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䝖䝶䝍グᛕ㝔 ᙧᡂእ⛉ デ⒪ሗᨭ䜾䝹䞊䝥 챦찔 챦챰 ➨㻝㻝ᅇ ឡ䜽䝸䝙䜹䝹䝟䝇◊✲ 㻞㻜㻝㻠㻚㻤㻚㻟㻜 䜰䜴䝖䜹䝮ᚿ ぢ䛘䜛 䛜Ỵ䜑䛶䟿 ከ⫋✀䝏䞊䝮་⒪ 䜽䝸䝙䜹䝹䝟䝇 ᮏ᪥䛾ㅮ₇ෆᐜ 䝏䞊䝮་⒪ 䜽䝸䝙䜹䝹䝟䝇 ⚾䛾ཎⅬ䛿䞉䞉䞉 䜰䜴䝖䜹䝮ᚿ䛳䛶䠛 챦쳆 ぢ䛘䜛䛳䛶䠛 䜽䝸䝙䜹䝹䝟䝇 ㉁⟶⌮ ㉁ά䠄㉁ಖド䞉ᨵၿ䞉 ᐃ 䜰䜴䝖䜹䝮ᚿ䝟䝇䛾సᡂ䛸⏝ 䝟䝇䛾ぢ┤䛧䠄㻼㻰㻯㻭䝃䜲䜽䝹 ᙜ㝔⤂ 㝔ෆ䝟䝇 ⫵⅖䠄ෆ⛉ධ㝔デ⒪䠅䝟䝇䛾ぢ┤䛧 ぢ䛘䜛 䡴䢔䢂䡲䢕䢆䢛䡹 䜰䜴䝖䜹䝮 䜽䝸䝙䜹䝹䝟䝇 19981999200020012002200320042005㝔᪉㔪䛻 䝟䝇ά᥎㐍 㟁Ꮚ䝟䝇✌ DPC༠ຊ㝔 〟⒔䝟䝇సᡂ 〟⒔ᑐ⟇ ᮍᐇῶ⟬ ᓥඛ⏕ㅮ₇䠄02ᖺ䠅 䛂䜰䜴䝖䜹䝮ᚿ䛃 ⮫ᗋᣦᶆ ῭⏕⇃ᮏ㝔ぢᏛ 䛂䝟䝇䛃䛂TQM䝉䞁䝍䞊䛃 5ᅇ䜽䝸䝙䜹䝹䝟䝇Ꮫ 䝅䞁䝫䝆䝇䝖 ឡ▱䡴䢔䢂䡲䢕䢆䢛䡹◊✲䠄01ᖺ䠅 ་⒪䢋䢄䡸䢚䢎䢙䢀G ୡ⏺യ⒵ Ꮫ䛷Ⓨ⾲ 1 1 991 20001999 2000 1 1 1 1 1 1 99 1 1 1 1 2000 䛝䛺ศᒱⅬ 3ᅇឡ䝟䝇◊✲䠄05.11.13䛂യ⟶⌮䛻䛚䛡䜛䜽䝸䝙䜹䝹䝟䝇䛾ά⏝䛃 ᅜ䝕䝡䝳䞊 ➨㻝ᅇ᪥ᮏ〟⒔Ꮫ䛷䛾Ⓨ⾲䠄㻝㻥㻥㻥ᖺ㻤᭶䠅 䛂〟⒔⒪䛾䝖䞊䝍䝹䝬䝛䝆䝯䞁䝖䛻䛚䛡䜛䜽䝸䝔䜱䜹䝹䝟䝇䛾ᑟධ䛃 ᭶ห䝘䞊䝅䞁䜾䠄㻝㻥㻥㻥ᖺ㻝㻞᭶䠅 〟⒔䝖䞊䝍䝹䜿䜰䛻䛚䛡䜛䜽䝸䝔䜱䜹䝹䝟䝇䛾ᑟධ 䠉ᇶᮏᴫᛕ䛸䛭䛾ព⩏䠉 〟⒔䝖䞊䝍䝹䜿䜰䛻䛚䛡䜛䜽䝸䝔䜱䜹䝹䝟䝇䛾ᐇ㊶ 䠉ᝈ⪅ཧຍᆺ䛾〟⒔⒪䠉 ᅜᆅ䛷ᩍ⫱䝉䝭䝘䞊䜔ㅮ₇ 〟⒔ᑐ⟇ᮍᐇῶ⟬䠄㻞㻜㻜㻟ᖺ䠐᭶䡚ᐇ䠅䛜䛝䛺䜲䞁䝟䜽䝖 ୡ⏺യ⒵Ꮫ䛷䛾Ⓨ⾲䠄㻞㻜㻜㻠ᖺ䚸䝣䝷䞁䝇䠅 㞧ㄅ䞉᭩⡠౫㢗ཎ✏ 〟⒔⒪䛿䝖䞊䝍䝹䜿䜰 〟⒔ ᡭ⾡ ಖᏑⓗ⒪ യ⒵䛻 ཬ䜌䛩ᙳ㡪 〟⒔⒪䛿䝖䞊䝍䝹䜿䜰 〟⒔ ᡭ⾡ ண㜵 〟⒔ ᡭ⾡ ಖᏑⓗ⒪ ண㜵 〟⒔ ᝏ䞉Ⓨ 䝏䞊䝮་⒪ ⒪┠ᶆ䠄᪉㔪䠅 ඹ᭷

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1998 1999 2000 2001 2002 2003 2004 2005

DPC

02

TQM

5

01

G

1

1 99

1 2000

1999

2000

1111 11 99

1111 2000

3 05.11.13

KAIZEN

Plan

Do

Act

Check D

A

P

C

KAIZEN

PDCA

Intervention outcome

Patient outcome

38

38

DPC

10 10

5

p.77 5-11

b

a

a

a

c

b

b

c

4

100

60

40

20

0

80

18.3

12.5 12.5 13.5 13.2

4.6

61.4

91.3 94.1 96.1

11 5-13 2009

20

0

40

50

30

10

80

83.3 83.7 82.2 87.5

31

37.5

47.3 44.4

49.5

11 5-13 2009

AB

DPC

DPC

AB 5.5

6.6

4 4

DPC

EBM

Plan

Check

Act

Do

DPC