ͺͣΌͶH352΃͹‫غ‬ଶकͪΖ࢕ࣆ• ѳ੓ञ ‫ं׳‬ͶଲͤΖ૥‫ྡغ‬জ֋൅ʤಝͶ୊Ҳ૮ྡজࢾ‫ݩ‬ʁϓΥʖθ1ʥ• ྡজࢾ‫ݩ‬Ͷ෉਷ͤΖφϧϱηϪʖεϥψϩ‫ڂݜ‬• ҫָ‫ڂݜ‬͹඲Ճ• ѳ੓ञ ͶଲͤΖԿָྏ๑ʀ؉࿪ίΠ͹ࣰࢬ,&7Νղͪ͢‫ޛࠕͳڂݜ‬͹ఴ๮ۛ౽ य़ืࠅཱི‫֋ڂݜ‬൅๑ਕ ࠅཱི͗Ξ‫ڂݜ‬ιϱνʖ஦ԟබӅ ઎୼ҫྏՌ• ਏྏ͹࣯͹޴৏їQuality of care• ͗Ξ࿓ಉਫ਼ࢊ੓͹඲Ճ

୊13յCSP-HOR೧ճ֋࠷

1͗Ξ͹ྡজࢾ‫ݩ‬

୊13յCSP-HOR೧ճ֋࠷

2૥‫ྡغ‬জ֋൅͹ର੏

୊13յCSP-HOR೧ճ֋࠷

3

୊13յCSP-HOR೧ճ֋࠷4

&RQFRUGDQFHRI3DWLHQW5HSRUWHGYHUVXV&OLQLFLDQ5HSRUWHG$GYHUVH6\PSWRP(YHQWV

352࢘༽͹‫ݳ‬য়• ‫ं׳‬ຌਕ͹क؏Νଜ॑͢ɼҫྏΝߨͮͱ͏͚͞ͳͺ‫ݺ‬ʓ͹‫ं׳‬͹ଡ༹੓Νଜ॑ͤΖ͞ͳͶͯ͵
͗Ζͳͳ΍Ͷ॑གྷͲ͍Ζ೟ࣟ͗߁͗ͮͱ͏Ζɽ• ҫྏंͳ‫ं׳‬͹৿ͪ͵αϝϣωίʖεϥϱςʖϩͳ͢ͱPROʤPatient Reported OutcomeʥͶ஭໪͗ॄΉΕ͍ͯͯΖɽ%DVFK(1(QJO-0HG
୊13յCSP-HOR೧ճ֋࠷

6(0$Ͳͺʃ)'$352*XLGDQFH
• *XLGDQFHIRU,QGXVWU\3DWLHQW5HSRUWHG2XWFRPH
0HDVXUHV8VHLQ0HGLFDO3URGXFW'HYHORSPHQWWR6XSSRUW/DEHOLQJ&ODLPV)'$&'(5&%(5&'5+• ธࠅͶ͕͜Ζҫ༂඾ҫྏ‫حؽ‬͹ট೟ਅ੧͹ࡏͶɼ‫͗ۂة‬क؏ద͵݊߃ΠΤφΩϞ͹৚ๅΝశ෉ชॽͶൕӫͦͪ͠͏৖߻ͶࢂߡͶͤ΄͘JXLGDQFH• χϧϓφ൝೧݆൅ߨ• ,QWHUQDWLRQDO6RFLHW\IRU3KDUPDFRHFRQRPLFVDQG2XWFRPHV
5HVHDUFK ,6325 ʤࠅࡏҫ༂‫ࡃܨ‬ʀΠΤφΩϞ‫ָڂݜ‬ճʥͳɼ,QWHUQDWLRQDO6RFLHW\IRU4XDOLW\RI/LIH5HVHDUFK ,6242/ʤࠅࡏ42/‫ָڂݜ‬ճʥͲϏϔϨρέαϟϱφ͹ูॄ• ೧݆Ͷਜ਼ࣞ൝൅ߨ୊13յCSP-HOR೧ճ֋࠷

୊13յCSP-HOR೧ճ֋࠷

57• ธࠅ)'$͹Γ͑Ͷɼ352Ν௜ંଲেͳͪ͢௪எͺΊΔΗ͵͏ɽ• ݊߃‫ؖ‬࿊42/඲ՃͶ‫ͤؖ‬ΖΪ΢ξη|5HIOHFWLRQ
3DSHURQWKHUHJXODWRU\JXLGDQFHIRUWKHXVHRIKHDOWKUHODWHGTXDOLW\RIOLIH +54/ PHDVXUHVLQWKHHYDOXDWLRQRIPHGLFDOSURGXFWV ೧݆ |͍͗Ζɽ• ͠ΔͶ৿‫و‬඲ՃςʖϩΝ4XDOLI\ͤΖͪΌ͹Ϊ΢ξϱηn4XDOLILFDWLRQRIQRYHOPHWKRGRORJLHVIRUGUXJGHYHORSPHQWJXLGDQFHWRDSSOLFDQWV ೧݆ |͗ޮා͠Ηͱ͏Ζ
୊13յCSP-HOR೧ճ֋࠷

8

PRO: patient reported outcomeʰඅ‫ंݩ‬͹঳য়ΏQOLͶ‫ͱؖ͢‬ɼࣙ෾ࣙਐͲ൓ఈ͢ɼͨ͹݃ՎͶҫंΝͺͣΌଠ͹΍͹͗ղࡑ͢͵͏ͳ͏͑඲Ճ๏๑ʱ352ऊౕ͹६ඍϕϫιηʤྡজࢾ‫༽ݩ‬ʥใ‫ׇ‬దऊౕ6)ɾ(4'࣮‫׳‬ʀ঳য়ಝҡదऊౕ仑௩

9$6ɾ034ɾ3DLQ'(7(&7‫ؖ‬ઇԎ

:20$&ɾ2',ɾ-2$%3(4͗Ξҫྏʀ؉࿪ίΠ

%3,ɾ(257&4/4ɾ)$&7*ਯເ

364,ɾ(66‫ؖ‬ઇϨΤϜο%$6'$,ɾ$&5FRUHVHW͹Ҳ
෨ɾ'$6͹Ҳ෨

&23'ɼᄸଋ

6*54ɾ$4/4

͑ͯ঳য়+$'6ɾ%',ɾ6',66PROΝफॄͤΖචགྷ੓PRO͗कགྷ඲Ճߴ໪ʃ෯࣏඲Ճߴ໪ʃ‫ع‬ଚ͹ऊౕ͍Ζ͏ͺన઀͵ऊౕ͗ଚࡑͤΖʃʤऊౕΝཤ༽ͪ͢‫ڂݜ‬͹༙ໃʀָճΏ‫ڂݜ‬ૌ৭͗ਬও͢ͱ͏Ζ΍͹͖ʃʥೖຌ‫ޢ‬൝͗ଚࡑͤΖʃ৿ͪ͵PROऊౕ͹֋൅ͳ඲Ճ

PROऊౕ͹અఈOK!

୊13յCSP-HOR೧ճ֋࠷

9

PRO: patient reported outcomeʰඅ‫ंݩ‬͹঳য়ΏQOLͶ‫ͱؖ͢‬ɼࣙ෾ࣙਐͲ൓ఈ͢ɼͨ͹݃ՎͶҫंΝͺͣΌଠ͹΍͹͗ղࡑ͢͵͏ͳ͏͑඲Ճ๏๑ʱ
ใ‫ׇ‬దऊౕ6)ɾ(4'࣮‫׳‬ʀ঳য়ಝҡదऊౕ仑௩

9$6ɾ034ɾ3DLQ'(7(&7‫ؖ‬ઇԎ

:20$&ɾ2',ɾ-2$%3(4͗Ξҫྏʀ؉࿪ίΠ

%3,ɾ(257&4/4ɾ)$&7*ਯເ

364,ɾ(66‫ؖ‬ઇϨΤϜο%$6'$,ɾ$&5FRUHVHW͹Ҳ
෨ɾ'$6͹Ҳ෨

&23'ɼᄸଋ

6*54ɾ$4/4

͑ͯ঳য়+$'6ɾ%',ɾ6',66࿓ಉਫ਼ࢊ੓඲ՃWHO-HPQ
୊13յCSP-HOR೧ճ֋࠷

11PROऊౕ͹અఈOK!

୊13յCSP-HOR೧ճ

10͠ΔͶɼ:+2Ͳ΍
WHO Health 2020 ʤ2012ʥ͹஦Ͳ Empowerment
Strategies and Areas of Action ͳ͢ͱɼᶅ Healthy public policy, political participation andprotection of rights
ᶆ Health literacy and disease self-management
ᶇ High-quality care and accountability of services
ᶈ Empowering communitiesΝ͍͝ͱɼ‫ं׳‬஦ৼ(Patient-Centered)͹֕೨Ν਒ΌΖ͞ͳΝ‫ک‬௒͢ͱ͏Ζɽ୊13յCSP-HOR೧ճ֋࠷

12

352࢘༽͹‫ݳ‬য়• ‫ं׳‬ຌਕ͹क؏Νଜ॑͢ɼҫྏΝߨͮͱ͏͚͞ͳͺ‫ݺ‬ʓ͹‫ं׳‬͹ଡ༹੓Νଜ॑ͤΖ͞ͳͶͯ͵͗Ζͳͳ΍Ͷ॑གྷ
Ͳ͍Ζ೟ࣟ͗߁͗ͮͱ͏Ζɽ• ҫྏंͳ‫ं׳‬͹৿ͪ͵αϝϣωίʖεϥϱςʖϩͳ͢ͱ
PROʤPatient Reported OutcomeʥͶ஭໪͗ॄΉΕ͍ͯͯΖɽ

Information and Communication Technology     Ν༽͏ͪ͗Ξ‫ं׳‬৚ๅ͹फॄͳմੵ‫ڂݜ‬ʰ͗Ξ‫ं׳‬Ͷ͕͜Ζ࿓ಉਫ਼ࢊ੓รԿ͹ࣰସ௒ࠬ        ʤϕϪκϱτΡθϞΠϔιϱτΡθϞ͹մੵ͖Δʥʱ• Ϡώ΢ϩυώ΢ηΝ‫ͪ͢༽׈‬Personal Health Record (PHR)͹൅ఴͶ൒͏ɽ‫͠ं׳‬Ξ͹য়‫ڱ‬Νన઀Ͷ೼Ѵ͢ɼν΢ϞϨʖ͵υʖνफॄΏްՎద͵αϝϣωίʖεϥϱΝͳΖͪΌͶɼPRO‫غ͗༽׈‬ଶ͠ΗΖɽ
୊13յCSP-HOR೧ճ֋࠷5)/-ϕϫζΥέφາཔঁ੔ۜ
ࠅཱི͗Ξ‫ڂݜ‬ιϱνʖ஦ԟබӅ ،஀ᢆ಼Ռ઎୼ҫྏՌ ۛ౽य़ื13ϕϪκϱτΡθϞΠϔιϱτΡθϞ͹΢ϟʖζԿָྏ๑߶͏࿓ಉਲ਼ߨ೵ྙ͍͗Ζਏஇࢩ࣍؉࿪ίΠබ‫෈Ͳغ‬௒ͫ͗࢕ࣆΝ‫ܩ‬କ͢ͱ͏Ζয়ସͲͺ͗Ξ࣑ྏΝߨ͏͵͗Δ࿓ಉ͢ͱ͏Ζ‫͠ं׳‬ΞͺʃϏϓΧʖϜϱηϕϪκϱτΡθϞ෈௒Ν‫ͯͯͣ״‬΍ໃཀྵ͢ͱ࢕ࣆΝͤΖ‫ٵ‬৮ΠϔιϱτΡθϞ࢘༽ͤΖ඲Ճςʖϩᚐௌᴾ:+2+34ʤ:+2+HDOWKDQG:RUN3HUIRUPDQFH4XHVWLRQQDLUHVKRUWIRUPʥೖຌ‫ޢ‬൝৮৖Ͳ͹੠ਈ໚Ν‫؜‬Ό݊߃৏͹ཀྵ༟Ͳ࢕ࣆ͹ϏϓΧʖϜϱη͗ఁԾ͢ͱ͏Ζয়ସʤϕϪκϱτΡʖθϞ3UHVHQWHHLVPʥΝ඲ՃͤΖͪΌͶ֋൅͠Η࣯ͪ໲ධɽ
ʤKWWSZZZKFSPHGKDUYDUGHGXKSTLQIRSKSʥἁἻỸἛἇὊἢὊỆᨼᆢᴾ

(4'/ԦयͲ֋൅͠ΗͪɼҫྏॊࣆंͲ͵͚ͳ΍؈ҝͶ଎ఈͲ͘Ζ݊߃‫ؖ‬࿊42/
ʤ+542/ʥ͹ऊౕͳ͢ͱ෱߁͚༽͏ΔΗͱ͏Ζ௒ࠬනͲɼΚ͗ࠅͲͺຍ༃͠Ηͪೖຌ‫ޢ‬൝(4'͍͗ΖɽᵰᶃᶑᶃᵿᶐᶁᶆᵩᶇᶒửဇẟẺỴὅἃὊἚᛦ௹ᴾ

ೖຌ‫ޢ‬൝352&7&$(æ3DWLHQW5HSRUWHG2XWFRPH 352 &RPPRQ7HUPLQRORJ\&ULWHULDIRU

$GYHUVH(YHQWV &7&$( 352&7&$(ͺɼҫྏंͶΓΖ඲Ճͫ͜Ͳͺ͵͚‫ࣙं׳‬ਐͶΓΖक؏ద඲ՃΝ͗Ξྡজࢾ‫ݩ‬͹༙֒ࣆে඲ՃͶన༽͢ɼΓΕਜ਼ౕ֮ͳ੠ౕ͹߶͏ήϪʖυΡϱήΝߨ͑඲ՃεητϞΝߑ஛ͤΖ͞ͳΝ໪దͳ͢ͱɼธࠅ1&,͹‫ڂݜ‬ൟͶΓͮͱ֋൅ɽೖຌ‫ޢ‬൝ͺʰಢཱིߨ੕๑ਕೖຌָढ़৾‫ڷ‬ճՌָ‫ڂݜ‬ඇঁ੔ࣆ‫ۂ‬ʨָढ़‫ঁڂݜ‬੔‫ঁۜخ‬੔ۜ‫خ‬൭‫ & ڂݜ‬ʩ՟ୌ൬ߺʤक೜‫ंڂݜ‬ʁࢃ޳୕༺ʥʱ͹੔Վͳ͢ͱ൅ߨɽ‫ݼ‬іẲềẟỦầỮधᎍᴾ
୊13յCSP-HOR೧ճ֋࠷

17

୊13յCSP-HOR೧ճ֋࠷

19



PRO-CTCAEʤ‫ं׳‬͹क؏ͶΓΖ෯ࡠ༽඲Ճʥ
ᚐௌᴾἁἻỸἛἇὊἢὊỆᨼᆢᴾᵰᶃᶑᶃᵿᶐᶁᶆᵩᶇᶒửဇẟẺỴὅἃὊἚᛦ௹ᴾ‫ݼ‬іẲềẟỦầỮधᎍᴾ
୊13յCSP-HOR೧ճ֋࠷

22ࠕյ͹‫ڂݜ‬Νߨͮͱ໲ୌ఼

• APPࡠ੔‫ֺ͗ޛ‬ɽ• $33६ඍࡠ੔Ͷ͖͖࣎ؔ͗ΖʤΩ݆ʥɽ• έϧΤχυʖνϗʖηͶ݃Վ͗յफʤEXELϗʖηʥɽ• ༁5000݇͹௒ࠬυʖν͗յफ͠Ηɼ‫ࡑݳ‬մੵ஦

୊13յCSP-HOR೧ճ֋࠷ྒྷ͖ͮͪ͞ͳ• յफυʖν͹࣯͗߶͏ɽ• ‫ڠ‬ಋ‫෈͗ंڂݜ‬གྷɽ• ‫ܩ‬କͪ͢ϕϫϠʖεϥϱ͗චགྷɽ• $33͹ࡠ੔ʀυʖνϗʖηң࣍ඇ༽ɽ• ePRO͹फॄΝࣰྡজͶʄ

23

୊13յCSP-HOR೧ճ֋࠷

24H352࢘༽͹ཤ఼ͳ఼ܿ

H352Ώ3+5͹फॄཤ఼• υʖν͹࣯͹޴৏• फॄυʖν͹Φϧʖࡡ‫ݰ‬• υʖν͹೘घི͹޴৏• υʖν΃ν΢ϞϨʖͶΠέιηͲ͘Ζ఼ܿ• εητϞ֋൅͹ඇ༽ͳ࣎ؔ• ࢘༽ंʀ఑‫ࢬڛ‬અ͹ιρφΠρϕ͹घؔ• εητϞΦϧʖժ଀Ӏ༽‫ݫ‬ʁApple‫ं׳‬ʀҫྏंؔϓϫʖ(+5HOHFWURQLFKHDOWKUHFRUG
3+5SHUVRQDOKHDOWKUHFRUGJ Med Internet Res 2017;19(12):e401

୊13յCSP-HOR೧ճ֋࠷

25

୊13յCSP-HOR೧ճ֋࠷

26

3DWLHQWV.QRZ%HVW 3.% ‫߃݊͜޴ं׳‬སྼεητϞNHS͹ϋρφϭʖέΝͺͣΌͳͤΖ͍ΔΑ
ΖుࢢΩϩτεητϞͶଲԢՆ೵

3+5SHUVRQDOKHDOWKUHFRUG͹υʖνϓϫʖ㻶㻌㻹㼑㼐㻌㻵㼚㼠㼑㼞㼚㼑㼠㻌㻾㼑㼟㻌㻞㻜㻝㻣㻧㻝㻥㻔㻝㻞㻕㻦㼑㻠㻜㻝https://www.patientsknowbest.com/
୊13յCSP-HOR೧ճ֋࠷

27

୊13յCSP-HOR೧ճ֋࠷

28

0\+HDOWK.HHSHUPRELOHDSS͗Ξ‫ं׳‬ͶଲͤΖྡজͲ͹Ԣ༽

BMC Res Notes. 2015; 8: 315.

୊13յCSP-HOR೧ճ֋࠷

୊13յCSP-HOR೧ճ֋࠷

29

30

Calicoώ΢Ψιϱγʖ͹फॄҫྏ͹รԿ• ePROɼೖ৙͹ώ΢νϩυʖνʤώ΢Ψιϱγʖʥ͹फॄΝྡজͶਫ਼͖ͤɽ• ໪దʁҫྏΠΤφΩϞ͹րવɼҫྏඇ͹ްིԿ

VitalPatchFreeStyleজঈঞэೖຌͶ͕͜Ζ໲ୌ఼ώ΢νϩυʖν͹қٝΝ‫ͤৄݗ‬Ζྡজࢾ‫ݩ‬͹ࣰࢬ‫ݺ‬ਕ৚ๅฯ‫ޤ‬
PHRͳుࢢΩϩτ͹ল߻‫ݺ‬ਕ৚ๅ͹ฯ‫ޤ‬ϨΠϩν΢ϞϠωνϨϱή͹մੵं͹෈ࡑApple
୊13յCSP-HOR೧ճ֋࠷

31

୊13յCSP-HOR೧ճ֋࠷32• ݊߃؇ཀྵυώ΢ηΏePRO͹फॄ͗൜༽͠ΗΖɽ• ݊߃υʖν͹‫༽׈‬͹ཤ఼ͶଲͤΖཀྵմ͗਒΋ɽ• ਕ޽எ೵͹‫༽׈‬ͶΓΖϨΠϩν΢ϞͲ͹݊߃؇ཀྵ͗Ն೵ͳ͵Ζɽ• ྡজࢾ‫ݩ‬Ͷ͕͏ͱ΍݊߃υʖνΏePRO͹फॄͶΓΖ৿ͪ͵Φϱχϛ΢ϱφઅఈ͗͵͠ΗΖɽ• ϨΠϩν΢Ϟྡজࢾ‫ݩ‬͹ࣰࢬ୊13յCSP-HOR೧ճ֋࠷33