| IVOD_ID |
163513 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/163513 |
| 日期 |
2025-08-14 |
| 會議資料.會議代碼 |
委員會-11-3-26-24 |
| 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24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 |
24 |
| 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24次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-08-14T12:18:37+08:00 |
| 結束時間 |
2025-08-14T12:35:30+08:00 |
| 影片長度 |
00:16:53 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/3ced7f9f61571ec97b202f7bed51d9e7bce7d2d90249eb2fc234c49c8e960346f08deeda106faf485ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
陳瑩 |
| 委員發言時間 |
12:18:37 - 12:35:30 |
| 會議時間 |
2025-08-14T09:00:00+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24次全體委員會議（事由：邀請衛生福利部、經濟部、財政部就「美國針對進口藥品、原料藥課稅對我國產業造成影響」進行專題報告，並備質詢。） |
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那個請部長委員好 |
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部長好我想先首先我們先花一點時間我要追蹤一下這個台東花蓮全線實施這個長者智慧手環的事情那我在去年底質詢而且在預算審查的時候也提到要求今年要公告實施那這個今年我持續追蹤現在已經八月份了 |
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49.094 |
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衛福部到底什麼時候可以把計劃書提出來部長每次都跟我說一個月所以我現在想請問說到底是哪個單位來主辦什麼時候可以提計劃 |
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好 是的 謝謝委員那這個是我們請衣服會在進行是不是衣服會 王副總統報告一下是 委員好這個關於智慧這個手環的部分我們這個衣服會也經過委員這個多次的這個指導那目前這個計畫辦的這個在進行中那後續委員有指導我們說要把它擴到擴大到這個 |
| transcript.whisperx[4].start |
89.351 |
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獨老花東兩縣的這個至少要獨居老人的這個部分優先來辦理對對對那這個因為衣服會的業務還是督導我們這個部署的醫院來進行這個醫院那個醫療保健等等業務那所以我們在那個跟兩位次長我們林次跟呂次這個請示過報告也有呈上請示他們那關於獨老業務呂次還是覺得說這個由社家署 |
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因為一般獨老都是由社家署來主政會好一點所以後續可能會依這個方向來照委員的指導來辦理好所以就是主責的部分是由社家署來主責這個業務好那你們什麼時候就是提計劃的部分是已經都提出來了嗎 |
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147.233 |
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就是如果後續由社家署來處理的話那計劃可能由社家署來寫不方便我們幫他代寫這樣子社家署有沒有問題你們要靠麥克風一點很小聲社家署這邊說明一下就是獨居老人的部分本來服務的業務就在社家署沒有錯但是 |
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171.246 |
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199.91 |
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主要我們還是在安全的部分就是緊急救援裝置的部分本來目前就是在規劃就是已經在縣市的部分已經都有在提供那這個部分我想我們獨居老人的緊急救援裝置居家的部分我們都還是會繼續進行那智慧手環的部分可能還是要看衣服會這邊目前後續進行的一個執行的一個狀況那看是不是要再做一些後續的一些精進或者是其他的一些作為 |
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200.472 |
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222.16 |
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那這個部分我們就尊重衣服會的部分那獨居老人的部分我們還是會持續進行我們既有的一個原有的服務我想綜合起來回答我回答好了那個因為這個我們非常重視所以兩位次長像昨天就開會開到可能七八點那個針對我們很重視 |
| transcript.whisperx[9].start |
223.2 |
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委員在偏鄉這樣的一個照顧老人怎麼樣把這個美意在的可行性把他那個做這個是部裡面要負責並不是只有一個單位所以我想由部來承擔這樣的一個推這個計畫當然我們會請相關的部會去提去做業務上的規劃那這個部分以昨天討論的立場是希望能夠用 |
| transcript.whisperx[10].start |
254.161 |
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272.018 |
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社會安全業務這個觀念來處理我們會把這一步一步的規劃把列出來然後再跟委員報告所以今年有可以因為這牽涉到經費的來源所以我們計畫一出來我們也要去爭取經費 |
| transcript.whisperx[11].start |
273.482 |
| transcript.whisperx[11].end |
296.657 |
| transcript.whisperx[11].text |
是 那個部長 所以您這邊計劃提出來可不可以有一個期程因為每一次的一個月當然計劃就要有期程大概也要經費的一個預估所以現在沒有辦法提出一個期程嗎因為這個事情也講滿久然後部長也承諾幾次的一個月了對 |
| transcript.whisperx[12].start |
304.62 |
| transcript.whisperx[12].end |
327.25 |
| transcript.whisperx[12].text |
因為委員所提的是智慧手環它的功能是比較多啦那現在的比較衛福部在做的都是比較屬於那個安全的監測跟救援服務那這樣的一個擴展到底它需要的經費是多少以及它的可行性會做到什麼程度 |
| transcript.whisperx[13].start |
328.694 |
| transcript.whisperx[13].end |
353.128 |
| transcript.whisperx[13].text |
這個我想我們會很努力來規劃我先這樣確認好了因為我覺得這樣問其實在期程上是模糊的啦那我現在確認就是說基本上在我去年預算審查的主決議基本上這件事情我們是要做的是 |
| transcript.whisperx[14].start |
356.621 |
| transcript.whisperx[14].end |
364.486 |
| transcript.whisperx[14].text |
我們提計畫沒問題提基層也沒問題提預算也沒問題但是就是要想辦法來從哪一個地方來爭取 |
| transcript.whisperx[15].start |
366.018 |
| transcript.whisperx[15].end |
390.623 |
| transcript.whisperx[15].text |
好了解現在就是說那個你們就是經費來源的部分爭取經費是沒有問題就是那個來源是要看是我們規劃沒有問題啊那當然當然但是就是說我在經費的爭取方面我們會看大家一起來努力一步一步把它往前走這樣子 |
| transcript.whisperx[16].start |
391.303 |
| transcript.whisperx[16].end |
419.754 |
| transcript.whisperx[16].text |
所以這個我們就是因為起碼我們應該要有一個一個時間點啦比如說像我們之前去蘭嶼上禮拜到蘭嶼你們很清楚把那個騎乘列出來雖然需要好幾年三到三四年甚至到七年的時間但我覺得你們那個表格就規劃的很清楚那你如果沒有給自己設立目標的話 |
| transcript.whisperx[17].start |
420.954 |
| transcript.whisperx[17].end |
432.129 |
| transcript.whisperx[17].text |
永遠回答本席都是一個月然後我每次來追蹤都會沒有就是看不到那個時間點我們什麼時候會達成這樣子 |
| transcript.whisperx[18].start |
437.796 |
| transcript.whisperx[18].end |
458.005 |
| transcript.whisperx[18].text |
部長是不是可以就是說你們在你們的評估規劃內有一個期程什麼時候應該到達到什麼樣的進度我覺得這樣子會比較好啦是好我想委員很關心我們花東的 |
| transcript.whisperx[19].start |
459.83 |
| transcript.whisperx[19].end |
482.705 |
| transcript.whisperx[19].text |
老人的一個照顧我想我們本來就是應該政府的立場就是要這樣做所以我們就請那個我們本部會來提出相關的規劃好不好那看那個騎乘規劃的部分其實應該下一週可以給我們辦公室因為這個是給大家一個比較 |
| transcript.whisperx[20].start |
483.726 |
| transcript.whisperx[20].end |
489.471 |
| transcript.whisperx[20].text |
我們提出一個規劃然後到先到委員辦公室那邊跟委員報告 好不好那很快的談一下這個蘭嶼的問題蘭嶼醫院的問題部長上個禮拜我們未還委員會有到蘭嶼考察那我知道其實部長很重視這個議題那畢竟這個總統都有去看過 |
| transcript.whisperx[21].start |
512.569 |
| transcript.whisperx[21].end |
539.97 |
| transcript.whisperx[21].text |
那原先規劃是部長要一起去那我們也理解說行政院會那裡那時候臨時要開這個預算的這個會議所以每一位部長都需要出席所以就由這個呂次來代表部長到蘭嶼去那他在蘭嶼發言的時候有提到也代表部長表達衛福部的立場那他說蘭嶼醫院 |
| transcript.whisperx[22].start |
541.491 |
| transcript.whisperx[22].end |
555.681 |
| transcript.whisperx[22].text |
就是要蓋 好 那我想在立法院這邊我們再度確認一下有個記錄就是說那天他代替部長在那裡駐座就是要蓋這件事情沒有錯吧有 我們已經提出計畫會朝著蓋已經提出計畫了 |
| transcript.whisperx[23].start |
567.998 |
| transcript.whisperx[23].end |
585.163 |
| transcript.whisperx[23].text |
因為那天講10月嘛我不知道回來一個禮拜你們就可以了這個計畫就是現在在我們衣服會已經如火如蝠在寫了就我目前看到大概完成的度大概完成一半左右OK那10月份因為你們規劃預計就是10月份會提出工建計畫這樣沒錯沒錯沒錯那我會來追蹤緊追這件事情好的 |
| transcript.whisperx[24].start |
590.925 |
| transcript.whisperx[24].end |
599.744 |
| transcript.whisperx[24].text |
如果順利10月提出公建計畫之後到這個醫院興建而且完成啟用起碼就至少還要三四年的時間 |
| transcript.whisperx[25].start |
601.568 |
| transcript.whisperx[25].end |
625.064 |
| transcript.whisperx[25].text |
我目前看到的版本是七年半七年半好那可能有那天看到是這樣但我們還是希望可以盡量的去縮短但我們同時也理解因為蘭嶼這個建造這個醫院不管是醫院或者任何的建築物他都有這個這些材料 |
| transcript.whisperx[26].start |
626.665 |
| transcript.whisperx[26].end |
654.215 |
| transcript.whisperx[26].text |
到材料的取得跟運送到本島還有這個人工其實不管是經費的這個耗費跟人力的這個尋找其實都相當比在台灣本島要困難很多這個我們可以理解但七年半我想也希望大家在盡可能的狀態下盡量去縮短那個期程那 |
| transcript.whisperx[27].start |
656.315 |
| transcript.whisperx[27].end |
682.764 |
| transcript.whisperx[27].text |
我想再跟部長討論一下就是說當然醫院蓋完了如果沒有人力醫療人員的進駐那就會變成一個蚊子館所以呢既然花了其實是三倍比在本島蓋醫院三倍的這個經費才能完成這個還比規模比我講的三倍基準那個規模還小一點的醫院 |
| transcript.whisperx[28].start |
685.205 |
| transcript.whisperx[28].end |
703.376 |
| transcript.whisperx[28].text |
我們看一下這是蘭嶼每萬人口的醫師比還有每萬人口的護理師比的統計目前蘭嶼人口數是5000多人島上有3位醫師護理師有8位試算目前每萬人口的醫師比 |
| transcript.whisperx[29].start |
705.598 |
| transcript.whisperx[29].end |
725.3 |
| transcript.whisperx[29].text |
與醫師比那每萬人口大約有5.8億位醫師那每萬人口呢約有19.39位的護理師這樣的比例我們看來不僅遠低於全國平均甚至跟這個離島地區的比率相比都還差了一大截 |
| transcript.whisperx[30].start |
726.081 |
| transcript.whisperx[30].end |
748.5 |
| transcript.whisperx[30].text |
那如果我們用這個離島地區的比率來試算蘭嶼呢 它應該是要有6位的醫師還有17位的護理師那請教部長 我們這個差距你怎麼去縮小然後怎麼可以提高蘭嶼醫護的人力我們目前是不是有具體的方法可以來解決 |
| transcript.whisperx[31].start |
749.278 |
| transcript.whisperx[31].end |
754.745 |
| transcript.whisperx[31].text |
好謝謝 醫護會有具體的方向報告委員我們現在在做的那個計畫裡面你要對準麥克風太小聲 |
| transcript.whisperx[32].start |
757.526 |
| transcript.whisperx[32].end |
781.573 |
| transcript.whisperx[32].text |
我們現在在在提這個公建計畫就是有把這個醫師的數目提高到6名護理師目前我看到是15名那後續當然可以是需要再增加但是也順便跟委員報告目前的計畫加上這些醫護人員加上還有醫事人員 藥師檢驗師放射師等等還有行政人員大概要有40幾位那這個一年營運下來的虧損會達到8000萬以上 |
| transcript.whisperx[33].start |
785.714 |
| transcript.whisperx[33].end |
809.331 |
| transcript.whisperx[33].text |
那這個部分也會以後會造成一些困擾那即便有虧損我想對於蘭嶼這樣子的一個我那天說我們去那裡是懷著贖罪的心情畢竟有這麼十幾萬桶的核廢料放在那邊搞不好如果重啟這個核三之後又有更多的核廢料要放到蘭嶼 |
| transcript.whisperx[34].start |
810.211 |
| transcript.whisperx[34].end |
821.983 |
| transcript.whisperx[34].text |
我想這個部分不能按照一般正常的這個比例去看它所以即便每年都有八千萬的虧損我覺得政府也應該認了這筆費用部長我想目前蘭嶼 |
| transcript.whisperx[35].start |
828.549 |
| transcript.whisperx[35].end |
848.088 |
| transcript.whisperx[35].text |
有這樣規劃很好那我們要想盡辦法達到這樣的目標不管是這個加錢也好加福利也好我們就是要想盡辦法達成那目前蘭嶼還有缺一位牙醫師7月16初缺到現在還沒有找到可以支援的人力這個部分部長怎麼解決醫護會會報嗎 |
| transcript.whisperx[36].start |
857.453 |
| transcript.whisperx[36].end |
871.204 |
| transcript.whisperx[36].text |
照護師在找我們是照護師嗎還是口腔師照護師是在看偏鄉的一個偏鄉的衛生所那這個部分我們會趕快來瞭解 |
| transcript.whisperx[37].start |
872.622 |
| transcript.whisperx[37].end |
887.102 |
| transcript.whisperx[37].text |
好我想是這樣子啦就是我目前應該這樣說你們可能就是說在目前尋找中但是到底要多久不知道萬一 |
| transcript.whisperx[38].start |
888.844 |
| transcript.whisperx[38].end |
904.866 |
| transcript.whisperx[38].text |
這個時間是比較長的我想在這個空窗期你們應該要有相當的作為去彌補這樣子的一個醫師缺額的狀況好看是中間譬如說補助藍語人的鄉親到台灣本島 |
| transcript.whisperx[39].start |
908.27 |
| transcript.whisperx[39].end |
919.506 |
| transcript.whisperx[39].text |
來處理他們的牙齒那或者是有什麼其他的我們來協調人力我們來協調如果沒有固定的話我們來支援那就是說 |
| transcript.whisperx[40].start |
921.86 |
| transcript.whisperx[40].end |
942.998 |
| transcript.whisperx[40].text |
最後就是說單以醫師人力來講未來蘭嶼的醫院他會有內科外科家庭醫學科牙科但目前蘭嶼衛生所只有一位婦產科醫師還有兩位急診的醫師我知道說現在有很多的公費醫師正在培訓當中 |
| transcript.whisperx[41].start |
943.979 |
| transcript.whisperx[41].end |
958.871 |
| transcript.whisperx[41].text |
但是這些公費生未來可以到蘭嶼而且科別又相符合的醫師你們有沒有去精算過我想我提出這樣子的一個提醒是很重要我不知道你們有沒有精算過有嗎 |
| transcript.whisperx[42].start |
961.62 |
| transcript.whisperx[42].end |
972.608 |
| transcript.whisperx[42].text |
因為這牽涉到全國的一個分配我想站在醫療平淺的立場上面如果偏鄉尤其男女他所需要的科別我們應該優先會規劃 |
| transcript.whisperx[43].start |
974.704 |
| transcript.whisperx[43].end |
999.318 |
| transcript.whisperx[43].text |
好謝謝那所以你們還是回頭就趕緊去看一下畢竟醫院的這個期程已經有還有目前有缺的狀態那公費生養成需要大概12年左右那到時候不要說醫院蓋好就沒有醫生這個也是我們那天去他們也會擔心因為現在還有醫學生嘛所以到他12年後才會出來 |
| transcript.whisperx[44].start |
1001 |
| transcript.whisperx[44].end |
1007.928 |
| transcript.whisperx[44].text |
我們現在就是說目前公費生培訓的情形 科別的狀況我們會注意到這個提供 謝謝謝謝陳委員的用心 |