{"id":1937,"date":"2019-02-17T14:27:26","date_gmt":"2019-02-17T14:27:26","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~ACP\/?p=1937"},"modified":"2019-02-17T14:27:26","modified_gmt":"2019-02-17T14:27:26","slug":"annals-of-internal-medicine%e3%81%ab4%e5%a0%b1%e3%81%ae%e3%83%ac%e3%82%bf%e3%83%bc%e3%81%8c%e6%8e%b2%e8%bc%89","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~ACP\/2019\/02\/17\/annals-of-internal-medicine%e3%81%ab4%e5%a0%b1%e3%81%ae%e3%83%ac%e3%82%bf%e3%83%bc%e3%81%8c%e6%8e%b2%e8%bc%89.html","title":{"rendered":"Annals of Internal Medicine\u306b4\u5831\u306e\u30ec\u30bf\u30fc\u304c\u63b2\u8f09"},"content":{"rendered":"<p><span style=\"font-weight: 400\">ACPJC\u5e74\u6b21\u7dcf\u4f1a2018\u3067\u306e\u300c\u30ec\u30bf\u30fc\u306e\u66f8\u304d\u65b9\u300d\u3068\u984c\u3057\u305f\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7\u306e\u7d50\u679c\u3001ACP\u306e\u6a5f\u95a2\u8a8c\u3067\u3042\u308bAnnals of Internal Medicine\u306b4\u5831\u306e\u30ec\u30bf\u30fc\u304c\u63b2\u8f09\u3055\u308c\u307e\u3057\u305f\u3002\u305d\u306e\u904e\u7a0b\u3092\u7247\u5ca1\u88d5\u8cb4\u5148\u751f\u304b\u3089\u5831\u544a\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u306e\u3067\u3001\u5e83\u5831\u3044\u305f\u3057\u307e\u3059\u3002\uff08PRC\u59d4\u54e1\uff1a\u524d\u7530\u6b63\u5f66\uff09<\/span><\/p>\n<p>\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb<\/p>\n<p><span style=\"font-weight: 400\">\u5175\u5eab\u770c\u7acb\u5c3c\u5d0e\u7dcf\u5408\u533b\u7642\u30bb\u30f3\u30bf\u30fc \u547c\u5438\u5668\u5185\u79d1\u30fb\u81e8\u5e8a\u7814\u7a76\u63a8\u9032\u30e6\u30cb\u30c3\u30c8<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u7247\u5ca1\u88d5\u8cb4<\/span><\/p>\n<p><span style=\"font-weight: 400\"> ACPJC\u5e74\u6b21\u7dcf\u4f1a2018\u306b\u304a\u3044\u3066\u3001\u300c\u30ec\u30bf\u30fc\u306e\u66f8\u304d\u65b9\u300d\u3068\u984c\u3057\u305f\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7(WS)\u3092\u884c\u3044\u3001\u305d\u306e\u7d50\u679c\u3001ACP\u306e\u6a5f\u95a2\u8a8c\u3067\u3042\u308bAnnals of Internal Medicine (AIM)\u306b4\u5831\u306e\u30ec\u30bf\u30fc\u304c\u63b2\u8f09\u3055\u308c\u307e\u3057\u305f\u306e\u3067\u3001\u305d\u306e\u904e\u7a0b\u3092\u3054\u5831\u544a\u3044\u305f\u3057\u307e\u3059\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400\"> \u3082\u3068\u3082\u3068\u7b46\u8005\u3089\u306f\u3001\u300c\u8ab0\u3067\u3082\u3067\u304d\u308b\u81e8\u5e8a\u7814\u7a76\u300d\u3092\u5408\u8a00\u8449\u306b\u3001\u591a\u5fd9\u306a\u65e5\u672c\u306e\u81e8\u5e8a\u73fe\u5834\u3067\u3082\u5b9f\u65bd\u53ef\u80fd\u306a\u81e8\u5e8a\u7814\u7a76\u306e\u3084\u308a\u65b9\u3092\u5b66\u3076\u5404\u7a2eWS\u3092\u904b\u55b6\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u305d\u306e\u4e2d\u306e\u4e00\u3064\u306b\u3001\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc(systematic review)\u3092\u5b66\u3076\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7\u304c\u3042\u308a\u307e\u3059(1)\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400\"> \u3054\u627f\u77e5\u306e\u3068\u304a\u308a\u3001\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u3068\u306f\u3001\u4e00\u3064\u306e\u81e8\u5e8a\u7591\u554f\u3092\u5143\u306b\u3001\u305d\u306e\u81e8\u5e8a\u7591\u554f\u306b\u5408\u81f4\u3059\u308b\u3042\u308a\u3068\u3042\u3089\u3086\u308b\u7814\u7a76\u3092\u307e\u3068\u3081\u308b\u6280\u8853\u3067\u3042\u308a\u3001\u305d\u306e\u5229\u7528\u306fEBM\u306e\u5b9f\u8df5\u306b\u3042\u305f\u3063\u3066\u5fc5\u9808\u3068\u3055\u308c\u3066\u3044\u307e\u3059(2)\u3002\u4e00\u65b9\u3067\u3001\u7814\u7a76\u8ad6\u6587\u306b\u30a2\u30af\u30bb\u30b9\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u3066\u3001\u4e00\u5b9a\u306e\u82f1\u8a9e\u529b\u3092\u5143\u306b\u305d\u306e\u89e3\u91c8\u304c\u3067\u304d\u308b\u4eba\u3067\u3042\u308c\u3070\u3001\u4e00\u5b9a\u306e\u6642\u9593\u3092\u304b\u3051\u308c\u3070\u8ab0\u3067\u3082\u5b9f\u8df5\u3067\u304d\u308b\u81e8\u5e8a\u7814\u7a76\u3067\u3082\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400\"> \u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u306e\u904e\u7a0b\u306b\u304a\u3044\u3066\u306f\u3001\u7d44\u307f\u5165\u308c\u305f\u4e00\u6b21\u7814\u7a76\u306e\u30d0\u30a4\u30a2\u30b9\u3092\u8a55\u4fa1\u3059\u308b\u3001\u3068\u3044\u3046\u30b9\u30c6\u30c3\u30d7\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3092\u5fdc\u7528\u3059\u308b\u3068\u3001\u30ec\u30bf\u30fc\u3092\u66f8\u3051\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u5171\u540c\u904b\u55b6\u8005\u3067\u3042\u308b\u8fbb\u5143\u5553\u5148\u751f\u304c\u767a\u898b\u3057\u3001\u3044\u304f\u3064\u304b\u306e\u30ec\u30bf\u30fc\u3092\u66f8\u304d\u307e\u3057\u305f(2)\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400\"> \u3053\u306e\u7d4c\u9a13\u3092\u5143\u306b\u3001\u81e8\u5e8a\u7814\u7a76\u306e\u9060\u9694\u5b66\u7fd2\u30d7\u30ed\u30b0\u30e9\u30e0\u3067\u3042\u308bMCR extension (3)\u306b\u304a\u3044\u3066\u30012\u65e5\u304c\u304b\u308a\u306eWS\u3092\u5b9f\u65bd\u3057\u3001\u5b9f\u969b\u306b\u53d7\u8b1b\u751f\u304c\u30ec\u30bf\u30fc\u3092\u66f8\u3051\u308b\u3088\u3046\u306b\u306a\u308b\u3001\u3068\u3044\u3046\u52b9\u679c\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f (4)\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400\"> \u305d\u306e\u969b\u306e\u53d7\u8b1b\u751f\u306f\u3042\u304f\u307e\u3067\u81e8\u5e8a\u7814\u7a76\u306b\u95a2\u3057\u3066\u4e00\u5b9a\u306e\u5b66\u7fd2\u7d4c\u9a13\u304c\u3042\u308b\u4eba\u305f\u3061\u3067\u3057\u305f\u306e\u3067\u3001\u3053\u306eWS\u3092\u7d4c\u9a13\u306e\u306a\u3044\u533b\u5e2b\u306b\u9069\u5fdc\u53ef\u80fd\u304b\u3001\u3068\u3044\u3046\u7591\u554f\u3092\u5143\u306b\u3001\u4eca\u56de\u306eWS\u3092\u4f01\u753b\u30fb\u904b\u55b6\u3059\u308b\u3053\u3068\u306b\u3057\u307e\u3057\u305f\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400\"> \u5b9f\u969b\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3059\u3002<\/span><\/p>\n<table width=\"456\">\n<tbody>\n<tr>\n<td width=\"67\">\u4e8b\u524d<\/td>\n<td width=\"389\">&#8211; \u4e8b\u524d\u5b66\u7fd2\u52d5\u753b\u3092\u898b\u308b\uff0815 \u5206\uff09 https:\/\/youtu.be\/mQ8BXtw_cVI<br \/>\n&#8211; \u8ab2\u984c\u8ad6\u6587\uff08Graham KL, et al. Preventability of Early Versus Late Hospital Readmissions in a National Cohort of General Medicine<br \/>\nPatients. Ann Intern Med. [Epub ahead of print 1 May 2018] doi: 10.7326\/M17-1724 http:\/\/annals.org\/aim\/article-abstract\/2680053\/<br \/>\npreventability-early-versus-late-hospital-readmissions-national-cohort-general-medicine\uff09\u3092\u8aad\u3080<\/td>\n<\/tr>\n<tr>\n<td width=\"67\">\u5f53\u65e5<\/td>\n<td width=\"389\">\u300c\u4ea4\u7d61\u300d\u306b\u7740\u76ee\u3057\u305fRisk of Bias\u306e\u541f\u5473\u3068\u30dd\u30a4\u30f3\u30c8\u306e\u6307\u6458\u3092\u8003\u3048\u308bhttps:\/\/drive.google.com\/file\/d\/1NX3ejjD0pmlrxP1MWamnGHODcLO42<\/p>\n<p>FX5\/view?fbclid=IwAR01jb0u-zbW40P6CLpC68kc99Gl9wq-WXwl8rhHSqXhFuv5VehQ1_z7Dso<\/td>\n<\/tr>\n<tr>\n<td width=\"67\">\u4e8b\u5f8c<\/td>\n<td width=\"389\">\u30b0\u30eb\u30fc\u30d7\u3054\u3068\u306b\u30ec\u30bf\u30fc\u3092\u6295\u7a3f<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-size: 1rem\">\u8ad6\u6587\u306f\u3001AIM\u304cACP\u306e\u6a5f\u95a2\u8a8c\u3067\u3042\u308b\u3053\u3068\u306b\u52a0\u3048\u3066\u3001\u6bd4\u8f03\u7684\u30ec\u30bf\u30fc\u304c\u4e57\u308a\u3084\u3059\u3044\u96d1\u8a8c\u3067\u3042\u3063\u305f\u3053\u3068\u3001Epub ahead of print\u3068\u3057\u3066\u63b2\u8f09\u3055\u308c\u305f\u306e\u3067\u3001\u30ec\u30bf\u30fc\u6295\u7a3f\u306e\u7de0\u5207\uff08\u518a\u5b50\u7248\u306b\u8f09\u3063\u3066\u304b\u30891\u30f6\u6708\uff09\u307e\u3067\u3086\u3068\u308a\u304c\u3042\u308b\u3053\u3068\u306a\u3069\u3092\u9451\u307f\u3066\u9078\u3073\u307e\u3057\u305f\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400\"> \u4e8b\u524d\u306b\u5f53\u9662\u3067\u884c\u3063\u305f\u30c6\u30b9\u30c8\u7248\u306b\u306f3\u540d\u3001\u5f53\u65e5\u306f28\u540d(\u542b\u5b66\u751f3\u4eba)\u306e\u53c2\u52a0\u304c\u3042\u308a\u307e\u3057\u305f\u30024\u901a\u306e\u30ec\u30bf\u30fc\u304cAIM\u306e\u30a6\u30a7\u30d6\u30b5\u30a4\u30c8\u306b\u63b2\u8f09\u3055\u308c\u3001\u305d\u306e\u5f8c\u672c\u8a8c\u306b\u63b2\u8f09\u3055\u308c\u307e\u3057\u305f\u3002\u306e\u307913\u4eba\u304c\u8457\u8005\u3068\u306a\u308a\u30011st author\u3068\u306a\u3063\u305f\u306e\u306f\u3044\u305a\u308c\u3082\u81e8\u5e8a\u8ad6\u6587\u3092\u66f8\u3044\u305f\u3053\u3068\u304c\u306a\u3044\u4eba\u9054\u3067\u3057\u305f\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400\"> \u30ec\u30bf\u30fc\u3092\u66f8\u304f\u3053\u3068\u306f\u3001\u82f1\u8a9e\u8ad6\u6587\u3092\u66f8\u304f\u3053\u3068\u306e\u7df4\u7fd2\u306b\u3082\u306a\u308a\u307e\u3059\u3057\u3001\u5358\u306a\u308b\u63da\u3052\u8db3\u53d6\u308a\u306b\u3068\u3069\u307e\u3089\u305a\u306b\u7d50\u679c\u3092\u89e3\u91c8\u3059\u308b\u3001\u3068\u3044\u3046\u610f\u5473\u3067\u79d1\u5b66\u7684\u601d\u8003\u3092\u6db5\u990a\u3059\u308b\u5f79\u306b\u3082\u7acb\u3064\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400\"> \u8cc7\u6599\u306f\u5168\u3066\u516c\u958b\u3057\u3066\u304a\u308a\u307e\u3059\u306e\u3067\u3001\u65b0\u3057\u3044\u8ad6\u6587\u3092\u307f\u306a\u3055\u3093\u306e\u65bd\u8a2d\u3067\u30b8\u30e3\u30fc\u30ca\u30eb\u30af\u30e9\u30d6\u3068\u3057\u3066\u53d6\u308a\u4e0a\u3052\u308b\u969b\u306b\u306f\u3001\u305c\u3072\u3054\u6d3b\u7528\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400\"> \u307e\u305f\u3001\u30ec\u30bf\u30fc\u3092\u901a\u3058\u3066\u3001\u6b21\u306b\u3042\u308b\u4e00\u6b21\u7814\u7a76\u3068\u3057\u3066\u306e\u81e8\u5e8a\u7814\u7a76\u306e\u5b9f\u8df5\u3078\u3068\u3064\u306a\u3052\u3066\u3044\u305f\u3060\u3051\u308c\u3070\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u5f15\u7528\u6587\u732e<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\uff08\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\uff09\u4f5c\u6210\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7:\u8ab0\u3067\u3082\u3067\u304d\u308b\u81e8\u5e8a\u7814\u7a76 <\/span><a href=\"https:\/\/www.facebook.com\/SRworkshop\/\"><span style=\"font-weight: 400\">https:\/\/www.facebook.com\/SRworkshop\/<\/span><\/a><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Users&#8217; Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed. McGraw-Hill. 2014<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">\u300c\u30ec\u30bf\u30fc\u300d\u306e\u66f8\u304d\u65b9\u306e\u4f5c\u6cd5-\u9031\u520a\u533b\u5b66\u754c\u65b0\u805e <\/span><a href=\"http:\/\/www.igaku-shoin.co.jp\/paperDetail.do?id=PA03164_02\"><span style=\"font-weight: 400\">http:\/\/www.igaku-shoin.co.jp\/paperDetail.do?id=PA03164_02<\/span><\/a><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">MCR extension <\/span><a href=\"https:\/\/www.google.com\/search?q=MCR+extension&amp;hl=en&amp;safe=off\"><span style=\"font-weight: 400\">https:\/\/www.google.com\/search?q=MCR+extension&amp;hl=en&amp;safe=off<\/span><\/a><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Writing letters to the editor: A workshop. <\/span><a href=\"https:\/\/www.mededpublish.org\/manuscripts\/1824?fbclid=IwAR33ZVH1RZRDmgEI3wvbhzYSbi7JRGBf4irDKwb00Z9bvth1jKPRsFnyKOg\"><span style=\"font-weight: 400\">https:\/\/www.mededpublish.org\/manuscripts\/1824?fbclid=IwAR33ZVH1RZRDmgEI3wvbhzYSbi7JRGBf4irDKwb00Z9bvth1jKPRsFnyKOg<\/span><\/a><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400\">\u63b2\u8f09\u3055\u308c\u305f\u30ec\u30bf\u30fc<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30716746<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30716748<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30716749<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30716750<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u5f53\u65e5\u306e\u69d8\u5b50<\/span><\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"1938\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2019\/02\/17\/annals-of-internal-medicine%e3%81%ab4%e5%a0%b1%e3%81%ae%e3%83%ac%e3%82%bf%e3%83%bc%e3%81%8c%e6%8e%b2%e8%bc%89.html\/acp-4\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/02\/ACP.png?fit=2500%2C1407&amp;ssl=1\" data-orig-size=\"2500,1407\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"\u30ec\u30bf\u30fc\u306e\u66f8\u304d\u65b9WS\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/02\/ACP.png?fit=525%2C295&amp;ssl=1\" class=\"alignnone size-medium wp-image-1938\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/02\/ACP.png?resize=300%2C169&#038;ssl=1\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/02\/ACP.png?resize=300%2C169&amp;ssl=1 300w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/02\/ACP.png?resize=768%2C432&amp;ssl=1 768w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/02\/ACP.png?resize=1024%2C576&amp;ssl=1 1024w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/02\/ACP.png?w=1575&amp;ssl=1 1575w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>ACPJC\u5e74\u6b21\u7dcf\u4f1a2018\u3067\u306e\u300c\u30ec\u30bf\u30fc\u306e\u66f8\u304d\u65b9\u300d\u3068\u984c\u3057\u305f\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7\u306e\u7d50\u679c\u3001ACP\u306e\u6a5f\u95a2\u8a8c\u3067\u3042\u308bAnnals of Internal Medicine\u306b4\u5831\u306e\u30ec\u30bf\u30fc\u304c\u63b2\u8f09\u3055\u308c\u307e\u3057\u305f\u3002\u305d\u306e\u904e\u7a0b\u3092\u7247\u5ca1\u88d5\u8cb4\u5148\u751f\u304b\u3089\u5831\u544a\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u306e\u3067\u3001\u5e83\u5831\u3044\u305f\u3057\u307e\u3059\u3002\uff08PRC\u59d4\u54e1\uff1a\u524d\u7530\u6b63\u5f66\uff09 \u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb \u5175\u5eab\u770c\u7acb\u5c3c\u5d0e\u7dcf\u5408\u533b\u7642\u30bb\u30f3\u30bf\u30fc \u547c\u5438\u5668\u5185\u79d1\u30fb\u81e8\u5e8a\u7814\u7a76\u63a8\u9032\u30e6\u30cb\u30c3\u30c8 \u7247\u5ca1\u88d5\u8cb4 ACPJC\u5e74\u6b21\u7dcf\u4f1a2018\u306b\u304a\u3044\u3066\u3001\u300c\u30ec\u30bf\u30fc\u306e\u66f8\u304d\u65b9\u300d\u3068\u984c\u3057\u305f\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7(WS)\u3092\u884c\u3044\u3001\u305d\u306e\u7d50\u679c\u3001ACP\u306e\u6a5f\u95a2\u8a8c\u3067\u3042\u308bAnnals of Internal Medicine (AIM)\u306b4\u5831\u306e\u30ec\u30bf\u30fc\u304c\u63b2\u8f09\u3055\u308c\u307e\u3057\u305f\u306e\u3067\u3001\u305d\u306e\u904e\u7a0b\u3092\u3054\u5831\u544a\u3044\u305f\u3057\u307e\u3059\u3002 \u3082\u3068\u3082\u3068\u7b46\u8005\u3089\u306f\u3001\u300c\u8ab0\u3067\u3082\u3067\u304d\u308b\u81e8\u5e8a\u7814\u7a76\u300d\u3092\u5408\u8a00\u8449\u306b\u3001\u591a\u5fd9\u306a\u65e5\u672c\u306e\u81e8\u5e8a\u73fe\u5834\u3067\u3082\u5b9f\u65bd\u53ef\u80fd\u306a\u81e8\u5e8a\u7814\u7a76\u306e\u3084\u308a\u65b9\u3092\u5b66\u3076\u5404\u7a2eWS\u3092\u904b\u55b6\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u305d\u306e\u4e2d\u306e\u4e00\u3064\u306b\u3001\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc(systematic review)\u3092\u5b66\u3076\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7\u304c\u3042\u308a\u307e\u3059(1)\u3002 \u3054\u627f\u77e5\u306e\u3068\u304a\u308a\u3001\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u3068\u306f\u3001\u4e00\u3064\u306e\u81e8\u5e8a\u7591\u554f\u3092\u5143\u306b\u3001\u305d\u306e\u81e8\u5e8a\u7591\u554f\u306b\u5408\u81f4\u3059\u308b\u3042\u308a\u3068\u3042\u3089\u3086\u308b\u7814\u7a76\u3092\u307e\u3068\u3081\u308b\u6280\u8853\u3067\u3042\u308a\u3001\u305d\u306e\u5229\u7528\u306fEBM\u306e\u5b9f\u8df5\u306b\u3042\u305f\u3063\u3066\u5fc5\u9808\u3068\u3055\u308c\u3066\u3044\u307e\u3059(2)\u3002\u4e00\u65b9\u3067\u3001\u7814\u7a76\u8ad6\u6587\u306b\u30a2\u30af\u30bb\u30b9\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u3066\u3001\u4e00\u5b9a\u306e\u82f1\u8a9e\u529b\u3092\u5143\u306b\u305d\u306e\u89e3\u91c8\u304c\u3067\u304d\u308b\u4eba\u3067\u3042\u308c\u3070\u3001\u4e00\u5b9a\u306e\u6642\u9593\u3092\u304b\u3051\u308c\u3070\u8ab0\u3067\u3082\u5b9f\u8df5\u3067\u304d\u308b\u81e8\u5e8a\u7814\u7a76\u3067\u3082\u3042\u308a\u307e\u3059\u3002 \u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u306e\u904e\u7a0b\u306b\u304a\u3044\u3066\u306f\u3001\u7d44\u307f\u5165\u308c\u305f\u4e00\u6b21\u7814\u7a76\u306e\u30d0\u30a4\u30a2\u30b9\u3092\u8a55\u4fa1\u3059\u308b\u3001\u3068\u3044\u3046\u30b9\u30c6\u30c3\u30d7\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3092\u5fdc\u7528\u3059\u308b\u3068\u3001\u30ec\u30bf\u30fc\u3092\u66f8\u3051\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u5171\u540c\u904b\u55b6\u8005\u3067\u3042\u308b\u8fbb\u5143\u5553\u5148\u751f\u304c\u767a\u898b\u3057\u3001\u3044\u304f\u3064\u304b\u306e\u30ec\u30bf\u30fc\u3092\u66f8\u304d\u307e\u3057\u305f(2)\u3002 \u3053\u306e\u7d4c\u9a13\u3092\u5143\u306b\u3001\u81e8\u5e8a\u7814\u7a76\u306e\u9060\u9694\u5b66\u7fd2\u30d7\u30ed\u30b0\u30e9\u30e0\u3067\u3042\u308bMCR extension (3)\u306b\u304a\u3044\u3066\u30012\u65e5\u304c\u304b\u308a\u306eWS\u3092\u5b9f\u65bd\u3057\u3001\u5b9f\u969b\u306b\u53d7\u8b1b\u751f\u304c\u30ec\u30bf\u30fc\u3092\u66f8\u3051\u308b\u3088\u3046\u306b\u306a\u308b\u3001\u3068\u3044\u3046\u52b9\u679c\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f (4)\u3002 \u305d\u306e\u969b\u306e\u53d7\u8b1b\u751f\u306f\u3042\u304f\u307e\u3067\u81e8\u5e8a\u7814\u7a76\u306b\u95a2\u3057\u3066\u4e00\u5b9a\u306e\u5b66\u7fd2\u7d4c\u9a13\u304c\u3042\u308b\u4eba\u305f\u3061\u3067\u3057\u305f\u306e\u3067\u3001\u3053\u306eWS\u3092\u7d4c\u9a13\u306e\u306a\u3044\u533b\u5e2b\u306b\u9069\u5fdc\u53ef\u80fd\u304b\u3001\u3068\u3044\u3046\u7591\u554f\u3092\u5143\u306b\u3001\u4eca\u56de\u306eWS\u3092\u4f01\u753b\u30fb\u904b\u55b6\u3059\u308b\u3053\u3068\u306b\u3057\u307e\u3057\u305f\u3002 \u5b9f\u969b\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3059\u3002 \u4e8b\u524d &#8211; \u4e8b\u524d\u5b66\u7fd2\u52d5\u753b\u3092\u898b\u308b\uff0815 \u5206\uff09 https:\/\/youtu.be\/mQ8BXtw_cVI &#8211; \u8ab2\u984c\u8ad6\u6587\uff08Graham KL, et al. Preventability of Early Versus Late Hospital Readmissions in a National Cohort of General Medicine Patients. Ann Intern Med. [Epub ahead of print 1 May 2018] doi: 10.7326\/M17-1724 http:\/\/annals.org\/aim\/article-abstract\/2680053\/ preventability-early-versus-late-hospital-readmissions-national-cohort-general-medicine\uff09\u3092\u8aad\u3080 \u5f53\u65e5 \u300c\u4ea4\u7d61\u300d\u306b\u7740\u76ee\u3057\u305fRisk of Bias\u306e\u541f\u5473\u3068\u30dd\u30a4\u30f3\u30c8\u306e\u6307\u6458\u3092\u8003\u3048\u308bhttps:\/\/drive.google.com\/file\/d\/1NX3ejjD0pmlrxP1MWamnGHODcLO42 FX5\/view?fbclid=IwAR01jb0u-zbW40P6CLpC68kc99Gl9wq-WXwl8rhHSqXhFuv5VehQ1_z7Dso \u4e8b\u5f8c \u30b0\u30eb\u30fc\u30d7\u3054\u3068\u306b\u30ec\u30bf\u30fc\u3092\u6295\u7a3f \u8ad6\u6587\u306f\u3001AIM\u304cACP\u306e\u6a5f\u95a2\u8a8c\u3067\u3042\u308b\u3053\u3068\u306b\u52a0\u3048\u3066\u3001\u6bd4\u8f03\u7684\u30ec\u30bf\u30fc\u304c\u4e57\u308a\u3084\u3059\u3044\u96d1\u8a8c\u3067\u3042\u3063\u305f\u3053\u3068\u3001Epub ahead of print\u3068\u3057\u3066\u63b2\u8f09\u3055\u308c\u305f\u306e\u3067\u3001\u30ec\u30bf\u30fc\u6295\u7a3f\u306e\u7de0\u5207\uff08\u518a\u5b50\u7248\u306b\u8f09\u3063\u3066\u304b\u30891\u30f6\u6708\uff09\u307e\u3067\u3086\u3068\u308a\u304c\u3042\u308b\u3053\u3068\u306a\u3069\u3092\u9451\u307f\u3066\u9078\u3073\u307e\u3057\u305f\u3002 \u4e8b\u524d\u306b\u5f53\u9662\u3067\u884c\u3063\u305f\u30c6\u30b9\u30c8\u7248\u306b\u306f3\u540d\u3001\u5f53\u65e5\u306f28\u540d(\u542b\u5b66\u751f3\u4eba)\u306e\u53c2\u52a0\u304c\u3042\u308a\u307e\u3057\u305f\u30024\u901a\u306e\u30ec\u30bf\u30fc\u304cAIM\u306e\u30a6\u30a7\u30d6\u30b5\u30a4\u30c8\u306b\u63b2\u8f09\u3055\u308c\u3001\u305d\u306e\u5f8c\u672c\u8a8c\u306b\u63b2\u8f09\u3055\u308c\u307e\u3057\u305f\u3002\u306e\u307913\u4eba\u304c\u8457\u8005\u3068\u306a\u308a\u30011st author\u3068\u306a\u3063\u305f\u306e\u306f\u3044\u305a\u308c\u3082\u81e8\u5e8a\u8ad6\u6587\u3092\u66f8\u3044\u305f\u3053\u3068\u304c\u306a\u3044\u4eba\u9054\u3067\u3057\u305f\u3002 \u30ec\u30bf\u30fc\u3092\u66f8\u304f\u3053\u3068\u306f\u3001\u82f1\u8a9e\u8ad6\u6587\u3092\u66f8\u304f\u3053\u3068\u306e\u7df4\u7fd2\u306b\u3082\u306a\u308a\u307e\u3059\u3057\u3001\u5358\u306a\u308b\u63da\u3052\u8db3\u53d6\u308a\u306b\u3068\u3069\u307e\u3089\u305a\u306b\u7d50\u679c\u3092\u89e3\u91c8\u3059\u308b\u3001\u3068\u3044\u3046\u610f\u5473\u3067\u79d1\u5b66\u7684\u601d\u8003\u3092\u6db5\u990a\u3059\u308b\u5f79\u306b\u3082\u7acb\u3064\u3068\u601d\u3044\u307e\u3059\u3002 \u8cc7\u6599\u306f\u5168\u3066\u516c\u958b\u3057\u3066\u304a\u308a\u307e\u3059\u306e\u3067\u3001\u65b0\u3057\u3044\u8ad6\u6587\u3092\u307f\u306a\u3055\u3093\u306e\u65bd\u8a2d\u3067\u30b8\u30e3\u30fc\u30ca\u30eb\u30af\u30e9\u30d6\u3068\u3057\u3066\u53d6\u308a\u4e0a\u3052\u308b\u969b\u306b\u306f\u3001\u305c\u3072\u3054\u6d3b\u7528\u304f\u3060\u3055\u3044\u3002 \u307e\u305f\u3001\u30ec\u30bf\u30fc\u3092\u901a\u3058\u3066\u3001\u6b21\u306b\u3042\u308b\u4e00\u6b21\u7814\u7a76\u3068\u3057\u3066\u306e\u81e8\u5e8a\u7814\u7a76\u306e\u5b9f\u8df5\u3078\u3068\u3064\u306a\u3052\u3066\u3044\u305f\u3060\u3051\u308c\u3070\u3068\u601d\u3044\u307e\u3059\u3002 \u5f15\u7528\u6587\u732e \u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\uff08\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\uff09\u4f5c\u6210\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7:\u8ab0\u3067\u3082\u3067\u304d\u308b\u81e8\u5e8a\u7814\u7a76 https:\/\/www.facebook.com\/SRworkshop\/ Users&#8217; Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed. 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