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自費導入の落とし穴

自費導入の落とし穴
自費導入をしている接骨院が増えてきている一方、「自費施術では売上がたたない」といった声も聞きます。自費導入に失敗してしまった接骨院は、陥りやすい落とし穴にはまってしまったのかもしれません。なぜ失敗してしまったのか、成功した院と何が違うのか。事例を交えてお伝えします。
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記事一覧
はじめての開業
柔整師・鍼灸師の施術メソッド
情報紙特集バックナンバー
接骨院の運営知識
施術スタッフの教育
正しい療養費請求
接骨院の集患講座
接骨院の症例・経営事例
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アトラアカデミー厳選コラム
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正しい鍼灸のはじめ方セミナー
テスト無料Webセミナー202301
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年始テスト（テスト）TNブレインセミナー2023
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AZURE_TOMCAT90_CMDLINE String-noverify -Djava.net.preferIPv4Stack=true -Dcatalina.instance.name=%WEBSITE_INSTANCE_ID% -Dport.http=%HTTP_PLATFORM_PORT% -Djava.util.logging.config.file="C:\Program Files (x86)\apache-tomcat-9.0.83\conf\logging.properties" -Djava.util.logging.manager=org.apache.juli.ClassLoaderLogManager -Dsite.logdir="d:/home/LogFiles/" -Dsite.tempdir="d:\home\site\workdir" -classpath "C:\Program Files (x86)\apache-tomcat-9.0.83\bin\bootstrap.jar;C:\Program Files (x86)\apache-tomcat-9.0.83\bin\tomcat-juli.jar" -Dcatalina.base="C:\Program Files (x86)\apache-tomcat-9.0.83" -Djava.io.tmpdir="d:\home\site\workdir" org.apache.catalina.startup.Bootstrap
TMP StringC:\local\Temp
RoleRoot StringE:
AZURE_JETTY93_CMDLINE String-Djava.net.preferIPv4Stack=true -Djetty.port=%HTTP_PLATFORM_PORT% -Djetty.base="D:\Program Files (x86)\jetty-distribution-9.3.25.v20180904" -Djetty.webapps="d:\home\site\wwwroot\webapps" -jar "D:\Program Files (x86)\jetty-distribution-9.3.25.v20180904\start.jar" etc\jetty-logging.xml
CommonProgramFiles(x86) StringC:\Program Files (x86)\Common Files
AZURE_TOMCAT10_CMDLINE String-noverify -Djava.net.preferIPv4Stack=true -Dcatalina.instance.name=%WEBSITE_INSTANCE_ID% -Dport.http=%HTTP_PLATFORM_PORT% -Djava.util.logging.config.file="C:\Program Files\apache-tomcat-10.1.16\conf\logging.properties" -Djava.util.logging.manager=org.apache.juli.ClassLoaderLogManager -Dsite.logdir="d:/home/LogFiles/" -Dsite.tempdir="d:\home\site\workdir" -classpath "C:\Program Files\apache-tomcat-10.1.16\bin\bootstrap.jar;C:\Program Files\apache-tomcat-10.1.16\bin\tomcat-juli.jar" -Dcatalina.base="C:\Program Files\apache-tomcat-10.1.16" -Djava.io.tmpdir="d:\home\site\workdir" org.apache.catalina.startup.Bootstrap
WEBSITE_CONFIGURATION_READY String1
windir StringC:\Windows
NUMBER_OF_PROCESSORS String4
OS StringWindows_NT
ProgramFiles StringC:\Program Files (x86)
ComSpec StringC:\Windows\system32\cmd.exe
PATHEXT String.COM;.EXE;.BAT;.CMD;.VBS;.VBE;.JS;.JSE;.WSF;.WSH;.MSC;.CPL;.PY;.PYW
AZURE_TOMCAT8_CMDLINE String-Dport.http=%HTTP_PLATFORM_PORT% -Djava.util.logging.config.file="C:\Program Files (x86)\apache-tomcat-8.0.53\conf\logging.properties" -Djava.util.logging.manager=org.apache.juli.ClassLoaderLogManager -Dsite.logdir="d:/home/LogFiles/" -Dsite.tempdir="d:\home\site\workdir" -classpath "C:\Program Files (x86)\apache-tomcat-8.0.53\bin\bootstrap.jar;C:\Program Files (x86)\apache-tomcat-8.0.53\bin\tomcat-juli.jar" -Dcatalina.base="C:\Program Files (x86)\apache-tomcat-8.0.53" -Djava.io.tmpdir="d:\home\site\workdir" org.apache.catalina.startup.Bootstrap
ALLUSERSPROFILE StringC:\local\ProgramData
PSModulePath StringC:\Program Files\WindowsPowerShell\Modules;C:\Windows\system32\WindowsPowerShell\v1.0\Modules;C:\Program Files\WindowsPowerShell\Modules\;C:\Program Files (x86)\Microsoft SDKs\Azure\PowerShell\ResourceManager\AzureResourceManager\;C:\Program Files (x86)\Microsoft SDKs\Azure\PowerShell\ServiceManagement\;C:\Program Files (x86)\Microsoft SDKs\Azure\PowerShell\Storage\
APPDATA StringC:\local\AppData
USERDOMAIN StringWORKGROUP
PROCESSOR_LEVEL String6
LOCALAPPDATA StringC:\local\LocalAppData
ResourceDrive StringD:\
MonAgentClientLocation StringC:\Packages\Plugins\Microsoft.Azure.Geneva.GenevaMonitoring\2.45.0.11\Monitoring\Agent
AZURE_TOMCAT8_HOME StringC:\Program Files (x86)\apache-tomcat-8.0.53
PUBLIC StringC:\Users\Public
WEBSITE_NODE_DEFAULT_VERSION String6.9.1
APPSETTING_WEBSITE_NODE_DEFAULT_VERSION String6.9.1
ScmType StringNone
APPSETTING_ScmType StringNone
WEBSITE_SITE_NAME Stringhonetsugi-academy
APPSETTING_WEBSITE_SITE_NAME Stringhonetsugi-academy
WEBSITE_AUTH_ENABLED StringFalse
APPSETTING_WEBSITE_AUTH_ENABLED StringFalse
REMOTEDEBUGGINGVERSION String11.0.611103.400
APPSETTING_REMOTEDEBUGGINGVERSION String11.0.611103.400
FUNCTIONS_RUNTIME_SCALE_MONITORING_ENABLED String0
APPSETTING_FUNCTIONS_RUNTIME_SCALE_MONITORING_ENABLED String0
WEBSITE_AUTH_LOGOUT_PATH String/.auth/logout
APPSETTING_WEBSITE_AUTH_LOGOUT_PATH String/.auth/logout
WEBSITE_AUTH_AUTO_AAD StringFalse
APPSETTING_WEBSITE_AUTH_AUTO_AAD StringFalse
AZUREFILESSTORAGE_dev-logs Stringhonetsugiacademy|dev-logs|08wWW1e0ltvN/HtNJjCM7suKKArWYqY4F5LqxQp0i8Ah+sbBN+626p71BeuCHrLwkPEytw/SHIzz5YBBTyAFRA==|/mounts/dev-logs|
REGION_NAME StringJapan West
HOME StringC:\home
HOME_EXPANDED StringD:\DWASFiles\Sites\honetsugi-academy__410c\VirtualDirectory0
LOCAL_EXPANDED StringD:\DWASFiles\Sites\honetsugi-academy__410c
windows_tracing_flags String
windows_tracing_logfile String
WEBSITE_INSTANCE_ID String2eafb6dc94224bdf7ab3c077830c7fcd177dea0ad485db0be0f02ffcbdb4d2ba
WEBSITE_HTTPLOGGING_ENABLED String0
WEBSITE_SCM_ALWAYS_ON_ENABLED String0
WEBSITE_ISOLATION Stringpico
WEBSITE_OS Stringwindows
WEBSITE_DEPLOYMENT_ID Stringhonetsugi-academy__410c
WEBSITE_INFRASTRUCTURE_IP String172.19.64.13
WEBSITE_COMPUTE_MODE StringDedicated
WEBSITE_SKU StringStandard
WEBSITE_ELASTIC_SCALING_ENABLED String0
WEBSITE_SCM_SEPARATE_STATUS String1
WEBSITE_IIS_SITE_NAME Stringhonetsugi-academy__410c
WEBSITE_APPSERVICEAPPLOGS_TRACE_ENABLED Stringtrue
WEBSITE_CHANGEANALYSISSCAN_ENABLED String1
MicrosoftInstrumentationEngine_LatestPath StringC:\Program Files (x86)\SiteExtensions\InstrumentationEngine\1.0.43
JAVA_HOME StringC:\Program Files\Java\Adoptium-Eclipse-Temurin-OpenJDK-8u392
SITE_BITNESS Stringx86
WEBSITE_AUTH_ENCRYPTION_KEY String3FFD5C259672EEA402334F30B547576FDFD5DEF0A72C6EE630A1066CD3BF8200
WEBSITE_AUTH_SIGNING_KEY String42E3BA98940DEBBD9B7EE16C04CBBCC5901058AC9AEA52D4F32568FE920060EB
WEBSITE_PROACTIVE_AUTOHEAL_ENABLED StringTrue
WEBSITE_PROACTIVE_STACKTRACING_ENABLED StringTrue
WEBSITE_PROACTIVE_CRASHMONITORING_ENABLED StringTrue
WEBSITE_CRASHMONITORING_USE_DEBUGDIAG StringTrue
WEBSITE_DYNAMIC_CACHE String1
WEBSITE_FRAMEWORK_JIT String1
WEBSITE_HOME_STAMPNAME Stringwaws-prod-os1-001
WEBSITE_CURRENT_STAMPNAME Stringwaws-prod-os1-001
WEBSOCKET_CONCURRENT_REQUEST_LIMIT String-1
WEBSITE_VOLUME_TYPE StringPrimaryStorageVolume
WEBSITE_OWNER_NAME Stringf15746fc-4d45-421a-a228-9ff5fd9a7333+JapanWestwebspace
WEBSITE_RESOURCE_GROUP Stringhonetsugi-academy
WEBSITE_CONTAINER_READY String1
WEBSITE_MOUNT_dev-logs StringC:\mounts\dev-logs
WEBSITE_PHYSICAL_MEMORY_MB String8140
WEBSITE_JAVA_MAX_HEAP_MB String5698
WEBSITE_PLATFORM_VERSION String103.0.7.210
REMOTEDEBUGGINGPORT String
REMOTEDEBUGGINGBITVERSION Stringvx86
WEBSITE_LOCALCACHE_ENABLED StringFalse
WEBSITE_HOSTNAME Stringhonetsugi-academy-test.azurewebsites.net
WEBSITE_RELAYS String
WEBSITE_REWRITE_TABLE String
WEBSITE_DAAS_EXTENSIONPATH StringC:\Program Files (x86)\SiteExtensions\DaaS\4.6.24926.1
ORIG_PATH_INFO String/module/quarter.php
URL String/module/quarter.php
SERVER_SOFTWARE StringMicrosoft-IIS/10.0
SERVER_PROTOCOL StringHTTP/1.1
SERVER_PORT_SECURE String1
SERVER_PORT String443
SERVER_NAME Stringhonetsugi-academy-test.azurewebsites.net
SCRIPT_NAME String/module/quarter.php
SCRIPT_FILENAME StringC:\home\site\wwwroot\module\quarter.php
REQUEST_URI String/tool/document/detih1zb.php
REQUEST_METHOD StringGET
REMOTE_USER String
REMOTE_PORT String32538
REMOTE_HOST String3.141.198.147
REMOTE_ADDR String3.141.198.147
QUERY_STRING Stringqu=/tool/det.php&dk=ih1zb&lbl=document
PATH_TRANSLATED StringC:\home\site\wwwroot\module\quarter.php
LOGON_USER String
LOCAL_ADDR String172.19.64.13
INSTANCE_META_PATH String/LM/W3SVC/889941130
INSTANCE_NAME StringHONETSUGI-ACADEMY__410C
INSTANCE_ID String889941130
HTTPS_SERVER_SUBJECT StringCN=*.azurewebsites.net, O=Microsoft Corporation, L=Redmond, S=WA, C=US
HTTPS_SERVER_ISSUER StringCN=Microsoft Azure RSA TLS Issuing CA 04, O=Microsoft Corporation, C=US
HTTPS_SECRETKEYSIZE String2048
HTTPS_KEYSIZE String256
HTTPS Stringon
GATEWAY_INTERFACE StringCGI/1.1
DOCUMENT_ROOT StringC:\home\site\wwwroot
CONTENT_TYPE String
CONTENT_LENGTH String0
CERT_SUBJECT String
CERT_SERIALNUMBER String
CERT_ISSUER String
CERT_FLAGS String
CERT_COOKIE String
AUTH_USER String
AUTH_PASSWORD String
AUTH_TYPE String
APPL_PHYSICAL_PATH StringC:\home\site\wwwroot\
APPL_MD_PATH String/LM/W3SVC/889941130/ROOT
IIS_UrlRewriteModule String7,1,1993,2336
LOG_QUERY_STRING Stringqu=/tool/det.php&dk=ih1zb&lbl=document&X-ARR-LOG-ID=d7f95d27-c1c1-4c19-b2fc-f070f6924554
UNENCODED_URL String/tool/document/detih1zb.php
IIS_WasUrlRewritten String1
HTTP_X_WAWS_UNENCODED_URL String/tool/document/detih1zb.php
HTTP_X_ORIGINAL_URL String/tool/document/detih1zb.php
HTTP_X_FORWARDED_FOR String3.141.198.147:32538
HTTP_X_FORWARDED_TLSVERSION String1.3
HTTP_X_ARR_SSL String2048|256|CN=Microsoft Azure RSA TLS Issuing CA 04, O=Microsoft Corporation, C=US|CN=*.azurewebsites.net, O=Microsoft Corporation, L=Redmond, S=WA, C=US
HTTP_X_APPSERVICE_PROTO Stringhttps
HTTP_X_FORWARDED_PROTO Stringhttps
HTTP_WAS_DEFAULT_HOSTNAME Stringhonetsugi-academy-test.azurewebsites.net
HTTP_X_SITE_DEPLOYMENT_ID Stringhonetsugi-academy__410c
HTTP_DISGUISED_HOST Stringhonetsugi-academy-test.azurewebsites.net
HTTP_CLIENT_IP String3.141.198.147:32538
HTTP_X_ARR_LOG_ID Stringd7f95d27-c1c1-4c19-b2fc-f070f6924554
HTTP_USER_AGENT StringMozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)
HTTP_MAX_FORWARDS String10
HTTP_HOST Stringhonetsugi-academy-test.azurewebsites.net
HTTP_ACCEPT_ENCODING Stringgzip, br, zstd, deflate
HTTP_ACCEPT String*/*
HTTP_CONTENT_LENGTH String0
FCGI_ROLE StringRESPONDER
PHP_SELF String/module/quarter.php
REQUEST_TIME_FLOAT Double1732171622.9368
REQUEST_TIME Integer1732171622
【実行したSQL】/C:/home/site/wwwroot/lib/inc/default.tpl - line 63
Array [20]
0
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00167920
query Stringselect * from t620_download where 1 = 1 and status = 1 and category = 50 and dkey = :dkey: limit 1
1
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00165700
query Stringselect * from t620_download where 1 = 1 and status = 1 and category = 50 and dkey = :dkey: order by indate desc limit 1 offset 0
2
Array [3]
file String/tool\lib\classes\DownloadNearList.class - line 69
time String0.00292490
query Stringselect * from t620_download where status = 1 and category = 50 and dkey <> :dkey: and ( keyword like '%social%' or keyword like '%download%' or keyword like '%自費%' or keyword like '%集患%' ) order by indate desc
3
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00177480
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
4
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00170900
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
5
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00163290
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
6
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00147700
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
7
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00149610
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
8
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00166390
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
9
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00156590
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
10
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00139900
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
11
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00153610
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
12
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00153610
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
13
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00411490
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
14
Array [3]
file StringC:\home\site\wwwroot\module\classes\MYDB.class - line 160
time String0.00255820
query Stringselect cache_value from t930_cache where cache_name = :cache_name: and chdate >= :chdate:
15
Array [3]
file StringC:\home\site\wwwroot\seminar\lib\classes\SeminarListCore.class - line 139
time String0.00187610
query Stringselect * from t300_normal as t300 where t300.status = 1 and chkey in (select chkey from t200_channel where status = 1) and t300.list_view_flg = 1 order by t300.snkey
16
Array [3]
file StringC:\home\site\wwwroot\seminar\lib\classes\SeminarListCore.class - line 149
time String0.00222020
query Stringselect * from t310_lesson as t310 where t310.status in (1, 2, 3) and ((t310.tdate is null and t310.ldate > :ldate:) or t310.tdate >= :tdate:) order by t310.lkey, t310.ldate, t310.ftime
17
Array [3]
file String/seminar\lib\classes\LimitedSeminarList.class - line 44
time String0.00181200
query Stringselect * from t430_lesson as t430 join t420_group as t420 on (t430.slkey = t420.slkey and t430.gkey = t420.gkey) where t420.view_flg = 1 and ((t420.tdate is null and t430.ldate > :ldate:) or (t420.tdate >= :tdate: and t430.ldate >= :ldate:)) order by t430.slkey, t430.ldate, t430.ftime
18
Array [3]
file String/seminar\lib\classes\LimitedSeminarList.class - line 72
time String0.00165800
query Stringselect * from t400_limited where chkey in (select chkey from t200_channel where status = 1) and status <> 9 and view_flg = 1 and status <> 3 and ( slkey = :slkey1:) order by slkey desc
19
Array [3]
file String/seminar\lib\classes\LimitedSeminarList.class - line 74
time String0.00150300
query Stringselect * from t400_limited where chkey in (select chkey from t200_channel where status = 1) and status <> 9 and view_flg = 1 and status <> 3 and ( slkey = :slkey1:) order by slkey desc
【読込CSS】/C:/home/site/wwwroot/lib/inc/default.tpl - line 63
Array [9]
0 String/css/modal.css
1 String/css/modal.rsv1.css
2 String/css/form.css
3 String/css/form.rsv1.css
4 String/tool/css/index.css
5 String/tool/css/index.rsv1.css
6 String/tool/css/index.rsv2.css
7 String/css/login.css
8 String/css/login.rsv1.css
【読込JS】/C:/home/site/wwwroot/lib/inc/default.tpl - line 63
Array [9]
0 String/js/preset/jquery.js
1 String/js/site.js
2 String/js/preset/form.js
3 String/js/base.js
4 String/js/preset/dump.js
5 String/js/preset/varidate.js
6 String/tool/js/tool.js
7 String/js/header.js
8 String/js/footer.js
【キャッシュ読み込み】/C:/home/site/wwwroot/lib/inc/default.tpl - line 63
Array [4]
0 String【member】/lib/model/MemberModel
1 String【leave-member】/lib/model/LeaveMemberModel
2 String【article-category】/lib/model/NoteCategoryModel
3 String【channel】/lib/model/ChannelModel
【データ読み込み】/C:/home/site/wwwroot/lib/inc/default.tpl - line 63
Array [1]
0 String/lib/classes/footer/MemberCountController
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