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\"score\": 0.639}, {\"word\": \"些\", \"start\": 672.074, \"end\": 672.254, \"score\": 0.874}, {\"word\": \"修\", \"start\": 672.254, \"end\": 672.454, \"score\": 0.742}, {\"word\": \"正\", \"start\": 672.454, \"end\": 672.574, \"score\": 0.833}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"黃\"}, {\"word\": \"委\", \"start\": 672.574, \"end\": 672.594, \"score\": 0.0}, {\"word\": \"員\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"部\", \"start\": 672.594, \"end\": 672.614, \"score\": 0.0}, {\"word\": \"長\"}], \"language\": \"zh\"}","srt":"1\n00:00:00,189 --> 00:00:10,235\n我剛剛有特別提到就是說20歲以下總人口數佔我們總人口數的18%可是他的我們健保的總額就只有佔8%而已就是說兒科的預算\n\n2\n00:00:16,838 --> 00:00:31,083\n是不是可以請衛福部可以朝這樣的一個方向去考慮就是說未來我們的這個醫療給付或者醫療的部分是不是可以匡列一個固定的足夠的預算下來\n\n3\n00:00:32,473 --> 00:00:58,526\n是的,如果以健保這個部分來講,當然就是大家一起談嘛那所以曾經的確也提過兒科小總的這種概念但是這個有,因為這是醫院自己,等於是大家自己討論,在這個部分好像還沒有得到共識但是我們也不能因為沒有得到共識,就不去重視兒童醫療的一個發展\n\n4\n00:00:59,867 --> 00:01:23,484\n我們未來現在健保署也成立了一個將以不同工不同酬為原則來優先調整集中症還有螺製醫療人力螺製跟留任困難的譬如說兒科這個部分我們在幾乎上一定讓他有在不同工不同酬的情況之下先給他們挹注\n\n5\n00:01:25,005 --> 00:01:52,724\n那如果譬如說六歲以下的六歲以下這個其實都有這個部分是不是也要依照年齡來做一個調整這個都一直有在調整我想我跟那個蘇委員以前過去在醫師公會在談兒科方面的加成的部分我們都是十分支持的所以當然因為各科在談嘛所以大家有不同的意見但是基本上我們會請\n\n6\n00:01:54,805 --> 00:02:13,020\n也會說服所有的科別給兒科最大的一個增長的空間像上一次有一次調得好像不夠兒科醫學不夠滿意我們過一陣子也把它都補過來真的我們心都在這個兒童怎麼照顧那我們也珍惜兒童醫療的人員\n\n7\n00:02:15,102 --> 00:02:28,849\n接下來我想請教我記得在我第一屆當立委的時候就針對這個疫苗的處置費做一個爭取所以在107年的時候我們的疫苗處置費就是這邊就是100元的處置費\n\n8\n00:02:31,690 --> 00:02:58,602\n那當然這個整個這幾年當中其實整個物價上漲那我也希望就是說衛福部針對這部分能夠去做一個調整我剛剛特別提到就是說其實一個兒科醫師要診斷這個兒童的這個疾病其實要花蠻多時間的那尤其是我們的這個疫苗的這個疫苗要打疫苗其實你們又要求可能他的這個保存的方式\n\n9\n00:02:59,942 --> 00:03:21,030\n或者是物流的整個方式或者人力你們都有一些要求可是我們的這個疫苗儲置費從107年的這個100元到現在一直都沒有做一個調整那當然就是說從日本跟韓國我們去做一個比較日本他做這個儲置費可能800到1000那韓國的話可能依年齡不同就有\n\n10\n00:03:21,770 --> 00:03:50,052\n不一樣的這個疫苗處置費可能400到500或800到1000不等所以我想請教就是說部長針對這個疫苗的處置費因為確實你們又要拜託基層診所基層醫療來做這樣的一個工作那這個疫苗的覆蓋率應該也是要由基層的這些醫師來服務所以我是認為就是說這個疫苗處置費你們是不是也要做一個調整\n\n11\n00:03:51,343 --> 00:04:16,355\n好謝謝委員首先感謝委員在應該是第九屆的時候我們努力在委員您的努力跟大家的努力支持之下我們好不容易把這個疫苗處置費微薄的一百塊當時的利潤就是說其實我們一個小孩子進來不是說我們要來就來\n\n12\n00:04:19,656 --> 00:04:29,640\n這個評估主要是醫生要負責任的這個專業要不要加一些來處置費一個而且那個還有冰箱啦,這些都要自己處理要怎麼廢棄也是要自己處理所以基本上我覺得真的是基層醫師願意來打這個針\n\n13\n00:04:49,008 --> 00:04:58,158\n真的是令人敬佩,而且感謝啦,我們可以去小學看,要打這個針齁,兩個護理人員齁,給他夾住了啦,那如果沒有更加措用的護理人員,小孩子後面還踢你兩腳這樣子。好,所以部長你覺得這個這麼辛苦的工作,是不是也該做一個調整了?\n\n14\n00:05:11,892 --> 00:05:31,640\n我想我們在疫苗基金,這個是疫苗基金出的嘛所以現在每年大概都有5.3億到9.3億的處置費啦你要拿完,我們就要在疫苗基金來處理嘛這個我也請石耀署一直在研議啦,不曉得副市長有沒有說現在研議的狀況\n\n15\n00:05:33,029 --> 00:05:56,141\n好那跟委員報告我們目前的那個疫苗的一個採購的費用跟疫苗的一個處置的費用或是疫苗接種相關的費用都是從疫苗基金裡面做支出啦那就以今年的預算來看我們今年的預算的一個編列大概是將近83億可是呢我們今年的一個基金的收入大概就是只有75億\n\n16\n00:05:57,162 --> 00:06:15,438\n也就是說我們目前的支出比收入要稍微短一點點那可是當然我們疫苗基金有一點剩餘啦所以目前還夠那可是如果說我們要新增加疫苗或是說要多增加疫苗儲值費的話恐怕這個疫苗基金就不夠不過就像剛剛部長講的或是委員講的\n\n17\n00:06:16,018 --> 00:06:29,422\n我們非常感謝基層醫療院所的醫護人員協助我們來做疫苗接種的一個工作也因為他們的一個協助才讓我們目前的一個疫苗的接種率大概都有95%以上\n\n18\n00:06:32,583 --> 00:06:35,427\n我希望說這個部長跟副署長應該要講就是說基層醫療醫師他們願意在基層這樣子一個服務可是你們也不能讓他們長期以來就是一直做功德所以我覺得應該要有一個合理的應該做一個合理的調整\n\n19\n00:06:49,927 --> 00:07:07,841\n是是是謝謝委員對疫苗處置費的一個關心那我們這個部分我們會參考就像高委員講的日本或韓國或是其他國家的一個疫苗處置費的一個標準那我們也會看看國內的一個相關的一些研究事實上我們目前已經在做一些相關的一些研議了\n\n20\n00:07:10,404 --> 00:07:25,500\n我們可能也會參考健保的支付的標準就是對一般診察費的標準然後在整個綜合的物價指數還有一些人事的成本或是一些設備的成本那當然疫苗跟一般的臨床處置有一點點\n\n21\n00:07:25,981 --> 00:07:49,788\n疫苗接種跟一般的臨床處置有一點點不一樣就是說他除了要去做健康評估以外呢他還必須要針對這些疫苗要做一些良善的一些管理尤其是冷運冷藏的管理這樣子的話可能就會這樣對疫苗的一個安全性或是有效性才能夠有保障所以我們會去考量這幾個因素然後呢來去\n\n22\n00:07:51,729 --> 00:08:15,951\n來調整如果有需要的話就是調整疫苗的一個處置費用不過有一個進度你要給我一個進度吧不然這樣子從一百零幾年到現在我們一直有在跟部長這邊還有在跟行政院那邊來做一些討論那希望能夠在預算的一個來源能夠確保的情況之下能夠提升這樣子部長是不是做一下\n\n23\n00:08:17,512 --> 00:08:34,320\n我想這個也是我心中一直覺得等於是我當立委當了8年然後一直努力在爭取這一塊到現在我也覺得是很需要的啦但是因為疫苗基金真的有限所以我們應該來爭取另外的\n\n24\n00:08:36,301 --> 00:08:57,768\n挹注的預算來給這些打疫苗的醫療團隊一個合理的回饋我覺得這是一個尊重專業跟保護兒童很重要的一件事情非常感謝委員一直棄有不捨在處理這件事情我們當然是絕對不會中斷的\n\n25\n00:08:59,268 --> 00:09:23,894\n跟部長講就是說今天我們大家都非常關心我們的兒童醫療那其實在最基層的這一群人真的默默在協助政府做這樣的一個工作所以我覺得說應該也要讓他們有一個合理的報酬而不是他們覺得就剛剛那個趙薇講的這個保存的不好或者是這個疫苗可能壞掉還是怎樣還要賠還要賠\n\n26\n00:09:26,295 --> 00:09:45,102\n還要罰對啊所以我覺得說應該要給他們有一個合理的報酬那我也希望說部長應該在近期內應該近期內趕快將這個這個疫苗的處置費趕快做一個定案我跟委員報告一下我們這個一定努力去做我想應該做的是合理的事\n\n27\n00:09:45,822 --> 00:10:15,011\n一定去做那另外還請所有的醫界同仁也要了解到我們也會利用各種可能的財源來提高給付然後增加那個大家的一個一個讓整個待遇就好像剛剛蘇昭也提的如果甚至我們都目標提高所有醫事人員的待遇就是你看我們一個醫院的其實所有的醫院的院長幾乎都是有共同的理念那政府絕對\n\n28\n00:10:16,127 --> 00:10:36,737\n不會置身以外,一定盡量爭取更多的機會給醫療院所但是希望這些資源是分到真的落實到我們所有醫事人員的薪資及待遇這樣子這個就是努力的方向好謝謝,再麻煩部長你寫一個提案,把它提到500號\n\n29\n00:10:47,021 --> 00:11:00,346\n跟委員報告一下因為剛剛林淑芬委員有說有問到那個國光流感疫苗的一個採購的數字那目前去年的一個國光疫苗大概採購的數字大概在我們所有700萬劑的50%左右大概就是300多萬劑\n\n30\n00:11:03,047 --> 00:11:12,614\n我剛剛有一些恐怖在講成500多萬劑那在這邊做一個修正大概是50%左右大概300多萬劑那再跟委員做一些修正謝謝謝謝黃委員謝謝部長\n\n","tsv":"start\tend\ttext\n189\t10235\t我剛剛有特別提到就是說20歲以下總人口數佔我們總人口數的18%可是他的我們健保的總額就只有佔8%而已就是說兒科的預算\n16838\t31083\t是不是可以請衛福部可以朝這樣的一個方向去考慮就是說未來我們的這個醫療給付或者醫療的部分是不是可以匡列一個固定的足夠的預算下來\n32473\t58526\t是的,如果以健保這個部分來講,當然就是大家一起談嘛那所以曾經的確也提過兒科小總的這種概念但是這個有,因為這是醫院自己,等於是大家自己討論,在這個部分好像還沒有得到共識但是我們也不能因為沒有得到共識,就不去重視兒童醫療的一個發展\n59867\t83484\t我們未來 現在健保署也成立了一個將以不同工不同酬為原則來優先調整集中症還有螺製 醫療人力螺製跟留任困難的 譬如說兒科這個部分我們在幾乎上 一定讓他有在不同工不同酬的情況之下 先給他們挹注\n85005\t112724\t那如果譬如說六歲以下的六歲以下這個其實都有這個部分是不是也要依照年齡來做一個調整這個都一直有在調整我想我跟那個蘇委員以前過去在醫師公會在談兒科方面的加成的部分我們都是十分支持的所以當然因為各科在談嘛所以大家有不同的意見但是基本上我們會請\n114805\t133020\t也會說服所有的科別給兒科最大的一個增長的空間像上一次有一次調得好像不夠兒科醫學不夠滿意我們過一陣子也把它都補過來真的我們心都在這個兒童怎麼照顧那我們也珍惜兒童醫療的人員\n135102\t148849\t接下來我想請教我記得在我第一屆當立委的時候就針對這個疫苗的處置費做一個爭取所以在107年的時候我們的疫苗處置費就是這邊就是100元的處置費\n151690\t178602\t那當然這個整個這幾年當中其實整個物價上漲那我也希望就是說衛福部針對這部分能夠去做一個調整我剛剛特別提到就是說其實一個兒科醫師要診斷這個兒童的這個疾病其實要花蠻多時間的那尤其是我們的這個疫苗的這個疫苗要打疫苗其實你們又要求可能他的這個保存的方式\n179942\t201030\t或者是物流的整個方式或者人力你們都有一些要求可是我們的這個疫苗儲置費從107年的這個100元到現在一直都沒有做一個調整那當然就是說從日本跟韓國我們去做一個比較日本他做這個儲置費可能800到1000那韓國的話可能依年齡不同就有\n201770\t230052\t不一樣的這個疫苗處置費可能400到500或800到1000不等所以我想請教就是說部長針對這個疫苗的處置費因為確實你們又要拜託基層診所基層醫療來做這樣的一個工作那這個疫苗的覆蓋率應該也是要由基層的這些醫師來服務所以我是認為就是說這個疫苗處置費你們是不是也要做一個調整\n231343\t256355\t好 謝謝委員 首先感謝委員在應該是第九屆的時候我們努力在委員您的努力 跟大家的努力支持之下我們好不容易把這個疫苗處置費微薄的一百塊當時的利潤就是說其實我們一個小孩子進來不是說我們要來就來\n259656\t269640\t這個評估主要是醫生要負責任的這個專業要不要加一些來處置費一個而且那個還有冰箱啦,這些都要自己處理要怎麼廢棄也是要自己處理所以基本上我覺得真的是基層醫師願意來打這個針\n289008\t298158\t真的是令人敬佩,而且感謝啦,我們可以去小學看,要打這個針齁,兩個護理人員齁,給他夾住了啦,那如果沒有更加措用的護理人員,小孩子後面還踢你兩腳這樣子。好,所以部長你覺得這個這麼辛苦的工作,是不是也該做一個調整了?\n311892\t331640\t我想我們在疫苗基金,這個是疫苗基金出的嘛所以現在每年大概都有5.3億到9.3億的處置費啦你要拿完,我們就要在疫苗基金來處理嘛這個我也請石耀署一直在研議啦,不曉得副市長有沒有說現在研議的狀況\n333029\t356141\t好那跟委員報告我們目前的那個疫苗的一個採購的費用跟疫苗的一個處置的費用或是疫苗接種相關的費用都是從疫苗基金裡面做支出啦那就以今年的預算來看我們今年的預算的一個編列大概是將近83億可是呢我們今年的一個基金的收入大概就是只有75億\n357162\t375438\t也就是說我們目前的支出比收入要稍微短一點點那可是當然我們疫苗基金有一點剩餘啦所以目前還夠那可是如果說我們要新增加疫苗或是說要多增加疫苗儲值費的話恐怕這個疫苗基金就不夠不過就像剛剛部長講的或是委員講的\n376018\t389422\t我們非常感謝基層醫療院所的醫護人員協助我們來做疫苗接種的一個工作也因為他們的一個協助才讓我們目前的一個疫苗的接種率大概都有95%以上\n392583\t395427\t我希望說這個部長跟副署長應該要講就是說基層醫療醫師他們願意在基層這樣子一個服務可是你們也不能讓他們長期以來就是一直做功德所以我覺得應該要有一個合理的應該做一個合理的調整\n409927\t427841\t是是是謝謝委員對疫苗處置費的一個關心那我們這個部分我們會參考就像高委員講的日本或韓國或是其他國家的一個疫苗處置費的一個標準那我們也會看看國內的一個相關的一些研究事實上我們目前已經在做一些相關的一些研議了\n430404\t445500\t我們可能也會參考健保的支付的標準就是對一般診察費的標準然後在整個綜合的物價指數還有一些人事的成本或是一些設備的成本那當然疫苗跟一般的臨床處置有一點點\n445981\t469788\t疫苗接種跟一般的臨床處置有一點點不一樣就是說他除了要去做健康評估以外呢他還必須要針對這些疫苗要做一些良善的一些管理尤其是冷運冷藏的管理這樣子的話可能就會這樣對疫苗的一個安全性或是有效性才能夠有保障所以我們會去考量這幾個因素然後呢來去\n471729\t495951\t來調整如果有需要的話就是調整疫苗的一個處置費用不過有一個進度你要給我一個進度吧不然這樣子從一百零幾年到現在我們一直有在跟部長這邊還有在跟行政院那邊來做一些討論那希望能夠在預算的一個來源能夠確保的情況之下能夠提升這樣子部長是不是做一下\n497512\t514320\t我想這個也是我心中一直覺得等於是我當立委當了8年然後一直努力在爭取這一塊到現在我也覺得是很需要的啦但是因為疫苗基金真的有限所以我們應該來爭取另外的\n516301\t537768\t挹注的預算來給這些打疫苗的醫療團隊一個合理的回饋我覺得這是一個尊重專業跟保護兒童很重要的一件事情非常感謝委員一直棄有不捨在處理這件事情我們當然是絕對不會中斷的\n539268\t563894\t跟部長講就是說今天我們大家都非常關心我們的兒童醫療那其實在最基層的這一群人真的默默在協助政府做這樣的一個工作所以我覺得說應該也要讓他們有一個合理的報酬而不是他們覺得就剛剛那個趙薇講的這個保存的不好或者是這個疫苗可能壞掉還是怎樣還要賠還要賠\n566295\t585102\t還要罰對啊所以我覺得說應該要給他們有一個合理的報酬那我也希望說部長應該在近期內應該近期內趕快將這個這個疫苗的處置費趕快做一個定案我跟委員報告一下我們這個一定努力去做我想應該做的是合理的事\n585822\t615011\t一定去做那另外還請所有的醫界同仁也要了解到我們也會利用各種可能的財源來提高給付然後增加那個大家的一個一個讓整個待遇就好像剛剛蘇昭也提的如果甚至我們都目標提高所有醫事人員的待遇就是你看我們一個醫院的其實所有的醫院的院長幾乎都是有共同的理念那政府絕對\n616127\t636737\t不會置身以外,一定盡量爭取更多的機會給醫療院所但是希望這些資源是分到真的落實到我們所有醫事人員的薪資及待遇這樣子這個就是努力的方向好謝謝,再麻煩部長你寫一個提案,把它提到500號\n647021\t660346\t跟委員報告一下 因為剛剛林淑芬委員有說有問到那個國光流感疫苗的一個採購的數字那目前去年的一個國光疫苗大概採購的數字大概在我們所有700萬劑的50%左右大概就是300多萬劑\n663047\t672614\t我剛剛有一些恐怖在講成500多萬劑那在這邊做一個修正大概是50%左右大概300多萬劑那再跟委員做一些修正 謝謝謝謝黃委員 謝謝部長\n","txt":"我剛剛有特別提到就是說20歲以下總人口數佔我們總人口數的18%可是他的我們健保的總額就只有佔8%而已就是說兒科的預算\n是不是可以請衛福部可以朝這樣的一個方向去考慮就是說未來我們的這個醫療給付或者醫療的部分是不是可以匡列一個固定的足夠的預算下來\n是的,如果以健保這個部分來講,當然就是大家一起談嘛那所以曾經的確也提過兒科小總的這種概念但是這個有,因為這是醫院自己,等於是大家自己討論,在這個部分好像還沒有得到共識但是我們也不能因為沒有得到共識,就不去重視兒童醫療的一個發展\n我們未來 現在健保署也成立了一個將以不同工不同酬為原則來優先調整集中症還有螺製 醫療人力螺製跟留任困難的 譬如說兒科這個部分我們在幾乎上 一定讓他有在不同工不同酬的情況之下 先給他們挹注\n那如果譬如說六歲以下的六歲以下這個其實都有這個部分是不是也要依照年齡來做一個調整這個都一直有在調整我想我跟那個蘇委員以前過去在醫師公會在談兒科方面的加成的部分我們都是十分支持的所以當然因為各科在談嘛所以大家有不同的意見但是基本上我們會請\n也會說服所有的科別給兒科最大的一個增長的空間像上一次有一次調得好像不夠兒科醫學不夠滿意我們過一陣子也把它都補過來真的我們心都在這個兒童怎麼照顧那我們也珍惜兒童醫療的人員\n接下來我想請教我記得在我第一屆當立委的時候就針對這個疫苗的處置費做一個爭取所以在107年的時候我們的疫苗處置費就是這邊就是100元的處置費\n那當然這個整個這幾年當中其實整個物價上漲那我也希望就是說衛福部針對這部分能夠去做一個調整我剛剛特別提到就是說其實一個兒科醫師要診斷這個兒童的這個疾病其實要花蠻多時間的那尤其是我們的這個疫苗的這個疫苗要打疫苗其實你們又要求可能他的這個保存的方式\n或者是物流的整個方式或者人力你們都有一些要求可是我們的這個疫苗儲置費從107年的這個100元到現在一直都沒有做一個調整那當然就是說從日本跟韓國我們去做一個比較日本他做這個儲置費可能800到1000那韓國的話可能依年齡不同就有\n不一樣的這個疫苗處置費可能400到500或800到1000不等所以我想請教就是說部長針對這個疫苗的處置費因為確實你們又要拜託基層診所基層醫療來做這樣的一個工作那這個疫苗的覆蓋率應該也是要由基層的這些醫師來服務所以我是認為就是說這個疫苗處置費你們是不是也要做一個調整\n好 謝謝委員 首先感謝委員在應該是第九屆的時候我們努力在委員您的努力 跟大家的努力支持之下我們好不容易把這個疫苗處置費微薄的一百塊當時的利潤就是說其實我們一個小孩子進來不是說我們要來就來\n這個評估主要是醫生要負責任的這個專業要不要加一些來處置費一個而且那個還有冰箱啦,這些都要自己處理要怎麼廢棄也是要自己處理所以基本上我覺得真的是基層醫師願意來打這個針\n真的是令人敬佩,而且感謝啦,我們可以去小學看,要打這個針齁,兩個護理人員齁,給他夾住了啦,那如果沒有更加措用的護理人員,小孩子後面還踢你兩腳這樣子。好,所以部長你覺得這個這麼辛苦的工作,是不是也該做一個調整了?\n我想我們在疫苗基金,這個是疫苗基金出的嘛所以現在每年大概都有5.3億到9.3億的處置費啦你要拿完,我們就要在疫苗基金來處理嘛這個我也請石耀署一直在研議啦,不曉得副市長有沒有說現在研議的狀況\n好那跟委員報告我們目前的那個疫苗的一個採購的費用跟疫苗的一個處置的費用或是疫苗接種相關的費用都是從疫苗基金裡面做支出啦那就以今年的預算來看我們今年的預算的一個編列大概是將近83億可是呢我們今年的一個基金的收入大概就是只有75億\n也就是說我們目前的支出比收入要稍微短一點點那可是當然我們疫苗基金有一點剩餘啦所以目前還夠那可是如果說我們要新增加疫苗或是說要多增加疫苗儲值費的話恐怕這個疫苗基金就不夠不過就像剛剛部長講的或是委員講的\n我們非常感謝基層醫療院所的醫護人員協助我們來做疫苗接種的一個工作也因為他們的一個協助才讓我們目前的一個疫苗的接種率大概都有95%以上\n我希望說這個部長跟副署長應該要講就是說基層醫療醫師他們願意在基層這樣子一個服務可是你們也不能讓他們長期以來就是一直做功德所以我覺得應該要有一個合理的應該做一個合理的調整\n是是是謝謝委員對疫苗處置費的一個關心那我們這個部分我們會參考就像高委員講的日本或韓國或是其他國家的一個疫苗處置費的一個標準那我們也會看看國內的一個相關的一些研究事實上我們目前已經在做一些相關的一些研議了\n我們可能也會參考健保的支付的標準就是對一般診察費的標準然後在整個綜合的物價指數還有一些人事的成本或是一些設備的成本那當然疫苗跟一般的臨床處置有一點點\n疫苗接種跟一般的臨床處置有一點點不一樣就是說他除了要去做健康評估以外呢他還必須要針對這些疫苗要做一些良善的一些管理尤其是冷運冷藏的管理這樣子的話可能就會這樣對疫苗的一個安全性或是有效性才能夠有保障所以我們會去考量這幾個因素然後呢來去\n來調整如果有需要的話就是調整疫苗的一個處置費用不過有一個進度你要給我一個進度吧不然這樣子從一百零幾年到現在我們一直有在跟部長這邊還有在跟行政院那邊來做一些討論那希望能夠在預算的一個來源能夠確保的情況之下能夠提升這樣子部長是不是做一下\n我想這個也是我心中一直覺得等於是我當立委當了8年然後一直努力在爭取這一塊到現在我也覺得是很需要的啦但是因為疫苗基金真的有限所以我們應該來爭取另外的\n挹注的預算來給這些打疫苗的醫療團隊一個合理的回饋我覺得這是一個尊重專業跟保護兒童很重要的一件事情非常感謝委員一直棄有不捨在處理這件事情我們當然是絕對不會中斷的\n跟部長講就是說今天我們大家都非常關心我們的兒童醫療那其實在最基層的這一群人真的默默在協助政府做這樣的一個工作所以我覺得說應該也要讓他們有一個合理的報酬而不是他們覺得就剛剛那個趙薇講的這個保存的不好或者是這個疫苗可能壞掉還是怎樣還要賠還要賠\n還要罰對啊所以我覺得說應該要給他們有一個合理的報酬那我也希望說部長應該在近期內應該近期內趕快將這個這個疫苗的處置費趕快做一個定案我跟委員報告一下我們這個一定努力去做我想應該做的是合理的事\n一定去做那另外還請所有的醫界同仁也要了解到我們也會利用各種可能的財源來提高給付然後增加那個大家的一個一個讓整個待遇就好像剛剛蘇昭也提的如果甚至我們都目標提高所有醫事人員的待遇就是你看我們一個醫院的其實所有的醫院的院長幾乎都是有共同的理念那政府絕對\n不會置身以外,一定盡量爭取更多的機會給醫療院所但是希望這些資源是分到真的落實到我們所有醫事人員的薪資及待遇這樣子這個就是努力的方向好謝謝,再麻煩部長你寫一個提案,把它提到500號\n跟委員報告一下 因為剛剛林淑芬委員有說有問到那個國光流感疫苗的一個採購的數字那目前去年的一個國光疫苗大概採購的數字大概在我們所有700萬劑的50%左右大概就是300多萬劑\n我剛剛有一些恐怖在講成500多萬劑那在這邊做一個修正大概是50%左右大概300多萬劑那再跟委員做一些修正 謝謝謝謝黃委員 謝謝部長\n","vtt":"WEBVTT\n\n00:00.189 --> 00:10.235\n我剛剛有特別提到就是說20歲以下總人口數佔我們總人口數的18%可是他的我們健保的總額就只有佔8%而已就是說兒科的預算\n\n00:16.838 --> 00:31.083\n是不是可以請衛福部可以朝這樣的一個方向去考慮就是說未來我們的這個醫療給付或者醫療的部分是不是可以匡列一個固定的足夠的預算下來\n\n00:32.473 --> 00:58.526\n是的,如果以健保這個部分來講,當然就是大家一起談嘛那所以曾經的確也提過兒科小總的這種概念但是這個有,因為這是醫院自己,等於是大家自己討論,在這個部分好像還沒有得到共識但是我們也不能因為沒有得到共識,就不去重視兒童醫療的一個發展\n\n00:59.867 --> 01:23.484\n我們未來現在健保署也成立了一個將以不同工不同酬為原則來優先調整集中症還有螺製醫療人力螺製跟留任困難的譬如說兒科這個部分我們在幾乎上一定讓他有在不同工不同酬的情況之下先給他們挹注\n\n01:25.005 --> 01:52.724\n那如果譬如說六歲以下的六歲以下這個其實都有這個部分是不是也要依照年齡來做一個調整這個都一直有在調整我想我跟那個蘇委員以前過去在醫師公會在談兒科方面的加成的部分我們都是十分支持的所以當然因為各科在談嘛所以大家有不同的意見但是基本上我們會請\n\n01:54.805 --> 02:13.020\n也會說服所有的科別給兒科最大的一個增長的空間像上一次有一次調得好像不夠兒科醫學不夠滿意我們過一陣子也把它都補過來真的我們心都在這個兒童怎麼照顧那我們也珍惜兒童醫療的人員\n\n02:15.102 --> 02:28.849\n接下來我想請教我記得在我第一屆當立委的時候就針對這個疫苗的處置費做一個爭取所以在107年的時候我們的疫苗處置費就是這邊就是100元的處置費\n\n02:31.690 --> 02:58.602\n那當然這個整個這幾年當中其實整個物價上漲那我也希望就是說衛福部針對這部分能夠去做一個調整我剛剛特別提到就是說其實一個兒科醫師要診斷這個兒童的這個疾病其實要花蠻多時間的那尤其是我們的這個疫苗的這個疫苗要打疫苗其實你們又要求可能他的這個保存的方式\n\n02:59.942 --> 03:21.030\n或者是物流的整個方式或者人力你們都有一些要求可是我們的這個疫苗儲置費從107年的這個100元到現在一直都沒有做一個調整那當然就是說從日本跟韓國我們去做一個比較日本他做這個儲置費可能800到1000那韓國的話可能依年齡不同就有\n\n03:21.770 --> 03:50.052\n不一樣的這個疫苗處置費可能400到500或800到1000不等所以我想請教就是說部長針對這個疫苗的處置費因為確實你們又要拜託基層診所基層醫療來做這樣的一個工作那這個疫苗的覆蓋率應該也是要由基層的這些醫師來服務所以我是認為就是說這個疫苗處置費你們是不是也要做一個調整\n\n03:51.343 --> 04:16.355\n好謝謝委員首先感謝委員在應該是第九屆的時候我們努力在委員您的努力跟大家的努力支持之下我們好不容易把這個疫苗處置費微薄的一百塊當時的利潤就是說其實我們一個小孩子進來不是說我們要來就來\n\n04:19.656 --> 04:29.640\n這個評估主要是醫生要負責任的這個專業要不要加一些來處置費一個而且那個還有冰箱啦,這些都要自己處理要怎麼廢棄也是要自己處理所以基本上我覺得真的是基層醫師願意來打這個針\n\n04:49.008 --> 04:58.158\n真的是令人敬佩,而且感謝啦,我們可以去小學看,要打這個針齁,兩個護理人員齁,給他夾住了啦,那如果沒有更加措用的護理人員,小孩子後面還踢你兩腳這樣子。好,所以部長你覺得這個這麼辛苦的工作,是不是也該做一個調整了?\n\n05:11.892 --> 05:31.640\n我想我們在疫苗基金,這個是疫苗基金出的嘛所以現在每年大概都有5.3億到9.3億的處置費啦你要拿完,我們就要在疫苗基金來處理嘛這個我也請石耀署一直在研議啦,不曉得副市長有沒有說現在研議的狀況\n\n05:33.029 --> 05:56.141\n好那跟委員報告我們目前的那個疫苗的一個採購的費用跟疫苗的一個處置的費用或是疫苗接種相關的費用都是從疫苗基金裡面做支出啦那就以今年的預算來看我們今年的預算的一個編列大概是將近83億可是呢我們今年的一個基金的收入大概就是只有75億\n\n05:57.162 --> 06:15.438\n也就是說我們目前的支出比收入要稍微短一點點那可是當然我們疫苗基金有一點剩餘啦所以目前還夠那可是如果說我們要新增加疫苗或是說要多增加疫苗儲值費的話恐怕這個疫苗基金就不夠不過就像剛剛部長講的或是委員講的\n\n06:16.018 --> 06:29.422\n我們非常感謝基層醫療院所的醫護人員協助我們來做疫苗接種的一個工作也因為他們的一個協助才讓我們目前的一個疫苗的接種率大概都有95%以上\n\n06:32.583 --> 06:35.427\n我希望說這個部長跟副署長應該要講就是說基層醫療醫師他們願意在基層這樣子一個服務可是你們也不能讓他們長期以來就是一直做功德所以我覺得應該要有一個合理的應該做一個合理的調整\n\n06:49.927 --> 07:07.841\n是是是謝謝委員對疫苗處置費的一個關心那我們這個部分我們會參考就像高委員講的日本或韓國或是其他國家的一個疫苗處置費的一個標準那我們也會看看國內的一個相關的一些研究事實上我們目前已經在做一些相關的一些研議了\n\n07:10.404 --> 07:25.500\n我們可能也會參考健保的支付的標準就是對一般診察費的標準然後在整個綜合的物價指數還有一些人事的成本或是一些設備的成本那當然疫苗跟一般的臨床處置有一點點\n\n07:25.981 --> 07:49.788\n疫苗接種跟一般的臨床處置有一點點不一樣就是說他除了要去做健康評估以外呢他還必須要針對這些疫苗要做一些良善的一些管理尤其是冷運冷藏的管理這樣子的話可能就會這樣對疫苗的一個安全性或是有效性才能夠有保障所以我們會去考量這幾個因素然後呢來去\n\n07:51.729 --> 08:15.951\n來調整如果有需要的話就是調整疫苗的一個處置費用不過有一個進度你要給我一個進度吧不然這樣子從一百零幾年到現在我們一直有在跟部長這邊還有在跟行政院那邊來做一些討論那希望能夠在預算的一個來源能夠確保的情況之下能夠提升這樣子部長是不是做一下\n\n08:17.512 --> 08:34.320\n我想這個也是我心中一直覺得等於是我當立委當了8年然後一直努力在爭取這一塊到現在我也覺得是很需要的啦但是因為疫苗基金真的有限所以我們應該來爭取另外的\n\n08:36.301 --> 08:57.768\n挹注的預算來給這些打疫苗的醫療團隊一個合理的回饋我覺得這是一個尊重專業跟保護兒童很重要的一件事情非常感謝委員一直棄有不捨在處理這件事情我們當然是絕對不會中斷的\n\n08:59.268 --> 09:23.894\n跟部長講就是說今天我們大家都非常關心我們的兒童醫療那其實在最基層的這一群人真的默默在協助政府做這樣的一個工作所以我覺得說應該也要讓他們有一個合理的報酬而不是他們覺得就剛剛那個趙薇講的這個保存的不好或者是這個疫苗可能壞掉還是怎樣還要賠還要賠\n\n09:26.295 --> 09:45.102\n還要罰對啊所以我覺得說應該要給他們有一個合理的報酬那我也希望說部長應該在近期內應該近期內趕快將這個這個疫苗的處置費趕快做一個定案我跟委員報告一下我們這個一定努力去做我想應該做的是合理的事\n\n09:45.822 --> 10:15.011\n一定去做那另外還請所有的醫界同仁也要了解到我們也會利用各種可能的財源來提高給付然後增加那個大家的一個一個讓整個待遇就好像剛剛蘇昭也提的如果甚至我們都目標提高所有醫事人員的待遇就是你看我們一個醫院的其實所有的醫院的院長幾乎都是有共同的理念那政府絕對\n\n10:16.127 --> 10:36.737\n不會置身以外,一定盡量爭取更多的機會給醫療院所但是希望這些資源是分到真的落實到我們所有醫事人員的薪資及待遇這樣子這個就是努力的方向好謝謝,再麻煩部長你寫一個提案,把它提到500號\n\n10:47.021 --> 11:00.346\n跟委員報告一下因為剛剛林淑芬委員有說有問到那個國光流感疫苗的一個採購的數字那目前去年的一個國光疫苗大概採購的數字大概在我們所有700萬劑的50%左右大概就是300多萬劑\n\n11:03.047 --> 11:12.614\n我剛剛有一些恐怖在講成500多萬劑那在這邊做一個修正大概是50%左右大概300多萬劑那再跟委員做一些修正謝謝謝謝黃委員謝謝部長\n\n","segments":[{"start":0.189,"end":10.235,"text":"我剛剛有特別提到就是說20歲以下總人口數佔我們總人口數的18%可是他的我們健保的總額就只有佔8%而已就是說兒科的預算"},{"start":16.838,"end":31.083,"text":"是不是可以請衛福部可以朝這樣的一個方向去考慮就是說未來我們的這個醫療給付或者醫療的部分是不是可以匡列一個固定的足夠的預算下來"},{"start":32.473,"end":58.526,"text":"是的,如果以健保這個部分來講,當然就是大家一起談嘛那所以曾經的確也提過兒科小總的這種概念但是這個有,因為這是醫院自己,等於是大家自己討論,在這個部分好像還沒有得到共識但是我們也不能因為沒有得到共識,就不去重視兒童醫療的一個發展"},{"start":59.867,"end":83.484,"text":"我們未來 現在健保署也成立了一個將以不同工不同酬為原則來優先調整集中症還有螺製 醫療人力螺製跟留任困難的 譬如說兒科這個部分我們在幾乎上 一定讓他有在不同工不同酬的情況之下 先給他們挹注"},{"start":85.005,"end":112.724,"text":"那如果譬如說六歲以下的六歲以下這個其實都有這個部分是不是也要依照年齡來做一個調整這個都一直有在調整我想我跟那個蘇委員以前過去在醫師公會在談兒科方面的加成的部分我們都是十分支持的所以當然因為各科在談嘛所以大家有不同的意見但是基本上我們會請"},{"start":114.805,"end":133.02,"text":"也會說服所有的科別給兒科最大的一個增長的空間像上一次有一次調得好像不夠兒科醫學不夠滿意我們過一陣子也把它都補過來真的我們心都在這個兒童怎麼照顧那我們也珍惜兒童醫療的人員"},{"start":135.102,"end":148.849,"text":"接下來我想請教我記得在我第一屆當立委的時候就針對這個疫苗的處置費做一個爭取所以在107年的時候我們的疫苗處置費就是這邊就是100元的處置費"},{"start":151.69,"end":178.602,"text":"那當然這個整個這幾年當中其實整個物價上漲那我也希望就是說衛福部針對這部分能夠去做一個調整我剛剛特別提到就是說其實一個兒科醫師要診斷這個兒童的這個疾病其實要花蠻多時間的那尤其是我們的這個疫苗的這個疫苗要打疫苗其實你們又要求可能他的這個保存的方式"},{"start":179.942,"end":201.03,"text":"或者是物流的整個方式或者人力你們都有一些要求可是我們的這個疫苗儲置費從107年的這個100元到現在一直都沒有做一個調整那當然就是說從日本跟韓國我們去做一個比較日本他做這個儲置費可能800到1000那韓國的話可能依年齡不同就有"},{"start":201.77,"end":230.052,"text":"不一樣的這個疫苗處置費可能400到500或800到1000不等所以我想請教就是說部長針對這個疫苗的處置費因為確實你們又要拜託基層診所基層醫療來做這樣的一個工作那這個疫苗的覆蓋率應該也是要由基層的這些醫師來服務所以我是認為就是說這個疫苗處置費你們是不是也要做一個調整"},{"start":231.343,"end":256.355,"text":"好 謝謝委員 首先感謝委員在應該是第九屆的時候我們努力在委員您的努力 跟大家的努力支持之下我們好不容易把這個疫苗處置費微薄的一百塊當時的利潤就是說其實我們一個小孩子進來不是說我們要來就來"},{"start":259.656,"end":269.64,"text":"這個評估主要是醫生要負責任的這個專業要不要加一些來處置費一個而且那個還有冰箱啦,這些都要自己處理要怎麼廢棄也是要自己處理所以基本上我覺得真的是基層醫師願意來打這個針"},{"start":289.008,"end":298.158,"text":"真的是令人敬佩,而且感謝啦,我們可以去小學看,要打這個針齁,兩個護理人員齁,給他夾住了啦,那如果沒有更加措用的護理人員,小孩子後面還踢你兩腳這樣子。好,所以部長你覺得這個這麼辛苦的工作,是不是也該做一個調整了?"},{"start":311.892,"end":331.64,"text":"我想我們在疫苗基金,這個是疫苗基金出的嘛所以現在每年大概都有5.3億到9.3億的處置費啦你要拿完,我們就要在疫苗基金來處理嘛這個我也請石耀署一直在研議啦,不曉得副市長有沒有說現在研議的狀況"},{"start":333.029,"end":356.141,"text":"好那跟委員報告我們目前的那個疫苗的一個採購的費用跟疫苗的一個處置的費用或是疫苗接種相關的費用都是從疫苗基金裡面做支出啦那就以今年的預算來看我們今年的預算的一個編列大概是將近83億可是呢我們今年的一個基金的收入大概就是只有75億"},{"start":357.162,"end":375.438,"text":"也就是說我們目前的支出比收入要稍微短一點點那可是當然我們疫苗基金有一點剩餘啦所以目前還夠那可是如果說我們要新增加疫苗或是說要多增加疫苗儲值費的話恐怕這個疫苗基金就不夠不過就像剛剛部長講的或是委員講的"},{"start":376.018,"end":389.422,"text":"我們非常感謝基層醫療院所的醫護人員協助我們來做疫苗接種的一個工作也因為他們的一個協助才讓我們目前的一個疫苗的接種率大概都有95%以上"},{"start":392.583,"end":395.427,"text":"我希望說這個部長跟副署長應該要講就是說基層醫療醫師他們願意在基層這樣子一個服務可是你們也不能讓他們長期以來就是一直做功德所以我覺得應該要有一個合理的應該做一個合理的調整"},{"start":409.927,"end":427.841,"text":"是是是謝謝委員對疫苗處置費的一個關心那我們這個部分我們會參考就像高委員講的日本或韓國或是其他國家的一個疫苗處置費的一個標準那我們也會看看國內的一個相關的一些研究事實上我們目前已經在做一些相關的一些研議了"},{"start":430.404,"end":445.5,"text":"我們可能也會參考健保的支付的標準就是對一般診察費的標準然後在整個綜合的物價指數還有一些人事的成本或是一些設備的成本那當然疫苗跟一般的臨床處置有一點點"},{"start":445.981,"end":469.788,"text":"疫苗接種跟一般的臨床處置有一點點不一樣就是說他除了要去做健康評估以外呢他還必須要針對這些疫苗要做一些良善的一些管理尤其是冷運冷藏的管理這樣子的話可能就會這樣對疫苗的一個安全性或是有效性才能夠有保障所以我們會去考量這幾個因素然後呢來去"},{"start":471.729,"end":495.951,"text":"來調整如果有需要的話就是調整疫苗的一個處置費用不過有一個進度你要給我一個進度吧不然這樣子從一百零幾年到現在我們一直有在跟部長這邊還有在跟行政院那邊來做一些討論那希望能夠在預算的一個來源能夠確保的情況之下能夠提升這樣子部長是不是做一下"},{"start":497.512,"end":514.32,"text":"我想這個也是我心中一直覺得等於是我當立委當了8年然後一直努力在爭取這一塊到現在我也覺得是很需要的啦但是因為疫苗基金真的有限所以我們應該來爭取另外的"},{"start":516.301,"end":537.768,"text":"挹注的預算來給這些打疫苗的醫療團隊一個合理的回饋我覺得這是一個尊重專業跟保護兒童很重要的一件事情非常感謝委員一直棄有不捨在處理這件事情我們當然是絕對不會中斷的"},{"start":539.268,"end":563.894,"text":"跟部長講就是說今天我們大家都非常關心我們的兒童醫療那其實在最基層的這一群人真的默默在協助政府做這樣的一個工作所以我覺得說應該也要讓他們有一個合理的報酬而不是他們覺得就剛剛那個趙薇講的這個保存的不好或者是這個疫苗可能壞掉還是怎樣還要賠還要賠"},{"start":566.295,"end":585.102,"text":"還要罰對啊所以我覺得說應該要給他們有一個合理的報酬那我也希望說部長應該在近期內應該近期內趕快將這個這個疫苗的處置費趕快做一個定案我跟委員報告一下我們這個一定努力去做我想應該做的是合理的事"},{"start":585.822,"end":615.011,"text":"一定去做那另外還請所有的醫界同仁也要了解到我們也會利用各種可能的財源來提高給付然後增加那個大家的一個一個讓整個待遇就好像剛剛蘇昭也提的如果甚至我們都目標提高所有醫事人員的待遇就是你看我們一個醫院的其實所有的醫院的院長幾乎都是有共同的理念那政府絕對"},{"start":616.127,"end":636.737,"text":"不會置身以外,一定盡量爭取更多的機會給醫療院所但是希望這些資源是分到真的落實到我們所有醫事人員的薪資及待遇這樣子這個就是努力的方向好謝謝,再麻煩部長你寫一個提案,把它提到500號"},{"start":647.021,"end":660.346,"text":"跟委員報告一下 因為剛剛林淑芬委員有說有問到那個國光流感疫苗的一個採購的數字那目前去年的一個國光疫苗大概採購的數字大概在我們所有700萬劑的50%左右大概就是300多萬劑"},{"start":663.047,"end":672.614,"text":"我剛剛有一些恐怖在講成500多萬劑那在這邊做一個修正大概是50%左右大概300多萬劑那再跟委員做一些修正 謝謝謝謝黃委員 謝謝部長"}]}}},"gazette":{"lineno":853,"blocks":[["黃委員秀芳：（11時42分）謝謝主席，我們請部長。"],["主席：好，有請邱部長。"],["邱部長泰源：委員好。"],["黃委員秀芳：部長好。部長，今天就偏鄉的兒童發展及篩檢的執行狀況做一個檢討。"],["邱部長泰源：是。"],["黃委員秀芳：今天我想針對的是兒童醫療的部分，其實20歲以下的人口占總人口數的18%，但是我們的健保資源只占健保總額的8%而已。前陣子有很多基層兒科醫師都一再反映，無論是在醫學中心或是在一些醫院，其實都可以發現兒科醫師真的越來越少、願意投入兒科的醫師也越來越少，因此許多兒科醫師或兒科醫學會一直希望，在兒科醫療的部分是不是能夠匡列固定的足夠預算？剛剛我聽到蘇清泉召委特別提到或是前面幾位委員也都特別提到，當兒童病患進入醫院或診所的診間，因為小朋友也不太會表達，可能就只會哭，醫師就只能依據本身的診斷、猜測及家長描述，確定孩子生了什麼病或是需要什麼樣的治療。因此，我們希望兒科的部分、兒童醫療的部分是不是可以匡列一個固定的預算，是不是請部長先做一個回答？"],["邱部長泰源：匡列疫苗處置費？"],["黃委員秀芳：不是，先醫療，譬如固定一筆預算，針對兒童醫療的部分，不然我們看到兒童醫療的預算一直都受到排擠。"],["邱部長泰源：謝謝委員關心兒童醫療的發展，我想這個部分在醫界或政府方面都是共同攜手努力，譬如健保在這幾年當中也挹注了二十幾億用於兒科的專科養成。我先講一下，兒科真的是很辛苦，現在也算是大家比較不想走的科……"],["黃委員秀芳：是啊！不想投入的一個科別。"],["邱部長泰源：對國家而言，這是一個必須要很重視的問題。"],["黃委員秀芳：部長，你要知道，在少子化的狀況下，我們對於兒童醫療、兒童健康不能忽視，如果兒科醫師一直減少的話，其實並不是我們所樂見的事情。因此，我認為兒科醫療的預算是不是應該匡列一定的預算下來，不然，到最後兒科醫療的預算都會受到排擠。剛剛我也特別提出20歲以下人口占我們總人口數的18%，但是在健保總額中就只占了8%而已，針對兒科醫療的預算是不是可以請衛福部朝這個方向考慮，未來的醫療給付或醫療的部分是不是可以匡列一個固定的足夠預算下來？"],["邱部長泰源：如果以健保這個部分來講，當然就是大家一起談嘛！的確也曾經提過兒科小總額的概念，但是這個等於是醫院大家自己討論，在這個部分好像還沒有得到共識，不過我們也不能因為沒有得到共識就不重視兒童醫療的發展。現在健保署也將以不同工不同酬為原則，優先調整急重症及醫療人力留任困難的部分，譬如兒科，我們一定會在不同工不同酬的基礎之下，先行挹注對於他們的給付。"],["黃委員秀芳：譬如6歲以下的部分，是不是也要依照年齡進行調整？"],["邱部長泰源：有，這個一直都有在調整。我與蘇委員過去在醫師公會談過兒科加成的部分，我們都是十分的支持。"],["黃委員秀芳：是。"],["邱部長泰源：因為是各科在談，大家都有不同的意見，基本上，我們也會說服所有的科別，給予兒科最大的增長空間。"],["黃委員秀芳：是。"],["邱部長泰源：譬如有一次調了之後，兒科醫學會好像不夠滿意，過一陣子我們也把它都補過來了。真的，我們的心都放在如何照顧兒童、我們也珍惜兒童醫療人員。"],["黃委員秀芳：我記得在我第一屆擔任立委時就針對疫苗處置費提出爭取，後來從107年開始，疫苗處置費用就是100元。"],["邱部長泰源：是。"],["黃委員秀芳：隨著時空背景的變化，這幾年整個物價上漲，我們也希望衛福部能針對這個部分做出調整。剛剛我也特別提到，兒科醫師診斷兒童疾病其實要花滿多的時間，更何況還要施打疫苗，針對保存的方式、物流的方式或人力，你們也都有一些要求，但是疫苗處置費從107年的100元到現在一直都沒有調整。我們就以日本、韓國來做一個比較，日本的處置費可能是800元到1,000元、韓國可能是依照年齡不同而有不一樣的疫苗處置費，可能是400元到500元或800元到1,000元不等。部長，你們既要拜託基層醫療診所做這樣的工作，而且疫苗覆蓋率應該也是由這些基層醫師負責執行，因此，我認為你們是不是也應該針對疫苗處置費做一個調整？"],["邱部長泰源：好，謝謝委員。首先要感謝委員，應該是第9屆的時候，在委員及大家的努力支持之下，好不容易有了疫苗處置費，雖然只有微薄的100元。當時的立論主要是認為，小孩子踏進診所並不是直接就可以注射疫苗，醫師還必須先進行評估，否則，發生什麼狀況是要醫生負責的。"],["黃委員秀芳：是啊！"],["邱部長泰源：這個專業難道不值得拿到一些處置費嗎？況且保存疫苗還需要冰箱等等設備，這些都是要自己處理，如果疫苗壞掉了也是要……"],["黃委員秀芳：要自己賠啊！"],["邱部長泰源：基本上，我覺得基層醫師願意打這個針，真的是令人敬佩及感謝！我們可以去小兒科看看，打這個針需要2位護理人員將小孩抓住，如果護理人員不夠粗勇，可能還會被小孩踢你兩腳。"],["黃委員秀芳：部長，對於這麼辛苦的工作，你覺得是不是也該做一個調整呢？"],["邱部長泰源：這是由疫苗基金支付的費用，現在每年大概都有5.3億到9.3億的處置費，如果想提高就要從疫苗基金去處理，關於這個部分，我也要求食藥署進行研議，現在就請副署長說明目前研議的狀況。"],["曾副署長淑慧：報告委員，目前疫苗採購的費用、疫苗處置的費用或疫苗接種的相關費用都是從疫苗基金支出，我們就以今年的預算來看，今年的預算編列大概是將近83億，但是今年基金的收入大概只有75億，也就是說，我們目前的支出比收入要稍微短一點點，當然我們的疫苗基金有一點剩餘，所以目前還夠。如果我們要新增疫苗或調漲疫苗處置費，恐怕這個疫苗基金就會不夠。不過，就像剛剛部長講的或是委員講的，我們非常感謝基層醫療診所的醫護人員，協助我們做疫苗接種的工作，也因為有他們的協助，才讓我們目前的疫苗接種率都能達到95%以上……"],["黃委員秀芳：部長、副署長，基層醫療醫師願意在基層做這樣的服務，但是你們也不能讓他們長期以來一直都在做功德，因此，我認為應該要做一個合理的調整。"],["曾副署長淑慧：是，謝謝委員對疫苗處置費的關心，針對這個部分，我們會參考剛剛委員所講的日本、韓國或其他國家疫苗處置費的標準，同時也會看看國內的一些相關研究。事實上，目前我們已經在做一些相關的研議，可能也會參考健保支付的標準，也就是針對一般診察費的標準，再綜合整個物價指數、一些人事的成本或是一些設備的成本。當然疫苗接種與一般的臨床處置有一點點不一樣，它除了要做健康評估之外，還必須針對這些疫苗做一些良善的管理，尤其是冷運冷藏的管理，對於疫苗的安全性或有效性才有保障。因此，我們會考量這幾個因素，如果有需要就會調整疫苗處置費用，不過，有一個……"],["黃委員秀芳：進度呢？你要給我一個進度吧？不然，從107年到現在……"],["曾副署長淑慧：我們一直都與部長及行政院那邊做一些討論，希望在預算來源可以確保的情況下能夠提升。"],["黃委員秀芳：部長，是不是做一下……"],["邱部長泰源：從我擔任立委8年，一直到現在都在努力這一塊，其實我也認為這是很需要的，但是疫苗基金真的有限，所以我們應該要爭取另外的挹注預算，給予這些注射疫苗的醫療人員一個合理的回饋，我認為這是尊重專業及保護兒童很重要的一件事情。真的很感謝委員一直鍥而不捨的關心這件事情，我們也絕對不會中斷努力。"],["黃委員秀芳：部長，今天我們大家都非常關心兒童醫療，在最基層的這群人其實都默默地協助政府做這個工作，因此，我認為也應該讓他們有一個合理的報酬，不然就像剛剛召委所講的，如果保存不好導致疫苗壞掉或怎麼樣，他們還要賠、還要罰！所以我認為應該要給他們一個合理的報酬，也希望部長在近期內盡快針對疫苗處置費做一個定案。"],["邱部長泰源：報告委員，我們一定會努力去做，應該做的事、合理的事就一定去做。另外，也請所有的醫界同仁了解，我們會利用各種可能的財源，提高給付以及增加待遇，誠如剛剛蘇召委提的，我們甚至將目標訂為提高所有醫事人員的待遇。其實所有醫院的院長幾乎都有共同的理念，政府也絕對不會置身於外，一定會盡量爭取更多經費給醫療院所，但是，希望這些資源真的落實在所有醫事人員的薪資及待遇，這個就是努力的方向。"],["黃委員秀芳：好，謝謝，再麻煩部長。"],["邱部長泰源：謝謝。"],["主席（蘇委員清泉）：你就寫一個提案，將它提高500元。"],["黃委員秀芳：好。"],["主席：你可以提案，但我們提案就不行，因為我們提了就會被說太貴、就會被罵啊！"],["邱部長泰源：不好意思！副署長要修正一個數字，剛才她講錯了。"],["曾副署長淑慧：報告委員，剛剛林淑芬委員問到國光疫苗的採購數字，去年國光疫苗採購的數字大概佔所有700萬劑的50%左右，也就是三百多萬劑啦！剛剛我有一些口誤，講成五百多萬劑，在這邊做一個修正，應該是50%左右，大概是三百多萬劑，在此向委員提出修正，謝謝。"],["邱部長泰源：謝謝。"],["主席：謝謝黃委員、謝謝部長。","接續請王正旭委員質詢。"]],"agenda":{"page_end":370,"meet_id":"委員會-11-3-26-7","speakers":["蘇清泉","陳昭姿","林月琴","葛如鈞","劉建國","王育敏","邱鎮軍","廖偉翔","林淑芬","王正旭","黃秀芳","羅廷瑋","鍾佳濱","陳菁徽","盧縣一","李坤城","陳培瑜","張雅琳","莊瑞雄","楊曜","陳瑩","林楚茵","林德福"],"page_start":287,"meetingDate":["2025-04-23"],"gazette_id":"1144101","agenda_lcidc_ids":["1144101_00005"],"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7次全體委員會議紀錄","content":"邀請衛生福利部部長、財政部次長就「國家社會福利政策財源檢討及偏鄉兒童發展篩檢執行情\n形」進行專題報告，並備質詢","agenda_id":"1144101_00004"}}}