{"id":23898,"date":"2026-03-02T21:00:00","date_gmt":"2026-03-02T12:00:00","guid":{"rendered":"https:\/\/www.seimei-in.com\/wp02\/?p=23898"},"modified":"2026-03-27T19:58:10","modified_gmt":"2026-03-27T10:58:10","slug":"pactice-based-evidence","status":"publish","type":"post","link":"https:\/\/www.seimei-in.com\/wp02\/pactice-based-evidence\/","title":{"rendered":"Practice based Evidence\uff1a\u5b9f\u8df5(\u81e8\u5e8a)\u306b\u57fa\u3065\u304f\u533b\u7642\u2466"},"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
\u00a0<\/div>\n
\u3053\u3093\u3070\u3093\u306f\u3000\u8b1d\u6577\u3067\u3059\u3002<\/div>\n
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\u3064\u3044\u306b3\u6708\u306b\u5165\u308a\u307e\u3057\u305f\u306d\u3002<\/div>\n
\u9662\u5185\u306e\u304a\u82b1\u3082\u3001\u685c\u306b\u30df\u30e2\u30b6\u3068\u6625\u3081\u3044\u3066\u3044\u307e\u3059\u3002<\/div>\n
\u524d\u56de\u306f\u3001\u75c5\u9662\u7dcf\u5408\u8a3a\u7642\u5b66\u4f1a\u306e\u5831\u544a\u3067\u4e00\u5ea6\u98db\u3093\u3067\u3057\u307e\u3044\u307e\u3057\u305f\u304c\u3001<\/div>\n
\u4eca\u65e5\u304b\u3089\u307e\u305f\u3001Practice-based evidence\u306b\u3064\u3044\u3066\u306e\u8ad6\u6587\u3092\u8aad\u307f\u9032\u3081\u3066\u3044\u304d\u307e\u3059\u3002<\/div>\n
\u00a0<\/div>\n
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\u4eca\u65e5\u306f\u3001\u81e8\u5e8a\u5b9f\u8df5\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306e\u5b9f\u8df5\u306b\u57fa\u3065\u304f\u30a8\u30d3\u30c7\u30f3\u30b9\uff1a
\nPBE-CPI\uff08practicebased evidence for clinical practice improvement\uff09\u306b\u3064\u3044\u3066\u306e\u8a18\u8f09\u3092\u898b\u3066\u3044\u304d\u307e\u3059\u3002<\/div>\n
\u8ad6\u6587\u3067\u306f\u3001PBE-CPI\u306f\u3001\u300c\u89b3\u5bdf\u7814\u7a76\u300d\u306e\u30c7\u30b6\u30a4\u30f3\u4e00\u7a2e\u3067\u3042\u308a\u3001<\/div>\n
\u4ee5\u4e0b\u306e7\u3064\u306e\u91cd\u8981\u306a\u7279\u5fb4\u3092\u6709\u3059\u308b\u3068\u7d39\u4ecb\u3055\u308c\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
\u2460\u3059\u3079\u3066\u306e\u4ecb\u5165\u3092\u5bfe\u8c61\u3068\u3057\u3001\u305d\u308c\u305e\u308c\u306e\u76f8\u5bfe\u7684\u5bc4\u4e0e\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u3002<\/strong><\/div>\n
RCT\u3067\u306f\u3001\u300c\u3053\u306e\u85ac\u300d\u300c\u3053\u306e\u6cbb\u7642\u6cd5\u300d\u3068\u3044\u3046\u5358\u72ec\u306e\u4ecb\u5165\u52b9\u679c\u3092\u691c\u8a0e\u3057\u3066\u3044\u307e\u3057\u305f\u304c\u3001
\nPBE-CPT\u3067\u306f\u3001\u3069\u308c\u304c\u3069\u306e\u304f\u3089\u3044\u805e\u3044\u3066\u3044\u308b\u306e\u304b\u3001
\n\u7d44\u307f\u5408\u308f\u305b\u308b\u3068\u52b9\u679c\u306f\u3069\u3046\u5909\u5316\u3059\u308b\u306e\u304b\u7b49\u3092\u691c\u8a0e\u3059\u308b\u3088\u3046\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
\u2461\u4eee\u8aac\u306f\u5305\u62ec\u7684\u3067\u3042\u308b\u3053\u3068\u3002<\/strong><\/div>\n
\u300c\u3053\u306e\u6cbb\u7642\u306f\u6709\u52b9\u304b\u300d\u3068\u3044\u3046\u4eee\u8aac\u3060\u3051\u3067\u306f\u306a\u304f\u3001
\n\u3069\u306e\u60a3\u8005\u306b\u3001\u3069\u306e\u6cbb\u7642\u306e\u7d44\u307f\u5408\u308f\u305b\u304c\u3001\u3069\u306e\u3088\u3046\u306b\u805e\u3044\u3066\u3044\u308b\u304b\u3001
\n\u3068\u3044\u3063\u305f\u5305\u62ec\u7684\u306a\u4eee\u8aac\u3092\u8a2d\u5b9a\u3057\u3001\u691c\u8a0e\u3059\u308b\u3088\u3046\u3067\u3059\u3002<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\n\u2462\u60a3\u8005\u9078\u629e\u57fa\u6e96\u3092\u6700\u5c0f\u9650\u3068\u3059\u308b\u3053\u3068\u3067\u3001\u4e00\u822c\u5316\u53ef\u80fd\u6027\u3068\u5916\u7684\u59a5\u5f53\u6027\u3092\u6700\u5927\u5316\u3059\u308b\u3053\u3068\u3002<\/strong><\/div>\n
RCT\u3067\u306f\u3001\u4ecb\u5165\u52b9\u679c\u3092\u691c\u8a0e\u3059\u308b\u305f\u3081\u306b\u3001<\/div>\n
\u5e74\u9f62\u3084\u3001\u65e2\u5f80\u6b74\u3084\u4f75\u5b58\u75be\u60a3\u306e\u6709\u7121\u7b49\u306e\u6761\u4ef6\u3092\u53b3\u3057\u304f\u8a2d\u5b9a\u3057\u3001<\/div>\n
\u52b9\u679c\u691c\u8a0e\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3055\u306a\u3044\u3068\u601d\u308f\u308c\u308b\u4eba\u306e\u307f\u3092\u7814\u7a76\u5bfe\u8c61\u3068\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/div>\n
\u3057\u304b\u3057\u3001PBE-CPI\u3067\u306f\u3001\u3067\u304d\u308b\u3060\u3051\u7814\u7a76\u5bfe\u8c61\u8005\u306e\u57fa\u6e96\u3092\u8a2d\u3051\u305a\uff08\u6761\u4ef6\u306b\u3088\u3063\u3066\u9664\u5916\u305b\u305a\uff09\u3001<\/div>\n
\u73fe\u5b9f\u306e\u60a3\u8005\u96c6\u56e3\u305d\u306e\u307e\u307e\u3092\u5bfe\u8c61\u306b\u3059\u308b\u3053\u3068\u3067\u3001<\/div>\n
\u7d50\u679c\u3092\u3067\u304d\u308b\u3060\u3051\u305d\u306e\u307e\u307e\u81e8\u5e8a\u73fe\u5834\u306b\u5fdc\u7528\u3067\u304d\u308b\u3088\u3046\u306b\u3059\u308b\u3088\u3046\u3067\u3059\u3002<\/div>\n
\u00a0<\/div>\n
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\u00a0<\/div>\n
\u00a0<\/div>\n
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\u00a0<\/div>\n
\u2463\u91cd\u75c7\u5ea6\u3084\u6a5f\u80fd\u72b6\u614b\u306e\u9811\u5065\u306a\u6307\u6a19\u3092\u7528\u3044\u3066\u60a3\u8005\u3092\u8a73\u7d30\u306b\u7279\u5fb4\u3065\u3051\u308b\u3053\u3068\u3002<\/strong><\/div>\n
\u2462\u3067\u5bfe\u8c61\u8005\u3092\u9664\u5916\u3057\u306a\u3044\u4ee3\u308f\u308a\u306b\u3001<\/div>\n
\u5bfe\u8c61\u8005\u306e\u6301\u3064\u75be\u60a3\u306e\u91cd\u75c7\u5ea6\u3084\u5408\u4f75\u75c7\u3001\u65e5\u5e38\u751f\u6d3b\u6a5f\u80fd\u7b49\u3092\u3057\u3063\u304b\u308a\u3068\u6e2c\u5b9a\u3057\u3001\u8abf\u6574\u3059\u308b\u3088\u3046\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
\u00a0<\/div>\n
\u2464\u60a3\u8005\u5dee\u306f\u30e9\u30f3\u30c0\u30e0\u5316\u3067\u306f\u306a\u304f\u7d71\u8a08\u7684\u624b\u6cd5\u306b\u3088\u3063\u3066\u8abf\u6574\u3059\u308b\u3002<\/strong><\/div>\n
\u60a3\u8005\u3055\u3093\u306f\u30e9\u30f3\u30c0\u30e0\u5316\u306b\u3088\u3063\u3066\u5206\u3051\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u89e3\u6790\u624b\u6cd5\uff08\u591a\u5909\u91cf\u5206\u6790\u7b49\uff09\u3092\u99c6\u4f7f\u3057\u3066\u691c\u8a0e\u3057\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
\u2465\u5b66\u969b\u7684\u306a\u81e8\u5e8a\u5b9f\u8df5\u30c1\u30fc\u30e0\u306e\u6d3b\u7528\u306b\u3088\u308a\u3001\u65bd\u8a2d\u304a\u3088\u3073\u81e8\u5e8a\u73fe\u5834\u306e\u5354\u529b\u3092\u5f97\u308b\u3053\u3068\u3002<\/strong><\/div>\n
\u533b\u5e2b\u3060\u3051\u3067\u306a\u304f\u3001\u770b\u8b77\u5e2b\u7b49\u3001\u591a\u8077\u7a2e\u306e\u533b\u7642\u5f93\u4e8b\u8005\u304c\u7814\u7a76\u306b\u53c2\u753b\u3057\u884c\u3046\u3088\u3046\u3067\u3059\u3002<\/div>\n
\u00a0<\/div>\n
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\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
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\n\u2466\u3059\u3079\u3066\u306e\u95a2\u4fc2\u8005\u306b\u5bfe\u3057\u3066\u9ad8\u3044\u900f\u660e\u6027\u3092\u78ba\u4fdd\u3059\u308b\u3053\u3068\u3002<\/strong><\/div>\n
\u7814\u7a76\u30c1\u30fc\u30e0\u5185\u3067\u306f\u3001<\/div>\n
\u4f55\u3092\u6e2c\u5b9a\u3057\u3001\u3069\u306e\u3088\u3046\u306b\u89e3\u6790\u3057\u3001\u624b\u6cd5\u306b\u3069\u306e\u3088\u3046\u306a\u9650\u754c\u304c\u3042\u308b\u304b\u7b49<\/div>\n
\u5e38\u306b\u516c\u958b\u3057\u3001\u73fe\u5834\u3068\u5171\u6709\u3057\u3001\u6539\u5584\u306b\u6d3b\u304b\u3059\u3068\u3044\u3046\u59ff\u52e2\u3092\u6301\u3063\u3066\u3044\u308b\u3088\u3046\u3067\u3059\u3002<\/div>\n
\u00a0<\/div>\n
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\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
RCT\u3067\u306f\u3001\u7d14\u7c8b\u306a\uff08\u5358\u7d14\u306a\uff09\u4ecb\u5165\u52b9\u679c\u3092\u691c\u8a0e\u3059\u308b\u305f\u3081\u306b\u3001<\/div>\n
\u5bfe\u8c61\u8005\u3082\u3001\u74b0\u5883\u3082\u5358\u4e00\u3067\u30ce\u30a4\u30ba\u3092\u9664\u53bb\u3059\u308b\u3053\u3068\u306b\u6700\u5584\u3092\u5c3d\u304f\u3057\u3066\u3044\u307e\u3057\u305f\u304c\u3001<\/div>\n
\u3053\u306e7\u3064\u306e\u7279\u5fb4\u3092\u898b\u308b\u3068\u3001RCT\u304c\u9664\u5916\u3057\u3066\u304d\u305f\u300c\u30ce\u30a4\u30ba\u300d\u306f\u3001<\/div>\n
\u3080\u3057\u308d\u300c\u60c5\u5831\u300d\u3068\u3057\u3066\u6e2c\u5b9a\u3057\u3001\u8abf\u6574\u3057\u3066\u3044\u3053\u3046\u3068\u3044\u3046\u59ff\u52e2\u306b\u898b\u3048\u307e\u3059\u306d\u3002<\/div>\n
\u5358\u306a\u308b\u5bfe\u8c61\u8005\u3084\u7d71\u8a08\u624b\u6cd5\u306b\u7559\u307e\u3089\u305a\u3001\u591a\u8077\u7a2e\u3067\u3001\u60c5\u5831\u3092\u5e38\u306b\u5171\u6709\u3057\u3066\u2026\u3068\u3044\u3046\u3042\u305f\u308a\u3082\u3001<\/div>\n
\u3068\u3066\u3082\u7406\u60f3\u306e\u5b9f\u8df5\u73fe\u5834\u306b\u8fd1\u3044\u3088\u3046\u306b\u601d\u3048\u307e\u3059\u3002\u3068\u3063\u3066\u3082\u8208\u5473\u6df1\u3044\uff01\uff01<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u00a0<\/div>\n
\u6765\u9031\u306f\u3001\u3067\u306f\u3053\u308c\u3089\u306e\u7279\u5fb4\u3092\u517c\u306d\u5099\u3048\u305fPBE-CPI\u3092\u5b9f\u884c\u3059\u308b\u305f\u3081\u306e\u30b9\u30c6\u30c3\u30d7\u3092\u898b\u3066\u3044\u304d\u307e\u3059\u3002<\/div>\n
\u00a0<\/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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\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

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