{"id":220,"date":"2012-09-10T08:37:24","date_gmt":"2012-09-09T23:37:24","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=220"},"modified":"2014-04-16T15:33:08","modified_gmt":"2014-04-16T06:33:08","slug":"grade%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3%e4%bd%9c%e6%88%90%e3%81%ae%e6%b5%81%e3%82%8c%ef%bc%9a-item-38-%e8%b3%aa%e3%81%ae%e6%94%b9%e5%96%84%e3%81%8a%e3%82%88%e3%81%b3%e5%ae%9f","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=220","title":{"rendered":"GRADE\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u6d41\u308c\uff1a Item #-38: \u8cea\u306e\u6539\u5584\u304a\u3088\u3073\u5b9f\u884c"},"content":{"rendered":"<p>\u4ee5\u4e0b\u306f\u3001ACCP Evidence-Based Guideline Development (CHEST 2007; 132:1015\u20131024\uff09\u306e\u3001&#8221; Quality Improvement and Implementation&#8221; \u9805\u3092\u53c2\u8003\u306b\u3057\u305f\u3082\u306e\u3067\u3042\u308b\u3002<\/p>\n<p><\/p>\n<p>=========================================================<br \/>\n\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u3001\u8cea\u304c\u78ba\u4fdd\u3055\u308c\u3001\u305d\u306e\u6539\u5584\u3084\u5b9f\u65bd\u3001\u304a\u3088\u3073\u8cac\u4efb\u306e\u7bc4\u56f2\u3068\u6240\u5728\u304c\u660e\u78ba\u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u3079\u304d\u3067\u3042\u308b\u3002\u305f\u3068\u3048\u3070\u3001ACCP \u3067\u306f\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u63a8\u5968\u5185\u5bb9\u306e\u6539\u5584\u3084\u5b9f\u65bd\u306f\u3001\u9069\u5207\u306a\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u6307\u6a19(*)\u306b\u3057\u305f\u304c\u3063\u3066\u3001\u5b9f\u884c\u53ef\u80fd\u6027(feasibility)\u3001\u6709\u7528\u6027(usability)\u3001\u79d1\u5b66\u7684\u91cd\u8981\u5ea6(scientific importance)\u3001\u5b9f\u7528\u6027(practicality)\u3001\u9069\u7528\u6027(applicability) \u3092\u78ba\u4fdd\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3001\u3068\u3057\u3066\u3044\u308b\uff08GRADE\u6559\u79d1\u66f8 p127\uff09\u3002<\/p>\n<p>\n\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u8a55\u4fa1\u6307\u6a19\u306f\u3001ACCP\u30e1\u30f3\u30d0\u30fc\u304a\u3088\u3073\u305d\u306e\u60a3\u8005\u306b\u3068\u3063\u3066\u5b9f\u7528\u7684\u304b\u3064\u9069\u5207\u306a\u3082\u306e\u3067\u3042\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u60a3\u8005\u306e\u30b1\u30a2\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u8a55\u4fa1\u6307\u6a19\u306e\u30d9\u30fc\u30b9\u3068\u306a\u308b\u63a8\u5968\u4e8b\u9805\u3068\u3001\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u8a55\u4fa1\u6307\u6a19\u306e\u30d9\u30fc\u30b9\u3068\u3059\u3079\u304d\u3067\u306a\u3044\u63a8\u5968\u4e8b\u9805\uff08\u591a\u304f\u306f\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u304c\u4f4e\u3044\u5834\u5408\u304c\u591a\u3044\uff09\u3082\u7279\u5b9a\u3059\u308b\u3002\u3053\u308c\u306b\u52a0\u3048\u3001\u4ecb\u5165\u306e\u4e00\u90e8\u304c\u5b9f\u884c\u4e0d\u53ef\u80fd\u307e\u305f\u306f\u5229\u7528\u4e0d\u53ef\u80fd\u306a\u5834\u5408\u3082\u3042\u308b\u3002\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u8a55\u4fa1\u6307\u6a19\u306f\u3001\u73fe\u5728\u3001\u7c73\u56fd\u306e\u533b\u7642\u5206\u91ce\u306b\u304a\u3051\u308b\u5404\u7a2e\u30bb\u30af\u30bf\u30fc\u306b\u3088\u308a\u4f01\u753b\u3055\u308c\u3066\u3044\u308b\u30da\u30a4\u30d5\u30a9\u30fc\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u6307\u6a19\uff08\u4fa1\u5024\u306b\u57fa\u3065\u304f\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9(value-based performance)\u6226\u7565\u3068\u3082\u547c\u3070\u308c\u308b\uff09\u306e\u4e2d\u306b\u76db\u308a\u8fbc\u3093\u3067\u3082\u3088\u3044\u3002\u30da\u30a4\u30d5\u30a9\u30fc\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u6226\u7565\u304c\u6210\u529f\u3092\u53ce\u3081\u3001\u60a3\u8005\u304a\u3088\u3073\u533b\u7642\u63d0\u4f9b\u8005\u306e\u53cc\u65b9\u306b\u3068\u3063\u3066\u516c\u6b63\u306a\u3082\u306e\u3068\u306a\u308b\u304b\u3069\u3046\u304b\u306f\u3001\u5b9f\u884c\u3055\u308c\u305f\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u8a55\u4fa1\u6307\u6a19\u306e\u8cea\u3068\u5bc6\u63a5\u306b\u95a2\u4fc2\u3059\u308b\u3002<br \/>\n=========================================================<\/p>\n<p>(*)\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u8a55\u4fa1\u6307\u6a19\u306e\u57fa\u6e96\uff1a<a href=\"http:\/\/www.qualityforum.org\/Home.aspx\" target=\"_blank\">National Quality Forum<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u4ee5\u4e0b\u306f\u3001ACCP Evidence-Based Guideline Development (CHEST 2007; 132:1015\u20131024\uff09\u306e\u3001&#8221; Quality Improvement and Imp [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[444,317,318,316],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/220"}],"collection":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=220"}],"version-history":[{"count":1,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/220\/revisions"}],"predecessor-version":[{"id":462,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/220\/revisions\/462"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=220"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=220"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}