| IVOD_ID |
167332 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/167332 |
| 日期 |
2026-01-29 |
| 會議資料.會議代碼 |
委員會-11-4-26-22 |
| 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22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 |
22 |
| 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22次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2026-01-29T11:52:59+08:00 |
| 結束時間 |
2026-01-29T12:07:53+08:00 |
| 影片長度 |
00:14:54 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/58229044bac95a88de47b1db7e53600a52fd623850d83d5bb6e897797ecb76badc3fb96d4c95e3195ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
王正旭 |
| 委員發言時間 |
11:52:59 - 12:07:53 |
| 會議時間 |
2026-01-29T09:00:00+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22次全體委員會議（事由：邀請衛生福利部就「春節急診醫療人力調度與跨院協調機制之現況與精進作為」暨「假日及連續假期急重症分級醫療政策之執行成效與改進方向」進行專題報告，並備質詢。
討論事項
審查
一、 委員何欣純等17人擬具「國民年金法第五十四條之一及第五十五條條文修正草案」案。
二、 委員邱鎮軍等17人擬具「國民年金法第十五條及第五十四條之一條文修正草案」案。
三、 委員王美惠等18人擬具「國民年金法第五十四條之一條文修正草案」案。
四、 委員劉建國等16人擬具「國民年金法第五十四條之一條文修正草案」案。
五、 委員馬文君等20人擬具「國民年金法第五十四條之一條文修正草案」案。
六、 委員徐巧芯等18人擬具「國民年金法第五十四條之一條文修正草案」案。
七、 台灣民眾黨黨團擬具「國民年金法第五十四條之一條文修正草案」案。
八、 委員邱鎮軍等21人擬具「國民年金法第十五條及第五十條條文修正草案」案。
九、 委員陳俊宇等29人擬具「國民年金法第五十四條之一條文修正草案」案。
十、 台灣民眾黨黨團擬具「國民年金法第十五條及第五十條條文修正草案」案。
十一、 委員黃秀芳等21人擬具「國民年金法第五十四條之一條文修正草案」案。
十二、 委員羅廷瑋等16人擬具「國民年金法第五十四條之一條文修正草案」案。
十三、 民進黨黨團擬具「國民年金法部分條文修正草案」案。
十四、 委員蔡易餘等17人擬具「國民年金法部分條文修正草案」案。
十五、 委員吳思瑤等18人擬具「國民年金法部分條文修正草案」案。
十六、 委員郭國文等17人擬具「國民年金法第五十四條之一條文修正草案」案。
十七、 委員王美惠等22人擬具「國民年金法部分條文修正草案」案。
十八、 委員徐富癸等18人擬具「國民年金法第五十四條之一條文修正草案」案。
十九、 委員陳亭妃等16人擬具「國民年金法部分條文修正草案」案。
【專題報告與討論事項綜合詢答，討論事項僅詢答】） |
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好謝謝主席我們還是請石部長請石部長部長好今天有兩個題目想要跟部長來討論一個就是強化我國癌症學名藥的韌性那第二部分就是醫事人員繼續教育公職任內的部分不過扣著今天的主題我還是先請教一下就是針對於假日及連續假期重啟 |
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29.828 |
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56.219 |
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分級醫療政策的執行成效與改善方向的書面報告的第二頁裡面剛剛有蠻多委員都有關心到就是說UCC的服務好像當初設計是經過地方衛生局的評估那目前有13處那在執行的成果到現在剛好幾乎要兩個月這個兩個月以來就是服務的部分呢 |
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看到就是有點好像白冷藍熱就是台北市現在平均每個月200人次那台南市呢就有到800人次當初在推估的時候有沒有 |
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96.01 |
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設想到這些各方面的可能性有什麼因素過來看我身邊就是很快能夠有應變的方案跟委員說明當時候我們也是在開設之前都有導衛生局還有專業學會 急診醫學會大家來討論那時候的幾個原則是第一個希望是民眾就醫在社區裡面方便的地方 |
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能夠提供一站式的服務啦至少要能夠做檢查檢驗基本的檢驗檢查還有提供藥品第三個很重要的是說希望鄰近這個庸塞的醫院達到分流的效果所以才會做我們是給這個原則然後由衛生局去責定所以這個台北市確實它現在責定的三個點 |
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122.868 |
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135.963 |
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看起來績效並不好所以我們也提到當時候就講十四半年後因為這是一個事半十四半年後會再進行檢討因為我們比較擔心就是算那個店 |
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163.021 |
| transcript.whisperx[6].text |
當初也評估過 如果說真的無法像有的點 像台中的點也慢慢在增加了那桃園有的點也很好 量也很大台南就更不用說 它是功能非常好如果說店不是說很好寫 那有什麼其他的配套讓他更方便一點這就是根據今天的主題 聲音跟部長請教的部分那第二個其實就是有關於這個 |
| transcript.whisperx[7].start |
164.346 |
| transcript.whisperx[7].end |
190.548 |
| transcript.whisperx[7].text |
癌症學名藥的韌性 這個會牽涉到有關於代品韌性一個很重要部分 那我一直都很關心癌症病友他們在接受醫療過程裡面有沒有好的這個完整的配套那其實也很謝謝我們在健保署在113年7月份就啟動了生物相似性的藥品的鼓勵示範計畫那這個示範計畫到現在為止看起來的確 |
| transcript.whisperx[8].start |
194.749 |
| transcript.whisperx[8].end |
204.554 |
| transcript.whisperx[8].text |
從112年的這個相似藥的一定量是有明顯的上升那謝謝部長跟署長這段時間真的很用心的去讓 |
| transcript.whisperx[9].start |
206.455 |
| transcript.whisperx[9].end |
233.489 |
| transcript.whisperx[9].text |
達到這個三贏的這個可能性從原來的113年的7.38%提升到111.9%那看起來成效很良好現在已經到17了所以已經超過兩倍了所以根據這個這麼良好的這個示範計畫的成果就從生物相試藥又把它擴大到所謂的這個化學治療 |
| transcript.whisperx[10].start |
234.955 |
| transcript.whisperx[10].end |
254.518 |
| transcript.whisperx[10].text |
學名藥這個有點繞口啦因為到底這個癌症用藥對民眾來講就是抗癌用藥所以他比較難了解什麼是生物相似藥什麼是學名藥那等一下還有標靶還有免疫用藥等等那我們也知道這個其實是一個非常好的方向 |
| transcript.whisperx[11].start |
255.063 |
| transcript.whisperx[11].end |
284.022 |
| transcript.whisperx[11].text |
那也透過這些執行的方式尤其是獎勵措施的確能夠發揮的這個臨床的這個引導作用那如果說把這個化學藥用進來以後其實他就會有所謂的口服跟增劑一般來講生物相似藥都是增劑那如果針對這個化學一般說的那個化療的化學藥物的玄尼藥的話他可能會有口服又有增劑那這個部分 |
| transcript.whisperx[12].start |
284.775 |
| transcript.whisperx[12].end |
311.161 |
| transcript.whisperx[12].text |
到目前為止差不多半年左右針對於每一個處方口服針劑的獎勵點數的這些部分不曉得有沒有初步的成果可以讓我們知悉我們剛剛說有從7.38%已經到17%那這個化學治療學名藥部分不知道有沒有初步的成果有有有跟委員說明那個生物相似藥那個實施的比較早那是113年就開始實施了 |
| transcript.whisperx[13].start |
311.721 |
| transcript.whisperx[13].end |
332.792 |
| transcript.whisperx[13].text |
那現在已經到17% 16.9% 17%所以成效很好那去年開始的 那是下半年才開始所以大概半年的時間 我們的這15個項目癌症的化學藥的學名藥的使用率也從43成長到53了 也增加了10% |
| transcript.whisperx[14].start |
333.832 |
| transcript.whisperx[14].end |
352.653 |
| transcript.whisperx[14].text |
所以成效也不錯所以我們下一步就是像委員提到的我們越來越多的癌症的標靶藥都要準備要過專利期所以接下來會有越多的學名藥所以我們打算從化療藥其實我們現在癌症的治療 |
| transcript.whisperx[15].start |
355.114 |
| transcript.whisperx[15].end |
378.061 |
| transcript.whisperx[15].text |
這個標靶藥物我們核准的品項是多於化學治療的藥物啦所以我們要把一些錢省下來用更多的新藥所以我們下一步大概今年第二季嘛第二季我們就會擴大到所有的癌症治療藥物的學名藥都會納入這個獎勵的項目所以不管是口服的不管是針劑的都適用那麼每一個處方都有獎勵的點數 |
| transcript.whisperx[16].start |
379.881 |
| transcript.whisperx[16].end |
389.665 |
| transcript.whisperx[16].text |
所以意思就是說原先希望能夠到達70%的學民用藥的部分透過更全面的真的學民要來提供獎勵的話這個能夠達到 |
| transcript.whisperx[17].start |
392.23 |
| transcript.whisperx[17].end |
412.897 |
| transcript.whisperx[17].text |
到這個目標的機會就更為有他的可行性跟他對對對我們的獎勵就是兩個方式一個是醫師在處方每一個這個學名要處方下來都有一百五十點的獎勵然後整個年度如果因為你轉換了這個藥物之後那麼你的這個這個支出啊藥費支出下降 |
| transcript.whisperx[18].start |
413.377 |
| transcript.whisperx[18].end |
427.073 |
| transcript.whisperx[18].text |
下降那個額度我們還是回饋到你的醫院總額不會讓你下降那你就可以拿去用更多的專利期內的新藥的採購或者用在其他的醫療服務點數 |
| transcript.whisperx[19].start |
428.534 |
| transcript.whisperx[19].end |
451.196 |
| transcript.whisperx[19].text |
所以預計從第二劑開始就針對於所有的用藥包括癌症用藥的學名藥包括是標靶跟免疫都有機會那當然他需要符合一些要件嘛就是要有原開發廠專利到期同時具有原廠藥跟學名藥而且具有價差或者是不分價差都可以把它原液進來當作一個可以 |
| transcript.whisperx[20].start |
451.716 |
| transcript.whisperx[20].end |
471.028 |
| transcript.whisperx[20].text |
透過處方開立獎勵的清單是那這個部分在執行的過程裡面有沒有需要透過共理會的核准還是說還是要還是需要還是有個程序是那因為你是第二季所以是不是三月的共理會希望三月的共理會會把它納為一個重要議題來做討論好那就非常謝謝讓這個民眾在用藥 |
| transcript.whisperx[21].start |
475.862 |
| transcript.whisperx[21].end |
495.896 |
| transcript.whisperx[21].text |
好的服務品質的過程裡面也能夠讓這個三贏的政策可以持續的來推動這樣不僅我們這個可以這個供藥的韌性多元用藥供藥的韌性更好那也可以為健保省一些錢之後我們可以進更多的新藥是好謝謝謝謝那這個署長先請回座來 |
| transcript.whisperx[22].start |
499.398 |
| transcript.whisperx[22].end |
516.183 |
| transcript.whisperx[22].text |
跟部長再討論一下醫事人員繼續教育積分任內工時的部分我相信所有的醫事人員都會努力的來從事所謂的繼續教育因為繼續教育後面可以對自己的本質學能有更好的一個成長 |
| transcript.whisperx[23].start |
516.883 |
| transcript.whisperx[23].end |
540.601 |
| transcript.whisperx[23].text |
那更重要就是能夠維持這個好的醫療品質所以基本上呢根據這個醫事人員職業登記跟繼續教育辦法裡面每六年就必須要修滿一定的繼續教育的積分才能夠辦理職業執照的更新這個是一方面維持這個好的品質一方面又能夠讓所有的從業人員醫療的部分有更好的這個 |
| transcript.whisperx[24].start |
542.342 |
| transcript.whisperx[24].end |
553.918 |
| transcript.whisperx[24].text |
相關的這個能力這個是非常好的部分那可是這個過程裡面到底是在接受教育訓練的過程裡面是應還是要得到 |
| transcript.whisperx[25].start |
554.744 |
| transcript.whisperx[25].end |
582.393 |
| transcript.whisperx[25].text |
可以將這個積蓄交流學問列為公教或納入公使這個對一般的同仁來講有時候他很努力的付出的過程裡面那如何同時也能夠兼顧他的工作還有他這個有關於公使的部分那這部分好像部長那個時候也在114年10月23跟這個護理團體他們有做意見交流的會議上面有做一些處理那也希望 |
| transcript.whisperx[26].start |
583.634 |
| transcript.whisperx[26].end |
607.929 |
| transcript.whisperx[26].text |
應該僱主將所有所有人員在六年內所需要完成的120點就是每一年20點的訓練時數能夠給予工價或納入工時可是在後來114年12月26日這個衛生福利部就出了公函給這個護理跟健康照護師結果我們看到的這個內容就是說有關醫事人員接受繼續教育醫療機構 |
| transcript.whisperx[27].start |
611.024 |
| transcript.whisperx[27].end |
628.984 |
| transcript.whisperx[27].text |
或得於每年20小時的範圍內餘工價這個譬如說大家在煩惱這個到底是願還是得跟委員說明這個勞動部在去年的10月有一個函示就是對於雇主要求這個員工應受的這個 |
| transcript.whisperx[28].start |
629.785 |
| transcript.whisperx[28].end |
645.618 |
| transcript.whisperx[28].text |
在職訓練因那為公實所以我們現在未來的做法是這樣這個醫事人員的基本的積蓄消費基金6年120個小時的部分是因所以我們會再重新解釋說每年20或6年120個小時這個範圍內這個是醫事人員被法規所要求你要繼續執行業務要完備的所以要視為 |
| transcript.whisperx[29].start |
658.248 |
| transcript.whisperx[29].end |
677.226 |
| transcript.whisperx[29].text |
雇主要求你的員工要完成的這個要因但是超出的部分你要鼓勵這個員工去進修什麼那這個就是德啦讓他有一個彈性120個小時6年120個小時每年20個小時以內這個是因超出的部分是德 |
| transcript.whisperx[30].start |
678.928 |
| transcript.whisperx[30].end |
693.793 |
| transcript.whisperx[30].text |
公務人員也是嗎?包括我們其他的這個復活勞動的朋友這些相關的這個醫事人員都算嗎?是是是謝謝所以看起來今年在1月20號再發一個函式讓他離清楚 |
| transcript.whisperx[31].start |
694.133 |
| transcript.whisperx[31].end |
723.108 |
| transcript.whisperx[31].text |
好好好因為這個部分也真的需要部長透過好的方式來示意包括說無論上課的形式跟地點都應該納為公式因為我們知道有一些是透過視訊有一些是到實體的部分那另外用下班的時間去上課的話就是說我下班後我又有這個訓練的需求我再去上課的話那這一部分可不可以納為加班 |
| transcript.whisperx[32].start |
724.929 |
| transcript.whisperx[32].end |
749.51 |
| transcript.whisperx[32].text |
就是說我如果利用時間我已經下班了我去上這個繼續教育的課那有完成的話那可不可以算是加班再過來就是單位主管是不是針對這個列為繼續教育課程的內容還要不要再審查就是說好像這個既然都已經是屬於正式的這個教育課程的話有的朋友說我要去審查 |
| transcript.whisperx[33].start |
750.371 |
| transcript.whisperx[33].end |
776.934 |
| transcript.whisperx[33].text |
我同意不同意的這個課程是屬於繼續教育如果已經得到認可的話還需不需要經過這個審查的程序這個部分可能也要麻煩部長利用在說明的時候或者是這些韓文的時候能夠把這些的部分當然也能夠讓所有這個議事同仁都能夠很確定的了解好我們在下一個函的時候我們把它釐清那當然這個 |
| transcript.whisperx[34].start |
779.235 |
| transcript.whisperx[34].end |
803.282 |
| transcript.whisperx[34].text |
很簡單的做法反正你就是一年有20個小時的繼續教育的時數是認列在公司這是最簡單嘛這樣的做法是最容易的醫事人員他們會自己衡量你只有20個小時嘛那你結果20個小時去報出來的不是被認列在未來繼續教育那個是醫政 |
| transcript.whisperx[35].start |
803.982 |
| transcript.whisperx[35].end |
820.107 |
| transcript.whisperx[35].text |
主管機關就是衛生局要認列的那個不在那個裡面那裡當然就必須額外去付出嘛好 那個就沒有問題還有一個部分就是上班時間如果同時上線去修這個課程的話那公司要怎麼計算可能到時候也要麻煩保證員額外索購一下 |
| transcript.whisperx[36].start |
824.872 |
| transcript.whisperx[36].end |
835.719 |
| transcript.whisperx[36].text |
這個確實有這種情形譬如說我們會有一些Meeting那個Meeting就在你的上班時間那個Meeting又去報繼續教育的有這種狀況 |
| transcript.whisperx[37].start |
837.901 |
| transcript.whisperx[37].end |
861.882 |
| transcript.whisperx[37].text |
這樣委員知道我們在醫院morning meeting 經常報學分嘛那個也在你的工時裡面那所以這個其實就是已經在你的工時裡面已經符合規定了這個就沒有額外再報那講的是說額外的你上班時間以外的那應該視為工假或者是工時要把它算進去算在總工時啦當天是在你的工作時間內參加的活動 |
| transcript.whisperx[38].start |
864.884 |
| transcript.whisperx[38].end |
884.949 |
| transcript.whisperx[38].text |
你本來就是在Meeting然後報了學分那這個好像就沒有額外報了但是你額外的這個不在今天的工時額外的那應該要認列在你的每月的總工時裡面好好如果有一些疑惑的話用QA的方式來呈現再麻煩部長好謝謝謝謝謝謝王振旭委員發言接下來請鍾嘉斌委員發言 |