{"id":699,"date":"2019-11-06T14:17:55","date_gmt":"2019-11-06T05:17:55","guid":{"rendered":"https:\/\/info.zanet.biz\/?p=699"},"modified":"2019-11-07T08:27:23","modified_gmt":"2019-11-06T23:27:23","slug":"ebm-2019%e5%b9%b4","status":"publish","type":"post","link":"https:\/\/info.zanet.biz\/?p=699","title":{"rendered":"EBM 2019\u5e74"},"content":{"rendered":"\n<p> &#8220;Evidence-Based Medicine: How to practice and teach EBM&#8221;\u3068\u3044\u3046\u672c\u306fSackett DL\u304c\u7b2c\u4e00\u8457\u8005\u306e\u521d\u7248\u304c1997\u5e74\u306b\u51fa\u7248\u3055\u308c\u307e\u3057\u305f\u3002\u305d\u306e\u5f8c\u30012000, 2005, 2011\u5e74\u3068\u6539\u8a02\u7248\u304c\u51fa\u7248\u3055\u308c\u3001 2019\u5e74\u306b\u7b2c5\u7248\u304c\u51fa\u7248\u3055\u308c\u307e\u3057\u305f\u3002\u3082\u3046Sackett\u5148\u751f\u306e\u540d\u524d\u306f\u8457\u8005\u306b\u5165\u3063\u3066\u307e\u305b\u3093\u304c\u3001Dedication: This book is dedicated to Dr. David L. Sackett.\u3068\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002Sackett\u5148\u751f\u306f2015\u5e74\u306b\u4ed6\u754c\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>Straus SE, Glaszious P, Richardson WS, Haynes RB: Evidence-Based Medicine: How to practice and teach EBM. (5th edition) 2019,&nbsp;&nbsp;Elsevier Ltd., New York.\u3067\u3059\u3002<br><br>\u521d\u7248\u304b\u308922\u5e74\u7d4c\u904e\u3057\u3001\u305d\u306e\u9593\u306b\u306f\u793e\u4f1a\u306b\u3001\u533b\u7642\u306b\u3001\u533b\u5b66\u306b\u5927\u304d\u306a\u5909\u5316\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u7279\u306bICT (Information and Communication Technology)\u306e\u767a\u5c55\u30fb\u666e\u53ca\u3001\u60a3\u8005\u4e2d\u5fc3\u306e\u533b\u7642\u3001\u3055\u307e\u3056\u307e\u306a\u75be\u60a3\u306e\u75c5\u614b\u306e\u89e3\u660e\u3068\u65b0\u3057\u3044\u8a3a\u65ad\u6cd5\u30fb\u6cbb\u7642\u6cd5\u306e\u958b\u767a\u3068\u5b9f\u7528\u5316\u3001\u4ecb\u8b77\u30fb\u533b\u7642\u5236\u5ea6\u6539\u9769\u3001\u533b\u5b66\u7814\u7a76\u3084\u533b\u7642\u306e\u60c5\u5831\u91cf\u306e\u5897\u5927\u3001\u7b49\u3005\u3067\u3059\u3002<br><br>EBM\u306f\u533b\u7642\u8005\u500b\u4eba\u306e\u533b\u7642\u306e\u5b9f\u8df5\u4f53\u7cfb\u3068\u3068\u3089\u3048\u3089\u308c\u3001\u500b\u4eba\u3067\u30af\u30ea\u30cb\u30ab\u30eb\u30af\u30a8\u30b9\u30c1\u30e7\u30f3\u306b\u57fa\u3065\u3044\u3066\u3001\u6587\u732e\u691c\u7d22\u3092\u884c\u3044\u3001\u95a2\u9023\u306e\u3042\u308b\u7814\u7a76\u8ad6\u6587\u3092\u898b\u3064\u3051\u3001\u6279\u5224\u7684\u541f\u5473\u3092\u3057\u3066\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u6d3b\u7528\u3059\u308b\u3068\u3044\u3046\u30b9\u30c6\u30c3\u30d7\u3067\u8003\u3048\u3089\u308c\u3066\u304d\u305f\u3068\u601d\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u533b\u7642\u60c5\u5831\u304c\u83ab\u5927\u306b\u306a\u308a\u3001\u691c\u7d22\u306f\u7c21\u5358\u306b\u3067\u304d\u3066\u3082\u3001\u95a2\u9023\u306e\u3042\u308b\u6587\u732e\u3092\u9078\u5b9a\u3059\u308b\u4f5c\u696d\u306b\u6642\u9593\u304c\u304b\u304b\u308a\u3059\u304e\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u3002\u3055\u3089\u306b\u3001\u305d\u308c\u3092\u8aad\u3093\u3067\u307e\u3068\u3081\u308b\u3068\u306a\u308b\u3068\u975e\u5e38\u306b\u6642\u9593\u304c\u304b\u304b\u308a\u3001\u3072\u3068\u308a\u3067\u3067\u304d\u308b\u4f5c\u696d\u3067\u306f\u306a\u304f\u306a\u3063\u3066\u304d\u3066\u3044\u307e\u3059\u3002\u533b\u7642\u3067EBM\u3092\u5b9f\u8df5\u3059\u308b\u3053\u3068\u304c\u3001\u500b\u4eba\u3067\u306f\u3067\u304d\u306a\u3044\u6642\u4ee3\u306b\u306a\u308a\u3064\u3064\u3042\u308b\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1f<br><br>\u4e0b\u306e\u56f3\u306b\u793a\u3059P5\u306e\u30ec\u30d9\u30eb3\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3001\u30ec\u30d9\u30eb4\u306e\u30ec\u30d9\u30eb1\uff5e3\u3092\u307e\u3068\u3081\u305f\u3082\u306e\u3001\u306a\u3069\u3092\u60c5\u5831\u6e90\u3068\u3057\u3066\u7528\u3044\u308c\u3070\u5341\u5206\u3084\u3063\u3066\u3044\u3051\u308b\u3068\u3044\u3046\u8003\u3048\u3082\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u30ec\u30d9\u30eb4\u306fUpToDate, DynaMed, Medscape Reference, Best Practice, Micromedex\u306a\u3069\u304c\u30ea\u30b9\u30c8\u30a2\u30c3\u30d7\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br><br>\u201d\u533b\u7642\u4e0a\u306e\u7591\u554f\u304c\u751f\u3058\u305f\u969b\u306b\u3001\u30bf\u30a4\u30e0\u30ea\u30fc\u306b\u79d1\u5b66\u7684\u306b\u59a5\u5f53\u306a\u3001\u6700\u65b0\u306e\u60c5\u5831\u3092\u3001\u77ed\u6642\u9593\u3067\u7406\u89e3\u3067\u304d\u308b\u5185\u5bb9\u306b\u307e\u3068\u3081\u305f\u5f62\u3067\u3001\u5165\u624b\u3057\u3066\u3001\u610f\u601d\u6c7a\u5b9a\u306b\u9069\u5207\u306b\u7528\u3044\u3089\u308c\u308b\u3088\u3046\u306b\u3059\u308b\u306b\u306f\u3069\u3046\u3059\u308c\u3070\u3044\u3044\u306e\u304b\uff1f\u201d\u305d\u308c\u306b\u306f\u3001\u533b\u5e2b\u3001\u770b\u8b77\u5e2b\u3001\u85ac\u5264\u5e2b\u306a\u3069\u533b\u7642\u63d0\u4f9b\u8005\u3060\u3051\u3067\u306f\u5b9f\u73fe\u3067\u304d\u307e\u305b\u3093\u3002\u533b\u7642\u63d0\u4f9b\u8005\u3001\u533b\u7642\u5229\u7528\u8005\u306a\u3069\u5f53\u4e8b\u8005\u3060\u3051\u3067\u306a\u304f\u3001ICT\u6280\u8853\u8005\u3001ICT\u4f01\u696d\u3001\u51fa\u7248\u793e\u3001\u30af\u30e9\u30a6\u30c9\u30b5\u30fc\u30d3\u30b9\u63d0\u4f9b\u4f01\u696d\u306a\u3069\u3082\u5354\u50cd\u3067\u53c2\u52a0\u3057\u306a\u3044\u3068\u3067\u304d\u306a\u3044\u3067\u3057\u3087\u3046\u3002<br><br>\u4eca\u5f8c\u306f\u30ec\u30d9\u30eb5\u306eSystems\u3092\u8ffd\u6c42\u3059\u3079\u304d\u3067\u3001\u3055\u3089\u306b\u30a8\u30d3\u30c7\u30f3\u30b9\u751f\u6210\u306e\u5206\u91ce\u3082\u7d71\u5408\u3057\u3066\u3001&#8230;\u3053\u3093\u306a\u98a8\u306b\u8003\u3048\u306a\u304c\u3089\u3001\u3053\u306eEBM\u306e\u672c\u306eEBHC Pyramid 5\u3092\u773a\u3081\u3066\u3044\u308b\u3068\u3053\u308d\u3067\u3059\u3002 <\/p>\n\n\n\n<div class=\"wp-block-liquid-speech-balloon liquid-speech-balloon-wrap liquid-speech-balloon-02\"><div class=\"liquid-speech-balloon-avatar\"><\/div><div class=\"liquid-speech-balloon-text\"><p>\u3069\u3093\u3069\u3093\u5909\u308f\u3063\u3066\u3044\u304d\u307e\u3059\u306d\u3002Take a &#8220;P5&#8221; approach to evidence-based information access\u3063\u3066\u66f8\u3044\u3066\u3042\u308b\u3093\u3067\u3059\u306d\u3002<\/p><div class=\"liquid-speech-balloon-arrow\"><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-liquid-speech-balloon liquid-speech-balloon-wrap liquid-speech-balloon-07 liquid-speech-balloon-right\"><div class=\"liquid-speech-balloon-avatar\"><\/div><div class=\"liquid-speech-balloon-text\"><p>P5\u3068\u3044\u3046\u306e\u304c\u9762\u767d\u3044\u3067\u3057\u3087\u3002\u4e00\u756a\u4e0a\u306e5\uff0eSystems\u3063\u3066\u6700\u521d\u4f55\u306e\u3053\u3068\u304c\u308f\u304b\u3089\u306a\u304b\u3063\u305f\u3051\u3069\u3001\u3053\u308c\u3063\u3066GAFA\u304c\u9686\u76db\u3092\u8a87\u3063\u3066\u3044\u308b\u3053\u3068\u3068\u3082\u95a2\u4fc2\u3057\u3066\u308b\u3088\u306d\u3002\u305d\u3046\u601d\u308f\u306a\u3044\uff1fP4 medicine\u3068\u3044\u3046\u306e\u3082\u3042\u308b\u3051\u3069\u3002 predictive, preventive, personalized, and participatory\u3063\u3066\u8a00\u3046\u3093\u3060\u3051\u308c\u3069\u3002\u3053\u308c\u306f\u3001Pyramid 5\u306a\u3093\u3060\u3002<\/p><div class=\"liquid-speech-balloon-arrow\"><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-liquid-speech-balloon liquid-speech-balloon-wrap liquid-speech-balloon-04\"><div class=\"liquid-speech-balloon-avatar\"><\/div><div class=\"liquid-speech-balloon-text\"><p>\u30cf\u30cf\u30cf\u30cf\u3002\u9762\u767d\u3044\u3002Google, Apple, Facebook, Amazon\uff01\u533b\u7642\u60c5\u5831\u306e\u691c\u7d22\u306fiPhone\u304b\u3089Google\u3067\u3001\u8ad6\u6587\u306e\u5185\u5bb9\u306fAI\u304c\u307e\u3068\u3081\u307e\u3059\u3001\u30c9\u30af\u30bf\u30fc\u63a2\u3057\u306f\u3001Facebook\u3067\u3001\u533b\u7642\u8cbb\u306e\u652f\u6255\u3044\u3082\u30ea\u30d6\u30e9\u3067\u3001\u304a\u85ac\u306fAmazon\u3067\u3001\u3067\u3059\u304b\uff1f\u305d\u308c\u306f\u3069\u3046\u304b\u306a\uff1f<\/p><div class=\"liquid-speech-balloon-arrow\"><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-liquid-speech-balloon liquid-speech-balloon-wrap liquid-speech-balloon-01 liquid-speech-balloon-right\"><div class=\"liquid-speech-balloon-avatar\"><\/div><div class=\"liquid-speech-balloon-text\"><p>\u3067\u3082\u5f7c\u3089\u304c\u672c\u6c17\u3067\u53d6\u308a\u7d44\u3081\u3070\u3067\u304d\u308b\u3093\u3058\u3083\u306a\u3044\u304b\u306a\uff1f\u8cc7\u91d1\u3082\u6280\u8853\u529b\u3082\u3042\u308b\u3057\u3001\u30bf\u30ec\u30f3\u30c8\u3092\u4e16\u754c\u4e2d\u304b\u3089\u96c6\u3081\u3089\u308c\u308b\u3057\u3002<\/p><div class=\"liquid-speech-balloon-arrow\"><\/div><\/div><\/div>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-pyramid5.png\" alt=\"\" class=\"wp-image-700\" width=\"480\" height=\"360\" srcset=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-pyramid5.png 960w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-pyramid5-300x225.png 300w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-pyramid5-768x576.png 768w\" sizes=\"auto, (max-width: 480px) 85vw, 480px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-liquid-speech-balloon liquid-speech-balloon-wrap liquid-speech-balloon-02\"><div class=\"liquid-speech-balloon-avatar\"><\/div><div class=\"liquid-speech-balloon-text\"><p>\u7b2c4\u7248\u3067\u306f\u3001Take a &#8220;6S&#8221; approach to evidence-based information access\u306b\u306a\u3063\u3066\u307e\u3059\u306d\u3002\u308f\u304b\u308a\u3084\u3059\u304f\u3059\u308b\u305f\u3081\u306b\u756a\u53f7\u3092\u4ed8\u3051\u308b\u3068\u3001\u4e00\u756a\u4e0a\u304c(6) Systems: Computerized decision support\u306b\u306a\u3063\u3066\u307e\u3059\u3088\u3002<br>    \u6b21\u304c\u3001(5) Summaries: Evidence-based textbooks, (4) Synopses of syntheses: Evidence-based journal abstracts, (3) Syntheses: Systematic reviews, (2) Synopses of studies: Evidence-based journal abstracts, (1) Studies: Original journal articles\u306e\u9806\u3067\u3059\u306d\u3002<\/p><div class=\"liquid-speech-balloon-arrow\"><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-liquid-speech-balloon liquid-speech-balloon-wrap liquid-speech-balloon-01 liquid-speech-balloon-right\"><div class=\"liquid-speech-balloon-avatar\"><\/div><div class=\"liquid-speech-balloon-text\"><p>\u3053\u3046\u3044\u3046\u306e\u306f\u7b2c1\u7248\u3001\u7b2c2\u7248\u306b\u306f\u5c11\u306a\u304f\u3068\u3082\u306a\u304b\u3063\u305f\u306d\u3002<br><br>Synopsis\u3001summary,  abstract\u6982\u8981\u3001\u6284\u9332\u306a\u3069\u3092\u898b\u308c\u3070\u3044\u3044\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u601d\u3048\u3066\u3057\u307e\u3046\u3088\u306d\u3002\u4ed6\u306e\u4eba\u305f\u3061\u304c\u6279\u5224\u7684\u541f\u5473\u3092\u884c\u3063\u305f\u305d\u306e\u7d50\u679c\u306e\u307e\u3068\u3081\u3068\u3044\u3046\u610f\u5473\u3060\u306d\u3002\u7d50\u8ad6\u306b\u81f3\u3063\u305f\u904e\u7a0b\u3092\u4fe1\u7528\u3057\u3066\u3002\u3002\u81ea\u5206\u306e\u982d\u3067\u306f\u8003\u3048\u306a\u3044\u3067\u3002\u3002<\/p><div class=\"liquid-speech-balloon-arrow\"><\/div><\/div><\/div>\n\n\n\n<p> EBM\u5b9f\u8df5\u306e\u30b9\u30c6\u30c3\u30d7\u306b\u3064\u3044\u3066\u3082\u3001Step 3\u306b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u59a5\u5f53\u6027\u3068\u30a4\u30f3\u30d1\u30af\u30c8\uff08:\u52b9\u679c\u306e\u5927\u304d\u3055\uff09\u306e\u6279\u5224\u7684\u541f\u5473\u3092\u884c\u3046\u3053\u3068\u304c\u8ff0\u3079\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u201d\u52b9\u679c\u306e\u5927\u304d\u3055\u201d\u306f\u610f\u601d\u6c7a\u5b9a\u306b\u306f\u975e\u5e38\u306b\u91cd\u8981\u306a\u9805\u76ee\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u201d\u60a3\u8005\u306e\u4fa1\u5024\u89b3\u306b\u57fa\u3065\u3044\u3066Benefit and harm\u3042\u308b\u3044\u306fBenefit and risk\u3092\u660e\u3089\u304b\u306b\u3057\u3066\u201d\u3068\u3044\u3046\u3088\u3046\u306a\u8868\u73fe\u306fStep 4\u306b\u306f\u307e\u3060\u53d6\u308a\u4e0a\u3052\u3089\u308c\u3066\u3044\u307e\u305b\u3093\u3002 <\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-5-steps.png\" alt=\"\" class=\"wp-image-701\" width=\"480\" height=\"360\" srcset=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-5-steps.png 960w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-5-steps-300x225.png 300w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-5-steps-768x576.png 768w\" sizes=\"auto, (max-width: 480px) 85vw, 480px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-liquid-speech-balloon liquid-speech-balloon-wrap liquid-speech-balloon-02\"><div class=\"liquid-speech-balloon-avatar\"><\/div><div class=\"liquid-speech-balloon-text\"><p>\u3067\u3082\u3053\u308c\u3088\u304f\u3067\u304d\u3066\u307e\u3059\u306d\u3002\u3057\u304b\u3082\u3001\u3053\u308c\u306f\u305a\u3063\u3068\u5909\u308f\u3063\u3066\u3044\u306a\u3044\u3067\u3059\u306d\u3002<\/p><div class=\"liquid-speech-balloon-arrow\"><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-liquid-speech-balloon liquid-speech-balloon-wrap liquid-speech-balloon-07 liquid-speech-balloon-right\"><div class=\"liquid-speech-balloon-avatar\"><\/div><div class=\"liquid-speech-balloon-text\"><p>\u308f\u304b\u308b\uff1fImpact (size of the effect)\u3063\u3066\u66f8\u3044\u3066\u3042\u3063\u3066\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u78ba\u5b9f\u6027\u3001\u3053\u3053\u3067\u306f\u59a5\u5f53\u6027validity (closeness to the truth)\u3063\u3066\u66f8\u3044\u3066\u3042\u308b\u3093\u3060\u3051\u3069\u3001\u305d\u308c\u306e\u6279\u5224\u7684\u541f\u5473\u3092\u91cd\u8981\u3068\u8003\u3048\u52b9\u679c\u306e\u5927\u304d\u3055\u306e\u3053\u3068\u306f\u3042\u307e\u308a\u8003\u3048\u306a\u3044\u4eba\u304c\u591a\u3044\u306e\u3067\u3001\u3053\u3053\u306e\u3068\u3053\u308d\u306f\u3044\u3044\u306a\u3063\u3066\u601d\u3063\u3066\u308b\u3093\u3060\u3002<\/p><div class=\"liquid-speech-balloon-arrow\"><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-liquid-speech-balloon liquid-speech-balloon-wrap liquid-speech-balloon-04\"><div class=\"liquid-speech-balloon-avatar\"><\/div><div class=\"liquid-speech-balloon-text\"><p>\u305d\u3046\u3067\u3059\u3088\u306d<br><br>\u500b\u4eba\u30ec\u30d9\u30eb\u3067\u306eBenefit and harm\u76ca\u3068\u5bb3\u306e\u5927\u304d\u3055\u3092\u5224\u65ad\u3059\u308b\u306b\u306f\u6982\u8981\u3084\u6284\u9332\u306e\u7d50\u8ad6\u3060\u3051\u3067\u306f\u7121\u7406\u3067\u3059\u3088\u3002health literacy\u30d8\u30eb\u30b9\u30ea\u30c6\u30e9\u30b7\u30fc\u3068numeracy\u30cb\u30e5\u30fc\u30e1\u30e9\u30b7\u30fc\u306e\u7406\u89e3\u306e\u6df1\u3055\u304c\u3069\u3053\u307e\u3067\u6c42\u3081\u3089\u308c\u308b\u304b\u3088\u304f\u8003\u3048\u306a\u3044\u3068\u3002<br><br>\u4eca\u5f8c\u306f\u3001Synopsis\u3084Summary\u304c\u500b\u4eba\u500b\u4eba\u306e\u610f\u601d\u6c7a\u5b9a\u306b\u5fc5\u8981\u306a\u6570\u5024\u30c7\u30fc\u30bf\u3092\u63d0\u793a\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3093\u3058\u3083\u306a\u3044\u304b\u306a\uff1f<\/p><div class=\"liquid-speech-balloon-arrow\"><\/div><\/div><\/div>\n\n\n\n<p>EBM\u306e\u5b9a\u7fa9\u306b\u3064\u3044\u3066\u306f\u3001\u4ee5\u4e0b\u306e\u69d8\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\uff08\u4e0b\u306e\u65b9\u306e3\u3064\u306e\u9805\u76ee\u306f\u81ea\u5206\u306e\u89e3\u91c8\u3067\u3059\u3002\uff09 <\/p>\n\n\n\n<div class=\"wp-block-liquid-speech-balloon liquid-speech-balloon-wrap liquid-speech-balloon-01\"><div class=\"liquid-speech-balloon-avatar\"><\/div><div class=\"liquid-speech-balloon-text\"><p>\u3053\u308c\u306f\u5dfb\u672b\u306e\u7528\u8a9e\u89e3\u8aac\u306b\u66f8\u3044\u3066\u3042\u308b\u3082\u306e\u3067\u3001\u6700\u521d\u306eIntroduction\u306e\u5192\u982d\u306b\u3082&#8221;What is evidence-based medicine?&#8221;\u3068\u66f8\u3044\u3066\u3042\u3063\u3066\u3001&#8221;Evidence-based medicine (EBM) requires integration of the best research evidence with our clinical expertise and our patient&#8217;s unique values and circumstances.&#8221;\u306a\u3093\u3066\u66f8\u3044\u3066\u3042\u308b\u3093\u3067\u3059\u3088\u3002\u3053\u308c\u306f\u201dEBM\u306f\u6700\u5584\u306e\u7814\u7a76\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u6211\u3005\u306e\u81e8\u5e8a\u7684\u5c02\u9580\u7684\u6280\u80fd\u30fb\u77e5\u8b58\u3068\u60a3\u8005\u3055\u3093\u56fa\u6709\u306e\u4fa1\u5024\u3068\u72b6\u6cc1\u3068\u7d71\u5408\u3059\u308b\u3053\u3068\u3092\u5fc5\u8981\u3068\u3059\u308b\u201d\u3068\u3044\u3046\u3053\u3068\u3060\u3051\u3092\u8ff0\u3079\u3066\u3044\u307e\u3059\u3002<\/p><div class=\"liquid-speech-balloon-arrow\"><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-liquid-speech-balloon liquid-speech-balloon-wrap liquid-speech-balloon-02\"><div class=\"liquid-speech-balloon-avatar\"><\/div><div class=\"liquid-speech-balloon-text\"><p>\u3075\u30fc\u3093\u3001\u306a\u308b\u307b\u3069\u3002\u6700\u521d\u306e\u90e8\u5206\u304c\u306a\u3044\u3093\u3067\u3059\u306d\u3002\u6700\u521d\u306e\u90e8\u5206\u3082\u91cd\u8981\u3060\u3068\u601d\u3046\u3093\u3067\u3059\u3051\u3069\u306d\u3002\u72b6\u6cc1\u3068\u3044\u3046\u306e\u306f\u305d\u306e\u60a3\u8005\u3055\u3093\u306e\u7f6e\u304b\u308c\u305f\u72b6\u6cc1\u306e\u3053\u3068\u3089\u3057\u3044\u3067\u3059\u306d\u3002<br><br>\u3053\u306e\u3042\u305f\u308a\u306e\u8a18\u8ff0\u3082\u305a\u3063\u3068\u5909\u308f\u3063\u3066\u3044\u306a\u3044\u3067\u3059\u306d\u3002<\/p><div class=\"liquid-speech-balloon-arrow\"><\/div><\/div><\/div>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-definition.png\" alt=\"\" class=\"wp-image-702\" width=\"480\" height=\"360\" srcset=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-definition.png 960w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-definition-300x225.png 300w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-definition-768x576.png 768w\" sizes=\"auto, (max-width: 480px) 85vw, 480px\" \/><\/figure>\n\n\n\n<p> 1998\u5e74\u306eMulrow CE\u306e\u81e8\u5e8a\u6c7a\u65ad\u306b\u95a2\u4e0e\u3059\u308b\u8981\u7d20\u306b\u306f\u307b\u307c\u540c\u3058\u3088\u3046\u306a\u5185\u5bb9\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002 <\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-3-circles.png\" alt=\"\" class=\"wp-image-703\" width=\"480\" height=\"360\" srcset=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-3-circles.png 960w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-3-circles-300x225.png 300w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-3-circles-768x576.png 768w\" sizes=\"auto, (max-width: 480px) 85vw, 480px\" \/><\/figure>\n\n\n\n<p> \u3055\u3066\u3001\u6700\u5f8c\u306bForeground questions\u3068Background questions\u306b\u3064\u3044\u3066\u308f\u304b\u308a\u3084\u3059\u3044\u8aac\u660e\u304c\u3042\u308a\u307e\u3059\u3002\u4eca\u56de\u306f\u3053\u308c\u3067\u6700\u5f8c\u3067\u3059\u3002 <\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-fgq-bgq.png\" alt=\"\" class=\"wp-image-704\" width=\"480\" height=\"360\" srcset=\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-fgq-bgq.png 960w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-fgq-bgq-300x225.png 300w, https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2019\/11\/ebm-fgq-bgq-768x576.png 768w\" sizes=\"auto, (max-width: 480px) 85vw, 480px\" \/><\/figure>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;Evidence-Based Medicine: How to practice and teach EBM&#8221;\u3068\u3044\u3046\u672c\u306fSackett DL\u304c\u7b2c\u4e00\u8457\u8005\u306e\u521d\u7248\u304c1997\u5e74\u306b\u51fa\u7248\u3055\u308c\u307e\u3057\u305f\u3002\u305d\u306e\u5f8c\u3001 &hellip; <a href=\"https:\/\/info.zanet.biz\/?p=699\" class=\"more-link\"><span class=\"screen-reader-text\">&#8220;EBM 2019\u5e74&#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":[8,3],"tags":[],"class_list":["post-699","post","type-post","status-publish","format-standard","hentry","category-essay","category-mdm"],"_links":{"self":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/699","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=699"}],"version-history":[{"count":13,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/699\/revisions"}],"predecessor-version":[{"id":727,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/699\/revisions\/727"}],"wp:attachment":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=699"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=699"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=699"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}