| IVOD_ID |
160862 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/160862 |
| 日期 |
2025-05-01 |
| 會議資料.會議代碼 |
委員會-11-3-26-9 |
| 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9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 |
9 |
| 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9次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-05-01T10:33:05+08:00 |
| 結束時間 |
2025-05-01T10:42:03+08:00 |
| 影片長度 |
00:08:58 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/872e8bbe37846fc0c8a7ec04b13b971bf84b180731b6d6415d77c67688655a42a2f0af228fb527a05ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
楊瓊瓔 |
| 委員發言時間 |
10:33:05 - 10:42:03 |
| 會議時間 |
2025-05-01T09:00:00+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9次全體委員會議（事由：審查
一、委員王育敏等18人擬具「病人自主權利法部分條文修正草案」案。
二、委員劉建國等16人擬具「病人自主權利法部分條文修正草案」案。
三、委員邱志偉等19人擬具「病人自主權利法第八條、第九條及第十五條條文修正草案」案。
【僅詢答】
【4月30日及5月1日二天一次會】） |
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今天這個議題我們從2019年實施病人自主權利法是亞洲第一部保障病人自主權利的一個法律那當然透過了預例醫療照護的諮詢 |
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的諮商的過程當中患者跟家人深度的去溝通那經由醫護人員給予專業的意見在家人及親友的見證下完成預立醫療的這個決定那病人有權利決定人生最後的醫療處置避免讓自己不可逆昏迷或者成為永久的這個植物人但是我們看到就是說病人自主法 |
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自主權利法上路了5年之後呢 迄今約大概僅有10萬人簽署那簽署率大概是0.45%那簽署率就已經這麼低了 在簽署之後會去執行的一定會更低一定會更低 |
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在這樣的一個情況之下本席想要請教部長也就是說我們看到目前的障礙許多的民眾還有很多人根本不知道什麼是律例醫療的一個決定 |
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那第二個就是說甚至有一些年輕的朋友他知道但是我們的民風比較保守年輕的朋友他也不敢給長輩講也不敢給長輩講這也是因素之一那所以在整個生死話題當中因為我們比較保守他會視為一個禁忌那請問政府你剛剛頻頻點頭就是說我說是還有很多人不知道 |
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120.528 |
| transcript.whisperx[5].end |
138.985 |
| transcript.whisperx[5].text |
這個法令那你們要怎麼樣去宣傳讓病人他了解自己擁有的一個尊嚴善終的一個權利請做說明好 謝謝委員的關心我想這個是非常重要的一個討論的議題那這個部分其實 |
| transcript.whisperx[6].start |
140.442 |
| transcript.whisperx[6].end |
154.859 |
| transcript.whisperx[6].text |
醫事師有做相當深入的研究 等一下簡單報告那您委員提到說我們的文化的確是你也很了解我們民眾我在30多年前在日本NAND研究所的時候我就是做這方面的研究 |
| transcript.whisperx[7].start |
155.748 |
| transcript.whisperx[7].end |
171.546 |
| transcript.whisperx[7].text |
那其實當時的結論就是我們台東方人跟俄美人不太一樣 俄美人都用尖叫的啦嚇到來啦我們台灣人喔 北部他就給我們嚇黑啦用講的就好 一個眼神可能就是齁但是這樣子也造成的確臨床上 |
| transcript.whisperx[8].start |
172.347 |
| transcript.whisperx[8].end |
194.323 |
| transcript.whisperx[8].text |
最後的選擇 哇 算很不容易您也說在這方面非常專精但是每一個國家的樣態不一樣特別提出我們的民風所以也針對這些的問題點就是面向點那我們要怎麼樣去做既然一個法通過當然我們希望能夠執行之 |
| transcript.whisperx[9].start |
196.164 |
| transcript.whisperx[9].end |
215.78 |
| transcript.whisperx[9].text |
人民來自己來選擇但是如果說我們一個法通過連民眾都不知道那政府有責任喔來請做說明我們要怎麼樣宣導讓人民可以知道好 那宣導絕對是要做的那至於說他的原因就是說先時率比較低的原因一絲絲有一直做研究可不可以簡單請他講一下好 請做說明劉市長 |
| transcript.whisperx[10].start |
217.177 |
| transcript.whisperx[10].end |
241.791 |
| transcript.whisperx[10].text |
我先簡單講一下其實兩大原因一個是民眾的認知就誠如剛剛委員講的另外一塊是費用然後民眾認知部分的話其實在做宣導的部分我們大概第一件事情其實也歡迎現場的立委就是說我們的1月1月是病主日然後6月是我們的棄捐然後10月是病安寧所以我們大概就是跟那個病 |
| transcript.whisperx[11].start |
242.691 |
| transcript.whisperx[11].end |
266.511 |
| transcript.whisperx[11].text |
契捐病毒中心這邊合作也就是說每一年其實在1月6月10月的時候會有帶狀的一個宣導活動 這是第一點要跟你討論的是部長還在這裡目前我們所做的步驟就是如此但是他的答案是不盡理想所以部長我再請部長部長就這個宣導的方式你們去研擬 |
| transcript.whisperx[12].start |
267.392 |
| transcript.whisperx[12].end |
281.65 |
| transcript.whisperx[12].text |
什麼樣的方式不要我們回我們質詢的時候你就依照目前所做本期已經告訴你目前你所做的方法已經達不到你所預估的成效所以你們有精進的空間嘛好不好好好去討論第二個議題市長剛才說的有就是費用問題是資商 |
| transcript.whisperx[13].start |
286.035 |
| transcript.whisperx[13].end |
314.293 |
| transcript.whisperx[13].text |
諮商是病人自主權利法的一個最重要的核心是不是所以在這樣的一個情況之下那麼諮商的費用那到底要怎麼處理有委員提案是希望由公家來處理剛剛在討論說這個經費我們似乎要循序漸進開放的態度請教部長你的看法好我們就逐步逐步漸進嘛你現在逐步你預計要怎麼做 |
| transcript.whisperx[14].start |
316.175 |
| transcript.whisperx[14].end |
345.915 |
| transcript.whisperx[14].text |
你逐步預計要怎麼做我們一直在開 從去年7月開放然後5月又會開放比較更多的人你預計5月份再開放什麼呢就有180萬個人是是 沒關係我本期也贊同循序漸進要迎合我們的預算而且還要有社會的面向那你認為你在5月今天就5月1號了嘛那你預計你5月份你會再繼續怎麼做呢請做說明 |
| transcript.whisperx[15].start |
348.397 |
| transcript.whisperx[15].end |
369.131 |
| transcript.whisperx[15].text |
市長請回答沒關係 細節部分細節部分的話就是我們健保署這邊的話會開放連同門診有包括失智類似像這樣有65歲以上的病人其實是可以接受這樣子的一個諮商服務是由健保這邊會做一個處理我們的設定點是在65歲以上嘛失智 |
| transcript.whisperx[16].start |
371.292 |
| transcript.whisperx[16].end |
396.126 |
| transcript.whisperx[16].text |
有重大傷病 它其實有五大類的一個重大傷病嘛 對 有五大類的疾病就六十五歲以上 從五月份開始 是嗎本期就是希望部長 本期希望說我們讓社會大眾會知道政府到底在做什麼那民眾有什麼樣的權益我們循序漸進都OK那主要的是讓病人他能夠非常的有尊嚴這是大家共同的一個目標嘛 |
| transcript.whisperx[17].start |
398.627 |
| transcript.whisperx[17].end |
426.543 |
| transcript.whisperx[17].text |
接下來最後一個議題本期跟你討論今天是5月1號那麼台大醫院工會前天發出的聲明那個部長你有了解到這個問題嗎因為他說院方日前針對於勞動節進行出勤的調查他只有兩個選項一個選項是同意到院工作但是選擇移到國定假日第二個選項是同意到院方工作但是以加班的方式來 |
| transcript.whisperx[18].start |
428.263 |
| transcript.whisperx[18].end |
447.732 |
| transcript.whisperx[18].text |
但是沒有依照勞基法明文規定依法休假一日當天不到院工作這是工會所提出的您知道這個事情嗎?報告員我了解而且台大的回應是說他這個表單是針對來上班的人讓他選擇是要用補假的方式或者是加班 |
| transcript.whisperx[19].start |
449.032 |
| transcript.whisperx[19].end |
466.56 |
| transcript.whisperx[19].text |
會的方式來處理這是台大醫院的回應當然我們會去進一步的了解一定要了解清楚因為公會非常清楚的就是說兩個選項沒有第三項依法的選項那是已經來上班的人那是已經來上班那誰敢不來上班呢 |
| transcript.whisperx[20].start |
467.558 |
| transcript.whisperx[20].end |
483.912 |
| transcript.whisperx[20].text |
當然以權利來講他是可以不來上班啊以權利來講可以不來上班 這個有錄音錄影部長這是您說的更是 部長我們還是要好好的去溝通因為我們知道這個問題的重點是在於 |
| transcript.whisperx[21].start |
485.533 |
| transcript.whisperx[21].end |
507.04 |
| transcript.whisperx[21].text |
醫護人員的休假的權益 怎麼樣去增補人力 增列津貼這才是真正的要解決醫護人力不足的問題 本市當然不希望我們的工會跟院方大家有所爭執這樣子對病人也不好我們希望達到三全其美 但是你必須要好好的去照顧這些醫護人員 |
| transcript.whisperx[22].start |
508.761 |
| transcript.whisperx[22].end |
534.616 |
| transcript.whisperx[22].text |
當然當然所以我也希望你詳細去給他查清楚因為公會既然提出了這樣的方向又在今天的五一勞動節我們也希望可以讓我們的勞工大家可以快樂嘛好好的來工作嘛這是在醫院裡面也是你非常重要的一個面向嘛好你去查清楚然後給本席說明資料好的好的我會請台大再說明清楚好謝謝好謝謝恩維謝謝部長 |