資料③ 医療法及び医� �法の一部を改� ��する法律案に ついて.pdf

The Japanese government is proposing amendments to the Medical Care Law and the Medical Practitioners' Law to address regional disparities in medical care and ensure a stable medical care system. The proposed changes include:

1. Expanding the authority of prefectural governors to reject or reduce applications for new medical facilities or expansions if the existing number of hospital beds in the area already meets or exceeds the standard number.
2. Establishing a system to evaluate and certify doctors who have worked in areas with a shortage of medical professionals.
3. Strengthening the implementation of measures to secure doctors in prefectures, including the creation of a "medical doctor securing plan" and a "regional medical care countermeasures conference".
4. Improving the training process for doctors, including setting up a system for universities to accept students from specific regions and transferring the authority to designate clinical training hospitals and set training quotas from the national government to prefectures.
5. Addressing the uneven distribution and shortage of outpatient medical care functions in regions, including setting up a system for visualization of information and discussion of measures to address these issues.

The proposed amendments aim to ensure a stable medical care system and address regional disparities in medical care by securing doctors and improving the training process. The amendments are scheduled to be implemented in stages, with some provisions coming into effect on April 1, 2019, and others on April 1, 2020.