| IVOD_ID |
159174 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/159174 |
| 日期 |
2025-03-13 |
| 會議資料.會議代碼 |
委員會-11-3-26-2 |
| 會議資料.會議代碼:str |
第11屆第3會期社會福利及衛生環境委員會第2次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
3 |
| 會議資料.會次 |
2 |
| 會議資料.種類 |
委員會 |
| 會議資料.委員會代碼[0] |
26 |
| 會議資料.委員會代碼:str[0] |
社會福利及衛生環境委員會 |
| 會議資料.標題 |
第11屆第3會期社會福利及衛生環境委員會第2次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-03-13T13:21:08+08:00 |
| 結束時間 |
2025-03-13T13:31:56+08:00 |
| 影片長度 |
00:10:48 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/3b972b8f6f00770f1e25a0c7eec68e970aae3c1a04a00b1b75917ee1f59655e5cc0bfe413a39fb5b5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
洪孟楷 |
| 委員發言時間 |
13:21:08 - 13:31:56 |
| 會議時間 |
2025-03-13T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第3會期社會福利及衛生環境委員會第2次全體委員會議（事由：邀請衛生福利部部長就「有關全國急重症醫療量能」進行專題報告，並備質詢。
【如遇加開院會本次會議取消，不再另行通知】） |
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來邱部長不好意思沒讓你坐下來這樣麻煩你好不好 |
| transcript.whisperx[1].start |
10.558 |
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委員好好直接切入重點大家都關心我們全國的急重症醫療量能是但是昨天爆發新聞我看到說昨天有個新聞是邱太元拍板護理跨科資源指引定案要研議要出來馬上今天又講說護理人員認為根本是跨科資源指引是犧牲權益啊部長 |
| transcript.whisperx[2].start |
37.881 |
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怎麼會有那麼大的落差現在我們會提出跨科資源指引嗎好 感謝委員的推行那這個是這樣子我們定期跟台灣醫療工會我想那個有醫師有護理師 |
| transcript.whisperx[3].start |
53.368 |
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57.089 |
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我都理解這不用講背景說明啦我們現在在承認問題來回答問題好不好提議說有一個護理有護理的角度提出一個所以你昨天有沒有拍板我確定當然拍板要研議啊要把他的版本拿來他們也很客氣說希望兩個版本給我們來參考這樣子 |
| transcript.whisperx[4].start |
72.225 |
| transcript.whisperx[4].end |
98.702 |
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所以那個我們因為相對這個在醫療公會其實也很代表基層的一個護理的心聲啦所以我們一定要去悉心的來也感謝他們願意提出版本這個他們也花了很多的精神所以我們正在為我們鼓勵所以版本你還沒有看到方向是什麼他版本昨天應該還沒有提出來是不是那個有沒有 |
| transcript.whisperx[5].start |
101.537 |
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115.205 |
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要不要看一下昨天的新聞是怎麼跑馬以及今天早上護理師是怎麼樣的強烈的抗議他強烈譴責衛福部侵害護理的權益要求撤回跨科指引跟颱風天出勤指引 |
| transcript.whisperx[6].start |
116.274 |
| transcript.whisperx[6].end |
142.847 |
| transcript.whisperx[6].text |
沒關係 這個我們齁 就到現在還搞不清楚不是 護理這幾個團體有護理師公會 護理醫學會 護理公會還有昨天我們定期見面的台灣醫療公會那台灣醫療公會提出來的一個他們不希望用院方的角度來做床的分配因為這樣有一點會影響到護理那護理輪流念力提出這樣一個我們當然要嚴厲啊那當然我也知道 |
| transcript.whisperx[7].start |
143.527 |
| transcript.whisperx[7].end |
147.832 |
| transcript.whisperx[7].text |
他們裡面的代表講說在工會本席剛剛已經講了工會是反對這個的啦工會是反對嘛工會反對所以我也可以找工會來和我溝通一下啦總是要解決問題嘛 |
| transcript.whisperx[8].start |
158.564 |
| transcript.whisperx[8].end |
172.834 |
| transcript.whisperx[8].text |
工會代表什麼工會代表就是護理人員嘛最基層的地線的護理人員那你們今天在做這樣子的一個指引的時候沒有找護理人員來討論那你昨天一直推說所謂的定期會但定期會 |
| transcript.whisperx[9].start |
173.775 |
| transcript.whisperx[9].end |
194.993 |
| transcript.whisperx[9].text |
那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔那個就是護理人員喔 |
| transcript.whisperx[10].start |
203.345 |
| transcript.whisperx[10].end |
224.934 |
| transcript.whisperx[10].text |
有沒有轉彎的方向是不是又轉彎了哪一方面轉彎有沒有要推出所謂的跨科資源指引如果有人適當而且是護理界都有共識的我們當然樂觀其成因為總比院方來院方來調床所以後續會不會找相關公會大家來討論沒問題啊 |
| transcript.whisperx[11].start |
227.631 |
| transcript.whisperx[11].end |
248.498 |
| transcript.whisperx[11].text |
我們把所有相關的婦女團體通通找來討論啊好 部長你的承諾找所有的相關團體來討論來 另外喔我們一直講說三班互併比啊其實前兩天的這個總諮詢的時候那個總預算的複議的時候我也特別跟您請教是 |
| transcript.whisperx[12].start |
249.398 |
| transcript.whisperx[12].end |
275.691 |
| transcript.whisperx[12].text |
其中申辦護病筆你現在都一直講是說要獎勵先行對不對回答很多的委員是我說實在話給醫院時間來補足人力習慣護病筆的政策我想這個也不要說一步到位然後好像馬上就要開罰但重點是現在大家的獎勵到底有沒有在一個公平公允的標準我覺得這是很重要的事情我們先問 |
| transcript.whisperx[13].start |
278.066 |
| transcript.whisperx[13].end |
292.678 |
| transcript.whisperx[13].text |
幾個問題第一三班戶病比現在是以醫院來做單位還是以病床來做單位是各個病房還是整個整體醫院嘛 |
| transcript.whisperx[14].start |
296.054 |
| transcript.whisperx[14].end |
321.358 |
| transcript.whisperx[14].text |
過去很多的護理人員一直在跟你強調一直在討論是說一家醫院裡面它有各個不同的狀況你如果說用整個醫院的人力跟整個醫院病床數據來做平均的話你那個數據沒有辦法如實的呈現時段也好這個醫院也好它都會有一個落差那醫護人員有沒有 |
| transcript.whisperx[15].start |
322.062 |
| transcript.whisperx[15].end |
351.028 |
| transcript.whisperx[15].text |
您想要 您是司長嗎好蔡司長蔡司長有沒有之前有接受過護理人員一直跟你反應是說其實高低護病比互相稀釋可能會造成不公允的情況所以希望是能夠用病床為基礎單位來公告三班護病比這個三班護病比我們這個住院有兩大病床一個叫做一般急性病床一個是特殊病床那我們現在的三班護病比指的是急性一般 |
| transcript.whisperx[16].start |
352.562 |
| transcript.whisperx[16].end |
355.404 |
| transcript.whisperx[16].text |
急性一般病床那這個全國大概有10萬床那這個病床其實有不同科別不同的科別但是在討論裡面可行跟理想當然可行跟理想總是有一個距離但是這個是經過了七個版本 |
| transcript.whisperx[17].start |
369.298 |
| transcript.whisperx[17].end |
384.895 |
| transcript.whisperx[17].text |
半年的填報六次的系列的協商那當然大家沒有完全大家都滿意但是沒有辦法達成共識但是有共識啊共識就是說先上路就是護理社共識還是醫院的共識還是你衛福部的共識有護理團體有醫院很實在話講來部長是 |
| transcript.whisperx[18].start |
391.311 |
| transcript.whisperx[18].end |
419.665 |
| transcript.whisperx[18].text |
剛剛司長也特別另外提到另外一個部分也是我想請教的就是所謂的病床其實有分一般急性的一般病房以及隔離病房特殊病房那你這個三班護病比其實是沒有把特殊病房給放進去的沒有放進計算那代表什麼代表說有一些護理人員他有可能他也要負責到這個部分但是他是沒有加入計算那某種程度上他也是增加護理人員的負擔啊 |
| transcript.whisperx[19].start |
421.429 |
| transcript.whisperx[19].end |
430.172 |
| transcript.whisperx[19].text |
三班戶病比最大的目的就是整個醫院在一個復循環裡面那我們怎麼讓復循環變成正當然問題有優先次序嘛因為現在醫院裡面最留不住的其實是一般級性病床而且是他也是護理人員最大宗的因為一般級性病房大概是10萬床特殊病房是4萬床那他這個人力的配備設備人力的那個標準都不一樣市長來 部長 |
| transcript.whisperx[20].start |
451.226 |
| transcript.whisperx[20].end |
472.447 |
| transcript.whisperx[20].text |
我其實今天點出來這個問題我們還是要一起面對就說現在我們看到的是希望護理人員能夠有更多護理人員投入大家都有熱情有想法是南丁格爾但是不是一而再再而三去壓榨或是說是讓他們負擔更重的沉重他們是南丁格爾但是不要把他們當成是塑膠麻糬 |
| transcript.whisperx[21].start |
473.514 |
| transcript.whisperx[21].end |
492.051 |
| transcript.whisperx[21].text |
要持續的挪捏持續的壓榨那護理人員尤其是像今天我們看到台灣護士醫療產業工會他們也發出強烈的新聞稿來要求的時候是不是真的也應該聽聽護理人員的心情我們會請他來溝通最後 |
| transcript.whisperx[22].start |
495.285 |
| transcript.whisperx[22].end |
518.994 |
| transcript.whisperx[22].text |
部長一分鐘的時間喔馬街醫院有受到這個駭客入侵是不是現在有一千多萬筆的病患個資說被外洩我一直強調是說源頭管理非常重要因為如果說這者個資被詐騙集團掌握的話詐騙集團非常好騙他可能就直接打電話給某某某譬如說打電話給邱先生嗎 |
| transcript.whisperx[23].start |
520.02 |
| transcript.whisperx[23].end |
536.317 |
| transcript.whisperx[23].text |
你的身份證字號幾號你的出生年日日幾號我都已經先跟你講完之後我再來去取信於你之後要詐騙就相對容易了解那我想請教2023年速發部成立的時候也說要打造資安國家隊 |
| transcript.whisperx[24].start |
537.543 |
| transcript.whisperx[24].end |
558.041 |
| transcript.whisperx[24].text |
就到現在2025年了我們發生了這個馬街醫院說這個病患各自外洩有沒有掌握到情況他到底是馬街醫院他的醫療他的這個防火牆或是說相關的這個治安不夠完整還是說這是普遍各醫院的狀況是這樣子 我們衛福部一聽到這個消息那當然爆發張機啦 就馬上 |
| transcript.whisperx[25].start |
560.063 |
| transcript.whisperx[25].end |
579.501 |
| transcript.whisperx[25].text |
跟司法部去做最好的一個處理所以後來就沒有那個後來就沒有再有衍生那之前的內容因為馬屑醫院說他們已經進入司法程序所以也不變說明好那我們掌握的情況因為衛福部是主管機關各單位你現在各下面的醫院 |
| transcript.whisperx[26].start |
580.492 |
| transcript.whisperx[26].end |
595.057 |
| transcript.whisperx[26].text |
因為我覺得醫院的病患個資其實是非常詳細的是不是所以說我們有沒有去現在來了解譬如說請衛護署發佈然後了解一下說我們現在各醫院大家到底有資安的狀況我們的衛護部 |
| transcript.whisperx[27].start |
598.458 |
| transcript.whisperx[27].end |
616.37 |
| transcript.whisperx[27].text |
資金是非常強的那跟事發部合作已經跟各個關鍵找了60家的重要的醫院已經找了嗎對已經開過了很早就開過大概兩個禮拜前就開過會跟他們講要怎麼防護而且有一套防護的機制這醫院被害是什麼時候被害的應該是二月 |
| transcript.whisperx[28].start |
620.652 |
| transcript.whisperx[28].end |
645.825 |
| transcript.whisperx[28].text |
之前就應該是被害了啊但是發現的時候我們就開始進行一連串的補救措施以及緩緩未來更多影響好那是不是可以請給本席相關的資料沒問題好不好你們做了因應馬街醫院被害之後做了什麼樣的一個加強管制的措施開會的後續的一個結論已經要求各醫院增加這個治安的一個防範沒問題這個我們都有加強謝謝沒問題謝謝謝謝孟海委員 |