{"id":1725,"date":"2024-04-11T17:54:12","date_gmt":"2024-04-11T08:54:12","guid":{"rendered":"https:\/\/www.jpscs.org\/?p=1725"},"modified":"2024-04-11T17:54:12","modified_gmt":"2024-04-11T08:54:12","slug":"%e8%b3%aa%e3%80%80%ef%bc%88%e5%8c%bb%e7%99%82%e3%81%ae%e8%b3%aa%ef%bc%89","status":"publish","type":"post","link":"https:\/\/www.jpscs.org\/?p=1725","title":{"rendered":"\u8cea\u3000\uff08\u533b\u7642\u306e\u8cea\uff09"},"content":{"rendered":"\n

\u3057\u3064\u3000\uff08\u3044\u308a\u3087\u3046\u306e\u3057\u3064\uff09<\/p>\n\n\n\n

Quality\u3000\uff08healthcare quality\uff09<\/p>\n\n\n\n

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\u89e3\u8aac
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\u9805\u3092\u6e80\u305f\u3059\u7a0b\u5ea6\uff08ISO9000\uff093)<\/sup>\uff0c(2) \u88fd\u54c1\u30fb\u30b5\u30fc\u30d3\u30b9\uff0c\u30d7\u30ed\u30bb\u30b9\uff0c\u30b7\u30b9\u30c6\u30e0\uff0c\u7d4c\u55b6\uff0c\u7d44\u7e54\u98a8\u571f\u7b49\uff0c\u95a2\u5fc3\u306e
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\u533b\u7642\u300d\u306b\uff0c\u300c\u5b9f\u969b\u306b\u63d0\u4f9b\u3057\u3066\u3044\u308b\u533b\u7642\u300d\u304c\u3069\u3053\u307e\u3067\u8fd1\u3065\u3044\u3066\u3044\u308b\u304b\u306e\u7a0b\u5ea6\u3092\u6307\u3057\u3066\u3044\u308b\u3068\u3044\u3048\u308b\uff0e\u6b74\u53f2\u7684\u306b\u306f\uff0c1980 \u5e74\u306b Donabedian \u304c\u533b\u7642\u306e\u8cea\u3092\u300c\u6b63\u5f53\u306a\u65b9\u6cd5\u3067\u72d9\u3063\u305f\u76ee\u6a19\u3092\u9054\u6210\u3059\u308b\u80fd\u529b\u300d\u3068\u8868\u73fe\u3057\u305f\u3053\u3068\u304c\u5b9a\u7fa9\u306e\u691c\u8a0e\u306e\u59cb\u307e\u308a\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b 5)<\/sup>\uff0e2001 \u5e74\uff0c\u7c73\u56fd\u533b\u5b66\u7814\u7a76\u6240(Institute of Medicine: IOM)\u306f\u533b
\u7642\u306e\u8cea\u3092\u69cb\u6210\u3059\u308b 6 \u3064\u306e\u7279\u6027\u3068\u3057\u3066\uff0c\u5b89\u5168\u6027(Safe)\uff0c\u9069\u6642\u6027(Timely)\uff0c\u6709\u52b9\u6027(Effective)\uff0c\u52b9\u7387\u6027(Efficient)\uff0c\u516c\u5e73\u6027(Equity)\uff0c\u60a3\u8005\u4e2d\u5fc3\u5fd7\u5411(Patient-centeredness)\u3092\u3042\u3052\u305f\uff08STEEEP)6)<\/sup>\uff0eWHO \u306f
IOM \u306e\u63b2\u3052\u305f\u8cea\u306e\u5074\u9762\u3092\u6574\u7406\u3057\uff0c\u8cea\u306e\u9ad8\u3044\u533b\u7642\u30b5\u30fc\u30d3\u30b9\u3092\u63d0\u4f9b\u3059\u308b\u305f\u3081\u306b\u306f\uff0c\u5fc5\u8981\u3068\u3057\u3066\u3044\u308b\u4eba\u3005\u306b\u6839
\u62e0\u306b\u57fa\u3065\u304f\u533b\u7642\u30b5\u30fc\u30d3\u30b9\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\uff08\u6709\u52b9\u6027\uff09\uff0c\u533b\u7642\u3092\u63d0\u4f9b\u3057\u3088\u3046\u3068\u3057\u3066\u3044\u308b\u4eba\u3005\u306b\u5bfe\u3059\u308b\u5bb3\u3092\u907f\u3051\u308b\u3053\u3068\uff08\u5b89\u5168\u6027\uff09\uff0c\u500b\u3005\u306e\u597d\u307f\uff0c\u8981\u6c42\uff0c\u4fa1\u5024\u306b\u5fdc\u3058\u3066\u63d0\u4f9b\u3059\u308b\u533b\u7642\uff08\u4eba\u9593\u4e2d\u5fc3\u6027\uff09\u304c\u91cd\u8981\u3067\u3042\u308b\u3068\u3057\uff0c\u3055\u3089\u306b\uff0c\u8cea\u306e\u9ad8\u3044\u533b\u7642\u3092\u5b9f\u73fe\u3059\u308b\u305f\u3081\u306b\uff0c\u533b\u7642\u30b7\u30b9\u30c6\u30e0\u306f\uff0c\u5f85\u3061\u6642\u9593\u3084\u6709\u5bb3\u306a\u9045\u5ef6\u3092\u6e1b\u3089\u3057\uff08\u9069\u6642\u6027\uff09\uff0c\u5e74\u9f62\uff0c\u6027\u5225\uff0c\u30b8\u30a7\u30f3\u30c0\u30fc\uff0c\u4eba\u7a2e\uff0c\u6c11\u65cf\uff0c\u5730\u7406\u7684\u4f4d\u7f6e\uff0c\u5b97\u6559\uff0c\u793e\u4f1a\u7d4c\u6e08\u7684\u5730\u4f4d\uff0c\u8a00\u8a9e\uff0c\u3042\u308b\u3044\u306f\u6240\u5c5e\u653f\u515a\u306b\u3088\u3063\u3066\u8cea\u306b\u5dee\u304c\u751f\u3058\u308b\u3053\u3068\u306e\u306a\u3044\u3088\u3046\u306b\u3057\uff08\u516c\u5e73\u6027\uff09\uff0c\u69d8\u3005\u306a\u533b\u7642\u72b6\u6cc1\u306b\u95a2\u308f\u308b\u533b\u7642\u5f93\u4e8b\u9593\uff0c\u3042\u308b\u3044\u306f\u69d8\u3005\u306a\u30bf\u30a4\u30d7\u306e\u533b\u7642\u6a5f\u95a2\u3084\u798f\u7949\u65bd\u8a2d\u306a\u3069\u304c\u9069\u5207\u306b\u9023\u643a\u3057\u306a\u304c\u3089\uff0c\u751f\u6daf\u3092\u901a\u3058\u3066\u3042\u3089\u3086\u308b\u7a2e\u985e\u306e\u4fdd\u5065\u533b\u7642\u30b5\u30fc\u30d3\u30b9\u3092\u63d0\u4f9b\u3057\uff08\u7d71\u5408\u6027\u3082\u3057\u304f\u306f\u5305\u62ec\u6027\uff09\uff0c\u5229\u7528\u53ef\u80fd\u306a\u8cc7\u6e90\u306e\u5229\u76ca\u3092\u6700\u5927\u5316\u3057\u3066\u7121\u99c4\u3092\u907f\u3051\u308b\uff08\u52b9\u7387\u6027\uff09\u3082\u306e\u3067\u3042\u308b\u3079\u304d\u3060\u3068\u3057\u305f 1,7)<\/sup>\uff0e
\u53c2\u8003\u6587\u732e
1) World Health Organization. Handbook for national quality policy and strategy: a practical
approach for developing policy and strategy to improve quality of care. Geneva (2018)
https:\/\/www.who.int\/publications-detail-redirect\/9789241565561<\/a>[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]
2) \u516c\u76ca\u8ca1\u56e3\u6cd5\u4eba\u65e5\u672c\u533b\u7642\u6a5f\u80fd\u8a55\u4fa1\u6a5f\u69cb\uff0e\u533b\u7642\u306e\u8cea\u6307\u6a19\u57fa\u672c\u30ac\u30a4\u30c9\uff5e\u8cea\u6307\u6a19\u306e\u9069\u5207\u306a\u8a2d\u5b9a\u3068\u8a08\u6e2c\uff5e\u7b2c 1
\u7248\uff0e(2023) https:\/\/jq-qiconf.jcqhc.or.jp\/wordpress\/wpcontent\/uploads\/2022\/03\/77004a046a06cccbe8e94f8f9f77f1f9.pdf<\/a>[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]
3) \u54c1\u8cea\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u30b7\u30b9\u30c6\u30e0 9000:2015. (2015)
4) \u65e5\u672c\u54c1\u8cea\u7ba1\u7406\u5b66\u4f1a\uff0e\u54c1\u8cea\u7ba1\u7406\u7528\u8a9e JSQC-Std 00-001:2018. (2018)
5) Donabedian A(\u8457),\u6771\u5c1a\u5f18 (\u7ffb\u8a33)\uff0e\u533b\u7642\u306e\u8cea\u306e\u5b9a\u7fa9\u3068\u8a55\u4fa1\u65b9\u6cd5\uff0e\u7279\u5b9a\u975e\u55b6\u5229\u6d3b\u52d5\u6cd5\u4eba \u5065\u5eb7\u533b\u7642\u8a55\u4fa1
\u7814\u7a76\u6a5f\u69cb\uff0e2007 \u5e74\uff0eISBN-10:4903803007
6) Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the
Quality Chasm: A New Health System for the 21st Century. Washington DC: National
Academies Press US; 2001. https:\/\/doi.org\/10.17226\/10027<\/a>[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]
7) World Health Organization. Framework on integrated, people-centred health services. (2016)
https:\/\/apps.who.int\/gb\/ebwha\/pdf_files\/WHA69\/A69_39-en.pdf?ua=1<\/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":"

\u3057\u3064\u3000\uff08\u3044\u308a\u3087\u3046\u306e\u3057\u3064\uff09 Quality\u3000\uff08healthcare quality\uff09 \u5b9a\u7fa9\u500b\u4eba\u53ca\u3073\u96c6\u56e3\u306b\u5bfe\u3059\u308b\u4fdd\u5065\u30b5\u30fc\u30d3\u30b9\u304c\uff0c\u671f\u5f85\u3057\u305f\u5065\u5eb7\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u9054\u6210\u3067\u304d\u308b\u53ef\u80fd\u6027\u3092\u5897\u3084\u3057\uff0c\u304b\u3064\u305d\u308c\u304c\u6700\u65b0\u306e\u5c02\u9580\u77e5\u8b58\u306b\u6cbf\u3063\u3066\u3044\u308b\u7a0b\u5ea6 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-1725","post","type-post","status-publish","format-standard","hentry","category-7"],"_links":{"self":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1725","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=1725"}],"version-history":[{"count":2,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1725\/revisions"}],"predecessor-version":[{"id":1847,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1725\/revisions\/1847"}],"wp:attachment":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1725"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1725"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1725"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}