| IVOD_ID |
167344 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/167344 |
| 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 |
2026-01-29T12:40:10+08:00 |
| 結束時間 |
2026-01-29T12:50:49+08:00 |
| 影片長度 |
00:10:39 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/58229044bac95a88e9ac263079a3a29c52fd623850d83d5b653d38850f4f1179b6d5a35e119f76195ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
葉元之 |
| 委員發言時間 |
12:40:10 - 12:50:49 |
| 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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主席好,麻煩請部長,謝謝好,議員好部長好,您現在就是為了要那個紓解像類似去年過年期間,急診室的用色狀況嘛現在有一個做法是說,希望診所可以多開嘛那我現在就您的了解,現在門診在診所願意開的那個醫院高嘛 |
| transcript.whisperx[1].start |
32.078 |
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我們統計的去年最低的時候大概是在初一、初二、初三這三天大概都不到5%2%到4%的開診率那我們今年就弄了這些方案然後現在一直在登記當中現在初三的開診率已經可以超過10%初一、初二我們還在努力醫院的部分大概開診率過去初一、初二也都是休息的現在也有開診 |
| transcript.whisperx[2].start |
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我現在先針對那個門診部分跟您討論因為我當然也有去了解一下其實大家其實意願不是太高啦為什麼 誘因不足因為現在衛福部你們提出來的誘因是讓他的診查費可以兩倍嘛對不對 兩倍嘛 |
| transcript.whisperx[3].start |
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但是他在春節開診像初一初二初三開診的話成本也會提高為什麼呢因為不可能醫師自己來開診嘛你總是有護理師嘛掛號員啊藥師啊那通常這些相關的工作人員他的薪水門診的院長就是診所的院長也要給他們大概兩到三倍啊 |
| transcript.whisperx[4].start |
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所以他們會有一個低門檻嘛這成本嘛那如果你在過年期間開業然後結果病人沒有到大概平均30個以上的話實際上他還會虧本啊 |
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所以大家可能就會覺得誘因不足那乾脆去放假也不用拗那些護理師春節來加班所以我覺得當然我覺得部長你們想到這個方法希望門診可以多開去紓解大醫院的急診的量我覺得不錯可是在執行面上會有這樣的問題所以我其實再給你一個建議其實你就可以直接把 |
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他們可能延伸的固定成本直接給他們舉例來講你今天如果願意開業的話一整了一整就給他們一萬塊那你現在全國的門診全國的診所大概多少個一萬間一萬兩千間一萬兩千間嘛你今天如果有兩成兩成的人願意在春節假設啦很良好的狀況兩成的人願意在春節開診的話一個診大概如果一萬塊大概就兩千萬就是大概兩千萬 |
| transcript.whisperx[7].start |
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那如果多幾個多幾天大概一兩億就可以解決了你現在是說變多少錢要來解決這個春節紓解的問題因為我們是根據就醫量大概16億但是他包含住院他包含住院對所以增加一點點增加一點點你就可以讓門診願意開業的這個意願會高很多你研究看看好我們研究看看你研究看看 |
| transcript.whisperx[8].start |
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這個用統包制啦這個跟委員講說現在這個UCC我們那個假日期就是用這個概念我們直接付那個終點費啦幾個小時多少錢這個概念跟您講的是一致的我現在就把我們 |
| transcript.whisperx[9].start |
210.545 |
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因為我也希望說春節的時候我們比如說鄉親們啊都在看醫生不要遇到這種不舒服擁擠的狀況對不對那大家能夠去就近去診所看我也是樂觀其成啊但我的了解的狀況意願就是我把剛剛可能你聽不到的東西講給你聽了啦那現在就看你願不願意做嘛你提高一點點的工作獎金讓大家覺得說至少可以支付我固定成本 |
| transcript.whisperx[10].start |
239.867 |
| transcript.whisperx[10].end |
255.517 |
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那就不會他們就不會考慮說好我願意配合初一開業啊大家都來啦負三倍薪水啊然後可能沒有什麼沒有什麼病人那一天等於就沒有收入嘛然後而且支出變多嘛啊你就讓醫生護理師在這從過年而已啊 |
| transcript.whisperx[11].start |
257.597 |
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你這個研議一下你覺得這個可能性高嗎我們會有一個調整的就是先開啦到時候如果沒有那麼多了但是你開了我們再來看看怎麼補給你對 補給他啦對 也可以或者是說你直接如果你超了已經超出的那超出就OK啊你可以啊你有這個承諾也很好如果用一個後續的 |
| transcript.whisperx[12].start |
277.562 |
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301.212 |
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因為病人沒有出來我們預算已經框在這裡的我們就去回田我覺得你今天能夠做出這樣承諾也很好啊至少那一些願意開業的醫生大家都沒有生病沒有用到最好嘛那我最好嘛那但是我們預算跟他開了嘛對不對然後他會有成本嘛你就補給他嘛可以可以好不好就朝這個方向啦我相信大家願意開的那個意願可能就更高了啦 |
| transcript.whisperx[13].start |
301.792 |
| transcript.whisperx[13].end |
319.583 |
| transcript.whisperx[13].text |
然後第二個問題同樣也是醫療資源問題因為我們我是板橋嘛我們板橋55萬人口但我們只有一間大型醫院就是雅東醫院那所以有時候有病人的話都要往別區跑跑雙河啊或者是跑跑其他的地方 |
| transcript.whisperx[14].start |
320.475 |
| transcript.whisperx[14].end |
341.398 |
| transcript.whisperx[14].text |
那本來我們新北市政府是有規劃一個板橋的醫療園區這個部長您應該很清楚啦我也清楚之前流標了嘛那流標原因我也覺得非常奇怪啦因為當時三年前新北市政府就跟衛福部申請了大概要開499床衛福部也同意了然後結果呢 |
| transcript.whisperx[15].start |
342.359 |
| transcript.whisperx[15].end |
361.089 |
| transcript.whisperx[15].text |
準備要蓋的時候都規劃好要蓋的時候然後要上網招標健保署忽然有一個新的規定出來就是說新的如果新設醫院大概一年只給兩億對吧所以有這個新的沒有這是假消息是不是沒有沒有沒有這個規定沒有這個規定那為什麼那為什麼之前 |
| transcript.whisperx[16].start |
362.049 |
| transcript.whisperx[16].end |
376.651 |
| transcript.whisperx[16].text |
所以你用這個機會澄清我覺得是好事因為他們現在要重新招標沒有這個規定啦那當初是什麼是怎麼講的我不知道這個消息完全不知道因為那時候就是傳出來說要總額控管嘛 |
| transcript.whisperx[17].start |
377.748 |
| transcript.whisperx[17].end |
401.998 |
| transcript.whisperx[17].text |
總和控管各大型醫院都已經分配好了量了然後如果說有新設醫院的話就2億那當然就沒有人要來投標啊本來有一家醫院投標後來就聽到這個消息之後不投標這過程你很清楚啊然後你很清楚啊因為2億的話大概就是一般的門一個門診啊那怎麼可能是499床啊結果那所以你可以澄清一下因為我們要鼓勵 |
| transcript.whisperx[18].start |
403.238 |
| transcript.whisperx[18].end |
425.144 |
| transcript.whisperx[18].text |
優質的醫院來投標跟委員說明第一個我們鼓勵雖然醫院是一家大型的可是診所還是很多所以要新開的這一家絕對是以急重症優先不是在看一般的門診這是第一個第二個我看最近新北市也在做了一些調整那個調整的方向我是蠻支持的 |
| transcript.whisperx[19].start |
427.426 |
| transcript.whisperx[19].end |
441.082 |
| transcript.whisperx[19].text |
調整的方向就是第一個配合衛福部嘛所以他還有100個長照的床嘛對不對 然後就針對長輩嘛區域是缺乏的對啊 但關鍵是關鍵就是說我覺得為什麼我覺得你們 |
| transcript.whisperx[20].start |
442.344 |
| transcript.whisperx[20].end |
456.505 |
| transcript.whisperx[20].text |
要了解為什麼一開始有一家大型醫院要投標後來他要測標就是因為健保總額管制嘛當初是傳兩億那你可能不是兩億那是多少對不對因為你總額的量會讓那些醫院 |
| transcript.whisperx[21].start |
457.526 |
| transcript.whisperx[21].end |
476.214 |
| transcript.whisperx[21].text |
提高也是剛剛一樣提高誘因嘛如果你今天是給30億30億那當然他意願就會高嘛那2億就不高那新北市政府為什麼會做調整他是等於是降低的醫院來來投標的成本嘛委員我跟您說明齁這個事實上是每個醫院的總額會一個區一個固定的總額 |
| transcript.whisperx[22].start |
476.934 |
| transcript.whisperx[22].end |
477.054 |
| transcript.whisperx[22].text |
對 我知道這個 |
| transcript.whisperx[23].start |
504.148 |
| transcript.whisperx[23].end |
527.169 |
| transcript.whisperx[23].text |
已經蠻多醫院醫院有醫院了這個我都知道但關鍵就是大家的顧慮還是在於健保署會不會有一個總額總額控管然後那個總額控管的量會不會很小所以不等大概啦因為2億是控管會議的決定但是不是衛福部的決定嘛對吧那衛福部你們認為像這種大型的醫院大概可以到多少你覺得合理 |
| transcript.whisperx[24].start |
527.589 |
| transcript.whisperx[24].end |
551.801 |
| transcript.whisperx[24].text |
因為要這麼說這個一定會影響到地方的資源的重分配啦因為人口就這麼多啦也沒有增加啦所以一定是這邊有新的就有的地方會替代過來所以我們才會說這每年以100到150場的規模然後我們核給的這個額度就是跟它一樣規模的醫院一年是多少 |
| transcript.whisperx[25].start |
552.461 |
| transcript.whisperx[25].end |
575.638 |
| transcript.whisperx[25].text |
就是這樣大概多少那就要看他是那一個層級的醫院所以不會有一個像類似講的什麼先把那個額度框出來那我重新這個詮釋一下你的意思大概就是說那個像這樣的一個大型的醫院他應該多少就可以拿到多少對就是他的同等級醫院這麼多床大概是大概多少所以就是多少所以就跟 |
| transcript.whisperx[26].start |
576.559 |
| transcript.whisperx[26].end |
591.033 |
| transcript.whisperx[26].text |
這個全國的各大型的醫院講說不用擔心就放心來投標請大家拿出你的用品質服務的品質來這邊但是新的案子還是比以前的好我知道這為什麼是就是因為 |
| transcript.whisperx[27].start |
592.478 |
| transcript.whisperx[27].end |
608.738 |
| transcript.whisperx[27].text |
之前傳出的消息出來嘛大家不願意來投嘛 覺得怕虧本嘛所以市府後來就編了很多公務預算進去嘛對不對 包括停車場都市府自己興建嘛所以看得出來市府真的很想促成這件事情啦所以也希望說中央也可以在旁邊協助因為這個對板橋來說 如果 |
| transcript.whisperx[28].start |
610.72 |
| transcript.whisperx[28].end |
631.436 |
| transcript.whisperx[28].text |
我們在板橋五十五萬人口如果有多一家大型醫院一定可以紓解很多我們的鄉親看病的醫療可以增加醫療資源啦所以希望衛福部可以站在協助促成的立場 好不好好 新的案子比較OK啦好 謝謝部長 新的案子不OK好 謝謝好 謝謝葉援之委員發言接下來請劉建國委員發言 |