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\"有很多護理師寧願放棄所學重新開始也不願意留在本行裡面這應該是一個很嚴重的問題那麼醫護環境的尤其是基層環境的三大問題我們去彙整一下第一個叫人力不足的問題第二個叫待遇不合理的問題第三個叫做勞動環境惡劣的問題這我相信很多委員都有關心衛福部應該也有長期試圖的針對這些問題來做出改善但今天我們就針對一些改善的方案跟具體的執行來做一下討論\", \"words\": [{\"word\": \"有\", \"start\": 36.121, \"end\": 36.241, \"score\": 0.823}, {\"word\": \"很\", \"start\": 36.241, \"end\": 36.381, \"score\": 0.764}, {\"word\": \"多\", \"start\": 36.381, \"end\": 36.662, \"score\": 0.92}, {\"word\": \"護\"}, {\"word\": \"理\", \"start\": 36.662, \"end\": 37.182, \"score\": 0.828}, {\"word\": \"師\"}, {\"word\": \"寧\"}, {\"word\": \"願\"}, {\"word\": \"放\", \"start\": 37.182, \"end\": 37.482, \"score\": 0.932}, {\"word\": \"棄\"}, {\"word\": \"所\", \"start\": 37.482, \"end\": 37.682, \"score\": 0.936}, {\"word\": \"學\", \"start\": 37.682, \"end\": 37.822, \"score\": 0.856}, {\"word\": \"重\", \"start\": 37.822, \"end\": 37.983, \"score\": 0.975}, {\"word\": \"新\", \"start\": 37.983, \"end\": 38.383, \"score\": 0.936}, {\"word\": \"開\"}, {\"word\": \"始\", \"start\": 38.383, \"end\": 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142.99, \"score\": 0.999}, {\"word\": \"起\", \"start\": 142.99, \"end\": 143.13, \"score\": 0.848}, {\"word\": \"來\"}, {\"word\": \"好\", \"start\": 143.13, \"end\": 143.23, \"score\": 0.8}, {\"word\": \"像\", \"start\": 143.23, \"end\": 143.33, \"score\": 0.8}, {\"word\": \"大\", \"start\": 143.33, \"end\": 143.43, \"score\": 0.999}, {\"word\": \"家\", \"start\": 143.43, \"end\": 143.51, \"score\": 0.75}, {\"word\": \"都\", \"start\": 143.51, \"end\": 143.53, \"score\": 0.722}, {\"word\": \"達\"}, {\"word\": \"標\"}]}, {\"start\": 144.671, \"end\": 167.528, \"text\": \"可是其實尤其是基層有些是透過這個血汗勞工的記者會的方式來呈現有些是透過公會來發聲那其實讓他們若干都有反應就是說你這個護病筆其實有些失真啦就是醫院不見得他有辦法做出漂亮的數據啦但是數據真的精準嗎你現在用全日護病筆的方式來計算為什麼不是用三班護病筆的方式來計算呢\", \"words\": [{\"word\": \"可\", \"start\": 144.671, \"end\": 144.791, \"score\": 0.825}, {\"word\": \"是\", \"start\": 144.791, \"end\": 144.911, \"score\": 0.832}, {\"word\": \"其\", \"start\": 144.911, \"end\": 145.432, \"score\": 0.934}, {\"word\": \"實\"}, {\"word\": \"尤\", \"start\": 145.432, 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四十%一區醫院也差不多所以其實還是有很多改善的空間這我們主張第一個三班並務比的這樣子的一個資料的建置要清楚讓真實的狀況可以體現這我們第一個建議第二個建議是相關來講懲罰機制要思考因為按照現行的懲罰機制好像不痛不癢罰個五萬還是六萬對不對這個真的有嚇阻的效果嗎\", \"words\": [{\"word\": \"三\", \"start\": 197.701, \"end\": 197.901, \"score\": 0.997}, {\"word\": \"十\", \"start\": 197.901, \"end\": 199.142, \"score\": 0.936}, {\"word\": \"幾\"}, {\"word\": \"%\"}, {\"word\": \"四\", \"start\": 199.142, \"end\": 199.302, \"score\": 0.886}, {\"word\": \"十\", \"start\": 199.302, \"end\": 200.322, \"score\": 0.94}, {\"word\": \"%\"}, {\"word\": \"一\", \"start\": 200.322, \"end\": 200.783, \"score\": 0.947}, {\"word\": \"區\"}, {\"word\": \"醫\"}, {\"word\": \"院\", \"start\": 200.783, \"end\": 201.323, \"score\": 0.964}, {\"word\": \"也\", \"start\": 201.323, \"end\": 201.503, \"score\": 0.999}, {\"word\": \"差\", \"start\": 201.503, \"end\": 201.663, \"score\": 0.888}, {\"word\": \"不\", \"start\": 201.663, \"end\": 201.803, \"score\": 0.988}, {\"word\": \"多\", \"start\": 201.803, \"end\": 202.143, \"score\": 0.979}, {\"word\": 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{\"word\": \"的\", \"start\": 233.186, \"end\": 233.226, \"score\": 0.503}, {\"word\": \"時\"}, {\"word\": \"候\", \"start\": 233.226, \"end\": 233.387, \"score\": 0.87}, {\"word\": \"我\", \"start\": 233.387, \"end\": 233.467, \"score\": 0.814}, {\"word\": \"要\", \"start\": 233.467, \"end\": 233.507, \"score\": 0.5}, {\"word\": \"懲\"}, {\"word\": \"罰\"}, {\"word\": \"嘛\", \"start\": 233.507, \"end\": 233.527, \"score\": 0.0}]}, {\"start\": 236.514, \"end\": 260.155, \"text\": \"然後要公開透明然後因為今天時間有限你把相關的這些資料包含我怎麼樣落實三班護病筆的資料公佈第二個我的懲罰機制要怎麼樣做改進好不好留個書面資料那再來我們也不要就只講說醫護因為醫院也很多也叫苦連天嘛說環境不好健保等等但是回到點值的問題現在點值的問題到底還有什麼好講當然就是要給他提高嘛\", \"words\": [{\"word\": \"然\", \"start\": 236.514, \"end\": 236.634, \"score\": 0.82}, {\"word\": \"後\", \"start\": 236.634, \"end\": 236.794, \"score\": 0.746}, {\"word\": \"要\", \"start\": 236.794, \"end\": 236.995, \"score\": 0.982}, {\"word\": \"公\", \"start\": 236.995, \"end\": 237.435, \"score\": 0.921}, {\"word\": \"開\"}, {\"word\": \"透\", \"start\": 237.435, \"end\": 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{\"word\": \"部\", \"start\": 380.741, \"end\": 381.242, \"score\": 0.876}, {\"word\": \"長\"}, {\"word\": \"託\"}, {\"word\": \"予\", \"start\": 381.242, \"end\": 381.422, \"score\": 0.85}, {\"word\": \"原\", \"start\": 381.422, \"end\": 381.563, \"score\": 0.944}, {\"word\": \"意\", \"start\": 381.563, \"end\": 381.703, \"score\": 0.862}, {\"word\": \"再\", \"start\": 381.703, \"end\": 381.823, \"score\": 0.851}, {\"word\": \"予\", \"start\": 381.823, \"end\": 381.903, \"score\": 0.75}, {\"word\": \"回\", \"start\": 381.903, \"end\": 382.044, \"score\": 0.971}, {\"word\": \"覆\", \"start\": 382.044, \"end\": 382.104, \"score\": 0.667}, {\"word\": \"好\", \"start\": 382.104, \"end\": 382.124, \"score\": 0.001}, {\"word\": \"嗎\"}, {\"word\": \"好\", \"start\": 382.124, \"end\": 382.184, \"score\": 0.667}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"好\", \"start\": 382.184, \"end\": 382.284, \"score\": 0.8}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"委\", \"start\": 382.284, \"end\": 382.304, \"score\": 0.0}, {\"word\": \"員\"}, {\"word\": \"好\", \"start\": 382.304, \"end\": 382.404, \"score\": 0.8}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"牛\", \"start\": 382.404, \"end\": 382.424, \"score\": 0.0}, {\"word\": \"煦\"}, {\"word\": \"庭\", \"start\": 382.424, \"end\": 382.444, \"score\": 0.0}], \"language\": \"zh\"}","srt":"1\n00:00:03,589 --> 00:00:05,415\n謝謝主席部長有請請邱部長\n\n2\n00:00:09,195 --> 00:00:35,421\n委員好部長午安這個根據護理師工會的統計臺灣護理師的就職率低於60%職業壽命只有6.5年相比於日本的15年美國的20年跟英國的30年顯然這個流失的狀況很嚴重每一年護理系的畢業生都有提供充足的人力補充但是2024年卻有高達2.4萬的缺口代表產業勞動的環境不太好人員流動非常快速恐怕是留不太住的人\n\n3\n00:00:36,121 --> 00:01:03,062\n有很多護理師寧願放棄所學重新開始也不願意留在本行裡面這應該是一個很嚴重的問題那麼醫護環境的尤其是基層環境的三大問題我們去彙整一下第一個叫人力不足的問題第二個叫待遇不合理的問題第三個叫做勞動環境惡劣的問題這我相信很多委員都有關心衛福部應該也有長期試圖的針對這些問題來做出改善但今天我們就針對一些改善的方案跟具體的執行來做一下討論\n\n4\n00:01:03,823 --> 00:01:22,322\n我們當然希望衛福部可以提出有效的改善方案但比如說你講人力不足的這一部分其實政府就提供方案嘛比如說醫護增額如果說你的護病費能夠達到標準我就給予獎勵補貼對不對比如說你針對這個待遇不合理的部分你就編列了40億的預算說全民健康保險強化\n\n5\n00:01:23,203 --> 00:01:38,569\n住院護理照護夜班獎勵鼓勵留任但部長這些不管是達標獎勵或者是夜班津貼這個實務上來講承受承接政府預算資源的主體應該不會是急診對不對應該是醫院對不對\n\n6\n00:01:41,110 --> 00:02:04,012\n也就是說我把這個錢編出來發出去是發給醫院然後你期待說醫院基於良心嗎?也許是基於政策目標嗎?我在合理的來醫院內部來做分配但顯然有一些實務上的問題嘛如果說這個機制真的那麼有效的話那也許我們這個基層護理缺工的問題都解決了嘛所以部長是不是同意說這個也許在一些細節方面有一些精進的必要\n\n7\n00:02:06,098 --> 00:02:23,530\n我相信這些錢全部應該都是到護理的身上但是這樣還不夠啦我覺得護理人員應該更多的鼓勵跟支持這個我們就提幾個建議第一個是有關於護病比的資料因為你現在護病比的這個標準看起來好像大家都達標\n\n8\n00:02:24,671 --> 00:02:47,528\n可是其實尤其是基層有些是透過這個血汗勞工的記者會的方式來呈現有些是透過公會來發聲那其實讓他們若干都有反應就是說你這個護病筆其實有些失真啦就是醫院不見得他有辦法做出漂亮的數據啦但是數據真的精準嗎你現在用全日護病筆的方式來計算為什麼不是用三班護病筆的方式來計算呢\n\n9\n00:02:47,728 --> 00:03:16,401\n那第二個不管是用全市或是三班你怎麼去避免這些醫院基於我要拿到更多的津貼或者是說我要規避一些監督然後我有一些數據不精準的狀況請問衛福部針對這樣的問題有沒有提出解決的方案好第一個我想回答的就是說那個醫護三班醫院三班即使我們3月1號開始說實在達到達到率也是也是參差不齊的在醫學中心譬如說在一大夜班才達到\n\n10\n00:03:17,701 --> 00:03:41,652\n三十幾%四十%一區醫院也差不多所以其實還是有很多改善的空間這我們主張第一個三班並務比的這樣子的一個資料的建置要清楚讓真實的狀況可以體現這我們第一個建議第二個建議是相關來講懲罰機制要思考因為按照現行的懲罰機制好像不痛不癢罰個五萬還是六萬對不對這個真的有嚇阻的效果嗎\n\n11\n00:03:42,772 --> 00:03:53,527\n這是不是衛福部這邊針對懲罰的機制?你有沒有提出檢討跟改善的打算?懲戒的部分,如果他們不配合的話因為我們講嘛,我資源都給醫院嘛醫院沒有照章指引的時候我要懲罰嘛\n\n12\n00:03:56,514 --> 00:04:20,155\n然後要公開透明然後因為今天時間有限你把相關的這些資料包含我怎麼樣落實三班護病筆的資料公佈第二個我的懲罰機制要怎麼樣做改進好不好留個書面資料那再來我們也不要就只講說醫護因為醫院也很多也叫苦連天嘛說環境不好健保等等但是回到點值的問題現在點值的問題到底還有什麼好講當然就是要給他提高嘛\n\n13\n00:04:20,695 --> 00:04:43,633\n你也講讓醫院的營運環境改善雙管齊下嘛我一方面改善了醫院的營運環境讓他有足夠的收入二方面我在政策的方面做細節的精進讓這些資源可以有效的到基層的這個醫護的身上這樣才能夠解決問題嘛那點值的部分到底還有什麼好客氣呢因為賴清德總統也講啊0.9目標1.1元啊對不對難道沒有這樣子的一個宣示嗎那為什麼還不做呢我們很具體在做喔\n\n14\n00:04:44,133 --> 00:04:59,594\n吼那包括把我剛剛跟委員報告的我們把公務預算移出來健保然後健保就會比較多的稅庫部長然後第二個成長力我們也創造歷年來有史最大的成長力這個這個都是真正可以提高\n\n15\n00:05:01,360 --> 00:05:19,868\n臉紙才是真正提高臉紙最好的方法這個修法的部分大家各有各的意見我們當然就支持這個在野黨的版本嘛但是如果你這個衛福部相關你有一些政策配套的話我也希望你會有提供書面資料包含時間表在內我們會來做精進最後一點點時間我要問一下菸方法修正已經16個月了健康風險評估\n\n16\n00:05:21,830 --> 00:05:46,566\n現在好像還沒有公布因為我會提這個原因不是說我要破壞你審查的獨立性也不是要干預你的時程但是因為6月29號又抓到走私嘛十幾萬條又跑進來走私表示問題存在表示有人在使用有人在使用就是有健康風險那你現在審查這麼長的時間你總有部分的結果能不能有合理的揭露先讓國人瞭解健康風險的部分我想這個相關的資訊吳署長非常清楚可以跟我們檢調報告一下\n\n17\n00:05:48,052 --> 00:06:10,812\n報告委員因為健康保障評估的話我們目前大概每個月大概開3到4次的審查會那只要業者符合我們當初要求他提的資料那麼能夠說服委員的話我們最後的結果就會公布這是叫最後結果部長有一些前期的也許跟健康風險有關的已經有先有結論其實我認為可以分階段先行公布這技術上有困難嗎\n\n18\n00:06:12,387 --> 00:06:22,444\n還是要尊重委員的意思好這個我希望部長也審慎思考啦因為我講的是純粹從風險知情權的角度啦好不好這事情請衛福部長託予原意再予回覆好嗎好謝謝好謝謝謝謝委員好謝謝牛煦庭\n\n","tsv":"start\tend\ttext\n3589\t5415\t謝謝主席 部長有請請邱部長\n9195\t35421\t委員好部長午安這個根據護理師工會的統計臺灣護理師的就職率低於60%職業壽命只有6.5年相比於日本的15年美國的20年跟英國的30年顯然這個流失的狀況很嚴重每一年護理系的畢業生都有提供充足的人力補充但是2024年卻有高達2.4萬的缺口代表產業勞動的環境不太好人員流動非常快速恐怕是留不太住的人\n36121\t63062\t有很多護理師寧願放棄所學重新開始也不願意留在本行裡面這應該是一個很嚴重的問題那麼醫護環境的尤其是基層環境的三大問題我們去彙整一下第一個叫人力不足的問題第二個叫待遇不合理的問題第三個叫做勞動環境惡劣的問題這我相信很多委員都有關心衛福部應該也有長期試圖的針對這些問題來做出改善但今天我們就針對一些改善的方案跟具體的執行來做一下討論\n63823\t82322\t我們當然希望衛福部可以提出有效的改善方案但比如說你講人力不足的這一部分其實政府就提供方案嘛比如說醫護增額如果說你的護病費能夠達到標準我就給予獎勵補貼對不對比如說你針對這個待遇不合理的部分你就編列了40億的預算說全民健康保險強化\n83203\t98569\t住院護理照護夜班獎勵鼓勵留任但部長這些不管是達標獎勵或者是夜班津貼這個實務上來講承受承接政府預算資源的主體應該不會是急診對不對應該是醫院對不對\n101110\t124012\t也就是說我把這個錢編出來發出去是發給醫院然後你期待說醫院基於良心嗎?也許是基於政策目標嗎?我在合理的來醫院內部來做分配但顯然有一些實務上的問題嘛如果說這個機制真的那麼有效的話那也許我們這個基層護理缺工的問題都解決了嘛所以部長是不是同意說這個也許在一些細節方面有一些精進的必要\n126098\t143530\t我相信這些錢全部應該都是到護理的身上但是這樣還不夠啦我覺得護理人員應該更多的鼓勵跟支持這個我們就提幾個建議第一個是有關於護病比的資料因為你現在護病比的這個標準看起來好像大家都達標\n144671\t167528\t可是其實尤其是基層有些是透過這個血汗勞工的記者會的方式來呈現有些是透過公會來發聲那其實讓他們若干都有反應就是說你這個護病筆其實有些失真啦就是醫院不見得他有辦法做出漂亮的數據啦但是數據真的精準嗎你現在用全日護病筆的方式來計算為什麼不是用三班護病筆的方式來計算呢\n167728\t196401\t那第二個不管是用全市或是三班你怎麼去避免這些醫院基於我要拿到更多的津貼或者是說我要規避一些監督然後我有一些數據不精準的狀況請問衛福部針對這樣的問題有沒有提出解決的方案好第一個我想回答的就是說那個醫護三班醫院三班即使我們3月1號開始說實在達到達到率也是也是參差不齊的在醫學中心譬如說在一大夜班才達到\n197701\t221652\t三十幾% 四十%一區醫院也差不多所以其實還是有很多改善的空間這我們主張第一個三班並務比的這樣子的一個資料的建置要清楚讓真實的狀況可以體現這我們第一個建議第二個建議是相關來講懲罰機制要思考因為按照現行的懲罰機制好像不痛不癢罰個五萬還是六萬對不對這個真的有嚇阻的效果嗎\n222772\t233527\t這是不是衛福部這邊針對懲罰的機制?你有沒有提出檢討跟改善的打算?懲戒的部分,如果他們不配合的話因為我們講嘛,我資源都給醫院嘛醫院沒有照章指引的時候我要懲罰嘛\n236514\t260155\t然後要公開透明然後因為今天時間有限你把相關的這些資料包含我怎麼樣落實三班護病筆的資料公佈第二個我的懲罰機制要怎麼樣做改進好不好留個書面資料那再來我們也不要就只講說醫護因為醫院也很多也叫苦連天嘛說環境不好健保等等但是回到點值的問題現在點值的問題到底還有什麼好講當然就是要給他提高嘛\n260695\t283633\t你也講讓醫院的營運環境改善雙管齊下嘛我一方面改善了醫院的營運環境讓他有足夠的收入二方面我在政策的方面做細節的精進讓這些資源可以有效的到基層的這個醫護的身上這樣才能夠解決問題嘛那點值的部分到底還有什麼好客氣呢因為賴清德總統也講啊0.9目標1.1元啊對不對難道沒有這樣子的一個宣示嗎那為什麼還不做呢我們很具體在做喔\n284133\t299594\t吼那包括把我剛剛跟委員報告的我們把公務預算移出來健保然後健保就會比較多的稅庫部長然後第二個成長力我們也創造歷年來有史最大的成長力這個這個都是真正可以提高\n301360\t319868\t臉紙才是真正提高臉紙最好的方法這個修法的部分大家各有各的意見我們當然就支持這個在野黨的版本嘛但是如果你這個衛福部相關你有一些政策配套的話我也希望你會有提供書面資料包含時間表在內我們會來做精進最後一點點時間我要問一下菸方法修正已經16個月了健康風險評估\n321830\t346566\t現在好像還沒有公布因為我會提這個原因不是說我要破壞你審查的獨立性也不是要干預你的時程但是因為6月29號又抓到走私嘛十幾萬條又跑進來走私表示問題存在表示有人在使用有人在使用就是有健康風險那你現在審查這麼長的時間你總有部分的結果能不能有合理的揭露先讓國人瞭解健康風險的部分我想這個相關的資訊吳署長非常清楚可以跟我們檢調報告一下\n348052\t370812\t報告委員因為健康保障評估的話我們目前大概每個月大概開3到4次的審查會那只要業者符合我們當初要求他提的資料那麼能夠說服委員的話我們最後的結果就會公布這是叫最後結果部長有一些前期的也許跟健康風險有關的已經有先有結論其實我認為可以分階段先行公布這技術上有困難嗎\n372387\t382444\t還是要尊重委員的意思好 這個我希望部長也審慎思考啦因為我講的是純粹從風險知情權的角度啦好不好這事情請衛福部長託予原意再予回覆好嗎好 謝謝好 謝謝謝謝委員好 謝謝牛煦庭\n","txt":"謝謝主席 部長有請請邱部長\n委員好部長午安這個根據護理師工會的統計臺灣護理師的就職率低於60%職業壽命只有6.5年相比於日本的15年美國的20年跟英國的30年顯然這個流失的狀況很嚴重每一年護理系的畢業生都有提供充足的人力補充但是2024年卻有高達2.4萬的缺口代表產業勞動的環境不太好人員流動非常快速恐怕是留不太住的人\n有很多護理師寧願放棄所學重新開始也不願意留在本行裡面這應該是一個很嚴重的問題那麼醫護環境的尤其是基層環境的三大問題我們去彙整一下第一個叫人力不足的問題第二個叫待遇不合理的問題第三個叫做勞動環境惡劣的問題這我相信很多委員都有關心衛福部應該也有長期試圖的針對這些問題來做出改善但今天我們就針對一些改善的方案跟具體的執行來做一下討論\n我們當然希望衛福部可以提出有效的改善方案但比如說你講人力不足的這一部分其實政府就提供方案嘛比如說醫護增額如果說你的護病費能夠達到標準我就給予獎勵補貼對不對比如說你針對這個待遇不合理的部分你就編列了40億的預算說全民健康保險強化\n住院護理照護夜班獎勵鼓勵留任但部長這些不管是達標獎勵或者是夜班津貼這個實務上來講承受承接政府預算資源的主體應該不會是急診對不對應該是醫院對不對\n也就是說我把這個錢編出來發出去是發給醫院然後你期待說醫院基於良心嗎?也許是基於政策目標嗎?我在合理的來醫院內部來做分配但顯然有一些實務上的問題嘛如果說這個機制真的那麼有效的話那也許我們這個基層護理缺工的問題都解決了嘛所以部長是不是同意說這個也許在一些細節方面有一些精進的必要\n我相信這些錢全部應該都是到護理的身上但是這樣還不夠啦我覺得護理人員應該更多的鼓勵跟支持這個我們就提幾個建議第一個是有關於護病比的資料因為你現在護病比的這個標準看起來好像大家都達標\n可是其實尤其是基層有些是透過這個血汗勞工的記者會的方式來呈現有些是透過公會來發聲那其實讓他們若干都有反應就是說你這個護病筆其實有些失真啦就是醫院不見得他有辦法做出漂亮的數據啦但是數據真的精準嗎你現在用全日護病筆的方式來計算為什麼不是用三班護病筆的方式來計算呢\n那第二個不管是用全市或是三班你怎麼去避免這些醫院基於我要拿到更多的津貼或者是說我要規避一些監督然後我有一些數據不精準的狀況請問衛福部針對這樣的問題有沒有提出解決的方案好第一個我想回答的就是說那個醫護三班醫院三班即使我們3月1號開始說實在達到達到率也是也是參差不齊的在醫學中心譬如說在一大夜班才達到\n三十幾% 四十%一區醫院也差不多所以其實還是有很多改善的空間這我們主張第一個三班並務比的這樣子的一個資料的建置要清楚讓真實的狀況可以體現這我們第一個建議第二個建議是相關來講懲罰機制要思考因為按照現行的懲罰機制好像不痛不癢罰個五萬還是六萬對不對這個真的有嚇阻的效果嗎\n這是不是衛福部這邊針對懲罰的機制?你有沒有提出檢討跟改善的打算?懲戒的部分,如果他們不配合的話因為我們講嘛,我資源都給醫院嘛醫院沒有照章指引的時候我要懲罰嘛\n然後要公開透明然後因為今天時間有限你把相關的這些資料包含我怎麼樣落實三班護病筆的資料公佈第二個我的懲罰機制要怎麼樣做改進好不好留個書面資料那再來我們也不要就只講說醫護因為醫院也很多也叫苦連天嘛說環境不好健保等等但是回到點值的問題現在點值的問題到底還有什麼好講當然就是要給他提高嘛\n你也講讓醫院的營運環境改善雙管齊下嘛我一方面改善了醫院的營運環境讓他有足夠的收入二方面我在政策的方面做細節的精進讓這些資源可以有效的到基層的這個醫護的身上這樣才能夠解決問題嘛那點值的部分到底還有什麼好客氣呢因為賴清德總統也講啊0.9目標1.1元啊對不對難道沒有這樣子的一個宣示嗎那為什麼還不做呢我們很具體在做喔\n吼那包括把我剛剛跟委員報告的我們把公務預算移出來健保然後健保就會比較多的稅庫部長然後第二個成長力我們也創造歷年來有史最大的成長力這個這個都是真正可以提高\n臉紙才是真正提高臉紙最好的方法這個修法的部分大家各有各的意見我們當然就支持這個在野黨的版本嘛但是如果你這個衛福部相關你有一些政策配套的話我也希望你會有提供書面資料包含時間表在內我們會來做精進最後一點點時間我要問一下菸方法修正已經16個月了健康風險評估\n現在好像還沒有公布因為我會提這個原因不是說我要破壞你審查的獨立性也不是要干預你的時程但是因為6月29號又抓到走私嘛十幾萬條又跑進來走私表示問題存在表示有人在使用有人在使用就是有健康風險那你現在審查這麼長的時間你總有部分的結果能不能有合理的揭露先讓國人瞭解健康風險的部分我想這個相關的資訊吳署長非常清楚可以跟我們檢調報告一下\n報告委員因為健康保障評估的話我們目前大概每個月大概開3到4次的審查會那只要業者符合我們當初要求他提的資料那麼能夠說服委員的話我們最後的結果就會公布這是叫最後結果部長有一些前期的也許跟健康風險有關的已經有先有結論其實我認為可以分階段先行公布這技術上有困難嗎\n還是要尊重委員的意思好 這個我希望部長也審慎思考啦因為我講的是純粹從風險知情權的角度啦好不好這事情請衛福部長託予原意再予回覆好嗎好 謝謝好 謝謝謝謝委員好 謝謝牛煦庭\n","vtt":"WEBVTT\n\n00:03.589 --> 00:05.415\n謝謝主席部長有請請邱部長\n\n00:09.195 --> 00:35.421\n委員好部長午安這個根據護理師工會的統計臺灣護理師的就職率低於60%職業壽命只有6.5年相比於日本的15年美國的20年跟英國的30年顯然這個流失的狀況很嚴重每一年護理系的畢業生都有提供充足的人力補充但是2024年卻有高達2.4萬的缺口代表產業勞動的環境不太好人員流動非常快速恐怕是留不太住的人\n\n00:36.121 --> 01:03.062\n有很多護理師寧願放棄所學重新開始也不願意留在本行裡面這應該是一個很嚴重的問題那麼醫護環境的尤其是基層環境的三大問題我們去彙整一下第一個叫人力不足的問題第二個叫待遇不合理的問題第三個叫做勞動環境惡劣的問題這我相信很多委員都有關心衛福部應該也有長期試圖的針對這些問題來做出改善但今天我們就針對一些改善的方案跟具體的執行來做一下討論\n\n01:03.823 --> 01:22.322\n我們當然希望衛福部可以提出有效的改善方案但比如說你講人力不足的這一部分其實政府就提供方案嘛比如說醫護增額如果說你的護病費能夠達到標準我就給予獎勵補貼對不對比如說你針對這個待遇不合理的部分你就編列了40億的預算說全民健康保險強化\n\n01:23.203 --> 01:38.569\n住院護理照護夜班獎勵鼓勵留任但部長這些不管是達標獎勵或者是夜班津貼這個實務上來講承受承接政府預算資源的主體應該不會是急診對不對應該是醫院對不對\n\n01:41.110 --> 02:04.012\n也就是說我把這個錢編出來發出去是發給醫院然後你期待說醫院基於良心嗎?也許是基於政策目標嗎?我在合理的來醫院內部來做分配但顯然有一些實務上的問題嘛如果說這個機制真的那麼有效的話那也許我們這個基層護理缺工的問題都解決了嘛所以部長是不是同意說這個也許在一些細節方面有一些精進的必要\n\n02:06.098 --> 02:23.530\n我相信這些錢全部應該都是到護理的身上但是這樣還不夠啦我覺得護理人員應該更多的鼓勵跟支持這個我們就提幾個建議第一個是有關於護病比的資料因為你現在護病比的這個標準看起來好像大家都達標\n\n02:24.671 --> 02:47.528\n可是其實尤其是基層有些是透過這個血汗勞工的記者會的方式來呈現有些是透過公會來發聲那其實讓他們若干都有反應就是說你這個護病筆其實有些失真啦就是醫院不見得他有辦法做出漂亮的數據啦但是數據真的精準嗎你現在用全日護病筆的方式來計算為什麼不是用三班護病筆的方式來計算呢\n\n02:47.728 --> 03:16.401\n那第二個不管是用全市或是三班你怎麼去避免這些醫院基於我要拿到更多的津貼或者是說我要規避一些監督然後我有一些數據不精準的狀況請問衛福部針對這樣的問題有沒有提出解決的方案好第一個我想回答的就是說那個醫護三班醫院三班即使我們3月1號開始說實在達到達到率也是也是參差不齊的在醫學中心譬如說在一大夜班才達到\n\n03:17.701 --> 03:41.652\n三十幾%四十%一區醫院也差不多所以其實還是有很多改善的空間這我們主張第一個三班並務比的這樣子的一個資料的建置要清楚讓真實的狀況可以體現這我們第一個建議第二個建議是相關來講懲罰機制要思考因為按照現行的懲罰機制好像不痛不癢罰個五萬還是六萬對不對這個真的有嚇阻的效果嗎\n\n03:42.772 --> 03:53.527\n這是不是衛福部這邊針對懲罰的機制?你有沒有提出檢討跟改善的打算?懲戒的部分,如果他們不配合的話因為我們講嘛,我資源都給醫院嘛醫院沒有照章指引的時候我要懲罰嘛\n\n03:56.514 --> 04:20.155\n然後要公開透明然後因為今天時間有限你把相關的這些資料包含我怎麼樣落實三班護病筆的資料公佈第二個我的懲罰機制要怎麼樣做改進好不好留個書面資料那再來我們也不要就只講說醫護因為醫院也很多也叫苦連天嘛說環境不好健保等等但是回到點值的問題現在點值的問題到底還有什麼好講當然就是要給他提高嘛\n\n04:20.695 --> 04:43.633\n你也講讓醫院的營運環境改善雙管齊下嘛我一方面改善了醫院的營運環境讓他有足夠的收入二方面我在政策的方面做細節的精進讓這些資源可以有效的到基層的這個醫護的身上這樣才能夠解決問題嘛那點值的部分到底還有什麼好客氣呢因為賴清德總統也講啊0.9目標1.1元啊對不對難道沒有這樣子的一個宣示嗎那為什麼還不做呢我們很具體在做喔\n\n04:44.133 --> 04:59.594\n吼那包括把我剛剛跟委員報告的我們把公務預算移出來健保然後健保就會比較多的稅庫部長然後第二個成長力我們也創造歷年來有史最大的成長力這個這個都是真正可以提高\n\n05:01.360 --> 05:19.868\n臉紙才是真正提高臉紙最好的方法這個修法的部分大家各有各的意見我們當然就支持這個在野黨的版本嘛但是如果你這個衛福部相關你有一些政策配套的話我也希望你會有提供書面資料包含時間表在內我們會來做精進最後一點點時間我要問一下菸方法修正已經16個月了健康風險評估\n\n05:21.830 --> 05:46.566\n現在好像還沒有公布因為我會提這個原因不是說我要破壞你審查的獨立性也不是要干預你的時程但是因為6月29號又抓到走私嘛十幾萬條又跑進來走私表示問題存在表示有人在使用有人在使用就是有健康風險那你現在審查這麼長的時間你總有部分的結果能不能有合理的揭露先讓國人瞭解健康風險的部分我想這個相關的資訊吳署長非常清楚可以跟我們檢調報告一下\n\n05:48.052 --> 06:10.812\n報告委員因為健康保障評估的話我們目前大概每個月大概開3到4次的審查會那只要業者符合我們當初要求他提的資料那麼能夠說服委員的話我們最後的結果就會公布這是叫最後結果部長有一些前期的也許跟健康風險有關的已經有先有結論其實我認為可以分階段先行公布這技術上有困難嗎\n\n06:12.387 --> 06:22.444\n還是要尊重委員的意思好這個我希望部長也審慎思考啦因為我講的是純粹從風險知情權的角度啦好不好這事情請衛福部長託予原意再予回覆好嗎好謝謝好謝謝謝謝委員好謝謝牛煦庭\n\n","segments":[{"start":3.589,"end":5.415,"text":"謝謝主席 部長有請請邱部長"},{"start":9.195,"end":35.421,"text":"委員好部長午安這個根據護理師工會的統計臺灣護理師的就職率低於60%職業壽命只有6.5年相比於日本的15年美國的20年跟英國的30年顯然這個流失的狀況很嚴重每一年護理系的畢業生都有提供充足的人力補充但是2024年卻有高達2.4萬的缺口代表產業勞動的環境不太好人員流動非常快速恐怕是留不太住的人"},{"start":36.121,"end":63.062,"text":"有很多護理師寧願放棄所學重新開始也不願意留在本行裡面這應該是一個很嚴重的問題那麼醫護環境的尤其是基層環境的三大問題我們去彙整一下第一個叫人力不足的問題第二個叫待遇不合理的問題第三個叫做勞動環境惡劣的問題這我相信很多委員都有關心衛福部應該也有長期試圖的針對這些問題來做出改善但今天我們就針對一些改善的方案跟具體的執行來做一下討論"},{"start":63.823,"end":82.322,"text":"我們當然希望衛福部可以提出有效的改善方案但比如說你講人力不足的這一部分其實政府就提供方案嘛比如說醫護增額如果說你的護病費能夠達到標準我就給予獎勵補貼對不對比如說你針對這個待遇不合理的部分你就編列了40億的預算說全民健康保險強化"},{"start":83.203,"end":98.569,"text":"住院護理照護夜班獎勵鼓勵留任但部長這些不管是達標獎勵或者是夜班津貼這個實務上來講承受承接政府預算資源的主體應該不會是急診對不對應該是醫院對不對"},{"start":101.11,"end":124.012,"text":"也就是說我把這個錢編出來發出去是發給醫院然後你期待說醫院基於良心嗎?也許是基於政策目標嗎?我在合理的來醫院內部來做分配但顯然有一些實務上的問題嘛如果說這個機制真的那麼有效的話那也許我們這個基層護理缺工的問題都解決了嘛所以部長是不是同意說這個也許在一些細節方面有一些精進的必要"},{"start":126.098,"end":143.53,"text":"我相信這些錢全部應該都是到護理的身上但是這樣還不夠啦我覺得護理人員應該更多的鼓勵跟支持這個我們就提幾個建議第一個是有關於護病比的資料因為你現在護病比的這個標準看起來好像大家都達標"},{"start":144.671,"end":167.528,"text":"可是其實尤其是基層有些是透過這個血汗勞工的記者會的方式來呈現有些是透過公會來發聲那其實讓他們若干都有反應就是說你這個護病筆其實有些失真啦就是醫院不見得他有辦法做出漂亮的數據啦但是數據真的精準嗎你現在用全日護病筆的方式來計算為什麼不是用三班護病筆的方式來計算呢"},{"start":167.728,"end":196.401,"text":"那第二個不管是用全市或是三班你怎麼去避免這些醫院基於我要拿到更多的津貼或者是說我要規避一些監督然後我有一些數據不精準的狀況請問衛福部針對這樣的問題有沒有提出解決的方案好第一個我想回答的就是說那個醫護三班醫院三班即使我們3月1號開始說實在達到達到率也是也是參差不齊的在醫學中心譬如說在一大夜班才達到"},{"start":197.701,"end":221.652,"text":"三十幾% 四十%一區醫院也差不多所以其實還是有很多改善的空間這我們主張第一個三班並務比的這樣子的一個資料的建置要清楚讓真實的狀況可以體現這我們第一個建議第二個建議是相關來講懲罰機制要思考因為按照現行的懲罰機制好像不痛不癢罰個五萬還是六萬對不對這個真的有嚇阻的效果嗎"},{"start":222.772,"end":233.527,"text":"這是不是衛福部這邊針對懲罰的機制?你有沒有提出檢討跟改善的打算?懲戒的部分,如果他們不配合的話因為我們講嘛,我資源都給醫院嘛醫院沒有照章指引的時候我要懲罰嘛"},{"start":236.514,"end":260.155,"text":"然後要公開透明然後因為今天時間有限你把相關的這些資料包含我怎麼樣落實三班護病筆的資料公佈第二個我的懲罰機制要怎麼樣做改進好不好留個書面資料那再來我們也不要就只講說醫護因為醫院也很多也叫苦連天嘛說環境不好健保等等但是回到點值的問題現在點值的問題到底還有什麼好講當然就是要給他提高嘛"},{"start":260.695,"end":283.633,"text":"你也講讓醫院的營運環境改善雙管齊下嘛我一方面改善了醫院的營運環境讓他有足夠的收入二方面我在政策的方面做細節的精進讓這些資源可以有效的到基層的這個醫護的身上這樣才能夠解決問題嘛那點值的部分到底還有什麼好客氣呢因為賴清德總統也講啊0.9目標1.1元啊對不對難道沒有這樣子的一個宣示嗎那為什麼還不做呢我們很具體在做喔"},{"start":284.133,"end":299.594,"text":"吼那包括把我剛剛跟委員報告的我們把公務預算移出來健保然後健保就會比較多的稅庫部長然後第二個成長力我們也創造歷年來有史最大的成長力這個這個都是真正可以提高"},{"start":301.36,"end":319.868,"text":"臉紙才是真正提高臉紙最好的方法這個修法的部分大家各有各的意見我們當然就支持這個在野黨的版本嘛但是如果你這個衛福部相關你有一些政策配套的話我也希望你會有提供書面資料包含時間表在內我們會來做精進最後一點點時間我要問一下菸方法修正已經16個月了健康風險評估"},{"start":321.83,"end":346.566,"text":"現在好像還沒有公布因為我會提這個原因不是說我要破壞你審查的獨立性也不是要干預你的時程但是因為6月29號又抓到走私嘛十幾萬條又跑進來走私表示問題存在表示有人在使用有人在使用就是有健康風險那你現在審查這麼長的時間你總有部分的結果能不能有合理的揭露先讓國人瞭解健康風險的部分我想這個相關的資訊吳署長非常清楚可以跟我們檢調報告一下"},{"start":348.052,"end":370.812,"text":"報告委員因為健康保障評估的話我們目前大概每個月大概開3到4次的審查會那只要業者符合我們當初要求他提的資料那麼能夠說服委員的話我們最後的結果就會公布這是叫最後結果部長有一些前期的也許跟健康風險有關的已經有先有結論其實我認為可以分階段先行公布這技術上有困難嗎"},{"start":372.387,"end":382.444,"text":"還是要尊重委員的意思好 這個我希望部長也審慎思考啦因為我講的是純粹從風險知情權的角度啦好不好這事情請衛福部長託予原意再予回覆好嗎好 謝謝好 謝謝謝謝委員好 謝謝牛煦庭"}]}}}}