୰つᶍ⮬἞య⑓㝔䛻䛚䛡䜛⤒Ⴀ䛻㛵䛩䜛せᅉศᯒ䡚೺඲䛺⤒Ⴀ䛾᪋⟇䛿䠛⥲ົ┬ᆅ᪉⾜㈈ᨻ䝕䞊䝍䛛䜙ぢ䛘䜛䝰䝜䡚៞᠕⩏ሿ኱Ꮫ ኱Ꮫ㝔೺ᗣ䝬䝛䝆䝯䞁䝖◊✲⛉⚄ᡞ ⩼1་⒪䞉䝦䝹䝇䜿䜰䝕䞊䝍䛾ศᯒ䜎䛷䛻…
䐠䐟䝕䞊䝍ಖᣢ⪅※䝕䞊䝍ᅜ⮬἞య䠄་⒪䞉䝦䝹䝇䜿䜰䠅ᅜ⮬἞యಖ㝤⪅䝕䞊䝍ಖ㝤⪅௻ᴗ䝕䞊䝍་⒪ᶵ㛵ಶே䝕䞊䝍䝕䞊䝍䐡䝕䞊䝍ศᯒෆ㒊௻ᴗ་⒪ᶵ㛵እ㒊ಶே2་⒪⤫ィㄪᰝ➼䛾୍ぴ䠄୍㒊ᢤ⢋䠅⤫ィㄪᰝྡㄪᰝᮇ㛫ㄪᰝᑐ㇟ㄪᰝ᪉ᘧㄪᰝෆᐜᝈ⪅ㄪᰝ3ᖺ

་⒪ᶵ㛵ᢳฟㄪᰝ᪥䜎䛯䛿ㄪᰝᮇ㛫䛻ཷ⒪䛧䛯ᝈ⪅䛾യ⑓䛾≧ἣ་⒪⤒῭ᐇែㄪᰝ2ᖺ་⒪ᶵ㛵ᢳฟ

་⒪ᶵ㛵䛾⤒Ⴀ≧ἣ䠄㛤タ୺యู䚸ᶵ⬟ู䚸⑓ᗋつᶍู➼䛾⤒Ⴀ≧ἣ䠅♫఍་⒪デ⒪⾜Ⅽูㄪᰝ1ᖺ䝺䝉䝥䝖ᢳฟデ⒪ሗ㓘ㄳồ᫂⣽᭩䛛䜙䛾㞟ィ䚸デ⒪⾜Ⅽ䞉ㄪ๣⾜Ⅽ䛾≧ἣ䚸⸆๣䛾౑⏝≧ἣཷ⒪⾜ືㄪᰝ䠄ධ㝔ᝈ⪅⚊䞉እ᮶⚊䠅3ᖺ⑓㝔ᢳฟධ㝔䞉እ᮶ᝈ⪅䛾ព㆑➼䠄⑓㝔䜢㑅䜣䛰⌮⏤䚸ᚅ䛱᫬㛫䚸䜲䞁䝣䜷䞊䝮䝗䝁䞁䝉䞁䝖䛾≧ἣ䚸ᝈ⪅‶㊊ᗘ䠅බ⚾⑓㝔㐃┕䠄⑓㝔㐠Ⴀᐇែศᯒㄪᰝ䛾ᴫせ䠅1ᖺ⑓㝔ᢳฟ་⒪᪋タ㟼ែㄪᰝ

3ᖺ

་⒪ᶵ㛵඲ᩘ

་⒪᪋タືែㄪᰝ1᭶⑓㝔་⒪᪋タᩘ䛾≧ἣ䠄་⒪ᶵ㛵䛾✀㢮ู䚸㛤඲ᩘ ᅜ㝿་⒪⚟♴኱Ꮫ኱Ꮫ㝔タ୺యู䚸㒔㐨ᗓ┴ู➼䛾་⒪᪋タᩘ䛾᥎⛣䠅/(ᰴ)WELLNESS䜘䜚㧗ᶫᩍᤵ⑓㝔ሗ࿌1᭶⑓㝔⑓㝔䛾ᝈ⪅ᩘ➼䠄1᪥ᖹᆒධ㝔ᝈ⪅ᩘ䚸᭶඲ᩘэ஧ḟ་⒪ᅪ䝕䞊䝍䝧䞊䝇ᮎ⑓ᗋ฼⏝⋡䚸ᖹᆒᅾ㝔᪥ᩘ䠅ேཱྀືែㄪᰝ䠄Ṛஸ⚊䠅ᆅ᪉බႠ௻ᴗᖺ㚷⥲ົ┬HP䜘䜚1ᖺᕷ༊⏫ᮧ1ᖺබ❧⑓㝔⑓㝔䛾㐠Ⴀ≧ἣ䠄ᖹᆒᅾ㝔᪥ᩘ䚸⑓ᗋ฼⏝ཌ⏕ປാ┬䞉ྛ⮬἞యHP䜘䜚⋡䚸཰ᨭ⋡䚸ᖹᆒ⤥୚᭶㢠䚸䛭䛾௚デ⒪≧ἣ➼䠅э་⒪᝟ሗ䝛䝑䝖䝽䞊䜽་⒪᪋タ䛾ᩚഛ≧ἣ䠄་⒪ᥦ౪ᩚഛయไ䚸ᝈ⪅ᩘ➼䛾≧ἣ䠅඲ᩘṚஸ䚸Ṛ⏘䚸Ṛஸ⋡䛾≧ἣ඲බ❧⑓㝔බ❧⑓㝔䛾཰ᨭ䚸ᝈ⪅ᩘ➼ཧ⪃䠖䛂デ⒪ሗ㓘ไᗘ䛸ㄳồ஦ົ䛃_஭ୖ㈗⿱ ⴭ3௒ᅇ཰㞟䛧䛯䝕䞊䝍་⒪ᶵ㛵ᩘ⣙㻡㻡㻜㻜㡯┠㽢䛾ᣦᶆ
䠄151᪋タ䠅4㽢 ศᯒ௒ᅇ཰㞟䛧䛯䝕䞊䝍

GISศ䜽䝷䝇䝍䞊ศᯒ㽢 㔜ᅇᖐศᯒ
୺ᡂศศᯒ5୰つᶍ⮬἞య⑓㝔䛻䛚䛡䜛⤒Ⴀ䛻㛵䛩䜛せᅉศᯒ䡚೺඲䛺⤒Ⴀ䛾᪋⟇䛿䠛⥲ົ┬ᆅ᪉⾜㈈ᨻ䝕䞊䝍䛛䜙ぢ䛘䜛䝰䝜䡚

1. ⫼ᬒ
2. ┠ⓗ
3. ᴫᛕᅗ
4. ඛ⾜◊✲

5. ᪉ἲ
6. ⤖ᯝ
7. ⪃ᐹ
8. ⤖ㄽ
6

1.⫼ᬒ⮬἞య⑓㝔䛺䛹䛾㉥Ꮠ㐠Ⴀ䛜ᩓぢ䛥䜜䜛䠍䠅බႠ௻ᴗᖺ㚷䛾䝕䞊䝍䠖2012ᖺ䠎䠅㛢㝔䞉㐠ႠఇṆ䠖ͲͲᕷ❧⥲ྜ⑓㝔䛾౛
71.⫼ᬒ⮬἞య⑓㝔䛾䛚䜘䛭༙ᩘ䛜㉥Ꮠ⤒Ⴀ඲ᩘ๭ྜ250

⤒Ⴀ୺యู
191
175

200

150

52%

48%

⤒ᖖ฼┈⤒ᖖᦆኻ766൨2729୓4༓ 887൨9732୓8༓

94

100

78 77

78
54 50

50

19 18
N䠙8340䕔㉥Ꮠ䛾⑓㝔ཧ⪃䠖ᆅ᪉බႠ௻ᴗᖺ㚷䠄2012䠅䕔㯮Ꮠ䛾⑓㝔8

1.⫼ᬒ⑓㝔䛾㉥Ꮠ⿵䛶䜣䛜ᕷ㈈ᨻᝏ໬䜈䛸…
་ᖌ䛾ᘬ䛝ୖ䛢་ᖌ୙㊊䚸デ⒪⛉┠ῶᑡ⑓㝔䜈䛾㉥Ꮠ⿵䛶䜣㉥Ꮠ⿵䛶䜣ᝈ⪅ᩘῶᑡ䚸⑓㝔⤒Ⴀ䛾ᝏ໬

㉥Ꮠ⿵䛶䜣

...

ᕷ㈈ᨻ䛾ᝏ໬䚸⑓㝔䜈䛾㉥Ꮠ⿵䛶䜣䜒ᅔ㞴䛻⑓㝔䛾ఇṆᕷ㛗䛾䝸䝁䞊䝹᪂ᕷ㛗䛜䛂ᕷ❧⑓㝔෌⏕ᶵᵓ䛃䜢タ❧බタẸႠ䛾⑓㝔䛸䛧䛶෌㛤ᝈ⪅䛿ᡠ䜙䛪䚸㈈ᨻ㉥Ꮠᣑ኱ኤᙇᕷ䛻⥆䛟㈈ᨻ෌⏕ᅋయ䛻㌿ⴠ䛛…

ᕷ䛛䜙䛾⧞䜚ฟ䛧㔠
H10:10൨෇䚸H11ᖺ௨㝆15൨෇䚸
3ᖺ㛫䛷 ᵒᵎΕό 䛻㐩䛧䛯䚹デ⒪ሗ㓘ᘬ䛝ୗ䛢䛺䛹ᨻ⟇ୖ䛾⌮⏤э䛰䛜䚸ᘬ䛝㔠䛿⑓㝔⫋ဨ䛾⤥୚ᘬ䛝ୗ䛢䛸ゝ䜟䜜䛶䛔䜛…

9ཧ⪃䠖᭶ห䛂㞟୰䛃䠄2013.11.13䠅

2.┠ⓗ• ་ᴗ⤒Ⴀ䛾ᣦᶆ䛷䛒䜛䛂་ᴗ཰ᨭͤ䛃䛻୚䛘䜛せᅉ䜢᫂䜙䛛䛻䛩䜛䚹• ୖグ䜢㋃䜎䛘䚸୰つᶍ⮬἞య⑓㝔䛾㯮Ꮠ⤒Ⴀ䛻ྥ䛡䛶䛾⟇䜢᳨ウ䛩䜛䚹ͤ་ᴗ཰ᨭ䛸䛿䠖ධ㝔཰┈䜔እ᮶཰┈䛺䛹䛾་ᴗάື䛛䜙⏕䛨䜛་ᴗ཰┈䛸䚸⤥୚㈝䚸
ᮦᩱ㈝䚸⤒㈝䛺䛹䛾་ᴗάື䛻せ䛩䜛་ᴗ㈝⏝䛸䛾ᕪ㢠㔠㢠䜢ᣦ䛩䚹10㢳ᐈ䝻䜲䝲䝸䝔䜱ྥୖᝈ⪅ᩘቑຍ➇ྜ

3.ᴫᛕᅗ

ᅈ˟ᕷሙ᫑ܲ฼ឱࡇḴḴ⮬♫㧗ရ㉁་⒪䛾ᥦ౪धᎍ

ͤμễ
Ҕၲኺփ

㉁䛾㏣ồ

㉁ྥୖ䛻ྥ䛡䛯┤᥋ᢞ㈨৆ဦҔၲ⤒Ⴀດຊឋ⎡᭗⍷ҔၲᝠѦ˟ᚘ᱅‫܌‬ኺփᵭᶎᶃᶐᵿᶒᶇᶌᶅᴾᵫᵿᶌᵿᶅᶇᶌᶅ​ኺփ৆ဦᵱᶒᶐᶓᶁᶒᶓᶐᶃ㯮Ꮠ⤒Ⴀ䛻┤⤖䛩䜛་⒪ᵮᶐᶍᶁᶃᶑᶑῼ῝ῦ῰῕ ῥ​ίᾂᵡЎௌὸᵭᶓᶒᶁᶍᶋᶃᎰՃҔಅӓૅ⫋ሙ⎔ቃ䛾ᨵၿ⫋ဨᚅ㐝䛾ྥୖࢼಅՃ฼ឱࡇḴḴ

ḷᴾҔಅӓႩểҔಅᝲဇỉࠀ᫇᱅‫܌‬ኺփẆហ‫܌‬ኺփỉਦ೅ểễỦẇ⤌⧊ឡ䛾ᵓ⠏௙஦䜈䛾㑌㐍̾ʴ114.ඛ⾜◊✲ඛ⾜◊✲䐟⮬἞య⑓㝔䛾་ᴗ཰ᨭ᥎⛣䛻㛵䛩䜛つᶍูせᅉศᯒ䠄኱ᆤ,2008䠅䞉኱ᆤ䠄2008䠅䛿䚸ᛴᛶᮇ་⒪䜢ᥦ౪䛩䜛⮬἞య⑓㝔䜢㑅ᐃ䛧䠄n=436䠅䚸⑓ᗋᩘ䛻䜘䜛つᶍู䠄100ᗋᮍ‶䚸100Ͳ299ᗋ䚸300
ᗋ௨ୖ䠅䛻䚸་ᴗ཰ᨭẚ⋡䛸㛵㐃䛩䜛せᅉ䛾ศᯒ䜢⾜䛳䛯䚹䛭䛾⤖ᯝ䚸⑓ᗋつᶍ䛻䜘䜚཰ᨭ䛾ኚ໬䛸䛾㛵㐃せᅉ䛜␗䛺䜛஦䛜☜ㄆ䛥䜜䛯䚹⑓ᗋつᶍ䛻䜘䜚཰ᨭ䛾ኚ໬䛸䛾㛵㐃せᅉ䛜␗䛺䜛䚹12

4.ඛ⾜◊✲
ඛ⾜◊✲䐠⮬἞య⑓㝔⤒Ⴀ䛾ຠ⋡ᛶ䠄㊊❧,2013䠅䞉㊊❧䠄2013䠅䛿䚸⮬἞య⑓㝔⤒Ⴀ䛾ຠ⋡ᛶ䛾どⅬ䛛䜙ྛ་⒪ᶵ
㛵䛾ᶵ⬟䛸࿘㎶་⒪ᶵ㛵䛸䛾㐃ᦠ䛾ศᯒ䜢⾜䛳䛯䚹䛭䛾⤖ᯝ䚸⑓ᗋᩘ䛸⫋ဨ㓄⨨䛜⑓㝔⤒Ⴀ䛻ᐤ୚䛧䛶䛔䜛஦䛜᫂䜙䛛䛸䛺䛳䛯䚹䜎䛯䚸୰ᑠつᶍ⑓㝔䛷䛿䚸200ᗋ๓ᚋ䛻䛚䛔䛶ຠ⋡್䛜᭱኱䛻䛺䜚䚸⑓ᗋ฼⏝⋡䜢☜ಖ䛧䛴䛴䜒ᖹᆒᅾ㝔᪥ᩘ䛜㛗䛔་⒪ᶵ㛵䜋䛹ຠ⋡ⓗ䛷䛒䜛䛣䛸䛜᫂䜙䛛䛸䛺䛳䛯䚹ຍ䛘䛶䚸ὀᑕ㈝䚸ฎ⨨㈝䚸ᡭ⾡㈝䛿㠀ຠ⋡せᅉ䛷䛒䜚䚸୰ᑠつᶍ⑓㝔䛷䛿៏ᛶᮇ䜈䛾἞⒪䛜ຠᯝⓗ䛷䛒䜛஦䛜ศ䛛䛳䛯䚹୰ᑠつᶍ⑓㝔䛷䛿៏ᛶᮇ἞⒪䛜ຠᯝⓗ䚹135.᪉ἲ䕔ᴫせ୰つᶍ⮬἞య⑓㝔䠍䠑䠍᪋タ䛻䛴䛔䛶䚸་ᴗ⤒Ⴀ䛾ᣦᶆ䛷䛒䜛䛂་ᴗ཰ᨭ䛃䛻୚䛘䜛せᅉ䜢㔜ᅇᖐศᯒ䜢⏝䛔䛶᳨ウ䛩䜛䚹ᑦ䚸ศᯒ䛻ᙜ䛯䛳䛶䛿JMP11.0䜢౑⏝䛧䚸ኚᩘቑῶἲ䛻䛶㔜ᅇᖐᘧ䜢సᡂ䛩䜛䚹ᅇᖐデ᩿䛷䛿䝔䝁ẚ䛸t್䛾ྫྷ࿡䜢⾜䛔䚸ᚲせ䛺ሙྜ䛿䝕䞊䝍䛾䝬䝇䜽䜢⾜䛖䚹VIF䜢ᇶ䛻ㄝ᫂ኚᩘ㛫䛾ከ㔜ඹ⥺ᛶ䛻ὀព䛧䚸⥲ྜⓗ䛺⪃ᐹ䜢⾜䛖䚹

14

5.᪉ἲ䠄๓ᥦ᮲௳䚸཰㞟䝕䞊䝍䠅䕔๓ᥦ᮲௳䝬䜽䝻䝭䜽䝻

ᮇ㛫䜶䝸䜰

✀㢮

⑓ᗋつᶍ

2012ᖺ

඲ᅜ47㒔㐨ᗓ┴ᕷ⏫ᮧ❧⑓㝔

200䡚399ᗋ䕔཰㞟䝕䞊䝍䝕䞊䝍ྡ䝸䝋䞊䝇㈈ົ᝟ሗ䚸⮫ᗋᡂ⦼䠄䠭䠥ͤ1䠅⥲ົ┬ ᆅ᪉බႠ௻ᴗᖺ㚷 2012ᖺᗘ

ᇶᮏ᝟ሗ䚸་⒪䛾ᐇ⦼ཌ⏕ປാ┬䞉ྛ⮬἞య ་⒪᝟ሗ䝛䝑䝖䝽䞊䜽ᕷሙ䞉➇ྜ᝟ሗ

2ḟ་⒪ᅪ䝕䞊䝍䝧䞊䝇WELLNESS

15

ͤ1 䠭䠥䠖䠭䡑䠽䡈䡅䡐䡕 䠥䡊䡀䡅䠿䠽䡐䡋䡎 䠄་⒪䝃䞊䝡䝇䛾㉁䛾ᣦᶆ䠅⤂௓⋡䞉㏫⤂௓⋡5ᖺ⏕Ꮡ⋡ᑐデ⋡
ᩆᛴᦙ㏦௳ᩘ᳨ᰝ௳ᩘ䖃ᨺᑕ⥺௳ᩘ䖃἞㦂௳ᩘඛ➃་⒪௳ᩘ

ᝈ⪅ᩘ䖃ᖹᆒᅾ㝔᪥ᩘ䖃෌ධ㝔⋡ᝈ⪅ᩘ䖃Ṛஸ⋡඲㌟㯞㓉௳ᩘ

ᖹᆒ㏻㝔ᅇᩘᵭᶓᶒᶁᶍᶋᶃ⫋ဨᩘ䖃⑓ᗋᅇ㌿⋡⤒㦂ᖺᩘ⑓ᗋ฼⏝⋡䖃ᛶูᖺ㱋⑓ᗋᩘ䖃

ㄆᐃ㈨᱁

デ⒪⛉ᩘ䖃ᵮᶐᶍᶁᶃᶑᶑᵱᶒᶐᶓᶁᶒᶓᶐᶃᝠѦ˟ᚘ⮬ᕫ㈨ᮏẚ⋡⫋ဨ⤥୚㈝䖃

1ேᙜ䛯䜚デ⒪཰ධ䖃

㈇മẚ⋡

ᮦᩱ㈝

ᐊᩱᕪ㢠཰┈

ᅛᐃ㈨⏘䖃

ῶ౯ൾ༷㈝

Ҕಅӓૅཷ௜᫬㛫᫬㛫እᑐᛂDPCᑟධ┳ㆤ㓄⨨䖃ᩆᛴయไ་⸆ศᴗ䠥䠰⎔ቃ๗᳨⋡5.᪉ἲ䠄≉ᛶせᅉᅗ䠅┳ㆤᏛ㝔཰┈་ᴗ཰┈䛻ᑐ䛩䜛㈝⏝ẚ⋡䖃ᅜᗜ⿵ຓ㔠䚸㒔㐨ᗓ┴⿵ຓ㔠䖃ἰὊἃἘỵὅἂᾂᵡ⌮ᛕ㐠Ⴀẕయேཱྀ䞉㠃✚䖃஦ᴗ⥅⥆ᖺᩘ㥔㌴ሙ䖃

⤒῭ᣦᩘᐊᩱᕪ㢠䖃ᆅ᪉බႠ௻ᴗἲ䖃እᅜㄒᑐᛂ

㑅ᐃ⒪㣴㈝䠄ึデᩱ䠅 䜰䜽䝉䝇䖃ኚᩘೃ⿵་ᖌᩘ䠋2ḟ་⒪ᅪ䖃⑓㝔ᩘ䠋2ḟ་⒪ᅪ䖃䝅䜵䜰⋡䠋2ḟ་⒪ᅪ
⑓ᗋᩘ䠋2ḟ་⒪ᅪ

デ⒪ᡤᩘ䠋2ḟ་⒪ᅪ䖃་⒪ィ⏬䚸་⒪ᨻ⟇ᵭᶎᶃᶐᵿᶒᶇᶌᶅᴾᵫᵿᶌᵿᶅᶃᶋᶃᶌᶒ

16

5.᪉ἲ䠄ኚᩘೃ⿵䠅
ኚᩘྡ
⑓ᗋᩘ
デ⒪⛉ᩘ

༢఩
ᗋ⛉

⫋ဨᩘ䠋100ᗋ
䠄X3:་ᖌ䚸X4:┳ㆤᖌ䚸X5:஦ົ⫋䠅ே෇吵呎合
吝叺呉吇

咁
➇ྜ咂%
䠉䠉

吵呎合吝叺呉吇
咁⮬♫咂

䠉%
᪥ே
ே
௳
௳
䠉
ྎ

Outcome┳ㆤ㓄⨨ 䠘1:௚䚸2:7:1㓄⨨䠚⑓ᗋ฼⏝⋡ᖹᆒᅾ㝔᪥ᩘ
ᖹᆒධ㝔ᝈ⪅ᩘ䠋᪥ᖹᆒእ᮶ᝈ⪅ᩘ䠋᪥᳨ᰝ௳ᩘ䠋ᝈ⪅100ேᨺᑕ⥺௳ᩘ䠋ᝈ⪅100ே௻ᴗἲ㐺⏝༊ศ 䠘1:௻ᴗ䚸2:௚䠚
㥔㌴ሙᩘ
ᐊᩱᕪ㢠
䠄X15:ಶᐊ䞉᭱ప㢠䚸X16:2ே௨ୖ䞉᭱ప㢠䠅ᐊᩱᕪ㢠ᑐ㇟⑓ᗋẚ⋡⑓㝔ᩘ䠋2ḟ་⒪ᅪ
DPCᑐ㇟⑓㝔ᩘ䠋2ḟ་⒪ᅪ

ᴫᛕ

Pグྕ
X1X2X3X4X5X6X7X8X9X10X11X12X13X14X15X16X17X18X19

Structure

No
1
2
3
4
5678
9101112
13
14
15
16
17
18
19

R2
0.01
0.03
0.00
0.04
0.03
0.00
0.15
0.02
0.02
0.05
0.00
0.00
0.01
0.03
0.15
0.15
0.03
0.05
0.06

17

5.᪉ἲ䠄ኚᩘೃ⿵䠅ኚᩘྡ኱Ꮫ⑓㝔ᩘ䠋2ḟ་⒪ᅪ
デ⒪ᡤᩘ䠋2ḟ་⒪ᅪ
་ᖌᩘ䠋2ḟ་⒪ᅪ
䠄X23:⑓㝔໅ົ䚸X24:デ⒪ᡤ໅ົ䠅ேཱྀ䠋2ḟ་⒪ᅪ
䠄X24:඲ேཱྀ䚸X25:65ṓ௨ୖேཱྀ䠅⿵ຓ㔠ィ
䠄X26:ᅜᗜ䚸X27:㒔㐨ᗓ┴䠅

༢఩
䠉
䠉
ே
ே
༓෇

1ேᙜ䛯䜚デ⒪཰ධ䠄X28:እ᮶ᝈ⪅䚸X29:ධ㝔ᝈ⪅䚸
X30:་ᖌ䚸X31:┳ㆤᖌ䠅෇་ᴗ཰┈䛻ᑐ䛩䜛⫋ဨ⤥୚๭ྜ%⫋ဨ⤥㈝ィ
䠄X33:་ᖌ䚸X34:┳ㆤᖌ䚸X35:஦ົ⫋䚸X36:䛭䛾௚䠅༓෇་ᴗ཰┈䛻ᑐ䛩䜛㈝⏝๭ྜ䠄X37:⸆ရ㈝䚸X38:䛭䛾௚ᮦᩱ㈝䠅
1ᗋᙜ䛯䜚ᅛᐃ㈨⏘་ᴗ཰ᨭ䠄୍ᖺศ䠅ᴫᛕ㈈ົ఍ィグྕ
X20
X21
X22
X23
X24
X25
X26
X27
X28
X29
X30
X31
X32
X33
X34
X35
X36
X37
X38
X39
Y

吵呎合吝叺呉吇
咁ᕷሙ咂

No
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
Ͳ

%
༓෇༓෇

䠉

R2
0.08
0.11
0.09
0.13
0.13
0.12
0.00
0.05
0.04
0.00
0.05
0.05
0.18
0.00
0.16
0.18
0.16
0.03
0.00
0.04
䠉 18

5.᪉ἲ䠄ኚᩘೃ⿵䠅グྕ㑅ᢥ⌮⏤1⑓ᗋᩘ䛜ከ䛔䛸䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ2デ⒪⛉ᩘ䛜ከ䛔䛸䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ3,4,5⫋ဨᩘ䛜ከ䛔䛸䚸་ᴗ཰ᨭ䛜పୗ䛩䜛䛸௬ᐃ6┳ㆤ㓄⨨䛻䜘䜚䚸་ᴗ཰ᨭ䛻ᙳ㡪䛩䜛䛸௬ᐃ7⑓ᗋ฼⏝⋡䛜ቑຍ䛩䜛䛸䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ8ᖹᆒᅾ㝔᪥ᩘ䛜▷䛟䛺䜛䛸䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ9ධ㝔ᝈ⪅ᩘ䛜ቑຍ䛩䜛䛸䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ10እ᮶ᝈ⪅ᩘ䛜ቑຍ䛩䜛䛸䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ11᳨ᰝ௳ᩘ䛜ቑຍ䛩䜛䛸䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ

12ᨺᑕ⥺௳ᩘ䛜ቑຍ䛩䜛䛸䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ13௻ᴗἲ䛾㐺⏝⠊ᅖ䛻䜘䜚䚸་ᴗ཰ᨭ䛻ᙳ㡪䛩䜛䛸௬ᐃ14

㥔㌴ሙᩘ䛜ከ䛔䛸䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ15,16ᐊᩱᕪ㢠䛜ቑຍ䛩䜛䛸䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ17ᐊᩱᕪ㢠ᑐ㇟⑓ᗋẚ⋡䛻䜘䜚䚸་ᴗ཰ᨭ䛻ᙳ㡪䛩䜛䛸௬ᐃ195.᪉ἲ䠄ኚᩘೃ⿵䠅グྕ㑅ᢥ⌮⏤18➇ྜ䛸䛺䜛⑓㝔ᩘ䛻䜘䜚䚸་ᴗ཰ᨭ䛻ᙳ㡪䛩䜛䛸௬ᐃ

19➇ྜ䛸䛺䜛⑓㝔ᩘ䛻䜘䜚䚸་ᴗ཰ᨭ䛻ᙳ㡪䛩䜛䛸௬ᐃ20⑓⑓㐃ᦠ䛛䜙䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ21

⑓デ㐃ᦠ䛛䜙䚸་ᴗ཰ᨭ䛜ቑຍ䛩䜛䛸௬ᐃ22,23་ᖌᩘ䛻䜘䜚䚸་ᴗ཰ᨭ䛻ᙳ㡪䛩䜛䛸௬ᐃ24,25₯ᅾ䛩䜛ேཱྀ䛻䜘䜚䚸་ᴗ཰ᨭ䛻ᙳ㡪䛩䜛䛸௬ᐃ26,27⿵ຓ㔠ィ䛻䜘䜚䚸་ᴗ཰ᨭ䛻ᙳ㡪䛩䜛䛸௬ᐃ28Ͳ31⫋✀ู䛾デ⒪཰ධ䛾ቑῶ䛻䜘䜚䚸་ᴗ཰ᨭ䛻ᙳ㡪䛩䜛䛸௬ᐃ32་ᴗ཰┈䛸⫋ဨ⤥୚㈝๭ྜ䛜䚸་ᴗ཰ᨭ䛻ᙳ㡪䛩䜛䛸௬ᐃ

33Ͳ36⫋ဨ⤥୚㈝䛜ቑຍ䛩䜛䛸䚸་ᴗ཰ᨭ䛜పୗ䛩䜛䛸௬ᐃ

37,38ྛ✀㈝⏝䛜ቑຍ䛩䜛䛸䚸་ᴗ཰ᨭ䛜పୗ䛩䜛䛸௬ᐃ39

ᅛᐃ㈨⏘䛾ቑῶ䛻䜘䜚䚸་ᴗ཰ᨭ䛻ᙳ㡪䛩䜛䛸௬ᐃ

20

6.⤖ᯝ
(1)⮬⏤ᗘㄪᩚ῭ᐤ୚⋡䠖0.63(2)ṧᕪ䛾ᶆ‽೫ᕪ䠖308806(3) Y䛾ᖹᆒ䠖Ͳ351966(4)㔜ᅇᖐᘧ䠖䝕䞊䝍ᩘ䠖151(䝬䝇䜽䝕䞊䝍䠖21)
Y

=+Ͳ
Ͳ
+ͲͲ
Ͳ
Ͳ

1295347.6
10930.098
64.6740.902
18.132
3.771
1.644
0.760
15.750<ᐃᩘ㡯>X7
X15X27
X31
X34
X35X36X39䠄⑓ᗋ฼⏝⋡䠅䠄ᐊᩱᕪ㢠䠄ಶᐊ䞉᭱ప㢠䠅䠅䠄㒔㐨ᗓ┴⿵ຓ㔠䠅䠄┳ㆤ⫋ဨ1ே1᪥ᙜ䛯䜚デ⒪཰ධ䠅䠄⫋ဨ⤥୚㈝䠄┳ㆤ⫋ဨ䠅䠅䠄⫋ဨ⤥୚㈝䠄஦ົ⫋䠅䠅䠄⫋ဨ⤥୚㈝䠄䛭䛾௚䠅䠅
䠄1ᗋᙜ䛯䜚ᅛᐃ㈨⏘䠅216.⤖ᯝ
(5)㑅ᢥ䛾㡰␒䛸⣼✚ᐤ୚⋡䠄R2䠅್䛾ኚ໬
X15

R2䠖

0.27

X15&X31

R2䠖

0.40

X15&X31&X34

R2䠖

0.51

X15&X31&X34&X39

R2䠖

0.56

X15&X31&X34&X39&X7

R2䠖

0.59

X15&X31&X34&X39&X7&X35

R2䠖

0.64

X15&X31&X34&X39&X7&X35&X36

R2䠖

0.65

X15&X31&X34&X39&X7&X35&X36&X39

R2䠖

0.66
22

6.⤖ᯝ
(6)䝟䝷䝯䞊䝍᥎ᐃ್
㡯┠
ษ∦

X7
X15
X27
X31
X34
X35
X36
X39

᥎ᐃ್
1295347.6
10930.098
Ͳ64.6744Ͳ0.90185
18.1315
Ͳ3.77115
Ͳ1.64407
Ͳ0.76019
Ͳ15.7505

t್
2.34
3.8
Ͳ2.94
Ͳ1.56
4.96
Ͳ3.09
Ͳ2.43
Ͳ1.64
Ͳ4.07

p್
0.02180.00030.00430.122<0.0001
0.00270.01720.1046<0.0001VIF್
Ͳ
1.550301
1.735469
1.108055
1.272439
1.606402
1.657074
1.593358
1.51787237.⪃ᐹ(1)䝟䝇ᅗ⑓ᗋ฼⏝⋡ᐊᩱᕪ㢠䠄ಶᐊ䞉᭱ప㢠䠅㒔㐨ᗓ┴⿵ຓ㔠+10,930༓෇䠋1%
Ͳ 64,674෇䠋1෇
Ͳ 902෇䠋1༓෇

Ns1ே1᪥ᙜ䛯䜚デ⒪཰ධ

+18,131෇䠋1෇⫋ဨ⤥୚㈝ィ
䠄┳ㆤᖌ䠅

Ͳ 3,771෇䠋1༓෇⫋ဨ⤥୚㈝ィ
䠄஦ົ⫋䠅⫋ဨ⤥୚㈝ィ
䠄䛭䛾௚䠅

1ᗋᙜ䛯䜚ᅛᐃ㈨⏘R2䠖0.66⮬⏤ᗘㄪᩚ῭䜏R2䠖0.63

་ᴗ཰ᨭ

Ͳ 1,644෇䠋1༓෇
Ͳ 760෇䠋1༓෇
Ͳ 15,750෇䠋1༓෇24

⑓ᗋ฼⏝⋡ᐃ⩏䠖ධ㝔⑓ᗋ䛜䛹䛾⛬ᗘᇙ䜎䛳䛶䛔䜛䛛䜢♧䛩ධ㝔デ⒪䛾ᣦᶆ䚹⑓Ჷ䛾✌ാ⋡䜢ព࿡䛩䜛䚹እ᮶デ⒪䛾ᣦᶆ䛜ᢳฟ䛥䜜䛪䚸200䡚399ᗋ䛾⮬἞య⑓㝔⩌䛷䛿䚸እ᮶デ⒪䜘䜚ධ㝔デ⒪䜢㔜せど䛩䜛஦䛜᥎ዡ䛥䜜䜛䚹⑓ᗋ฼⏝⋡䛾ቑຍ䛿䚸ே௳㈝➼䛾་ᴗ㈝⏝䛾ቑຍ䛻ᙳ㡪䛩䜛ྍ⬟ᛶ䛜䛒䜛䚹䛧䛛䛧䚸ᮏศᯒ䛾⤖ᯝ䜢㋃䜎䛘䜛䛸䚸⑓ᗋ฼⏝⋡䛸䛔䛖ᣦᶆ䛿㈝⏝ᑐຠᯝ䛾㧗䛔ᣦᶆ䛷䛒䜛䛸⪃䛘䜙䜜䜛䚹25ᐊᩱᕪ㢠䠄ಶே䞉᭱ప㢠䠅ᐃ⩏䠖ධ㝔᫬䛻䛚䛡䜛ᕪ㢠䝧䝑䝗௦䜢ព࿡䛩䜛䚹㒊ᒇ䛾ᵓ㐀䜔ᐃဨ➼䛻䜘䜚㔠㢠䛜タᐃ䛥䜜䛶䛔䜛䚹ᐊᩱᕪ㢠䛻䜘䜛཰┈䛿䚸タᐃ㔠㢠䛸฼⏝⪅ᩘ䛾✚䛻䜘䛳䛶ồ䜑䜙䜜䜛䚹䛭䛾䛯䜑䚸ᐊᩱᕪ㢠䛾ቑຍ䛜་ᴗ཰ᨭ䛾ῶᑡ䜢ᣍ䛟䛸䛔䛖⤖ᯝ䛿䚸౯᱁タᐃ䜢㧗䛟䛩䜛䛣䛸䛿ಶᐊ฼⏝⪅䛾ῶᑡ䜢⾲䛧䛶䛔䜛䛸⪃䛘䜙䜜䜛䚹ᐊᩱᕪ㢠䛾୰䛷䜒䚸䛂ಶே䞉᭱ప㢠䛃䛜᭱䜒་ᴗ཰ᨭ䛻ᙳ㡪䜢୚䛘䜛䛸⪃䛘䜙䜜䜛䚹26㒔㐨ᗓ┴⿵ຓ㔠ᐃ⩏䠖ᆅ᪉⮬἞య⑓㝔䛺䛹䛾බ❧⑓㝔䛿䚸ᅜ䜔㒔㐨ᗓ┴䛛䜙⿵ຓ㔠䜢䜒䜙䛖஦䛷་⒪ᶵ㛵䜢⁫䜚䛺䛟㐠Ⴀ䛧䛶䛔䜛䚹䛣䛾⫼ᬒ䛻䛿䚸ൢᆅ་⒪䜔୙᥇⟬་⒪䛾ᚑ஦䛜㛵ಀ䛧䛶䛔䜛䛸୍⯡ⓗ䛻ゝ䜟䜜䛶䛔䜛䚹㒔㐨ᗓ┴⿵ຓ㔠1000෇䛻ᑐ䛧䛶䚸་ᴗ཰ᨭ䜈䛾ᙳ㡪䛜Ͳ902෇䛷䛒䜛஦䚸䛚䜘䜃⿵ຓ㔠䜢ྲྀᚓ䛩䜛᫬ᮇ䛛䜙᥎䛩䜛䛸䚸་ᴗ཰ᨭ䛜䝬䜲䝘䝇䛺ศ⿵ຓ㔠䛷䜹䝞䞊䛩䜛䛸䛔䛖ᵓ㐀䛜᝿ീฟ᮶䜛䚹᭦䛺䜛⪃ᐹ䛻䛿䚸᫬⣔ิⓗ䛺ศᯒ䛜ᚲせ䚹27┳ㆤ⫋ဨ䠍ே䠍᪥ᙜ䛯䜚デ⒪཰ධᐃ⩏䠖་ᴗ཰┈䜢་ᖌ䛾䜏䛷䛺䛟䚸┳ㆤ⫋ဨ䛻䜎䛷㓄ศ䛧䛯䜒䛾䚹┳ㆤ⫋ဨᩘ䛻௜㝶䛩䜛䚹┳ㆤ⫋ဨ䛾ᩘ䜢ῶ䜙䛩஦䛷䚸ᮏ཰ධ䛜ቑຍ䛩䜛䛸᥎䛥䜜䚸䛂་ᖌ䠍ே䠍᪥ᙜ䛯䜚デ⒪཰ධ䛃௨ୖ䛻䚸ᙳ㡪䛜኱䛝䛔ᣦᶆ䛸⪃䛘䜙䜜䜛䚹䛧䛛䛧䛺䛜䜙䚸┳ㆤ⫋ဨ䜢ῶ䜙䛩஦䛿䚸デ⒪ሗ㓘ୖ䛾䛂┳ㆤ⫋㓄⨨䛾ᇶ‽䛃䛾ኚ᭦ᣍ䛟ᜍ䜜䚸䛚䜘䜃་⒪䛾㉁䛾పୗ䜢ᣍ䛟ᜍ䜜䛜䛒䜛䛯䜑䚸᭦䛺䜛◊✲䛜ᚲせ䛸⪃䛘䜙䜜䜛䚹28⫋ဨ⤥୚㈝ィ䠄┳ㆤ⫋ဨ䚸஦ົ⫋ဨ䚸䛭䛾௚䠅ᐃ⩏䠖䝁䝯䝕䜱䜹䝹䠄⸆๣ᖌ䜢㝖䛟䠅䛚䜘䜃஦ົ⫋䛻ᨭᡶ䜟䜜䜛⤥୚䛾ᖺ㛫ྜィ䚹୍⯡ⓗ䛻䚸་⒪ᶵ㛵䛷䛿ே௳㈝䛿་ᴗ㈝⏝䛾༙ศ௨ୖ䜢༨䜑䛶䛔䜛䚹⫋ဨ⤥୚㈝ィ䛜䚸་ᴗ཰ᨭ䛻ᑐ䛧䛶䝬䜲䝘䝇䛾ᙳ㡪䜢୚䛘䜛஦䛿⮳ᴟᙜ↛䚹䛧䛛䛧䛺䛜䜙䚸ྛ✀⫋䛻䜘䜚䛭䛾್䛜኱䛝䛟␗䛺䜚䚸䝁䝯䝕䜱䜹䝹䛸஦ົ⫋ဨ䛷䠎ಸ䛾ᕪ䛜䛒䜚䚸䝸䝋䞊䝇䝬䝛䝆䝯䞁䝖䛾㔜せᛶ䛜♧၀䛥䜜䜛䚹29䠍ᗋᙜ䛯䜚ᅛᐃ㈨⏘ᐃ⩏䠖ᅛᐃ㈨⏘䜢⑓ᗋᩘ䛷㝖䛧䛯䜒䛾䚹䝣䜯䝅䝸䝔䜱䛾඘ᐇᗘ䜢⾲䛩ᣦᶆ䚹䠍ᗋᙜ䛯䜚ᅛᐃ㈨⏘䜢ቑຍ䛥䛫䜛஦䛿䚸䝣䜯䝅䝸䝔䜱䛾඘ᐇ䜢䜒䛯䜙䛩䛜䚸་ᴗ཰ᨭ䛾ῶᑡ䜢䜒䛯䜙䛩䛯䜑䚸㈝⏝ᑐຠᯝ䛿䛒䜎䜚㧗䛟䛺䛔䛸⪃䛘䜙䜜䜛䚹䝍䞊䝀䝑䝖䛸䛩䜛ᕷሙ䛾㟂せ䛸➇ྜ䛸䛾ẚ㍑䜢䝸䜰䝹䝍䜲䝮䛻ᐇ᪋䛧䛺䛜䜙䚸ᢞ㈨䜢⾜䛳䛶䛔䛟ᚲせ䛜䛒䜛䚹30

8.⤖ㄽ䛂⑓ᗋ฼⏝⋡䛃䛂ᐊᩱᕪ㢠䠄ಶᐊ䞉᭱ప㢠䠅䛃䛂┳ㆤ⫋ဨ1ேᙜ䛯䜚デ⒪཰ධ䛃䛂⫋ဨ⤥୚㈝ィ䠄┳ㆤ⫋ဨ䞉஦ົ⫋䞉䛭䛾௚䠅䛃䛂1ᗋᙜ䛯䜚ᅛᐃ㈨⏘䛃䛜ᢳฟ䛥䜜䛯䚹

་⒪䛾㉁䕔䛂⑓ᗋ฼⏝⋡䛃䕔䛂ᐊᩱᕪ㢠䠄ಶᐊ䞉᭱ప㢠䠅䛃⤒Ⴀ䛾㉁䕔䛂┳ㆤ⫋ဨ1ேᙜ䛯䜚デ⒪཰ධ䛃䕔䛂⫋ဨ⤥୚㈝ィ䠄་ᖌ௨እ䠅䛃䕔䛂1ᗋᙜ䛯䜚ᅛᐃ㈨⏘䛃

་⒪䛾㉁ⓗ䜰䝥䝻䞊䝏⤒Ⴀ䛾㉁ⓗ䜰䝥䝻䞊䝏㯮Ꮠ⤒Ⴀ䛾㘽䛿䚸⑓ᗋ䜢 䛂ዴఱ䛻䛧䛶䛃䚸䛂ᖖ᫬䛃ᇙ䜑䛶䛚䛟䛛䟿㯮Ꮠ⤒Ⴀ䛾㘽䛿䚸䞉ே㈈䛾㐺ษ䛺ᵓᡂ䛸㓄⨨䞉䝣䜯䝅䝸䝔䜱䛾ຠ⋡໬䠄๐ῶ䠅

318.⤖ㄽ䠄௒ᚋ䛾ㄢ㢟䠅ᮏศᯒ䛷䛿䚸⑓ᗋᩘ䛜200䡚399ᗋ䛾⮬἞య⑓㝔䛻↔Ⅼ䜢ᙜ䛶䛶䛔䜛䚹ᣦᶆ䛾ᢳฟඖ䛿㝈ᐃⓗ䛷䛒䜛䚹䕕௒ᚋ䛾ศᯒᑐ㇟䕔つᶍ䛾␗䛺䜛⑓㝔⩌䠄400ᗋ௨ୖ䚸199ᗋ௨ୗ䠅䜢ᑐ㇟䕔⮬἞య⑓㝔௨እ䛾බ❧⑓㝔䚸⚾❧⑓㝔䜢ᑐ㇟
䕔ᵝ䚻䛺䝸䝋䞊䝇䜢⏝䛔䛶䚸᪂䛯䛺ᣦᶆ䛾ᢳฟ䛸సᡂ᭦䛺䜛䚸ၥ㢟Ⅼ䛾ᢳฟ䛸ゎỴ⟇䛾᳨ウྠつᶍ䜔ྠ⤒Ⴀ୺య䛾⑓㝔䜈䛾䝃䝆䜵䝇䝏䝵䞁䜈⧅䛢䜛㉥Ꮠ⑓㝔䛾㯮Ꮠ໬䛾⟇䜢ᥦ᱌䛧䚸Ᏻᚰ䛷䛝䜛ᆅᇦ་⒪䛾ᵓ⠏32䛤Ύ⫈䛒䜚䛜䛸䛖䛤䛦䛔䜎䛧䛯䚹

䛤㉁ၥ➼䚸䛚Ẽ㍍䛻䛤㐃⤡䛟䛰䛥䛔䚹EͲmail䠖 tsubasa3@z8.keio.jp34ཧ⪃ᩥ⊩•1)ཌ⏕ປാ┬ (2010):་⒪᪋タㄪᰝ•2)Donabedian A(1966):Evaluatingthequalityofmedicalcare.MilbankMemFundQ,44(3):166Ͳ203•3)Donabedian A(1980):Thedefinitionofqualityandapproachestoitsassessment.
Explorationsinqualityassessmentandmonitoring(Volume1).HealthAdministration
Press,AnnArbor,Michigan•4)኱ᆤᚭஓ (2008)䠖⮬἞య⑓㝔䛾་ᴗ཰ᨭ᥎⛣䛻㛵䛩䜛つᶍูせᅉศᯒ䠖᪥ᮏබ⾗⾨⏕ㄅ,55Ͳ11•5)㊊❧૗⨾ (2013)䠖⮬἞య⑓㝔⤒Ⴀ䛾ຠ⋡ᛶ䠉་⒪ᶵ㛵䛾ᶵ⬟ศ໬䛸ᆅᇦ་⒪㐃ᦠ䠉䠖఍ィ᳨ᰝ◊✲,47•

6)⥲ົ┬䠖ᆅ᪉බႠ௻ᴗᖺ㚷2012䠖http://www.soumu.go.jp/main_sosiki/cͲ
zaisei/kouei_kessan.html•7)ཌ⏕ປാ┬䚸ྛ⮬἞య䠖་⒪᝟ሗ䝛䝑䝖䝽䞊䜽䠖
http://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/iryou/teikyouseido/•8)2ḟ་⒪ᅪ䝕䞊䝍䝧䞊䝇WELLNESS䠖http://www.wellness.co.jp/siteoperation/msd/

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