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。
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