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{\"word\": \",\"}, {\"word\": \"非\", \"start\": 641.963, \"end\": 642.063, \"score\": 0.8}, {\"word\": \"常\", \"start\": 642.063, \"end\": 642.123, \"score\": 0.663}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"部\", \"start\": 642.123, \"end\": 642.143, \"score\": 0.0}, {\"word\": \"長\"}, {\"word\": \"。\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"許\", \"start\": 673.639, \"end\": 674.964, \"score\": 0.963}, {\"word\": \"委\", \"start\": 674.964, \"end\": 674.985, \"score\": 0.218}, {\"word\": \"員\"}], \"language\": \"zh\"}","srt":"1\n00:00:01,294 --> 00:00:09,238\n在黃秀芳委員發言完畢後,我們處理臨時提案。好,謝謝主席。那還是麻煩邱部長。部長請。\n\n2\n00:00:19,026 --> 00:00:41,681\n今天有幾個問題來跟您請教就是包括今天的主題之一就是少子的話之下我們對台灣的一些政策或者是在人工流產部分有哪一些我們可以更瞭解多遠的地方那我們可以瞭解其實在過去一段時間一直都有相關的統計來告訴國人說\n\n3\n00:00:44,783 --> 00:01:05,898\n針對於在臺灣我們懷孕的這些女性婦女們他對於這個整個過程裡面如果有需要做人工流產的話那曾經有哪一些的問題存在那其實每4年都會有一個訊息的報告可是這個最後一次的調查時間是在2016年\n\n4\n00:01:07,699 --> 00:01:29,113\n那第12次的這個有關於衛福部國建署家庭與生育調查報告到了2016年以後就沒有繼續執行那沒有繼續執行的原因我們去了解後來才知道說他是回歸到內政部去做數據相關的統計可是我們也去了解內政部他們到底報告了什麼\n\n5\n00:01:29,733 --> 00:01:54,262\n他們報告的是有關於當年度有多少新生兒的人口數那之前相關的懷孕啊或者是人工流產的數據其實是沒有包括在這個項次裡面那這樣的部分我們就覺得那如果是相關的統計出了問題的話那未來對於少子化的對策方面我們就很難去找到比較具體的方法\n\n6\n00:02:33,212 --> 00:02:41,963\n這些流產量其實我們知道事實上很多可能是有所遺漏或者是有一些不完整的地方所以針對這部分將來\n\n7\n00:02:44,892 --> 00:03:04,144\n包括主管機關在衛福部這邊有沒有一些對策可以讓我們針對於人工流產的部分可以有更完整、更周全的這個統計的資料?或者是有什麼方法可以來改善目前的困境?我想謝謝委員。委員對於現在面臨少子化的一個社會\n\n8\n00:03:05,385 --> 00:03:21,766\n那尤其對於非預期懷孕的婦女也常常關懷啦齁。如果啦,看我衛福部準備來協助來減少幾度,還比這個都是相當重要的事情齁。那剛剛委員所提的我們事情,吳市長,來。\n\n9\n00:03:24,082 --> 00:03:41,685\n為什麼未來會針對這些數字去做一個更精進的分析那我們會跟健保一起來合作那因為過去的調查是採用面黃的方式那其實它的準確度後來評估它的使用上也有一些疑慮的地方所以很多專家建議我們說\n\n10\n00:03:58,246 --> 00:04:18,180\n是,所以除了跟健保合作以外,同時我會建議可不可以跟專家學者或相關的這些學會們一起來研擬,可以讓這樣的數據可以更精確。因為我們也很期待說,如果有比較精確的數據以後,我們可以針對這些施行人工流產的這些民眾,\n\n11\n00:04:37,731 --> 00:04:39,232\n所以我們很期待有這個更好的一些方式來解決\n\n12\n00:05:06,764 --> 00:05:23,540\n那我們也了解說德國他們曾經針對想要做人工流產的這些民眾提供一個諮詢或者是一個思考期讓他們再重新去確定他的意願以後他們得到一個很好的一個成果就是可以讓這個民眾\n\n13\n00:05:25,342 --> 00:05:52,745\n他就不會去做了這個人工流產或者是認真終止這樣的做法所以未來我們很期待在思考及或是人工流產諮詢的部分看這邊有沒有好的一些政策可以來加強我想我們目前也有跟我們醫療照護團隊還有婦產科醫學會共同製作了人工流產的諮詢的指引手冊給大家做參考那我們未來會加強做先導\n\n14\n00:05:54,022 --> 00:06:06,653\n是,好,我想如果把整個生育養育的環境在像現在這樣的努力持續下去,我想有一些,第一個原因這個發現,因為這個大概比較沒辦法,因為\n\n15\n00:06:10,380 --> 00:06:11,821\n我相信今天早上有委員請教過部長這個問題\n\n16\n00:06:38,849 --> 00:06:55,212\n是那這個整個決策過程大家也覺得非常的納悶為什麼會一開始的時候會有一些相關的行業是不動長就是動長後來又做一些調整那這部分未來\n\n17\n00:06:57,008 --> 00:06:57,929\nThankyou.\n\n18\n00:07:16,612 --> 00:07:33,299\n電價費利的審議會,他要考慮的百工百業,當然不可能所有的業者都進來,所以他們當然有一些原則我們也尊重,但是一公布出來的話,如果有些行業覺得說\n\n19\n00:07:35,147 --> 00:08:01,653\n對他們來講是不合理的我想也行政院也接受到反應我這個還是要感謝行政院長他了解到我們醫療院所的確是照顧人民第一線我想不只醫療院所有很多很多的行業都必須要我們給他關心那這個部分特別是在行政院長也體認到這樣的一個\n\n20\n00:08:04,135 --> 00:08:16,554\n民意來保護我們醫療院所保護我們人民的健康我想這個部分我們有專家的會議然後接受大家的意見創造出一個比較圓滿的一個結局\n\n21\n00:08:18,317 --> 00:08:40,799\n那在這邊也特別感謝我們防生系委員、防護委員在這個地方也都一直給予關心跟幫忙。謝謝。好,期待我們每一年都能夠有好的策略把它完成這樣的這個目標。那再過來就是有關你指控內膜癌防治的部分。那剛剛前經候委員也非常的用心的在討論如何能夠讓\n\n22\n00:09:37,023 --> 00:10:05,484\n因為民眾如果知道對於這個癌症帶來的影響或者是針對一些症狀能夠提早去了解的話相信民眾對自己健康也要負一些責任那我們很期待民眾教育會透過跟教育部這邊做一些相關的加強的合作包括兩個部會之間事實上有衛教委員會那很期待可以讓這個衛教委員會可以發揮它的作用那這部分也麻煩部長再能夠多加考量\n\n23\n00:10:07,406 --> 00:10:22,014\n好,我們會配合,那我想那個王委員特別長期畢生共生體癌症治療跟關懷,那怎麼樣讓他更有效率,有時候篩檢是一個,問題是誰去做篩檢?\n\n24\n00:10:26,036 --> 00:10:40,183\n隨時讓民眾有意願這個我們要建立一個醫療體系那比如說你如果假設你都有一個管理你的健康的家庭醫師他對你全家大大小小都知道何時要做哪一種檢查\n\n25\n00:10:41,423 --> 00:10:42,143\n好,非常謝謝部長。\n\n26\n00:11:13,639 --> 00:11:14,985\n謝謝許委員\n\n","tsv":"start\tend\ttext\n1294\t9238\t在黃秀芳委員發言完畢後,我們處理臨時提案。好,謝謝主席。那還是麻煩邱部長。部長請。\n19026\t41681\t今天有幾個問題來跟您請教就是包括今天的主題之一就是少子的話之下我們對台灣的一些政策或者是在人工流產部分有哪一些我們可以更瞭解多遠的地方那我們可以瞭解其實在過去一段時間一直都有相關的統計來告訴國人說\n44783\t65898\t針對於在臺灣我們懷孕的這些女性婦女們他對於這個整個過程裡面如果有需要做人工流產的話那曾經有哪一些的問題存在那其實每4年都會有一個訊息的報告可是這個最後一次的調查時間是在2016年\n67699\t89113\t那第12次的這個有關於衛福部國建署家庭與生育調查報告到了2016年以後就沒有繼續執行那沒有繼續執行的原因我們去了解後來才知道說他是回歸到內政部去做數據相關的統計可是我們也去了解內政部他們到底報告了什麼\n89733\t114262\t他們報告的是有關於當年度有多少新生兒的人口數那之前相關的懷孕啊或者是人工流產的數據其實是沒有包括在這個項次裡面那這樣的部分我們就覺得那如果是相關的統計出了問題的話那未來對於少子化的對策方面我們就很難去找到比較具體的方法\n114582\t133370\t︎\n133370\t152312\t︎\n153212\t161963\t這些流產量其實我們知道事實上很多可能是有所遺漏或者是有一些不完整的地方所以針對這部分將來\n164892\t184144\t包括主管機關在衛福部這邊有沒有一些對策可以讓我們針對於人工流產的部分可以有更完整、更周全的這個統計的資料?或者是有什麼方法可以來改善目前的困境?我想謝謝委員。委員對於現在面臨少子化的一個社會\n185385\t201766\t那尤其對於非預期懷孕的婦女也常常關懷啦齁。如果啦,看我衛福部準備來協助來減少幾度,還比這個都是相當重要的事情齁。那剛剛委員所提的我們事情,吳市長,來。\n204082\t221685\t為什麼未來會針對這些數字去做一個更精進的分析那我們會跟健保一起來合作那因為過去的調查是採用面黃的方式那其實它的準確度後來評估它的使用上也有一些疑慮的地方所以很多專家建議我們說\n222466\t238046\t︎\n238246\t258180\t是,所以除了跟健保合作以外,同時我會建議可不可以跟專家學者或相關的這些學會們一起來研擬,可以讓這樣的數據可以更精確。因為我們也很期待說,如果有比較精確的數據以後,我們可以針對這些施行人工流產的這些民眾,\n259121\t277671\t︎\n277731\t279232\t所以我們很期待有這個更好的一些方式來解決\n306764\t323540\t那我們也了解說德國他們曾經針對想要做人工流產的這些民眾提供一個諮詢或者是一個思考期讓他們再重新去確定他的意願以後他們得到一個很好的一個成果就是可以讓這個民眾\n325342\t352745\t他就不會去做了這個人工流產或者是認真終止這樣的做法所以未來我們很期待在思考及或是人工流產諮詢的部分看這邊有沒有好的一些政策可以來加強我想我們目前也有跟我們醫療照護團隊還有婦產科醫學會共同製作了人工流產的諮詢的指引手冊給大家做參考那我們未來會加強做先導\n354022\t366653\t是,好,我想如果把整個生育養育的環境在像現在這樣的努力持續下去,我想有一些,第一個原因這個發現,因為這個大概比較沒辦法,因為\n370380\t371821\t我相信今天早上有委員請教過部長這個問題\n398849\t415212\t是那這個整個決策過程大家也覺得非常的納悶為什麼會一開始的時候會有一些相關的行業是不動長就是動長後來又做一些調整那這部分未來\n417008\t417929\tThank you.\n436612\t453299\t電價費利的審議會,他要考慮的百工百業,當然不可能所有的業者都進來,所以他們當然有一些原則我們也尊重,但是一公布出來的話,如果有些行業覺得說\n455147\t481653\t對他們來講是不合理的我想也行政院也接受到反應我這個還是要感謝行政院長他了解到我們醫療院所的確是照顧人民第一線我想不只醫療院所有很多很多的行業都必須要我們給他關心那這個部分特別是在行政院長也體認到這樣的一個\n484135\t496554\t民意來保護我們醫療院所保護我們人民的健康我想這個部分我們有專家的會議然後接受大家的意見創造出一個比較圓滿的一個結局\n498317\t520799\t那在這邊也特別感謝我們防生系委員、防護委員在這個地方也都一直給予關心跟幫忙。謝謝。好,期待我們每一年都能夠有好的策略把它完成這樣的這個目標。那再過來就是有關你指控內膜癌防治的部分。那剛剛前經候委員也非常的用心的在討論如何能夠讓\n521800\t540725\t︎1\n540725\t559480\t﹚\n559480\t576783\t﹗\n577023\t605484\t因為民眾如果知道對於這個癌症帶來的影響或者是針對一些症狀能夠提早去了解的話相信民眾對自己健康也要負一些責任那我們很期待民眾教育會透過跟教育部這邊做一些相關的加強的合作包括兩個部會之間事實上有衛教委員會那很期待可以讓這個衛教委員會可以發揮它的作用那這部分也麻煩部長再能夠多加考量\n607406\t622014\t好,我們會配合,那我想那個王委員特別長期畢生共生體癌症治療跟關懷,那怎麼樣讓他更有效率,有時候篩檢是一個,問題是誰去做篩檢?\n626036\t640183\t隨時讓民眾有意願這個我們要建立一個醫療體系那比如說你如果假設你都有一個管理你的健康的家庭醫師他對你全家大大小小都知道何時要做哪一種檢查\n641423\t642143\t好,非常謝謝部長。\n673639\t674985\t謝謝 許委員\n","txt":"在黃秀芳委員發言完畢後,我們處理臨時提案。好,謝謝主席。那還是麻煩邱部長。部長請。\n今天有幾個問題來跟您請教就是包括今天的主題之一就是少子的話之下我們對台灣的一些政策或者是在人工流產部分有哪一些我們可以更瞭解多遠的地方那我們可以瞭解其實在過去一段時間一直都有相關的統計來告訴國人說\n針對於在臺灣我們懷孕的這些女性婦女們他對於這個整個過程裡面如果有需要做人工流產的話那曾經有哪一些的問題存在那其實每4年都會有一個訊息的報告可是這個最後一次的調查時間是在2016年\n那第12次的這個有關於衛福部國建署家庭與生育調查報告到了2016年以後就沒有繼續執行那沒有繼續執行的原因我們去了解後來才知道說他是回歸到內政部去做數據相關的統計可是我們也去了解內政部他們到底報告了什麼\n他們報告的是有關於當年度有多少新生兒的人口數那之前相關的懷孕啊或者是人工流產的數據其實是沒有包括在這個項次裡面那這樣的部分我們就覺得那如果是相關的統計出了問題的話那未來對於少子化的對策方面我們就很難去找到比較具體的方法\n︎\n︎\n這些流產量其實我們知道事實上很多可能是有所遺漏或者是有一些不完整的地方所以針對這部分將來\n包括主管機關在衛福部這邊有沒有一些對策可以讓我們針對於人工流產的部分可以有更完整、更周全的這個統計的資料?或者是有什麼方法可以來改善目前的困境?我想謝謝委員。委員對於現在面臨少子化的一個社會\n那尤其對於非預期懷孕的婦女也常常關懷啦齁。如果啦,看我衛福部準備來協助來減少幾度,還比這個都是相當重要的事情齁。那剛剛委員所提的我們事情,吳市長,來。\n為什麼未來會針對這些數字去做一個更精進的分析那我們會跟健保一起來合作那因為過去的調查是採用面黃的方式那其實它的準確度後來評估它的使用上也有一些疑慮的地方所以很多專家建議我們說\n︎\n是,所以除了跟健保合作以外,同時我會建議可不可以跟專家學者或相關的這些學會們一起來研擬,可以讓這樣的數據可以更精確。因為我們也很期待說,如果有比較精確的數據以後,我們可以針對這些施行人工流產的這些民眾,\n︎\n所以我們很期待有這個更好的一些方式來解決\n那我們也了解說德國他們曾經針對想要做人工流產的這些民眾提供一個諮詢或者是一個思考期讓他們再重新去確定他的意願以後他們得到一個很好的一個成果就是可以讓這個民眾\n他就不會去做了這個人工流產或者是認真終止這樣的做法所以未來我們很期待在思考及或是人工流產諮詢的部分看這邊有沒有好的一些政策可以來加強我想我們目前也有跟我們醫療照護團隊還有婦產科醫學會共同製作了人工流產的諮詢的指引手冊給大家做參考那我們未來會加強做先導\n是,好,我想如果把整個生育養育的環境在像現在這樣的努力持續下去,我想有一些,第一個原因這個發現,因為這個大概比較沒辦法,因為\n我相信今天早上有委員請教過部長這個問題\n是那這個整個決策過程大家也覺得非常的納悶為什麼會一開始的時候會有一些相關的行業是不動長就是動長後來又做一些調整那這部分未來\nThank you.\n電價費利的審議會,他要考慮的百工百業,當然不可能所有的業者都進來,所以他們當然有一些原則我們也尊重,但是一公布出來的話,如果有些行業覺得說\n對他們來講是不合理的我想也行政院也接受到反應我這個還是要感謝行政院長他了解到我們醫療院所的確是照顧人民第一線我想不只醫療院所有很多很多的行業都必須要我們給他關心那這個部分特別是在行政院長也體認到這樣的一個\n民意來保護我們醫療院所保護我們人民的健康我想這個部分我們有專家的會議然後接受大家的意見創造出一個比較圓滿的一個結局\n那在這邊也特別感謝我們防生系委員、防護委員在這個地方也都一直給予關心跟幫忙。謝謝。好,期待我們每一年都能夠有好的策略把它完成這樣的這個目標。那再過來就是有關你指控內膜癌防治的部分。那剛剛前經候委員也非常的用心的在討論如何能夠讓\n︎1\n﹚\n﹗\n因為民眾如果知道對於這個癌症帶來的影響或者是針對一些症狀能夠提早去了解的話相信民眾對自己健康也要負一些責任那我們很期待民眾教育會透過跟教育部這邊做一些相關的加強的合作包括兩個部會之間事實上有衛教委員會那很期待可以讓這個衛教委員會可以發揮它的作用那這部分也麻煩部長再能夠多加考量\n好,我們會配合,那我想那個王委員特別長期畢生共生體癌症治療跟關懷,那怎麼樣讓他更有效率,有時候篩檢是一個,問題是誰去做篩檢?\n隨時讓民眾有意願這個我們要建立一個醫療體系那比如說你如果假設你都有一個管理你的健康的家庭醫師他對你全家大大小小都知道何時要做哪一種檢查\n好,非常謝謝部長。\n謝謝 許委員\n","vtt":"WEBVTT\n\n00:01.294 --> 00:09.238\n在黃秀芳委員發言完畢後,我們處理臨時提案。好,謝謝主席。那還是麻煩邱部長。部長請。\n\n00:19.026 --> 00:41.681\n今天有幾個問題來跟您請教就是包括今天的主題之一就是少子的話之下我們對台灣的一些政策或者是在人工流產部分有哪一些我們可以更瞭解多遠的地方那我們可以瞭解其實在過去一段時間一直都有相關的統計來告訴國人說\n\n00:44.783 --> 01:05.898\n針對於在臺灣我們懷孕的這些女性婦女們他對於這個整個過程裡面如果有需要做人工流產的話那曾經有哪一些的問題存在那其實每4年都會有一個訊息的報告可是這個最後一次的調查時間是在2016年\n\n01:07.699 --> 01:29.113\n那第12次的這個有關於衛福部國建署家庭與生育調查報告到了2016年以後就沒有繼續執行那沒有繼續執行的原因我們去了解後來才知道說他是回歸到內政部去做數據相關的統計可是我們也去了解內政部他們到底報告了什麼\n\n01:29.733 --> 01:54.262\n他們報告的是有關於當年度有多少新生兒的人口數那之前相關的懷孕啊或者是人工流產的數據其實是沒有包括在這個項次裡面那這樣的部分我們就覺得那如果是相關的統計出了問題的話那未來對於少子化的對策方面我們就很難去找到比較具體的方法\n\n02:33.212 --> 02:41.963\n這些流產量其實我們知道事實上很多可能是有所遺漏或者是有一些不完整的地方所以針對這部分將來\n\n02:44.892 --> 03:04.144\n包括主管機關在衛福部這邊有沒有一些對策可以讓我們針對於人工流產的部分可以有更完整、更周全的這個統計的資料?或者是有什麼方法可以來改善目前的困境?我想謝謝委員。委員對於現在面臨少子化的一個社會\n\n03:05.385 --> 03:21.766\n那尤其對於非預期懷孕的婦女也常常關懷啦齁。如果啦,看我衛福部準備來協助來減少幾度,還比這個都是相當重要的事情齁。那剛剛委員所提的我們事情,吳市長,來。\n\n03:24.082 --> 03:41.685\n為什麼未來會針對這些數字去做一個更精進的分析那我們會跟健保一起來合作那因為過去的調查是採用面黃的方式那其實它的準確度後來評估它的使用上也有一些疑慮的地方所以很多專家建議我們說\n\n03:58.246 --> 04:18.180\n是,所以除了跟健保合作以外,同時我會建議可不可以跟專家學者或相關的這些學會們一起來研擬,可以讓這樣的數據可以更精確。因為我們也很期待說,如果有比較精確的數據以後,我們可以針對這些施行人工流產的這些民眾,\n\n04:37.731 --> 04:39.232\n所以我們很期待有這個更好的一些方式來解決\n\n05:06.764 --> 05:23.540\n那我們也了解說德國他們曾經針對想要做人工流產的這些民眾提供一個諮詢或者是一個思考期讓他們再重新去確定他的意願以後他們得到一個很好的一個成果就是可以讓這個民眾\n\n05:25.342 --> 05:52.745\n他就不會去做了這個人工流產或者是認真終止這樣的做法所以未來我們很期待在思考及或是人工流產諮詢的部分看這邊有沒有好的一些政策可以來加強我想我們目前也有跟我們醫療照護團隊還有婦產科醫學會共同製作了人工流產的諮詢的指引手冊給大家做參考那我們未來會加強做先導\n\n05:54.022 --> 06:06.653\n是,好,我想如果把整個生育養育的環境在像現在這樣的努力持續下去,我想有一些,第一個原因這個發現,因為這個大概比較沒辦法,因為\n\n06:10.380 --> 06:11.821\n我相信今天早上有委員請教過部長這個問題\n\n06:38.849 --> 06:55.212\n是那這個整個決策過程大家也覺得非常的納悶為什麼會一開始的時候會有一些相關的行業是不動長就是動長後來又做一些調整那這部分未來\n\n06:57.008 --> 06:57.929\nThankyou.\n\n07:16.612 --> 07:33.299\n電價費利的審議會,他要考慮的百工百業,當然不可能所有的業者都進來,所以他們當然有一些原則我們也尊重,但是一公布出來的話,如果有些行業覺得說\n\n07:35.147 --> 08:01.653\n對他們來講是不合理的我想也行政院也接受到反應我這個還是要感謝行政院長他了解到我們醫療院所的確是照顧人民第一線我想不只醫療院所有很多很多的行業都必須要我們給他關心那這個部分特別是在行政院長也體認到這樣的一個\n\n08:04.135 --> 08:16.554\n民意來保護我們醫療院所保護我們人民的健康我想這個部分我們有專家的會議然後接受大家的意見創造出一個比較圓滿的一個結局\n\n08:18.317 --> 08:40.799\n那在這邊也特別感謝我們防生系委員、防護委員在這個地方也都一直給予關心跟幫忙。謝謝。好,期待我們每一年都能夠有好的策略把它完成這樣的這個目標。那再過來就是有關你指控內膜癌防治的部分。那剛剛前經候委員也非常的用心的在討論如何能夠讓\n\n09:37.023 --> 10:05.484\n因為民眾如果知道對於這個癌症帶來的影響或者是針對一些症狀能夠提早去了解的話相信民眾對自己健康也要負一些責任那我們很期待民眾教育會透過跟教育部這邊做一些相關的加強的合作包括兩個部會之間事實上有衛教委員會那很期待可以讓這個衛教委員會可以發揮它的作用那這部分也麻煩部長再能夠多加考量\n\n10:07.406 --> 10:22.014\n好,我們會配合,那我想那個王委員特別長期畢生共生體癌症治療跟關懷,那怎麼樣讓他更有效率,有時候篩檢是一個,問題是誰去做篩檢?\n\n10:26.036 --> 10:40.183\n隨時讓民眾有意願這個我們要建立一個醫療體系那比如說你如果假設你都有一個管理你的健康的家庭醫師他對你全家大大小小都知道何時要做哪一種檢查\n\n10:41.423 --> 10:42.143\n好,非常謝謝部長。\n\n11:13.639 --> 11:14.985\n謝謝許委員\n\n","segments":[{"start":1.294,"end":9.238,"text":"在黃秀芳委員發言完畢後,我們處理臨時提案。好,謝謝主席。那還是麻煩邱部長。部長請。"},{"start":19.026,"end":41.681,"text":"今天有幾個問題來跟您請教就是包括今天的主題之一就是少子的話之下我們對台灣的一些政策或者是在人工流產部分有哪一些我們可以更瞭解多遠的地方那我們可以瞭解其實在過去一段時間一直都有相關的統計來告訴國人說"},{"start":44.783,"end":65.898,"text":"針對於在臺灣我們懷孕的這些女性婦女們他對於這個整個過程裡面如果有需要做人工流產的話那曾經有哪一些的問題存在那其實每4年都會有一個訊息的報告可是這個最後一次的調查時間是在2016年"},{"start":67.699,"end":89.113,"text":"那第12次的這個有關於衛福部國建署家庭與生育調查報告到了2016年以後就沒有繼續執行那沒有繼續執行的原因我們去了解後來才知道說他是回歸到內政部去做數據相關的統計可是我們也去了解內政部他們到底報告了什麼"},{"start":89.733,"end":114.262,"text":"他們報告的是有關於當年度有多少新生兒的人口數那之前相關的懷孕啊或者是人工流產的數據其實是沒有包括在這個項次裡面那這樣的部分我們就覺得那如果是相關的統計出了問題的話那未來對於少子化的對策方面我們就很難去找到比較具體的方法"},{"start":114.582,"end":133.37,"text":" ︎"},{"start":133.37,"end":152.312,"text":" ︎"},{"start":153.212,"end":161.963,"text":"這些流產量其實我們知道事實上很多可能是有所遺漏或者是有一些不完整的地方所以針對這部分將來"},{"start":164.892,"end":184.144,"text":"包括主管機關在衛福部這邊有沒有一些對策可以讓我們針對於人工流產的部分可以有更完整、更周全的這個統計的資料?或者是有什麼方法可以來改善目前的困境?我想謝謝委員。委員對於現在面臨少子化的一個社會"},{"start":185.385,"end":201.766,"text":"那尤其對於非預期懷孕的婦女也常常關懷啦齁。如果啦,看我衛福部準備來協助來減少幾度,還比這個都是相當重要的事情齁。那剛剛委員所提的我們事情,吳市長,來。"},{"start":204.082,"end":221.685,"text":"為什麼未來會針對這些數字去做一個更精進的分析那我們會跟健保一起來合作那因為過去的調查是採用面黃的方式那其實它的準確度後來評估它的使用上也有一些疑慮的地方所以很多專家建議我們說"},{"start":222.466,"end":238.046,"text":" ︎"},{"start":238.246,"end":258.18,"text":"是,所以除了跟健保合作以外,同時我會建議可不可以跟專家學者或相關的這些學會們一起來研擬,可以讓這樣的數據可以更精確。因為我們也很期待說,如果有比較精確的數據以後,我們可以針對這些施行人工流產的這些民眾,"},{"start":259.121,"end":277.671,"text":" ︎"},{"start":277.731,"end":279.232,"text":"所以我們很期待有這個更好的一些方式來解決"},{"start":306.764,"end":323.54,"text":"那我們也了解說德國他們曾經針對想要做人工流產的這些民眾提供一個諮詢或者是一個思考期讓他們再重新去確定他的意願以後他們得到一個很好的一個成果就是可以讓這個民眾"},{"start":325.342,"end":352.745,"text":"他就不會去做了這個人工流產或者是認真終止這樣的做法所以未來我們很期待在思考及或是人工流產諮詢的部分看這邊有沒有好的一些政策可以來加強我想我們目前也有跟我們醫療照護團隊還有婦產科醫學會共同製作了人工流產的諮詢的指引手冊給大家做參考那我們未來會加強做先導"},{"start":354.022,"end":366.653,"text":"是,好,我想如果把整個生育養育的環境在像現在這樣的努力持續下去,我想有一些,第一個原因這個發現,因為這個大概比較沒辦法,因為"},{"start":370.38,"end":371.821,"text":"我相信今天早上有委員請教過部長這個問題"},{"start":398.849,"end":415.212,"text":"是那這個整個決策過程大家也覺得非常的納悶為什麼會一開始的時候會有一些相關的行業是不動長就是動長後來又做一些調整那這部分未來"},{"start":417.008,"end":417.929,"text":" Thank you."},{"start":436.612,"end":453.299,"text":"電價費利的審議會,他要考慮的百工百業,當然不可能所有的業者都進來,所以他們當然有一些原則我們也尊重,但是一公布出來的話,如果有些行業覺得說"},{"start":455.147,"end":481.653,"text":"對他們來講是不合理的我想也行政院也接受到反應我這個還是要感謝行政院長他了解到我們醫療院所的確是照顧人民第一線我想不只醫療院所有很多很多的行業都必須要我們給他關心那這個部分特別是在行政院長也體認到這樣的一個"},{"start":484.135,"end":496.554,"text":"民意來保護我們醫療院所保護我們人民的健康我想這個部分我們有專家的會議然後接受大家的意見創造出一個比較圓滿的一個結局"},{"start":498.317,"end":520.799,"text":"那在這邊也特別感謝我們防生系委員、防護委員在這個地方也都一直給予關心跟幫忙。謝謝。好,期待我們每一年都能夠有好的策略把它完成這樣的這個目標。那再過來就是有關你指控內膜癌防治的部分。那剛剛前經候委員也非常的用心的在討論如何能夠讓"},{"start":521.8,"end":540.725,"text":" ︎1"},{"start":540.725,"end":559.48,"text":"﹚"},{"start":559.48,"end":576.783,"text":" ﹗"},{"start":577.023,"end":605.484,"text":"因為民眾如果知道對於這個癌症帶來的影響或者是針對一些症狀能夠提早去了解的話相信民眾對自己健康也要負一些責任那我們很期待民眾教育會透過跟教育部這邊做一些相關的加強的合作包括兩個部會之間事實上有衛教委員會那很期待可以讓這個衛教委員會可以發揮它的作用那這部分也麻煩部長再能夠多加考量"},{"start":607.406,"end":622.014,"text":"好,我們會配合,那我想那個王委員特別長期畢生共生體癌症治療跟關懷,那怎麼樣讓他更有效率,有時候篩檢是一個,問題是誰去做篩檢?"},{"start":626.036,"end":640.183,"text":"隨時讓民眾有意願這個我們要建立一個醫療體系那比如說你如果假設你都有一個管理你的健康的家庭醫師他對你全家大大小小都知道何時要做哪一種檢查"},{"start":641.423,"end":642.143,"text":"好,非常謝謝部長。"},{"start":673.639,"end":674.985,"text":"謝謝 許委員"}]}}},"meet":{"sessionPeriod":2,"sessionTimes":2,"tmpMeeting":null,"committees":[26],"term":11,"id":"委員會-11-2-26-2","title":"第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議","type":"委員會"},"會議時間":"2024-10-09T09:00:00+08:00","委員發言時間":"11:20:47 - 11:32:05","會議名稱":"立法院第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議（事由：邀請衛生福利部部長就「我國人工生殖法制化作業進度」、「衛生福利部落實中央政府我國少子女化對策計畫之成效與未來規劃」及「衛生福利部本月因疏於督導地方評估特殊需求兒少利益所受監察院糾正之檢討」進行專題報告，並備質詢。\n【10月7日及9日二天一次會】）","id":155312,"gazette":{"lineno":601,"blocks":[["王委員正旭：（11時20分）謝謝主席。還是麻煩邱部長。"],["主席：部長請。"],["邱部長泰源：委員好。"],["王委員正旭：邱部長好。今天有幾個問題向您請教，包括今天的主題之一，就是少子化之下臺灣的一些政策或者在人工流產部分有哪些我們可以更了解、更多元的地方。我們可以了解，其實過去一段時間一直都有相關統計告訴國人，在臺灣懷孕的女性、婦女們，在整個過程裡面如果需要做人工流產的話，曾經有哪些問題存在。其實，每四年都有一項訊息報告，可是最後一次調查時間是在2016年、第十二次衛福部國健署家庭與生育調查報告，也就是到了2016年以後就沒有繼續執行。至於沒有繼續執行的原因我們去了解，後來才知道是回歸內政部作相關數據統計。可是我們也去了解內政部他們到底報告了什麼，他們報告的是關於當年度有多少新生兒人口數，至於之前的相關數據，像是懷孕或人工流產的數據其實沒有包括在這個項次裡面。就這個情況，我們覺得如果相關統計出了問題，在未來擬定少子化對策方面，就很難找到比較具體的方法，或根據具體原因做一些對策上的改善或協助。","我們現在也了解，目前人工流產相關統計有兩大來源，一個就是健保署針對特約醫事機構的生產與流產統計，是從民眾接受健保署服務過程裡所得到的資料。另外一部分就是食藥署，他們會去以人工流產藥物使用─基本上就是以RU486的使用量推估我國目前的人工流產量。不過對於這些人工流產量，我們知道事實上可能很多有所遺漏，或者有一些不完整的地方，針對這部分，主管機關衛福部這邊將來有沒有一些對策，對於人工流產部分可以有更完整、更周全的統計資料，或者有什麼方法可以改善目前的困境？"],["邱部長泰源：謝謝委員，委員對於現在面臨的少子化社會問題，尤其對於非預期懷孕的婦女也常常關懷，並探討衛福部怎麼協助減少其墮胎比例，這些都是相當重要的事情。至於剛剛委員所提的問題，我請吳署長說明。"],["吳署長昭軍：我們未來會針對這些數字做更精進的分析，並且與健保署一起合作。由於過去調查是採用面訪方式，其實在準確度以及後來評估使用上有一些疑慮的地方，很多專家建議我們，這種做生育調查的家庭式面訪方式要改變，所以我們才會在105年停止這樣的調查規範，後續會跟健保署合作，讓這份統計數字能夠更精準。"],["王委員正旭：是。除了跟健保署合作以外，我同時建議跟專家學者或相關學會一起研擬，讓這樣的數據可以更精確，因為我們也很期待，有比較精確的數據以後，可以針對這些施行人工流產的民眾到底在擔心什麼、他們為什麼會執行人工流產而無法讓也許好不容易懷孕的胎兒順利保存下來加以了解，讓臺灣的少子化問題得到好的解決。這邊也有一項數據告訴我們，其實有將近四分之一民眾是因為擔心造成經濟負擔而選擇人工流產，雖然這個樣本數非常少，不過相信這也是一種可能狀況。就這部分，如果能夠了解得更澈底的話，那針對經濟負擔因素，國家、包括行政院可能會有更好的對策就這部分做因應，所以我們很期待有更好的方式解決。","我們也了解，德國曾經針對想要做人工流產的民眾提供諮詢或思考期，讓他們重新確定意願以後，得到很好的成果，就是可以讓該民眾不會採取人工流產或妊娠中止這樣的作法，所以我們也很期待未來在思考期或人工流產諮詢部分看看有沒有好的政策可以加強。"],["吳署長昭軍：我們目前也跟醫療照護團隊、婦產科醫學會共同製作了人工流產諮詢指引手冊給大家作參考，未來會加強作宣導。"],["王委員正旭：好。"],["邱部長泰源：我想，如果要就整個生育、養育環境像現在這樣持續努力下去，對於第一種原因─發現胎兒有問題，大概比較沒辦法，因為比較偏向醫療上的問題。至於其他作法，應該都有助於減少人工流產的機會。"],["王委員正旭：是，我相信原因若能夠分析得愈澈底，我們能夠做的事情或提出的對策就愈有效。","我再請教一下有關醫院電價凍漲的過程，相信今天早上也有委員請教過部長這個問題。對於整個決策過程，大家也覺得非常地納悶，為什麼一開始會有一些相關行業凍漲，後來有作一些調整？在這部分，未來的處理模式比起今年會不會有所更動？我們很期待，每一年如果有相關議題，邱部長這邊可以先做哪一些內部協調過程呢？"],["邱部長泰源：好，謝謝。因為電價費率審議會要考慮的是百工百業啦！不可能把所有業者都納進來，所以當然有一些原則，我們也尊重。但是一公布出來，有些行業覺得對他們來講是不合理的，我想行政院也接收到反映了。對於這點，我還是要感謝行政院長啦！他了解到醫療院所的確是照顧人民的第一線。我想不只醫療院所啦！還有很多、很多行業，都需要我們給予關心，而行政院長特別體認到這樣的民意，也就是保護醫療院所、保護人民的健康。在這部分，我們由專家會議接受大家的意見，創造了比較圓滿的結局。"],["王委員正旭：是。"],["邱部長泰源：我在這邊也特別感謝王正旭委員，王委員在這個方面也都一直給予關心跟幫忙，謝謝！"],["王委員正旭：好，期待每一年都有好的策略完成這樣的目標。","再過來是關於子宮內膜癌防治的部分。剛剛陳菁徽委員也非常用心地討論目前婦女，尤其是達到一定年紀以後婦女子宮內膜的癌症如何能夠確定，並且在有症狀的時候或者對高風險群及早檢查，包括超音波、包括子宮鏡，都是可能可以執行的工具或方式。至於到底要不要做全民或廣泛式的篩檢，當然有賴健康署這邊再做謹慎的評估。像以前肺癌防治篩檢的經驗也各訴我們，臺灣相關作法對於全球其實可以有好的貢獻，所以未來針對子宮內膜癌篩檢，在評估篩檢模型的同時，我們也希望能夠儘量落實宣導，因為民眾要知道癌症帶來的影響，或者對於一些症狀提早了解，對於自己的健康也要負一些責任。我們也很期待在民眾教育上可以跟教育部作一些相關的加強合作，兩個部會之間事實上有衛教委員會，我很期待這個衛教委員會可以發揮它的作用，這部分也麻煩部長多加考量。"],["邱部長泰源：好，我們會配合。王委員長期、畢生貢獻於癌症治療跟關懷。關於怎麼樣更有效率，有時候篩檢是一種方式，問題是誰去篩檢、誰去讓民眾有意願？我們要建立一個醫療體系，譬如說民眾都有管理健康的家庭醫師，對於全家大大小小都知道何時要做哪一種檢查，這樣才能真的落實。我們現在對健康臺灣提出很多加強篩檢項目，如何因應未來因為環境變遷導致新生、增生的癌症也都可以由家庭醫師團隊為民眾規劃，我相信這些做法都能夠比較早期發現癌症，讓民眾得到最好的治療。"],["王委員正旭：好，非常謝謝部長。"],["邱部長泰源：謝謝委員。"],["主席：謝謝王委員、謝謝部長。","接續請黃秀芳委員質詢。"]],"agenda":{"page_end":346,"meet_id":"委員會-11-2-26-2","speakers":["蘇清泉","林月琴","陳昭姿","陳菁徽","廖偉翔","盧縣一","林淑芬","邱鎮軍","王育敏","王正旭","黃秀芳","李坤城","楊曜","黃國昌","鍾佳濱","林楚茵","洪申翰","黃捷","吳春城","洪孟楷","楊瓊瓔","何欣純","林宜瑾","羅智強","張雅琳","涂權吉","陳培瑜","劉建國","陳瑩","林倩綺","張嘉郡"],"page_start":257,"meetingDate":["2024-10-09"],"gazette_id":"1138201","agenda_lcidc_ids":["1138201_00006"],"meet_name":"立法院第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議紀錄","content":"邀請衛生福利部部長就「我國人工生殖法制化作業進度」、「衛生福利部落實中央政府我國少子\n女化對策計畫之成效與未來規劃」及「衛生福利部本月因疏於督導地方評估特殊需求兒少利益所\n受監察院糾正之檢討」進行專題報告，並備質詢","agenda_id":"1138201_00005"}}}