Where, 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, as corresponding to the ratio of the number of physicians providing outpatient medical care to the number of out-patients, or other indicators specified by Order of the Ministry of Health, Labour and Welfare, exceed the standards specified by Order of the Ministry of Health, Labour and Welfare, and the prefectural governor finds that, among such areas, there is an area where it is particularly necessary to secure regional outpatient medical care, the prefectural governor is to designate that area.
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、特に地域外来医療を確保する必要がある区域があると認めるときは、当該区域を指定するものとする。
When a prefectural governor has made the designation under the preceding paragraph, the governor must give public notice to that effect, as provided by Order of the Ministry of Health, Labour and Welfare.
都道府県知事は、前項の指定をしたときは、厚生労働省令で定めるところにより、その旨を公示しなければならない。
A person who intends to establish a clinic (limited to a place where medical practice is conducted and which does not have facilities for admitting patients) in an area designated under paragraph (1) must, except in cases specified by Order of the Ministry of Health, Labour and Welfare as unavoidable, notify the prefectural governor, no later than six months before the date on which the clinic is to be established, as provided by Order of the Ministry of Health, Labour and Welfare, of their intention regarding the provision of regional outpatient medical care in that area and other matters specified by Order of the Ministry of Health, Labour and Welfare.
When, in an area designated under paragraph (1), a person who has given the notification under the preceding paragraph or another person specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as a "notifying person, etc." in this Article) has indicated an intention not to provide regional outpatient medical care in that area, the prefectural governor may request the notifying person, etc. to participate in the consultation at the place of consultation prescribed in paragraph (1) of the preceding Article and to explain the reasons for not providing it and other matters specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "reasons, etc." in this Article).
A notifying person, etc. who is requested by the prefectural governor pursuant to the provisions of the preceding paragraph must endeavor to participate in the consultation at that place and explain the reasons, etc.
If, based on the content of the explanation under the preceding paragraph, the reasons, etc. are not found to be unavoidable, the prefectural governor may request the notifying person, etc. to provide regional outpatient medical care in that area by a set deadline.
When the prefectural governor finds that the establisher or administrator of a clinic established by a notifying person, etc. who received a request under the provisions of the preceding paragraph is not providing the regional outpatient medical care to which the request relates, the governor may request the establisher or administrator to attend a meeting of the Prefectural Council on Medical Service Facilities and explain the reasons, etc.
The establisher or administrator of the clinic, when requested by the prefectural governor pursuant to the provisions of the preceding paragraph, must endeavor to attend a meeting of the Prefectural Council on Medical Service Facilities and explain the reasons, etc.
Based on the content of the explanation under the preceding paragraph, if the reasons, etc. are not found to be unavoidable, the prefectural governor may, after hearing the opinions of the Prefectural Council on Medical Service Facilities, recommend that the establisher or administrator of the clinic provide regional outpatient medical care in that area.
When a prefectural governor has made a recommendation under the preceding paragraph and the establisher or administrator of the clinic that received the recommendation has not complied with it, the governor may make public that fact.
When a notifying person, etc. who received a request under the provisions of paragraph (6) has not complied with it, when the prefectural governor has made a recommendation under the provisions of paragraph (9), or when the establisher or administrator of the clinic that received the recommendation has not complied with it, the prefectural governor is to notify the Minister of Health, Labour and Welfare to that effect.
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