{"id":939,"date":"2015-11-18T16:00:52","date_gmt":"2015-11-18T07:00:52","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=939"},"modified":"2015-11-18T16:00:52","modified_gmt":"2015-11-18T07:00:52","slug":"%e5%8c%85%e6%8b%ac%e6%80%a7%e3%81%a8%e5%8c%bb%e7%99%82%e8%b2%bb","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=939","title":{"rendered":"\u5305\u62ec\u6027\u3068\u533b\u7642\u8cbb"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nAndrew Bazemore, et al. More comprehensive care among family physician is associated with lower costs and fewer hospitalizations. Annals of family medicine. 2015; 3(13):p.206-213.<\/p>\n<p>\u2015\u8981\u7d04\u2015<br \/>\n\u3010\u76ee\u7684\u3011<br \/>\n\u3000\u5305\u62ec\u6027\u306f\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e5\u3064\u306e\u30b3\u30a2\u306a\u8981\u7d20\u306e\u3046\u3061\u306e1\u3064\u3068\u3057\u3066\u8a55\u4fa1\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u5305\u62ec\u6027\u3068\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u306e\u95a2\u4fc2\u306f\u307e\u3060\u308f\u304b\u3063\u3066\u3044\u306a\u3044\u3002\u6211\u3005\u306f\u3001\u5bb6\u5ead\u533b\u306e\u8a3a\u7642\u306b\u304a\u3051\u308b\u5305\u62ec\u6027\u3092\u69cb\u6210\u3059\u308b\u8981\u7d20\u3068\u3001\u533b\u7642\u8cbb\u3068\u306e\u95a2\u9023\u3092\u8abf\u67fb\u3057\u305f\u3002<\/p>\n<p>\u3010\u65b9\u6cd5\u3011<br \/>\n\u3000\u60a3\u8005\u306e\u8a3a\u7642\u306b\u5f93\u4e8b\u3057\u3066\u3044\u308b\u5bb6\u5ead\u533b\u306e\u30b5\u30f3\u30d7\u30eb\u3068\u3001\u5f7c\u3089\u304c\u8a3a\u7642\u3057\u305f\u30e1\u30c7\u30a3\u30b1\u30a2\u53d7\u7d66\u8005\u5168\u54e1\u5206\u3092\u542b\u3080\u30012011\u5e74\u4ee5\u964d\u306e\u30e1\u30c7\u30a3\u30b1\u30a2\u30fb\u30d1\u30fc\u30c8A\u3001\u30d1\u30fc\u30c8B\u306e\u8acb\u6c42\u66f8\u3001\u305d\u3057\u3066\u30b5\u30f3\u30d7\u30eb\u306e\u5bb6\u5ead\u533b\u306e\u3046\u30612007\u5e74\u304b\u30892011\u5e74\u307e\u3067\u306e\u9593\u306b\u5c02\u9580\u533b\u66f4\u65b0\u3092\u7533\u8acb\u3057\u305f\u533b\u5e2b\u304b\u3089\u5f97\u3089\u308c\u305f\u30c7\u30fc\u30bf\u3092\u7d71\u5408\u3057\u305f\u3002\u5305\u62ec\u6027\u306e\u6e2c\u5b9a\u306e\u305f\u3081\u3001\u81ea\u8a18\u5f0f\u8abf\u67fb\u7968\u3092\u4f5c\u6210\u3057\u3001\u5c02\u9580\u533b\u66f4\u65b0\u6642\u306b\u63d0\u51fa\u5fc5\u9808\u3068\u3057\u305f\u3002\u307e\u305f\u30e1\u30c7\u30a3\u30b1\u30a2\u306eBerenson-Eggers Type of Service(BETOS)\u304b\u3089\u3082\u6307\u6a19\u3092\u4f5c\u308a\u3001\u6bd4\u8f03\u3057\u305f\u3002\u305d\u306e\u5f8c\u30012\u3064\u306e\u5305\u62ec\u6027\u6307\u6a19\u3068\u5165\u9662\u3001\u30d1\u30fc\u30c8B\u5358\u72ec\u3001\u30d1\u30fc\u30c8A\u3068B\u306e\u5408\u8a08\u306e\u533b\u7642\u8cbb\u306e\u95a2\u4fc2\u3092\u8abf\u67fb\u3057\u305f\u3002<\/p>\n<p>\u3010\u7d50\u679c\u3011<br \/>\n\u3000\u30b5\u30f3\u30d7\u30eb\u3068\u3057\u305f\u5bb6\u5ead\u533b\u6570\u306f3,652\u4eba\u3067\u3001\u30e1\u30c7\u30a3\u30b1\u30a2\u306e\u53d7\u7d66\u8005555,165\u4eba\u306e\u3046\u3061\u306e\u5927\u90e8\u5206\u306e\u8a3a\u7642\u3092\u62c5\u3063\u3066\u3044\u305f\u3002\u305d\u306e\u3046\u3061\u30012007\u5e74\u304b\u30892011\u5e74\u306e\u9593\u306b\u5c02\u9580\u533b\u66f4\u65b0\u3092\u884c\u3063\u305f\u306e\u306f1,133\u4eba\u3067\u3042\u308a\u3001185,044\u4eba\u306e\u8a3a\u7642\u306b\u3042\u305f\u3063\u3066\u3044\u305f\u3002BETOS\u3068\u81ea\u5df1\u8a55\u4fa1\u306b\u3088\u308b\u5305\u62ec\u6027\u306f\u4e2d\u7b49\u5ea6\u306e\u76f8\u95a2(0.30)\u3092\u793a\u3057\u305f\u3002\u53d7\u7d66\u8005\u3068\u5bb6\u5ead\u533b\u306e\u7279\u6027\u3092\u8abf\u6574\u3059\u308b\u3068\u3001\u5305\u62ec\u6027\u306f\u30e1\u30c7\u30a3\u30b1\u30a2\u30fb\u30d1\u30fc\u30c8A\u3068\u30d1\u30fc\u30c8B\u306e\u5408\u8a08\u304a\u3088\u3073\u30d1\u30fc\u30c8B\u5358\u72ec\u306e\u30b3\u30b9\u30c8\u524a\u6e1b\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\u3002\u3057\u304b\u3057\u5165\u9662\u3068\u306e\u95a2\u9023\u306f\u307f\u3089\u308c\u306a\u304b\u3063\u305f\u3002\u533b\u7642\u8cbb\u306e\u652f\u6255\u3044\u3068\u306e\u95a2\u9023\u306fBETOS\u306e\u307b\u3046\u304c\u81ea\u5df1\u8a55\u4fa1\u306b\u3088\u308b\u5305\u62ec\u6027\u3088\u308a\u3082\u5f37\u304b\u3063\u305f\u3002BETOS\u304c\u9ad8\u3044\u307b\u3069\u3001\u5165\u9662\u306e\u53ef\u80fd\u6027\u306f\u4f4e\u304f\u306a\u3063\u305f\u3002<\/p>\n<p>\u3010\u7d50\u8ad6\u3011<br \/>\n\u3000\u5bb6\u5ead\u533b\u306e\u30b1\u30a2\u306e\u5305\u62ec\u6027\uff08\u7279\u306b\u8acb\u6c42\u66f8\u306b\u8a18\u8f09\u3055\u308c\u308b\u9805\u76ee\u304b\u3089\u6e2c\u5b9a\u3057\u305f\u5305\u62ec\u6027\uff09\u304c\u5897\u3059\u3068\u3001\u30e1\u30c7\u30a3\u30b1\u30a2\u306e\u533b\u7642\u8cbb\u3001\u5165\u9662\u306f\u6e1b\u5c11\u3057\u305f\u3002\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u5305\u62ec\u6027\u3078\u5831\u916c\u3092\u4e0e\u3048\u308b\u3053\u3068\u3084\u3001\u8a3a\u7642\u65b9\u91dd\u3068\u3059\u308b\u3053\u3068\u304c\u3001\u8cbb\u7528\u66f2\u7dda\u3092\u5909\u5316\u3055\u305b\u3046\u308b\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\u30002015\u5e7411\u670818\u65e5(\u6c34)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015 Andrew Bazemore, et al. More comprehensive care among family physician is associated with lower costs an &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=939\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u5305\u62ec\u6027\u3068\u533b\u7642\u8cbb<\/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-939","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\/939","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=939"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/939\/revisions"}],"predecessor-version":[{"id":940,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/939\/revisions\/940"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=939"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=939"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=939"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}