| IVOD_ID |
160971 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/160971 |
| 日期 |
2025-05-06 |
| 會議資料.會議代碼 |
院會-11-3-10 |
| 會議資料.會議代碼:str |
第11屆第3會期第10次會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
3 |
| 會議資料.會次 |
10 |
| 會議資料.種類 |
院會 |
| 會議資料.標題 |
第11屆第3會期第10次會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-05-06T15:19:12+08:00 |
| 結束時間 |
2025-05-06T15:35:35+08:00 |
| 影片長度 |
00:16:23 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/db1f27f750492026fbc184a44c19ba565a34676b63038810a01ba0d305be83bcbe04807aac789fd55ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
王正旭 |
| 委員發言時間 |
15:19:12 - 15:35:35 |
| 會議時間 |
2025-05-06T09:00:00+08:00 |
| 會議名稱 |
第11屆第3會期第10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、5月2日上午9時至10時為國是論壇時間。三、5月6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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謝謝主席韓院長有請行政院左院長還有衛福部邱部長麻煩再請左院長、衛福部長備行 |
| transcript.whisperx[1].start |
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黃委員好 委員好院長好 部長好今天想跟院長還有部長一起來討論如何來強化我們國人的健康資訊的整合和運用這一部分我在前面說明的時間會比較冗長所以就麻煩院長跟部長能夠擔待因為我們知道自從這個健康台灣推動委員會 |
| transcript.whisperx[2].start |
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第一次會議的時候就有定調在這個健康台灣願景規劃裡面我們可以看到其實很多的健康台灣的計畫跟策略都必須要有很好的資料整合與運用這個部分不只是要跨不同的政府部會同時是跨公司部門的 |
| transcript.whisperx[3].start |
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這個包括888計畫包括全民心理健康韌性計畫國家癌症防治計畫還有智慧醫療長照三年齡等等如果我們以擴大推動心理健康知識為例的話我們從希望能夠強化民眾的心理健康過程來看光是在青少年這一部分就可能會涉及到衛福部還有教育部的資料整合 |
| transcript.whisperx[4].start |
127.175 |
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當然也會包括到內政部還有請政署的資料整合針對整體的民眾而言我們希望在推動這個過程裡面不管是在哪一個生命週期可能在青少年 |
| transcript.whisperx[5].start |
141.857 |
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或者是在就業期甚至到成熟老年期以後相關的各種不同的特定人口群的心理健康事實上都需要有一個比較完整的資訊的整合那我相信這個部分院長也會非常非常的關心 |
| transcript.whisperx[6].start |
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那進一步針對國家癌症防治的計畫為例的話我們也知道它需要的就是一個橫向的包括各個部會施主的這個整防治的資源那在縱向而言還會包括整合到衛生醫療機構院所還有民間機構團體等等那我們都了解其實癌症的防治最重要的就是在它發病 |
| transcript.whisperx[7].start |
185.851 |
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在得到整段癌症之前我們就希望能夠來做一些預防那這個預防裡面前端的預防像是運動、營養還有飲食等等各種的生活習慣將來會涉及到的就是運動部還有農業部相關的資訊那如果在工作的場域方面還有生活環境的這些癌症風險因此的管控 |
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還會涉及到的就是有勞動部還有環境部等等的權責所以如何能夠運用這些資訊的整合來降低癌症的死亡率這個需要行政院 |
| transcript.whisperx[9].start |
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進行這個跨部會的整合來一起處理我們最後再想利用有關賴總統在第三次的健康台灣推動委員會裡面特別提到想要推動這個整合健診資料來防止慢性病為例的話我們可以發現說在這個部分至少有三個問題需要去了解第一個就是要如何整合 |
| transcript.whisperx[10].start |
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散落在各個部會各個單位甚至在各個類型的人員手上的資料第二部分我們到底要採取立法來強制整合呢或者是要用 |
| transcript.whisperx[11].start |
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誘因的鼓勵模式來加強這個整合當然第三點就是有關於資安各自的保護還有開放運用的法源是不是有所依據所以我們可以從這張國內各類型的見證法源跟資料持有者的示意圖來看 |
| transcript.whisperx[12].start |
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我們看到的就是不同對象的類別不管是勞工、學生、公務人員或國人等等他有不同的法源依據可以得到相關的這些見證的資料 |
| transcript.whisperx[13].start |
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我們知道從法務公務人員跟公費的健檢資料來看相對來講處理起來是比較方便的可是針對於勞工的健檢資料學生的健檢資料甚至是國人自費的健檢的資料事實上如果要來整合進入到我們慢性病防治的這個健檢資料庫的話是有它一定的困難度所以在這個挑戰上面 |
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我們有三個層次的建議包括第一個就是利用憲法法庭在111年憲判13號要求立法的機會來擴大處理健康資料的整合運用 |
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那如果退而求其是要先通過這個健保資料庫法規來處理的話那也希望未來能夠再盡快研議後續的修法時程跟它的完整的內容那其他如果是要定調用 |
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政策計畫或者是行政命令來處理的話那也希望有一個完整的配套措施我們認為國人的健康資料在整合運用之前我們都必須要完善的跟社會做好完整的溝通來確保這個治安跟各自的 |
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各方面的保障讓人民可以很放心的知道說國家未來在使用這些健康資料的時候對人民還有對個人的健康都是有完整的保障而且是最有利用價值的那這樣的社會的信任才是政策能夠推動好的一個前提所以在這部分我們很期待能夠透過院長 |
| transcript.whisperx[18].start |
399.198 |
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這邊多了解一下希望未來在這一部分如何有更好的想法或者是在規劃上有哪一些的期程請院長好 謝謝王委員在健康台灣 |
| transcript.whisperx[19].start |
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非常成功的論壇提出了健康台灣的深耕計畫確實讓國內在整個醫療環境上面有了很多更充實的想法那其中我們對於像癌症像罕病像三高已經發病已經有病在身上我們有一套完整的醫療計畫我個人認為在一般國人身上兩個部分非常重要一個是健康促進一個是精準醫療 |
| transcript.whisperx[20].start |
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健康促進會讓大家改變生活習慣精準醫療會降低我們在醫療上面的成本也讓病人少於痛苦那這兩個部分要做到就必須要委員所說的這些資訊的整合運用非常非常的重要那台灣有30年非常豐富的健保的資訊在這個我們現在已經在著手在研究對過去的怎麼處理未來的發生怎麼處理那現在 |
| transcript.whisperx[21].start |
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在各自保障以及充分信任的原則底下拿出來如何有效來運用才讓國人在健康醫療方面得到更多的保障正是現在在做的工作這個也是說我們委員所說的醫療韌性跟它的永續發展這點是非常重要我們正朝這個方向來做好 謝謝院長所以我們很期待未來在資料的整合可以有更前瞻的做法來完成這樣的任務的政策要求 |
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490.15 |
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接下來希望跟院長還有部長討論一下如何能夠把危機變成轉機就是如何能夠利用這次關稅的影響來對世界產業鏈的衝擊能夠提升我國在醫療產業的發展跟韌性 |
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510.919 |
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536.954 |
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院長我們知道其實最近很多很多的議題都跟這個美國總統川普對於關稅對全世界造成了影響那就從這個醫藥的原料藥或者是醫材原料各方面來講的話我們知道這個成本可能會有所影響那以原料藥為例全球最主要原料的供給國就是包括中國還有印度那即便將來會在美國製造 |
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539.352 |
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最後可能也因為這些成本的影響提高而會轉嫁到消費者那會不會就會造成全球藥品跟醫材運用整體性的提高這個都是讓我們所擔心的那面對這樣的關稅衝擊其實在衛房委員會 |
| transcript.whisperx[25].start |
557.22 |
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578.379 |
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4月16號也排了專案的報告那個時候部長也在這個諮詢過程裡面也做了一些相對的答覆那我在那天的會議上面除了強調藥品跟這個醫材以外事實上還有兩個非常重要的就是有關於疫苗還有血液製劑的這個供應的穩定 |
| transcript.whisperx[26].start |
580.18 |
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那我們也知道其實現在是有一些政策來針對於這個疫苗跟血液製劑的供應有相對的這個處理模式可是我們期待的是將來政府能不能夠更積極投入更多的資源有更明確的政策來讓我們這次所碰到的危機變成一個轉機所以我們也期待 |
| transcript.whisperx[27].start |
604.825 |
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629.014 |
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在這個部分有更好的健康產業的新方向包括建立我們本土的產業鏈來整合進全球的供應鏈裡面還有醫療產業能夠納入經貿的戰略分散供應的來源進而強化資源的投入納入韌性特別條例跟預算 |
| transcript.whisperx[28].start |
630.394 |
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637.083 |
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這部分院長利用4100億其實也有所琢磨最後當然更期待的是可以 |
| transcript.whisperx[29].start |
638.021 |
| transcript.whisperx[29].end |
667.581 |
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提升我們國家整體的戰略規劃來長期支援益助讓這個危機轉化為轉機期待我們在整個醫療韌性上面不只從這個需求來看而已而是希望能夠讓這樣的國家的整體戰略可以達到未來的目標那這部分不知道院長或者是部長有沒有相關的看法好 謝謝委員的指教委員提出來的健康產業的新方向就是我們一直在做的事情 |
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那我特別再補充的就是我們剛剛委員提到的幾點第一個當然大家最關心的疫苗那我們在健康台灣的推動小組裡面也成立了國家疫苗產業推動小組那這個也開了兩三次會把產業跟我們技術還有準備在台灣落實我們以國產發展國產的一個疫苗 |
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699.844 |
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725.275 |
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長期要去做的目標那以短期來講因為我們在防疫的疫苗裡面因為短期的供應不會有立即的影響因為我們都是前長期的業所以大致上短期不會影響但是長期來講我們已經成立了一個國家疫苗產業推動小組來進行這件事情那至於其他醫材或者是藥品方面我們也 |
| transcript.whisperx[32].start |
727.03 |
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強調一直在推動本土化,像4月26號我們公告兩個辦法,就是對藥品我們鼓勵學民藥的產業在台灣的製造,建立本土的一個產業鏈 |
| transcript.whisperx[33].start |
743.227 |
| transcript.whisperx[33].end |
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那在中醫藥方面我們也希望在原料不要一直靠國外我們希望我們台灣有很多地方是可以產很好的產品我們一起中西我們這些都是本土化來對藥品做一個穩定我想這個部分都是增加我們醫材醫藥方面的韌性好 謝謝 謝謝 |
| transcript.whisperx[34].start |
765.129 |
| transcript.whisperx[34].end |
789.88 |
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那再來我想要跟院長跟部長來討論一下有關於商保協同健保的可能性我們知道這個是一個重要議題如何能夠再強化我們整體的除了現有的全民健保跟商業保險以外提供強化醫療保障第二層的這個健保政策線這是由民眾志願參加的一個保險那這個其實在論壇去年已經完成了 |
| transcript.whisperx[35].start |
790.94 |
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816.411 |
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國會院完成這個論壇以後也已經撰寫成書等一下我會把這本書獻給院長來做個參考這一部分在這個討論的過程裡面其實有一部分的主力是來自於保險業者或者是相關的業者所以這部分我們很希望能夠有更進一步的政策可行性的探索以外也能不能請院長來責成政委 |
| transcript.whisperx[36].start |
817.471 |
| transcript.whisperx[36].end |
819.053 |
| transcript.whisperx[36].text |
我們健保的體系相當完整在這完整的前提底下 |
| transcript.whisperx[37].start |
840.314 |
| transcript.whisperx[37].end |
865.817 |
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但是國人加入商業保險的這個比例也相當的高那如果在兩邊的整合現在是到了一個可以檢討的時候所以我所知道健保署也委託了國衛院在做相關的規劃但是剛剛委員所提醒的是要把這些有些商業模式的概念帶進來才能夠在未來是否可行性的評估上面得到更真實那這一點委員的建議我們會請衛務部來接受這樣的建議 |
| transcript.whisperx[38].start |
866.357 |
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894.644 |
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好 謝謝那最後一部分也可能要麻煩彭部長就是有關於這個醫療體系環保永續的策略其實賴總統也非常強調這個節能減碳那醫療院所針對這個運用ESCO達到節能減碳的目標也曾經去過長庚醫院那魏晃也去過長庚醫院做了相關的這些努力的了解那彭部長也希望能夠透過導入綠色金融 |
| transcript.whisperx[39].start |
895.464 |
| transcript.whisperx[39].end |
898.868 |
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目前醫院裡面就是長庚體系做得最積極現在我們政府有兩個方式一個是環境部是負責私立的醫院 |
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917.088 |
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943.392 |
| transcript.whisperx[40].text |
比較大型的私立醫院公立的醫院是經濟部在做協助我們大部分已經開始在協助他們診斷了診斷完了之後就要媒合媒合目前私立醫院走得比較順暢公立醫院的確有一點點難度因為基本上他的資源或是他招標的形式比較難進行資金的部分沒有問題因為金管會也協助我們如果需要資金的話金管會的壽險資金都可以來做協助 |
| transcript.whisperx[41].start |
943.792 |
| transcript.whisperx[41].end |
948.275 |
| transcript.whisperx[41].text |
所以現在未來這幾個月是在媒合當中我們希望可以達到委員的目標 |
| transcript.whisperx[42].start |
973.131 |
| transcript.whisperx[42].end |
977.254 |
| transcript.whisperx[42].text |
好 謝謝王哲熹委員質詢 謝謝卓院長 衛福部長 環境部部長備詢 謝謝接下來我們請盧憲英委員質詢 李彥秀委員請準備 |