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426.371, \"text\": \"那講到這一些數字其實都是非常心痛的數字因為去年的時候爆發這樣子一個大量到今年不見改善還加劇我們可以知道我們的醫護我們的護理師的這個壓力有多大那但是我們看到一直到今年的2月22號急診醫學會發出求救文說真的才真正引起了政府的重視\", \"words\": [{\"word\": \"那\", \"start\": 404.474, \"end\": 404.814, \"score\": 0.895}, {\"word\": \"講\"}, {\"word\": \"到\", \"start\": 404.814, \"end\": 405.175, \"score\": 0.888}, {\"word\": \"這\"}, {\"word\": \"一\", \"start\": 405.175, \"end\": 405.315, \"score\": 0.99}, {\"word\": \"些\", \"start\": 405.315, \"end\": 405.815, \"score\": 0.957}, {\"word\": \"數\"}, {\"word\": \"字\", \"start\": 405.815, \"end\": 405.995, \"score\": 0.995}, {\"word\": \"其\", \"start\": 405.995, \"end\": 406.215, \"score\": 0.907}, {\"word\": \"實\"}, {\"word\": \"都\", \"start\": 406.215, \"end\": 406.336, \"score\": 0.999}, {\"word\": \"是\", \"start\": 406.336, \"end\": 406.536, \"score\": 0.998}, {\"word\": \"非\", \"start\": 406.536, \"end\": 406.676, \"score\": 0.995}, {\"word\": \"常\", \"start\": 406.676, \"end\": 406.936, \"score\": 0.995}, {\"word\": \"心\", 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\"那反而是當時的四年制跟學試後註冊率只有七成多結果呢根本就還招不滿就你還把這個名額把它提升看起來好像數字說我提升了以後可以增加人力沒有啊所以今年證明我們註冊率是下降的嘛所以我們考上了他都還不來註冊好那我們再往下看也就是剛剛我們所提的除了這個註冊率\", \"words\": [{\"word\": \"那\", \"start\": 775.802, \"end\": 775.982, \"score\": 0.897}, {\"word\": \"反\", \"start\": 775.982, \"end\": 776.102, \"score\": 0.875}, {\"word\": \"而\", \"start\": 776.102, \"end\": 776.283, \"score\": 0.849}, {\"word\": \"是\", \"start\": 776.283, \"end\": 776.963, \"score\": 0.858}, {\"word\": \"當\"}, {\"word\": \"時\"}, {\"word\": \"的\", \"start\": 776.963, \"end\": 777.223, \"score\": 0.988}, {\"word\": \"四\", \"start\": 777.223, \"end\": 777.344, \"score\": 0.805}, {\"word\": \"年\", \"start\": 777.344, \"end\": 777.544, \"score\": 0.929}, {\"word\": \"制\", \"start\": 777.544, \"end\": 777.704, \"score\": 0.88}, {\"word\": \"跟\", \"start\": 777.704, \"end\": 778.164, \"score\": 0.951}, {\"word\": \"學\", \"start\": 778.164, \"end\": 779.125, \"score\": 0.923}, {\"word\": \"試\"}, {\"word\": \"後\", \"start\": 779.125, \"end\": 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{\"word\": \"喔\", \"start\": 1373.138, \"end\": 1373.158, \"score\": 0.009}]}, {\"start\": 1373.718, \"end\": 1397.013, \"text\": \"教育部過去曾經辦理大專院校性教育計畫及高中以下性教育計畫可是呢在2020年的7月跟2021年的8月都停辦了這第一個那邱部長衛福部也曾經推動青少年性健康促進服務計畫也在2023年12月就終止了我請問一下到底為什麼我們通通不在乎了不重視了嗎為什麼都停掉了你們知道都停掉了嗎邱部長知道嗎\", \"words\": [{\"word\": \"教\", \"start\": 1373.718, \"end\": 1373.818, \"score\": 0.81}, {\"word\": \"育\", \"start\": 1373.818, \"end\": 1373.898, \"score\": 0.742}, {\"word\": \"部\", \"start\": 1373.898, \"end\": 1374.198, \"score\": 0.866}, {\"word\": \"過\"}, {\"word\": \"去\", \"start\": 1374.198, \"end\": 1374.359, \"score\": 0.997}, {\"word\": \"曾\", \"start\": 1374.359, \"end\": 1374.819, \"score\": 0.911}, {\"word\": \"經\"}, {\"word\": \"辦\"}, {\"word\": \"理\", \"start\": 1374.819, \"end\": 1375.019, \"score\": 0.987}, {\"word\": \"大\", \"start\": 1375.019, \"end\": 1375.339, \"score\": 0.936}, {\"word\": \"專\"}, {\"word\": \"院\", \"start\": 1375.339, \"end\": 1375.559, \"score\": 0.931}, {\"word\": \"校\", 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\"score\": 0.966}, {\"word\": \"比\", \"start\": 1572.205, \"end\": 1572.325, \"score\": 0.761}, {\"word\": \"例\", \"start\": 1572.325, \"end\": 1572.486, \"score\": 0.691}, {\"word\": \"是\", \"start\": 1572.486, \"end\": 1572.666, \"score\": 0.964}, {\"word\": \"祖\", \"start\": 1572.666, \"end\": 1572.886, \"score\": 0.948}, {\"word\": \"父\", \"start\": 1572.886, \"end\": 1573.046, \"score\": 0.833}, {\"word\": \"母\", \"start\": 1573.046, \"end\": 1573.486, \"score\": 0.908}, {\"word\": \"所\", \"start\": 1573.486, \"end\": 1573.546, \"score\": 0.667}, {\"word\": \"以\", \"start\": 1573.546, \"end\": 1573.626, \"score\": 0.531}, {\"word\": \"部\", \"start\": 1573.626, \"end\": 1573.646, \"score\": 0.016}, {\"word\": \"長\"}]}, {\"start\": 1574.486, \"end\": 1578.308, \"text\": \"我們勞動部調查我國平均退休的年齡是幾歲平均退休的年齡我可能要再確認一下數據\", \"words\": [{\"word\": \"我\", \"start\": 1574.486, \"end\": 1574.566, \"score\": 0.75}, {\"word\": \"們\"}, {\"word\": \"勞\"}, {\"word\": \"動\"}, {\"word\": \"部\", \"start\": 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\"退\", \"start\": 1577.268, \"end\": 1577.428, \"score\": 1.0}, {\"word\": \"休\", \"start\": 1577.428, \"end\": 1577.588, \"score\": 0.972}, {\"word\": \"的\", \"start\": 1577.588, \"end\": 1577.668, \"score\": 0.999}, {\"word\": \"年\", \"start\": 1577.668, \"end\": 1577.868, \"score\": 0.999}, {\"word\": \"齡\"}, {\"word\": \"我\", \"start\": 1577.868, \"end\": 1577.968, \"score\": 0.8}, {\"word\": \"可\", \"start\": 1577.968, \"end\": 1577.988, \"score\": 0.0}, {\"word\": \"能\", \"start\": 1577.988, \"end\": 1578.008, \"score\": 0.0}, {\"word\": \"要\", \"start\": 1578.008, \"end\": 1578.048, \"score\": 0.5}, {\"word\": \"再\", \"start\": 1578.048, \"end\": 1578.188, \"score\": 0.857}, {\"word\": \"確\"}, {\"word\": \"認\"}, {\"word\": \"一\", \"start\": 1578.188, \"end\": 1578.288, \"score\": 0.8}, {\"word\": \"下\", \"start\": 1578.288, \"end\": 1578.308, \"score\": 0.0}, {\"word\": \"數\"}, {\"word\": \"據\"}]}, {\"start\": 1587.837, \"end\": 1611.649, \"text\": \"我告訴你好了 這個調查是勞動部自己的調查 62.25歲但是今年要即將邁入了超高齡的社會我們在立法院去年也修正了勞基法跟高齡者及中高齡就業促進法那把原本強制退休年齡從65歲延後到勞資雙方合一這點部長一定知道嘛那這個是為什麼\", \"words\": [{\"word\": \"我\", \"start\": 1587.837, \"end\": 1587.977, \"score\": 0.816}, {\"word\": \"告\", \"start\": 1587.977, \"end\": 1588.257, \"score\": 0.846}, {\"word\": \"訴\"}, {\"word\": \"你\", \"start\": 1588.257, \"end\": 1588.377, \"score\": 0.829}, {\"word\": \"好\", \"start\": 1588.377, \"end\": 1588.537, \"score\": 0.804}, {\"word\": \"了\", \"start\": 1588.537, \"end\": 1591.019, \"score\": 0.886}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"調\"}, {\"word\": \"查\", \"start\": 1591.019, \"end\": 1591.239, \"score\": 0.926}, {\"word\": \"是\", \"start\": 1591.239, \"end\": 1591.599, \"score\": 0.778}, {\"word\": \"勞\"}, {\"word\": \"動\"}, {\"word\": \"部\", \"start\": 1591.599, \"end\": 1591.719, \"score\": 0.943}, {\"word\": \"自\", \"start\": 1591.719, \"end\": 1591.799, \"score\": 0.845}, {\"word\": \"己\", \"start\": 1591.799, \"end\": 1591.819, \"score\": 0.001}, {\"word\": 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1611.529, \"end\": 1611.629, \"score\": 0.669}, {\"word\": \"為\"}, {\"word\": \"什\", \"start\": 1611.629, \"end\": 1611.649, \"score\": 0.0}, {\"word\": \"麼\"}]}, {\"start\": 1612.449, \"end\": 1633.692, \"text\": \"我們要鼓勵中高齡的人繼續投入職場也就希望大家還有這個工作能力的時候不要太早被強迫退休嘛對不對部長是嗎是好那所以我們看到現行性別工作平等法第16條裡面僅僅只有允許父母親來申請育嬰留職停薪那這導致什麼問題產生呢\", \"words\": [{\"word\": \"我\", \"start\": 1612.449, \"end\": 1612.589, \"score\": 0.72}, {\"word\": \"們\"}, {\"word\": \"要\", \"start\": 1612.589, \"end\": 1612.789, \"score\": 0.961}, {\"word\": \"鼓\", \"start\": 1612.789, \"end\": 1613.13, \"score\": 0.939}, {\"word\": \"勵\"}, {\"word\": \"中\", \"start\": 1613.13, \"end\": 1613.35, \"score\": 0.989}, {\"word\": \"高\", \"start\": 1613.35, \"end\": 1614.411, \"score\": 0.917}, {\"word\": \"齡\"}, {\"word\": \"的\", \"start\": 1614.411, \"end\": 1614.551, \"score\": 0.994}, {\"word\": \"人\", \"start\": 1614.551, \"end\": 1615.272, \"score\": 0.904}, {\"word\": \"繼\"}, {\"word\": \"續\"}, {\"word\": \"投\", \"start\": 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00:00:27,120\n時間暫停一下,又來了一個團,對不起我剛剛一口氣吹現在異常二樓來自日本東京大學的所有同學們來立法院,我們掌聲歡迎啊好,歡迎歡迎好,萬美美,對不起,萬美美請好,謝謝主席,我們有請卓院長以及陳世凱部長麻煩請卓院長交通部請備詢\n\n2\n00:00:37,981 --> 00:00:57,046\n好院長好部長好院長好院長我看了您的這個本會期的施政報告那總共有8項158頁那麼在第109頁第6項交通及數位發展那本期看到第一點第一段第一行你就提到了桃園鐵路地下化的一個計畫\n\n3\n00:00:58,106 --> 00:01:14,408\n我想這顯示行政院應該也是相當重視桃園鐵路地下化的這個工程喔那但是每一次喔院長應該都還有印象喔就是我這個問題質詢了非常多次可是每一次質詢這個鐵路地下化的進度喔我想都會讓我們覺得非常的失望喔那我們來看\n\n4\n00:01:15,509 --> 00:01:41,401\n其實本席不只一次反應我們都知道其實鐵路計畫也好桃園市下有很多重大建設之來做所以不管是每年當一天進度落後對於桃園市民來講都是很嚴重交通黑暗期也好都是一種臨時所以從去年6月份卓院長您剛上任的時候當時本席就有質詢這個鐵路計畫的進度落後了4.01%那麼在9月份第二個會期的時候我又再度質詢了\n\n5\n00:01:42,662 --> 00:02:01,405\n後來呢我們的進度持續落後到5.95%將近6%那你看這個時間點其實我又再度質詢這個進度因為真的非常的重要那我們看到進度不但沒有追上那反而持續落後來到了9.47%將近落後了大概一成所以我想是不是能夠請教一下這是什麼樣的原因\n\n6\n00:02:03,587 --> 00:02:17,585\n報告委員一方面是因為發包的問題二方面是因為我們這個物價不斷在調漲所以我們有提了這個修正計畫確實整個工程是有延宕的狀況但是因為我們修正過後的金額相當的大\n\n7\n00:02:19,747 --> 00:02:39,535\n因為過去缺工缺料啦疫情影響這我們都知道那我也知道正在辦理修正計劃不過我們來看一下因為現在的進度不斷的一個擴大落後而且這個落後我相信不只是我們在等待很焦急我相信這個主管機關也是非常的焦急才是可是我們辦理中的修正計劃我們一休多久了\n\n8\n00:02:39,735 --> 00:03:03,053\n大半年過去了在去年我們看到鐵道局有講說在113年年底之前會完成修正計劃然後推進發報的作業但是到目前為止我們看到整個鐵道局的修正還在修正中那更不要說我們後面還要送交通部我們還要送行政院要審議要核定還有很長一段路要走所以到底要到多久的時間才能夠修正跟核定完成\n\n9\n00:03:03,653 --> 00:03:20,121\n報告委員您上面的資料也很清楚裡面還有一個議題就是難研的部分有一個車站難研的部分那這個部分當然需要一些時間討論因為包含工程包含預算我想為什麼要修正就您剛剛說的不管是我們因為缺工缺料疫情然後工程難移\n\n10\n00:03:21,301 --> 00:03:36,436\n等等或者經費要增加那就是因為這樣才要修正但是不能夠無止境一直等待這個時間其實有點久了我希望部長能不能加速一下這個時間否則之前我們在講說122年、123年這個可以分兩階段通車你有把握122年跟123年這個承諾可以兌現嗎?我們第一階段還是努力在122年希望能夠通車\n\n11\n00:03:44,784 --> 00:04:07,199\n所以院長您所關心的這個桃園鐵路地消化這麼重大的工程是可以在122年、123年如期如值的通車嗎好三件事情跟委員報告原來這個預算1048億現在修正後會增加大概770億左右增加的幅度相當大那第三件事中央跟地方的分擔的比例\n\n12\n00:04:08,101 --> 00:04:22,292\n這是一件問題而且地方來講新北市跟桃園市還沒有談好互相之間另外我們現在財政授之劃分法若是這樣劃分的話那中央跟地方的比例要重新再核算沒有辦法這樣做\n\n13\n00:04:23,573 --> 00:04:48,189\n今天本席跟你討論這個進度的問題那這個進度落後不是此時此刻才落後也不是之後才會開始落後其實就不斷地在落後從過去其實在1048億還沒有用完的時候其實我們就一直在落後了所以我想這個落後的問題恐怕我們要痛定思痛想一想那除了疫情之外到底為什麼我們不能夠追上所以我想希望是不是能夠\n\n14\n00:04:49,249 --> 00:05:06,115\n一個月內我們來提供比較明確的關於修正計畫能不能完成郭柯文報告過我說如果財政收支法案法是這樣來分的話那很多已經合訂的計畫行政院必須收回重新合訂要嘛就是地方比例要增加要嘛就是整個時間要延長\n\n15\n00:05:06,915 --> 00:05:33,528\n這是中央政府被拿到三千七百...沒有辦法的辦法院長我想這樣來講啦我們也真的是必須啊在這裡本席要其實勸您啊就是應該要再次仔細想一想過去一直落後一直落後當時也沒有財政收支劃分法的問題嘛所以還是一直在落後啊所以那個時候就在落後但是我們應該要去檢討所以這是我今天語重心長的希望您這麼重視鐵路地下化那我們可以加點油好不好好我們會加油檢討\n\n16\n00:05:35,629 --> 00:05:57,182\n好接下來我想那個部長可以先請問那我們有請這個邱太元部長麻煩請問邱部長院長我們這個去年九月的時候本席同樣是在這裡那當時質詢是說新冠肺炎單週門診急診就診人數高達12.8萬人次這個數字您以及部長一定還是記憶猶新\n\n17\n00:05:58,143 --> 00:06:25,753\n所以當時整個是炸鍋不管是因為觀察率高這個護理人力不足壓力過大的這個急診擁捨那個時候就非常非常嚴重了可是我們看到到了今年呢我們沒有看到這個狀況有改善春節的時候呢我們急診就診平均3.7萬人次這個數字高於去年同期的2.7萬人次那最高峰的時候其實在1月30號單日就高達了4.5萬人次那2月2號到2月8號\n\n18\n00:06:27,654 --> 00:06:43,933\n光是淚流感的單週門急診人次達到了18.1萬人次那這個數字也是近10年來同期最高所以我們看到按照衛福部現在自己的統計目前我們每一天急診量依然有大概2萬多人次\n\n19\n00:06:44,474 --> 00:07:06,371\n那講到這一些數字其實都是非常心痛的數字因為去年的時候爆發這樣子一個大量到今年不見改善還加劇我們可以知道我們的醫護我們的護理師的這個壓力有多大那但是我們看到一直到今年的2月22號急診醫學會發出求救文說真的才真正引起了政府的重視\n\n20\n00:07:07,512 --> 00:07:21,980\n本是不理解我們已經有啊就過去的這樣一個經驗我們也深知問題在哪裡可是呢不同的季節不同的病毒但一樣的狀況加劇的在這個急診啊或者是在醫療院所去上演啊那我們再看到啊其實啊在這個後應時\n\n21\n00:07:22,921 --> 00:07:38,680\n後疫情的時代我們也知道這個免疫負債爆發那當然有很多的傳染病大流行包括我們知道的新冠、流感或者是懦弱等等很多所以現在急診的爆滿跟醫院、診所這幾天我們大家都在談論這個問題護理師的人力不足的問題尤其嚴重\n\n22\n00:07:42,685 --> 00:07:59,241\n那衛福部提出來了一個說三短期策略兩個中長期的改革我們就來看三短期策略為什麼因為這很急迫嘛要趕快來做嘛那你看去年的時候我們推出這個三班互併筆也算上路了然後夜班今天也實施了但我們要講的是\n\n23\n00:08:00,262 --> 00:08:27,365\n院長我們要知道喔三班戶必比要有人才能夠來排班嘛對不對夜班今天要有人我才發給他有意義嘛那現在的問題就是護理師不足啊所以我們看到這兩個政策上來以後我還是沒有改善喔那所以現在提出來說病床調度啦醫院聯防啦或者分級就醫啊有提出的政策本身都肯定是好事但是真的能夠解決這個問題嗎所以我想部長其實您提出的這些策略喔\n\n24\n00:08:27,745 --> 00:08:51,935\n我看到我們醫界其實是不太領情的啦那原因是為什麼因為這些方向恐怕他們本來就已經在做了所以呢這個醫改會也批評說這樣子的一個策略其實活在一個平行時空那這個護理工會也轟說這是提油救火但我理解他們的心情我也能想像其實部長是想趕快做完看起來沒有效果啊所以部長能不能提一下這要怎麼解決啊\n\n25\n00:08:52,608 --> 00:09:13,063\n是的,謝謝委員我想留任護理人才在我們的職場上好好的工作就是我們政府一直在努力我們這一年來提出了十二項的一個策略那其實從各方面來努力特別是在護病比的努力留任還有教考\n\n26\n00:09:13,863 --> 00:09:35,216\n留任人才較好用的一個護理人才的培育等等都一直在進行那其實去年的十二月比上一年前大概我們也增加了護理人員大概三千八百位在職場那其中有一千兩百位但是我必須要聲明我們需要的更多所以我們也想盡辦法\n\n27\n00:09:35,896 --> 00:09:52,374\n副部長其實您現在在講的還是一個背景啦其實我覺得我們還是要針對問題要想想怎麼解決那當然今天本席啊其實我們在這個後生會我們也成跟這個紀淑敬理事長我們也成立了一個希望能夠為醫護人員發聲的一個平台那我相信這個平台也是一個跨黨派啊這個\n\n28\n00:09:53,775 --> 00:10:21,410\n結合了我們政府啊或者是學術啊或者這個醫界啊我們大家希望把這個問題找出來嘛但我們都知道所有的問題環環相扣那每一個問題其實可能連接的就是下一個問題那當然誠如今天周次長講的就是說我們要怎麼按照這個輕重緩急不能夠解決眼下的問題跟帶來另外一個問題這我都同意但是要做啊好那我們再來看喔其實本席認為喔我們落實這個分級就醫這一個部分我覺得還不錯但是恐怕也只能就是紓解啊\n\n29\n00:10:21,770 --> 00:10:42,351\n沒辦法真正解決啦那我就來看講到分級就醫那個部長去年你記不記得本席有建議說這個新冠因為已經比照流感的看診比照流感那麼所以呢我們希望建立一個分級制度不管是看診篩檢啊或者給藥的SOP都要來做嘛那請問一下光在新冠這個部分做了嗎新冠跟\n\n30\n00:10:45,242 --> 00:11:01,734\n新款流管化以後去年就跟您提了我們要不要就是分級的部分從這裡開始做起我們從COVID以後就建立了不只分級也包括分流希望讓醫療能夠製造廠進行所以部長您的意思是說有做是嗎我們不只在社區建立了分級分流我們準備一個轉層\n\n31\n00:11:10,480 --> 00:11:33,983\n我了解我了解所以部長您的意思不好意思您的意思是說我們有做嘛那我們如果有做這個SOP是有的那我要麻煩您精神診所是不是還有很多不知道或者是說沒有落實那既然我們有做那個政策提出來要落實所以拜託如果是真的有做這段時間我們看不到麻煩要把它落實起來否則光上次我提說新冠要比照流感\n\n32\n00:11:34,363 --> 00:11:59,602\n的這個SOP做你分級都沒有辦法落實了那現在你要怎麼說要讓整個這個狀況分級就醫我看也很難好那我們現在再來看那政府這幾年說要提升護理人力那在這個112年的時候考選部降低了護理國考的門檻當時還引起了一些爭議因為我們把這個所謂比較難的一個科目比如說像這個基礎醫學的比重由20%降到了10%那考試呢\n\n33\n00:12:01,223 --> 00:12:24,713\n就是說不要考那麼難嘛然後再來呢我們考試有一次有兩次那增加為三次讓你可以多考一下對不對但是我們看起來你看國考的門檻稍微降低了可是整個及格率大概都是三成多啊及格率是三成多所以我們要想一想那是不是我們在這個教育上面的部分是不是要怎麼樣來加強所以我們國考降低了看起來沒有幫助嘛那我們再來看看到這個註冊率\n\n34\n00:12:26,794 --> 00:12:55,382\n我們就看報考人數是次數增加但看起來也沒有比較好可是我們的整個大專護理科系的註冊率也是一直在下降其實去年在質詢的時候也有跟院長跟部長提起來我們當時這個政策其實我就不太贊同因為我們當時看到五專跟二專受到大家的歡迎註冊率超高可是你把那個註冊就是給他的核定名額是下降的\n\n35\n00:12:55,802 --> 00:13:17,984\n那反而是當時的四年制跟學試後註冊率只有七成多結果呢根本就還招不滿就你還把這個名額把它提升看起來好像數字說我提升了以後可以增加人力沒有啊所以今年證明我們註冊率是下降的嘛所以我們考上了他都還不來註冊好那我們再往下看也就是剛剛我們所提的除了這個註冊率\n\n36\n00:13:20,606 --> 00:13:46,835\n在七成多之外我們的護理人員在113年12月我們總職業的人數其實大概只有62.57%62%多而已喔也就是說整個總領證人數有30萬9千多人但是留在這個職場上職業只有19萬多所以也就是考試沒有考這麼多學生註冊沒有那麼多人去註冊領到證以後大家不要留在這個環境裡面所以呢\n\n37\n00:13:47,495 --> 00:14:13,178\n部長本席在這裡語重心長要請您真的要去仔細想一想出了什麼問題這一連串最近大家都在討論這個議題但是我們是討論完以後回家就當沒事了嗎還是我們應該要去深思到底為了什麼我必須要講我們從來在台灣不缺護理人才不缺有愛心有責任感專業的護理人才而是缺一個留住這些護理人才的好的環境那有沒有創造好的環境給他\n\n38\n00:14:14,259 --> 00:14:31,668\n院長有沒有話要說我們並不是降低考試的門檻而是希望行政院跟考試院未來就護理人員的考試甚至其他各個部會相關的考試都要引進一些適用型的考試內容考用合一的一個平台\n\n39\n00:14:32,268 --> 00:14:50,124\n不是要降低是要考一些比較實用性的那麼護理人員我們都調查之下他七年是一個高的離職率我們除了引進新的訓練新的更多之外如何把這些護理人員因為個人的因素家庭的因素必須離開的時候我們能不能解決他這種家庭生活上的因素\n\n40\n00:14:51,465 --> 00:15:12,277\n我們回去再好好想一想這些問題點那當然我們看到這麼多人不願意留在這個職場上當然我們都知道很多問題不過整合起來可以知道這個工時很長勞動的條件很長尤其是這個薪資真的非常的偏低我必須要講薪資真的非常的偏低尤其那天我想\n\n41\n00:15:12,677 --> 00:15:42,075\n部長提到說我們護理人員的薪資有到六萬你看引起基層的炸鍋啊勞動部都已經就都說了四萬九啊勞動部的這個資料四萬九但你去提一個六萬我想我們護理人員大家各個都覺得很冤枉那同時最重要的是我們有沒有創造一個好的環境給他他能不能受到大家的重視尊重不管是政府不管是這個醫病之間讓他給他一個可以受尊重的環境否則他長期都在承受很多負面的情緒那怎麼有辦法待在這個地方呢所以我想\n\n42\n00:15:42,475 --> 00:16:09,091\n等等這些因素啦好那我們看到衛福部上週有跟醫界來開會規劃一個要由健保每年預租30億的經費還有4年100億的這個相關的這個提升護理薪資的一個費用那我覺得這個方向其實是對的這個也是本期長期來呼籲跟要求的因為這個方向絕對是正確的但是呢我今天要來問部長跟院長那我們要如何來提升護理的薪資那現在到底要調升多少\n\n43\n00:16:12,012 --> 00:16:32,872\n報告員,我從來沒有講過護理人員的薪資是多少,我們只是提供112年部長先就我的問題來回答好嗎?我們現在在調薪的部分我們要調多少錢?我的意思就是說,醫護的同仁怎麼樣提升待遇一直都是我們提升目標部長請問一下,我們開了會之後現在有決定要怎麼調薪嗎?調薪多少錢?\n\n44\n00:16:35,163 --> 00:16:42,032\n我想這個可能我們盡量第一個增加護理會那我們要求護理會要公開透明\n\n45\n00:16:44,426 --> 00:17:04,965\n盡量是用在直接在護理人員的加薪上面所以還沒有一個數字對嗎好那我想我們這個護理師公會也好基層的護理師同仁都希望說能夠調薪一萬塊那我當然希望這個部分請院長跟部長就好好去想一想我們到底要怎麼樣去給他調薪不過呢我希望\n\n46\n00:17:05,506 --> 00:17:27,623\n未來衛福部開任何跟醫護人力改善相關的會議一定要邀請這關係也就是要有護理師代表來參與這點可以做得到嗎我們一定找護理的代表來但是護理代表有時候有五六個團體那部長另外本縣要求是不是能夠在一個月內我們來擬定到底要怎麼樣調升護理的薪資跟護理費用的具體方案一個月內可以有一個案子出來嗎\n\n47\n00:17:30,225 --> 00:17:36,431\n我們一直在處理一直在努力但是我們隨時可以邀請所有的護理團體一起來努力沒有問題我們再檢討那既然我們要調整護理師的薪資但同時我剛剛有講減壓也很重要我們有一個技術混合照護模式這個院長知道嗎部長知道嗎\n\n48\n00:17:51,269 --> 00:17:57,417\n這個就是住院整合性照顧他希望把那個護理師照顧護理師來幫忙是是是技術混合照顧模式跟住院整合照顧計畫我想這些都是希望能夠幫他們減壓但是呢\n\n49\n00:18:07,971 --> 00:18:25,738\n這兩者最大的不同在於技術和照護模式我們是針對所有病房內所有相關的宿務工作那給領有某一些執照的人來做當然不是專業的護理師那住院整合照護計畫當然針對病人的家屬無法陪病的時候可以申請那好我們來提到\n\n50\n00:18:26,198 --> 00:18:43,346\n技術這個混合照護模式目前本期去了解調查大概整個全台有5家醫院在試辦那試辦的效果成果都很好而且這個技術混合照護模式其實在世界各地也都有在做所以我想根據這個衛福部自己的統計我們112年護理人員離職率高達了12.61%可是您知道嗎有在試辦這個技術混合照護模式醫院的離職率\n\n51\n00:18:52,950 --> 00:19:00,873\n竟然可以低到只有0.9到6.9之間可見它是有成效的所以我想部長是不是可以儘速地來研議擴大推動這個照顧模式\n\n52\n00:19:03,214 --> 00:19:23,215\nSkillMix這個模式如果成效好我們絕對可以拿來以及我們現在做的成效也非常好的一個住院整合型照顧我想說好的模式我們就一定要來做但是我也希望說我們能夠啟動相關的法令研修把這個輔助人例如護理所\n\n53\n00:19:23,936 --> 00:19:48,418\n那這個部分納入醫療機構設置辦法當中來減輕護理師的一個負擔是不是也能夠請衛福部我看一週之內因為這個不難啦一週之內書面跟本席具體的答覆好嗎好的好好謝謝接下來呢請邱部長一樣留著那我們請教育部的鄭部長一起麻煩請教育部長備詢\n\n54\n00:19:50,723 --> 00:20:18,890\n好謝謝我想少死化是我們的國安問題啦那但是呢本席今天要關心真的一個蠻嚴重的一個狀況也就是青少年我們發現他罹患性病的這個比例有在上升那你看如果青少年沒有做好性病的這個防治跟教育那不慎感染的這個性病有的時候沒有及時發現有時候休餘治療那未來也會影響生育能力間接加劇少死化的問題\n\n55\n00:20:19,730 --> 00:20:43,740\n尤其醫界也證實感染靈病醫院體梅毒或者是人類乳毒病毒等等恐怕導致不孕那在這裡其實我也很謝謝這個衛福部過去我們一起努力本席也不斷的呼籲所以今年九月我們就要開始把這個公費的HPV的疫苗我們要擴大到國中男生來接種那這可以有效的降低HPV的病毒感染不過\n\n56\n00:20:44,520 --> 00:20:57,930\n最近的10年我們看到青少年感染梅毒跟這個靈病的人數是暴增的我覺得這個數字其實讓我們非常的擔憂根據疾管署統計感染梅毒的人數從2015年的124人上升到2024年的549人那暴增的425人之多那增幅高達342%\n\n57\n00:21:05,296 --> 00:21:29,180\n感染0病的人數則從2015年的326人增至2024年的908人這個增幅增進也來到178%其實我更擔心的是這個裡面恐怕還有很多的黑數在裡頭這個我非常擔心我們來看到這個疾管署也有提到說青少年性病的這個案例暴增是因為初次性行為的年齡下降了\n\n58\n00:21:29,500 --> 00:21:56,536\n那再加上交友軟體網路發達等等我們就看到有這個狀況產生不過我們看到全面性教育的八大核心概念其實在108個課綱當中其實是有的可是我們看到青少年的性病感染越來越嚴重所以我在這裡要請教部長這是因為課程沒有落實還是教學內容已經沒有辦法滿足教育現場這是第一個問題第二個我們看到2023年國民小學的全面性教育落實情形的解釋報告當初指出\n\n59\n00:21:58,317 --> 00:22:14,095\n性與性行為跟性與生殖健康兩項核心概念在國小階段幾乎是完全消失了可以看一下所以我想對於我們教育現場性教育課程的缺失這部長能不能簡單的回答一下\n\n60\n00:22:15,267 --> 00:22:27,316\n我想謝謝委員的一個提醒我想讓我們這個新世代這個青少年能夠有一個更好的一個成長空間這是我們大家所關心的學校如何來落實這一個\n\n61\n00:22:30,999 --> 00:22:53,158\n透過這個健康議題這一相關的課程不是啦部長這些都有你現在講都有但問題沒有落實啊本來就在八大領域當中為什麼沒有落實我想在教師的真人包括全面的我們來瞭解來跟衛福部有一個更...回去看一下好不好既然我們在領域當中就有叫落實好不好這個我提醒你一下好再來呢但是你看我們教育部喔\n\n62\n00:22:53,718 --> 00:23:17,013\n教育部過去曾經辦理大專院校性教育計畫及高中以下性教育計畫可是呢在2020年的7月跟2021年的8月都停辦了這第一個那邱部長衛福部也曾經推動青少年性健康促進服務計畫也在2023年12月就終止了我請問一下到底為什麼我們通通不在乎了不重視了嗎為什麼都停掉了你們知道都停掉了嗎邱部長知道嗎\n\n63\n00:23:23,566 --> 00:23:41,316\n不知道鎮部長知道嗎?衛生部在推行性病防止方面是很多人的我知道我知道但我只問這個點所以兩個部長都不知道停掉了嘛對不對回去看一看我們要苛責你們回去看一下為什麼把它停掉了是真的沒有必要嗎?\n\n64\n00:23:42,296 --> 00:23:57,059\n好那待會我們再來看今年1月15號衛福部的機關署說要跟國建署還有教育部的國教署來合作來強化校園性教育跟性傳染病防治的宣導那請問兩位部長兩個月過去了這個平台建立起來了嗎院長兩位部長建立起來了嗎報告委員我們會有我的親身在衛福部的處理部長我只問建立起來了沒有在宣導的方面我只要問這個平台建立起來了嗎\n\n65\n00:24:14,403 --> 00:24:39,276\n報告委員很感謝委員我們願意跟委員一起努力這個性教育他之前停下來願意招聘我我們重新來把它研議這個平台我要求委員部即刻成立針對今天該有的課程沒有落實那過去該有的計畫我們也把它停掉那我們該建立的平台我們趕快把它建立起來這個部分啦我想是不是會後\n\n66\n00:24:40,616 --> 00:25:00,314\n我想應該一週內就可以把這件事情書面再跟本席做詳細報告最短的時間把計畫送給委員讓我們在禁書的時間把它成立起來好因為我們看到這個新少年性病暴增的數字我們就知道背後發生什麼問題要趕快把它做起來啦好不好那另外呢其實本席有一些具體的建議我想會後也會給你們\n\n67\n00:25:01,755 --> 00:25:26,817\n包括怎麼樣跨部會合作怎麼樣用匿名的方式讓青少年的篩檢怎麼樣設置保病性高的單位讓他們可以諮詢等等今天本席在這邊要求你們要做到的絕對對我們的孩子有很大的幫助回去要落實做不要這邊聽完回去以後大家都當沒這回事好不好好謝謝那接下來兩位部長可以先請回那我有請勞動部的洪部長\n\n68\n00:25:32,883 --> 00:25:45,977\n我們現在現今的社會型態很多的父母親因為工作忙碌都沒有辦法親自照顧三歲以下的幼兒有的抽不到公幼有的不管是請保姆或者是私幼私托恐怕也有經濟上的考量\n\n69\n00:25:46,658 --> 00:26:13,646\n那又基於信任的關係所以我們發現其實祖父母在照顧這個幼兒的比例可以說是相當的高這點您應該認同那這也是現今社會很多家庭照顧的模式可是呢根據衛福部它有一個在這個111年兒童及少年生活狀況調查的報告那幼兒由父母以外的親屬照顧的比例高達了25%將近四分之一其中相當高的比例是祖父母所以部長\n\n70\n00:26:14,486 --> 00:26:18,308\n我們勞動部調查我國平均退休的年齡是幾歲平均退休的年齡我可能要再確認一下數據\n\n71\n00:26:27,837 --> 00:26:51,649\n我告訴你好了這個調查是勞動部自己的調查62.25歲但是今年要即將邁入了超高齡的社會我們在立法院去年也修正了勞基法跟高齡者及中高齡就業促進法那把原本強制退休年齡從65歲延後到勞資雙方合一這點部長一定知道嘛那這個是為什麼\n\n72\n00:26:52,449 --> 00:27:13,692\n我們要鼓勵中高齡的人繼續投入職場也就希望大家還有這個工作能力的時候不要太早被強迫退休嘛對不對部長是嗎是好那所以我們看到現行性別工作平等法第16條裡面僅僅只有允許父母親來申請育嬰留職停薪那這導致什麼問題產生呢\n\n73\n00:27:14,733 --> 00:27:43,497\n也就是說許多中高齡仍然在這個就業的祖父母你可能為了要幫子女去照顧孫子那他被迫不得不離開職場你看看這樣的狀況其實反而是影響了中高齡勞動力的這個持續就業那跟我們去年勞基法跟中高齡就業促進法的原意其實是違背的那為什麼會有這個狀況我想我講到這裡應該其實院長跟部長就是很能理解嘛因為我們現在超高齡跟這個少子化\n\n74\n00:27:43,917 --> 00:28:07,155\n所以未來因為照顧孫子而選擇離職的或者是退休的祖父母會越來越多因為我們剛剛有講到我們一直希望他還有勞動力的時候能夠延後我們也修法了可是現在看到是我們很多的祖父母因為要照顧孫子那麼就被迫要離開職場所以我今天在提我們現行的法規我們是不是應該要更完善一點從現行法規當中將祖父母能夠納入\n\n75\n00:28:10,478 --> 00:28:16,608\n我們的育嬰留庭的一個保障範圍之內我覺得這會不會更完整一些部長您怎麼看\n\n76\n00:28:18,151 --> 00:28:46,267\n跟我們說明因為其實這個孕孕留職停薪的津貼我們會發給這個父母親的原因其實有一個很重要的原因是因為我們在民法裡面是有明文規定父母對於未成年的子女是有保護跟教養的權利義務所以為什麼當時孕孕留職停薪的津貼在救保法裡面是這個設定是給父母是因為在民法上面有這個規定當然\n\n77\n00:28:47,968 --> 00:29:05,545\n這個我都理解那但是部長我想我們應該共同來看一看就現今的職場狀況跟現今我們照顧幼兒的狀況我們要隨時滾動式去檢討去做微調那尤其我們剛剛面對我提出來的這個數字我們本來這個退休年齡其實就已經延後了我們還希望他能夠有勞動力說繼續來工作那又加以你看\n\n78\n00:29:08,328 --> 00:29:21,542\n有四分之一的幼兒恐怕都是祖父母在照顧他們當然就是要被迫從具有勞動力的職場上離開所以我是希望今天在這裡特別把它提出來院長來深思一下想一想我們怎麼樣去維持\n\n79\n00:29:24,065 --> 00:29:46,811\n這些祖父母都還有勞動力可是他又必須要照顧這個年幼的孫子的時候我們能不能夠擴大育嬰留庭能夠擴大到我們的祖父母我想這一個在本期在上一屆的時候其實就有提出修法那其實我記得這個修法其實還有很多版本出來所以我們都是主張將這個祖父母要納入留職停薪適用的對象\n\n80\n00:29:47,691 --> 00:30:07,737\n那我想這個修法其實本席會持續來推動所以我在想是不是能夠今天跟部長跟院長來討論讓祖父母在面對照顧孫子的這個責任的時候能夠兼顧他的就業權益跟委員報告我們現在勞動部確實一直在思考跟政策上面的規劃希望讓更多包括尤其是父母親\n\n81\n00:30:08,477 --> 00:30:25,987\n他可以同時兼顧家庭照顧跟他的職場的這個需求就是大家現在在講的所謂照顧不離職的政策我們其實正在全面的研議也包括因為留職停薪怎麼會讓他能夠更彈性化因為現在很多的性別團體都希望說讓他更彈性化之後其實更能夠去兼顧職場跟照顧\n\n82\n00:30:27,108 --> 00:30:42,575\n部長我同意你說的這個彈性化就是我們要視現在很多的狀況去做彈性的處理這次才能更圓滿所以我想剛才本席提出來我相信過去您也思考過那院長也會覺得說這個其實是值得去想的所以我想拜託\n\n83\n00:31:05,077 --> 00:31:05,838\n接下來我們請登記第23號\n\n","tsv":"start\tend\ttext\n8915\t27120\t時間暫停一下,又來了一個團,對不起我剛剛一口氣吹現在異常二樓來自日本東京大學的所有同學們來立法院,我們掌聲歡迎啊好,歡迎歡迎好,萬美美,對不起,萬美美請好,謝謝主席,我們有請卓院長以及陳世凱部長麻煩請卓院長交通部請備詢\n37981\t57046\t好 院長好 部長好 院長好院長我看了您的這個本會期的施政報告那總共有8項158頁那麼在第109頁第6項交通及數位發展那本期看到第一點 第一段 第一行你就提到了桃園鐵路地下化的一個計畫\n58106\t74408\t我想這顯示行政院應該也是相當重視桃園鐵路地下化的這個工程喔那但是每一次喔院長應該都還有印象喔就是我這個問題質詢了非常多次可是每一次質詢這個鐵路地下化的進度喔我想都會讓我們覺得非常的失望喔那我們來看\n75509\t101401\t其實本席不只一次反應我們都知道其實鐵路計畫也好桃園市下有很多重大建設之來做所以不管是每年當一天進度落後對於桃園市民來講都是很嚴重交通黑暗期也好都是一種臨時所以從去年6月份卓院長您剛上任的時候當時本席就有質詢這個鐵路計畫的進度落後了4.01%那麼在9月份第二個會期的時候我又再度質詢了\n102662\t121405\t後來呢我們的進度持續落後到5.95%將近6%那你看這個時間點其實我又再度質詢這個進度因為真的非常的重要那我們看到進度不但沒有追上那反而持續落後來到了9.47%將近落後了大概一成所以我想是不是能夠請教一下這是什麼樣的原因\n123587\t137585\t報告委員一方面是因為發包的問題二方面是因為我們這個物價不斷在調漲所以我們有提了這個修正計畫確實整個工程是有延宕的狀況但是因為我們修正過後的金額相當的大\n139747\t159535\t因為過去缺工缺料啦疫情影響這我們都知道那我也知道正在辦理修正計劃不過我們來看一下因為現在的進度不斷的一個擴大落後而且這個落後我相信不只是我們在等待很焦急我相信這個主管機關也是非常的焦急才是可是我們辦理中的修正計劃我們一休多久了\n159735\t183053\t大半年過去了在去年我們看到鐵道局有講說在113年年底之前會完成修正計劃然後推進發報的作業但是到目前為止我們看到整個鐵道局的修正還在修正中那更不要說我們後面還要送交通部我們還要送行政院要審議要核定還有很長一段路要走所以到底要到多久的時間才能夠修正跟核定完成\n183653\t200121\t報告委員您上面的資料也很清楚裡面還有一個議題就是難研的部分有一個車站難研的部分那這個部分當然需要一些時間討論因為包含工程包含預算我想為什麼要修正就您剛剛說的不管是我們因為缺工缺料疫情然後工程難移\n201301\t216436\t等等或者經費要增加那就是因為這樣才要修正但是不能夠無止境一直等待這個時間其實有點久了我希望部長能不能加速一下這個時間否則之前我們在講說122年、123年這個可以分兩階段通車你有把握122年跟123年這個承諾可以兌現嗎?我們第一階段還是努力在122年希望能夠通車\n224784\t247199\t所以院長您所關心的這個桃園鐵路地消化這麼重大的工程是可以在122年、123年如期如值的通車嗎好 三件事情跟委員報告原來這個預算1048億現在修正後會增加大概770億左右增加的幅度相當大那第三件事 中央跟地方的分擔的比例\n248101\t262292\t這是一件問題而且地方來講新北市跟桃園市還沒有談好互相之間另外我們現在財政授之劃分法若是這樣劃分的話那中央跟地方的比例要重新再核算沒有辦法這樣做\n263573\t288189\t今天本席跟你討論這個進度的問題那這個進度落後不是此時此刻才落後也不是之後才會開始落後其實就不斷地在落後從過去其實在1048億還沒有用完的時候其實我們就一直在落後了所以我想這個落後的問題恐怕我們要痛定思痛想一想那除了疫情之外到底為什麼我們不能夠追上所以我想希望是不是能夠\n289249\t306115\t一個月內我們來提供比較明確的關於修正計畫能不能完成郭柯文報告過我說如果財政收支法案法是這樣來分的話那很多已經合訂的計畫行政院必須收回重新合訂要嘛就是地方比例要增加要嘛就是整個時間要延長\n306915\t333528\t這是中央政府被拿到三千七百...沒有辦法的辦法院長我想這樣來講啦我們也真的是必須啊在這裡本席要其實勸您啊就是應該要再次仔細想一想過去一直落後一直落後當時也沒有財政收支劃分法的問題嘛所以還是一直在落後啊所以那個時候就在落後但是我們應該要去檢討所以這是我今天語重心長的希望您這麼重視鐵路地下化那我們可以加點油好不好好 我們會加油檢討\n335629\t357182\t好 接下來我想那個部長可以先請問那我們有請這個邱太元部長麻煩請問邱部長院長 我們這個去年九月的時候本席同樣是在這裡那當時質詢是說新冠肺炎單週門診急診就診人數高達12.8萬人次這個數字您以及部長一定還是記憶猶新\n358143\t385753\t所以當時整個是炸鍋不管是因為觀察率高這個護理人力不足壓力過大的這個急診擁捨那個時候就非常非常嚴重了可是我們看到到了今年呢我們沒有看到這個狀況有改善春節的時候呢我們急診就診平均3.7萬人次這個數字高於去年同期的2.7萬人次那最高峰的時候其實在1月30號單日就高達了4.5萬人次那2月2號到2月8號\n387654\t403933\t光是淚流感的單週門急診人次達到了18.1萬人次那這個數字也是近10年來同期最高所以我們看到按照衛福部現在自己的統計目前我們每一天急診量依然有大概2萬多人次\n404474\t426371\t那講到這一些數字其實都是非常心痛的數字因為去年的時候爆發這樣子一個大量到今年不見改善還加劇我們可以知道我們的醫護我們的護理師的這個壓力有多大那但是我們看到一直到今年的2月22號急診醫學會發出求救文說真的才真正引起了政府的重視\n427512\t441980\t本是不理解我們已經有啊就過去的這樣一個經驗我們也深知問題在哪裡可是呢不同的季節不同的病毒但一樣的狀況加劇的在這個急診啊或者是在醫療院所去上演啊那我們再看到啊其實啊在這個後應時\n442921\t458680\t後疫情的時代我們也知道這個免疫負債爆發那當然有很多的傳染病大流行包括我們知道的新冠、流感或者是懦弱等等很多所以現在急診的爆滿跟醫院、診所這幾天我們大家都在談論這個問題護理師的人力不足的問題尤其嚴重\n462685\t479241\t那衛福部提出來了一個說三短期策略兩個中長期的改革我們就來看三短期策略為什麼因為這很急迫嘛要趕快來做嘛那你看去年的時候我們推出這個三班互併筆也算上路了然後夜班今天也實施了但我們要講的是\n480262\t507365\t院長我們要知道喔三班戶必比要有人才能夠來排班嘛對不對夜班今天要有人我才發給他有意義嘛那現在的問題就是護理師不足啊所以我們看到這兩個政策上來以後我還是沒有改善喔那所以現在提出來說病床調度啦醫院聯防啦或者分級就醫啊有提出的政策本身都肯定是好事但是真的能夠解決這個問題嗎所以我想部長其實您提出的這些策略喔\n507745\t531935\t我看到我們醫界其實是不太領情的啦那原因是為什麼因為這些方向恐怕他們本來就已經在做了所以呢這個醫改會也批評說這樣子的一個策略其實活在一個平行時空那這個護理工會也轟說這是提油救火但我理解他們的心情我也能想像其實部長是想趕快做完看起來沒有效果啊所以部長能不能提一下這要怎麼解決啊\n532608\t553063\t是的,謝謝委員我想留任護理人才在我們的職場上好好的工作就是我們政府一直在努力我們這一年來提出了十二項的一個策略那其實從各方面來努力特別是在護病比的努力留任還有教考\n553863\t575216\t留任人才較好用的一個護理人才的培育等等都一直在進行那其實去年的十二月比上一年前大概我們也增加了護理人員大概三千八百位在職場那其中有一千兩百位但是我必須要聲明我們需要的更多所以我們也想盡辦法\n575896\t592374\t副部長其實您現在在講的還是一個背景啦其實我覺得我們還是要針對問題要想想怎麼解決那當然今天本席啊其實我們在這個後生會我們也成跟這個紀淑敬理事長我們也成立了一個希望能夠為醫護人員發聲的一個平台那我相信這個平台也是一個跨黨派啊這個\n593775\t621410\t結合了我們政府啊或者是學術啊或者這個醫界啊我們大家希望把這個問題找出來嘛但我們都知道所有的問題環環相扣那每一個問題其實可能連接的就是下一個問題那當然誠如今天周次長講的就是說我們要怎麼按照這個輕重緩急不能夠解決眼下的問題跟帶來另外一個問題這我都同意但是要做啊好那我們再來看喔其實本席認為喔我們落實這個分級就醫這一個部分我覺得還不錯但是恐怕也只能就是紓解啊\n621770\t642351\t沒辦法真正解決啦那我就來看講到分級就醫那個部長去年你記不記得本席有建議說這個新冠因為已經比照流感的看診比照流感那麼所以呢我們希望建立一個分級制度不管是看診篩檢啊或者給藥的SOP都要來做嘛那請問一下光在新冠這個部分做了嗎新冠跟\n645242\t661734\t新款流管化以後去年就跟您提了我們要不要就是分級的部分從這裡開始做起我們從COVID以後就建立了不只分級也包括分流希望讓醫療能夠製造廠進行所以部長您的意思是說有做是嗎我們不只在社區建立了分級分流我們準備一個轉層\n670480\t693983\t我了解我了解所以部長您的意思不好意思您的意思是說我們有做嘛那我們如果有做這個SOP是有的那我要麻煩您精神診所是不是還有很多不知道或者是說沒有落實那既然我們有做那個政策提出來要落實所以拜託如果是真的有做這段時間我們看不到麻煩要把它落實起來否則光上次我提說新冠要比照流感\n694363\t719602\t的這個SOP做你分級都沒有辦法落實了那現在你要怎麼說要讓整個這個狀況分級就醫我看也很難好那我們現在再來看那政府這幾年說要提升護理人力那在這個112年的時候考選部降低了護理國考的門檻當時還引起了一些爭議因為我們把這個所謂比較難的一個科目比如說像這個基礎醫學的比重由20%降到了10%那考試呢\n721223\t744713\t就是說不要考那麼難嘛然後再來呢我們考試有一次有兩次那增加為三次讓你可以多考一下對不對但是我們看起來你看國考的門檻稍微降低了可是整個及格率大概都是三成多啊及格率是三成多所以我們要想一想那是不是我們在這個教育上面的部分是不是要怎麼樣來加強所以我們國考降低了看起來沒有幫助嘛那我們再來看看到這個註冊率\n746794\t775382\t我們就看報考人數是次數增加但看起來也沒有比較好可是我們的整個大專護理科系的註冊率也是一直在下降其實去年在質詢的時候也有跟院長跟部長提起來我們當時這個政策其實我就不太贊同因為我們當時看到五專跟二專受到大家的歡迎註冊率超高可是你把那個註冊就是給他的核定名額是下降的\n775802\t797984\t那反而是當時的四年制跟學試後註冊率只有七成多結果呢根本就還招不滿就你還把這個名額把它提升看起來好像數字說我提升了以後可以增加人力沒有啊所以今年證明我們註冊率是下降的嘛所以我們考上了他都還不來註冊好那我們再往下看也就是剛剛我們所提的除了這個註冊率\n800606\t826835\t在七成多之外我們的護理人員在113年12月我們總職業的人數其實大概只有62.57%62%多而已喔也就是說整個總領證人數有30萬9千多人但是留在這個職場上職業只有19萬多所以也就是考試沒有考這麼多學生註冊沒有那麼多人去註冊領到證以後大家不要留在這個環境裡面所以呢\n827495\t853178\t部長本席在這裡語重心長要請您真的要去仔細想一想出了什麼問題這一連串最近大家都在討論這個議題但是我們是討論完以後回家就當沒事了嗎還是我們應該要去深思到底為了什麼我必須要講我們從來在台灣不缺護理人才不缺有愛心有責任感專業的護理人才而是缺一個留住這些護理人才的好的環境那有沒有創造好的環境給他\n854259\t871668\t院長有沒有話要說我們並不是降低考試的門檻而是希望行政院跟考試院未來就護理人員的考試甚至其他各個部會相關的考試都要引進一些適用型的考試內容考用合一的一個平台\n872268\t890124\t不是要降低是要考一些比較實用性的那麼護理人員我們都調查之下他七年是一個高的離職率我們除了引進新的訓練新的更多之外如何把這些護理人員因為個人的因素家庭的因素必須離開的時候我們能不能解決他這種家庭生活上的因素\n891465\t912277\t我們回去再好好想一想這些問題點那當然我們看到這麼多人不願意留在這個職場上當然我們都知道很多問題不過整合起來可以知道這個工時很長勞動的條件很長尤其是這個薪資真的非常的偏低我必須要講薪資真的非常的偏低尤其那天我想\n912677\t942075\t部長提到說我們護理人員的薪資有到六萬你看引起基層的炸鍋啊勞動部都已經就都說了四萬九啊勞動部的這個資料四萬九但你去提一個六萬我想我們護理人員大家各個都覺得很冤枉那同時最重要的是我們有沒有創造一個好的環境給他他能不能受到大家的重視尊重不管是政府不管是這個醫病之間讓他給他一個可以受尊重的環境否則他長期都在承受很多負面的情緒那怎麼有辦法待在這個地方呢所以我想\n942475\t969091\t等等這些因素啦好那我們看到衛福部上週有跟醫界來開會規劃一個要由健保每年預租30億的經費還有4年100億的這個相關的這個提升護理薪資的一個費用那我覺得這個方向其實是對的這個也是本期長期來呼籲跟要求的因為這個方向絕對是正確的但是呢我今天要來問部長跟院長那我們要如何來提升護理的薪資那現在到底要調升多少\n972012\t992872\t報告員,我從來沒有講過護理人員的薪資是多少,我們只是提供112年部長先就我的問題來回答好嗎?我們現在在調薪的部分我們要調多少錢?我的意思就是說,醫護的同仁怎麼樣提升待遇一直都是我們提升目標部長請問一下,我們開了會之後現在有決定要怎麼調薪嗎?調薪多少錢?\n995163\t1002032\t我想這個可能我們盡量第一個增加護理會那我們要求護理會要公開透明\n1004426\t1024965\t盡量是用在直接在護理人員的加薪上面所以還沒有一個數字 對嗎好 那我想我們這個護理師公會也好基層的護理師同仁都希望說能夠調薪一萬塊那我當然希望這個部分請院長跟部長就好好去想一想我們到底要怎麼樣去給他調薪不過呢 我希望\n1025506\t1047623\t未來衛福部開任何跟醫護人力改善相關的會議一定要邀請這關係也就是要有護理師代表來參與這點可以做得到嗎我們一定找護理的代表來但是護理代表有時候有五六個團體那部長另外本縣要求是不是能夠在一個月內我們來擬定到底要怎麼樣調升護理的薪資跟護理費用的具體方案一個月內可以有一個案子出來嗎\n1050225\t1056431\t我們一直在處理一直在努力但是我們隨時可以邀請所有的護理團體一起來努力沒有問題我們再檢討那既然我們要調整護理師的薪資但同時我剛剛有講減壓也很重要我們有一個技術混合照護模式這個院長知道嗎部長知道嗎\n1071269\t1077417\t這個就是住院整合性照顧他希望把那個護理師照顧護理師來幫忙是是是技術混合照顧模式跟住院整合照顧計畫我想這些都是希望能夠幫他們減壓但是呢\n1087971\t1105738\t這兩者最大的不同在於技術和照護模式我們是針對所有病房內所有相關的宿務工作那給領有某一些執照的人來做當然不是專業的護理師那住院整合照護計畫當然針對病人的家屬無法陪病的時候可以申請那好我們來提到\n1106198\t1123346\t技術這個混合照護模式目前本期去了解調查大概整個全台有5家醫院在試辦那試辦的效果成果都很好而且這個技術混合照護模式其實在世界各地也都有在做所以我想根據這個衛福部自己的統計我們112年護理人員離職率高達了12.61%可是您知道嗎有在試辦這個技術混合照護模式醫院的離職率\n1132950\t1140873\t竟然可以低到只有0.9到6.9之間可見它是有成效的所以我想部長是不是可以儘速地來研議擴大推動這個照顧模式\n1143214\t1163215\tSkill Mix這個模式如果成效好我們絕對可以拿來以及我們現在做的成效也非常好的一個住院整合型照顧我想說好的模式我們就一定要來做但是我也希望說我們能夠啟動相關的法令研修把這個輔助人例如護理所\n1163936\t1188418\t那這個部分 納入醫療機構設置辦法當中來減輕護理師的一個負擔是不是也能夠請衛福部我看一週之內 因為這個不難啦一週之內書面跟本席具體的答覆 好嗎好的好好 謝謝接下來呢請邱部長一樣留著那我們請教育部的鄭部長一起麻煩請教育部長備詢\n1190723\t1218890\t好 謝謝我想少死化是我們的國安問題啦那但是呢本席今天要關心真的一個蠻嚴重的一個狀況也就是青少年我們發現他罹患性病的這個比例有在上升那你看如果青少年沒有做好性病的這個防治跟教育那不慎感染的這個性病有的時候沒有及時發現有時候休餘治療那未來也會影響生育能力間接加劇少死化的問題\n1219730\t1243740\t尤其醫界也證實感染靈病醫院體梅毒或者是人類乳毒病毒等等恐怕導致不孕那在這裡其實我也很謝謝這個衛福部過去我們一起努力本席也不斷的呼籲所以今年九月我們就要開始把這個公費的HPV的疫苗我們要擴大到國中男生來接種那這可以有效的降低HPV的病毒感染不過\n1244520\t1257930\t最近的10年我們看到青少年感染梅毒跟這個靈病的人數是暴增的我覺得這個數字其實讓我們非常的擔憂根據疾管署統計感染梅毒的人數從2015年的124人上升到2024年的549人那暴增的425人之多那增幅高達342%\n1265296\t1289180\t感染0病的人數則從2015年的326人增至2024年的908人這個增幅增進也來到178%其實我更擔心的是這個裡面恐怕還有很多的黑數在裡頭這個我非常擔心我們來看到這個疾管署也有提到說青少年性病的這個案例暴增是因為初次性行為的年齡下降了\n1289500\t1316536\t那再加上交友軟體網路發達等等我們就看到有這個狀況產生不過我們看到全面性教育的八大核心概念其實在108個課綱當中其實是有的可是我們看到青少年的性病感染越來越嚴重所以我在這裡要請教部長這是因為課程沒有落實還是教學內容已經沒有辦法滿足教育現場這是第一個問題第二個我們看到2023年國民小學的全面性教育落實情形的解釋報告當初指出\n1318317\t1334095\t性與性行為跟性與生殖健康兩項核心概念在國小階段幾乎是完全消失了可以看一下所以我想對於我們教育現場性教育課程的缺失這部長能不能簡單的回答一下\n1335267\t1347316\t我想謝謝委員的一個提醒我想讓我們這個新世代這個青少年能夠有一個更好的一個成長空間這是我們大家所關心的學校如何來落實這一個\n1350999\t1373158\t透過這個健康議題這一相關的課程不是啦 部長這些都有 你現在講都有但問題沒有落實啊本來就在八大領域當中為什麼沒有落實我想在教師的真人包括全面的我們來瞭解來跟衛福部有一個更...回去看一下好不好既然我們在領域當中就有叫落實好不好這個我提醒你一下好 再來呢但是你看我們教育部喔\n1373718\t1397013\t教育部過去曾經辦理大專院校性教育計畫及高中以下性教育計畫可是呢在2020年的7月跟2021年的8月都停辦了這第一個那邱部長衛福部也曾經推動青少年性健康促進服務計畫也在2023年12月就終止了我請問一下到底為什麼我們通通不在乎了不重視了嗎為什麼都停掉了你們知道都停掉了嗎邱部長知道嗎\n1403566\t1421316\t不知道 鎮部長知道嗎?衛生部在推行性病防止方面是很多人的我知道我知道但我只問這個點所以兩個部長都不知道停掉了嘛對不對回去看一看我們要苛責你們回去看一下為什麼把它停掉了是真的沒有必要嗎?\n1422296\t1437059\t好那待會我們再來看今年1月15號衛福部的機關署說要跟國建署還有教育部的國教署來合作來強化校園性教育跟性傳染病防治的宣導那請問兩位部長兩個月過去了這個平台建立起來了嗎院長兩位部長建立起來了嗎報告委員我們會有我的親身在衛福部的處理部長我只問建立起來了沒有在宣導的方面我只要問這個平台建立起來了嗎\n1454403\t1479276\t報告委員 很感謝委員 我們願意跟委員一起努力這個性教育他之前停下來 願意招聘我我們重新來把它研議這個平台我要求委員部即刻成立針對今天該有的課程沒有落實那過去該有的計畫 我們也把它停掉那我們該建立的平台 我們趕快把它建立起來這個部分啦 我想是不是會後\n1480616\t1500314\t我想應該一週內就可以把這件事情書面再跟本席做詳細報告最短的時間把計畫送給委員讓我們在禁書的時間把它成立起來好 因為我們看到這個新少年性病暴增的數字我們就知道背後發生什麼問題要趕快把它做起來啦 好不好那另外呢 其實本席有一些具體的建議我想會後也會給你們\n1501755\t1526817\t包括怎麼樣跨部會合作怎麼樣用匿名的方式讓青少年的篩檢怎麼樣設置保病性高的單位讓他們可以諮詢等等今天本席在這邊要求你們要做到的絕對對我們的孩子有很大的幫助回去要落實做不要這邊聽完回去以後大家都當沒這回事好不好好 謝謝那接下來兩位部長可以先請回那我有請勞動部的洪部長\n1532883\t1545977\t我們現在現今的社會型態很多的父母親因為工作忙碌都沒有辦法親自照顧三歲以下的幼兒有的抽不到公幼有的不管是請保姆或者是私幼私托恐怕也有經濟上的考量\n1546658\t1573646\t那又基於信任的關係所以我們發現其實祖父母在照顧這個幼兒的比例可以說是相當的高這點您應該認同那這也是現今社會很多家庭照顧的模式可是呢根據衛福部它有一個在這個111年兒童及少年生活狀況調查的報告那幼兒由父母以外的親屬照顧的比例高達了25%將近四分之一其中相當高的比例是祖父母所以部長\n1574486\t1578308\t我們勞動部調查我國平均退休的年齡是幾歲平均退休的年齡我可能要再確認一下數據\n1587837\t1611649\t我告訴你好了 這個調查是勞動部自己的調查 62.25歲但是今年要即將邁入了超高齡的社會我們在立法院去年也修正了勞基法跟高齡者及中高齡就業促進法那把原本強制退休年齡從65歲延後到勞資雙方合一這點部長一定知道嘛那這個是為什麼\n1612449\t1633692\t我們要鼓勵中高齡的人繼續投入職場也就希望大家還有這個工作能力的時候不要太早被強迫退休嘛對不對部長是嗎是好那所以我們看到現行性別工作平等法第16條裡面僅僅只有允許父母親來申請育嬰留職停薪那這導致什麼問題產生呢\n1634733\t1663497\t也就是說許多中高齡仍然在這個就業的祖父母你可能為了要幫子女去照顧孫子那他被迫不得不離開職場你看看這樣的狀況其實反而是影響了中高齡勞動力的這個持續就業那跟我們去年勞基法跟中高齡就業促進法的原意其實是違背的那為什麼會有這個狀況我想我講到這裡應該其實院長跟部長就是很能理解嘛因為我們現在超高齡跟這個少子化\n1663917\t1687155\t所以未來因為照顧孫子而選擇離職的或者是退休的祖父母會越來越多因為我們剛剛有講到我們一直希望他還有勞動力的時候能夠延後我們也修法了可是現在看到是我們很多的祖父母因為要照顧孫子那麼就被迫要離開職場所以我今天在提我們現行的法規我們是不是應該要更完善一點從現行法規當中將祖父母能夠納入\n1690478\t1696608\t我們的育嬰留庭的一個保障範圍之內我覺得這會不會更完整一些部長您怎麼看\n1698151\t1726267\t跟我們說明因為其實這個孕孕留職停薪的津貼我們會發給這個父母親的原因其實有一個很重要的原因是因為我們在民法裡面是有明文規定父母對於未成年的子女是有保護跟教養的權利義務所以為什麼當時孕孕留職停薪的津貼在救保法裡面是這個設定是給父母是因為在民法上面有這個規定當然\n1727968\t1745545\t這個我都理解那但是部長我想我們應該共同來看一看就現今的職場狀況跟現今我們照顧幼兒的狀況我們要隨時滾動式去檢討去做微調那尤其我們剛剛面對我提出來的這個數字我們本來這個退休年齡其實就已經延後了我們還希望他能夠有勞動力說繼續來工作那又加以你看\n1748328\t1761542\t有四分之一的幼兒恐怕都是祖父母在照顧他們當然就是要被迫從具有勞動力的職場上離開所以我是希望今天在這裡特別把它提出來院長來深思一下想一想我們怎麼樣去維持\n1764065\t1786811\t這些祖父母都還有勞動力可是他又必須要照顧這個年幼的孫子的時候我們能不能夠擴大育嬰留庭能夠擴大到我們的祖父母我想這一個在本期在上一屆的時候其實就有提出修法那其實我記得這個修法其實還有很多版本出來所以我們都是主張將這個祖父母要納入留職停薪適用的對象\n1787691\t1807737\t那我想這個修法其實本席會持續來推動所以我在想是不是能夠今天跟部長跟院長來討論讓祖父母在面對照顧孫子的這個責任的時候能夠兼顧他的就業權益跟委員報告我們現在勞動部確實一直在思考跟政策上面的規劃希望讓更多包括尤其是父母親\n1808477\t1825987\t他可以同時兼顧家庭照顧跟他的職場的這個需求就是大家現在在講的所謂照顧不離職的政策我們其實正在全面的研議也包括因為留職停薪怎麼會讓他能夠更彈性化因為現在很多的性別團體都希望說讓他更彈性化之後其實更能夠去兼顧職場跟照顧\n1827108\t1842575\t部長我同意你說的這個彈性化就是我們要視現在很多的狀況去做彈性的處理這次才能更圓滿所以我想剛才本席提出來我相信過去您也思考過那院長也會覺得說這個其實是值得去想的所以我想拜託\n1865077\t1865838\t接下來我們請登記第23號\n","txt":"時間暫停一下,又來了一個團,對不起我剛剛一口氣吹現在異常二樓來自日本東京大學的所有同學們來立法院,我們掌聲歡迎啊好,歡迎歡迎好,萬美美,對不起,萬美美請好,謝謝主席,我們有請卓院長以及陳世凱部長麻煩請卓院長交通部請備詢\n好 院長好 部長好 院長好院長我看了您的這個本會期的施政報告那總共有8項158頁那麼在第109頁第6項交通及數位發展那本期看到第一點 第一段 第一行你就提到了桃園鐵路地下化的一個計畫\n我想這顯示行政院應該也是相當重視桃園鐵路地下化的這個工程喔那但是每一次喔院長應該都還有印象喔就是我這個問題質詢了非常多次可是每一次質詢這個鐵路地下化的進度喔我想都會讓我們覺得非常的失望喔那我們來看\n其實本席不只一次反應我們都知道其實鐵路計畫也好桃園市下有很多重大建設之來做所以不管是每年當一天進度落後對於桃園市民來講都是很嚴重交通黑暗期也好都是一種臨時所以從去年6月份卓院長您剛上任的時候當時本席就有質詢這個鐵路計畫的進度落後了4.01%那麼在9月份第二個會期的時候我又再度質詢了\n後來呢我們的進度持續落後到5.95%將近6%那你看這個時間點其實我又再度質詢這個進度因為真的非常的重要那我們看到進度不但沒有追上那反而持續落後來到了9.47%將近落後了大概一成所以我想是不是能夠請教一下這是什麼樣的原因\n報告委員一方面是因為發包的問題二方面是因為我們這個物價不斷在調漲所以我們有提了這個修正計畫確實整個工程是有延宕的狀況但是因為我們修正過後的金額相當的大\n因為過去缺工缺料啦疫情影響這我們都知道那我也知道正在辦理修正計劃不過我們來看一下因為現在的進度不斷的一個擴大落後而且這個落後我相信不只是我們在等待很焦急我相信這個主管機關也是非常的焦急才是可是我們辦理中的修正計劃我們一休多久了\n大半年過去了在去年我們看到鐵道局有講說在113年年底之前會完成修正計劃然後推進發報的作業但是到目前為止我們看到整個鐵道局的修正還在修正中那更不要說我們後面還要送交通部我們還要送行政院要審議要核定還有很長一段路要走所以到底要到多久的時間才能夠修正跟核定完成\n報告委員您上面的資料也很清楚裡面還有一個議題就是難研的部分有一個車站難研的部分那這個部分當然需要一些時間討論因為包含工程包含預算我想為什麼要修正就您剛剛說的不管是我們因為缺工缺料疫情然後工程難移\n等等或者經費要增加那就是因為這樣才要修正但是不能夠無止境一直等待這個時間其實有點久了我希望部長能不能加速一下這個時間否則之前我們在講說122年、123年這個可以分兩階段通車你有把握122年跟123年這個承諾可以兌現嗎?我們第一階段還是努力在122年希望能夠通車\n所以院長您所關心的這個桃園鐵路地消化這麼重大的工程是可以在122年、123年如期如值的通車嗎好 三件事情跟委員報告原來這個預算1048億現在修正後會增加大概770億左右增加的幅度相當大那第三件事 中央跟地方的分擔的比例\n這是一件問題而且地方來講新北市跟桃園市還沒有談好互相之間另外我們現在財政授之劃分法若是這樣劃分的話那中央跟地方的比例要重新再核算沒有辦法這樣做\n今天本席跟你討論這個進度的問題那這個進度落後不是此時此刻才落後也不是之後才會開始落後其實就不斷地在落後從過去其實在1048億還沒有用完的時候其實我們就一直在落後了所以我想這個落後的問題恐怕我們要痛定思痛想一想那除了疫情之外到底為什麼我們不能夠追上所以我想希望是不是能夠\n一個月內我們來提供比較明確的關於修正計畫能不能完成郭柯文報告過我說如果財政收支法案法是這樣來分的話那很多已經合訂的計畫行政院必須收回重新合訂要嘛就是地方比例要增加要嘛就是整個時間要延長\n這是中央政府被拿到三千七百...沒有辦法的辦法院長我想這樣來講啦我們也真的是必須啊在這裡本席要其實勸您啊就是應該要再次仔細想一想過去一直落後一直落後當時也沒有財政收支劃分法的問題嘛所以還是一直在落後啊所以那個時候就在落後但是我們應該要去檢討所以這是我今天語重心長的希望您這麼重視鐵路地下化那我們可以加點油好不好好 我們會加油檢討\n好 接下來我想那個部長可以先請問那我們有請這個邱太元部長麻煩請問邱部長院長 我們這個去年九月的時候本席同樣是在這裡那當時質詢是說新冠肺炎單週門診急診就診人數高達12.8萬人次這個數字您以及部長一定還是記憶猶新\n所以當時整個是炸鍋不管是因為觀察率高這個護理人力不足壓力過大的這個急診擁捨那個時候就非常非常嚴重了可是我們看到到了今年呢我們沒有看到這個狀況有改善春節的時候呢我們急診就診平均3.7萬人次這個數字高於去年同期的2.7萬人次那最高峰的時候其實在1月30號單日就高達了4.5萬人次那2月2號到2月8號\n光是淚流感的單週門急診人次達到了18.1萬人次那這個數字也是近10年來同期最高所以我們看到按照衛福部現在自己的統計目前我們每一天急診量依然有大概2萬多人次\n那講到這一些數字其實都是非常心痛的數字因為去年的時候爆發這樣子一個大量到今年不見改善還加劇我們可以知道我們的醫護我們的護理師的這個壓力有多大那但是我們看到一直到今年的2月22號急診醫學會發出求救文說真的才真正引起了政府的重視\n本是不理解我們已經有啊就過去的這樣一個經驗我們也深知問題在哪裡可是呢不同的季節不同的病毒但一樣的狀況加劇的在這個急診啊或者是在醫療院所去上演啊那我們再看到啊其實啊在這個後應時\n後疫情的時代我們也知道這個免疫負債爆發那當然有很多的傳染病大流行包括我們知道的新冠、流感或者是懦弱等等很多所以現在急診的爆滿跟醫院、診所這幾天我們大家都在談論這個問題護理師的人力不足的問題尤其嚴重\n那衛福部提出來了一個說三短期策略兩個中長期的改革我們就來看三短期策略為什麼因為這很急迫嘛要趕快來做嘛那你看去年的時候我們推出這個三班互併筆也算上路了然後夜班今天也實施了但我們要講的是\n院長我們要知道喔三班戶必比要有人才能夠來排班嘛對不對夜班今天要有人我才發給他有意義嘛那現在的問題就是護理師不足啊所以我們看到這兩個政策上來以後我還是沒有改善喔那所以現在提出來說病床調度啦醫院聯防啦或者分級就醫啊有提出的政策本身都肯定是好事但是真的能夠解決這個問題嗎所以我想部長其實您提出的這些策略喔\n我看到我們醫界其實是不太領情的啦那原因是為什麼因為這些方向恐怕他們本來就已經在做了所以呢這個醫改會也批評說這樣子的一個策略其實活在一個平行時空那這個護理工會也轟說這是提油救火但我理解他們的心情我也能想像其實部長是想趕快做完看起來沒有效果啊所以部長能不能提一下這要怎麼解決啊\n是的,謝謝委員我想留任護理人才在我們的職場上好好的工作就是我們政府一直在努力我們這一年來提出了十二項的一個策略那其實從各方面來努力特別是在護病比的努力留任還有教考\n留任人才較好用的一個護理人才的培育等等都一直在進行那其實去年的十二月比上一年前大概我們也增加了護理人員大概三千八百位在職場那其中有一千兩百位但是我必須要聲明我們需要的更多所以我們也想盡辦法\n副部長其實您現在在講的還是一個背景啦其實我覺得我們還是要針對問題要想想怎麼解決那當然今天本席啊其實我們在這個後生會我們也成跟這個紀淑敬理事長我們也成立了一個希望能夠為醫護人員發聲的一個平台那我相信這個平台也是一個跨黨派啊這個\n結合了我們政府啊或者是學術啊或者這個醫界啊我們大家希望把這個問題找出來嘛但我們都知道所有的問題環環相扣那每一個問題其實可能連接的就是下一個問題那當然誠如今天周次長講的就是說我們要怎麼按照這個輕重緩急不能夠解決眼下的問題跟帶來另外一個問題這我都同意但是要做啊好那我們再來看喔其實本席認為喔我們落實這個分級就醫這一個部分我覺得還不錯但是恐怕也只能就是紓解啊\n沒辦法真正解決啦那我就來看講到分級就醫那個部長去年你記不記得本席有建議說這個新冠因為已經比照流感的看診比照流感那麼所以呢我們希望建立一個分級制度不管是看診篩檢啊或者給藥的SOP都要來做嘛那請問一下光在新冠這個部分做了嗎新冠跟\n新款流管化以後去年就跟您提了我們要不要就是分級的部分從這裡開始做起我們從COVID以後就建立了不只分級也包括分流希望讓醫療能夠製造廠進行所以部長您的意思是說有做是嗎我們不只在社區建立了分級分流我們準備一個轉層\n我了解我了解所以部長您的意思不好意思您的意思是說我們有做嘛那我們如果有做這個SOP是有的那我要麻煩您精神診所是不是還有很多不知道或者是說沒有落實那既然我們有做那個政策提出來要落實所以拜託如果是真的有做這段時間我們看不到麻煩要把它落實起來否則光上次我提說新冠要比照流感\n的這個SOP做你分級都沒有辦法落實了那現在你要怎麼說要讓整個這個狀況分級就醫我看也很難好那我們現在再來看那政府這幾年說要提升護理人力那在這個112年的時候考選部降低了護理國考的門檻當時還引起了一些爭議因為我們把這個所謂比較難的一個科目比如說像這個基礎醫學的比重由20%降到了10%那考試呢\n就是說不要考那麼難嘛然後再來呢我們考試有一次有兩次那增加為三次讓你可以多考一下對不對但是我們看起來你看國考的門檻稍微降低了可是整個及格率大概都是三成多啊及格率是三成多所以我們要想一想那是不是我們在這個教育上面的部分是不是要怎麼樣來加強所以我們國考降低了看起來沒有幫助嘛那我們再來看看到這個註冊率\n我們就看報考人數是次數增加但看起來也沒有比較好可是我們的整個大專護理科系的註冊率也是一直在下降其實去年在質詢的時候也有跟院長跟部長提起來我們當時這個政策其實我就不太贊同因為我們當時看到五專跟二專受到大家的歡迎註冊率超高可是你把那個註冊就是給他的核定名額是下降的\n那反而是當時的四年制跟學試後註冊率只有七成多結果呢根本就還招不滿就你還把這個名額把它提升看起來好像數字說我提升了以後可以增加人力沒有啊所以今年證明我們註冊率是下降的嘛所以我們考上了他都還不來註冊好那我們再往下看也就是剛剛我們所提的除了這個註冊率\n在七成多之外我們的護理人員在113年12月我們總職業的人數其實大概只有62.57%62%多而已喔也就是說整個總領證人數有30萬9千多人但是留在這個職場上職業只有19萬多所以也就是考試沒有考這麼多學生註冊沒有那麼多人去註冊領到證以後大家不要留在這個環境裡面所以呢\n部長本席在這裡語重心長要請您真的要去仔細想一想出了什麼問題這一連串最近大家都在討論這個議題但是我們是討論完以後回家就當沒事了嗎還是我們應該要去深思到底為了什麼我必須要講我們從來在台灣不缺護理人才不缺有愛心有責任感專業的護理人才而是缺一個留住這些護理人才的好的環境那有沒有創造好的環境給他\n院長有沒有話要說我們並不是降低考試的門檻而是希望行政院跟考試院未來就護理人員的考試甚至其他各個部會相關的考試都要引進一些適用型的考試內容考用合一的一個平台\n不是要降低是要考一些比較實用性的那麼護理人員我們都調查之下他七年是一個高的離職率我們除了引進新的訓練新的更多之外如何把這些護理人員因為個人的因素家庭的因素必須離開的時候我們能不能解決他這種家庭生活上的因素\n我們回去再好好想一想這些問題點那當然我們看到這麼多人不願意留在這個職場上當然我們都知道很多問題不過整合起來可以知道這個工時很長勞動的條件很長尤其是這個薪資真的非常的偏低我必須要講薪資真的非常的偏低尤其那天我想\n部長提到說我們護理人員的薪資有到六萬你看引起基層的炸鍋啊勞動部都已經就都說了四萬九啊勞動部的這個資料四萬九但你去提一個六萬我想我們護理人員大家各個都覺得很冤枉那同時最重要的是我們有沒有創造一個好的環境給他他能不能受到大家的重視尊重不管是政府不管是這個醫病之間讓他給他一個可以受尊重的環境否則他長期都在承受很多負面的情緒那怎麼有辦法待在這個地方呢所以我想\n等等這些因素啦好那我們看到衛福部上週有跟醫界來開會規劃一個要由健保每年預租30億的經費還有4年100億的這個相關的這個提升護理薪資的一個費用那我覺得這個方向其實是對的這個也是本期長期來呼籲跟要求的因為這個方向絕對是正確的但是呢我今天要來問部長跟院長那我們要如何來提升護理的薪資那現在到底要調升多少\n報告員,我從來沒有講過護理人員的薪資是多少,我們只是提供112年部長先就我的問題來回答好嗎?我們現在在調薪的部分我們要調多少錢?我的意思就是說,醫護的同仁怎麼樣提升待遇一直都是我們提升目標部長請問一下,我們開了會之後現在有決定要怎麼調薪嗎?調薪多少錢?\n我想這個可能我們盡量第一個增加護理會那我們要求護理會要公開透明\n盡量是用在直接在護理人員的加薪上面所以還沒有一個數字 對嗎好 那我想我們這個護理師公會也好基層的護理師同仁都希望說能夠調薪一萬塊那我當然希望這個部分請院長跟部長就好好去想一想我們到底要怎麼樣去給他調薪不過呢 我希望\n未來衛福部開任何跟醫護人力改善相關的會議一定要邀請這關係也就是要有護理師代表來參與這點可以做得到嗎我們一定找護理的代表來但是護理代表有時候有五六個團體那部長另外本縣要求是不是能夠在一個月內我們來擬定到底要怎麼樣調升護理的薪資跟護理費用的具體方案一個月內可以有一個案子出來嗎\n我們一直在處理一直在努力但是我們隨時可以邀請所有的護理團體一起來努力沒有問題我們再檢討那既然我們要調整護理師的薪資但同時我剛剛有講減壓也很重要我們有一個技術混合照護模式這個院長知道嗎部長知道嗎\n這個就是住院整合性照顧他希望把那個護理師照顧護理師來幫忙是是是技術混合照顧模式跟住院整合照顧計畫我想這些都是希望能夠幫他們減壓但是呢\n這兩者最大的不同在於技術和照護模式我們是針對所有病房內所有相關的宿務工作那給領有某一些執照的人來做當然不是專業的護理師那住院整合照護計畫當然針對病人的家屬無法陪病的時候可以申請那好我們來提到\n技術這個混合照護模式目前本期去了解調查大概整個全台有5家醫院在試辦那試辦的效果成果都很好而且這個技術混合照護模式其實在世界各地也都有在做所以我想根據這個衛福部自己的統計我們112年護理人員離職率高達了12.61%可是您知道嗎有在試辦這個技術混合照護模式醫院的離職率\n竟然可以低到只有0.9到6.9之間可見它是有成效的所以我想部長是不是可以儘速地來研議擴大推動這個照顧模式\nSkill Mix這個模式如果成效好我們絕對可以拿來以及我們現在做的成效也非常好的一個住院整合型照顧我想說好的模式我們就一定要來做但是我也希望說我們能夠啟動相關的法令研修把這個輔助人例如護理所\n那這個部分 納入醫療機構設置辦法當中來減輕護理師的一個負擔是不是也能夠請衛福部我看一週之內 因為這個不難啦一週之內書面跟本席具體的答覆 好嗎好的好好 謝謝接下來呢請邱部長一樣留著那我們請教育部的鄭部長一起麻煩請教育部長備詢\n好 謝謝我想少死化是我們的國安問題啦那但是呢本席今天要關心真的一個蠻嚴重的一個狀況也就是青少年我們發現他罹患性病的這個比例有在上升那你看如果青少年沒有做好性病的這個防治跟教育那不慎感染的這個性病有的時候沒有及時發現有時候休餘治療那未來也會影響生育能力間接加劇少死化的問題\n尤其醫界也證實感染靈病醫院體梅毒或者是人類乳毒病毒等等恐怕導致不孕那在這裡其實我也很謝謝這個衛福部過去我們一起努力本席也不斷的呼籲所以今年九月我們就要開始把這個公費的HPV的疫苗我們要擴大到國中男生來接種那這可以有效的降低HPV的病毒感染不過\n最近的10年我們看到青少年感染梅毒跟這個靈病的人數是暴增的我覺得這個數字其實讓我們非常的擔憂根據疾管署統計感染梅毒的人數從2015年的124人上升到2024年的549人那暴增的425人之多那增幅高達342%\n感染0病的人數則從2015年的326人增至2024年的908人這個增幅增進也來到178%其實我更擔心的是這個裡面恐怕還有很多的黑數在裡頭這個我非常擔心我們來看到這個疾管署也有提到說青少年性病的這個案例暴增是因為初次性行為的年齡下降了\n那再加上交友軟體網路發達等等我們就看到有這個狀況產生不過我們看到全面性教育的八大核心概念其實在108個課綱當中其實是有的可是我們看到青少年的性病感染越來越嚴重所以我在這裡要請教部長這是因為課程沒有落實還是教學內容已經沒有辦法滿足教育現場這是第一個問題第二個我們看到2023年國民小學的全面性教育落實情形的解釋報告當初指出\n性與性行為跟性與生殖健康兩項核心概念在國小階段幾乎是完全消失了可以看一下所以我想對於我們教育現場性教育課程的缺失這部長能不能簡單的回答一下\n我想謝謝委員的一個提醒我想讓我們這個新世代這個青少年能夠有一個更好的一個成長空間這是我們大家所關心的學校如何來落實這一個\n透過這個健康議題這一相關的課程不是啦 部長這些都有 你現在講都有但問題沒有落實啊本來就在八大領域當中為什麼沒有落實我想在教師的真人包括全面的我們來瞭解來跟衛福部有一個更...回去看一下好不好既然我們在領域當中就有叫落實好不好這個我提醒你一下好 再來呢但是你看我們教育部喔\n教育部過去曾經辦理大專院校性教育計畫及高中以下性教育計畫可是呢在2020年的7月跟2021年的8月都停辦了這第一個那邱部長衛福部也曾經推動青少年性健康促進服務計畫也在2023年12月就終止了我請問一下到底為什麼我們通通不在乎了不重視了嗎為什麼都停掉了你們知道都停掉了嗎邱部長知道嗎\n不知道 鎮部長知道嗎?衛生部在推行性病防止方面是很多人的我知道我知道但我只問這個點所以兩個部長都不知道停掉了嘛對不對回去看一看我們要苛責你們回去看一下為什麼把它停掉了是真的沒有必要嗎?\n好那待會我們再來看今年1月15號衛福部的機關署說要跟國建署還有教育部的國教署來合作來強化校園性教育跟性傳染病防治的宣導那請問兩位部長兩個月過去了這個平台建立起來了嗎院長兩位部長建立起來了嗎報告委員我們會有我的親身在衛福部的處理部長我只問建立起來了沒有在宣導的方面我只要問這個平台建立起來了嗎\n報告委員 很感謝委員 我們願意跟委員一起努力這個性教育他之前停下來 願意招聘我我們重新來把它研議這個平台我要求委員部即刻成立針對今天該有的課程沒有落實那過去該有的計畫 我們也把它停掉那我們該建立的平台 我們趕快把它建立起來這個部分啦 我想是不是會後\n我想應該一週內就可以把這件事情書面再跟本席做詳細報告最短的時間把計畫送給委員讓我們在禁書的時間把它成立起來好 因為我們看到這個新少年性病暴增的數字我們就知道背後發生什麼問題要趕快把它做起來啦 好不好那另外呢 其實本席有一些具體的建議我想會後也會給你們\n包括怎麼樣跨部會合作怎麼樣用匿名的方式讓青少年的篩檢怎麼樣設置保病性高的單位讓他們可以諮詢等等今天本席在這邊要求你們要做到的絕對對我們的孩子有很大的幫助回去要落實做不要這邊聽完回去以後大家都當沒這回事好不好好 謝謝那接下來兩位部長可以先請回那我有請勞動部的洪部長\n我們現在現今的社會型態很多的父母親因為工作忙碌都沒有辦法親自照顧三歲以下的幼兒有的抽不到公幼有的不管是請保姆或者是私幼私托恐怕也有經濟上的考量\n那又基於信任的關係所以我們發現其實祖父母在照顧這個幼兒的比例可以說是相當的高這點您應該認同那這也是現今社會很多家庭照顧的模式可是呢根據衛福部它有一個在這個111年兒童及少年生活狀況調查的報告那幼兒由父母以外的親屬照顧的比例高達了25%將近四分之一其中相當高的比例是祖父母所以部長\n我們勞動部調查我國平均退休的年齡是幾歲平均退休的年齡我可能要再確認一下數據\n我告訴你好了 這個調查是勞動部自己的調查 62.25歲但是今年要即將邁入了超高齡的社會我們在立法院去年也修正了勞基法跟高齡者及中高齡就業促進法那把原本強制退休年齡從65歲延後到勞資雙方合一這點部長一定知道嘛那這個是為什麼\n我們要鼓勵中高齡的人繼續投入職場也就希望大家還有這個工作能力的時候不要太早被強迫退休嘛對不對部長是嗎是好那所以我們看到現行性別工作平等法第16條裡面僅僅只有允許父母親來申請育嬰留職停薪那這導致什麼問題產生呢\n也就是說許多中高齡仍然在這個就業的祖父母你可能為了要幫子女去照顧孫子那他被迫不得不離開職場你看看這樣的狀況其實反而是影響了中高齡勞動力的這個持續就業那跟我們去年勞基法跟中高齡就業促進法的原意其實是違背的那為什麼會有這個狀況我想我講到這裡應該其實院長跟部長就是很能理解嘛因為我們現在超高齡跟這個少子化\n所以未來因為照顧孫子而選擇離職的或者是退休的祖父母會越來越多因為我們剛剛有講到我們一直希望他還有勞動力的時候能夠延後我們也修法了可是現在看到是我們很多的祖父母因為要照顧孫子那麼就被迫要離開職場所以我今天在提我們現行的法規我們是不是應該要更完善一點從現行法規當中將祖父母能夠納入\n我們的育嬰留庭的一個保障範圍之內我覺得這會不會更完整一些部長您怎麼看\n跟我們說明因為其實這個孕孕留職停薪的津貼我們會發給這個父母親的原因其實有一個很重要的原因是因為我們在民法裡面是有明文規定父母對於未成年的子女是有保護跟教養的權利義務所以為什麼當時孕孕留職停薪的津貼在救保法裡面是這個設定是給父母是因為在民法上面有這個規定當然\n這個我都理解那但是部長我想我們應該共同來看一看就現今的職場狀況跟現今我們照顧幼兒的狀況我們要隨時滾動式去檢討去做微調那尤其我們剛剛面對我提出來的這個數字我們本來這個退休年齡其實就已經延後了我們還希望他能夠有勞動力說繼續來工作那又加以你看\n有四分之一的幼兒恐怕都是祖父母在照顧他們當然就是要被迫從具有勞動力的職場上離開所以我是希望今天在這裡特別把它提出來院長來深思一下想一想我們怎麼樣去維持\n這些祖父母都還有勞動力可是他又必須要照顧這個年幼的孫子的時候我們能不能夠擴大育嬰留庭能夠擴大到我們的祖父母我想這一個在本期在上一屆的時候其實就有提出修法那其實我記得這個修法其實還有很多版本出來所以我們都是主張將這個祖父母要納入留職停薪適用的對象\n那我想這個修法其實本席會持續來推動所以我在想是不是能夠今天跟部長跟院長來討論讓祖父母在面對照顧孫子的這個責任的時候能夠兼顧他的就業權益跟委員報告我們現在勞動部確實一直在思考跟政策上面的規劃希望讓更多包括尤其是父母親\n他可以同時兼顧家庭照顧跟他的職場的這個需求就是大家現在在講的所謂照顧不離職的政策我們其實正在全面的研議也包括因為留職停薪怎麼會讓他能夠更彈性化因為現在很多的性別團體都希望說讓他更彈性化之後其實更能夠去兼顧職場跟照顧\n部長我同意你說的這個彈性化就是我們要視現在很多的狀況去做彈性的處理這次才能更圓滿所以我想剛才本席提出來我相信過去您也思考過那院長也會覺得說這個其實是值得去想的所以我想拜託\n接下來我們請登記第23號\n","vtt":"WEBVTT\n\n00:08.915 --> 00:27.120\n時間暫停一下,又來了一個團,對不起我剛剛一口氣吹現在異常二樓來自日本東京大學的所有同學們來立法院,我們掌聲歡迎啊好,歡迎歡迎好,萬美美,對不起,萬美美請好,謝謝主席,我們有請卓院長以及陳世凱部長麻煩請卓院長交通部請備詢\n\n00:37.981 --> 00:57.046\n好院長好部長好院長好院長我看了您的這個本會期的施政報告那總共有8項158頁那麼在第109頁第6項交通及數位發展那本期看到第一點第一段第一行你就提到了桃園鐵路地下化的一個計畫\n\n00:58.106 --> 01:14.408\n我想這顯示行政院應該也是相當重視桃園鐵路地下化的這個工程喔那但是每一次喔院長應該都還有印象喔就是我這個問題質詢了非常多次可是每一次質詢這個鐵路地下化的進度喔我想都會讓我們覺得非常的失望喔那我們來看\n\n01:15.509 --> 01:41.401\n其實本席不只一次反應我們都知道其實鐵路計畫也好桃園市下有很多重大建設之來做所以不管是每年當一天進度落後對於桃園市民來講都是很嚴重交通黑暗期也好都是一種臨時所以從去年6月份卓院長您剛上任的時候當時本席就有質詢這個鐵路計畫的進度落後了4.01%那麼在9月份第二個會期的時候我又再度質詢了\n\n01:42.662 --> 02:01.405\n後來呢我們的進度持續落後到5.95%將近6%那你看這個時間點其實我又再度質詢這個進度因為真的非常的重要那我們看到進度不但沒有追上那反而持續落後來到了9.47%將近落後了大概一成所以我想是不是能夠請教一下這是什麼樣的原因\n\n02:03.587 --> 02:17.585\n報告委員一方面是因為發包的問題二方面是因為我們這個物價不斷在調漲所以我們有提了這個修正計畫確實整個工程是有延宕的狀況但是因為我們修正過後的金額相當的大\n\n02:19.747 --> 02:39.535\n因為過去缺工缺料啦疫情影響這我們都知道那我也知道正在辦理修正計劃不過我們來看一下因為現在的進度不斷的一個擴大落後而且這個落後我相信不只是我們在等待很焦急我相信這個主管機關也是非常的焦急才是可是我們辦理中的修正計劃我們一休多久了\n\n02:39.735 --> 03:03.053\n大半年過去了在去年我們看到鐵道局有講說在113年年底之前會完成修正計劃然後推進發報的作業但是到目前為止我們看到整個鐵道局的修正還在修正中那更不要說我們後面還要送交通部我們還要送行政院要審議要核定還有很長一段路要走所以到底要到多久的時間才能夠修正跟核定完成\n\n03:03.653 --> 03:20.121\n報告委員您上面的資料也很清楚裡面還有一個議題就是難研的部分有一個車站難研的部分那這個部分當然需要一些時間討論因為包含工程包含預算我想為什麼要修正就您剛剛說的不管是我們因為缺工缺料疫情然後工程難移\n\n03:21.301 --> 03:36.436\n等等或者經費要增加那就是因為這樣才要修正但是不能夠無止境一直等待這個時間其實有點久了我希望部長能不能加速一下這個時間否則之前我們在講說122年、123年這個可以分兩階段通車你有把握122年跟123年這個承諾可以兌現嗎?我們第一階段還是努力在122年希望能夠通車\n\n03:44.784 --> 04:07.199\n所以院長您所關心的這個桃園鐵路地消化這麼重大的工程是可以在122年、123年如期如值的通車嗎好三件事情跟委員報告原來這個預算1048億現在修正後會增加大概770億左右增加的幅度相當大那第三件事中央跟地方的分擔的比例\n\n04:08.101 --> 04:22.292\n這是一件問題而且地方來講新北市跟桃園市還沒有談好互相之間另外我們現在財政授之劃分法若是這樣劃分的話那中央跟地方的比例要重新再核算沒有辦法這樣做\n\n04:23.573 --> 04:48.189\n今天本席跟你討論這個進度的問題那這個進度落後不是此時此刻才落後也不是之後才會開始落後其實就不斷地在落後從過去其實在1048億還沒有用完的時候其實我們就一直在落後了所以我想這個落後的問題恐怕我們要痛定思痛想一想那除了疫情之外到底為什麼我們不能夠追上所以我想希望是不是能夠\n\n04:49.249 --> 05:06.115\n一個月內我們來提供比較明確的關於修正計畫能不能完成郭柯文報告過我說如果財政收支法案法是這樣來分的話那很多已經合訂的計畫行政院必須收回重新合訂要嘛就是地方比例要增加要嘛就是整個時間要延長\n\n05:06.915 --> 05:33.528\n這是中央政府被拿到三千七百...沒有辦法的辦法院長我想這樣來講啦我們也真的是必須啊在這裡本席要其實勸您啊就是應該要再次仔細想一想過去一直落後一直落後當時也沒有財政收支劃分法的問題嘛所以還是一直在落後啊所以那個時候就在落後但是我們應該要去檢討所以這是我今天語重心長的希望您這麼重視鐵路地下化那我們可以加點油好不好好我們會加油檢討\n\n05:35.629 --> 05:57.182\n好接下來我想那個部長可以先請問那我們有請這個邱太元部長麻煩請問邱部長院長我們這個去年九月的時候本席同樣是在這裡那當時質詢是說新冠肺炎單週門診急診就診人數高達12.8萬人次這個數字您以及部長一定還是記憶猶新\n\n05:58.143 --> 06:25.753\n所以當時整個是炸鍋不管是因為觀察率高這個護理人力不足壓力過大的這個急診擁捨那個時候就非常非常嚴重了可是我們看到到了今年呢我們沒有看到這個狀況有改善春節的時候呢我們急診就診平均3.7萬人次這個數字高於去年同期的2.7萬人次那最高峰的時候其實在1月30號單日就高達了4.5萬人次那2月2號到2月8號\n\n06:27.654 --> 06:43.933\n光是淚流感的單週門急診人次達到了18.1萬人次那這個數字也是近10年來同期最高所以我們看到按照衛福部現在自己的統計目前我們每一天急診量依然有大概2萬多人次\n\n06:44.474 --> 07:06.371\n那講到這一些數字其實都是非常心痛的數字因為去年的時候爆發這樣子一個大量到今年不見改善還加劇我們可以知道我們的醫護我們的護理師的這個壓力有多大那但是我們看到一直到今年的2月22號急診醫學會發出求救文說真的才真正引起了政府的重視\n\n07:07.512 --> 07:21.980\n本是不理解我們已經有啊就過去的這樣一個經驗我們也深知問題在哪裡可是呢不同的季節不同的病毒但一樣的狀況加劇的在這個急診啊或者是在醫療院所去上演啊那我們再看到啊其實啊在這個後應時\n\n07:22.921 --> 07:38.680\n後疫情的時代我們也知道這個免疫負債爆發那當然有很多的傳染病大流行包括我們知道的新冠、流感或者是懦弱等等很多所以現在急診的爆滿跟醫院、診所這幾天我們大家都在談論這個問題護理師的人力不足的問題尤其嚴重\n\n07:42.685 --> 07:59.241\n那衛福部提出來了一個說三短期策略兩個中長期的改革我們就來看三短期策略為什麼因為這很急迫嘛要趕快來做嘛那你看去年的時候我們推出這個三班互併筆也算上路了然後夜班今天也實施了但我們要講的是\n\n08:00.262 --> 08:27.365\n院長我們要知道喔三班戶必比要有人才能夠來排班嘛對不對夜班今天要有人我才發給他有意義嘛那現在的問題就是護理師不足啊所以我們看到這兩個政策上來以後我還是沒有改善喔那所以現在提出來說病床調度啦醫院聯防啦或者分級就醫啊有提出的政策本身都肯定是好事但是真的能夠解決這個問題嗎所以我想部長其實您提出的這些策略喔\n\n08:27.745 --> 08:51.935\n我看到我們醫界其實是不太領情的啦那原因是為什麼因為這些方向恐怕他們本來就已經在做了所以呢這個醫改會也批評說這樣子的一個策略其實活在一個平行時空那這個護理工會也轟說這是提油救火但我理解他們的心情我也能想像其實部長是想趕快做完看起來沒有效果啊所以部長能不能提一下這要怎麼解決啊\n\n08:52.608 --> 09:13.063\n是的,謝謝委員我想留任護理人才在我們的職場上好好的工作就是我們政府一直在努力我們這一年來提出了十二項的一個策略那其實從各方面來努力特別是在護病比的努力留任還有教考\n\n09:13.863 --> 09:35.216\n留任人才較好用的一個護理人才的培育等等都一直在進行那其實去年的十二月比上一年前大概我們也增加了護理人員大概三千八百位在職場那其中有一千兩百位但是我必須要聲明我們需要的更多所以我們也想盡辦法\n\n09:35.896 --> 09:52.374\n副部長其實您現在在講的還是一個背景啦其實我覺得我們還是要針對問題要想想怎麼解決那當然今天本席啊其實我們在這個後生會我們也成跟這個紀淑敬理事長我們也成立了一個希望能夠為醫護人員發聲的一個平台那我相信這個平台也是一個跨黨派啊這個\n\n09:53.775 --> 10:21.410\n結合了我們政府啊或者是學術啊或者這個醫界啊我們大家希望把這個問題找出來嘛但我們都知道所有的問題環環相扣那每一個問題其實可能連接的就是下一個問題那當然誠如今天周次長講的就是說我們要怎麼按照這個輕重緩急不能夠解決眼下的問題跟帶來另外一個問題這我都同意但是要做啊好那我們再來看喔其實本席認為喔我們落實這個分級就醫這一個部分我覺得還不錯但是恐怕也只能就是紓解啊\n\n10:21.770 --> 10:42.351\n沒辦法真正解決啦那我就來看講到分級就醫那個部長去年你記不記得本席有建議說這個新冠因為已經比照流感的看診比照流感那麼所以呢我們希望建立一個分級制度不管是看診篩檢啊或者給藥的SOP都要來做嘛那請問一下光在新冠這個部分做了嗎新冠跟\n\n10:45.242 --> 11:01.734\n新款流管化以後去年就跟您提了我們要不要就是分級的部分從這裡開始做起我們從COVID以後就建立了不只分級也包括分流希望讓醫療能夠製造廠進行所以部長您的意思是說有做是嗎我們不只在社區建立了分級分流我們準備一個轉層\n\n11:10.480 --> 11:33.983\n我了解我了解所以部長您的意思不好意思您的意思是說我們有做嘛那我們如果有做這個SOP是有的那我要麻煩您精神診所是不是還有很多不知道或者是說沒有落實那既然我們有做那個政策提出來要落實所以拜託如果是真的有做這段時間我們看不到麻煩要把它落實起來否則光上次我提說新冠要比照流感\n\n11:34.363 --> 11:59.602\n的這個SOP做你分級都沒有辦法落實了那現在你要怎麼說要讓整個這個狀況分級就醫我看也很難好那我們現在再來看那政府這幾年說要提升護理人力那在這個112年的時候考選部降低了護理國考的門檻當時還引起了一些爭議因為我們把這個所謂比較難的一個科目比如說像這個基礎醫學的比重由20%降到了10%那考試呢\n\n12:01.223 --> 12:24.713\n就是說不要考那麼難嘛然後再來呢我們考試有一次有兩次那增加為三次讓你可以多考一下對不對但是我們看起來你看國考的門檻稍微降低了可是整個及格率大概都是三成多啊及格率是三成多所以我們要想一想那是不是我們在這個教育上面的部分是不是要怎麼樣來加強所以我們國考降低了看起來沒有幫助嘛那我們再來看看到這個註冊率\n\n12:26.794 --> 12:55.382\n我們就看報考人數是次數增加但看起來也沒有比較好可是我們的整個大專護理科系的註冊率也是一直在下降其實去年在質詢的時候也有跟院長跟部長提起來我們當時這個政策其實我就不太贊同因為我們當時看到五專跟二專受到大家的歡迎註冊率超高可是你把那個註冊就是給他的核定名額是下降的\n\n12:55.802 --> 13:17.984\n那反而是當時的四年制跟學試後註冊率只有七成多結果呢根本就還招不滿就你還把這個名額把它提升看起來好像數字說我提升了以後可以增加人力沒有啊所以今年證明我們註冊率是下降的嘛所以我們考上了他都還不來註冊好那我們再往下看也就是剛剛我們所提的除了這個註冊率\n\n13:20.606 --> 13:46.835\n在七成多之外我們的護理人員在113年12月我們總職業的人數其實大概只有62.57%62%多而已喔也就是說整個總領證人數有30萬9千多人但是留在這個職場上職業只有19萬多所以也就是考試沒有考這麼多學生註冊沒有那麼多人去註冊領到證以後大家不要留在這個環境裡面所以呢\n\n13:47.495 --> 14:13.178\n部長本席在這裡語重心長要請您真的要去仔細想一想出了什麼問題這一連串最近大家都在討論這個議題但是我們是討論完以後回家就當沒事了嗎還是我們應該要去深思到底為了什麼我必須要講我們從來在台灣不缺護理人才不缺有愛心有責任感專業的護理人才而是缺一個留住這些護理人才的好的環境那有沒有創造好的環境給他\n\n14:14.259 --> 14:31.668\n院長有沒有話要說我們並不是降低考試的門檻而是希望行政院跟考試院未來就護理人員的考試甚至其他各個部會相關的考試都要引進一些適用型的考試內容考用合一的一個平台\n\n14:32.268 --> 14:50.124\n不是要降低是要考一些比較實用性的那麼護理人員我們都調查之下他七年是一個高的離職率我們除了引進新的訓練新的更多之外如何把這些護理人員因為個人的因素家庭的因素必須離開的時候我們能不能解決他這種家庭生活上的因素\n\n14:51.465 --> 15:12.277\n我們回去再好好想一想這些問題點那當然我們看到這麼多人不願意留在這個職場上當然我們都知道很多問題不過整合起來可以知道這個工時很長勞動的條件很長尤其是這個薪資真的非常的偏低我必須要講薪資真的非常的偏低尤其那天我想\n\n15:12.677 --> 15:42.075\n部長提到說我們護理人員的薪資有到六萬你看引起基層的炸鍋啊勞動部都已經就都說了四萬九啊勞動部的這個資料四萬九但你去提一個六萬我想我們護理人員大家各個都覺得很冤枉那同時最重要的是我們有沒有創造一個好的環境給他他能不能受到大家的重視尊重不管是政府不管是這個醫病之間讓他給他一個可以受尊重的環境否則他長期都在承受很多負面的情緒那怎麼有辦法待在這個地方呢所以我想\n\n15:42.475 --> 16:09.091\n等等這些因素啦好那我們看到衛福部上週有跟醫界來開會規劃一個要由健保每年預租30億的經費還有4年100億的這個相關的這個提升護理薪資的一個費用那我覺得這個方向其實是對的這個也是本期長期來呼籲跟要求的因為這個方向絕對是正確的但是呢我今天要來問部長跟院長那我們要如何來提升護理的薪資那現在到底要調升多少\n\n16:12.012 --> 16:32.872\n報告員,我從來沒有講過護理人員的薪資是多少,我們只是提供112年部長先就我的問題來回答好嗎?我們現在在調薪的部分我們要調多少錢?我的意思就是說,醫護的同仁怎麼樣提升待遇一直都是我們提升目標部長請問一下,我們開了會之後現在有決定要怎麼調薪嗎?調薪多少錢?\n\n16:35.163 --> 16:42.032\n我想這個可能我們盡量第一個增加護理會那我們要求護理會要公開透明\n\n16:44.426 --> 17:04.965\n盡量是用在直接在護理人員的加薪上面所以還沒有一個數字對嗎好那我想我們這個護理師公會也好基層的護理師同仁都希望說能夠調薪一萬塊那我當然希望這個部分請院長跟部長就好好去想一想我們到底要怎麼樣去給他調薪不過呢我希望\n\n17:05.506 --> 17:27.623\n未來衛福部開任何跟醫護人力改善相關的會議一定要邀請這關係也就是要有護理師代表來參與這點可以做得到嗎我們一定找護理的代表來但是護理代表有時候有五六個團體那部長另外本縣要求是不是能夠在一個月內我們來擬定到底要怎麼樣調升護理的薪資跟護理費用的具體方案一個月內可以有一個案子出來嗎\n\n17:30.225 --> 17:36.431\n我們一直在處理一直在努力但是我們隨時可以邀請所有的護理團體一起來努力沒有問題我們再檢討那既然我們要調整護理師的薪資但同時我剛剛有講減壓也很重要我們有一個技術混合照護模式這個院長知道嗎部長知道嗎\n\n17:51.269 --> 17:57.417\n這個就是住院整合性照顧他希望把那個護理師照顧護理師來幫忙是是是技術混合照顧模式跟住院整合照顧計畫我想這些都是希望能夠幫他們減壓但是呢\n\n18:07.971 --> 18:25.738\n這兩者最大的不同在於技術和照護模式我們是針對所有病房內所有相關的宿務工作那給領有某一些執照的人來做當然不是專業的護理師那住院整合照護計畫當然針對病人的家屬無法陪病的時候可以申請那好我們來提到\n\n18:26.198 --> 18:43.346\n技術這個混合照護模式目前本期去了解調查大概整個全台有5家醫院在試辦那試辦的效果成果都很好而且這個技術混合照護模式其實在世界各地也都有在做所以我想根據這個衛福部自己的統計我們112年護理人員離職率高達了12.61%可是您知道嗎有在試辦這個技術混合照護模式醫院的離職率\n\n18:52.950 --> 19:00.873\n竟然可以低到只有0.9到6.9之間可見它是有成效的所以我想部長是不是可以儘速地來研議擴大推動這個照顧模式\n\n19:03.214 --> 19:23.215\nSkillMix這個模式如果成效好我們絕對可以拿來以及我們現在做的成效也非常好的一個住院整合型照顧我想說好的模式我們就一定要來做但是我也希望說我們能夠啟動相關的法令研修把這個輔助人例如護理所\n\n19:23.936 --> 19:48.418\n那這個部分納入醫療機構設置辦法當中來減輕護理師的一個負擔是不是也能夠請衛福部我看一週之內因為這個不難啦一週之內書面跟本席具體的答覆好嗎好的好好謝謝接下來呢請邱部長一樣留著那我們請教育部的鄭部長一起麻煩請教育部長備詢\n\n19:50.723 --> 20:18.890\n好謝謝我想少死化是我們的國安問題啦那但是呢本席今天要關心真的一個蠻嚴重的一個狀況也就是青少年我們發現他罹患性病的這個比例有在上升那你看如果青少年沒有做好性病的這個防治跟教育那不慎感染的這個性病有的時候沒有及時發現有時候休餘治療那未來也會影響生育能力間接加劇少死化的問題\n\n20:19.730 --> 20:43.740\n尤其醫界也證實感染靈病醫院體梅毒或者是人類乳毒病毒等等恐怕導致不孕那在這裡其實我也很謝謝這個衛福部過去我們一起努力本席也不斷的呼籲所以今年九月我們就要開始把這個公費的HPV的疫苗我們要擴大到國中男生來接種那這可以有效的降低HPV的病毒感染不過\n\n20:44.520 --> 20:57.930\n最近的10年我們看到青少年感染梅毒跟這個靈病的人數是暴增的我覺得這個數字其實讓我們非常的擔憂根據疾管署統計感染梅毒的人數從2015年的124人上升到2024年的549人那暴增的425人之多那增幅高達342%\n\n21:05.296 --> 21:29.180\n感染0病的人數則從2015年的326人增至2024年的908人這個增幅增進也來到178%其實我更擔心的是這個裡面恐怕還有很多的黑數在裡頭這個我非常擔心我們來看到這個疾管署也有提到說青少年性病的這個案例暴增是因為初次性行為的年齡下降了\n\n21:29.500 --> 21:56.536\n那再加上交友軟體網路發達等等我們就看到有這個狀況產生不過我們看到全面性教育的八大核心概念其實在108個課綱當中其實是有的可是我們看到青少年的性病感染越來越嚴重所以我在這裡要請教部長這是因為課程沒有落實還是教學內容已經沒有辦法滿足教育現場這是第一個問題第二個我們看到2023年國民小學的全面性教育落實情形的解釋報告當初指出\n\n21:58.317 --> 22:14.095\n性與性行為跟性與生殖健康兩項核心概念在國小階段幾乎是完全消失了可以看一下所以我想對於我們教育現場性教育課程的缺失這部長能不能簡單的回答一下\n\n22:15.267 --> 22:27.316\n我想謝謝委員的一個提醒我想讓我們這個新世代這個青少年能夠有一個更好的一個成長空間這是我們大家所關心的學校如何來落實這一個\n\n22:30.999 --> 22:53.158\n透過這個健康議題這一相關的課程不是啦部長這些都有你現在講都有但問題沒有落實啊本來就在八大領域當中為什麼沒有落實我想在教師的真人包括全面的我們來瞭解來跟衛福部有一個更...回去看一下好不好既然我們在領域當中就有叫落實好不好這個我提醒你一下好再來呢但是你看我們教育部喔\n\n22:53.718 --> 23:17.013\n教育部過去曾經辦理大專院校性教育計畫及高中以下性教育計畫可是呢在2020年的7月跟2021年的8月都停辦了這第一個那邱部長衛福部也曾經推動青少年性健康促進服務計畫也在2023年12月就終止了我請問一下到底為什麼我們通通不在乎了不重視了嗎為什麼都停掉了你們知道都停掉了嗎邱部長知道嗎\n\n23:23.566 --> 23:41.316\n不知道鎮部長知道嗎?衛生部在推行性病防止方面是很多人的我知道我知道但我只問這個點所以兩個部長都不知道停掉了嘛對不對回去看一看我們要苛責你們回去看一下為什麼把它停掉了是真的沒有必要嗎?\n\n23:42.296 --> 23:57.059\n好那待會我們再來看今年1月15號衛福部的機關署說要跟國建署還有教育部的國教署來合作來強化校園性教育跟性傳染病防治的宣導那請問兩位部長兩個月過去了這個平台建立起來了嗎院長兩位部長建立起來了嗎報告委員我們會有我的親身在衛福部的處理部長我只問建立起來了沒有在宣導的方面我只要問這個平台建立起來了嗎\n\n24:14.403 --> 24:39.276\n報告委員很感謝委員我們願意跟委員一起努力這個性教育他之前停下來願意招聘我我們重新來把它研議這個平台我要求委員部即刻成立針對今天該有的課程沒有落實那過去該有的計畫我們也把它停掉那我們該建立的平台我們趕快把它建立起來這個部分啦我想是不是會後\n\n24:40.616 --> 25:00.314\n我想應該一週內就可以把這件事情書面再跟本席做詳細報告最短的時間把計畫送給委員讓我們在禁書的時間把它成立起來好因為我們看到這個新少年性病暴增的數字我們就知道背後發生什麼問題要趕快把它做起來啦好不好那另外呢其實本席有一些具體的建議我想會後也會給你們\n\n25:01.755 --> 25:26.817\n包括怎麼樣跨部會合作怎麼樣用匿名的方式讓青少年的篩檢怎麼樣設置保病性高的單位讓他們可以諮詢等等今天本席在這邊要求你們要做到的絕對對我們的孩子有很大的幫助回去要落實做不要這邊聽完回去以後大家都當沒這回事好不好好謝謝那接下來兩位部長可以先請回那我有請勞動部的洪部長\n\n25:32.883 --> 25:45.977\n我們現在現今的社會型態很多的父母親因為工作忙碌都沒有辦法親自照顧三歲以下的幼兒有的抽不到公幼有的不管是請保姆或者是私幼私托恐怕也有經濟上的考量\n\n25:46.658 --> 26:13.646\n那又基於信任的關係所以我們發現其實祖父母在照顧這個幼兒的比例可以說是相當的高這點您應該認同那這也是現今社會很多家庭照顧的模式可是呢根據衛福部它有一個在這個111年兒童及少年生活狀況調查的報告那幼兒由父母以外的親屬照顧的比例高達了25%將近四分之一其中相當高的比例是祖父母所以部長\n\n26:14.486 --> 26:18.308\n我們勞動部調查我國平均退休的年齡是幾歲平均退休的年齡我可能要再確認一下數據\n\n26:27.837 --> 26:51.649\n我告訴你好了這個調查是勞動部自己的調查62.25歲但是今年要即將邁入了超高齡的社會我們在立法院去年也修正了勞基法跟高齡者及中高齡就業促進法那把原本強制退休年齡從65歲延後到勞資雙方合一這點部長一定知道嘛那這個是為什麼\n\n26:52.449 --> 27:13.692\n我們要鼓勵中高齡的人繼續投入職場也就希望大家還有這個工作能力的時候不要太早被強迫退休嘛對不對部長是嗎是好那所以我們看到現行性別工作平等法第16條裡面僅僅只有允許父母親來申請育嬰留職停薪那這導致什麼問題產生呢\n\n27:14.733 --> 27:43.497\n也就是說許多中高齡仍然在這個就業的祖父母你可能為了要幫子女去照顧孫子那他被迫不得不離開職場你看看這樣的狀況其實反而是影響了中高齡勞動力的這個持續就業那跟我們去年勞基法跟中高齡就業促進法的原意其實是違背的那為什麼會有這個狀況我想我講到這裡應該其實院長跟部長就是很能理解嘛因為我們現在超高齡跟這個少子化\n\n27:43.917 --> 28:07.155\n所以未來因為照顧孫子而選擇離職的或者是退休的祖父母會越來越多因為我們剛剛有講到我們一直希望他還有勞動力的時候能夠延後我們也修法了可是現在看到是我們很多的祖父母因為要照顧孫子那麼就被迫要離開職場所以我今天在提我們現行的法規我們是不是應該要更完善一點從現行法規當中將祖父母能夠納入\n\n28:10.478 --> 28:16.608\n我們的育嬰留庭的一個保障範圍之內我覺得這會不會更完整一些部長您怎麼看\n\n28:18.151 --> 28:46.267\n跟我們說明因為其實這個孕孕留職停薪的津貼我們會發給這個父母親的原因其實有一個很重要的原因是因為我們在民法裡面是有明文規定父母對於未成年的子女是有保護跟教養的權利義務所以為什麼當時孕孕留職停薪的津貼在救保法裡面是這個設定是給父母是因為在民法上面有這個規定當然\n\n28:47.968 --> 29:05.545\n這個我都理解那但是部長我想我們應該共同來看一看就現今的職場狀況跟現今我們照顧幼兒的狀況我們要隨時滾動式去檢討去做微調那尤其我們剛剛面對我提出來的這個數字我們本來這個退休年齡其實就已經延後了我們還希望他能夠有勞動力說繼續來工作那又加以你看\n\n29:08.328 --> 29:21.542\n有四分之一的幼兒恐怕都是祖父母在照顧他們當然就是要被迫從具有勞動力的職場上離開所以我是希望今天在這裡特別把它提出來院長來深思一下想一想我們怎麼樣去維持\n\n29:24.065 --> 29:46.811\n這些祖父母都還有勞動力可是他又必須要照顧這個年幼的孫子的時候我們能不能夠擴大育嬰留庭能夠擴大到我們的祖父母我想這一個在本期在上一屆的時候其實就有提出修法那其實我記得這個修法其實還有很多版本出來所以我們都是主張將這個祖父母要納入留職停薪適用的對象\n\n29:47.691 --> 30:07.737\n那我想這個修法其實本席會持續來推動所以我在想是不是能夠今天跟部長跟院長來討論讓祖父母在面對照顧孫子的這個責任的時候能夠兼顧他的就業權益跟委員報告我們現在勞動部確實一直在思考跟政策上面的規劃希望讓更多包括尤其是父母親\n\n30:08.477 --> 30:25.987\n他可以同時兼顧家庭照顧跟他的職場的這個需求就是大家現在在講的所謂照顧不離職的政策我們其實正在全面的研議也包括因為留職停薪怎麼會讓他能夠更彈性化因為現在很多的性別團體都希望說讓他更彈性化之後其實更能夠去兼顧職場跟照顧\n\n30:27.108 --> 30:42.575\n部長我同意你說的這個彈性化就是我們要視現在很多的狀況去做彈性的處理這次才能更圓滿所以我想剛才本席提出來我相信過去您也思考過那院長也會覺得說這個其實是值得去想的所以我想拜託\n\n31:05.077 --> 31:05.838\n接下來我們請登記第23號\n\n","segments":[{"start":8.915,"end":27.12,"text":"時間暫停一下,又來了一個團,對不起我剛剛一口氣吹現在異常二樓來自日本東京大學的所有同學們來立法院,我們掌聲歡迎啊好,歡迎歡迎好,萬美美,對不起,萬美美請好,謝謝主席,我們有請卓院長以及陳世凱部長麻煩請卓院長交通部請備詢"},{"start":37.981,"end":57.046,"text":"好 院長好 部長好 院長好院長我看了您的這個本會期的施政報告那總共有8項158頁那麼在第109頁第6項交通及數位發展那本期看到第一點 第一段 第一行你就提到了桃園鐵路地下化的一個計畫"},{"start":58.106,"end":74.408,"text":"我想這顯示行政院應該也是相當重視桃園鐵路地下化的這個工程喔那但是每一次喔院長應該都還有印象喔就是我這個問題質詢了非常多次可是每一次質詢這個鐵路地下化的進度喔我想都會讓我們覺得非常的失望喔那我們來看"},{"start":75.509,"end":101.401,"text":"其實本席不只一次反應我們都知道其實鐵路計畫也好桃園市下有很多重大建設之來做所以不管是每年當一天進度落後對於桃園市民來講都是很嚴重交通黑暗期也好都是一種臨時所以從去年6月份卓院長您剛上任的時候當時本席就有質詢這個鐵路計畫的進度落後了4.01%那麼在9月份第二個會期的時候我又再度質詢了"},{"start":102.662,"end":121.405,"text":"後來呢我們的進度持續落後到5.95%將近6%那你看這個時間點其實我又再度質詢這個進度因為真的非常的重要那我們看到進度不但沒有追上那反而持續落後來到了9.47%將近落後了大概一成所以我想是不是能夠請教一下這是什麼樣的原因"},{"start":123.587,"end":137.585,"text":"報告委員一方面是因為發包的問題二方面是因為我們這個物價不斷在調漲所以我們有提了這個修正計畫確實整個工程是有延宕的狀況但是因為我們修正過後的金額相當的大"},{"start":139.747,"end":159.535,"text":"因為過去缺工缺料啦疫情影響這我們都知道那我也知道正在辦理修正計劃不過我們來看一下因為現在的進度不斷的一個擴大落後而且這個落後我相信不只是我們在等待很焦急我相信這個主管機關也是非常的焦急才是可是我們辦理中的修正計劃我們一休多久了"},{"start":159.735,"end":183.053,"text":"大半年過去了在去年我們看到鐵道局有講說在113年年底之前會完成修正計劃然後推進發報的作業但是到目前為止我們看到整個鐵道局的修正還在修正中那更不要說我們後面還要送交通部我們還要送行政院要審議要核定還有很長一段路要走所以到底要到多久的時間才能夠修正跟核定完成"},{"start":183.653,"end":200.121,"text":"報告委員您上面的資料也很清楚裡面還有一個議題就是難研的部分有一個車站難研的部分那這個部分當然需要一些時間討論因為包含工程包含預算我想為什麼要修正就您剛剛說的不管是我們因為缺工缺料疫情然後工程難移"},{"start":201.301,"end":216.436,"text":"等等或者經費要增加那就是因為這樣才要修正但是不能夠無止境一直等待這個時間其實有點久了我希望部長能不能加速一下這個時間否則之前我們在講說122年、123年這個可以分兩階段通車你有把握122年跟123年這個承諾可以兌現嗎?我們第一階段還是努力在122年希望能夠通車"},{"start":224.784,"end":247.199,"text":"所以院長您所關心的這個桃園鐵路地消化這麼重大的工程是可以在122年、123年如期如值的通車嗎好 三件事情跟委員報告原來這個預算1048億現在修正後會增加大概770億左右增加的幅度相當大那第三件事 中央跟地方的分擔的比例"},{"start":248.101,"end":262.292,"text":"這是一件問題而且地方來講新北市跟桃園市還沒有談好互相之間另外我們現在財政授之劃分法若是這樣劃分的話那中央跟地方的比例要重新再核算沒有辦法這樣做"},{"start":263.573,"end":288.189,"text":"今天本席跟你討論這個進度的問題那這個進度落後不是此時此刻才落後也不是之後才會開始落後其實就不斷地在落後從過去其實在1048億還沒有用完的時候其實我們就一直在落後了所以我想這個落後的問題恐怕我們要痛定思痛想一想那除了疫情之外到底為什麼我們不能夠追上所以我想希望是不是能夠"},{"start":289.249,"end":306.115,"text":"一個月內我們來提供比較明確的關於修正計畫能不能完成郭柯文報告過我說如果財政收支法案法是這樣來分的話那很多已經合訂的計畫行政院必須收回重新合訂要嘛就是地方比例要增加要嘛就是整個時間要延長"},{"start":306.915,"end":333.528,"text":"這是中央政府被拿到三千七百...沒有辦法的辦法院長我想這樣來講啦我們也真的是必須啊在這裡本席要其實勸您啊就是應該要再次仔細想一想過去一直落後一直落後當時也沒有財政收支劃分法的問題嘛所以還是一直在落後啊所以那個時候就在落後但是我們應該要去檢討所以這是我今天語重心長的希望您這麼重視鐵路地下化那我們可以加點油好不好好 我們會加油檢討"},{"start":335.629,"end":357.182,"text":"好 接下來我想那個部長可以先請問那我們有請這個邱太元部長麻煩請問邱部長院長 我們這個去年九月的時候本席同樣是在這裡那當時質詢是說新冠肺炎單週門診急診就診人數高達12.8萬人次這個數字您以及部長一定還是記憶猶新"},{"start":358.143,"end":385.753,"text":"所以當時整個是炸鍋不管是因為觀察率高這個護理人力不足壓力過大的這個急診擁捨那個時候就非常非常嚴重了可是我們看到到了今年呢我們沒有看到這個狀況有改善春節的時候呢我們急診就診平均3.7萬人次這個數字高於去年同期的2.7萬人次那最高峰的時候其實在1月30號單日就高達了4.5萬人次那2月2號到2月8號"},{"start":387.654,"end":403.933,"text":"光是淚流感的單週門急診人次達到了18.1萬人次那這個數字也是近10年來同期最高所以我們看到按照衛福部現在自己的統計目前我們每一天急診量依然有大概2萬多人次"},{"start":404.474,"end":426.371,"text":"那講到這一些數字其實都是非常心痛的數字因為去年的時候爆發這樣子一個大量到今年不見改善還加劇我們可以知道我們的醫護我們的護理師的這個壓力有多大那但是我們看到一直到今年的2月22號急診醫學會發出求救文說真的才真正引起了政府的重視"},{"start":427.512,"end":441.98,"text":"本是不理解我們已經有啊就過去的這樣一個經驗我們也深知問題在哪裡可是呢不同的季節不同的病毒但一樣的狀況加劇的在這個急診啊或者是在醫療院所去上演啊那我們再看到啊其實啊在這個後應時"},{"start":442.921,"end":458.68,"text":"後疫情的時代我們也知道這個免疫負債爆發那當然有很多的傳染病大流行包括我們知道的新冠、流感或者是懦弱等等很多所以現在急診的爆滿跟醫院、診所這幾天我們大家都在談論這個問題護理師的人力不足的問題尤其嚴重"},{"start":462.685,"end":479.241,"text":"那衛福部提出來了一個說三短期策略兩個中長期的改革我們就來看三短期策略為什麼因為這很急迫嘛要趕快來做嘛那你看去年的時候我們推出這個三班互併筆也算上路了然後夜班今天也實施了但我們要講的是"},{"start":480.262,"end":507.365,"text":"院長我們要知道喔三班戶必比要有人才能夠來排班嘛對不對夜班今天要有人我才發給他有意義嘛那現在的問題就是護理師不足啊所以我們看到這兩個政策上來以後我還是沒有改善喔那所以現在提出來說病床調度啦醫院聯防啦或者分級就醫啊有提出的政策本身都肯定是好事但是真的能夠解決這個問題嗎所以我想部長其實您提出的這些策略喔"},{"start":507.745,"end":531.935,"text":"我看到我們醫界其實是不太領情的啦那原因是為什麼因為這些方向恐怕他們本來就已經在做了所以呢這個醫改會也批評說這樣子的一個策略其實活在一個平行時空那這個護理工會也轟說這是提油救火但我理解他們的心情我也能想像其實部長是想趕快做完看起來沒有效果啊所以部長能不能提一下這要怎麼解決啊"},{"start":532.608,"end":553.063,"text":"是的,謝謝委員我想留任護理人才在我們的職場上好好的工作就是我們政府一直在努力我們這一年來提出了十二項的一個策略那其實從各方面來努力特別是在護病比的努力留任還有教考"},{"start":553.863,"end":575.216,"text":"留任人才較好用的一個護理人才的培育等等都一直在進行那其實去年的十二月比上一年前大概我們也增加了護理人員大概三千八百位在職場那其中有一千兩百位但是我必須要聲明我們需要的更多所以我們也想盡辦法"},{"start":575.896,"end":592.374,"text":"副部長其實您現在在講的還是一個背景啦其實我覺得我們還是要針對問題要想想怎麼解決那當然今天本席啊其實我們在這個後生會我們也成跟這個紀淑敬理事長我們也成立了一個希望能夠為醫護人員發聲的一個平台那我相信這個平台也是一個跨黨派啊這個"},{"start":593.775,"end":621.41,"text":"結合了我們政府啊或者是學術啊或者這個醫界啊我們大家希望把這個問題找出來嘛但我們都知道所有的問題環環相扣那每一個問題其實可能連接的就是下一個問題那當然誠如今天周次長講的就是說我們要怎麼按照這個輕重緩急不能夠解決眼下的問題跟帶來另外一個問題這我都同意但是要做啊好那我們再來看喔其實本席認為喔我們落實這個分級就醫這一個部分我覺得還不錯但是恐怕也只能就是紓解啊"},{"start":621.77,"end":642.351,"text":"沒辦法真正解決啦那我就來看講到分級就醫那個部長去年你記不記得本席有建議說這個新冠因為已經比照流感的看診比照流感那麼所以呢我們希望建立一個分級制度不管是看診篩檢啊或者給藥的SOP都要來做嘛那請問一下光在新冠這個部分做了嗎新冠跟"},{"start":645.242,"end":661.734,"text":"新款流管化以後去年就跟您提了我們要不要就是分級的部分從這裡開始做起我們從COVID以後就建立了不只分級也包括分流希望讓醫療能夠製造廠進行所以部長您的意思是說有做是嗎我們不只在社區建立了分級分流我們準備一個轉層"},{"start":670.48,"end":693.983,"text":"我了解我了解所以部長您的意思不好意思您的意思是說我們有做嘛那我們如果有做這個SOP是有的那我要麻煩您精神診所是不是還有很多不知道或者是說沒有落實那既然我們有做那個政策提出來要落實所以拜託如果是真的有做這段時間我們看不到麻煩要把它落實起來否則光上次我提說新冠要比照流感"},{"start":694.363,"end":719.602,"text":"的這個SOP做你分級都沒有辦法落實了那現在你要怎麼說要讓整個這個狀況分級就醫我看也很難好那我們現在再來看那政府這幾年說要提升護理人力那在這個112年的時候考選部降低了護理國考的門檻當時還引起了一些爭議因為我們把這個所謂比較難的一個科目比如說像這個基礎醫學的比重由20%降到了10%那考試呢"},{"start":721.223,"end":744.713,"text":"就是說不要考那麼難嘛然後再來呢我們考試有一次有兩次那增加為三次讓你可以多考一下對不對但是我們看起來你看國考的門檻稍微降低了可是整個及格率大概都是三成多啊及格率是三成多所以我們要想一想那是不是我們在這個教育上面的部分是不是要怎麼樣來加強所以我們國考降低了看起來沒有幫助嘛那我們再來看看到這個註冊率"},{"start":746.794,"end":775.382,"text":"我們就看報考人數是次數增加但看起來也沒有比較好可是我們的整個大專護理科系的註冊率也是一直在下降其實去年在質詢的時候也有跟院長跟部長提起來我們當時這個政策其實我就不太贊同因為我們當時看到五專跟二專受到大家的歡迎註冊率超高可是你把那個註冊就是給他的核定名額是下降的"},{"start":775.802,"end":797.984,"text":"那反而是當時的四年制跟學試後註冊率只有七成多結果呢根本就還招不滿就你還把這個名額把它提升看起來好像數字說我提升了以後可以增加人力沒有啊所以今年證明我們註冊率是下降的嘛所以我們考上了他都還不來註冊好那我們再往下看也就是剛剛我們所提的除了這個註冊率"},{"start":800.606,"end":826.835,"text":"在七成多之外我們的護理人員在113年12月我們總職業的人數其實大概只有62.57%62%多而已喔也就是說整個總領證人數有30萬9千多人但是留在這個職場上職業只有19萬多所以也就是考試沒有考這麼多學生註冊沒有那麼多人去註冊領到證以後大家不要留在這個環境裡面所以呢"},{"start":827.495,"end":853.178,"text":"部長本席在這裡語重心長要請您真的要去仔細想一想出了什麼問題這一連串最近大家都在討論這個議題但是我們是討論完以後回家就當沒事了嗎還是我們應該要去深思到底為了什麼我必須要講我們從來在台灣不缺護理人才不缺有愛心有責任感專業的護理人才而是缺一個留住這些護理人才的好的環境那有沒有創造好的環境給他"},{"start":854.259,"end":871.668,"text":"院長有沒有話要說我們並不是降低考試的門檻而是希望行政院跟考試院未來就護理人員的考試甚至其他各個部會相關的考試都要引進一些適用型的考試內容考用合一的一個平台"},{"start":872.268,"end":890.124,"text":"不是要降低是要考一些比較實用性的那麼護理人員我們都調查之下他七年是一個高的離職率我們除了引進新的訓練新的更多之外如何把這些護理人員因為個人的因素家庭的因素必須離開的時候我們能不能解決他這種家庭生活上的因素"},{"start":891.465,"end":912.277,"text":"我們回去再好好想一想這些問題點那當然我們看到這麼多人不願意留在這個職場上當然我們都知道很多問題不過整合起來可以知道這個工時很長勞動的條件很長尤其是這個薪資真的非常的偏低我必須要講薪資真的非常的偏低尤其那天我想"},{"start":912.677,"end":942.075,"text":"部長提到說我們護理人員的薪資有到六萬你看引起基層的炸鍋啊勞動部都已經就都說了四萬九啊勞動部的這個資料四萬九但你去提一個六萬我想我們護理人員大家各個都覺得很冤枉那同時最重要的是我們有沒有創造一個好的環境給他他能不能受到大家的重視尊重不管是政府不管是這個醫病之間讓他給他一個可以受尊重的環境否則他長期都在承受很多負面的情緒那怎麼有辦法待在這個地方呢所以我想"},{"start":942.475,"end":969.091,"text":"等等這些因素啦好那我們看到衛福部上週有跟醫界來開會規劃一個要由健保每年預租30億的經費還有4年100億的這個相關的這個提升護理薪資的一個費用那我覺得這個方向其實是對的這個也是本期長期來呼籲跟要求的因為這個方向絕對是正確的但是呢我今天要來問部長跟院長那我們要如何來提升護理的薪資那現在到底要調升多少"},{"start":972.012,"end":992.872,"text":"報告員,我從來沒有講過護理人員的薪資是多少,我們只是提供112年部長先就我的問題來回答好嗎?我們現在在調薪的部分我們要調多少錢?我的意思就是說,醫護的同仁怎麼樣提升待遇一直都是我們提升目標部長請問一下,我們開了會之後現在有決定要怎麼調薪嗎?調薪多少錢?"},{"start":995.163,"end":1002.032,"text":"我想這個可能我們盡量第一個增加護理會那我們要求護理會要公開透明"},{"start":1004.426,"end":1024.965,"text":"盡量是用在直接在護理人員的加薪上面所以還沒有一個數字 對嗎好 那我想我們這個護理師公會也好基層的護理師同仁都希望說能夠調薪一萬塊那我當然希望這個部分請院長跟部長就好好去想一想我們到底要怎麼樣去給他調薪不過呢 我希望"},{"start":1025.506,"end":1047.623,"text":"未來衛福部開任何跟醫護人力改善相關的會議一定要邀請這關係也就是要有護理師代表來參與這點可以做得到嗎我們一定找護理的代表來但是護理代表有時候有五六個團體那部長另外本縣要求是不是能夠在一個月內我們來擬定到底要怎麼樣調升護理的薪資跟護理費用的具體方案一個月內可以有一個案子出來嗎"},{"start":1050.225,"end":1056.431,"text":"我們一直在處理一直在努力但是我們隨時可以邀請所有的護理團體一起來努力沒有問題我們再檢討那既然我們要調整護理師的薪資但同時我剛剛有講減壓也很重要我們有一個技術混合照護模式這個院長知道嗎部長知道嗎"},{"start":1071.269,"end":1077.417,"text":"這個就是住院整合性照顧他希望把那個護理師照顧護理師來幫忙是是是技術混合照顧模式跟住院整合照顧計畫我想這些都是希望能夠幫他們減壓但是呢"},{"start":1087.971,"end":1105.738,"text":"這兩者最大的不同在於技術和照護模式我們是針對所有病房內所有相關的宿務工作那給領有某一些執照的人來做當然不是專業的護理師那住院整合照護計畫當然針對病人的家屬無法陪病的時候可以申請那好我們來提到"},{"start":1106.198,"end":1123.346,"text":"技術這個混合照護模式目前本期去了解調查大概整個全台有5家醫院在試辦那試辦的效果成果都很好而且這個技術混合照護模式其實在世界各地也都有在做所以我想根據這個衛福部自己的統計我們112年護理人員離職率高達了12.61%可是您知道嗎有在試辦這個技術混合照護模式醫院的離職率"},{"start":1132.95,"end":1140.873,"text":"竟然可以低到只有0.9到6.9之間可見它是有成效的所以我想部長是不是可以儘速地來研議擴大推動這個照顧模式"},{"start":1143.214,"end":1163.215,"text":"Skill Mix這個模式如果成效好我們絕對可以拿來以及我們現在做的成效也非常好的一個住院整合型照顧我想說好的模式我們就一定要來做但是我也希望說我們能夠啟動相關的法令研修把這個輔助人例如護理所"},{"start":1163.936,"end":1188.418,"text":"那這個部分 納入醫療機構設置辦法當中來減輕護理師的一個負擔是不是也能夠請衛福部我看一週之內 因為這個不難啦一週之內書面跟本席具體的答覆 好嗎好的好好 謝謝接下來呢請邱部長一樣留著那我們請教育部的鄭部長一起麻煩請教育部長備詢"},{"start":1190.723,"end":1218.89,"text":"好 謝謝我想少死化是我們的國安問題啦那但是呢本席今天要關心真的一個蠻嚴重的一個狀況也就是青少年我們發現他罹患性病的這個比例有在上升那你看如果青少年沒有做好性病的這個防治跟教育那不慎感染的這個性病有的時候沒有及時發現有時候休餘治療那未來也會影響生育能力間接加劇少死化的問題"},{"start":1219.73,"end":1243.74,"text":"尤其醫界也證實感染靈病醫院體梅毒或者是人類乳毒病毒等等恐怕導致不孕那在這裡其實我也很謝謝這個衛福部過去我們一起努力本席也不斷的呼籲所以今年九月我們就要開始把這個公費的HPV的疫苗我們要擴大到國中男生來接種那這可以有效的降低HPV的病毒感染不過"},{"start":1244.52,"end":1257.93,"text":"最近的10年我們看到青少年感染梅毒跟這個靈病的人數是暴增的我覺得這個數字其實讓我們非常的擔憂根據疾管署統計感染梅毒的人數從2015年的124人上升到2024年的549人那暴增的425人之多那增幅高達342%"},{"start":1265.296,"end":1289.18,"text":"感染0病的人數則從2015年的326人增至2024年的908人這個增幅增進也來到178%其實我更擔心的是這個裡面恐怕還有很多的黑數在裡頭這個我非常擔心我們來看到這個疾管署也有提到說青少年性病的這個案例暴增是因為初次性行為的年齡下降了"},{"start":1289.5,"end":1316.536,"text":"那再加上交友軟體網路發達等等我們就看到有這個狀況產生不過我們看到全面性教育的八大核心概念其實在108個課綱當中其實是有的可是我們看到青少年的性病感染越來越嚴重所以我在這裡要請教部長這是因為課程沒有落實還是教學內容已經沒有辦法滿足教育現場這是第一個問題第二個我們看到2023年國民小學的全面性教育落實情形的解釋報告當初指出"},{"start":1318.317,"end":1334.095,"text":"性與性行為跟性與生殖健康兩項核心概念在國小階段幾乎是完全消失了可以看一下所以我想對於我們教育現場性教育課程的缺失這部長能不能簡單的回答一下"},{"start":1335.267,"end":1347.316,"text":"我想謝謝委員的一個提醒我想讓我們這個新世代這個青少年能夠有一個更好的一個成長空間這是我們大家所關心的學校如何來落實這一個"},{"start":1350.999,"end":1373.158,"text":"透過這個健康議題這一相關的課程不是啦 部長這些都有 你現在講都有但問題沒有落實啊本來就在八大領域當中為什麼沒有落實我想在教師的真人包括全面的我們來瞭解來跟衛福部有一個更...回去看一下好不好既然我們在領域當中就有叫落實好不好這個我提醒你一下好 再來呢但是你看我們教育部喔"},{"start":1373.718,"end":1397.013,"text":"教育部過去曾經辦理大專院校性教育計畫及高中以下性教育計畫可是呢在2020年的7月跟2021年的8月都停辦了這第一個那邱部長衛福部也曾經推動青少年性健康促進服務計畫也在2023年12月就終止了我請問一下到底為什麼我們通通不在乎了不重視了嗎為什麼都停掉了你們知道都停掉了嗎邱部長知道嗎"},{"start":1403.566,"end":1421.316,"text":"不知道 鎮部長知道嗎?衛生部在推行性病防止方面是很多人的我知道我知道但我只問這個點所以兩個部長都不知道停掉了嘛對不對回去看一看我們要苛責你們回去看一下為什麼把它停掉了是真的沒有必要嗎?"},{"start":1422.296,"end":1437.059,"text":"好那待會我們再來看今年1月15號衛福部的機關署說要跟國建署還有教育部的國教署來合作來強化校園性教育跟性傳染病防治的宣導那請問兩位部長兩個月過去了這個平台建立起來了嗎院長兩位部長建立起來了嗎報告委員我們會有我的親身在衛福部的處理部長我只問建立起來了沒有在宣導的方面我只要問這個平台建立起來了嗎"},{"start":1454.403,"end":1479.276,"text":"報告委員 很感謝委員 我們願意跟委員一起努力這個性教育他之前停下來 願意招聘我我們重新來把它研議這個平台我要求委員部即刻成立針對今天該有的課程沒有落實那過去該有的計畫 我們也把它停掉那我們該建立的平台 我們趕快把它建立起來這個部分啦 我想是不是會後"},{"start":1480.616,"end":1500.314,"text":"我想應該一週內就可以把這件事情書面再跟本席做詳細報告最短的時間把計畫送給委員讓我們在禁書的時間把它成立起來好 因為我們看到這個新少年性病暴增的數字我們就知道背後發生什麼問題要趕快把它做起來啦 好不好那另外呢 其實本席有一些具體的建議我想會後也會給你們"},{"start":1501.755,"end":1526.817,"text":"包括怎麼樣跨部會合作怎麼樣用匿名的方式讓青少年的篩檢怎麼樣設置保病性高的單位讓他們可以諮詢等等今天本席在這邊要求你們要做到的絕對對我們的孩子有很大的幫助回去要落實做不要這邊聽完回去以後大家都當沒這回事好不好好 謝謝那接下來兩位部長可以先請回那我有請勞動部的洪部長"},{"start":1532.883,"end":1545.977,"text":"我們現在現今的社會型態很多的父母親因為工作忙碌都沒有辦法親自照顧三歲以下的幼兒有的抽不到公幼有的不管是請保姆或者是私幼私托恐怕也有經濟上的考量"},{"start":1546.658,"end":1573.646,"text":"那又基於信任的關係所以我們發現其實祖父母在照顧這個幼兒的比例可以說是相當的高這點您應該認同那這也是現今社會很多家庭照顧的模式可是呢根據衛福部它有一個在這個111年兒童及少年生活狀況調查的報告那幼兒由父母以外的親屬照顧的比例高達了25%將近四分之一其中相當高的比例是祖父母所以部長"},{"start":1574.486,"end":1578.308,"text":"我們勞動部調查我國平均退休的年齡是幾歲平均退休的年齡我可能要再確認一下數據"},{"start":1587.837,"end":1611.649,"text":"我告訴你好了 這個調查是勞動部自己的調查 62.25歲但是今年要即將邁入了超高齡的社會我們在立法院去年也修正了勞基法跟高齡者及中高齡就業促進法那把原本強制退休年齡從65歲延後到勞資雙方合一這點部長一定知道嘛那這個是為什麼"},{"start":1612.449,"end":1633.692,"text":"我們要鼓勵中高齡的人繼續投入職場也就希望大家還有這個工作能力的時候不要太早被強迫退休嘛對不對部長是嗎是好那所以我們看到現行性別工作平等法第16條裡面僅僅只有允許父母親來申請育嬰留職停薪那這導致什麼問題產生呢"},{"start":1634.733,"end":1663.497,"text":"也就是說許多中高齡仍然在這個就業的祖父母你可能為了要幫子女去照顧孫子那他被迫不得不離開職場你看看這樣的狀況其實反而是影響了中高齡勞動力的這個持續就業那跟我們去年勞基法跟中高齡就業促進法的原意其實是違背的那為什麼會有這個狀況我想我講到這裡應該其實院長跟部長就是很能理解嘛因為我們現在超高齡跟這個少子化"},{"start":1663.917,"end":1687.155,"text":"所以未來因為照顧孫子而選擇離職的或者是退休的祖父母會越來越多因為我們剛剛有講到我們一直希望他還有勞動力的時候能夠延後我們也修法了可是現在看到是我們很多的祖父母因為要照顧孫子那麼就被迫要離開職場所以我今天在提我們現行的法規我們是不是應該要更完善一點從現行法規當中將祖父母能夠納入"},{"start":1690.478,"end":1696.608,"text":"我們的育嬰留庭的一個保障範圍之內我覺得這會不會更完整一些部長您怎麼看"},{"start":1698.151,"end":1726.267,"text":"跟我們說明因為其實這個孕孕留職停薪的津貼我們會發給這個父母親的原因其實有一個很重要的原因是因為我們在民法裡面是有明文規定父母對於未成年的子女是有保護跟教養的權利義務所以為什麼當時孕孕留職停薪的津貼在救保法裡面是這個設定是給父母是因為在民法上面有這個規定當然"},{"start":1727.968,"end":1745.545,"text":"這個我都理解那但是部長我想我們應該共同來看一看就現今的職場狀況跟現今我們照顧幼兒的狀況我們要隨時滾動式去檢討去做微調那尤其我們剛剛面對我提出來的這個數字我們本來這個退休年齡其實就已經延後了我們還希望他能夠有勞動力說繼續來工作那又加以你看"},{"start":1748.328,"end":1761.542,"text":"有四分之一的幼兒恐怕都是祖父母在照顧他們當然就是要被迫從具有勞動力的職場上離開所以我是希望今天在這裡特別把它提出來院長來深思一下想一想我們怎麼樣去維持"},{"start":1764.065,"end":1786.811,"text":"這些祖父母都還有勞動力可是他又必須要照顧這個年幼的孫子的時候我們能不能夠擴大育嬰留庭能夠擴大到我們的祖父母我想這一個在本期在上一屆的時候其實就有提出修法那其實我記得這個修法其實還有很多版本出來所以我們都是主張將這個祖父母要納入留職停薪適用的對象"},{"start":1787.691,"end":1807.737,"text":"那我想這個修法其實本席會持續來推動所以我在想是不是能夠今天跟部長跟院長來討論讓祖父母在面對照顧孫子的這個責任的時候能夠兼顧他的就業權益跟委員報告我們現在勞動部確實一直在思考跟政策上面的規劃希望讓更多包括尤其是父母親"},{"start":1808.477,"end":1825.987,"text":"他可以同時兼顧家庭照顧跟他的職場的這個需求就是大家現在在講的所謂照顧不離職的政策我們其實正在全面的研議也包括因為留職停薪怎麼會讓他能夠更彈性化因為現在很多的性別團體都希望說讓他更彈性化之後其實更能夠去兼顧職場跟照顧"},{"start":1827.108,"end":1842.575,"text":"部長我同意你說的這個彈性化就是我們要視現在很多的狀況去做彈性的處理這次才能更圓滿所以我想剛才本席提出來我相信過去您也思考過那院長也會覺得說這個其實是值得去想的所以我想拜託"},{"start":1865.077,"end":1865.838,"text":"接下來我們請登記第23號"}]}}},"gazette":{"lineno":2,"blocks":[["萬委員美玲：（14時31分）謝謝主席，請卓院長以及陳世凱部長。"],["主席：麻煩請卓院長、交通部，請備詢。"],["萬委員美玲：院長好、部長好。"],["卓院長榮泰：委員好。"],["陳部長世凱：委員好。"],["萬委員美玲：院長，我看了您本會期的施政報告，總共有8項、158頁，在第109頁的「陸、交通及數位發展」，本席看到第1點第1段第1行，你提到了桃園鐵路地下化的計畫，我想這顯示行政院應該也是相當重視桃園鐵路地下化的工程，但是院長應該都還有印象，我這個議題質詢了非常多次，每一次質詢鐵路地下化的進度，都會讓我們覺得非常的失望。其實本席不只一次反映，我們都知道桃園市現在有很多重大建設正在做，包括鐵路計畫，每延宕一天進度落後，對於桃園市民來講都是很嚴重的交通黑暗期，也都是一種凌遲，所以從去年6月份卓院長您剛上任的時候，當時本席就有質詢鐵路地下化的進度落後了4.01%，在9月份第2個會期的時候，我又再度質詢，後來我們的進度持續落後到5.95%將近6%，你看這個時間點，我又再度質詢這個進度，因為真的非常的重要，但進度不但沒有追上，反而持續落後，來到了9.47%，將近落後了一成，是不是能夠請教一下，這是什麼樣的原因？"],["陳部長世凱：報告委員，一方面是因為發包的問題，二方面是因為物價不斷在調漲，所以我們有提了修正計畫，確實整個工程是有延宕的狀況，但是因為我們修正過後的金額相當的大，這個金額……"],["萬委員美玲：部長，我想我知道，因為過去缺工、缺料、疫情影響，這我們都知道，我也知道正在辦理修正計畫，不過我們來看一下，因為現在的進度不斷的擴大落後，而且這個落後我相信不只是我們等待得很焦急，相信主管機關也是非常的焦急，可是我們辦理中的修正計畫，我們一修多久了？大半年過去了，去年我們看到鐵道局有說在113年年底之前會完成修正計畫，然後推進發包作業，但是到目前為止，我們看到整個鐵道局還在修正中，更不要說後面還要送交通部，還要送行政院，要審議、核定，還有很長一段路要走，所以到底要到多久的時間才能夠修正跟核定完成？"],["陳部長世凱：報告委員，您上面的資料也很清楚，裡面還有一個議題，就是車站南延的部分，這個部分當然需要一些時間討論，因為包含工程、預算……"],["萬委員美玲：部長，我想為什麼要修正，就如您剛剛說的，不管是因為缺工、缺料、疫情、工程南移或者經費要增加，就是因為這樣才要修正，但是不能夠無止境一直等待，這個時間其實有點久了，我希望部長能不能加速一下這個時間？否則之前我們在講122年、123年可以分兩階段通車，您有把握122年跟123年這個承諾可以兌現嗎？"],["陳部長世凱：報告委員，我們第一階段還是努力希望在122年能夠通車，我們還是努力在這個目標。"],["萬委員美玲：所以院長，您所關心的桃園鐵路地下化這麼重大的工程，是可以在122年、123年如期如質的通車嗎？"],["卓院長榮泰：三件事情跟委員報告，原來這個預算1,048億，現在修正後會增加大概770億左右，增加的幅度相當大，第二件事，中央跟地方分擔的比例是一件問題，而且地方來講，新北市跟桃園市互相之間還沒有談好。另外，我們現在財政收支劃分法若是這樣劃分，那中央跟地方的比例要重新再核算，沒有辦法這樣做。"],["萬委員美玲：院長，今天本席跟你討論進度的問題，這個進度落後不是此時此刻才落後，也不是之後才會開始落後，其實是不斷的在落後，從過去在1,048億還沒有用完的時候我們就一直在落後了，所以我想這個落後的問題恐怕我們要痛定思痛想一想，除了疫情之外，到底為什麼我們不能夠追上？所以我希望是不是能夠一個月內提供關於修正計畫能不能完成的比較明確資料，這能夠做到嗎？"],["卓院長榮泰：我有跟委員報告過，我說如果財政收支劃分法是這樣分的話，那很多已經核定的計畫行政院必須收回重新核定，要嘛就是地方比例要增加，要嘛就是整個時間要延長，這是中央政府被拿掉3,753億後，沒有辦法的辦法。"],["萬委員美玲：院長，我想這樣講，在這裡本席真的必須要勸您，就是應該要再次仔細去想一想，過去一直落後、一直落後，當時也沒有財政收支劃分法的問題，還是一直在落後，那個時候就在落後，所以我們應該要去檢討。這是我今天語重心長的希望，既然您這麼重視鐵路地下化，那我們可以加點油，好不好？"],["卓院長榮泰：好，我們會加油檢討。"],["萬委員美玲：接下來部長可以先請回，我們有請邱泰源部長。"],["主席：麻煩請衛福部長。"],["萬委員美玲：院長，去年9月的時候本席同樣是在這裡，當時質詢是說新冠肺炎單週門診、急診就診人數高達12.8萬人次，這個數字您以及部長一定還是記憶猶新，所以當時整個是炸鍋，不管是關床率高、護理人力不足、壓力過大、急診壅塞，那個時候就非常非常嚴重了。可是到了今年，我們沒有看到這個狀況有改善，春節的時候急診就診平均3.7萬人次，這個數字高於去年同期的2.7萬人次，最高峰的時候在1月30號，單日就高達了4.5萬人次，2月2號到2月8號光是類流感的單週門診、急診人次達到了18.1萬人次，這個數字也是近十年來同期最高。","按照衛福部現在自己的統計，目前我們每一天急診量依然有大概兩萬多人次，講到這一些數字其實都是非常心痛的數字，因為去年的時候爆發這樣的大量，到今年不見改善還加劇，我們可以知道我們的醫護、我們的護理師的壓力有多大，一直到今年的2月22號急診醫學會發出求救文，才真正引起了政府的重視。本席不理解，我們已經有過去這樣的一個經驗，也深知問題在哪裡，雖然是不同的季節、不同的病毒，但一樣的狀況加劇的在急診或者是在醫療院所上演。我們再看到，其實在後疫情時代，免疫負債爆發，當然有很多的傳染病大流行，包括我們知道的新冠、流感或者是諾羅等等，所以現在急診及醫院診所爆滿，這幾天大家都在談論這個問題，護理師人力不足的問題尤其嚴重。","對此衛福部提出三短期策略，兩個中長期的改革，我們就來看三短期策略，為什麼？因為這很急迫，要趕快來做。去年的時候我們推出三班護病比，也算上路了，夜班津貼也實施了，但我們要講的是，院長，我們要知道，三班護病比要有人才能夠來排班，對不對？夜班津貼要有人，我發給他才有意義嘛！但現在的問題就是護理師不足，所以我們看到這兩個政策上路以後，狀況還是沒有改善。現在提出病床調度、醫院聯防或分級就醫，有提出政策本席都肯定是好事，但是真的能夠解決這個問題嗎？部長，您提出的這些策略，我看到醫界其實是不太領情的，原因是什麼？因為這些方向恐怕他們本來就已經在做，所以醫改會也批評這樣的策略是活在一個平行時空，護理公會也轟這是提油救火，但我能理解他們的心情，也能想像，部長其實是想趕快做好，但看起來沒有效果啊！所以部長能不能提一下這要怎麼解決？"],["邱部長泰源：是的，謝謝委員。留任護理人才在我們的職場上好好的工作，這是我們政府一直在努力，這一年來提出了12項策略，從各方面來努力，特別是在護病比的努力、護理人才的留任，還有教考用等護理人才的培育，都一直在進行，去年12月比1年前護理人員大概增加了3,800位，其中有1,200位在職場，但是我必須要聲明，我們需要的更多，所以更想盡辦法。"],["萬委員美玲：部長，您現在在講的還是一個背景，其實我覺得我們還是針對問題想想怎麼解決。今天本席在厚生會跟紀淑靜理事長成立了一個希望能夠為醫護人員發聲的平台，相信這個平台是跨黨派，結合我們政府、學術或者醫界，希望把問題找出來，但我們都知道所有的問題環環相扣，每一個問題其實可能連結著下一個問題，當然誠如今天周次長講的，我們要按照輕重緩急，不能解決眼下問題，但可能又帶來另外一個問題，這我都同意，但是要做啊！","好，其實本席認為落實分級就醫的部分還不錯，但是恐怕也只能紓解，沒辦法真正解決。講到分級就醫，部長，你記不記得去年本席有建議新冠已經比照流感看診，希望建立一個分級制度，不管是看診、篩檢、給藥的SOP都要來做，請問一下，光在新冠這部分您做了嗎？"],["邱部長泰源：新冠跟……"],["萬委員美玲：新冠流感化以後，去年就跟你提了，分級的部分要不要從這裡開始做起？我們做了嗎？"],["邱部長泰源：我們從COVID以後就建立了分級，不只分級也包括分流，希望讓醫療能夠照常進行，而傳染病方面……"],["萬委員美玲：部長您的意思是說有做嗎？"],["邱部長泰源：我們不只在社區建立了分級分流，怎樣的轉診，像過年的時候……"],["萬委員美玲：我瞭解，部長您的意思我們有做嘛！那如果我們有做，那是有SOP的，那我要麻煩您，基層診所是不是還有很多不知道或者是沒有落實？政策提出來就要落實，所以拜託，如果是真的有做，這段時間我們看不到，麻煩要落實起來，否則光上次我提新冠要比照流感的SOP來做，分級都沒有辦法落實了，那現在你要讓整個狀況分級就醫，我看也很難。","好，政府這幾年說要提升護理人力，在112年度考選部降低了護理國考的門檻，當時還引起了一些爭議，因為我們把所謂比較難的科目，比如像基礎醫學的比重由20%降到10%，讓考試不要考這麼難嘛！再來考試由2次增加為3次，讓你可以多考一下，對不對？"],["邱部長泰源：是。"],["萬委員美玲：但是我們看起來，國考門檻稍微降低了，可是整個及格率大概三成多，所以我們要想一想，是不是在教育上要怎樣來加強？因為我們國考降低了，但看起來也沒有幫助嘛！","好，我們再來看註冊率，報考人數是增加了，但也沒有比較好，整個大專護理科系的註冊率也是一直在下降，其實去年在質詢時有跟院長、部長提起，當時我就不太贊同這個政策，五專跟二專受到大家的歡迎，註冊率超高，可是你核定的名額卻是下降的，反而當時的四年制及學士後註冊率只有七成多，根本還招不滿，結果你還把名額提升，看起來數字提升以後，可以增加人力，沒有啊！所以今年證明我們註冊率是下降的，考上了都還不來註冊。除了剛剛我提的註冊率七成多之外，我們護理人員在113年12月總執業人數大概只有62.57%，百分之六十二點多而已哦！也就是說，整個總領證人數有三十萬九千多人，但是留在這個職場上執業的只有十九萬多人，也就是考試沒有考這麼多學生，也沒有那麼多人去註冊，大家領到證以後，都不要留在這個環境裡面。部長，本席語重心長地請您真的要去仔細想一想出了什麼問題，這一連串最近大家都在討論這個議題，但是我們是討論完以後，回家就當沒事了嗎？還是我們應該要去深思到底是為什麼？我必須要講，臺灣從來不缺護理人才，不缺有愛心、有責任感、專業的護理人才，而是缺一個留住這些護理人才的好環境，你有沒有創造好的環境給他？院長，有沒有話要說？"],["卓院長榮泰：三件事情，第一個，我們並不是降低考試門檻，而是希望行政院跟考試院未來就護理人員的考試，甚至其他各個部會相關的考試，都要引進一些適用型的考試內容，即考用合一的平臺，我們不是要降低，是要考一些比較實用性的。據我們的調查，護理人員7年是一個高的離職率，我們除了引進新的、訓練新的更多之外，當這些護理人員因為個人因素、家庭因素必須離開的時候，我們能不能解決他這種家庭、生活上的因素，把他留任下來？"],["萬委員美玲：院長，我們回去再好好想一想這些問題點。我們看到這麼多人不願意留在這個職場上，當然我們都知道有很多問題，不過整合起來可以知道這個工時很長、勞動條件很差，尤其是薪資真的非常的偏低，我必須要講薪資真的非常的偏低，尤其那天部長提到護理人員的薪資有到6萬，你看，就引起基層的炸鍋，勞動部已經都說是4萬9,000元，勞動部的資料是4萬9,000元，但你卻提一個6萬，護理師人員都覺得很冤枉。同時，最重要的是我們有沒有創造一個好的環境給他？他能不能受到大家的重視、尊重，不管是政府、不管是醫病之間，要給他一個可以受尊重的環境，否則他長期都在承受很多負面的情緒，那怎麼有辦法待在這個地方呢？所以我想有等等這些因素啦！","另外，我們看到衛福部上週有跟醫界開會，預計規劃一個要由健保每年挹注30億的經費，還有4年100億相關提升護理薪資的費用，我覺得這個方向其實是對的，這也是本席長期以來一直呼籲跟要求的，因為這個方向絕對是正確的。但是我今天要來問部長跟院長，我們要如何來提升護理的薪資？現在到底要調升多少？"],["邱部長泰源：好，謝謝委員。報告委員，我從來沒有講過護理人員的薪資是多少，我們只是提供112年衛福部提供……"],["萬委員美玲：部長，先就我的問題來回答好嗎？我們現在調薪的部分要調多少錢？"],["邱部長泰源：對，我的意思就是，醫護同仁怎麼樣提升待遇一直都是我們不停的目標……"],["萬委員美玲：部長，請問你們開了會之後，現在有決定要怎麼調升嗎？要調升多少錢？"],["邱部長泰源：我想這個部分我們儘量，第一個，增加護理費，我們要求護理費要公開、透明，儘量是直接加在護理人員的加薪上面。"],["萬委員美玲：所以還沒有一個數字對嗎？護理師公會或是基層的護理師同仁都希望能夠調薪1萬塊，這個部分就請院長跟部長好好地去想一想我們到底要怎麼樣去調薪。不過我希望未來衛福部在開任何跟醫護人力改善相關的會議時，一定要邀集關係人，就是要有護理師代表來參與，這點可以做得到嗎？"],["邱部長泰源：報告委員，我們一定會找護理的代表來，但是護理代表有時候有5、6個團體……"],["萬委員美玲：好。部長，另外，本席也要求你們在一個月內擬訂到底要怎麼樣調升護理師的薪資跟護理費用的具體方案，一個月內可以有一個案子出來嗎？"],["邱部長泰源：我們一直在處理、一直在努力，我們隨時可以邀請所有的護理團體一起來努力。"],["萬委員美玲：希望一個月內可以提出具體的方案給本席，好不好？"],["邱部長泰源：沒有問題，我們再來檢討怎麼樣精進。"],["萬委員美玲：好，既然我們要調整護理師的薪資，同時我剛剛有講減壓也很重要，我們有一個技術混合照護模式，這個院長知道嗎？部長知道嗎？"],["邱部長泰源：這個就是住院整合性照護，它希望依護理師照顧的專業，然後我們也來……"],["萬委員美玲：是，技術混合照護模式跟住院整合照護計畫，我想這些都是希望能夠幫他們減壓，但是這兩者最大的不同在於，技術混合照護模式是針對病房內所有相關的庶務工作給領有某些執照的人來做，他們當然不是專業的護理師；而住院整合照護計畫則是針對病人家屬無法陪病的時候可以申請。提到技術混合照護模式，目前本席去了解調查，全臺有5家醫院在試辦，試辦的效果、成果都很好，而且這個技術混合照護模式其實世界各地也都有在做。根據衛福部自己的統計，112年護理人員離職率高達了12.61%，可是您知道嗎？有在試辦技術混合照護模式的醫院，離職率竟然可以低到只有0.9%到6.9%之間，可見它是有成效的，所以我想部長是不是可以儘速來研議擴大推動這個照護模式？可以嗎？"],["邱部長泰源：Skill-Mixed這個模式如果成效好，我們絕對可以拿來……"],["萬委員美玲：好。"],["邱部長泰源：以及我們現在做的成效也非常好的住院整合型照護，這兩個可以一起來努力。"],["萬委員美玲：我想好的模式，我們就一定要來做，但是我也希望我們能夠啟動相關的法令研修，把輔助人力，如護理佐這個部分納入醫療機構設置辦法當中，減輕護理師的負擔。因為這個不難，是不是也能夠請衛福部一週之內，以書面跟本席具體答復，好嗎？"],["邱部長泰源：好的。"],["萬委員美玲：好，謝謝。接下來，請邱部長一樣留著，請教育部鄭部長一起。"],["主席：麻煩請教育部長備詢。"],["萬委員美玲：好，謝謝。我想少子化是我們的國安問題，但是本席今天要關心一個真的蠻嚴重的狀況，也就是我們發現青少年罹患性病的比例有在上升，如果青少年沒有做好性病的防治跟教育，不慎感染了性病，有時候沒有及時發現，有時候羞於治療，未來也會影響生育能力，間接加劇了少子化的問題。尤其醫界也證實感染淋病、衣原體、梅毒或者是人類乳突病毒等等，恐怕導致不孕。那在這裡其實我也很謝謝衛福部，過去我們一起努力，本席也不斷地呼籲，所以今年9月我們就要開始把公費的HPV疫苗擴大到國中男生來接種，這可以有效地降低HPV的病毒感染。","不過最近十年青少年感染梅毒跟淋病的人數是暴增的，這個數字其實讓我們非常擔憂。根據疾管署統計，感染梅毒的人數從2015年的124人上升到2024年的549人，暴增425人之多，增幅高達342%；感染淋病的人數則從2015年的326人增至2024年的908人，增幅甚至來到178%。我更擔心的是，恐怕還有很多的黑數在裡頭，我非常擔心。疾管署也有提到，青少年性病的案例暴增是因為初次性行為的年齡下降了，再加上交友軟體、網路發達等等，我們就看到有這個狀況產生。我們看到全面性教育的八大核心概念，其實在108課綱當中是有的，可是青少年的性病感染越來越嚴重，所以我在這裡要請教部長，這是因為課程沒有落實，還是教學內容已經沒有辦法滿足教育現場？這是第一個問題。第二個、2023年國民小學全面性教育落實情形檢視報告當中指出，性與性行為跟性與生殖健康兩項核心概念，在國小階段幾乎是完全消失了。對於教育現場性教育課程的缺失，部長能不能簡單回答一下？"],["鄭部長英耀：謝謝委員提醒，讓新世代青少年能夠有一個更好的成長空間，這是大家所關心的。學校如何……"],["萬委員美玲：部長，針對問題，好不好？"],["鄭部長英耀：學校如何來落實，透過健康與體育相關的課程……"],["萬委員美玲：不是啦！你現在講的這些都有，但問題沒有落實，本來就在八大領域當中，為什麼沒有落實？"],["鄭部長英耀：所以我說我們來落實。我想在教師的增能，包括全面的，我們來了解，跟衛福部有一個更……"],["萬委員美玲：部長，回去看一下，好不好？"],["鄭部長英耀：是。"],["萬委員美玲：既然我們在領域當中就有，那就要落實，好不好？這個我提醒一下。"],["鄭部長英耀：謝謝委員。"],["萬委員美玲：再來，你看教育部過去曾經辦理大專院校性教育計畫及高中以下性教育計畫，可是在2020年7月跟2021年8月都停辦，這是第一個。邱部長，衛福部也曾經推動青少年性健康促進服務計畫，也在2023年12月就終止了。我請問一下，到底為什麼我們通通不在乎了？不重視了嗎？為什麼都停掉了？你們知道都停掉了嗎？邱部長知道嗎？不知道？鄭部長，知道嗎？"],["邱部長泰源：衛福部在推行性病防治方面很多元化。"],["萬委員美玲：我知道，但我只問這個點。"],["邱部長泰源：有關這個計畫……"],["萬委員美玲：所以兩個部長都不知道停掉了，對不對？回去看一看，我沒有要苛責你們，回去看一下為什麼把它停掉了？"],["邱部長泰源：是。"],["萬委員美玲：是真的沒有必要嗎？好，我們再來看，今年1月15號衛福部疾管署說要跟國健署、還有教育部國教署合作，強化校園性教育跟性傳染病防治宣導，請問兩位部長，兩個月過去了，這個平臺建立起來了嗎？院長、兩位部長，建立起來了嗎？"],["邱部長泰源：報告委員，我們會由我親身在衛福部處理……"],["萬委員美玲：部長，我只問建立起來了沒有？"],["邱部長泰源：我發現在宣導的方面……"],["萬委員美玲：我只要問這個平臺建立起來了嗎？鄭部長，還沒有？"],["卓院長榮泰：報告委員，很感謝委員，我們願意跟委員一起努力，這個性教育之前停下來的原因到底如何……"],["萬委員美玲：院長，沒關係，因為我的時間有限……"],["卓院長榮泰：它是不是內容不夠完整，我們重新來研議。"],["萬委員美玲：好，我想……"],["卓院長榮泰：這個平臺，我要求衛福部即刻成立。"],["邱部長泰源：好。"],["萬委員美玲：謝謝，針對今天該有的課程沒有落實；過去該有的計畫，我們把它停掉；該建立的平臺，我們趕快把它建立起來，這個部分是不是會後一週內，可以把這件事情以書面再跟本席做詳細報告，好不好？"],["卓院長榮泰：最短的時間把計畫送給委員，我們儘速把它成立起來，要發揮它的效果。"],["萬委員美玲：好。"],["邱部長泰源：是的。"],["萬委員美玲：因為我們看到青少年性病暴增的數字，就知道背後發生什麼問題，要趕快把它做起來，好不好？"],["邱部長泰源：是。"],["萬委員美玲：另外，其實本席有一些具體的建議會後也會給你們，包括怎麼樣跨部會合作，怎麼樣用匿名的方式讓青少年篩檢、怎麼樣設置保密性高的單位讓他們可以諮詢等等，今天本席在這邊要求你們做到的，絕對對我們孩子有很大的幫助……"],["卓院長榮泰：是，謝謝委員。"],["萬委員美玲：回去要落實，不要在這邊聽完回去以後，大家都當沒這回事。"],["卓院長榮泰：不會，謝謝委員。"],["邱部長泰源：是。"],["萬委員美玲：好，謝謝。接下來，兩位部長可以先請回，我有請勞動部洪部長。"],["主席：麻煩請勞動部洪部長備詢。"],["萬委員美玲：謝謝。院長，現今的社會型態，很多的父母親因為工作忙碌而沒有辦法親自照顧三歲以下的幼兒，有的抽不到公幼，有的不管是請保母或者是私幼、私托，恐怕也有經濟上的考量，又基於信任的關係，所以我們發現祖父母照顧幼兒的比例可說是相當的高，這點您應該認同。"],["卓院長榮泰：是。"],["萬委員美玲：這也是現今社會很多家庭照顧的模式，根據衛福部在111年兒童及少年生活狀況調查的報告，幼兒由父母以外的親屬照顧的比例高達25%，將近四分之一，其中相當高的比例是祖父母，所以洪部長，請教您一下，勞動部調查我國平均退休的年齡是幾歲？"],["洪部長申翰：平均退休的年齡？我可能要再確認一下數據。"],["萬委員美玲：好，我告訴你好了，62.25歲，這個調查是勞動部自己的調查。今年我們即將邁入超高齡社會，立法院去年也修正勞基法和中高齡者及高齡者就業促進法，把原本強制退休年齡從65歲延後到勞資雙方合意，這點部長一定知道嘛！"],["洪部長申翰：是。"],["萬委員美玲：這是為什麼？我們要鼓勵中高齡的人繼續投入職場，也是希望大家還有工作能力的時候不要太早被強迫退休，對不對？部長，是嗎？"],["洪部長申翰：是。"],["萬委員美玲：好，所以我們看到現行性別工作平等法第十六條裡面僅僅允許父母親來申請育嬰留職停薪，這導致什麼問題產生？也就是說，許多中高齡仍然在就業的祖父母，可能為了要幫子女去照顧孫子，被迫不得不離開職場。你看看這樣的狀況，其實反而影響了中高齡勞動力的持續就業，跟我們去年修勞基法跟中高齡者及高齡者就業促進法的原意其實是違背的，為什麼會有這個狀況？我講到這裡，相信院長跟部長應該很能理解，因為我們現在是超高齡跟少子化，未來因為照顧孫子而選擇離職或是退休的祖父母會越來越多，因為剛剛有講到，我們一直希望他還有勞動力的時候能夠延後退休，我們也修法了，可是現在看到的是，很多祖父母因為要照顧孫子被迫要離開職場。","好，所以我今天要提，現行法規是不是應該更完善一點？從現行法規當中，將祖父母納入育嬰留停的保障範圍之內，我覺得這會不會更完整一些？部長，你怎麼看？"],["洪部長申翰：跟委員說明，有關育嬰留職停薪的津貼，我們會發給父母親，其實有一個很重要的原因是民法裡面有明文規定，父母對於未成年子女有保護跟教養的權利義務。所以為什麼當時育嬰留職停薪的津貼，在就保法裡面是設定給父母，主要是因為在民法上面有這個規定。"],["萬委員美玲：當然這個我都理解，但是部長，我想我們應該共同來看一看現今的職場狀況跟現今照顧幼兒的狀況，我們要隨時滾動式去檢討、去做微調，尤其面對我剛剛提出來的數字，我們本來的退休年齡其實已經延後了，我們還是希望他在有勞動力的時候還是繼續工作，加上有四分之一的幼兒恐怕都是祖父母在照顧，他們當然就要被迫從具有勞動力的職場上離開嘛！所以我今天在這裡特別把它提出來，希望院長來深思一下，想一想我們怎麼樣去維持，這些祖父母都還有勞動力，可是他又必須要照顧年幼的孫子的時候，我們能不能將育嬰留停擴大到祖父母？針對這一個問題，其實本席在上一屆的時候就有提出修法，我記得這個修法還有很多版本提出來，我們都是主張要將祖父母納入留職停薪適用的對象，這個修法本席會持續來推動，所以我在想今天是不是能夠跟部長及院長討論，讓祖父母在面對照顧孫子的責任的時候，能夠兼顧他的就業權益？"],["洪部長申翰：跟委員報告，勞動部確實一直在思考政策上面的規劃，希望讓更多人，尤其是父母親，可以同時兼顧家庭照顧及職場的需求，就是大家現在在講的所謂照顧不離職的政策。我們其實正在全面的研議，也包括育嬰留職停薪未來怎麼讓它能夠更彈性化，因為現在很多性別團體都希望讓它更彈性化之後，更能夠去兼顧職場跟照顧。"],["萬委員美玲：部長，我同意你說的彈性化，就是我們要視現在很多的狀況去做彈性的處理，政策才能更圓滿。"],["洪部長申翰：是。"],["萬委員美玲：剛才本席提出來的，我相信過去您一定也思考過，院長也會覺得這其實是值得去想的，所以我想拜託勞動部儘速研議，在一個月之內能夠把研議的結果回復本席，好不好？"],["洪部長申翰：我們可以來思考一下各種該考慮的層面，我們會再跟委員說明。"],["卓院長榮泰：謝謝委員，3月8號我有說了一段話，我認為引進更多的人力來協助照顧家庭，讓婦女回到職場，才是對性平最好的圓滿。謝謝。"],["萬委員美玲：謝謝，希望你們要加油、要落實。"],["主席：謝謝萬美玲委員質詢，謝謝卓院長及各部會首長的備詢。","接下來請登記第23號王世堅委員質詢。"]],"agenda":{"page_end":104,"meet_id":"院會-11-3-5","speakers":["韓國瑜","王育敏","邱議瑩","陳昭姿","賴瑞隆","萬美玲","王世堅","羅廷瑋","邱志偉","呂玉玲","陳冠廷","游顥"],"page_start":28,"meetingDate":["2025-03-14"],"gazette_id":"1142601","agenda_lcidc_ids":["1142601_00002","1142601_00003"],"meet_name":"立法院第11屆第3會期第5次會議紀錄","content":"施政質詢\n對行政院院長提出施政方針及施政報告繼續質詢─ 繼續質詢─","agenda_id":"1142601_00003"}}}