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00:00:59,167\n的諮商的過程當中患者跟家人深度的去溝通那經由醫護人員給予專業的意見在家人及親友的見證下完成預立醫療的這個決定那病人有權利決定人生最後的醫療處置避免讓自己不可逆昏迷或者成為永久的這個植物人但是我們看到就是說病人自主法\n\n3\n00:01:00,127 --> 00:01:16,246\n自主權利法上路了5年之後呢迄今約大概僅有10萬人簽署那簽署率大概是0.45%那簽署率就已經這麼低了在簽署之後會去執行的一定會更低一定會更低\n\n4\n00:01:18,328 --> 00:01:32,113\n在這樣的一個情況之下本席想要請教部長也就是說我們看到目前的障礙許多的民眾還有很多人根本不知道什麼是律例醫療的一個決定\n\n5\n00:01:34,053 --> 00:01:59,608\n那第二個就是說甚至有一些年輕的朋友他知道但是我們的民風比較保守年輕的朋友他也不敢給長輩講也不敢給長輩講這也是因素之一那所以在整個生死話題當中因為我們比較保守他會視為一個禁忌那請問政府你剛剛頻頻點頭就是說我說是還有很多人不知道\n\n6\n00:02:00,528 --> 00:02:18,985\n這個法令那你們要怎麼樣去宣傳讓病人他了解自己擁有的一個尊嚴善終的一個權利請做說明好謝謝委員的關心我想這個是非常重要的一個討論的議題那這個部分其實\n\n7\n00:02:20,442 --> 00:02:34,859\n醫事師有做相當深入的研究等一下簡單報告那您委員提到說我們的文化的確是你也很了解我們民眾我在30多年前在日本NAND研究所的時候我就是做這方面的研究\n\n8\n00:02:35,748 --> 00:02:51,546\n那其實當時的結論就是我們台東方人跟俄美人不太一樣俄美人都用尖叫的啦嚇到來啦我們台灣人喔北部他就給我們嚇黑啦用講的就好一個眼神可能就是齁但是這樣子也造成的確臨床上\n\n9\n00:02:52,347 --> 00:03:14,323\n最後的選擇哇算很不容易您也說在這方面非常專精但是每一個國家的樣態不一樣特別提出我們的民風所以也針對這些的問題點就是面向點那我們要怎麼樣去做既然一個法通過當然我們希望能夠執行之\n\n10\n00:03:16,164 --> 00:03:35,780\n人民來自己來選擇但是如果說我們一個法通過連民眾都不知道那政府有責任喔來請做說明我們要怎麼樣宣導讓人民可以知道好那宣導絕對是要做的那至於說他的原因就是說先時率比較低的原因一絲絲有一直做研究可不可以簡單請他講一下好請做說明劉市長\n\n11\n00:03:37,177 --> 00:04:01,791\n我先簡單講一下其實兩大原因一個是民眾的認知就誠如剛剛委員講的另外一塊是費用然後民眾認知部分的話其實在做宣導的部分我們大概第一件事情其實也歡迎現場的立委就是說我們的1月1月是病主日然後6月是我們的棄捐然後10月是病安寧所以我們大概就是跟那個病\n\n12\n00:04:02,691 --> 00:04:26,511\n契捐病毒中心這邊合作也就是說每一年其實在1月6月10月的時候會有帶狀的一個宣導活動這是第一點要跟你討論的是部長還在這裡目前我們所做的步驟就是如此但是他的答案是不盡理想所以部長我再請部長部長就這個宣導的方式你們去研擬\n\n13\n00:04:27,392 --> 00:04:41,650\n什麼樣的方式不要我們回我們質詢的時候你就依照目前所做本期已經告訴你目前你所做的方法已經達不到你所預估的成效所以你們有精進的空間嘛好不好好好去討論第二個議題市長剛才說的有就是費用問題是資商\n\n14\n00:04:46,035 --> 00:05:14,293\n諮商是病人自主權利法的一個最重要的核心是不是所以在這樣的一個情況之下那麼諮商的費用那到底要怎麼處理有委員提案是希望由公家來處理剛剛在討論說這個經費我們似乎要循序漸進開放的態度請教部長你的看法好我們就逐步逐步漸進嘛你現在逐步你預計要怎麼做\n\n15\n00:05:16,175 --> 00:05:45,915\n你逐步預計要怎麼做我們一直在開從去年7月開放然後5月又會開放比較更多的人你預計5月份再開放什麼呢就有180萬個人是是沒關係我本期也贊同循序漸進要迎合我們的預算而且還要有社會的面向那你認為你在5月今天就5月1號了嘛那你預計你5月份你會再繼續怎麼做呢請做說明\n\n16\n00:05:48,397 --> 00:06:09,131\n市長請回答沒關係細節部分細節部分的話就是我們健保署這邊的話會開放連同門診有包括失智類似像這樣有65歲以上的病人其實是可以接受這樣子的一個諮商服務是由健保這邊會做一個處理我們的設定點是在65歲以上嘛失智\n\n17\n00:06:11,292 --> 00:06:36,126\n有重大傷病它其實有五大類的一個重大傷病嘛對有五大類的疾病就六十五歲以上從五月份開始是嗎本期就是希望部長本期希望說我們讓社會大眾會知道政府到底在做什麼那民眾有什麼樣的權益我們循序漸進都OK那主要的是讓病人他能夠非常的有尊嚴這是大家共同的一個目標嘛\n\n18\n00:06:38,627 --> 00:07:06,543\n接下來最後一個議題本期跟你討論今天是5月1號那麼台大醫院工會前天發出的聲明那個部長你有了解到這個問題嗎因為他說院方日前針對於勞動節進行出勤的調查他只有兩個選項一個選項是同意到院工作但是選擇移到國定假日第二個選項是同意到院方工作但是以加班的方式來\n\n19\n00:07:08,263 --> 00:07:27,732\n但是沒有依照勞基法明文規定依法休假一日當天不到院工作這是工會所提出的您知道這個事情嗎?報告員我了解而且台大的回應是說他這個表單是針對來上班的人讓他選擇是要用補假的方式或者是加班\n\n20\n00:07:29,032 --> 00:07:46,560\n會的方式來處理這是台大醫院的回應當然我們會去進一步的了解一定要了解清楚因為公會非常清楚的就是說兩個選項沒有第三項依法的選項那是已經來上班的人那是已經來上班那誰敢不來上班呢\n\n21\n00:07:47,558 --> 00:08:03,912\n當然以權利來講他是可以不來上班啊以權利來講可以不來上班這個有錄音錄影部長這是您說的更是部長我們還是要好好的去溝通因為我們知道這個問題的重點是在於\n\n22\n00:08:05,533 --> 00:08:27,040\n醫護人員的休假的權益怎麼樣去增補人力增列津貼這才是真正的要解決醫護人力不足的問題本市當然不希望我們的工會跟院方大家有所爭執這樣子對病人也不好我們希望達到三全其美但是你必須要好好的去照顧這些醫護人員\n\n23\n00:08:28,761 --> 00:08:54,616\n當然當然所以我也希望你詳細去給他查清楚因為公會既然提出了這樣的方向又在今天的五一勞動節我們也希望可以讓我們的勞工大家可以快樂嘛好好的來工作嘛這是在醫院裡面也是你非常重要的一個面向嘛好你去查清楚然後給本席說明資料好的好的我會請台大再說明清楚好謝謝好謝謝恩維謝謝部長\n\n","tsv":"start\tend\ttext\n8365\t10807\t今天這個議題我們從2019年實施病人自主權利法是亞洲第一部保障病人自主權利的一個法律那當然透過了預例醫療照護的諮詢\n33627\t59167\t的諮商的過程當中患者跟家人深度的去溝通那經由醫護人員給予專業的意見在家人及親友的見證下完成預立醫療的這個決定那病人有權利決定人生最後的醫療處置避免讓自己不可逆昏迷或者成為永久的這個植物人但是我們看到就是說病人自主法\n60127\t76246\t自主權利法上路了5年之後呢 迄今約大概僅有10萬人簽署那簽署率大概是0.45%那簽署率就已經這麼低了 在簽署之後會去執行的一定會更低一定會更低\n78328\t92113\t在這樣的一個情況之下本席想要請教部長也就是說我們看到目前的障礙許多的民眾還有很多人根本不知道什麼是律例醫療的一個決定\n94053\t119608\t那第二個就是說甚至有一些年輕的朋友他知道但是我們的民風比較保守年輕的朋友他也不敢給長輩講也不敢給長輩講這也是因素之一那所以在整個生死話題當中因為我們比較保守他會視為一個禁忌那請問政府你剛剛頻頻點頭就是說我說是還有很多人不知道\n120528\t138985\t這個法令那你們要怎麼樣去宣傳讓病人他了解自己擁有的一個尊嚴善終的一個權利請做說明好 謝謝委員的關心我想這個是非常重要的一個討論的議題那這個部分其實\n140442\t154859\t醫事師有做相當深入的研究 等一下簡單報告那您委員提到說我們的文化的確是你也很了解我們民眾我在30多年前在日本NAND研究所的時候我就是做這方面的研究\n155748\t171546\t那其實當時的結論就是我們台東方人跟俄美人不太一樣 俄美人都用尖叫的啦嚇到來啦我們台灣人喔 北部他就給我們嚇黑啦用講的就好 一個眼神可能就是齁但是這樣子也造成的確臨床上\n172347\t194323\t最後的選擇 哇 算很不容易您也說在這方面非常專精但是每一個國家的樣態不一樣特別提出我們的民風所以也針對這些的問題點就是面向點那我們要怎麼樣去做既然一個法通過當然我們希望能夠執行之\n196164\t215780\t人民來自己來選擇但是如果說我們一個法通過連民眾都不知道那政府有責任喔來請做說明我們要怎麼樣宣導讓人民可以知道好 那宣導絕對是要做的那至於說他的原因就是說先時率比較低的原因一絲絲有一直做研究可不可以簡單請他講一下好 請做說明劉市長\n217177\t241791\t我先簡單講一下其實兩大原因一個是民眾的認知就誠如剛剛委員講的另外一塊是費用然後民眾認知部分的話其實在做宣導的部分我們大概第一件事情其實也歡迎現場的立委就是說我們的1月1月是病主日然後6月是我們的棄捐然後10月是病安寧所以我們大概就是跟那個病\n242691\t266511\t契捐病毒中心這邊合作也就是說每一年其實在1月6月10月的時候會有帶狀的一個宣導活動 這是第一點要跟你討論的是部長還在這裡目前我們所做的步驟就是如此但是他的答案是不盡理想所以部長我再請部長部長就這個宣導的方式你們去研擬\n267392\t281650\t什麼樣的方式不要我們回我們質詢的時候你就依照目前所做本期已經告訴你目前你所做的方法已經達不到你所預估的成效所以你們有精進的空間嘛好不好好好去討論第二個議題市長剛才說的有就是費用問題是資商\n286035\t314293\t諮商是病人自主權利法的一個最重要的核心是不是所以在這樣的一個情況之下那麼諮商的費用那到底要怎麼處理有委員提案是希望由公家來處理剛剛在討論說這個經費我們似乎要循序漸進開放的態度請教部長你的看法好我們就逐步逐步漸進嘛你現在逐步你預計要怎麼做\n316175\t345915\t你逐步預計要怎麼做我們一直在開 從去年7月開放然後5月又會開放比較更多的人你預計5月份再開放什麼呢就有180萬個人是是 沒關係我本期也贊同循序漸進要迎合我們的預算而且還要有社會的面向那你認為你在5月今天就5月1號了嘛那你預計你5月份你會再繼續怎麼做呢請做說明\n348397\t369131\t市長請回答沒關係 細節部分細節部分的話就是我們健保署這邊的話會開放連同門診有包括失智類似像這樣有65歲以上的病人其實是可以接受這樣子的一個諮商服務是由健保這邊會做一個處理我們的設定點是在65歲以上嘛失智\n371292\t396126\t有重大傷病 它其實有五大類的一個重大傷病嘛 對 有五大類的疾病就六十五歲以上 從五月份開始 是嗎本期就是希望部長 本期希望說我們讓社會大眾會知道政府到底在做什麼那民眾有什麼樣的權益我們循序漸進都OK那主要的是讓病人他能夠非常的有尊嚴這是大家共同的一個目標嘛\n398627\t426543\t接下來最後一個議題本期跟你討論今天是5月1號那麼台大醫院工會前天發出的聲明那個部長你有了解到這個問題嗎因為他說院方日前針對於勞動節進行出勤的調查他只有兩個選項一個選項是同意到院工作但是選擇移到國定假日第二個選項是同意到院方工作但是以加班的方式來\n428263\t447732\t但是沒有依照勞基法明文規定依法休假一日當天不到院工作這是工會所提出的您知道這個事情嗎?報告員我了解而且台大的回應是說他這個表單是針對來上班的人讓他選擇是要用補假的方式或者是加班\n449032\t466560\t會的方式來處理這是台大醫院的回應當然我們會去進一步的了解一定要了解清楚因為公會非常清楚的就是說兩個選項沒有第三項依法的選項那是已經來上班的人那是已經來上班那誰敢不來上班呢\n467558\t483912\t當然以權利來講他是可以不來上班啊以權利來講可以不來上班 這個有錄音錄影部長這是您說的更是 部長我們還是要好好的去溝通因為我們知道這個問題的重點是在於\n485533\t507040\t醫護人員的休假的權益 怎麼樣去增補人力 增列津貼這才是真正的要解決醫護人力不足的問題 本市當然不希望我們的工會跟院方大家有所爭執這樣子對病人也不好我們希望達到三全其美 但是你必須要好好的去照顧這些醫護人員\n508761\t534616\t當然當然所以我也希望你詳細去給他查清楚因為公會既然提出了這樣的方向又在今天的五一勞動節我們也希望可以讓我們的勞工大家可以快樂嘛好好的來工作嘛這是在醫院裡面也是你非常重要的一個面向嘛好你去查清楚然後給本席說明資料好的好的我會請台大再說明清楚好謝謝好謝謝恩維謝謝部長\n","txt":"今天這個議題我們從2019年實施病人自主權利法是亞洲第一部保障病人自主權利的一個法律那當然透過了預例醫療照護的諮詢\n的諮商的過程當中患者跟家人深度的去溝通那經由醫護人員給予專業的意見在家人及親友的見證下完成預立醫療的這個決定那病人有權利決定人生最後的醫療處置避免讓自己不可逆昏迷或者成為永久的這個植物人但是我們看到就是說病人自主法\n自主權利法上路了5年之後呢 迄今約大概僅有10萬人簽署那簽署率大概是0.45%那簽署率就已經這麼低了 在簽署之後會去執行的一定會更低一定會更低\n在這樣的一個情況之下本席想要請教部長也就是說我們看到目前的障礙許多的民眾還有很多人根本不知道什麼是律例醫療的一個決定\n那第二個就是說甚至有一些年輕的朋友他知道但是我們的民風比較保守年輕的朋友他也不敢給長輩講也不敢給長輩講這也是因素之一那所以在整個生死話題當中因為我們比較保守他會視為一個禁忌那請問政府你剛剛頻頻點頭就是說我說是還有很多人不知道\n這個法令那你們要怎麼樣去宣傳讓病人他了解自己擁有的一個尊嚴善終的一個權利請做說明好 謝謝委員的關心我想這個是非常重要的一個討論的議題那這個部分其實\n醫事師有做相當深入的研究 等一下簡單報告那您委員提到說我們的文化的確是你也很了解我們民眾我在30多年前在日本NAND研究所的時候我就是做這方面的研究\n那其實當時的結論就是我們台東方人跟俄美人不太一樣 俄美人都用尖叫的啦嚇到來啦我們台灣人喔 北部他就給我們嚇黑啦用講的就好 一個眼神可能就是齁但是這樣子也造成的確臨床上\n最後的選擇 哇 算很不容易您也說在這方面非常專精但是每一個國家的樣態不一樣特別提出我們的民風所以也針對這些的問題點就是面向點那我們要怎麼樣去做既然一個法通過當然我們希望能夠執行之\n人民來自己來選擇但是如果說我們一個法通過連民眾都不知道那政府有責任喔來請做說明我們要怎麼樣宣導讓人民可以知道好 那宣導絕對是要做的那至於說他的原因就是說先時率比較低的原因一絲絲有一直做研究可不可以簡單請他講一下好 請做說明劉市長\n我先簡單講一下其實兩大原因一個是民眾的認知就誠如剛剛委員講的另外一塊是費用然後民眾認知部分的話其實在做宣導的部分我們大概第一件事情其實也歡迎現場的立委就是說我們的1月1月是病主日然後6月是我們的棄捐然後10月是病安寧所以我們大概就是跟那個病\n契捐病毒中心這邊合作也就是說每一年其實在1月6月10月的時候會有帶狀的一個宣導活動 這是第一點要跟你討論的是部長還在這裡目前我們所做的步驟就是如此但是他的答案是不盡理想所以部長我再請部長部長就這個宣導的方式你們去研擬\n什麼樣的方式不要我們回我們質詢的時候你就依照目前所做本期已經告訴你目前你所做的方法已經達不到你所預估的成效所以你們有精進的空間嘛好不好好好去討論第二個議題市長剛才說的有就是費用問題是資商\n諮商是病人自主權利法的一個最重要的核心是不是所以在這樣的一個情況之下那麼諮商的費用那到底要怎麼處理有委員提案是希望由公家來處理剛剛在討論說這個經費我們似乎要循序漸進開放的態度請教部長你的看法好我們就逐步逐步漸進嘛你現在逐步你預計要怎麼做\n你逐步預計要怎麼做我們一直在開 從去年7月開放然後5月又會開放比較更多的人你預計5月份再開放什麼呢就有180萬個人是是 沒關係我本期也贊同循序漸進要迎合我們的預算而且還要有社會的面向那你認為你在5月今天就5月1號了嘛那你預計你5月份你會再繼續怎麼做呢請做說明\n市長請回答沒關係 細節部分細節部分的話就是我們健保署這邊的話會開放連同門診有包括失智類似像這樣有65歲以上的病人其實是可以接受這樣子的一個諮商服務是由健保這邊會做一個處理我們的設定點是在65歲以上嘛失智\n有重大傷病 它其實有五大類的一個重大傷病嘛 對 有五大類的疾病就六十五歲以上 從五月份開始 是嗎本期就是希望部長 本期希望說我們讓社會大眾會知道政府到底在做什麼那民眾有什麼樣的權益我們循序漸進都OK那主要的是讓病人他能夠非常的有尊嚴這是大家共同的一個目標嘛\n接下來最後一個議題本期跟你討論今天是5月1號那麼台大醫院工會前天發出的聲明那個部長你有了解到這個問題嗎因為他說院方日前針對於勞動節進行出勤的調查他只有兩個選項一個選項是同意到院工作但是選擇移到國定假日第二個選項是同意到院方工作但是以加班的方式來\n但是沒有依照勞基法明文規定依法休假一日當天不到院工作這是工會所提出的您知道這個事情嗎?報告員我了解而且台大的回應是說他這個表單是針對來上班的人讓他選擇是要用補假的方式或者是加班\n會的方式來處理這是台大醫院的回應當然我們會去進一步的了解一定要了解清楚因為公會非常清楚的就是說兩個選項沒有第三項依法的選項那是已經來上班的人那是已經來上班那誰敢不來上班呢\n當然以權利來講他是可以不來上班啊以權利來講可以不來上班 這個有錄音錄影部長這是您說的更是 部長我們還是要好好的去溝通因為我們知道這個問題的重點是在於\n醫護人員的休假的權益 怎麼樣去增補人力 增列津貼這才是真正的要解決醫護人力不足的問題 本市當然不希望我們的工會跟院方大家有所爭執這樣子對病人也不好我們希望達到三全其美 但是你必須要好好的去照顧這些醫護人員\n當然當然所以我也希望你詳細去給他查清楚因為公會既然提出了這樣的方向又在今天的五一勞動節我們也希望可以讓我們的勞工大家可以快樂嘛好好的來工作嘛這是在醫院裡面也是你非常重要的一個面向嘛好你去查清楚然後給本席說明資料好的好的我會請台大再說明清楚好謝謝好謝謝恩維謝謝部長\n","vtt":"WEBVTT\n\n00:08.365 --> 00:10.807\n今天這個議題我們從2019年實施病人自主權利法是亞洲第一部保障病人自主權利的一個法律那當然透過了預例醫療照護的諮詢\n\n00:33.627 --> 00:59.167\n的諮商的過程當中患者跟家人深度的去溝通那經由醫護人員給予專業的意見在家人及親友的見證下完成預立醫療的這個決定那病人有權利決定人生最後的醫療處置避免讓自己不可逆昏迷或者成為永久的這個植物人但是我們看到就是說病人自主法\n\n01:00.127 --> 01:16.246\n自主權利法上路了5年之後呢迄今約大概僅有10萬人簽署那簽署率大概是0.45%那簽署率就已經這麼低了在簽署之後會去執行的一定會更低一定會更低\n\n01:18.328 --> 01:32.113\n在這樣的一個情況之下本席想要請教部長也就是說我們看到目前的障礙許多的民眾還有很多人根本不知道什麼是律例醫療的一個決定\n\n01:34.053 --> 01:59.608\n那第二個就是說甚至有一些年輕的朋友他知道但是我們的民風比較保守年輕的朋友他也不敢給長輩講也不敢給長輩講這也是因素之一那所以在整個生死話題當中因為我們比較保守他會視為一個禁忌那請問政府你剛剛頻頻點頭就是說我說是還有很多人不知道\n\n02:00.528 --> 02:18.985\n這個法令那你們要怎麼樣去宣傳讓病人他了解自己擁有的一個尊嚴善終的一個權利請做說明好謝謝委員的關心我想這個是非常重要的一個討論的議題那這個部分其實\n\n02:20.442 --> 02:34.859\n醫事師有做相當深入的研究等一下簡單報告那您委員提到說我們的文化的確是你也很了解我們民眾我在30多年前在日本NAND研究所的時候我就是做這方面的研究\n\n02:35.748 --> 02:51.546\n那其實當時的結論就是我們台東方人跟俄美人不太一樣俄美人都用尖叫的啦嚇到來啦我們台灣人喔北部他就給我們嚇黑啦用講的就好一個眼神可能就是齁但是這樣子也造成的確臨床上\n\n02:52.347 --> 03:14.323\n最後的選擇哇算很不容易您也說在這方面非常專精但是每一個國家的樣態不一樣特別提出我們的民風所以也針對這些的問題點就是面向點那我們要怎麼樣去做既然一個法通過當然我們希望能夠執行之\n\n03:16.164 --> 03:35.780\n人民來自己來選擇但是如果說我們一個法通過連民眾都不知道那政府有責任喔來請做說明我們要怎麼樣宣導讓人民可以知道好那宣導絕對是要做的那至於說他的原因就是說先時率比較低的原因一絲絲有一直做研究可不可以簡單請他講一下好請做說明劉市長\n\n03:37.177 --> 04:01.791\n我先簡單講一下其實兩大原因一個是民眾的認知就誠如剛剛委員講的另外一塊是費用然後民眾認知部分的話其實在做宣導的部分我們大概第一件事情其實也歡迎現場的立委就是說我們的1月1月是病主日然後6月是我們的棄捐然後10月是病安寧所以我們大概就是跟那個病\n\n04:02.691 --> 04:26.511\n契捐病毒中心這邊合作也就是說每一年其實在1月6月10月的時候會有帶狀的一個宣導活動這是第一點要跟你討論的是部長還在這裡目前我們所做的步驟就是如此但是他的答案是不盡理想所以部長我再請部長部長就這個宣導的方式你們去研擬\n\n04:27.392 --> 04:41.650\n什麼樣的方式不要我們回我們質詢的時候你就依照目前所做本期已經告訴你目前你所做的方法已經達不到你所預估的成效所以你們有精進的空間嘛好不好好好去討論第二個議題市長剛才說的有就是費用問題是資商\n\n04:46.035 --> 05:14.293\n諮商是病人自主權利法的一個最重要的核心是不是所以在這樣的一個情況之下那麼諮商的費用那到底要怎麼處理有委員提案是希望由公家來處理剛剛在討論說這個經費我們似乎要循序漸進開放的態度請教部長你的看法好我們就逐步逐步漸進嘛你現在逐步你預計要怎麼做\n\n05:16.175 --> 05:45.915\n你逐步預計要怎麼做我們一直在開從去年7月開放然後5月又會開放比較更多的人你預計5月份再開放什麼呢就有180萬個人是是沒關係我本期也贊同循序漸進要迎合我們的預算而且還要有社會的面向那你認為你在5月今天就5月1號了嘛那你預計你5月份你會再繼續怎麼做呢請做說明\n\n05:48.397 --> 06:09.131\n市長請回答沒關係細節部分細節部分的話就是我們健保署這邊的話會開放連同門診有包括失智類似像這樣有65歲以上的病人其實是可以接受這樣子的一個諮商服務是由健保這邊會做一個處理我們的設定點是在65歲以上嘛失智\n\n06:11.292 --> 06:36.126\n有重大傷病它其實有五大類的一個重大傷病嘛對有五大類的疾病就六十五歲以上從五月份開始是嗎本期就是希望部長本期希望說我們讓社會大眾會知道政府到底在做什麼那民眾有什麼樣的權益我們循序漸進都OK那主要的是讓病人他能夠非常的有尊嚴這是大家共同的一個目標嘛\n\n06:38.627 --> 07:06.543\n接下來最後一個議題本期跟你討論今天是5月1號那麼台大醫院工會前天發出的聲明那個部長你有了解到這個問題嗎因為他說院方日前針對於勞動節進行出勤的調查他只有兩個選項一個選項是同意到院工作但是選擇移到國定假日第二個選項是同意到院方工作但是以加班的方式來\n\n07:08.263 --> 07:27.732\n但是沒有依照勞基法明文規定依法休假一日當天不到院工作這是工會所提出的您知道這個事情嗎?報告員我了解而且台大的回應是說他這個表單是針對來上班的人讓他選擇是要用補假的方式或者是加班\n\n07:29.032 --> 07:46.560\n會的方式來處理這是台大醫院的回應當然我們會去進一步的了解一定要了解清楚因為公會非常清楚的就是說兩個選項沒有第三項依法的選項那是已經來上班的人那是已經來上班那誰敢不來上班呢\n\n07:47.558 --> 08:03.912\n當然以權利來講他是可以不來上班啊以權利來講可以不來上班這個有錄音錄影部長這是您說的更是部長我們還是要好好的去溝通因為我們知道這個問題的重點是在於\n\n08:05.533 --> 08:27.040\n醫護人員的休假的權益怎麼樣去增補人力增列津貼這才是真正的要解決醫護人力不足的問題本市當然不希望我們的工會跟院方大家有所爭執這樣子對病人也不好我們希望達到三全其美但是你必須要好好的去照顧這些醫護人員\n\n08:28.761 --> 08:54.616\n當然當然所以我也希望你詳細去給他查清楚因為公會既然提出了這樣的方向又在今天的五一勞動節我們也希望可以讓我們的勞工大家可以快樂嘛好好的來工作嘛這是在醫院裡面也是你非常重要的一個面向嘛好你去查清楚然後給本席說明資料好的好的我會請台大再說明清楚好謝謝好謝謝恩維謝謝部長\n\n","segments":[{"start":8.365,"end":10.807,"text":"今天這個議題我們從2019年實施病人自主權利法是亞洲第一部保障病人自主權利的一個法律那當然透過了預例醫療照護的諮詢"},{"start":33.627,"end":59.167,"text":"的諮商的過程當中患者跟家人深度的去溝通那經由醫護人員給予專業的意見在家人及親友的見證下完成預立醫療的這個決定那病人有權利決定人生最後的醫療處置避免讓自己不可逆昏迷或者成為永久的這個植物人但是我們看到就是說病人自主法"},{"start":60.127,"end":76.246,"text":"自主權利法上路了5年之後呢 迄今約大概僅有10萬人簽署那簽署率大概是0.45%那簽署率就已經這麼低了 在簽署之後會去執行的一定會更低一定會更低"},{"start":78.328,"end":92.113,"text":"在這樣的一個情況之下本席想要請教部長也就是說我們看到目前的障礙許多的民眾還有很多人根本不知道什麼是律例醫療的一個決定"},{"start":94.053,"end":119.608,"text":"那第二個就是說甚至有一些年輕的朋友他知道但是我們的民風比較保守年輕的朋友他也不敢給長輩講也不敢給長輩講這也是因素之一那所以在整個生死話題當中因為我們比較保守他會視為一個禁忌那請問政府你剛剛頻頻點頭就是說我說是還有很多人不知道"},{"start":120.528,"end":138.985,"text":"這個法令那你們要怎麼樣去宣傳讓病人他了解自己擁有的一個尊嚴善終的一個權利請做說明好 謝謝委員的關心我想這個是非常重要的一個討論的議題那這個部分其實"},{"start":140.442,"end":154.859,"text":"醫事師有做相當深入的研究 等一下簡單報告那您委員提到說我們的文化的確是你也很了解我們民眾我在30多年前在日本NAND研究所的時候我就是做這方面的研究"},{"start":155.748,"end":171.546,"text":"那其實當時的結論就是我們台東方人跟俄美人不太一樣 俄美人都用尖叫的啦嚇到來啦我們台灣人喔 北部他就給我們嚇黑啦用講的就好 一個眼神可能就是齁但是這樣子也造成的確臨床上"},{"start":172.347,"end":194.323,"text":"最後的選擇 哇 算很不容易您也說在這方面非常專精但是每一個國家的樣態不一樣特別提出我們的民風所以也針對這些的問題點就是面向點那我們要怎麼樣去做既然一個法通過當然我們希望能夠執行之"},{"start":196.164,"end":215.78,"text":"人民來自己來選擇但是如果說我們一個法通過連民眾都不知道那政府有責任喔來請做說明我們要怎麼樣宣導讓人民可以知道好 那宣導絕對是要做的那至於說他的原因就是說先時率比較低的原因一絲絲有一直做研究可不可以簡單請他講一下好 請做說明劉市長"},{"start":217.177,"end":241.791,"text":"我先簡單講一下其實兩大原因一個是民眾的認知就誠如剛剛委員講的另外一塊是費用然後民眾認知部分的話其實在做宣導的部分我們大概第一件事情其實也歡迎現場的立委就是說我們的1月1月是病主日然後6月是我們的棄捐然後10月是病安寧所以我們大概就是跟那個病"},{"start":242.691,"end":266.511,"text":"契捐病毒中心這邊合作也就是說每一年其實在1月6月10月的時候會有帶狀的一個宣導活動 這是第一點要跟你討論的是部長還在這裡目前我們所做的步驟就是如此但是他的答案是不盡理想所以部長我再請部長部長就這個宣導的方式你們去研擬"},{"start":267.392,"end":281.65,"text":"什麼樣的方式不要我們回我們質詢的時候你就依照目前所做本期已經告訴你目前你所做的方法已經達不到你所預估的成效所以你們有精進的空間嘛好不好好好去討論第二個議題市長剛才說的有就是費用問題是資商"},{"start":286.035,"end":314.293,"text":"諮商是病人自主權利法的一個最重要的核心是不是所以在這樣的一個情況之下那麼諮商的費用那到底要怎麼處理有委員提案是希望由公家來處理剛剛在討論說這個經費我們似乎要循序漸進開放的態度請教部長你的看法好我們就逐步逐步漸進嘛你現在逐步你預計要怎麼做"},{"start":316.175,"end":345.915,"text":"你逐步預計要怎麼做我們一直在開 從去年7月開放然後5月又會開放比較更多的人你預計5月份再開放什麼呢就有180萬個人是是 沒關係我本期也贊同循序漸進要迎合我們的預算而且還要有社會的面向那你認為你在5月今天就5月1號了嘛那你預計你5月份你會再繼續怎麼做呢請做說明"},{"start":348.397,"end":369.131,"text":"市長請回答沒關係 細節部分細節部分的話就是我們健保署這邊的話會開放連同門診有包括失智類似像這樣有65歲以上的病人其實是可以接受這樣子的一個諮商服務是由健保這邊會做一個處理我們的設定點是在65歲以上嘛失智"},{"start":371.292,"end":396.126,"text":"有重大傷病 它其實有五大類的一個重大傷病嘛 對 有五大類的疾病就六十五歲以上 從五月份開始 是嗎本期就是希望部長 本期希望說我們讓社會大眾會知道政府到底在做什麼那民眾有什麼樣的權益我們循序漸進都OK那主要的是讓病人他能夠非常的有尊嚴這是大家共同的一個目標嘛"},{"start":398.627,"end":426.543,"text":"接下來最後一個議題本期跟你討論今天是5月1號那麼台大醫院工會前天發出的聲明那個部長你有了解到這個問題嗎因為他說院方日前針對於勞動節進行出勤的調查他只有兩個選項一個選項是同意到院工作但是選擇移到國定假日第二個選項是同意到院方工作但是以加班的方式來"},{"start":428.263,"end":447.732,"text":"但是沒有依照勞基法明文規定依法休假一日當天不到院工作這是工會所提出的您知道這個事情嗎?報告員我了解而且台大的回應是說他這個表單是針對來上班的人讓他選擇是要用補假的方式或者是加班"},{"start":449.032,"end":466.56,"text":"會的方式來處理這是台大醫院的回應當然我們會去進一步的了解一定要了解清楚因為公會非常清楚的就是說兩個選項沒有第三項依法的選項那是已經來上班的人那是已經來上班那誰敢不來上班呢"},{"start":467.558,"end":483.912,"text":"當然以權利來講他是可以不來上班啊以權利來講可以不來上班 這個有錄音錄影部長這是您說的更是 部長我們還是要好好的去溝通因為我們知道這個問題的重點是在於"},{"start":485.533,"end":507.04,"text":"醫護人員的休假的權益 怎麼樣去增補人力 增列津貼這才是真正的要解決醫護人力不足的問題 本市當然不希望我們的工會跟院方大家有所爭執這樣子對病人也不好我們希望達到三全其美 但是你必須要好好的去照顧這些醫護人員"},{"start":508.761,"end":534.616,"text":"當然當然所以我也希望你詳細去給他查清楚因為公會既然提出了這樣的方向又在今天的五一勞動節我們也希望可以讓我們的勞工大家可以快樂嘛好好的來工作嘛這是在醫院裡面也是你非常重要的一個面向嘛好你去查清楚然後給本席說明資料好的好的我會請台大再說明清楚好謝謝好謝謝恩維謝謝部長"}]}}},"gazette":{"lineno":350,"blocks":[["楊委員瓊瓔：（10時33分）謝謝主席，楊瓊瓔發言，邀請部長。"],["邱部長泰源：委員好。"],["楊委員瓊瓔：部長好。關於今天這個議題，我們從2019年實施病人自主權利法，是亞洲第一部保障病人自主權利的法律，當然，透過預立醫療照護諮商的過程當中，患者與家人深度溝通，經由醫療人員給予專業意見，在家人及親友的見證下完成預立醫療的決定，讓病人有權利決定人生最後的醫療處置，避免讓自己不可逆昏迷或者成為永久植物人。但是我們看到病人自主權利法上路了5年，迄今僅有約10萬人簽署，簽署率大概是0.45%，簽署率已經這麼低了，在簽署之後會去執行的一定會更低。","在這樣的情況之下，本席想要請教部長，我們看到目前的障礙，許多民眾根本不知道什麼是預立醫療的決定。第二個，甚至有一些年輕的朋友知道，但是我們的民風比較保守，年輕的朋友不敢跟長輩講，這也是因素之一。所以在整個生死話題當中，因為我們比較保守，會視為禁忌。剛剛部長頻頻點頭，我說還有很多人不知道這個法律，請問你們要怎麼樣去宣傳，讓病人瞭解自己擁有的尊嚴、善終的權利？請做說明。"],["邱部長泰源：謝謝委員的關心。我想這個是非常重要的討論議題，針對這個部分，其實醫事司有做相當深入的研究，等一下跟委員簡單報告。委員提到我們的文化，你的確很瞭解我們的民眾。我三十多年前在日本唸研究所的時候就是做這方面的研究，當時的結論是我們東方人跟歐美人不太一樣，歐美人都用簽約、寫下來的，但是我們臺灣人，父母會覺得為什麼要寫這些，用講的就好了，一個眼神可能就……但是這樣子的確也造成臨床上最後的選擇很不方便……"],["楊委員瓊瓔：部長，您也說您在這方面非常地專精……"],["邱部長泰源：沒有，有涉獵啦。"],["楊委員瓊瓔：但是每一個國家的樣態不一樣，本席特別提出我們的民風，針對這些問題點、面向點，我們要怎麼樣去做？既然一個法通過了，當然我們希望能夠執行之，讓人民自己來選擇。但是如果一個法通過，連民眾都不知道，那政府有責任囉！"],["邱部長泰源：是。"],["楊委員瓊瓔：請說明我們要怎麼樣宣導，讓人民可以知道？"],["邱部長泰源：宣導絕對是要做的。至於簽署率比較低的原因，醫事司有一直做研究，可不可以請劉司長簡單講一下？"],["楊委員瓊瓔：好，請做說明。"],["劉司長越萍：我先簡單講一下兩大原因，一個是民眾的認知，就誠如剛剛委員講的；另外一塊是費用。在民眾認知部分，其實在做宣導的部分，第一件事情，也歡迎現場的立委……1月是病主日，6月是器捐，10月是安寧，所以我們跟器捐、病主中心合作，也就是每一年在1月、6月、10月的時候會有算是帶狀的宣導活動，這是第一點。"],["楊委員瓊瓔：司長，部長也在這裡，本席要跟你討論的是，目前我們所做的步驟就是如此，但是它的答案是不盡理想。我再請問部長，就這個宣導的方式，請你們去研擬什麼樣的方式，不要我們質詢的時候，你回答就依照目前所做，本席已經告訴你目前你所做的方法已經達不到你預估的成效，所以你們有精進的空間，好不好？"],["邱部長泰源：好的。"],["楊委員瓊瓔：好好去討論。"],["邱部長泰源：好。"],["楊委員瓊瓔：第二個議題就是司長剛才說的費用問題，諮商是病人自主權利法一個最重要的核心，是不是？所以在這樣的情況之下，諮商的費用到底要怎麼處理呢？有委員提案，希望由公家來處理，剛剛有討論到，針對這個經費，我們似乎要採循序漸進、開放的態度，請教部長的看法。"],["邱部長泰源：我們就逐步漸進。"],["楊委員瓊瓔：現在針對逐步，你預計要怎麼做？"],["邱部長泰源：我們一直在開放，從去年7月開放，然後5月又會開放更多的人，就會有180萬個人……"],["楊委員瓊瓔：沒關係，本席也贊同循序漸進，要迎合我們的預算，而且還要考慮社會的面向。今天就5月1號了，你預計5月份會再繼續怎麼做呢？請說明。沒關係，請司長回答細節的部分。"],["劉司長越萍：細節的部分，我們健保署會開放，連同門診的部分，包括65歲以上有失智等等類似情況的病人，其實可以接受這樣的諮商服務，健保這邊會處理。"],["楊委員瓊瓔：我們的設定點是在65歲以上？"],["劉司長越萍：對，其實這有五大類的重大傷病……"],["楊委員瓊瓔：65歲以上的是從5月份開始，是嗎？"],["劉司長越萍：對。"],["楊委員瓊瓔：本席希望部長能讓社會大眾知道政府到底在做什麼，民眾有什麼樣的權益可以爭取，我們循序漸進，這都OK，主要的是讓病人能夠非常的有尊嚴，這是大家共同的目標。","接下來本席要跟你討論最後一個議題，今天是5月1號，臺大醫院工會前天發出了聲明，部長有了解到這個問題嗎？該聲明提到，院方日前針對於勞動節進行出勤的調查，裡面只有兩個選項，第一個選項是「同意到院工作，並選擇調移國定假日」；第二個選項是「同意到院工作，並以加班方式辦理」，但是這沒有依照勞基法明文規定的「依法休假一日，當天不到院工作」，這是工會所提出的，你知道這個事情嗎？"],["邱部長泰源：報告委員，我了解，臺大的回應是，這個表單是針對來上班的人，讓他選擇要用補假的方式，或者是用加班費的方式來處理，這是臺大醫院的回應，當然我們會去進一步了解。"],["楊委員瓊瓔：一定要了解清楚，因為工會非常清楚的表示，只有兩個選項，沒有第三項依法的選項。"],["邱部長泰源：那是針對已經來上班的人。"],["楊委員瓊瓔：誰敢不來上班呢？"],["邱部長泰源：當然以權利來講，他是可以不來上班。"],["楊委員瓊瓔：以權利來講，是可以不來上班，這個有錄音錄影，部長，這是您說的。"],["邱部長泰源：就是依照勞基法的規定。"],["楊委員瓊瓔：部長，我們還是要好好去溝通，因為我們知道這個問題的重點在於醫護人員的休假權益，還有怎麼樣去增補人力、增列津貼，這才能真正解決醫護人力不足的問題。本席當然不希望工會跟院方有所爭執，這樣子對病人也不好，我們希望達到三全其美，但是你必須要好好的去照顧這些醫護人員，是不是？"],["邱部長泰源：是。"],["楊委員瓊瓔：所以我也希望你詳實地去查清楚。"],["邱部長泰源：好。"],["楊委員瓊瓔：因為工會既然提出了這樣的方向，又是在今天的五一勞動節，我們也希望讓我們的勞工大家可以快樂、好好來工作，畢竟醫院也是你非常重要的一個面向。"],["邱部長泰源：是的。"],["楊委員瓊瓔：好，請你清查清楚，然後給本席書面資料。謝謝。"],["邱部長泰源：好的，我會請臺大再說明清楚，謝謝。"],["主席：謝謝楊委員，謝謝部長。重新公告：廖偉翔委員質詢完之後，我們休息10分鐘。","部長，我再提醒一下，我們當然要提高服務量能，剛才王委員、楊委員都有提到要提高服務量能，也要兼顧品質，對不對？針對預立醫療照護諮商，剛才司長答復說未來的期許目標是每年2萬變成每年4萬，所以你2萬要變成4萬要怎麼變呢？要用什麼方法？除了健保署現在擴大至65歲以上有重大疾病者等等，剛剛署長已經跟委員會報告，那會有180萬人，這還不包含健康的、不包含其他自願要來做的，對不對？180萬即便讓你除以4萬，就算原本是除以2萬，也要90年才做得完耶！除以4萬，則還要45年才做得完耶！你們怎麼提高服務的量能？還有，做一個諮商要做多久時間？到目前為止，要去做諮商的，掛號就要等一個多月，請面對事實，講清楚啦！不能這樣處理啦！","請莊委員。"]],"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"}}}