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{\"word\": \"導\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}], \"language\": \"zh\"}","srt":"1\n00:00:05,980 --> 00:00:06,381\n謝謝主席我們請部長\n\n2\n00:00:13,100 --> 00:00:36,856\n委員好部長我想請教因為今天非常大的一個新聞就是衛福部在推動醫療服務國際化轉型推動計畫那從2022年開始到現在我不知道說到底成效是怎樣那我們看到今天的這一則新聞我一看到之後我就覺得非常的訝異就是說這個\n\n3\n00:00:41,617 --> 00:01:06,308\n這個魔法牙醫診所從這個2022年到2023年短短6個月就申請600多件就是這個從國外的民眾然後到台灣來就醫那後面發生這個問題是移民署這邊這個發現的啦那我想請教就是說衛福部這一邊針對這個計畫\n\n4\n00:01:10,290 --> 00:01:30,144\n從一開始到現在到底有幾個這個醫療就是醫療院所有申請再來說你們衛福部自己本身有發現這樣的一個問題到底是有幾家或者是你們完全都沒有發現然後是內政部移民署發現說這個從國外進來從中國進來的這個要來就醫的人這麼多而且這麼密集\n\n5\n00:01:35,848 --> 00:01:55,455\n然後才自己移民署自己調查那你們完全都不知道嗎好雖然的關心那個本來這個是一個好意啦一個人道的一個主義嘛能夠必須要來台灣這麼優秀的醫療\n\n6\n00:01:58,024 --> 00:02:18,709\n如果能夠幫助當然也是因為這樣子所以有開放原來是衛福部在主政後來在111年剛剛你也提到就委託其實是私協來做可是你們不需要管理嗎我們提供當然要管理然後那邊是提供一個\n\n7\n00:02:20,438 --> 00:02:35,871\n原則給移民署那邊應該去核定去核定是同意不同意那個應該不是MET是那個移民署合併所以移民署那邊會有統計表那他在5月的時候統計出來發現這個診所這個\n\n8\n00:02:39,645 --> 00:03:00,038\n牙醫診所自2022年12月到5月短短的6個月就申請了600多件所以在移民署的管理小組覺得有異就戳查所以當時有沒有通知你們在他們發現有異常的時候有沒有通知你們\n\n9\n00:03:01,060 --> 00:03:28,635\n所以你們那時候是做什麼樣的處置我們5月17號就馬上暫停該診所的資格所以5月是2023年的5月2023年的5月一發現就停止他們在申請國外的資格到現在都沒有恢復那我想請教除了這一家魔法牙醫診所之外那還有其他的醫療院所有類似這樣的一個狀況嗎\n\n10\n00:03:31,175 --> 00:03:59,803\n那當然以現況來講是非常足按去好好的審查我只想要問一下就是說除了這一家那還有沒有其他家有類似這樣的一個狀況嗯有沒有部長另外有一家移民署也提出有一家也有去處理嘛所以你們都是被動的被動被告知的是不是這樣子\n\n11\n00:04:01,314 --> 00:04:27,330\n因為申請是向移民署申請,我們給他一個規範啦就是醫療上的規範是提供給移民署去審查那現在是主案審查所以你們也是被告知被移民署告知你們,你們才知道有這樣的一個事情你們也不會自己主動去查應該是移民署收集\n\n12\n00:04:29,025 --> 00:04:55,150\n申請請醫事室回答跟委員報告目前就是衛福部裡面這邊只是說醫療機構有沒有資格可以去幫就是國外的民眾申請醫療簽證那醫療簽證可可就是說我們通過醫療機構可以幫他申請這樣的醫療簽證以後他們接下來的動作就是如果說有國際的病人需求的時候他們會在移民署的網站去登錄\n\n13\n00:04:57,070 --> 00:05:24,498\n說哪個病人要來需要醫療簽證然後他什麼時候會到大概什麼時候期間那所以說如果說移民署發現說這個可能有一點異常的數字的時候他到時候就會通知衛福部這邊可能去共同聯合去會勘跟那個瞭解好那我要問部長除了這一家魔法牙醫診所之外那移民署這邊還有沒有告知你們還有其他的醫療院所有類似的這樣一個狀況\n\n14\n00:05:26,313 --> 00:05:40,391\n這幾年當中就是針對異常的部分大概是有一家是醫院有一家是另外一家診所所以到目前為止就只有三家有有類似的這樣有異常有類似這樣的一個狀況其他都還好\n\n15\n00:05:41,272 --> 00:06:00,533\n是確定是這樣子嗎我們目前醫療可以做醫療簽證的只有規定是28類的疾病才可以幫那個醫療機構可以幫病人簽那個醫療簽證所以目前就是已在這28個可是我們看到這個魔法牙醫診所他只是純粹牙齒的洗牙或者是美白這個也\n\n16\n00:06:01,974 --> 00:06:26,395\n跟委員報告不好意思就是說當初我們這28類裡面其中因為這個案件我們就是會同那個口腔師跟營醫師有重新修正這個類別更嚴謹的疾病類別裡面把它寫得更清楚所以我重新來公告這一項的牙科關於口腔的疾病別是屬於更急性而且是比較嚴重的程度之下的他才可以做這樣的醫療簽證\n\n17\n00:06:28,076 --> 00:06:51,011\n我今天看到這則新聞我真的是嚇一跳就是說當然是剛剛部長講的就是說這個台灣的這個醫療服務品質應該在國際上應該是數一數二的大家公認是非常好的那如果說我們在推動這個醫療服務國際化轉型推動計畫如果會有這樣的一個疑慮或者是會有國安上的問題\n\n18\n00:06:53,012 --> 00:07:14,721\n真的我看到這個就是說短短時間來了這個六七百人那這六七百人在這個診所上面也完全沒有病例或者病例完全是空白那怎麼可能會讓他有這樣的一個機會然後未來還讓他有這個機會再引進其他或是再繼續做這樣的一個服務所以我\n\n19\n00:07:16,601 --> 00:07:37,555\n這邊我是希望就是說衛福部針對這一部分未來你們要怎麼去預防或者是你們要怎麼去管理而不是這個變得完全你根本不知道他到底有沒有來做醫療好完全不知道然後病例也沒有對啊那你們怎麼可以忍受這樣子的一個你們原本是一個好意然後後來是變質的\n\n20\n00:07:39,690 --> 00:08:01,038\n跟委員報告就是我們每年都會不定期會同那個移民署還有那個陸委會共同去跟衛福部共同聯合一個稽查的機制去不定期去抽目前大概有一百二十九家的會員機構所以我們這個有從事這個計畫的我們會不定期的去做聯合的稽查\n\n21\n00:08:01,997 --> 00:08:15,795\n去抽查從此抽查病例跟現場去了解說他當初這樣的你們是現在才開始在已經在這個至少已經執行了五六年了執行五六年那是最近才有這樣子的一個狀況出現嗎\n\n22\n00:08:16,977 --> 00:08:34,346\n因為這個案子其實因為移民署他那邊現在都是用資訊化去做他只要是數字異常的他就會跳出來做警示所以這部分的話我們就更特別去我希望就是說這個不要變成一個國安的一個漏洞真的真的部長\n\n23\n00:08:35,306 --> 00:08:52,435\n是不是未來這個部分你們要怎麼去做管理雖然是一兩間診所但是我們認為非常嚴重絕對不允許有這樣情況我想我們除了希望依法原辦以外當然我們一定加緊把所有的整個流程\n\n24\n00:08:53,223 --> 00:09:17,746\n在做最緊密主動而不是被動的告知主動的去...我是認為你們應該自己也要做一個全面的清查有一個聯合小組那我覺得這個應該要發揮更多的對如果說你們這樣子一個機制已經做了五六年然後你們自己本身沒有發現然後還要靠移民署通知你們的話我認為你們應該要做一個全面的清查\n\n25\n00:09:19,423 --> 00:09:33,000\n這個我想我也非常重視這個所以那個一定嚴格來執行他每一個環節讓他真的有需要的人得到照顧照顧以後\n\n26\n00:09:34,702 --> 00:09:48,690\n就回去這個一個一個都要盯得很緊這樣子而且不同區域有內造的事實這個我想都要嚴格辦理所以我希望真的部長你今天講的真的說到要做到\n\n27\n00:09:50,812 --> 00:10:13,126\n我們是完全不能忍受你竟然來然後你是沒有從事醫療沒有什麼醫療的行為然後這個診所完全也都沒有病例或者是這個病例捏造整個文書記錄全部都捏造那你怎麼可以接受這樣的診所繼續做這樣的事情或者是醫院甚至是醫院我都覺得很壓抑\n\n28\n00:10:13,706 --> 00:10:39,022\n不管是整所醫院我們一定取消他的資格而且是知名的醫院你可以忍受這樣子嗎不能忍受可以提供服務的醫院很多如果有違規的我們一定嚴格辦理所以我覺得你應該是全面要趕快去做一個清查不要再有這樣的事情發生我們一定\n\n29\n00:10:40,943 --> 00:11:02,404\n人家檢討去把他鎖這個罪行好另外這個再給我兩分鐘的時間我問一下就是說我們一直在推動這個健康台灣那台灣的目前三高變成是國人死亡的非常重要的一個這個原因那在這個\n\n30\n00:11:04,465 --> 00:11:19,250\n這個我們整個死亡人數差不多有三成都因為山高的這個原因那我想請教部長就是未來我們衛福部針對這個高血壓高血糖高血脂這樣山高那你防治的目標是什麼那\n\n31\n00:11:20,590 --> 00:11:40,681\n有什麼樣的方式可以降低這樣的一個三高的發生那另外就是說我們在推動這個健康存摺我發現一般民眾在使用這個健康存摺可能也可能也很少人在使用這個那是不是有可能跟這個外送平台因為\n\n32\n00:11:41,361 --> 00:11:57,653\n國人外食的這個機會真的非常的多那有沒有可能也跟這個外送平台做一個結合就是說你透過外送平台然後你在點餐的時候你在最近這幾天你使用的這個高油高糖\n\n33\n00:12:02,776 --> 00:12:25,062\n這樣的類似這樣的一個食物使用了幾次那會影響健康我覺得是不是請部長你可以講一下未來怎樣去降低這個這個三高的這個部分那未來我們怎麼樣透過我們的AI的方式然後讓民眾可以更加的知道自己目前的這個健康狀況\n\n34\n00:12:26,462 --> 00:12:46,331\n謝謝委員這是非常重要的一件事情其實牽涉的蠻廣的我們第一個當然怎麼樣讓他生活習慣好一點這是第一個階段這個部分其實在我們的健康存摺裡面就有相關的一個指導那當然等一下可以由健保署來講健康存摺使用的人有多少\n\n35\n00:12:52,547 --> 00:13:11,178\n用過的人非常多但是是不是大家都熟悉去使用習慣去使用那當然又是另外一個問題第二個就是說我們在三高剛剛您提到三高是嚴重的問題所以我們譬如說我們在成人健檢部分我們就把降了10歲\n\n36\n00:13:12,159 --> 00:13:32,124\n所以是健康台灣非常重要的一點,因為常常到三十幾歲其實就開始有一些其實是可逆性的一些症狀那只要生活習慣改變,他的調整好,睡覺睡好一點,運動好一點,他的紅字就變成\n\n37\n00:13:33,064 --> 00:13:57,281\n黑字的啦所以真的很感謝委員關心這一點那這個部分我們在健康台灣的確也增加了很多經會在做這個部分發現了更早發現了這些問題來處理那至於說還有另外就是怎麼樣把所有檢查出來的data數據能夠匯集這也是未來這也是行政院在大概一個禮拜\n\n38\n00:13:58,061 --> 00:14:25,075\n一兩個禮拜前在宴會裡面特別討論這個議題那我們希望各部門尤其是勞動部他有很多的勞工健檢的部分能夠我們有一個平台把它通通匯集起來那這樣就會來整個來瞭解來共同來推動它避免三高那至於說跟外送平台這個部分如果我們這個平台成熟以後我們當然也願意來瞭解來配合來大家增強這個照顧的實力這樣好\n\n39\n00:14:27,856 --> 00:14:55,947\n好,我們希望就是說,在那個部長這邊,真的努力來推動健康台灣然後將我們國人的這個三高的這個部分能夠降低,減少這個死亡率啦好不好?謝謝委員的關心,我也呼籲國人多使用我們現在健康春籌的一個,應該會有很大的幫助這樣子用呼籲的就不好啊,輸用的人就是少啊,對不對?我們呼籲兩個人,有一個人有安全\n\n40\n00:14:58,456 --> 00:15:20,083\n但是可能有上去,我不曉得施昭有沒有去看過自己的健康存摺所以今天我發現這陣子用覺得還蠻好用的所以請國人用,這個是我們發揮很多精神建造出來的我們希望更多的資料進來的話\n\n41\n00:15:24,485 --> 00:15:29,276\n更多可以幫忙促進健康的事情好謝謝委員的指導謝謝\n\n","tsv":"start\tend\ttext\n5980\t6381\t謝謝主席 我們請部長\n13100\t36856\t委員好部長我想請教因為今天非常大的一個新聞就是衛福部在推動醫療服務國際化轉型推動計畫那從2022年開始到現在我不知道說到底成效是怎樣那我們看到今天的這一則新聞我一看到之後我就覺得非常的訝異就是說這個\n41617\t66308\t這個魔法牙醫診所從這個2022年到2023年短短6個月就申請600多件就是這個從國外的民眾然後到台灣來就醫那後面發生這個問題是移民署這邊這個發現的啦那我想請教就是說衛福部這一邊針對這個計畫\n70290\t90144\t從一開始到現在到底有幾個這個醫療就是醫療院所有申請再來說你們衛福部自己本身有發現這樣的一個問題到底是有幾家或者是你們完全都沒有發現然後是內政部移民署發現說這個從國外進來從中國進來的這個要來就醫的人這麼多而且這麼密集\n95848\t115455\t然後才自己 移民署自己調查那你們完全都不知道嗎好 雖然的關心那個本來這個是一個好意啦 一個人道的一個主義嘛能夠必須要來台灣這麼優秀的醫療\n118024\t138709\t如果能夠幫助當然也是因為這樣子所以有開放原來是衛福部在主政後來在111年剛剛你也提到就委託其實是私協來做可是你們不需要管理嗎我們提供當然要管理然後那邊是提供一個\n140438\t155871\t原則給移民署那邊應該去核定去核定是同意不同意那個應該不是MET是那個移民署合併所以移民署那邊會有統計表那他在5月的時候統計出來發現這個診所這個\n159645\t180038\t牙醫診所自2022年12月到5月短短的6個月就申請了600多件所以在移民署的管理小組覺得有異就戳查所以當時有沒有通知你們在他們發現有異常的時候有沒有通知你們\n181060\t208635\t所以你們那時候是做什麼樣的處置我們5月17號就馬上暫停該診所的資格所以5月是2023年的5月2023年的5月一發現就停止他們在申請國外的資格到現在都沒有恢復那我想請教除了這一家魔法牙醫診所之外那還有其他的醫療院所有類似這樣的一個狀況嗎\n211175\t239803\t那當然以現況來講是非常足按去好好的審查我只想要問一下就是說除了這一家那還有沒有其他家有類似這樣的一個狀況嗯 有沒有部長 另外有一家移民署也提出有一家 也有去處理嘛所以你們都是被動的被動被告知的是不是這樣子\n241314\t267330\t因為申請是向移民署申請,我們給他一個規範啦就是醫療上的規範是提供給移民署去審查那現在是主案審查所以你們也是被告知被移民署告知你們,你們才知道有這樣的一個事情你們也不會自己主動去查應該是移民署收集\n269025\t295150\t申請 請醫事室回答跟委員報告目前就是衛福部裡面這邊只是說醫療機構有沒有資格可以去幫就是國外的民眾申請醫療簽證那醫療簽證可可就是說我們通過醫療機構可以幫他申請這樣的醫療簽證以後他們接下來的動作就是如果說有國際的病人需求的時候他們會在移民署的網站去登錄\n297070\t324498\t說哪個病人要來需要醫療簽證然後他什麼時候會到大概什麼時候期間那所以說如果說移民署發現說這個可能有一點異常的數字的時候他到時候就會通知衛福部這邊可能去共同聯合去會勘跟那個瞭解好那我要問部長除了這一家魔法牙醫診所之外那移民署這邊還有沒有告知你們還有其他的醫療院所有類似的這樣一個狀況\n326313\t340391\t這幾年當中就是針對異常的部分大概是有一家是醫院有一家是另外一家診所所以到目前為止就只有三家有有類似的這樣有異常有類似這樣的一個狀況其他都還好\n341272\t360533\t是確定是這樣子嗎我們目前醫療可以做醫療簽證的只有規定是28類的疾病才可以幫那個醫療機構可以幫病人簽那個醫療簽證所以目前就是已在這28個可是我們看到這個魔法牙醫診所他只是純粹牙齒的洗牙或者是美白這個也\n361974\t386395\t跟委員報告不好意思就是說當初我們這28類裡面其中因為這個案件我們就是會同那個口腔師跟營醫師有重新修正這個類別更嚴謹的疾病類別裡面把它寫得更清楚所以我重新來公告這一項的牙科關於口腔的疾病別是屬於更急性而且是比較嚴重的程度之下的他才可以做這樣的醫療簽證\n388076\t411011\t我今天看到這則新聞我真的是嚇一跳就是說當然是剛剛部長講的就是說這個台灣的這個醫療服務品質應該在國際上應該是數一數二的大家公認是非常好的那如果說我們在推動這個醫療服務國際化轉型推動計畫如果會有這樣的一個疑慮或者是會有國安上的問題\n413012\t434721\t真的我看到這個就是說短短時間來了這個六七百人那這六七百人在這個診所上面也完全沒有病例或者病例完全是空白那怎麼可能會讓他有這樣的一個機會然後未來還讓他有這個機會再引進其他或是再繼續做這樣的一個服務所以我\n436601\t457555\t這邊我是希望就是說衛福部針對這一部分未來你們要怎麼去預防或者是你們要怎麼去管理而不是這個變得完全你根本不知道他到底有沒有來做醫療好完全不知道然後病例也沒有對啊那你們怎麼可以忍受這樣子的一個你們原本是一個好意然後後來是變質的\n459690\t481038\t跟委員報告就是我們每年都會不定期會同那個移民署還有那個陸委會共同去跟衛福部共同聯合一個稽查的機制去不定期去抽目前大概有一百二十九家的會員機構所以我們這個有從事這個計畫的我們會不定期的去做聯合的稽查\n481997\t495795\t去抽查從此抽查病例跟現場去了解說他當初這樣的你們是現在才開始在已經在這個至少已經執行了五六年了執行五六年那是最近才有這樣子的一個狀況出現嗎\n496977\t514346\t因為這個案子其實因為移民署他那邊現在都是用資訊化去做他只要是數字異常的他就會跳出來做警示所以這部分的話我們就更特別去我希望就是說這個不要變成一個國安的一個漏洞真的真的部長\n515306\t532435\t是不是未來這個部分你們要怎麼去做管理雖然是一兩間診所但是我們認為非常嚴重絕對不允許有這樣情況我想我們除了希望依法原辦以外當然我們一定加緊把所有的整個流程\n533223\t557746\t在做最緊密主動而不是被動的告知主動的去...我是認為你們應該自己也要做一個全面的清查有一個聯合小組那我覺得這個應該要發揮更多的對 如果說你們這樣子一個機制已經做了五六年然後你們自己本身沒有發現然後還要靠移民署通知你們的話我認為你們應該要做一個全面的清查\n559423\t573000\t這個我想我也非常重視這個所以那個一定嚴格來執行他每一個環節讓他真的有需要的人得到照顧照顧以後\n574702\t588690\t就回去 這個一個一個都要盯得很緊這樣子而且不同區域有內造的事實這個我想都要嚴格辦理所以我希望真的部長你今天講的真的說到要做到\n590812\t613126\t我們是完全不能忍受你竟然來然後你是沒有從事醫療沒有什麼醫療的行為然後這個診所完全也都沒有病例或者是這個病例捏造整個文書記錄全部都捏造那你怎麼可以接受這樣的診所繼續做這樣的事情或者是醫院甚至是醫院我都覺得很壓抑\n613706\t639022\t不管是整所醫院我們一定取消他的資格而且是知名的醫院你可以忍受這樣子嗎不能忍受可以提供服務的醫院很多如果有違規的我們一定嚴格辦理所以我覺得你應該是全面要趕快去做一個清查不要再有這樣的事情發生我們一定\n640943\t662404\t人家檢討去把他鎖這個罪行好另外這個再給我兩分鐘的時間我問一下就是說我們一直在推動這個健康台灣那台灣的目前三高變成是國人死亡的非常重要的一個這個原因那在這個\n664465\t679250\t這個我們整個死亡人數差不多有三成都因為山高的這個原因那我想請教部長就是未來我們衛福部針對這個高血壓高血糖高血脂這樣山高那你防治的目標是什麼那\n680590\t700681\t有什麼樣的方式可以降低這樣的一個三高的發生那另外就是說我們在推動這個健康存摺我發現一般民眾在使用這個健康存摺可能也可能也很少人在使用這個那是不是有可能跟這個外送平台因為\n701361\t717653\t國人外食的這個機會真的非常的多那有沒有可能也跟這個外送平台做一個結合就是說你透過外送平台然後你在點餐的時候你在最近這幾天你使用的這個高油高糖\n722776\t745062\t這樣的類似這樣的一個食物使用了幾次那會影響健康我覺得是不是請部長你可以講一下未來怎樣去降低這個這個三高的這個部分那未來我們怎麼樣透過我們的AI的方式然後讓民眾可以更加的知道自己目前的這個健康狀況\n746462\t766331\t謝謝委員這是非常重要的一件事情其實牽涉的蠻廣的我們第一個當然怎麼樣讓他生活習慣好一點這是第一個階段這個部分其實在我們的健康存摺裡面就有相關的一個指導那當然等一下可以由健保署來講健康存摺使用的人有多少\n772547\t791178\t用過的人非常多但是是不是大家都熟悉去使用習慣去使用那當然又是另外一個問題第二個就是說我們在三高剛剛您提到三高是嚴重的問題所以我們譬如說我們在成人健檢部分我們就把降了10歲\n792159\t812124\t所以是健康台灣非常重要的一點,因為常常到三十幾歲其實就開始有一些其實是可逆性的一些症狀那只要生活習慣改變,他的調整好,睡覺睡好一點,運動好一點,他的紅字就變成\n813064\t837281\t黑字的啦 所以真的很感謝委員關心這一點那這個部分我們在健康台灣的確也增加了很多經會在做這個部分 發現了更早發現了這些問題來處理那至於說還有另外就是怎麼樣把所有檢查出來的data數據能夠匯集 這也是未來這也是行政院在大概一個禮拜\n838061\t865075\t一兩個禮拜前在宴會裡面特別討論這個議題那我們希望各部門尤其是勞動部他有很多的勞工健檢的部分能夠我們有一個平台把它通通匯集起來那這樣就會來整個來瞭解來共同來推動它避免三高那至於說跟外送平台這個部分如果我們這個平台成熟以後我們當然也願意來瞭解來配合來大家增強這個照顧的實力這樣好\n867856\t895947\t好,我們希望就是說,在那個部長這邊,真的努力來推動健康台灣然後將我們國人的這個三高的這個部分能夠降低,減少這個死亡率啦好不好?謝謝委員的關心,我也呼籲國人多使用我們現在健康春籌的一個,應該會有很大的幫助這樣子用呼籲的就不好啊,輸用的人就是少啊,對不對?我們呼籲兩個人,有一個人有安全\n898456\t920083\t但是可能有上去,我不曉得施昭有沒有去看過自己的健康存摺所以今天我發現這陣子用覺得還蠻好用的所以請國人用,這個是我們發揮很多精神建造出來的我們希望更多的資料進來的話\n924485\t929276\t更多可以幫忙促進健康的事情好 謝謝委員的指導 謝謝\n","txt":"謝謝主席 我們請部長\n委員好部長我想請教因為今天非常大的一個新聞就是衛福部在推動醫療服務國際化轉型推動計畫那從2022年開始到現在我不知道說到底成效是怎樣那我們看到今天的這一則新聞我一看到之後我就覺得非常的訝異就是說這個\n這個魔法牙醫診所從這個2022年到2023年短短6個月就申請600多件就是這個從國外的民眾然後到台灣來就醫那後面發生這個問題是移民署這邊這個發現的啦那我想請教就是說衛福部這一邊針對這個計畫\n從一開始到現在到底有幾個這個醫療就是醫療院所有申請再來說你們衛福部自己本身有發現這樣的一個問題到底是有幾家或者是你們完全都沒有發現然後是內政部移民署發現說這個從國外進來從中國進來的這個要來就醫的人這麼多而且這麼密集\n然後才自己 移民署自己調查那你們完全都不知道嗎好 雖然的關心那個本來這個是一個好意啦 一個人道的一個主義嘛能夠必須要來台灣這麼優秀的醫療\n如果能夠幫助當然也是因為這樣子所以有開放原來是衛福部在主政後來在111年剛剛你也提到就委託其實是私協來做可是你們不需要管理嗎我們提供當然要管理然後那邊是提供一個\n原則給移民署那邊應該去核定去核定是同意不同意那個應該不是MET是那個移民署合併所以移民署那邊會有統計表那他在5月的時候統計出來發現這個診所這個\n牙醫診所自2022年12月到5月短短的6個月就申請了600多件所以在移民署的管理小組覺得有異就戳查所以當時有沒有通知你們在他們發現有異常的時候有沒有通知你們\n所以你們那時候是做什麼樣的處置我們5月17號就馬上暫停該診所的資格所以5月是2023年的5月2023年的5月一發現就停止他們在申請國外的資格到現在都沒有恢復那我想請教除了這一家魔法牙醫診所之外那還有其他的醫療院所有類似這樣的一個狀況嗎\n那當然以現況來講是非常足按去好好的審查我只想要問一下就是說除了這一家那還有沒有其他家有類似這樣的一個狀況嗯 有沒有部長 另外有一家移民署也提出有一家 也有去處理嘛所以你們都是被動的被動被告知的是不是這樣子\n因為申請是向移民署申請,我們給他一個規範啦就是醫療上的規範是提供給移民署去審查那現在是主案審查所以你們也是被告知被移民署告知你們,你們才知道有這樣的一個事情你們也不會自己主動去查應該是移民署收集\n申請 請醫事室回答跟委員報告目前就是衛福部裡面這邊只是說醫療機構有沒有資格可以去幫就是國外的民眾申請醫療簽證那醫療簽證可可就是說我們通過醫療機構可以幫他申請這樣的醫療簽證以後他們接下來的動作就是如果說有國際的病人需求的時候他們會在移民署的網站去登錄\n說哪個病人要來需要醫療簽證然後他什麼時候會到大概什麼時候期間那所以說如果說移民署發現說這個可能有一點異常的數字的時候他到時候就會通知衛福部這邊可能去共同聯合去會勘跟那個瞭解好那我要問部長除了這一家魔法牙醫診所之外那移民署這邊還有沒有告知你們還有其他的醫療院所有類似的這樣一個狀況\n這幾年當中就是針對異常的部分大概是有一家是醫院有一家是另外一家診所所以到目前為止就只有三家有有類似的這樣有異常有類似這樣的一個狀況其他都還好\n是確定是這樣子嗎我們目前醫療可以做醫療簽證的只有規定是28類的疾病才可以幫那個醫療機構可以幫病人簽那個醫療簽證所以目前就是已在這28個可是我們看到這個魔法牙醫診所他只是純粹牙齒的洗牙或者是美白這個也\n跟委員報告不好意思就是說當初我們這28類裡面其中因為這個案件我們就是會同那個口腔師跟營醫師有重新修正這個類別更嚴謹的疾病類別裡面把它寫得更清楚所以我重新來公告這一項的牙科關於口腔的疾病別是屬於更急性而且是比較嚴重的程度之下的他才可以做這樣的醫療簽證\n我今天看到這則新聞我真的是嚇一跳就是說當然是剛剛部長講的就是說這個台灣的這個醫療服務品質應該在國際上應該是數一數二的大家公認是非常好的那如果說我們在推動這個醫療服務國際化轉型推動計畫如果會有這樣的一個疑慮或者是會有國安上的問題\n真的我看到這個就是說短短時間來了這個六七百人那這六七百人在這個診所上面也完全沒有病例或者病例完全是空白那怎麼可能會讓他有這樣的一個機會然後未來還讓他有這個機會再引進其他或是再繼續做這樣的一個服務所以我\n這邊我是希望就是說衛福部針對這一部分未來你們要怎麼去預防或者是你們要怎麼去管理而不是這個變得完全你根本不知道他到底有沒有來做醫療好完全不知道然後病例也沒有對啊那你們怎麼可以忍受這樣子的一個你們原本是一個好意然後後來是變質的\n跟委員報告就是我們每年都會不定期會同那個移民署還有那個陸委會共同去跟衛福部共同聯合一個稽查的機制去不定期去抽目前大概有一百二十九家的會員機構所以我們這個有從事這個計畫的我們會不定期的去做聯合的稽查\n去抽查從此抽查病例跟現場去了解說他當初這樣的你們是現在才開始在已經在這個至少已經執行了五六年了執行五六年那是最近才有這樣子的一個狀況出現嗎\n因為這個案子其實因為移民署他那邊現在都是用資訊化去做他只要是數字異常的他就會跳出來做警示所以這部分的話我們就更特別去我希望就是說這個不要變成一個國安的一個漏洞真的真的部長\n是不是未來這個部分你們要怎麼去做管理雖然是一兩間診所但是我們認為非常嚴重絕對不允許有這樣情況我想我們除了希望依法原辦以外當然我們一定加緊把所有的整個流程\n在做最緊密主動而不是被動的告知主動的去...我是認為你們應該自己也要做一個全面的清查有一個聯合小組那我覺得這個應該要發揮更多的對 如果說你們這樣子一個機制已經做了五六年然後你們自己本身沒有發現然後還要靠移民署通知你們的話我認為你們應該要做一個全面的清查\n這個我想我也非常重視這個所以那個一定嚴格來執行他每一個環節讓他真的有需要的人得到照顧照顧以後\n就回去 這個一個一個都要盯得很緊這樣子而且不同區域有內造的事實這個我想都要嚴格辦理所以我希望真的部長你今天講的真的說到要做到\n我們是完全不能忍受你竟然來然後你是沒有從事醫療沒有什麼醫療的行為然後這個診所完全也都沒有病例或者是這個病例捏造整個文書記錄全部都捏造那你怎麼可以接受這樣的診所繼續做這樣的事情或者是醫院甚至是醫院我都覺得很壓抑\n不管是整所醫院我們一定取消他的資格而且是知名的醫院你可以忍受這樣子嗎不能忍受可以提供服務的醫院很多如果有違規的我們一定嚴格辦理所以我覺得你應該是全面要趕快去做一個清查不要再有這樣的事情發生我們一定\n人家檢討去把他鎖這個罪行好另外這個再給我兩分鐘的時間我問一下就是說我們一直在推動這個健康台灣那台灣的目前三高變成是國人死亡的非常重要的一個這個原因那在這個\n這個我們整個死亡人數差不多有三成都因為山高的這個原因那我想請教部長就是未來我們衛福部針對這個高血壓高血糖高血脂這樣山高那你防治的目標是什麼那\n有什麼樣的方式可以降低這樣的一個三高的發生那另外就是說我們在推動這個健康存摺我發現一般民眾在使用這個健康存摺可能也可能也很少人在使用這個那是不是有可能跟這個外送平台因為\n國人外食的這個機會真的非常的多那有沒有可能也跟這個外送平台做一個結合就是說你透過外送平台然後你在點餐的時候你在最近這幾天你使用的這個高油高糖\n這樣的類似這樣的一個食物使用了幾次那會影響健康我覺得是不是請部長你可以講一下未來怎樣去降低這個這個三高的這個部分那未來我們怎麼樣透過我們的AI的方式然後讓民眾可以更加的知道自己目前的這個健康狀況\n謝謝委員這是非常重要的一件事情其實牽涉的蠻廣的我們第一個當然怎麼樣讓他生活習慣好一點這是第一個階段這個部分其實在我們的健康存摺裡面就有相關的一個指導那當然等一下可以由健保署來講健康存摺使用的人有多少\n用過的人非常多但是是不是大家都熟悉去使用習慣去使用那當然又是另外一個問題第二個就是說我們在三高剛剛您提到三高是嚴重的問題所以我們譬如說我們在成人健檢部分我們就把降了10歲\n所以是健康台灣非常重要的一點,因為常常到三十幾歲其實就開始有一些其實是可逆性的一些症狀那只要生活習慣改變,他的調整好,睡覺睡好一點,運動好一點,他的紅字就變成\n黑字的啦 所以真的很感謝委員關心這一點那這個部分我們在健康台灣的確也增加了很多經會在做這個部分 發現了更早發現了這些問題來處理那至於說還有另外就是怎麼樣把所有檢查出來的data數據能夠匯集 這也是未來這也是行政院在大概一個禮拜\n一兩個禮拜前在宴會裡面特別討論這個議題那我們希望各部門尤其是勞動部他有很多的勞工健檢的部分能夠我們有一個平台把它通通匯集起來那這樣就會來整個來瞭解來共同來推動它避免三高那至於說跟外送平台這個部分如果我們這個平台成熟以後我們當然也願意來瞭解來配合來大家增強這個照顧的實力這樣好\n好,我們希望就是說,在那個部長這邊,真的努力來推動健康台灣然後將我們國人的這個三高的這個部分能夠降低,減少這個死亡率啦好不好?謝謝委員的關心,我也呼籲國人多使用我們現在健康春籌的一個,應該會有很大的幫助這樣子用呼籲的就不好啊,輸用的人就是少啊,對不對?我們呼籲兩個人,有一個人有安全\n但是可能有上去,我不曉得施昭有沒有去看過自己的健康存摺所以今天我發現這陣子用覺得還蠻好用的所以請國人用,這個是我們發揮很多精神建造出來的我們希望更多的資料進來的話\n更多可以幫忙促進健康的事情好 謝謝委員的指導 謝謝\n","vtt":"WEBVTT\n\n00:05.980 --> 00:06.381\n謝謝主席我們請部長\n\n00:13.100 --> 00:36.856\n委員好部長我想請教因為今天非常大的一個新聞就是衛福部在推動醫療服務國際化轉型推動計畫那從2022年開始到現在我不知道說到底成效是怎樣那我們看到今天的這一則新聞我一看到之後我就覺得非常的訝異就是說這個\n\n00:41.617 --> 01:06.308\n這個魔法牙醫診所從這個2022年到2023年短短6個月就申請600多件就是這個從國外的民眾然後到台灣來就醫那後面發生這個問題是移民署這邊這個發現的啦那我想請教就是說衛福部這一邊針對這個計畫\n\n01:10.290 --> 01:30.144\n從一開始到現在到底有幾個這個醫療就是醫療院所有申請再來說你們衛福部自己本身有發現這樣的一個問題到底是有幾家或者是你們完全都沒有發現然後是內政部移民署發現說這個從國外進來從中國進來的這個要來就醫的人這麼多而且這麼密集\n\n01:35.848 --> 01:55.455\n然後才自己移民署自己調查那你們完全都不知道嗎好雖然的關心那個本來這個是一個好意啦一個人道的一個主義嘛能夠必須要來台灣這麼優秀的醫療\n\n01:58.024 --> 02:18.709\n如果能夠幫助當然也是因為這樣子所以有開放原來是衛福部在主政後來在111年剛剛你也提到就委託其實是私協來做可是你們不需要管理嗎我們提供當然要管理然後那邊是提供一個\n\n02:20.438 --> 02:35.871\n原則給移民署那邊應該去核定去核定是同意不同意那個應該不是MET是那個移民署合併所以移民署那邊會有統計表那他在5月的時候統計出來發現這個診所這個\n\n02:39.645 --> 03:00.038\n牙醫診所自2022年12月到5月短短的6個月就申請了600多件所以在移民署的管理小組覺得有異就戳查所以當時有沒有通知你們在他們發現有異常的時候有沒有通知你們\n\n03:01.060 --> 03:28.635\n所以你們那時候是做什麼樣的處置我們5月17號就馬上暫停該診所的資格所以5月是2023年的5月2023年的5月一發現就停止他們在申請國外的資格到現在都沒有恢復那我想請教除了這一家魔法牙醫診所之外那還有其他的醫療院所有類似這樣的一個狀況嗎\n\n03:31.175 --> 03:59.803\n那當然以現況來講是非常足按去好好的審查我只想要問一下就是說除了這一家那還有沒有其他家有類似這樣的一個狀況嗯有沒有部長另外有一家移民署也提出有一家也有去處理嘛所以你們都是被動的被動被告知的是不是這樣子\n\n04:01.314 --> 04:27.330\n因為申請是向移民署申請,我們給他一個規範啦就是醫療上的規範是提供給移民署去審查那現在是主案審查所以你們也是被告知被移民署告知你們,你們才知道有這樣的一個事情你們也不會自己主動去查應該是移民署收集\n\n04:29.025 --> 04:55.150\n申請請醫事室回答跟委員報告目前就是衛福部裡面這邊只是說醫療機構有沒有資格可以去幫就是國外的民眾申請醫療簽證那醫療簽證可可就是說我們通過醫療機構可以幫他申請這樣的醫療簽證以後他們接下來的動作就是如果說有國際的病人需求的時候他們會在移民署的網站去登錄\n\n04:57.070 --> 05:24.498\n說哪個病人要來需要醫療簽證然後他什麼時候會到大概什麼時候期間那所以說如果說移民署發現說這個可能有一點異常的數字的時候他到時候就會通知衛福部這邊可能去共同聯合去會勘跟那個瞭解好那我要問部長除了這一家魔法牙醫診所之外那移民署這邊還有沒有告知你們還有其他的醫療院所有類似的這樣一個狀況\n\n05:26.313 --> 05:40.391\n這幾年當中就是針對異常的部分大概是有一家是醫院有一家是另外一家診所所以到目前為止就只有三家有有類似的這樣有異常有類似這樣的一個狀況其他都還好\n\n05:41.272 --> 06:00.533\n是確定是這樣子嗎我們目前醫療可以做醫療簽證的只有規定是28類的疾病才可以幫那個醫療機構可以幫病人簽那個醫療簽證所以目前就是已在這28個可是我們看到這個魔法牙醫診所他只是純粹牙齒的洗牙或者是美白這個也\n\n06:01.974 --> 06:26.395\n跟委員報告不好意思就是說當初我們這28類裡面其中因為這個案件我們就是會同那個口腔師跟營醫師有重新修正這個類別更嚴謹的疾病類別裡面把它寫得更清楚所以我重新來公告這一項的牙科關於口腔的疾病別是屬於更急性而且是比較嚴重的程度之下的他才可以做這樣的醫療簽證\n\n06:28.076 --> 06:51.011\n我今天看到這則新聞我真的是嚇一跳就是說當然是剛剛部長講的就是說這個台灣的這個醫療服務品質應該在國際上應該是數一數二的大家公認是非常好的那如果說我們在推動這個醫療服務國際化轉型推動計畫如果會有這樣的一個疑慮或者是會有國安上的問題\n\n06:53.012 --> 07:14.721\n真的我看到這個就是說短短時間來了這個六七百人那這六七百人在這個診所上面也完全沒有病例或者病例完全是空白那怎麼可能會讓他有這樣的一個機會然後未來還讓他有這個機會再引進其他或是再繼續做這樣的一個服務所以我\n\n07:16.601 --> 07:37.555\n這邊我是希望就是說衛福部針對這一部分未來你們要怎麼去預防或者是你們要怎麼去管理而不是這個變得完全你根本不知道他到底有沒有來做醫療好完全不知道然後病例也沒有對啊那你們怎麼可以忍受這樣子的一個你們原本是一個好意然後後來是變質的\n\n07:39.690 --> 08:01.038\n跟委員報告就是我們每年都會不定期會同那個移民署還有那個陸委會共同去跟衛福部共同聯合一個稽查的機制去不定期去抽目前大概有一百二十九家的會員機構所以我們這個有從事這個計畫的我們會不定期的去做聯合的稽查\n\n08:01.997 --> 08:15.795\n去抽查從此抽查病例跟現場去了解說他當初這樣的你們是現在才開始在已經在這個至少已經執行了五六年了執行五六年那是最近才有這樣子的一個狀況出現嗎\n\n08:16.977 --> 08:34.346\n因為這個案子其實因為移民署他那邊現在都是用資訊化去做他只要是數字異常的他就會跳出來做警示所以這部分的話我們就更特別去我希望就是說這個不要變成一個國安的一個漏洞真的真的部長\n\n08:35.306 --> 08:52.435\n是不是未來這個部分你們要怎麼去做管理雖然是一兩間診所但是我們認為非常嚴重絕對不允許有這樣情況我想我們除了希望依法原辦以外當然我們一定加緊把所有的整個流程\n\n08:53.223 --> 09:17.746\n在做最緊密主動而不是被動的告知主動的去...我是認為你們應該自己也要做一個全面的清查有一個聯合小組那我覺得這個應該要發揮更多的對如果說你們這樣子一個機制已經做了五六年然後你們自己本身沒有發現然後還要靠移民署通知你們的話我認為你們應該要做一個全面的清查\n\n09:19.423 --> 09:33.000\n這個我想我也非常重視這個所以那個一定嚴格來執行他每一個環節讓他真的有需要的人得到照顧照顧以後\n\n09:34.702 --> 09:48.690\n就回去這個一個一個都要盯得很緊這樣子而且不同區域有內造的事實這個我想都要嚴格辦理所以我希望真的部長你今天講的真的說到要做到\n\n09:50.812 --> 10:13.126\n我們是完全不能忍受你竟然來然後你是沒有從事醫療沒有什麼醫療的行為然後這個診所完全也都沒有病例或者是這個病例捏造整個文書記錄全部都捏造那你怎麼可以接受這樣的診所繼續做這樣的事情或者是醫院甚至是醫院我都覺得很壓抑\n\n10:13.706 --> 10:39.022\n不管是整所醫院我們一定取消他的資格而且是知名的醫院你可以忍受這樣子嗎不能忍受可以提供服務的醫院很多如果有違規的我們一定嚴格辦理所以我覺得你應該是全面要趕快去做一個清查不要再有這樣的事情發生我們一定\n\n10:40.943 --> 11:02.404\n人家檢討去把他鎖這個罪行好另外這個再給我兩分鐘的時間我問一下就是說我們一直在推動這個健康台灣那台灣的目前三高變成是國人死亡的非常重要的一個這個原因那在這個\n\n11:04.465 --> 11:19.250\n這個我們整個死亡人數差不多有三成都因為山高的這個原因那我想請教部長就是未來我們衛福部針對這個高血壓高血糖高血脂這樣山高那你防治的目標是什麼那\n\n11:20.590 --> 11:40.681\n有什麼樣的方式可以降低這樣的一個三高的發生那另外就是說我們在推動這個健康存摺我發現一般民眾在使用這個健康存摺可能也可能也很少人在使用這個那是不是有可能跟這個外送平台因為\n\n11:41.361 --> 11:57.653\n國人外食的這個機會真的非常的多那有沒有可能也跟這個外送平台做一個結合就是說你透過外送平台然後你在點餐的時候你在最近這幾天你使用的這個高油高糖\n\n12:02.776 --> 12:25.062\n這樣的類似這樣的一個食物使用了幾次那會影響健康我覺得是不是請部長你可以講一下未來怎樣去降低這個這個三高的這個部分那未來我們怎麼樣透過我們的AI的方式然後讓民眾可以更加的知道自己目前的這個健康狀況\n\n12:26.462 --> 12:46.331\n謝謝委員這是非常重要的一件事情其實牽涉的蠻廣的我們第一個當然怎麼樣讓他生活習慣好一點這是第一個階段這個部分其實在我們的健康存摺裡面就有相關的一個指導那當然等一下可以由健保署來講健康存摺使用的人有多少\n\n12:52.547 --> 13:11.178\n用過的人非常多但是是不是大家都熟悉去使用習慣去使用那當然又是另外一個問題第二個就是說我們在三高剛剛您提到三高是嚴重的問題所以我們譬如說我們在成人健檢部分我們就把降了10歲\n\n13:12.159 --> 13:32.124\n所以是健康台灣非常重要的一點,因為常常到三十幾歲其實就開始有一些其實是可逆性的一些症狀那只要生活習慣改變,他的調整好,睡覺睡好一點,運動好一點,他的紅字就變成\n\n13:33.064 --> 13:57.281\n黑字的啦所以真的很感謝委員關心這一點那這個部分我們在健康台灣的確也增加了很多經會在做這個部分發現了更早發現了這些問題來處理那至於說還有另外就是怎麼樣把所有檢查出來的data數據能夠匯集這也是未來這也是行政院在大概一個禮拜\n\n13:58.061 --> 14:25.075\n一兩個禮拜前在宴會裡面特別討論這個議題那我們希望各部門尤其是勞動部他有很多的勞工健檢的部分能夠我們有一個平台把它通通匯集起來那這樣就會來整個來瞭解來共同來推動它避免三高那至於說跟外送平台這個部分如果我們這個平台成熟以後我們當然也願意來瞭解來配合來大家增強這個照顧的實力這樣好\n\n14:27.856 --> 14:55.947\n好,我們希望就是說,在那個部長這邊,真的努力來推動健康台灣然後將我們國人的這個三高的這個部分能夠降低,減少這個死亡率啦好不好?謝謝委員的關心,我也呼籲國人多使用我們現在健康春籌的一個,應該會有很大的幫助這樣子用呼籲的就不好啊,輸用的人就是少啊,對不對?我們呼籲兩個人,有一個人有安全\n\n14:58.456 --> 15:20.083\n但是可能有上去,我不曉得施昭有沒有去看過自己的健康存摺所以今天我發現這陣子用覺得還蠻好用的所以請國人用,這個是我們發揮很多精神建造出來的我們希望更多的資料進來的話\n\n15:24.485 --> 15:29.276\n更多可以幫忙促進健康的事情好謝謝委員的指導謝謝\n\n","segments":[{"start":5.98,"end":6.381,"text":"謝謝主席 我們請部長"},{"start":13.1,"end":36.856,"text":"委員好部長我想請教因為今天非常大的一個新聞就是衛福部在推動醫療服務國際化轉型推動計畫那從2022年開始到現在我不知道說到底成效是怎樣那我們看到今天的這一則新聞我一看到之後我就覺得非常的訝異就是說這個"},{"start":41.617,"end":66.308,"text":"這個魔法牙醫診所從這個2022年到2023年短短6個月就申請600多件就是這個從國外的民眾然後到台灣來就醫那後面發生這個問題是移民署這邊這個發現的啦那我想請教就是說衛福部這一邊針對這個計畫"},{"start":70.29,"end":90.144,"text":"從一開始到現在到底有幾個這個醫療就是醫療院所有申請再來說你們衛福部自己本身有發現這樣的一個問題到底是有幾家或者是你們完全都沒有發現然後是內政部移民署發現說這個從國外進來從中國進來的這個要來就醫的人這麼多而且這麼密集"},{"start":95.848,"end":115.455,"text":"然後才自己 移民署自己調查那你們完全都不知道嗎好 雖然的關心那個本來這個是一個好意啦 一個人道的一個主義嘛能夠必須要來台灣這麼優秀的醫療"},{"start":118.024,"end":138.709,"text":"如果能夠幫助當然也是因為這樣子所以有開放原來是衛福部在主政後來在111年剛剛你也提到就委託其實是私協來做可是你們不需要管理嗎我們提供當然要管理然後那邊是提供一個"},{"start":140.438,"end":155.871,"text":"原則給移民署那邊應該去核定去核定是同意不同意那個應該不是MET是那個移民署合併所以移民署那邊會有統計表那他在5月的時候統計出來發現這個診所這個"},{"start":159.645,"end":180.038,"text":"牙醫診所自2022年12月到5月短短的6個月就申請了600多件所以在移民署的管理小組覺得有異就戳查所以當時有沒有通知你們在他們發現有異常的時候有沒有通知你們"},{"start":181.06,"end":208.635,"text":"所以你們那時候是做什麼樣的處置我們5月17號就馬上暫停該診所的資格所以5月是2023年的5月2023年的5月一發現就停止他們在申請國外的資格到現在都沒有恢復那我想請教除了這一家魔法牙醫診所之外那還有其他的醫療院所有類似這樣的一個狀況嗎"},{"start":211.175,"end":239.803,"text":"那當然以現況來講是非常足按去好好的審查我只想要問一下就是說除了這一家那還有沒有其他家有類似這樣的一個狀況嗯 有沒有部長 另外有一家移民署也提出有一家 也有去處理嘛所以你們都是被動的被動被告知的是不是這樣子"},{"start":241.314,"end":267.33,"text":"因為申請是向移民署申請,我們給他一個規範啦就是醫療上的規範是提供給移民署去審查那現在是主案審查所以你們也是被告知被移民署告知你們,你們才知道有這樣的一個事情你們也不會自己主動去查應該是移民署收集"},{"start":269.025,"end":295.15,"text":"申請 請醫事室回答跟委員報告目前就是衛福部裡面這邊只是說醫療機構有沒有資格可以去幫就是國外的民眾申請醫療簽證那醫療簽證可可就是說我們通過醫療機構可以幫他申請這樣的醫療簽證以後他們接下來的動作就是如果說有國際的病人需求的時候他們會在移民署的網站去登錄"},{"start":297.07,"end":324.498,"text":"說哪個病人要來需要醫療簽證然後他什麼時候會到大概什麼時候期間那所以說如果說移民署發現說這個可能有一點異常的數字的時候他到時候就會通知衛福部這邊可能去共同聯合去會勘跟那個瞭解好那我要問部長除了這一家魔法牙醫診所之外那移民署這邊還有沒有告知你們還有其他的醫療院所有類似的這樣一個狀況"},{"start":326.313,"end":340.391,"text":"這幾年當中就是針對異常的部分大概是有一家是醫院有一家是另外一家診所所以到目前為止就只有三家有有類似的這樣有異常有類似這樣的一個狀況其他都還好"},{"start":341.272,"end":360.533,"text":"是確定是這樣子嗎我們目前醫療可以做醫療簽證的只有規定是28類的疾病才可以幫那個醫療機構可以幫病人簽那個醫療簽證所以目前就是已在這28個可是我們看到這個魔法牙醫診所他只是純粹牙齒的洗牙或者是美白這個也"},{"start":361.974,"end":386.395,"text":"跟委員報告不好意思就是說當初我們這28類裡面其中因為這個案件我們就是會同那個口腔師跟營醫師有重新修正這個類別更嚴謹的疾病類別裡面把它寫得更清楚所以我重新來公告這一項的牙科關於口腔的疾病別是屬於更急性而且是比較嚴重的程度之下的他才可以做這樣的醫療簽證"},{"start":388.076,"end":411.011,"text":"我今天看到這則新聞我真的是嚇一跳就是說當然是剛剛部長講的就是說這個台灣的這個醫療服務品質應該在國際上應該是數一數二的大家公認是非常好的那如果說我們在推動這個醫療服務國際化轉型推動計畫如果會有這樣的一個疑慮或者是會有國安上的問題"},{"start":413.012,"end":434.721,"text":"真的我看到這個就是說短短時間來了這個六七百人那這六七百人在這個診所上面也完全沒有病例或者病例完全是空白那怎麼可能會讓他有這樣的一個機會然後未來還讓他有這個機會再引進其他或是再繼續做這樣的一個服務所以我"},{"start":436.601,"end":457.555,"text":"這邊我是希望就是說衛福部針對這一部分未來你們要怎麼去預防或者是你們要怎麼去管理而不是這個變得完全你根本不知道他到底有沒有來做醫療好完全不知道然後病例也沒有對啊那你們怎麼可以忍受這樣子的一個你們原本是一個好意然後後來是變質的"},{"start":459.69,"end":481.038,"text":"跟委員報告就是我們每年都會不定期會同那個移民署還有那個陸委會共同去跟衛福部共同聯合一個稽查的機制去不定期去抽目前大概有一百二十九家的會員機構所以我們這個有從事這個計畫的我們會不定期的去做聯合的稽查"},{"start":481.997,"end":495.795,"text":"去抽查從此抽查病例跟現場去了解說他當初這樣的你們是現在才開始在已經在這個至少已經執行了五六年了執行五六年那是最近才有這樣子的一個狀況出現嗎"},{"start":496.977,"end":514.346,"text":"因為這個案子其實因為移民署他那邊現在都是用資訊化去做他只要是數字異常的他就會跳出來做警示所以這部分的話我們就更特別去我希望就是說這個不要變成一個國安的一個漏洞真的真的部長"},{"start":515.306,"end":532.435,"text":"是不是未來這個部分你們要怎麼去做管理雖然是一兩間診所但是我們認為非常嚴重絕對不允許有這樣情況我想我們除了希望依法原辦以外當然我們一定加緊把所有的整個流程"},{"start":533.223,"end":557.746,"text":"在做最緊密主動而不是被動的告知主動的去...我是認為你們應該自己也要做一個全面的清查有一個聯合小組那我覺得這個應該要發揮更多的對 如果說你們這樣子一個機制已經做了五六年然後你們自己本身沒有發現然後還要靠移民署通知你們的話我認為你們應該要做一個全面的清查"},{"start":559.423,"end":573,"text":"這個我想我也非常重視這個所以那個一定嚴格來執行他每一個環節讓他真的有需要的人得到照顧照顧以後"},{"start":574.702,"end":588.69,"text":"就回去 這個一個一個都要盯得很緊這樣子而且不同區域有內造的事實這個我想都要嚴格辦理所以我希望真的部長你今天講的真的說到要做到"},{"start":590.812,"end":613.126,"text":"我們是完全不能忍受你竟然來然後你是沒有從事醫療沒有什麼醫療的行為然後這個診所完全也都沒有病例或者是這個病例捏造整個文書記錄全部都捏造那你怎麼可以接受這樣的診所繼續做這樣的事情或者是醫院甚至是醫院我都覺得很壓抑"},{"start":613.706,"end":639.022,"text":"不管是整所醫院我們一定取消他的資格而且是知名的醫院你可以忍受這樣子嗎不能忍受可以提供服務的醫院很多如果有違規的我們一定嚴格辦理所以我覺得你應該是全面要趕快去做一個清查不要再有這樣的事情發生我們一定"},{"start":640.943,"end":662.404,"text":"人家檢討去把他鎖這個罪行好另外這個再給我兩分鐘的時間我問一下就是說我們一直在推動這個健康台灣那台灣的目前三高變成是國人死亡的非常重要的一個這個原因那在這個"},{"start":664.465,"end":679.25,"text":"這個我們整個死亡人數差不多有三成都因為山高的這個原因那我想請教部長就是未來我們衛福部針對這個高血壓高血糖高血脂這樣山高那你防治的目標是什麼那"},{"start":680.59,"end":700.681,"text":"有什麼樣的方式可以降低這樣的一個三高的發生那另外就是說我們在推動這個健康存摺我發現一般民眾在使用這個健康存摺可能也可能也很少人在使用這個那是不是有可能跟這個外送平台因為"},{"start":701.361,"end":717.653,"text":"國人外食的這個機會真的非常的多那有沒有可能也跟這個外送平台做一個結合就是說你透過外送平台然後你在點餐的時候你在最近這幾天你使用的這個高油高糖"},{"start":722.776,"end":745.062,"text":"這樣的類似這樣的一個食物使用了幾次那會影響健康我覺得是不是請部長你可以講一下未來怎樣去降低這個這個三高的這個部分那未來我們怎麼樣透過我們的AI的方式然後讓民眾可以更加的知道自己目前的這個健康狀況"},{"start":746.462,"end":766.331,"text":"謝謝委員這是非常重要的一件事情其實牽涉的蠻廣的我們第一個當然怎麼樣讓他生活習慣好一點這是第一個階段這個部分其實在我們的健康存摺裡面就有相關的一個指導那當然等一下可以由健保署來講健康存摺使用的人有多少"},{"start":772.547,"end":791.178,"text":"用過的人非常多但是是不是大家都熟悉去使用習慣去使用那當然又是另外一個問題第二個就是說我們在三高剛剛您提到三高是嚴重的問題所以我們譬如說我們在成人健檢部分我們就把降了10歲"},{"start":792.159,"end":812.124,"text":"所以是健康台灣非常重要的一點,因為常常到三十幾歲其實就開始有一些其實是可逆性的一些症狀那只要生活習慣改變,他的調整好,睡覺睡好一點,運動好一點,他的紅字就變成"},{"start":813.064,"end":837.281,"text":"黑字的啦 所以真的很感謝委員關心這一點那這個部分我們在健康台灣的確也增加了很多經會在做這個部分 發現了更早發現了這些問題來處理那至於說還有另外就是怎麼樣把所有檢查出來的data數據能夠匯集 這也是未來這也是行政院在大概一個禮拜"},{"start":838.061,"end":865.075,"text":"一兩個禮拜前在宴會裡面特別討論這個議題那我們希望各部門尤其是勞動部他有很多的勞工健檢的部分能夠我們有一個平台把它通通匯集起來那這樣就會來整個來瞭解來共同來推動它避免三高那至於說跟外送平台這個部分如果我們這個平台成熟以後我們當然也願意來瞭解來配合來大家增強這個照顧的實力這樣好"},{"start":867.856,"end":895.947,"text":"好,我們希望就是說,在那個部長這邊,真的努力來推動健康台灣然後將我們國人的這個三高的這個部分能夠降低,減少這個死亡率啦好不好?謝謝委員的關心,我也呼籲國人多使用我們現在健康春籌的一個,應該會有很大的幫助這樣子用呼籲的就不好啊,輸用的人就是少啊,對不對?我們呼籲兩個人,有一個人有安全"},{"start":898.456,"end":920.083,"text":"但是可能有上去,我不曉得施昭有沒有去看過自己的健康存摺所以今天我發現這陣子用覺得還蠻好用的所以請國人用,這個是我們發揮很多精神建造出來的我們希望更多的資料進來的話"},{"start":924.485,"end":929.276,"text":"更多可以幫忙促進健康的事情好 謝謝委員的指導 謝謝"}]}}},"gazette":{"lineno":718,"blocks":[["黃委員秀芳：（11時48分）謝謝主席，請部長。"],["邱部長泰源：委員好。"],["黃委員秀芳：部長，我想請教，今天有一個非常大的新聞，就是衛福部在推動醫療服務國際化轉型推動計畫，從2022年開始到現在，我不知道到底成效怎樣。我看到今天這一則新聞之後，就覺得非常的訝異，就是這個魔法牙醫診所從2022年到2023年，短短6個月就申請六百多件從國外到臺灣來就醫的案件，後面發生這個問題是移民署發現的，我想請教衛福部，這一個計畫從一開始到現在到底有幾個醫療院所有申請？再來，你們衛福部本身發現有這樣的問題的到底有幾家？或者你們完全都沒有發現，然後是內政部移民署發現從國外、從中國進來就醫的人這麼多而且這麼密集，然後才開始調查？你們完全都不知道嗎？"],["邱部長泰源：謝謝委員的關心，本來這是好意啦，基於人道主義，臺灣這麼優秀的醫療如果能夠幫助世界，當然也是因為這樣所以有開放，原來是衛福部在主政，後來在111年，剛剛你也提到，就委託私協來做。"],["黃委員秀芳：可是你們不需要管理嗎？"],["邱部長泰源：當然要管理，那邊是提供一個原則給移民署核定，核定是同意或不同意，所以移民署那邊會有統計表，結果他們在5月的時候統計出來，發現這個牙醫診所自2022年12月到2023年5月，短短6個月間就申請了六百多件，移民署的管理小組覺得有異，就抽查。"],["黃委員秀芳：所以當時有沒有通知你們？他們發現異常的時候，有沒有通知你們？"],["邱部長泰源：會啊，所以……"],["黃委員秀芳：所以你們那時候做什麼樣的處置？"],["邱部長泰源：我們5月17號就馬上暫停該診所的資格，到現在都還沒有恢復。"],["黃委員秀芳：5月是2023年的5月？"],["邱部長泰源：對，2023年的5月。"],["黃委員秀芳：一發現就停止他們再申請國外……"],["邱部長泰源：申請的資格，到現在都沒有恢復。"],["黃委員秀芳：是，那我想請教，除了這一家魔法牙醫診所之外，那還有其他的醫療院所有類似這樣的狀況嗎？"],["邱部長泰源：當然以現況來講，需要逐案去好好審查啦……"],["黃委員秀芳：我只想要問一下，除了這一家以外，還有沒有其他家有類似這樣的狀況？"],["邱部長泰源：移民署有提出另外一家，也有去處理。"],["黃委員秀芳：所以你們都是被動被告知的，是不是這樣？"],["邱部長泰源：因為申請是向移民署申請，我們給他一個規範，就是醫療上的規範是提供給移民署去審查，現在是逐案審查。"],["黃委員秀芳：所以你們也是被動被告知？移民署告知你們，你們才知道有這樣的事情，你們也不會自己主動去查？"],["邱部長泰源：應該是移民署蒐集……請醫事司回答。"],["郭專門委員威中：跟委員報告，目前衛福部只是看醫療機構有沒有資格可以幫國外的民眾申請醫療簽證，就是可以通過醫療機構幫他申請醫療簽證以後，接下來如果有國際病人有需求的時候，這些醫療機構會在移民署的網站登錄，說哪個病人需要醫療簽證，然後他什麼時候會到、大概什麼期間。如果移民署發現這個可能有一點異常的話，到時候就會通知衛福部可能去聯合會勘跟了解。"],["黃委員秀芳：我剛剛問部長，除了這一家魔法牙醫診所之外，那移民署還有沒有告知你們還有其他的醫療院所有類似的狀況？"],["郭專門委員威中：這幾年當中，就是針對異常的部分，大概有一家是醫院，有一家是另外一家診所。"],["黃委員秀芳：所以到目前為止就只有3家有異常、有類似這樣的狀況，其他都還好？確定是這樣嗎？"],["郭專門委員威中：因為我們目前可以做醫療簽證的，照規定只有28類的疾病，醫療機構才可以幫病人簽醫療簽證，所以目前大部分就是以這28個……"],["黃委員秀芳：可是我們看到這個魔法牙醫診所只是純粹的洗牙或者美白。"],["郭專門委員威中：跟委員報告，當初我們這28類中，因為這個案件，我們有會同口腔司跟移民署重新修正這個類別，把它寫得更清楚、更嚴謹，並且重新公告關於口腔的疾病別，是屬於更急性而且是比較嚴重的程度之下，他才可以做這樣的醫療簽證。"],["黃委員秀芳：是，我今天看到這一則新聞，真的是嚇一跳，當然剛剛部長講臺灣的醫療服務品質，在國際上應該是數一數二的，是大家公認非常好的，那如果我們在推動醫療服務國際化轉型推動計畫時會有這樣一個疑慮，或者是有國安上的問題，真的，我看到這個，就是短短時間來了六、七百人，這六、七百人在診所也完全沒有病例，或者病例完全空白，怎麼可能讓他有這樣的機會？未來還讓他再引進其他，或是繼續做這樣的服務？所以我是希望衛福部針對這部分，未來你們要怎麼去預防或管理，而不是完全不知道他們到底有沒有來做醫療，然後病例也沒有，你們怎麼可以忍受你們原本的好意後來變質了？"],["郭專門委員威中：跟委員報告，我們每年都會不定期會同移民署還有陸委會，有一個共同聯合稽查的機制，不定期去抽查，目前大概有129家的會員機構……"],["黃委員秀芳：有從事這個計畫的有129家？"],["郭專門委員威中：對，我們會不定期的去做聯合稽查，去抽查病例跟到現場去了解，他們當初這樣的……"],["黃委員秀芳：你們是現在才開始？"],["郭專門委員威中：沒有，這個至少已經執行了五、六年了。"],["黃委員秀芳：執行五、六年，那是最近才有這樣的狀況出現嗎？"],["郭專門委員威中：因為這個案子其實移民署那邊現在都是用資訊化去登錄，只要是數字異常的就會跳出來警示，所以這部分我們就會更特別去……"],["黃委員秀芳：我希望這不要變成一個國安漏洞，部長，未來這部分你們要怎麼去做管理？"],["邱部長泰源：這雖然是一、兩間診所，但是我們認為非常嚴重，絕對不允許有這種情況，我們除了希望依法嚴辦以外，當然我們一定加緊把整個流程，再做最緊密、主動，而不是被動的告知，主動的去……"],["黃委員秀芳：對，我是認為你們自己也應該要做一個全面的清查。"],["邱部長泰源：剛剛說有一個稽查的聯合小組，我覺得這應該要發揮更多管理的功能，每一個案件都要確實管理。"],["黃委員秀芳：如果你們這樣的機制已經做了五、六年，然後你們自己沒有發現，還要靠移民署通知你們的話，我認為你們應該要做一個全面的清查。"],["邱部長泰源：這個一定要，我也非常重視，所以一定嚴格執行每一個環節，讓真的有需要的人得到照顧，照顧以後就回去。一個、一個都要盯得很緊，而且也不容許有捏造的事實，這個我想都要嚴格辦理。"],["黃委員秀芳：我希望部長今天講的真的要說到做到，我們是完全不能忍受，人來了竟然沒有從事醫療。沒有什麼醫療的行為，診所也完全沒有病例，或者是病例捏造，整個文書記錄全部都捏造，怎麼可以接受這樣的診所繼續做這樣的事情？甚至是醫院，我都覺得很訝異。"],["邱部長泰源：不管是診所或醫院我們一定取消他的資格。"],["黃委員秀芳：而且是知名的醫院，你可以忍受這樣子嗎？"],["邱部長泰源：不能忍受，可以提供服務的醫院很多，如果有違規的我們一定嚴格辦理。"],["黃委員秀芳：好，我覺得你應該要趕快全面做一個清查，不要再有這樣的事情發生。"],["邱部長泰源：我們一定嚴加檢討，嚴守這個界線。"],["黃委員秀芳：再給我兩分鐘的時間，過去我們一直在推動健康台灣，目前三高變成是國人死亡一個非常重要的原因，占死亡人數差不多三成。請教部長，未來衛福部針對高血壓、高血糖、高血脂，防治的目標是什麼？有什麼樣的方式可以降低三高的發生？","另外，我們在推動健康存摺，我發現一般民眾可能也很少人在使用這個，是不是有可能跟外送平台合作？因為國人外食的機會真的非常多，有沒有可能也跟外送平台做結合，透過外送平台，在點餐的時候，譬如最近這幾天使用高油、高糖，類似這樣的食物使用了幾次，會影響健康。能否請部長講一下，未來怎樣去降低三高？怎樣透過AI的方式，讓民眾可以更加知道自己目前的健康狀況？"],["邱部長泰源：謝謝委員，這是非常重要的一件事，其實他牽涉滿廣的，首先是如何讓民眾生活習慣好一點，這是第一個階段。這部分其實在我們的健康存摺裡就有相關的指導，等一下可以請健保署來說明。"],["黃委員秀芳：問題是健康存摺使用的人有多少？"],["邱部長泰源：用過的人非常多，但是不是大家都熟悉去使用、習慣去使用，當然這又是另外一個問題。剛剛您提到三高是嚴重的問題，所以我們在成人健檢部分調降了10歲，這也是健康台灣非常重要的一點。因為常常到三十幾歲時，其實就開始有一些可逆性的症狀，只要生活習慣改變，調整好、睡覺睡好一點、運動好一點，紅字就變回黑字了。所以真的很感謝委員關心這一點，這部分我們在健康台灣，的確也增加了很多經費在做，更早發現這些問題來處理。","另外是怎麼把所有檢查出來的data數據能夠匯集，這也是行政院在一、兩個禮拜前，在院會裡特別討論的議題。我們希望各部門，尤其是勞動部，有很多勞工健檢的部分，有一個平台能夠把他統統匯集起來，這樣就可以整體瞭解，共同來推動避免三高。至於跟外送平台的部分，如果我們這個平台成熟以後，我們當然也願意來瞭解、來配合，增強照顧大家的實力。"],["黃委員秀芳：我們希望部長真的努力推動健康台灣，將我們國人三高的部分降低，也減少死亡率。"],["邱部長泰源：謝謝委員的關心，我也呼籲國人多使用健康存摺，應該會有很大的幫助。"],["黃委員秀芳：用呼籲的就沒用啊！使用的人就是很少。"],["龐副署長一鳴：每兩個人就有一個人有安裝。"],["邱部長泰源：有安裝啦！我不曉得蘇召委有沒有去看過自己的健康存摺。"],["主席：有啦！"],["邱部長泰源：我這陣子覺得還滿好用的，所以請國人用，這是我們花了很多精神建造出來的。"],["主席：半年內的data都會看到。"],["邱部長泰源：我們希望更多資料進來，可能有更多可以幫忙促進健康的事情。"],["黃委員秀芳：好，謝謝。"],["邱部長泰源：謝謝委員的指導。"],["主席：謝謝黃秀芳委員，謝謝部長。","請何欣純委員、何欣純委員、何欣純委員不在。","接續請林月琴委員質詢。"]],"agenda":{"page_end":452,"meet_id":"委員會-11-3-26-7","speakers":["蘇清泉","陳昭姿","陳菁徽","楊曜","王正旭","王育敏","楊瓊瓔","林淑芬","涂權吉","邱鎮軍","黃秀芳","林月琴","劉建國","鍾佳濱","盧縣一","高金素梅","王鴻薇","許宇甄","葉元之","羅廷瑋","陳瑩","徐欣瑩","廖偉翔"],"page_start":371,"meetingDate":["2025-04-24"],"gazette_id":"1144101","agenda_lcidc_ids":["1144101_00006"],"meet_name":"立法院第11屆第3會期社會福利及衛生環境委員會第7次全體委員會議紀錄","content":"邀請衛生福利部部長、農業部次長、經濟部次長、外交部次長、行政院經貿談判辦公室副總談判\n代表、行政院食品安全辦公室主任針對「美豬、美牛進口零關稅且如何保障國人食品安全及農民\n權益」進行專題報告，並備質詢","agenda_id":"1144101_00005"}}}