{"id":680,"date":"2010-12-22T10:40:18","date_gmt":"2010-12-22T01:40:18","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=680"},"modified":"2015-08-07T10:44:09","modified_gmt":"2015-08-07T01:44:09","slug":"%ef%bd%9e%e6%82%a3%e8%80%85%e3%81%8c%e8%80%83%e3%81%88%e3%82%8b%e3%83%97%e3%83%a9%e3%82%a4%e3%83%9e%e3%83%aa%e3%82%b1%e3%82%a2%e3%81%ae%e8%bf%91%e6%8e%a5%e6%80%a7%e3%80%81%e7%b6%99%e7%b6%9a%e6%80%a7","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=680","title":{"rendered":"\uff5e\u60a3\u8005\u304c\u8003\u3048\u308b\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u306e\u8fd1\u63a5\u6027\u3001\u7d99\u7d9a\u6027\u3001\u5354\u8abf\u6027\u306e\u7279\u5fb4\u3068\u306f\uff1f\uff5e"},"content":{"rendered":"

\u3010\u6587\u732e\u540d\u3011
\n\u2028Jeannie L. Haggerty, et al. Practice Features Associated With Patient-Reported Accessibility, Continuity, and Coordination of Primary Health Care. Ann Fam Med. 2008 March; 6(2): 116-123. <\/p>\n

\u2028\u3010\u8981\u7d04\u3011\u2028
\n\uff08\u76ee\u7684\uff09
\n\u2028\u30d7\u30e9\u30a4\u30de\u30ea\u30d8\u30eb\u30b9\u30b1\u30a2\u306e\u30ea\u30d5\u30a9\u30fc\u30e0\u304c\u884c\u308f\u308c\u308b\u524d\u306b\u3001\u60a3\u8005\u306b\u3068\u3063\u3066\u306e\u8fd1\u63a5\u6027\u3001\u7d99\u7d9a\u6027\u3001\u5354\u8abf\u6027\u3092\u5de6\u53f3\u3059\u308b\u8a3a\u7642\u7d44\u7e54\u3001\u533b\u5e2b\u306e\u8a3a\u7642\u306b\u5bc4\u4e0e\u3057\u3066\u3044\u308b\u3082\u306e\u3092\u540c\u5b9a\u3059\u308b\u305f\u3081\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30d8\u30eb\u30b9\u30b1\u30a2\u306e\u591a\u89d2\u7684\u8abf\u67fb\u3092\u884c\u3063\u305f\u3002\u2028\u2028<\/p>\n

\uff08\u65b9\u6cd5\uff09
\n\u2028\u30fb\u30d7\u30e9\u30a4\u30de\u30ea\u30d8\u30eb\u30b9\u30b1\u30a2\u30af\u30ea\u30cb\u30c3\u30af\u3092\u30ab\u30ca\u30c0\u30b1\u30d9\u30c3\u30af\u5dde\u306b\u304a\u3044\u3066\u90fd\u5e02\u90e8\u3001\u6e96\u90fd\u5e02\u90e8\u3001\u3078\u304d\u5730\u3001remort\u3000location\u306b\u304a\u3044\u3066\u305d\u308c\u305e\u308c\u30e9\u30f3\u30c0\u30e0\u306b\u9078\u3093\u3060\u3002
\n\u2028\u30fb\u305d\u308c\u305e\u308c\u306e\u30af\u30ea\u30cb\u30c3\u30af\u30674\u4eba\u307e\u3067\u306e\u5bb6\u5ead\u533b\u3001\u7dcf\u5408\u533b\u3092\u9078\u3073\u3001\u7814\u7a76\u8005\u304c\uff14\u3064\u306e\u30af\u30ea\u30cb\u30c3\u30af\u306e\u5f85\u5408\u5ba4\u306b\u8a70\u3081\u3001\uff12\uff10\u4eba\u306e\u60a3\u8005\u3092\u9023\u7d9a\u30b5\u30f3\u30d7\u30ea\u30f3\u30b0\u3057\u3001PCAT\uff08Primary Care Assessment Tool\uff1bhttp:\/\/www.jhsph.edu\/pcpc\/pca_tools.html\uff09\u3092\u7528\u3044\u3066\u3001\u4ee5\u4e0b\u306b\u3064\u3044\u3066\u8abf\u67fb\u3057\u305f\u3002<\/p>\n

\u2028\u2028\uff0afirst-contact accessibility:\u3000\u521d\u8a3a\u306e\u8fd1\u63a5\u6027\uff08\u7a81\u7136\u306e\u767a\u75c7\u306b\u5bfe\u3057\u3066\u8fc5\u901f\u306b\u30b1\u30a2\u304c\u5f97\u3089\u308c\u3066\u3044\u308b\u304b\uff09
\n\u2028\uff0arelational continuity:\u3000\u95a2\u4fc2\u6027\u306b\u304a\u3051\u308b\u7d99\u7d9a\u6027\uff08\u60a3\u8005\u305d\u308c\u305e\u308c\u306e\u7279\u5fb4\u3092\u77e5\u3063\u3066\u3044\u308b\u533b\u5e2b\u3068\u306e\u7d99\u7d9a\u3057\u305f\u95a2\u4fc2\u6027\uff09
\n\u2028\uff0acoordination continuity:\u3000\u5354\u8abf\u6027\u306e\u7d99\u7d9a\uff08\u533b\u5e2b\u3068\u5c02\u9580\u533b\u3068\u306e\u9593\u306e\u5354\u8abf\u6027\uff09\u2028
\n\u30fb\u533b\u5e2b\u306f\u8a3a\u7642\u306e\u5074\u9762\u3092\u5831\u544a\u3057\u3001\u79d8\u66f8\u3084\u30c7\u30a3\u30ec\u30af\u30bf\u30fc\u306f\u30af\u30ea\u30cb\u30c3\u30af\u306e\u7d44\u7e54\u7684\u306a\u7279\u5fb4\u306b\u3064\u3044\u3066\u5831\u544a\u3057\u305f\u3002\u2028
\n\u30fbHierarchical regression model\u3092\u7528\u3044\u3001\u30af\u30ea\u30cb\u30c3\u30af\u306b\u304a\u3044\u3066\u5b9a\u671f\u901a\u9662\u3057\u3066\u3044\u308b\u60a3\u8005\u306e\u4e8c\u6b21\u89e3\u6790\u3092\u884c\u3063\u305f\u3002\u2028\u2028<\/p>\n

\uff08\u7d50\u679c\uff09
\n\u2028100\u304b\u6240\u306e\u30af\u30ea\u30cb\u30c3\u30af\u304c\u53c2\u52a0\u3057\uff0861%\u306e\u56de\u7b54\u7387\uff09\u3001221\u4eba\u306e\u533b\u5e2b\u30012725\u4eba\u306e\u60a3\u8005\uff0887%\u306e\u56de\u7b54\u3001\u8ffd\u8de1\u7d42\u4e86\u7387\uff09\u306b\u5bfe\u3057\u3066\u5b9f\u65bd\u3057\u305f\u3002\u2028
\nPCAT score\u30001\u70b9\uff1adefinitely not\u30012\u70b9\uff1aprobably not\u30013\u70b9\uff1aprobably\uff08\u6700\u4f4e\u30e9\u30a4\u30f3\u3068\u8a2d\u5b9a\uff09\u30014\u70b9\uff1adelinitely\u2028first-contact accessibility:\u521d\u8a3a\u306e\u8fd1\u63a5\u6027…\u5e73\u57472.30\uff08\u65bd\u8a2d\u5074\u306e\u554f\u984c20.3\uff05\u3001\u533b\u5e2b\u5074\u306e\u554f\u984c3.2\uff05\uff09\u2028
\n\u3053\u308c\u304c\u3082\u3063\u3068\u3082\u554f\u984c\u304c\u3042\u3063\u305f\u3002
\n\u6025\u75c5\u306b\u5bfe\u3057\u30661\u65e5\u4ee5\u5185\u306b\u8a3a\u7642\u3092\u884c\u3046\u304b\u3001\u52a9\u8a00\u3092\u884c\u3063\u305f\u306e\u306f\u3001\u305f\u3063\u305f10\uff05\u3067\u3042\u3063\u305f\u3002\u2028
\n\u5e73\u574724\u65e5\uff08\u4e2d\u592e\u502419\u65e5\uff09\u3067\u3042\u3063\u305f\u3002\u2028
\n\u8fd1\u63a5\u6027\u306f10\u4eba\u4ee5\u4e0b\u306e\u533b\u5e2b\uff0810\u4eba\u4ee5\u4e0a\u3044\u308b\u3068-0.21\u70b9\uff09\u3001\u770b\u8b77\u5e2b\u306e\u3044\u308b\u30af\u30ea\u30cb\u30c3\u30af\u3067\uff08+0.12\u70b9\uff09\u300124\u6642\u9593\u6bce\u65e5\u96fb\u8a71\u5bfe\u5fdc\u306b\u5fdc\u3058\u308b\u30af\u30ea\u30cb\u30c3\u30af\uff08+0.30\u70b9\uff09\u3001\u4ed6\u306e\u30d8\u30eb\u30b9\u30b1\u30a2\u7d44\u7e54\u3068\u6b63\u5f0f\u306a\u904b\u55b6\u4e0a\u306e\u9023\u643a\u3092\u5f97\u3089\u308c\u3066\u3044\u308b\u5834\u5408\uff08+0.03\u70b9\uff09\u3001\u5915\u65b9\u306e\u8a3a\u7642\u3092\u884c\u3063\u3066\u3044\u308b\u3053\u3068\uff08+0.07\u70b9\uff09\u304c\u826f\u3044\u7d50\u679c\u3068\u306a\u3063\u305f\u3002\u2028\u2028<\/p>\n

relational continuity:\u3000\u95a2\u4fc2\u6027\u306b\u304a\u3051\u308b\u7d99\u7d9a\u6027…\u5e73\u57473.35\uff08\u65bd\u8a2d\u5074\u306e\u554f\u984c8.8\uff05\u3001\u533b\u5e2b\u5074\u306e\u554f\u984c6.7\uff05\uff09\u2028\u4ed6\u306e\u30d8\u30eb\u30b9\u30b1\u30a2\u7d44\u7e54\u3068\u6b63\u5f0f\u306a\u904b\u55b6\u4e0a\u306e\u9023\u643a\u3092\u5f97\u3089\u308c\u3066\u3044\u308b\u5834\u5408\uff08+0.03\u70b9\uff09\u3084\u5915\u65b9\u8a3a\u7642\uff08+0.05\u70b9\uff09\u304c\u3053\u3089\u308c\u306b\u3082\u6709\u5229\u306b\u4f5c\u7528\u3057\u3066\u3044\u305f\u3002\u7d99\u7d9a\u6027\u306b\u4fa1\u5024\u3092\u898b\u51fa\u3057\uff08+0.09\u70b9\uff09\u3001\u30b3\u30df\u30e5\u30cb\u30c6\u30a3\u306b\u5bfe\u3057\u3066\u89aa\u548c\u6027\u3092\u611f\u3058\u3066\u3044\u308b\uff08+0.05\u70b9\uff09\u533b\u5e2b\u306f\u3088\u308a\u3088\u3044\u95a2\u4fc2\u6027\u306e\u7d99\u7d9a\u6027\u3092\u80b2\u3093\u3067\u3044\u305f\u3002\u305d\u308c\u3086\u3048\u306baccessibility-oriented style\uff08\u30a6\u30a9\u30fc\u30af\u30a4\u30f3\u304c\u591a\u304f\uff08\u30a6\u30a9\u30fc\u30af\u30a4\u30f3\u304c50\uff05\u672a\u6e80\u306b\u6bd4\u8f03\u3057\u306670\uff05\u4ee5\u4e0a\u3060\u3068-0.14\u70b9\uff09\u3001\u60a3\u8005\u6570\u304c\u591a\u304f\u306a\u308b\uff081\u6642\u9593\u5f53\u305f\u308a\u306e\u5e73\u5747\u8a3a\u5bdf\u60a3\u8005\u6570\u304c3.4\u4eba\u4ee5\u4e0a\u306b\u306a\u308b\u3068-0.03\u70b9\uff09\uff09\u304c\u7d99\u7d9a\u6027\u3092\u59a8\u3052\u308b\u8981\u56e0\u306b\u3082\u306a\u3063\u3066\u3044\u305f\u3002\u2028\u2028coordination continuity\u5354\u8abf\u6027\u306e\u7d99\u7d9a…\u5e73\u57473.30\uff08\u65bd\u8a2d\u5074\u306e\u554f\u984c2.4\uff05\u3001\u533b\u5e2b\u5074\u306e\u554f\u984c6.3\uff05\uff09\u2028\u3053\u308c\u306f\u3055\u3089\u306b\u4ed6\u306e\u30d8\u30eb\u30b9\u30b1\u30a2\u7d44\u7e54\u3068\u6b63\u5f0f\u306a\u904b\u55b6\u4e0a\u306e\u9023\u643a\u3092\u5f97\u3089\u308c\u3066\u3044\u308b\u5834\u5408\uff08+0.04\u70b9\uff09\u3084\u7d99\u7d9a\u3057\u305f\u96fb\u8a71\u5bfe\u5fdc\uff08+0.16\u70b9\uff09\u3084PT\/OT\u306e\u5b58\u5728\uff08+0.12\u70b9\uff09\u3068\u306e\u95a2\u9023\u304c\u3042\u3063\u305f\u3002\u307e\u305f\u3001\u533b\u5e2b\u304c\u75c5\u9662\u306b\u30d1\u30fc\u30c8\u30bf\u30a4\u30e0\u3067\u8a3a\u7642\u306b\u884c\u3063\u3066\u3044\u308b\u5834\u5408\u306750-70\uff05\u7a0b\u5ea6\u3092\u81ea\u30af\u30ea\u30cb\u30c3\u30af\u306b\u3066\u8a3a\u7642\u3092\u884c\u3063\u3066\u3044\u308b\u30b1\u30fc\u30b9\uff08+0.09\u70b9\uff09\u3084\u30af\u30ea\u30cb\u30c3\u30af\u306b\u304a\u3044\u3066\u5e45\u5e83\u3044\u624b\u6280\uff08+0.02\u70b9\uff09\u3092\u5b9f\u65bd\u3057\u3066\u3044\u308b\u5834\u5408\u306b\u3088\u308a\u826f\u3044\u7d50\u679c\u3068\u306a\u3063\u3066\u3044\u305f\u3002\u2028\u2028<\/p>\n

\uff08\u307e\u3068\u3081\uff09
\n\u2028\u30af\u30ea\u30cb\u30c3\u30af\u304c\u3069\u306e\u3088\u3046\u306b\u7d44\u7e54\u3055\u308c\u308b\u304b\u3067\u533b\u5e2b\u304c\u8fd1\u63a5\u6027\u3001\u7d99\u7d9a\u6027\u3092\u9054\u6210\u3067\u304d\u308b\u304b\u304c\u6c7a\u307e\u3063\u3066\u304f\u308b\u3002\u4e21\u65b9\u3092\u624b\u306b\u3059\u308b\u7279\u5fb4\u306f\u5915\u65b9\u8a3a\u7642\u3068\u96fb\u8a71\u5bfe\u5fdc\u3001\u4ed6\u306e\u30d8\u30eb\u30b9\u30b1\u30a2\u6a5f\u95a2\u3068\u6b63\u5f0f\u306a\u904b\u55b6\u4e0a\u306e\u9023\u643a\u3092\u5f97\u3089\u308c\u3066\u3044\u308b\u3053\u3068\u3067\u3042\u3063\u305f\u3002\u2028\u2028\uff08DISCUSSION\uff09\u2028\u7406\u60f3\u7684\u306afamily medicine groups(FMGs)\u30e2\u30c7\u30eb\u306e\u7279\u5fb4\u306f\u30018\uff5e10\u4eba\u306e\u533b\u5e2b\u304c\u3044\u3066\u3001\u770b\u8b77\u5e2b\u304c\u3044\u3066\u3001\u5915\u65b9\u8a3a\u7642\u3092\u884c\u3044\u3001nurse help line\u3068\u3064\u306a\u304c\u308b\u60c5\u5831\u30ea\u30f3\u30af\uff08\u96fb\u8a71\u5bfe\u5fdc\u53ef\u80fd\u3068\u3044\u3046\u610f\u5473\u304b\uff1f\uff09\u304c\u3042\u308a\u3001\u4ed6\u306e\u65bd\u8a2d\u3068\u306e\u30b1\u30a2\u3092\u6b63\u5f0f\u306a\u5f62\u614b\u3067\u30b7\u30a7\u30a2\u3057\u3066\u3044\u308b\u3053\u3068\u3067\u3042\u308b\u3002\u2028\u533b\u5e2b\u304c\u4e00\u304b\u6240\u4ee5\u4e0a\u306e\u65bd\u8a2d\u3067\u50cd\u304f\u3068\u3001\u5c02\u9580\u5bb6\u3068\u306e\u500b\u4eba\u7684\u306a\u95a2\u4fc2\u6027\u5f37\u5316\u306b\u3064\u306a\u304c\u308b\u3068\u3044\u3046\u3053\u3068\u3082\u5206\u304b\u3063\u305f\u3002\u2028\u2028<\/p>\n

\u2028\"101222_1\"<\/a><\/p>\n

\"101222_2\"<\/a><\/p>\n

\"101222_3\"<\/a><\/p>\n

\u2028\u2028\u2028\u3010\u958b\u50ac\u65e5\u3011\u2028\uff12\uff10\uff11\uff10\u5e74\uff11\uff12\u6708\uff12\uff12\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\u3010\u6587\u732e\u540d\u3011 \u2028Jeannie L. Haggerty, et al. Practice Features Associated With Patient-Reported Accessibility, Continuit … \u7d9a\u304d\u3092\u8aad\u3080 \uff5e\u60a3\u8005\u304c\u8003\u3048\u308b\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u306e\u8fd1\u63a5\u6027\u3001\u7d99\u7d9a\u6027\u3001\u5354\u8abf\u6027\u306e\u7279\u5fb4\u3068\u306f\uff1f\uff5e<\/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":[6],"tags":[],"class_list":["post-680","post","type-post","status-publish","format-standard","hentry","category-6"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/680","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=680"}],"version-history":[{"count":4,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/680\/revisions"}],"predecessor-version":[{"id":687,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/680\/revisions\/687"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=680"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=680"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=680"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}