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00:00:08,581\n主席好我們一樣請邱部長來請部長委員長部長好\n\n2\n00:00:14,966 --> 00:00:42,437\n那還是同樣的話題就是我們病人自主這個權利法那麼我看到我們這個法案我們兩個有三個法案是兩個執政黨的我們的委員的版本那看到現在我沒有看到正院版那我看到衛福部的報告幾乎是對於主要條文都保留或者是反對那最後結論建議維持原條文我想請問一下部長為什麼衛福部不同意修法\n\n3\n00:00:45,885 --> 00:01:07,609\n我想這個修法我們是用開放的態度啦但是基本上從以前修法的立法的整個過程當中我們覺得可能有很多更重要的事情是不是比修法更重要那個政府一直在做那修法的部分我是覺得我們是用\n\n4\n00:01:09,137 --> 00:01:29,378\n開放的心胸來討論今天的會議是我們召委安排的我想這件事情應該是很多人的心聲我想召委也等不及了那我當然知道衛福部是很慎重那這個部分你還要凝聚多久多久才可以提出我們政院的版本還是都不提了\n\n5\n00:01:35,666 --> 00:02:02,175\n因為這個是已經有立法了嘛那針對針對大家的一些意見然後是臨床上的一些可能需要調整的我也感謝委員提出了我覺得大家開放來討論這個事情是比較好的開放來討論對然後因為武漢病毒法上路五年只有10.3萬人在簽署那比例只有0.45%那真正的執行率會更低\n\n6\n00:02:03,274 --> 00:02:26,946\n然後當然這是修法的原因就是因為我們覺得這個成效是沒有很理想那當然就是希望能夠調整嘛能夠調整讓更多的人更方便我覺得宣傳更重要應該很多人都不太清楚這個東西這個是事實當然還有一個費用的問題啦這也是這一次修法的一個重點那我想\n\n7\n00:02:31,078 --> 00:02:52,051\n今天審查的版本就是我們講的ACP的這個費用太高讓家屬的這個卻步那導致也是導致成效不彰的主因那改由政府負擔那部長認為這個部分會增加預算那請問部長那政府既然不願意負擔能不能那有沒有其他的辦法呢\n\n8\n00:02:52,751 --> 00:03:13,892\n好,我想我們報告委員,我們想逐步,剛剛健保署也有報告,從去年到未來的五月我們都會一直在討論如何如何來開放的確是有讓更多來參與,那是不是這樣子就可以解決我們更多人來那個從剛剛的幾位委員的報告裡面\n\n9\n00:03:14,472 --> 00:03:27,896\n恐怕我們要做更多我覺得這個是這樣啦就是當然這是人民的自由啦然後當然對於政府來講他是也可以減輕我們一些的負擔啦那當然我們尊重每個人的想法不過我覺得這個剛剛我講那個宣傳啊\n\n10\n00:03:30,037 --> 00:03:52,591\n因為真的確實不是很多人能夠了解到這一塊只是一些專業的人或者是有接觸到的才會知道那當然其實搞不好有些人有這個想法那我們當然不是鼓勵他們這樣這個當然是看個人意願不過我覺得這個是未來我們早晚都要面對的事情應該是來開放的用更開放的心態來去\n\n11\n00:03:54,172 --> 00:04:20,575\n這個面對這個事情好嗎是的好那部長那再來我們看到賴清德總統最近在2025年健康台灣全國論壇裡面提出健保的改革想法那他特別提到我們花蓮秀林鄉論人記仇的計畫成功他希望來擴大辦理那部長你這邊也跟進將在花蓮台東擴大辦理這方向是確定的嗎跟委員報告因為\n\n12\n00:04:21,936 --> 00:04:32,065\n那個花蓮秀林鄉他其實他的名字不叫做論人記者媒體都一直寫論人記者我想這個先修正一下因為要達到論人記者這個部分\n\n13\n00:04:34,025 --> 00:04:52,906\n不是不行而是要有很多的配套措施我們以前大概十年前也曾經在台灣七個地方來做有成功有但是當時因為專診制度沒有做好家庭醫師制度也沒有建立所以的確比較多需要配套但是在秀園鄉這個有一點\n\n14\n00:04:54,707 --> 00:05:09,987\nIDS的味道等一下請署長會補充那我們覺得說他成功為什麼他成功因為他的不管是流感的注射率預防保健的預防真的打啦或者是篩檢都比其他地方還高\n\n15\n00:05:10,948 --> 00:05:28,500\n那就是要不要有一個醫院請派人去教育去做整個前人的照顧那像這樣的模式就有健康促進的成分在裡面那我想總統很希望真的能夠健康促進有47個地方嘛我的意思是說為什麼只選電華臨台東來擴大辦理的意思\n\n16\n00:05:38,283 --> 00:05:56,010\n我想我們一步一步來啦那既然發展台東也許他的區域是不是比較因為後面沒有像台北醫療資源你像我們苗栗他泰安其實人口也不多他也是偏鄉啦那我認為當然其實這個\n\n17\n00:05:58,011 --> 00:06:14,707\n你們號稱不會增加健保的支出嘛當然我們這個IDS這個做調查比如說我們個人的病史飲食習慣等等就是我們未來要想要推動的一個叫這個精準醫療的部分嘛對不對不好意思我先補充一下\n\n18\n00:06:16,849 --> 00:06:35,024\n花蓮秀芸香這個齁,其實它也不叫做一般的IDS啦齁它叫做前人、前家、前社、社區的一個整合照顧的一個這一個是世界的趨勢,所以能夠在秀芸香做,我相信它是未來是我們一個典範那這個如果能夠放到各個地方去,我們樂觀其成齁\n\n19\n00:06:37,026 --> 00:07:01,830\n那當然如果只有在秀恩鄉也太可惜了啦因為他畢竟我們是希望這是我覺得不錯的一個政策啦那當然我們希望說我們西班部這邊也有很多偏鄉其實交通也非常不方便而且資源也非常的少那這部分我希望我們衛福部能夠盡快再納入好不好那個簡單那個署長回報一下\n\n20\n00:07:02,250 --> 00:07:23,255\n跟邱委員報告就是說它跟IDS不同是IDS是以醫療為主那這個全人全社區整合照護計畫呢它是以家戶做單位然後導入這個預防保健健康促進等等這些整合的照護啦所以它明顯的可以降低這個迷病率住院率這些重症的發生\n\n21\n00:07:24,015 --> 00:07:45,674\n這個在偏遠地區其實是很好的模式因為畢竟就醫比較遠他是把家裡的資料等於是建立家裡的資料要建立家戶資料他的重點在建立家戶資料一般IDS是有團隊去然後你有需要來看病的就來看那他這個不一樣那這個有點就是類似把你們的病史啊幹嘛全部就是把它做資料對要把那個家戶資料整理起來\n\n22\n00:07:48,356 --> 00:08:04,130\n醫療的一個概念其實這個我認為在全國來推動的時候是不是也能夠節省我們健保的支出因為其實很多吃了這個藥不行然後又換了一家醫院每一次去重複對病人也好\n\n23\n00:08:05,330 --> 00:08:26,862\n對我們政府的健保的負擔也好都不是一個好的事情這是我們常看到的就是說有些人吃了過敏有些人吃了身體不適或者是各年會產生比如說有一些藥會產生副作用等等的這些都是一個我認為是個人的醫療浪費的一個非常大的一個漏洞\n\n24\n00:08:27,862 --> 00:08:53,022\n那我們今年其實也在西部這邊的幾個山地鄉比較偏遠地區也有擴大事辦像北區就是在桃園復興鄉我現在看到你那個圖就是我看到就是我們原民的這個對不對原民部落嘛所以我剛剛會講泰安的原因就在這裡啦那你希望說其實有很多地方真的也需要這個這樣的一個照顧好不好好謝謝\n\n25\n00:08:55,544 --> 00:09:11,401\n那再來問一個就比較短一點那個我們加熱鹽上市就是我們煙害防治法在112年3月公佈實施那審查已經兩年了那我們審查這個結果這個知識沒有結果是什麼原因\n\n26\n00:09:14,614 --> 00:09:33,590\n我想我們非常注意到這個審查的進度我想國建署這邊真的都是按照時程其實常常要補資料然後又有一個時程所以有很多溝通我希望啦現在還沒有完全到最後決定的我希望啦就是說\n\n27\n00:09:34,190 --> 00:09:54,928\n根據國際研究指出青少年使用加熱菸的盛行率是成年人的兩倍並且有將近九成的年輕吸菸者他第一次接觸都是這種加味菸品當然我認為說我們要開放當然我希望我們衛福部這邊的配套能夠把它準備得更完善一些\n\n28\n00:09:55,689 --> 00:10:15,682\n因為現在加熱菸還沒上市,我看到電子菸的器具、工具現在滿街都是啊,它現在不是違法嗎?沒有人取締啊?有有有,我們非常熱爭起立我怎麼沒看到咧?沒有聽到?起立的成果可不可以報告一下?\n\n29\n00:10:19,054 --> 00:10:33,790\n跟委員報告一下有關於這個煙害防治法3月22號上路之後那我們目前對於電子煙跟違法加熱煙的稽查取締的部分不管是中央跨部會跟地方都合力在做這一塊的執法\n\n30\n00:10:35,111 --> 00:10:48,587\n那目前截至114年這個1月截止大概裁罰的件數大概有4500多件裁罰金有大概4.5億那我們中央也會定期再召開這個跨部會的這個查緝的相關\n\n31\n00:10:50,549 --> 00:11:03,955\n那我跟你講,加熱菸如果未來核准上市,我想該有的教育宣導跟我們的管理機制,我想大家吳衛福部這邊要盡快的來擬定。不要讓這個事情變成影響公共健康的一個問題。\n\n","tsv":"start\tend\ttext\n5979\t8581\t主席好 我們一樣請邱部長來 請部長委員長部長好\n14966\t42437\t那還是同樣的話題就是我們病人自主這個權利法那麼我看到我們這個法案我們兩個有三個法案是兩個執政黨的我們的委員的版本那看到現在我沒有看到正院版那我看到衛福部的報告幾乎是對於主要條文都保留或者是反對那最後結論建議維持原條文我想請問一下部長為什麼衛福部不同意修法\n45885\t67609\t我想這個修法我們是用開放的態度啦但是基本上從以前修法的立法的整個過程當中我們覺得可能有很多更重要的事情是不是比修法更重要那個政府一直在做那修法的部分我是覺得我們是用\n69137\t89378\t開放的心胸來討論今天的會議是我們召委安排的我想這件事情應該是很多人的心聲我想召委也等不及了那我當然知道衛福部是很慎重那這個部分你還要凝聚多久多久才可以提出我們政院的版本還是都不提了\n95666\t122175\t因為這個是已經有立法了嘛那針對針對大家的一些意見然後是臨床上的一些可能需要調整的我也感謝委員提出了我覺得大家開放來討論這個事情是比較好的開放來討論對然後因為武漢病毒法上路五年只有10.3萬人在簽署那比例只有0.45%那真正的執行率會更低\n123274\t146946\t然後當然這是修法的原因就是因為我們覺得這個成效是沒有很理想那當然就是希望能夠調整嘛能夠調整讓更多的人更方便我覺得宣傳更重要應該很多人都不太清楚這個東西這個是事實當然還有一個費用的問題啦這也是這一次修法的一個重點那我想\n151078\t172051\t今天審查的版本就是我們講的ACP的這個費用太高讓家屬的這個卻步那導致也是導致成效不彰的主因那改由政府負擔那部長認為這個部分會增加預算那請問部長那政府既然不願意負擔能不能那有沒有其他的辦法呢\n172751\t193892\t好,我想我們報告委員,我們想逐步,剛剛健保署也有報告,從去年到未來的五月我們都會一直在討論如何如何來開放的確是有讓更多來參與,那是不是這樣子就可以解決我們更多人來那個從剛剛的幾位委員的報告裡面\n194472\t207896\t恐怕我們要做更多我覺得這個是這樣啦就是當然這是人民的自由啦然後當然對於政府來講他是也可以減輕我們一些的負擔啦那當然我們尊重每個人的想法不過我覺得這個剛剛我講那個宣傳啊\n210037\t232591\t因為真的確實不是很多人能夠了解到這一塊只是一些專業的人或者是有接觸到的才會知道那當然其實搞不好有些人有這個想法那我們當然不是鼓勵他們這樣這個當然是看個人意願不過我覺得這個是未來我們早晚都要面對的事情應該是來開放的用更開放的心態來去\n234172\t260575\t這個面對這個事情好嗎是的好那部長那再來我們看到賴清德總統最近在2025年健康台灣全國論壇裡面提出健保的改革想法那他特別提到我們花蓮秀林鄉論人記仇的計畫成功他希望來擴大辦理那部長你這邊也跟進將在花蓮台東擴大辦理這方向是確定的嗎跟委員報告因為\n261936\t272065\t那個花蓮秀林鄉他其實他的名字不叫做論人記者媒體都一直寫論人記者我想這個先修正一下因為要達到論人記者這個部分\n274025\t292906\t不是不行而是要有很多的配套措施我們以前大概十年前也曾經在台灣七個地方來做有成功有但是當時因為專診制度沒有做好家庭醫師制度也沒有建立所以的確比較多需要配套但是在秀園鄉這個有一點\n294707\t309987\tIDS的味道 等一下請署長會補充那我們覺得說他成功 為什麼他成功因為他的 不管是流感的注射率 預防保健的預防真的打啦 或者是篩檢都比其他地方還高\n310948\t328500\t那就是要不要有一個醫院 請派人去教育 去做整個前人的照顧那像這樣的模式 就有健康促進的成分在裡面那我想總統很希望真的能夠健康促進有47個地方嘛我的意思是說 為什麼只選電華臨台東來擴大辦理的意思\n338283\t356010\t我想我們一步一步來啦那既然發展台東也許他的區域是不是比較因為後面沒有像台北醫療資源你像我們苗栗他泰安其實人口也不多他也是偏鄉啦那我認為當然其實這個\n358011\t374707\t你們號稱不會增加健保的支出嘛當然我們這個IDS這個做調查比如說我們個人的病史飲食習慣等等就是我們未來要想要推動的一個叫這個精準醫療的部分嘛對不對不好意思我先補充一下\n376849\t395024\t花蓮秀芸香這個齁,其實它也不叫做一般的IDS啦齁它叫做前人、前家、前社、社區的一個整合照顧的一個這一個是世界的趨勢,所以能夠在秀芸香做,我相信它是未來是我們一個典範那這個如果能夠放到各個地方去,我們樂觀其成齁\n397026\t421830\t那當然如果只有在秀恩鄉也太可惜了啦因為他畢竟我們是希望這是我覺得不錯的一個政策啦那當然我們希望說我們西班部這邊也有很多偏鄉其實交通也非常不方便而且資源也非常的少那這部分我希望我們衛福部能夠盡快再納入好不好那個簡單那個署長回報一下\n422250\t443255\t跟邱委員報告就是說它跟IDS不同是IDS是以醫療為主那這個全人全社區整合照護計畫呢它是以家戶做單位然後導入這個預防保健健康促進等等這些整合的照護啦所以它明顯的可以降低這個迷病率住院率這些重症的發生\n444015\t465674\t這個在偏遠地區其實是很好的模式因為畢竟就醫比較遠他是把家裡的資料 等於是建立家裡的資料要建立家戶資料 他的重點在建立家戶資料一般IDS是有團隊去然後你有需要來看病的就來看那他這個不一樣那這個有點就是類似把你們的病史啊幹嘛全部就是把它做資料對要把那個家戶資料整理起來\n468356\t484130\t醫療的一個概念其實這個我認為在全國來推動的時候是不是也能夠節省我們健保的支出因為其實很多吃了這個藥不行然後又換了一家醫院每一次去重複對病人也好\n485330\t506862\t對我們政府的健保的負擔也好 都不是一個好的事情這是我們常看到的就是說有些人吃了過敏 有些人吃了身體不適或者是各年會產生 比如說有一些藥會產生副作用等等的這些都是一個 我認為是個人的醫療浪費的一個非常大的一個漏洞\n507862\t533022\t那我們今年其實也在西部這邊的幾個山地鄉比較偏遠地區也有擴大事辦像北區就是在桃園復興鄉我現在看到你那個圖就是我看到就是我們原民的這個對不對原民部落嘛所以我剛剛會講泰安的原因就在這裡啦那你希望說其實有很多地方真的也需要這個這樣的一個照顧好不好好謝謝\n535544\t551401\t那再來問一個就比較短一點那個我們加熱鹽上市就是我們煙害防治法在112年3月公佈實施那審查已經兩年了那我們審查這個結果這個知識沒有結果是什麼原因\n554614\t573590\t我想我們非常注意到這個審查的進度我想國建署這邊真的都是按照時程其實常常要補資料然後又有一個時程所以有很多溝通我希望啦現在還沒有完全到最後決定的我希望啦就是說\n574190\t594928\t根據國際研究指出青少年使用加熱菸的盛行率是成年人的兩倍並且有將近九成的年輕吸菸者他第一次接觸都是這種加味菸品當然我認為說我們要開放當然我希望我們衛福部這邊的配套能夠把它準備得更完善一些\n595689\t615682\t因為現在加熱菸還沒上市,我看到電子菸的器具、工具現在滿街都是啊,它現在不是違法嗎?沒有人取締啊?有有有,我們非常熱爭起立我怎麼沒看到咧?沒有聽到?起立的成果可不可以報告一下?\n619054\t633790\t跟委員報告一下有關於這個煙害防治法3月22號上路之後那我們目前對於電子煙跟違法加熱煙的稽查取締的部分不管是中央跨部會跟地方都合力在做這一塊的執法\n635111\t648587\t那目前截至114年這個1月截止大概裁罰的件數大概有4500多件裁罰金有大概4.5億那我們中央也會定期再召開這個跨部會的這個查緝的相關\n650549\t663955\t那我跟你講,加熱菸如果未來核准上市,我想該有的教育宣導跟我們的管理機制,我想大家吳衛福部這邊要盡快的來擬定。不要讓這個事情變成影響公共健康的一個問題。\n","txt":"主席好 我們一樣請邱部長來 請部長委員長部長好\n那還是同樣的話題就是我們病人自主這個權利法那麼我看到我們這個法案我們兩個有三個法案是兩個執政黨的我們的委員的版本那看到現在我沒有看到正院版那我看到衛福部的報告幾乎是對於主要條文都保留或者是反對那最後結論建議維持原條文我想請問一下部長為什麼衛福部不同意修法\n我想這個修法我們是用開放的態度啦但是基本上從以前修法的立法的整個過程當中我們覺得可能有很多更重要的事情是不是比修法更重要那個政府一直在做那修法的部分我是覺得我們是用\n開放的心胸來討論今天的會議是我們召委安排的我想這件事情應該是很多人的心聲我想召委也等不及了那我當然知道衛福部是很慎重那這個部分你還要凝聚多久多久才可以提出我們政院的版本還是都不提了\n因為這個是已經有立法了嘛那針對針對大家的一些意見然後是臨床上的一些可能需要調整的我也感謝委員提出了我覺得大家開放來討論這個事情是比較好的開放來討論對然後因為武漢病毒法上路五年只有10.3萬人在簽署那比例只有0.45%那真正的執行率會更低\n然後當然這是修法的原因就是因為我們覺得這個成效是沒有很理想那當然就是希望能夠調整嘛能夠調整讓更多的人更方便我覺得宣傳更重要應該很多人都不太清楚這個東西這個是事實當然還有一個費用的問題啦這也是這一次修法的一個重點那我想\n今天審查的版本就是我們講的ACP的這個費用太高讓家屬的這個卻步那導致也是導致成效不彰的主因那改由政府負擔那部長認為這個部分會增加預算那請問部長那政府既然不願意負擔能不能那有沒有其他的辦法呢\n好,我想我們報告委員,我們想逐步,剛剛健保署也有報告,從去年到未來的五月我們都會一直在討論如何如何來開放的確是有讓更多來參與,那是不是這樣子就可以解決我們更多人來那個從剛剛的幾位委員的報告裡面\n恐怕我們要做更多我覺得這個是這樣啦就是當然這是人民的自由啦然後當然對於政府來講他是也可以減輕我們一些的負擔啦那當然我們尊重每個人的想法不過我覺得這個剛剛我講那個宣傳啊\n因為真的確實不是很多人能夠了解到這一塊只是一些專業的人或者是有接觸到的才會知道那當然其實搞不好有些人有這個想法那我們當然不是鼓勵他們這樣這個當然是看個人意願不過我覺得這個是未來我們早晚都要面對的事情應該是來開放的用更開放的心態來去\n這個面對這個事情好嗎是的好那部長那再來我們看到賴清德總統最近在2025年健康台灣全國論壇裡面提出健保的改革想法那他特別提到我們花蓮秀林鄉論人記仇的計畫成功他希望來擴大辦理那部長你這邊也跟進將在花蓮台東擴大辦理這方向是確定的嗎跟委員報告因為\n那個花蓮秀林鄉他其實他的名字不叫做論人記者媒體都一直寫論人記者我想這個先修正一下因為要達到論人記者這個部分\n不是不行而是要有很多的配套措施我們以前大概十年前也曾經在台灣七個地方來做有成功有但是當時因為專診制度沒有做好家庭醫師制度也沒有建立所以的確比較多需要配套但是在秀園鄉這個有一點\nIDS的味道 等一下請署長會補充那我們覺得說他成功 為什麼他成功因為他的 不管是流感的注射率 預防保健的預防真的打啦 或者是篩檢都比其他地方還高\n那就是要不要有一個醫院 請派人去教育 去做整個前人的照顧那像這樣的模式 就有健康促進的成分在裡面那我想總統很希望真的能夠健康促進有47個地方嘛我的意思是說 為什麼只選電華臨台東來擴大辦理的意思\n我想我們一步一步來啦那既然發展台東也許他的區域是不是比較因為後面沒有像台北醫療資源你像我們苗栗他泰安其實人口也不多他也是偏鄉啦那我認為當然其實這個\n你們號稱不會增加健保的支出嘛當然我們這個IDS這個做調查比如說我們個人的病史飲食習慣等等就是我們未來要想要推動的一個叫這個精準醫療的部分嘛對不對不好意思我先補充一下\n花蓮秀芸香這個齁,其實它也不叫做一般的IDS啦齁它叫做前人、前家、前社、社區的一個整合照顧的一個這一個是世界的趨勢,所以能夠在秀芸香做,我相信它是未來是我們一個典範那這個如果能夠放到各個地方去,我們樂觀其成齁\n那當然如果只有在秀恩鄉也太可惜了啦因為他畢竟我們是希望這是我覺得不錯的一個政策啦那當然我們希望說我們西班部這邊也有很多偏鄉其實交通也非常不方便而且資源也非常的少那這部分我希望我們衛福部能夠盡快再納入好不好那個簡單那個署長回報一下\n跟邱委員報告就是說它跟IDS不同是IDS是以醫療為主那這個全人全社區整合照護計畫呢它是以家戶做單位然後導入這個預防保健健康促進等等這些整合的照護啦所以它明顯的可以降低這個迷病率住院率這些重症的發生\n這個在偏遠地區其實是很好的模式因為畢竟就醫比較遠他是把家裡的資料 等於是建立家裡的資料要建立家戶資料 他的重點在建立家戶資料一般IDS是有團隊去然後你有需要來看病的就來看那他這個不一樣那這個有點就是類似把你們的病史啊幹嘛全部就是把它做資料對要把那個家戶資料整理起來\n醫療的一個概念其實這個我認為在全國來推動的時候是不是也能夠節省我們健保的支出因為其實很多吃了這個藥不行然後又換了一家醫院每一次去重複對病人也好\n對我們政府的健保的負擔也好 都不是一個好的事情這是我們常看到的就是說有些人吃了過敏 有些人吃了身體不適或者是各年會產生 比如說有一些藥會產生副作用等等的這些都是一個 我認為是個人的醫療浪費的一個非常大的一個漏洞\n那我們今年其實也在西部這邊的幾個山地鄉比較偏遠地區也有擴大事辦像北區就是在桃園復興鄉我現在看到你那個圖就是我看到就是我們原民的這個對不對原民部落嘛所以我剛剛會講泰安的原因就在這裡啦那你希望說其實有很多地方真的也需要這個這樣的一個照顧好不好好謝謝\n那再來問一個就比較短一點那個我們加熱鹽上市就是我們煙害防治法在112年3月公佈實施那審查已經兩年了那我們審查這個結果這個知識沒有結果是什麼原因\n我想我們非常注意到這個審查的進度我想國建署這邊真的都是按照時程其實常常要補資料然後又有一個時程所以有很多溝通我希望啦現在還沒有完全到最後決定的我希望啦就是說\n根據國際研究指出青少年使用加熱菸的盛行率是成年人的兩倍並且有將近九成的年輕吸菸者他第一次接觸都是這種加味菸品當然我認為說我們要開放當然我希望我們衛福部這邊的配套能夠把它準備得更完善一些\n因為現在加熱菸還沒上市,我看到電子菸的器具、工具現在滿街都是啊,它現在不是違法嗎?沒有人取締啊?有有有,我們非常熱爭起立我怎麼沒看到咧?沒有聽到?起立的成果可不可以報告一下?\n跟委員報告一下有關於這個煙害防治法3月22號上路之後那我們目前對於電子煙跟違法加熱煙的稽查取締的部分不管是中央跨部會跟地方都合力在做這一塊的執法\n那目前截至114年這個1月截止大概裁罰的件數大概有4500多件裁罰金有大概4.5億那我們中央也會定期再召開這個跨部會的這個查緝的相關\n那我跟你講,加熱菸如果未來核准上市,我想該有的教育宣導跟我們的管理機制,我想大家吳衛福部這邊要盡快的來擬定。不要讓這個事情變成影響公共健康的一個問題。\n","vtt":"WEBVTT\n\n00:05.979 --> 00:08.581\n主席好我們一樣請邱部長來請部長委員長部長好\n\n00:14.966 --> 00:42.437\n那還是同樣的話題就是我們病人自主這個權利法那麼我看到我們這個法案我們兩個有三個法案是兩個執政黨的我們的委員的版本那看到現在我沒有看到正院版那我看到衛福部的報告幾乎是對於主要條文都保留或者是反對那最後結論建議維持原條文我想請問一下部長為什麼衛福部不同意修法\n\n00:45.885 --> 01:07.609\n我想這個修法我們是用開放的態度啦但是基本上從以前修法的立法的整個過程當中我們覺得可能有很多更重要的事情是不是比修法更重要那個政府一直在做那修法的部分我是覺得我們是用\n\n01:09.137 --> 01:29.378\n開放的心胸來討論今天的會議是我們召委安排的我想這件事情應該是很多人的心聲我想召委也等不及了那我當然知道衛福部是很慎重那這個部分你還要凝聚多久多久才可以提出我們政院的版本還是都不提了\n\n01:35.666 --> 02:02.175\n因為這個是已經有立法了嘛那針對針對大家的一些意見然後是臨床上的一些可能需要調整的我也感謝委員提出了我覺得大家開放來討論這個事情是比較好的開放來討論對然後因為武漢病毒法上路五年只有10.3萬人在簽署那比例只有0.45%那真正的執行率會更低\n\n02:03.274 --> 02:26.946\n然後當然這是修法的原因就是因為我們覺得這個成效是沒有很理想那當然就是希望能夠調整嘛能夠調整讓更多的人更方便我覺得宣傳更重要應該很多人都不太清楚這個東西這個是事實當然還有一個費用的問題啦這也是這一次修法的一個重點那我想\n\n02:31.078 --> 02:52.051\n今天審查的版本就是我們講的ACP的這個費用太高讓家屬的這個卻步那導致也是導致成效不彰的主因那改由政府負擔那部長認為這個部分會增加預算那請問部長那政府既然不願意負擔能不能那有沒有其他的辦法呢\n\n02:52.751 --> 03:13.892\n好,我想我們報告委員,我們想逐步,剛剛健保署也有報告,從去年到未來的五月我們都會一直在討論如何如何來開放的確是有讓更多來參與,那是不是這樣子就可以解決我們更多人來那個從剛剛的幾位委員的報告裡面\n\n03:14.472 --> 03:27.896\n恐怕我們要做更多我覺得這個是這樣啦就是當然這是人民的自由啦然後當然對於政府來講他是也可以減輕我們一些的負擔啦那當然我們尊重每個人的想法不過我覺得這個剛剛我講那個宣傳啊\n\n03:30.037 --> 03:52.591\n因為真的確實不是很多人能夠了解到這一塊只是一些專業的人或者是有接觸到的才會知道那當然其實搞不好有些人有這個想法那我們當然不是鼓勵他們這樣這個當然是看個人意願不過我覺得這個是未來我們早晚都要面對的事情應該是來開放的用更開放的心態來去\n\n03:54.172 --> 04:20.575\n這個面對這個事情好嗎是的好那部長那再來我們看到賴清德總統最近在2025年健康台灣全國論壇裡面提出健保的改革想法那他特別提到我們花蓮秀林鄉論人記仇的計畫成功他希望來擴大辦理那部長你這邊也跟進將在花蓮台東擴大辦理這方向是確定的嗎跟委員報告因為\n\n04:21.936 --> 04:32.065\n那個花蓮秀林鄉他其實他的名字不叫做論人記者媒體都一直寫論人記者我想這個先修正一下因為要達到論人記者這個部分\n\n04:34.025 --> 04:52.906\n不是不行而是要有很多的配套措施我們以前大概十年前也曾經在台灣七個地方來做有成功有但是當時因為專診制度沒有做好家庭醫師制度也沒有建立所以的確比較多需要配套但是在秀園鄉這個有一點\n\n04:54.707 --> 05:09.987\nIDS的味道等一下請署長會補充那我們覺得說他成功為什麼他成功因為他的不管是流感的注射率預防保健的預防真的打啦或者是篩檢都比其他地方還高\n\n05:10.948 --> 05:28.500\n那就是要不要有一個醫院請派人去教育去做整個前人的照顧那像這樣的模式就有健康促進的成分在裡面那我想總統很希望真的能夠健康促進有47個地方嘛我的意思是說為什麼只選電華臨台東來擴大辦理的意思\n\n05:38.283 --> 05:56.010\n我想我們一步一步來啦那既然發展台東也許他的區域是不是比較因為後面沒有像台北醫療資源你像我們苗栗他泰安其實人口也不多他也是偏鄉啦那我認為當然其實這個\n\n05:58.011 --> 06:14.707\n你們號稱不會增加健保的支出嘛當然我們這個IDS這個做調查比如說我們個人的病史飲食習慣等等就是我們未來要想要推動的一個叫這個精準醫療的部分嘛對不對不好意思我先補充一下\n\n06:16.849 --> 06:35.024\n花蓮秀芸香這個齁,其實它也不叫做一般的IDS啦齁它叫做前人、前家、前社、社區的一個整合照顧的一個這一個是世界的趨勢,所以能夠在秀芸香做,我相信它是未來是我們一個典範那這個如果能夠放到各個地方去,我們樂觀其成齁\n\n06:37.026 --> 07:01.830\n那當然如果只有在秀恩鄉也太可惜了啦因為他畢竟我們是希望這是我覺得不錯的一個政策啦那當然我們希望說我們西班部這邊也有很多偏鄉其實交通也非常不方便而且資源也非常的少那這部分我希望我們衛福部能夠盡快再納入好不好那個簡單那個署長回報一下\n\n07:02.250 --> 07:23.255\n跟邱委員報告就是說它跟IDS不同是IDS是以醫療為主那這個全人全社區整合照護計畫呢它是以家戶做單位然後導入這個預防保健健康促進等等這些整合的照護啦所以它明顯的可以降低這個迷病率住院率這些重症的發生\n\n07:24.015 --> 07:45.674\n這個在偏遠地區其實是很好的模式因為畢竟就醫比較遠他是把家裡的資料等於是建立家裡的資料要建立家戶資料他的重點在建立家戶資料一般IDS是有團隊去然後你有需要來看病的就來看那他這個不一樣那這個有點就是類似把你們的病史啊幹嘛全部就是把它做資料對要把那個家戶資料整理起來\n\n07:48.356 --> 08:04.130\n醫療的一個概念其實這個我認為在全國來推動的時候是不是也能夠節省我們健保的支出因為其實很多吃了這個藥不行然後又換了一家醫院每一次去重複對病人也好\n\n08:05.330 --> 08:26.862\n對我們政府的健保的負擔也好都不是一個好的事情這是我們常看到的就是說有些人吃了過敏有些人吃了身體不適或者是各年會產生比如說有一些藥會產生副作用等等的這些都是一個我認為是個人的醫療浪費的一個非常大的一個漏洞\n\n08:27.862 --> 08:53.022\n那我們今年其實也在西部這邊的幾個山地鄉比較偏遠地區也有擴大事辦像北區就是在桃園復興鄉我現在看到你那個圖就是我看到就是我們原民的這個對不對原民部落嘛所以我剛剛會講泰安的原因就在這裡啦那你希望說其實有很多地方真的也需要這個這樣的一個照顧好不好好謝謝\n\n08:55.544 --> 09:11.401\n那再來問一個就比較短一點那個我們加熱鹽上市就是我們煙害防治法在112年3月公佈實施那審查已經兩年了那我們審查這個結果這個知識沒有結果是什麼原因\n\n09:14.614 --> 09:33.590\n我想我們非常注意到這個審查的進度我想國建署這邊真的都是按照時程其實常常要補資料然後又有一個時程所以有很多溝通我希望啦現在還沒有完全到最後決定的我希望啦就是說\n\n09:34.190 --> 09:54.928\n根據國際研究指出青少年使用加熱菸的盛行率是成年人的兩倍並且有將近九成的年輕吸菸者他第一次接觸都是這種加味菸品當然我認為說我們要開放當然我希望我們衛福部這邊的配套能夠把它準備得更完善一些\n\n09:55.689 --> 10:15.682\n因為現在加熱菸還沒上市,我看到電子菸的器具、工具現在滿街都是啊,它現在不是違法嗎?沒有人取締啊?有有有,我們非常熱爭起立我怎麼沒看到咧?沒有聽到?起立的成果可不可以報告一下?\n\n10:19.054 --> 10:33.790\n跟委員報告一下有關於這個煙害防治法3月22號上路之後那我們目前對於電子煙跟違法加熱煙的稽查取締的部分不管是中央跨部會跟地方都合力在做這一塊的執法\n\n10:35.111 --> 10:48.587\n那目前截至114年這個1月截止大概裁罰的件數大概有4500多件裁罰金有大概4.5億那我們中央也會定期再召開這個跨部會的這個查緝的相關\n\n10:50.549 --> 11:03.955\n那我跟你講,加熱菸如果未來核准上市,我想該有的教育宣導跟我們的管理機制,我想大家吳衛福部這邊要盡快的來擬定。不要讓這個事情變成影響公共健康的一個問題。\n\n","segments":[{"start":5.979,"end":8.581,"text":"主席好 我們一樣請邱部長來 請部長委員長部長好"},{"start":14.966,"end":42.437,"text":"那還是同樣的話題就是我們病人自主這個權利法那麼我看到我們這個法案我們兩個有三個法案是兩個執政黨的我們的委員的版本那看到現在我沒有看到正院版那我看到衛福部的報告幾乎是對於主要條文都保留或者是反對那最後結論建議維持原條文我想請問一下部長為什麼衛福部不同意修法"},{"start":45.885,"end":67.609,"text":"我想這個修法我們是用開放的態度啦但是基本上從以前修法的立法的整個過程當中我們覺得可能有很多更重要的事情是不是比修法更重要那個政府一直在做那修法的部分我是覺得我們是用"},{"start":69.137,"end":89.378,"text":"開放的心胸來討論今天的會議是我們召委安排的我想這件事情應該是很多人的心聲我想召委也等不及了那我當然知道衛福部是很慎重那這個部分你還要凝聚多久多久才可以提出我們政院的版本還是都不提了"},{"start":95.666,"end":122.175,"text":"因為這個是已經有立法了嘛那針對針對大家的一些意見然後是臨床上的一些可能需要調整的我也感謝委員提出了我覺得大家開放來討論這個事情是比較好的開放來討論對然後因為武漢病毒法上路五年只有10.3萬人在簽署那比例只有0.45%那真正的執行率會更低"},{"start":123.274,"end":146.946,"text":"然後當然這是修法的原因就是因為我們覺得這個成效是沒有很理想那當然就是希望能夠調整嘛能夠調整讓更多的人更方便我覺得宣傳更重要應該很多人都不太清楚這個東西這個是事實當然還有一個費用的問題啦這也是這一次修法的一個重點那我想"},{"start":151.078,"end":172.051,"text":"今天審查的版本就是我們講的ACP的這個費用太高讓家屬的這個卻步那導致也是導致成效不彰的主因那改由政府負擔那部長認為這個部分會增加預算那請問部長那政府既然不願意負擔能不能那有沒有其他的辦法呢"},{"start":172.751,"end":193.892,"text":"好,我想我們報告委員,我們想逐步,剛剛健保署也有報告,從去年到未來的五月我們都會一直在討論如何如何來開放的確是有讓更多來參與,那是不是這樣子就可以解決我們更多人來那個從剛剛的幾位委員的報告裡面"},{"start":194.472,"end":207.896,"text":"恐怕我們要做更多我覺得這個是這樣啦就是當然這是人民的自由啦然後當然對於政府來講他是也可以減輕我們一些的負擔啦那當然我們尊重每個人的想法不過我覺得這個剛剛我講那個宣傳啊"},{"start":210.037,"end":232.591,"text":"因為真的確實不是很多人能夠了解到這一塊只是一些專業的人或者是有接觸到的才會知道那當然其實搞不好有些人有這個想法那我們當然不是鼓勵他們這樣這個當然是看個人意願不過我覺得這個是未來我們早晚都要面對的事情應該是來開放的用更開放的心態來去"},{"start":234.172,"end":260.575,"text":"這個面對這個事情好嗎是的好那部長那再來我們看到賴清德總統最近在2025年健康台灣全國論壇裡面提出健保的改革想法那他特別提到我們花蓮秀林鄉論人記仇的計畫成功他希望來擴大辦理那部長你這邊也跟進將在花蓮台東擴大辦理這方向是確定的嗎跟委員報告因為"},{"start":261.936,"end":272.065,"text":"那個花蓮秀林鄉他其實他的名字不叫做論人記者媒體都一直寫論人記者我想這個先修正一下因為要達到論人記者這個部分"},{"start":274.025,"end":292.906,"text":"不是不行而是要有很多的配套措施我們以前大概十年前也曾經在台灣七個地方來做有成功有但是當時因為專診制度沒有做好家庭醫師制度也沒有建立所以的確比較多需要配套但是在秀園鄉這個有一點"},{"start":294.707,"end":309.987,"text":"IDS的味道 等一下請署長會補充那我們覺得說他成功 為什麼他成功因為他的 不管是流感的注射率 預防保健的預防真的打啦 或者是篩檢都比其他地方還高"},{"start":310.948,"end":328.5,"text":"那就是要不要有一個醫院 請派人去教育 去做整個前人的照顧那像這樣的模式 就有健康促進的成分在裡面那我想總統很希望真的能夠健康促進有47個地方嘛我的意思是說 為什麼只選電華臨台東來擴大辦理的意思"},{"start":338.283,"end":356.01,"text":"我想我們一步一步來啦那既然發展台東也許他的區域是不是比較因為後面沒有像台北醫療資源你像我們苗栗他泰安其實人口也不多他也是偏鄉啦那我認為當然其實這個"},{"start":358.011,"end":374.707,"text":"你們號稱不會增加健保的支出嘛當然我們這個IDS這個做調查比如說我們個人的病史飲食習慣等等就是我們未來要想要推動的一個叫這個精準醫療的部分嘛對不對不好意思我先補充一下"},{"start":376.849,"end":395.024,"text":"花蓮秀芸香這個齁,其實它也不叫做一般的IDS啦齁它叫做前人、前家、前社、社區的一個整合照顧的一個這一個是世界的趨勢,所以能夠在秀芸香做,我相信它是未來是我們一個典範那這個如果能夠放到各個地方去,我們樂觀其成齁"},{"start":397.026,"end":421.83,"text":"那當然如果只有在秀恩鄉也太可惜了啦因為他畢竟我們是希望這是我覺得不錯的一個政策啦那當然我們希望說我們西班部這邊也有很多偏鄉其實交通也非常不方便而且資源也非常的少那這部分我希望我們衛福部能夠盡快再納入好不好那個簡單那個署長回報一下"},{"start":422.25,"end":443.255,"text":"跟邱委員報告就是說它跟IDS不同是IDS是以醫療為主那這個全人全社區整合照護計畫呢它是以家戶做單位然後導入這個預防保健健康促進等等這些整合的照護啦所以它明顯的可以降低這個迷病率住院率這些重症的發生"},{"start":444.015,"end":465.674,"text":"這個在偏遠地區其實是很好的模式因為畢竟就醫比較遠他是把家裡的資料 等於是建立家裡的資料要建立家戶資料 他的重點在建立家戶資料一般IDS是有團隊去然後你有需要來看病的就來看那他這個不一樣那這個有點就是類似把你們的病史啊幹嘛全部就是把它做資料對要把那個家戶資料整理起來"},{"start":468.356,"end":484.13,"text":"醫療的一個概念其實這個我認為在全國來推動的時候是不是也能夠節省我們健保的支出因為其實很多吃了這個藥不行然後又換了一家醫院每一次去重複對病人也好"},{"start":485.33,"end":506.862,"text":"對我們政府的健保的負擔也好 都不是一個好的事情這是我們常看到的就是說有些人吃了過敏 有些人吃了身體不適或者是各年會產生 比如說有一些藥會產生副作用等等的這些都是一個 我認為是個人的醫療浪費的一個非常大的一個漏洞"},{"start":507.862,"end":533.022,"text":"那我們今年其實也在西部這邊的幾個山地鄉比較偏遠地區也有擴大事辦像北區就是在桃園復興鄉我現在看到你那個圖就是我看到就是我們原民的這個對不對原民部落嘛所以我剛剛會講泰安的原因就在這裡啦那你希望說其實有很多地方真的也需要這個這樣的一個照顧好不好好謝謝"},{"start":535.544,"end":551.401,"text":"那再來問一個就比較短一點那個我們加熱鹽上市就是我們煙害防治法在112年3月公佈實施那審查已經兩年了那我們審查這個結果這個知識沒有結果是什麼原因"},{"start":554.614,"end":573.59,"text":"我想我們非常注意到這個審查的進度我想國建署這邊真的都是按照時程其實常常要補資料然後又有一個時程所以有很多溝通我希望啦現在還沒有完全到最後決定的我希望啦就是說"},{"start":574.19,"end":594.928,"text":"根據國際研究指出青少年使用加熱菸的盛行率是成年人的兩倍並且有將近九成的年輕吸菸者他第一次接觸都是這種加味菸品當然我認為說我們要開放當然我希望我們衛福部這邊的配套能夠把它準備得更完善一些"},{"start":595.689,"end":615.682,"text":"因為現在加熱菸還沒上市,我看到電子菸的器具、工具現在滿街都是啊,它現在不是違法嗎?沒有人取締啊?有有有,我們非常熱爭起立我怎麼沒看到咧?沒有聽到?起立的成果可不可以報告一下?"},{"start":619.054,"end":633.79,"text":"跟委員報告一下有關於這個煙害防治法3月22號上路之後那我們目前對於電子煙跟違法加熱煙的稽查取締的部分不管是中央跨部會跟地方都合力在做這一塊的執法"},{"start":635.111,"end":648.587,"text":"那目前截至114年這個1月截止大概裁罰的件數大概有4500多件裁罰金有大概4.5億那我們中央也會定期再召開這個跨部會的這個查緝的相關"},{"start":650.549,"end":663.955,"text":"那我跟你講,加熱菸如果未來核准上市,我想該有的教育宣導跟我們的管理機制,我想大家吳衛福部這邊要盡快的來擬定。不要讓這個事情變成影響公共健康的一個問題。"}]}}},"gazette":{"lineno":236,"blocks":[["邱委員鎮軍：（10時2分）主席好，一樣請邱部長。"],["主席：請部長。"],["邱部長泰源：委員早。"],["邱委員鎮軍：好，部長好。還是同樣的話題，就是病人自主權利法，我看到有3個法案是2個執政黨委員的版本，看到現在我沒有看到政院版，我看到衛福部的報告幾乎是對主要條文都保留或者是反對，最後結論建議維持原條文，我想請問一下部長，為什麼衛福部不同意修法？"],["邱部長泰源：這個修法我們是用開放的態度，但是基本上，從以前修法的過程當中，我覺得有很多事情比修法更重要，那個政府一直在做。修法的部分，我們是用開放的心胸討論、研議。"],["邱委員鎮軍：今天的會議是召委安排的，這件事情應該是很多人的心聲，我想召委也等不及，我當然知道衛福部很慎重，這個部分你還要凝聚多久？多久才可以提出政院的版本？還是都不提了？"],["邱部長泰源：這個是已經有立法，針對大家的意見然後臨床上一些可能需要調整的，我也感謝委員提出了很多……"],["邱委員鎮軍：對啊，我覺得大家開放來討論這個事情是比較好的。"],["邱部長泰源：開放討論。"],["邱委員鎮軍：我看病主法上路5年只有10.3萬人簽署，比率只有0.45%，真正的執行率會更低，這是修法的緣由，我們覺得這個成效沒有很理想，當然就是希望能夠調整讓更多的人更方便，我覺得宣傳更重要，應該很多人都不太清楚這個東西……"],["邱部長泰源：是。"],["邱委員鎮軍：這個是事實，當然還有一個費用的問題其實也是這一次修法的重點。今天審查的版本就是我們講ACP的費用太高讓家屬卻步，也是導致成效不彰的主因，改由政府負擔部長認為這個部分會增加預算。請問部長，政府既然不願意負擔，有沒有其他的辦法？"],["邱部長泰源：報告委員，我們想逐步，剛剛健保署也有報告，從去年到未來的5月，我們都會一直討論如何開放，的確是有讓更多人來參與，是不是這樣子就會解決讓更多人來？從剛剛的幾位委員的報告裡面，恐怕我們要做更多的事情。"],["邱委員鎮軍：我覺得這個是人民的自由，對政府來講也可以減輕一些負擔，當然我們尊重每個人的想法，不過剛剛我講的宣傳，真的確實不是很多人能了解到這一塊，只有一些專業人士或者是有接觸到才會知道，其實搞不好有些人有這個想法，我們當然不是鼓勵他們，這個是看個人意願，不過我覺得這個是未來早晚都要面對的事情，應該用更開放的心態來面對，好嗎？"],["邱部長泰源：是的、是的。"],["邱委員鎮軍：好，部長再來，我們看到賴清德總統最近在2025年健康台灣全國論壇裡面，提出健保的改革想法，他特別提到花蓮秀林鄉論人計酬的計畫成功，他希望擴大辦理，部長也跟進，將在花蓮、臺東擴大辦理，這個方向是確定的嗎？"],["邱部長泰源：跟委員報告，花蓮秀林鄉它的名稱其實不叫論人計酬，媒體都一直寫論人計酬，我想先修正一下。要達到論人計酬不是不行，而是要有很多的配套措施，我們大概十年前也曾經在臺灣7個地方做，有成功但是當時因為轉診制度沒有做好，家庭醫師制度也沒有建立，所以的確比較需要配套。在秀林鄉這個有一點IDS的味道，等一下請署長補充。我們覺得成功是因為它的流感的注射率、預防保健的打預防針或者是篩檢，都比其他地方還高，後面有一個醫院肯派人去教育、去做整個全人的照顧，像這樣的模式就有健康促進的成分在裡面，我想總統很希望真的能夠促進健康。"],["邱委員鎮軍：對啦！有47個地方嘛！"],["邱部長泰源：是。"],["邱委員鎮軍：我的意思是，為什麼只選定花蓮、臺東擴大辦理？"],["邱部長泰源：我們是一步一步來，也許花蓮、臺東的區域沒有像臺北醫療資源……"],["邱委員鎮軍：像我們苗栗泰安人口不多，它也是偏鄉，你們號稱不會增加健保支出，當然這個IDS調查，比如個人的病史、飲食習慣等等，就是我們未來想要推動的一個叫精準醫療的部分，對不對？"],["邱部長泰源：不好意思，委員，我先補充一下，花蓮秀林鄉這個其實也不是一般的IDS，它叫做全人全社區整合照護計畫，這是世界趨勢，所以先在秀林鄉做，希望未來可以建立典範，這個如果能夠放到各個地方去，我們當然樂觀其成，因為如果只有在秀林鄉就太可惜了，因為它畢竟……"],["邱委員鎮軍：我覺得這是不錯的政策，而我們西半部這邊也有很多偏鄉，交通非常不方便，資源也非常少，這部分我希望衛福部能夠儘快納入，好不好？"],["邱部長泰源：好，委員，我請署長簡單回報一下。"],["石署長崇良：跟邱委員報告，它跟IDS不同，IDS主要是以醫療為主，而這個全人全社區整合照護計畫是以家戶為單位，導入預防保健、健康促進等這些整合照護，所以它很明顯可以降低罹病率、住院率等重症的發生，這個在偏遠地區其實是很好的模式，畢竟那裡就醫比較遠……"],["邱委員鎮軍：但是把家裡的這種資料……等於是建立家裡的資料……"],["石署長崇良：對，要建立家戶資料，它的重點在建立家戶資料，一般IDS是有團隊去，你有需要看病就來看病，這個不一樣……"],["邱委員鎮軍：這個是有點類似把病史什麼的全部資料都把它……"],["石署長崇良：對，對，把家戶資料建立起來。"],["邱委員鎮軍：也就是我們講的，未來精準醫療的一個概念，對不對？"],["石署長崇良：對，對，未來就可以……"],["邱委員鎮軍：這個如果在全國推動，是不是也能夠節省健保支出？因為有很多人是吃了這個藥不行，然後又換一家醫院，每一次都重複看病，這不管是對病人或是對政府的健保負擔，都不是一個好的事情，這種情形是我們常看到的，也就是有些人吃了藥過敏，有些人吃了身體不適或者更嚴重，比如有些藥會產生副作用等等，我認為這些都是個人醫療浪費的一個非常大漏洞。"],["石署長崇良：是，其實我們今年也在西部幾個山地鄉、偏遠地區擴大試辦，像北區就在桃園復興鄉……"],["邱委員鎮軍：我看到你們的那個圖，都是原民部落，對不對？"],["石署長崇良：對、對，是原民部落。"],["邱委員鎮軍：所以我剛才會提到泰安的原因就在這裡，其實很多地方真的也需要這樣的照顧，好不好？"],["石署長崇良：我們來進一步評估。"],["邱委員鎮軍：好，謝謝。再來問一個問題，有關加熱菸上市問題，菸害防制法在112年3月公布實施，而加熱菸的審查已經兩年了，卻遲遲沒有結果，是什麼原因？"],["邱部長泰源：我們非常注意審查的進度，我想國健署這邊真的都有按照時程，但因為常常要補資料，所以又多了一個時程，然後又需要很多溝通，現在是還沒有完全到最後決定的……"],["邱委員鎮軍：根據國際研究指出，青少年使用加熱菸的盛行率是成年人的兩倍，並且有將近九成的年輕吸菸者，第一次接觸的就是這種加熱菸品，當然，如果我們要開放，希望衛福部的配套能夠準備得更完善，因為現在加熱菸還沒有上市，但我看到電子煙的器具、工具滿街都是，它現在不是違法嗎？"],["邱部長泰源：對啊！違法。"],["邱委員鎮軍：沒有人取締啊！"],["邱部長泰源：有，有。"],["邱委員鎮軍：有嗎？有在抓嗎？"],["邱部長泰源：我們非常認真取締。"],["邱委員鎮軍：我怎麼沒看到、沒聽到有取締成果？有抓到罰多少錢？"],["邱部長泰源：取締的成果，請組長報告一下。"],["羅組長素英：跟委員報告，菸害防制法3月22號上路之後，目前我們對於電子煙跟違法加熱菸的稽查取締部分，不管是中央跨部會或是地方都合力在做這一塊的執法，截至114年1月止，裁罰的件數大概有四千五百多件，裁罰金額約4.5億，中央也會定期召開跨部會查緝的相關會議。"],["邱委員鎮軍：好，我跟你講，未來加熱菸如果核准上市，相關的教育宣導和管理機制，希望衛福部這邊要儘快擬定，好不好？"],["邱部長泰源：是。"],["邱委員鎮軍：不要讓這個事情變成影響公共健康的一個問題，好不好？謝謝。"],["邱部長泰源：是，是，謝謝。"],["主席：好，謝謝委員、謝謝部長。主席在這邊宣告：莊瑞雄委員詢答結束之後，休息10分鐘。","接下來請王育敏委員做詢答，如果委員要加提案說明，就一起進行，我們會增加時間，這個剛剛已經有宣布，謝謝。"]],"agenda":{"page_end":422,"meet_id":"委員會-11-3-26-9","speakers":["劉建國","陳昭姿","林月琴","蘇清泉","邱鎮軍","王育敏","楊瓊瓔","莊瑞雄","廖偉翔","林淑芬","黃秀芳","王正旭","陳培瑜","楊曜","陳瑩","涂權吉","陳菁徽"],"page_start":359,"meetingDate":["2025-05-01"],"gazette_id":"1144501","agenda_lcidc_ids":["1144501_00008"],"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9次全體委員會議紀錄","content":"審查：一、委員王育敏等18人擬具「病人自主權利法部分條文修正草案」案；二、委員劉建國等\n16人擬具「病人自主權利法部分條文修正草案」案；三、委員邱志偉等19人擬具「病人自主權利\n法第八條、第九條及第十五條條文修正草案」案【僅詢答】","agenda_id":"1144501_00007"}}}