{"id":624,"date":"2011-05-27T10:03:44","date_gmt":"2011-05-27T01:03:44","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=624"},"modified":"2015-08-07T10:04:21","modified_gmt":"2015-08-07T01:04:21","slug":"%e9%9b%bb%e5%ad%90%e3%82%ab%e3%83%ab%e3%83%86%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8bdm%e3%82%b3%e3%83%b3%e3%83%88%e3%83%ad%e3%83%bc%e3%83%ab%e3%82%b5%e3%83%9d%e3%83%bc%e3%83%88%e3%82%b7%e3%82%b9%e3%83%86","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=624","title":{"rendered":"\u96fb\u5b50\u30ab\u30eb\u30c6\u306b\u304a\u3051\u308bDM\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u30b5\u30dd\u30fc\u30c8\u30b7\u30b9\u30c6\u30e0\u306e\u52b9\u679c"},"content":{"rendered":"<p>\u3010\u6587\u732e\u540d\u3011<br \/>\nPatric J. O&#8217;Connor et al. Impact of Electronic Health Record Clinical Decision Support on Diabetes Care: A Randomised Trial, Annals of Family Mdedicine, Vol.9, Jan\/Feb 2011<\/p>\n<p>\u3010\u8981\u7d04\u3011<br \/>\n\uff1c\u76ee\u7684\uff1e<br \/>\n\u6210\u4eba\u306e\u7cd6\u5c3f\u75c5\u60a3\u8005\u306b\u304a\u3051\u308bHbA1c\u3001\u8840\u5727\u3001LDL\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306b\u304a\u3044\u3066\u3001\u96fb\u5b50\u30ab\u30eb\u30c6\u306b\u3088\u308bDM\u30b5\u30dd\u30fc\u30c8\u30b7\u30b9\u30c6\u30e0\u306e\u52b9\u679c\u3092\u8abf\u3079\u305f<\/p>\n<p>\uff1c\u8ad6\u6587\u306ePECO\uff1e<br \/>\nP 11\u306e\u30af\u30ea\u30cb\u30c3\u30af\u306b\u304a\u3044\u3066\u4e86\u627f\u3092\u5f97\u305f41\u4eba\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u533b\u304c\u307f\u3066\u3044\u308b2556\u4eba\u306eDM\u60a3\u8005\u2028E \u8a3a\u5bdf\u6642\u306b\u96fb\u5b50\u30ab\u30eb\u30c6\u306b\u57fa\u3065\u3044\u305f\u81e8\u5e8a\u30b5\u30dd\u30fc\u30c8\u30b7\u30b9\u30c6\u30e0\u3092\u5229\u7528\u3059\u308b(HbA1C\u63a8\u79fb\u3068\u6cbb\u7642\u30aa\u30d7\u30b7\u30e7\u30f3\u306a\u3069\u793a\u3057\u305f\u30e1\u30e2\u3092\u30ab\u30eb\u30c6\u306b\u631f\u3080)\u3068\u2028C\u3000\u540c\u30b7\u30b9\u30c6\u30e0\u3092\u4f7f\u308f\u306a\u3044\u306e\u306b\u6bd4\u3079\u2028O HbA1c\u3001\u8840\u5727\u3001LDL\u306e\u30ec\u30d9\u30eb\u304c\u6539\u5584\u3055\u308c\u308b\u304b<\/p>\n<p>\uff1c\u7d50\u679c\uff1e<br \/>\nHbA1c\u30ec\u30d9\u30eb\u306f\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3068\u6bd4\u8f03\u3057\u3066\u20100.26%, (95%[CI]-0.06% to -0.47%)\u6539\u5584\u3055\u308c\u305f\u3002\u53ce\u7e2e\u671f\u8840\u5727\u306f\u3088\u308a\u3088\u3044\u30e1\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u5272\u5408\u3060\u3063\u305f(80.2% vs 75.1%,P=.03)\u304c\u3001\u62e1\u5f35\u671f\u8840\u5727\u306e\u30e1\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u5272\u5408\u306f\u5883\u754c\u57df\uff0885.6% vs 81.7%, P=.07)\u3067\u3001LDL\u306e\u30ec\u30d9\u30eb\u306f\u5dee\u3092\u8a8d\u3081\u306a\u304b\u3063\u305f\u3002\u4ecb\u5165\u7fa4\u306e\u533b\u8005\u306e94%\u304c\u6e80\u8db3\u3057\u3001\u4e2d\u7b49\u5ea6\u306e\u5272\u5408\u3067\u4ecb\u5165\u7d42\u4e86\u5f8c1\u5e74\u5f8c\u3082\u3053\u306e\u30b5\u30dd\u30fc\u30c8\u30b7\u30b9\u30c6\u30e0\u3092\u4f7f\u7528\u3057\u3066\u3044\u305f\u3002<\/p>\n<p>\uff1c\u9650\u754c\u70b9\uff1e<br \/>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306eDM\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u6bd4\u8f03\u7684\u3088\u3044\u30b0\u30eb\u30fc\u30d7\u3067\u3001\u81e8\u5e8a\u7684\u306a\u6539\u5584\u306f\u6975\u3081\u3066\u7de9\u3084\u304b\u3060\u3063\u305f\u3002\u3088\u308a\u5c11\u306a\u3044\u30a4\u30f3\u30bb\u30f3\u30c6\u30a3\u30d6\u306b\u3088\u308b\u4ee3\u308f\u308a\u306e\u7814\u7a76\u304c\u5fc5\u8981\u3002\u3053\u306e\u4ecb\u5165\u306b\u304a\u3051\u308b\u52b9\u679c\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u3092\u3088\u308a\u8a73\u7d30\u306b\u89e3\u660e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<br \/>\n\u00a0<br \/>\n\u3010\u8003\u5bdf\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3011<br \/>\n\u3042\u308b\u610f\u5473\u3067Audit\u306e\u52b9\u679c\u3092\u6e2c\u5b9a\u3057\u3066\u3044\u308b\u7814\u7a76\u3060\u3068\u601d\u3046\u304c\u3001\uff08\u591a\u5c11\u306f)\u4ecb\u5165\u306e\u52b9\u679c\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u5206\u304b\u3063\u305f\u3002\u3053\u306e\u3088\u3046\u306a\u8cea\u6539\u5584\u306b\u3064\u306a\u3052\u3089\u308c\u308b\u3053\u3068\u304c\u96fb\u5b50\u30ab\u30eb\u30c6\u3092\u5c0e\u5165\u3059\u308b\u3053\u3068\u306e\u5229\u70b9\u306e\u4e00\u3064\u3068\u611f\u3058\u305f\u3002<br \/>\n\u00a0<br \/>\n\u4ee5\u4e0b\u5168\u4f53\u3067\u306e\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3<br \/>\n\u30c7\u30f3\u30de\u30fc\u30af\u306f\uff17\u5272\u306e\u30af\u30ea\u30cb\u30c3\u30af\u306b\u304a\u3044\u3066GP\u7528\u306b\u958b\u767a\u3055\u308c\u305f\u5358\u4e00\u306e\u96fb\u5b50\u30ab\u30eb\u30c6\u3092\u5229\u7528\u3002\u56fd\u3092\u6319\u3052\u3066\u96fb\u5b50\u30ab\u30eb\u30c6\u306b\u30a2\u30e9\u30fc\u30e0\u6a5f\u80fd\u3092\u6301\u305f\u305b\u3066\u3044\u308b\u3002<br \/>\n\u00a0<br \/>\n\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2011\u5e744\u670827\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u6587\u732e\u540d\u3011 Patric J. O&#8217;Connor et al. Impact of Electronic Health Record Clinical Decision Support on Diabetes &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=624\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u96fb\u5b50\u30ab\u30eb\u30c6\u306b\u304a\u3051\u308bDM\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u30b5\u30dd\u30fc\u30c8\u30b7\u30b9\u30c6\u30e0\u306e\u52b9\u679c<\/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":[22],"tags":[],"class_list":["post-624","post","type-post","status-publish","format-standard","hentry","category-22"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/624","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=624"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/624\/revisions"}],"predecessor-version":[{"id":625,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/624\/revisions\/625"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=624"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=624"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}