u5b58\u4e88\u6e2c\u306b\u306f\u3069\u306e\u3088\u3046\u306a\u30c4\u30fc\u30eb\u304c\u3042\u308b\u304b\uff1f
\n\u30fb\u7de9\u548c\u30b1\u30a2\u30c1\u30fc\u30e0\u306b\u4e0d\u53ef\u6b20\u306a\u306e\u306f\u8ab0\u304b\uff1f<\/p>\n

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\n\u30fb\u30aa\u30d4\u30aa\u30a4\u30c9\u306e\u526f\u4f5c\u7528\u306f\u3069\u306e\u3088\u3046\u306b\u7ba1\u7406\u3059\u3079\u304d\u304b\uff1f
\n\u30fb\u7279\u5b9a\u306e\u539f\u56e0\u306b\u3088\u308b\u75db\u307f\u306b\u304a\u3044\u3066\u3069\u306e\u3088\u3046\u306a\u8ffd\u52a0\u51e6\u7f6e\u3092\u8003\u616e\u3059\u3079\u304d\u304b\uff1f
\n\u30fb\u547c\u5438\u56f0\u96e3\u306e\u7de9\u548c\u306e\u305f\u3081\u306b\u306f\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\u304c\u52b9\u679c\u7684\u304b\uff1f
\n\u30fb\u5410\u304d\u6c17\u3092\u8a34\u3048\u308b\u60a3\u8005\u306b\u3069\u306e\u3088\u3046\u306b\u5236\u5410\u5264\u3092\u9078\u629e\u3059\u3079\u304d\u304b\uff1f
\n\u30fb\u8208\u596e\u3084\u60b2\u5606\u3092\u3069\u306e\u3088\u3046\u306b\u8a55\u4fa1\u3057\u6cbb\u7642\u3059\u3079\u304d\u304b\uff1f
\n\u30fb\u91cd\u75c5\u60a3\u8005\u306b\u304a\u3051\u308b\u305b\u3093\u5984\u306e\u7ba1\u7406\u306f\u3069\u306e\u3088\u3046\u306b\u3059\u3079\u304d\u304b\uff1f
\n\u30fb\u3046\u3064\u306f\u91cd\u3044\u75c5\u3044\u306e\u6b63\u5e38\u306a\u90e8\u5206\u3067\u3042\u308b\u306e\u304b\uff1f\u305d\u3057\u3066\u3044\u3064\u6cbb\u7642\u3055\u308c\u308b\u3079\u304d\u304b\uff1f
\n\u30fb\u91cd\u75c7\u60a3\u8005\u306b\u304a\u3051\u308b\u62d2\u98df\u75c7\u306e\u6cbb\u7642\u306b\u3064\u3044\u3066\u3001\u30b1\u30a2\u63d0\u4f9b\u8005\u306f\u3044\u3064\u3001\u3069\u306e\u3088\u3046\u306b\u30a2\u30d7\u30ed\u30fc\u30c1\u3059\u3079\u304d\u304b\uff1f
\n\u30fb\u4eba\u5de5\u6804\u990a\u3084\u88dc\u6db2\u306f\u60a3\u8005\u306e\u75c7\u72b6\u3092\u7de9\u548c\u3057\u3001\u751f\u547d\u4e88\u5f8c\u3092\u6539\u5584\u3059\u308b\u304b\uff1f<\/p>\n

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\n\u30b1\u30a2\u306e\u76ee\u6a19\u3084\u75c5\u6c17\u304c\u9032\u884c\u3057\u305f\u6642\u306b\u4f55\u3092\u671f\u5f85\u3059\u308b\u304b\u306b\u95a2\u3057\u3066\u3001\u65e9\u671f\u306b\u3001\u5b9a\u671f\u7684\u306a\u8b70\u8ad6\u3092\u533b\u5e2b\u3001\u60a3\u8005\u3001\u5bb6\u65cf\u306e\u9593\u3067\u884c\u3046\u3053\u3068\u306f\u3001\u91cd\u8981\u3067\u3042\u308a\u3001\u76ee\u6a19\u3092\u8a2d\u5b9a\u3059\u308b\u52a9\u3051\u306b\u306a\u308a\u3001\u5e0c\u671b\u3092\u7dad\u6301\u3059\u308b\u306e\u306b\u5f79\u7acb\u3064\u3002\u4e8b\u524d\u306e\u30b1\u30a2\u8a08\u753b\u3084\u610f\u601d\u6c7a\u5b9a\u306e\u305f\u3081\u306e\u4ee3\u7406\u4eba\u3068\u3057\u3066\u306e\u6f5c\u5728\u7684\u306a\u5f79\u5272\u306b\u3064\u3044\u3066\u8b70\u8ad6\u3059\u308b\u3053\u3068\u306f\u91cd\u8981\u3067\u3042\u308b\u3002\u6cbb\u7642\u306e\u8ca0\u62c5\u304c\u305d\u306e\u5229\u76ca\u3088\u308a\u3082\u5927\u304d\u304f\u306a\u308b\u3068\u6c17\u4ed8\u3044\u305f\u3068\u3057\u305f\u3089\u3001\u305d\u306e\u6cbb\u7642\u3092\u53d6\u308a\u3084\u3081\u308b\u3053\u3068\u306f\u3001\u6cbb\u7642\u3092\u6c7a\u3057\u3066\u59cb\u3081\u306a\u3044\u3053\u3068\u3068\u9053\u5fb3\u7684\u306b\u540c\u7b49\u3067\u3042\u308b\u3002<\/p>\n

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\n\u30fb\u81e8\u5e8a\u533b\u306f\u4e8b\u524d\u6307\u793a\u3092\u542b\u3081\u305f\u3001\u4e8b\u524d\u306e\u30b1\u30a2\u306e\u8a08\u753b\u3092\u3069\u306e\u3088\u3046\u306b\u63f4\u52a9\u3059\u308b\u3053\u3068\u304c\u51fa\u6765\u308b\u304b\uff1f
\n\u30fb\u751f\u547d\u3092\u7dad\u6301\u3059\u308b\u6cbb\u7642\u3092\u3055\u3057\u63a7\u3048\u305f\u308a\u3001\u64a4\u56de\u3059\u308b\u3053\u3068\u3068\u5b89\u697d\u6b7b\u307e\u305f\u306f\u81ea\u6bba\u88dc\u52a9\u306e\u9593\u306b\u3042\u308b\u6cd5\u7684\u3067\u502b\u7406\u7684\u306a\u9055\u3044\u306f\u4f55\u304b\uff1f
\n\u30fb\u7de9\u548c\u7684\u306a\u93ae\u9759\u306f\u4eca\u307e\u3067\u306b\u3082\u5bb9\u8a8d\u53ef\u80fd\u3067\u3042\u3063\u305f\u304b\uff1f<\/p>\n

\uff1c\u60a3\u8005\u6559\u80b2\uff1e
\n\u30fb\u7de9\u548c\u30b1\u30a2\u306b\u95a2\u3057\u3066\u60a3\u8005\u3068\u305d\u306e\u5bb6\u65cf\u306f\u4f55\u3092\u77e5\u308b\u3079\u304d\u304b\uff1f
\n\u30fb\u7de9\u548c\u30b1\u30a2\u306b\u95a2\u3057\u3066\u8b70\u8ad6\u3059\u308b\u306b\u306f\u3001\u3044\u3064\u304c\u6700\u3082\u826f\u3044\u6a5f\u4f1a\u3067\u3042\u308b\u304b\uff1f<\/p>\n

\uff1c\u8a3a\u7642\u306e\u8cea\u306e\u6539\u5584\uff1e
\n\u30fb\u7de9\u548c\u30b1\u30a2\u306e\u8cea\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u3001\u7c73\u56fd\u306e\u5229\u5bb3\u95a2\u4fc2\u8005\u306f\u3069\u306e\u3088\u3046\u306a\u6307\u6a19\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u304b\uff1f
\nThe Hospice PEACE set ; http:\/\/www.thecarolinascenter.org\/default.aspx?pageid=46\u00a0
\nCovering all 8 domains of palliative care quality\u00a0
\n1. Structure and Process of Care
\n2. Physical Aspects of Care
\n3. Psychological and Psychiatric Aspects of Care,
\n4. Social Aspects of Care
\n5. Spiritual, Religious, and Existential Aspects of Care
\n6. Cultural Aspects of Care
\n7. Care of the Imminently Dying Patient
\n8. Ethical and Legal Aspects of Care
\n\u30fb\u7de9\u548c\u30b1\u30a2\u306e\u63d0\u4f9b\u306b\u95a2\u3057\u3066\u5c02\u9580\u7d44\u7e54\u306f\u4f55\u3092\u63a8\u5968\u3057\u3066\u3044\u308b\u304b\uff1f
\n\u00a0The Center to Advance Palliative Care
\n\u00a0The Carolinas Center for Medical Excellence
\n\u00a0The :American College of Pysicians<\/p>\n

\uff1c\u30c4\u30fc\u30eb\u30ad\u30c3\u30c8\uff1e
\nPIER Modules, Patient Information, General Information.<\/p>\n

\uff1c\u60a3\u8005\u7528\u60c5\u5831\uff1e
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\n\u30fb\u7de9\u548c\u30b1\u30a2\u306f\u30db\u30b9\u30d4\u30b9\u3068\u540c\u3058\u304b\uff1f
\n\u30fb\u7de9\u548c\u30b1\u30a2\u304c\u52a9\u3051\u306b\u306a\u308b\u304b\u3082\u77e5\u308c\u306a\u3044\u72b6\u6cc1<\/p>\n

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\n\u7279\u306b\u300c\u8a3a\u7642\u6539\u5584\u300d\u306e\u9805\u76ee\u306b\u3064\u3044\u3066\u306f\u53d6\u308a\u6271\u308f\u308c\u308b\u30c6\u30fc\u30de\u306b\u3088\u3063\u3066\u306fNICE\u3088\u308a\u3082\u7c21\u6f54\u306b\u307e\u3068\u307e\u3063\u3066\u3044\u308b\u3082\u306e\u3082\u3042\u308a\u3001\u5404\u8a3a\u7642\u6240\u306b\u304a\u3051\u308b\u4eca\u5f8c\u306eCQI\u30d7\u30ed\u30b8\u30a7\u30af\u30c8\u306b\u304a\u3044\u3066\u306e\u52a9\u3051\u306b\u306a\u308b\u3068\u601d\u308f\u308c\u308b\u3002<\/p>\n

\"120604_1\"<\/a><\/p>\n

\"120604_2\"<\/a><\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
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