| IVOD_ID |
160576 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/160576 |
| 日期 |
2025-04-23 |
| 會議資料.會議代碼 |
委員會-11-3-26-7 |
| 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7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 |
7 |
| 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7次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-04-23T13:26:21+08:00 |
| 結束時間 |
2025-04-23T13:36:45+08:00 |
| 影片長度 |
00:10:24 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/27ac2f54fdf75cc04498bd96dd0d54994d63fb5309bb2e637bdb191357f7ebfa10f22aa09be5a1b25ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
楊曜 |
| 委員發言時間 |
13:26:21 - 13:36:45 |
| 會議時間 |
2025-04-23T09:00:00+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7次全體委員會議（事由：邀請衛生福利部部長、財政部次長就「國家社會福利政策財源檢討及偏鄉兒童發展篩檢執行情形」進行專題報告，並備質詢。
【4月23日及24日二天一次會】） |
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| transcript.whisperx[0].start |
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好謝謝主席主席請一下吳道軍署長署長好委員好所以我我在質詢之前先部長你坐著聽就好了是這樣子就是小離島假如說醫師人力真的不足我覺得我們 |
| transcript.whisperx[1].start |
36.36 |
| transcript.whisperx[1].end |
51.221 |
| transcript.whisperx[1].text |
我們升格那麼多醫學中心我覺得是不是可以從擴大IDS這個最快這個是我多年來的看法你們回去研究一下 |
| transcript.whisperx[2].start |
53.481 |
| transcript.whisperx[2].end |
81.621 |
| transcript.whisperx[2].text |
就是擴大IDS讓醫學中心盡一些社會責任他們的人力在調配上也比較不會有問題這是我的建議這個也是我剛剛聽莊惠雄委員在講確實是因為我澎湖也有很多小離島就是小離島遇到的醫療資源不足的瓶頸這個是一個很大的問題 |
| transcript.whisperx[3].start |
82.762 |
| transcript.whisperx[3].end |
86.225 |
| transcript.whisperx[3].text |
那我就做這樣子的建議你們回去看看這個應該會比較快 |
| transcript.whisperx[4].start |
91.829 |
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118.742 |
| transcript.whisperx[4].text |
署長我們今天講我今天大概最主要會聚焦在兒童早療的需求所以才直接請署長上來回答根據部裡面的統計就是疑似發展遲緩兒童通報的數量其實是每年在增加2024年通報的數量已經快要接近4萬個 |
| transcript.whisperx[5].start |
121.149 |
| transcript.whisperx[5].end |
143.316 |
| transcript.whisperx[5].text |
相較於2020增加了一萬兩千這個算是足夠還蠻大的這個可能顯示民眾對於兒童發展慈患的健康意識有提升同時對於兒童發展年貧的需求也會逐年增加 |
| transcript.whisperx[6].start |
145.765 |
| transcript.whisperx[6].end |
172.853 |
| transcript.whisperx[6].text |
我們國建署從2023年開始擴大補助設置聯名中心那我有幾個問題請教一下署長目前全國有88家聯名中心相較於2022年增加了36家我想要請署長大概講說明一下聯名中心數量增加以後具體的效果有沒有出來 |
| transcript.whisperx[7].start |
174.551 |
| transcript.whisperx[7].end |
185.148 |
| transcript.whisperx[7].text |
譬如說縮短兒童等待評估的時間增加評估的人數這個有沒有辦法粗略的講一下 |
| transcript.whisperx[8].start |
186.741 |
| transcript.whisperx[8].end |
211.151 |
| transcript.whisperx[8].text |
謝謝委員的關心我們把它擴大就是希望有疑似個案的人能夠及早的掛到號然後縮短他掛號等待的時間進到聯評了以後我們也希望能夠在45天他能夠拿到他的聯評證書那這樣的話他才能夠進到後面的療癒的部分那就是我們擴大的一個目的那45天這個有達成嗎 |
| transcript.whisperx[9].start |
213.212 |
| transcript.whisperx[9].end |
232.199 |
| transcript.whisperx[9].text |
目前以113年來講跟112年來比的話那麼我們從過去的84.8提升到94.6那我們希望今年底能夠達到百分之百但是我們還在努力當中因為對於小孩子的 |
| transcript.whisperx[10].start |
233.86 |
| transcript.whisperx[10].end |
250.537 |
| transcript.whisperx[10].text |
的發展遲緩其實對家長來講是一種很大的心理負擔所以我們必須要盡可能的縮短他等待評估的時間因為評估完他才能夠真正進入早療系統有民間團體 |
| transcript.whisperx[11].start |
252.947 |
| transcript.whisperx[11].end |
278.317 |
| transcript.whisperx[11].text |
表示每年增加療癒的能量跟疑似遲緩兒童的通報數量其實是非常的不成正比的就是說療癒的能量也就是說簡單的講就是療癒的能量不足啦那兒童等待療癒的時間只要過長可能會影響到黃金的治療時間嘛 對不對 |
| transcript.whisperx[12].start |
285.446 |
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314.148 |
| transcript.whisperx[12].text |
療癒的門診數量不足的原因是不是因為專業評估的人員不足我想應該這樣說我們為什麼要去做篩檢就希望把疑似個案找出來趕快找出來然後趕快進到聯評那聯評卻拿到聯評書他就要說進到療癒的階段那我們後續療癒的階段因為有健保的相關的制度來介入 |
| transcript.whisperx[13].start |
317.51 |
| transcript.whisperx[13].end |
324.787 |
| transcript.whisperx[13].text |
對,看樣子就是速度還是少慢了一些啦 |
| transcript.whisperx[14].start |
326.188 |
| transcript.whisperx[14].end |
330.929 |
| transcript.whisperx[14].text |
我們再跟健保來檢討一下當然進去了以後有健保的問題這就是一個更複雜的問題不過我想站在國健署這邊還是必須要能夠儘速的讓 |
| transcript.whisperx[15].start |
348.221 |
| transcript.whisperx[15].end |
375.834 |
| transcript.whisperx[15].text |
讓專業評估的人員能夠我們盡快的把這些找出來的人讓他確診 確診完了以後就能夠進到療癒的部分對 因為其實聯平中心他大概要結合兩科以上的專科醫師還要有四個直系的專業評估人員這個是很需要人力也很需要財力的一件事情所以國健署 |
| transcript.whisperx[16].start |
380.538 |
| transcript.whisperx[16].end |
384.123 |
| transcript.whisperx[16].text |
基本上補助聯平中心的費用是一百萬那離島縣市 |
| transcript.whisperx[17].start |
387.028 |
| transcript.whisperx[17].end |
416.508 |
| transcript.whisperx[17].text |
大概多增加5萬我覺得太少啦我們會來再考慮對 因為其實錢不多啦就是盡可能的讓離島因為其實離島有很多困難我在這邊時間的關係所以我沒有辦法講得很詳細啦像剛剛莊惠雄委員講的等一下陳毅委員也會講啦就是離島偏鄉他需要的挹注的資源 |
| transcript.whisperx[18].start |
417.248 |
| transcript.whisperx[18].end |
431.556 |
| transcript.whisperx[18].text |
我覺得你們應該是可以再多給一些啦那澎湖呢就現在只有一個聯平中心是 我們正在湖島第二家對 那 |
| transcript.whisperx[19].start |
432.779 |
| transcript.whisperx[19].end |
452.557 |
| transcript.whisperx[19].text |
有沒有進度目前就我上個禮拜有跟陳局長聯絡那也跟這個部立或者是三金總議院的兩個議院在討論這件事情那相關如何儘快的來完成我想是很重要的事情對 迅速的把它推進國進署有把64個偏鄉地區設定為外展評估的指定地區 |
| transcript.whisperx[20].start |
459.11 |
| transcript.whisperx[20].end |
479.504 |
| transcript.whisperx[20].text |
那讓醫療機構可以進駐社區辦理早療評估這個是很好因為偏鄉總是交通比較不方便那我們到社區去也可以讓社區的民眾不用出來 |
| transcript.whisperx[21].start |
481.165 |
| transcript.whisperx[21].end |
506.416 |
| transcript.whisperx[21].text |
他本來就有意識要來評估的他方便那沒有意識到的他也會有早期療癒的意識那我不知道為什麼離島的縣市沒有被列入是這樣子齁 就像剛才莊惠雄委員在講離島的韓語其實澎湖有很多小離島我知道 |
| transcript.whisperx[22].start |
507.062 |
| transcript.whisperx[22].end |
526.811 |
| transcript.whisperx[22].text |
那很多小離島其實這些真的很需要外展的評估那假如說我們不把他納入呢因為他小離島又封閉所以有的時候對於遲緩的觀念沒有 |
| transcript.whisperx[23].start |
531.855 |
| transcript.whisperx[23].end |
549.103 |
| transcript.whisperx[23].text |
沒有那麼健全是不是我們透過外展我剛才講的就是一來方便就近評估二來也讓社區的居民小離島的居民比較有早期療癒早期發現早期療癒的意思 |
| transcript.whisperx[24].start |
551.78 |
| transcript.whisperx[24].end |
570.814 |
| transcript.whisperx[24].text |
這個我強烈要求必須要把離島納入我在這裡就不設時間啦可是我覺得你們要趕快把離島也納入澎湖有住人的島嶼就有19個 |
| transcript.whisperx[25].start |
572.649 |
| transcript.whisperx[25].end |
596.922 |
| transcript.whisperx[25].text |
有一些其實是他的醫療瓶頸是比剛剛莊瑞雄委員講的綠島還嚴重很多所以是不是你們把偏鄉地區設定外展評估指定地區這個我是贊成的我必須要講這個我是贊成的可是把離島也一併納入好不好 |
| transcript.whisperx[26].start |
597.987 |
| transcript.whisperx[26].end |
614.661 |
| transcript.whisperx[26].text |
跟委員報告一下好不好那個64個是地方提出來我們來指定所以澎湖這件事很容易就是澎湖縣長我們會跟他討論澎湖縣長只要提出來我們就同意好 那你們也主動跟他們聯絡一下你們也主動跟他們聯絡一下對 沒有問題好 謝謝署長好 謝謝主席 |