2016/11/5

2016/11/05

dr.kenta.sato@gmail.com

GPMEC

6935211

415

185

14

151

416

194

50

80

14

104

55

199 4

GPMEC

20135
450110

2016/11/5

1073048

20

1073048

30

2JR
3

201240

2195

10

2016/11/5

1948 3
1949
5 10

1958 62
1975
1978
198186 4

2002

2004

10Max236
22

2010 10
2013

5550

0415
0512
06 9
07 7
0813
0914
10 5

1000

10

250
55

2013

800

0
1
1

2/75

640
650
556
229
969
643
120

2011

2011
2012
201110
2013

2013

2016/11/5

2016

()

HPH

ICU/HCU

()

DPC

Interprofessional work()

()

76%

10%

HP http://www.min-iren.gr.jp/ikei-gakusei/igakusei/zi5_medi/2011/049/mw-ken-49.html
HP http://www.chidoribashi-hp.or.jp/chidoribashi-hph/index.html

0.6%

2016/11/5

ER

CommonDisease

JPCA

SCAT
CRBSI

GTA

COPCPDSA
IPE
CBPR)

2016/11/5

rural and physician and arrangement or recruitment

2.9
3.1
4.7

4.7

Matsumoto, et al. Soc Sci Med 2010

Matsumoto, et al. Soc Sci Med 2010

2016/11/5

--
GPMEC
100

NPO
Dr.G
JIM7Hospitalistetc.

201111

4645

2016/11/5

22!!

20

15

10

06

07

08

09

10

11

12

13

14

25

45
()()

45

79

1822

2.3%

1
1

/5

1/7

2016/11/5

30

2JR
3

201240

COME: Community-Oriented Medical Education

Community
Oriented

etc.

2016/11/5

()()

km2
km2:km2

km2

2007-2010

10

2016/11/5

Common

11

2016/11/5

M:

P:

Q:QOL

!?

C:

MSW

MSW

12

2016/11/5

13

2016/11/5

Significant event analysis(SEA)

http://logmi.jp/19478

14

2016/11/5

Interprofessional WorkIPW

IPE

Uni - professional Stage

Inter - professional Stage

Trans - professional Stage

15

2016/11/5

102
154 330

1km
0.058 47

11

Community-Based Participatory Research

A chain is as strong as
its weakest link

?
? ?

?
?
?

!?

!!

16