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台大兒童醫院它也只是一個小兒科只是它的建築物是寫兒童醫院當然就是我們希望能夠有一個國家級的兒童專責醫院如果說短期間內沒辦法這樣做的話那我們是不是可以成立一個國家兒童健康研究中心\", \"words\": [{\"word\": \"即\", \"start\": 226.117, \"end\": 226.317, \"score\": 0.9}, {\"word\": \"便\", \"start\": 226.317, \"end\": 226.578, \"score\": 0.938}, {\"word\": \"是\", \"start\": 226.578, \"end\": 226.818, \"score\": 0.942}, {\"word\": \"台\", \"start\": 226.818, \"end\": 227.058, \"score\": 0.962}, {\"word\": \"大\", \"start\": 227.058, \"end\": 227.418, \"score\": 0.914}, {\"word\": \"醫\"}, {\"word\": \"院\", \"start\": 227.418, \"end\": 227.999, \"score\": 0.966}, {\"word\": \"台\", \"start\": 227.999, \"end\": 228.219, \"score\": 0.913}, {\"word\": \"大\", \"start\": 228.219, \"end\": 228.619, \"score\": 0.91}, {\"word\": \"兒\"}, {\"word\": \"童\", \"start\": 228.619, \"end\": 229.079, \"score\": 0.955}, {\"word\": \"醫\"}, {\"word\": \"院\", \"start\": 229.079, \"end\": 229.68, \"score\": 0.999}, {\"word\": \"它\", \"start\": 229.68, \"end\": 229.86, \"score\": 0.897}, {\"word\": \"也\", 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\"score\": 0.99}, {\"word\": \"質\"}, {\"word\": \"詢\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"卓\", \"start\": 960.754, \"end\": 960.854, \"score\": 0.8}, {\"word\": \"院\", \"start\": 960.854, \"end\": 961.034, \"score\": 0.889}, {\"word\": \"長\"}, {\"word\": \"衛\"}, {\"word\": \"福\", \"start\": 961.034, \"end\": 961.194, \"score\": 0.875}, {\"word\": \"部\", \"start\": 961.194, \"end\": 961.214, \"score\": 0.0}, {\"word\": \"長\"}, {\"word\": \"備\"}, {\"word\": \"詢\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}], \"language\": \"zh\"}","srt":"1\n00:00:14,163 --> 00:00:14,343\n黃偉文好\n\n2\n00:00:38,677 --> 00:01:07,212\n卓院长好卓院长我想请教就是说我们今天我想请教就是说我们少子化的议题那我们的这个从1999年内政部设立这个儿童局那负责儿少的业务那2013年因为主改的关系所以儿童局就并到我们这个卫福部的这个社家属那其实这样十几年的时间我们看到就是说从这个\n\n3\n00:01:08,132 --> 00:01:33,812\n兒童醫療也好或者是兒童福利或者是現在最近的這個凱凱案其實很多人一直在希望就是說我們這個兒童的一些單位能夠有一個專責單位那我先從我們的這個兒童醫療開始說起院長你看到這一張就是近十年台灣新生兒的出生數你看了你自己會不會嚇一跳\n\n4\n00:01:34,770 --> 00:01:47,078\n我們人口政策跟人口對策一直是政府長期在關心的我們對去年的出生率也覺得蠻憂心從2015年到2024年你看這短短的10年當中從2015的213,598人到2024年的134,856人這個\n\n5\n00:02:02,571 --> 00:02:25,427\n每一年都在下降新生兒每一年都在下降那當然就是說行政院這邊也提出很多的政策鼓勵我們趕生趕婚那所有的兒童福利我也看到這幾年的一些政策希望說能夠鼓勵年輕人能夠生育可是\n\n6\n00:02:26,227 --> 00:02:41,620\n雖然我們投入這麼多的資源可是看到好像整個成效也不是那麼好我是不是可以請教這個院長針對這一部分我們未來未來要怎麼樣讓這個新生兒的人數能夠再增加從我們的0到6歲\n\n7\n00:02:43,501 --> 00:03:03,566\n相關政策來看投入的經費確實很多包括我們育兒津貼從5000、6000、7000一直往上堆一直我們的托育政策也長時間多高額的一個補助但是成效真的是有限我想這個也是一個世界像現在普遍存在的現象我們現在又考慮到從社宅裡面從婚育\n\n8\n00:03:05,546 --> 00:03:26,642\n結婚生育來多所補助多所關懷我們會多種方面來進行但是我是覺得認為現在來看能夠讓已經出生的小孩子能夠得到更好的照顧跟教育是我們目前可以馬上開始做的好那剛剛院長有特別提到就是說這個醫療方面就是說台灣的這個孩子一個都不能少\n\n9\n00:03:27,142 --> 00:03:44,956\n都已經這麼少了去年是農年才13萬多一個都不能少當然就是說台灣的醫療尤其是兒童的醫療我們希望都能夠更好我們台灣沒有一個國家級的兒童醫院\n\n10\n00:03:46,117 --> 00:04:11,075\n即便是台大醫院台大兒童醫院它也只是一個小兒科只是它的建築物是寫兒童醫院當然就是我們希望能夠有一個國家級的兒童專責醫院如果說短期間內沒辦法這樣做的話那我們是不是可以成立一個國家兒童健康研究中心\n\n11\n00:04:11,815 --> 00:04:32,302\n那這個我不知道說院長知不知道就是說我們如果成立這樣的一個國家兒童健康中心現在台大醫院已經在做了可能就是說需要再更多的資源的挹注那這個兒童的健康研究中心它最主要就是用臨床可能就是從臨床\n\n12\n00:04:33,482 --> 00:05:02,212\n那讓我們的這個孩子能夠得到更好更好的治療更好的一個照顧那我不知道說這個請院長回答或是請部長回答是不是可以讓我們即便沒有國家的專責兒童醫院那是不是可以從這方面開始著手謝謝部長謝謝委員那我想我們要成立哪一個組織都要知道它的定位是怎麼樣\n\n13\n00:05:03,460 --> 00:05:31,927\n我們一個國家級的兒童健康研究中心我想台大醫院的童人的兒童真的是非常關心兒童的發展不管是在兒童醫療的品質以及他整個研究持續包括他的小孩安全、意外的防範以及整個怎麼樣育兒長大那成立一個研究中心這樣的一個方向其實是很\n\n14\n00:05:33,573 --> 00:06:00,114\n是應該要支持那現在目前其實要確定它是它如果是研究計畫其實它在國科會或相關的機構其實都可以來做研究所以我想我們在三月多王正熙委員跟黃委員這邊都有關心開了公聽會那我們就邀請了辦公室委員的辦公室也邀請了教育部、國發會還有衛福部我們共同來研究這樣的一個\n\n15\n00:06:02,296 --> 00:06:21,015\n這樣一個當天討論的一個情況之下那當時的結論就是說我們請台大的兒醫能夠來了解再次確認一下我們的國家兒童健康研究中心他的角色以及未來對國家的一個因為是國家級的\n\n16\n00:06:21,383 --> 00:06:33,972\n就像當初我們在成立國家級的高零中心的時候其實雲林要成立結果宜蘭到處都是那我要成立所以你怎麼樣有一個特色\n\n17\n00:06:34,568 --> 00:07:04,248\n好那現在還在溝通他的特色那我們會用這一兩年當中把角色在理清楚以後我們來積極來看看怎麼樣把它做下去做得更好好其實我當然知道院長會和部長對於這個台大的這個醫療因為很多一些急重男寒兒童的這個急重男寒症很多可能在其他縣市那他們第一想到的如果說是急症或者是\n\n18\n00:07:04,928 --> 00:07:24,421\n含病或是比較難醫治的大家想到就是說到台大醫院尤其是如果是這個台大兒童醫院那如果說我們今天大家認為就是說台大醫院是一個國家級的我們的一個國家級的一個非常重要的醫院那當然如果說現在目前有的兒童醫院\n\n19\n00:07:25,382 --> 00:07:53,107\n目前的兒童醫院並不是我們這個認為說是一個國家級的一個專責的兒童醫院所以我希望就是說如果未來這個國家級的專責兒童醫院需要投入更多的資源那當然就是說可以從臨床上面就是這樣的一個兒童的健康研究中心那他們可能收治更多急重男罕症的這樣的一個疾病那可以提供給其他醫院\n\n20\n00:07:53,827 --> 00:08:15,039\n其他這個兒童醫院或其他的兒童的這個診所能夠有更多的這個經驗的一些這個經驗的一個分享或者是如果遇到這個急重難寒的話要怎麼醫治所以我希望就是說部長或院長是不是可以去可以做這樣的一個承諾未來現在台大已經在做了是已經在做了\n\n21\n00:08:15,279 --> 00:08:42,629\n他們現在已經在做了只是說需要有更多的資源的挹注而且這個資源這個經費的挹注並不需要這麼的多所以我們希望說院長是不是可以做個承諾感謝委員的關心台大以前有曾經函報過教育部因為台大是屬於教育部系統對於成立一個兒童的國家健康研究中心要把台大的兒醫第二期的規劃做一個先期規劃的報告書那這個部分在2023年\n\n22\n00:08:45,205 --> 00:09:09,478\n也曾經教育部編了700多萬的經費來做一個規劃的研究那在今年年底就會完成這個規劃我想我們會持續一步步的推進部長你至於在2018年你自己也開過記者會你還記得你2018年開過的記者會嗎你提出了一個三點這三點就是說要成立一個兒童的特別委員會\n\n23\n00:09:10,518 --> 00:09:27,742\n或者是說要指定就是國家級的兒童健康研究中心那再來就是說能夠這個政策然後這個遵循聯合國兒童基金然後包括就是擴大一些托育照顧減免稅收育兒津貼這樣子這個是2018年當時邱委員開的記者會那現在部長你現在已經貴為部長了\n\n24\n00:09:34,443 --> 00:09:52,416\n那我剛提到的這部分可能就是這個兒童健康研究中心我希望就是說是不是可以在近期內趕快讓趕快由國家的這個資源來挹注然後趕快來上路那另外一點就是說我們一直\n\n25\n00:09:53,317 --> 00:10:22,212\n认为所有的儿童不论是社福或者是儿童的保护都是散落在各地散落在各个单位尤其这个凯凯案发生的时候大家会觉得说这个儿虐我们一旦是发生这个儿虐的话如果是家外儿虐的话我们还要去厘清就是说施虐者他的身份譬如说他是教师或者是他是保姆或者是托婴中心\n\n26\n00:10:23,392 --> 00:10:46,903\n你還要再去這樣子去分別因為他所管轄的單位不一樣所以我在5月10號可能有一些家長要上凱道做一些訴求那我是不是可以請院長這邊也要做一些回應就是說我們是不是可以成立成立兒童的專責單位或者是兒少的專責單位目前\n\n27\n00:10:51,292 --> 00:11:16,697\n衛福部有在進行相關的規劃我記得之前的匯報是說在五、六月份的時候他們會有一個具體的建議案出來是要用一個什麼樣的專責單位的這個級別機關或者怎麼樣來設計五、六月份是不是部長說明一下好謝謝謝委員我想衛福部一直持續規劃跟設置而哨的一個專責的一個單位\n\n28\n00:11:19,618 --> 00:11:35,625\n即使是跨本部現在相關的司署執掌並涉及業務調整人力的運動還有衛政跟社政的合作所以因為涉及到組織的重整所以我們現在非常積極的一直在討論持續來審證來評估看怎麼做來做規劃我們會全力以赴\n\n29\n00:11:42,682 --> 00:12:06,868\n所以你們未來會朝向有一個兒童的一個專責單位嗎兒少的一個專責單位嗎會朝這樣子的方向來努力是院長剛剛我一開始讓你看到這樣子這十年來的新生兒人數就是要讓院長跟部長知道就是說我們所有的這個新生兒所有的這個\n\n30\n00:12:09,369 --> 00:12:29,458\n就是我們要從小就要去做好保護即便這個新生兒的人數越來越少那我剛剛講的從醫療從這個所有的兒童政策孩子一個都不能少所以我是不是可以再請院長就我剛剛講的這個兒少的專責單位\n\n31\n00:12:31,019 --> 00:12:45,496\n是不是我們需要是不是未來有這樣的一個專責單位而不是說我們一旦發生兒少的議題那你還要去釐清說這個到底是哪一個單位管的\n\n32\n00:12:46,483 --> 00:13:02,262\n剛剛部長已經說過現在朝這個方向在演繹我也知道最近就會有一個具體的建議案出來再不變動現在整個國家三級機關的數量情況底下能不能做一些整併這個是現在的想法除了衛福部之外\n\n33\n00:13:03,561 --> 00:13:26,069\n我也請陳時中政委來協助加快這個速度的推動其實這個不只是現在的邱部長在邱部長前面的薛瑞元部長在更前面的陳時中部長或者是在更前面的林州元部長其實在任內都有提到就是說需要有一個兒童的專責單位那我們在這個之前\n\n34\n00:13:27,029 --> 00:13:52,781\n我們的這個兒童局在內政部1999年就設立一個兒童局那因為主改的關係2013年直接併到我們的這個社家署那其實把所有的兒童的議題全部很多人會認為就是說那兒童這麼重要孩子這麼重要那既然是由社家署來管那一旦發生事情的話你還要再去釐清到底是哪一個單位是主責\n\n35\n00:13:53,801 --> 00:14:12,767\n所以我在這邊是不是請院長跟部長針對這一部分我們真的要好好的去思考那既然在歷任的這個部長都有提到就是說我們需要有一個兒童的專責單位那是不是可以請院長就是說可以在這邊也做一個承諾那未來我們需要\n\n36\n00:14:13,607 --> 00:14:42,829\n就是只是在把它恢復而已啦恢復它原本如果是以前的兒童局或是現在未來是不是有什麼兒童司或兒少的什麼樣的單位都可以就是要有一個主責單位有一個專責的單位謝謝委員長期關心兒少跟少子女化的問題我們現在研究的方案方式就跟委員的想法也是一致的我會請陳時中政委跟衛福部邱部長一起盡快時間內把它成為一個定案\n\n37\n00:14:43,506 --> 00:14:48,040\n這個定案以後我們會跟社會再做溝通盡量把它在最快的時間完成\n\n38\n00:14:48,305 --> 00:15:17,483\n好那部長我剛提到有我們的這個兒童醫療那還有我們的兒童的專責單位那我想就是說請院長也要去關心因為我們知道說兒童的這個醫療其實有很多這個兒醫這個兒童這個兒科的醫師其實他們很多就不願意不願意再投入這樣的兒科的醫療這個應該院長跟部長都非常的清楚那如果說這個環境沒有做好的話其實\n\n39\n00:15:19,364 --> 00:15:43,435\n會讓這個兒童的這個醫療未來會陷入更大的一個困境所以我們希望就是說希望政府能夠正視這個問題然後投入更多的這個資源在我們的這個兒童醫療上面那之前我有在委員會的時候也有特別提到就是說我們的疫苗的處置費那這個疫苗處置費是跟其他鄰近國家來比確實是非常少的\n\n40\n00:15:57,931 --> 00:16:01,214\n好好謝謝黃秀芳委員的質詢謝謝謝謝卓院長衛福部長備詢謝謝\n\n","tsv":"start\tend\ttext\n14163\t14343\t黃偉文好\n38677\t67212\t卓院长好卓院长我想请教就是说我们今天我想请教就是说我们少子化的议题那我们的这个从1999年内政部设立这个儿童局那负责儿少的业务那2013年因为主改的关系所以儿童局就并到我们这个卫福部的这个社家属那其实这样十几年的时间我们看到就是说从这个\n68132\t93812\t兒童醫療也好或者是兒童福利或者是現在最近的這個凱凱案其實很多人一直在希望就是說我們這個兒童的一些單位能夠有一個專責單位那我先從我們的這個兒童醫療開始說起院長你看到這一張就是近十年台灣新生兒的出生數你看了你自己會不會嚇一跳\n94770\t107078\t我們人口政策跟人口對策一直是政府長期在關心的我們對去年的出生率也覺得蠻憂心從2015年到2024年你看這短短的10年當中從2015的213,598人到2024年的134,856人這個\n122571\t145427\t每一年都在下降新生兒每一年都在下降那當然就是說行政院這邊也提出很多的政策鼓勵我們趕生趕婚那所有的兒童福利我也看到這幾年的一些政策希望說能夠鼓勵年輕人能夠生育可是\n146227\t161620\t雖然我們投入這麼多的資源可是看到好像整個成效也不是那麼好我是不是可以請教這個院長針對這一部分我們未來未來要怎麼樣讓這個新生兒的人數能夠再增加從我們的0到6歲\n163501\t183566\t相關政策來看投入的經費確實很多包括我們育兒津貼從5000、6000、7000一直往上堆一直我們的托育政策也長時間多高額的一個補助但是成效真的是有限我想這個也是一個世界像現在普遍存在的現象我們現在又考慮到從社宅裡面從婚育\n185546\t206642\t結婚生育來多所補助多所關懷我們會多種方面來進行但是我是覺得認為現在來看能夠讓已經出生的小孩子能夠得到更好的照顧跟教育是我們目前可以馬上開始做的好那剛剛院長有特別提到就是說這個醫療方面就是說台灣的這個孩子一個都不能少\n207142\t224956\t都已經這麼少了去年是農年才13萬多一個都不能少當然就是說台灣的醫療尤其是兒童的醫療我們希望都能夠更好我們台灣沒有一個國家級的兒童醫院\n226117\t251075\t即便是台大醫院 台大兒童醫院它也只是一個小兒科只是它的建築物是寫兒童醫院當然就是我們希望能夠有一個國家級的兒童專責醫院如果說短期間內沒辦法這樣做的話那我們是不是可以成立一個國家兒童健康研究中心\n251815\t272302\t那這個我不知道說院長知不知道就是說我們如果成立這樣的一個國家兒童健康中心現在台大醫院已經在做了可能就是說需要再更多的資源的挹注那這個兒童的健康研究中心它最主要就是用臨床可能就是從臨床\n273482\t302212\t那讓我們的這個孩子能夠得到更好更好的治療更好的一個照顧那我不知道說這個請院長回答或是請部長回答是不是可以讓我們即便沒有國家的專責兒童醫院那是不是可以從這方面開始著手謝謝部長謝謝委員那我想我們要成立哪一個組織都要知道它的定位是怎麼樣\n303460\t331927\t我們一個國家級的兒童健康研究中心我想台大醫院的童人的兒童真的是非常關心兒童的發展不管是在兒童醫療的品質以及他整個研究持續包括他的小孩安全、意外的防範以及整個怎麼樣育兒長大那成立一個研究中心這樣的一個方向其實是很\n333573\t360114\t是應該要支持那現在目前其實要確定它是它如果是研究計畫其實它在國科會或相關的機構其實都可以來做研究所以我想我們在三月多王正熙委員跟黃委員這邊都有關心開了公聽會那我們就邀請了辦公室委員的辦公室也邀請了教育部、國發會還有衛福部我們共同來研究這樣的一個\n362296\t381015\t這樣一個當天討論的一個情況之下那當時的結論就是說我們請台大的兒醫能夠來了解再次確認一下我們的國家兒童健康研究中心他的角色以及未來對國家的一個因為是國家級的\n381383\t393972\t就像當初我們在成立國家級的高零中心的時候其實雲林要成立結果宜蘭到處都是那我要成立所以你怎麼樣有一個特色\n394568\t424248\t好那現在還在溝通他的特色那我們會用這一兩年當中把角色在理清楚以後我們來積極來看看怎麼樣把它做下去做得更好好 其實我當然知道院長會和部長對於這個台大的這個醫療因為很多一些急重男寒兒童的這個急重男寒症很多可能在其他縣市那他們第一想到的如果說是急症或者是\n424928\t444421\t含病或是比較難醫治的大家想到就是說到台大醫院尤其是如果是這個台大兒童醫院那如果說我們今天大家認為就是說台大醫院是一個國家級的我們的一個國家級的一個非常重要的醫院那當然如果說現在目前有的兒童醫院\n445382\t473107\t目前的兒童醫院並不是我們這個認為說是一個國家級的一個專責的兒童醫院所以我希望就是說如果未來這個國家級的專責兒童醫院需要投入更多的資源那當然就是說可以從臨床上面就是這樣的一個兒童的健康研究中心那他們可能收治更多急重男罕症的這樣的一個疾病那可以提供給其他醫院\n473827\t495039\t其他這個兒童醫院或其他的兒童的這個診所能夠有更多的這個經驗的一些這個經驗的一個分享或者是如果遇到這個急重難寒的話要怎麼醫治所以我希望就是說部長或院長是不是可以去可以做這樣的一個承諾未來現在台大已經在做了是已經在做了\n495279\t522629\t他們現在已經在做了只是說需要有更多的資源的挹注而且這個資源這個經費的挹注並不需要這麼的多所以我們希望說院長是不是可以做個承諾感謝委員的關心台大以前有曾經函報過教育部因為台大是屬於教育部系統對於成立一個兒童的國家健康研究中心要把台大的兒醫第二期的規劃做一個先期規劃的報告書那這個部分在2023年\n525205\t549478\t也曾經教育部編了700多萬的經費來做一個規劃的研究那在今年年底就會完成這個規劃我想我們會持續一步步的推進部長你至於在2018年你自己也開過記者會你還記得你2018年開過的記者會嗎你提出了一個三點這三點就是說要成立一個兒童的特別委員會\n550518\t567742\t或者是說要指定就是國家級的兒童健康研究中心那再來就是說能夠這個政策然後這個遵循聯合國兒童基金然後包括就是擴大一些托育照顧減免稅收育兒津貼這樣子這個是2018年當時邱委員開的記者會那現在部長你現在已經貴為部長了\n574443\t592416\t那我剛提到的這部分可能就是這個兒童健康研究中心我希望就是說是不是可以在近期內趕快讓趕快由國家的這個資源來挹注然後趕快來上路那另外一點就是說我們一直\n593317\t622212\t认为所有的儿童不论是社福或者是儿童的保护都是散落在各地散落在各个单位尤其这个凯凯案发生的时候大家会觉得说这个儿虐我们一旦是发生这个儿虐的话如果是家外儿虐的话我们还要去厘清就是说施虐者他的身份譬如说他是教师或者是他是保姆或者是托婴中心\n623392\t646903\t你還要再去這樣子去分別因為他所管轄的單位不一樣所以我在5月10號可能有一些家長要上凱道做一些訴求那我是不是可以請院長這邊也要做一些回應就是說我們是不是可以成立成立兒童的專責單位或者是兒少的專責單位目前\n651292\t676697\t衛福部有在進行相關的規劃我記得之前的匯報是說在五、六月份的時候他們會有一個具體的建議案出來是要用一個什麼樣的專責單位的這個級別機關或者怎麼樣來設計五、六月份是不是部長說明一下好 謝謝謝委員我想衛福部一直持續規劃跟設置而哨的一個專責的一個單位\n679618\t695625\t即使是跨本部現在相關的司署執掌並涉及業務調整人力的運動還有衛政跟社政的合作所以因為涉及到組織的重整所以我們現在非常積極的一直在討論持續來審證來評估看怎麼做來做規劃我們會全力以赴\n702682\t726868\t所以你們未來會朝向有一個兒童的一個專責單位嗎兒少的一個專責單位嗎會朝這樣子的方向來努力是院長剛剛我一開始讓你看到這樣子這十年來的新生兒人數就是要讓院長跟部長知道就是說我們所有的這個新生兒所有的這個\n729369\t749458\t就是我們要從小就要去做好保護即便這個新生兒的人數越來越少那我剛剛講的從醫療從這個所有的兒童政策孩子一個都不能少所以我是不是可以再請院長就我剛剛講的這個兒少的專責單位\n751019\t765496\t是不是我們需要是不是未來有這樣的一個專責單位而不是說我們一旦發生兒少的議題那你還要去釐清說這個到底是哪一個單位管的\n766483\t782262\t剛剛部長已經說過現在朝這個方向在演繹我也知道最近就會有一個具體的建議案出來再不變動現在整個國家三級機關的數量情況底下能不能做一些整併這個是現在的想法除了衛福部之外\n783561\t806069\t我也請陳時中政委來協助加快這個速度的推動其實這個不只是現在的邱部長在邱部長前面的薛瑞元部長在更前面的陳時中部長或者是在更前面的林州元部長其實在任內都有提到就是說需要有一個兒童的專責單位那我們在這個之前\n807029\t832781\t我們的這個兒童局在內政部1999年就設立一個兒童局那因為主改的關係2013年直接併到我們的這個社家署那其實把所有的兒童的議題全部很多人會認為就是說那兒童這麼重要孩子這麼重要那既然是由社家署來管那一旦發生事情的話你還要再去釐清到底是哪一個單位是主責\n833801\t852767\t所以我在這邊是不是請院長跟部長針對這一部分我們真的要好好的去思考那既然在歷任的這個部長都有提到就是說我們需要有一個兒童的專責單位那是不是可以請院長就是說可以在這邊也做一個承諾那未來我們需要\n853607\t882829\t就是只是在把它恢復而已啦恢復它原本如果是以前的兒童局或是現在未來是不是有什麼兒童司或兒少的什麼樣的單位都可以就是要有一個主責單位有一個專責的單位謝謝委員長期關心兒少跟少子女化的問題我們現在研究的方案方式就跟委員的想法也是一致的我會請陳時中政委跟衛福部邱部長一起盡快時間內把它成為一個定案\n883506\t888040\t這個定案以後我們會跟社會再做溝通盡量把它在最快的時間完成\n888305\t917483\t好那部長我剛提到有我們的這個兒童醫療那還有我們的兒童的專責單位那我想就是說請院長也要去關心因為我們知道說兒童的這個醫療其實有很多這個兒醫這個兒童這個兒科的醫師其實他們很多就不願意不願意再投入這樣的兒科的醫療這個應該院長跟部長都非常的清楚那如果說這個環境沒有做好的話其實\n919364\t943435\t會讓這個兒童的這個醫療未來會陷入更大的一個困境所以我們希望就是說希望政府能夠正視這個問題然後投入更多的這個資源在我們的這個兒童醫療上面那之前我有在委員會的時候也有特別提到就是說我們的疫苗的處置費那這個疫苗處置費是跟其他鄰近國家來比確實是非常少的\n957931\t961214\t好好謝謝黃秀芳委員的質詢謝謝謝謝卓院長衛福部長備詢謝謝\n","txt":"黃偉文好\n卓院长好卓院长我想请教就是说我们今天我想请教就是说我们少子化的议题那我们的这个从1999年内政部设立这个儿童局那负责儿少的业务那2013年因为主改的关系所以儿童局就并到我们这个卫福部的这个社家属那其实这样十几年的时间我们看到就是说从这个\n兒童醫療也好或者是兒童福利或者是現在最近的這個凱凱案其實很多人一直在希望就是說我們這個兒童的一些單位能夠有一個專責單位那我先從我們的這個兒童醫療開始說起院長你看到這一張就是近十年台灣新生兒的出生數你看了你自己會不會嚇一跳\n我們人口政策跟人口對策一直是政府長期在關心的我們對去年的出生率也覺得蠻憂心從2015年到2024年你看這短短的10年當中從2015的213,598人到2024年的134,856人這個\n每一年都在下降新生兒每一年都在下降那當然就是說行政院這邊也提出很多的政策鼓勵我們趕生趕婚那所有的兒童福利我也看到這幾年的一些政策希望說能夠鼓勵年輕人能夠生育可是\n雖然我們投入這麼多的資源可是看到好像整個成效也不是那麼好我是不是可以請教這個院長針對這一部分我們未來未來要怎麼樣讓這個新生兒的人數能夠再增加從我們的0到6歲\n相關政策來看投入的經費確實很多包括我們育兒津貼從5000、6000、7000一直往上堆一直我們的托育政策也長時間多高額的一個補助但是成效真的是有限我想這個也是一個世界像現在普遍存在的現象我們現在又考慮到從社宅裡面從婚育\n結婚生育來多所補助多所關懷我們會多種方面來進行但是我是覺得認為現在來看能夠讓已經出生的小孩子能夠得到更好的照顧跟教育是我們目前可以馬上開始做的好那剛剛院長有特別提到就是說這個醫療方面就是說台灣的這個孩子一個都不能少\n都已經這麼少了去年是農年才13萬多一個都不能少當然就是說台灣的醫療尤其是兒童的醫療我們希望都能夠更好我們台灣沒有一個國家級的兒童醫院\n即便是台大醫院 台大兒童醫院它也只是一個小兒科只是它的建築物是寫兒童醫院當然就是我們希望能夠有一個國家級的兒童專責醫院如果說短期間內沒辦法這樣做的話那我們是不是可以成立一個國家兒童健康研究中心\n那這個我不知道說院長知不知道就是說我們如果成立這樣的一個國家兒童健康中心現在台大醫院已經在做了可能就是說需要再更多的資源的挹注那這個兒童的健康研究中心它最主要就是用臨床可能就是從臨床\n那讓我們的這個孩子能夠得到更好更好的治療更好的一個照顧那我不知道說這個請院長回答或是請部長回答是不是可以讓我們即便沒有國家的專責兒童醫院那是不是可以從這方面開始著手謝謝部長謝謝委員那我想我們要成立哪一個組織都要知道它的定位是怎麼樣\n我們一個國家級的兒童健康研究中心我想台大醫院的童人的兒童真的是非常關心兒童的發展不管是在兒童醫療的品質以及他整個研究持續包括他的小孩安全、意外的防範以及整個怎麼樣育兒長大那成立一個研究中心這樣的一個方向其實是很\n是應該要支持那現在目前其實要確定它是它如果是研究計畫其實它在國科會或相關的機構其實都可以來做研究所以我想我們在三月多王正熙委員跟黃委員這邊都有關心開了公聽會那我們就邀請了辦公室委員的辦公室也邀請了教育部、國發會還有衛福部我們共同來研究這樣的一個\n這樣一個當天討論的一個情況之下那當時的結論就是說我們請台大的兒醫能夠來了解再次確認一下我們的國家兒童健康研究中心他的角色以及未來對國家的一個因為是國家級的\n就像當初我們在成立國家級的高零中心的時候其實雲林要成立結果宜蘭到處都是那我要成立所以你怎麼樣有一個特色\n好那現在還在溝通他的特色那我們會用這一兩年當中把角色在理清楚以後我們來積極來看看怎麼樣把它做下去做得更好好 其實我當然知道院長會和部長對於這個台大的這個醫療因為很多一些急重男寒兒童的這個急重男寒症很多可能在其他縣市那他們第一想到的如果說是急症或者是\n含病或是比較難醫治的大家想到就是說到台大醫院尤其是如果是這個台大兒童醫院那如果說我們今天大家認為就是說台大醫院是一個國家級的我們的一個國家級的一個非常重要的醫院那當然如果說現在目前有的兒童醫院\n目前的兒童醫院並不是我們這個認為說是一個國家級的一個專責的兒童醫院所以我希望就是說如果未來這個國家級的專責兒童醫院需要投入更多的資源那當然就是說可以從臨床上面就是這樣的一個兒童的健康研究中心那他們可能收治更多急重男罕症的這樣的一個疾病那可以提供給其他醫院\n其他這個兒童醫院或其他的兒童的這個診所能夠有更多的這個經驗的一些這個經驗的一個分享或者是如果遇到這個急重難寒的話要怎麼醫治所以我希望就是說部長或院長是不是可以去可以做這樣的一個承諾未來現在台大已經在做了是已經在做了\n他們現在已經在做了只是說需要有更多的資源的挹注而且這個資源這個經費的挹注並不需要這麼的多所以我們希望說院長是不是可以做個承諾感謝委員的關心台大以前有曾經函報過教育部因為台大是屬於教育部系統對於成立一個兒童的國家健康研究中心要把台大的兒醫第二期的規劃做一個先期規劃的報告書那這個部分在2023年\n也曾經教育部編了700多萬的經費來做一個規劃的研究那在今年年底就會完成這個規劃我想我們會持續一步步的推進部長你至於在2018年你自己也開過記者會你還記得你2018年開過的記者會嗎你提出了一個三點這三點就是說要成立一個兒童的特別委員會\n或者是說要指定就是國家級的兒童健康研究中心那再來就是說能夠這個政策然後這個遵循聯合國兒童基金然後包括就是擴大一些托育照顧減免稅收育兒津貼這樣子這個是2018年當時邱委員開的記者會那現在部長你現在已經貴為部長了\n那我剛提到的這部分可能就是這個兒童健康研究中心我希望就是說是不是可以在近期內趕快讓趕快由國家的這個資源來挹注然後趕快來上路那另外一點就是說我們一直\n认为所有的儿童不论是社福或者是儿童的保护都是散落在各地散落在各个单位尤其这个凯凯案发生的时候大家会觉得说这个儿虐我们一旦是发生这个儿虐的话如果是家外儿虐的话我们还要去厘清就是说施虐者他的身份譬如说他是教师或者是他是保姆或者是托婴中心\n你還要再去這樣子去分別因為他所管轄的單位不一樣所以我在5月10號可能有一些家長要上凱道做一些訴求那我是不是可以請院長這邊也要做一些回應就是說我們是不是可以成立成立兒童的專責單位或者是兒少的專責單位目前\n衛福部有在進行相關的規劃我記得之前的匯報是說在五、六月份的時候他們會有一個具體的建議案出來是要用一個什麼樣的專責單位的這個級別機關或者怎麼樣來設計五、六月份是不是部長說明一下好 謝謝謝委員我想衛福部一直持續規劃跟設置而哨的一個專責的一個單位\n即使是跨本部現在相關的司署執掌並涉及業務調整人力的運動還有衛政跟社政的合作所以因為涉及到組織的重整所以我們現在非常積極的一直在討論持續來審證來評估看怎麼做來做規劃我們會全力以赴\n所以你們未來會朝向有一個兒童的一個專責單位嗎兒少的一個專責單位嗎會朝這樣子的方向來努力是院長剛剛我一開始讓你看到這樣子這十年來的新生兒人數就是要讓院長跟部長知道就是說我們所有的這個新生兒所有的這個\n就是我們要從小就要去做好保護即便這個新生兒的人數越來越少那我剛剛講的從醫療從這個所有的兒童政策孩子一個都不能少所以我是不是可以再請院長就我剛剛講的這個兒少的專責單位\n是不是我們需要是不是未來有這樣的一個專責單位而不是說我們一旦發生兒少的議題那你還要去釐清說這個到底是哪一個單位管的\n剛剛部長已經說過現在朝這個方向在演繹我也知道最近就會有一個具體的建議案出來再不變動現在整個國家三級機關的數量情況底下能不能做一些整併這個是現在的想法除了衛福部之外\n我也請陳時中政委來協助加快這個速度的推動其實這個不只是現在的邱部長在邱部長前面的薛瑞元部長在更前面的陳時中部長或者是在更前面的林州元部長其實在任內都有提到就是說需要有一個兒童的專責單位那我們在這個之前\n我們的這個兒童局在內政部1999年就設立一個兒童局那因為主改的關係2013年直接併到我們的這個社家署那其實把所有的兒童的議題全部很多人會認為就是說那兒童這麼重要孩子這麼重要那既然是由社家署來管那一旦發生事情的話你還要再去釐清到底是哪一個單位是主責\n所以我在這邊是不是請院長跟部長針對這一部分我們真的要好好的去思考那既然在歷任的這個部長都有提到就是說我們需要有一個兒童的專責單位那是不是可以請院長就是說可以在這邊也做一個承諾那未來我們需要\n就是只是在把它恢復而已啦恢復它原本如果是以前的兒童局或是現在未來是不是有什麼兒童司或兒少的什麼樣的單位都可以就是要有一個主責單位有一個專責的單位謝謝委員長期關心兒少跟少子女化的問題我們現在研究的方案方式就跟委員的想法也是一致的我會請陳時中政委跟衛福部邱部長一起盡快時間內把它成為一個定案\n這個定案以後我們會跟社會再做溝通盡量把它在最快的時間完成\n好那部長我剛提到有我們的這個兒童醫療那還有我們的兒童的專責單位那我想就是說請院長也要去關心因為我們知道說兒童的這個醫療其實有很多這個兒醫這個兒童這個兒科的醫師其實他們很多就不願意不願意再投入這樣的兒科的醫療這個應該院長跟部長都非常的清楚那如果說這個環境沒有做好的話其實\n會讓這個兒童的這個醫療未來會陷入更大的一個困境所以我們希望就是說希望政府能夠正視這個問題然後投入更多的這個資源在我們的這個兒童醫療上面那之前我有在委員會的時候也有特別提到就是說我們的疫苗的處置費那這個疫苗處置費是跟其他鄰近國家來比確實是非常少的\n好好謝謝黃秀芳委員的質詢謝謝謝謝卓院長衛福部長備詢謝謝\n","vtt":"WEBVTT\n\n00:14.163 --> 00:14.343\n黃偉文好\n\n00:38.677 --> 01:07.212\n卓院长好卓院长我想请教就是说我们今天我想请教就是说我们少子化的议题那我们的这个从1999年内政部设立这个儿童局那负责儿少的业务那2013年因为主改的关系所以儿童局就并到我们这个卫福部的这个社家属那其实这样十几年的时间我们看到就是说从这个\n\n01:08.132 --> 01:33.812\n兒童醫療也好或者是兒童福利或者是現在最近的這個凱凱案其實很多人一直在希望就是說我們這個兒童的一些單位能夠有一個專責單位那我先從我們的這個兒童醫療開始說起院長你看到這一張就是近十年台灣新生兒的出生數你看了你自己會不會嚇一跳\n\n01:34.770 --> 01:47.078\n我們人口政策跟人口對策一直是政府長期在關心的我們對去年的出生率也覺得蠻憂心從2015年到2024年你看這短短的10年當中從2015的213,598人到2024年的134,856人這個\n\n02:02.571 --> 02:25.427\n每一年都在下降新生兒每一年都在下降那當然就是說行政院這邊也提出很多的政策鼓勵我們趕生趕婚那所有的兒童福利我也看到這幾年的一些政策希望說能夠鼓勵年輕人能夠生育可是\n\n02:26.227 --> 02:41.620\n雖然我們投入這麼多的資源可是看到好像整個成效也不是那麼好我是不是可以請教這個院長針對這一部分我們未來未來要怎麼樣讓這個新生兒的人數能夠再增加從我們的0到6歲\n\n02:43.501 --> 03:03.566\n相關政策來看投入的經費確實很多包括我們育兒津貼從5000、6000、7000一直往上堆一直我們的托育政策也長時間多高額的一個補助但是成效真的是有限我想這個也是一個世界像現在普遍存在的現象我們現在又考慮到從社宅裡面從婚育\n\n03:05.546 --> 03:26.642\n結婚生育來多所補助多所關懷我們會多種方面來進行但是我是覺得認為現在來看能夠讓已經出生的小孩子能夠得到更好的照顧跟教育是我們目前可以馬上開始做的好那剛剛院長有特別提到就是說這個醫療方面就是說台灣的這個孩子一個都不能少\n\n03:27.142 --> 03:44.956\n都已經這麼少了去年是農年才13萬多一個都不能少當然就是說台灣的醫療尤其是兒童的醫療我們希望都能夠更好我們台灣沒有一個國家級的兒童醫院\n\n03:46.117 --> 04:11.075\n即便是台大醫院台大兒童醫院它也只是一個小兒科只是它的建築物是寫兒童醫院當然就是我們希望能夠有一個國家級的兒童專責醫院如果說短期間內沒辦法這樣做的話那我們是不是可以成立一個國家兒童健康研究中心\n\n04:11.815 --> 04:32.302\n那這個我不知道說院長知不知道就是說我們如果成立這樣的一個國家兒童健康中心現在台大醫院已經在做了可能就是說需要再更多的資源的挹注那這個兒童的健康研究中心它最主要就是用臨床可能就是從臨床\n\n04:33.482 --> 05:02.212\n那讓我們的這個孩子能夠得到更好更好的治療更好的一個照顧那我不知道說這個請院長回答或是請部長回答是不是可以讓我們即便沒有國家的專責兒童醫院那是不是可以從這方面開始著手謝謝部長謝謝委員那我想我們要成立哪一個組織都要知道它的定位是怎麼樣\n\n05:03.460 --> 05:31.927\n我們一個國家級的兒童健康研究中心我想台大醫院的童人的兒童真的是非常關心兒童的發展不管是在兒童醫療的品質以及他整個研究持續包括他的小孩安全、意外的防範以及整個怎麼樣育兒長大那成立一個研究中心這樣的一個方向其實是很\n\n05:33.573 --> 06:00.114\n是應該要支持那現在目前其實要確定它是它如果是研究計畫其實它在國科會或相關的機構其實都可以來做研究所以我想我們在三月多王正熙委員跟黃委員這邊都有關心開了公聽會那我們就邀請了辦公室委員的辦公室也邀請了教育部、國發會還有衛福部我們共同來研究這樣的一個\n\n06:02.296 --> 06:21.015\n這樣一個當天討論的一個情況之下那當時的結論就是說我們請台大的兒醫能夠來了解再次確認一下我們的國家兒童健康研究中心他的角色以及未來對國家的一個因為是國家級的\n\n06:21.383 --> 06:33.972\n就像當初我們在成立國家級的高零中心的時候其實雲林要成立結果宜蘭到處都是那我要成立所以你怎麼樣有一個特色\n\n06:34.568 --> 07:04.248\n好那現在還在溝通他的特色那我們會用這一兩年當中把角色在理清楚以後我們來積極來看看怎麼樣把它做下去做得更好好其實我當然知道院長會和部長對於這個台大的這個醫療因為很多一些急重男寒兒童的這個急重男寒症很多可能在其他縣市那他們第一想到的如果說是急症或者是\n\n07:04.928 --> 07:24.421\n含病或是比較難醫治的大家想到就是說到台大醫院尤其是如果是這個台大兒童醫院那如果說我們今天大家認為就是說台大醫院是一個國家級的我們的一個國家級的一個非常重要的醫院那當然如果說現在目前有的兒童醫院\n\n07:25.382 --> 07:53.107\n目前的兒童醫院並不是我們這個認為說是一個國家級的一個專責的兒童醫院所以我希望就是說如果未來這個國家級的專責兒童醫院需要投入更多的資源那當然就是說可以從臨床上面就是這樣的一個兒童的健康研究中心那他們可能收治更多急重男罕症的這樣的一個疾病那可以提供給其他醫院\n\n07:53.827 --> 08:15.039\n其他這個兒童醫院或其他的兒童的這個診所能夠有更多的這個經驗的一些這個經驗的一個分享或者是如果遇到這個急重難寒的話要怎麼醫治所以我希望就是說部長或院長是不是可以去可以做這樣的一個承諾未來現在台大已經在做了是已經在做了\n\n08:15.279 --> 08:42.629\n他們現在已經在做了只是說需要有更多的資源的挹注而且這個資源這個經費的挹注並不需要這麼的多所以我們希望說院長是不是可以做個承諾感謝委員的關心台大以前有曾經函報過教育部因為台大是屬於教育部系統對於成立一個兒童的國家健康研究中心要把台大的兒醫第二期的規劃做一個先期規劃的報告書那這個部分在2023年\n\n08:45.205 --> 09:09.478\n也曾經教育部編了700多萬的經費來做一個規劃的研究那在今年年底就會完成這個規劃我想我們會持續一步步的推進部長你至於在2018年你自己也開過記者會你還記得你2018年開過的記者會嗎你提出了一個三點這三點就是說要成立一個兒童的特別委員會\n\n09:10.518 --> 09:27.742\n或者是說要指定就是國家級的兒童健康研究中心那再來就是說能夠這個政策然後這個遵循聯合國兒童基金然後包括就是擴大一些托育照顧減免稅收育兒津貼這樣子這個是2018年當時邱委員開的記者會那現在部長你現在已經貴為部長了\n\n09:34.443 --> 09:52.416\n那我剛提到的這部分可能就是這個兒童健康研究中心我希望就是說是不是可以在近期內趕快讓趕快由國家的這個資源來挹注然後趕快來上路那另外一點就是說我們一直\n\n09:53.317 --> 10:22.212\n认为所有的儿童不论是社福或者是儿童的保护都是散落在各地散落在各个单位尤其这个凯凯案发生的时候大家会觉得说这个儿虐我们一旦是发生这个儿虐的话如果是家外儿虐的话我们还要去厘清就是说施虐者他的身份譬如说他是教师或者是他是保姆或者是托婴中心\n\n10:23.392 --> 10:46.903\n你還要再去這樣子去分別因為他所管轄的單位不一樣所以我在5月10號可能有一些家長要上凱道做一些訴求那我是不是可以請院長這邊也要做一些回應就是說我們是不是可以成立成立兒童的專責單位或者是兒少的專責單位目前\n\n10:51.292 --> 11:16.697\n衛福部有在進行相關的規劃我記得之前的匯報是說在五、六月份的時候他們會有一個具體的建議案出來是要用一個什麼樣的專責單位的這個級別機關或者怎麼樣來設計五、六月份是不是部長說明一下好謝謝謝委員我想衛福部一直持續規劃跟設置而哨的一個專責的一個單位\n\n11:19.618 --> 11:35.625\n即使是跨本部現在相關的司署執掌並涉及業務調整人力的運動還有衛政跟社政的合作所以因為涉及到組織的重整所以我們現在非常積極的一直在討論持續來審證來評估看怎麼做來做規劃我們會全力以赴\n\n11:42.682 --> 12:06.868\n所以你們未來會朝向有一個兒童的一個專責單位嗎兒少的一個專責單位嗎會朝這樣子的方向來努力是院長剛剛我一開始讓你看到這樣子這十年來的新生兒人數就是要讓院長跟部長知道就是說我們所有的這個新生兒所有的這個\n\n12:09.369 --> 12:29.458\n就是我們要從小就要去做好保護即便這個新生兒的人數越來越少那我剛剛講的從醫療從這個所有的兒童政策孩子一個都不能少所以我是不是可以再請院長就我剛剛講的這個兒少的專責單位\n\n12:31.019 --> 12:45.496\n是不是我們需要是不是未來有這樣的一個專責單位而不是說我們一旦發生兒少的議題那你還要去釐清說這個到底是哪一個單位管的\n\n12:46.483 --> 13:02.262\n剛剛部長已經說過現在朝這個方向在演繹我也知道最近就會有一個具體的建議案出來再不變動現在整個國家三級機關的數量情況底下能不能做一些整併這個是現在的想法除了衛福部之外\n\n13:03.561 --> 13:26.069\n我也請陳時中政委來協助加快這個速度的推動其實這個不只是現在的邱部長在邱部長前面的薛瑞元部長在更前面的陳時中部長或者是在更前面的林州元部長其實在任內都有提到就是說需要有一個兒童的專責單位那我們在這個之前\n\n13:27.029 --> 13:52.781\n我們的這個兒童局在內政部1999年就設立一個兒童局那因為主改的關係2013年直接併到我們的這個社家署那其實把所有的兒童的議題全部很多人會認為就是說那兒童這麼重要孩子這麼重要那既然是由社家署來管那一旦發生事情的話你還要再去釐清到底是哪一個單位是主責\n\n13:53.801 --> 14:12.767\n所以我在這邊是不是請院長跟部長針對這一部分我們真的要好好的去思考那既然在歷任的這個部長都有提到就是說我們需要有一個兒童的專責單位那是不是可以請院長就是說可以在這邊也做一個承諾那未來我們需要\n\n14:13.607 --> 14:42.829\n就是只是在把它恢復而已啦恢復它原本如果是以前的兒童局或是現在未來是不是有什麼兒童司或兒少的什麼樣的單位都可以就是要有一個主責單位有一個專責的單位謝謝委員長期關心兒少跟少子女化的問題我們現在研究的方案方式就跟委員的想法也是一致的我會請陳時中政委跟衛福部邱部長一起盡快時間內把它成為一個定案\n\n14:43.506 --> 14:48.040\n這個定案以後我們會跟社會再做溝通盡量把它在最快的時間完成\n\n14:48.305 --> 15:17.483\n好那部長我剛提到有我們的這個兒童醫療那還有我們的兒童的專責單位那我想就是說請院長也要去關心因為我們知道說兒童的這個醫療其實有很多這個兒醫這個兒童這個兒科的醫師其實他們很多就不願意不願意再投入這樣的兒科的醫療這個應該院長跟部長都非常的清楚那如果說這個環境沒有做好的話其實\n\n15:19.364 --> 15:43.435\n會讓這個兒童的這個醫療未來會陷入更大的一個困境所以我們希望就是說希望政府能夠正視這個問題然後投入更多的這個資源在我們的這個兒童醫療上面那之前我有在委員會的時候也有特別提到就是說我們的疫苗的處置費那這個疫苗處置費是跟其他鄰近國家來比確實是非常少的\n\n15:57.931 --> 16:01.214\n好好謝謝黃秀芳委員的質詢謝謝謝謝卓院長衛福部長備詢謝謝\n\n","segments":[{"start":14.163,"end":14.343,"text":"黃偉文好"},{"start":38.677,"end":67.212,"text":"卓院长好卓院长我想请教就是说我们今天我想请教就是说我们少子化的议题那我们的这个从1999年内政部设立这个儿童局那负责儿少的业务那2013年因为主改的关系所以儿童局就并到我们这个卫福部的这个社家属那其实这样十几年的时间我们看到就是说从这个"},{"start":68.132,"end":93.812,"text":"兒童醫療也好或者是兒童福利或者是現在最近的這個凱凱案其實很多人一直在希望就是說我們這個兒童的一些單位能夠有一個專責單位那我先從我們的這個兒童醫療開始說起院長你看到這一張就是近十年台灣新生兒的出生數你看了你自己會不會嚇一跳"},{"start":94.77,"end":107.078,"text":"我們人口政策跟人口對策一直是政府長期在關心的我們對去年的出生率也覺得蠻憂心從2015年到2024年你看這短短的10年當中從2015的213,598人到2024年的134,856人這個"},{"start":122.571,"end":145.427,"text":"每一年都在下降新生兒每一年都在下降那當然就是說行政院這邊也提出很多的政策鼓勵我們趕生趕婚那所有的兒童福利我也看到這幾年的一些政策希望說能夠鼓勵年輕人能夠生育可是"},{"start":146.227,"end":161.62,"text":"雖然我們投入這麼多的資源可是看到好像整個成效也不是那麼好我是不是可以請教這個院長針對這一部分我們未來未來要怎麼樣讓這個新生兒的人數能夠再增加從我們的0到6歲"},{"start":163.501,"end":183.566,"text":"相關政策來看投入的經費確實很多包括我們育兒津貼從5000、6000、7000一直往上堆一直我們的托育政策也長時間多高額的一個補助但是成效真的是有限我想這個也是一個世界像現在普遍存在的現象我們現在又考慮到從社宅裡面從婚育"},{"start":185.546,"end":206.642,"text":"結婚生育來多所補助多所關懷我們會多種方面來進行但是我是覺得認為現在來看能夠讓已經出生的小孩子能夠得到更好的照顧跟教育是我們目前可以馬上開始做的好那剛剛院長有特別提到就是說這個醫療方面就是說台灣的這個孩子一個都不能少"},{"start":207.142,"end":224.956,"text":"都已經這麼少了去年是農年才13萬多一個都不能少當然就是說台灣的醫療尤其是兒童的醫療我們希望都能夠更好我們台灣沒有一個國家級的兒童醫院"},{"start":226.117,"end":251.075,"text":"即便是台大醫院 台大兒童醫院它也只是一個小兒科只是它的建築物是寫兒童醫院當然就是我們希望能夠有一個國家級的兒童專責醫院如果說短期間內沒辦法這樣做的話那我們是不是可以成立一個國家兒童健康研究中心"},{"start":251.815,"end":272.302,"text":"那這個我不知道說院長知不知道就是說我們如果成立這樣的一個國家兒童健康中心現在台大醫院已經在做了可能就是說需要再更多的資源的挹注那這個兒童的健康研究中心它最主要就是用臨床可能就是從臨床"},{"start":273.482,"end":302.212,"text":"那讓我們的這個孩子能夠得到更好更好的治療更好的一個照顧那我不知道說這個請院長回答或是請部長回答是不是可以讓我們即便沒有國家的專責兒童醫院那是不是可以從這方面開始著手謝謝部長謝謝委員那我想我們要成立哪一個組織都要知道它的定位是怎麼樣"},{"start":303.46,"end":331.927,"text":"我們一個國家級的兒童健康研究中心我想台大醫院的童人的兒童真的是非常關心兒童的發展不管是在兒童醫療的品質以及他整個研究持續包括他的小孩安全、意外的防範以及整個怎麼樣育兒長大那成立一個研究中心這樣的一個方向其實是很"},{"start":333.573,"end":360.114,"text":"是應該要支持那現在目前其實要確定它是它如果是研究計畫其實它在國科會或相關的機構其實都可以來做研究所以我想我們在三月多王正熙委員跟黃委員這邊都有關心開了公聽會那我們就邀請了辦公室委員的辦公室也邀請了教育部、國發會還有衛福部我們共同來研究這樣的一個"},{"start":362.296,"end":381.015,"text":"這樣一個當天討論的一個情況之下那當時的結論就是說我們請台大的兒醫能夠來了解再次確認一下我們的國家兒童健康研究中心他的角色以及未來對國家的一個因為是國家級的"},{"start":381.383,"end":393.972,"text":"就像當初我們在成立國家級的高零中心的時候其實雲林要成立結果宜蘭到處都是那我要成立所以你怎麼樣有一個特色"},{"start":394.568,"end":424.248,"text":"好那現在還在溝通他的特色那我們會用這一兩年當中把角色在理清楚以後我們來積極來看看怎麼樣把它做下去做得更好好 其實我當然知道院長會和部長對於這個台大的這個醫療因為很多一些急重男寒兒童的這個急重男寒症很多可能在其他縣市那他們第一想到的如果說是急症或者是"},{"start":424.928,"end":444.421,"text":"含病或是比較難醫治的大家想到就是說到台大醫院尤其是如果是這個台大兒童醫院那如果說我們今天大家認為就是說台大醫院是一個國家級的我們的一個國家級的一個非常重要的醫院那當然如果說現在目前有的兒童醫院"},{"start":445.382,"end":473.107,"text":"目前的兒童醫院並不是我們這個認為說是一個國家級的一個專責的兒童醫院所以我希望就是說如果未來這個國家級的專責兒童醫院需要投入更多的資源那當然就是說可以從臨床上面就是這樣的一個兒童的健康研究中心那他們可能收治更多急重男罕症的這樣的一個疾病那可以提供給其他醫院"},{"start":473.827,"end":495.039,"text":"其他這個兒童醫院或其他的兒童的這個診所能夠有更多的這個經驗的一些這個經驗的一個分享或者是如果遇到這個急重難寒的話要怎麼醫治所以我希望就是說部長或院長是不是可以去可以做這樣的一個承諾未來現在台大已經在做了是已經在做了"},{"start":495.279,"end":522.629,"text":"他們現在已經在做了只是說需要有更多的資源的挹注而且這個資源這個經費的挹注並不需要這麼的多所以我們希望說院長是不是可以做個承諾感謝委員的關心台大以前有曾經函報過教育部因為台大是屬於教育部系統對於成立一個兒童的國家健康研究中心要把台大的兒醫第二期的規劃做一個先期規劃的報告書那這個部分在2023年"},{"start":525.205,"end":549.478,"text":"也曾經教育部編了700多萬的經費來做一個規劃的研究那在今年年底就會完成這個規劃我想我們會持續一步步的推進部長你至於在2018年你自己也開過記者會你還記得你2018年開過的記者會嗎你提出了一個三點這三點就是說要成立一個兒童的特別委員會"},{"start":550.518,"end":567.742,"text":"或者是說要指定就是國家級的兒童健康研究中心那再來就是說能夠這個政策然後這個遵循聯合國兒童基金然後包括就是擴大一些托育照顧減免稅收育兒津貼這樣子這個是2018年當時邱委員開的記者會那現在部長你現在已經貴為部長了"},{"start":574.443,"end":592.416,"text":"那我剛提到的這部分可能就是這個兒童健康研究中心我希望就是說是不是可以在近期內趕快讓趕快由國家的這個資源來挹注然後趕快來上路那另外一點就是說我們一直"},{"start":593.317,"end":622.212,"text":"认为所有的儿童不论是社福或者是儿童的保护都是散落在各地散落在各个单位尤其这个凯凯案发生的时候大家会觉得说这个儿虐我们一旦是发生这个儿虐的话如果是家外儿虐的话我们还要去厘清就是说施虐者他的身份譬如说他是教师或者是他是保姆或者是托婴中心"},{"start":623.392,"end":646.903,"text":"你還要再去這樣子去分別因為他所管轄的單位不一樣所以我在5月10號可能有一些家長要上凱道做一些訴求那我是不是可以請院長這邊也要做一些回應就是說我們是不是可以成立成立兒童的專責單位或者是兒少的專責單位目前"},{"start":651.292,"end":676.697,"text":"衛福部有在進行相關的規劃我記得之前的匯報是說在五、六月份的時候他們會有一個具體的建議案出來是要用一個什麼樣的專責單位的這個級別機關或者怎麼樣來設計五、六月份是不是部長說明一下好 謝謝謝委員我想衛福部一直持續規劃跟設置而哨的一個專責的一個單位"},{"start":679.618,"end":695.625,"text":"即使是跨本部現在相關的司署執掌並涉及業務調整人力的運動還有衛政跟社政的合作所以因為涉及到組織的重整所以我們現在非常積極的一直在討論持續來審證來評估看怎麼做來做規劃我們會全力以赴"},{"start":702.682,"end":726.868,"text":"所以你們未來會朝向有一個兒童的一個專責單位嗎兒少的一個專責單位嗎會朝這樣子的方向來努力是院長剛剛我一開始讓你看到這樣子這十年來的新生兒人數就是要讓院長跟部長知道就是說我們所有的這個新生兒所有的這個"},{"start":729.369,"end":749.458,"text":"就是我們要從小就要去做好保護即便這個新生兒的人數越來越少那我剛剛講的從醫療從這個所有的兒童政策孩子一個都不能少所以我是不是可以再請院長就我剛剛講的這個兒少的專責單位"},{"start":751.019,"end":765.496,"text":"是不是我們需要是不是未來有這樣的一個專責單位而不是說我們一旦發生兒少的議題那你還要去釐清說這個到底是哪一個單位管的"},{"start":766.483,"end":782.262,"text":"剛剛部長已經說過現在朝這個方向在演繹我也知道最近就會有一個具體的建議案出來再不變動現在整個國家三級機關的數量情況底下能不能做一些整併這個是現在的想法除了衛福部之外"},{"start":783.561,"end":806.069,"text":"我也請陳時中政委來協助加快這個速度的推動其實這個不只是現在的邱部長在邱部長前面的薛瑞元部長在更前面的陳時中部長或者是在更前面的林州元部長其實在任內都有提到就是說需要有一個兒童的專責單位那我們在這個之前"},{"start":807.029,"end":832.781,"text":"我們的這個兒童局在內政部1999年就設立一個兒童局那因為主改的關係2013年直接併到我們的這個社家署那其實把所有的兒童的議題全部很多人會認為就是說那兒童這麼重要孩子這麼重要那既然是由社家署來管那一旦發生事情的話你還要再去釐清到底是哪一個單位是主責"},{"start":833.801,"end":852.767,"text":"所以我在這邊是不是請院長跟部長針對這一部分我們真的要好好的去思考那既然在歷任的這個部長都有提到就是說我們需要有一個兒童的專責單位那是不是可以請院長就是說可以在這邊也做一個承諾那未來我們需要"},{"start":853.607,"end":882.829,"text":"就是只是在把它恢復而已啦恢復它原本如果是以前的兒童局或是現在未來是不是有什麼兒童司或兒少的什麼樣的單位都可以就是要有一個主責單位有一個專責的單位謝謝委員長期關心兒少跟少子女化的問題我們現在研究的方案方式就跟委員的想法也是一致的我會請陳時中政委跟衛福部邱部長一起盡快時間內把它成為一個定案"},{"start":883.506,"end":888.04,"text":"這個定案以後我們會跟社會再做溝通盡量把它在最快的時間完成"},{"start":888.305,"end":917.483,"text":"好那部長我剛提到有我們的這個兒童醫療那還有我們的兒童的專責單位那我想就是說請院長也要去關心因為我們知道說兒童的這個醫療其實有很多這個兒醫這個兒童這個兒科的醫師其實他們很多就不願意不願意再投入這樣的兒科的醫療這個應該院長跟部長都非常的清楚那如果說這個環境沒有做好的話其實"},{"start":919.364,"end":943.435,"text":"會讓這個兒童的這個醫療未來會陷入更大的一個困境所以我們希望就是說希望政府能夠正視這個問題然後投入更多的這個資源在我們的這個兒童醫療上面那之前我有在委員會的時候也有特別提到就是說我們的疫苗的處置費那這個疫苗處置費是跟其他鄰近國家來比確實是非常少的"},{"start":957.931,"end":961.214,"text":"好好謝謝黃秀芳委員的質詢謝謝謝謝卓院長衛福部長備詢謝謝"}]}}},"gazette":{"lineno":197,"blocks":[["黃委員秀芳：（15時3分）謝謝院長，我們請卓院長。"],["主席：麻煩再請卓院長備詢。"],["卓院長榮泰：黃委員好。"],["黃委員秀芳：卓院長好。卓院長，今天我想請教少子化的議題，1999年內政部設立兒童局負責兒少的業務，2013年因為組改的關係，所以兒童局就併到衛福部社家署，經過十幾年的時間，我們看到兒童醫療、兒童福利或者是最近的剴剴案，其實很多人一直希望兒童部分能夠有一個專責單位。我先從兒童醫療開始說起，院長，你看到的這一張是近十年臺灣新生兒的出生數，你看了自己會不會嚇一跳？"],["卓院長榮泰：我們的人口政策跟人口對策一直是政府長期在關心的，我們對去年的出生率也覺得蠻憂心的。"],["黃委員秀芳：2015年到2024年的短短十年當中，從2015年的21萬3,598人到2024年的13萬4,856人，新生兒每一年都在下降。當然，行政院也提出很多的政策、兒童福利，鼓勵我們敢生敢婚，我也看到這幾年的一些政策，希望能夠鼓勵年輕人生育，雖然我們投入這麼多的資源，可是好像整個成效也不是那麼好，我是不是可以請教院長，針對這部分我們未來要怎麼樣讓新生兒的人數能夠再增加？"],["卓院長榮泰：從我們0到6歲的相關政策來看，投入的經費確實很多，包括我們的育兒津貼從5,000、6,000、7,000一直往上推，我們的托育政策也是長時間、多高額的補助，但是成效真的是有限，我想這個也是現在世界普遍存在的現象。我們現在又考慮到從社宅，從結婚、生育來多所補助、多所關懷，我們會多方面來進行，但是我認為讓已經出生的小孩子能夠得到更好的照顧跟教育，是我們目前可以馬上開始做的。"],["黃委員秀芳：好，剛剛院長有特別提到醫療方面，臺灣的孩子一個都不能少，都已經這麼少了，去年是龍年才十三萬多，所以一個都不能少。當然，臺灣的醫療，尤其是兒童的醫療，我們都希望能夠更好，但我們臺灣沒有一個國家級的兒童醫院，即便是臺大醫院……"],["卓院長榮泰：臺大兒醫。"],["黃委員秀芳：臺大兒童醫院也只是一個小兒科，只是它的建築物是寫兒童醫院。當然，我們希望能夠有一個國家級的兒童專責醫院，如果短期間內沒辦法這樣做的話，我們是不是可以成立一個國家級兒童健康研究中心？這個我不知道院長知不知道，我們如果成立這樣一個國家級兒童健康中心，現在臺大醫院已經在做了，但可能需要更多的資源挹注。這個兒童的健康研究中心，最主要的任務就是臨床研究，透過臨床研究，讓我們的孩子能夠得到更好的治療、更好的照顧。我不知道這個要請院長或是部長回答，即便我們沒有國家的專責兒童醫院，但是不是可以從這方面開始著手？"],["卓院長榮泰：請部長說明，謝謝。"],["邱部長泰源：好，謝謝委員。我想我們要成立哪一個組織，都要知道它的定位是怎麼樣，要成立一個國家級的兒童健康研究中心，我想臺大醫院的同仁真的是非常關心兒童的發展，不管是在兒醫、兒童醫療的品質，以及它整個研究，包括小孩的安全、意外的防範，以及怎麼樣育兒長大，來成立一個研究中心，這樣的一個方向其實應該是要支持的。現在要確定，它如果是研究計畫，其實在國科會或相關的機構都可以來做研究。","在3月多時王正旭委員跟黃委員都有關心，也開了公聽會。委員的辦公室也邀集了教育部、國發會還有衛福部，我們共同來研究這樣的一個議題。當時的結論是我們請臺大的兒醫再去確認一下國家級兒童健康研究中心，它的角色以及它未來對國家的……因為是國家級的，就像當初我們在成立國家級的高齡醫學暨健康福祉研究中心的時候，其實是雲林要成立，結果宜蘭和其他縣市說他們也要成立，所以你怎麼樣有一個特色……"],["黃委員秀芳：好。"],["邱部長泰源：現在是還在溝通它的特色，我們會在這一、兩年當中把角色再釐清楚以後，再積極來看要怎麼樣做下去、做得更好。"],["黃委員秀芳：好，其實我當然知道院長和部長對於臺大醫療的重視，因為很多兒童的急重難罕症，很多可能是在其他縣市，他們第一個想到的，如果是急症、罕病或者是比較難醫治的，大家想到就是到臺大醫院，尤其是臺大兒童醫院。今天大家認為臺大醫院是一個國家級的非常重要的醫院，但是目前已有的兒童醫院，並不是一個國家級專責的兒童醫院。所以我希望如果未來國家級的專責兒童醫院需要投入更多的資源，當然可以從臨床上面這樣的一個兒童健康研究中心，他們可能收治更多急重難罕症的疾病，可以提供給其他兒童醫院還有其他兒童的診所，能夠有更多經驗的分享，如果遇到急重難罕的話要怎麼醫治。所以我希望部長或院長，是不是可以做這樣的一個承諾，在未來……現在臺大已經在做了……"],["卓院長榮泰：是已經在做了。"],["黃委員秀芳：他們現在已經在做了，只是需要有更多資源的挹注，而且這個經費的挹注並不需要這麼多啦！所以我們希望院長是不是可以做個承諾？"],["卓院長榮泰：好，感謝委員的關心。臺大以前曾經函報過教育部，因為臺大是屬於教育部系統，對於成立一個國家兒童健康研究中心，要把臺大兒醫第二期做一個先期規劃的報告書。這個部分在2023年教育部曾經編了七百多萬的經費來做規劃的研究，在今年年底就會完成這個規劃，我想我們會持續一步一步推進。"],["黃委員秀芳：好。部長，你自己在2018年也開過記者會，你還記得2018年開過的記者會嗎？"],["邱部長泰源：是。"],["黃委員秀芳：你提出三點，這三點就是要成立一個兒童的特別委員會；以及要指定國家級的兒童健康研究中心；再來就是政策能夠遵循聯合國兒童基金會暨經濟合作發展組織報告的內容，包括擴大托育照顧、減免稅收、育兒津貼。這個是2018年當時邱委員開的記者會，現在你已經貴為部長了，我剛剛提到兒童健康研究中心，我希望是不是可以在近期內趕快挹注國家的資源，然後趕快上路？","另外一點，我們一直認為所有的兒童，不論是社福或者是兒童的保護都是散落在各個單位，尤其剴剴案發生的時候，大家會覺得……我們一旦發生兒虐，如果是家外兒虐的話，我們還要去釐清施虐者的身分，譬如說他是教師或者是他是保母或者是托嬰中心，你還要再去分別，因為相關管轄的單位不一樣。在5月10號有一些家長要上凱道做訴求，是不是可以請院長也做一些回應？我們是不是可以成立兒童的專責單位或者是兒少的專責單位？"],["卓院長榮泰：目前衛福部有在進行相關的規劃，我記得之前的會報是在5、6月份的時候，他們會有具體的建議案出來，是要用一個什麼樣的專責單位的級別、機關或者怎麼樣來設計，是不是請部長說明一下？"],["邱部長泰源：謝謝委員。我想衛福部一直持續規劃跟設置兒少專責的單位，而兒少的業務即使是跨本部，現在相關的司署職掌因為涉及業務調整及人力的異動，還有衛政跟社政的合作，以及組織的重整，所以我們現在非常積極、一直在討論，持續審慎評估看怎麼規劃，我們會全力以赴。"],["黃委員秀芳：所以未來你們會朝向有一個兒童的專責單位嗎？兒少的一個專責單位嗎？"],["邱部長泰源：會朝這樣子的方向努力。"],["黃委員秀芳：是。院長，我剛剛一開始讓你看到這十年來的新生兒人數，就是要讓院長跟部長知道，我們所有的新生兒、所有的孩子，要從小就要做好保護，即便新生兒的人數越來越少，我剛剛講的，不管是從醫療及所有的兒童政策，孩子一個都不能少，所以我是不是可以再請院長，就我剛剛講的，我們未來是不是需要一個兒少的專責單位，而不是一旦發生兒少議題還要去釐清這個到底是哪一個單位管的？"],["卓院長榮泰：剛剛部長已經說過，現在朝這個方向研議，我也知道最近就會有一個具體的建議案出來，在不變動現在整個國家三級機關數量的情況底下，看能不能做一些整併，這個是現在的想法。"],["黃委員秀芳：是。"],["卓院長榮泰：除了衛福部之外，我也會請陳時中政委協助加快推動的速度。"],["黃委員秀芳：是，其實不只是現在的邱部長，在邱部長前面的薛瑞元部長，以及更前面的陳時中部長或者是在更前面的林奏延部長，其實他們在任內都有提到需要有一個兒童的專責單位，之前內政部在1999年就設立了一個兒童局，但因為組改的關係，2013年直接併到社家署，把所有的兒童議題全部……很多人認為兒童這麼重要、孩子這麼重要，既然是由社家署來管，一旦發生事情的話，還要再去釐清到底是哪一個單位主責，所以我在這邊是不是請院長跟部長針對這一部分，我們真的要好好的思考，既然歷任部長都有提到我們需要一個兒童的專責單位，是不是可以請院長在這邊承諾，未來如果我們需要……其實就只是把它恢復而已，恢復它原本……如果是以前的兒童局或是未來是不是有什麼兒童司還是兒少的單位都可以，就是要有一個主責單位、有一個專責的單位。"],["卓院長榮泰：謝謝委員長期關心兒少跟少子女化的問題，我們現在研究的方案及方式跟委員的想法是一致的，我會請陳時中政委跟衛福部邱部長一起，儘快在時間內把它成為一個定案，定案以後，我們會再跟社會溝通，儘量把它在最快的時間完成。"],["黃委員秀芳：好。部長，我剛剛提到兒童醫療還有兒童的專責單位，我想請院長也要關心，因為我們知道關於兒童的醫療，其實有很多兒科醫師不願意再投入兒科的醫療，院長跟部長應該都非常的清楚，如果這個環境沒有做好的話，未來會讓兒童醫療陷入更大的困境，所以我們希望政府能夠正視這個問題，然後投入更多資源在我們的兒童醫療上面。","之前我在委員會的時候也有特別提到我們的疫苗處置費，這個疫苗處置費跟其他鄰近國家來比確實是非常的少，所以我也希望衛福部針對疫苗處置費的部分，能夠給所有的基層醫師或者是醫院一些回應，好不好？"],["卓院長榮泰：好的，謝謝委員，我們再書面答復委員。"],["邱部長泰源：好。"],["主席：謝謝黃秀芳委員的質詢，也謝謝卓院長及衛福部長的備詢，謝謝。","接下來請王正旭委員質詢，請盧縣一委員準備。"]],"agenda":{"page_end":218,"meet_id":"院會-11-3-10","speakers":["韓國瑜","江啟臣","陳超明","黃建賓","魯明哲","顏寬恒","陳玉珍","林倩綺","林沛祥","黃國昌","林國成","李昆澤","林月琴","賴士葆","黃秀芳","王正旭","盧縣一","李彥秀","楊曜","麥玉珍","廖偉翔","陳菁徽","林淑芬","馬文君","邱若華","蘇巧慧"],"page_start":117,"meetingDate":["2025-05-06"],"gazette_id":"1144201","agenda_lcidc_ids":["1144201_00004","1144201_00005"],"meet_name":"立法院第11屆第3會期第10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─ 詢答完畢─","agenda_id":"1144201_00004"}}}