2015/8/8

2015/08/09

30

40

40

GPMEC

dr.kenta.sato@gmail.com

6935211

415

151

185

14

416

194

50

80

14

104

55

199 3

20135
450110

2015/8/8

1073044

20
2

1073044

1000

10
250
55

2013


800

0415
0512
06 9
07 7
0813
0914
10 5

640
650
556
229
969
643
120

0
233
0
150
333
233
0

2/752.7

2015/8/8

()

2011
4

201111
2012
201110
2013

2013

()

Interprofessional work()

()

CommonDisease
MNA-SF

CRBSI

HP http://www.min-iren.gr.jp/ikei-gakusei/igakusei/zi5_medi/2011/049/mw-ken-49.html
HP http://www.chidoribashi-hp.or.jp/chidoribashi-hph/index.html

ICU/HCU

DPC

JPCA

2015/8/8

30

40

40

2
4

400

150
150

150

16

12

3
12

Common disease

2015/8/8

Common Disease

Common disease

Common disease

TOP50

CHFCOPDLCCKD

1
11
2
12
3
13
4
14
5 15
6
16
7
17
8
18
9 19
10
20
20

QOL

2015/8/8

!!

2015/8/8

Post-acute

Common disease

Community-oriented medical education

PCFPGIM

45
()()

11
12
13

1
5
4
5

1
1

2015/8/8

MNA-SF

Common problem

FGI

%%
19/
181

2600032000
6500/

MET

M&M

NSTICTACLS

3
30

40

40

2015/8/8

Clinical Skills Analysis

OSCE

Ver

Ver

73

()
:
:

EBM or
or
or

or

8/8/2015

30

40

40

2015/8/8

Faculty development

45

1824
2526
2730
3135

30

2634

30

3234

30
:17-45
2228

10

2015/8/8

30

40

40

NPO
Dr.G
JIM7Hospitalistetc.

Common

Common disease

SDH

Commnon disease

11

2015/8/8

76%

10%

0.6%

DPC

2025

HPHTUFHPCMHACO

~~

43

(^^)/

(3)
3
1 2 6

OK

WS

NST
/common disease
WS

GPMEC()

35

(*^_^*)
011-811-2246
satu-sinryou@kin-ikyo.or.jp
dearest_my_friend111@yahoo.co.jp

31
4

34
6

31
7

1
4

12

2015/8/8

30

40

40

etc.

13

2015/8/8

14

2015/8/8

NST .etc

MSW

15

2015/8/8

30

40

40

2.9
3.1
4.7

4.7

Matsumoto, et al. Soc Sci Med 2010

16

2015/8/8

NPO
Dr.G
JIM7Hospitalistetc.

201111
4645

60.0
50.0

40.0
30.0
20.0
10.0

0.0
06

07

08 09 10 11

12 13

14

17

2015/8/8

1117%

20.0

22!!
25

20

15.0

15

10.0

10

5.0
5

0.0

06

07

08

09 10

11

12

13

06

14

PCFPGIM

45
()()

08

09

10

11

12

13

14

45

07

79

432

1822

1
1

11
12
13

1
5
4
5

18

2015/8/8

30

40

40

A chain is as strong as
its weakest link

19