| IVOD_ID |
167584 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/167584 |
| 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 |
2026-03-18T10:23:05+08:00 |
| 結束時間 |
2026-03-18T10:33:58+08:00 |
| 影片長度 |
00:10:53 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4e26a61b53ad605363d30c95f52c22c018cbbd4f69c426c0854b2f19bd25f700bb524b8c4a361c385ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
蘇清泉 |
| 委員發言時間 |
10:23:05 - 10:33:58 |
| 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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好,謝謝主席,我請部長跟國建署署長請市部長,請署長署長好,柏柳,現在新來的這個委員一個比一個還要堅持,看你要怎麼辦 |
| transcript.whisperx[1].start |
28.314 |
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47.011 |
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要看委員拜託我先剛剛講的專科副理事我要這邊補充一下那個在第八屆的時候改的就改副理人權法本來要立一個專章或是一個專法結果不可行 |
| transcript.whisperx[2].start |
48.188 |
| transcript.whisperx[2].end |
71.322 |
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那現在後來就改副理任何就改兩三條所以那個時候就改兩三條之後就從負面表列變成正面表列那副理 雙哥副理是很高興他們就這十幾年來做得很好啊現在要做專法 |
| transcript.whisperx[3].start |
73.908 |
| transcript.whisperx[3].end |
98.949 |
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我想是不太可能,邱委員該檢視,我看他,常委員有沒有討論,我是說最多是專賬,用一個專賬,還是說處理這件法來修,修得更完善一點也是一個方法,所以讀到這個你就頭痛了。好,我們今天要講那個原住民法,原住民醫療法, |
| transcript.whisperx[4].start |
100 |
| transcript.whisperx[4].end |
116.199 |
| transcript.whisperx[4].text |
我們原住民的平靜壽命,我們盧宣毅主席一直在關心,就是說他這樣,你收起來,你也收起來,你也上來我國建署的 |
| transcript.whisperx[5].start |
117.756 |
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132.424 |
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他們的VC肝啊什麼的都沒有進步啊他們的原住民平均壽命比我們平地少了7歲多嘛那這7歲多到底現在第一有沒有改善啊那你們到底做什麼 |
| transcript.whisperx[6].start |
135.077 |
| transcript.whisperx[6].end |
148.168 |
| transcript.whisperx[6].text |
其實跟委員說明我們這個是很努力在縮短那如果比較其他的國家的落差其實我們做的不會太差啦當然這中間還有很多需要 |
| transcript.whisperx[7].start |
150.069 |
| transcript.whisperx[7].end |
169.055 |
| transcript.whisperx[7].text |
跟紐西蘭的原民、澳洲、美國這些有原住民的國家來相比這個落差我們做的是還好啦但是當然還是應該要更努力來縮短這中間當然從幾個原因嘛從它的死因分布 |
| transcript.whisperx[8].start |
170.595 |
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195.158 |
| transcript.whisperx[8].text |
我們一般國人的這個死因的這個ranking來看有幾個比較不同的地方嘛第一個是癌症的這個分佈會不太一樣第二個是這個交通事故意外傷害這個在國人死因都是在5名以外但是在聯鄉地區是比較高的所以這個事故傷害這個是比較高 |
| transcript.whisperx[9].start |
196.239 |
| transcript.whisperx[9].end |
218.754 |
| transcript.whisperx[9].text |
在癌症的這個裡面也可以看得到他的這個口腔癌跟這個肝癌的比例也是比較高所以他的確實有跟一般不一樣所以我們才需要去去成立這個專責的這個研究單位我們在國衛院裡面那麼去國衛院做什麼你老婆做什麼你們到底做什麼事啊 |
| transcript.whisperx[10].start |
221.83 |
| transcript.whisperx[10].end |
246.457 |
| transcript.whisperx[10].text |
國會要做很多事情那就這個援助民族健康的部分第一個最重要就是建立它的資料庫健康資料庫這個是最重要把這個援助民的相關的疾病的型態還有它的流行病學把它建立起來所以前幾年都在大概建這個資料庫那今年開始主席會員鄉就公共衛生所主任都在幾十人都在拚這個 |
| transcript.whisperx[11].start |
251.219 |
| transcript.whisperx[11].end |
276.97 |
| transcript.whisperx[11].text |
他長期服務偏鄉啦 跟蘇爾園一樣啦平地的那些感染啊 鼻屍肝啊 酗酒的這個還有一些感染症 事實上平地已經已經 已經咳嗽了 像吸肝已經排除了那原住民這邊 因為肝病的死亡還是偏高嘛國健署你到底有做什麼 我問你到底有做什麼 |
| transcript.whisperx[12].start |
279.684 |
| transcript.whisperx[12].end |
298.553 |
| transcript.whisperx[12].text |
報告委員其實我們原住民的BC肝篩檢的涵蓋率其實是高於全國的平均我們的涵蓋率大概是75%然後全國是61%那我們原住民的慢性肝病跟肝硬化的標準死亡率其實也從111年的美食外人口52.1下降到112年的39.5 |
| transcript.whisperx[13].start |
301.414 |
| transcript.whisperx[13].end |
319.742 |
| transcript.whisperx[13].text |
所以其實在整個照顧上篩檢然後跟整個標準化死亡率其實都有在進步當中那我們也會再持續關注原住民區相關的醫療照顧服務屏東有八個原鄉 也算台灣最多的那譬如說從牡丹不要只講牡丹玩很好玩 牡丹那邊生病 |
| transcript.whisperx[14].start |
326.755 |
| transcript.whisperx[14].end |
334.471 |
| transcript.whisperx[14].text |
到東港安泰要96分鐘96分鐘那你們台北市的居民 |
| transcript.whisperx[15].start |
335.922 |
| transcript.whisperx[15].end |
358.672 |
| transcript.whisperx[15].text |
不舒服六分鐘就可以到達你想要就醫的地方所以那個事實上我都解決了他的路程就是這樣所以這個交通跟這個時間是第一個天然的障礙這個保證你有什麼想法嗎 |
| transcript.whisperx[16].start |
360.333 |
| transcript.whisperx[16].end |
382.873 |
| transcript.whisperx[16].text |
你很不可以說這樣就要繼續到那裡下去啦不是那裡啦 繼續沒進步啦屏東是這樣就是因為屏東很狹長啦真的很長的 從南到北那資源多數集中在屏北啦比較靠屏東市長資源多數集中在屏北所以屏南確實是一個比較資源 |
| transcript.whisperx[17].start |
385.055 |
| transcript.whisperx[17].end |
407.555 |
| transcript.whisperx[17].text |
少的地方 三個主要醫院我們一直在挹注希望大家用分工合作的方式 區域聯訪主要的南門醫院 恆春基督教醫院跟我們自己的部立醫院所以南門醫院讓它主要發展在外科為主這個基督教醫院我們就主要讓它在內兒科的部分內科的部分 |
| transcript.whisperx[18].start |
410.738 |
| transcript.whisperx[18].end |
437.081 |
| transcript.whisperx[18].text |
新學館 我們現在在我們的恆春醫院也要設新導館很認真 做新導館嘛 跟你合作的嘛 新導館嘛另外再上來一點 我們在那個訪療 也是所以我們一路希望用接力式的都是有一些責任醫院來提升救命的服務 用接力式的方式來 |
| transcript.whisperx[19].start |
438.522 |
| transcript.whisperx[19].end |
456.757 |
| transcript.whisperx[19].text |
還有他的衛生所,衛生所的配備還好但是如果那個什麼診療站,就分的診療站那個設備就很簡陋了那一直想說要加強那縣政府都公共的,我想要出台就要出錢,也是要衛福部啦 |
| transcript.whisperx[20].start |
458.339 |
| transcript.whisperx[20].end |
470.27 |
| transcript.whisperx[20].text |
衛生部有在寬鬆預算嗎另外一個就是這張是長照其實我們在衛生所也在強化也把衛生所的醫療資源用醫學中心的任務 |
| transcript.whisperx[21].start |
474.774 |
| transcript.whisperx[21].end |
486.543 |
| transcript.whisperx[21].text |
就去前進這裡的偏鄉所以像我剛才說牡丹現在就義大去支援高一的支援那也下來那個地方所以我們也是用這個醫學中心來補儲支援這個衛生所 |
| transcript.whisperx[22].start |
490.222 |
| transcript.whisperx[22].end |
504.912 |
| transcript.whisperx[22].text |
那你現在在那個造物師裡面有設一個科在管這一塊嘛那一直有人講說那個層級太低啦是不是把它升作醋啦或是什麼 |
| transcript.whisperx[23].start |
507.639 |
| transcript.whisperx[23].end |
534.495 |
| transcript.whisperx[23].text |
不然你要想辦法我們會科長怎麼去指揮其他的人有師長在的有師長師長是有的主要是說我們未來這個在主改之後我們會讓這一個師擔負更多的這個原住民如健康的政策擬定的任務會讓他投入更多的人力跟資源這樣所以你要說到要做到 |
| transcript.whisperx[24].start |
537.036 |
| transcript.whisperx[24].end |
551.32 |
| transcript.whisperx[24].text |
那個原住民的平均壽命73點多嘛 我會記一下 有在減到嗎 有沒有在增加啦就是這個落差在縮短啦 以前差10歲啦 跟全國漁民差10歲啦 現在是差7歲 |
| transcript.whisperx[25].start |
554.921 |
| transcript.whisperx[25].end |
578.155 |
| transcript.whisperx[25].text |
所以希望能夠因為我在巖鄉也看到一些老人家壽命也有到九十幾歲的看了都很高興所以他不是沒有那個條件也不用講說他們的那個體質應該都可以九十幾歲都可以到達的所以應該是要 |
| transcript.whisperx[26].start |
579.096 |
| transcript.whisperx[26].end |
602.528 |
| transcript.whisperx[26].text |
公共衛生的部分還有我們照護的部分包括長照的部分都應該好因為像國健署就是六癌篩檢因為現在四個變六個六癌篩檢要加強啊原鄉離山地離島原鄉你的醫療上來就是你的得症啦在大都會裡面有什麼好出來的每天都衝 |
| transcript.whisperx[27].start |
606.304 |
| transcript.whisperx[27].end |
628.331 |
| transcript.whisperx[27].text |
每個人的門庭弱勢 每個人都搞得很漂亮不需要你的什麼挹注嘛都會去的人他的保險要多 經濟力要強現在台北市就醫那麼方便用的醫療每人平均每年發揮的醫療台中市也差不多啦 都用到偏鄉的兩倍三倍嘛 |
| transcript.whisperx[28].start |
629.352 |
| transcript.whisperx[28].end |
651.166 |
| transcript.whisperx[28].text |
你有算過錢嘛 你知道嗎所以你偏鄉做得好 離島做得好你就是好伯父娘啦讓你病得好 你就能出生了啦搞定婦女 你就得天下啦好不好 伯父娘 加油啦好 謝謝市委員 繼續努力 |