{"id":23735,"date":"2026-01-19T21:00:52","date_gmt":"2026-01-19T12:00:52","guid":{"rendered":"https:\/\/www.seimei-in.com\/wp02\/?p=23735"},"modified":"2026-01-25T14:34:50","modified_gmt":"2026-01-25T05:34:50","slug":"practice-based-evidence-2","status":"publish","type":"post","link":"https:\/\/www.seimei-in.com\/wp02\/practice-based-evidence-2\/","title":{"rendered":"Practice based Evidence\uff1a\u5b9f\u8df5(\u81e8\u5e8a)\u306b\u57fa\u3065\u304f\u533b\u7642\u2461"},"content":{"rendered":"

 <\/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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\"\"<\/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
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\u00a0<\/div>\n
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\u3053\u3093\u3070\u3093\u306f\u3000\u8b1d\u6577\u3067\u3059\u3002<\/div>\n
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\u4eca\u5e74\u306f\u3001\u3044\u304f\u3064\u304b\u53f6\u3048\u305f\u3044\u3053\u3068\u304c\u3042\u308a\u3001<\/div>\n
\u305d\u306e1\u3064\u3067\u3082\u3042\u3063\u305f\u3001\u5317\u8fb0\u4f1a\u306e\u5275\u8a2d\u8005 \u85e4\u672c\u84ee\u98a8\u5148\u751f\u306e\u937c\u3092\u53d7\u3051\u308b\u3053\u3068\u3001\u3092<\/div>\n
\u9045\u308c\u3070\u305b\u306a\u304c\u3089\u5b9f\u73fe\u3057\u3066\u53c2\u308a\u307e\u3057\u305f\u3002<\/div>\n
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\u5948\u826f\u306e\u90fd\u306f\u3001\u6614\u304b\u3089\u305d\u306e\u83ef\u3005\u3057\u3059\u304e\u306a\u3044\u53e4\u98a8\u306a\u98a8\u60c5\u304c\u597d\u304d\u3067\u3059\u3002<\/div>\n
\u5148\u65e5\u3082\u3001\u6ca2\u5c71\u306e\u4eba\u3068\u9e7f\u306e\u9593\u3092\u7e2b\u3044\u306a\u304c\u3089\u3001\u8fbf\u308a\u7740\u3044\u305f\u6f22\u7965\u9662\u3067\u306f\u3001<\/div>\n
\u5730\u57df\u306e\u65b9\u3005\u306e\u512a\u3057\u3044\u5948\u826f\u306e\u30a4\u30f3\u30c8\u30cd\u30fc\u30b7\u30e7\u30f3\u306b\u3001\u9662\u9577\u306e\u30d1\u30fc\u30f3\u3068\u660e\u308b\u3044\u58f0\u304c\u97ff\u304d\u6e21\u3063\u3066\u3044\u307e\u3057\u305f\u3002<\/div>\n
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\u523a\u937c\u5f8c\u3001\u81ea\u5206\u306e\u8eab\u4f53\u304c\u3069\u3093\u306a\u53cd\u5fdc\u3092\u3059\u308b\u306e\u304b\u3092\u697d\u3057\u307f\u306b\u3057\u3066\u3044\u307e\u3057\u305f\u304c\u3001<\/div>\n
\u30ae\u30e5\u30eb\u30eb\u3068\u8179\u90e8\u304c\u9cf4\u3063\u305f\u3068\u601d\u3063\u305f\u3089\u3001<\/div>\n
\u6c17\u4ed8\u3044\u305f\u3089\u610f\u8b58\u304c\u98db\u3093\u3067\u3001\u8eab\u4f53\u304c\u8efd\u304f\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002<\/div>\n
\u937c\u306f\u3059\u3054\u3044\u2026\u672c\u5f53\u306b\u3001\u3059\u3054\u3044\u3002<\/div>\n
\u4eca\u5e74\u3082\u9811\u5f35\u308d\u3046\u3068\u601d\u3048\u305f\u3072\u3068\u6642\u3067\u3057\u305f\u3002<\/div>\n
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\u3055\u3066\u3001\u3064\u3044\u9577\u304f\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3057\u305f\u304c\u3001\u4eca\u65e5\u3082\u5148\u9031\u306b\u7d9a\u304d<\/div>\n
Practice based Evidence\u306e\u8ad6\u6587\u3092\u8aad\u3093\u3067\u53c2\u308a\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
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\u3053\u306e\u8ad6\u6587\u306f\u3001<\/div>\n
\n
\u300c\u3053\u306e\u4ecb\u5165\uff08\u6cbb\u7642\uff09\u306f\u3001\u3053\u306e\u75be\u60a3\u306b\u56e0\u679c\u7684\u306a\u52b9\u679c\u3092\u6301\u3064\u304b\u300d<\/div>\n
\u300c\u3069\u306e\u3088\u3046\u306a\u6a5f\u5e8f\uff08\u30e1\u30ab\u30cb\u30ba\u30e0\uff09\u3067\u4f5c\u7528\u3057\u3059\u308b\u306e\u304b\u300d<\/div>\n<\/div>\n
\u3067\u306f\u306a\u304f<\/div>\n
\n
\u300c\u3053\u306e\u6cbb\u7642\u304c\u3001\u65e5\u5e38\u81e8\u5e8a\u306e\u73fe\u5834\u3067\u5b9f\u969b\u306b\u6a5f\u80fd\u3057\u3066\u3044\u308b\u304b\u300d<\/div>\n
\u300c\u3053\u306e\u4ecb\u5165\uff08\u6cbb\u7642\uff09\u304c\u3001\u3069\u306e\u3088\u3046\u306a\u60a3\u8005\u3055\u3093\u306b\u52b9\u679c\u7684\u304b\u300d\u3092\u691c\u8a0e\u3059\u308b\u65b9\u6cd5\u3092\u8003\u3048<\/div>\n<\/div>\n
Practice-based evidence for Clinical Practice Improvement\uff1aPBE-CPI)\u3092\u63d0\u5531\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u3044\u307e\u3057\u305f\u306d\u3002<\/div>\n
\u00a0<\/div>\n
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\u201d\u65b9\u6cd5\u201d\u306e\u90e8\u5206\u3067\u306f\u3001\u307e\u305a\u3001\u300cRCT\u306e\u7279\u5fb4\u3068\u8ab2\u984c\u300d\u304c\u6574\u7406\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/div>\n
\u4eca\u65e5\u306f\u305d\u306e\u4e2d\u306e\u5192\u982d\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/div>\n
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\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08RCT\uff09\u306f\u3001<\/div>\n
\u56e0\u679c\u95a2\u4fc2\u3092\u78ba\u7acb\u3059\u308b\u305f\u3081\u306e\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u3068\u8003\u3048\u3089\u308c\u3066\u304a\u308a\u3001<\/div>\n
\u3053\u306e\u77e5\u7684\u8d77\u6e90\u306f\u3001\u8fb2\u5b66\u306b\u3042\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/div>\n
\u8fb2\u696d\u3067\u306f\u3001\u8fb2\u696d\u7528\u6e29\u5ba4\u3067\u3001\u74b0\u5883\u6761\u4ef6\u3092\u53b3\u5bc6\u306b\u5236\u5fa1\u3067\u304d\u69d8\u3005\u306a\u4ecb\u5165\u3092\u691c\u8a3c\u3067\u304d\u308b\u305f\u3081<\/div>\n
\u8fb2\u696d\u6e29\u5ba4\u306f\u3001RCT\u304c\u6700\u3082\u529b\u3092\u767a\u63ee\u3067\u304d\u308b\u7406\u60f3\u7684\u306a\u74b0\u5883\u3067\u3042\u308b\u3001\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/div>\n
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\u3053\u306e\u8003\u3048\u65b9\u3092\u533b\u7642\u306b\u6301\u3061\u8fbc\u307f\u691c\u8a0e\u3055\u308c\u305f\u306eRCT\u3067\u3001<\/div>\n
\u60a3\u8005\u3055\u3093\u3092\u30e9\u30f3\u30c0\u30e0\u306b\u5272\u308a\u4ed8\u3051\u3066\u30b0\u30eb\u30fc\u30d7\u5206\u3051\u3001<\/div>\n
\u305d\u306e\u4ed6\u306e\u6761\u4ef6\u3092\u3067\u304d\u308b\u3060\u3051\u540c\u3058\u306b\u3057\u3066\u3001\u4ecb\u5165\u3092\u884c\u306a\u3048\u3070\u3001<\/div>\n
\u4ecb\u5165\u306e\u52b9\u679c\u3092\u691c\u8a0e\u3067\u304d\u308b\u3068\u8003\u3048\u305f\u3001\u3068\u3044\u3046\u306e\u3067\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
RCT\u304c\u3001\u7814\u7a76\u624b\u6cd5\u3068\u3057\u3066\u63d0\u5531\u3055\u308c\u305f\u306e\u306f\u3001<\/div>\n
1948\u5e74\u306e\u7d50\u6838\u6cbb\u7642\uff08\u30b9\u30c8\u30ec\u30d7\u30c8\u30de\u30a4\u30b7\u30f3\uff09\u306e\u81e8\u5e8a\u8a66\u9a13\u3060\u3063\u305f\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u304c\u3001<\/div>\n
\u3053\u306e\u9803\u306f\u307e\u3060\u30b3\u30f3\u30d4\u30e5\u30fc\u30bf\u3082\u306a\u304f\u3001<\/div>\n
\u6ca2\u5c71\u306e\u8981\u56e0\u3092\u8003\u616e\u3057\u305f\u691c\u8a0e\u3084<\/div>\n
\u5927\u898f\u6a21\u306a\u30c7\u30fc\u30bf\u3092\u7528\u3044\u305f\u7814\u7a76\u3092\u884c\u3046\u74b0\u5883\u304c\u6574\u3063\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u305d\u306e\u305f\u3081\u3001\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u3068\u3057\u3066\u3001<\/div>\n
\u60a3\u8005\u3055\u3093\u3092\u30e9\u30f3\u30c0\u30e0\u306b2\u3064\u306e\u30b0\u30eb\u30fc\u30d7\u306b\u5206\u3051\u3001<\/div>\n
\u305d\u306e\u4ed6\u306e\u6761\u4ef6\u3092\u4e00\u5b9a\u306b\u3059\u308b\u3053\u3068\u3067\u3001<\/div>\n
\u305d\u306e\u30b0\u30eb\u30fc\u30d7\u9593\u3067\u306e\u53cd\u5fdc\u306e\u5dee\u3092\u5358\u7d14\u306b\u691c\u8a0e\u3059\u308b\u3053\u3068\u304c\u3001<\/div>\n
\u6700\u3082\u73fe\u5b9f\u7684\u304b\u3064\u78ba\u5ea6\u304c\u9ad8\u3044\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/div>\n
\u00a0<\/div>\n
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\u3053\u306e\u65b9\u6cd5\u306b\u3088\u308a\u3001\u79c1\u305f\u3061\u304c\u628a\u63e1\u3067\u304d\u3066\u3044\u306a\u3044\u3051\u308c\u3069\u3001<\/div>\n
\u60a3\u8005\u3055\u3093\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u3066\u3044\u308b\u3068\u601d\u308f\u308c\u308b\u751f\u6d3b\u7fd2\u6163\u3084\u6027\u683c\u306a\u3069\u306e\u6ca2\u5c71\u306e\u56e0\u5b50\u3082\u3001<\/div>\n
\u504f\u308a\u306a\u304f\u30e9\u30f3\u30c0\u30e0\u306b\u5404\u7fa4\u306b\u632f\u308a\u5206\u3051\u3089\u308c\u3066\u3044\u308b\u201d\u306f\u305a\u201d\u3067\u3042\u308a\u3001<\/div>\n
\u3080\u3057\u308d\u3001\u5927\u304d\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u56e0\u5b50\u3001<\/div>\n
\u305f\u3068\u3048\u3070\u3001\u9ad8\u5e74\u9f62\u904e\u304e\u308b\u3001\u5408\u4f75\u75c7\u304c\u3042\u308b\u3001\u91cd\u75c7\u3059\u304e\u308b\u3001\u3068\u3044\u3063\u305f\u56e0\u5b50\u306f\u3001<\/div>\n
\u7814\u7a76\u306e\u5bfe\u8c61\u8005\u304b\u3089\u9664\u5916\u3057\u3066\u304a\u3051\u3070\u56e0\u679c\u95a2\u4fc2\u306e\u691c\u8a0e\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3055\u306a\u3044\u3068\u8003\u3048\u3066\u4f5c\u3089\u308c\u305f\u3001\u3068\u3044\u3046\u306e\u3067\u3059\u3002<\/div>\n
\u00a0<\/div>\n
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\u3088\u3063\u3066\u3001\u3053\u306e\u8ad6\u6587\u3067\u306f\u3001<\/div>\n
RCT\u306f\u3001\u60c5\u5831\u51e6\u7406\u6280\u8853\u306b\u5236\u7d04\u304c\u3042\u308b\u4e2d\u3067\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u3068\u3044\u3046\u7814\u7a76\u8a2d\u8a08\u306b\u3088\u3063\u3066\u3001<\/div>\n
\u4ecb\u5165\u4ee5\u5916\u306b\u751f\u3058\u3046\u308b\u591a\u69d8\u306a\u56e0\u5b50\u306e\u5f71\u97ff\u3092\u51e6\u7406\u3059\u308b\u305f\u3081\u306b\u767a\u5c55\u3057\u305f\u65b9\u6cd5\u3067\u3042\u308a\u3001<\/div>\n
\u8907\u96d1\u306a\u60a3\u8005\u3055\u3093\u306e\u80cc\u666f\u3084\u3001\u6ca2\u5c71\u306e\u56e0\u5b50\u3092\u542b\u3080\u75c5\u614b\u3092\u7d71\u8a08\u7684\u306b\u6271\u3046\u3053\u3068\u3092\u524d\u63d0\u3068\u3057\u3066\u4f5c\u3089\u308c\u305f\u624b\u6cd5\u3067\u306f\u306a\u3044\u3001\u3068\u8ff0\u3079\u3066\u3044\u307e\u3059\u3002<\/div>\n
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\u00a0<\/div>\n
\u78ba\u304b\u306bRCT\u3063\u3066\u3044\u3064\u59cb\u307e\u3063\u305f\u306e\u304b\u77e5\u3089\u306a\u3063\u305f\u306e\u3067\u3059\u304c\u3001\u3082\u3046\u7d04\u534a\u4e16\u7d00\u4ee5\u4e0a\u3082\u524d\u306a\u306e\u3067\u3059\u306d\u3002<\/div>\n
\u6765\u9031\u306f\u7d9a\u304d\u3092\u898b\u3066\u3044\u304d\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
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\u6765\u9031\u306f\u7d9a\u304d\u3092\u8aad\u3093\u3067\u3044\u304d\u307e\u3059\uff01<\/div>\n
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\uff08\u53c2\u8003\u6587\u732e\uff09<\/div>\n
Horn SD, Gassaway J. Practice-based evidence study design for comparative effectiveness research. Med Care. 2007 Oct;45(10 Supl 2):S50-7. doi: 10.1097\/MLR.0b013e318070c07b. PMID: 17909384.<\/div>\n
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