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well-being


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Community department unitement

Community nurse Doctor

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Patient experience

50

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6 4 CFMD

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COI

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MRAB

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DPT-IPV MRDPT
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HBV

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Lessons HIV ART 1990
15

PCV13
2015 NEJM


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PCV PPSV PCV13


PPSV23

MR
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MR MMR

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by
HPV

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21 GPMEC

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Annual Evidence Update in Primary Care


EBM

EBM EBMer

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AJRCCM2016(26974879)
30 RR0.73 RR1.32

SR 3

1 SSCG2016

JAMA2016(27695824)
RCT Severe sepsis
50mg200mg/day5 14
ARR CI
160 164
n

SSCG2016 2015
RR0.88 28

NEJM2016(27797317)

Wells D CTor
17Wells DD 42
53.6% 46.6%
24.7

1/8 5
1
0.02% 1.61


LDL Lower is better? JAMA-IM(27322095)
3 AMIUAEAP
70 100 130 3
130 HR0.89

1.6
Lower is better
Fire and forget

JAMA2016(27131100)
647 ORS 7
24 3
2 3 5 67 16ORS25
0.9 6.8


ORS

JAMA-IM2016(27455166)

PSI1-3

UTI


JAMA-IM2016176:1254-1255P I
PCG 3


AIM2016(26975007)
RCT



1/4 33%
ITT

CT Thorax2017(27364640)
1-
- CT


RCT POEMs
NERSON RCT


CT CT 2011NLST NEJM
USPSTF 55-80 B
USPSTF

USPSTF 2017 4
55-69
1000 PSA 240 100 20-50 QOL
80 65 15
60
3

3 1


BMJ201627029547

DPP4

DPP4
SUDPP4
SU
DM

JAMA-IM2017(27918778)
0.5-1 1-2

PPI CKD
613

PPI

10 50


OS
n

1900 1950
1970

2000
Big E
1970

Small e()

Yes or No
How?
What?
RQ Open question

RQ

Grounded theory approach


SRQR
JPCA

GTDMGTDThematic analysis
Narrative analysisRIASSCATetc

A.


B.
C.

RIAS



Reflexitivity

D.

Theory
emergence


JPCA

SRQR

12

WHO
ACC/AHA Class1

96.4% 3.1 211


Illness trajectory

NYHA AHA stageAD


StageD QOL

StageC
Total pain
ACP

300 1-

3
BMJ2016 Mcllvennan Primary Secondary Tertiary
3 3

1000

QOL
4 77

3 SAT MI 7 ICD
15
GFR BNP 1000 1 40
ChildC
NYHA43 Crackle
Cr3CXR MR3EF30CS3Nohria
warm/wet
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15 50

13 45 Class up

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