{"id":151119,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/151119","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/3f8a1755e5400c0ed2825a6ea4915e0cdfefb6b28ae2d84df8ba9b0039caa7a61da553a08c6fc01f5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"王正旭","委員發言時間":"11:30:42 - 11:42:19","影片長度":"00:11:37","會議時間":"2024-04-15T09:00:00+08:00","會議名稱":"立法院第11屆第1會期社會福利及衛生環境委員會第12次全體委員會議（事由：邀請衛生福利部部長、內政部、法務部、教育部、數位發展部、國家通訊傳播委員會、文化部就「數位技術普及造成兒少性剝削案件增加之因應作為與現行政策檢討」進行專題報告，並備質詢。\n【4月15日及17日二天一次會】）","meet":{"tmpMeeting":null,"title":"第11屆第1會期社會福利及衛生環境委員會第12次全體委員會議","term":11,"type":"委員會","sessionPeriod":1,"sessionTimes":12,"committees":[26],"id":"委員會-11-1-26-12"},"date":"2024-04-15","duration":697,"end_time":"2024-04-15T11:42:19+08:00","start_time":"2024-04-15T11:30:42+08:00","features":["ai-transcript","gazette"],"type":"Clip","gazette":{"lineno":851,"blocks":[["王委員正旭：（11時30分）謝謝主席，還是有請薛部長。"],["主席：請薛部長。"],["薛部長瑞元：委員好。"],["王委員正旭：薛部長好。今天這個題目真的是很沉重，我們剛剛聽到那麼多委員提供給你們意見上的參考，相信都是非常非常重要，大家對於如何保護兒童能夠順利的成長，真的都是用心良苦。兒童是我們國家未來的主人，我相信大家都很期待針對我們的兒少能夠有很好的保護環境，讓他們順利成長，這真的是有待大家一起來努力。","我早上看到您提供的資裡面提到，從112年到113年當中受理的相關案件有767件，完成移除的違規部分有665件，成功率到達86.7%，這成功率的確很高，不過我們比較想要瞭解的是這個速度如何？因為成功率跟速度之間希望也會得到好的平衡。"],["薛部長瑞元：所謂成功是依法移除，兒少的移除時間是24小時之內，如果是成人的話是72小時。"],["王委員正旭：所以基本上只要是移除，都會在24小時跟48小時裡面就能夠處理好？"],["薛部長瑞元：大人的可以到72小時，小孩子的就24小時。"],["王委員正旭：OK，瞭解。因為從威嚇理論的原則上來看，懲罰的嚴厲性、確定性跟迅速性越高，就越能夠嚇阻犯罪的效力，不過我剛剛聽到林委員所提供的資訊，好像在執行過程當中的完成率、時效性跟後面能夠得到嚇阻的作用似乎又有一些落差。"],["薛部長瑞元：有一些是在司法機關的處理考慮啦，包括緩起訴或者要減刑，這個事實上是司法機關的判斷。"],["王委員正旭：是，這部分因為衛福部還是主管機關嘛！"],["薛部長瑞元：我也不能去影響啊，司法獨立。"],["王委員正旭：司法獨立，我們很期待未來有更好的、跨部門的相關檢討機制。"],["薛部長瑞元：法官獨立審判，他也不會來開會啊！"],["王委員正旭：瞭解、瞭解，所以等於是執行上的確真的是無法回應民間的期待、社會的期待，這個部分我們很希望未來在修法過程中能夠更有效地去改變現在的困境跟窘境。我們這邊也看到說，如果未來在執行上有更多需要做調整跟改變的地方，很多的學術研究其實是重要的，本席去查閱了一下有關於保護司最近這幾年有沒有相關的委託研究，結果是零，這部分不知道將來如何有效地去編列相關預算或是徵求相關的研究案來瞭解？"],["薛部長瑞元：這是可以的。"],["王委員正旭：因為很多學術研究後面的成果事實上可以提供我們行政單位對於目前碰到的相關問題做比較深入的瞭解，同時也可以讓這樣的困境得以解除。西班牙對兒少侵害的研究裡面發現，案件的成長率在5年激增了55%，他們透過相關的學術研究或者是一些研究的過程發現，打擊任何形式兒少性侵害的最佳方法是預防，這個是很容易理解的一個研究成果，可是畢竟很多細節還是需要多瞭解，所以如果能夠透過這個方式的話，我們希望把這些內容也能夠提供到臺灣來做參考，可不可以麻煩用一個月的時間把國際上的相關研究成果匯報到本席這邊來，做一個書面報告，我們共同來瞭解？"],["薛部長瑞元：好，可以。"],["王委員正旭：那就麻煩部長，這是有關於今天最重要、很讓人覺得沉重的一個議題。","再下來就是想要跟部長討論一下有關於推動在宅醫療的可行性跟必要性，因為上個禮拜去彰化做了一些視察跟瞭解，到底我們在未來超高齡社會當中如何去因應目前在治療或者是服務上的困境，因為到2025年，我們知道臺灣就要進入65歲以上長者占比超過20%的超高齡社會。在面對此一現況時，我們有提出「因應超高齡社會對策方案」，其中「到宅式健康照護」，是一項很重要的環節。針對這部分，當初也訂了一些目標，包括要擴大推動居家醫療照護服務方案，預計在112年的時候要達到有3,000家能夠提供相關的服務內容，不知道這個目標去年的達成率是如何？預估目標是在112年就能夠到達3,000家。"],["薛部長瑞元：報告委員，這個有，去年的話是有達標。"],["王委員正旭：去年有達標，那很棒、很恭喜，因為如果能夠提供比較好的到宅服務的話，相對來講，這些失能或是外出就醫不方便的長者就可以得到較好的醫療照護的資源。其中也提到，每一年會試著做年度的改善或是調控，那有沒有更符合現狀需要的這些調控的內容，可不可以請部長也讓我們知道一下？"],["薛部長瑞元：第一個當然就是我們希望範圍能夠更擴大。第二個就是所謂「在宅醫療」部分的話，我們會把長照機構裡面的住民納進來，因為他們同樣需要醫療團隊進入到機構裡面去提供這些服務，這是一個；另外一個就是「在宅醫療」的團隊要跟我們目前長照的居家失能者的服務方案整合在一起，這是目前我們既定的要推動的一個方向。"],["王委員正旭：是，在誘因上有沒有更能夠讓參與者可以更願意來投入？"],["薛部長瑞元：這兩個部分，在健保的部分，現在正在研議要增加它的支付標準，另外一個就是在長照的部分，也會有一些資源可以進來。"],["王委員正旭：是，所以未來希望除了在宅醫療以外，如何透過好的方式，提供更好的誘因，幫這些服務的單位建構更好的智慧醫療。"],["薛部長瑞元：對，在宅醫療在執行的過程當中，有一些可能可以用遠距醫療來協助。"],["王委員正旭：是，如果能夠把這部分做好的話，除了符合社會需求以外，其實對於醫療資源的永續經營，也有很大的幫助。最後還有一點點時間，有關於藥品違規廣告亂象這部分，也是讓社會覺得很傷腦筋的事情。尤其最近日本出現健康食品導致民眾傷害的事情，臺灣也一直受困於很多的藥品不當使用，不一定是藥品，也有可能是健康補充品的不當使用導致洗腎人口，其中可能有相關性，當然它的相關性有多高是一個可以探討的事情，不過，很多會把它當作不當用藥習慣導致的一個傷害，這部分我們也知道，其實很努力地想要去找出不當地去做廣告的這些廠家，怎麼罰都罰不完，曾經衛福部也被我們的監察院糾正說監督不力，這部分不知道部長最近有沒有更好的方案來因應這個困難？"],["薛部長瑞元：我是跟我們食藥署的同仁講，關於取締違法的藥品廣告的方向重點，過去都放在廣告，但是因為我在地方做過，我知道有一個狀況，你如果去找到這一個廣告主的話，通常他會是人頭，他可能就是單親媽媽或者反正就是很可憐的一個家庭的，他出來掛名做這個廣告，所以被你查到的話，衛生局不太敢下重手去罰他，因為他可能生活就會受到影響，但是這個重點是，這個藥怎麼樣提供給民眾，所以是實體的那個藥才是重點。藥從哪邊製造、哪邊出來，怎麼樣配送到民眾的手裡，內部人最知道，所以我現在請他們去擬一個計畫，就是鼓勵吹哨者的計畫。我們可以從這邊的處罰，因為如果是藥品的話，它的處罰金額蠻高的，我們可以從它的處罰金額裡面去提撥，比方說10%、20%來作為獎金。如果能夠查到的話，我就重賞，給予吹哨者重賞，這樣的話比較容易可以查得出來，查得出來的話，才可以真正去斬斷提供違法藥品的這一條線。"],["王委員正旭：是。好，謝謝部長這方面的用心跟努力，我們也很期待過一段時間可以看到好的成果。"],["薛部長瑞元：他們現在正在草擬這個規範。"],["王委員正旭：好。謝謝。"],["薛部長瑞元：謝謝。"],["主席：謝謝王正旭委員的質詢。主席在此宣告：待會洪申翰委員質詢完之後，我們就處理臨時提案，臨時提案處理完畢之後，繼續讓委員質詢一直到羅智強委員質詢結束後，我們就休息30分鐘，中午給大家用餐。","接下來我們請洪申翰委員質詢。"]],"agenda":{"page_end":340,"meet_id":"委員會-11-1-26-12","speakers":["王育敏","陳昭姿","林月琴","陳菁徽","涂權吉","盧縣一","廖偉翔","邱鎮軍","蘇清泉","林淑芬","王正旭","洪申翰","黃珊珊","黃捷","洪孟楷","張雅琳","沈伯洋","伍麗華Saidhai‧Tahovecahe","麥玉珍","鄭天財Sra 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\"那針對這部分當初也訂了一些目標包括要在112年的時候可以提供相關的這個擴大居家服務方案裡面有3000家可以進行相關的服務內容那不知道這個目標去年的大成立是如何這是112年就希望能夠到達3000家\", \"words\": [{\"word\": \"那\", \"start\": 331.946, \"end\": 332.806, \"score\": 0.93}, {\"word\": \"針\"}, {\"word\": \"對\"}, {\"word\": \"這\"}, {\"word\": \"部\", \"start\": 332.806, \"end\": 332.946, \"score\": 0.97}, {\"word\": \"分\", \"start\": 332.946, \"end\": 334.427, \"score\": 0.977}, {\"word\": \"當\"}, {\"word\": \"初\", \"start\": 334.427, \"end\": 334.587, \"score\": 0.96}, {\"word\": \"也\", \"start\": 334.587, \"end\": 334.907, \"score\": 0.931}, {\"word\": \"訂\"}, {\"word\": \"了\", \"start\": 334.907, \"end\": 335.007, \"score\": 0.809}, {\"word\": \"一\", \"start\": 335.007, \"end\": 335.067, \"score\": 0.792}, {\"word\": \"些\", \"start\": 335.067, \"end\": 335.227, \"score\": 0.999}, {\"word\": \"目\", \"start\": 335.227, \"end\": 336.248, \"score\": 0.981}, {\"word\": \"標\"}, {\"word\": \"包\", \"start\": 336.248, \"end\": 336.408, \"score\": 0.999}, {\"word\": \"括\", 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356.036, \"end\": 356.336, \"score\": 0.928}, {\"word\": \"夠\"}, {\"word\": \"到\", \"start\": 356.336, \"end\": 356.476, \"score\": 0.898}, {\"word\": \"達\"}, {\"word\": \"3\"}, {\"word\": \"0\"}, {\"word\": \"0\"}, {\"word\": \"0\"}, {\"word\": \"家\", \"start\": 356.476, \"end\": 356.496, \"score\": 0.0}]}, {\"start\": 360.043, \"end\": 377.44, \"text\": \"這是有 去年的話是有達標去年是有達標 那很棒很恭喜因為如果能夠提供比較好的大宅服務的話相對來講就可以讓我們這些失能或是外出就醫不方便的這些長者可以得到好的這個醫療招募的資源\", \"words\": [{\"word\": \"這\"}, {\"word\": \"是\", \"start\": 360.043, \"end\": 360.223, \"score\": 0.896}, {\"word\": \"有\", \"start\": 360.223, \"end\": 361.184, \"score\": 0.991}, {\"word\": \"去\", \"start\": 361.184, \"end\": 361.364, \"score\": 0.951}, {\"word\": \"年\", \"start\": 361.364, \"end\": 361.504, \"score\": 0.857}, {\"word\": \"的\", \"start\": 361.504, \"end\": 361.845, \"score\": 0.883}, {\"word\": \"話\"}, {\"word\": \"是\", \"start\": 361.845, \"end\": 362.065, \"score\": 0.915}, {\"word\": \"有\", \"start\": 362.065, \"end\": 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0.923}, {\"word\": \"醫\"}, {\"word\": \"不\", \"start\": 373.736, \"end\": 373.876, \"score\": 0.798}, {\"word\": \"方\", \"start\": 373.876, \"end\": 374.077, \"score\": 0.992}, {\"word\": \"便\", \"start\": 374.077, \"end\": 374.277, \"score\": 0.938}, {\"word\": \"的\", \"start\": 374.277, \"end\": 374.617, \"score\": 0.914}, {\"word\": \"這\"}, {\"word\": \"些\", \"start\": 374.617, \"end\": 375.118, \"score\": 0.92}, {\"word\": \"長\"}, {\"word\": \"者\", \"start\": 375.118, \"end\": 375.678, \"score\": 0.964}, {\"word\": \"可\", \"start\": 375.678, \"end\": 375.798, \"score\": 0.852}, {\"word\": \"以\", \"start\": 375.798, \"end\": 375.918, \"score\": 1.0}, {\"word\": \"得\", \"start\": 375.918, \"end\": 376.039, \"score\": 1.0}, {\"word\": \"到\", \"start\": 376.039, \"end\": 376.219, \"score\": 0.992}, {\"word\": \"好\", \"start\": 376.219, \"end\": 376.479, \"score\": 0.995}, {\"word\": \"的\", \"start\": 376.479, \"end\": 376.779, \"score\": 0.983}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"醫\"}, {\"word\": \"療\"}, {\"word\": \"招\", \"start\": 376.779, \"end\": 377.06, \"score\": 0.855}, {\"word\": \"募\", \"start\": 377.06, \"end\": 377.2, \"score\": 0.856}, {\"word\": \"的\", \"start\": 377.2, \"end\": 377.42, \"score\": 0.909}, {\"word\": \"資\"}, {\"word\": \"源\", \"start\": 377.42, \"end\": 377.44, \"score\": 0.0}]}, {\"start\": 378.661, \"end\": 394.987, \"text\": \"那這邊也提到說每一年會試著做年度的方法來做改善或者是做調控那有沒有更符合現狀需要的這些做調控的部分的內容各位請部長讓我們知道一下\", \"words\": [{\"word\": \"那\", \"start\": 378.661, \"end\": 379.061, \"score\": 0.887}, {\"word\": \"這\"}, {\"word\": \"邊\"}, {\"word\": \"也\", \"start\": 379.061, \"end\": 379.221, \"score\": 0.999}, {\"word\": \"提\", \"start\": 379.221, \"end\": 379.381, \"score\": 0.917}, {\"word\": \"到\", \"start\": 379.381, \"end\": 380.842, \"score\": 0.968}, {\"word\": \"說\"}, {\"word\": \"每\", \"start\": 380.842, \"end\": 380.982, \"score\": 0.994}, {\"word\": \"一\", \"start\": 380.982, \"end\": 381.102, \"score\": 0.994}, {\"word\": 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{\"word\": \"我\", \"start\": 666.158, \"end\": 666.298, \"score\": 0.943}, {\"word\": \"就\", \"start\": 666.298, \"end\": 666.318, \"score\": 0.386}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"王\", \"start\": 667.551, \"end\": 667.631, \"score\": 0.75}, {\"word\": \"俊\", \"start\": 667.631, \"end\": 667.931, \"score\": 0.933}, {\"word\": \"勳\"}, {\"word\": \"委\", \"start\": 667.931, \"end\": 668.191, \"score\": 0.923}, {\"word\": \"員\"}, {\"word\": \"的\", \"start\": 668.191, \"end\": 668.211, \"score\": 0.006}], \"language\": \"zh\"}","srt":"1\n00:00:06,640 --> 00:00:11,268\n謝謝主席還是有請薛部長好請薛部長是\n\n2\n00:00:15,422 --> 00:00:33,138\n委員好學長好今天這個題目真的是很沉重我們剛剛聽到那麼多的委員提供給你們意見上的參考相信都是非常非常重要大家對於如果保護兒童能夠順利的成長真的都是\n\n3\n00:00:33,718 --> 00:00:33,898\n主席\n\n4\n00:00:49,927 --> 00:01:15,901\n我們早上也看到您提供的資料裡面從112年到113年當中相關的案件有767件來審理那其中相關去移除到有違規的部分有665件成功率到達86.7%這成功率的確很高不過我們比較想要了解的就是那這個速度如何\n\n5\n00:01:16,801 --> 00:01:38,009\n因為這個成功率跟速度之間希望他也會得到好評?所謂成功的話是依法那兒少的移儲是24小時之內他如果成人的話是72小時所以基本上只要是移儲都會在24小時跟48小時裡面就能夠處理好大人的可以到72小孩子的就24\n\n6\n00:01:39,378 --> 00:02:02,273\nOK了解因為從這個威嚇理論的原則上來看懲罰的嚴厲性、確定性跟迅速性越高就越能夠嚇阻這個犯罪的效率不過我剛剛聽到這個林委員所提供的資訊好像在執行過程當中這個完成率、時效性跟後面能夠得到嚇阻的作用似乎又有一些落差\n\n7\n00:02:03,241 --> 00:02:21,541\n那有一些是在司法機關的他的處理的考慮啦包括還起訴啦或者說要減刑這個這事實上是司法機關他們的判斷是是那這部分因為外部還是主管機關嘛\n\n8\n00:02:22,342 --> 00:02:23,203\n法官獨立審判他也不會開會\n\n9\n00:02:38,570 --> 00:02:59,009\n了解了解所以等於是執行上的確真的是無法能夠讓回應這個民間的期待啦回應社會的期待這個部分我們很希望說能夠針對於未來在修法的過程裡面如何能夠更有效的去改變現在的困境跟窘境\n\n10\n00:03:00,070 --> 00:03:25,572\n那我們這邊也看到說如果未來在執行上有更多需要做調整跟改變的地方很多的學術研究其實是重要的那我們等級上去查閱一下有關於這個保護師最近這幾年有沒有相關的這個委託研究結果是零這部分不知道將來如何有\n\n11\n00:03:26,893 --> 00:03:51,169\n有效的去編列相關預算或是徵求相關的研究案來瞭解因為很多學術的研究後面的成果事實上可以提供我們行政單位來給相關的目前碰到的問題做比較深入的瞭解那同時也可以讓這樣的困境可以得到解除因為依照西班牙他們對兒少性害\n\n12\n00:03:51,969 --> 00:04:08,654\n的研究裡面發現說他們的成長率5年成長激增了55%那他們透過相關的學術研究啊或者是一些研究過程發現說打擊任何形式的兒少性侵害最佳的方法是預防\n\n13\n00:04:11,276 --> 00:04:24,956\n這個是很容易理解的一個研究成果可是畢竟很多的細節還是需要多了解所以如果能夠透過這個方式的話我們希望把這些內容也能夠提供到台灣來做參考\n\n14\n00:04:26,398 --> 00:04:44,306\n可以麻煩用一個月的時間把有關於國際有關相關的研究成果可以匯報到本席這邊來做一個書面報告我們共同來瞭解那就麻煩部長這是有關於今天最重要\n\n15\n00:04:45,166 --> 00:05:01,407\n很讓人覺得沉重的一個議題那接下來就是想要跟部長討論一下有關推動在宅醫療的這個可行性跟必要性因為上個禮拜去彰化做了一些視察跟了解\n\n16\n00:05:02,208 --> 00:05:30,465\n到底我們在未來超高齡社會當中如何去因應目前在治療或者是服務上的困境因為到2025年我們就知道臺灣進入到65歲以上的長者超過20%這樣超高齡社會的這種現況那在面對這樣的現況的時候有提到對策跟方案這個對策方案裡面倒宅式的健康照護是一個很重要的一個環節\n\n17\n00:05:31,946 --> 00:05:56,496\n那針對這部分當初也訂了一些目標包括要在112年的時候可以提供相關的這個擴大居家服務方案裡面有3000家可以進行相關的服務內容那不知道這個目標去年的大成立是如何這是112年就希望能夠到達3000家\n\n18\n00:06:00,043 --> 00:06:17,440\n這是有去年的話是有達標去年是有達標那很棒很恭喜因為如果能夠提供比較好的大宅服務的話相對來講就可以讓我們這些失能或是外出就醫不方便的這些長者可以得到好的這個醫療招募的資源\n\n19\n00:06:18,661 --> 00:06:34,987\n那這邊也提到說每一年會試著做年度的方法來做改善或者是做調控那有沒有更符合現狀需要的這些做調控的部分的內容各位請部長讓我們知道一下\n\n20\n00:06:35,988 --> 00:06:54,460\n第一個當然就是說我們希望這一個能夠範圍更擴大第二個部分的話就是所謂的在宅醫療的部分的話那我們會把在這種長照機構裡面的住民把它納進來\n\n21\n00:06:56,792 --> 00:07:14,760\n因為他同樣的需要就是說醫療團隊進入到機構裡面去提供這一些服務這是一個另外一個就是說在宅醫療的這個團隊要跟所謂的我們目前長照的\n\n22\n00:07:15,920 --> 00:07:44,667\n所以所謂的這個居家失能者的這一個服務的方案要把它整合在一起所以這是目前我們既定的要推動的一個方向是在義務運上有沒有更能夠讓參與者可以更願意來投入這兩個部分在健保的部分的話那他的支付標準的話也現在正在研議要增加\n\n23\n00:07:45,607 --> 00:07:59,908\n另外一個就是在長照的部分的話也會有一些資源可以進來所以未來希望除了在台醫療以外智慧醫療如果透過好的方式也可以提供更好的誘因\n\n24\n00:08:01,050 --> 00:08:03,251\n對於醫療資源的永續經營是有很大的幫助\n\n25\n00:08:25,220 --> 00:08:44,219\n最後還有一點點時間就是有關於這個藥品違規廣告亂象的部分這個也是讓社會覺得很傷腦筋的事情尤其最近日本出現這種健康的\n\n26\n00:08:49,561 --> 00:09:06,986\n臺灣一直也受困於很多的藥品不當使用不一定是藥品或者是健康品的這些補充品的不當使用導致洗腎人口他可能是有相關性那這個當然他的相關性有多高是一個可以探討的事情不過\n\n27\n00:09:08,346 --> 00:09:36,653\n很多的會把他當作一個不當用藥習慣導致的一個傷害那這部分我們也知道其實很努力的想要去找出不當的去做廣告的這些廠家怎麼罰都罰不完那曾經阿富部也被糾正被我們的監察院糾正說建都不利那這部分不知道部長最近有沒有更\n\n28\n00:09:37,373 --> 00:10:03,924\n好的方案來因應這個困難我是跟我們12組的同仁講這個違法的藥品的廣告要取締的方向重點過去都放在廣告但是因為我在地方做過我知道有一個狀況你如果去找到了這一個廣告組的話通常他都是人頭\n\n29\n00:10:05,404 --> 00:10:30,429\n他可能就是那單親的媽媽啦或是反正就是很可憐的一個家庭的他出來掛這個名他做這個廣告被你查到的話衛生局不太敢下重手去罰他因為他可能生活就會受到影響但是這個重點是怎麼樣是這藥怎麼樣提供給民眾所以是實體的那個藥才是重點\n\n30\n00:10:31,684 --> 00:10:49,904\n那要從哪邊出來哪邊製造哪邊出來怎麼樣配送到這個民眾的手裡的話內部人最知道所以我現在請他們去擬一個計畫就是吹哨者的這一個鼓勵吹哨者的計畫我們可以從這邊的\n\n31\n00:10:52,607 --> 00:11:06,318\n處罰因為如果是藥品的部分的話他的處罰金額是蠻高的我們可以從他的處罰金額裡面去提撥比方說10%20%來作為獎金如果能夠查到的話我就\n\n32\n00:11:07,551 --> 00:11:08,211\n謝謝王俊勳委員的\n\n","tsv":"start\tend\ttext\n6640\t11268\t謝謝主席還是有請薛部長好請薛部長是\n15422\t33138\t委員好學長好今天這個題目真的是很沉重我們剛剛聽到那麼多的委員提供給你們意見上的參考相信都是非常非常重要大家對於如果保護兒童能夠順利的成長真的都是\n33718\t33898\t主席\n49927\t75901\t我們早上也看到您提供的資料裡面從112年到113年當中相關的案件有767件來審理那其中相關去移除到有違規的部分有665件成功率到達86.7%這成功率的確很高不過我們比較想要了解的就是那這個速度如何\n76801\t98009\t因為這個成功率跟速度之間希望他也會得到好評?所謂成功的話是依法那兒少的移儲是24小時之內他如果成人的話是72小時所以基本上只要是移儲都會在24小時跟48小時裡面就能夠處理好大人的可以到72小孩子的就24\n99378\t122273\tOK 了解因為從這個威嚇理論的原則上來看懲罰的嚴厲性、確定性跟迅速性越高就越能夠嚇阻這個犯罪的效率不過我剛剛聽到這個林委員所提供的資訊好像在執行過程當中這個完成率、時效性跟後面能夠得到嚇阻的作用似乎又有一些落差\n123241\t141541\t那有一些是在司法機關的他的處理的考慮啦包括還起訴啦或者說要減刑這個這事實上是司法機關他們的判斷是是那這部分因為外部還是主管機關嘛\n142342\t143203\t法官獨立審判他也不會開會\n158570\t179009\t了解了解所以等於是執行上的確真的是無法能夠讓回應這個民間的期待啦回應社會的期待這個部分我們很希望說能夠針對於未來在修法的過程裡面如何能夠更有效的去改變現在的困境跟窘境\n180070\t205572\t那我們這邊也看到說如果未來在執行上有更多需要做調整跟改變的地方很多的學術研究其實是重要的那我們等級上去查閱一下有關於這個保護師最近這幾年有沒有相關的這個委託研究結果是零這部分不知道將來如何有\n206893\t231169\t有效的去編列相關預算或是徵求相關的研究案來瞭解因為很多學術的研究後面的成果事實上可以提供我們行政單位來給相關的目前碰到的問題做比較深入的瞭解那同時也可以讓這樣的困境可以得到解除因為依照西班牙他們對兒少性害\n231969\t248654\t的研究裡面發現說他們的成長率5年成長激增了55%那他們透過相關的學術研究啊或者是一些研究過程發現說打擊任何形式的兒少性侵害最佳的方法是預防\n251276\t264956\t這個是很容易理解的一個研究成果可是畢竟很多的細節還是需要多了解所以如果能夠透過這個方式的話我們希望把這些內容也能夠提供到台灣來做參考\n266398\t284306\t可以麻煩用一個月的時間把有關於國際有關相關的研究成果可以匯報到本席這邊來做一個書面報告我們共同來瞭解那就麻煩部長這是有關於今天最重要\n285166\t301407\t很讓人覺得沉重的一個議題那接下來就是想要跟部長討論一下有關推動在宅醫療的這個可行性跟必要性因為上個禮拜去彰化做了一些視察跟了解\n302208\t330465\t到底我們在未來超高齡社會當中如何去因應目前在治療或者是服務上的困境因為到2025年我們就知道臺灣進入到65歲以上的長者超過20%這樣超高齡社會的這種現況那在面對這樣的現況的時候有提到對策跟方案這個對策方案裡面倒宅式的健康照護是一個很重要的一個環節\n331946\t356496\t那針對這部分當初也訂了一些目標包括要在112年的時候可以提供相關的這個擴大居家服務方案裡面有3000家可以進行相關的服務內容那不知道這個目標去年的大成立是如何這是112年就希望能夠到達3000家\n360043\t377440\t這是有 去年的話是有達標去年是有達標 那很棒很恭喜因為如果能夠提供比較好的大宅服務的話相對來講就可以讓我們這些失能或是外出就醫不方便的這些長者可以得到好的這個醫療招募的資源\n378661\t394987\t那這邊也提到說每一年會試著做年度的方法來做改善或者是做調控那有沒有更符合現狀需要的這些做調控的部分的內容各位請部長讓我們知道一下\n395988\t414460\t第一個當然就是說我們希望這一個能夠範圍更擴大第二個部分的話就是所謂的在宅醫療的部分的話那我們會把在這種長照機構裡面的住民把它納進來\n416792\t434760\t因為他同樣的需要就是說醫療團隊進入到機構裡面去提供這一些服務這是一個另外一個就是說在宅醫療的這個團隊要跟所謂的我們目前長照的\n435920\t464667\t所以所謂的這個居家失能者的這一個服務的方案要把它整合在一起所以這是目前我們既定的要推動的一個方向是在義務運上有沒有更能夠讓參與者可以更願意來投入這兩個部分在健保的部分的話那他的支付標準的話也現在正在研議要增加\n465607\t479908\t另外一個就是在長照的部分的話也會有一些資源可以進來所以未來希望除了在台醫療以外智慧醫療如果透過好的方式也可以提供更好的誘因\n481050\t483251\t對於醫療資源的永續經營是有很大的幫助\n505220\t524219\t最後還有一點點時間就是有關於這個藥品違規廣告亂象的部分這個也是讓社會覺得很傷腦筋的事情尤其最近日本出現這種健康的\n529561\t546986\t臺灣一直也受困於很多的藥品不當使用不一定是藥品或者是健康品的這些補充品的不當使用導致洗腎人口他可能是有相關性那這個當然他的相關性有多高是一個可以探討的事情不過\n548346\t576653\t很多的會把他當作一個不當用藥習慣導致的一個傷害那這部分我們也知道其實很努力的想要去找出不當的去做廣告的這些廠家怎麼罰都罰不完那曾經阿富部也被糾正被我們的監察院糾正說建都不利那這部分不知道部長最近有沒有更\n577373\t603924\t好的方案來因應這個困難我是跟我們12組的同仁講這個違法的藥品的廣告要取締的方向重點過去都放在廣告但是因為我在地方做過我知道有一個狀況你如果去找到了這一個廣告組的話通常他都是人頭\n605404\t630429\t他可能就是那單親的媽媽啦或是反正就是很可憐的一個家庭的他出來掛這個名他做這個廣告被你查到的話衛生局不太敢下重手去罰他因為他可能生活就會受到影響但是這個重點是怎麼樣是這藥怎麼樣提供給民眾所以是實體的那個藥才是重點\n631684\t649904\t那要從哪邊出來哪邊製造哪邊出來怎麼樣配送到這個民眾的手裡的話內部人最知道所以我現在請他們去擬一個計畫就是吹哨者的這一個鼓勵吹哨者的計畫我們可以從這邊的\n652607\t666318\t處罰因為如果是藥品的部分的話他的處罰金額是蠻高的我們可以從他的處罰金額裡面去提撥比方說10% 20%來作為獎金如果能夠查到的話我就\n667551\t668211\t謝謝王俊勳委員的\n","txt":"謝謝主席還是有請薛部長好請薛部長是\n委員好學長好今天這個題目真的是很沉重我們剛剛聽到那麼多的委員提供給你們意見上的參考相信都是非常非常重要大家對於如果保護兒童能夠順利的成長真的都是\n主席\n我們早上也看到您提供的資料裡面從112年到113年當中相關的案件有767件來審理那其中相關去移除到有違規的部分有665件成功率到達86.7%這成功率的確很高不過我們比較想要了解的就是那這個速度如何\n因為這個成功率跟速度之間希望他也會得到好評?所謂成功的話是依法那兒少的移儲是24小時之內他如果成人的話是72小時所以基本上只要是移儲都會在24小時跟48小時裡面就能夠處理好大人的可以到72小孩子的就24\nOK 了解因為從這個威嚇理論的原則上來看懲罰的嚴厲性、確定性跟迅速性越高就越能夠嚇阻這個犯罪的效率不過我剛剛聽到這個林委員所提供的資訊好像在執行過程當中這個完成率、時效性跟後面能夠得到嚇阻的作用似乎又有一些落差\n那有一些是在司法機關的他的處理的考慮啦包括還起訴啦或者說要減刑這個這事實上是司法機關他們的判斷是是那這部分因為外部還是主管機關嘛\n法官獨立審判他也不會開會\n了解了解所以等於是執行上的確真的是無法能夠讓回應這個民間的期待啦回應社會的期待這個部分我們很希望說能夠針對於未來在修法的過程裡面如何能夠更有效的去改變現在的困境跟窘境\n那我們這邊也看到說如果未來在執行上有更多需要做調整跟改變的地方很多的學術研究其實是重要的那我們等級上去查閱一下有關於這個保護師最近這幾年有沒有相關的這個委託研究結果是零這部分不知道將來如何有\n有效的去編列相關預算或是徵求相關的研究案來瞭解因為很多學術的研究後面的成果事實上可以提供我們行政單位來給相關的目前碰到的問題做比較深入的瞭解那同時也可以讓這樣的困境可以得到解除因為依照西班牙他們對兒少性害\n的研究裡面發現說他們的成長率5年成長激增了55%那他們透過相關的學術研究啊或者是一些研究過程發現說打擊任何形式的兒少性侵害最佳的方法是預防\n這個是很容易理解的一個研究成果可是畢竟很多的細節還是需要多了解所以如果能夠透過這個方式的話我們希望把這些內容也能夠提供到台灣來做參考\n可以麻煩用一個月的時間把有關於國際有關相關的研究成果可以匯報到本席這邊來做一個書面報告我們共同來瞭解那就麻煩部長這是有關於今天最重要\n很讓人覺得沉重的一個議題那接下來就是想要跟部長討論一下有關推動在宅醫療的這個可行性跟必要性因為上個禮拜去彰化做了一些視察跟了解\n到底我們在未來超高齡社會當中如何去因應目前在治療或者是服務上的困境因為到2025年我們就知道臺灣進入到65歲以上的長者超過20%這樣超高齡社會的這種現況那在面對這樣的現況的時候有提到對策跟方案這個對策方案裡面倒宅式的健康照護是一個很重要的一個環節\n那針對這部分當初也訂了一些目標包括要在112年的時候可以提供相關的這個擴大居家服務方案裡面有3000家可以進行相關的服務內容那不知道這個目標去年的大成立是如何這是112年就希望能夠到達3000家\n這是有 去年的話是有達標去年是有達標 那很棒很恭喜因為如果能夠提供比較好的大宅服務的話相對來講就可以讓我們這些失能或是外出就醫不方便的這些長者可以得到好的這個醫療招募的資源\n那這邊也提到說每一年會試著做年度的方法來做改善或者是做調控那有沒有更符合現狀需要的這些做調控的部分的內容各位請部長讓我們知道一下\n第一個當然就是說我們希望這一個能夠範圍更擴大第二個部分的話就是所謂的在宅醫療的部分的話那我們會把在這種長照機構裡面的住民把它納進來\n因為他同樣的需要就是說醫療團隊進入到機構裡面去提供這一些服務這是一個另外一個就是說在宅醫療的這個團隊要跟所謂的我們目前長照的\n所以所謂的這個居家失能者的這一個服務的方案要把它整合在一起所以這是目前我們既定的要推動的一個方向是在義務運上有沒有更能夠讓參與者可以更願意來投入這兩個部分在健保的部分的話那他的支付標準的話也現在正在研議要增加\n另外一個就是在長照的部分的話也會有一些資源可以進來所以未來希望除了在台醫療以外智慧醫療如果透過好的方式也可以提供更好的誘因\n對於醫療資源的永續經營是有很大的幫助\n最後還有一點點時間就是有關於這個藥品違規廣告亂象的部分這個也是讓社會覺得很傷腦筋的事情尤其最近日本出現這種健康的\n臺灣一直也受困於很多的藥品不當使用不一定是藥品或者是健康品的這些補充品的不當使用導致洗腎人口他可能是有相關性那這個當然他的相關性有多高是一個可以探討的事情不過\n很多的會把他當作一個不當用藥習慣導致的一個傷害那這部分我們也知道其實很努力的想要去找出不當的去做廣告的這些廠家怎麼罰都罰不完那曾經阿富部也被糾正被我們的監察院糾正說建都不利那這部分不知道部長最近有沒有更\n好的方案來因應這個困難我是跟我們12組的同仁講這個違法的藥品的廣告要取締的方向重點過去都放在廣告但是因為我在地方做過我知道有一個狀況你如果去找到了這一個廣告組的話通常他都是人頭\n他可能就是那單親的媽媽啦或是反正就是很可憐的一個家庭的他出來掛這個名他做這個廣告被你查到的話衛生局不太敢下重手去罰他因為他可能生活就會受到影響但是這個重點是怎麼樣是這藥怎麼樣提供給民眾所以是實體的那個藥才是重點\n那要從哪邊出來哪邊製造哪邊出來怎麼樣配送到這個民眾的手裡的話內部人最知道所以我現在請他們去擬一個計畫就是吹哨者的這一個鼓勵吹哨者的計畫我們可以從這邊的\n處罰因為如果是藥品的部分的話他的處罰金額是蠻高的我們可以從他的處罰金額裡面去提撥比方說10% 20%來作為獎金如果能夠查到的話我就\n謝謝王俊勳委員的\n","vtt":"WEBVTT\n\n00:06.640 --> 00:11.268\n謝謝主席還是有請薛部長好請薛部長是\n\n00:15.422 --> 00:33.138\n委員好學長好今天這個題目真的是很沉重我們剛剛聽到那麼多的委員提供給你們意見上的參考相信都是非常非常重要大家對於如果保護兒童能夠順利的成長真的都是\n\n00:33.718 --> 00:33.898\n主席\n\n00:49.927 --> 01:15.901\n我們早上也看到您提供的資料裡面從112年到113年當中相關的案件有767件來審理那其中相關去移除到有違規的部分有665件成功率到達86.7%這成功率的確很高不過我們比較想要了解的就是那這個速度如何\n\n01:16.801 --> 01:38.009\n因為這個成功率跟速度之間希望他也會得到好評?所謂成功的話是依法那兒少的移儲是24小時之內他如果成人的話是72小時所以基本上只要是移儲都會在24小時跟48小時裡面就能夠處理好大人的可以到72小孩子的就24\n\n01:39.378 --> 02:02.273\nOK了解因為從這個威嚇理論的原則上來看懲罰的嚴厲性、確定性跟迅速性越高就越能夠嚇阻這個犯罪的效率不過我剛剛聽到這個林委員所提供的資訊好像在執行過程當中這個完成率、時效性跟後面能夠得到嚇阻的作用似乎又有一些落差\n\n02:03.241 --> 02:21.541\n那有一些是在司法機關的他的處理的考慮啦包括還起訴啦或者說要減刑這個這事實上是司法機關他們的判斷是是那這部分因為外部還是主管機關嘛\n\n02:22.342 --> 02:23.203\n法官獨立審判他也不會開會\n\n02:38.570 --> 02:59.009\n了解了解所以等於是執行上的確真的是無法能夠讓回應這個民間的期待啦回應社會的期待這個部分我們很希望說能夠針對於未來在修法的過程裡面如何能夠更有效的去改變現在的困境跟窘境\n\n03:00.070 --> 03:25.572\n那我們這邊也看到說如果未來在執行上有更多需要做調整跟改變的地方很多的學術研究其實是重要的那我們等級上去查閱一下有關於這個保護師最近這幾年有沒有相關的這個委託研究結果是零這部分不知道將來如何有\n\n03:26.893 --> 03:51.169\n有效的去編列相關預算或是徵求相關的研究案來瞭解因為很多學術的研究後面的成果事實上可以提供我們行政單位來給相關的目前碰到的問題做比較深入的瞭解那同時也可以讓這樣的困境可以得到解除因為依照西班牙他們對兒少性害\n\n03:51.969 --> 04:08.654\n的研究裡面發現說他們的成長率5年成長激增了55%那他們透過相關的學術研究啊或者是一些研究過程發現說打擊任何形式的兒少性侵害最佳的方法是預防\n\n04:11.276 --> 04:24.956\n這個是很容易理解的一個研究成果可是畢竟很多的細節還是需要多了解所以如果能夠透過這個方式的話我們希望把這些內容也能夠提供到台灣來做參考\n\n04:26.398 --> 04:44.306\n可以麻煩用一個月的時間把有關於國際有關相關的研究成果可以匯報到本席這邊來做一個書面報告我們共同來瞭解那就麻煩部長這是有關於今天最重要\n\n04:45.166 --> 05:01.407\n很讓人覺得沉重的一個議題那接下來就是想要跟部長討論一下有關推動在宅醫療的這個可行性跟必要性因為上個禮拜去彰化做了一些視察跟了解\n\n05:02.208 --> 05:30.465\n到底我們在未來超高齡社會當中如何去因應目前在治療或者是服務上的困境因為到2025年我們就知道臺灣進入到65歲以上的長者超過20%這樣超高齡社會的這種現況那在面對這樣的現況的時候有提到對策跟方案這個對策方案裡面倒宅式的健康照護是一個很重要的一個環節\n\n05:31.946 --> 05:56.496\n那針對這部分當初也訂了一些目標包括要在112年的時候可以提供相關的這個擴大居家服務方案裡面有3000家可以進行相關的服務內容那不知道這個目標去年的大成立是如何這是112年就希望能夠到達3000家\n\n06:00.043 --> 06:17.440\n這是有去年的話是有達標去年是有達標那很棒很恭喜因為如果能夠提供比較好的大宅服務的話相對來講就可以讓我們這些失能或是外出就醫不方便的這些長者可以得到好的這個醫療招募的資源\n\n06:18.661 --> 06:34.987\n那這邊也提到說每一年會試著做年度的方法來做改善或者是做調控那有沒有更符合現狀需要的這些做調控的部分的內容各位請部長讓我們知道一下\n\n06:35.988 --> 06:54.460\n第一個當然就是說我們希望這一個能夠範圍更擴大第二個部分的話就是所謂的在宅醫療的部分的話那我們會把在這種長照機構裡面的住民把它納進來\n\n06:56.792 --> 07:14.760\n因為他同樣的需要就是說醫療團隊進入到機構裡面去提供這一些服務這是一個另外一個就是說在宅醫療的這個團隊要跟所謂的我們目前長照的\n\n07:15.920 --> 07:44.667\n所以所謂的這個居家失能者的這一個服務的方案要把它整合在一起所以這是目前我們既定的要推動的一個方向是在義務運上有沒有更能夠讓參與者可以更願意來投入這兩個部分在健保的部分的話那他的支付標準的話也現在正在研議要增加\n\n07:45.607 --> 07:59.908\n另外一個就是在長照的部分的話也會有一些資源可以進來所以未來希望除了在台醫療以外智慧醫療如果透過好的方式也可以提供更好的誘因\n\n08:01.050 --> 08:03.251\n對於醫療資源的永續經營是有很大的幫助\n\n08:25.220 --> 08:44.219\n最後還有一點點時間就是有關於這個藥品違規廣告亂象的部分這個也是讓社會覺得很傷腦筋的事情尤其最近日本出現這種健康的\n\n08:49.561 --> 09:06.986\n臺灣一直也受困於很多的藥品不當使用不一定是藥品或者是健康品的這些補充品的不當使用導致洗腎人口他可能是有相關性那這個當然他的相關性有多高是一個可以探討的事情不過\n\n09:08.346 --> 09:36.653\n很多的會把他當作一個不當用藥習慣導致的一個傷害那這部分我們也知道其實很努力的想要去找出不當的去做廣告的這些廠家怎麼罰都罰不完那曾經阿富部也被糾正被我們的監察院糾正說建都不利那這部分不知道部長最近有沒有更\n\n09:37.373 --> 10:03.924\n好的方案來因應這個困難我是跟我們12組的同仁講這個違法的藥品的廣告要取締的方向重點過去都放在廣告但是因為我在地方做過我知道有一個狀況你如果去找到了這一個廣告組的話通常他都是人頭\n\n10:05.404 --> 10:30.429\n他可能就是那單親的媽媽啦或是反正就是很可憐的一個家庭的他出來掛這個名他做這個廣告被你查到的話衛生局不太敢下重手去罰他因為他可能生活就會受到影響但是這個重點是怎麼樣是這藥怎麼樣提供給民眾所以是實體的那個藥才是重點\n\n10:31.684 --> 10:49.904\n那要從哪邊出來哪邊製造哪邊出來怎麼樣配送到這個民眾的手裡的話內部人最知道所以我現在請他們去擬一個計畫就是吹哨者的這一個鼓勵吹哨者的計畫我們可以從這邊的\n\n10:52.607 --> 11:06.318\n處罰因為如果是藥品的部分的話他的處罰金額是蠻高的我們可以從他的處罰金額裡面去提撥比方說10%20%來作為獎金如果能夠查到的話我就\n\n11:07.551 --> 11:08.211\n謝謝王俊勳委員的\n\n","segments":[{"start":6.64,"end":11.268,"text":"謝謝主席還是有請薛部長好請薛部長是"},{"start":15.422,"end":33.138,"text":"委員好學長好今天這個題目真的是很沉重我們剛剛聽到那麼多的委員提供給你們意見上的參考相信都是非常非常重要大家對於如果保護兒童能夠順利的成長真的都是"},{"start":33.718,"end":33.898,"text":"主席"},{"start":49.927,"end":75.901,"text":"我們早上也看到您提供的資料裡面從112年到113年當中相關的案件有767件來審理那其中相關去移除到有違規的部分有665件成功率到達86.7%這成功率的確很高不過我們比較想要了解的就是那這個速度如何"},{"start":76.801,"end":98.009,"text":"因為這個成功率跟速度之間希望他也會得到好評?所謂成功的話是依法那兒少的移儲是24小時之內他如果成人的話是72小時所以基本上只要是移儲都會在24小時跟48小時裡面就能夠處理好大人的可以到72小孩子的就24"},{"start":99.378,"end":122.273,"text":"OK 了解因為從這個威嚇理論的原則上來看懲罰的嚴厲性、確定性跟迅速性越高就越能夠嚇阻這個犯罪的效率不過我剛剛聽到這個林委員所提供的資訊好像在執行過程當中這個完成率、時效性跟後面能夠得到嚇阻的作用似乎又有一些落差"},{"start":123.241,"end":141.541,"text":"那有一些是在司法機關的他的處理的考慮啦包括還起訴啦或者說要減刑這個這事實上是司法機關他們的判斷是是那這部分因為外部還是主管機關嘛"},{"start":142.342,"end":143.203,"text":"法官獨立審判他也不會開會"},{"start":158.57,"end":179.009,"text":"了解了解所以等於是執行上的確真的是無法能夠讓回應這個民間的期待啦回應社會的期待這個部分我們很希望說能夠針對於未來在修法的過程裡面如何能夠更有效的去改變現在的困境跟窘境"},{"start":180.07,"end":205.572,"text":"那我們這邊也看到說如果未來在執行上有更多需要做調整跟改變的地方很多的學術研究其實是重要的那我們等級上去查閱一下有關於這個保護師最近這幾年有沒有相關的這個委託研究結果是零這部分不知道將來如何有"},{"start":206.893,"end":231.169,"text":"有效的去編列相關預算或是徵求相關的研究案來瞭解因為很多學術的研究後面的成果事實上可以提供我們行政單位來給相關的目前碰到的問題做比較深入的瞭解那同時也可以讓這樣的困境可以得到解除因為依照西班牙他們對兒少性害"},{"start":231.969,"end":248.654,"text":"的研究裡面發現說他們的成長率5年成長激增了55%那他們透過相關的學術研究啊或者是一些研究過程發現說打擊任何形式的兒少性侵害最佳的方法是預防"},{"start":251.276,"end":264.956,"text":"這個是很容易理解的一個研究成果可是畢竟很多的細節還是需要多了解所以如果能夠透過這個方式的話我們希望把這些內容也能夠提供到台灣來做參考"},{"start":266.398,"end":284.306,"text":"可以麻煩用一個月的時間把有關於國際有關相關的研究成果可以匯報到本席這邊來做一個書面報告我們共同來瞭解那就麻煩部長這是有關於今天最重要"},{"start":285.166,"end":301.407,"text":"很讓人覺得沉重的一個議題那接下來就是想要跟部長討論一下有關推動在宅醫療的這個可行性跟必要性因為上個禮拜去彰化做了一些視察跟了解"},{"start":302.208,"end":330.465,"text":"到底我們在未來超高齡社會當中如何去因應目前在治療或者是服務上的困境因為到2025年我們就知道臺灣進入到65歲以上的長者超過20%這樣超高齡社會的這種現況那在面對這樣的現況的時候有提到對策跟方案這個對策方案裡面倒宅式的健康照護是一個很重要的一個環節"},{"start":331.946,"end":356.496,"text":"那針對這部分當初也訂了一些目標包括要在112年的時候可以提供相關的這個擴大居家服務方案裡面有3000家可以進行相關的服務內容那不知道這個目標去年的大成立是如何這是112年就希望能夠到達3000家"},{"start":360.043,"end":377.44,"text":"這是有 去年的話是有達標去年是有達標 那很棒很恭喜因為如果能夠提供比較好的大宅服務的話相對來講就可以讓我們這些失能或是外出就醫不方便的這些長者可以得到好的這個醫療招募的資源"},{"start":378.661,"end":394.987,"text":"那這邊也提到說每一年會試著做年度的方法來做改善或者是做調控那有沒有更符合現狀需要的這些做調控的部分的內容各位請部長讓我們知道一下"},{"start":395.988,"end":414.46,"text":"第一個當然就是說我們希望這一個能夠範圍更擴大第二個部分的話就是所謂的在宅醫療的部分的話那我們會把在這種長照機構裡面的住民把它納進來"},{"start":416.792,"end":434.76,"text":"因為他同樣的需要就是說醫療團隊進入到機構裡面去提供這一些服務這是一個另外一個就是說在宅醫療的這個團隊要跟所謂的我們目前長照的"},{"start":435.92,"end":464.667,"text":"所以所謂的這個居家失能者的這一個服務的方案要把它整合在一起所以這是目前我們既定的要推動的一個方向是在義務運上有沒有更能夠讓參與者可以更願意來投入這兩個部分在健保的部分的話那他的支付標準的話也現在正在研議要增加"},{"start":465.607,"end":479.908,"text":"另外一個就是在長照的部分的話也會有一些資源可以進來所以未來希望除了在台醫療以外智慧醫療如果透過好的方式也可以提供更好的誘因"},{"start":481.05,"end":483.251,"text":"對於醫療資源的永續經營是有很大的幫助"},{"start":505.22,"end":524.219,"text":"最後還有一點點時間就是有關於這個藥品違規廣告亂象的部分這個也是讓社會覺得很傷腦筋的事情尤其最近日本出現這種健康的"},{"start":529.561,"end":546.986,"text":"臺灣一直也受困於很多的藥品不當使用不一定是藥品或者是健康品的這些補充品的不當使用導致洗腎人口他可能是有相關性那這個當然他的相關性有多高是一個可以探討的事情不過"},{"start":548.346,"end":576.653,"text":"很多的會把他當作一個不當用藥習慣導致的一個傷害那這部分我們也知道其實很努力的想要去找出不當的去做廣告的這些廠家怎麼罰都罰不完那曾經阿富部也被糾正被我們的監察院糾正說建都不利那這部分不知道部長最近有沒有更"},{"start":577.373,"end":603.924,"text":"好的方案來因應這個困難我是跟我們12組的同仁講這個違法的藥品的廣告要取締的方向重點過去都放在廣告但是因為我在地方做過我知道有一個狀況你如果去找到了這一個廣告組的話通常他都是人頭"},{"start":605.404,"end":630.429,"text":"他可能就是那單親的媽媽啦或是反正就是很可憐的一個家庭的他出來掛這個名他做這個廣告被你查到的話衛生局不太敢下重手去罰他因為他可能生活就會受到影響但是這個重點是怎麼樣是這藥怎麼樣提供給民眾所以是實體的那個藥才是重點"},{"start":631.684,"end":649.904,"text":"那要從哪邊出來哪邊製造哪邊出來怎麼樣配送到這個民眾的手裡的話內部人最知道所以我現在請他們去擬一個計畫就是吹哨者的這一個鼓勵吹哨者的計畫我們可以從這邊的"},{"start":652.607,"end":666.318,"text":"處罰因為如果是藥品的部分的話他的處罰金額是蠻高的我們可以從他的處罰金額裡面去提撥比方說10% 20%來作為獎金如果能夠查到的話我就"},{"start":667.551,"end":668.211,"text":"謝謝王俊勳委員的"}]}}}}