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\"score\": 0.938}, {\"word\": \"國\"}, {\"word\": \"家\", \"start\": 358.062, \"end\": 358.723, \"score\": 0.995}, {\"word\": \"或\", \"start\": 358.723, \"end\": 358.843, \"score\": 0.988}, {\"word\": \"者\", \"start\": 358.843, \"end\": 359.004, \"score\": 0.977}, {\"word\": \"是\", \"start\": 359.004, \"end\": 359.184, \"score\": 0.986}, {\"word\": \"由\", \"start\": 359.184, \"end\": 359.384, \"score\": 0.985}, {\"word\": \"哪\", \"start\": 359.384, \"end\": 359.505, \"score\": 0.833}, {\"word\": \"一\", \"start\": 359.505, \"end\": 359.905, \"score\": 0.877}, {\"word\": \"個\"}, {\"word\": \"單\"}, {\"word\": \"位\", \"start\": 359.905, \"end\": 361.228, \"score\": 0.95}, {\"word\": \"來\"}, {\"word\": \"統\"}, {\"word\": \"籌\"}, {\"word\": \"我\", \"start\": 361.228, \"end\": 361.508, \"score\": 0.886}, {\"word\": \"這\"}, {\"word\": \"就\", \"start\": 361.508, \"end\": 361.629, \"score\": 0.989}, {\"word\": \"是\", \"start\": 361.629, \"end\": 361.789, \"score\": 0.979}, {\"word\": \"今\", 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{\"word\": \"我\", \"start\": 366.875, \"end\": 367.075, \"score\": 0.897}, {\"word\": \"們\"}, {\"word\": \"知\", \"start\": 367.075, \"end\": 367.195, \"score\": 0.99}, {\"word\": \"道\", \"start\": 367.195, \"end\": 367.635, \"score\": 0.953}, {\"word\": \"資\"}, {\"word\": \"料\", \"start\": 367.635, \"end\": 367.815, \"score\": 0.994}, {\"word\": \"的\", \"start\": 367.815, \"end\": 367.955, \"score\": 0.971}, {\"word\": \"嫁\", \"start\": 367.955, \"end\": 368.195, \"score\": 0.917}, {\"word\": \"接\", \"start\": 368.195, \"end\": 368.675, \"score\": 0.958}, {\"word\": \"有\", \"start\": 368.675, \"end\": 369.135, \"score\": 0.913}, {\"word\": \"幾\"}, {\"word\": \"個\"}, {\"word\": \"可\", \"start\": 369.135, \"end\": 369.315, \"score\": 1.0}, {\"word\": \"能\", \"start\": 369.315, \"end\": 369.495, \"score\": 0.997}, {\"word\": \"性\", \"start\": 369.495, \"end\": 371.075, \"score\": 0.964}, {\"word\": \"我\", \"start\": 371.075, \"end\": 371.296, \"score\": 0.909}, {\"word\": \"們\"}, 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376.097, \"end\": 377.957, \"score\": 1.0}, {\"word\": \"基\", \"start\": 377.957, \"end\": 378.077, \"score\": 1.0}, {\"word\": \"本\", \"start\": 378.077, \"end\": 378.237, \"score\": 0.999}, {\"word\": \"上\", \"start\": 378.237, \"end\": 378.557, \"score\": 1.0}, {\"word\": \"又\", \"start\": 378.557, \"end\": 378.797, \"score\": 0.999}, {\"word\": \"分\", \"start\": 378.797, \"end\": 379.117, \"score\": 0.927}, {\"word\": \"為\"}, {\"word\": \"公\", \"start\": 379.117, \"end\": 379.297, \"score\": 0.894}, {\"word\": \"立\", \"start\": 379.297, \"end\": 379.437, \"score\": 0.91}, {\"word\": \"跟\", \"start\": 379.437, \"end\": 379.717, \"score\": 0.99}, {\"word\": \"私\", \"start\": 379.717, \"end\": 379.917, \"score\": 0.906}, {\"word\": \"立\", \"start\": 379.917, \"end\": 380.097, \"score\": 0.889}, {\"word\": \"的\", \"start\": 380.097, \"end\": 380.418, \"score\": 0.925}, {\"word\": \"這\"}, {\"word\": \"些\", \"start\": 380.418, \"end\": 380.998, \"score\": 0.93}, {\"word\": \"醫\"}, {\"word\": \"療\"}, {\"word\": \"院\", \"start\": 380.998, \"end\": 381.178, \"score\": 0.929}, {\"word\": \"所\", \"start\": 381.178, \"end\": 381.798, \"score\": 0.904}, {\"word\": \"來\"}, {\"word\": \"協\"}, {\"word\": \"助\", \"start\": 381.798, \"end\": 382.378, \"score\": 0.912}, {\"word\": \"那\", \"start\": 382.378, \"end\": 382.898, \"score\": 0.922}, {\"word\": \"這\"}, {\"word\": \"邊\"}, {\"word\": \"我\", \"start\": 382.898, \"end\": 383.078, \"score\": 0.937}, {\"word\": \"們\"}, {\"word\": \"可\", \"start\": 383.078, \"end\": 383.158, \"score\": 0.778}, {\"word\": \"以\", \"start\": 383.158, \"end\": 383.218, \"score\": 0.667}, {\"word\": \"看\", \"start\": 383.218, \"end\": 383.358, \"score\": 1.0}, {\"word\": \"得\", \"start\": 383.358, \"end\": 383.518, \"score\": 0.881}, {\"word\": \"出\", \"start\": 383.518, \"end\": 383.918, \"score\": 0.949}, {\"word\": \"來\"}, {\"word\": \"公\", \"start\": 383.918, \"end\": 384.078, \"score\": 0.993}, {\"word\": \"立\", \"start\": 384.078, 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0.911}, {\"word\": \"部\", \"start\": 387.76, \"end\": 388.261, \"score\": 0.986}, {\"word\": \"退\", \"start\": 388.261, \"end\": 388.421, \"score\": 0.998}, {\"word\": \"府\", \"start\": 388.421, \"end\": 389.383, \"score\": 0.936}, {\"word\": \"會\"}, {\"word\": \"國\"}, {\"word\": \"防\", \"start\": 389.383, \"end\": 389.643, \"score\": 0.994}, {\"word\": \"部\", \"start\": 389.643, \"end\": 390.304, \"score\": 0.888}, {\"word\": \"還\"}, {\"word\": \"有\", \"start\": 390.304, \"end\": 390.624, \"score\": 0.99}, {\"word\": \"很\", \"start\": 390.624, \"end\": 390.785, \"score\": 0.998}, {\"word\": \"多\", \"start\": 390.785, \"end\": 390.905, \"score\": 1.0}, {\"word\": \"的\", \"start\": 390.905, \"end\": 391.045, \"score\": 0.885}, {\"word\": \"地\", \"start\": 391.045, \"end\": 391.165, \"score\": 0.998}, {\"word\": \"方\", \"start\": 391.165, \"end\": 391.386, \"score\": 1.0}, {\"word\": \"政\", \"start\": 391.386, \"end\": 391.626, \"score\": 0.986}, {\"word\": \"府\", \"start\": 391.626, 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395.632, \"end\": 395.913, \"score\": 0.997}, {\"word\": \"私\", \"start\": 395.913, \"end\": 396.073, \"score\": 0.961}, {\"word\": \"立\", \"start\": 396.073, \"end\": 396.213, \"score\": 0.891}, {\"word\": \"的\", \"start\": 396.213, \"end\": 396.874, \"score\": 1.0}, {\"word\": \"各\", \"start\": 396.874, \"end\": 397.535, \"score\": 0.882}, {\"word\": \"個\"}, {\"word\": \"醫\"}, {\"word\": \"療\"}, {\"word\": \"院\", \"start\": 397.535, \"end\": 397.796, \"score\": 0.959}, {\"word\": \"所\", \"start\": 397.796, \"end\": 398.938, \"score\": 0.996}, {\"word\": \"大\", \"start\": 398.938, \"end\": 399.078, \"score\": 0.998}, {\"word\": \"家\", \"start\": 399.078, \"end\": 399.238, \"score\": 1.0}, {\"word\": \"就\", \"start\": 399.238, \"end\": 399.759, \"score\": 0.998}, {\"word\": \"各\", \"start\": 399.759, \"end\": 399.919, \"score\": 0.879}, {\"word\": \"自\", \"start\": 399.919, \"end\": 400.68, \"score\": 0.949}, {\"word\": \"處\"}, {\"word\": \"理\", \"start\": 400.68, \"end\": 400.941, 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{\"word\": \"道\", \"start\": 426.161, \"end\": 426.381, \"score\": 0.984}, {\"word\": \"我\", \"start\": 426.381, \"end\": 426.642, \"score\": 0.824}, {\"word\": \"們\"}, {\"word\": \"必\", \"start\": 426.642, \"end\": 426.942, \"score\": 0.932}, {\"word\": \"須\"}, {\"word\": \"要\", \"start\": 426.942, \"end\": 427.342, \"score\": 0.949}, {\"word\": \"嚴\"}, {\"word\": \"守\", \"start\": 427.342, \"end\": 428.663, \"score\": 0.924}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"個\"}, {\"word\": \"資\"}, {\"word\": \"的\", \"start\": 428.663, \"end\": 429.063, \"score\": 0.948}, {\"word\": \"處\"}, {\"word\": \"理\", \"start\": 429.063, \"end\": 429.203, \"score\": 0.991}, {\"word\": \"模\", \"start\": 429.203, \"end\": 429.483, \"score\": 0.998}, {\"word\": \"式\", \"start\": 429.483, \"end\": 429.503, \"score\": 0.996}]}, {\"start\": 431.084, \"end\": 453.729, \"text\": \"我們目前從這個個人資料保護法也瞭解說健康檢查的這些資料有哪一種情形之下是可以透過好的方式來應用這個個人資料來讓國人的健康可以得到更大的保護所以我們在昨天也透過勞動部的這個討論裡面也希望把勞工監警的資料\", \"words\": 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\"那個當然剛剛也提到各支法這個部分各支這個也是要病人也同意嘛同意以後我們會把那個委員的這樣的想法我們來看怎麼樣來落實好不好我們那個可能來跟各個部會來互動那你說委員剛剛有提到勞動部已經有\", \"words\": [{\"word\": \"那\", \"start\": 532.148, \"end\": 532.788, \"score\": 0.938}, {\"word\": \"個\"}, {\"word\": \"當\"}, {\"word\": \"然\", \"start\": 532.788, \"end\": 533.369, \"score\": 0.891}, {\"word\": \"剛\"}, {\"word\": \"剛\"}, {\"word\": \"也\", \"start\": 533.369, \"end\": 533.509, \"score\": 0.912}, {\"word\": \"提\", \"start\": 533.509, \"end\": 533.629, \"score\": 0.996}, {\"word\": \"到\", \"start\": 533.629, \"end\": 534.089, \"score\": 0.962}, {\"word\": \"各\", \"start\": 534.089, \"end\": 534.269, \"score\": 0.968}, {\"word\": \"支\", \"start\": 534.269, \"end\": 534.429, \"score\": 0.902}, {\"word\": \"法\", \"start\": 534.429, \"end\": 534.849, \"score\": 0.878}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"部\", \"start\": 534.849, \"end\": 534.97, \"score\": 0.998}, {\"word\": \"分\", \"start\": 534.97, \"end\": 535.23, \"score\": 0.957}, {\"word\": \"各\", \"start\": 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{\"word\": \"所\", \"start\": 578.848, \"end\": 579.048, \"score\": 0.997}, {\"word\": \"以\", \"start\": 579.048, \"end\": 580.029, \"score\": 0.997}, {\"word\": \"我\", \"start\": 580.029, \"end\": 580.169, \"score\": 0.87}, {\"word\": \"們\"}, {\"word\": \"很\", \"start\": 580.169, \"end\": 580.409, \"score\": 0.916}, {\"word\": \"期\", \"start\": 580.409, \"end\": 580.589, \"score\": 0.977}, {\"word\": \"待\", \"start\": 580.589, \"end\": 581.589, \"score\": 0.955}, {\"word\": \"保\", \"start\": 581.589, \"end\": 582.47, \"score\": 0.926}, {\"word\": \"證\"}, {\"word\": \"你\", \"start\": 582.47, \"end\": 582.49, \"score\": 0.003}, {\"word\": \"如\", \"start\": 582.49, \"end\": 582.65, \"score\": 0.875}, {\"word\": \"果\", \"start\": 582.65, \"end\": 583.01, \"score\": 0.893}, {\"word\": \"說\"}, {\"word\": \"衛\"}, {\"word\": \"福\", \"start\": 583.01, \"end\": 583.15, \"score\": 0.858}, {\"word\": \"部\", \"start\": 583.15, \"end\": 583.41, \"score\": 0.846}, {\"word\": \"這\"}, {\"word\": \"邊\"}, {\"word\": \"有\", \"start\": 583.41, \"end\": 583.75, \"score\": 0.834}, {\"word\": \"需\", \"start\": 583.75, \"end\": 583.89, \"score\": 0.934}, {\"word\": \"要\", \"start\": 583.89, \"end\": 585.551, \"score\": 0.982}, {\"word\": \"我\", \"start\": 585.551, \"end\": 586.291, \"score\": 0.972}, {\"word\": \"們\"}, {\"word\": \"來\"}, {\"word\": \"一\", \"start\": 586.291, \"end\": 586.432, \"score\": 0.994}, {\"word\": \"起\", \"start\": 586.432, \"end\": 586.792, \"score\": 0.934}, {\"word\": \"處\"}, {\"word\": \"理\", \"start\": 586.792, \"end\": 586.892, \"score\": 0.99}, {\"word\": \"的\", \"start\": 586.892, \"end\": 587.392, \"score\": 0.958}, {\"word\": \"話\"}, {\"word\": \"也\", \"start\": 587.392, \"end\": 587.532, \"score\": 0.999}, {\"word\": \"非\", \"start\": 587.532, \"end\": 587.652, \"score\": 0.832}, {\"word\": \"常\", \"start\": 587.652, \"end\": 587.992, \"score\": 0.881}, {\"word\": \"歡\"}, {\"word\": \"迎\", \"start\": 587.992, \"end\": 588.132, \"score\": 0.857}, 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把那個部長請教一個兒童健康檢查的部分很簡短的請教一下我們可以看得出來在小朋友7歲之前他有7次的這個健康檢查的機會或者是有這方面的這種可以去掌握到小朋友成長過程當中的健康的問題不過那個次數切變結果是421\", \"words\": [{\"word\": \"好\", \"start\": 592.374, \"end\": 592.494, \"score\": 0.833}, {\"word\": \"再\", \"start\": 592.494, \"end\": 592.734, \"score\": 0.833}, {\"word\": \"來\"}, {\"word\": \"就\", \"start\": 592.734, \"end\": 592.835, \"score\": 0.8}, {\"word\": \"是\", \"start\": 592.835, \"end\": 592.995, \"score\": 0.882}, {\"word\": \"簡\"}, {\"word\": \"單\"}, {\"word\": \"把\", \"start\": 592.995, \"end\": 593.135, \"score\": 0.857}, {\"word\": \"那\", \"start\": 593.135, \"end\": 594.255, \"score\": 0.958}, {\"word\": \"個\"}, {\"word\": \"部\", \"start\": 594.255, \"end\": 594.816, \"score\": 0.892}, {\"word\": \"長\"}, {\"word\": \"請\"}, {\"word\": \"教\", \"start\": 594.816, \"end\": 595.016, \"score\": 0.9}, {\"word\": \"一\", \"start\": 595.016, \"end\": 595.856, \"score\": 0.957}, {\"word\": \"個\"}, {\"word\": \"兒\"}, {\"word\": \"童\", \"start\": 595.856, \"end\": 596.036, 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\"start\": 790.43, \"end\": 790.59, \"score\": 0.943}, {\"word\": \"不\", \"start\": 790.59, \"end\": 790.671, \"score\": 0.997}, {\"word\": \"是\", \"start\": 790.671, \"end\": 790.831, \"score\": 0.984}, {\"word\": \"太\", \"start\": 790.831, \"end\": 791.051, \"score\": 0.992}, {\"word\": \"高\", \"start\": 791.051, \"end\": 791.071, \"score\": 0.568}, {\"word\": \"主\", \"start\": 791.311, \"end\": 791.551, \"score\": 0.911}, {\"word\": \"席\", \"start\": 791.551, \"end\": 791.571, \"score\": 0.0}], \"language\": \"zh\"}","srt":"1\n00:00:09,080 --> 00:00:11,345\n謝謝主席還是有請邱部長\n\n2\n00:00:17,011 --> 00:00:35,196\n委員好部長好今天經過這麼長的時間雖然有20分鐘的休息不過有時候沒好睡覺這個沒關係繼續謝謝大家共商國事大家都是為了我們台灣所有民眾的健康還有要怎麼處理好大家用心不一樣\n\n3\n00:00:45,138 --> 00:01:08,624\n我們也知道打造健康臺灣慢性病的防治是很重要因為我們慢性病防治可以做好的話也能更久也能更好所以今天就利用這個機會來跟部長討論一下有關於這個健康檢查來好好的整理好那個資料怎麼樣去統合才能夠落實這個預防醫學是\n\n4\n00:01:10,865 --> 00:01:27,247\n那2024年的健康原理的建言書來的第三個議題就是要針對疾病防治癌症治療跟全人照顧理念真的是要好好的去擴展健康檢查來落實預防醫學我想這大家都很清楚現在北京一直堅持\n\n5\n00:01:28,368 --> 00:01:42,821\n包括賴總統也期待透過這樣的方式來讓民眾不要因為身體有疾病以後才開始自己注意自己的身體這個是我們很能夠理解的可是到底\n\n6\n00:01:44,002 --> 00:02:01,032\n之前的經驗是怎麼樣我們可以從這個資料看得出來這是2021年國民健康國民健康署這邊對不起打錯一個字我們是健康署署一署二的署這是國民健康署\n\n7\n00:02:02,321 --> 00:02:12,929\n那個時候他們做了調查發現說過去3年來40到64歲有做過健康檢查才只有61.2%大部分的原因都是因為自己很健康啊根本沒這個需要那在座\n\n8\n00:02:25,397 --> 00:02:41,782\n看起來很少人是40歲以下在座各位多少人遇到這個比例可能有一半不去做健康檢查沒有去做健康檢查可能就不知道自己覺得自己的身體健康很好這是真的嗎還是有什麼風險存在\n\n9\n00:02:43,862 --> 00:02:59,935\n這個就是我們期待部長很希望能夠打造健康臺灣的這個過程裡面有更好的誘因或更好的方法那我們可以看得出來這個包括說補助費用要翻倍\n\n10\n00:03:03,204 --> 00:03:31,127\n大家還有機會來做檢查服務的項目也能夠根據需要來增加還有就是把年齡也做個調整我們現在是40歲嘛事實上現在這個年輕的一代可能30歲開始就不一樣了因為生活型態真的是變化非常非常的快大家做的工作也不像現在一樣這是您的一個很重要的目標那可是我們也想要了解的是說\n\n11\n00:03:32,228 --> 00:03:53,039\n如果真的做了健康檢查的話就變成是一個重要的議題分布在不同的地方來收集這些資料如果這個資料沒有辦法統整的話我們就沒有辦法建立一個大的數據庫那這樣就很可惜\n\n12\n00:03:54,019 --> 00:04:17,956\n那我們目前看到的就是不同的這個對象的類別可以分勞工學生公務人員跟一般的民眾國人那這個都有一些法源依據來要求這些對象進行健康的檢查那這些健康檢查當然他會產出相關的資料那我們也知道勞工的部分呢透過一般勞工僱主\n\n13\n00:04:19,857 --> 00:04:42,658\n來提供費用來做檢查所以理論上他可以擁有資料可是目前的法院裡面只有針對高危或結果異常的人才會透過主管機關來核備就是說這個來備查放在這個僱主那邊那學生的話透過學生衛生學校衛生法\n\n14\n00:04:43,539 --> 00:05:02,578\n由學校來記錄建檔這個建檔可能一般是維持7年這個建檔的直接的內容需求我們很期待如果能夠統整的話對於學生這邊也能夠有比較好的一些照顧公務員員用不同的方式\n\n15\n00:05:03,419 --> 00:05:30,889\n那部分的對象來去提報服務機關那就跟一般的勞工的這個勞安法是一樣的處理過程那一般的國人的話這些健康檢查資料事實上都是存在個人的這個他的需求裡面就沒有好的方式來做統整這是我們目前看到的這些健康檢查的資料持有的散佈在各個地方這一個人怎麼長啊\n\n16\n00:05:32,729 --> 00:05:50,317\n現在有沒有好的方法或者是未來如何能夠把這些東西統整起來讓我們知道事實上這些健康檢查他都有不同的這些經費所以我們如何能夠讓受檢者如果在現有的法源之下未來能夠\n\n17\n00:05:51,670 --> 00:06:02,650\n好的方式透過這些受檢者的同意能夠把這個資料釋出來以後由國家或者是由哪一個單位來統籌我這就是今天要跟部長討論的地方\n\n18\n00:06:04,454 --> 00:06:26,679\n那目前我們知道資料的嫁接有幾個可能性我們剛剛講過不同的這些受檢的對象還有受檢的這個過程基本上又分為公立跟私立的這些醫療院所來協助那這邊我們可以看得出來公立的部分就有包括教育部\n\n19\n00:06:27,540 --> 00:06:42,042\n衛福部退府會國防部還有很多的地方政府那這個事實上都是由主管機關在處理的那私立的各個醫療院所大家就各自處理保管相關的資料\n\n20\n00:06:43,208 --> 00:07:09,503\n那想要請教部長的就是如果在國人能夠有好的這個授權過程我們也了解這個是很重要的一個個資那這個個資目前都有好的一個個人保護法在保護個資的部分那我們也非常清楚的知道我們必須要嚴守這個個資的處理模式\n\n21\n00:07:11,084 --> 00:07:33,729\n我們目前從這個個人資料保護法也瞭解說健康檢查的這些資料有哪一種情形之下是可以透過好的方式來應用這個個人資料來讓國人的健康可以得到更大的保護所以我們在昨天也透過勞動部的這個討論裡面也希望把勞工監警的資料\n\n22\n00:07:35,509 --> 00:07:55,844\n能夠有機會跟衛福部這邊做一個間接跟能夠善於好好的利用這些內容那請問部長未來我們有什麼好的方式可以來間接相關的資料怎麼去做研議那這個有沒有講到一些期程可以讓本席來做參考\n\n23\n00:07:59,206 --> 00:08:23,187\n非常感謝那個委員關心這個部分的確是能夠更照顧國人的健康而且從預防醫學方面然後有點個人的健康管理能夠落實到健康管理這樣對病人能夠早期來預防然後早期診治這樣的一個遠景非常敬佩\n\n24\n00:08:23,871 --> 00:08:48,906\n那這因為都牽涉到不同的從這幾十年來我們在醫療的資料的整理就已經就是說怎麼連結其實都花了很多的心也很困難但是我們已經從實務上經會上還有法制上包括我們在通過相關的法令現在就在形成一個研議一個專法資料庫的專法\n\n25\n00:08:52,148 --> 00:09:13,399\n那個當然剛剛也提到各支法這個部分各支這個也是要病人也同意嘛同意以後我們會把那個委員的這樣的想法我們來看怎麼樣來落實好不好我們那個可能來跟各個部會來互動那你說委員剛剛有提到勞動部已經有\n\n26\n00:09:15,615 --> 00:09:28,363\n有願意處理我們衛福部過去跟勞動部在很多的資料裡面是連結得相當都很有誠意要連結都連結得不錯提醒部長你剛剛說這個病人這不是反價這不是賣人\n\n27\n00:09:32,385 --> 00:09:49,593\n這是健康的檢查這是健康民眾能夠提供的一些資料所以我們很期待保證你如果說衛福部這邊有需要我們來一起處理的話也非常歡迎我們一起來討論對於國有的健康很重要\n\n28\n00:09:52,374 --> 00:10:15,348\n好再來就是簡單把那個部長請教一個兒童健康檢查的部分很簡短的請教一下我們可以看得出來在小朋友7歲之前他有7次的這個健康檢查的機會或者是有這方面的這種可以去掌握到小朋友成長過程當中的健康的問題不過那個次數切變結果是421\n\n29\n00:10:21,574 --> 00:10:47,727\n所以分佈相當的不平均然後就是這個可能是之前已經有過非常深入的討論知道說一歲就是半個半歲之前的小朋友需要有4次的檢查還有2歲3歲可是3到7歲好像一輩子這部分是不是有機會也能夠再研議看看好我們就會優化這個先生我跟老師說健康檢查我們會會來會來研議\n\n30\n00:10:51,589 --> 00:11:18,432\nOK再來就是現在大家想想長病毒長病毒最近單週就有2.2萬人次所以看起來可能會更嚴重因為這個天氣已經在改變了所以針對這個冬季的流感針對於包括RSV的防治尤其是這個6個月以下這些嬰幼兒不知道目前有沒有更好的對策來減少家長的擔心\n\n31\n00:11:20,473 --> 00:11:47,312\n市委委員我們是不是請那個莊市長報告委員那長命毒疫情的部分主要是因為它現在流行的都是克薩吉A型16跟A4那我們EV71現在唯一有的疫苗是EV71型那它並沒有叫它保護的作用所以在這個部分ACIP委員會這邊還是以自備的就是民眾認為有自備接種需要就自備接種\n\n32\n00:11:48,072 --> 00:12:12,886\n那因為藏民主權也沒有特效藥所以一般我們目前都還是用衛教宣導那另外就是預防重症主要就是說只要有看到那些重症的前照那就是由基層醫師來做所以我們事實上因為有這個部分所以目前的重症其實今年我記得只有3例還4例但都比往年少雖然是輕症比較多\n\n33\n00:12:13,766 --> 00:12:42,709\n那這是長命族的部分那流感的部分因為我們現在其實孕婦可以打流感那就可以保護新生兒另外那個新手的爸媽6個月以內的因為他也可以打這個流感所以目前這個都在推行那RSV的部分比較傷腦筋就是因為這個有某個廠牌的這個RSV的疫苗他打在這個孕婦可以保護新生兒的部分目前才剛通過藥證\n\n34\n00:12:43,790 --> 00:13:11,071\n應該是明年才會有疫苗進來那另外不過健保署這邊他們有針對早產兒啦或是這個有先天性疾病的一歲以下的有提供的單株抗體那這邊是可以用的那不過今年有個好消息是說今天的RSV其實沒有很高啦他大概每35週到45週會有一個高峰那麼今天還是46週我們看起來是不是今年不是太高\n\n35\n00:13:11,311 --> 00:13:11,571\n主席\n\n","tsv":"start\tend\ttext\n9080\t11345\t謝謝主席還是有請邱部長\n17011\t35196\t委員好部長好今天經過這麼長的時間雖然有20分鐘的休息不過有時候沒好睡覺這個沒關係繼續謝謝大家共商國事大家都是為了我們台灣所有民眾的健康還有要怎麼處理好大家用心不一樣\n45138\t68624\t我們也知道打造健康臺灣慢性病的防治是很重要因為我們慢性病防治可以做好的話也能更久也能更好所以今天就利用這個機會來跟部長討論一下有關於這個健康檢查來好好的整理好那個資料怎麼樣去統合才能夠落實這個預防醫學是\n70865\t87247\t那2024年的健康原理的建言書來的第三個議題就是要針對疾病防治癌症治療跟全人照顧理念真的是要好好的去擴展健康檢查來落實預防醫學我想這大家都很清楚現在北京一直堅持\n88368\t102821\t包括賴總統也期待透過這樣的方式來讓民眾不要因為身體有疾病以後才開始自己注意自己的身體這個是我們很能夠理解的可是到底\n104002\t121032\t之前的經驗是怎麼樣我們可以從這個資料看得出來這是2021年國民健康國民健康署這邊對不起打錯一個字我們是健康署 署一署二的署這是國民健康署\n122321\t132929\t那個時候他們做了調查發現說過去3年來40到64歲有做過健康檢查才只有61.2%大部分的原因都是因為自己很健康啊根本沒這個需要那在座\n145397\t161782\t看起來很少人是40歲以下在座各位多少人遇到這個比例可能有一半不去做健康檢查沒有去做健康檢查可能就不知道自己覺得自己的身體健康很好這是真的嗎還是有什麼風險存在\n163862\t179935\t這個就是我們期待部長很希望能夠打造健康臺灣的這個過程裡面有更好的誘因或更好的方法那我們可以看得出來這個包括說補助費用要翻倍\n183204\t211127\t大家還有機會來做檢查服務的項目也能夠根據需要來增加還有就是把年齡也做個調整我們現在是40歲嘛事實上現在這個年輕的一代可能30歲開始就不一樣了因為生活型態真的是變化非常非常的快大家做的工作也不像現在一樣這是您的一個很重要的目標那可是我們也想要了解的是說\n212228\t233039\t如果真的做了健康檢查的話就變成是一個重要的議題分布在不同的地方來收集這些資料如果這個資料沒有辦法統整的話我們就沒有辦法建立一個大的數據庫那這樣就很可惜\n234019\t257956\t那我們目前看到的就是不同的這個對象的類別可以分勞工學生公務人員跟一般的民眾國人那這個都有一些法源依據來要求這些對象進行健康的檢查那這些健康檢查當然他會產出相關的資料那我們也知道勞工的部分呢透過一般勞工僱主\n259857\t282658\t來提供費用來做檢查所以理論上他可以擁有資料可是目前的法院裡面只有針對高危或結果異常的人才會透過主管機關來核備就是說這個來備查放在這個僱主那邊那學生的話透過學生衛生學校衛生法\n283539\t302578\t由學校來記錄建檔這個建檔可能一般是維持7年這個建檔的直接的內容需求我們很期待如果能夠統整的話對於學生這邊也能夠有比較好的一些照顧公務員員用不同的方式\n303419\t330889\t那部分的對象來去提報服務機關那就跟一般的勞工的這個勞安法是一樣的處理過程那一般的國人的話這些健康檢查資料事實上都是存在個人的這個他的需求裡面就沒有好的方式來做統整這是我們目前看到的這些健康檢查的資料持有的散佈在各個地方這一個人怎麼長啊\n332729\t350317\t現在有沒有好的方法或者是未來如何能夠把這些東西統整起來讓我們知道事實上這些健康檢查他都有不同的這些經費所以我們如何能夠讓受檢者如果在現有的法源之下未來能夠\n351670\t362650\t好的方式透過這些受檢者的同意能夠把這個資料釋出來以後由國家或者是由哪一個單位來統籌我這就是今天要跟部長討論的地方\n364454\t386679\t那目前我們知道資料的嫁接有幾個可能性我們剛剛講過不同的這些受檢的對象還有受檢的這個過程基本上又分為公立跟私立的這些醫療院所來協助那這邊我們可以看得出來公立的部分就有包括教育部\n387540\t402042\t衛福部退府會國防部還有很多的地方政府那這個事實上都是由主管機關在處理的那私立的各個醫療院所大家就各自處理保管相關的資料\n403208\t429503\t那想要請教部長的就是如果在國人能夠有好的這個授權過程我們也了解這個是很重要的一個個資那這個個資目前都有好的一個個人保護法在保護個資的部分那我們也非常清楚的知道我們必須要嚴守這個個資的處理模式\n431084\t453729\t我們目前從這個個人資料保護法也瞭解說健康檢查的這些資料有哪一種情形之下是可以透過好的方式來應用這個個人資料來讓國人的健康可以得到更大的保護所以我們在昨天也透過勞動部的這個討論裡面也希望把勞工監警的資料\n455509\t475844\t能夠有機會跟衛福部這邊做一個間接跟能夠善於好好的利用這些內容那請問部長未來我們有什麼好的方式可以來間接相關的資料怎麼去做研議那這個有沒有講到一些期程可以讓本席來做參考\n479206\t503187\t非常感謝那個委員關心這個部分的確是能夠更照顧國人的健康而且從預防醫學方面然後有點個人的健康管理能夠落實到健康管理這樣對病人能夠早期來預防然後早期診治這樣的一個遠景非常敬佩\n503871\t528906\t那這因為都牽涉到不同的從這幾十年來我們在醫療的資料的整理就已經就是說怎麼連結其實都花了很多的心也很困難但是我們已經從實務上經會上還有法制上包括我們在通過相關的法令現在就在形成一個研議一個專法資料庫的專法\n532148\t553399\t那個當然剛剛也提到各支法這個部分各支這個也是要病人也同意嘛同意以後我們會把那個委員的這樣的想法我們來看怎麼樣來落實好不好我們那個可能來跟各個部會來互動那你說委員剛剛有提到勞動部已經有\n555615\t568363\t有願意處理我們衛福部過去跟勞動部在很多的資料裡面是連結得相當都很有誠意要連結都連結得不錯提醒部長你剛剛說這個病人這不是反價這不是賣人\n572385\t589593\t這是健康的檢查這是健康民眾能夠提供的一些資料所以我們很期待 保證你如果說衛福部這邊有需要我們來一起處理的話也非常歡迎我們一起來討論對於國有的健康很重要\n592374\t615348\t好 再來就是簡單 把那個部長請教一個兒童健康檢查的部分很簡短的請教一下我們可以看得出來在小朋友7歲之前他有7次的這個健康檢查的機會或者是有這方面的這種可以去掌握到小朋友成長過程當中的健康的問題不過那個次數切變結果是421\n621574\t647727\t所以分佈相當的不平均然後就是這個可能是之前已經有過非常深入的討論知道說一歲就是半個半歲之前的小朋友需要有4次的檢查還有2歲3歲可是3到7歲好像一輩子這部分是不是有機會也能夠再研議看看好我們就會優化這個先生我跟老師說健康檢查我們會會來會來研議\n651589\t678432\tOK 再來就是現在大家想想長病毒長病毒最近單週就有2.2萬人次所以看起來可能會更嚴重因為這個天氣已經在改變了所以針對這個冬季的流感針對於包括RSV的防治尤其是這個6個月以下這些嬰幼兒不知道目前有沒有更好的對策來減少家長的擔心\n680473\t707312\t市委委員我們是不是請那個莊市長報告委員那長命毒疫情的部分主要是因為它現在流行的都是克薩吉A型16跟A4那我們EV71現在唯一有的疫苗是EV71型那它並沒有叫它保護的作用所以在這個部分ACIP委員會這邊還是以自備的就是民眾認為有自備接種需要就自備接種\n708072\t732886\t那因為藏民主權也沒有特效藥所以一般我們目前都還是用衛教宣導那另外就是預防重症主要就是說只要有看到那些重症的前照那就是由基層醫師來做所以我們事實上因為有這個部分所以目前的重症其實今年我記得只有3例還4例但都比往年少雖然是輕症比較多\n733766\t762709\t那這是長命族的部分那流感的部分因為我們現在其實孕婦可以打流感那就可以保護新生兒另外那個新手的爸媽6個月以內的因為他也可以打這個流感所以目前這個都在推行那RSV的部分比較傷腦筋就是因為這個有某個廠牌的這個RSV的疫苗他打在這個孕婦可以保護新生兒的部分目前才剛通過藥證\n763790\t791071\t應該是明年才會有疫苗進來那另外不過健保署這邊他們有針對早產兒啦或是這個有先天性疾病的一歲以下的有提供的單株抗體那這邊是可以用的那不過今年有個好消息是說今天的RSV其實沒有很高啦他大概每35週到45週會有一個高峰那麼今天還是46週我們看起來是不是今年不是太高\n791311\t791571\t主席\n","txt":"謝謝主席還是有請邱部長\n委員好部長好今天經過這麼長的時間雖然有20分鐘的休息不過有時候沒好睡覺這個沒關係繼續謝謝大家共商國事大家都是為了我們台灣所有民眾的健康還有要怎麼處理好大家用心不一樣\n我們也知道打造健康臺灣慢性病的防治是很重要因為我們慢性病防治可以做好的話也能更久也能更好所以今天就利用這個機會來跟部長討論一下有關於這個健康檢查來好好的整理好那個資料怎麼樣去統合才能夠落實這個預防醫學是\n那2024年的健康原理的建言書來的第三個議題就是要針對疾病防治癌症治療跟全人照顧理念真的是要好好的去擴展健康檢查來落實預防醫學我想這大家都很清楚現在北京一直堅持\n包括賴總統也期待透過這樣的方式來讓民眾不要因為身體有疾病以後才開始自己注意自己的身體這個是我們很能夠理解的可是到底\n之前的經驗是怎麼樣我們可以從這個資料看得出來這是2021年國民健康國民健康署這邊對不起打錯一個字我們是健康署 署一署二的署這是國民健康署\n那個時候他們做了調查發現說過去3年來40到64歲有做過健康檢查才只有61.2%大部分的原因都是因為自己很健康啊根本沒這個需要那在座\n看起來很少人是40歲以下在座各位多少人遇到這個比例可能有一半不去做健康檢查沒有去做健康檢查可能就不知道自己覺得自己的身體健康很好這是真的嗎還是有什麼風險存在\n這個就是我們期待部長很希望能夠打造健康臺灣的這個過程裡面有更好的誘因或更好的方法那我們可以看得出來這個包括說補助費用要翻倍\n大家還有機會來做檢查服務的項目也能夠根據需要來增加還有就是把年齡也做個調整我們現在是40歲嘛事實上現在這個年輕的一代可能30歲開始就不一樣了因為生活型態真的是變化非常非常的快大家做的工作也不像現在一樣這是您的一個很重要的目標那可是我們也想要了解的是說\n如果真的做了健康檢查的話就變成是一個重要的議題分布在不同的地方來收集這些資料如果這個資料沒有辦法統整的話我們就沒有辦法建立一個大的數據庫那這樣就很可惜\n那我們目前看到的就是不同的這個對象的類別可以分勞工學生公務人員跟一般的民眾國人那這個都有一些法源依據來要求這些對象進行健康的檢查那這些健康檢查當然他會產出相關的資料那我們也知道勞工的部分呢透過一般勞工僱主\n來提供費用來做檢查所以理論上他可以擁有資料可是目前的法院裡面只有針對高危或結果異常的人才會透過主管機關來核備就是說這個來備查放在這個僱主那邊那學生的話透過學生衛生學校衛生法\n由學校來記錄建檔這個建檔可能一般是維持7年這個建檔的直接的內容需求我們很期待如果能夠統整的話對於學生這邊也能夠有比較好的一些照顧公務員員用不同的方式\n那部分的對象來去提報服務機關那就跟一般的勞工的這個勞安法是一樣的處理過程那一般的國人的話這些健康檢查資料事實上都是存在個人的這個他的需求裡面就沒有好的方式來做統整這是我們目前看到的這些健康檢查的資料持有的散佈在各個地方這一個人怎麼長啊\n現在有沒有好的方法或者是未來如何能夠把這些東西統整起來讓我們知道事實上這些健康檢查他都有不同的這些經費所以我們如何能夠讓受檢者如果在現有的法源之下未來能夠\n好的方式透過這些受檢者的同意能夠把這個資料釋出來以後由國家或者是由哪一個單位來統籌我這就是今天要跟部長討論的地方\n那目前我們知道資料的嫁接有幾個可能性我們剛剛講過不同的這些受檢的對象還有受檢的這個過程基本上又分為公立跟私立的這些醫療院所來協助那這邊我們可以看得出來公立的部分就有包括教育部\n衛福部退府會國防部還有很多的地方政府那這個事實上都是由主管機關在處理的那私立的各個醫療院所大家就各自處理保管相關的資料\n那想要請教部長的就是如果在國人能夠有好的這個授權過程我們也了解這個是很重要的一個個資那這個個資目前都有好的一個個人保護法在保護個資的部分那我們也非常清楚的知道我們必須要嚴守這個個資的處理模式\n我們目前從這個個人資料保護法也瞭解說健康檢查的這些資料有哪一種情形之下是可以透過好的方式來應用這個個人資料來讓國人的健康可以得到更大的保護所以我們在昨天也透過勞動部的這個討論裡面也希望把勞工監警的資料\n能夠有機會跟衛福部這邊做一個間接跟能夠善於好好的利用這些內容那請問部長未來我們有什麼好的方式可以來間接相關的資料怎麼去做研議那這個有沒有講到一些期程可以讓本席來做參考\n非常感謝那個委員關心這個部分的確是能夠更照顧國人的健康而且從預防醫學方面然後有點個人的健康管理能夠落實到健康管理這樣對病人能夠早期來預防然後早期診治這樣的一個遠景非常敬佩\n那這因為都牽涉到不同的從這幾十年來我們在醫療的資料的整理就已經就是說怎麼連結其實都花了很多的心也很困難但是我們已經從實務上經會上還有法制上包括我們在通過相關的法令現在就在形成一個研議一個專法資料庫的專法\n那個當然剛剛也提到各支法這個部分各支這個也是要病人也同意嘛同意以後我們會把那個委員的這樣的想法我們來看怎麼樣來落實好不好我們那個可能來跟各個部會來互動那你說委員剛剛有提到勞動部已經有\n有願意處理我們衛福部過去跟勞動部在很多的資料裡面是連結得相當都很有誠意要連結都連結得不錯提醒部長你剛剛說這個病人這不是反價這不是賣人\n這是健康的檢查這是健康民眾能夠提供的一些資料所以我們很期待 保證你如果說衛福部這邊有需要我們來一起處理的話也非常歡迎我們一起來討論對於國有的健康很重要\n好 再來就是簡單 把那個部長請教一個兒童健康檢查的部分很簡短的請教一下我們可以看得出來在小朋友7歲之前他有7次的這個健康檢查的機會或者是有這方面的這種可以去掌握到小朋友成長過程當中的健康的問題不過那個次數切變結果是421\n所以分佈相當的不平均然後就是這個可能是之前已經有過非常深入的討論知道說一歲就是半個半歲之前的小朋友需要有4次的檢查還有2歲3歲可是3到7歲好像一輩子這部分是不是有機會也能夠再研議看看好我們就會優化這個先生我跟老師說健康檢查我們會會來會來研議\nOK 再來就是現在大家想想長病毒長病毒最近單週就有2.2萬人次所以看起來可能會更嚴重因為這個天氣已經在改變了所以針對這個冬季的流感針對於包括RSV的防治尤其是這個6個月以下這些嬰幼兒不知道目前有沒有更好的對策來減少家長的擔心\n市委委員我們是不是請那個莊市長報告委員那長命毒疫情的部分主要是因為它現在流行的都是克薩吉A型16跟A4那我們EV71現在唯一有的疫苗是EV71型那它並沒有叫它保護的作用所以在這個部分ACIP委員會這邊還是以自備的就是民眾認為有自備接種需要就自備接種\n那因為藏民主權也沒有特效藥所以一般我們目前都還是用衛教宣導那另外就是預防重症主要就是說只要有看到那些重症的前照那就是由基層醫師來做所以我們事實上因為有這個部分所以目前的重症其實今年我記得只有3例還4例但都比往年少雖然是輕症比較多\n那這是長命族的部分那流感的部分因為我們現在其實孕婦可以打流感那就可以保護新生兒另外那個新手的爸媽6個月以內的因為他也可以打這個流感所以目前這個都在推行那RSV的部分比較傷腦筋就是因為這個有某個廠牌的這個RSV的疫苗他打在這個孕婦可以保護新生兒的部分目前才剛通過藥證\n應該是明年才會有疫苗進來那另外不過健保署這邊他們有針對早產兒啦或是這個有先天性疾病的一歲以下的有提供的單株抗體那這邊是可以用的那不過今年有個好消息是說今天的RSV其實沒有很高啦他大概每35週到45週會有一個高峰那麼今天還是46週我們看起來是不是今年不是太高\n主席\n","vtt":"WEBVTT\n\n00:09.080 --> 00:11.345\n謝謝主席還是有請邱部長\n\n00:17.011 --> 00:35.196\n委員好部長好今天經過這麼長的時間雖然有20分鐘的休息不過有時候沒好睡覺這個沒關係繼續謝謝大家共商國事大家都是為了我們台灣所有民眾的健康還有要怎麼處理好大家用心不一樣\n\n00:45.138 --> 01:08.624\n我們也知道打造健康臺灣慢性病的防治是很重要因為我們慢性病防治可以做好的話也能更久也能更好所以今天就利用這個機會來跟部長討論一下有關於這個健康檢查來好好的整理好那個資料怎麼樣去統合才能夠落實這個預防醫學是\n\n01:10.865 --> 01:27.247\n那2024年的健康原理的建言書來的第三個議題就是要針對疾病防治癌症治療跟全人照顧理念真的是要好好的去擴展健康檢查來落實預防醫學我想這大家都很清楚現在北京一直堅持\n\n01:28.368 --> 01:42.821\n包括賴總統也期待透過這樣的方式來讓民眾不要因為身體有疾病以後才開始自己注意自己的身體這個是我們很能夠理解的可是到底\n\n01:44.002 --> 02:01.032\n之前的經驗是怎麼樣我們可以從這個資料看得出來這是2021年國民健康國民健康署這邊對不起打錯一個字我們是健康署署一署二的署這是國民健康署\n\n02:02.321 --> 02:12.929\n那個時候他們做了調查發現說過去3年來40到64歲有做過健康檢查才只有61.2%大部分的原因都是因為自己很健康啊根本沒這個需要那在座\n\n02:25.397 --> 02:41.782\n看起來很少人是40歲以下在座各位多少人遇到這個比例可能有一半不去做健康檢查沒有去做健康檢查可能就不知道自己覺得自己的身體健康很好這是真的嗎還是有什麼風險存在\n\n02:43.862 --> 02:59.935\n這個就是我們期待部長很希望能夠打造健康臺灣的這個過程裡面有更好的誘因或更好的方法那我們可以看得出來這個包括說補助費用要翻倍\n\n03:03.204 --> 03:31.127\n大家還有機會來做檢查服務的項目也能夠根據需要來增加還有就是把年齡也做個調整我們現在是40歲嘛事實上現在這個年輕的一代可能30歲開始就不一樣了因為生活型態真的是變化非常非常的快大家做的工作也不像現在一樣這是您的一個很重要的目標那可是我們也想要了解的是說\n\n03:32.228 --> 03:53.039\n如果真的做了健康檢查的話就變成是一個重要的議題分布在不同的地方來收集這些資料如果這個資料沒有辦法統整的話我們就沒有辦法建立一個大的數據庫那這樣就很可惜\n\n03:54.019 --> 04:17.956\n那我們目前看到的就是不同的這個對象的類別可以分勞工學生公務人員跟一般的民眾國人那這個都有一些法源依據來要求這些對象進行健康的檢查那這些健康檢查當然他會產出相關的資料那我們也知道勞工的部分呢透過一般勞工僱主\n\n04:19.857 --> 04:42.658\n來提供費用來做檢查所以理論上他可以擁有資料可是目前的法院裡面只有針對高危或結果異常的人才會透過主管機關來核備就是說這個來備查放在這個僱主那邊那學生的話透過學生衛生學校衛生法\n\n04:43.539 --> 05:02.578\n由學校來記錄建檔這個建檔可能一般是維持7年這個建檔的直接的內容需求我們很期待如果能夠統整的話對於學生這邊也能夠有比較好的一些照顧公務員員用不同的方式\n\n05:03.419 --> 05:30.889\n那部分的對象來去提報服務機關那就跟一般的勞工的這個勞安法是一樣的處理過程那一般的國人的話這些健康檢查資料事實上都是存在個人的這個他的需求裡面就沒有好的方式來做統整這是我們目前看到的這些健康檢查的資料持有的散佈在各個地方這一個人怎麼長啊\n\n05:32.729 --> 05:50.317\n現在有沒有好的方法或者是未來如何能夠把這些東西統整起來讓我們知道事實上這些健康檢查他都有不同的這些經費所以我們如何能夠讓受檢者如果在現有的法源之下未來能夠\n\n05:51.670 --> 06:02.650\n好的方式透過這些受檢者的同意能夠把這個資料釋出來以後由國家或者是由哪一個單位來統籌我這就是今天要跟部長討論的地方\n\n06:04.454 --> 06:26.679\n那目前我們知道資料的嫁接有幾個可能性我們剛剛講過不同的這些受檢的對象還有受檢的這個過程基本上又分為公立跟私立的這些醫療院所來協助那這邊我們可以看得出來公立的部分就有包括教育部\n\n06:27.540 --> 06:42.042\n衛福部退府會國防部還有很多的地方政府那這個事實上都是由主管機關在處理的那私立的各個醫療院所大家就各自處理保管相關的資料\n\n06:43.208 --> 07:09.503\n那想要請教部長的就是如果在國人能夠有好的這個授權過程我們也了解這個是很重要的一個個資那這個個資目前都有好的一個個人保護法在保護個資的部分那我們也非常清楚的知道我們必須要嚴守這個個資的處理模式\n\n07:11.084 --> 07:33.729\n我們目前從這個個人資料保護法也瞭解說健康檢查的這些資料有哪一種情形之下是可以透過好的方式來應用這個個人資料來讓國人的健康可以得到更大的保護所以我們在昨天也透過勞動部的這個討論裡面也希望把勞工監警的資料\n\n07:35.509 --> 07:55.844\n能夠有機會跟衛福部這邊做一個間接跟能夠善於好好的利用這些內容那請問部長未來我們有什麼好的方式可以來間接相關的資料怎麼去做研議那這個有沒有講到一些期程可以讓本席來做參考\n\n07:59.206 --> 08:23.187\n非常感謝那個委員關心這個部分的確是能夠更照顧國人的健康而且從預防醫學方面然後有點個人的健康管理能夠落實到健康管理這樣對病人能夠早期來預防然後早期診治這樣的一個遠景非常敬佩\n\n08:23.871 --> 08:48.906\n那這因為都牽涉到不同的從這幾十年來我們在醫療的資料的整理就已經就是說怎麼連結其實都花了很多的心也很困難但是我們已經從實務上經會上還有法制上包括我們在通過相關的法令現在就在形成一個研議一個專法資料庫的專法\n\n08:52.148 --> 09:13.399\n那個當然剛剛也提到各支法這個部分各支這個也是要病人也同意嘛同意以後我們會把那個委員的這樣的想法我們來看怎麼樣來落實好不好我們那個可能來跟各個部會來互動那你說委員剛剛有提到勞動部已經有\n\n09:15.615 --> 09:28.363\n有願意處理我們衛福部過去跟勞動部在很多的資料裡面是連結得相當都很有誠意要連結都連結得不錯提醒部長你剛剛說這個病人這不是反價這不是賣人\n\n09:32.385 --> 09:49.593\n這是健康的檢查這是健康民眾能夠提供的一些資料所以我們很期待保證你如果說衛福部這邊有需要我們來一起處理的話也非常歡迎我們一起來討論對於國有的健康很重要\n\n09:52.374 --> 10:15.348\n好再來就是簡單把那個部長請教一個兒童健康檢查的部分很簡短的請教一下我們可以看得出來在小朋友7歲之前他有7次的這個健康檢查的機會或者是有這方面的這種可以去掌握到小朋友成長過程當中的健康的問題不過那個次數切變結果是421\n\n10:21.574 --> 10:47.727\n所以分佈相當的不平均然後就是這個可能是之前已經有過非常深入的討論知道說一歲就是半個半歲之前的小朋友需要有4次的檢查還有2歲3歲可是3到7歲好像一輩子這部分是不是有機會也能夠再研議看看好我們就會優化這個先生我跟老師說健康檢查我們會會來會來研議\n\n10:51.589 --> 11:18.432\nOK再來就是現在大家想想長病毒長病毒最近單週就有2.2萬人次所以看起來可能會更嚴重因為這個天氣已經在改變了所以針對這個冬季的流感針對於包括RSV的防治尤其是這個6個月以下這些嬰幼兒不知道目前有沒有更好的對策來減少家長的擔心\n\n11:20.473 --> 11:47.312\n市委委員我們是不是請那個莊市長報告委員那長命毒疫情的部分主要是因為它現在流行的都是克薩吉A型16跟A4那我們EV71現在唯一有的疫苗是EV71型那它並沒有叫它保護的作用所以在這個部分ACIP委員會這邊還是以自備的就是民眾認為有自備接種需要就自備接種\n\n11:48.072 --> 12:12.886\n那因為藏民主權也沒有特效藥所以一般我們目前都還是用衛教宣導那另外就是預防重症主要就是說只要有看到那些重症的前照那就是由基層醫師來做所以我們事實上因為有這個部分所以目前的重症其實今年我記得只有3例還4例但都比往年少雖然是輕症比較多\n\n12:13.766 --> 12:42.709\n那這是長命族的部分那流感的部分因為我們現在其實孕婦可以打流感那就可以保護新生兒另外那個新手的爸媽6個月以內的因為他也可以打這個流感所以目前這個都在推行那RSV的部分比較傷腦筋就是因為這個有某個廠牌的這個RSV的疫苗他打在這個孕婦可以保護新生兒的部分目前才剛通過藥證\n\n12:43.790 --> 13:11.071\n應該是明年才會有疫苗進來那另外不過健保署這邊他們有針對早產兒啦或是這個有先天性疾病的一歲以下的有提供的單株抗體那這邊是可以用的那不過今年有個好消息是說今天的RSV其實沒有很高啦他大概每35週到45週會有一個高峰那麼今天還是46週我們看起來是不是今年不是太高\n\n13:11.311 --> 13:11.571\n主席\n\n","segments":[{"start":9.08,"end":11.345,"text":"謝謝主席還是有請邱部長"},{"start":17.011,"end":35.196,"text":"委員好部長好今天經過這麼長的時間雖然有20分鐘的休息不過有時候沒好睡覺這個沒關係繼續謝謝大家共商國事大家都是為了我們台灣所有民眾的健康還有要怎麼處理好大家用心不一樣"},{"start":45.138,"end":68.624,"text":"我們也知道打造健康臺灣慢性病的防治是很重要因為我們慢性病防治可以做好的話也能更久也能更好所以今天就利用這個機會來跟部長討論一下有關於這個健康檢查來好好的整理好那個資料怎麼樣去統合才能夠落實這個預防醫學是"},{"start":70.865,"end":87.247,"text":"那2024年的健康原理的建言書來的第三個議題就是要針對疾病防治癌症治療跟全人照顧理念真的是要好好的去擴展健康檢查來落實預防醫學我想這大家都很清楚現在北京一直堅持"},{"start":88.368,"end":102.821,"text":"包括賴總統也期待透過這樣的方式來讓民眾不要因為身體有疾病以後才開始自己注意自己的身體這個是我們很能夠理解的可是到底"},{"start":104.002,"end":121.032,"text":"之前的經驗是怎麼樣我們可以從這個資料看得出來這是2021年國民健康國民健康署這邊對不起打錯一個字我們是健康署 署一署二的署這是國民健康署"},{"start":122.321,"end":132.929,"text":"那個時候他們做了調查發現說過去3年來40到64歲有做過健康檢查才只有61.2%大部分的原因都是因為自己很健康啊根本沒這個需要那在座"},{"start":145.397,"end":161.782,"text":"看起來很少人是40歲以下在座各位多少人遇到這個比例可能有一半不去做健康檢查沒有去做健康檢查可能就不知道自己覺得自己的身體健康很好這是真的嗎還是有什麼風險存在"},{"start":163.862,"end":179.935,"text":"這個就是我們期待部長很希望能夠打造健康臺灣的這個過程裡面有更好的誘因或更好的方法那我們可以看得出來這個包括說補助費用要翻倍"},{"start":183.204,"end":211.127,"text":"大家還有機會來做檢查服務的項目也能夠根據需要來增加還有就是把年齡也做個調整我們現在是40歲嘛事實上現在這個年輕的一代可能30歲開始就不一樣了因為生活型態真的是變化非常非常的快大家做的工作也不像現在一樣這是您的一個很重要的目標那可是我們也想要了解的是說"},{"start":212.228,"end":233.039,"text":"如果真的做了健康檢查的話就變成是一個重要的議題分布在不同的地方來收集這些資料如果這個資料沒有辦法統整的話我們就沒有辦法建立一個大的數據庫那這樣就很可惜"},{"start":234.019,"end":257.956,"text":"那我們目前看到的就是不同的這個對象的類別可以分勞工學生公務人員跟一般的民眾國人那這個都有一些法源依據來要求這些對象進行健康的檢查那這些健康檢查當然他會產出相關的資料那我們也知道勞工的部分呢透過一般勞工僱主"},{"start":259.857,"end":282.658,"text":"來提供費用來做檢查所以理論上他可以擁有資料可是目前的法院裡面只有針對高危或結果異常的人才會透過主管機關來核備就是說這個來備查放在這個僱主那邊那學生的話透過學生衛生學校衛生法"},{"start":283.539,"end":302.578,"text":"由學校來記錄建檔這個建檔可能一般是維持7年這個建檔的直接的內容需求我們很期待如果能夠統整的話對於學生這邊也能夠有比較好的一些照顧公務員員用不同的方式"},{"start":303.419,"end":330.889,"text":"那部分的對象來去提報服務機關那就跟一般的勞工的這個勞安法是一樣的處理過程那一般的國人的話這些健康檢查資料事實上都是存在個人的這個他的需求裡面就沒有好的方式來做統整這是我們目前看到的這些健康檢查的資料持有的散佈在各個地方這一個人怎麼長啊"},{"start":332.729,"end":350.317,"text":"現在有沒有好的方法或者是未來如何能夠把這些東西統整起來讓我們知道事實上這些健康檢查他都有不同的這些經費所以我們如何能夠讓受檢者如果在現有的法源之下未來能夠"},{"start":351.67,"end":362.65,"text":"好的方式透過這些受檢者的同意能夠把這個資料釋出來以後由國家或者是由哪一個單位來統籌我這就是今天要跟部長討論的地方"},{"start":364.454,"end":386.679,"text":"那目前我們知道資料的嫁接有幾個可能性我們剛剛講過不同的這些受檢的對象還有受檢的這個過程基本上又分為公立跟私立的這些醫療院所來協助那這邊我們可以看得出來公立的部分就有包括教育部"},{"start":387.54,"end":402.042,"text":"衛福部退府會國防部還有很多的地方政府那這個事實上都是由主管機關在處理的那私立的各個醫療院所大家就各自處理保管相關的資料"},{"start":403.208,"end":429.503,"text":"那想要請教部長的就是如果在國人能夠有好的這個授權過程我們也了解這個是很重要的一個個資那這個個資目前都有好的一個個人保護法在保護個資的部分那我們也非常清楚的知道我們必須要嚴守這個個資的處理模式"},{"start":431.084,"end":453.729,"text":"我們目前從這個個人資料保護法也瞭解說健康檢查的這些資料有哪一種情形之下是可以透過好的方式來應用這個個人資料來讓國人的健康可以得到更大的保護所以我們在昨天也透過勞動部的這個討論裡面也希望把勞工監警的資料"},{"start":455.509,"end":475.844,"text":"能夠有機會跟衛福部這邊做一個間接跟能夠善於好好的利用這些內容那請問部長未來我們有什麼好的方式可以來間接相關的資料怎麼去做研議那這個有沒有講到一些期程可以讓本席來做參考"},{"start":479.206,"end":503.187,"text":"非常感謝那個委員關心這個部分的確是能夠更照顧國人的健康而且從預防醫學方面然後有點個人的健康管理能夠落實到健康管理這樣對病人能夠早期來預防然後早期診治這樣的一個遠景非常敬佩"},{"start":503.871,"end":528.906,"text":"那這因為都牽涉到不同的從這幾十年來我們在醫療的資料的整理就已經就是說怎麼連結其實都花了很多的心也很困難但是我們已經從實務上經會上還有法制上包括我們在通過相關的法令現在就在形成一個研議一個專法資料庫的專法"},{"start":532.148,"end":553.399,"text":"那個當然剛剛也提到各支法這個部分各支這個也是要病人也同意嘛同意以後我們會把那個委員的這樣的想法我們來看怎麼樣來落實好不好我們那個可能來跟各個部會來互動那你說委員剛剛有提到勞動部已經有"},{"start":555.615,"end":568.363,"text":"有願意處理我們衛福部過去跟勞動部在很多的資料裡面是連結得相當都很有誠意要連結都連結得不錯提醒部長你剛剛說這個病人這不是反價這不是賣人"},{"start":572.385,"end":589.593,"text":"這是健康的檢查這是健康民眾能夠提供的一些資料所以我們很期待 保證你如果說衛福部這邊有需要我們來一起處理的話也非常歡迎我們一起來討論對於國有的健康很重要"},{"start":592.374,"end":615.348,"text":"好 再來就是簡單 把那個部長請教一個兒童健康檢查的部分很簡短的請教一下我們可以看得出來在小朋友7歲之前他有7次的這個健康檢查的機會或者是有這方面的這種可以去掌握到小朋友成長過程當中的健康的問題不過那個次數切變結果是421"},{"start":621.574,"end":647.727,"text":"所以分佈相當的不平均然後就是這個可能是之前已經有過非常深入的討論知道說一歲就是半個半歲之前的小朋友需要有4次的檢查還有2歲3歲可是3到7歲好像一輩子這部分是不是有機會也能夠再研議看看好我們就會優化這個先生我跟老師說健康檢查我們會會來會來研議"},{"start":651.589,"end":678.432,"text":"OK 再來就是現在大家想想長病毒長病毒最近單週就有2.2萬人次所以看起來可能會更嚴重因為這個天氣已經在改變了所以針對這個冬季的流感針對於包括RSV的防治尤其是這個6個月以下這些嬰幼兒不知道目前有沒有更好的對策來減少家長的擔心"},{"start":680.473,"end":707.312,"text":"市委委員我們是不是請那個莊市長報告委員那長命毒疫情的部分主要是因為它現在流行的都是克薩吉A型16跟A4那我們EV71現在唯一有的疫苗是EV71型那它並沒有叫它保護的作用所以在這個部分ACIP委員會這邊還是以自備的就是民眾認為有自備接種需要就自備接種"},{"start":708.072,"end":732.886,"text":"那因為藏民主權也沒有特效藥所以一般我們目前都還是用衛教宣導那另外就是預防重症主要就是說只要有看到那些重症的前照那就是由基層醫師來做所以我們事實上因為有這個部分所以目前的重症其實今年我記得只有3例還4例但都比往年少雖然是輕症比較多"},{"start":733.766,"end":762.709,"text":"那這是長命族的部分那流感的部分因為我們現在其實孕婦可以打流感那就可以保護新生兒另外那個新手的爸媽6個月以內的因為他也可以打這個流感所以目前這個都在推行那RSV的部分比較傷腦筋就是因為這個有某個廠牌的這個RSV的疫苗他打在這個孕婦可以保護新生兒的部分目前才剛通過藥證"},{"start":763.79,"end":791.071,"text":"應該是明年才會有疫苗進來那另外不過健保署這邊他們有針對早產兒啦或是這個有先天性疾病的一歲以下的有提供的單株抗體那這邊是可以用的那不過今年有個好消息是說今天的RSV其實沒有很高啦他大概每35週到45週會有一個高峰那麼今天還是46週我們看起來是不是今年不是太高"},{"start":791.311,"end":791.571,"text":"主席"}]}}},"gazette":{"lineno":1402,"blocks":[["王委員正旭：（14時）謝謝主席，有請邱部長。"],["主席：請邱部長。"],["邱部長泰源：委員好。"],["王委員正旭：部長好。今天經過這麼長的時間備詢，雖然有20分鐘的休息時間，但是胃好像沒有休息到，腦袋也要一直運作。"],["邱部長泰源：謝謝，大家共商國事。"],["王委員正旭：大家都是為了臺灣所有民眾的健康，還有怎麼把疾病處理好，心意都是一樣的。我們也知道要打造「健康台灣」，慢性病的防治是很重要的，如果慢性病防治可以做好的話，不只可以活久一點，也可以活得好一點，所以今天利用這個機會和部長討論一下有關健康檢查，這部分的資料怎麼統合才能夠落實預防醫學。","2024年的「健康台灣推動元年建言書」三個議題，就是要針對疾病防治、癌症治療和全齡照顧，好好地擴展健康檢查、落實預防醫學，這一點大家都很清楚，也是部長一直堅持的，包括賴總統也期待透過這樣的方式，讓民眾不要因為身體有疾病才開始注意自己的身體，這是我們能夠理解的。","可是之前的經驗到底怎麼樣？我們可以從這個資料看出來。2021年國民健康署做了調查，發現過去3年來，40到64歲做過健康檢查的只有61.2%，65歲以上更少，只有45.7%，大部分的原因都是認為自己很健康，根本沒有必要。在座各位看起來，很少人是40歲以下，依照這個比例可能有一半沒有去做健康檢查。沒有做過健康檢查，可能就覺得自己身體健康，但這是真的嗎？還是有什麼風險存在？我們期待部長在打造健康臺灣的過程中，能夠提出更好的誘因或更好的方法。","包括你們在兩個星期前說的，補助費用要翻倍，讓大家有機會做檢查，服務項目也能夠根據需要增加，還有年齡也要調整，因為現在的規定是40歲嘛！事實上現在年輕的一代，有可能30歲就不一樣了，因為生活型態真的變化非常快，大家做的工作也不一樣。這是您一個很重要的目標，可是我們也想要了解，如果真的做了健康檢查，這些資料要怎麼收起來？這就變成一個重要的議題，要不然大家做了之後，分門別類，分布在不同的地方來蒐集這些資料，如果這些資料沒有辦法統整，我們就沒有辦法建立一個大的數據庫，這樣很可惜。","目前我們看到的，就是有不同的對象類別，可以分勞工、學生、公務人員和一般民眾、國人，這些對象都有法源依據要求做健康檢查。這些健康檢查當然會產出相關資料。我們知道一般勞工透過雇主提供費用做檢查，所以理論上他可以擁有資料，可是目前的法源只有針對高危或結果有異常的人，才會交由主管機關備查，資料是放在雇主那邊。","學生是透過學校衛生法，由學校記錄建檔，一般是維持7年，如果這些建檔的內容、需求能夠統整的話，對於學生也能夠有比較好的照顧。公務人員是用不同的方式，部分對象是提報服務機關，和一般勞工適用的勞安法是一樣的處理過程。一般國人的健康檢查資料，事實上都是屬於個人的需求，並沒有好的方式統整，這是我們目前看到的狀況。這些健康檢查的資料散布在各個地方，就像一串粽子一樣，現在有沒有好的方法？或者未來如何把這些東西統整起來？","我們也知道，事實上這些健康檢查來自不同的經費，我們如何在現有的法源之下，未來能夠以妥善的方式，透過受檢者的同意把這個資料釋出，由國家或者哪一個單位統籌？這個就是今天要和部長討論的地方。目前我們知道資料的嫁接有幾個可能性，我們剛剛說過，有不同的受檢對象和受檢過程，基本上分別由公立和私立醫療院所協助。我們可以看出來，公立的部分包括教育部、衛福部、退輔會、國防部，還有很多地方政府，這些事實上都是由主管機關處理。至於私立的各醫療院所，大家就是各自處理、保管相關資料。","想要請教部長的是，如果國人能夠經過妥善的授權過程……因為我們也了解這是很重要的個資，關於個資，目前有個人資料保護法在保護個資，我們非常清楚必須嚴守個資的處理模式，這些健康檢查的資料，在哪一種情形之下，可以透過妥善的方式應用，讓國人的健康得到更大的保護？所以我們昨天也透過和勞動部的討論，希望勞工健檢的資料能夠有機會和衛福部介接，好好地利用這些內容。請問部長，未來有什麼好的方式可以介接相關資料？怎麼研議？有沒有期程？請提出來讓本席參考。"],["邱部長泰源：非常感謝委員關心這個部分。這麼做的確能夠更加照顧國人的健康，而且從預防醫學方面來說，這也關係到個人的健康管理，如果能夠落實健康管理，讓病人能夠早期預防、早期診治，這樣的遠景，我們非常敬佩。因為這牽涉到不同……這幾十年來，我們對於醫療資料的整理、連結，其實花了很多心思，因為這很困難，但是我們已經從實務上、經費上和法制上克服，包括通過相關法令，現在行政院就在研議一個資料庫的專法。","當然，剛剛也有提到個資法的部分，因為需要病人同意，假如病人同意，關於委員的想法，之後我們再來看怎麼落實，好不好？我們會和各部會互動，委員剛剛提到勞動部已經有意願處理，其實衛福部過去和勞動部在很多的資料連結上，彼此都很有誠意合作，也都連結得不錯。"],["王委員正旭：提醒部長，你剛剛說「這個病人」，他們不是患者，這是健康檢查。"],["邱部長泰源：對啦！應該是說民眾啦！"],["王委員正旭：這是健康民眾所能夠提供的資料，所以我們很期待。部長，如果衛福部需要我們一起處理的話，也非常歡迎，我們一起討論。"],["邱部長泰源：這對國人的健康很重要。"],["王委員正旭：是。再來，簡單向部長請教兒童健康檢查的部分，很簡短的請教一下。我們可以看得出來，小朋友7歲之前有7次健康檢查機會，或者有這方面的機會，可以掌握小朋友成長過程中的健康問題。不過這7次的分配方式是4、2、1，分布相當不平均，這部分之前可能已經做過非常深入的討論，半歲之前的小朋友需要4次檢查，再來就是兩歲、三歲的時候需要檢查，可是3到7歲只有1次而已，這部分有機會是不是也能夠再研議看看？"],["邱部長泰源：好，優化新生兒和兒童健康檢查的部分，我們會研議。"],["王委員正旭：OK。再來就是現在大家很擔心的腸病毒，腸病毒最近單週就有2.2萬人次，看起來可能會更嚴重，因為天氣已經在改變。針對冬季的流感，包括RSV的防治，尤其是6個月以下的嬰幼兒，不知道目前有沒有更好的對策可以減少家長的擔心？"],["邱部長泰源：謝謝委員，是不是請莊署長說明？"],["莊署長人祥：腸病毒疫情的部分，主要是因為現在流行的都是克沙奇病毒A型，就是A16型和A4型，我們現在唯一有的疫苗是EV71型，但是它並沒有交叉保護的作用，所以ACIP委員會建議自費接種，如果民眾認為有需要，可以選擇自費接種。因為腸病毒沒有特效藥，所以目前一般還是用衛教宣導。另外就是預防重症，只要有看到重症的前兆，就是由基層醫師轉介，因為有這個部分，其實今年的重症比較少，我記得只有3例還是4例，大概比往年少，還是輕症比較多，這是腸病毒的部分。","流感的部分，因為現在孕婦可以打流感疫苗，所以可以保護新生兒。另外6個月以內嬰幼兒的新手爸媽，他們也可以打流感疫苗，目前這些都在推行。","RSV的部分比較傷腦筋，因為某個廠牌的RSV疫苗，孕婦施打後可以保護新生兒，但是目前才剛通過藥證，應該是明年才會有疫苗進來。不過健保署針對早產兒，或是有先天性疾病、1歲以下的，都有提供單株抗體，這都是可以運用的。不過今年有個好消息，今年的RSV其實沒有很高啦！大概每35週到45週會有一個高峰，今天已經是第46週，看起來今年不是太高。"],["王委員正旭：好，謝謝署長和部長的說明，謝謝主席。"],["邱部長泰源：謝謝委員。"],["主席：謝謝王委員，謝謝部長。接著請陳培瑜委員質詢。"]],"agenda":{"page_end":140,"meet_id":"委員會-11-2-26-10","speakers":["蘇清泉","陳昭姿","林月琴","盧縣一","陳菁徽","王育敏","邱鎮軍","林淑芬","黃秀芳","廖偉翔","黃國昌","賴士葆","邱議瑩","洪孟楷","伍麗華Saidhai‧Tahovecahe","涂權吉","吳春城","羅智強","張雅琳","羅廷瑋","楊瓊瓔","楊曜","王正旭","陳培瑜","劉建國","陳瑩"],"page_start":55,"meetingDate":["2024-11-21"],"gazette_id":"11310501","agenda_lcidc_ids":["11310501_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10次全體委員會議紀錄","content":"審查中華民國 114 年度中央政府總預算案關於衛生福利部主管預算（公務預算及基金）（僅詢\n答）","agenda_id":"11310501_00008"}}}