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\"end\": 704.051, \"score\": 0.001}], \"language\": \"zh\"}","srt":"1\n00:00:06,020 --> 00:00:08,870\n謝謝主席就麻煩邱部長\n\n2\n00:00:38,993 --> 00:00:45,436\n一共倒了2454,超過2000基台電的人員,李源和同仁,很高興\n\n3\n00:00:54,299 --> 00:01:12,175\n有的就要幫助復電嘛結果就自己丟董箱早去青梅醫院補丁也要去關心整個病其實所有的大家都替他不甘意外也希望他能夠接受那些人所以這部份因為很需要大家來幫忙所以今天就是要有兩個強化啦第一就是要怎麼針對這個災變\n\n4\n00:01:21,963 --> 00:01:32,901\n的量能來強化弱勢安置他的強化就是之前有請教過疫苗配套的部分要強化基層參與這部分我們來跟保安局討論一下強化這個\n\n5\n00:01:36,966 --> 00:01:50,732\n有關災情的變化的部分其實補充也已經強調幾個部分針對運醫療查災損顧安置都有很完整的處理方法這部分是不是利用這個時間麻煩補充再給大家報告一下這個完整的內容給大家做參考好我先用這個納斯風災的例子來看我們衛福部的緊急\n\n6\n00:02:06,940 --> 00:02:30,431\n緊急應變的一個制度第一個我們一開始當然就是要緊急醫療管理系統就要開案了這樣才能知道各地方傷患所居的情況第二個我們本部有六區我們台灣有六個區的緊急醫療應變中心我們立即來監各個應變中心就是看他當地緊急醫療救護系統其中的情況以及急救責任醫院的運作狀況\n\n7\n00:02:31,411 --> 00:02:56,025\n那另外因為這是風災嘛,所以我們怕說淫水或是說有時候剛剛有習委員提的那種情況其實我們也把弱勢的一個病人能夠希望我們所有的縣市我們跟衛生局都有一直在互動把他移到安全的地方,特別是洗腎的硬殘戶撤離這個都有弱勢,而且這個是\n\n8\n00:02:58,466 --> 00:03:09,491\n每8小時可能就要在應變中心裡面報告這樣的一個移動的一個情況以及它整個這種情況那當然我們現在如果有更\n\n9\n00:03:10,902 --> 00:03:39,019\n更特別的一個災變的一個發生當然我們除了這樣啟動的部分以外當然我們也會更動員到全國的醫療院所的一個支援另外就是社工方面在收容安置這個部分也會有完整的一個規劃包括各個救濟站這個都怎麼樣利用學校怎麼樣利用衛生所等等的這個我們都有\n\n10\n00:03:39,699 --> 00:03:55,140\n一個週密的一個機制在規劃其實大家也知道因為台灣真的是每一年的風災颱風影響很大至少一年都平均有3.2個颱風會侵襲台灣每一次颱風之前不管中央地方都會開設\n\n11\n00:03:56,621 --> 00:04:25,167\n一些應變中心來做一些安排那也看到這一次的確透過這樣的安排得到很好的一些照顧模式當然還是有很多的部分其實需要加強啦剛才博長有跟我們說明說很多都是經過事前的一些安排處置所以也的確發揮它的量能還有互相幫助的這個成果不過我們也知道這個安置到底有沒有制度上的忽略\n\n12\n00:04:26,727 --> 00:04:54,956\n這個就是剛剛部長有提到我們看到一些新聞媒體的報導他們說你們待會還有處理屋頂還在就不用通知他們安置所以很顯然就是說我們在制度上需要再補強當然我們透過這一次風災的這麼大的傷害的影響還是有很多需要再檢討的地方所以不是說我們通知就表示\n\n13\n00:04:55,656 --> 00:05:12,349\n照顧到他的安全同理跟他照顧其實還是有一些落差那尤其現在是不管是偏鄉或者是非偏鄉可是有一些弱勢的失能的失智的長者這邊特別來讓他們知道我們之前都說\n\n14\n00:05:15,011 --> 00:05:41,883\n自己通知說你去哪裡問題是很多的通知是臨時通知的這些人通知的對或不會這個就是未來我們希望透過這次風災造成的影響在制度上是不是需要再重新檢討同時來補強不管是事前通知也好或者是這些失年的應變機制也好還有偏鄉幼視失能長者的保護機制也好\n\n15\n00:05:42,743 --> 00:06:05,063\n這部分我不知道我們現在在檢討的時候會包括幾部分包括剛剛有委員提到處理他需要呼吸器的還有他可能在家裡需要洗腎的這個如果是沒有電沒有水這要怎麼幫忙他屬性要怎麼安排這個應該說要事先就有機制\n\n16\n00:06:05,723 --> 00:06:22,458\n不管是中央要出指引有地方來執行過程當中碰到的問題還有中央能不能夠建就是請中央這邊就開始建立這些弱勢的時候出現這些天災地損應該有完整的安置名冊\n\n17\n00:06:23,539 --> 00:06:41,407\n你先知道說哪裡有什麼人他住哪裡他如果要安置安置去什麼地方這個都要有一個整體的配套這樣我們就不會發生問題這開始通緝通緝也不知道我們通緝道有辦法處理還是沒有這部分是不是可以現在補充來做相關的這個研議或者是在執行上將來要怎麼來做應變的部分\n\n18\n00:06:50,935 --> 00:06:54,966\n謝謝委員的一個隨行那當然我們各個\n\n19\n00:06:56,334 --> 00:07:24,580\n因為各個縣市衛生局或社政他都有一定的非常佈置到相當周全的一個照顧那這中間一會發生變化的話無論是電話卡不通啦或者是說人力的縣市這個部分的確如果能夠在照冊上更加的周全包括我們獨基老人這個部分有時候也要注意這樣的情況我想謝謝委員我們會把這樣的工作再把它來檢討來把它更落實\n\n20\n00:07:25,520 --> 00:07:53,396\n好,包括衛生、社政,還有包括地方衛生局、林里長,你如果有這個名冊出來,當然你做事情就改善好處第二項就是有關這個疫苗配套的部分,上一次也有麻煩部長開始來研議相關的,不管是中央或地方來提供這個疫苗能量配送的服務,這部分相信部長應該是不來開始做相關措施的研討,不過\n\n21\n00:07:54,296 --> 00:08:11,229\n今天要請教的是我們知道目前有一些疫苗如果出現問題的話他可能就需要做賠償尤其是公費疫苗我們再來看到113年一共有699件是需要做公費疫苗的賠償\n\n22\n00:08:12,890 --> 00:08:33,480\n這個賠償裡面有幾個部分其實可以透過一些制度上或者是好的一個設計模式來減少這樣的錯誤包括重複接種接種間隔時間不足還有施打與非計畫的實施對象這六八九的高經驗裡面就有416件其實是可以透過好的資料串接\n\n23\n00:08:34,740 --> 00:09:03,359\n你如果主要用好血透過可能說一個人要去住兩邊也不可能說你不是要住的人要照來住這根本不應該讓他發生啊就不然我們不知道有什麼好的辦法讓這個資料的串接不管是透過現有的健保資料庫也好或者是目前的疾管署的資料裡面要讓他串接好血不要讓這樣的錯誤重複發生部長這邊有什麼好的方法嗎我想\n\n24\n00:09:05,220 --> 00:09:17,167\n因為我也當過很久的醫事公會,包括台北市醫事公會理事長,我覺得我也聽到很多的醫院跟特別是診所在資料上的一個\n\n25\n00:09:20,309 --> 00:09:42,693\nJJ的必要性那其實衛護部在疾管署從110年已經前面推動核A的醫療驗所我們用APIJJ的模式進行HIDS跟NIDS就是醫療資訊體系跟全國預防接種資訊管理系統的一個自動交換查詢跟核對修正那到113年已經全國有3200家的大概有效的\n\n26\n00:09:48,548 --> 00:10:02,740\n餐飲可以在24小時裡面就是完成這樣的一個上傳所以那個降低了70%以上的接種勿施所以我想這個部分我們會讓他一直進步\n\n27\n00:10:04,166 --> 00:10:29,270\n因為起碼這方面可以進步就可以減少這方面的困擾避免我們基層的診所在參與的時候不僅付出他的勞力還要被扣款還是還要受到處罰我想也拜託各縣市的醫師公會如果了解一下會員有困難跟當地的縣市衛生局縣市衛生局其實都很\n\n28\n00:10:30,650 --> 00:10:34,952\n很熱心來幫忙處理那跟我們機關署這邊一起來解決六百九十高童裡面要做造價賠償原價賠償你自己租的金額是四百幾萬\n\n29\n00:10:45,806 --> 00:11:10,058\n六百九十九千要四百幾萬表示說有一些的賠償可能是有一些可以在討論的地方啊我們現在只分兩種一個就是無需賠償啊不然就是要原價賠償啊你中間有一個有可能說什麼經營之下你要造價賠償什麼幾分什麼經營你就只需要賠償一半啊或者是幾個百分比這部分可能也要麻煩市府裡面來處理\n\n30\n00:11:11,118 --> 00:11:38,667\n好的所以最難就是針對這部分來改善這個疫苗配套強化基層參與有三個部分就是能量配送還有這個有效資料串接疫苗處置費我們也知道其實很辛苦出一百塊事實上成本是四百幾塊這個如何能夠讓這個參與者把基層診所當用心而且能夠努力的來參與是不是讓一個月裡面有個諮問報告\n\n31\n00:11:39,807 --> 00:11:44,051\n這幾點我們都會來努力,而且在一個月內提出施政報告\n\n","tsv":"start\tend\ttext\n6020\t8870\t謝謝主席就麻煩邱部長\n13677\t37773\t電線桿\n38993\t45436\t一共倒了2454,超過2000基台電的人員,李源和同仁,很高興\n54299\t72175\t有的就要幫助復電嘛結果就自己丟董箱早去青梅醫院補丁也要去關心整個病其實所有的大家都替他不甘意外也希望他能夠接受那些人所以這部份因為很需要大家來幫忙所以今天就是要有兩個強化啦第一就是要怎麼針對這個災變\n81963\t92901\t的量能來強化弱勢安置他的強化就是之前有請教過疫苗配套的部分要強化基層參與這部分我們來跟保安局討論一下強化這個\n96966\t110732\t有關災情的變化的部分 其實補充也已經強調幾個部分針對運醫療 查災損 顧安置 都有很完整的處理方法這部分是不是利用這個時間 麻煩補充再給大家報告一下這個完整的內容 給大家做參考好 我先用這個納斯風災的例子來看我們衛福部的緊急\n126940\t150431\t緊急應變的一個制度第一個我們一開始當然就是要緊急醫療管理系統就要開案了這樣才能知道各地方傷患所居的情況第二個我們本部有六區我們台灣有六個區的緊急醫療應變中心我們立即來監各個應變中心就是看他當地緊急醫療救護系統其中的情況以及急救責任醫院的運作狀況\n151411\t176025\t那另外因為這是風災嘛,所以我們怕說淫水或是說有時候剛剛有習委員提的那種情況其實我們也把弱勢的一個病人能夠希望我們所有的縣市我們跟衛生局都有一直在互動把他移到安全的地方,特別是洗腎的硬殘戶撤離這個都有弱勢,而且這個是\n178466\t189491\t每8小時可能就要在應變中心裡面報告這樣的一個移動的一個情況以及它整個這種情況那當然我們現在如果有更\n190902\t219019\t更特別的一個災變的一個發生當然我們除了這樣啟動的部分以外當然我們也會更動員到全國的醫療院所的一個支援另外就是社工方面在收容安置這個部分也會有完整的一個規劃包括各個救濟站這個都怎麼樣利用學校怎麼樣利用衛生所等等的這個我們都有\n219699\t235140\t一個週密的一個機制在規劃其實大家也知道因為台灣真的是每一年的風災颱風影響很大至少一年都平均有3.2個颱風會侵襲台灣每一次颱風之前不管中央地方都會開設\n236621\t265167\t一些應變中心來做一些安排那也看到這一次的確透過這樣的安排得到很好的一些照顧模式當然還是有很多的部分其實需要加強啦剛才博長有跟我們說明說很多都是經過事前的一些安排處置所以也的確發揮它的量能還有互相幫助的這個成果不過我們也知道這個安置到底有沒有制度上的忽略\n266727\t294956\t這個就是剛剛部長有提到我們看到一些新聞媒體的報導他們說你們待會還有處理屋頂還在就不用通知他們安置所以很顯然就是說我們在制度上需要再補強當然我們透過這一次風災的這麼大的傷害的影響還是有很多需要再檢討的地方所以不是說我們通知就表示\n295656\t312349\t照顧到他的安全同理跟他照顧其實還是有一些落差那尤其現在是不管是偏鄉或者是非偏鄉可是有一些弱勢的失能的失智的長者這邊特別來讓他們知道我們之前都說\n315011\t341883\t自己通知說你去哪裡問題是很多的通知是臨時通知的這些人通知的對或不會這個就是未來我們希望透過這次風災造成的影響在制度上是不是需要再重新檢討同時來補強不管是事前通知也好或者是這些失年的應變機制也好還有偏鄉幼視失能長者的保護機制也好\n342743\t365063\t這部分我不知道我們現在在檢討的時候會包括幾部分包括剛剛有委員提到處理他需要呼吸器的還有他可能在家裡需要洗腎的這個如果是沒有電沒有水這要怎麼幫忙他 屬性要怎麼安排這個應該說要事先就有機制\n365723\t382458\t不管是中央要出指引有地方來執行過程當中碰到的問題還有中央能不能夠建就是請中央這邊就開始建立這些弱勢的時候出現這些天災地損應該有完整的安置名冊\n383539\t401407\t你先知道說哪裡有什麼人他住哪裡 他如果要安置 安置去什麼地方這個都要有一個整體的配套這樣我們就不會發生問題這開始通緝 通緝也不知道我們通緝道有辦法處理還是沒有這部分是不是可以現在補充來做相關的這個研議或者是在執行上將來要怎麼來做應變的部分\n410935\t414966\t謝謝委員的一個隨行那當然我們各個\n416334\t444580\t因為各個縣市衛生局或社政他都有一定的非常佈置到相當周全的一個照顧那這中間一會發生變化的話無論是電話卡不通啦或者是說人力的縣市這個部分的確如果能夠在照冊上更加的周全包括我們獨基老人這個部分有時候也要注意這樣的情況我想謝謝委員我們會把這樣的工作再把它來檢討來把它更落實\n445520\t473396\t好,包括衛生、社政,還有包括地方衛生局、林里長,你如果有這個名冊出來,當然你做事情就改善好處第二項就是有關這個疫苗配套的部分,上一次也有麻煩部長開始來研議相關的,不管是中央或地方來提供這個疫苗能量配送的服務,這部分相信部長應該是不來開始做相關措施的研討,不過\n474296\t491229\t今天要請教的是我們知道目前有一些疫苗如果出現問題的話他可能就需要做賠償尤其是公費疫苗我們再來看到113年一共有699件是需要做公費疫苗的賠償\n492890\t513480\t這個賠償裡面有幾個部分其實可以透過一些制度上或者是好的一個設計模式來減少這樣的錯誤包括重複接種 接種間隔時間不足還有施打與非計畫的實施對象這六八九的高經驗裡面就有416件其實是可以透過好的資料串接\n514740\t543359\t你如果主要用好血透過可能說一個人要去住兩邊也不可能說你不是要住的人要照來住這根本不應該讓他發生啊就不然我們不知道有什麼好的辦法讓這個資料的串接不管是透過現有的健保資料庫也好或者是目前的疾管署的資料裡面要讓他串接好血不要讓這樣的錯誤重複發生部長這邊有什麼好的方法嗎我想\n545220\t557167\t因為我也當過很久的醫事公會,包括台北市醫事公會理事長,我覺得我也聽到很多的醫院跟特別是診所在資料上的一個\n560309\t582693\tJJ的必要性那其實衛護部在疾管署從110年已經前面推動核A的醫療驗所我們用APIJJ的模式進行HIDS跟NIDS就是醫療資訊體系跟全國預防接種資訊管理系統的一個自動交換查詢跟核對修正那到113年已經全國有3200家的大概有效的\n588548\t602740\t餐飲可以在24小時裡面就是完成這樣的一個上傳所以那個降低了70%以上的接種勿施所以我想這個部分我們會讓他一直進步\n604166\t629270\t因為起碼這方面可以進步就可以減少這方面的困擾避免我們基層的診所在參與的時候不僅付出他的勞力還要被扣款還是還要受到處罰我想也拜託各縣市的醫師公會如果了解一下會員有困難跟當地的縣市衛生局 縣市衛生局其實都很\n630650\t634952\t很熱心來幫忙處理那跟我們機關署這邊一起來解決六百九十高童裡面要做造價賠償原價賠償你自己租的金額是四百幾萬\n645806\t670058\t六百九十九千要四百幾萬 表示說有一些的賠償可能是有一些可以在討論的地方 啊我們現在只分兩種一個就是無需賠償 啊不然就是要原價賠償 啊你中間有一個 有可能說什麼經營之下你要造價賠償 什麼幾分 什麼經營你就只需要賠償一半啊或者是幾個百分比 這部分可能也要麻煩市府裡面來處理\n671118\t698667\t好的所以最難就是針對這部分來改善這個疫苗配套強化基層參與有三個部分就是能量配送還有這個有效資料串接疫苗處置費我們也知道其實很辛苦出一百塊事實上成本是四百幾塊這個如何能夠讓這個參與者把基層診所當用心而且能夠努力的來參與是不是讓一個月裡面有個諮問報告\n699807\t704051\t這幾點我們都會來努力,而且在一個月內提出施政報告\n","txt":"謝謝主席就麻煩邱部長\n電線桿\n一共倒了2454,超過2000基台電的人員,李源和同仁,很高興\n有的就要幫助復電嘛結果就自己丟董箱早去青梅醫院補丁也要去關心整個病其實所有的大家都替他不甘意外也希望他能夠接受那些人所以這部份因為很需要大家來幫忙所以今天就是要有兩個強化啦第一就是要怎麼針對這個災變\n的量能來強化弱勢安置他的強化就是之前有請教過疫苗配套的部分要強化基層參與這部分我們來跟保安局討論一下強化這個\n有關災情的變化的部分 其實補充也已經強調幾個部分針對運醫療 查災損 顧安置 都有很完整的處理方法這部分是不是利用這個時間 麻煩補充再給大家報告一下這個完整的內容 給大家做參考好 我先用這個納斯風災的例子來看我們衛福部的緊急\n緊急應變的一個制度第一個我們一開始當然就是要緊急醫療管理系統就要開案了這樣才能知道各地方傷患所居的情況第二個我們本部有六區我們台灣有六個區的緊急醫療應變中心我們立即來監各個應變中心就是看他當地緊急醫療救護系統其中的情況以及急救責任醫院的運作狀況\n那另外因為這是風災嘛,所以我們怕說淫水或是說有時候剛剛有習委員提的那種情況其實我們也把弱勢的一個病人能夠希望我們所有的縣市我們跟衛生局都有一直在互動把他移到安全的地方,特別是洗腎的硬殘戶撤離這個都有弱勢,而且這個是\n每8小時可能就要在應變中心裡面報告這樣的一個移動的一個情況以及它整個這種情況那當然我們現在如果有更\n更特別的一個災變的一個發生當然我們除了這樣啟動的部分以外當然我們也會更動員到全國的醫療院所的一個支援另外就是社工方面在收容安置這個部分也會有完整的一個規劃包括各個救濟站這個都怎麼樣利用學校怎麼樣利用衛生所等等的這個我們都有\n一個週密的一個機制在規劃其實大家也知道因為台灣真的是每一年的風災颱風影響很大至少一年都平均有3.2個颱風會侵襲台灣每一次颱風之前不管中央地方都會開設\n一些應變中心來做一些安排那也看到這一次的確透過這樣的安排得到很好的一些照顧模式當然還是有很多的部分其實需要加強啦剛才博長有跟我們說明說很多都是經過事前的一些安排處置所以也的確發揮它的量能還有互相幫助的這個成果不過我們也知道這個安置到底有沒有制度上的忽略\n這個就是剛剛部長有提到我們看到一些新聞媒體的報導他們說你們待會還有處理屋頂還在就不用通知他們安置所以很顯然就是說我們在制度上需要再補強當然我們透過這一次風災的這麼大的傷害的影響還是有很多需要再檢討的地方所以不是說我們通知就表示\n照顧到他的安全同理跟他照顧其實還是有一些落差那尤其現在是不管是偏鄉或者是非偏鄉可是有一些弱勢的失能的失智的長者這邊特別來讓他們知道我們之前都說\n自己通知說你去哪裡問題是很多的通知是臨時通知的這些人通知的對或不會這個就是未來我們希望透過這次風災造成的影響在制度上是不是需要再重新檢討同時來補強不管是事前通知也好或者是這些失年的應變機制也好還有偏鄉幼視失能長者的保護機制也好\n這部分我不知道我們現在在檢討的時候會包括幾部分包括剛剛有委員提到處理他需要呼吸器的還有他可能在家裡需要洗腎的這個如果是沒有電沒有水這要怎麼幫忙他 屬性要怎麼安排這個應該說要事先就有機制\n不管是中央要出指引有地方來執行過程當中碰到的問題還有中央能不能夠建就是請中央這邊就開始建立這些弱勢的時候出現這些天災地損應該有完整的安置名冊\n你先知道說哪裡有什麼人他住哪裡 他如果要安置 安置去什麼地方這個都要有一個整體的配套這樣我們就不會發生問題這開始通緝 通緝也不知道我們通緝道有辦法處理還是沒有這部分是不是可以現在補充來做相關的這個研議或者是在執行上將來要怎麼來做應變的部分\n謝謝委員的一個隨行那當然我們各個\n因為各個縣市衛生局或社政他都有一定的非常佈置到相當周全的一個照顧那這中間一會發生變化的話無論是電話卡不通啦或者是說人力的縣市這個部分的確如果能夠在照冊上更加的周全包括我們獨基老人這個部分有時候也要注意這樣的情況我想謝謝委員我們會把這樣的工作再把它來檢討來把它更落實\n好,包括衛生、社政,還有包括地方衛生局、林里長,你如果有這個名冊出來,當然你做事情就改善好處第二項就是有關這個疫苗配套的部分,上一次也有麻煩部長開始來研議相關的,不管是中央或地方來提供這個疫苗能量配送的服務,這部分相信部長應該是不來開始做相關措施的研討,不過\n今天要請教的是我們知道目前有一些疫苗如果出現問題的話他可能就需要做賠償尤其是公費疫苗我們再來看到113年一共有699件是需要做公費疫苗的賠償\n這個賠償裡面有幾個部分其實可以透過一些制度上或者是好的一個設計模式來減少這樣的錯誤包括重複接種 接種間隔時間不足還有施打與非計畫的實施對象這六八九的高經驗裡面就有416件其實是可以透過好的資料串接\n你如果主要用好血透過可能說一個人要去住兩邊也不可能說你不是要住的人要照來住這根本不應該讓他發生啊就不然我們不知道有什麼好的辦法讓這個資料的串接不管是透過現有的健保資料庫也好或者是目前的疾管署的資料裡面要讓他串接好血不要讓這樣的錯誤重複發生部長這邊有什麼好的方法嗎我想\n因為我也當過很久的醫事公會,包括台北市醫事公會理事長,我覺得我也聽到很多的醫院跟特別是診所在資料上的一個\nJJ的必要性那其實衛護部在疾管署從110年已經前面推動核A的醫療驗所我們用APIJJ的模式進行HIDS跟NIDS就是醫療資訊體系跟全國預防接種資訊管理系統的一個自動交換查詢跟核對修正那到113年已經全國有3200家的大概有效的\n餐飲可以在24小時裡面就是完成這樣的一個上傳所以那個降低了70%以上的接種勿施所以我想這個部分我們會讓他一直進步\n因為起碼這方面可以進步就可以減少這方面的困擾避免我們基層的診所在參與的時候不僅付出他的勞力還要被扣款還是還要受到處罰我想也拜託各縣市的醫師公會如果了解一下會員有困難跟當地的縣市衛生局 縣市衛生局其實都很\n很熱心來幫忙處理那跟我們機關署這邊一起來解決六百九十高童裡面要做造價賠償原價賠償你自己租的金額是四百幾萬\n六百九十九千要四百幾萬 表示說有一些的賠償可能是有一些可以在討論的地方 啊我們現在只分兩種一個就是無需賠償 啊不然就是要原價賠償 啊你中間有一個 有可能說什麼經營之下你要造價賠償 什麼幾分 什麼經營你就只需要賠償一半啊或者是幾個百分比 這部分可能也要麻煩市府裡面來處理\n好的所以最難就是針對這部分來改善這個疫苗配套強化基層參與有三個部分就是能量配送還有這個有效資料串接疫苗處置費我們也知道其實很辛苦出一百塊事實上成本是四百幾塊這個如何能夠讓這個參與者把基層診所當用心而且能夠努力的來參與是不是讓一個月裡面有個諮問報告\n這幾點我們都會來努力,而且在一個月內提出施政報告\n","vtt":"WEBVTT\n\n00:06.020 --> 00:08.870\n謝謝主席就麻煩邱部長\n\n00:38.993 --> 00:45.436\n一共倒了2454,超過2000基台電的人員,李源和同仁,很高興\n\n00:54.299 --> 01:12.175\n有的就要幫助復電嘛結果就自己丟董箱早去青梅醫院補丁也要去關心整個病其實所有的大家都替他不甘意外也希望他能夠接受那些人所以這部份因為很需要大家來幫忙所以今天就是要有兩個強化啦第一就是要怎麼針對這個災變\n\n01:21.963 --> 01:32.901\n的量能來強化弱勢安置他的強化就是之前有請教過疫苗配套的部分要強化基層參與這部分我們來跟保安局討論一下強化這個\n\n01:36.966 --> 01:50.732\n有關災情的變化的部分其實補充也已經強調幾個部分針對運醫療查災損顧安置都有很完整的處理方法這部分是不是利用這個時間麻煩補充再給大家報告一下這個完整的內容給大家做參考好我先用這個納斯風災的例子來看我們衛福部的緊急\n\n02:06.940 --> 02:30.431\n緊急應變的一個制度第一個我們一開始當然就是要緊急醫療管理系統就要開案了這樣才能知道各地方傷患所居的情況第二個我們本部有六區我們台灣有六個區的緊急醫療應變中心我們立即來監各個應變中心就是看他當地緊急醫療救護系統其中的情況以及急救責任醫院的運作狀況\n\n02:31.411 --> 02:56.025\n那另外因為這是風災嘛,所以我們怕說淫水或是說有時候剛剛有習委員提的那種情況其實我們也把弱勢的一個病人能夠希望我們所有的縣市我們跟衛生局都有一直在互動把他移到安全的地方,特別是洗腎的硬殘戶撤離這個都有弱勢,而且這個是\n\n02:58.466 --> 03:09.491\n每8小時可能就要在應變中心裡面報告這樣的一個移動的一個情況以及它整個這種情況那當然我們現在如果有更\n\n03:10.902 --> 03:39.019\n更特別的一個災變的一個發生當然我們除了這樣啟動的部分以外當然我們也會更動員到全國的醫療院所的一個支援另外就是社工方面在收容安置這個部分也會有完整的一個規劃包括各個救濟站這個都怎麼樣利用學校怎麼樣利用衛生所等等的這個我們都有\n\n03:39.699 --> 03:55.140\n一個週密的一個機制在規劃其實大家也知道因為台灣真的是每一年的風災颱風影響很大至少一年都平均有3.2個颱風會侵襲台灣每一次颱風之前不管中央地方都會開設\n\n03:56.621 --> 04:25.167\n一些應變中心來做一些安排那也看到這一次的確透過這樣的安排得到很好的一些照顧模式當然還是有很多的部分其實需要加強啦剛才博長有跟我們說明說很多都是經過事前的一些安排處置所以也的確發揮它的量能還有互相幫助的這個成果不過我們也知道這個安置到底有沒有制度上的忽略\n\n04:26.727 --> 04:54.956\n這個就是剛剛部長有提到我們看到一些新聞媒體的報導他們說你們待會還有處理屋頂還在就不用通知他們安置所以很顯然就是說我們在制度上需要再補強當然我們透過這一次風災的這麼大的傷害的影響還是有很多需要再檢討的地方所以不是說我們通知就表示\n\n04:55.656 --> 05:12.349\n照顧到他的安全同理跟他照顧其實還是有一些落差那尤其現在是不管是偏鄉或者是非偏鄉可是有一些弱勢的失能的失智的長者這邊特別來讓他們知道我們之前都說\n\n05:15.011 --> 05:41.883\n自己通知說你去哪裡問題是很多的通知是臨時通知的這些人通知的對或不會這個就是未來我們希望透過這次風災造成的影響在制度上是不是需要再重新檢討同時來補強不管是事前通知也好或者是這些失年的應變機制也好還有偏鄉幼視失能長者的保護機制也好\n\n05:42.743 --> 06:05.063\n這部分我不知道我們現在在檢討的時候會包括幾部分包括剛剛有委員提到處理他需要呼吸器的還有他可能在家裡需要洗腎的這個如果是沒有電沒有水這要怎麼幫忙他屬性要怎麼安排這個應該說要事先就有機制\n\n06:05.723 --> 06:22.458\n不管是中央要出指引有地方來執行過程當中碰到的問題還有中央能不能夠建就是請中央這邊就開始建立這些弱勢的時候出現這些天災地損應該有完整的安置名冊\n\n06:23.539 --> 06:41.407\n你先知道說哪裡有什麼人他住哪裡他如果要安置安置去什麼地方這個都要有一個整體的配套這樣我們就不會發生問題這開始通緝通緝也不知道我們通緝道有辦法處理還是沒有這部分是不是可以現在補充來做相關的這個研議或者是在執行上將來要怎麼來做應變的部分\n\n06:50.935 --> 06:54.966\n謝謝委員的一個隨行那當然我們各個\n\n06:56.334 --> 07:24.580\n因為各個縣市衛生局或社政他都有一定的非常佈置到相當周全的一個照顧那這中間一會發生變化的話無論是電話卡不通啦或者是說人力的縣市這個部分的確如果能夠在照冊上更加的周全包括我們獨基老人這個部分有時候也要注意這樣的情況我想謝謝委員我們會把這樣的工作再把它來檢討來把它更落實\n\n07:25.520 --> 07:53.396\n好,包括衛生、社政,還有包括地方衛生局、林里長,你如果有這個名冊出來,當然你做事情就改善好處第二項就是有關這個疫苗配套的部分,上一次也有麻煩部長開始來研議相關的,不管是中央或地方來提供這個疫苗能量配送的服務,這部分相信部長應該是不來開始做相關措施的研討,不過\n\n07:54.296 --> 08:11.229\n今天要請教的是我們知道目前有一些疫苗如果出現問題的話他可能就需要做賠償尤其是公費疫苗我們再來看到113年一共有699件是需要做公費疫苗的賠償\n\n08:12.890 --> 08:33.480\n這個賠償裡面有幾個部分其實可以透過一些制度上或者是好的一個設計模式來減少這樣的錯誤包括重複接種接種間隔時間不足還有施打與非計畫的實施對象這六八九的高經驗裡面就有416件其實是可以透過好的資料串接\n\n08:34.740 --> 09:03.359\n你如果主要用好血透過可能說一個人要去住兩邊也不可能說你不是要住的人要照來住這根本不應該讓他發生啊就不然我們不知道有什麼好的辦法讓這個資料的串接不管是透過現有的健保資料庫也好或者是目前的疾管署的資料裡面要讓他串接好血不要讓這樣的錯誤重複發生部長這邊有什麼好的方法嗎我想\n\n09:05.220 --> 09:17.167\n因為我也當過很久的醫事公會,包括台北市醫事公會理事長,我覺得我也聽到很多的醫院跟特別是診所在資料上的一個\n\n09:20.309 --> 09:42.693\nJJ的必要性那其實衛護部在疾管署從110年已經前面推動核A的醫療驗所我們用APIJJ的模式進行HIDS跟NIDS就是醫療資訊體系跟全國預防接種資訊管理系統的一個自動交換查詢跟核對修正那到113年已經全國有3200家的大概有效的\n\n09:48.548 --> 10:02.740\n餐飲可以在24小時裡面就是完成這樣的一個上傳所以那個降低了70%以上的接種勿施所以我想這個部分我們會讓他一直進步\n\n10:04.166 --> 10:29.270\n因為起碼這方面可以進步就可以減少這方面的困擾避免我們基層的診所在參與的時候不僅付出他的勞力還要被扣款還是還要受到處罰我想也拜託各縣市的醫師公會如果了解一下會員有困難跟當地的縣市衛生局縣市衛生局其實都很\n\n10:30.650 --> 10:34.952\n很熱心來幫忙處理那跟我們機關署這邊一起來解決六百九十高童裡面要做造價賠償原價賠償你自己租的金額是四百幾萬\n\n10:45.806 --> 11:10.058\n六百九十九千要四百幾萬表示說有一些的賠償可能是有一些可以在討論的地方啊我們現在只分兩種一個就是無需賠償啊不然就是要原價賠償啊你中間有一個有可能說什麼經營之下你要造價賠償什麼幾分什麼經營你就只需要賠償一半啊或者是幾個百分比這部分可能也要麻煩市府裡面來處理\n\n11:11.118 --> 11:38.667\n好的所以最難就是針對這部分來改善這個疫苗配套強化基層參與有三個部分就是能量配送還有這個有效資料串接疫苗處置費我們也知道其實很辛苦出一百塊事實上成本是四百幾塊這個如何能夠讓這個參與者把基層診所當用心而且能夠努力的來參與是不是讓一個月裡面有個諮問報告\n\n11:39.807 --> 11:44.051\n這幾點我們都會來努力,而且在一個月內提出施政報告\n\n","segments":[{"start":6.02,"end":8.87,"text":"謝謝主席就麻煩邱部長"},{"start":13.677,"end":37.773,"text":"電線桿"},{"start":38.993,"end":45.436,"text":"一共倒了2454,超過2000基台電的人員,李源和同仁,很高興"},{"start":54.299,"end":72.175,"text":"有的就要幫助復電嘛結果就自己丟董箱早去青梅醫院補丁也要去關心整個病其實所有的大家都替他不甘意外也希望他能夠接受那些人所以這部份因為很需要大家來幫忙所以今天就是要有兩個強化啦第一就是要怎麼針對這個災變"},{"start":81.963,"end":92.901,"text":"的量能來強化弱勢安置他的強化就是之前有請教過疫苗配套的部分要強化基層參與這部分我們來跟保安局討論一下強化這個"},{"start":96.966,"end":110.732,"text":"有關災情的變化的部分 其實補充也已經強調幾個部分針對運醫療 查災損 顧安置 都有很完整的處理方法這部分是不是利用這個時間 麻煩補充再給大家報告一下這個完整的內容 給大家做參考好 我先用這個納斯風災的例子來看我們衛福部的緊急"},{"start":126.94,"end":150.431,"text":"緊急應變的一個制度第一個我們一開始當然就是要緊急醫療管理系統就要開案了這樣才能知道各地方傷患所居的情況第二個我們本部有六區我們台灣有六個區的緊急醫療應變中心我們立即來監各個應變中心就是看他當地緊急醫療救護系統其中的情況以及急救責任醫院的運作狀況"},{"start":151.411,"end":176.025,"text":"那另外因為這是風災嘛,所以我們怕說淫水或是說有時候剛剛有習委員提的那種情況其實我們也把弱勢的一個病人能夠希望我們所有的縣市我們跟衛生局都有一直在互動把他移到安全的地方,特別是洗腎的硬殘戶撤離這個都有弱勢,而且這個是"},{"start":178.466,"end":189.491,"text":"每8小時可能就要在應變中心裡面報告這樣的一個移動的一個情況以及它整個這種情況那當然我們現在如果有更"},{"start":190.902,"end":219.019,"text":"更特別的一個災變的一個發生當然我們除了這樣啟動的部分以外當然我們也會更動員到全國的醫療院所的一個支援另外就是社工方面在收容安置這個部分也會有完整的一個規劃包括各個救濟站這個都怎麼樣利用學校怎麼樣利用衛生所等等的這個我們都有"},{"start":219.699,"end":235.14,"text":"一個週密的一個機制在規劃其實大家也知道因為台灣真的是每一年的風災颱風影響很大至少一年都平均有3.2個颱風會侵襲台灣每一次颱風之前不管中央地方都會開設"},{"start":236.621,"end":265.167,"text":"一些應變中心來做一些安排那也看到這一次的確透過這樣的安排得到很好的一些照顧模式當然還是有很多的部分其實需要加強啦剛才博長有跟我們說明說很多都是經過事前的一些安排處置所以也的確發揮它的量能還有互相幫助的這個成果不過我們也知道這個安置到底有沒有制度上的忽略"},{"start":266.727,"end":294.956,"text":"這個就是剛剛部長有提到我們看到一些新聞媒體的報導他們說你們待會還有處理屋頂還在就不用通知他們安置所以很顯然就是說我們在制度上需要再補強當然我們透過這一次風災的這麼大的傷害的影響還是有很多需要再檢討的地方所以不是說我們通知就表示"},{"start":295.656,"end":312.349,"text":"照顧到他的安全同理跟他照顧其實還是有一些落差那尤其現在是不管是偏鄉或者是非偏鄉可是有一些弱勢的失能的失智的長者這邊特別來讓他們知道我們之前都說"},{"start":315.011,"end":341.883,"text":"自己通知說你去哪裡問題是很多的通知是臨時通知的這些人通知的對或不會這個就是未來我們希望透過這次風災造成的影響在制度上是不是需要再重新檢討同時來補強不管是事前通知也好或者是這些失年的應變機制也好還有偏鄉幼視失能長者的保護機制也好"},{"start":342.743,"end":365.063,"text":"這部分我不知道我們現在在檢討的時候會包括幾部分包括剛剛有委員提到處理他需要呼吸器的還有他可能在家裡需要洗腎的這個如果是沒有電沒有水這要怎麼幫忙他 屬性要怎麼安排這個應該說要事先就有機制"},{"start":365.723,"end":382.458,"text":"不管是中央要出指引有地方來執行過程當中碰到的問題還有中央能不能夠建就是請中央這邊就開始建立這些弱勢的時候出現這些天災地損應該有完整的安置名冊"},{"start":383.539,"end":401.407,"text":"你先知道說哪裡有什麼人他住哪裡 他如果要安置 安置去什麼地方這個都要有一個整體的配套這樣我們就不會發生問題這開始通緝 通緝也不知道我們通緝道有辦法處理還是沒有這部分是不是可以現在補充來做相關的這個研議或者是在執行上將來要怎麼來做應變的部分"},{"start":410.935,"end":414.966,"text":"謝謝委員的一個隨行那當然我們各個"},{"start":416.334,"end":444.58,"text":"因為各個縣市衛生局或社政他都有一定的非常佈置到相當周全的一個照顧那這中間一會發生變化的話無論是電話卡不通啦或者是說人力的縣市這個部分的確如果能夠在照冊上更加的周全包括我們獨基老人這個部分有時候也要注意這樣的情況我想謝謝委員我們會把這樣的工作再把它來檢討來把它更落實"},{"start":445.52,"end":473.396,"text":"好,包括衛生、社政,還有包括地方衛生局、林里長,你如果有這個名冊出來,當然你做事情就改善好處第二項就是有關這個疫苗配套的部分,上一次也有麻煩部長開始來研議相關的,不管是中央或地方來提供這個疫苗能量配送的服務,這部分相信部長應該是不來開始做相關措施的研討,不過"},{"start":474.296,"end":491.229,"text":"今天要請教的是我們知道目前有一些疫苗如果出現問題的話他可能就需要做賠償尤其是公費疫苗我們再來看到113年一共有699件是需要做公費疫苗的賠償"},{"start":492.89,"end":513.48,"text":"這個賠償裡面有幾個部分其實可以透過一些制度上或者是好的一個設計模式來減少這樣的錯誤包括重複接種 接種間隔時間不足還有施打與非計畫的實施對象這六八九的高經驗裡面就有416件其實是可以透過好的資料串接"},{"start":514.74,"end":543.359,"text":"你如果主要用好血透過可能說一個人要去住兩邊也不可能說你不是要住的人要照來住這根本不應該讓他發生啊就不然我們不知道有什麼好的辦法讓這個資料的串接不管是透過現有的健保資料庫也好或者是目前的疾管署的資料裡面要讓他串接好血不要讓這樣的錯誤重複發生部長這邊有什麼好的方法嗎我想"},{"start":545.22,"end":557.167,"text":"因為我也當過很久的醫事公會,包括台北市醫事公會理事長,我覺得我也聽到很多的醫院跟特別是診所在資料上的一個"},{"start":560.309,"end":582.693,"text":"JJ的必要性那其實衛護部在疾管署從110年已經前面推動核A的醫療驗所我們用APIJJ的模式進行HIDS跟NIDS就是醫療資訊體系跟全國預防接種資訊管理系統的一個自動交換查詢跟核對修正那到113年已經全國有3200家的大概有效的"},{"start":588.548,"end":602.74,"text":"餐飲可以在24小時裡面就是完成這樣的一個上傳所以那個降低了70%以上的接種勿施所以我想這個部分我們會讓他一直進步"},{"start":604.166,"end":629.27,"text":"因為起碼這方面可以進步就可以減少這方面的困擾避免我們基層的診所在參與的時候不僅付出他的勞力還要被扣款還是還要受到處罰我想也拜託各縣市的醫師公會如果了解一下會員有困難跟當地的縣市衛生局 縣市衛生局其實都很"},{"start":630.65,"end":634.952,"text":"很熱心來幫忙處理那跟我們機關署這邊一起來解決六百九十高童裡面要做造價賠償原價賠償你自己租的金額是四百幾萬"},{"start":645.806,"end":670.058,"text":"六百九十九千要四百幾萬 表示說有一些的賠償可能是有一些可以在討論的地方 啊我們現在只分兩種一個就是無需賠償 啊不然就是要原價賠償 啊你中間有一個 有可能說什麼經營之下你要造價賠償 什麼幾分 什麼經營你就只需要賠償一半啊或者是幾個百分比 這部分可能也要麻煩市府裡面來處理"},{"start":671.118,"end":698.667,"text":"好的所以最難就是針對這部分來改善這個疫苗配套強化基層參與有三個部分就是能量配送還有這個有效資料串接疫苗處置費我們也知道其實很辛苦出一百塊事實上成本是四百幾塊這個如何能夠讓這個參與者把基層診所當用心而且能夠努力的來參與是不是讓一個月裡面有個諮問報告"},{"start":699.807,"end":704.051,"text":"這幾點我們都會來努力,而且在一個月內提出施政報告"}]}}},"gazette":{"lineno":1238,"blocks":[["王委員正旭：（12時25分）謝謝主席，麻煩邱部長。"],["邱部長泰源：委員好。"],["王委員正旭：部長你好。最近辛苦了，臺北、臺南四處跑。"],["邱部長泰源：不會，這是應該的。"],["王委員正旭：大家一起加油。"],["邱部長泰源：是。"],["王委員正旭：我們都是嘉義人，就像蔡易餘說的，我們都是自己人啦！這次的颱風確實真的對嘉義、臺南的影響很大，電線桿一共倒了2,454支，超過2,000支，讓我們感到真的很不捨，我們台電的李元瀚同仁也確實讓人很感心，為了要幫助復電，結果自己受了重傷，被送到奇美醫院治療，部長也去關心了好幾次，其實大家都替他感到不捨之外，我們也希望他們的家人能夠繼續……"],["邱部長泰源：我們希望替他集氣。"],["王委員正旭：是，這部分真的很需要大家來幫忙。今天要談的是兩個強化，第一個就是要怎麼樣針對災變的量能來強化弱勢安置，第二個強化就是之前有跟你請教過的，疫苗配套部分要怎麼強化基層參與，今天就針對這兩個部分再來跟部長討論一下。"],["邱部長泰源：是。"],["王委員正旭：有關災情變化的部分，其實部長也已經強調過好幾次，針對穩醫療、查災損、顧安置都有很完整的處理方法，這部分是不是利用這個時間，麻煩部長再跟大家做比較完整的報告，讓大家參考，好不好？"],["邱部長泰源：好，我先用這次丹娜絲風災的例子來看衛福部緊急應變的制度，第一個，一開始我們的緊急醫療管理系統當然就要開案了，這樣才能知道各地方傷患的收治情況。第二個，本部有六區，我們臺灣有六區的區域緊急醫療應變中心，各個應變中心就會去看當地緊急醫療救護系統啟動的情況，以及急救責任醫院的運作狀況。因為這一次是風災，我們擔心會有淹水的情況，就如剛剛許委員提到的，所以針對弱勢的病人，我們跟所有縣市的衛生局都有一直在互動，希望把他們移到安全的地方，特別是洗腎患者及孕產婦的撤離，這個都有落實，而且這個是每8小時可能就要在應變中心裡面報告這樣一個移動的情況，以及整個總情況。","當然，如果有更特別的災變發生，我們除了啟動這個部分以外，我們也會動員到全國醫療院所的資源。另外就是社工方面，在收容安置部分也會有完整的規劃，包括各個救濟站，怎麼樣利用學校、怎麼樣利用衛生所等等，這個我們都有周密的機制在規劃。"],["王委員正旭：是，其實大家也知道臺灣真的每一年受到颱風的影響很大，至少一年平均有3.2個颱風會侵襲臺灣，每一次颱風來襲之前，不管中央或地方都會開設應變中心來做一些安排，也看到這一次的確透過了這樣的安排得到很好的照護模式，當然還是有很多部分持續要加強啦！"],["邱部長泰源：是。"],["王委員正旭：剛才部長有跟我們說明，很多都是經過事前的安排處置，所以也的確發揮它的量能還有互相幫助的成果。不過我們也知道，這個安置到底有沒有制度上的忽略，這個就是剛剛部長有提到，我們有看到一些新聞媒體的報導，他說你們家還有房子，屋頂還在，就不用通知他們安置，所以很顯然就是我們的制度上需要再補強。","當然，透過這一次這麼大的風災傷害的影響，我們知道還是有很多需要再檢討的地方，所以不是我們通知到他就表示照顧到他的安全，通知跟照顧其實還是有一些落差。尤其現在不管是偏鄉或者是非偏鄉，有一些弱勢的失能、失智的長者，要特別思考如何讓他們知道。我們之前都說我會跟你通知去哪裡，問題是很多通知都是臨時性的，這些人是否通知得到？這個就是未來，我們希望透過這一次風災造成的影響，在制度上是不是需要再重新檢討，同時來補強。","不管是事前通知也好，或者是失聯的應變機制也好，還有偏鄉弱勢失能長者的保護機制也好，我不知道我們現在如果在檢討的時候，會包括哪幾個部分？包括剛剛有委員提到，在家裡他需要呼吸器的，還有他可能在家裡需要洗腎的，如果沒有電、沒有水，這個要怎麼幫忙他，事先要怎麼安排，這個應該都要事先就有機制。","不管是中央要出指引，由地方來執行，過程當中碰到的問題，還有中央能不能夠建立，就是請中央這邊就開始建立，當出現天災的時候，應該有完整的這些弱勢民眾的安置名冊。你首先要知道哪裡有什麼人，他住在哪裡，他如果需要安置，要安置去什麼地方，這個都要有一個整體的配套。這樣就不會說發生問題再開始通知，然後通知也不知道我們的通知有沒有辦法處理，這部分是不是可以請部長做相關的研議，或者是在執行上，將來要怎麼來做應變的部分？"],["邱部長泰源：謝謝委員的垂詢，當然我們各縣市衛生局或社政都有一定的、非常布置到相當周全的一個照顧，這中間一旦發生變化的話，無論是電話打不通，或者是說因為人力的限制，這個部分的確如果能夠在造冊上更加的周全，包括獨居老人這部分，有時候也要注意這樣的情況。謝謝委員，我們會再來檢討這個工作，讓它更加落實。"],["王委員正旭：好。因為這個包括衛生、社政，還有包括地方衛生局、鄰里長，如果有這個名冊出來，當然他們在做事情的時候就更好做。"],["邱部長泰源：是。"],["王委員正旭：第二項就是有關疫苗配套的部分，上一次也有麻煩部長開始研議相關的，不管是中央或地方來提供疫苗冷鏈配送服務，這部分相信部長應該會開始做相關措施的研討。不過今天要跟你請教的就是，我們知道目前有一些疫苗如果出現毀損的話，可能就需要賠償，尤其是公費疫苗。","我們再看到113年，一共有699件公費疫苗毀損的賠償案件。在賠償的原因裡面，有幾個部分其實可以透過一些制度上或是好的設計模式來減少相關的錯誤，包括重複接種、接種間隔時間不足還有施打於非計畫實施對象，這699件裡面就有416件其實是可以透過好的資料串接來解決的。你們的資料如果串接得好，怎麼可能一個人去接種兩次？也不可能讓非計畫實施對象來接種，這個根本不應該讓它發生，這部分不知道我們有什麼好的辦法，讓資料的串接，不管是透過現有的健保資料庫也好，或者是目前疾管署的資料裡面，要讓它串接得好一點，不要讓這樣的錯誤重複發生。部長這邊有什麼好辦法嗎？"],["邱部長泰源：因為我也當過很久的醫師公會，包括臺北市醫師公會的理事長，我覺得我也聽到很多的醫院，特別是診所，在資料上介接的必要性。其實衛福部疾管署從110年已經全面推動合約醫療院所，運用API介接模式串聯HIS與NIS等系統，就是醫療院所資訊系統跟全國預防接種資訊管理系統的自動交換、查詢跟核對、修正。到113年，全國已經有3,200家有效的參與，可以在24小時裡面完成資料的上傳，降低了70%以上的接種誤失，我想我們會讓這個部分一直在進步。"],["王委員正旭：好，如果這部分可以進步，起碼就可以減少這方面的困擾，也避免我們基層診所在參與的時候，不僅付出他的勞力還要被扣款，甚至還要因為這樣而受到處罰。"],["邱部長泰源：我想也拜託各縣市的醫師公會了解一下，如果會員有困難，跟當地的縣市衛生局，縣市衛生局其實都很熱心來幫忙處理……"],["王委員正旭：是。你看……"],["邱部長泰源：跟我們疾管署這邊一起來解決。"],["王委員正旭：好。這699件要照原價賠償，你們標註的賠償金額是四百多萬，699件要賠償四百多萬，表示有些賠償可能有可以再討論的地方。我們現在只分兩種，一種是無須賠償，不然就是要原價賠償，其中應該有一個可能說，什麼情形之下你要照價賠償；什麼情形你就只需要賠償一半或者是幾個百分比，這部分可能也要麻煩是不是部裡面來處理？"],["邱部長泰源：好。好的、好的、好的。"],["王委員正旭：最後，針對改善疫苗配套強化基層參與這部分有三點，就是冷鏈配送，還有有效的資料串接以及合理的疫苗處置費。我們也知道其實基層很辛苦，注射一劑100塊，事實上成本是四百多塊。如何能夠讓參與者，包括基層診所，可以用心而且能夠努力的來參與，是不是可以一個月內提供一份書面報告……"],["邱部長泰源：好，這幾點我們都會來努力，而且會在一個月內提出書面報告。"],["王委員正旭：好，再麻煩你，謝謝。"],["邱部長泰源：謝謝委員，謝謝。"],["主席：好，謝謝王委員，謝謝部長。","你的意思是疫苗要自己保管，颱風停電導致疫苗失效要再賠錢，看衛福部能不能專案給我們……那個實在有夠「衰」啦！"],["邱部長泰源：好，謝謝召委還有王委員，我想這個部分我們來了解，如果有天災的話，我們會給他無須賠償，疾管署說無須賠償……"],["主席：無須賠償？這樣好……"],["邱部長泰源：對，不需要。"],["主席：這樣可以、這樣可以。好，謝謝、謝謝部長。","來，最後一個陳瑩。快一點喔，要結束了，要萬安演習了啦。"]],"agenda":{"page_end":398,"meet_id":"委員會-11-3-26-21","speakers":["蘇清泉","陳昭姿","陳菁徽","王育敏","涂權吉","賴惠員","邱鎮軍","林淑芬","陳冠廷","劉建國","黃秀芳","林月琴","許宇甄","徐欣瑩","王正旭","陳瑩","陳永康","楊曜","廖偉翔","盧縣一"],"page_start":325,"meetingDate":["2025-07-17"],"gazette_id":"1146701","agenda_lcidc_ids":["1146701_00007"],"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21次全體委員會議紀錄","content":"邀請衛生福利部部長、勞動部部長、財政部部長、農業部針對「因應嚴重災情、緊急重大事件，\n醫療院所承擔救護量能困境及因應台美關稅談判對台灣食品安全相關影響」進行專題報告，並備\n質詢","agenda_id":"1146701_00006"}}}