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05.9.26

2008.7.4 ??????? ?? ? ??????? . ????????!?. . . . . . . . 2008.7.4 ??????? ?? ? ??????? . ??????????! ????05.9.26??. ????:?????????????1%???3000??????????????????????????????????????????????????????????????????!. . 2008.7.4 ??????? ?? ? ??????? . ?????????????????????2002?.

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05.9.26

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    1. 2008.7.4 ??????? ?? ? ??????? ??????????? ?????? ??????????????!

    2. 2008.7.4 ??????? ?? ? ???????

    3. 2008.7.4 ??????? ?? ? ??????? ??????????!????05.9.26??

    4. 2008.7.4 ??????? ?? ? ???????

    5. 2008.7.4 ??????? ?? ? ??????? ?????????????????

    6. 2008.7.4 ??????? ?? ? ???????

    7. 2008.7.4 ??????? ?? ? ??????? ?????????????????????(??12??)??30?3585??

    8. 2008.7.4 ??????? ?? ? ??????? ???????????????(?GDP?)??:OECD/????????????77?2005.6??

    9. 2008.7.4 ??????? ?? ? ??????? ???????

    10. 2008.7.4 ??????? ?? ? ??????? ????????????

    11. 2008.7.4 ??????? ?? ? ??????? ????????????!?????????????

    12. 2008.7.4 ??????? ?? ? ???????

    13. 2008.7.4 ??????? ?? ? ??????? ???????:??????????????????????

    14. 2008.7.4 ??????? ?? ? ??????? ??????????????????

    15. 2008.7.4 ??????? ?? ? ???????

    16. 2008.7.4 ??????? ?? ? ??????? ???IMF?????04.5.22 ???????????????(IMF)????????????? ???????????????????????????:ODA(??????)??????? ????????????????????????????!??????! ????????????????????????????????????????? ???????????????????????????????????????????????????????????????????????????? ?????????????IMF???????????????????????ODA???????????????????????????????:?????????? ODA???????????????????????????????????????????????????????????

    17. 2008.7.4 ??????? ?? ? ??????? ??14???????

    18. 2008.7.4 ??????? ?? ? ???????

    19. 2008.7.4 ??????? ?? ? ???????

    20. 2008.7.4 ??????? ?? ? ???????

    21. 2008.7.4 ??????? ?? ? ???????

    22. 2008.7.4 ??????? ?? ? ???????

    23. 2008.7.4 ??????? ?? ? ???????

    24. 2008.7.4 ??????? ?? ? ???????

    25. 2008.7.4 ??????? ?? ? ??????? ?????????????? ????????????????????????????????:?????????????????? ????????(???)?????????????????????????????????????? ?????????????????????????????????????????Conflict of interest????????????????????????????????????????????????

    26. 2008.7.4 ??????? ?? ? ??????? ?Conflict of interest????????? ????????????????????????????????????????????????????????????????????????????????????????????????? ?????????????????????????????????????????????????????????????????????????(??????2002.1.26?)

    27. 2008.7.4 ??????? ?? ? ??????? ????????????????? ?? ?? ?????????????????????? 2003.8.9 1.??????? ??????????????????? 2.??????? ???????????????????? 3.??????????? ??????????????????????? 4.???????????? ???????????????????????

    28. 2008.7.4 ??????? ?? ? ??????? ???????????????????????????? 12 ??=???????????? ?04.12.3??

    29. 2008.7.4 ??????? ?? ? ???????

    30. 2008.7.4 ??????? ?? ? ??????? ??3;???????

    31. 2008.7.4 ??????? ?? ? ??????? ????PA?????

    32. 2008.7.4 ??????? ?? ? ??????? PA????????? ??? ??? ??? Patients diagnoses were 32% of ischemic cardiomyopathy, 30% of idiopathic cardiomyopathy, 30% of acute cardiogenic shock including acute ischemic heart disease, post cardiotomy failure,and post-partum cardiomyopathy.Patients diagnoses were 32% of ischemic cardiomyopathy, 30% of idiopathic cardiomyopathy, 30% of acute cardiogenic shock including acute ischemic heart disease, post cardiotomy failure,and post-partum cardiomyopathy.

    33. 2008.7.4 ??????? ?? ? ??????? ????????????????? 2008.3.18 ???????3???????? ?????? ?????????vol.1??

    34. 2008.7.4 ??????? ?? ? ??????? ???????????????????????:????(????????????4????????:? ???)

    35. 2008.7.4 ??????? ?? ? ??????? ???????????????????! 1?????(??)????????????? 2?????????????????? 3???????(?????50%?) 4??????????(PA???????)

    36. 2008.7.4 ??????? ?? ? ??????? ???? ?????????

    37. 2008.7.4 ??????? ?? ? ???????

    38. 2008.7.4 ??????? ?? ? ???????

    39. 2008.7.4 ??????? ?? ? ??????? ????????????????????????(?????????????????)?1?6????????????????????????????????????????870.89Km???????10.4%??????? ????????13?9???????7??????82?(?????46)???????????5???????????????????????(???=???????????)???????????????????? ???????????????????????????????????????????????????24?????????????????????????????????????? ????????????????????????(?????????????????)?1?6????????????????????????????????????????870.89Km???????10.4%??????? ????????13?9???????7??????82?(?????46)???????????5???????????????????????(???=???????????)???????????????????? ???????????????????????????????????????????????????24??????????????????????????????????????

    40. 2008.7.4 ??????? ?? ? ???????

    41. 2008.7.4 ??????? ?? ? ??????? 1982??????:????1997????????:????2008?2?12????????:???? ??????????? ????? ??:?????

    42. 2008.7.4 ??????? ?? ? ??????? ???????????!??????????????????????? ?????3??????????????????? ??????????????? ??:Japan Medicine ??:????2008?2?8?? ??????4??????????????????????3?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ???????????? ??????????????8?45?????5??????????????8?45?????????????????????????????5??????????????????????????????????????????5??????0???????????????????????0?????8?45???????????????????????????????????????????????????(??) ??????????????????????????????????????????????3?????????????????????????204???????49?(12?1???????????????)?????????????????????????????????????????(??)????????????????????????????????????????????????5??????????????????????????????382????347?(90.8%)????????1??????????????????????278??270?(97.1%)???????????????????????????????????????????????????????????????????Copyright (C) 2008 ???????

    43. 2008.7.4 ??????? ?? ? ???????

    44. 2008.7.4 ??????? ?? ? ??????? ????????! ????????;??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

    45. 2008.7.4 ??????? ?? ? ??????? ???????????????????14?? 2025????????????? ????08?1?13?

    46. 2008.7.4 ??????? ?? ? ??????? ????????? 1910?Flexner report????????????????

    47. 2008.7.4 ??????? ?? ? ??????? ??????????????36%!??????????????

    48. 2008.7.4 ??????? ?? ? ??????? ?????????(??????????15???)

    49. 2008.7.4 ??????? ?? ? ??????? ????????? (???????15??) ??:??????????????? ???430??

    50. 2008.7.4 ??????? ?? ? ??????? ????????????????????? ??07.9.23(?)

    51. 2008.7.4 ??????? ?? ? ??????? ??????? ??? ??:????? ?2007?10?25?? ?????????????????(38)??????????????????????????????????????????????????? ???????8?????????????6???????????1????????????????????????????????????????????????????????????????? ?????????????????????????--??????????????????????????????????????04????????????????(??1000????)?118???????????????? ???????????????????????????????????????????????????????????????????????????????? ??????????????????? ??????????????????

    52. 2008.7.4 ??????? ?? ? ??????? ??????

    53. 2008.7.4 ??????? ?? ? ???????

    54. 2008.7.4 ??????? ?? ? ??????? ???????????? 2001?3????????2006?3??????????? ??????????????

    55. 2008.7.4 ??????? ?? ? ??????? ????????

    56. 2008.7.4 ??????? ?? ? ??????? ??????????

    57. 2008.7.4 ??????? ?? ? ??????? ???????????

    58. 2008.7.4 ??????? ?? ? ??????? ????????(??)

    59. 2008.7.4 ??????? ?? ? ??????? ?????????(??)

    60. 2008.7.4 ??????? ?? ? ??????? ??????(??)

    61. 2008.7.4 ??????? ?? ? ??????? ???????????

    62. 2008.7.4 ??????? ?? ? ??????? ???????????????

    63. 2008.7.4 ??????? ?? ? ??????? ???????? 67.7%??3?????????????????? ?????????(???????????)(62.3%) ????(49.4%) ????????(?????)(32.7%) ????1???????(28.9%)

    64. 2008.7.4 ??????? ?? ? ??????? ?????????

    65. 2008.7.4 ??????? ?? ? ???????

    66. 2008.7.4 ??????? ?? ? ??????? ???? 07?10?27? ?????????????????????????????????????????24???????????????????????? ????????????????????(1959?)????????????????????????????????????????????????????????????????????????? ???????????(???????)????????????????????158?(2006?)???????????????????????????????????????????????????????????????? ????????????70?????3????????????????

    67. 2008.7.4 ??????? ?? ? ???????

    68. 2008.7.4 ??????? ?? ? ??????? ????????? 2????????? 3???1????2???????? ????????????????????????????????? ?????????? 1?2?610???????? ?????????? ??????????????? ???????

    69. 2008.7.4 ??????? ?? ? ??????? ?????????????? ???????????????? ?? ????? ?????? ??61?6? ???? ?????????????????? ?? ??? ???????????? ?????? ??6?11? ?? ???????????? ?? ???? ??????? ??10?3? ??? ????? ??????????????????????? ??????????????????? ? ???????????????????? ??????????????????????????????? ?????????????? ????? ???????????????????????????????????????????? ????????????????????? ?????????????????????????????????????????? ????? ??????(??????) ????(?????2???) ????(?????????????) ???

    70. 2008.7.4 ??????? ?? ? ??????? ????????????27%

    71. 2008.7.4 ??????? ?? ? ??????? ?????????!

    72. 2008.7.4 ??????? ?? ? ??????? ??????????????????????????7%??????????????23%??????????15%???? (2004?JAMA??)

    73. 2008.7.4 ??????? ?? ? ??????? ??????????? ???????63? ??????(WHO)?7??????2006???????????????430?????????????????????????? ????????????????????????????????????????????????????1000?????????0.02??????????????????????????? ??????????????4??1??????????(OECD)?????30????????????????????????????????????????????? ???????????82??????????????????1000?????????1.98???192????63?????????????1???????47.35?????????OECD????????????????????27????????28???????????????????? ??????=???? 2006?4?7?10?50????? YOMIURI ONLINE

    74. 2008.7.4 ??????? ?? ? ??????? ???????????? ?????245? ???????????? ???????10?? ??:??????2007?8?27?? ???????????????????????24???????4?????????????????????5????????15?????????????????????????????????????????????????????????????????9???????????? ???10????1?????245?????????????5??????????????????????????????????????????????? ?????????????????????????????????????????????????6???????????????????????????? ???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ???????????????????????????????????? ????????????????????????????????????80?????????????20????????????????????????????????????2?? ????????????(???)????????2?3??????????????????????????????????????????????????????????????????????(???)????????? ????????????????????????????????10????10???????????11???????????10????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ??????? ?????? ??1970???????????????????83??????????????????10?????150????????????????????????????????????????????????????????????????????????????5??6???????????????????????????????????????????

    75. 2008.7.4 ??????? ?? ? ??????? ????????????? 07.7.18 ?62?????????????????????3???????????????? ???????????????? ?????????????? ?? ??????

    76. 2008.7.4 ??????? ?? ? ???????

    77. 2008.7.4 ??????? ?? ? ??????? ????????????????

    78. 2008.7.4 ??????? ?? ? ??????? ???????????58????????????19?(??23?11???)

    79. 2008.7.4 ??????? ?? ? ???????

    80. 2008.7.4 ??????? ?? ? ???????

    81. 2008.7.4 ??????? ?? ? ???????

    82. 2008.7.4 ??????? ?? ? ???????

    83. 2008.7.4 ??????? ?? ? ??????? Doctors on Strike - The Crisis in German Health Care DeliveryNew England Journal of Medicine Vol.355 No15 Oct 12, 2006??????????

    84. 2008.7.4 ??????? ?? ? ??????? ???????

    85. 2008.7.4 ??????? ?? ? ??????? ????????????????????? ???? ?????????????????????????? 06?4?WHO?????????????????192???63???OECD????????????????? ?????????????????????????????82?????????????????????????? ???????????????????????????????????????????????????????????????????????????????????????????????????????? ????????????????????????????????????????????GDP??????????????????????? ????????????????????????????????? ??????????????????????????????????????????????????????????????????????????????????????

    86. 2008.7.4 ??????? ?? ? ??????? ??????? ??????????????07.1.13?????????????????????????????????????????? The unspoken issue that haunts the UK general election:Editorial The Lancet Vol365 April 30, 2005 A successful market is the game consumers choose to play based on rules of competition and equal and maximum access to information.??????????????????????????????????????????????????????????????? Yet none of these assumptions can ever be true in medicine. Health is not a game. It is a public good. Health services should not be about competition. They should be about equity. And access to information is appallingly unequal.?????????????????????????????????????????????????????????????????????????????????????? Patients are not consumers. They are patients, pure and simple.?????????????????????????

    87. 2008.7.4 ??????? ?? ? ??????? ?????????????????4??????????????????????07.3.3(?)??4?-5?

    88. 2008.7.4 ??????? ?? ? ??????? ?????????(?????????????????????)

    89. 2008.7.4 ??????? ?? ? ??????? ?????????!

    90. 2008.7.4 ??????? ?? ? ??????? ?????????????????????????? ???????????????(2) ???????? 2006.8.16??;?????????49????????369?

    91. 2008.7.4 ??????? ?? ? ??????? ????????????????????????????

    92. 2008.7.4 ??????? ?? ? ???????

    93. 2008.7.4 ??????? ?? ? ??????? ??????????????27???????????????????????????????????????

    94. 2008.7.4 ??????? ?? ? ??????? ??????????????????? ???? 07.6.3??????

    95. 2008.7.4 ??????? ?? ? ???????

    96. 2008.7.4 ??????? ?? ? ???????

    97. 2008.7.4 ??????? ?? ? ???????

    98. 2008.7.4 ??????? ?? ? ??????? ???????3??????? ??? ???????07.4.26????1?

    99. 2008.7.4 ??????? ?? ? ??????? ?????????

    100. 2008.7.4 ??????? ?? ? ???????

    101. 2008.7.4 ??????? ?? ? ??????? ???????????????????????????????? 2007?2?24?(?)

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