{"id":143025,"date":"2019-06-18T10:05:07","date_gmt":"2019-06-18T10:05:07","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%e3%82%b9%e3%83%9a%e3%82%a4%e3%83%b3huelva-university-hospital%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e5%bf%83%e4%b8%8d%e5%85%a8%e6%b2%bb%e7%99%82%e3%81%ae%e9%9d%a9%e6%96%b0\/"},"modified":"2026-02-17T06:06:42","modified_gmt":"2026-02-17T06:06:42","slug":"transforming-heart-failure-care-at-huelva-university-hospital-spain","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/ja\/operations\/immunoassay\/transforming-heart-failure-care-at-huelva-university-hospital-spain\/","title":{"rendered":"\u30b9\u30da\u30a4\u30f3Huelva University Hospital\u306b\u304a\u3051\u308b\u5fc3\u4e0d\u5168\u6cbb\u7642\u306e\u9769\u65b0"},"content":{"rendered":"<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: 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style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\u8907\u96d1\u306a\u691c\u67fb\u3092\u5fc5\u8981\u3068\u3059\u308b\u3002\u3057\u304b\u3057\u3001\u5fc3\u4e0d\u5168\u304c\u65e9\u671f\u306b\u540c\u5b9a\u3055\u308c\u308c\u3070\u3001\u6b7b\u4ea1\u7387\u304a\u3088\u3073\u5408\u4f75\u75c7\u767a\u751f\u7387\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002<\/span><\/span><\/span><\/li>\n<li style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: 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Calibri,sans-serif;\">\u305d\u3053\u3067\u79c1\u305f\u3061\u306f\u3001\u60a3\u8005\u306b\u5bfe\u3059\u308b\u65e9\u671f\u767a\u898b\u3068\u96c6\u4e2d\u7ba1\u7406\u306e\u4fa1\u5024\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u30011\u9031\u9593\u4ee5\u5185\u306b\u3059\u3079\u3066\u306e\u8a3a\u65ad\u304c\u78ba\u8a8d\u3055\u308c\u308b2\u3064\u306e\u4ecb\u5165\u3092\u8a2d\u8a08\u3057\u305f\u3002\u305d\u306e\u305f\u3081\u79c1\u305f\u3061\u306f\u3001\u4e00\u6b21\u8a3a\u65ad\u691c\u67fb\u3068\u3057\u3066B\u578b\u30ca\u30c8\u30ea\u30a6\u30e0\u5229\u5c3f\u30da\u30d7\u30c1\u30c9\uff08BNP\uff09 \u304a\u3088\u3073N\u672b\u7aef\u30d7\u30edBNP\uff08NT-proBNP\uff09 \u3092\u63a1\u7528\u3057\u3001\u6551\u6025\u6cbb\u7642\u5ba4\u304b\u3089\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u307e\u3067\u3001\u5229\u7528\u7bc4\u56f2\u3092\u62e1\u5927\u3057\u305f\u3002\u3055\u3089\u306b\u3001\u7591\u308f\u3057\u3044\u75c7\u4f8b\u3092\u8fc5\u901f\u306b\u7d39\u4ecb\u3067\u304d\u308b \u5fc3\u4e0d\u5168\u90e8\u9580\u3082\u8a2d\u7f6e\u3057\u305f\u3002\u307e\u305f\u3001NT-proBNP\u306e\u7d50\u679c\u306b\u57fa\u3065\u3044\u3066\u6765\u9662\u983b\u5ea6\u3092\u500b\u5225\u5316\u3057\u3001\u60a3\u8005\u306e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u30b1\u30a2\u3092\u6700\u9069\u5316\u3059\u308b\u3088\u3046\u306b\u8a2d\u8a08\u3057\u305f\u3002<\/span><\/span><\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\u6b21\u306b\u3001\u8ffd\u8de1\u3059\u3079\u304d\u6a19\u6e96\u7684\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u4e00\u9023\u306e\u30bb\u30c3\u30c8\u3092\u5b9a\u7fa9\u3057\u305f\u3002\u3053\u306e\u969b\u3001\u30cf\u30fc\u30d0\u30fc\u30c9\u30fb\u30d3\u30b8\u30cd\u30b9\u30b9\u30af\u30fc\u30eb\u306eMichael Porter\u6c0f \u304c\u63d0\u5531\u3057\u305f\u30a2\u30a6\u30c8\u30ab\u30e0\u6e2c\u5b9a\u306e\u968e\u5c64[1]\u3001\u304a\u3088\u3073\u5fc3\u4e0d\u5168\u60a3\u8005\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u6e2c\u5b9a\u306e\u305f\u3081\u306bInternational Consortium for Health Outcomes Measurement\uff08ICHOM\uff09\u304c\u958b\u767a\u3057\u305f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3[2]\u3092\u53c2\u7167\u3057\u305f\uff08\u56f31\uff09\u3002<\/span><\/span><\/span><\/p>\n<p><!-- <img fetchpriority=\"high\" decoding=\"async\" src=\"\/sites\/default\/files\/inline-images\/AL2.png\" alt=\"AL2\" width=\"626\" height=\"352\" data-caption=\"Figure 1: Choosing Metrics for Heart Failure Outcomes Measurement&lt;br \/&gt; Source: Michael Porter\u2019s Outcome Measures Hierarchy (left); The International Consortium for Health Outcomes Measurement\u2019s Heart Failure Data Collection Reference Guide (right).\" data-entity-type=\"file\" data-entity-uuid=\"ab6fbfa0-16f0-4a7f-a015-612e3aac4022\" title=\"\">\n--><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u5b9a\u7fa9\u3057\u305f\u3089\u3001\u6b21\u306b \u30c7\u30fc\u30bf\u53ce\u96c6\u30d7\u30ed\u30bb\u30b9\u306e\u69cb\u7bc9 \u306b\u79fb\u3063\u305f\u3002ICHOM\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u5f93\u3044\u3001\u30b1\u30a2\u30b5\u30a4\u30af\u30eb\u306e\u3055\u307e\u3056\u307e\u306a\u30bf\u30a4\u30df\u30f3\u30b0\u3067\u3053\u308c\u3089\u306e\u30c7\u30fc\u30bf\u53ce\u96c6\u30dd\u30a4\u30f3\u30c8\u3092\u30b7\u30b9\u30c6\u30e0\u306b\u7d44\u307f\u8fbc\u3093\u3060\u3002\u307e\u305f\u3001\u60a3\u8005\u306b\u3082\u8cea\u554f\u7968\uff08\u30a2\u30f3\u30b1\u30fc\u30c8\uff09\u306e\u8a2d\u8a08\u6bb5\u968e\u304b\u3089\u53c2\u52a0\u3057\u3066\u3082\u3089\u3044\u3001\u30c7\u30fc\u30bf\u5165\u529b\u304c\u6b63\u78ba\u306b\u884c\u308f\u308c\u308b\u3088\u3046\u8907\u6570\u306e\u30c1\u30a7\u30c3\u30af\u30dd\u30a4\u30f3\u30c8\u3092\u8a2d\u3051\u305f\u3002<\/span><\/span><\/span><\/p>\n<p><!-- <img decoding=\"async\" src=\"\/sites\/default\/files\/inline-images\/AL3.png\" alt=\"AL3\" width=\"626\" height=\"352\" data-caption=\"Figure 2: ICHOM Guidelines for Data Collection in Heart Failure Outcomes&lt;br \/&gt; Source: The International Consortium for Health Outcomes Measurement\" data-entity-type=\"file\" data-entity-uuid=\"23e3d14b-019c-4357-a15f-3001bec9000e\" title=\"\">\n--><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: 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8pt;\"><span lang=\"EN-GB\" style=\"font-size: 11.0pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: 'Calibri',sans-serif;\">\u307e\u30601\u5e74\u5206\u306e\u5206\u6790\u306f\u5b8c\u4e86\u3057\u3066\u3044\u306a\u3044\u304c\u3001\u5f97\u3089\u308c\u305f\u30c7\u30fc\u30bf\u306f\u975e\u5e38\u306b\u6709\u671b\u3067\u3042\u308b\u3002\u518d\u5165\u9662\u3059\u308b\u60a3\u8005\u6570\u306f\u6e1b\u5c11\u3057\u3001\u518d\u5165\u9662\u306e\u56de\u6570\u3082\u660e\u3089\u304b\u306b\u5c11\u306a\u304f\u306a\u3063\u3066\u3044\u308b\u3002\u5f53\u9662\u306e\u30c7\u30fc\u30bf\u3067\u306f\u300130\u65e5\u518d\u5165\u9662\u7387\u304c88\uff05\u6e1b\u5c11\u3057\u305f\u3002\u307e\u305f\u3001\u518d\u5165\u9662\u7387\u306f6\u304b\u6708\u306770\uff05\u30011\u5e74\u9593\u306745\uff05\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u3002\u3055\u3089\u306b\u3001\u5fc3\u4e0d\u5168\u60a3\u8005\u306b\u3088\u308b\u6551\u6025\u5916\u6765\u53d7\u8a3a\u306e\u56de\u6570\u3082\u6e1b\u5c11\u3057\u305f\u3002\u60a3\u8005\u306e\u5065\u5eb7\u72b6\u614b\u3082\u6539\u5584\u3057\u3066\u304a\u308a\u3001\u30cb\u30e5\u30fc\u30e8\u30fc\u30af\u5fc3\u81d3\u75c5\u5b66\u4f1a\uff08NYHA\uff09\u306e\u30af\u30e9\u30b9III\u306b\u5206\u985e\u3055\u308c\u308b\u60a3\u8005\u6570\u306f\u6e1b\u5c11\u3057[3]\u3001\u8eab\u4f53\u6d3b\u52d5\u304c\u56f0\u96e3\u306a\u60a3\u8005\u3082\u901a\u5e38\u3088\u308a\u5927\u304d\u304f\u6e1b\u5c11\u3057\u3066\u3044\u308b<\/span><\/span><\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span lang=\"EN-GB\" style=\"font-size: 11.0pt;\"><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMp1011024\" target=\"_blank\" rel=\"noopener\">[1] <\/a>Porter, E.M., 2010. What is Value in Health Care?The New England journal of medicine.363, pp.2477-2481<\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><a href=\"https:\/\/www.ichom.org\/portfolio\/heart-failure\/\" target=\"_blank\" rel=\"noopener\">[2]<\/a> ICHOM Heart Failure Standard Set<\/p>\n<p style=\"margin: 0in 0in 8pt;\">[3] New York Heart Association\u5206\u985e<\/p>\n<p style=\"margin: 0in 0in 8pt;\"><em><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\"><span lang=\"EN-GB\" style=\"font-size: 10.0pt;\"><span style=\"line-height: 107%;\">\u672c\u8a18\u4e8b\u306f\u3001\u4e2d\u56fd\u30fb\u5e83\u5dde\u3067\u958b\u50ac\u3055\u308c\u305fRoche Efficiency Days\uff08RED\uff092018\u300cREDefining Perspective\u300d\u306b\u304a\u3051\u308b\u3001 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Measurement\uff08ICHOM\uff09\u304c\u958b\u767a\u3057\u305f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3[2]\u3092\u53c2\u7167\u3057\u305f\uff08\u56f31\uff09\u3002 \u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u5b9a\u7fa9\u3057\u305f\u3089\u3001\u6b21\u306b \u30c7\u30fc\u30bf\u53ce\u96c6\u30d7\u30ed\u30bb\u30b9\u306e\u69cb\u7bc9 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[1] Porter, E.M., 2010. What is Value in Health Care?The New England journal of medicine.363, pp.2477-2481 [2] ICHOM Heart Failure Standard Set [3] New York Heart Association\u5206\u985e \u672c\u8a18\u4e8b\u306f\u3001\u4e2d\u56fd\u30fb\u5e83\u5dde\u3067\u958b\u50ac\u3055\u308c\u305fRoche Efficiency Days\uff08RED\uff092018\u300cREDefining Perspective\u300d\u306b\u304a\u3051\u308b\u3001 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