{"id":1710,"date":"2024-04-11T16:58:03","date_gmt":"2024-04-11T07:58:03","guid":{"rendered":"https:\/\/www.jpscs.org\/?p=1710"},"modified":"2024-04-11T16:58:03","modified_gmt":"2024-04-11T07:58:03","slug":"%e5%85%b1%e5%90%8c%e6%84%8f%e6%80%9d%e6%b1%ba%e5%ae%9a","status":"publish","type":"post","link":"https:\/\/www.jpscs.org\/?p=1710","title":{"rendered":"\u5171\u540c\u610f\u601d\u6c7a\u5b9a"},"content":{"rendered":"\n

\u304d\u3087\u3046\u3069\u3046\u3044\u3057\u3051\u3063\u3066\u3044<\/p>\n\n\n\n

Shared decision-making (SDM)<\/p>\n\n\n\n

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\u542b\u3080\uff09\u3053\u3068\u3092\u53ef\u80fd\u306b\u3059\u308b\uff08National Institute for Health and Clinical Excellence\uff08NICE, \u82f1\u56fd\u56fd\u7acb\u533b\u7642\u6280\u8853\u8a55\u4fa1\u6a5f\u69cb\uff09\u306e\u5b9a\u7fa9\uff094)<\/sup>\uff0e\u814e\u4ee3\u66ff\u7642\u6cd5\u306e\u9078\u629e\uff08\u8840\u6db2\u900f\u6790\uff0c\u8179\u819c\u900f\u6790\uff0c\u814e\u81d3\u79fb\u690d\uff09\u3084\uff0c\u524d\u7acb\u817a\u764c\u306e\u6cbb\u7642\u9078\u629e\uff08\u624b\u8853\u7642\u6cd5\uff0c\u653e\u5c04\u7dda\u91cf\u7642\u6cd5\uff0c\u5f85\u6a5f\u7642\u6cd5\u7b49\uff09\u7b49\u306e\u3088\u3046\u306b\uff0c\u500b\u3005\u306e\u60a3\u8005\u306b\u3068\u3063\u3066\u6700\u826f\u306e\u6cbb\u7642\u6cd5\u3092\u6c7a\u3081\u308b\u306e\u306b\uff0c5 \u5e74\u751f\u5b58\u7387\u7b49\u306e\u533b\u5b66\u7684\u6210\u7e3e\u3060\u3051\u3067\u306f\u6c7a\u3081\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u3044\u72b6\u6cc1\u304c\u5897\u3048\u3066\u304d\u3066\u3044\u308b\uff0e\u3053\u3046\u3057\u305f\u5834\u5408\uff0c\u300c\u533b\u5e2b\u304c\u308f\u304b\u308a\u3084\u3059\u304f\uff0c\u5341\u5206\u306a\u8aac\u660e\u300d\u3092\u884c\u3048\u3070\uff0c\u300c\u60a3\u8005\u304c\u81ea\u7acb\u3057\u3066\uff0c\u81ea\u5206\u306e\u5224\u65ad\u3067\u6c7a\u3081\u3089\u308c\u308b\u300d\u3068\u306f\u9650\u3089\u306a\u3044\uff0e\u533b\u7642\u8005\u3068\u60a3\u8005\uff0c\u5bb6\u65cf\u304c\uff0c\u6cbb\u7642\u306e\u30b4\u30fc\u30eb\u3084\u5e0c\u671b\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3044\uff0c\u6700\u826f\u3068\u601d\u3048\u308b\u9078\u629e\u3092\u898b\u3064\u3051\u308b\u30d7\u30ed\u30bb\u30b9\u304c SDM \u3067\u3042\u308a\uff0c\u60a3\u8005\u53c2\u52a0\u578b\u533b\u7642\u306e\u8981\u3067\u3082\u3042\u308b 1)\uff0e\u533b\u7642\u4e0a\u306e\u610f\u601d\u6c7a\u5b9a\u306b\u81f3\u308b\u4ee3\u8868\u7684\u306a\u30d7\u30ed\u30bb\u30b9\u306f\uff0c\u30d1\u30bf\u30fc\u30ca\u30ea\u30ba\u30e0\u30e2\u30c7\u30eb\uff0c\u60c5\u5831\u63d0\u4f9b\u30e2\u30c7\u30eb(informed\u3000model)\uff0c\u5171\u540c\u610f\u601d\u6c7a\u5b9a\u306b\u5927\u5225\u3067\u304d\uff0c\u30d1\u30bf\u30fc\u30ca\u30ea\u30ba\u30e0\u3068\u60c5\u5831\u63d0\u4f9b\u30e2\u30c7\u30eb\u3067\u306f\u4e3b\u3068\u3057\u3066\u533b\u5b66\u7684\u60c5\u5831\u304c\u60a3\u8005\u306b\u63d0\u4f9b\u3055\u308c\u308b\u304c\uff0c\u5171\u540c\u610f\u601d\u6c7a\u5b9a\u3067\u306f\u533b\u7642\u8005\u304c\u533b\u5b66\u7684\u60c5\u5831\u3092\u63d0\u4f9b\u3057\uff0c\u60a3\u8005\u304c\u81ea\u3089\u306e\u4fa1\u5024\u89b3\uff0c\u9078\u597d\u3092\u4f1d\u3048\uff0c\u4e21\u8005\u304c\u5354\u50cd\u3057\u6700\u826f\u3068\u601d\u308f\u308c\u308b\u6c7a\u5b9a\u306b\u81f3\u308b\uff0e\u306a\u304a\uff0c\u5171\u540c\u610f\u601d\u6c7a\u5b9a\u3068\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30fb\u30b3\u30f3\u30bb\u30f3\u30c8\u306f\u5bfe\u7acb\u3059\u308b\u6982\u5ff5\u3067\u306f\u306a\u3044\uff0c\u5171\u540c\u610f\u601d\u6c7a\u5b9a\u306b\u3088\u3063\u3066\u624b\u8853\u7642\u6cd5\u3092\u9078\u629e\u3057\u305f\u5834\u5408\u3067\u3082\uff0c\u624b\u8853\u306b\u3042\u305f\u3063\u3066\u306f\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30fb\u30b3\u30f3\u30bb\u30f3\u30c8\u3092\u53d7\u3051\u3068\u308b\u5fc5\u8981\u304c\u3042\u308b 5)<\/sup>\uff0e\u307e\u305f\uff0c\u60a3\u8005\u304c\u9078\u629e\u80a2\u3092\u5341\u5206\u306b\u7406\u89e3\u3057\uff0c\u7d0d\u5f97\u3067\u304d\u308b\u6c7a\u5b9a\u306b\u81f3\u308b\u3068\u3044\u3046\u70b9\u3067\uff0c\u5171\u540c\u610f\u601d\u6c7a\u5b9a\u306f\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30fb\u30b3\u30f3\u30bb\u30f3\u30c8\u306e\u30d7\u30ed\u30bb\u30b9\u3092\u5f37\u5316\u3059\u308b\u3082\u306e\u3068\u3082\u8003\u3048\u3089\u308c\u3066\u3044\u308b 6)<\/sup>\uff0e\u82f1\u56fd NICE \u306e\u5b9a\u7fa9\u306b\u307f\u3089\u308c\u308b\u3088\u3046\u306b\uff0c\u8fd1\u5e74\u306f\uff0c\u5177\u4f53\u7684\u306a\u300c\u9078\u629e\u300d\u3060\u3051\u3067\u306f\u306a\u304f\uff0c\u5c06\u6765\u306e\u6cbb\u7642\u65b9\u91dd\uff0c\u76ee\u6a19\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3046\u3053\u3068\u3082\u5bfe\u8c61\u3068\u3059\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304a\u308a\uff0c\u3053\u306e\u5834\u5408\uff0c\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u3082\u5171\u540c\u610f\u601d\u6c7a\u5b9a\u306e\u5bfe\u8c61\u3068\u306a\u308b 4)<\/sup>\uff0e

\u53c2\u8003\u6587\u732e
1) Barry MJ, Edgman-Levitan S. Shared decision making–pinnacle of patient-centered care. N
Engl J Med (2012) 366:780-781. https:\/\/doi.org\/10.1056\/NEJMp1109283<\/a>[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]
2) Cribb A, Entvistle VA. Shared decision making: trade-offs between narrower and broader
conceptions. Health Expect (2011) 14:210-219. https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1369-
7625.2011.00694.x<\/a>[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]
3) Elwyn G, et al. A three-talk model for shared decision making: multistage consultation process.
BMJ 2017;359:j4891. https:\/\/www.bmj.com\/content\/bmj\/359\/bmj.j4891.full.pdf<\/a>[\u30a2\u30af\u30bb\u30b9\u65e5
2023.05.07]
4) NICE. Shared decision making. NICE guideline NG197<\/a>.
https:\/\/www.nice.org.uk\/guidance\/ng197\/resources\/shared-decision-making-pdf66142087186885<\/a>[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]
5) \u5c0f\u677e\u5eb7\u5b8f\uff0eSDM \u306e\u8003\u3048\u65b9\uff0e\u65e5\u672c\u533b\u7642\u7814\u7a76\u958b\u767a\u6a5f\u69cb(AMED)\u9577\u5bff\u79d1\u5b66\u7814\u7a76\u958b\u767a\u4e8b\u696d \u9ad8\u9f62\u814e\u4e0d\u5168\u60a3\u8005
\u306b\u5bfe\u3059\u308b\u814e\u4ee3\u66ff\u7642\u6cd5\u306e\u958b\u59cb\/\u898b\u5408\u308f\u305b\u306e\u610f\u601d\u6c7a\u5b9a\u30d7\u30ed\u30bb\u30b9\u3068\u6700\u9069\u306a\u7de9\u548c\u533b\u7642\u30fb\u30b1\u30a2\u306e\u69cb\u7bc9\u300d\u7814\u7a76\u73ed
\uff08\u7de8\u96c6\uff09\uff0e\u9ad8\u9f62\u814e\u4e0d\u5168\u60a3\u8005\u306e\u305f\u3081\u306e\u4fdd\u5b58\u7684\u814e\u81d3\u7642\u6cd5\uff0e\u6771\u4eac\u533b\u5b66\u793e 2022 \u5e74\uff0e
6) Childress JF & Childress MD. What Does the Evolution From Informed Consent to Shared
Decision Making Teach Us About Authority in Health Care? AMA J Ethics (2020) 22:E423-429.
https:\/\/journalofethics.amaassn.org\/sites\/journalofethics.ama-assn.org\/files\/2020-04\/mhst1-2005.pdf<\/a>[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]<\/p>\n\n\n\n

\u672c\u7528\u8a9e\u306b\u5bfe\u3059\u308b\u3054\u610f\u898b\u304c\u3054\u3056\u3044\u307e\u3057\u305f\u3089\u3001\u3053\u3061\u3089\u304b\u3089\u304a\u5bc4\u305b\u304f\u3060\u3055\u3044\u3002<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\u304d\u3087\u3046\u3069\u3046\u3044\u3057\u3051\u3063\u3066\u3044 Shared decision-making (SDM) \u5b9a\u7fa9\u533b\u5b66\u60c5\u5831\u3068\u60a3\u8005\u306e\u4fa1\u5024\u89b3\uff0c\u9078\u597d\u306b\u57fa\u3065\u3044\u3066\uff0c\u533b\u7642\u8005\u3068\u60a3\u8005\u304c\u5354\u50cd\u3057\u3066\uff0c\u60a3\u8005\u306b\u3068\u3063\u3066\u6700\u5584\u306e\u533b\u7642\u4e0a\u306e\u6c7a\u5b9a\u306b\u81f3\u308b\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u306e\u30d7\u30ed\u30bb\u30b9 1- […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-1710","post","type-post","status-publish","format-standard","hentry","category-7"],"_links":{"self":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1710","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1710"}],"version-history":[{"count":2,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1710\/revisions"}],"predecessor-version":[{"id":1811,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1710\/revisions\/1811"}],"wp:attachment":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1710"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1710"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1710"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}