| IVOD_ID |
159193 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/159193 |
| 日期 |
2025-03-14 |
| 會議資料.會議代碼 |
院會-11-3-5 |
| 會議資料.會議代碼:str |
第11屆第3會期第5次會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
3 |
| 會議資料.會次 |
5 |
| 會議資料.種類 |
院會 |
| 會議資料.標題 |
第11屆第3會期第5次會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-03-14T15:34:02+08:00 |
| 結束時間 |
2025-03-14T16:04:53+08:00 |
| 影片長度 |
00:30:51 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/7c41c7866a52398ad5dcf61c4b5ac953769f2953f6d3be09d73a7bbe31daea54ccb487e2fda4bc7d5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
羅廷瑋 |
| 委員發言時間 |
15:34:02 - 16:04:53 |
| 會議時間 |
2025-03-14T09:00:00+08:00 |
| 會議名稱 |
第11屆第3會期第5次會議（事由：一、對行政院院長提出施政方針及施政報告繼續質詢。二、3月14日上午9時至10時為國是論壇時間。三、3月18日下午2時15分至2時30分為處理臨時提案時間。） |
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好 謝謝韓院長 有請卓院長 謝謝麻煩再請卓院長備選 |
| transcript.whisperx[1].start |
31.206 |
| transcript.whisperx[1].end |
50.26 |
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好 院長好 院長113年啊我們有一個兒童發展篩檢的一個計畫編列的2.33億去年7月推出的這個計畫請問院長目前辦理的成效 經費 核銷截至目前是多少 您有掌握嗎請部長來說明一下不好意思 時間好 謝謝 謝謝 感恩 感恩部長辛苦了齁 |
| transcript.whisperx[2].start |
62.075 |
| transcript.whisperx[2].end |
74.372 |
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有掌握相關的核銷嗎?還有成效?我是說我們因為這個剛推出嘛那大概現在有1186家的醫院跟診所這個我都知道來我們來看一下數據 |
| transcript.whisperx[3].start |
75.816 |
| transcript.whisperx[3].end |
82.862 |
| transcript.whisperx[3].text |
院長預計服務4.5萬人這個是113年所提出的新聞稿那114年講說已經超過26萬人次接受兒童發展篩檢服務部長這兩個數字差很多哪一個是對的113年說4.5萬人可以享受114年變成26萬人次怎麼樣計算的 |
| transcript.whisperx[4].start |
103.258 |
| transcript.whisperx[4].end |
119.425 |
| transcript.whisperx[4].text |
根據統計現在已經超過25萬人次因為一個小孩可以有接受重複嘛對不對到底是重複計算還是數據有整合其他的計畫這部分我要打上一個問號但是我要先講院長 |
| transcript.whisperx[5].start |
121.347 |
| transcript.whisperx[5].end |
142.428 |
| transcript.whisperx[5].text |
這個兒童發展篩檢的一個計畫政策是利益良善我們支持但是4.6萬人跟現在說26萬人次的享受到底是在講兒童發展篩檢還是兒童預防保健服務合併計算我覺得這個部分希望衛福部講清楚說明白部長您知道嗎 |
| transcript.whisperx[6].start |
143.509 |
| transcript.whisperx[6].end |
171.399 |
| transcript.whisperx[6].text |
是合併計算嗎?我現在的資料是有一千九十家在一千家左右提供是哪一個服務啦?二十五萬人次兒童接受兒童發展篩檢我要跟你講的是還是有很多家長覺得兒童發展篩檢的計畫可以再加大力度宣導這部分我們一起來努力但是怎麼樣來宣導加強呢這個部分我希望家長端的部分有給予我們意見我希望你能夠接納 |
| transcript.whisperx[7].start |
172.199 |
| transcript.whisperx[7].end |
195.085 |
| transcript.whisperx[7].text |
那第二個剛剛是家長端再來我要講的是醫院端醫院端目前有什麼問題你有沒有掌握到醫院端醫院端現在大概還有幾十家還沒有正式開始你有沒有去了解他為什麼沒有辦法正式開始你有沒有去關心你是部長啊 |
| transcript.whisperx[8].start |
196.443 |
| transcript.whisperx[8].end |
213.448 |
| transcript.whisperx[8].text |
應該是人力的規劃還有一些缺失吧人力的規劃不足我想院長講出來了但是我要講的是就我所知道兩位醫師有跟我反映也有透過網路在反映我必須要如實的轉達第一位醫師跟我講人力不足第二位醫師他講的是這樣子這個政策 |
| transcript.whisperx[9].start |
215.208 |
| transcript.whisperx[9].end |
231.127 |
| transcript.whisperx[9].text |
本身確實有很多討論的空間在現行有七次預防保健的服務之下還要要求醫學中心再額外提供六次發展篩檢的服務實行上是有難度的部長這個你有掌握到他的一個論點嗎 |
| transcript.whisperx[10].start |
233.35 |
| transcript.whisperx[10].end |
255.831 |
| transcript.whisperx[10].text |
你要怎麼回應這個醫師的意見那個是不一樣的啦 兒童健康照顧這個部分他是要多月多好免 現在重視因為這幾年來大家的反應 家長的反應認為說他的發展還是要早一點發展所以你認同兒童發展篩檢的服務是有必要進行的對不對有必要有必要的嘛 |
| transcript.whisperx[11].start |
256.931 |
| transcript.whisperx[11].end |
273.938 |
| transcript.whisperx[11].text |
但是作為一個民意代表我想不管是家長端跟醫院端所講出來的聲音我必須讓你知道醫院端有醫院端的一個困難包括現在我們說的現在醫護人員的一個相關環境我們要怎麼讓他更好醫療人員的一個缺少你有沒有辦法補足 |
| transcript.whisperx[12].start |
274.358 |
| transcript.whisperx[12].end |
303.46 |
| transcript.whisperx[12].text |
我們所關心的健保點值0.956月下旬你說要把它完成能不能去執行這都是我們持續在關注這都是我們現在想要為這些醫療人員發聲的這個部分我希望你要追蹤啊台大有沒有去執行這個業務我們希望他一定是願意去執行政策但是作為部長你應該去傾聽醫療基層人員他們實行的困難點可以嗎當然可以院長 |
| transcript.whisperx[13].start |
304.695 |
| transcript.whisperx[13].end |
325.298 |
| transcript.whisperx[13].text |
擴大兒童篩檢的服務有兩個目標第一個是希望及早發現遲緩兒童轉介追蹤掌握黃金的療癒時期第二個全國普及但是你知道偏鄉還有非都市地區啊你要免費給他去檢查他都不一定能用為什麼因為不夠普及啊 |
| transcript.whisperx[14].start |
326.175 |
| transcript.whisperx[14].end |
348.332 |
| transcript.whisperx[14].text |
我們現在掌握到的台東東河鄉、北南鄉還有雲林古坑鄉、包中鄉以及林內鄉台中市自己的和平區新社區基隆的七堵區院長沒有人照顧偏鄉非度市區沒有去處理這樣子的兒童發展篩檢的服務現在連衛生所都沒有納入這個計畫院長部長我們要不要處理 |
| transcript.whisperx[15].start |
349.176 |
| transcript.whisperx[15].end |
363.358 |
| transcript.whisperx[15].text |
當然對兒童的發展的遲緩問題應該列為國家很重要的政策尤其在少子化的時代那麼現在我們已經知道不僅在偏鄉在都市裡面的各式醫學中心醫師人數都不夠所以我希望 |
| transcript.whisperx[16].start |
364.264 |
| transcript.whisperx[16].end |
390.461 |
| transcript.whisperx[16].text |
部裡面要去如何培養醫師人士而且現在對現在的所有的醫師要合理的善待在待遇以及各種尊重上面要合理的善待我希望能夠把問題點出來家長端醫療院所端以及現在看到的沒有普及的部分應該要給予照顧給予支持而不是我們編列了這樣子的預算卻沒辦法達到目標我們編列了這樣子的政策卻讓基層難為我要幫基層講話 |
| transcript.whisperx[17].start |
393.463 |
| transcript.whisperx[17].end |
415.115 |
| transcript.whisperx[17].text |
這部分我希望能夠帶到,也希望院長可以一起支持,可以嗎?好,謝謝。好,第二個我想再探討一個問題,現在流感疫情雖然下降,疾管署也預估三月中旬可以脫離高峰期,但是面對冬季流感的高峰,新冠疫苗,我們現在有這樣新冠的一個經驗,對流感未來政府有什麼因應措施,我們有準備什麼?我有幾個問題要就教。 |
| transcript.whisperx[18].start |
416.656 |
| transcript.whisperx[18].end |
438.102 |
| transcript.whisperx[18].text |
快篩試劑屬於醫療器材列管需由醫師以及醫療人員來做一個人員使用新冠疫情的時候未讓民眾能夠在家中就自行篩檢減少前往醫療院所的一個需求同意開放藥局在販售家用型的新冠疫苗試劑 |
| transcript.whisperx[19].start |
439.702 |
| transcript.whisperx[19].end |
456.259 |
| transcript.whisperx[19].text |
有效減少群聚更重要的是家用型對於年長者慢性疾病生活偏遠地區是給予有一個很重要的先期篩檢的一個保護所以我想問作為戰略物資醫療端的藥物快篩試劑安全庫存夠嗎量夠不夠 |
| transcript.whisperx[20].start |
459.553 |
| transcript.whisperx[20].end |
482.693 |
| transcript.whisperx[20].text |
我們希望衛部要流感的快篩試劑對 要把這個準備的存量要長期的來規劃這個我不懂是篩檢或者是藥物的存量都沒有問題篩檢試劑但我現在要講的新冠疫情現在藥局有販售家用型的篩檢試劑新冠篩檢試劑有家用型的但是請問目前家用型的流感快篩試劑有販售嗎有嗎 |
| transcript.whisperx[21].start |
487.197 |
| transcript.whisperx[21].end |
510.718 |
| transcript.whisperx[21].text |
流感應該都是在診所檢查來啦目前家用型的流感快篩試劑是沒有販售我要講重點為了讓流感防治措施能夠更加的靈活我建議將藥師週刊的第2004期刊登的全聯會支持調整防疫政策藥局開放販售流感快篩試劑納入考量 |
| transcript.whisperx[22].start |
513.281 |
| transcript.whisperx[22].end |
519.68 |
| transcript.whisperx[22].text |
請問一下院長您覺得比照新冠開放藥局販售流感型的家用快篩試劑 |
| transcript.whisperx[23].start |
520.943 |
| transcript.whisperx[23].end |
545.613 |
| transcript.whisperx[23].text |
這還是要經過專業的評估這個醫學的專業無法在這裡馬上但是我有提出數據了嘛我有提出這些週刊的一些內容嘛你可以參考嘛但是我要講的是新冠跟流感這兩種都是呼吸道傳染的都有類似的症狀導致第一線的醫護他不易區分他必須要有所謂的我要去用快篩試劑那我想問一下部長有沒有二合一的快篩試劑新冠跟流感 |
| transcript.whisperx[24].start |
548.3 |
| transcript.whisperx[24].end |
569.853 |
| transcript.whisperx[24].text |
有部分在...有嘛,是醫療人員在使用嘛所以我呼籲政府,不論是新冠或者是流感因應未來的可能性,突發性的一個可能有可能大爆發,快篩試劑一定要備足讓醫療人員能夠快速正確的去分類病人我想用藥更正確,快篩試劑的使用也給予醫療人員不足的偏鄉或者是離島地區作為初步篩檢嘛 |
| transcript.whisperx[25].start |
571.974 |
| transcript.whisperx[25].end |
588.602 |
| transcript.whisperx[25].text |
所以販售這個所謂的家用型流感的快篩試劑希望你們評估我們會請專家再來評估再來我想問一下 院長小金庫你有沒有聽過小金庫我所指的是勞動部的小金庫你有沒有聽過 |
| transcript.whisperx[26].start |
594.264 |
| transcript.whisperx[26].end |
606.693 |
| transcript.whisperx[26].text |
我們不准許未來用這樣的名詞來形容他那曾經被這樣子稱呼過您知道原因吧我知道外界媒體就是救安基金嘛但這個是不對的事情就是救安基金不用緊張不會叫你那有聽過衛福部有小金庫嗎我從來沒有聽過從來沒有聽過講出來嚇一跳耶好來 |
| transcript.whisperx[27].start |
618.643 |
| transcript.whisperx[27].end |
642.418 |
| transcript.whisperx[27].text |
依據衛生福利部食品藥物管理署審查費用人員管理要點我們來看一下第二點本要點所稱的審查雇用人員細指本署以及受僱者訂立勞動契約禁用負責從事藥物食品化妝品審查及稽查相關業務人員第四點我們再來看本要點所指的各項作業經費均由本署編列預算之一 |
| transcript.whisperx[28].start |
643.358 |
| transcript.whisperx[28].end |
655.912 |
| transcript.whisperx[28].text |
審查費用僱用人員之職稱 原而應適時的報准署長核定我們來看一下重點要來啦院長食藥署的審查費就是衛福部的小金庫 |
| transcript.whisperx[29].start |
657.369 |
| transcript.whisperx[29].end |
680.998 |
| transcript.whisperx[29].text |
院長 部長說明報告委員 這個需要時的審查費 已經二十年沒有漲了但是整個人力 整個成本我沒有說你漲價的問題啊我們來看一下 是你怎麼去使用這筆錢我們就看這個問題院長你看一下 我二月十一發文三月七號才收到回函啊花了二十四天 你們的行政效率還真好啊 |
| transcript.whisperx[30].start |
682.216 |
| transcript.whisperx[30].end |
686.097 |
| transcript.whisperx[30].text |
根據114年3月7日FDA主計字、地號我們1142300074號函108年到113年各年度的藥物、食品、化妝品審查費之稅入金額及審查僱用人員的經費相關資料顯示 |
| transcript.whisperx[31].start |
701.94 |
| transcript.whisperx[31].end |
730.434 |
| transcript.whisperx[31].text |
我們來看一下這些肉肉等但是我想院長您先稍微了解一下但最重要的是院長你可知道審查費用僱用人員有幾個特點第一所僱人力其中的10%得配置於行政人力外其餘40%規定應禁用於辦理藥品醫療器材食品化妝品等審查還有茶廠等相關業務的專業人員喔其他的不相關業務是不能使用喔 |
| transcript.whisperx[32].start |
731.659 |
| transcript.whisperx[32].end |
741.702 |
| transcript.whisperx[32].text |
聽起來合理啊我們再看自110年啊每年所使用的這個用人經費稅出預算50%編列107年到109年為45%編列110年變50%所經費屬行政院核定的專款專用收支並列 |
| transcript.whisperx[33].start |
756.226 |
| transcript.whisperx[33].end |
781.743 |
| transcript.whisperx[33].text |
而且這筆經費的多寡是依廠商繳交的規費財源而定那接下來我想詢問一下幾個問題院長那你知道食藥署怎麼用這筆錢嗎你有掌握嗎 院長如果收取規費一定有收取的標準使用也一定有法定的程序 一定有標準剛剛我講了辦理藥品 食品 化妝品 審查 茶廠相關業務合理吧你的財源是這樣子來的你應該用在這裡業務應該合理吧可以認同嗎 |
| transcript.whisperx[34].start |
786.686 |
| transcript.whisperx[34].end |
787.246 |
| transcript.whisperx[34].text |
請問司機跟審查業務有什麼關係這誰的司機 |
| transcript.whisperx[35].start |
816.482 |
| transcript.whisperx[35].end |
838.092 |
| transcript.whisperx[35].text |
部長,這是不是審查員的司機?報告委員,我想我們...任何一個部門一定都是依規定來辦理你現在就被我抓到了嘛,你用這一筆財源,你在聘司機嘛告訴我,審查員有沒有聘司機?你有沒有專聘司機給審查員去查查? |
| transcript.whisperx[36].start |
839.6 |
| transcript.whisperx[36].end |
860.579 |
| transcript.whisperx[36].text |
還是這是你部長的司機如果說他是茶廠或者是審查人員出門有沒有司機啊 你回答我啦那可能需要啊有需要 確定喔 從今天開始審查員所有人都配司機喔過往每一個審查員出去茶廠都一定有司機 確定嗎 |
| transcript.whisperx[37].start |
864.061 |
| transcript.whisperx[37].end |
882.318 |
| transcript.whisperx[37].text |
應該不是專屬的如果是有的話我們查一下如果一個單位裡面的公務車是大家共同來需要的時候使用的那這個司機應該在業務上他是可以含括在裡面的所以現在基本上審查人員如果沒司機就找部長因為你說要我們再來看協助執行新興媒體的宣導計畫相關業務請問一下這是1450嗎 |
| transcript.whisperx[38].start |
888.291 |
| transcript.whisperx[38].end |
911.342 |
| transcript.whisperx[38].text |
你所編列的這個協助新興媒體宣導計畫請問跟剛剛所提的相關業務有什麼關係因為現在的一個健康的知識或者是不管我們要做任何的一個健康的一個不管健康知識的傳導你講話越來越心虛來 第三個辦理立法院質詢議題擬達會診審查業務跟這什麼關係 |
| transcript.whisperx[39].start |
917.245 |
| transcript.whisperx[39].end |
946.313 |
| transcript.whisperx[39].text |
有時候委員會要求來做說明 他們必須及時趕到我想這三點喔 司機 新興媒體還有立法院 審查 擬達 會診作為現在我們看到的所謂的審查相關的藥廠 還是食品 化妝品相距甚遠我覺得在這個部分上 你運用這一筆款項到底合不合理部長 你覺得呢 |
| transcript.whisperx[40].start |
948.035 |
| transcript.whisperx[40].end |
972.463 |
| transcript.whisperx[40].text |
我想所有的華為一定是跟這個規定相關我們一定會確實去要求這樣子如果你現在這樣子跟我回答你想必這些業務應該是非常的有很多數使用所以呢你會編列這麼多徵才人事相關的資料這厚厚一點這厚一點是什麼 |
| transcript.whisperx[41].start |
973.695 |
| transcript.whisperx[41].end |
993.135 |
| transcript.whisperx[41].text |
這一箱東西是衛生福利部113年12月12日的資料根據食藥署108年到113年10月31公告歷年的審查費用人員資格聘查相關的偵查結果我要告訴你啊這一欄當中除了整個食藥署的政風處以外 |
| transcript.whisperx[42].start |
994.176 |
| transcript.whisperx[42].end |
1021.291 |
| transcript.whisperx[42].text |
你幾乎整個食藥署雨露均沾每一個人都使用這一筆經費在聘請這些所謂的司機新興媒體以及剛剛所提到的立法院你答詢會診相關業務這些偵查資料你為什麼沒有放在網路上供國人繼續閱覽你為什麼撤下來來我問你這些職缺資訊歷年來的什麼時候掛回去一天兩天三天就這麼多 |
| transcript.whisperx[43].start |
1022.908 |
| transcript.whisperx[43].end |
1025.431 |
| transcript.whisperx[43].text |
這些全部都是人民的血汗錢啊部長 |
| transcript.whisperx[44].start |
1028.41 |
| transcript.whisperx[44].end |
1056.474 |
| transcript.whisperx[44].text |
好 依規定需要掛載網路的我們一定掛載網路如果需要再補我們一定是把它完成我想每個單位都有類似這樣子的一個狀況我要再講的是 院長不是負責藥物食品化妝品審查相關稽查人員有188人188人啊 尚有部分錄取者學歷並未符合當初公告的 |
| transcript.whisperx[45].start |
1058.187 |
| transcript.whisperx[45].end |
1072.08 |
| transcript.whisperx[45].text |
還能予以任用這就是在第一會期我講的你們就是公告了 結果呢來的人不適合不符合資格 繼續任用再來 那個我們已經處理了很多 不只啦 不只啦部分 我現在沒有要針對 |
| transcript.whisperx[46].start |
1073.181 |
| transcript.whisperx[46].end |
1097.13 |
| transcript.whisperx[46].text |
求職者我不針對求職者我針對的是已經知道這些不符合我們的相關徵才以及不能運用這筆錢你還故意用這筆錢我要再講的是部分負責從事藥物食品化妝品審查稽查人員只有部分不是全職有112年食藥署113年11月檢送相關的雇用人員名冊中359人 |
| transcript.whisperx[47].start |
1099.491 |
| transcript.whisperx[47].end |
1124.899 |
| transcript.whisperx[47].text |
院長你知道嗎不是跟部分有從事這樣子的業務有198人佔了5乘5的比例5乘5就以113年審查費用僱用經費3.3億多元其中不是負責從事這樣子的業務的人佔了3成將近浪費了人民血汗錢1億多院長這怎麼交代 |
| transcript.whisperx[48].start |
1126.352 |
| transcript.whisperx[48].end |
1139.986 |
| transcript.whisperx[48].text |
委員 我要請教 您說了很多的數字但是具體的內容到底是什麼如果你有進一步 請你指教否則我會請會務 回去瞭解這麼多的人 或你說的三層五層那到底他具體做了哪一些不是在原來規範當中的行為跟業務 |
| transcript.whisperx[49].start |
1142.328 |
| transcript.whisperx[49].end |
1158.42 |
| transcript.whisperx[49].text |
謝謝院長那您需要更掌握精確的數字才可以去評斷但我要講的是剛剛這些數據不是我我就拿出來給你看都是我們所知出來的我們幫你彙整出來的我們幫你了解出來的我想院長根據行政院109年的公文他說所顧人力啊 |
| transcript.whisperx[50].start |
1158.82 |
| transcript.whisperx[50].end |
1183.178 |
| transcript.whisperx[50].text |
自110年起每個用人的經費稅數預算是50%編列其途中的一個10%編制10%的行政能力以外其餘人禁用辦理藥品醫療登記以及器材食品化妝品相關的勘驗審查還有茶廠相關業務那請問一下邱部長有照這樣做嗎 |
| transcript.whisperx[51].start |
1184.312 |
| transcript.whisperx[51].end |
1211.145 |
| transcript.whisperx[51].text |
我們願意整個檢討裡面人力的分佈的狀況我現在看就是有問題我才提出嘛109年有這樣子的公文我想這個部分目前有鐵一般的證據我都會一併交出去本席所提出的政府機關濫編預算胡亂使用的問題希望行政立法共同解決我想這政府預算是人民的血和錢 |
| transcript.whisperx[52].start |
1212.205 |
| transcript.whisperx[52].end |
1241.008 |
| transcript.whisperx[52].text |
如果現在你說不知道那我想我到時候會把這些資料全部交給審計由審計來查嘛那由審計來查以後我希望本席將今日函請審計不查核同時我也會複資通知我們各藥協會以及醫療器材的全聯會我想其次依照目前藥品醫療器材的登記申請查驗的登記案查驗的流程大致我們可以看到A 藥品 |
| transcript.whisperx[53].start |
1241.837 |
| transcript.whisperx[53].end |
1269.094 |
| transcript.whisperx[53].text |
我們看一下B 醫療器材C 國外品質的系統審查院長現行大部分的查驗登記幾乎完全以計畫式的委辦CDE以及相關的團體來做審查實要屬僅做複合式的審查是複合式啊其業務量可屬署內這些既有的審查人員大概只要現在的三分之一的量就可以了 |
| transcript.whisperx[54].start |
1269.741 |
| transcript.whisperx[54].end |
1298.004 |
| transcript.whisperx[54].text |
那為何這些審查費用聘用這麼多非從事還有部分從事審查相關業務的人員這就是我要問就是服邊了嘛服邊了你去濫用嘛所以一隻牛剝兩層皮對得起全國人民嗎這就是勞動部的救安基金翻版就在衛福部嘛所以這就是衛福部的一個小金庫政府濫用預算的實際阻礙我們食藥署的業務非常完重我們為了守住人民的一個藥品 醫材的 |
| transcript.whisperx[55].start |
1298.764 |
| transcript.whisperx[55].end |
1320.802 |
| transcript.whisperx[55].text |
的一個安全部長你講的話我必須打一個大大的問號還記得我們第一次在質詢的時候你告訴我人沒有問題到現在你跟我講已經處理掉了就代表著我講的是對的那我現在提出了提搬的證據我有這麼厚厚一疊的資料我希望你回去好好看清楚本期在此強調我不是針對錄取者我也不是針對所有的應徵的錄取者 |
| transcript.whisperx[56].start |
1325.046 |
| transcript.whisperx[56].end |
1354.104 |
| transcript.whisperx[56].text |
而是針對在開立這個條件這個單位知法而犯法濫增審查費不按編預算福報人士 院長這一切的資料我們就等審計部查核以後我們再來談在陽光下跟全民來交代但是我要講的是本席建議待審計部如果查證以後錢的部分對於多年來如果不當審查預算的一個經費逐年歸還你不當實用啊 |
| transcript.whisperx[57].start |
1354.804 |
| transcript.whisperx[57].end |
1371.461 |
| transcript.whisperx[57].text |
可以嗎委員您剛剛所舉的很多的規定包括人力的這個規劃跟你產生的結論我說中間有很大的落差有沒有落差你也要看數據嘛我們交給審計部去調查沒關係到底這個不當的使用你要具體的說出來是哪一些人不當的使用那我們絕對願意來查 |
| transcript.whisperx[58].start |
1372.702 |
| transcript.whisperx[58].end |
1375.626 |
| transcript.whisperx[58].text |
我剛剛已經講了 司機是不是所有審查員的司機到底是部長的司機 還是審查員的司機新興媒體到底跟茶廠還有相關的業務有沒有關係你剛剛的地法院 現在你說是有關於新興藥物或者是所謂的藥品食品的一些網路媒體宣傳沒關係嘛 我們審計部來查嘛 |
| transcript.whisperx[59].start |
1393.166 |
| transcript.whisperx[59].end |
1410.806 |
| transcript.whisperx[59].text |
所以我說最後的結論為何不就可以把它查得很清楚了好 為何不可以自己先來把它查清楚這就是我們看到的一個數據但我要講的是 院長如果現在我們看到這些問題我們就是面對問題解決問題但是不能跳痛啊 |
| transcript.whisperx[60].start |
1411.994 |
| transcript.whisperx[60].end |
1432.435 |
| transcript.whisperx[60].text |
有一個規定然後講一個結論中間是邏輯不同這樣我們也沒有辦法我剛剛講的是有一個規定但我提出了相關的數據我也去掌握了一些名冊而名冊裡面有188人是不是從事相關的業務那112人是部分這個我都有提出而且是由你所提出的一個名冊我加以回應的 |
| transcript.whisperx[61].start |
1436.02 |
| transcript.whisperx[61].end |
1455.171 |
| transcript.whisperx[61].text |
也不能說不同的部門就沒有不同我們繼續講沒關係我們濫增審查費服用人士我現在是這樣子定調沒關係你們兩位有意見我可以尊重但是人多真的好辦事嗎我們先來看一下在精進藥品品質提升審查速率有提升嗎 |
| transcript.whisperx[62].start |
1456.38 |
| transcript.whisperx[62].end |
1474.575 |
| transcript.whisperx[62].text |
院長部長有提升嗎現在人很多有提升嗎答案並沒有因為根據我手上掌握的資料我們現在還是在台灣有發生下列這些實況第一中國製的醫療器材藉由國外席產地透過不實的標示輸入國內審查 |
| transcript.whisperx[63].start |
1477.077 |
| transcript.whisperx[63].end |
1480.021 |
| transcript.whisperx[63].text |
沒有掌握 還是有這樣子的現況一直在發生是有未請的生產科合法資訊核證輸入國內販售還是有這樣的狀況一直在產生喔 |
| transcript.whisperx[64].start |
1491.889 |
| transcript.whisperx[64].end |
1509.741 |
| transcript.whisperx[64].text |
我現在是說我們人力有超過那目前審查費也編了也收了但是我們國內一直有層出不窮這幾個問題第三設有核准不具有製造該輸入的醫療器材之國內外的製造廠廠QSD等豎起檢驗試劑的違法執行室 |
| transcript.whisperx[65].start |
1514.69 |
| transcript.whisperx[65].end |
1531.009 |
| transcript.whisperx[65].text |
我想針對食藥署核准6000多家QST的廠商審閱目前我只查了約五分之一就已經找到十幾家有問題的廠商這難道不嚴重嗎審查的品質有變好嗎謝謝委員請你把那十幾家的資料給我們 |
| transcript.whisperx[66].start |
1531.77 |
| transcript.whisperx[66].end |
1553.301 |
| transcript.whisperx[66].text |
我也會要求衛福部就這三項真的有這三項我們疏忽了沒有發現了而讓他在國內造成任何的醫療行為上的偏失絕對不允許我們會查也請你把那十幾項我希望把事情重視一起維護國人的健康這部分可以嗎好 所以拜託委員把那十幾項給我們我們會查好 謝謝我們下一個議題 |
| transcript.whisperx[67].start |
1561.375 |
| transcript.whisperx[67].end |
1571.328 |
| transcript.whisperx[67].text |
院長我想跟你請教一個問題小朋友大概要打幾個疫苗0到2歲您大概知道嗎部長可以回答0到2歲我想那個從 |
| transcript.whisperx[68].start |
1579.278 |
| transcript.whisperx[68].end |
1604.933 |
| transcript.whisperx[68].text |
好沒關係我無意刁難我無意刁難沒關係因為太多了我能夠體諒公費疫苗卡介苗日本腦炎水痘B型肝炎五合一麻疹德國麻疹還有篩腺炎混合疫苗還有破傷風還有相關小額麻痺還有13架的結核肺炎鏈球菌的疫苗院長這是公費這是公費但是我要唸的 |
| transcript.whisperx[69].start |
1606.158 |
| transcript.whisperx[69].end |
1634.671 |
| transcript.whisperx[69].text |
高端腸病毒71型自費哈多辛621自費日本腦炎活性減毒疫苗自費水痘疫苗自費麻疹德國麻疹篩腺炎混合疫苗也是自費破傷風減毒白喉非細胞型百日咳三合一疫苗也是自費B型肝炎A型肝炎B型腦膜以及肺炎戀球訓有23架的有13架的15架的以及輪狀病毒口服疫苗三劑型的 |
| transcript.whisperx[70].start |
1635.95 |
| transcript.whisperx[70].end |
1653.886 |
| transcript.whisperx[70].text |
零零總總加起來兩三萬院長我講這個議題很簡單0到2歲孩子有許多的公費疫苗是現在政府的政策給他0元可以施打但是有更多自費型的疫苗需要政府來幫忙協助 |
| transcript.whisperx[71].start |
1656.109 |
| transcript.whisperx[71].end |
1673.786 |
| transcript.whisperx[71].text |
可以認同多編列我們相關的一些政策來給予這些少子化的家庭幫助讓他們的疫苗比如說像長病毒免費施打這個部分您可以認同嗎好 部長答覆公費疫苗我相信一定是全面廣泛而且是必要的急迫的那智慧的疫苗如果它將來也因為 |
| transcript.whisperx[72].start |
1675.347 |
| transcript.whisperx[72].end |
1704.203 |
| transcript.whisperx[72].text |
比較多的案例或是健康之所需要在政府財政衡量底下我認為應該優先來考量優先來考量 院長你這樣說那我請問一下部長您認為哪些是優先報告委員我們這個都按照疾管署的ACIP一個很可以全國的防疫專家組成的一個委員會有沒有在瞭解這個狀況一個一個去審查他有一個從公衛的角度目前有沒有審查哪一個部分可以優先可能提供所謂的自費變成公費 |
| transcript.whisperx[73].start |
1705.897 |
| transcript.whisperx[73].end |
1726.04 |
| transcript.whisperx[73].text |
腸病毒可以嗎腸病毒因為他我們在ACIP的裡面論理他的流行的型有時候跟疫苗的型是不一樣的所以他的效果是不好沒有辦法去抓住所以他們ACIP就認為說先還好你腸病毒還你其他的有沒有機會這個部分哪時候給我資料你們哪時候審查出來 |
| transcript.whisperx[74].start |
1727.281 |
| transcript.whisperx[74].end |
1749.69 |
| transcript.whisperx[74].text |
哪一個疫苗自費型的疫苗我剛剛講了這麼多有沒有機會其他的不是所謂的腸病毒以外的有沒有機會納入公費哪時候公布我剛剛念了這麼多那個要一個一個進去加強查驗嘛剛剛院長不是說了如果可以的話優先嘛照顧孩子少子化 |
| transcript.whisperx[75].start |
1751.178 |
| transcript.whisperx[75].end |
1768.811 |
| transcript.whisperx[75].text |
則無旁貸吧但是也要考慮他的效率當然我尊重所以尊重專業這部分我發聲你處理嘛再來我要講的是喔院長我要講喔我們來舉一個例子您聽聽看假設小邱一家三口小邱的薪資所得每月健保費是一千五 |
| transcript.whisperx[76].start |
1769.531 |
| transcript.whisperx[76].end |
1794.402 |
| transcript.whisperx[76].text |
小秋的老婆現在每月健保費是800元那小孩子是跟著媽媽投保嗎就是也是800 1500 800 800但是一家三口合計現在是3100後來如果媽媽她選擇了加入離開職場做全職媽媽做全職媽媽這個媽媽就要跟著爸爸一起投保健保所以她剛剛的800就變成1500 |
| transcript.whisperx[77].start |
1796.923 |
| transcript.whisperx[77].end |
1815.743 |
| transcript.whisperx[77].text |
那孩子是不是也是跟著所謂的家長也就是爸爸一起投保所以一千五直接變成成與三我想問一下院長剩時間不多對於要做全職的媽媽或全職的爸爸他離開職場結果他的健保費增加 |
| transcript.whisperx[78].start |
1816.843 |
| transcript.whisperx[78].end |
1816.863 |
| transcript.whisperx[78].text |
好 謝謝 |
| transcript.whisperx[79].start |
1840.612 |
| transcript.whisperx[79].end |
1843.054 |
| transcript.whisperx[79].text |
謝謝羅廷偉委員的質詢謝謝左院長各部會首長的備詢謝謝報言會現在我們休息我們4點15分繼續開會好謝謝 |