Article 5 · Responsibilities of the National and Local Governments第五条（国及び地方公共団体の責務）
- ChangedArticle 5, paragraph (2)
Prefectural governmentsThe national government mustprovide necessary advice and appropriate support fortake measures concerning the promotion of efforts to achieve both thehealthy and efficient operationsecuring of the provision ofan Insuredhigh-quality Long-Term Care Services (such as improving the efficiency of operations, improving quality and otherwise improving productivity in the provision of Long-Term CareProjectServices, and securing and improving the qualifications of persons engaged in those operations) and the establishment of a stable management base for that provision.都道府県国は、介護保険事業の運営が健全かつ円滑に行われるように、必要な助言及び適切な援助をしサービスの提供における業務の効率化、質の向上その他の生産性の向上、その業務に従事する者の確保及び資質の向上その他の質の高い介護サービスの提供の確保とその提供のための安定した経営基盤の確立の双方の実現を図る取組の推進に関する施策を講じなければならない。 - ChangedArticle 5, paragraph (3)
In providing the advice and assistance set forth in the preceding paragraph, a prefecturePrefectural governments mustendeavor to promote initiatives that contribute to improving productivity, such as improvingprovide necessary advice and appropriate support for theefficiency of operationshealthy andimproving the qualityefficient operation ofLong-Term Care Services at Business Offices or facilities that providean Insured Long-Term CareServicesProject.都道府県は、
前項の助言及び援助をするに当たっては、介護サービスを提供する事業所又は施設における業務の効率化、介護サービスの質の向上その他の生産性の向上に資する取組が促進さ介護保険事業の運営が健全かつ円滑に行われるよう努めに、必要な助言及び適切な援助をしなければならない。 - ChangedArticle 5, paragraph (4)
The national government and local governments must endeavor to comprehensively promote, while ensuring organic cooperation with measures concerning medical careIn providing the advice andhousing, measures concerning health and medical services and welfare services pertainingsupport under the preceding paragraph, prefectural governments must ensure that efforts toinsurance benefits, measures for preventing a person from falling into a Conditionachieve both the securing of the provision ofNeed forhigh-quality Long-Term Care, etc. or for reducing or preventing deteriorationServices and the establishment of aCondition of Need for Long-Term Care, etc., and measuresstable management base forsupporting independent daily life in the community, sothatan Insured Person can, to the extent possible, lead an independent daily life in the community in which he or she is accustomed to living, according to his or her abilitiesprovision are promoted.国及び地方公共団体は、被保険者が、可能な限り、住み慣れた地域でその有する能力に応じ自立した日常生活を営むことができるよう、保険給付に係る保健医療サービス及び福祉都道府県は、前項の助言及び援助をするに当たっては、質の高い介護サービスに関する施策、要介護状態等となることの予防又は要介護状態等の軽減若しくは悪化の防止の提供の確保とその提供のための施策並びに地域における自立した日常生活の支援のための施策を、医療及び居住に関する施策との有機的な連携を図りつつ包括的に推進す安定した経営基盤の確立の双方の実現を図る取組が促進されるよう努めにしなければならない。 - ChangedArticle 5, paragraph (5)
In comprehensively promoting the measures listed in the preceding paragraph pursuant to the provisions of that paragraph, the national governmentThe national government and local governments must endeavor to comprehensively promote, while ensuring organic cooperation with measures concerning medical care and housing, measures concerning health andlocal governments must endeavor to ensure organic cooperation withmedical services and welfare services pertaining to insurance benefits, measuresconcerning the welfarefor preventing a person from falling into a Condition ofpersons with disabilities and other persons,Need for Long-Term Care, etc. or for reducing or preventing deterioration of a Condition of Need for Long-Term Care, etc., andmust endeavor to contributemeasures for supporting independent daily life in the community, so that an Insured Person can, to therealization of aextent possible, lead an independent daily life in the community in whichlocal residents respect one another's personalities and individuality, and participate and live togetherhe or she is accustomed to living, according to his or her abilities.国及び地方公共団体は、
前項の規定により同項に掲げる施策を包括的に推進するに当たっては、障害者その他の者の福祉被保険者が、可能な限り、住み慣れた地域でその有する能力に応じ自立した日常生活を営むことができるよう、保険給付に係る保健医療サービス及び福祉サービスに関する施策、要介護状態等となることの予防又は要介護状態等の軽減若しくは悪化の防止のための施策並びに地域における自立した日常生活の支援のための施策を、医療及び居住に関する施策との有機的な連携を図るよう努めるとともに、地域住民が相互に人格と個性を尊重し合いながら、参加し、共生する地域社会の実現に資りつつ包括的に推進するよう努めなければならない。 - AddedArticle 5, paragraph (6)
In comprehensively promoting the measures listed in the preceding paragraph pursuant to the provisions of that paragraph, the national government and local governments must endeavor to ensure organic cooperation with measures concerning the welfare of persons with disabilities and other persons, and must endeavor to contribute to the realization of a community in which local residents respect one another's personalities and individuality, and participate and live together.
国及び地方公共団体は、前項の規定により同項に掲げる施策を包括的に推進するに当たっては、障害者その他の者の福祉に関する施策との有機的な連携を図るよう努めるとともに、地域住民が相互に人格と個性を尊重し合いながら、参加し、共生する地域社会の実現に資するよう努めなければならない。