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産科婦人科学会の働き方改革

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June 27, 2019
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 産科婦人科学会の働き方改革

日本小児循環器学会2019 at 札幌

働き方改革セッションでのプレゼン資料

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CI Inc.

June 27, 2019

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Transcript

  1. ࢈Պ්ਓՊֶձͷಇ͖ํվֵ ಇ͖ํվֵηογϣϯʙ೔ຊখࣇ॥؀ثֶձʙ ౦ژେֶ࢈්ਓՊڭࣨ Ԃాਖ਼थ

  2. ୈճ೔ຊখࣇ॥؀ثֶձ ૯ձɾֶज़ूձ $0*։ࣔ ൃදऀ໊ɿԂాਖ਼थ ൃදʹؔ࿈͠ɺ։ࣔ͢΂͖$0*ؔ܎ͱ͸௚઀ؔ܎ͳ͍͕ ؒ઀తʹಇ͖ํվֵʹࢿ͢Δاۀͱͯ͠ $POOFDUFE*OEVTUSJFTגࣜձࣾʢུه$**ODɿγʔΞΠɾΠϯΫʣ͕͋Γ ຊ๏ਓͷ୅දͰ͋Γɺච಄גओɻ ݱࡏɺँۚ΍څ༩ͳͲͳ͠ɻ ͜

    Ͳ ΋ ͱ Ո ଒ ͷ স إ Λ ͭ ͘Δ ɻ

  3. ࢈්ਓՊҩ ౦ ژ େ ֶ େ ֶ Ӄ ެ ऺ

    Ӵ ੜ ֶ ࢈ ් ਓ Պ ֶ ձ ҩ ྍ վ ֵ ҕ һ ձ ઐ ໳ ҩ ੍ ౓ ҕ һ ձ පࣇอҭͷઐ໳Ո ࢈්ਓՊҩ͔Βපࣇอҭͷઐ໳Ո΁

  4. w ໌೔͔Βಇ͖ํվֵΛ࣮ߦ͢Δ ɹɹɹ͋ͳͨͷ৬৔ͷ࢒ۀΛݮΒ͢ͷํ๏ ΰʔϧ w ಇ͖ํվֵʹपғΛר͖ࠐΉ

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

  6. খࣇ॥؀ثͱ࢈්ਓՊͷڞ௨఺ w ΍Γ͕͍͕ߴ͍ ɹɹɹ෼ṯɺࢠͲ΋͕ݩؾʹͳΔ w νʔϜҩྍ͕ॏཁ ɹɹɹ৽ੜࣇՊҩɺຑਲՊҩɺ࢈Պҩɺ์ࣹઢՊҩ ɹɹɹྟচ޻ֶٕ࢜ɺ؃ޢࢣ w एखͷ͜ͱΛߟ͍͑ͯΔ

    ɹɹɹएखҕһɺ࣍ੈ୅খࣇ৺ଁ݂؅֎Պҩҭ੒ϓϩδΣΫτ w ౰௚͕ଟ͍ʹ࣌ؒ֎࿑ಇ͕ଟ͍ w աॏ࿑ಇ w ઐ߈͢Δҩࢣͷׂ߹͕গͳ͍ʢ਍ྍՊͷภࡏ͕ਐΜͰ͍Δʣ w ࣗવͳܗͰͷू໿Խ͕ਐΜͰ͍Δ

  7. ࢈්ਓՊͱখࣇ॥؀ثͷ૬ҧ఺ w உঁൺ཰ w ྖҬͷ޿͞ ͪ͜Βࢀߟʹ ͠·ͨ͠ɻ

  8.  ࣌ؒ ա࿑ࢮϥΠϯ ΩʔʹͳΔ਺ࣈ

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

  10. ްੜ࿑ಇলɹҩࢣͷಇ͖ํվֵʹؔ͢Δݕ౼ձ Λத৺ʹશମΛ၆ᛌ͢Δ

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

  12. ҩࢣͷۈ຿࣌ؒ ްੜ࿑ಇলɹୈճɹҩࢣͷಇ͖ํվֵʹؔ͢Δݕ౼ձɹࢿྉΑΓ Ҏ্ͷۈ຿ҩ͸ ա࿑ࢮϥΠϯΛ௒͑ͯಇ͍͍ͯΔ খࣇ৺ଁ݂؅֎Պҩ͸ ͕ա࿑ࢮϥΠϯΛ௒͍͑ͯͨ

  13. 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% 19.7% 22.0% 12.7% 5.2% 1.7% 4.6% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% ि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 

  14. େֶපӃͷҩࢣͷಇ͖ํ ࣌ؒʙ  ʹ೔ಇ͘ͱͯ࣌ؒ͠EBZͷ࣌ؒ֎ʢա࿑ࢮϥΠϯͷ̎ഒʣ

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

  16. ಇ͖ํվֵ࣮ݱ΁ͷ՝୊ ू໿Խ͕ग़དྷ͍ͯͳ͍ ڭҭޮ཰͕ѱ͘ͳΔ ௕࣌ؒ࿑ಇ㱠ॆ࣮ͨ͠ݚम ͕ͩ ௕࣌ؒ࿑ಇ͠ͳ͍ͱܦݧ͕Ͱ͖ͳ͍࢓૊Έʹͳ͍ͬͯΔ

  17. ಇ͖ํվֵ࣮ݱ΁ͷ՝୊ ίϝσΟΧϧ͕গͳ͍ λεΫγϑτ͢Δઌ΋๩ͯ͘͠ɺγϑτग़དྷͳ͍

  18. Θͨࣗ͠਎ͷ࿩

  19. ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ ࣌ؒि ݄

    ࣌ؒ େֶि̐ʢ໷ۈ݄ճʣ ʴ֎ۈि̍ʢ࣌ؒʣ ֎ۈ ֎ۈ ֎ۈ େֶපӃ ࣌ ࣌ ࣌ ࣌ ࣌ ࣮ࡍͷ࿑ಇ؀ڥᶃ

  20. िʢ໷ۈ݄ճʣ ʴΦϯίʔϧ݄ճ ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ

    ࣌ؒि ݄ ࣌ؒ ৗۈਓ ஍Ҭप࢈ظ ηϯλʔ" ࣌ ࣌ ࣌ ࣌ ࣌ ࣮ࡍͷ࿑ಇ؀ڥᶄ

  21. िʢ໷ۈ݄ճʣ ʴΦϯίʔϧ݄ճ ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ

    ࣌ؒ ݄ ࣌ؒ ৗۈਓ ʴେֶ֎ۈि̎ ஍Ҭप࢈ظ ηϯλʔ# ࣌ ࣌ ࣌ ࣌ ࣌ ࣮ࡍͷ࿑ಇ؀ڥᶅ

  22. िʢ໷ۈ݄ճʣ ʴΦϯίʔϧ݄ճ ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ

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

  23. ࢈්ਓՊͷಛघੑ

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

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

  26. ϐϯν͸ νϟϯεʂ

  27. ग़య ೔ܦϝσΟΧϧసࡌɹ ʢ2019/2/4ʣ

  28. ࢈Պ්ਓՊֶձ͸ ઌਐతʹٞ࿦ɺఏݴ͍ͯ͠Δ

  29. ࢈්ਓՊͷݱঢ়

  30. ࢈්ਓՊৗۈҩࢣ਺ @தҪ ষਓઌੜ ʢ೔ຊҩՊେֶʣ ʢҰ෦վมʣ ૿Ճ͸ఀ଺

  31.          ೥ʢত࿨೥ʣ

    ೥ʢত࿨೥ʣ ೥ʢত࿨೥ʣ ೥ʢত࿨೥ʣ ೥ʢত࿨೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ೥ʢฏ੒೥ʣ ҩࢣ਺ͷਪҠ ҩࢣͷશମ਺͸ ૿͍͑ͯΔͷʹ ࢈්ਓՊҩ͸ ɺɺɺ

  32.     ) ) ) ) ) )

    )         ࢈්ਓՊઐ߈ҩొ࿥ऀ਺ ઐ߈ҩ͕डݧͨ͠೥ͷ ҩࢣࠃՈࢼݧ߹֨ऀ਺ ௗऔେֶ খদ޺জઌੜ ʢݩएखҕһձҕһ௕ʣ ఏڙσʔλ͔Β࡞੒ ࢈්ਓՊઐ߈ҩ͸ճ෮܏޲ एखҕһൃ଍

  33. 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೥౓ҩֶ෦ೖֶఆһ૿ʹ͍ͭͯhttps://www.google.co.jp/url?sa=t&rct=j&q=&esrc=s&source=web&cd=3&ved=0ahUKEwjZw8GFxIPPAhWDopQKHYD7CYsQFggmMAI&url=http://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

  34. @தҪ ষਓઌੜʢ೔ຊҩՊେֶʣ ʢҰ෦վมʣ ࢪઃ਺ ෼ṯࢪઃ͸ ݮগ

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

  36. ౰௚ͱ͍͏ͷ͸ ʮަ୅੍Ͱ౰൪ΛܾΊͯۈ຿͢Δ͜ͱʯ ͱ͍͏ͷ͕ຊདྷͷҙຯɻ ۀ຿಺༰΍ಇ࣌ؒ͘ଳΛࢦ͢΋ͷͰ͸ͳ͘ ೔௚ɺ॓௚ɺͲͪΒ΋౰௚ͱ͍͑Δɻ ࢀߟɿʮ౰௚ʯͱ͍͏ݴ༿ͷ֬ೝ

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

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

  39. ਖ਼֬ʹ͸ ʮ໷ۈʯͰ͋Γ ͢΂ͯͷ͕࣌ؒʢ࣌ؒ֎ʣ࿑ಇ࣌ؒʹʂʂ զʑ࢈්ਓՊҩ͕΍͍ͬͯΔͷ͸ʮ॓௚ʯͰ͸ͳ͘ ॳ࢈්ͷฏۉ෼ṯ࣌ؒ͸࣌ؒͰ͋Γ೔ۈଳͰ͸ऴྃ͠ͳ͍ͨΊ ෼ṯΛ΍͍ͬͯͨΒ͢΂ͯz໷ۈzͱߟ͑ͯɺ0,ɻ খࣇ॥؀ثͷઌੜํ΋ ࣗ͝਎ͷܖ໿ؔ܎͕Ͳ͏ͳ͍ͬͯΔ͔ɺ֬ೝΛʂ

  40. ࢈්ਓՊҩͷ໷ۈճ਺͸ଞՊΑΓ΋ଟ͍ @தҪ ষਓઌੜʢ೔ຊҩՊେֶʣ ʢҰ෦վมʣ

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

    ࣌ ࣌ ࣌ ࣌ ࣌ ஍Ҭप࢈ظ ηϯλʔ" ࣌ؒ֎࿑ಇ ࣌ؒि ݄ ࣌ؒ ʢ࠶ܝʣ஍Ҭप࢈ظηϯλʔ"Ͱͷۈ຿

  42. ݄ Ր ਫ ໦ ۚ ౔ ೔ िʢ໷ۈ݄ճʣ ʴΦϯίʔϧ݄ճ ৗۈʁਓ

    ࣌ؒ֎࿑ಇ ࣌ؒ ݄ ࣌ؒ ஍Ҭप࢈ظ ηϯλʔ" ࣌ ࣌ ࣌ ࣌ ࣌ ໷ۈΛिճ΁ Կਓମ੍ͳΒ ࣮ݱՄೳʁ

  43. ਓ໷ۈ ମ੍ͷ৔߹ ̎ਓ໷ۈମ੍ͷ৔߹໊ @தҪ ষਓઌੜʢ೔ຊҩՊେֶʣ ʢҰ෦վมʣ

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

  45. ९๏ϥΠϯୡ੒͸ະͩݟ͑ͣ ॓௚ͷճ਺͸΄ͱΜͲݮΒ͍ͤͯͳ͍ @தҪ ষਓઌੜʢ೔ຊҩՊେֶʣ ʢҰ෦վมʣ

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

  47. มܗ࿑ಇ੍࣌ؒ

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

    ݄ Ր ਫ ໦ ۚ มܗ࿑ಇ੍࣌ؒ

  49. ࣌ؒ ࣌ؒ ࣌ؒ ࣌ؒ ࣌ؒ ࣌ؒ ࣌ؒ ൟ๩೔ มܗ࿑ಇ࣌ؒੑʹΑͬͯ ࿑ಇ࣌ؒΛൟ๩೔ʹ

    ഑෼Ͱ͖Δ ݄ Ր ਫ ໦ ۚ ๏ఆ࿑ಇ࣌ؒ ࣌ؒ ͷ·· มܗ࿑ಇ੍࣌ؒ

  50. ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ ࣌ؒ ࣌

    ࣌ ࣌ ࣌ ࣌ มܗ࿑ಇ੍࣌ؒ

  51. ʢCFGPSFʣ ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ ࣌ؒ

    ʢ݄࣌ؒʣ ໷ۈ೔ ࣌ ࣌ ࣌ ࣌ ࣌ มܗ࿑ಇ੍࣌ؒ

  52. ʢBGUFSʣ ݄ Ր ਫ ໦ ۚ ౔ ೔ ࣌ؒ֎࿑ಇ ࣌ؒ

    ʢ݄࣌ؒʣ ໷ۈ೔ ࣌ ࣌ ࣌ ࣌ ࣌ ࣌ؒ֎࿑ಇ ࣌ؒ ʢ݄࣌ؒʣ มܗ࿑ಇ੍࣌ؒ

  53. ݄ Ր ਫ ໦ ۚ ౔ ೔ िʢ౰௚݄ճʣ ʴΦϯίʔϧ݄ճ ৗۈ̔ਓ

    ஍Ҭप࢈ظ ηϯλʔ" ࣌ ࣌ ࣌ ࣌ ࣌ ʢ࠶ܝʣ஍Ҭप࢈ظηϯλʔ"Ͱͷ໷ۈिճମ੍ ࣌ؒ֎࿑ಇ ࣌ؒ ݄ ࣌ؒ

  54. ݄ Ր ਫ ໦ ۚ ౔ ೔ िʢ౰௚݄ճʣ ʴΦϯίʔϧ݄ճ ৗۈ̔ਓ

    I ºճ 㲈I ஍Ҭप࢈ظ ηϯλʔ" ࣌ ࣌ ࣌ ࣌ ࣌ ࣌ؒ֎࿑ಇ ࣌ؒ ݄ ࣌ؒ ஍Ҭप࢈ظηϯλʔ"Ͱͷ໷ۈिճମ੍

  55. ݄ Ր ਫ ໦ ۚ ౔ ೔ िʢ౰௚݄ճʣ ʴΦϯίʔϧ݄ճ ৗۈ̔ਓ

    ࣌ؒ֎࿑ಇ ࣌ؒ ݄ ࣌ؒ ࣌ ࣌ ࣌ ࣌ ࣌ ஍Ҭप࢈ظ ηϯλʔ" I ºճ 㲈I ౰௚໌͚ؼ୐ʢมܗ࿑ಇ੍࣌ؒʣ

  56. ݄ Ր ਫ ໦ ۚ ౔ ೔ िʢ౰௚݄ճʣ ʴΦϯίʔϧ݄ճ ৗۈ̔ਓ

    ࣌ؒ֎࿑ಇ ࣌ؒ ݄ ࣌ؒ ࣌ ࣌ ࣌ ࣌ ࣌ ୡ੒ʂ ஍Ҭप࢈ظ ηϯλʔ" I ºճ 㲈I ͞Βʹ࣌ؒ֎࿑ಇΛݮΒ͢౒ྗΛͯ͠

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

  58. ೔தͷਓһෆ଍ ผࢪઃͰ͸ ᶃ໷ۈ ᶄ౰௚ ᶅ౰௚ ʔ̏ਓ ʔ̍ਓ ަ୅ۈ຿੍౓ͷσϝϦοτᶃ @໦ށ ಓࢠઌੜʢ೔ຊ੺ेࣈࣾҩྍηϯλʔʣ

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

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

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

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

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

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

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

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

  67. ࿑ಇ؀ڥվળ͕໨ࢦ͢ͱ͜Ζ ҩྍ҆શ

  68. ҩྍऀ͕ෆ޾ʹͳͬͯ͸͍͚ͳ͍ ҩࢣ΋ਓؒͰ͢

  69. w ҩྍΛఏڙ͢ΔපӃΛͰ͖Δ͚ͩॏ఺Խʢू໿Խʣ w ໷ۈ໌͚͸ؼ୐͢Δʮมܗ࿑ಇ੍࣌ؒʯ w ݸਓͷೳྗΛ࠷େݶʹ׆༻͠ɺ૊৫ͷύϑΥʔϚϯεΛ্͛Δ ɹɹɹɹɹɹɹɹɹɹɹɹɹʮ৽͍͠ಇ͖ํʯ͕ඞཁ ཧ࿦ฤͷ·ͱΊ

  70. ͜Ε͸ҩྍऀ͚ͩͷ໰୊Ͱ͸ͳ͍ ࠃຽΛר͖ࠐΜͰٞ࿦Λߦ͍ ࣋ଓՄೳͳ ΑΓྑ͍࢓૊ΈΛͲ͏΍ͬͯσβΠϯ͢Δ͔ ͱ͍͏໰୊

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

  72. ٢ాҩ੓ہ௕ʹॺ໊ఏग़

  73. ૯߹प࢈ظηϯλʔ " ࣲాҁࢠઌੜʢҩࢣ೥໨ʣ ಇ͖ํվֵͷ࣮ફฤ

  74. @ࣲా 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 ͓౔࢈ ࣌ؒ֎࿑ಇΛݮΒͨ͢Ίʹඞཁͳ͜ͱʢ࣮ફฤʣ

  75. ͋ͳͨͷ৬৔ͷ࢒ۀΛݮΒ͢ͷํ๏ ͋ΔපӃͷྫ Ұ൪େࣄͳ΋ͷ̍ͭ ໌೔͔ΒͰ͖Δ࢒ۀରࡦ̏ͭ ޮՌͷߴ͍࢒ۀରࡦ̏ͭ ಇ͖΍͘͢ͳΔ࢒ۀରࡦ̏ͭ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ

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

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

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

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

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

  81. පঢ়આ໌ͷ࣌ؒͷܝࣔ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ

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

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

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

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

  86. ΧϯϑΝϨϯεΛ࿑ಇ࣌ؒ಺ʹ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ       

       

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

    w ֎དྷதɾखज़தͷి࿩ͷ਍ྍதஅ͕ݮΔ w ओ࣏ҩݺͼग़͠΍֎ઢ໰͍߹Θ͕ͤݮΔ w ෳ਺ਓͰ਍ྍ಺༰Λ֬ೝ͠ϛεΛݮΒ͢

  88. ౰௚໌͚ͷ൒ٳ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ೥݄ʙ ౰௚໌͚൒ٳ     

     ೔໨ ೔໨ ˠ೔ۈ໷ۈ੍΁ ೥݄ʙ ౰௚ˠ໷ۈʹ      ೔໨ ೔໨

  89. ಇ͖΍͘͢͢Δͭ @ࣲా ҁࢠઌੜʢཎ઒ΩϦετڭපӃʣ ౰௚ଳͷਃ͠ૹΓɹ ҩྍࣄ຿ɾΞγελϯτͷಋೖ ฏ೔ͷ༗ٳಋೖ

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

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

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

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

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

  95. ࢈්ਓՊֶձͷऔΓ૊Έ

  96. ࢈්ਓՊҩͷಇ͖ํվֵએݴ ࢈්ਓՊҩͷʮಇ͖ํվֵʯએݴͱఏݴ 

  97. ࢈්ਓՊҩͷಇ͖ํվֵએݴ ࢈්ਓՊҩͷʮಇ͖ํվֵʯએݴͱఏݴ 

  98. ఏݴɿҩྍվֵΛ௨ͯ͡ಇ͖ํվֵΛ࣮ݱͤ͞·͠ΐ͏ ಺༰ ࢈්ਓՊҩͷʮಇ͖ํվֵʯએݴͱఏݴ 

  99. None
  100. None
  101. None
  102. None

  103. 第11回 産婦人科動向意識・ タスクシフト調査 （2018年12月実施） 日本産科婦人科学会 医療改革委員会

  104. *5ͳͲͷ׆༻

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

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

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

  108. None

  109. 

  110.  

  111. w ໌೔͔Βಇ͖ํվֵΛ࣮ߦ͢Δ ɹɹɹ͋ͳͨͷ৬৔ͷ࢒ۀΛݮΒ͢ͷํ๏ ΰʔϧ w ಇ͖ํվֵʹपғΛר͖ࠐΉ ࠓ͕มΘΔ࣌Ͱ͢ʂ

  112. ࠓճ͸وॏͳ৔Λ࡞͍͍ͬͯͨͩͨࡔຊتࡾ࿠ઌੜʢ੩Ԭݝཱ͜Ͳ΋පӃපӃ௕ɺ೔ຊখࣇ॥؀ث ֶձཧࣄ௕ʣɺؠຊᚸཧઌੜʢࡁੜձԣ඿ࢢ౦෦පӃ͜Ͳ΋ηϯλʔ௕ʣʹਂ͘ײँ͍ͨ͠·͢ɻ ·ͨɺࠓճؠຊઌੜΛ͝঺հͩͬͨ͘͞தҪষਓڭतʢ೔ຊҩՊେֶ࢈්ਓՊʣɺएखͰ͋ΔΘͨ ͠Λ͍ͭ΋Թ͔͘ࢦಋͩ͘͞Δւ໺৴໵ڭतʢ๺ཬେֶ࢈්ਓՊʣΛ͸͡Ίͱͨ͠ҩྍվֵҕһձ ͷઌੜํɺوॏͳ͝ҙݟ΍εϥΠυͷఏڙΛ௖ଷͨ͠໦ށಓࢠ෦௕ʢ೔ຊ੺ेࣈҩྍηϯλʔʣɺ త৔༏հઌੜʢܚጯେֶ࢈්ਓՊɺएखҕһձҕһ௕ʣɺࣲాҁࢠઌੜʢཎ઒ΩϦετڭපӃ࢈් ਓՊʣɺશࠃͷ෼ṯࢪઃʹ͓͚Δಇ͖ํվֵௐࠪΛڞʹղੳɾݕ౼ͨ͠ླ໦ਅઌੜʢُా૯߹ප Ӄʣɺॏݟେհઌੜʢ౦ژେֶେֶӃྟচӸֶڭࣨʣɺখ໺݈ଠ࿠ઌੜʢ੟࿏ՃපӃ࢈්ਓՊʣɺ ߔޱതॏ͞Μʢגࣜձࣾ".**ʣʹਂ͘ײँ͍ͨ͠·͢ɻ ࠷ޙʹɺࣾձىۀՈͱͯ͠ͷಇ͖ํΛԠԉͯͩ͘͠͞Δ౻Ҫ஌ߦڭतɺେਢլয়ڭतɺ౦ژେֶ࢈

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  113. ࢀর

  114. ୈճ ࢈්ਓՊಈ޲ҙࣝௐࠪɾλεΫγϑτௐࠪ ͔Βݟ͑ͨ͜ͱ ʮप࢈ظҩྍͷ޿৔ʯͷ)1ʹͪ͜Βͷใࠂ͕͋Γ·͢ɻ ʢۙ೔ɺ࠷ऴใࠂ͕ܝࡌ༧ఆʣ

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  124. ग़య ฏ੒30೥౓ʮ֦େҩྍվֵҕһձʯ݉ ʮ࢈්ਓՊҩྍվֵ ެ։ϑΥʔϥϜʯ ೔ຊҩՊେֶ தҪষਓڭत࡞੒ࢿྉ ʢࢀߟʣ໷ۈҎ֎ͷ࣌ؒ֎࿑ಇ͸ݮগ܏޲

  125. 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

  126. ؃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

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

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

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  129. JAMA. 2005 Sep 7;294(9):1025-33. ҩྍ҆શ΁ͷӨڹ

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