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\"zh\"}","srt":"1\n00:00:00,189 --> 00:00:24,051\n我們有請嚴主委請嚴主委學長委員好主委好我們這麼多年的同事我們不能講我們是在同溫層可是我們是在一個頻譜之內看盡了所有榮家現役退役\n\n2\n00:00:25,485 --> 00:00:52,922\n過去我們整個退輔會對榮家照顧所做的服務所以您剛才的那個深入報導我個人感受很深因為不管怎麼講我們的人力資源還是相當有限如何能夠最多做出最大的效益這是我們要支持共同努力我剛剛看了一下我的皮夾子我才發現榮民證我每天戴在身上\n\n3\n00:00:54,059 --> 00:01:18,380\n可是我並沒有想用我個人的身份去換取榮家對我的一點資源而是要把這個量能擴散到其他的服務上去所以我剛才聽到了這些報告以後我下面做的只是建言我們都是軍人出身我們都研究戰略所以我們都了解我們如何設定目標\n\n4\n00:01:19,929 --> 00:01:25,992\n實際上這個AI本身裡面就結合了未來的人工智慧在您後面的報告裡面引述出來了所以我們的目的就是\n\n5\n00:01:40,049 --> 00:01:44,353\n委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會\n\n6\n00:02:00,270 --> 00:02:22,338\n那我們採用的手段呢要善用各地的榮民服務處作為信息收集這裡面包括了AI的運用就像剛才前面委員提到的有關床位的調節啦管理系統的那是內部運用的但是因為它是一個動態的並不是每天都可以調節床位的所以資源整合啊\n\n7\n00:02:23,098 --> 00:02:23,579\n委員會主任委員會主任\n\n8\n00:02:43,678 --> 00:02:53,344\n一流需求的前提下我們也可以篩選民間優質的醫療機構與軍方的醫院共同合作一方面是舒緩醫療間我們候診看診的時間\n\n9\n00:02:58,635 --> 00:03:24,082\n正確、善用的綠色通道的規則確保醫療流程的效率與服務品質減輕病患等待期間焦慮的心情與病痛我們在民間常常講一些意外狀況如果有三長兩短那是一個民間的講法但是我們現在反映到什麼呢就是掛號排隊的時間長\n\n10\n00:03:26,463 --> 00:03:54,971\n等候看病的時間長領藥檢查的時間長可是真正因為受選於原力之源醫療體系醫師所以看病問診的時間短解釋病情的時間短我們有些老農民實際上以我們專業醫生論述的講法他的專業背景聽不懂這種疫情的狀況症候的狀況所以我們慢慢來調整了變成了三短兩長\n\n11\n00:03:56,271 --> 00:03:56,371\n﹚陳永康\n\n12\n00:04:26,791 --> 00:04:27,372\n李卓人議員\n\n13\n00:04:55,925 --> 00:05:14,342\n支持國軍站立維持照顧榮民、榮家以及廣闊到民間的共同的照育扮演了一個很重要的角色那麼我們也相信榮民的需要退府會完全了解而且會努力做到這是以上我個人對主委的一些建言跟期許謝謝\n\n14\n00:05:16,858 --> 00:05:30,915\n謝謝委員的指導和勉勵我想委員的第一個目標非常明確我想我們現在退伍過去朝向這個目標全力以赴的做就人民在哪裡服務到哪裡委員指導這裡面的建議我們現在不斷地在求\n\n15\n00:05:32,096 --> 00:05:32,496\n委員會主席\n\n16\n00:05:48,966 --> 00:05:50,747\n委員會主任委員會主任委員會主任\n\n17\n00:06:08,900 --> 00:06:09,060\n：陳永康\n\n18\n00:06:26,475 --> 00:06:27,096\n委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任\n\n19\n00:06:55,594 --> 00:07:03,671\n繼續努力來救謝謝委員的指導謝謝嚴主委以及退服會同仁今天的與會我們大家一起共同努力謝謝謝謝委員\n\n","tsv":"start\tend\ttext\n189\t24051\t我們有請嚴主委請嚴主委學長委員好主委好我們這麼多年的同事我們不能講我們是在同溫層可是我們是在一個頻譜之內看盡了所有榮家現役退役\n25485\t52922\t過去我們整個退輔會對榮家照顧所做的服務所以您剛才的那個深入報導我個人感受很深因為不管怎麼講我們的人力資源還是相當有限如何能夠最多做出最大的效益這是我們要支持共同努力我剛剛看了一下我的皮夾子我才發現榮民證我每天戴在身上\n54059\t78380\t可是我並沒有想用我個人的身份去換取榮家對我的一點資源而是要把這個量能擴散到其他的服務上去所以我剛才聽到了這些報告以後我下面做的只是建言我們都是軍人出身我們都研究戰略所以我們都了解我們如何設定目標\n79929\t85992\t實際上這個AI本身裡面就結合了未來的人工智慧在您後面的報告裡面引述出來了所以我們的目的就是\n100049\t104353\t委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會\n120270\t142338\t那我們採用的手段呢要善用各地的榮民服務處作為信息收集這裡面包括了AI的運用就像剛才前面委員提到的有關床位的調節啦管理系統的那是內部運用的但是因為它是一個動態的並不是每天都可以調節床位的所以資源整合啊\n143098\t143579\t委員會主任委員會主任\n163678\t173344\t一流需求的前提下我們也可以篩選民間優質的醫療機構與軍方的醫院共同合作一方面是舒緩醫療間我們候診看診的時間\n178635\t204082\t正確、善用的綠色通道的規則確保醫療流程的效率與服務品質減輕病患等待期間焦慮的心情與病痛我們在民間常常講一些意外狀況如果有三長兩短那是一個民間的講法但是我們現在反映到什麼呢就是掛號排隊的時間長\n206463\t234971\t等候看病的時間長領藥檢查的時間長可是真正因為受選於原力之源醫療體系醫師所以看病問診的時間短解釋病情的時間短我們有些老農民實際上以我們專業醫生論述的講法他的專業背景聽不懂這種疫情的狀況症候的狀況所以我們慢慢來調整了變成了三短兩長\n236271\t236371\t﹚陳永康\n266791\t267372\t李卓人議員\n295925\t314342\t支持國軍站立維持照顧榮民、榮家以及廣闊到民間的共同的照育扮演了一個很重要的角色那麼我們也相信榮民的需要退府會完全了解而且會努力做到這是以上我個人對主委的一些建言跟期許謝謝\n316858\t330915\t謝謝委員的指導和勉勵我想委員的第一個目標非常明確我想我們現在退伍過去朝向這個目標全力以赴的做就人民在哪裡服務到哪裡委員指導這裡面的建議我們現在不斷地在求\n332096\t332496\t委員會主席\n348966\t350747\t委員會主任委員會主任委員會主任\n368900\t369060\t：陳永康\n386475\t387096\t委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任\n415594\t423671\t繼續努力來救謝謝委員的指導謝謝嚴主委以及退服會同仁今天的與會我們大家一起共同努力謝謝謝謝委員\n","txt":"我們有請嚴主委請嚴主委學長委員好主委好我們這麼多年的同事我們不能講我們是在同溫層可是我們是在一個頻譜之內看盡了所有榮家現役退役\n過去我們整個退輔會對榮家照顧所做的服務所以您剛才的那個深入報導我個人感受很深因為不管怎麼講我們的人力資源還是相當有限如何能夠最多做出最大的效益這是我們要支持共同努力我剛剛看了一下我的皮夾子我才發現榮民證我每天戴在身上\n可是我並沒有想用我個人的身份去換取榮家對我的一點資源而是要把這個量能擴散到其他的服務上去所以我剛才聽到了這些報告以後我下面做的只是建言我們都是軍人出身我們都研究戰略所以我們都了解我們如何設定目標\n實際上這個AI本身裡面就結合了未來的人工智慧在您後面的報告裡面引述出來了所以我們的目的就是\n委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會\n那我們採用的手段呢要善用各地的榮民服務處作為信息收集這裡面包括了AI的運用就像剛才前面委員提到的有關床位的調節啦管理系統的那是內部運用的但是因為它是一個動態的並不是每天都可以調節床位的所以資源整合啊\n委員會主任委員會主任\n一流需求的前提下我們也可以篩選民間優質的醫療機構與軍方的醫院共同合作一方面是舒緩醫療間我們候診看診的時間\n正確、善用的綠色通道的規則確保醫療流程的效率與服務品質減輕病患等待期間焦慮的心情與病痛我們在民間常常講一些意外狀況如果有三長兩短那是一個民間的講法但是我們現在反映到什麼呢就是掛號排隊的時間長\n等候看病的時間長領藥檢查的時間長可是真正因為受選於原力之源醫療體系醫師所以看病問診的時間短解釋病情的時間短我們有些老農民實際上以我們專業醫生論述的講法他的專業背景聽不懂這種疫情的狀況症候的狀況所以我們慢慢來調整了變成了三短兩長\n﹚陳永康\n李卓人議員\n支持國軍站立維持照顧榮民、榮家以及廣闊到民間的共同的照育扮演了一個很重要的角色那麼我們也相信榮民的需要退府會完全了解而且會努力做到這是以上我個人對主委的一些建言跟期許謝謝\n謝謝委員的指導和勉勵我想委員的第一個目標非常明確我想我們現在退伍過去朝向這個目標全力以赴的做就人民在哪裡服務到哪裡委員指導這裡面的建議我們現在不斷地在求\n委員會主席\n委員會主任委員會主任委員會主任\n：陳永康\n委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任\n繼續努力來救謝謝委員的指導謝謝嚴主委以及退服會同仁今天的與會我們大家一起共同努力謝謝謝謝委員\n","vtt":"WEBVTT\n\n00:00.189 --> 00:24.051\n我們有請嚴主委請嚴主委學長委員好主委好我們這麼多年的同事我們不能講我們是在同溫層可是我們是在一個頻譜之內看盡了所有榮家現役退役\n\n00:25.485 --> 00:52.922\n過去我們整個退輔會對榮家照顧所做的服務所以您剛才的那個深入報導我個人感受很深因為不管怎麼講我們的人力資源還是相當有限如何能夠最多做出最大的效益這是我們要支持共同努力我剛剛看了一下我的皮夾子我才發現榮民證我每天戴在身上\n\n00:54.059 --> 01:18.380\n可是我並沒有想用我個人的身份去換取榮家對我的一點資源而是要把這個量能擴散到其他的服務上去所以我剛才聽到了這些報告以後我下面做的只是建言我們都是軍人出身我們都研究戰略所以我們都了解我們如何設定目標\n\n01:19.929 --> 01:25.992\n實際上這個AI本身裡面就結合了未來的人工智慧在您後面的報告裡面引述出來了所以我們的目的就是\n\n01:40.049 --> 01:44.353\n委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任委員會\n\n02:00.270 --> 02:22.338\n那我們採用的手段呢要善用各地的榮民服務處作為信息收集這裡面包括了AI的運用就像剛才前面委員提到的有關床位的調節啦管理系統的那是內部運用的但是因為它是一個動態的並不是每天都可以調節床位的所以資源整合啊\n\n02:23.098 --> 02:23.579\n委員會主任委員會主任\n\n02:43.678 --> 02:53.344\n一流需求的前提下我們也可以篩選民間優質的醫療機構與軍方的醫院共同合作一方面是舒緩醫療間我們候診看診的時間\n\n02:58.635 --> 03:24.082\n正確、善用的綠色通道的規則確保醫療流程的效率與服務品質減輕病患等待期間焦慮的心情與病痛我們在民間常常講一些意外狀況如果有三長兩短那是一個民間的講法但是我們現在反映到什麼呢就是掛號排隊的時間長\n\n03:26.463 --> 03:54.971\n等候看病的時間長領藥檢查的時間長可是真正因為受選於原力之源醫療體系醫師所以看病問診的時間短解釋病情的時間短我們有些老農民實際上以我們專業醫生論述的講法他的專業背景聽不懂這種疫情的狀況症候的狀況所以我們慢慢來調整了變成了三短兩長\n\n03:56.271 --> 03:56.371\n﹚陳永康\n\n04:26.791 --> 04:27.372\n李卓人議員\n\n04:55.925 --> 05:14.342\n支持國軍站立維持照顧榮民、榮家以及廣闊到民間的共同的照育扮演了一個很重要的角色那麼我們也相信榮民的需要退府會完全了解而且會努力做到這是以上我個人對主委的一些建言跟期許謝謝\n\n05:16.858 --> 05:30.915\n謝謝委員的指導和勉勵我想委員的第一個目標非常明確我想我們現在退伍過去朝向這個目標全力以赴的做就人民在哪裡服務到哪裡委員指導這裡面的建議我們現在不斷地在求\n\n05:32.096 --> 05:32.496\n委員會主席\n\n05:48.966 --> 05:50.747\n委員會主任委員會主任委員會主任\n\n06:08.900 --> 06:09.060\n：陳永康\n\n06:26.475 --> 06:27.096\n委員會主任委員會主任委員會主任委員會主任委員會主任委員會主任\n\n06:55.594 --> 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- 09:42:12","會議名稱":"立法院第11屆第2會期外交及國防委員會第3次全體委員會議（事由：邀請國軍退除役官兵輔導委員會主任委員嚴德發報告業務概況，並備質詢。）","id":155269,"gazette":{"lineno":168,"blocks":[["陳委員永康：（9時35分）我們有請嚴主委。"],["主席：請嚴主委。"],["嚴主任委員德發：學長、委員好。"],["陳委員永康：主委好。我們這麼多年的同事，不能講我們是在同溫層，可是我們是在一個頻譜之內，看盡了所有榮家就現役、退役，過去整個退輔會對榮家照顧所做的服務。所以您剛才的那個深入報導，我個人感受很深，因為不管怎麼講，我們的人力資源還是相當有限，如何能夠做出最大的效益，這是我們要支持的、共同努力。我剛剛看了一下我的皮夾子，才發現榮民證我每天帶在身上，可是我並沒有想用我個人的身分去換取榮家對我的一點資源，而是要把這個量能擴散到其他的服務上。所以我剛才聽到了這些報告以後，我下面做的只是建言，我們都是軍人出身、我們都研究戰略，所以都了解我們如何設定目標，我們運用什麼方法、採用什麼手段。","目前政府強調的是行動創新（Action Innovation），實際上AI本身就結合了未來的人工智慧，在您後面的報告裡面引述出來了。所以我們的目的就是，榮民在哪裡，服務在哪裡，我們要支持達成目標。那運用的方法呢？就是在政府創新的指導下，資源整合為核心、層級式網路服務為骨幹，作為整體服務的思維、展開行動。我們採用的手段，要善用各地「榮民服務處」，作為信息蒐集的平台，這裡面包括了AI的運用，就像剛才前面委員提到的，有關床位的調節、管理系統，那是內部運用，但因為它是動態的，並不是每天都可以調節床位，所以資源整合的前端平台要配合做。我們也希望構建「榮總」、「分院」、「榮家」層級式合作照護網路。","我們做出建議，就是降低「榮總」體系工作負荷：考慮到就醫方便、醫療需求的前提下，我們也可以篩選民間優質醫療機構，與軍方醫院共同合作。舒緩醫患之間候（看）診時間：正確善用「綠色通道」規則，確保醫療流程效率與服務品質，減輕病患等待期間的焦慮心情與病痛。在民間常常講一些意外狀況，如果有三長兩短，那是民間的一個講法，但現在反映到什麼呢？就是掛號排隊的時間長、等候看病的時間長，領藥、檢查的時間長，可是真正因為受限於人力資源、醫療體系、醫師，所以看病問診的時間短、解釋病情的時間短。有些老榮民，實際上以我們專業醫生論述的講法，他的專業背景聽不懂這種疫情的狀況、徵候的狀況，所以我們慢慢來調整，變成三短兩長，讓前面的服務時間，縮短等候，後面產生效益，讓他安心聽懂的這個時間加長。","健全醫療體系與照顧環境：我們要在法律框架下，進行大數據的整合管理並持續優化資料庫，同時針對醫療體系及人員要提供AI風險控管跟AI教育，因為越用大的資料庫，產生資料外洩的機率會越高。甚至比方講平戰轉合，我們的軍醫院，比方軍人的健檢、將檢或者是體檢資料，跟民間醫院能不能互通，這都要法律來律定，並不是想像一上網就可以通，有些在這個醫院的病歷資料，戰時受傷，到另外一個醫院未必能夠取得，像這類東西是要我們大家共同努力的。退輔會在支持國軍戰力，維持照顧榮民、榮家，以及廣擴到民間的共同照護，扮演了一個很重要的角色，我們也相信榮民的需要，退輔會完全瞭解，而且會努力做到，這是以上我個人對主委的一些建言跟期許，謝謝。"],["嚴主任委員德發：謝謝委員的指導跟勉勵。委員的第一個目標非常明確，現在我們退輔會就朝向這個目標全力以赴在做，就是榮民在哪裡，服務到哪裡。有關委員指導的建議，我們現在不斷在求精進，每次都在做檢討，然後求進步：第一，以榮總的系統來講，我們希望能夠減輕工作負荷，事實上我們現在各地的榮總都有跟周邊民間醫院合作，成立一些聯盟，就是誠如剛剛委員指導的，怎麼樣去降低、減輕榮總本身的負荷，讓醫療資源都能夠擴大。其次是在服務方面，有關綠色通道的部分，我們榮院尤其是針對高齡的榮民，都有專人，包括志工在做綠色通道的服務，就如委員剛剛指導的，讓他後面的看診、醫療等時間長的服務能很快就緒，這部分我們還要持續精進和強化。最後是有關健康醫療環境的建置，我在業務報告裡面也特別強調了，因為我們現在要達到「健康台灣」的目標，所以榮總在這方面不管是教學研究或者是未來設施的更新和調整，都朝著精準醫學、高齡醫學，還有癌症醫學、細胞免疫治療、再生醫學這方面去強化，看看怎麼樣做一個全人健康的治療，在這方面照委員的指導去努力。我想只要榮民有需要，我們的服務就到那裡，我們會繼續努力來做，謝謝委員的指導。"],["陳委員永康：謝謝嚴主委以及退輔會同仁今天與會，我們大家一起共同努力。謝謝。"],["嚴主任委員德發：謝謝委員。"],["主席：謝謝陳永康委員，主委請回。","接下來請沈伯洋委員上台質詢。"]],"agenda":{"page_end":330,"meet_id":"委員會-11-2-35-3","speakers":["林憶君","羅美玲","陳永康","沈伯洋","林楚茵","馬文君","徐巧芯","洪申翰","王定宇","黃仁","陳冠廷","楊瓊瓔","羅智強","鍾佳濱","牛煦庭","麥玉珍","邱志偉"],"page_start":279,"meetingDate":["2024-10-09"],"gazette_id":"1138001","agenda_lcidc_ids":["1138001_00006"],"meet_name":"立法院第11屆第2會期外交及國防委員會第3次全體委員會議紀錄","content":"邀請國軍退除役官兵輔導委員會主任委員嚴德發報告業務概況，並備質詢","agenda_id":"1138001_00005"}}}