maintaining the number obtained by dividing the total number of referral patients and patients transported by ambulance by the number of patients seen for the first time (excluding those seen on holidays or at night; the same applies in (a) of the following item) (hereinafter referred to as the "referral rate" in this item), and endeavoring to increase the maintained referral rate; and 

ロ 紹介率が百分の五十を下回る病院にあつては、おおむね五年間に紹介率を百分 の五十まで高めるよう努めるものとし、そのための具体的な年次計画を作成し、 厚生労働大臣に提出すること。 

(b) for a hospital whose referral rate is lower than fifty percent, endeavoring to increase the referral rate to fifty percent within approximately five years, preparing a concrete annual plan for increasing it, and submitting the annual plan to the Minister of Health, Labour and Welfare; 

七 次に掲げるところにより、他の病院又は診療所に対する患者紹介を行うこと。 

(vii) referring patients to other hospitals or clinics in accordance with the following: 

イ その管理する病院について、他の病院又は診療所に紹介した患者の数を初診の 患者の数で除して得た数（以下この号において「逆紹介率」という。）を維持し、 当該維持された逆紹介率を高めるよう努めること。 

(a) with regard to the hospital under the management of the administrator, maintaining the number obtained by dividing the number of patients referred to other hospitals or clinics by the number of patients seen for the first time (hereinafter referred to as the "reverse referral rate" in this item), and endeavoring to increase the maintained reverse referral rate; and 

ロ 逆紹介率が百分の四十を下回る病院にあつては、おおむね五年間に逆紹介率を 百分の四十まで高めるよう努めるものとし、そのための具体的な年次計画を作成 し、厚生労働大臣に提出すること。 

(b) for a hospital whose reverse referral rate is lower than forty percent, endeavoring to increase the reverse referral rate to forty percent within approximately five years, preparing a concrete annual plan for increasing it, and submitting the annual plan to the Minister of Health, Labour and Welfare; 

２ がん、循環器疾患その他の国民の健康に重大な影響のある疾患に関し、高度かつ専 門的な医療を提供する特定機能病院に関する前項の規定の適用については、同項第六 号ロ中「百分の五十」とあるのは「百分の八十」と、同項第七号ロ中「百分の四十」 とあるのは「百分の六十」とする。 

(2) For the purpose of application of the provisions of the preceding paragraph to advanced treatment hospitals that provide advanced and specialized medical care for cancers, cardiovascular diseases, and other diseases having a serious impact on the health of citizens, the term "fifty percent" in item (vi), (b) of the 

