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\"end\": 867.048, \"score\": 0.921}, {\"word\": \"補\"}, {\"word\": \"助\", \"start\": 867.048, \"end\": 867.188, \"score\": 0.954}, {\"word\": \"就\", \"start\": 867.188, \"end\": 867.308, \"score\": 0.849}, {\"word\": \"看\", \"start\": 867.308, \"end\": 867.528, \"score\": 0.904}, {\"word\": \"各\", \"start\": 867.528, \"end\": 867.628, \"score\": 0.799}, {\"word\": \"地\", \"start\": 867.628, \"end\": 867.688, \"score\": 0.852}, {\"word\": \"方\", \"start\": 867.688, \"end\": 867.868, \"score\": 0.972}, {\"word\": \"政\", \"start\": 867.868, \"end\": 867.988, \"score\": 0.833}, {\"word\": \"府\", \"start\": 867.988, \"end\": 868.068, \"score\": 0.744}, {\"word\": \"的\", \"start\": 868.068, \"end\": 868.868, \"score\": 0.949}, {\"word\": \"計\"}, {\"word\": \"劃\"}, {\"word\": \"以\", \"start\": 868.868, \"end\": 868.968, \"score\": 0.988}, {\"word\": \"及\", \"start\": 868.968, \"end\": 869.309, \"score\": 0.939}, {\"word\": \"財\"}, {\"word\": \"政\", \"start\": 869.309, \"end\": 869.469, 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00:00:51,423\n我們近來全台灣的病因出現一個問題就是急診室塞車甚至病因因為護理人員的欠款地書就有名稱所以沒辦法開稱來照顧這個病患所以這個問題我們行政院有什麼樣更好的因應的對策可以來改善嗎所以我從春節之後的第一天我們就跟衛婦在針對這個問題\n\n3\n00:00:53,649 --> 00:01:15,462\n多次的聯繫也請衛部能夠緊述的研究一個方法出來那最近這一次就是昨天早上我特別提出說三個問題一個是這個是讓全民不解不了解我們做了什麼努力化解了多少問題要把這個方式告訴大家然後所有的醫院所有的醫院照這個方式來實行能夠降低這種擁塞的現象第二個\n\n4\n00:01:16,940 --> 00:01:33,287\n病患跟家屬當然不安啊所以要醫院盡量安撫病患跟家屬這種不安的情緒當然在這個繁忙的過程當中蠻辛苦的一定要做到這一點讓他情緒能安定下來告訴他要等的時間盡量縮短第三個人力不足\n\n5\n00:01:34,261 --> 00:01:46,998\n護理人員的能力不足不是今天不是一兩天的是長期造成的所以我們跟考試院在之前總統召開院級協商之後我跟周院長也談到了未來考試的制度考用合一我們用\n\n6\n00:01:48,018 --> 00:02:16,472\n知道實際所需狀況的衛福部裡面的同仁跟考試院組成一個考試的平台讓他用這種的方式來讓更多的護校畢業的學生能夠通過合理的考試取得資格增加我們的能力但這個不是短時間可以做到的那目前我們希望增加想辦法多增加醫院裡面協助看護的人力看能不能來協助一部分的比較不需要那麼專業的工作所以三個部分向社會說明\n\n7\n00:02:17,797 --> 00:02:43,080\n讓病人安心以及嘗試增加短期跟中長期的護理人員都是現在在做的那他們現在做的這個方式是說在院內裡面調解把一般病床轉換成急診病床讓急診的患者能夠到病床裡面去另外是院際之間的合流每個院際都把資料公開出來如果能夠就近來轉診分流的話也會造成民眾在使用上不必要那麼麻煩這兩個部分都是現在在做的\n\n8\n00:02:44,140 --> 00:03:11,426\n其實最大的嚴重應該是這個護理人員欠缺的問題我們從這個台灣護士公會的一個統計資料可以看出來就是從去年的12月到今年初我們全台灣有超過700名的護理人員離職這個離職到底是什麼原因我也希望我們行政院包括衛福部可以去研究去詳細去了解到底是什麼原因遞書到這個護理人員要離職\n\n9\n00:03:13,527 --> 00:03:24,998\n可以把優秀的福利人員勞調到,才可以讓我們所有的以後照顧的過程裡面,可以非常順暢包括很多國家,甚至我們界別的中國,也在幫我們找我們的福利人員這到底是什麼原因?市長可以簡單回答嗎?好,謝謝委員的質問我報告一下\n\n10\n00:03:38,838 --> 00:04:02,684\n其實這段時間中央政府在繞福利的路線可以繼續在醫療中心來照顧所以我們提出了12個策略一個一個在做其實都有顯著的成果其實在人力來講今年的一頁跟去年的一頁比較起來我們有增加了3,293個護理師\n\n11\n00:04:06,671 --> 00:04:33,349\n在工作所以是正確的剛才你說的那個數目那實在是因為過年過很多都離職潮但是七月的時候就有畢業的新生就另外一個嘛所以現在加起來在第九年是正確三千兩百幾個人而且有一千幾個是在便宜另外我們也是很辛苦特地給你英文的希望就是說負並比我們在醫學中心\n\n12\n00:04:34,005 --> 00:04:50,856\n社區醫院跟社區醫院都在努力之下護病比三班都達到標準的從這一年來也從36%提高到醫學中心提高到59%如果是社區醫院是從26%提高到50%那地區醫院比較高本來就83%提高到94%\n\n13\n00:04:59,096 --> 00:05:18,302\n若是說我們福利銀行的職場有進步,銀行我們也有留下來剛才議長也說得很完全,整個架構都說起來,完全用一個關懷心、同理心來處理這件事情我們衛福部一項一項來落實我補充一下,優管我們現在要改革,改革我們分低級、低級,這其實我們都走那個\n\n14\n00:05:24,015 --> 00:05:38,008\n這幾天的開花都向全國的醫事公會、急診醫藥會還有各大醫院的院長都要研究出來的所以我們提出來的方案其實跟急診醫學會提出的方案是很一致的所以我們一定會趕快來努力\n\n15\n00:05:38,442 --> 00:05:58,193\n我們也看到現在目前來講其實在後床大約100的從以前檢討醫院包括高一、齊美、台大現在只剩下長庚林口長庚比較多其他都已經降下到100我們希望能夠馬上來改善今天的下降數是比較明顯的當然還有相當多的數字但是趨勢是這樣子\n\n16\n00:06:00,000 --> 00:06:14,651\n再加強努力,要協調好,謝謝院長跟部長其實我要關心的是我們宜蘭館的陽明交大輻射醫院因為這個病院現在日期工程,我們一定在去年11月初也有去實測日期工程已經順利斷崗了斷崗之後未來\n\n17\n00:06:18,614 --> 00:06:45,824\n他這個層數增加出來,讓你人員不夠的總統職下你說我們的鴨腿食肆已經完善了所以沒辦法讓病患可以在病院裡面接受治療這讓我們覺得非常不可思議所以我要拜託議長跟我們的部長就是說我們宜蘭館也有很好的婦理專科學校我們包括聖母婦專跟更新婦專非常完善現在少子化在這個地方\n\n18\n00:06:47,232 --> 00:07:09,721\n我們沒有一個比較完善的教育的一貫的作業,遞輸到這些孩子他跟專科畢業後都跑出來到外面去,又求學遞輸到人才流失所以有什麼樣的辦法,也能結合到在地的醫學、學校的保安跟便衣來做結合讓我們未來的福利人員可以留在宜蘭關,來為我們宜蘭關的民眾來服務\n\n19\n00:07:14,602 --> 00:07:41,525\n就像委員報告,在全國性來說,我們當然是改善這個護理職場說實在的,醫事人員健保也會因為健保我們政府也提供增加了很多健保的機會其實應該要加薪到我們醫事人員那以地方來講,好不容易那個地方有護理學院然後又有這麼好的一個醫院,這個醫院是楊交大的輻射醫院\n\n20\n00:07:44,115 --> 00:08:11,162\n他爺爺是多少個教授、醫生、資源其實那個都是...當然那是因為教育部的但是我站在衛福部,我也了解他的水準是可以做到很高的但是他如果欠護理員員,變成他的法律,全都沒辦法發揮這樣也很可惜所以我們可以建議楊教大可以接近這個學院護理學院這兩個學校,可以來交流我們全國的鄉,我也希望畢業生可以讓他們\n\n21\n00:08:13,752 --> 00:08:21,674\n進入追診來學習,進入偏見,出來都可以來這裡服務師傅請鎮部長大概說明一下鎮部長請謝謝,感謝委員的關心,向委員報告的是陽明交代的輔社醫院第二期醫療大樓的工程現在進度是強勁的,這部縮寫的工程進度也都強勁\n\n22\n00:08:43,254 --> 00:08:55,286\n剛才委員的關心就是說,那個人才要怎麼培養在目前我們有一個方式就是說,為了我們藝人地區這裡的福利人員的進修我們可以給他們結合合作的便宜,用公家進修來讓副理事就在地二級的一個在職專班那同時\n\n23\n00:09:07,150 --> 00:09:25,789\n以去年開始到今年我們大概連續這個台北的護理健康大學同樣也都跟委員剛才所關心的這兩所學校所謂的更新跟聖母醫院專科學校的這些護理都有一個合作的一個進修讓他們能夠在地就能夠直接\n\n24\n00:09:26,294 --> 00:09:44,717\n有一個在職進修然後當然包含陽明交大這個部分他們也對提供了許多的這些實習獎助學金跟在職進修的一些機會希望能夠讓在地的這些醫護人員也能夠留在在地服務我想做這樣一個補充說明\n\n25\n00:09:46,376 --> 00:10:14,634\n謝謝謝謝部長我真的希望說我們這個陽明交通大學輻射醫院陽交大他二期工程完成之後不只是硬體設備的完善我們的這個護理人員都能夠齊全的話才能夠實質發揮這個醫療的效能那這個陽明交大陽明交大的這個整個工程完成之後我們更希望說能夠朝向醫學中心的這個等級來努力能夠建構一個更加安全更加符合這個宜蘭\n\n26\n00:10:15,233 --> 00:10:19,700\n民眾健康安全需求的一所醫院這是我們要求的一個\n\n27\n00:10:20,990 --> 00:10:48,193\n最大的目標然後也請我們兩位部長一起協助我們院長是的委員我們去年底去陽明交大看現場工地的時候我記得我有特別詢問到二期的醫療大樓之外植物宿舍我覺得植物宿舍的健全會有利於醫護人員留任所以大家往這個方向去做不僅是醫院其他的企業都能夠有自己的宿舍都能夠留住人才我覺得這是一個很好的典範我們用這個來鼓勵大家\n\n28\n00:10:49,110 --> 00:11:10,468\n好謝謝兩位部長那另外我要針對這個財化法的部分我想就叫我們這個行政院我們預計在這個2月27號這個院會之後我們會對於這個總預算案提出附議那財化法是否會一併的附議這個目前還未知那財化法修正之後將會從中央\n\n29\n00:11:11,248 --> 00:11:39,110\n把我們提早超過15%以上的維生差不多是3753億左右錢隨著這個中央轉移到地方那事權的部分有沒有轉移那對於後續需由中央移轉到地方辦理的相關業務這個考慮我們政府是不是已經完成這個整個盤點那影響最大的這個補助事項中央對地方的部分會是什麼項目\n\n30\n00:11:41,151 --> 00:12:09,203\n財務法新的修法內容有幾項很不是適當的複合理的地方第一個它就是它的水平分配會造成未來城鄉差距會更大第二個就是委員剛所說的錢帶過去事權卻沒有帶走那帶走多少事權在裡面並沒有清楚的說明所以未來我們希望大家能夠很理性的很冷靜的我們為了國家整體的發展\n\n31\n00:12:09,676 --> 00:12:38,718\n中央有中央的財務財力地方也要有地方的財政但是事權要分得清清楚楚這樣才能夠各施其責各自負責所以我們很期望說財化法我們能夠有更充裕的時間跟地方在談也讓我們算得更精確那算出來之後絕對不是中央集錢又集權而是能夠分給地方的讓地方能夠來承接這個才是我們現在的原則所以我很希望財化法還有機會大家能夠重新來審議\n\n32\n00:12:39,619 --> 00:13:02,831\n好,謝謝院長,我現在擔心的是因為我們宜蘭縣未來這幾年所推行的相關的公共建設都是金額非常大你假設說未來我們中央跟地方的經費分配的比例如果做調整的話會不會影響到宜蘭包括交通建設還是相關建設的推動\n\n33\n00:13:03,840 --> 00:13:28,100\n怎麼分配部長來討論地方財源主要三個地方一個就是統籌分配稅款直接進地方的稅入另外兩個中央補助的部分一個是一般型補助跟計劃型補助那計劃型補助它裡面很多是跨年度的長期的連續性的預算那地方一般性的補助裡面又有一些是法定的以及針對各個地方不同需求的補助\n\n34\n00:13:28,632 --> 00:13:47,323\n那麼如果中央切掉一大部分的錢那這個地方的計畫性補助跟一般性補助都必須由地方來承接那到底有多少如果這樣算出來的話我認為依照現在中央的這個現在的結構會讓地方感覺到說我拿了一百塊可能我要做的事情會更多\n\n35\n00:13:49,093 --> 00:14:05,306\n如果能夠統籌的話他會節省很多的行政上的作業如果單個縣市來做他必須負擔可能是不同層數的加倍所以如果這樣子來說地方可能會拿到的錢卻要做更多的事情那我們也不希望增加地方的負擔所以我請財政部來合理的計算\n\n36\n00:14:06,660 --> 00:14:30,149\n是跟委員報告就如同剛剛院長所說我們中央對地方除了中央統籌分配稅款以外還有搭配我們主計總署的一般性補助款那一般性補助款它有幾個用途第一個就是對基本財政收支差短它一定會補助另外對其他重要要辦理的事項也會給予補那另外就是計劃型的補助那計劃型的補助就看各地方政府的計劃以及財政能力給予補助\n\n37\n00:14:30,509 --> 00:14:55,864\n那將來如果你擴大了中央統籌分配稅額而且沒有做市權分配的話當然會影響到這些補助款的一些分配好那因為時間因素那我還是再次拜託我們院長跟我們相關部會的這個首長對於宜蘭縣目前在推動的相關包括交通建設的部分不會因為新的財化法通過之後影響到這個工程的進行\n\n38\n00:14:56,644 --> 00:15:14,697\n那也希望包括我們的鐵路高架還有這個高鐵延伸宜蘭還有台62線那南陽大橋還有葛馬蘭大橋等等這些已經在規劃中的這些重大交通建設都能夠順利的推動那能夠及早的來完工提供給民眾一個便捷的一個交通路網\n\n39\n00:15:15,808 --> 00:15:26,678\n宜蘭不僅是我們北北基宜首都圈黃金狼帶它也會加入我們東部城鄉漫火這樣的一個區域治理計畫我希望會看到宜蘭的未來一定是科技跟\n\n","tsv":"start\tend\ttext\n11254\t16180\t好 謝謝韓院長 我們有請左院長麻煩再請左院長備選好 院長午安政務院好院長\n25868\t51423\t我們近來全台灣的病因出現一個問題就是急診室塞車甚至病因因為護理人員的欠款地書就有名稱所以沒辦法開稱來照顧這個病患所以這個問題我們行政院有什麼樣更好的因應的對策可以來改善嗎所以我從春節之後的第一天我們就跟衛婦在針對這個問題\n53649\t75462\t多次的聯繫也請衛部能夠緊述的研究一個方法出來那最近這一次就是昨天早上我特別提出說三個問題一個是這個是讓全民不解不了解我們做了什麼努力化解了多少問題要把這個方式告訴大家然後所有的醫院所有的醫院照這個方式來實行能夠降低這種擁塞的現象第二個\n76940\t93287\t病患跟家屬當然不安啊所以要醫院盡量安撫病患跟家屬這種不安的情緒當然在這個繁忙的過程當中蠻辛苦的一定要做到這一點讓他情緒能安定下來告訴他要等的時間盡量縮短第三個人力不足\n94261\t106998\t護理人員的能力不足不是今天不是一兩天的是長期造成的所以我們跟考試院在之前總統召開院級協商之後我跟周院長也談到了未來考試的制度考用合一我們用\n108018\t136472\t知道實際所需狀況的衛福部裡面的同仁跟考試院組成一個考試的平台讓他用這種的方式來讓更多的護校畢業的學生能夠通過合理的考試取得資格增加我們的能力但這個不是短時間可以做到的那目前我們希望增加想辦法多增加醫院裡面協助看護的人力看能不能來協助一部分的比較不需要那麼專業的工作所以三個部分向社會說明\n137797\t163080\t讓病人安心以及嘗試增加短期跟中長期的護理人員都是現在在做的那他們現在做的這個方式是說在院內裡面調解把一般病床轉換成急診病床讓急診的患者能夠到病床裡面去另外是院際之間的合流每個院際都把資料公開出來如果能夠就近來轉診分流的話也會造成民眾在使用上不必要那麼麻煩這兩個部分都是現在在做的\n164140\t191426\t其實最大的嚴重應該是這個護理人員欠缺的問題我們從這個台灣護士公會的一個統計資料可以看出來就是從去年的12月到今年初我們全台灣有超過700名的護理人員離職這個離職到底是什麼原因我也希望我們行政院包括衛福部可以去研究去詳細去了解到底是什麼原因遞書到這個護理人員要離職\n193527\t204998\t可以把優秀的福利人員勞調到,才可以讓我們所有的以後照顧的過程裡面,可以非常順暢包括很多國家,甚至我們界別的中國,也在幫我們找我們的福利人員這到底是什麼原因?市長可以簡單回答嗎?好,謝謝委員的質問我報告一下\n218838\t242684\t其實這段時間 中央政府在繞福利的路線可以繼續在醫療中心來照顧所以我們提出了12個策略 一個一個在做其實都有顯著的成果其實在人力來講 今年的一頁跟去年的一頁比較起來我們有增加了3,293個護理師\n246671\t273349\t在工作 所以是正確的剛才你說的那個數目 那實在是因為過年過 很多都離職潮但是七月的時候就有畢業的新生就另外一個嘛 所以現在加起來在第九年是正確三千兩百幾個人而且有一千幾個是在便宜另外我們也是很辛苦 特地給你英文的希望就是說負並比我們在醫學中心\n274005\t290856\t社區醫院跟社區醫院都在努力之下護病比三班都達到標準的從這一年來也從36%提高到醫學中心提高到59%如果是社區醫院是從26%提高到50%那地區醫院比較高本來就83%提高到94%\n299096\t318302\t若是說我們福利銀行的職場有進步,銀行我們也有留下來剛才議長也說得很完全,整個架構都說起來,完全用一個關懷心、同理心來處理這件事情我們衛福部一項一項來落實我補充一下,優管我們現在要改革,改革我們分低級、低級,這其實我們都走那個\n324015\t338008\t這幾天的開花都向全國的醫事公會、急診醫藥會還有各大醫院的院長都要研究出來的所以我們提出來的方案其實跟急診醫學會提出的方案是很一致的所以我們一定會趕快來努力\n338442\t358193\t我們也看到現在目前來講其實在後床大約100的從以前檢討醫院包括高一、齊美、台大現在只剩下長庚林口長庚比較多其他都已經降下到100我們希望能夠馬上來改善今天的下降數是比較明顯的當然還有相當多的數字但是趨勢是這樣子\n360000\t374651\t再加強努力,要協調好,謝謝院長跟部長其實我要關心的是我們宜蘭館的陽明交大輻射醫院因為這個病院現在日期工程,我們一定在去年11月初也有去實測日期工程已經順利斷崗了斷崗之後未來\n378614\t405824\t他這個層數增加出來,讓你人員不夠的總統職下你說我們的鴨腿食肆已經完善了所以沒辦法讓病患可以在病院裡面接受治療這讓我們覺得非常不可思議所以我要拜託議長跟我們的部長就是說我們宜蘭館也有很好的婦理專科學校我們包括聖母婦專跟更新婦專非常完善現在少子化在這個地方\n407232\t429721\t我們沒有一個比較完善的教育的一貫的作業,遞輸到這些孩子他跟專科畢業後都跑出來到外面去,又求學遞輸到人才流失所以有什麼樣的辦法,也能結合到在地的醫學、學校的保安跟便衣來做結合讓我們未來的福利人員可以留在宜蘭關,來為我們宜蘭關的民眾來服務\n434602\t461525\t就像委員報告,在全國性來說,我們當然是改善這個護理職場說實在的,醫事人員健保也會因為健保我們政府也提供增加了很多健保的機會其實應該要加薪到我們醫事人員那以地方來講,好不容易那個地方有護理學院然後又有這麼好的一個醫院,這個醫院是楊交大的輻射醫院\n464115\t491162\t他爺爺是多少個教授、醫生、資源其實那個都是...當然那是因為教育部的但是我站在衛福部,我也了解他的水準是可以做到很高的但是他如果欠護理員員,變成他的法律,全都沒辦法發揮這樣也很可惜所以我們可以建議楊教大可以接近這個學院護理學院這兩個學校,可以來交流我們全國的鄉,我也希望畢業生可以讓他們\n493752\t501674\t進入追診來學習,進入偏見,出來都可以來這裡服務師傅請鎮部長大概說明一下鎮部長請謝謝,感謝委員的關心,向委員報告的是陽明交代的輔社醫院第二期醫療大樓的工程現在進度是強勁的,這部縮寫的工程進度也都強勁\n523254\t535286\t剛才委員的關心就是說,那個人才要怎麼培養在目前我們有一個方式就是說,為了我們藝人地區這裡的福利人員的進修我們可以給他們結合合作的便宜,用公家進修來讓副理事就在地二級的一個在職專班那同時\n547150\t565789\t以去年開始到今年我們大概連續這個台北的護理健康大學同樣也都跟委員剛才所關心的這兩所學校所謂的更新跟聖母醫院專科學校的這些護理都有一個合作的一個進修讓他們能夠在地就能夠直接\n566294\t584717\t有一個在職進修然後當然包含陽明交大這個部分他們也對提供了許多的這些實習獎助學金跟在職進修的一些機會希望能夠讓在地的這些醫護人員也能夠留在在地服務我想做這樣一個補充說明\n586376\t614634\t謝謝謝謝部長我真的希望說我們這個陽明交通大學輻射醫院陽交大他二期工程完成之後不只是硬體設備的完善我們的這個護理人員都能夠齊全的話才能夠實質發揮這個醫療的效能那這個陽明交大陽明交大的這個整個工程完成之後我們更希望說能夠朝向醫學中心的這個等級來努力能夠建構一個更加安全更加符合這個宜蘭\n615233\t619700\t民眾健康安全需求的一所醫院這是我們要求的一個\n620990\t648193\t最大的目標然後也請我們兩位部長一起協助我們院長是的委員我們去年底去陽明交大看現場工地的時候我記得我有特別詢問到二期的醫療大樓之外植物宿舍我覺得植物宿舍的健全會有利於醫護人員留任所以大家往這個方向去做不僅是醫院其他的企業都能夠有自己的宿舍都能夠留住人才我覺得這是一個很好的典範我們用這個來鼓勵大家\n649110\t670468\t好謝謝兩位部長那另外我要針對這個財化法的部分我想就叫我們這個行政院我們預計在這個2月27號這個院會之後我們會對於這個總預算案提出附議那財化法是否會一併的附議這個目前還未知那財化法修正之後將會從中央\n671248\t699110\t把我們提早超過15%以上的維生差不多是3753億左右錢隨著這個中央轉移到地方那事權的部分有沒有轉移那對於後續需由中央移轉到地方辦理的相關業務這個考慮我們政府是不是已經完成這個整個盤點那影響最大的這個補助事項中央對地方的部分會是什麼項目\n701151\t729203\t財務法新的修法內容有幾項很不是適當的 複合理的地方第一個 它就是它的水平分配會造成未來城鄉差距會更大第二個就是委員剛所說的錢帶過去 事權卻沒有帶走那帶走多少事權在裡面並沒有清楚的說明所以未來我們希望大家能夠很理性的 很冷靜的我們為了國家整體的發展\n729676\t758718\t中央有中央的財務財力地方也要有地方的財政但是事權要分得清清楚楚這樣才能夠各施其責各自負責所以我們很期望說財化法我們能夠有更充裕的時間跟地方在談也讓我們算得更精確那算出來之後絕對不是中央集錢又集權而是能夠分給地方的讓地方能夠來承接這個才是我們現在的原則所以我很希望財化法還有機會大家能夠重新來審議\n759619\t782831\t好,謝謝院長,我現在擔心的是因為我們宜蘭縣未來這幾年所推行的相關的公共建設都是金額非常大你假設說未來我們中央跟地方的經費分配的比例如果做調整的話會不會影響到宜蘭包括交通建設還是相關建設的推動\n783840\t808100\t怎麼分配 部長來討論地方財源主要三個地方一個就是統籌分配稅款直接進地方的稅入另外兩個中央補助的部分一個是一般型補助跟計劃型補助那計劃型補助它裡面很多是跨年度的長期的連續性的預算那地方一般性的補助裡面又有一些是法定的以及針對各個地方不同需求的補助\n808632\t827323\t那麼如果中央切掉一大部分的錢那這個地方的計畫性補助跟一般性補助都必須由地方來承接那到底有多少如果這樣算出來的話我認為依照現在中央的這個現在的結構會讓地方感覺到說我拿了一百塊可能我要做的事情會更多\n829093\t845306\t如果能夠統籌的話他會節省很多的行政上的作業如果單個縣市來做他必須負擔可能是不同層數的加倍所以如果這樣子來說地方可能會拿到的錢卻要做更多的事情那我們也不希望增加地方的負擔所以我請財政部來合理的計算\n846660\t870149\t是 跟委員報告就如同剛剛院長所說我們中央對地方除了中央統籌分配稅款以外還有搭配我們主計總署的一般性補助款那一般性補助款它有幾個用途第一個就是對基本財政收支差短它一定會補助另外對其他重要要辦理的事項也會給予補那另外就是計劃型的補助那計劃型的補助就看各地方政府的計劃以及財政能力給予補助\n870509\t895864\t那將來如果你擴大了中央統籌分配稅額而且沒有做市權分配的話當然會影響到這些補助款的一些分配好那因為時間因素那我還是再次拜託我們院長跟我們相關部會的這個首長對於宜蘭縣目前在推動的相關包括交通建設的部分不會因為新的財化法通過之後影響到這個工程的進行\n896644\t914697\t那也希望包括我們的鐵路高架還有這個高鐵延伸宜蘭還有台62線那南陽大橋還有葛馬蘭大橋等等這些已經在規劃中的這些重大交通建設都能夠順利的推動那能夠及早的來完工提供給民眾一個便捷的一個交通路網\n915808\t926678\t宜蘭不僅是我們北北基宜首都圈黃金狼帶它也會加入我們東部城鄉漫火這樣的一個區域治理計畫我希望會看到宜蘭的未來一定是科技跟\n","txt":"好 謝謝韓院長 我們有請左院長麻煩再請左院長備選好 院長午安政務院好院長\n我們近來全台灣的病因出現一個問題就是急診室塞車甚至病因因為護理人員的欠款地書就有名稱所以沒辦法開稱來照顧這個病患所以這個問題我們行政院有什麼樣更好的因應的對策可以來改善嗎所以我從春節之後的第一天我們就跟衛婦在針對這個問題\n多次的聯繫也請衛部能夠緊述的研究一個方法出來那最近這一次就是昨天早上我特別提出說三個問題一個是這個是讓全民不解不了解我們做了什麼努力化解了多少問題要把這個方式告訴大家然後所有的醫院所有的醫院照這個方式來實行能夠降低這種擁塞的現象第二個\n病患跟家屬當然不安啊所以要醫院盡量安撫病患跟家屬這種不安的情緒當然在這個繁忙的過程當中蠻辛苦的一定要做到這一點讓他情緒能安定下來告訴他要等的時間盡量縮短第三個人力不足\n護理人員的能力不足不是今天不是一兩天的是長期造成的所以我們跟考試院在之前總統召開院級協商之後我跟周院長也談到了未來考試的制度考用合一我們用\n知道實際所需狀況的衛福部裡面的同仁跟考試院組成一個考試的平台讓他用這種的方式來讓更多的護校畢業的學生能夠通過合理的考試取得資格增加我們的能力但這個不是短時間可以做到的那目前我們希望增加想辦法多增加醫院裡面協助看護的人力看能不能來協助一部分的比較不需要那麼專業的工作所以三個部分向社會說明\n讓病人安心以及嘗試增加短期跟中長期的護理人員都是現在在做的那他們現在做的這個方式是說在院內裡面調解把一般病床轉換成急診病床讓急診的患者能夠到病床裡面去另外是院際之間的合流每個院際都把資料公開出來如果能夠就近來轉診分流的話也會造成民眾在使用上不必要那麼麻煩這兩個部分都是現在在做的\n其實最大的嚴重應該是這個護理人員欠缺的問題我們從這個台灣護士公會的一個統計資料可以看出來就是從去年的12月到今年初我們全台灣有超過700名的護理人員離職這個離職到底是什麼原因我也希望我們行政院包括衛福部可以去研究去詳細去了解到底是什麼原因遞書到這個護理人員要離職\n可以把優秀的福利人員勞調到,才可以讓我們所有的以後照顧的過程裡面,可以非常順暢包括很多國家,甚至我們界別的中國,也在幫我們找我們的福利人員這到底是什麼原因?市長可以簡單回答嗎?好,謝謝委員的質問我報告一下\n其實這段時間 中央政府在繞福利的路線可以繼續在醫療中心來照顧所以我們提出了12個策略 一個一個在做其實都有顯著的成果其實在人力來講 今年的一頁跟去年的一頁比較起來我們有增加了3,293個護理師\n在工作 所以是正確的剛才你說的那個數目 那實在是因為過年過 很多都離職潮但是七月的時候就有畢業的新生就另外一個嘛 所以現在加起來在第九年是正確三千兩百幾個人而且有一千幾個是在便宜另外我們也是很辛苦 特地給你英文的希望就是說負並比我們在醫學中心\n社區醫院跟社區醫院都在努力之下護病比三班都達到標準的從這一年來也從36%提高到醫學中心提高到59%如果是社區醫院是從26%提高到50%那地區醫院比較高本來就83%提高到94%\n若是說我們福利銀行的職場有進步,銀行我們也有留下來剛才議長也說得很完全,整個架構都說起來,完全用一個關懷心、同理心來處理這件事情我們衛福部一項一項來落實我補充一下,優管我們現在要改革,改革我們分低級、低級,這其實我們都走那個\n這幾天的開花都向全國的醫事公會、急診醫藥會還有各大醫院的院長都要研究出來的所以我們提出來的方案其實跟急診醫學會提出的方案是很一致的所以我們一定會趕快來努力\n我們也看到現在目前來講其實在後床大約100的從以前檢討醫院包括高一、齊美、台大現在只剩下長庚林口長庚比較多其他都已經降下到100我們希望能夠馬上來改善今天的下降數是比較明顯的當然還有相當多的數字但是趨勢是這樣子\n再加強努力,要協調好,謝謝院長跟部長其實我要關心的是我們宜蘭館的陽明交大輻射醫院因為這個病院現在日期工程,我們一定在去年11月初也有去實測日期工程已經順利斷崗了斷崗之後未來\n他這個層數增加出來,讓你人員不夠的總統職下你說我們的鴨腿食肆已經完善了所以沒辦法讓病患可以在病院裡面接受治療這讓我們覺得非常不可思議所以我要拜託議長跟我們的部長就是說我們宜蘭館也有很好的婦理專科學校我們包括聖母婦專跟更新婦專非常完善現在少子化在這個地方\n我們沒有一個比較完善的教育的一貫的作業,遞輸到這些孩子他跟專科畢業後都跑出來到外面去,又求學遞輸到人才流失所以有什麼樣的辦法,也能結合到在地的醫學、學校的保安跟便衣來做結合讓我們未來的福利人員可以留在宜蘭關,來為我們宜蘭關的民眾來服務\n就像委員報告,在全國性來說,我們當然是改善這個護理職場說實在的,醫事人員健保也會因為健保我們政府也提供增加了很多健保的機會其實應該要加薪到我們醫事人員那以地方來講,好不容易那個地方有護理學院然後又有這麼好的一個醫院,這個醫院是楊交大的輻射醫院\n他爺爺是多少個教授、醫生、資源其實那個都是...當然那是因為教育部的但是我站在衛福部,我也了解他的水準是可以做到很高的但是他如果欠護理員員,變成他的法律,全都沒辦法發揮這樣也很可惜所以我們可以建議楊教大可以接近這個學院護理學院這兩個學校,可以來交流我們全國的鄉,我也希望畢業生可以讓他們\n進入追診來學習,進入偏見,出來都可以來這裡服務師傅請鎮部長大概說明一下鎮部長請謝謝,感謝委員的關心,向委員報告的是陽明交代的輔社醫院第二期醫療大樓的工程現在進度是強勁的,這部縮寫的工程進度也都強勁\n剛才委員的關心就是說,那個人才要怎麼培養在目前我們有一個方式就是說,為了我們藝人地區這裡的福利人員的進修我們可以給他們結合合作的便宜,用公家進修來讓副理事就在地二級的一個在職專班那同時\n以去年開始到今年我們大概連續這個台北的護理健康大學同樣也都跟委員剛才所關心的這兩所學校所謂的更新跟聖母醫院專科學校的這些護理都有一個合作的一個進修讓他們能夠在地就能夠直接\n有一個在職進修然後當然包含陽明交大這個部分他們也對提供了許多的這些實習獎助學金跟在職進修的一些機會希望能夠讓在地的這些醫護人員也能夠留在在地服務我想做這樣一個補充說明\n謝謝謝謝部長我真的希望說我們這個陽明交通大學輻射醫院陽交大他二期工程完成之後不只是硬體設備的完善我們的這個護理人員都能夠齊全的話才能夠實質發揮這個醫療的效能那這個陽明交大陽明交大的這個整個工程完成之後我們更希望說能夠朝向醫學中心的這個等級來努力能夠建構一個更加安全更加符合這個宜蘭\n民眾健康安全需求的一所醫院這是我們要求的一個\n最大的目標然後也請我們兩位部長一起協助我們院長是的委員我們去年底去陽明交大看現場工地的時候我記得我有特別詢問到二期的醫療大樓之外植物宿舍我覺得植物宿舍的健全會有利於醫護人員留任所以大家往這個方向去做不僅是醫院其他的企業都能夠有自己的宿舍都能夠留住人才我覺得這是一個很好的典範我們用這個來鼓勵大家\n好謝謝兩位部長那另外我要針對這個財化法的部分我想就叫我們這個行政院我們預計在這個2月27號這個院會之後我們會對於這個總預算案提出附議那財化法是否會一併的附議這個目前還未知那財化法修正之後將會從中央\n把我們提早超過15%以上的維生差不多是3753億左右錢隨著這個中央轉移到地方那事權的部分有沒有轉移那對於後續需由中央移轉到地方辦理的相關業務這個考慮我們政府是不是已經完成這個整個盤點那影響最大的這個補助事項中央對地方的部分會是什麼項目\n財務法新的修法內容有幾項很不是適當的 複合理的地方第一個 它就是它的水平分配會造成未來城鄉差距會更大第二個就是委員剛所說的錢帶過去 事權卻沒有帶走那帶走多少事權在裡面並沒有清楚的說明所以未來我們希望大家能夠很理性的 很冷靜的我們為了國家整體的發展\n中央有中央的財務財力地方也要有地方的財政但是事權要分得清清楚楚這樣才能夠各施其責各自負責所以我們很期望說財化法我們能夠有更充裕的時間跟地方在談也讓我們算得更精確那算出來之後絕對不是中央集錢又集權而是能夠分給地方的讓地方能夠來承接這個才是我們現在的原則所以我很希望財化法還有機會大家能夠重新來審議\n好,謝謝院長,我現在擔心的是因為我們宜蘭縣未來這幾年所推行的相關的公共建設都是金額非常大你假設說未來我們中央跟地方的經費分配的比例如果做調整的話會不會影響到宜蘭包括交通建設還是相關建設的推動\n怎麼分配 部長來討論地方財源主要三個地方一個就是統籌分配稅款直接進地方的稅入另外兩個中央補助的部分一個是一般型補助跟計劃型補助那計劃型補助它裡面很多是跨年度的長期的連續性的預算那地方一般性的補助裡面又有一些是法定的以及針對各個地方不同需求的補助\n那麼如果中央切掉一大部分的錢那這個地方的計畫性補助跟一般性補助都必須由地方來承接那到底有多少如果這樣算出來的話我認為依照現在中央的這個現在的結構會讓地方感覺到說我拿了一百塊可能我要做的事情會更多\n如果能夠統籌的話他會節省很多的行政上的作業如果單個縣市來做他必須負擔可能是不同層數的加倍所以如果這樣子來說地方可能會拿到的錢卻要做更多的事情那我們也不希望增加地方的負擔所以我請財政部來合理的計算\n是 跟委員報告就如同剛剛院長所說我們中央對地方除了中央統籌分配稅款以外還有搭配我們主計總署的一般性補助款那一般性補助款它有幾個用途第一個就是對基本財政收支差短它一定會補助另外對其他重要要辦理的事項也會給予補那另外就是計劃型的補助那計劃型的補助就看各地方政府的計劃以及財政能力給予補助\n那將來如果你擴大了中央統籌分配稅額而且沒有做市權分配的話當然會影響到這些補助款的一些分配好那因為時間因素那我還是再次拜託我們院長跟我們相關部會的這個首長對於宜蘭縣目前在推動的相關包括交通建設的部分不會因為新的財化法通過之後影響到這個工程的進行\n那也希望包括我們的鐵路高架還有這個高鐵延伸宜蘭還有台62線那南陽大橋還有葛馬蘭大橋等等這些已經在規劃中的這些重大交通建設都能夠順利的推動那能夠及早的來完工提供給民眾一個便捷的一個交通路網\n宜蘭不僅是我們北北基宜首都圈黃金狼帶它也會加入我們東部城鄉漫火這樣的一個區域治理計畫我希望會看到宜蘭的未來一定是科技跟\n","vtt":"WEBVTT\n\n00:11.254 --> 00:16.180\n好謝謝韓院長我們有請左院長麻煩再請左院長備選好院長午安政務院好院長\n\n00:25.868 --> 00:51.423\n我們近來全台灣的病因出現一個問題就是急診室塞車甚至病因因為護理人員的欠款地書就有名稱所以沒辦法開稱來照顧這個病患所以這個問題我們行政院有什麼樣更好的因應的對策可以來改善嗎所以我從春節之後的第一天我們就跟衛婦在針對這個問題\n\n00:53.649 --> 01:15.462\n多次的聯繫也請衛部能夠緊述的研究一個方法出來那最近這一次就是昨天早上我特別提出說三個問題一個是這個是讓全民不解不了解我們做了什麼努力化解了多少問題要把這個方式告訴大家然後所有的醫院所有的醫院照這個方式來實行能夠降低這種擁塞的現象第二個\n\n01:16.940 --> 01:33.287\n病患跟家屬當然不安啊所以要醫院盡量安撫病患跟家屬這種不安的情緒當然在這個繁忙的過程當中蠻辛苦的一定要做到這一點讓他情緒能安定下來告訴他要等的時間盡量縮短第三個人力不足\n\n01:34.261 --> 01:46.998\n護理人員的能力不足不是今天不是一兩天的是長期造成的所以我們跟考試院在之前總統召開院級協商之後我跟周院長也談到了未來考試的制度考用合一我們用\n\n01:48.018 --> 02:16.472\n知道實際所需狀況的衛福部裡面的同仁跟考試院組成一個考試的平台讓他用這種的方式來讓更多的護校畢業的學生能夠通過合理的考試取得資格增加我們的能力但這個不是短時間可以做到的那目前我們希望增加想辦法多增加醫院裡面協助看護的人力看能不能來協助一部分的比較不需要那麼專業的工作所以三個部分向社會說明\n\n02:17.797 --> 02:43.080\n讓病人安心以及嘗試增加短期跟中長期的護理人員都是現在在做的那他們現在做的這個方式是說在院內裡面調解把一般病床轉換成急診病床讓急診的患者能夠到病床裡面去另外是院際之間的合流每個院際都把資料公開出來如果能夠就近來轉診分流的話也會造成民眾在使用上不必要那麼麻煩這兩個部分都是現在在做的\n\n02:44.140 --> 03:11.426\n其實最大的嚴重應該是這個護理人員欠缺的問題我們從這個台灣護士公會的一個統計資料可以看出來就是從去年的12月到今年初我們全台灣有超過700名的護理人員離職這個離職到底是什麼原因我也希望我們行政院包括衛福部可以去研究去詳細去了解到底是什麼原因遞書到這個護理人員要離職\n\n03:13.527 --> 03:24.998\n可以把優秀的福利人員勞調到,才可以讓我們所有的以後照顧的過程裡面,可以非常順暢包括很多國家,甚至我們界別的中國,也在幫我們找我們的福利人員這到底是什麼原因?市長可以簡單回答嗎?好,謝謝委員的質問我報告一下\n\n03:38.838 --> 04:02.684\n其實這段時間中央政府在繞福利的路線可以繼續在醫療中心來照顧所以我們提出了12個策略一個一個在做其實都有顯著的成果其實在人力來講今年的一頁跟去年的一頁比較起來我們有增加了3,293個護理師\n\n04:06.671 --> 04:33.349\n在工作所以是正確的剛才你說的那個數目那實在是因為過年過很多都離職潮但是七月的時候就有畢業的新生就另外一個嘛所以現在加起來在第九年是正確三千兩百幾個人而且有一千幾個是在便宜另外我們也是很辛苦特地給你英文的希望就是說負並比我們在醫學中心\n\n04:34.005 --> 04:50.856\n社區醫院跟社區醫院都在努力之下護病比三班都達到標準的從這一年來也從36%提高到醫學中心提高到59%如果是社區醫院是從26%提高到50%那地區醫院比較高本來就83%提高到94%\n\n04:59.096 --> 05:18.302\n若是說我們福利銀行的職場有進步,銀行我們也有留下來剛才議長也說得很完全,整個架構都說起來,完全用一個關懷心、同理心來處理這件事情我們衛福部一項一項來落實我補充一下,優管我們現在要改革,改革我們分低級、低級,這其實我們都走那個\n\n05:24.015 --> 05:38.008\n這幾天的開花都向全國的醫事公會、急診醫藥會還有各大醫院的院長都要研究出來的所以我們提出來的方案其實跟急診醫學會提出的方案是很一致的所以我們一定會趕快來努力\n\n05:38.442 --> 05:58.193\n我們也看到現在目前來講其實在後床大約100的從以前檢討醫院包括高一、齊美、台大現在只剩下長庚林口長庚比較多其他都已經降下到100我們希望能夠馬上來改善今天的下降數是比較明顯的當然還有相當多的數字但是趨勢是這樣子\n\n06:00.000 --> 06:14.651\n再加強努力,要協調好,謝謝院長跟部長其實我要關心的是我們宜蘭館的陽明交大輻射醫院因為這個病院現在日期工程,我們一定在去年11月初也有去實測日期工程已經順利斷崗了斷崗之後未來\n\n06:18.614 --> 06:45.824\n他這個層數增加出來,讓你人員不夠的總統職下你說我們的鴨腿食肆已經完善了所以沒辦法讓病患可以在病院裡面接受治療這讓我們覺得非常不可思議所以我要拜託議長跟我們的部長就是說我們宜蘭館也有很好的婦理專科學校我們包括聖母婦專跟更新婦專非常完善現在少子化在這個地方\n\n06:47.232 --> 07:09.721\n我們沒有一個比較完善的教育的一貫的作業,遞輸到這些孩子他跟專科畢業後都跑出來到外面去,又求學遞輸到人才流失所以有什麼樣的辦法,也能結合到在地的醫學、學校的保安跟便衣來做結合讓我們未來的福利人員可以留在宜蘭關,來為我們宜蘭關的民眾來服務\n\n07:14.602 --> 07:41.525\n就像委員報告,在全國性來說,我們當然是改善這個護理職場說實在的,醫事人員健保也會因為健保我們政府也提供增加了很多健保的機會其實應該要加薪到我們醫事人員那以地方來講,好不容易那個地方有護理學院然後又有這麼好的一個醫院,這個醫院是楊交大的輻射醫院\n\n07:44.115 --> 08:11.162\n他爺爺是多少個教授、醫生、資源其實那個都是...當然那是因為教育部的但是我站在衛福部,我也了解他的水準是可以做到很高的但是他如果欠護理員員,變成他的法律,全都沒辦法發揮這樣也很可惜所以我們可以建議楊教大可以接近這個學院護理學院這兩個學校,可以來交流我們全國的鄉,我也希望畢業生可以讓他們\n\n08:13.752 --> 08:21.674\n進入追診來學習,進入偏見,出來都可以來這裡服務師傅請鎮部長大概說明一下鎮部長請謝謝,感謝委員的關心,向委員報告的是陽明交代的輔社醫院第二期醫療大樓的工程現在進度是強勁的,這部縮寫的工程進度也都強勁\n\n08:43.254 --> 08:55.286\n剛才委員的關心就是說,那個人才要怎麼培養在目前我們有一個方式就是說,為了我們藝人地區這裡的福利人員的進修我們可以給他們結合合作的便宜,用公家進修來讓副理事就在地二級的一個在職專班那同時\n\n09:07.150 --> 09:25.789\n以去年開始到今年我們大概連續這個台北的護理健康大學同樣也都跟委員剛才所關心的這兩所學校所謂的更新跟聖母醫院專科學校的這些護理都有一個合作的一個進修讓他們能夠在地就能夠直接\n\n09:26.294 --> 09:44.717\n有一個在職進修然後當然包含陽明交大這個部分他們也對提供了許多的這些實習獎助學金跟在職進修的一些機會希望能夠讓在地的這些醫護人員也能夠留在在地服務我想做這樣一個補充說明\n\n09:46.376 --> 10:14.634\n謝謝謝謝部長我真的希望說我們這個陽明交通大學輻射醫院陽交大他二期工程完成之後不只是硬體設備的完善我們的這個護理人員都能夠齊全的話才能夠實質發揮這個醫療的效能那這個陽明交大陽明交大的這個整個工程完成之後我們更希望說能夠朝向醫學中心的這個等級來努力能夠建構一個更加安全更加符合這個宜蘭\n\n10:15.233 --> 10:19.700\n民眾健康安全需求的一所醫院這是我們要求的一個\n\n10:20.990 --> 10:48.193\n最大的目標然後也請我們兩位部長一起協助我們院長是的委員我們去年底去陽明交大看現場工地的時候我記得我有特別詢問到二期的醫療大樓之外植物宿舍我覺得植物宿舍的健全會有利於醫護人員留任所以大家往這個方向去做不僅是醫院其他的企業都能夠有自己的宿舍都能夠留住人才我覺得這是一個很好的典範我們用這個來鼓勵大家\n\n10:49.110 --> 11:10.468\n好謝謝兩位部長那另外我要針對這個財化法的部分我想就叫我們這個行政院我們預計在這個2月27號這個院會之後我們會對於這個總預算案提出附議那財化法是否會一併的附議這個目前還未知那財化法修正之後將會從中央\n\n11:11.248 --> 11:39.110\n把我們提早超過15%以上的維生差不多是3753億左右錢隨著這個中央轉移到地方那事權的部分有沒有轉移那對於後續需由中央移轉到地方辦理的相關業務這個考慮我們政府是不是已經完成這個整個盤點那影響最大的這個補助事項中央對地方的部分會是什麼項目\n\n11:41.151 --> 12:09.203\n財務法新的修法內容有幾項很不是適當的複合理的地方第一個它就是它的水平分配會造成未來城鄉差距會更大第二個就是委員剛所說的錢帶過去事權卻沒有帶走那帶走多少事權在裡面並沒有清楚的說明所以未來我們希望大家能夠很理性的很冷靜的我們為了國家整體的發展\n\n12:09.676 --> 12:38.718\n中央有中央的財務財力地方也要有地方的財政但是事權要分得清清楚楚這樣才能夠各施其責各自負責所以我們很期望說財化法我們能夠有更充裕的時間跟地方在談也讓我們算得更精確那算出來之後絕對不是中央集錢又集權而是能夠分給地方的讓地方能夠來承接這個才是我們現在的原則所以我很希望財化法還有機會大家能夠重新來審議\n\n12:39.619 --> 13:02.831\n好,謝謝院長,我現在擔心的是因為我們宜蘭縣未來這幾年所推行的相關的公共建設都是金額非常大你假設說未來我們中央跟地方的經費分配的比例如果做調整的話會不會影響到宜蘭包括交通建設還是相關建設的推動\n\n13:03.840 --> 13:28.100\n怎麼分配部長來討論地方財源主要三個地方一個就是統籌分配稅款直接進地方的稅入另外兩個中央補助的部分一個是一般型補助跟計劃型補助那計劃型補助它裡面很多是跨年度的長期的連續性的預算那地方一般性的補助裡面又有一些是法定的以及針對各個地方不同需求的補助\n\n13:28.632 --> 13:47.323\n那麼如果中央切掉一大部分的錢那這個地方的計畫性補助跟一般性補助都必須由地方來承接那到底有多少如果這樣算出來的話我認為依照現在中央的這個現在的結構會讓地方感覺到說我拿了一百塊可能我要做的事情會更多\n\n13:49.093 --> 14:05.306\n如果能夠統籌的話他會節省很多的行政上的作業如果單個縣市來做他必須負擔可能是不同層數的加倍所以如果這樣子來說地方可能會拿到的錢卻要做更多的事情那我們也不希望增加地方的負擔所以我請財政部來合理的計算\n\n14:06.660 --> 14:30.149\n是跟委員報告就如同剛剛院長所說我們中央對地方除了中央統籌分配稅款以外還有搭配我們主計總署的一般性補助款那一般性補助款它有幾個用途第一個就是對基本財政收支差短它一定會補助另外對其他重要要辦理的事項也會給予補那另外就是計劃型的補助那計劃型的補助就看各地方政府的計劃以及財政能力給予補助\n\n14:30.509 --> 14:55.864\n那將來如果你擴大了中央統籌分配稅額而且沒有做市權分配的話當然會影響到這些補助款的一些分配好那因為時間因素那我還是再次拜託我們院長跟我們相關部會的這個首長對於宜蘭縣目前在推動的相關包括交通建設的部分不會因為新的財化法通過之後影響到這個工程的進行\n\n14:56.644 --> 15:14.697\n那也希望包括我們的鐵路高架還有這個高鐵延伸宜蘭還有台62線那南陽大橋還有葛馬蘭大橋等等這些已經在規劃中的這些重大交通建設都能夠順利的推動那能夠及早的來完工提供給民眾一個便捷的一個交通路網\n\n15:15.808 --> 15:26.678\n宜蘭不僅是我們北北基宜首都圈黃金狼帶它也會加入我們東部城鄉漫火這樣的一個區域治理計畫我希望會看到宜蘭的未來一定是科技跟\n\n","segments":[{"start":11.254,"end":16.18,"text":"好 謝謝韓院長 我們有請左院長麻煩再請左院長備選好 院長午安政務院好院長"},{"start":25.868,"end":51.423,"text":"我們近來全台灣的病因出現一個問題就是急診室塞車甚至病因因為護理人員的欠款地書就有名稱所以沒辦法開稱來照顧這個病患所以這個問題我們行政院有什麼樣更好的因應的對策可以來改善嗎所以我從春節之後的第一天我們就跟衛婦在針對這個問題"},{"start":53.649,"end":75.462,"text":"多次的聯繫也請衛部能夠緊述的研究一個方法出來那最近這一次就是昨天早上我特別提出說三個問題一個是這個是讓全民不解不了解我們做了什麼努力化解了多少問題要把這個方式告訴大家然後所有的醫院所有的醫院照這個方式來實行能夠降低這種擁塞的現象第二個"},{"start":76.94,"end":93.287,"text":"病患跟家屬當然不安啊所以要醫院盡量安撫病患跟家屬這種不安的情緒當然在這個繁忙的過程當中蠻辛苦的一定要做到這一點讓他情緒能安定下來告訴他要等的時間盡量縮短第三個人力不足"},{"start":94.261,"end":106.998,"text":"護理人員的能力不足不是今天不是一兩天的是長期造成的所以我們跟考試院在之前總統召開院級協商之後我跟周院長也談到了未來考試的制度考用合一我們用"},{"start":108.018,"end":136.472,"text":"知道實際所需狀況的衛福部裡面的同仁跟考試院組成一個考試的平台讓他用這種的方式來讓更多的護校畢業的學生能夠通過合理的考試取得資格增加我們的能力但這個不是短時間可以做到的那目前我們希望增加想辦法多增加醫院裡面協助看護的人力看能不能來協助一部分的比較不需要那麼專業的工作所以三個部分向社會說明"},{"start":137.797,"end":163.08,"text":"讓病人安心以及嘗試增加短期跟中長期的護理人員都是現在在做的那他們現在做的這個方式是說在院內裡面調解把一般病床轉換成急診病床讓急診的患者能夠到病床裡面去另外是院際之間的合流每個院際都把資料公開出來如果能夠就近來轉診分流的話也會造成民眾在使用上不必要那麼麻煩這兩個部分都是現在在做的"},{"start":164.14,"end":191.426,"text":"其實最大的嚴重應該是這個護理人員欠缺的問題我們從這個台灣護士公會的一個統計資料可以看出來就是從去年的12月到今年初我們全台灣有超過700名的護理人員離職這個離職到底是什麼原因我也希望我們行政院包括衛福部可以去研究去詳細去了解到底是什麼原因遞書到這個護理人員要離職"},{"start":193.527,"end":204.998,"text":"可以把優秀的福利人員勞調到,才可以讓我們所有的以後照顧的過程裡面,可以非常順暢包括很多國家,甚至我們界別的中國,也在幫我們找我們的福利人員這到底是什麼原因?市長可以簡單回答嗎?好,謝謝委員的質問我報告一下"},{"start":218.838,"end":242.684,"text":"其實這段時間 中央政府在繞福利的路線可以繼續在醫療中心來照顧所以我們提出了12個策略 一個一個在做其實都有顯著的成果其實在人力來講 今年的一頁跟去年的一頁比較起來我們有增加了3,293個護理師"},{"start":246.671,"end":273.349,"text":"在工作 所以是正確的剛才你說的那個數目 那實在是因為過年過 很多都離職潮但是七月的時候就有畢業的新生就另外一個嘛 所以現在加起來在第九年是正確三千兩百幾個人而且有一千幾個是在便宜另外我們也是很辛苦 特地給你英文的希望就是說負並比我們在醫學中心"},{"start":274.005,"end":290.856,"text":"社區醫院跟社區醫院都在努力之下護病比三班都達到標準的從這一年來也從36%提高到醫學中心提高到59%如果是社區醫院是從26%提高到50%那地區醫院比較高本來就83%提高到94%"},{"start":299.096,"end":318.302,"text":"若是說我們福利銀行的職場有進步,銀行我們也有留下來剛才議長也說得很完全,整個架構都說起來,完全用一個關懷心、同理心來處理這件事情我們衛福部一項一項來落實我補充一下,優管我們現在要改革,改革我們分低級、低級,這其實我們都走那個"},{"start":324.015,"end":338.008,"text":"這幾天的開花都向全國的醫事公會、急診醫藥會還有各大醫院的院長都要研究出來的所以我們提出來的方案其實跟急診醫學會提出的方案是很一致的所以我們一定會趕快來努力"},{"start":338.442,"end":358.193,"text":"我們也看到現在目前來講其實在後床大約100的從以前檢討醫院包括高一、齊美、台大現在只剩下長庚林口長庚比較多其他都已經降下到100我們希望能夠馬上來改善今天的下降數是比較明顯的當然還有相當多的數字但是趨勢是這樣子"},{"start":360,"end":374.651,"text":"再加強努力,要協調好,謝謝院長跟部長其實我要關心的是我們宜蘭館的陽明交大輻射醫院因為這個病院現在日期工程,我們一定在去年11月初也有去實測日期工程已經順利斷崗了斷崗之後未來"},{"start":378.614,"end":405.824,"text":"他這個層數增加出來,讓你人員不夠的總統職下你說我們的鴨腿食肆已經完善了所以沒辦法讓病患可以在病院裡面接受治療這讓我們覺得非常不可思議所以我要拜託議長跟我們的部長就是說我們宜蘭館也有很好的婦理專科學校我們包括聖母婦專跟更新婦專非常完善現在少子化在這個地方"},{"start":407.232,"end":429.721,"text":"我們沒有一個比較完善的教育的一貫的作業,遞輸到這些孩子他跟專科畢業後都跑出來到外面去,又求學遞輸到人才流失所以有什麼樣的辦法,也能結合到在地的醫學、學校的保安跟便衣來做結合讓我們未來的福利人員可以留在宜蘭關,來為我們宜蘭關的民眾來服務"},{"start":434.602,"end":461.525,"text":"就像委員報告,在全國性來說,我們當然是改善這個護理職場說實在的,醫事人員健保也會因為健保我們政府也提供增加了很多健保的機會其實應該要加薪到我們醫事人員那以地方來講,好不容易那個地方有護理學院然後又有這麼好的一個醫院,這個醫院是楊交大的輻射醫院"},{"start":464.115,"end":491.162,"text":"他爺爺是多少個教授、醫生、資源其實那個都是...當然那是因為教育部的但是我站在衛福部,我也了解他的水準是可以做到很高的但是他如果欠護理員員,變成他的法律,全都沒辦法發揮這樣也很可惜所以我們可以建議楊教大可以接近這個學院護理學院這兩個學校,可以來交流我們全國的鄉,我也希望畢業生可以讓他們"},{"start":493.752,"end":501.674,"text":"進入追診來學習,進入偏見,出來都可以來這裡服務師傅請鎮部長大概說明一下鎮部長請謝謝,感謝委員的關心,向委員報告的是陽明交代的輔社醫院第二期醫療大樓的工程現在進度是強勁的,這部縮寫的工程進度也都強勁"},{"start":523.254,"end":535.286,"text":"剛才委員的關心就是說,那個人才要怎麼培養在目前我們有一個方式就是說,為了我們藝人地區這裡的福利人員的進修我們可以給他們結合合作的便宜,用公家進修來讓副理事就在地二級的一個在職專班那同時"},{"start":547.15,"end":565.789,"text":"以去年開始到今年我們大概連續這個台北的護理健康大學同樣也都跟委員剛才所關心的這兩所學校所謂的更新跟聖母醫院專科學校的這些護理都有一個合作的一個進修讓他們能夠在地就能夠直接"},{"start":566.294,"end":584.717,"text":"有一個在職進修然後當然包含陽明交大這個部分他們也對提供了許多的這些實習獎助學金跟在職進修的一些機會希望能夠讓在地的這些醫護人員也能夠留在在地服務我想做這樣一個補充說明"},{"start":586.376,"end":614.634,"text":"謝謝謝謝部長我真的希望說我們這個陽明交通大學輻射醫院陽交大他二期工程完成之後不只是硬體設備的完善我們的這個護理人員都能夠齊全的話才能夠實質發揮這個醫療的效能那這個陽明交大陽明交大的這個整個工程完成之後我們更希望說能夠朝向醫學中心的這個等級來努力能夠建構一個更加安全更加符合這個宜蘭"},{"start":615.233,"end":619.7,"text":"民眾健康安全需求的一所醫院這是我們要求的一個"},{"start":620.99,"end":648.193,"text":"最大的目標然後也請我們兩位部長一起協助我們院長是的委員我們去年底去陽明交大看現場工地的時候我記得我有特別詢問到二期的醫療大樓之外植物宿舍我覺得植物宿舍的健全會有利於醫護人員留任所以大家往這個方向去做不僅是醫院其他的企業都能夠有自己的宿舍都能夠留住人才我覺得這是一個很好的典範我們用這個來鼓勵大家"},{"start":649.11,"end":670.468,"text":"好謝謝兩位部長那另外我要針對這個財化法的部分我想就叫我們這個行政院我們預計在這個2月27號這個院會之後我們會對於這個總預算案提出附議那財化法是否會一併的附議這個目前還未知那財化法修正之後將會從中央"},{"start":671.248,"end":699.11,"text":"把我們提早超過15%以上的維生差不多是3753億左右錢隨著這個中央轉移到地方那事權的部分有沒有轉移那對於後續需由中央移轉到地方辦理的相關業務這個考慮我們政府是不是已經完成這個整個盤點那影響最大的這個補助事項中央對地方的部分會是什麼項目"},{"start":701.151,"end":729.203,"text":"財務法新的修法內容有幾項很不是適當的 複合理的地方第一個 它就是它的水平分配會造成未來城鄉差距會更大第二個就是委員剛所說的錢帶過去 事權卻沒有帶走那帶走多少事權在裡面並沒有清楚的說明所以未來我們希望大家能夠很理性的 很冷靜的我們為了國家整體的發展"},{"start":729.676,"end":758.718,"text":"中央有中央的財務財力地方也要有地方的財政但是事權要分得清清楚楚這樣才能夠各施其責各自負責所以我們很期望說財化法我們能夠有更充裕的時間跟地方在談也讓我們算得更精確那算出來之後絕對不是中央集錢又集權而是能夠分給地方的讓地方能夠來承接這個才是我們現在的原則所以我很希望財化法還有機會大家能夠重新來審議"},{"start":759.619,"end":782.831,"text":"好,謝謝院長,我現在擔心的是因為我們宜蘭縣未來這幾年所推行的相關的公共建設都是金額非常大你假設說未來我們中央跟地方的經費分配的比例如果做調整的話會不會影響到宜蘭包括交通建設還是相關建設的推動"},{"start":783.84,"end":808.1,"text":"怎麼分配 部長來討論地方財源主要三個地方一個就是統籌分配稅款直接進地方的稅入另外兩個中央補助的部分一個是一般型補助跟計劃型補助那計劃型補助它裡面很多是跨年度的長期的連續性的預算那地方一般性的補助裡面又有一些是法定的以及針對各個地方不同需求的補助"},{"start":808.632,"end":827.323,"text":"那麼如果中央切掉一大部分的錢那這個地方的計畫性補助跟一般性補助都必須由地方來承接那到底有多少如果這樣算出來的話我認為依照現在中央的這個現在的結構會讓地方感覺到說我拿了一百塊可能我要做的事情會更多"},{"start":829.093,"end":845.306,"text":"如果能夠統籌的話他會節省很多的行政上的作業如果單個縣市來做他必須負擔可能是不同層數的加倍所以如果這樣子來說地方可能會拿到的錢卻要做更多的事情那我們也不希望增加地方的負擔所以我請財政部來合理的計算"},{"start":846.66,"end":870.149,"text":"是 跟委員報告就如同剛剛院長所說我們中央對地方除了中央統籌分配稅款以外還有搭配我們主計總署的一般性補助款那一般性補助款它有幾個用途第一個就是對基本財政收支差短它一定會補助另外對其他重要要辦理的事項也會給予補那另外就是計劃型的補助那計劃型的補助就看各地方政府的計劃以及財政能力給予補助"},{"start":870.509,"end":895.864,"text":"那將來如果你擴大了中央統籌分配稅額而且沒有做市權分配的話當然會影響到這些補助款的一些分配好那因為時間因素那我還是再次拜託我們院長跟我們相關部會的這個首長對於宜蘭縣目前在推動的相關包括交通建設的部分不會因為新的財化法通過之後影響到這個工程的進行"},{"start":896.644,"end":914.697,"text":"那也希望包括我們的鐵路高架還有這個高鐵延伸宜蘭還有台62線那南陽大橋還有葛馬蘭大橋等等這些已經在規劃中的這些重大交通建設都能夠順利的推動那能夠及早的來完工提供給民眾一個便捷的一個交通路網"},{"start":915.808,"end":926.678,"text":"宜蘭不僅是我們北北基宜首都圈黃金狼帶它也會加入我們東部城鄉漫火這樣的一個區域治理計畫我希望會看到宜蘭的未來一定是科技跟"}]}}},"gazette":{"lineno":463,"blocks":[["陳委員俊宇：（16時16分）謝謝韓院長，我們有請卓院長。"],["主席：麻煩再請卓院長備詢。"],["陳委員俊宇：院長，午安。"],["卓院長榮泰：陳委員好。"],["陳委員俊宇：院長，近來我們全臺灣的醫院出現一個問題，就是急診室塞車！甚至醫院因為護理人員的欠缺，導致有病床，卻沒辦法開床來照顧到這些病患，所以這個問題，行政院有什麼樣比較好的因應對策？可以來改善嗎？"],["卓院長榮泰：所以我從春節之後的第一天，我們就跟衛福部在針對這個問題多次的聯繫，也請衛福部能夠儘速研究一個方法出來，最近這一次，就是昨天早上，我特別提出三個問題，一個是這個事情讓全民不解，不了解我們做了什麼努力、化解了多少問題，要把這個方式告訴大家，然後所有的醫院照這個方式來實行，能夠降低這種壅塞的現象。第二個，病患跟家屬當然不安啊！"],["陳委員俊宇：是。"],["卓院長榮泰：所以要醫院儘量安撫病患跟家屬這種不安的情緒，當然在這個很繁忙的過程當中滿辛苦的，但一定要做到這一點，讓他情緒能夠安定下來，告訴他要等的時間儘量縮短。第三個，人力不足。"],["陳委員俊宇：是。"],["卓院長榮泰：護理人員人力不足不是今天、不是一兩天的，是長期造成的！所以我們跟考試院在之前總統召開院際協商之後，我跟周院長也談到了未來考試的制度，考用合一，我們用知道實際所需狀況的衛福部裡面的同仁，跟考試院組成一個考試的平臺，讓他用這種方式來讓更多的護校畢業學生能夠通過合理的考試取得資格，增加我們的人力，但這個不是短時間可以做到的。目前我們希望增加，想辦法多增加醫院裡面協助看護的人力，看能不能來協助一部分比較不需要那麼專業的工作。","所以三個部分向社會說明，讓病人安心，以及嘗試增加短期跟中長期的護理人員，都是現在在做的。而他們現在做的這個方式是在院內裡面調解，把一般病床轉換成急診病床，讓急診的患者能夠到病床裡面去，另外是院際之間的合流，每個院際都把資料公開出來，如果能夠就近轉診分流的話，也會造成民眾在使用上不必要那麼麻煩；這兩個部分都是現在在做的。"],["陳委員俊宇：是。其實最嚴重的應該是護理人員欠缺的問題，我們從臺灣護理師護士公會的一個統計資料可以看出來，從去年12月到今年初，我們全臺灣有超過七百名的護理人員離職，離職到底是什麼原因？我也希望我們行政院，包括衛福部可以去研究、去詳細了解到底是什麼原因導致這些護理人員要離職？可以把這些優秀的護理人員留住，才能讓所有醫護照護過程可以非常的順暢，包括很多國家，甚至隔壁的中國也在挖角我們的護理人員，這到底是什麼原因？是不是部長你可以簡單回答一下？"],["邱部長泰源：謝謝委員的質詢。我報告一下，其實這段時間很認真在留護理人員可以繼續在醫療場所來照顧，所以我們提出12個策略一個一個在做，都有顯著地成果。在人力來講，今年1月跟去年1月比較起來，有增加了3,293個護理師的工作，所以是增加的，剛剛你說的那個數目，實在是因為過年後很多都是離職潮，但是7月的時候就有畢業的新生進來了。"],["陳委員俊宇：是。"],["邱部長泰源：所以這兩個加起來，才在去年是增加三千兩百多個人，而且有一千多個人是在醫院。另外我們也是很辛苦在達成護理護理人員的希望，就是護病比，在醫學中心跟社區醫院都在努力之下，護病比三班都達到標準了，這一年來醫學中心也從36%提高到59%；如果是社區醫院是從26%提高到50%；地區醫院本來就比較高83%提高到94%，就是說我們護理人員的職場也有進步、人員也有留下來，剛剛院長也說得很完整，把整個架構都講出來，還完全用一個關懷的心、同理心來處理這個事情，衛福部會一項一項來落實。"],["陳委員俊宇：好。"],["邱部長泰源：我補充一下，有關現在要解決的短期、長期，我們這幾次的開會都跟全國醫師公會、急診醫學會，還有各大醫院的院長一起研究出來的，所以我們提出來的方案跟急診醫學會提出的方案是很一致的，所以我們一定會趕快來努力。我們也看到目前來講，擴床數大於100床，從以前很多醫院包括高醫、奇美、臺大，現在只剩下林口長庚比較多，其他都已經降下到100床。"],["陳委員俊宇：好。"],["邱部長泰源：我們希望能夠馬上來改善。"],["卓院長榮泰：今天的下降數是比較明顯的，當然還有相當多的數字，但是趨勢是這樣子，我請衛福部再加強努力協調。"],["陳委員俊宇：好，謝謝院長跟部長。其實我要關心的是宜蘭縣陽明交大附設醫院。"],["卓院長榮泰：是。"],["陳委員俊宇：因為這個醫院現在二期工程，院長在去年11月9日也有去視察，二期工程已經順利動工了，動工後未來床數增加出來，護理人員不夠的狀況之下，你說我們的硬體設施已經完善了，卻沒辦法讓病患可以進到醫院裡面接受治療，這讓我們覺得非常的不可思議。所以我要拜託院長跟部長，宜蘭縣也有很好的護理專科學校，包括聖母護專跟耕莘護專非常的完善，現在少子化，在這個地方如果沒有比較完善教育一貫的作業，致使這些孩子專科畢業之後都到外縣市求學，導致人才流失，所以有什麼樣的辦法也可以結合在地醫學，學校的部分跟醫院來做結合，讓未來這些護理人員可以留在宜蘭縣，來為宜蘭縣的民眾服務。"],["邱部長泰源：謝謝委員。跟委員報告，全國性來說，當然是改善護理的職場。說實在的醫事人員因為健保，政府也提供增加了很多健保的經費，其實應該要加薪到醫事人員，以地方來講，好不容易那個地方有護理的學院，又有這麼好的一個醫院，這個醫院是陽交大的附設醫院，後面是有多少教授、多少醫生、多少資源，當然那是因為教育部的，但是我站在衛福部也了解它的水準實在可以做得很高，但是它如果缺護理人員，變成它的專業沒辦法發揮，這樣也很可惜。"],["陳委員俊宇：是。"],["邱部長泰源：所以我們建議陽交大可以常接洽護理學院，這兩個學校可以來交流。我也希望可以讓畢業生很有水準地來學習、都很有品質，畢業生出來都可以來這裡服務，不然在地的人才沒有投入在地……"],["陳委員俊宇：是不是請鄭部長大概說明一下？"],["卓院長榮泰：鄭部長請。"],["鄭部長英耀：謝謝，感謝委員的關心。跟委員報告，陽明交大附設醫院第二期的醫療大樓工程，現在進度是超前的。"],["陳委員俊宇：超前。"],["鄭部長英耀：職務宿舍的工程進度也都超前。剛才委員在關心人才要怎麼培養，目前我們有一個好的方式，就是為了宜蘭地區護理人員的進修，他可以結合合作的醫院，用公假進修讓護理師就在地二技的在職專班，同時於去年開始延續到今年，臺北的護理健康大學同樣也都跟委員剛才所關心的這兩所學校，所謂的耕莘跟聖母醫院專科學校的這些護理，都有一個合作的進修，讓他們在地就能夠直接在職進修。然後當然包含陽明交大這個部分，他們也提供了許多實習獎助學金跟在職進修的一些機會，希望能夠讓在地的醫護人員也能夠留在在地服務，我想作這樣一個補充說明。"],["陳委員俊宇：謝謝，謝謝部長。我真的希望說，我們這個陽明交通大學附設醫院，它二期工程完成之後，不只是硬體設備的完善，我們的護理人員都能夠齊全的話，才能夠實質發揮醫療的效能。","陽明交大附醫的整個工程完成之後，我們更希望能夠朝向醫學中心的等級來努力，能夠建構一個更加安全，更加符合宜蘭民眾健康、安全需求的一所醫院，這是我們要求的一個最大的目標，也請兩位部長一起協助院長。"],["卓院長榮泰：是的。委員，我們去年底去陽明交大看現場工地的時候，我記得我有特別詢問到二期的醫療大樓之外，即職務宿舍，我覺得職務宿舍的健全，會有利於醫護人員留任。"],["陳委員俊宇：好。"],["卓院長榮泰：如果大家往這個方向去做，不僅是醫院，其他的企業都能夠有自己的宿舍。"],["陳委員俊宇：好。"],["卓院長榮泰：都能夠留住人才，我覺得這是一個很好的典範。"],["陳委員俊宇：好。"],["卓院長榮泰：我們用這個來鼓勵大家。"],["陳委員俊宇：好、好，謝謝兩位部長。另外，我要針對財劃法的部分就教行政院，我們預計在2月27號院會之後，我們會對於總預算案提出覆議，財劃法是否會一併的覆議，這個目前還未知。","財劃法修正之後，將會從中央拿走超過15%以上的預算，差不多是3,753億左右。錢隨著中央轉移到地方，事權的部分有沒有轉移，對於後續需由中央移轉到地方辦理的相關業務，這些工作，我們政府是不是已經完成整個盤點，影響最大的補助事項，中央對地方的部分會是什麼項目？"],["卓院長榮泰：財劃法新的修法內容，有幾項很不適當、不合理的地方，第一個就是，它的水平分配會造成未來城鄉差距會更大；第二個就是，委員剛剛所說的錢帶過去，事權卻沒有帶走，帶走多少事權在裡面並沒有清楚地說明，所以未來我們希望大家能夠很理性的、很冷靜的，我們為了國家整體的發展，中央有中央的財務、財力，地方也要有地方的財政，但是事權要分得清清楚楚，這樣才能夠各司其責，各自負責。所以我們很期望財劃法我們能夠有更充裕的時間跟地方再談，也讓我們算得更精確，算出來之後，絕對不是中央集錢又集權。"],["陳委員俊宇：是。"],["卓院長榮泰：而是能夠分給地方的，讓地方能夠來承接，這個才是我們現在的原則，所以很希望財劃法還有機會，大家能夠重新來審議。"],["陳委員俊宇：好，謝謝院長。我現在擔心的是因為我們宜蘭縣未來這幾年所推行的相關的公共建設，都是金額非常高、非常大的，假設未來我們中央跟地方的經費分配比例如果做調整的話，會不會影響到宜蘭包括交通建設還是相關建設的推動？"],["卓院長榮泰：怎麼分配部長來討論，地方財源主要三個地方，一個就是統籌分配稅款直接進地方的歲入，另外兩個中央補助的部分，一個是一般型補助跟計畫型補助。","計畫型補助裡面很多是跨年度的長期連續性的預算；地方一般性的補助裡面又有一些是法定的，以及針對各個地方不同需求的補助，如果中央切掉一大部分的錢，地方的計畫性補助跟一般性補助，都必須由地方來承接，到底有多少？如果這樣算出來的話，我認為依照現在中央現在的結構，會讓地方感覺到說我拿了100塊，可能我要做的事情會更多。"],["陳委員俊宇：是。"],["卓院長榮泰：如果能夠統籌的話，會節省很多行政上的作業，如果單個縣市來做，它必須負擔可能是不同成數的加倍，所以如果這樣子來說，地方可能會拿到的錢卻要做更多的事情，我們也不希望增加地方的負擔，所以我請財政部來合理的計算。"],["莊部長翠雲：跟委員報告，如同剛剛院長所說，中央對地方，除了中央統籌分配稅款以外，還有搭配我們主計總處的一般性補助款，一般性補助款它有幾個用途：第一個就是對基本財政收支差短，它一定會補助；另外對其他重要要辦理的事項，也會給予補助。另外就是計畫型補助，計畫型的補助就看各地方政府的計畫，以及財政能力給予補助。將來如果你擴大了中央統籌分配稅款，而且沒有做事權分配的話，當然會影響到這些補款的一些分配。"],["陳委員俊宇：好，因為時間因素。我還是再次拜託我們院長跟我們相關部會的首長，對於宜蘭縣目前在推動的，包括交通建設的部分，不會因為新的財劃法通過之後，影響到工程的進行，也希望包括我們的鐵路高架、高鐵延伸宜蘭、台62線、蘭陽大橋還有噶瑪蘭大橋等等，這些已經在規劃中的重大交通建設，都能夠順利的推動，能夠及早的來完工，提供給民眾一個便捷的交通路網。"],["卓院長榮泰：宜蘭不僅是我們北北基宜首都圈黃金廊帶，它也會加入我們東部城鄉慢活的區域治理計畫，我希望我也看到宜蘭的未來一定是科技跟傳統跟現在的產業同時進步。"],["陳委員俊宇：好，謝謝院長、部長。"],["主席：謝謝陳俊宇委員的質詢，謝謝卓院長及相關部會首長的備詢。","接下來我們請登記第7位羅智強委員質詢。"]],"agenda":{"page_end":232,"meet_id":"院會-11-3-2","speakers":["韓國瑜","王鴻薇","吳思瑤","范雲","吳春城","傅崐萁","陳培瑜","陳俊宇","羅智強"],"page_start":13,"meetingDate":["2025-02-25"],"gazette_id":"1142401","agenda_lcidc_ids":["1142401_00002","1142401_00003","1142401_00004","1142401_00005"],"meet_name":"立法院第11屆第3會期第2次會議紀錄","content":"施政質詢\n行政院院長提出施政方針及施政報告並備質詢─ 進行質詢─","agenda_id":"1142401_00004"}}}