་⒪䝡䝑䜾䝕䞊䝍௦䛾 㝔䝬䝛䝆䝯䞁䝖 ― യᵓ㐀䛾ኚ䜈䛾ᑐᛂ ―
⏘ᴗ་⛉Ꮫ බ⾗⾨⏕Ꮫᩍᐊ ᯇ⏣ဢ┈ ┦ 䛾 ᭷ ↓ 䠖 ↓
ͤ䛣䛾ㅮ₇䛾䜒䛸䛸䛺䛳䛯◊✲䛻㛵㐃䛧䚸㛤♧䛩䜉䛝COI㛵ಀ䛻䛒䜛ᴗ䛺䛹䛿䛒䜚䜎䛫䜣䚹ᖹᡂ30ᖺ8᭶21᪥ 䠖⏘ᴗ་⛉Ꮫ
ᮏ᪥䛾ㅮ₇䛾ෆᐜ
1䠊ᨵ㠉䛾⫼ᬒ
2䠊䝕䞊䝍䜢䛹䛾䜘䛖䛻ゎ㔘䛩䜛䛾䛛䠛
3䠊䝡䝑䜾䝕䞊䝍ゎᯒ䛛䜙ᚓ䜙䜜䜛▱ぢ
4䠊䜎䛸䜑 ᆅᇦ་⒪ᵓ䛸䛿 ᵓ༊ᇦ䛻䛚䛡䜛䚸ᗋ䛾ᶵ⬟༊ศ䛤䛸䛾ᑗ᮶䛾ᗋᩘ䛾ᚲせ㔞䛾䜋䛛䚸 ᗋ䛾ᶵ⬟ศཬ䜃㐃ᦠ䛾᥎㐍䛾䛯 䜑䛻ᚲせ䛺㡯䜢ྵ䜐ᑗ᮶䛾་⒪ᥦ౪య ไ䛻㛵䛩䜛ᵓ
་⒪ἲzᆅᇦ䛾ᐇ䛻ᛂ䛨䛯ㄢ㢟ᢳฟ䜔ᐇ⌧䛻ྥ䛡䛯⟇䜢ఫẸ䜢ྵ 䜑䛯ᖜᗈ䛔㛵ಀ⪅䛷᳨ウ䛧䚸ྜព䜢䛧䛶䛔䛟䛯䜑䛾㐣⛬䜢ᐃ 䛧䚸䛥䜙䛻䛿ྛ་⒪ᶵ㛵䛾⮬ⓗ䛺ྲྀ⤌䜔་⒪ᶵ㛵┦䛾༠ ㆟䛜ಁ㐍䛥䜜䚸ᆅᇦ་⒪య䜢ಠ▔䛧䛯ᙧ䛷ᐇ⌧䛧䛶䛔䛟䜒䛾 z ྛ་ ⒪ᶵ 㛵 䛿 䚸ᆅ ᇦ䛻 䛚 䛡 䜛 ⮬ 㝔 ෆ 䛾 ᗋᶵ ⬟ 䜢 䝕 䞊 䝍 䛻 䜒 䛸 䛵 䛔 䛶 ᐈ ほ ⓗ 䛻 ᢕ ᥱ䛧䚸 ⮬㝔 䛾ᑗ ᮶ീ 䜢 ᥥ䛟 䛣 䛸 䛜䛷 䛝䜛
᪥ᮏ་ᖌ䞉୰ᕝ㛗㈨ᩱ♫ಖ㞀ไᗘᨵ㠉ᅜẸ㆟䛻䛚䛡䜛 ỌⰋ୕ጤဨ䛾ពぢ 䛂᪥ᮏ䛿ᕷሙཎ⌮䛷䜒䛺䛟䚸ᅜ䛾ຊ䛜䛭䜜䜋䛹 ᙉ䛔䜟䛡䛷䛿䛺䛔䛷䛩䛛䜙䚸 䝕䞊䝍䛻ᇶ䛵䛟ไ ᚚ䛸䛔䛖䛣䛸䛜ᚲせ䛻䛺䜛 䛸ᛮ䛔䜎䛩䚹䛸䛣䜝 䛜䚸䛭䛾⫢ᚰ䛾䝕䞊䝍䛜䜋䛸䜣䛹䛺䛔䚹䞉䞉䞉䛭 䛾ไᚚᶵᵓ䛜䛺䛔䜎䜎᪥ᮏ䛾་⒪䛜స䜙䜜䛶 䛔䜛䛸䛔䛖䛸䛣䜝䛻୍␒䛾ၥ㢟䛜䛒䜛䛾䛷䛿䛺 䛔䛛䛸ᛮ䛔䜎䛩䚹䞉䞉䞉 䛭䛖䛧䛯ไᚚᶵᵓ䜢䛹䛖䛴 䛟䜛䛛 䛸䛔䛖どⅬ䛛䜙䛾㆟ㄽ䜢㠀䛧䛶䛔䛯䛰 䛝䛯䛔䛸ᛮ䛔䜎䛩䚹䛃
ᆅᇦ་⒪ᵓ䛻䛚䛡䜛 ㄪᰝ᥎ィ䛾⪃䛘᪉
•୍୍ ᐃ䛾 ௬ ᐃ 䛾䜒䛸䛻ᝈ⪅ᩘ䛾᥎ィ䜢⾜䛳䛯
–ᶵ⬟ศ䜢㐍䜑䜛 –་⒪༊ศ䠍䛾70䠂䛿ධ㝔௨እ䛷ᑐᛂ –⒪㣴ᗋཷ⒪⋡䛾㒔㐨ᗓ┴᱁ᕪ䜢⦰ᑠ •ୖグ௬ᐃ䛾䜒䛸䛷䛂ᝈ⪅ᩘ䛃䜢᥎ィ
–៏ᛶᮇ䠙⒪㣴ᗋධ㝔䠇ㆤタ䠇ᅾᏯ –ୖグ䛾㓄ศ䛾ᅾ䜚᪉䛿ྛᆅᇦ䛾≧ἣ䛻䜘䜛 –៏ᛶᮇ䛾≧ែീ䛻㛵䛧䛶䛿䚸ᚋ⢭ᰝ䛜ᚲせ
ᗋᩘ᥎ィ䛻ᙜ䛯䛳䛶䛾せồ㡯
•യ䛤䛸䛻ᶵ⬟ูᗋᩘ䜢ồ䜑䜛
•യᵓ㐀䛾ᆅᇦᕪ䜢຺䛩䜛
•യ䛤䛸䞉ᗋᶵ⬟䛤䛸䛾ᝈ⪅⛣ື䛾≧ἣ䜢 ຺䛩䜛
•ୖグ䜢㋃䜎䛘䛯䛖䛘䛷
2025ᖺ䚸
2040ᖺ䛾ྛᵓ ༊ᇦ䠄
default䛿ḟ་⒪ᅪ䠅䛾ᶵ⬟ูᗋ ᩘ䜢ồ䜑䜛
C1䚸C2䚸C3タᐃ䛾ᇶᮏ䛸䛺䛳䛯་⒪㈨※ᢞධ㔞䠄୰ኸ್䠅䛾᥎⛣䛾ศᯒ⤖ᯝ 㸦ධ㝔ᝈ⪅ᩘୖࡢ'3&ࡢ᥎⛣ࢆ㔜ࡡྜࢃࡏࡓࡶࡢ㸧 6000 5000 4000 3000 2000 1000 0 (ධ㝔ᚋ⤒㐣᪥ᩘ)་⒪㈨※ᢞධ㔞䠄Ⅼ䠅 (ධ㝔ᚋ⤒㐣᪥ᩘ) 2
ᛴᛶᮇ䛸ᅇᮇ䛾༊ศⅬ䠄ኚ᭤Ⅼ䠅 ᅇᮇ䛸៏ᛶᮇ䛾༊ศⅬ䠄䝥䝷䝖䞊䠅
C1 C2
㧗ᗘᛴᛶᮇ ᛴᛶᮇ ᅇᮇ C3 ៏ᛶᮇ
䠄䠍䠅1᪥ᙜ䛯䜚ฟ᮶㧗⟬䝁䝇䝖䛾 ศᕸ䠄ධ㝔1᪥䛤䛸䛻ィ⟬䠗 ධ㝔ᮇ㛫䛾ᖹᆒ䛷䛿䛺䛔䠅 C1 C2 C3 day
䠄䠎䠅1᪥ᙜ䛯䜚ฟ᮶㧗⟬䝁䝇䝖 䛾ධ㝔ᚋ᪥ᩘ䛤䛸䛾ศᕸ DPC䛤䛸䚸ᝈ⪅䛤䛸䛻C1௨ୖ䜢㧗ᗘᛴᛶᮇ㒊ศ䚸 C2௨ୖC1ᮍ‶䜢ᛴᛶᮇ㒊ศ䚸 C3௨ୖ䚸C2ᮍ‶䜢ᅇᮇ㒊ศ C3ᮍ‶䜢៏ᛶᮇ㒊ศ䛻ศゎ䛧䚸㞟ィ
㧗ᗘᛴᛶᮇ ᛴᛶᮇ ᅇᮇ ៏ᛶᮇ
ᶵ⬟ูᗋ᥎ィ䛾ලయⓗᡭ㡰
DPC䛤䛸䛻㞟ィ 䠄䠏䠅ᗋ✌ാ⋡䛷䜚ᡠ䛧䚸ᗋᩘ䛸䛩䜛ヲ⣽䛿䛂㝔䛃ㄅ䠄་Ꮫ᭩㝔䠅䜢 ཧ↷䛧䛶䛟䛰䛥䛔230
ᑗ᮶᥎ィ䛾᪉ἲ
DPCู䞉ᗋᶵ⬟ู䞉ᛶᖺ㱋㝵⣭ู䞉ᝈ⪅ఫᡤᆅู䞉་⒪ᶵ㛵ఫᡤᆅูཷ⒪⋡ 䠄1᪥䛒䛯䜚䚸⏕ಖ䞉ປ⅏䞉⮬㈺㈐➼䛾⿵ṇᚋ䠅 㽢 ᥎ィᖺᗘ䛾ᝈ⪅ఫᡤᆅู䞉ᛶᖺ㱋㝵⣭ูேཱྀ䠙
᥎ィᖺᗘ䛾DPCู䞉ᗋᶵ⬟ู䞉ᛶᖺ㱋㝵⣭ู䞉ᝈ⪅ఫᡤᆅู䞉་⒪ᶵ㛵ఫᡤᆅูᝈ⪅ᩘ 䠄1᪥䛒䛯䜚䠅 㾂 ᗋ⏝⋡䠄㧗ᗘᛴᛶᮇ䠙75%䚸ᛴᛶᮇ䠙78%䚸ᅇᮇ䠙90%䚸៏ᛶᮇ䠙92%䠅 䠙
᥎ィᖺᗘ䛾DPCู䞉ᗋᶵ⬟ู䞉ᛶᖺ㱋㝵⣭ู䞉ᝈ⪅ఫᡤᆅู䞉་⒪ᶵ㛵ఫᡤᆅูᗋᩘ 䠄1᪥䛒䛯䜚䠅 ᝈ⪅ఫᡤᆅู ᗋᩘ་⒪ᶵ㛵ఫᡤᆅู ᗋᩘேཱྀᵓᡂ䞉യᵓ㐀䞉ཷ⒪ືྥ䛾 ᆅᇦᕪ䜢ᫎ䛥䛫䛯ᗋᩘ᥎ィ
ᆅᇦ་⒪ᵓ䛾᳨ウᡭ㡰
䝕䞊䝍䝤䝑䜽➼䜢ά⏝䛧䛯 ⮬ᆅᇦ䛾་⒪䛾⌧≧ᢕᥱཬ䜃 ᑗ᮶䛾യᵓ㐀䛾ண ᥎ィ䝒䞊䝹䛻䜘䜛 ᶵ⬟ูᗋᩘ䛾᳨ウ ⮬ᆅᇦ䛻䛚䛡䜛2025ᖺ䛾 ་⒪ᥦ౪యไ䛾䛒䜚᪉䛾᳨ウ ᆅᇦ་⒪ᵓ䛾⟇ᐃ᥎ィ䝒䞊䝹䛾 䝻䝆䝑䜽䛾⌮ゎ ➨7ḟ་⒪ィ⏬ ㆤಖ㝤ᴗィ⏬ 䠄ᆅᇦໟᣓ䜿䜰ィ⏬䠅
ᖹᡂ30ᖺ
ᆅᇦ་⒪ᵓ ᆅᇦ་⒪ィ⏬䛸ㆤ㛵㐃ィ⏬
ཌ⏕ປാ┬㓄ᕸ䝒䞊䝹䛻䜘䜛᥎ィ⤖ᯝ
ฟ䠖⇃ᮏ┴㈨ᩱ䠖➨䠑ᅇ་⒪䞉ㆤሗ䛾ά⏝䛻䜘䜛ᨵ㠉䛾᥎㐍䛻㛵䛩䜛ᑓ㛛ㄪᰝᆅᇦ་⒪ᵓ䛻䛚䛡䜛᥎ィ⤖ᯝ䛜ព䛩䜛䛣䛸
6ᗋ䛛䜙8ᗋ䛾 ୍⯡ᗋ䛜వ䛳䛶䛔䜛་⒪༊ศ䠍┦ᙜ䛾㧗㱋ᝈ⪅䛿ቑຍ䛩䜛 24ᗋ┦ᙜ ៏ᛶᮇ䠙⒪㣴ᗋ䠇ㆤ䠇ᅾᏯ ྛᆅᇦ䛷䛣䛾㓄ศ䜢⪃䛘䜛ᚲせ䛜䛒䜛 せデ᩿⩌䠄䠩䠠䠟䠅䛾ศ㢮 せデ᩿⩌䠄MDC䠅MDC᪥ᮏㄒ⾲グ 01⚄⤒⣔ᝈ 02║⛉⣔ᝈ 03⪥㰯ဗႃ⛉⣔ᝈ 04྾ჾᝈ 05ᚠ⎔ჾ⣔ᝈ 06ᾘჾ⣔ᝈ䚸⫢⮚䞉⫹㐨䞉⮅⮚ᝈ 07➽㦵᱁⣔ᝈ 08⓶䞉⓶ୗ⤌⧊䛾ᝈ 09ஙᡣ䛾ᝈ 10ෆศἪ䞉ᰤ㣴䞉௦ㅰ䛻㛵䛩䜛ᝈ 11⭈䞉ᒀ㊰⣔ᝈཬ䜃⏨ᛶ⏕Ṫჾ⣔ᝈ 12ዪᛶ⏕Ṫჾ⣔ᝈཬ䜃⏘〟ᮇᝈ䞉␗ᖖዷፎศፔ 13⾑ᾮ䞉㐀⾑ჾ䞉ච⮚ჾ䛾ᝈ 14᪂⏕ඣᝈ䚸ඛኳᛶወᙧ 15ᑠඣᝈ 16እയ䞉⇕യ䞉୰ẘ 17⢭⚄ᝈ 18䛭䛾䛾ᝈ
DPC 䝕䞊䝍 •Ḟ䛡䛶䛔䜛ᶵ⬟䛿䛺䛔䛛䠄䠙䛩䜉䛶䛾Ⰽ䛿ฟ䛶䛔䜛䛛䠅 ¾Ḟ䛡䛶䛔䜛ᶵ⬟䛜䛒䜛ሙྜ䚸䛭䜜䛿䛾㝔䛜⿵䛳䛶䛔䜛䛾䛛䠛 ¾⿵䛳䛶䛔䛺䛔ሙྜ䚸䛭䜜䛜Ḟ䛡䛶䛔䜛䛣䛸䛷ఱ䛛㒔ྜ䛜⏕䛨䛶䛔䛺䛔䛛䠛 •ྛ㝔䛾ᶵ⬟䛿ᖺᗘ㛫䛷Ᏻᐃ䛧䛶䛔䜛䛛䠛 ¾Ᏻᐃ䛧䛶䛔䛺䛔ሙྜ䚸䛭䜜䛿䛺䛬䛛䠛䜎䛯䚸㒔ྜ䛿⏕䛨䛶䛔䛺䛔䛛䠛 •ᅪᇦෆ䛾ྛ㝔䛾ᶵ⬟ศ䛿䛹䛖䛛䠛
232
NDB 䝕䞊䝍 •ᙜヱᶵ⬟䛻䛴䛔䛶䚸ྛ་⒪ᅪ䠄ᵓ༊ᇦ䠅䛾⮬ᕫ⤖⋡䛿䛹䛖䛛䠛 ¾ᵓᅪᇦ䛿䛣䜜䛷䛔䛔䛾䛛䠛 ¾⮬ᕫ⤖䛧䛶䛔䛺䛔ሙྜ䚸䛭䜜䛷ఱ䛛㒔ྜ䛿䛺䛔䛛䠛 ¾㒔ྜ䛜䛒䜛ሙྜ䚸䛭䜜䜢䛹䛖ゎỴ䛩䜜䜀䜘䛔䛾䛛䠛 9⮬ᕫ⤖⋡䜢㧗䜑䜛䛾䛛䠛䛒䜛䛔䛿་⒪ᅪ䛸㐃ᦠ䛩䜛䛾䛛䠛
ᝈ⪅ᒃఫ ་⒪ᅪᲬ䛾Ⰽ䛿タᡤᅾᆅ ་⒪ᅪ䜢⾲䛩
ᖺ㱋 ㄪᩚᶆ‽ࣞࢭࣉࢺฟ⌧ẚ
(SCR)ࡢ᳨ウ
ൌσᖺ㱋㝵⣭ู䝺䝉䝥䝖ᐇᩘ σᖺ㱋㝵⣭ู䝺䝉䝥䝖ᮇᚅᩘൈͳͲͲǤͲ ൌσᖺ㱋㝵⣭ู䝺䝉䝥䝖ᩘൈͳͲͲǤͲ σᖺ㱋㝵⣭ูேཱྀൈᅜ䛾ᖺ㱋㝵⣭ู䝺䝉䝥䝖ฟ⌧⋡ •ᖺ㱋㝵⣭䛿ཎ๎䠑ᡯ้䜏䛷ィ⟬ •100.0䜢ᅜᖹᆒ䛸䛧䛶䛔䜛 SCR: Standardized Claim RatioSCR 䛾᳨ウ
•ᛶᖺ㱋䜢⿵ṇ䛧䛯䛸䛝ᅜ䜘䜚䜒ከ䛟ฟ䛶䛔䜛ᶵ⬟䞉Ḟ䛡䛶䛔䜛ᶵ⬟䛿䛺䛔䛛䠛 ¾䛭䛾䜘䛖䛺ᶵ⬟䛜䛒䜛䛣䛸䛷ఱ䛛㒔ྜ䛿䛺䛔䛛䠛ேཱྀ᥎⛣䛾᳨ウ
䛣䛾ᚋᮇ㧗㱋⪅䛾 ┳ㆤ䞉ㆤ䜢ᢸ䛖䛾 䛿䛣䛾ୡ௦ 䛣䛾┳ㆤ䞉ㆤ䜢ᢸ䛖 ୡ௦䛿2010ᖺ䛻ᆅᇦ 䛻䛔䜛Ꮚ౪䛯䛱 ᙼ䜙䛜ᆅᇦ䛻ṧ䛳䛶┳ㆤ䞉ㆤ䜢ᢸ䛖⫋䛻䛴䛔䛶 䛟䜜䜛䛯䜑䛻䛛䜙ఱ䜢‽ഛ䛩䜉䛝䛺䛾䛛䠛യูධ㝔ᝈ⪅ᩘ䛾᥎⛣
䛣䛖䛧䛯⫵⅖䞉㦵ᢡᝈ⪅䛾 ┦ᙜᩘ䛿䛩䛷䛻せㆤ ≧ែ䛻䛒䜛㧗㱋⪅་⒪ㆤ䛾୧ ⌧ሙ䛷⥲ྜⓗ䛻 ண㜵ᑐ⟇䜢㐍䜑䜛 䛣䛸䛜ᚲせ ᑗ᮶䚸ᆅᇦ䛷ศፔ䛜䛷䛝䜛タ䜢 䛹䛾䜘䛖䛻☜ಖ䛩䜛䛾䛛䠛
㝔䛾ධ㏥㝔䛾≧ἣ䠄ᗋᶵ⬟ሗ࿌䠅
•ྛ㝔䛾䛯䜛ᶵ⬟䛿ఱ䛛䠛㈨ᩱ䠖▼ᕝBග୍་⒪ᶵ㛵䛾ᗋ༊ศ䜔ேဨ㓄⨨➼䛻㛵䛩䜛◊✲
䠄㻴㻞㻤㻙་⒪㻙ᣦᐃ㻙㻜㻞㻥䠅ᖹᡂ㻞㻤ᖺᗘ◊✲ሗ࿌᭩䛛䜙 䝕䞊䝍䞉᪉ἲ➼䠖 •ᖹᡂ27ᖺᗘ⚟ᒸ┴ศ䛾ᗋᶵ⬟ሗ࿌䝕䞊䝍䜢⏝ •ධᲷ๓䛾ሙᡤ䚸㏥Ჷᚋ䛾ሙᡤ䛻䛴䛔䛶䚸 㝔ู䛻䚸ධᲷᝈ⪅ᩘ/㏥Ჷᝈ⪅ᩘ䛻༨䜑䜛ྜ(%)䜢ィ⟬ •䜽䝷䝇䝍䞊ศᯒ(㠀䝴䞊䜽䝸䝑䝗㊥㞳ἲ)䛻䜘䜚䚸䠐䛴䛻༊ศ ⤖ᯝ䠖 •᭱⤊䜽䝷䝇䝍୰ᚰ –䜽䝷䝇䝍䠍䠖ᐙᗞ(68.7%)→ ᐙᗞ(69.0%)㧗㧗ᗘᛴᛶᮇ䞉ᛴᛶᮇ䛜ΰᅾ –䜽䝷䝇䝍䠎䠖㝔(72.4%)→ ⤊(Ṛஸ㏥㝔➼)(65.9%)៏ᛶᮇ –䜽䝷䝇䝍䠏䠖㝔(46.9%) / 㝔ෆ(25.9%) / ᐙᗞ(18.7%) → ᐙᗞ(29.5%) / 㝔ෆ(19.9%) / 㝔(19.0%) / ⤊(17.1%) ᛴᛶᮇ䞉ᅇᮇ䛜ΰᅾ –䜽䝷䝇䝍䠐䠖ᐙᗞ/㝔/ㆤ⚟♴タ(⣙30%䛪䛴) →ㆤ⪁ே⚟♴タ(29.5%) / ⤊(30.1%) ᛴᛶᮇ䞉ᅇᮇ䞉៏ᛶᮇ䛜ΰᅾ 23ධ㏥㝔⤒㊰ู䛾ᝈ⪅ᵓᡂ䛛䜙䚸 㝔䛾ᣢ䛴་⒪ᶵ⬟䛾⤌䜏ྜ䜟䛫䜢᥎ 䛩䜛䛣 䛸䛜ྍ⬟䛷䛿䛺䛔䛛
䛔䛟䛴䛛䛾䝫䜲䞁䝖䠄䠍䠅
•㧗ᗘᛴᛶᮇ䛸ᛴᛶᮇ䛸䜢᫂☜䛻ศ㞳䛩䜛䛣䛸䛿 㞴䛧䛔
–ᩆᛴ䚸⬻⾑⟶㞀ᐖ䚸ᛴᛶᚰ➽᱾ሰ䚸䛜䜣䛺䛹㧗ᗘ ᛴᛶᮇ䜢ᚲせ䛸䛩䜛ែ䛻䛴䛔䛶䚸ලయⓗ䛺ᶵ⬟ศ 䛸㐃ᦠ䜢⪃䛘䜛䛣䛸䛷Ⰻ䛔䛾䛷䛿䛺䛔䛛
•ᅇᮇ䛿ளᛴᛶᮇ䛾ᴫᛕ䜒ྵ䜑䜛䜒䛾䛸⪃䛘䜛 䛸䚸
13䠖
1䚸
15䠖
1䛾㝔⩌䛜⾜䛳䛶䛔䜛ෆ⛉ⓗデ ⒪䜒䛂ᅇᮇ䛃䛾ᴫᛕ䛻ධ䜛
–ୖグ䛾䜘䛖䛺㝔䛜ᩆᛴ䜔ᅾᏯ䜿䜰ᨭ䛻ᑐᛂ䛷䛝 䜛䛛ྰ䛛䛺䛹䜢㍈䛸䛧䛶䛂ᆅᇦໟᣓ䜿䜰ᗋ䛃䜔䛂ᅾ Ꮿ⒪㣴ᨭ㝔䛃䛻䛺䜛
234
䛔䛟䛴䛛䛾䝫䜲䞁䝖䠄䠎䠅
•៏ᛶᮇ䛿⒪㣴ᗋ䠇ㆤ䝃䞊䝡䝇䠇ᅾᏯ䜢 ྜ䜟䛫䛯䜒䛾
–ୖグ䛾䝃䞊䝡䝇䛾㓄ศ䛿ᆅᇦ䛾≧ἣ䛻䜘䛳䛶␗ 䛺䜛 •デ⒪ᡤ䛾⥔ᣢ䛜㞴䛧䛟䛺䛳䛶䛔䜛䛸䛣䜝䛷䛿䚸ᅾᏯ་ ⒪䛭䛾䜒䛾䛜ᡂ❧䛧䛻䛟䛟䛺䛳䛶䛔䜛
•⚟ᒸ⣒ᓥ་⒪ᅪ䛾䜘䛖䛻ேཱྀ䛜ᚋ䜒ቑຍ䛩䜛䛸䛣䜝 䛷䛿䚸እ᮶㟂せ䜒ቑຍ䛩䜛
→ゼၥデ⒪䛾వຊ䛿䛒䜛 䛾䛛䠛
•䛔䛪䜜䛻䛧䛶䜒䛒䜛⛬ᗘ㞟䜎䛳䛶ఫ䜣䛷䜒䜙䛖ఫᏯᨻ ⟇䛸䛾㐃ື䛜ᚲせ䛷䛿䛺䛔䛛
–་⒪䛸ㆤ䛸䜢㐃⤖䛧䛯䝕䞊䝍䛾‽ഛィ⏬䛾䝣䝺䞊䝮䝽䞊䜽
බⓗ་⒪ᶵ㛵➼2025䝥䝷䞁䛾䝣䝺䞊䝮䝽䞊䜽䜢䛳䛶 ⮬タ䛾ᑗ᮶ീ䜢᳨ウ䛩䜛䛣䛸䛜᭷⏝ィ⏬䛾䝣䝺䞊䝮䝽䞊䜽
ᗋ✌ാ⋡䛾≧ἣ䛿䠛 •デ⒪⛉ู •ᖺ㱋ู •ୖグ䜢⣔ิ䛷ศᯒ ⮬タ䛾ᝈ⪅䛾ධ㏥㝔䛾≧ἣ䛿䠛 •⣔ิ䛷䜒᳨ウ䛩䜛 DPCබ㛤䝕䞊䝍䛾ศᯒ •MDCู䛾ධ㝔ᝈ⪅䛾≧ἣ䠄䝅䜵䜰䛺䛹䠅 •ᩆᛴvs 䛜䜣 •ୖグ䛾⣔ิ AJAPA䛾᥎ィ⤖ᯝ䛾ศᯒ •デ⒪⛉ู㟂せ䛾ᑗ᮶ືྥ䛿䠛 •䛣䜜䜎䛷䛾⣔ิኚ䛿䠛 ാ䛝᪉ᨵ㠉䜈䛾ᑐᛂ䛿䠛ᨵᐃ䛾ᇶᮏⓗどⅬ䠄䠍䠅
㈨ᩱ䠖ཌ⏕ປാ┬ᛴᛶᮇ䚸ᅇᮇ䚸៏ᛶᮇ䛻䛛䛛䜟䜙䛪䚸䛩䜉䛶䛾㝔䛜 ᆅᇦໟᣓ䜿䜰䜈䛾ᑐᛂ䜢ồ䜑䜙䜜䜛䜘䛖䛻䛺䜛䚹
→䝫䜲䞁䝖䛿ᆅᇦ䛻䛚䛡䜛⮬タ䛾ᯝ䛯䛩䜉䛝ᙺ䛾⌮ゎ
→ேཱྀᵓ㐀䛾ኚ䛻క䛔䚸ᆅᇦ䛾䝙䞊䝈䛿ኚ䜟䛳䛶䛔䛟
᪂䛧䛔ᆅᇦໟᣓ䜿䜰䛾ᴫᛕ
ฟ䠖୕⳻UFJ䝸䝃䞊䝏&䝁䞁䝃䝹䝔䜱䞁䜾<ᆅᇦໟᣓ䜿䜰◊✲>2016ᨵᐃ䛾ᇶᮏⓗどⅬ䠄䠎䠅
㈨ᩱ䠖ཌ⏕ປാ┬ᨵᐃ䛾ᇶᮏⓗどⅬ䠄䠏䠅
㈨ᩱ䠖ཌ⏕ປാ┬ᨵᐃ䛾ᇶᮏⓗどⅬ䠄䠐䠅 ᚋ䚸་⒪䛾㉁ホ౯䜈䛾✚ᴟⓗ䛺ྲྀ䜚⤌䜏䛜ồ䜑䜙䜜䜛䜘䛖䛻䛺䜛 ᛴᛶᮇ㝔䛿䛭䛾‽ഛ䛜䛷䛝䛶䛔䜛䛰䜝䛖䛛䠛
㈨ᩱ䠖ཌ⏕ປാ┬236
䜰䜴䝖䜹䝮ホ౯ 䛜ᙉ䛥䜜䛯
ᨵᐃ䛾ᇶᮏⓗどⅬ䠄䠑䠅
㈨ᩱ䠖ཌ⏕ປാ┬་⒪⫋䛾ᖺ㱋ูศᕸ 䠄㝔䞉᭷ᗋデ⒪ᡤ䠅
-40-30-20-100102030405060⏨ᛶዪᛶ 60- 55-59 50-54 45-49 40-44 30-34 25-29 20-24 403020100 0 10 20 30 40
35-39 -20020406080100120
⏨ᛶ┳⏨ዪᛶ┳ዪ 60- 55-59 50-54 45-49 40-44 30-34 25-29 20-2435-39 20 0 0 20 40 60 80 100
20ᮍ‶ -80-60-40-20020406080100
⏨ᛶዪᛶ 60- 55-59 50-54 45-49 40-44 30-34 25-29 20-24 80604020 0 0 20 40 60 80 35-39 -70-3503570105140175210245280315350
⏨ᛶ┳⏨ዪᛶ┳ዪ 60- 55-59 50-54 45-49 40-44 30-34 25-29 20-2435-39 70 35 0 0 35 70 105 140 175 210 245 280
20ᮍ‶
་ᖌ ་ᖌ
┳ㆤᖌ ┳ㆤᖌ
䛣䛾䠎䛴䛾 ᆅᇦ䛿ఱ䛜 㐪䛖䛾䛛䠛
䛂ാ䛝᪉ᨵ㠉䛃䛸་ᖌ
•䛂ാ䛝᪉ᨵ㠉ᐇ⾜ィ⏬䛃䠄ᖹᡂ
29ᖺ
3᭶
28᪥䠅
–㛫እປാ䛾ୖ㝈䜢ཎ๎᭶
45㛫䚸ປ䛜ྜព䛧 䛯ሙྜ䛿᭶ᖹᆒ
80㛫䠄⦾ᛁᮇ䛿᭶
100㛫ᮍ‶䠅
–ୖ㝈䜢㉸䛘䛯ሙྜ䛿⨩๎
–་ᖌ䛿
2ᖺ㛫⊰ணᑐ㇟䛾⫋✀
•㝔་ᖌ䛾㛗㛫ປാၥ㢟
–㐌ᙜ䛯䜚ປാ㛫䛿
4䛜䛂
60㛫௨ୖ䛃䚹⣙༙ ᩘ䛜ᖺఇྲྀᚓ᪥ᩘ䛂
3᪥௨ୗ䛃
–ᛂྊ⩏ົ䛸䛾㛵ಀ
•་ᖌἲ
19᮲䛂デ⒪䛻ᚑ䛩䜛་ᖌ䛿䚸デᐹ⒪䛾ồ䜑䛜 䛒䛳䛯ሙྜ䛻䛿䚸ṇᙜ䛺⏤䛜䛺䛡䜜䜀䚸䛣䜜䜢ᣄ䜣䛷䛿 䛺䜙䛺䛔䛃
䛂ാ䛝䛛䛯䝡䝆䝵䞁䛃䛾䜻䞊䝯䝑䝉䞊䝆
•䝍䝇䜽䝅䜵䜰䝸䞁䜾䠋䝍䝇䜽䝅䝣䝔䜱䞁䜾䛻䜘䜛 ᮏ᮶ᴗົ䜈䛾㞟୰䛸㛗㛫ປാ䛾ᅇ㑊
–䝍䝇䜽䞉䝅䝣䝖䜢㐍䜑䛯ሙྜ䚸50௦௨ୗ䛾ᖖ ົ་䛻䛴䛔䛶䚸་⒪ົ䠄デ᩿᭩➼䛾ᩥ᭩సᡂ䚸 ண⣙ᴗົ䠅䚸་⒪グ㘓䠄㟁Ꮚ䜹䝹䝔䛾グ㘓䠅䚸➼䛻 せ䛩䜛ປാ㛫䛾䛖䛱⣙20䠂ᙅ䠄⣙47ศ䠅㍍ῶྍ ⬟ –་⒪䞉ㆤ䛾₯ᅾ䝇䜻䝹䛾䝅䜵䜰䝸䞁䜾ಁ㐍㝔⤒Ⴀ䛻䛸䛳䛶䛣䜜䜎䛷௨ୖ䛻 ሗศᯒ⬟ຊ䛜㔜せ䛻䛺䜛
ᆅᇦ་⒪ᵓᆅᇦ་⒪ィ⏬ㆤಖ㝤㛵㐃ィ⏬ デ⒪ሗ㓘䞉ㆤሗ㓘䛻 䜘䜛ㄏᑟᮏ᪥䛾ㅮ₇䛾ෆᐜ
1䠊ᨵ㠉䛾⫼ᬒ
2䠊䝕䞊䝍䜢䛹䛾䜘䛖䛻ゎ㔘䛩䜛䛾䛛䠛
3䠊䝡䝑䜾䝕䞊䝍ゎᯒ䛛䜙ᚓ䜙䜜䜛▱ぢ
4䠊䜎䛸䜑
ᆅᇦ䛾་⒪䛾⌧≧䜢ศᯒ䛧䚸 䛒䜟䛫䛶ྛ㝔䛾ᙺ䜢☜ㄆ䛩䜛 䞉 DPC බ㛤䝕䞊䝍 䞉 ᆅᇦ་⒪ᵓබ㛤䝕䞊䝍 䞉 ᗋᶵ⬟ሗ࿌
238
᭷᫂་⒪ᅪ䛻䛚䛡䜛DPCᑐ㇟㝔䛾デ⒪ᐇ⦼
䠄ᖹᡂ
23䡚
27ᖺᗘཌ⏕ປാ┬䝕䞊䝍䠖
MDCูᝈ⪅䠅
᭷᫂་⒪ᅪ䛻䛚䛡䜛DPCᑐ㇟㝔䛾デ⒪ᐇ⦼䠄ᖹᡂ
23䡚
26ᖺᗘཌ⏕ປാ┬䝕䞊䝍䠖
MDCูᩆᛴᦙ㏦ᝈ⪅䠅
⚟ᒸ┴䛻䛚䛡䜛ᩆᛴ་⒪䛾⮬ᕫ⤖⋡䞉ḟᩆᛴ䠄ᖹᡂ
25ᖺᗘ
NDB䝕䞊䝍䠖 ධ㝔䠅
ฟ䠖་⒪ィ⏬సᡂᨭ䝕䞊䝍䝤䝑䜽䠄ཌ⏕ປാ┬䞉2015䠅᭷᫂་⒪ᅪ䛻䛚䛡䜛DPCᑐ㇟㝔䛾デ⒪ᐇ⦼
䠄ᖹᡂ
23䡚
27ᖺᗘཌ⏕ປാ┬䝕䞊䝍䠖
MDCู䛜䜣ᝈ⪅䠅
᭷᫂་⒪ᅪ䛻䛚䛡䜛DPCᑐ㇟㝔䛾デ⒪ᐇ⦼
䠄ᖹᡂ
23䡚
27ᖺᗘཌ⏕ປാ┬䝕䞊䝍䠖
MDCู䛜䜣ᡭ⾡ᝈ⪅䠅
⚟ᒸ┴䛻䛚䛡䜛䛜䜣་⒪䛾⮬ᕫ⤖⋡䠄ᖹᡂ
25ᖺᗘ
NDB䝕䞊䝍䠖യᝏᛶ⭘⒆䞉ධ㝔䠅
ฟ䠖་⒪ィ⏬సᡂᨭ䝕䞊䝍䝤䝑䜽䠄ཌ⏕ປാ┬䞉2015䠅യู䛾ศᯒ䠄ᡭ⾡䛒䜚䠅 യู䛾ศᯒ䠄ᡭ⾡䛺䛧䠅
240
᭷᫂་⒪ᅪ䛾㝔䛾ධ㏥㝔䛾≧ἣ䠄ᗋᶵ⬟ሗ࿌䠅
•ྛ㝔䛾䛯䜛ᶵ⬟䛿ఱ䛛䠛㈨ᩱ䠖▼ᕝBග୍᭷᫂་⒪ᅪ䛾㝔䛾ධ㏥㝔䛾≧ἣ䠄ᗋᶵ⬟ሗ࿌䠅
•ྛ㝔䛾䛯䜛ᶵ⬟䛿ఱ䛛䠛㈨ᩱ䠖▼ᕝBග୍ ḟ་⒪ᅪู䞉ᕷ⏫ᮧู䜒DLྍ⬟᭷᫂་⒪ᅪ䛻䛚䛡䜛SCR䛾≧ἣ䠄እ᮶䞉ධ㝔୍⯡䠅 ฟ䠖་⒪ィ⏬సᡂᨭ䝕䞊䝍䝤䝑䜽䠄ཌ⏕ປാ┬䞉2015䠅
㻠㻜㻜㻤 ୰㡯┠ᣦᶆྡ༊ศ᭷᫂ እ᮶デ⒪యไึデᩱධ㝔㻝㻝㻝㻚㻠 እ᮶デ⒪యไึデᩱእ᮶㻝㻜㻜㻚㻢 እ᮶デ⒪యไึデᩱ㼋㛫እຍ⟬ධ㝔㻥㻡㻚㻜 እ᮶デ⒪యไึデᩱ㼋㛫እຍ⟬እ᮶㻤㻜㻚㻣 እ᮶デ⒪యไእ᮶デ⒪ᩱእ᮶㻡㻤㻚㻜 እ᮶デ⒪యไእ᮶デ⒪ᩱ㼋㛫እຍ⟬እ᮶㻠㻣㻚㻥 እ᮶デ⒪యไデᩱእ᮶㻝㻝㻞㻚㻜 እ᮶デ⒪యไデᩱ㼋㛫እຍ⟬እ᮶㻢㻣㻚㻠 እ᮶デ⒪యไデᩱ䞉እ᮶デᐹᩱ䠄ᥖ䠅እ᮶㻝㻜㻟㻚㻝 እ᮶デ⒪యไデᩱ䞉እ᮶デ⒪ᩱ㼋㛫እ䠄ᥖ䠅እ᮶㻝㻜㻤㻚㻡 ධ㝔デ⒪యไ୍⯡ධ㝔ᇶᮏᩱධ㝔㻝㻜㻠㻚㻠 ධ㝔デ⒪యไ୍⯡ධ㝔ᇶᮏᩱ䠄䠓䠈䠍䠌ᑐ䠍䠅䠄ᥖ䠅ධ㝔㻤㻞㻚㻞 ධ㝔デ⒪యไ୍⯡ධ㝔ᇶᮏᩱ䠄䠍䠏䠈䠍䠑ᑐ䠍䠅䠄ᥖ䠅ධ㝔㻟㻢㻤㻚㻤 ධ㝔デ⒪యไ㻰㻼㻯ධ㝔䠄ᥖ䠅ධ㝔㻢㻥㻚㻢 ධ㝔デ⒪యไ⒪㣴Ჷධ㝔ᇶᮏᩱධ㝔㻝㻟㻜㻚㻤 ධ㝔デ⒪యไ⢭⚄Ჷධ㝔ᇶᮏᩱධ㝔㻞㻣㻢㻚㻝 ධ㝔デ⒪యไ᭷ᗋデ⒪ᡤධ㝔ᇶᮏᩱධ㝔㻝㻥㻝㻚㻟 ධ㝔デ⒪యไ᭷ᗋデ⒪ᡤ⒪㣴ᗋධ㝔ᇶᮏᩱධ㝔㻝㻣㻜㻚㻠 ≉ᐃධ㝔ᩱ≉ṦᝈᲷධ㝔ᩱ➼ධ㝔㻝㻟㻠㻚㻝 ≉ᐃධ㝔ᩱᑠඣධ㝔་⒪⟶⌮ᩱධ㝔㻣㻣㻚㻞 ≉ᐃධ㝔ᩱᅇᮇ䝸䝝䝡䝸䝔䞊䝅䝵䞁Ჷධ㝔ᩱධ㝔㻝㻣㻞㻚㻠 ≉ᐃධ㝔ᩱ⦆䜿䜰Ჷධ㝔ᩱධ㝔㻞㻞㻟㻚㻠 ≉ᐃධ㝔ᩱ⢭⚄⛉ᛴᛶᮇ⒪Ჷධ㝔ᩱධ㝔㻝㻤㻣㻚㻜 ≉ᐃධ㝔ᩱ⢭⚄⒪㣴Ჷධ㝔ᩱධ㝔㻞㻠㻡㻚㻡 ≉ᐃධ㝔ᩱㄆ▱⒪Ჷධ㝔ᩱධ㝔㻝㻢㻤㻚㻞 ≉ᐃධ㝔ᩱ䝝䜲䜿䜰䝴䝙䝑䝖ධ㝔་⒪⟶⌮ᩱ䠄㻴㻯㼁䠅ධ㝔㻟㻞㻚㻡 ≉ᐃධ㝔ᩱளᛴᛶᮇධ㝔་⒪⟶⌮ᩱධ㝔㻝㻥㻥㻚㻤
•እ᮶ᶵ⬟䛿ᅜ୪䜏 •ᛴᛶᮇධ㝔䛾ᶵ⬟䛜㊊ •ᅇᮇ䞉៏ᛶᮇ䛾ධ㝔䛿㊊ •13䠖1䚸15䠖1䛾㝔ᶵ⬟䜢䛹䛾 䜘䛖䛻⪃䛘䚸䛹䛾䜘䛖䛻ᒎ㛤䛧 䛶䛔䛟䛾䛛䠛 •⌧ᅾ䛿㊊䛧䛶䛔䜛៏ᛶᮇ䛾 ධ㝔ᶵ⬟䛿ᚋ䛹䛖䛺䜛䛾 䛛䠛 •ᆅᇦ་⒪䛾ᇶ♏䛸䛺䜛デ⒪ᡤ 䛾እ᮶ᶵ⬟䜢䛹䛾䜘䛖䛻☜ಖ 䛧䛶䛔䛟䛾䛛䠛
᭷᫂་⒪ᅪ䛻䛚䛡䜛SCR䛾≧ἣ䠄ᅾᏯ䠅 ฟ䠖་⒪ィ⏬సᡂᨭ䝕䞊䝍䝤䝑䜽䠄ཌ⏕ປാ┬䞉2015䠅
•ᅾᏯ་⒪䛿䛒䜎䜚⾜䜟䜜䛶 䛔䛺䛔 •⌧Ⅼ䛷䛾ᥦ౪ྍ⬟ᛶ䛿䠛 •ᚋ៏ᛶᮇ䜈䛾ᑐᛂ䜢䛹䛾䜘 䛖䛻䛧䛶䛔䛟䛾䛛䠛ᅾᏯ䠛 ㆤ䠛⒪㣴䠛
㻠㻜㻜㻤 ୰㡯┠ᣦᶆྡ༊ศ᭷᫂ ᅾᏯ་⒪ᅾᏯ䝸䝝䝡䝸䝔䞊䝅䝵䞁䛾ᥦ౪እ᮶㻞㻟㻞㻚㻝 ᅾᏯ་⒪ デయ㻢㻞㻚㻝 ᅾᏯ་⒪⥭ᛴ デయ㻡㻤㻚㻟 ᅾᏯ་⒪ᅾᏯᨭእ᮶㻡㻤㻚㻟 ᅾᏯ་⒪ゼၥデ⒪䠄ྠ୍ᘓ≀䠅እ᮶㻣㻤㻚㻞 ᅾᏯ་⒪ゼၥデ⒪䠄≉ᐃタ䠅እ᮶㻟㻟㻚㻟 ᅾᏯ་⒪ゼၥデ⒪䠄ᒃᏯ䠅እ᮶㻢㻥㻚㻜 ᅾᏯ་⒪ゼၥ┳ㆤᣦ♧య㻣㻠㻚㻣 ᅾᏯ་⒪䝍䞊䝭䝘䝹䜿䜰ᥦ౪እ᮶㻞㻥㻚㻜 ᅾᏯ་⒪┳ྲྀ䜚ධ㝔㻟㻣㻚㻡 ᅾᏯ་⒪┳ྲྀ䜚እ᮶㻞㻡㻚㻤 ᅾᏯ་⒪┳ྲྀ䜚య㻞㻢㻚㻤 ᅾᏯᣦᑟ㝔䛜ᝈ⪅䛻ᑐ䛧䚸㏥㝔ᨭ䞉ㄪᩚ䜢ᐇධ㝔㻣㻢㻚㻤 ᅾᏯᣦᑟᝈᐙ䛻䛚䛡䜛ከ⫋✀䛷䛾䜹䞁䝣䜯䝺䞁䝇እ᮶㻝㻜㻞㻚㻣 ᅾᏯᣦᑟゼၥ⸆ᣦᑟ䛾ᐇእ᮶㻞㻤㻤㻚㻜 ᅾᏯᣦᑟᅾᏯ䛷ᐇ䛥䜜䛶䛔䜛ྛᣦᑟ⟶⌮య㻢㻥㻚㻢 ᅾᏯᨭධ㝔ᶵ㛵䛸䛾㏥㝔䜹䞁䝣䜯䝺䞁䝇㛤ദయ㻠㻣㻚㻝 ᅾᏯᨭ㝔ᚑ⪅䛜㏥㝔๓䛻ᝈ⪅Ꮿ䜢ゼၥ䛧ᣦᑟධ㝔㻝㻣㻞㻚㻢 ᅾᏯᨭධ㝔ᶵ㛵䛸䜿䜰䝬䝛䝆䝱䞊䛸䛾㐃ᦠධ㝔㻝㻜㻢㻚㻡 ᅾᏯయไ⒪㣴ᗋ䛻䛚䛡䜛ᛴᛶᮇ䜔ᅾᏯ䛛䜙䛾ᝈ⪅ཷධ㝔㻝㻜㻡㻚㻣 ᅾᏯయไᅾᏯ⒪㣴୰䛾ᝈ⪅䛾⥭ᛴධ㝔䜢ཷ䛡ධ䜜ධ㝔㻟㻜㻚㻥
ேཱྀ䛾ືྥ䛿䜘䜋䛹䛾䛣䛸䛜↓ 䛔㝈䜚䚸☜ᐇ䛺ᮍ᮶䛷䛒䜛 P. F 䝗䝷䝑䜹䞊䠄ୖ⏣ᝡ⏕䞉 ヂ䠅䠖 䛩䛷䛻㉳䛣䛳䛯ᮍ᮶䚸 ᮾி䠖䝎䜲䝲䝰䞁䝗♫䚸 1994 䠊 䛣䛾䝃䜲䝖䛛䜙 AJAPA䛚䜘䜃DPCศᯒ 䝒䞊䝹䛜DLྍ⬟
᭷᫂་⒪ᅪ䛾ேཱྀ᥎⛣
242
᭷᫂་⒪ᅪ䛾ேཱྀ᥎⛣䠄䝁䝩䞊䝖ู䠅 ᭷᫂་⒪ᅪ䛾ேཱྀ䝢䝷䝭䝑䝗䛾ኚ
᭷᫂་⒪ᅪ䛾യูᝈ⪅ᩘ䛾᥎ィ䠄እ᮶䠅 ฟ䠖ᖹᡂ25ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲⿵ຓ㔠䠄ཌ⏕ປാ⛉Ꮫ≉ู◊✲ᴗ䠅䞉ᚋ䛾་⒪㟂せ䜢㋃䜎䛘䛯་⒪ᶵ⬟䛾ศ䞉㐃ᦠ䜢ಁ䛩䛯 䜑䛾ᆅᇦ་⒪䝡䝆䝵䞁⟇ᐃ䛻ྥ䛡䛶ᢕᥱ䛩䜉䛝䝕䞊䝍䜔䛭䛾ά⏝᪉ἲ䛻㛵䛩䜛◊✲䠄H25-≉ู-ᣦᐃ-007䠅䠄◊✲௦⾲⪅䠖ᯇ⏣ဢ䠅᭷᫂་⒪ᅪ䛾യูᝈ⪅ᩘ䛾᥎ィ䠄ධ㝔䠅 ฟ䠖ᖹᡂ25ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲⿵ຓ㔠䠄ཌ⏕ປാ⛉Ꮫ≉ู◊✲ᴗ䠅䞉ᚋ䛾་⒪㟂せ䜢㋃䜎䛘䛯་⒪ᶵ⬟䛾ศ䞉㐃ᦠ䜢ಁ䛩䛯 䜑䛾ᆅᇦ་⒪䝡䝆䝵䞁⟇ᐃ䛻ྥ䛡䛶ᢕᥱ䛩䜉䛝䝕䞊䝍䜔䛭䛾ά⏝᪉ἲ䛻㛵䛩䜛◊✲䠄H25-≉ู-ᣦᐃ-007䠅䠄◊✲௦⾲⪅䠖ᯇ⏣ဢ䠅
ᑗ᮶䛿⌧ᅾ䛾≧ἣ䛾 ὶ䜜䛾ୖ䛻䛒䜛 䛂䛩䛷䛻㉳䛣䛳䛯ᮍ᮶䛃
᭷᫂་⒪ᅪ䛻䛚䛡䜛DPCᑐ㇟㝔䛾デ⒪ᐇ⦼
䠄ᖹᡂ
25-26ᖺᗘཌ⏕ປാ┬䝕䞊䝍䠖⫵⅖ᝈ⪅䠅
᭷᫂་⒪ᅪ䛻䛚䛡䜛DPCᑐ㇟㝔䛾デ⒪ᐇ⦼䠄ᖹᡂ
25-26ᖺᗘཌ⏕ປാ┬䝕䞊䝍䠖㦵ᢡᝈ⪅䠅
᭷᫂་⒪ᅪ2⮬య䛾せㆤ㧗㱋⪅䛾᥎⛣ ∹⏣ᕷ䜏䜔䜎ᕷ244
ᑗ᮶䛾ᶵ⬟ูᗋᩘ䛾᥎ィ⤖ᯝ ᙜヱ་⒪ᅪ䛾⌧≧䛸ㄢ㢟
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ᨻ⟇䛸䛧䛶䛾䝕䞊䝍බ㛤䛿䛥䜙䛻㐍䜣䛷䛔䛟 ᖺ㛫 19൨௳ ᖺ㛫 4000௳
NationalReceiptDatabase (NDB) ᚋ䚸ㆤ䝺䝉䝥䝖䜔DPC䝕䞊䝍䛻䛴䛔䛶䜒බ㛤䛜ணᐃ䛥䜜䛶䛔䜛
69
㒔㒔㐨ᗓ┴ẖࡢ㹁㹒ࠊ㹋㹐㹇ࡢேཱྀᙜࡓࡾྎᩘ࣭ᝈ⪅ᩘ 㸦ฟ㸧ᖹᡂᖺ་⒪タㄪᰝཬࡧேཱྀ᥎ィ㸦ᖹᡂᖺ᭶㸯᪥⌧ᅾ㸧 ͤᝈ⪅ᩘࡣᖹᡂᖺ㸷᭶୰ࡢᩘࠋ
࠙デ⒪⾜Ⅽẖࡢ⟬ᐃᅇᩘࠚ 100120140160180200220240260 05101520
ேཱྀᙜ䛯䜚䠟䠰ྎᩘ䛸ேཱྀᙜ䛯䜚䠟䠰ᝈ⪅ᩘ 405060708090100110120 02468
ேཱྀᙜ䛯䜚䠩䠮䠥ྎᩘ䛸ேཱྀᙜ䛯䜚䠩䠮䠥ᝈ⪅ ᩘ ே ཱྀ 咆 ே ᙜ 叀 叫 咔 咥 ᝈ ⪅ ᩘ ேཱྀ䠍䠌ேᙜ䛯䜚䠟䠰ྎᩘ
ே ཱྀ 咆 ே ᙜ 叀 叫 咞 咣 咚 ᝈ ⪅ ᩘ ேཱྀ䠍䠌ேᙜ䛯䜚䠩䠮䠥ྎᩘ 70
㒔㒔㐨ᗓ┴ẖࡢ㹁㹒ࠊ㹋㹐㹇ࡢேཱྀᙜࡓࡾྎᩘ࣭㸯ྎᙜࡓࡾᝈ⪅ᩘ
࠙デ⒪⾜Ⅽẖࡢ⟬ᐃᅇᩘࠚ 100150200250300350400450 05101520
ேཱྀᙜ䛯䜚䠟䠰ྎᩘ䛸䠍ྎᙜ䛯䜚䠟䠰ᝈ⪅ᩘ 100120140160180200220240260280 02468
ேཱྀᙜ䛯䜚䠩䠮䠥ྎᩘ䛸䠍ྎᙜ䛯䜚䠩䠮䠥ᝈ⪅ ᩘ ୍ ྎ ᙜ 叀 叫 咔 咥 ᝈ ⪅ ᩘ ேཱྀ䠍䠌ேᙜ䛯䜚䠟䠰ྎᩘேཱྀ䠍䠌ேᙜ䛯䜚䠩䠮䠥ྎᩘ
୍ ྎ ᙜ 叀 叫 咞 咣 咚 ᝈ ⪅ ᩘ 㸦ฟ㸧ᖹᡂᖺ་⒪タㄪᰝཬࡧேཱྀ᥎ィ㸦ᖹᡂᖺ᭶㸯᪥⌧ᅾ㸧 ͤᝈ⪅ᩘࡣᖹᡂᖺ㸷᭶୰ࡢᩘ࡛࠶ࡿࠋ
㧗㢠་⒪ᶵჾ䛾㐺ṇ㓄⨨䛜 ᗋつไ௨ୖ䛻㔜せ䛷䛿䛺䛔䛛 䛸䛔䛖▱ぢ 71
ᝈ࣭ᖺ㱋࣭⏨ዪィࡢึデࡢ㛫እຍ⟬ࡢᝈ⪅ேᙜࡓࡾ⟬ᐃᅇᩘ ࠕ㛫እຍ⟬ࠖࡣࠊಖ㝤་⒪ᶵ㛵ࡀ⾲♧ࡍࡿデ⒪㛫௨እࡢ㛫ࠊ῝ኪ㸦༗ᚋ㹼༗๓ࡲ࡛ࡢ㛫㸧ࠊఇ᪥㛵ࡍࡿ ຍ⟬ࠊኪ㛫࣭᪩ᮅ➼ຍ⟬ࠊ㛫እ≉ຍ⟬ࢆྵࡴࠋ 㸦ὀ㸧ᖹᡂᖺ᭶ࡢධ㝔እࣞࢭࣉࢺࠊㄪࣞࢭࣉࢺࡘ࠸࡚ࠊ་⒪ᶵ㛵ᡤᅾᆅ࣮࣋ࢫ࡛ศᯒࠋ⟬ᐃᅇᩘࢆᝈ⪅ᡤᅾᆅ࣮࣋ࢫ ࡛ ࡢᝈ⪅ᩘ࡛⿵ṇࠋ ͤ࡞࠾ࠊᝈ⪅㸿ࡀD┴࡛་⒪ᶵ㛵ࠊE┴࡛་⒪ᶵ㛵ࡗ࡚࠸ࡓሙྜࡣࠊE┴࡛ィୖࠋ
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ி 㒔 ᗓ
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Ἀ ⦖ ┴ ึデ䠄㛫እຍ⟬䠅デ䠇እ᮶デ⒪ᩱ䠄㛫እຍ⟬䠅
࠙デ⒪⾜Ⅽẖࡢ⟬ᐃᅇᩘࠚ 䛣䛾䜘䛖䛺ཷデ⾜ື䛾㐪䛔䛻䚸ྜ⌮ⓗ䛺⌮⏤䛿䛒䜛䛾䛛䠛 䝣䝸䞊䜰䜽䝉䝇䛷䛒䜛䛣䛸䜢䚸ᅜẸ䛜Ᏻ᫆䛻⪃䛘䛶䛔䛺䛔䛛䠛 212
1,940 0
200
400
600
8001,000
1,200
1,400
1,600
1,800
2,000
ᾏ㐨 㟷᳃┴
ᒾᡭ┴
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㮵ඣᓥ┴ Ἀ⦖┴
≉ᐃ㞟୰⒪ᐊ⟶⌮ᩱ䠄ேཱྀ10ேᙜ䛯䜚䠅
㒔㐨ᗓ┴ẖ䛾デ⒪⾜Ⅽ䛾⟬ᐃᅇᩘ䠄ᖹᡂ26ᖺ䠐᭶䡚ᖹᡂ27ᖺ䠏᭶䠅䐟 ͤ䠪䠠䠞䜸䞊䝥䞁䝕䞊䝍䛻䛚䛡䜛㒔㐨ᗓ┴䛾⟬ᐃᅇᩘ䜢㒔㐨ᗓ┴䛾ேཱྀ䠄ᖹᡂ26ᖺᗘேཱྀ᥎ィ䠅䛷༢⣧䛻㝖䛧䛯䜒䛾䚹 ᅇᩘ 䠄ὀ䠅ୖグ䛿ศ㢮䝁䞊䝗䠝301䛾≉ᐃ㞟୰⒪ᐊ⟶⌮ᩱ䛻ヱᙜ䛩䜛デ⒪⾜Ⅽ䜢㊊䛧ୖ䛢䛯䜒䛾䛷䛒䜛䚹 24
䛣䛾䜘䛖䛺་⒪ᥦ౪㔞䛾㐪䛔䛻䚸ྜ⌮ⓗ䛺⌮⏤䛿䛒 䜛䛾䛛䠛 Ⴀⓗ䛺ືᶵ䛷ICU䛜㐠Ⴀ䛥䜜䛶䛔䛺䛔䛛䠛䛒䜛䛔 䛿䚸ᮏ᮶ᚲせ䛺ᆅᇦ䛷་ᖌ㊊䛾䛯䜑䛻ICU䝃䞊䝡 䝇䛜ᥦ౪䛥䜜䛶䛔䛺䛔ྍ⬟ᛶ䛿䛺䛔䛛䠛
246
㒔㐨ᗓ┴ู䛻䜏䛯
ICU䛾
SCR (H24ᖺ䝕䞊䝍
) ฟ䠖ᖹᡂ25ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲⿵ຓ㔠䠄ཌ⏕ປാ⛉Ꮫ≉ู◊✲ᴗ䠅䞉ᚋ䛾་⒪㟂せ䜢㋃䜎䛘䛯་⒪ᶵ⬟䛾ศ䞉㐃ᦠ䜢ಁ䛩䛯 䜑䛾ᆅᇦ་⒪䝡䝆䝵䞁⟇ᐃ䛻ྥ䛡䛶ᢕᥱ䛩䜉䛝䝕䞊䝍䜔䛭䛾ά⏝᪉ἲ䛻㛵䛩䜛◊✲䠄H25-≉ู-ᣦᐃ-007䠅䠄◊✲௦⾲⪅䠖ᯇ⏣ဢ䠅ICU 䛾 SCR 䛸㊊⋡ * 䛸䛾┦㛵
*: ㊊⋡䜢䛣䛣䛷䛿᥎ィ್䛻ᑐ䛩䜛ᐇ㝿䛾ᗋᩘ䛾ྜ䛸ᐃ⩏బ㈡ ⚟ᒸ ศ ᾏ㐨
ᒣཱྀឡ ᮾி 㮵ඣᓥ
Ἀ⦖ ᪂₲ ୕㔜
ᒣ ᒾᡭ
ᰣᮌ
ᐩᒣᐩᒣ ዉⰋ
SCR ㊊⋡
ᆅᇦໟᣓ䜿䜰ᐇ㊶䛾䛯䜑䛾ሗᇶ┙ 䠄ᙜᩍᐊ䛷㛤Ⓨ䛧䛶䛝䛯䝅䝇䝔䝮䠙ᅇ䛾◊✲䛾ᇶ┙䠅
ఫẸ୍⯡㧗㱋⪅ᑐ⟇᪥ᖖ⏕ά ᅪᇦ䝙䞊 䝈ㄪᰝ CGAㆤண㜵 ㆤ䝃䞊䝡䝇せㆤ ㄆᐃ ≉ᐃデ䞉≉ᐃಖᣦᑟ་⒪䝃䞊䝡䝇 ⟶⌮
ᆅᇦໟᣓ䜿䜰ᇶᮏ 䝏䜵䝑䜽䝸 䝇䝖 CGA: Comprehensive Geriatric Assessment 㧗㱋⪅⥲ྜホ౯
㐃⤖ศᯒ
ㆤ䝺 䝉䝥䝖 ་⒪䝺 䝉䝥䝖
KDB
་⒪䞉ㆤ䝺䝉䝥䝖㐃⤖ศᯒ䛾
せせᨭ䠍䞉䠎ዪᛶ እ᮶་⒪㈝ᚠ⎔ჾ ᝈ
➽㦵᱁ ⣔ᝈ ⚄⤒⣔ ᝈ せㆤᗘู䛾യ≧ἣ䜒᳨ウ䛷䛝䜛→ㆤண㜵䜈䛾ᛂ⏝
䛒䜛⮬య䛻䛚䛡䜛せㆤ㧗㱋⪅䛾 䛯䜛യ䛾᭷⋡ せㆤᗘู䛻䜏䛯യᵓ㐀䛾ᴫᛕᅗ せ ㆤ ᗘ
⬻⾑⟶㞀ᐖ䞉㦵ᢡ ㄆ▱ 䛜䜣 ៏ᛶᚰ ៏ᛶ⭈ COPD䛺䛹
ᑐ ㇟ ⪅ ᩘ
➽㦵᱁⣔ᝈ་⒪䞉ㆤ䜢⥲ྜⓗ䛻⪃䛘䜛䛣䛸䛾㔜せᛶ
⬻᱾ሰ䛾䛯䜑䛻ᛴᛶᮇ㝔䛷ධ㝔⒪䜢ཷ䛡䛯ᝈ⪅䛾ධ㝔๓ᚋ6䛛᭶䝃䞊䝡䝇⏝≧ἣ •ධ㝔1᭶๓䛷53䠂䛜ㆤಖ㝤䛻䜘䜛䝃䞊䝡䝇䜢ཷ䛡䛶䛔䜛 •Ⓨᚋ⤒㐣䛸䛸䜒䛻་⒪䛷䛿ᅇᮇ→⒪㣴䛻㌿Ჷ䠄䛯䛰䛧䚸6 䛛᭶ᚋ䜒31䠂䛿୍⯡ᗋ䠅 •ධ㝔ᚋ30䠂௨ୖ䛜⫵⅖䛻䜚ᝈ •⣙20䠂䛜ㄆ▱ •Ⓨᚋ⤒㐣䛸䛸䜒䛻ㆤ䝃䞊䝡䝇⏝⪅䛜ቑຍ䠄6䛛᭶ᚋ䛿 70䠂௨ୖ䚸᭱䜒ከ䛟䜟䜜䜛䝃䞊䝡䝇䛿㏻ᡤㆤ䠅せㆤᗘ䠂 せᨭ㻝㻥㻚㻟㻑 せᨭ㻞㻝㻤㻚㻢㻑 せㆤ㻝㻝㻢㻚㻟㻑 せㆤ㻞㻝㻠㻚㻜㻑 せㆤ㻟㻞㻟㻚㻟㻑 せㆤ㻠㻝㻝㻚㻢㻑 せㆤ㻡㻣㻚㻜㻑
୍᭶๓䛾せㆤᗘ䛾ศᕸ
⬻᱾ሰ䜢Ⓨ䛧䛯ᝈ⪅䛾 Ⓨ๓ 6 䛛᭶㛫䛾യ䛾≧ἣ
⤒㐣᭶⢾ᒀ㧗⬡⾑㧗⾑ᅽ㲊㹰ᙗ ᗳ⯮ᛓᚰᡣ⣽ືᚰᝈ⬻᱾ሰㄆ▱ୗ⫥㛵⠇ 㞀ᐖ -634.5%36.7%54.4%22.5%10.3%25.3%13.0%12.4%13.5% -534.6%37.3%54.9%24.1%10.8%25.9%13.5%12.5%13.8% -435.1%37.4%54.5%23.5%10.2%25.8%13.0%13.0%13.9% -334.9%37.9%55.7%24.0%10.5%27.1%13.7%13.2%13.6% -235.5%38.0%55.6%24.3%11.0%27.4%13.8%13.3%13.8% -136.3%38.5%56.3%24.9%11.2%28.1%15.6%13.7%14.0% 044.6%51.3%71.0%26.5%22.7%34.8%98.9%16.6%12.1%䛛䛛䜚䛴䛡་䛻䜘䜛ᗣ⟶⌮䜢ཷ䛡䛶䛔䛺䛔ே䛜䛔䜛䛾䛷䛿䠛
ฟ䠖ཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠䠄ཌ⏕ປാ⛉Ꮫ≉ู◊✲ᴗ䠅䛂་⒪䝺䝉䝥䝖ሗ䛸ㆤ䝺䝉䝥䝖ሗ䛾㐃⤖䝕䞊䝍䝧䞊䝇 సᡂ䝻䝆䝑䜽䛾ᵓ⠏䛸䚸䛣䜜䜢ά⏝䛧䛯㧗㱋⪅་⒪䛻䛚䛡䜛ᆅᇦ䛾㉁ᣦᶆ䛻㛵䛩䜛◊✲䛃ሗ࿌᭩ 䠄◊✲௦⾲⪅䠖ᯇ⏣ဢ䠅2017248
タㆤ䜢ཷ䛡䛶䛔䜛㧗㱋⪅䛾䜿䜰䝟䝇 ≉㣴ධᡤ⪅䛿୍⯡Ჷ䜈䛾ධ㝔䛸እ᮶௨እ䛿䛒䜎䜚䛳䛶䛔䛺䛔
ㆤ⪁ே⚟♴タ 䠄7,319ே䠅 ⤒㐣᭶≉㣴 ṧᏑ⋡
୍⯡ Ჷ ධ㝔
ᅇᮇ ධ㝔⒪㣴ධ 㝔
ㆤ⒪ 㣴 ධ㝔
⢭⚄ධ 㝔≉ᐃ タ⪁ タGH⏝ゼၥデ ⒪ゼၥ ㆤ㏻ᡤ ㆤ㏻ᡤ䝸 䝝Ṛஸ⣼✚ Ṛஸ⋡ 1100.0%5.2%0.1%0.5%0.1%0.2%0.0%0.9%0.2%1.1%0.2%0.4%0.0%0.7%0.7% 689.9%6.9%0.1%1.4%0.1%0.1%0.0%0.1%0.0%0.8%0.0%0.1%0.0%1.0%5.4% 1278.4%7.2%0.1%1.6%0.4%0.2%0.0%0.2%0.0%1.0%0.1%0.1%0.0%1.7%12.7% 1868.7%7.2%0.0%2.2%0.5%0.2%0.0%0.2%0.0%1.1%0.1%0.1%0.0%1.3%18.3% 2460.5%6.9%0.0%2.4%0.6%0.2%0.0%0.3%0.0%1.1%0.1%0.1%0.0%1.4%23.7% 3051.5%7.3%0.1%3.0%0.8%0.1%0.0%0.5%0.0%1.0%0.2%0.1%0.0%1.6%28.1% 3644.1%8.8%0.2%3.3%1.1%0.2%0.0%0.6%0.0%0.9%0.2%0.1%0.0%1.8%32.9% 4238.4%7.5%0.1%4.3%1.0%0.1%0.0%0.7%0.1%1.0%0.2%0.2%0.0%1.3%36.3% 4832.9%8.1%0.1%4.1%1.1%0.2%0.0%0.6%0.0%2.1%0.2%0.2%0.0%1.8%40.3%
㝵ᒙ䝰䝕䝹䛛䜙䝛䝑䝖䝽䞊䜽䝰䝕䝹䜈
୍ḟ་⒪ḟ་⒪୕ḟ་⒪ᛴᛶᮇ་⒪яᅇᮇ་⒪я៏ᛶᮇ་⒪ яㆤ䛾ᖜᗈ䛷᪉ྥᛶ䛾」ྜ䛻 ᑐᛂ䛩䜛䛯䜑䛻䛿㝵ᒙ䝰䝕䝹䛷䛿䛺䛟 䝛䝑䝖䝽䞊䜽䝰䝕䝹䛾᪉䛜㐺ษ ᛴᛶᮇ 㝔ᅇᮇ 㝔 ៏ᛶᮇ 㝔 デ⒪ᡤㆤᴗ⪅ゼၥ┳ㆤ ⸆ᒁNPO➼ᴗ⪅ 䜿䜰䝬䝛䞊䝆䝱䞊
㝔㝔 ᆅᇦ㐃ᦠᐊ㝔㝔 ᆅᇦ㐃ᦠᐊ ᆅᇦ㐃ᦠᐊ
ᮏ᪥䛾ㅮ₇䛾ෆᐜ
1䠊ᨵ㠉䛾⫼ᬒ
2䠊䝕䞊䝍䜢䛹䛾䜘䛖䛻ゎ㔘䛩䜛䛾䛛䠛
3䠊䝡䝑䜾䝕䞊䝍ゎᯒ䛛䜙ᚓ䜙䜜䜛▱ぢ
4䠊䜎䛸䜑
䛣䜜䛛䜙䛾ᶵ⬟ู㝔యไ䠄⚾ぢ䠅 㧗ᗘᛴᛶᮇ䞉ᛴᛶᮇ ᅇᮇ 䠄ᆅᇦ୍⯡ᗋ䠅 ៏ᛶᮇ 䠄⒪㣴䞉᪂㢮ᆺ䞉ᅾᏯ䞉 ㆤタ䠅
デ⒪ᡤ䞉ㆤᴗ⪅䞉㐃ᦠ
ᆅᇦໟᣓ䜿䜰㝔 ㄪᩚ㆟ ་⒪ィ⏬ ㆤಖ㝤ᴗィ⏬
ᆅᇦໟᣓ䜿䜰ᗋ䛻ຍ䛘13:1䚸 15:1䛾ᆅᇦ䛾୍⯡ᗋ䛜ᢸ䛳䛶 䛔䜛ᙺ䛾ㄆ㆑䛜ྍḞ 䠄䛂ᆅᇦ୍⯡ᗋ䞉᪥䛃ᴫᛕ 䛾ホ౯䠅
䜎䛸䜑
•᪤䛻බ㛤䛥䜜䛶䛔䜛䝕䞊䝍䜢ศᯒ䛩䜛䛣䛸䛷䚸ྛᆅᇦ 䛾യᵓ㐀䛾ኚ䛜᥎ 䛷䛝䜛 –≉䛻ேཱྀᵓ㐀䛾ኚ䛸䛭䛾യᵓ㐀䜈䛾ᙳ㡪
–ୖグ䜢䜒䛸䛻ᚋ䛾་⒪䝃䞊䝡䝇䛾ኚ䛜ண 䛷䛝䜛
–ᛴᛶᮇ௨ᚋ䛾」ྜⓗ䝙䞊䝈䜈䛾ᑐᛂ䛜㔜せ䛻䛺䜛䛣䛸䛾 ⌮ゎ
→⒪䛾ሙᡤ䛾ከᵝ䞉」ྜ䝙䞊䝈䛾ᢕᥱ
–ྛ་⒪ᶵ⬟䛾୰᰾䛸䛺䜛タ䛿䛹䛣䛺䛾䛛䚸䜎䛯タ㛫䛾 㐃ᦠ䛿䛹䛾䜘䛖䛻䛺䛳䛶䛔䛟䛸ண䛥䜜䜛䛾䛛
←デ⒪ሗ㓘䞉 ㆤሗ㓘䛾ᙳ㡪䚸ᆅᇦ་⒪㐃ᦠ᥎㐍ἲே➼䛒䜙䛯䛺䜰䝷 䜲䜰䞁䝇䛾ᙳ㡪
–䛾䝕䞊䝍䛾ศᯒ⤖ᯝ䛸ྜ䜟䛫䛶⥲ྜⓗ䛻ศᯒ䛩䜛䛣䛸 䛾ᚲせᛶ
ཧ⪃ᩥ⊩
•ᯇ⏣ဢ䠖ᇶ♏䛛䜙ㄞ䜏ゎ䛟
DPC➨
3∧䠄
2011䠅䠈་Ꮫ᭩㝔䠊
•ᯇ⏣ဢ䠖་⒪䛾ఱ䛜ၥ㢟䛺䛾䛛䠉㉸㧗㱋♫᪥ᮏ䛾་ ⒪䝰䝕䝹䠄
2013䠅䠈ວⲡ᭩ᡣ䠊
•ᯇ⏣ဢ䠖ᆅᇦ་⒪ᵓ䜢䛹䛖⟇ᐃ䛩䜛䛛䠄
2015䠅䠈་Ꮫ᭩ 㝔䠊
•ᯇ⏣ဢ䞉䠖་⒪䞉ㆤ䝺䝉䝥䝖㐃⤖䝕䞊䝍䜢⏝䛔䛯⬻᱾ሰ ᝈ⪅䛾་⒪ㆤ䝃䞊䝡䝇⏝≧ἣ䛾ศᯒ䚸♫ಖ㝤᪪ሗ䚸
No.2703: 26-31, 2018. •ᯇ⏣ဢ䞉䠖せㆤᗘู䛻䜏䛯യᵓ㐀䛾ศᯒ䚸♫ಖ 㝤᪪ሗ䚸
No.2704: 22-27, 2018.250
