{"id":24035,"date":"2026-04-13T21:00:31","date_gmt":"2026-04-13T12:00:31","guid":{"rendered":"https:\/\/www.seimei-in.com\/wp02\/?p=24035"},"modified":"2026-04-10T17:43:56","modified_gmt":"2026-04-10T08:43:56","slug":"practice-based-evidence-9","status":"publish","type":"post","link":"https:\/\/www.seimei-in.com\/wp02\/practice-based-evidence-9\/","title":{"rendered":"Practice based Evidence\uff1a\u5b9f\u8df5(\u81e8\u5e8a)\u306b\u57fa\u3065\u304f\u533b\u7642\u246c"},"content":{"rendered":"

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\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

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\u96e8\u306b\u3082\u8ca0\u3051\u305a\u3001\u98a8\u306b\u3082\u8ca0\u3051\u305a\u3001\u6674\u308c\u306e\u65e5\u306b\u306f\u5e78\u305b\u305d\u3046\u306b\u8f1d\u304f\u8349\u82b1\u306b\u3044\u306e\u3061\u306e\u901e\u3057\u3055\u3092\u611f\u3058\u307e\u3059\u3002<\/div>\n
\u9aea\u304c\u307c\u3055\u307c\u3055\u3001\u5098\u306f\u304a\u3061\u3087\u3053\u306b\u306a\u3063\u3066\u3082\u3001\u9811\u5f35\u3063\u3066\u3044\u3053\u3046\u3068\u601d\u3044\u307e\u3059\u7b11<\/div>\n
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\u3055\u3066\u3001\u9577\u304f\u306a\u3063\u3066\u3044\u307e\u3059\u304c\u3001Practice based Evidencen\u306b\u3064\u3044\u3066\u306e\u30d6\u30ed\u30b0\u3082\u3044\u3088\u3044\u3088\u6700\u5f8c\u3001<\/div>\n
\u8003\u5bdf\u306e\u90e8\u5206\u3092\u898b\u3066\u3044\u304d\u307e\u3059\u3002<\/div>\n
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\u73fe\u5b9f\u306e\u65e5\u5e38\u8a3a\u7642\u3067\u306f\u60a3\u8005\u3055\u3093\u304c\u3069\u306e\u6cbb\u7642\u3092\u53d7\u3051\u308b\u304b\u306f\u3001<\/div>\n
\u62c5\u5f53\u533b\u306e\u533b\u5b66\u7684\u306a\u5224\u65ad\u306b\u3088\u3063\u3066\u6c7a\u307e\u308a\u3001<\/div>\n
\u60a3\u8005\u3055\u3093\u304c\u6cbb\u7642\u3092\u7d9a\u3051\u308b\u304b\u3082\u3001\u533b\u7642\u8005\u304c\u53b3\u5bc6\u306b\u7ba1\u7406\u306f\u3067\u304d\u305a\u3001<\/div>\n
\u6cbb\u7642\u306e\u5909\u5316\uff08\u7d50\u679c\uff09\u3082\u3001\u5b9a\u671f\u7684\u306b\u3068\u308b\u3068\u3044\u3046\u3088\u308a\u3082\u3001\u60a3\u8005\u3055\u3093\u306e\u72b6\u614b\u3092\u628a\u63e1\u3059\u308b\u305f\u3081\u306b\u5fc5\u8981\u3067\u3042\u308b\u304b\u3089\u884c\u308f\u308c\u307e\u3059\u3002<\/div>\n
\u3064\u307e\u308a\u3001\u65e5\u5e38\u8a3a\u7642\u306f\u3001\u300c\u7814\u7a76\u306e\u305f\u3081\u306b\u6574\u3048\u3089\u308c\u305f\u4e16\u754c\u300d\u3067\u306f\u306a\u304f\u3001<\/div>\n
\u3082\u3063\u3068\u8907\u96d1\u3067\u3042\u308b\u3053\u3068\u304c\u524d\u63d0\u3067\u3042\u308b\u3001\u3068\u3001\u3053\u306e\u8ad6\u6587\u3067\u306f\u8aac\u660e\u3057\u3066\u3044\u307e\u3059\u3002<\/div>\n
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\u305d\u306e\u7d44\u307f\u5408\u308f\u305b\u306b\u3088\u3063\u3066\u52b9\u679c\u304c\u5909\u308f\u308a\u3001<\/div>\n
\u304b\u3064\u60a3\u8005\u3055\u3093\u306b\u3088\u3063\u3066\u3001\u305d\u306e\u7d44\u307f\u5408\u308f\u305b\u306e\u52b9\u679c\u3082\u5909\u308f\u308b\u306f\u305a\u3067\u3059\u3002<\/div>\n
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\u3064\u307e\u308a\u3001\u3053\u3046\u3057\u305f\u8907\u96d1\u306a\u7d44\u307f\u5408\u308f\u305b\u3084\u4ea4\u4e92\u4f5c\u7528\u3092\u3001<\/div>\n
RCT\u3067\u5168\u3066\u8abf\u3079\u308b\u3053\u3068\u306f\u73fe\u5b9f\u7684\u306b\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308a\u3001<\/div>\n
PBE-CPI\u3067\u306f\u3001\u5b9f\u81e8\u5e8a\u306b\u304a\u3051\u308b\u6cbb\u7642\u5185\u5bb9\u3084\u5f37\u5ea6\u3001\u7d44\u307f\u5408\u308f\u305b\u306e\u3070\u3089\u3064\u304d\u3092\u3001<\/div>\n
\u5358\u306a\u308b\u300c\u30ce\u30a4\u30ba\u300d\u3068\u3057\u3066\u3067\u306f\u306a\u304f\u3001<\/div>\n
\u6bd4\u8f03\u306e\u6750\u6599\u3068\u3057\u3066\u6349\u3048\u3001\u4e01\u5be7\u306b\u8a18\u9332\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u3001<\/div>\n
\u3069\u306e\u7d44\u307f\u5408\u308f\u305b\u3084\u5f37\u5ea6\u304c\u3088\u308a\u826f\u3044\u7d50\u679c\u3068\u95a2\u9023\u3057\u3066\u3044\u308b\u304b\u304c\u898b\u3048\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/div>\n
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\u81e8\u5e8a\u73fe\u5834\u3092\u305d\u306e\u307e\u307e\u8a18\u9332\u3057\u3001<\/div>\n
\u305d\u3053\u304b\u3089\u3088\u308a\u826f\u3044\u5b9f\u8df5\u3092\u898b\u3064\u3051\u308b\u624b\u6cd5\u3001\u3053\u308c\u304cPBE-CPI\u3067\u3042\u308a\u3001<\/div>\n
\u300c\u81ea\u7136\u306a\u81e8\u5e8a\u50cf\u300d\u3092\u6349\u3048\u308b\u3053\u3068\u304c\u3001<\/div>\n
\u6cbb\u7642\u540c\u58eb\u306e\u6bd4\u8f03\u6709\u52b9\u6027\u3092\u691c\u8a0e\u3059\u308b\u3046\u3048\u3067\u3082\u91cd\u8981\u3067\u3042\u308b\u3068\u8aac\u660e\u3057\u3066\u3044\u307e\u3059\u3002<\/div>\n
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\u81e8\u5e8a\u30c7\u30fc\u30bf\u306b\u57fa\u3065\u3044\u305f\u691c\u8a0e\u306b\u3088\u308b\u898b\u76f4\u3057\u3001\u6539\u5584\u306b\u3064\u306a\u304c\u308b\u3068\u8ff0\u3079\u3066\u3044\u307e\u3059\u3002<\/div>\n
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RCT\u306e\u3088\u3046\u306b\u7814\u7a76\u306e\u305f\u3081\u306e\u74b0\u5883\u3092\u6574\u3048\u308b\u306e\u3067\u306f\u306a\u3044\u3053\u3068\u304b\u3089\u3001<\/div>\n
\u4e00\u822c\u7684\u306b\u5b89\u4fa1\u3067\u5b9f\u65bd\u3067\u304d\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/div>\n
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\u307e\u305f\u3001\u502b\u7406\u9762\u306b\u304a\u3044\u3066\u3082\u3001\u666e\u6bb5\u306e\u8a3a\u7642\u8a18\u9332\u3092\u5206\u6790\u3059\u308b\u8cea\u306e\u6539\u5584\u7814\u7a76\u3068\u3057\u3066\u6271\u308f\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3053\u3068\u304b\u3089\u3001<\/div>\n
\u540c\u610f\u304c\u4e0d\u8981\u3068\u3055\u308c\u308b\u5834\u5408\u3084\u3001\u502b\u7406\u5be9\u67fb\u304c\u6bd4\u8f03\u7684\u7c21\u4fbf\u306b\u306a\u308b\u5834\u5408\u3082\u3042\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/div>\n
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\u89b3\u5bdf\u7814\u7a76\u3067\u3042\u308b\u305f\u3081\u3001\u300c\u56e0\u679c\u95a2\u4fc2\u306e\u8a3c\u660e\u300d\u306f\u3067\u304d\u306a\u3044\u3068\u3044\u3046\u70b9\u3092\u5f37\u8abf\u3057\u3066\u3044\u307e\u3059\u3002<\/div>\n
\u305f\u3060\u3057\u3001\u3053\u306e\u7814\u7a76\u3092\u901a\u3057\u3066\u3001\u81e8\u5e8a\u7684\u306b\u691c\u8a0e\u3059\u308b\u4fa1\u5024\u306e\u3042\u308b\u4eee\u8aac\u306e\u767a\u898b\u3084\u3001<\/div>\n
\u56e0\u679c\u95a2\u4fc2\u3092\u793a\u5506\u3059\u308b\u95a2\u4fc2\u6027\u3092\u5f90\u3005\u306b\u5f37\u5316\u3057\u3066\u3044\u304f\u305f\u3081\u306e\u6750\u6599\u3092\u4f5c\u3063\u3066\u3044\u304f\u3053\u3068\u306f\u53ef\u80fd\u3067\u3059\u3002<\/div>\n
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\u4f8b\u3048\u3070\u3001\u4ea4\u7d61\u56e0\u5b50\u3092\u8abf\u6574\u3057\u3066\u3082\u95a2\u9023\u304c\u304d\u3048\u306a\u3044\u3082\u306e\u3084\u3001<\/div>\n
\u89e3\u6790\u7d50\u679c\u304c\u300c\u6709\u52b9\u300d\u3068\u793a\u3055\u308c\u305f\u5b9f\u8df5\u3092\u3001\u73fe\u5834\u306b\u5c0e\u5165\u3057\u305f\u6642\u3001\u4e88\u6e2c\u901a\u308a\u306e\u7d50\u679c\u304c\u51fa\u305b\u305f\u308a\u3001<\/div>\n
\u3055\u3089\u306b\u3001\u540c\u69d8\u306e\u5b9f\u8df5\u3092\u7e70\u308a\u8fd4\u3057\u591a\u5f69\u306b\u3001\u540c\u3058\u7d50\u679c\u304c\u5f97\u3089\u308c\u308b\u306a\u3069\u3001<\/div>\n
\u9811\u5065\u6027\u3084\u5b9f\u8df5\u5f8c\u306e\u5909\u5316\u3001\u518d\u73fe\u6027\u3092\u91cd\u306d\u308b\u3053\u3068\u3067\u3001<\/div>\n
\u56e0\u679c\u3089\u3057\u3055\u3092\u5f37\u3081\u3066\u3044\u304f\u3053\u3068\u304c\u3067\u304d\u308b\u3001\u3068\u8ff0\u3079\u3066\u3044\u307e\u3059\u3002<\/div>\n
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\u3064\u307e\u308a\u3001PBE-CPI\u306f\u3001\u5358\u306a\u308b\u5f8c\u4ed8\u7684\u306a\u95a2\u9023\u56e0\u5b50\u63a2\u3057\u3067\u306f\u306a\u304f\u3001<\/div>\n
\u73fe\u5834\u3067\u306e\u6539\u5584\u3092\u4e88\u6e2c\u3057\u3001\u5b9f\u969b\u306b\u6539\u5584\u3055\u305b\u308b\u53ef\u80fd\u6027\uff08predictive validity\uff1a\u4e88\u6e2c\u59a5\u5f53\u6027)<\/div>\n
\u3092\u6301\u3064\u65b9\u6cd5\u3067\u3042\u308b\u3001\u3068\u7de0\u3081\u304f\u304f\u3063\u3066\u3044\u307e\u3059\u3002<\/div>\n
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\u304b\u306a\u308a\u9577\u304f\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3057\u305f\u304c\u3001<\/div>\n
PBE-CPI\u306e\u72d9\u3044\u306f\u3068\u3066\u3082\u81e8\u5e8a\u306e\u611f\u899a\u306b\u8fd1\u304f\u3001\u5171\u611f\u3092\u899a\u3048\u307e\u3057\u305f\u3002<\/div>\n
\u307e\u305f\u3001\u79c1\u304c\u666e\u6bb5\u3001\u516c\u8846\u885b\u751f\u5b66\u7b49\u3067\u3082\u7528\u3044\u3066\u3044\u308b\u89e3\u6790\u65b9\u6cd5\u304c\u3001<\/div>\n
\u3053\u3046\u3044\u3063\u305f\u7814\u7a76\u304b\u3089\u751f\u307e\u308c\u3066\u3044\u305f\u3053\u3068\u3092\u77e5\u308b\u6a5f\u4f1a\u306b\u3082\u306a\u308a\u307e\u3057\u305f\u3002<\/div>\n
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PBE-CPI\u3067\u306f\u3001RCT\u3067\u306f\u3068\u3089\u3048\u304d\u308c\u306a\u3044\u65e5\u5e38\u8a3a\u7642\u3001<\/div>\n
\u3072\u3044\u3066\u306f\u4eba\u9593\u793e\u4f1a\u306b\u304a\u3051\u308b\u8907\u96d1\u3055\u3092\u6d3b\u304b\u3057\u306a\u304c\u3089\u3001\u95a2\u9023\u306e\u5f37\u3055\u3092\u691c\u8a0e\u3057\u3001<\/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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