2012 3 2011 1 20 1 2 6 3 8 5 12 1 2
茨
1 2011 1 20 2 2011 6 18 3 2011 8 27 28 4 2011 11 5 5 2011 12 17 18 6 2012 2 4
P1 P2 P11 P11 P11 P14 P14 P14 P15 P18 P19 P19 P20 P21 P21 P22 P23 P23 P23 P27 P29 P30 P31 P32 P32 P33 P34 P35 P35 P35 P37 P37
P38 P38 Death Education P43 P43 P43 P44 P44 P44 artificial hydration and nutrition AHN P44 P44 P45 P45 P45 P46 P46 P47 2030 P48 P53 P72
8 30~40 1998 1 2000 2 2002 3 9 16 1 2 2011 3 19 3 6 DMAT JMAT JMAT 3 8 1 2 4 11 5 12 1 2 1 2 6 2012 2 16 170 Death Education - 1 -
JMA 1 ID - 2 -
30 40-3 -
DB 100 45 59 2-4 -
1 2 3 10 4 2 5 2 5 DPC DPC - 5 -
3 5 灸 3-6 -
3 4-7 -
3 Death Education 10 80-8 -
2038 170 70 QOL AHN artificial hydration and nutrition AHN QOL QOL - 9 -
- 10 -
- 11 -
2 4 JMA - 12 -
5 40 2011 7 24 - - - 13 -
24 1 ID 2002-14 -
2006 2010 10 NHK NHK - 15 -
BS DVD - 16 -
20 30 m3.com m3.com 1-17 -
JMAT - 18 -
2 摯 - 19 -
60 40 30 50 2011 3 17 357-20 -
1 3 2 3 JMAT - 21 -
2011 1 760 341 DB DB DB DB DB - 22 -
OECD 2011 LANCET 4 40 60-23 -
3,000 100 5 2.4 3.7 2.1 OECD 30 4 1 5 80 30 逼 - 24 -
2005 2030 2030 160 1 1-25 -
1996 2006 45 59 2004 4.1 4.5 8.6% 3 2004 1990 1990 9,494 2003 18,047 2 2010 167,063 24,033 10 2 2-26 -
I 1 1 21 PICU 10 40 OECD 1 GDP GDP - 27 -
2009 100 50 29 1985 3380 20 2010 69.5 2010 5-28 -
4-29 -
- 30 -
1 2 1 2,000 3 10 3 4 2 5 6 2 5-31 -
NHS DPC DPC 12 65 DPC 30 100 50 100 30 100 10 30 30 30 20 30 10 10 10 10 10 2 3-32 -
灸 娩 3 2 5 灸 3-33 -
13 25 90 5-34 -
3-35 -
1999 218 800 1,000 2000 15.2 13.3 5 1 1990 HCA HCA - 36 -
- 37 -
3 cooperation integration Family Physician Family Practice Family Medicine GP General Practitioner NHS National Health Service - 38 -
20 GP 3 4 40 GIM General Internal Medicine 10 Hospitalist - 39 -
Hospitalist 3-40 -
600 1996 2002 10 7 200-41 -
- 42 -
Death Education Good Death Bad Death Good Death Good Life Bad Life Death Education 80 2038-43 -
Good Death QOL NPO artificial hydration and nutrition AHN AHN artificial hydration and nutrition AHN - 44 -
- 45 -
QOL AHN AHN QOL - 46 -
CM 3 20 21 9 22 9 24-47 -
IV 2030 2033 4 38 2033 4 5 5 38 2013 2019 5 A A 15 A 3 1 2 1 2-48 -
2000 B 5 5 50 堵 2000 ID ID 10 70-49 -
20 15 170 21 24 1 10 GDP 5 1.8 2 2034 6 30 2034 6 2 8 95 2004 30 8 14-50 -
50 10 40 30 2 40 甑 10 JMAT 1 4 40-51 -
爺 6 2 20 2012 17 8 20 2012-52 -
1 1 2 3 3.11-53 -
2011 1 20 1 1 9 10 45 11 55 1 1 30 2 1 2 Suica 1 1-54 -
6 1-55 -
JMAT JMAT - 56 -
- 57 -
1 H23.1 H16.3 2 DMAT JMAT JMAT - 58 -
50 living will - 59 -
2011 JMAT 摯 - 60 -
10 21 10 10-61 -
2011 1 2 1 16 30 40 43 溢 溢 30 30 74-62 -
1 1 2011 1 2 3 2011 8 2 8 3 6 JMAT 4 1 JMAT 60-63 -
茨 10 20 20 100% 100% 100% 100% 10 20-64 -
1 溢 - 65 -
2011 JMAT - 66 -
2010 F F 50 Closed-question Yes 1-67 -
- 68 -
1 20 16 16 15-69 -
40-70 -
2010 2011 3 DMAT JMAT JMAT 12 16 6-71 -
- 72 -
94 6 1 75 7 1 14 2-73 -
62 68 65 75 75 IT - 74 -
4 75 12 2 69 31-75 -
59 38 3 1 2 1 75 2 2 3 5 19 2 6 1 2-76 -
25% 37 25 1 1,000 75 75 19-77 -
3 3 81 73 80-78 -
- 79 -
13 0 25 25 25 13 50 IT 2 10 20-80 -
- 81 -
4 10-82 -
50 30 20 2 1 1 2 2 1.5 4 1 3 1 3 Death Education 80 Death Education - 83 -
30-84 -
- 85 -