| IVOD_ID |
162287 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/162287 |
| 日期 |
2025-06-05 |
| 會議資料.會議代碼 |
委員會-11-3-20-15 |
| 會議資料.會議代碼:str |
第11屆第3會期財政委員會第15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 |
15 |
| 會議資料.種類 |
委員會 |
| 會議資料.委員會代碼[0] |
20 |
| 會議資料.委員會代碼:str[0] |
財政委員會 |
| 會議資料.標題 |
第11屆第3會期財政委員會第15次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-06-05T11:13:02+08:00 |
| 結束時間 |
2025-06-05T11:22:27+08:00 |
| 影片長度 |
00:09:25 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/3f41131fcd5ae564eee684b6007fe7d0bbacbcf4f939c22c46063d171e8badfa1b9d0562b452a15f5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
鍾佳濱 |
| 委員發言時間 |
11:13:02 - 11:22:27 |
| 會議時間 |
2025-06-05T10:00:00+08:00 |
| 會議名稱 |
立法院第11屆第3會期財政委員會第15次全體委員會議（事由：邀請審計部陳審計長瑞敏、衛生福利部就「最近疫情再起，有關衛生福利部過去所準備的快篩試劑、疫苗、各式藥品及相關醫療機構因應措施」進行專題報告，並備質詢。） |
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主席在場委員先進列席的政府局長長官員會長公眾夥伴媒體記者女士先生我看到我們部長迫不及待請邱部長邱部長請謝謝部長好部長 讓你先講我們來看一下幾位委員關心的第一個議題就是今天大家看到報紙就跳起來了我的主張是先宣導再裁罰啦我們當然支持無接觸點餐但是目前我們看到的呢是說 |
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33.516 |
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衛福部說要禁止早前在碰食物,感覺到要先裁罰你過去有沒有用過這種在日本啊去拉麵,點個拉麵這樣按鍵,然後前方進去有沒有有沒有用過這種機器有,用過這種機器比現在一些大型的速食連鎖店簡單多了也便宜多了你支不支持我們行政院來幫助這些小店家安裝這種 |
| transcript.whisperx[2].start |
56.621 |
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73.394 |
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取代人工點餐找零的這樣的設備 知不支持不是叫你出錢 你知不支持行政院做這個事我支持可以往這方面來 因為現在人力也是一個問題是的 所以我要說的是說過去在疫情期間 我分別諮詢過經濟部也諮詢過財政部我希望財政部應該給予租稅的寬免 |
| transcript.whisperx[3].start |
78.358 |
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99.992 |
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願意採用餐飲店願意採用這種免接觸的點餐設備免棗磷的不用去手工接觸棗磷的如果有裝設這樣的機器這樣的小店家應該給予租稅商的快免你會支持嗎就是說如果小店家改用這種設備你會支持嗎還是你不支持這不是符合你的政策嗎 |
| transcript.whisperx[4].start |
102.073 |
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112.92 |
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如果經濟部說那你們小店家裝這種設備我給你補助你會贊成嗎當然不是衛福部的意義介入啦應該是支持對嘛所以如果說經濟部為了配合衛福部的政策我們先宣導鼓勵經濟部給小店家這樣的補助優惠讓他裝設這樣的免接觸的點餐找零的器材 |
| transcript.whisperx[5].start |
130.712 |
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156.614 |
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然後呢財政部也給這樣的店家給他租稅的優勉那這樣做起來是不是衛福部就很省事就不用再寄到最後端的財閥大家都皆大歡喜你同意嗎我同意好謝謝所以呢我們現在進入來現在是疫情新冠疫情大家急診篩報對不對這不用講平常沒有新冠疫情大家都覺得我們民醫代表經常受到民眾的請託關懷我們都做好我們看一下急診室的醫生怎麼講 |
| transcript.whisperx[6].start |
157.415 |
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173.004 |
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最近這位急診醫師的投注告白他說不是教學醫院沒有住院醫累死了急診醫而且第二個這些我們每年訓練的急診醫師呢有兩成沒有去職業另外呢已經有66名已經去離職了 |
| transcript.whisperx[7].start |
174.144 |
| transcript.whisperx[7].end |
195.139 |
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那現在大醫院還會支援然後呢現在呢小醫院現在也得不到大醫院的支援還有我們的這些其他的隱形工作很多日夜班的轉換有困難縱使我們把急診急護提高但是還是追不上做醫美的收入那麼包括護理師的人員也離開造成第一線醫師更累部長怎麼辦 這些事情怎麼辦 |
| transcript.whisperx[8].start |
195.939 |
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222.507 |
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我們每一樣問題都非常積極在解決包括提高集富尤其重症急診集富我們也盡量追求更好的一個職業環境那調班各方面盡量讓更加能夠符合我想部長對這些問題都了然於胸但是有句話說 原水救不了靜火原水還是要準備對不對但是靜火在哪裡往下看這是去年的高峰啊 |
| transcript.whisperx[9].start |
223.752 |
| transcript.whisperx[9].end |
237.179 |
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今年呢到現在這是週別去年的25週到達高峰今年的25週就快來了喔快來了喔所以還剩兩三週就要面對到個高峰了根據去年的經驗我們今年有辦法應對嗎 |
| transcript.whisperx[10].start |
238.36 |
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258.093 |
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報告委員我們過去COVID-19的三年的防疫當中我們建立了分流分級的體系很好分流分級所以才不要讓那個急診當時台北市一天一萬個infected但是如果只要其中一小部分到急診急診一定老所以急診醫療發揮社區醫療發揮對社區醫療社區醫療就像是洪水來的滯洪池 |
| transcript.whisperx[11].start |
264.457 |
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不要讓洪峰一下子衝破我們的醫院的急診是不是這樣子所以我們現在一直宣導說有任何問題到不是只有宣導到急診不是只有宣導到診所啦我們在疫情之前怎麼做往下看在疫情期間我們診所是不是有特別預算支持是是不是所以呢他們診所多收治輕症不會影響到他的點子不會稀釋對不對現在我們傳染病降級了有沒有這個特別預算沒有嘛 |
| transcript.whisperx[12].start |
291.328 |
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319.148 |
| transcript.whisperx[12].text |
所以診所如果說多收一些把這些洪峰吸收在診所不要讓他進入醫院但是沒有後面的支持啊怎麼辦我們有一些風險健保總額裡面有一些風險基金你還是要用健保總額嗎沒有其他的錢可以用嗎我問你我們這次下一個我們過去我們今年的中央政府總預算被藍白亂刪這些有沒有包含刪到我們這些做我們救命前的這些預算有沒有 |
| transcript.whisperx[13].start |
321.277 |
| transcript.whisperx[13].end |
349.432 |
| transcript.whisperx[13].text |
是不是被刪了之後還有辦法挹注我們健保來幫助我們度過疫情的難關嗎 有沒有健保是自己他本身的總部是嗎 那我們預算刪了什麼大概是在業務會26億主要是業務會部長現在行政院已經釋出善意未來如果朝野有這樣共識我們事實上可以透過追加預算的方式解決從中央到地方遇到因為藍白亂三預算的困境你知不知此 |
| transcript.whisperx[14].start |
350.56 |
| transcript.whisperx[14].end |
375.711 |
| transcript.whisperx[14].text |
如果有這個機會你支不支持如果有這個機會我們站在人品的健康的立場當然是希望能夠補充那如果有機會追加預算要不要把過去疫情期間透過這樣的方式讓診所來幫忙吸納洪峰的這樣的作為也考慮進去會不會考慮這是一個很好的方向你說很好就可以了 往下看所以接下來我們談一個就是健康台灣深耕計畫這是不是賴總統的政策 |
| transcript.whisperx[15].start |
379.665 |
| transcript.whisperx[15].end |
396.454 |
| transcript.whisperx[15].text |
這個會很重要的一個政策第一年變成60億嘛對不對是的好往下看但是我們看申請模式你們分成ABCD是的對不對有醫療機構有社區醫療群有專科醫師學會還有工會對不對是的這裡面的大概是以A12 A3這樣為主來提供是不是這樣 |
| transcript.whisperx[16].start |
397.455 |
| transcript.whisperx[16].end |
411.034 |
| transcript.whisperx[16].text |
以這個前A向為大宗嘛A向比較大宗對好那我們來看一下A向的情況怎麼樣來我們屏東啊在A向的醫療機構當中我們地區有15家區醫院4家沒有準醫學中心也沒有醫中 |
| transcript.whisperx[17].start |
411.67 |
| transcript.whisperx[17].end |
429.359 |
| transcript.whisperx[17].text |
但是台北市有八個醫中一個準醫中十家區醫院跟地區醫院如果按照我們現在要做健康台灣的計畫我們這個資源顯然的對於我們偏鄉治療機構照少的比較不足因為你們的審查原則標準有沒有辦法確保在不同級數的 |
| transcript.whisperx[18].start |
430.816 |
| transcript.whisperx[18].end |
452.655 |
| transcript.whisperx[18].text |
地區跟類型都可以得到總經費當中適當比例的補助當然可以因為我們ABC就是都考慮到當時的狀況其實醫學中心要接這個他必須要去做好一個垂直整合也是非常重要的 辛苦那我們很多 如果以屏東來講這四家區醫院都可以 |
| transcript.whisperx[19].start |
453.716 |
| transcript.whisperx[19].end |
479.849 |
| transcript.whisperx[19].text |
都可以主情來申請我往上跳 來世家學院怎麼做我們看非醫學中心可以獨立申請或者用工會來整合該縣市的醫療機構其他A2嘛A2就是其他醫療政策也可以整合我看過你們的資料往下跳其實我要說的是說這是一個不同的六都跟非都各地方的一個差別就算是醫師工會我們屏東醫師工會的量能也不能跟高雄跟其他六都來比你了解嗎所以才需要申更計畫 |
| transcript.whisperx[20].start |
484.012 |
| transcript.whisperx[20].end |
509.311 |
| transcript.whisperx[20].text |
更弱勢的縣市應該更需要這些來挹注所以我這邊就要跟您 如果要確保我們看下一頁所以你看看我們撰寫計畫 檢報 呈現 審查機制這些其實規模越大的醫療機構它越有能力去因應它的分工系但是我們醫療機構缺乏了我們人力無法負荷有沒有辦法可以額外的協助分量級給予額外的支持可不可以 |
| transcript.whisperx[21].start |
509.611 |
| transcript.whisperx[21].end |
537.87 |
| transcript.whisperx[21].text |
好 我們有分區啦所以大概不會忽視到弱勢的區那如果需要額外的協助在公平的審查之下我們當然是樂於協助我其實說不是只有公平的審查在撰寫計畫的這個過程那麼額外的給一些人力或一些能量其實我在這邊要跟全國的醫療院所講不要覺得自己沒有能力寫你只要寫出你的特色我們這個不是在申請國科會計畫啦 |
| transcript.whisperx[22].start |
539.711 |
| transcript.whisperx[22].end |
562.993 |
| transcript.whisperx[22].text |
OK 了解 不用寫得很整齊我做了三十年的國二計畫每次都要寫很多這個你只要提出你的idea你的重點 你的當地的重要性其實就會受到重視好 我們屏東的議事公會我們屏東的議事公會就給部長拍拍手希望你要說到做到我們要把機會提出來你要給我們公平的機會讓我們有適當的我們一向很重視屏東的議事公會好 謝謝 |