| IVOD_ID |
165932 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/165932 |
| 日期 |
2025-11-26 |
| 會議資料.會議代碼 |
委員會-11-4-26-13 |
| 會議資料.會議代碼:str |
第11屆第4會期社會福利及衛生環境委員會第13次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
4 |
| 會議資料.會次 |
13 |
| 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4會期社會福利及衛生環境委員會第13次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-11-26T11:53:48+08:00 |
| 結束時間 |
2025-11-26T12:05:04+08:00 |
| 影片長度 |
00:11:16 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/f5b16bee5fdcc5c193d1e926d4dc224bba7bab90aa47d999a94b05c965ca2affb8d54088b54cead65ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
涂權吉 |
| 委員發言時間 |
11:53:48 - 12:05:04 |
| 會議時間 |
2025-11-26T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第4會期社會福利及衛生環境委員會第13次全體委員會議（事由：邀請衛生福利部部長、財政部及環境部就「蘇丹紅化學原料竄臺，政府如何強化進口把關及後市場查驗，以維護國人健康安全」進行專題報告，並備質詢。
邀請衛生福利部部長、司法院、法務部、勞動部及內政部警政署就「國內醫師、護理人力需求及分布暨防止醫療暴力措施及改善情形」進行專題報告，並備質詢。
(討論事項)
審查
一、委員柯志恩等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
二、委員林月琴等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
三、委員王育敏等16人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
四、委員顏寬恒等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
五、委員萬美玲等16人擬具「醫療法第一百零六條條文修正草案」案。
六、委員顏寬恒等16人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
七、委員邱若華等17人擬具「醫療法第一百零六條條文修正草案」案。
八、委員陳菁徽等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
九、委員魯明哲等18人擬具「醫療法第一百零六條條文修正草案」案。
十、委員王鴻薇等20人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
十一、委員林淑芬等25人擬具「醫療法增訂第一百條之一條文草案」案。
十二、委員盧縣一等16人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
十三、委員羅廷瑋等21人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
十四、委員廖偉翔等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。
【第十四案，如經復議，則不予審查】【專題報告及討論事項綜合詢答，討論事項僅詢答】） |
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好 謝謝主席喔 那請我們石部長好 謝謝部長喔 那請部長看一下我們衛福部統計的資料 |
| transcript.whisperx[1].start |
28.147 |
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那這個是我們今年9月三班互併比他未達標率那醫學中心有39%區醫院有31%地區醫院有19%三班互併比的政策我們從2024年開始開辦 |
| transcript.whisperx[2].start |
46.196 |
| transcript.whisperx[2].end |
66.827 |
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到今年11月那算起來也有17個月那在推動三班互併筆的獎勵的部分我們看執行到現在那為什麼還有那麼高的未達標率當然這個目標還可以再努力啦不過以今年跟去年相比去年的達標率大概只有在30%左右 |
| transcript.whisperx[3].start |
67.687 |
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他今年已經到60幾%所以還是有成效當然這個特別是醫學中心他的護病比要求的比較高他的那個要求護理能力更高所以我們會繼續來努力那針對這部分據我們了解他本身有達標獎勵金嘛那達標獎勵金 |
| transcript.whisperx[4].start |
91.316 |
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103.88 |
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16億我們現在發了5.9多億也快6億那看起來也有很多人反應那為什麼不向夜班獎勵金就直接回饋給這些護理人員 |
| transcript.whisperx[5].start |
106.321 |
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134.08 |
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因為我們夜班獎勵那個填班表很清楚啦那這個三班戶病比的是由醫院去看看去提升有的是放在白班啦有些是去整個那個護理的福利的把它提升起來所以它的用途讓它比較多元化一點讓醫院去依據它的需要去處理這樣對 但是我們了解當然衛福部針對這部分是希望說專款專用對 專款專用然後所以沒有用 |
| transcript.whisperx[6].start |
134.86 |
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153.608 |
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專款的獎勵那可是據我們了解好像其實在醫院很多的用途好像很多用途都很奇怪像當然他有時候在什麼護理師的空間啊去買一些小點心啊然後據說好像也有拿去做修繕也有去買制服的 |
| transcript.whisperx[7].start |
155.6 |
| transcript.whisperx[7].end |
177.958 |
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所以很多人反映你這個最簡單最實際就直接能夠直接回饋給護理人員你最主要是要讓這些護理人員留任然後也希望能夠增加這些護理的從業人員所以我們這不管是夜班的獎勵金或者達標獎勵金最主要就是要留住人才再增加人才嘛對不對 |
| transcript.whisperx[8].start |
179.439 |
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207.731 |
| transcript.whisperx[8].text |
其實跟委員說明我們未來朝向簡化的方式就是看結果啦結果就是你的這個護理人力有沒有增加那有沒有達標直接來獎勵那至於說要不要像我們這個夜班今天填這個班表直接給那我們是考慮到整個醫院他每個醫院的樣態不一樣各層級醫院的樣態是不一樣那他所需要的人力的配置也不一樣 |
| transcript.whisperx[9].start |
208.391 |
| transcript.whisperx[9].end |
229.961 |
| transcript.whisperx[9].text |
所以才讓醫院但是很清楚的是一定用在護理人員的身上不可以拿去做其他的用途所以我希望衛福部還是要好好去監督其實我看因為沒有強制要求其實在使用這錢上面有蠻多的亂象所以很多護理人員說去做一些奇奇怪怪的事你就直接錢給我們反正我們 |
| transcript.whisperx[10].start |
231.281 |
| transcript.whisperx[10].end |
245.985 |
| transcript.whisperx[10].text |
給我們錢我們就願意留任然後很多人看福利這麼好他也會從事這個行業我們最主要就是要護理人員要增加然後原有的要留任就是要讓這些人才留住嘛所以我覺得說應該還是要聽聽他們的意見啦 |
| transcript.whisperx[11].start |
248.786 |
| transcript.whisperx[11].end |
265.906 |
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那当然说好像我们卫福部也有开了12场的会议针对这些护理团体护理人员还有护理主管所以我相信他们也有的反应就是其实最简单这奖励金是不是能够直接回馈到他们身上 |
| transcript.whisperx[12].start |
267.014 |
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292.735 |
| transcript.whisperx[12].text |
有钱好办事嘛那直接有增加他们的薪水给予他的肯定所以我觉得他们有提出这反应我觉得还是要听听他们的心声啦怎样子最有效我觉得还是要朝这方面去做好 谢谢我们来跟大家讨论看看用什么方式因为这每一个层级还有医院的形态都不一样他们的用法我们来研究看看有什么更好的方式最主要要落实啦 |
| transcript.whisperx[13].start |
292.955 |
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317.15 |
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有錢才能做事啦所以剛好我也想到我在總之學的時候有提出還是要請我們部長來重視一下我們部桃心目分遠2019年蔡英文總統從通過這個核定擴建核定通過到現在7年了到現在錢都還沒有編都還沒做7年了所以沒有錢真的沒辦法做事啦 |
| transcript.whisperx[14].start |
318.51 |
| transcript.whisperx[14].end |
339.659 |
| transcript.whisperx[14].text |
剛好說沒有錢沒辦法做事這部分請部長針對這部分為我們沿海的醫療資源來幫忙一下我們已經送了計畫了 我們來努力追一下這個請部長多協助好 那我們再來討論一下因為針對 我看我們衛福部有掌握 |
| transcript.whisperx[15].start |
341.36 |
| transcript.whisperx[15].end |
349.502 |
| transcript.whisperx[15].text |
空中轉整平台上線以來 部長你知道這上線以來像今年總共故障幾次 你知道嗎 |
| transcript.whisperx[16].start |
350.782 |
| transcript.whisperx[16].end |
372.819 |
| transcript.whisperx[16].text |
故障就说那个连线出状况对啊就是出状况系统平台出状况其实出状况是六次你讲的两次是延误病患就医两次他系统出状况是六次但是这六次里面有两次是延误病患就医那针对这一部分 |
| transcript.whisperx[17].start |
373.78 |
| transcript.whisperx[17].end |
399.503 |
| transcript.whisperx[17].text |
我們對這個廠商有做什麼處理嗎這個廠商是我們已經開發不過重點是這樣因為這個網路啊難免會有狀況有時候那個海嵐被被故意破壞還是什麼就會影響到所以我們現在一定建立的另外有一個備援機制就是說如果你這個這個平台如果網路不穩的時候那還是有這個 |
| transcript.whisperx[18].start |
402.268 |
| transcript.whisperx[18].end |
419.226 |
| transcript.whisperx[18].text |
打電話啦 這些方式還是可以做還是有其他的作業方式不要因為這樣去延誤啦不會 不會去延誤部長講的就是你們之前說要研議設計雙機系統作業是不是不是雙機就是說就像我們醫院裡面也都會有這個SOP嘛萬一這個資訊 |
| transcript.whisperx[19].start |
422.557 |
| transcript.whisperx[19].end |
451.044 |
| transcript.whisperx[19].text |
當機了那這時候怎麼啟動手工作業概念是一樣對啊那因為你後來這平台故障後來就有傳真的啊對就是打電話嘛應該還是有電話專線可以使用所以我覺得部長還是要重視一下因為據我們了解其實這個狀況非常多啦那連裡面的其實很多的同仁都有在反映他說針對這個廠商常常發生故障好像對他其實也沒有什麼開發的機制好像 |
| transcript.whisperx[20].start |
452.284 |
| transcript.whisperx[20].end |
478.189 |
| transcript.whisperx[20].text |
有一次罰了4萬多4萬多好像也是違約金的問題是不是好 那這個當然要讓這個平台穩定 故障率要降低如果這個廠商一直一而再再而上當然我們就換廠商嘛這個當然我們會去考慮但是還是要備援萬一有這個狀況的時候怎麼啟動另外一個做法不要去影響到病人 |
| transcript.whisperx[21].start |
478.709 |
| transcript.whisperx[21].end |
500.208 |
| transcript.whisperx[21].text |
所以我说这部长一定要重视因为这空中转诊平台你说系统故障没有影响到就医那就算了可是你看这六次里面有两次真的是延误就医一次据我们了解他整个平台修复延误了11个小时还有一次病患延误送医耽误了一个半小时 |
| transcript.whisperx[22].start |
500.848 |
| transcript.whisperx[22].end |
529.533 |
| transcript.whisperx[22].text |
所以这个对于这个病患时间上是非常非常的重要延误一个半小时可能就失去他的黄金治疗的时间我请市长跟委员说明跟委员说明这个平台主要是在做审查或是指导或协调所以当他因为资讯的关系断的时候其实是另外一个启动另外一个电话或传真所以它实际上不会影响到他后送的时间 |
| transcript.whisperx[23].start |
530.495 |
| transcript.whisperx[23].end |
552.125 |
| transcript.whisperx[23].text |
所以這個部分其實我看中國時報聯合報自由時報其實都有在刊登我們針對我們空轉平台這一系列發生問題的前行居然還有說從上班開始聯絡到下班沒有回覆然後到後來說下班的時候說工程師已經下班了 |
| transcript.whisperx[24].start |
553.278 |
| transcript.whisperx[24].end |
568.593 |
| transcript.whisperx[24].text |
所以這部分我希望部長你們還是要去了解一下然後後來聽說直接把問題回饋拿掉問題回饋拿掉就是說他們要反映問題沒有地方可以反映所以就沒有問題了 |
| transcript.whisperx[25].start |
569.761 |
| transcript.whisperx[25].end |
590.88 |
| transcript.whisperx[25].text |
因為你把問題回饋拿掉啊所以後來就沒有問題原來不是沒有問題是把問題回饋拿掉那而且你看五月份就故障三次後來想反應都沒有地方好去反應所以今天提出來喔因為這個希望部長要重視一下還有剛剛講喔其實之前衛福部有說要研議 |
| transcript.whisperx[26].start |
592.22 |
| transcript.whisperx[26].end |
606.425 |
| transcript.whisperx[26].text |
雙機系統作業就是當空轉中心系統發生問題的時候另外一個系統平台馬上可以備案這樣子才不會延誤到我們這些病患萬一他本身救援的時間不能被耽誤 |
| transcript.whisperx[27].start |
607.805 |
| transcript.whisperx[27].end |
624.535 |
| transcript.whisperx[27].text |
跟委員說你剛剛提到說報怨平台被取消這個事情我們查清楚之後再給委員報告第二個是不是要有一個雙機備援我們來研議之後因為我們很多的資訊系統都會有備援機制 |
| transcript.whisperx[28].start |
627.256 |
| transcript.whisperx[28].end |
640.275 |
| transcript.whisperx[28].text |
對啊你去了解一下你看那個媒體在6月19號就刊登啊說把問題回饋拿掉啊然後所以他們連反應的地方都沒有所以並不是沒有問題是沒有地方好反應的 |
| transcript.whisperx[29].start |
642.934 |
| transcript.whisperx[29].end |
662.572 |
| transcript.whisperx[29].text |
這部分部長幫我們了解一下因為其實很多同仁都有私底下在抱怨這些事情我們查明之後再給委員一個報告那希望這個雙基系統作業趕快來去把它研議設計避免這樣子萬一平台系統故障有疏漏問題馬上有另外一個系統可以備案來使用好 謝謝部長謝謝部長 謝謝圖委員 |
| transcript.whisperx[30].start |
671.69 |
| transcript.whisperx[30].end |
672.735 |
| transcript.whisperx[30].text |
好 出現了 |