| IVOD_ID |
167580 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/167580 |
| 日期 |
2026-03-18 |
| 會議資料.會議代碼 |
委員會-11-5-26-2 |
| 會議資料.會議代碼:str |
第11屆第5會期社會福利及衛生環境委員會第2次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
5 |
| 會議資料.會次 |
2 |
| 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5會期社會福利及衛生環境委員會第2次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2026-03-18T10:11:08+08:00 |
| 結束時間 |
2026-03-18T10:22:58+08:00 |
| 影片長度 |
00:11:50 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4e26a61b53ad60538f7bc5127dfdb49818cbbd4f69c426c0854b2f19bd25f7007a48185b157db2555ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
邱鎮軍 |
| 委員發言時間 |
10:11:08 - 10:22:58 |
| 會議時間 |
2026-03-18T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第5會期社會福利及衛生環境委員會第2次全體委員會議（事由：邀請衛生福利部部長、勞動部、原住民族委員會、內政部、教育部、行政院人事行政總處、銓敘部及國家衛生研究院，就「如何精進偏鄉醫療與長照資源落差及落實《原住民族健康法》之困境，並對提升原住民族健康權益及強化原鄉照護量能（含提升機關位階與人力配置）」進行專題報告，並備質詢。
【3月18日及3月19日，二天一次會】） |
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主席好啊 我們請時部長請時部長 |
| transcript.whisperx[1].start |
13.265 |
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部長好我看你們今天這個報告講了很多那有做什麼但我看完只有一個感覺你們現在是在講投入不是在講結果那我想今天招委特別安排這個案子就是希望我們要誠實面對偏鄉跟原鄉醫療的這個還有我們廠照的結構性問題那今天談偏鄉醫療我就用苗栗的現況來說 |
| transcript.whisperx[2].start |
36.775 |
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61.444 |
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南莊、三灣、斯坦、泰安是四個鄉鎮有三個共同的問題就是偏遠、高齡、醫療可進性不足泰安鄉更是我們原住民鄉鎮也是你們原住民健康法應該最優先照顧的地方我先講幾個事實泰安鄉是僅僅醫療資源不足的地區醫療高度依賴這個IDS的計畫來支撐 |
| transcript.whisperx[3].start |
64.265 |
| transcript.whisperx[3].end |
86.434 |
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目前多數居民就醫需要跨鄉鎮到頭份或苗栗市甚至跑到台中去你們的報告裡面說IDS一年服務幾十萬人次那我請教部長這幾十萬人次裡面有多少比例是夜間急診有多少是成功及時處理還是絕大部分都只是拿這個慢性病的這個門診 |
| transcript.whisperx[4].start |
89.378 |
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103.87 |
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在IDS還有這個醫事室也有一些這個醫療站的補助或者是那個急救責任醫院的補助裡面他就包含了夜間跟假日的緊急醫療服務詳細的數字我們在提供給委員確實在 |
| transcript.whisperx[5].start |
106.992 |
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124.752 |
| transcript.whisperx[5].text |
在泰安這個地方我們這個也是用公務預算去補助應該是大千醫院去承接的那個我不希望看到這個是很好的一個數字我們需要了解是說我們這個計畫到底有救了多少人這個才是重點 |
| transcript.whisperx[6].start |
126.954 |
| transcript.whisperx[6].end |
150.155 |
| transcript.whisperx[6].text |
那另外我們醫療這個偏鄉醫療的主要問題就是距離嘛那再來看南江山灣跟師潭那他到頭份我們要意識大概車程大概至少要45分鐘到一個小時以上那對高齡者來說這不是距離是門檻那你們有沒有統計過平均就醫這個的交通時間偏鄉居民每年自費的交通成本是多少 |
| transcript.whisperx[7].start |
151.655 |
| transcript.whisperx[7].end |
179.618 |
| transcript.whisperx[7].text |
有沒有去了解過這個好像我們就沒有這個方面的數字好那你說我們有培養醫師有補助那我再問一個最直接的就是這四個鄉鎮有多少是常駐專科醫師心臟內科有幾位急診醫師有幾位這個我們查一下之後再提供給委員對不對所以我覺得這個應該是我覺得數字應該是不好看那這代表你們政策只是培養人不是留下人 |
| transcript.whisperx[8].start |
180.56 |
| transcript.whisperx[8].end |
202.09 |
| transcript.whisperx[8].text |
你培養了人之後他們可能過來有一些的誘因那他達到目的之後他就走了啊對不對所以我們就整個這個你們就一直要去循環這個甚至沒有人來那原住民這個民族的健康法是要縮短這個醫療的落差健康的落差那但現在我們看到的現實是 |
| transcript.whisperx[9].start |
203.371 |
| transcript.whisperx[9].end |
226.96 |
| transcript.whisperx[9].text |
集中症要外送醫療靠巡迴體系是沒有建立的那這樣的醫療條件有縮短我覺得這只是一個口號而已嘛那原住民第二這個健康法的第二條明文規定中央主管機關應指定專責單位辦理那原住民的民族健康事務是遊衛福部這個專責單位到底是誰 |
| transcript.whisperx[10].start |
229.801 |
| transcript.whisperx[10].end |
251.594 |
| transcript.whisperx[10].text |
有嗎有是誰跟委員說明一下就是說我們在推動這個這個原鄉的這個醫療確實在苗栗來講就這個每10萬人口的醫師數也好或者病常數也好當然是相對那真正負責任的是誰所以我們要把它再提高那原住民族的這個健康 |
| transcript.whisperx[11].start |
252.714 |
| transcript.whisperx[11].end |
274.987 |
| transcript.whisperx[11].text |
這個餘命的落差其實有在縮短啦103年的時候大概落差10歲啦那現在113年的統計是落差大概7歲所以這個有在縮短中有在努力縮短中那至於這個專責單位啊我們現在在我們這個部內呢就是這個護理及健康照護師裡面有特別的這個阿珊迪理導課在負責 |
| transcript.whisperx[12].start |
277.038 |
| transcript.whisperx[12].end |
283.607 |
| transcript.whisperx[12].text |
醫事是管IDS計畫嗎?IDS是健保的計畫護理及健康照護是長照3.0的國健醫事是管原住民健康促進計畫 |
| transcript.whisperx[13].start |
293.3 |
| transcript.whisperx[13].end |
312.82 |
| transcript.whisperx[13].text |
那部長你本人雖然是原住民族健康政策會的召集人他只是一個諮詢單位不是執行單位嘛那現在我在看有沒有一個專責的人在負責這個有專責的他現在就是在這個叫做這個護理及健康照務室裡面 |
| transcript.whisperx[14].start |
314.021 |
| transcript.whisperx[14].end |
331.526 |
| transcript.whisperx[14].text |
我們會希望讓這個師能夠扮演更多這個原住民族健康的這個政策的這個任務當然執行面的話需要跨師署的合作政策的部分我們有智庫在設置在這個國衛院裡面的原住民族健康的研究 |
| transcript.whisperx[15].start |
332.546 |
| transcript.whisperx[15].end |
343.904 |
| transcript.whisperx[15].text |
那什麼時候 有沒有一個具體時間我們現在在進行這個主改 那麼這個組織法也已經在這個他不是已經有法律了嗎 |
| transcript.whisperx[16].start |
345.612 |
| transcript.whisperx[16].end |
369.552 |
| transcript.whisperx[16].text |
不是有這條法案嗎有有有 那像我們在調整在組織法調整的過程當中去強化應該在這個配合這個立法院的這個我們組織法的修訂的時程你送了嗎已經送了 已經在那個司法法制這個聯席會議上已經審完出了委員會那這個後續就是等這個協商我希望這個盡快啦 好不好 盡快落實 |
| transcript.whisperx[17].start |
370.553 |
| transcript.whisperx[17].end |
389.663 |
| transcript.whisperx[17].text |
那接下來部長我再請問你食藥署蔡淑珍副署長在關稅協定簽訂之後公開表示針對美牛絞肉內臟跟降低這個萊劑標準的重新評估那重啟評估是因為為了應驗台美關稅協定這個證明就是說這項作業的出發點是經貿補償而不是國人飲食習慣改變我說的沒錯吧我們在調整這個是這個嗎 |
| transcript.whisperx[18].start |
395.691 |
| transcript.whisperx[18].end |
414.041 |
| transcript.whisperx[18].text |
應該是說在我們這一次重新再調整這個相關的規範呢主要是跟國際接軌啦那麼參考了這個國際的標準然後再重新計算我們過去的這個計算公式上不同的那有沒有因應是不是因為這個關稅的問題來調整 |
| transcript.whisperx[19].start |
418.377 |
| transcript.whisperx[19].end |
424.723 |
| transcript.whisperx[19].text |
這個本來就在我們的這個期程裡頭在進行所以這個到底 國際標準都是最低門檻那依照食安法我們會不會有責任這個台灣人愛吃內餘這樣的習慣嘛別的國家是沒有不太吃這個所以我們是不是應該進行獨立評估 既然風險存在那這個 |
| transcript.whisperx[20].start |
440.759 |
| transcript.whisperx[20].end |
466.164 |
| transcript.whisperx[20].text |
你現在說不是因為這個關稅的問題那你為什麼不選擇對國人最安全的現行標準那跟委員說明確實如您提到的這個內臟的部分我們有獨立的評估就是說按照這個CODES的這個殘留標準然後在國人的飲食習慣上去做推估來驗證它是安全所以你不會去照國際標準就對了你會甚至比國際標準更嚴格嗎 |
| transcript.whisperx[21].start |
469.1 |
| transcript.whisperx[21].end |
492.154 |
| transcript.whisperx[21].text |
我們現在是按照國際標準來做驗證那看看國人的習慣上會不會超出這個標準那看起來是OK所以我們就可以對齊國際標準所以你認為是我們台灣國人的飲食習慣喜歡吃內臟所以內臟的部分它是符合國際標準的對那我們之前限定的標準為什麼要限這麼低勒 |
| transcript.whisperx[22].start |
493.317 |
| transcript.whisperx[22].end |
509.532 |
| transcript.whisperx[22].text |
當時候的計算方式假設的不同假設條件不同那現在假設是什麼現在假設的條件調整之後就是說你不太可能這個比如說以這個腎跟肝來講你不會同時一天都到同樣的最高劑量 |
| transcript.whisperx[23].start |
510.666 |
| transcript.whisperx[23].end |
531.192 |
| transcript.whisperx[23].text |
那個是會有互相取代性的你不會同時吃這麼多所以我覺得那個設置那個設定的條件不一樣那我認為這樣啦就是說既然是你不想你這樣講我認為為了國人的健康我希望你把嚴格這個標準從嚴來認定你不要用這個國際的最低標準來認定是的好不好一定是國人的健康優先 |
| transcript.whisperx[24].start |
531.952 |
| transcript.whisperx[24].end |
560.521 |
| transcript.whisperx[24].text |
那再來我再問就是我們部立苗栗醫院跟這個我們台中榮總在去年11月4號這個簽署這個醫療NOU當時的這個赤木葵很清楚是要補足苗栗專科人力與急重症的這個量能嘛那目前請問一下目前中榮實際派駐部苗的醫師人數是多少實際上的人數我要再確認一下再跟委員這個回報部長你就沒有關心苗栗啊 |
| transcript.whisperx[25].start |
561.981 |
| transcript.whisperx[25].end |
571.389 |
| transcript.whisperx[25].text |
一直在關心那是多少人力哪些專科每週急診那是固定派駐還是支援性輪診對不對是部長我們來講話我去看看 |
| transcript.whisperx[26].start |
580.416 |
| transcript.whisperx[26].end |
595.703 |
| transcript.whisperx[26].text |
對啊那我跟你講啦目前據我所知他現在醫師好像還沒有開始派所以這部分啦不要說這個NOU簽了之後好像只是一個形式上那我們希望更盡快來落實這個部分 |
| transcript.whisperx[27].start |
596.363 |
| transcript.whisperx[27].end |
614.436 |
| transcript.whisperx[27].text |
那當然我也希望部長來做媒介啦不單單只是這個中榮其他的各大醫療院所也可以請部長來協助為我們苗栗這個醫療能夠增加一些這個量能增加一些專科的醫師這樣好嗎好那另外最後一個問題最後一個問題就是我們 |
| transcript.whisperx[28].start |
616.978 |
| transcript.whisperx[28].end |
633.607 |
| transcript.whisperx[28].text |
布苗嘛 我聽到我們院長前陣子有到苗栗去就是說我們這個集中跟大樓的栽培在2026年4月就要開始那6月要動工 這個有確定嗎這個已經核定了核定了 你確定要標的出去上次留標20次耶所以你們的金額到底有沒有有調整那萬一再標不出去你們怎麼辦再放個10年 |
| transcript.whisperx[29].start |
645.373 |
| transcript.whisperx[29].end |
647.819 |
| transcript.whisperx[29].text |
沒有沒有 一定要讓他 要讓他成啦是不是有沒有這個我問三個問題啦齁 照片如果留標有沒有備案 |
| transcript.whisperx[30].start |
655.676 |
| transcript.whisperx[30].end |
680.291 |
| transcript.whisperx[30].text |
因為我們已經重新調整這個標案的內容應該是可以那萬一預算不夠我們有提高預算的準備嗎對有嘛我們就是要讓它做成好那這個公期如果延誤我們目前有沒有什麼一個替代的醫療的這個量能的這個備案我們不希望它延誤我們希望讓它按照這個期程進行萬一勒 |
| transcript.whisperx[31].start |
683.306 |
| transcript.whisperx[31].end |
706.823 |
| transcript.whisperx[31].text |
你們從2010年講到現在2010年就啟動這個案子一直到2021年重新再啟動一次所以已經你看16年了對不對 人生有幾個16年啊這16年有多少遺憾你知道嗎是是 我們這一次有絕對的決心要把這個事情完成好啦 部長您應該多關心一下苗栗啦 好不好好 謝謝部長 謝謝謝謝邱委員謝謝邱政軍委員 |