{"id":154405,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/154405","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/1f04b26fe05fa65a3eb22db9522be56efe28e669f0977b51132ad209ccdc2571d71fa32a71faafad5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"涂權吉","委員發言時間":"10:11:40 - 10:22:49","影片長度":"00:11:09","會議時間":"2024-07-01T09:00:00+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23次全體委員會議（事由：邀請衛生福利部部長就「有關健保合理支付、保障醫護人員收入、設置百億癌症基金及健康投資等事項」進行專題報告，並備質詢。）","type":"Clip","date":"2024-07-01","start_time":"2024-07-01T10:11:40+08:00","end_time":"2024-07-01T10:22:49+08:00","duration":669,"meet":{"tmpMeeting":null,"title":"第11屆第1會期社會福利及衛生環境委員會第23次全體委員會議","term":11,"type":"委員會","sessionPeriod":1,"sessionTimes":23,"committees":[26],"id":"委員會-11-1-26-23"},"features":["ai-transcript","gazette"],"gazette":{"lineno":405,"blocks":[["涂委員權吉：（10時11分）謝謝主席，請我們邱部長。"],["主席：請邱部長。"],["邱部長泰源：委員好。"],["涂委員權吉：邱部長，我請問一下，最近這個新聞滿天飛，針對我們護理人員缺人的問題，衛福部應該有瞭解吧？"],["邱部長泰源：當然瞭解。"],["涂委員權吉：我有看了你們的專案報告，你們調整了三班護病比比例的這個新制，也是希望能夠以此來改善現在護理的職場環境，對不對？"],["邱部長泰源：是的。"],["涂委員權吉：請問現在施行的成效如何？"],["邱部長泰源：在今年的3月1號行政院有通過3個方向、12個策略，包括第一個補助夜班的獎勵，這個大概有撥了40億，我們也申請到中長程，這個應該沒有問題，中長程的一個護理……"],["涂委員權吉：現在施行的成效好嗎？有沒有解決我們缺人的問題？"],["邱部長泰源：因為大院委員的關心以及政府的努力，其實可以發現各個醫院現在的回報都說最近的回任率都有提高啦，當然我們要再仔細去評估，但是只要我們有努力，我相信就會一直改善。"],["涂委員權吉：好，我們也希望能夠改善啦。從衛福部112年分級醫療整體成效進度追蹤來看，看起來地區醫院整體就醫件數的成長率好像比醫學中心、區域醫院來得更顯著，所以我們可以看到地區醫院現在負責的量能看起來是越來越多，從這個數據來看，對不對？地區醫院看起來成長數是提高的，所以它的量能從數據看來也是增加。我們如果以衛福部三班護病比的這個標準來看，地區醫院負責的標準、比例好像也是比較多，對不對？我們看這個比例嘛，所以我們現在擔心的就是說……"],["邱部長泰源：他照顧的人比較多！"],["涂委員權吉：他這個標準比較高，而且現在我們看到的就醫件數、量能也是一直增加，可是我們看一下夜班獎勵的制度，現在三級醫療機構的護理師所做的事情其實是幾乎完全一樣的，可是我們來看醫學中心、區域醫院及地區醫院的夜班獎勵，對地區醫院的獎勵就是偏低，所以我們認為針對這個部分，你可以看到地區醫院的量能逐年增加，然後護病比的比例也負擔加重，但夜班的獎勵卻是最少的，所以我們也看到地區醫院護理人員的離職潮是越來越多，這個離職潮與醫學中心、區域醫院相比，地區醫院看起來的空缺率跟總離職率是最高的，部長針對這個部分有沒有什麼作法？"],["邱部長泰源：謝謝涂委員提出這些重要的數據，我個人覺得，所有的醫護人員不管是在哪一級的醫院或者是診所，都是盡心盡力，都肩負了跟民眾……"],["涂委員權吉：部長，針對這個部分，我們希望……"],["邱部長泰源：所以有關地區醫院，我相信地區醫院的護理同仁他們也是肩負起很大的責任。"],["涂委員權吉：對，你看它的就醫量能是提高的，然後它所負擔的這個標準又是更高，相對的是它做得多，但它的獎勵反而少，所以我們希望針對三班護病比及夜間獎勵的部分應該要儘量做到一致，不然你看地區醫院的離職率越來越高，空缺率也越來越高，尤其像我自己的選區──大園、觀音、新屋、楊梅，是全桃園醫療資源最匱乏的地方，而且我們那時候也有去視察，當然我們針對新屋分院的擴建以及大坡腳長照設施是有規劃去做，但是我們現在這個區塊，只有楊梅的天成醫院、大園的敏盛醫院及新屋的部桃新屋分院這三家地區醫院，可是這三家醫院我們看到的是只有醫院的硬體，卻招不到護理人員，所以針對這個部分，我希望部長能夠重視我們這邊地區醫院的缺人問題。"],["邱部長泰源：我們非常重視，尤其偏鄉，不管是哪一個地方，找不到人力就一定要想盡辦法，而且我們也絕對是一視同仁，雖然可能客觀上、主觀上大家會認為不同的單位會有不同的壓力，但是站在醫療、醫護同仁對病人的同理心，他們的付出都是一樣的，所以你剛剛提出的這些數據是一個很好的根據，我們會滾動式來檢討。"],["涂委員權吉：部長，我們今天提出這個問題就是希望衛福部真的能重視我們桃園，尤其我們沿海南區的區域，醫療資源最匱乏，你看這麼大的區域只有三家地區醫院，而且重點是護理人員非常短缺，只有硬體，可是並沒有護理人才，這個短缺的問題，而且那時候我們在講，我們要增加新屋分院的擴建以及大坡腳長照設施，我們也擔心，如果這個部分沒有改善，我們護理人員短缺的問題會越來越嚴重，請部長一定要重視這個問題。"],["邱部長泰源：是的、是的。"],["涂委員權吉：還有，醫療工會團體有針對全臺灣82家醫院、500名護理師進行調查後發現，針對衛福部所推出的這個新制，有超過九成的醫院都未落實，不知道部長覺得這部分的訊息是正確的嗎？幾乎有九成都沒有在落實啊！"],["邱部長泰源：我想各個醫院都有……"],["涂委員權吉：部長，這個部分我們今天提出來，希望你們能夠重視，我們推的這個新制……"],["邱部長泰源：這是工會自行調查的，我們公告的的確是有一些都有達到啦，但是達到的比例我們真的還是覺得不夠滿意啦！"],["涂委員權吉：而且我們希望，像醫院裡面有內科也有外科，有一般性病房也有慢性病房，還有呼吸照護病房、加護病房等等，但是我們現在所做的好像是全院的總體醫護比，對不對？總體的護病比，我們是做全院的，對不對？總體的護病比。"],["邱部長泰源：因為這個比較有可行性，我知道護理界也有反映應以不同的病房為單位，只要任何人反映，我們都會把它列入重要的研議的事項……"],["涂委員權吉：我們希望能夠針對……"],["邱部長泰源：但是在計算上可能會比較困難。"],["涂委員權吉：我們希望儘量針對每個病房，你不要做全院，不然這個數據會失真。假設骨科病房白天班1比12，但是有可能內科病房只有1比8，但是你整體全院算下來1比10，你覺得它符合標準，但是在醫院裡面其實各科的落差是很大的，所以我們希望儘量能夠針對每個病房去計算護病比，不是用全院去計算；而且應針對各病房的護病比來調整床數的配置，這樣子才能真正緩解基層護理人員的負擔。還有針對這部分，三班護病比的新制還有夜間獎勵制度，我覺得這個應該有很大的改善空間，不然為什麼會造成護理人員這麼短缺？是不是這個制度上有很大的改善空間？"],["邱部長泰源：委員是指三班護病比還是？"],["涂委員權吉：三班護病比還有獎勵制度，就像我們剛剛講的，這個制度上應該有很大的改善空間，而且我們剛剛可以看得到，很多醫院、九成的醫院並沒有落實這個新制，所以我認為我們應該要有效、有力的方式去約束醫院來落實這個新制，目前我們如果僅以獎勵的制度，我們覺得會讓護理人員覺得看得到吃不到，然後感覺衛福部訂定這一些新制好像是跟醫院站在一起，而且並沒有真正在落實，是漠視基層護理人員的辛酸。"],["邱部長泰源：我完全瞭解，我跟各位委員的心都是一致的，希望趕快改善現在的醫療困境，但是，因為這是要多方面研議，我們也要讓醫院能夠順利來經營，醫事人員的福利要照顧，這中間怎麼樣取得一個共識，一個大家都能夠三贏的局面，我現在在努力……"],["涂委員權吉：我覺得，部長，你針對我們前面這幾個數據好好研議一下。"],["邱部長泰源：好。"],["涂委員權吉：你看在地區醫院，它現在整個量能，就醫比例的量能是一直逐年在攀升，然後你的標準比對於地區醫院也是不友善，而且醫學中心、區域醫院跟地區醫院的獎勵制度，地區醫院量能又大，標準又高，結果他的夜班獎金制度又是偏低，難怪造成地區醫院的護理人員短缺，而且離職率非常高……"],["邱部長泰源：好，我們來檢討。"],["涂委員權吉：我希望我們衛福部一定要重視這個問題。"],["邱部長泰源：我們會滾動式一直檢討。"],["涂委員權吉：尤其我剛剛講，我們這個選區本來醫療資源就很匱乏，我們這邊只有三個地區醫院，而且重點是護理人員短缺的非常嚴重，所以衛福部希望能夠正視，好好來解決這個問題。"],["邱部長泰源：是的，我非常瞭解那個地方，因為那幾個地區醫院的院長都是我好朋友，他們的困難，我真的也非常清楚，我一定會全力來解決。"],["涂委員權吉：好，希望部長針對我們沿海醫療匱乏的地方護理人員的短缺，希望能夠好好的幫我們改善。謝謝。"],["邱部長泰源：是、是的，全力以赴。"],["主席：謝謝涂權吉委員的發言。","接下來請廖偉翔委員發言。"]],"agenda":{"page_end":118,"meet_id":"委員會-11-1-26-23","speakers":["黃秀芳","陳昭姿","林月琴","陳菁徽","邱鎮軍","王育敏","涂權吉","廖偉翔","蘇清泉","王正旭","鄭天財Sra 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00:01:09,837\n我們以在今年的3月1號有通過行政會有通過3個方向12個策略那包括第一個補助這個夜班的獎勵這個大概有40億那我們也申請到中長城這個應該沒有問題中長城的一個那現在施行的成效好嗎?有沒有解決這個我們缺人的問題?\n\n4\n00:01:10,618 --> 00:01:24,691\n因為大家大院委員的關心以及政府的努力,其實你會發現各個議院他們現在回報都說,像最近的一個就回任例\n\n5\n00:01:26,172 --> 00:01:32,457\n那從我們衛福部112年這分級醫療整體成效進度追蹤來看我們看起來地區醫院這整體就醫的建樹好像成長率比醫學中心區醫院\n\n6\n00:02:21,972 --> 00:02:37,060\n就是針對我們我們看這個比例嘛所以我們這個我們現在擔心的就是說他這個標準標準比較高而且他現在我們看到他這個就醫件數量能也是一直增加\n\n7\n00:02:37,740 --> 00:03:00,008\n那可是我們看一下我們夜班獎勵的制度我們現在是說針對三級醫療機構他護理師所做的事情其實是幾乎完全一樣可是我們針對看那個夜班比例醫學中心跟區醫院還有地區醫院我們看得到這個對地區醫院這個獎勵就是偏低所以我們\n\n8\n00:03:00,868 --> 00:03:29,663\n想說針對這一部分我們地區醫院你看它量能逐年增加然後它護病比的比例也負擔加重然後夜班的獎勵它卻是最少的所以我們也看得到我們地區醫院這護理人員這離職潮是越來越多而且離職潮在我們醫學中心區醫院跟地區醫院看起來它的空缺率跟總離職率是最高的那部長針對這一部分有沒有什麼做法\n\n9\n00:03:29,983 --> 00:03:52,094\n所以突然提出這麼一些重要的事據我個人覺得所有的醫護人員不管他在哪一個級的醫院或者是到診所都是盡心盡力都是有負擔的跟民眾部長我針對這部分我們希望所以第七醫院我覺得第七醫院的\n\n10\n00:03:52,714 --> 00:04:15,911\n副與同仁我相信他們也是肩負起很大的責任對所以你看喔他的他的就醫這個量能是提高的然後他他所負擔著這個標準又是更高所以相對反而他做的多他的獎勵反而少所以我們希望針對三班互變比還有夜間獎勵的部分我們覺得應該要盡量做到一致\n\n11\n00:04:16,331 --> 00:04:35,498\n不然你看這個地區醫院它離職率越來越高這個空缺率也越來越高尤其像我們我自己這個選區大園、觀音、新屋、陽梅是我們全桃園醫療資源最匱乏的地方而且我們那時候也有去視察當然我們針對我們\n\n12\n00:04:37,919 --> 00:05:06,821\n新屋分院的擴建還有大坡角長照設施我們是有規劃去做但是我們現在這個區塊只有陽梅的天成醫院還有大園的閩生醫院還有新屋的布陶新屋分院這三家地區醫院可是這三家醫院我們看得到它變成只有醫院的硬體可是招不到護理人員所以這部分我希望部長能夠重視我們這邊地區醫院這缺人的問題\n\n13\n00:05:08,171 --> 00:05:33,038\n我們非常重視尤其偏鄉不管是哪一個地方找不到他的人你一定想盡辦法而且我們也絕對是一視同仁雖然可能客觀上主觀上大家會認為不同的單位會有不同的壓力但是站在醫療醫護同仁的對病人的一個同理心他們都是互出是一樣的所以你剛剛提出這些數據\n\n14\n00:05:34,338 --> 00:05:55,663\n是一個很好的根據我們會滾動試著來檢討我們今天提出真的就是希望重視我們這個桃園尤其我們這沿海南區這區域醫療資源最匱乏你看這麼大的區域它只有三家地區醫院而且重點它的護理人員是非常短缺只有硬體可是並沒有這個\n\n15\n00:05:56,963 --> 00:05:57,303\n是的是的\n\n16\n00:06:16,109 --> 00:06:16,269\n我想各個醫院都有\n\n17\n00:06:46,516 --> 00:06:47,180\n他們那個\n\n18\n00:06:49,481 --> 00:07:16,605\n部長我覺得這部分我們今天提出真的希望能夠重視我們推這個新制的確是有一些都有達到但是達到的比例我們真的還是覺得不夠滿意而且我們看我們希望我們針對像我們醫院裡面有內科也有外科它有一般性病房也有慢性病房還有呼吸照護病房加護病房等等但是我們現在所做的好像\n\n19\n00:07:17,165 --> 00:07:19,508\n是全院的總體醫護比對不對總體護病比\n\n20\n00:07:25,014 --> 00:07:49,965\n我們是做全院的對不對,總體護病比嘛這是比較可行性,我知道有護理界也有反映到不同的病房那我們只要任何人反映,我們都把他列入重要的我們希望齁,能夠針對但是在計算上可能會比較困難我們希望盡量針對每個病房,你不要做全院\n\n21\n00:07:50,465 --> 00:07:50,605\n涂權吉\n\n22\n00:08:09,597 --> 00:08:26,331\n所以我們希望盡量針對我們能夠做每個病房的護理師比不是用全院去比而且針對各病房的護病比來調整我們床數的配置這樣子我們才能真正緩解我們基層人員護理人員的負擔\n\n23\n00:08:29,059 --> 00:08:45,605\n還有我們針對這一部分我們三班互併比的新制我覺得還有我們夜間獎勵制度我覺得這應該有很大的改善空間不然為什麼會造成我們護理人員這麼短缺是不是這個制度上我覺得有很大的改善的空間\n\n24\n00:08:49,139 --> 00:09:09,640\n三班戶病比還有這個獎勵制度就像我們剛剛講的你這個制度上應該有很大改善空間而且我們剛剛可以看得到很多的醫院九成的醫院並沒有落實這個心智所以我們認為應該我們要有效有力的方式去約束醫院來落實這個心智\n\n25\n00:09:10,080 --> 00:09:29,645\n目前我們如果僅以獎勵的制度我們覺得會讓我們的護理人員覺得看得到吃不到然後感覺我們衛福部定定這些心智好像是跟醫院站在一起而且並沒有真正在落實是漠視我們護理人員基層的心酸\n\n26\n00:09:31,417 --> 00:09:43,666\n我完全了解,我跟各位委員的心都一致的,希望趕快改善醫療現在的困境但是因為就是要多方面研議,醫院我們也要讓他能夠順利來經營醫事人員的福利要照顧,這中間怎麼樣取得一個共識\n\n27\n00:09:53,152 --> 00:10:21,198\n一個大家都能夠三贏的局面我希望部長部長你針對我們前面這幾個數據你要好好研議一下你看這地區醫院他現在整個他整個量能就醫比例這量能是一直逐年在攀升然後你這個標準比對地區醫院也是不友善而且這個獎勵制度醫學中心區醫院跟地區醫院地區醫院量能又大標準又高\n\n28\n00:10:21,898 --> 00:10:34,266\n結果他的獎金、夜班獎金制度而且又是偏低所以難怪造成我們地區醫院護理人員短缺而且離職率非常高我們會滾動是一直檢討尤其我剛剛講我們這個選區本來醫療資源就很匱乏我們這邊只有三個地區醫院可是只有三個地區醫院而且重點\n\n29\n00:10:44,972 --> 00:10:44,992\n好,謝謝\n\n","tsv":"start\tend\ttext\n7268\t19658\t好 謝謝主席 請我們邱部長請邱部長委員好 邱部長我請問一下最近這個新聞滿天飛針對我們護理人員缺人這個問題衛福部應該有瞭解吧\n26931\t42815\t那我看一下你們的專案報告那我們針對三班互變比這比例的新制我們也是希望能夠改善現在護理的職場環境對不對是的那現在施行的成效如何\n45816\t69837\t我們以在今年的3月1號有通過行政會有通過3個方向12個策略那包括第一個補助這個夜班的獎勵這個大概有40億那我們也申請到中長城這個應該沒有問題中長城的一個那現在施行的成效好嗎?有沒有解決這個我們缺人的問題?\n70618\t84691\t因為大家大院委員的關心以及政府的努力,其實你會發現各個議院他們現在回報都說,像最近的一個就回任例\n86172\t92457\t那從我們衛福部112年這分級醫療整體成效進度追蹤來看我們看起來地區醫院這整體就醫的建樹好像成長率比醫學中心區醫院\n111510\t141425\t對﹖對這個\n141972\t157060\t就是針對我們我們看這個比例嘛所以我們這個我們現在擔心的就是說他這個標準標準比較高而且他現在我們看到他這個就醫件數量能也是一直增加\n157740\t180008\t那可是我們看一下我們夜班獎勵的制度我們現在是說針對三級醫療機構他護理師所做的事情其實是幾乎完全一樣可是我們針對看那個夜班比例醫學中心跟區醫院還有地區醫院我們看得到這個對地區醫院這個獎勵就是偏低所以我們\n180868\t209663\t想說針對這一部分我們地區醫院你看它量能逐年增加然後它護病比的比例也負擔加重然後夜班的獎勵它卻是最少的所以我們也看得到我們地區醫院這護理人員這離職潮是越來越多而且離職潮在我們醫學中心區醫院跟地區醫院看起來它的空缺率跟總離職率是最高的那部長針對這一部分有沒有什麼做法\n209983\t232094\t所以突然提出這麼一些重要的事據我個人覺得所有的醫護人員不管他在哪一個級的醫院或者是到診所都是盡心盡力都是有負擔的跟民眾部長我針對這部分我們希望所以第七醫院我覺得第七醫院的\n232714\t255911\t副與同仁我相信他們也是肩負起很大的責任對所以你看喔他的他的就醫這個量能是提高的然後他他所負擔著這個標準又是更高所以相對反而他做的多他的獎勵反而少所以我們希望針對三班互變比還有夜間獎勵的部分我們覺得應該要盡量做到一致\n256331\t275498\t不然你看這個地區醫院它離職率越來越高這個空缺率也越來越高尤其像我們我自己這個選區大園、觀音、新屋、陽梅是我們全桃園醫療資源最匱乏的地方而且我們那時候也有去視察當然我們針對我們\n277919\t306821\t新屋分院的擴建還有大坡角長照設施我們是有規劃去做但是我們現在這個區塊只有陽梅的天成醫院還有大園的閩生醫院還有新屋的布陶新屋分院這三家地區醫院可是這三家醫院我們看得到它變成只有醫院的硬體可是招不到護理人員所以這部分我希望部長能夠重視我們這邊地區醫院這缺人的問題\n308171\t333038\t我們非常重視尤其偏鄉不管是哪一個地方找不到他的人你一定想盡辦法而且我們也絕對是一視同仁雖然可能客觀上主觀上大家會認為不同的單位會有不同的壓力但是站在醫療醫護同仁的對病人的一個同理心他們都是互出是一樣的所以你剛剛提出這些數據\n334338\t355663\t是一個很好的根據我們會滾動試著來檢討我們今天提出真的就是希望重視我們這個桃園尤其我們這沿海南區這區域醫療資源最匱乏你看這麼大的區域它只有三家地區醫院而且重點它的護理人員是非常短缺只有硬體可是並沒有這個\n356963\t357303\t是的 是的\n376109\t376269\t我想各個醫院都有\n406516\t407180\t他們那個\n409481\t436605\t部長我覺得這部分我們今天提出真的希望能夠重視我們推這個新制的確是有一些都有達到但是達到的比例我們真的還是覺得不夠滿意而且我們看我們希望我們針對像我們醫院裡面有內科也有外科它有一般性病房也有慢性病房還有呼吸照護病房加護病房等等但是我們現在所做的好像\n437165\t439508\t是全院的總體醫護比對不對總體護病比\n445014\t469965\t我們是做全院的對不對,總體護病比嘛這是比較可行性,我知道有護理界也有反映到不同的病房那我們只要任何人反映,我們都把他列入重要的我們希望齁,能夠針對但是在計算上可能會比較困難我們希望盡量針對每個病房,你不要做全院\n470465\t470605\t涂權吉\n489597\t506331\t所以我們希望盡量針對我們能夠做每個病房的護理師比不是用全院去比而且針對各病房的護病比來調整我們床數的配置這樣子我們才能真正緩解我們基層人員護理人員的負擔\n509059\t525605\t還有我們針對這一部分我們三班互併比的新制我覺得還有我們夜間獎勵制度我覺得這應該有很大的改善空間不然為什麼會造成我們護理人員這麼短缺是不是這個制度上我覺得有很大的改善的空間\n529139\t549640\t三班戶病比還有這個獎勵制度就像我們剛剛講的你這個制度上應該有很大改善空間而且我們剛剛可以看得到很多的醫院九成的醫院並沒有落實這個心智所以我們認為應該我們要有效有力的方式去約束醫院來落實這個心智\n550080\t569645\t目前我們如果僅以獎勵的制度我們覺得會讓我們的護理人員覺得看得到吃不到然後感覺我們衛福部定定這些心智好像是跟醫院站在一起而且並沒有真正在落實是漠視我們護理人員基層的心酸\n571417\t583666\t我完全了解,我跟各位委員的心都一致的,希望趕快改善醫療現在的困境但是因為就是要多方面研議,醫院我們也要讓他能夠順利來經營醫事人員的福利要照顧,這中間怎麼樣取得一個共識\n593152\t621198\t一個大家都能夠三贏的局面我希望部長部長你針對我們前面這幾個數據你要好好研議一下你看這地區醫院他現在整個他整個量能就醫比例這量能是一直逐年在攀升然後你這個標準比對地區醫院也是不友善而且這個獎勵制度醫學中心區醫院跟地區醫院地區醫院量能又大標準又高\n621898\t634266\t結果他的獎金、夜班獎金制度而且又是偏低所以難怪造成我們地區醫院護理人員短缺而且離職率非常高我們會滾動是一直檢討尤其我剛剛講我們這個選區本來醫療資源就很匱乏我們這邊只有三個地區醫院可是只有三個地區醫院而且重點\n644972\t644992\t好,謝謝\n","txt":"好 謝謝主席 請我們邱部長請邱部長委員好 邱部長我請問一下最近這個新聞滿天飛針對我們護理人員缺人這個問題衛福部應該有瞭解吧\n那我看一下你們的專案報告那我們針對三班互變比這比例的新制我們也是希望能夠改善現在護理的職場環境對不對是的那現在施行的成效如何\n我們以在今年的3月1號有通過行政會有通過3個方向12個策略那包括第一個補助這個夜班的獎勵這個大概有40億那我們也申請到中長城這個應該沒有問題中長城的一個那現在施行的成效好嗎?有沒有解決這個我們缺人的問題?\n因為大家大院委員的關心以及政府的努力,其實你會發現各個議院他們現在回報都說,像最近的一個就回任例\n那從我們衛福部112年這分級醫療整體成效進度追蹤來看我們看起來地區醫院這整體就醫的建樹好像成長率比醫學中心區醫院\n對﹖對這個\n就是針對我們我們看這個比例嘛所以我們這個我們現在擔心的就是說他這個標準標準比較高而且他現在我們看到他這個就醫件數量能也是一直增加\n那可是我們看一下我們夜班獎勵的制度我們現在是說針對三級醫療機構他護理師所做的事情其實是幾乎完全一樣可是我們針對看那個夜班比例醫學中心跟區醫院還有地區醫院我們看得到這個對地區醫院這個獎勵就是偏低所以我們\n想說針對這一部分我們地區醫院你看它量能逐年增加然後它護病比的比例也負擔加重然後夜班的獎勵它卻是最少的所以我們也看得到我們地區醫院這護理人員這離職潮是越來越多而且離職潮在我們醫學中心區醫院跟地區醫院看起來它的空缺率跟總離職率是最高的那部長針對這一部分有沒有什麼做法\n所以突然提出這麼一些重要的事據我個人覺得所有的醫護人員不管他在哪一個級的醫院或者是到診所都是盡心盡力都是有負擔的跟民眾部長我針對這部分我們希望所以第七醫院我覺得第七醫院的\n副與同仁我相信他們也是肩負起很大的責任對所以你看喔他的他的就醫這個量能是提高的然後他他所負擔著這個標準又是更高所以相對反而他做的多他的獎勵反而少所以我們希望針對三班互變比還有夜間獎勵的部分我們覺得應該要盡量做到一致\n不然你看這個地區醫院它離職率越來越高這個空缺率也越來越高尤其像我們我自己這個選區大園、觀音、新屋、陽梅是我們全桃園醫療資源最匱乏的地方而且我們那時候也有去視察當然我們針對我們\n新屋分院的擴建還有大坡角長照設施我們是有規劃去做但是我們現在這個區塊只有陽梅的天成醫院還有大園的閩生醫院還有新屋的布陶新屋分院這三家地區醫院可是這三家醫院我們看得到它變成只有醫院的硬體可是招不到護理人員所以這部分我希望部長能夠重視我們這邊地區醫院這缺人的問題\n我們非常重視尤其偏鄉不管是哪一個地方找不到他的人你一定想盡辦法而且我們也絕對是一視同仁雖然可能客觀上主觀上大家會認為不同的單位會有不同的壓力但是站在醫療醫護同仁的對病人的一個同理心他們都是互出是一樣的所以你剛剛提出這些數據\n是一個很好的根據我們會滾動試著來檢討我們今天提出真的就是希望重視我們這個桃園尤其我們這沿海南區這區域醫療資源最匱乏你看這麼大的區域它只有三家地區醫院而且重點它的護理人員是非常短缺只有硬體可是並沒有這個\n是的 是的\n我想各個醫院都有\n他們那個\n部長我覺得這部分我們今天提出真的希望能夠重視我們推這個新制的確是有一些都有達到但是達到的比例我們真的還是覺得不夠滿意而且我們看我們希望我們針對像我們醫院裡面有內科也有外科它有一般性病房也有慢性病房還有呼吸照護病房加護病房等等但是我們現在所做的好像\n是全院的總體醫護比對不對總體護病比\n我們是做全院的對不對,總體護病比嘛這是比較可行性,我知道有護理界也有反映到不同的病房那我們只要任何人反映,我們都把他列入重要的我們希望齁,能夠針對但是在計算上可能會比較困難我們希望盡量針對每個病房,你不要做全院\n涂權吉\n所以我們希望盡量針對我們能夠做每個病房的護理師比不是用全院去比而且針對各病房的護病比來調整我們床數的配置這樣子我們才能真正緩解我們基層人員護理人員的負擔\n還有我們針對這一部分我們三班互併比的新制我覺得還有我們夜間獎勵制度我覺得這應該有很大的改善空間不然為什麼會造成我們護理人員這麼短缺是不是這個制度上我覺得有很大的改善的空間\n三班戶病比還有這個獎勵制度就像我們剛剛講的你這個制度上應該有很大改善空間而且我們剛剛可以看得到很多的醫院九成的醫院並沒有落實這個心智所以我們認為應該我們要有效有力的方式去約束醫院來落實這個心智\n目前我們如果僅以獎勵的制度我們覺得會讓我們的護理人員覺得看得到吃不到然後感覺我們衛福部定定這些心智好像是跟醫院站在一起而且並沒有真正在落實是漠視我們護理人員基層的心酸\n我完全了解,我跟各位委員的心都一致的,希望趕快改善醫療現在的困境但是因為就是要多方面研議,醫院我們也要讓他能夠順利來經營醫事人員的福利要照顧,這中間怎麼樣取得一個共識\n一個大家都能夠三贏的局面我希望部長部長你針對我們前面這幾個數據你要好好研議一下你看這地區醫院他現在整個他整個量能就醫比例這量能是一直逐年在攀升然後你這個標準比對地區醫院也是不友善而且這個獎勵制度醫學中心區醫院跟地區醫院地區醫院量能又大標準又高\n結果他的獎金、夜班獎金制度而且又是偏低所以難怪造成我們地區醫院護理人員短缺而且離職率非常高我們會滾動是一直檢討尤其我剛剛講我們這個選區本來醫療資源就很匱乏我們這邊只有三個地區醫院可是只有三個地區醫院而且重點\n好,謝謝\n","vtt":"WEBVTT\n\n00:07.268 --> 00:19.658\n好謝謝主席請我們邱部長請邱部長委員好邱部長我請問一下最近這個新聞滿天飛針對我們護理人員缺人這個問題衛福部應該有瞭解吧\n\n00:26.931 --> 00:42.815\n那我看一下你們的專案報告那我們針對三班互變比這比例的新制我們也是希望能夠改善現在護理的職場環境對不對是的那現在施行的成效如何\n\n00:45.816 --> 01:09.837\n我們以在今年的3月1號有通過行政會有通過3個方向12個策略那包括第一個補助這個夜班的獎勵這個大概有40億那我們也申請到中長城這個應該沒有問題中長城的一個那現在施行的成效好嗎?有沒有解決這個我們缺人的問題?\n\n01:10.618 --> 01:24.691\n因為大家大院委員的關心以及政府的努力,其實你會發現各個議院他們現在回報都說,像最近的一個就回任例\n\n01:26.172 --> 01:32.457\n那從我們衛福部112年這分級醫療整體成效進度追蹤來看我們看起來地區醫院這整體就醫的建樹好像成長率比醫學中心區醫院\n\n02:21.972 --> 02:37.060\n就是針對我們我們看這個比例嘛所以我們這個我們現在擔心的就是說他這個標準標準比較高而且他現在我們看到他這個就醫件數量能也是一直增加\n\n02:37.740 --> 03:00.008\n那可是我們看一下我們夜班獎勵的制度我們現在是說針對三級醫療機構他護理師所做的事情其實是幾乎完全一樣可是我們針對看那個夜班比例醫學中心跟區醫院還有地區醫院我們看得到這個對地區醫院這個獎勵就是偏低所以我們\n\n03:00.868 --> 03:29.663\n想說針對這一部分我們地區醫院你看它量能逐年增加然後它護病比的比例也負擔加重然後夜班的獎勵它卻是最少的所以我們也看得到我們地區醫院這護理人員這離職潮是越來越多而且離職潮在我們醫學中心區醫院跟地區醫院看起來它的空缺率跟總離職率是最高的那部長針對這一部分有沒有什麼做法\n\n03:29.983 --> 03:52.094\n所以突然提出這麼一些重要的事據我個人覺得所有的醫護人員不管他在哪一個級的醫院或者是到診所都是盡心盡力都是有負擔的跟民眾部長我針對這部分我們希望所以第七醫院我覺得第七醫院的\n\n03:52.714 --> 04:15.911\n副與同仁我相信他們也是肩負起很大的責任對所以你看喔他的他的就醫這個量能是提高的然後他他所負擔著這個標準又是更高所以相對反而他做的多他的獎勵反而少所以我們希望針對三班互變比還有夜間獎勵的部分我們覺得應該要盡量做到一致\n\n04:16.331 --> 04:35.498\n不然你看這個地區醫院它離職率越來越高這個空缺率也越來越高尤其像我們我自己這個選區大園、觀音、新屋、陽梅是我們全桃園醫療資源最匱乏的地方而且我們那時候也有去視察當然我們針對我們\n\n04:37.919 --> 05:06.821\n新屋分院的擴建還有大坡角長照設施我們是有規劃去做但是我們現在這個區塊只有陽梅的天成醫院還有大園的閩生醫院還有新屋的布陶新屋分院這三家地區醫院可是這三家醫院我們看得到它變成只有醫院的硬體可是招不到護理人員所以這部分我希望部長能夠重視我們這邊地區醫院這缺人的問題\n\n05:08.171 --> 05:33.038\n我們非常重視尤其偏鄉不管是哪一個地方找不到他的人你一定想盡辦法而且我們也絕對是一視同仁雖然可能客觀上主觀上大家會認為不同的單位會有不同的壓力但是站在醫療醫護同仁的對病人的一個同理心他們都是互出是一樣的所以你剛剛提出這些數據\n\n05:34.338 --> 05:55.663\n是一個很好的根據我們會滾動試著來檢討我們今天提出真的就是希望重視我們這個桃園尤其我們這沿海南區這區域醫療資源最匱乏你看這麼大的區域它只有三家地區醫院而且重點它的護理人員是非常短缺只有硬體可是並沒有這個\n\n05:56.963 --> 05:57.303\n是的是的\n\n06:16.109 --> 06:16.269\n我想各個醫院都有\n\n06:46.516 --> 06:47.180\n他們那個\n\n06:49.481 --> 07:16.605\n部長我覺得這部分我們今天提出真的希望能夠重視我們推這個新制的確是有一些都有達到但是達到的比例我們真的還是覺得不夠滿意而且我們看我們希望我們針對像我們醫院裡面有內科也有外科它有一般性病房也有慢性病房還有呼吸照護病房加護病房等等但是我們現在所做的好像\n\n07:17.165 --> 07:19.508\n是全院的總體醫護比對不對總體護病比\n\n07:25.014 --> 07:49.965\n我們是做全院的對不對,總體護病比嘛這是比較可行性,我知道有護理界也有反映到不同的病房那我們只要任何人反映,我們都把他列入重要的我們希望齁,能夠針對但是在計算上可能會比較困難我們希望盡量針對每個病房,你不要做全院\n\n07:50.465 --> 07:50.605\n涂權吉\n\n08:09.597 --> 08:26.331\n所以我們希望盡量針對我們能夠做每個病房的護理師比不是用全院去比而且針對各病房的護病比來調整我們床數的配置這樣子我們才能真正緩解我們基層人員護理人員的負擔\n\n08:29.059 --> 08:45.605\n還有我們針對這一部分我們三班互併比的新制我覺得還有我們夜間獎勵制度我覺得這應該有很大的改善空間不然為什麼會造成我們護理人員這麼短缺是不是這個制度上我覺得有很大的改善的空間\n\n08:49.139 --> 09:09.640\n三班戶病比還有這個獎勵制度就像我們剛剛講的你這個制度上應該有很大改善空間而且我們剛剛可以看得到很多的醫院九成的醫院並沒有落實這個心智所以我們認為應該我們要有效有力的方式去約束醫院來落實這個心智\n\n09:10.080 --> 09:29.645\n目前我們如果僅以獎勵的制度我們覺得會讓我們的護理人員覺得看得到吃不到然後感覺我們衛福部定定這些心智好像是跟醫院站在一起而且並沒有真正在落實是漠視我們護理人員基層的心酸\n\n09:31.417 --> 09:43.666\n我完全了解,我跟各位委員的心都一致的,希望趕快改善醫療現在的困境但是因為就是要多方面研議,醫院我們也要讓他能夠順利來經營醫事人員的福利要照顧,這中間怎麼樣取得一個共識\n\n09:53.152 --> 10:21.198\n一個大家都能夠三贏的局面我希望部長部長你針對我們前面這幾個數據你要好好研議一下你看這地區醫院他現在整個他整個量能就醫比例這量能是一直逐年在攀升然後你這個標準比對地區醫院也是不友善而且這個獎勵制度醫學中心區醫院跟地區醫院地區醫院量能又大標準又高\n\n10:21.898 --> 10:34.266\n結果他的獎金、夜班獎金制度而且又是偏低所以難怪造成我們地區醫院護理人員短缺而且離職率非常高我們會滾動是一直檢討尤其我剛剛講我們這個選區本來醫療資源就很匱乏我們這邊只有三個地區醫院可是只有三個地區醫院而且重點\n\n10:44.972 --> 10:44.992\n好,謝謝\n\n","segments":[{"start":7.268,"end":19.658,"text":"好 謝謝主席 請我們邱部長請邱部長委員好 邱部長我請問一下最近這個新聞滿天飛針對我們護理人員缺人這個問題衛福部應該有瞭解吧"},{"start":26.931,"end":42.815,"text":"那我看一下你們的專案報告那我們針對三班互變比這比例的新制我們也是希望能夠改善現在護理的職場環境對不對是的那現在施行的成效如何"},{"start":45.816,"end":69.837,"text":"我們以在今年的3月1號有通過行政會有通過3個方向12個策略那包括第一個補助這個夜班的獎勵這個大概有40億那我們也申請到中長城這個應該沒有問題中長城的一個那現在施行的成效好嗎?有沒有解決這個我們缺人的問題?"},{"start":70.618,"end":84.691,"text":"因為大家大院委員的關心以及政府的努力,其實你會發現各個議院他們現在回報都說,像最近的一個就回任例"},{"start":86.172,"end":92.457,"text":"那從我們衛福部112年這分級醫療整體成效進度追蹤來看我們看起來地區醫院這整體就醫的建樹好像成長率比醫學中心區醫院"},{"start":111.51,"end":141.425,"text":"對﹖對這個"},{"start":141.972,"end":157.06,"text":"就是針對我們我們看這個比例嘛所以我們這個我們現在擔心的就是說他這個標準標準比較高而且他現在我們看到他這個就醫件數量能也是一直增加"},{"start":157.74,"end":180.008,"text":"那可是我們看一下我們夜班獎勵的制度我們現在是說針對三級醫療機構他護理師所做的事情其實是幾乎完全一樣可是我們針對看那個夜班比例醫學中心跟區醫院還有地區醫院我們看得到這個對地區醫院這個獎勵就是偏低所以我們"},{"start":180.868,"end":209.663,"text":"想說針對這一部分我們地區醫院你看它量能逐年增加然後它護病比的比例也負擔加重然後夜班的獎勵它卻是最少的所以我們也看得到我們地區醫院這護理人員這離職潮是越來越多而且離職潮在我們醫學中心區醫院跟地區醫院看起來它的空缺率跟總離職率是最高的那部長針對這一部分有沒有什麼做法"},{"start":209.983,"end":232.094,"text":"所以突然提出這麼一些重要的事據我個人覺得所有的醫護人員不管他在哪一個級的醫院或者是到診所都是盡心盡力都是有負擔的跟民眾部長我針對這部分我們希望所以第七醫院我覺得第七醫院的"},{"start":232.714,"end":255.911,"text":"副與同仁我相信他們也是肩負起很大的責任對所以你看喔他的他的就醫這個量能是提高的然後他他所負擔著這個標準又是更高所以相對反而他做的多他的獎勵反而少所以我們希望針對三班互變比還有夜間獎勵的部分我們覺得應該要盡量做到一致"},{"start":256.331,"end":275.498,"text":"不然你看這個地區醫院它離職率越來越高這個空缺率也越來越高尤其像我們我自己這個選區大園、觀音、新屋、陽梅是我們全桃園醫療資源最匱乏的地方而且我們那時候也有去視察當然我們針對我們"},{"start":277.919,"end":306.821,"text":"新屋分院的擴建還有大坡角長照設施我們是有規劃去做但是我們現在這個區塊只有陽梅的天成醫院還有大園的閩生醫院還有新屋的布陶新屋分院這三家地區醫院可是這三家醫院我們看得到它變成只有醫院的硬體可是招不到護理人員所以這部分我希望部長能夠重視我們這邊地區醫院這缺人的問題"},{"start":308.171,"end":333.038,"text":"我們非常重視尤其偏鄉不管是哪一個地方找不到他的人你一定想盡辦法而且我們也絕對是一視同仁雖然可能客觀上主觀上大家會認為不同的單位會有不同的壓力但是站在醫療醫護同仁的對病人的一個同理心他們都是互出是一樣的所以你剛剛提出這些數據"},{"start":334.338,"end":355.663,"text":"是一個很好的根據我們會滾動試著來檢討我們今天提出真的就是希望重視我們這個桃園尤其我們這沿海南區這區域醫療資源最匱乏你看這麼大的區域它只有三家地區醫院而且重點它的護理人員是非常短缺只有硬體可是並沒有這個"},{"start":356.963,"end":357.303,"text":"是的 是的"},{"start":376.109,"end":376.269,"text":"我想各個醫院都有"},{"start":406.516,"end":407.18,"text":"他們那個"},{"start":409.481,"end":436.605,"text":"部長我覺得這部分我們今天提出真的希望能夠重視我們推這個新制的確是有一些都有達到但是達到的比例我們真的還是覺得不夠滿意而且我們看我們希望我們針對像我們醫院裡面有內科也有外科它有一般性病房也有慢性病房還有呼吸照護病房加護病房等等但是我們現在所做的好像"},{"start":437.165,"end":439.508,"text":"是全院的總體醫護比對不對總體護病比"},{"start":445.014,"end":469.965,"text":"我們是做全院的對不對,總體護病比嘛這是比較可行性,我知道有護理界也有反映到不同的病房那我們只要任何人反映,我們都把他列入重要的我們希望齁,能夠針對但是在計算上可能會比較困難我們希望盡量針對每個病房,你不要做全院"},{"start":470.465,"end":470.605,"text":"涂權吉"},{"start":489.597,"end":506.331,"text":"所以我們希望盡量針對我們能夠做每個病房的護理師比不是用全院去比而且針對各病房的護病比來調整我們床數的配置這樣子我們才能真正緩解我們基層人員護理人員的負擔"},{"start":509.059,"end":525.605,"text":"還有我們針對這一部分我們三班互併比的新制我覺得還有我們夜間獎勵制度我覺得這應該有很大的改善空間不然為什麼會造成我們護理人員這麼短缺是不是這個制度上我覺得有很大的改善的空間"},{"start":529.139,"end":549.64,"text":"三班戶病比還有這個獎勵制度就像我們剛剛講的你這個制度上應該有很大改善空間而且我們剛剛可以看得到很多的醫院九成的醫院並沒有落實這個心智所以我們認為應該我們要有效有力的方式去約束醫院來落實這個心智"},{"start":550.08,"end":569.645,"text":"目前我們如果僅以獎勵的制度我們覺得會讓我們的護理人員覺得看得到吃不到然後感覺我們衛福部定定這些心智好像是跟醫院站在一起而且並沒有真正在落實是漠視我們護理人員基層的心酸"},{"start":571.417,"end":583.666,"text":"我完全了解,我跟各位委員的心都一致的,希望趕快改善醫療現在的困境但是因為就是要多方面研議,醫院我們也要讓他能夠順利來經營醫事人員的福利要照顧,這中間怎麼樣取得一個共識"},{"start":593.152,"end":621.198,"text":"一個大家都能夠三贏的局面我希望部長部長你針對我們前面這幾個數據你要好好研議一下你看這地區醫院他現在整個他整個量能就醫比例這量能是一直逐年在攀升然後你這個標準比對地區醫院也是不友善而且這個獎勵制度醫學中心區醫院跟地區醫院地區醫院量能又大標準又高"},{"start":621.898,"end":634.266,"text":"結果他的獎金、夜班獎金制度而且又是偏低所以難怪造成我們地區醫院護理人員短缺而且離職率非常高我們會滾動是一直檢討尤其我剛剛講我們這個選區本來醫療資源就很匱乏我們這邊只有三個地區醫院可是只有三個地區醫院而且重點"},{"start":644.972,"end":644.992,"text":"好,謝謝"}]}}}}