{"id":19957,"date":"2023-09-10T21:00:36","date_gmt":"2023-09-10T12:00:36","guid":{"rendered":"http:\/\/www.seimei-in.com\/wp02\/?p=19957"},"modified":"2023-09-11T10:22:11","modified_gmt":"2023-09-11T01:22:11","slug":"ebm-8","status":"publish","type":"post","link":"https:\/\/www.seimei-in.com\/wp02\/ebm-8\/","title":{"rendered":"EBM\u307e\u3068\u3081"},"content":{"rendered":"

 <\/p>\n

 <\/p>\n

\u6e05\u660e\u9662\u3067\u306f\u73fe\u5728\u3001\u6c42\u4eba\u52df\u96c6\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/strong><\/span><\/p>\n

\u52df\u96c6\u5185\u5bb9\u306e\u8a73\u7d30\u306f\u3053\u3061\u3089<\/a>\u3002<\/strong><\/span><\/p>\n

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**********************************************************************************************
\n\"\"<\/a>\u00a0 \u00a0 \u00a0\u00a0\"\u306b\u307b\u3093\u30d6\u30ed\u30b0\u6751<\/a><\/p>\n

\u3000\u3000\u2191\u2191\u2191\u3000\u3000\u3000 \u3000\u3000\u3000\u3000\u2191\u2191\u2191
\n\u3053\u3061\u3089\u3092\u30011\u65e51\u56de\u30af\u30ea\u30c3\u30af\u306b\u662f\u975e\u3054\u5354\u529b\u4e0b\u3055\u3044\uff01<m(__)m><\/p>\n

\u30af\u30ea\u30c3\u30af\u3057\u3066\u3044\u305f\u3060\u304f\u3068\u3001\u30e9\u30f3\u30ad\u30f3\u30b0\u30dd\u30a4\u30f3\u30c8\u304c\u4e0a\u304c\u308a\u307e\u3059\uff01\uff01
\n**********************************************************************************************<\/p>\n

 <\/p>\n

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\u3053\u3093\u3070\u3093\u306f\u3000\u8b1d\u6577\u3067\u3059\uff3e\uff3e<\/p>\n

 <\/p>\n

 <\/p>\n

\u3053\u308c\u307e\u3067EBM\u306e\u8a95\u751f\u304b\u308932\u5e74\u306e\u5909\u5316\u3001<\/p>\n

\u73fe\u6642\u70b9\u3067\u91cd\u8981\u3068\u3055\u308c\u3066\u3044\u308b\u30dd\u30a4\u30f3\u30c8\u3092\u3054\u7d39\u4ecb\u3057\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

3\u539f\u5247\u3084\u3089\u30013\u3064\u306e\u8981\u7d20\u3084\u3089\u30015\u3064\u306e\u30b9\u30c6\u30c3\u30d7\u3068\u3001<\/p>\n

\u8272\u3005\u306a\u5207\u308a\u53e3\u3092\u304a\u4f1d\u3048\u3057\u305f\u306e\u3067\u3001\u3053\u3053\u3067\u306f\u4e00\u5ea6\u305d\u308c\u3089\u3092\u6574\u7406\u3057\u3066\u3001<\/p>\n

\u6b21\u9031\u3088\u308a\u937c\u7078\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u3054\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u3010EBM\u306e3\u539f\u5247\u3011<\/strong><\/p>\n

1990\u5e74\u306bEBM\u306e\u6982\u5ff5\u304c\u751f\u307e\u308c\u3066\u304b\u3089\u3001<\/p>\n

EBM\u306f\u4ee5\u4e0b\u306e3\u70b9\u3092\u57fa\u672c\u539f\u5247\u3068\u3057\u3066\u767a\u5c55<\/strong>\u3057\u307e\u3057\u305f\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

\uff11\uff0e \u30a8\u30d3\u30c7\u30f3\u30b9\u30fb\u30d4\u30e9\u30df\u30c3\u30c9<\/p>\n

\u3000\u3000\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u4fe1\u983c\u5ea6\u306b\u9806\u4f4d\u4ed8\u3051\u3092\u884c\u3046<\/p>\n

 <\/p>\n

 <\/p>\n

\uff12\uff0e\u8907\u6570\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u5305\u62ec\u7684\u306b\u53c2\u7167\u3057\u691c\u8a0e\u3059\u308b\u3053\u3068<\/p>\n

\u3000\u30001\u3064\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3060\u3051\u3067\u306a\u304f\u8907\u6570\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u5305\u62ec\u3057\u3066\u691c\u8a0e\u3059\u308b<\/p>\n

 <\/p>\n

 <\/p>\n

\uff13\uff0e\u60a3\u8005\u3055\u3093\u306e\u4fa1\u5024\u89b3\u3092\u8003\u616e\u3059\u308b\u3053\u3068<\/p>\n

\u3000\u3000\u76ee\u306e\u524d\u306e\u60a3\u8005\u3055\u3093\u306b\u3068\u3063\u3066\u9069\u5207\u304b\u3092\u691c\u8a0e\u3059\u308b<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u3010EBM\u5b9f\u8df5\u306e3\u8981\u7d20\u3011<\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

\u57fa\u672c\u539f\u5247\u3092\u8e0f\u307e\u3048\u3001EBM\u3092\u533b\u7642\u73fe\u5834\u3067\u5b9f\u8df5\u3057\u3066\u3044\u304f\u306b\u306f3\u70b9\u3064\u306e\u8981\u7d20\u304c\u91cd\u8981<\/strong>\u3067\u3042\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

\u2460\u5229\u7528\u53ef\u80fd\u306a\u6700\u5584\u306e\u79d1\u5b66\u7684\u6839\u62e0<\/p>\n

\u3000\u30a8\u30d3\u30c7\u30f3\u30b9\u30fb\u30d4\u30e9\u30df\u30c3\u30c9\u3067\u4fe1\u983c\u5ea6\u306e\u9ad8\u3044\u3082\u306e\u3092\u5305\u62ec\u7684\u306b\u691c\u8a3c\u3059\u308b<\/p>\n

 <\/p>\n

 <\/p>\n

\u2461\u81e8\u5e8a\u7684\u306a\u5c02\u9580\u6280\u8853\u3084\u7d4c\u9a13<\/p>\n

\u3000\u81e8\u5e8a\u73fe\u5834\u3067\u57f9\u308f\u308c\u308b\u6280\u8853\u3084\u7d4c\u9a13\u3001\u77e5\u898b\u3092\u99c6\u4f7f\u3059\u308b\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

\u2462\u60a3\u8005\u3055\u3093\u306e\u4fa1\u5024\u89b3\u3084\u671f\u5f85<\/p>\n

\u3000\u60a3\u8005\u3055\u3093\u306e\u4fa1\u5024\u89b3\u3084\u671f\u5f85\u3092\u304f\u307f\u53d6\u308a\u8003\u616e\u3059\u308b<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u3010EBM\u5b9f\u8df5\u306e5\u3064\u306e\u30b9\u30c6\u30c3\u30d7\u3011<\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

\u3053\u306e3\u3064\u306e\u8981\u7d20\u3092\u5177\u4f53\u7684\u306b\u884c\u52d5\u306b\u79fb\u3059\u306b\u306f5\u3064\u306e\u30b9\u30c6\u30c3\u30d7<\/strong>\u304c\u63d0\u793a\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

Step 1\uff1a\u7591\u554f\u306e\u5b9a\u5f0f\u5316<\/p>\n

\u3000\u3000\u3000\u3000\u81e8\u5e8a\u4e0a\u306e\u7591\u554f\u3092\u6574\u7406\u3057\u3001\u691c\u8a0e\u3067\u304d\u308b\u5f62\u306b\u3059\u308b<\/p>\n

 <\/p>\n

 <\/p>\n

Step 2\uff1a\u60c5\u5831\u53ce\u96c6\u3000\u3000<\/p>\n

\u3000\u3000\u3000\u3000\u4fe1\u983c\u5ea6\u306e\u9ad8\u3044\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u53ce\u96c6\u3059\u308b<\/p>\n

 <\/p>\n

 <\/p>\n

Step 3\uff1a\u6279\u5224\u7684\u541f\u5473<\/p>\n

\u3000\u3000\u3000\u3000\u53ce\u96c6\u3057\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u9d5c\u5451\u307f\u306b\u305b\u305a\u3001\u81ea\u5206\u81ea\u8eab\u3067\u691c\u8a0e\u3059\u308b<\/p>\n

 <\/p>\n

 <\/p>\n

Step 4\uff1a\u60a3\u8005\u3078\u9069\u7528<\/p>\n

\u3000\u3000\u3000\u3000\u76ee\u306e\u524d\u306e\u60a3\u8005\u3055\u3093\u306b\u9069\u7528\u53ef\u80fd\u304b\u3001\u69d8\u3005\u306a\u8981\u7d20\u3092\u8e0f\u307e\u3048\u691c\u8a0e\u3059\u308b<\/p>\n

 <\/p>\n

 <\/p>\n

Step 5\uff1a\u5404\u30b9\u30c6\u30c3\u30d7\u306e\u8a55\u4fa1\u3000<\/p>\n

\u3000\u3000\u3000\u30001\uff5e4\u306e\u30b9\u30c6\u30c3\u30d7\u3092\u8e0f\u3093\u3067\u884c\u3063\u305f\u8a3a\u65ad\u3084\u6cbb\u7642\u306b\u3064\u3044\u3066\u3001\u9069\u6642\u8a55\u4fa1\u30fb\u691c\u8a0e\u3092\u7e70\u308a\u8fd4\u3059<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u79c1\u306e\u4e2d\u3067\u3082\u3001\u3053\u308c\u3089\u306e\u9805\u76ee\u304c\u3001\u672a\u6574\u7406\u306e\u307e\u307e\u8a8d\u8b58\u3055\u308c\u3066\u3044\u308b\u3068\u3053\u308d\u304c\u3042\u3063\u305f\u306e\u3067\u3001<\/p>\n

\u539f\u8457\u8ad6\u6587\u3092\u8aad\u307f\u8fd4\u3057\u3001\u6574\u7406\u3057\u76f4\u3059\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\u304c\u3001\u937c\u7078\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u7d39\u4ecb\u307e\u3067\u304b\u306a\u308a\u306e\u304a\u6642\u9593\u3092\u9802\u304d\u307e\u3057\u305f\u3002<\/p>\n

\u3044\u3088\u3044\u3088\u6b21\u9031\u304b\u3089\u3001\u937c\u7078\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u898b\u3066\u3044\u304d\u305f\u3044\u3068\u601d\u3044\u307e\u3059\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

\uff1c\u53c2\u8003\u6587\u732e\uff1e<\/p>\n

\u30fbGuyatt GH. Evidence-based medicine. ACP J Club. 1991;114:A\u201316.<\/p>\n

\u30fbDjulbegovic B, Guyatt GH. Progress in evidence-based medicine: a quarter century on. Lancet. 2017 Jul 22;390(10092):415-423.<\/p>\n

\u30fbSackett DL. Evidence-based medicine. Semin Perinatol. 1997 Feb;21(1):3-5.<\/p>\n

\u30fb(3\u8981\u7d20\u306e\u65e5\u672c\u8a9e\u8a33)\u539a\u751f\u52b4\u50cd\u7701\u533b\u653f\u5c40\u7814\u7a76\u958b\u767a\u632f\u8208\u8ab2\u3000\u7247\u5ca1\u7a63\u300c\u539a\u751f\u52b4\u50cd\u884c\u653f\u306e\u7acb\u5834\u304b\u3089\u306e\u63d0\u8a00\u300d<\/p>\n

https:\/\/minds.jcqhc.or.jp\/docs\/forum\/150308\/pdf\/03.pdf<\/a><\/p>\n

\u30fb\u6a4b\u672c\u6df3. EBM\u306e\u5b9f\u8df5\u3068EBH. J. Natl. Inst. Public Health. 2000; 49 (4): 320-328.<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\n

 <\/p>\n

\u8aad\u8005\u306e\u7686\u69d8\u30011\u65e51\u56de\u3001\u3053\u3061\u3089\u3092\u305d\u308c\u305e\u308c\uff11\u30af\u30ea\u30c3\u30af\u304a\u9858\u3044\u3057\u307e\u3059\uff01\uff01<\/p>\n

 <\/p>\n

 <\/p>\n

\"\"<\/a>\u00a0\u00a0\u00a0\"\u306b\u307b\u3093\u30d6\u30ed\u30b0\u6751<\/a><\/p>\n

 <\/p>\n

 <\/p>\n

\u300c\u30a8\u30ad\u30c6\u30f3\u300d\u6e05\u660e\u9662\u30b5\u30a4\u30c8<\/a><\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

\u6e05\u660e\u9662\u30aa\u30d5\u30a3\u30b7\u30e3\u30eb\u30db\u30fc\u30e0\u30da\u30fc\u30b8\uff08PC\uff09<\/a><\/strong><\/p>\n

 <\/p>\n

\n\u6e05\u660e\u9662\u9662\u9577\u306e\u30d6\u30ed\u30b0\u3000\u300c\u6700\u9ad8\u306e\u937c\u7078\u306e\u8ffd\u6c42\u300d<\/a><\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

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