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医医医医医医医 医医医医医 QI 医医医医医医医医 医医医医医 :PX 医医医医 医医医医医医医医医医医医 医医医医医医 医医医医医医医MMA 医医医医医医医 医医医医医医 医医医医医医医 医医医 医医医医 医医医医医医医 医医医医 医医 医医

医療の質改善に「患者視点のQI」をいかに活用するか〜患者経験:PXの導入〜

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QI:PX MMA

QI

PX

1. (PX)

IOM. Crossing the Quality Chasm. 2001

5=1=

Teboul. Service is Front Stage. 2006

(PX)

5=1=5

Doyle et al. BMJ open. 2013Anhang et al. Med Care Res Rev. 2014

PX

Aoki T et al. Asia Pacific Family Medicine. 2017;16(3).Aoki T et al. Family Practice. 2017;34(2):206-12.

Triple Aim3

Institute for Healthcare Improvement website

2.

Primary care is the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.IOM. Defining Primary Care: An Interim Report. 1994

PC website

PX

- - Patient Centered Medical Home CAHPS (AHRQ) GPPS (NHS)

PXCXCAHPS Home Health Care CAHPS Nursing HomeCQ-index

3. JPCAT

Japanese version of Primary Care Assessment Tool(JPCAT)Johns HopkinsPrimary Care Assessment Tool

529

510

Aoki T et al. Family Practice. 2016

JPCAT1) 2) 3) Delphi4) 5) Cronbach

JPCAT

JPCAT

JPCAT

28JPCAT

JPCAT0100

28

: Priority Matrix

Priority Matrix

AJPCAT

75

http://www.primary-care-quality.com

150

Take Home Message

QIPX

Triple Aim3

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