| IVOD_ID |
16469 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Full/1M/16469 |
| 日期 |
2025-01-15 |
| 會議資料.會議代碼 |
委員會-11-2-26-18 |
| 會議資料.會議代碼:str |
第11屆第2會期社會福利及衛生環境委員會第18次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
2 |
| 會議資料.會次 |
18 |
| 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2會期社會福利及衛生環境委員會第18次全體委員會議 |
| 影片種類 |
Full |
| 開始時間 |
2025-01-15T08:30:35+08:00 |
| 結束時間 |
2025-01-15T12:26:00+08:00 |
| 影片長度 |
03:55:25 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://h264media01.ly.gov.tw:443/vod_1/_definst_/mp4:1M/bfaf9b39ac01a68586ebbf7d18770eaf6adffd4dccc8d5f918d20170ff19eea6ac60cb9293d39f3b5ea18f28b6918d91.mp4/playlist.m3u8 |
| 會議時間 |
2025-01-15T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第2會期社會福利及衛生環境委員會第18次全體委員會議（事由：繼續審查中華民國114年度中央政府總預算案附屬單位預算關於衛生福利部主管預算。
【1月15日及16日二天一次會】） |
| 委員名稱 |
完整會議 |
| 委員發言時間 |
08:30:35 - 12:26:00 |
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1844.813 |
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好我們現在開始開會齁初期委員已處法定人數現在開會請議事人員先讀上次會議議事錄 |
| transcript.whisperx[1].start |
1859.625 |
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1883.246 |
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立法院第十一屆第二會期社會福利及衛生環境委員會第十七次全體委員會議議事錄時間一百一十四年一月二日星期四九時二分至十五時五分地點群憲樓八零一會議室出席委員陳委員昭之等十四人列席委員王委員洪威等十四人列席官員勞動部部長洪生翰衛生福利部部長邱太元等相關人員主席蘇兆吉委員清泉 |
| transcript.whisperx[2].start |
1883.866 |
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1893.877 |
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報告事項宣讀上次會議議事錄決定確定邀請勞動部衛生福利部教育部就推動友善職場校園性騷擾與霸凌防治及長照杯葛並檢視現行長照制度缺失與長照3.0規劃進行專題報告並備諮詢 |
| transcript.whisperx[3].start |
1900.905 |
| transcript.whisperx[3].end |
1918.013 |
| transcript.whisperx[3].text |
本次會議由勞動部部長及衛生福利部部長報告後委員陳昭芝等21人提出質詢軍警衛生福利部部長勞動部部長教育部學生事務及特殊教育司司長武林輝國立台灣大學主任秘書王大明及國立台灣大學醫學院副社醫院院長吳明賢 |
| transcript.whisperx[4].start |
1920.034 |
| transcript.whisperx[4].end |
1920.754 |
| transcript.whisperx[4].text |
請問委員會上次議事錄有錯誤或遺落之處 |
| transcript.whisperx[5].start |
1947.537 |
| transcript.whisperx[5].end |
1972.532 |
| transcript.whisperx[5].text |
沒有那我們議事錄確定本日會議的議程為繼續審查中華民國114年中央政府總預算案附屬單位預算官與衛生福利部主管預算現在我們介紹在場的委員跟官員第一個林業勤委員黃振熙委員 |
| transcript.whisperx[6].start |
1976.345 |
| transcript.whisperx[6].end |
2004.739 |
| transcript.whisperx[6].text |
那我們行政官員有衛福部邱太仁部長會計處張玉珍處長保護服務司司長張秀恩歡迎 歡迎長期照護司司長祝建芳謝謝醫事司司長劉彥平護理及健康照護司司長蔡淑鳳 |
| transcript.whisperx[7].start |
2007.749 |
| transcript.whisperx[7].end |
2027.185 |
| transcript.whisperx[7].text |
心理健康師代理師長鄭淑欣社會保險師代理師長陳真慧口腔健康師副師長嚴忠翰護署醫療及社會福利機構管理會執行長林慶豐國健署署長吳昭君 |
| transcript.whisperx[8].start |
2034.574 |
| transcript.whisperx[8].end |
2058.064 |
| transcript.whisperx[8].text |
疾管署署長莊仁祥好 謝謝食藥署署長莊生宏好 歡迎中央健康保險署署長施崇良歡迎 歡迎社家署代理署長周道軍好勞動部勞工保險局署長吳維揚好 歡迎 |
| transcript.whisperx[9].start |
2062.175 |
| transcript.whisperx[9].end |
2074.285 |
| transcript.whisperx[9].text |
勞動基金應用局專門委員吳英傑行政院主計處基金預算處科長劉雅飛本次會議討論事項於113年11月21日說明及行達完畢 |
| transcript.whisperx[10].start |
2089.082 |
| transcript.whisperx[10].end |
2112.359 |
| transcript.whisperx[10].text |
先做以下先告第一本次審查戶屬單位預算案以各基金為處理單位五委員提案部分預算照列第二本會召委會議協議與審查預算提案時保留於第二輪之提案提案委員不再現場者不再處理該項提案 |
| transcript.whisperx[11].start |
2115.953 |
| transcript.whisperx[11].end |
2139.568 |
| transcript.whisperx[11].text |
本次審查會有關提案委員所提預算刪減經委員會審查通過者除提案委員特別聲明不同意外均同意衛生福利部的科目自行調整第四有關提案委員預算凍結案部分衛生福利部與各提案委員溝通結果 |
| transcript.whisperx[12].start |
2140.248 |
| transcript.whisperx[12].end |
2153.563 |
| transcript.whisperx[12].text |
如提案委員同意併案凍結者請衛生福利部與本市附屬單位預算全部審查完盡前將各同意併案凍結者提案案號及科目彙整 |
| transcript.whisperx[13].start |
2154.838 |
| transcript.whisperx[13].end |
2176.105 |
| transcript.whisperx[13].text |
送主席台宣告後通過上市委員提案凍結之預算除特別聲明不同意者外文字均統一為須向立法院社會福利及衛生環境委員會提出書面報告均統一後使得凍結之預算 |
| transcript.whisperx[14].start |
2177.225 |
| transcript.whisperx[14].end |
2206.136 |
| transcript.whisperx[14].text |
本 在本會審查中 如有提案委員口頭同意改為主決議及原案為主決議修正部分文字通過者請衛生福利部盡速與提案委員溝通後將書面修正文字送至主席台然後我們現在就開始審查請議事人員先讀衛生福利部主管單位預算之科目金額委員提案 |
| transcript.whisperx[15].start |
2209.011 |
| transcript.whisperx[15].end |
2217.735 |
| transcript.whisperx[15].text |
114年度中央政府總預算案附屬單位預算衛生福利部主管非營業部分依作業基金醫療藥品基金業務計劃因依據業務收支轉投資固定資產建設改良擴充及資金運用等向之審查結果隨同調整業務總收入471億6814萬6000元 |
| transcript.whisperx[16].start |
2227.179 |
| transcript.whisperx[16].end |
2229.24 |
| transcript.whisperx[16].text |
業務總支出452億4374萬元本期剩餘19億2440萬6千元結繳供庫金額無劣數轉投資計劃無劣數固定資產建設改良擴充44億4276萬9千元國庫增撥基金額1億1467萬5千元 |
| transcript.whisperx[17].start |
2244.747 |
| transcript.whisperx[17].end |
2266.952 |
| transcript.whisperx[17].text |
二作業基金管制藥品製藥工廠作業基金業務計劃同醫療藥品基金業務總收入九億七千二百八十五萬八千元業務總支出七億二千二百七十三萬九千元本期剩餘二億五千零一十一萬九千元結繳供戶金額二億元轉投資計劃五列數固定資產建設改良擴充一億一千五百七十四萬三千元 |
| transcript.whisperx[18].start |
2267.712 |
| transcript.whisperx[18].end |
2273.277 |
| transcript.whisperx[18].text |
國庫增撥基金額無劣數3 作業基金全民健康保險基金業務計畫同醫療藥品基金業務總收入8711億0587萬6千元業務總支出同業務總收入本期剩餘0元 |
| transcript.whisperx[19].start |
2283.565 |
| transcript.whisperx[19].end |
2304.447 |
| transcript.whisperx[19].text |
截繳公庫金額無劣數轉投資計劃無劣數固定資產建設改良擴充三千二百四十萬二千元國庫增撥基金額無劣數四作業基金國民年金保險基金業務計劃同醫療藥品基金業務總收入一千三百一十七億七千四百五十四萬五千元業務總支出同業務總收入本期剩餘零元截繳公庫金額無劣數 |
| transcript.whisperx[20].start |
2305.988 |
| transcript.whisperx[20].end |
2308.37 |
| transcript.whisperx[20].text |
轉投資計劃無劣數固定資產建設改良擴充9707萬9千元國庫增撥基金額無劣數五特別收入基金衛生福利特別收入基金業務計劃應依據基金來源與用途審查結果隨同調整 |
| transcript.whisperx[21].start |
2321.218 |
| transcript.whisperx[21].end |
2326.743 |
| transcript.whisperx[21].text |
基金來源990億1078萬2千元基金用途1152億4664萬1千元本期短處162億3585萬9千元結繳公庫無劣數繼續宣讀委員提案一 醫療藥品基金一 委員邱振軍廖偉祥盧憲一提案業務收入醫療收入減列4億元二 委員蘇清泉等提案 |
| transcript.whisperx[22].start |
2344.479 |
| transcript.whisperx[22].end |
2358.573 |
| transcript.whisperx[22].text |
業務成本與費用門診醫療成本水電費減列六百萬元凍結十分之一三委員成交資等提案管理費用及總務費用旅運費國外旅費全數減列四委員抽薦軍料偽詳如先一提案用人費用凍結五百萬元 |
| transcript.whisperx[23].start |
2359.594 |
| transcript.whisperx[23].end |
2387.365 |
| transcript.whisperx[23].text |
五 委員邱振均、廖偉祥、盧憲一提案固定資產建設改良擴充凍結五百萬元六 委員邱振均、廖偉祥、盧憲一提案為主決議二 管制藥品製藥工廠作業基金第七至第十案為委員陳金輝、王育敏、陳昭志提案七 業務外收入凍結十分之一八 業務成本與費用銷貨成本凍結二十分之三九 業務費用凍結十分之一十 研究發展費用使用材料費研發用原物料凍結十分之三 |
| transcript.whisperx[24].start |
2387.825 |
| transcript.whisperx[24].end |
2416.334 |
| transcript.whisperx[24].text |
十一委員蘇清泉等提案為主決議三全民健康保險基金十二委員陳清輝等提案業務成本與費用保險成本呆帳凍結十分之一十三委員陳清輝等提案其他業務成本雜項業務成本旅運費凍結十分之一十四委員陳清輝等提案專業服務費凍結十分之一十五委員陳清輝等提案材料及用品費凍結十分之一十六委員陳清輝等提案為主決議十七委員蘇清泉等提案為主決議 |
| transcript.whisperx[25].start |
2417.414 |
| transcript.whisperx[25].end |
2426.642 |
| transcript.whisperx[25].text |
4.國民年金保險基金18.委員蘇清泉等提案業務成本與費用業務費用水電費減列10萬元凍結1%19.委員蘇清泉等提案媒體政策及業務宣導費凍結1%20.21案為主決議為委員陳金輝等提案5.衛生福利特別收入基金2223案為委員陳金輝王育敏陳昭芝提案 |
| transcript.whisperx[26].start |
2439.173 |
| transcript.whisperx[26].end |
2456.76 |
| transcript.whisperx[26].text |
二二全民健康保險紓困基金其他收入雜項收入增列三百萬元二三預防接種受害救濟基金徵收收入醫療衛生救濟提撥收入增列一千萬元二四委員陳金輝等提案食品安全保護基金違規罰款收入增列一千萬元 |
| transcript.whisperx[27].start |
2457.98 |
| transcript.whisperx[27].end |
2481.378 |
| transcript.whisperx[27].text |
25委員陳金威王玉敏陳昭資提案社會福利基金勞務收入增列五百萬元26委員蘇清泉等提案媒體政策及業務宣導費減列十分之一凍結十分之一27委員劉建國等提案醫療發展基金提升醫療資源不足地區醫療服務品質計畫減列二百萬元凍結五百萬元28委員王玉敏等提案柯木桐二十七案凍結一千萬元 |
| transcript.whisperx[28].start |
2483.223 |
| transcript.whisperx[28].end |
2511.832 |
| transcript.whisperx[28].text |
二九委員陳昭芝等提案健康照護績效提升計劃專業服務費凍結一百萬元三十委員王玉明等提案沿海防治及衛生保健基金向下計劃媒體政策及業務宣導費減列一千萬元凍結二千萬元三一委員蘇清泉等提案科目同三十案凍結十分之一三二至三十六案科目為沿海防治工作三十二委員劉建國等提案減列二百萬元凍結五百萬元三三委員蘇清泉等提案減列一百萬元 |
| transcript.whisperx[29].start |
2512.532 |
| transcript.whisperx[29].end |
2540.103 |
| transcript.whisperx[29].text |
三四委員蘇清泉等提案凍結十分之一三五委員蘇清泉盧憲一王玉敏提案凍結十分之一三六委員林月琴等提案凍結一百五十萬元三七委員陳瑩等提案補助地方煙害防治工作凍結二千萬元三八委員陳瑩等提案營造無煙支持環境辦理煙害教育宣導凍結一千萬元三九委員陳瑩等提案提供多元化戒煙服務凍結八千萬元四十委員陳昭志等提案 |
| transcript.whisperx[30].start |
2540.623 |
| transcript.whisperx[30].end |
2554.508 |
| transcript.whisperx[30].text |
戒菸服務品質與管理論表現計酬代謝症候群獎勵計劃凍結10萬元四億委員承迎等提案辦理菸害防治研究及監測凍結1000萬元四二委員黃秀芳等提案衛生保健工作簡略200萬元 |
| transcript.whisperx[31].start |
2556.368 |
| transcript.whisperx[31].end |
2584.22 |
| transcript.whisperx[31].text |
43委員陳昭芝等提案提升婦女健康及母子保健服務凍結200萬元44委員蘇清泉盧憲一王玉敏提案孕產婦及嬰幼兒健康促進與高風險健康管理凍結十分之一45委員陳金輝等提案柯木桐44案凍結十分之一46委員陳瑩等提案推動兒童青少年健康促進工作口腔保健計畫含特殊族群凍結4000萬元47委員蘇清泉盧憲一王玉敏提案 |
| transcript.whisperx[32].start |
2584.68 |
| transcript.whisperx[32].end |
2611.338 |
| transcript.whisperx[32].text |
口腔保健計畫凍結十分之一四八委員劉建國等提案推動中老年健康促進減劣二百萬元凍結二百萬元四九委員林月琴等提案衛生保健工作之發展及管考凍結五十萬元五十委員劉建國等提案推動營養與健康飲食工作減劣一百萬元凍結五百萬元五一委員陳瑩等提案柯文牧童五十案凍結一千萬元五二委員黃秀芳等提案健康飲食智能促進 |
| transcript.whisperx[33].start |
2611.938 |
| transcript.whisperx[33].end |
2637.244 |
| transcript.whisperx[33].text |
健康體位管理工作辦理相關教育訓練及營造健康飲食支持環境檢列50萬元53委員蘇清泉盧憲一王育敏提案癌症防治工作凍結十分之一54委員陳盈等提案科目同53案凍結2億5000萬元55委員邱振軍蘇清泉盧憲一提案科目同53案凍結100萬元56委員陳昭芝等提案推動主要癌症篩檢服務凍結200萬元 |
| transcript.whisperx[34].start |
2639.793 |
| transcript.whisperx[34].end |
2665.332 |
| transcript.whisperx[34].text |
五七委員陳盈等提案捐助補助與講助推動主要癌症篩檢服務婦女乳癌篩檢檢列八百萬元凍結二千萬元五八至六十案委委員陳金輝王玉敏陳昭資提案五八預防接種受害救濟基金預防接種受害救濟給付計劃凍結五百萬元五九一般行政管理計劃檢列二十萬元六十柯木桐五十九案凍結十分之一六億委員邱振軍蘇星璇盧憲一提案 |
| transcript.whisperx[35].start |
2666.693 |
| transcript.whisperx[35].end |
2685.647 |
| transcript.whisperx[35].text |
疫苗基金疫苗接種計劃凍結五百萬元六二委員陳金輝王育敏成招資提案疫苗接種計劃推展費凍結十分之一六三委員陳金輝王育敏成招資提案疫苗接種計劃材料及用品費用品消耗凍結十分之一六四委員邱振軍蘇清泉盧憲一提案 |
| transcript.whisperx[36].start |
2686.127 |
| transcript.whisperx[36].end |
2701.264 |
| transcript.whisperx[36].text |
疫苗接種計畫用品消耗COVID-19疫苗凍結一千萬元65委員陳金輝等提案食品安全保護基金食品安全保護計畫捐助補助與獎助凍結十分之一66委員陳金輝王育敏呈交資提案 |
| transcript.whisperx[37].start |
2701.724 |
| transcript.whisperx[37].end |
2716.836 |
| transcript.whisperx[37].text |
社會福利基金福利服務計劃凍結二十分之三六七委員陳盈等提案柯木同六十六案凍結二億元六八委員邱振軍廖偉祥蘇清泉提案柯木同六十六案凍結五百萬元六九委員陳金輝王玉敏陳昭芝提案 |
| transcript.whisperx[38].start |
2717.316 |
| transcript.whisperx[38].end |
2731.838 |
| transcript.whisperx[38].text |
公財回饋推展社福計劃凍結二十分之一七十委員邱振軍蘇清泉廖偉翔提案柯木同六十九案凍結五百萬元七億委員劉建國等提案公財回饋推展社福計劃推展費減列二百萬元凍結二百萬元 |
| transcript.whisperx[39].start |
2733.34 |
| transcript.whisperx[39].end |
2751.925 |
| transcript.whisperx[39].text |
七二委員陳金輝、王玉敏、陳昭芝提案家庭暴力及性侵害防治基金暴力防治三級預防計劃凍結十分之一七三委員陳昭芝等提案柯牧童七十二案凍結二百萬元七四委員蘇清泉等提案暴力防治三級預防計劃媒體政策及業務宣導費凍結十分之一 |
| transcript.whisperx[40].start |
2753.605 |
| transcript.whisperx[40].end |
2773.866 |
| transcript.whisperx[40].text |
七五委員王玉敏等提案長照服務發展基金媒體政策及業務宣導費減列一千萬元凍結一千萬元七六至八十案科目為完善長照服務輸送體系計畫七十六委員陳昭芝等提案凍結十分之一七七委員王玉敏等提案凍結二千萬元七八委員陳昭芝等提案凍結五百萬元 |
| transcript.whisperx[41].start |
2774.907 |
| transcript.whisperx[41].end |
2788.219 |
| transcript.whisperx[41].text |
79委員陳瑩武麗華等提案凍結500萬元80委員林月琴等提案凍結150萬元81委員陳昭芝王玉敏陳委員陳金輝王玉敏陳招資提案完善長照服務輸送體系計劃專業服務費凍結十分之一 |
| transcript.whisperx[42].start |
2792.332 |
| transcript.whisperx[42].end |
2819.461 |
| transcript.whisperx[42].text |
八二委員蘇清泉等提案完善長照服務輸送體系計劃媒體政策及業務宣導費凍結十分之一八三委員陳金輝王玉敏陳昭資提案柯木桐八十二案凍結十分之一八四委員陳金輝王玉敏陳昭資提案完善長照服務輸送體系計劃捐助補助與獎助凍結十分之一八五委員劉憲國等提案發展失職社區照護服務凍結五百萬元八六委員陳瑩等提案 |
| transcript.whisperx[43].start |
2820.141 |
| transcript.whisperx[43].end |
2844.971 |
| transcript.whisperx[43].text |
獎助居家市及社區市長照機構資源部件凍結五億元八七委員劉建國等提案強化長照機構服務管轄失能及連續性照護服務計劃凍結五百萬元八八至九四案為主決議八十八委員黃秀芳等提案八九至九十一案為委員陳金輝等提案九二委員林月琴等提案九三至九十四案為委員陳金輝等提案宣讀完畢 |
| transcript.whisperx[44].start |
2853.752 |
| transcript.whisperx[44].end |
2878.49 |
| transcript.whisperx[44].text |
好那我們現在就開始主案討論齁總共有94個案每案先行政單位說明接著請委員表示意見那我們在開始之前我跟大家報告齁今天是我們主祕郭東瑞主祕最後一天站起來馬上就要脫衣服了 |
| transcript.whisperx[45].start |
2880.89 |
| transcript.whisperx[45].end |
2880.91 |
| transcript.whisperx[45].text |
好 |
| transcript.whisperx[46].start |
2905.799 |
| transcript.whisperx[46].end |
2932.569 |
| transcript.whisperx[46].text |
第一案第一案跟主席委員報告那第一案邱正英委員這個部分他已經改組決議已經簽名了最主要是因為這邊的我們醫療這個服務的輔導這個部分是我們衛福部所屬醫院的人事費用所以跟他說明以後他也清楚所以原本的簡略跟凍結他就是願意改成組決議已經簽名 |
| transcript.whisperx[47].start |
2935.245 |
| transcript.whisperx[47].end |
2960.633 |
| transcript.whisperx[47].text |
所以第一案改組決議所以第二案蘇委員這邊也是跟蘇委員這個主席趙薇這邊也溝通過因為水電費其實會影響這個我們衛福部所屬醫院在偏鄉離島的這些費用所以經過跟委員說明以後原本簡略跟凍結那蘇趙薇也同意改組決議已經簽名以上好改組決議 |
| transcript.whisperx[48].start |
2961.613 |
| transcript.whisperx[48].end |
2976.278 |
| transcript.whisperx[48].text |
第三案陳昭芝 還沒到齁先給他保留全署檢列跟私人等他來啦 等他來 好不好第四案 |
| transcript.whisperx[49].start |
2978.438 |
| transcript.whisperx[49].end |
2994.622 |
| transcript.whisperx[49].text |
第四案也是邱正軍委員他對我們也是我們所屬醫院就是用人成本的費用因為是影響我們所屬醫院的用人費用所以原本從凍結五百萬經過說明溝通改組決議已經簽名以上 |
| transcript.whisperx[50].start |
2998.163 |
| transcript.whisperx[50].end |
3010.95 |
| transcript.whisperx[50].text |
好改組決議第五案第五案也是邱正勳委員那他針對我們的固定資產那是從這個我們的醫療醫院輔導費用裡面要凍結那會影響就是我們所屬醫院要購置設備儀器這個部分原本凍結500萬那經過溝通說明以後他改組決議已經簽名 |
| transcript.whisperx[51].start |
3022.233 |
| transcript.whisperx[51].end |
3048.333 |
| transcript.whisperx[51].text |
部長你很強,你的團隊很強來第六案第六案也是邱正軍委員,那就是我們已經跟他說明以後就是他願意修正文字已經簽名以上所以是主決議嘛好那來機關署的 |
| transcript.whisperx[52].start |
3049.639 |
| transcript.whisperx[52].end |
3066.475 |
| transcript.whisperx[52].text |
第七案第七案是陳靜薇謝謝陳委員那個跟委員溝通後同意改委員已經同意改組決議並修正文字委員已經簽名了所以該組決議第七案 |
| transcript.whisperx[53].start |
3076.314 |
| transcript.whisperx[53].end |
3100.8 |
| transcript.whisperx[53].text |
第八案 呃 謝謝陳委員 委員已經同意改那個三五十萬 那科目自行調整 委員已經簽名了好 第八案 三減五十萬科目自行調整 對好 第九案 呃 謝謝委員 那委員已經同意這個三減五十萬 那科目自行調整 那委員已經簽名了好 |
| transcript.whisperx[54].start |
3101.929 |
| transcript.whisperx[54].end |
3130.414 |
| transcript.whisperx[54].text |
同意三減五十萬科目自行調整第十案謝謝陳委員那個委員已經同意三案一百萬元科目自行調整那委員已經簽名了好三一百萬科目自行調整第十一案謝謝蘇昭偉委員已經因同意修正文字那改組決議已經簽名了好再來第三大項第十案 |
| transcript.whisperx[55].start |
3135.486 |
| transcript.whisperx[55].end |
3149.335 |
| transcript.whisperx[55].text |
十二案謝謝陳慶輝委員已經同意改組決議好改組決議十三案十三案謝謝陳慶輝委員已經同意改成組決議十中兩厲害 |
| transcript.whisperx[56].start |
3153.464 |
| transcript.whisperx[56].end |
3159.268 |
| transcript.whisperx[56].text |
第14案是陳昭之委員的第15案也是謝謝陳慶輝委員改成主決議16案陳慶輝委員的主決議遵照辦理17案是蘇昭偉的主決議修正文字後我們遵照辦理 |
| transcript.whisperx[57].start |
3183.235 |
| transcript.whisperx[57].end |
3185.697 |
| transcript.whisperx[57].text |
來第四項國民年金保險基金18 |
| transcript.whisperx[58].start |
3207.685 |
| transcript.whisperx[58].end |
3220.99 |
| transcript.whisperx[58].text |
18案是那個蘇委員的水電費19案是那個媒體的宣導費這兩案都被凍結十分之一你看要減六多少啦 自己講啦這樣比較快啦 |
| transcript.whisperx[59].start |
3224.915 |
| transcript.whisperx[59].end |
3228.817 |
| transcript.whisperx[59].text |
可不可以不要動減因為那個那個水電費減劣減劣減劣減劣減劣減劣減劣減劣減劣減劣減劣減劣減劣減劣 |
| transcript.whisperx[60].start |
3243.283 |
| transcript.whisperx[60].end |
3263.721 |
| transcript.whisperx[60].text |
在逐年成長中所以整個辦公時間很長所以以致電費用量在增加其實我們都一直在例行各種節約的措施那電用電量是有微幅的下漲但是整個還是不知這個電費的漲幅啦所以我們考量110年到112年用電情況跟調整的幅度其實我們只比 |
| transcript.whisperx[61].start |
3265.162 |
| transcript.whisperx[61].end |
3277.567 |
| transcript.whisperx[61].text |
113年後增加16萬2000元所以這部分是不是其實我們已經很很用心在做這一塊是不是可以請我們這邊免於凍結讓我們以主決議的方式就繼續要求我們落實各種這個用電節電的計劃 |
| transcript.whisperx[62].start |
3284.778 |
| transcript.whisperx[62].end |
3293.345 |
| transcript.whisperx[62].text |
委員我們是不是動10萬元因為我們只增加16萬我們只比去年增加16萬動我們10萬塊可不可以委員幫忙那個第18案檢列10萬塊啦不凍結啦好不好 |
| transcript.whisperx[63].start |
3302.641 |
| transcript.whisperx[63].end |
3305.164 |
| transcript.whisperx[63].text |
那我們可不可以減劣10萬然後科目執行調整 |
| transcript.whisperx[64].start |
3320.209 |
| transcript.whisperx[64].end |
3332.873 |
| transcript.whisperx[64].text |
檢列十萬啦客戶自己調整好不好那第十九項這個宣傳會這個一定要要有所交代所以直接檢列我不要再凍結了直接檢列檢列一千萬 |
| transcript.whisperx[65].start |
3338.855 |
| transcript.whisperx[65].end |
3360.468 |
| transcript.whisperx[65].text |
國民年輕的被保險人都是比較經濟弱勢他很需要一些資訊的傳達其實我們都很用心的製作各種宣傳這樣才可以維持我們的繳費率然後讓民眾能夠獲得老年經濟的保障這些問問請他相較於其他的被保險人更需要宣導更需要了解 |
| transcript.whisperx[66].start |
3365.146 |
| transcript.whisperx[66].end |
3387.408 |
| transcript.whisperx[66].text |
那個趙偉你應該也知道就是說有參加國民年金他就是沒有勞保沒有農保其他保險就全部加入這個國民年金嘛那國民年金通常我們在地方我碰到了這些民眾其實他有時候也不知道一間部也不知道說他沒留保了他是我們主動幫他加入到國民年金 |
| transcript.whisperx[67].start |
3387.948 |
| transcript.whisperx[67].end |
3407.087 |
| transcript.whisperx[67].text |
所以他也不會主動說要去繳費因為應災或者是經濟弱勢的話他也沒有錢去繳所以有時候就是也要透過媒體或者是這個郵寄的方式他才有辦法得知這樣的一個訊息啦所以如果你把它刪的話其實我覺得這樣會影響到整個國民年金的運作 |
| transcript.whisperx[68].start |
3411.802 |
| transcript.whisperx[68].end |
3419.011 |
| transcript.whisperx[68].text |
凍結100萬然後報告再支用這樣好不好委員凍50萬好不好真的啦委員請委員多多支持我們好凍結50萬好謝謝委員支持來20 20萬 |
| transcript.whisperx[69].start |
3432.609 |
| transcript.whisperx[69].end |
3452.097 |
| transcript.whisperx[69].text |
二十案呢也是國民年金的那個財務的精算報告的那個建議那謝謝那個陳金輝委員是我們主決議我們在一個月內提出那個方案跟對策這個是對這個文字然後那個委員也已經簽名二十案 |
| transcript.whisperx[70].start |
3453.567 |
| transcript.whisperx[70].end |
3480.394 |
| transcript.whisperx[70].text |
那21案呢也是陳清輝委員謝謝陳清輝委員委員也已經簽名了然後這個部分呢我們會再會照辦對會提出改善計劃好謝謝再來衛生福利特別收入基金22案22案陳清輝委員提案增列300萬的預算數我們修正文字後遵照辦理 |
| transcript.whisperx[71].start |
3486.011 |
| transcript.whisperx[71].end |
3509.16 |
| transcript.whisperx[71].text |
收入面收入面增加收入面所以OK嘛就是那個後面文字修正後我們就照列列300萬好那就照文字修正照列23案23案謝謝陳委員陳慶輝委員那委員已經簽名同意改組決議好改組決議 |
| transcript.whisperx[72].start |
3515.336 |
| transcript.whisperx[72].end |
3536.95 |
| transcript.whisperx[72].text |
24萬 謝謝陳委員我們已經改增加收入100萬 委員已經簽字了好 增列100萬 先簽名25萬陳金惠委員提案對於部署機構的勞務收入需要增加500萬元經過跟委員報告以後也謝謝委員已經同意簽名改增列勞務收入100萬好 就改增列100萬 |
| transcript.whisperx[73].start |
3543.648 |
| transcript.whisperx[73].end |
3544.089 |
| transcript.whisperx[73].text |
五百萬改成一百萬 |
| transcript.whisperx[74].start |
3547.028 |
| transcript.whisperx[74].end |
3573.375 |
| transcript.whisperx[74].text |
好,26萬26萬,現在趙偉跟趙偉溝通就是沒先費用啦,不過趙偉口頭說同意讓我們改為主協議但是趙偉還沒有簽名,是不是可以同意我們因為國民監事組你也知道所有的議員保健都必須要透過媒體先導希望能夠提升整體的篩檢率所以我們一定要去做相關的先導的作業,所以拜託趙偉能夠同意 |
| transcript.whisperx[75].start |
3576.737 |
| transcript.whisperx[75].end |
3598.163 |
| transcript.whisperx[75].text |
你那些宣傳的媒體都用那些很漏物的我們會嘗試各類的方式啦現在年輕人都以前都沒好人家沒在看年輕人都用那些新媒體啊對啊你可能要往那個方向去努力啊是是不是我現在生氣都要靠年輕人 |
| transcript.whisperx[76].start |
3600.925 |
| transcript.whisperx[76].end |
3603.611 |
| transcript.whisperx[76].text |
二十七案二十七案的話是劉建國委員說要現場處理 |
| transcript.whisperx[77].start |
3609.929 |
| transcript.whisperx[77].end |
3612.59 |
| transcript.whisperx[77].text |
這案我還是提醒一下衛福部主要是因為這邊是醫療發展基金你就是要平衡這個城鄉差距 |
| transcript.whisperx[78].start |
3637.608 |
| transcript.whisperx[78].end |
3662.731 |
| transcript.whisperx[78].text |
但是現在坦白講雲林跟嘉義在這個醫療資源上面其實是蠻弱勢的但是雲林跟嘉義老年人口又特別多特別嘉義縣所以在這個相關的醫療資源我之前在公務預算其實也有類似的提案這個請部長要特別去注意你現在所有的那個醫學中心的分布坦白講是蠻不均的 |
| transcript.whisperx[79].start |
3664.546 |
| transcript.whisperx[79].end |
3681.664 |
| transcript.whisperx[79].text |
高度集中在北部地區但是這種資源越弱勢的地方你反而沒有一個政策去獎勵或去肯定或去提升比如說讓它變成是準醫學中心那也是一種肯定因為它會變成是一個你如果有去提拔它的話它會變成一個正向循環 |
| transcript.whisperx[80].start |
3682.865 |
| transcript.whisperx[80].end |
3711.363 |
| transcript.whisperx[80].text |
資源越少的地方醫護越不願意在那邊他可能就越往這個比較都會地區跑那你這邊如果相對有一些獎勵型的你去認可在地長期經營而且經營的不錯你去肯定他那你會讓那些醫護人員覺得說在這邊其實也一樣可以作為生涯做一個長期服務那你的醫療資源你的人才其實才會就是繼續在這些比較弱勢的地方我是覺得你們政策上面 |
| transcript.whisperx[81].start |
3712.104 |
| transcript.whisperx[81].end |
3716.636 |
| transcript.whisperx[81].text |
這個可能整體應該要去做一些的調整好不好這個提案最重要的目的在這邊謝謝 |
| transcript.whisperx[82].start |
3721.673 |
| transcript.whisperx[82].end |
3748.289 |
| transcript.whisperx[82].text |
第29案陳昭志委員我們已經獲得委員簽名該出決議主席我可不可以利用這個時間跟你請求一下好不好因為我程序有一點不是那麼完整蔡教就是這樣這個醫療事故處理的部分最近也出現一個非常嚴重的問題也請部長這邊多了解看怎麼處理啦就是說我們也知道自從上一次2023年修刑事訴訟法以後 |
| transcript.whisperx[83].start |
3748.849 |
| transcript.whisperx[83].end |
3769.728 |
| transcript.whisperx[83].text |
目前在醫療依舊的鑑定的部分沒有人要出來鑑定所以到目前為止已經累積了322件的案子因為沒有依舊沒有人鑑定他們就沒有辦法開庭開庭他也沒有辦法再做審查這會嚴重影響到當事人家屬還有醫師各方面的權益 |
| transcript.whisperx[84].start |
3770.989 |
| transcript.whisperx[84].end |
3788.146 |
| transcript.whisperx[84].text |
所以本來是想說能不能利用今天的時間提一個主決議不過剛剛好像有點程序上認為不太適當如果主席願意的話當然是最好可以啊可以啊好不好所以這不可能那個鑑定一件是多少錢因為我有鑑定要簽名 |
| transcript.whisperx[85].start |
3789.741 |
| transcript.whisperx[85].end |
3795.544 |
| transcript.whisperx[85].text |
我可以發問嗎主席王振旭委員我想問一下您說的鑑定是經過這個協調庭之後的那個鑑定嗎 |
| transcript.whisperx[86].start |
3812.797 |
| transcript.whisperx[86].end |
3841.767 |
| transcript.whisperx[86].text |
依舊的部分現在是不是會先協調補充程序就是那個整個程序我先講一下第一件事情那個是要提告之後提告之後可能會有檢察官或者是法院那邊請求就是是說衛福部這邊來我們的醫生會來幫忙做依舊的鑑定然後那現在其實我們從去年一整年協助處理民事因為民事的 |
| transcript.whisperx[87].start |
3843.108 |
| transcript.whisperx[87].end |
3863.883 |
| transcript.whisperx[87].text |
訴訟規則沒有改變所以我們也做了民事的鑑定221案然後刑事鑑定重點剛剛我們部長有特別講是居民的問題因為居民的問題意見很小其實很容易會有人身安全的擔心然後主要是因為遊戲規則改了所以我們在這個地方上面沒有辦法去處理可是我們陸陸續續有跟那個 |
| transcript.whisperx[88].start |
3866.914 |
| transcript.whisperx[88].end |
3895.675 |
| transcript.whisperx[88].text |
司法院還有法務部這邊做一些溝通協調就是盡可能減少衝擊第一件事情是我們去年上路的抑鬱法是去年113年1月1號之後的才先走這個制度就受所謂的強制調解調解的這一塊然後這個是訴訟外紛爭解決機制然後他的效果成立就有如檢疫判決這個所以我們盡可能的推然後所以我們 |
| transcript.whisperx[89].start |
3897.016 |
| transcript.whisperx[89].end |
3921.567 |
| transcript.whisperx[89].text |
去年11月的時候有跟衛生局因為10月的時候跟法務部溝通法務部是說那113年之前的就是112年年底是不是可以也走同樣的制度然後11月的時候我們跟衛生局協調過其實就把案子送進來在當事人都同意的前提下面我們也盡量的減少案源然後另外一塊的話就會是說專家鑑定是 |
| transcript.whisperx[90].start |
3925.349 |
| transcript.whisperx[90].end |
3945.615 |
| transcript.whisperx[90].text |
鑑定制度有一個機關鑑定有一個是專家鑑定機關鑑定為府部協助法務部所以有我們一審會然後那專家鑑定這邊有沒有可能有一些突破所以我們目前兩個部跟司法院一起在處理這一段以上補充那可以請教一下市長現在你們這個調解成功率大概是幾成嗎44% |
| transcript.whisperx[91].start |
3947.956 |
| transcript.whisperx[91].end |
3971.902 |
| transcript.whisperx[91].text |
四成多所以還是有六成會需要走到這個鑑定他可能會走鑑定可能不夠就是比例上面這個我們還在看就是後續的發展可是最起碼我們的重點就會是也謝謝委員這邊支持是我們這個制度需要再讓成功率提高還有一些相關的教育訓練跟宣導這邊需要做也謝謝委員支持 |
| transcript.whisperx[92].start |
3973.937 |
| transcript.whisperx[92].end |
3988.335 |
| transcript.whisperx[92].text |
所以這個部分我們會後來再後續處理主要就是針對目前已經成案需要這個依舊鑑定的部分真的沒有醫師剛剛部長有提到沒有人敢出來啦這個重點在這裡所以我們要設法來處理 |
| transcript.whisperx[93].start |
3990.638 |
| transcript.whisperx[93].end |
4010.778 |
| transcript.whisperx[93].text |
那其實最終我們有跟我們的那個明星政委法務政委有做過討論最終可能要走到修刑事訴訟法的這個可能會是total solution可是在這之前可能大家要討論的是相關的配套措施所以我們才會是說我們就一步一步第一件事情 |
| transcript.whisperx[94].start |
4011.338 |
| transcript.whisperx[94].end |
4025.25 |
| transcript.whisperx[94].text |
雙方同意的其實我就先進行到調解不要進行到訴訟所以它還是可以法務部這邊的檢察署跟法院這邊還是可以把案子就是移到我們的醫療糾紛調解這邊來做處理然後這樣的話也可以減少一些案源然後 |
| transcript.whisperx[95].start |
4031.455 |
| transcript.whisperx[95].end |
4056.4 |
| transcript.whisperx[95].text |
專家鑑定這一塊其實我們就大概跟專科的學會還有那個醫師公會全聯會一起討論看怎麼協助法務部把那個量再降下來因為刑事訴訟的量我們目前的話就是想辦法讓他的案件減少民事訴訟這部分因為完全沒有改變有息規則所以走的那個算是流程上面算是順的以上 |
| transcript.whisperx[96].start |
4057.423 |
| transcript.whisperx[96].end |
4070.213 |
| transcript.whisperx[96].text |
好,謝謝我們委員會說這個在深渣案件不能夠再拆,拆那就是壞了所以沒關係,這次提案很好啦他說在疫苗協調會上,那個時候算更有力量就像前輩那樣,是給他送這樣 |
| transcript.whisperx[97].start |
4084.369 |
| transcript.whisperx[97].end |
4086.15 |
| transcript.whisperx[97].text |
我覺得縣市衛生局的調節會效果很好像我們屏東縣幾乎八成都解決了 |
| transcript.whisperx[98].start |
4110.325 |
| transcript.whisperx[98].end |
4133.986 |
| transcript.whisperx[98].text |
那個效果很好,要是沒有...如果現場所有委員都同意的話,是不是可以針對這個案?可以嗎?可以嗎?可以嗎?對啊,如果所有委員都同意的話...我再想看看我再想一下 |
| transcript.whisperx[99].start |
4136.556 |
| transcript.whisperx[99].end |
4162.371 |
| transcript.whisperx[99].text |
所以你如果那個縣市衛生局那個地方讓他加強應該這個案子送到訴訟就少送到訴訟少給專家鑒定這專家鑒定真的壓力很大我不曉得那個部長你有審過我有審過齁寫一寫後來要簽名真的很沉重很沉重哈哈哈哈 |
| transcript.whisperx[100].start |
4166.747 |
| transcript.whisperx[100].end |
4189.384 |
| transcript.whisperx[100].text |
主要是現在新改的刑事訴訟法必須要自然人簽名對 然後所以這也是為什麼我們醫生對 以前機關只要寫對 然後機關代表就是部長你台大醫院的書都沒要簽啦 沒要看啦 |
| transcript.whisperx[101].start |
4193.942 |
| transcript.whisperx[101].end |
4219.198 |
| transcript.whisperx[101].text |
那個是兩塊一個是機關鑑定的也要自然人簽名一個是剛剛部長講的專家鑑定本來就是自然人對 然後民事鑑定民事訴訟因為沒有改所以還是可以用機關的名字去對 然後這一塊今天是這麼多錢 我要多少錢五千 |
| transcript.whisperx[102].start |
4224.036 |
| transcript.whisperx[102].end |
4243.005 |
| transcript.whisperx[102].text |
沒人要照顧你照顧李國康我們有調升價錢啦對啦對啦要寫一張要託很多錢的因為你今天沒人寫啊託到五百年還出庭那真的不可能的事情啊沒人要寫啊欸這要改觀欸這真的要改觀 先看嘛 |
| transcript.whisperx[103].start |
4257.148 |
| transcript.whisperx[103].end |
4280.895 |
| transcript.whisperx[103].text |
所以要加強縣市衛生局的那個調解會的功能對就是那個真的很重要源頭部分如果少一點然後現在是基案的部分的話所以才會是說你就也可以往我們的那個調解會這邊送然後大概也跟衛生局溝通過了所以盡可能的也是在協助減少那個檢查機關跟法院這邊的壓力 |
| transcript.whisperx[104].start |
4282.045 |
| transcript.whisperx[104].end |
4297.17 |
| transcript.whisperx[104].text |
沒有 你如果走到刑事訴訟那個大家都不樂見了大家都很辛苦啦好 那就29案寫成招書嘛有簽名有簽名了嘛對對對好 那30案王一鳴的 |
| transcript.whisperx[105].start |
4300.395 |
| transcript.whisperx[105].end |
4329.695 |
| transcript.whisperx[105].text |
那个三十案这边主要是有关于烟害防治的问题大家都知道这个112年我们烟害防治法已经明文禁止这个电子烟的部分但是你可以看到现在电子烟的管道还是非常的畅通而且它一卖可以这个几十万就这样子卖出去了这个数量也很庞大然后呢也没有立即遭到强制的下架跟开罚所以这个部分 |
| transcript.whisperx[106].start |
4330.275 |
| transcript.whisperx[106].end |
4358.924 |
| transcript.whisperx[106].text |
國建署在執行有關於取締這個電子煙的部分我覺得做得不好還有需要改善的必要所以這個部分這個年度國建署還編了一億四千多萬要來做相關的媒體宣導但是你的宣導顯然沒有讓這些電子煙就是更下降或者是讓我們這些未成年人更知道怎麼樣不要去接觸所以這個成效其實是 |
| transcript.whisperx[107].start |
4359.844 |
| transcript.whisperx[107].end |
4382.904 |
| transcript.whisperx[107].text |
不加的所以我這邊才會提出簡略跟凍結案那就希望說這一個國建署在這個部分要加強你整個真正落實你的淹害的仿制教育的宣導而且要去做檢討謝謝委員那委員所提的當然也許我們過去做的努力還不過但是我相信我們在 |
| transcript.whisperx[108].start |
4383.945 |
| transcript.whisperx[108].end |
4410.572 |
| transcript.whisperx[108].text |
今年這七年底的時候我們在行政院召開跨部會的一個聯合稽查那我們衛福部也成立了所謂的電子菸的稽查小組就是稽查平台來做跨部會的一個整合那因為四社的不只是我們公民監管署或者衛福部單獨一個單位那很多都是在我特別是在網路的部分那這些無線網路的部分又涉及到台灣在 |
| transcript.whisperx[109].start |
4411.652 |
| transcript.whisperx[109].end |
4439.355 |
| transcript.whisperx[109].text |
國內或者在境外的那有一些是搜索引擎的等等那我們逐步的已經去透過相關的管道還有跟溝通那必要的才華等手段那我相信大家也可以看得到目前像一些Meta比較大的像IG他們的數量已經大幅的減少那國內的一些B2B的商店的話那幾乎大概都已經下架都已經配合我們的政策 |
| transcript.whisperx[110].start |
4439.995 |
| transcript.whisperx[110].end |
4466.562 |
| transcript.whisperx[110].text |
那目前比較大的一個困難點是在那個搜索引擎像Google還有這個Yahoo的搜索部分那這三個部分的話我們也積極在處理所以我想宣導是對於我們國民交通署相關的提升民眾的意識那讓民眾不要去接觸讓他們知道相關的電子間的跟家電的危害等等那最重要的宣導一定要讓他們能夠落實那更重要的就是我們要透過稽查的手段 |
| transcript.whisperx[111].start |
4469.509 |
| transcript.whisperx[111].end |
4487.09 |
| transcript.whisperx[111].text |
所以還是委員這邊能夠能夠能夠同意我們改組決議或者是或者是改動少一點啦好不好動決一百萬動一百萬好不好動決一百萬好不好可以吧跟下面那個蘇委員那一位好不好你啦 |
| transcript.whisperx[112].start |
4489.164 |
| transcript.whisperx[112].end |
4492.068 |
| transcript.whisperx[112].text |
來 我來 我講一下我給主席一個來 31項31 第31條對 31項 謝謝這個委員這個我要表達一下齁好 謝謝 謝謝我抽菸是 |
| transcript.whisperx[113].start |
4505.083 |
| transcript.whisperx[113].end |
4524.5 |
| transcript.whisperx[113].text |
不好,不對那這一次的我們國建署要把那個添加27項都要把它刪掉嘛對不對,添加物的部分,那是預告那目前還在召開專家還沒有做最後的決定 |
| transcript.whisperx[114].start |
4525.134 |
| transcript.whisperx[114].end |
4546.452 |
| transcript.whisperx[114].text |
那這個我們台灣研究公司有一些都有當修的啦我想他們都應該要提出他們的困難點或者是他們必須添加的一些方式那其實我們跟所有的製造業者都有提出希望他們提供意見給我們在後續的這個專家會議來討論那到底要進哪幾項那經過專家會議討論以後我們才會決定好 |
| transcript.whisperx[115].start |
4554.838 |
| transcript.whisperx[115].end |
4558.962 |
| transcript.whisperx[115].text |
目前還在檢討當中,沒有做最後的定案這個要考慮一下劉委員說他會現場表達,但他原則同意我們改組決議原則同意改組決議 |
| transcript.whisperx[116].start |
4579.181 |
| transcript.whisperx[116].end |
4587.474 |
| transcript.whisperx[116].text |
動100好不好所以我們要加強嘛動100啦好不好 |
| transcript.whisperx[117].start |
4590.874 |
| transcript.whisperx[117].end |
4602.317 |
| transcript.whisperx[117].text |
好啦 那33案王毅民堅持 動200就200啦好啦好啦好啦 動200好啦好啦 動200那劉建國來要不要要不要齁先給他單一來單一來來33項31的部分就召回改組決議啦齁謝謝好3433的話 那個現在召回33現在召回齁 現在已經同意改組決議並修正文字簽名了 謝謝 |
| transcript.whisperx[118].start |
4618.757 |
| transcript.whisperx[118].end |
4624.839 |
| transcript.whisperx[118].text |
3434謝謝我們蘇昭偉同意改組決議修正文字簽名謝謝3535謝謝我們蘇昭偉 盧瀉立還有王一鳴委員那謝謝昭偉已經同意修改文字改組決議已經簽名3636謝謝我們連內前委員那已經同意改組決議修改文字已經簽名 |
| transcript.whisperx[119].start |
4646.202 |
| transcript.whisperx[119].end |
4650.657 |
| transcript.whisperx[119].text |
3737謝謝我們陳年委員那已經同意改為主決議修正文字也已經取得簽名 |
| transcript.whisperx[120].start |
4653.884 |
| transcript.whisperx[120].end |
4680.46 |
| transcript.whisperx[120].text |
38 38謝謝我們前任委員那已經同意修改為主決議 修正文字那已取得簽名39 39跟委員溝通 委員最後是減列200萬元減列了 減列200萬元已取得簽名 對39減列200萬減列200萬 40案40案謝謝我們前召諸委員那已經同意修改為主決議 而且已經簽名 謝謝 |
| transcript.whisperx[121].start |
4684.813 |
| transcript.whisperx[121].end |
4698.3 |
| transcript.whisperx[121].text |
41 41謝謝我們陳寧委員那已經同意修改為主決議修正文字那也取得簽名42 42黃修光委員謝謝黃修光委員已經同意簽名的改成凍結100萬年43案 43還在溝通當中謝謝我們這個陳委員 |
| transcript.whisperx[122].start |
4708.522 |
| transcript.whisperx[122].end |
4737.655 |
| transcript.whisperx[122].text |
要請你們說明一下喔謝謝因為我想我這三天來第一件就是希望我們母嬰能夠健康啦那所以呢我們從產檢的內容包括次數包括項目超音波也好這個GDM也好那像貧血也好都提供相關的檢查就希望能夠保障母嬰的一個友善跟安全那另外對於山地離島偏鄉一些高風險的族群這個部分 |
| transcript.whisperx[123].start |
4738.115 |
| transcript.whisperx[123].end |
4757.641 |
| transcript.whisperx[123].text |
那我們有一個做很急的高風險22縣市都在推動那我們大概從推動這5年來目前大概每年有113年為例大概我們大概已經接觸到9000多人那受案的大概有8000多人那對於他的不可能或者是生理上的一些弱勢也包括社會風險因素 |
| transcript.whisperx[124].start |
4759.862 |
| transcript.whisperx[124].end |
4783.619 |
| transcript.whisperx[124].text |
願意做事但是國務院告訴我們說你那個地區某些地區那個高風雨它的尤其像台東它的職業人數是專業人數是不足的婦產科醫師人不足婦理人員短缺那這個情況下你們怎麼樣來處理我想我們這個計畫是透過縣市那也跟各個公衛協會包括我們住產公衛退休的一些人或者在職業的都來參加我們這樣一個這個訪視那從華映到 |
| transcript.whisperx[125].start |
4788.783 |
| transcript.whisperx[125].end |
4811.439 |
| transcript.whisperx[125].text |
產後六個月我們都是他參與度偏低啊因為事實就是這樣啊所以怎麼改變就是說你要怎麼在面對這樣的因為我想這個量能到底多少我們會跟縣市來討論那我們一定讓這樣的需要服務的民眾能夠得到相關的服務我們盡量找到一個整個一個部落階的方式來做處理 |
| transcript.whisperx[126].start |
4814.166 |
| transcript.whisperx[126].end |
4830.375 |
| transcript.whisperx[126].text |
那我就想署長你就在書面報告蠻強調因為我在這個說明因為這個部分台東縣那個只有16個婦產科而且12個集中在台東市嘛台東市整個那麼大那其他人怎麼照顧對不對不能照顧已經沒有資源地區我們要特別照顧人力的問題我知道 |
| transcript.whisperx[127].start |
4831.896 |
| transcript.whisperx[127].end |
4847.082 |
| transcript.whisperx[127].text |
來去運用 說大家有責任去支援這個都國建署可以好好跟大家說明一下謝謝委員 那就麻煩委員那是不是免凍解改組決議好不好 那修正文字我們大概寫報告給委員 好好那我等你報告喔 謝謝喔事實上 |
| transcript.whisperx[128].start |
4852.13 |
| transcript.whisperx[128].end |
4876.467 |
| transcript.whisperx[128].text |
改組決議 44案謝謝我們蘇昭維那已經同意改為組決議修正文字那已經簽名 謝謝45案謝謝我們陳建威委員那已經同意改為組決議跟修正文字也已經簽名46案是口腔師那這個部分也謝謝陳映委員已經同意改組決議也已經簽名 |
| transcript.whisperx[129].start |
4880.372 |
| transcript.whisperx[129].end |
4895.762 |
| transcript.whisperx[129].text |
47案47案就是召委所提的有關這個關心12歲兒童的取恥的指數高於國際那之前有到這個委辦這邊溝通那委辦這邊已經有同意口頭同意要改組決只是召委還沒有幫我們簽名好 |
| transcript.whisperx[130].start |
4900.376 |
| transcript.whisperx[130].end |
4925.883 |
| transcript.whisperx[130].text |
可以48案 協調48案 劉委員還沒有到場事先保留49 先保留因為李委員等一下會再處理 再說明嘛對對對 所以先保留好 謝謝50案保留 51案謝謝我們陳立委員陳立委員已經同意修改為主決議並修正文字那已經取得簽名 |
| transcript.whisperx[131].start |
4927.133 |
| transcript.whisperx[131].end |
4952.222 |
| transcript.whisperx[131].text |
五十二案 五十二案謝謝我們黃秀安委員那已經簽名改為凍結一百萬元凍結一百萬五十三案 五十三案那謝謝我們蘇昭偉那已經同意改為主決議並修正文字那也謝謝昭偉已經簽名五十四案 五十四案謝謝我們陳年委員已經修改為主決議那修正文字那已經取得簽名 |
| transcript.whisperx[132].start |
4953.669 |
| transcript.whisperx[132].end |
4959.174 |
| transcript.whisperx[132].text |
55萬,55萬謝謝我們邱正天委員,那已經同意修改為組結議,那修正文字也請人簽名要不要講話沒有,我同意,就同意改組結議同意改組結議,沒有不要表沒有,下一個我再來,這個沒有 |
| transcript.whisperx[133].start |
4973.137 |
| transcript.whisperx[133].end |
4992.165 |
| transcript.whisperx[133].text |
同意了喔五十七案陳昭志委員謝謝我們陳昭志委員那跟委員溝通以後委員已經同意修改為主決議修正文字那已經取得簽名好五十七案五十七案謝謝我們陳寧委員那陳寧委員已經簽名檢列五百萬年 |
| transcript.whisperx[134].start |
4993.917 |
| transcript.whisperx[134].end |
5022.335 |
| transcript.whisperx[134].text |
檢列五百萬是好也取得簽名了五十八案呃謝謝陳金輝委員那委員已經簽名同意改動結一百萬元提交書面報告對呃書面報告我想補充一下因為這是許多人陳情啊在這個疫苗施打以後可能有一些附中等等那昨天有問副署長副署長說他們會請一些法律的專業人士來跟疫苗審查委員會的委員 |
| transcript.whisperx[135].start |
5023.315 |
| transcript.whisperx[135].end |
5036.966 |
| transcript.whisperx[135].text |
上課或是座談是希望可以把它稍微放寬因為是一個慰問的慰問的性質是了解那可以在這個報告裡面附上這個進度嗎可以可以謝謝謝謝署長 |
| transcript.whisperx[136].start |
5042.853 |
| transcript.whisperx[136].end |
5047.535 |
| transcript.whisperx[136].text |
來5959謝謝陳情惠委員那我也已經簽名那同意改簡列10萬元好簡列10萬60萬謝謝陳情惠委員那我也已經簽名同意改組決議好組決議 |
| transcript.whisperx[137].start |
5060.69 |
| transcript.whisperx[137].end |
5086.047 |
| transcript.whisperx[137].text |
61謝謝邱政卿委員委員已經簽名同意改組決議這個原則上同意啦那我還是希望我們署裡面對於這個帶狀皰疹的補助因為現在台灣現在四個縣市都有在做因為這個他的罹患的機率是32%所以我覺得這也是非常嚴重的所以如果可以的話請部裡面這邊再斟酌一下 |
| transcript.whisperx[138].start |
5089.209 |
| transcript.whisperx[138].end |
5099.237 |
| transcript.whisperx[138].text |
是好那61案就改組決議是62案謝謝陳慶輝委員我已經簽名同意改組決議好組決議63案謝謝陳慶輝委員我已經簽名同意改凍結100萬元提交書面報告凍結100萬 |
| transcript.whisperx[139].start |
5118.277 |
| transcript.whisperx[139].end |
5136.542 |
| transcript.whisperx[139].text |
六十四案謝謝邱政軍委員委員已經簽名同意改組決議你剛剛說炮子疫苗律師要求什麼不用錢六十歲以上六十五歲以上都不用錢要多少錢要花多少錢 |
| transcript.whisperx[140].start |
5138.132 |
| transcript.whisperx[140].end |
5147.271 |
| transcript.whisperx[140].text |
那個很貴啦他是65歲以上中低收入我們如果是中低收入的話可能要8億左右 |
| transcript.whisperx[141].start |
5149.468 |
| transcript.whisperx[141].end |
5177.391 |
| transcript.whisperx[141].text |
那打一劑還打兩劑啊目前其實今年開始只有兩劑的一劑不再進來了喔對所以那個大概要因為我打一劑的啊自己智慧的啊我以前我也有打過對對對呃三四千塊啦一...啊沒有沒有五千幾了應該大概五六千塊一劑的大概五六千塊一劑的那是有效果嗎蛤有效果嗎呃那個一劑的比較沒有效果 |
| transcript.whisperx[142].start |
5178.482 |
| transcript.whisperx[142].end |
5191.092 |
| transcript.whisperx[142].text |
因為他後來後來的那個第二兩劑的那個比較好保護力會比較長一劑都可以撐多久頂多十年啦十年那十年後再打這個兩劑的這樣能活到十年的話對好 |
| transcript.whisperx[143].start |
5206.532 |
| transcript.whisperx[143].end |
5224.939 |
| transcript.whisperx[143].text |
65歲全部都免費的話是不得了了我們只有算中低收入或低收入的話大概要8億左右好 65萬謝謝陳金威委員我們委員已經同意改組決議已經簽字了並修正文字好 組決議 66萬 |
| transcript.whisperx[144].start |
5231.513 |
| transcript.whisperx[144].end |
5234.857 |
| transcript.whisperx[144].text |
66萬陳靜惠委員的提案,也謝謝委員已經同意改組決議,謝謝 |
| transcript.whisperx[145].start |
5247.233 |
| transcript.whisperx[145].end |
5263.778 |
| transcript.whisperx[145].text |
好我們49萬黎業勤委員讓他表達來好在我第一次進來總職群的時候我就講說那個18對我們的死因回溯只做到6歲以下可是自殺死亡率事實上是 |
| transcript.whisperx[146].start |
5264.258 |
| transcript.whisperx[146].end |
5289.753 |
| transcript.whisperx[146].text |
高的還有我們的交通這一塊所以我們希望加上2022年本來第二次兒童兒權公約國際委員審查就說鑑於兒少的死亡率高死亡率是不是應該要單一的建立單一且健全的死因回溯的分析機制可是始終那一次在總諮詢的時候本來就有答應的可是怎麼到現在都還沒適合做因為已經又過了快將近 |
| transcript.whisperx[147].start |
5291.394 |
| transcript.whisperx[147].end |
5318.166 |
| transcript.whisperx[147].text |
大概八九個月了所以我們現在目前只針對六歲以下來實施然後沒有辦法全面推動尤其交通跟自殺事實上就是落入在少年這個階段所以加上目前各縣市的做法就沒有相關辦法跟實施要點就各縣市各自做各自的然後中央希望能夠去訂定要點還有標準化的作業程序所以這樣子才能讓有辦法讓 |
| transcript.whisperx[148].start |
5319.446 |
| transcript.whisperx[148].end |
5343.971 |
| transcript.whisperx[148].text |
各縣市政府做的做法才能夠一致而且本來所有的死亡只要知道原因就可以下降而且下降的效果事實上非常的好非常高我不知道就是說在掃紙花的當今為什麼不可以加快速度去做能夠去做這個回應否則的話去年就已經沒辦法升到我們 |
| transcript.whisperx[149].start |
5344.751 |
| transcript.whisperx[149].end |
5359.652 |
| transcript.whisperx[149].text |
跟前年一樣了那我們的死亡數又這麼高由於事故傷害1到14歲的高那個甚至15歲到24歲又是變成事實上是自殺的所以比較期待是要這樣做 |
| transcript.whisperx[150].start |
5362.008 |
| transcript.whisperx[150].end |
5381.259 |
| transcript.whisperx[150].text |
謝謝委員的關心 委員一直希望我們的CDR能夠提高到18歲因為現在兒少法其實提到的就是6歲以下目前來講其實6歲以下這些小孩子他沒有辦法自我表達所以有很多的死因是不清楚所以我們才會去做兒童死因回顧的一個後續的衝 |
| transcript.whisperx[151].start |
5383.38 |
| transcript.whisperx[151].end |
5411.315 |
| transcript.whisperx[151].text |
等於是事後以後再去推估的然後找出原因可以避免然後再有一些方法跟介入來做防護那六歲以上其實到十八歲那大部分就任委員所說的大部分都是交通事故那有一些就是自殺所以他原因就非常的清楚那我們有心理健康事的事到防治中心那也有交通部的主管的前者那未來如果要提到十八歲整體而言的話那我想在俄哨法修法的時候是會有一張 |
| transcript.whisperx[152].start |
5411.975 |
| transcript.whisperx[152].end |
5425.595 |
| transcript.whisperx[152].text |
我覺得等修法沒有法源因為地方政委都反對很多東西政策也不見得一定有法源可是你今天你是國建署鎮於我們兒少的身心健康不應該去做這樣的一個考慮嗎 |
| transcript.whisperx[153].start |
5427.297 |
| transcript.whisperx[153].end |
5452.812 |
| transcript.whisperx[153].text |
因為今天我們就孩子已經生的夠少了然後又不去做積極的作為那也不是說全部都要做只有交通跟自殺這兩塊對看起來原因很明確可是很大廈交通那到底是機車汽車還是站在前面還是坐後邊還是什麼樣狀態那一樣的自殺是什麼原因是感情家庭因素還是什麼都可以透過死因回溯那尤其是像英國他們做的 |
| transcript.whisperx[154].start |
5453.712 |
| transcript.whisperx[154].end |
5471.619 |
| transcript.whisperx[154].text |
本來在三千多的死亡案例裡面可以下降到兩千七三千五到兩千七那降幅事實上非常的高所以就期待你們要能夠去做我們在跟內政部還有這個心理健康是一起來討論看如何我們社交一起討論 |
| transcript.whisperx[155].start |
5474.151 |
| transcript.whisperx[155].end |
5502.97 |
| transcript.whisperx[155].text |
是不是動得太少 所以以致你們覺得沒有什麼特別不是啊 我現在就期待是說真的事實上是他能夠改變這個還要地方來量能的執行 那目前大家地方都反正 我們也開過委員的建議我們也找地方來開過會請你們交報告就先 維持原因就動50萬好 謝謝委員委員同意我們修改那個科目嘛 把那個衛生保健工的管考畫的那個刪掉改成動在上面會像毛毛大象一點好 |
| transcript.whisperx[156].start |
5504.25 |
| transcript.whisperx[156].end |
5528.677 |
| transcript.whisperx[156].text |
就維持原來的維持原來的提案謝謝所以是動50萬簽名署長我請教這時候在講那個什麼青少年變性那個人家說很不合理,整個很不合理,到底是在說什麼我不是非常清楚,這個劉委員,劉市長比較清楚劉市長講清楚一下劉市長比較清楚 |
| transcript.whisperx[157].start |
5532.467 |
| transcript.whisperx[157].end |
5548.707 |
| transcript.whisperx[157].text |
我要講的是說這是第一件事情是107年的時候針對雙性人雙性人那雙性人這邊的話其實舊兒科的病人其實他如果有一些存在身體很久他搞不好會有那個會有cancer的一個 |
| transcript.whisperx[158].start |
5549.387 |
| transcript.whisperx[158].end |
5576.922 |
| transcript.whisperx[158].text |
所以是针对双性人而不是针对未成年的这一块因为成年之后他青春期的荷尔蒙变化很可能会造成那个存在身体的那个生殖组织可能会有癌变的这个情形所以107年的时候讨论是针对双性人的手术所以才会用年龄来做一些区分有一些建议可是这很重要的还是必须要需要decision making之后才能够做 |
| transcript.whisperx[159].start |
5577.802 |
| transcript.whisperx[159].end |
5598.941 |
| transcript.whisperx[159].text |
临床有需要然后家属跟病人其实也都知道所以才会在那个有不同年龄层的一个分别要去做处理这是那时候是针对双性的更不不是说所谓的全面的未成年人的这一块这是第一件事然后那随着就是我们大家观念的进步包括同婚都开放了所以 |
| transcript.whisperx[160].start |
5599.381 |
| transcript.whisperx[160].end |
5625.456 |
| transcript.whisperx[160].text |
在那個監察院也好然後性別委員也好就是說那多元的接納的這件事情我們是不是應該要醫護人員這一塊應該要有一些遵循對LGBTQ這一段所以我們才會在去年年底的時候經過一年的研議我們其實兩年前有先出一個漫畫先讓大家知道就是讓PGY知道是說有這樣子的一個 |
| transcript.whisperx[161].start |
5626.457 |
| transcript.whisperx[161].end |
5642.886 |
| transcript.whisperx[161].text |
存在然後我們怎麼樣來做一個相關的一個照顧其實老師講就是一個全人照顧以人為中心的一個醫療服務然後那好過一年之後那個文化出來了大家好像接受度也還OK所以就裡面的 |
| transcript.whisperx[162].start |
5643.746 |
| transcript.whisperx[162].end |
5663.965 |
| transcript.whisperx[162].text |
部分我們就委請那個泌尿科醫師北榮的黃主任這邊是說來統籌然後才產出了這個指引其實這個指引從頭到尾就是在做整體的照顧要去注意什麼事情然後那一定會把107年我們講的未成年雙性能的這一段寫進去所以整個邏輯是這樣以上簡短補充 |
| transcript.whisperx[163].start |
5666.827 |
| transcript.whisperx[163].end |
5691.378 |
| transcript.whisperx[163].text |
不好意思我想發問一下你的新的指引你並沒有明確的講到是只有雙性人可以接受評估還有手術你的意思是說假使他有一些認同的障礙以至於精神方面等等然後你說要多方醫療團隊但是好像也沒有寫到這些醫療團隊比如說某一個層級以上的 |
| transcript.whisperx[164].start |
5691.818 |
| transcript.whisperx[164].end |
5709.325 |
| transcript.whisperx[164].text |
然後有哪幾個哪幾個科別共同去做share decision那個指引裡面其實是還是針對一般醫護人員如果碰到的時候要特別注意的事情這個大家都知道因為友善門診已經推動非常多年了 |
| transcript.whisperx[165].start |
5709.765 |
| transcript.whisperx[165].end |
5725.464 |
| transcript.whisperx[165].text |
因此我們本來就都有去落實友善門診現在這個很多人打電話進來是在問這個性別確認手術是不是你們的意思就是開放讓12到18歲因為你的意思沒有我們沒有開放 |
| transcript.whisperx[166].start |
5728.826 |
| transcript.whisperx[166].end |
5750.187 |
| transcript.whisperx[166].text |
對媒體下標下錯了我覺得你上面寫說什麼多個醫療團隊去做諮商然後確認等等啊就那個其實就是把我們之前的友善性別門診這一塊去做一個落實讓一般的大概都知道我講的是一般的醫護人員因為還是會轉接到這個特別的門診來做處理嗎 |
| transcript.whisperx[167].start |
5751.869 |
| transcript.whisperx[167].end |
5778.382 |
| transcript.whisperx[167].text |
然後可是如果我們一般醫護人員都不清楚的時候然後那其實對於就是說只有專門的人才知道這樣子其實還是會造成落差對這些族群如果要尋求就醫的時候其實還是一個障礙可是我覺得那指引好像寫得不太清楚不然你就寫說只能用藥物只能用荷爾蒙只能就是非侵入性的方式等等對啊不行 |
| transcript.whisperx[168].start |
5783.242 |
| transcript.whisperx[168].end |
5792.227 |
| transcript.whisperx[168].text |
媒體所有的標題都變成是就是那個衛福部去年12月公佈LGBT民眾醫療照護參考執意其中 |
| transcript.whisperx[169].start |
5795.43 |
| transcript.whisperx[169].end |
5810.232 |
| transcript.whisperx[169].text |
進一步開放未成年的12至18歲兒少有適應困難者經專業團隊評估後可進行變性手術所以其實媒體的標都是把你這個指引特別抓出來說未成年人經評估後 |
| transcript.whisperx[170].start |
5811.153 |
| transcript.whisperx[170].end |
5825.299 |
| transcript.whisperx[170].text |
可以進行變性手術其實是這個才會導致就是很多人的疑惑出來到底可以或不可以媒體是說可以啊按照你的指引就是未成年人可進行變性手術未成年的雙性人 |
| transcript.whisperx[171].start |
5826.533 |
| transcript.whisperx[171].end |
5847.203 |
| transcript.whisperx[171].text |
我們要特別講是媒體下標對這部分我們會覺得是說也謝謝委員跟我們這個機會今天在這邊來做一個澄清所以只有未成年的雙性那如果是未成年的LGBTQ group可以做藥物嗎基本上面就需要專業評估 |
| transcript.whisperx[172].start |
5849.44 |
| transcript.whisperx[172].end |
5873.389 |
| transcript.whisperx[172].text |
我覺得你們的指引好像要把它寫得更清楚才行指引基本上面是第一步啦然後有一些更多的一些專業的這邊我覺得我們其實是可以再跟專家這邊再做一些談判我想這個我們有在媒體上說明這個改變其實是完全遵照專家的一個建議符合國際潮流讓我們台灣的醫護人員 |
| transcript.whisperx[173].start |
5875.902 |
| transcript.whisperx[173].end |
5878.601 |
| transcript.whisperx[173].text |
多了解到必須要做這種友善的一個 |
| transcript.whisperx[174].start |
5879.927 |
| transcript.whisperx[174].end |
5905.568 |
| transcript.whisperx[174].text |
對待這樣子啦,這是第一個精神啦,我覺得這個一定要先強調第二個就是說,如果那些指引齁,不要用我們醫學聽,民眾聽不懂什麼可能我們去把他再處理一下,要講清楚要把擔心的,民之所欲、民之所擔心的,就是我們要去做的嘛就是把那個 |
| transcript.whisperx[175].start |
5906.969 |
| transcript.whisperx[175].end |
5922.036 |
| transcript.whisperx[175].text |
我們不可以就不可以,我們要如何政府如何嚴格沒有做好方向下標的是我們自己留文字給人家下標所以這個部分我們回去趕快再宣布市長你剛才說了解說了,待會看聽有的看幾個我講過了你剛才說了王一鳴有的也聽不到 |
| transcript.whisperx[176].start |
5930.029 |
| transcript.whisperx[176].end |
5930.69 |
| transcript.whisperx[176].text |
你剛才說他也聽不懂我聽有但是跟你圍的流程圖就不一樣 |
| transcript.whisperx[177].start |
5937.639 |
| transcript.whisperx[177].end |
5943.401 |
| transcript.whisperx[177].text |
我們現在辦公室都接到這個無厘頭的電話你有一個Q&A或是簡單的讓我們的助理可以回答不可能我接到的都電話所以讓他們可以簡單的回答香港、澳洲變性的43%是反悔 |
| transcript.whisperx[178].start |
5963.625 |
| transcript.whisperx[178].end |
5966.909 |
| transcript.whisperx[178].text |
到20歲、23歲就反悔我看報道也錯過了所以要講很簡單簡而易懂啦不然你講幾句我也不聽好 |
| transcript.whisperx[179].start |
5976.557 |
| transcript.whisperx[179].end |
5990.875 |
| transcript.whisperx[179].text |
我們來處理實際上我是這樣建議啦未成年大家一定都基於保護的心態不建議手術但是您講的是合理因為他有致癌的風險你應該把這一類的人特別標出來對因為他 |
| transcript.whisperx[180].start |
5993.518 |
| transcript.whisperx[180].end |
6014.134 |
| transcript.whisperx[180].text |
對就同時擁有雙性的器官等等因為有自來風險所以他必須接受手術那另外如果是性別認同的問題你應該另外寫你說他們到底可不可以藥物好多方評估多方評估也要某一個層級以上的某幾顆多方評估可以使用藥物來給他們 |
| transcript.whisperx[181].start |
6017.436 |
| transcript.whisperx[181].end |
6033.702 |
| transcript.whisperx[181].text |
這樣才對吧然後要明確寫說禁止非雙性人做性別確認手術謝謝大家的指教因為我們再重申一次其實老師講並不是開放未成年的 |
| transcript.whisperx[182].start |
6034.182 |
| transcript.whisperx[182].end |
6056.781 |
| transcript.whisperx[182].text |
我覺得這一段謝謝委員給我們時間然後那對於是說文字這邊不清楚的地方我們會再找團隊這邊一起來想一下因為那時候在出這個指引的時候我們針對的是一般的醫護人員然後沒有想到是說一般民眾在看這個的時候會造成誤解 以上 謝謝好 越簡單越好你現在這麼專業沒人看得到好 67案 |
| transcript.whisperx[183].start |
6062.957 |
| transcript.whisperx[183].end |
6080.875 |
| transcript.whisperx[183].text |
六十七案陳英委員提案也謝謝陳英委員已經同意並簽名改為主決議六十八案六十八案邱振均委員提案謝謝委員已經同意改為主決議六十九案六十九案也謝謝陳金輝委員已經同意改為主決議並且已經簽名 |
| transcript.whisperx[184].start |
6082.31 |
| transcript.whisperx[184].end |
6090.541 |
| transcript.whisperx[184].text |
六九改組決議七十案七十案 邱正清委員提案謝謝邱委員已經同意並改為簽名並改為組決議七十一案 |
| transcript.whisperx[185].start |
6101.608 |
| transcript.whisperx[185].end |
6129.751 |
| transcript.whisperx[185].text |
所以我們跟委員報告一下那個委員對於提案的委員提案內容是希望我們對於整個有關業務宣導費的部分能夠做更清楚的說明而且能夠尊嚴政府的預算那我們在這個在這個這個向下我們編列的其實是包括了比較幾乎是總體社會福利相關的一些宣導跟包括宣導跟那個宣導的媒材的製作的費用 |
| transcript.whisperx[186].start |
6130.311 |
| transcript.whisperx[186].end |
6150.287 |
| transcript.whisperx[186].text |
那有社會救助法要擴大照顧對象的那包括親民暴力防治、性暴力防治等等以及對於高齡的友善、高齡友善以及高齡自主相關的一些宣導教材那還有就是有關在於社福中心辦理收出養兒少監護、成年監護等等 |
| transcript.whisperx[187].start |
6152.749 |
| transcript.whisperx[187].end |
6171.39 |
| transcript.whisperx[187].text |
這些媒材的製作以及CRPD的意識的CRPD的意識而造權力意識的推廣等等它是一個比較全面的我們大概集中的都把它編列在一起那這個部分的話也跟我們報告一下這個大概都是對於民眾的一些權力意識 |
| transcript.whisperx[188].start |
6172.171 |
| transcript.whisperx[188].end |
6192.607 |
| transcript.whisperx[188].text |
一些一些基本的宣導那也希望委員可以能夠可以支持我們是不是能夠不要再做不需要做刪減能夠讓我們能夠可以用組決議的方式那我們來提相關的宣導的內容做一個更進一步的書院報告來跟委員來做說明謝謝 |
| transcript.whisperx[189].start |
6197.467 |
| transcript.whisperx[189].end |
6219.931 |
| transcript.whisperx[189].text |
我這個理由寫得很清楚嘛齁你這樣說我還是不太清楚因為你們原本是媒體的政策及業務的宣導會嘛是你們把它刪掉然後去增加推展會是從三年度的530嘛齁是不是增加到219增加到2900萬對啊嘿嘿 |
| transcript.whisperx[190].start |
6225.869 |
| transcript.whisperx[190].end |
6251.861 |
| transcript.whisperx[190].text |
那怎麼會這麼變增加的部分那跟委員報告其實有一部分是也是搭配的像CRPD那個生權公約的部分那因為有搭配到這今年和明年開始要進入國家報告的製作以及國際委員的審查的部分所以確實像在生權公約的部分以及針對那個未成年懷孕收出養的部分那因為 |
| transcript.whisperx[191].start |
6252.721 |
| transcript.whisperx[191].end |
6272.351 |
| transcript.whisperx[191].text |
在這個部分有一個比較大的制度改變所以這個部分確實是他在編列費用上有比去年度有提高一些那其他的話其實是把以往有一些宣導的項目去整合起來合併在一起該提高就要提高這個我不會去有意見的不過你把它全部都混在一塊這樣好嗎 |
| transcript.whisperx[192].start |
6275.615 |
| transcript.whisperx[192].end |
6293.464 |
| transcript.whisperx[192].text |
我們還是有把這個細目有準備出一份比較細的一些資料那是不是可以容我們把這一個比較詳細的資料提供給委員這邊來做進一步的說明好 主席我這案就先保留好不好先保留 剛把那個提供給我好 謝謝 |
| transcript.whisperx[193].start |
6294.504 |
| transcript.whisperx[193].end |
6309.474 |
| transcript.whisperx[193].text |
好71案先保留再跟劉友園溝通72案好72案謝謝陳清輝委員同意並73案改動50萬元也取得委員的同意所以我這邊想發問一下 |
| transcript.whisperx[194].start |
6310.074 |
| transcript.whisperx[194].end |
6331.999 |
| transcript.whisperx[194].text |
因為我看了一下去年我們在這邊質詢問過的問題他說去年8月有一位性影像處理中心的主任劉主任他說每天大概有二三十件案件通報就是至少會有二三十位被害人發現自己的影像外流然後呢每一位再會給差不多五六十個 |
| transcript.whisperx[195].start |
6333.7 |
| transcript.whisperx[195].end |
6344.791 |
| transcript.whisperx[195].text |
傳遞的這個網址啊所以這個量是蠻龐大的因此會覺得這類的受害者其實越來越多但為什麼我們在預算書裡面是看到編列的預算是縮編的狀況 |
| transcript.whisperx[196].start |
6347.754 |
| transcript.whisperx[196].end |
6371.786 |
| transcript.whisperx[196].text |
是謝謝委員因為113年去年我們有一個系統就是處理這個案件從申訴到整個處理這個系統的一個建立所以那個費用將近800萬左右所以我們把那個系統只要建立一次就可以所以這個系統建立好對是好謝謝是那我就依照剛說的併到73案 |
| transcript.whisperx[197].start |
6376.687 |
| transcript.whisperx[197].end |
6395.115 |
| transcript.whisperx[197].text |
那73案陳昭志委員也是動50萬那謝謝陳委員非常關心老人受暴的議題那在部裡頭也很重視所以我們跟長照還有社福整個體系有串聯所以這個部分謝謝委員同意我們凍結50萬也謝謝委員同意簽名73案我們沒有還沒有簽嗎沒有73案我們還沒有簽73案 |
| transcript.whisperx[198].start |
6410.198 |
| transcript.whisperx[198].end |
6423.943 |
| transcript.whisperx[198].text |
現在就是說老人那個施暴的部分這個一直在增加嘛而且大部分就是家人嘛那在國外的那個統計就是家庭照顧的真的很辛苦他們大概65有憂鬱症的傾向大概20有憂鬱症嘛89%有慢性這個精神病嘛 |
| transcript.whisperx[199].start |
6429.065 |
| transcript.whisperx[199].end |
6451.633 |
| transcript.whisperx[199].text |
所以這個照顧者他們就是來到往往就基於愛會很疲憊了所以許多人在事發之後也很後悔那這個部分我也有質詢但是我質詢的時候好像貴屬都無感所以我希望你們能夠有一些比較積極介入的措施啦因為高齡化這個現象只會增加嘛長照的悲劇只會增加嘛而且來自親人也是很痛的事情嘛 |
| transcript.whisperx[200].start |
6452.273 |
| transcript.whisperx[200].end |
6473.578 |
| transcript.whisperx[200].text |
做了很後悔但是當下他又沒有辦法承受啊我不知道社家屬你們要怎麼積極來做這件事情啊是我們目前把這個高負荷照顧的這個指標很清楚的給第一線包括長照人員的居服還有我們的縣市的社福中心的社工以及醫院裡頭要出去出院 |
| transcript.whisperx[201].start |
6474.278 |
| transcript.whisperx[201].end |
6477.101 |
| transcript.whisperx[201].text |
前的一些準備都有這個高負荷照顧的一個指標他們可以用那個指標來做轉介所以我們現在跟長照以及社福還有醫院的部分整個串起來所以提高這個敏感度也就是高其實官方大部分在講方法 |
| transcript.whisperx[202].start |
6490.834 |
| transcript.whisperx[202].end |
6519.022 |
| transcript.whisperx[202].text |
其實我們主動包括劉委員剛剛他強調的很多東西你要去推動但是你推廣業務你的結果是什麼效果是什麼多少人點閱多少人了解那我要的也是這個部分你再告訴我說你方法要怎麼做那我不知道你方法有效沒效他每年數字就在提高啊所以我在職業就是告訴你看你的數字就一直提高你很努力做但是沒有效果沒有效不是但是你就要想辦法去做更好看怎麼改變嘛這人做事情就是這樣做所以這個部分我並沒有 |
| transcript.whisperx[203].start |
6519.742 |
| transcript.whisperx[203].end |
6533.088 |
| transcript.whisperx[203].text |
達成決議啊我本來是還是凍結希望你們提出書面報告後凍五十萬是凍五十萬嗎是改凍五十萬是我這邊寫兩百萬勒你都中背影勒有有改凍五十萬是那你你多久勒兩個月內 |
| transcript.whisperx[204].start |
6542.27 |
| transcript.whisperx[204].end |
6542.53 |
| transcript.whisperx[204].text |
出面報告兩個月內 |
| transcript.whisperx[205].start |
6572.95 |
| transcript.whisperx[205].end |
6595.1 |
| transcript.whisperx[205].text |
所以是不是每件事大家都說衛福部嘛邱部長衛福部從生到死從早到晚都你管的我們現在每件事都是你最大衛福部管太多很多嘛所以人民沒有衛福部整個秩序會大亂所以我們是希望說你們做的東西不要再續映故事不是說我有提這個計劃案我們要知道那個結果 |
| transcript.whisperx[206].start |
6596.773 |
| transcript.whisperx[206].end |
6617.174 |
| transcript.whisperx[206].text |
結果不好你就要改變啊是沒有問題而且我們每三個月都會做一次檢討我們沒有看到啊我諮詢後都沒有看到那我會把這個整個資料做一個整理再提供給委員提供也未還文會來做做五十萬到兩百萬差很大耶是你說我不知道說要五十萬耶現在你在說耶 |
| transcript.whisperx[207].start |
6619.347 |
| transcript.whisperx[207].end |
6623.111 |
| transcript.whisperx[207].text |
我們主題的不太一樣各自動50但是請你兩個月內要把這個報告裡面有包括成效 |
| transcript.whisperx[208].start |
6637.901 |
| transcript.whisperx[208].end |
6658.759 |
| transcript.whisperx[208].text |
成效的部分,所以你預估的成效,將來我們可以繼續比對啊你一定要研究計畫,你們發給別人研究計畫,也是這樣要求的啊都是這樣要求的,好嗎?好,署長,就麻煩你了謝謝,謝謝好,那陳委員,你意見嗎?七十二,七十二要動一百五十,五十,好這五十不合併啦 |
| transcript.whisperx[209].start |
6660.06 |
| transcript.whisperx[209].end |
6678.635 |
| transcript.whisperx[209].text |
不合併好 72案動50 73案動50好 7474是昭緯提的案件那我們遵照辦理就動十分之一但是我們在計畫名稱要修正建議修正為暴力防治三級預防計畫好 謝謝75案這個我有意見什麼昭緯動了你們就遵照辦理 |
| transcript.whisperx[210].start |
6687.342 |
| transcript.whisperx[210].end |
6689.965 |
| transcript.whisperx[210].text |
我們動人你們就照著這麼一堆人來跟我們討論等一下我們動人也要遵照辦理謝謝 |
| transcript.whisperx[211].start |
6700.083 |
| transcript.whisperx[211].end |
6718.363 |
| transcript.whisperx[211].text |
好 我說明一下這個75案我提的主要是我看到這個長照基金我們114年我們的整個支出就是預算數是758億但是我們的預算數是這樣但是用途預算數已經高達 |
| transcript.whisperx[212].start |
6720.575 |
| transcript.whisperx[212].end |
6748.351 |
| transcript.whisperx[212].text |
879億是不是是所以其實短處已經他已經沒有平衡了就是說你的支出大於你現在編列的預算超過120億那所以在這樣的一個情況底下已經有學者示警就是說我們的長照基金未來的這個支出不斷的增加但是顯然你這個基金的來源並沒有一個新的來源所以如果再這樣發展下去的話我們長照基金恐怕三年內 |
| transcript.whisperx[213].start |
6749.318 |
| transcript.whisperx[213].end |
6773.855 |
| transcript.whisperx[213].text |
就會消耗殆盡就是這個基金大概就用完了那這個部分我覺得衛福部應該要提早未雨綢繆就是看到這樣的情況然後要去增加你的這個基金的來源那之前你們有在提到說要稅收保險雙制度我不曉得這只是隨口說說還是未來要朝向這樣的規劃如果這樣跟保險 |
| transcript.whisperx[214].start |
6778.827 |
| transcript.whisperx[214].end |
6794.32 |
| transcript.whisperx[214].text |
雙軌制度他們曾經有這樣子講那這個是不是你未來的還是未來還繼續走稅收那如果稅收顯然現在的稅收不夠用特別是今年已經變成是超高齡的社會我們這個老年人口數已經正式突破20%那所以這個部分你們應該要提早來做 |
| transcript.whisperx[215].start |
6798.303 |
| transcript.whisperx[215].end |
6804.347 |
| transcript.whisperx[215].text |
那在這樣的情況底下你們今年的媒體編的錢跟業務宣導的錢還比112年更高你112年的決算只有4517萬4710元但114年你編列的高達6550萬所以我提這個案子是在幫你們省錢就是說已經基金不太夠使用了但是你的媒體的宣導你們還持續往上加往上編列 |
| transcript.whisperx[216].start |
6827.72 |
| transcript.whisperx[216].end |
6849.972 |
| transcript.whisperx[216].text |
那这个部分我认为你们应该要来检讨而且钱就应该要用在刀口上事实上有一些没一起宣导如果是你们评估那个成效根本没有不是说112年编列然后你114年照样编照样做应该去检讨那个实质的成效在哪里所以我才提出这样的一个这个煽动案好 |
| transcript.whisperx[217].start |
6853.22 |
| transcript.whisperx[217].end |
6860.73 |
| transcript.whisperx[217].text |
好謝謝謝謝王委員這邊的一個提醒跟提案那我先說明一下王委員其實已經這個案剛剛有同意我們明語簡略然後改動節300萬然後科目自行調整也已經簽名 |
| transcript.whisperx[218].start |
6869.142 |
| transcript.whisperx[218].end |
6883.246 |
| transcript.whisperx[218].text |
那我想針對剛剛王委員的關注的一些面向這邊也簡單說明一下那其實目前我們到去年年底就是113年年底基金累積盈餘現在有達到1500萬大概有超過1500萬 |
| transcript.whisperx[219].start |
6888.007 |
| transcript.whisperx[219].end |
6905.747 |
| transcript.whisperx[219].text |
一千五百萬一千五百億一千五百億累計也達到一千五百億就是一一三年底那主要這個收入的部分是以房地合一稅佔大概六成多是最大宗 |
| transcript.whisperx[220].start |
6907.549 |
| transcript.whisperx[220].end |
6928.079 |
| transcript.whisperx[220].text |
我們目前就是雖然就是說每年大概因為服務人數的成長跟服務量能的提升所以導致我們確實在編列的時候會按照預估財政部給我們的預估的收入來臨去編制出可是每年我們因應民眾實際的需求所以都有每年會啟動讓地方政府可以請增 |
| transcript.whisperx[221].start |
6929.099 |
| transcript.whisperx[221].end |
6929.279 |
| transcript.whisperx[221].text |
所以剛剛呃呃呃呃呃呃呃呃 |
| transcript.whisperx[222].start |
6945.429 |
| transcript.whisperx[222].end |
6974.097 |
| transcript.whisperx[222].text |
三年刚刚特别提到说累计到去年年底整个基金的一个收入盈余是已经超过了1500亿那我想这个部分我们其实也是随时都在检讨相关的这个财政的一个财务的来源那我们跟财政部这边都有一些定期做一些相关的讨论那针对就是说可能过往在媒体有报道这个刚刚提到的这个什么裁员 |
| transcript.whisperx[223].start |
6974.637 |
| transcript.whisperx[223].end |
6976.838 |
| transcript.whisperx[223].text |
那這件事情就是不管是什麼樣的財務的來源都會列為我們的評估的項目之一那這邊就是也會朝這個方向來因應面對到越來越高的一個人口群的一個需求那我們在這邊也特別強調就是說預算編列我們基本上一定會預留 |
| transcript.whisperx[224].start |
6998.887 |
| transcript.whisperx[224].end |
7022.647 |
| transcript.whisperx[224].text |
要按照收入來源來編那支出我們基本上就是以民眾的需求有需要我們就支應朝向這樣的一個態度來面對長照的一個供應以上做這樣的一個說明所以你的意思是說你們長照基金現在有累積於有一千五百多億那你現在一年不足的一百多億嗎所以還可以撐個十年有112年底 |
| transcript.whisperx[225].start |
7025.219 |
| transcript.whisperx[225].end |
7049.641 |
| transcript.whisperx[225].text |
以100 不能用現在估啦 我剛剛已經講過了齁 邁向超高齡社會很快啦 我覺得很快你的支出會達到千億規模一定是的 就是說現在還要長照3.0那其實大家的需求 你可以看到其實是越來越多有些其實根本沒有到位 之前我遇到一些機構喔他就跟我說 目前政府所有長照的政策對於機構是零補助 |
| transcript.whisperx[226].start |
7051.923 |
| transcript.whisperx[226].end |
7052.243 |
| transcript.whisperx[226].text |
請問老的有沒有 |
| transcript.whisperx[227].start |
7070.481 |
| transcript.whisperx[227].end |
7087.867 |
| transcript.whisperx[227].text |
對就是其實有一大塊都還在話外之地就是說都沒有在政府照顧的範圍所以我只能說其實因應這個超高齡的社會我是提醒衛福部應該要提早來因應準備你現在看到的預算不是只有這樣而已實質上的需求坦白講你們還有很多 |
| transcript.whisperx[228].start |
7089.387 |
| transcript.whisperx[228].end |
7113.299 |
| transcript.whisperx[228].text |
根本沒有去照顧到你說機構完全不需要照顧嗎我覺得這樣好像也是沒有道理事實上機構他也負擔了很多中正一些一些需求的民眾但是政府現在的量能坦白講他只在這個家庭跟社區他注入了非常多的動能但是到機構的部分他是完全讓機構自己去自負盈虧自己去負責政府 |
| transcript.whisperx[229].start |
7113.706 |
| transcript.whisperx[229].end |
7124.838 |
| transcript.whisperx[229].text |
去給他們的力量很少所以前一陣子我才遇到這一些機構的負責人他們跟我反映說為什麼政府的政策就是對我們機構其實是完全都沒在照顧就是都沒有啊也沒有什麼相關計畫是可以申請補助都沒有就是讓我們自己來運作 |
| transcript.whisperx[230].start |
7131.385 |
| transcript.whisperx[230].end |
7147.269 |
| transcript.whisperx[230].text |
那這個其實就是我們整體在長照的政策當中我覺得還是有所偏頗當然我知道過去我們是想要強調居家式社區式的照顧這個沒有問題但是實際面事實上也有很多的家屬他就是不得已他還是他的長輩就是進到了機構 |
| transcript.whisperx[231].start |
7149.87 |
| transcript.whisperx[231].end |
7168.168 |
| transcript.whisperx[231].text |
但是針對這一類型現在雖然有一些是針對家長有補助但是對於機構怎麼提升他的品質他所聘請的人員設備等等到目前為止是零市長現在代理機構安養的總共有9萬多人那這9萬多人不是一個月有補助有一年就是12萬 |
| transcript.whisperx[232].start |
7170.25 |
| transcript.whisperx[232].end |
7195.691 |
| transcript.whisperx[232].text |
他没有补助机构任何去提高他们的设备人员各方面他们是说他们都没有了跟委员补充报告对于这个一千多家的机构我们采取这种品质提升的卓越计划从108年就是已经有四年只要他达成我们的这个品质提升的指标他就可以拿奖励金我们透过奖励的方式让这些机构经营者愿意 |
| transcript.whisperx[233].start |
7196.371 |
| transcript.whisperx[233].end |
7219.998 |
| transcript.whisperx[233].text |
服務的方向導向符合他按照各個指標不同的金額那最多一年也可以拿到一兩百萬那所以現在有新的四年的獎勵計劃也是鼓勵針對他願意好好的友善照顧他的人力薪資給到三萬多元以上 王玉明有人提供的是不是要思考做長照保險 |
| transcript.whisperx[234].start |
7221.691 |
| transcript.whisperx[234].end |
7234.534 |
| transcript.whisperx[234].text |
這是是不是要輸課啦我另外一個想法是長照保險要做就叫健保署做健保署很厲害啊現在5.17%的匯率差不多9000多億9000多億除起來1%就1600億左右 |
| transcript.whisperx[235].start |
7245.516 |
| transcript.whisperx[235].end |
7274.526 |
| transcript.whisperx[235].text |
那如果說增加到增加一點0.5 0.8或者是到6%那這個長照基金就一年有1000多億的規模那電子健保局的所有所有的data都是完善的都是而且監控的非常非常非常非常非常非常非常好好 劉建國 請歡迎沒有 剛剛是聽翁委員講到長照部分其實 |
| transcript.whisperx[236].start |
7275.958 |
| transcript.whisperx[236].end |
7287.826 |
| transcript.whisperx[236].text |
這個是一個善意提醒但是不會三年就經費消耗殆盡但是有一個問題我還是必須要提供給衛福跟長照事做參考 |
| transcript.whisperx[237].start |
7288.656 |
| transcript.whisperx[237].end |
7313.022 |
| transcript.whisperx[237].text |
這甚至牽動整個衛務部如果我們的整個經費一年度一年度的增加那是對值的部分提高而不是對量的部分提高我覺得我支持對值提高而已是OK但是對量所謂的量就是使用長照的對象人數越來越多 |
| transcript.whisperx[238].start |
7314.81 |
| transcript.whisperx[238].end |
7335.268 |
| transcript.whisperx[238].text |
那這樣會不會就違背賴總統講的健康台灣而且是非常大的衝突跟矛盾那你的經費就會衝突王委員所講的他是估三年啦我待會會估久一點點而已啦我覺得這樣就整個叫做台灣就不能叫做健康台灣 |
| transcript.whisperx[239].start |
7336.343 |
| transcript.whisperx[239].end |
7349.488 |
| transcript.whisperx[239].text |
如果多數的邁入到超高齡社會之後多數的我們的長輩全部百分之七十八十九十通通要用長照這個不叫做健康台灣叫做什麼叫做要用綠色綠色的台灣 |
| transcript.whisperx[240].start |
7351.457 |
| transcript.whisperx[240].end |
7378.769 |
| transcript.whisperx[240].text |
長照的定義很清楚嘛長期身體心理質疑不能自理嘛你如果反作台語說的話 回去要用來生育啊不然要用購啊你出了私資了 你跑出去不知道怎麼回來你明天四點鐘要購那購了是 你是購到幾千萬的人一人私資全家是喪志啦所以我是 所以我一直要強調說你長照基金裡面 你除了再去增加你把值的 這樣的提高我覺得支持 一定支持 |
| transcript.whisperx[241].start |
7379.289 |
| transcript.whisperx[241].end |
7395.173 |
| transcript.whisperx[241].text |
但是如果是對象對象的量一直在增加那代表我們前端一而再再而三的出問題所以我才會在總預算的時候總持預算的時候特別跟部長跟院長提醒嘛你們的預防走入長照的比例在你們長照基金是多少如果在這個地方沒有那就在國建署啊不然就在哪個單位啊你不能沒有啊 |
| transcript.whisperx[242].start |
7408.379 |
| transcript.whisperx[242].end |
7434.375 |
| transcript.whisperx[242].text |
你不讓台灣的長輩人數比例越來越高見到超高齡就一定的比例見到長照系統裡面你比較多錢也不夠啊你做保險也不夠 他們不會說對不對那就是真的違背賴總統講的這個目標叫健康台灣嘛我們都希望我們的長輩可以健康在地的安老啊不是只有在地的老化而已啊更不是在地的長照服務化 |
| transcript.whisperx[243].start |
7437.996 |
| transcript.whisperx[243].end |
7449.95 |
| transcript.whisperx[243].text |
這個要很清楚 跟委會說明清楚你們到底怎麼做預防走入長照很簡單預防走入長照台灣所有的人都應該要有這樣的一個處理的模式 |
| transcript.whisperx[244].start |
7454.722 |
| transcript.whisperx[244].end |
7469.978 |
| transcript.whisperx[244].text |
非常謝謝局委委員真的是提出精闢的建議令我非常敬佩我想健康台灣的願景就是希望尤其在長照3.0就是 |
| transcript.whisperx[245].start |
7471.319 |
| transcript.whisperx[245].end |
7493.228 |
| transcript.whisperx[245].text |
醫療跟長照的結合那希望能夠讓我們老人家盡量不要失能那這中間當然剛剛建國委員提的很多的健康賦能健康促進這個都是各部門都要去做的事情那我們有一個目標就是希望在2030年能夠把健康 |
| transcript.whisperx[246].start |
7494.028 |
| transcript.whisperx[246].end |
7521.468 |
| transcript.whisperx[246].text |
移民能夠從現在可能平均移民有10%是不健康的降低到8%這也是跟幾位委員提的一樣的努力的方向所以未來長照大概長照因為這件事情是整體性的啦醫療部分啊什麼都要連結3.0其實就在做這種連結就這樣的一個連結那也達到 |
| transcript.whisperx[247].start |
7522.628 |
| transcript.whisperx[247].end |
7544.98 |
| transcript.whisperx[247].text |
也是健康台灣的目標我們會去一直在努力當中而且我們在社區也一直在建立一個醫療結合醫療以人為中心以社區為基礎的結合醫療長照社福還有社安當然現在未來很多志工也都要進來像以前我們在雲林就推動65歲到75歲的來照顧75歲以上的 |
| transcript.whisperx[248].start |
7548.806 |
| transcript.whisperx[248].end |
7565.292 |
| transcript.whisperx[248].text |
一個這樣的一個系統也謝謝建國委員在這相關的方面給我們這個計畫很多的支持那這些都是我們未來的一個目標就達到大家想要往這方面努力的一個變景 謝謝 |
| transcript.whisperx[249].start |
7569.328 |
| transcript.whisperx[249].end |
7592.506 |
| transcript.whisperx[249].text |
我這邊口頭補充一下就是剛剛劉委員在總質詢其實一直關心的就是到底預防延緩失能的一個預算那個佔比佔整體那用長照基金投入這個預防延緩失能就是我們部裡面跨司署大家一起共同努力包括園民會也有拿到相關的文件站的一些相關都是促進延緩失能的這樣一個場域那目前113年是72.9億 |
| transcript.whisperx[250].start |
7598.331 |
| transcript.whisperx[250].end |
7599.953 |
| transcript.whisperx[250].text |
72.9億那佔整體大概8.81整體基金的預算那今年編列是接近80億79.77億那佔整體是9.08這個事實上是有一直在提升 |
| transcript.whisperx[251].start |
7614.714 |
| transcript.whisperx[251].end |
7634.004 |
| transcript.whisperx[251].text |
那不包括體育部運動部的體育署那邊其實也有全民運動的一些導入那我們剛剛講的這個部分是除了衛福部那還有園民會一起是用這個長照基金在做預防延緩失能的一個努力推動以上做這樣補充說明 |
| transcript.whisperx[252].start |
7636.365 |
| transcript.whisperx[252].end |
7651.292 |
| transcript.whisperx[252].text |
好 主席再一句話就好延緩私人的經費的編制這個我沒有意見當然今年增加是最好的嘛但是一環走路長照不是只有單一項叫延緩私人而已啦 |
| transcript.whisperx[253].start |
7653.633 |
| transcript.whisperx[253].end |
7679.634 |
| transcript.whisperx[253].text |
如果這樣就太淺了 不好意思就是說從長照1.0到2.0我們原本服務對象的母數就不一樣這個中間會減對不對基本上台灣朝向超高齡的時候他當然會有一定比例的成長那我們要Focus的對象我們是不是照理講原本可能預估他是假設是100個人 |
| transcript.whisperx[254].start |
7681.738 |
| transcript.whisperx[254].end |
7707.901 |
| transcript.whisperx[254].text |
那因為我們的玉皇的走入長照的相關的政策搭配得以執行到有一定的效益那原有的100可能會剩下90個可能會剩下80個他根本就不需要走入長照根本不需要用到長照的任何一筆經費我想我要打造想要走的方向是這個樣子啦這樣才是有這樣的數據可以跟我們參考嗎不是你的預算說因為晚時冷 |
| transcript.whisperx[255].start |
7710.494 |
| transcript.whisperx[255].end |
7735.696 |
| transcript.whisperx[255].text |
8%、9%、10%不是這樣啦跟委員在說明齁其實陳榮部長剛剛講的這真的是跨部會然後而且是全民自己本身要從小培養出運動習慣那這也是賴總統健康台灣一直倡議的要建立全民運動培養全民運動的習慣那現階段如果我們看整個失能率的調查 |
| transcript.whisperx[256].start |
7736.877 |
| transcript.whisperx[256].end |
7747.204 |
| transcript.whisperx[256].text |
那其實是不是那麼樂觀因為失能率的調查做出來基本上是從人口普查的時候前10年做出來是12.6那後來109年的結果出來是變成是3.3 |
| transcript.whisperx[257].start |
7755.729 |
| transcript.whisperx[257].end |
7782.237 |
| transcript.whisperx[257].text |
那我們覺得在超高齡社會因為平均壽命一直延長的狀態下其實這個失能率必然是往上要達到委員期待能夠往下降其實還有很長的一段路那真的必須每一個人有這樣的一個運動習慣那因為台灣真的沒有運動的風氣國人跟世界各國比較之下那這個部分是每一個人可能必須要 |
| transcript.whisperx[258].start |
7785.264 |
| transcript.whisperx[258].end |
7809.524 |
| transcript.whisperx[258].text |
我不擔心你說了又說了會出事什麼會沒有運動風氣你可以說不...也不是運動就不會有運動人就不會這個講法有點這是一個比較高的一個處理的模式的看法不是只有單一長照式的角度去做思考好不好就這樣就好了謝謝 |
| transcript.whisperx[259].start |
7814.108 |
| transcript.whisperx[259].end |
7819.311 |
| transcript.whisperx[259].text |
70萬就是凍結300萬科目自行調整76萬謝謝那76萬是陳昭州委員的那口頭辦公室是有同意合併78案共同凍結50萬然後科目自行調整沒有我們的就是在討論喔不是喔不是這樣的我沒有簽名我沒有簽喔是 |
| transcript.whisperx[260].start |
7834.98 |
| transcript.whisperx[260].end |
7861.378 |
| transcript.whisperx[260].text |
因為這個案子我們提也是因為民眾陳情你現在現行機構沒有顧慮到這個機構的喘息的部分在收第七八級的這個需求者必須要需要比較多的資源跟耗材那你一律都是收2310元那導致很多機構他可能不願意收重症就是說七八級的需求者但是明明這些人是需求等級是比較高的那我在想說你手邊有沒有那個喘息服務 |
| transcript.whisperx[261].start |
7862.699 |
| transcript.whisperx[261].end |
7863.764 |
| transcript.whisperx[261].text |
族群你有相關統計嗎族群 |
| transcript.whisperx[262].start |
7869.656 |
| transcript.whisperx[262].end |
7894.676 |
| transcript.whisperx[262].text |
機構會使用24小時住宿機構的對象基本上都是比較屬於使用喘息服務的組織我現在手邊的數字2023年全台灣有60名照護者是符合申請條件的喘息服務但是申請人只有4萬23%連四分之一都不到這種執行率在其他預算案早就被砍掉了砍光光了那發生什麼事情 |
| transcript.whisperx[263].start |
7895.756 |
| transcript.whisperx[263].end |
7917.842 |
| transcript.whisperx[263].text |
那你看剛剛大家都討論這麼多後來我看到第1777案也是王衛明委員也提也提到了嘉義縣的長照交通資源結據全縣才13輛康復巴士夠不夠啊那最近台視也有做一個那個熱線追蹤他這個這一集做得很清楚有些媒體好好做個專題我覺得你們也是要去了解所以我想要說針對這個你們怎麼樣讓機構願意投入這個喘息服務怎麼提高喘息部有許對於這個重 |
| transcript.whisperx[264].start |
7924.864 |
| transcript.whisperx[264].end |
7945.401 |
| transcript.whisperx[264].text |
七到八級的這個你要趕快去處理啊因為那個執行率那麼低那你執行率如果再去根據等級來看搞不好七八級你們根本機構都不收啊你說獎勵結果他們沒有再說真正需求量沒有辦法去說真正需求最高等的那一群族群啊這樣就是沒有照顧到啊 |
| transcript.whisperx[265].start |
7946.889 |
| transcript.whisperx[265].end |
7967.469 |
| transcript.whisperx[265].text |
所以我要照結果 結果是非常重要的那你有沒有統計數字還是關心整體的量從一到八級整體的量委員關心的相當數據我們會後可以提供給委員那你有嗎 你有現成的數字嗎現在手邊沒有那大家抱怨七到八級的那個整個收費都是一樣那當然就又造成很多人講什麼排擠那當然要照顧相對 相對輕度的 |
| transcript.whisperx[266].start |
7971.953 |
| transcript.whisperx[266].end |
7977.195 |
| transcript.whisperx[266].text |
也跟委員說明以我們目前的給支付裡面針對機構的喘息服務GA05的這一支是一天是2310元如果乘以30天的話整個一個月一個月是69300元那以我們24小時住宿機構目前地方政府核定的收費標準多人房大概是35000 |
| transcript.whisperx[267].start |
7998.923 |
| transcript.whisperx[267].end |
8022.99 |
| transcript.whisperx[267].text |
至少你没有看到我的重点你投资多少但是最需要的人这些人最需要帮助的时候如果你没有去特别关注这群人我们现在23%的使用率是怎么来的到底谁没用应该这么说我们住宿型机构目前的住民分析七八级的占超过八成所以多数都是七八级的 |
| transcript.whisperx[268].start |
8023.871 |
| transcript.whisperx[268].end |
8039.011 |
| transcript.whisperx[268].text |
那委员关心到二十几趴说使用喘息中重度使用喘息因为中重度也会使用全台湾的六十万需要者只有十四万申请应该说我们这边的喘息服务使用最多的是居家喘 |
| transcript.whisperx[269].start |
8039.952 |
| transcript.whisperx[269].end |
8045.296 |
| transcript.whisperx[269].text |
居家喘息服务使用量是最多那住宿型机构的喘息服务 |
| transcript.whisperx[270].start |
8070.292 |
| transcript.whisperx[270].end |
8096.438 |
| transcript.whisperx[270].text |
那你就是要幫助需求量需求最高等的這些這群人啊所以這個部分你們要講清楚啊你要怎麼讓機構願意投入喘息服務啊那個那個比例我們可以看怎麼提高這個利用率喘息服務的利用率其實以現在一天支付2310元已經非常高了剛剛我算出來就一個月竟然可以達到九萬六萬九千三百元跟現在的這個機構 |
| transcript.whisperx[271].start |
8098.259 |
| transcript.whisperx[271].end |
8105.24 |
| transcript.whisperx[271].text |
收的住民的費用其實是已經是double了是三萬五多人房的話 |
| transcript.whisperx[272].start |
8106.494 |
| transcript.whisperx[272].end |
8129.657 |
| transcript.whisperx[272].text |
所以這個費用完全就單人房你是假設他每天都住然後你有假設說所有不同級的人都一樣的費用你覺得你當中這樣設計合理嗎基本上如果今天不是那麼重的個案他不會選擇用機構船他會選擇用居家船所以我們現在使用居家船的比例是最高的居家船席 |
| transcript.whisperx[273].start |
8130.377 |
| transcript.whisperx[273].end |
8148.407 |
| transcript.whisperx[273].text |
我今天的重點是告訴你民眾陳情的是C8級的需求者那一旦費用調高之後其實對民眾的部分負擔也是會加重所以目前就我們整個成本算過你還是堅持都不分就對了都不分等級就對了就是都不分等級的現階段喘息的額度沒有分等級 |
| transcript.whisperx[274].start |
8152.549 |
| transcript.whisperx[274].end |
8168.176 |
| transcript.whisperx[274].text |
那他基本上就是對民眾的選擇他願意使用居家船就用居家船同樣這一包的額度跟機構會不想收啊因為他們需要提供更他們的成本更高照顧成本更高啊這重點在這個地方啊我們看到的現象不是這樣因為 |
| transcript.whisperx[275].start |
8170.037 |
| transcript.whisperx[275].end |
8192.046 |
| transcript.whisperx[275].text |
機構是希望在2310再跟民眾再去收自費的項目那這個部分是不允許的因為2310已經包括了所有的費用應該支出的部分就剛剛講了如果這樣子我覺得你還是沒有針對我這次的重點反正這個部分你大概知道你聽得懂我在強調的是什麼你要把書面包到血兒頭我還是還是一樣啊500萬因為你要發下去當然這個基金的部分我們對啊 |
| transcript.whisperx[276].start |
8199.915 |
| transcript.whisperx[276].end |
8206.006 |
| transcript.whisperx[276].text |
因為你一直在講說我們都一律照顧我們都有這樣做的你的重點就跟我今天的重點不一樣 |
| transcript.whisperx[277].start |
8207.233 |
| transcript.whisperx[277].end |
8233.283 |
| transcript.whisperx[277].text |
那我的數字就是只有23的利用率我很懷疑那23的利用率裡面就像你說都在居家在用真的當然不是但這些也都需要那其他更需要等級更需要的人你完全一律平等的在處理啊那這樣機構怎麼會願意去照顧這個七八幾的這個相對重度的這個這個需求者七十六萬跟七十八萬跟陳昭日文跟陳昭日文跟陳昭日文跟陳昭日文跟陳昭日文跟陳昭日文 |
| transcript.whisperx[278].start |
8236.365 |
| transcript.whisperx[278].end |
8238.269 |
| transcript.whisperx[278].text |
兩個先站動一會你再去解決一下好 77案 |
| transcript.whisperx[279].start |
8243.527 |
| transcript.whisperx[279].end |
8270.027 |
| transcript.whisperx[279].text |
讓我講一下 其實現在是我這邊的案子那主要是我剛剛講過我們今年已經進入到超高齡的社會但是像嘉義縣的老年人口65歲的老年人口他是全國第一他老早就進入超高齡了他現在是超過22%的比例那再加上這個嘉義縣他的那個整個他有18個鄉鎮那他整個的交通網 |
| transcript.whisperx[280].start |
8270.788 |
| transcript.whisperx[280].end |
8289.109 |
| transcript.whisperx[280].text |
非常的不方便所以坦白講那些老人家要外出看病看醫生他要搭這一個交通車就是現在無論是富康巴士或者是長照車他的那個使用需求其實是高的但現在整個嘉義縣全縣只有13輛的富康巴士 |
| transcript.whisperx[281].start |
8290.348 |
| transcript.whisperx[281].end |
8313.002 |
| transcript.whisperx[281].text |
62輛的長照車在這個使用需求上面他是供不應求所以有人開玩笑說這個很像在搶演唱會的門票一開放半小時就額滿了那所以這個對於我是提醒衛福部針對有些縣市他老年人口比例又高交通網又不發達他不像台北市搭捷運公車這個交通系統這麼的發達那對於這一些縣市你們應該要特別去 |
| transcript.whisperx[282].start |
8319.345 |
| transcript.whisperx[282].end |
8338.279 |
| transcript.whisperx[282].text |
考量到他们的需求而且你在政策上面应该不是齐头式的平等对于这种人口比例又高交通网又不发达那是不是你们在补助作业上可以让他们有更多因应他的需求他可以提出相关的计划而且给予应该有的补助这个是我提这个案 |
| transcript.whisperx[283].start |
8338.875 |
| transcript.whisperx[283].end |
8349.303 |
| transcript.whisperx[283].text |
希望你們可以去進一步檢討的因為那些老人家真的他自己又不會騎摩托車又不會開車要出門真的靠的就是大眾跟政府提供的交通工具 |
| transcript.whisperx[284].start |
8351.065 |
| transcript.whisperx[284].end |
8377.117 |
| transcript.whisperx[284].text |
好謝謝委員這邊的提醒那事實上我們也因應就是各地的這個交通的量能的問題所以我們已經修改了特約管理辦法裡面把可以特約這個計程車跟這個轎車平台的那個全部都納入修正這個幾副辦法你把它納進來那問題是嘉義縣目前還沒有願意跟交通業者來特約所以這個部分我們也會積極的輔導 |
| transcript.whisperx[285].start |
8384.111 |
| transcript.whisperx[285].end |
8400.565 |
| transcript.whisperx[285].text |
是是我們會是是是那他們呃嘉義縣這邊也承諾也承諾說他呃以後會每年呃增加食量增加食量是好我們會朝這方面我們凍結100萬嘛齁自行調整對自行調整79萬 |
| transcript.whisperx[286].start |
8413.564 |
| transcript.whisperx[286].end |
8419.448 |
| transcript.whisperx[286].text |
對 王委員 跟您請求一下就是您的75跟77能並動嗎對好 75跟77兩岸並動300萬 全部自己調整客戶有 客戶底下 |
| transcript.whisperx[287].start |
8434.558 |
| transcript.whisperx[287].end |
8436.801 |
| transcript.whisperx[287].text |
科目就是自行調整79案是吳麗華吳委員那她不在 |
| transcript.whisperx[288].start |
8449.716 |
| transcript.whisperx[288].end |
8462.424 |
| transcript.whisperx[288].text |
他是他是有簽名那他當時是同意說併86案然後改也是這個科目我們可以自行調整然後改動100萬元只是併86萬86萬要徵得陳怡委員的同意 |
| transcript.whisperx[289].start |
8468.073 |
| transcript.whisperx[289].end |
8486.55 |
| transcript.whisperx[289].text |
好就79案動100萬吳俐娃簽名了是80案80案感謝林委員這邊的一個提案那也已經簽名改組決議好組決議81案81案感謝陳金威委員那也已經簽名改組決議好那80 |
| transcript.whisperx[290].start |
8490.578 |
| transcript.whisperx[290].end |
8493.781 |
| transcript.whisperx[290].text |
這個媒體宣導我們其實今年都沒有增加一毛錢那我們因為確實這個長照一些不幸事件一直發生那我們檢討原因其實有很多是民眾還是保有那個傳統的觀念 |
| transcript.whisperx[291].start |
8515.14 |
| transcript.whisperx[291].end |
8536.029 |
| transcript.whisperx[291].text |
認為家門不讓外人進來所以其實就是家屬自己硬撐所以我們覺得這樣的問題還是需要透過對於不同受眾的一個宣導來改變這樣的一個觀念那所以這個宣導真的很重要也希望招委這邊能夠支持是不是可以不要不然我動輒50萬報告再動輒 |
| transcript.whisperx[292].start |
8541.864 |
| transcript.whisperx[292].end |
8548.868 |
| transcript.whisperx[292].text |
動50那柯牧是也可以讓我們自行討好謝謝謝謝83案陳金輝跟王委員跟陳昭州委員這邊其實已改組決議也已經簽名了好謝謝84案陳金輝委員這邊已經簽名改組決議好謝謝85案是劉建國委員還持續溝通中 |
| transcript.whisperx[293].start |
8572.834 |
| transcript.whisperx[293].end |
8596.36 |
| transcript.whisperx[293].text |
你怎麼不講說就遵照我的提案辦那就不用持續溝通了動太多了不是啊這個也是在總執行都有提過嘛那就請市長可以做一個簡單回應嗎怎麼改善嘛因為這個人家全球市政的報告對這個市區中有這個足夠失智者的支持服務 |
| transcript.whisperx[294].start |
8597.202 |
| transcript.whisperx[294].end |
8623.849 |
| transcript.whisperx[294].text |
認同比例只有48.5一般民眾的認同率就只有32.4那在我們雲林縣他們9月份自己 先生我自己的新聞稿寫的啦他統計 我們也是最早 不能講說最早啦可能前三名進到超高齡社會嘛那麼去調查 有施政有一萬多那結果有使用到這個施政的相關的長照的資質 扶得不到一半 |
| transcript.whisperx[295].start |
8626.031 |
| transcript.whisperx[295].end |
8652.546 |
| transcript.whisperx[295].text |
所以這個相對這樣的一個調查報告的一個認同力就很顯實就很實際那怎麼改善這個狀況跟委員說明就是2024委員指出的這個全球施政報告我們整個了解它其實是設計在一個我們國內的那個台灣施政協會的官網上那其實它是採取由民眾自己 |
| transcript.whisperx[296].start |
8653.286 |
| transcript.whisperx[296].end |
8676.507 |
| transcript.whisperx[296].text |
自主進去填寫那些問卷那大概收集了2700名民眾的一個填寫結果所以那個是非常主觀的感受說到底國內的失日政的一些相關的服務他們有沒有感受到充不充足這個部分先說明一下調查的方式跟結果那事實上目前台灣我們一直在講這個失日政策綱領 |
| transcript.whisperx[297].start |
8678.868 |
| transcript.whisperx[297].end |
8694.832 |
| transcript.whisperx[297].text |
這個777的這個部分我們在113年有達到67.23%所以這一塊是確實有掌握到已經確診失智症的人的ID然後也在我們的服務體系裡面那這個部分是佔我們推估失智人數8%的失智人數裡面佔67% |
| transcript.whisperx[298].start |
8698.873 |
| transcript.whisperx[298].end |
8714.028 |
| transcript.whisperx[298].text |
那因為有這樣的一個結果所以他的家人的照顧者事實上也都在體系裡面可以得到一些支持所以這個部分跟網站上這個是主觀感受他的目標人口群有可能是 |
| transcript.whisperx[299].start |
8714.688 |
| transcript.whisperx[299].end |
8740.726 |
| transcript.whisperx[299].text |
完全其實不是了解失智體系的人可能他就覺得他沒聽過他周遭也沒有所以他就體驗感受上是沒有的所以我想說這個調查結果跟我們實務上確實有掌握到這個ID跟家庭的這個照顧者其實是有這樣的一個落差那當然我們知道所有的服務民眾即使有進來使用他還是有一些覺得不是那麼友善需要再提升所以我們現階段 |
| transcript.whisperx[300].start |
8742.307 |
| transcript.whisperx[300].end |
8767.361 |
| transcript.whisperx[300].text |
在規劃長照3.0也同步在修正我們的失智政策綱領要函班3.0因為失智政策綱領也是2.0也是到今年年底為止所以我們會同步跟3.0一樣都在115年讓他同步上路那現在這個失智政策綱領也請我們的台灣失智政協會找民間的一些專家學者一起正在討論嚴定當中以上做這樣一個報告 |
| transcript.whisperx[301].start |
8770.103 |
| transcript.whisperx[301].end |
8792.985 |
| transcript.whisperx[301].text |
我已經露出對你善意的微笑但是我要刪一定有堅強的理由啦不然我是動啦也不是要跟你刪啦你說那些去接受調查的回應的都有主觀的這樣的主觀感受你又不是他們你怎麼知道他主觀 |
| transcript.whisperx[302].start |
8794.246 |
| transcript.whisperx[302].end |
8817.221 |
| transcript.whisperx[302].text |
這第一點那第二點這個數據出來就是這樣社區中認同的就48.5一般民眾認同率就32.4你即便覺得這個數字不是很實際那雲林縣政府地方政府又他們自己的調查報告裡面是一半以上沒有使用到我們的這樣的一個施政的一個支持的服務 |
| transcript.whisperx[303].start |
8818.201 |
| transcript.whisperx[303].end |
8839.782 |
| transcript.whisperx[303].text |
那就是這是事實啊除了地方政府他自己亂做的還是他過於主觀的報告啊他是開記者會的餒對不對那其他先是我不清楚我是兩個東西合起來跟市長提醒有這件事情嘛這七一嘛齁那七二長照3.0我們還沒有走但是大致上的換的方向應該清楚嘛 |
| transcript.whisperx[304].start |
8840.422 |
| transcript.whisperx[304].end |
8864.09 |
| transcript.whisperx[304].text |
就醫療會增加更多進到這個體系裡面對不對然後居扶會再提升怎樣的患酬你們還在修嘛對不對然後可能機構式的看要怎麼再去做資源加強嘛應該大致上是三方向所以我一再的提醒說長照3.0要不要一併失智的3.0要不要一併來處理嘛時間一樣嘛對你們患酬是怎樣 |
| transcript.whisperx[305].start |
8870.424 |
| transcript.whisperx[305].end |
8897.102 |
| transcript.whisperx[305].text |
就是一樣會由行政院這邊來不是啊實質的3.0有別於2.0是差異在什麼地方基本上因為失智我們的政策綱領其實都follow這個世界衛生組織那一邊那目前世界衛生組織對於3.0的這個方向我跟你比較熟啦你直接跟我講好不好你不要跟我講世界衛生組織跟他比較不熟我們失智這3.0的換成什麼 |
| transcript.whisperx[306].start |
8900.397 |
| transcript.whisperx[306].end |
8928.193 |
| transcript.whisperx[306].text |
我們一樣是會提高要提高確診率然後及早掌握掌握失智症者所以這個一定是要確診因為現在國人還是對於尤其是CDR0.5的他會認為他自己其實是還是跟一般人一樣那我們也希望及早掌握到CDR0.5的能夠進到我們的一個服務場域裡面那讓他真的有機會就是不要不要再失智再加重然後能夠hold住 |
| transcript.whisperx[307].start |
8929.914 |
| transcript.whisperx[307].end |
8938.878 |
| transcript.whisperx[307].text |
這個這個政策方向是會持續加強長照3.0的內容怎麼樣我就大致上幾個字就講完了嘛對不對你的失智3.0會變怎麼樣那麼幾個字就講完我們會對於困擾家庭的這樣的一個失智對象會有更多的照顧場域來讓民眾選擇不見更多的這些照顧場 |
| transcript.whisperx[308].start |
8954.804 |
| transcript.whisperx[308].end |
8981.078 |
| transcript.whisperx[308].text |
如果沒有情緒 伴隨情緒行為困擾的這樣的失智症他其實住在家裡都OK我應該強調是失智症他必須要有這個相關的這些支持在三點裡面的支持連結會速度更快那比例應該會再提高對不對這是我們的方向好啦 阿你為什麼光在那邊 要動多一點沒有 要不然講一句話 你就插下去啦要不然要遵照我的提案辦理好啦 你要動多一點啦 |
| transcript.whisperx[309].start |
8986.603 |
| transcript.whisperx[309].end |
9009.994 |
| transcript.whisperx[309].text |
因為這個經費真的就是我們補給這個部件這個失智的一些相關資源跟推動宣導的很重要的推動業務的費用預算編出來沒有一項是不重要的也沒有一項不是很重要的應該是這樣我動一擺好不好然後你把你的失智症的3.0的內容 |
| transcript.whisperx[310].start |
9012.395 |
| transcript.whisperx[310].end |
9020.718 |
| transcript.whisperx[310].text |
再提供出來 好不好然後如果提升民眾的認同率還有使用率啦 好不好好 謝謝動100萬86萬陳穎的她簽了沒陳穎委員已經簽名了那她也同意我們科目能夠自行調整動300萬然後是 對動300萬那跟妳剛剛講的有併嗎 沒有吧 |
| transcript.whisperx[311].start |
9042.37 |
| transcript.whisperx[311].end |
9058.733 |
| transcript.whisperx[311].text |
他就是要問他是不是能夠跟79案吳麗華委員這邊這個案子並動陳寅委員有同意要並案嗎目前沒有,可是吳委員是說希望跟陳寅這案並動沒關係啦,你再問陳寅啦好一個動100,一個動300嘛對不對是先分開啦好87案87案也是劉委員該組決議嘛該組決議好,謝謝 |
| transcript.whisperx[312].start |
9074.031 |
| transcript.whisperx[312].end |
9098.117 |
| transcript.whisperx[312].text |
那個跟劉仁言說明一下劉仁言非常關心那個比爾館的儀儲尤其特別是在這個機構裡面可以照顧的這些人所以劉仁言的提案裡面很清楚的就是說希望我們對於儀儲這個比爾館的這些長照的人也必須要有一套的必有系統的一些教育訓練可以讓他們比較早可以訓練教育的一些人可以拔除 |
| transcript.whisperx[313].start |
9098.897 |
| transcript.whisperx[313].end |
9127.516 |
| transcript.whisperx[313].text |
第二就是那個照顧的體系在裡面那個經費是不是能夠強化所以跟委員報告一下那健保在置物方案裡面47107B那目前是三千點但是目前這個相關的一些條件照顧的團隊人員的資格怎麼樣去調升這些目前都在召開專家會議當然是希望能夠有進行調整的一個必要符合現在的一個現況那怎麼樣來 |
| transcript.whisperx[314].start |
9128.817 |
| transcript.whisperx[314].end |
9146.266 |
| transcript.whisperx[314].text |
加強這些訓練我們常常是有公告的一個照顧服務員的資格訓練裡面的核心課程也包括這些這個鼻喉管跟味噪喉管還有相關的一些技術上怎麼樣去相關訓練如果能夠來培訓這些人未來來強化能夠改善這一方面的一個 |
| transcript.whisperx[315].start |
9147.747 |
| transcript.whisperx[315].end |
9168.07 |
| transcript.whisperx[315].text |
那對於機構裡面怎麼樣去減少這些住民到醫療機構有一個方案那希望能夠引介相關的照顧的人員來做獎勵機制來強化這些機構的一個照顧那跟委員做報告那這個大概是我們目前相關事務署有一些做法那跟劉委員做說明 |
| transcript.whisperx[316].start |
9169.631 |
| transcript.whisperx[316].end |
9189.989 |
| transcript.whisperx[316].text |
那署長你請坐啦主席這個要讓我用一點點時間好不好也請部長就再看一下內容因為要處理這件事情的時候這個署說那個署那個署說那個師那個師又說那個師最後一定回到這個部部絕對跑不掉嘛 |
| transcript.whisperx[317].start |
9191.082 |
| transcript.whisperx[317].end |
9205.909 |
| transcript.whisperx[317].text |
那我想這個時事長應該很清楚啦我們當時我應該講一個現狀啦你們能不能各單位所轄管的不管你是這個這個長照機構老人福利機構還是護理之家 |
| transcript.whisperx[318].start |
9207.256 |
| transcript.whisperx[318].end |
9233.555 |
| transcript.whisperx[318].text |
住民使用現階段使用還使用鼻胃管的佔比是多高能不能各單位做一個說明一下讓我們大家很清楚護理之家在務實嘛對不對好大約幾成嘛大約五成護理之家有使用鼻胃管的住民五成嘛對不對老人福利機構老人福利機構 |
| transcript.whisperx[319].start |
9240.437 |
| transcript.whisperx[319].end |
9266.134 |
| transcript.whisperx[319].text |
哪個福利機構現在就是住在這個機構裡面有使用鼻胃管的比例多高我們沒有很精確的統計但是照我們現在所看到數字大概應該是兩層到三層應該跑不掉兩層到三層是你沒有很統計正確的統計數據但是你的意向是二到三層是好謝謝那長洲機構 |
| transcript.whisperx[320].start |
9270.708 |
| transcript.whisperx[320].end |
9289.123 |
| transcript.whisperx[320].text |
市委員說明我們目前系統上是沒有這個欄位所以目前沒有掌握這樣的資料那就挺奇怪了對不對婦女之家有掌握社家屬對老人福利機構是用印象的我們的長照機構是沒有那個欄位所以沒有掌握 |
| transcript.whisperx[321].start |
9292.518 |
| transcript.whisperx[321].end |
9312.437 |
| transcript.whisperx[321].text |
請部長謝謝建國委員關心這個問題這個也是我們多年來我們在醫療領域非常重視的因為前部的照顧的procedure裡面鼻胃管大概是病人最痛苦而且這種最不願意的我們有做過調查 |
| transcript.whisperx[322].start |
9314.713 |
| transcript.whisperx[322].end |
9335.308 |
| transcript.whisperx[322].text |
尤其在重症末期的病人所以我們在教育學生都特別跟他講說不要隨便跟人家ON NE不然你自己ON一次看看但是我們都會跟年輕律師從現在的教育會比較重視不是說要吃就把它ON進去 |
| transcript.whisperx[323].start |
9336.247 |
| transcript.whisperx[323].end |
9352.486 |
| transcript.whisperx[323].text |
第一個要用進去就要很小心要一定要是不是你所有的照顧你所有的醫療的一些比較不侵犯性的工作都已經還有照顧工作是不是已經這樣比如說他可能嘴巴只是一個發炎 |
| transcript.whisperx[324].start |
9353.581 |
| transcript.whisperx[324].end |
9377.736 |
| transcript.whisperx[324].text |
那不太能夠禁食,你以為他就不能禁食了,就把他ON-NE其實你只要把他的口腔的黴菌用喝個黴菌的藥喝兩天,他就可以吃很多了第二就是說,他有時候這個食物不能吃那其實我們把他改變食物,他還可以吃很多這不需要用NE第三個就是有時候,我們平常是12點 |
| transcript.whisperx[325].start |
9379.838 |
| transcript.whisperx[325].end |
9390.452 |
| transcript.whisperx[325].text |
早晚12點可能會讓我們吃飯但是12點的時候就不會了那老人2點想要吃飯的時候沒有人會給他吃然後這個時候三次以後家屬就動不掉說我老婆沒吃飯不行就不願意了 |
| transcript.whisperx[326].start |
9396.993 |
| transcript.whisperx[326].end |
9425.996 |
| transcript.whisperx[326].text |
這幾個都是在照護上必須要先處理的那即使你甕了在緊急當中甕了這個鼻胃管你還是可以其實還是可以移除在照護好一點的情況之下還是可以還是可以移除所以我很欽佩跟敬佩劉委員關心這個問題我覺得這個在未來的醫療跟結合長照的過程當中以及長照未來3.0裡面一定要去注意到這件事情那我不曉得 |
| transcript.whisperx[327].start |
9427.306 |
| transcript.whisperx[327].end |
9444.815 |
| transcript.whisperx[327].text |
我們過去的一個基礎的data是怎麼樣那我覺得應該要有去改善計畫這個是非常人性化而是老人的尊嚴的事情而且是醫療上是可以幫助病人的事情我想留言的指導我想我們那個一定全力去來做這樣子 |
| transcript.whisperx[328].start |
9451.545 |
| transcript.whisperx[328].end |
9469.522 |
| transcript.whisperx[328].text |
我們剛才問三個相關機構的單位跟蔡副司應得出來,他們的主任超過五成,這合理嗎?這我們待會要討論。長照社家署的老人福利機構,他不曉得到底是多少,不過印象是二到三成。 |
| transcript.whisperx[329].start |
9471.844 |
| transcript.whisperx[329].end |
9482.248 |
| transcript.whisperx[329].text |
應該再問清楚一點應該不會亞於張護士啦你可以馬上了解一下嘛那我們的長照師是沒有那個染類所以基本上他不曉得這是很嚴重啦這樣的嚴重的情況之下就成為部長所講出來的這樣的一個狀況基本上是很大的衝突跟矛盾 |
| transcript.whisperx[330].start |
9494.736 |
| transcript.whisperx[330].end |
9511.561 |
| transcript.whisperx[330].text |
這個健保署的呼吸器脫離力健保署他是醫療機構的範疇所以我沒有問到健保署的部分鼻胃管的脫離力我倒是倒是不是很對我當然啦我們就是要努力嘛但是我們 |
| transcript.whisperx[331].start |
9512.521 |
| transcript.whisperx[331].end |
9531.054 |
| transcript.whisperx[331].text |
自己都不清楚我們轄管的這個機構到底多少人使用住民多少人使用的這個比例的時候你根本根本連要跨出第一步都沒有機會因為這一小步你都沒有做你就沒有另外的進展相關的計畫可以去推動嘛對不對沒有啦沒有啦沒有啦這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這這 |
| transcript.whisperx[332].start |
9540.547 |
| transcript.whisperx[332].end |
9566.489 |
| transcript.whisperx[332].text |
倉庫比喻館有健保給付嘛對不對有啊有健保給付怎麼沒有你藏造機構還有交付沒辦法但在藏造機構放比喻館有付錢嗎沒有吧居家都有居家都有啊機構就沒有了吧機構沒有啦 |
| transcript.whisperx[333].start |
9571.034 |
| transcript.whisperx[333].end |
9590.164 |
| transcript.whisperx[333].text |
你有沒有看到這個制度很奇怪有長照對象在聚焦使用博物館有支付在醫療機構有健保給付到長照機構沒有是這樣嗎還是你們不清楚 |
| transcript.whisperx[334].start |
9593.414 |
| transcript.whisperx[334].end |
9615.331 |
| transcript.whisperx[334].text |
護理師家有對不對安養中心沒有那更換有啦但是就是他需要用到鼻胃管的時候要做這個的時候在醫療機構有健保給付嘛在護理師家也不是每一個進去的多數應該都是有的啦坦白講但是萬一他剛進去是沒有後來才有的時候一樣可以申請給付嘛對啦 |
| transcript.whisperx[335].start |
9621.499 |
| transcript.whisperx[335].end |
9645.89 |
| transcript.whisperx[335].text |
不是啦 一個是更換啦 一個是原本不需要用 後來後來又用了對 那個可以申請健保給付嗎對嘛 好 長照機構可以嗎是一樣嘛 對不對好嘛 好 就是用的時候就是要使用的時候可以跟健保署申請健保給付嘛好 拔出來的時候有沒有健保給付拔出來應該沒有啦 |
| transcript.whisperx[336].start |
9651.487 |
| transcript.whisperx[336].end |
9654.415 |
| transcript.whisperx[336].text |
通過軍服 平常在醫院發毒是沒有止毒的 |
| transcript.whisperx[337].start |
9658.555 |
| transcript.whisperx[337].end |
9683.934 |
| transcript.whisperx[337].text |
沒有啦 更換有幾副啦這個更換有幾副嘛這個更換包括這個在醫療機構因為它是短期使用所以它擦的時候有幾副拔的時候沒幾副啦因為我們很多手術的時候會先擦嘛然後排氣啊什麼之後它就拔除了所以拔除是沒有幾副擦入的時候有幾副但是對長期留置的 |
| transcript.whisperx[338].start |
9685.066 |
| transcript.whisperx[338].end |
9704.783 |
| transcript.whisperx[338].text |
我們有一個方案嘛 劉委員很關心那個多少時間內能夠把它拔除我們就會有一個額外 3000元的獎勵啦那等於是一種獎勵平常的拔除是沒有額外給付啦以前是沒有嘛 現在有這項嘛 對不對訓練移除這樣 |
| transcript.whisperx[339].start |
9709.927 |
| transcript.whisperx[339].end |
9736.54 |
| transcript.whisperx[339].text |
把畢業館可以移組嘛 對不對讓它原有的咀嚼功能不會喪失嘛 對不對也不會便宜形式的這樣靠騎就一輩子一輩子騎久了嘛 對不對所以這個就是一個很清楚的邏輯問題嘛齁如果今天有我們的所有的這個機構裡面對這個事情很重視然後有一定的一個評比就像市長講的沒有那個欄位現在變得有這個欄位之後 |
| transcript.whisperx[340].start |
9738.842 |
| transcript.whisperx[340].end |
9750.862 |
| transcript.whisperx[340].text |
我們不會去花生到台灣變成所有的這些機構不管是物理之家 不管長照機構 老人福利機構我們的住民使用鼻胃管的比例是高於全世界的比例 |
| transcript.whisperx[341].start |
9753.934 |
| transcript.whisperx[341].end |
9768.734 |
| transcript.whisperx[341].text |
這樣我要表達這個意思不曉得大家能不能懂我意思因為部長其實剛剛已經講到精髓了但是重點我們在問這個事情的時候這個署推那個署那個署推那個師那個師推那個師相對的你今天就是會有相關的一些數據一直沒辦法凸顯出來 |
| transcript.whisperx[342].start |
9770.6 |
| transcript.whisperx[342].end |
9792.254 |
| transcript.whisperx[342].text |
所以我們去看日本的長照機構人家已經跟我們說他們的比喻管使用的比例已經很低了剛進來一堆可能剛進來的住民80%但是經過半年 一年 兩年 三年之後他們可以幫他們的住民把比喻管拔掉但是會用更多的時間做餵食的動作不過他們覺得這是應該做的 |
| transcript.whisperx[343].start |
9795.639 |
| transcript.whisperx[343].end |
9818.831 |
| transcript.whisperx[343].text |
因為他一旦別院管裝著之後你讓他裝了太久的時間他的咀嚼也出了問題嘛反而未來的健保給付啦相關給付反而是增加嘛他讓他可以回復到一定程度的咀嚼的時候那種醫療上的支出他其實是降低的嘛我是要說這個嘛我要說這個說你住在長照機構的時候是誰看得出這件事誰處理這件事沒有要跟我說那些人沒處理那些人沒處理那些人你告訴我那些人沒處理 |
| transcript.whisperx[344].start |
9825.504 |
| transcript.whisperx[344].end |
9851.996 |
| transcript.whisperx[344].text |
就不對了啊這怎麼對我想您提出的問題我們絕對不能不能再一直持續這樣沒有處理所以我想我們以人為中心不管不是分部門他整個從醫療到結合長照這個部分以這個人為中心給他最好的照顧結合用盡所有部門的力量來促使這個人有尊嚴 |
| transcript.whisperx[345].start |
9853.577 |
| transcript.whisperx[345].end |
9871.643 |
| transcript.whisperx[345].text |
能夠發揮他最好的一個個的能力不要喪失他我們腦部的能力 咀嚼的能力 活動的能力各種能力 心智的能力 身體的能力我們都要去啟發他到最極點這個部分我們一定全力以赴這個是未來的重點 |
| transcript.whisperx[346].start |
9873.317 |
| transcript.whisperx[346].end |
9889.438 |
| transcript.whisperx[346].text |
謝謝部長這麼善意的回應因為部長講到尊嚴的問題這其實真的是尊嚴的問題人要能活下去大家都很清楚我們自己的事我們要怎麼說尤其口腔師很清楚人生也不會薄薄作弊 |
| transcript.whisperx[347].start |
9891 |
| transcript.whisperx[347].end |
9897.388 |
| transcript.whisperx[347].text |
對不對,一輩子賣寶,你又挖掘,你又挖掘,你又挖掘,你又挖掘,你又挖掘,你又挖掘,你又挖掘,你又挖掘,你又挖掘 |
| transcript.whisperx[348].start |
9907.32 |
| transcript.whisperx[348].end |
9933.678 |
| transcript.whisperx[348].text |
這做清楚這麼重要的事情這真的是以人為本 以人性的一個照顧的方法去做出就這樣而已但是他們坦白講沒有很好做但是你會做不可啊你不能不做啊這原本就各個機關你們應該去把它列為重點怎麼會那個欄位沒有怎麼會不曉得到底比例是多高 |
| transcript.whisperx[349].start |
9935.311 |
| transcript.whisperx[349].end |
9956.837 |
| transcript.whisperx[349].text |
所以我還是要動啦但我可以動少一點沒關係但是我請部長是不是交代嘛各單位把針對這個事情要如何對長道體系啦移除鼻胃管的正確認知與積極的措施保障生存者的自信與尊嚴相關的計畫提供出來給委會做參考嘛同意或使得動之那我改動100好不好好謝謝 |
| transcript.whisperx[350].start |
9958.82 |
| transcript.whisperx[350].end |
9980.877 |
| transcript.whisperx[350].text |
那就改到一百萬部長要指定哪一個單位要去牽頭最重要的領導這也是寫國電史嗎?這也沒有關係長照碼 |
| transcript.whisperx[351].start |
9982.347 |
| transcript.whisperx[351].end |
10010.007 |
| transcript.whisperx[351].text |
我想自己叔叔如果覺得這個地方沒有做好的就趕快去做好那我們整個部是有健康台灣在長照3.0的推動裡面尤其只要負責長照3.0的在這方面因為他是結合醫療跟長照的結合全部要注意還是以病人為中心當然看起來是長照師要去推動一下 |
| transcript.whisperx[352].start |
10014.211 |
| transcript.whisperx[352].end |
10041.621 |
| transcript.whisperx[352].text |
那個主席我要改了 抱歉原本動500就動500 你看就是這樣啊現在是我姓啊 你自己看動500啦 各單位都 請部長要求嘛各單位都提出相關的因應 計畫 報告然後 要解凍就要解凍對啦 就有一個主責單位然後你去主責就這麼簡單我想我們一定會 這個是重點啦但是也不要動那麼多啦 可不可以 |
| transcript.whisperx[353].start |
10043.122 |
| transcript.whisperx[353].end |
10046.025 |
| transcript.whisperx[353].text |
這的確是這個問題從30年前我們開始注重到重症病人的品質的時候就開始這個問題 |
| transcript.whisperx[354].start |
10057.597 |
| transcript.whisperx[354].end |
10082.024 |
| transcript.whisperx[354].text |
但是我們一定要跟得上日本跟得上歐美台灣在這個部分已經很人性化的照顧那過去在長照也許我們還需要加強那是不是由長照師這邊先因為現在3.0這邊是在負責嘛醫療跟長照的結友是3.0的重點所以這個部分是不是長照師先來主持那其他相關的部分 |
| transcript.whisperx[355].start |
10082.608 |
| transcript.whisperx[355].end |
10098.334 |
| transcript.whisperx[355].text |
都一定要全力一起來做那是不是也不要動態動態沒有啦我原本就自己五百要降到一百嘛對不對你不跟我說就要降下來嘛但是我要說你要看到底對管理補救的就現在很鐵了嘛 |
| transcript.whisperx[356].start |
10100.121 |
| transcript.whisperx[356].end |
10116.239 |
| transcript.whisperx[356].text |
不是你們能不能陳魯部長剛剛講的嘛就給我們的照顧者有一點尊嚴嘛如果這些照顧者是今天你的親戚你三個公啊你有進步啊他可能是他可能是剛剛一個車禍然後就必須短期內接受這個照顧然後接受醫療 |
| transcript.whisperx[357].start |
10120.043 |
| transcript.whisperx[357].end |
10139.455 |
| transcript.whisperx[357].text |
然後後來可能他引發了一些慢性病後來必須要到長照機過去但是你看他的精神狀況然後講話都還很正常結果他被做了鼻胃管他一做下去之後隔半年再隔一年都沒有拔出來你們心裡什麼感想 |
| transcript.whisperx[358].start |
10141.138 |
| transcript.whisperx[358].end |
10149.689 |
| transcript.whisperx[358].text |
然後機構會有感覺說這樣我比較好管理會想要我比較好處理不敢跟他說啦但是英語給你們知道這樣你們都沒感覺你們就覺得這樣也剛好沒道理啊這個的確是一個大工程啦只要從醫護 |
| transcript.whisperx[359].start |
10159.302 |
| transcript.whisperx[359].end |
10184.283 |
| transcript.whisperx[359].text |
各種方法 團隊的專業教育因為比較簡單 稍早當時日本要推這個也很趕快推然後他們把營養士弄到團隊裡面那營養士就會教他怎麼樣飲食慢慢的飲食 那都要花時間在筆位館才可以拿掉那我想我們應該要趕快進階到這個部分那我請長照師主持其他部位來協助那在長照3.0把這個列為重點 |
| transcript.whisperx[360].start |
10187.565 |
| transcript.whisperx[360].end |
10204.316 |
| transcript.whisperx[360].text |
我們會把相關的計畫來提出來這個是我非常care的我不希望每一個人都長長的鼻子出生的時候有沒有長長的鼻子每次到末期大家都掛著一直長長的鼻子這樣子是我們手不能容忍的這個要努力 |
| transcript.whisperx[361].start |
10207.419 |
| transcript.whisperx[361].end |
10230.359 |
| transcript.whisperx[361].text |
謝謝部長 我最後講一句話就好了你要改動少一點我沒有意見 你看你要改動多少我都OK但是你相關的待遇就是把你們的怎麼樣來做這事情的相關計畫引你出來然後給委員會 經同意後使得動之最後我再補充一點 部長如果我們相關的機構對照日本我們都高於人家一倍 |
| transcript.whisperx[362].start |
10231.4 |
| transcript.whisperx[362].end |
10248.583 |
| transcript.whisperx[362].text |
我們住民都高於日本的相關的機構都一倍以上了那我們是很失敗的喔這個數據是可以馬上調出來可以來做對比不管是護理之家不管是老人福利機構不管是長照機構這是聽說調出來對的喔調出來比就對了所以希望把相關的計畫提出來給我們做參考好不好謝謝好那就動一百萬然後 |
| transcript.whisperx[363].start |
10259.707 |
| transcript.whisperx[363].end |
10274.228 |
| transcript.whisperx[363].text |
經同意之後才能解凍鼻味管事實上放久了會容易產生鼻竇炎甚至於中耳炎這是事實然後晚上會引起嘔吐吸入性都會有 |
| transcript.whisperx[364].start |
10275.43 |
| transcript.whisperx[364].end |
10301.641 |
| transcript.whisperx[364].text |
所以 但是 換遍好管理 管管理就好如果用主角的事真的要花很多時間都要找老闆那對照顧的人也要花很多時間所以大家都貪圖換遍所以這個今天講的問題是非常非常好非常重要好 第88案88案是由黃相永所提案 遵照辦理89案 |
| transcript.whisperx[365].start |
10303.7 |
| transcript.whisperx[365].end |
10332.615 |
| transcript.whisperx[365].text |
八十九案謝謝我們陳經惠委員同意修改文字以後遵照辦理九十案謝謝陳經惠委員我們遵照辦理九十一案九十一案謝謝陳經惠委員同意我們修正文字已經簽名那我們遵照辦理九十二案九十二案林玉琴委員提案我們遵照辦理九十三案謝謝陳經惠委員也修正文字已簽名好九十四案謝謝陳經惠委員遵照辦理好 |
| transcript.whisperx[366].start |
10333.41 |
| transcript.whisperx[366].end |
10339.437 |
| transcript.whisperx[366].text |
好那我們現在休息六分鐘休息後繼續第二輪剩下九個案齁等一下我們要趕完了 |
| transcript.whisperx[367].start |
10354.719 |
| transcript.whisperx[367].end |
10356.6 |
| transcript.whisperx[367].text |
謝謝大家 |
| transcript.whisperx[368].start |
10379.371 |
| transcript.whisperx[368].end |
10379.892 |
| transcript.whisperx[368].text |
晚一點在這裡講 |
| transcript.whisperx[369].start |
10406.254 |
| transcript.whisperx[369].end |
10412.227 |
| transcript.whisperx[369].text |
謝謝觀賞 |
| transcript.whisperx[370].start |
10487.233 |
| transcript.whisperx[370].end |
10487.253 |
| transcript.whisperx[370].text |
應該會應該啦 |
| transcript.whisperx[371].start |
11219.667 |
| transcript.whisperx[371].end |
11221.668 |
| transcript.whisperx[371].text |
好 我們現在繼續開會第二輪繼續審查來 第三案陳昭珠委員第三案出國加拿大是啊就是說我首先要跟執行長講的以後不要再講部立醫院好嗎因為部不會有立的醫院你們先證明你們算是國立醫院 |
| transcript.whisperx[372].start |
11247.225 |
| transcript.whisperx[372].end |
11259.803 |
| transcript.whisperx[372].text |
只有市立縣立醫院沒有哪個機構有個立的醫院第一個那國立醫院代表什麼很重要國家26家醫院是在這個醫福會在管理那在去年5月我就質詢了就是當時那個 |
| transcript.whisperx[373].start |
11262.427 |
| transcript.whisperx[373].end |
11266.55 |
| transcript.whisperx[373].text |
我家這個桃園醫院院長懸缺那時候懸缺22個月那我執行的時候薛部長立刻第一秒就跟我說應該要無縫接軌結果這件事執行長你知道最後是多久才補上這個院長嗎這個缺是很多人才很多人想要不是找不上下找不到人的醫院結果你放了26個月對不對最後才補上這個人這件事情醫福會難道不用負最大責任嗎 |
| transcript.whisperx[374].start |
11292.527 |
| transcript.whisperx[374].end |
11294.168 |
| transcript.whisperx[374].text |
一個醫院沒有院長是代理的大家人心惶惶不知道會怎麼樣代理院長能做什麼那這件事已經八九個月了為什麼現在還繼續出現呢執行長為什麼現在還繼續出現呢現在還有很多家醫院是沒有無縫接軌是空的空在那裡等這是第一個我要談的 |
| transcript.whisperx[375].start |
11314.01 |
| transcript.whisperx[375].end |
11327.617 |
| transcript.whisperx[375].text |
那這樣就是我認為是管理這管理的問題就是你要在國內把26家國家醫院管理好這是最基本的工作還有請不要在你們的院長群組裡面亂講說委員三不一的醫院的預算我從來疼惜26家國家醫院不會刪他們的預算最重要是我在管理單位我會做要求 |
| transcript.whisperx[376].start |
11338.763 |
| transcript.whisperx[376].end |
11349.411 |
| transcript.whisperx[376].text |
管理衣服會管理是非常重要的好重點在這裡請不要散播謠言這個就是很不應該那你訂出國經費這個都是奪人的納稅錢那該去的我也覺得合情合理但是如果你不是主責那個項目為什麼要出國呢動不動每次出國都要二三十萬的這個預算那這樣你還不如把錢留給部一 |
| transcript.whisperx[377].start |
11362.882 |
| transcript.whisperx[377].end |
11372.892 |
| transcript.whisperx[377].text |
對不對這樣子更合理啊所以老實說啊這裡面有幾項我都有去研究我都有研究第一個ISQA國際健康照護品質協會年會啊跟醫院管理不相關啊為什麼年年都要參加為什麼啊決算金額上次是26萬 |
| transcript.whisperx[378].start |
11380.72 |
| transcript.whisperx[378].end |
11404.737 |
| transcript.whisperx[378].text |
美国公共卫生协会年会跟医院管理无关过去年年都参加实质效益决算金额也是三十几万世界医院大会我觉得这个OK世界医院大会是IHF但是我要了解就是已经都知道了实际召开时间几天哪个国家为什么要编那么多的经费这个都是必要的 |
| transcript.whisperx[379].start |
11407.089 |
| transcript.whisperx[379].end |
11428.319 |
| transcript.whisperx[379].text |
長照機構的考察是長照室的範圍跟醫院管理有什麼關係另外還有一個考察智能醫療國內有很多家醫學中心可以考察台中總統就做得非常好連賴總統都去看過了那為什麼需要考察那時候去美國的HIMSS決算金額又超過30萬所以我的意思是說如果你把26家國家的醫院管理好 |
| transcript.whisperx[380].start |
11436.124 |
| transcript.whisperx[380].end |
11444.212 |
| transcript.whisperx[380].text |
我只要跟你講你不要以為只有個別的很多人很多不同的醫院的正副院長也都會有跟我反映一些事實所以第一個就是說把正副院長缺有缺的部長你也要聽這件事情 |
| transcript.whisperx[381].start |
11456.061 |
| transcript.whisperx[381].end |
11462.745 |
| transcript.whisperx[381].text |
他有缺都是預期的啊他不過卸任或是借鈴都是預期的啊為什麼放那麼久等人等誰啊那我們就可以開始做很多猜想啊那個劇本就很複雜了你在等誰啊給誰都都是這樣公器私用嗎這個這個要先做好啊 |
| transcript.whisperx[382].start |
11476.993 |
| transcript.whisperx[382].end |
11491.199 |
| transcript.whisperx[382].text |
26家這個國家醫院本來就要好好照顧你這個管理就是在衣服會啊啊你居然出國一年出國有時候很多次我記得好像最多還有七八次的然後裡面不相關的很多而且不是有個內規嗎不是規定說三年後才能再去同一家的那個會議嗎那為什麼別人要遵守別的公務員要遵守那執行長不用遵守 |
| transcript.whisperx[383].start |
11503.07 |
| transcript.whisperx[383].end |
11509.652 |
| transcript.whisperx[383].text |
為什麼可以年年去不是三年當中不能去重複的那個會議嗎那這個都要遵守啊而且要相關的啊所以我並不是我一樣一樣去了解我並不是不讓你出國而是說這個旅費要用的正當明目正當然後要按照你自己設的規律規範然後要把你分類的工作做好然後才去出國考察那些考察很多都是可以再討論的啊考察的內容跟項目跟這個會議內容都可以討論的啊好請指揮長說明 |
| transcript.whisperx[384].start |
11531.058 |
| transcript.whisperx[384].end |
11557.537 |
| transcript.whisperx[384].text |
好 謝謝委員的指教那當然這個政府院長的遴選其實我們在這個部分裡面那最近的草屯那還有苗栗都有已經公告已經有當選的人選了那當後續就是說為什麼有些時間delay因為我們要找一些我們的口試的委員那因為口試的委員在這個時間裡面大家要都要超過我們法定的人數所以那個時間稍微有一點等一下等一下 執行長你又來了 |
| transcript.whisperx[385].start |
11559.658 |
| transcript.whisperx[385].end |
11564.16 |
| transcript.whisperx[385].text |
這個都是預先知道的口試委員大家搶著做權力很大搶著做不要跟我說找不到口試委員誰不想去評選那個衛福部正副院長的那個這個人選的評選啊怎麼會找不到口試委員呢搞不好一票幾百個幾千個想要去做這個工作不會的不要跟我說找不到因為你是預期我一直講預期的嘛預期的嘛 |
| transcript.whisperx[386].start |
11585.487 |
| transcript.whisperx[386].end |
11593.011 |
| transcript.whisperx[386].text |
除非有一個非常意外的事情發生他是預期的嘛卸任時間都預期的嘛你當然到最後才找你放著不找你當然就會這樣講等一個委員嗎那個委員有關鍵嗎大法官我們都不能要求全員出席啦 |
| transcript.whisperx[387].start |
11599.233 |
| transcript.whisperx[387].end |
11603.977 |
| transcript.whisperx[387].text |
所以才要制度化 要提前做無縫接軌嘛 邱部長我問你 政府院長 衛福部 政府院長是不是要無縫接軌 要不要空著 空著等 等誰 |
| transcript.whisperx[388].start |
11621.662 |
| transcript.whisperx[388].end |
11639.214 |
| transcript.whisperx[388].text |
我們報告一下,像我一上任,馬上部立桃園醫院就增補,就增選嘛,所以...為瀑布桃園醫院啦,它不是立啦好啦,沒關係啦,你說國立的,它有國家的責任,我們當然要部立醫院要盡到國家的責任,所以變成國立的想法是對的啦 |
| transcript.whisperx[389].start |
11648.174 |
| transcript.whisperx[389].end |
11662.649 |
| transcript.whisperx[389].text |
絕對 我絕對不容許有delay的問題 但是在...那發生啊 我都有統計數字啦沒關係 那個就是說幾乎...半年是起碼的啊而且第一個 我們的委員都是絕對得高望重 |
| transcript.whisperx[390].start |
11664.671 |
| transcript.whisperx[390].end |
11680.541 |
| transcript.whisperx[390].text |
應該都是算他說找不到啊沒有辦法出事啊沒有辦法找啊我們出的都一定是醫學中心營養還是做營養給醫生的絕對都是挑戰第二個我們絕對沒有去做任何的 |
| transcript.whisperx[391].start |
11681.771 |
| transcript.whisperx[391].end |
11691.921 |
| transcript.whisperx[391].text |
我想執行長也很清楚那就是無縫接軌你同意嗎有發生過啊台北醫院好幾家醫院都是無縫接軌啊馬上都準備好了一下就放進去了好多家已經有例子啊因為要一步一步來嘛有的可以有的不可以 或者怪怪的 答問號啊 |
| transcript.whisperx[392].start |
11705.683 |
| transcript.whisperx[392].end |
11722.611 |
| transcript.whisperx[392].text |
我們不需要去等人等誰我完全沒有這種理由啊發生了啊桃園醫院發生了等了26個月才補人啊桃園醫院最肥的醫院最有潛力的醫院桃園醫院在我們5203年以後沒多久就處理了所以 |
| transcript.whisperx[393].start |
11725.052 |
| transcript.whisperx[393].end |
11737.349 |
| transcript.whisperx[393].text |
所以大概都有在處理這個放心齁沒有我逼著才去把你選公告我不敢講說百分之百有辦法馬上那你回答我一個原則是不是要無縫接軌院長是不是要無縫接軌一個醫院的院長是不是要無縫接軌 |
| transcript.whisperx[394].start |
11739.082 |
| transcript.whisperx[394].end |
11764.42 |
| transcript.whisperx[394].text |
一定是盡量無妨這一回嘛盡量無妨 我們會朝這個目標來努力但是任期到了是不是都知道考評過不過是不是都知道卸任是不是都知道我們會知道 你都會知道嘛我們會公告要制度嘛對 公告 那有一個公告的日期至少兩個月前就要做啦對 願意報名的這些有資格的他就提他的這個據我瞭解有些人你們電話還叫他說你不要來報名了我們已經有內定人選了 |
| transcript.whisperx[395].start |
11765.44 |
| transcript.whisperx[395].end |
11784.753 |
| transcript.whisperx[395].text |
這個我聽太久了我聽了二十年一二十年但是這一年絕對不可能發生不能再發生了不可能發生不要讓我聽到任何人說我要報名他們叫我不用來報名我不能接受任何說什麼我完全是很公平公正為我們國家的醫院造型最好的 |
| transcript.whisperx[396].start |
11785.353 |
| transcript.whisperx[396].end |
11793.304 |
| transcript.whisperx[396].text |
最好的人才所以我的意思是說那些東西當然另外那是另外出的行政就讓他來檢討你屆期到了會知道會空缺出來你多久前要準備好啊為什麼讓這個國家的意願空在那裡等人 |
| transcript.whisperx[397].start |
11802.996 |
| transcript.whisperx[397].end |
11828.073 |
| transcript.whisperx[397].text |
等某一個人他已經發聲了跟委員報告就是因為我們這個完了以後會經過人事的一個考評這個資格所以你要提前啊然後後面就最後就是說我們會有經過我們的所謂的邀請我們的考試委員那考試委員就會比對時間那我們裡面有個規定就是遴選辦法裡面二分之一的委員要出席然後三分之二的委員要同意那你為什麼有的院辦得到有的院辦不到 |
| transcript.whisperx[398].start |
11828.813 |
| transcript.whisperx[398].end |
11848.823 |
| transcript.whisperx[398].text |
你也要背著委員啊沒有這種事情我們會把這個建立制度會提早再作業這個已經歷史這麼悠久了現在才說要建立制度政府院長這麼重要的職缺有一些人士還是說在這個部分因為有些要走的流程會讓整個理事會更正更開所以才要制度化要提前準備嘛 |
| transcript.whisperx[399].start |
11850.483 |
| transcript.whisperx[399].end |
11858.006 |
| transcript.whisperx[399].text |
所以才要制度提前準備嘛就是要讓他卸任的時候你就補上去嘛我就在講同一個重點啊我從頭到尾都講同一個重點啊無縫結果我從來沒有介入任何一個人事案你用領選辦法公開領選辦法然後你就是領選然後按照領選結果來做部長做定奪 |
| transcript.whisperx[400].start |
11868.55 |
| transcript.whisperx[400].end |
11884.44 |
| transcript.whisperx[400].text |
我就是這樣啊 就是請你們趕快補上啊部長在這個部分 其實剛剛委員關係 比如說桃園以上那個我們最近的 剛剛講的草屯 然後苗栗都已經補上那比如這個岐山醫院 我們現在就是要找委員的時間我們會在盡快裡面回來做遴選 |
| transcript.whisperx[401].start |
11888.406 |
| transcript.whisperx[401].end |
11905.499 |
| transcript.whisperx[401].text |
委員你要準備好啊不是說委員幾個不能來你就停住了難道有特定的委員不能來你就不開會了嗎在委員有一個委員庫啦也不是說對啊委員庫啊所以怎麼可能都不能來委員庫差不多二三十個了是啊二三十個了他們在找可能不可能都不能來啦 |
| transcript.whisperx[402].start |
11906.42 |
| transcript.whisperx[402].end |
11932.848 |
| transcript.whisperx[402].text |
也是有點頭痛因為這幾個都是很忙那所以要的確要找人不要用委員忙這個東西不要用這個啦委員會再參加多少一輩子二十幾歲我就參加委員了請叫陳委員講那個原則你們寫個主結一出來嘛可以吧就是不要delay就是不要空中擠因為如果你這個東西沒有做好你出國的次數太高會不相關的我自然就會覺得這是你要把本務做好嘛 |
| transcript.whisperx[403].start |
11933.288 |
| transcript.whisperx[403].end |
11947.615 |
| transcript.whisperx[403].text |
那我剛剛也是說啊如果世界醫療我就OK啊你只要把它說明清楚那有一些不相關的其實有很多其他的人會去看這個可能要說明一下比如說為什麼公共衛生對我再說明一下然後年年去對嗎不是有規範嗎三年不能去啊醫護會裡面不只醫療啦也有安養的社福的社福的嘛所以 |
| transcript.whisperx[404].start |
11954.258 |
| transcript.whisperx[404].end |
11958.843 |
| transcript.whisperx[404].text |
那就其他的人可以去啊長照師就長照師去啊跟委員報告ISQA就是國際的醫療品質的會議他是我們醫測會在訂醫院評鑑的指標那醫測會去啊 就醫測會去啊他會邀各個醫院的層級都會一起參加醫測會去啊 不要執行長這麼辛苦啊 |
| transcript.whisperx[405].start |
11971.818 |
| transcript.whisperx[405].end |
11979.941 |
| transcript.whisperx[405].text |
是 他們就會訂比如說要新的年度我們把減碳放入我們的醫院平均的指標所以我們要去學習那請問知事 你說的那三年內不能重複的去開會怎麼辦我們行政局各級所屬機關派員這個編審要點的第三條跟第四款這邊講到的三年是講到考察 |
| transcript.whisperx[406].start |
11991.084 |
| transcript.whisperx[406].end |
12000.874 |
| transcript.whisperx[406].text |
那這個考察是到剛剛講的如果它是同一個地點是不行但如果我們是開國際會議是不在這個部分裡面所以是考察所以我待會把這個要點給委員再參考一下你如果越來越多那個功能性的會議你不越來越多 |
| transcript.whisperx[407].start |
12008.902 |
| transcript.whisperx[407].end |
12036.876 |
| transcript.whisperx[407].text |
就都不能中斷就每年都去然後就增加只會增加不會減少剛剛提到的那個APHA那個美國公共醫生協會他其實是叫美國的公衛及醫療的這個會議他其實裡面的場次是有50多個場次那裡面辦所謂的醫院管理或者說在clinical的這個部分裡面是超過200個這個topic啦所以包含我們的leadership裡面也有大概43個場次所以都是在我們的醫院管理非常重要要去學習 |
| transcript.whisperx[408].start |
12037.276 |
| transcript.whisperx[408].end |
12057.222 |
| transcript.whisperx[408].text |
我其實是說你內部26家國立醫院要先把它的事情做好我光看到正副院長的臨選可以這樣子公器私用而且裡面問題一大堆那你說我怎麼會覺得說會支持或贊成說不相關我支持不相關的會議可能也是派其他人去是更適當的 |
| transcript.whisperx[409].start |
12059.139 |
| transcript.whisperx[409].end |
12082.85 |
| transcript.whisperx[409].text |
這個部份我當然要更關注啊你要留在國內好好的把這些事情做好啊委員關心的這個部份那個院長會長林顯為什麼有時候會稍微所以這個要報告第一家第一名醫院兩年多才補院長你說哪一家桃園醫院2020年7月一直到去年的8月才補到 |
| transcript.whisperx[410].start |
12084.195 |
| transcript.whisperx[410].end |
12101.325 |
| transcript.whisperx[410].text |
你看我們效益還蠻高的我們兩年耶就馬上兩個月就補上優秀的人才你不肯蓋瓜承受喔主席他不肯蓋瓜承受我在講衛福部他說只算他上任的不是啦所以說我們來所謂蓋瓜承受就是要解決問題啊所以我們已經解決問題了嘛現在也我現在還有好幾家醫院不會啦如果有任何一家醫院有 |
| transcript.whisperx[411].start |
12109.89 |
| transcript.whisperx[411].end |
12113.632 |
| transcript.whisperx[411].text |
慢的話我們都要解釋就不能再發售了啦其實我們現在都已經安排時間在座的人應該聽不懂嗎國家的醫院你鄭副院長出缺 |
| transcript.whisperx[412].start |
12121.328 |
| transcript.whisperx[412].end |
12132.4 |
| transcript.whisperx[412].text |
你在等什麼你之前兩個月借零借滿你們都有任期的規定規範嘛這都知道了為什麼不事先做不要跟我說委員不能來開會有空沒有空來開會這個說不過去啦我們會的提報告我們會的提報告 |
| transcript.whisperx[413].start |
12141.79 |
| transcript.whisperx[413].end |
12156.181 |
| transcript.whisperx[413].text |
可能要分 看誰是最適合去的那不一定都要主席自己去啦主席這樣也很辛苦你不要經常去啦 你有我幫你去的啦我們都會簽報部長啦然後經過人事會計 這個部分是我們當然都是按照規定 只是說人才的培育也是很重要的不一定 你也沒有要每天都自己來對不對 你所有人會互惠 不只你自己來 |
| transcript.whisperx[414].start |
12174.455 |
| transcript.whisperx[414].end |
12184.642 |
| transcript.whisperx[414].text |
所以你沒有串供那個落跑的嫌疑,這個就是說我國內的事情先把它做好,內部的事情做好,你看現在要怎麼處理,范執行長你怎麼建議 |
| transcript.whisperx[415].start |
12188.561 |
| transcript.whisperx[415].end |
12190.002 |
| transcript.whisperx[415].text |
我去年五月就執行,沒有人管我啦 |
| transcript.whisperx[416].start |
12205.117 |
| transcript.whisperx[416].end |
12227.142 |
| transcript.whisperx[416].text |
那時候是薛部長啦 他都沒人插話啦但是你們都在聽啦 國會頻道你們都在監聽啦這麼重要的事情 媒體又有洩露啦都沒人插話啦 都不重要逼著我倒預算的時候才來處理我建議齁 現在這是要出國考察要去參加ISQA 什麼這些有些不像相關的 連連去不行啦也不能連連去啦這也很重要啦 說實在的重要 但是看誰要去啊誰也要去啊 |
| transcript.whisperx[417].start |
12234.872 |
| transcript.whisperx[417].end |
12255.51 |
| transcript.whisperx[417].text |
跟醫院管理無關的啊沒有啦 世界醫院大會我就覺得OK啊因為還在管理醫院啊 我也覺得OK啊你也把費用稍微講一下因為你就知道行程哪個國家嘛大概幾天 我們就知道要合理的預算嘛 |
| transcript.whisperx[418].start |
12257.284 |
| transcript.whisperx[418].end |
12279.615 |
| transcript.whisperx[418].text |
好啦,你給董20萬啦,我給他報告啦他在執行,你都沒給他回答,這樣不對啦他就放著不管啦,而且事實就發生了啊好,我們會指導委員的這個辦理沒有啦,什麼意思什麼意思,那主席,現在你的意思是要我遵照主席決心給董姐20萬,然後請董姐多少錢20萬 |
| transcript.whisperx[419].start |
12284.906 |
| transcript.whisperx[419].end |
12285.61 |
| transcript.whisperx[419].text |
這個是謝謝總共那一半要八萬而已 |
| transcript.whisperx[420].start |
12287.932 |
| transcript.whisperx[420].end |
12290.934 |
| transcript.whisperx[420].text |
沒有啦 這是累積很久的啦這是累積很久的啦 |
| transcript.whisperx[421].start |
12318.312 |
| transcript.whisperx[421].end |
12346.709 |
| transcript.whisperx[421].text |
就是跟他賺20萬 叫他來跟他報告報告到料貸可以解凍這樣好不好 這樣可以啦50萬 你剛剛說50萬20 我從頭到尾都說20 我沒說到50他不要每次都去啦 是是是執行長每次去 因為接把我要求的部分我們的副局長跟我們的主管也都有去啦國家醫院 不是接我去 |
| transcript.whisperx[422].start |
12347.709 |
| transcript.whisperx[422].end |
12349.77 |
| transcript.whisperx[422].text |
這凍結20萬然後怎麼管理中心來跟你報告 |
| transcript.whisperx[423].start |
12366.135 |
| transcript.whisperx[423].end |
12368.616 |
| transcript.whisperx[423].text |
然後報告的結果也報告給委員會然後同意之後使得動之 |
| transcript.whisperx[424].start |
12381.984 |
| transcript.whisperx[424].end |
12397.549 |
| transcript.whisperx[424].text |
好 謝謝委員執行長 我要求的就是一個制度問題如果今天制度沒有發生這個問題我也不會處理到這個細節啦那 好啊 趙偉我又我又賣你面子 遵照趙偉指示謝謝委員 今天就沒補充他不給我面子咧好 來來 第14案 |
| transcript.whisperx[425].start |
12411.321 |
| transcript.whisperx[425].end |
12427.216 |
| transcript.whisperx[425].text |
第14案這個是陳昭志委員這邊特別關心我們那個藥品的審查案件的進度可以公開啦那我們目前的這個設計上是只有廠商申請的廠商可以查詢 |
| transcript.whisperx[426].start |
12428.197 |
| transcript.whisperx[426].end |
12450.871 |
| transcript.whisperx[426].text |
那這個陳委員是希望也能夠讓民眾大家也都能夠看得到那我們很認同這樣的概念所以我們朝這個方向來努力開過一次會了那我們接下來我們再詢問各個這個藥商的這個工協會團體如果沒有什麼反對意見我們就會來進行公開反對也要進行啊 |
| transcript.whisperx[427].start |
12451.631 |
| transcript.whisperx[427].end |
12459.58 |
| transcript.whisperx[427].text |
反對我們會看他反對的理由如果有違反到比如說一些商業機密的問題我現在只是基本的進度大家都看病人都在看這個藥為什麼等這麼久我的統計數字你們不敢採用但是AIT等等他們都採用我的統計數字 |
| transcript.whisperx[428].start |
12468.59 |
| transcript.whisperx[428].end |
12490.799 |
| transcript.whisperx[428].text |
你一個平均一個癌藥你就是要等兩三年那病人就是等到沒有機會用啦那你到底進度到什麼程度你現在是在申請作業階段還是說在溢價階段我也沒有說溢價是你們的時間是你們的大家都可以算廠商也有責任喔這個是解讀問題但是你要知道我現在這個心要跑到哪裡所以大家都說癌藥用不到啊用不到癌藥 |
| transcript.whisperx[429].start |
12491.36 |
| transcript.whisperx[429].end |
12506.622 |
| transcript.whisperx[429].text |
跟委員報告我們去年整個新增的癌藥跟這個擴充給付是達到63項是歷年最高的而且影響的預算超過100億癌藥的部分而已 |
| transcript.whisperx[430].start |
12507.463 |
| transcript.whisperx[430].end |
12535.516 |
| transcript.whisperx[430].text |
所以我們前年是58案去年是63案我們一直在努力增加我知道你很努力也加速了因為委員開會的頻率增加了花了很多時間去開會但是最重要的是如果你跟其他的國家比你還是很慢我知道我們癌病癌藥的存活率輸人家添添輸韓國添添輸10%穿很多繼續命繼續命他是用癌藥比喻也不是說只有癌藥的部分所以要公開透明是最好但透明我沒有說要機密 |
| transcript.whisperx[431].start |
12536.797 |
| transcript.whisperx[431].end |
12539.365 |
| transcript.whisperx[431].text |
我沒有說他要多少錢反正沒有啊進度進度 |
| transcript.whisperx[432].start |
12541.944 |
| transcript.whisperx[432].end |
12564.819 |
| transcript.whisperx[432].text |
因為你醫療的部分 醫療項目你就做到啦為什麼醫療項目就做到 為什麼這個地方做不到好 我知道你的意思 我們也很認同我們溝通完之後是朝這個方向來做我們講好多年了耶 真的嗎 署長你真的要做嗎你真的肯做嗎 我們講好多當然你還沒有當署長 我就開始講對啦 我知道 未來兩年嘛 我會把一些事情來搞完整這個我們會來朝這個方向 |
| transcript.whisperx[433].start |
12569.728 |
| transcript.whisperx[433].end |
12583.759 |
| transcript.whisperx[433].text |
你今天可以跟全國的病友團體等待新藥的病友團體承諾嗎所以你會讓他知道他們所要等待的新藥大概現在進度在哪裡就是朝這個審查案件的進度公開透明我們朝這個這個方向來執行這樣 |
| transcript.whisperx[434].start |
12588.437 |
| transcript.whisperx[434].end |
12603.655 |
| transcript.whisperx[434].text |
我們會先讓公協會都表示意見因為我們整個程序上還是應該公開透明所以要公開的內容什麼都要讓大家確認清楚然後我們就公開我們現在不是要公開機密也沒有說他申請多少錢要還多少錢 |
| transcript.whisperx[435].start |
12609.501 |
| transcript.whisperx[435].end |
12631.858 |
| transcript.whisperx[435].text |
還多少錢給衛福部沒有進度這個要申請了現在大家等著看那個新藥要用現在在什麼階段在什麼階段在什麼階段準備什麼階段就這樣啊對就是我們會公開的就是說我們會先跟藥商他們了解就是什麼時候送件的我們什麼時候受理因為中間還有行政審查補件什麼什麼時候進專家會議什麼時候 |
| transcript.whisperx[436].start |
12636.161 |
| transcript.whisperx[436].end |
12640.543 |
| transcript.whisperx[436].text |
還在協商議價然後什麼時候供你會議然後通過結果可能還是沒有同意供你會通過結果還是沒有辦法執行他到哪裡了我們做這個方面的公開就這樣啊沒有機密啊不要老是做機密啊 |
| transcript.whisperx[437].start |
12652.247 |
| transcript.whisperx[437].end |
12671.807 |
| transcript.whisperx[437].text |
你每次都說那個霸凌調查有機密哪來的機密我從來沒有講過任何機密啊被訪人沒有啊幾份人其實說了什麼事情沒有機密啊完全沒有機密為什麼要徵求他們同意沒有機密啊這個還是一個公開因為我們要公開的這些內容還是要讓大家確認讓大家不要擔心啦 |
| transcript.whisperx[438].start |
12673.109 |
| transcript.whisperx[438].end |
12690.025 |
| transcript.whisperx[438].text |
主題是這樣說我們公開的這樣的內容大家OK不OK如果都沒有意見沒有特別的考量了我們還是採用公開透明的程序啦不能說我要做什麼就做什麼這樣也不好啊沒有啦 保證你 署長我先把你關起來 |
| transcript.whisperx[439].start |
12692.826 |
| transcript.whisperx[439].end |
12715.622 |
| transcript.whisperx[439].text |
我們沒辦法做什麼就做什麼啦我們還是要跟大家先溝通過所以給我們一點時間我這裡公開說新藥為什麼會那麼慢啦就是錢要砍滴滴啦那病人數都不全給啦就是限制限制不人道的限制啦你只能限制幾個月啦要多少錢然後我只照顧多少人啦然後到最後終身折衣使用這個不人道不符合國際指引的事都出來都在那邊處理啦處理到病人都 |
| transcript.whisperx[440].start |
12717.884 |
| transcript.whisperx[440].end |
12724.87 |
| transcript.whisperx[440].text |
我們去年就已經擴充那個癌藥的擴充幾戶33項我今年二月就任期滿30年我太清楚了那個時間點沒有機密沒有機密我們要求公開要求公開你現在跟病友講說不一樣可以啦可以啦你就這樣跟病友轉檔 |
| transcript.whisperx[441].start |
12740.583 |
| transcript.whisperx[441].end |
12745.988 |
| transcript.whisperx[441].text |
跟剛才那個連檢劑有說過嗎對一百萬三個月內這樣是一百萬嗎這樣給時間長一點點對三個月因為我們中間又過年嘛徵詢之後正式會議確認之後我們就上 |
| transcript.whisperx[442].start |
12759.162 |
| transcript.whisperx[442].end |
12775.892 |
| transcript.whisperx[442].text |
就比照醫療服務項目這個審查的進度是藥署某個程度審查的進度也都是公開的可以齁署長你這是真的公開答應我了我公開答應你但是我要程序啦我認為方向上朝這個地方朝這個方向是可行啦 |
| transcript.whisperx[443].start |
12776.812 |
| transcript.whisperx[443].end |
12782.541 |
| transcript.whisperx[443].text |
好啦謝謝署長我現在你日理千機啦所以我知道但是這個是很重要啦好第14案凍結100萬三個月內跟陳委員報告也給委員會報告 |
| transcript.whisperx[444].start |
12792.628 |
| transcript.whisperx[444].end |
12818.788 |
| transcript.whisperx[444].text |
二十七案二十七案的部分的話有跟劉委員溝通劉委員現場希望能夠表達一些意見那我們希望劉委員能夠同意就是做一些修改改動一百萬然後於三個月內交書面報告以上那這個這個我一定給你三個啦動一百是別委員的意見因為其實 |
| transcript.whisperx[445].start |
12820.402 |
| transcript.whisperx[445].end |
12848.438 |
| transcript.whisperx[445].text |
這偏鄉沒有壓抑的部分講很久了然後我們又被排在這個第二期我就覺得已經很有道理了那這中間又卡了很多事情我就不再贅述這部長都非常清楚那到現在還是一樣還沒有辦法正式實施啊你議期當時要是什麼你要等到什麼時候我們就是依照行政院的指示我們現在在去年的12月30號已經報行政院新的計畫 |
| transcript.whisperx[446].start |
12849.398 |
| transcript.whisperx[446].end |
12871.077 |
| transcript.whisperx[446].text |
那現在計畫希望因為他現在已經在國發會審查當中我們希望能夠盡快能夠實施在今年開始實施等行政院核定之後那今年什麼時候會核定我也不曉得嘛對不對是我們現在在國發會審查當中你看一期什麼時候就開始實施了一期啊你不是第一期啊 |
| transcript.whisperx[447].start |
12871.536 |
| transcript.whisperx[447].end |
12894.598 |
| transcript.whisperx[447].text |
第一期的話是110年左右然後到113年對啊那我們現在我們這個偏鄉沒有牙醫的像運線不是只有一個鄉而已對不對兩個鄉然後人口數都超過兩萬五千多到現在還沒有然後你還把它排在第二期 |
| transcript.whisperx[448].start |
12895.519 |
| transcript.whisperx[448].end |
12915.579 |
| transcript.whisperx[448].text |
當然這不是怪你啦不是怪你我是覺得這樣啦這個也請部長重視這個事情啦對不對這個有些偏鄉的醫療的整個資源的分配的先後順序然後為什麼這個會排在二期而且是隔了四年後才排入的 |
| transcript.whisperx[449].start |
12918.232 |
| transcript.whisperx[449].end |
12931.911 |
| transcript.whisperx[449].text |
這當時的當時你還沒有當部長嘛對不對這個我很清楚不過那個時候為什麼是這樣的一個安排然後我們有一直在講喔有一直在提醒那後來就是因為某種一些因素一直delay一直delay嘛 |
| transcript.whisperx[450].start |
12933.186 |
| transcript.whisperx[450].end |
12951.174 |
| transcript.whisperx[450].text |
我補充一下第一期其實在處理的會是說公費醫師然後在留任的公費醫師所以主要是以西醫師為主然後經過四年之後其實是做重新的檢討就發現了剛剛劉委員在講的牙醫這邊必須要重新的做一些擴充然後把那個資源補齊 |
| transcript.whisperx[451].start |
12952.495 |
| transcript.whisperx[451].end |
12975.215 |
| transcript.whisperx[451].text |
而不是是說我覺得這是因為政策管中是修正也發現了缺陷然後那這部分的話口腔電腦是這邊已經在去年的年底的時候已經送到行政院這邊然後那我們兩邊會積極的再去問一下國發會可不可以盡快的一個把成他的結果讓我們做讓今年度就能夠實施第二期的部分以上 |
| transcript.whisperx[452].start |
12979.875 |
| transcript.whisperx[452].end |
12984.859 |
| transcript.whisperx[452].text |
好了好了 併動了 併動了謝謝委員還是要經過那個委員會同意 說明報告經同業時等動之動100好第27案動100然後報委員會同意後才得動之好32案 32案 |
| transcript.whisperx[453].start |
13008.239 |
| transcript.whisperx[453].end |
13031.977 |
| transcript.whisperx[453].text |
30萬謝謝劉委員劉委員對於我們焦味煙的一個狀況那對管制這些添加物那論而我們在一年多裡面還沒辦法公告那跟委員報告一下因為這個我們在預告裡面來講那麼大家的意見非常的分歧而且也非常的多總共我們收到的一萬多則那其中包括這些添加物的品項內容還有 |
| transcript.whisperx[454].start |
13034.443 |
| transcript.whisperx[454].end |
13056.68 |
| transcript.whisperx[454].text |
後衛的一個限量等等還有緩衝局後面等等相關的意見非常多所以我們目前在召開任何專家會議那我們會儘速來做後續的行政程序以後來後續公告好就同意他這邊有寫了嘛就上個月內向李偉燕的未緩提出這個說明報告是謝謝委員好謝謝好那 |
| transcript.whisperx[455].start |
13069.153 |
| transcript.whisperx[455].end |
13080.115 |
| transcript.whisperx[455].text |
所以你的結論我多說了啊董...董...沒有啦,不敢動啦改組決議,對啦,改組決議好,那個三十案剛剛沒有宣告三十案,王一平的案子凍結兩百萬嘛我覺得沒錯吧來,四十八 |
| transcript.whisperx[456].start |
13095.017 |
| transcript.whisperx[456].end |
13112.363 |
| transcript.whisperx[456].text |
謝謝劉委員關心劉委員根據我們那個國民營養調查最新的2023的調查報告那也看得出來說糖尿病的發生率逐漸有在增加甚至於年輕化的一個狀況那也跟委員報告那這個部分其實我們也注意得到所以在 |
| transcript.whisperx[457].start |
13113.533 |
| transcript.whisperx[457].end |
13142.375 |
| transcript.whisperx[457].text |
我這兩年裡面先推出代謝政府的管理就是希望能夠解決後續的還沒有進到疾病之前的一些預防跟健康促進的一些政策新年把這個承建的年齡下修到30歲其實也是希望能夠及早發現相關危險或有風險的或是檢查的素質有異常的能夠儘早找出來以後儘早去介入那這目的其實就是在控制希望未來的 |
| transcript.whisperx[458].start |
13143.596 |
| transcript.whisperx[458].end |
13153.57 |
| transcript.whisperx[458].text |
談到邊也好 高血壓 性血管 即便以後都能夠得到一個完整的一個控制所以也跟委員這邊做報告跟說明非常謝謝委員的一個關心 |
| transcript.whisperx[459].start |
13155.253 |
| transcript.whisperx[459].end |
13178.528 |
| transcript.whisperx[459].text |
不是 市長 你是把這個調查的年齡往下是不是不是 這個調查是一年多這樣子 每四年調查一次 對那這一次我們 剛剛委員看到的是發現說我們20歲的這個台南的病人控制上來講有一些稍微高點甚至於說台灣的勝選率都比日本跟韓國 香港來臨近的地方還來得高 |
| transcript.whisperx[460].start |
13183.674 |
| transcript.whisperx[460].end |
13184.459 |
| transcript.whisperx[460].text |
也就是說現在的這種 |
| transcript.whisperx[461].start |
13187.707 |
| transcript.whisperx[461].end |
13213.644 |
| transcript.whisperx[461].text |
這種糖尿病的年齡層一直在下降啦下降有這個趨勢我們也看得到所以我們代謝症候群就從20歲開始索案做管理那郭委員報告我們兩年裡面來講以113年為例的話我們已經索案到29萬多將近30萬那其中有20%的人那因為有代謝症候群的症狀以後經過索案管理以後大概有20%能夠恢復到健康的情況 |
| transcript.whisperx[462].start |
13214.284 |
| transcript.whisperx[462].end |
13225.292 |
| transcript.whisperx[462].text |
所以我們這個給我們未來整體慢性病的控制有很大的信心所以我們今年也把這個成人醫療保健下修到30歲就是能夠及早發現這些有異常的個案20%有點低吧 |
| transcript.whisperx[463].start |
13231.299 |
| transcript.whisperx[463].end |
13249.536 |
| transcript.whisperx[463].text |
以國際上來講大概都是15到16%左右可以逆轉就是說他還沒有進到疾病的時候但是我們那個計畫做出來以後看到我們要計程非常的認真所以我們大概佔了百分之二十可以逆轉那百分之八十七他是有控制所以我們會覺得那個計畫對我們來講非常有信心 |
| transcript.whisperx[464].start |
13252.199 |
| transcript.whisperx[464].end |
13266.713 |
| transcript.whisperx[464].text |
那麥信片做得好,剛剛委員所關心的,我們未來的醫療長照的費用的話,可能就會得到相當好的控制,甚至於不健康移民的一個縮短。對啊,對啊。我不給你3啦,好不好。好,謝謝。改動100啦。 |
| transcript.whisperx[465].start |
13269.035 |
| transcript.whisperx[465].end |
13288.593 |
| transcript.whisperx[465].text |
我們是動200,改動100嘛,然後你提出相關的一些進展的報告,再動之啦沒問題,謝謝,謝謝委員改動100,提出一份報告,經同友使得動之好,48案我們改動100萬,我們會報告同友使得動之50案 |
| transcript.whisperx[466].start |
13292.389 |
| transcript.whisperx[466].end |
13314.719 |
| transcript.whisperx[466].text |
好謝謝劉委員的關心劉委員也看到說我們長期對於回放的問題的預防那麼要看到非常好的成效的確跟委員包括我們18歲以上的成人的這個回放率其實的確是在上升當中那兒童的回放也的確有上升的趨勢所以的話我們未來從今年開始 |
| transcript.whisperx[467].start |
13315.619 |
| transcript.whisperx[467].end |
13340.067 |
| transcript.whisperx[467].text |
我們推動的是前年齡的一個健康生活型態的一個預防包括回胖、運動、營養所以我們在社區裡面有大量的佈置那跟未來的體育部、體育運動部那有相關的一些培養我們所有全國國連的一個全人運動的一個相關的一些計畫那另外就是千年營養的一個照顧 |
| transcript.whisperx[468].start |
13341.827 |
| transcript.whisperx[468].end |
13367.823 |
| transcript.whisperx[468].text |
目前全國大概有114位營養師有70個點我也希望全國368個像這多能夠有營養師的一個幫忙跟協助所以我們逐年希望台灣至少有390位以上的營養師今年度我們希望能夠達到190個營養師的服務希望把營養運動健康能夠帶到我們所有的民眾的身上 |
| transcript.whisperx[469].start |
13370.253 |
| transcript.whisperx[469].end |
13399.007 |
| transcript.whisperx[469].text |
好 謝謝署長謝謝偏遠地區的營養師要優先部署吧是的是的所以改動100啦然後提出書面報告後 經過同意和實的動之好 謝謝委員謝謝好 凍結100萬委員會報告實的動之來 71案71案 也謝謝劉委員剛才跟劉委員做過報告和說明那委員剛才有同意那改 |
| transcript.whisperx[470].start |
13400.688 |
| transcript.whisperx[470].end |
13422.18 |
| transcript.whisperx[470].text |
從刪減的部分改為凍結50萬元那同時提出相關的書面報告那我們也會依照那個委員的要求就未來宣導還有推展費的部分規劃已經執行來切實來提出相關書面報告以上好71案凍結50萬報告後死者凍屍是好謝謝委員76案陳昭志、趙雅 |
| transcript.whisperx[471].start |
13431.718 |
| transcript.whisperx[471].end |
13439.481 |
| transcript.whisperx[471].text |
那就不再處理,還是動?解凍了解凍了啊?改什麼?請他們說明,他們有 |
| transcript.whisperx[472].start |
13455.041 |
| transcript.whisperx[472].end |
13474.145 |
| transcript.whisperx[472].text |
76案陳委員跟我們是併案嘛併案然後一樣動50嘛對動50萬元就請你把科目自行調整他們報告會提供出來對因為剛剛沒有提76跟78是併案的對併案對謝謝委員好謝謝趙委我沒有跑掉好謝謝感恩好我們76跟78併案凍結50萬然後報告後的動作 |
| transcript.whisperx[473].start |
13484.268 |
| transcript.whisperx[473].end |
13494.416 |
| transcript.whisperx[473].text |
第一案 要求衛生福利部加強督導所屬醫院研磨改善以提升營運績效 |
| transcript.whisperx[474].start |
13507.571 |
| transcript.whisperx[474].end |
13525.081 |
| transcript.whisperx[474].text |
第二案 並提供民眾完善醫療照護品質 原則要求衛生福利部於三個月內向立法院社會福利及衛生環境委員會提出書面報告第四至第六案 衛生福利部於三個月內向立法院社會福利及衛生環境委員會提出書面報告 |
| transcript.whisperx[475].start |
13526.181 |
| transcript.whisperx[475].end |
13532.768 |
| transcript.whisperx[475].text |
第12案刪除凍結數第13案刪除凍結數專案改書面報告第15案刪除凍結數一個月改為三個月專案改為書面報告第20案刪除文字中央健康保險署並將解決對策改為書面報告第23案 |
| transcript.whisperx[476].start |
13544.259 |
| transcript.whisperx[476].end |
13552.205 |
| transcript.whisperx[476].text |
以確保預防接種受害救濟業務之運行並於一個月內提交報告第29案 刪除凍結數 二個月改為三個月第33案 刪除凍結數及末二劇第34案 刪除凍結數專案改為書面報告第35案 要求衛福部於一個月內向立法院社會福利及衛生環境委員會提出無惡手煙傷害政策 |
| transcript.whisperx[477].start |
13569.238 |
| transcript.whisperx[477].end |
13591.926 |
| transcript.whisperx[477].text |
具體方案書面報告第36案刪除凍結數書面報告前面增列陰害防治策略等文字第37案要求衛生福利部於三個月內向立法院社會福利及衛生環境委員會提出陰害防治策略書面報告第38案要求衛生福利部於三個月內向立法院社會福利及衛生環境委員會提出檢討改善書面報告 |
| transcript.whisperx[478].start |
13593.727 |
| transcript.whisperx[478].end |
13609.432 |
| transcript.whisperx[478].text |
第四十案 要求衛生福利部國民健康署於三個月內向立法院社會福利及衛生環境委員會提出戒菸服務推動情形書面報告第四十一案 要求國健署於三個月內向立法院社會福利及衛生環境委員會提出檢討報告 |
| transcript.whisperx[479].start |
13610.632 |
| transcript.whisperx[479].end |
13625.677 |
| transcript.whisperx[479].text |
第44案刪除凍結數與衛福部後面增列於三個月內並修正默劇為向立法院社會福利及衛生環境委員會提出書面報告第45案修正國健署為衛生福利部並修正計劃為支書面報告 |
| transcript.whisperx[480].start |
13628.018 |
| transcript.whisperx[480].end |
13654.326 |
| transcript.whisperx[480].text |
第46案衛生福利部會同國健署就6歲至12歲兒童之口腔預防保健例如減糖策略應積極推行兒童口腔保健工作維護兒童口腔健康第51案原要求衛生福利部於三個月內向立法院針對原民部落及學童等族群提出持續推動健康體位之書面報告第53案 |
| transcript.whisperx[481].start |
13655.686 |
| transcript.whisperx[481].end |
13661.671 |
| transcript.whisperx[481].text |
原國民健康署應強化推廣癌症篩檢重要性並提升篩檢服務量第54案國民健康署應強化推廣癌症篩檢並提升篩檢服務量第55案刪除凍結數一個月改為三個月第56案原衛生福利部應強化推廣癌症篩檢重要性並提升篩檢服務量 |
| transcript.whisperx[482].start |
13679.306 |
| transcript.whisperx[482].end |
13702.263 |
| transcript.whisperx[482].text |
第60案有架空無法確定類別之餘原要求衛生福利部疾病管制署於2個月內向立法院社會福利及衛生環境委員會提出書面報告第61案請衛生福利部持續視疫苗基金裁員逐年就疾病負擔國內流病趨勢疫苗接種成本效益等進行檢視提案ACIP研議評估導入並於2個月內提出書面報告第62案 |
| transcript.whisperx[483].start |
13708.727 |
| transcript.whisperx[483].end |
13733.012 |
| transcript.whisperx[483].text |
要求衛福部確實積極運用各管道推廣宣傳提升國人疫苗接種意願提升國人免疫保護力第64案修正末段手續為針對COVID-19疫苗第65案刪除凍結數專案改為書面報告第66案要求衛生福利部於三個月內向立法院社會福利及衛生環境委員會提交書面報告67及68案刪除凍結數 |
| transcript.whisperx[484].start |
13737.622 |
| transcript.whisperx[484].end |
13752.698 |
| transcript.whisperx[484].text |
第七十案 要求衛福部向立法院社會福利及衛生環境委員會提出書面報告第八十案 刪除凍結數 長期照顧私改為社會及家庭署第八十一案 要求衛生福利部持續健全施治照護服務體系 |
| transcript.whisperx[485].start |
13754.54 |
| transcript.whisperx[485].end |
13778.212 |
| transcript.whisperx[485].text |
並以限期於一個月內向立法院社會福利及衛生環境委員會繳交書面報告第83案要求衛生福利部限期於一個月內向立法院社會福利及衛生環境委員會繳交114年起宣導經費運用規劃及目標之書面報告第84案要求衛生福利部限期於一個月內向立法院社會福利及衛生環境委員會繳交 |
| transcript.whisperx[486].start |
13780.033 |
| transcript.whisperx[486].end |
13799.43 |
| transcript.whisperx[486].text |
測進書面報告 含達成率未達八成之四個縣市第八十九案 提升陽性追蹤之計畫執行方式及成果之書面報告第九十一案 修正國健署為衛生福利部第九十三案 原決議限期一個月內向立法院社會福利集會生環境委員會提交長照財務規劃之書面報告 |
| transcript.whisperx[487].start |
13801.812 |
| transcript.whisperx[487].end |
13829.02 |
| transcript.whisperx[487].text |
第七案要求管制藥品製藥工廠於一個月內向本院提交書面報告第十一案於二星期內提出書面報告第十七案於一個月內提出書面報告第二十六案要求衛生服務部於三個月內提供預期成效書面報告第三十一案 |
| transcript.whisperx[488].start |
13830.847 |
| transcript.whisperx[488].end |
13856.543 |
| transcript.whisperx[488].text |
請國民健康署針對菸害防治宣導成效於三個月內向立法院社會福利及衛生環境委員會提出書面報告第四十三案請衛生福利部於三個月內向立法院社會福利及衛生環境委員會提出書面報告第四十七案要求衛生福利部應積極推動兒童口腔保健 |
| transcript.whisperx[489].start |
13857.236 |
| transcript.whisperx[489].end |
13868.936 |
| transcript.whisperx[489].text |
加強兒童發展篩檢及後續通報轉介服務維護兒童健康第69案要求衛生福利部向本委員會提交書面報告宣讀完畢 |
| transcript.whisperx[490].start |
13873.669 |
| transcript.whisperx[490].end |
13902.112 |
| transcript.whisperx[490].text |
好我們做以下決議第一中華民國114年中央政府總預算案互儲單位預算關於衛生福利部主管預算業餘審查完畢提報院會討論院會討論前需交黨團協商本次會議議事錄授權由主席核定或確定 |
| transcript.whisperx[491].start |
13904.025 |
| transcript.whisperx[491].end |
13906.727 |
| transcript.whisperx[491].text |
本次的會議到此結束 散會 |
| transcript.whisperx[492].start |
13925.219 |
| transcript.whisperx[492].end |
13953.784 |
| transcript.whisperx[492].text |
要不要簽案啊對 是動議百萬啊他要要改文字啊文字要不要先留一下好不好 抱歉抱歉來 文記在這裡來等一下 等一下 再 再不好意思 不好意思因為他有修改文字我回答啦 |
| transcript.whisperx[493].start |
13964.741 |
| transcript.whisperx[493].end |
13967.684 |
| transcript.whisperx[493].text |
第87案,兼此建議凍結500萬元,在 |
| transcript.whisperx[494].start |
13985.571 |
| transcript.whisperx[494].end |
14000.798 |
| transcript.whisperx[494].text |
在衛福部召集長期照顧師、社會及家庭署、護理及健康照護師、中央健康保險署、舊住宿機構內留置移位館人數進行 |
| transcript.whisperx[495].start |
14005.801 |
| transcript.whisperx[495].end |
14015.139 |
| transcript.whisperx[495].text |
進行盤整並於一個月內提供人數及占比,且於三個月內針對上述問題提出改善後 |
| transcript.whisperx[496].start |
14019.237 |
| transcript.whisperx[496].end |
14037.173 |
| transcript.whisperx[496].text |
改善書面 改善計畫書面報告並經同意後此的通知宣讀完畢我補充一下部長這個沒有辦法長照私自己一個單元去處理啦所以還是要衛生部來主導啦來主責啦所以我這邊其實他是補充相關的一些文字其實應該是倒數 |
| transcript.whisperx[497].start |
14038.57 |
| transcript.whisperx[497].end |
14063.766 |
| transcript.whisperx[497].text |
就我的文字倒數這個第四行建請衛福部應該就移除鼻液管之教育訓練強化相關教育訓練課程並研議未來出入型機構就移除鼻液管的相關措施之獎勵機制以達長照體系對於這個移除鼻液管之正確認知與積極的措施保障失能者的自信與尊嚴 |
| transcript.whisperx[498].start |
14065.307 |
| transcript.whisperx[498].end |
14086.383 |
| transcript.whisperx[498].text |
然後後面才是他練的那一段這樣啦好 謝謝好 這樣大家有沒有意見沒有齁那這個補充說明就照劉建國委員的意旨好 我們上位 謝謝謝謝主席 主席英明感動了 |
| transcript.whisperx[499].start |
14092.092 |
| transcript.whisperx[499].end |
14093.513 |
| transcript.whisperx[499].text |
這個就改...這個就改...這個就改...這個就改... |
| transcript.whisperx[500].start |
14119.554 |
| transcript.whisperx[500].end |
14123.077 |
| transcript.whisperx[500].text |
不過這個就是因為治療JI目前是 |