| IVOD_ID |
167670 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/167670 |
| 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 |
2026-03-18T13:45:19+08:00 |
| 結束時間 |
2026-03-18T13:56:05+08:00 |
| 影片長度 |
00:10:46 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4e26a61b53ad6053486225e6c35f5b8e18cbbd4f69c426c0ff312b132094bbea621747a0e7dfbc9b5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
楊曜 |
| 委員發言時間 |
13:45:19 - 13:56:05 |
| 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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謝謝主席 主席請一下施部長好 邀請施部長恭送劉建國委員邀委員好部長好 部長我們先來討論一下第三期公費醫生養成計畫的相關問題我想請問一下你們這一次就是有分成兩大類別對 |
| transcript.whisperx[1].start |
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政策任務科別跟人才羅織困難科別我問一下人才羅織困難科別大概是不是最主要是以後要在離島偏鄉做服務 |
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59.538 |
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對就是在偏鄉比較難羅釋的那我在這邊提醒一下部長就是這個每一年科別會怎麼分配名額可能要我們會去預估各地報出來的需求就是會先前置作業先去調查那個每個縣市他認為這個地方他的科別需求是什麼然後我們才會開出那個科別 |
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那先做調查可是我看資料是政策任務科別的次專科是你們是指定這個是兩類可是人才羅志困難科別是沒有對對對對對那沒有的話就是簡單講就是人才羅志困難科別就是一般講的五大科啦兒科啦內科啦婦產科啦外科大概就是這些基本科啦 |
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那政策科別就是說我們有一些因為量的關係不多所以我們必須要集中有這樣的人才可是呢這個可能大家比較不想走的像比如說小兒神經科這個很少服務量很少市場很小但是確實需要有這樣的人才那我們如果沒有辦法我們就是用公費來培養這個是叫做政策比如說有一些是屬於特殊的這個精神科的次專科 |
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那一些類似的我們會這樣那請教一下部長就是說因為政策任務的次專科是由部裡面這邊來試實際情況那學生入學的時候就決定還是什麼時候決定 |
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要畢業的時候選科的時候那萬一我說萬一萬一沒有人走對這個我今天都只提問題啦你們有沒有可能就是說這些學生他就志向不在這裡也可能他專長興趣不在這裡這個你們要趕快去想說怎麼處理我今天最主要是要講人才羅志困難課別的問題就這幾年啊 |
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210.727 |
| transcript.whisperx[7].text |
因為離島的在地養成公費醫生其實不少在我立委任期內澎湖大概就培養了100個我現在都擔心以後醫生的人數太多得不到應有的待遇所以這是一個很大的問題我相信 |
| transcript.whisperx[8].start |
212.2 |
| transcript.whisperx[8].end |
240.783 |
| transcript.whisperx[8].text |
原住民地區也會有這個問題因為義大設了一個專收原住民的醫學系這幾年他們那裡培育多少我不知道金門跟澎湖其實現在就是澎湖現在還沒有這個問題金門可能已經有這個問題了那在地養成的醫生其實我坦白講我的在地觀察培養出來的醫生都非常優秀 |
| transcript.whisperx[9].start |
241.926 |
| transcript.whisperx[9].end |
267.776 |
| transcript.whisperx[9].text |
可是我們要怎麼去管制這個量你知道在我的任內曾經我自己要求造物師把每年九個變成每年六個理論上是應該要再逐步減下來那現在在地養成已經這麼多了你們又用了這個科別以後會不會 |
| transcript.whisperx[10].start |
269.349 |
| transcript.whisperx[10].end |
285.768 |
| transcript.whisperx[10].text |
會不會離島偏鄉反而醫生的量太多我現在先不討論科別的失衡的問題我只講總量有沒有可能會發生 |
| transcript.whisperx[11].start |
287.49 |
| transcript.whisperx[11].end |
312.529 |
| transcript.whisperx[11].text |
跟委員說明就是說您的觀點很好一個是總量一個是系的分科分部這是兩個不同的問題以量來講目前是還好因為我們除了離島本身之外我們還有一些衛生所這個原鄉地區還有一些偏遠地區的我們的公立醫院也缺人所以目前來講量的部分是不會過剩 |
| transcript.whisperx[12].start |
313.81 |
| transcript.whisperx[12].end |
339.316 |
| transcript.whisperx[12].text |
但是呢 科別就是要很小心因為我們並沒有強制他們要選什麼科的機制因為每個人的興趣不同嘛所以科別上怎麼樣拿捏好他的科我們再來這個非常困難啦因為有一些科是我們要特殊譬如說現在偏鄉地區因為我們人口下降出生率下降 |
| transcript.whisperx[13].start |
340.536 |
| transcript.whisperx[13].end |
367.744 |
| transcript.whisperx[13].text |
產科會缺啦 因為沒有市場嘛產科會缺 所以我們就要光飛升去但是呢 會不會這一屆雖然有50個但是沒有人願意走 沒有人要選副產科所以這個就是在第三期上路的同時你們有一些獎勵機制就要同時出來那我也在提醒部長就是說現在 |
| transcript.whisperx[14].start |
368.624 |
| transcript.whisperx[14].end |
376.909 |
| transcript.whisperx[14].text |
看起來離島偏鄉的醫生量能沒有過剩的問題可是等到第三期公費生 |
| transcript.whisperx[15].start |
377.964 |
| transcript.whisperx[15].end |
401.976 |
| transcript.whisperx[15].text |
投入醫療行業的時候我們現在已經看到十年以後的問題了就是說十年以後會不會真的離島離島跟偏鄉其實已經不缺醫生了所以我的建議是這樣子就是說你們要不要不要把第三期公費生弄得那麼複雜 |
| transcript.whisperx[16].start |
404.545 |
| transcript.whisperx[16].end |
422.614 |
| transcript.whisperx[16].text |
因為你現在分兩個類別其實我是覺得反而會造成比較大的問題就是直接用單一類別然後罰則什麼也都一致 |
| transcript.whisperx[17].start |
425.052 |
| transcript.whisperx[17].end |
441.811 |
| transcript.whisperx[17].text |
這樣服務連線也都一致這樣子可能會比較簡單一點也比較不會造成像我剛剛講的你這個科別就是專門訪理療偏鄉的可是到那個時候他的醫師量能已經足夠了 |
| transcript.whisperx[18].start |
444.841 |
| transcript.whisperx[18].end |
455.427 |
| transcript.whisperx[18].text |
反而會造成很大的問題當然這個問題已經不需要我們解決了只是說我們現在在這個位置我們先拿出來探討因為我們本來的設計上就是有一些 |
| transcript.whisperx[19].start |
460.95 |
| transcript.whisperx[19].end |
488.626 |
| transcript.whisperx[19].text |
這個政策科別的他可能在醫院服務所以他的時間會長一點我就說政策科別的是很好因為既然五大科特別有一些次專科沒有人走我們盡量鼓勵甚至像我剛才講的就是我們在推動的過程就把獎勵機制推出來這個當然是有需要我現在講的是說你們假如說萬一又特別開了一個 |
| transcript.whisperx[20].start |
490.342 |
| transcript.whisperx[20].end |
515.683 |
| transcript.whisperx[20].text |
沒關係 保重你先喝水假如說我們萬一又多開了一個一個一個離島偏鄉我是就我在我來自離島的委員我的觀點我的觀察做這樣子的建議我覺得你們再討論看看 |
| transcript.whisperx[21].start |
519.717 |
| transcript.whisperx[21].end |
528.405 |
| transcript.whisperx[21].text |
最後還是要問一個彭茹早聊的問題就是我曾經講過就是彭茹的連評時間太短沒有關係因為時間的關係我就把問題點出來讓你們回去 |
| transcript.whisperx[22].start |
540.695 |
| transcript.whisperx[22].end |
551.208 |
| transcript.whisperx[22].text |
聯合門診評估的量能太低所以有的時候要等很久那國健署基本補助是100萬那離島的縣市 |
| transcript.whisperx[23].start |
554.324 |
| transcript.whisperx[23].end |
571.756 |
| transcript.whisperx[23].text |
只多五萬,對於離島醫事人員招募本來就不易,是不是可以請國建署我也替找我講一下,就是離島跟偏鄉的部分你們研議一下 |
| transcript.whisperx[24].start |
574.96 |
| transcript.whisperx[24].end |
594.251 |
| transcript.whisperx[24].text |
把補助金額再提高因為沒有啦 太錢啦沒有啦 太錢啦 好不好這個跟委員報告澎湖的部分我們今年第四季會成立第二個聯平中心對 我知道那第二個我也請你們進促成立 進促結束縣政府 |
| transcript.whisperx[25].start |
595.131 |
| transcript.whisperx[25].end |
615.718 |
| transcript.whisperx[25].text |
有沒有那個遠距的協助遠距的評估協助這個也是一個那另外那個費用的部分考慮到離島跟偏鄉的加成給付這個我們目前是已經有提高但是我們再瞭解一下是不是這樣的額度適當補充你這樣不容易 你如果要問遠距你就直接說出來 |
| transcript.whisperx[26].start |
619.859 |
| transcript.whisperx[26].end |
646.58 |
| transcript.whisperx[26].text |
我知道你關心嘛就是我們進口因為早療早療早療是及早發現及早治療嘛那假如說是因為用我們的各項人力設備不足造成治療的推遲這變成我們的責任好不好我來研究一下試辦看看好 謝謝部長 謝謝主席好 謝謝楊耀維 |