The prefecture is to establish a place of consultation for consultation with organizations of academic experts on medical treatment, other medical experts, medical insurers, and other related parties (hereinafter referred to as "related parties" in this paragraph and the following paragraph) in each of the areas set forth in Article 30-4, paragraph (2), item (xiv) and other areas that the governor of the relevant prefecture deems appropriate (hereinafter referred to as the "target area" in this Article), and, in cooperation with related parties, is to hold consultations on the following particulars (with regard to the particulars listed in items (iii), (v) and (vi), limited to those related to securing the medical care delivery system for outpatient medical care; the same applies in paragraph (5)), and summarize and publicize the results thereof:
the following particulars, based on information on the number of physicians shown by the indicators prescribed in Article 30-4, paragraph (2), item (xi), (b):
第三十条の四第二項第十一号ロに規定する指標によつて示される医師の数に関する情報を踏まえた次に掲げる事項
particulars concerning outpatient medical care particularly needed in the community (referred to as "regional outpatient medical care" in the following Article);
地域において特に必要とされる外来医療（次条において「地域外来医療」という。）に関する事項
particulars concerning the state of the medical care delivery system for outpatient medical care;
外来医療に係る医療提供体制の状況に関する事項
particulars concerning the core hospitals or clinics that provide outpatient medical care specified by Order of the Ministry of Health, Labour and Welfare as set forth in Article 30-18-2, paragraph (1), item (i), based on the reports under the provisions of Article 30-18-2, paragraph (1) and Article 30-18-3, paragraph (1);
第三十条の十八の二第一項及び第三十条の十八の三第一項の規定による報告を踏まえた第三十条の十八の二第一項第一号の厚生労働省令で定める外来医療を提供する基幹的な病院又は診療所に関する事項
in addition to what is listed in the preceding item, particulars concerning the promotion of functional differentiation and coordination of hospitals and clinics;
particulars necessary for securing the functions prescribed in paragraph (1), items (i) and (ii) of the preceding Article in the target area, based on the reports under the provisions of paragraphs (1) and (3) of that Article (including as applied mutatis mutandis pursuant to paragraph (5) of that Article);
particulars concerning the promotion of medical treatment provided by multiple physicians in cooperation;
複数の医師が連携して行う診療の推進に関する事項
particulars concerning the efficient utilization of all or part of buildings, equipment, instruments and appliances of medical institutions; and
医療提供施設の建物の全部又は一部、設備、器械及び器具の効率的な活用に関する事項
other particulars necessary for securing the medical care delivery system for outpatient medical care.
その他外来医療に係る医療提供体制を確保するために必要な事項
When related parties are requested by the prefecture to participate in a consultation conducted by the prefecture pursuant to the provisions of the preceding paragraph, they are to endeavor to cooperate by participating in it, and must also endeavor to cooperate in the implementation of particulars which related parties have agreed upon at the place of such consultation.
When a prefecture consults on the particulars listed in item (iv) of paragraph (1) (limited to particulars specified by Order of the Ministry of Health, Labour and Welfare as concerning long-term care and other services closely related to medical care) pursuant to the provisions of that paragraph, it is to request the participation of the municipalities concerned and take into consideration the contents of the municipal plan prescribed in Article 5, paragraph (1) of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities, the Municipal Insured Long-Term Care Service Plan prescribed in Article 117, paragraph (1) of the Long-Term Care Insurance Act, and other plans concerning services closely related to medical care, that the municipalities have prepared.
都道府県は、第一項の規定に基づき同項第四号に掲げる事項（介護その他医療と密接に関連するサービスに関するものとして厚生労働省令で定める事項に限る。）を協議する場合には、関係する市町村の参加を求めるとともに、当該市町村が作成した地域における医療及び介護の総合的な確保の促進に関する法律第五条第一項に規定する市町村計画、介護保険法第百十七条第一項に規定する市町村介護保険事業計画その他医療と密接に関連するサービスに関する計画の内容を考慮するものとする。
When a prefecture consults on the particulars listed in item (iv) of paragraph (1) pursuant to the provisions of that paragraph, it is to pay attention to the status of implementation of measures for promoting the maintenance of the health of residents in the target area, the status of implementation of health projects for elderly people (meaning the health projects for elderly people prescribed in Article 125, paragraph (1) of the Act on Assurance of Medical Care for Elderly People) and other projects carried out integrally with them, and the status of efforts toward constructing the community-based integrated care system (meaning the community-based integrated care system prescribed in Article 2, paragraph (1) of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities; the same applies in Article 70, paragraph (1), item (ii) and Article 70-7).
都道府県は、第一項の規定に基づき同項第四号に掲げる事項を協議する場合には、対象区域における住民の健康の保持の推進に関する施策の実施の状況、高齢者保健事業（高齢者の医療の確保に関する法律第百二十五条第一項に規定する高齢者保健事業をいう。）その他これと一体的に行われる事業の実施の状況及び地域包括ケアシステム（地域における医療及び介護の総合的な確保の促進に関する法律第二条第一項に規定する地域包括ケアシステムをいう。第七十条第一項第二号及び第七十条の七において同じ。）の構築に向けた取組の状況に留意するものとする。
When the target area coincides with the vision area, etc., the prefecture, in lieu of the consultation set forth in paragraph (1) in the relevant target area, may hold consultations on the particulars listed in the items of the same paragraph at the place of consultation in the relevant vision area, etc.
In the case prescribed in the preceding paragraph, related parties as prescribed in Article 30-14, paragraph (1), when requested by the prefecture to participate in a consultation conducted by the prefecture pursuant to the provisions of the preceding paragraph, are to endeavor to cooperate by participating in it, and must also endeavor to cooperate in the implementation of particulars which related parties have agreed upon at the place of such consultation.
前項に規定する場合には、第三十条の十四第一項に規定する関係者は、前項の規定に基づき都道府県が行う協議に参加するよう都道府県から求めがあつた場合には、これに協力するよう努めるとともに、当該協議の場において当該関係者間の協議が調つた事項については、その実施に協力するよう努めなければならない。
Read this with the articles around it
The prefecture is to establish a place of consultation (hereinafter referred to as the "place of consultation" except for Article 30-18-4, paragraph (3), Article 30-18-5, paragraphs (1) and (2)…
都道府県は、構想区域その他の当該都道府県の知事が適当と認める区域（第三十条の十六第一項及び第三十条の十八の五第五項において「構想区域等」という。）ごとに、診療に関する学識経験者の団体その他の医療関係者…
Open this provisionThe administrator of a hospital, etc. subject to a report on medical institution functions, etc. that provides outpatient medical care…
医療機関機能等報告対象病院等であつて外来医療を提供するもの（以下この条において「外来機能報告対象病院等」という。）の管理者は、地域における外来医療に係る病院及び診療所の機能の分化及び連携の推進のため、厚生労働省令で定めるところにより…
Open this provisionthe details of the outpatient medical care provided at the hospital, etc. subject to a report on outpatient functions that falls under the outpatient medical care specified by an Order of the…
当該外来機能報告対象病院等において提供する外来医療のうち、その提供に当たつて医療従事者又は医薬品、医療機器その他の医療に関する物資を重点的に活用するものとして厚生労働省令で定める外来医療に該当するものの内容
Open this provisionThe administrator of a clinic that does not have facilities for admitting patients (hereinafter referred to as a "clinic without beds" in this Article) may…
患者を入院させるための施設を有しない診療所（以下この条において「無床診療所」という。）の管理者は、地域における外来医療に係る病院及び診療所の機能の分化及び連携の推進のため、厚生労働省令で定めるところにより、次に掲げる事項を当該無床診療所の所在地の都道府県知事に報告することができる。
Open this provisionThe administrator of a hospital or clinic specified by an Order of the Ministry of Health, Labour and Welfare as necessary for ensuring the primary care function in the region…
地域におけるかかりつけ医機能を確保するために必要な病院又は診療所として厚生労働省令で定めるもの（以下この条において「かかりつけ医機能報告対象病院等」という。）の管理者は、慢性の疾患を有する高齢者その他の継続的な医療を要する者として厚生労働省令で定める者（第一号及び第二号において「継続的な医療を要する者」という。）に対…
Open this provisionwhether or not there is, and the details of, the function (limited to that specified by an Order of the Ministry of Health, Labour and Welfare), among the primary care function…
かかりつけ医機能のうち、継続的な医療を要する者に対する発生頻度が高い疾患に係る診療その他の日常的な診療を総合的かつ継続的に行う機能（厚生労働省令で定めるものに限る。）の有無及びその内容
Open this provisionin the case of a hospital, etc. subject to a report on primary care functions that has the function prescribed in the preceding item, whether or not there is, and the details of…
前号に規定する機能を有するかかりつけ医機能報告対象病院等にあつては、かかりつけ医機能のうち、継続的な医療を要する者に対する次に掲げる機能（イからニまでに掲げる機能にあつては、厚生労働省令で定めるものに限る。）の有無及びその内容
Open this provisionWhen the prefectural governor has made the confirmation under the preceding paragraph, the governor is to report the result to the place of consultation prescribed in paragraph (1) of the following…
都道府県知事は、前項の規定による確認をしたときは、その結果を次条第一項に規定する協議の場に報告するとともに、厚生労働省令で定めるところにより、これを公表するものとする。
Open this provisionThe provisions of paragraph (3) apply mutatis mutandis to the confirmation under the provisions of the preceding paragraph.
第三項の規定は、前項の規定による確認について準用する。
Open this provisionThe prefecture is to establish a place of consultation for consultation with organizations of academic experts on medical treatment, other medical experts, medical insurers…
都道府県は、第三十条の四第二項第十四号に規定する区域その他の当該都道府県の知事が適当と認める区域（以下この条において「対象区域」という。）ごとに、診療に関する学識経験者の団体その他の医療関係者、医療保険者その他の関係者（以下この項及び次項において「関係者」という。）との協議の場を設け、関係者との連携を図りつつ…
Open this provisionThe prefecture is to establish a place of consultation for consultation with organizations of academic experts on medical treatment, other medical experts, medical insurers…
都道府県は、第三十条の四第二項第十四号に規定する区域その他の当該都道府県の知事が適当と認める区域（以下この条において「対象区域」という。）ごとに、診療に関する学識経験者の団体その他の医療関係者、医療保険者その他の関係者（以下この項及び次項において「関係者」という。）との協議の場を設け、関係者との連携を図りつつ…
Open this provisionparticulars concerning the core hospitals or clinics that provide outpatient medical care specified by Order of the Ministry of Health, Labour and Welfare as set forth in Article 30-18-2…
第三十条の十八の二第一項及び第三十条の十八の三第一項の規定による報告を踏まえた第三十条の十八の二第一項第一号の厚生労働省令で定める外来医療を提供する基幹的な病院又は診療所に関する事項
Open this provisionin addition to what is listed in the preceding item, particulars concerning the promotion of functional differentiation and coordination of hospitals and clinics;
前号に掲げるもののほか、病院及び診療所の機能の分化及び連携の推進に関する事項
Open this provisionparticulars necessary for securing the functions prescribed in paragraph (1), items (i) and (ii) of the preceding Article in the target area, based on the reports under the provisions of paragraphs…
前条第一項及び第三項（同条第五項において準用する場合を含む。）の規定による報告を踏まえた対象区域における同条第一項第一号及び第二号に規定する機能を確保するために必要な事項
Open this provisionparticulars concerning the promotion of medical treatment provided by multiple physicians in cooperation;
複数の医師が連携して行う診療の推進に関する事項
Open this provisionparticulars concerning the efficient utilization of all or part of buildings, equipment, instruments and appliances of medical institutions; and
医療提供施設の建物の全部又は一部、設備、器械及び器具の効率的な活用に関する事項
Open this provisionWhen related parties are requested by the prefecture to participate in a consultation conducted by the prefecture pursuant to the provisions of the preceding paragraph…
関係者は、前項の規定に基づき都道府県が行う協議に参加するよう都道府県から求めがあつた場合には、これに協力するよう努めるとともに、当該協議の場において関係者間の協議が調つた事項については、その実施に協力するよう努めなければならない。
Open this provisionWhen the target area coincides with the vision area, etc., the prefecture, in lieu of the consultation set forth in paragraph (1) in the relevant target area…
都道府県は、対象区域が構想区域等と一致する場合には、当該対象区域における第一項の協議に代えて、当該構想区域等における協議の場において、同項各号に掲げる事項について協議を行うことができる。
Open this provisionWhere, among the areas prescribed in Article 30-4, paragraph (2), item (xiv), there is an area in which the rate calculated, as provided by Order of the Ministry of Health, Labour and Welfare…
都道府県知事は、第三十条の四第二項第十四号に規定する区域であつて、外来医療を行う医師の数の、外来患者の数に対する比率に相当するものとして厚生労働省令で定めるところにより算定した率その他厚生労働省令で定める指標が、厚生労働省令で定める基準を超えるものがある場合において、当該区域のうち…
Open this provisionthe following particulars related to ensuring the availability of physicians;
医師の確保に関する次に掲げる事項
Open this provisionparticulars related to the establishment of an area to be classified as a regional unit for the development of mainly beds in hospitals…
主として病院の病床（次号に規定する病床並びに精神病床、感染症病床及び結核病床を除く。）及び診療所の病床の整備を図るべき地域的単位として区分する区域の設定に関する事項
Open this provisionA regional medical coordination promotion corporation must voluntarily strengthen its operational base, promote coordination of operations of participating corporations, etc. that establish hospitals…
地域医療連携推進法人は、自主的にその運営基盤の強化を図るとともに、その医療連携推進区域において病院等を開設し、又は介護事業等に係る施設若しくは事業所を開設し、若しくは管理する参加法人等の業務の連携の推進及びその運営の透明性の確保を図り…
Open this provisiona corporation that establishes or manages in the medical coordination promotion area a facility or office related to nursing care business…
医療連携推進区域において、介護事業（身体上又は精神上の障害があることにより日常生活を営むのに支障がある者に対し、入浴、排せつ、食事等の介護、機能訓練、看護及び療養上の管理その他のその者の能力に応じ自立した日常生活を営むことができるようにするための福祉サービス又は保健医療サービスを提供する事業をいう。）その他の地域包括…
Open this provision(Healthcare Services for the Elderly)
A Association of Medical Care Systems for the Elderly Aged 75 and older must endeavor to provide health education, health counseling, health checkups, and health guidance…
後期高齢者医療広域連合は、高齢者の心身の特性に応じ、健康教育、健康相談、健康診査及び保健指導並びに健康管理及び疾病の予防に係る被保険者の自助努力についての支援その他の被保険者の健康の保持増進のために必要な事業（以下「高齢者保健事業」という。）を行うように努めなければならない。
Open this provision(Municipal Insured Long-Term Care Service Plan)
A Municipality, for Basic Guidelines, provide a plan concerning the efficient implementation of Insurance Benefits pertaining to an Insured Long-Term Care Project that is implemented by said…
市町村は、基本指針に即して、三年を一期とする当該市町村が行う介護保険事業に係る保険給付の円滑な実施に関する計画（以下「市町村介護保険事業計画」という。）を定めるものとする。
Open this provisionmedical institutions
「医療提供施設」
Hospitals, clinics, long-term care health facilities (介護老人保健施設), integrated facilities for medical and long-term care (介護医療院), pharmacies that dispense medicines and other facilities that provide medical care.
Short name set inArticle 1-2, paragraph (2)
hospital
「病院」
A place where a doctor or dentist practises medicine or dentistry for the public or for a particular group of many people and which has facilities for admitting 20 or more inpatients, as Article 1-5, paragraph (1) defines it.
Defined inArticle 1-5, paragraph (1)
clinicmachine translation
「診療所」
A place where a doctor or dentist practises medicine or dentistry for the public or for a particular group of many people, which either has no facilities for admitting inpatients (and is not a facility for receiving online medical care (オンライン診療受診施設)) or has facilities for 19 or fewer, as Article 1-5, paragraph (2) defines it.
Defined inArticle 1-5, paragraph (2)
medical care delivery systemmachine translation
「医療提供体制」
The system for providing good-quality, appropriate medical care efficiently, which the basic policy (基本方針) of the Minister of Health, Labour and Welfare under Article 30-3 and each prefecture's medical care plan (医療計画) aim to secure.
Short name set inArticle 30-3, paragraph (1)
medical insurermachine translation
「医療保険者」
The Japan Health Insurance Association (全国健康保険協会), a health insurance society (健康保険組合), a prefecture (都道府県) or a municipality (市町村), including a special ward (特別区), a National Health Insurance Society (国民健康保険組合), a mutual aid association (共済組合) or the Promotion and Mutual Aid Corporation for Private Schools of Japan (日本私立学校振興・共済事業団), that provides medical benefits under the medical insurance Acts (医療保険各法).
Short name set inArticle 30-5, paragraph (1)· applies only in this provision and in Article 30-14, paragraph (1); and Article 30-18-5, paragraph (1)
place of consultationmachine translation
「協議の場」
The forum a prefecture sets up under Article 30-14, paragraph (1) for each vision area, etc. (構想区域等), to consult with medical bodies, medical insurers (医療保険者) and others concerned on how to reach the future number of beds needed and other matters for achieving the regional medical care vision (地域医療構想).
Short name set inArticle 30-14, paragraph (1)· applies from here on, except in Article 30-18-4, paragraph (3); Article 30-18-5, paragraphs (1) and (2); Article 30-18-6, paragraphs (4) and (5); and Article 30-23, paragraph (1)
vision area, etc.machine translation
「構想区域等」
A regional vision area (構想区域) or other area a prefectural governor considers appropriate, as Article 30-14, paragraph (1) of the Medical Care Act defines it — an area for each of which the prefecture sets up a forum to consult with medical providers and others on achieving the regional medical care vision (地域医療構想).
Short name set inArticle 30-14, paragraph (1)· applies only in this provision and in Article 30-16, paragraph (1); and Article 30-18-5, paragraph (5)
related partiesmachine translation
「関係者」
In Article 30-14, the organizations of medical experts and other medical bodies, medical insurers (医療保険者) and others concerned with whom a prefecture consults, at the place of consultation (協議の場) for each vision area, etc. (構想区域等), on achieving its regional medical care vision (地域医療構想).
Short name set inArticle 30-14, paragraph (1)· applies only in this article
target areamachine translation
「対象区域」
In Article 30-18-5, an area set under Article 30-4, paragraph (2), item (xiv), or another area the prefectural governor considers appropriate, for each of which the prefecture sets up a forum with medical bodies, medical insurers (医療保険者) and others to consult on securing outpatient medical care and primary care functions (かかりつけ医機能).
Short name set inArticle 30-18-5, paragraph (1)· applies only in this article
related partiesmachine translation
「関係者」
In Article 30-18-5, paragraphs (1) and (2), the organizations of medical experts and other medical bodies, medical insurers (医療保険者) and others concerned with whom a prefecture consults, at the forum for each target area (対象区域), on securing outpatient medical care and the other matters listed there.
Short name set inArticle 30-18-5, paragraph (1)· applies only in this paragraph and in Article 30-18-5, paragraph (2)
regional outpatient medical caremachine translation
「地域外来医療」
In Articles 30-18-5 and 30-18-6, outpatient medical care that is particularly needed in an area.
Short name set inArticle 30-18-5, paragraph (1), item (i), (a)· applies only in this provision and in Article 30-18-6
community-based integrated care systemmachine translation
「地域包括ケアシステム」
The community-based integrated care system as defined in Article 2, paragraph (1) of the Act on Promotion of Comprehensive Securing of Medical and Long-Term Care in Communities: arrangements, suited to each area, that comprehensively secure medical care, long-term care, prevention of the need for long-term care or support, housing and support for independent daily life, so that older people can as far as possible live independently, as they are able, in the community they know.
Defined inArticle 30-18-5, paragraph (4)· applies only in this provision and in Article 70, paragraph (1), item (ii); and Article 70-7