| IVOD_ID |
169636 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/169636 |
| 日期 |
2026-05-26 |
| 會議資料.會議代碼 |
院會-11-5-11 |
| 會議資料.會議代碼:str |
第11屆第5會期第11次會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
5 |
| 會議資料.會次 |
11 |
| 會議資料.種類 |
院會 |
| 會議資料.標題 |
第11屆第5會期第11次會議 |
| 影片種類 |
Clip |
| 開始時間 |
2026-05-26T10:48:46+08:00 |
| 結束時間 |
2026-05-26T11:04:46+08:00 |
| 影片長度 |
00:16:00 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4826035ccdf778d3d2b3f39dc40a2b4a86b99ac3399365e151b5e8c542c4931f5de5def0959499e85ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
伍麗華Saidhai Tahovecahe |
| 委員發言時間 |
10:48:46 - 11:04:46 |
| 會議時間 |
2026-05-26T09:00:00+08:00 |
| 會議名稱 |
第11屆第5會期第11次會議（事由：一、討論事項：本院國民黨黨團、台灣民眾黨黨團，建請院會作成決議：「邀請行政院院長應即率同大陸委員會、國防部、外交部及經濟部等相關部會首長就『川習會後台美與兩岸局勢變局、國安戰略、外交困境、經貿衝擊等之因應對策』進行專案報告並備質詢。」是否有當？請公決案等2案。二、對行政院院長提出施政方針及施政報告繼續質詢。三、5月22日上午9時至10時為國是論壇時間。） |
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謝謝主席 有請卓院長麻煩再請卓院長備選務委員好院長早 |
| transcript.whisperx[1].start |
33.069 |
| transcript.whisperx[1].end |
50.76 |
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我今天特地來針對原住民族人的健康問題以及健康政策就叫來關心特別現在剛好是原住民族健康法立法通過滿三年 |
| transcript.whisperx[2].start |
51.553 |
| transcript.whisperx[2].end |
80.432 |
| transcript.whisperx[2].text |
所以在這裡呢要讓院長了解一下當時在立法的時候其實最主要的三支箭三個訴求第一個就是希望能夠成立一個委員會那最後呢雖然叫做原住民族健康政策委員會但是當時我們訴求的實質功能希望是可以審議那最後其實還是退而求其次最後落板的文字是諮詢 |
| transcript.whisperx[3].start |
82.033 |
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107.175 |
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所以這個呢我們是帶有遺憾那另外呢就是希望成立援助民族健康研究中心那為什麼呢因為我們是為了要能夠去做正確的好的有效的健康政策那當時呢其實我們更希望的是能夠框定法定的經費預算編列可是因為 |
| transcript.whisperx[4].start |
109.176 |
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127.006 |
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當時我們有財政紀律法的問題所以也退而求其次最後文字是寫寬列經費好那都沒有關係我們可以逐年逐步的來檢討那第一個部分我在這裡也要特別的感謝因為衛福部的組織法 |
| transcript.whisperx[5].start |
128.087 |
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151.137 |
| transcript.whisperx[5].text |
在前些日子有在做排審有在做修正那雖然還沒有完成但是我在這邊要謝謝衛福部長因為當時他有特別的來承諾會把這個現在的這個照護師改為護理及援助民族健康照護師而且呢會增加一顆並且 |
| transcript.whisperx[6].start |
153.038 |
| transcript.whisperx[6].end |
168.24 |
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他提到增加這一顆是為了要實質增加人力經費編制所以呢我們覺得非常的期待可是我們來看一下在原住民族健康中心 |
| transcript.whisperx[7].start |
169.261 |
| transcript.whisperx[7].end |
196.973 |
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我們現在看到的就是他是一個虛擬的中心因為他掛在國衛院底下那在國衛院底下也沒有關係我們原本是希望去落實原建法裡面很重要的四個文字叫做文化安全可是呢我們看到目前為止只能夠國衛院的院長來兼任主任那研究員來兼任 |
| transcript.whisperx[8].start |
197.633 |
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213.418 |
| transcript.whisperx[8].text |
執行秘書那其他呢是有增加人力但是目前是有五個研究助理他們呢都是屬於計劃型的人力但是這樣子做還是有一個困境為什麼因為他們人為言輕啊 |
| transcript.whisperx[9].start |
214.488 |
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229.116 |
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我們為了要去處理原建法最重要的目標就是改善原住民族健康不平等的現象我們光是看平均餘命壽命目前最新的資料差距是8.17歲其實這是一個很驚人的數字 |
| transcript.whisperx[10].start |
233.058 |
| transcript.whisperx[10].end |
250.493 |
| transcript.whisperx[10].text |
那我們要特別講的就是這一些原建中心的這一些計劃人力呢他可能要資料很困難因為我們知道像教育部這些學童資料可能也拿不到那你說園民會過去他們都會有所謂的健康年報 |
| transcript.whisperx[11].start |
251.394 |
| transcript.whisperx[11].end |
275.207 |
| transcript.whisperx[11].text |
但是他們的健康年報可能也都是撈健保的資料而且都只做描述性的統計缺乏這種交叉的分析所以在這個部分就沒有辦法去精準分析讓這個健康政策沒有辦法落實所以在院長這邊我第一個就是希望說因為我有去質詢過中研院 |
| transcript.whisperx[12].start |
277.108 |
| transcript.whisperx[12].end |
292.458 |
| transcript.whisperx[12].text |
他們有一個令我們非常驕傲的就是台灣精準醫療計畫成功的招募50萬名的參與者建構了全球最大的漢人族群的一個基因庫 |
| transcript.whisperx[13].start |
293.439 |
| transcript.whisperx[13].end |
312.121 |
| transcript.whisperx[13].text |
那麼也榮登全球國際最頂尖的期刊Nature這個是台灣的驕傲我有跟他們說原住民的部分可不可以做他們說有困難因為現在要諮商同意資料取得很困難所以為什麼我重整講這些 |
| transcript.whisperx[14].start |
313.422 |
| transcript.whisperx[14].end |
328.934 |
| transcript.whisperx[14].text |
做原住民健康政策資料很重要分析很重要但是呢我們必須要有一個數據共享的機制所以我特別到院會這邊來質詢就是希望院長您能不能夠去責成 |
| transcript.whisperx[15].start |
329.694 |
| transcript.whisperx[15].end |
347.506 |
| transcript.whisperx[15].text |
要求我們相關的各部會在這個部分能夠去找出一個處理的方法去重新調整需要的倫理規範那在保障族人的同意跟促進醫學政策的這個方面能夠取得一個平衡院長您的意見如何 |
| transcript.whisperx[16].start |
348.731 |
| transcript.whisperx[16].end |
373.253 |
| transcript.whisperx[16].text |
謝謝委員你提出這樣的一個要求保障族人同意權跟促進醫學進展這個提議我會讓原民會衛福部的部會去了解不過剛剛除了謝謝委員長期對原住民族健康的關注之外剛剛有一個數字我們應該要對一下因為依照我們現在手上的資料113年全國平均壽命均率是80.77歲 |
| transcript.whisperx[17].start |
375.114 |
| transcript.whisperx[17].end |
382.058 |
| transcript.whisperx[17].text |
原住民的平均壽命是73.23相差是113年是7.54那103年的時候是8.24就是這10年來103到113我們是從差距從8.24縮短到7.54我的數字應該沒有錯可以再補充一下院長我跟您補充確實因為您可能不知道 |
| transcript.whisperx[18].start |
401.209 |
| transcript.whisperx[18].end |
420.297 |
| transcript.whisperx[18].text |
在原建法之前在文化健康戰這個政策上路之前三十年只縮短一歲但是很奇妙蔡英文總統的文化健康戰的政策上路之後在短短的五年間縮短了將近兩歲 |
| transcript.whisperx[19].start |
421.718 |
| transcript.whisperx[19].end |
444.557 |
| transcript.whisperx[19].text |
但是這個只是一個普通的數據沒有一個嚴謹的研究分析所以我們才會覺得說對原住民族健康促進來講取得資料做政策的一個規劃分析其實是非常重要的所以特別希望院長就是可以同意這個部分我們是不是來跨部會的來成立一個平台 |
| transcript.whisperx[20].start |
447.302 |
| transcript.whisperx[20].end |
470.453 |
| transcript.whisperx[20].text |
這個我來跟委員說明這個其實原建法通過之後我們也完成了幾件事情這個雖然我們這個原住民政策這個政策會啊那麼雖然是智商性質但是我們很重視我們最近要提出這個原住民族健康的照護中長城計畫就是由這一些這個我們原住民族這個政策會的委員 |
| transcript.whisperx[21].start |
471.235 |
| transcript.whisperx[21].end |
498.924 |
| transcript.whisperx[21].text |
先分組審查然後最後我們才彙整起來之後按照委員的意見修正再提送到行政院所以發揮了非常重要的政策制定功能第二個呢那麼這個國衛院的這個原民健康研究中心他也不斷的在增加計畫就是把這些資料的收集或分析做更精確所以我們未來的人力也會隨著計畫的增加來充實擴充那第三個呢剛剛提到的是這個 |
| transcript.whisperx[22].start |
500.124 |
| transcript.whisperx[22].end |
516.931 |
| transcript.whisperx[22].text |
資料庫的運用的部分那麼確實是因為在人體研究法裡面有特別提到如果你這個人體研究涉及到原住民族為研究目的或對象的時候那必須要有這個部落或者是原住民族會議的同意 |
| transcript.whisperx[23].start |
517.651 |
| transcript.whisperx[23].end |
535.798 |
| transcript.whisperx[23].text |
有別於一般的人體研究但是在BioBank就是人體這個生物資料庫管理條例裡面就沒有這個規定了所以現在的問題就是在於說如果你是人體生物資料庫裡面的資料那麼能不能夠區分出它是不是 |
| transcript.whisperx[24].start |
537.339 |
| transcript.whisperx[24].end |
560.174 |
| transcript.whisperx[24].text |
進資料庫的時候有沒有辦法區分他的是不是漢民族或者是原住民族有沒有這樣的資料那未來怎麼樣去提供比較精準的研究這個我會來因為這個在上次我親自主持原住民族政策會的時候也有委員提出這個問題所以我也會來召集 |
| transcript.whisperx[25].start |
561.98 |
| transcript.whisperx[25].end |
579.589 |
| transcript.whisperx[25].text |
跨部會的這個讓大家這個法規上清楚是可行的是可行的部長其實您提到這個我也是蠻疑惑的因為在中研院的台灣精準醫療計畫其實它是可以正確的撈取漢人的資料所以我就不懂那為什麼 |
| transcript.whisperx[26].start |
580.629 |
| transcript.whisperx[26].end |
596.38 |
| transcript.whisperx[26].text |
非漢人的資料就無法來抓取沒有關係這個我希望各位可以在平台上討論剛剛您提到這個39個生物資料庫中研院那個他的蒐集的時候他的那個變相裡面有這個這個民族和民族 |
| transcript.whisperx[27].start |
597.3 |
| transcript.whisperx[27].end |
599.642 |
| transcript.whisperx[27].text |
延續的一個問題就是說我們的長照我剛剛有提到 |
| transcript.whisperx[28].start |
614.595 |
| transcript.whisperx[28].end |
629.801 |
| transcript.whisperx[28].text |
過去九年來的文化健康戰真的是帶給原鄉尤其是長者非常大的改變除了促進在地就業之外真的對原住民長者的健康照護真的非常的好但是有一塊做得比較不好 |
| transcript.whisperx[29].start |
630.501 |
| transcript.whisperx[29].end |
647.33 |
| transcript.whisperx[29].text |
就是住宿型的機構而是用所謂的日間照顧這種或者家托站來取代所以我們一直希望這個長照的部分住宿型機構是很重要那麼來看一下長照資源發展講注辦法有提到 |
| transcript.whisperx[30].start |
648.971 |
| transcript.whisperx[30].end |
667.41 |
| transcript.whisperx[30].text |
這個獎勵補助要對離島偏鄉原住民族及其他長照資源服務不足地區要優先予以獎助但是在113年發布的這個辦法裡面我們發現不見區域並沒有原鄉那我在這裡有去提出質疑 |
| transcript.whisperx[31].start |
668.231 |
| transcript.whisperx[31].end |
690.833 |
| transcript.whisperx[31].text |
得到的回應是告訴我說其實現在我們過去前瞻計畫做的這些長照機構空床率很高所以覺得不需要但是實際的情形是什麼我們原住民在都會區他們可以說要去長照住宿型機構幾乎我沒有聽過有幾個人有能力去 |
| transcript.whisperx[32].start |
691.755 |
| transcript.whisperx[32].end |
707.11 |
| transcript.whisperx[32].text |
那麼在一般縣市當然我們講原鄉沒有但是在一般縣市我們也發現他們也住不起所以我要講的是說這個不是有床沒床的問題而是條件跟經濟的排除 |
| transcript.whisperx[33].start |
707.751 |
| transcript.whisperx[33].end |
727.58 |
| transcript.whisperx[33].text |
因為他們如果未達失能四級或者不具中低收入戶身份他們其實是進不去的所以我就希望說是不是能夠有在園鄉設置一個文化安全特色的住宿型機構非常感謝也有允諾我了 |
| transcript.whisperx[34].start |
728.66 |
| transcript.whisperx[34].end |
752.811 |
| transcript.whisperx[34].text |
有很多的族人在都會區他們真的住不起我說能不能夠提供那些住宿型機構休散費或者是原住民專屬的長照床位讓他們有機會進去那我也非常高興已經有允諾我了所以這個部分我只是要請教院長跟部長是不是能夠在一年內啊能夠就這兩件事我們可以看到開花結果 |
| transcript.whisperx[35].start |
754.592 |
| transcript.whisperx[35].end |
778.332 |
| transcript.whisperx[35].text |
會 我們在長照3.0裡面會去特別著重在原鄉特別是原住民的兼顧他的安全文化的這個服務機構所以我們會來努力謝謝 因為我們必須要盡速的完成這件事情我在原鄉或者都會區看到太多需要住宿型機構的老人家 |
| transcript.whisperx[36].start |
778.792 |
| transcript.whisperx[36].end |
804.636 |
| transcript.whisperx[36].text |
他其實是很辛苦的安置在自己的家裡那家裡人呢也負擔不起變成是他們家庭很重的一個負擔那希望這個部分能夠在一年內可以看到成果那再來就是都會區文件站我也很關心為什麼呢現在原鄉有430站但是在都會區只有95站可是實際住在都會區的有70%的原住民 |
| transcript.whisperx[37].start |
808.864 |
| transcript.whisperx[37].end |
836.59 |
| transcript.whisperx[37].text |
落極的50%實際居住的高達七成所以我們現在遇到一個路障就是有一個一村裡一巷弄的原則就變成在都會地區只要那個地方有據點就變成申請文件站的時候過不了因為長照基金比較不願意去支付這樣的金額所以在這個部分我不曉得院長或部長針對這個部分能不能去做改善 |
| transcript.whisperx[38].start |
837.99 |
| transcript.whisperx[38].end |
852.707 |
| transcript.whisperx[38].text |
跟委員說明確實因為我們為了這個資源部件的均衡性會有設定一定的範圍那不過剛剛您特別去著重到文化敏感度這個的問題那我們來評估看看對於這個 |
| transcript.whisperx[39].start |
854.078 |
| transcript.whisperx[39].end |
869.805 |
| transcript.whisperx[39].text |
你這指的就是都會原住民所以如果在都會區的原住民的人數比較高我們跟這個原民會會來討論那麼看看是不是以比較具原住民特色的這個據點對 我們是希望依實際需求 |
| transcript.whisperx[40].start |
871.626 |
| transcript.whisperx[40].end |
898.461 |
| transcript.whisperx[40].text |
去做一個增設然後專案的核定那我想這個部分文建站目前其實依照人口比例來講的話他還是有增設的一個需要所以希望這個部分來處理那最後因為時間的關係我再問一題就是關於疫苗公費疫苗 帶狀砲診疫苗我們都知道疫苗是最佳的健康投資那文建站是最貼近族人的照護模式 |
| transcript.whisperx[41].start |
899.181 |
| transcript.whisperx[41].end |
925.597 |
| transcript.whisperx[41].text |
所以我想說的是很多的縣市其實現在都有這個帶狀皰疹的公費疫苗可是有些縣市沒有可是我想說的是原住民的人口啊這些需要的人啊他不能夠淪為戶籍抽獎啊所以我算了一下如果這些沒有的55歲以上的原住民老人14萬人有沒有辦法加入政府的公費疫苗 |
| transcript.whisperx[42].start |
926.963 |
| transcript.whisperx[42].end |
951.953 |
| transcript.whisperx[42].text |
跟委員說明有關於這個帶狀皰疹的疫苗公費疫苗政策我們現在正由這個疾管署好 謝謝 |
| transcript.whisperx[43].start |
956.237 |
| transcript.whisperx[43].end |
956.357 |
| transcript.whisperx[43].text |
好 謝謝吳麗華委員的資訊 |