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働き方改革を支える病児保育

2005c9d75afe0ced0255c41fc3eb2b2a?s=47 masaki
November 06, 2019

 働き方改革を支える病児保育

茨城県医師会 第12回 男女共同参画フォーラム
2019/11/10(日)
ホテルテラスザ・ガーデン水戸

「働き方改革を支える病児保育」

2005c9d75afe0ced0255c41fc3eb2b2a?s=128

masaki

November 06, 2019
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  1. ୈճஉঁڞಉࢀըϑΥʔϥϜߨԋ ʮಇ͖ํվֵΛࢧ͑Δපࣇอҭʯ $**OD୅දऔక໾౦ژେֶ࢈්ਓՊڭࣨ Ԃాਖ਼थ Ἒ৓ݝҩࢣձ

  2. ຊ೔ͷεϥΠυ͸ຕͱଟ͍ͨΊ ൈਮͯ͠ࣄલ഑෍ࢿྉͱ͠·ͨ͠ɻ 23ίʔυ ͢΂ͯͷࢿྉ͸ͪ͜Β͔ΒӾཡͰ͖·͢ IUUQTCJUMZ//V0$:

  3. w ໌೔͔Βಇ͖ํվֵΛ࣮ߦ͢Δ ɹɹɹ͋ͳͨͷ৬৔ͷ࢒ۀΛݮΒ͢ͷํ๏ ຊ೔ͷΰʔϧ w ಇ͖ํվֵʹपғΛר͖ࠐΉ w ಇ͖ํվֵͷඞཁੑͱํ๏Λೝࣝ͢Δ

  4. ࣗݾ঺հ ୈ̍ষɹಇ͖ํվֵɹ෼ʴ෼ ୈ̎ষɹঁੑҩࢣͷಇ͖ํͱӃ಺อҭɹ෼ʴ෼ ୈ̏ষɹපࣇอҭͱҩࢣͷىۀɹ෼ʴ෼ ࣭ٙԠ౴ɹ෼ ΞδΣϯμ

  5. وॏͳػձΛຊ౰ʹ͋Γ͕ͱ͏͍͟͝·͢ɻ ஛த৻ઌੜ Ԃాਖ਼थ

  6. ࢈්ਓՊҩ ౦ ژ େ ֶ େ ֶ Ӄ ެ ऺ

    Ӵ ੜ ֶ ࢈ ් ਓ Պ ֶ ձ ҩ ྍ վ ֵ ҕ һ ձ ઐ ໳ ҩ ੍ ౓ ҕ һ ձ පࣇอҭͷઐ໳Ո ࢈්ਓՊҩ͔Βපࣇอҭͷઐ໳Ո΁
  7. ࣗݾ঺հ ୈ̍ষɹಇ͖ํվֵɹ෼ʴ෼ ୈ̎ষɹঁੑҩࢣͷಇ͖ํͱӃ಺อҭɹ෼ʴ෼ ୈ̏ষɹපࣇอҭͱҩࢣͷىۀɹ෼ʴ෼ ࣭ٙԠ౴ɹ෼ ΞδΣϯμ

  8.   ࣌ؒ֎࿑ಇΛ·ͣ͸͜ͷϨϕϧ·ͰԼ͛Δʂ ʢ࣮ྫΛݩʹ࡞੒ʣ ա࿑ࢮϥΠϯ ΩʔʹͳΔ਺ࣈ

  9.  ࣌ؒ ա࿑ࢮϥΠϯ ΩʔʹͳΔ਺ࣈ

  10. ᶃॏ఺Խʢू໿Խʣ ᶄมܗ࿑ಇ੍࣌ؒ ᶅ୹࣌ؒۈ຿ऀͷ׆༂ ࣌ؒ֎࿑ಇΛݮΒͨ͢Ίʹඞཁͳ͜ͱʢཧ࿦ฤʣ

  11. ϚΫϩฤ ްੜ࿑ಇলҩࢣͷಇ͖ํվֵʹؔ͢Δݕ౼ձΛத৺ʹ

  12. ಇ͖ํվֵʢҩࢣ൛ʣ w೥͔Βҩࢣʹ͸దԠ w೥࣌ؒ ݄࣌ؒ Ҏ಺ͷ࣌ؒ֎࿑ಇ͕໨ඪ wಛఆͷҩࢣʹ͸೥࣌ؒ ݄࣌ؒ ·Ͱͷ ࣌ؒ֎࿑ಇΛೝΊΔ

  13. ҩࢣͷۈ຿࣌ؒ ްੜ࿑ಇলɹୈճɹҩࢣͷಇ͖ํվֵʹؔ͢Δݕ౼ձɹࢿྉΑΓ Ҏ্ͷۈ຿ҩ͸ա࿑ࢮϥΠϯΛ௒͑ͯಇ͍͍ͯΔ

  14. एखҩࢣͷಇ͖ํ ްੜ࿑ಇলɹୈճɹҩࢣͷಇ͖ํվֵʹؔ͢Δݕ౼ձɹࢿྉΑΓ ଔޙ̏ ʙ̑ ೥໨ͷපӃۈ຿ҩͷिۈ຿࣌ؒͷ۠෼ผׂ߹˞̎ ˞̍ ۈ຿࣌ؒʹ͍ͭͯ͸ɺʮපӃۈ຿ҩͷۈ຿࣮ଶʹؔ͢Δݚڀʯʢฏ੒೥౓ްੜ࿑ಇߦ੓ਪਐௐࠪࣄۀඅʮපӃۈ຿ҩͷۈ຿࣮ଶʹؔ͢Δௐࠪݚڀʯݚڀ൝ʣͷूܭ݁Ռ͔Βɺʮ਍ྍ ֎࣌ؒʯʢڭҭɺݚڀɺֶशɺݚम౳ʣʹ͓͚Δ্࢘౳͔Βͷࢦࣔʢ໧ࣔతͳࢦࣔΛؚΉɻʣ͕ͳ͍࣌ؒʢௐࠪථʹʮࢦࣔແʯΛهೖʣ͕ ˋͰ͋Δ͜ͱΛ౿·͑ɺʮҩࢣͷۈ຿࣮ଶٴͼ ಇ͖ํͷҙ޲౳ʹؔ͢Δௐࠪʯʹ͓͚Δݸථͷ਍ྍ֎࣌ؒΑΓ࡟ݮͨ͠ɻ

    ˞̎ ݱࡏͷઐ໳ҩ੍౓ʹ͓͚Δઐ߈ҩͷظؒ͸ྟচݚमऴྃޙ̏೥Ҏ্ͱ͞Ε͍ͯΔɻ 6.9% 12.7% 5.2% 1.7% 4.6% 0.0% 5.0% 10.0% 15.0% ि40࣌ؒະຬ ि40Ŗ50࣌ؒ ि50Ŗ60࣌ؒ ि60Ŗ70࣌ؒ ि70Ŗ80࣌ؒ ि80Ŗ90࣌ؒ ि90Ŗ100࣌ؒ ि100࣌ؒҎ্ 5 8.5% 13.9% 24.0% 19.6% 16.0% 10.9% 3.4% 3.8% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% ि40࣌ؒະຬ ि40ʵ50࣌ؒ ि50ʵ60࣌ؒ ि60ʵ70࣌ؒ ि70ʵ80࣌ؒ ि80ʵ90࣌ؒ ि90ʵ100࣌ؒि100࣌ؒҎ্ ˞ʮ ࢦࣔͷͳ͍࣌ؒʯ ͷ࡟ݮޙ 
  15. େֶපӃͷҩࢣͷಇ͖ํ ࣌ؒʙ  ʹ೔ಇ͘ͱͯ࣌ؒ͠EBZͷ࣌ؒ֎ʢա࿑ࢮϥΠϯͷ̎ഒʣ

  16. ୈճ࢈්ਓՊಈ޲ҙࣝௐ͔ࠪΒΘ͔ͬͨ͜ͱ ୈճ࢈්ਓՊಈ޲ҙࣝɾλεΫγϑτௐࠪ ೥݄࣮ࢪ ಇ͍ͯ΋ ධՁ͞Ε͍ͯͳ͍

  17. ࿑ಇ҆શӴੜ๏ ग़ୀۈσʔλͷه࿥͕ٛ຿ ೥݄ʙ

  18. ࿑ಇ҆શӴੜ๏ ϙΠϯτ ࿑ಇ࣌ؒͷঢ়گͷ೺ѲΛ͢Δ΂͖ʮର৅ऀʯ w ձࣾͰಇ͘͢΂ͯͷ࿑ಇऀʢ໾һআ͘ʣ w ࿑ಇج४๏Ͱ͸ɺ؅ཧ؂ಜऀ΍ࣄۀ৔֎ͷΈͳ͕͠ద༻͞ΕΔ ैۀһ͸আ͔Ε͍ͯͨ ʮ࿑ಇ࣌ؒͷzঢ়گzͷ೺Ѳʯ͕໨త w

    ࿑ಇج४๏Λ९क͢Δ໨తͱ͸ҟͳΔ w ๏ఆ࿑ಇ࣌ؒ΍ׂ૿௞ۚͷࢧ෷͍ͳͲ
  19. ಇ͖ํվֵ࣮ݱ΁ͷ՝୊ ू໿Խ͕ग़དྷ͍ͯͳ͍

  20. 7PMVNFPVUDPNFSFMBUJPOTIJQ Birkmeyer JD et al.Surgeon volume and operative mortality in

    the United States. N Engl J Med. 2003,27;349(22):2117-27.
  21. ಇ͖ํվֵ࣮ݱ΁ͷ՝୊ ίϝσΟΧϧ͕গͳ͍ λεΫγϑτ͢Δઌ΋๩ͯ͘͠ɺγϑτग़དྷͳ͍

  22. ܦࡁࡒ੓ࢾ໰ձٞ ׭ຽͰ̍̏ສපচ࡟ݮΛ ҩྍඅ཈੍Ͱຽؒٞһఏݴ w ೥ʹඞཁͱͳΔපচ਺Λࣔ͢ ʮ஍Ҭҩྍߏ૝ʯΛࡦఆ ˞೥ɿஂմͷੈ୅͕ࡀҎ্΁

  23. ϛΫϩฤ Θͨࣗ͠਎ͷ͓࿩ͱ࢈්ਓՊ

  24. ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ ࣌ؒि ݄

    ࣌ؒ େֶि̐ʢ໷ۈ݄ճʣ ʴ֎ۈि̍ʢ࣌ؒʣ ֎ۈ ֎ۈ ֎ۈ େֶපӃ ࣌ ࣌ ࣌ ࣌ ࣌ ࣮ࡍͷ࿑ಇ؀ڥᶃ
  25. िʢ໷ۈ݄ճʣ ʴΦϯίʔϧ݄ճ ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ

    ࣌ؒि ݄ ࣌ؒ ৗۈਓ ஍Ҭप࢈ظ ηϯλʔ" ࣌ ࣌ ࣌ ࣌ ࣌ ࣮ࡍͷ࿑ಇ؀ڥᶄ
  26. िʢ໷ۈ݄ճʣ ʴΦϯίʔϧ݄ճ ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ

    ࣌ؒ ݄ ࣌ؒ ৗۈਓ ʴେֶ֎ۈि̎ ஍Ҭप࢈ظ ηϯλʔ# ࣌ ࣌ ࣌ ࣌ ࣌ ࣮ࡍͷ࿑ಇ؀ڥᶅ
  27. िʢ໷ۈ݄ճʣ ʴΦϯίʔϧ݄ճ ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ

    ࣌ؒ ݄ ࣌ؒ ৗۈਓ ʴେֶ֎ۈि̎ ஍Ҭप࢈ظ ηϯλʔ# ࣌ ࣌ ࣌ ࣌ ࣌ ࣮ࡍͷ࿑ಇ؀ڥᶅ ࣋ଓՄೳͰͳ͍
  28. ࢈්ਓՊͷಛघੑ

  29. ɾएख࢈්ਓՊҩͷ໿ׂ͕ঁੑҩࢣ ɾ࢈Պͷ໷ۈ͸z࢈්ਓՊҩ͚ͩz͕Մೳ ΑΓྑ͍ಇ͖ํվֵ͕ٻΊΒΕΔʂ

  30. ग़య ೔ຊ࢈Պ්ਓՊֶձɹ ೔ຊ࢈්ਓՊҩձ ʮΘ͕ࠃͷ࢈්ਓՊҩྍ ࠶ݐͷͨΊͷۓٸఏݴʯ ฏ੒26೥12݄13೔ ೔ຊ࢈Պ්ਓՊֶձੑผ೥ྸผձһ਺ʢ೥݄ʣ

  31. ϐϯν͸ νϟϯεʂ

  32. ग़య ೔ܦϝσΟΧϧసࡌɹ ʢ2019/2/4ʣ

  33. ࢈Պ්ਓՊֶձ͸ ઌਐతʹٞ࿦ɺఏݴ͍ͯ͠Δ

  34. ࢈්ਓՊͷݱঢ়

  35. ҩࢣ਺ͷਪҠ         

      
  36. ত࿨57೥/ฏ੒9೥ ֳܾٞఆ ฏ੒18೥ ʮ৽ҩࢣ֬อ ɹ૯߹ରࡦʯ ฏ੒20೥ ʮܦࡁࡒ੓վֵ ͷجຊํ਑ 2008ʯ ʢ૿һظؒʣ

    ฏ੒31೥౓·Ͱ (ฏ੒27೥౓·Ͱ) ஍Ҭ࿮ɿ564ਓ ݚڀҩ࿮ɿ40ਓ ஍Ҭ࿮ 1305໊ (14.4%) 62େֶ ஍Ҭ࿮ 1452໊ (15.7%) ฏ੒28೥౓ҩֶ෦ೖֶఆһ૿ʹ͍ͭͯh2ps://www.google.co.jp/url?sa=t&rct=j&q=&esrc=s&source=web&cd=3&ved=0ahUKEwjZw8GFxIPPAhWDopQKHYD7CYsQFggmMAI&url=h2p://www.mext.go.jp/b_menu/houdou/27/10/ __icsFiles/afieldfile/2015/10/23/1363060_4_1.pdf&usg=AFQjCNFoYH3OuEBbjzIdKh2GJMmdS1gl1Q&bvm=bv.132479545,d.dGo ΑΓ࡞੒ ೥ʢ೥લʣ ҩࢣࠃՈࢼݧ߹֨ऀ  ਓ ҩֶ෦ೖֶఆһ਺ͷਪҠ
  37.     ) ) ) ) ) )

    ) )     ࢈්ਓՊઐ߈ҩొ࿥ऀ਺ ઐ߈ҩͱͳΔҩࢣશମʹ͓͚Δ ࢈්ਓՊઐ߈ҩͷׂ߹ ௗऔେֶ খদ޺জઌੜ ஜ೾େֶ ࡉ઒ٛ඙ઌੜ ఏڙσʔλ͔Β࡞੒ ࢈්ਓՊઐ߈ҩ͸ճ෮܏޲ एखҕһൃ଍ ʢˋʣ ʢਓʣ
  38. @தҪ ষਓઌੜʢ೔ຊҩՊେֶʣ ʢҰ෦վมʣ ࢪઃ਺ ෼ṯࢪઃ͸ ݮগ

  39. ࣌ؒ֎࿑ಇͰ ࠷΋ΠϯύΫτ͕͋Δͷ͸ l໷ۈͷճ਺z ʮ౰௚ʯͰ͸ͳ͘ʮ໷ۈʯͰ͢ʂ

  40. ౰௚ͱ͍͏ͷ͸ ʮ౰൪ΛܾΊͯۈ຿͢Δ͜ͱʯ ͱ͍͏ͷ͕ຊདྷͷҙຯɻ ۀ຿಺༰΍ಇ࣌ؒ͘ଳΛࢦ͢΋ͷͰ͸ͳ͘ɺ ೔௚ɺ॓௚ɺͲͪΒ΋౰௚ͱ͍͑Δɻ ࢀߟ ɹ௨ৗۈ຿ɿ೔ۈɺ໷ۈʢ४໷ۈɾਂ໷ۈʣ ɹ౰௚ɹɹɿ೔௚ɺ॓௚ ࢀߟɿʮ౰௚ʯͱ͍͏ݴ༿ͷ֬ೝ

  41. ॓௚Ͱ͋ͬͯ΋ɺिճ্͕ݶͰ͢ʂ ਍ྍߦҝΛߦΘͳ͍ٳ೔ٴͼ໷ؒۈ຿͕ ࿑ಇج४๏ୈ৚߸ͷ౰௚ʢ॓೔௚ʣۈ຿ ۩ମతʹ͸ɾɾɾ ɾපࣨͷఆ࣌८ճ ɾগ਺ͷױऀͷݕԹɺཁ஫ҙױऀͷఆ࣌ݕ຺ͳͲ ʮ॓௚ʯͷఆٛ

  42. ໷ۈPS॓௚ ʮ౰௚ʯͱ͍͏ݴ༿ͷ֬ೝ େ੾ͳͷ͸ ͋ͳ͕͍ͨͭ΋ߦͳ͍ͬͯΔʮ౰௚ʯ͸

  43. ਖ਼֬ʹ͸ ʮ໷ۈʯͰ͋Γ ͢΂ͯͷ͕࣌ؒʢ࣌ؒ֎ʣ࿑ಇ࣌ؒʹʂʂ զʑ࢈්ਓՊҩ͕΍͍ͬͯΔͷ͸ʮ॓௚ʯͰ͸ͳ͘ ॳ࢈්ͷฏۉ෼ṯ࣌ؒ͸࣌ؒͰ͋Γ೔ۈଳͰ͸ऴྃ͠ͳ͍ͨΊ ෼ṯΛ΍͍ͬͯͨΒ͢΂ͯz໷ۈzͱߟ͑ͯɺ0,ɻ

  44. ࢈්ਓՊҩͷʮ॓௚ʯճ਺͸ଞՊΑΓ΋ଟ͍ @தҪ ষਓઌੜʢ೔ຊҩՊେֶʣ ʢҰ෦վมʣ

  45. ݄ Ր ਫ ໦ ۚ ౔ ೔ िʢ໷ۈ݄ճʣ ʴΦϯίʔϧ݄ճ ৗۈਓ

    ࣌ ࣌ ࣌ ࣌ ࣌ ஍Ҭप࢈ظ ηϯλʔ" ࣌ؒ֎࿑ಇ ࣌ؒि ݄ ࣌ؒ ʢ࠶ܝʣ஍Ҭप࢈ظηϯλʔ"Ͱͷۈ຿
  46. ݄ Ր ਫ ໦ ۚ ౔ ೔ िʢ໷ۈ݄ճʣ ʴΦϯίʔϧ݄ճ ৗۈʁਓ

    ࣌ؒ֎࿑ಇ ࣌ؒ ݄ ࣌ؒ ஍Ҭप࢈ظ ηϯλʔ" ࣌ ࣌ ࣌ ࣌ ࣌ ໷ۈΛिճ΁ Կਓମ੍ͳΒ ࣮ݱՄೳʁ
  47. ਓ໷ۈ ମ੍ͷ৔߹ ̎ਓ໷ۈମ੍ͷ৔߹໊ @தҪ ষਓઌੜʢ೔ຊҩՊେֶʣ ʢҰ෦վมʣ

  48. ൒਺Ҏ্ͷࢪઃ͕े෼ͳৗۈҩࢣΛ֬อͰ͖͍ͯͳ͍ @தҪ ষਓઌੜʢ೔ຊҩՊେֶʣ ʢҰ෦վมʣ

  49. ९๏ϥΠϯୡ੒͸ະͩݟ͑ͣ ॓௚ͷճ਺͸΄ͱΜͲݮΒ͍ͤͯͳ͍ @தҪ ষਓઌੜʢ೔ຊҩՊେֶʣ ʢҰ෦վมʣ

  50. ࣌ؒ֎࿑ಇΛݮΒ͢ʹ͸ ʮॏ఺Խʯ͕ඞཁʂʂ େֶ͔Β໷ۈͷԠԉΛͯ͠΋Βͬͯ΋ ࠜຊతͳղܾʹͳΒͳ͍ʂʂ ʢେֶۈ຿ͷઌੜ͕݄ճҎԼͳΒྑ͍͕௨ৗ͋Γಘͳ͍ʂʣ

  51. *NQBDUPGIPTQJUBMDPOTPMJEBUJPOGPSTVSHFSZ Number of cases Quality For young surgeon Surgical opportunity

    Experience; various cases Burden (per one surgeon) Training environment for Professional medical staff Flexibility for absentee maternity / childcare family caregiver / sickness Impact of hospital consolidation for surgery Small team Big team @ཱੴ ࣮ઌੜʢ੟ྴ඿দපӃ ৺ଁ݂؅֎Պʣ
  52. มܗ࿑ಇ੍࣌ؒ

  53. ࣌ؒ ࣌ؒ ࣌ؒ ࣌ؒ ࣌ؒ ࣌ؒ ൟ๩೔ มܗ࿑ಇ࣌ؒੑʹΑͬͯ ࿑ಇ࣌ؒΛൟ๩೔ʹ ഑෼Ͱ͖Δ

    ݄ Ր ਫ ໦ ۚ มܗ࿑ಇ੍࣌ؒ
  54. ࣌ؒ ࣌ؒ ࣌ؒ ࣌ؒ ࣌ؒ ࣌ؒ ࣌ؒ ൟ๩೔ มܗ࿑ಇ࣌ؒੑʹΑͬͯ ࿑ಇ࣌ؒΛൟ๩೔ʹ

    ഑෼Ͱ͖Δ ݄ Ր ਫ ໦ ۚ ๏ఆ࿑ಇ࣌ؒ ࣌ؒ ͷ·· มܗ࿑ಇ੍࣌ؒ
  55. ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ ࣌ؒ ࣌

    ࣌ ࣌ ࣌ ࣌ มܗ࿑ಇ੍࣌ؒ
  56. ʢCFGPSFʣ ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ ࣌ؒ

    ʢ݄࣌ؒʣ ໷ۈ೔ ࣌ ࣌ ࣌ ࣌ ࣌ มܗ࿑ಇ੍࣌ؒ
  57. ʢBGUFSʣ ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ ࣌ؒ

    ʢ݄࣌ؒʣ ໷ۈ೔ ࣌ ࣌ ࣌ ࣌ ࣌ ࣌ؒ֎࿑ಇ ࣌ؒ ʢ݄࣌ؒʣ มܗ࿑ಇ੍࣌ؒ
  58. ݄ Ր ਫ ໦ ۚ ౔ ೔ िʢ໷ۈ݄ճʣ ʴΦϯίʔϧ݄ճ ৗۈ̔ਓ

    ஍Ҭप࢈ظ ηϯλʔ" ࣌ ࣌ ࣌ ࣌ ࣌ ʢ࠶ܝʣ஍Ҭप࢈ظηϯλʔ"Ͱͷ໷ۈिճମ੍ ࣌ؒ֎࿑ಇ ࣌ؒ ݄ ࣌ؒ
  59. ݄ Ր ਫ ໦ ۚ ౔ ೔ िʢ໷ۈ݄ճʣ ʴΦϯίʔϧ݄ճ ৗۈ̔ਓ

    I ºճ 㲈I ஍Ҭप࢈ظ ηϯλʔ" ࣌ ࣌ ࣌ ࣌ ࣌ ࣌ؒ֎࿑ಇ ࣌ؒ ݄ ࣌ؒ ஍Ҭप࢈ظηϯλʔ"Ͱͷ໷ۈिճମ੍
  60. ݄ Ր ਫ ໦ ۚ ౔ ೔ िʢ౰௚݄ճʣ ʴΦϯίʔϧ݄ճ ৗۈ̔ਓ

    ࣌ؒ֎࿑ಇ ࣌ؒ ݄ ࣌ؒ ࣌ ࣌ ࣌ ࣌ ࣌ ஍Ҭप࢈ظ ηϯλʔ" I ºճ 㲈I ౰௚໌͚ؼ୐ʢมܗ࿑ಇ੍࣌ؒʣ
  61. ݄ Ր ਫ ໦ ۚ ౔ ೔ िʢ౰௚݄ճʣ ʴΦϯίʔϧ݄ճ ৗۈ̔ਓ

    ࣌ؒ֎࿑ಇ ࣌ؒ ݄ ࣌ؒ ࣌ ࣌ ࣌ ࣌ ࣌ ୡ੒ʂ ஍Ҭप࢈ظ ηϯλʔ" I ºճ 㲈I ͞Βʹ࣌ؒ֎࿑ಇΛݮΒ͢౒ྗΛͯ͠
  62. ૯߹प࢈ظηϯλʔ " ࣮ࡍͷέʔεΛ౿·͑ͯ

  63. ໷ۈ͸໷͚ͩ ೔ۈ͸࣌ʹؼ୐ มܗೋަ୅ۈ຿੍౓ʢมܗ࿑ಇ੍࣌ؒͷҰͭʣ @໦ށ ಓࢠઌੜʢ೔ຊ੺ेࣈࣾҩྍηϯλʔʣ

  64. ೔தͷਓһෆ଍ ผࢪઃͰ͸ ᶃ໷ۈ ᶄ॓௚ ᶅ॓௚ ʔ̏ਓ ʔ̍ਓ ަ୅ۈ຿੍౓ͷσϝϦοτᶃ @໦ށ ಓࢠઌੜʢ೔ຊ੺ेࣈࣾҩྍηϯλʔʣ

  65. ۈ຿ද͕൥ࡶ γϑτද ҩࢣ഑ஔද ֎དྷʢ࢈Պ්ਓՊʣ ݕ਍ɾ෼ṯ ަ୅ۈ຿੍౓ͷσϝϦοτᶄ @໦ށ ಓࢠઌੜʢ೔ຊ੺ेࣈࣾҩྍηϯλʔʣ

  66. ୲౰ҩ͕ܾ·Βͳ͍ʮަ୅੍ʯ ֎དྷ୲౰ද ަ୅ۈ຿੍౓ͷσϝϦοτᶅ @໦ށ ಓࢠઌੜʢ೔ຊ੺ेࣈࣾҩྍηϯλʔʣ

  67. lઈରʹzඞཁͳͷ͸ ୹࣌ؒۈ຿ҩࢣͷ׆༂ʂʂ ʢ೛৷ɾग़࢈հޢຊਓͷපؾͳͲʣ ೔தͷ਍ྍͷ࣭Λҡ࣋͢ΔͨΊʹ ৄ͘͠͸ɺୈ̎ষͰɻ

  68. ࢪઃू໿Խɾ୹࣌ؒۈ຿ऀͷ׆༻ɾॊೈͳಇ͖ํͷબ୒ࢶ ୹࣌ؒۈ຿ऀ͸ϑϧʹಇ͚ͳ͍ɹɹ ϚΠφεͷଘࡏͰ͸ͳ͘ ૊৫ʹߩݙ͢Δϓϥεͷਓࡐ ඇৗۈͰ͸ͳ͘ৗۈͱ͠ কདྷ͸ϑϧλΠϜͱͯ͠׆༻Λ มܗ࿑ಇ੍࣌ؒͰ͸ɺ೔ۈ͚ͩͷઌੜʹॿ͚ΒΕΔ @໦ށ ಓࢠઌੜʢ೔ຊ੺ेࣈࣾҩྍηϯλʔʣ

  69. @໦ށ ಓࢠઌੜʢ೔ຊ੺ेࣈࣾҩྍηϯλʔʣ มܗ࿑ಇ੍࣌ؒ ҩྍͷඪ४Խ

  70. ࿑ಇ؀ڥվળ͕໨ࢦ͢ͱ͜Ζ @໦ށ ಓࢠઌੜʢ೔ຊ੺ेࣈࣾҩྍηϯλʔʣ

  71. ࿑ಇ؀ڥվળ͕໨ࢦ͢ͱ͜Ζ ҩྍ҆શ

  72. ҩྍऀ͕ෆ޾ʹͳͬͯ͸͍͚ͳ͍ ҩࢣ΋ਓؒͰ͢

  73. ҩྍऀ͕ෆ޾ʹͳͬͯ͸͍͚ͳ͍ ҩࢣ΋ਓؒͰ͢ ҩྍऀ͕݈߁Ͱ͋Δ͜ͱ ਓΛٹ͏ʹ͸ɺ·ͣࣗ෼͕݈߁Ͱͳ͚Ε͹ͳΒͳ͍ɻ ͦ͏Ͱͳ͍ͱɺ൑அΛޡΔɺελοϑ͕໎͏ɻ Ո଒͕৺഑͢Δɻࣗ෼Λ੹ΊΔɻ ΋͠΋Ωϛ͕ٹٸҩʹͳΔͷͳΒ ·ͣࣗ෼ͷ͜ͱΛ࠷༏ઌʹߟ͑ͯཉ͍͠ɻ ͦΕΛඇ೉͢Δਓ͕͍ΔͳΒ͹ɺ ࢲ͕ͨͪҾ͖ड͚Δɻ

    ߴྸԽ͸ਐΉɻҩࢣ͸଍Γͳ͍ɻ ͔ͩΒͦ͜ٹٸҩ͕݈߁Ͱ͋Δ͜ͱɻ ͜Ε͸ٛ຿ͩɻ ɹ೔ຊٹٸҩֶձ
  74. ⼼臓⾎管外科学会雑誌 2012年,41巻2号, 63-66 • Young surgeons decreasing → Increased burden

    on mid-career surgeons • Questionnaire Survey of doctors changed their career from CVS. (N=56) • CVS experience (mean) 15.4 year • Certified CVS 65%, experience of research/work abroad 32% “ Survey of Doctors Who Changed Their Clinical Specialty from Cardiac Surgery ” ҩྍऀ͕ෆ޾ʹͳͬͯ͸͍͚ͳ͍ ͢΂ͯͷ਍ྍՊͰ࣮ݱ͞ΕΔ΂͖ @ཱੴ ࣮ઌੜʢ੟ྴ඿দපӃ ৺ଁ݂؅֎Պʣ
  75. ҩྍऀ͕ෆ޾ʹͳͬͯ͸͍͚ͳ͍ ࣗݾ٘ਜ਼Λڧ͍ͯ΋ɺͨͩڈΔͷΈ It should have been a hard-working career in

    cardiovascular surgery… However, 77% of them do not regret quitting their CVS career. Only one person regrets it. Free comments ü There is a lot of self-sacrificing work, but the salary is not rewarding their contribution. ü Cardiac surgery cannot be performed operation in early stage, has a lot of miscellaneous work, and difficult to think the future career. ü Too Difficult to update Certified CVS. ⼼臓⾎管外科学会雑誌 2012年,41巻2号, 63-66 @ཱੴ ࣮ઌੜʢ੟ྴ඿দපӃ ৺ଁ݂؅֎Պʣ
  76. w ҩྍΛఏڙ͢ΔපӃΛͰ͖Δ͚ͩॏ఺Խʢू໿Խʣ w ໷ۈ໌͚͸ؼ୐͢Δʮมܗ࿑ಇ੍࣌ؒʯ ཧ࿦ฤͷ·ͱΊ

  77. ͜Ε͸ҩྍऀ͚ͩͷ໰୊Ͱ͸ͳ͍ ࠃຽΛר͖ࠐΜͰٞ࿦Λߦ͍ ࣋ଓՄೳͳ࢓૊ΈΛ ͲͷΑ͏ʹσβΠϯ͢Δ͔ͱ͍͏໰୊

  78. ॺ໊਺ ɹɹਓ ࣾձ΁ͷಇ͖͔͚ ೔ຊͷҩྍͱױऀ͞Μͷ҆શΛकΔͨΊʹ ҩࢣͷ௕࣌ؒ࿑ಇΛن੍͍ͯͩ͘͠͞

  79. ٢ాҩ੓ہ௕ʹॺ໊ఏग़

  80. ࣲాҁࢠઌੜʢ࢈්ਓՊҩʣ ಇ͖ํվֵͷ࣮ફฤ

  81. @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ͋ͳͨͷ৬৔ͷ࢒ۀΛݮΒ͢ͷํ๏ ໌೔͔ΒͰ͖Δ΋ͷͭ පঢ়આ໌ͷ࣌ؒͷܝࣔ ࣌ؒ֎ʹओ࣏ҩΛݺͼग़͞ͳ͍ ৘ใڞ༗πʔϧͷಋೖɹ ޮՌ͕େ͖͍΋ͷͭ ΧϯϑΝϨϯεΛ࿑ಇ࣌ؒ಺ʹ ओ࣏ҩ੍ͷఫഇ

    ౰௚໌͚ͷ൒ٳ ಇ͖΍͘͢͢Δͭ ౰௚ଳͷਃ͠ૹΓɹ ҩྍࣄ຿ɾΞγελϯτͷಋೖ ฏ೔ͷ༗ٳಋೖ Ұ൪େࣄͳ΋ͷ̍ͭ ·͕ͪͬͨࢥ͍ࠐΈΛࣺͯΑ͏ ɹɹᶃ࢒ۀʹඞཁѱʁ ɹɹᶄશһ͕ಉ͡Α͏ʹಇ͔ͳ͍ͱ͍͚ͳ͍ʁɹɹ !ࣲాҁࢠʢཎ઒ΩϦετڭපӃ࢈්ਓՊʣ ͓౔࢈ ࣌ؒ֎࿑ಇΛݮΒͨ͢Ίʹඞཁͳ͜ͱ
  82. ͋ͳͨͷ৬৔ͷ࢒ۀΛݮΒ͢ͷํ๏ ͋ΔපӃͷྫ Ұ൪େࣄͳ΋ͷ̍ͭ ໌೔͔ΒͰ͖Δ࢒ۀରࡦ̏ͭ ޮՌͷߴ͍࢒ۀରࡦ̏ͭ ಇ͖΍͘͢ͳΔ࢒ۀରࡦ̏ͭ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ

  83. ࢒ۀΛ΁Β͢ʹ͸ ·͕ͪͬͨࢥ͍ࠐΈΛࣺͯΑ͏ ࢒ۀʹඞཁѱʁ શһ͕ಉ͡Α͏ʹಇ͔ͳ͍ͱ͍͚ͳ͍ʁɹɹ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ

  84. ೥લ ɾओ࣏ҩ੍ ɾ౰௚ཌ೔͸௨ৗۀ຿ ɾฏ೔௨ৗۀ຿ ɾΧϯϑΝ͸ۀ຿ޙ͔Β @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ

  85. ؒҧͬͨঁੑҩࢣࢧԉ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ w ঁੑʹؤுΕͱݴ͏ w पғ΁ͷෛ୲͕૿͑ͨ·· w γεςϜΛม͑ͣʹਫ਼ਆ࿦ɹɹ

  86. ݱࡏ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ɾ࣌ؒ֎ͷݺͼग़͠ແ͠ ɾ౰௚೔͸೔ۈແ͠ ɾ݄ճฏ೔ٳΈ ɾΧϯϑΝ͸࣌ؒ಺ͷΈ

  87. ໌೔͔ΒͰ͖Δ΋ͷͭ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ පঢ়આ໌ͷ࣌ؒͷܝࣔ ࣌ؒ֎ʹओ࣏ҩΛݺͼग़͞ͳ͍ ৘ใڞ༗πʔϧͷಋೖɹ

  88. පঢ়આ໌ͷ࣌ؒͷܝࣔ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ

  89. ࣌ؒ֎ʹओ࣏ҩΛݺͼग़͞ͳ͍ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ɾࢦࣔͰ෼͔Βͳ͍͜ͱ͕͋Δ ɾ୲౰ױऀͷ༰ଶͷมԽ ɾױऀՈ଒͔Βͷපঢ়આ໌ͷґཔ ɾ఺ణ΍ༀͷೖྗɾ࡟আ ࣌ؒ֎͸౰௚ҩ͕ݪଇରԠ

  90. ੲ ৘ใڞ༗πʔϧͷಋೖ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ΧϯϑΝϨϯε 1)4

  91. ࠓ ৘ใڞ༗πʔϧͷಋೖ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ϝʔϦϯάϦετ ɾ౰೔ۀ຿ ɾ༧ఆมߋ ɹɹ஗ࠁɾૣୀ ɾਃ͠ૹΓ

  92. ޮՌ͕େ͖͍΋ͷͭ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ΧϯϑΝϨϯεΛ࿑ಇ࣌ؒ಺ʹ ओ࣏ҩ੍ͷఫഇ ౰௚໌͚ͷ൒ٳ

  93. ΧϯϑΝϨϯεΛ࿑ಇ࣌ؒ಺ʹ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ       

       
  94. νʔϜ੍ ओ࣏ҩ੍ͷఫഇ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ " ओ࣏ҩ͕֎དྷதɾखज़தͷରԠ # ओ࣏ҩෆࡏ೔ͷํ਑ܾఆ $ පঢ়આ໌ɾۓٸखज़ͷରԠ

    w ֎དྷதɾखज़தͷి࿩ͷ਍ྍதஅ͕ݮΔ w ओ࣏ҩݺͼग़͠΍֎ઢ໰͍߹Θ͕ͤݮΔ w ෳ਺ਓͰ਍ྍ಺༰Λ֬ೝ͠ϛεΛݮΒ͢
  95. ౰௚໌͚ͷ൒ٳ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ೥݄ʙ ౰௚໌͚൒ٳ     

     ೔໨ ೔໨ ˠ೔ۈ໷ۈ੍΁ ೥݄ʙ ౰௚ˠ໷ۈʹ      ೔໨ ೔໨
  96. ಇ͖΍͘͢͢Δͭ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ౰௚ଳͷਃ͠ૹΓɹ ҩྍࣄ຿ɾΞγελϯτͷಋೖ ฏ೔ͷ༗ٳಋೖ

  97. ౰௚ଳͷਃ͠ૹΓ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ౰௚ઐ༻1)4 ɿʙɿ ɹɹ֤ਓ͔Βݱঢ়Λਃ͠ૹΓ ˠࠓԿͷۀ຿͕࢒͍ͬͯΔͷ͔͕෼͔Δ ˠҾ͖ܧ͕͗ࣗવʹͰ͖Δ

  98. ҩྍࣄ຿ɾΞγελϯτͷಋೖ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ҩࢣͷॻྨۀ຿ อݥؔ࿈ॻྨɹɹ೥ؒɹສ௨ ࡞੒࣌ؒɹɹɹɹ೥ؒɹສ࣌ؒ ೔ҩ૯ݚϦαʔνΤοηΠ

  99. ҩྍࣄ຿ɾΞγελϯτͷಋೖ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ҩࢣͷॻྨۀ຿ อݥॻྨ࡞੒ɹɹҩࢣɹ ਓ෼೥ ࡞੒࣌ؒɹɹɹɹਓɹɹɹɹ࣌ؒ೥ ೔ҩ૯ݚϦαʔνΤοηΠ

  100. ฏ೔ͷ༗ٳಋೖ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ฏ೔༗ٳʹඞཁͳ΋ͷ ᶃνʔϜ੍ ᶄ৘ใڞ༗πʔϧ ᶅ΍Δؾ

  101. ࢒ۀΛݮΒ͢ʹ͸ ·͕ͪͬͨࢥ͍ࠐΈΛࣺͯΑ͏ ࢒ۀʹඞཁѱʁ શһ͕ಉ͡Α͏ʹಇ͔ͳ͍ͱ͍͚ͳ͍ʁɹɹ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ

  102. w ໌೔͔Βಇ͖ํվֵΛ࣮ߦ͢Δ ɹɹɹ͋ͳͨͷ৬৔ͷ࢒ۀΛݮΒ͢ͷํ๏ w ಇ͖ํվֵʹपғΛר͖ࠐΉ ࠓ͕มΘΔ࣌Ͱ͢ʂ ୈ̍ষɹΰʔϧ

  103. ࣗݾ঺հ ୈ̍ষɹಇ͖ํվֵɹ෼ʴ෼ ୈ̎ষɹঁੑҩࢣͷಇ͖ํͱӃ಺อҭɹ෼ʴ෼ ୈ̏ষɹපࣇอҭͱҩࢣͷىۀɹ෼ʴ෼ ࣭ٙԠ౴ɹ෼ ΞδΣϯμ

  104. ຊ೔ͷΞδΣϯμ 1. ɹࠃͷݱঢ়ͱऔ૊Έ 2. ɹঁੑҩࢣͷݱঢ় 3. ɹӃ಺อҭʹ͍ͭͯ 4. ɹපࣇอҭʹ͍ͭͯ ୈষΞδΣϯμ

  105. ࠃͷݱঢ় ࠃͷݱঢ়

  106. ڞಇ͖ੈଳͷਪҠ

  107. ࠃͷݱঢ়

  108. ࠃͷݱঢ়

  109. ࠃͷݱঢ়

  110. ࠃͷݱঢ়

  111. ࠃͷऔ૊Έ

  112. ࠃͷऔ૊Έ

  113. ࠃͷࠓޙͷऔ૊Έ

  114. ຊ೔ͷΞδΣϯμ 1. ɹࠃͷݱঢ়ͱऔ૊Έ 2. ɹঁੑҩࢣͷݱঢ় 3. ɹӃ಺อҭʹ͍ͭͯ 4. ɹපࣇอҭʹ͍ͭͯ ୈষΞδΣϯμ

  115. ঁੑҩࢣͷਪҠ

  116. ঁੑҩࢣͷׂ߹

  117. ঁੑҩࢣͷबۀ཰

  118. ঁੑҩࢣͷ཭৬ݪҼ

  119. ঁੑҩࢣͷҭࣇͱ࢓ࣄͷཱ྆

  120. ຊ೔ͷΞδΣϯμ

  121. Ӄ಺อҭͱ͸

  122. Ӄ಺อҭͷݱঢ়

  123. Ӄ಺อҭͷϝϦοτ

  124. Ӄ಺อҭͷσϝϦοτ

  125. Ӄ಺อҭͰͷఏҊ ࣌ؒอҭ  ༵೔Λݻఆ͢Δ͜ͱͰ ɹϦεΫΛܰݮ

  126. ঁੑҩࢣͷಇ͖ํ

  127. ҭࣇ΍௕͍߆ଋ࣌ؒͷͨΊৗۈΛ཭ΕΔ ಇ͖੝Γͷҩࢣ͕গͳ͘ͳ͍ ୀ৬ཧ༝

  128. ൒਺Ҏ্͕ʮຊ౰͸ৗۈͱͯ͠ಇ͖͍ͨʯ ؀ڥΛ੔͑ͯ׆༂ͯ͠΋Β͏ʹ͸ɾɾɾ ৗۈ෮ؼͷر๬

  129. ঁੑҩࢣ͕ಇ͖΍͍͢৬৔ͮ͘Γ 平成20年度厚⽣労働科学研究補助⾦(厚⽣労働科学特別研究事業) 病院勤務医等の勤務環境改善に関する研究「⼥性医師就労⽀援事例の収集・検討」より ঁੑҩࢣͷΈͳΒͣ શͯͷۈ຿ҩΛର৅ͱͨ͠ ۈ຿؀ڥͷݟ௚͠ ͪ͜Β͔Β֬ೝͰ͖·͢

  130. ೥ൃץ ˏཱੴ ࣮ઌੜ ʢ੟ྴ඿দපӃ ৺ଁ݂؅֎Պʣ

  131. ࢈්ਓՊֶձͷऔΓ૊Έ

  132. ࢈්ਓՊҩͷಇ͖ํվֵએݴ ࢈්ਓՊҩͷʮಇ͖ํվֵʯએݴͱఏݴ 

  133. ࢈්ਓՊҩͷಇ͖ํվֵએݴ ࢈්ਓՊҩͷʮಇ͖ํվֵʯએݴͱఏݴ 

  134. ఏݴɿҩྍվֵΛ௨ͯ͡ಇ͖ํվֵΛ࣮ݱͤ͞·͠ΐ͏ ಺༰ ࢈්ਓՊҩͷʮಇ͖ํվֵʯએݴͱఏݴ 

  135. None
  136. None
  137. None
  138. None
  139. To Know 上司との定期⾯談 Ø ⾯談時の質問は雛形を学会が⽤意 Ø 実施率を学会に報告 Ø 罰則は設けないが、賞与を設ける ୈ7ճ

    εϓϦϯάϑΥʔϥϜ੒Ռ෺ @త৔ ༏հઌੜʢܚጯେֶ ࢈්ਓՊʣ
  140. To Adjust Ø イクボスの腕の⾒せどころ Ø 個々の価値観を満⾜できるように Ø 全員が70点をとれるように 上司が業務調整 ୈ7ճ

    εϓϦϯάϑΥʔϥϜ੒Ռ෺ @త৔ ༏հઌੜʢܚጯେֶ ࢈්ਓՊʣ
  141. ෆެฏײΛ ͍͔ʹݮΒͤΔ͔

  142. To Evaluate 職場満⾜度アンケートを実施 Ø 上位10病院は表彰 Ø Top10の部⻑のコラムをHPで連載 Ø 上位病院に奨励⾦を授与 ୈ7ճ

    εϓϦϯάϑΥʔϥϜ੒Ռ෺ @త৔ ༏հઌੜʢܚጯେֶ ࢈්ਓՊʣ
  143. ୈ8ճ εϓϦϯάϑΥʔϥϜ੒Ռ෺ @ۄ಺ ֶࢤઌੜʢ໊ݹ԰େֶ ࢈්ਓՊʣ

  144. ࣗݾ঺հ ୈ̍ষɹಇ͖ํվֵɹ෼ʴ෼ ୈ̎ষɹঁੑҩࢣͷಇ͖ํͱӃ಺อҭɹ෼ʴ෼ ୈ̏ষɹපࣇอҭͱҩࢣͷىۀɹ෼ʴ෼ ࣭ٙԠ౴ɹ෼ ΞδΣϯμ

  145. ͜ Ͳ ΋ ͱ Ո ଒ ͷ স إ Λ

    ͭ ͘Δ ɻ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ͔͋ͣΔͪ͜ΌΜ A
  146. ҆৺ͯ͠࢈ΈҭͯΒΕΔࣾձΛͭ͘Δ 7*4*0/ Ϗδϣϯͱϛογϣϯ

  147. ҭࣇʹؔΘΔ͢΂ͯͷਓΛসإʹ͢Δ .*44*0/ Ϗδϣϯͱϛογϣϯ

  148. ੈքʹ͋;ΕΔ՝୊ ΞδΣϯμ

  149. 'ZKt/E' /EYh/d/^ E Wh>/ ,>d, d,Zd K& Zs/> EZ ;'>KKE

    ϮϬϭϴͿ Ꮚᐑ㢕䛜䜣⨯ᝈ⋡䛾୙ᆒ⾮䛜ᗈ䛜䛳䛶䛔䛝䚸බ⾗⾨⏕ 䛾⬣ጾ䛸䛺䛳䛶䛔䜛䚹;'>KKEϮϬϭϴͿ ϮϬϭϴᖺ䛾Ꮚᐑ㢕䛜䜣䛾඲ᖺ㱋䛻ᑐ䛩䜛ᖺ㱋ㄪᩚ⨯ᝈ⋡䛾᥎ィ ᖺ㱋ㄪᩚ⨯ᝈ⋡䠄ϭϬϬ͕ϬϬϬே䛒䛯䜚䠅
  150. &HUYLFDO FDQFHU FDVH Zs/> EZ >/D/Ed/KE͗ KEWdh> &ZDtKZ< ⌧≧ࡢ࣡ࢡࢳࣥ᥋✀࡜᳨デ ᚭᗏⓗ࡞᳨デ࡜࣡

    ࢡࢳࣥ᥋✀ ᚭᗏⓗ࡞ ࣡ࢡࢳࣥ᥋✀ ᖺ ᖺ ᖺ ᖺ Ꮚᐑ㢕䛜䜣䛾᤼㝖 ௓ධ᪉ἲ䛤䛸䛾⤒㐣䛾ண᝿ ϭϬ୓ே䛒䛯䜚䛾Ꮚᐑ㢕䛜䜣⑕౛ᩘ
  151. ՝୊ײ ɹୈճੜ׆श׳පֶձ  ࡾେੜ׆श׳පͷະ࣏ྍ཰

  152. ՝୊ײ σδλϧϋϦ΢ουେֶӃ।ڭत ޒेཛྷ݈༞ઌੜεϥΠυ ʢվฤʣ ಺Պֶత ҩༀ඼ ֎Պֶత खज़ ҩྍػث ࣾձֶత

    /&8  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ࣬ױ΁ͷΞϓϩʔν Ξϓϩʔν  ΫϦΤΠςΟϒ  ΤϯλʔςΠϝϯτ  ίϛϡχέʔγϣϯ  σβΠϯ  ήʔϛϑΟέʔγϣϯ ͳͲ ҩༀ඼ ҩྍػث
  153. Θ͕ͨ͠ղܾ͍ͨ͠՝୊

  154. ݽҭͯ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ࢠҭͯͷ ᶸݱ৔ᶹ ࢈ޙ͏ͭ ٮ଴

  155. ࢠҭͯͷ ᶸݱ৔ᶹ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ੜ׆ʼʼ࣏ྍ

  156.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ҩࢣ͕ίϛϡχέʔγϣϯΛ औΕΔͷ͸ίί͚ͩ ੜ׆ U U ҩྍػؔ

    ೖӃ ୀӃ ҩࢣͷհೖظؒ͸ݶఆ͞Ε͍ͯΔ ೔ຊ͏Μֶ͜ձձ௕ ੴҪ༸հઌੜΑΓڞ༗ ʢվฤʣ ࣏ྍ ೛৷ ෼ส
  157. Զ͸ Կͨ͠Βɺ͍͍Μͩʁ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ౴͑͸͙͢ʹ͸ग़ͳ͍

  158.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ࢠҭͯͷ ᶸݱ৔ᶹ ͜Ͳ΋ͷපؾͰ ࢓ࣄΛٳΉ

  159.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ࢠҭͯͷ ᶸݱ৔ᶹ ͜Ͳ΋ͷපؾͰ ࢓ࣄΛٳΉ ୀ৬

  160. Կ͕ى͖͍ͯΔͷ͔ ҭࣇ͍ͯ͠Δਓ .05)&3 ্࢘ #044 ಉ྅ $0--&"(6& ಥવͷ ࢠͲ΋ͷ පؾ

    ਃ͠༁ͳ͍ʜ ࢓ํͳ͍Αʂ ݁ߏͭΒ͍ʂ ͓ࢠ͞ΜΛݟͯ͋͛ͯʂ େࣄͳ࢓ࣄ͸ པΊͳ͍  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE
  161. ҭࣇ͍ͯ͠Δਓ .05)&3 ্࢘ #044 ಉ྅ $0--&"(6& ಥવͷ ࢠͲ΋ͷ පؾ ਃ͠༁ͳ͍ʜ

    ࢓ํͳ͍Αʂ ݁ߏͭΒ͍ʂ ͓ࢠ͞ΜΛݟͯ͋͛ͯʂ େࣄͳ࢓ࣄ͸ པΊͳ͍ Կ͕ى͖͍ͯΔͷ͔ ཭৬ͷ ϦεΫ ΩϟϦΞ ࢧԉ ͷࣦഊ ੜ࢈ੑͷ ௿Լ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE
  162. ʮ୭͕ѱ͍ͷ͔ʁʯ Ͱ͸ͳ͍ ΈΜͳѱ͘ͳ͍ ΈΜͳ͠ΜͲ͍  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE

  163.      ࢠڙͷٸප࣌ͷ ࢓ࣄͷௐ੔ ެӹࡒஂ๏ਓ஍ํܦࡁ૯߹ݚڀॴɹঁੑͷ࢓ࣄͱࢠҭͯʹؔ͢Δௐࠪ ʢ೥݄ʣ Λݩʹ࡞੒

    ಇ͓͘฼͞Μ͕࠷΋ࠔΔ͜ͱ ೥ؒղܾͰ͖͍ͯͳ͍՝୊  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE
  164. පࣇ ʢʹܰ঱ͷࢠͲ΋ʣ  อҭԂ͸༬͔ͬͯ͘Εͳ͍  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE පࣇอҭ

  165. පࣇอҭ පࣇͷҰ࣌༬͔Γࢪઃ έΞͱอҭΛߦ͏ පࣇอҭࢪઃ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE

  166. පࣇอҭ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE   ҩྍػؔซઃ อҭԂซઃ 

    ୯ಠܕɾͦͷଞ ग़యɿ ʮපࣇɾපޙࣇอҭͷ࣮ଶ೺Ѳͱ࣭޲্ʹؔ͢Δݚڀʯ ʢฏ੒25೥౓ްੜ࿑ಇՊֶݚڀඅิॿۚʣ
  167.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE පࣇอҭ

  168. පࣇอҭ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE

  169.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ՝୊ɿར༻཰͕௿͍ ར༻཰  ग़యɿ ʮපࣇɾපޙࣇอҭͷ࣮ଶ೺Ѳͱ࣭޲্ʹؔ͢Δݚڀʯ ʢฏ੒25೥౓ްੜ࿑ಇՊֶݚڀඅิॿۚʣ

  170. ࢖͍ͮΒ͍  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ར༻཰͕௿͍ཧ༝͸ʜ ग़యɿ ʮපࣇɾපޙࣇอҭͷ࣮ଶ೺Ѳͱ࣭޲্ʹؔ͢Δݚڀʯ ʢฏ੒25೥౓ްੜ࿑ಇՊֶݚڀඅิॿۚʣ

  171.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ࢖͍ͮΒ͍පࣇอҭͷϑϩʔ ࢠͲ΋ ൃ঱ ༧໿ ਍࡯ ೖࣨ

    อҭ ܾࡁ ࣄલ ొ࿥
  172.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ࢖͍ͮΒ͍පࣇอҭͷϑϩʔ ࢠͲ΋ ൃ঱ ༧໿ ਍࡯ ೖࣨ

    อҭ ܾࡁ ࣄલ ొ࿥
  173.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ͔͋ͣΔͪ͜ΌΜ පࣇอҭͷར༻Λ εϚϗͰ γϯϓϧʹɻ

  174. ͦͯ͠  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE  ΫϨΠδʔʹ ىۀ

  175. ͜Ε·Ͱ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE

  176. ɹ ࣮ূ࣮ݧελʔτ

  177.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ͔͋ͣΔͪ͜ΌΜ ࣌ؒ ΦϯϥΠϯ༧໿ -*/&ͰΧϯλϯ ༧໿ˍΩϟϯηϧ ϦϚΠϯμʔ

    ஍ਤˍϦετͰ Χϯλϯݕࡧ ࢪઃͱอޢऀͷ ίϛϡχέʔγϣϯػೳ ࠷దͳ ࣗಈ෦԰ׂΓ ࣄલొ࿥ͳͲͷ ॻྨखଓΦϯϥΠϯԽ ֤ࢪઃઐ༻ͷ ৄࡉϖʔδ ΦϯϥΠϯ໰਍ ۭ͖ঢ়گͷ ݟ͑ΔԽ Ωϟϯηϧ଴ͪ ࣗಈ܁Γ্͛ ෳ਺ࢪઃΛ ༏ઌॱҐΛ͚ͭͯ༧໿ อҭه࿥ͷ ϦΞϧλΠϜڞ༗
  178.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ͔͋ͣΔͪ͜ΌΜ ࣌ؒ ΦϯϥΠϯ༧໿ -*/&ͰΧϯλϯ ༧໿ˍΩϟϯηϧ ϦϚΠϯμʔ

    ஍ਤˍϦετͰ Χϯλϯݕࡧ ࢪઃͱอޢऀͷ ίϛϡχέʔγϣϯػೳ ࠷దͳ ࣗಈ෦԰ׂΓ ࣄલొ࿥ͳͲͷ ॻྨखଓΦϯϥΠϯԽ ֤ࢪઃઐ༻ͷ ৄࡉϖʔδ ΦϯϥΠϯ໰਍ ۭ͖ঢ়گͷ ݟ͑ΔԽ Ωϟϯηϧ଴ͪ ࣗಈ܁Γ্͛ ෳ਺ࢪઃΛ ༏ઌॱҐΛ͚ͭͯ༧໿ อҭه࿥ͷ ϦΞϧλΠϜڞ༗ ஍ਤˍϦετͰ Χϯλϯݕࡧ ࠷దͳ ࣗಈ෦԰ׂΓ ۭ͖ঢ়گͷ ݟ͑ΔԽ Ωϟϯηϧ଴ͪ ࣗಈ܁Γ্͛ ෳ਺ࢪઃΛ ༏ઌॱҐΛ͚ͭͯ༧໿
  179.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ͔͋ͣΔͪ͜ΌΜʹΑΔ ʮݟ͑ΔԽʯ ͔͋ͣΔͪ͜ΌΜ ۭ ຬ ۭ

  180.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ͔͋ͣΔͪ͜ΌΜʹΑΔ ʮݟ͑ΔԽʯ ۭ ̍ Ωϟϯηϧ ଴ͪ

    ̎ ֬ఆ
  181. ۭ ̍ Ωϟϯηϧ ଴ͪ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ̍ ֬ఆ

    Ωϟϯηϧ ෳ਺༧໿ʹΑΔࣗಈγϑτ ͔͋ͣΔͪ͜ΌΜʹΑΔ ʮݟ͑ΔԽʯ ̎ ֬ఆ ۭ ܁Γ্͛
  182.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ΦϯϥΠϯ໰਍ ෳ਺༧໿ʹΑΔࣗಈγϑτ ΦϯϥΠϯ໰਍Ͱ ड਍લʹ৘ใೖྗ͸ ׬͍ྃͯ͠Δɻ

  183.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ΦϯϥΠϯ໰਍ -*/& ࢖͍΍͍͢ ࢴ͕ͳ͘ ͳͬͯϥΫ ࣌ؒ༧໿

    ͏Ε͍͠ ࣄલͷ ৘ใೖྗ ॿ͔Δ
  184.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ͔͋ͣΔͪ͜ΌΜͷϏδωεϞσϧ ΦϯϥΠϯ໰਍ ϏδωεϞσϧಛڐ ʢಛڐୈ߸ʣ ར༻ऀ ແྉ

    පࣇอҭࣨ ར༻ྉ ࢢ۠ொଜ ར༻ྉ ັྗ͋Δ ֗ͮ͘Γ΁
  185. Q̍ ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE Ͱ΋ʜ ͔͋ͣΔͪ͜ΌΜͷϏδωεϞσϧ පࣇอҭͬͯ χονͩΑͶʁ

  186.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE පࣇอҭ͸ӈݞ্͕Γ Ͱ΋ʜ )   

    ) ࢪઃ਺ ར༻ਓ਺  ࢪઃ )೥ݟࠐΈ ສਓ )೥ ར༻཰ͷ Ξοϓͳ͠
  187.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ްੜ࿑ಇলͷ਺஋໨ඪ ) )   ར༻ਓ਺

    ສਓ ) ഒ ສਓ
  188.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ) ) ສਓ   )

    ഒҎ্  ສਓ ڻ͖ͷજࡏχʔζ ར༻ਓ਺ ສਓ
  189. Q̎ ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ՝୊͸ ʮ࢖͍ͮΒ͞ʯ ͚ͩͰ͸ͳ͍ ڻ͖ͷજࡏχʔζ ࢖͍΍͘͢͢Ε͹ ຊ౰ʹղܾ͢Δʁ

  190.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ར༻ܦݧͳ͠  ར༻ܦݧ͋Γ   

    ࣗࣾΞϯέʔτʜʜର৅ɿපࣇอҭର৅೥ྸͷࢠͲ΋Λ΋ͭब࿑ঁੑਓ ʢશࠃʣ ՝୊͸ ʮ࢖͍ͮΒ͞ʯ ͚ͩͰ͸ͳ͍
  191.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ࣗࣾΞϯέʔτʜʜର৅ɿපࣇอҭର৅೥ྸͷࢠͲ΋Λ΋ͭब࿑ঁੑਓ ʢશࠃʣ ·ͬͨ͘஌Βͳ͍ ໊લ͔͠஌Βͳ͍  ࢖͍ํ͸஌͍ͬͯΔ

       
  192.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ͔͋ͣΔͪ͜ΌΜͰ໨ࢦ͢ੈք ࣗࣾΞϯέʔτʜʜର৅ɿපࣇอҭର৅೥ྸͷࢠͲ΋Λ΋ͭब࿑ঁੑਓ ʢશࠃʣ ࢖͍ͬͯΔ ஌Βͳ͍ ͖͋ΒΊͨ

    જࡏސ٬
  193. ஌͍ͬͯΔ ࢖͍ͬͯΔ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ͔͋ͣΔͪ͜ΌΜͰ໨ࢦ͢ੈք ࢖͍ͬͯΔ ϙʔλϧαΠτ ͜Μͳͷ

    ͋ΔΜͩʂ ࢖͑Δͱ͜ ͋Δ͡ΌΜʂ ར༻ਓ਺ɹ61ɹ
  194. Q̏ ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ߴ͍ਫ४Ͱ࣮ݱ͢ΔͨΊͷνʔϜͮ͘Γ ϢʔβʔΠϯλʔϑΣʔεͷΠϝʔδ ຊ౰ʹ࣮ݱͰ͖Δʁ

  195.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ߴ͍ਫ४Ͱ࣮ݱ͢ΔͨΊͷνʔϜͮ͘Γ $&0 ࢈්ਓՊҩ $.0 খࣇՊҩ $90

    69σβΠφʔ
  196.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ߴ͍ਫ४Ͱ࣮ݱ͢ΔͨΊͷνʔϜͮ͘Γ 69  6*σβΠϯ อҭɾ ҩྍઐ໳৬

    ʢاըɾӦۀʣ ޿ใ පࣇอҭ ઐ໳࢜ ॿ࢈ࢣ ҩֶੜ ࢈්ਓՊҩ ݺٵث಺Պҩ පࣇอҭܦӦऀ Πϯλʔϯ ޿ใ ։ൃ࣮૷ BOE :06 σβΠφʔ 6*σβΠφʔ ٕज़ސ໰ ΤϯδχΞ ΤϯδχΞ ΤϯδχΞ
  197. ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE  ߴ͍ਫ४Ͱ࣮ݱ͢ΔͨΊͷνʔϜͮ͘Γ ؂म େ઒༸ೋઌੜ શࠃපࣇอҭڠٞձձ௕ େ઒͜Ͳ΋ˍ಺ՊΫϦχοΫӃ௕ ͏͗͞ͷϚϚࢪઃ௕

  198. ߴ͍ਫ४Ͱ࣮ݱ͢ΔͨΊͷνʔϜͮ͘Γ ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE  ݱ৔͕νʔϜϝϯόʔʂ

  199. ࢈׭ֶͷ࿈ܞ  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ݱ৔͕νʔϜϝϯόʔʂ ࢈ .63$ "4"$ ׭

    ްੜ࿑ಇল ࢢ۠ொଜ ٞһ ౦ژ౎ ֶ ֶձൃද පࣇอҭڠٞձ ౦େެऺӴੜ ࢈්ਓՊֶձ A ՝୊ղܾ
  200. පӃ ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE  ࢠͲ΋ʹ҆৺ͷωοτϫʔΫߏங΁ ࢢ۠ொଜ اۀ පࣇอҭϓϥοτϑΥʔϜ පࣇอҭ㱻อҭ

  201. ºίϛϡχςΟ ࢠҭͯ

  202. ºίϛϡχςΟ ҩྍ

  203. ºίϛϡχςΟ ҩྍ ҩࢣձ

  204. ºපࣇอҭ ҩࢣձ

  205. ҊᶃපࣇอҭࢪઃΛ࡞Δʂ ౦ژ౎େా۠ େ৿ҩࢣձ

  206. Ҋᶄࠓ͋ΔපࣇอҭࢪઃΛ࢖͍΍͘͢͢Δ පࣇอҭͷར༻Λ εϚϗͰ γϯϓϧʹɻ

  207. Ҋᶅࠓ͋ΔපࣇอҭࢪઃΛ࢖͍΍͘͢͢Δʢૹܴࣄۀʣ පࣇอҭϓϥοτϑΥʔϜ อҭԂϓϥοτϑΥʔϜ ૹܴ͢Δਓ

  208. Ҋᶆࢢ୯ҐͰපࣇอҭࢪઃΛ࢖͍΍͘͢͢Δ ར༻ऀ ແྉ පࣇอҭࣨ ར༻ྉ ࢢ۠ொଜ ར༻ྉ ັྗ͋Δ ֗ͮ͘Γ΁

  209. શࠃͱͷൺֱ ҵ৓ݝ ɹ࠽ະຬਓޱ ɹສਓ શࠃฏۉϨϕϧͳΒ ɹࢪઃ ࣮ࡍͷࢪઃ਺ ɹࢪઃ ਫށࢢ ɹ࠽ະຬਓޱ

    ɹສਓ શࠃฏۉϨϕϧͳΒ ɹࢪઃ ࣮ࡍͷࢪઃ਺ ɹࢪઃ ࠽ະຬਓޱͰܭࢉ͠ɺ શࠃฏۉΑΓ΋ ଟ͍ࢪઃΛ࣏࣋ͭࣗମ͕੺ গͳ͍৔߹ɺ ੨Ͱදࣔ ϦϯΫ͸ͪ͜ΒΛΫϦοΫ
  210. Ҋᶇݝ୯ҐͰපࣇอҭࢪઃΛ࢖͍΍͘͢͢ΔʢࢁསݝͷऔΓ૊Έʣ ઌਐࣄྫɿࢁསݝͷऔΓ૊Έ ޿Ҭར༻ ΦϯϥΠϯࣄલొ࿥

  211. Ҋᶈҩࢣձһઐ༻࿮ͷ૑ग़ ఆһ໊ ৬һ༻໊̎

  212. Ҋᶈҩࢣձһઐ༻࿮ͷ૑ग़ ఆһ໊ ৬һ༻໊̎ ஍Ҭͷࢪઃʹҩࢣձ࿮Λ

  213.  ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE ҩࢣͱ͸ ҩࢣ๏ୈҰ৚ɹ ɹҩࢣ͸ɺҩྍٴͼอ݈ࢦಋΛঠΔ͜ͱʹΑͭͯ ɹެऺӴੜͷ޲্ٴͼ૿ਐʹد༩͠ɺ ɹ΋ͭͯࠃຽͷ݈߁ͳੜ׆Λ֬อ͢Δ΋ͷͱ͢Δɻ ҩࢣͱ͸

  214. l4VDDFTTJTOPUpOBM GBJMVSFJTOPUGBUBM JUJTUIFDPVSBHFUPDPOUJOVFUIBUDPVOUTz ੒ޭ͸ΞΨΓͰ͸ͳ͘ɺࣦഊ͸க໋తͰ͸ͳ͍ɻ େ੾ͳͷ͸ଓ͚Δ༐ؾͩ

  215. ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE  ͔͋ͣΔͪ͜ΌΜ ҭࣇʹؔΘΔ͢΂ͯͷਓΛসإʹ͢Δ .*44*0/

  216. ";6,"36,0$)"/ $POOFDUFE*OEVTUSJFT *ODPSQPSBUFE  ͔͋ͣΔͪ͜ΌΜ ࢠҭͯΛϋοϐʔʹʂ

  217. ࠓճ͸وॏͳ৔Λ࡞͍͍ͬͯͨͩͨॾԬ৳༟ઌੜʢἚ৓ݝҩࢣձձ௕ʣɺຬ઒ݩҰઌੜʢἚ৓ݝҩ ࢣձ෭ձ௕ʣɺ੨໦͔ΛཬઌੜʢἚ৓ݝҩࢣձஉঁڞಉࢀըҕһձҕһ௕ʣɺ஛த৻ઌੜʢਫށ੺ ेࣈපӃ࢈්ਓՊ෦௕ʣʹਂ͘ײँ͍ͨ͠·͢ɻ ͜ͷ෼໺Ͱͣͬͱਚྗ͞Ε͖ͯͨւ໺৴໵ڭतʢ๺ཬେֶ࢈්ਓՊʣɺதҪষਓڭतʢ೔ຊҩՊେ ֶ࢈්ਓՊʣɺ໦ށಓࢠ෦௕ʢ೔ຊ੺ेࣈҩྍηϯλʔʣɺएखͰ͋ΔΘͨ͠Λ͍ͭ΋Թ͔͘ࢦಋ ͩͬͨ͘͞ҩྍվֵҕһձͷઌੜํɺوॏͳ͝ҙݟ΍εϥΠυͷఏڙΛ௖ଷͨ͠ɺখদ޺জઌੜ ʢௗऔେֶ࢈්ਓՊʣɺత৔༏հઌੜʢܚጯେֶ࢈්ਓՊʣɺࣲాҁࢠઌੜʢཎ઒ΩϦετڭපӃ ࢈්ਓՊʣɺۄ಺ֶࢤઌੜʢ໊ݹ԰େֶ࢈්ਓՊʣɺཱੴ࣮ઌੜʢ੟ྴ඿দපӃ৺ଁ݂؅֎ Պʣɺશࠃͷ෼ṯࢪઃʹ͓͚Δಇ͖ํվֵௐࠪΛڞʹղੳɾݕ౼ͨ͠ླ໦ਅઌੜʢُా૯߹ප Ӄʣɺॏݟେհઌੜʢ౦ژେֶେֶӃྟচӸֶڭࣨʣɺখ໺݈ଠ࿠ઌੜʢ੟࿏ՃපӃ࢈්ਓՊʣɺ

    ߔޱതॏ͞Μʢגࣜձࣾ".**ʣʹਂ͘ײँ͍ͨ͠·͢ɻ ࠷ޙʹɺࣾձىۀՈͱͯ͠ͷಇ͖ํΛԠԉͯͩ͘͠͞Δ౻Ҫ஌ߦڭतɺେਢլয়ڭतɺ౦ژେֶ࢈ ්ਓՊڭࣨͷઌੜํʹ͸͍ͭ΋ਂ͘ײँ͓ͯ͠Γ·͢ɻ ँࣙ
  218. ࣗݾ঺հ ୈ̍ষɹಇ͖ํվֵɹ෼ʴ෼ ୈ̎ষɹঁੑҩࢣͷಇ͖ํͱӃ಺อҭɹ෼ʴ෼ ୈ̏ষɹපࣇอҭͱҩࢣͷىۀɹ෼ʴ෼ ࣭ٙԠ౴ɹ෼ ΞδΣϯμ

  219. None
  220. ิॿۚʹ͍ͭͯ

  221. جຊ෼ ສԁ Ճࢉ෼ ສԁ ਓຖʹ ໿ສԁͣͭ Ճࢉ෼Ξοϓ ྫ ਓར༻ ਓϨϯδ

    جຊ෼ ສԁ ສԁ  ສԁ ް࿑লϞσϧ
  222. පࣇอҭࣨར༻཰ ೥ؒ ਓ͕ར༻ʹ  ສԁͷ৔߹ ౎ಓ෎ݝ ࠃ  ʕ 

    ສԁ  ʕ  ສԁ ࢢ۠ொଜ ʴ  ʕ  ສԁ  ສԁ පࣇอҭࣨ පࣇରԠܕิॿۚ
  223. පࣇอҭࣨར༻཰ ೥ؒ ਓ͕ར༻ʹ  ສԁͷ৔߹ ࢢ۠ொଜ  ສԁ පࣇอҭࣨ ར༻ྉ

    ԁºਓ㲈ສԁ  ສԁ ؃ޢࢣºਓ ສԁ อҭ࢜ºਓ ສԁ ʴ ύʔτ ʴ Ո௞ ʴ อҭؔ࿈ ʴ ࡶඅ ʜ௿͍ පࣇରԠܕิॿۚ
  224. ࢢ۠ொଜ පࣇอҭࣨ ް࿑লϞσϧ ैྔ੍ ఆֹ පࣇରԠܕิॿۚ

  225. පࣇରԠܕิॿۚ ް࿑লϞσϧ ैྔ੍ ఆֹ ར༻ਓ਺ʹΑΒͣ҆ఆ ར༻ਓ਺ΞοϓͰ ऩӹ΋Ξοϓ

  226. ར༻ྉ ສԁ ఆһ໊ ར༻཰  ೥ؒར༻ ਓ ʴສԁ ຊདྷͷิॿʢສԁʣΑΓ ࢢͷෛ୲

    ʢࢧग़ʔิॿۚʔར༻ྉʣ ࠃɾݝɾࢢ͕ ສԁ  ͣͭෛ୲ ສԁ º  ʔ  ʹສԁ ར༻཰͕ݱঢ় ʢ"ࢢͷ࣮ྫʣ පࣇอҭࣨ  ສԁ ౎ಓ෎ݝ ࠃ "ࢢ ສԁ ར༻ਓ਺͕Ξοϓ͢Δͱɺࢢ۠ொଜͷෛ୲͸ݮগ͢Δ
  227. ར༻ྉ ສԁ ೥ؒར༻  ਓ —ສԁ ຊདྷͷิॿʢສԁʣΑΓ ఆһ໊ ར༻཰ 

    ࢢͷෛ୲ ʢࢧग़ʔิॿۚʔར༻ྉʣ ར༻཰͕ݱঢ় ͔Β ·Ͱ্ঢͨ͠৔߹ʢ"ࢢͷγϛϨʔγϣϯʣ පࣇอҭࣨ  ສԁ ࠃɾݝɾࢢ͕ ສԁ  ͣͭෛ୲  ສԁ º  ʔ  ʹ ສԁ ౎ಓ෎ݝ ࠃ "ࢢ ิॿۚ ʴສԁ  ສԁ ࢢͷෛ୲ ສԁ ར༻ਓ਺͕Ξοϓ͢Δͱɺࢢ۠ொଜͷෛ୲͸ݮগ͢Δ
  228. ࢀর

  229. (2017) Operating Room 15 Number of operations 10,578 General anesthesia

    6,719 SEIREI HAMAMATSU GENERAL HOSPITAL “Task shifting / sharing” PBPM (Pharmacy-based protocol medication) : Based on the protocol, pharmacist order for continuous / shortage prescriptions, correct the inappropriate order, plan and propose the dosage design, point out the side-effects…etc. ü Pharmacist ü Nurse Specialized cardiovascular surgery NP will put in from April 2020 ü Clinical Engineer 78 CEs work in our hospital, 20-28 CEs exclusively works in operating room. They manage and organize robot surgery, implantable equipment, Laparoscope, and support anesthesiologists.
  230. ࢓ࣄͱҭࣇͷཱ྆ʹඞཁͳ΋ͷ

  231. ୈճ ࢈්ਓՊಈ޲ҙࣝௐࠪɾλεΫγϑτௐࠪ ͔Βݟ͑ͨ͜ͱ ʮप࢈ظҩྍͷ޿৔ʯͷ)1ʹͪ͜Βͷใࠂ͕͋Γ·͢ɻ

  232. None
  233. None
  234. None
  235. None
  236. None
  237. None
  238. None
  239. None
  240. None
  241. ग़య ฏ੒30೥౓ʮ֦େҩྍվֵҕһձʯ݉ ʮ࢈්ਓՊҩྍվֵ ެ։ϑΥʔϥϜʯ ೔ຊҩՊେֶ தҪষਓڭत࡞੒ࢿྉ ʢࢀߟʣ໷ۈҎ֎ͷ࣌ؒ֎࿑ಇ͸ݮগ܏޲

  242. ҩࢣिͷ࿑ಇ࣌ؒࠃࡍൺֱ ि࿑ಇ࣌ؒͷҩࢣஉঁ೥୅ผࠃࡍൺֱɺ0&$%EBUB ग़య 2006೥OECD dataɺ2006೥ࠃཱอ݈ҩྍՊֶӃλΠϜελσΟͷௐࠪ݁ՌΑΓ ౦ژେֶҩՊֶݚڀॴ ౬஑ߊҰ࿠ઌੜ࡞੒ ʢ໷ۈΛআ͘ʣ ฏۉతͳ࣌ؒ֎࿑ಇ͸ ݮগ͍ͯ͠Δͷ͸

    લड़ͷௐࠪΑΓ͔͕֬ͩ एखҩࢣ͸ ฏۉΑΓ΋௕࣌ؒ࿑ಇΛ ͍ͯ͠Δͱ༧૝͞ΕΔ ˞ࢲݟͰ͸ɺେֶͳͲͰ ɹ໾৬ʹ͍͍ͭͯΔઌੜ͸ ɹएखಉ༷͔ͦΕҎ্ʹ ɹ௕࣌ؒ࿑ಇ͍ͯ͠Δ ʢࢀߟʣ೔ຊͷएखҩࢣ͸ɺଞࠃΑΓ΋௕࣌ؒ࿑ಇ͍ͯ͠Δ
  243. ؃ޢ৬΁ͷλεΫγϑτ ɹ೛৷தظҎ߱ͷ೛්݈਍͸ɺҩࢣ֎དྷͱॿ࢈ࢣ֎དྷ͕ ɹަޓʹͳΔΑ͏ʹ݈਍εέδϡʔϧΛ૊Ή ɹˠҩࢣͷ֎དྷۀ຿෼୲͕΄΅൒ݮ ɹɹɹʢۀ຿಺༰ʣҩࢣɿ௒Ի೾ݕࠪɺҩֶతҟৗͷૣظൃݟ ɹɹɹɹɹɹॿ࢈ࢣɿอ݈ࢦಋɾೕ๪έΞͳͲ ઐ໳৬ͷػೳΛੜ͔ͨ͠λεΫγΣΞ ɹӃ಺ॿ࢈΍࢈ޙέΞʹ͓͍ͯ΋ॿ࢈ࢣͱڠಇ ೔தͷਓखෆ଍Λٹ͏ʹ͸ʮνʔϜҩྍʯͷ࣮ݱΛʂ

  244. ҩྍࣄ຿ิॿऀʹΑΔॻྨ࡞੒΍ೖྗ࡞ۀͷ୅ߦ ɹˠҩࢣͷࣄ຿࡞ۀෛ୲͕ݮগॻྨ࡞੒ͷ஗Ԇ΍ ɹɹೖྗ࿙Ε͕ͳ͘ͳΓӃ಺ۀ຿͕ԁ׈Խ ໾ׂ෼୲ਪਐҕһձʹͯఆظతʹۀ຿಺༰Λݟ௚͠ ɹɹ ೔தͷਓखෆ଍Λٹ͏ʹ͸ʮνʔϜҩྍʯͷ࣮ݱΛʂ

  245. ࣌ؒ ࣌ؒҎ্ ໿ഒʂ ೔࣌ؒʙ࣌ؒಇ͍ͨਓͱൺֱͯ͠೔࣌ؒҎ্ಇ͍ͨਓͰ͸ ৺ے伷࠹Λൃ঱͢ΔϦεΫ͕̎̕ഒ 8PSLJOHIPVSTBTBSJTLGBDUPSGPSBDVUFNZPDBSEJBMJOGBSDUJPOJO+BQBODBTFDPOUSPMTUVEZ4PLFKJNB4FUBM#.+4FQ   ೔ͷਭ຾͕࣌ؒະຬͰ͸݂ѹ্ঢɺڱ৺঱΍৺ے伷࠹ͷϦεΫ্ঢ 4MFFQEJTPSEFSTJOSFMBUJPOUPDPSPOBSZIFBSUEJTFBTF1BSUJOFO.FUBM"DUB.FE4DBOE4VQQM

    ա࿑ͷѱӨڹ
  246. JAMA. 2005 Sep 7;294(9):1025-33. ҩྍ҆શ΁ͷӨڹ

  247. ๩͍͠໷ۈ໌͚ͷूதྗ͸ ΄Ζਲ͍ঢ়ଶΑΓԼ͕͍ͬͯΔ 175ςετ ࣋ଓॲཧ՝୊ςετ ӡసγϛϡϨʔγϣϯ ҩྍ҆શ΁ͷӨڹ

  248. *5ͳͲͷ׆༻

  249. ౰ӃͰ෼ṯ༧ఆͷ೛࢈්ͷ֎དྷݕ਍Λ஍ҬͷΫϦχοΫʹҕୗ Ұ෦͸*5׆༻Ͱ਍ྍ৘ใΛڞ༗ ප਍࿈ܞ

  250. Ѫඤݝ࢛ࠃதԝࢢ ੴ઒ه೦ձ)*50පӃ ཧֶྍ๏࢜ IUUQTUFDIOJLLFJCQDPKQENBUDMGFBUVSF 45IFBMUI1 *5ͷ׆༻

  251. εϚϗΞϓϦͳͲͷ࢖͍ํΛ ڭ͑ͯ͘ΕΔΧ΢ϯλʔ IUUQTUFDIOJLLFJCQDPKQENBUDMGFBUVSF 45IFBMUI1 *5ͷ׆༻

  252. None
  253. 

  254.