{"id":78,"date":"2008-02-06T11:20:49","date_gmt":"2008-02-06T02:20:49","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=78"},"modified":"2014-04-16T15:35:09","modified_gmt":"2014-04-16T06:35:09","slug":"bmj-%e3%82%af%e3%83%aa%e3%83%8b%e3%82%ab%e3%83%ab%e3%83%bb%e3%82%a8%e3%83%93%e3%83%87%e3%83%b3%e3%82%b9-2","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=78","title":{"rendered":"BMJ \u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30a8\u30d3\u30c7\u30f3\u30b9-2"},"content":{"rendered":"<div>\n<p>Clinical Evidence(BMJ)\u306f\u3001\u5f93\u6765\u63a8\u5968\u306f\u8a18\u8f09\u305b\u305a\u30a8\u30d3\u30c7\u30f3\u30b9\u96c6\u3068\u3057\u3066\u7ffb\u8a33\u7248\u3082\u4f5c\u6210\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002<br \/>\n\u3068\u3053\u308d\u304c\u30012008\u5e74\u304b\u3089\u306f\u3053\u308c\u307e\u3067\u306e\u65b9\u91dd\u3092\u5909\u3048\u3066\u3001<b>GRADE\u30b7\u30b9\u30c6\u30e0<\/b>\u306e\u63a1\u7528\u3068\u3068\u3082\u306b\u3001EBM\u306e\u8003\u3048\u304b\u3089\u3082\u3001\u53e4\u3044\u4f53\u8cea\u3092\u6539\u5584\u3059\u308b\u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002\u53c2\u8003\uff1a<a href=\"http:\/\/aihara.la.coocan.jp\/archives\/2008\/01\/31\/\">BMJ \u30af\u30ea\u30cb\u30ab\u30eb\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u3064\u3044\u3066\uff082008\/1\/31)<\/a><br \/>\n&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-<\/p>\n<p><\/p>\n<p><b>&#8220;Old-school EBM\u201d<\/b>, with its emphasis on searching the literature, appraising search results, and assembling the appraised results, is becoming increasingly redundant. The increasing availability<br \/>\nof sophisticated secondary information resources that identify and appraise high-quality<br \/>\nevidence from the medical literature (<b>\u201cnewschool EBM\u201d<\/b>) means that today\u2019s clinicians<br \/>\ncan practice evidence-based medicine (EBM) without necessarily acquiring critical appraisal<br \/>\nskills.\u3000<br \/>\n&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-<\/p>\n<p><\/p>\n<p>\u5358\u7d14\u306bPICO\u3067\u6587\u732e\u3092\u691c\u7d22\u3057\u3066\u3001\u898b\u3064\u304b\u3063\u305f\u7814\u7a76\u3092\u6279\u5224\u7684\u306b\u541f\u5473\u3057\u3066\u3001\uff5e\uff5e\uff5e\u3000\u3000\u3068\u3044\u3046\u3082\u306e\u306f\u3001\u8003\u3048\u76f4\u3057\u307e\u3057\u3087\u3046\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308a\u3001<b>New-school EBM\u306e\u305f\u3081\u306b\u306f\u3001GRADE\u306e\u7406\u89e3\u304c\u5fc5\u9808<\/b>\u3068\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u307e\u3067\u3001GRADE\u30b7\u30b9\u30c6\u30e0\u306b\u3064\u3044\u3066\u3001\u508d\u89b3\u3057\u3066\u304d\u3066\u3044\u308b\u6307\u5c0e\u8005\u304c\u305f\u3082\u3001GRADE\u3084\u30b3\u30af\u30e9\u30f3\u3092\u52c9\u5f37\u305b\u3056\u308b\u3092\u5f97\u306a\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n<p><\/p>\n<p><b>\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u306a\u306e\u3067\u30a8\u30d3\u30c7\u30f3\u30b9II,\u3000\u305d\u308c\u304c100\u500b\u4ee5\u4e0a\u3042\u308b\u306e\u3067\u30b9\u30b1\u30fc\u30eb\uff11\u3001 \u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u306f\u3000I,\u3000\uff5e\uff5e\uff5e\u3001\u75c7\u4f8b\u5bfe\u7167\u7814\u7a76\u306a\u306e\u3067\u3000\u30ec\u30d9\u30eb\u30fcIII\u3001\u306a\u3069\u3001\u4e0d\u9069\u5207\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/b><\/p>\n<p><\/p>\n<p>\u63a8\u5968\u5ea6\u306e\u5224\u5b9a\u3082\u3001<br \/>\n<b>\u201d\u884c\u3046\u3053\u3068\u3092\u8003\u616e\u3057\u3066\u3082\u3088\u3044\u304c\u3001\u5341\u5206\u306a\u79d1\u5b66\u7684\u6839\u62e0\u304c\u306a\u3044\u201d\u3001\u3068\u304b\u3001<br \/>\n\u201d\u6709\u52b9\u6027\u3092\u793a\u3059\u6839\u62e0\u306f\u307e\u305a\u307e\u305a\u3067\u3042\u308b\u3002\u81e8\u5e8a\u4e0a\u306e\u6709\u7528\u6027\u306f\u308f\u305a\u304b\u3067\u3042\u308b\u201d<\/b><br \/>\n\u306a\u3069\u3068\u3044\u3046\u66d6\u6627\u306a\u5224\u5b9a\u306f\u3001\u597d\u307e\u3057\u304f\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p>\u307e\u305f\u672a\u3060\u306b\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u8ad6\u6587\u306a\u3069\u3092<b>\u70b9\u6570\u3065\u3051\u3057\u3066\uff08Jadad\u30b9\u30b3\u30a2\u306a\u3069\uff09<\/b>\u3001\u8a55\u4fa1\u3059\u308b\u3068\u3044\u3046\u624b\u6cd5\u3092\u7528\u3044\u3066\u3044\u308b\u65b9\u3082\u3044\u308b\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u3042\u308b\u7814\u7a76\u8ad6\u6587\u3092\u4e00\u5f8b\u306e\u30b9\u30b1\u30fc\u30eb\u3067\u8a55\u4fa1\u3059\u308b\u65b9\u6cd5\u306f\u4e0d\u9069\u5207\u3067\u3042\u308a\u3001GRADE\u3092\u5168\u304f\u7406\u89e3\u3057\u3066\u3044\u306a\u3044\u65b9\u306e\u8a71\u3068\u5224\u65ad\u3057\u305f\u307b\u3046\u304c\u3088\u3044\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p>\u6628\u65e5\u306f\u306a\u3057\u305f\u3001\u9ce5\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306b\u5bfe\u3059\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u3064\u3044\u3066\u3082\u3001<b>\u201d\u30d1\u30f3\u30c7\u30df\u30c3\u30af\u306b\u969b\u3057\u3066\u5f79\u7acb\u3064\u3068\u3044\u3046\u78ba\u5b9f\u306a\u8a3c\u62e0\u306f\u306a\u3044\u306e\u3067\u3001WHO\u306b\u5bfe\u3057\u3066\u5099\u84c4\u306e\u4e2d\u6b62\u3092\u6c42\u3081\u308b\u201d<\/b>\u3068\u3044\u3046\u610f\u898b\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u3082\u540c\u69d8\u306b\u3001GRADE\u3092\u7406\u89e3\u3057\u3066\u3044\u306a\u3044\u3053\u3068\u3053\u3068\u306e\u8868\u308c\u3067\u3059\uff08<b>GRADE\u30b7\u30b9\u30c6\u30e0\u3067\u4f5c\u6210\u3055\u308c\u305f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u6279\u5224\u3059\u308b\u306a\u3089\u3070\u3001GRADE\u3092\u7406\u89e3\u3057\u306a\u3044\u3068\u3044\u3051\u307e\u305b\u3093<\/b>\uff09\u3002<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Clinical Evidence(BMJ)\u306f\u3001\u5f93\u6765\u63a8\u5968\u306f\u8a18\u8f09\u305b\u305a\u30a8\u30d3\u30c7\u30f3\u30b9\u96c6\u3068\u3057\u3066\u7ffb\u8a33\u7248\u3082\u4f5c\u6210\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002 \u3068\u3053\u308d\u304c\u30012008\u5e74\u304b\u3089\u306f\u3053\u308c\u307e\u3067\u306e\u65b9\u91dd\u3092\u5909\u3048\u3066\u3001GRADE\u30b7\u30b9\u30c6\u30e0\u306e\u63a1\u7528\u3068\u3068\u3082\u306b\u3001EBM\u306e\u8003\u3048\u304b\u3089\u3082\u3001\u53e4 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[101,49],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/78"}],"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=78"}],"version-history":[{"count":1,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/78\/revisions"}],"predecessor-version":[{"id":604,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/78\/revisions\/604"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=78"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=78"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=78"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}