| IVOD_ID |
17183 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Full/1M/17183 |
| 日期 |
2026-01-07 |
| 會議資料.會議代碼 |
聯席會議-11-4-36,26-1 |
| 會議資料.會議代碼:str |
第11屆第4會期司法及法制、社會福利及衛生環境委員會第1次聯席會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
4 |
| 會議資料.會次 |
1 |
| 會議資料.種類 |
聯席會議 |
| 會議資料.委員會代碼[0] |
36 |
| 會議資料.委員會代碼[1] |
26 |
| 會議資料.委員會代碼:str[0] |
司法及法制委員會 |
| 會議資料.委員會代碼:str[1] |
社會福利及衛生環境委員會 |
| 會議資料.標題 |
第11屆第4會期司法及法制、社會福利及衛生環境委員會第1次聯席會議 |
| 影片種類 |
Full |
| 開始時間 |
2026-01-07T08:32:23+08:00 |
| 結束時間 |
2026-01-07T14:31:00+08:00 |
| 影片長度 |
05:58:37 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://h264media01.ly.gov.tw:443/vod_1/_definst_/mp4:1M/8d241381c4f8c7fc21ca6625277982f4b59bb4d1c2baa0f2081761262ea6c52f38cfe32facea008f5ea18f28b6918d91.mp4/playlist.m3u8 |
| 會議時間 |
2026-01-07T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第4會期司法及法制、社會福利及衛生環境委員會第1次聯席會議（事由：一、併案審查行政院函請審議「衛生福利部組織法第二條、第五條及第八條條文修正草案」案等10案。
二、併案審查行政院函請審議「衛生福利部兒少及家庭支持署組織法草案」案等7案。
三、併案審查行政院函請審議「衛生福利部長期照顧及社會發展署組織法草案」案等6案。
四、併案審查行政院函請審議「衛生福利部中央健康保險署組織法第二條條文修正草案」案等5案。
五、併案審查行政院函請審議「國家醫療科技評估中心設置條例草案」案等4案。
六、併案審查行政院函請審議「國家中醫研究院設置條例草案」案等10案。
【詳見議事日程】） |
| 委員名稱 |
完整會議 |
| 委員發言時間 |
08:32:23 - 14:31:00 |
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| transcript.whisperx[0].start |
1684.574 |
| transcript.whisperx[0].end |
1697.539 |
| transcript.whisperx[0].text |
報告聯席會初席委員17人已足法定人數請主席宣布開會我們現在開會我們介紹到場的委員跟應邀列席的官員先介紹在場委員有我們 |
| transcript.whisperx[1].start |
1699.201 |
| transcript.whisperx[1].end |
1713.493 |
| transcript.whisperx[1].text |
王育敏王委員林倩琦林委員盧憲一盧委員還有我們到場應邀列席的官員有衛福部部長石崇良石部長 |
| transcript.whisperx[2].start |
1715.074 |
| transcript.whisperx[2].end |
1733.465 |
| transcript.whisperx[2].text |
現在在受訪,我看其他的司法法制,你們這裡比較少看到,我先給你們介紹一下。中國規劃司司長有來了,廖司長。中藥師司長兼國家中醫藥研究所代理所長,我們書一張書,所長。 |
| transcript.whisperx[3].start |
1735.947 |
| transcript.whisperx[3].end |
1741.831 |
| transcript.whisperx[3].text |
人事處處長林翠玲林處長保護服務司副司長郭采榮副司長長照司副司長吳希文副司長法規專委許子惠健保署署長陳亮宇城署長社會及家庭署副署長張美美副署長 |
| transcript.whisperx[4].start |
1766.307 |
| transcript.whisperx[4].end |
1786.545 |
| transcript.whisperx[4].text |
行政院人事總處 張秋元夫人市長 司法院少年及家事廳法官 傅曉勳副法官監察院社會福利及衛生環境委員會主秘 施貞揚司主秘 |
| transcript.whisperx[5].start |
1787.465 |
| transcript.whisperx[5].end |
1796.188 |
| transcript.whisperx[5].text |
還有全序部法規司專委,張婉寧專委,內政部地政司專委,張翠恩專委。財政部,選兩個,選兩個大家要應對的。今天來了誰? |
| transcript.whisperx[6].start |
1813.085 |
| transcript.whisperx[6].end |
1832.077 |
| transcript.whisperx[6].text |
來了好多我們寧華院專委還有劉旭峰專委這個複稅署的國庫署張一新張副組長教育部吳志偉專委這點到都會先關法務部楊思宇檢察官 |
| transcript.whisperx[7].start |
1833.678 |
| transcript.whisperx[7].end |
1861.345 |
| transcript.whisperx[7].text |
經濟部人事專門委員 郭惠怡專委勞動部 勞動部也要介紹 勞動部專委李佩鳳 李娟鳳 還有劉政彥專委文化部 李長榮專委國家發展委員會 這個也有來 施艾娟專委還有國家科學及技術委員會 屠君怡副處長 |
| transcript.whisperx[8].start |
1862.964 |
| transcript.whisperx[8].end |
1873.548 |
| transcript.whisperx[8].text |
公共工程委員會徐偉俊專委原住民組委員會科學院專委還有行政院主席總處李培源專委謝謝你們 |
| transcript.whisperx[9].start |
1878.621 |
| transcript.whisperx[9].end |
1886.906 |
| transcript.whisperx[9].text |
那我們其他的其他我就不再主義介紹介紹差不多了那請參閱這整個名單不再主義介紹並列入公報記錄那本次的議程我們討論事項的排定是病案的審查請這邊函請審議衛生福利部組織法第二條第五條第八條條文修正案相關法案一共有六案那今天其實 |
| transcript.whisperx[10].start |
1907.78 |
| transcript.whisperx[10].end |
1934.922 |
| transcript.whisperx[10].text |
很感謝我們醫師人員我看昨天很晚的時候還在做對照表也非常辛苦我們現在來一併進行個案的提案說明及報告先進行提案說明我們發言時間就三分鐘了依道場委員的先後秩序我們先請提案人盧憲一委員來做提案說明 |
| transcript.whisperx[11].start |
1944.848 |
| transcript.whisperx[11].end |
1961.214 |
| transcript.whisperx[11].text |
謝謝昭緯我的提案最主要是說針對偏鄉的部分我們知道衛福部從102年成立以後我們的三地離島一直是在一個護理及健康照護士科的底層來做事 |
| transcript.whisperx[12].start |
1962.995 |
| transcript.whisperx[12].end |
1992.259 |
| transcript.whisperx[12].text |
那我覺得這個偏鄉的專責單位我覺得一直都沒有成立尤其是我們2012年原建法通過以後它第二條有說中央主管機關應該指定專責單位辦理原住民主健康事務結果很遺憾這次我們的排定裡面還是沒有看到我們原住民的專門的一個單位我們希望能夠增設原住民主健康照顧署來跟兒家署 照發署針對這次的期程能夠完成 |
| transcript.whisperx[13].start |
1992.859 |
| transcript.whisperx[13].end |
2015.039 |
| transcript.whisperx[13].text |
最主要的原因就是我們的平均移民還是落差在7.54歲然後我們的文化安全的獨特跟地理特殊性以及跨領域的資源整合實在是需要一個專責單位來努力所以我們這次也是針對這個組織法的第二條 第五條 第八條做修正草案期待能夠增設原住民主健康照顧署 |
| transcript.whisperx[14].start |
2015.539 |
| transcript.whisperx[14].end |
2040.604 |
| transcript.whisperx[14].text |
那最主要的理由除了那些以外和我們的健康的一些原住民的健康的data散落在各個部會裡面沒有辦法來好好的來利用還有一些我們的經費的一個整合因為我如果只單靠原民會或者是這個3D理導科原住民組理導科我覺得是沒有辦法來呈現或者是說來 |
| transcript.whisperx[15].start |
2041.784 |
| transcript.whisperx[15].end |
2065.763 |
| transcript.whisperx[15].text |
真正的來處理我們原住民族的健康問題因為實在是落差太大我們常常會覺得是原鄉是我們本島中的離島如果從恆春半島 蘭嶼或者是花東這個區塊我們就很難去從那個科的層級來處理這個事情所以我就做了第二條 第五條 第八條的法律象徵案以上 謝謝 |
| transcript.whisperx[16].start |
2071.823 |
| transcript.whisperx[16].end |
2076.844 |
| transcript.whisperx[16].text |
好 謝謝盧先英委員接下來請王玉敏委員來做提案說明好 謝謝昭偉我想今天我們來審衛福部的組織法其實具有前瞻性跟未來性的意義第一個就是我想有關於兒少的議題非常多團體非常的關心這也是我過去長期以來關心的領域 |
| transcript.whisperx[17].start |
2099.568 |
| transcript.whisperx[17].end |
2119.68 |
| transcript.whisperx[17].text |
那我們知道這個兒童局在102年被裁撤之後呢事實上兒童的業務就散落在這一個社家署還有保護服務司然後其他的單位當中那這樣子一個零散化事實上我們沒有辦法針對兒少的政策有一個統整的規劃 |
| transcript.whisperx[18].start |
2120.66 |
| transcript.whisperx[18].end |
2137.09 |
| transcript.whisperx[18].text |
它橫向的整合其實也往往看到沒有一個有效的整合那加上現在我們看到這個少子化的問題真的是非常的嚴峻這個到11月為止我們整個新生兒人數只有98,785人如果加上12月 |
| transcript.whisperx[19].start |
2142.173 |
| transcript.whisperx[19].end |
2156.269 |
| transcript.whisperx[19].text |
不知道現在部長有沒有掌握到最新的數字如果12月數字加起來恐怕是連11萬人都有困難那這樣的一個大幅下降的一個少子化的危機也已經是國安危機 |
| transcript.whisperx[20].start |
2157.11 |
| transcript.whisperx[20].end |
2179.228 |
| transcript.whisperx[20].text |
所以我覺得整個政府我們應該要因應未來的挑戰因此這次的主改我覺得它是有一個很大的意義那當然我們也賦予很大的期許就希望這樣的主改不是為了改而改而是真的它所有的組別跟功能跟未來的人數都能符合我們兒少福利的需求 |
| transcript.whisperx[21].start |
2179.648 |
| transcript.whisperx[21].end |
2184.814 |
| transcript.whisperx[21].text |
包括現在兒少所面對的很多的挑戰他的心理健康問題 自殺的問題還有他們在網路成癮的問題還有這個相關的電子菸然後氾濫 |
| transcript.whisperx[22].start |
2194.765 |
| transcript.whisperx[22].end |
2212.816 |
| transcript.whisperx[22].text |
然後它這個吸食菸品的問題等等都有非常多未來的挑戰但是目前看到的這個主改還沒有看到很詳細的一個規劃只有大致的組別那我們是希望這個過程當中要去多聽取一些兒少組織的意見就是希望可以再召開這個公聽會聽取大家的意見然後做一個最好的組織的調整 |
| transcript.whisperx[23].start |
2222.142 |
| transcript.whisperx[23].end |
2246.608 |
| transcript.whisperx[23].text |
所以這個部分我們希望是這樣另外在行政院層級應該要增設一個二級的兒少事務委員會就是針對真正跨部會的整合也要有一個更上級的單位來因應那另外這次主改裡面我們看到有一個是關於中醫藥研究所要改制為行政法人的部分這個部分本席也有相對提案我是非常的贊成我想 |
| transcript.whisperx[24].start |
2247.828 |
| transcript.whisperx[24].end |
2268.301 |
| transcript.whisperx[24].text |
這個前不久我才帶隊衛環委員會去考察了我們的中醫藥研究所事實上看到在疫情期間我們的新冠1號其實發揮了非常強大的一個防疫的效能所以我們整個中醫藥的發展應該未來改制成行政法人之後要讓它有足夠的量能然後讓台灣的我們的這個中醫藥未來的發展 |
| transcript.whisperx[25].start |
2271.223 |
| transcript.whisperx[25].end |
2282.708 |
| transcript.whisperx[25].text |
可以就是在亞洲地區我們建立起我們的專業跟領導的地位所以關於這一部分的主改我有相對的提案也請大家共同來支持以上 謝謝好 謝謝王玉明委員接下來請林倩琪委員來做提案說明 |
| transcript.whisperx[26].start |
2298.106 |
| transcript.whisperx[26].end |
2315.3 |
| transcript.whisperx[26].text |
好 謝謝我們主席莊昭偉府會同仁本席在提出衛生福利部組織法第二條 第五條 第八條修正草案的核心精神最主要是讓國家的衛生福利治理的結構能夠跟上我們人口的結構變化跟族群健康不平等的現實 |
| transcript.whisperx[27].start |
2316.961 |
| transcript.whisperx[27].end |
2335.702 |
| transcript.whisperx[27].text |
我們進入超高齡社會同時也面臨了少子女化長期照顧需求也很快速的上升在兒少跟家庭支持體系也越來越複雜現行衛福部的業務分工比較難回應目前這些跨領域 跨世代的政策需求 |
| transcript.whisperx[28].start |
2336.463 |
| transcript.whisperx[28].end |
2359.465 |
| transcript.whisperx[28].text |
因此本案透過來調整第二條業務執掌跟第五條的次級機關設計來強化長照兒少及家庭支持等政策的專責化與治理效率本案在本席聲明所提的跟行政院版本最重要也最關鍵性的差異在於援助民族健康制度的一個設計 |
| transcript.whisperx[29].start |
2360.666 |
| transcript.whisperx[29].end |
2375.646 |
| transcript.whisperx[29].text |
那麼長期以來原住民在醫療的可靜性還有平均餘命跟慢性疾病負擔和心理健康的面向都明顯的落後全體國民那這也不是個別計畫可以來補救的一個問題 |
| transcript.whisperx[30].start |
2376.847 |
| transcript.whisperx[30].end |
2398.913 |
| transcript.whisperx[30].text |
而是結構性的健康不平等本案明確的將原住民族健康的業務自一般性的衛生業務裡面獨立出來然後設立原住民族健康照護署來賦予其專責的統籌政策規劃跟執行的法定地位這最主要是來落實我們原住民族健康法立法精神很關鍵的一步 |
| transcript.whisperx[31].start |
2399.873 |
| transcript.whisperx[31].end |
2414.986 |
| transcript.whisperx[31].text |
那麼這樣子的設計不是只有組織來調整而是國家應該藉此來向原住民族清楚的表態原住民族健康不是附屬的議題而是必須要被制度性長期性對待的一個核心公共 |
| transcript.whisperx[32].start |
2415.646 |
| transcript.whisperx[32].end |
2437.668 |
| transcript.whisperx[32].text |
政策那對於整個原住民在健康跟這個平均餘命的一個落後我想透過這樣一個機制比較可以很務實地趕上所以以上的說明敬請各位同仁來支持讓這次的修法能夠來縮小健康落差然後落實族群平等的制度謝謝 |
| transcript.whisperx[33].start |
2441.727 |
| transcript.whisperx[33].end |
2447.984 |
| transcript.whisperx[33].text |
謝謝林委員 接下來請羅廷偉委員來做提案說明 |
| transcript.whisperx[34].start |
2454.943 |
| transcript.whisperx[34].end |
2480.601 |
| transcript.whisperx[34].text |
好非常感謝召委我想今天在審我們這個衛生福利部我們現在的組織法第二條第五條第八條的條文修正草案台灣正面臨人口結構的雙重危機高齡化與少子化同步正在加劇使得長照體系一直承受前所未有的壓力我想我們大家都感受得到照顧人力的一個短缺同時少子化趨勢逐漸的惡化當中 |
| transcript.whisperx[35].start |
2483.263 |
| transcript.whisperx[35].end |
2500.214 |
| transcript.whisperx[35].text |
兒童及少年的健康促進以及福利的保障我覺得在這個時切更顯得要去關注面對這場人口的危機現行衛生福利部組織架構已經無法有效的去因應所以通盤調整所屬機關職長刻不容緩 |
| transcript.whisperx[36].start |
2503.556 |
| transcript.whisperx[36].end |
2529.228 |
| transcript.whisperx[36].text |
再一次我們在這一次的條文修正我們希望能夠來支持衛生福利部兒少及家庭的一個支持署他們這樣子的一個組織法草案以及衛生福利部長期照顧及社會發展署的一個組織法草案我想這四案當中藉由組織的再造予成立長期照顧以及社會發展署兒少及家庭的支持署整合資源 |
| transcript.whisperx[37].start |
2530.688 |
| transcript.whisperx[37].end |
2551.421 |
| transcript.whisperx[37].text |
強化的量能從組織根本來解決現在當前的一個困境另外癌症已經連續多年位居國人十大死因之首新藥可敬性以及給付效率逐漸的提升我們也希望它能夠再更加緊腳步 |
| transcript.whisperx[38].start |
2552.401 |
| transcript.whisperx[38].end |
2566.567 |
| transcript.whisperx[38].text |
本席同時我們希望能夠來排審這一個國家醫療科技評估中心的一個設置條例草案以行政法人的一個形式來設置國家醫療科技評估中心 |
| transcript.whisperx[39].start |
2567.901 |
| transcript.whisperx[39].end |
2585.828 |
| transcript.whisperx[39].text |
能夠來建立我們的專業獨立的一個醫療科技評估機制結合真實的一個世界數據相關的一個證據來建構新藥優先排序制度讓癌症新藥基金給付能夠無縫接軌 |
| transcript.whisperx[40].start |
2586.568 |
| transcript.whisperx[40].end |
2612.268 |
| transcript.whisperx[40].text |
提升評估的一個效率加速病患來取得創新藥物的一個時程來完善我國癌症治療的一個整體保障體系一起加油也希望我們不分藍綠白我們大家一起為國人的健康福利來努力謝謝好 謝謝羅委員接下來請林瑞琴委員來做提案說明 |
| transcript.whisperx[41].start |
2626.837 |
| transcript.whisperx[41].end |
2640.051 |
| transcript.whisperx[41].text |
主席各位委員以及所有關心衛福部組織改造跟專責機構成立的夥伴們大家好那針對本次衛福部改六法的一個修正草案我給予衛福部 |
| transcript.whisperx[42].start |
2641.261 |
| transcript.whisperx[42].end |
2660.07 |
| transcript.whisperx[42].text |
高度的肯定 其中我特別關注的是兒少及家庭支持署的成立過去幾年來兒少專責機構的建立事實上是民間許多倡議團體的期盼今天這個聲音總算被聽進去了因為等了13年的時間之久 |
| transcript.whisperx[43].start |
2661.811 |
| transcript.whisperx[43].end |
2678.363 |
| transcript.whisperx[43].text |
兒童跟少年事實上是國家發展的基石家庭更是社會最核心的一個組成我們必須落實兒權公約的精神以及社會投資的概念在國民生活歷程的早期發展階段投入充足的資源 |
| transcript.whisperx[44].start |
2679.202 |
| transcript.whisperx[44].end |
2706.681 |
| transcript.whisperx[44].text |
協助兒少健全成長幫助家庭輕脂復能並且建構友善的成長環境我特別想要強調的是新的專責機構必須發揮跨部會協調跟整合的核心功能期待透過本次的組織改造我們能達成事權統一建立完整的支持體系確保從孕產期育兒階段到青少年智力政府的服務鏈應該是連續且 |
| transcript.whisperx[45].start |
2708.402 |
| transcript.whisperx[45].end |
2737.587 |
| transcript.whisperx[45].text |
不中斷的此外我的版本裡邊我也進一步參照兒權公約的精神所在在權責掌理事項中明確納入兒童權利影響評估並明定身心健康事故傷害防治數位安全跟隱私以及兒少智力支持等業務範疇藉此符合兒少實務需求那組織改造不是只有換招牌而是要透過制度化來提升韌性 |
| transcript.whisperx[46].start |
2738.228 |
| transcript.whisperx[46].end |
2747.859 |
| transcript.whisperx[46].text |
確保每個孩子都能在國家保護網下健全成長因此這項修法是落實國家希望工程的關鍵一步我懇請各位委員同仁一起支持 謝謝 |
| transcript.whisperx[47].start |
2750.302 |
| transcript.whisperx[47].end |
2760.631 |
| transcript.whisperx[47].text |
好 謝謝林月琴委員那提案說明也很多那本席也有提案 我就不要搞瘋了大家其實都有志一同我們現在就來請機關代表來做報告發言時間三分鐘請衛生福利部石崇良史部長 |
| transcript.whisperx[48].start |
2776.105 |
| transcript.whisperx[48].end |
2795.835 |
| transcript.whisperx[48].text |
主席還有各位委員很榮幸受司法及法制還有我們社福未還委員會的聯席會議的邀請來做本次衛生福利部組織法調整相關法案的報告 |
| transcript.whisperx[49].start |
2796.255 |
| transcript.whisperx[49].end |
2805.045 |
| transcript.whisperx[49].text |
那麼進行各位委員不定指教那衛福部是在102年成立那麼整合了衛生跟福利的業務那麼共有86處7個任務編組跟6個所屬的機關 |
| transcript.whisperx[50].start |
2811.392 |
| transcript.whisperx[50].end |
2824.108 |
| transcript.whisperx[50].text |
今年因為長照業務的擴增所以在107年的時候修法成立了長照師以及口腔健康師從心口師來做兩個的分離 |
| transcript.whisperx[51].start |
2829.474 |
| transcript.whisperx[51].end |
2857.85 |
| transcript.whisperx[51].text |
但是面臨著高齡化跟少子女化的挑戰那麼仍然有需要做更大幅度完整的調整來面對未來的挑戰以及社會的高度的期盼因此我們這一次的組織調整共成立了兩個新的署同時兩個行政法人機構第一個是成立兒少級家庭 |
| transcript.whisperx[52].start |
2858.61 |
| transcript.whisperx[52].end |
2877.503 |
| transcript.whisperx[52].text |
支持署來整合兒少的相關業務包含兒童少年的福利保護安置還有兒童兒少的健康促進早期療癒跟家庭支持等服務把兒少機構的管理也納入在兒家署 |
| transcript.whisperx[53].start |
2878.143 |
| transcript.whisperx[53].end |
2895.735 |
| transcript.whisperx[53].text |
那麼來做從前端的預防到健康的促進到後端的保護處置都有同一個單位來掌理那麼完善整個兒童的健康及福利的照顧鏈那麼第二個是新成立長期照顧及社會發展署 |
| transcript.whisperx[54].start |
2896.075 |
| transcript.whisperx[54].end |
2919.202 |
| transcript.whisperx[54].text |
那麼我們是在一百零四年通過這個長符法在一百零七年成立的長照師但是長照業務能善在在不同的師屬所以這一次將長照診病同時併合老人福利身心障礙福利婦女福利跟國民年輕業務來做一個完整的這個長照服務的輸送體系跟社會的發展支持 |
| transcript.whisperx[55].start |
2919.922 |
| transcript.whisperx[55].end |
2936.156 |
| transcript.whisperx[55].text |
第三個是成立兩個行政法人分別是國家醫療科技評估中心跟國家中醫研究院來協助相關不論是在政策的評估健保給付前的 |
| transcript.whisperx[56].start |
2936.936 |
| transcript.whisperx[56].end |
2947.964 |
| transcript.whisperx[56].text |
科技評估或之後的再評估來確保健保給付的效益同時也讓人力人才的螺絲更具彈性發展其專業其次對於 |
| transcript.whisperx[57].start |
2953.687 |
| transcript.whisperx[57].end |
2972.993 |
| transcript.whisperx[57].text |
過去的配合這一次的這兩個署跟兩個行政法人的設立我們也同時調整了本部跟所屬機關的一些業務的重整希望未來能夠提升這樣的行政效能那麼再請各位委員給予支持跟指教以上報告 |
| transcript.whisperx[58].start |
2975.885 |
| transcript.whisperx[58].end |
2984.376 |
| transcript.whisperx[58].text |
好 謝謝石崇良 石部長接下來請行政院人事行政總署我們政務副人事長張秋元副人事長來做報告 |
| transcript.whisperx[59].start |
2991.809 |
| transcript.whisperx[59].end |
3013.262 |
| transcript.whisperx[59].text |
主席 各位委員 各位女士先生 大家早安今天大院的司法法制與社會福利及衛生環境委員會舉行聯席會議來審查行政院函請審議的衛生福利部組織法的第二條 第五條及第八條的修正草案 |
| transcript.whisperx[60].start |
3014.142 |
| transcript.whisperx[60].end |
3033.03 |
| transcript.whisperx[60].text |
以及衛生福利部兒少及家庭支持署的組織法的草案衛生福利部長期照顧及社會發展署組織法草案衛生福利部中央健康保險署組織法第二條的修正草案以及 |
| transcript.whisperx[61].start |
3034.731 |
| transcript.whisperx[61].end |
3050.168 |
| transcript.whisperx[61].text |
國家醫療科技評估中心設置條例草案國家中醫研究院的設置條例草案並且安排病案審查各委員的相關提案本總處今天奉邀列席 |
| transcript.whisperx[62].start |
3051.209 |
| transcript.whisperx[62].end |
3078.74 |
| transcript.whisperx[62].text |
非常榮幸也感謝大院的邀請那以下請就涉及本總書業務部分提出說明那這次衛生福利部就如同剛剛石部長提到他從102年的這個上一次的組織改造成立到現在已經超過了10年那這段期間社會的這個變遷非常的快速那國民對衛生福利業務的這個期待 |
| transcript.whisperx[63].start |
3079.761 |
| transcript.whisperx[63].end |
3081.368 |
| transcript.whisperx[63].text |
也有深深的期許 |
| transcript.whisperx[64].start |
3086.133 |
| transcript.whisperx[64].end |
3107.242 |
| transcript.whisperx[64].text |
這次的調整也為了要擴大醫療科技的評估技術的發展應用剛才王議員有提到中醫藥研發能力我們也希望在這個領域我們國家能夠有一個領先的地位所以這次為何不在現有的三級機關的數據總數不變的前提下 |
| transcript.whisperx[65].start |
3111.004 |
| transcript.whisperx[65].end |
3127.146 |
| transcript.whisperx[65].text |
把整個業務做一個重新的整合跟事權統一的方向去做調整把部本部跟所有機關的業務執掌整個重新再做一個整理用這樣的方式來提升組織運作的效能 |
| transcript.whisperx[66].start |
3127.666 |
| transcript.whisperx[66].end |
3154.033 |
| transcript.whisperx[66].text |
那這次的這個相關的法案行政院送審的部分已經在行政院這邊經過相關的會審的機關的審議那也通過行政院院會然後送到大院來審議那也拜託各位能夠支持那等一下如果有這個法案的主條審查委員如果有推詢的部分我們總處在 |
| transcript.whisperx[67].start |
3155.033 |
| transcript.whisperx[67].end |
3162.359 |
| transcript.whisperx[67].text |
來做相關的說明並且尊重大院審議的結果以上報告敬請各位員指教 謝謝其餘提出書面報告機關有沒有口頭來做補充 |
| transcript.whisperx[68].start |
3172.011 |
| transcript.whisperx[68].end |
3197.41 |
| transcript.whisperx[68].text |
好 沒有 好 謝謝那機關代表報告完畢了相關書面的內容請各位來參閱並列入公報記錄那提案說明跟機關報告已經進行完畢我們現在開始要來進行巡打那今天是兩個委員會聯席的會議共計 總共20倍 巡打人數比較多 |
| transcript.whisperx[69].start |
3198.07 |
| transcript.whisperx[69].end |
3209.036 |
| transcript.whisperx[69].text |
那今天台灣討論的時候還有很多機會可以來做充分的表達意見所以今天就沒有辦法來給大家太長的時間那本聯席會的委員那非本聯席會的委員 |
| transcript.whisperx[70].start |
3214.519 |
| transcript.whisperx[70].end |
3216.32 |
| transcript.whisperx[70].text |
上午10點30分截止發言登記現在請登記第一位黃國昌委員來做尋討 |
| transcript.whisperx[71].start |
3241.201 |
| transcript.whisperx[71].end |
3244.508 |
| transcript.whisperx[71].text |
有啊 非本聯席會委員就是三分鐘而已謝謝主席 麻煩有請石部長有請石崇良部長 |
| transcript.whisperx[72].start |
3256.679 |
| transcript.whisperx[72].end |
3285.434 |
| transcript.whisperx[72].text |
黃委員早部長 時間的關係我們就迅速的進行為了提升兒少的權益要成立兒家署正這個方向上面本席竟表贊同但我現在關心的事情是我們未來到底還會有多少兒少我之前說少子女化辦公室是騙局一場結果行政院派一個發言人出來說有啊 我們有成立有成立非常好 |
| transcript.whisperx[73].start |
3288.025 |
| transcript.whisperx[73].end |
3306.936 |
| transcript.whisperx[73].text |
黨團發函去你們衛福部要你們把少子女化辦公室成立了半年所有的資料都交出來 到現在不交現在衛福部是怎麼樣官威很大嗎要你們交資料不交 可以這樣嗎今天下班以前送來有沒有問題 |
| transcript.whisperx[74].start |
3308.717 |
| transcript.whisperx[74].end |
3337.777 |
| transcript.whisperx[74].text |
跟委員報告我們確實沒有成立這個少子女化對策那奇怪啦為什麼行政院說有啊你說沒有現在誰講的是對的在院承集的話他有這個少子女化對策來來來來來來你們行政院發言人說呢說外服部有成立少子化辦公室這不是我說的啊你現在說沒有奇怪了 |
| transcript.whisperx[75].start |
3339.249 |
| transcript.whisperx[75].end |
3367.911 |
| transcript.whisperx[75].text |
怎麼一個政府單位說詞上面下面不一樣來 你再說一次衛福部有沒有成立少子化辦公室有還是沒有在我們數的時代 部的時代是沒有2017年4月12號有沒有成立我在我的印象裡面沒有成立沒有成立 好 講得非常的好今天衛福部的部長公開打臉行政院說謊說謊正式回函給我 |
| transcript.whisperx[76].start |
3369.292 |
| transcript.whisperx[76].end |
3392.665 |
| transcript.whisperx[76].text |
下班以前回函給我有沒有問題這個沒有問題 你就回函給我說從來沒有成立過所以黨團要的資料我們無從提供因為從來沒有成因為根本沒有提供從來沒有成立過這樣就好了嘛下班以前書面回覆可以嗎本部確實沒有成立沒關係下班以前書面回覆可不可以可以可以好來再來第二個問題竟然啊 |
| transcript.whisperx[77].start |
3396.687 |
| transcript.whisperx[77].end |
3406.325 |
| transcript.whisperx[77].text |
我們頒發機優的督導濫用權限去性侵未成年少女這個案子發生在高雄市遮掩了這麼久 |
| transcript.whisperx[78].start |
3407.748 |
| transcript.whisperx[78].end |
3428.939 |
| transcript.whisperx[78].text |
遮掩了這麼久現在被挖出來了以後竟然什麼鬼藉口全部都找出來了我看了令人髮指啊結果他還是GU的督導到底是GU在哪裡啊當初這個獎是怎麼評的是怎麼頒的我非常的困惑我非常的困惑 |
| transcript.whisperx[79].start |
3430.667 |
| transcript.whisperx[79].end |
3445.432 |
| transcript.whisperx[79].text |
這個G.O.督導的制度當初是誰評的竟然把G.O.督導當給一個濫用權限 性侵未成年少女的我無從理解我關心的事情是 |
| transcript.whisperx[80].start |
3446.873 |
| transcript.whisperx[80].end |
3473.293 |
| transcript.whisperx[80].text |
這個GU的督導什麼時候要撤銷我昨天發文去問我一直等到晚上9點你們含附我內容你們說會溯及的撤銷來 撤銷GU督導這件事情什麼時候做的1月6號我們正式發文是 撤銷是什麼時候做的就是撤銷1月6號1月6號什麼時候撤銷的 |
| transcript.whisperx[81].start |
3474.673 |
| transcript.whisperx[81].end |
3500.403 |
| transcript.whisperx[81].text |
晚上九點發文給我的時候撤銷的嗎有經過任何會議程序嗎我們公文是昨天發啦對公文是昨天發不過那個什麼時候撤銷的就昨天昨天撤銷的經過什麼會議程序沒有會議程序我們就跟對我們就根據在這個沒有關係啦沒有會議程序所以你決定把它撤銷嗎那個跟委員報告我們的這個 |
| transcript.whisperx[82].start |
3505.848 |
| transcript.whisperx[82].end |
3531.929 |
| transcript.whisperx[82].text |
講的這個實施辦法裡面其實有一個第九點沒有關係啦所以是誰決定撤銷的我問題只有這樣嘛就是由部來決定撤銷所以是你決定撤銷的嘛這樣子做為就有擔當了嘛就是我部長決定我昨天就下令撤銷這樣就好了嘛這麼簡單的問題但我現在很困惑啊衛福部做得到怎麼經濟部做不到 |
| transcript.whisperx[83].start |
3533.611 |
| transcript.whisperx[83].end |
3559.707 |
| transcript.whisperx[83].text |
經濟部搬給一個優良公務員一個涉入台南光電弊案導致綠色權貴不法利益高達90億我一直問經濟部那個優良公務員什麼時候可以撤銷經濟部藉口多了這個我們要等到法院判決確定才可以決定要不要撤銷 |
| transcript.whisperx[84].start |
3561.294 |
| transcript.whisperx[84].end |
3589.134 |
| transcript.whisperx[84].text |
我今天在這邊公開講啊經濟部部長看看石崇良部長的表現看看石崇良部長的表現這才叫有破例嘛該撤銷就撤銷了還等到法院判決確定丟人現眼 官官相護啊但下一個問題啊來了狼社工查詢平台還要多久你說要研議我給你時間研議還需要多久 |
| transcript.whisperx[85].start |
3589.952 |
| transcript.whisperx[85].end |
3611.199 |
| transcript.whisperx[85].text |
我們一個月內把他一個月內好一個月內大家都聽到了下一個問題霸凌案賴總統卓院長為霸凌案道歉我之前在追衛福部的高官在霸凌結果呢結果高高舉起輕輕放下高高舉起輕輕放下叫人家坐深蹲 |
| transcript.whisperx[86].start |
3612.506 |
| transcript.whisperx[86].end |
3635.689 |
| transcript.whisperx[86].text |
用言語霸凌人家結果前部長跟我說他是高規格調查然後你們的政務次長呂健德吧非常傲慢啊護航到底啊護航到底啊現在連被台灣社會啊譏諷為專門打蒼蠅不敢打老虎的監察院 |
| transcript.whisperx[87].start |
3637.182 |
| transcript.whisperx[87].end |
3666.144 |
| transcript.whisperx[87].text |
要注意這個監察院是被譏諷為專門打蒼蠅不敢打老虎的連監察院都說這個霸凌很嚴重彈劾成立彈劾成立直接打臉所謂衛福部的高規格調查都有覺得很奇怪從這個彈劾成立以後衛福部上上下下對於這件事情視而不見可以這樣嗎來看一下住建方 |
| transcript.whisperx[88].start |
3668.254 |
| transcript.whisperx[88].end |
3685.222 |
| transcript.whisperx[88].text |
我質詢過他兩次了啦我質詢過他兩次了你們衛福部一直護航現在被彈劾了你們還是認為這是鼓勵運動不構成霸凌嗎現在衛福部要站出來跟監察院對幹嗎這件事情要怎麼處理來 請部長 |
| transcript.whisperx[89].start |
3687.163 |
| transcript.whisperx[89].end |
3710.656 |
| transcript.whisperx[89].text |
跟委員說明 這個案子也經過我們部的相關霸凌處理程序完成也配合監察院的調查提供了相關的資料我們會對監察院所提出來的相關對我們這個程序當中應該要在盡盡的地方我們去進行檢討 |
| transcript.whisperx[90].start |
3711.957 |
| transcript.whisperx[90].end |
3725.992 |
| transcript.whisperx[90].text |
那不過目前這個進度上呢他已經進入在司法的程序過程當中所以繼續護航下去就對了嘛我們會配合整個司法的程序來進行什麼叫配合整個司法的程序那監察院都彈劾勒 |
| transcript.whisperx[91].start |
3726.974 |
| transcript.whisperx[91].end |
3743.33 |
| transcript.whisperx[91].text |
他現在是移送懲戒法院是當然嘛 那個是懲戒法院嘛那個是依照公務員服務法公務員懲戒法相關的規範嘛現在你作為部長我只要一個清楚的答案是不是打算繼續護航下去讓他當司長 |
| transcript.whisperx[92].start |
3744.83 |
| transcript.whisperx[92].end |
3765.155 |
| transcript.whisperx[92].text |
智或不是就好了 台灣社會會公平智或不是就好了我們會秉持公平公正的方式來處理這個案子所以 你會不會讓他繼續當市長謝謝我們環國常務委員的懸打這個叫公平公正 這個叫高規格調查這個叫官官相護啦這個叫官官相護啊我再說一次 這個叫官官相護啊好 時間到了連監察院都彈劾勒 |
| transcript.whisperx[93].start |
3770.996 |
| transcript.whisperx[93].end |
3797.373 |
| transcript.whisperx[93].text |
今天還站在這邊繼續包庇喔基層的公務員 部長很有氣魄馬上撤銷 司長 這我們自己人怎麼可以拔掉他司長監察院認定霸凌我繼續讓他當司長這就是衛福部的態度喔跟委員說明 我們絕對勿往勿縱是 現在監察院連監察院都打臉你們高規格調查報告了你還站在這邊講勿往勿縱你不覺得丟臉嗎 |
| transcript.whisperx[94].start |
3801.052 |
| transcript.whisperx[94].end |
3814.418 |
| transcript.whisperx[94].text |
你不覺得丟臉嗎我們依據證據做所有的處分對得起那些被霸凌的精神員工嗎好 謝謝謝謝黃國昌委員的詢問接下來請陳清輝委員詢問謝謝主席 想請石部長請石崇良部長陳委員好 |
| transcript.whisperx[95].start |
3830.327 |
| transcript.whisperx[95].end |
3845.319 |
| transcript.whisperx[95].text |
石副長我要追問剛剛黃國昌委員所說的事件因為我現在這邊自己的辦公室也收到全國尤其是高雄許多社工師看不下去了看不下去整件事情的荒腔走板 |
| transcript.whisperx[96].start |
3846.079 |
| transcript.whisperx[96].end |
3863.553 |
| transcript.whisperx[96].text |
這個就是剛講到的林亞區新衛中心核性的殖民他濫用職權查到鎖定一個目標對一位未成年少女家裡性侵事後更企圖要營造成性交易塞錢給他後來呢這個少女去報案檢調成立要調查以後他又透過他在社會局工作的太太再透過公務系統來追蹤性侵案的進度 |
| transcript.whisperx[97].start |
3873.3 |
| transcript.whisperx[97].end |
3888.486 |
| transcript.whisperx[97].text |
那剛剛我們還是要讚美你一下你已經自己決定把他的基督徒刪除了嘛對不對對 撤銷他的資格但是後續呢我還有一些事想要跟你請教高雄市的局長黃志忠局長他是怎麼回應社會大眾的 |
| transcript.whisperx[98].start |
3889.306 |
| transcript.whisperx[98].end |
3902.29 |
| transcript.whisperx[98].text |
他說如果讓社會誤解我在掩蓋我會承受如果有人因此要我下台這個壓力我也承受我跟你說他上次也說他要下台至今都沒有下台上次他因為誣賴我們的雲林台灣貂裡面有多餘的藥劑結果他事後道歉說要下台現在還穩穩地坐在這個位置上 |
| transcript.whisperx[99].start |
3912.614 |
| transcript.whisperx[99].end |
3914.035 |
| transcript.whisperx[99].text |
他說這個半年他做了什麼部長我跟你報告一下他這半年呢他就內部開會配合司法調查然後查詢這個權限並且呢把這個人終止契約餘疑解聘就這樣子就這樣子喔就這樣子沒囉 |
| transcript.whisperx[100].start |
3930.183 |
| transcript.whisperx[100].end |
3933.426 |
| transcript.whisperx[100].text |
這件事情發生在8月要不是現在這個人被起訴1月媒體披露以後他才對外說明耶然後衛生局才開始進行相關的裁罰罰區區六十萬對一個未成年少女性侵濫用公務系統性侵罰區區六十萬並且是媒體披露以後他才這樣子做所以我要幾個問題要請部長說明第一 |
| transcript.whisperx[101].start |
3958.306 |
| transcript.whisperx[101].end |
3985.177 |
| transcript.whisperx[101].text |
你是最高指導機關請問你8月的時候就知道這件事情了你難道沒有叫地方政府要開始調查並且對外說明嗎還有公開調查結果你有沒有這樣做你有沒有建議他們跟委員說明這個8月的時候是你還不是部長對但如果你是呢因為這個事件我有事後有去了解那麼在8月的時候主要是檢調開始來 |
| transcript.whisperx[102].start |
3988.738 |
| transcript.whisperx[102].end |
4006.831 |
| transcript.whisperx[102].text |
調閱這個相關他的這個資訊的查詢記錄公務系統都在衛福部所以檢調一定是去衛福部但是並不清楚這個案件因為當時候還是在偵查不公開的情形之下我們並不了解這個案情我們只是配合檢調去提供這個查詢記錄的資訊 |
| transcript.whisperx[103].start |
4009.032 |
| transcript.whisperx[103].end |
4028.259 |
| transcript.whisperx[103].text |
所以你是要你現在是要跟大家說但是呢這個案子呢據我們事後的了解八月的時候呢在高雄市衛生局已經進行這個相關的人事的評議已經後來就把它解聘了在八月的時候就解聘了 |
| transcript.whisperx[104].start |
4028.973 |
| transcript.whisperx[104].end |
4049.97 |
| transcript.whisperx[104].text |
那八月的時候你只知道他解聘你的意思是說你不曉得來龍去脈是什麼因為他們的解聘不需要通知本部那難道你是要跟大家說你跟我跟所有的立委還有等一下他們內部同仁也有爆料我們都是看新聞才知道的你的意思是這樣子嗎 |
| transcript.whisperx[105].start |
4051.051 |
| transcript.whisperx[105].end |
4068.88 |
| transcript.whisperx[105].text |
我們是直到一月初的時候我們收到這個起訴的內容的時候我們才清除這個案件好 那第二點我要請你調查的是高雄市內部有社工師傳簡訊跟我們說他們長期被封鎖這個資訊僅僅被告知該為同仁請長假這件事你可以去調查嗎 |
| transcript.whisperx[106].start |
4078.291 |
| transcript.whisperx[106].end |
4093.189 |
| transcript.whisperx[106].text |
可以我们可以了解一下据我们的了解他是在8月11号的时候就已经做成解聘的处理了但是他的同事都不知道他被解聘他的同事只知道他在请长假 |
| transcript.whisperx[107].start |
4094.861 |
| transcript.whisperx[107].end |
4106.312 |
| transcript.whisperx[107].text |
我們再進一步了解好 那現在你是部長了你會不會希望高雄市政府針對這個說明以外可以做出更具體的檢討報告因為這個說明非常的空泛你會這樣建議他們嗎這當然應該對每一件事情特別是對 |
| transcript.whisperx[108].start |
4115.82 |
| transcript.whisperx[108].end |
4137.304 |
| transcript.whisperx[108].text |
這個社工其實我們社工第一線的社工呢都是任老任怨做了很多的努力對 這個等一下我會講不要因為一味這一種個人的這種惡劣的行為損及到我們所有的社工的形象我現在是要跟你一起探討我們如何去防堵嘛據我所知你們衛福部會每一個地方政府兩個帳號嘛 對不對兩個帳號 |
| transcript.whisperx[109].start |
4140.365 |
| transcript.whisperx[109].end |
4158.369 |
| transcript.whisperx[109].text |
那這個人他是林亞分區的殖密他照理說他只能看到林亞分區所有個案的資料結果因為他有了這兩個賬號的其中一個所以他現在開始搜尋全部不分區的資料他也就濫用了這個權限這個你們未來要怎麼改善 |
| transcript.whisperx[110].start |
4158.969 |
| transcript.whisperx[110].end |
4176.178 |
| transcript.whisperx[110].text |
跟委員報告我們對於這種資訊的查詢的權限是有規定的那麼以這個欣慰中心這個是欣慰中心的殖密欣慰中心全國大概有71處的欣慰中心每一個欣慰中心都有一個殖密他只能查詢他這一個 |
| transcript.whisperx[111].start |
4177.319 |
| transcript.whisperx[111].end |
4205.348 |
| transcript.whisperx[111].text |
行為中心所列管的案件的資訊它是不能夠跨中心的但是每一個縣市由縣市的衛生局會指定兩個權管更高的人員 兩個它是可以跨區的查詢那你去調查了嗎它憑什麼是最高權限的人你調查了嗎因為這個是由地方去指派所以這是由地方衛生局指派了兩名它是其中一名 |
| transcript.whisperx[112].start |
4206.147 |
| transcript.whisperx[112].end |
4222.826 |
| transcript.whisperx[112].text |
所以難道你不會要求地方政府給你檢討報告嗎我們有進行檢討就是說各項的權限那麼什麼樣的人到什麼樣的層級呢應該要做更明確的要求所以為什麼高雄市政府會給這個人最高權限你到現在知道結果了嗎 |
| transcript.whisperx[113].start |
4223.996 |
| transcript.whisperx[113].end |
4234.763 |
| transcript.whisperx[113].text |
因為他們就是指派普通的各縣市衛生局指派的層級會不一樣有的也是有用這個所以以後你會不會規定他們以後你會不會建立制度他們會來討論讓他有一個一致性的規範就是這個權限的部分第三個也是很重要的問題這個吹哨者說的我現在問部長 |
| transcript.whisperx[114].start |
4247.911 |
| transcript.whisperx[114].end |
4256.42 |
| transcript.whisperx[114].text |
欣慰執迷可不可以在外面兼差擔任性侵加害者團體的督導可不可以 |
| transcript.whisperx[115].start |
4257.509 |
| transcript.whisperx[115].end |
4282.942 |
| transcript.whisperx[115].text |
我們公務人員都有一定的兼差規定兼職規定都是有 都要報據我所知是不行好 這邊有個資訊他114年6月的時候擔任兼差性侵加害者團體的督導有人跟我爆料你多久以內可以調查給我並且我們要知道他在兼差這件事情的時候可以看到多少的資料 |
| transcript.whisperx[116].start |
4284.581 |
| transcript.whisperx[116].end |
4300.024 |
| transcript.whisperx[116].text |
這個我們再向這個衛生局來瞭解好那一個月好不好可以可以好謝謝陳清輝陳委員的詢答好謝謝那接下來請陳昭之委員來做詢答謝謝主席有請石部長請石崇良部長 |
| transcript.whisperx[117].start |
4311.707 |
| transcript.whisperx[117].end |
4315.21 |
| transcript.whisperx[117].text |
陳委員早部長早部長國家醫療科技中心這個對於整個國家醫療發展有舉足輕重的這個地位我希望能夠用獨立還有足夠的專業這個量能來做一個這個為前提來進行因為現在的新藥跟新科技的這個評估 |
| transcript.whisperx[118].start |
4331.483 |
| transcript.whisperx[118].end |
4354.4 |
| transcript.whisperx[118].text |
聚焦在財務衝擊完全忽略了社會價值病人的觀點還有長期的效益部長因為我在裡面多年了請問部長 未來這個中心我有四個問題直接請教你請你正面簡要的回答第一個 未來這個中心在組織跟決策的設計上你如何確保它不成為健保署的小弟小妹跟這個附屬 |
| transcript.whisperx[119].start |
4356.581 |
| transcript.whisperx[119].end |
4377.366 |
| transcript.whisperx[119].text |
跟委員說明這個本身它就是一個獨立的行政法人所以它有它自己的組織法所以我們才會送出這個行政法人的國家醫療科技評估在場很多人重視的也許是硬體結構但我非常清楚軟體的運作的才是真正的核心所以我希望你記得這一點它不能成為健保署 |
| transcript.whisperx[120].start |
4378.526 |
| transcript.whisperx[120].end |
4407.318 |
| transcript.whisperx[120].text |
小弟 小妹或下屬不會 他是未來的業務你不要告訴他我現在只有2億元你就就2億元去做評估這個我看多了 聽多了 見聞多了部長這是第一個你要保證不讓這種事發生未來他們負責評估之後再送給健保我請教你 你這個佈置人力你的專業配置的是如何來處理的你的初步簡單的說法就是你這個背景這個中心嗎對這個中心我們初步的目標是現在大概是在80多位 |
| transcript.whisperx[121].start |
4408.058 |
| transcript.whisperx[121].end |
4432.244 |
| transcript.whisperx[121].text |
就是說你的專家成員的背景專家對 您是否有健康經濟 藥物經濟學統計跟資料分析的這個背景會 都要喊那這些那我要知道有相當的比率好那我再請教你一件事請問健保署的專家的代表可不可以同時也是這個做這個醫療科技評估的代表可不可以 有沒有利益衝突可不可以擔任 |
| transcript.whisperx[122].start |
4433.294 |
| transcript.whisperx[122].end |
4462.494 |
| transcript.whisperx[122].text |
就是我们在健保里面他一方面做评估一方面他又来核架来准许你认为可以吗最终他会不一样一边的话是属于在讨论科技我太懂了我在里面30年他会处理的是从科学的角度去看报告本身的正确性和可依据性讨好健保署讨好卫福部 |
| transcript.whisperx[123].start |
4463.354 |
| transcript.whisperx[123].end |
4479.727 |
| transcript.whisperx[123].text |
那另外在健保的部分呢它是它有這個所謂的共理會議來決定這個要不要給付那至於議價的部分是由健保署的同仁去決定我一直希望你透明化連法庭直播都透明化了我一直希望你透明化有進度 |
| transcript.whisperx[124].start |
4481.263 |
| transcript.whisperx[124].end |
4486.366 |
| transcript.whisperx[124].text |
有相當的時程知道說進度到什麼地方做得到嗎這個科技中心做得到嗎我們現在在醫材的部分的進度都在藥品我跟你談了兩年藥品的話在這個月也會上線這四個問題請你記得我對國家科技中心我要求的是軟體運作的核心不是只有硬體的架構部長有關於兒家屬的成立 |
| transcript.whisperx[125].start |
4504.918 |
| transcript.whisperx[125].end |
4523.835 |
| transcript.whisperx[125].text |
但是兒家屬他這個兒校保護有涉及這個性剝削防治還有這個涉及到這個好幾個部門教育部是負責校園通報法務部是司法介入NCC是網路管理那需要整合的部會啊那你這個兒家屬他是三級單位層級不夠啊請問你要如何讓他能夠進行跨部會的一個溝通跟協調呢因為從凱凱案 |
| transcript.whisperx[126].start |
4528.9 |
| transcript.whisperx[126].end |
4548.874 |
| transcript.whisperx[126].text |
我們看到不良的橫向溝通造成這樣的悲劇所以我希望你能夠記取這個教訓那你如何讓這個三級單位能夠做到跨部會的協調呢我想這個跨部會很多的業務都有跨部會的問題都是一樣要就是你要怎麼做呢那另外一個我們有個平台 |
| transcript.whisperx[127].start |
4549.554 |
| transcript.whisperx[127].end |
4559.305 |
| transcript.whisperx[127].text |
在行政院還有一個兒少福利及權益的小組你就是要做跨部會的我們先不要管其他部門機構衛福部新成立的組織怎麼來進行跨部會的處理因為它只是三級的機構但是牽涉的問題很廣 |
| transcript.whisperx[128].start |
4568.515 |
| transcript.whisperx[128].end |
4579.623 |
| transcript.whisperx[128].text |
他其實在行政委員會努力做然後我要看到你怎麼做部長去年台南麻豆某居家托育機構有個正姓保姆他是有照的他找來無照的張姓朋友冒牌 正牌保姆違法操作孩童而且還虐童事後企圖還刪除監視器的畫面把他滅證根據調查過去只要社會局派人 警察人上門無照的張姓保姆就會把小朋友非法搜索小朋友帶往另外一棟大樓去躲避起來 |
| transcript.whisperx[129].start |
4598.135 |
| transcript.whisperx[129].end |
4603.337 |
| transcript.whisperx[129].text |
所以根據社家屬的這個訪視規定他因為需要這個事先電話預約這個時間讓稽查效果整個大打折扣這也是為什麼張姓保姆他可以違法兩年之久都沒有被發現那部長你參考一下這個兒童您容忍跟還想陪你長大的這個兒家屬的政策建言他說把訪視員的預約制改成這個不預期的他用突襲檢查的我比較願意用不預期的這個做法您同意嗎 你有支持這個 |
| transcript.whisperx[130].start |
4625.988 |
| transcript.whisperx[130].end |
4636.172 |
| transcript.whisperx[130].text |
跟委員說明在凱凱案之後我們在113年就已經修改我們的綁法規定已經是不預期了我還是要再提到呂建德市長主導的內部調查霸凌案但是結果這麼大的差距譬如以劉玉娟 剛才他們是以其他的市長劉玉娟本身在內部的調查是沒有霸凌事件那現在這個監察院很清楚的指出來那我請問你兩件事情 |
| transcript.whisperx[131].start |
4653.8 |
| transcript.whisperx[131].end |
4677.736 |
| transcript.whisperx[131].text |
你怎麼處理劉玉娟你怎麼處理主導這個調查案的呂次長請你明白的告訴我我想當時候在這個內部的調查的程序裡面都有依照規定我聽取過這個報告 漏洞百出我在公開質詢這個錄影都有但是部長 我現在問你你要處理這個官官相互完全失職的呂次長可以嗎 他可以進去做調查嗎 |
| transcript.whisperx[132].start |
4682.496 |
| transcript.whisperx[132].end |
4697.48 |
| transcript.whisperx[132].text |
他做的調查跟箭頭完全不同啊他的調查已經結束了整個調查報告也都完成了我想要看到你後續處理做錯事總是要被處罰嘛完全不相同 你們是官官相護嘛那我請問你 劉奕娟現在還是擔任你的主命她現在被送到懲戒法庭了你要繼續任用她嗎 重用她嗎 |
| transcript.whisperx[133].start |
4701.661 |
| transcript.whisperx[133].end |
4710.426 |
| transcript.whisperx[133].text |
因為當時候的程序我們都已經完成它的相關的調查報告確實它沒有符合這個法例我要告訴你 你兒少法基本上要遵守國際兒童權利公約又要以兒童最佳利益為優先但是如果你一個部門連你自己的基層同仁都沒有辦法好好保護好好被制度守護著請問你我們怎麼相信你衛福部的體系能夠這樣的去守護其他的家庭 |
| transcript.whisperx[134].start |
4727.897 |
| transcript.whisperx[134].end |
4751.895 |
| transcript.whisperx[134].text |
我們非常強調這個內部的申訴管道那麼不會誤玩誤中啦我們不會讓這個霸凌再發生好 謝謝陳昭智委員的詢答有夠厲害的啦可以看你這樣質詢來 接下來我們請不過石部長也講文件啦那接下來請王玉銘委員來做詢答 |
| transcript.whisperx[135].start |
4757.591 |
| transcript.whisperx[135].end |
4760.727 |
| transcript.whisperx[135].text |
好 謝謝主席 我們有請石部長請石崇良部長 |
| transcript.whisperx[136].start |
4763.673 |
| transcript.whisperx[136].end |
4786.927 |
| transcript.whisperx[136].text |
王委員好部長好部長首先我還是要問有關於高雄新衛中心的這個何子密他竟然違法去收集個資而且還性侵未成年少女這件事情我覺得這個是在社福體系跟衛生體系來講爆發了非常重大的事件但是這個事件爆發到現在我看到了幾個問題 |
| transcript.whisperx[137].start |
4788.268 |
| transcript.whisperx[137].end |
4815.16 |
| transcript.whisperx[137].text |
第一個是整個行政的不管是對於他社工師證照的這個懲戒 撤照也好到現在竟然他還有社工師的執照這是完全不可思議非常非常的緩慢請問什麼時候他的這個社工師證照用最快的速度應該要廢止這樣的人哪有資格擔任社工師啊真的非常的可恥啊 |
| transcript.whisperx[138].start |
4816.643 |
| transcript.whisperx[138].end |
4834.53 |
| transcript.whisperx[138].text |
跟委員報告這個我們也有進行了解為什麼因為我按照社工司法大概有兩個程序我覺得高雄市政府失職耶一個是等到法律判決之後依法撤銷他的證書另外一個就是一副懲戒那確實在10月的時候有一副懲戒 |
| transcript.whisperx[139].start |
4835.31 |
| transcript.whisperx[139].end |
4849.357 |
| transcript.whisperx[139].text |
那怎麼那麼慢呢但是因為呢這個當事人當時候被羈押所以讓那個懲戒的程序中止沒有辦法繼續進行那現在又重新啟動了所以應該在近期內就會做出決定我覺得這個你們要好好徹底檢討這個在社政體系這邊我個人認為這個不可思議而且太緩慢了 |
| transcript.whisperx[140].start |
4856.681 |
| transcript.whisperx[140].end |
4883.322 |
| transcript.whisperx[140].text |
如果高雄市衛生局如他們所說在8月9號就已經計兩大過免職解聘了那懲戒怎麼沒有跟上來還有社會局為什麼橫向社會局的裁處裁罰是見報才裁罰為什麼沒有跟上呢一個人如果可以被計兩大過免職表示罪證確鑿嘛這個是事實嘛你還等什麼檢調的調查報告呢 |
| transcript.whisperx[141].start |
4885.183 |
| transcript.whisperx[141].end |
4900.616 |
| transcript.whisperx[141].text |
為什麼沒有跟上 你有瞭解嗎社會局到什麼時候才懲處事件爆發之後才懲處他60萬1月5號才把他的姓名公告按照兒童法他才公告到這個CRC的網站上面 |
| transcript.whisperx[142].start |
4901.752 |
| transcript.whisperx[142].end |
4918.751 |
| transcript.whisperx[142].text |
有處理起這麼重大事件這麼牛部的嗎請問他們在睡覺嗎他們到底是發生了什麼事情還是那個衛生局局長隻手遮天什麼訊息通通都掩蓋連社會局也不知情嗎是這樣子嗎為什麼都不處理我們會 |
| transcript.whisperx[143].start |
4920.754 |
| transcript.whisperx[143].end |
4936.155 |
| transcript.whisperx[143].text |
督促這個地方社會局這邊的懲戒趕快進行我覺得不是督促的問題我要問的是那請問地方什麼時候告訴中央這件事情有完整的告訴你們 |
| transcript.whisperx[144].start |
4937.236 |
| transcript.whisperx[144].end |
4954.698 |
| transcript.whisperx[144].text |
他有沒有通報給你們的相關單位這是非常重大一方面又違反兒少法一方面他也是違反性侵害犯罪防治法非常重大的事件而且根據性侵害犯罪防治法第五條中央本來就有督導地方性侵害防治事項的責任 |
| transcript.whisperx[145].start |
4956.36 |
| transcript.whisperx[145].end |
4975.199 |
| transcript.whisperx[145].text |
那我就問你們這段期間督導了什麼從8月9號他記兩大過免職之後到底地方政府回報你們什麼訊息而這當中中央政府又督導了地方什麼事項有召開任何的相關專家會議檢討這麼重大的事項嗎 |
| transcript.whisperx[146].start |
4978.803 |
| transcript.whisperx[146].end |
5006.502 |
| transcript.whisperx[146].text |
因為它不是只有這個高雄會發生今天高雄發生這樣一個事件那你要有機制你要去檢討確保其他的體系 其他的縣市類似的不要發生而且你們應該要預警應該要告訴其他縣市說高雄已經爆發這麼重大的它是新衛中心的殖密但是它違法去調閱資料所以要提醒大家在個資方面 權限方面應該要落實 |
| transcript.whisperx[147].start |
5007.483 |
| transcript.whisperx[147].end |
5032.733 |
| transcript.whisperx[147].text |
我看這些你們通通都沒有做你們是整個高雄市政府就蓋牌然後讓你中央也沒有插手是這樣子嗎還是你們知道之後你們沒有善盡督導的責任跟委員說明我們近期知道這個完整的面貌之後也召開過會議所以你們也是近期才知道那地方有沒有沒有通報的沒有完整跟中央通報的獅子的責任 |
| transcript.whisperx[148].start |
5033.834 |
| transcript.whisperx[148].end |
5044.346 |
| transcript.whisperx[148].text |
不過就整個程序來講如何去精進這個地方跟中央的資訊的這個通報流通我們會在後面再繼續檢討我們目前先檢討的是對這個資訊的權限因為這裡面我具體要求 |
| transcript.whisperx[149].start |
5050.693 |
| transcript.whisperx[149].end |
5070.271 |
| transcript.whisperx[149].text |
這個部長你們中央應該要立刻召開一個專案會議這個專案會議兩個目的第一個徹底去檢討整個高雄市政府他在整個處理的過程包括我剛剛講是非常嚴重的你既然8月9號這個人就兩大過免職結果衛生局沒有跟進去開拔 |
| transcript.whisperx[150].start |
5070.891 |
| transcript.whisperx[150].end |
5089.629 |
| transcript.whisperx[150].text |
然後也沒有去公告姓名你足足延宕了四個半月這一點一定要究責而且要去了解為什麼是這樣子是不是有人在掩蓋相關的資訊就是不想讓這個資訊出來第二個才是你講的這件事情涉及到的是其他的這些個管系統它的安全性 |
| transcript.whisperx[151].start |
5090.35 |
| transcript.whisperx[151].end |
5105.931 |
| transcript.whisperx[151].text |
然後他的權限都應該要徹底的從這個事件當中從頭再來檢討而且要讓其他縣市政府知道這件事情我覺得是不可思議爆發這麼重大的事件沒有檢討會議也沒有去示警其他的縣市然後這個懲處又這麼的緩慢 |
| transcript.whisperx[152].start |
5108.354 |
| transcript.whisperx[152].end |
5132.807 |
| transcript.whisperx[152].text |
我真的認為這個局長早就該下台了這是掩蓋這就是完全沒有處理那他現在對外講的簽字文說他是為了保護被害人這個藉口太廉價保護被害人是所有的法令規定我們都會做到的事情但是跟你好好徹底去嚴懲這一個人相關的懲處到位這個是應該要去跟上的事情沒有跟上 |
| transcript.whisperx[153].start |
5135.228 |
| transcript.whisperx[153].end |
5151.416 |
| transcript.whisperx[153].text |
這個檢討會議我們已經啟動了那我們對整個系統性的來做檢討那包含雖然這個權限是由各地方政府去指定不過我們要有一個一致性的規範然後讓這個最少揭露原則的方式來做這個 |
| transcript.whisperx[154].start |
5152.476 |
| transcript.whisperx[154].end |
5172.134 |
| transcript.whisperx[154].text |
你也要檢討地方政府整個的處理我很明確的指出來社會局他延宕了四個半月才懲處這個就是疏失而這個人到現在還有社公司的證照這個也是疏失整個行政程序處理上面是沒有跟上的這個都是有問題的 |
| transcript.whisperx[155].start |
5173.115 |
| transcript.whisperx[155].end |
5193.824 |
| transcript.whisperx[155].text |
最後我要問你這次的耳家屬再給我一分鐘耳家屬的這個部分我們希望就是這個部分多聽一下這個耳哨團體的意見他們在這個相關的組織希望可以有更有未來性我希望這個衛福部還要再開一個公聽會正式的聽大家的意見好不好 |
| transcript.whisperx[156].start |
5194.164 |
| transcript.whisperx[156].end |
5207.433 |
| transcript.whisperx[156].text |
好 謝謝王玉明委員的詢答因為今天的人數真的是比較多一點就在主條的時候大家可以很多充分的時間來做討論接下來請林月晴委員來做詢答主席麻煩我們的衛福部部長請施部長 |
| transcript.whisperx[157].start |
5219.723 |
| transcript.whisperx[157].end |
5240.436 |
| transcript.whisperx[157].text |
部長早 林委員早那當然今天的主題是很多民間團體包含我過去一直很關心我們兒少權益的委員們都引領盼望的能夠針對於我們的衛福部的主改能夠今天能夠順利來做討論當然可以通過能符合民間的需求 |
| transcript.whisperx[158].start |
5241.414 |
| transcript.whisperx[158].end |
5270.547 |
| transcript.whisperx[158].text |
那今天大概很多個重點我就不一一在講因為我主要還是要針對兒家屬來做討論首先我想針對事故傷害防治的業務就請教部長在未來成立的兒家屬當中事故傷害防治的事項包含策略擬定跟推動數據監測和死因回溯等是否會整併進來因為今天我們一直在催生可是我們並沒有去處理死亡這件事情我們生的少死亡數又高所以這部分請部長回答一下 |
| transcript.whisperx[159].start |
5271.007 |
| transcript.whisperx[159].end |
5299.755 |
| transcript.whisperx[159].text |
好 更為包括在健康台灣的目標裡面有一項就是要降低這個兒童兒少的死亡率所以這我們把它定在這個目標裡頭所以在未來這個兒少署成立之後那麼有一組在兒童健康組的部分就會納入有關於兒童健康包含了這個死因的分析來介入這個政策來降低這個死亡我聽到你這樣講很高興因為目前我看到我們的院版的一個草案當中並沒有 |
| transcript.whisperx[160].start |
5300.555 |
| transcript.whisperx[160].end |
5328.519 |
| transcript.whisperx[160].text |
看到這樣的相關文字因為我要再三的強調0到17歲的事故傷害已經是位居第一名而且我們比日韓的死亡數和傷害的數據事實上是高的所以每一年大概都超過150個孩子因這樣子而失去生命所以執法機關也應該按照現在應該做死因回溯可是我們只做6歲以下所以我們希望說未來應該要提升到18歲可是我們希望這個能夠去納入 |
| transcript.whisperx[161].start |
5329.246 |
| transcript.whisperx[161].end |
5355.619 |
| transcript.whisperx[161].text |
那我也希望說要去做事故的數據的監測第二個就是再來就是要談死亡的自殺剛剛講事故傷害地名可是接下來就是14到25華的我們的自殺率就是非常高那我相信部長也很清楚過去興建市也有委託學者分析兒少自殺的成因許多研究也都指出相較於成人自殺率逐年下降可是兒少不但 |
| transcript.whisperx[162].start |
5356.92 |
| transcript.whisperx[162].end |
5385.163 |
| transcript.whisperx[162].text |
年年上升成因更极为复杂所以在预防策略上不同于成人在许多食物工作者也跟我讲说目前的权限你的权责规划里边落实到地方政府而造的身心健康资源就是明显的受到忽略所以以及身心以我们的儿童身心专科医师来讲不仅事实上是稀缺的人才相关的服务资源往往都需要跟成瘾科来竞争 |
| transcript.whisperx[163].start |
5385.743 |
| transcript.whisperx[163].end |
5406.025 |
| transcript.whisperx[163].text |
所以以場域來看的話雖然興建是很努力的提出外展計畫可是像少年矯正機構安置機構在人力的運用上都是跟成人共用的所以缺乏兒少專業這也讓服務供給沒有辦法貼近實際需求所以我說有沒有可能把兒少身心健康的業務完全有辦法切割過來嗎 |
| transcript.whisperx[164].start |
5408.126 |
| transcript.whisperx[164].end |
5425.514 |
| transcript.whisperx[164].text |
我想這個心理健康這個部分在我們這個整個部的發展過程當中逐漸的獨立出來就凸顯出我們現在這個心理健康對於這種心理健康的重視那至於要不要按照年齡層切割 |
| transcript.whisperx[165].start |
5427.395 |
| transcript.whisperx[165].end |
5456.019 |
| transcript.whisperx[165].text |
怎麼樣是對兒少是最好這個我們要在內部要再跟專家大家一起討論否則成人自殺下降可是兒少的是逐年往上升對 但是因為在這個心理健康的專家多數是在這個我們現在的新建師的相關的業務範疇所以我覺得那未來就要怎麼去衡軸去做一個比較好的連結那部長第三個議題就是說今天身心健康議題我們當然要 |
| transcript.whisperx[166].start |
5456.579 |
| transcript.whisperx[166].end |
5482.388 |
| transcript.whisperx[166].text |
以身份別來做業務診病的話可能有很多的考慮可是近年在數位這個環境的安全跟隱私保障方面也都是非常多人關心的可是我們現在看到的是好像也沒再看到你診病在這邊所以我認為這是我們對於兒少專責機構的重要期待是不是能夠包含數位網路使用安全跟隱私保障的議題都能夠包含進來還有我剛剛講的自殺這一塊 |
| transcript.whisperx[167].start |
5483.03 |
| transcript.whisperx[167].end |
5507.521 |
| transcript.whisperx[167].text |
我想這個數位跟網路對於青少年的危害在我們目前心理健康師其實已經有在研究也有在介入那麼特別是對他的這個行為的影響壓力還有他的這個認知跟這個注意力學習都會產生一些影響這個全世界都在有這方面的趨勢而且有相關法律台灣又沒有法令 |
| transcript.whisperx[168].start |
5508.361 |
| transcript.whisperx[168].end |
5532.362 |
| transcript.whisperx[168].text |
對 那在我們這個心健師心理健康師已經把這個列為業務範疇之一也有相關對應的計畫所以這個我們會持續的來強化那當然在未來這個兒少屬成立的時候這個兒童健康組一定也會有這一個是整合的身心靈的健康是要合在一起的也會有這個相關的政策的擬定 |
| transcript.whisperx[169].start |
5533.302 |
| transcript.whisperx[169].end |
5559.154 |
| transcript.whisperx[169].text |
最後提到兒權公約我們也即將進入今年要交第三次國家報告了國際委員要來做審查了所以呢我認為在參與表議的機制上我們還是落後太多所以去年才會出現台中市兒少代表集體遭台中市政府取消資格的爭議所以我們認為缺乏一個明確的制度化的設計讓一些地方政府可以找漏洞來鑽直接干涉到兒少參與所以 |
| transcript.whisperx[170].start |
5561.435 |
| transcript.whisperx[170].end |
5586.297 |
| transcript.whisperx[170].text |
這幾年呢大衛福部一直都在試辦我們的權力影響評估我認為適逢兒少專責機構成立也應該要整併到你的整個處務規程當中讓新的兒少家庭署能夠成為規劃推動執行跟監督兒權公約的專責單位也能夠具體回應國際審查委員的建議所以我不知道部長這部分可以達成嗎會 我們支持這樣的方向好 那我覺得希望 |
| transcript.whisperx[171].start |
5589.781 |
| transcript.whisperx[171].end |
5601.071 |
| transcript.whisperx[171].text |
真的要去考慮我們剛剛講的心理的健康這一塊跟數位好 謝謝好 謝謝林業勤委員的詢答接下來請黃秀芳委員做詢答謝謝主席 我們請部長請石部長花園早 |
| transcript.whisperx[172].start |
5614.737 |
| transcript.whisperx[172].end |
5637.495 |
| transcript.whisperx[172].text |
部長我先就我們今天有一些兒家屬即將要成立那我想請教就是說其實大家都很擔心就是說少子化這個議題真的非常的嚴重那我從內政部上面得到了一些消息一些資訊就2025年1月到11月的這個新生兒就只有98,785人 |
| transcript.whisperx[173].start |
5641.057 |
| transcript.whisperx[173].end |
5661.227 |
| transcript.whisperx[173].text |
跟去年相較起來我不知道12月到底又生了多少整個2025年的新生兒是不是有10萬應該有10萬多應該差不多其實相較於去年這個前年的話其實又少了 |
| transcript.whisperx[174].start |
5661.967 |
| transcript.whisperx[174].end |
5687.197 |
| transcript.whisperx[174].text |
少了一兩萬我不知道說部長你看到這樣的一個數字你會有什麼樣的感覺或者是你會覺得少子化的議題我們已經講了很久未來兒家屬成立之後對於少子化有什麼樣的一個解決方式或者是兒家屬成立對於少子化你們要扮演什麼樣的一個角色 |
| transcript.whisperx[175].start |
5687.956 |
| transcript.whisperx[175].end |
5703.871 |
| transcript.whisperx[175].text |
跟委員說明確實我們看到這樣的生育率是很優先因為這個農年在過去是生育率會是比較高的那但是這個前一年的這個農年並沒有這樣的現象然後再加上 |
| transcript.whisperx[176].start |
5704.551 |
| transcript.whisperx[176].end |
5724.634 |
| transcript.whisperx[176].text |
去年又是12年本來就會比農年更低但是又低到這麼多我們真的也是很擔心不過我們也做了很多努力包含不論是在生育的補助不論是在人工生殖的補助 |
| transcript.whisperx[177].start |
5725.695 |
| transcript.whisperx[177].end |
5749.015 |
| transcript.whisperx[177].text |
或者是在托育这个津贴那么这个公托准公托的推展还有这个家庭的支持其实做了很多的努力但是呢显然还没有具体的成效出来那就是做了这些努力所以现在这个行政院呢也再次的提出这在修正了我们的少 |
| transcript.whisperx[178].start |
5749.595 |
| transcript.whisperx[178].end |
5775.334 |
| transcript.whisperx[178].text |
子女对策行动计划所以今年开始又有一个新的2.0就是少子女化对策行动计划的2.0版又会扩大那么这个范围这个涉及的层面那么从生育养育教育到这个生活支持住宅还有这个职场的友善等等又在做更 |
| transcript.whisperx[179].start |
5776.263 |
| transcript.whisperx[179].end |
5794.288 |
| transcript.whisperx[179].text |
大範圍跟全面性的政策的介入希望說能夠改變這樣的趨勢部長 我希望就是說我幾乎每一年都會再問到這個議題從我進到立法院到現在那時候當時 |
| transcript.whisperx[180].start |
5796.348 |
| transcript.whisperx[180].end |
5817.114 |
| transcript.whisperx[180].text |
差不多10年前那時候生育率還有差不多這個新生兒差不多還有將近20萬那到現在剩下我看一下應該是到11月去年的11月是9萬8千多人那應該有突破10萬多可是我們看到這樣的一個數字真的會嚇死這減了一半的這個新生兒 |
| transcript.whisperx[181].start |
5817.814 |
| transcript.whisperx[181].end |
5840.943 |
| transcript.whisperx[181].text |
所以我希望就是說部長針對這一部分我們可能這個當然不是一個衛福部可以去解決的一個問題那當然就是說衛福部你應該這個兒家屬我們也寄予厚望希望說針對這一部分應該也要有一些這個貢獻一些心力那我們希望說今年的這個新生兒真的不要再 |
| transcript.whisperx[182].start |
5841.383 |
| transcript.whisperx[182].end |
5870.209 |
| transcript.whisperx[182].text |
不要再往下掉了這個是我們的期待要不然真的是大家都會怕不知道怎麼辦接下來我想請教部長針對我在去年5月份的時候我那時候有針對我們家國家衛生研究院底下有一個兒童醫學及健康研究中心我有針對這部分去做一個質詢當時我們知道國衛院底下兒童醫學及 |
| transcript.whisperx[183].start |
5870.609 |
| transcript.whisperx[183].end |
5885.547 |
| transcript.whisperx[183].text |
健康研究中心它只是針對政策的一個制定我想請教就是說在這個研究中心裡面因為應該這個研究中心是跟有一些單位他們是有一些合作 |
| transcript.whisperx[184].start |
5887.489 |
| transcript.whisperx[184].end |
5908.094 |
| transcript.whisperx[184].text |
在去年5月的時候我那時候說這個健康研究中心上面的資訊其實一直都沒有更新我們會認為國衛院底下的兒童醫學及健康研究中心應該是國家級的一個研究中心所有的資訊應該也是最新的 |
| transcript.whisperx[185].start |
5909.595 |
| transcript.whisperx[185].end |
5922.744 |
| transcript.whisperx[185].text |
那我當時在去年5月的時候我就有詢問就是說上面的資料都完全沒有更新那到最近這幾天我再上去看也完全沒有更新我不知道說這個單位它到底是 |
| transcript.whisperx[186].start |
5924.605 |
| transcript.whisperx[186].end |
5941.387 |
| transcript.whisperx[186].text |
大家会觉得说这个儿童医学健康研究中心应该是非常重要的一个单位为什么它连一些关于儿童医疗的资讯完全都没有更新我不知道部长你针对这一部分你有什么样的回应 |
| transcript.whisperx[187].start |
5941.647 |
| transcript.whisperx[187].end |
5962.653 |
| transcript.whisperx[187].text |
好 我們再來了解一下因為他現在網頁上的是他的研究報告他當時候會有一個研究報告的建議出來但是後來這個國際上也好或者是我們在ACIP就是疫苗資訊委員會都會有一些新的建議那他可能沒有把它彙整在一起我們再來督促他們來跟上這個看看這個資訊上怎麼樣來呈現 |
| transcript.whisperx[188].start |
5964.894 |
| transcript.whisperx[188].end |
5979.108 |
| transcript.whisperx[188].text |
另外我要講的就是說我們這個研究中心它算是制度的一個政策的一個制定那實際在臨床上面我覺得我們也需要有這樣的一個這個兒童級的一個健康中心 |
| transcript.whisperx[189].start |
5980.189 |
| transcript.whisperx[189].end |
6005.215 |
| transcript.whisperx[189].text |
因為食物上這個臨床上所有的這個兒童會碰到的這些疾病我覺得應該也要有這樣的一個單位那在去年的時候我在總諮詢也有針對這一部分有去做個諮詢希望說我們這個衛福部針對這一部分應該也要來重視就是有一個臨床上面的這個國家級的兒童健康中心部長你覺得這個是不是有需要 |
| transcript.whisperx[190].start |
6005.915 |
| transcript.whisperx[190].end |
6032.666 |
| transcript.whisperx[190].text |
跟委員說明就是說我們在國務院裡面這算是一個智庫的角色對 這個算是一個政策的一個制定它是智庫 但扮演的是智庫協助在這個政策擬定之前的資料的收集跟研析然後提出這個建議但是最後要轉化成政策執行的時候當然還是在主政單位所以未來就是我們的兒少組會做這個政策最後的決定然後來推動 |
| transcript.whisperx[191].start |
6033.406 |
| transcript.whisperx[191].end |
6062.604 |
| transcript.whisperx[191].text |
那在临床上呢我们另外一个就是儿童医疗体系的建立那就包含了儿童医院就是最高等级的这个儿童医院然后再下来有核心医院就是儿童这个比较有集中症能力的那在部件层基础的这个基层所以这个是整个儿童的医疗照护体系的建立所以我想这个是三方面来共同来那我们希望就是说有一个临床的这个国家级的儿童健康中心好不好 |
| transcript.whisperx[192].start |
6063.324 |
| transcript.whisperx[192].end |
6068.085 |
| transcript.whisperx[192].text |
請部長針對這部份再來關心謝謝黃秀芳委員的詢問這個少子化這個議題 國民黨時代我們講得真好我們只要叫我們的孩子帶小孩子也沒有啦不然我們之後就叫政府倒腳手了但是這個對小孩子的投資那其實也是對國家的投資這事大人沒辦法之後就叫政府接下來我們有請吳宗憲委員來做詢問 |
| transcript.whisperx[193].start |
6096.772 |
| transcript.whisperx[193].end |
6121.757 |
| transcript.whisperx[193].text |
謝謝主席那我們麻煩部長請時部長部長你好我想我們就直接切入主題你們說成立兒家屬是為了建立完整的兒少體系接住每一個孩子但少子化現在已經是國安危機了現在台灣的出生率已經降到0.87了這世界第一低 |
| transcript.whisperx[194].start |
6122.577 |
| transcript.whisperx[194].end |
6140.708 |
| transcript.whisperx[194].text |
那全世界沒有這樣子的那這涉及的不是久衛福部啊像還有勞動部的工時教育部的那個客戶輔導等等的還有內政部的社宅等等的問題那我雖然看到很多那個那個側翼啊出來幫政府洗地說這個先進國家少子化都是這樣但是我們 |
| transcript.whisperx[195].start |
6141.508 |
| transcript.whisperx[195].end |
6162.154 |
| transcript.whisperx[195].text |
我們中華民國不是世界第一名的先進國家我們排不上但是我們是第一低的出生率那就不對那就表示我們的政策出了大問題我們不可以推給年輕人年輕人不想生是政策導致他們不想生所以請問一下你們這一次的草案兒家屬這只是行政院衛福部底下的一個三級機關 |
| transcript.whisperx[196].start |
6163.975 |
| transcript.whisperx[196].end |
6188.751 |
| transcript.whisperx[196].text |
那這個東西能夠解決問題嗎因為一個三級機關他要怎麼樣去指揮勞動部譬如說這個運駕彈性的問題那內政部租金補貼的問題或者是教育部課後輔導失職的問題一個三級機關有辦法去指揮其他部嗎所以我不知道這次草案部長你們還是把它放在三級機關他可以跨部會計解決這些問題嗎 請問部長 |
| transcript.whisperx[197].start |
6190.112 |
| transcript.whisperx[197].end |
6208.206 |
| transcript.whisperx[197].text |
跟委員說明我們這次兒少組的設立主要是對兒童的照顧的部分能夠有完整那麼以兒童跟家庭為中心的一個照顧的整合跟資源的挹注那至於少子女化的對策它其實就如同委員講的它是很跨部門的 |
| transcript.whisperx[198].start |
6209.207 |
| transcript.whisperx[198].end |
6226.205 |
| transcript.whisperx[198].text |
從他的這個職場的友善包含這個住宅的問題那麼包含他的養育生育都有所以我們這個是跨部會另外在行政院層級另外有一個對策少子化出生率是一個問題照顧小孩是另外一個問題 |
| transcript.whisperx[199].start |
6228.067 |
| transcript.whisperx[199].end |
6248.35 |
| transcript.whisperx[199].text |
解決少子化要跨部會照顧小孩不用跨部會嗎也要對 那你放在一個三級機關的用意是什麼所以這個對孩子的照顧當然它也可能涉及到教育部的問題對 那你要協調其他部門會的時候怎麼辦但是教育部裡面它也包含很多它也不是只有兒童不 你沒有回答部長 你沒有回答我的問題 |
| transcript.whisperx[200].start |
6249.051 |
| transcript.whisperx[200].end |
6273.708 |
| transcript.whisperx[200].text |
你現在兒家屬是三級機關但是保護幼童是跨部會的問題請問他要怎麼樣去指揮勞動部教育部內政部他要怎麼指揮請教部長我們都會根據這個問題做橫向的聯繫譬如說有這個性侵的那麼我們也有一個平台不是部長你沒有回答我的問題我知道橫向但是一個 |
| transcript.whisperx[201].start |
6275.389 |
| transcript.whisperx[201].end |
6301.563 |
| transcript.whisperx[201].text |
衛福部底下的三級機關要怎麼樣去跟勞動部內政部這些部級的單位去怎麼指揮他們我們都會有機制的跟委員說明譬如說像癌症的部分我們也是在國民健康署裡面的業務那他也會橫向的跟勞動部有關係跟教育部有關係我們一樣做橫向的平台報告部長我自己做過25年的公務員 |
| transcript.whisperx[202].start |
6302.984 |
| transcript.whisperx[202].end |
6319.461 |
| transcript.whisperx[202].text |
下級對上級寫個千層都要寫直直無中限在古代叫做卑職無中限在這個時代直無中限那一個署長要跟部長報告事情的時候是以一個卑職的角度去跟他講所以這就是我擔心根本無法解決跨部會 |
| transcript.whisperx[203].start |
6321.063 |
| transcript.whisperx[203].end |
6345.684 |
| transcript.whisperx[203].text |
照顧小孩是跨部會的問題就你今天把它放在一個衛福部底下三級機關我真的不知道怎麼處理我再跟你們報告你今天需要跨部會的事情就你草案還是放在這麼底下的一個穗罕的機關這會沒有辦法解決這些問題那你什麼如果說都叫政委來協調如果政委可以協調我們今天也不用再組織改造了那我先跟你講你看一下鄰近的國家 |
| transcript.whisperx[204].start |
6347.984 |
| transcript.whisperx[204].end |
6371.762 |
| transcript.whisperx[204].text |
我先跟你講你之前受訪你自己也講過兒童問題涉及學校環境農業需要跨部會協調並非單一機關可以處理您自己受訪都這樣講過所以今天保護小孩真的要跨部會我們看一下日本怎麼做日本他們兒家庭我們是兒家屬差一個字而已但是他們的兒家庭隸屬於首相所以他非常容易的去做跨部會的 |
| transcript.whisperx[205].start |
6373.244 |
| transcript.whisperx[205].end |
6386.576 |
| transcript.whisperx[205].text |
第二個 韓國韓國他認為國家已經進入人口緊急狀態所以他設立一個人口戰略企劃部部長是誰由副總理兼任所以他很容易去做跨部會的協調但是我們台灣 |
| transcript.whisperx[206].start |
6387.657 |
| transcript.whisperx[206].end |
6411.698 |
| transcript.whisperx[206].text |
我們現在台灣的狀況比日本 韓國的生育率還低人家是用首相 用副總理層級的人在拼命在救出生育率低 在救怎麼樣去保護幼兒結果我們台灣還是在一個三級機關這就是賴總統口中所謂的重視嗎這就是我一個很大的問題所以我再跟各位報告 |
| transcript.whisperx[207].start |
6413.365 |
| transcript.whisperx[207].end |
6429.994 |
| transcript.whisperx[207].text |
你看以前我們叫體育署就體育署的運動員要出國比賽做什麼的時候選手培訓要預算都還要再去跟其他部去跟人家要那教育部還要去幫忙去協調這個也就是說所有的預算他部長每個禮拜去跟人家討但是呢 |
| transcript.whisperx[208].start |
6430.994 |
| transcript.whisperx[208].end |
6458.622 |
| transcript.whisperx[208].text |
分下來之後到數就沒有錢所以為什麼我們去年要成立運動部跟我們主席莊委我們一直努力把運動部成立就是因為要讓他能夠多預算最後我跟你講我們從之前那個凱凱案我們看到一個問題為什麼凱凱案會發生因為保母龜衛福部沒有人去統籌社工警察那之後凱凱案之後又還有台南虐童拖鷹虐童什麼等等案子我們發現一個問題這個就是 |
| transcript.whisperx[209].start |
6461.892 |
| transcript.whisperx[209].end |
6484.45 |
| transcript.whisperx[209].text |
很多東西歸不同部門管目前少年歸司法院學校歸教育部輔導歸警政署社工又歸衛福部所以搞到最後這些該被保護的小朋友才被漏掉我想我們最近我們這邊很多合作的單位有很多民團我們有還想陪你長大聯盟兒虐零容忍同聲同響 |
| transcript.whisperx[210].start |
6486.133 |
| transcript.whisperx[210].end |
6505.473 |
| transcript.whisperx[210].text |
兒福聯盟孩子書這些第一線的民團他們有一再的呼籲要有國家級的整合而且他們有一份報告出來這份我也已經給你們了那我希望這個在第一線這些他們所提出來這些需求部長您一定要注意到他們有幾個 |
| transcript.whisperx[211].start |
6507.094 |
| transcript.whisperx[211].end |
6534.089 |
| transcript.whisperx[211].text |
最簡要的我跟您報告我怕你沒時間看他們要有一個說了算找得到的中央負責人他們要有一袋專屬於孩子的預算而且他們要能統籌警證 護證 設證資料才能夠把虐兒的黑數找出來他們要全國一套的標準不能看小孩子出生在哪一個縣市碰運氣那個縣市有沒有資源而且要銜接法院還有少年的系統希望部長你可不可以在兩週內針對民團所提出來的這個 |
| transcript.whisperx[212].start |
6535.609 |
| transcript.whisperx[212].end |
6562.802 |
| transcript.whisperx[212].text |
訴求提出具體的回應可以嗎兩週內好 謝謝我想這些建議我們都會很具體的來檢視最後送部長一句話好的政策要執行才能落實那一樣相對的必須透過第一線經驗的回饋才能彌補政策漏洞這些民團第一線給我們的報告給我們的回應這個是最重要彌補我們政策漏洞的一個重點謝謝胡中線委員的精彩的詢談謝謝 |
| transcript.whisperx[213].start |
6565.363 |
| transcript.whisperx[213].end |
6576.192 |
| transcript.whisperx[213].text |
我看你弄一個政策 石崇良部長好啊我兒子我叫他喘沒聲 叫他吶吶我兒子會聽石崇良的我怕是我不相信是 謝謝主席好 謝謝來 接下來請程培宇委員來做詢答我聽小子話這個 我就聽到聲了不要跟他說話也不一定會聽我的好 來 謝謝主席請石部長 |
| transcript.whisperx[214].start |
6597.427 |
| transcript.whisperx[214].end |
6622.28 |
| transcript.whisperx[214].text |
部長來我就直接切入重點了這個兒家屬我已經知道你們花了很多力氣來那我直接先幫你找到一個我們目前收集到的bug是這樣部長你一定知道有所謂的重症兒對嗎那重症兒現在的困境是這樣我們台灣在18歲以下的身心障礙人數目前的統計大概是57000人其中0到18歲的重症兒就佔了15000人這個比例相當的高 |
| transcript.whisperx[215].start |
6622.78 |
| transcript.whisperx[215].end |
6642.367 |
| transcript.whisperx[215].text |
而這些孩子們他們的需求有哪些鼻胃管抽膝因此他們的爸爸媽媽基本上在醫療照顧教育經濟喘息的方面來來去去非常的辛苦我知道我們的相關部會已經努力提供很多資源可是因為過去我們沒有把重症兒這件事情故意凸顯出來特意凸顯出來 |
| transcript.whisperx[216].start |
6644.208 |
| transcript.whisperx[216].end |
6668.094 |
| transcript.whisperx[216].text |
過去大家對重症兒的想像是把他顧好活下來就好可是現在有越來越多的家長他告訴你孩子有能力求學的我們希望他去學校然後家長有能力繼續工作的讓他去在經濟方面有所成長所以我們後來現在就發現我相信部長你一定知道照顧資源分散行政部門分工不清法規解釋不清所以有非常多重症兒的家庭他們其實在過去有非常多困境來第一個 |
| transcript.whisperx[217].start |
6669.679 |
| transcript.whisperx[217].end |
6688.099 |
| transcript.whisperx[217].text |
特教生就所謂的孩子0到18歲他到學校去他有抽膝的需求那有些人說可以有些人又說不可以法規解釋不清行政部門分工不明到底是老師來做助理員來做還是護理師來做還是家長自己去做甚至有的家長他被老師無理的要求說就算我做過訓練我也不敢做 |
| transcript.whisperx[218].start |
6689.761 |
| transcript.whisperx[218].end |
6714.853 |
| transcript.whisperx[218].text |
因為我怕小孩在學校出了什麼事所以乾脆叫小孩不要來上課這個案子我相信你一定知道而且不是只有一個非常多這樣的案子第二種案例是什麼呢小孩的失能程度符合最嚴重的長照第八級每個月可以獲得三萬六千一百八十塊的補助但很可惜很多照服員他就算受過訓練他也不敢不願意不能不想去照顧這些十八歲以下的重症兒童 |
| transcript.whisperx[219].start |
6715.933 |
| transcript.whisperx[219].end |
6741.899 |
| transcript.whisperx[219].text |
部長我們未來在兒家屬我本來以為我們有機會在這個部分看見兒家屬對於所謂0到18歲重症兒的照顧但確實我們翻開相關的法規我其實還是有點擔心所以部長我們提出一些解方的可能性在去年的12月4號由台大醫院呂律醫師我相信你一定認識還有重症兒360發展協會我們做了一個台日交流現場有30多個醫療專業團體還有家長團體 |
| transcript.whisperx[220].start |
6745.62 |
| transcript.whisperx[220].end |
6766.208 |
| transcript.whisperx[220].text |
然後感謝衛福部有派員出席教育部也有派員出席他們傾聽了非常多的意見當天呢開完會之後我跟王振旭委員一起開這個會我們也發了一個聯合公文到你們衛福部去很多的內容在我的投影片上我就不細念要日後我們再來討論好不好我就不再用時間但是有一個事情最重要 |
| transcript.whisperx[221].start |
6767.649 |
| transcript.whisperx[221].end |
6785.866 |
| transcript.whisperx[221].text |
現在有沒有可能在我們相關資源盤點的過程當中回到衛福部的組織法來修法我們希望把這個部分加上去就是醫療照護健康促進心理健康促進跟家庭支持服務事業甚至可以有一個第七項建立重症兒童家庭主管機關專責諮詢個管中心單一窗口 告訴我 |
| transcript.whisperx[222].start |
6790.633 |
| transcript.whisperx[222].end |
6819.478 |
| transcript.whisperx[222].text |
跟委員報告就是說這個窗口應該在哪裡對這個服務最好我們可以來討論不過呢關於醫療照護的政策一定會納入在這個兒少署裡面我相信這個我對你有信心政策上會放進來對我對你有信心但是實務上在操作的時候那個窗口要放在哪裡當然我們來討論看看而且其實剛剛很多委員提到當0到18歲小孩他有就讀的需求然後他有照顧的需求緊急救護的需求這些需求 |
| transcript.whisperx[223].start |
6820.078 |
| transcript.whisperx[223].end |
6830.643 |
| transcript.whisperx[223].text |
如何在兒家屬的這個定義跟組織的功能當中去做一個想像可能大家比較多期待還是放在你們身上不會放在教育部身上不知道你認不認同 |
| transcript.whisperx[224].start |
6832.397 |
| transcript.whisperx[224].end |
6838.101 |
| transcript.whisperx[224].text |
我們願意擔起來只是說放在什麼地方啦這個我們之後再來討論這個我們再來討論好不好謝謝部長這一題就先這樣那我們之後持續來討論再來有一個陳情趕快跟您說因為我們不希望他持續的發燒 |
| transcript.whisperx[225].start |
6850.949 |
| transcript.whisperx[225].end |
6863.277 |
| transcript.whisperx[225].text |
雙核醫院千一例行檢測破損建議要汰換可是半年過去沒有任何改善的措施在去年的11月FB有一個靠北護理師裡面有一篇發文他說我們雙核醫院用來做輻射防護的千一經過檢測都確認破損而且應該要汰換了可是院內的管理職卻說還堪用 |
| transcript.whisperx[226].start |
6871.963 |
| transcript.whisperx[226].end |
6901.372 |
| transcript.whisperx[226].text |
一直到上個月就有吹哨者來請跟我們澄清希望我們可以積極的協助我們來看一下相關資料去年下半年的檢測中間綠色那一欄是檢測結果是破損的部分可以看到破損的部分其實還不少那進一步看檢測的細節下一張已經不是一兩件的裝備而是大半的防護牽衣在檢測後都已經確認為破損高風險並且建議汰換可是一直到上個月我們收到澄清都還是沒有改善 |
| transcript.whisperx[227].start |
6902.052 |
| transcript.whisperx[227].end |
6918.087 |
| transcript.whisperx[227].text |
那我不知道是因為雙核醫院發生了什麼事情還是我們現在有沒有一些醫院有一些這樣的狀況我就快速跟部長報告一下那我們辦公室後續會再請衛福部自己的協助好不好好 這個案子我們今天立刻查明好 謝謝部長好 那後續兒家屬我們再進行討論我們有超時 謝謝好 謝謝委員 |
| transcript.whisperx[228].start |
6924.914 |
| transcript.whisperx[228].end |
6931.501 |
| transcript.whisperx[228].text |
謝謝陳培議員時間控制的很精準接下來請王逸川委員來做詢答我們請部長 請石部長王委員早 部長好 |
| transcript.whisperx[229].start |
6944.784 |
| transcript.whisperx[229].end |
6951.689 |
| transcript.whisperx[229].text |
你們這一次做了這些調整 我想應該也是經過蠻長時間的討論行政院也同意做組織調整最怕多了人 多了組織然後有些業務還留在原來的單位 只是假人而已你們成立了這個兒家屬以後 |
| transcript.whisperx[230].start |
6968.942 |
| transcript.whisperx[230].end |
6995.609 |
| transcript.whisperx[230].text |
有哪一些原來在衛福部部本部裡頭的這些業務被移出來了有盤點過嗎有 我們有進行盤點在這個本來的現在的社家署裡面的兒童福利組有一個兒童福利會移到這個新成立的兒少署那另外我們在保護服務師裡面有所謂的兒少保護的業務這個是在部本來的師的業務會移到這個署 |
| transcript.whisperx[231].start |
6997.714 |
| transcript.whisperx[231].end |
7027.174 |
| transcript.whisperx[231].text |
那麼另外呢在這個兒童未來發展帳戶對於這個脫貧這個兒少的脫貧的這個計畫那麼本來是在社工師的也會移到這個數所以把那另外在健康的部分的早期療癒本來的業務分散在不同的單位也會把它整合好 那原來在那些單位的主管叫什麼師下面叫科長對對對 就是師的下面就是科的業務那以後這些師就沒有這些科囉 |
| transcript.whisperx[232].start |
7028.625 |
| transcript.whisperx[232].end |
7056.239 |
| transcript.whisperx[232].text |
他是一部分的業務出來所以你這個師裡頭還是有這些科對對對對然後就跑到另外一邊再去創了其他的族因為他這個科本來的業務不是只有做兒童他還有其他大人的部分像有的是做這個性侵有的是做家暴那不同的性侵有可能是兒少業務以後就會急增來 我要講啦 |
| transcript.whisperx[233].start |
7058.632 |
| transcript.whisperx[233].end |
7077.787 |
| transcript.whisperx[233].text |
自己分工分樓清廁啦不然你喔 兩邊都有長官啦不到最後就是說這不是已經成立兒少署了嗎不是已經移到哪一組了嗎然後怎麼又回來找我這個師的這個科長呢我們已經移出去啊那我就請問你這個科長那你這個科長現在在幹嘛就是說你這傢伙會受傷出事的時候 要追究的時候就說不好 這成立兒少署那邊的事不要找我確定喔 |
| transcript.whisperx[234].start |
7088.974 |
| transcript.whisperx[234].end |
7112.033 |
| transcript.whisperx[234].text |
不然請問你現在這個課程你做什麼這個事情你身為部長就把這個事情要釐清你也知道過去很多事情就是說以前大家大婚的時候連理髮委員但是現在也無法請求就是說這是那個單位那個單位那個單位第二個成立這個署以後有沒有從教育部移任何的業務過來 |
| transcript.whisperx[235].start |
7113.818 |
| transcript.whisperx[235].end |
7127.641 |
| transcript.whisperx[235].text |
目前的規劃沒有好 原來沒有就現在都沒有移新的過來沒有沒有好 那所以原來教育部跟衛福部關於兒少的部分中間切的那一條線以後不會有問題 |
| transcript.whisperx[236].start |
7131.066 |
| transcript.whisperx[236].end |
7147.2 |
| transcript.whisperx[236].text |
比如說我們現在對這個托嬰托育三歲以下就是在衛福部然後三歲以上的在教育部目前是這樣的切法所以未來這個署成例也是用這樣的做法來進行所以 |
| transcript.whisperx[237].start |
7147.847 |
| transcript.whisperx[237].end |
7169.542 |
| transcript.whisperx[237].text |
民眾要分得清楚兒童有分三歲以下 也有分三歲以上三歲以上的兒童的保護是相關保護還是在 保護相關你給他教育部是怎樣找的就是說有一個四歲的小朋友他一年後去幼兒園 怎麼樣 這相關 |
| transcript.whisperx[238].start |
7173.764 |
| transcript.whisperx[238].end |
7192.305 |
| transcript.whisperx[238].text |
相關的直接的保護的業務在我們但是機構的管理的部分我們會跟教育部一起來你說這樣就很含糊了我講七歲 小學生小一 小二一號去用霸凌 |
| transcript.whisperx[239].start |
7193.653 |
| transcript.whisperx[239].end |
7198.557 |
| transcript.whisperx[239].text |
回去跟家人 因為一天去跟爸人回去幾星期他們老伯老婦看了幾星期怎麼都這樣有的老伯老婦就去問阿豪有的老伯老婦問孩子說你如果拍成這樣是要給他們收罰繼續再拍 |
| transcript.whisperx[240].start |
7209.622 |
| transcript.whisperx[240].end |
7212.525 |
| transcript.whisperx[240].text |
還要撐兩條事情嘛 對吧一直處理 去弄壞的家庭的部分現在聽起來幾年關了 對現在如果是學校 去同學大家玩遊戲 怎麼去玩 去玩的時候這還要整個教育部關了 對 |
| transcript.whisperx[241].start |
7225.417 |
| transcript.whisperx[241].end |
7243.576 |
| transcript.whisperx[241].text |
像這樣的案例很清楚對個案的保護 家庭的支持這個是我們的業務但是他在學校還有輔導的部分包含被霸凌的跟霸凌人家的那個都要在學校裡面做輔導那個就是教育部的因為這個時候要有界面 |
| transcript.whisperx[242].start |
7244.981 |
| transcript.whisperx[242].end |
7271.995 |
| transcript.whisperx[242].text |
對 這個介面那你們既然成立了這一個署不再私下面的科了既然成立署人員也比較多啦那預算應該比較獨立比較獨立那比較專職者的計畫也比較容易推動所以這一部分我是建議你們一定要主動出來處理不然你告訴教育部的也是沒有互相業務刷來刷去也是拆下去 |
| transcript.whisperx[243].start |
7274.176 |
| transcript.whisperx[243].end |
7277.958 |
| transcript.whisperx[243].text |
切下去之後 臨江真的還有事情的時候我社會很不喜歡看說 衛福部衛福部說沒有 這是兒童事件 跟我們沒有關係社會說沒有 這條是教育部的事情教育部說沒有 這條是台北市教育局的事情這樣 社會如果看到這是 |
| transcript.whisperx[244].start |
7297.538 |
| transcript.whisperx[244].end |
7317.877 |
| transcript.whisperx[244].text |
很難看到所以成立這個新的單位怕不算過去以後有一些業務移過去之後希望這個能夠更加的明確好我們是支持你們這樣的一個調整就是預算你能夠自己獨立也有獨立的計畫然後組織編制也擴大但是不要再讓社會它看了這個事情大家還要撒來撒去 |
| transcript.whisperx[245].start |
7322.561 |
| transcript.whisperx[245].end |
7333.447 |
| transcript.whisperx[245].text |
謝謝委員 朝四全合一然後跨部門合作來努力謝謝謝謝王一川委員詢答接下來請王宏威委員來做詢答好 謝謝主席我請石部長有請石部長 |
| transcript.whisperx[246].start |
7346.516 |
| transcript.whisperx[246].end |
7374.701 |
| transcript.whisperx[246].text |
王委員好部長好其實今天的委員會有很多的委員都關心到就是在高雄市所發生的一個可以算是一種堅守自盜而且這個案件其實真的是已經到了人神共憤的一個階段這個案子雖然它是發生在高雄市地方的衛生局但是它的處理 |
| transcript.whisperx[247].start |
7376.201 |
| transcript.whisperx[247].end |
7396.155 |
| transcript.whisperx[247].text |
引起外界的詬病跟質疑所以我在這邊想要請問我們中央主管機關以高雄市衛生局它所做的處置大家特別提到因為它是在去年8月8月的時候是地檢署開始調查 |
| transcript.whisperx[248].start |
7397.176 |
| transcript.whisperx[248].end |
7402.919 |
| transcript.whisperx[248].text |
但是它發生時間是在去年的6月這裡面還發生他性侵之後他還去考什麼相關的叫做什麼犯罪防治的措施 |
| transcript.whisperx[249].start |
7415.505 |
| transcript.whisperx[249].end |
7436.083 |
| transcript.whisperx[249].text |
那麼現在以高雄市衛生局他的處理也就是他一直等到新聞曝光之後他才做裁罰而且根據高雄市政府社會局的公告他是在1月5日才公告 |
| transcript.whisperx[250].start |
7438.204 |
| transcript.whisperx[250].end |
7450.09 |
| transcript.whisperx[250].text |
1月2號做裁罰那麼這個時間事實上已經長達將近半年之久所以我想請問主管機關以高雄市政府針對這個案例 |
| transcript.whisperx[251].start |
7453.172 |
| transcript.whisperx[251].end |
7479.035 |
| transcript.whisperx[251].text |
符不符合SOP因為這個我們不敢說它是第一件以後可能也有類似的案件那是不是地方主管機關都可以押這麼久押長達將近半年之久然後才在媒體報導之後你才做處理 才做裁罰 才做公開所以我想請問一下部長高雄市政府針對這個案例符不符合你們所認為的SOP |
| transcript.whisperx[252].start |
7480.717 |
| transcript.whisperx[252].end |
7499.479 |
| transcript.whisperx[252].text |
跟委員報據我們事後的了解呢那麼這個高雄市政府是在8月的時候解聘了這一個這個所謂的這個執行秘書那麼後續呢他所做的裁罰還有移送懲戒這個程序上 |
| transcript.whisperx[253].start |
7500.68 |
| transcript.whisperx[253].end |
7524.597 |
| transcript.whisperx[253].text |
是不是能够更快这个我们会来跟这个地方来共同检讨你们到目前为止没有跟高雄市卫生局检讨这件事吗我们目前所做的检讨是在系统性的这个资讯系统的安全跟它的授权那么希望能够更明确的部长这个裁罚时间会不会太晚我们当然是希望应该要更快了 |
| transcript.whisperx[254].start |
7525.836 |
| transcript.whisperx[254].end |
7547.724 |
| transcript.whisperx[254].text |
所以這裁判時間太晚據我們詢問的結果是因為這中間在一副懲戒的過程當中因為這個當事人被羈押進鑑所以沒有辦法進行進一步的這個懲戒的程序的約談他什麼時候一副懲戒他是十月的時候一副懲戒十月才一副懲戒 |
| transcript.whisperx[255].start |
7548.604 |
| transcript.whisperx[255].end |
7564.03 |
| transcript.whisperx[255].text |
所以這個事情事實上讓6月發生他可能這個高雄市政府不能在第一時間他掌握但是至少檢調開始調查8月然後8月解聘他到10月才移赴懲戒這個時間沒有拖延嗎 |
| transcript.whisperx[256].start |
7568.94 |
| transcript.whisperx[256].end |
7587.088 |
| transcript.whisperx[256].text |
當然我們認為也可以更快一點所以我們會來跟大家一起檢討沒有 所以我特別講這件事情因為有可能它發生在其他的縣市那如果今天我們中央主管機關不拿出我們的一個SOP來那大家以後有樣學樣啊都等到這個媒體報導之後壓不住了我現在才來做裁罰 才來做公告 |
| transcript.whisperx[257].start |
7593.47 |
| transcript.whisperx[257].end |
7610.52 |
| transcript.whisperx[257].text |
所以這件事情應該要有一個SOP同不同意同意同意那你們現在有建立SOP嗎我們過去當然都是尊重這個地方政府在執行上的程序但是這個實效上我們並沒有明確的決定 |
| transcript.whisperx[258].start |
7611.54 |
| transcript.whisperx[258].end |
7633.397 |
| transcript.whisperx[258].text |
有一個事情我想就教於部長這個事情當然在政治層面上很多的高雄市議員要求衛生局長下台高雄市衛生局長下台結果昨天高雄市衛生局長發了一個一千多字的長文他講他說他忍辱負重我們不曉得他在忍辱什麼他在負重什麼 |
| transcript.whisperx[259].start |
7634.198 |
| transcript.whisperx[259].end |
7656.433 |
| transcript.whisperx[259].text |
他事實上在講說我自己做的很多我忍辱負重但是他其中在這一千多字的長文裡面他竟然提到說他說為什麼半年來我們都沒有對外說明社會去質疑我們隱瞞他說要容我說明他說被害人是自殺高風險個案還有複雜的家庭問題處於隨時情緒不穩定的危險狀態 |
| transcript.whisperx[260].start |
7661.638 |
| transcript.whisperx[260].end |
7675.788 |
| transcript.whisperx[260].text |
部長請問一下身為衛生局主管機關今天為了這個案子他要來做說明他可以去揭露被害人不管他個人或家庭的這些資訊嗎可以嗎 |
| transcript.whisperx[261].start |
7677.288 |
| transcript.whisperx[261].end |
7688.764 |
| transcript.whisperx[261].text |
這當然在我們相關的法規裡面對被害人都有各自保護的義務這個是法律明定所以這個有一個兒少的問題對不對兒少法的問題有沒有 |
| transcript.whisperx[262].start |
7692.669 |
| transcript.whisperx[262].end |
7707.466 |
| transcript.whisperx[262].text |
有沒有違反兒少法的問題這個是性侵防治法在性侵防治法裡面對於被害人我們有保護他各自的義務所以這個是性侵的案例所以他也有違反各自法的問題嗎 |
| transcript.whisperx[263].start |
7709.972 |
| transcript.whisperx[263].end |
7735.241 |
| transcript.whisperx[263].text |
個資法有沒有他沒有揭露他的詳細個資啦不過當然我們這個在處理上是對於這個個人的資料要給予就是他個人的一個個人的身心狀態他的家庭狀態我們其實身為主管機關更有保密的義務對不對對 主管機關當然所有的執法人員都有保密的義務這個發文適當嗎 |
| transcript.whisperx[264].start |
7739.983 |
| transcript.whisperx[264].end |
7764.923 |
| transcript.whisperx[264].text |
我看了一下他這個發言裡面是沒有特別是針對哪一個人他說被害者他講被害人他只是在說明說因為在這個事件的過程當中考量到這個被害人是這個自殺的高風險個案所以不宜對外去揭露說明避免造成另一個壓力這個是 |
| transcript.whisperx[265].start |
7766.184 |
| transcript.whisperx[265].end |
7782.738 |
| transcript.whisperx[265].text |
可是我們原來外界並不曉得被害人他的家庭的狀態他個人身心的狀態而局長既然為了要自己卸責可以發文這張內容沒有 有沒有違法問題我再確定 有沒有違法問題 |
| transcript.whisperx[266].start |
7784.506 |
| transcript.whisperx[266].end |
7796.311 |
| transcript.whisperx[266].text |
還是你認為只有不適當問題因為他並沒有指明是哪一位啦他只是提到說他是一個高風險的個案但是沒有特別指明是哪一位 |
| transcript.whisperx[267].start |
7797.41 |
| transcript.whisperx[267].end |
7825.665 |
| transcript.whisperx[267].text |
部長 所以我們政治層面歸政治層面我更認為他其實應該下台早在台灣叼的烏龍的驗藥的事件他就已經很多人就認為他應該負起政治責任那他這次仍然不下台這是他的政治選擇但是我們身為主管機關我們要保護被害人而不是為了自己卸責竟然還自己發文去暴露被害人的家庭的 |
| transcript.whisperx[268].start |
7826.545 |
| transcript.whisperx[268].end |
7848.713 |
| transcript.whisperx[268].text |
因素或者他的個人的身心狀態我覺得這是非常非常第一個不道德而且不適宜甚至有違法之嫌所以我覺得在這件事件上我希望主管機關不管是SOP也好或者針對主管機關或主管本身他們的作為中央要拿出態度來我有我說了 |
| transcript.whisperx[269].start |
7849.453 |
| transcript.whisperx[269].end |
7873.519 |
| transcript.whisperx[269].text |
這可能不是第一個案例以後也有可能再發生在其他的縣市如果高雄市可以這樣搞其他縣市是不是也可以這樣子吃案押案然後推諉謝責甚至有洩露一些個資的相關的這些資料所以拜託我們真的要去保護被害人防度未來的事件主管機關一定要拿出相關的辦法好不好 |
| transcript.whisperx[270].start |
7875.2 |
| transcript.whisperx[270].end |
7881.667 |
| transcript.whisperx[270].text |
謝謝王宏威委員的詢問我們接下來請翁曉琳委員來做詢問 |
| transcript.whisperx[271].start |
7901.257 |
| transcript.whisperx[271].end |
7912.454 |
| transcript.whisperx[271].text |
好 謝謝張偉這邊有請石部長有請石部長還有張秋元副人事長副人事長請 |
| transcript.whisperx[272].start |
7916.991 |
| transcript.whisperx[272].end |
7945.796 |
| transcript.whisperx[272].text |
好 謝謝部長跟副人事長那麼今天因為主要是涉及到就是衛福部要多成立兩個三級機關一個兒少署還有一個長照社會署那麼在這邊的話本席想請教因為依照人事總署的報告有說現在三級機關的這個局跟署在總數不變的情況之下然後可以自行做調整是不是請教張副 |
| transcript.whisperx[273].start |
7946.776 |
| transcript.whisperx[273].end |
7967.387 |
| transcript.whisperx[273].text |
人事長意思是這樣嗎好謝謝委員的詢問那現在三級機關這個屬局的總數是71個那現在是這個滿的狀態那會不會這次調整是在他原來的配置底下去做一個 |
| transcript.whisperx[274].start |
7968.067 |
| transcript.whisperx[274].end |
7987.078 |
| transcript.whisperx[274].text |
所以好那請教那個部長所以你們現在是在你們既有的三級機關裡面有五個署一個局所以你們是在這五個署一個局裡面然後再去增加兩個署還是說你們是把社會家庭署看起來是要把它拆解成為多兩個一個署變成兩個署 |
| transcript.whisperx[275].start |
7991.099 |
| transcript.whisperx[275].end |
8008.126 |
| transcript.whisperx[275].text |
跟委員說明我們在本來我們的組織配置裡面是五署一局但是那個局是還沒有設立那個是預留的就是國民年金局那我們現在把這個局就不再設立了我們設立這個兒少級家庭支持署 |
| transcript.whisperx[276].start |
8008.846 |
| transcript.whisperx[276].end |
8024.152 |
| transcript.whisperx[276].text |
那另外我們現有的這個社會及家庭署我們把這個裡面的一些業務移到了這個兒少然後再把一些長照的業務移入所以變成長照及社會發展署 |
| transcript.whisperx[277].start |
8024.352 |
| transcript.whisperx[277].end |
8051.197 |
| transcript.whisperx[277].text |
是 謝謝部長的解釋所以你的本心了解就是你們還是在系有的三級機關就是六個的總數底下然後去做組織的一些調整但是國民年金局你們不打算成立嗎為什麼不成立目前的國民年金的業務的話就會在這個社會及家庭署裡面這個長照及社會發展署裡頭 |
| transcript.whisperx[278].start |
8053.752 |
| transcript.whisperx[278].end |
8073.937 |
| transcript.whisperx[278].text |
但是這應該是兩個不同型態的業務吧我們目前的國民年金有一個監理會我們現在是有一個國民年金監理會做監理的業務那另外國民年金的這個法制的部分是在社會級就是社保司社會保險司裡頭 |
| transcript.whisperx[279].start |
8075.317 |
| transcript.whisperx[279].end |
8098.991 |
| transcript.whisperx[279].text |
社會保險司的業務裡面把有關於健保的法規的部分移回到健保署然後國民年金的法規的部分移到因為今天聽您這樣講我會重新再回去看當時為什麼在衛福部組織法裡面要設立國民年金局的主要的立法理由是什麼 |
| transcript.whisperx[280].start |
8099.671 |
| transcript.whisperx[280].end |
8126.776 |
| transcript.whisperx[280].text |
那麼難道就是因為要多成立一個長照署所以就把國民年金局給刪掉那麼這個業務的整併有沒有道理那麼我這個本席還會再多進行研究但是就除了就是你們講的這個要多成立兩個署之外還有在這次的報告裡面以及今天要審的法案本來要審的法案就是有涉及到就既有限衛福部底下一些組織要轉型成為行政法人 |
| transcript.whisperx[281].start |
8127.817 |
| transcript.whisperx[281].end |
8144.232 |
| transcript.whisperx[281].text |
對 但你要轉型成行政法人這裡面就是有沒有一些有這個組織有疊床架屋的問題譬如說前面的委員有提到叫你們要新成立國家醫療評估中心那事實上國家醫療評估中心可能跟既有的本就是我們現在 |
| transcript.whisperx[282].start |
8145.673 |
| transcript.whisperx[282].end |
8162.018 |
| transcript.whisperx[282].text |
這個政府部門裡面有一些單位是很類似的譬如說有這個財團法人生物技術開發中心或者是工研院他也有做一些醫療照顧或是新藥等等這些研究所以有沒有必要再去成立一個國家醫療評估中心在難道沒有跌床架屋的問題嗎 |
| transcript.whisperx[283].start |
8163.098 |
| transcript.whisperx[283].end |
8186.221 |
| transcript.whisperx[283].text |
跟委員說明 目前在健保要考慮要不要納入給付之前都要先經過醫療科技就是HTA醫療科技的評估那目前都是委託財團法人來某一個財團法人就是我們現在是CDE醫藥品查驗中心這個財團法人來做那都等於是委託的性質那未來希望他有獨立性 |
| transcript.whisperx[284].start |
8187.262 |
| transcript.whisperx[284].end |
8214.686 |
| transcript.whisperx[284].text |
所以就剛剛有幾位委員也提到那麼以其他的國家這個是獨立性的了解了 謝謝部長因為我想就是說有沒有成立的必要這個部分的話當然就是可能衛福部有衛福部的看法但是本席更在意的是說你不管說今天要成立一個新的國家醫療評估中心或者是未來這個中醫研究所要改轉型成為國家中醫研究院那到底需要多少的公務預算來支持這些行政法人 |
| transcript.whisperx[285].start |
8216.231 |
| transcript.whisperx[285].end |
8241.719 |
| transcript.whisperx[285].text |
你要拼多少的预算跟委员报告就是说这两个行政他们可以做到自给自足吗这个一方面他当然也会有一些这个比如说在做医药科技评估的时候的预算那么还是会有政府的支持因为这个是健保要纳入支付但是基本上不要多增加政府的预算就本席的看法就是说是你要转型成为多成立这些行政法人 |
| transcript.whisperx[286].start |
8243.48 |
| transcript.whisperx[286].end |
8259.727 |
| transcript.whisperx[286].text |
我也沒有太大的意見但重點是說會不會增加政府的預算支出我們現在很多的預算都要希望能夠用在刀口上不要再多增加政府的預算支出所以這部分的話可能要請就是部長您在這裡再提供給我更仔細的一個 |
| transcript.whisperx[287].start |
8260.707 |
| transcript.whisperx[287].end |
8267.03 |
| transcript.whisperx[287].text |
報告就是如果依照你們現在的評估要成立這兩個中心那麼實際上要多少錢的預算來支應以及這兩個行政法人成立之後未來他們怎麼樣從哪個地方可以獲得充裕的財源來自給自足這部分話請部長可能 |
| transcript.whisperx[288].start |
8280.718 |
| transcript.whisperx[288].end |
8299.79 |
| transcript.whisperx[288].text |
兩個禮拜之內給我一份報告對於這個財務的規劃接下來我還有一個問題我也想請教部長因為剛剛其實大家也都談到高雄新衛之郎那本席其實在這裡比較關心的就是說對於他的這個主管就是上級主管新衛中心的主任 |
| transcript.whisperx[289].start |
8301.011 |
| transcript.whisperx[289].end |
8326.693 |
| transcript.whisperx[289].text |
還有高雄市的衛生局局長那麼以及這個督導他的妻子因為他是任職在社會局加防中心他還利用職權洩密然後查詢偵辦進度等等對於這三個人你們目前有沒有知道就是你們有沒有給他們有些懲處的機制你們有給他懲處的處分嗎請問中心的主任有沒有被懲處全線都是在地方政府 |
| transcript.whisperx[290].start |
8327.526 |
| transcript.whisperx[290].end |
8343.633 |
| transcript.whisperx[290].text |
全縣的部分在地方證據我們的了解呢這個殖密在8月的時候已經由這個地方政府已經把它解聘了已經停聘撤職那對於新聞中心的主任呢他的上級的主管 |
| transcript.whisperx[291].start |
8344.793 |
| transcript.whisperx[291].end |
8363.005 |
| transcript.whisperx[291].text |
您說行衛中心的主任我們被懲處在他們的內部上是他們內部要去做的檢討就全責的部分只是檢討而已嗎行衛中心的主任還有高雄市衛生局局長衛生局局長是不是衛福部你們是他的主管機關上級機關 |
| transcript.whisperx[292].start |
8365.745 |
| transcript.whisperx[292].end |
8370.81 |
| transcript.whisperx[292].text |
他是這個政務官是在地方政府的權責所以對於衛生局局長行為中心主任以及督導他的妻子因為他在加防中心相關目前的有沒有予以懲處的 |
| transcript.whisperx[293].start |
8381.941 |
| transcript.whisperx[293].end |
8398.106 |
| transcript.whisperx[293].text |
的一些作為我也希望衛福部這邊也可以給我一份資料了解知道說他們的情況是怎麼樣然後最後還有一題就是因為我們馬上年關將近就進入到農曆的春節在去年的時候我們看到春節的急診室 |
| transcript.whisperx[294].start |
8400.066 |
| transcript.whisperx[294].end |
8418.364 |
| transcript.whisperx[294].text |
非常的庸塞病床不足那麼請問部長這邊有沒有針對馬上二月就要來臨的春節對於目前急診室的處理的問題還有病床數的部分衛福部有沒有新的計畫 |
| transcript.whisperx[295].start |
8418.985 |
| transcript.whisperx[295].end |
8435.277 |
| transcript.whisperx[295].text |
有 我們已經召開了好幾次的會議那也擬定了很多的措施是那包含在這個春節的加開診的這個鼓勵還有在這個你們預計增加多少的病床數預計增加多少病床數增加 |
| transcript.whisperx[296].start |
8436.057 |
| transcript.whisperx[296].end |
8456.782 |
| transcript.whisperx[296].text |
應該是這樣過去在年節期間醫院會縮床因為這個醫護人員也要休息然後有些病人也比較不會就是屬於常規性的沒有急迫性的大概也會選擇不要到醫院所以過去在年節期間大概醫院的床數都是會下降的 |
| transcript.whisperx[297].start |
8457.362 |
| transcript.whisperx[297].end |
8476.795 |
| transcript.whisperx[297].text |
那我們目前在做的調查就是第一個開診的調查這9天的長假當中哪幾天哪些醫院診所會開診第二個床數會開多少所以這個我們目前已經都在進行調查簡單來說你們現在開診數跟病床數會不會比去年增加 |
| transcript.whisperx[298].start |
8477.603 |
| transcript.whisperx[298].end |
8506.039 |
| transcript.whisperx[298].text |
会会增加多少多少的比例呢最后的数字还没有出来不过什么时候会出来什么时候会告诉我们民众因为每年的农历春节正好都会遇到天气寒冷寒流难免生病的人数也会提也会增加但是你刚刚说又顾及到就是医护人员他们也需要放假休假但是我们还是希望在合理的范围里面要提高开诊的诊所然后以及这个病床数 |
| transcript.whisperx[299].start |
8506.459 |
| transcript.whisperx[299].end |
8529.717 |
| transcript.whisperx[299].text |
我們會調控那當然第一個比較好的這個現象是說我們的流感在去年每年的過年期間都是高峰但是今年因為我們的施打率不錯所以目前的流感還在低峰所以往後預估的話應該今年的過年期間的流感的病人不會像往年那麼多這是一個比較好的預估 |
| transcript.whisperx[300].start |
8530.458 |
| transcript.whisperx[300].end |
8551.766 |
| transcript.whisperx[300].text |
只是你們預估但是有時候可能會改不上變化我這邊還是希望部長能夠盡速你們大概什麼時候什麼時候會公布你們會增加病床數我們在月底之前就會通通月底之前好 那本席期待希望你們能夠如期做到好 謝謝謝謝 謝謝委員關心好 謝謝翁曉琳委員接下來我們請盧憲一委員有請部長好 請時部長 |
| transcript.whisperx[301].start |
8562.211 |
| transcript.whisperx[301].end |
8590.758 |
| transcript.whisperx[301].text |
吳委員好部長好這幾天我們在告訴你一些比較不幸的消息就是說我們12月份有一個文建站的負責人因為在主持成果展的時候倒下去他目前是呈現就是大概是臥床的狀態然後有一個就是我們新義鄉新義鄉村的村長就要前天告別是因為他在主持一個槌球運動會的時候也是倒下去就送到醫院就不治 |
| transcript.whisperx[302].start |
8591.318 |
| transcript.whisperx[302].end |
8619.638 |
| transcript.whisperx[302].text |
那昨天呢我們有處理到一個在金門工作的族人然後腦溢血71年次的一個婦女然後今年急救以後送到台北榮總然後今天要把管回家我主要要講的這些提到這些問題就是說我們一直在講平均與面差距這麼多我們到底要用哪一個層級的來處理這些我們原住民的健康的議題所以我們一直在講要有一個專責單位 |
| transcript.whisperx[303].start |
8621.119 |
| transcript.whisperx[303].end |
8649.54 |
| transcript.whisperx[303].text |
講了這麼久我們看看原住民主基本法已經成立二十年了結果我們的自治還是躺在那裡從蔡英文總統還有陳水扁總統都說很重視原住民我們也相信也肯定過去我們公衛體系對弱勢族群的健康照顧可是這些我覺得都還是不夠原住民主健康法已經公佈兩年了他說一個專責單位我想知道說是崇良部長你內心的想法 |
| transcript.whisperx[304].start |
8651.427 |
| transcript.whisperx[304].end |
8668.501 |
| transcript.whisperx[304].text |
跟委員報告其實在行政院的層級就已經有原住民委員會它就是一個獨立的機關它是一個二級的單位在健康的部分當然就是由衛福部來負全責 |
| transcript.whisperx[305].start |
8669.882 |
| transcript.whisperx[305].end |
8689.444 |
| transcript.whisperx[305].text |
所以我們希望專責單位能夠提升到屬的層級因為它目前還是屬於我們護理及健康照護師下面的一個援助民主及離島健康科的一個層級所以你要處理這些我剛才所講的顯著的健康不平等現在的層級沒有辦法去 |
| transcript.whisperx[306].start |
8690.305 |
| transcript.whisperx[306].end |
8705.603 |
| transcript.whisperx[306].text |
處理我們剛剛一直在說的你要成立比如說在南橫地區要成立洗腎室在偏鄉地區要成立分醫院花東地區的一個因為地理的關係常常就是因為救命沒有辦法救到然後我們現在的離島醫院的一個 |
| transcript.whisperx[307].start |
8706.624 |
| transcript.whisperx[307].end |
8723.896 |
| transcript.whisperx[307].text |
設立的時候它確實是需要跨部會的一個努力還有獨特的照護需求我們的長期照顧的一個文化的敏感度文化安全這些都需要一個專責單位來統一來處理不然現在我就說就關一個園民會或者是我們現在的 |
| transcript.whisperx[308].start |
8724.476 |
| transcript.whisperx[308].end |
8753.275 |
| transcript.whisperx[308].text |
貴科裡面我覺得他們會疲於奔命而且是沒有看到顯著的效應我希望部長能夠確確實實的從這次的一個修法的契機裡面我提了第二條 第五條 第八條這個修法裡面能夠做一個組織改造我們期待這次有兒家署也有照發署我是在大概第五條的部分有成立然後希望能夠在第七款這邊能夠成立援助民主健康照顧署 |
| transcript.whisperx[309].start |
8754.196 |
| transcript.whisperx[309].end |
8761.007 |
| transcript.whisperx[309].text |
我希望有一個對話的空間是讓我們這件事情能夠有下一步 |
| transcript.whisperx[310].start |
8762.903 |
| transcript.whisperx[310].end |
8781.838 |
| transcript.whisperx[310].text |
對於原住民族健康的關注我們絕對是會放更多的資源跟關注不過我們也同樣的關注離島 偏鄉所以這些都是整個體制上我們都要去建立的所以在原住民的特殊性上我們有一個 |
| transcript.whisperx[311].start |
8784.22 |
| transcript.whisperx[311].end |
8805.633 |
| transcript.whisperx[311].text |
這個護理及健康照護師裡面有一個科那這個科到底一個科夠不夠需不需要再更多的資源人力來投入呢我們都會一時俱進地去檢討不過整個整個健康照護上絕對是這個跨部門跨單位啦從健康的促進到醫療的照護到這個保險到長照這個我們 |
| transcript.whisperx[312].start |
8811.038 |
| transcript.whisperx[312].end |
8818.795 |
| transcript.whisperx[312].text |
在整個部裡面一定會來負起原住民族健康的責任所以請委員放心 |
| transcript.whisperx[313].start |
8819.672 |
| transcript.whisperx[313].end |
8845.887 |
| transcript.whisperx[313].text |
對 只是說我還是從你的回答裡面可以聽到說很像第二條的專責機構你還是維持在我們的科的層級這是讓人遺憾那我們這個組織法草案我的第二條有看到一些我們的九大職長就是無論從政策法規健康不平等調查健康資源的佈建人才教育醫療整合健康資料庫長期照顧國際交流這些我希望這些議題裡面 |
| transcript.whisperx[314].start |
8848.308 |
| transcript.whisperx[314].end |
8872.467 |
| transcript.whisperx[314].text |
在目前如果只是在科的層級上的話希望部長能夠對這些議題能夠多所著墨讓我們原住民的這些健康不平等還有我們的平均餘命能夠確實的得到改善 謝謝這個絕對在這每一個範圍裡頭都會特別關注到原住民的特殊性好 謝謝部長謝謝 謝謝委員好 謝謝盧憲一委員接下來我們請沈發慧委員 |
| transcript.whisperx[315].start |
8886.997 |
| transcript.whisperx[315].end |
8913.722 |
| transcript.whisperx[315].text |
好 主席我們請 石部長石部長請申委員好部長早我想我們今天委員會所安排大概有六個法案這六個法案大概都是主要就是因為我們有關衛福部的組織架構的調整所以有這六個法案我看這六個法案裡面我們衛福部的組織架構調整大概是新設兩個 |
| transcript.whisperx[316].start |
8916.383 |
| transcript.whisperx[316].end |
8941.903 |
| transcript.whisperx[316].text |
這個三級機關就是兒少級家庭支持署跟長照級社會發展署這兩個三級機關另外這個新設一個行政法人就是國家醫療科技評估中心這個新設的行政法人另外是國家中醫研究院的一個改制大概就是比較大的重點大概是這個其他更名跟法治處這個問題比較小 |
| transcript.whisperx[317].start |
8944.585 |
| transcript.whisperx[317].end |
8948.507 |
| transcript.whisperx[317].text |
有關兒少及家庭自治署還有長照跟社會發展署這兩個新設機構都是賴總統在選舉的時候所提出的政見 |
| transcript.whisperx[318].start |
8961.853 |
| transcript.whisperx[318].end |
8985.301 |
| transcript.whisperx[318].text |
現在在希望說能夠透過這次的修法能夠落實這樣子的想法那這部分我們一定是全力支持的那至於這兩個一個改制的一個新設的這兩個這兩個這個行政法人這部分我大概今天有一些中間有一些細節我想就跟署長這邊來了解一下首先是有關這個國家醫療科技評估中心這個新設單位 |
| transcript.whisperx[319].start |
8989.044 |
| transcript.whisperx[319].end |
9001.183 |
| transcript.whisperx[319].text |
這個大概就是依照全民健保法第42條的第一項跟第二項有關這些相關的評估我們都設置國家醫療科技評估中心來加以規範 |
| transcript.whisperx[320].start |
9003.667 |
| transcript.whisperx[320].end |
9023.263 |
| transcript.whisperx[320].text |
所以我也參考其實這個東西我也參考其他世界各國因為現在我們的限制現在這個是在國家醫療科技評估中心現在目前是一個附屬的單位是一個附屬的單位專案辦公室對 它只是一個辦公室 |
| transcript.whisperx[321].start |
9023.723 |
| transcript.whisperx[321].end |
9043.523 |
| transcript.whisperx[321].text |
那我看這全世界對照全世界基本上不管英國 加拿大 韓國 德國 法國 日本這些都是一些獨立的機構或者一些專責機構只是我們現在還是一個副主單位所以我想這樣子的改制最主要是希望能夠提高我們HTA的量能還有提高它的影響力 |
| transcript.whisperx[322].start |
9047.226 |
| transcript.whisperx[322].end |
9067.151 |
| transcript.whisperx[322].text |
這個部分但是有一個重點也是一般現在目前社會以及這個相關的這些業界大家比較關心的就是說我們從這個從我們今天送出來法案這設置條例的第三條我們來看有關於這些這詳列我們中心應該辦理的這些醫療科技評估政策研究人才培育國際合作諮詢等等相關業務 |
| transcript.whisperx[323].start |
9068.491 |
| transcript.whisperx[323].end |
9092.389 |
| transcript.whisperx[323].text |
這些相關的對於這些評估的結果是不是對外公開在我們這個規範裡面沒有是不是能夠請部長說明一下未來這些評估是不是能夠對外公開跟委員報告我們目前對於這個健保要收載的這個新藥或新科技的醫療科技評估報告是有公開目前就有公開所以未來在執行這些的時候也一樣會做公開這個絕對沒有問題那這個公開是只有這個 |
| transcript.whisperx[324].start |
9098.694 |
| transcript.whisperx[324].end |
9111.903 |
| transcript.whisperx[324].text |
這個對於這個醫界並有團體社會大眾他是指公開結論呢還是包括他評估方法資料來源所有重要假設這些通通一定公開就是整份的報告不是只有結論就是整份的報告我們在網路上公開 |
| transcript.whisperx[325].start |
9112.743 |
| transcript.whisperx[325].end |
9136.855 |
| transcript.whisperx[325].text |
都會公開因為這個沒有在法條裡面呈現所以這各界比較關心所以這部分我就是很高興今天署長 部長都在這邊做清楚的說明那接下來這個另外一個就是我們這次要改制的這個國家中醫研究院我們的國家中醫研究院過去其實在民國40幾年那時候就在教育那時候一開始是隸屬於教育部 |
| transcript.whisperx[326].start |
9139.158 |
| transcript.whisperx[326].end |
9142.307 |
| transcript.whisperx[326].text |
到2013年我們才改立衛福部 |
| transcript.whisperx[327].start |
9145.32 |
| transcript.whisperx[327].end |
9170.291 |
| transcript.whisperx[327].text |
這個我比較這個其實設置這個國家中醫研究院這個部分其實它最真正的根據是來自憲法徵修條文憲法徵修條文的第十條第五項它就明白規定說國家應該促進現代跟傳統醫藥研究發展是以這個憲法這個徵修條文為依據但是我這裡面比較有興趣的就是說跟改之前跟改之後有一個部分特別 |
| transcript.whisperx[328].start |
9171.972 |
| transcript.whisperx[328].end |
9182.688 |
| transcript.whisperx[328].text |
注意到這是在我們的這個設置條例的草案第三條的第一項裡面提到說中醫這個醫療業務之執行這本院的業務範圍包括醫療業務之執行 |
| transcript.whisperx[329].start |
9188.649 |
| transcript.whisperx[329].end |
9210.92 |
| transcript.whisperx[329].text |
也就是未來會不會有門診你未來這個是有輻射醫院嗎有沒有門診這個部分我想要講清楚因為如果有就跟現在的限制很不一樣囉對對就是跟委員也說明確實這個委員非常的仔細的看到我們未來現在的在機關我們現在是一個機關中醫藥研究所他只單純就是 |
| transcript.whisperx[330].start |
9211.84 |
| transcript.whisperx[330].end |
9238.629 |
| transcript.whisperx[330].text |
單純就是研究而已可是在研究的過程需要做臨床試驗所以他我們現在都採取合作的方式但是未來如果能夠透過行政法人那麼讓用人更有彈性那未來有需要的時候也可以我們預留了空間可能也可以設立這個附屬的這個醫療院所以你現在變成要執行醫療業務未來是不是設置門診是不是提供是變成一個提供醫療服務的機構 |
| transcript.whisperx[331].start |
9240.229 |
| transcript.whisperx[331].end |
9261.887 |
| transcript.whisperx[331].text |
这个就很不一样了你如果说提供一个有提供医疗服务的机构的话未来是医疗的机构还是附设的医院还是研究单位还是一个临床的场域这个都完全是不一样他是不是会纳入医疗法的规范等等的相关的这些问题其实就牵涉蛮大这部分是我看到我们未来这次改制可能特别 |
| transcript.whisperx[332].start |
9262.788 |
| transcript.whisperx[332].end |
9285.928 |
| transcript.whisperx[332].text |
特別注意我特別注意到這個部分這部分希望是不是有完整的配套或者說只是預留目前什麼配套都還沒有只是預留在法案預留這個空間而已其實這個八字都一點都還沒有還沒有還沒有那如果未來未來真的要設置相關的醫療機構那我想又是大問題了我們會再詳細的評估 |
| transcript.whisperx[333].start |
9291.112 |
| transcript.whisperx[333].end |
9295.073 |
| transcript.whisperx[333].text |
謝謝沈發慧委員接下來我們請吳思瑤委員謝謝代理主席我川威武 阿川益委員 謝謝有請部長部長請 |
| transcript.whisperx[334].start |
9318.957 |
| transcript.whisperx[334].end |
9341.823 |
| transcript.whisperx[334].text |
吳委員早部長辛苦了今天的六項法案都有關衛福部的組織改造不管是改制不管是升格我想我們突顯了有了新的組織有了新的員額有了新的人力都是要強化我們在各該領域的政策要提升 |
| transcript.whisperx[335].start |
9342.683 |
| transcript.whisperx[335].end |
9356.579 |
| transcript.whisperx[335].text |
但是呢 有了新組織 有了新人力沒有預算的整座海寮寮 下一頁我盤點了我們對於今天的其中很重要的兒家屬 |
| transcript.whisperx[336].start |
9357.5 |
| transcript.whisperx[336].end |
9376.22 |
| transcript.whisperx[336].text |
對 對 對 |
| transcript.whisperx[337].start |
9376.46 |
| transcript.whisperx[337].end |
9383.225 |
| transcript.whisperx[337].text |
那從2016年蔡英文總統從馬英九總統接下政權到現在成長了6.8倍150億攀升到2016億來投入0到6歲國家養那長照3.0成長了多少 |
| transcript.whisperx[338].start |
9394.813 |
| transcript.whisperx[338].end |
9423.606 |
| transcript.whisperx[338].text |
那個更高那麼在105年的時候當年度是49.7億的50億左右到明年的話會突破1000億對 2026年1153億長照3.0 1153億換言之我們執政成長了23倍那搭配今天要成立新的組織都再一次揚顯少子化跟長照是我們的重中之重好 下一頁 |
| transcript.whisperx[339].start |
9424.466 |
| transcript.whisperx[339].end |
9453.545 |
| transcript.whisperx[339].text |
但我們就來看看我聽您盤點了一下你知道今年總預算到現在還沒審查喔2992億受衝擊裡頭衛福部是重度的受災戶我們擺第四名啦國防部當然首當其衝國防預算780億美金美當是第一名第二名受衝擊的我這是以預算的金額的高低經濟部第二名交通部第三名衛福部第四名這種榜上有名都是壞事 |
| transcript.whisperx[340].start |
9454.626 |
| transcript.whisperx[340].end |
9479.982 |
| transcript.whisperx[340].text |
因為錢就沒辦法開沒辦法贏所以不管是加總起來總預算受影響或是乃至於一般性補助款受影響我們的衛福部都是Top 5前五名那現在怎麼辦呢夏業我相信我們的委員今天站在這裡部分黨派都會支持我們衛福部的組織改制只要我們把少子化對策把長照大家關心的事情能夠真的做到位 |
| transcript.whisperx[341].start |
9480.842 |
| transcript.whisperx[341].end |
9502.463 |
| transcript.whisperx[341].text |
但是就預算論預算你們187.2億沒有辦法動之的預算會嚴重的衝擊了就是我剛講的這兩個新興的重要的政策面向下業好 您簡要的告訴我們當然大家關心新生兒的預算要補貼到一胎10萬 |
| transcript.whisperx[342].start |
9504.105 |
| transcript.whisperx[342].end |
9532.988 |
| transcript.whisperx[342].text |
那我们受影响就是42亿没办法用影响的新生儿是多少数量新生儿因为我们去年来算的话大概是10万多不到11万那没有办法动之的预算呢我大概算了一下大概是7100位7100位新生儿乃至于新手爸妈就领不到这个一胎领到10万补助的政府的福利 |
| transcript.whisperx[343].start |
9533.869 |
| transcript.whisperx[343].end |
9543.813 |
| transcript.whisperx[343].text |
第二個公托各縣政府各縣市政府都在爭取公托受影響不能致用的預算是14億會有幾處沒有辦法設你們盤點過詳細的數字好大概49處以上 |
| transcript.whisperx[344].start |
9552.236 |
| transcript.whisperx[344].end |
9575.501 |
| transcript.whisperx[344].text |
那健康台灣的部分您可不可以清楚的告訴大家就防疫就智慧醫療就藥物韌性的部分會承受什麼樣的負面影響跟委員報告其實我們在今年有很多的新興計畫要進行因應著整個全球關稅貿易的改變所以我們有藥品韌性的整備計畫這個是四年240億那麼今年就已經編列 |
| transcript.whisperx[345].start |
9580.662 |
| transcript.whisperx[345].end |
9603.939 |
| transcript.whisperx[345].text |
就19億受影響了就已經近20億了那另外為了這個新興傳染病的問題我們有這個One Health全球防疫一體的計畫那麼這個計畫也是今年要啟動的那這個是完全新興的所以沒有審查預算是完全無法23億的疫苗產業防疫整備也沒有啊完全不能夠 |
| transcript.whisperx[346].start |
9605.322 |
| transcript.whisperx[346].end |
9622.773 |
| transcript.whisperx[346].text |
那智慧醫療的時代來了智慧醫療20億在我們的科技預算裡頭要推動的這個智慧醫療那麼還有這個長照3.0也是今年要啟動的裡面有一些部分的預算那麼會影響到所以這是一個中整的數字 |
| transcript.whisperx[347].start |
9623.453 |
| transcript.whisperx[347].end |
9645.267 |
| transcript.whisperx[347].text |
所以從新生兒42億生育補助領不到地方的公托家園公設托嬰中心49處以上沒有辦法新設因為14億不能用乃至於您剛剛說的健康台灣生根計畫新年度70億從防疫的準備到智慧醫療到藥物韌性全遭殃下一頁 |
| transcript.whisperx[348].start |
9647.128 |
| transcript.whisperx[348].end |
9663.508 |
| transcript.whisperx[348].text |
所以我要今天花了一點時間整理出這些數字當然也非常謝謝民間的團體我們站出來發聲以近十年來我們的托嬰中心的收托人數成長了十年成長了三萬多人成長率是3.2倍 |
| transcript.whisperx[349].start |
9667.432 |
| transcript.whisperx[349].end |
9684.782 |
| transcript.whisperx[349].text |
所以說這是一個對的政策政府來扶植廣設拖曳中心來協助新手爸媽進行有品質的拖曳這是數字會說話所以我們要支持設更多的公托中心下一頁如果新年度的預算還不省14億的預算沒了 |
| transcript.whisperx[350].start |
9685.783 |
| transcript.whisperx[350].end |
9701.385 |
| transcript.whisperx[350].text |
六都你看不分藍綠各個縣市每一年都在努力中央地方協力來增加公托你看各縣市都在拼公托的設置加速所以中央的預算卻下不去因為沒有錢夏業 |
| transcript.whisperx[351].start |
9704.083 |
| transcript.whisperx[351].end |
9726.575 |
| transcript.whisperx[351].text |
49家N處是現在盤點出來如果藍白在野委員總預算不省公托的預算不到位已經可以算得出來從彰化台南屏東台中新北市等等會有至少49處的公托設施這是已經有計劃的就沒有辦法補助他成立了 |
| transcript.whisperx[352].start |
9727.737 |
| transcript.whisperx[352].end |
9747.248 |
| transcript.whisperx[352].text |
加N的意思是我們還有多的9.46億是可以供地方政府再來申請再來申請可以提計劃所以49加N的公托設施為什麼在野黨的委員不讓預算通過甚至連審查都不審呢最後一頁長照 |
| transcript.whisperx[353].start |
9748.568 |
| transcript.whisperx[353].end |
9756.974 |
| transcript.whisperx[353].text |
長照雖然編在基金啦但是長照在新的一年度我們的預算也來到1100多億總預算如果不省大概230.5億的長照預算 |
| transcript.whisperx[354].start |
9760.003 |
| transcript.whisperx[354].end |
9789.363 |
| transcript.whisperx[354].text |
即便编载基金他一样是新新的新增的预算没有办法支用所以我希望今天也透过这里我们再一次透过我们的答询执政党我们全力的捍卫支持预算我们希望预算要审查如果在野党认为公托不要设这么多你可以减少预算没有关系如果在野党委员认为长照3.0要精进预算也不想给这么高也没有关系可以讨论 |
| transcript.whisperx[355].start |
9790.063 |
| transcript.whisperx[355].end |
9804.467 |
| transcript.whisperx[355].text |
但至少要審查吧至少要審查吧我也真的就今天的法案的審查跟詢答我們可以再一次的見證我相信委員們都支持新社組織來照顧兒少來照顧長者 |
| transcript.whisperx[356].start |
9807.688 |
| transcript.whisperx[356].end |
9824.919 |
| transcript.whisperx[356].text |
但是有了組織 有了緣額 有了人力沒有預算就萬萬不可好 我們繼續努力 繼續遊說讓相關的團體一起站出來為全民的預算來發聲辛苦部長 辛苦大家好 謝謝委員好 謝謝吳思堯委員接下來請羅志強委員來做詢答 |
| transcript.whisperx[357].start |
9846.775 |
| transcript.whisperx[357].end |
9875.118 |
| transcript.whisperx[357].text |
有請石部長請石崇良部長部委員早部長我現在想請教一下我剛剛聽到您跟黃國昌委員在詢答的時候針對行政院犯人說2017年在衛福部就已經有少子女化對策辦公室結果你卻說在屬的時代在部的時代沒有到底是有還是沒有 |
| transcript.whisperx[358].start |
9876.167 |
| transcript.whisperx[358].end |
9901.284 |
| transcript.whisperx[358].text |
在我的印象裡面是沒有成立辦公室來 我想請教一下部長 你知道這是什麼嗎這是衛福部在第九屆第四會期的書面報告衛福部少子女化對策辦公室運作現狀政策目標及達成進度它裡面有一段文字它講本部內部成立少子女化 |
| transcript.whisperx[359].start |
9901.564 |
| transcript.whisperx[359].end |
9907.549 |
| transcript.whisperx[359].text |
部長我是看到什麼奇怪靈異事件嗎你說沒有衛福部的專案報告說有而且還開了六次會到底是有還是沒有 |
| transcript.whisperx[360].start |
9931.708 |
| transcript.whisperx[360].end |
9951.026 |
| transcript.whisperx[360].text |
他看起來我們沒有一個所謂的專案辦公室這是一個像那個專案小組我先跟你講你連標題都是對策辦公室少子女化對策辦公室沒有關係 部長我要跟你說我就要從這件事來看 |
| transcript.whisperx[361].start |
9952.301 |
| transcript.whisperx[361].end |
9975.995 |
| transcript.whisperx[361].text |
我們民進黨政府面對少子女化辦公室的螺絲是掉到什麼程度掉到有少子女化對策辦公室部長你都不知道然後這個單位我想請問六次開會之後有沒有第七次你顯然你不知道因為連有這個辦公室我看都不知道這個是在過去2017年沒有過去多久民進黨執政民進黨執政 |
| transcript.whisperx[362].start |
9979.382 |
| transcript.whisperx[362].end |
10001.78 |
| transcript.whisperx[362].text |
白紙黑字啊106年10月16號就是你們的專案報告但是沒關係我要跟部長強調一個重點這是證明了一件事情嘛民進黨這個拯救少子女化根本是打假球嘛打假球假到說今天主管部會不知道自己有少子女化對策辦公室你們的發言人還說有 |
| transcript.whisperx[363].start |
10003.517 |
| transcript.whisperx[363].end |
10029.155 |
| transcript.whisperx[363].text |
結果你在這邊跟我講沒有跟委員說明少子女化的對策都是跨部會的所以他的這個行動層級是在院的層級都是重點就是衛福部就有嘛你的標題都有嘛這個我不跟部長你爭論啦重點是什麼不過說實在話有跟沒有我覺得也沒差啦為什麼因為民進黨執政十年生不如死啊 |
| transcript.whisperx[364].start |
10030.643 |
| transcript.whisperx[364].end |
10047.161 |
| transcript.whisperx[364].text |
你有沒有這個少子女化的對策辦公室有影響到我們今天台灣在民進黨執政之下真到全世界第一名嗎第一名不是光榮的第一名出生率最低第一名部長你覺得這很容易嗎有沒有很容易 |
| transcript.whisperx[365].start |
10050.091 |
| transcript.whisperx[365].end |
10073.323 |
| transcript.whisperx[365].text |
第一名很容易嗎生育率的下降確實這個是很嚴峻那它的因素也很多因素當然很多可是你要爭到全世界第一名我真的覺得也是萬分佩服我沒有怪部長你因為你也算是上任沒多久我要講的是整個民進黨執政也十年了來來來 我跟您講少子女化當然是個趨勢 |
| transcript.whisperx[366].start |
10074.944 |
| transcript.whisperx[366].end |
10085.381 |
| transcript.whisperx[366].text |
全球皆然嘛但是拿到第一名坦白講不容易啦要表揚啦全世界都在有面臨尤其是比較發展的國家有面臨少子女化的問題這個是事實 |
| transcript.whisperx[367].start |
10087.082 |
| transcript.whisperx[367].end |
10106.067 |
| transcript.whisperx[367].text |
但是你可以少到拿到全球第一名那就是民進黨執政了不起的地方啊來你來看這個什麼叫做少子女化什麼叫儲身率總儲身率的下降近20年你從20年起算的1.12請問你知道總儲身率在20年的最高峰是在哪一年嗎 |
| transcript.whisperx[368].start |
10107.819 |
| transcript.whisperx[368].end |
10134.155 |
| transcript.whisperx[368].text |
過去這20年最高峰我不清楚要再查一下最高峰2012年啊國民黨執政啊1.27啊請問去年是多少總出生率去年因為還沒有結算前年的話是到0.870.87嘛對你覺得今年結算一下去年結算一下你覺得更高更低啊不會 |
| transcript.whisperx[369].start |
10136.167 |
| transcript.whisperx[369].end |
10164.96 |
| transcript.whisperx[369].text |
所以我要跟你講你看到嘛全世界這幾十年的趨勢尤其比較發展比較好的國家是往下降沒錯嘛出生率在下跌可是中間曾經在國民黨執政有一度反轉從這邊反轉到高點然後一直到民進黨執政直接雪崩式崩盤然後我要再想請教你你知道我們台灣什麼時候正式進入生不如死的時代 |
| transcript.whisperx[370].start |
10165.902 |
| transcript.whisperx[370].end |
10191.799 |
| transcript.whisperx[370].text |
就是出生人數低於死亡人數哪一年開始正式進入到生不如死時代2020年啦2020年出生16萬死亡17萬生不如死我要特別說今天為什麼大家關心所謂的搶救少子女化的問題你從一開始 |
| transcript.whisperx[371].start |
10195.169 |
| transcript.whisperx[371].end |
10220.818 |
| transcript.whisperx[371].text |
辦公室的成立結果我就發現就變成羅生門這就是讓大家覺得是非常非常疑惑的事情如果辦公室成立行政院跟衛福部你都搞不清楚的時候那只能證明這辦公室真的是可有可無我要請我們衛福部給我一個報告好不好你給我報告一下說請問你這份報告裡面開了六次會議後第七次會議是什麼時候開的 |
| transcript.whisperx[372].start |
10222.097 |
| transcript.whisperx[372].end |
10250.847 |
| transcript.whisperx[372].text |
還是就今天放個煙火開了六次會之後報告做完以後就沒消沒息沒消沒息靜悄悄到部長你不知道有這個辦公室存在國民黨跟民眾黨我們現在有提出台灣未來帳戶的計畫我要特別講這是語重心長如果在放任民進黨搞這種生不如死的政策下去就像馬斯克說的他講南韓搞下去幾代以後人就沒有了 |
| transcript.whisperx[373].start |
10252.069 |
| transcript.whisperx[373].end |
10256.619 |
| transcript.whisperx[373].text |
國家沒有未來啦你出聲音再降下去國家哪裡有未來拜託部長喔 |
| transcript.whisperx[374].start |
10257.964 |
| transcript.whisperx[374].end |
10286.409 |
| transcript.whisperx[374].text |
我们再努力一点好不好我们会做最大的努力过去也做了很多的努力所以刚刚前面在不论是在这个鼓励生育的补助也好或者是在养育生育的补助津贴托育等等都益助了很多非常谢谢部长我还是最后告诉你但是这个结果没有反映出来我们确实需要持续的在你们真的我们养殖证10年很努力我努力看到拿到全世界第一名 |
| transcript.whisperx[375].start |
10287.403 |
| transcript.whisperx[375].end |
10294.926 |
| transcript.whisperx[375].text |
真的不容易啦200多個國家拿到第一名真是龍賢啦出生率最低第一名真的不容易啦 謝謝好 謝謝羅志強委員羅志強委員 當然你算不錯 你生兩個但是你這個兩個還是不及格啦這個還要再加強接下來 你看蘇清泉生四個你兩個的還講得那麼大聲 |
| transcript.whisperx[376].start |
10314.152 |
| transcript.whisperx[376].end |
10333.761 |
| transcript.whisperx[376].text |
對 那個生不如死也不是這樣用生不如死是說生活實在是很困苦那現代剛好相反現在跟過去的社會來比較的話生活變好了這個少子化就常常因為生活變得太好了所以這個隱喻有一點失癖來 接下來我們有請最專業的蘇青前委員來做詢答謝謝我也是入屆的 我算兩個我們才兩個 兩個 一個 |
| transcript.whisperx[377].start |
10342.93 |
| transcript.whisperx[377].end |
10346.052 |
| transcript.whisperx[377].text |
坐在這一排的都對國家社會有貢獻的來 請好 謝謝主席我們不愧是我們屏東離港出生的正好孩子我們兩個而已 今天你們兩個還拚還拚補定 拜託來 有請石部長 |
| transcript.whisperx[378].start |
10365.124 |
| transcript.whisperx[378].end |
10374.83 |
| transcript.whisperx[378].text |
師傅您好我們台積電派去亞利桑那裡的工程師現在非正式統計已經派成績了這成績有些人找不到去聽說現在懷孕了要生孩子就要三百了他派一個清通的 清理的作用 |
| transcript.whisperx[379].start |
10391.368 |
| transcript.whisperx[379].end |
10416.855 |
| transcript.whisperx[379].text |
所以我的結論是,我們台灣的年輕人不是不會生不是沒能力生,是不敢生所以我們剛才講了很多,講了幾次像莊烈雄做律師有幾個人,所以會死的我會死的,我沒有生,不是說我不會生我從沒變成生的,所以人工生殖法現在正在發生 |
| transcript.whisperx[380].start |
10419.576 |
| transcript.whisperx[380].end |
10434.088 |
| transcript.whisperx[380].text |
來 我要報告的就是說他為什麼在美國他會加薪 他加要用就是他安心 這個是最重要他社會福利支撐過 網子過硬 美國人 |
| transcript.whisperx[381].start |
10438.959 |
| transcript.whisperx[381].end |
10453.766 |
| transcript.whisperx[381].text |
小孩去 太太去留學生留學生去只要一懷孕那他們會通報那他們的社會處只要接到這個已經懷孕的第一件事就是給你列案第二件事就是先來就來先來 |
| transcript.whisperx[382].start |
10456.614 |
| transcript.whisperx[382].end |
10481.825 |
| transcript.whisperx[382].text |
讓你喝到臉紅也倒喝 都喝不完喝到臉 隔壁也要掛在旁邊留學生掛在那裡倒喝是這樣 先來如果不出群聚就讓他喝瘦的那個顧什麼 顧那個孩子那個孩子 留學生也不是美國籍留學生簽證而已因為這些小孩子是整個國家整個世界的未來 |
| transcript.whisperx[383].start |
10482.987 |
| transcript.whisperx[383].end |
10488.57 |
| transcript.whisperx[383].text |
所以你如果有這種支撐你就高升啊你台灣誰要怕不管國民黨接著好了民進黨接著好了就越生越少現在少了三個名字剛才柔子講的第一名是渡兵省三個名字出生率出生率最少這個是我們要深思的啦所以你說十萬塊中央補助十萬塊如果我看要不夠 |
| transcript.whisperx[384].start |
10513.12 |
| transcript.whisperx[384].end |
10525.988 |
| transcript.whisperx[384].text |
我們管路要再補十萬所以我化工二十萬就是這樣來的每個月給六千塊補給小孩子小孩子營養 午餐 免錢這都蓋起碼的了啦 不定另外一個檔案我們的飛機掉下去大家都很不敢那一個飛管一個飛管都開了幾億人生肯定那是什麼 |
| transcript.whisperx[385].start |
10540.478 |
| transcript.whisperx[385].end |
10555.829 |
| transcript.whisperx[385].text |
我看不下去就是不管是國民黨執政我去屏東P3C反前期P3C反前期在屏東成軍我有去參加那個是馬英九執政那個P3C反前期你知不知道 |
| transcript.whisperx[386].start |
10557.585 |
| transcript.whisperx[386].end |
10564.069 |
| transcript.whisperx[386].text |
40年了 40年的飛機引擎換換的 設施換換的就夠了 一隻機人賣我們50個代表我們買了12架那我要講的就是說我們希望我們的飛行員都能開 |
| transcript.whisperx[387].start |
10575.055 |
| transcript.whisperx[387].end |
10585.883 |
| transcript.whisperx[387].text |
新的飛機 好的飛機 而不是用F-16AB那種舊飛機然後upgrade mid-life upgrade往往那些都是舊的飛機 機身跟門批都沒有換所以我們同歸好歷史 同歸歷史我們是要希望美國把我們高興的給我們用新的飛機 這樣對不對 |
| transcript.whisperx[388].start |
10599.292 |
| transcript.whisperx[388].end |
10627.524 |
| transcript.whisperx[388].text |
不然我講的是題外話啦但是我是希望大家都把機器快點找到雖然是很危急好 那今天你的組織變革這個組織要增加大家問了很多我就問兩件第一個就是你的國家科技中心另外一個是國家中醫研究院那我請問你這個科技研究評估中心 |
| transcript.whisperx[389].start |
10628.814 |
| transcript.whisperx[389].end |
10628.997 |
| transcript.whisperx[389].text |
你是要幹什麼 |
| transcript.whisperx[390].start |
10630.883 |
| transcript.whisperx[390].end |
10658.565 |
| transcript.whisperx[390].text |
跟委員說明今天健保要給付因為越來越多這種高貴的藥新藥發展得越來越快但是價格都不便宜但是資源有限所以現在要納入健保之前都按照我們健保法42條的規定會進行醫療科技評估來評估它的成本效益的問題財務的影響還有它可能產生的效益跟社會 |
| transcript.whisperx[391].start |
10659.506 |
| transcript.whisperx[391].end |
10681.262 |
| transcript.whisperx[391].text |
社會經濟的關聯性等等所以這個是醫療科技評估我們現在都是委託一個財團法人在做我們希望未來這個量越來越大專業的人才的需求也越來越多所以把它成立成一個行政法人來協助做健保給付的時候的前端的評估 |
| transcript.whisperx[392].start |
10683.081 |
| transcript.whisperx[392].end |
10698.899 |
| transcript.whisperx[392].text |
所以主要是要核心藥 核癌藥那原來那個藥品查驗基金會藥品查驗登記中心他是負責藥品取證你要上市之前的許可前端的作業 |
| transcript.whisperx[393].start |
10699.58 |
| transcript.whisperx[393].end |
10721.65 |
| transcript.whisperx[393].text |
所以兩個不疊床才有現在是要把它分開讓它兩邊分開不要合成所以新的藥的引進跟新藥的查核會速度會加快對然後要有預期的效果你不要越拖越久越拖越久是因為沒錢所以才一直拖 |
| transcript.whisperx[394].start |
10722.517 |
| transcript.whisperx[394].end |
10740.241 |
| transcript.whisperx[394].text |
我們現在有的需求如果符合我們的醫療需要就是醫療上有缺口的藥我們現在新藥有平行審查一方面在送查驗登記取證的過程就可以來跟健保申請納入給付這樣就縮短了 |
| transcript.whisperx[395].start |
10741.403 |
| transcript.whisperx[395].end |
10757.937 |
| transcript.whisperx[395].text |
所以不管是要健保要給予的或者是要智慧的這要這個中心都要先做就對了那健保現在戶北企業也要在這個中心來審是不是 |
| transcript.whisperx[396].start |
10758.644 |
| transcript.whisperx[396].end |
10782.283 |
| transcript.whisperx[396].text |
他是做這個要不要納入健保幾戶建議的審查但是他的部分有健保的總額還有癌症新藥基金來支持好 儀器呢 儀器沒有新科技 新儀器 新的耗材 |
| transcript.whisperx[397].start |
10783.143 |
| transcript.whisperx[397].end |
10810.952 |
| transcript.whisperx[397].text |
新的 我們現在有一些是智慧衣材有AI功能的那些那些也比較新的東西那也要評估 那也要評估因為有人在質疑說你這個跌床這麼好你這個是在安置你的閒置人力 雇佣沒有吧 沒有這件事情沒有 這是要讓他要羅織更多的專業人才那不是一般的公務員能做的這要專業的人力的培育 |
| transcript.whisperx[398].start |
10811.232 |
| transcript.whisperx[398].end |
10831.237 |
| transcript.whisperx[398].text |
那第二個國家中醫研究院這又要做什麼現在我們有一個是我始終替大家質疑在問的國家中醫藥研究所專門在做研究而已提供一些檢驗方法或者是新藥的研發但是因為受限於公務機關的用人 |
| transcript.whisperx[399].start |
10832.077 |
| transcript.whisperx[399].end |
10853.801 |
| transcript.whisperx[399].text |
這很多也是委員會最清楚很多人才不是用公務系統的禁用所以讓他成為一個國家中醫研究所讓他的人才的羅織可以更廣 有彈性同時讓他去發展從臨床前的研究到臨床的研究 |
| transcript.whisperx[400].start |
10854.301 |
| transcript.whisperx[400].end |
10872.187 |
| transcript.whisperx[400].text |
所以這些研究的科技人才不是用公務人員的資格來聘用所以也不受公務人員的管制所以用人科研活潑他的待遇科研很高那這樣會不會打擊公務人員的士氣 |
| transcript.whisperx[401].start |
10873.633 |
| transcript.whisperx[401].end |
10893.069 |
| transcript.whisperx[401].text |
他的取材來源不一樣比如說有些他是需要博士後研究的人他是要有中醫的背景那個要跟產業競爭要跟外面的用人要去競爭所以他的薪資需要比較彈性不是跟一般的公務員的那個薪給制度相同所以這個是我比較擔心的 |
| transcript.whisperx[402].start |
10894.19 |
| transcript.whisperx[402].end |
10907.593 |
| transcript.whisperx[402].text |
就是說看起來很好但是下去 碰下去 亂下去會不會讓公務員產生不平衡這個是你要注意的地方要小心的地方做的事情不一樣做的事情不一樣 |
| transcript.whisperx[403].start |
10909.818 |
| transcript.whisperx[403].end |
10929.909 |
| transcript.whisperx[403].text |
研發出來也計轉然後會變成產業化所以它那個對整個台灣的中醫藥的發展會很有貢獻我看這個世界十大藥廠他們的研發100個研發能夠成功差不多10件然後能夠上市差不多2000 |
| transcript.whisperx[404].start |
10931.07 |
| transcript.whisperx[404].end |
10939.292 |
| transcript.whisperx[404].text |
所以研發會成功不成功那是未定之數啦 對齁不然你如果說是要做原始的研發其實是要建Dineric來做那是不一樣的所以我們會支持啦但是你這個後面衍生出來的問題你要小心啦好 我們會 這個都要兼顧啦都會兼顧 |
| transcript.whisperx[405].start |
10953.817 |
| transcript.whisperx[405].end |
10976.277 |
| transcript.whisperx[405].text |
好 謝謝石清風委員的發言也謝謝石部長的答詢下一位我們請莊瑞雄召委發言好 謝謝主席有請我們衛福部我們石崇良石部長好 請石部長莊委員好部長 我就問你就好 不要叫那麼多人其實剛剛國民黨委員的質詢那都胡說八道 |
| transcript.whisperx[406].start |
10981.169 |
| transcript.whisperx[406].end |
11009.023 |
| transcript.whisperx[406].text |
我不會說 除了蘇清泉委員講的因為他生了四個小孩所以我給他加冕一下不然 人口每一個國家都希望維持一個人口的穩定所以不能說人口要維持一個替代率多少 2.1% 2.12.1從哪裡就台灣哪裡就已經低於2.1了從1983年人口維持的替代率那個時候就已經低於2.1了 |
| transcript.whisperx[407].start |
11010.851 |
| transcript.whisperx[407].end |
11013.363 |
| transcript.whisperx[407].text |
到馬英九的時候2010年的時候他說 啊 慘了 |
| transcript.whisperx[408].start |
11016.069 |
| transcript.whisperx[408].end |
11043.358 |
| transcript.whisperx[408].text |
台灣少子化會國安危機馬英九在二零一年提出來然後到了哪裡呢提出來這個口號以後毫無對策是到了二零一八年蔡英文總統上來以後才制定了請國安會訂定一個國家少子化的一個政策綱領這為大家說得對那政府一直去做但是有沒有成效看不到 |
| transcript.whisperx[409].start |
11044.458 |
| transcript.whisperx[409].end |
11057.777 |
| transcript.whisperx[409].text |
看不到 如果要講人口政策 你就問我 我很會講英文都沒有補 如果真的要有補我建議大大說 我衛福部長石崇良 現在選補你如果生小孩 我一個人給你一百萬看能不能增加一百萬人 |
| transcript.whisperx[410].start |
11060.834 |
| transcript.whisperx[410].end |
11063.616 |
| transcript.whisperx[410].text |
現在的社會經濟狀況都比過去還要好以前你若不生小孩 社會上會給你壓力小孩生小孩後 有阿公阿嬤會幫你倒床 |
| transcript.whisperx[411].start |
11086.073 |
| transcript.whisperx[411].end |
11090.878 |
| transcript.whisperx[411].text |
以前多生一輩子 我就多生一雙小孩小孩就算了 像我們小孩在那裡也沒有人管我們在整個村子 大家說好了你知道嗎整個村子大家都生四個我們在上一輩的時候 還七個耶所以社會越進步啦 人越獨立啦那尤其以前墮胎 那是大驚我一件事到最後 墮胎也合法化了 |
| transcript.whisperx[412].start |
11109.754 |
| transcript.whisperx[412].end |
11113.859 |
| transcript.whisperx[412].text |
大家都越來越獨立了你現在要叫孩子生我看你們會制定什麼樣的一個政策我看是很困難啦但是呢我確實是少子化真的是一個國安的一個危機啦不然你人也越來越少啊我們長照對老大人一直照顧那個本地都要照顧的啊但是生小孩這一代 |
| transcript.whisperx[413].start |
11130.638 |
| transcript.whisperx[413].end |
11134.881 |
| transcript.whisperx[413].text |
你也不能逼 要怎麼制定法律 叫大家去生未來接生的人連結婚也沒有結婚 對不對 不要說小孩子可是他沒有生小孩的人 他也感受到沒有小孩對國家來 長期的一個發展來講的話那確實是一個很大的一個危機這個 我不敢想跟你們說要用什麼保守但是 你確實是踏入一切 他也不可以生 |
| transcript.whisperx[414].start |
11159.488 |
| transcript.whisperx[414].end |
11162.789 |
| transcript.whisperx[414].text |
越來越好,他也不把你生了,他覺得不把你養成一隻寵物,他也覺得很開心。不需要負擔,不需要付很多責任,不需要生小孩。少子化有太多太多的一個因素了,尤其社會去做改變了。但是呢,政府都束手無策,這也不行。 |
| transcript.whisperx[415].start |
11182.538 |
| transcript.whisperx[415].end |
11185.701 |
| transcript.whisperx[415].text |
我們很多政策都怕人家罵 站出來而已你知道嗎我們很多政策都是怕外界罵然後我們提出來真正有沒有用 |
| transcript.whisperx[416].start |
11194.028 |
| transcript.whisperx[416].end |
11214.007 |
| transcript.whisperx[416].text |
你也知道 我也知道看數字就知道 都真的沒有用也還好有那些政策沒有那些政策的話搞不好會崩得會更快再想一下但是我還是要來就教幾個問題就是說國建署最新的統計很快兩位台灣人裡面 請我一位 |
| transcript.whisperx[417].start |
11217.927 |
| transcript.whisperx[417].end |
11222.428 |
| transcript.whisperx[417].text |
體重都超標的所以為什麼現在很多人在找那個有效的減肥的方法傳統的吃下去之後 少吃都說小人少吃 多動 太慢了現在有瘦瘦症對不對但是我看到特別看到這個什麼叫猛健樂這個新藥因為衛福部要核准了可以來做減肥料市場簡直是殺紅了眼本期是比較擔心的就是說其實消費者的心態很簡單 |
| transcript.whisperx[418].start |
11247.952 |
| transcript.whisperx[418].end |
11252.953 |
| transcript.whisperx[418].text |
他追求比較強效安全雖然價錢比較貴但他也覺得有好就好可是我們也發現很多我也會特別去注意到的好多的亂象比如說團購假團購也有陷阱LINE也有 臉書也有盤商也有 員工也有這個價錢來源是什麼我們也不知道這是第一個第二個就是說不然就整頓把它拆裝變零售四季之後 |
| transcript.whisperx[419].start |
11277.419 |
| transcript.whisperx[419].end |
11289.363 |
| transcript.whisperx[419].text |
就把單季的價錢壓低這個都有潛在的淡然的風險另外最怕擔心的是境外的將進來的像譬如說我們在中國那邊就縮小一點同樣的成分價格只有十分之一我很擔心這個我不知道部長你看到這樣的一個亂象問題是說要給糖尿病的人要應援搞不好大家覺得這個好談我看很多醫生 |
| transcript.whisperx[420].start |
11306.766 |
| transcript.whisperx[420].end |
11330.248 |
| transcript.whisperx[420].text |
大家都聊下去 不曉得部長你的看法怎麼樣有點失序啦確實從整個銷售量的成長過去這五年從一年不到十萬劑十萬針到去年已經超過一百萬確實我們看到這個量的增加太可怕所以有幾個事情我們會強化的第一個 |
| transcript.whisperx[421].start |
11333.09 |
| transcript.whisperx[421].end |
11348.915 |
| transcript.whisperx[421].text |
這個是一個處方藥啦所以沒有拿到台灣的藥證那個就是偽藥那個會重罰所以這個一定是從安全的角度第一個先切入沒有達到藥證在賣的像中國版的這個就是偽藥這個我們會重罰我們會來強化這個稽查 |
| transcript.whisperx[422].start |
11352.856 |
| transcript.whisperx[422].end |
11367.396 |
| transcript.whisperx[422].text |
那第二個這個藥本身是醫師的處方要有醫師的處方才可以買所以不可以隨便亂賣所以團購也好或者是隨便到什麼地方就可以買得到那個都是違法的它一定要有 |
| transcript.whisperx[423].start |
11368.557 |
| transcript.whisperx[423].end |
11384.806 |
| transcript.whisperx[423].text |
賣的人要有藥商的資格那麼買的人要有一絲的處方才可以所以我們會來強化這個管理所以博丁我要說的就是說這個監管有一點慢半拍就像你講的市場確實已經失序了 |
| transcript.whisperx[424].start |
11385.726 |
| transcript.whisperx[424].end |
11397.154 |
| transcript.whisperx[424].text |
真的要非常小心你醫療科技當然會進步但是如果你缺乏有效的監管的市場機制底下你上游開始走私經濟不知道中游到去排擠到整個病患的一個權益再到下游這個地方又有感染這樣的一個風險我特別特別的提醒衛護部這個部分真的要加把勁好不好好 我們會來加強管理 |
| transcript.whisperx[425].start |
11410.464 |
| transcript.whisperx[425].end |
11433.843 |
| transcript.whisperx[425].text |
那另外今天我們整個衛福部我們今天在排審這個組織法裡面我倒有一個想法就是說你這個成立專責機構以後你預算跟跨部會的整合資源你要去有效的到位啦有效的一個到位啦你譬如說我們目前兒童跟少年相關的預算你現在GDP多少幾%2%而已你OECD的部門是說要幾%6%所以這個部分 |
| transcript.whisperx[426].start |
11438.506 |
| transcript.whisperx[426].end |
11454.015 |
| transcript.whisperx[426].text |
這個如果說你只是說多一個組織只要把既有的資源去重新分配我看這樣你也達不到效果你自己組織起來之後你如果沒有資源在相對的一個到位的話你達不到你想要的效果 |
| transcript.whisperx[427].start |
11454.935 |
| transcript.whisperx[427].end |
11468.705 |
| transcript.whisperx[427].text |
還有大家在講的我聽了好幾位委員在談到的也是有點道理的就是說你這些組織來的位階你等於三級機關那是不是承受得了那種高度的一個跨部會的協調的一個任務啊這個部分特別特別要去注意我看我們這個兒少福利跟權益保障法裡面的規定來的那個任務行為是保生保害你知道嗎 |
| transcript.whisperx[428].start |
11480.356 |
| transcript.whisperx[428].end |
11494.423 |
| transcript.whisperx[428].text |
跨部會 跨院好多好多的地方我們確實是對於整個跨部會整個的問題跟人力的一個擴編這部分我們希望這個組織法我們來幫忙以後你們也同步要去做一個落實 |
| transcript.whisperx[429].start |
11495.763 |
| transcript.whisperx[429].end |
11513.473 |
| transcript.whisperx[429].text |
跟委員報告確實這個人跟錢要同時到位啦所以我們有這個組織之後把它專責起來之後我們的人力也會希望增加啦不然那個預算在你膨大也要有人執行啦這幾年這個預算增加這麼多可是緣合上也沒有什麼成長所以我們也趁這個機會 |
| transcript.whisperx[430].start |
11515.254 |
| transcript.whisperx[430].end |
11533.274 |
| transcript.whisperx[430].text |
成立一個三級機關讓這個人力可以成長那同時更專業跟專責來做擬定對策計畫再去有計畫那就預算才能夠去爭取那才能夠去落實執行所以這個是會結合起來做當然跨 |
| transcript.whisperx[431].start |
11534.295 |
| transcript.whisperx[431].end |
11553.842 |
| transcript.whisperx[431].text |
跨部會的協調永遠都是我們現在面臨到的問題都很複雜像食安問題也是跨部會的我們也不會因為只是一個食安署食藥署就沒有辦法做這些事情所以這個平台上我們有各種不同的機制跨部會的合作我們部裡面的協調的委員會 |
| transcript.whisperx[432].start |
11557.043 |
| transcript.whisperx[432].end |
11566.909 |
| transcript.whisperx[432].text |
或者是在行政院層級的也都有相對應的平台來做跨部隊的事情好啦 換給你支持 做出好成績啦好不好 好 加油謝謝阿維的發言也謝謝部長的回訊 |
| transcript.whisperx[433].start |
11578.533 |
| transcript.whisperx[433].end |
11589.076 |
| transcript.whisperx[433].text |
因為上午到現在都沒有休息了那我們就等稍後王正旭委員詢問結束以後休息五分鐘來 接下來請王正旭委員來做詢問 |
| transcript.whisperx[434].start |
11597.025 |
| transcript.whisperx[434].end |
11615.658 |
| transcript.whisperx[434].text |
好 感謝趙薇 最讚的趙薇安排今天的主題讓我們有機會針對於這個醫療科技很多需要及時來反應的需求今天有機會來真的來做一個詢問再請石部長請石崇良部長 |
| transcript.whisperx[435].start |
11619.471 |
| transcript.whisperx[435].end |
11634.541 |
| transcript.whisperx[435].text |
部長部長好今天要審查這個組織法這個主改條文所以大家很期待趕快能夠把這些處理好以後對於整體的衛福工作呢可以有更好的發展那我今天就針對這個主題有兩個議題來跟部長 |
| transcript.whisperx[436].start |
11637.123 |
| transcript.whisperx[436].end |
11656.981 |
| transcript.whisperx[436].text |
来讨论一下第一个就是医疗科技评估要纳入新医疗技术他对外也一定讲一部分等一下再主席跟部长就教第二个就是也是我们赵伟很关心的儿少相关的事项那么多有没有机会把协调这两个字也放进来等一下我们再跟部长讨论一下 |
| transcript.whisperx[437].start |
11657.762 |
| transcript.whisperx[437].end |
11674.51 |
| transcript.whisperx[437].text |
有關於醫療科技評估納入新醫療技術的部分我們也知道在我們就稱為Chapter好了這樣比較好說不然 國家醫療科技評估中心設置調理這個說下來就已經時間比較長那有關於Chapter這個中心的業務範圍 |
| transcript.whisperx[438].start |
11675.851 |
| transcript.whisperx[438].end |
11698.645 |
| transcript.whisperx[438].text |
在第三條裡面規範很清楚那在第一款就說要發展與建立醫療科技評估的方法與指引那剛剛在蘇委員請教您的時候又把這個chapter本身的業務講得非常清楚那在立法說明裡面也針對藥品醫療器材手術處置健康政策跟系統等範疇 |
| transcript.whisperx[439].start |
11700.646 |
| transcript.whisperx[439].end |
11715.246 |
| transcript.whisperx[439].text |
可是我們也了解現在醫療科技真的是進步太多它很有可能是很多種是夾雜在一起的所以現在分別來這樣調列的話對於未來的發展有沒有造成哪一些的影響我們其實是有點擔心 |
| transcript.whisperx[440].start |
11717.108 |
| transcript.whisperx[440].end |
11740.1 |
| transcript.whisperx[440].text |
我們也知道新的醫療技術事實上醫事室有在處理這部分新的醫療技術如果需要在台灣進行人體試驗或者是要取得台灣的許可的時候事實上也有相關的條例在這部分它分成兩部分一部分它是會委託醫策會來進行所謂的行政事務的審查 |
| transcript.whisperx[441].start |
11740.82 |
| transcript.whisperx[441].end |
11761.595 |
| transcript.whisperx[441].text |
那這個兩點包括這個屬性的判定另外就是審查的作業相關的這個處理需求那我就舉個例子因為我本身一直在看癌症那癌症其實最近的發展真的非常非常的快光一個放射治療本身就會可能牽扯到藥牽扯到醫療技術牽扯到手術將來這個要怎麼辦 |
| transcript.whisperx[442].start |
11765.598 |
| transcript.whisperx[442].end |
11791 |
| transcript.whisperx[442].text |
是用現有的模式呢還是既然Chapter成立了有沒有機會把這個業務同時做好適當的整併以後未來才不會說我現在不知道我到底是要給哪一個單位做適當的申請程序才能夠讓整個這個發展可以更為順利所以這邊有三個問題來請教一下部長第一就是醫療科技評估能不能把新的醫療技術 |
| transcript.whisperx[443].start |
11793.422 |
| transcript.whisperx[443].end |
11815.567 |
| transcript.whisperx[443].text |
來弄作會而不是分開的什麼藥物啦手術等等的再過來這個新的醫療科技人體試驗到底是什麼人要來審查比較好第三項就是醫療就是Chapter目前如果人力增加以後的分組那怎麼樣來處理會是能夠因應未來Chapter整體的發展請部長 |
| transcript.whisperx[444].start |
11816.547 |
| transcript.whisperx[444].end |
11840.606 |
| transcript.whisperx[444].text |
跟委員說明如果按照醫療法我們的心我們有三個心要做臨床試驗的一個是新藥一個是新醫材一個就是新醫療技術所以在醫療法確實是這樣分但是因為這個醫療科技評估如果要說法源的話它來自於健保法42條健保法裡面所分的就只有藥 |
| transcript.whisperx[445].start |
11841.747 |
| transcript.whisperx[445].end |
11868.629 |
| transcript.whisperx[445].text |
跟服務一種是醫療服務一個就是藥品藥品包含醫材藥品跟這個醫材所以我們的給付是分這兩個所以他為了要搭配未來的給付所以這些醫療技術通常會歸在所謂的醫療服務項目所以我們在這個法規裡面寫醫療服務其實他就是就是一指的就是醫療技術但是現在確實像您剛剛提到的有一些放射治療 |
| transcript.whisperx[446].start |
11869.449 |
| transcript.whisperx[446].end |
11889.975 |
| transcript.whisperx[446].text |
開始產生模糊了有些國家把這個放射治療當成是服務因為它不是只有那個放射源的問題它還有整個環境要調整所以它是一個醫療服務但是也有把它當成是一個新藥給它核准所以我們給付的時候我們會傾向它可能是一個包裹式的給付 |
| transcript.whisperx[447].start |
11890.675 |
| transcript.whisperx[447].end |
11911.077 |
| transcript.whisperx[447].text |
因為你有一些人員要投入環境的設備要調整才能夠實施這一種新的醫療技術的治療但是未來這個一定也會在這個CHAPTA醫療科技評估中心的行政法人來做審查那至於人體試驗 |
| transcript.whisperx[448].start |
11913.106 |
| transcript.whisperx[448].end |
11938.42 |
| transcript.whisperx[448].text |
因為這個是我們部裡面根據醫療法的授權法跟人體試驗管理辦法去擬出來的一些做法因為當時候只有醫測會那還沒有成立這個所以當然他的委託審查什麼會是在這個醫測會那未來到底要不要調整到這個新的這個Chapter我們可以來做討論 |
| transcript.whisperx[449].start |
11939.941 |
| transcript.whisperx[449].end |
11956.958 |
| transcript.whisperx[449].text |
是啊 因為比如說現在3D列印的這個技術科技非常非常的發達像牙科或者是骨科他們很多的東西事實上是採取個人化這個保温事實上是很符合你未來Chapter如果能夠把這些相關業務也納進來的話對整體的發展來講應該會更為方便就更一條龍 |
| transcript.whisperx[450].start |
11962.543 |
| transcript.whisperx[450].end |
11979.769 |
| transcript.whisperx[450].text |
是 要不然我們的3D列印技術發展了二三四年一開始的時候都是領先全球現在就像我們剛才說的我們這個生育率啊這個人口少子化的問題好像有進步不過別人的進步比我們更快就很麻煩還有一個小問題其實不小的問題就是兒少相關的這個協調選擇入法的部分 |
| transcript.whisperx[451].start |
11988.192 |
| transcript.whisperx[451].end |
12005.614 |
| transcript.whisperx[451].text |
因為在我們十月底的時候有跟院長做了希望能夠趕快讓這個兒童照顧可以更完整那兒童的整體的這些需求是真的很快得到回應所以決定要成立這個兒少跟家庭支持署 |
| transcript.whisperx[452].start |
12006.235 |
| transcript.whisperx[452].end |
12027.109 |
| transcript.whisperx[452].text |
那在调整之前很多的工作事实上都是一些组就是署下面的组在做负责调整以后还是分为五个组那这个五个组里面我们很担心这组中来你要跨部会的协调那组长去跟大家协调的过程里面会不会碰到压力或者是碰到全职上比较困难的地方 |
| transcript.whisperx[453].start |
12027.729 |
| transcript.whisperx[453].end |
12043.103 |
| transcript.whisperx[453].text |
所以有沒有機會在這個組織法裡面直接就像這個兒少及家庭支持屬裡面有關於規劃與執行托育照護的部分再多加兩個字就是 |
| transcript.whisperx[454].start |
12045.265 |
| transcript.whisperx[454].end |
12062.888 |
| transcript.whisperx[454].text |
規劃執行與協調就是剛剛我們這個詹委一直很擔心的如果把協調這兩年放進來至少數出去跟各個部會跨部會做處理的時候有它的方便性這樣的部分的修正不知道部長支不支持 |
| transcript.whisperx[455].start |
12064.26 |
| transcript.whisperx[455].end |
12078.782 |
| transcript.whisperx[455].text |
當然我們本來的意識執行當中當然就包含協調執行一個業務如果涉及到跨單位的他就要去協調那為了成立這個署的目的也就是有一個專責窗口那本來就是要做這個事情所以如果要 |
| transcript.whisperx[456].start |
12079.502 |
| transcript.whisperx[456].end |
12107.066 |
| transcript.whisperx[456].text |
加一個文字讓他更清楚我想也無妨啦本來就是這個執行過程當中需要跨單位的就去協調像托育照顧有時候他需要跟教育部去做協調那他這個就來做那早期療癒可能他有一部分涉及到健保的給付的問題他也要去協調這個當然是沒有問題好 那就麻煩部長了好 謝謝委員指教謝謝召委 |
| transcript.whisperx[457].start |
12107.446 |
| transcript.whisperx[457].end |
12110.128 |
| transcript.whisperx[457].text |
好 謝謝王正旭委員的詢問 |
| transcript.whisperx[458].start |
12164.932 |
| transcript.whisperx[458].end |
12165.112 |
| transcript.whisperx[458].text |
您的 |
| transcript.whisperx[459].start |
12165.757 |
| transcript.whisperx[459].end |
12167.422 |
| transcript.whisperx[459].text |
重點是我看到這間樓壞了才笑 |
| transcript.whisperx[460].start |
12170.695 |
| transcript.whisperx[460].end |
12171.055 |
| transcript.whisperx[460].text |
沒有啦! |
| transcript.whisperx[461].start |
12209.664 |
| transcript.whisperx[461].end |
12209.684 |
| transcript.whisperx[461].text |
那來 |
| transcript.whisperx[462].start |
12226.135 |
| transcript.whisperx[462].end |
12251.881 |
| transcript.whisperx[462].text |
我們這也是零百都可以進去的,還是都可以退後,不然國內問題,我們重點是什麼?我們就是苦主,你們要配合我們,我們就是苦主 |
| transcript.whisperx[463].start |
12252.961 |
| transcript.whisperx[463].end |
12278.603 |
| transcript.whisperx[463].text |
我今天拜託你,我會在聖靈門的主法內,你跟我說什麼?我看著你這個人,你太緊張了,好嗎?你跟我說你國主啊,你跟我說你國主啊,你跟我說你國主啊,你跟我說你國主啊, |
| transcript.whisperx[464].start |
12283.24 |
| transcript.whisperx[464].end |
12287.444 |
| transcript.whisperx[464].text |
謝謝大家 |
| transcript.whisperx[465].start |
12313.524 |
| transcript.whisperx[465].end |
12330.998 |
| transcript.whisperx[465].text |
響鐘 |
| transcript.whisperx[466].start |
12345.288 |
| transcript.whisperx[466].end |
12345.308 |
| transcript.whisperx[466].text |
這絕對是 |
| transcript.whisperx[467].start |
12360.452 |
| transcript.whisperx[467].end |
12379.189 |
| transcript.whisperx[467].text |
響鐘 |
| transcript.whisperx[468].start |
12389.231 |
| transcript.whisperx[468].end |
12412.068 |
| transcript.whisperx[468].text |
有個彈性啊 |
| transcript.whisperx[469].start |
12417.214 |
| transcript.whisperx[469].end |
12427.166 |
| transcript.whisperx[469].text |
他中午的 |
| transcript.whisperx[470].start |
12433.627 |
| transcript.whisperx[470].end |
12460.834 |
| transcript.whisperx[470].text |
我們繼續開會先做會議程序跟時間的處理本日的會議我們除了進行報告跟詢答以外我們中午就不休息了繼續來進行討論事項的六案提案條文的宣讀以後再上會好不好來 阿哥來接下來我們請張雅琳委員來做詢答 |
| transcript.whisperx[471].start |
12463.246 |
| transcript.whisperx[471].end |
12466.088 |
| transcript.whisperx[471].text |
謝謝主席 我們邀請部長有請石部長三位很早 |
| transcript.whisperx[472].start |
12479.215 |
| transcript.whisperx[472].end |
12499.766 |
| transcript.whisperx[472].text |
好部長我想在之前在院會也好其實我已經問了很多大家今天都非常關心的就是這些跨部會的溝通要如何的來去協助因為像兒少保護牽扯單位實在是非常的多所以我想這個部分我今天就不細問因為大家都已經問了非常多了但是我今天的簡報出不來現在是可以暫停時間一下嗎現在是怎麼我訊號 |
| transcript.whisperx[473].start |
12509.98 |
| transcript.whisperx[473].end |
12510.381 |
| transcript.whisperx[473].text |
時間先暫停一下 |
| transcript.whisperx[474].start |
12518.004 |
| transcript.whisperx[474].end |
12544.104 |
| transcript.whisperx[474].text |
修復一下好 沒關係簡報沒有出來之前我先問一下就是說因為今天其實就是大家最關注就是兒家屬那兒家屬裡面現在我們的規劃是五顆但是其實我們是五組三顆 每組三顆但是我們希望調整到六組因為其實我這個一直陸陸續續以來我已經跟了23個兒少相關的團體來討論那這是我的版本是團體所希望的版本所以他們為什麼會希望到這個 |
| transcript.whisperx[475].start |
12545.445 |
| transcript.whisperx[475].end |
12563.245 |
| transcript.whisperx[475].text |
六組呢最主要是說我們根據CRC其實大家都非常希望我們的兒少權利組下面呢可以我們要多一個育兒支援組就是把家庭支持組跟育兒支援分開因為過去他們放在同一個部同一組的時候呢托育其實花了太多太多的資源了 |
| transcript.whisperx[476].start |
12563.826 |
| transcript.whisperx[476].end |
12589.204 |
| transcript.whisperx[476].text |
那跟人力那事實上我們在家庭的特別是親子教育或是育兒指導等等的部分其實都沒有足夠的支持所以大家會希望這個部分有一個獨立的支持然後把托育也就是獨立化這樣子那特別還有第二點是說我們希望在這個兒少權利組下面有一個少年發展支持科我想部長一定也非常清楚這幾年大家一直在喊說我們的少年的預算剛剛 |
| transcript.whisperx[477].start |
12590.805 |
| transcript.whisperx[477].end |
12605.972 |
| transcript.whisperx[477].text |
主席講的是兒少整體預算是2%但是如果我們在裡面細看我們青少年的支持的預算是年年下降已經降到8%了所以大家希望說一個少年的發展支持科讓他有一個更長期的視角來去支持然後來去主責那特別是說 |
| transcript.whisperx[478].start |
12607.293 |
| transcript.whisperx[478].end |
12624.016 |
| transcript.whisperx[478].text |
還有牽扯到的第三點就是兒少保護安置組我們希望不要用業務別或事業別來分他是回到兒少需求為核心的整合系的整合式的一個保護體系從兒少保護 兒少性剝削以及性侵害防治全部整併放在同一個 |
| transcript.whisperx[479].start |
12624.737 |
| transcript.whisperx[479].end |
12651.357 |
| transcript.whisperx[479].text |
治理的架構之下避免像現在因為權責切割導致通報跟介入的時間點都會相當的不順暢最後一個部分其實是我們的兒少行為的防治與輔導科這個部分一樣是在兒少保護安置組最主要的原因是說現在我想有一些反覆進出體系的還有具有高度風險或缺乏兒少家庭支持的兒少 |
| transcript.whisperx[480].start |
12652.017 |
| transcript.whisperx[480].end |
12670.148 |
| transcript.whisperx[480].text |
那其實我們是需要有個持續性的輔導跟行為的介入來去給他們一個更好的支持所以我們是希望就這幾個點上面是不是可以往這個方向來努力部長您的想法是什麼好 謝謝委員因為我們這個委員所提的建議就是未來在我們的出屋規程裡面會去訂定 |
| transcript.whisperx[481].start |
12671.008 |
| transcript.whisperx[481].end |
12690.263 |
| transcript.whisperx[481].text |
所以還有一些彈性所以我覺得這個建議也很好我們來一併因為剛剛也有委員建議要再開公聽會對未來這個編制上要怎麼樣安排會讓這個組織的效能更好這個我們都會納入來慎重的研習這樣 |
| transcript.whisperx[482].start |
12691.284 |
| transcript.whisperx[482].end |
12704.012 |
| transcript.whisperx[482].text |
對 因為我們這邊也是相當支持開公聽會因為希望因為這個是一個兒家屬我自己從在民間團體跟著團體們一起在倡議那終於實現的時候我覺得大家的一些想法當然我們這邊一直陸陸續續在跟這個團體們一起在討論 |
| transcript.whisperx[483].start |
12706.633 |
| transcript.whisperx[483].end |
12734.235 |
| transcript.whisperx[483].text |
但是我們也是想要跟部會有一個更直接的溝通那特別是在這個兒少權利主政裡面因為我們一直在講CRC可是其實事實上我們在CRC裡面講的不管是兒少影響性評估也好或是權利包含休憩的權利這已經是世界國際專家關注非常非常嚴重的一個問題因為我們高自殺率可是我們其實並沒有好好的去想怎麼去支持他們讓他們有更好的發展我們一直在做都是後端的預防 |
| transcript.whisperx[484].start |
12735.236 |
| transcript.whisperx[484].end |
12742.531 |
| transcript.whisperx[484].text |
後端的補救所以我們是希望這一個部分也是可以透過專責組織才能夠去檢視我們現在制度上的一個缺口 |
| transcript.whisperx[485].start |
12743.823 |
| transcript.whisperx[485].end |
12769.118 |
| transcript.whisperx[485].text |
那最後就是緣額編制啦還是要要求我們的緣額編制一定要有足夠的編制至少要200人以上我自己算了一個版本大概是228人那我其實都算得非常的清楚那我也希望這個部長是不是可以參考我的方向來去做這個整體的編制讓資源到位讓預算到位讓人力到位我們才能夠真正的從家庭上面支持家庭支持而上那最後一個部分就是說 |
| transcript.whisperx[486].start |
12770.669 |
| transcript.whisperx[486].end |
12789.952 |
| transcript.whisperx[486].text |
抱歉最後一個部分就是說部長您可以看到其實我這邊有一個非常重要的重點就是我們有設計師跟研究員的編制那為什麼要有設計師呢其實在過去兒童局的時候我們是有設計師可是到了社家屬之後沒有設計師那這造成什麼樣子的問題是我們現在社家屬 |
| transcript.whisperx[487].start |
12790.973 |
| transcript.whisperx[487].end |
12807.969 |
| transcript.whisperx[487].text |
的資訊系統實在有夠難用不是只有我在說是很多人在說所以我們才希望說有一個這樣的資訊源而可以來去做整體的設計讓我們的資訊可以更好找然後還有就是說國建署跟衛福部的編制都有研究人力 |
| transcript.whisperx[488].start |
12808.57 |
| transcript.whisperx[488].end |
12826.271 |
| transcript.whisperx[488].text |
可是社福世家署卻沒有編制研究人力可是社會福利偵測其實世界上面一直都在有很多的新局跟創新的要去面對現在當代的社會問題所以我也認為我們現在應該要有這個研究員的編制那以上我的建議部長是不是也都接受呢 |
| transcript.whisperx[489].start |
12827.312 |
| transcript.whisperx[489].end |
12856.052 |
| transcript.whisperx[489].text |
這個我們都再請委員提供給我們把他這個資訊的部分我們是才向上集中不過呢這個每一個署還是要有他能夠這個因他業務所需要他最了解know how的部分來協助那技術的部分我們會由資訊處來向上集中的方式來辦理那我希望我們還是要這個研究員我覺得有必要因為在這一個兒少署裡面也有兒童健康 |
| transcript.whisperx[490].start |
12856.832 |
| transcript.whisperx[490].end |
12875.605 |
| transcript.whisperx[490].text |
也有這個兒童福利還有剛剛兒犬所以它確實也需要有研究員這個我們未來都可以來爭取我們會在這個擬定這個初步規程的時候來討論好 那我想資訊是資訊資訊的這個部分最主要是因為我們現在並沒有從UI或UX的方面去設計 |
| transcript.whisperx[491].start |
12876.445 |
| transcript.whisperx[491].end |
12895.992 |
| transcript.whisperx[491].text |
所以我覺得這個應該要回到從使用者的角度來去做設計不然大家在找監督資料資源的時候其實是非常難找尋的所以我這個版本我也會提供給部長也希望說從組到科到人員的編制上面都可以往我的方向來參考因為這真的是23個團體我們整合了非常久的一個意見謝謝 |
| transcript.whisperx[492].start |
12897.412 |
| transcript.whisperx[492].end |
12909.935 |
| transcript.whisperx[492].text |
謝謝委員替我們做這麼多功課我們會拿來做研究謝謝張雅玲委員100分接下來請郭育晴委員來做選答謝謝主席有請部長有請石部長郭委員好 |
| transcript.whisperx[493].start |
12923.82 |
| transcript.whisperx[493].end |
12941.708 |
| transcript.whisperx[493].text |
部長午安我想成立兒家屬的一個決心這也象徵我們的國家就是針對兒少的保護提升到所謂的專職 專責同時也是專業的一個高度但是現在我們跟一些兒少的團體大家在交流其實比較擔心的是在所謂的保護鏈 |
| transcript.whisperx[494].start |
12942.968 |
| transcript.whisperx[494].end |
12961.556 |
| transcript.whisperx[494].text |
這個保護鏈的司法的前端如果跟後面所謂的社政在執行後端的銜接如果出現了所謂的應接不暇或斷鏈的時候其實他們就會開始擔心即使我們這個兒家署已經成立了但是如果後端的執行的成效可能會因為這個斷鏈而大打折扣 |
| transcript.whisperx[495].start |
12963.537 |
| transcript.whisperx[495].end |
12981.974 |
| transcript.whisperx[495].text |
這個是大家所關注的喔那我想呢現在關於我們的這個少年司法量能的一個部分喔其實是量能非常的沉重這個案量很多那但是壓力也很大但是我想呢這個司法院管轄的這個少年調查官跟法務部的管轄的一個關護人喔 |
| transcript.whisperx[496].start |
12982.915 |
| transcript.whisperx[496].end |
13003.471 |
| transcript.whisperx[496].text |
就因為這樣的這個案量太多負荷很大的狀況如果就像我剛剛所提到的前端如果塞車沒辦法緩解那後面又應該要怎麼樣來落實這個是我的第一個問題喔那在第二個部分呢就是關於我們的兒家屬在後端在執行所謂的安置或者輔導的時候會不會也因為銜接不上 |
| transcript.whisperx[497].start |
13006.873 |
| transcript.whisperx[497].end |
13021.73 |
| transcript.whisperx[497].text |
產生了所謂的這個斷層的部分那兒家屬是不是在這個部分有一些機制跟司法機關的一個聯繫來保持確保這個高風險的少年他們在等待期的時候其實就有社政可以及時的這個介入 |
| transcript.whisperx[498].start |
13022.21 |
| transcript.whisperx[498].end |
13045.011 |
| transcript.whisperx[498].text |
接觸這些孩子我想這是大家都非常關心的一個議題另外就是在我們的判決書的個資外洩的一個問題我們怎麼樣來保護所謂的兒少的身分不要透過所謂的內文的細節被拼圖式的去比對出來怎麼樣來保障他們的一些隱私三個問題請教好 |
| transcript.whisperx[499].start |
13046.753 |
| transcript.whisperx[499].end |
13055.65 |
| transcript.whisperx[499].text |
謝謝委員 非常深入那麼第一個我們成立這個專責單位這個兒少級家庭支持組其實就是看到 |
| transcript.whisperx[500].start |
13056.85 |
| transcript.whisperx[500].end |
13079.765 |
| transcript.whisperx[500].text |
兒少的問題有的是涉及到機構的管理有的是涉及到兒少的保護有的還會涉及到安置機構所以現在是站在不同的部門在組織所以我們現在把它成立一個署之後它就在同一個署那麼業務的溝通聯繫跟整合就會更好就是我們有一個整合的一個平台有一個窗口 |
| transcript.whisperx[501].start |
13080.605 |
| transcript.whisperx[501].end |
13108.096 |
| transcript.whisperx[501].text |
對 就不需要再橫向了它就縱向了就在同一個部門裡頭了那麼第二個就是資訊要把它整合起來讓這個以人做中心的這些資訊的彙整不要再因為目前的行政單位是分離而讓它的資訊也都分開我們現在把它整合在一起當然因為資訊整合之後的資訊就很豐富但是另一方面就會涉及到個人 |
| transcript.whisperx[502].start |
13109.476 |
| transcript.whisperx[502].end |
13132.489 |
| transcript.whisperx[502].text |
這個資料的保護的問題所以這個我們在健保有很豐富的經驗那麼所以會透過這個署成力之後在資訊的部分除了讓它集中那麼以個人為中心的整合之外那麼後端的資安跟個人隱私的保護我們也會強化包含這個權限跟最少揭露的原則這個我們會來設計 |
| transcript.whisperx[503].start |
13134.73 |
| transcript.whisperx[503].end |
13158.206 |
| transcript.whisperx[503].text |
那就我剛剛所說的因為我想著這個部分的地區這個近一年來的一些資料顯示其實有一個比方說一個部分地區的一個人他可能要負荷超過100件的個案那這個部分其實將來就算我們的這個兒家屬成立之後我相信如果人力的補足的部分如果沒有補足這一塊的話其實還是會擔心會有一些斷層那這個部分 |
| transcript.whisperx[504].start |
13159.847 |
| transcript.whisperx[504].end |
13175.074 |
| transcript.whisperx[504].text |
有沒有想過我們一方面會爭取增加這個人力因為這個業務也越來越龐大另一方面也透過科技的協助資訊的協助AI的協助來讓這個負荷也能夠人的負荷也能夠下降 |
| transcript.whisperx[505].start |
13175.114 |
| transcript.whisperx[505].end |
13199.543 |
| transcript.whisperx[505].text |
好如果有一些比較具體的一些計畫或方向或者是我們的一些配套的一個措施再麻煩提供給我們辦公室好不好好那剛剛其實還有回答還沒有回答我一個問題如果關於所謂的個資尤其是兒少的部分其實這是大家都非常關心的我們很怕這些孩子又再一次受傷害所以這個比對式的所謂的這個個資的外洩的問題這個部分我們有沒有更積極的一個防堵的機制 |
| transcript.whisperx[506].start |
13200.36 |
| transcript.whisperx[506].end |
13215.483 |
| transcript.whisperx[506].text |
在兒少法裡面我們其實是已經有相關的規定那可能我們比較關心的是落實度的部分我們再進一步的了解在哪個地方我們可以再強化不然在法規裡面其實是已經有明確的規定 |
| transcript.whisperx[507].start |
13215.683 |
| transcript.whisperx[507].end |
13238.292 |
| transcript.whisperx[507].text |
那今天因為是時間的關係如果有一些比較更詳細或更具體的一些計畫或者是我們的方針或者我們盤點過後有什麼樣的一些真的進步的一些數據再提供給我好不好我們也向委員再來詳細的請教好 謝謝部長 謝謝主席謝謝郭玉琴 郭委員接下來請圖全集委員來做詢答 |
| transcript.whisperx[508].start |
13247.048 |
| transcript.whisperx[508].end |
13249.221 |
| transcript.whisperx[508].text |
好 謝謝主席 那麻煩請石部長有請石部長 |
| transcript.whisperx[509].start |
13253.857 |
| transcript.whisperx[509].end |
13278.308 |
| transcript.whisperx[509].text |
土委好 市部長我想請問一下我們國內食品安全衛生管理法還有我們食品添加物使用範圍跟限量這些標準的規定我們大概多久會去更新一些法規還是會有定期多久去檢討嗎好像是不定期的就是我們會根據這個進度或者是那個國際上 |
| transcript.whisperx[510].start |
13280.148 |
| transcript.whisperx[510].end |
13297.198 |
| transcript.whisperx[510].text |
新發布的標準我們就會重新解答所以我們以為去參照國際的標準像歐盟還是美國FDA這些標準我們都會去參考有新的標準出來我們就會去研議修訂現在就是有民眾在反映針對像發泡錠的飲品這個部長應該知道 應該有喝過吧 |
| transcript.whisperx[511].start |
13302.781 |
| transcript.whisperx[511].end |
13328.468 |
| transcript.whisperx[511].text |
這是VC的那種發泡錠對 像這個發泡錠飲品我們常常像很多國人出國他到國外都會去國外帶回來買回來可是現在業者反映說國外帶回來都可以可是反而我們現在進口會礙於法規的限制像我們發泡錠那個碳酸氫鉀它就不能 |
| transcript.whisperx[512].start |
13329.726 |
| transcript.whisperx[512].end |
13336.339 |
| transcript.whisperx[512].text |
說作為營養素的添加可是目前在歐盟在美國FDA它都是可以的 |
| transcript.whisperx[513].start |
13337.861 |
| transcript.whisperx[513].end |
13365.268 |
| transcript.whisperx[513].text |
那這部分部長有沒有了解一下好 這個我們來進一步了解因為各國的法規有的是像特別是維他命類的他是把它當成食物的補充品Superman那有些像我們國家有的會把它列為是藥品所以主要是看它的含量成分成分跟含量為主要的判斷的依據那我們再來研究一下跟其他國家法規之間的 |
| transcript.whisperx[514].start |
13366.208 |
| transcript.whisperx[514].end |
13384.161 |
| transcript.whisperx[514].text |
這個差異度怎麼樣看看能不能來盡可能的調和對 像我們來了解碳酸氫鉀對我們人體是幾乎是有益無害而且像鉀這一部分我們都要經由特殊的蔬菜才能去攝取到所以 |
| transcript.whisperx[515].start |
13385.121 |
| transcript.whisperx[515].end |
13391.963 |
| transcript.whisperx[515].text |
很多都要經由這個發泡錠讓我們身體來吸收那我們說我們這個本來就應該要與時計進然後跟國際接軌那居然連歐盟 美國FDA都經過實驗都認為碳酸氫鉀是可以做營養素所以他們認為說我們在國內反而針對這一部分從國外帶回來又可以 |
| transcript.whisperx[516].start |
13410.109 |
| transcript.whisperx[516].end |
13424.786 |
| transcript.whisperx[516].text |
結果進口又說不行所以是不是應該要研議調整一下對 這個確實剛剛委員提出的這個碳酸金 氫鉀這個在國內是只是做調節劑沒有當成是食品添加劑 |
| transcript.whisperx[517].start |
13426.428 |
| transcript.whisperx[517].end |
13441.699 |
| transcript.whisperx[517].text |
我們沒有把它當成營養所以我們來研究一下它是不是可以當成營養素這個可能還要經過我們的專家會議來討論對 那請部長來演繹一下因為這個跟國際接軌現在這麼多先進國家都可以做 |
| transcript.whisperx[518].start |
13442.399 |
| transcript.whisperx[518].end |
13470.334 |
| transcript.whisperx[518].text |
營養劑結果反而我們台灣就不行然後國外帶回來又可以使用好 謝謝委員的提醒好 謝謝部長那還有針對我們健保總額其實健保總額我們這幾年其實都有在提升都有在提升那當然我們尤其我們現在比較注重的就是像我們護理師還有一些醫事人員其實大家都知道現在在流財 攬財部分其實都非常非常的辛苦 |
| transcript.whisperx[519].start |
13470.894 |
| transcript.whisperx[519].end |
13486.052 |
| transcript.whisperx[519].text |
那當然我們部長健保這一塊你也很熟悉啦因為你健保署長從2023年到2025年所以這個業務你都非常了解那據我們來了解像除了我們護理師外像現在我們台灣 |
| transcript.whisperx[520].start |
13486.993 |
| transcript.whisperx[520].end |
13509.174 |
| transcript.whisperx[520].text |
醫事放射師我們看到這幾年不但沒有顯著的成長而且從2024年我們看到還在減少2022、2023公立醫院這個醫事放射師的空切率也是非常非常的高所以針對這一部分他們有在反映是不是我們賴總統也一直在講 |
| transcript.whisperx[521].start |
13509.835 |
| transcript.whisperx[521].end |
13525.528 |
| transcript.whisperx[521].text |
要提升我們醫護人員的薪資那針對醫事放射師這部分師傅可以研議把我們放射技術服務費實質補貼到我們這些放射師的薪資上面好 |
| transcript.whisperx[522].start |
13527.11 |
| transcript.whisperx[522].end |
13549.989 |
| transcript.whisperx[522].text |
這個我們現在有除了健保署還有醫事師都有安排跟這兩類的醫事人員對話來實際了解他們所面臨到的問題那到底用什麼樣的方式來提升這些相關醫事人員的收入薪資這是我們的目標到底用什麼方式來讓我們再有一點空間時間來研究 |
| transcript.whisperx[523].start |
13550.789 |
| transcript.whisperx[523].end |
13571.507 |
| transcript.whisperx[523].text |
對啊 這個就跟本席之前有提過我們三班互併比 他的達標獎金我們也說最實質的回饋就是直接回饋到他們的薪水上面不然這個護理師 這個大量的流失現任的要離職 然後新的又進不來跟這個醫事放設施人員我們認為是一樣的 |
| transcript.whisperx[524].start |
13572.908 |
| transcript.whisperx[524].end |
13601.668 |
| transcript.whisperx[524].text |
所以這一部分我們希望實質做對他們有益讓他們有感的東西現在我們有一些給付都會指定說多少乘數一定要給人員的那我們也希望在健保總額上面醫事放射師這一部分也希望研議把我們放射技術服務費能夠實質補貼到他們薪資上面我們來研議看一下這個怎麼樣的方式能夠讓大家的薪資可以提高 |
| transcript.whisperx[525].start |
13602.068 |
| transcript.whisperx[525].end |
13613.43 |
| transcript.whisperx[525].text |
好 那請部長言議盡速再回覆給本席好 謝謝部長 謝謝好 謝謝圖全集委員很有建設性來 接下來請林倩琦委員來做詢討好 謝謝我們主席莊昭偉我先請我們石部長有請石崇良部長 |
| transcript.whisperx[526].start |
13630.7 |
| transcript.whisperx[526].end |
13646.125 |
| transcript.whisperx[526].text |
立委好部長好本席今天還是再次對於這個健康不平等然後最主要是在原住民健康專責這個機關然後跟您進行一個比較進一步的這個詢答那本席在提案的這個說明也提到過 |
| transcript.whisperx[527].start |
13647.545 |
| transcript.whisperx[527].end |
13662.872 |
| transcript.whisperx[527].text |
當然今天最主要排審這樣一個衛生福利部的組織法修正最主要是要整合兒少跟家庭支持署還有長期照顧跟社會發展署的一個刺激機關但是看來我們針對現在整個結構性跨體系的社會問題我們都必須要這樣子來因應用專責刺激機關來做一個處理 |
| transcript.whisperx[528].start |
13671.236 |
| transcript.whisperx[528].end |
13693.172 |
| transcript.whisperx[528].text |
本席認為在原住民的健康的部分也是很典型需要專責機關來做回應的一個結構性不平等的議題所以本席這邊在提供你幾個數據相信你們這邊也知道衛福部在2018年的統計數據原住民在很多項的關鍵健康指標上長期都列於全國的一個平均 |
| transcript.whisperx[529].start |
13693.912 |
| transcript.whisperx[529].end |
13715.645 |
| transcript.whisperx[529].text |
在嬰兒死亡方面原住民族嬰兒因周產期特定的一個病況先天性畸形跟事故傷害的這個占比都高於全國的平均那十大死因當中呢原住民在血管疾病還有糖尿病高血壓等三高的這個相關疾病以及慢性肝病肝硬化 |
| transcript.whisperx[530].start |
13716.365 |
| transcript.whisperx[530].end |
13741.218 |
| transcript.whisperx[530].text |
跟事故傷害的標準死亡率也都明顯的高於全國的平均我想這個是眾所皆知的在癌症的部分原住民族的口腔癌 胃癌及前列腺癌的死亡率也是偏高的好發的情形也比較明顯早於非原住民族很關鍵的是在2023年全體原住民族的檢疫生命表 |
| transcript.whisperx[531].start |
13741.858 |
| transcript.whisperx[531].end |
13767.031 |
| transcript.whisperx[531].text |
原住民族平均餘命是73.25歲全國是80.23歲整整少了約7年這就是健康的不平等這個問題很嚴重這樣子的落差不是台灣獨有有一些國家也有這樣的情形所以他們的做法都是選擇用專責機構來回應原住民族健康的議題本席這邊提供你幾個參考就在美國 |
| transcript.whisperx[532].start |
13769.932 |
| transcript.whisperx[532].end |
13796.946 |
| transcript.whisperx[532].text |
他就設置了Indian Health Service那作為聯邦層級的原住民族健康主管機關然後專責來整合醫療的服務公共衛生人才培育跟文化安全醫療那麼在加拿大呢因屬哥倫比亞BC省那他們則成立了First Nation Health Authority由原住民主導然後來負責政策規劃服務提供跟跨體系的一個協調今天協調這個議題也是大家一直在專注的 |
| transcript.whisperx[533].start |
13797.606 |
| transcript.whisperx[533].end |
13815.693 |
| transcript.whisperx[533].text |
但是要協調也是必須在一個層級的平台上這整個被視為改善原住民族健康成果的一個重要的制度創新本席提供美國跟加拿大的兩個例子供您參考目前台灣原住民族的健康業務分散在各部會 |
| transcript.whisperx[534].start |
13817.313 |
| transcript.whisperx[534].end |
13839.078 |
| transcript.whisperx[534].text |
還有當然在各福利體系當中但是沒有一個具有統籌性的專責政策主導力跟安全視角的一個專責經構那麼本席這邊跟你請教幾點那也做一個討論就是說第一個部分在衛福部啟動組織重整新設次級機關的這個階段那部長是不是可以考量跟認同原住民族健康的議題的結構性問題 |
| transcript.whisperx[535].start |
13840.979 |
| transcript.whisperx[535].end |
13847.319 |
| transcript.whisperx[535].text |
是不是可以研議設立原住民族健康專責的機構這其實在政策其實有它的一個必要性 |
| transcript.whisperx[536].start |
13848.741 |
| transcript.whisperx[536].end |
13875.016 |
| transcript.whisperx[536].text |
第二個部分相較於專案或者是補助跨私處協調的推動本席認為專責機構是有助於整個健康促進醫療的可靜性跟文化安全的議題長照跟健康人才的培育至少是不是在現在您是不是可以說明在未來的組織法或體制上有沒有階段性的規劃然後來朝向援助民族健康專責機構的發展 |
| transcript.whisperx[537].start |
13877.097 |
| transcript.whisperx[537].end |
13903.211 |
| transcript.whisperx[537].text |
然後這個是不是可以請部長這邊給本席在此先做一個回應好 謝謝林委員這個指教那麼原住民其實健康的問題他不是只有特別是原住民的健康的問題不是單純只有醫療服務所以他需要有社會經濟環境就業等等各個面向所以我們在中央已經有原住民委員會 |
| transcript.whisperx[538].start |
13904.511 |
| transcript.whisperx[538].end |
13925.919 |
| transcript.whisperx[538].text |
本席在行政單位經常碰到的一個問題就是因為有原住民組委員會或在各地方政府都因為有原民局原民處然後相關的原住民組單位大家就把所有東西都丟給他們可是實際上在執行上我相信在行政單位大家都可以知道在專責機構的無力本席這邊提問你參考原住民 |
| transcript.whisperx[539].start |
13927.62 |
| transcript.whisperx[539].end |
13934.942 |
| transcript.whisperx[539].text |
委員會如果會遇到的問題我們再成立一個專責單位也一樣會有同樣的問題因為它的層面是很廣的以現在來講我們一定會有一個專責的單位來重視這個原住民的健康的問題例如是什麼 |
| transcript.whisperx[540].start |
13944.685 |
| transcript.whisperx[540].end |
13958.996 |
| transcript.whisperx[540].text |
在我們現在有的這個叫護理及健康照護師裡頭就有專責的科來做這一件業務了那麼再者呢在我們部裡面也成立原住民健康委員會治醫委員會來定期的開會那做這個 |
| transcript.whisperx[541].start |
13960.057 |
| transcript.whisperx[541].end |
13981.078 |
| transcript.whisperx[541].text |
整合跟協調 跨單位的協調那必要的時候我們也會去找其他的部會一起來join參加在這個執議會裡面來討論有關於原住民族健康的議題或者是相關的政策的推動所以部長可不可以把本席所講的這個部分做一個考量 |
| transcript.whisperx[542].start |
13981.778 |
| transcript.whisperx[542].end |
14002.328 |
| transcript.whisperx[542].text |
有的時候就是一個階段性至少現在我們的整個平均餘命跟實際的狀況還是比較劣於大家的平均我們要把這個差距縮小這個是絕對是我們的目標所以本席提供的例子就是說國外是怎麼解決這個問題或許我們可以參考再更深的一點研議然後看看這樣子的設置的一個可能性好不好 |
| transcript.whisperx[543].start |
14002.688 |
| transcript.whisperx[543].end |
14023.326 |
| transcript.whisperx[543].text |
好 我們來努力好 謝謝部長如果有能力的不足我們也會再增加這樣支援能力的部分來投入好 謝謝部長好然後最後很快的我可不可以請一下那個這個原民會跟內政部因為今天都有代表來那 部長先請回謝謝接下來的議題就比較是在原民的這個部分了原民會跟內政部現在有人嗎 |
| transcript.whisperx[544].start |
14030.334 |
| transcript.whisperx[544].end |
14036.299 |
| transcript.whisperx[544].text |
這是一個比較最近的議題剛才我們在談到原住民健康壽命長期其實是列於主流社會 |
| transcript.whisperx[545].start |
14049.571 |
| transcript.whisperx[545].end |
14064.84 |
| transcript.whisperx[545].text |
這整個的風險其實成本我們不能整個轉嫁族人來承擔同樣的一個治理邏輯本席在這邊要談一下原住民族身分法在修法跟執行上也再次顯現了剛才本席所談的這樣一個議題 |
| transcript.whisperx[546].start |
14066.101 |
| transcript.whisperx[546].end |
14079.42 |
| transcript.whisperx[546].text |
那這邊請兩個單位是不是注意一下目前在111年的這個憲判制第4號的判決有宣示姓名不應該是原住民身份的一個門檻但是呢新法卻更通盤的採取了 |
| transcript.whisperx[547].start |
14081.603 |
| transcript.whisperx[547].end |
14108.559 |
| transcript.whisperx[547].text |
協同認同的一個協同兼認同主義要求族人來證明認同的誠意要不然會喪失既有的身份姓名人是一個門檻所以這個新法回溯到父母一方因為離婚或者是一方死亡那麼具有原住民身份的父或母行使侵權然後沒有改姓取得身份的子女那麼結果全國有大概7000多人受到這個影響 |
| transcript.whisperx[548].start |
14109.54 |
| transcript.whisperx[548].end |
14124.907 |
| transcript.whisperx[548].text |
然後有很多人大量的族人事先不知情第一線的戶政人員或者是原民的地方民代常常也都沒有跟上所以這顯示原民會跟內政部戶政司在修法以後的宣導溝通也不足 |
| transcript.whisperx[549].start |
14125.547 |
| transcript.whisperx[549].end |
14144.272 |
| transcript.whisperx[549].text |
本席這邊跟你們請教三個問題第一個 園民會可不可以說明一下姓名作為關鍵門檻的制度設計是否應該要重新檢視有沒有違背憲判自所揭示的憲法旨意 意旨第二個部分是內政部可不可以說明一下你們第一線互證人員的訓練對族人的主動告知 |
| transcript.whisperx[550].start |
14147.393 |
| transcript.whisperx[550].end |
14172.433 |
| transcript.whisperx[550].text |
還有這個宣導的不足然後讓大家在這個像今年非常緊急的要做這樣一個處理這個相關責任是不是可以做一個檢討那第三個部分請你們共同說明一下目前已發生的或即將發生的身份中斷的空窗起因那有沒有具體跟制度化的一個補救跟過度的機制而不是族人要自行承擔因為族人有剛才本席所講的這些問題那是不是可以請你們分別跟共同做一個回應 |
| transcript.whisperx[551].start |
14175.832 |
| transcript.whisperx[551].end |
14199.499 |
| transcript.whisperx[551].text |
委員好 不好意思因為我是社福處這業務是重規處的可是沒有關係可是我先回答一下就是在於宣導部分這部分我們一定會跟內政部再加強宣導至於說中間有那個過渡的部分其實1月5號那個沒有完成的話其實在後面主任還是可以做申請的部分再處理原住民身份的部分其他的部分是不是容 |
| transcript.whisperx[552].start |
14200.279 |
| transcript.whisperx[552].end |
14206.219 |
| transcript.whisperx[552].text |
就是委員會後給我一個說明然後跟報告好不好是 謝謝委員謝謝然後內政部可不可以麻煩你們 |
| transcript.whisperx[553].start |
14207.404 |
| transcript.whisperx[553].end |
14235.478 |
| transcript.whisperx[553].text |
我是內政部地政司剛剛問到這個問題其實是屬於我們戶政司的業務所以如果針對宣導不足的部分我們也是一樣就是回去再轉告戶政司這邊是不是會後再提問因為我是地政司對…所以具體的應對方案是不是會後也是要跟本席這邊做一個回應好不好算計劃型的或者是口頭的一個補充可以嗎我們再跟戶政司說明好 |
| transcript.whisperx[554].start |
14236.721 |
| transcript.whisperx[554].end |
14258.689 |
| transcript.whisperx[554].text |
好 謝謝 謝謝好 謝謝林倩琦委員的詢答接下來請羅明財羅明財羅明財委員不在楊瓊英楊瓊英楊瓊英委員不在廖偉祥廖偉祥廖偉祥委員不在鄭振前鄭振前鄭振前不在請劉建國委員來做詢答謝主席有請市部長 |
| transcript.whisperx[555].start |
14267.355 |
| transcript.whisperx[555].end |
14293.145 |
| transcript.whisperx[555].text |
請石崇良部長部長各位好對 去年我在未還的時候應該是5月28號那一天我在提出這個質詢的時候我有特別提到台灣額頭的政策之前太過於分散了然後而且坦白講已經到混亂的一個局面了然後實際上就是這樣0到2歲就是托育是歸屬社家屬 |
| transcript.whisperx[556].start |
14294.405 |
| transcript.whisperx[556].end |
14320.797 |
| transcript.whisperx[556].text |
二到六歲幼兒園是在教育部管然後兒童安置歸社家屬兒童受虐又受這個是保護室在管然後另外像負責凱凱案的收出養的兒童聯盟是教育部管轄的文教單位然後其他還有內政部的少數會警政署的護幼隊兒少政策支援分散代各部會實在是 |
| transcript.whisperx[557].start |
14321.617 |
| transcript.whisperx[557].end |
14346.482 |
| transcript.whisperx[557].text |
實在是權責不清到極點的情況之下所以我今天是要這樣我來引用日本在2023年成立的這個兒童家庭廳的例子給部長還有給相關單位做參考那日本是透過成立這個兒家廳不僅將兒童的資源來做進行整額同時它本身也就是日本少子化對策的一個非常重要的機關這個部長知道嗎 |
| transcript.whisperx[558].start |
14347.162 |
| transcript.whisperx[558].end |
14366.802 |
| transcript.whisperx[558].text |
我知道 你知道 OK我在這邊要先感謝賴總統 院長還有幫忙部長可以在這麼積極努力之下用最快速度提出這個兒少及家庭支持署的組織法的草案並且在今天我們司法跟衛環聯席下來排審要進行審查但我用這個 |
| transcript.whisperx[559].start |
14368.359 |
| transcript.whisperx[559].end |
14394.409 |
| transcript.whisperx[559].text |
日本聽 日本的這個兒童聽的這個相關的組織法來對照我們今天要提出來的我們自己的組織法那其中有一些文字 也請部長看一下投影片有紅字的部分 部長是不是可以唸出來紅字 那是日文耶日文你可以唸成中文我要唸中文也是啊對對對 當然可以內袋諾房子內袋諾房子 好 |
| transcript.whisperx[560].start |
14396.397 |
| transcript.whisperx[560].end |
14403.784 |
| transcript.whisperx[560].text |
他們在他們的職長事項裡面把這兩項放進去也就是說日本已經將這個防止兒童兒虐然後還有因應少子化問題具體入法那歸屬在他們的兒童家庭庭裡面這是很明確的嘛然後 |
| transcript.whisperx[561].start |
14420.071 |
| transcript.whisperx[561].end |
14448.698 |
| transcript.whisperx[561].text |
職長項目把它調列出來那我們的兒童的這個支援署咧 支持署咧在什麼地方 有嗎如果是這個兒虐的那個虐待那個就是兒虐兒虐的這個防治的部分應該會是在我們未來的工作業務裡面是有的啦現在主要是在保護服務師我們會移到這個兒少級家庭署裡面來 |
| transcript.whisperx[562].start |
14449.198 |
| transcript.whisperx[562].end |
14478.416 |
| transcript.whisperx[562].text |
不是喔 部長這個草案應該你都有過目過了吧你如果要講的是應該是在我們兒家屬未來職長事項的第二條第一項第二款也就是說兒童少年保護安置與照顧政策之規劃對不對然後推動執行及相關的法規的原定應該是這樣所以我們條文的思維就是停留在保護安置與照顧防止額略 沒有 |
| transcript.whisperx[563].start |
14480.583 |
| transcript.whisperx[563].end |
14481.046 |
| transcript.whisperx[563].text |
就是沒有啊 |
| transcript.whisperx[564].start |
14483.088 |
| transcript.whisperx[564].end |
14508.338 |
| transcript.whisperx[564].text |
然後這基本上是事後處理的狀態雖然我們寫的是保護啦其實它是三級預防的概念所以有前面的一級預防那個是有只是文字上我們寫的沒有那麼把它直接寫出來其實現在的業務就是在這個保護服務師裡面是有的防止額略釋放在保護的範疇裡面對 就是 |
| transcript.whisperx[565].start |
14510.819 |
| transcript.whisperx[565].end |
14535.154 |
| transcript.whisperx[565].text |
對 在三級 三級的保護 整個範疇是合起來的三級預防啦 我們叫做三級預防你看 對 好 如果成如你所講的也OK但是你看日本的這個兒童廳他是直接把房子虐待是入法條 非常清楚然後把少子化的客戶也入法條 也非常清楚那我們為什麼要這麼保守 |
| transcript.whisperx[566].start |
14536.794 |
| transcript.whisperx[566].end |
14561.155 |
| transcript.whisperx[566].text |
如果文字上要讓它凸顯出來當然我們也可以在未來主條的時候去討論我請部長思考一下好不好這個給你們做一個參照參考的依據不只這樣日本還寫了什麼值得我們參考我在這邊挑三項其實它雖然是日文它下面還有中文的翻譯確保地區中兒童適當之遊戲與生活場域這是第一項 |
| transcript.whisperx[567].start |
14564.137 |
| transcript.whisperx[567].end |
14581.88 |
| transcript.whisperx[567].text |
這個是很多人都認同的重要長期以來它也是被忽略的項目當我們衛福部還在思維還停留在保護的時候安置照顧的時候其實人家日本已經走到關注兒童有沒有適當的遊戲與生活的場域而且是正式入伙 |
| transcript.whisperx[568].start |
14582.541 |
| transcript.whisperx[568].end |
14600.047 |
| transcript.whisperx[568].text |
是用法律的層次來保障兒童必須要有適當的遊戲與生活的場域這是第一項那第二項就防止霸凌等事項建構霸凌之商這個體制在內的地區資源體系而且都還是條文化 |
| transcript.whisperx[569].start |
14601.18 |
| transcript.whisperx[569].end |
14621.979 |
| transcript.whisperx[569].text |
這個條文不只是防止惡孽 包含防止霸凌 通通是陸法因為這陸法的必要性是因為可能來自師長 長輩或同儕間的這樣的一個霸凌那第三個是促進兒童育兒家庭以及孕產婦及其他生育相關女性之福祉 原來很容易 |
| transcript.whisperx[570].start |
14624.677 |
| transcript.whisperx[570].end |
14641.027 |
| transcript.whisperx[570].text |
範圍真的很廣而且全部把它納入在他們的條文裡面我不曉得部長到底有沒有看到這麼細這個是跟各國立法體力有點差異當然會有差異因為我們的立法力都是比較 |
| transcript.whisperx[571].start |
14641.627 |
| transcript.whisperx[571].end |
14660.408 |
| transcript.whisperx[571].text |
在組織法的部分都是比較概括性的法規然後執行的部分會落到我們的處務規程裡面去制定比較詳細的部分包含主科它的任務是什麼如果要寫到那麼細怕說這個文字上 |
| transcript.whisperx[572].start |
14662.35 |
| transcript.whisperx[572].end |
14676.167 |
| transcript.whisperx[572].text |
會很冗長啦我們是把它我們的立法例都是比較概括性的然後在處務規程裡面再去細緻地把它列出來我們委員會開了六次嘛應該部長也有參與到一半的時間嘛那你看俄托華在整個審查過程裡面 |
| transcript.whisperx[573].start |
14677.308 |
| transcript.whisperx[573].end |
14699.456 |
| transcript.whisperx[573].text |
相關的草案其實坦白講也是非常細喔也不能太過於抽象喔也不能太過於文字上就涵蓋一切嘛那不可能嘛對不對所以今天我們要俄交署要來成立那基本上我想可以細緻到把它相關的一些權利相關的一些保障相關的一些預防都可以在法條的程式上去彰顯出來我覺得這不為過啦 |
| transcript.whisperx[574].start |
14702.297 |
| transcript.whisperx[574].end |
14727.329 |
| transcript.whisperx[574].text |
這不會過 你再看嘛我想這個邏輯日本這個邏輯譴責意見沒有兒童就沒有兒家屬的成立的必要性那除了保障兒童權利外還是要讓大家敢生願意生 可以生才符合我們兒家屬成立的這樣的一個核心目的所以你看他們的兒童家庭聽的組織法明文規定還規定什麼營造能對結婚生育育兒抱持希望之社會環境這個該抽象吧 |
| transcript.whisperx[575].start |
14731.107 |
| transcript.whisperx[575].end |
14736.017 |
| transcript.whisperx[575].text |
然後並針對客戶少子化之基本政策事項進行規劃研擬及綜合協調我們有沒有沒有啦 |
| transcript.whisperx[576].start |
14741.209 |
| transcript.whisperx[576].end |
14767.079 |
| transcript.whisperx[576].text |
沒有啦 所以今天開廠牌的時候就能再問你燒紙化辦公室的問題啊這個事情如果我們可以入法那基本上也不需要什麼燒紙化辦公室了在我們的兒家屬裡面就可以來解決來做處理了我要讓看 對不起 主席對不起看最後一個數據你看這個台灣出生人口持續下降而且是最來勢的下降了農年的時候才13萬多114年11月份9萬多 |
| transcript.whisperx[577].start |
14770.62 |
| transcript.whisperx[577].end |
14797.228 |
| transcript.whisperx[577].text |
那有可能會跌破到11萬喔今年還沒有統計出來那像這個情況之下 今天俄家族的成立包含額內的防止 包含少子化相關的一些因應包含營造友善的環境的情況之下是不是在這個俄家族裡面的組織委裡面我們可以把它參照日本相關的這樣的立法例來做一個更精準的這樣的一個組織的一個修法來訂定 可以嗎 |
| transcript.whisperx[578].start |
14799.797 |
| transcript.whisperx[578].end |
14818.956 |
| transcript.whisperx[578].text |
我們不要那個事後補救行的啦簡單講是這樣確實我們應該要往前去做規劃但是因為少子女化的問題確實這個層面很廣要用一個兒少署來解決這個少子女化的問題恐怕是比較困難但是我們就是剛好要修這個組織我們要修這個組織我們就盡可能的讓兒家屬 |
| transcript.whisperx[579].start |
14825.543 |
| transcript.whisperx[579].end |
14854.361 |
| transcript.whisperx[579].text |
整個那個內力內功可以達到某種程度啦當然不是一個兒家屬可以解決所有事情這個我當然非常清楚嘛我剛剛點出來幾項是不是可以納入在這次的有幾個部分我是覺得本來就是應該要納入的啦那只是說要不要文字上做做明確的這樣的修訂我們再看看來酌一下這個文字好 謝謝是確實是比較不一樣 |
| transcript.whisperx[580].start |
14855.661 |
| transcript.whisperx[580].end |
14873.327 |
| transcript.whisperx[580].text |
就請部長可以慎重來這樣的思考 儘量把它納入啦可不可以謝謝劉建國委員我們下一次還有一次啦 主條的時候大家再來好好深入的來做討論接下來請最美麗的謝依鳳委員來做詢答謝謝主席你這樣我不敢罵啊 |
| transcript.whisperx[581].start |
14884.399 |
| transcript.whisperx[581].end |
14907.834 |
| transcript.whisperx[581].text |
我現在就要保持意識順暢這樣請我們部長有公立的 笑眉眉也公立的能展現請時部長我對於兒家署或者是我們的照發署我沒有意見但是對於中醫藥的這一個要成立行政法人我覺得 |
| transcript.whisperx[582].start |
14909.175 |
| transcript.whisperx[582].end |
14938.114 |
| transcript.whisperx[582].text |
我也是其實也是沒意見但是有一個問題你知道他來過我們書所長來過那個我們彰化看了那個明道大學很多次他本來說成立行政法院要在明道大學設立就是等於他要接續這個明道大學然後來那裡設立中醫藥點等等把他的中醫藥研究所都搬到那裡結果現在怎樣 |
| transcript.whisperx[583].start |
14940.136 |
| transcript.whisperx[583].end |
14960.373 |
| transcript.whisperx[583].text |
你們討論怎麼樣我們還在進行中啦對 你們行政部會到底討論怎樣結果他來不久馬上那個好像又有我們的中研院的我們的研究員也來到了這裡那核研究員他也來說就說是不是要改 |
| transcript.whisperx[584].start |
14961.354 |
| transcript.whisperx[584].end |
14978.434 |
| transcript.whisperx[584].text |
往一個什麼健康照護精準營養的方向來設立這樣子的一個圓區我想要就教於你啊到底你們是要怎麼樣做嗎 是不是是 這個跟委員報案你知道我們有一個中醫藥發展法 |
| transcript.whisperx[585].start |
14978.814 |
| transcript.whisperx[585].end |
14999.241 |
| transcript.whisperx[585].text |
就是希望來這個基本法就是希望來推動這個具台灣特色的這個中醫藥的發展那麼所以我們剛好有這個明道大學退場那麼之後有這樣的一個空間所以我們確實有在規劃是不是因為這個地方很大 |
| transcript.whisperx[586].start |
15000.181 |
| transcript.whisperx[586].end |
15021.036 |
| transcript.whisperx[586].text |
所以讓它能夠發揮最大的效益的話是希望做像園區的概念它不是只有研究它還要做產業的一些連結它是可以做那種沒有農藥然後是有機的中草藥的包含藥源 包含檢驗中心 |
| transcript.whisperx[587].start |
15022.897 |
| transcript.whisperx[587].end |
15051.236 |
| transcript.whisperx[587].text |
那發展高產值的這樣子的一個等於說中草藥就是有機的中草藥是一個農作物的這樣子的一個情況那你們到底規劃情況是怎麼樣目前是這樣規劃不過也要經過一些審查我們現在是初步拟據的一個計畫請專家來協助表示意見所以我這樣問是不是還沒有結論還沒有完全定案下來是不是還沒有結論 |
| transcript.whisperx[588].start |
15053.217 |
| transcript.whisperx[588].end |
15068.286 |
| transcript.whisperx[588].text |
對 我們現在是寫了計畫然後報到這個行政院然後還要經過審查的過程所以行政院也還沒有確認還沒 還沒確認那我們要怎麼做我們都在等你們我們縣政府也想做是不是再努力 |
| transcript.whisperx[589].start |
15068.906 |
| transcript.whisperx[589].end |
15096.338 |
| transcript.whisperx[589].text |
結果你們說要設立法人然後希望把它拿去做一個就是說相關的對 有機農業的這樣子整體的發展嘛那我們在等你啊那你總要給我們一個下文嘛對不對還有啊 我在要求就是在偏鄉的這個我們彰化偏鄉的這個醫療上面也希望你們再多多給予協助啊是不是這個東西你也要處理啊總不能 |
| transcript.whisperx[590].start |
15098.676 |
| transcript.whisperx[590].end |
15113.266 |
| transcript.whisperx[590].text |
衛福部在你的任內懸而未決的事情太多吧你總是要當一個有魄力的部長吧是不是我們一步一步穩紮穩打是不是你不期待自己成為一個有魄力的部長是不是 |
| transcript.whisperx[591].start |
15114.532 |
| transcript.whisperx[591].end |
15128.17 |
| transcript.whisperx[591].text |
這個一定要這樣做的啦這個規劃我們已經在規劃只是說在執行面上那我們希望讓它更完善所以才會需要一些專家的意見進來然後經過那現在到底是哪一個方向呢 |
| transcript.whisperx[592].start |
15128.786 |
| transcript.whisperx[592].end |
15143.822 |
| transcript.whisperx[592].text |
就是它是一個園區不是只是單純說把現在的中醫藥研究所搬去那裡不是這樣簡單我知道可是好像我看到了健康醫療的委員會是不是還有其他的就是精準營養的園區有嗎 |
| transcript.whisperx[593].start |
15148.155 |
| transcript.whisperx[593].end |
15170.035 |
| transcript.whisperx[593].text |
裡面的規劃它有教育的功能所以包含那個營養的部分是有的它有教育的功能不是只有這個辦公廳社它還有可以讓民眾進來一起互動的這個我們叫做教育館沒有 因為我聽起來我聽起來是兩個方向耶那所以是同一個方向嗎是同一個方向嗎 |
| transcript.whisperx[594].start |
15170.635 |
| transcript.whisperx[594].end |
15192.357 |
| transcript.whisperx[594].text |
跟什麼同一個精準營養是同一個方向嗎應該是含納在裡面就是說等於是整個中醫藥的圓區加上了精準營養的這樣相關的發展嗎對 就是那個不是只有營養應該說精準健康但是它當然會導入一些中醫中藥的元素 |
| transcript.whisperx[595].start |
15193.514 |
| transcript.whisperx[595].end |
15220.342 |
| transcript.whisperx[595].text |
所以是兩個併進的方向是不是對 應該是三個它一個是研究院一個是教育推廣館另外可能還有就是藥源的部分產業的部分我希望衛福部的動作能夠迅速一點有效率一點好不好好 我們積極推動好 謝謝謝謝謝宜鳳委員的詢答接下來請伍麗華委員來做詢答 |
| transcript.whisperx[596].start |
15225.714 |
| transcript.whisperx[596].end |
15226.055 |
| transcript.whisperx[596].text |
慢慢來謝謝主席 有請石部長請石部長 |
| transcript.whisperx[597].start |
15239.87 |
| transcript.whisperx[597].end |
15267.611 |
| transcript.whisperx[597].text |
部委員好部長好今天有來做這個組織法的一個詢答那我這邊其實個人也有去做針對組織法的部分有做修法那我想先請教一下雖然這是老生常談但是還是會有一些新的一個思維產生我舉個例子在20年前其實我們可以看到原住民跟全體國人平均愚民的差距 |
| transcript.whisperx[598].start |
15268.271 |
| transcript.whisperx[598].end |
15281.478 |
| transcript.whisperx[598].text |
逼近10歲這些年也看到衛福部針對原鄉有一個健康不平等改善策略行動計畫所以我們可以看到在10年前103年你看從8.24的差距一直到110年11年的時候6.19 |
| transcript.whisperx[599].start |
15290.724 |
| transcript.whisperx[599].end |
15304.902 |
| transcript.whisperx[599].text |
所以那個時候部長你知道嗎我在原鄉行走我都會告訴他們說蔡英文總統她做了這個文建站的政策非常好我說你看 |
| transcript.whisperx[600].start |
15305.643 |
| transcript.whisperx[600].end |
15324.879 |
| transcript.whisperx[600].text |
短短幾年我們縮短了兩歲當然這是不科學的說法但是這是一個很直觀的說法因為你可以看到我們從這個105年然後一直到111年這段時期原鄉全面的推動文件站 |
| transcript.whisperx[601].start |
15325.802 |
| transcript.whisperx[601].end |
15342.302 |
| transcript.whisperx[601].text |
你看他的一個平均餘命的差距是很明顯的縮短那在他114年最最最縮短的最有成效的時候呢次長那個時候您是次長你很幫忙推動原建法 |
| transcript.whisperx[602].start |
15343.443 |
| transcript.whisperx[602].end |
15363.596 |
| transcript.whisperx[602].text |
終於呢在112年的時候原建法三讀通過所以我們也很高興因為我們覺得說有作為就會有成效可是部長您看一下喔結果原建法通過了之後呢我們的平均餘命它的差距又往上爬升部長您怎麼看這個現象 |
| transcript.whisperx[603].start |
15366.023 |
| transcript.whisperx[603].end |
15385.379 |
| transcript.whisperx[603].text |
這當然跟我們報告就是說從這個國際的分析這個COVID產生了一定的影響特別是對經濟弱勢偏遠地區資源比較不足的它的影響更大所以我想這個是COVID之後產生了一些後續的影響 |
| transcript.whisperx[604].start |
15386.62 |
| transcript.whisperx[604].end |
15401.918 |
| transcript.whisperx[604].text |
不過我們確實看到這個數字應該要更進一步的去分析我們會來研究看看需要把過去的這個政策再做什麼樣的調整來盡可能的再去縮短這個餘命的落差 |
| transcript.whisperx[605].start |
15402.698 |
| transcript.whisperx[605].end |
15430.677 |
| transcript.whisperx[605].text |
謝謝部長因為這個健康不平等其實就是我們所有作為的一個很重要的一個目標方向那我的看法是這樣子因為目前這個改善策略的行動計畫它分布在照護師醫事師健保署國健署疾管署那剛才你有提到我們不能夠單純的去看一些健康表徵其實原住民的健康 |
| transcript.whisperx[606].start |
15433.018 |
| transcript.whisperx[606].end |
15457.145 |
| transcript.whisperx[606].text |
不是只有因為接種疫苗或者是老人照顧小孩或者營養的問題造成我們原住民嬰兒的死亡率是全體國人的兩倍又或者說我們的意外事故的死亡率是高於全體國人可是他還有一些空間障礙的問題他就醫的時候他不敢就醫因為交通成本高 時間成本高 |
| transcript.whisperx[607].start |
15459.045 |
| transcript.whisperx[607].end |
15476.383 |
| transcript.whisperx[607].text |
又或者說結構性的社會問題像很諷刺的就是我們勞動部調查出來的結果全國四大缺工前四名恰恰是原住民就業率的前四大 |
| transcript.whisperx[608].start |
15477.003 |
| transcript.whisperx[608].end |
15496.824 |
| transcript.whisperx[608].text |
這是一個非常諷刺人家不願意做的怎麼會變成是原住民最多的一個工作又或者是說政策的一些盲點舉個例子原住民一半的人口都已經在渡惠區可是我們的資源都是集中在原鄉忽略了這些渡惠地區的原住民 |
| transcript.whisperx[609].start |
15497.844 |
| transcript.whisperx[609].end |
15526.329 |
| transcript.whisperx[609].text |
所以呢我在這邊其實還是要去提一下如果說這樣的一個原住民的健康問題然後放在一個衛福部底下的原住民族及離島健康科然後呢他的任務就是去做這一些包括什麼衛生所擴建行政工作或者是公費生的養育培育的這些行政工作那我在想 |
| transcript.whisperx[610].start |
15526.989 |
| transcript.whisperx[610].end |
15552.221 |
| transcript.whisperx[610].text |
原民會它那個地方它也有所謂的社福處但是它裡頭我去問都是考上原住民特考的他們都不是一式的一個專業人員可是反過來說如果在我們的原建法裡面它提到指定專責單位辦理原住民族健康事務 |
| transcript.whisperx[611].start |
15553.422 |
| transcript.whisperx[611].end |
15571.133 |
| transcript.whisperx[611].text |
那又不一樣囉因為會有專門的這些醫事人員進駐去做專業的事情所以這個部分我其實為什麼會去提出這樣的一個衛福部的組織法修正我特別希望在第五條第六款 |
| transcript.whisperx[612].start |
15571.673 |
| transcript.whisperx[612].end |
15586.967 |
| transcript.whisperx[612].text |
增加一個刺激機關叫原住民健康照顧署或者是其他的名稱都沒有關係那這個是我的一個想法我覺得這個應該是會有助於健康不平等健康與命的一個改善部長您覺得呢 |
| transcript.whisperx[613].start |
15588.536 |
| transcript.whisperx[613].end |
15610.357 |
| transcript.whisperx[613].text |
我們現在確實已經有專責的單位了那當然這個委員的指教就是說他這個層面上當然他有地理的因素在剛好我們很多的原住民的朋友住在比較偏遠的地區所以這個偏遠的地區的問題是一併處理的不會是因為他是原住民或不是原住民而有不同 |
| transcript.whisperx[614].start |
15610.777 |
| transcript.whisperx[614].end |
15628.506 |
| transcript.whisperx[614].text |
一樣的我們的原住民的朋友也會住在離島所以是離島整個要一起處理也不會只處理原住民跟非原住民大概是不會這樣所以我們是確實要考量到原住民的朋友們的他的特殊性譬如說剛剛您提到的 |
| transcript.whisperx[615].start |
15628.886 |
| transcript.whisperx[615].end |
15657.749 |
| transcript.whisperx[615].text |
有一些經濟的問題這個需要有社福的資源那有些是健康取得的問題可敬信的問題那我們要透過健保的這個資源透過我們其他國民健康署CDC的資源所以他的資源需要做重合有一個專責的單位來關注這個相關的議題包含研究的委託那這個我覺得這個是有這個必要性但是要用一個是不是要用一個署來切割 |
| transcript.whisperx[616].start |
15658.59 |
| transcript.whisperx[616].end |
15673.772 |
| transcript.whisperx[616].text |
那會不會做得更好這個就是我比較擔憂我想這倒不是切割的問題我覺得是應該是說去顧及到我們的專業度跟現在所謂的文化安全這個概念要全面的進來 |
| transcript.whisperx[617].start |
15675.113 |
| transcript.whisperx[617].end |
15700.922 |
| transcript.whisperx[617].text |
那我想這個是我們可以想像的到應該會有所改善那在這邊我也要謝謝部長因為一直以來關於文化安全怎麼樣進入到原住民的一個長者照顧那原鄉一直都很缺乏專屬原住民的一個住宿型的長照機構雖然外面已經很多而且空床很多但是那不等同於原住民不應該有專門 |
| transcript.whisperx[618].start |
15702.483 |
| transcript.whisperx[618].end |
15724.733 |
| transcript.whisperx[618].text |
他文化安全的一個示範機構那我特別謝謝部長就是您的支持那也有啟動這樣的一個開始所以我要在這邊特別感謝您那另外就是智慧醫療的部分因為我看到113 114的示範計畫已經結束你們有說要完成資料蒐集進行成效評估再行研議所以我很關心我是希望全面 |
| transcript.whisperx[619].start |
15725.713 |
| transcript.whisperx[619].end |
15742.684 |
| transcript.whisperx[619].text |
那其實經濟部中企署也有這方面的一個智慧照顧服務速發部的速產署也有健康照護產業所以我在這邊是希望說衛福部能夠在一個月內盤點一些相關的計畫或者是各公立醫療機構的一個針對原鄉地區那怎麼利用資訊科技輔助遠距醫療的這樣的一個試辦計畫能夠把它提出來可以嗎 |
| transcript.whisperx[620].start |
15751.009 |
| transcript.whisperx[620].end |
15774.747 |
| transcript.whisperx[620].text |
跟委員報告這個我們樂意來做不過因為科技計畫今年預算沒有省讓我們的預算怕沒有辦法沒有錢可用所以我才會說就是希望你們來找經濟部 數發部這些有相關的能夠一起來盤點一起來討論今年遇到這個預算審查的問題所以有一些新興的計畫我們都會很困難 |
| transcript.whisperx[621].start |
15775.967 |
| transcript.whisperx[621].end |
15781.889 |
| transcript.whisperx[621].text |
這個是 這個是但是總有解套的時候啦我是覺得說我們還是要運用既有的預算規劃還是要來試著把它規劃出來盤點出來好嗎好 謝謝吳麗華委員謝謝部長 謝謝主席謝謝吳麗華委員的詢答接下來我們請最有活力帥氣的羅廷維委員壓軸 來 |
| transcript.whisperx[622].start |
15804.147 |
| transcript.whisperx[622].end |
15810.196 |
| transcript.whisperx[622].text |
謝謝主席 有請部長請施部長感謝主席排審 歐委員好 |
| transcript.whisperx[623].start |
15811.229 |
| transcript.whisperx[623].end |
15835.41 |
| transcript.whisperx[623].text |
那我想部長今天大家都很關心組織法的一個相關修正我們當然都知道現在人口老化少子化的一個問題同步加劇那長照的體系呢也日益的加重照顧人力的短缺所以今天我們面臨這樣子的一個狀況人口危機衛福部將這些資源的整合我們一定都支持我想我在總質詢的時候也跟部長表示 |
| transcript.whisperx[624].start |
15836.21 |
| transcript.whisperx[624].end |
15854.275 |
| transcript.whisperx[624].text |
這樣的方向不只支持我們還給予肯定我覺得您辛苦了但是組織的升級的目的到底是我們只是整個所謂的業務整合還是升級了招牌有沒有真正落實到兒少的權益以及長期照顧的量能 |
| transcript.whisperx[625].start |
15854.995 |
| transcript.whisperx[625].end |
15879.262 |
| transcript.whisperx[625].text |
以及資源分佈不均的一個老問題我想問一下部長兒家屬的成立目前還有沒有其他的創新亮點還是就是我剛剛說的業務整合而已不只是業務整合他是更專注就是讓他更專業的發展那麼關注在這個兒童的議題相關的議題從健康到福利到保護這個我們都把它這個 |
| transcript.whisperx[626].start |
15880.925 |
| transcript.whisperx[626].end |
15903.994 |
| transcript.whisperx[626].text |
深度會加深 廣度也會擴大焦點化在那邊那我想問一下 兒家屬成立後園兒的編制會不會有相對的提升一定會增加那您投入的量能就相信在未來就沒有理由我想這個部分因為投入的量能會更多但是我們也很擔憂因為畢竟整個衛福部將組織整合以後兒家屬是三級機關 |
| transcript.whisperx[627].start |
15905.675 |
| transcript.whisperx[627].end |
15919.03 |
| transcript.whisperx[627].text |
三級機關要在行政層級上就有它的一個局限性那你要怎麼樣去做到跨域橫向的整合比如說兒少的 家庭的 醫療的社福的跨域整合這個部分您應該也要多關心一下會 |
| transcript.whisperx[628].start |
15920.812 |
| transcript.whisperx[628].end |
15947.152 |
| transcript.whisperx[628].text |
當然在這個屬的層級會比原來的溝通更順暢因為它畢竟它是三級機關過去有些是在部裡面的一個師所以反而我們把它拉高層級之後它的協調會更好我想這個部分今天還是大家不管是從前面的我們在關心少子化辦公室到現在我們希望它不只是單純的招牌升級業務整合 焦點化而已跨域的整合您還是要多擔當 |
| transcript.whisperx[629].start |
15948.673 |
| transcript.whisperx[629].end |
15974.811 |
| transcript.whisperx[629].text |
效能的提升讓它能夠運作的更順暢更有效能然後再來就是長照的部分我想長照政策這幾年來都一直在被批評說資源集中在都會偏鄉還是看不到這個部分我也要幫忙說話了我們希望你還是要在確保整個資源的分配是都市有偏鄉也能夠在被看到這部分還是要再提醒 |
| transcript.whisperx[630].start |
15975.331 |
| transcript.whisperx[630].end |
15998.271 |
| transcript.whisperx[630].text |
我想上一次我也有在其他的委員會有在跟你詢問到衛生福利部長照2.0在2016年開始推行目標在我國建立各社區能夠推動長照的照顧模式遍布密集的有所謂的ABC長照據點截至114年8月我們看到A級據點 |
| transcript.whisperx[631].start |
15999.292 |
| transcript.whisperx[631].end |
16003.376 |
| transcript.whisperx[631].text |
有818處B有9931處C有4971處但是我們一直看到這些ABC據點有中醫機構醫療的投入長照有多少 |
| transcript.whisperx[632].start |
16015.948 |
| transcript.whisperx[632].end |
16034.916 |
| transcript.whisperx[632].text |
您這邊有掌握嗎上次我大概有問你對 這個數目很少啦這個確實是寥寥非常少可數 對吧所以我要問的說今天我們也有提到說這個中醫的部分中醫藥這個我們真的是很關切我們也希望 |
| transcript.whisperx[633].start |
16035.836 |
| transcript.whisperx[633].end |
16054.383 |
| transcript.whisperx[633].text |
以你們之前的一個論述這個衛福部中醫藥師前師長黃宜超曾經說過這個初估全台可能有百萬名的一個失能患者在這樣子的困境下中階層以上的略有資產的民眾還可以去做相關的防範但是目前在未來可 |
| transcript.whisperx[634].start |
16055.935 |
| transcript.whisperx[634].end |
16082.531 |
| transcript.whisperx[634].text |
可以看到的一個進度我們知道目前的人力不足以及這個長照的一個人力缺失我們都希望中醫藥能夠再給予一些更多的幫忙那剛剛我也問你了嘛ABC據點有投入多少你也說出了一個我想說你會說出一個對不起這個數據我沒辦法掌握可能是看起來數據很多沒辦法掌握數據結果你自己也知道因為只有幾家不好意思說出這個數據 |
| transcript.whisperx[635].start |
16083.792 |
| transcript.whisperx[635].end |
16088.401 |
| transcript.whisperx[635].text |
所以這個部分您可不可以給我一個具體的承諾在中醫藥的部分能夠投入ABC據點 |
| transcript.whisperx[636].start |
16089.281 |
| transcript.whisperx[636].end |
16117.766 |
| transcript.whisperx[636].text |
能夠有更具體的作為給我們跟委員報告我們長照3.0是希望往前特別是在這個長者的健康促進預防衰弱的部分還有2.0的不足那這個地方呢其實是我們中醫呢可以很有貢獻的地方所以我們會來跟這個包含我們不用等到未來長照社會發展署成立我們就會回去現在就應該檢討了吧那請問您大概多久可以給我一個方向 |
| transcript.whisperx[637].start |
16122.558 |
| transcript.whisperx[637].end |
16133.332 |
| transcript.whisperx[637].text |
一個月一個月我們來規劃這個承諾我們把這個規劃可以怎麼去強化這個中醫參與的參與的部分在長照3.0今年就長照3.0了所以這個 |
| transcript.whisperx[638].start |
16135.334 |
| transcript.whisperx[638].end |
16157.015 |
| transcript.whisperx[638].text |
怎麼樣參與到長照3.0我們在一個月內有一些規劃的方向我想這個東西事關絕對是全國不是只有我台中市我想主席的縣市也都可能有受惠到但我覺得你應該要去好好的去把它思考一下我們考量到這個對 這個資源配置的這個平衡性一個月內是具體的不是 |
| transcript.whisperx[639].start |
16157.816 |
| transcript.whisperx[639].end |
16172.843 |
| transcript.whisperx[639].text |
很吵吵的喔這個當然是先有規劃方向啦要有戰略嘛你才知道戰術怎麼執行嘛對還是要有步驟啦還是會有步驟好不好希望麻煩你謝謝羅廷委員他這就算這個很好啦其實我們平時都有在討論這個確實是多對地方尤其中醫啊 |
| transcript.whisperx[640].start |
16176.585 |
| transcript.whisperx[640].end |
16202.302 |
| transcript.whisperx[640].text |
那個量能再進來加大那是很棒的一件事情那我們所有登記發言的委員都已經發言完畢了 詢答結束那委員質詢的時候呢要求提供的相關資料或以書面答覆者請相關機關尽速送交個別委員及本聯席會那委員邱振軍 廖偉祥所提書面列入記錄 刊登公報並請相關機關以書面來做答覆 |
| transcript.whisperx[641].start |
16208.747 |
| transcript.whisperx[641].end |
16233.525 |
| transcript.whisperx[641].text |
討論事項我們所列的議案報告及詢答完畢我們就定期來繼續審查會議的後續程序請進行討論事項提案條文的宣讀也向各位來做預告六案的條文一併宣讀大概的時間差不多一個小時四十分鐘本次的會議我們就進行到提案條文宣讀完畢以後及結束 |
| transcript.whisperx[642].start |
16233.965 |
| transcript.whisperx[642].end |
16244.095 |
| transcript.whisperx[642].text |
那列席的機關代表如果有任何要功的話可以先行離席那接續我們請議事人員來宣讀條文請宣讀你給我們比較辛苦一點 |
| transcript.whisperx[643].start |
16246.401 |
| transcript.whisperx[643].end |
16271.498 |
| transcript.whisperx[643].text |
討論事項第一案衛生福利部組織法行政院提案第二條續文及第一款未修正二全民健康保險及國民年金業務之監理第三款至第五款為現行條文第四至六款第一六護理政策法規之規劃管理監督及研究第七至九款為現行條文第八至十款第一其中第八款據守的及改成頓號 |
| transcript.whisperx[644].start |
16273.294 |
| transcript.whisperx[644].end |
16300.699 |
| transcript.whisperx[644].text |
第十款為現行條文第十二款一列其中據守的及修正為宇是依所屬醫療機構之督導協調及推動第十二款為現行條文第十三款之一列委員和薪準等提案第二條除第四款第二句修正為社會工作及其人力配置外其餘未修正委員立略請等提案第二條除第二款修正為二全民健康保險財務之監理國民年金財務之管理及監督 |
| transcript.whisperx[645].start |
16301.579 |
| transcript.whisperx[645].end |
16322.751 |
| transcript.whisperx[645].text |
第六款修正為六護理制政策與法令規劃管理監督及研究第八款手續的頓耗改成及第四款手續的與改成及第十一款修正為十一所屬於中醫藥研究司法精神醫療研究醫療機構之督導協調及推動第十二款為行政院提案第十三款第一其餘同行政院提案 |
| transcript.whisperx[646].start |
16324.315 |
| transcript.whisperx[646].end |
16340.283 |
| transcript.whisperx[646].text |
委員盧憲一等提案第二條除第七款修正為期 離島居民醫療健康照顧醫護人力培育疾病防治之政策與法令規劃監管理監督及研究及與同行支援提案委員羅廷偉等提案委員陳培育等提案 |
| transcript.whisperx[647].start |
16340.723 |
| transcript.whisperx[647].end |
16357.12 |
| transcript.whisperx[647].text |
委員郭玉琴等提案委員林慶琪等提案第二條均同行政院提案委員王玉敏等提案第二條除第二款修正為二全民健康保險國民年金財務之政策規劃管理及監督其餘同行政院提案委員李坤澄等提案第二條同行政院提案 |
| transcript.whisperx[648].start |
16358.081 |
| transcript.whisperx[648].end |
16381.749 |
| transcript.whisperx[648].text |
行政院提案第五條 續文及第三款未修正 第二五六款分別修正如下 二 食品藥物管理署規劃與執行食品藥物化妝品之管理查核及檢驗事項 五 兒童兒少及家庭支持署規劃與執行托育照護早期療癒兒童少年福利與權益保障家庭支持服務及健康促進事項 |
| transcript.whisperx[649].start |
16383.229 |
| transcript.whisperx[649].end |
16408.576 |
| transcript.whisperx[649].text |
6 長期照顧及社會發展署規劃與執行長期照顧老人身心障礙者婦女權益與福利及國民年金事項委員林彥群提案第5條續文及第1到4款未修正第5 6款分別修正如下5 兒少及家庭支持署規劃與執行托育照護早期療癒兒童少年權益保障與家庭支持福利服務及健康促進事項 |
| transcript.whisperx[650].start |
16409.976 |
| transcript.whisperx[650].end |
16421.563 |
| transcript.whisperx[650].text |
6 長照及社會發展署規劃與執行長期照顧國民年金及老人身體障礙者婦女婦女福利事項文入秀英等提案第5條同行政院提案 |
| transcript.whisperx[651].start |
16422.799 |
| transcript.whisperx[651].end |
16447.934 |
| transcript.whisperx[651].text |
委員羅廷偉等提案第5條從行政院提案委員陳培鈺委員委員陳培鈺等提案第5條除第5款修正為5兒少及家庭支持署規劃與執行托育照護早期療癒兒童及少年及福利與權益保障醫療照護健康促進經理健康促進及家庭支持服務事項其餘同行政院提案 |
| transcript.whisperx[652].start |
16448.649 |
| transcript.whisperx[652].end |
16464.244 |
| transcript.whisperx[652].text |
委員過預請的提案第五條同行政院提案委員林倩琦等提案第五條除將第七款修正為七原住民健康照顧署規劃與執行原住民族文化安全醫療照顧原鄉醫療資源建置健康不平等改善 |
| transcript.whisperx[653].start |
16465.004 |
| transcript.whisperx[653].end |
16491.773 |
| transcript.whisperx[653].text |
與相關調查研究及健康促進事項其餘同委員盧秀英等提案委員王玉敏等提案第五條將第五款修正為兒少及家庭支持署規劃與執行托育照顧兒少保護與安置家庭支持服務兒少身心健康創傷復原醫療及早期療癒死亡回顧少年自力支持服務及兒童少年福利與權益事項其餘同行政院提案 |
| transcript.whisperx[654].start |
16492.313 |
| transcript.whisperx[654].end |
16504.91 |
| transcript.whisperx[654].text |
委員李坤臣等天第五條通行政院提案行政院提案第八條第一項未修正本法中華民國一百零七年六月十三日修正公佈條文自公佈日施行委員林月琴等天第八條 |
| transcript.whisperx[655].start |
16506.448 |
| transcript.whisperx[655].end |
16532.011 |
| transcript.whisperx[655].text |
第一項未修正本法中華民國一百零七年六月十三日修正發布條文自公佈日施行某年某月某日修正發布條文自施行日期由行政院以命令定之委員盧秀英盧秀盧憲一等提案第八條委員羅廷輝等提案委員陳培宇等提案委員郭育晴等提案委員林倩琦等提案委員王玉明等提案委員李坤誠等提案第八條均同行政院提案 |
| transcript.whisperx[656].start |
16533.373 |
| transcript.whisperx[656].end |
16549.553 |
| transcript.whisperx[656].text |
討論事項第二案衛生福利部兒少及家庭支持署組織法請自願提案名稱衛生福利部兒少及家庭支持署組織法第一條衛生福利部為辦理兒童少年健康福利與權益及家庭支持之業務特色兒少及家庭支持署 |
| transcript.whisperx[657].start |
16551.024 |
| transcript.whisperx[657].end |
16570.124 |
| transcript.whisperx[657].text |
委員林月晴等提案 委員羅廷維等 委員陳培宇等 委員郭育晴等 委員王玉明等 委員李坤誠等提案名稱及第一條均同行政院提案行政院提案第二條本署張理下列事項 依兒童少年福利與權益家庭福利服務政策之規劃推動與執行 |
| transcript.whisperx[658].start |
16572.182 |
| transcript.whisperx[658].end |
16587.825 |
| transcript.whisperx[658].text |
及相關法規之嚴定二 兒童少年保護安置與照顧政策之規劃推動與執行及相關法規之嚴定三 兒童少年與家庭支持之服務資源之規劃推動與執行及相關法規之嚴定四 兒童少年 |
| transcript.whisperx[659].start |
16588.406 |
| transcript.whisperx[659].end |
16605.739 |
| transcript.whisperx[659].text |
與家庭托育服務資源政策之規劃推動與執行及相關法規之嚴定五 兒童權利公約之推動協調及聯繫六 兒童少年健康促進保健防治政策之規劃七 早期療癒之規劃推動及執行八 兒童少年福利機構業務之督導及考核九 |
| transcript.whisperx[660].start |
16608.281 |
| transcript.whisperx[660].end |
16625.563 |
| transcript.whisperx[660].text |
兒童 少年與家庭支持業務資通訊應用發展國際合作及交流10兒童 少年與家庭支持福利服務事項之監督 輔導及考核11其他有關兒童 少年福利與權益健康促進及家庭支持福利服務事項 |
| transcript.whisperx[661].start |
16627.338 |
| transcript.whisperx[661].end |
16641.697 |
| transcript.whisperx[661].text |
委員林玉琴等提案第二條 需聞其一到四款同行政院提案五 兒童權利公約制推動協調聯繫及督導 六 兒童少年身體健康促進保健防治政策之規劃 七 兒童少年權益之發展與促進 |
| transcript.whisperx[662].start |
16642.538 |
| transcript.whisperx[662].end |
16658.493 |
| transcript.whisperx[662].text |
暨其參與公共事務相關政策之規劃推動與執行及相關法規之嚴定八到十二款為行政院提案七到十一款之第一委員羅廷偉等提案第二條趣聞及一到六款均同行政院提案增訂第七款 |
| transcript.whisperx[663].start |
16659.754 |
| transcript.whisperx[663].end |
16683.493 |
| transcript.whisperx[663].text |
兒童少年遊戲遊戲及休閒發展政策之規劃推動與執行八到十一款為行政院提案七到十款之第一增列第十二十三款分別為十二兒童少年友善司法制度之規劃整合統籌及跨機關政策協調十三兒童少年制隱私權保障個人資料保護網絡安全及數位環境風險防治相關政策之規劃整合與推動 |
| transcript.whisperx[664].start |
16684.264 |
| transcript.whisperx[664].end |
16711.863 |
| transcript.whisperx[664].text |
第十四款同行政院提案 第十一款委員陳培鈺等提案第二條 續文集一到五款同行政院提案 增列第七款 七 兒童少年與家庭心理健康政策之規劃推動與執行 八到十一款為行政院七到十款之第一 增列第十二款 十二 兒童少年網路安全與數位環境風險防治相關政策之規劃 第十三款同行政院提案 第十一款委員 |
| transcript.whisperx[665].start |
16713.055 |
| transcript.whisperx[665].end |
16739.16 |
| transcript.whisperx[665].text |
郭育晴等提案 第二條同行政院提案 委員王玉明等提案 第二條序文及第一款同行政院提案二 兒童少年保護安置與照顧政策自立支持服務之規劃推動與執行及相關法規之嚴定第三款同行政院提案四 兒童少年與家庭生育與托育服務資源孕產婦照顧政策之規劃推動與執行及相關法規之嚴定 |
| transcript.whisperx[666].start |
16740.014 |
| transcript.whisperx[666].end |
16764.908 |
| transcript.whisperx[666].text |
第五六款同行政院提案七兒童少年療癒早期療癒死亡回顧事故傷害預防政策之規劃推動其執行八處罰與不省兒童少年處於服務政策之規劃推動其執行九兒童少年福利機構業務之督導輔導及考核福利機構業務之監督輔導及考核第十到十二款為行政院提案九到十一款之第一委員李坤城等提案第二條同行政院提案 |
| transcript.whisperx[667].start |
16766.141 |
| transcript.whisperx[667].end |
16783.477 |
| transcript.whisperx[667].text |
第三條本署次署長一人職務比較檢任第十三職等或列檢任第十三職等副署長二人職務列檢任第十二職等委員林玉琳等委員羅廷威等委員陳佩玉等委員郭育晴等委員王育民等委員李坤誠等提案第三條均同行政院提案 |
| transcript.whisperx[668].start |
16784.147 |
| transcript.whisperx[668].end |
16799.055 |
| transcript.whisperx[668].text |
第四條本署自主任秘書職務列檢人第十一職等委員林昱晴等委員羅廷威等委員陳培宇等委員郭育晴等委員王玉明等委員李坤成等提案第四條俊彤行政院提案第五條本署各職層之官等職等及員而另以便即表定之 |
| transcript.whisperx[669].start |
16799.615 |
| transcript.whisperx[669].end |
16800.335 |
| transcript.whisperx[669].text |
討論事項第三案 請參考關係文書的單行本 |
| transcript.whisperx[670].start |
16825.01 |
| transcript.whisperx[670].end |
16851.074 |
| transcript.whisperx[670].text |
刮鬍衣行政院提案名稱衛生福利部長期照顧及社會發展署組織法第一條衛生福利部為辦理長期照顧老人性障礙者婦女國民的經濟業務特設長期照顧及社會發展署第二條本署長理下列事項一長期照顧老人性障礙者婦女服務福利服務政策之規劃推動與執行及相關法規制定第二長期照顧老人性障礙者婦女福利 |
| transcript.whisperx[671].start |
16851.724 |
| transcript.whisperx[671].end |
16867.273 |
| transcript.whisperx[671].text |
服務資源之規劃推動與執行及相關法規之原定三長期照顧老人身障礙者婦女之權益保障與社會參與之規劃推動及執行四身心障礙者權利公約之推動協調及聯繫五社會福利財團法人與長期照顧服務機構法人相關 |
| transcript.whisperx[672].start |
16868.294 |
| transcript.whisperx[672].end |
16896.244 |
| transcript.whisperx[672].text |
法規之嚴定推動其執行 六 社會福利公益信託之設立變更撤銷與廢止 監督輔導財務查核 相關法規之嚴定推動其執行 七 長期照顧老人身障礙服務機構業務之監督輔導及考核 八 國民研究規劃推動與執行及相關法規之嚴定 九 長期照顧老人傷心障礙者婦女與國民研究業務之資訊資通訊應用發展國際合作及交流 十 長期照顧 |
| transcript.whisperx[673].start |
16896.884 |
| transcript.whisperx[673].end |
16926.464 |
| transcript.whisperx[673].text |
老人性障碍者婦女福利服务事项之监督辅导及考核十一其他有关长期照顾老人性障碍者婦女福利与权益服务及国民年金事项第三条本署至署长一人职务比照前任第十三支等或列前任第十三支等副署长二人职务列前任第十二支等第四条本署至主任秘书职务列前任第十一支等第五条本署各职称之官等之等及原额另以编辑表定制第六条本法实行日期由行政院以命令定制 |
| transcript.whisperx[674].start |
16931.87 |
| transcript.whisperx[674].end |
16948.147 |
| transcript.whisperx[674].text |
衛生福利部長照及社會發展署組織法第一條統行政院提案序文及第一款均統行政院提案二長期照顧老人性障礙者婦女婦女之權益保障及社會參與規劃推動及執行第三到八款為行政院提案第四到九款之第一 |
| transcript.whisperx[675].start |
16950.451 |
| transcript.whisperx[675].end |
16976.9 |
| transcript.whisperx[675].text |
第9款同行政院提案第第9款同行政院提案第10款 其他有關長期照顧老人 身心障礙者 婦女服務福利服務及國民年金事項 第三條是第9條均同行政院提案委員羅廷維等 委員郭育晴等 委員王玉明等委員李坤誠等提案名稱及各條條文均同行政院提案討論事項第4案 |
| transcript.whisperx[676].start |
16978.667 |
| transcript.whisperx[676].end |
17005.467 |
| transcript.whisperx[676].text |
衛生福利部中央健康保險署組織法行政院提案第二條本署長禮下列十項依全民健康保險政策之規劃執行及相關法規之原理第二到第六款為現行條文一到五款之第一第七八款未修正委員羅廷美提案第二條同行政院提案委員郭育群提案第二條除第五款及第七款分別修正為五全民健康保險藥品特採 |
| transcript.whisperx[677].start |
17008.108 |
| transcript.whisperx[677].end |
17022.635 |
| transcript.whisperx[677].text |
業務與醫療科技評估至研擬規劃及執行 七 全民健康保險諮詢業務數位應用與安全管理至研擬規劃及執行 其餘軍統行政院提案委員張雅玲等提案及委員王玉敏等提案第二條軍統行政院提案 |
| transcript.whisperx[678].start |
17026.069 |
| transcript.whisperx[678].end |
17041.21 |
| transcript.whisperx[678].text |
有案國家醫療科技評估中心設置條例草案等四案請責任提案名稱國家醫療科技評估中心設置條例第一章總則第一條為促進國家醫療資源有效運用推動醫療科技評估落實 |
| transcript.whisperx[679].start |
17043.072 |
| transcript.whisperx[679].end |
17071.291 |
| transcript.whisperx[679].text |
實證基礎之醫療給付及健康政策增進國人健康及福祉特設國家醫療科技評估中心括弧以下簡稱本中心並制定本條例第二條本中心為行政法人其監督機關為衛生福利部衛生福利部得指定專責機關督導本中心業務第三條本中心之業務範圍如下一 發展與建立醫療科技評估方法及指引二 辦理全民健康保險醫療服務 |
| transcript.whisperx[680].start |
17073.352 |
| transcript.whisperx[680].end |
17100.465 |
| transcript.whisperx[680].text |
與藥物及副項目及支付之醫療科技評估審查三 辦理醫療科技評估相關研究及提供資訊服務四 辦理醫療科技評估人才培訓及推廣五 辦理國內外醫療科技評估之交流合作六 辦理健康政策評估及研究之相關諮詢七 體能醫療科技評估相關之事項前項第二款之審查作業及 |
| transcript.whisperx[681].start |
17101.044 |
| transcript.whisperx[681].end |
17119.452 |
| transcript.whisperx[681].text |
其他相關事項之辦法由監督機關定之第四條本中心經費之來源如下一政府預算之荷波及捐補助二受託研究提供諮詢服務及審查收入三營運及研發成果收入四國內外公私立機構 |
| transcript.whisperx[682].start |
17121.114 |
| transcript.whisperx[682].end |
17141.412 |
| transcript.whisperx[682].text |
團體及個人捐贈五 其他收入前項第四款之捐贈適同對政府之捐贈第五條本中心應訂定組織章程人事管理會計制度內部控制飢餓作業及其他規章提經董事會通過後報監督機關被查本中心就執行之公共事務 |
| transcript.whisperx[683].start |
17142.433 |
| transcript.whisperx[683].end |
17168.465 |
| transcript.whisperx[683].text |
與不抵觸有關法律或法規命令之範圍內的訂定規章並提經董事會通過後報監督機關被查第二章組織第六條本中心設董事會自董事十一人至十五人由監督機關就下列人員臨選提請行政院院長聘任之解聘時一同一政府相關機關構代表二公共衛生醫事專業與醫療科技及 |
| transcript.whisperx[684].start |
17170.946 |
| transcript.whisperx[684].end |
17198.745 |
| transcript.whisperx[684].text |
健康政策評估相關之學者專家三 民間企業經營管理專家或對本中心業務有重大貢獻之社會人士前向第一款之董事不得少於董事總人數二分之一第一項董事任意性別不得少於總人數三分之一第七條 本中心自監視三人至五人有監督機關就下列人員臨選提請行政院院長聘任之解聘時一同 |
| transcript.whisperx[685].start |
17200.786 |
| transcript.whisperx[685].end |
17222.013 |
| transcript.whisperx[685].text |
政府相關機關各有代表二 公共衛生醫事專業與醫療科技及健康政策評估相關之學者專家三 會計審計集合法律或財務相關之學者專家監視應互選一人為常務監視第一項低管制監視不得少於 |
| transcript.whisperx[686].start |
17223.613 |
| transcript.whisperx[686].end |
17242.545 |
| transcript.whisperx[686].text |
監事總人數二分之一第四項監事任期性別不得少於總人數三分之一第八條董事監事任期為三年期滿得續聘一次但續聘人數不得少不得於總人數三分之二不得少於三分之一代表政府機關構出任之董事監事 |
| transcript.whisperx[687].start |
17243.625 |
| transcript.whisperx[687].end |
17264.97 |
| transcript.whisperx[687].text |
應依及職務異動改聘不受前項續聘次數之限制依第六條第一項第二款第三款及前條第一項第二款第三款規定聘任之董事監事任期屆滿前出缺者由監督機關臨選提請行政院院長補聘之及任期至原任者 |
| transcript.whisperx[688].start |
17265.973 |
| transcript.whisperx[688].end |
17293.322 |
| transcript.whisperx[688].text |
任期屆滿為止 第九條本中心設置董事長一人 有監督機關就董事中提請請政院院長聘任之 解聘時一同董事董事長之聘任解聘補聘之方式及其他相關事項之辦法由監督機關定之 董事長對內縱理本中心一切事務都要代表本中心其因故不能執行職務 |
| transcript.whisperx[689].start |
17294.4 |
| transcript.whisperx[689].end |
17304.817 |
| transcript.whisperx[689].text |
由其指定之董事代行職權不能指定時由董事互推一人代行職權董事長出任年齡不得於65歲任期屆滿前 |
| transcript.whisperx[690].start |
17307.816 |
| transcript.whisperx[690].end |
17326.288 |
| transcript.whisperx[690].text |
年滿70歲者 應即更換但有特殊考量 經行政院核准者不在此限第十條 董事會之職權如下一 發展目標及計畫之審議二 年度業務計畫之審議三 年度預算及決算報告之審議四 規章之審議 |
| transcript.whisperx[691].start |
17327.409 |
| transcript.whisperx[691].end |
17351.289 |
| transcript.whisperx[691].text |
五 自有不動產處分或其設定負擔之審議六 執行長任免之同意七 本條例所定應經董事會決議事項之審議八 其他董重大事項之審議第十一條 董事會每三個月開會一次必要時得召開臨時會由董事長召集並擔任主席董事會會議應有過半數董事之出席 |
| transcript.whisperx[692].start |
17352.29 |
| transcript.whisperx[692].end |
17378.872 |
| transcript.whisperx[692].text |
其決議應有出席董事過半數之同意但前條第一款至第七款之決議應有董事總人數過半數之同意第十二條監視職權如下一 年度業務決算之審核二 業務財務狀況之監督三 財務帳冊文件及財產資料之集合四 其他重大事項之審核及或集合 |
| transcript.whisperx[693].start |
17380.053 |
| transcript.whisperx[693].end |
17394.409 |
| transcript.whisperx[693].text |
監事單獨行職職權常務監事應代表全體監事列席董事會會議第三條 董事監事相互兼不得有配偶及三親等以內血親印親之關係 |
| transcript.whisperx[694].start |
17395.49 |
| transcript.whisperx[694].end |
17418.524 |
| transcript.whisperx[694].text |
第14條 董事監視執行長及其關係人之利益迴避事項依公職人員利益衝突迴避法之規定辦理違反前項規定自本中心受有損害者行為人應對本中心負損害賠償責任第一項人員違反公職人員利益衝突迴避法之規定者足以該法 |
| transcript.whisperx[695].start |
17419.765 |
| transcript.whisperx[695].end |
17422.568 |
| transcript.whisperx[695].text |
規定處法外監督機關並得為適當之處置其處置規定由監督機關定之 |
| transcript.whisperx[696].start |
17427.352 |
| transcript.whisperx[696].end |
17451.179 |
| transcript.whisperx[696].text |
第十五條 董事監事常務監事應親自出席列席董事會議不得委託他人代理第十六條 有下類情形之一者不得聘任為董事監事其已聘任者應予解聘一 受監護宣告或輔助宣告尚未撤銷二 受有歧途行為上刑之判決確定而未受反刑之宣告 |
| transcript.whisperx[697].start |
17451.759 |
| transcript.whisperx[697].end |
17480.287 |
| transcript.whisperx[697].text |
三 受破產宣告或依消費者債務清理條例經法院裁定開始清算程序三位賦權四 此都公權三位賦權五 第二十條安全查核未通過或拒絕接受查核董事常務監事無故連續不出席不練習董事會議那三次者應予解聘董事監事有下列各款情勢之一者得予解聘一 行為不檢或品性不端 |
| transcript.whisperx[698].start |
17481.047 |
| transcript.whisperx[698].end |
17503.358 |
| transcript.whisperx[698].text |
至影響本中心形象有確實證據 二 工作執行不力或待呼職者有具體事實或違反聘約情節重大 三當屆日本中心年度績效評鑑連續兩年未達監督機關所定標準 四違反公務人員行政中立法這情勢有確實證據 五 就主管事件 |
| transcript.whisperx[699].start |
17504.198 |
| transcript.whisperx[699].end |
17512.817 |
| transcript.whisperx[699].text |
接受關售或請託或利用職務關係接受招待或規則至損害公益或本中心利益有缺失證據 六 |
| transcript.whisperx[700].start |
17515.188 |
| transcript.whisperx[700].end |
17541.416 |
| transcript.whisperx[700].text |
非因職務之需要動用本中心財產有確實證據七違反第十三條或第十四條第一項利益迴避規定有確實證據八其他有不適任董事監視職位之行為且向各管情事監督機關於解聘時應給予當事人陳述意見及申辯之機會本中心董事監視之聆聘解聘補聘之方式 |
| transcript.whisperx[701].start |
17541.994 |
| transcript.whisperx[701].end |
17564.86 |
| transcript.whisperx[701].text |
及其他相關事項之辦法由監督機關定之第十七條本中心之董事長得為專任或兼任專任者之報酬由監督機關和定之兼任者為無己職本中心董事常務監事及監事均為無己職第十八條本中心自職薪長一人專任負責本中心營運及管理業務之執行 |
| transcript.whisperx[702].start |
17565.509 |
| transcript.whisperx[702].end |
17592.907 |
| transcript.whisperx[702].text |
由董事長提請董事會通過後聘任至結併時一統執行長依本中心規定本中心規章董事會之決議及董事長之授權責請本中心業務並督導所屬人員第九條第四項第十三條第十六條第一項至第四項第二十二條第六款有關董事及董事長之規定於執行長準用至第四九條 |
| transcript.whisperx[703].start |
17594.246 |
| transcript.whisperx[703].end |
17612.577 |
| transcript.whisperx[703].text |
本中心金融資人員依本中心人事管理規章辦理不具公務人員身份及權利義務關係應於契約中明定董事監事及執行長之配偶及其三親等以內血親姻親不得擔任本中心總務會計及人事職務董事長 |
| transcript.whisperx[704].start |
17613.317 |
| transcript.whisperx[704].end |
17633.575 |
| transcript.whisperx[704].text |
子卿長不得禁用其配偶及三親等以內血親、嬰親擔任本中心職務第二十條本中心人員應依涉密程度接受一般或特殊安全查核一般安全查核由監督機關依規定辦理涉及國家安全或重大利益制特殊安全查核應由監督機關會同相關機關辦理制 |
| transcript.whisperx[705].start |
17635.796 |
| transcript.whisperx[705].end |
17662.188 |
| transcript.whisperx[705].text |
對於規劃禁用之人員應先行辦理安全查核拒絕接受查核或查核未通過者應不予禁用依法應實施安全查核而待於辦理查核之相關機關人員前結重大德應依送監察院依法處理安全查核之適用對象程序內容究極相關事項之辦理辦法有監督機關會商有關機關訂 |
| transcript.whisperx[706].start |
17664.195 |
| transcript.whisperx[706].end |
17682.604 |
| transcript.whisperx[706].text |
之第二十一條本中心限職及離職後三年內人員應經監督機關許可使得出國境其他法令另有規定者從其規定前向所定之人員之範圍涉密基準申請許可條件程序 |
| transcript.whisperx[707].start |
17683.123 |
| transcript.whisperx[707].end |
17700.781 |
| transcript.whisperx[707].text |
被指及其他相關事項的辦法由監督機關定之第三章 業務及監督第二十二條監督機關對本中心之監督權限如下一 發展目標及計畫之核定二 規章年度及業務計畫與預算年度執行成果及決算報告 |
| transcript.whisperx[708].start |
17701.725 |
| transcript.whisperx[708].end |
17730.008 |
| transcript.whisperx[708].text |
書之核定或被查3 財產及財務存款之檢查4 業務績效之評鑑5 董事監事領聘解聘之建議6 董事監事於執行業務違反法令時得為必要之處分7 本中行有違反憲法法律法規命令予以撤銷變更費至限其改善停止執行或其他處分8 自有不動產處分或其他 |
| transcript.whisperx[709].start |
17730.444 |
| transcript.whisperx[709].end |
17752.085 |
| transcript.whisperx[709].text |
或其設定負擔之何可其他依法律所委之監督第二十三條監督機關應邀集有關機關代表學者專家及社會公眾人士辦理本中心之績效評鑑其中學者專家及社會公眾人士之人數不得少於二分之一顯像評鑑人員 |
| transcript.whisperx[710].start |
17753.406 |
| transcript.whisperx[710].end |
17763.022 |
| transcript.whisperx[710].text |
任意性别不得少于总年数三分之一第一项绩效评鉴之成员资格条件聆聘程序绩效评鉴之方法程序及其他 |
| transcript.whisperx[711].start |
17764.321 |
| transcript.whisperx[711].end |
17790.077 |
| transcript.whisperx[711].text |
事項之辦理辦法由監督機關定之績效評鑑內容如下一 本中心年度執行成果之考核二 本中心業務績效及目標達成率之評量三 本中心年度自籌款比率達成率四 本中心經費合撥之建議五 其他有關事項第二四條 本中心應擬定發展目標及計畫 |
| transcript.whisperx[712].start |
17792.014 |
| transcript.whisperx[712].end |
17796.207 |
| transcript.whisperx[712].text |
體經董事會通過後報監督機關核定本中心應訂定 |
| transcript.whisperx[713].start |
17797.642 |
| transcript.whisperx[713].end |
17814.231 |
| transcript.whisperx[713].text |
年度業務計畫及其預算提經董事會通過報監督機關備查第二十五條本中心於會計年度終了後三個月內應將年度執行成果及決算報告書委託會計師查核簽證提經董事會審議並經全體監視通過後報監督機關備查並送總審計機關前項決算報告 |
| transcript.whisperx[714].start |
17824.797 |
| transcript.whisperx[714].end |
17843.232 |
| transcript.whisperx[714].text |
審計機關得審計之審計結果得送監督機關或其他相關機關為必要之處處理第四章會計及財務第26條本中心之會計年度應與政府會計年度一致本中心之會計制度依行政法人 |
| transcript.whisperx[715].start |
17844.553 |
| transcript.whisperx[715].end |
17866.829 |
| transcript.whisperx[715].text |
會計制度設置相關法規定定本中心財務報表應委請會計師進行查核簽證第27條本中心成立年度制政府合撥預算經費得由監督機關在原預算範圍內調整因應不受預算法第62條及第63條規定之限制 |
| transcript.whisperx[716].start |
17868.24 |
| transcript.whisperx[716].end |
17888.637 |
| transcript.whisperx[716].text |
第28條本中心應用物必要使用自公有財產的架構或政府機關構採捐贈出資或無償提供使用方式為之採捐贈者不適用預算法第25條第26條土地法第25條國有財產法第28條第60條及地方政府公產 |
| transcript.whisperx[717].start |
17895.97 |
| transcript.whisperx[717].end |
17923.815 |
| transcript.whisperx[717].text |
管理法令之相關規定檢証架構公有土地資價款以當期公告土地限值為準土地上建築改良物資價款以稅捐基中機關提供至當年期平定限值為準該有該當年期平定限值者依公產管理機關估價結果為準本中心以政府機關合波經費指定用途所購置之財產為公有財產 |
| transcript.whisperx[718].start |
17926.36 |
| transcript.whisperx[718].end |
17953.793 |
| transcript.whisperx[718].text |
第一項出租無產提供使用及前項之公有財產以外由本中心取得之財產為自有財產第一項無產提供使用及第三項之公有財產由本中心登記為管理人所剩之收益列為本中心收入不受國有財產法第七條第一項及地方政府公產管理法令相關規定之限制及管理使用收益及其他 |
| transcript.whisperx[719].start |
17954.795 |
| transcript.whisperx[719].end |
17975.096 |
| transcript.whisperx[719].text |
相關事項是辦法由監督機關定之公有財產用途廢止時應移交各級政府公產管理機關接管本中心接受捐贈之公有不動產不需使用時應歸還捐贈機關購不得任意處分第29條政府機關 |
| transcript.whisperx[720].start |
17976.653 |
| transcript.whisperx[720].end |
18000.635 |
| transcript.whisperx[720].text |
合泊本中心資金費應依法定預算程序辦理並受審計監督檢向經費超過本中心當年度預算收入來源50%者有應有監督機關將本中心年度預算輸送立法院審議本中心自主財源及其運用管理相關事項由本中心訂定收支管理歸當 |
| transcript.whisperx[721].start |
18002.476 |
| transcript.whisperx[721].end |
18020.747 |
| transcript.whisperx[721].text |
報監督機關被查第三十條本中心所舉借自災物以具自償性值者為限並因陷重監督機關核定預算執行結果有不能自償之餘時應即檢討提出改善措施報監督機關核定 |
| transcript.whisperx[722].start |
18021.448 |
| transcript.whisperx[722].end |
18042.579 |
| transcript.whisperx[722].text |
第三十一條本中心之採購作業因本公開公正之原則除符合我國地解之條約協定或政府採購法第四條第一項鎖定情形因依個該規定辦理外不適用政府採購法之規定其採購作業實施規章應報監督機關核定檢向 |
| transcript.whisperx[723].start |
18045.595 |
| transcript.whisperx[723].end |
18065.094 |
| transcript.whisperx[723].text |
因依政府採購法第四條第一項規定辦理自採購與其他法律另有規定者從其規定第32條本中心之相關資訊因依政府資訊公開法相關規定公開之其年度報財務報表年度業務資訊及年度績效評鑑報告應主動公開 |
| transcript.whisperx[724].start |
18069.198 |
| transcript.whisperx[724].end |
18092.793 |
| transcript.whisperx[724].text |
前項年度績效評鑑報告應由監督機關提交分析報告送立法院被查必要時立法院得要求監督機關首長率同本中心董事長執行長或相關主管自立法院報告營運狀況並被詢第五章負責第33條對本中心之行政處分 |
| transcript.whisperx[725].start |
18094.127 |
| transcript.whisperx[725].end |
18115.378 |
| transcript.whisperx[725].text |
不符則得依訴願法之規定向監督機關提起訴願第三四條本中心應請事變更或績效不彰自不能達成其設立目的時由監督機關提請行政院同意後解散之本中心解散時其人員應終止契約其剩餘財產歸屬國庫 |
| transcript.whisperx[726].start |
18118.214 |
| transcript.whisperx[726].end |
18141.566 |
| transcript.whisperx[726].text |
其相關債務由監督機關概括承受第三十五條本條例施行日期由行政院定之委員羅廷偉等17人提案除將第二條第二項衛生福利部的指定專責機關督導本中心業務等自刪除外與法案名稱各張章名及條文均統行政院提案 |
| transcript.whisperx[727].start |
18142.421 |
| transcript.whisperx[727].end |
18161.434 |
| transcript.whisperx[727].text |
委員郭玉琴等宣論提案處第三條第一項第一款句號前增列包含倫理社會影響法律及分配正義之評估維度第二項句末增列監督機關應定期針對醫療科技評估結果之採納情形與 |
| transcript.whisperx[728].start |
18162.342 |
| transcript.whisperx[728].end |
18188.409 |
| transcript.whisperx[728].text |
決策效率進行追蹤並納入績效評鑑第六條第一項第二款據要前增列並有團體代表或維護並有選議之專業人士及第十五條據莫增列以視訊參與會議者視同親自出席等之外於法案名稱各張章名及條文均統行政院提案委員張雅玲等17人提案 |
| transcript.whisperx[729].start |
18188.942 |
| transcript.whisperx[729].end |
18214.717 |
| transcript.whisperx[729].text |
法案名稱 各章章免及條文均同行政院提案討論事項第六案 八五一行政院提案名稱國家中醫研究院設置條例第一章總則第一條 為推動國家中醫發展促進中醫臨床精準治療研究提升中醫藥產業競爭力特設國家中醫研究院並制定本條例第二條 本院為行政法人 其監督機關為衛生福利部 |
| transcript.whisperx[730].start |
18215.177 |
| transcript.whisperx[730].end |
18230.328 |
| transcript.whisperx[730].text |
第三條本院之業務範圍如下一中醫醫療業務之執行推廣及臨床研究二中醫診療儀器及軟體之研發三中醫基礎醫學之研究四中中藥製程製劑藥理檢驗之研究五 |
| transcript.whisperx[731].start |
18232.89 |
| transcript.whisperx[731].end |
18258.813 |
| transcript.whisperx[731].text |
要用植物種植研究及教育之推廣六中醫要點擊文物之典藏研究及教育推廣七國內外中醫要科技研究合作及科技專業人才培訓八中醫要研發產品銷售技術移轉及技術服務九其他與中醫相關事項第四條本院辦理前條第一款業務的附設宜蘭 |
| transcript.whisperx[732].start |
18260.094 |
| transcript.whisperx[732].end |
18277.612 |
| transcript.whisperx[732].text |
病症中醫研究教學研醫療機構本院對前項醫療機構應訂定管理及監督規章提經本院董事會通過後報監督機關被查第五條本院經費來源如下一政府預算之合撥及捐補助二 |
| transcript.whisperx[733].start |
18278.092 |
| transcript.whisperx[733].end |
18293.886 |
| transcript.whisperx[733].text |
国内外公司立机构团体及个人之捐赠三 受托研究及提供服务之收入四 营运及研发成果收入五 其他收入前向第二款之捐赠适同对政府之捐赠 |
| transcript.whisperx[734].start |
18295.097 |
| transcript.whisperx[734].end |
18311.648 |
| transcript.whisperx[734].text |
第六條本院應訂定組織章程人事管理會計制度內部控制集合作業及其他規章提經董事會通過後報監督機關被查本院就執行之公共事務於不抵觸有關法律或法規命令之範圍內 |
| transcript.whisperx[735].start |
18312.569 |
| transcript.whisperx[735].end |
18327.51 |
| transcript.whisperx[735].text |
得訂定規章並提經董事會通過後報監督機關被查第二章組織第七條本院設董事會自董事長11人至15人有監督機關就下列人員遴選提請行政院院長批認之 |
| transcript.whisperx[736].start |
18327.99 |
| transcript.whisperx[736].end |
18348.767 |
| transcript.whisperx[736].text |
解聘十一同一政府相關機關代表二與中醫藥研究相關之學者專家三民間企業經營管理專家或對中醫藥有重大貢獻之社會人士前向第一款之董事不得與董事總人數三分之一第二款之董事不得少於董事總人數二分之一 |
| transcript.whisperx[737].start |
18349.427 |
| transcript.whisperx[737].end |
18373.827 |
| transcript.whisperx[737].text |
第一項董事任意性別不得少於總人數三分之一第八條本院之監事三人由監督機關就具中醫研究法律或會計相關學士經驗者遴選提請行政院院長評院之解聘時一同監事應互選一人為常務監事第一項監事任意性別不得少於總人數三分之一 |
| transcript.whisperx[738].start |
18375.339 |
| transcript.whisperx[738].end |
18400.02 |
| transcript.whisperx[738].text |
第九條 董事監視任期為四年其滿得續聘一次但續聘人數不得於總人數三分之二不得少於三分之一代表政府機關出任之董事因依其職務異動改聘不受前項續聘次數之限制依第七條第一項第二款第三款及前條第一項聘任之董事監視任期屆滿前出缺者由監督機關領選 |
| transcript.whisperx[739].start |
18401.421 |
| transcript.whisperx[739].end |
18415.678 |
| transcript.whisperx[739].text |
提请行政院院长补聘之其任期至原任者任期届满时为止第十条本院至董事长一人由监督机关就董事中提请行政院院长聘任之解聘时一同 |
| transcript.whisperx[740].start |
18416.438 |
| transcript.whisperx[740].end |
18435.303 |
| transcript.whisperx[740].text |
董事長之聘任解聘補聘之方式及其他相關事項之辦法由監督機關定之董事長對內縱理本院一切事務對外代表本院因故不能執行職務時由其指定之董事代行職權不能指定時由董事互推一人代行職權 |
| transcript.whisperx[741].start |
18437.303 |
| transcript.whisperx[741].end |
18454.017 |
| transcript.whisperx[741].text |
董事長出任年齡不得逾六十五歲任期屆滿前年滿七十歲者應即更換但有特殊考量經行政院核准者不在此限第十一條董事會之職權如下一本院與一第四條第一項規定附設醫療機構發展目標及計畫之審議二本院一 |
| transcript.whisperx[742].start |
18458.661 |
| transcript.whisperx[742].end |
18485.91 |
| transcript.whisperx[742].text |
及一第四條第一項規定附設醫療機構年度業務計劃之審議三本院與一第四條第一項規定附設醫療機構年度預算及決算報告之審議四本院及一第四條第一項規定附設醫療機構規章之審議五自有不動產處分或其設定負擔之審議六本院院長及一第四條第一項規定附設醫療機構負責人任免之同意 |
| transcript.whisperx[743].start |
18487.07 |
| transcript.whisperx[743].end |
18510.013 |
| transcript.whisperx[743].text |
七 經費之籌募八 其他重大事項之審議第十二條 董事會每三個月開會一次必要時得召開臨時會議 由董事長召集並擔任主席董事會會議應有郭班碩董事之出席其決議應有出席董事郭班碩之同意 |
| transcript.whisperx[744].start |
18510.473 |
| transcript.whisperx[744].end |
18534.972 |
| transcript.whisperx[744].text |
但請條第一款至第六款及第八款之決議應由董事會三分之二以上董事出席並經董事總人數過半數之同意第十三條監視之職權如下一 決算報告之審核二 業務財務狀況之監督三 財務賬冊文件及財產資料之集合四 其他重大事項之審核或集合 |
| transcript.whisperx[745].start |
18535.852 |
| transcript.whisperx[745].end |
18563.229 |
| transcript.whisperx[745].text |
監事單獨行使職權常務監事應代表全體監事列席董事會會議第十四條董事監事院長或與該等職務相當之人及其關係人之利益迴避事項依公職人員利益衝突迴避法之規定辦理違反前項規定致本院受有損害者行為人應對其負損害賠償責任第一項人員違反公職人員利益衝突迴避法之規定者 |
| transcript.whisperx[746].start |
18563.869 |
| transcript.whisperx[746].end |
18587.45 |
| transcript.whisperx[746].text |
除依該法規定處罰外監督機關並得為適當之處置其處置之規定由監督機關定之董事監事及院長相互監不得有配偶或三星等以內血親陰親之關係董事監事及院長之配偶或其三星等以內之血親陰親不得擔任本院總務會計及人事職務 |
| transcript.whisperx[747].start |
18588.511 |
| transcript.whisperx[747].end |
18609.969 |
| transcript.whisperx[747].text |
董事長及院長不得經用其配偶或三金等以內血清陰清擔任本院職務第15條董事兼是院長或與該等職務相當之人及其關係人不得與本院為買賣租賃承攬或其他交易行為但有下列情形經董事會特別決議同意者不在此限 |
| transcript.whisperx[748].start |
18610.669 |
| transcript.whisperx[748].end |
18637.943 |
| transcript.whisperx[748].text |
一 依法令規定經由公平競爭方式以公告程序辦理之採購、標售、標租或招標設定用意物權二 執行國家建設公共政策或為公益用途申請承租、承購委託經營改良利用國有非公用不動產違反前項規定之本院受有損害者行為人應付損害賠償責任 |
| transcript.whisperx[749].start |
18639.204 |
| transcript.whisperx[749].end |
18657.984 |
| transcript.whisperx[749].text |
第一項但書情形本院應將董事會特別決議內容與會後20日內報監督機關被查第十六條董事常務監事應親自出席列席董事會會議不得委託他原代理第十七條有下列情形情勢之一者 |
| transcript.whisperx[750].start |
18659.161 |
| transcript.whisperx[750].end |
18686.556 |
| transcript.whisperx[750].text |
不得聘任為董事監事一 受監護宣告或輔助宣告尚未撤銷二 受有企圖行以上刑事判決確定而未受緩刑之宣告三 受破產宣告或依消費者債務清理條例經法院裁定開始清算程序尚未復權四 此羅公權尚未復權五 第43條安全查核未通過或拒絕接受查核 |
| transcript.whisperx[751].start |
18687.296 |
| transcript.whisperx[751].end |
18704.354 |
| transcript.whisperx[751].text |
董事監事有前向各款情形追依或無故連續不出席列席董事會會議達三次者 應予解聘董事監事有下列各款情形涉及依者 得予解聘一 行為不檢或品性不端 致影響本院形象有確實證據 |
| transcript.whisperx[752].start |
18705.695 |
| transcript.whisperx[752].end |
18731.38 |
| transcript.whisperx[752].text |
二 工作執行不力或代護職責有具體事實或違反聘約情節重大三 當屆至本院年度績效評鑑連續二年未達監督機關鎖定標準四 違反公務人員行政中立法執行事有確實證據五 就主管事件接受關說或請託或利用職務關係接受招待或饋贈至損害公益或本院利益有確實證據 |
| transcript.whisperx[753].start |
18733.22 |
| transcript.whisperx[753].end |
18761.034 |
| transcript.whisperx[753].text |
6 非因職務之需要動用本院財產有確實證據7 違反第14條鎖定利益迴避規定或第15條第一項特定交易行為禁止之情事有確實證據8 其他不適任董事監視職位之行為前項各款情形監督機關於解聘前應給予當事人陳述意見及申辯之機會本院董事監視之聆聘解聘補聘之方式 |
| transcript.whisperx[754].start |
18761.454 |
| transcript.whisperx[754].end |
18784.978 |
| transcript.whisperx[754].text |
及其他相關事項之辦法由監督機關定之第十八條本院董事長董事常務監事及監事均為無己職第十九條本院置院長一人因具中醫臨床及大學學術主管相關經驗專任任期四年其滿得續聘一次由董事長提請董事會通過後聘任之解聘時一同 |
| transcript.whisperx[755].start |
18785.678 |
| transcript.whisperx[755].end |
18811.935 |
| transcript.whisperx[755].text |
院長依本院規章董事會之決議及董事長之授權負責本院營運與管理業務之執行及督導依第四條第一項規定附設醫療機構並應列席董事會會議第十條第四項第十七條及第二十二條第六項有關董事及董事長之規定於院長准用之第二十條本院依第四條第一項規定附設醫療機構之負責人一人 |
| transcript.whisperx[756].start |
18813.916 |
| transcript.whisperx[756].end |
18814.176 |
| transcript.whisperx[756].text |
第十四條 |
| transcript.whisperx[757].start |
18830.543 |
| transcript.whisperx[757].end |
18851.903 |
| transcript.whisperx[757].text |
第17條及第22條第6款有關董事董事長監事院長或與該等職務相當之人之規定與第一項負責人準用之第三章業務及監督第21條本院應擬定發展目標及計畫提經董事會通過後報監督機關核定本院應訂定年度業務計畫及其預算 |
| transcript.whisperx[758].start |
18853.804 |
| transcript.whisperx[758].end |
18873.222 |
| transcript.whisperx[758].text |
提經董事會通過後 報監督機關被查第二十二條監督機關對本院之監督權限如下一 發展目標及計畫之核定二 歸章年度業務計畫與預算年度執行成果及決算報告書之核定或被查三 財產及財務狀況之檢查四 業務績效之評鑑五 董事監視聆聘 |
| transcript.whisperx[759].start |
18879.548 |
| transcript.whisperx[759].end |
18900.966 |
| transcript.whisperx[759].text |
解聘之建議六 董事監視與執行業務違反法令時得為必要之處分七 本院違反憲法法律法規命令時予以撤銷變更廢止限期改善停止執行或其他處分八 自有不動產處分或設定負擔之何可九 其他依法律所為之監督 |
| transcript.whisperx[760].start |
18902.347 |
| transcript.whisperx[760].end |
18920.247 |
| transcript.whisperx[760].text |
第二十三條監督機關應邀集有關機關代表學者專家及社會公正人士辦理本院之績效評鑑其中學者專家及社會公正人士之人數合計不得少於二分之一前項評鑑成員任意性別不得少於總人數三分之一 |
| transcript.whisperx[761].start |
18920.808 |
| transcript.whisperx[761].end |
18939.213 |
| transcript.whisperx[761].text |
第一項績效評鑑之成員資格條件領聘程序績效評鑑之方式程序及其他相關事項之辦法由監督機關定職績效評鑑之內容如下一本院年度執行成果之考核二本院業務績效及目標達成率之評量三 |
| transcript.whisperx[762].start |
18939.873 |
| transcript.whisperx[762].end |
18955.808 |
| transcript.whisperx[762].text |
本院年度自籌款比率達成率四本院經費合撥之建議五其他有關事項第四章會計及財務第二十四條本院會計制度應與政府會計年度一致本院之會計制度應行 |
| transcript.whisperx[763].start |
18957.129 |
| transcript.whisperx[763].end |
18981.667 |
| transcript.whisperx[763].text |
1 行政法人会计制度设置相关规定定定本院财务报表应委请会计师进行查核签证第25条本院于会计年度终了后三个月内应将年度执行成果及决算报告书委托会计师查核签证提交董事会审议并经全体监视通过后报监督机关备查并送审计机关 |
| transcript.whisperx[764].start |
18982.948 |
| transcript.whisperx[764].end |
18999.934 |
| transcript.whisperx[764].text |
前項決算報告審計機關得審計之審計結果得送監督機關或其他相關機關為必要之處理第26條本院成立年度之政府合撥經費得由原機關或監督機關在原預算範圍內調整因應 |
| transcript.whisperx[765].start |
19001.815 |
| transcript.whisperx[765].end |
19019.599 |
| transcript.whisperx[765].text |
不受預算法第62條及第63條規定之限制第27條本院因業務必要使用之公有財產的架構或由政府機關以捐贈出租或無償提供使用方式為之其為捐贈者不適用預算法第25條第26條土地法第25條國有財產法第28條 |
| transcript.whisperx[766].start |
19024.74 |
| transcript.whisperx[766].end |
19049.098 |
| transcript.whisperx[766].text |
第60條及地方政府公產管理法令之相關規定成像架構公有土地之價款以當期公告土地限值為準地上建築改良物資價款以稅捐基層機關提供之當年期評定限值為準無該當年期評定限值者依公產管理機關估價結果為準 |
| transcript.whisperx[767].start |
19050.439 |
| transcript.whisperx[767].end |
19076.847 |
| transcript.whisperx[767].text |
本院以政府機關合撥經費指定用途所購置之財產為公有財產第一項出租無償提供使用及前項之公有財產以外由本院取得之財產為自有財產第一項無償提供使用及第三項之公有財產由本院登記為管理人所身之受益列為本院之收入不受國有財產法第七條第一項及地方政府公產 |
| transcript.whisperx[768].start |
19078.267 |
| transcript.whisperx[768].end |
19098.183 |
| transcript.whisperx[768].text |
管理法令相關規定之限制其管理、使用、受益及其他相關事項之辦法由監督機關定之公有財產用途廢止時應移交各級政府公產管理機關接管本院接受捐贈之公有不動產不需使用時應歸還原捐贈機關不得任意處分 |
| transcript.whisperx[769].start |
19101.405 |
| transcript.whisperx[769].end |
19117.751 |
| transcript.whisperx[769].text |
第28條政府機關合博本院資金費應依法定預算程序辦理並受審計監督前項經費超過本院當年度預算收入來源50%者應由監督機關將本院年度預算書送立法院審議 |
| transcript.whisperx[770].start |
19118.931 |
| transcript.whisperx[770].end |
19137.801 |
| transcript.whisperx[770].text |
本院自主裁员及其运用管理相关事项由本院定定收支管理规章报监督机关备查第29条本院应举借之债务以具自偿性职者为限并应先送监督机关核定预算执行结果有不能自偿之余时 |
| transcript.whisperx[771].start |
19138.621 |
| transcript.whisperx[771].end |
19154.048 |
| transcript.whisperx[771].text |
因即檢討提出改善措施報監督機關核定第30條本院之採購作業因本公正公公開公正之原則除符合我國締結之條約協定或政府採購法第4條第一項鎖定情形 |
| transcript.whisperx[772].start |
19154.748 |
| transcript.whisperx[772].end |
19170.919 |
| transcript.whisperx[772].text |
因依各該規定辦理外不適用政府採購法之規定其採購作業實施規章應報監督機關核定前項因依政府採購法第四條第一項規定辦理之採購與其他法律另有規定者從其規定 |
| transcript.whisperx[773].start |
19172.372 |
| transcript.whisperx[773].end |
19184.301 |
| transcript.whisperx[773].text |
第31條本院制相關資訊應依政府資訊公開法相關規定公開之 其年度財務報表年度資訊年度業務資訊及年度績效評鑑報告應主動公開 前項年度績效評鑑報告 |
| transcript.whisperx[774].start |
19189.245 |
| transcript.whisperx[774].end |
19215.751 |
| transcript.whisperx[774].text |
應由監督機關提交分析報告送立法院被查必要時立法院得要求監督機關首長率同本院之董事長院長或相關主管之立法院報告營運狀況並備詢第五章人事及限職人員權益保障第32條本條例實行前衛生福利部國家中醫藥研究所現有編制內醫工人員相關應用法律應用人員 |
| transcript.whisperx[775].start |
19217.071 |
| transcript.whisperx[775].end |
19244.723 |
| transcript.whisperx[775].text |
與機關改制之日 隨同移轉本院繼續任用者仍具公務人員身份 其任用服務 懲戒 考機 訓練 進修奉給 保險 保障 結社 退休 資遣 撫恤 福利及其他權益事項均依原適用之公務人員相關法令規法令辦理但不能依原適用之公務人員相關法令辦理之事項由行政院會同考試院另定辦法行之 |
| transcript.whisperx[776].start |
19245.908 |
| transcript.whisperx[776].end |
19263.088 |
| transcript.whisperx[776].text |
前項繼續任用人員中人事及主計人員之管理與其他公務人員同前二項人員得依改制前全員使用之組織法規與手掌以外之職務範圍內依法規定辦理升遷及全序審定 |
| transcript.whisperx[777].start |
19263.829 |
| transcript.whisperx[777].end |
19281.107 |
| transcript.whisperx[777].text |
第一項及第二項人員得隨時依其適用之公務人員退休資遣法令辦理退休資遣後擔任本院職務不加發七個月奉集總額未住金並改依本院人事管理規章禁用第三十三條 |
| transcript.whisperx[778].start |
19281.96 |
| transcript.whisperx[778].end |
19303.413 |
| transcript.whisperx[778].text |
原機關公務人員不願隨同移轉本願者由監督機關協助安置或於機關改資之日依其適用至公務人員退休之前法令規辦理退休之前並一次加發7個月之奉給總額未註金但已達屆齡退休之人員依其提前退休之月數發給之 |
| transcript.whisperx[779].start |
19304.754 |
| transcript.whisperx[779].end |
19333.885 |
| transcript.whisperx[779].text |
前項人員與退休資險生效日期7個月內在任公務人員退休資錢撫恤法第77條第一項各款所列職務之一前每月之領薪酬總額超過法定基本工資應由在任機關扣除其退休資錢月數之縫及總額未註金後縮繳其餘額並繳回監督機關前二項所稱縫及總額未註金指退休資錢當月所支 |
| transcript.whisperx[780].start |
19334.805 |
| transcript.whisperx[780].end |
19356.983 |
| transcript.whisperx[780].text |
本年供奉專業家籍及主管職務家籍第34條原機關信有依聘用人員聘用條例聘用之人員其聘用契約尚未期滿且不願隨同移轉本願者於機關改日改制之日辦理離職除依各機關學校評估人員離職給予辦法辦理外 |
| transcript.whisperx[781].start |
19357.763 |
| transcript.whisperx[781].end |
19380.706 |
| transcript.whisperx[781].text |
並以其最後債值10月之報酬為計算標準,疑似加發7個月之月之報酬但契約將借滿人員,以其提前離職至月數發給之前項人員於離職生肖日起7個月內,在任《退伏法》第77條第一項各款所列職務之一且每月之領薪酬總額超過法定基本工資 |
| transcript.whisperx[782].start |
19381.787 |
| transcript.whisperx[782].end |
19407.547 |
| transcript.whisperx[782].text |
應由在任機關扣除離職月數至月資報酬後縮繳其餘額並繳回監督機關原機關聘用人員於機關改制之日隨同移轉本院者應於改制之日辦理離職並依各機關學校聘僱人員離職給予辦法規定辦理不加發七個月月資報酬並改依本院人事管理規章禁用 |
| transcript.whisperx[783].start |
19408.368 |
| transcript.whisperx[783].end |
19427.697 |
| transcript.whisperx[783].text |
第三十五條原機關現有依供有管理要點經用之機供不願隨同移轉本願者有監督機關協助安置或於機關改制之日依其適用之退休之前法令辦理退休之前並疑似加發七個月之享給總額未住經 |
| transcript.whisperx[784].start |
19428.757 |
| transcript.whisperx[784].end |
19455.265 |
| transcript.whisperx[784].text |
但已達屆齡退休之人員 依其提前退休之月數發給之前項人員於退休之前生肖日起 七個月內在任退服法第77條第一項所各款所列職務之一且每月之領薪酬總額超過法定基本工資應由在任機關扣除其退休之前月數之享給總額未住經後收繳其餘額並繳回監督機關 |
| transcript.whisperx[785].start |
19459.488 |
| transcript.whisperx[785].end |
19486.446 |
| transcript.whisperx[785].text |
第前二項所稱享給總額未住金至退休之前當月所資本年供奉享及專業佳績原機關現有之技工於機關改制之日隨同移轉本院者應於改制之日依其適用至退休之前法令辦理退休之前不加發七個月享給總額未住金並改依本院人事管理規章禁用 |
| transcript.whisperx[786].start |
19487.106 |
| transcript.whisperx[786].end |
19514.115 |
| transcript.whisperx[786].text |
第36條原機關現有之約用人員與機關改制之日隨同移轉本院服務者與機關改制之日依本院人事管理規章重新簽訂勞動契約及改制前後休假及退休年資因何並計算不願隨同移轉且契約尚未期滿者或屬於不定期契約者與機關改制之日依原適用之相關勞動法令 |
| transcript.whisperx[787].start |
19515.915 |
| transcript.whisperx[787].end |
19535.211 |
| transcript.whisperx[787].text |
管理規定或勞動契約辦理退休之前第37條 原機關改之前依勞動計準法提撥之勞工退休準備金應隨同具有勞動計準法退休金制度工作免資之人員移轉於本院成立後移轉至本院勞工退休準備金專戶存儲 |
| transcript.whisperx[788].start |
19537.212 |
| transcript.whisperx[788].end |
19553.202 |
| transcript.whisperx[788].text |
第38條原機關改制所需加發至未住經及資遣費得由監督機關在原預算範圍內調整支應不受預算法第62條及第63條規定之限制第39條曾配合機關 |
| transcript.whisperx[789].start |
19554.443 |
| transcript.whisperx[789].end |
19573.591 |
| transcript.whisperx[789].text |
學校業務調整而精簡整併改例改制或裁撤依據相關法令規定辦理退休資遣或離職指令加發給予者不適用本條例有關加發未住金或月資報酬之規定第四條原機關休職停止 |
| transcript.whisperx[790].start |
19574.249 |
| transcript.whisperx[790].end |
19602.909 |
| transcript.whisperx[790].text |
及留職停薪之公務人員因機關改制隨同遺傳本院者由原機關列冊移交本院繼續執行留職停薪人員提前申請回職復薪者應准其回職復薪依法復職或回職復薪不願配合遺傳者得准用第三十三條規定由監督機關協助安置或辦理退休之前並加法未注定第四十一條原機關依教育人用條例規定平等人員准用第三十二條三十三條第三十二 |
| transcript.whisperx[791].start |
19603.289 |
| transcript.whisperx[791].end |
19622.888 |
| transcript.whisperx[791].text |
三十八條至前條規定第十四條本院金融制人員以本院人事管理規章規定不具公務人員身份其權利義務關係應於七月中明定第四十三條本院人員應依生命程度接受一般或特殊安全查核一般安全查核由監督機關依規定辦理涉及國家安全或重大利益之特殊安全查核 |
| transcript.whisperx[792].start |
19623.628 |
| transcript.whisperx[792].end |
19639.834 |
| transcript.whisperx[792].text |
應有監督機關會同相關機關辦理之對於規劃禁用之人員應先行辦理安全查核拒絕接受查核或查核未通過者應不予禁用依法應實施安全查核而待於辦理查核之相關機關人員請接重大者應移送監督監察院依法處理 |
| transcript.whisperx[793].start |
19640.322 |
| transcript.whisperx[793].end |
19660.751 |
| transcript.whisperx[793].text |
安全查核之使用對象程序內容救濟等相關事項之辦法由監督機關會商有關機關定制第6章負責第44條對於本院之行政處分不負責得依訴願法規定向監督機關提起訴願第45條本院引起事變更或績效不彰之不能達成設定目的時由監督機關提請行政院同意後解散之本院解散時 |
| transcript.whisperx[794].start |
19661.772 |
| transcript.whisperx[794].end |
19677.029 |
| transcript.whisperx[794].text |
繼續任用人員由監督機關協助安置之或以其適用之公務人員交易人員法令規定辦理退休自行其餘人員終止及契約其剩餘財產歸屬國庫及相關債務由監督機關概括承受第46條本條例實行日期由行政院定之 |
| transcript.whisperx[795].start |
19678.103 |
| transcript.whisperx[795].end |
19699.321 |
| transcript.whisperx[795].text |
瓜胡二委員 宗家兵等提案名稱國家中醫研究院實質條例草案第一章總則第一條為推動國家中醫藥發展政策配合生醫選舉醫療產業策略辦理中醫藥臨床精準治療研究增進國人健康及公眾利益特設國家中醫研究院並制定本條例第二條從行政院提案第三條 |
| transcript.whisperx[796].start |
19700.001 |
| transcript.whisperx[796].end |
19729.025 |
| transcript.whisperx[796].text |
本院之業務範圍如下一 辦理中醫醫療業務及臨床醫療研究業務二 辦理中醫藥製成製劑原型藥理檢驗及試驗研究業務三 辦理藥用植物種植及觀量業務四 辦理中醫藥典籍典藏及觀量業務五 辦理國內外中醫藥科技研究合作及科技專業人才培訓業務六 辦理各機構及廠管及營運及管理業務七 辦理科技研發產品之銷售技術移轉及技術服務八 |
| transcript.whisperx[797].start |
19731.1 |
| transcript.whisperx[797].end |
19756.176 |
| transcript.whisperx[797].text |
經監督機關指示辦理中醫藥研究發展業務就應法應執行事項時其他與本院設立目的相關知識向本院得以顯像任務負責相關機構及場館第1項第7關有關科技研發產品之銷售科技合作技術與專機技術服務等相關辦法由衛生福利部定之第4條依政府採購法第105條第1項第3關規定辦理採購者本院視為公務機關衛生福利部視為其上級機關第5條 |
| transcript.whisperx[798].start |
19760.018 |
| transcript.whisperx[798].end |
19784.555 |
| transcript.whisperx[798].text |
處第一款修正為依本院政府之合博及捐助其餘同行政院提案 第六條 處第一項默劇修正為報請監督機關核備及第二項手續修正為本院就期執行之公共事務默劇修正為報請監督機關被裁劃其餘同行政院提案 第二章 主持 第七條本院設董事會之董事長十一人至十五人 由監督機關就下列人員 臨選聘任之 解併十一同 |
| transcript.whisperx[799].start |
19785.015 |
| transcript.whisperx[799].end |
19802.562 |
| transcript.whisperx[799].text |
一 政府機關 相關機關代表五人 其中政府及衛生福利部次長及中醫藥司司長為當然董事二 醫藥衛生法律企業經營或管理相關職業者 專家六人至十人請向董事任意性別不得少於總人數三分之一第八條本院涉監事會至監事三人至五人求監督機關就下列人員遴選 |
| transcript.whisperx[800].start |
19803.622 |
| transcript.whisperx[800].end |
19822.093 |
| transcript.whisperx[800].text |
併任之解聘時一統一政府相關機關代表一人二醫藥衛生相關之學者專家一人三法律會計或財務相關之學者專家一人至三人請向監視任意性別不得少於總人數三分之一監視應互選一人為常務監視第九條第一項統行政院提案代表政府機關之董事及監事應其 |
| transcript.whisperx[801].start |
19822.873 |
| transcript.whisperx[801].end |
19842.165 |
| transcript.whisperx[801].text |
因依其職務移動改併不受傾向需聘資助支援制 董事指揮監事因依政府衛生福利部部長職務移動改併不受傾向支援制第1第7條第1項第2款前條第1項第2款第10第3款規定聘任制董事指揮監事任期屆滿前出業者有監督機關臨聘補聘制其任期至原任者任期屆滿時為止第10條 |
| transcript.whisperx[802].start |
19845.939 |
| transcript.whisperx[802].end |
19865.74 |
| transcript.whisperx[802].text |
本院自董事長任由衛生福利部部長接任第二項除第三具具所增加其外其餘同行政院提案第十條第三項第十一條董事會自治權如下一本院發展目標及計畫之審議二年度營運目標及營運計畫之審議三年度預算及決算報告之審議四規章之審議 |
| transcript.whisperx[803].start |
19866.801 |
| transcript.whisperx[803].end |
19892.663 |
| transcript.whisperx[803].text |
五 同行之院提案 六 院長之薪資及任免 七 經費之籌募 八 本條例鎖定應經董事會決議 十項之審議 九 同行之院提案第八款第十二條 第一項 除首句末的逗號改成分號 其餘同行之院提案 董事會會議應有國辦署董事之出席其決議應有出席董事國辦署之同意 但請條第一款之第幾款之決議應有董事董 |
| transcript.whisperx[804].start |
19893.504 |
| transcript.whisperx[804].end |
19922.676 |
| transcript.whisperx[804].text |
董事總人數過半數之同意 第43條除序文修正為監事會支持權如下第一款修正為依年度業務決算之審核其餘同行政院提案第44條除第一項第二句改為應據中醫臨床或教學管理相關經驗其餘同行政院提案第49條第一項院長出任年齡不得逾六十五歲任期屆滿前年滿七十歲的引起更換但有特殊考量經監督機關和接種者不在此限第三項除默劇修正為 |
| transcript.whisperx[805].start |
19924.498 |
| transcript.whisperx[805].end |
19953.821 |
| transcript.whisperx[805].text |
負責本院營運與管理業務之執行及參與董事會會議外其餘同行政院提案第十五條第二項第十五條董事監事及院長應遵守利益迴避原則不得假借職務上之權利機會或方法圖謀本人或關閑之權利益其利益迴避範圍及違反董事及違反時處置之準則由監督機關定之董事監事及院長項目間不得有配偶或三件理念寫進一定之關係第三項同行政院提案第十四條第四項第四項同行政院提案第十四條第五項 |
| transcript.whisperx[806].start |
19955.472 |
| transcript.whisperx[806].end |
19972.927 |
| transcript.whisperx[806].text |
本條例所證關係人是指配偶或惡情等內之親屬第16條 董事監視院長或其關係人不得於本院為買賣註定承攬等交易行為但有正當理由 經董事會特別決議則不在此限第二項 同行之願提案第15條第二項 第三項 同行之願提案第15條 第三項 |
| transcript.whisperx[807].start |
19973.807 |
| transcript.whisperx[807].end |
20001.178 |
| transcript.whisperx[807].text |
第十條 董事監事常務監事應親自出席列席董事會會議監事會會議不得委託大人代理出席第十八條 本院董事長董事及監事均為無席職第十九條 有下立其請之一者不得聘任為董事監事及院長第一款 第二款 同行政院提案第十七條 第一 第二款三 受破產 宣告尚未復權四 同行政院提案 第十七條 第四款五 經公立醫院證明身體障礙不能執行職務 |
| transcript.whisperx[808].start |
20002.861 |
| transcript.whisperx[808].end |
20020.479 |
| transcript.whisperx[808].text |
董事監事有欠向各款情形追憶或無故連續不出席列席董事會監事會議達三次應予解聘董事監事有下列各款情形追憶者不得予解聘依行為不檢或品性不端自影響本院形象第二款第三款同行政院提案第十幾條第二款第三款 |
| transcript.whisperx[809].start |
20021.44 |
| transcript.whisperx[809].end |
20038.285 |
| transcript.whisperx[809].text |
第四違反公務員行蹤立法之情事五就主管事件接受關說或請託或利用職務關係接受招待或規正至損害公益或本願利益六非應職務之需要動用本願財產其違反本條例所定利益迴避原則或第十七條第一項前段特定 |
| transcript.whisperx[810].start |
20039.105 |
| transcript.whisperx[810].end |
20058.744 |
| transcript.whisperx[810].text |
交易行為禁止知情事第八款同行願提案第十幾條第八款第四項第五項同行願提案第十幾條第四項第五項第三章業務監督及資訊公開第十條本院因擬定發展目標及計劃報請監督機關核定本院因依核定自發展目標及計劃訂定年度業務計劃及其預算提經董事會通過後報請監督機關備查 |
| transcript.whisperx[811].start |
20060.936 |
| transcript.whisperx[811].end |
20080.524 |
| transcript.whisperx[811].text |
第二十一條本院應於會計年度終了後三個月內將年度營運執行證供及措施決算報告委委託會計師查核簽證提經董事會會議審議必經檢視會通過後報請監督官被查並送審計機關第二項同行之間提案第二十五條第二項第二設條除第二款手續修正為 |
| transcript.whisperx[812].start |
20082.204 |
| transcript.whisperx[812].end |
20106.136 |
| transcript.whisperx[812].text |
規章年度營運計畫預算及第五款修正為五 董事監視及致臨選及建議及第七款手續修正為本院有違反憲法及第八款週段的多一個期次其餘同行政提案第22條 第二三條監督機關醫療及有關機關代表學者專家及社會工作人士辦理本院下列項目之績效評鑑 第一二款同行政提案第二三條 第一二款 |
| transcript.whisperx[813].start |
20107.637 |
| transcript.whisperx[813].end |
20126.755 |
| transcript.whisperx[813].text |
第四項 第三項同行之便提案第四款 第四款同行之便提案第五款請向績效評鑑之學者提出 社會動力人士之人數不得少於二分之一 且人體性別不得少於總人數三分之一第一項績效評鑑之方式程序及其他相關事項的辦法由監督機關定之第二十四條 除第一項手續修正為本運相關資訊 第二項的默劇修正為 |
| transcript.whisperx[814].start |
20127.836 |
| transcript.whisperx[814].end |
20148.921 |
| transcript.whisperx[814].text |
必要時立法院得要求建築機關稅首長率同本院董事長外其餘同行政院提案第31條第4章會計財務財產及租稅減免第25條足第三項手續修正為本院制裁務外表外其餘同行政院提案第24條第26條衛生福利部國家中醫藥研究所資資產及負債與感知之日起由本院概括承受 |
| transcript.whisperx[815].start |
20149.381 |
| transcript.whisperx[815].end |
20167.614 |
| transcript.whisperx[815].text |
不受預算法第25條及第80條規定制限制本院成立年度制政府合撥經費得由監督機關與原資管範圍內調整經營不受預算法第62條及第23條規定制限制第二支基調本院設立時因應業務必須需使用公有財財者不動產得由該公有不動產資助團機關無償提供 |
| transcript.whisperx[816].start |
20169.395 |
| transcript.whisperx[816].end |
20187.331 |
| transcript.whisperx[816].text |
或捐贈本院使用動產得有監督機關捐贈本院或無償提供使用採捐贈者不使用歷史上法第25條及第26條國有財政法第28條及第6條相關規定本院設立後因業務需要得架構公有不動產土價值價款以當期公告土地限制為準 |
| transcript.whisperx[817].start |
20188.472 |
| transcript.whisperx[817].end |
20207.177 |
| transcript.whisperx[817].text |
地上建築改良物質價款 以設計機關提供至當年期平均限值為準 無該當年期平均限值的移工產材管理機關估價結果為準第三項 從行政提案第二十條第三項第一項 無償提供使用及其他公有財產 由本院取得資產為自由財產 |
| transcript.whisperx[818].start |
20208.317 |
| transcript.whisperx[818].end |
20223.133 |
| transcript.whisperx[818].text |
第一項無償提供使用及第三項之公有財產與本源為管理人不得為任何主份但所證之收益為本源之收入不如六不受國有財產法第七條第一項規定之原則其三使用受益及領相關事項的辦法有定居關停止 |
| transcript.whisperx[819].start |
20223.914 |
| transcript.whisperx[819].end |
20239.883 |
| transcript.whisperx[819].text |
第六項 同行政提案 第六項 本院接受捐贈之公有不動產不需使用時 引返還原生居居關不得任意處分第二十八條 第一項 同行政提案 政府計劃合博資經費超過本院當年度預算收入來源百分之五十的 應由建築機關向本院年度預算處送請立法院審議 第三項 默劇處 |
| transcript.whisperx[820].start |
20241.064 |
| transcript.whisperx[820].end |
20260.243 |
| transcript.whisperx[820].text |
第三項除默劇修正委報請監督官被查外局同行政院提案第二十九條本院所舉的製裁以去諮商性執委者並應先從監督官核定預算執行結果與否不能諮商至於是因其檢討檢討提出改善措施報請監督官核定第三十條本院製裁過作業因本公證公 |
| transcript.whisperx[821].start |
20261.564 |
| transcript.whisperx[821].end |
20274.997 |
| transcript.whisperx[821].text |
公開公正公平之原則除符合國際協議之條約協定或政府財管第四條決定規定因依各該規定辦理外不使用政府財管法治規定及採過作業實施規章應報請證據官核定前項因依政府財管第四條規定辦理之採購與其他 |
| transcript.whisperx[822].start |
20277.399 |
| transcript.whisperx[822].end |
20292.36 |
| transcript.whisperx[822].text |
請在法律內容規則外重提規定第三條本院承接各機關委託研究計劃免徵營業稅第五項張明桐行政院提案第一項主守具修正為衛生福利部國家中醫藥研究所原有免治內移工人員相關應用法律規定的派出人員及與同行任意提案 |
| transcript.whisperx[823].start |
20293.542 |
| transcript.whisperx[823].end |
20308.003 |
| transcript.whisperx[823].text |
第二項 處第二項手續修正為前項人員得以改之前原適用組織法規與同行政院提案第三項 同行政院提案第三十二條第四項 第三十三條第一項 處第三具修正為或與本院成立之日起與同行政院提案 |
| transcript.whisperx[824].start |
20308.744 |
| transcript.whisperx[824].end |
20329.6 |
| transcript.whisperx[824].text |
前向人員於退休之前 生肖日七個月內在任有給公職或行政法人職務時 應由專任機關或行政法人收繳扣除離職月數之縫集總額未住經繳扣 前向所徵縫集總額未住經期退休之前 當月所致年本縫與技術或專業家籍與主管職務家籍第三四條原機關隨同本院 |
| transcript.whisperx[825].start |
20331.462 |
| transcript.whisperx[825].end |
20350.296 |
| transcript.whisperx[825].text |
隨從遺傳本院之各類評估人員其負面之工資保險退休資權輔具福利等權益事項依各類評估人員使用之相關籠統勞動法定管理規定或勞動機會辦理前項評估人體改之後前後負面之銀河拼計算臨時自授原故原機關之日起得繼續使用原選擇之退休制度 |
| transcript.whisperx[826].start |
20351.356 |
| transcript.whisperx[826].end |
20379.975 |
| transcript.whisperx[826].text |
使用勞動基準法推薦給付的其退休金支援支援養肥給予標準一概法第4條第5條第86條規定積算合併給付改制前後退休金加給總額不得超過退休時45個月平均工資第35條原計關制各類聘僱人員及聘用企業尚未期滿且不願隨從預算者與本院成立日期有限聚館予以安置如法安置的辦理原制依原適用之相關努動法令管理規定勞動企業辦理是退休之前分段積算合併給付 |
| transcript.whisperx[827].start |
20381.777 |
| transcript.whisperx[827].end |
20401.53 |
| transcript.whisperx[827].text |
並以其最後在職時月資報酬為其根本標準 以此下發7個月資月資報酬 但7月將期滿人員或已達屆齡退休人員以其提前離職或退休之月數發給之請向評估人與退休之前撤銷至期7個月內在任由其公職或行政法人職務及應有財政機關或行政法人修繳其扣除離職月數之剩餘月資 |
| transcript.whisperx[828].start |
20403.231 |
| transcript.whisperx[828].end |
20423.511 |
| transcript.whisperx[828].text |
主委主席腳步 原機關現有依行政院暨所屬機關約顧人員 約顧平衡辦法 約顧人員其適用勞動人員法不適用第一項及前項發展屬性規定並依端屬性規定及勞動退休金套利相關規定發起退休金支錢費第三要原機關致定期契約工得隨同遺傳職本員服務並依原契約繼續工作至契約期滿為止 |
| transcript.whisperx[829].start |
20424.412 |
| transcript.whisperx[829].end |
20450.353 |
| transcript.whisperx[829].text |
本院因其勞工推進條例規定其條提交推進至個人專屋不願隨從遺傳者終止及原契約並依該條例規定方式給自檢費第三是要原機關改制前因勞動軍法或勞工推進條例推播至勞工推進準備金因於本院成立之遺傳至本院勞工推進準備之專戶存儲原機關改制所需加發至維促經濟自檢費得由衛生福利部代理員算範圍內調整至已補助於專屋第16條第6範圍內規定自限制 |
| transcript.whisperx[830].start |
20451.397 |
| transcript.whisperx[830].end |
20474.562 |
| transcript.whisperx[830].text |
第38條 休職停職及留職體制人員由原機關策略移交本院繼續執行經休回任以法復職復回復職復職人員的權利是本院復職復職人員三項規定有監督機關協助安置並辦理退休之前或加保衛助金第39條原機關教育人員條例規定聘用人員准許第三三三三十二三三三項三八條之規定第40條 |
| transcript.whisperx[831].start |
20476.263 |
| transcript.whisperx[831].end |
20497.095 |
| transcript.whisperx[831].text |
本院設立後 受僱自行人員補助 工作人員成分者應適用勞動基礎法退休金資金分給予以勞動基礎法頒利 請向人員相關權利義務事項定義 勞動企業及工作規則規範之第2章負責第11條 對於本院自行人員不負責的疑訴願法制規定 向檢討機關提起訴願第12條 從行政提案第15條第1項 |
| transcript.whisperx[832].start |
20500.253 |
| transcript.whisperx[832].end |
20521.714 |
| transcript.whisperx[832].text |
本院解散時繼續任務人員由衛生福利部協助安置之或依其適用之公務人員法令規定辦理退休之前其餘任務人員應終止其契約其生育財產繳庫其相關債務由其捐給官該作陳述第3條中醫藥發展法有關衛生福利部國家中醫藥研究所之任務由本院陳述第4條同行認定第46條 |
| transcript.whisperx[833].start |
20525.815 |
| transcript.whisperx[833].end |
20546.109 |
| transcript.whisperx[833].text |
國家中醫藥研究所設置條例草案第一章總則第一條為提升中醫藥臨床精準醫學制研究能力執行國家中醫藥政策與計畫促進中醫藥產業創新及發展增進國人健康福祉特徵國家中醫藥研究院並設置並制定本條例第二條同行志願提案第三條本院制業務範圍如下 |
| transcript.whisperx[834].start |
20547.15 |
| transcript.whisperx[834].end |
20566.111 |
| transcript.whisperx[834].text |
一中醫醫療醫務制實行推廣及醫療之研究二中醫藥中醫基礎醫學之研究第三四五六款分別同行政院院第四五六七款七中醫診療儀器及軟體研發八中醫藥產品研發技術遺傳及技術服務九其他符合本院設置目的相關事項 |
| transcript.whisperx[835].start |
20566.972 |
| transcript.whisperx[835].end |
20582.505 |
| transcript.whisperx[835].text |
第四條本院得益前條第一款輻射中醫教學研究醫療機構第五條同委員同同委員重加併等提案第四條第六條除第一款修正為政府制荷波集軍補助其餘同行政用提案第七條除第二項第二具修正為 |
| transcript.whisperx[836].start |
20584.467 |
| transcript.whisperx[836].end |
20609.47 |
| transcript.whisperx[836].text |
在不抵觸有關法律或法規命令範圍內給予均衡委員專家病毒提案第6條第二章組織第8條本院涉組董事會自董事長11人至15人由監督機關就下列人員臨選臨病至解併11種一政府相關機關代表二醫藥衛生或法律相關之學者專家三民間企業經營管理專家請前向第一款之董事不得欲董事總人數三分之一第一項董事任意型別不得少總人數三分之一 |
| transcript.whisperx[837].start |
20610.01 |
| transcript.whisperx[837].end |
20624.149 |
| transcript.whisperx[837].text |
第9條 序文同委員 中央病人提案第8條 序文1 政府相關機關地表2 醫藥衛生相關職學者專家3 法律會計或財務相關職學者專家監視醫護選議認為常務監製 第三項同委員 中央病人提案第8條 第三項 |
| transcript.whisperx[838].start |
20625.595 |
| transcript.whisperx[838].end |
20646.853 |
| transcript.whisperx[838].text |
第十條 處第一項手續修正為董事監事任期為三年其餘同委員重要病人提案第九條第一項代表政府機關出任之董事及監事應依其職務異動改聘不受前項區平次數監視第三項處手續修正為第一第八條第一項第二款餘同總委員重要病人提案第九條第三項第十一條同委員重要病人提案第十條 |
| transcript.whisperx[839].start |
20647.634 |
| transcript.whisperx[839].end |
20659.731 |
| transcript.whisperx[839].text |
第十二條 除第一款修正為一 發展目標及企劃之成一 第六款修正為六 院長之任免於同委員中下併等提案 第十一條第十三條及第十四條分別委員中下併等提案 第十二條及第十三條 |
| transcript.whisperx[840].start |
20661.297 |
| transcript.whisperx[840].end |
20686.487 |
| transcript.whisperx[840].text |
第15條 除第一項修正為本院製劇院長任 依據中醫臨床或教學管理相關經驗專業 有董事長提請董事會通過評認之結併時其餘同委員中央病人提案第14條 第16條到第19條分別同委員中央病人提案第15條到第18條第20條 除第一項除第三項第一款及第二款本院均修正為本中醫院其餘同委員中央病人提案第19條 |
| transcript.whisperx[841].start |
20689.042 |
| transcript.whisperx[841].end |
20708.947 |
| transcript.whisperx[841].text |
第三張張明同委員重要病人提案第二十一條到第二十三條分別同委員重要病人提案第二十條第二到第二十二條第二十四條監督機關第一款及第三項同委員重要病人第二十三條第一項第一款及第三項第二十五條同委員重要病人提案第二十四條第四張張明 |
| transcript.whisperx[842].start |
20711.107 |
| transcript.whisperx[842].end |
20729.416 |
| transcript.whisperx[842].text |
同委員中央評審提案的章名第26條到第27條分別同委員中央評審提案第25條到第26條第28條除第7項的返還修正為過還外其餘同委員中央評審提案第27條第29條到第32條分別同委員中央評審提案第28條到第31條第5章章評審提案第33條到第30條分別同委員中央評審提案第33條 |
| transcript.whisperx[843].start |
20739.642 |
| transcript.whisperx[843].end |
20764.543 |
| transcript.whisperx[843].text |
第三十五條 第三十六條除條內評估的故修正為有人之旁的故外 其餘均同行委員中央評等提案第三十七條到第四十一條分別同委員中央評等案第三十六條第四十條第六張張明負責第四十二條到第四十五條分別同委員中央評等案第四十三條 四十四條 四十三條 四十四條瓜浦市委員 |
| transcript.whisperx[844].start |
20766.071 |
| transcript.whisperx[844].end |
20786.606 |
| transcript.whisperx[844].text |
委員彥志等提案 名稱全部章名及條文均同 委員成因等提案 括弧五委員莊瑞雄等提案 除了第34條第35條條文內的拼顧的顧改成有人自判的顧之外 其餘名稱各章章名及條文均同委員莊家斌等提案 括弧六本院劉建國等提案 |
| transcript.whisperx[845].start |
20789.727 |
| transcript.whisperx[845].end |
20804.474 |
| transcript.whisperx[845].text |
名稱第3張名第1到3條軍統委員中加品的提案第4條本院得依前條第1款輔助中醫教學研究醫療機構相關醫療機構設置得優先以其他醫療研究機構設置於相同或臨近之位置 |
| transcript.whisperx[846].start |
20805.154 |
| transcript.whisperx[846].end |
20822.59 |
| transcript.whisperx[846].text |
第五條 從同委員重災病人提案第四條 第六條 出第一款修正為依政府之荷波集軍補助案 其餘同行政提案第五條第七條 同委員重災病人提案第六條 第二張組織第八條到第十九條分別同委員重災病人提案第七條到第十八條 |
| transcript.whisperx[847].start |
20824.656 |
| transcript.whisperx[847].end |
20844.457 |
| transcript.whisperx[847].text |
第20條除第3項第1款及第5款條文內的本院修正為本中境外其餘同委員中央病毒提案第19條第3張張明同委員中央病毒提案第21條到第25條分別同委員中央病毒提案第20條到第24條第4張張明同委員中央病毒提案第26條到第27條同委員中央病毒提案第25條到第26條第28條 |
| transcript.whisperx[848].start |
20847.973 |
| transcript.whisperx[848].end |
20865.684 |
| transcript.whisperx[848].text |
第7項 修條文內的法案修正為規範法案其餘同委員中央評審第27條 第29條到第32條同委員中央評審提案第28條 第31條第5章 章民同期支援提案第33條至第41條分別同委員中央評審提案第32條 第40條第6章 章民負責第42條至第45條分別同委員中央評審提案第41條到第44條 |
| transcript.whisperx[849].start |
20876.266 |
| transcript.whisperx[849].end |
20877.743 |
| transcript.whisperx[849].text |
華府紀委員 林蔚琴等提案 |
| transcript.whisperx[850].start |
20880.12 |
| transcript.whisperx[850].end |
20906.852 |
| transcript.whisperx[850].text |
名稱第一張張明第一條第二條均同委員中加病等提案第三條除第三款修正為三辦理藥用植物種植開發灌籃業務第五條修正為五辦理國內外中醫藥科技研究合作科技專業人才培訓及品質提升業務第七款等及修改為頓化或其餘同委員中加病等提案第四條同委員中加病等提案第五條同委員劉建國等提案第六條 |
| transcript.whisperx[851].start |
20907.792 |
| transcript.whisperx[851].end |
20931.038 |
| transcript.whisperx[851].text |
第6條 第二張章名機第7到18條均同委員中加併等提案第19條同委員劉建國等提案第20條第三張章名機第20條到第24條均同委員中加併等提案第4張章名第26條第27條均同委員中加併等提案第28條同委員劉建國等提案第28條第29條第32條分別同委員中加併提案第28條第31條 |
| transcript.whisperx[852].start |
20937.02 |
| transcript.whisperx[852].end |
20951.708 |
| transcript.whisperx[852].text |
第5張張炳同行政院提案第33條第到第38條均分別同委員朱鑾炳提案第33條第37條第39條楚江第5具的第33條修正為第35條外局均同委員 |
| transcript.whisperx[853].start |
20952.256 |
| transcript.whisperx[853].end |
20977.33 |
| transcript.whisperx[853].text |
中大病人提案第38條第40條 委員機關依教育人員用條例規定評議任員 準用第33條 第33條 第38條及第39條規定第41條 同委員中大病人提案第40條 第6章負責第42條至第45條分別為同委員中大病人提案第40條到第44條委員審法會等提案對照委員中大病人提案 除加 |
| transcript.whisperx[854].start |
20979.298 |
| transcript.whisperx[854].end |
21006.134 |
| transcript.whisperx[854].text |
第十六條修正為第十六條 董事監視院長或其關係人不得與本院為買賣助力承攬等交易行為違反傾向規定 據本院受損害者行為人應付損害被害者責任其餘及第三十四條三十五條條文內的聘僱的故改修正為有人自辦的故之外其餘名稱各張張名詞條文均同委員村長並等提案委員王玉明等提案 |
| transcript.whisperx[855].start |
21007.915 |
| transcript.whisperx[855].end |
21023.155 |
| transcript.whisperx[855].text |
明車國家中醫藥研究院實質條例第一章總則第一條為推動 除將第二句修正為特赦國家中醫藥研究院並制定本條例外其餘同委員專家病人提案第二條及第三條均同委員專家病人提案 |
| transcript.whisperx[856].start |
21024.229 |
| transcript.whisperx[856].end |
21045.852 |
| transcript.whisperx[856].text |
第四條 同委員郵件國等提案 第四條 第五條除據所修正列為公務機關外其餘同委員重災病人提案 第六條同委員陳穎等提案 第七條同委員重災病人 第六條 第二條 第二章組織 第八條本院設董事會執董事執董事席 任職十五人郵件機關就下列人員領選 |
| transcript.whisperx[857].start |
21047.662 |
| transcript.whisperx[857].end |
21048.282 |
| transcript.whisperx[857].text |
提請行政院職業職業職業職業職業職業職業職業職業職業職業職業職業職業 |
| transcript.whisperx[858].start |
21070.792 |
| transcript.whisperx[858].end |
21091.651 |
| transcript.whisperx[858].text |
總人數二分之一 第一項 董事任意性別不得少 總人數三分之一 第九條本院之監事三人之五人 有監事官就下列人員臨選提起行政院長批准之結聘者一同一 政府相關機關構代表二 中醫藥衛生相關之學者專家三 法律 會計或財務相關之學者專家監事因互選認為強無監事第一項監事任意性別不得少 總人數三分之一 第十條 |
| transcript.whisperx[859].start |
21093.598 |
| transcript.whisperx[859].end |
21119.366 |
| transcript.whisperx[859].text |
董事監事任期為三年期滿的續聘一次續聘人數一達其總人數三分之一以上並不得於總人數三分之二一第八條第一項第一款及前交第一項第一款規定代表政府機關或出任董事監事因其政府移動改變不受前項續聘制度限制一第八條第一項第二款第三款及前交第一項第二款第三款規定聘人者董事監事任期限滿期出業者有監督官臨選提醒勤務院長不聘職 |
| transcript.whisperx[860].start |
21120.445 |
| transcript.whisperx[860].end |
21137.321 |
| transcript.whisperx[860].text |
執行期至原則任期屆滿時為止本院董事監視之領聘解聘不應支持方式及其他相關接種方法由監管提出第四條通常病委同委員同同病委員第十二條除第一款第二第二款分別修正為一本院 |
| transcript.whisperx[861].start |
21138.782 |
| transcript.whisperx[861].end |
21166.284 |
| transcript.whisperx[861].text |
發展目標及計畫之誠意 二 年度業務目標及營運計畫之誠意分別修正其餘通委員誠意等提案 第十三條除將第一項手續修正為董事會會議每三個月開設一次 其第二項默劇修正為應有董事總額過半數值同意外其餘通委員誠意等提案 第十四條監視之職員局下一業務財務狀況之監督 二財務章冊文件及財產資料之契合 三決算報告之審核 四其他中間事項之審核及集合 |
| transcript.whisperx[862].start |
21167.645 |
| transcript.whisperx[862].end |
21186.373 |
| transcript.whisperx[862].text |
監事單獨行事職權常務監事應代表群體監事列席董事會會議第十五條除第一項中斷修正為任期三年期滿德區評一次及第二項默劇修正為經行政院核准者不再實現其與同委員呈一等提案第十六條第一項除將第二劇假借修正為假借及默劇修正為 |
| transcript.whisperx[863].start |
21188.024 |
| transcript.whisperx[863].end |
21196.378 |
| transcript.whisperx[863].text |
其利益迴避範圍及不然之有建築計劃定義區同委員呈一點提案第17條主張第二項模具修正為行為人應應對其 |
| transcript.whisperx[864].start |
21200.106 |
| transcript.whisperx[864].end |
21218.226 |
| transcript.whisperx[864].text |
服務所賠償則外 區域同委員成立點提案第十八條 董事常務監事應親自出席列席董事會會議不得委託大臣處代理出席第十條 同委員成立點提案第二十條 區委員及第一項第一項 第二項 同委員成立點提案董事監事及院長有下立行公安情形則不得於解聘 |
| transcript.whisperx[865].start |
21219.764 |
| transcript.whisperx[865].end |
21238.592 |
| transcript.whisperx[865].text |
一 行為不檢或品勤不端 致影響本院實際上有確實證據二 工作執行不力或逮捕職責有具體事實三 違反評約情節重大四 當屆任期內 致本院年度績效評鑑 連續二年未達監督機關所定基準五 違反公務人員行動立法及經濟有確實證據六 具有阻礙事件 |
| transcript.whisperx[866].start |
21239.792 |
| transcript.whisperx[866].end |
21266.01 |
| transcript.whisperx[866].text |
接受關稅或請求或利用職務關係接受招待或虧損損害公益或本盈利益有確實證據 七非依職務及需要動用本盈利益有確實證據 八違反本條例鎖定利益迴避原則或遞製第一項前提案特定交易行為禁止有確實證據 九其他有不施任董事監事及院長職位自行為牽強各款情形監督機關與絕併者因應當事人懲處意境及身邊職會第三章同情證提案第十一條 |
| transcript.whisperx[867].start |
21266.81 |
| transcript.whisperx[867].end |
21273.216 |
| transcript.whisperx[867].text |
本院營養廳發展目標及計劃並把請求決定本院營養廳點數計劃及機會算提成 董事會通過把請求決定這12條 |
| transcript.whisperx[868].start |
21275.946 |
| transcript.whisperx[868].end |
21304.607 |
| transcript.whisperx[868].text |
會計年度中了後 而該院本院營將營運成果及收支報告舉辦報應委託會計師查核簽證提交董事會審議並經監事通過後報請監督官被查及送審計機關第二三條 處將第一款第二具修正為年度計算業務與預算及四款具首修正為營運第五款修正為董事監事臨選集結第七款修正為本院文法憲法法律法律規定域撤銷變更廢止限制改善停止執行或其他其餘同委員呈一點責任 |
| transcript.whisperx[869].start |
21305.547 |
| transcript.whisperx[869].end |
21328.208 |
| transcript.whisperx[869].text |
第二十四條 主項第三款修正為本院年度自籌款比例查證據第二項修正為前項學者專家及諮詢者不得少於三分之一及三分之一及餘通委員及餘通委員專業病人提案第二十三條 第四章會計財務及諮詢公開第十五條 所需修正為本院自會計年度及餘通行政院提案第二十四條 第十二條同行政院提案第二十六條第二十七條 第二三四 |
| transcript.whisperx[870].start |
21329.669 |
| transcript.whisperx[870].end |
21355.062 |
| transcript.whisperx[870].text |
第二項第二三四項同行政院提案第二項第二款第二項第三項第四項第二十八條除第三項默劇修正委罷請監督官被炒賣其餘同行政院提案第二十九條除默劇修正委如不能有如不能自償之餘因其檢討其處改善所應報警察罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪罪� |
| transcript.whisperx[871].start |
21355.542 |
| transcript.whisperx[871].end |
21372.923 |
| transcript.whisperx[871].text |
第五章人事及限職人員保障同行政提案第三色條除巨手的除第一項巨手的人員修正為工人及第二項的第二具修正為人事主計政府人就管理區同行政提案第三條除將第三項修正為第三項第二具修正為 |
| transcript.whisperx[872].start |
21374.585 |
| transcript.whisperx[872].end |
21390.066 |
| transcript.whisperx[872].text |
指退休值欠當月所資年供奉及與技術或專業技術價值與同行政院提案第三這條除第一項前段修正為原機關現有依聘用人聘用條例及行政院與所屬中央及地方各機關約顧人約顧聘用辦法 |
| transcript.whisperx[873].start |
21392.869 |
| transcript.whisperx[873].end |
21417.892 |
| transcript.whisperx[873].text |
願意僱用辦法 聘用及約顧人員其契約及聘僱契約尚未期滿 且不願遂同遺傳本院者其機關改制及辦理之處以各機關學校聘僱人員歷史及給予辦法規定辦理外其餘第三項聚首修正為原機關聘僱人員其餘同行政院提案第35條其餘第一項聚首修正為原機關現有之公有及第四項首聚修正為原機關公有外其餘同行政院提案第35條 |
| transcript.whisperx[874].start |
21419.946 |
| transcript.whisperx[874].end |
21447.616 |
| transcript.whisperx[874].text |
第37條 均衡行政院第39條 第38條 原機關秀職停職及留職停職人員因機關改制本院而遂同遺專者 由原機關策略移交本院秩序執行 留職停職人員提前期負職者 因准期負職依法負職或揮之不盡的人 不願配合遺專者的準用第20條規定 由監督機關協助安置或辦理退休之前 並加發未住勤 例如上負責第39條 據首修正為對於本院之行政主辦不負責 於同行政院提案第44條 |
| transcript.whisperx[875].start |
21448.676 |
| transcript.whisperx[875].end |
21459.123 |
| transcript.whisperx[875].text |
第40條 除第二項前段修正為本院決戰時繼續運用人員有建築機關行動案件或以期使用公務員法定規定辦理外其餘同行提案第45條第41條同行提案第46條掛附時委員郭育晴的提案 |
| transcript.whisperx[876].start |
21466.448 |
| transcript.whisperx[876].end |
21494.147 |
| transcript.whisperx[876].text |
列到行政院提案 主張第五條第四款修正為四 營運技術移轉及研發成果收入及第七條第一項第三款修正為三 民間企業經營中醫師與中醫中藥產業代表並有團體代表或對中藥有重大貢獻及社會人士及第十六條默劇增列以視訊參與會議者次同親自出席以外其餘名稱各張上面及條文均同行政院提案宣讀完畢 |
| transcript.whisperx[877].start |
21497.335 |
| transcript.whisperx[877].end |
21503.897 |
| transcript.whisperx[877].text |
好 我們提案條文已經宣讀完畢本次會議我們就進行到此結束現在上會 |