| IVOD_ID |
160912 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/160912 |
| 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 |
2025-05-01T12:57:54+08:00 |
| 結束時間 |
2025-05-01T13:09:26+08:00 |
| 影片長度 |
00:11:32 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/872e8bbe37846fc0c0b954b7b2c64330f84b180731b6d6416503c30100658372263c0903a4778e8e5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
楊曜 |
| 委員發言時間 |
12:57:54 - 13:09:26 |
| 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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謝謝主席 主席請一下邱部長請邱部長委員好部長好部長我先確認幾個問題因為我們病人自主潛力法上路那麼久了台灣簽署的人數未達1% |
| transcript.whisperx[1].start |
34.765 |
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58.798 |
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到底最主要的原因是什麼當然我們這個原因應該是有多重因素那當然過去的調查會顯現說因為他的費用比較費用的因素是一個因素但是是不是一個絕對的因素在有待觀察這樣子 |
| transcript.whisperx[2].start |
59.821 |
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85.471 |
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好那我就先講費用,因為部長講到費用是健保不給付對不對?從去年開始7月...住院的,那5月又擴展到65歲上的一個多重疾病我是這樣子建議啦齁,我向來主張 |
| transcript.whisperx[3].start |
91.848 |
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115.208 |
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把錢花在前端上像我覺得預防醫學多花一點錢後續的醫療支出就減少那也一樣就是疫力醫療可以減少以後很多無益無效的醫療所以我是主張盡量放寬 |
| transcript.whisperx[4].start |
118.973 |
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134.957 |
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免費的健保給付的對象這個是我的主張第二個問題就是好像是劉金國委員的資料通常是對的所以假如說預約要立醫療 |
| transcript.whisperx[5].start |
140.937 |
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157.507 |
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醫療簽署必須要那麼久的時間會不會也是影響簽署人數的一個很重要的因素部長覺得會不會因為他是預約還是預約得上所以到底 |
| transcript.whisperx[6].start |
160.635 |
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185.337 |
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過去研究裡面等候時間比較沒有在前面幾名前面幾名大概有兩大因素一個是費用一個是民眾認知就是醫院的問題這是兩大因素其他的以等候時間這邊的話有出現過可是它並沒有在前面所以它可能是一個影響因素可能不是主要影響因素以上就是說對於 |
| transcript.whisperx[7].start |
186.698 |
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210.296 |
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疫力醫療決定的認知可能是一個因素對不對然後費用是一個因素那費用剛才我們講過了那有關疫力醫療的認知的問題還是要加強宣導因為我覺得像我個人就還蠻支持大家都去做疫力醫療的因為這個可以避免很多困擾 |
| transcript.whisperx[8].start |
213.749 |
| transcript.whisperx[8].end |
241.887 |
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那假如說是真的也有部分的地區是必須要等候很久才能夠看到門診我想要請教一個問題就是我們簽署屹立醫療的時候呢是必須要我先問好了屹立醫療的簽署到底是不是醫療行為 |
| transcript.whisperx[9].start |
245.575 |
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260.99 |
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你到底是不是醫療行為?簽AD這個動作簽署這個鉤嘛 簽名這個應該不算醫療行為啦石川署長說不算那不算醫療行為 |
| transcript.whisperx[10].start |
264.145 |
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285.019 |
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那我問一下,因為簽署的時候我們必須要有醫師、護理師、心理諮商師、社工等等我想問一下醫師到底在醫療的時候他的角色是什麼?他扮演什麼角色? |
| transcript.whisperx[11].start |
286.906 |
| transcript.whisperx[11].end |
295.479 |
| transcript.whisperx[11].text |
部長你懂我的問題嗎?我想這個辦法是過去定出來的啦,也不是我每天找的那我現在,以我的個人經驗來講 |
| transcript.whisperx[12].start |
303.971 |
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319.107 |
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說實在在開辦,譬如說某個醫院,像台大醫院在開辦這個諮商門診也是我們幫忙去設立的,當然我也會去看幾次裡面的角色醫師,因為他有兩大類,一個是說維持生命的治療 |
| transcript.whisperx[13].start |
321.472 |
| transcript.whisperx[13].end |
338.152 |
| transcript.whisperx[13].text |
第二就是人工的營養輸益所以我現在一個民眾我同意到時候不用維持生命治療他一定會問你這是什麼東西 |
| transcript.whisperx[14].start |
340.102 |
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364.732 |
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那你當然就會跟他講說這包括鴨胸啊那這個可能是護理師就可以像我啦 保定沒關係我也不想佔用太多時間因為我們現在是修法的大體詢問所以我是說大家想一想看要怎麼讓醫療更 |
| transcript.whisperx[15].start |
369.494 |
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389.043 |
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更可見性提高一點啦我覺得應該是很多人都會因為現在的人就是人生終須一別嘛那假如可以自己做決定的時候到我有法定的 |
| transcript.whisperx[16].start |
392.501 |
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420.616 |
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規定的事項成就的時候我可以自己做決定這個我想很多人接受啦我們看透過這一次的修法能不能讓更多的人願意願意參與的人很方便就參與那不知道資訊的人讓他知道資訊好不好其他我們大概就是修法的時候再來做討論啦我還是要講一個健保的問題 |
| transcript.whisperx[17].start |
425.048 |
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431.195 |
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部長,總統拋出了健保不同工不同酬的想法,不准你入場是怎樣? |
| transcript.whisperx[18].start |
432.929 |
| transcript.whisperx[18].end |
446.815 |
| transcript.whisperx[18].text |
我想我支持啊應該那個有許比較手術比較複雜的我大力支持而且我覺得風險醫療糾紛的風險越高的科別報酬也要不投我覺得我們不應該再放任讓五大皆空 |
| transcript.whisperx[19].start |
460.02 |
| transcript.whisperx[19].end |
486.534 |
| transcript.whisperx[19].text |
就是說不能夠所有的給付都一樣然後醫師的人員每年控款一千三然後讓這些人自由選擇科別那比較高風險工作繁重然後必須要緊急的像急診 |
| transcript.whisperx[20].start |
488.448 |
| transcript.whisperx[20].end |
504.344 |
| transcript.whisperx[20].text |
讓這些科別一直沒有人投入這個對於台灣高齡化發展趨勢這麼迅速的社會是很危險的一個現象這個你們能不能趕快把它定出來 |
| transcript.whisperx[21].start |
505.598 |
| transcript.whisperx[21].end |
524.011 |
| transcript.whisperx[21].text |
有啊,一直在努力,要不要市長報告我們謝謝委員關心,確實這個我們今年先從急重症開始所以急診的診察費啦,還有護理費啊急性一般病床ICU,這些我們都先調高,今年一共預注42億 |
| transcript.whisperx[22].start |
525.652 |
| transcript.whisperx[22].end |
554.896 |
| transcript.whisperx[22].text |
那另外接下來這個產科也是從今天5月1號開始夜間假日出來執行業務也加成30%所以這個都是相對風險高投入心力辛勞的接下來還有兒童重症那我們逐科逐科的會去討論調整現在你們調整的方向就是只有就內外婦兒急診的部分來做提高嗎 |
| transcript.whisperx[23].start |
555.556 |
| transcript.whisperx[23].end |
574.094 |
| transcript.whisperx[23].text |
目前是這樣但是之後還會一直每一個外科啊什麼都是會拉近我的意思是有的要提高有的要減少這個沒有什麼好迴避的我大概也不怕被罵因為我覺得台灣的社會不應該發展成這個樣子 |
| transcript.whisperx[24].start |
579.092 |
| transcript.whisperx[24].end |
596.929 |
| transcript.whisperx[24].text |
我今天因為我也不想再用太多時間下一次有機會的時候我們再來看看到底為什麼醫學系出來的時候是不是我們在分科的時候就必須要做控管 |
| transcript.whisperx[25].start |
598.53 |
| transcript.whisperx[25].end |
611.643 |
| transcript.whisperx[25].text |
補充你聽我的意思嗎這個都有空管啊都有空管只是依照這個國家的需求只是後來受過內外負額的專科醫師跑去做其他的業務 |
| transcript.whisperx[26].start |
614.069 |
| transcript.whisperx[26].end |
635.523 |
| transcript.whisperx[26].text |
是不是這樣子不是 部長假如講說我們現在就是在分科的時候就已經有比例的分配這個我是不知道 假如有那就表示有一些人他是受外科的訓練可是他可能去開假醫有時候有那個容額給他問題是遭不到足額遭不到足額 |
| transcript.whisperx[27].start |
639.591 |
| transcript.whisperx[27].end |
657.014 |
| transcript.whisperx[27].text |
就是學生不願意台大外科只有20個跟R2的學生在理工就17個不是 我的意思是說我們也必須要從這裡就做控管因為我覺得這十幾年來我們對這個問題就是 |
| transcript.whisperx[28].start |
666.769 |
| transcript.whisperx[28].end |
687.435 |
| transcript.whisperx[28].text |
口號喊得太多可是實際做出來因應的措施太少這個對於台灣整體的社會跟國民的就義權益是一個很大的損害其他的因為我不大想再用太多時間其他的我們下次再做討論好 謝謝部長 謝謝署長 謝謝市長 謝謝主席 |