{"id":998,"date":"2021-04-05T13:47:51","date_gmt":"2021-04-05T04:47:51","guid":{"rendered":"https:\/\/info.zanet.biz\/?p=998"},"modified":"2021-04-15T14:52:38","modified_gmt":"2021-04-15T05:52:38","slug":"ebm-crisis","status":"publish","type":"post","link":"https:\/\/info.zanet.biz\/?p=998","title":{"rendered":"EBM crisis?"},"content":{"rendered":"\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/magicevidence.org\/magicapp\/\" target=\"_blank\">MGICapp\u306e\u30a6\u30a7\u30d6\u30b5\u30a4\u30c8<\/a>\u3067<a rel=\"noreferrer noopener\" href=\"https:\/\/magicevidence.org\/publications\/\" target=\"_blank\">Publications\u306e\u30bf\u30d6<\/a>\u3092\u958b\u304f\u3068\u3001Vandvik  P\u306e2016\u5e74\u306eGuidelines International Network \uff08G-I-N\uff09\u306b\u304a\u3051\u308b&#8221;The Evidence Ecosystem&#8221;\u3068\u984c\u3059\u308b\u767a\u8868\u306e\u30d3\u30c7\u30aa\u304c\u3042\u308a\u3001\u305d\u306e2\u52066\u79d2(2:06)\u3067\u53d6\u308a\u4e0a\u3052\u3089\u308c\u3066\u3044\u308b\u8ad6\u6587\u304c\u30012014\u5e74\u306e<a rel=\"noreferrer noopener\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24927763\/\" target=\"_blank\">Greenhalgh T\u3089\u306eBMJ\u306b\u767a\u8868\u3055\u308c\u305f\u8ad6\u6587<\/a>\u3067\u3059\u3002\u30bf\u30a4\u30c8\u30eb\u306f&#8221;Evidence based medicine: a movement in crisis?&#8221;\u3067\u3059\u30027\u5e74\u524d\u306e\u8ad6\u6587\u3067\u3059\u304c\u3001\u300cEvidence based medicine\u306f\u591a\u304f\u306e\u5229\u70b9\u304c\u3042\u3063\u305f\u304c\u3001\u3044\u304f\u3064\u304b\u306e\u610f\u56f3\u3055\u308c\u306a\u304b\u3063\u305f\u8ca0\u306e\u7d50\u679c\u304c\u3042\u3063\u305f\u300d\u3053\u3068\u304c\u8ff0\u3079\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>Crisis\u3068\u3057\u3066\u6319\u3052\u3089\u308c\u3066\u3044\u308b\u306e\u306f\u3001\u6b21\u306e\u3088\u3046\u306a\u3053\u3068\u3067\u3059\uff1a<br>\u30fb\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u305f\u300c\u54c1\u8cea\u30de\u30fc\u30af\u300d\u304c\u65e2\u5f97\u6a29\u76ca\u8005\u306b\u60aa\u7528\u3055\u308c\u3066\u3044\u308b\u3002<br>\u30fb\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u91cf\u3001\u7279\u306b\u81e8\u5e8a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u91cf\u304c\u591a\u3059\u304e\u3066\u53c2\u7167\u3057\u304d\u308c\u306a\u304f\u306a\u3063\u3066\u3044\u308b\u3002<br>\u30fb\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u5229\u76ca\u306f\u3001\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u308f\u305a\u304bmarginal\u306a\u3082\u306e\u304b\u3082\u3057\u308c\u306a\u3044\u3002<br>\u30fb\u878d\u901a\u306e\u5229\u304b\u306a\u3044\u30eb\u30fc\u30eb\u3084\u30c6\u30af\u30ce\u30ed\u30b8\u30fc\u3092\u99c6\u4f7f\u3057\u305f\u30d7\u30ed\u30f3\u30d7\u30c8\u306f\u3001\u60a3\u8005\u4e2d\u5fc3\u3067\u306f\u306a\u304f\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u4e3b\u5c0e\u306e\u30b1\u30a2\u3092\u751f\u307f\u51fa\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<br>\u30fb\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u3001\u8907\u96d1\u306a\u591a\u81d3\u5668\u75be\u60a3\u306b\u306f\u3046\u307e\u304f\u5bfe\u5fdc\u3067\u304d\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3002<\/p>\n\n\n\n<p>\u6b21\u306b\u3001\u2606<strong>Real evidence based medicine\uff08\u771f\u306eEBM\uff09<\/strong>\u306f\u6b21\u306e\u3088\u3046\u306a\u3082\u306e\u3067\u3042\u308b\u3068\u8ff0\u3079\u3066\u3044\u307e\u3059\uff1a<br>\u30fb\u60a3\u8005\u306e\u502b\u7406\u7684\u306a\u30b1\u30a2\u3092\u6700\u512a\u5148\u4e8b\u9805\u3068\u3059\u308b\u3002<br>\u30fb\u81e8\u5e8a\u5bb6\u3068\u60a3\u8005\u304c\u7406\u89e3\u3067\u304d\u308b\u30d5\u30a9\u30fc\u30de\u30c3\u30c8\u3067\u500b\u5225\u5316\u3057\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u6c42\u3081\u308b\u3002<br>\u30fb\u6a5f\u68b0\u7684\u306a\u898f\u5247\u306b\u5f93\u3046\u3053\u3068\u3067\u306f\u306a\u304f\u5c02\u9580\u5bb6\u306e\u6c7a\u65ad\u306b\u3088\u308a\u7279\u5fb4\u3065\u3051\u3089\u308c\u308b\u3002<br>\u30fb\u610f\u5473\u306e\u3042\u308b\u5bfe\u8a71\u3092\u901a\u3057\u3066\u60a3\u8005\u3068\u6c7a\u65ad\u3092\u5171\u6709\u3059\u308b\u3002<br>\u30fb\u81e8\u5e8a\u5bb6-\u60a3\u8005\u306e\u5f37\u3044\u95a2\u4fc2\u3068\u30b1\u30a2\u306e\u4eba\u9593\u7684\u5074\u9762\u306e\u4e0a\u306b\u69cb\u7bc9\u3059\u308b\u3002<br>\u30fb\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u516c\u8846\u885b\u751f\u306b\u306f\u30b3\u30df\u30e5\u30cb\u30c6\u30a3\u30fc\u30ec\u30d9\u30eb\u3067\u3053\u308c\u3089\u306e\u539f\u5247\u3092\u9069\u7528\u3059\u308b\u3002<\/p>\n\n\n\n<p>\u305d\u3057\u3066\u3001\u2606<strong>\u771f\u306eEBM\u3092\u63d0\u4f9b\u3059\u308b\u305f\u3081\u306e\u30a2\u30af\u30b7\u30e7\u30f3<\/strong>\u3068\u3057\u3066\u306f\u4ee5\u4e0b\u306e\u3082\u306e\u304c\u6319\u3052\u3089\u308c\u3066\u3044\u307e\u3059\uff1a<br>\u30fb\u60a3\u8005\u306f\u3088\u308a\u826f\u3044\u30a8\u30d3\u30c7\u30f3\u30b9\u3001\u3088\u308a\u826f\u3044\u63d0\u793a\u3001\u3088\u308a\u3088\u3044\u8aac\u660e\u3001\u305d\u3057\u3066\u3088\u308a\u500b\u5225\u5316\u3057\u305f\u65b9\u6cd5\u3067\u9069\u7528\u3055\u308c\u308b\u3053\u3068\u3092\u8981\u6c42\u3059\u3079\u304d\u3067\u3042\u308b\u3002<br>\u30fb\u81e8\u5e8a\u7814\u4fee\u306f\u6587\u732e\u691c\u7d22\u3068\u6279\u5224\u7684\u541f\u5473\u3092\u8d85\u3048\u305f\u3001\u5c02\u9580\u5bb6\u3068\u3057\u3066\u306e\u5224\u65ad\u3068\u5354\u50cd\u610f\u601d\u6c7a\u5b9aShared Decision Making\u3078\u9032\u3080\u3079\u304d\u3067\u3042\u308b\u3002<br>\u30fb\u30a8\u30d3\u30c7\u30f3\u30b9\u30b5\u30de\u30ea\u30fc\u3001\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3001\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u30c4\u30fc\u30eb\u306e\u4f5c\u6210\u8005\u306f\u5229\u7528\u8005\u3001\u76ee\u7684\u3001\u5236\u7d04\u3092\u660e\u78ba\u306b\u3059\u3079\u304d\u3067\u3042\u308b\u3002<br>\u30fb\u51fa\u7248\u8005\u306f\u7814\u7a76\u304c\u65b9\u6cd5\u8ad6\u7684\u6c34\u6e96\u3060\u3051\u3067\u306a\u304f\u5229\u7528\u3057\u3084\u3059\u3055usability\u306e\u6c34\u6e96\u3092\u6e80\u305f\u3059\u3053\u3068\u3092\u8981\u6c42\u3059\u3079\u304d\u3067\u3042\u308b\u3002<br>\u30fb\u653f\u7b56\u6c7a\u5b9a\u8005\u306f\u65e2\u5f97\u6a29\u76ca\u8005\u306b\u3088\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u624b\u6bb5\u3068\u3057\u3066\u306e\u751f\u6210\u3068\u5229\u7528\u306b\u62b5\u6297\u3059\u3079\u304d\u3067\u3042\u308b\u3002<br>\u30fb\u72ec\u7acb\u3057\u305f\u8cc7\u91d1\u63d0\u4f9b\u8005\u304c\u8cea\u306e\u9ad8\u3044\u81e8\u5e8a\u7684\u304a\u3088\u3073\u516c\u8846\u885b\u751f\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u5275\u751f\u3001\u7d71\u5408\u3001\u914d\u5e03\u3092\u5f62\u6210\u3059\u308b\u3053\u3068\u304c\u307e\u3059\u307e\u3059\u5fc5\u8981\u3067\u3042\u308b\u3002<br>\u30fb\u7814\u7a76\u8a08\u753b\u306f\u3088\u308a\u5e83\u7bc4\u3067\u3001\u3088\u308a\u5b66\u969b\u7684\u3067\u3001\u75be\u60a3\u7d4c\u9a13\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u89e3\u91c8\u306b\u95a2\u3059\u308b\u5fc3\u7406\u5b66\u3001\u81e8\u5e8a\u5bb6\u3068\u60a3\u8005\u306e\u4ea4\u6e09\u3068\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u5171\u6709\u3001\u904e\u5270\u8a3a\u65ad\u306b\u3088\u308b\u5bb3\u306e\u4e88\u9632\u6cd5\u3092\u53d6\u308a\u8fbc\u3080\u3079\u304d\u3067\u3042\u308b\u3002<br><br>\u305d\u3057\u3066\u3001\u201d\u771f\u306eEBM\u306f\u500b\u3005\u306e\u60a3\u8005\u306e\u30b1\u30a2\u3092\u6700\u512a\u5148\u4e8b\u9805\u3068\u3057\u3001\u3053\u308c\u3089\u306e\u72b6\u6cc1\u4e0b\u3067\u3001\u305d\u306e\u75be\u60a3\u3042\u308b\u3044\u306f\u75c5\u614b\u306e\u3053\u306e\u6642\u70b9\u3067\u3001\u4f55\u304c\u3053\u306e\u60a3\u8005\u306e\u305f\u3081\u306e\u6700\u5584\u306e\u4e00\u9023\u306e\u30a2\u30af\u30b7\u30e7\u30f3\u304b\u3001\u3092\u554f\u3046\u3082\u306e\u3067\u3042\u308b\u201d\u3002\u201d\u305d\u306e\u305f\u3081\u306b\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u305d\u306e\u60a3\u8005\u306e\u305f\u3081\u306b\u500b\u5225\u5316\u3055\u308c\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u9069\u5207\u306a\u30b1\u30a2\u306e\u6c7a\u65ad\u306f\u6700\u5584\u306e\uff08\u5e73\u5747\u3068\u3057\u3066\u306e\uff09\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u306f\u7570\u306a\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u201d\u3068\u8ff0\u3079\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"has-light-blue-background-color has-background\">\u3053\u306e\u70b9\u3067\u306fDecision science, Multi-criteria decision analysis \uff08MCDA\uff09\u3001Shared Decision Making\u306e\u7406\u89e3\u3068\u5b9f\u8df5\u30b9\u30ad\u30eb\u304c\u6c42\u3081\u3089\u308c\u3066\u3044\u308b\u3068\u601d\u3044\u307e\u3059\u3002<br><br>Comparative Effectiveness Research\u6bd4\u8f03\u52b9\u679c\u7814\u7a76\u306e\u5fc5\u8981\u6027\u3082\u95a2\u9023\u3057\u3066\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u81e8\u5e8a\u7814\u4fee\u306f\u30eb\u30fc\u30eb\u306b\u5f93\u3046\u3053\u3068\u304b\u3089\u3001\u65b9\u5411\u3092\u5909\u3048\u308b\u5fc5\u8981\u304c\u3042\u308b\u3053\u3068\u3082\u4e3b\u5f35\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u201d\u57fa\u790e\u7684\u306a\u6570\u91cf\u30ea\u30c6\u30e9\u30b7\u30fcnumeracy\u3001\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u691c\u7d22\u3001\u7814\u7a76\u306b\u5bfe\u3057\u3066\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u306b\u8cea\u554f\u3067\u304d\u308b\u80fd\u529b\u3092\u542b\u3080\u6279\u5224\u7684\u541f\u5473\u306e\u30b9\u30ad\u30eb\u306fEBM\u306e\u30b3\u30f3\u30d4\u30c6\u30f3\u30b9\u306e\u524d\u63d0\u3067\u3042\u308a\u3001\u81e8\u5e8a\u5bb6\u306f\u3053\u308c\u3089\u3092\u5b9f\u969b\u306e\u60a3\u8005\u306b\u9069\u7528\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u201d\u3068\u3044\u3046\u3053\u3068\u3082\u8ff0\u3079\u3089\u308c\u3066\u3044\u307e\u3059\u3002<br><br>\u6700\u5f8c\u306b\u3001\u2606<strong>\u771f\u306eEBM\u306e\u305f\u3081\u306e\u30ad\u30e3\u30f3\u30da\u30fc\u30f3<\/strong>\u3068\u3057\u3066\u3001\u904e\u5270\u533b\u7642\u3078\u306e\u5bfe\u7b56\u3001\u3059\u3079\u3066\u306e\u81e8\u5e8a\u7814\u7a76\u306e\u767b\u9332\u3001\u533b\u5b66\u7814\u7a76\u304a\u3051\u308b\u7121\u99c4\u306e\u4f4e\u6e1b\u3001\u51fa\u7248\u306e\u6c34\u6e96\u306e\u6539\u5584\u3001\u7d71\u5408\u5316\u3055\u308c\u305f\u533b\u5b66\u6559\u80b2\u304c\u6319\u3052\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"has-light-blue-background-color has-background\">2014\u5e74\u306e\u8ad6\u6587\u306a\u306e\u3067\u3001\u3053\u306e\u8ad6\u6587\u3067\u6307\u6458\u3055\u308c\u305f\u554f\u984c\u3084\u8ab2\u984c\u306f\u3001\u4eca2021\u5e74\u306e\u6642\u70b9\u3067\u306f\u3001\u305d\u306e\u5f8c\u3001\u89e3\u6c7a\u3055\u308c\u305f\u308a\u3001\u89e3\u6c7a\u306b\u5411\u304b\u3063\u3066\u9032\u307f\u3064\u3064\u3042\u308b\u3082\u306e\u3082\u3042\u308b\u3067\u3057\u3087\u3046\u3057\u30012014\u5e74\u306e\u6642\u70b9\u3067\u306f\u307e\u3060\u308f\u304b\u3089\u305a\u305d\u306e\u5f8c\u65b0\u305f\u306b\u51fa\u3066\u304d\u305f\u554f\u984c\u3084\u8ab2\u984c\u3082\u3042\u308b\u3067\u3057\u3087\u3046\u3002<br><br>MAGICapp\u306f\u3001\u3044\u307e\u3060\u89e3\u6c7a\u3055\u308c\u3066\u3044\u306a\u3044\u8ab2\u984c\u306b\u5fdc\u3048\u3088\u3046\u3068\u3059\u308b\u6d3b\u52d5\u306e\u3072\u3068\u3064\u306e\u3088\u3046\u3067\u3059\u304c\u3001\u89e3\u6c7a\u6cd5\u306f\u3072\u3068\u3064\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>MGICapp\u306e\u30a6\u30a7\u30d6\u30b5\u30a4\u30c8\u3067Publications\u306e\u30bf\u30d6\u3092\u958b\u304f\u3068\u3001Vandvik P\u306e2016\u5e74\u306eGuidelines International Network \uff08G-I-N\uff09\u306b\u304a\u3051\u308b&#8221;The Evid &hellip; <a href=\"https:\/\/info.zanet.biz\/?p=998\" class=\"more-link\"><span class=\"screen-reader-text\">&#8220;EBM crisis?&#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":[5,8,6],"tags":[],"class_list":["post-998","post","type-post","status-publish","format-standard","hentry","category-cpg","category-essay","category-sdm"],"_links":{"self":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/998","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=998"}],"version-history":[{"count":4,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/998\/revisions"}],"predecessor-version":[{"id":1020,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/998\/revisions\/1020"}],"wp:attachment":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=998"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=998"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=998"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}