{"id":1031,"date":"2021-11-01T15:10:48","date_gmt":"2021-11-01T06:10:48","guid":{"rendered":"https:\/\/info.zanet.biz\/?p=1031"},"modified":"2021-11-01T20:44:56","modified_gmt":"2021-11-01T11:44:56","slug":"%e8%8b%b1%e5%9b%bdnice%e3%81%aeshared-decision-making-guideline","status":"publish","type":"post","link":"https:\/\/info.zanet.biz\/?p=1031","title":{"rendered":"\u82f1\u56fdNICE\u306eShared Decision Making guideline"},"content":{"rendered":"\n<p>\u82f1\u56fdNICE (National Institute for Health and Care Excellence)\u306f2021\u5e746\u6708\u306bShared Decision Making\u5354\u50cd\u610f\u601d\u6c7a\u5b9a\u306b\u95a2\u3059\u308b<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng197\" target=\"_blank\" rel=\"noreferrer noopener\">\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/a>\u3092\u767a\u8868\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u305d\u306e\u4e2d\u3067\u3001\u30ea\u30b9\u30af\u3001\u30d9\u30cd\u30d5\u30a3\u30c3\u30c8\u3001\u7d50\u679c\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u306b\u95a2\u3059\u308b\u90e8\u5206\u3067\u306f\u4ee5\u4e0b\u306e\u69d8\u306b\u8ff0\u3079\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>1.4 \u30ea\u30b9\u30af\u3001\u30d9\u30cd\u30d5\u30a3\u30c3\u30c8\u3001\u7d50\u679c\uff08Consequences\uff09\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3<\/p>\n\n\n\n<p>1.4.1 \u30ea\u30b9\u30af\u3001\u30d9\u30cd\u30d5\u30a3\u30c3\u30c8\u3001\u304a\u3088\u3073\u7d50\u679c\u306b\u3064\u3044\u3066\u3001\u305d\u308c\u305e\u308c\u306e\u4eba\u306e\u4eba\u751f\u3068\u305d\u306e\u4eba\u306b\u3068\u3063\u3066\u4f55\u304c\u91cd\u8981\u304b \u3068\u3044\u3046\u89b3\u70b9\u304b\u3089\u8a71\u3057\u5408\u3046\u3002\u30ea\u30b9\u30af\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u306b\u306f\u3001\u8cea\u306e\u9ad8\u3044\u60a3\u8005\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u30c4\u30fc\u30eb\u3084\u30d4\u30af\u30c8\u30b0\u30e9\u30e0\u306a\u3069\u306e\u56f3\u89e3\u3092\u7528\u3044\u308b\u3053\u3068\u304c\u6709\u52b9\u3067\u3042\u308b\u3053\u3068\u3092\u77e5\u3063\u3066\u304a\u304f\uff08\u63a8\u59681.3.1\uff5e1.3.3\u53c2\u7167\uff09\u3002<\/p>\n\n\n\n<p>1.4.2 \u30ea\u30b9\u30af\u3001\u30d9\u30cd\u30d5\u30a3\u30c3\u30c8\u3001\u7d50\u679c\u306b\u3064\u3044\u3066\u306e\u60c5\u5831\u306f\u3001\u3067\u304d\u308b\u9650\u308a<span class=\"has-inline-color has-bright-red-color\">\u500b\u4eba\u306b\u5408\u308f\u305b\u3066<\/span>\u63d0\u4f9b\u3059\u308b\u3002\u63d0\u4f9b\u3059\u308b\u60c5\u5831\u304c<span class=\"has-inline-color has-bright-red-color\">\u500b\u4eba\u306b\u3069\u306e\u3088\u3046\u306b\u9069\u7528\u3055\u308c\u308b\u304b<\/span>\u3001\u307e\u305f\u3001\u305d\u308c\u306b\u3069\u306e<span class=\"has-inline-color has-bright-red-color\">\u7a0b\u5ea6\u306e\u4e0d\u78ba\u5b9f\u6027\u304c\u4f34\u3046\u304b<\/span>\u3092\u660e\u78ba\u306b\u3059\u308b\u3002\u4e0d\u78ba\u5b9f\u6027\u3078\u306e\u5bfe\u5fdc\u306e\u8a73\u7d30\u306b\u3064\u3044\u3066\u306f\u3001General Medical Council&#8217;s guidance on decision making and consent\u3092<a rel=\"noreferrer noopener\" href=\"https:\/\/www.gmc-uk.org\/ethical-guidance\/ethical-guidance-for-doctors\/decision-making-and-consent\" target=\"_blank\">\u53c2\u7167<\/a>\u3002<\/p>\n\n\n\n<p>1.4.3 \u7d44\u7e54\u306f\u3001\u30ea\u30b9\u30af\u3001\u30d9\u30cd\u30d5\u30a3\u30c3\u30c8\u3001\u7d50\u679c\u306b\u95a2\u3059\u308b\u60c5\u5831\u3092\u4eba\u3005\u306b\u63d0\u793a\u3059\u308b\u30b9\u30bf\u30c3\u30d5\u304c\u3001\u305d\u306e\u60c5\u5831\u3092\u5341\u5206\u306b\u7406\u89e3\u3057\u3001\u3069\u306e\u3088\u3046\u306b\u9069\u7528\u3057\u3001\u660e\u78ba\u306b\u8aac\u660e\u3059\u308b\u304b\u3092\u78ba\u8a8d\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\uff08\u63a8\u59681.1.12\u304a\u3088\u30731.1.13\u53c2\u7167\uff09\u3002<\/p>\n\n\n\n<p>1.4.4 \u305d\u306e\u4eba\u306b\u7279\u6709\u306e\u30ea\u30b9\u30af\u3001\u30d9\u30cd\u30d5\u30a3\u30c3\u30c8\u3001\u7d50\u679c\u306b\u95a2\u3059\u308b\u60c5\u5831\u304c\u5f97\u3089\u308c\u306a\u3044\u5834\u5408\u306f\u3001\u672c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u6982\u8aac\u3055\u308c\u3066\u3044\u308b\u5354\u50cd\u610f\u601d\u6c7a\u5b9a\u306e\u539f\u5247\u3092\u5f15\u304d\u7d9a\u304d\u4f7f\u7528\u3059\u308b\u3002<\/p>\n\n\n\n<p>\u6570\u5024\u60c5\u5831\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046<\/p>\n\n\n\n<p>1.4.5 <span class=\"has-inline-color has-bright-red-color\">\u80af\u5b9a\u7684\u306a\u60c5\u5831\u3068\u5426\u5b9a\u7684\u306a\u60c5\u5831<\/span>\uff08\u63a8\u59681.4.11\u53c2\u7167\uff09\u3092\u540c\u6642\u306b\u898b\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3088\u3046\u306b\u3001\u4f8b\u3048\u3070\u3001\u7387\u306e\u5024\u3068\u30d4\u30af\u30c8\u30b0\u30e9\u30e0\u3042\u308b\u3044\u306f\u30a2\u30a4\u30b3\u30f3\u914d\u5217\u3092\u5408\u308f\u305b\u3066\u63d0\u793a\u3059\u308b\u306a\u3069\u3001\u6570\u5b57\u3068\u7d75\u3092\u7d44\u307f\u5408\u308f\u305b\u3066\u4f7f\u7528\u3059\u308b\u3053\u3068\u3092\u8003\u3048\u308b\u3002<\/p>\n\n\n\n<p>1.4.6 \u5229\u7528\u53ef\u80fd\u3067\u3042\u308c\u3070\u3001\u30ea\u30b9\u30af\u3092\u8aac\u660e\u3059\u308b\u305f\u3081\u306b<span class=\"has-inline-color has-bright-red-color\">\u6570\u5024\u30c7\u30fc\u30bf<\/span>\u3092\u4f7f\u7528\u3059\u308b\u3002\u300c\u30ea\u30b9\u30af\u300d\u3001\u300c\u307e\u308c\u300d\u3001\u300c\u3081\u305a\u3089\u3057\u3044\u300d\u3001\u300c\u4e00\u822c\u7684\u300d\u306a\u3069\u306e\u7528\u8a9e\u306f\u3001\u4eba\u306b\u3088\u3063\u3066\u89e3\u91c8\u304c\u7570\u306a\u308b\u3053\u3068\u306b\u6ce8\u610f\u3059\u308b\u3002<\/p>\n\n\n\n<p>1.4.7 \u76f8\u5bfe\u30ea\u30b9\u30af\u3067\u306f\u306a\u304f<span class=\"has-inline-color has-bright-red-color\">\u7d76\u5bfe\u30ea\u30b9\u30af\u3092\u7528\u3044\u308b<\/span>\u3002\u4f8b\u3048\u3070\u3001\u3042\u308b\u4e8b\u8c61\u306e\u30ea\u30b9\u30af\u304c 2 \u500d\u306b\u306a\u308b\u306e\u3067\u306f\u306a\u304f\u30011,000 \u4eba\u306b 1 \u4eba\u304b\u3089 1,000 \u4eba\u306b 2 \u4eba\u306b\u5897\u52a0\u3059\u308b\u3068\u3044\u3046\u3088\u3046\u306b\u3002<\/p>\n\n\n\n<p>1.4.8 \u30d1\u30fc\u30bb\u30f3\u30c6\u30fc\u30b8(10%)\u3067\u306f\u306a\u304f\u3001<span class=\"has-inline-color has-bright-red-color\">\u983b\u5ea6\u6570(\u4f8b\u3048\u3070\u3001100\u4eba\u306b10\u4eba)<\/span>\u3092\u4f7f\u7528\u3059\u308b\u3002<\/p>\n\n\n\n<p>1.4.9 \u30c7\u30fc\u30bf\u3092\u4f7f\u7528\u3059\u308b\u969b\u306b\u306f\u4e00\u8cab\u6027\u3092\u6301\u305f\u305b\u308b\u3002\u4f8b\u3048\u3070\u3001\u30ea\u30b9\u30af\u3092\u6bd4\u8f03\u3059\u308b\u969b\u306b\u306f\u300114\u5206\u306e1\u30685\u5206\u306e1\u3067\u306f\u306a\u304f\u3001\u3042\u308b\u30ea\u30b9\u30af\u306b\u306f100\u4eba\u306b7\u4eba\u3001\u5225\u306e\u30ea\u30b9\u30af\u306b\u306f100\u4eba\u306b20\u4eba\u3068\u3044\u3046\u3088\u3046\u306b\u3001\u540c\u3058\u5206\u6bcd\u3092\u4f7f\u7528\u3059\u308b\u3002<\/p>\n\n\n\n<p>1.4.10 \u9069\u5207\u306a\u5834\u5408\u306f\u3001\u5b9a\u7fa9\u3055\u308c\u305f\u671f\u9593\uff08\u6708\u307e\u305f\u306f\u5e74\uff09\u306b\u308f\u305f\u308b\u30ea\u30b9\u30af\u3092\u63d0\u793a\u3059\u308b\u3002\u4f8b\u3048\u3070\u3001100\u4eba\u304c1\u5e74\u9593\u6cbb\u7642\u3092\u53d7\u3051\u305f\u5834\u5408\u300110\u4eba\u304c\u7279\u5b9a\u306e\u526f\u4f5c\u7528\u3092\u7d4c\u9a13\u3059\u308b\u3068\u3059\u308b\u3002<br><br>1.4.11 <span class=\"has-inline-color has-bright-red-color\">\u30dd\u30b8\u30c6\u30a3\u30d6\u306a\u30d5\u30ec\u30fc\u30df\u30f3\u30b0\u3068\u30cd\u30ac\u30c6\u30a3\u30d6\u306a\u30d5\u30ec\u30fc\u30df\u30f3\u30b0\u3092\u4e21\u65b9\u7528\u3044\u308b<\/span>\u3002\u4f8b\u3048\u3070\u3001100\u4eba\u306e\u3046\u306197\u4eba\u306f\u6cbb\u7642\u304c\u6210\u529f\u3057\u3001100\u4eba\u306e\u3046\u30613\u4eba\u306f\u6cbb\u7642\u304c\u5931\u6557\u3059\u308b\u3068\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>NICE\u306eShared Decision Making\u306b\u95a2\u3059\u308b<a href=\"https:\/\/www.nice.org.uk\/about\/what-we-do\/our-programmes\/nice-guidance\/nice-guidelines\/shared-decision-making\" target=\"_blank\" rel=\"noreferrer noopener\">\u30a6\u30a7\u30d6\u30da\u30fc\u30b8<\/a>\u3067\u306f\u3001\u533b\u7642\u63d0\u4f9b\u8005\u3001\u533b\u7642\u5229\u7528\u8005\u5411\u3051\u306e\u60c5\u5831\u3084\u3001Patient decision aids (PDA)\u306a\u3069\u306b\u95a2\u3059\u308b\u60c5\u5831\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30a2\u30e1\u30ea\u30ab\u306eAHRQ\u306eSHARE\u30a2\u30d7\u30ed\u30fc\u30c1\u306b\u3064\u3044\u3066\u306f\u3059\u3067\u306b<a rel=\"noreferrer noopener\" href=\"\/index.php?p=505\" target=\"_blank\">\u7d39\u4ecb\u3057\u307e\u3057\u305f<\/a>\u304c\u3001\u6bd4\u3079\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002\uff08SHARE\u30a2\u30d7\u30ed\u30fc\u30c1<a href=\"\/index.php?p=560\" target=\"_blank\" rel=\"noreferrer noopener\">\u30c4\u30fc\u30eb4<\/a>\u3001<a href=\"\/index.php?p=569\" target=\"_blank\" rel=\"noreferrer noopener\">\u30c4\u30fc\u30eb5<\/a>\uff09\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u82f1\u56fdNICE (National Institute for Health and Care Excellence)\u306f2021\u5e746\u6708\u306bShared Decision Making\u5354\u50cd\u610f\u601d\u6c7a\u5b9a\u306b\u95a2\u3059\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u767a\u8868\u3057\u3066 &hellip; <a href=\"https:\/\/info.zanet.biz\/?p=1031\" class=\"more-link\"><span class=\"screen-reader-text\">&#8220;\u82f1\u56fdNICE\u306eShared Decision Making guideline&#8221; \u306e<\/span>\u7d9a\u304d\u3092\u8aad\u3080<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,6],"tags":[],"class_list":["post-1031","post","type-post","status-publish","format-standard","hentry","category-cpg","category-sdm"],"_links":{"self":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/1031","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1031"}],"version-history":[{"count":5,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/1031\/revisions"}],"predecessor-version":[{"id":1036,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/1031\/revisions\/1036"}],"wp:attachment":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1031"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1031"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1031"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}