| IVOD_ID |
159179 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/159179 |
| 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 |
2025-03-13T14:05:44+08:00 |
| 結束時間 |
2025-03-13T14:16:35+08:00 |
| 影片長度 |
00:10:51 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/3b972b8f6f00770f2390aa6f5bdc66840aae3c1a04a00b1bb46c869ad093de6ab67a135d127549fe5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
楊曜 |
| 委員發言時間 |
14:05:44 - 14:16:35 |
| 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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| transcript.whisperx[0].start |
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謝謝主席 主席我請一下邱部長 |
| transcript.whisperx[1].start |
13.143 |
| transcript.whisperx[1].end |
33.834 |
| transcript.whisperx[1].text |
委員好 部長好 部長我剛好就有幸聽到劉建國委員的質詢您在答覆的時候有關分級醫療的轉整的部分由上級往下級轉 |
| transcript.whisperx[2].start |
36.156 |
| transcript.whisperx[2].end |
42.726 |
| transcript.whisperx[2].text |
你剛好舉到了台大轉中心那本席剛好在 |
| transcript.whisperx[3].start |
44.028 |
| transcript.whisperx[3].end |
68.155 |
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前兩個禮拜有一個服務案件就是很典型就是台大轉中心那我現在就直接跟部長探討一下病患家屬的感受我大概不止一次在這個執行台上講過就是要落實分級醫療必須要每一個每一層的層級 |
| transcript.whisperx[4].start |
70.996 |
| transcript.whisperx[4].end |
93.963 |
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負擔有他應該要有的醫療責任對不對配置人力跟種種是這樣子就是去台大急診那必須要住院還蠻急還蠻嚴重的可是台大就是沒有病床後來就說服了 |
| transcript.whisperx[5].start |
95.542 |
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119.378 |
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病患家屬就轉到中心轉到中心以後當然就有病床有病床是可以安心治療的第一步我想應該是這樣子 對病患也好對病患家屬也好 是安心治療的第一步可是他大概在住院的第三天就有跟我講 他覺得 |
| transcript.whisperx[6].start |
120.657 |
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136.684 |
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他覺得我不敢評斷,這個是家屬的感受,他覺得在中心的各項檢查好像不如台大那麼嚴謹 |
| transcript.whisperx[7].start |
142.867 |
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159.039 |
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我講是病患家屬的感受並不是指控中心醫院這個我必須要很明確的講我想中心醫院的醫療品質也非常高所以我才說這是家屬的感受家屬為什麼會有這個感受 |
| transcript.whisperx[8].start |
160.856 |
| transcript.whisperx[8].end |
183.041 |
| transcript.whisperx[8].text |
其實從這裡就可以看出來,由上轉下有多困難因為台灣一般的民眾,我人已經到醫學中心了,我就不願意到區域醫院到區域醫院了,你說要轉第七醫院,他也會有抗拒 |
| transcript.whisperx[9].start |
185.162 |
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200.722 |
| transcript.whisperx[9].text |
這個是一件很困難的事情所以劉建國委員剛剛的數據10比1我個人是覺得其實已經算接受上轉下的通常 |
| transcript.whisperx[10].start |
202.04 |
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227.863 |
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出於無奈的比較多啦 應該這麼講要不然應該很難啦 對不對所以分級醫療的部分我還是這樣子講那另外還有一個問題就是上轉下 現在我的看法 我的觀察連澎湖兩家醫院都有降載的情形就是病床降載的情形 |
| transcript.whisperx[11].start |
229.065 |
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248.175 |
| transcript.whisperx[11].text |
所以也不見得上要轉下就有得轉因為病床降載也好 關床也好是一個全面性的問題並不限於哪一層級的醫院院長我這樣子講 對不對 |
| transcript.whisperx[12].start |
251.206 |
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272.562 |
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我這樣講所以人力才是問題那我們今天講急重症我還是要講一下就是二月底的時候台灣急診醫學會就已經有警示今年的急診的用篩大概前所未有的嚴重 |
| transcript.whisperx[13].start |
276.229 |
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302.682 |
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其實這個問題產生其實會引發很多後續的問題所以衛福部的新聞稿曾經指出說衛福部在春節的年後就已經發現醫院有擁塞的問題也開了四次會可是二月底 |
| transcript.whisperx[14].start |
303.615 |
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314.43 |
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台灣醫學會還發出警訊 到底為什麼你們開會在前嘛 那他們警示在後問題也一直存在嘛 |
| transcript.whisperx[15].start |
315.55 |
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部長回答或市長回答就可以因為我先瞭解順序一下啦那個第一次開會是2月3號那急診醫學會是第一次會議是2月8號2月8號2月8號對然後第二次2月13那急診是是2月底發出的警示2月底發出的警示2月底台花對那其實這中間我跟急診醫學會的理事長 |
| transcript.whisperx[16].start |
340.782 |
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367.338 |
| transcript.whisperx[16].text |
不曉得互動多少次了啦那急診醫學會站在關心國家的整個體制畫出的我們真的我完全他畫了以後我們隔天還是還是在一起啊所以我會尊重說每一個專業團體站在國家的立場沒有我覺得急診醫學會呢我們就是在解決問題這樣子也是出於善意我覺得他們是出自於善意想要幫 |
| transcript.whisperx[17].start |
370.62 |
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389.266 |
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呼籲大家共同來關心這個問題那大家來解決這樣子我現在問的就是說為什麼我們的作為會慢半拍啦我現在問的是因為你們開會其實開很早嘛就表示你們有問題意識嘛部長你懂我的意思嗎 |
| transcript.whisperx[18].start |
396.953 |
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414.779 |
| transcript.whisperx[18].text |
對 因為前三次當然是有請林靜儀次長主持那他可能要蒐集第一次的意見 他提出看怎麼做那第二次可能在領導 可能那個劉市長都有參與 他解釋一下 |
| transcript.whisperx[19].start |
415.419 |
| transcript.whisperx[19].end |
430.229 |
| transcript.whisperx[19].text |
我補充一下其實急診醫學會會提出這個它的重點在於大家都一直在講急診優篩其實是醫院優篩所以我們前面開幾次會的部分的話其實是第一個院內先處理嘛然後那 |
| transcript.whisperx[20].start |
430.689 |
| transcript.whisperx[20].end |
450.095 |
| transcript.whisperx[20].text |
那個急診醫學會覺得是說這必須要top down下來再來呼籲所以他們決定是說用這樣的方式的話其實應該是全院一起來協助因為不是只有急診的問題包括了人力啊這些其實才是產生這次在因應這一塊的時候他們覺得長期來的消化這個急診 |
| transcript.whisperx[21].start |
451.275 |
| transcript.whisperx[21].end |
474.483 |
| transcript.whisperx[21].text |
這一次事件由春節這樣子延伸過來再加上那個傳染病的這一塊的人數然後之後又可能會因為春節之後恢復正常了門診的病人又要大門診的病人schedule的病人又要進來了那原本給急診的這條綠色通道就會被關他們擔心這個所以才會在2月22號的時候提出這樣的聲明以上 |
| transcript.whisperx[22].start |
475.143 |
| transcript.whisperx[22].end |
498.329 |
| transcript.whisperx[22].text |
對啦 我其實並不是要跟你們討論台灣急診協會為什麼發啦我直接跟部長和市長說明好了啦我覺得假如人力不做增補隨時會用篩啦 |
| transcript.whisperx[23].start |
501.638 |
| transcript.whisperx[23].end |
529.673 |
| transcript.whisperx[23].text |
因為台灣的健保這麼可貴就醫的可侵性這麼高造成了很多後續的問題啦博君你有沒有聽到我的意思我就是覺得這個不只是今年啦我相信而且根據我這裡的資料是急診專科住院醫生的招生率是 |
| transcript.whisperx[24].start |
531.434 |
| transcript.whisperx[24].end |
546.541 |
| transcript.whisperx[24].text |
是低到讓我們覺得有點恐怖因為急診專科它本身就是一個必須要長期生活在高度壓力緊張的環境的一個工作 |
| transcript.whisperx[25].start |
548.262 |
| transcript.whisperx[25].end |
567.174 |
| transcript.whisperx[25].text |
就在醫生的範圍裡面他算是比起其他的醫生他可能生活的壓力更大工作的壓力更大那我們假如說沒有辦法招足一定的人力我也知道健保署很 |
| transcript.whisperx[26].start |
569.448 |
| transcript.whisperx[26].end |
595.694 |
| transcript.whisperx[26].text |
很有心要解決問題啦所以我們好像又撥了42億要來增加集中症的給付然後提高急診護理師的待遇不過我還是要講就是說有一些事情確實可以用錢解決有一些事情沒有辦法啦這個是比較長久的問題就藉由今天這個機會跟部長 |
| transcript.whisperx[27].start |
600.556 |
| transcript.whisperx[27].end |
619.807 |
| transcript.whisperx[27].text |
我們真的是必須要增加人力人力不增加永遠都會堵塞因為我想健保制度已經走到這裡也不可能就醫的可親信把它降低不可能啦 |
| transcript.whisperx[28].start |
621.028 |
| transcript.whisperx[28].end |
645.469 |
| transcript.whisperx[28].text |
假如不可能的話就只能增加人力設備的投資是比較快而且比較小事人力的培育比較困難不管是醫生護理師我覺得有很多不是待遇的問題的好不好我們有一些其他的問題我們就下一次有機會再做探討 |