{"id":23783,"date":"2026-02-02T21:00:28","date_gmt":"2026-02-02T12:00:28","guid":{"rendered":"https:\/\/www.seimei-in.com\/wp02\/?p=23783"},"modified":"2026-01-30T16:22:25","modified_gmt":"2026-01-30T07:22:25","slug":"practice-based-evidence-4","status":"publish","type":"post","link":"https:\/\/www.seimei-in.com\/wp02\/practice-based-evidence-4\/","title":{"rendered":"Practice based Evidence\uff1a\u5b9f\u8df5(\u81e8\u5e8a)\u306b\u57fa\u3065\u304f\u533b\u7642\u2463"},"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

 <\/p>\n

 <\/p>\n

**********************************************************************************************<\/p>\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

 <\/p>\n

\u00a0<\/div>\n
\u00a0<\/div>\n
\u3053\u3093\u3070\u3093\u306f\u3000\u8b1d\u6577\u3067\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
2\u6708\u306b\u5165\u308a\u307e\u3057\u305f\u306d\u3002\u5b9f\u306f\u4eca\u65e5\u306f\u3001\u6bcd\u306e\u8a95\u751f\u65e5\u3067\u3059\u3002<\/div>\n
\u6614\u3001\u4f55\u304b\u306e\u518a\u5b50\u3067\u30012\u6708\u3092\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u4f8b\u3048\u3066\u3044\u308b\u6587\u7ae0\u306b\u51fa\u4f1a\u3063\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/div>\n
\uff08\u5b8c\u5168\u306b\u306f\u899a\u3048\u3066\u3044\u306a\u3044\u306e\u3067\u3059\u304c\u2026)<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u201d\u771f\u3063\u6697\u3067\u51ac\u306e\u5bd2\u3055\u304c\u53b3\u3057\u3044\u65e9\u671d\u3002\u5bb6\u306e\u53f0\u6240\u3060\u3051\u660e\u308a\u304c\u706f\u308a\u3001\u305d\u3053\u3067\u306f\u304a\u6bcd\u3055\u3093\u304c\u671d\u3054\u306f\u3093\u306e\u6e96\u5099\u3092\u59cb\u3081\u3066\u3044\u307e\u3059\u3002<\/div>\n
2\u6708\u306e\u5927\u5730\u306f\u3001\u3053\u306e\u304a\u6bcd\u3055\u3093\u306e\u3088\u3046\u306b\u3001<\/div>\n
\u6697\u304f\u51b7\u305f\u3044\u571f\u306e\u4e2d\u3067\u3001\u307b\u3093\u306e\u308a\u3068\u6e29\u3082\u308a\u3068\u660e\u308a\u3092\u706f\u3057\u3001\u6625\u306e\u82bd\u5439\u304d\u306e\u6e96\u5099\u3092\u59cb\u3081\u307e\u3059\u2026\u201d<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
12\u5e74\u4ee5\u4e0a\u30015\u6642\u306b\u8d77\u304d\u3066\u671d\u3054\u306f\u3093\u3068\u304a\u5f01\u5f53\u3092\u4f5c\u3063\u3066\u304f\u308c\u305f\u6bcd\u306e\u59ff\u3002<\/div>\n
\u5f53\u6642\u306f\u3001\u7206\u7761\u3057\u3066\u3044\u3066\u899a\u3048\u3066\u3044\u306a\u3044\u306e\u3067\u3059\u304c(\u7b11)\u3001<\/div>\n
\u4eca\u306b\u306a\u3063\u3066\u3001\u305d\u306e\u59ff\u304c\u5bb9\u6613\u306b\u76ee\u306b\u6d6e\u304b\u3073\u3001\u6bcd\u306e\u611b\u60c5\u306b\u611f\u8b1d\u306e\u6c17\u6301\u3061\u304c\u6e67\u3044\u3066\u304d\u307e\u3059\u3002<\/div>\n
\u660e\u65e5\u306f\u7bc0\u5206\u3001\u660e\u5f8c\u65e5\u306f\u7acb\u6625\u3067\u3059\u306d\u3002\u3000<\/div>\n
\u571f\u306e\u4e2d\u306e\u7a2e\u3084\u7403\u6839\u306f\u3001\u5927\u5730\u304b\u3089\u306e\u611b\u60c5\u306b\u3082\u4f3c\u305f\u529b\u3068\u3001\u65e5\u3005\u5909\u5316\u3059\u308b\u65e5\u5dee\u3057\u306e\u6e29\u3082\u308a\u306b\u304f\u3059\u3076\u3089\u308c\u3066\u3001<\/div>\n
\u305d\u308d\u305d\u308d\u5bdd\u8d77\u304d\u306e\u4f38\u3073\u3092\u3059\u308b\u3088\u3046\u306b\u3001\u9854\u3092\u51fa\u3057\u59cb\u3081\u308b\u3067\u3057\u3087\u3046\u304b\u3002<\/div>\n
\u305d\u3046\u601d\u3046\u3068\u3001\u30c4\u30f3\u3068\u3057\u305f\u51ac\u306e\u7a7a\u6c17\u3082\u597d\u304d\u3067\u3059\u304c\u3001\u767e\u82b1\u7e5a\u4e71\u306e\u6625\u3082\u5f85\u3061\u9060\u3057\u304f\u306a\u308a\u307e\u3059\u306d\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u3055\u3066\u3001Practice based Evidence\u5b9f\u8df5(\u81e8\u5e8a)\u306b\u57fa\u3065\u304f\u533b\u7642\u306b\u3064\u3044\u3066\u306e\u8ad6\u6587\u3092\u8aad\u307f\u9032\u3081\u3066\u3044\u307e\u3059\u3002<\/div>\n
\u524d\u56de\u306f\u3001RCT\u306e\u8ab2\u984c\u306b\u3064\u3044\u3066\u73fe\u5b9f\u3068\u7406\u60f3\u306e\u30d0\u30e9\u30f3\u30b9\u306e\u96e3\u3057\u3055\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u305f\u3002<\/div>\n
\u524d\u56de\u6295\u7a3f\u306f\u3053\u3061\u3089<\/a><\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u4eca\u65e5\u306f\u30012\u3064\u76ee\u306e\u8ab2\u984c\u3092\u898b\u3066\u3044\u304d\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
RCT\u3067\u306f\u3001\u7814\u7a76\u53c2\u52a0\u8005\u306e\u500b\u6027\uff08\u3070\u3089\u3064\u304d\uff09\u3092\u6e1b\u3089\u3059\u305f\u3081\u3001\u300c\u9078\u629e\u57fa\u6e96\u300d\u3068\u3057\u3066\u3001\u53c2\u52a0\u3067\u304d\u308b\u6761\u4ef6\u3092\u8a2d\u5b9a\u3057\u307e\u3059\u3002<\/div>\n
\u4f8b\u3048\u3070\u3001PMS\u306b\u5bfe\u3059\u308b\u30c4\u30dc\u62bc\u3057\u306e\u52b9\u679c\u3092\u691c\u8a0e\u3057\u3088\u3046\u3068\u601d\u3063\u305f\u3089\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u6761\u4ef6\u304c\u8a2d\u5b9a\u3055\u308c\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/div>\n
\u3000\u5e74\u9f62\u306f18\uff5e45\u6b73\u307e\u3067<\/div>\n
\u3000\u5b9a\u671f\u7684\u306a\u6708\u7d4c\u5468\u671f\u3092\u6709\u3057\u3066\u3044\u308b\u65b9<\/div>\n
\u3000\u4f4e\u7528\u91cf\u30d4\u30eb\u3084\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u65b9<\/div>\n
\u3000\u5668\u8cea\u7684\u306a\u5a66\u4eba\u79d1\u75be\u60a3\u306e\u8a3a\u65ad\u3001\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u65b9<\/div>\n
\u3000\u3046\u3064\u7b49\u306e\u7cbe\u795e\u75be\u60a3\u306e\u8a3a\u65ad\u3001\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u65b9\u3000\u3000\u3000\u3000\u7b49\u3005\u2026<\/div>\n
\u3000<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u3000<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u3053\u3046\u3057\u305f\u9078\u629e\u57fa\u6e96\uff08\u3084\u9664\u5916\u57fa\u6e96\uff09\u3092\u8a2d\u3051\u3001<\/div>\n
\u5bfe\u8c61\u8005\u306e\u7279\u5fb4\u3092\u3042\u308b\u7a0b\u5ea6\u5747\u4e00\u306b\u3059\u308b\u3053\u3068\u3067\u3001<\/div>\n
\n
\u7814\u7a76\u5bfe\u8c61\u3067\u3042\u308b\u300cPMS\u300d\u306b\u5bfe\u3059\u308b\u4ecb\u5165\uff08\u30c4\u30dc\u62bc\u3057\uff09\u52b9\u679c\u3092\u691c\u8a0e\u3057\u3084\u3059\u304f\u306a\u308b\u3001\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u306d\u3002<\/div>\n<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u3057\u304b\u3057\u3001\u5b9f\u969b\u306b\u306f\u3001<\/div>\n
14\u6b73\u306e\u521d\u6f6e\u304b\u3089PMS\u75c7\u72b6\u304c\u3042\u308b\u3001<\/div>\n
\u5468\u671f\u304c\u5b89\u5b9a\u3057\u3066\u3044\u306a\u3044\u3051\u3069PMS\u75c7\u72b6\u304c\u82e6\u3057\u3044\u3001<\/div>\n
\u30d4\u30eb\u7b49\u3092\u670d\u7528\u3057\u3066\u3082PMS\u75c7\u72b6\u304c\u6539\u5584\u3055\u308c\u306a\u3044\u3001<\/div>\n
\u5b50\u5bae\u7b4b\u816b\u3082\u6709\u3057\u3066\u3044\u308b\u3001\u3046\u3064\u306e\u8a3a\u65ad\u3082\u3055\u308c\u305f\u2026<\/div>\n
\u3068\u3044\u3046\u60a3\u8005\u3055\u3093\u304c\u3044\u3089\u3063\u3057\u3083\u3044\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u3067\u3082\u3001\u3053\u306e\u7814\u7a76\u3067\u306f\u3001\u3053\u308c\u3089\u306e\u60a3\u8005\u3055\u3093\u306f\u5bfe\u8c61\u304b\u3089\u5916\u3057\u3066\u3044\u308b\u305f\u3081\u3001<\/div>\n
\u3053\u306e\u7814\u7a76\u306e\u7d50\u679c\u304c\u3001\u3053\u308c\u3089\u306e\u7279\u5fb4\u3092\u3082\u3064\u65b9\u3005\u306b\u3082\u540c\u69d8\u306b\u5f53\u3066\u306f\u307e\u308b\u304b\u3069\u3046\u304b\u306f\u3001\u4e0d\u660e\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/div>\n
\u305d\u3057\u3066\u3001\u3053\u306e\u8ad6\u6587\u3067\u306f\u3001\u3053\u3046\u3057\u305f\u57fa\u6e96\u306b\u3088\u3063\u3066\u3001\u7814\u7a76\u53c2\u52a0\u3067\u304d\u308b\u60a3\u8005\u3055\u3093\u50cf\u306f\u3001<\/div>\n
\u5168\u4f53\u306e10\uff5e15\uff05\u306b\u904e\u304e\u305a\u3001\u9069\u5fdc\u5916\u304c\u591a\u304f\u3092\u5360\u3081\u308b\u3053\u3068\u3082\u3042\u308b\u3001\u3068\u7d39\u4ecb\u3057\u3066\u3044\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u305d\u306e\u305f\u3081\u3001RCT\u3067\u306f\u7814\u7a76\u306e\u9078\u629e\u57fa\u6e96\uff08\u53c2\u52a0\u57fa\u6e96\uff09\u306b\u898b\u5408\u3046\u88ab\u9a13\u8005\u3092\u63a2\u3059\u305f\u3081\u306b\u3001\u6ca2\u5c71\u306e\u4eba\u6570\u3092\u52df\u96c6\u3057\u3001<\/div>\n
\u4ecb\u5165\uff08\u6cbb\u7642\uff09\u52b9\u679c\u306e\u6709\u7121\u3092\u691c\u8a0e\u3059\u308b\u306b\u5341\u5206\u306a\u4eba\u6570\u306b\u4ecb\u5165\u3092\u884c\u3046\u5fc5\u8981\u304c\u3042\u308b\u305f\u3081\u3001<\/div>\n
\u81a8\u5927\u306a\u8cc7\u6e90\uff08\u6642\u9593\u3084\u4eba\u624b\u3001\u8cc7\u91d1\u306a\u3069\uff09\u304c\u6295\u3058\u3089\u308c\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u3057\u304b\u3057\u3001\u3053\u306e\u7814\u7a76\u7d50\u679c\u306f\u3001\u4e00\u90e8\u306e\u60a3\u8005\u3055\u3093\u306b\u306f\u6709\u52b9\uff08\u307e\u305f\u306f\u7121\u52b9\uff09\u3060\u3068\u3044\u3046\u53ef\u80fd\u6027\u304c\u5206\u304b\u3063\u3066\u3082\u3001<\/div>\n
\u305d\u308c\u4ee5\u5916\u306e\u5927\u591a\u6570\u306e\u60a3\u8005\u3055\u3093\uff08\u9078\u629e\u57fa\u6e96\u5916\u306e\u4eba\u3005\uff09\u306b\u3082\u540c\u69d8\u306e\u7d50\u679c\u3092\u3082\u305f\u3089\u3059\u3068\u306f\u65ad\u8a00\u3067\u304d\u307e\u305b\u3093<\/div>\n
\uff08\u4e00\u822c\u5316\u53ef\u80fd\u6027\u304c\u4f4e\u3044\uff09\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u3064\u307e\u308a\u3001RCT\u3067\u306f\u300c\u7d14\u7c8b\u306a\u52b9\u679c\u300d\u3092\u691c\u8a0e\u3059\u308b\u305f\u3081\u306b\u9078\u629e\u57fa\u6e96\u304c\u53b3\u3057\u304f\u8a2d\u5b9a\u3055\u308c\u307e\u3059\u304c\u3001<\/div>\n
\u305d\u306e\u7d50\u679c\u3001\u73fe\u5b9f\u306b\u591a\u304f\u898b\u3089\u308c\u308b\u60a3\u8005\u3055\u3093\u306e\u591a\u69d8\u6027\u304c\u524a\u304e\u843d\u3068\u3055\u308c\u3001<\/div>\n
\u7814\u7a76\u7d50\u679c\u306e\u4e00\u822c\u5316\u304c\u96e3\u3057\u304f\u306a\u308b\u3001\u3068\u3044\u3046\u554f\u984c\u304c\u751f\u3058\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u3053\u3053\u3067\u3082\u3001\u73fe\u5b9f\u3068\u7406\u60f3\u306e\u30d0\u30e9\u30f3\u30b9\u306e\u96e3\u3057\u3055\u304c\u8ab2\u984c\u3068\u306a\u3063\u3066\u3044\u308b\u306e\u3067\u3059\u306d\u3002<\/div>\n
\u300c\u6709\u52b9\u6027\u300d\u3068\u3044\u3046\u8a00\u8449\u306e\u80cc\u666f\u306b\u306f\u3001\u3053\u3046\u3057\u305f\u300c\u3007\u3007\u306e\u4eba\u306b\u306f\u300d\u3068\u3044\u3046\u76ee\u306b\u898b\u3048\u306a\u3044\u6761\u4ef6\u304c\u3042\u308b\u3001\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u306d\u3002<\/div>\n
\u6765\u9031\u3082\u7d9a\u304d\u3092\u898b\u3066\u3044\u304d\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
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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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