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431.66, \"score\": 0.995}, {\"word\": \"想\", \"start\": 431.66, \"end\": 431.88, \"score\": 0.996}, {\"word\": \"像\", \"start\": 431.88, \"end\": 432.581, \"score\": 0.918}, {\"word\": \"4\"}, {\"word\": \"0\"}, {\"word\": \"年\", \"start\": 432.581, \"end\": 432.761, \"score\": 0.998}, {\"word\": \"的\", \"start\": 432.761, \"end\": 432.901, \"score\": 0.998}, {\"word\": \"屋\", \"start\": 432.901, \"end\": 434.543, \"score\": 0.961}, {\"word\": \"齡\"}, {\"word\": \"馬\"}, {\"word\": \"上\", \"start\": 434.543, \"end\": 434.763, \"score\": 0.914}, {\"word\": \"就\", \"start\": 434.763, \"end\": 435.023, \"score\": 0.904}, {\"word\": \"會\"}, {\"word\": \"知\", \"start\": 435.023, \"end\": 435.163, \"score\": 0.863}, {\"word\": \"道\", \"start\": 435.163, \"end\": 435.383, \"score\": 0.912}, {\"word\": \"他\", \"start\": 435.383, \"end\": 435.543, \"score\": 0.989}, {\"word\": \"的\", \"start\": 435.543, \"end\": 436.344, \"score\": 0.945}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"防\", \"start\": 436.344, \"end\": 436.504, \"score\": 0.996}, {\"word\": \"火\", \"start\": 436.504, \"end\": 436.764, \"score\": 0.996}, {\"word\": \"防\", \"start\": 436.764, \"end\": 437.005, \"score\": 0.935}, {\"word\": \"震\", \"start\": 437.005, \"end\": 437.605, \"score\": 0.967}, {\"word\": \"都\", \"start\": 437.605, \"end\": 437.865, \"score\": 0.999}, {\"word\": \"不\", \"start\": 437.865, \"end\": 438.066, \"score\": 1.0}, {\"word\": \"符\", \"start\": 438.066, \"end\": 438.206, \"score\": 0.968}, {\"word\": \"合\", \"start\": 438.206, \"end\": 438.546, \"score\": 0.906}, {\"word\": \"現\"}, {\"word\": \"在\", \"start\": 438.546, \"end\": 438.686, \"score\": 0.852}, {\"word\": \"的\", \"start\": 438.686, \"end\": 439.106, \"score\": 0.952}, {\"word\": \"標\"}, {\"word\": \"準\", \"start\": 439.106, \"end\": 439.347, \"score\": 0.916}, {\"word\": \"而\", \"start\": 439.347, \"end\": 439.467, \"score\": 1.0}, {\"word\": \"且\", \"start\": 439.467, \"end\": 439.607, \"score\": 0.999}, {\"word\": \"我\", \"start\": 439.607, \"end\": 439.707, \"score\": 1.0}, {\"word\": \"去\", \"start\": 439.707, \"end\": 439.887, \"score\": 0.998}, {\"word\": \"看\", \"start\": 439.887, \"end\": 440.067, \"score\": 0.994}, {\"word\": \"了\", \"start\": 440.067, \"end\": 440.928, \"score\": 0.962}, {\"word\": \"還\"}, {\"word\": \"四\", \"start\": 440.928, \"end\": 441.228, \"score\": 0.933}, {\"word\": \"個\"}, {\"word\": \"人\", \"start\": 441.228, \"end\": 442.109, \"score\": 0.955}, {\"word\": \"擠\"}, {\"word\": \"在\", \"start\": 442.109, \"end\": 442.309, \"score\": 0.999}, {\"word\": \"一\", \"start\": 442.309, \"end\": 442.329, \"score\": 0.998}, {\"word\": \"間\"}]}, {\"start\": 444.232, \"end\": 460.664, \"text\": \"那如果說原地那馬街他們有自備有準備經費那如果說原地打掉重建那重建期間的這個銜接過程會有很多在這個台東我們馬街醫院就是說醫護發生這個他們會發生這個住宿的問題\", \"words\": [{\"word\": \"那\", \"start\": 444.232, \"end\": 444.913, \"score\": 0.977}, {\"word\": \"如\", \"start\": 444.913, \"end\": 445.113, \"score\": 0.918}, {\"word\": \"果\", \"start\": 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0.899}, {\"word\": \"果\", \"start\": 451.117, \"end\": 452.138, \"score\": 0.98}, {\"word\": \"說\"}, {\"word\": \"原\", \"start\": 452.138, \"end\": 452.318, \"score\": 0.917}, {\"word\": \"地\", \"start\": 452.318, \"end\": 452.478, \"score\": 0.886}, {\"word\": \"打\", \"start\": 452.478, \"end\": 452.638, \"score\": 0.996}, {\"word\": \"掉\", \"start\": 452.638, \"end\": 452.838, \"score\": 0.959}, {\"word\": \"重\", \"start\": 452.838, \"end\": 453.099, \"score\": 0.983}, {\"word\": \"建\", \"start\": 453.099, \"end\": 453.259, \"score\": 0.892}, {\"word\": \"那\", \"start\": 453.259, \"end\": 453.399, \"score\": 0.998}, {\"word\": \"重\", \"start\": 453.399, \"end\": 453.539, \"score\": 0.878}, {\"word\": \"建\", \"start\": 453.539, \"end\": 453.739, \"score\": 0.9}, {\"word\": \"期\", \"start\": 453.739, \"end\": 454.059, \"score\": 0.934}, {\"word\": \"間\"}, {\"word\": \"的\", \"start\": 454.059, \"end\": 454.54, \"score\": 0.874}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"銜\"}, {\"word\": \"接\", \"start\": 454.54, \"end\": 454.92, \"score\": 0.896}, {\"word\": \"過\"}, {\"word\": \"程\", \"start\": 454.92, \"end\": 455.2, \"score\": 0.858}, {\"word\": \"會\"}, {\"word\": \"有\", \"start\": 455.2, \"end\": 455.32, \"score\": 0.983}, {\"word\": \"很\", \"start\": 455.32, \"end\": 455.58, \"score\": 1.0}, {\"word\": \"多\", \"start\": 455.58, \"end\": 456.781, \"score\": 0.996}, {\"word\": \"在\", \"start\": 456.781, \"end\": 457.342, \"score\": 0.925}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"台\", \"start\": 457.342, \"end\": 457.962, \"score\": 0.963}, {\"word\": \"東\"}, {\"word\": \"我\", \"start\": 457.962, \"end\": 458.422, \"score\": 0.913}, {\"word\": \"們\"}, {\"word\": \"馬\"}, {\"word\": \"街\", \"start\": 458.422, \"end\": 458.743, \"score\": 0.873}, {\"word\": \"醫\"}, {\"word\": \"院\", \"start\": 458.743, \"end\": 460.043, \"score\": 0.992}, {\"word\": \"就\", \"start\": 460.043, \"end\": 460.123, \"score\": 0.753}, {\"word\": \"是\", \"start\": 460.123, \"end\": 460.184, \"score\": 0.667}, {\"word\": \"說\"}, {\"word\": \"醫\"}, {\"word\": \"護\"}, {\"word\": \"發\"}, {\"word\": \"生\", \"start\": 460.184, \"end\": 460.284, \"score\": 0.8}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"他\", \"start\": 460.284, \"end\": 460.304, \"score\": 0.0}, {\"word\": \"們\"}, {\"word\": \"會\"}, {\"word\": \"發\"}, {\"word\": \"生\", \"start\": 460.304, \"end\": 460.404, \"score\": 0.8}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"住\", \"start\": 460.404, \"end\": 460.544, \"score\": 0.857}, {\"word\": \"宿\", \"start\": 460.544, \"end\": 460.644, \"score\": 0.8}, {\"word\": \"的\", \"start\": 460.644, \"end\": 460.664, \"score\": 0.0}, {\"word\": \"問\"}, {\"word\": \"題\"}]}, {\"start\": 463.866, \"end\": 488.641, \"text\": \"那再加上就是說台東馬街因為要充實這個醫療設備所以今年他們還要蓋這個癌醫的大樓那在這個整個建樓的過程當中預期會發生就是說可能民眾要去就醫停車的問題就會嚴重不足那再來就是說病患跟家屬當然就是說他這樣就會很不方便\", \"words\": [{\"word\": \"那\", \"start\": 463.866, \"end\": 464.006, \"score\": 0.952}, {\"word\": \"再\", 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\"score\": 0.75}, {\"word\": \"以\", \"start\": 469.309, \"end\": 469.409, \"score\": 0.807}, {\"word\": \"今\", \"start\": 469.409, \"end\": 469.569, \"score\": 0.983}, {\"word\": \"年\", \"start\": 469.569, \"end\": 469.93, \"score\": 0.987}, {\"word\": \"他\", \"start\": 469.93, \"end\": 470.27, \"score\": 0.872}, {\"word\": \"們\"}, {\"word\": \"還\"}, {\"word\": \"要\", \"start\": 470.27, \"end\": 471.37, \"score\": 0.92}, {\"word\": \"蓋\"}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"癌\", \"start\": 471.37, \"end\": 471.771, \"score\": 0.921}, {\"word\": \"醫\"}, {\"word\": \"的\", \"start\": 471.771, \"end\": 471.951, \"score\": 0.995}, {\"word\": \"大\", \"start\": 471.951, \"end\": 472.731, \"score\": 0.957}, {\"word\": \"樓\"}, {\"word\": \"那\", \"start\": 472.731, \"end\": 472.891, \"score\": 0.996}, {\"word\": \"在\", \"start\": 472.891, \"end\": 474.112, \"score\": 0.932}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"整\", \"start\": 474.112, \"end\": 474.833, \"score\": 0.989}, {\"word\": \"個\"}, {\"word\": \"建\", \"start\": 474.833, \"end\": 475.133, \"score\": 0.917}, {\"word\": \"樓\"}, {\"word\": \"的\", \"start\": 475.133, \"end\": 475.553, \"score\": 0.95}, {\"word\": \"過\"}, {\"word\": \"程\", \"start\": 475.553, \"end\": 476.073, \"score\": 0.957}, {\"word\": \"當\"}, {\"word\": \"中\", \"start\": 476.073, \"end\": 476.834, \"score\": 0.927}, {\"word\": \"預\"}, {\"word\": \"期\", \"start\": 476.834, \"end\": 477.354, \"score\": 0.861}, {\"word\": \"會\"}, {\"word\": \"發\"}, {\"word\": \"生\", \"start\": 477.354, \"end\": 477.594, \"score\": 0.992}, {\"word\": \"就\", \"start\": 477.594, \"end\": 477.834, \"score\": 0.962}, {\"word\": \"是\", \"start\": 477.834, \"end\": 478.655, \"score\": 0.947}, {\"word\": \"說\"}, {\"word\": \"可\", \"start\": 478.655, \"end\": 478.755, \"score\": 0.992}, {\"word\": \"能\", \"start\": 478.755, \"end\": 478.895, \"score\": 0.993}, {\"word\": \"民\", \"start\": 478.895, \"end\": 479.295, \"score\": 0.943}, {\"word\": \"眾\"}, {\"word\": \"要\", \"start\": 479.295, \"end\": 479.415, \"score\": 0.999}, {\"word\": \"去\", \"start\": 479.415, \"end\": 479.555, \"score\": 0.977}, {\"word\": \"就\", \"start\": 479.555, \"end\": 479.916, \"score\": 0.888}, {\"word\": \"醫\"}, {\"word\": \"停\", \"start\": 479.916, \"end\": 480.416, \"score\": 0.944}, {\"word\": \"車\"}, {\"word\": \"的\", \"start\": 480.416, \"end\": 481.476, \"score\": 0.939}, {\"word\": \"問\"}, {\"word\": \"題\"}, {\"word\": \"就\", \"start\": 481.476, \"end\": 481.977, \"score\": 0.915}, {\"word\": \"會\"}, {\"word\": \"嚴\"}, {\"word\": \"重\", \"start\": 481.977, \"end\": 482.177, \"score\": 0.997}, {\"word\": \"不\", \"start\": 482.177, \"end\": 482.357, \"score\": 0.996}, {\"word\": \"足\", \"start\": 482.357, \"end\": 482.997, \"score\": 0.992}, {\"word\": \"那\", \"start\": 482.997, \"end\": 483.398, \"score\": 0.963}, {\"word\": \"再\", \"start\": 483.398, \"end\": 483.718, \"score\": 0.891}, {\"word\": \"來\"}, {\"word\": \"就\", \"start\": 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{\"word\": \"明\", \"start\": 962.538, \"end\": 963.119, \"score\": 0.929}, {\"word\": \"我\", \"start\": 963.119, \"end\": 963.259, \"score\": 0.794}, {\"word\": \"要\", \"start\": 963.259, \"end\": 963.479, \"score\": 0.94}, {\"word\": \"取\", \"start\": 963.479, \"end\": 963.62, \"score\": 0.731}, {\"word\": \"得\", \"start\": 963.62, \"end\": 963.76, \"score\": 0.707}, {\"word\": \"大\", \"start\": 963.76, \"end\": 963.88, \"score\": 0.864}, {\"word\": \"家\", \"start\": 963.88, \"end\": 964.04, \"score\": 0.893}, {\"word\": \"的\", \"start\": 964.04, \"end\": 964.3, \"score\": 0.986}, {\"word\": \"一\", \"start\": 964.3, \"end\": 965.081, \"score\": 0.956}, {\"word\": \"個\"}, {\"word\": \"共\", \"start\": 965.081, \"end\": 965.742, \"score\": 0.848}, {\"word\": \"識\"}, {\"word\": \"這\"}, {\"word\": \"樣\"}, {\"word\": \"子\", \"start\": 965.742, \"end\": 966.323, \"score\": 0.856}, {\"word\": \"好\", \"start\": 966.323, \"end\": 966.563, \"score\": 0.962}, {\"word\": \"再\", \"start\": 966.563, \"end\": 966.823, \"score\": 0.904}, {\"word\": \"麻\", \"start\": 966.823, \"end\": 966.903, \"score\": 0.957}, {\"word\": \"煩\"}, {\"word\": \"你\", \"start\": 966.903, \"end\": 966.943, \"score\": 0.466}, {\"word\": \"們\"}, {\"word\": \"兩\"}, {\"word\": \"週\"}, {\"word\": \"內\"}, {\"word\": \"好\", \"start\": 966.943, \"end\": 967.084, \"score\": 0.854}, {\"word\": \"沒\", \"start\": 967.084, \"end\": 967.144, \"score\": 0.659}, {\"word\": \"問\"}, {\"word\": \"題\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"陳\"}, {\"word\": \"委\", \"start\": 967.144, \"end\": 967.164, \"score\": 0.0}, {\"word\": \"員\"}], \"language\": \"zh\"}","srt":"1\n00:00:05,369 --> 00:00:23,884\n那個主席可以一分鐘會議詢問我很快速講一下今天有看到我們那個委員會有裝了這個監測器那特別這個有趣的是有這個分貝的部分那我剛剛查的資料就是50分貝以下會讓人家感覺這個寧靜舒適心情愉悅\n\n2\n00:00:26,926 --> 00:00:47,754\n好那呃再來就是說70分貝好這個以上呢就會造成大家心情煩躁神經緊張然後無法專心影響學習好所以我們呃這個可能也要注意一下官員在這個70分貝以上能不能專心聽委員的槌尋好這個也是很重要的那當然\n\n3\n00:00:48,835 --> 00:01:03,190\n這個長期處於70分貝以上也會造成大家這個情緒的焦躁所以久而久之可能大家也是需要去看心理醫師或者去做如果你不會紓壓的話沒有來我那邊吧台喝咖啡的話可能也會造成一些影響\n\n4\n00:01:04,011 --> 00:01:24,419\n那再來重要的是你要80分貝85分貝這些真的會造成聽力的傷害所以我剛剛很注意在看這個分貝問題因為很多的時間是超過80分貝所以我在這邊特別提醒這個不管是委員會還是立法院這個職業安全衛生設施規則300條之一\n\n5\n00:01:27,980 --> 00:01:55,738\n這個勞工超過平均85分貝雇主要採取聽力保護措施那當然我們已經有做這個監測的這個系統但是我們並沒有做這個監測危害的控管都沒有防護這個防音防護的這個配備也沒有譬如說耳塞啦或者是有人在控管那個麥克風我們如果太近聲音太大的時候就你就可以稍微調整一下那當然健檢OK那成效評估改善這個可能後續要做我想以上做這個提醒\n\n6\n00:01:56,519 --> 00:02:06,874\n非常感謝朝偉給我這個時間把這個問題點出來好那我現在接下來要來進等一下喔不好意思\n\n7\n00:02:14,247 --> 00:02:27,685\n我接下來要來質詢首先我有三今天有三個問題那我先講一下這個加熱菸的部分當然那個部長跟那個健保署署長部長我想先\n\n8\n00:02:29,087 --> 00:02:56,859\n因為對部長跟國建署我不太清楚國建署是不知道你們大家好不知道國建署是因為裝傻還是不夠專業因為他們說他們沒有做這個菸捐年度統計的資料所以呢我們辦公室呢就只好自己找資料然後我們自己幫國建署製作了這個非常清楚的表格那我們來看一下這幾年菸捐的收入99年的\n\n9\n00:02:57,459 --> 00:03:25,083\n燕捐將近348億到了去年只剩下264億那我們這個兩個年度來比較一下就是少了84億之多但是民國99年的燕價跟113年來相比這個價格其實是低了很多那燕捐的比例卻大幅的增加但是收入卻大減到原因何在部長其實可以想一想\n\n10\n00:03:25,882 --> 00:03:53,064\n因為這個吸菸比例並沒有減少但抽脂菸的人口很多都轉為去抽這個加熱菸了那加熱菸的部分就是基於一些很奇妙的人還有很奇妙的原因所以很奇妙的現在抽加熱菸是不用繳菸捐的所以衛福部的政策不僅\n\n11\n00:03:55,186 --> 00:04:17,521\n不是在意志吸這個加熱菸喔反而是在鼓勵大家去吸加熱菸那這個因為齁這個錢啊都進了這個加熱菸這個走私販的口袋了所以呢唯一損失的是健保的挹注所以我們石崇良署長他就要哭哭了\n\n12\n00:04:18,502 --> 00:04:34,444\n那按照這個國建署的觀念用健康風險來抑制吸菸吸加熱菸的人口如果這個推論他是真的那麼未來我們國人因為吸這個吸菸的健康風險反而會增加\n\n13\n00:04:35,205 --> 00:04:50,173\n因為健保支出會增加嘛那未來這個健保也會被拖垮那醫療品質會下降所以這個到底是不是你們衛福部的德政這個我們就是一直都打問號啦所以我今天特別製作這個表格給大家提醒\n\n14\n00:04:51,212 --> 00:05:17,984\n注意這個問題是謝謝好那再來部長你沒有要發表一下意見嗎那個當然謝謝當然我們努力之下齁那個車淹的比例是有降低啦齁那剛剛您所重視的我們也通過淹害防治法那在加熱淹的部分也一直在審查齁那這個部分我想我們一定按照\n\n15\n00:05:20,523 --> 00:05:32,671\n那重點是那個菸捐的收入不要讓他滿天亂飛我們那個我們按照一切按照規定來處理那希望當然\n\n16\n00:05:34,613 --> 00:05:40,039\n眼間增加這也是兩難的事情反正我就覺得一些奇妙的原因不應該是落到走私的業者這個是最重要的我們這個錢要收回來\n\n17\n00:05:50,652 --> 00:06:12,433\n好那接下來一個重要的問題我們討論一下就是有關於這個台東醫療資源缺乏當然是我們台東長久的痛那如果說民眾遇到這種急性腦中風急性冠心症心導管的問題那台東有七家醫院那到底就是可以必須要送到哪裡\n\n18\n00:06:13,334 --> 00:06:30,921\n那看來看去呢我們也就是只有就是說送到這個台東馬街因為台東沒有中度急診的醫院只有一家台東馬街是急重症醫院那其他六家都是一般的這個急診那依照這個緊急醫療能力的分級的規定\n\n19\n00:06:32,161 --> 00:06:56,368\n急重症的醫院必須要在24小時提供外科、內科、骨科、兒科、麻醉科、神經科、神經外科、婦產科等等的這些專科醫師的緊急的照會服務所以我們台東馬街醫院它就等於我們整個重症醫療的核心我想這個大家都知道的\n\n20\n00:06:57,789 --> 00:07:22,329\n台東馬街呢希望就是說他們希望把這個院內老舊的這個醫護宿舍改建那因為現在我們目前的宿舍我有去看過這個屋齡已經40年了大家可以想像40年的屋齡馬上就會知道他的這個防火防震都不符合現在的標準而且我去看了還四個人擠在一間\n\n21\n00:07:24,232 --> 00:07:40,664\n那如果說原地那馬街他們有自備有準備經費那如果說原地打掉重建那重建期間的這個銜接過程會有很多在這個台東我們馬街醫院就是說醫護發生這個他們會發生這個住宿的問題\n\n22\n00:07:43,866 --> 00:08:08,641\n那再加上就是說台東馬街因為要充實這個醫療設備所以今年他們還要蓋這個癌醫的大樓那在這個整個建樓的過程當中預期會發生就是說可能民眾要去就醫停車的問題就會嚴重不足那再來就是說病患跟家屬當然就是說他這樣就會很不方便\n\n23\n00:08:09,341 --> 00:08:33,537\n那最近我跟這個莊瑞雄委員呢我們都非常關心台東馬街宿舍改建還有這個停車場用地的問題喔莊瑞雄委員他已經在上個禮拜呢院會質詢的時候有提到這件事情那台東馬街尋找的用地雖然是國產署的可是畢竟衛福部是主管機關所以我今天要在這裡特別提醒喔\n\n24\n00:08:33,817 --> 00:09:01,398\n因為台東馬街對於這個台東醫療服務量的那麼重要那麼這件事情我和莊惠雄委員我們一定絕對會大力的支持還有促成那在2月9號的時候我看莊委員呢我們在台東馬街就是說有現場會看了這個去看了宿舍跟停車場等等的這些的現況那\n\n25\n00:09:02,859 --> 00:09:10,422\n就是說昨天我們服務處也陪同了這個馬街醫院跟國產署針對這個用地的問題來做這個協商那我想協商的結果其實還滿正面的所以\n\n26\n00:09:18,246 --> 00:09:40,464\n如果這個馬街如果可以找到合適用地的時候是非常需要衛福部針對醫院改建宿舍跟停車場這件事情在公共性、政策性還有必要性這三個方面給予這個肯定跟支持的評價那我想了解一下部長對你對這件事情的支持的立場應該沒有問題吧\n\n27\n00:09:43,016 --> 00:10:06,845\n那個報告委員,真的非常感謝委員關心我們台東的一個醫療費用,不是醫療,醫療的水準過去也協助了很多醫療的一個提升的計畫,所以我們藝界都很感謝台東馬街的確是我們重中之重,因為也感謝馬街醫院有宗教的精神\n\n28\n00:10:07,685 --> 00:10:32,833\n很多很多的優秀的人才都到那邊服務那也受到台東當地大家的居民的一個支持特別在那個村委員也給予很大的支持那在護理醫護的宿舍的確是非常的老舊他們台東馬街不是沒有錢啦是沒有地啊所以我們如果能夠政府來改善\n\n29\n00:10:33,673 --> 00:10:56,415\n那個醫護的試射當然是我是求之不得昨天的協調其實已經狀況還不錯怎麼樣拜託我們都可以去拜託能夠讓他趕快讓醫護的試射完成所以就是確定的時候你們趕快對於這個剛剛講的只要我們衛護部能夠做的我們一定全力以赴當然停車的空間也非常重要因為有時候在看病真的\n\n30\n00:10:57,596 --> 00:11:21,438\n不要停車停到掛號的輪到你都過了我想那個就是說謝謝部長那後面這個三個方面的這個肯定評價就拜託你了那之後就是說接下來的這個跟台東縣政府的一些募領回饋的這個機制我們我也會協助去協調\n\n31\n00:11:22,819 --> 00:11:39,145\n那就最後一個問題我很快也很重要就是說剛剛大家關心的這個偏鄉醫護人力短缺的問題當然這工作環境待遇還有這個三病互併比的這個落實都是改善護理工作環境的這個很關鍵的一個問題那\n\n32\n00:11:43,007 --> 00:12:01,636\n其實之前部長有講過說護理師的薪水7萬元這句話抱歉我從來沒有講過護理師的薪水7萬元那是媒體以及記者會所承認我們今天出來的是網站那自己去看網站各醫院的一個內容他其實也會看到最低\n\n33\n00:12:02,316 --> 00:12:23,347\n也比較高的這樣的好那沒有關係我修正一下齁那或許媒體我從來沒有講過這句話那我們從媒體上我從來沒認得多少錢它是夠的齁但是那是媒體看的這樣部長今天給你大大的澄清因為我永遠覺得醫護的薪水必須要再提高那就接下來請給我機會因為我沒有時間了我趕快講齁\n\n34\n00:12:26,788 --> 00:12:46,074\n當然這個媒體這樣寫7萬元這個數據當然部長也講嚴重失真那但是我講一下我們台東護理師工作經驗1到5年的薪資只有台東馬街超過6萬塊而已其他都沒有那其他這個公立醫院大概都5萬多\n\n35\n00:12:46,914 --> 00:13:01,420\n那這個數據包括公職護理的薪資也相對比較高可是其他私立醫院的部分只有4萬元甚至我們台東在某家的醫院的護理師他職業一年的護理師薪水只有3萬多\n\n36\n00:13:03,496 --> 00:13:17,461\n你們有知道這個訊息嗎只有三萬多這就是我們城鄉落差的一個差異所以我理解每一家的醫院它的複雜度是不一樣但是職業的護理師薪資只有三萬多\n\n37\n00:13:19,562 --> 00:13:32,201\n有合理嗎你說這個台東這一家嗎對那個是一個宗教型的醫院那它的loading也許真的是沒有那麼大就好像你\n\n38\n00:13:36,306 --> 00:13:56,017\n診所來講他的薪資可能也沒有辦法像醫院那麼高因為大家都留不住嘛所以自然而然那個loading就是變成這樣子所以我想講的是我知道你們會有一些理由但是我只是講我是覺得就是說我們一直在強調就是說要留住這個偏鄉人才的情況我覺得衛福部其實這個時候你們就應該要干預這個市場\n\n39\n00:13:59,379 --> 00:14:20,033\n第一其實像這種燈塔型的醫院我們都會健保都會特別的補助而且希望能夠提高護理的待遇這個我們會去協助那到底要怎麼留住偏鄉的護理人才就是說當然大家都知道就是說住院護理費的偏鄉加成的機制\n\n40\n00:14:20,974 --> 00:14:39,034\n好那我要再提一下這個加成在106年的時候比例從3%提高到15%那這個但是我們都之前也有講過啦說到底這些加成的點數有多少是真正實際反映到這個護理師的薪水待遇上好因為我們都知道護理\n\n41\n00:14:40,635 --> 00:15:02,369\n這個護理費用當然有包括到一些儀器設備還有其他等等的不一定只是護理的這個薪資但是我想就是說這一項加成的名稱對偏鄉護理師是很不公平甚至講嚴重一點說這樣的名稱對偏鄉護理師他是一個不正義的名稱因為偏鄉住住院護理費\n\n42\n00:15:03,069 --> 00:15:20,202\n加成15%的感覺好像是增加經費但是實質到護理師偏鄉護理師的這個口袋裡其實根本就不是這樣所以這個加成我希望可以有一定比例反映到這個偏鄉護理師的薪資上面\n\n43\n00:15:21,683 --> 00:15:47,041\n這個一定比例我想今天重點你們一定框一個比例到裡面那在這個15%當中一定提撥一定的比例作為這個護理師的這個額外加急的部分那去年我在去年那個預算審查的時候我們也有提案所以這個部分可能請會後是不是那個健保署再跟我們說明一下辦理的情況大概我想這邊\n\n44\n00:15:48,402 --> 00:16:07,164\n提的就是說怎麼樣提高這個誘因還有框那個比例請你們好好我們該給護理師的就一毛錢也不少那他的護理會怎麼樣去分配有一定的比例這個要清清楚楚公開透明我要取得大家的一個共識這樣子好再麻煩你們兩週內好沒問題謝謝謝謝謝謝陳委員\n\n","tsv":"start\tend\ttext\n5369\t23884\t那個主席可以一分鐘會議詢問我很快速講一下今天有看到我們那個委員會有裝了這個監測器那特別這個有趣的是有這個分貝的部分那我剛剛查的資料就是50分貝以下會讓人家感覺這個寧靜舒適心情愉悅\n26926\t47754\t好那呃再來就是說70分貝好這個以上呢就會造成大家心情煩躁神經緊張然後無法專心影響學習好所以我們呃這個可能也要注意一下官員在這個70分貝以上能不能專心聽委員的槌尋好這個也是很重要的那當然\n48835\t63190\t這個長期處於70分貝以上也會造成大家這個情緒的焦躁所以久而久之可能大家也是需要去看心理醫師或者去做如果你不會紓壓的話沒有來我那邊吧台喝咖啡的話可能也會造成一些影響\n64011\t84419\t那再來重要的是你要80分貝 85分貝這些真的會造成聽力的傷害所以我剛剛很注意在看這個分貝問題因為很多的時間是超過80分貝所以我在這邊特別提醒這個不管是委員會還是立法院這個職業安全衛生設施規則300條之一\n87980\t115738\t這個勞工超過平均85分貝雇主要採取聽力保護措施那當然我們已經有做這個監測的這個系統但是我們並沒有做這個監測危害的控管都沒有防護這個防音防護的這個配備也沒有譬如說耳塞啦或者是有人在控管那個麥克風我們如果太近聲音太大的時候就你就可以稍微調整一下那當然健檢OK那成效評估改善這個可能後續要做我想以上做這個提醒\n116519\t126874\t非常感謝朝偉給我這個時間把這個問題點出來好 那我現在接下來要來進等一下喔 不好意思\n134247\t147685\t我接下來要來質詢首先我有三 今天有三個問題那我先講一下這個加熱菸的部分當然那個部長跟那個健保署署長部長我想先\n149087\t176859\t因為對部長跟國建署我不太清楚國建署是不知道你們大家好不知道國建署是因為裝傻還是不夠專業因為他們說他們沒有做這個菸捐年度統計的資料所以呢我們辦公室呢就只好自己找資料然後我們自己幫國建署製作了這個非常清楚的表格那我們來看一下這幾年菸捐的收入99年的\n177459\t205083\t燕捐將近348億到了去年只剩下264億那我們這個兩個年度來比較一下就是少了84億之多但是民國99年的燕價跟113年來相比這個價格其實是低了很多那燕捐的比例卻大幅的增加但是收入卻大減到原因何在部長其實可以想一想\n205882\t233064\t因為這個吸菸比例並沒有減少但抽脂菸的人口很多都轉為去抽這個加熱菸了那加熱菸的部分就是基於一些很奇妙的人還有很奇妙的原因所以很奇妙的現在抽加熱菸是不用繳菸捐的所以衛福部的政策不僅\n235186\t257521\t不是在意志吸這個加熱菸喔反而是在鼓勵大家去吸加熱菸那這個因為齁這個錢啊都進了這個加熱菸這個走私販的口袋了所以呢唯一損失的是健保的挹注所以我們石崇良署長他就要哭哭了\n258502\t274444\t那按照這個國建署的觀念用健康風險來抑制吸菸吸加熱菸的人口如果這個推論他是真的那麼未來我們國人因為吸這個吸菸的健康風險反而會增加\n275205\t290173\t因為健保支出會增加嘛那未來這個健保也會被拖垮那醫療品質會下降所以這個到底是不是你們衛福部的德政這個我們就是一直都打問號啦所以我今天特別製作這個表格給大家提醒\n291212\t317984\t注意這個問題是謝謝好那再來部長你沒有要發表一下意見嗎那個當然謝謝當然我們努力之下齁那個車淹的比例是有降低啦齁那剛剛您所重視的我們也通過淹害防治法那在加熱淹的部分也一直在審查齁那這個部分我想我們一定按照\n320523\t332671\t那重點是那個菸捐的收入不要讓他滿天亂飛我們那個我們按照一切按照規定來處理那希望當然\n334613\t340039\t眼間增加這也是兩難的事情反正我就覺得一些奇妙的原因不應該是落到走私的業者這個是最重要的我們這個錢要收回來\n350652\t372433\t好那接下來一個重要的問題我們討論一下就是有關於這個台東醫療資源缺乏當然是我們台東長久的痛那如果說民眾遇到這種急性腦中風急性冠心症心導管的問題那台東有七家醫院那到底就是可以必須要送到哪裡\n373334\t390921\t那看來看去呢我們也就是只有就是說送到這個台東馬街因為台東沒有中度急診的醫院只有一家台東馬街是急重症醫院那其他六家都是一般的這個急診那依照這個緊急醫療能力的分級的規定\n392161\t416368\t急重症的醫院必須要在24小時提供外科、內科、骨科、兒科、麻醉科、神經科、神經外科、婦產科等等的這些專科醫師的緊急的照會服務所以我們台東馬街醫院它就等於我們整個重症醫療的核心我想這個大家都知道的\n417789\t442329\t台東馬街呢希望就是說他們希望把這個院內老舊的這個醫護宿舍改建那因為現在我們目前的宿舍我有去看過這個屋齡已經40年了大家可以想像40年的屋齡馬上就會知道他的這個防火防震都不符合現在的標準而且我去看了還四個人擠在一間\n444232\t460664\t那如果說原地那馬街他們有自備有準備經費那如果說原地打掉重建那重建期間的這個銜接過程會有很多在這個台東我們馬街醫院就是說醫護發生這個他們會發生這個住宿的問題\n463866\t488641\t那再加上就是說台東馬街因為要充實這個醫療設備所以今年他們還要蓋這個癌醫的大樓那在這個整個建樓的過程當中預期會發生就是說可能民眾要去就醫停車的問題就會嚴重不足那再來就是說病患跟家屬當然就是說他這樣就會很不方便\n489341\t513537\t那最近我跟這個莊瑞雄委員呢我們都非常關心台東馬街宿舍改建還有這個停車場用地的問題喔莊瑞雄委員他已經在上個禮拜呢院會質詢的時候有提到這件事情那台東馬街尋找的用地雖然是國產署的可是畢竟衛福部是主管機關所以我今天要在這裡特別提醒喔\n513817\t541398\t因為台東馬街對於這個台東醫療服務量的那麼重要那麼這件事情我和莊惠雄委員我們一定絕對會大力的支持還有促成那在2月9號的時候我看莊委員呢我們在台東馬街就是說有現場會看了這個去看了宿舍跟停車場等等的這些的現況那\n542859\t550422\t就是說昨天我們服務處也陪同了這個馬街醫院跟國產署針對這個用地的問題來做這個協商那我想協商的結果其實還滿正面的所以\n558246\t580464\t如果這個馬街如果可以找到合適用地的時候是非常需要衛福部針對醫院改建宿舍跟停車場這件事情在公共性、政策性還有必要性這三個方面給予這個肯定跟支持的評價那我想了解一下部長對你對這件事情的支持的立場應該沒有問題吧\n583016\t606845\t那個報告委員,真的非常感謝委員關心我們台東的一個醫療費用,不是醫療,醫療的水準過去也協助了很多醫療的一個提升的計畫,所以我們藝界都很感謝台東馬街的確是我們重中之重,因為也感謝馬街醫院有宗教的精神\n607685\t632833\t很多很多的優秀的人才 都到那邊服務那也受到台東當地大家的居民的一個支持特別在那個村委員也給予很大的支持那在護理醫護的宿舍的確是非常的老舊他們台東馬街不是沒有錢啦 是沒有地啊所以我們如果能夠政府來改善\n633673\t656415\t那個醫護的試射當然是我是求之不得昨天的協調其實已經狀況還不錯怎麼樣拜託我們都可以去拜託能夠讓他趕快讓醫護的試射完成所以就是確定的時候你們趕快對於這個剛剛講的只要我們衛護部能夠做的我們一定全力以赴當然停車的空間也非常重要因為有時候在看病真的\n657596\t681438\t不要停車停到掛號的輪到你都過了我想那個就是說謝謝部長那後面這個三個方面的這個肯定評價就拜託你了那之後就是說接下來的這個跟台東縣政府的一些募領回饋的這個機制我們我也會協助去協調\n682819\t699145\t那就最後一個問題我很快也很重要就是說剛剛大家關心的這個偏鄉醫護人力短缺的問題當然這工作環境待遇還有這個三病互併比的這個落實都是改善護理工作環境的這個很關鍵的一個問題那\n703007\t721636\t其實之前部長有講過說護理師的薪水7萬元這句話抱歉我從來沒有講過護理師的薪水7萬元那是媒體以及記者會所承認我們今天出來的是網站那自己去看網站各醫院的一個內容他其實也會看到最低\n722316\t743347\t也比較高的這樣的好那沒有關係我修正一下齁那或許媒體我從來沒有講過這句話那我們從媒體上我從來沒認得多少錢它是夠的齁但是那是媒體看的這樣部長今天給你大大的澄清因為我永遠覺得醫護的薪水必須要再提高那就接下來請給我機會因為我沒有時間了我趕快講齁\n746788\t766074\t當然這個媒體這樣寫7萬元這個數據當然部長也講嚴重失真那但是我講一下我們台東護理師工作經驗1到5年的薪資只有台東馬街超過6萬塊而已其他都沒有那其他這個公立醫院大概都5萬多\n766914\t781420\t那這個數據包括公職護理的薪資也相對比較高可是其他私立醫院的部分只有4萬元甚至我們台東在某家的醫院的護理師他職業一年的護理師薪水只有3萬多\n783496\t797461\t你們有知道這個訊息嗎只有三萬多這就是我們城鄉落差的一個差異所以我理解每一家的醫院它的複雜度是不一樣但是職業的護理師薪資只有三萬多\n799562\t812201\t有合理嗎你說這個台東這一家嗎對那個是一個宗教型的醫院那它的loading也許真的是沒有那麼大就好像你\n816306\t836017\t診所來講他的薪資可能也沒有辦法像醫院那麼高因為大家都留不住嘛所以自然而然那個loading就是變成這樣子所以我想講的是我知道你們會有一些理由但是我只是講我是覺得就是說我們一直在強調就是說要留住這個偏鄉人才的情況我覺得衛福部其實這個時候你們就應該要干預這個市場\n839379\t860033\t第一其實像這種燈塔型的醫院我們都會健保都會特別的補助而且希望能夠提高護理的待遇這個我們會去協助那到底要怎麼留住偏鄉的護理人才就是說當然大家都知道就是說住院護理費的偏鄉加成的機制\n860974\t879034\t好那我要再提一下這個加成在106年的時候比例從3%提高到15%那這個但是我們都之前也有講過啦說到底這些加成的點數有多少是真正實際反映到這個護理師的薪水待遇上好因為我們都知道護理\n880635\t902369\t這個護理費用當然有包括到一些儀器設備還有其他等等的不一定只是護理的這個薪資但是我想就是說這一項加成的名稱對偏鄉護理師是很不公平甚至講嚴重一點說這樣的名稱對偏鄉護理師他是一個不正義的名稱因為偏鄉住住院護理費\n903069\t920202\t加成15%的感覺好像是增加經費但是實質到護理師偏鄉護理師的這個口袋裡其實根本就不是這樣所以這個加成我希望可以有一定比例反映到這個偏鄉護理師的薪資上面\n921683\t947041\t這個一定比例 我想今天重點你們一定框一個比例到裡面那在這個15%當中一定提撥一定的比例作為這個護理師的這個額外加急的部分那去年我在去年那個預算審查的時候我們也有提案所以這個部分可能請會後是不是那個健保署再跟我們說明一下辦理的情況大概我想這邊\n948402\t967164\t提的就是說怎麼樣提高這個誘因還有框那個比例請你們好好我們該給護理師的就一毛錢也不少那他的護理會怎麼樣去分配有一定的比例這個要清清楚楚公開透明我要取得大家的一個共識這樣子好再麻煩你們兩週內好沒問題謝謝謝謝謝謝陳委員\n","txt":"那個主席可以一分鐘會議詢問我很快速講一下今天有看到我們那個委員會有裝了這個監測器那特別這個有趣的是有這個分貝的部分那我剛剛查的資料就是50分貝以下會讓人家感覺這個寧靜舒適心情愉悅\n好那呃再來就是說70分貝好這個以上呢就會造成大家心情煩躁神經緊張然後無法專心影響學習好所以我們呃這個可能也要注意一下官員在這個70分貝以上能不能專心聽委員的槌尋好這個也是很重要的那當然\n這個長期處於70分貝以上也會造成大家這個情緒的焦躁所以久而久之可能大家也是需要去看心理醫師或者去做如果你不會紓壓的話沒有來我那邊吧台喝咖啡的話可能也會造成一些影響\n那再來重要的是你要80分貝 85分貝這些真的會造成聽力的傷害所以我剛剛很注意在看這個分貝問題因為很多的時間是超過80分貝所以我在這邊特別提醒這個不管是委員會還是立法院這個職業安全衛生設施規則300條之一\n這個勞工超過平均85分貝雇主要採取聽力保護措施那當然我們已經有做這個監測的這個系統但是我們並沒有做這個監測危害的控管都沒有防護這個防音防護的這個配備也沒有譬如說耳塞啦或者是有人在控管那個麥克風我們如果太近聲音太大的時候就你就可以稍微調整一下那當然健檢OK那成效評估改善這個可能後續要做我想以上做這個提醒\n非常感謝朝偉給我這個時間把這個問題點出來好 那我現在接下來要來進等一下喔 不好意思\n我接下來要來質詢首先我有三 今天有三個問題那我先講一下這個加熱菸的部分當然那個部長跟那個健保署署長部長我想先\n因為對部長跟國建署我不太清楚國建署是不知道你們大家好不知道國建署是因為裝傻還是不夠專業因為他們說他們沒有做這個菸捐年度統計的資料所以呢我們辦公室呢就只好自己找資料然後我們自己幫國建署製作了這個非常清楚的表格那我們來看一下這幾年菸捐的收入99年的\n燕捐將近348億到了去年只剩下264億那我們這個兩個年度來比較一下就是少了84億之多但是民國99年的燕價跟113年來相比這個價格其實是低了很多那燕捐的比例卻大幅的增加但是收入卻大減到原因何在部長其實可以想一想\n因為這個吸菸比例並沒有減少但抽脂菸的人口很多都轉為去抽這個加熱菸了那加熱菸的部分就是基於一些很奇妙的人還有很奇妙的原因所以很奇妙的現在抽加熱菸是不用繳菸捐的所以衛福部的政策不僅\n不是在意志吸這個加熱菸喔反而是在鼓勵大家去吸加熱菸那這個因為齁這個錢啊都進了這個加熱菸這個走私販的口袋了所以呢唯一損失的是健保的挹注所以我們石崇良署長他就要哭哭了\n那按照這個國建署的觀念用健康風險來抑制吸菸吸加熱菸的人口如果這個推論他是真的那麼未來我們國人因為吸這個吸菸的健康風險反而會增加\n因為健保支出會增加嘛那未來這個健保也會被拖垮那醫療品質會下降所以這個到底是不是你們衛福部的德政這個我們就是一直都打問號啦所以我今天特別製作這個表格給大家提醒\n注意這個問題是謝謝好那再來部長你沒有要發表一下意見嗎那個當然謝謝當然我們努力之下齁那個車淹的比例是有降低啦齁那剛剛您所重視的我們也通過淹害防治法那在加熱淹的部分也一直在審查齁那這個部分我想我們一定按照\n那重點是那個菸捐的收入不要讓他滿天亂飛我們那個我們按照一切按照規定來處理那希望當然\n眼間增加這也是兩難的事情反正我就覺得一些奇妙的原因不應該是落到走私的業者這個是最重要的我們這個錢要收回來\n好那接下來一個重要的問題我們討論一下就是有關於這個台東醫療資源缺乏當然是我們台東長久的痛那如果說民眾遇到這種急性腦中風急性冠心症心導管的問題那台東有七家醫院那到底就是可以必須要送到哪裡\n那看來看去呢我們也就是只有就是說送到這個台東馬街因為台東沒有中度急診的醫院只有一家台東馬街是急重症醫院那其他六家都是一般的這個急診那依照這個緊急醫療能力的分級的規定\n急重症的醫院必須要在24小時提供外科、內科、骨科、兒科、麻醉科、神經科、神經外科、婦產科等等的這些專科醫師的緊急的照會服務所以我們台東馬街醫院它就等於我們整個重症醫療的核心我想這個大家都知道的\n台東馬街呢希望就是說他們希望把這個院內老舊的這個醫護宿舍改建那因為現在我們目前的宿舍我有去看過這個屋齡已經40年了大家可以想像40年的屋齡馬上就會知道他的這個防火防震都不符合現在的標準而且我去看了還四個人擠在一間\n那如果說原地那馬街他們有自備有準備經費那如果說原地打掉重建那重建期間的這個銜接過程會有很多在這個台東我們馬街醫院就是說醫護發生這個他們會發生這個住宿的問題\n那再加上就是說台東馬街因為要充實這個醫療設備所以今年他們還要蓋這個癌醫的大樓那在這個整個建樓的過程當中預期會發生就是說可能民眾要去就醫停車的問題就會嚴重不足那再來就是說病患跟家屬當然就是說他這樣就會很不方便\n那最近我跟這個莊瑞雄委員呢我們都非常關心台東馬街宿舍改建還有這個停車場用地的問題喔莊瑞雄委員他已經在上個禮拜呢院會質詢的時候有提到這件事情那台東馬街尋找的用地雖然是國產署的可是畢竟衛福部是主管機關所以我今天要在這裡特別提醒喔\n因為台東馬街對於這個台東醫療服務量的那麼重要那麼這件事情我和莊惠雄委員我們一定絕對會大力的支持還有促成那在2月9號的時候我看莊委員呢我們在台東馬街就是說有現場會看了這個去看了宿舍跟停車場等等的這些的現況那\n就是說昨天我們服務處也陪同了這個馬街醫院跟國產署針對這個用地的問題來做這個協商那我想協商的結果其實還滿正面的所以\n如果這個馬街如果可以找到合適用地的時候是非常需要衛福部針對醫院改建宿舍跟停車場這件事情在公共性、政策性還有必要性這三個方面給予這個肯定跟支持的評價那我想了解一下部長對你對這件事情的支持的立場應該沒有問題吧\n那個報告委員,真的非常感謝委員關心我們台東的一個醫療費用,不是醫療,醫療的水準過去也協助了很多醫療的一個提升的計畫,所以我們藝界都很感謝台東馬街的確是我們重中之重,因為也感謝馬街醫院有宗教的精神\n很多很多的優秀的人才 都到那邊服務那也受到台東當地大家的居民的一個支持特別在那個村委員也給予很大的支持那在護理醫護的宿舍的確是非常的老舊他們台東馬街不是沒有錢啦 是沒有地啊所以我們如果能夠政府來改善\n那個醫護的試射當然是我是求之不得昨天的協調其實已經狀況還不錯怎麼樣拜託我們都可以去拜託能夠讓他趕快讓醫護的試射完成所以就是確定的時候你們趕快對於這個剛剛講的只要我們衛護部能夠做的我們一定全力以赴當然停車的空間也非常重要因為有時候在看病真的\n不要停車停到掛號的輪到你都過了我想那個就是說謝謝部長那後面這個三個方面的這個肯定評價就拜託你了那之後就是說接下來的這個跟台東縣政府的一些募領回饋的這個機制我們我也會協助去協調\n那就最後一個問題我很快也很重要就是說剛剛大家關心的這個偏鄉醫護人力短缺的問題當然這工作環境待遇還有這個三病互併比的這個落實都是改善護理工作環境的這個很關鍵的一個問題那\n其實之前部長有講過說護理師的薪水7萬元這句話抱歉我從來沒有講過護理師的薪水7萬元那是媒體以及記者會所承認我們今天出來的是網站那自己去看網站各醫院的一個內容他其實也會看到最低\n也比較高的這樣的好那沒有關係我修正一下齁那或許媒體我從來沒有講過這句話那我們從媒體上我從來沒認得多少錢它是夠的齁但是那是媒體看的這樣部長今天給你大大的澄清因為我永遠覺得醫護的薪水必須要再提高那就接下來請給我機會因為我沒有時間了我趕快講齁\n當然這個媒體這樣寫7萬元這個數據當然部長也講嚴重失真那但是我講一下我們台東護理師工作經驗1到5年的薪資只有台東馬街超過6萬塊而已其他都沒有那其他這個公立醫院大概都5萬多\n那這個數據包括公職護理的薪資也相對比較高可是其他私立醫院的部分只有4萬元甚至我們台東在某家的醫院的護理師他職業一年的護理師薪水只有3萬多\n你們有知道這個訊息嗎只有三萬多這就是我們城鄉落差的一個差異所以我理解每一家的醫院它的複雜度是不一樣但是職業的護理師薪資只有三萬多\n有合理嗎你說這個台東這一家嗎對那個是一個宗教型的醫院那它的loading也許真的是沒有那麼大就好像你\n診所來講他的薪資可能也沒有辦法像醫院那麼高因為大家都留不住嘛所以自然而然那個loading就是變成這樣子所以我想講的是我知道你們會有一些理由但是我只是講我是覺得就是說我們一直在強調就是說要留住這個偏鄉人才的情況我覺得衛福部其實這個時候你們就應該要干預這個市場\n第一其實像這種燈塔型的醫院我們都會健保都會特別的補助而且希望能夠提高護理的待遇這個我們會去協助那到底要怎麼留住偏鄉的護理人才就是說當然大家都知道就是說住院護理費的偏鄉加成的機制\n好那我要再提一下這個加成在106年的時候比例從3%提高到15%那這個但是我們都之前也有講過啦說到底這些加成的點數有多少是真正實際反映到這個護理師的薪水待遇上好因為我們都知道護理\n這個護理費用當然有包括到一些儀器設備還有其他等等的不一定只是護理的這個薪資但是我想就是說這一項加成的名稱對偏鄉護理師是很不公平甚至講嚴重一點說這樣的名稱對偏鄉護理師他是一個不正義的名稱因為偏鄉住住院護理費\n加成15%的感覺好像是增加經費但是實質到護理師偏鄉護理師的這個口袋裡其實根本就不是這樣所以這個加成我希望可以有一定比例反映到這個偏鄉護理師的薪資上面\n這個一定比例 我想今天重點你們一定框一個比例到裡面那在這個15%當中一定提撥一定的比例作為這個護理師的這個額外加急的部分那去年我在去年那個預算審查的時候我們也有提案所以這個部分可能請會後是不是那個健保署再跟我們說明一下辦理的情況大概我想這邊\n提的就是說怎麼樣提高這個誘因還有框那個比例請你們好好我們該給護理師的就一毛錢也不少那他的護理會怎麼樣去分配有一定的比例這個要清清楚楚公開透明我要取得大家的一個共識這樣子好再麻煩你們兩週內好沒問題謝謝謝謝謝謝陳委員\n","vtt":"WEBVTT\n\n00:05.369 --> 00:23.884\n那個主席可以一分鐘會議詢問我很快速講一下今天有看到我們那個委員會有裝了這個監測器那特別這個有趣的是有這個分貝的部分那我剛剛查的資料就是50分貝以下會讓人家感覺這個寧靜舒適心情愉悅\n\n00:26.926 --> 00:47.754\n好那呃再來就是說70分貝好這個以上呢就會造成大家心情煩躁神經緊張然後無法專心影響學習好所以我們呃這個可能也要注意一下官員在這個70分貝以上能不能專心聽委員的槌尋好這個也是很重要的那當然\n\n00:48.835 --> 01:03.190\n這個長期處於70分貝以上也會造成大家這個情緒的焦躁所以久而久之可能大家也是需要去看心理醫師或者去做如果你不會紓壓的話沒有來我那邊吧台喝咖啡的話可能也會造成一些影響\n\n01:04.011 --> 01:24.419\n那再來重要的是你要80分貝85分貝這些真的會造成聽力的傷害所以我剛剛很注意在看這個分貝問題因為很多的時間是超過80分貝所以我在這邊特別提醒這個不管是委員會還是立法院這個職業安全衛生設施規則300條之一\n\n01:27.980 --> 01:55.738\n這個勞工超過平均85分貝雇主要採取聽力保護措施那當然我們已經有做這個監測的這個系統但是我們並沒有做這個監測危害的控管都沒有防護這個防音防護的這個配備也沒有譬如說耳塞啦或者是有人在控管那個麥克風我們如果太近聲音太大的時候就你就可以稍微調整一下那當然健檢OK那成效評估改善這個可能後續要做我想以上做這個提醒\n\n01:56.519 --> 02:06.874\n非常感謝朝偉給我這個時間把這個問題點出來好那我現在接下來要來進等一下喔不好意思\n\n02:14.247 --> 02:27.685\n我接下來要來質詢首先我有三今天有三個問題那我先講一下這個加熱菸的部分當然那個部長跟那個健保署署長部長我想先\n\n02:29.087 --> 02:56.859\n因為對部長跟國建署我不太清楚國建署是不知道你們大家好不知道國建署是因為裝傻還是不夠專業因為他們說他們沒有做這個菸捐年度統計的資料所以呢我們辦公室呢就只好自己找資料然後我們自己幫國建署製作了這個非常清楚的表格那我們來看一下這幾年菸捐的收入99年的\n\n02:57.459 --> 03:25.083\n燕捐將近348億到了去年只剩下264億那我們這個兩個年度來比較一下就是少了84億之多但是民國99年的燕價跟113年來相比這個價格其實是低了很多那燕捐的比例卻大幅的增加但是收入卻大減到原因何在部長其實可以想一想\n\n03:25.882 --> 03:53.064\n因為這個吸菸比例並沒有減少但抽脂菸的人口很多都轉為去抽這個加熱菸了那加熱菸的部分就是基於一些很奇妙的人還有很奇妙的原因所以很奇妙的現在抽加熱菸是不用繳菸捐的所以衛福部的政策不僅\n\n03:55.186 --> 04:17.521\n不是在意志吸這個加熱菸喔反而是在鼓勵大家去吸加熱菸那這個因為齁這個錢啊都進了這個加熱菸這個走私販的口袋了所以呢唯一損失的是健保的挹注所以我們石崇良署長他就要哭哭了\n\n04:18.502 --> 04:34.444\n那按照這個國建署的觀念用健康風險來抑制吸菸吸加熱菸的人口如果這個推論他是真的那麼未來我們國人因為吸這個吸菸的健康風險反而會增加\n\n04:35.205 --> 04:50.173\n因為健保支出會增加嘛那未來這個健保也會被拖垮那醫療品質會下降所以這個到底是不是你們衛福部的德政這個我們就是一直都打問號啦所以我今天特別製作這個表格給大家提醒\n\n04:51.212 --> 05:17.984\n注意這個問題是謝謝好那再來部長你沒有要發表一下意見嗎那個當然謝謝當然我們努力之下齁那個車淹的比例是有降低啦齁那剛剛您所重視的我們也通過淹害防治法那在加熱淹的部分也一直在審查齁那這個部分我想我們一定按照\n\n05:20.523 --> 05:32.671\n那重點是那個菸捐的收入不要讓他滿天亂飛我們那個我們按照一切按照規定來處理那希望當然\n\n05:34.613 --> 05:40.039\n眼間增加這也是兩難的事情反正我就覺得一些奇妙的原因不應該是落到走私的業者這個是最重要的我們這個錢要收回來\n\n05:50.652 --> 06:12.433\n好那接下來一個重要的問題我們討論一下就是有關於這個台東醫療資源缺乏當然是我們台東長久的痛那如果說民眾遇到這種急性腦中風急性冠心症心導管的問題那台東有七家醫院那到底就是可以必須要送到哪裡\n\n06:13.334 --> 06:30.921\n那看來看去呢我們也就是只有就是說送到這個台東馬街因為台東沒有中度急診的醫院只有一家台東馬街是急重症醫院那其他六家都是一般的這個急診那依照這個緊急醫療能力的分級的規定\n\n06:32.161 --> 06:56.368\n急重症的醫院必須要在24小時提供外科、內科、骨科、兒科、麻醉科、神經科、神經外科、婦產科等等的這些專科醫師的緊急的照會服務所以我們台東馬街醫院它就等於我們整個重症醫療的核心我想這個大家都知道的\n\n06:57.789 --> 07:22.329\n台東馬街呢希望就是說他們希望把這個院內老舊的這個醫護宿舍改建那因為現在我們目前的宿舍我有去看過這個屋齡已經40年了大家可以想像40年的屋齡馬上就會知道他的這個防火防震都不符合現在的標準而且我去看了還四個人擠在一間\n\n07:24.232 --> 07:40.664\n那如果說原地那馬街他們有自備有準備經費那如果說原地打掉重建那重建期間的這個銜接過程會有很多在這個台東我們馬街醫院就是說醫護發生這個他們會發生這個住宿的問題\n\n07:43.866 --> 08:08.641\n那再加上就是說台東馬街因為要充實這個醫療設備所以今年他們還要蓋這個癌醫的大樓那在這個整個建樓的過程當中預期會發生就是說可能民眾要去就醫停車的問題就會嚴重不足那再來就是說病患跟家屬當然就是說他這樣就會很不方便\n\n08:09.341 --> 08:33.537\n那最近我跟這個莊瑞雄委員呢我們都非常關心台東馬街宿舍改建還有這個停車場用地的問題喔莊瑞雄委員他已經在上個禮拜呢院會質詢的時候有提到這件事情那台東馬街尋找的用地雖然是國產署的可是畢竟衛福部是主管機關所以我今天要在這裡特別提醒喔\n\n08:33.817 --> 09:01.398\n因為台東馬街對於這個台東醫療服務量的那麼重要那麼這件事情我和莊惠雄委員我們一定絕對會大力的支持還有促成那在2月9號的時候我看莊委員呢我們在台東馬街就是說有現場會看了這個去看了宿舍跟停車場等等的這些的現況那\n\n09:02.859 --> 09:10.422\n就是說昨天我們服務處也陪同了這個馬街醫院跟國產署針對這個用地的問題來做這個協商那我想協商的結果其實還滿正面的所以\n\n09:18.246 --> 09:40.464\n如果這個馬街如果可以找到合適用地的時候是非常需要衛福部針對醫院改建宿舍跟停車場這件事情在公共性、政策性還有必要性這三個方面給予這個肯定跟支持的評價那我想了解一下部長對你對這件事情的支持的立場應該沒有問題吧\n\n09:43.016 --> 10:06.845\n那個報告委員,真的非常感謝委員關心我們台東的一個醫療費用,不是醫療,醫療的水準過去也協助了很多醫療的一個提升的計畫,所以我們藝界都很感謝台東馬街的確是我們重中之重,因為也感謝馬街醫院有宗教的精神\n\n10:07.685 --> 10:32.833\n很多很多的優秀的人才都到那邊服務那也受到台東當地大家的居民的一個支持特別在那個村委員也給予很大的支持那在護理醫護的宿舍的確是非常的老舊他們台東馬街不是沒有錢啦是沒有地啊所以我們如果能夠政府來改善\n\n10:33.673 --> 10:56.415\n那個醫護的試射當然是我是求之不得昨天的協調其實已經狀況還不錯怎麼樣拜託我們都可以去拜託能夠讓他趕快讓醫護的試射完成所以就是確定的時候你們趕快對於這個剛剛講的只要我們衛護部能夠做的我們一定全力以赴當然停車的空間也非常重要因為有時候在看病真的\n\n10:57.596 --> 11:21.438\n不要停車停到掛號的輪到你都過了我想那個就是說謝謝部長那後面這個三個方面的這個肯定評價就拜託你了那之後就是說接下來的這個跟台東縣政府的一些募領回饋的這個機制我們我也會協助去協調\n\n11:22.819 --> 11:39.145\n那就最後一個問題我很快也很重要就是說剛剛大家關心的這個偏鄉醫護人力短缺的問題當然這工作環境待遇還有這個三病互併比的這個落實都是改善護理工作環境的這個很關鍵的一個問題那\n\n11:43.007 --> 12:01.636\n其實之前部長有講過說護理師的薪水7萬元這句話抱歉我從來沒有講過護理師的薪水7萬元那是媒體以及記者會所承認我們今天出來的是網站那自己去看網站各醫院的一個內容他其實也會看到最低\n\n12:02.316 --> 12:23.347\n也比較高的這樣的好那沒有關係我修正一下齁那或許媒體我從來沒有講過這句話那我們從媒體上我從來沒認得多少錢它是夠的齁但是那是媒體看的這樣部長今天給你大大的澄清因為我永遠覺得醫護的薪水必須要再提高那就接下來請給我機會因為我沒有時間了我趕快講齁\n\n12:26.788 --> 12:46.074\n當然這個媒體這樣寫7萬元這個數據當然部長也講嚴重失真那但是我講一下我們台東護理師工作經驗1到5年的薪資只有台東馬街超過6萬塊而已其他都沒有那其他這個公立醫院大概都5萬多\n\n12:46.914 --> 13:01.420\n那這個數據包括公職護理的薪資也相對比較高可是其他私立醫院的部分只有4萬元甚至我們台東在某家的醫院的護理師他職業一年的護理師薪水只有3萬多\n\n13:03.496 --> 13:17.461\n你們有知道這個訊息嗎只有三萬多這就是我們城鄉落差的一個差異所以我理解每一家的醫院它的複雜度是不一樣但是職業的護理師薪資只有三萬多\n\n13:19.562 --> 13:32.201\n有合理嗎你說這個台東這一家嗎對那個是一個宗教型的醫院那它的loading也許真的是沒有那麼大就好像你\n\n13:36.306 --> 13:56.017\n診所來講他的薪資可能也沒有辦法像醫院那麼高因為大家都留不住嘛所以自然而然那個loading就是變成這樣子所以我想講的是我知道你們會有一些理由但是我只是講我是覺得就是說我們一直在強調就是說要留住這個偏鄉人才的情況我覺得衛福部其實這個時候你們就應該要干預這個市場\n\n13:59.379 --> 14:20.033\n第一其實像這種燈塔型的醫院我們都會健保都會特別的補助而且希望能夠提高護理的待遇這個我們會去協助那到底要怎麼留住偏鄉的護理人才就是說當然大家都知道就是說住院護理費的偏鄉加成的機制\n\n14:20.974 --> 14:39.034\n好那我要再提一下這個加成在106年的時候比例從3%提高到15%那這個但是我們都之前也有講過啦說到底這些加成的點數有多少是真正實際反映到這個護理師的薪水待遇上好因為我們都知道護理\n\n14:40.635 --> 15:02.369\n這個護理費用當然有包括到一些儀器設備還有其他等等的不一定只是護理的這個薪資但是我想就是說這一項加成的名稱對偏鄉護理師是很不公平甚至講嚴重一點說這樣的名稱對偏鄉護理師他是一個不正義的名稱因為偏鄉住住院護理費\n\n15:03.069 --> 15:20.202\n加成15%的感覺好像是增加經費但是實質到護理師偏鄉護理師的這個口袋裡其實根本就不是這樣所以這個加成我希望可以有一定比例反映到這個偏鄉護理師的薪資上面\n\n15:21.683 --> 15:47.041\n這個一定比例我想今天重點你們一定框一個比例到裡面那在這個15%當中一定提撥一定的比例作為這個護理師的這個額外加急的部分那去年我在去年那個預算審查的時候我們也有提案所以這個部分可能請會後是不是那個健保署再跟我們說明一下辦理的情況大概我想這邊\n\n15:48.402 --> 16:07.164\n提的就是說怎麼樣提高這個誘因還有框那個比例請你們好好我們該給護理師的就一毛錢也不少那他的護理會怎麼樣去分配有一定的比例這個要清清楚楚公開透明我要取得大家的一個共識這樣子好再麻煩你們兩週內好沒問題謝謝謝謝謝謝陳委員\n\n","segments":[{"start":5.369,"end":23.884,"text":"那個主席可以一分鐘會議詢問我很快速講一下今天有看到我們那個委員會有裝了這個監測器那特別這個有趣的是有這個分貝的部分那我剛剛查的資料就是50分貝以下會讓人家感覺這個寧靜舒適心情愉悅"},{"start":26.926,"end":47.754,"text":"好那呃再來就是說70分貝好這個以上呢就會造成大家心情煩躁神經緊張然後無法專心影響學習好所以我們呃這個可能也要注意一下官員在這個70分貝以上能不能專心聽委員的槌尋好這個也是很重要的那當然"},{"start":48.835,"end":63.19,"text":"這個長期處於70分貝以上也會造成大家這個情緒的焦躁所以久而久之可能大家也是需要去看心理醫師或者去做如果你不會紓壓的話沒有來我那邊吧台喝咖啡的話可能也會造成一些影響"},{"start":64.011,"end":84.419,"text":"那再來重要的是你要80分貝 85分貝這些真的會造成聽力的傷害所以我剛剛很注意在看這個分貝問題因為很多的時間是超過80分貝所以我在這邊特別提醒這個不管是委員會還是立法院這個職業安全衛生設施規則300條之一"},{"start":87.98,"end":115.738,"text":"這個勞工超過平均85分貝雇主要採取聽力保護措施那當然我們已經有做這個監測的這個系統但是我們並沒有做這個監測危害的控管都沒有防護這個防音防護的這個配備也沒有譬如說耳塞啦或者是有人在控管那個麥克風我們如果太近聲音太大的時候就你就可以稍微調整一下那當然健檢OK那成效評估改善這個可能後續要做我想以上做這個提醒"},{"start":116.519,"end":126.874,"text":"非常感謝朝偉給我這個時間把這個問題點出來好 那我現在接下來要來進等一下喔 不好意思"},{"start":134.247,"end":147.685,"text":"我接下來要來質詢首先我有三 今天有三個問題那我先講一下這個加熱菸的部分當然那個部長跟那個健保署署長部長我想先"},{"start":149.087,"end":176.859,"text":"因為對部長跟國建署我不太清楚國建署是不知道你們大家好不知道國建署是因為裝傻還是不夠專業因為他們說他們沒有做這個菸捐年度統計的資料所以呢我們辦公室呢就只好自己找資料然後我們自己幫國建署製作了這個非常清楚的表格那我們來看一下這幾年菸捐的收入99年的"},{"start":177.459,"end":205.083,"text":"燕捐將近348億到了去年只剩下264億那我們這個兩個年度來比較一下就是少了84億之多但是民國99年的燕價跟113年來相比這個價格其實是低了很多那燕捐的比例卻大幅的增加但是收入卻大減到原因何在部長其實可以想一想"},{"start":205.882,"end":233.064,"text":"因為這個吸菸比例並沒有減少但抽脂菸的人口很多都轉為去抽這個加熱菸了那加熱菸的部分就是基於一些很奇妙的人還有很奇妙的原因所以很奇妙的現在抽加熱菸是不用繳菸捐的所以衛福部的政策不僅"},{"start":235.186,"end":257.521,"text":"不是在意志吸這個加熱菸喔反而是在鼓勵大家去吸加熱菸那這個因為齁這個錢啊都進了這個加熱菸這個走私販的口袋了所以呢唯一損失的是健保的挹注所以我們石崇良署長他就要哭哭了"},{"start":258.502,"end":274.444,"text":"那按照這個國建署的觀念用健康風險來抑制吸菸吸加熱菸的人口如果這個推論他是真的那麼未來我們國人因為吸這個吸菸的健康風險反而會增加"},{"start":275.205,"end":290.173,"text":"因為健保支出會增加嘛那未來這個健保也會被拖垮那醫療品質會下降所以這個到底是不是你們衛福部的德政這個我們就是一直都打問號啦所以我今天特別製作這個表格給大家提醒"},{"start":291.212,"end":317.984,"text":"注意這個問題是謝謝好那再來部長你沒有要發表一下意見嗎那個當然謝謝當然我們努力之下齁那個車淹的比例是有降低啦齁那剛剛您所重視的我們也通過淹害防治法那在加熱淹的部分也一直在審查齁那這個部分我想我們一定按照"},{"start":320.523,"end":332.671,"text":"那重點是那個菸捐的收入不要讓他滿天亂飛我們那個我們按照一切按照規定來處理那希望當然"},{"start":334.613,"end":340.039,"text":"眼間增加這也是兩難的事情反正我就覺得一些奇妙的原因不應該是落到走私的業者這個是最重要的我們這個錢要收回來"},{"start":350.652,"end":372.433,"text":"好那接下來一個重要的問題我們討論一下就是有關於這個台東醫療資源缺乏當然是我們台東長久的痛那如果說民眾遇到這種急性腦中風急性冠心症心導管的問題那台東有七家醫院那到底就是可以必須要送到哪裡"},{"start":373.334,"end":390.921,"text":"那看來看去呢我們也就是只有就是說送到這個台東馬街因為台東沒有中度急診的醫院只有一家台東馬街是急重症醫院那其他六家都是一般的這個急診那依照這個緊急醫療能力的分級的規定"},{"start":392.161,"end":416.368,"text":"急重症的醫院必須要在24小時提供外科、內科、骨科、兒科、麻醉科、神經科、神經外科、婦產科等等的這些專科醫師的緊急的照會服務所以我們台東馬街醫院它就等於我們整個重症醫療的核心我想這個大家都知道的"},{"start":417.789,"end":442.329,"text":"台東馬街呢希望就是說他們希望把這個院內老舊的這個醫護宿舍改建那因為現在我們目前的宿舍我有去看過這個屋齡已經40年了大家可以想像40年的屋齡馬上就會知道他的這個防火防震都不符合現在的標準而且我去看了還四個人擠在一間"},{"start":444.232,"end":460.664,"text":"那如果說原地那馬街他們有自備有準備經費那如果說原地打掉重建那重建期間的這個銜接過程會有很多在這個台東我們馬街醫院就是說醫護發生這個他們會發生這個住宿的問題"},{"start":463.866,"end":488.641,"text":"那再加上就是說台東馬街因為要充實這個醫療設備所以今年他們還要蓋這個癌醫的大樓那在這個整個建樓的過程當中預期會發生就是說可能民眾要去就醫停車的問題就會嚴重不足那再來就是說病患跟家屬當然就是說他這樣就會很不方便"},{"start":489.341,"end":513.537,"text":"那最近我跟這個莊瑞雄委員呢我們都非常關心台東馬街宿舍改建還有這個停車場用地的問題喔莊瑞雄委員他已經在上個禮拜呢院會質詢的時候有提到這件事情那台東馬街尋找的用地雖然是國產署的可是畢竟衛福部是主管機關所以我今天要在這裡特別提醒喔"},{"start":513.817,"end":541.398,"text":"因為台東馬街對於這個台東醫療服務量的那麼重要那麼這件事情我和莊惠雄委員我們一定絕對會大力的支持還有促成那在2月9號的時候我看莊委員呢我們在台東馬街就是說有現場會看了這個去看了宿舍跟停車場等等的這些的現況那"},{"start":542.859,"end":550.422,"text":"就是說昨天我們服務處也陪同了這個馬街醫院跟國產署針對這個用地的問題來做這個協商那我想協商的結果其實還滿正面的所以"},{"start":558.246,"end":580.464,"text":"如果這個馬街如果可以找到合適用地的時候是非常需要衛福部針對醫院改建宿舍跟停車場這件事情在公共性、政策性還有必要性這三個方面給予這個肯定跟支持的評價那我想了解一下部長對你對這件事情的支持的立場應該沒有問題吧"},{"start":583.016,"end":606.845,"text":"那個報告委員,真的非常感謝委員關心我們台東的一個醫療費用,不是醫療,醫療的水準過去也協助了很多醫療的一個提升的計畫,所以我們藝界都很感謝台東馬街的確是我們重中之重,因為也感謝馬街醫院有宗教的精神"},{"start":607.685,"end":632.833,"text":"很多很多的優秀的人才 都到那邊服務那也受到台東當地大家的居民的一個支持特別在那個村委員也給予很大的支持那在護理醫護的宿舍的確是非常的老舊他們台東馬街不是沒有錢啦 是沒有地啊所以我們如果能夠政府來改善"},{"start":633.673,"end":656.415,"text":"那個醫護的試射當然是我是求之不得昨天的協調其實已經狀況還不錯怎麼樣拜託我們都可以去拜託能夠讓他趕快讓醫護的試射完成所以就是確定的時候你們趕快對於這個剛剛講的只要我們衛護部能夠做的我們一定全力以赴當然停車的空間也非常重要因為有時候在看病真的"},{"start":657.596,"end":681.438,"text":"不要停車停到掛號的輪到你都過了我想那個就是說謝謝部長那後面這個三個方面的這個肯定評價就拜託你了那之後就是說接下來的這個跟台東縣政府的一些募領回饋的這個機制我們我也會協助去協調"},{"start":682.819,"end":699.145,"text":"那就最後一個問題我很快也很重要就是說剛剛大家關心的這個偏鄉醫護人力短缺的問題當然這工作環境待遇還有這個三病互併比的這個落實都是改善護理工作環境的這個很關鍵的一個問題那"},{"start":703.007,"end":721.636,"text":"其實之前部長有講過說護理師的薪水7萬元這句話抱歉我從來沒有講過護理師的薪水7萬元那是媒體以及記者會所承認我們今天出來的是網站那自己去看網站各醫院的一個內容他其實也會看到最低"},{"start":722.316,"end":743.347,"text":"也比較高的這樣的好那沒有關係我修正一下齁那或許媒體我從來沒有講過這句話那我們從媒體上我從來沒認得多少錢它是夠的齁但是那是媒體看的這樣部長今天給你大大的澄清因為我永遠覺得醫護的薪水必須要再提高那就接下來請給我機會因為我沒有時間了我趕快講齁"},{"start":746.788,"end":766.074,"text":"當然這個媒體這樣寫7萬元這個數據當然部長也講嚴重失真那但是我講一下我們台東護理師工作經驗1到5年的薪資只有台東馬街超過6萬塊而已其他都沒有那其他這個公立醫院大概都5萬多"},{"start":766.914,"end":781.42,"text":"那這個數據包括公職護理的薪資也相對比較高可是其他私立醫院的部分只有4萬元甚至我們台東在某家的醫院的護理師他職業一年的護理師薪水只有3萬多"},{"start":783.496,"end":797.461,"text":"你們有知道這個訊息嗎只有三萬多這就是我們城鄉落差的一個差異所以我理解每一家的醫院它的複雜度是不一樣但是職業的護理師薪資只有三萬多"},{"start":799.562,"end":812.201,"text":"有合理嗎你說這個台東這一家嗎對那個是一個宗教型的醫院那它的loading也許真的是沒有那麼大就好像你"},{"start":816.306,"end":836.017,"text":"診所來講他的薪資可能也沒有辦法像醫院那麼高因為大家都留不住嘛所以自然而然那個loading就是變成這樣子所以我想講的是我知道你們會有一些理由但是我只是講我是覺得就是說我們一直在強調就是說要留住這個偏鄉人才的情況我覺得衛福部其實這個時候你們就應該要干預這個市場"},{"start":839.379,"end":860.033,"text":"第一其實像這種燈塔型的醫院我們都會健保都會特別的補助而且希望能夠提高護理的待遇這個我們會去協助那到底要怎麼留住偏鄉的護理人才就是說當然大家都知道就是說住院護理費的偏鄉加成的機制"},{"start":860.974,"end":879.034,"text":"好那我要再提一下這個加成在106年的時候比例從3%提高到15%那這個但是我們都之前也有講過啦說到底這些加成的點數有多少是真正實際反映到這個護理師的薪水待遇上好因為我們都知道護理"},{"start":880.635,"end":902.369,"text":"這個護理費用當然有包括到一些儀器設備還有其他等等的不一定只是護理的這個薪資但是我想就是說這一項加成的名稱對偏鄉護理師是很不公平甚至講嚴重一點說這樣的名稱對偏鄉護理師他是一個不正義的名稱因為偏鄉住住院護理費"},{"start":903.069,"end":920.202,"text":"加成15%的感覺好像是增加經費但是實質到護理師偏鄉護理師的這個口袋裡其實根本就不是這樣所以這個加成我希望可以有一定比例反映到這個偏鄉護理師的薪資上面"},{"start":921.683,"end":947.041,"text":"這個一定比例 我想今天重點你們一定框一個比例到裡面那在這個15%當中一定提撥一定的比例作為這個護理師的這個額外加急的部分那去年我在去年那個預算審查的時候我們也有提案所以這個部分可能請會後是不是那個健保署再跟我們說明一下辦理的情況大概我想這邊"},{"start":948.402,"end":967.164,"text":"提的就是說怎麼樣提高這個誘因還有框那個比例請你們好好我們該給護理師的就一毛錢也不少那他的護理會怎麼樣去分配有一定的比例這個要清清楚楚公開透明我要取得大家的一個共識這樣子好再麻煩你們兩週內好沒問題謝謝謝謝謝謝陳委員"}]}}},"gazette":{"lineno":1151,"blocks":[["陳委員瑩：（13時4分）主席，可以用1分鐘會議詢問嗎？好，我很快速地講一下，今天我看到本委員會裝了監測器，特別有趣的是測分貝的部分，我剛剛查了資料，就是環境音量在50分貝以下會讓人家感覺寧靜舒適，心情愉悅；70分貝以上就會造成大家心情煩躁，神經緊張，無法專心，影響學習，所以我們可能也要注意一下官員在70分貝以上能不能專心聽委員的垂詢，這個也是很重要的。當然長期處於70分貝以上的環境，也會造成大家情緒焦躁，久而久之，可能大家也需要去看心理醫師或者去紓壓，如果你不會紓壓，沒有來我那邊的吧檯喝咖啡的話，可能也會造成一些影響。","再來，重要的是，80分貝、85分貝真的會造成聽力的傷害，所以我剛剛很注意在看分貝的問題，因為很多很多的時間是超過80分貝，所以我在這邊特別提醒所有的人，不管是委員會還是立法院，職業安全衛生設施規則第三百條之一規定，勞工處於音量超過平均85分貝的工作場所，雇主要採取聽力保護措施。當然我們已經有做一個監測的系統，但是我們並沒有做監測危害的控管，都沒有，防音防護的配備也沒有，比如說耳塞，或者是有人在控管麥克風，我們靠太近，聲音太大的時候，就可以稍微調整一下，當然健檢OK，至於成效評估及改善，可能後續要做。以上做這個提醒，非常感謝召委給我時間把這個問題點出來。","現在接下來要來質詢。我今天有三個問題，我先講一下加熱菸的部分，要問部長跟國健署署長。"],["邱部長泰源：委員好。"],["吳署長昭軍：委員好。"],["陳委員瑩：大家好。我不太清楚國健署是因為裝傻還是不夠專業，因為他們說他們沒有做菸捐年度統計的資料，所以我們辦公室就只好自己找資料，然後我們自己幫國健署製作了非常清楚的表格，我們來看一下這幾年菸捐的收入，99年的菸捐將近348億，到了去年只剩下264億，那我們把這兩個年度來比較一下，就是少了84億之多，但是民國99年的菸價跟113年來相比，價格其實是低了很多，菸捐的比例卻大幅增加，但是收入卻大減，原因何在？部長其實可以想一想，因為吸菸比例並沒有減少，但抽紙菸的人口很多都轉為去抽加熱菸了，加熱菸的部分，就是基於一些很奇妙的人，還有很奇妙的原因，所以很奇妙地，現在抽加熱菸是不用繳菸捐的，所以衛福部的政策不僅不是在抑制吸加熱菸，反而是在鼓勵大家去吸加熱菸。因為這個錢都進了加熱菸走私犯的口袋了，所以唯一損失的是對健保的挹注，所以我們石崇良署長他就要哭哭了。按照國健署的觀念，用健康風險來抑制吸加熱菸的人口，如果這個推論是真的，那麼未來我們國人因為吸菸造成的健康風險反而會增加，因為健保支出會增加，未來健保也會被拖垮，那醫療品質會下降，所以這個到底是不是你們衛福部的德政？我們就是一直都打問號，所以我今天特別製作這個表格提醒大家，希望大家注意這個問題。"],["邱部長泰源：是，謝謝。"],["陳委員瑩：部長，你沒有要發表一下意見嗎？"],["邱部長泰源：當然，謝謝。當然在我們努力之下，抽菸的比例是有降低，那剛剛您所重視的問題，我們也通過菸害防制法，在加熱菸的部分也一直在審查，這個部分，我想我們一定加緊時程來做。"],["陳委員瑩：重點是菸捐的收入不要讓它滿天亂飛。"],["邱部長泰源：我們一切按照規定來處理，當然菸捐增加這也是兩難的事情，表示我們抽菸的人是不是比較多。"],["陳委員瑩：不是，一些奇妙的人、奇妙的原因，就請你們特別好好處理。"],["邱部長泰源：不應該是落到走私的業者手裡，這個是最重要的。"],["陳委員瑩：沒錯，沒錯。我們這個錢要收回來。","好，接下來一個重要問題，我們討論一下，就是有關於臺東醫療資源缺乏，當然是我們臺東長久的痛，如果民眾遇到急性腦中風、急性冠心症、心導管的問題，臺東有七家醫院，他到底可以送到哪裡？看來看去，也就只有送到臺東馬偕，因為臺東沒有中度急診的醫院，只有一家臺東馬偕是急重症醫院，其他六家都是一般的急診。依照緊急醫療能力分級的規定，急重症的醫院必須要在24小時提供外科、內科、骨科、兒科、麻醉科、神經科、神經外科、婦產科等專科醫師緊急的照會服務，所以臺東馬偕醫院就等於臺東整個重症醫療的核心，我想這個是大家都知道的。臺東馬偕希望把院內老舊的醫護宿舍改建，目前的宿舍我有去看過，屋齡已經40年了，大家可以想像一下40年的屋齡，馬上就會知道屋子的防火、防震都不符合現在的標準，而且我去看了，還4個人擠在一間。如果原地重建，馬偕他們有準備經費，如果原地打掉重建，那重建期間的銜接過程會有很多臺東馬偕醫院的醫護發生住宿的問題，再加上臺東馬偕要充實醫療設備，所以今年他們還要蓋癌醫大樓，在整個建樓的過程當中，預期會發生民眾就醫停車位嚴重不足的問題，病患跟家屬就會很不方便。","最近我跟莊瑞雄委員都非常關心臺東馬偕宿舍改建和停車場用地的問題，莊瑞雄委員已經在上個禮拜院會質詢的時候提到這件事情。臺東馬偕尋找的用地雖然是國產署的，可是畢竟衛福部是主管機關，所以我今天要在這裡特別提醒，因為臺東馬偕對於臺東醫療服務量能那麼重要，那麼這件事情，我和莊瑞雄委員一定絕對會大力支持及促成。在2月9日，我和莊委員在臺東馬偕現場會勘了宿舍跟停車場的現況，昨天我們服務處也陪同了馬偕醫院，跟國產署針對用地的問題來協商，協商的結果其實還滿正面的，所以如果馬偕可以找到合適用地的時候，是非常需要衛福部針對醫院改建宿舍跟停車場這件事情，在公共性、政策性及必要性這三個方面給予肯定跟支持的評價，那我想瞭解一下，部長，你對這件事情支持的立場應該沒有問題吧？"],["邱部長泰源：報告委員，真的非常感謝委員關心我們臺東的醫療水準，過去也協助了很多醫療提升的計畫，所以我們醫界都很感謝。臺東馬偕的確是我們重中之重，也感謝馬偕醫院有宗教的精神，很多很多優秀的人才都到那邊服務，也受到臺東當地居民的支持，特別是陳委員也給予很大的支持。醫護的宿舍的確是非常老舊，臺東馬偕不是沒有錢，是沒有地，所以如果政府能夠改善醫護的宿舍，當然我是求之不得。"],["陳委員瑩：昨天的協調其實狀況還不錯。"],["邱部長泰源：要怎麼樣拜託，我們都可以去拜託，能夠趕快讓醫護的宿舍完成。"],["陳委員瑩：所以就是確定的時候，你們趕快對於這個剛剛講的公共性、政策性及必要性的評價，給予肯定。"],["邱部長泰源：只要我們衛福部能夠做的，我們一定全力以赴，包括停車的空間也非常重要，因為有時候看病要停車，停到掛號的人輪到號都過了，還看不到病。"],["陳委員瑩：謝謝部長，那後面這三個方面的肯定評價就拜託你了。"],["邱部長泰源：我們一定全力以赴。"],["陳委員瑩：接下來就是跟臺東縣政府的一些睦鄰回饋的機制，我也會協助去協調。"],["邱部長泰源：好，謝謝。"],["陳委員瑩：最後一個問題也很重要，就是剛剛大家關心的偏鄉醫護人力短缺的問題，當然工作環境、待遇，還有三班護病比的落實，都是改善護理工作環境很關鍵的問題，其實之前部長有說護理師的薪水7萬元這句話，造成……"],["邱部長泰源：抱歉，我從來沒有講過護理師的薪水7萬，那是媒體以及記者會所說的，我們呈現出來的是網站，是自己去看網站公布的各醫院的內容，其實也可以看到最低，也有比較高的。"],["陳委員瑩：這樣的，好，那沒有關係，我修正一下，或許媒體……我們從媒體上……"],["邱部長泰源：我從來沒有講到這句話，我從來也沒有認為多少錢是夠的，那是媒體刊的。"],["陳委員瑩：好，部長，今天給你大大的澄清。"],["邱部長泰源：感謝給我機會澄清，因為我永遠覺得醫護的薪水必須要提高，再提高。"],["陳委員瑩：接下來請給我機會，因為我沒有時間了，我趕快講。媒體這樣寫，7萬元這個數據當然部長也講了，嚴重失真，但是我講一下，臺東護理師工作經驗在1到5年的薪資，只有臺東馬偕超過6萬塊而已，其他都沒有，其他公立醫院大概都五萬多，包括公職護理的薪資也相對比較高，可是其他私立醫院的部分只有4萬元，甚至臺東某家醫院執業一年的護理師薪水只有三萬多，你們知道這個訊息嗎？只有三萬多，這就是城鄉落差的一個差異，所以我理解每一家醫院的複雜度是不一樣，但是執業的護理師薪資只有三萬多，部長，這樣合理嗎？"],["邱部長泰源：你說臺東這一家嘛？"],["陳委員瑩：對。"],["邱部長泰源：那是一個宗教型的醫院，它的loading也許真的是沒有那麼大，就好像以診所來講，護理師的薪資可能也沒有辦法像醫院那麼高。"],["陳委員瑩：因為大家都留不住嘛，所以自然而然那個loading就是變成這樣子啊。","所以我想講的是，我知道你們會有一些理由，但是我只是覺得，我們一直在強調要留住偏鄉人才，我覺得衛福部其實這個時候你們就應該要干預這個市場。"],["邱部長泰源：有。其實像這種燈塔型的醫院，健保都會特別地補助，而且希望能夠提高護理的待遇，這個我們會去協助。"],["陳委員瑩：那到底要怎麼留住偏鄉護理人才？當然大家都知道住院護理費的偏鄉加成機制，我要再提一下這個加成在100年的時候，比例從3%提高到15%，但是我們之前也有講過，到底這些加成的點數有多少是真正實際反映到護理師的薪水待遇上？因為我們都知道，護理費用當然有包括一些儀器設備，還有其他等等，不一定只是護理的薪資，但是這一項加成的名稱對偏鄉護理師很不公平，甚至講嚴重一點，這樣的名稱對偏鄉護理師來說，是一個不正義的名稱，因為偏鄉住院護理費加成15%的感覺，好像是增加經費，但實質到偏鄉護理師口袋裡的其實根本就不是這樣。所以對於這個加成，我希望可以有一定比例反映到偏鄉護理師的薪資上面。我想，今天的重點是你們一定要匡一個比例到裡面，在這15%當中提撥一定比例作為護理師額外加給的部分。我在去年預算審查的時候也有提案，所以針對這個部分，可能會後請健保署再跟我們說明一下辦理的情況，大概就是針對我這邊提的，也就是怎麼樣提高誘因還有匡那個比例，請你們好好努力。"],["邱部長泰源：好，我們該給護理師的，就一毛錢也不能少，護理費怎麼分配有一定的比例，要清清楚楚、公開透明，取得大家的共識。"],["陳委員瑩：好，麻煩你們兩週內處理。"],["邱部長泰源：好，沒問題。"],["陳委員瑩：謝謝。"],["邱部長泰源：謝謝。"],["主席：謝謝陳委員、謝謝部長。","接續我們請洪孟楷委員質詢。"]],"agenda":{"page_end":314,"meet_id":"委員會-11-3-26-2","speakers":["蘇清泉","陳昭姿","林月琴","陳菁徽","王育敏","邱鎮軍","廖偉翔","涂權吉","黃秀芳","王正旭","林淑芬","羅智強","黃國昌","楊瓊瓔","陳瑩","洪孟楷","張啓楷","劉建國","陳培瑜","楊曜","王義川"],"page_start":227,"meetingDate":["2025-03-13"],"gazette_id":"1142701","agenda_lcidc_ids":["1142701_00006"],"meet_name":"立法院第11屆第3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「有關全國急重症醫療量能」進行專題報告，並備質詢","agenda_id":"1142701_00005"}}}