{"id":69,"date":"2014-12-10T11:50:27","date_gmt":"2014-12-10T02:50:27","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=69"},"modified":"2015-08-06T11:50:58","modified_gmt":"2015-08-06T02:50:58","slug":"%e7%b6%99%e7%b6%9a%e6%80%a7%e3%81%ae%e5%8a%b9%e6%9e%9c","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=69","title":{"rendered":"\u7d99\u7d9a\u6027\u306e\u52b9\u679c"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nDong Wook Shin, et al. Impact of continuity of care on mortality and health care costs; a nationwide cohort study in Korea. Annals of family medicine. 2014, vol. 12, no. 6, p. 534-541.<\/p>\n<p>\u2015\u8981\u7d04\u2015<br \/>\n\u3010\u76ee\u7684\u3011<br \/>\n\u3000\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u306f\u3001\u8cea\u306e\u9ad8\u3044\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u4e2d\u6838\u8981\u7d20\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u304c\u3001\u6b7b\u4ea1\u7387\u3068\u533b\u7642\u8cbb\u306b\u53ca\u307c\u3059\u5f71\u97ff\u306b\u3064\u3044\u3066\u306f\u307e\u3060\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u3044\u306a\u3044\u3002\u305d\u3053\u3067\u3001\u65b0\u305f\u306b\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af\u3068\u306a\u308b\u75be\u60a3\u3068\u8a3a\u65ad\u3055\u308c\u305f\u60a3\u8005\u306e\u6b7b\u4ea1\u7387\u3001\u533b\u7642\u8cbb\u3001\u5065\u5eb7\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u5bfe\u3059\u308b\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u306e\u5f71\u97ff\u3092\u8abf\u3079\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u305f\u3002<\/p>\n<p>\u3010\u65b9\u6cd5\u3011<br \/>\n\u3000\u97d3\u56fd\u306e\u56fd\u6c11\u5065\u5eb7\u4fdd\u967a\u52a0\u5165\u8005\u306e\u3046\u30613%\u3092\u7121\u4f5c\u70ba\u306b\u62bd\u51fa\u3057\u3001\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3092\u884c\u3063\u305f\u3002 2003\uff5e2004\u5e74\u306b\u9ad8\u8840\u5727\u3001\u7cd6\u5c3f\u75c5\u3001\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u3042\u308b\u3044\u306f\u305d\u306e\u5408\u4f75\u75c7\u3068\u65b0\u305f\u306b\u8a3a\u65ad\u3055\u308c\u305f\u3001\u5408\u8a0847,433\u4eba\u306e\u60a3\u8005\u304c\u30a8\u30f3\u30c8\u30ea\u30fc\u3055\u308c\u305f\u3002\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u306e\u6307\u6a19\u3068\u3057\u3066most frequent provider continuity(MFPC)\u3001modified, modified continuity index(MMCI)\u3001continuity of care index(COC)\u3092\u8a2d\u5b9a\u3057\u3001\u3053\u308c\u3089\u306e\u6307\u6a19\u30685\u5e74\u4ee5\u4e0a\u306e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3067\u8d77\u3053\u3063\u305f\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u306e\u95a2\u9023\u3092\u8a55\u4fa1\u3057\u305f\u3002\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u8a55\u4fa1\u306b\u306f\u5168\u6b7b\u4ea1\u7387\u3001\u5fc3\u8840\u7ba1\u6b7b\u4ea1\u7387\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u304a\u3088\u3073\u533b\u7642\u8cbb\u304c\u542b\u307e\u308c\u305f\u3002<\/p>\n<p>\u3010\u7d50\u679c\u3011<br \/>\n\u3000COC\u306e\u4e2d\u592e\u5024\u4ee5\u4e0b\u306e\u7fa4\u3068\u4e2d\u592e\u5024\u4ee5\u4e0a\u306e\u7fa4\u306b\u5206\u3051\u3066\u6bd4\u8f03\u3057\u305f\u3068\u3053\u308d\u3001\u591a\u5909\u91cf\u8abf\u6574\u6e08\u30cf\u30b6\u30fc\u30c9\u6bd4\u306f\u3001\u5168\u6b7b\u4ea1\u73871.12(95%Cl, 1.04-1.21)\u3001\u5fc3\u8840\u7ba1\u6b7b\u4ea1\u73871.30(1.13-1.50)\u3001\u5fc3\u7b4b\u6897\u585e\u306e\u767a\u75c71.57(1.28-1.95)\u3001\u8133\u6897\u585e\u306e\u767a\u75c71.33(1.27-1.63)\u3067\u3042\u3063\u305f\u3002\u4ed6\u306e\u7d99\u7d9a\u6027\u306e\u6307\u6a19\u304b\u3089\u3082\u540c\u69d8\u306e\u7d50\u679c\u304c\u5f97\u3089\u308c\u305f\u3002\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u306e\u4f4e\u3055\u306f\u5165\u9662\u60a3\u8005\u3068\u5916\u6765\u60a3\u8005\u306e\u5165\u9662\u30fb\u901a\u9662\u671f\u9593\u3068\u533b\u7642\u8cbb\u306e\u5897\u52a0\u3068\u3082\u95a2\u9023\u3057\u3066\u3044\u305f\u3002<\/p>\n<p>\u3010\u7d50\u8ad6\u3011<br \/>\n\u3000\u65b0\u305f\u306b\u9ad8\u8840\u5727\u3001\u7cd6\u5c3f\u75c5\u3001\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u3068\u8a3a\u65ad\u3055\u308c\u305f\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u30b1\u30a2\u306e\u7d99\u7d9a\u6027\u306e\u4f4e\u3055\u306f\u3001\u5168\u6b7b\u4ea1\u7387\u3001\u5fc3\u8840\u7ba1\u6b7b\u4ea1\u7387\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u304a\u3088\u3073\u533b\u7642\u8cbb\u306e\u9ad8\u3055\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\u3002\u305d\u306e\u305f\u3081\u9577\u671f\u306b\u308f\u305f\u308b\u60a3\u8005-\u533b\u5e2b\u9593\u306e\u4fe1\u983c\u95a2\u4fc2\u3092\u30b5\u30dd\u30fc\u30c8\u3059\u308b\u3088\u3046\u306b\u533b\u7642\u5236\u5ea6\u3092\u30c7\u30b6\u30a4\u30f3\u3057\u3066\u3044\u304f\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n<p>Appendix1. Continuity of care indices<br \/>\nex) patient 1 visited 3 providers (ABAACAAA), patient 2 visited 4 providers (ABCBADEA)<br \/>\n1)\tmost frequent provider continuity(MFPC)\uff1a\u3082\u3063\u3068\u3082\u53d7\u8a3a\u983b\u5ea6\u306e\u9ad8\u3044\u533b\u5e2b\u3078\u306e\u53d7\u8a3a\u5bc6\u5ea6\u00a0<br \/>\nex) patient 1: 6\/8, patient 2: 3\/8<br \/>\n2)\tmodified, modified continuity index(MMCI)\uff1a\u533b\u5e2b\u306e\u30d0\u30e9\u3064\u304d\u5177\u5408<br \/>\nex) patient 1: (1-3\/8.1)\/(1-1\/8.1), patient 2 (1-5\/8.1)\/(1-1\/8.1)\u00a0<br \/>\n3)\tcontinuity of care index(COC)\uff1a\u305d\u308c\u305e\u308c\u306e\u533b\u5e2b\u3078\u306e\u53d7\u8a3a\u983b\u5ea6\u3068\u533b\u5e2b\u306e\u30d0\u30e9\u3064\u304d\u5177\u5408\u3092\u4f75\u305b\u305f\u3082\u306e<br \/>\nex) patient 1: [(62+12+12)-8]\/[8*(8-1)], patient 2: [(32+22+12+12+12)-8]\/[8*(8-1)]<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2014\u5e7412\u670810\u65e5(\u6c34)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015 Dong Wook Shin, et al. Impact of continuity of care on mortality and health care costs; a nationwide coh &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=69\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u7d99\u7d9a\u6027\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":[8],"tags":[],"class_list":["post-69","post","type-post","status-publish","format-standard","hentry","category-8"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/69","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=69"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/69\/revisions"}],"predecessor-version":[{"id":70,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/69\/revisions\/70"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=69"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=69"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=69"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}