{"id":2010,"date":"2019-04-24T08:01:16","date_gmt":"2019-04-24T08:01:16","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~ACP\/?p=2010"},"modified":"2019-04-24T08:30:46","modified_gmt":"2019-04-24T08:30:46","slug":"acp%e3%83%9d%e3%82%b9%e3%82%bf%e3%83%bc%e7%99%ba%e8%a1%a8%e4%bd%93%e9%a8%93%e8%a8%98","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~ACP\/2019\/04\/24\/acp%e3%83%9d%e3%82%b9%e3%82%bf%e3%83%bc%e7%99%ba%e8%a1%a8%e4%bd%93%e9%a8%93%e8%a8%98.html","title":{"rendered":"ACP\u5e74\u6b21\u7dcf\u4f1a\u30dd\u30b9\u30bf\u30fc\u767a\u8868\u4f53\u9a13\u8a18"},"content":{"rendered":"<p>ACP\u4f53\u9a13\u8a18<\/p>\n<p>\u6ff1\u7530 \u6cbb MD<\/p>\n<p>\u611b\u4ec1\u4f1a\u9ad8\u69fb\u75c5\u9662 \u7dcf\u5408\u5185\u79d1 \u533b\u9577<\/p>\n<p>\u4eac\u90fd\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u79d1 \u533b\u7642\u7d4c\u6e08\u5b66\u5206\u91ce\u3000\u5927\u5b66\u9662\u7814\u7a76\u54e1<\/p>\n<p>Osamu Hamada, MD<\/p>\n<p>Department of General Internal Medicine, Takatsuki General Hospital, Osaka, Japan<\/p>\n<p>Department of Healthcare Economics and Quality Management, Graduate School of Medicine and Faculty of Medicine Kyoto University, Kyoto, Japan<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"2008\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2019\/04\/24\/acp%e3%83%9d%e3%82%b9%e3%82%bf%e3%83%bc%e7%99%ba%e8%a1%a8%e4%bd%93%e9%a8%93%e8%a8%98.html\/%e9%a1%94%e5%86%99%e7%9c%9f-3\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/261fb30e148f01d8a7b7752437b9edb5.jpg?fit=748%2C1047&amp;ssl=1\" data-orig-size=\"748,1047\" 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=\"\u9854\u5199\u771f\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/261fb30e148f01d8a7b7752437b9edb5.jpg?fit=525%2C734&amp;ssl=1\" class=\"alignnone size-medium wp-image-2008\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/261fb30e148f01d8a7b7752437b9edb5.jpg?resize=214%2C300&#038;ssl=1\" alt=\"\" width=\"214\" height=\"300\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/261fb30e148f01d8a7b7752437b9edb5.jpg?resize=214%2C300&amp;ssl=1 214w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/261fb30e148f01d8a7b7752437b9edb5.jpg?resize=732%2C1024&amp;ssl=1 732w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/261fb30e148f01d8a7b7752437b9edb5.jpg?resize=549%2C768&amp;ssl=1 549w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/261fb30e148f01d8a7b7752437b9edb5.jpg?w=748&amp;ssl=1 748w\" sizes=\"auto, (max-width: 214px) 100vw, 214px\" \/><\/p>\n<p>\u3053\u306e\u5ea6ACP\u306e\u672c\u90e8\u306e\u5e74\u6b21\u7dcf\u4f1a\u3067\u5f53\u9662\u304b\u3089\u5fdc\u52df\u3057\u305f\u30dd\u30b9\u30bf\u30fc\u304c\u30a2\u30af\u30bb\u30d7\u30c8\u3055\u308c\u3001\u767a\u8868\u3059\u308b\u6a5f\u4f1a\u3092\u3048\u307e\u3057\u305f\u3002ACP\u672c\u90e8\u3067\u4e00\u822c\u5fdc\u52df\u304b\u3089\u306e\u65e5\u672c\u4eba\u306e\u767a\u8868\u306f\u8cb4\u91cd\u3068\u3044\u3046\u304a\u8a00\u8449\u3092\u3044\u305f\u3060\u304d\u3001\u3053\u306e\u5ea6\u5b66\u4f1a\u53c2\u52a0\u306b\u95a2\u3057\u3066\u8a18\u4e8b\u3092\u66f8\u304b\u305b\u3066\u3044\u305f\u3060\u304f\u3053\u3068\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n<p>\u79c1\u306fEarly Career Physicians\u306e\u30dd\u30b9\u30bf\u30fc\u767a\u8868\u306e\u67a0\u306b\u5fdc\u52df\u3057\u307e\u3057\u305f\u3002\u201cImpact of the hospitalist system in Japan on quality of care and healthcare economics\u201d\u3068\u3044\u3046\u5f53\u9662\u3067\u884c\u306a\u3063\u305f\u81e8\u5e8a\u7814\u7a76\u306b\u3064\u3044\u3066\u767a\u8868\u3092\u884c\u3044\u307e\u3057\u305f\u3002\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u306f\u5e45\u5e83\u3044\u5185\u79d1\u306e\u554f\u984c\u306b\u5bfe\u5fdc\u3067\u304d\u308b\u3001\u5165\u9662\u5bfe\u5fdc\u306e\u30b9\u30da\u30b7\u30e3\u30ea\u30b9\u30c8\u3068\u3057\u3066\u7c73\u56fd\u3067\u767a\u5c55\u3057\u3066\u304d\u307e\u3057\u305f\u3002\u7c73\u56fd\u3067\u306f\u305d\u306e\u6709\u7528\u6027\u304c\u591a\u6570\u5831\u544a\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u672c\u90a6\u306b\u304a\u3044\u3066\u3082\u60a3\u8005\u3092\u7dcf\u5408\u7684\u306b\u8a3a\u7642\u3067\u304d\u308b\u533b\u5e2b\u306e\u5fc5\u8981\u6027\u304c\u5f37\u8abf\u3055\u308c\u3001\u5c02\u9580\u533b\u5236\u5ea6\u306b\u3082\u5909\u9769\u304c\u751f\u307e\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u306e\u6709\u7528\u6027\u3092\u691c\u8a3c\u3057\u305f\u7814\u7a76\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u5f53\u9662\u3067\u306f2017\u5e74\u5ea6\u306b\u7c73\u56fd\u3067\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u306e\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3092\u7a4d\u3093\u3060\u6307\u5c0e\u533b\u306e\u5143\u3067\u7dcf\u5408\u5185\u79d1\u304c\u8a3a\u7642\u3092\u958b\u59cb\u3057\u307e\u3057\u305f\u3002\u672c\u7814\u7a76\u306f\u5f53\u9662\u306b\u5165\u9662\u3057\u305f\u8aa4\u56a5\u6027\u80ba\u708e\u306e\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u3001\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u7fa4(\u5f53\u79d1)\u3068\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u7fa4(\u305d\u306e\u4ed6\u5c02\u9580\u79d1)\u306b\u3088\u308b\u6cbb\u7642\u304c\u533b\u7642\u7d4c\u6e08(\u5165\u9662\u671f\u9593\u3001\u533b\u7642\u8cbb)\u3001\u533b\u7642\u306e\u8cea(\u6297\u83cc\u85ac\u6295\u4e0e\u671f\u9593\u3001\u7d4c\u53e3\u6297\u83cc\u85ac\u3078\u306e\u5909\u66f4\u7387\u3001\u63a1\u8840\u3084\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3\u64ae\u5f71\u56de\u6570)\u3001\u6b7b\u4ea1\u7387\u30fb\u518d\u5165\u9662\u7387\u3078\u3069\u306e\u3088\u3046\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3059\u304b\u3092\u8abf\u3079\u305f\u5f8c\u308d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3067\u3059\u3002\u30d7\u30ed\u30da\u30f3\u30b7\u30c6\u30a3\u30b9\u30b3\u30a2\u30de\u30c3\u30c1\u30f3\u30b0\u3092\u7528\u3044\u3066\u89e3\u6790\u3092\u884c\u3044\u307e\u3057\u305f\u3002\u7d50\u679c\u3068\u3057\u3066\u3001\u6b7b\u4ea1\u7387\u3084\u518d\u5165\u9662\u7387\u3092\u4e0a\u3052\u308b\u3053\u3068\u306a\u304f\u3001\u533b\u7642\u7d4c\u6e08\u304a\u3088\u3073\u8cea\u3092\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u7fa4\u304c\u6709\u610f\u306b\u6539\u5584\u3055\u305b\u307e\u3057\u305f\u3002<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"2007\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2019\/04\/24\/acp%e3%83%9d%e3%82%b9%e3%82%bf%e3%83%bc%e7%99%ba%e8%a1%a8%e4%bd%93%e9%a8%93%e8%a8%98.html\/acp-photo3\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo3.jpg?fit=1108%2C1478&amp;ssl=1\" data-orig-size=\"1108,1478\" 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=\"ACP photo3\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo3.jpg?fit=525%2C700&amp;ssl=1\" class=\"alignnone size-medium wp-image-2007\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo3.jpg?resize=225%2C300&#038;ssl=1\" alt=\"\" width=\"225\" height=\"300\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo3.jpg?resize=225%2C300&amp;ssl=1 225w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo3.jpg?resize=768%2C1024&amp;ssl=1 768w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo3.jpg?resize=576%2C768&amp;ssl=1 576w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo3.jpg?w=1108&amp;ssl=1 1108w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo3.jpg?w=1050&amp;ssl=1 1050w\" sizes=\"auto, (max-width: 225px) 100vw, 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data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"2009\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2019\/04\/24\/acp%e3%83%9d%e3%82%b9%e3%82%bf%e3%83%bc%e7%99%ba%e8%a1%a8%e4%bd%93%e9%a8%93%e8%a8%98.html\/acp-photo1\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo1.jpg?fit=1478%2C1108&amp;ssl=1\" data-orig-size=\"1478,1108\" 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=\"ACP \u30dd\u30b9\u30bf\u30fc\u767a\u8868\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo1.jpg?fit=525%2C394&amp;ssl=1\" class=\"alignnone size-medium wp-image-2009\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo1.jpg?resize=300%2C225&#038;ssl=1\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo1.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo1.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo1.jpg?resize=1024%2C768&amp;ssl=1 1024w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo1.jpg?w=1478&amp;ssl=1 1478w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" 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Career Physicians Committee\u3067\u300c\u56fd\u969b\u5b66\u4f1a\u3067\u5730\u8535\u306b\u306a\u3089\u306a\u3044\u305f\u3081\u306e\u82f1\u8a9e\u30bb\u30df\u30ca\u30fc\u300d\u3068\u8a00\u3046\u30bb\u30c3\u30b7\u30e7\u30f3\u3092\u958b\u50ac\u3057\u3066\u3044\u307e\u3057\u305f\u304c\u3001\u3082\u3063\u3068\u56fd\u969b\u5b66\u4f1a\u3067\u7a4d\u6975\u7684\u306b\u53c2\u52a0\u3057\u3001\u767a\u8a00\u3059\u308b\u59ff\u52e2\u3084\u80fd\u529b\u3092\u78e8\u304d\u305f\u3044\u3068\u611f\u3058\u307e\u3057\u305f\u3002<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"2006\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2019\/04\/24\/acp%e3%83%9d%e3%82%b9%e3%82%bf%e3%83%bc%e7%99%ba%e8%a1%a8%e4%bd%93%e9%a8%93%e8%a8%98.html\/acp-photo2\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo2.jpg?fit=1478%2C1108&amp;ssl=1\" data-orig-size=\"1478,1108\" 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=\"ACP photo2\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo2.jpg?fit=525%2C394&amp;ssl=1\" class=\"alignnone size-medium wp-image-2006\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo2.jpg?resize=300%2C225&#038;ssl=1\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo2.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo2.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo2.jpg?resize=1024%2C768&amp;ssl=1 1024w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/04\/ACP-photo2.jpg?w=1478&amp;ssl=1 1478w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\u307e\u305f\u3001\u5973\u6027\u533b\u5e2b\u306e\u5272\u5408\u304c\u9ad8\u304f\u3001\u5b50\u4f9b\u3065\u308c\u3067\u53c2\u52a0\u3057\u3066\u3044\u308b\u65b9\u304c\u8907\u6570\u3044\u305f\u306e\u3082\u5370\u8c61\u7684\u3067\u3057\u305f\u3002\u3044\u304f\u3064\u304b\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u3067\u8a71\u3057\u305f\u5973\u6027\u306e\u5148\u751f\u306f\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u3092\u3057\u3066\u304a\u308a\u3001\u50cd\u304d\u65b9\u3092\u81ea\u5206\u3067\u6c7a\u3081\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u70b9\u304c\u3088\u304f\u3001\u5973\u6027\u306e\u5272\u5408\u304c\u9ad8\u3044\u3068\u8a00\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u65e5\u672c\u3067\u3082\u6628\u4eca\u306e\u50cd\u304d\u65b9\u6539\u9769\u3084\u5973\u6027\u533b\u5e2b\u304c\u6d3b\u8e8d\u3057\u50cd\u304d\u3084\u3059\u3044\u73fe\u5834\u306b\u95a2\u3057\u3066\u6ce8\u76ee\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u3066\u3044\u307e\u3059\u304c\u3001\u75c5\u9662\u3084\u793e\u4f1a\u5168\u4f53\u3067\u8003\u3048\u308b\u5fc5\u8981\u304c\u3042\u308b\u3068\u611f\u3058\u307e\u3057\u305f\u3002<\/p>\n<p>\u4eca\u56de\u306eACP\u306b\u53c2\u52a0\u3057\u3066\u611f\u3058\u305f\u3053\u3068\u3092\u307e\u3068\u3081\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p>\u2015\u5b66\u4f1a\u306e\u898f\u6a21\u3001\u8cea\u304c\u975e\u5e38\u306b\u512a\u308c\u3066\u3044\u308b<\/p>\n<p>\u2015\u5b66\u751f\u3082\u81e8\u5e8a\u7814\u7a76\u3092\u3057\u3066\u3044\u308b\u3002\u65e5\u672c\u304b\u3089\u3082\u767a\u4fe1\u3057\u305f\u3044<\/p>\n<p>\u2015\u50cd\u304d\u65b9\u6539\u9769\u3092\u75c5\u9662\u3001\u793e\u4f1a\u5168\u4f53\u3067\u8003\u3048\u308b\u5fc5\u8981\u6027\u304c\u3042\u308b<\/p>\n<p>&nbsp;<\/p>\n<p>\u9577\u6587\u3092\u8aad\u3093\u3067\u3044\u305f\u3060\u304d\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ACP\u4f53\u9a13\u8a18 \u6ff1\u7530 \u6cbb MD \u611b\u4ec1\u4f1a\u9ad8\u69fb\u75c5\u9662 \u7dcf\u5408\u5185\u79d1 \u533b\u9577 \u4eac\u90fd\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u79d1 \u533b\u7642\u7d4c\u6e08\u5b66\u5206\u91ce\u3000\u5927\u5b66\u9662\u7814\u7a76\u54e1 Osamu Hamada, MD Department of General Internal Medicine, Takatsuki General Hospital, Osaka, Japan Department of Healthcare Economics and Quality Management, Graduate School of Medicine and Faculty of Medicine Kyoto University, Kyoto, Japan 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