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Article 30-18-4

第三十条の十八の四

The 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 (hereinafter referred to as a "hospital, etc. subject to a report on primary care functions" in this Article) must, in order to ensure the primary care function for elderly persons with chronic diseases and other persons requiring continuous medical care as specified by an Order of the Ministry of Health, Labour and Welfare (referred to as "persons requiring continuous medical care" in items (i) and (ii)), report the following particulars to the prefectural governor of the location of the hospital, etc. subject to a report on primary care functions, pursuant to an Order of the Ministry of Health, Labour and Welfare:

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。)に対するかかりつけ医機能の確保のため、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かかりつけ医機能報告対象病院等の所在地の都道府県知事に報告しなければならない。

whether 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, of comprehensively and continuously providing persons requiring continuous medical care with medical care for frequently occurring diseases and other day-to-day medical care;

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

in 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, each of the following functions among the primary care function for persons requiring continuous medical care (limited, for the functions listed in (a) through (d), to those specified by an Order of the Ministry of Health, Labour and Welfare);

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

the function of providing medical care outside the regular consultation hours of the hospital, etc. subject to a report on primary care functions;

当該かかりつけ医機能報告対象病院等の通常の診療時間以外の時間に診療を行う機能

the function of providing the support necessary for admitting patients as inpatients when their condition suddenly worsens or in other cases where hospitalization is necessary, or for enabling a person leaving a hospital or clinic who continues to require medical treatment to make a smooth transition to medical treatment at another hospital, clinic, long-term care health facility, integrated facility for medical and long-term care, or home, etc.;

病状が急変した場合その他入院が必要な場合に入院させるため、又は病院若しくは診療所を退院する者が引き続き療養を必要とする場合に当該者を他の病院、診療所、介護老人保健施設、介護医療院若しくは居宅等における療養生活に円滑に移行させるために必要な支援を提供する機能

the function of providing necessary medical care at home, etc.;

居宅等において必要な医療を提供する機能

the function of providing necessary medical care in coordination with persons providing long-term care and other services closely related to medical care; and

介護その他医療と密接に関連するサービスを提供する者と連携して必要な医療を提供する機能

other functions specified by an Order of the Ministry of Health, Labour and Welfare;

その他厚生労働省令で定める機能

when the hospital, etc. subject to a report on primary care functions and another hospital or clinic ensure the function prescribed in the preceding item by coordinating with each other pursuant to an Order of the Ministry of Health, Labour and Welfare, the name of the other hospital or clinic and the details of that coordination; and

当該かかりつけ医機能報告対象病院等及び他の病院又は診療所が厚生労働省令で定めるところにより相互に連携して前号に規定する機能を確保するときは、当該他の病院又は診療所の名称及びその連携の内容

other particulars prescribed by Order of the Ministry of Health, Labour and Welfare.

その他厚生労働省令で定める事項

The prefectural governor, pursuant to an Order of the Ministry of Health, Labour and Welfare, is to confirm that a hospital, etc. subject to a report on primary care functions that has made a report under the provisions of the preceding paragraph (limited to one that has reported that it has any of the functions prescribed in item (ii), (a) through (e) of that paragraph) has, for the function pertaining to that report, a system for ensuring that function that meets the requirements specified by an Order of the Ministry of Health, Labour and Welfare (including where it ensures that function by coordinating with another hospital or clinic).

都道府県知事は、厚生労働省令で定めるところにより、前項の規定による報告をしたかかりつけ医機能報告対象病院等(同項第二号イからホまでに規定する機能のいずれかを有する旨の報告をしたものに限る。)が、当該報告に係る当該機能について、当該機能の確保に係る体制として厚生労働省令で定める要件に該当するものを有すること(他の病院又は診療所と相互に連携して当該機能を確保する場合を含む。)を確認するものとする。

When 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 Article and to make it public, pursuant to an Order of the Ministry of Health, Labour and Welfare.

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。

The administrator of a hospital, etc. subject to a report on primary care functions that has received the confirmation under the provisions of paragraph (2) must, when a change has occurred in the system for which the confirmation was received, report that fact to the prefectural governor, pursuant to an Order of the Ministry of Health, Labour and Welfare. In this case, the prefectural governor who has received the report is to confirm that the system in which the change has occurred meets the requirements specified by an Order of the Ministry of Health, Labour and Welfare under that paragraph (including where it ensures the relevant function prescribed in that paragraph by coordinating with another hospital or clinic).

第二項の規定による確認を受けたかかりつけ医機能報告対象病院等の管理者は、当該確認を受けた体制について変更が生じたときは、厚生労働省令で定めるところにより、その旨を都道府県知事に報告しなければならない。この場合において、当該報告を受けた都道府県知事は、当該変更が生じた体制が同項の厚生労働省令で定める要件に該当すること(他の病院又は診療所と相互に連携して同項に規定する当該機能を確保する場合を含む。)を確認するものとする。

The 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。

When the administrator of a hospital, etc. subject to a report on primary care functions has failed to make a report pursuant to the provisions of paragraph (1) or (4) or has made a false report, the prefectural governor may order the establisher of the relevant hospital, etc. subject to a report on primary care functions to have the relevant administrator make a report or correct the contents of the report, by setting a period of time.

都道府県知事は、かかりつけ医機能報告対象病院等の管理者が第一項若しくは第四項の規定による報告をせず、又は虚偽の報告をしたときは、期間を定めて、当該かかりつけ医機能報告対象病院等の開設者に対し、当該管理者をしてその報告を行わせ、又はその報告の内容を是正させることを命ずることができる。

The provisions of Article 30-13, paragraphs (3), (4) and (6) apply mutatis mutandis to reports by hospitals, etc. subject to a report on primary care functions under the provisions of paragraphs (1) and (4). In this case, the term "the preceding paragraph" in paragraph (6) of that Article is replaced with "Article 30-18-4, paragraph (6)".

第三十条の十三第三項、第四項及び第六項の規定は、かかりつけ医機能報告対象病院等に係る第一項及び第四項の規定による報告について準用する。この場合において、同条第六項中「前項」とあるのは、「第三十条の十八の四第六項」と読み替えるものとする。

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