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["区分","勤務先","勤務先住所","氏名","3. 補聴器相談医の資格をお持ちですか","4. 補聴器適合判定医師研修会を修了していますか","5. 身体障害者福祉法第15条指定医でしょうか","6. 患者さんに補聴器を提案する際の対応について教えて下さい","10. 補聴器適合状態の評価に対する補聴器適合検査はどのように行っていますか？"]
["A","長野県立こども病院","安曇野市豊科3100","佐藤　梨里子","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","医療法人山本耳鼻咽喉科","安曇野市穂高984-2","山本　賢史","はい","いいえ","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["A","飯田病院","飯田市大通１丁目15－番地","堀口　茂俊","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","飯田市立病院","飯田市八幡町438","塚本　耕二","はい","いいえ","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","行っていない"]
["A","飯田市立病院","飯田市八幡町４３８","市瀬　彩","はい","いいえ","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","行っていない"]
["A","伊那中央病院","伊那市小四郎久保1313-1","森　健太郎","いいえ","いいえ","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","伊那中央病院","伊那市小四郎久保１３１３−１","宮嶋　宏樹","はい","いいえ","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","信州上田医療センター","上田市緑が丘１丁目27-21","堀　由希子","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["A","やまおか耳鼻咽喉科","駒ヶ根市下市場３６−４０","山岡　秀之","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","小松耳鼻咽喉科クリニック","佐久市岩村田1311-9","小松　赳彦","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定は実施不可能。それ以外の方法で適合状態を評価"]
["A","小松耳鼻咽喉科クリニック","佐久市岩村田1311－9","小松　正彦","いいえ","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["A","佐久市立国保浅間総合病院","佐久市岩村田1862","細川　晃","いいえ","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定は実施不可能。それ以外の方法で適合状態を評価"]
["A","上條医院耳鼻咽喉科","塩尻市大門泉町8-17","上條　貴裕","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定は実施不可能。それ以外の方法で適合状態を評価"]
["A","下伊那厚生病院","下伊那郡高森町吉田481-13","吉田　学","はい","はい","いいえ","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","行っていない"]
["A","下伊那赤十字病院　耳鼻いんこう科","下伊那郡松川町元大島3159-1","横田　陽一","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","諏訪赤十字病院","諏訪市湖岸通り5-11-50","我妻　道生","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","かいぬま耳鼻咽喉科医院","千曲市内川611-1","海沼　和幸","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","長谷川耳鼻咽喉科医院","東御市県124-3","長谷川　達哉","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","みやがわ耳鼻咽喉科きこえクリニック","長野市稲里町中央1-5-11","宮川　麻衣子","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","ふくおか耳鼻咽喉科めまいクリニック","長野市北長池1601-1","福岡　久邦","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","きたの耳鼻咽喉科クリニック","長野市栗田2081","北野　友裕","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","北信総合病院","中野市西1-5-63","内藤　武彦","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","信州大学医学部附属病院","松本市旭3-1-1","品川　潤","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","信州大学医学部附属病院","松本市旭3-1-1","岩佐　陽一郎","いいえ","いいえ","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","信州大学医学部附属病院","松本市旭３−１−１","吉村　豪兼","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","信州大学医学部耳鼻咽喉科頭頸部外科","松本市旭３−１−１","工　穣","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","信州大学医学部附属病院","松本市旭３−１−１","杉山　健二郎","いいえ","いいえ","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","信州大学医学部附属病院","松本市旭3丁目1-1","小林　孝光","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","信州大学","松本市旭川3-1-1","小口　亜莉沙","いいえ","はい","いいえ","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","上條アレルギー科・耳鼻咽喉科医院","松本市高宮南8-8","上條　篤","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","なのはな みみ・はな・のど クリニック","松本市中央4-9-51イオンモール松本晴庭3F","鈴木　伸嘉","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","ひまわりクリニック","松本市並柳２−１４−１８","有賀　あや子","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","相澤病院","松本市本庄2-5-1","茂木　英明","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["C","宮島耳鼻咽喉科医院","安曇野市豊科4927-2","宮島　逸郎","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設で音場の語音明瞭度検査・補聴器装用閾値測定は実施不可能。それ以外の方法で適合状態を評価"]
["C","あさむら耳鼻咽喉科クリニック","上田市秋和304-5","浅村　賢二","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","飯島耳鼻咽喉科医院","上田市大手１－１－７８","飯島　正道","はい","はい","はい","認定補聴器専門店へ紹介する","行っていない"]
["C","甲田クリニック","上田市古安曽1833","甲田　晶子","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","いでうら呼吸器内科・耳鼻咽喉科・消化器内科医院","上田市古里１４９９−２９","出浦　美智恵","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","平林耳鼻咽喉科医院","大町市常磐9651-3","平林　源","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","岡谷市民病院","岡谷市本町４−11−33","梅垣　油里","はい","はい","いいえ","認定補聴器専門店が少ないのでデータを補聴器販売店に持参していただきます。出来るだけ販売店から返答をいただくようにしています。","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["C","樹の里クリニック","北佐久郡軽井沢町長倉4428-1","石井　健一","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","佐々木医院","小諸市南町1-3-7","田中　映子","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","くぼた耳鼻咽喉科医院","諏訪市高島1-31-3","窪田　志功","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","耳鼻咽喉科宮下医院","長野市三輪3−20−5","宮下　浩一","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","長野赤十字病院","長野市若里5-22-1","根津　公教","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","小口耳鼻咽喉科医院","松本市浅間温泉1-24-6","小口　智啓","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","小林耳鼻咽喉科医院","松本市島内3427-19","小林　克彦","はい","はい","はい","認定補聴器専門店へ紹介する","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["C","鈴木耳鼻咽喉科医院","松本市中央１−１４−７","鈴木　俊哉","はい","いいえ","はい","認定補聴器専門店へ紹介する","行っていない"]
["E","ふなくぼ耳鼻咽喉科医院","松本市笹賀５５１２−１","舟久保　辰男","はい","いいえ","はい","その他","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]