{"id":1457,"date":"2023-12-31T19:19:35","date_gmt":"2023-12-31T10:19:35","guid":{"rendered":"https:\/\/info.zanet.biz\/?p=1457"},"modified":"2024-01-11T17:40:24","modified_gmt":"2024-01-11T08:40:24","slug":"%e7%b5%b6%e5%af%be%e3%83%aa%e3%82%b9%e3%82%af%e3%83%bb%e7%b5%b6%e5%af%be%e5%8a%b9%e6%9e%9c%e3%83%bb%e6%ad%a3%e5%91%b3%e3%81%ae%e7%9b%8a","status":"publish","type":"post","link":"https:\/\/info.zanet.biz\/?p=1457","title":{"rendered":"\u7d76\u5bfe\u30ea\u30b9\u30af\u30fb\u7d76\u5bfe\u52b9\u679c\u30fb\u6b63\u5473\u306e\u76ca"},"content":{"rendered":"\n<p>\u4ecb\u5165\u306e\u76ca\u3068\u5bb3\u3092\u5b9a\u91cf\u7684\u306b\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u7d76\u5bfe\u52b9\u679c\u3092\u77e5\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u6bd4\u8f03\u3059\u308b2\u7fa4\u306e\u7d76\u5bfe\u30ea\u30b9\u30af\u306e\u5dee\u304c\u7d76\u5bfe\u52b9\u679c\u3067\u3059\u3002\u7c73AHRQ Agency for Healthcare Research and Quality\u533b\u7642\u7814\u7a76\u30fb\u54c1\u8cea\u8abf\u67fb\u6a5f\u69cb&nbsp;\u306eShared Decision Making \uff08SMD\uff09\u5171\u6709\u610f\u601d\u6c7a\u5b9a\u306b\u95a2\u3059\u308b\u3001 <a href=\"https:\/\/www.ahrq.gov\/professionals\/education\/curriculum-tools\/shareddecisionmaking\/index.html\" target=\"_blank\" rel=\"noreferrer noopener\">SHARE\u30a2\u30d7\u30ed\u30fc\u30c1<\/a>\u306e\u30c4\u30fc\u30eb5:\u6570\u91cf\u30ea\u30c6\u30e9\u30b7\u30fc\u3067\u306f\u6b21\u306e\u3088\u3046\u306a\u8868\u73fe\u304c\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u300c\u7d76\u5bfe\u30ea\u30b9\u30af\u306f\u3072\u3068\u3064\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u306e\u5065\u5eb7\u30a4\u30d9\u30f3\u30c8\u306e\u8d77\u304d\u308b\u6570\u306e\u63a8\u5b9a\u5024\u3067\u3001\u3088\u308a\u5f37\u304f\u500b\u4eba\u306e\u30ea\u30b9\u30af\u3092\u611f\u3058\u3055\u305b\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u305f\u3068\u3048\u3070\u3001\u201d\u55ab\u7159\u8005\u306f\u4e00\u751f\u306e\u9593\u306b2\u500d\u8133\u5352\u4e2d\u3092\u8d77\u3053\u3057\u307e\u3059\u201d\u3068\u3044\u3046\u3088\u308a\u3082\u3001\u201d1000\u4eba\u306e\u305f\u3070\u3053\u3092\u5438\u308f\u306a\u3044\u4eba\u3067\u306f3\u4eba\u304c\u4e00\u751f\u306e\u9593\u306b\u8133\u5352\u4e2d\u3092\u8d77\u3053\u3057\u30011000\u4eba\u306e\u305f\u3070\u3053\u3092\u5438\u3046\u4eba\u306f6\u4eba\u304c\u4e00\u751f\u306e\u9593\u306b\u8133\u5352\u4e2d\u3092\u8d77\u3053\u3057\u307e\u3059\u201d\u3068\u8aac\u660e\u3059\u3079\u304d\u3002\u300d<\/p>\n\n\n\n<p>\u3053\u308c\u3092\u8aad\u3080\u3060\u3051\u3067\u7d76\u5bfe\u30ea\u30b9\u30af\u304c\u4f55\u304b\u306f\u5206\u304b\u308a\u307e\u3059\u3002\u3064\u307e\u308a\u3001\u3072\u3068\u3064\u306e\u7fa4\u306b\u304a\u3051\u308b\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u8d77\u304d\u305f\u4eba\u6570\u306e\u5272\u5408\u3067\u3001\u5358\u4f4d\u4eba\u6570\u5f53\u305f\u308a\u306e\u983b\u5ea6\u4eba\u6570\u3067\u3082\u8868\u3059\u3053\u3068\u3082\u3067\u304d\u307e\u3059\u3002&#8221;\u3072\u3068\u3064\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u306e\u5065\u5eb7\u30a4\u30d9\u30f3\u30c8\u306e\u63a8\u5b9a\u5024&#8221;\u3068\u3044\u3046\u8868\u73fe\u306f\u975e\u5e38\u306b\u9069\u78ba\u3060\u3068\u601d\u3044\u307e\u3059\u3002\u5f8c\u534a\u90e8\u5206\u3067\u8ff0\u3079\u3089\u308c\u3066\u3044\u308b1000\u52066\u30681000\u5206\u306e3\u306e\u5dee\u304c\u30ea\u30b9\u30af\u5dee\u3067\u3059\u3002\u3064\u307e\u308a\u3001\u66b4\u9732\u7fa4\u306e\u7d76\u5bfe\u30ea\u30b9\u30af \uff0d \u5bfe\u7167\u7fa4\u306e\u7d76\u5bfe\u30ea\u30b9\u30af = \u30ea\u30b9\u30af\u5dee\u3067\u3059\u3002\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3067\u4ecb\u5165\u306e\u52b9\u679c\u3092\u898b\u308b\u5834\u5408\u306f\u3001\u4ecb\u5165\u7fa4\u306e\u7d76\u5bfe\u30ea\u30b9\u30af \uff0d \u5bfe\u7167\u7fa4\u306e\u7d76\u5bfe\u30ea\u30b9\u30af\uff1d\u30ea\u30b9\u30af\u5dee\u3067\u3059\u30021000\u4eba\u3042\u305f\u308a\u306e\u983b\u5ea6\u4eba\u6570\u3068\u3057\u3066\u8868\u3057\u305f\u3044\u306e\u3067\u3042\u308c\u3070\u3001\u30ea\u30b9\u30af\u5dee\u306b1000\u3092\u639b\u3051\u7b97\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u4ee5\u4e0a\u306f\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u304c\u4e8c\u5024\u5909\u6570 binary or dichotomous variable\u306e\u5834\u5408\u3067\u3059\u304c\u3001\u9023\u7d9a\u5909\u6570\u306e\u5834\u5408\u306f\u3001\u3072\u3068\u3064\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u306e\u5e73\u5747\u5024\u3067\u3059\u3002\u30cb\u5024\u5909\u6570\u306f\u6cbb\u7652\u3001\u975e\u6cbb\u7652\u306e\u3088\u3046\u306a\u6392\u4ed6\u7684\u306a\u4e8c\u3064\u306e\u4e8b\u8c61\u306e\u3069\u3061\u3089\u304b\u7247\u65b9\u304c\u5bfe\u8c61\u8005\u306b\u8d77\u304d\u307e\u3059\u3002\u7247\u65b9\u304c\u8d77\u304d\u308b\u5272\u5408\u30921\u304b\u3089\u5f15\u304d\u7b97\u3059\u308b\u3068\u3082\u3046\u7247\u65b9\u306e\u8d77\u304d\u308b\u5272\u5408\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3055\u3066\u3001\u30d4\u30af\u30c8\u30b0\u30e9\u30e0\u3067\u306f\u7d76\u5bfe\u30ea\u30b9\u30af\u3084\u30ea\u30b9\u30af\u5dee\u304c\u3069\u306e\u3088\u3046\u306b\u8868\u73fe\u3055\u308c\u308b\u304b\u898b\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"573\" src=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/pictoram-two-outcomes-1024x573.png\" alt=\"\" class=\"wp-image-1458\" srcset=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/pictoram-two-outcomes-1024x573.png 1024w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/pictoram-two-outcomes-300x168.png 300w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/pictoram-two-outcomes-768x429.png 768w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/pictoram-two-outcomes-1200x671.png 1200w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/pictoram-two-outcomes.png 1531w\" sizes=\"auto, (max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><figcaption class=\"wp-element-caption\">\u56f31\uff0e\u30d4\u30af\u30c8\u30b0\u30e9\u30e0\u30022\u3064\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u304c\u6e2c\u5b9a\u3055\u308c\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u306e\u7d50\u679c\u3002<\/figcaption><\/figure>\n\n\n\n<p>\u67b6\u7a7a\u306e\u81e8\u5e8a\u8a66\u9a13\u3067\u3059\u304c\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u30672\u3064\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u304c\u6e2c\u5b9a\u3055\u308c\u305f\u3068\u3057\u307e\u3059\u3002\u30a2\u30a6\u30c8\u30ab\u30e01\u306f\u6709\u5bb3\u4e8b\u8c61\u304c\u6e2c\u5b9a\u3055\u308c\u307e\u3057\u305f\u304c\u3001\u4ecb\u5165\u306b\u3088\u308b\u305d\u306e\u6e1b\u5c11\u304c\u63a8\u5b9a\u3055\u308c\u3066\u304a\u308a\u3001\u76ca\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u3057\u3066\u8a2d\u5b9a\u3055\u308c\u307e\u3057\u305f\u3002\u30a2\u30a6\u30c8\u30ab\u30e02\u306f\u6709\u5bb3\u4e8b\u8c61\u304c\u6e2c\u5b9a\u3055\u308c\u3001\u4ecb\u5165\u306b\u3088\u308a\u305d\u306e\u5897\u52a0\u304c\u63a8\u5b9a\u3055\u308c\u3066\u304a\u308a\u3001\u5bb3\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u3057\u3066\u8a2d\u5b9a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u8a66\u9a13\u306e\u7d50\u679c\u30921000\u4eba\u5358\u4f4d\u306e\u30d4\u30af\u30c8\u30b0\u30e9\u30e0\u3067\u8868\u3059\u3068\u3053\u306e\u30b9\u30e9\u30a4\u30c9\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002 \u30d4\u30af\u30c8\u30b0\u30e9\u30e0\u3067\u306f\u5bfe\u7167\u7fa4\u3068\u4ecb\u5165\u7fa4\u306e\u305d\u308c\u305e\u308c\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u5bfe\u3059\u308b\u7d76\u5bfe\u30ea\u30b9\u30af\u3092\u8868\u3059\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3053\u306e\u30d4\u30af\u30c8\u30b0\u30e9\u30e0\u306f1\u884c25\u4eba\u3067\u300140\u884c\u3001\u8a081000\u4eba\u5358\u4f4d\u3067\u4e00\u3064\u306e\u7fa4\u3092\u8868\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u5de6\u306e\uff12\u5217\u304c\u5bfe\u7167\u7fa4\u3001\u53f3\u306e\uff12\u5217\u304c\u4ecb\u5165\u7fa4\u3067\u3001\u305d\u308c\u305e\u308c\u5de6\u5074\u306f\u76ca\u3092\u5f97\u3089\u308c\u305f\u4eba\u6570\uff08Benetif Outcomes\uff09\u3092\u9752\u3001\u53f3\u5074\u306f\u5bb3\u304c\u8d77\u304d\u305f\u4eba\u6570\uff08Harm Outcomes\uff09\u3092\u8d64\u3067\u8868\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u308c\u305e\u308c\u5857\u308a\u3064\u3076\u3055\u308c\u3066\u3044\u308b\u30a2\u30a4\u30b3\u30f3\u306e\u6570\u304c1000\u4eba\u3042\u305f\u308a\u306e\u3001\u5bfe\u5fdc\u3059\u308b\u4eba\u6570\u3092\u8868\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30a2\u30a6\u30c8\u30ab\u30e0\uff11\u306e\u5834\u5408\u306f\u3001\u76ca\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u3057\u3066\u3001\u6709\u5bb3\u4e8b\u8c61\u304c\u6e2c\u5b9a\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u3001\u305d\u306e\u4e8b\u8c61\u304c\u8d77\u304d\u306a\u304b\u3063\u305f\u4eba\u6570\u3092\u8868\u3057\u3066\u3044\u307e\u3059\u3002\u6e2c\u5b9a\u3055\u308c\u305f\u6709\u5bb3\u4e8b\u8c61\u3067\u3042\u308b\u30a2\u30a6\u30c8\u30ab\u30e01\u304c\u8d77\u304d\u305f\u4eba\u6570\u306f\u5bfe\u7167\u7fa4\u3067500\u4eba\u3001\u4ecb\u5165\u7fa4\u3067100\u4eba\u3067\u3001\u6709\u5bb3\u4e8b\u8c61\u304c\u6e1b\u5c11\u3057\u307e\u3057\u305f\u304c\u3001\u305d\u308c\u305e\u308c1000\u304b\u3089\u5f15\u304d\u7b97\u3057\u305f\u4eba\u6570\u3092\u30d7\u30ed\u30c3\u30c8\u3057\u3066\u3042\u308a\u307e\u3059\u3002\u30a2\u30a6\u30c8\u30ab\u30e0\uff12\u306e\u5834\u5408\u306f\u3001\u6709\u5bb3\u4e8b\u8c61\u304c\u6e2c\u5b9a\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u3001\u305d\u306e\u307e\u307e\u305d\u306e\u4e8b\u8c61\u304c\u8d77\u304d\u305f\u4eba\u6570\u3092\u8868\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3082\u3057\u30012\u3064\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u91cd\u8981\u5ea6\u304c\u540c\u3058\u3067\u3042\u308c\u3070\u3001\u5bfe\u7167\u7fa4\u3067Benefit Outcomes\u306e\u4eba\u6570\u304b\u3089\u3001Harm Outcomes\u306e\u4eba\u6570\u3092\u5f15\u304d\u7b97\u3059\u308b\u3068\u5bfe\u7167\u7fa4\u306e\u6b63\u5473\u306e\u76caDc\u304c1000\u4eba\u3042\u305f\u308a\u306e\u4eba\u6570\u3068\u3057\u3066\u5f97\u3089\u308c\u307e\u3059\u3002\u3053\u306e\u4f8b\u3067\u306f\u3001Dc=500-50 = 450\u3068\u306a\u308a\u307e\u3059\u3002\u4ecb\u5165\u7fa4\u3067\u306f\u3001\u540c\u69d8\u306b\u6b63\u5473\u306e\u76caDi = 900-100 = 800\u3068\u306a\u308a\u307e\u3059\u3002\u4ecb\u5165\u7fa4\u306e\u6b63\u5473\u306e\u76ca\u304b\u3089\u5bfe\u7167\u7fa4\u306e\u6b63\u5473\u306e\u76ca\u3092\u5f15\u304d\u7b97\u3059\u308b\u3068\u3001\u3053\u306e\u4ecb\u5165\u306b\u3088\u3063\u3066\u5f97\u3089\u308c\u308b\u6b63\u5473\u306e\u76ca\u306b\u306a\u308a\u307e\u3059\u3002\u3059\u306a\u308f\u3061\u3001800 \u2013 450 =350\u304c\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u91cd\u8981\u5ea6\u3092\u540c\u3058\u3068\u307f\u306a\u3057\u305f\u5834\u5408\u306e\u30011000\u4eba\u3042\u305f\u308a\u3067\u306e\u6b63\u5473\u306e\u76ca\u3092\u8868\u3057\u307e\u3059\u3002\u3057\u304b\u3057\u30012\u3064\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u91cd\u8981\u5ea6\u304c\u540c\u3058\u3068\u3044\u3046\u5834\u5408\u306f\u7a00\u3067\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p>\u30a2\u30a6\u30c8\u30ab\u30e0\uff11\u306e\u91cd\u8981\u5ea6\u3092100\u3068\u3057\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\uff12\u306e\u91cd\u8981\u5ea6\u309220\u3068\u3057\u305f\u5834\u5408\u306f\u3001\u5bfe\u7167\u7fa4\u306e\u91cd\u8981\u5ea6\u3067\u8abf\u6574\u3055\u308c\u305f\u5deeaDc=500 \u2013 50\u00d720\/100 = 490\u3001\u4ecb\u5165\u7fa4\u306e\u91cd\u8981\u5ea6\u3067\u8abf\u6574\u3055\u308c\u305f\u5deeaDi=900-100\u00d720\/100 = 880\u3068\u306a\u308a\u3001\u4ecb\u5165\u306b\u3088\u308a\u5f97\u3089\u308c\u308b\u6b63\u5473\u306e\u76ca\u306f880-490 =390\u3068\u306a\u308a\u307e\u3059\u3002\u3059\u306a\u308f\u3061\u30a2\u30a6\u30c8\u30ab\u30e01\u306e\u4fa1\u5024\u306b\u5408\u308f\u305b\u305f\u5834\u5408\u30011000\u4eba\u3042\u305f\u308a390\u4eba\u304c\u305d\u308c\u3060\u3051\u306e\u4fa1\u5024\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u304c\u8d77\u304d\u308b\u3053\u3068\u3092\u793a\u3057\u307e\u3059\u3002\u30d4\u30af\u30c8\u30b0\u30e9\u30e0\u3067\u306fHarm Outcomes\u306e\u30b7\u30a7\u30fc\u30c9\u3092\u3064\u3051\u305f\u30a2\u30a4\u30b3\u30f3\u304c\u91cd\u8981\u5ea6\u3067\u91cd\u307f\u3065\u3051\u3057\u305f\u983b\u5ea6\u4eba\u6570\u3092\u8868\u3057\u3066\u3044\u307e\u3059\u3002Benefit Outcomes\u306f\u30a2\u30a6\u30c8\u30ab\u30e0\uff11\u306b\u5bfe\u5fdc\u3057\u3066\u304a\u308a\u3001\u6e2c\u5b9a\u3055\u308c\u305f\u30a2\u30a6\u30c8\u30ab\u30e0\uff11\u304c\u8d77\u304d\u306a\u304b\u3063\u305f\u30011000\u4eba\u3042\u305f\u308a\u306e\u4eba\u6570\u3092\u8868\u3057\u3066\u304a\u308a\u3001\u91cd\u8981\u5ea6\u306f100\u306b\u3057\u305f\u306e\u3067\u3001\u5168\u6570\u304c\u30b7\u30a7\u30fc\u30c9\u304c\u3064\u3044\u305f\u30a2\u30a4\u30b3\u30f3\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30a2\u30a6\u30c8\u30ab\u30e02\u306f\u30a2\u30a6\u30c8\u30ab\u30e01\u306e5\u5206\u306e\uff11\u306e\u91cd\u8981\u5ea6\u306a\u306e\u3067\u3001\u30a2\u30a6\u30c8\u30ab\u30e01\u306e\u30b9\u30b1\u30fc\u30eb\u306b\u5408\u308f\u305b\u305f\u5834\u5408\u300150\u4eba\u5206\u309210\u4eba\u5206\u3001100\u4eba\u5206\u309220\u4eba\u5206\u3068\u307f\u306a\u3059\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u91cd\u8981\u5ea6\u3067\u8abf\u6574\u3055\u308c\u305f\u4eba\u6570\u304c\u8d64\u306e\u30b7\u30a7\u30fc\u30c9\u3092\u4ed8\u3051\u305f\u30a2\u30a4\u30b3\u30f3\u306e\u6570\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30ea\u30b9\u30af\u5dee\u304b\u3089\u8a08\u7b97\u3057\u3066\u3082\u540c\u3058\u7d50\u679c\u304c\u5f97\u3089\u308c\u307e\u3059\u3002\u30ea\u30b9\u30af\u5dee\u3092\u8a08\u7b97\u3059\u308b\u6642\u306f\u3001\u4ecb\u5165\u7fa4\u306e\u7d76\u5bfe\u30ea\u30b9\u30af-\u5bfe\u7167\u7fa4\u306e\u7d76\u5bfe\u30ea\u30b9\u30af\u3068\u3057\u3066\u8a08\u7b97\u3057\u307e\u3059\u3002\u30ea\u30b9\u30af\u5dee\u3092\u8a08\u7b97\u3059\u308b\u3068\u3001\u76ca\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3067\u3042\u308b\u30a2\u30a6\u30c8\u30ab\u30e01\u306b\u5bfe\u3057\u3066\u3001\u6e2c\u5b9a\u3055\u308c\u305f\u6709\u5bb3\u4e8b\u8c61\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3067\u306f\u3001\u7d76\u5bfe\u30ea\u30b9\u30af 0.1-0.5 = -0.4\u3067\u3059\u304c\u3001\u6709\u5bb3\u4e8b\u8c61\u306a\u306e\u3067\u30d7\u30e9\u30b9\u30de\u30a4\u30ca\u30b9\u3092\u9006\u306b\u3057\u3001RD1 = 0.4\u3068\u306a\u308a\u307e\u3059\u3002RD\u306fRisk Difference\u3067\u3059\u3002\u5bb3\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3067\u3042\u308b\u30a2\u30a6\u30c8\u30ab\u30e02\u306b\u5bfe\u3057\u3066\u306f\u3001RD2 = 0.1-0.05 = 0.05\u3068\u306a\u308a\u307e\u3059\u3002\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u91cd\u8981\u5ea6\u3067\u8abf\u7bc0\u3057\u306a\u3044\u3068\u3001\u6b63\u5473\u306e\u76ca=0.4-0.05=0.35\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u91cd\u8981\u5ea6\u3067\u8abf\u6574\u3059\u308b\u3068\u3001\u6b63\u5473\u306e\u76ca=1\u00d70.4-0.2\u00d70.05=0.39\u3068\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u30921000\u4eba\u3042\u305f\u308a\u306b\u63db\u7b97\u3059\u308b\u3068\u3001390\u4eba\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u304a\u306a\u3058\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u306e\u7d50\u679c\u3092\u30ea\u30b9\u30af\u5dee\u3092\u30d7\u30ed\u30c3\u30c8\u3057\u305f\u6a2a\u68d2\u30b0\u30e9\u30d5\u306b\u3057\u3066\u307f\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"563\" src=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/bar-chart-absolute-1024x563.png\" alt=\"\" class=\"wp-image-1459\" srcset=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/bar-chart-absolute-1024x563.png 1024w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/bar-chart-absolute-300x165.png 300w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/bar-chart-absolute-768x422.png 768w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/bar-chart-absolute-1200x660.png 1200w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2023\/12\/bar-chart-absolute.png 1522w\" sizes=\"auto, (max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><figcaption class=\"wp-element-caption\">\u56f32\uff0e\u6a2a\u68d2\u30b0\u30e9\u30d5\u306b\u3088\u308b\u30ea\u30b9\u30af\u5dee\u306e\u8868\u793a\u3002<\/figcaption><\/figure>\n\n\n\n<p>\u7d76\u5bfe\u52b9\u679c = \u4ecb\u5165\u7fa4\u306e\u7d76\u5bfe\u30ea\u30b9\u30af \uff0d \u5bfe\u7167\u7fa4\u306e\u7d76\u5bfe\u30ea\u30b9\u30af\u3001\u3059\u306a\u308f\u3061\u30ea\u30b9\u30af\u5dee \u3067\u8a08\u7b97\u3057\u3001\u4ecb\u5165\u7fa4\u304c\u512a\u4f4d\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u53f3\u5411\u304d\u306e\u6a2a\u68d2\u3001\u5bfe\u7167\u7fa4\u304c\u512a\u4f4d\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u5de6\u5411\u304d\u306e\u6a2a\u68d2\u3067\u8868\u3059\u3068\u3001\u3053\u306e\u56f3\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u6709\u76ca\u4e8b\u8c61\u304c\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u3057\u3066\u6e2c\u5b9a\u3055\u308c\u305f\u5834\u5408\u306f\u3001\u4ecb\u5165\u7fa4\u304c\u512a\u4f4d\u306e\u5834\u5408\u3001\u7d76\u5bfe\u52b9\u679c\u306f\u30d7\u30e9\u30b9\u306e\u5024\u306b\u306a\u308b\u306e\u3067\u3001\u305d\u306e\u307e\u307e\u53f3\u5411\u304d\u306e\u6a2a\u68d2\u3068\u3057\u3066\u63cf\u753b\u3057\u307e\u3059\u3002\u6709\u5bb3\u4e8b\u8c61\u304c\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u3057\u3066\u6e2c\u5b9a\u3055\u308c\u305f\u5834\u5408\u306f\u3001\u4ecb\u5165\u7fa4\u304c\u512a\u4f4d\u306e\u5834\u5408\u3001\u7d76\u5bfe\u52b9\u679c\u306f\u30de\u30a4\u30ca\u30b9\u306e\u5024\u306b\u306a\u308b\u306e\u3067\u3001\u6b63\u8ca0\u3092\u9006\u306b\u3057\u3066\u53f3\u5411\u304d\u306e\u6a2a\u68d2\u3068\u3057\u3066\u63cf\u753b\u3057\u307e\u3059\u3002X\u8ef8\u306e\u5024\u306f0.4\u30011000\u4eba\u3042\u305f\u308a\u306e\u983b\u5ea6\u4eba\u6570400\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u6709\u5bb3\u4e8b\u8c61\u304c\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u3057\u3066\u6e2c\u5b9a\u3055\u308c\u305f\u5834\u5408\u306f\u3001\u5bfe\u7167\u7fa4\u304c\u512a\u4f4d\u306e\u5834\u5408\u3001\u7d76\u5bfe\u52b9\u679c\u306f\u30d7\u30e9\u30b9\u306e\u5024\u306b\u306a\u308b\u306e\u3067\u3001\u5de6\u5411\u304d\u306e\u6a2a\u68d2\u3068\u3057\u3066\u63cf\u753b\u3057\u3001\u5de6\u5074\u304c\u30d7\u30e9\u30b9\u306e\u30b9\u30b1\u30fc\u30eb\u306b\u3057\u307e\u3059\u3002X\u8ef8\u306e\u5024\u306f0.05\u30011000\u4eba\u3042\u305f\u308a\u306e\u983b\u5ea6\u4eba\u657050\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u4e0b\u6bb5\u306e\u30b0\u30e9\u30d5\u306e\u4f8b\u306f\u3001\u76ca\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u91cd\u8981\u5ea6\u3092100\u3001\u305d\u308c\u306b\u5bfe\u3057\u3066\u76f8\u5bfe\u7684\u306b\u3001\u5bb3\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u91cd\u8981\u5ea6\u309220\u3068\u3057\u305f\u5834\u5408\u306e\u3001\u68d2\u30b0\u30e9\u30d5\u3067\u3059\u3002\u30a4\u30d9\u30f3\u30c8\u6570\uff1d\u983b\u5ea6\u4eba\u6570\u3092\u76ca\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u4fa1\u5024\u306b\u5408\u308f\u305b\u305f\u4eba\u6570\u306b\u3059\u308b\u305f\u3081\u3001X\u8ef8\u306e\u5024\u306f\u3001\u305d\u308c\u305e\u308c0.4\u30680.01\u30011000\u4eba\u3042\u305f\u308a\u306e\u983b\u5ea6\u4eba\u6570400\u306810\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3044\u305a\u308c\u306e\u30b0\u30e9\u30d5\u3092\u898b\u3066\u3082\u3001\u4ecb\u5165\u306b\u3088\u308a\u30a2\u30a6\u30c8\u30ab\u30e01\u306b\u76f8\u5f53\u3059\u308b\u76ca\u3092\u53d7\u3051\u3089\u308c\u308b\u4eba\u304c\u3001390\u4eba\u5897\u3048\u308b\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u307e\u305f\u3001\u3053\u306e\u3088\u3046\u306a\u30b0\u30e9\u30d5\u3092\u4f5c\u6210\u3057\u305f\u308a\u3001\u30b0\u30e9\u30d5\u3092\u89e3\u91c8\u3059\u308b\u306b\u306f\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u304c\u6709\u5bb3\u4e8b\u8c61\u306a\u306e\u304b\u6709\u76ca\u4e8b\u8c61\u306a\u306e\u304b\u3001\u30ea\u30b9\u30af\u5dee\u304c\u3044\u305a\u308c\u306e\u7fa4\u3092\u57fa\u6e96\u306b\u3057\u3066\u8a08\u7b97\u3057\u3001\u5024\u304c\u30d7\u30e9\u30b9\u306a\u306e\u304b\u30de\u30a4\u30ca\u30b9\u306a\u306e\u304b\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u4eca\u56de\u53d6\u308a\u4e0a\u3052\u305f\u4f8b\u306f\u3001\u76ca\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u304c1\u3064\u3001\u5bb3\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u304c1\u3064\u306e\u30b7\u30f3\u30d7\u30eb\u306a\u4f8b\u3067\u3059\u304c\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u6570\u304c\u3082\u3063\u3068\u591a\u3044\u5834\u5408\u3001\u305d\u3057\u3066\u3001\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u3088\u3063\u3066\u3001\u512a\u4f4d\u3068\u306a\u308b\u4ecb\u5165\u304c\u7570\u306a\u308b\u5834\u5408\u306f\u3001\u8907\u96d1\u306a\u5224\u65ad\u304c\u6c42\u3081\u3089\u308c\u3001\u76f4\u611f\u3067\u306f\u51e6\u7406\u3057\u304d\u308c\u306a\u304f\u306a\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u305d\u306e\u6642\u306f\u3001Multi-Criteria Decision Analysis (MCDA)\u306e\u3088\u3046\u306aQuantitative Benefit-Risk Analysis\u3042\u308b\u3044\u306fQuantitative Benefit-Harm Analysis\u304c\u6709\u7528\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u91cd\u8981\u5ea6 importance of outcome \u306f\u610f\u601d\u6c7a\u5b9a\u8005\u304c\u305d\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u7f6e\u304f\u4fa1\u5024\u306e\u5927\u304d\u3055\u3067\u3059\u3002Priorities and preferences, Values and preferences, Values, Patient preferences\u306a\u3069\u3068\u3082\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002\u81e8\u5e8a\u8a66\u9a13\u306e\u969b\u306b\u3053\u308c\u3089\u306e\u60c5\u5831\u3092\u8a18\u9332\u3059\u308b\u3053\u3068\u3082\u691c\u8a0e\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>Values\u3067\u3059\u304b\u3089\u3001\u500b\u4eba\u500b\u4eba\u306e\u4fa1\u5024\u89b3\u306b\u3088\u308a\u7570\u306a\u308b\u306e\u304c\u666e\u901a\u3067\u3059\u3002\u305d\u306e\u6e2c\u5b9a\u6cd5\u3068\u3057\u3066\u3001Simple direct weighting, Swing weighting, Analytic hierarchy process, Discrete-choice experiments\u306a\u3069\u69d8\u3005\u306a\u65b9\u6cd5\uff08Ho M 2016\uff09\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u6587\u732e\uff08\u4e00\u90e8\u306e\u307f\uff09\uff1a<br>Tervonen T, Veldwijk J, Payne K, Ng X, Levitan B, Lackey LG, Marsh K, Thokala P, Pignatti F, Donnelly A, Ho M: Quantitative Benefit-Risk Assessment in Medical Product Decision Making: A Good Practices Report of an ISPOR Task Force. Value Health 2023;26:449-460. doi: 10.1016\/j.jval.2022.12.006 PMID: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37005055\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37005055\/\" target=\"_blank\" rel=\"noreferrer noopener\">37005055<\/a><br><br>Brett Hauber A, Fairchild AO, Reed Johnson F: Quantifying benefit-risk preferences for medical interventions: an overview of a growing empirical literature. Appl Health Econ Health Policy 2013;11:319-29. doi: 10.1007\/s40258-013-0028-y PMID: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23637054\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23637054\/\" target=\"_blank\" rel=\"noreferrer noopener\">23637054<\/a><br><br>Ho M, Saha A, McCleary KK, Levitan B, Christopher S, Zandlo K, Braithwaite RS, Hauber AB, Medical Device Innovation Consortium\u2019s Patient Centered Benefit-Risk Steering Committee: A Framework for Incorporating Patient Preferences Regarding Benefits and Risks into Regulatory Assessment of Medical Technologies. Value Health 2016;19:746-750. doi: 10.1016\/j.jval.2016.02.019 PMID: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27712701\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27712701\/\" target=\"_blank\" rel=\"noreferrer noopener\">27712701<\/a><br><br>Janssens R, Barbier L, Muller M, Cleemput I, Stoeckert I, Whichello C, Levitan B, Hammad TA, Girvalaki C, Ventura JJ, Bywall KS, Pinto CA, Schoefs E, Katz EG, Kihlbom U, Huys I: How can patient preferences be used and communicated in the regulatory evaluation of medicinal products? Findings and recommendations from IMI PREFER and call to action. Front Pharmacol 2023;14:1192770. doi: 10.3389\/fphar.2019.01009 PMID: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37663265\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37663265\/\" target=\"_blank\" rel=\"noreferrer noopener\">37663265<\/a><br><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u4ecb\u5165\u306e\u76ca\u3068\u5bb3\u3092\u5b9a\u91cf\u7684\u306b\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u7d76\u5bfe\u52b9\u679c\u3092\u77e5\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u6bd4\u8f03\u3059\u308b2\u7fa4\u306e\u7d76\u5bfe\u30ea\u30b9\u30af\u306e\u5dee\u304c\u7d76\u5bfe\u52b9\u679c\u3067\u3059\u3002\u7c73AHRQ Agency for Healthcare Research and Quality\u533b\u7642\u7814\u7a76\u30fb &hellip; <a href=\"https:\/\/info.zanet.biz\/?p=1457\" class=\"more-link\"><span class=\"screen-reader-text\">&#8220;\u7d76\u5bfe\u30ea\u30b9\u30af\u30fb\u7d76\u5bfe\u52b9\u679c\u30fb\u6b63\u5473\u306e\u76ca&#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":[27,5,3,6],"tags":[],"class_list":["post-1457","post","type-post","status-publish","format-standard","hentry","category-benefit-harm-assessment","category-cpg","category-mdm","category-sdm"],"_links":{"self":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/1457","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=1457"}],"version-history":[{"count":6,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/1457\/revisions"}],"predecessor-version":[{"id":1467,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/1457\/revisions\/1467"}],"wp:attachment":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1457"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1457"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1457"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}