{"id":45300,"date":"2024-11-15T04:56:54","date_gmt":"2024-11-14T19:56:54","guid":{"rendered":"http:\/\/kochihen.replan.ne.jp\/?p=45300"},"modified":"2024-11-15T04:56:54","modified_gmt":"2024-11-14T19:56:54","slug":"%e3%80%90%e5%9c%b0%e5%9f%9f%e4%b8%ad%e5%bf%83%e7%97%85%e9%99%a2%ef%bc%86%e3%81%8b%e3%81%8b%e3%82%8a%e4%bb%98%e3%81%91%e5%8c%bb-%e3%82%b9%e3%82%ad%e3%83%9e%e3%81%a7%e6%82%a3%e8%80%85%e3%81%8c%e8%8b%a6","status":"publish","type":"post","link":"http:\/\/kochihen.replan.ne.jp\/?p=45300","title":{"rendered":"\u3010\u5730\u57df\u4e2d\u5fc3\u75c5\u9662\uff06\u304b\u304b\u308a\u4ed8\u3051\u533b \u30b9\u30ad\u30de\u3067\u60a3\u8005\u304c\u82e6\u52b4\uff1f\u3011"},"content":{"rendered":"<p><a href=\"http:\/\/kochihen.replan.ne.jp\/blog2\/wp-content\/uploads\/2024\/11\/4010-10.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/kochihen.replan.ne.jp\/blog2\/wp-content\/uploads\/2024\/11\/4010-10.jpg\" alt=\"\" width=\"525\" height=\"394\" class=\"alignnone size-full wp-image-45301\" srcset=\"http:\/\/kochihen.replan.ne.jp\/blog2\/wp-content\/uploads\/2024\/11\/4010-10.jpg 525w, http:\/\/kochihen.replan.ne.jp\/blog2\/wp-content\/uploads\/2024\/11\/4010-10-300x225.jpg 300w\" sizes=\"auto, (max-width: 525px) 100vw, 525px\" \/><\/a><br \/>\n\u3000\u308f\u305f\u3057\u306f\u3044\u3064\u3082\u304b\u304b\u308a\u4ed8\u3051\u306e\u304a\u533b\u8005\u3055\u3093\u306b\u304a\u4e16\u8a71\u306b\u306a\u3063\u3066\u3044\u308b\u6162\u6027\u75c5\u3092\u62b1\u3048\u3066\u3044\u307e\u3059\u3002\u4e00\u65b9\u3001\u3088\u304f\u540d\u524d\u306e\u5909\u308f\u308b\u5730\u57df\u306e\u96c6\u4e2d\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u75c5\u9662\u3082\u3059\u3050\u8fd1\u304f\u306b\u3042\u3063\u3066\u3001\u3068\u304d\u3069\u304d\u5165\u9662\u30fb\u624b\u8853\u306a\u3069\u3067\u304a\u4e16\u8a71\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u56fd\u7acb\u75c5\u9662\u306a\u3093\u3060\u3051\u308c\u3069\u300c\u6a5f\u69cb\u6539\u9769\u300d\u306e\u7d50\u679c\u540d\u524d\u3060\u3051\u5909\u308f\u308b\u306e\u3067\u3001\u75c5\u9662\u540d\u306f\u3044\u307e\u3067\u3082\u3088\u304f\u308f\u304b\u3089\u306a\u3044\uff08\u7b11\uff09\u3002\u3057\u304b\u3057\u672d\u5e4c\u90fd\u5e02\u5c45\u4f4f\u3068\u3044\u3046\u3053\u3068\u3067\u533b\u7642\u306b\u3064\u3044\u3066\u306f\u975e\u5e38\u306b\u5229\u4fbf\u6027\u306e\u9ad8\u3044\u5e78\u798f\u306a\u74b0\u5883\u306b\u4f4f\u3093\u3067\u3044\u308b\u3068\u601d\u3063\u3066\u3044\u307e\u3059\u3002<br \/>\n\u3000\u3067\u3001\u6700\u8fd1\u306e\u300c\u304b\u304b\u308a\u4ed8\u3051\u533b\u300d\u5236\u5ea6\u3068\u3044\u3046\u3082\u306e\u306b\u3082\u59a5\u5f53\u6027\u306f\u9ad8\u3044\u30e2\u30ce\u304c\u3042\u308b\u3068\u601d\u3063\u3066\u3044\u307e\u3059\u3002\u5730\u57df\u306e\u4e2d\u6838\u7684\u306a\u533b\u7642\u3092\u62c5\u3046\u5927\u578b\u75c5\u9662\u3078\u306e\u60a3\u8005\u96c6\u4e2d\u306b\u3088\u308b\u5f0a\u5bb3\u3092\u907f\u3051\u3066\u3001\u52b9\u7387\u7684\u306a\u533b\u7642\u4f53\u5236\u3092\u69cb\u7bc9\u3057\u3066\u3044\u304f\u3053\u3068\u306f\u307e\u3053\u3068\u306b\u7d20\u6674\u3089\u3057\u3044\u3068\u601d\u3063\u3066\u3044\u307e\u3059\u3002<br \/>\n\u3000\u5148\u822c\u3001\u308f\u305f\u3057\u81ea\u8eab\u3042\u308b\u6025\u60a3\u7684\u306a\u3053\u3068\u306b\u3082\u906d\u9047\u3057\u305f\u306e\u3067\u3059\u304c\u3001\u3042\u308f\u3066\u3066\u6551\u6025\u5bfe\u5fdc\u3068\u3059\u308b\u3053\u3068\u306a\u304f\u3001\u5e78\u3044\u306b\u3082\u5c0f\u5eb7\u3092\u5f97\u3066\u3044\u305f\u306e\u3067\u3001\u307e\u305a\u306f\u304b\u304b\u308a\u4ed8\u3051\u533b\u306b\u9023\u7d61\u3057\u3066\u53d7\u8a3a\u3055\u305b\u3066\u3082\u3089\u3063\u3066\u304b\u3089\u3001\u305d\u3053\u304b\u3089\u306e\u300c\u7d39\u4ecb\u300d\u3068\u3044\u3046\u3053\u3068\u3067\u56fd\u7acb\u75c5\u9662\u306e\u304a\u4e16\u8a71\u306b\u306a\u3063\u3066\u3001\u5408\u7406\u7684\u306a\u8a3a\u5bdf\u30fb\u51e6\u7f6e\u3092\u3057\u3066\u3044\u305f\u3060\u304f\u3053\u3068\u304c\u3067\u304d\u305f\u3002\u5236\u5ea6\u306e\u8da3\u65e8\u306b\u6cbf\u3046\u3088\u3046\u306b\u5bfe\u5fdc\u3057\u305f\u306e\u3067\u3059\u306d\u3002\u305d\u3046\u3044\u3046\u3053\u3068\u3067\u533b\u7642\u6a5f\u95a2\u540c\u58eb\u306e\u300c\u9023\u643a\u300d\u3092\u53d6\u308b\u3053\u3068\u3067\u6295\u85ac\u60c5\u5831\u306e\u9023\u643a\u306a\u3069\u3067\u60a3\u8005\u3068\u3057\u3066\u306e\u5229\u4fbf\u6027\u3082\u9ad8\u307e\u308b\u3002<br \/>\n\u3000\u305f\u3060\u3001\u3053\u3046\u3044\u3046\u95a2\u4fc2\u6027\u306e\u4e2d\u3067\u3001\u3084\u3084\u3082\u3059\u308b\u3068\u60a3\u8005\u304c\u3044\u308d\u3044\u308d\u3068\u6c17\u9063\u3044\u305b\u3056\u308b\u3092\u5f97\u306a\u3044\u3088\u3046\u306a\u5c40\u9762\u306b\u906d\u9047\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u5f97\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u3066\u3057\u307e\u3063\u305f\u3002<br \/>\n\u3000\u56fd\u7acb\u75c5\u9662\u306e\u65b9\u3067\u304a\u4e16\u8a71\u306b\u306a\u3063\u305f\u75c5\u5909\u306b\u3064\u3044\u3066\u3001\u305d\u306e\u5f8c\u306e\u7d4c\u904e\u72b6\u6cc1\u3092\u30c1\u30a7\u30c3\u30af\u3057\u3066\u3044\u305f\u3060\u304f\u305f\u3081\u306b\u53d7\u8a3a\u3057\u305f\u3044\u3068\u601d\u3063\u3066\u3044\u305f\u306e\u3067\u3059\u304c\u3001\u5f53\u7136\u304b\u304b\u308a\u4ed8\u3051\u533b\u3055\u3093\u3068\u56fd\u7acb\u75c5\u9662\u306e\u9593\u306b\u7acb\u305f\u3056\u308b\u3092\u5f97\u305a\u3001\u3044\u308f\u3070\u4e8b\u52d9\u9023\u7d61\u7684\u306a\u8a73\u7d30\u90e8\u5206\u306b\u307e\u3067\u3001\u60a3\u8005\u304c\u72b6\u6cc1\u6574\u7406\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u306b\u306a\u3063\u3066\u3057\u307e\u3063\u305f\u3002\u3082\u3061\u308d\u3093\u52dd\u624b\u306a\u3069\u306f\u307e\u3063\u305f\u304f\u308f\u304b\u3089\u306a\u3044\u3057\u3001\u305d\u3082\u305d\u3082\u3001\u56fd\u7acb\u75c5\u9662\u304b\u3089\u500b\u4eba\u75c5\u9662\u306b\u9001\u3089\u308c\u305f\u308f\u305f\u3057\u306e\u75c5\u6c17\u306e\u300c\u9023\u7d61\u66f8\u7c21\u300d\u306b\u306f\u5c01\u304c\u3055\u308c\u3066\u3044\u305f\u306e\u3067\u3001\u308f\u305f\u3057\u81ea\u8eab\u306f\u305d\u306e\u4e2d\u8eab\u306e\u8a73\u7d30\u306a\u3069\u306f\u898b\u3066\u3044\u306a\u3044\u3002\u3069\u3093\u306a\u5185\u5bb9\u304c\u66f8\u304b\u308c\u3066\u3044\u305f\u304b\u3001\u307e\u305f\u3069\u306e\u3088\u3046\u306a\u300c\u9023\u643a\u300d\u5185\u5bb9\u3060\u3063\u305f\u304b\u306b\u3064\u3044\u3066\u8a73\u7d30\u306f\u308f\u304b\u3089\u306a\u3044\u3002<br \/>\n\u3000\u4e00\u65b9\u305d\u306e\u3042\u305f\u308a\u306e\u3053\u3068\u304c\u3001\u4e8b\u52d9\u9023\u7d61\u3068\u3057\u3066\u306f\u5fc5\u8981\u4e0d\u53ef\u6b20\u306a\u306e\u3060\u305d\u3046\u3067\u5927\u75c5\u9662\u5074\u304b\u3089\u306f\u300c\u304b\u304b\u308a\u4ed8\u3051\u533b\u306b\u76f4\u63a5\u805e\u3044\u3066\u3082\u3044\u3044\u304b\uff1f\u300d\u3068\u3044\u3046\u3061\u3087\u3063\u3068\u30ab\u30c9\u304c\u7acb\u3064\u304b\u3082\u77e5\u308c\u306a\u3044\u53e3\u8abf\u3067\u540c\u610f\u3092\u6c42\u3081\u3089\u308c\u305f\u3002<br \/>\n\u3000\u8a3a\u3066\u3044\u305f\u3060\u304f\u60a3\u8005\u3068\u3057\u3066\u306f\u3069\u3061\u3089\u306b\u3082\u304a\u4e16\u8a71\u306b\u306a\u3063\u3066\u3044\u308b\u306e\u3067\u3001\u305d\u308c\u305e\u308c\u306e\u5fc3\u8a3c\u3092\u5bb3\u3057\u305f\u304f\u306f\u306a\u3044\u3002\u300c\u3046\u301c\u3080\u300d\u3068\u8003\u3048\u8fbc\u307e\u3055\u308c\u305f\u6b21\u7b2c\u3002\u500b\u4eba\u75c5\u9662\u3055\u3093\u306b\u904e\u5927\u306a\u4e8b\u52d9\u9023\u7d61\u8cac\u4efb\u3092\u8ca0\u308f\u305b\u308b\u306e\u3082\u3001\u7533\u3057\u8a33\u306a\u3044\u3068\u3044\u3046\u300c\u7e4a\u7d30\u306a\u300d\u60a3\u8005\u5fc3\u7406\u3002<br \/>\n\u3000\u307e\u3041\u4e8b\u5b9f\u3068\u3057\u3066\u306f\u6ede\u308a\u306a\u304f\u9032\u5c55\u3057\u3066\u3001\u672c\u65e5\u3001\u7121\u4e8b\u306b\u56fd\u7acb\u75c5\u9662\u3067\u306e\u4e88\u7d04\u304c\u53d6\u308c\u305f\u306e\u3067\u3059\u304c\u3001\u304b\u304b\u308a\u4ed8\u3051\u533b\u5236\u5ea6\u306e\u904b\u7528\u9762\u3067\u3001\u307e\u3060\u8a73\u7d30\u90e8\u5206\u3067\u306f\u7df4\u308a\u8fbc\u307e\u308c\u3066\u3044\u306a\u3044\u306a\u3041\u3068\u611f\u3058\u305f\u6b21\u7b2c\u3002<\/p>\n<p>English version\u2b07<\/p>\n<p>Community Centered Hospitals &#038; Family Physicians: Patients Struggle with Schema?<br \/>\nAs a patient, I aim to build a good-circulation relationship with the doctors and medical systems that are involved in my body. I don&#8217;t want to be thrown into an \u201cin-between-the-board\u201d situation that goes against my will. &#8230;<\/p>\n<p>\u3000I have a chronic illness that is always taken care of by my family doctor. On the other hand, there is also a local intensive care center hospital nearby, whose name often changes, and I sometimes go there for hospitalization and surgery. It is a national hospital, but only its name changed as a result of \u201corganizational reform,\u201d so even now I am not sure of the name of the hospital (laughs). However, as a resident of the city of Sapporo, I feel that I live in a very convenient and happy environment with regard to medical care.<br \/>\n\u3000I believe that the recent \u201cfamily doctor\u201d system has a high degree of validity. I think it is a wonderful idea to build an efficient medical system that avoids the harmful effects of concentrating patients in large hospitals that provide core medical services in the community.<br \/>\n\u3000Recently, I myself had a medical emergency, but fortunately, I had a lull in the situation and was able to contact my family doctor first, who referred me to a national hospital, where I was able to receive a reasonable medical examination and treatment. I was able to get a reasonable medical examination and treatment. You responded in a way that was in line with the purpose of the system. That kind of \u201ccollaboration\u201d between medical institutions will increase convenience for you as a patient through the coordination of medication information, etc.<br \/>\n\u3000However, it turned out that in this kind of relationship, it is possible to encounter situations in which the patient is forced to be somewhat concerned about various things.<br \/>\n\u3000I wanted to see a doctor to check the progress of a lesion that had been taken care of at the national hospital, but of course I had to stand between my family doctor and the national hospital, and the patient had to sort out the details, so to speak, of the administrative communication. Of course, I had no idea how to do this, and since the \u201ccommunication letter\u201d from the national hospital to the private hospital was sealed, I did not see the details of its contents. I do not know the details of what was written or what kind of \u201ccooperation\u201d was involved.<br \/>\n\u3000On the other hand, I heard that it is essential for them to have this kind of information as an administrative contact, so the big hospital asked me, \u201cIs it OK if I ask your family doctor directly? The hospital asked me for my consent in a tone that might have raised a few eyebrows.<br \/>\n\u3000As a patient, I am a patient of both hospitals, and I don&#8217;t want to offend either of them. I was left thinking, \u201cHmmm. I am sorry to make a private hospital bear the responsibility of excessive paperwork, which is a \u201csensitive\u201d patient mindset.<br \/>\n\u3000Well, as a matter of fact, things progressed without a hitch, and today I was able to get an appointment at a national hospital, but I felt that the details of the operation of the family doctor system had not yet been worked out.<br \/>\n\u3000<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3000\u308f\u305f\u3057\u306f\u3044\u3064\u3082\u304b\u304b\u308a\u4ed8\u3051\u306e\u304a\u533b\u8005\u3055\u3093\u306b\u304a\u4e16\u8a71\u306b\u306a\u3063\u3066\u3044\u308b\u6162\u6027\u75c5\u3092\u62b1\u3048\u3066\u3044\u307e\u3059\u3002\u4e00\u65b9\u3001\u3088\u304f\u540d\u524d\u306e\u5909\u308f\u308b\u5730\u57df\u306e\u96c6\u4e2d\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u75c5\u9662\u3082\u3059\u3050\u8fd1\u304f\u306b\u3042\u3063\u3066\u3001\u3068\u304d\u3069\u304d\u5165\u9662\u30fb\u624b\u8853\u306a\u3069\u3067\u304a\u4e16\u8a71\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u56fd\u7acb\u75c5\u9662\u306a\u3093\u3060\u3051\u308c\u3069\u300c\u6a5f\u69cb [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"\u3010\u5730\u57df\u4e2d\u5fc3\u75c5\u9662\uff06\u304b\u304b\u308a\u4ed8\u3051\u533b \u30b9\u30ad\u30de\u3067\u60a3\u8005\u304c\u82e6\u52b4\uff1f\u3011\r\n\u81ea\u5206\u306e\u30ab\u30e9\u30c0\u306b\u95a2\u308f\u308b\u533b\u8005\u30fb\u533b\u7642\u4f53\u5236\u306b\u3064\u3044\u3066\u60a3\u8005\u3068\u3057\u3066\u306f\u5584\u5faa\u74b0\u95a2\u4fc2\u306e\u69cb\u7bc9\u3092\u76ee\u6307\u3059\u3002\u610f\u306b\u53cd\u3059\u308b\u300c\u677f\u631f\u307f\u300d\u72b6\u614b\u306b\u653e\u308a\u8fbc\u307e\u308c\u305f\u304f\u306f\u306a\u3044\u3002\u30fb\u30fb\u30fb","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[18],"tags":[],"class_list":["post-45300","post","type-post","status-publish","format-standard","hentry","category-politics"],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9MKWA-bME","_links":{"self":[{"href":"http:\/\/kochihen.replan.ne.jp\/index.php?rest_route=\/wp\/v2\/posts\/45300","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/kochihen.replan.ne.jp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/kochihen.replan.ne.jp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/kochihen.replan.ne.jp\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/kochihen.replan.ne.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=45300"}],"version-history":[{"count":1,"href":"http:\/\/kochihen.replan.ne.jp\/index.php?rest_route=\/wp\/v2\/posts\/45300\/revisions"}],"predecessor-version":[{"id":45302,"href":"http:\/\/kochihen.replan.ne.jp\/index.php?rest_route=\/wp\/v2\/posts\/45300\/revisions\/45302"}],"wp:attachment":[{"href":"http:\/\/kochihen.replan.ne.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=45300"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/kochihen.replan.ne.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=45300"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/kochihen.replan.ne.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=45300"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}