| IVOD_ID |
169698 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/169698 |
| 日期 |
2026-05-28 |
| 會議資料.會議代碼 |
委員會-11-5-26-12 |
| 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12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 |
12 |
| 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12次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2026-05-28T11:05:43+08:00 |
| 結束時間 |
2026-05-28T11:17:16+08:00 |
| 影片長度 |
00:11:33 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/89665fc2cee9c36729d96d1adee6ffbb7a79f49b44e0745677815697e441d1b45347f071d6b30dbb5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
蘇清泉 |
| 委員發言時間 |
11:05:43 - 11:17:16 |
| 會議時間 |
2026-05-28T09:00:00+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12次全體委員會議（事由：審查
一、國民黨黨團擬具「失智症基本法草案」案。
二、台灣民眾黨黨團擬具「失智症基本法草案」案。
三、委員林月琴等19人擬具「失智症基本法草案」案。
【僅詢答】【第三案如經復議則不予審查】） |
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謝謝主席那我請我們李建德次長那個健保署副署長副署長張宇斌蘇偉仁好辛苦了不敢不敢 |
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21.092 |
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我想這個失智症最近因為我們有一個台大的前院長還有我們的前總統馬英九讓大家都驚一驚說比較嚴重 |
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那現在我健保局這邊 健保署這邊 您現在在門前我現在先問比較實際的 在門前有一個評估那你們現在執行的情況是怎麼樣是怎麼樣去授權 還是說有一個共造 |
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我們有蠻多的計畫,像全能照顧也有,居家醫療也有當然是用CDR的評估方式來看我簡單跟各位,因為我們重點還是在治療以用藥來說 |
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今年我們看去年的資料是大概有14.78萬人有用藥大概花了17.79億元左右所以剛才從很多數字來看現在有一大部分已經是進入長照或什麼的地方從我的醫療來看大概有14.78萬人在治療所以在門診的部分陸陸續續都會有所以這個病人來到門診 |
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有一個人在Evaluate,有一個小組,有嘛,還是說你自己臨床醫師,看這個可能怪怪的,再進入這個...遮肘專業再來看所以市長你有說過這樣離人人有嗎?這裡插一個,那裡插一個,長照插一個,這樣不可以有一個... |
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剩一個小組還是什麼,授權給醫院也可以比較中大型醫院,有神經內科,有社工師,有心理師神經內科,這樣合起來,精神科,能夠一個評估不要讓這些病人這樣,因為我自己的媽媽,有年的96歲 |
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他就有時候 我就不知道在說什麼啊就他有變那樣的妄想啊 直接說我如果要把他偷竊東西 把他偷竊錢 把他什麼我當然我知道他失職 但是有時候又很清楚啦所以 這種人就很麻煩有時候我早 早行程有時候這樣偷竊問題之後 生活 身體就用了那種人那是麻煩照樣的處理 照樣的處理所以 這種病人 |
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所以朝野在那邊講說,看到日本成立這個基本法,大家都想要來設宿舍不宿舍,不過我也想到行政院所講的部分有理,一個正候群要設一個基本法, |
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這遭遇症人就再設一個基本法再設一個基本法 要許我們都要設一個基本法大家都叫行政院的人去找頭就去笑 只要有這個就笑了所以 市長 你的看法是怎樣來 我看你這樣閒閒的沒有啦 我想委員有時候真的就是醫學出身我想非常了解 我想一定的藝術 |
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他當然非常非常關心嘛現在重點就是說兩個重點第一個就是說我們現有機制我們是不是可以來強化院長也有說 必要的話我們也可以在院那邊類似像我們當時處理吸肝我們有一個吸肝行政院曾經你也知道有一個辦公室而且我們從2030就提早我們就用這個方式就可以解決一定的意思是這樣當然現在就是說它是一個徵狀 |
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289.039 |
| transcript.whisperx[11].text |
你也知道我們那個疾病也有辦法做分類如果每一個疾病都要這樣這個確實就是說我們當然會來來廣聽各界的意見現在就是說最重要的是不是就是說很執行的處理我們現有已經有這個機制是不是不要再跌床架屋現有的機制我剛剛講了散落在各個地方 |
| transcript.whisperx[12].start |
290.18 |
| transcript.whisperx[12].end |
295.824 |
| transcript.whisperx[12].text |
這要整合啦 最大誘因就是你柬埔這裡有支付 評估費用 醫生有診療的費用那這樣做起來才帶勁嘛 如果說這個病人在家庭長照室接下去做後續追蹤 那有問題隨時 |
| transcript.whisperx[13].start |
312.016 |
| transcript.whisperx[13].end |
320.458 |
| transcript.whisperx[13].text |
假藥是有效的,吃那個吃製藥是有效的,所以我們要改進這件事情,這是沒有辦法避免的,因為我們八十幾歲,現在你生日幾%?差不多幾%有,九十歲以上的又比較嚴重,八十歲以上到二十五點一,二十五,八十五, |
| transcript.whisperx[14].start |
335.929 |
| transcript.whisperx[14].end |
338.77 |
| transcript.whisperx[14].text |
所以這個是無法避免啦你也會失智,我也會失智啦所以誰都有可能遭遇這個問題 |
| transcript.whisperx[15].start |
364.738 |
| transcript.whisperx[15].end |
365.859 |
| transcript.whisperx[15].text |
大家是要正視啦 |
| transcript.whisperx[16].start |
395.379 |
| transcript.whisperx[16].end |
409.512 |
| transcript.whisperx[16].text |
要給他起手、要給他保安檢調單位當然也要受理這如果有一個賤名他就很好很好不要說這個名字不是老高的那種老高起來所以你要有行政院版本出來當然是最好嘛 |
| transcript.whisperx[17].start |
410.376 |
| transcript.whisperx[17].end |
423.04 |
| transcript.whisperx[17].text |
那如果沒有,你現在製草這個要整合,整合是你威脅的事情嘛,因為現在的長照都是你管理的,所以整合起來,製造要讓它, |
| transcript.whisperx[18].start |
426.681 |
| transcript.whisperx[18].end |
434.707 |
| transcript.whisperx[18].text |
治療、後續、追蹤、follow up,都要到位我現在問你幾個人你都說不清楚包委員我們目前7.99是大概39萬以我們目前各種機制掌握大概70% |
| transcript.whisperx[19].start |
448.957 |
| transcript.whisperx[19].end |
461.741 |
| transcript.whisperx[19].text |
所以差不多要二、六萬嘛,當然你差的另外一三十萬,我們現在就是剛剛部長馬尾答詢的說你說有在治療的現在有十幾萬嗎?如果治療的話是健保那邊15.78萬多少?15萬,所以你有38萬、40萬的失智病人,你有15萬在治療,還有25萬放在老大手上 |
| transcript.whisperx[20].start |
473.184 |
| transcript.whisperx[20].end |
494.975 |
| transcript.whisperx[20].text |
所以這也是嚴重的所以今天在講這個東西的精神更重要的就是在這裡那你裡面最有力量的就是健保署健保署你在給付的,所以大家都對這個政策你只要到位,大家就跟著政策走好不好來,我問第一題的問題健保署 |
| transcript.whisperx[21].start |
499.132 |
| transcript.whisperx[21].end |
509.915 |
| transcript.whisperx[21].text |
總共 九年四月份生小孩生一萬三千幾個 四萬四千個今年的四月份 存六千個小孩夭壽喔 存一半我問的比較問題的是婦產科這個團隊接生的 照顧新生兒的這小孩減一半這個醫生的收入 這個團隊的收入 |
| transcript.whisperx[22].start |
527.708 |
| transcript.whisperx[22].end |
542.459 |
| transcript.whisperx[22].text |
要不然就算一半,要不然我吃土,要不然我照顧他所以你們現在副總科那邊,你們要怎麼照顧我我不是副總科,我姓董話科,我副總科講話所以你們要一個虛擬的一個總額,譬如說副總科那邊生三十萬的孩子,生二十萬的孩子,生十萬的孩子 |
| transcript.whisperx[23].start |
550.285 |
| transcript.whisperx[23].end |
568.812 |
| transcript.whisperx[23].text |
你那個單價要提高,那醫生幫你找得到嗎?不找也找不到出院醫師跟委員報告,我們最近有跟婦產科學會一些專家有討論會把醫院,就是我們申報部門跟醫院有關比較重症比較難的生產的案例 |
| transcript.whisperx[24].start |
569.502 |
| transcript.whisperx[24].end |
593.654 |
| transcript.whisperx[24].text |
有些會調到100%跟200%先這樣去做那比較一般的大概普遍性的會看我們那個調租標準的預算大概調到25%到50%我們有正視這個問題你不要像東京都一個運貨要生產救護車坐上去這間賣的卡沒有算過一般這間有沒有、那間有沒有、那間有沒有 |
| transcript.whisperx[25].start |
594.634 |
| transcript.whisperx[25].end |
599.164 |
| transcript.whisperx[25].text |
早八點起床,到大九點起床,我們會發生什麼事情呢?打架咧,打架咧,有錢叫打架,沒錢打架 |
| transcript.whisperx[26].start |
606.389 |
| transcript.whisperx[26].end |
631.342 |
| transcript.whisperx[26].text |
現在我們有一些車位是調支援標準這是第一個第一個也是要留一些婦產的專科醫師能夠繼續在醫院服務那比較偏鄉的一些診所他本來是產科的我們想辦法會用其他的方式讓他繼續留在偏鄉那邊服務會用筆算去給他們大概先從這樣去先把原有的人力先固定住你知道屏東現在多炎症嗎 |
| transcript.whisperx[27].start |
632.643 |
| transcript.whisperx[27].end |
657.758 |
| transcript.whisperx[27].text |
屏東現在的婦產科要去要接生的我們的女的婦產科醫師 醫徒暗示要不要在辦所以暗示要先區域聯防屏東市的跟東港的跟邦寮的要用區域聯防我跟妳講去跟邦寮沒辦法有三個醫生去跟鄉村沒辦法有三個醫生要先區域聯防這樣在拖所以他們如果不把這裡顧住這裡如果沒辦法做 |
| transcript.whisperx[28].start |
663.373 |
| transcript.whisperx[28].end |
684.159 |
| transcript.whisperx[28].text |
所以這個屏東的火鈴鈴的case,我想其他縣市也差不多而且醫生到了五、六十歲,你要叫他值班要接生那時候要在那邊等,產婦在那邊等,你醫生也在那邊等所以這個是很折磨、很累所以你們這塊要好用心,不能因為小孩子那麼少,你五、三個跟小女生拚下去不會不會,我們會去就好這個很重要謝謝 |
| transcript.whisperx[29].start |
690.83 |
| transcript.whisperx[29].end |
691.291 |
| transcript.whisperx[29].text |
謝謝蘇星全委的諮詢 |