{"_buckets": {"deposit": "8af1f29a-ff34-407b-866c-0e90c2a07f96"}, "_deposit": {"id": "11287", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "11287"}, "status": "published"}, "_oai": {"id": "oai:nagoya.repo.nii.ac.jp:00011287"}, "item_19_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2000-03", "bibliographicIssueDateType": "Issued"}}]}, "item_19_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "1.\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u30e2\u30c7\u30eb\u306e\u958b\u767a:\u7db2\u819c\u75c7\u672a\u767a\u75c7,\u975e\u5897\u6b96\u7db2\u819c\u75c7,\u5897\u6b96\u7db2\u819c\u75c7\u3082\u3057\u304f\u306f\u9ec4\u6591\u6d6e\u816b,\u9ad8\u5ea6\u8996\u529b\u969c\u5bb3,\u6b7b\u4ea1\u306e5\u3064\u306e\u5065\u5eb7\u72b6\u614b\u3092\u6301\u3064Markov model\u3092\u57fa\u672c\u69cb\u9020\u3068\u3057\u305f\u7cd6\u5c3f\u75c5\u7db2\u819c\u75c7\u30e2\u30c7\u30eb\u3092\u958b\u767a\u3057\u305f.\u30e2\u30c7\u30eb\u306b\u4f7f\u7528\u3057\u305f\u5e74\u9f62\u3054\u3068\u306e\u6b7b\u4ea1\u7387\u306f\u539a\u751f\u7701\u7b2c18\u56de\u751f\u547d\u8868\u3092\u7528\u3044,\u5404\u5065\u5eb7\u72b6\u614b\u306e\u63a8\u79fb\u78ba\u7387\u3084\u6cbb\u7642\u52b9\u679c\u306f,MEDLINE\u3068\u533b\u5b66\u4e2d\u592e\u96d1\u8a8c\u3092\u691c\u7d22\u3057\u5185\u5916\u306e\u81e8\u5e8a\u7814\u7a76\u3092\u53ce\u96c6\u3057\u305d\u308c\u3089\u3092\u57fa\u306b\u63a8\u5b9a\u3057\u305f. 2.\u52b9\u7528\u7406\u8ad6\u306e\u8a55\u4fa1:\u5165\u9662\u4e2d\u306e\u7cd6\u5c3f\u75c5\u60a3\u8005\u3092\u5bfe\u8c61\u306b,\u8a55\u70b9\u5c3a\u5ea6\u6cd5\u3068\u57fa\u6e96\u7684\u8ced\u3051\u6cd5\u306b\u3088\u3063\u3066\u73fe\u5728\u306e\u81ea\u5206\u81ea\u8eab\u306e\u5065\u5eb7\u72b6\u614b\u3068,\u67b6\u7a7a\u306e\u5065\u5eb7\u72b6\u614b\u3067\u3042\u308b\u5931\u660e\u72b6\u614b\u306b\u5bfe\u3059\u308b\u52b9\u7528\u5024(\u60a3\u8005\u306e\u4fa1\u5024\u89b3\u3084\u610f\u5411\u306e\u6307\u6a19)\u3092\u6e2c\u5b9a\u3057\u305f.\u540c\u6642\u306b\u6771\u5927\u5f0f\u30a8\u30b4\u30b0\u30e9\u30e0\u3068\u81ea\u8a18\u5f0f\u306e\u6027\u683c\u8abf\u67fb\u3092\u5b9f\u65bd\u3057,\u52b9\u7528\u5024\u3068\u81e8\u5e8a\u7684\u306a\u6307\u6a19,\u81ea\u6211\u72b6\u614b,\u6027\u683c\u7279\u6027\u3068\u306e\u95a2\u9023\u3092\u691c\u8a0e\u3057\u305f.\u305d\u306e\u7d50\u679c,\u52b9\u7528\u5024\u306f\u7cd6\u5c3f\u75c5\u72b6\u614b\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u5f93\u6765\u304b\u3089\u4f7f\u7528\u3055\u308c\u3066\u304d\u305f\u81e8\u5e8a\u7684\u306a\u6307\u6a19\u3088\u308a\u3082,\u6027\u683c\u7279\u6027\u3068\u306e\u95a2\u9023\u304c\u5f37\u3044\u3053\u3068\u304c\u793a\u3055\u308c\u305f. 3.\u8cbb\u7528\u52b9\u7528\u5206\u6790:\u958b\u767a\u3057\u305f\u30e2\u30c7\u30eb\u3068\u4fdd\u967a\u8a3a\u7642\u5831\u916c\u70b9\u6570\u3092\u7528\u3044\u3066\u8cbb\u7528\u52b9\u7528\u5206\u6790\u3092\u884c\u3063\u305f.\u305d\u306e\u7d50\u679c,36\u304b\u6708\u6bce,24\u304b\u6708\u6bce,12\u304b\u6708\u6bce,6\u304b\u6708\u6bce\u306e QALY(quality-adjusted life year)\u306f\u305d\u308c\u305e\u308c,14.11\u5e74,14.13\u5e74,14.15\u5e74,14.17\u5e74\u3068\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u9593\u9694\u304c\u77ed\u3044\u307b\u3069\u9577\u304f\u306a\u3063\u305f.\u5897\u5206\u8cbb\u7528\u52b9\u679c\u6bd4 (incremental cost effectiveness ratio)\u306f,6\u304b\u6708\u6bce\u304c4,571.8\u5343\u5186/QALY\u3068,12\u304b\u6708\u6bce\u306e662.1\u5343\u5186/QALY\u306b\u6bd4\u8f03\u3057\u3066\u9ad8\u5024\u3068\u306a\u308a,36\u304b\u6708\u6bce\u306f\u9664\u5916\u3055\u308c\u305f.\u3064\u307e\u308a6\u304b\u6708\u9593\u9694\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u5b9f\u65bd\u306f,12\u304b\u6708\u9593\u9694\u306b\u6bd4\u8f03\u3057\u3066\u3088\u308a\u591a\u304f\u306e\u8ffd\u52a0\u6295\u8cc7\u304c\u5fc5\u8981\u3068\u8a08\u7b97\u3055\u308c\u305f.(\u6570\u5024\u306f\u5e74\u73875%\u5272\u5f15) 4.\u7d50\u8ad6:\u7cd6\u5c3f\u75c5\u7db2\u819c\u75c7\u3068\u3044\u3063\u305f\u6162\u6027\u7684\u306b\u7d4c\u904e\u3059\u308b\u75be\u75c5\u306e\u5bfe\u7b56\u3067\u306f\u3001\u672c\u7814\u7a76\u306e\u3088\u3046\u306a\u60a3\u8005\u306e\u4fa1\u5024\u89b3\u3084\u610f\u5411,\u793e\u4f1a\u7684\u306a\u610f\u5473\u3067\u306e\u52b9\u7387\u6027\u3068\u3044\u3063\u305f\u9762\u304b\u3089\u306e\u691c\u8a0e\u304c\u5fc5\u8981\u3067\u3042\u308b.", "subitem_description_type": "Abstract"}]}, "item_19_description_5": {"attribute_name": "\u5185\u5bb9\u8a18\u8ff0", "attribute_value_mlt": [{"subitem_description": "\u79d1\u5b66\u7814\u7a76\u8cbb\u88dc\u52a9\u91d1 \u7814\u7a76\u7a2e\u76ee:\u57fa\u76e4\u7814\u7a76(C)(2) \u8ab2\u984c\u756a\u53f7:10672124 \u7814\u7a76\u4ee3\u8868\u8005:\u5927\u6fa4 \u529f \u7814\u7a76\u671f\u9593:1998-2001\u5e74\u5ea6", "subitem_description_type": "Other"}]}, "item_19_identifier_60": {"attribute_name": "URI", "attribute_value_mlt": [{"subitem_identifier_type": "HDL", "subitem_identifier_uri": "http://hdl.handle.net/2237/13159"}]}, "item_19_relation_40": {"attribute_name": "\u30b7\u30ea\u30fc\u30ba", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "\u79d1\u5b66\u7814\u7a76\u8cbb\u88dc\u52a9\u91d1\u5831\u544a\u66f8;\u57fa\u76e4\u7814\u7a76(C)(2);10672124"}]}]}, "item_19_select_15": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_19_text_14": {"attribute_name": "\u30d5\u30a9\u30fc\u30de\u30c3\u30c8", "attribute_value_mlt": [{"subitem_text_value": "application/pdf"}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "\u5927\u6fa4, \u529f"}], "nameIdentifiers": [{"nameIdentifier": "34194", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "\u77f3\u7530, \u5999\u7f8e"}], "nameIdentifiers": [{"nameIdentifier": "34195", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2018-02-20"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "10672124.pdf", "filesize": [{"value": "1.6 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 1600000.0, "url": {"label": "10672124.pdf", "url": "https://nagoya.repo.nii.ac.jp/record/11287/files/10672124.pdf"}, "version_id": "962f5d91-3ec2-46f0-862b-0ca1abbeb203"}]}, "item_keyword": {"attribute_name": "\u30ad\u30fc\u30ef\u30fc\u30c9", "attribute_value_mlt": [{"subitem_subject": "QOL", "subitem_subject_scheme": "Other"}, {"subitem_subject": "clinical economics", "subitem_subject_scheme": "Other"}, {"subitem_subject": "cost effectiveness", "subitem_subject_scheme": "Other"}, {"subitem_subject": "cost-utility analysis", "subitem_subject_scheme": "Other"}, {"subitem_subject": "decision analysis", "subitem_subject_scheme": "Other"}, {"subitem_subject": "diabetes mellitus", "subitem_subject_scheme": "Other"}, {"subitem_subject": "diabetic retinopathy", "subitem_subject_scheme": "Other"}, {"subitem_subject": "quality of life", "subitem_subject_scheme": "Other"}, {"subitem_subject": "screening", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u533b\u7642\u7d4c\u6e08", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u6c7a\u65ad\u5206\u6790", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u7cd6\u5c3f\u75c5", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u7cd6\u5c3f\u75c5\u7db2\u819c\u75c7", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u8cbb\u7528\u52b9\u679c\u5206\u6790", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u8cbb\u7528\u52b9\u7528\u5206\u6790", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "research report", "resourceuri": "http://purl.org/coar/resource_type/c_18ws"}]}, "item_title": "\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u30e2\u30c7\u30eb\u3092\u7528\u3044\u305f\u7cd6\u5c3f\u75c5\u7db2\u819c\u75c7\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306e\u8cbb\u7528\u52b9\u7528\u5206\u6790", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u30e2\u30c7\u30eb\u3092\u7528\u3044\u305f\u7cd6\u5c3f\u75c5\u7db2\u819c\u75c7\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306e\u8cbb\u7528\u52b9\u7528\u5206\u6790", "subitem_title_language": "ja"}]}, "item_type_id": "19", "owner": "1", "path": ["1213/1214/1215"], "permalink_uri": "http://hdl.handle.net/2237/13159", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2010-04-20"}, "publish_date": "2010-04-20", "publish_status": "0", "recid": "11287", "relation": {}, "relation_version_is_last": true, "title": ["\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u30e2\u30c7\u30eb\u3092\u7528\u3044\u305f\u7cd6\u5c3f\u75c5\u7db2\u819c\u75c7\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306e\u8cbb\u7528\u52b9\u7528\u5206\u6790"], "weko_shared_id": null}