| IVOD_ID |
163190 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/163190 |
| 日期 |
2025-07-17 |
| 會議資料.會議代碼 |
委員會-11-3-26-21 |
| 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21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 |
21 |
| 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21次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-07-17T11:44:47+08:00 |
| 結束時間 |
2025-07-17T11:55:45+08:00 |
| 影片長度 |
00:10:58 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/1404c3f0fc5b9857ad8dc20fdd5d2bcc7e529aa6299d4c22bf5d88cf2e24a70e59671ad967cd14905ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
黃秀芳 |
| 委員發言時間 |
11:44:47 - 11:55:45 |
| 會議時間 |
2025-07-17T09:00:00+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21次全體委員會議（事由：邀請衛生福利部部長、勞動部部長、財政部部長、農業部針對「因應嚴重災情、緊急重大事件，醫療院所承擔救護量能困境及因應台美關稅談判對台灣食品安全相關影響」進行專題報告，並備質詢。） |
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謝謝主席我們請部長委員好部長好部長我先就這一次可能這個美國對等關稅的議題那基層很多人會擔心未來這個藥品的這個價格是不是會上漲或者是會有缺藥的這樣的一個狀況那我想請教就是說衛福部針對這一部分你們有做什麼樣的因應 |
| transcript.whisperx[1].start |
33.345 |
| transcript.whisperx[1].end |
59.371 |
| transcript.whisperx[1].text |
好 我想國際的現在關稅的變化我們必須要延至擬代那在不管是藥品或醫材在價格方面那當然有可能因為營養藥的提升所以會增加提高它的價錢所以這個時候我們當然相對的不管是在健保的體制裡面我們都會根據廠商進口的成本來提高它的一個給付 |
| transcript.whisperx[2].start |
61.371 |
| transcript.whisperx[2].end |
87.099 |
| transcript.whisperx[2].text |
所以你們有這樣因應的一個對策這個都已經成立這個對策會密切來注意監測那第二個我們也要徹底來改善我們藥品的公用韌性包括我們支持新藥在地製造鼓勵國產學民要及早進入市場等等的這樣的一個系列那個部分這幾個策略我們都已經設立在那一邊來應應這樣的一個變局 |
| transcript.whisperx[3].start |
89.42 |
| transcript.whisperx[3].end |
101.912 |
| transcript.whisperx[3].text |
好 那我希望就是說因應這個美國的對等關稅的這個議題一旦開始實施或發生之後衛福部能夠及時來反映不要因為這個關稅的議題影響到我們的藥 |
| transcript.whisperx[4].start |
104.874 |
| transcript.whisperx[4].end |
119.44 |
| transcript.whisperx[4].text |
或者是讓這個基層需要用藥的這個部分可能會有一個短缺我們希望說真的要戒慎恐懼我這個真的是要事先提醒部長還有署長另外我想請教 |
| transcript.whisperx[5].start |
120.72 |
| transcript.whisperx[5].end |
130.846 |
| transcript.whisperx[5].text |
部長在前陣子在基層我們看到就是說集中南韓那尤其是兒科的部分我以彰化為例彰化兒科這個9點過後的這個急診 |
| transcript.whisperx[6].start |
136.969 |
| transcript.whisperx[6].end |
165.729 |
| transcript.whisperx[6].text |
就只剩下张基因为张基他有儿童医院那其他的这个医院他们都没有九点过后就没有这个儿科的一个急诊那不论是儿科或者是集中南韩的这个部分其实我担心的就是说可能未来会比较集中在都市那偏乡的部分可能所有的医师可能不太愿意到偏乡以目前我们看到 |
| transcript.whisperx[7].start |
166.77 |
| transcript.whisperx[7].end |
183.008 |
| transcript.whisperx[7].text |
彰化的竹塘方院大城二林這幾個鄉鎮所有的診所的醫師年紀都已經偏大了可能都七八十歲了那未來也許這些醫師 |
| transcript.whisperx[8].start |
184.709 |
| transcript.whisperx[8].end |
204.759 |
| transcript.whisperx[8].text |
不再看診之後這些鄉鎮可能就沒有醫師就沒有醫師我覺得這是很嚴重的一個問題那甚至我看到就是說我們那個重點科別培育的這個公費醫師我不知道說為什麼衛福部好像針對這一部分有做一些調整是不是 |
| transcript.whisperx[9].start |
205.834 |
| transcript.whisperx[9].end |
231.126 |
| transcript.whisperx[9].text |
工會醫師因為他的計畫到今年就結束了那結束之後呢就沒有延續沒有延續那沒有延續的話剛我講的偏鄉也許未來這些這個年紀比較偏大這些資深的醫師退休之後再看診之後可能就剩下衛生所的醫師那衛生所的醫師這些醫師他未來 |
| transcript.whisperx[10].start |
232.54 |
| transcript.whisperx[10].end |
259.731 |
| transcript.whisperx[10].text |
也許會很難招聘這些公費的醫師這些衛生所的醫師他也許也不想到偏鄉所以我覺得說如果你們把這個重點科別培育的公費醫師到今年結束你們就這樣子結束之後未來你的公費醫師或者是偏鄉的醫師你要找醫師我覺得應該都會非常的困難所以我希望部長針對這部分你們應該要好好的去思考 |
| transcript.whisperx[11].start |
260.347 |
| transcript.whisperx[11].end |
281.822 |
| transcript.whisperx[11].text |
是的,謝謝委員,我們台灣現在的醫事人力是不換寡,是換不均,所以怎樣鼓勵措施到偏鄉,那當然現在目前在地養成的還是有,在地的比較老一點,因為公會醫師其實訓練以後,他服務以後基本上就 |
| transcript.whisperx[12].start |
283.143 |
| transcript.whisperx[12].end |
307.339 |
| transcript.whisperx[12].text |
大概都會離開那個服務的地方所以部長我今天要講的應該是比較需要關注那部長你講的在地養成那我今天要講的就是說如果你把這個重點特別培育的公費醫師這個時間到今年為止嘛那你後面你不再有這樣的一個計畫那未來我覺得說這個偏鄉的醫師或這個比較偏鄉的衛生所的醫師我覺得你都會很難去 |
| transcript.whisperx[13].start |
313.904 |
| transcript.whisperx[13].end |
328.476 |
| transcript.whisperx[13].text |
剛開始最後一屆是醫學生所以後面延年不絕至少有十年是後面還有醫師的可是部長你不擔心未來這些醫師就集中在都市嗎 |
| transcript.whisperx[14].start |
329.637 |
| transcript.whisperx[14].end |
357.504 |
| transcript.whisperx[14].text |
當然我們現在比如說這幾年的公費生為什麼大家比較有意見有些學生都比較有意見因為他要服務比以前多啦要到十年那你今年既然你是一個公費醫師的話那你就知道就是說我就是要綁定服務幾年嘛對現在就是這樣子嘛目前這幾年都是綁定十年如果你不願意的話那你就不要投入公費醫師嘛對不對那所以我覺得部長我覺得這個制度 |
| transcript.whisperx[15].start |
358.564 |
| transcript.whisperx[15].end |
381.321 |
| transcript.whisperx[15].text |
我認為應該要讓他繼續,要不然你以後偏鄉的醫師我覺得你應該是很難找到因為公會醫師也算是在醫師人力,所以可能會增加到醫學生的名額這個部分我們也會謹慎來處理應該更重要的是鼓勵更多的人,例如急重症,人力到偏鄉 |
| transcript.whisperx[16].start |
382.361 |
| transcript.whisperx[16].end |
391.826 |
| transcript.whisperx[16].text |
那當然你願意到偏鄉你要有誘因啊如果今天你讓人家到偏鄉誘因公會醫師是其中之一而已啦有更多的像我以前在台大當完總醫師我也到幾乎沒有醫師的金山鄉那你在那邊待幾年我在那邊待兩年待兩年以後 |
| transcript.whisperx[17].start |
406.153 |
| transcript.whisperx[17].end |
409.656 |
| transcript.whisperx[17].text |
現在30年後面都是有總醫師在那邊當主任而且蓋了醫院所以看制度的問題我就覺得醫學中心也有責任去對偏鄉地區的醫療的人力 |
| transcript.whisperx[18].start |
424.048 |
| transcript.whisperx[18].end |
438.209 |
| transcript.whisperx[18].text |
這個在一時中平線的六大任務裡面也是有提到這個部分那我們給他相對的一個幫忙支持很多大醫院是願意去照顧偏鄉這樣也是一個制度啦當然我們可以多元化來討論 |
| transcript.whisperx[19].start |
439.851 |
| transcript.whisperx[19].end |
465.985 |
| transcript.whisperx[19].text |
部長我今天想要特別的提醒你因為我看到我們彰化地區有很多比較偏遠的鄉鎮那真的醫師年紀都偏大那偏大之後未來這些這個醫師不再看診之後這些鄉鎮就沒有牙醫診所沒有一般的那個診所是完全都沒有現在這個鄉鎮可能就只有一家兩家甚至有的之前 |
| transcript.whisperx[20].start |
466.585 |
| transcript.whisperx[20].end |
489.873 |
| transcript.whisperx[20].text |
在前幾年是連一間那個牙科醫師牙科診所完全都沒有所以如果說你今天要有這樣的一個重點培育的公費制度的話我認為應該是要有一些誘因而且如果你今天要投入公費醫師的話那你就知道說這個時間你可能在這個地方你可能要服務5年10年甚至15年那 |
| transcript.whisperx[21].start |
490.393 |
| transcript.whisperx[21].end |
509.108 |
| transcript.whisperx[21].text |
當然他願意再偏鄉的話我們要給他更好的一個薪資更好的福利我覺得這應該也是我們的重點要不然你看到現在很多的醫院護理人員大家覺得說護理人員為什麼都不想投入即使他今天讀了護理科系可是他就不願意投入這個當護理師為什麼 |
| transcript.whisperx[22].start |
512.33 |
| transcript.whisperx[22].end |
536.181 |
| transcript.whisperx[22].text |
因為他覺得太辛苦也許薪資不是他理想的他想要再找其他的工作所以我覺得說部長今天應該要去好好的思考如果今天偏鄉的醫師未來五年十年後不再有人在那邊服務的話我覺得這個是一個國家非常重大的一個危機那如果你今天原本有的這樣的一個重點培育的計畫如果可以繼續延續的話 |
| transcript.whisperx[23].start |
538.323 |
| transcript.whisperx[23].end |
554.24 |
| transcript.whisperx[23].text |
這個醫師他願意投入偏鄉那你應該就要有更豐厚的這個福利來支撐讓他願意到偏鄉去服務所以部長我在這邊要特別提醒你這個制度我覺得你應該要好好的再去思考好 我們再來演繹 |
| transcript.whisperx[24].start |
556.198 |
| transcript.whisperx[24].end |
576.463 |
| transcript.whisperx[24].text |
再來研議因為這個要注意到是不是會增加因為他那個公會醫師沒有算在醫學生的容額裡面所以這個醫學界也會有意見不是啦請三個意外啦是啦 保證我現在要跟你說的好多醫生如果願意投入偏鄉的話那當然是OK的我們會鼓勵我們會鼓勵沒有問題啊今天就是沒有人要去嘛今天如果說大家都很想要去 |
| transcript.whisperx[25].start |
582.705 |
| transcript.whisperx[25].end |
605.666 |
| transcript.whisperx[25].text |
那當然這個就沒問題啊那今天是重點你重點陪集中南韓或者是偏鄉就沒人要去啊所以你就是要另外一套制度來支撐嘛那再來就是說你要有更好的誘因更大的誘因讓他想要到偏鄉去服務啦一定一定我這是一家宇宙新廠因為我曾經常常下鄉過我很清楚 |
| transcript.whisperx[26].start |
606.566 |
| transcript.whisperx[26].end |
629.089 |
| transcript.whisperx[26].text |
那個我跑過無數個偏鄉的一個醫療服務我很清楚必須要有更多的因為包括去那邊的都還是連剛好小孩子都很小他們其實是很難離開太原所以怎麼樣做好各方面的處理以及早上他回來可以當醫院的主治醫師或者是怎麼樣這有很多的方式就可以讓我們的年輕的醫師願意去服務 |
| transcript.whisperx[27].start |
630.35 |
| transcript.whisperx[27].end |
653.688 |
| transcript.whisperx[27].text |
所以我好那這個部分我們會來整體來研議真的我要特別提醒部長齊眾南韓那兒科的部分確實現在的醫師真的也很難找所以真的不停一部分你真的要再去思考好好的思考未來如果真的找不到偏鄉的醫師那怎麼辦齊眾跟偏鄉是我們要努力的重點謝謝委員好謝謝黃雄委員謝謝部長 |