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00:02:40,059\n方向上過去去年也好今年也好我們利用醫事人員的勞動條件我們從公務預算撥了40億去用於三班輪值夜班的護理人員的直接獎勵我們更從健保的總額裡面花了41.56億總共加起來總共有80億左右我們在調整醫事人員的環境護理人員的環境\n\n8\n00:02:42,180 --> 00:03:03,045\n這些政策我都支持我也覺得方向是正確的但是院長部長我們的醫療院所裡面不是只有護理人員我們還有藥師我們還有檢驗師我們還有放射師大家都很辛苦院長你同意我的說法嘛對不對大家都很辛苦分工負責的狀況底下\n\n9\n00:03:04,245 --> 00:03:25,722\n對方向上也不是只有夜班的同仁辛苦其實白班夜班大夜班大家都很辛苦所以我們有沒有辦法其實我質詢了很多次我在財務會有質詢了很多次我有問財政部長說我們有沒有什麼樣的工具像我們在現行的中小企業發展條例當中我們有提供營業稅的租稅的優惠\n\n10\n00:03:29,215 --> 00:03:51,896\n院長卓院長我們有提供營業稅的出稅優惠給企業但是我們的醫療院所我們的診所它不是營利單位所以它沒有機會減稅這就是我今天的大標我覺得公私合力我們要給足夠的誘因讓這些診所雖然那個誘因可能出稅優惠只有一點點\n\n11\n00:03:53,658 --> 00:04:21,855\n但是這個是我們政府給的蘿蔔我們希望透過這個蘿蔔可以讓他們也給藥師也好給檢驗師也好更多的加薪的機會所以這個政策我們也希望部長可以折騰橫向部會的聯繫給邱部長更多的工具可以去做這些處理出稅優惠的處理部長可不可以院長可不可以部長可不可以\n\n12\n00:04:23,645 --> 00:04:34,631\n院長你先講好了我們對於醫院是直接給獎勵的我知道院長因為我今天議題很多所以你直接告訴我就說工具上輸送約會三班負面品達到標準的醫院直接給獎勵這些獎勵他就可以放到白班的家家企或是一些其他的醫療人員\n\n13\n00:04:46,016 --> 00:05:01,073\n這個我都知道但是不是只有護理人員醫院裡面還有檢驗室醫藥師所以我剛才講的是我們能不能透過醫管法的修法我們用什麼樣的方式給診所也好因為它不是營利事業所的它不是營業所所以它沒有機會從\n\n14\n00:05:03,035 --> 00:05:31,086\n租稅優惠上面去做處理所以我覺得要從修法的方向去做處理所以是不是可以責成部長去做後續法上面的去調整我也問過財政部部長他也同意但是你必須啟動這樣的政策才有機會在租稅優惠的上面去免稅譬如說診所他是租的那怎麼樣因為他給員工加薪他給護理人員加薪他給藥師加薪所以我們給他租稅上的優惠\n\n15\n00:05:33,267 --> 00:05:57,509\n人力準備的方案我們是今年才實施去年才實施應該給他到各醫院去執行一段時間看看如果效果很好我們可以加碼如果還有需要補強法治化的過程我們再來檢討部長你很清楚問題點在哪裡診所你沒有給他的工具他怎麼去加薪所以我覺得可以去研議\n\n16\n00:05:58,697 --> 00:06:27,033\n跟委員報告那這一年來我們的政府真的挹注了很多的經費到我們醫療院所而且非常期待是給我們所有的醫事人員包括診所也要吧我們監測它是不是有確實到我們醫事人員的薪資這是我們一直在努力的那另外在稅務的部分我想這是多年來一直在努力的事情那我們也會尊重醫事團體\n\n17\n00:06:27,973 --> 00:06:47,288\n的爭取我們來協助做合理的處理這樣子好謝謝部長因為我今天時間很有限我已經問了很多次我只是給你足夠的工具我希望所有醫事人員都可以加薪不是只有在醫院在醫療診所裡面我只是提供你這樣的政策跟方向你可以去做處理我是善意的提醒\n\n18\n00:06:48,408 --> 00:07:11,957\n來第二個就是我們長期關注的疫苗處置費部長你長期也都去參加各式各樣的學會我們也都承諾他們要提出相關的問題我們希望健康台灣不是只有賴總統的淪為口號那包括在106年的時候你我都是在當立法委員的時候我們在衛黃委員會都爭取了包括常規疫苗處置費的接種\n\n19\n00:07:13,786 --> 00:07:29,826\n一歲以下後來我們爭取到106年我們爭取到100塊那後續包括107年我們就國小前的接種我們都達到爭取到那個補助費所有的都可以達到100塊就是1到7歲疫苗的接種我們都100塊的儲置費但是我們看一下表格\n\n20\n00:07:33,550 --> 00:07:48,497\n我們鄰近幾個國家我們一劑是一百塊錢日本政府在給予疫苗處置費的補助的部分是每一劑一千一到一千六百五十塊韓國是五百到一千一劑是一千塊反觀我們是只有一劑一百塊\n\n21\n00:07:49,697 --> 00:08:16,708\n這個在醫事人員勞動的條件環境上我覺得我們政府是帶頭貶低醫療服務價值在我看來我比照世界各國我們最喜歡比照世界各國但是我們看光比這個疫苗處置費的部分我就認為我們的醫生為什麼都是血汗醫生他們都自己常在喊說我們的醫療價值被貶低了我想你是醫界出身你最清楚我在說什麼邱部長\n\n22\n00:08:18,189 --> 00:08:42,327\n所以我覺得應該要調高我們的疫苗處置費每一次參加學會的時候你在現場我也都給你錄音你也都同意我們要想辦法我們要找錢我們要想辦法所以我們要全面的提高全年齡的疫苗處置費在短期的部分我更認為特別要照顧小朋友的部分兒童的疫苗的接種部分我們也應該要去\n\n23\n00:08:43,410 --> 00:08:52,495\n提升我們現在100塊而已嘛我們應該要去提升至少在7歲以下我們應該要想辦法去提升你有承諾過我有聽到我有在現場部長是的謝委員喔計100塊韓國一計是1100我想疫苗處置會當然剛剛提的這個數據可能在我們要釐清它有沒有包括\n\n24\n00:09:06,377 --> 00:09:19,093\n那個疫苗在裡面,那沒關係,但是的確要打一個給小孩子的疫苗真的很不簡單你把他打下去,那個護士還被小孩子踢個兩腳的都有都有\n\n25\n00:09:22,833 --> 00:09:50,476\n要判斷他能不能打這也是很醫療的專業所以你同不同意部長你現在承諾同不同意會研議在疫苗基金的一個裁員的情況之下我們來研議怎麼樣來做謝謝部長你的回應另外一個就是疫苗的配送的部分因為我們現在疫苗都是譬如說診所的醫生自己去領取那個冷鏈的過程有沒有達到那個標準\n\n26\n00:09:50,836 --> 00:10:18,468\n其實都有一些風險我覺得也應該由政府去建制冷鏈的配送機制有的天氣這麼熱有時候他帶一個什麼我不知道他是不是用保溫袋我不知道啦萬一如果那個配送的標準冷鏈的機制不一那都會影響疫苗的品質所以我覺得領取疫苗由我們政府來配送或用什麼樣的配送機制我覺得我們應該全國一致性的去做演繹部長你懂我的意思嗎\n\n27\n00:10:19,502 --> 00:10:31,734\n好我想因為每一個診所的設備不太一樣的確有蠻多診所在冷鏈的處理上面會產生他過去拿的人的標準保溫的標準都不一定會影響冷鏈的品質我們會請各縣市的衛生局\n\n28\n00:10:36,859 --> 00:10:50,675\n其實他們都很用心在幫忙我沒有鎖定他們的用心但是我覺得為了保障疫苗的品質我覺得更應該就是一個一致性還是要感謝各縣市衛生局其實在這方面都很努力在幫忙\n\n29\n00:10:51,536 --> 00:11:12,944\n部長因為我知道但是我提醒的是我們應該要有一個一致冷鏈的配送機制政府來要求甚至來補助來講一個SOP的標準我們疫苗送到各診所那個疫苗才不會配送過程當中有品質的影響打下去的效果就有差院長你應該聽懂我在講什麼啦\n\n30\n00:11:14,520 --> 00:11:29,266\n我覺得這個是我衷心的建議但我覺得這應該是一致性的去處理好最後幾點我長期要求的之前我在講帶狀性炮症疫苗院長跟部長在現場都答應我要去做評估\n\n31\n00:11:30,441 --> 00:11:56,920\n那到現在已經又過了半年你們已經上任一年了我要的是一個HTA的報告書今天不管我們有沒有錢可以做我們要做風險評估才能去編列預算我們才知道高風險群哪些我們應該有機會施打不要說連一個風險評估連一個研究報告書都做不出來那我們所有委員坐在這邊質詢就沒有意義所有的疫苗政策是重要的\n\n32\n00:11:58,243 --> 00:12:24,512\n我覺得一個評估報告書應該不困難院長你了解我的意思嗎我要一個帶狀性泡診的一個評估報告書今天不管我們能不能全國國人都施打還是我們給高風險群施打還是我們施打要多少錢我們總要一個評估報告我們才知道我們可不可以做我們要不要做我在這邊院長你應該有印象這不是我質詢第一次我長期關注這個議題\n\n33\n00:12:25,652 --> 00:12:39,938\n我現在不是要求說你給我錢我希望三個月裡面給我一個HTA的評估報告書我知道部長非常的努力但我覺得這件事情到現在我問了第二次了還沒有落實到所以部長可不可以提供我這個報告書\n\n34\n00:12:41,058 --> 00:12:50,368\n好的,報告委員,其實我們都有一個ACIP,就是疫苗評估小組,它會針對疫苗裡面,我們特別針對帶段炮準,我們特別來評估跟委員報告好,因為我只剩下兩分鐘時間,另外最後一個,我長期關注的,有時候失智症\n\n35\n00:13:02,202 --> 00:13:09,669\n院長部長現在失智症的人越來越多114年開始我們修改了失智症的照護計畫我們現在分兩種一種是社區型的失智據點另外一個是醫院內的全責失智據點這兩個失智據點其實我覺得做得非常的好\n\n36\n00:13:18,137 --> 00:13:47,760\n那我們現在衛福部把用差異化的照顧方式有一些可能他有一些症狀的我們就把他移到醫院的全職機關去做照護這件事情方向是對的我個人也肯定但是這會變成說我們現在社區失智據點的照顧我們本來是獲得補助是有十個人我們才能補助偏向我們是五個人那我們有一些症狀發生的時候我們現在移到醫院去我是支持的\n\n37\n00:13:48,200 --> 00:13:58,803\n但是現在就變成社區沒有補助那很多人就做不下去就不願意做院長部長我要提的是高齡化社會之後我覺得\n\n38\n00:13:59,409 --> 00:14:23,339\n失智症的人有可能越來越多這對年輕人來說也是一個負擔我不希望因為現在已經有的10個人有的一個BPSD的照顧據點因為我們標準是10個人才補助這個據點因為有一些我們標準移到有一些項目的標準我們移到醫院去那他只剩下8個人7個人他就做不下去他就不做了\n\n39\n00:14:24,690 --> 00:14:51,235\n那當然我覺得這件事情是可惜的因為有一些已經有一些前兆的人他本身就在社區據點已經我們在訓練教育避免他狀況惡化所以這件事情我覺得是不是在重新再研議一下補助的標準可不可以好我想施治政如果施治的你答應了就好了啦部長院長這個很簡單啦這個施治政我們來研議\n\n40\n00:14:55,938 --> 00:15:06,051\n一個機構如果不是很大十個人要照顧就已經很困難了我們覺得我們應該從這觀點來看是不是需要把這個徹底來檢討一下真的照顧需要照顧的人\n\n41\n00:15:06,670 --> 00:15:34,562\n就是譬如說八個人你也可以去照顧因為也真的是很辛苦我們高齡化是好我最後一件關稅三二十秒這個議題很重要所以我們這次在關稅的談判當中其實我關注的是美方其實一直關注的一件事情我們沒有提到的我們美國代表相關其實有提到我們健保的核價制度我們健保核價制度美國其實一直在關注未來我們會不會因為談判去調整我們未來健保制度談判的方法跟方式你直接回應我部長\n\n42\n00:15:56,830 --> 00:15:58,331\n謝謝李燕秀委員的質詢謝謝左院長衛福部長備詢謝謝\n\n43\n00:16:02,407 --> 00:16:13,199\n委員會登記第九位楊耀偉委員之諮詢書面提出請行政院書面打覆並列入紀錄刊登公報再接下來請麥玉珍委員諮詢廖偉祥委員\n\n","tsv":"start\tend\ttext\n10932\t17076\t謝謝院長,我是不是可以邀請卓院長以及邱部長麻煩請卓院長、衛福部長備詢議員好\n30836\t54386\t院長好部長好即將就任滿一年那我也需要好好的去盤點就任一年無論是賴總統過去在選舉的政策也好或者是過去我在衛黃委員會或者是我們在同一個質詢台關注的重要政策議題我們到底落實了多少院長你同不同意我今天的大標公司協力改善\n54986\t76577\t我們醫療勞動的環境是需要公司共同來協力你同不同意我的大標應該是這樣做的沒錯嘛譬如說我們要老闆幫員工加薪我們幫員工加薪我們另外一個用意是我們希望民間也可以老闆也可以呼應我們的政策也幫民間的勞工加薪嘛對不對那我們有\n77017\t91700\t足夠的誘因給他們就有一些獎勵政策啦那或許他們就有更多的誘因可以去加薪所以大原則也感謝院長您的方向是同意的我們現在部長我們現在正在修這個特管法的修法\n92321\t120075\t那我們也強調說要幫醫事人員加薪其中我們要求醫院要幫醫事人員加薪從基本薪資加到基本薪資的兩倍診所的部分我們則要求要幫醫事人員希望能夠達到基本薪資的1.5倍這個政策當然在醫界有引起不同的反應當然我們賴總統常常在喊健康台灣健康台灣健康台灣絕對不是只有總統\n121616\t135252\t在總統府裡面開幾次的會議會議之後我們怎麼樣利用我們政府有的工具跟政策去做更多的落實這才是總統開會的主要的目的對不對\n136813\t160059\t方向上過去去年也好今年也好我們利用醫事人員的勞動條件我們從公務預算撥了40億去用於三班輪值夜班的護理人員的直接獎勵我們更從健保的總額裡面花了41.56億總共加起來總共有80億左右我們在調整醫事人員的環境護理人員的環境\n162180\t183045\t這些政策我都支持我也覺得方向是正確的但是院長部長我們的醫療院所裡面不是只有護理人員我們還有藥師我們還有檢驗師我們還有放射師大家都很辛苦院長你同意我的說法嘛對不對大家都很辛苦分工負責的狀況底下\n184245\t205722\t對方向上也不是只有夜班的同仁辛苦其實白班夜班大夜班大家都很辛苦所以我們有沒有辦法其實我質詢了很多次我在財務會有質詢了很多次我有問財政部長說我們有沒有什麼樣的工具像我們在現行的中小企業發展條例當中我們有提供營業稅的租稅的優惠\n209215\t231896\t院長 卓院長我們有提供營業稅的出稅優惠給企業但是我們的醫療院所我們的診所它不是營利單位所以它沒有機會減稅這就是我今天的大標我覺得公私合力我們要給足夠的誘因讓這些診所雖然那個誘因可能出稅優惠只有一點點\n233658\t261855\t但是這個是我們政府給的蘿蔔我們希望透過這個蘿蔔可以讓他們也給藥師也好 給檢驗師也好更多的加薪的機會所以這個政策我們也希望部長可以折騰橫向部會的聯繫給邱部長更多的工具可以去做這些處理 出稅優惠的處理部長可不可以 院長可不可以 部長可不可以\n263645\t274631\t院長你先講好了我們對於醫院是直接給獎勵的我知道院長因為我今天議題很多所以你直接告訴我就說工具上輸送約會三班負面品達到標準的醫院直接給獎勵這些獎勵他就可以放到白班的家家企或是一些其他的醫療人員\n286016\t301073\t這個我都知道但是不是只有護理人員醫院裡面還有檢驗室醫藥師所以我剛才講的是我們能不能透過醫管法的修法我們用什麼樣的方式給診所也好因為它不是營利事業所的它不是營業所所以它沒有機會從\n303035\t331086\t租稅優惠上面去做處理所以我覺得要從修法的方向去做處理所以是不是可以責成部長去做後續法上面的去調整我也問過財政部部長他也同意但是你必須啟動這樣的政策才有機會在租稅優惠的上面去免稅譬如說診所他是租的那怎麼樣因為他給員工加薪他給護理人員加薪他給藥師加薪所以我們給他租稅上的優惠\n333267\t357509\t人力準備的方案我們是今年才實施去年才實施應該給他到各醫院去執行一段時間看看如果效果很好我們可以加碼如果還有需要補強法治化的過程我們再來檢討部長你很清楚問題點在哪裡診所你沒有給他的工具他怎麼去加薪所以我覺得可以去研議\n358697\t387033\t跟委員報告那這一年來我們的政府真的挹注了很多的經費到我們醫療院所而且非常期待是給我們所有的醫事人員包括診所也要吧我們監測它是不是有確實到我們醫事人員的薪資這是我們一直在努力的那另外在稅務的部分我想這是多年來一直在努力的事情那我們也會尊重醫事團體\n387973\t407288\t的爭取我們來協助做合理的處理這樣子好謝謝部長因為我今天時間很有限我已經問了很多次我只是給你足夠的工具我希望所有醫事人員都可以加薪不是只有在醫院在醫療診所裡面我只是提供你這樣的政策跟方向你可以去做處理我是善意的提醒\n408408\t431957\t來第二個就是我們長期關注的疫苗處置費部長你長期也都去參加各式各樣的學會我們也都承諾他們要提出相關的問題我們希望健康台灣不是只有賴總統的淪為口號那包括在106年的時候你我都是在當立法委員的時候我們在衛黃委員會都爭取了包括常規疫苗處置費的接種\n433786\t449826\t一歲以下後來我們爭取到106年我們爭取到100塊那後續包括107年我們就國小前的接種我們都達到爭取到那個補助費所有的都可以達到100塊就是1到7歲疫苗的接種我們都100塊的儲置費但是我們看一下表格\n453550\t468497\t我們鄰近幾個國家我們一劑是一百塊錢日本政府在給予疫苗處置費的補助的部分是每一劑一千一到一千六百五十塊韓國是五百到一千一劑是一千塊反觀我們是只有一劑一百塊\n469697\t496708\t這個在醫事人員勞動的條件環境上我覺得我們政府是帶頭貶低醫療服務價值在我看來我比照世界各國我們最喜歡比照世界各國但是我們看光比這個疫苗處置費的部分我就認為我們的醫生為什麼都是血汗醫生他們都自己常在喊說我們的醫療價值被貶低了我想你是醫界出身你最清楚我在說什麼邱部長\n498189\t522327\t所以我覺得應該要調高我們的疫苗處置費每一次參加學會的時候你在現場我也都給你錄音你也都同意我們要想辦法我們要找錢我們要想辦法所以我們要全面的提高全年齡的疫苗處置費在短期的部分我更認為特別要照顧小朋友的部分兒童的疫苗的接種部分我們也應該要去\n523410\t532495\t提升 我們現在100塊而已嘛我們應該要去提升 至少在7歲以下我們應該要想辦法去提升 你有承諾過 我有聽到 我有在現場部長是的 謝委員喔 計100塊 韓國一計是1100我想疫苗處置會 當然剛剛提的這個數據可能在我們要釐清它有沒有包括\n546377\t559093\t那個疫苗在裡面,那沒關係,但是的確要打一個給小孩子的疫苗真的很不簡單你把他打下去,那個護士還被小孩子踢個兩腳的都有都有\n562833\t590476\t要判斷他能不能打這也是很醫療的專業所以你同不同意部長你現在承諾同不同意會研議在疫苗基金的一個裁員的情況之下我們來研議怎麼樣來做謝謝部長你的回應另外一個就是疫苗的配送的部分因為我們現在疫苗都是譬如說診所的醫生自己去領取那個冷鏈的過程有沒有達到那個標準\n590836\t618468\t其實都有一些風險我覺得也應該由政府去建制冷鏈的配送機制有的天氣這麼熱有時候他帶一個什麼我不知道他是不是用保溫袋我不知道啦萬一如果那個配送的標準冷鏈的機制不一那都會影響疫苗的品質所以我覺得領取疫苗由我們政府來配送或用什麼樣的配送機制我覺得我們應該全國一致性的去做演繹部長你懂我的意思嗎\n619502\t631734\t好 我想因為每一個診所的設備不太一樣的確有蠻多診所在冷鏈的處理上面會產生他過去拿的人的標準 保溫的標準都不一定會影響冷鏈的品質我們會請各縣市的衛生局\n636859\t650675\t其實他們都很用心在幫忙我沒有鎖定他們的用心但是我覺得為了保障疫苗的品質我覺得更應該就是一個一致性還是要感謝各縣市衛生局其實在這方面都很努力在幫忙\n651536\t672944\t部長因為我知道但是我提醒的是我們應該要有一個一致冷鏈的配送機制政府來要求甚至來補助來講一個SOP的標準我們疫苗送到各診所那個疫苗才不會配送過程當中有品質的影響打下去的效果就有差院長你應該聽懂我在講什麼啦\n674520\t689266\t我覺得這個是我衷心的建議但我覺得這應該是一致性的去處理好最後幾點我長期要求的之前我在講帶狀性炮症疫苗院長跟部長在現場都答應我要去做評估\n690441\t716920\t那到現在已經又過了半年你們已經上任一年了我要的是一個HTA的報告書今天不管我們有沒有錢可以做我們要做風險評估才能去編列預算我們才知道高風險群哪些我們應該有機會施打不要說連一個風險評估連一個研究報告書都做不出來那我們所有委員坐在這邊質詢就沒有意義所有的疫苗政策是重要的\n718243\t744512\t我覺得一個評估報告書應該不困難院長你了解我的意思嗎我要一個帶狀性泡診的一個評估報告書今天不管我們能不能全國國人都施打還是我們給高風險群施打還是我們施打要多少錢我們總要一個評估報告我們才知道我們可不可以做我們要不要做我在這邊院長你應該有印象這不是我質詢第一次我長期關注這個議題\n745652\t759938\t我現在不是要求說你給我錢我希望三個月裡面給我一個HTA的評估報告書我知道部長非常的努力但我覺得這件事情到現在我問了第二次了還沒有落實到所以部長可不可以提供我這個報告書\n761058\t770368\t好的,報告委員,其實我們都有一個ACIP,就是疫苗評估小組,它會針對疫苗裡面,我們特別針對帶段炮準,我們特別來評估跟委員報告好,因為我只剩下兩分鐘時間,另外最後一個,我長期關注的,有時候失智症\n782202\t789669\t院長部長現在失智症的人越來越多114年開始我們修改了失智症的照護計畫我們現在分兩種一種是社區型的失智據點另外一個是醫院內的全責失智據點這兩個失智據點其實我覺得做得非常的好\n798137\t827760\t那我們現在衛福部把用差異化的照顧方式有一些可能他有一些症狀的我們就把他移到醫院的全職機關去做照護這件事情方向是對的我個人也肯定但是這會變成說我們現在社區失智據點的照顧我們本來是獲得補助是有十個人我們才能補助偏向我們是五個人那我們有一些症狀發生的時候我們現在移到醫院去我是支持的\n828200\t838803\t但是現在就變成社區沒有補助那很多人就做不下去就不願意做院長 部長我要提的是高齡化社會之後我覺得\n839409\t863339\t失智症的人有可能越來越多這對年輕人來說也是一個負擔我不希望因為現在已經有的10個人有的一個BPSD的照顧據點因為我們標準是10個人才補助這個據點因為有一些我們標準移到有一些項目的標準我們移到醫院去那他只剩下8個人7個人他就做不下去他就不做了\n864690\t891235\t那當然我覺得這件事情是可惜的因為有一些已經有一些前兆的人他本身就在社區據點已經我們在訓練教育避免他狀況惡化所以這件事情我覺得是不是在重新再研議一下補助的標準可不可以好 我想施治政如果施治的你答應了就好了啦 部長院長這個很簡單啦 這個施治政我們來研議\n895938\t906051\t一個機構如果不是很大十個人要照顧就已經很困難了我們覺得我們應該從這觀點來看是不是需要把這個徹底來檢討一下真的照顧需要照顧的人\n906670\t934562\t就是譬如說八個人你也可以去照顧因為也真的是很辛苦我們高齡化是好我最後一件關稅三二十秒這個議題很重要所以我們這次在關稅的談判當中其實我關注的是美方其實一直關注的一件事情我們沒有提到的我們美國代表相關其實有提到我們健保的核價制度我們健保核價制度美國其實一直在關注未來我們會不會因為談判去調整我們未來健保制度談判的方法跟方式你直接回應我部長\n956830\t958331\t謝謝李燕秀委員的質詢謝謝左院長 衛福部長備詢 謝謝\n962407\t973199\t委員會登記第九位楊耀偉委員之諮詢書面提出請行政院書面打覆並列入紀錄刊登公報再接下來請麥玉珍委員諮詢廖偉祥委員\n","txt":"謝謝院長,我是不是可以邀請卓院長以及邱部長麻煩請卓院長、衛福部長備詢議員好\n院長好部長好即將就任滿一年那我也需要好好的去盤點就任一年無論是賴總統過去在選舉的政策也好或者是過去我在衛黃委員會或者是我們在同一個質詢台關注的重要政策議題我們到底落實了多少院長你同不同意我今天的大標公司協力改善\n我們醫療勞動的環境是需要公司共同來協力你同不同意我的大標應該是這樣做的沒錯嘛譬如說我們要老闆幫員工加薪我們幫員工加薪我們另外一個用意是我們希望民間也可以老闆也可以呼應我們的政策也幫民間的勞工加薪嘛對不對那我們有\n足夠的誘因給他們就有一些獎勵政策啦那或許他們就有更多的誘因可以去加薪所以大原則也感謝院長您的方向是同意的我們現在部長我們現在正在修這個特管法的修法\n那我們也強調說要幫醫事人員加薪其中我們要求醫院要幫醫事人員加薪從基本薪資加到基本薪資的兩倍診所的部分我們則要求要幫醫事人員希望能夠達到基本薪資的1.5倍這個政策當然在醫界有引起不同的反應當然我們賴總統常常在喊健康台灣健康台灣健康台灣絕對不是只有總統\n在總統府裡面開幾次的會議會議之後我們怎麼樣利用我們政府有的工具跟政策去做更多的落實這才是總統開會的主要的目的對不對\n方向上過去去年也好今年也好我們利用醫事人員的勞動條件我們從公務預算撥了40億去用於三班輪值夜班的護理人員的直接獎勵我們更從健保的總額裡面花了41.56億總共加起來總共有80億左右我們在調整醫事人員的環境護理人員的環境\n這些政策我都支持我也覺得方向是正確的但是院長部長我們的醫療院所裡面不是只有護理人員我們還有藥師我們還有檢驗師我們還有放射師大家都很辛苦院長你同意我的說法嘛對不對大家都很辛苦分工負責的狀況底下\n對方向上也不是只有夜班的同仁辛苦其實白班夜班大夜班大家都很辛苦所以我們有沒有辦法其實我質詢了很多次我在財務會有質詢了很多次我有問財政部長說我們有沒有什麼樣的工具像我們在現行的中小企業發展條例當中我們有提供營業稅的租稅的優惠\n院長 卓院長我們有提供營業稅的出稅優惠給企業但是我們的醫療院所我們的診所它不是營利單位所以它沒有機會減稅這就是我今天的大標我覺得公私合力我們要給足夠的誘因讓這些診所雖然那個誘因可能出稅優惠只有一點點\n但是這個是我們政府給的蘿蔔我們希望透過這個蘿蔔可以讓他們也給藥師也好 給檢驗師也好更多的加薪的機會所以這個政策我們也希望部長可以折騰橫向部會的聯繫給邱部長更多的工具可以去做這些處理 出稅優惠的處理部長可不可以 院長可不可以 部長可不可以\n院長你先講好了我們對於醫院是直接給獎勵的我知道院長因為我今天議題很多所以你直接告訴我就說工具上輸送約會三班負面品達到標準的醫院直接給獎勵這些獎勵他就可以放到白班的家家企或是一些其他的醫療人員\n這個我都知道但是不是只有護理人員醫院裡面還有檢驗室醫藥師所以我剛才講的是我們能不能透過醫管法的修法我們用什麼樣的方式給診所也好因為它不是營利事業所的它不是營業所所以它沒有機會從\n租稅優惠上面去做處理所以我覺得要從修法的方向去做處理所以是不是可以責成部長去做後續法上面的去調整我也問過財政部部長他也同意但是你必須啟動這樣的政策才有機會在租稅優惠的上面去免稅譬如說診所他是租的那怎麼樣因為他給員工加薪他給護理人員加薪他給藥師加薪所以我們給他租稅上的優惠\n人力準備的方案我們是今年才實施去年才實施應該給他到各醫院去執行一段時間看看如果效果很好我們可以加碼如果還有需要補強法治化的過程我們再來檢討部長你很清楚問題點在哪裡診所你沒有給他的工具他怎麼去加薪所以我覺得可以去研議\n跟委員報告那這一年來我們的政府真的挹注了很多的經費到我們醫療院所而且非常期待是給我們所有的醫事人員包括診所也要吧我們監測它是不是有確實到我們醫事人員的薪資這是我們一直在努力的那另外在稅務的部分我想這是多年來一直在努力的事情那我們也會尊重醫事團體\n的爭取我們來協助做合理的處理這樣子好謝謝部長因為我今天時間很有限我已經問了很多次我只是給你足夠的工具我希望所有醫事人員都可以加薪不是只有在醫院在醫療診所裡面我只是提供你這樣的政策跟方向你可以去做處理我是善意的提醒\n來第二個就是我們長期關注的疫苗處置費部長你長期也都去參加各式各樣的學會我們也都承諾他們要提出相關的問題我們希望健康台灣不是只有賴總統的淪為口號那包括在106年的時候你我都是在當立法委員的時候我們在衛黃委員會都爭取了包括常規疫苗處置費的接種\n一歲以下後來我們爭取到106年我們爭取到100塊那後續包括107年我們就國小前的接種我們都達到爭取到那個補助費所有的都可以達到100塊就是1到7歲疫苗的接種我們都100塊的儲置費但是我們看一下表格\n我們鄰近幾個國家我們一劑是一百塊錢日本政府在給予疫苗處置費的補助的部分是每一劑一千一到一千六百五十塊韓國是五百到一千一劑是一千塊反觀我們是只有一劑一百塊\n這個在醫事人員勞動的條件環境上我覺得我們政府是帶頭貶低醫療服務價值在我看來我比照世界各國我們最喜歡比照世界各國但是我們看光比這個疫苗處置費的部分我就認為我們的醫生為什麼都是血汗醫生他們都自己常在喊說我們的醫療價值被貶低了我想你是醫界出身你最清楚我在說什麼邱部長\n所以我覺得應該要調高我們的疫苗處置費每一次參加學會的時候你在現場我也都給你錄音你也都同意我們要想辦法我們要找錢我們要想辦法所以我們要全面的提高全年齡的疫苗處置費在短期的部分我更認為特別要照顧小朋友的部分兒童的疫苗的接種部分我們也應該要去\n提升 我們現在100塊而已嘛我們應該要去提升 至少在7歲以下我們應該要想辦法去提升 你有承諾過 我有聽到 我有在現場部長是的 謝委員喔 計100塊 韓國一計是1100我想疫苗處置會 當然剛剛提的這個數據可能在我們要釐清它有沒有包括\n那個疫苗在裡面,那沒關係,但是的確要打一個給小孩子的疫苗真的很不簡單你把他打下去,那個護士還被小孩子踢個兩腳的都有都有\n要判斷他能不能打這也是很醫療的專業所以你同不同意部長你現在承諾同不同意會研議在疫苗基金的一個裁員的情況之下我們來研議怎麼樣來做謝謝部長你的回應另外一個就是疫苗的配送的部分因為我們現在疫苗都是譬如說診所的醫生自己去領取那個冷鏈的過程有沒有達到那個標準\n其實都有一些風險我覺得也應該由政府去建制冷鏈的配送機制有的天氣這麼熱有時候他帶一個什麼我不知道他是不是用保溫袋我不知道啦萬一如果那個配送的標準冷鏈的機制不一那都會影響疫苗的品質所以我覺得領取疫苗由我們政府來配送或用什麼樣的配送機制我覺得我們應該全國一致性的去做演繹部長你懂我的意思嗎\n好 我想因為每一個診所的設備不太一樣的確有蠻多診所在冷鏈的處理上面會產生他過去拿的人的標準 保溫的標準都不一定會影響冷鏈的品質我們會請各縣市的衛生局\n其實他們都很用心在幫忙我沒有鎖定他們的用心但是我覺得為了保障疫苗的品質我覺得更應該就是一個一致性還是要感謝各縣市衛生局其實在這方面都很努力在幫忙\n部長因為我知道但是我提醒的是我們應該要有一個一致冷鏈的配送機制政府來要求甚至來補助來講一個SOP的標準我們疫苗送到各診所那個疫苗才不會配送過程當中有品質的影響打下去的效果就有差院長你應該聽懂我在講什麼啦\n我覺得這個是我衷心的建議但我覺得這應該是一致性的去處理好最後幾點我長期要求的之前我在講帶狀性炮症疫苗院長跟部長在現場都答應我要去做評估\n那到現在已經又過了半年你們已經上任一年了我要的是一個HTA的報告書今天不管我們有沒有錢可以做我們要做風險評估才能去編列預算我們才知道高風險群哪些我們應該有機會施打不要說連一個風險評估連一個研究報告書都做不出來那我們所有委員坐在這邊質詢就沒有意義所有的疫苗政策是重要的\n我覺得一個評估報告書應該不困難院長你了解我的意思嗎我要一個帶狀性泡診的一個評估報告書今天不管我們能不能全國國人都施打還是我們給高風險群施打還是我們施打要多少錢我們總要一個評估報告我們才知道我們可不可以做我們要不要做我在這邊院長你應該有印象這不是我質詢第一次我長期關注這個議題\n我現在不是要求說你給我錢我希望三個月裡面給我一個HTA的評估報告書我知道部長非常的努力但我覺得這件事情到現在我問了第二次了還沒有落實到所以部長可不可以提供我這個報告書\n好的,報告委員,其實我們都有一個ACIP,就是疫苗評估小組,它會針對疫苗裡面,我們特別針對帶段炮準,我們特別來評估跟委員報告好,因為我只剩下兩分鐘時間,另外最後一個,我長期關注的,有時候失智症\n院長部長現在失智症的人越來越多114年開始我們修改了失智症的照護計畫我們現在分兩種一種是社區型的失智據點另外一個是醫院內的全責失智據點這兩個失智據點其實我覺得做得非常的好\n那我們現在衛福部把用差異化的照顧方式有一些可能他有一些症狀的我們就把他移到醫院的全職機關去做照護這件事情方向是對的我個人也肯定但是這會變成說我們現在社區失智據點的照顧我們本來是獲得補助是有十個人我們才能補助偏向我們是五個人那我們有一些症狀發生的時候我們現在移到醫院去我是支持的\n但是現在就變成社區沒有補助那很多人就做不下去就不願意做院長 部長我要提的是高齡化社會之後我覺得\n失智症的人有可能越來越多這對年輕人來說也是一個負擔我不希望因為現在已經有的10個人有的一個BPSD的照顧據點因為我們標準是10個人才補助這個據點因為有一些我們標準移到有一些項目的標準我們移到醫院去那他只剩下8個人7個人他就做不下去他就不做了\n那當然我覺得這件事情是可惜的因為有一些已經有一些前兆的人他本身就在社區據點已經我們在訓練教育避免他狀況惡化所以這件事情我覺得是不是在重新再研議一下補助的標準可不可以好 我想施治政如果施治的你答應了就好了啦 部長院長這個很簡單啦 這個施治政我們來研議\n一個機構如果不是很大十個人要照顧就已經很困難了我們覺得我們應該從這觀點來看是不是需要把這個徹底來檢討一下真的照顧需要照顧的人\n就是譬如說八個人你也可以去照顧因為也真的是很辛苦我們高齡化是好我最後一件關稅三二十秒這個議題很重要所以我們這次在關稅的談判當中其實我關注的是美方其實一直關注的一件事情我們沒有提到的我們美國代表相關其實有提到我們健保的核價制度我們健保核價制度美國其實一直在關注未來我們會不會因為談判去調整我們未來健保制度談判的方法跟方式你直接回應我部長\n謝謝李燕秀委員的質詢謝謝左院長 衛福部長備詢 謝謝\n委員會登記第九位楊耀偉委員之諮詢書面提出請行政院書面打覆並列入紀錄刊登公報再接下來請麥玉珍委員諮詢廖偉祥委員\n","vtt":"WEBVTT\n\n00:10.932 --> 00:17.076\n謝謝院長,我是不是可以邀請卓院長以及邱部長麻煩請卓院長、衛福部長備詢議員好\n\n00:30.836 --> 00:54.386\n院長好部長好即將就任滿一年那我也需要好好的去盤點就任一年無論是賴總統過去在選舉的政策也好或者是過去我在衛黃委員會或者是我們在同一個質詢台關注的重要政策議題我們到底落實了多少院長你同不同意我今天的大標公司協力改善\n\n00:54.986 --> 01:16.577\n我們醫療勞動的環境是需要公司共同來協力你同不同意我的大標應該是這樣做的沒錯嘛譬如說我們要老闆幫員工加薪我們幫員工加薪我們另外一個用意是我們希望民間也可以老闆也可以呼應我們的政策也幫民間的勞工加薪嘛對不對那我們有\n\n01:17.017 --> 01:31.700\n足夠的誘因給他們就有一些獎勵政策啦那或許他們就有更多的誘因可以去加薪所以大原則也感謝院長您的方向是同意的我們現在部長我們現在正在修這個特管法的修法\n\n01:32.321 --> 02:00.075\n那我們也強調說要幫醫事人員加薪其中我們要求醫院要幫醫事人員加薪從基本薪資加到基本薪資的兩倍診所的部分我們則要求要幫醫事人員希望能夠達到基本薪資的1.5倍這個政策當然在醫界有引起不同的反應當然我們賴總統常常在喊健康台灣健康台灣健康台灣絕對不是只有總統\n\n02:01.616 --> 02:15.252\n在總統府裡面開幾次的會議會議之後我們怎麼樣利用我們政府有的工具跟政策去做更多的落實這才是總統開會的主要的目的對不對\n\n02:16.813 --> 02:40.059\n方向上過去去年也好今年也好我們利用醫事人員的勞動條件我們從公務預算撥了40億去用於三班輪值夜班的護理人員的直接獎勵我們更從健保的總額裡面花了41.56億總共加起來總共有80億左右我們在調整醫事人員的環境護理人員的環境\n\n02:42.180 --> 03:03.045\n這些政策我都支持我也覺得方向是正確的但是院長部長我們的醫療院所裡面不是只有護理人員我們還有藥師我們還有檢驗師我們還有放射師大家都很辛苦院長你同意我的說法嘛對不對大家都很辛苦分工負責的狀況底下\n\n03:04.245 --> 03:25.722\n對方向上也不是只有夜班的同仁辛苦其實白班夜班大夜班大家都很辛苦所以我們有沒有辦法其實我質詢了很多次我在財務會有質詢了很多次我有問財政部長說我們有沒有什麼樣的工具像我們在現行的中小企業發展條例當中我們有提供營業稅的租稅的優惠\n\n03:29.215 --> 03:51.896\n院長卓院長我們有提供營業稅的出稅優惠給企業但是我們的醫療院所我們的診所它不是營利單位所以它沒有機會減稅這就是我今天的大標我覺得公私合力我們要給足夠的誘因讓這些診所雖然那個誘因可能出稅優惠只有一點點\n\n03:53.658 --> 04:21.855\n但是這個是我們政府給的蘿蔔我們希望透過這個蘿蔔可以讓他們也給藥師也好給檢驗師也好更多的加薪的機會所以這個政策我們也希望部長可以折騰橫向部會的聯繫給邱部長更多的工具可以去做這些處理出稅優惠的處理部長可不可以院長可不可以部長可不可以\n\n04:23.645 --> 04:34.631\n院長你先講好了我們對於醫院是直接給獎勵的我知道院長因為我今天議題很多所以你直接告訴我就說工具上輸送約會三班負面品達到標準的醫院直接給獎勵這些獎勵他就可以放到白班的家家企或是一些其他的醫療人員\n\n04:46.016 --> 05:01.073\n這個我都知道但是不是只有護理人員醫院裡面還有檢驗室醫藥師所以我剛才講的是我們能不能透過醫管法的修法我們用什麼樣的方式給診所也好因為它不是營利事業所的它不是營業所所以它沒有機會從\n\n05:03.035 --> 05:31.086\n租稅優惠上面去做處理所以我覺得要從修法的方向去做處理所以是不是可以責成部長去做後續法上面的去調整我也問過財政部部長他也同意但是你必須啟動這樣的政策才有機會在租稅優惠的上面去免稅譬如說診所他是租的那怎麼樣因為他給員工加薪他給護理人員加薪他給藥師加薪所以我們給他租稅上的優惠\n\n05:33.267 --> 05:57.509\n人力準備的方案我們是今年才實施去年才實施應該給他到各醫院去執行一段時間看看如果效果很好我們可以加碼如果還有需要補強法治化的過程我們再來檢討部長你很清楚問題點在哪裡診所你沒有給他的工具他怎麼去加薪所以我覺得可以去研議\n\n05:58.697 --> 06:27.033\n跟委員報告那這一年來我們的政府真的挹注了很多的經費到我們醫療院所而且非常期待是給我們所有的醫事人員包括診所也要吧我們監測它是不是有確實到我們醫事人員的薪資這是我們一直在努力的那另外在稅務的部分我想這是多年來一直在努力的事情那我們也會尊重醫事團體\n\n06:27.973 --> 06:47.288\n的爭取我們來協助做合理的處理這樣子好謝謝部長因為我今天時間很有限我已經問了很多次我只是給你足夠的工具我希望所有醫事人員都可以加薪不是只有在醫院在醫療診所裡面我只是提供你這樣的政策跟方向你可以去做處理我是善意的提醒\n\n06:48.408 --> 07:11.957\n來第二個就是我們長期關注的疫苗處置費部長你長期也都去參加各式各樣的學會我們也都承諾他們要提出相關的問題我們希望健康台灣不是只有賴總統的淪為口號那包括在106年的時候你我都是在當立法委員的時候我們在衛黃委員會都爭取了包括常規疫苗處置費的接種\n\n07:13.786 --> 07:29.826\n一歲以下後來我們爭取到106年我們爭取到100塊那後續包括107年我們就國小前的接種我們都達到爭取到那個補助費所有的都可以達到100塊就是1到7歲疫苗的接種我們都100塊的儲置費但是我們看一下表格\n\n07:33.550 --> 07:48.497\n我們鄰近幾個國家我們一劑是一百塊錢日本政府在給予疫苗處置費的補助的部分是每一劑一千一到一千六百五十塊韓國是五百到一千一劑是一千塊反觀我們是只有一劑一百塊\n\n07:49.697 --> 08:16.708\n這個在醫事人員勞動的條件環境上我覺得我們政府是帶頭貶低醫療服務價值在我看來我比照世界各國我們最喜歡比照世界各國但是我們看光比這個疫苗處置費的部分我就認為我們的醫生為什麼都是血汗醫生他們都自己常在喊說我們的醫療價值被貶低了我想你是醫界出身你最清楚我在說什麼邱部長\n\n08:18.189 --> 08:42.327\n所以我覺得應該要調高我們的疫苗處置費每一次參加學會的時候你在現場我也都給你錄音你也都同意我們要想辦法我們要找錢我們要想辦法所以我們要全面的提高全年齡的疫苗處置費在短期的部分我更認為特別要照顧小朋友的部分兒童的疫苗的接種部分我們也應該要去\n\n08:43.410 --> 08:52.495\n提升我們現在100塊而已嘛我們應該要去提升至少在7歲以下我們應該要想辦法去提升你有承諾過我有聽到我有在現場部長是的謝委員喔計100塊韓國一計是1100我想疫苗處置會當然剛剛提的這個數據可能在我們要釐清它有沒有包括\n\n09:06.377 --> 09:19.093\n那個疫苗在裡面,那沒關係,但是的確要打一個給小孩子的疫苗真的很不簡單你把他打下去,那個護士還被小孩子踢個兩腳的都有都有\n\n09:22.833 --> 09:50.476\n要判斷他能不能打這也是很醫療的專業所以你同不同意部長你現在承諾同不同意會研議在疫苗基金的一個裁員的情況之下我們來研議怎麼樣來做謝謝部長你的回應另外一個就是疫苗的配送的部分因為我們現在疫苗都是譬如說診所的醫生自己去領取那個冷鏈的過程有沒有達到那個標準\n\n09:50.836 --> 10:18.468\n其實都有一些風險我覺得也應該由政府去建制冷鏈的配送機制有的天氣這麼熱有時候他帶一個什麼我不知道他是不是用保溫袋我不知道啦萬一如果那個配送的標準冷鏈的機制不一那都會影響疫苗的品質所以我覺得領取疫苗由我們政府來配送或用什麼樣的配送機制我覺得我們應該全國一致性的去做演繹部長你懂我的意思嗎\n\n10:19.502 --> 10:31.734\n好我想因為每一個診所的設備不太一樣的確有蠻多診所在冷鏈的處理上面會產生他過去拿的人的標準保溫的標準都不一定會影響冷鏈的品質我們會請各縣市的衛生局\n\n10:36.859 --> 10:50.675\n其實他們都很用心在幫忙我沒有鎖定他們的用心但是我覺得為了保障疫苗的品質我覺得更應該就是一個一致性還是要感謝各縣市衛生局其實在這方面都很努力在幫忙\n\n10:51.536 --> 11:12.944\n部長因為我知道但是我提醒的是我們應該要有一個一致冷鏈的配送機制政府來要求甚至來補助來講一個SOP的標準我們疫苗送到各診所那個疫苗才不會配送過程當中有品質的影響打下去的效果就有差院長你應該聽懂我在講什麼啦\n\n11:14.520 --> 11:29.266\n我覺得這個是我衷心的建議但我覺得這應該是一致性的去處理好最後幾點我長期要求的之前我在講帶狀性炮症疫苗院長跟部長在現場都答應我要去做評估\n\n11:30.441 --> 11:56.920\n那到現在已經又過了半年你們已經上任一年了我要的是一個HTA的報告書今天不管我們有沒有錢可以做我們要做風險評估才能去編列預算我們才知道高風險群哪些我們應該有機會施打不要說連一個風險評估連一個研究報告書都做不出來那我們所有委員坐在這邊質詢就沒有意義所有的疫苗政策是重要的\n\n11:58.243 --> 12:24.512\n我覺得一個評估報告書應該不困難院長你了解我的意思嗎我要一個帶狀性泡診的一個評估報告書今天不管我們能不能全國國人都施打還是我們給高風險群施打還是我們施打要多少錢我們總要一個評估報告我們才知道我們可不可以做我們要不要做我在這邊院長你應該有印象這不是我質詢第一次我長期關注這個議題\n\n12:25.652 --> 12:39.938\n我現在不是要求說你給我錢我希望三個月裡面給我一個HTA的評估報告書我知道部長非常的努力但我覺得這件事情到現在我問了第二次了還沒有落實到所以部長可不可以提供我這個報告書\n\n12:41.058 --> 12:50.368\n好的,報告委員,其實我們都有一個ACIP,就是疫苗評估小組,它會針對疫苗裡面,我們特別針對帶段炮準,我們特別來評估跟委員報告好,因為我只剩下兩分鐘時間,另外最後一個,我長期關注的,有時候失智症\n\n13:02.202 --> 13:09.669\n院長部長現在失智症的人越來越多114年開始我們修改了失智症的照護計畫我們現在分兩種一種是社區型的失智據點另外一個是醫院內的全責失智據點這兩個失智據點其實我覺得做得非常的好\n\n13:18.137 --> 13:47.760\n那我們現在衛福部把用差異化的照顧方式有一些可能他有一些症狀的我們就把他移到醫院的全職機關去做照護這件事情方向是對的我個人也肯定但是這會變成說我們現在社區失智據點的照顧我們本來是獲得補助是有十個人我們才能補助偏向我們是五個人那我們有一些症狀發生的時候我們現在移到醫院去我是支持的\n\n13:48.200 --> 13:58.803\n但是現在就變成社區沒有補助那很多人就做不下去就不願意做院長部長我要提的是高齡化社會之後我覺得\n\n13:59.409 --> 14:23.339\n失智症的人有可能越來越多這對年輕人來說也是一個負擔我不希望因為現在已經有的10個人有的一個BPSD的照顧據點因為我們標準是10個人才補助這個據點因為有一些我們標準移到有一些項目的標準我們移到醫院去那他只剩下8個人7個人他就做不下去他就不做了\n\n14:24.690 --> 14:51.235\n那當然我覺得這件事情是可惜的因為有一些已經有一些前兆的人他本身就在社區據點已經我們在訓練教育避免他狀況惡化所以這件事情我覺得是不是在重新再研議一下補助的標準可不可以好我想施治政如果施治的你答應了就好了啦部長院長這個很簡單啦這個施治政我們來研議\n\n14:55.938 --> 15:06.051\n一個機構如果不是很大十個人要照顧就已經很困難了我們覺得我們應該從這觀點來看是不是需要把這個徹底來檢討一下真的照顧需要照顧的人\n\n15:06.670 --> 15:34.562\n就是譬如說八個人你也可以去照顧因為也真的是很辛苦我們高齡化是好我最後一件關稅三二十秒這個議題很重要所以我們這次在關稅的談判當中其實我關注的是美方其實一直關注的一件事情我們沒有提到的我們美國代表相關其實有提到我們健保的核價制度我們健保核價制度美國其實一直在關注未來我們會不會因為談判去調整我們未來健保制度談判的方法跟方式你直接回應我部長\n\n15:56.830 --> 15:58.331\n謝謝李燕秀委員的質詢謝謝左院長衛福部長備詢謝謝\n\n16:02.407 --> 16:13.199\n委員會登記第九位楊耀偉委員之諮詢書面提出請行政院書面打覆並列入紀錄刊登公報再接下來請麥玉珍委員諮詢廖偉祥委員\n\n","segments":[{"start":10.932,"end":17.076,"text":"謝謝院長,我是不是可以邀請卓院長以及邱部長麻煩請卓院長、衛福部長備詢議員好"},{"start":30.836,"end":54.386,"text":"院長好部長好即將就任滿一年那我也需要好好的去盤點就任一年無論是賴總統過去在選舉的政策也好或者是過去我在衛黃委員會或者是我們在同一個質詢台關注的重要政策議題我們到底落實了多少院長你同不同意我今天的大標公司協力改善"},{"start":54.986,"end":76.577,"text":"我們醫療勞動的環境是需要公司共同來協力你同不同意我的大標應該是這樣做的沒錯嘛譬如說我們要老闆幫員工加薪我們幫員工加薪我們另外一個用意是我們希望民間也可以老闆也可以呼應我們的政策也幫民間的勞工加薪嘛對不對那我們有"},{"start":77.017,"end":91.7,"text":"足夠的誘因給他們就有一些獎勵政策啦那或許他們就有更多的誘因可以去加薪所以大原則也感謝院長您的方向是同意的我們現在部長我們現在正在修這個特管法的修法"},{"start":92.321,"end":120.075,"text":"那我們也強調說要幫醫事人員加薪其中我們要求醫院要幫醫事人員加薪從基本薪資加到基本薪資的兩倍診所的部分我們則要求要幫醫事人員希望能夠達到基本薪資的1.5倍這個政策當然在醫界有引起不同的反應當然我們賴總統常常在喊健康台灣健康台灣健康台灣絕對不是只有總統"},{"start":121.616,"end":135.252,"text":"在總統府裡面開幾次的會議會議之後我們怎麼樣利用我們政府有的工具跟政策去做更多的落實這才是總統開會的主要的目的對不對"},{"start":136.813,"end":160.059,"text":"方向上過去去年也好今年也好我們利用醫事人員的勞動條件我們從公務預算撥了40億去用於三班輪值夜班的護理人員的直接獎勵我們更從健保的總額裡面花了41.56億總共加起來總共有80億左右我們在調整醫事人員的環境護理人員的環境"},{"start":162.18,"end":183.045,"text":"這些政策我都支持我也覺得方向是正確的但是院長部長我們的醫療院所裡面不是只有護理人員我們還有藥師我們還有檢驗師我們還有放射師大家都很辛苦院長你同意我的說法嘛對不對大家都很辛苦分工負責的狀況底下"},{"start":184.245,"end":205.722,"text":"對方向上也不是只有夜班的同仁辛苦其實白班夜班大夜班大家都很辛苦所以我們有沒有辦法其實我質詢了很多次我在財務會有質詢了很多次我有問財政部長說我們有沒有什麼樣的工具像我們在現行的中小企業發展條例當中我們有提供營業稅的租稅的優惠"},{"start":209.215,"end":231.896,"text":"院長 卓院長我們有提供營業稅的出稅優惠給企業但是我們的醫療院所我們的診所它不是營利單位所以它沒有機會減稅這就是我今天的大標我覺得公私合力我們要給足夠的誘因讓這些診所雖然那個誘因可能出稅優惠只有一點點"},{"start":233.658,"end":261.855,"text":"但是這個是我們政府給的蘿蔔我們希望透過這個蘿蔔可以讓他們也給藥師也好 給檢驗師也好更多的加薪的機會所以這個政策我們也希望部長可以折騰橫向部會的聯繫給邱部長更多的工具可以去做這些處理 出稅優惠的處理部長可不可以 院長可不可以 部長可不可以"},{"start":263.645,"end":274.631,"text":"院長你先講好了我們對於醫院是直接給獎勵的我知道院長因為我今天議題很多所以你直接告訴我就說工具上輸送約會三班負面品達到標準的醫院直接給獎勵這些獎勵他就可以放到白班的家家企或是一些其他的醫療人員"},{"start":286.016,"end":301.073,"text":"這個我都知道但是不是只有護理人員醫院裡面還有檢驗室醫藥師所以我剛才講的是我們能不能透過醫管法的修法我們用什麼樣的方式給診所也好因為它不是營利事業所的它不是營業所所以它沒有機會從"},{"start":303.035,"end":331.086,"text":"租稅優惠上面去做處理所以我覺得要從修法的方向去做處理所以是不是可以責成部長去做後續法上面的去調整我也問過財政部部長他也同意但是你必須啟動這樣的政策才有機會在租稅優惠的上面去免稅譬如說診所他是租的那怎麼樣因為他給員工加薪他給護理人員加薪他給藥師加薪所以我們給他租稅上的優惠"},{"start":333.267,"end":357.509,"text":"人力準備的方案我們是今年才實施去年才實施應該給他到各醫院去執行一段時間看看如果效果很好我們可以加碼如果還有需要補強法治化的過程我們再來檢討部長你很清楚問題點在哪裡診所你沒有給他的工具他怎麼去加薪所以我覺得可以去研議"},{"start":358.697,"end":387.033,"text":"跟委員報告那這一年來我們的政府真的挹注了很多的經費到我們醫療院所而且非常期待是給我們所有的醫事人員包括診所也要吧我們監測它是不是有確實到我們醫事人員的薪資這是我們一直在努力的那另外在稅務的部分我想這是多年來一直在努力的事情那我們也會尊重醫事團體"},{"start":387.973,"end":407.288,"text":"的爭取我們來協助做合理的處理這樣子好謝謝部長因為我今天時間很有限我已經問了很多次我只是給你足夠的工具我希望所有醫事人員都可以加薪不是只有在醫院在醫療診所裡面我只是提供你這樣的政策跟方向你可以去做處理我是善意的提醒"},{"start":408.408,"end":431.957,"text":"來第二個就是我們長期關注的疫苗處置費部長你長期也都去參加各式各樣的學會我們也都承諾他們要提出相關的問題我們希望健康台灣不是只有賴總統的淪為口號那包括在106年的時候你我都是在當立法委員的時候我們在衛黃委員會都爭取了包括常規疫苗處置費的接種"},{"start":433.786,"end":449.826,"text":"一歲以下後來我們爭取到106年我們爭取到100塊那後續包括107年我們就國小前的接種我們都達到爭取到那個補助費所有的都可以達到100塊就是1到7歲疫苗的接種我們都100塊的儲置費但是我們看一下表格"},{"start":453.55,"end":468.497,"text":"我們鄰近幾個國家我們一劑是一百塊錢日本政府在給予疫苗處置費的補助的部分是每一劑一千一到一千六百五十塊韓國是五百到一千一劑是一千塊反觀我們是只有一劑一百塊"},{"start":469.697,"end":496.708,"text":"這個在醫事人員勞動的條件環境上我覺得我們政府是帶頭貶低醫療服務價值在我看來我比照世界各國我們最喜歡比照世界各國但是我們看光比這個疫苗處置費的部分我就認為我們的醫生為什麼都是血汗醫生他們都自己常在喊說我們的醫療價值被貶低了我想你是醫界出身你最清楚我在說什麼邱部長"},{"start":498.189,"end":522.327,"text":"所以我覺得應該要調高我們的疫苗處置費每一次參加學會的時候你在現場我也都給你錄音你也都同意我們要想辦法我們要找錢我們要想辦法所以我們要全面的提高全年齡的疫苗處置費在短期的部分我更認為特別要照顧小朋友的部分兒童的疫苗的接種部分我們也應該要去"},{"start":523.41,"end":532.495,"text":"提升 我們現在100塊而已嘛我們應該要去提升 至少在7歲以下我們應該要想辦法去提升 你有承諾過 我有聽到 我有在現場部長是的 謝委員喔 計100塊 韓國一計是1100我想疫苗處置會 當然剛剛提的這個數據可能在我們要釐清它有沒有包括"},{"start":546.377,"end":559.093,"text":"那個疫苗在裡面,那沒關係,但是的確要打一個給小孩子的疫苗真的很不簡單你把他打下去,那個護士還被小孩子踢個兩腳的都有都有"},{"start":562.833,"end":590.476,"text":"要判斷他能不能打這也是很醫療的專業所以你同不同意部長你現在承諾同不同意會研議在疫苗基金的一個裁員的情況之下我們來研議怎麼樣來做謝謝部長你的回應另外一個就是疫苗的配送的部分因為我們現在疫苗都是譬如說診所的醫生自己去領取那個冷鏈的過程有沒有達到那個標準"},{"start":590.836,"end":618.468,"text":"其實都有一些風險我覺得也應該由政府去建制冷鏈的配送機制有的天氣這麼熱有時候他帶一個什麼我不知道他是不是用保溫袋我不知道啦萬一如果那個配送的標準冷鏈的機制不一那都會影響疫苗的品質所以我覺得領取疫苗由我們政府來配送或用什麼樣的配送機制我覺得我們應該全國一致性的去做演繹部長你懂我的意思嗎"},{"start":619.502,"end":631.734,"text":"好 我想因為每一個診所的設備不太一樣的確有蠻多診所在冷鏈的處理上面會產生他過去拿的人的標準 保溫的標準都不一定會影響冷鏈的品質我們會請各縣市的衛生局"},{"start":636.859,"end":650.675,"text":"其實他們都很用心在幫忙我沒有鎖定他們的用心但是我覺得為了保障疫苗的品質我覺得更應該就是一個一致性還是要感謝各縣市衛生局其實在這方面都很努力在幫忙"},{"start":651.536,"end":672.944,"text":"部長因為我知道但是我提醒的是我們應該要有一個一致冷鏈的配送機制政府來要求甚至來補助來講一個SOP的標準我們疫苗送到各診所那個疫苗才不會配送過程當中有品質的影響打下去的效果就有差院長你應該聽懂我在講什麼啦"},{"start":674.52,"end":689.266,"text":"我覺得這個是我衷心的建議但我覺得這應該是一致性的去處理好最後幾點我長期要求的之前我在講帶狀性炮症疫苗院長跟部長在現場都答應我要去做評估"},{"start":690.441,"end":716.92,"text":"那到現在已經又過了半年你們已經上任一年了我要的是一個HTA的報告書今天不管我們有沒有錢可以做我們要做風險評估才能去編列預算我們才知道高風險群哪些我們應該有機會施打不要說連一個風險評估連一個研究報告書都做不出來那我們所有委員坐在這邊質詢就沒有意義所有的疫苗政策是重要的"},{"start":718.243,"end":744.512,"text":"我覺得一個評估報告書應該不困難院長你了解我的意思嗎我要一個帶狀性泡診的一個評估報告書今天不管我們能不能全國國人都施打還是我們給高風險群施打還是我們施打要多少錢我們總要一個評估報告我們才知道我們可不可以做我們要不要做我在這邊院長你應該有印象這不是我質詢第一次我長期關注這個議題"},{"start":745.652,"end":759.938,"text":"我現在不是要求說你給我錢我希望三個月裡面給我一個HTA的評估報告書我知道部長非常的努力但我覺得這件事情到現在我問了第二次了還沒有落實到所以部長可不可以提供我這個報告書"},{"start":761.058,"end":770.368,"text":"好的,報告委員,其實我們都有一個ACIP,就是疫苗評估小組,它會針對疫苗裡面,我們特別針對帶段炮準,我們特別來評估跟委員報告好,因為我只剩下兩分鐘時間,另外最後一個,我長期關注的,有時候失智症"},{"start":782.202,"end":789.669,"text":"院長部長現在失智症的人越來越多114年開始我們修改了失智症的照護計畫我們現在分兩種一種是社區型的失智據點另外一個是醫院內的全責失智據點這兩個失智據點其實我覺得做得非常的好"},{"start":798.137,"end":827.76,"text":"那我們現在衛福部把用差異化的照顧方式有一些可能他有一些症狀的我們就把他移到醫院的全職機關去做照護這件事情方向是對的我個人也肯定但是這會變成說我們現在社區失智據點的照顧我們本來是獲得補助是有十個人我們才能補助偏向我們是五個人那我們有一些症狀發生的時候我們現在移到醫院去我是支持的"},{"start":828.2,"end":838.803,"text":"但是現在就變成社區沒有補助那很多人就做不下去就不願意做院長 部長我要提的是高齡化社會之後我覺得"},{"start":839.409,"end":863.339,"text":"失智症的人有可能越來越多這對年輕人來說也是一個負擔我不希望因為現在已經有的10個人有的一個BPSD的照顧據點因為我們標準是10個人才補助這個據點因為有一些我們標準移到有一些項目的標準我們移到醫院去那他只剩下8個人7個人他就做不下去他就不做了"},{"start":864.69,"end":891.235,"text":"那當然我覺得這件事情是可惜的因為有一些已經有一些前兆的人他本身就在社區據點已經我們在訓練教育避免他狀況惡化所以這件事情我覺得是不是在重新再研議一下補助的標準可不可以好 我想施治政如果施治的你答應了就好了啦 部長院長這個很簡單啦 這個施治政我們來研議"},{"start":895.938,"end":906.051,"text":"一個機構如果不是很大十個人要照顧就已經很困難了我們覺得我們應該從這觀點來看是不是需要把這個徹底來檢討一下真的照顧需要照顧的人"},{"start":906.67,"end":934.562,"text":"就是譬如說八個人你也可以去照顧因為也真的是很辛苦我們高齡化是好我最後一件關稅三二十秒這個議題很重要所以我們這次在關稅的談判當中其實我關注的是美方其實一直關注的一件事情我們沒有提到的我們美國代表相關其實有提到我們健保的核價制度我們健保核價制度美國其實一直在關注未來我們會不會因為談判去調整我們未來健保制度談判的方法跟方式你直接回應我部長"},{"start":956.83,"end":958.331,"text":"謝謝李燕秀委員的質詢謝謝左院長 衛福部長備詢 謝謝"},{"start":962.407,"end":973.199,"text":"委員會登記第九位楊耀偉委員之諮詢書面提出請行政院書面打覆並列入紀錄刊登公報再接下來請麥玉珍委員諮詢廖偉祥委員"}]}}},"gazette":{"lineno":326,"blocks":[["李委員彥秀：（15時51分）謝謝院長，是不是可以邀請卓院長以及邱部長？"],["主席：麻煩請卓院長、衛福部長備詢。"],["卓院長榮泰：李委員好。"],["邱部長泰源：委員好。"],["李委員彥秀：院長、部長好。即將就任滿一年，我也需要好好盤點就任一年，無論是賴總統過去在選舉的政策也好，或是過去我在衛環委員會或是我們在同一個質詢台關注的重要政策議題，我們到底落實了多少？院長，你同不同意我今天的大標──「公私協力，改善我們醫療勞動的環境需要公私共同來協力」，你同不同意我的大標？"],["卓院長榮泰：應該是這樣做的。"],["李委員彥秀：對，沒錯嘛？譬如我們幫軍公教加薪，我們另外一個用意是希望民間老闆可以呼應我們的政策也幫民間的勞工加薪，對不對？我們有足夠的誘因給他們，例如有一些獎勵政策，或許他們就有更多的誘因可以去加薪，所以也感謝院長同意這樣的大原則跟方向。","部長，我們現在正在進行特管法的修法，我們強調要幫醫事人員加薪，其中我們要求醫院要幫醫事人員加薪，從基本薪資加到基本薪資的2倍；診所的部分，我們要求要幫醫事人員，希望能夠達到基本薪資的1.5倍，這個政策當然在醫界有引起不同的反應。","我們賴總統常在喊健康台灣，健康台灣絕對不是只有總統在總統府裡面開幾次的會議，會議之後我們怎樣利用政府有的工具跟政策去做更多落實，這才是總統開會的主要的目的，對不對？在方向上，去年也好，今年也好，我們利用醫事人員的勞動條件，從公務預算撥了40億用於三班輪值夜班護理人員的直接獎勵，我們更從健保的總額裡面花了41.56億，總共加起來有80億左右，我們在調整護理人員的環境，這些政策我都支持，我也覺得方向是正確的，但是院長、部長，醫療院所裡面不是只有護理人員，還有藥師、檢驗師、放射師，大家都很辛苦，院長，你同意我的說法，對不對？大家都很辛苦。"],["卓院長榮泰：分工負責的狀況底下，對。"],["李委員彥秀：方向上，也不是只有夜班的同仁辛苦，其實白班、夜班、大夜班大家都很辛苦，其實我在財委會也質詢了很多次，我有問財政部長，我們有沒有什麼樣的工具？像我們在現行的中小企業發展條例當中，有提供營業稅的租稅優惠，院長、卓院長，我們有提供營業稅的租稅優惠給企業，但我們的醫療院所、診所不是營利單位，所以它沒有機會減稅。這就是我今天的大標題，我覺得公私合力，我們要給足夠的誘因，雖然那個誘因可能租稅優惠只有一點點，但這是政府給的蘿蔔，我們希望透過這個蘿蔔給他們，也給藥師也好、給檢驗師也好，有更多的加薪機會。這個政策我們也希望部長責成橫向部會的聯繫，給邱部長更多工具可以去做這些租稅優惠的處理。院長可不可以？部長可不可以？你們兩個，院長先說好了。"],["卓院長榮泰：我們對於醫院是直接給獎勵的，比方對於……"],["李委員彥秀：我知道，院長，因為我今天的議題很多，所以你直接告訴我……"],["卓院長榮泰：直接給獎勵。"],["李委員彥秀：就是工具上，租稅優惠……"],["卓院長榮泰：夜班護理師直接給獎勵，三班護病比達到標準的月底給獎勵。"],["李委員彥秀：我知道，這我都肯定。"],["卓院長榮泰：這些獎勵就可以放到白班的加給或是一些其他的醫療人員。"],["李委員彥秀：這個我都知道，但不是只有護理人員，醫院裡面還有檢驗師、藥師。"],["卓院長榮泰：其他的也有……"],["李委員彥秀：所以我剛才講的是，能不能透過醫管法的修法？我們用什麼樣的方式給診所也好，因為它不是營所稅，沒有機會從租稅優惠上面去處理，所以我覺得要從修法的方向去處理。是不是可以責成部長後續做母法上面的調整？我也問過財政部部長，他也同意，但是你必須啟動這樣的政策，才有機會在租稅優惠上面免稅。譬如診所是租的，那要怎麼樣，因為它給員工加薪、它給護理人員加薪、它給藥師加薪，所以我們給它租稅上的優惠，院長聽得懂嗎？"],["卓院長榮泰：準備的方案，我們是去年才實施，應該給衛福部到各醫院去執行一段時間看看，如果效果很好我們可以加碼，如果還有其他需要補強法制化的過程，我們再檢討。"],["李委員彥秀：部長，你很清楚……"],["邱部長泰源：我想採取……"],["李委員彥秀：你很清楚問題點在哪裡，診所你沒有給它工具，它怎麼去加薪？所以我覺得可以研議。"],["邱部長泰源：跟委員報告，這一年來，政府真的挹注了很多經費到醫療院所，而且非常期待是給我們所有的醫事人員，而且……"],["李委員彥秀：對，包括診所也要。"],["邱部長泰源：我們監測是不是有確實到醫事人員的薪資，這是我們一直在努力的。另外在稅務部分，我想這是多年來一直在努力的事情，我們也會尊重醫事團體的爭取，我們來協助做合理的處理。"],["李委員彥秀：好，謝謝部長。因為我今天的時間很有限，我已經問了很多次，我只是給你足夠的工具，我希望所有醫事人員都可以加薪，不是只有在醫院、在醫療診所裡面，我只是提供你這樣的政策跟方向，你可以去處理，我是善意提醒。","第二個就是我們長期關注的疫苗處置費。部長，你也長期參加各式各樣的學會，我們也都承諾，他們也提出相關的問題，我們希望賴總統的「健康台灣」不是只淪為口號。包括在106年你我都在當立法委員的時候，我們在衛環委員會都爭取了常規疫苗處置費的接種，1歲以下，後來106年，我們爭取到100塊。後續包括107年，就國小前的接種我們爭取到補助費所有的都可以達到100百塊，就是1到7歲疫苗接種我們都有100塊的處置費。","但是我們看一下表格，鄰近幾個國家，我們一劑是100塊錢；日本政府給予疫苗處置費的補助部分是每一劑1,100到1,650塊；韓國是500到1,000塊，一劑是1,000塊，反觀我們只是一劑100塊。在醫事人員的勞動條件環境上，我覺得我們政府是帶頭貶低醫療服務價值。我們最喜歡比照世界各國，但是我們光比疫苗處置費的部分，我就認為我們的醫生為什麼都是血汗醫生？他們自己都常在喊：我們的醫療價值被貶低了。你是醫界出身，你最清楚我在說什麼。邱部長，我覺得應該要調高我們的疫苗處置費。每次參加學會的時候，你在現場，我也都給你錄音，你都同意說要想辦法、要找錢，所以我們要全面提高全年齡的疫苗處置費，在短期的部分，我更認為特別是在照顧小朋友的部分，兒童的疫苗接種也應該提升，現在才100塊而已，我們應該要去提升，至少對7歲以下應該想辦法去提升，你有承諾過，我有聽到，因為我有在現場。部長？"],["邱部長泰源：是的，謝謝委員……"],["李委員彥秀：一劑100塊！韓國一劑是1,100！"],["邱部長泰源：有關疫苗處置費，剛剛提的這個數據，可能我們要釐清它有沒有包括疫苗在內，那沒關係，但是的確，要幫小孩子打疫苗真的很不簡單，把他打下去，護士還有被小孩子踢個兩腳的，很難……"],["李委員彥秀：都有、都有，對。"],["邱部長泰源：要判斷他能不能打也是醫療的專業，打了以後能不能……"],["李委員彥秀：所以你同不同意？部長，你只要承諾我同不同意！"],["邱部長泰源：我們會在疫苗基金的財源之下，來研議怎麼樣來做……"],["李委員彥秀：好，謝謝部長的回應。","另外一個就是疫苗配送的部分，因為現在疫苗都是診所的醫生自己去領取，冷鏈的過程有沒有達到標準其實都有一些風險，我覺得也應該由政府去建置冷鏈的配送機制。有時候天氣很熱，我不知道它是不是用保溫袋，萬一配送的標準、冷鏈的機制不一，都會影響疫苗的品質，所以我覺得，疫苗由政府來配送或者是採用什麼樣的配送機制，應該做全國一致性的研議。部長，你懂我的意思嗎？"],["邱部長泰源：因為每一個診所的設備不太一樣，的確有滿多診所在冷鏈的處理上面會產生很大的困擾。"],["李委員彥秀：光是去拿，那個拿的人的標準、擺放的標準都不一致，這都會影響冷鏈的品質！"],["邱部長泰源：這個部分我們會請各縣市的衛生局……其實他們都很用心在幫忙，我們會繼續加強。"],["李委員彥秀：我沒有否定他們的用心，但是我覺得為了保障疫苗的品質，更應該要有一致性的做法，我們政府應該建置……"],["邱部長泰源：這還是要感謝各縣市衛生局，其實在這方面他們都很努力在幫忙。"],["李委員彥秀：部長，我知道，但我提醒的是，我們應該要有一個一致的冷鏈配送機制，由政府來要求，甚至來補助、來獎勵建立一個SOP，這樣疫苗送到各診所，才不會在配送過程當中對品質產生影響，造成打下去的效果就有差。"],["邱部長泰源：當然，這個……"],["李委員彥秀：院長，你應該聽懂我在講什麼啦！這是我衷心的建議，我覺得應該一致性地去處理。","最後幾點是我長期要求的，之前我在講帶狀疱疹疫苗，院長跟部長在現場都答應我要去做評估，現在又過了半年，你們已經上任一年了，我要的是一個HTA的報告書，今天不管我們有沒有錢可以做，都一定要做風險評估才能編列預算，我們才知道高風險群有哪些、是否有機會施打，不要連一個風險評估的研究報告書都做不出來，這樣我們所有委員在這邊質詢就沒有意義！我們的疫苗政策是重要的！我覺得一個評估報告書應該不困難！","院長，你瞭解我的意思嗎？我要一個帶狀疱疹疫苗的評估報告書！今天不管能不能全體國人都施打，還是給高風險群施打或者是施打要多少錢，我們總要有一個評估報告，才知道我們可不可以做、我們要不要做。","院長應該有印象，這不是我第一次對此提出質詢，而是我長期關注這個議題，而且我現在不是要求你給我錢，而是希望3個月內給我一個HTA的評估報告書。我知道部長非常努力，但是這件事情我已經問第二次了都還沒有落實，所以部長，可不可以提供我這個報告書？"],["邱部長泰源：好的。報告委員，其實我們有一個ACIP，就是疫苗評估小組，它會針對……"],["李委員彥秀：我知道，但是這跟HTA的評估報告書是不一樣的！"],["邱部長泰源：針對帶狀疱疹，我們會來評估，再跟委員報告。"],["李委員彥秀：好，因為只剩下2分半鐘的空間，最後是我長期關注的失智症議題。院長、部長，現在罹患失智症的人越來越多，114年開始，我們修改了失智症的照護計畫，現在分兩種，一種是社區型的失智據點，另外一個是醫院內的權責失智據點，這兩種失智據點我覺得做得非常好，現在衛福部用差異化的照顧方式，可能他有一些症狀的，我們就把他移到醫院的權責機關去做照護，這件事情的方向是對的，我個人也肯定，但是這會變成我們現在社區失智據點的照顧，本來獲得補助是有十個人，我們才能補助，偏鄉則是五個人，有一些症狀發生的時候，現在是移到醫院去，這個我是支持的，但是現在就變成社區沒有補助，很多人就做不下去、就不願意做。院長、部長，我要提的是高齡化社會之後，我覺得失智症的人有可能越來越多，這對年輕人來說也是一個負擔，我不希望因為現在已經有的，十個人有的一個BPSD的照顧據點，我們的標準是十個人才補助這個據點，因為有一些項目的標準移到醫院去了，只剩下八個人、七個人，他就做不下去、他就不做了。當然我覺得這件事情是可惜的，因為有一部分已經有一些前兆的人，他本身就在社區據點，我們已經在訓練、教育，避免他狀況惡化，這件事情是不是重新再研議一下補助的標準，可不可以？"],["邱部長泰源：好，我想失智症，如果失智的……"],["李委員彥秀：你答應我就好了啦！部長、院長，這個很簡單啦，失智症……"],["邱部長泰源：我們來研議。"],["李委員彥秀：可以喔？"],["卓院長榮泰：一個機構如果不是很大，十個人要照顧就已經很困難了，我們覺得我們應該從這觀點來看，是不是需要把這個澈底檢討一下，真正照顧需要照顧的人。"],["李委員彥秀：就是八個人，你也可以去照顧，因為也真的是很辛苦，我們高齡化社會。"],["卓院長榮泰：是，很困難。"],["李委員彥秀：好，我最後一件事，雖然時間只剩下20秒，這個議題很重要。這次在關稅談判當中，其實我關注的是美方一直關注的一件事情，而我們沒有提到的，美國代表的項目其實有提到我們健保的核價制度，美國其實一直在關注我們健保核價制度，我們會不會因為談判而去調整未來健保制度談判的方法跟方式，你直接回應我，部長，你有沒有想到這件事情？"],["卓院長榮泰：我們現在談判的過程當中，已經接觸過的談判，沒有談到相關的議題。"],["李委員彥秀：未來也不會改變嗎？"],["卓院長榮泰：未來的事情是經談判，持續進行下去的。"],["李委員彥秀：所以沒有辦法承諾我？院長，那麼我就提醒你，這個未來對新藥、對健保核價制度會造成非常大的影響，以上，謝謝。"],["卓院長榮泰：好，我們會注意，謝謝。"],["邱部長泰源：我們會注意。"],["主席：謝謝李彥秀委員的質詢，謝謝卓院長、衛福部長的備詢，謝謝。","報告院會，登記第9位楊曜委員之質詢以書面提出，請行政院書面答復，並列入紀錄，刊登公報。"]],"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"}}}