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{\"word\": \"做\", \"start\": 632.716, \"end\": 632.836, \"score\": 0.842}, {\"word\": \"後\", \"start\": 632.836, \"end\": 633.116, \"score\": 0.857}, {\"word\": \"續\"}, {\"word\": \"追\", \"start\": 633.116, \"end\": 633.136, \"score\": 0.121}, {\"word\": \"蹤\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}], \"language\": \"zh\"}","srt":"1\n00:00:00,329 --> 00:00:24,198\n謝謝主席喔那請顏主委跟北榮的陳院長請顏主委和陳院長洪委員好主委好齁主委我其實今天想要其實也是針對這個退服會下的榮怨喔一些相關的議題來跟主委跟院長討論喔\n\n2\n00:00:26,024 --> 00:00:49,577\n委員長其實我們看到行政院其實通過了這個護理人力準備中長期計畫那看了衛福部最新調查的數據那在這裡我其實是想要給退福會這邊一個肯定也就是說在公職護理師比例調升的方面其實退福會狹下的醫院確實在表現上面是領先於\n\n3\n00:00:50,637 --> 00:01:10,027\n教育部所轄下的臺大的醫院包括國防部的軍醫院還有衛福部的主管的部理醫院這部分其實你們做得不錯然後我覺得是要給予稱讚的但有幾個部分我還是想要在這邊提出來提醒有做不好的地方需要改善的地方我還是要來誠實的跟\n\n4\n00:01:12,308 --> 00:01:13,029\n主委和院長提醒\n\n5\n00:01:42,809 --> 00:01:53,946\n但這幾位剛離職的醫師都很沉重的跟我們說確實在薪資方面跟原本\n\n6\n00:01:56,690 --> 00:01:57,090\n李卓人議員\n\n7\n00:02:16,089 --> 00:02:33,882\n那也講到這個御理容院醫師出走顯示南花蓮的醫療不足但醫療不足已經是整個東部南回山地偏鄉的老問題那當然有部分受健保影響但是這些薪資上面的問題讓近期\n\n8\n00:02:36,344 --> 00:02:48,921\n這些醫師我們叫做用腳投票就他們離開的趨勢跟離開的速度看起來更快那甚至有很多其實在服務七八年的醫師就這樣離開花東了\n\n9\n00:02:51,926 --> 00:03:14,606\n那我想其實陳院長應該很清楚因為陳院長之前也有在鳳林鳳林醫院就知道在鳳林醫院有服務過原本醫療就不足尤其是值班的醫生就不足當有值班的醫生因為這樣的原因在離職的時候剩下來的值班醫生他的工作量只會更大而且會大非常多\n\n10\n00:03:16,277 --> 00:03:24,958\n那如果在薪資還是就像這些離職醫師說的不如原本之前承諾的金額狀況下非常有可能\n\n11\n00:03:26,445 --> 00:03:45,434\n合約到了以後就不想再留了所以其實這些醫生都說還持續留在醫院其實都還沒有到診所的基層其實照理來說是我們在容院體系裡面要非常非常珍惜的人才可是卻因為這樣的原因都走了而且我擔心的事情是會有骨牌效應\n\n12\n00:03:47,621 --> 00:04:10,715\n這個部分,院長,你覺得?謝謝黃委員,因為我在花蓮大概兩年了,對基層、對花東我是非常的關懷那因為0403地震、0725的凱米颱風,的確造成一些人要過去有一些影響但是我跟委員報告,其實過去花東的同仁的薪水是在我們的分院裡面是最高的\n\n13\n00:04:11,175 --> 00:04:27,325\n但是給他們高薪本來是應該的但受到一些種種因素造成以後業績比較掉下來所以有一段時間是真的薪水是的確下降了那北龍也積極在努力也派了幾個重要的人而且啟動一個最重要的花東區域聯防\n\n14\n00:04:28,846 --> 00:04:33,828\n院長但是區域聯防的醫師會幫忙職業班嗎我們跟他協調他們現在不太願意但是幫我們看門診當門診多的話業績上來薪水就會變高院長我的認知是\n\n15\n00:04:47,635 --> 00:05:05,050\n區域聯防當然是一個好的做法可是他們不會幫忙職業班所以現在大家最焦慮的事情最憂慮的事情是這些會值班的醫師更快速的要離開那留下來的壓力負擔就更大就可能會更想走\n\n16\n00:05:07,489 --> 00:05:17,655\n這裏面變成是一個負向的循環所以我也肯定區域聯防的做法但是很明確的區他們不會幫忙值班啊\n\n17\n00:05:22,519 --> 00:05:26,081\n北榮現在就努力在派一些優秀的人下去\n\n18\n00:05:49,597 --> 00:06:14,612\n那連5年都有剩餘第二個我們看到立法院預算中心的報告在這些北榮的分院裡面目前我看到只有花東的三分院其實是由贏轉虧的其實其他的都是由虧轉贏其實很清楚所以院長我這邊想說的事情是說院長我不知道你會不會有這個決心我們其實在經費上面也其實還有剩餘\n\n19\n00:06:16,181 --> 00:06:40,257\n能不能夠針對這些醫師的尤其是花東三分院的醫師他們在薪資上面的這個支持跟幫助還可以再更大如果我們整體來說是有剩餘的大家也知道這個我們現在的影響我其實覺得我看的這些相關數據我認為做得到院長你做得到嗎是報告委員一定會努力但就是不影響總院的\n\n20\n00:06:41,325 --> 00:06:42,988\n若符合法規一定會支持\n\n21\n00:06:57,329 --> 00:07:25,887\n符合法規下面盡力的支持我覺得這部分我們願意來跟這個北榮來做這方面的協調好不好因為我現在講的不是說你們要不要支援的問題我現在講的是實質上面的物質條件的問題物質條件不到你一直說我要鼓勵大家可能大家也不一定會想去我覺得這是我們現在看到的狀況所以院長我自己很希望在這方面可以看到其實院長很多地方做得非常好一樣看到院長在這方面的決心因為我知道你也真的待過花東所以你是非常非常清楚知道\n\n22\n00:07:26,547 --> 00:07:42,783\n河東我們在醫療上面的困境也包括容苑上面的困境在符合法規我們當然不會要求去違法當然要符合法規那盡力的來支持來提高重點是要把大家真的留住\n\n23\n00:07:43,507 --> 00:07:43,747\n主委院長可以嗎\n\n24\n00:08:00,322 --> 00:08:26,195\n剛剛院長已經跟您回覆了是合乎法定範圍我們都會可以合乎法定範圍裡面我們來趕快邀請這些基層發動三分院基層醫師研商中長期的方案應該沒問題吧是好謝謝院長再來下面我再一分鐘我要再提一下我知道目前北榮的醫師每年至少1800小時去支援這是剛剛院長說的其實這要部分也謝謝院長有這樣子的措施\n\n25\n00:08:27,296 --> 00:08:46,671\n但有一點其實我們也聽到確實現在很多醫師都礙於我們這個叫做知己數額表其實裡面可以提供的這個相關費用的協助看起來我目前收我看到的資訊是已經動漲7年了\n\n26\n00:08:48,780 --> 00:08:48,940\n委員會主席\n\n27\n00:09:10,512 --> 00:09:10,993\n致詭數額表上的報酬提高\n\n28\n00:09:23,519 --> 00:09:52,754\n現在大家都在講總額的問題大家現在大家在講點數的問題我覺得這些討論都很正向但我們這邊也動長了7年那合理的增加來提高大家去支援的誘因讓大家更有動力去如果退輔會跟院長願意把這件事情擔起來來向行政院提出我們也很願意從國會的角度來支持這部分主委跟院長可以嗎?可以謝謝委員沒有問題那什麼時候會提出這樣向行政院提出這樣的要求一個月內\n\n29\n00:09:55,835 --> 00:09:58,549\n報告委員我們會盡快盡快多久時間\n\n30\n00:10:01,107 --> 00:10:27,009\n因為這個部分當然我知道這部分涉及到醫院經營的專業尤其是部分當然院長是專業喔你當然比我專業可是我很希望說至少很積極快速的來提出這樣子的要求當然合不合當然接下來要跟行政院怎麼講跟衛福部怎麼講行政院跟衛福部怎麼講這是另外一回事可是如果你們不提出這樣子的要求跟需求的話他們不會自己改變的嘛這我想院長是很清楚一個月可以嗎院長是\n\n31\n00:10:29,532 --> 00:10:33,136\n幾個承諾我們會再跟退府會還有跟北榮來做後續追蹤謝謝\n\n","tsv":"start\tend\ttext\n329\t24198\t謝謝主席喔那請顏主委跟北榮的陳院長請顏主委和陳院長洪委員好主委好齁主委我其實今天想要其實也是針對這個退服會下的榮怨喔一些相關的議題來跟主委跟院長討論喔\n26024\t49577\t委員長其實我們看到行政院其實通過了這個護理人力準備中長期計畫那看了衛福部最新調查的數據那在這裡我其實是想要給退福會這邊一個肯定也就是說在公職護理師比例調升的方面其實退福會狹下的醫院確實在表現上面是領先於\n50637\t70027\t教育部所轄下的臺大的醫院包括國防部的軍醫院還有衛福部的主管的部理醫院這部分其實你們做得不錯然後我覺得是要給予稱讚的但有幾個部分我還是想要在這邊提出來提醒有做不好的地方需要改善的地方我還是要來誠實的跟\n72308\t73029\t主委和院長提醒\n102809\t113946\t但這幾位剛離職的醫師都很沉重的跟我們說確實在薪資方面跟原本\n116690\t117090\t李卓人議員\n136089\t153882\t那也講到這個御理容院醫師出走顯示南花蓮的醫療不足但醫療不足已經是整個東部南回山地偏鄉的老問題那當然有部分受健保影響但是這些薪資上面的問題讓近期\n156344\t168921\t這些醫師我們叫做用腳投票就他們離開的趨勢跟離開的速度看起來更快那甚至有很多其實在服務七八年的醫師就這樣離開花東了\n171926\t194606\t那我想其實陳院長應該很清楚因為陳院長之前也有在鳳林鳳林醫院就知道在鳳林醫院有服務過原本醫療就不足尤其是值班的醫生就不足當有值班的醫生因為這樣的原因在離職的時候剩下來的值班醫生他的工作量只會更大而且會大非常多\n196277\t204958\t那如果在薪資還是就像這些離職醫師說的不如原本之前承諾的金額狀況下非常有可能\n206445\t225434\t合約到了以後就不想再留了所以其實這些醫生都說還持續留在醫院其實都還沒有到診所的基層其實照理來說是我們在容院體系裡面要非常非常珍惜的人才可是卻因為這樣的原因都走了而且我擔心的事情是會有骨牌效應\n227621\t250715\t這個部分,院長,你覺得?謝謝黃委員,因為我在花蓮大概兩年了,對基層、對花東我是非常的關懷那因為0403地震、0725的凱米颱風,的確造成一些人要過去有一些影響但是我跟委員報告,其實過去花東的同仁的薪水是在我們的分院裡面是最高的\n251175\t267325\t但是給他們高薪本來是應該的但受到一些種種因素造成以後業績比較掉下來所以有一段時間是真的薪水是的確下降了那北龍也積極在努力也派了幾個重要的人而且啟動一個最重要的花東區域聯防\n268846\t273828\t院長 但是區域聯防的醫師會幫忙職業班嗎我們跟他協調他們現在不太願意但是幫我們看門診當門診多的話業績上來薪水就會變高院長我的認知是\n287635\t305050\t區域聯防當然是一個好的做法可是他們不會幫忙職業班所以現在大家最焦慮的事情最憂慮的事情是這些會值班的醫師更快速的要離開那留下來的壓力負擔就更大就可能會更想走\n307489\t317655\t這裏面變成是一個負向的循環所以我也肯定區域聯防的做法但是很明確的區他們不會幫忙值班啊\n322519\t326081\t北榮現在就努力在派一些優秀的人下去\n349597\t374612\t那連5年都有剩餘第二個我們看到立法院預算中心的報告在這些北榮的分院裡面目前我看到只有花東的三分院其實是由贏轉虧的其實其他的都是由虧轉贏其實很清楚所以院長我這邊想說的事情是說院長我不知道你會不會有這個決心我們其實在經費上面也其實還有剩餘\n376181\t400257\t能不能夠針對這些醫師的尤其是花東三分院的醫師他們在薪資上面的這個支持跟幫助還可以再更大如果我們整體來說是有剩餘的大家也知道這個我們現在的影響我其實覺得我看的這些相關數據我認為做得到院長你做得到嗎是報告委員一定會努力但就是不影響總院的\n401325\t402988\t若符合法規一定會支持\n417329\t445887\t符合法規下面盡力的支持我覺得這部分我們願意來跟這個北榮來做這方面的協調好不好因為我現在講的不是說你們要不要支援的問題我現在講的是實質上面的物質條件的問題物質條件不到你一直說我要鼓勵大家可能大家也不一定會想去我覺得這是我們現在看到的狀況所以院長我自己很希望在這方面可以看到其實院長很多地方做得非常好一樣看到院長在這方面的決心因為我知道你也真的待過花東所以你是非常非常清楚知道\n446547\t462783\t河東我們在醫療上面的困境也包括容苑上面的困境在符合法規我們當然不會要求去違法當然要符合法規那盡力的來支持來提高重點是要把大家真的留住\n463507\t463747\t主委 院長 可以嗎\n480322\t506195\t剛剛院長已經跟您回覆了是合乎法定範圍我們都會可以合乎法定範圍裡面我們來趕快邀請這些基層發動三分院基層醫師研商中長期的方案應該沒問題吧是好謝謝院長再來下面我再一分鐘我要再提一下我知道目前北榮的醫師每年至少1800小時去支援這是剛剛院長說的其實這要部分也謝謝院長有這樣子的措施\n507296\t526671\t但有一點其實我們也聽到確實現在很多醫師都礙於我們這個叫做知己數額表其實裡面可以提供的這個相關費用的協助看起來我目前收我看到的資訊是已經動漲7年了\n528780\t528940\t委員會主席\n550512\t550993\t致詭數額表上的報酬提高\n563519\t592754\t現在大家都在講總額的問題大家現在大家在講點數的問題我覺得這些討論都很正向但我們這邊也動長了7年那合理的增加來提高大家去支援的誘因讓大家更有動力去如果退輔會跟院長願意把這件事情擔起來來向行政院提出我們也很願意從國會的角度來支持這部分主委跟院長可以嗎?可以 謝謝委員沒有問題那什麼時候會提出這樣向行政院提出這樣的要求一個月內\n595835\t598549\t報告委員我們會盡快盡快多久時間\n601107\t627009\t因為這個部分當然我知道這部分涉及到醫院經營的專業尤其是部分當然院長是專業喔你當然比我專業可是我很希望說至少很積極快速的來提出這樣子的要求當然合不合當然接下來要跟行政院怎麼講跟衛福部怎麼講行政院跟衛福部怎麼講這是另外一回事可是如果你們不提出這樣子的要求跟需求的話他們不會自己改變的嘛這我想院長是很清楚一個月可以嗎院長是\n629532\t633136\t幾個承諾我們會再跟退府會還有跟北榮來做後續追蹤謝謝\n","txt":"謝謝主席喔那請顏主委跟北榮的陳院長請顏主委和陳院長洪委員好主委好齁主委我其實今天想要其實也是針對這個退服會下的榮怨喔一些相關的議題來跟主委跟院長討論喔\n委員長其實我們看到行政院其實通過了這個護理人力準備中長期計畫那看了衛福部最新調查的數據那在這裡我其實是想要給退福會這邊一個肯定也就是說在公職護理師比例調升的方面其實退福會狹下的醫院確實在表現上面是領先於\n教育部所轄下的臺大的醫院包括國防部的軍醫院還有衛福部的主管的部理醫院這部分其實你們做得不錯然後我覺得是要給予稱讚的但有幾個部分我還是想要在這邊提出來提醒有做不好的地方需要改善的地方我還是要來誠實的跟\n主委和院長提醒\n但這幾位剛離職的醫師都很沉重的跟我們說確實在薪資方面跟原本\n李卓人議員\n那也講到這個御理容院醫師出走顯示南花蓮的醫療不足但醫療不足已經是整個東部南回山地偏鄉的老問題那當然有部分受健保影響但是這些薪資上面的問題讓近期\n這些醫師我們叫做用腳投票就他們離開的趨勢跟離開的速度看起來更快那甚至有很多其實在服務七八年的醫師就這樣離開花東了\n那我想其實陳院長應該很清楚因為陳院長之前也有在鳳林鳳林醫院就知道在鳳林醫院有服務過原本醫療就不足尤其是值班的醫生就不足當有值班的醫生因為這樣的原因在離職的時候剩下來的值班醫生他的工作量只會更大而且會大非常多\n那如果在薪資還是就像這些離職醫師說的不如原本之前承諾的金額狀況下非常有可能\n合約到了以後就不想再留了所以其實這些醫生都說還持續留在醫院其實都還沒有到診所的基層其實照理來說是我們在容院體系裡面要非常非常珍惜的人才可是卻因為這樣的原因都走了而且我擔心的事情是會有骨牌效應\n這個部分,院長,你覺得?謝謝黃委員,因為我在花蓮大概兩年了,對基層、對花東我是非常的關懷那因為0403地震、0725的凱米颱風,的確造成一些人要過去有一些影響但是我跟委員報告,其實過去花東的同仁的薪水是在我們的分院裡面是最高的\n但是給他們高薪本來是應該的但受到一些種種因素造成以後業績比較掉下來所以有一段時間是真的薪水是的確下降了那北龍也積極在努力也派了幾個重要的人而且啟動一個最重要的花東區域聯防\n院長 但是區域聯防的醫師會幫忙職業班嗎我們跟他協調他們現在不太願意但是幫我們看門診當門診多的話業績上來薪水就會變高院長我的認知是\n區域聯防當然是一個好的做法可是他們不會幫忙職業班所以現在大家最焦慮的事情最憂慮的事情是這些會值班的醫師更快速的要離開那留下來的壓力負擔就更大就可能會更想走\n這裏面變成是一個負向的循環所以我也肯定區域聯防的做法但是很明確的區他們不會幫忙值班啊\n北榮現在就努力在派一些優秀的人下去\n那連5年都有剩餘第二個我們看到立法院預算中心的報告在這些北榮的分院裡面目前我看到只有花東的三分院其實是由贏轉虧的其實其他的都是由虧轉贏其實很清楚所以院長我這邊想說的事情是說院長我不知道你會不會有這個決心我們其實在經費上面也其實還有剩餘\n能不能夠針對這些醫師的尤其是花東三分院的醫師他們在薪資上面的這個支持跟幫助還可以再更大如果我們整體來說是有剩餘的大家也知道這個我們現在的影響我其實覺得我看的這些相關數據我認為做得到院長你做得到嗎是報告委員一定會努力但就是不影響總院的\n若符合法規一定會支持\n符合法規下面盡力的支持我覺得這部分我們願意來跟這個北榮來做這方面的協調好不好因為我現在講的不是說你們要不要支援的問題我現在講的是實質上面的物質條件的問題物質條件不到你一直說我要鼓勵大家可能大家也不一定會想去我覺得這是我們現在看到的狀況所以院長我自己很希望在這方面可以看到其實院長很多地方做得非常好一樣看到院長在這方面的決心因為我知道你也真的待過花東所以你是非常非常清楚知道\n河東我們在醫療上面的困境也包括容苑上面的困境在符合法規我們當然不會要求去違法當然要符合法規那盡力的來支持來提高重點是要把大家真的留住\n主委 院長 可以嗎\n剛剛院長已經跟您回覆了是合乎法定範圍我們都會可以合乎法定範圍裡面我們來趕快邀請這些基層發動三分院基層醫師研商中長期的方案應該沒問題吧是好謝謝院長再來下面我再一分鐘我要再提一下我知道目前北榮的醫師每年至少1800小時去支援這是剛剛院長說的其實這要部分也謝謝院長有這樣子的措施\n但有一點其實我們也聽到確實現在很多醫師都礙於我們這個叫做知己數額表其實裡面可以提供的這個相關費用的協助看起來我目前收我看到的資訊是已經動漲7年了\n委員會主席\n致詭數額表上的報酬提高\n現在大家都在講總額的問題大家現在大家在講點數的問題我覺得這些討論都很正向但我們這邊也動長了7年那合理的增加來提高大家去支援的誘因讓大家更有動力去如果退輔會跟院長願意把這件事情擔起來來向行政院提出我們也很願意從國會的角度來支持這部分主委跟院長可以嗎?可以 謝謝委員沒有問題那什麼時候會提出這樣向行政院提出這樣的要求一個月內\n報告委員我們會盡快盡快多久時間\n因為這個部分當然我知道這部分涉及到醫院經營的專業尤其是部分當然院長是專業喔你當然比我專業可是我很希望說至少很積極快速的來提出這樣子的要求當然合不合當然接下來要跟行政院怎麼講跟衛福部怎麼講行政院跟衛福部怎麼講這是另外一回事可是如果你們不提出這樣子的要求跟需求的話他們不會自己改變的嘛這我想院長是很清楚一個月可以嗎院長是\n幾個承諾我們會再跟退府會還有跟北榮來做後續追蹤謝謝\n","vtt":"WEBVTT\n\n00:00.329 --> 00:24.198\n謝謝主席喔那請顏主委跟北榮的陳院長請顏主委和陳院長洪委員好主委好齁主委我其實今天想要其實也是針對這個退服會下的榮怨喔一些相關的議題來跟主委跟院長討論喔\n\n00:26.024 --> 00:49.577\n委員長其實我們看到行政院其實通過了這個護理人力準備中長期計畫那看了衛福部最新調查的數據那在這裡我其實是想要給退福會這邊一個肯定也就是說在公職護理師比例調升的方面其實退福會狹下的醫院確實在表現上面是領先於\n\n00:50.637 --> 01:10.027\n教育部所轄下的臺大的醫院包括國防部的軍醫院還有衛福部的主管的部理醫院這部分其實你們做得不錯然後我覺得是要給予稱讚的但有幾個部分我還是想要在這邊提出來提醒有做不好的地方需要改善的地方我還是要來誠實的跟\n\n01:12.308 --> 01:13.029\n主委和院長提醒\n\n01:42.809 --> 01:53.946\n但這幾位剛離職的醫師都很沉重的跟我們說確實在薪資方面跟原本\n\n01:56.690 --> 01:57.090\n李卓人議員\n\n02:16.089 --> 02:33.882\n那也講到這個御理容院醫師出走顯示南花蓮的醫療不足但醫療不足已經是整個東部南回山地偏鄉的老問題那當然有部分受健保影響但是這些薪資上面的問題讓近期\n\n02:36.344 --> 02:48.921\n這些醫師我們叫做用腳投票就他們離開的趨勢跟離開的速度看起來更快那甚至有很多其實在服務七八年的醫師就這樣離開花東了\n\n02:51.926 --> 03:14.606\n那我想其實陳院長應該很清楚因為陳院長之前也有在鳳林鳳林醫院就知道在鳳林醫院有服務過原本醫療就不足尤其是值班的醫生就不足當有值班的醫生因為這樣的原因在離職的時候剩下來的值班醫生他的工作量只會更大而且會大非常多\n\n03:16.277 --> 03:24.958\n那如果在薪資還是就像這些離職醫師說的不如原本之前承諾的金額狀況下非常有可能\n\n03:26.445 --> 03:45.434\n合約到了以後就不想再留了所以其實這些醫生都說還持續留在醫院其實都還沒有到診所的基層其實照理來說是我們在容院體系裡面要非常非常珍惜的人才可是卻因為這樣的原因都走了而且我擔心的事情是會有骨牌效應\n\n03:47.621 --> 04:10.715\n這個部分,院長,你覺得?謝謝黃委員,因為我在花蓮大概兩年了,對基層、對花東我是非常的關懷那因為0403地震、0725的凱米颱風,的確造成一些人要過去有一些影響但是我跟委員報告,其實過去花東的同仁的薪水是在我們的分院裡面是最高的\n\n04:11.175 --> 04:27.325\n但是給他們高薪本來是應該的但受到一些種種因素造成以後業績比較掉下來所以有一段時間是真的薪水是的確下降了那北龍也積極在努力也派了幾個重要的人而且啟動一個最重要的花東區域聯防\n\n04:28.846 --> 04:33.828\n院長但是區域聯防的醫師會幫忙職業班嗎我們跟他協調他們現在不太願意但是幫我們看門診當門診多的話業績上來薪水就會變高院長我的認知是\n\n04:47.635 --> 05:05.050\n區域聯防當然是一個好的做法可是他們不會幫忙職業班所以現在大家最焦慮的事情最憂慮的事情是這些會值班的醫師更快速的要離開那留下來的壓力負擔就更大就可能會更想走\n\n05:07.489 --> 05:17.655\n這裏面變成是一個負向的循環所以我也肯定區域聯防的做法但是很明確的區他們不會幫忙值班啊\n\n05:22.519 --> 05:26.081\n北榮現在就努力在派一些優秀的人下去\n\n05:49.597 --> 06:14.612\n那連5年都有剩餘第二個我們看到立法院預算中心的報告在這些北榮的分院裡面目前我看到只有花東的三分院其實是由贏轉虧的其實其他的都是由虧轉贏其實很清楚所以院長我這邊想說的事情是說院長我不知道你會不會有這個決心我們其實在經費上面也其實還有剩餘\n\n06:16.181 --> 06:40.257\n能不能夠針對這些醫師的尤其是花東三分院的醫師他們在薪資上面的這個支持跟幫助還可以再更大如果我們整體來說是有剩餘的大家也知道這個我們現在的影響我其實覺得我看的這些相關數據我認為做得到院長你做得到嗎是報告委員一定會努力但就是不影響總院的\n\n06:41.325 --> 06:42.988\n若符合法規一定會支持\n\n06:57.329 --> 07:25.887\n符合法規下面盡力的支持我覺得這部分我們願意來跟這個北榮來做這方面的協調好不好因為我現在講的不是說你們要不要支援的問題我現在講的是實質上面的物質條件的問題物質條件不到你一直說我要鼓勵大家可能大家也不一定會想去我覺得這是我們現在看到的狀況所以院長我自己很希望在這方面可以看到其實院長很多地方做得非常好一樣看到院長在這方面的決心因為我知道你也真的待過花東所以你是非常非常清楚知道\n\n07:26.547 --> 07:42.783\n河東我們在醫療上面的困境也包括容苑上面的困境在符合法規我們當然不會要求去違法當然要符合法規那盡力的來支持來提高重點是要把大家真的留住\n\n07:43.507 --> 07:43.747\n主委院長可以嗎\n\n08:00.322 --> 08:26.195\n剛剛院長已經跟您回覆了是合乎法定範圍我們都會可以合乎法定範圍裡面我們來趕快邀請這些基層發動三分院基層醫師研商中長期的方案應該沒問題吧是好謝謝院長再來下面我再一分鐘我要再提一下我知道目前北榮的醫師每年至少1800小時去支援這是剛剛院長說的其實這要部分也謝謝院長有這樣子的措施\n\n08:27.296 --> 08:46.671\n但有一點其實我們也聽到確實現在很多醫師都礙於我們這個叫做知己數額表其實裡面可以提供的這個相關費用的協助看起來我目前收我看到的資訊是已經動漲7年了\n\n08:48.780 --> 08:48.940\n委員會主席\n\n09:10.512 --> 09:10.993\n致詭數額表上的報酬提高\n\n09:23.519 --> 09:52.754\n現在大家都在講總額的問題大家現在大家在講點數的問題我覺得這些討論都很正向但我們這邊也動長了7年那合理的增加來提高大家去支援的誘因讓大家更有動力去如果退輔會跟院長願意把這件事情擔起來來向行政院提出我們也很願意從國會的角度來支持這部分主委跟院長可以嗎?可以謝謝委員沒有問題那什麼時候會提出這樣向行政院提出這樣的要求一個月內\n\n09:55.835 --> 09:58.549\n報告委員我們會盡快盡快多久時間\n\n10:01.107 --> 10:27.009\n因為這個部分當然我知道這部分涉及到醫院經營的專業尤其是部分當然院長是專業喔你當然比我專業可是我很希望說至少很積極快速的來提出這樣子的要求當然合不合當然接下來要跟行政院怎麼講跟衛福部怎麼講行政院跟衛福部怎麼講這是另外一回事可是如果你們不提出這樣子的要求跟需求的話他們不會自己改變的嘛這我想院長是很清楚一個月可以嗎院長是\n\n10:29.532 --> 10:33.136\n幾個承諾我們會再跟退府會還有跟北榮來做後續追蹤謝謝\n\n","segments":[{"start":0.329,"end":24.198,"text":"謝謝主席喔那請顏主委跟北榮的陳院長請顏主委和陳院長洪委員好主委好齁主委我其實今天想要其實也是針對這個退服會下的榮怨喔一些相關的議題來跟主委跟院長討論喔"},{"start":26.024,"end":49.577,"text":"委員長其實我們看到行政院其實通過了這個護理人力準備中長期計畫那看了衛福部最新調查的數據那在這裡我其實是想要給退福會這邊一個肯定也就是說在公職護理師比例調升的方面其實退福會狹下的醫院確實在表現上面是領先於"},{"start":50.637,"end":70.027,"text":"教育部所轄下的臺大的醫院包括國防部的軍醫院還有衛福部的主管的部理醫院這部分其實你們做得不錯然後我覺得是要給予稱讚的但有幾個部分我還是想要在這邊提出來提醒有做不好的地方需要改善的地方我還是要來誠實的跟"},{"start":72.308,"end":73.029,"text":"主委和院長提醒"},{"start":102.809,"end":113.946,"text":"但這幾位剛離職的醫師都很沉重的跟我們說確實在薪資方面跟原本"},{"start":116.69,"end":117.09,"text":"李卓人議員"},{"start":136.089,"end":153.882,"text":"那也講到這個御理容院醫師出走顯示南花蓮的醫療不足但醫療不足已經是整個東部南回山地偏鄉的老問題那當然有部分受健保影響但是這些薪資上面的問題讓近期"},{"start":156.344,"end":168.921,"text":"這些醫師我們叫做用腳投票就他們離開的趨勢跟離開的速度看起來更快那甚至有很多其實在服務七八年的醫師就這樣離開花東了"},{"start":171.926,"end":194.606,"text":"那我想其實陳院長應該很清楚因為陳院長之前也有在鳳林鳳林醫院就知道在鳳林醫院有服務過原本醫療就不足尤其是值班的醫生就不足當有值班的醫生因為這樣的原因在離職的時候剩下來的值班醫生他的工作量只會更大而且會大非常多"},{"start":196.277,"end":204.958,"text":"那如果在薪資還是就像這些離職醫師說的不如原本之前承諾的金額狀況下非常有可能"},{"start":206.445,"end":225.434,"text":"合約到了以後就不想再留了所以其實這些醫生都說還持續留在醫院其實都還沒有到診所的基層其實照理來說是我們在容院體系裡面要非常非常珍惜的人才可是卻因為這樣的原因都走了而且我擔心的事情是會有骨牌效應"},{"start":227.621,"end":250.715,"text":"這個部分,院長,你覺得?謝謝黃委員,因為我在花蓮大概兩年了,對基層、對花東我是非常的關懷那因為0403地震、0725的凱米颱風,的確造成一些人要過去有一些影響但是我跟委員報告,其實過去花東的同仁的薪水是在我們的分院裡面是最高的"},{"start":251.175,"end":267.325,"text":"但是給他們高薪本來是應該的但受到一些種種因素造成以後業績比較掉下來所以有一段時間是真的薪水是的確下降了那北龍也積極在努力也派了幾個重要的人而且啟動一個最重要的花東區域聯防"},{"start":268.846,"end":273.828,"text":"院長 但是區域聯防的醫師會幫忙職業班嗎我們跟他協調他們現在不太願意但是幫我們看門診當門診多的話業績上來薪水就會變高院長我的認知是"},{"start":287.635,"end":305.05,"text":"區域聯防當然是一個好的做法可是他們不會幫忙職業班所以現在大家最焦慮的事情最憂慮的事情是這些會值班的醫師更快速的要離開那留下來的壓力負擔就更大就可能會更想走"},{"start":307.489,"end":317.655,"text":"這裏面變成是一個負向的循環所以我也肯定區域聯防的做法但是很明確的區他們不會幫忙值班啊"},{"start":322.519,"end":326.081,"text":"北榮現在就努力在派一些優秀的人下去"},{"start":349.597,"end":374.612,"text":"那連5年都有剩餘第二個我們看到立法院預算中心的報告在這些北榮的分院裡面目前我看到只有花東的三分院其實是由贏轉虧的其實其他的都是由虧轉贏其實很清楚所以院長我這邊想說的事情是說院長我不知道你會不會有這個決心我們其實在經費上面也其實還有剩餘"},{"start":376.181,"end":400.257,"text":"能不能夠針對這些醫師的尤其是花東三分院的醫師他們在薪資上面的這個支持跟幫助還可以再更大如果我們整體來說是有剩餘的大家也知道這個我們現在的影響我其實覺得我看的這些相關數據我認為做得到院長你做得到嗎是報告委員一定會努力但就是不影響總院的"},{"start":401.325,"end":402.988,"text":"若符合法規一定會支持"},{"start":417.329,"end":445.887,"text":"符合法規下面盡力的支持我覺得這部分我們願意來跟這個北榮來做這方面的協調好不好因為我現在講的不是說你們要不要支援的問題我現在講的是實質上面的物質條件的問題物質條件不到你一直說我要鼓勵大家可能大家也不一定會想去我覺得這是我們現在看到的狀況所以院長我自己很希望在這方面可以看到其實院長很多地方做得非常好一樣看到院長在這方面的決心因為我知道你也真的待過花東所以你是非常非常清楚知道"},{"start":446.547,"end":462.783,"text":"河東我們在醫療上面的困境也包括容苑上面的困境在符合法規我們當然不會要求去違法當然要符合法規那盡力的來支持來提高重點是要把大家真的留住"},{"start":463.507,"end":463.747,"text":"主委 院長 可以嗎"},{"start":480.322,"end":506.195,"text":"剛剛院長已經跟您回覆了是合乎法定範圍我們都會可以合乎法定範圍裡面我們來趕快邀請這些基層發動三分院基層醫師研商中長期的方案應該沒問題吧是好謝謝院長再來下面我再一分鐘我要再提一下我知道目前北榮的醫師每年至少1800小時去支援這是剛剛院長說的其實這要部分也謝謝院長有這樣子的措施"},{"start":507.296,"end":526.671,"text":"但有一點其實我們也聽到確實現在很多醫師都礙於我們這個叫做知己數額表其實裡面可以提供的這個相關費用的協助看起來我目前收我看到的資訊是已經動漲7年了"},{"start":528.78,"end":528.94,"text":"委員會主席"},{"start":550.512,"end":550.993,"text":"致詭數額表上的報酬提高"},{"start":563.519,"end":592.754,"text":"現在大家都在講總額的問題大家現在大家在講點數的問題我覺得這些討論都很正向但我們這邊也動長了7年那合理的增加來提高大家去支援的誘因讓大家更有動力去如果退輔會跟院長願意把這件事情擔起來來向行政院提出我們也很願意從國會的角度來支持這部分主委跟院長可以嗎?可以 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Kacaw","賴士葆","葉元之","洪申翰","楊瓊瓔","王定宇"],"page_start":129,"meetingDate":["2024-11-21"],"gazette_id":"11310401","agenda_lcidc_ids":["11310401_00003"],"meet_name":"立法院第11屆第2會期外交及國防委員會第16次全體委員會議紀錄","content":"審查114年度中央政府總預算案關於國軍退除役官兵輔導委員會主管收支部分（僅詢答）","agenda_id":"11310401_00002"}}}