| IVOD_ID |
167945 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/167945 |
| 日期 |
2026-03-26 |
| 會議資料.會議代碼 |
委員會-11-5-26-3 |
| 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3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 |
3 |
| 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3次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2026-03-26T09:27:38+08:00 |
| 結束時間 |
2026-03-26T09:41:32+08:00 |
| 影片長度 |
00:13:54 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/62ea4221ea272c4e54416f5ee5d04369c30e9bbc489b48f6ec4551788d53590e4bf6fd8005bdee605ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
陳菁徽 |
| 委員發言時間 |
09:27:38 - 09:41:32 |
| 會議時間 |
2026-03-26T09:00:00+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3次全體委員會議（事由：邀請衛生福利部長及勞動部部長就「在職照顧者支持體系是否完善、長照3.0服務輸送與長照安排假評估」進行專題報告，並備質詢。【3月25日及26日二天一次會】） |
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| transcript.whisperx[0].start |
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有請施部長部長部長好我先放一下這個是之前大概四個多月前發生的一個新聞當時有個頻道叫做陳志明醫師那他在裡面做了非常多的衛教其中他就包括說他推廣台大北榮有一個可以奇蹟式治癒糖尿病的療法叫做細菌性療法但 |
| transcript.whisperx[1].start |
30.39 |
| transcript.whisperx[1].end |
55.292 |
| transcript.whisperx[1].text |
好多人就打到北榮去問或是台大詢問逼得北榮不得不出來說我們醫院並沒有這位醫師也沒有這樣子的創新的研究革命性的療法那當時衛福部也出來說話衛福部就說他們會很快速的釐清醫師法對於虛擬醫師形象的法律適用性還有研擬一套合法的身份揭露那另外呢 |
| transcript.whisperx[2].start |
56.073 |
| transcript.whisperx[2].end |
69.29 |
| transcript.whisperx[2].text |
當時四個月前您還說要建立頻道設置規範讓民眾在網路上看衛教的時候可以一眼分辨出誰是領有執照的專業人士誰是電腦合成的假身份那目前為止進度如何呢 |
| transcript.whisperx[3].start |
70.526 |
| transcript.whisperx[3].end |
86.477 |
| transcript.whisperx[3].text |
好抱歉這個我再來細部了解一下進度再跟委員報告好那我先那我等一下有幾張這個投影片我想跟你講目前這件事演變的方向還有它的嚴重程度好過了4個月這個是我最新找到 |
| transcript.whisperx[4].start |
88.378 |
| transcript.whisperx[4].end |
106.625 |
| transcript.whisperx[4].text |
你們發的一個新聞你們研擬了四個月那現在是說未來要攜手跟速發部推去醫療假訊息快速下架那你永遠都在這個研擬的行政步驟這四個月但是發生了一些事情讓您看一下 |
| transcript.whisperx[5].start |
108.766 |
| transcript.whisperx[5].end |
110.668 |
| transcript.whisperx[5].text |
好我们先看这个影片 |
| transcript.whisperx[6].start |
123.903 |
| transcript.whisperx[6].end |
150.604 |
| transcript.whisperx[6].text |
这代表你的肠道极度干旱缺水而且严重缺乏水果里的水溶性纤维润化明天的行动指南是立刻大幅增加饮水量多吃两颗带皮奇异果或者马上补充一碗洋菜冻对于不能喝太多水也不能吃高甲奇异果的肾病患者这时候应该选择低甲的苹果莲皮吃并搭配适量的洋菜冻来锁水你觉得你认识这个医生吗 |
| transcript.whisperx[7].start |
151.94 |
| transcript.whisperx[7].end |
175.337 |
| transcript.whisperx[7].text |
我沒有印象沒有認識不認識你覺得他講的衛教內容正確嗎不完全正確啦部長我跟你說我有去查啦醫事人才人系統沒有這位醫師所以他應該是新的頻道新的AI醫師剛提到的那位啊已經消失了他的頻道本來有很多訂閱現在出現了很多新的頻道比如說這個他裡面喔 |
| transcript.whisperx[8].start |
176.198 |
| transcript.whisperx[8].end |
195.029 |
| transcript.whisperx[8].text |
就有很多醫生陳志明醫師的影片又回到這個頻道了並且這個頻道的訂閱有25.6萬是衛福部的6倍多衛福部現在是4萬訂閱然後下面的留言非常的踴躍因為很多長輩是看這個在吸收知識的我們再看下一個 |
| transcript.whisperx[9].start |
199.226 |
| transcript.whisperx[9].end |
200.666 |
| transcript.whisperx[9].text |
那你覺得他講的正確嗎也不無道理啦 |
| transcript.whisperx[10].start |
223.933 |
| transcript.whisperx[10].end |
247.318 |
| transcript.whisperx[10].text |
你看所以我也真的去查了這位醫師這位醫師是有這個名字可是因為我找不到他真實的照片所以不知道是不是真的他本人本人好但現在呢因為AI產生影片的速度非常的快我看了一下你們衛福部是4萬訂閱你有沒有考慮如果你用石崇良AI來做衛教也不會輸給他你覺得呢我考慮看看 |
| transcript.whisperx[11].start |
253.438 |
| transcript.whisperx[11].end |
271.434 |
| transcript.whisperx[11].text |
我跟你說事情的嚴重程度是類似這樣子樣態的東西出來越來越多我們現在還不知道他的目的是什麼也許可以猜到一點點但是他正在蒐集大量的受眾如果您家有長輩或是一些家族的群組我相信他們應該會喜歡看這樣子的影片您認同嗎 |
| transcript.whisperx[12].start |
276.94 |
| transcript.whisperx[12].end |
299.575 |
| transcript.whisperx[12].text |
這個他有一定的對象啦一定是這樣這種會有訂閱率的一定有他的一定對象那這個衛教的影片其實很多基層醫療也想要做好你也知道嘛有一些醫生他是喜歡做這樣子的事情可是第一他硬體軟體可能跟不上再來呢比起這些AI製作他是日更他可能很快就可以產出並且 |
| transcript.whisperx[13].start |
301.476 |
| transcript.whisperx[13].end |
328.716 |
| transcript.whisperx[13].text |
他很懂心理學行銷學他會跟觀眾互動所以像這個醫師他最後會說喔如果你想要跟我一樣控制好血糖請在影片下方留言我想控制好血糖然後下面就一整排都是我想控制好血糖我想控制好血糖接下來再給你看其他的像這一位呢他也是有11.6萬訂閱但他想要規避所以一開始他稱呼自己是高醫師後來就說自己是高老師 |
| transcript.whisperx[14].start |
329.957 |
| transcript.whisperx[14].end |
335.459 |
| transcript.whisperx[14].text |
那這個呢甚至還會帶貨這也是一個AI醫師最後你看他可能會說醫師教你如何刷牙然後再連結到這個產品那這個產品本身不一定是賣不好的東西我們沒有我自己還沒有去買買看我們不能保證但他現在就是一個沒有人監管的狀態所以 |
| transcript.whisperx[15].start |
352.935 |
| transcript.whisperx[15].end |
364.461 |
| transcript.whisperx[15].text |
這是為什麼今天想質詢這個題目是因為這是真的收到的一個陳情就一些長輩他家裡看了這樣子的AI衛教影片那可能是醫師或護理師又連結到現在甚至呢這個詐騙集團他會盜用這個真實的一個護理師叫譚敦慈 |
| transcript.whisperx[16].start |
371.644 |
| transcript.whisperx[16].end |
397.903 |
| transcript.whisperx[16].text |
他用他製作AI影片然後再做一個假的農會標章然後去推銷一些健康的農會的產品等等的那就去買嘛結果雖然長輩他可能沒有辦法去判斷這個連結到其實是海外的一些網站結果寄過來的東西完全就是名不符實就是一些垃圾然後不知道要找誰退款那因為這些東西最後齁您最後要面對的是 |
| transcript.whisperx[17].start |
399.644 |
| transcript.whisperx[17].end |
421.931 |
| transcript.whisperx[17].text |
現在已經有醫師護理師很快你也會看到有營養師的頻道或者是復健師的頻道那你覺得你要怎麼應對我想這個問題從幾個層面來看第一個按照醫師法無視醫師身份是不可以自稱醫師這涉及到這個醫師法的密醫的行為那雖然他用的這個頻道他放的人 |
| transcript.whisperx[18].start |
422.631 |
| transcript.whisperx[18].end |
444.26 |
| transcript.whisperx[18].text |
它如果是它製作的雖然不是用它自己的名字用一個假名用AI製造出來它可能也會涉及到醫師法的違反處分的部分我們會用嚴厲的處分因為平常的衛教當然過去很多坊間的衛教大家都在做這個資訊當中當然有一些確實性落差會有 |
| transcript.whisperx[19].start |
448.602 |
| transcript.whisperx[19].end |
463.588 |
| transcript.whisperx[19].text |
不過因為如果你以醫師的身分因為這個可信度對民眾來講他的這個相信的程度會拉高所以不應該用這個醫師的所以這個才會在醫師法裡面去明定不是醫師者不可以自稱為醫師所以這個應該要按照這樣來查處 |
| transcript.whisperx[20].start |
467.17 |
| transcript.whisperx[20].end |
479.876 |
| transcript.whisperx[20].text |
那第二個當然要趕快下架這個沒有問題這個我們會跟這個速發部趕快建立用這個PWM的那個區域下架我在這邊想要給您兩個建議就第一個因為七成的民眾其實他會先習慣從網路去獲取醫療的資訊所以衛福部就應該要主動的出擊 |
| transcript.whisperx[21].start |
485.779 |
| transcript.whisperx[21].end |
504.628 |
| transcript.whisperx[21].text |
你們之前說會跟術衛部攜手合作然後我現在想要知道說第一點落實快速下架的這個機制你多久可以做到因為我剛剛已經證明給你看了現在有很多包括灰色地帶他可能一開始說自己是遺失後來變成老失 |
| transcript.whisperx[22].start |
505.248 |
| transcript.whisperx[22].end |
516.355 |
| transcript.whisperx[22].text |
那第二個你是不是應該要建立一個即時澄清的機制因為現在也有很多這個反詐的這些軟體他可能會協助長輩去判斷這些資訊是錯誤的那我認為你應該要把這些衛教的主導權從這些詐騙集團手中搶回來甚至這些AI的醫護人員或是醫事人員他還在帶貨所以你應該要有即時澄清下架的一條龍這樣子的程序 |
| transcript.whisperx[23].start |
532.965 |
| transcript.whisperx[23].end |
548.991 |
| transcript.whisperx[23].text |
我希望你可以給我們一個進度而不是像我們四個月前覺得你要做結果四個月後其實沒有那你大概多久可以完成這兩樣事情這個快速下架應該會比較快啦這個我們跟速發部我們之前因為在那個有一些這個 |
| transcript.whisperx[24].start |
550.552 |
| transcript.whisperx[24].end |
576.166 |
| transcript.whisperx[24].text |
那個影片這個那個性影像我們有建立這樣的機制的立刻都要讓它下架所以這個概念是相同助發部的動作也很快所以我們大概一個禮拜內把這個建立起來那這個澄清的機制我們來把它建立起來因為這個還要一些資料做法上那這個因為都涉及到威教的比較多我也請國建署來辦這個事情 |
| transcript.whisperx[25].start |
577.267 |
| transcript.whisperx[25].end |
595.455 |
| transcript.whisperx[25].text |
好那下一個這個新聞你應該知道我不知道疾管署的同仁是不是有跟您表達了最近在某一個年輕的族群15到24歲他的梅毒罹患率急速的升高增幅是8%好我們來看一下這張圖您看右邊紅線就表示這個15到24歲的年紀 |
| transcript.whisperx[26].start |
597.776 |
| transcript.whisperx[26].end |
623.396 |
| transcript.whisperx[26].text |
那其中還沒有包括黑素因為15到18歲有可能這個性命是要通報的或者是需要家長陪同他們並不一定就會去就醫並且他會不好意思嘛那這個您也懂他可能嚴重的程度因為初期他的症狀不一定很明顯但到末期他嚴重程度會影響到神經包括平衡啊 視力啊或者是精神疾患啊更嚴重會到動脈瘤或者是心臟半膜等等 |
| transcript.whisperx[27].start |
626.138 |
| transcript.whisperx[27].end |
650.411 |
| transcript.whisperx[27].text |
我查了一下台南就發表了三個20到30歲年輕的男生他們來一開始沒有想到是因為梅毒只是因為脾氣古怪或是有暴力傾向記憶力變差那甚至智力下降等等的找了半天才找到原來是梅毒感染並且在治療完畢以後這個智力並沒有恢復所以針對這個族群的人蠻嚴重的你如果沒有把他們快速的篩檢出來給予 |
| transcript.whisperx[28].start |
652.412 |
| transcript.whisperx[28].end |
675.345 |
| transcript.whisperx[28].text |
快速的治療他後續影響的不只是生育能力尤其我們現在小子化他進一步會影響他未來整個神經系統嗎那這邊是不是多久以內可以請您請疾管署提供一個報告針對這個年齡層這麼快速爬升他地域性他的危險因子還有他你們面對這件事情的因應方案是什麼 |
| transcript.whisperx[29].start |
675.905 |
| transcript.whisperx[29].end |
702.711 |
| transcript.whisperx[29].text |
好跟委員說明我們也注意到這個現象那按照我們的統計來看那麼從去年跟之前的資料來看大概是零病的個案下降但是沒讀的個案上升那上升的族群主要是在19到24歲這個族群是上升的最快那如果以性別來看的話呢又以女性的女性呢在這幾年 |
| transcript.whisperx[30].start |
704.391 |
| transcript.whisperx[30].end |
723.056 |
| transcript.whisperx[30].text |
這兩三年的快速的上升所以這個跟全球也有發現類似在COVID之後有發現這樣的趨勢那我們也在探究背後的原因當然有一部分男女性女性多數是被害者 |
| transcript.whisperx[31].start |
724.492 |
| transcript.whisperx[31].end |
750.704 |
| transcript.whisperx[31].text |
就是這個是這個安全性行為跟多元性多重性伴侶所造成的這個就是這個性行為的問題那女性在症狀上又比較這個不明顯所以就醫上會延緩這個也是一個問題所以我們從去年開始吧我們就有這個匿名篩檢因為這些青少年他就如同委員講的他是 |
| transcript.whisperx[32].start |
751.824 |
| transcript.whisperx[32].end |
781.178 |
| transcript.whisperx[32].text |
不希望被發現比較害羞不希望被標籤化所以在看門診的時候有時候當然就比較不願意來就醫所以我們有這個叫匿名篩檢的一個平台在做我這邊先中斷一下因為主席的時間快到了那我先跟你要這個報告就是說我希望知道說這個年齡層你們未來要怎麼因應還有你們有沒有分析出他的原因跟危險因子 |
| transcript.whisperx[33].start |
781.678 |
| transcript.whisperx[33].end |
809.411 |
| transcript.whisperx[33].text |
那第二這個是具體的建議請您看一下表格是台灣跟日本跟韓國最大的差別在於日本跟韓國他們是定期的就會在街頭做一些高頻率的宣導我們是偶爾有活動他並不是定期的那韓國是值得我們接近的因為他是直接把外展檢測服務拉出去所以他才可以快速的篩檢到這些高危險族群 |
| transcript.whisperx[34].start |
810.735 |
| transcript.whisperx[34].end |
833.281 |
| transcript.whisperx[34].text |
你可以看到嗎有有有好那這個我事後再跟您請教一份報告因為你要先分析你的原因那你們才可以提出具體你們想要針對這個族群做什麼影響我想我們CDC有在監測這件事情他們有個分析好那我再跟您要報告可以可以沒有問題好一個月內謝謝好謝謝陳金輝委員接下來請邱惠如委員發言 |