çŸåšã¯éãä»äºãããŠããããã©ãé«åå ¥ã§å®å®ããŠããå»è¬åã»è£œè¬äŒç€Ÿã«è»¢è·ããããšèããŠããŸãããïŒããããå»åŠçç¥èããªããŠãããã®ãããŸã補è¬äŒç€Ÿã§ã©ããªè·çš®ã«è»¢è·ã§ããã®ãåãããã«ãæ¬æ Œçã«è»¢è·æŽ»åã«èžã¿åããŠããªã人ãå€ãã®ã§ã¯ãªãã§ããããã
ãã®èšäºã§ã¯ãå»è¬åã»è£œè¬äŒç€Ÿã®ä»äºå 容ã幎åãæªçµéšããå»è¬åã»è£œè¬äŒç€Ÿã«è»¢è·ããæ¹æ³ãšã倱æããªãæ±äººã®éžã³æ¹ã玹ä»ããŸãã
ç®æ¬¡
- 1 å»è¬åã»è£œè¬äŒç€Ÿã®ä»äºå 容ã»å¹Žåã»å°æ¥æ§ã¯ïŒ
- 2 æªçµéšããå»è¬åã»è£œè¬äŒç€Ÿã«è»¢è·ããæ¹æ³
- 3 æªçµéšãã補è¬äŒç€Ÿã«è»¢è·ã倱æããªã転è·å ã®éžã³æ¹
- 4 ãŸãšã
å»è¬åã»è£œè¬äŒç€Ÿã®ä»äºå 容ã»å¹Žåã»å°æ¥æ§ã¯ïŒ
å»è¬åã»è£œè¬äŒç€Ÿã®è·çš®å¥ä»äºå 容
å¶æ¥ïŒMRïŒå»è¬æ å ±æ åœè ïŒ
補è¬äŒç€Ÿã®å¶æ¥ãšãããããMRïŒå»è¬æ å ±æ åœè ïŒã¯ãå»çæ©é¢ã®å»åž«ãªã©ã«èªç€Ÿãéçºããæ°è¬çã«é¢ããå¹èœã䜿çšæ³ã«é¢ããæ å ±ãæäŸããããšãäž»ãªä»äºã§ããå¶æ¥ã®ç«ã¡äœçœ®ã«ã¯ããŸãããMRã¯äŸ¡æ Œäº€æžãšçŽåãè¡ããŸããã
äŸ¡æ Œäº€æžãšçŽåãè¡ãã®ã¯å»è¬ååžå£²æ¥è ã§ãã£ãŠã補è¬äŒç€Ÿã®MRã®ä»äºã§ã¯ãªãããã§ããMRã¯1æ¥ã«ããã€ãã®ç é¢ããŸããããã®ãããªæ å ±æäŸãè¡ã£ãŠããŸããåºåŒµãå€ããå»åž«ãšã®é¢äŒæéãæ©æãæ·±å€ã«éãããå Žåã¯ãMRããã®äºå®ã«åãããŠè¡åããŸãã
åºåŒµåŸã«ã¯å ±åæžããŸãšããŠæ¥å ±ãæå ±ãåºãã®ã§ãããé£è¡æ©ãæ°å¹¹ç·ãªã©ã®ç§»åæéã䜿ã£ãŠå ±åæžãäœæã§ããªããã°ãæ·±å€ãŸã§äŒç€Ÿã«æ®ã£ãŠäœæããããšãããã®ã§ãã
ç 究éçº
補è¬äŒç€Ÿã«ãããŠã販売ããæ°è¬ããžã§ããªãã¯ïŒåŸçºå»è¬åïŒã®ã¡ã«ããºã ã解æããåæããã®ãç 究éçºè·ã§ããæªéçºã®é åããè¬å¹ãèªããããªããšèããããŠããç ã«å¹èœãèŠãããæ°è¬ãéçºããããã«ãé·ããã°10幎以äžãããŠ1ã€ã®è¬åéçºã«æãã§ããŸãã
補è¬äŒç€Ÿã®äžã§ã¯ãç 究éçºè·ãéçºããå»è¬åãå ã«å¶æ¥ãèšåºéçºãåããŠããããšãããã瀟äŒè²¢ç®ã ãã§ã¯ãªã補è¬äŒç€Ÿã®äžã§ãèªåã®ãããããæããããä»äºã§ããããŸãã
èšåºéçº
èªç€Ÿã®ç 究éçºè·ãéçºããå»è¬åã販売ããéãäžè¬ã®äººãå®å šæ§ãä¿ã£ãŠäœ¿çšã§ããããç 究ããã®ãèšåºéçºè·ã§ããå ·äœçã«ã¯ãåç©å®éšãè¡ã£ãããè©Šéšç®¡ã®äžãªã©ã§åŸãããå¹æãã人äœã«æäžããŠãåçã®å¹æãåŸããããã©ããã«ã€ããŠãå»çæ©é¢ãååè ïŒè¢«éšè ïŒã®ååã®ããšãå»è¬åã®èšåºè©Šéšãè¡ããŸãã
ãã®æ®µéã§èµ·ããåŸãå¯äœçšåå¿ã確èªããããã«ç 究éçºãéããŠã極ããŠå®å šæ§ã®é«ãç¶æ ã§äžã®äžã«å»è¬åãéãåºãä»äºã§ãã
å質管ç
ç 究éçºè·ãéçºããèšåºéçºè·ã«ãã£ãŠèšåºè©Šéšã®ããŒã¿ã§äžå®ã®å¹æãèªããããå»è¬åããã©ã®ãããªç°å¢ã§ãåäžã®å¹æã瀺ããšã¯éããŸããã管çããã湿床ã枩床ãæéãä¿åæ¹æ³ãªã©ãéçºãããå»è¬åãäžå®åºæºãæºãããå質ãä¿ãŠãããã«ç®¡çããã®ããå質管çã®ä»äºã§ãã
äžå®æéæ¡ä»¶ããããŠä¿ç®¡ããå»è¬åã®å質ãä¿ãããããšã確èªã§ããªããã°ãäžè¬çã«è²©å£²ããããšãã§ããŸãããäœåºŠãäœåºŠãå質管çã®æ€æ»ãè¡ããå»è¬åã®å質å®å®æ§ã確èªããªããå»è¬åã®éçºéçšã®åŠ¥åœæ§ãä¿¡é Œæ§ãæå¹æ§ããã§ãã¯ããããšãã¡ã€ã³ã®æ¥åãšãªããŸãã
ããžã¹ãã£ã¯ã¹ïŒç©æµç®¡çæ¥åïŒ
äžèšã®ãããªããã»ã¹ãçµãŠéçºãããèªç€Ÿã®å»è¬åããå®éã«æ£è ã®æå ã«æž¡ããŸã§ã®ç©æµãèšç»ã»ç®¡çããã®ãããžã¹ãã£ã¯ã¹ã®ä»äºã§ããæ°è¬ã®è²©å£²éå§ã«ãšããªã£ãŠãæ°ããç©æµç¶²ãéçºããããåœå çç£ã§ã¯ãªãæµ·å€çç£ã«ããå Žåã¯ã°ããŒãã«ãªç©æµç¶²ãæ§ç¯ãããªã©ãããžã¹ãã£ã¯ã¹ã®èšèšã®æ®µéã«ãããä»äºãå€ããªã£ãŠããŸãã
åææã®çŽå ¥èšç»ãç«ãŠãããæ¬éäŒç€Ÿãžã®æé ãªã©ã®å ·äœçãã€å®éçãªäœæ¥ã«ã€ããŠã¯ãéæ£èŠéçšã®ç€Ÿå¡ãæ åœããäžèšã®ãããªããžã¹ãã£ã¯ã¹ã®èšèšã¯æ£ç€Ÿå¡ãè¡ããšãã棲ã¿åãããããŠãã補è¬äŒç€ŸããããŸãã
補è¬äŒç€Ÿã®å¹Žå
補è¬äŒç€Ÿã¯ã©ã®è·çš®ãå°éæ§ãé«ããããã«äŒŽã£ãŠé«åå ¥ãšãªã£ãŠããŸããç 究éçºè·ã»èšåºéçºè·ã®å Žåã30代ã®å¹³å幎åã¯547äžåã§ããããããç 究è·ã®å Žåã¯å è³ç³»ãå€è³ç³»ãã§å¹Žåãããªãç°ãªããŸããå è³ç³»ã§ãäžèšå¹Žåã¯ç¢ºå®ã§ãããå€è³ç³»ã®å Žåã¯800ïœ1,000äžåãè¶ ããããšãããã®ã§ãã
MRã®å Žåã¯ã30代ã®å¹³å幎åã699äžåãšãªã£ãŠããŸãããã ãMRã®å Žåãåºæ¬çµŠã«ãã©ã¹ããŠã€ã³ã»ã³ãã£ãïŒææ絊ïŒãèšäžãããŸããããæ¬äººã®å®å次第ã§ã¯ããã«äžããããšãèããããŸããå質管çã®å Žåã30代ã®å¹³å幎åã¯445äžåãšãªã£ãŠããŸãã補è¬äŒç€Ÿã®äžã§ã¯æ¯èŒçäœã幎åã«ãªã£ãŠããŸãããæ®æ¥ãå°ãªãåããããç¹ã§ã«ããŒãããŠããŸãã
ããžã¯ãã£ã¯ã¹ã®å Žåã30代ã®å¹³å幎åã¯650äžåã§ããã管çè·ãšããªããš1,000äžåãè¶ ããã±ãŒã¹ãå€ã ãããŸãã
補è¬äŒç€Ÿã®å°æ¥æ§
ãªãŒãã³ã·ã§ãã¯ã§å€ãã®äŒæ¥ãåç£ã«è¿œã蟌ãŸããäžã補è¬äŒç€Ÿã¯è»äžŠã¿æ¥çžŸãç¶æããŸãããå®ã¯ã補è¬äŒç€Ÿã¯äžã®äžã®æ¯æ°ã«å·Šå³ãããã人éãçããŠããäžã§èª°ããå¿ èŠãšãããã®ã§ãããããäžçæ å¢ã«ãå·Šå³ããã«ãããšããç¹åŸŽãããã®ã§ãã
2010幎ã«ã¯ãå»è¬åã®ç¹èš±ãåããããšã§éçºãã補è¬äŒç€Ÿä»¥å€ã§ããžã§ããªãã¯å»è¬åãéçºã§ããããã«ãªãåé¡ãçºçããŸããã
ãããã®è£œè¬äŒç€Ÿã倧ææãåãããâŠãšäºæ³ãããŠããŸãããã圱é¿ãåããã®ã¯äžéšã®äžå 補è¬äŒç€Ÿã®ã¿ã§ã倧æã¯ã»ãŒåœ±é¿ãåããã«æ°è¬éçºãæŠåšã«ããŠ2010幎ãä¹ãè¶ããŠããŸãã
äžå°è£œè¬äŒç€Ÿããããããžã§ããªãã¯å»è¬åã®è£œé ãã§ããèŠæš¡ã®ãšããã¯ãæ¥çžŸã䌞ã°ããŠãããä»åŸãå»è¬åã»è£œè¬äŒç€Ÿã®å°æ¥æ§ã¯å¿é ãªããšãããŸãã
æªçµéšããå»è¬åã»è£œè¬äŒç€Ÿã«è»¢è·ããæ¹æ³
å»è¬åã»è£œè¬äŒç€Ÿã«æ±ããããã¹ãã«
MRã«å¿ é ïŒã³ãã¥ãã±ãŒã·ã§ã³èœå
MRã¯1æ¥ã«äœåæ£ãšããç é¢ãã¯ãªããã¯ããŸãã£ãŠãå»åž«ãšã®ã³ãã¥ãã±ãŒã·ã§ã³ãå³ããªãããå»è¬åã®èª¬æãè¡ããŸãã
ãã¡ããæåãã話ããããŠãããå»åž«ã¯å°ãªãããããå€å¿ãªå»åž«ã®æéãæ°åã§ãããã£ãŠå»è¬åã®èª¬æãããã®ã¯è³é£ã®æ¥ã§ãã
ããã§ããã³ãã¥ãã±ãŒã·ã§ã³èœåã掻ãããŠå»åž«ã®è¶³ããšããèªåãããã¯ããã«å»åŠçç¥èãããå»åž«çžæã«ã²ããŸãå»è¬åã®èª¬æãè¡ããã ãã®ã³ãã¥ãã±ãŒã·ã§ã³èœåãããã°ãMRãšããŠå€§æã§ããã§ãããã
ç 究éçºã«å¿ é ïŒéäžå
æ°è¬éçºã¯äžæäžå€ã«æãããã®ã§ã¯ãªãã10幎ã¹ãã³ã§åãçµãã®ãæ®éãšããäžçã§ãããã®ãããé·æã«ããã£ãŠéäžåãçºæ®ã§ããªããã°ãåäžç 究ãæãéããããšã¯ã§ããŸããã
å ã 倧åŠé¢ã§ãç 究宀ã«ããã£ãŠæ¥å€è©Šéšã远詊ãªã©ã«å±ãã§ããçµéšããã人ãªããæªçµéšã§ãéåæãªãæ¥åéè¡ã§ããã§ãããã
å質管çã«å¿ é ïŒåé¡çºèŠèœå
å質管çã®ä»äºã§ã¯ãæ¯æ¥ç¹°ãè¿ãå質ãã¹ããããå»è¬åãæ±ããåé¡ç¹ãçºèŠããããšãä»äºã§ãã
ãã®ãããå°ãã®éãã«ãææã§ããããªããã€éããäœã«ãã£ãŠçãããã®ãªã®ããç¬æã«èŠåããåé¡çºèŠèœåãå¿ èŠã§ãã
ãè·çš®å¥ãå»è¬åã»è£œè¬äŒç€Ÿãžã®ãã£ãªã¢ãã¹
ç 究è·ãªã倧åŠé¢åãæå©
ç 究éçºè·ãèšåºéçºè·ã«ãªãããã«ã¯ãæäœã§ã倧åããã転è·æåçãé«ããã«ã¯ãçç³»ã®å€§åŠé¢ä¿®å£«èª²çšã»å士課çšä¿®äºã®åŠæŽãå¿ èŠã§ãã
å»åŠéšãè¬åŠéšãçåŠéšãçå·¥åŠéšãªã©ãå¹ åºãåéã®åºèº«è ãç 究è·ãšããŠæŽ»èºããŠããŸããããã¯ã倧åŠé¢ä¿®å£«èª²çšä»¥äžã§ãããšå°±è·ã»è»¢è·æåçãã¢ããããŸãã
MRã»ããžã¹ãã£ã¯ã¹ã¯ç°æ¥çš®ããã®è»¢è·ããããã
MRã¯ç°æ¥çš®ããã®è»¢è·è ãå€ããåè·ãæå¡ãå¶æ¥è·ãäºåè·ãå»çç³»å°éè·ãªã©ãéåžžã«éæžã¯éãããä»äºã§ãã
ç¹ã«è³æ Œãå¿ èŠãªããç 究è·ã®ããã«çç³»åºèº«è 以å€ã§ã掻èºããŠããMRã¯å€ãããŸãã
ããžã¹ãã£ã¯ã¹ã¯åè·ãç©æµç³»ç®¡çè·ã®å Žåãéåžžã«è»¢è·ã«ã¯æå©ã§ãããæ¥çš®ãå»ç以å€ã§ãç©æµãæ åœããŠããã«ãšã£ãŠã¯ãªãã¿ãããä»äºã§ããããŸãã
æªçµéšè ã¯MRãªã幎霢å¶éãªã
MRã¯åè¿°ããããã«ç°æ¥çš®ããã®è»¢è·è ãå€ããããã幎霢å¶éããªãããã40代ã«ããŠMRã«ãªã人ãå°ãªããªãã®ã§ãã
ç 究è·ã¯å€§åŠé¢ä¿®å£«ãããã¯å士課çšãä¿®äºããŠããã°ããã®éã«ä»ã®ä»äºãçµéšããŠããŠãæ¡çšãããããšããããŸãã
ç 究è·ãåãã幎霢å¶éããããããããšã¯ããŸããªãããã幎霢ã®å£ã¯äœããšãããã§ãããã
æªçµéšãã補è¬äŒç€Ÿã«è»¢è·ã倱æããªã転è·å ã®éžã³æ¹
éžãã§ã¯ãããªãæ±äººã®èŠåãæ¹
ãå šåœã§æŽ»èºã§ããŸããã¯è»¢å± ã䌎ã転å€å€çºã®å¯èœæ§
ç¹ã«MRã®æ±äººã§èŠãããã®ããå šåœçã«æŽ»èºã§ããŸãããªã©ã®è¡šèšã§ããèŠæš¡ã®å€§ããªä»äºãä»»ããŠãããããšããããžãã£ããªãšããæ¹ããã人ããããããããŸããããåºåŒµã»è»¢å€ãå€ããåããããç°å¢ãšã¯èšããªãå¯èœæ§ããããŸãã
ãã ã§ããMRã¯åºåŒµãå€ãã®ã§ããã補è¬äŒç€Ÿã®äººäºé 眮ã®åé¡ã§è»¢å€ã«ãªãããšããããããŸãã
ç¹ã«å®¶åºãæã£ãŠããããåã©ããããå Žåã¯ãå身赎任çã§å®¶ã«åž°ããªãæ¥ã ãç¶ããããããŸããã
ããžã¹ãã£ã¯ã¹ã¯éæ£èŠéçšãå€ã
補è¬äŒç€Ÿã®ããžã¹ãã£ã¯ã¹ã¯ãããããç©æµã®äŒç»ã»ç®¡çã®ä»äºãã¡ã€ã³ã§ããããã®åŸã®å ·äœçæé ãæç¶ãçã¯éæ£èŠéçšã®ç€Ÿå¡ãè«ãè² ã£ãŠããŸãã
倧æ補è¬äŒç€Ÿã®æ±äººã«é£ãããŠãæ£ç€Ÿå¡ãã©ãããã確èªããªããšãåŸããå¥çŽæŽæ°ã®ãªãå¥çŽç€Ÿå¡ã ã£ãâŠãšããããšããããŸãã
ãŸããç©æµç®¡çã«æºãããããšæã£ãŠããéæ£èŠéçšã§ã¯ã¿ããã§ããªãä»äºããããããããžã¹ãã£ã¯ã¹ã«è»¢è·ããå Žåã¯éçšåœ¢æ ã転è·æã«ãã確èªããããã«ããŸãããã
ããããæ±äººã®ç¹åŸŽ
éŠéœåãªã家è³è£å©ã§1äžã§æ®ãããæ±äººã
補è¬äŒç€Ÿã§ã¯çŠå©åçããã£ããããŠããã倧æã§ã¯ãªããšã絊äžé¢ä»¥å€ã§åéãããããšããããããŸãã
ããšãã°å®¶è³è£å©ãªããäžè¬çã«ã¯å®¶è³ã®3åã®1ãåé¡ãŸã§ãªã©ã®éé¡æå®ããããšãããéœå 23åºå ã«å®¶è³1äžåçšåºŠã§1Kã®ãã³ã·ã§ã³ã«äœãããªã©ã®é«åŸ éã§ãã
絊äžé¢ã¯ç®ãç¿ã®ããã«ããŠç¢ºèªãã人ãå€ããšæããŸããããããã£ãçŠå©åçãå å®ããŠããæ±äººã¯ãæå ã«æ®ããéãå€ãããã«ããããã§ãã
åºæ¬çµŠãé«ãå®å®ããŠãã
MRæ±äººã®äžã«ã¯ã幎åè¡šèšã®ã¿ã®æ±äººããããŸãããå¿ ãåºæ¬çµŠã確èªããŸãããã
ã€ã³ã»ã³ãã£ããé«ãèšå®ãããŠããã°ãå人ã®æ¥çžŸã䌞ã³ãªããã°äœãåºæ¬çµŠã®ã¿ã§ç掻ããããšã«ãªããŸãã
ãŸããè³äžãäžä¹ããããŠå¹Žåè¡šèšãããŠãããããè³äžã«ãããªã©ã®äºæ ã«ãªã£ãå ŽåãããŒã³è¿æžèšç»ãªã©ã«å€§ããªç©Žãéãããšã«ãªããŸãã
æªçµéšOKãã€æ¡ä»¶ã®è¯ã補è¬äŒç€Ÿã®æ±äººãèŠã€ããæ¹æ³
ãããŒã¯ãŒã¯ãæ±äººãµã€ãã§ã¯ãæªçµéšå¯ã®åªè¯æ±äººãèŠã€ããã®ã¯é£ãããã®ã§ãã
転è·ãšãŒãžã§ã³ãã«ç»é²ããããšã§ã奜æ¡ä»¶ã®éå ¬éæ±äººã玹ä»ããŠãããããšãã§ããŸãã
ãã£ãªã¢ã³ã³ãµã«ã¿ã³ãã«è»¢è·æŽ»åããµããŒãããŠããããã®ã§ãäžå©ã«ãªããã¡ãªæªçµéšè»¢è·ãäžæã«é²ããŠããããšãã§ããã®ã§ããããã§ãã
ããã«ãšãŒãžã§ã³ãçµç±ã§è»¢è·å ã®å éšæ å ±ãåŸãããšãã§ããã®ã§ã転è·åŸã®ãã¹ããããé²ãããšãã§ããå®å¿ããŠè»¢è·æŽ»åãé²ããããšãã§ããŸãã
ãªã¯ã«ãŒããšãŒãžã§ã³ã
ãªã¯ã«ãŒããšãŒãžã§ã³ãã¯ã転è·æåçãã³ããŒã¯ã³ã®å€§æç·åå転è·ãšãŒãžã§ã³ãã§ãã
åžå°æ§ã®é«ãæ±äººãå«ãéå ¬éæ±äººãåžžæ20äžä»¶ä»¥äžä¿æããŠããããšãããæªçµéšè»¢è·ã§ã¯æ±äººãåºé£ãå»è¬åã»è£œè¬äŒç€Ÿæ±äººã玹ä»ããŠãããããšãã§ããŸãã
ãŸãã転è·å ãåéšããåŸãæ¡çšæ åœè ã«ããªããæ¡çšããåŸæŒããããŠãããããã転è·ãæåããããã®ã§ãã
æªçµéšè»¢è·ã§ã¯äžå®ãªããšããããŸãããåå°ã§è»¢è·è åãã»ãããŒãéå¬ããŠããã転è·çµéšã®ãªã人ããåããŠã®æ¥çã§äœãããããããããããªããšãã人ãžã®ãµããŒããäžå šã§ãã
æ ç¹ãå šåœäž»èŠéœåžã«19ç®æããå šåœãç¶²çŸ ããŠããã転è·ãµããŒãã®æµããã¹ããŒãã£ãŒãªã®ã§ãä»ãã転è·ããã人ãé Œãã«ãªããŸããåæ¥ã®çžè«ãå¯èœãªã®ãå©çšããããã§ãã
ãªã¯ã«ãŒããšãŒãžã§ã³ããžç¡æç»é²
ãŸãšã
æªçµéšã§å»è¬åã»è£œè¬äŒç€Ÿã«è»¢è·ããå Žåãè·çš®ã«ãã£ãŠã³ãã¥ãã±ãŒã·ã§ã³èœåãéäžåãåé¡çºèŠèœåãæ±ããããŸãããããã®ã¹ãã«ã身ã«çããäžã§ã以äžã®ãããªåºæºã§æ±äººãæ¢ãããã«ããŸãããã
ã»ãå
šåœã§æŽ»èºãã¯åºåŒµã転å€ãå€ãåãã«ããå¯èœæ§ãã
ã»ããžã¹ãã£ã¯ã¹ã§è£éã®å€§ããªç®¡çç³»ã®ä»äºã¯éæ£èŠéçšã§ã¯é£ãã
ã»è£œè¬äŒç€Ÿç¹æã®çµŠäžä»¥å€ã®çŠå©åçéèŠã§å®¶è³ã¯ããããæå
ã«æ®ããéãå¢ãã
ã»å¹Žåé¡ã«éšããããã€ã³ã»ã³ãã£ãããåºæ¬çµŠéèŠã§å®å®ããé«åå
¥å¯èœ
æªçµéšå¯ã®å»è¬åã»è£œè¬äŒç€Ÿã®æ±äººã¯èŠã€ããã«ããããã転è·ãšãŒãžã§ã³ããå©çšããŠéå ¬éæ±äººã«å¿åãããšããæ¹æ³ãããããã§ãã
å®éã«äœ¿ã£ãŠæ¯èŒïŒè»¢è·ãšãŒãžã§ã³ãããããã©ã³ãã³ã°