{"id":23923,"date":"2026-03-09T21:00:49","date_gmt":"2026-03-09T12:00:49","guid":{"rendered":"https:\/\/www.seimei-in.com\/wp02\/?p=23923"},"modified":"2026-03-27T19:57:46","modified_gmt":"2026-03-27T10:57:46","slug":"pactice-based-evidence-2","status":"publish","type":"post","link":"https:\/\/www.seimei-in.com\/wp02\/pactice-based-evidence-2\/","title":{"rendered":"Practice based Evidence\uff1a\u5b9f\u8df5(\u81e8\u5e8a)\u306b\u57fa\u3065\u304f\u533b\u7642\u2467"},"content":{"rendered":"

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

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\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

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\u79c1\u306e\u514d\u75ab\u7d30\u80de\u306f\u3061\u3083\u3093\u3068\u30a6\u30a4\u30eb\u30b9\u306b\u5bfe\u5fdc\u3057\u3001\u6b63\u5e38\u7a3c\u50cd\u30e2\u30fc\u30c9\u3068\u306a\u308a\u3001<\/div>\n
\u82b1\u7c89\u306f\u6575\u3067\u306f\u306a\u3044\uff01\u3068\u601d\u3048\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u306e\u3067\u3057\u3087\u3046\u304b\u3002<\/div>\n
\u4eca\u5e74\u306f\u3001\u307e\u3060\u305d\u3053\u307e\u3067\u82b1\u7c89\u75c7\u306e\u75c7\u72b6\u304c\u51fa\u3066\u3044\u307e\u305b\u3093\uff01<\/div>\n
\u3053\u306e\u79c1\u306e\u4eee\u8aac\u304c\u3001\uff15\u6708\u307e\u3067\u9054\u6210\u3055\u308c\u7d9a\u3051\u307e\u3059\u3088\u3046\u306b\uff01<\/div>\n
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\u3055\u3066\u3001Pactice based Evidence\u306e\u8ad6\u6587\u3092\u8aad\u3093\u3067\u3044\u307e\u3059\u3002<\/div>\n
\u524d\u56de\u306fPBE-CPI\u306e\uff17\u3064\u306e\u7279\u5fb4\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u305f\u3002<\/div>\n
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\u4eca\u65e5\u306f\u5bfe\u8c61\u3068\u306a\u308b\u60a3\u8005\u3055\u3093\u306e\u53d6\u308a\u6271\u3044\u306b\u3064\u3044\u3066\u3001\u8a73\u3057\u304f\u898b\u3066\u3044\u307e\u3059\u3002<\/div>\n
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\u4e00\u822c\u7684\u306a\u4ecb\u5165\u7814\u7a76\u3067\u306f\u3001<\/div>\n
\u7d50\u679c\u306b\u5f71\u97ff\u3057\u3046\u308b\u60a3\u8005\u80cc\u666f\u3084\u4ea4\u7d61\u8981\u7d20\u3092\u3067\u304d\u308b\u3060\u3051\u63c3\u3048\u308b\u305f\u3081\u306b\u3001<\/div>\n
\u8907\u96d1\u306a\u80cc\u666f\u3092\u6301\u3064\u60a3\u8005\u3055\u3093\u3092\u9664\u5916\u3057\u3066\u691c\u8a0e\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/div>\n
\n
\u4e00\u65b9\u3001\u5148\u9031\u3082\u898b\u305f\u3088\u3046\u306b\u3001PBE-CPI\u3067\u306f\u3001
\n\u305d\u3046\u3057\u305f\u8907\u96d1\u306a\u80cc\u666f\u56e0\u5b50\u3092\u3082\u3064\u60a3\u8005\u3055\u3093\u3082\u3001\u3067\u304d\u308b\u3060\u3051\u305d\u306e\u307e\u307e\u5bfe\u8c61\u306b\u3057\u307e\u3059\u3002<\/div>\n<\/div>\n
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\n
\u8907\u96d1\u306a\u80cc\u666f\u56e0\u5b50\u3068\u3057\u3066\u306f\u3001<\/div>\n
\u5e74\u9f62\u3084\u6027\u5225\u3068\u3044\u3063\u305f\u57fa\u672c\u7684\u306a\u6761\u4ef6\u306b\u52a0\u3048\u3066<\/div>\n
\u3082\u3068\u3082\u3068\u306e\u8eab\u4f53\u6a5f\u80fd\u306e\u5dee\u3001<\/div>\n
\u75be\u60a3\u306e\u91cd\u75c7\u5ea6\u3084\u5408\u4f75\u75c7\u7b49\u306e\u6709\u7121\u3001<\/div>\n
\u5fc3\u7406\u793e\u4f1a\u7684\u306a\u80cc\u666f\u7b49\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002<\/div>\n<\/div>\n
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\u540c\u3058\u6cbb\u7642\u3092\u65bd\u3057\u305f\u3068\u3057\u3066\u3001\u305d\u306e\u53cd\u5fdc\u306f\u9055\u3063\u3066\u304f\u308b\u3053\u3068\u306f\u5f53\u7136\u3067\u3059\u306d\u3002<\/div>\n
\u3088\u3063\u3066\u3001\u89b3\u5bdf\u3055\u308c\u305f\u5f71\u97ff\u304c<\/div>\n
\u6cbb\u7642\u306e\u5f71\u97ff\u306b\u3088\u308b\u3082\u306e\u306a\u306e\u304b\u3001<\/div>\n
\u3082\u3068\u3082\u3068\u306e\u60a3\u8005\u80cc\u666f\u306e\u9055\u3044\u306b\u3088\u308b\u3082\u306e\u306a\u306e\u304b\u3001\u5224\u65ad\u304c\u96e3\u3057\u304f\u306a\u308a\u307e\u3059\u3002<\/div>\n
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\u3053\u306e\u554f\u984c\u306b\u5bfe\u5fdc\u3059\u308b\u305f\u3081\u306b\u3001RCT\u3067\u306f\u300c\u30e9\u30f3\u30c0\u30e0\u5316\u300d\u3068\u3044\u3046\u65b9\u6cd5\u3092\u7528\u3044\u3066\u3001<\/div>\n
\u96c6\u56e3\u3068\u3057\u3066\u3001\u5bfe\u8c61\u8005\u306e\u7279\u5fb4\u306b\u504f\u308a\u304c\u5c11\u306a\u304f\u3059\u308b\u3088\u3046\u5de5\u592b\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/div>\n
\u3064\u307e\u308a\u3001\u65e2\u77e5\u3084\u672a\u77e5\u306e\u60a3\u8005\u5dee\u3092\u3001\u7fa4\u5168\u4f53\u3068\u3057\u3066\u5e73\u5747\u5316\u3057\u3088\u3046\u3068\u3057\u305f\u8003\u3048\u65b9\u3067\u3059\u3002<\/div>\n
\u3088\u3063\u3066\u3001\u30e9\u30f3\u30c0\u30e0\u306b\uff12\u3064\u306e\u7fa4\u306b\u5206\u3051\u3066\u540c\u3058\u6cbb\u7642\u3092\u884c\u3063\u305f\u5834\u5408\u3001<\/div>\n
\uff12\u3064\u306e\u7fa4\u3092\u69cb\u6210\u3059\u308b\u60a3\u8005\u3055\u3093\u306e\u591a\u69d8\u6027\u306f\u8fd1\u4f3c\u3057\u3066\u3044\u308b\u305f\u3081\u3001<\/div>\n
2\u7fa4\u306e\u5dee\u306f\u3001\u6cbb\u7642\u52b9\u679c\u3068\u3044\u3048\u308b\u3060\u308d\u3046\u3068\u3044\u3046\u4eee\u8aac\u3067\u3059\u3002<\/div>\n
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PBE-CPI\u3067\u306f\u3001\u3080\u3057\u308d\u3053\u306e\u8907\u96d1\u306a\u56e0\u5b50\u3092\u7d30\u304b\u304f\u8a18\u9332\u3057\u3001<\/div>\n
\u7d71\u8a08\u5206\u6790\u3067\u8abf\u6574\u3059\u308b\u3068\u3044\u3046\u624b\u6cd5\u3092\u53d6\u308a\u307e\u3059\u3002<\/div>\n
\u3053\u306e\u7279\u5fb4\u3092\u6349\u3048\u308b\u4ed5\u7d44\u307f\u3068\u3057\u3066\u3001<\/div>\n
Comprehensive Severity Index\uff08CSI)\u3068\u3044\u3046\u6307\u6a19\u30b7\u30b9\u30c6\u30e0\u304c\u7d39\u4ecb\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/div>\n
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\u3053\u306e\u30b7\u30b9\u30c6\u30e0\u3067\u306f\u30012,200\u4ee5\u4e0a\u306e\u5fb4\u5019\u3084\u75c7\u72b6\u3001\u8eab\u4f53\u6240\u898b\u306b\u57fa\u3065\u3044\u3066\u3001<\/div>\n
\u60a3\u8005\u3055\u3093\u306e\u751f\u7406\u5b66\u7684\u306a\u8981\u7d20\u3084\u5fc3\u7406\u793e\u4f1a\u7684\u306a\u8907\u96d1\u6027\u3001<\/div>\n
\u91cd\u75c7\u5ea6\u3092\u6570\u5024\u5316\u3059\u308b\u4ed5\u7d44\u307f\u3067\u3059\u3002<\/div>\n
\u305d\u308c\u3089\u306e\u91cd\u75c7\u5ea6\u3092\u7d30\u304b\u304f\u6570\u5024\u5316\u3059\u308b\u30b7\u30b9\u30c6\u30e0\u3067\u3059\u3002<\/div>\n
\u3053\u308c\u306b\u3088\u3063\u3066\u3001\u60a3\u8005\u3055\u3093\u306e\u9055\u3044\u3092\u8a73\u3057\u304f\u6e2c\u5b9a\u3057\u3001<\/div>\n
\u7d71\u8a08\u7684\u306b\u8abf\u6574\u3057\u3088\u3046\u3001\u3068\u3044\u3046\u306e\u3067\u3059\u3002<\/div>\n
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CSI\u2026\u3000\u3053\u306e\u8ad6\u6587\u3067\u521d\u3081\u3066\u77e5\u308a\u307e\u3057\u305f\u3002<\/div>\n
\u201dComprehensive Severity Index\u201d\u3092Pubmed\u691c\u7d22\u3057\u3066\u3082\u3001<\/div>\n
3\u67086\u65e5\u6642\u70b9\u306716\u4ef6\u3057\u304b\u30d2\u30c3\u30c8\u305b\u305a\u3001\u5e83\u304f\u4e00\u822c\u5316\u3057\u305f\u6307\u6a19\u3068\u3044\u3046\u3088\u308a\u306f\u3001
\n\u7279\u5b9a\u306ePBE-CPI\u7cfb\u7814\u7a76\u3067\u4f7f\u308f\u308c\u3066\u304d\u305f\u6307\u6a19\u3068\u3044\u3046\u5370\u8c61\u3092\u53d7\u3051\u307e\u3057\u305f\u3002<\/div>\n
\u00a0<\/div>\n
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\u305d\u306e\u80cc\u666f\u306b\u306f\u3001\u30bd\u30d5\u30c8\u30a6\u30a7\u30a2\u3068\u3057\u3066\u306e\u904b\u7528\u9762\u3067\u306e\u4f7f\u3044\u306b\u304f\u3055\u3084\u3001<\/div>\n
\u8ad6\u6587\u3068\u3057\u3066\u306f\u3001\u3059\u3067\u306b\u666e\u53ca\u3057\u3066\u3044\u308b\u91cd\u75c7\u5ea6\u3084\u8a55\u4fa1\u6307\u6a19\u3092\u4f7f\u7528\u3057\u305f\u65b9\u304c<\/div>\n
\u67fb\u8aad\u3067\u3082\u53d7\u3051\u5165\u308c\u3084\u3059\u304f\u3001\u5148\u884c\u7814\u7a76\u3068\u306e\u6bd4\u8f03\u304c\u5bb9\u6613\u3067\u3042\u308b\u3053\u3068\u3001<\/div>\n
\u8a73\u7d30\u306a\u30c7\u30fc\u30bf\u53ce\u96c6\u305d\u306e\u3082\u306e\u306e\u8ca0\u62c5\u304c\u5927\u304d\u3044\u3053\u3068\u7b49\u304c\u3042\u308b\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/div>\n
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\u300c\u8907\u96d1\u6027\u300d\u3092\u7db2\u7f85\u7684\u306b\u628a\u63e1\u3057\u8a55\u4fa1\u3001\u8abf\u6574\u3059\u308b\u306e\u306f\u96e3\u3057\u305d\u3046\u3067\u3059\u306d\u3002<\/div>\n
\u5b8c\u74a7\u3092\u76ee\u6307\u3059\u3068\u5b9f\u88c5\u8ca0\u8377\u304c\u9ad8\u307e\u308a\u5e83\u307e\u3089\u306a\u3044\u2026\uff1f<\/div>\n
\u3053\u3046\u3057\u305f\u5148\u4eba\u306e\u52aa\u529b\u306f\u3001\u305d\u308c\u81ea\u4f53\u306e\u52b9\u679c\u306e\u307f\u306a\u3089\u305a\u3001<\/div>\n
\u305d\u308c\u304c\u751f\u307f\u51fa\u3057\u305f\u8ab2\u984c\u3082\u542b\u3081\u3066\u5b66\u3076\u3053\u3068\u304c\u591a\u305d\u3046\u3067\u3059\u3002<\/div>\n
\u6b21\u9031\u3082\u8ad6\u6587\u3092\u8aad\u307f\u9032\u3081\u3066\u3044\u304d\u307e\u3059\u304c\u3001<\/div>\n
\u500b\u4eba\u7684\u306b\u306fCSI\u306b\u3064\u3044\u3066\u3082\u3001\u305d\u306e\u5185\u5bb9\u3084\u8ab2\u984c\u3092\u52c9\u5f37\u3057\u3066\u898b\u305f\u304f\u306a\u308a\u307e\u3057\u305f\u3002<\/div>\n
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\u6765\u9031\u3082\u82b1\u7c89\u75c7\u3092\u767a\u75c7\u3057\u3066\u3044\u307e\u305b\u3093\u3088\u3046\u3001\u7948\u308a\u3092\u8fbc\u3081\u3066\u2026\u7b11<\/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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