| IVOD_ID |
167671 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/167671 |
| 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 |
2026-03-18T13:56:24+08:00 |
| 結束時間 |
2026-03-18T14:08:44+08:00 |
| 影片長度 |
00:12:20 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4e26a61b53ad6053a605b48c756ba28f18cbbd4f69c426c02d0c74f479c2f64ac86df9d5e1265cba5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
伍麗華Saidhai Tahovecahe |
| 委員發言時間 |
13:56:24 - 14:08:44 |
| 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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| transcript.whisperx[0].start |
5.447 |
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7.276 |
| transcript.whisperx[0].text |
谢谢主席有请市部长 |
| transcript.whisperx[1].start |
13.035 |
| transcript.whisperx[1].end |
38.048 |
| transcript.whisperx[1].text |
部長好賴總統上任之後有在總統府成立一個健康台灣推動委員會目前我們看到也開過七次的會議那我知道在當中健康台灣有一個目標就是八年內要提升國人的平均餘命到82歲所以如果我們看一下最新的資料 |
| transcript.whisperx[2].start |
39.988 |
| transcript.whisperx[2].end |
55.774 |
| transcript.whisperx[2].text |
113年呢全體國民的平均壽命是80.77歲那也就是說如果要再增加1.23就可以達標那再細看平均每一年希望可以達到0.15歲的增長可是 |
| transcript.whisperx[3].start |
59.735 |
| transcript.whisperx[3].end |
79.456 |
| transcript.whisperx[3].text |
當我們再去細看原住民族群這一塊那目前我們在113年的原住民平均的餘命是73.23但是數學我們當然沒有辦法這樣看我只是想表達原住民的人口是2.5% |
| transcript.whisperx[4].start |
81.198 |
| transcript.whisperx[4].end |
94.302 |
| transcript.whisperx[4].text |
所以呢當用這個大水池去算的時候其實原住民這一塊可能是被淹沒的因為他的人口非常的少所以很容易被忽略那我要談的是如果我們要達成這個目標也許不難 |
| transcript.whisperx[5].start |
99.264 |
| transcript.whisperx[5].end |
117.35 |
| transcript.whisperx[5].text |
因為其他的非原住民人口佔了絕大多數然後他們的醫療可及性可能在醫療的作為之上呢能夠有顯著的一個成效可是原住民就會被忽略了那我不曉得這個部分部長您覺得 |
| transcript.whisperx[6].start |
119.511 |
| transcript.whisperx[6].end |
144.984 |
| transcript.whisperx[6].text |
會怎麼樣去看待這個問題跟委員報告我們對這個原住民族健康呢也有一個中長城計畫現在也在做review當中了那也會搭配整個健康台灣的施政目標去擬定那未來在這個除了我們是全民的愚命希望延長之外我們另外一個也希望去縮短原住民跟我們國人的愚命的這個落差 |
| transcript.whisperx[7].start |
145.484 |
| transcript.whisperx[7].end |
152.572 |
| transcript.whisperx[7].text |
所以如果這個落差能夠縮短那等於是我們原住民同胞的這個餘命也在延長謝謝那我請教一下部長假設說大水池那一塊我們花一塊錢就可以看到成效那按這個比例來講原住民應該要花多少錢 |
| transcript.whisperx[8].start |
164.603 |
| transcript.whisperx[8].end |
183.619 |
| transcript.whisperx[8].text |
這個錢真的是很難估啦因為這個是但至少應該是很多倍對不對因為我們原民您也知道有一些是已經是在都會區的那有一些是在原鄉的那都會區的話就會在整個大系統裡頭那原鄉當然我們有特別的這個政策的介入那部長請教一下 |
| transcript.whisperx[9].start |
183.979 |
| transcript.whisperx[9].end |
202.897 |
| transcript.whisperx[9].text |
像我們在那個花蓮的秀林鄉就做那個全人照護那個效果很好他的那個餘命會延長而且更健康了所以我們把這個模式擴大所以擴大到在這個花蓮的話就有八個鄉鎮就是八個鄉要做這件事情 |
| transcript.whisperx[10].start |
203.197 |
| transcript.whisperx[10].end |
228.619 |
| transcript.whisperx[10].text |
部長因為說一句實在話蔡英文上任之後我們推動文化健康戰大家都很有感也許不知道是因為執政的關係但是我要提的是說我們也常常會去告訴人家自從推了文化健康戰之後我們的平均餘命好像跟全體國人有在縮短而且速度非常快 |
| transcript.whisperx[11].start |
229.642 |
| transcript.whisperx[11].end |
246.184 |
| transcript.whisperx[11].text |
可是沒有科學的根據這個只是我們這樣子講而已所以呢這個有一個專門在做這樣的一個研究也是我們原建法通過之後我們很期待有的那我先請教一下健康台灣推動委員會有沒有原住民 |
| transcript.whisperx[12].start |
246.644 |
| transcript.whisperx[12].end |
251.868 |
| transcript.whisperx[12].text |
有 林醫師 溫德那我希望這一些我們剛剛講的我希望你們請林醫師一定要好好的擬出對策我也希望你們能夠尊重他的看法可以嗎那我再請教一下因為台灣的四級醫療分級我都覺得都很好可是現實在原鄉 |
| transcript.whisperx[13].start |
268.88 |
| transcript.whisperx[13].end |
275.842 |
| transcript.whisperx[13].text |
他就是只有衛生所或者是基層的醫療診所所以我們一直在談遠距醫療 遠距醫療疫情期間有我們看到衛福部在很多地方有在推動可是疫情過後我們發現又縮減了所以我想問一下部長什麼時候能夠全面的開放偏鄉的遠距醫療的科別跟他合作醫院的限制跟我們報我們去年8月鬆綁了 |
| transcript.whisperx[14].start |
295.089 |
| transcript.whisperx[14].end |
319.211 |
| transcript.whisperx[14].text |
已經鬆綁了對對對我們那個所有科別不限了只要當地的這個科的專科醫師少名三名以下的就可以用就可以用遠距那現在這樣可以用的多不多區域我們過去只限定在那個離島跟這個原鄉現在我們連那個都市邊緣的就是資源比較不夠的也開放了所以是有135個鄉鎮可以試用 |
| transcript.whisperx[15].start |
321.713 |
| transcript.whisperx[15].end |
337.027 |
| transcript.whisperx[15].text |
唐蓋的服務人口是180萬人我們逐步再增加我希望知道目前參與的情形也希望給我一份書面資料那我請教一下因為談到這個還有一個部分我們要注意很多偏鄉不是只有蘭嶼 |
| transcript.whisperx[16].start |
338.248 |
| transcript.whisperx[16].end |
358.988 |
| transcript.whisperx[16].text |
因為他就是只能面對衛生所他只要有重病他就必須要去醫院可是因為距離的關係很多人不去看病因為他要負擔很大的交通費那我不太曉得說現在有沒有去看重這個問題有沒有列入政策就是那個交通費的補助嘛我們有這個費用 |
| transcript.whisperx[17].start |
363.598 |
| transcript.whisperx[17].end |
377.064 |
| transcript.whisperx[17].text |
就是所有的偏鄉不不不 原鄉原鄉所有的原鄉 對對對然後不限距離他只要出去一次就兩萬塊嗎有有 有一點限制啦 有啦 |
| transcript.whisperx[18].start |
377.995 |
| transcript.whisperx[18].end |
397.741 |
| transcript.whisperx[18].text |
好那我再請教一下所以我們部落裡面的這個長照也是很重要的一個地方那我是希望說其實文化健康站就是一個希望他能夠長照跟心理支持的一個核心啦但是我知道大家都會提到 |
| transcript.whisperx[19].start |
398.843 |
| transcript.whisperx[19].end |
424.172 |
| transcript.whisperx[19].text |
日照中心會提到加託站但是我要讓部長知道我也接到好多的陳情日照中心的負責人其實他們也很多的苦衷因為他們說即便如此他們經常都收不到自付額就是很勉強的經營維持下去他們也跟我們陳情說這個部分政府能不能幫忙 |
| transcript.whisperx[20].start |
427.868 |
| transcript.whisperx[20].end |
453.13 |
| transcript.whisperx[20].text |
委員講的是文建站還是日照中心我們了解一下說不到那部長我只是要表達其實現在有很多的長照機構大家說空床率很高也不需要再給原住民另外蓋但是我就是要讓部長知道你看我們很多人其實是因為他負擔不起 |
| transcript.whisperx[21].start |
454.37 |
| transcript.whisperx[21].end |
482.922 |
| transcript.whisperx[21].text |
才會有所謂的空床率很高那另外一個部分他即便到現在鄉裡面的日照中心他也負擔不起那樣的費用所以這個事實是存在的所以我們很希望說不論是在我們健康台灣裡面我知道有委員提到要催生原住民醫院那衣服會呢好像也有在規劃但是我不知道進度那現在都會區的原住民長照大樓也在興建 |
| transcript.whisperx[22].start |
483.482 |
| transcript.whisperx[22].end |
512.367 |
| transcript.whisperx[22].text |
那因為時間的關係是不是簡單回答跟委員說明為了導入這個文化安全我們醫院能夠有友善的這個服務我們找了三家醫院在示範一個是那個就是您提的這個樂生醫院那另外屏東醫院還有一個花蓮醫院這三家醫院在示範這個把這個文化安全的概念把它導進去那會不會又有 |
| transcript.whisperx[23].start |
512.968 |
| transcript.whisperx[23].end |
516.726 |
| transcript.whisperx[23].text |
回来的声音让你们觉得说空床率很高 |
| transcript.whisperx[24].start |
518.001 |
| transcript.whisperx[24].end |
547.564 |
| transcript.whisperx[24].text |
他應該是指整個那個環境的營造跟服務上的友善我只是要凸顯的就是其實這不是空床率的問題而是負擔不起的問題所以我覺得原住民這個部分就是長照的部分照顧的部分這個其實我們還是希望衛福部能夠去多多的討論看看要怎麼去改善那最後我總而言之要講的是說我們一直期待原住民族健康法 |
| transcript.whisperx[25].start |
548.564 |
| transcript.whisperx[25].end |
561.99 |
| transcript.whisperx[25].text |
他能夠有所謂的一個專責機構那我也知道目前所謂的專責單位叫做援助民族及離島健康科那我也不知道這樣算不算是一個專責的單位或專責的機關啦但是我們 |
| transcript.whisperx[26].start |
565.812 |
| transcript.whisperx[26].end |
577.802 |
| transcript.whisperx[26].text |
當時要立法又說礙於財政紀律法也不能夠去匡列經費但是我們看一下當時雖然說會給很多經費可是我們看了一下公務預算113到115公務預算 |
| transcript.whisperx[27].start |
581.005 |
| transcript.whisperx[27].end |
604.238 |
| transcript.whisperx[27].text |
其實是沒有顯著的提高然後又去看特別預算115年也沒有特別前瞻特別預算然後去看基金各類基金原建法上路已經三年好像各類的基金也沒有提出相關的新興計畫所以這個部分我們不太曉得說在原住民族的健康照護這一塊到底該怎麼做所以我們覺得 |
| transcript.whisperx[28].start |
605.239 |
| transcript.whisperx[28].end |
627.933 |
| transcript.whisperx[28].text |
最好的解方那就是透過組織法的修正來擴充相關的專責預算跟人力我們是覺得說這才是最好的解方所以我相信很多的委員都有提出衛福部組織法的一個版本那我個人也有就是希望能夠增加援助民族健康照顧署我不曉得部長的意見如何 |
| transcript.whisperx[29].start |
628.853 |
| transcript.whisperx[29].end |
645.927 |
| transcript.whisperx[29].text |
跟委員說明就是說我們現在的這個關於這個原住民健康的事務的推動其實他是要跨單位大家都要做的不會只有一個即使是一個師一個署都不足以承擔所以他應該是有一個專責的政策規劃 |
| transcript.whisperx[30].start |
647.428 |
| transcript.whisperx[30].end |
665.877 |
| transcript.whisperx[30].text |
那但是要推動的時候還是要回到各業務執掌單位去推動有的是健保的 有的是長照的 有的是國健署的這個預防保健這個還是要回到各個單位去推動才不會脫節啦這單靠一個師也好一個署也好來推動是不夠的 |
| transcript.whisperx[31].start |
667.437 |
| transcript.whisperx[31].end |
694.431 |
| transcript.whisperx[31].text |
預算也是一樣它是分散在各個單位的我們理解但是我們只看最後的效果有沒有顯著那顯然從各個方面來看其實還是有一大段的落差那我們真的是期待說給我們一個專門的機關署司都可以那我們希望原住民族的健康能夠由他們來跟各個 |
| transcript.whisperx[32].start |
695.431 |
| transcript.whisperx[32].end |
715.908 |
| transcript.whisperx[32].text |
單位各個部會來去做一個最重要的那更重要的是裡面的人就像剛才聽到的推動委員會有一位林醫師我們希望有這樣的人讓大家聽見原住民的想法去做原住民專屬的規劃才能夠真正的去解決根本的問題這是我們的期待啦所以我們還是希望我們部長這邊能夠繼續的來做這方面的溝通可以嗎 |
| transcript.whisperx[33].start |
722.793 |
| transcript.whisperx[33].end |
735.966 |
| transcript.whisperx[33].text |
好 我繼續努力其實在我們那個原住民族健康政策會裡面的每一組其實都有我們的原住民的代表在也有好幾位醫師在裡面好 謝謝部長好 謝謝主席謝謝吳立華委員 |