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00:00:30,087\n謝謝主席,我們請邱部長。委員好。部長好。部長,首先我先請教,因為在去年我們知道新生兒,整個新生兒是全年度超過13萬人。是。那我想請教就是說,到目前為止,我們全台灣的新生兒目前是多少?\n\n2\n00:00:36,230 --> 00:00:49,765\n到現在剩下8萬8萬多那去年是13萬那現在到目前為止已經10月份了剩下8萬多那預計到年底我看也差不多10萬左右\n\n3\n00:00:52,666 --> 00:01:16,204\n大概12萬多12萬多剩下3個月的時間可以可以到12萬多好那我們就期待那我想這個少子化的問題應該是很多人非常擔心這個出生率一直在下降從去年的13萬那今年到目前為止8萬多我們算9萬好了那\n\n4\n00:01:16,704 --> 00:01:44,767\n像這樣子我相信這個也是我們衛福部一個非常重要的一個課題那我們當然就是說今天在討論我們這個人工生殖法的這個進度那我想請教就是說其實一個國家的一個進步當然就是說我們兒童的照顧還有婦女健康的一個照顧是一個指標性那我想請教就是說當然這個面臨少子化的這個議題就很多的面向\n\n5\n00:01:45,908 --> 00:02:10,394\n那我想請教目前就是我們兒童的權益還有婦女健康的這個區塊當然我們現在也看到很多很多女生或者是說已經結婚的這個年輕朋友結婚之後我相信很多是他們會有結婚的這個打算那其實少子化更嚴重的問題是不婚\n\n6\n00:02:11,394 --> 00:02:27,992\n是年輕人是完全是不結婚是完全不結婚不結婚然後造成這個少子化如果有結婚的話其實生育這個比例應該是跟以往差不多有結婚大部分都會想要有孩子這個是目前是這樣的一個狀況\n\n7\n00:02:29,193 --> 00:02:47,708\n我想請教就是說其實有很多年輕朋友為什麼不想結婚其實他也想到很多可能就是說未來孩子的一個教育問題或者是說女生她原本現在就有一個工作那她想等到工作穩定之後才結婚才要有小孩\n\n8\n00:02:48,308 --> 00:03:10,555\n那我想請教這個部長或者是我們署長未來像這樣的一個狀況我們衛福部這邊有沒有什麼樣因應的對策我相信衛福部針對少子化應該有因應的對策應該很多啦除了就是說一些生育補助之外那你們應該有很多的對策那我是不是可以請部長先簡單說明一下\n\n9\n00:03:12,336 --> 00:03:39,374\n我想我們行政院有四個方向在希望變成大家願意生快樂的羊可是應該也要想要結婚吧現在很多是不婚那怎麼辦應該是說很多年輕人是不想要結婚如果說有結婚的話幾乎應該都會想要有孩子\n\n10\n00:03:40,799 --> 00:03:53,360\n目前是這個狀況,那不婚的這一個部分我們也希望就是說當然請衛福部在這方面怎麼樣鼓勵這個年輕朋友\n\n11\n00:03:54,366 --> 00:04:23,239\n包括我們先解決我們可以做到的,譬如說讓他知道生了以後小孩子會得到很好的照顧,也可以不要白天要去工作,白天白不下去,即使是准公共化各方面反正都可以讓你好好的再上,然後勞動部也再處理這個部分,讓他還可以上班。這個這些條件都好的,我覺得可能有的人就說\n\n12\n00:04:25,230 --> 00:04:30,073\n當然就是說我們希望這個衛福部真的少子化這個議題我們一直在講就是國安的議題國安危機那你看今年是農年\n\n13\n00:05:21,348 --> 00:05:40,322\n那不僅是這個國安危機啦,我覺得說剛剛講的台灣整個人口的結構我覺得真的要去正視這個問題而且剛剛部長我剛剛也有聽其他的委員有特別提到他是跨部會要去討論的一個非常嚴重的一個問題\n\n14\n00:05:41,323 --> 00:05:56,309\n那當然我們希望就是說真的要去正視要不然這個議題今年是這樣子明年這個問題還是存在那我們當然也希望就是說孩子生出來之後一個都不能少這個我也時常在委員會的時候就提到\n\n15\n00:06:12,452 --> 00:06:13,992\n我只要是專科醫學會提出來的我們都非常的\n\n16\n00:06:42,041 --> 00:06:52,293\n呃尊重跟一定覺得有他的必要性嗯那在行政上我們怎麼樣來幫忙推動這個我們會是一定來演繹所以我\n\n17\n00:06:53,508 --> 00:07:12,329\n如果說不管是台大的兒童醫院我想整個兒科醫學會這才是整體的啦不是因為醫院有醫院的一個發展的看法和基層很多很多的兒童還是在社區照顧嘛所以那如果說兒童醫學會的意見我相信是很重要\n\n18\n00:07:14,932 --> 00:07:29,765\n當然我知道全台灣的這個兒童醫院其實是不多那兒童醫院其實在整個醫療的這個經營當中他是不會賺錢的一個單位那現在目前的這個兒科醫師其實也很難招聘\n\n19\n00:07:45,658 --> 00:08:12,379\n就是新生兒啦或者是兒童癌症啊或者是兒童比較罕見疾病或者是兒童的遺傳疾病這些那我們也希望當然我們希望就是說兒童能夠就近照顧那如果說針對這些重症或者是罕見疾病我們也希望能夠有一個比較專比較這個比較好的單位來做研究來做治療\n\n20\n00:08:13,080 --> 00:08:14,220\n那我希望說衛福部針對這一部分應該要去好好的思考。\n\n21\n00:08:41,608 --> 00:09:08,520\n我在這邊還是要呼籲所有的醫院我們政府要幫助你醫院好好的來運作但是各個醫院對於沒有賺錢的部門但是他是必要的一定要全力的支持包括設立兒童醫院那如果是必要的話我想各個大醫院應該都要來做這件事情不要因為他可能沒賺錢\n\n22\n00:09:10,021 --> 00:09:30,232\n我把它縮小規模那這在醫院裡面其實我們在醫學中心的現在是五大或六大任務裡面其實在這個部分也一直在很注意那比如說台大醫院如果你在公佈因為我當過部主任嘛如果我們都是屬於那種賠錢的\n\n23\n00:10:01,971 --> 00:10:22,666\n那一些這個譬如說人員的培訓啊要怎麼去做我覺得這個應該也是衛福部這邊要去這個我們會全力以赴好那另外最後一個我想請教就是說剛剛講的這個少子化那如果有結婚的話他當然有的都希望能夠有孩子啦那現在嚴重的是不婚啦我現在講的是\n\n24\n00:10:23,346 --> 00:10:48,127\n未來結婚之後的這一對年輕人我這樣講那這個年輕人結婚之後那有的是想說我可能等到這個工作穩定之後然後再來生小孩那有時候等到工作穩定之後可能都30幾歲了那對於一個女生來講他這個整個卵巢或者是卵子他的這個品質沒有那麼好受孕就會比較困難\n\n25\n00:11:34,873 --> 00:11:51,307\n他是不是他自己也要去考慮一下那我是不是要趕快如果想要有孩子的話那我是不是也要趕快這個準備生育的這個計畫所以我是不是請部長未來有沒有可能在婚前的健康檢查當中就是針對這一部分來做檢查\n\n26\n00:11:51,687 --> 00:12:15,468\n如果他有幫助我們只要有幫助我們受孕或者少子化的任何政策我相信我們都一定要全力以赴好那我也希望就是說部長針對這部分你們要去好好的思考是因為少子化確實真的是非常的嚴重而且我剛剛聽到今年到目前為止剩下8萬多人真的是非常嚴重的一個問題因為去年還有13萬今年剩下8萬好謝謝好謝謝謝偉\n\n","tsv":"start\tend\ttext\n3855\t30087\t謝謝主席,我們請邱部長。委員好。部長好。部長,首先我先請教,因為在去年我們知道新生兒,整個新生兒是全年度超過13萬人。是。那我想請教就是說,到目前為止,我們全台灣的新生兒目前是多少?\n36230\t49765\t到現在剩下8萬8萬多那去年是13萬那現在到目前為止已經10月份了剩下8萬多那預計到年底我看也差不多10萬左右\n52666\t76204\t大概12萬多12萬多剩下3個月的時間可以可以到12萬多好那我們就期待那我想這個少子化的問題應該是很多人非常擔心這個出生率一直在下降從去年的13萬那今年到目前為止8萬多我們算9萬好了那\n76704\t104767\t像這樣子我相信這個也是我們衛福部一個非常重要的一個課題那我們當然就是說今天在討論我們這個人工生殖法的這個進度那我想請教就是說其實一個國家的一個進步當然就是說我們兒童的照顧還有婦女健康的一個照顧是一個指標性那我想請教就是說當然這個面臨少子化的這個議題就很多的面向\n105908\t130394\t那我想請教目前就是我們兒童的權益還有婦女健康的這個區塊當然我們現在也看到很多很多女生或者是說已經結婚的這個年輕朋友結婚之後我相信很多是他們會有結婚的這個打算那其實少子化更嚴重的問題是不婚\n131394\t147992\t是年輕人是完全是不結婚是完全不結婚不結婚然後造成這個少子化如果有結婚的話其實生育這個比例應該是跟以往差不多有結婚大部分都會想要有孩子這個是目前是這樣的一個狀況\n149193\t167708\t我想請教就是說其實有很多年輕朋友為什麼不想結婚其實他也想到很多可能就是說未來孩子的一個教育問題或者是說女生她原本現在就有一個工作那她想等到工作穩定之後才結婚才要有小孩\n168308\t190555\t那我想請教這個部長或者是我們署長未來像這樣的一個狀況我們衛福部這邊有沒有什麼樣因應的對策我相信衛福部針對少子化應該有因應的對策應該很多啦除了就是說一些生育補助之外那你們應該有很多的對策那我是不是可以請部長先簡單說明一下\n192336\t219374\t我想我們行政院有四個方向在希望變成大家願意生快樂的羊可是應該也要想要結婚吧現在很多是不婚那怎麼辦應該是說很多年輕人是不想要結婚如果說有結婚的話幾乎應該都會想要有孩子\n220799\t233360\t目前是這個狀況,那不婚的這一個部分我們也希望就是說當然請衛福部在這方面怎麼樣鼓勵這個年輕朋友\n234366\t263239\t包括我們先解決我們可以做到的,譬如說讓他知道生了以後小孩子會得到很好的照顧,也可以不要白天要去工作,白天白不下去,即使是准公共化各方面反正都可以讓你好好的再上,然後勞動部也再處理這個部分,讓他還可以上班。這個這些條件都好的,我覺得可能有的人就說\n265230\t270073\t當然就是說我們希望這個衛福部真的少子化這個議題我們一直在講就是國安的議題國安危機那你看今年是農年\n291288\t321288\t︎\n321348\t340322\t那不僅是這個國安危機啦,我覺得說剛剛講的台灣整個人口的結構我覺得真的要去正視這個問題而且剛剛部長我剛剛也有聽其他的委員有特別提到他是跨部會要去討論的一個非常嚴重的一個問題\n341323\t356309\t那當然我們希望就是說真的要去正視要不然這個議題今年是這樣子明年這個問題還是存在那我們當然也希望就是說孩子生出來之後一個都不能少這個我也時常在委員會的時候就提到\n356869\t372432\t﹗\n372452\t373992\t我只要是專科醫學會提出來的我們都非常的\n402041\t412293\t呃尊重跟一定覺得有他的必要性嗯那在行政上我們怎麼樣來幫忙推動這個我們會是一定來演繹所以我\n413508\t432329\t如果說不管是台大的兒童醫院我想整個兒科醫學會這才是整體的啦不是因為醫院有醫院的一個發展的看法和基層很多很多的兒童還是在社區照顧嘛所以那如果說兒童醫學會的意見我相信是很重要\n434932\t449765\t當然我知道全台灣的這個兒童醫院其實是不多那兒童醫院其實在整個醫療的這個經營當中他是不會賺錢的一個單位那現在目前的這個兒科醫師其實也很難招聘\n450486\t465538\t⋯⋯⋯\n465658\t492379\t就是新生兒啦或者是兒童癌症啊或者是兒童比較罕見疾病或者是兒童的遺傳疾病這些那我們也希望當然我們希望就是說兒童能夠就近照顧那如果說針對這些重症或者是罕見疾病我們也希望能夠有一個比較專比較這個比較好的單位來做研究來做治療\n493080\t494220\t那我希望說衛福部針對這一部分應該要去好好的思考。\n521608\t548520\t我在這邊還是要呼籲所有的醫院我們政府要幫助你醫院好好的來運作但是各個醫院對於沒有賺錢的部門但是他是必要的一定要全力的支持包括設立兒童醫院那如果是必要的話我想各個大醫院應該都要來做這件事情不要因為他可能沒賺錢\n550021\t570232\t我把它縮小規模那這在醫院裡面其實我們在醫學中心的現在是五大或六大任務裡面其實在這個部分也一直在很注意那比如說台大醫院如果你在公佈因為我當過部主任嘛如果我們都是屬於那種賠錢的\n571971\t601971\t⋯⋯⋯⋯\n601971\t622666\t那一些這個譬如說人員的培訓啊要怎麼去做我覺得這個應該也是衛福部這邊要去這個我們會全力以赴好那另外最後一個我想請教就是說剛剛講的這個少子化那如果有結婚的話他當然有的都希望能夠有孩子啦那現在嚴重的是不婚啦我現在講的是\n623346\t648127\t未來結婚之後的這一對年輕人我這樣講那這個年輕人結婚之後那有的是想說我可能等到這個工作穩定之後然後再來生小孩那有時候等到工作穩定之後可能都30幾歲了那對於一個女生來講他這個整個卵巢或者是卵子他的這個品質沒有那麼好受孕就會比較困難\n648848\t665896\t︎\n665896\t694292\t⋯⋯\n694873\t711307\t他是不是他自己也要去考慮一下那我是不是要趕快如果想要有孩子的話那我是不是也要趕快這個準備生育的這個計畫所以我是不是請部長未來有沒有可能在婚前的健康檢查當中就是針對這一部分來做檢查\n711687\t735468\t如果他有幫助我們只要有幫助我們受孕或者少子化的任何政策我相信我們都一定要全力以赴好那我也希望就是說部長針對這部分你們要去好好的思考是因為少子化確實真的是非常的嚴重而且我剛剛聽到今年到目前為止剩下8萬多人真的是非常嚴重的一個問題因為去年還有13萬今年剩下8萬好謝謝好謝謝謝偉\n","txt":"謝謝主席,我們請邱部長。委員好。部長好。部長,首先我先請教,因為在去年我們知道新生兒,整個新生兒是全年度超過13萬人。是。那我想請教就是說,到目前為止,我們全台灣的新生兒目前是多少?\n到現在剩下8萬8萬多那去年是13萬那現在到目前為止已經10月份了剩下8萬多那預計到年底我看也差不多10萬左右\n大概12萬多12萬多剩下3個月的時間可以可以到12萬多好那我們就期待那我想這個少子化的問題應該是很多人非常擔心這個出生率一直在下降從去年的13萬那今年到目前為止8萬多我們算9萬好了那\n像這樣子我相信這個也是我們衛福部一個非常重要的一個課題那我們當然就是說今天在討論我們這個人工生殖法的這個進度那我想請教就是說其實一個國家的一個進步當然就是說我們兒童的照顧還有婦女健康的一個照顧是一個指標性那我想請教就是說當然這個面臨少子化的這個議題就很多的面向\n那我想請教目前就是我們兒童的權益還有婦女健康的這個區塊當然我們現在也看到很多很多女生或者是說已經結婚的這個年輕朋友結婚之後我相信很多是他們會有結婚的這個打算那其實少子化更嚴重的問題是不婚\n是年輕人是完全是不結婚是完全不結婚不結婚然後造成這個少子化如果有結婚的話其實生育這個比例應該是跟以往差不多有結婚大部分都會想要有孩子這個是目前是這樣的一個狀況\n我想請教就是說其實有很多年輕朋友為什麼不想結婚其實他也想到很多可能就是說未來孩子的一個教育問題或者是說女生她原本現在就有一個工作那她想等到工作穩定之後才結婚才要有小孩\n那我想請教這個部長或者是我們署長未來像這樣的一個狀況我們衛福部這邊有沒有什麼樣因應的對策我相信衛福部針對少子化應該有因應的對策應該很多啦除了就是說一些生育補助之外那你們應該有很多的對策那我是不是可以請部長先簡單說明一下\n我想我們行政院有四個方向在希望變成大家願意生快樂的羊可是應該也要想要結婚吧現在很多是不婚那怎麼辦應該是說很多年輕人是不想要結婚如果說有結婚的話幾乎應該都會想要有孩子\n目前是這個狀況,那不婚的這一個部分我們也希望就是說當然請衛福部在這方面怎麼樣鼓勵這個年輕朋友\n包括我們先解決我們可以做到的,譬如說讓他知道生了以後小孩子會得到很好的照顧,也可以不要白天要去工作,白天白不下去,即使是准公共化各方面反正都可以讓你好好的再上,然後勞動部也再處理這個部分,讓他還可以上班。這個這些條件都好的,我覺得可能有的人就說\n當然就是說我們希望這個衛福部真的少子化這個議題我們一直在講就是國安的議題國安危機那你看今年是農年\n︎\n那不僅是這個國安危機啦,我覺得說剛剛講的台灣整個人口的結構我覺得真的要去正視這個問題而且剛剛部長我剛剛也有聽其他的委員有特別提到他是跨部會要去討論的一個非常嚴重的一個問題\n那當然我們希望就是說真的要去正視要不然這個議題今年是這樣子明年這個問題還是存在那我們當然也希望就是說孩子生出來之後一個都不能少這個我也時常在委員會的時候就提到\n﹗\n我只要是專科醫學會提出來的我們都非常的\n呃尊重跟一定覺得有他的必要性嗯那在行政上我們怎麼樣來幫忙推動這個我們會是一定來演繹所以我\n如果說不管是台大的兒童醫院我想整個兒科醫學會這才是整體的啦不是因為醫院有醫院的一個發展的看法和基層很多很多的兒童還是在社區照顧嘛所以那如果說兒童醫學會的意見我相信是很重要\n當然我知道全台灣的這個兒童醫院其實是不多那兒童醫院其實在整個醫療的這個經營當中他是不會賺錢的一個單位那現在目前的這個兒科醫師其實也很難招聘\n⋯⋯⋯\n就是新生兒啦或者是兒童癌症啊或者是兒童比較罕見疾病或者是兒童的遺傳疾病這些那我們也希望當然我們希望就是說兒童能夠就近照顧那如果說針對這些重症或者是罕見疾病我們也希望能夠有一個比較專比較這個比較好的單位來做研究來做治療\n那我希望說衛福部針對這一部分應該要去好好的思考。\n我在這邊還是要呼籲所有的醫院我們政府要幫助你醫院好好的來運作但是各個醫院對於沒有賺錢的部門但是他是必要的一定要全力的支持包括設立兒童醫院那如果是必要的話我想各個大醫院應該都要來做這件事情不要因為他可能沒賺錢\n我把它縮小規模那這在醫院裡面其實我們在醫學中心的現在是五大或六大任務裡面其實在這個部分也一直在很注意那比如說台大醫院如果你在公佈因為我當過部主任嘛如果我們都是屬於那種賠錢的\n⋯⋯⋯⋯\n那一些這個譬如說人員的培訓啊要怎麼去做我覺得這個應該也是衛福部這邊要去這個我們會全力以赴好那另外最後一個我想請教就是說剛剛講的這個少子化那如果有結婚的話他當然有的都希望能夠有孩子啦那現在嚴重的是不婚啦我現在講的是\n未來結婚之後的這一對年輕人我這樣講那這個年輕人結婚之後那有的是想說我可能等到這個工作穩定之後然後再來生小孩那有時候等到工作穩定之後可能都30幾歲了那對於一個女生來講他這個整個卵巢或者是卵子他的這個品質沒有那麼好受孕就會比較困難\n︎\n⋯⋯\n他是不是他自己也要去考慮一下那我是不是要趕快如果想要有孩子的話那我是不是也要趕快這個準備生育的這個計畫所以我是不是請部長未來有沒有可能在婚前的健康檢查當中就是針對這一部分來做檢查\n如果他有幫助我們只要有幫助我們受孕或者少子化的任何政策我相信我們都一定要全力以赴好那我也希望就是說部長針對這部分你們要去好好的思考是因為少子化確實真的是非常的嚴重而且我剛剛聽到今年到目前為止剩下8萬多人真的是非常嚴重的一個問題因為去年還有13萬今年剩下8萬好謝謝好謝謝謝偉\n","vtt":"WEBVTT\n\n00:03.855 --> 00:30.087\n謝謝主席,我們請邱部長。委員好。部長好。部長,首先我先請教,因為在去年我們知道新生兒,整個新生兒是全年度超過13萬人。是。那我想請教就是說,到目前為止,我們全台灣的新生兒目前是多少?\n\n00:36.230 --> 00:49.765\n到現在剩下8萬8萬多那去年是13萬那現在到目前為止已經10月份了剩下8萬多那預計到年底我看也差不多10萬左右\n\n00:52.666 --> 01:16.204\n大概12萬多12萬多剩下3個月的時間可以可以到12萬多好那我們就期待那我想這個少子化的問題應該是很多人非常擔心這個出生率一直在下降從去年的13萬那今年到目前為止8萬多我們算9萬好了那\n\n01:16.704 --> 01:44.767\n像這樣子我相信這個也是我們衛福部一個非常重要的一個課題那我們當然就是說今天在討論我們這個人工生殖法的這個進度那我想請教就是說其實一個國家的一個進步當然就是說我們兒童的照顧還有婦女健康的一個照顧是一個指標性那我想請教就是說當然這個面臨少子化的這個議題就很多的面向\n\n01:45.908 --> 02:10.394\n那我想請教目前就是我們兒童的權益還有婦女健康的這個區塊當然我們現在也看到很多很多女生或者是說已經結婚的這個年輕朋友結婚之後我相信很多是他們會有結婚的這個打算那其實少子化更嚴重的問題是不婚\n\n02:11.394 --> 02:27.992\n是年輕人是完全是不結婚是完全不結婚不結婚然後造成這個少子化如果有結婚的話其實生育這個比例應該是跟以往差不多有結婚大部分都會想要有孩子這個是目前是這樣的一個狀況\n\n02:29.193 --> 02:47.708\n我想請教就是說其實有很多年輕朋友為什麼不想結婚其實他也想到很多可能就是說未來孩子的一個教育問題或者是說女生她原本現在就有一個工作那她想等到工作穩定之後才結婚才要有小孩\n\n02:48.308 --> 03:10.555\n那我想請教這個部長或者是我們署長未來像這樣的一個狀況我們衛福部這邊有沒有什麼樣因應的對策我相信衛福部針對少子化應該有因應的對策應該很多啦除了就是說一些生育補助之外那你們應該有很多的對策那我是不是可以請部長先簡單說明一下\n\n03:12.336 --> 03:39.374\n我想我們行政院有四個方向在希望變成大家願意生快樂的羊可是應該也要想要結婚吧現在很多是不婚那怎麼辦應該是說很多年輕人是不想要結婚如果說有結婚的話幾乎應該都會想要有孩子\n\n03:40.799 --> 03:53.360\n目前是這個狀況,那不婚的這一個部分我們也希望就是說當然請衛福部在這方面怎麼樣鼓勵這個年輕朋友\n\n03:54.366 --> 04:23.239\n包括我們先解決我們可以做到的,譬如說讓他知道生了以後小孩子會得到很好的照顧,也可以不要白天要去工作,白天白不下去,即使是准公共化各方面反正都可以讓你好好的再上,然後勞動部也再處理這個部分,讓他還可以上班。這個這些條件都好的,我覺得可能有的人就說\n\n04:25.230 --> 04:30.073\n當然就是說我們希望這個衛福部真的少子化這個議題我們一直在講就是國安的議題國安危機那你看今年是農年\n\n05:21.348 --> 05:40.322\n那不僅是這個國安危機啦,我覺得說剛剛講的台灣整個人口的結構我覺得真的要去正視這個問題而且剛剛部長我剛剛也有聽其他的委員有特別提到他是跨部會要去討論的一個非常嚴重的一個問題\n\n05:41.323 --> 05:56.309\n那當然我們希望就是說真的要去正視要不然這個議題今年是這樣子明年這個問題還是存在那我們當然也希望就是說孩子生出來之後一個都不能少這個我也時常在委員會的時候就提到\n\n06:12.452 --> 06:13.992\n我只要是專科醫學會提出來的我們都非常的\n\n06:42.041 --> 06:52.293\n呃尊重跟一定覺得有他的必要性嗯那在行政上我們怎麼樣來幫忙推動這個我們會是一定來演繹所以我\n\n06:53.508 --> 07:12.329\n如果說不管是台大的兒童醫院我想整個兒科醫學會這才是整體的啦不是因為醫院有醫院的一個發展的看法和基層很多很多的兒童還是在社區照顧嘛所以那如果說兒童醫學會的意見我相信是很重要\n\n07:14.932 --> 07:29.765\n當然我知道全台灣的這個兒童醫院其實是不多那兒童醫院其實在整個醫療的這個經營當中他是不會賺錢的一個單位那現在目前的這個兒科醫師其實也很難招聘\n\n07:45.658 --> 08:12.379\n就是新生兒啦或者是兒童癌症啊或者是兒童比較罕見疾病或者是兒童的遺傳疾病這些那我們也希望當然我們希望就是說兒童能夠就近照顧那如果說針對這些重症或者是罕見疾病我們也希望能夠有一個比較專比較這個比較好的單位來做研究來做治療\n\n08:13.080 --> 08:14.220\n那我希望說衛福部針對這一部分應該要去好好的思考。\n\n08:41.608 --> 09:08.520\n我在這邊還是要呼籲所有的醫院我們政府要幫助你醫院好好的來運作但是各個醫院對於沒有賺錢的部門但是他是必要的一定要全力的支持包括設立兒童醫院那如果是必要的話我想各個大醫院應該都要來做這件事情不要因為他可能沒賺錢\n\n09:10.021 --> 09:30.232\n我把它縮小規模那這在醫院裡面其實我們在醫學中心的現在是五大或六大任務裡面其實在這個部分也一直在很注意那比如說台大醫院如果你在公佈因為我當過部主任嘛如果我們都是屬於那種賠錢的\n\n10:01.971 --> 10:22.666\n那一些這個譬如說人員的培訓啊要怎麼去做我覺得這個應該也是衛福部這邊要去這個我們會全力以赴好那另外最後一個我想請教就是說剛剛講的這個少子化那如果有結婚的話他當然有的都希望能夠有孩子啦那現在嚴重的是不婚啦我現在講的是\n\n10:23.346 --> 10:48.127\n未來結婚之後的這一對年輕人我這樣講那這個年輕人結婚之後那有的是想說我可能等到這個工作穩定之後然後再來生小孩那有時候等到工作穩定之後可能都30幾歲了那對於一個女生來講他這個整個卵巢或者是卵子他的這個品質沒有那麼好受孕就會比較困難\n\n11:34.873 --> 11:51.307\n他是不是他自己也要去考慮一下那我是不是要趕快如果想要有孩子的話那我是不是也要趕快這個準備生育的這個計畫所以我是不是請部長未來有沒有可能在婚前的健康檢查當中就是針對這一部分來做檢查\n\n11:51.687 --> 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︎"},{"start":321.348,"end":340.322,"text":"那不僅是這個國安危機啦,我覺得說剛剛講的台灣整個人口的結構我覺得真的要去正視這個問題而且剛剛部長我剛剛也有聽其他的委員有特別提到他是跨部會要去討論的一個非常嚴重的一個問題"},{"start":341.323,"end":356.309,"text":"那當然我們希望就是說真的要去正視要不然這個議題今年是這樣子明年這個問題還是存在那我們當然也希望就是說孩子生出來之後一個都不能少這個我也時常在委員會的時候就提到"},{"start":356.869,"end":372.432,"text":"﹗"},{"start":372.452,"end":373.992,"text":"我只要是專科醫學會提出來的我們都非常的"},{"start":402.041,"end":412.293,"text":"呃尊重跟一定覺得有他的必要性嗯那在行政上我們怎麼樣來幫忙推動這個我們會是一定來演繹所以我"},{"start":413.508,"end":432.329,"text":"如果說不管是台大的兒童醫院我想整個兒科醫學會這才是整體的啦不是因為醫院有醫院的一個發展的看法和基層很多很多的兒童還是在社區照顧嘛所以那如果說兒童醫學會的意見我相信是很重要"},{"start":434.932,"end":449.765,"text":"當然我知道全台灣的這個兒童醫院其實是不多那兒童醫院其實在整個醫療的這個經營當中他是不會賺錢的一個單位那現在目前的這個兒科醫師其實也很難招聘"},{"start":450.486,"end":465.538,"text":"⋯⋯⋯"},{"start":465.658,"end":492.379,"text":"就是新生兒啦或者是兒童癌症啊或者是兒童比較罕見疾病或者是兒童的遺傳疾病這些那我們也希望當然我們希望就是說兒童能夠就近照顧那如果說針對這些重症或者是罕見疾病我們也希望能夠有一個比較專比較這個比較好的單位來做研究來做治療"},{"start":493.08,"end":494.22,"text":"那我希望說衛福部針對這一部分應該要去好好的思考。"},{"start":521.608,"end":548.52,"text":"我在這邊還是要呼籲所有的醫院我們政府要幫助你醫院好好的來運作但是各個醫院對於沒有賺錢的部門但是他是必要的一定要全力的支持包括設立兒童醫院那如果是必要的話我想各個大醫院應該都要來做這件事情不要因為他可能沒賺錢"},{"start":550.021,"end":570.232,"text":"我把它縮小規模那這在醫院裡面其實我們在醫學中心的現在是五大或六大任務裡面其實在這個部分也一直在很注意那比如說台大醫院如果你在公佈因為我當過部主任嘛如果我們都是屬於那種賠錢的"},{"start":571.971,"end":601.971,"text":"⋯⋯⋯⋯"},{"start":601.971,"end":622.666,"text":"那一些這個譬如說人員的培訓啊要怎麼去做我覺得這個應該也是衛福部這邊要去這個我們會全力以赴好那另外最後一個我想請教就是說剛剛講的這個少子化那如果有結婚的話他當然有的都希望能夠有孩子啦那現在嚴重的是不婚啦我現在講的是"},{"start":623.346,"end":648.127,"text":"未來結婚之後的這一對年輕人我這樣講那這個年輕人結婚之後那有的是想說我可能等到這個工作穩定之後然後再來生小孩那有時候等到工作穩定之後可能都30幾歲了那對於一個女生來講他這個整個卵巢或者是卵子他的這個品質沒有那麼好受孕就會比較困難"},{"start":648.848,"end":665.896,"text":"︎"},{"start":665.896,"end":694.292,"text":"⋯⋯"},{"start":694.873,"end":711.307,"text":"他是不是他自己也要去考慮一下那我是不是要趕快如果想要有孩子的話那我是不是也要趕快這個準備生育的這個計畫所以我是不是請部長未來有沒有可能在婚前的健康檢查當中就是針對這一部分來做檢查"},{"start":711.687,"end":735.468,"text":"如果他有幫助我們只要有幫助我們受孕或者少子化的任何政策我相信我們都一定要全力以赴好那我也希望就是說部長針對這部分你們要去好好的思考是因為少子化確實真的是非常的嚴重而且我剛剛聽到今年到目前為止剩下8萬多人真的是非常嚴重的一個問題因為去年還有13萬今年剩下8萬好謝謝好謝謝謝偉"}]}}},"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":"11:32:12 - 11:44:31","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":155317,"gazette":{"lineno":625,"blocks":[["黃委員秀芳：（11時32分）謝謝主席，我請邱部長。"],["主席：請邱部長。"],["邱部長泰源：委員好。"],["黃委員秀芳：部長好。部長，我們知道去年全年度新生兒差不多是13萬人嘛！"],["邱部長泰源：是。"],["黃委員秀芳：那我想請教，到目前為止，全臺灣新生兒是多少？"],["邱部長泰源：到現在是大概八萬人。"],["黃委員秀芳：到現在剩下八萬？"],["邱部長泰源：八萬多。"],["黃委員秀芳：八萬多？去年13萬，而今年到目前已經10月份了，只剩下八萬多，預計到年底，我看也差不多10萬左右。"],["邱部長泰源：大概十二萬多。"],["黃委員秀芳：十二萬多喔？剩下三個月的時間，可以到十二萬多？好，那我們就期待。","我想少子化的問題應該有很多人非常擔心，出生率一直在下降，人數從去年的13萬，今年到目前為止是八萬多……算9萬好了，我相信這也是衛福部一項非常重要的課題。","今天在討論人工生殖法的進度。其實一個國家的進步，對兒童的照顧還有對婦女健康的照顧具有指標性啦！少子化議題有很多面向，我想請教的是目前兒童權益還有婦女健康的區塊，我們現在看到很多女生或者已經結婚的年輕朋友，我相信相較於很多會有結婚的打算，其實造成少子化更嚴重的問題是不婚─年輕人是完全不結婚，是完全不結婚喔！不結婚然後造成少子化。如果有結婚的話，其實生育比例應該是跟以往差不多啦！有結婚者大部分都會想要有孩子，目前是這樣的狀況。為什麼有很多年輕朋友不想結婚？其實他們也想到很多啦！可能就是孩子未來的教育問題，或是女生原本現在有工作，想等到工作穩定之後才結婚、才要有小孩。那我想請教部長或署長，像這樣的狀況，衛福部這邊未來有沒有什麼樣的因應對策？我相信衛福部針對少子化的因應對策應該很多啦！除了一些生育補助之外，你們應該也有很多對策，是不是可以請部長先簡單說明一下？"],["邱部長泰源：好。行政院有四個方向，希望大家變成願意生、快樂地養。"],["黃委員秀芳：可是應該也想要讓民眾想要結婚吧！現在有很多人不婚，那怎麼辦，部長？應該說很多年輕人是不想結婚。如果結婚的話，幾乎……應該都會想要有孩子，目前是這個狀況。至於不婚的部分，我也希望……當然請衛福部在這方面研究怎麼樣鼓勵年輕朋友結婚……"],["邱部長泰源：報告委員，我們先解決我們可以做到的。"],["黃委員秀芳：好。"],["邱部長泰源：比如說讓他們知道生了以後，小孩子會得到很好的照顧，不用排隊進入公托，其實透過準公共化等各方面措施，都可以讓孩子好好地上學，然後，勞動部也在處理這個部分，讓家長還可以上班。這些條件都好了的話，我覺得可能有幫助。因為有的人是覺得又不生小孩、幹嘛結婚，但如果聽說生也不錯，可能……我覺得有男女朋友的人很多嘛！那就可能要求男朋友結婚。"],["黃委員秀芳：好。我們希望衛福部真的要處理少子化議題。我們一直講這就是國安議題、國安危機。你看今年是龍年喔！以往大家會覺得龍年新生兒應該會比往年還要多，但是照這個狀況的話，其實今年的新生兒沒有比去年還多欸！今年就是龍年！當然，不知道會不會是因為生肖這個觀念逐漸不存在，可是我還是覺得如果出生數逐年下降，其實對於臺灣真的是非常重要、嚴重的課題。不僅是國安危機，如同剛剛講的，也影響臺灣整個人口結構，我覺得真的要正視這個問題。而且我剛剛也聽其他委員特別提到，它是要跨部會討論、非常嚴重的問題，當然我希望真的要正視，要不然這個議題今年是這樣，明年這個問題還是存在。","我們當然也希望孩子生出來以後一個都不能少，我時常在委員會提到，孩子生出來之後，一個都不能少，但我們新生兒的死亡率其實比鄰近國家還高。我們也看到臺灣的兒童醫院，大家會擔心孩子生出來之後是不是可以得到好的照顧，臺大兒童醫院也表示希望政府能夠成立國家級的兒童健康研究中心，帶動臺灣的兒童醫療發展，讓新生兒跟孕婦能夠得到好的照顧。我想請教部長，你怎麼看？"],["邱部長泰源：只要是專科醫學會提出來的意見，我們都非常尊重，也覺得有一定的必要性，對於在行政上怎麼幫忙推動，我們一定來研議。但不只是臺大兒童醫院，我想整個兒科醫學會才是整體的，因為醫院有醫院發展上的看法，而基層很多、很多兒童還是在社區照顧嘛！兒科醫學會的意見我相信也是很重要的。"],["黃委員秀芳：我知道全臺灣的兒童醫院其實不多，而在臺灣醫療經營當中，兒童醫院其實是不會賺錢的單位；目前兒科醫師其實也很難招聘，很多醫院的兒科醫師真的都是缺人，臺大醫院提出這樣的想法，我希望衛福部也應該正視這個問題。尤其是對於兒童碰到重症，包括新生兒、兒童癌症、兒童罕見疾病或遺傳疾病，我們當然希望兒童能夠就近照顧，針對這些重症或罕見疾病，也希望能夠有比較好的單位做研究、做治療。由於罕病散落在各個縣市，如果可以在……譬如說臺大醫院設置針對兒童急重症的研究中心的話，我覺得對於這些罹患重症或罕見疾病的孩子們有很大的幫助，衛福部針對這部分應該好好思考。"],["邱部長泰源：報告委員，我在這邊還是要呼籲所有醫院，政府要幫助醫院好好運作，各個醫院對於沒有賺錢、但是必要的部門也一定要全力支持，包括設立兒童醫院。如果必要的話，我想各個大醫院應該都要做這件事情，不要因為它可能沒賺錢就將它縮小規模。在醫學中心現在的五大或六大任務裡面，其實在這部分也很注意，譬如說臺大醫院─我當過部主任嘛！我們都屬於賠錢的部門，每次都是「頭殼抱著燒」……"],["黃委員秀芳：沒關係，部長，因為時間的關係……"],["邱部長泰源：我必須呼籲，對於兒童急重症，尤其是罕病這個部分，一定要予以加強支援，這些領域的專家真的很需要幫助。"],["黃委員秀芳：對，這樣的話，各個醫院對於兒童急重難罕疾病應該也要有這些醫師來照顧嘛！"],["邱部長泰源：對。"],["黃委員秀芳：譬如說人員的培訓要怎麼做，我覺得應該也是衛福部要……"],["邱部長泰源：我們會全力以赴。"],["黃委員秀芳：好。最後一點，我想請教的就是剛剛講的：關於少子化，如果民眾結婚，有些人當然希望有孩子，嚴重的是不婚，而我現在要講的是未來結婚之後的年輕人。年輕人結婚之後，有的人是想等工作穩定之後再生小孩，但有時等到工作穩定之後可能都三十幾歲了。對於一個女生來講，要是卵巢或卵子的品質沒有那麼好，受孕就會比較困難。我在想的是未來有沒有可能處理？現在有婚前健康檢查，在婚前健康檢查當中，是不是有針對AMH檢查？這是抗穆勒氏管荷爾蒙，可以檢查到卵巢的功能以及生育力。譬如說這個女孩可能是二十幾歲，受孕機會非常高，可是卵巢或卵子的品質會隨著年齡下降嘛！等到她三十幾歲想受孕的話，也許就會非常地困難。如果她在婚前有做這樣的評估，未來是不是自己也會考慮一下，如果想要有孩子，是不是要趕快準備生育計畫？所以請問部長，未來是不是有可能在婚前健康檢查當中針對這部分來做檢查？"],["邱部長泰源：沒關係，我們研議，只要是有幫助受孕或解決少子化的任何政策，我相信我們都一定要全力以赴。"],["黃委員秀芳：好，我也希望部長針對這部分要好好地思考。"],["邱部長泰源：是。"],["黃委員秀芳：因為少子化確實、真的非常嚴重。而且我剛剛聽到今年到目前為止新生兒剩下八萬多人，真的是非常嚴重的問題，因為去年還有13萬，今年剩下8萬。"],["邱部長泰源：是。"],["黃委員秀芳：好，謝謝。"],["邱部長泰源：謝謝委員。"],["主席：謝謝部長、謝謝黃委員。","現在處理臨時提案，總共有6案，請一併宣讀。","一、","有鑑於我國家外安置之特殊需求兒少逐年增加，從110年之718人、111年之993人提高至112年之1,243人。其中約有15%（111年154人、112年176人）被安置在一般護理之家、身心障礙福利機構、長照機構、精神復健機構等成人機構中，且主管機關未落實定期檢視是類特殊需求兒少之安置必要性及成效，導致有69.3%特殊需求兒少在成人機構安置超過2年，甚至有40%達5年以上，有24.7%已逾10年，並受到監察院糾正。","因安置特殊需求兒少人數成長，安置需求增加，爰要求衛福部於一個月內，邀集安置機構負責人召開專案檢討會，針對如何提高安置人數、增加人力及預算資源等議題，提出具體改善策進作為，向立法院社會福利及衛生環境委員會提出書面報告。","提案人：王育敏　　陳昭姿　　陳菁徽　　廖偉翔　　蘇清泉","二、","案由：","有鑑於政府近年來戮力推動子宮頸癌防治，自HPV疫苗施打和抹片篩檢等有效預防後，我國婦女罹患子宮頸癌人數逐年下降，根據衛生福利部國民健康署之子宮頸癌篩檢登記報告顯示，子宮頸癌發生人數從1995年2,136人下降至2021年1,147人，降幅已超過五成，成效顯著。","惟我國婦女之子宮體癌發生率卻逐年提升，根據統計，自1995年295人提升至2021年3,205人，上升十倍之多，顯示相較於子宮頸癌，我國對於子宮體癌之防治措施未臻完善。再者，子宮體癌好發於停經後的女性，主要年齡層為50至75歲，根據統計，該年齡層之女性人數約有400萬人，並且子宮體癌之篩檢費用約600元，若以每3年進行一次篩檢，政府所需補助的金額粗估約為10億元，並非不可負擔的支出，為保障女性健康權益，請衛生福利部儘速就子宮體癌篩檢補助一事進行研擬，並於一個月內向立法院社會福利及衛生環境委員會提出具體之實施規劃。","提案人：陳菁徽　　陳昭姿　　王正旭　　廖偉翔　　蘇清泉","三、","案由：","有鑑於中央政府在為解決少子化國安危機和加強婦幼健康照護及優生保健服務之際，乃應積極解決當前羊膜穿刺檢驗費補助近10年未有調整，以及優生保健血液染色體檢驗、染色體異常再確診檢驗等費用補助始終未有調整等，皆與目前檢驗物價及人力各方面上漲成本不符之情事。是以，為求前述施政措施之維持，並落實國民享有之檢驗服務可穩定於民間供應，特提案要求衛福部限期於一個月內啟動改善檢討措施，俟後於二個月內提交解決規劃之書面報告。","提案人：陳菁徽　　陳昭姿　　廖偉翔　　蘇清泉","四、","台灣電力公司經電價費率審議會於2024年9月30日共識決議，將就產業用電部分調整，其中醫院（行業統計分類861）及診所（行業統計分類862）的部分，考量到醫療與民生物價相關性較高，且醫院、診所用電多為剛性需求，貿然調漲電價將影響其穩定營運，雖2024年10月03日經濟部已說明將建議電價費率審議會將醫院、診所列入電價凍漲，醫院、診所之主管機關衛生福利部仍應持續向經濟部等單位溝通及提供協助，以確保2024年10月16日實施電價調漲時，醫院、診所為電價凍漲行業。","提案人：王正旭　　黃秀芳　　林月琴　　蘇巧慧　　林楚茵　　李柏毅","五、","肺炎於近10年均位居我國十大死因之前5位，其中肺炎鏈球菌是肺炎常見致病菌，據2022年衛生福利部死因統計，65歲以上長者因肺炎死亡隨年齡增加而上升，另我國2019年至2023年5年累計侵襲性肺炎鏈球菌感染症（Invasive Pneumococcal Disease, IPD）確定病例共1,358人，其中65歲以上民眾占42.4%，可見IPD對於長者健康影響甚鉅。為保障長者健康，政府自2008年起即開始提供長者公費接種23價肺炎鏈球菌多醣體疫苗（PPV23），並於2023年進一步升級公費接種政策，新增提供13價結合型肺炎鏈球菌疫苗（PCV13），完整接種為一劑PCV13及一劑PPV23，兩劑間隔至少一年，若高風險對象可縮短間隔至少八周，以增加免疫保護力，然而新政策上路後，目前65歲以上完成第一劑PCV13全國平均接種率未達25%，已完整接種者更未達15%，接種率不高，其中住宿式長照機構評鑑雖有將公費疫苗接種率列入評鑑計算，但具體指標內並未將肺炎鏈球菌疫苗納入項目。衛生福利部應積極宣傳肺炎鏈球菌防護之重要性，並研議將肺炎鏈球菌疫苗納入住宿式長照機構納入評鑑標準，以使防疫政策更加周延。","提案人：王正旭　　林月琴　　黃秀芳　　蘇巧慧　　李柏毅　　林楚茵","六、","為提供急症病人適當的居家醫療照護，提供住院替代服務，避免因急性問題住院，促使醫療資源有效應用，衛生福利部於2024年7月１日啟動「在宅急症照護試辦計畫」，截至8月，收案院所數71家，照護個案255人，整體平均照護天數約5.4天，其中肺炎6.2天，尿路及軟組織感染約5天，接受照護個案近九成可以治療完成無須再轉急診或住院，顯見計畫已有效達成住院替代服務使醫療資源有效應用之目的；然而，該計畫依賴居家護理師到宅提供服務，並預期未來計畫擴大，護理需求亦持續擴大，但居家護理師給付卻十年來並未調整，特別在假日期間，願意提供服務之居家護理師人力更少，綜上，建請貴部支持在宅急症照護試辦計畫有關每日護理費假日加成，並於全民健康保險醫療服務給付項目及支付標準共同擬訂會議提案並尋求支持推動，以利在宅急症照護之業務推動。","提案人：王正旭　　林月琴　　黃秀芳　　蘇巧慧　　李柏毅　　林楚茵"],["主席：現在逐案處理。","針對第1案，請問行政單位有沒有意見？"],["邱部長泰源：同意。"],["主席：各位委員有沒有意見？"],["陳委員菁徽：同意，謝謝。"],["主席：通過。","處理第2案。"],["吳署長昭軍：針對第2案，謝謝委員的關心，是不是可以修改幾個文字？就是「具體之實施規劃」前面的字刪除，改成「具體實施規劃之書面評估報告」？"],["陳委員菁徽：「書面報告」就好。"],["吳署長昭軍：「書面報告」？OK。"],["陳委員菁徽：「書面報告」可以，同意，「書面報告」就好。"],["吳署長昭軍：好，謝謝。"],["主席：對於修正後文字，大家有沒有意見？（無）好。","處理第3案。"],["吳署長昭軍：照案辦理。"],["邱部長泰源：遵照辦理。"],["主席：第3案照案辦理。"],["陳委員菁徽：謝謝。"],["主席：處理第4案。"],["邱部長泰源：遵照辦理。"],["主席：好，第4案通過。","處理第5案。"],["邱部長泰源：遵照辦理。"],["主席：沒問題啦！衛環委員會的提案都很專業啦！","處理最後一案第6案。"],["陳副署長亮妤：遵照辦理，謝謝。"],["邱部長泰源：遵照辦理。"],["主席：陳菁徽委員不能走欸！你要來幫我代理主席欸！","第6案通過。"],["主席（陳委員菁徽代）：臨時提案已經全部處理完畢。","接下來請蘇清泉委員發言。"]],"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"}}}