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{\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"角\", \"start\": 744.083, \"end\": 744.283, \"score\": 0.958}, {\"word\": \"度\", \"start\": 744.283, \"end\": 745.524, \"score\": 0.982}, {\"word\": \"來\"}, {\"word\": \"把\", \"start\": 745.524, \"end\": 746.144, \"score\": 0.887}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"相\", \"start\": 746.144, \"end\": 747.305, \"score\": 0.962}, {\"word\": \"關\"}, {\"word\": \"的\", \"start\": 747.305, \"end\": 747.465, \"score\": 0.881}, {\"word\": \"類\"}, {\"word\": \"型\", \"start\": 747.465, \"end\": 747.625, \"score\": 0.871}, {\"word\": \"扣\", \"start\": 747.625, \"end\": 747.805, \"score\": 0.886}, {\"word\": \"除\", \"start\": 747.805, \"end\": 747.925, \"score\": 0.83}, {\"word\": \"而\", \"start\": 747.925, \"end\": 748.146, \"score\": 0.86}, {\"word\": \"可\", \"start\": 748.146, \"end\": 748.406, \"score\": 0.916}, {\"word\": \"以\", \"start\": 748.406, \"end\": 748.566, \"score\": 0.872}, {\"word\": \"做\", \"start\": 748.566, 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760.053, \"score\": 0.885}, {\"word\": \"部\", \"start\": 760.053, \"end\": 760.073, \"score\": 0.002}, {\"word\": \"長\"}, {\"word\": \"縣\"}, {\"word\": \"長\"}]}, {\"start\": 765.81, \"end\": 793.207, \"text\": \"對委員有關的健康檢查的費用要再納在所得稅裡面的扣除額就如同剛剛委員所講的因為放進去如果它跟醫療後續醫療有關聯的話事實上就可以納到醫療費用裡面而且沒有上限的限制可以達到這樣的一個目的另外一個就是說我們為了要鼓勵更多的民眾來做健檢然後如果有問題可以提早發現問題提早治療事實上是好的\", \"words\": [{\"word\": \"對\"}, {\"word\": \"委\", \"start\": 765.81, \"end\": 766.09, \"score\": 0.885}, {\"word\": \"員\"}, {\"word\": \"有\", \"start\": 766.09, \"end\": 766.59, \"score\": 0.959}, {\"word\": \"關\"}, {\"word\": \"的\", \"start\": 766.59, \"end\": 767.07, \"score\": 0.963}, {\"word\": \"健\", \"start\": 767.07, \"end\": 767.25, \"score\": 0.899}, {\"word\": \"康\", \"start\": 767.25, \"end\": 767.731, \"score\": 0.922}, {\"word\": \"檢\"}, {\"word\": \"查\", \"start\": 767.731, \"end\": 768.191, \"score\": 0.956}, {\"word\": \"的\", \"start\": 768.191, \"end\": 768.331, \"score\": 0.856}, {\"word\": \"費\"}, {\"word\": \"用\", 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0.903}, {\"word\": \"續\"}, {\"word\": \"醫\"}, {\"word\": \"療\"}, {\"word\": \"有\", \"start\": 777.357, \"end\": 777.737, \"score\": 0.937}, {\"word\": \"關\"}, {\"word\": \"聯\"}, {\"word\": \"的\", \"start\": 777.737, \"end\": 778.117, \"score\": 0.896}, {\"word\": \"話\"}, {\"word\": \"事\", \"start\": 778.117, \"end\": 778.358, \"score\": 0.919}, {\"word\": \"實\"}, {\"word\": \"上\", \"start\": 778.358, \"end\": 778.618, \"score\": 0.923}, {\"word\": \"就\", \"start\": 778.618, \"end\": 778.898, \"score\": 0.932}, {\"word\": \"可\", \"start\": 778.898, \"end\": 779.058, \"score\": 0.873}, {\"word\": \"以\", \"start\": 779.058, \"end\": 779.418, \"score\": 0.892}, {\"word\": \"納\"}, {\"word\": \"到\", \"start\": 779.418, \"end\": 780.659, \"score\": 0.936}, {\"word\": \"醫\"}, {\"word\": \"療\"}, {\"word\": \"費\"}, {\"word\": \"用\", \"start\": 780.659, \"end\": 780.939, \"score\": 0.848}, {\"word\": \"裡\"}, {\"word\": \"面\", \"start\": 780.939, \"end\": 781.119, \"score\": 0.898}, {\"word\": \"而\", \"start\": 781.119, \"end\": 781.279, \"score\": 0.988}, {\"word\": \"且\", \"start\": 781.279, \"end\": 781.479, \"score\": 0.954}, {\"word\": \"沒\", \"start\": 781.479, \"end\": 781.64, \"score\": 0.862}, {\"word\": \"有\", \"start\": 781.64, \"end\": 781.84, \"score\": 0.798}, {\"word\": \"上\", \"start\": 781.84, \"end\": 782.08, \"score\": 0.965}, {\"word\": \"限\", \"start\": 782.08, \"end\": 782.26, \"score\": 0.889}, {\"word\": \"的\", \"start\": 782.26, \"end\": 782.4, \"score\": 0.953}, {\"word\": \"限\", \"start\": 782.4, \"end\": 782.68, \"score\": 0.93}, {\"word\": \"制\", \"start\": 782.68, \"end\": 783.04, \"score\": 0.898}, {\"word\": \"可\", \"start\": 783.04, \"end\": 783.181, \"score\": 0.849}, {\"word\": \"以\", \"start\": 783.181, \"end\": 783.341, \"score\": 0.874}, {\"word\": \"達\"}, {\"word\": \"到\", \"start\": 783.341, \"end\": 783.481, \"score\": 0.867}, {\"word\": \"這\"}, {\"word\": \"樣\"}, {\"word\": \"的\", \"start\": 783.481, \"end\": 783.721, \"score\": 0.887}, {\"word\": \"一\", \"start\": 783.721, \"end\": 783.921, \"score\": 0.833}, {\"word\": \"個\"}, {\"word\": \"目\", \"start\": 783.921, \"end\": 784.121, \"score\": 0.941}, {\"word\": \"的\", \"start\": 784.121, \"end\": 784.621, \"score\": 0.959}, {\"word\": \"另\", \"start\": 784.621, \"end\": 784.822, \"score\": 0.899}, {\"word\": \"外\", \"start\": 784.822, \"end\": 785.002, \"score\": 0.895}, {\"word\": \"一\", \"start\": 785.002, \"end\": 785.062, \"score\": 0.694}, {\"word\": \"個\"}, {\"word\": \"就\", \"start\": 785.062, \"end\": 785.262, \"score\": 0.764}, {\"word\": \"是\", \"start\": 785.262, \"end\": 785.402, \"score\": 0.849}, {\"word\": \"說\"}, {\"word\": \"我\", \"start\": 785.402, \"end\": 785.782, \"score\": 0.936}, {\"word\": \"們\"}, {\"word\": \"為\"}, {\"word\": \"了\", \"start\": 785.782, \"end\": 785.802, \"score\": 0.006}, {\"word\": \"要\", \"start\": 785.802, \"end\": 786.142, \"score\": 0.931}, {\"word\": \"鼓\", \"start\": 786.142, \"end\": 786.563, \"score\": 0.95}, {\"word\": \"勵\"}, {\"word\": \"更\", \"start\": 786.563, \"end\": 786.703, \"score\": 0.856}, {\"word\": \"多\", \"start\": 786.703, \"end\": 786.823, \"score\": 0.833}, {\"word\": \"的\", \"start\": 786.823, \"end\": 786.923, \"score\": 0.846}, {\"word\": \"民\", \"start\": 786.923, \"end\": 787.783, \"score\": 0.912}, {\"word\": \"眾\"}, {\"word\": \"來\"}, {\"word\": \"做\", \"start\": 787.783, \"end\": 788.584, \"score\": 0.971}, {\"word\": \"健\", \"start\": 788.584, \"end\": 789.284, \"score\": 0.946}, {\"word\": \"檢\"}, {\"word\": \"然\", \"start\": 789.284, \"end\": 789.424, \"score\": 0.875}, {\"word\": \"後\", \"start\": 789.424, \"end\": 789.905, \"score\": 0.954}, {\"word\": \"如\", \"start\": 789.905, \"end\": 789.925, \"score\": 0.0}, {\"word\": \"果\", \"start\": 789.925, \"end\": 790.125, \"score\": 0.891}, {\"word\": \"有\", \"start\": 790.125, \"end\": 790.245, \"score\": 0.826}, {\"word\": \"問\"}, {\"word\": \"題\"}, {\"word\": \"可\", \"start\": 790.245, \"end\": 790.285, \"score\": 0.498}, {\"word\": \"以\", \"start\": 790.285, \"end\": 790.505, \"score\": 0.907}, {\"word\": \"提\", \"start\": 790.505, \"end\": 790.665, \"score\": 0.878}, {\"word\": \"早\", \"start\": 790.665, \"end\": 791.666, \"score\": 0.941}, {\"word\": \"發\"}, {\"word\": \"現\"}, {\"word\": \"問\"}, {\"word\": \"題\"}, {\"word\": \"提\", \"start\": 791.666, \"end\": 791.786, \"score\": 0.835}, {\"word\": \"早\", \"start\": 791.786, \"end\": 792.066, \"score\": 0.905}, {\"word\": \"治\", \"start\": 792.066, \"end\": 792.406, \"score\": 0.881}, {\"word\": \"療\"}, {\"word\": \"事\", \"start\": 792.406, \"end\": 792.546, \"score\": 0.865}, {\"word\": \"實\"}, {\"word\": \"上\", \"start\": 792.546, \"end\": 792.787, \"score\": 0.929}, {\"word\": \"是\", \"start\": 792.787, \"end\": 792.907, \"score\": 0.874}, {\"word\": \"好\", \"start\": 792.907, \"end\": 793.187, \"score\": 0.985}, {\"word\": \"的\", \"start\": 793.187, \"end\": 793.207, \"score\": 0.266}]}, {\"start\": 793.567, \"end\": 811.995, \"text\": \"可是我們知道有44%的目前來說有302萬戶他事實上目前來說他就不需要再繳所得稅所以我們給這方面的扣除對他來說實際的利益是不大的所以我們會認為以其他的方式來鼓勵他來做這方面的見解其實是更有效益的\", \"words\": [{\"word\": \"可\", \"start\": 793.567, \"end\": 793.687, \"score\": 0.915}, {\"word\": \"是\", \"start\": 793.687, \"end\": 793.887, \"score\": 0.909}, {\"word\": \"我\", \"start\": 793.887, \"end\": 794.147, \"score\": 0.856}, {\"word\": \"們\"}, {\"word\": \"知\", \"start\": 794.147, \"end\": 794.287, \"score\": 0.99}, {\"word\": \"道\", \"start\": 794.287, \"end\": 794.467, \"score\": 0.99}, {\"word\": \"有\", \"start\": 794.467, \"end\": 795.928, \"score\": 0.924}, {\"word\": \"4\"}, {\"word\": \"4\"}, {\"word\": \"%\"}, {\"word\": \"的\", \"start\": 795.928, \"end\": 796.188, \"score\": 0.995}, {\"word\": \"目\", \"start\": 796.188, \"end\": 796.348, \"score\": 0.998}, {\"word\": \"前\", \"start\": 796.348, \"end\": 796.928, \"score\": 0.903}, {\"word\": \"來\"}, {\"word\": \"說\"}, {\"word\": \"有\", \"start\": 796.928, \"end\": 798.209, \"score\": 0.923}, {\"word\": 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\"謝\"}, {\"word\": \"謝\"}], \"language\": \"zh\"}","srt":"1\n00:00:00,363 --> 00:00:26,399\n請準備謝謝主席有請行政院卓院長衛福部石部長麻煩請卓院長衛福部長備詢\n\n2\n00:00:41,722 --> 00:01:05,546\n今天主要想針對四個題目來請教院長跟部長第一個就是健檢資料整合的運用第二部分就是所得稅健檢扣除額的部分第三設立兒童專責機構第四大部分就是提高補充保費的上限謝謝院長跟部長\n\n3\n00:01:06,306 --> 00:01:28,928\n針對於我所在醫療過程當中我們行政院還有各方面提供給我們很多的幫助我們知道健檢資料的整合運用是非常非常重要的一個基礎建設其實賴總統在今年的2月27號就針對在健康\n\n4\n00:01:30,009 --> 00:01:50,441\n台灣推動委員會第三次的會議上面有裁示要來推動國人健檢資料的彙整、上傳還有運用我相信大家都很清楚院長、部長都了解強化健檢資料的整個運用是非常重要的基本上就是我們如果這樣把這個事情做好的話\n\n5\n00:01:51,562 --> 00:02:09,182\n第一個就是落實總統重要的財事跟決議第二個部分就是協助國人來做自我健康的管理有利於各種疾病的早期的發現跟早期的治療當然透過這些大型資料的整合以後就有可能來開發大數據跟AI\n\n6\n00:02:12,005 --> 00:02:36,684\n相關領域的運用所以這個重要性是不言可喻可是要把這個政策做好有兩個非常重要就是要同意這些資料能夠上傳整合在一起第二部分就是使用的資料量是一個關鍵如果這個資料量夠大的話那我們所整合出來的資料的運用才能夠具體的讓未來國人的健康可以更有幫助\n\n7\n00:02:37,565 --> 00:02:41,316\n其實這部分在上個會期的總諮詢也有跟院長討論過\n\n8\n00:02:43,619 --> 00:03:10,553\n行政院後來的書面答覆裡面也告訴我們說這部分會責成衛福部這邊來提供各種縮帖各類的健檢的主管機關來應用包括相關裡面重要的如何能夠讓國人的同意意願可以更高各類的同意書能夠整合在一起我們知道此時其事有它的困難度\n\n9\n00:03:12,234 --> 00:03:33,050\n讓這些大型的健診資料能夠匯整起來是有它的困難度也有很大的挑戰所以這邊先請教院長三個部分一個就是目前有沒有相關的進度可以讓國人做參考第二個部分就是這些跨部化的溝通跟整合不管是執行單位的這些相關的需求場合\n\n10\n00:03:33,710 --> 00:03:56,797\n還有這個資料的格式同意書的內容是不是都透過在不同的這個相關的要求之下能夠有很好的成果出現那最後就是有關於這個國人健檢資料上傳應用尤其是同意書這部分是不是已經有在執行當中那就麻煩好謝謝委員賴總統一直希望政府\n\n11\n00:03:57,657 --> 00:04:24,931\n不僅在健康台灣上促進國人健康能夠多所進展也希望我們秉持開放政府資料治理的這個工作上也能有所突破重點很重要一點就是我們整個健康的資訊這些資訊如何被善加的利用所以現在我們除了希望說民眾就醫健康一些檢查的一個數據他能夠把它數位化完全的數位化再加上他生理或是其他的這個就診的健康數據能夠\n\n12\n00:04:26,874 --> 00:04:32,687\n經過數位化之後合併成為一個加一的健康的大平台那當中當然需要\n\n13\n00:04:33,933 --> 00:05:00,050\n同意需要這個授權同意當事人必須授權同意他才能夠被充分的保障個人的隱私同時希望能夠將數位工具的開發商以及這個醫療的服務單位能夠整合在一起那這個數據如果這樣經過數位化而且很充分之後我想這個是國家重要的資產國家重要的資產以後我們很多的研究分析進展都在從裡面可以得到很多重要的寶貴的資訊\n\n14\n00:05:01,511 --> 00:05:29,177\n當然他其中有幾個執行上的細節剛剛委員所提出的那三項的準備工作現在到底進行的程度如何我請部長來做說明跟委員報告這個如同委員所提到這個資料的整合是最重要才能夠有後面的運用所以我們的整合分了兩段一段是在衛福部所主管的各個單位裡面的資料整合包含除了健保的資料之外國健署的健檢資料\n\n15\n00:05:29,946 --> 00:05:52,333\n那麼我們CDC機關署的疫苗接種資料這個我們都整合好了通通整合在每一個人的民眾的這個健康存摺裡面都有了那另外就是在衛福部以外的政府單位那最多的就是勞工健檢資料所以剛剛委員一直在垂詢的就是那勞工健檢資料可不可以整合進來那我們已經透過這個國健署\n\n16\n00:05:53,073 --> 00:06:16,893\n做了一個操作手冊也跟很多勞動部的相關單位進行很多協商開始去散播這個做法所以到目前為止已經可以進行了已經有15萬筆的資料就是勞工健檢的資料也整合進來所以整合進來之後民眾可以從健康存摺MyHealthBank看到自己的所有資料\n\n17\n00:06:17,301 --> 00:06:35,450\n那另外會匯到這個嘉義大平台剛剛院長所提到的這個嘉義大平台就可以讓就醫的時候呢醫師很清楚的掌握所有的包含你的醫療的利用資料跟健康檢查的資料那再來一步就是施部門的就是你自己自費\n\n18\n00:06:36,471 --> 00:06:49,210\n去做的這些健檢資料怎麼樣再上傳進來我們現在是在我們健康存摺可以開通你自己可以上傳另外我們也鼓勵醫療機構協助民眾\n\n19\n00:06:51,873 --> 00:07:18,166\n把這個資料能夠上傳這是我們下一步希望做的那這樣的話所有的資料呢就可以完全的整合成為一個叫做PersonalizedHealthRecord個人化的健康紀錄統統整合在一起的那未來的不論是個人就醫的時候資訊更完整同時大的這個資料庫還可以提供更多的研究或者是研發的需要\n\n20\n00:07:18,946 --> 00:07:40,706\n是謝謝所以謝謝剛剛院長跟部長的說明至少已經有15萬筆的勞工資料已經進入到這個大平台裡面可以再持續的再增加所以這一部分其實我們也希望有三點的建議包括說在加強的部分行政院能不能夠有在跟跨部會的整合溝通看起來是有在進行\n\n21\n00:07:42,848 --> 00:08:04,070\n這個是不是需要請院長指定政委來負責設定KPI這部分再請院長再來採視是除了衛務部勞動部我想速發部在技術上也要全力的來協助那目前我們開過幾次會我們是請陳時中政委來負責整個資訊公開以及整個的過程\n\n22\n00:08:05,191 --> 00:08:27,703\n好謝謝因為剛剛部長有提到其實在醫院端跟單位端的宣導跟推動簽署同意書都還希望能夠有更好的成果出來醫院端所管轄的醫院就有包括衛福部、教育部、國防部跟退福會我相信這部分的要求相對是不是太困難可是如果針對單位端\n\n23\n00:08:28,303 --> 00:08:50,954\n有關於主管機關在勞動部剛剛事實上我們辦公室也有跟洪部長做了幾次的討論謝謝洪部長的非常支持交易部國防部跟人事總署相關的這些同仁們是不是能夠也鼓勵把這些資料都能夠上傳進來這個我們很期待未來的成果可以更豐收剛剛也提到建立鼓勵\n\n24\n00:08:52,034 --> 00:09:12,423\n相關的機制來促進民間我們知道民間有很多大型的健診機構如果透過大型的健診機構他們可以一整批的資料能夠匯進來的話相信對於未來應用在國民健康國人健康的照顧上面有更大的幫助所以這三部分就希望能夠有\n\n25\n00:09:13,683 --> 00:09:33,388\n來持續的執行我相信這些大的資料庫可以提供未來在醫療跟公共衛生預防使用上扮演一個很重要的角色所以麻煩政院跟這個部裡面還有相關的部門都能夠持續的來把這個事情做好這是有關於第一個想要追尋\n\n26\n00:09:35,393 --> 00:09:45,661\n院長的地方是謝謝我們會一直加快速度來把它整合出來那第二個主題就是有關於所得稅見證扣除的部分那這部分可以麻煩這個財政部莊部長一起來討論\n\n27\n00:10:05,650 --> 00:10:25,812\n其實針對所得稅增累健診扣除額的修法我們也提了一個版本特別是希望能夠提供國人每一年有1萬元以內的健診扣除額上個會期我們也提出來討論過後來財政部也回覆了我們的書面資料有三點的考量\n\n28\n00:10:26,813 --> 00:10:52,072\n那個時候認為不適合急著來執行包括說健診費用如果跟治療會具有因果關係的話事實上它可以列舉扣除當作醫療費的一部分那第二個部分就是免稅的這個民眾其實總統也告訴我們有53%的民眾其實是免稅的所以這部分如果增加扣除對他們的實質幫助其實是很有限的\n\n29\n00:10:52,692 --> 00:11:18,970\n第三個是中部長那個時候是認為說如果要鼓勵民眾來做健康檢查的話可以採用非租稅的措施意思就是說可以利用公費的健檢來提高大家民眾對於自我健康的照顧的需求可是我們也知道其實依照統計癌症發生或者其他相關的疾病都有年輕化的趨勢這個是政府要推動公費篩檢\n\n30\n00:11:20,191 --> 00:11:49,171\n為什麼要擴大謝謝檢證人這邊真的撥了多了40億的經費讓我們做篩檢有更好的成績可是我們也了解其實還是有一些困難度比如說目前做的五大篩檢裡面包括大腸癌乳癌子宮頸癌口腔癌隨著這一次的擴充都有明顯的上升可是肺癌其實目前是國人最重要的癌病在做篩檢的時候它有兩大要求\n\n31\n00:11:49,671 --> 00:12:16,452\n一個就是他有家族史另外就是他需要抽菸的習慣要配合戒菸的措施可是事實上這還是只是占了少部分做這項篩檢他的費用他每一次可能單價就要6000元所以我們也了解肺癌並不是只有相關風險的族群才會罹患肺癌所以尤其是肺腺癌這部分所以如果我們要鼓勵更多的國人\n\n32\n00:12:17,199 --> 00:12:40,073\n在實證醫學的基礎之下有更多的民眾希望也有需要的話那是不是能夠從這個角度來把這個相關的類型扣除而可以做適度的這些改變所以有這個三個重要的原因之下我們在利用今天的機會也麻煩院長或者是部長這邊也能夠來支持這樣的訴求部長縣長\n\n33\n00:12:45,810 --> 00:13:13,207\n對委員有關的健康檢查的費用要再納在所得稅裡面的扣除額就如同剛剛委員所講的因為放進去如果它跟醫療後續醫療有關聯的話事實上就可以納到醫療費用裡面而且沒有上限的限制可以達到這樣的一個目的另外一個就是說我們為了要鼓勵更多的民眾來做健檢然後如果有問題可以提早發現問題提早治療事實上是好的\n\n34\n00:13:13,567 --> 00:13:31,995\n可是我們知道有44%的目前來說有302萬戶他事實上目前來說他就不需要再繳所得稅所以我們給這方面的扣除對他來說實際的利益是不大的所以我們會認為以其他的方式來鼓勵他來做這方面的見解其實是更有效益的\n\n35\n00:13:32,435 --> 00:13:53,826\n是不過部長也提醒一下就是今年8月在財政委員會審查的時候處理長照扣除提高的同時其實這個是有比較多的黨派的委員都有共識希望能夠針對這個議題要麻煩財政部這邊再做考量所以也希望能夠透過大家共同的努力一起來針對這個議題也請院長能不能夠也\n\n36\n00:13:56,927 --> 00:14:07,780\n給我們多一些的知識好謝謝這個我們來設立一個機制如果鼓勵國人提早接受健康檢查我們往這個方向來講能夠有實質的幫助我請部裡面人能夠來往這個方向來做規劃來做設想謝謝好謝謝莊部長\n\n37\n00:14:13,386 --> 00:14:37,123\n再過來是設立兒童專責機構因為時間很有限我們也知道設立兒童專責機構非常非常的重要尤其在少子化的階段裡面事實上這也是一個總統重要的一個政見之一所以當初今年衛福部也說一定要成立兒童專責機構可是我們看到目前相關的計畫裡面\n\n38\n00:14:39,384 --> 00:14:57,077\n對少子化計畫2.0裡面事實上並沒有提到這個機構的設立不知道目前有沒有相關的進度可以讓大家更能夠跟我們報告我們是有我們認為兒少必須他的權益健康都要受到更多的保障而且兒少離不開家庭我們在做這方面的一個構想\n\n39\n00:14:58,338 --> 00:15:18,735\n部長能夠說明一下跟委員報告我們已經積極的在行政院的指導下在整合從兒童的早期的發展福利保護到健康政策的擬定正在做一個整合內部上我們大概已經有一個\n\n40\n00:15:19,740 --> 00:15:42,470\n復案那麼現在正在做最後的重整之後我們會呈報行政院盡快的來成立這個兒童的專責機構好大家都非常期待這個具體的施政的規劃好那最後一項就是有關於這個提高補充保費的部分時間的關係我相信部長會很努力那我們也期待有相關的這個\n\n41\n00:15:57,429 --> 00:15:57,449\n好謝謝\n\n","tsv":"start\tend\ttext\n363\t26399\t請準備謝謝主席有請行政院卓院長衛福部 石部長麻煩請卓院長 衛福部長備詢\n41722\t65546\t今天主要想針對四個題目來請教院長跟部長第一個就是健檢資料整合的運用第二部分就是所得稅健檢扣除額的部分第三設立兒童專責機構第四大部分就是提高補充保費的上限謝謝院長跟部長\n66306\t88928\t針對於我所在醫療過程當中我們行政院還有各方面提供給我們很多的幫助我們知道健檢資料的整合運用是非常非常重要的一個基礎建設其實賴總統在今年的2月27號就針對在健康\n90009\t110441\t台灣推動委員會第三次的會議上面有裁示要來推動國人健檢資料的彙整、上傳還有運用我相信大家都很清楚院長、部長都了解強化健檢資料的整個運用是非常重要的基本上就是我們如果這樣把這個事情做好的話\n111562\t129182\t第一個就是落實總統重要的財事跟決議第二個部分就是協助國人來做自我健康的管理有利於各種疾病的早期的發現跟早期的治療當然透過這些大型資料的整合以後就有可能來開發大數據跟AI\n132005\t156684\t相關領域的運用所以這個重要性是不言可喻可是要把這個政策做好有兩個非常重要就是要同意這些資料能夠上傳整合在一起第二部分就是使用的資料量是一個關鍵如果這個資料量夠大的話那我們所整合出來的資料的運用才能夠具體的讓未來國人的健康可以更有幫助\n157565\t161316\t其實這部分在上個會期的總諮詢也有跟院長討論過\n163619\t190553\t行政院後來的書面答覆裡面也告訴我們說這部分會責成衛福部這邊來提供各種縮帖各類的健檢的主管機關來應用包括相關裡面重要的如何能夠讓國人的同意意願可以更高各類的同意書能夠整合在一起我們知道此時其事有它的困難度\n192234\t213050\t讓這些大型的健診資料能夠匯整起來是有它的困難度也有很大的挑戰所以這邊先請教院長三個部分一個就是目前有沒有相關的進度可以讓國人做參考第二個部分就是這些跨部化的溝通跟整合不管是執行單位的這些相關的需求 場合\n213710\t236797\t還有這個資料的格式同意書的內容是不是都透過在不同的這個相關的要求之下能夠有很好的成果出現那最後就是有關於這個國人健檢資料上傳應用尤其是同意書這部分是不是已經有在執行當中那就麻煩好 謝謝委員賴總統一直希望政府\n237657\t264931\t不僅在健康台灣上促進國人健康能夠多所進展也希望我們秉持開放政府資料治理的這個工作上也能有所突破重點很重要一點就是我們整個健康的資訊這些資訊如何被善加的利用所以現在我們除了希望說民眾就醫健康一些檢查的一個數據他能夠把它數位化完全的數位化再加上他生理或是其他的這個就診的健康數據能夠\n266874\t272687\t經過數位化之後合併成為一個加一的健康的大平台那當中當然需要\n273933\t300050\t同意 需要這個授權同意當事人必須授權同意他才能夠被充分的保障個人的隱私同時希望能夠將數位工具的開發商以及這個醫療的服務單位能夠整合在一起那這個數據如果這樣經過數位化而且很充分之後我想這個是國家重要的資產國家重要的資產以後我們很多的研究分析進展都在從裡面可以得到很多重要的寶貴的資訊\n301511\t329177\t當然他其中有幾個執行上的細節剛剛委員所提出的那三項的準備工作現在到底進行的程度如何我請部長來做說明跟委員報告這個如同委員所提到這個資料的整合是最重要才能夠有後面的運用所以我們的整合分了兩段一段是在衛福部所主管的各個單位裡面的資料整合包含除了健保的資料之外國健署的健檢資料\n329946\t352333\t那麼我們CDC機關署的疫苗接種資料這個我們都整合好了通通整合在每一個人的民眾的這個健康存摺裡面都有了那另外就是在衛福部以外的政府單位那最多的就是勞工健檢資料所以剛剛委員一直在垂詢的就是那勞工健檢資料可不可以整合進來那我們已經透過這個國健署\n353073\t376893\t做了一個操作手冊也跟很多勞動部的相關單位進行很多協商開始去散播這個做法所以到目前為止已經可以進行了已經有15萬筆的資料就是勞工健檢的資料也整合進來所以整合進來之後民眾可以從健康存摺My Health Bank看到自己的所有資料\n377301\t395450\t那另外會匯到這個嘉義大平台剛剛院長所提到的這個嘉義大平台就可以讓就醫的時候呢醫師很清楚的掌握所有的包含你的醫療的利用資料跟健康檢查的資料那再來一步就是施部門的就是你自己自費\n396471\t409210\t去做的這些健檢資料怎麼樣再上傳進來我們現在是在我們健康存摺可以開通你自己可以上傳另外我們也鼓勵醫療機構協助民眾\n411873\t438166\t把這個資料能夠上傳這是我們下一步希望做的那這樣的話所有的資料呢就可以完全的整合成為一個叫做Personalized Health Record個人化的健康紀錄統統整合在一起的那未來的不論是個人就醫的時候資訊更完整同時大的這個資料庫還可以提供更多的研究或者是研發的需要\n438946\t460706\t是 謝謝 所以謝謝剛剛院長跟部長的說明至少已經有15萬筆的勞工資料已經進入到這個大平台裡面可以再持續的再增加所以這一部分其實我們也希望有三點的建議包括說在加強的部分行政院能不能夠有在跟跨部會的整合溝通看起來是有在進行\n462848\t484070\t這個是不是需要請院長指定政委來負責設定KPI這部分再請院長再來採視是 除了衛務部 勞動部我想速發部在技術上也要全力的來協助那目前我們開過幾次會我們是請陳時中政委來負責整個資訊公開以及整個的過程\n485191\t507703\t好 謝謝因為剛剛部長有提到其實在醫院端跟單位端的宣導跟推動簽署同意書都還希望能夠有更好的成果出來醫院端所管轄的醫院就有包括衛福部、教育部、國防部跟退福會我相信這部分的要求相對是不是太困難可是如果針對單位端\n508303\t530954\t有關於主管機關在勞動部剛剛事實上我們辦公室也有跟洪部長做了幾次的討論謝謝洪部長的非常支持交易部 國防部跟人事總署相關的這些同仁們是不是能夠也鼓勵把這些資料都能夠上傳進來這個我們很期待未來的成果可以更豐收剛剛也提到建立鼓勵\n532034\t552423\t相關的機制來促進民間我們知道民間有很多大型的健診機構如果透過大型的健診機構他們可以一整批的資料能夠匯進來的話相信對於未來應用在國民健康國人健康的照顧上面有更大的幫助所以這三部分就希望能夠有\n553683\t573388\t來持續的執行我相信這些大的資料庫可以提供未來在醫療跟公共衛生預防使用上扮演一個很重要的角色所以麻煩政院跟這個部裡面還有相關的部門都能夠持續的來把這個事情做好這是有關於第一個想要追尋\n575393\t585661\t院長的地方是謝謝我們會一直加快速度來把它整合出來那第二個主題就是有關於所得稅見證扣除的部分那這部分可以麻煩這個財政部莊部長一起來討論\n605650\t625812\t其實針對所得稅增累健診扣除額的修法我們也提了一個版本特別是希望能夠提供國人每一年有1萬元以內的健診扣除額上個會期我們也提出來討論過後來財政部也回覆了我們的書面資料有三點的考量\n626813\t652072\t那個時候認為不適合急著來執行包括說健診費用如果跟治療會具有因果關係的話事實上它可以列舉扣除當作醫療費的一部分那第二個部分就是免稅的這個民眾其實總統也告訴我們有53%的民眾其實是免稅的所以這部分如果增加扣除對他們的實質幫助其實是很有限的\n652692\t678970\t第三個是中部長那個時候是認為說如果要鼓勵民眾來做健康檢查的話可以採用非租稅的措施意思就是說可以利用公費的健檢來提高大家民眾對於自我健康的照顧的需求可是我們也知道其實依照統計癌症發生或者其他相關的疾病都有年輕化的趨勢這個是政府要推動公費篩檢\n680191\t709171\t為什麼要擴大謝謝檢證人這邊真的撥了多了40億的經費讓我們做篩檢有更好的成績可是我們也了解其實還是有一些困難度比如說目前做的五大篩檢裡面包括大腸癌 乳癌 子宮頸癌 口腔癌隨著這一次的擴充都有明顯的上升可是肺癌其實目前是國人最重要的癌病在做篩檢的時候它有兩大要求\n709671\t736452\t一個就是他有家族史另外就是他需要抽菸的習慣要配合戒菸的措施可是事實上這還是只是占了少部分做這項篩檢他的費用他每一次可能單價就要6000元所以我們也了解肺癌並不是只有相關風險的族群才會罹患肺癌所以尤其是肺腺癌這部分所以如果我們要鼓勵更多的國人\n737199\t760073\t在實證醫學的基礎之下有更多的民眾希望也有需要的話那是不是能夠從這個角度來把這個相關的類型扣除而可以做適度的這些改變所以有這個三個重要的原因之下我們在利用今天的機會也麻煩院長或者是部長這邊也能夠來支持這樣的訴求部長 縣長\n765810\t793207\t對委員有關的健康檢查的費用要再納在所得稅裡面的扣除額就如同剛剛委員所講的因為放進去如果它跟醫療後續醫療有關聯的話事實上就可以納到醫療費用裡面而且沒有上限的限制可以達到這樣的一個目的另外一個就是說我們為了要鼓勵更多的民眾來做健檢然後如果有問題可以提早發現問題提早治療事實上是好的\n793567\t811995\t可是我們知道有44%的目前來說有302萬戶他事實上目前來說他就不需要再繳所得稅所以我們給這方面的扣除對他來說實際的利益是不大的所以我們會認為以其他的方式來鼓勵他來做這方面的見解其實是更有效益的\n812435\t833826\t是不過部長也提醒一下就是今年8月在財政委員會審查的時候處理長照扣除提高的同時其實這個是有比較多的黨派的委員都有共識希望能夠針對這個議題要麻煩財政部這邊再做考量所以也希望能夠透過大家共同的努力一起來針對這個議題也請院長能不能夠也\n836927\t847780\t給我們多一些的知識好 謝謝這個我們來設立一個機制如果鼓勵國人提早接受健康檢查我們往這個方向來講能夠有實質的幫助我請部裡面人能夠來往這個方向來做規劃 來做設想 謝謝好 謝謝莊部長\n853386\t877123\t再過來是設立兒童專責機構因為時間很有限我們也知道設立兒童專責機構非常非常的重要尤其在少子化的階段裡面事實上這也是一個總統重要的一個政見之一所以當初今年衛福部也說一定要成立兒童專責機構可是我們看到目前相關的計畫裡面\n879384\t897077\t對少子化計畫2.0裡面事實上並沒有提到這個機構的設立不知道目前有沒有相關的進度可以讓大家更能夠跟我們報告我們是有我們認為兒少必須他的權益健康都要受到更多的保障而且兒少離不開家庭我們在做這方面的一個構想\n898338\t918735\t部長能夠說明一下跟委員報告我們已經積極的在行政院的指導下在整合從兒童的早期的發展福利 保護到健康政策的擬定正在做一個整合內部上我們大概已經有一個\n919740\t942470\t復案那麼現在正在做最後的重整之後我們會呈報行政院盡快的來成立這個兒童的專責機構好大家都非常期待這個具體的施政的規劃好那最後一項就是有關於這個提高補充保費的部分時間的關係我相信部長會很努力那我們也期待有相關的這個\n957429\t957449\t好 謝謝\n","txt":"請準備謝謝主席有請行政院卓院長衛福部 石部長麻煩請卓院長 衛福部長備詢\n今天主要想針對四個題目來請教院長跟部長第一個就是健檢資料整合的運用第二部分就是所得稅健檢扣除額的部分第三設立兒童專責機構第四大部分就是提高補充保費的上限謝謝院長跟部長\n針對於我所在醫療過程當中我們行政院還有各方面提供給我們很多的幫助我們知道健檢資料的整合運用是非常非常重要的一個基礎建設其實賴總統在今年的2月27號就針對在健康\n台灣推動委員會第三次的會議上面有裁示要來推動國人健檢資料的彙整、上傳還有運用我相信大家都很清楚院長、部長都了解強化健檢資料的整個運用是非常重要的基本上就是我們如果這樣把這個事情做好的話\n第一個就是落實總統重要的財事跟決議第二個部分就是協助國人來做自我健康的管理有利於各種疾病的早期的發現跟早期的治療當然透過這些大型資料的整合以後就有可能來開發大數據跟AI\n相關領域的運用所以這個重要性是不言可喻可是要把這個政策做好有兩個非常重要就是要同意這些資料能夠上傳整合在一起第二部分就是使用的資料量是一個關鍵如果這個資料量夠大的話那我們所整合出來的資料的運用才能夠具體的讓未來國人的健康可以更有幫助\n其實這部分在上個會期的總諮詢也有跟院長討論過\n行政院後來的書面答覆裡面也告訴我們說這部分會責成衛福部這邊來提供各種縮帖各類的健檢的主管機關來應用包括相關裡面重要的如何能夠讓國人的同意意願可以更高各類的同意書能夠整合在一起我們知道此時其事有它的困難度\n讓這些大型的健診資料能夠匯整起來是有它的困難度也有很大的挑戰所以這邊先請教院長三個部分一個就是目前有沒有相關的進度可以讓國人做參考第二個部分就是這些跨部化的溝通跟整合不管是執行單位的這些相關的需求 場合\n還有這個資料的格式同意書的內容是不是都透過在不同的這個相關的要求之下能夠有很好的成果出現那最後就是有關於這個國人健檢資料上傳應用尤其是同意書這部分是不是已經有在執行當中那就麻煩好 謝謝委員賴總統一直希望政府\n不僅在健康台灣上促進國人健康能夠多所進展也希望我們秉持開放政府資料治理的這個工作上也能有所突破重點很重要一點就是我們整個健康的資訊這些資訊如何被善加的利用所以現在我們除了希望說民眾就醫健康一些檢查的一個數據他能夠把它數位化完全的數位化再加上他生理或是其他的這個就診的健康數據能夠\n經過數位化之後合併成為一個加一的健康的大平台那當中當然需要\n同意 需要這個授權同意當事人必須授權同意他才能夠被充分的保障個人的隱私同時希望能夠將數位工具的開發商以及這個醫療的服務單位能夠整合在一起那這個數據如果這樣經過數位化而且很充分之後我想這個是國家重要的資產國家重要的資產以後我們很多的研究分析進展都在從裡面可以得到很多重要的寶貴的資訊\n當然他其中有幾個執行上的細節剛剛委員所提出的那三項的準備工作現在到底進行的程度如何我請部長來做說明跟委員報告這個如同委員所提到這個資料的整合是最重要才能夠有後面的運用所以我們的整合分了兩段一段是在衛福部所主管的各個單位裡面的資料整合包含除了健保的資料之外國健署的健檢資料\n那麼我們CDC機關署的疫苗接種資料這個我們都整合好了通通整合在每一個人的民眾的這個健康存摺裡面都有了那另外就是在衛福部以外的政府單位那最多的就是勞工健檢資料所以剛剛委員一直在垂詢的就是那勞工健檢資料可不可以整合進來那我們已經透過這個國健署\n做了一個操作手冊也跟很多勞動部的相關單位進行很多協商開始去散播這個做法所以到目前為止已經可以進行了已經有15萬筆的資料就是勞工健檢的資料也整合進來所以整合進來之後民眾可以從健康存摺My Health Bank看到自己的所有資料\n那另外會匯到這個嘉義大平台剛剛院長所提到的這個嘉義大平台就可以讓就醫的時候呢醫師很清楚的掌握所有的包含你的醫療的利用資料跟健康檢查的資料那再來一步就是施部門的就是你自己自費\n去做的這些健檢資料怎麼樣再上傳進來我們現在是在我們健康存摺可以開通你自己可以上傳另外我們也鼓勵醫療機構協助民眾\n把這個資料能夠上傳這是我們下一步希望做的那這樣的話所有的資料呢就可以完全的整合成為一個叫做Personalized Health Record個人化的健康紀錄統統整合在一起的那未來的不論是個人就醫的時候資訊更完整同時大的這個資料庫還可以提供更多的研究或者是研發的需要\n是 謝謝 所以謝謝剛剛院長跟部長的說明至少已經有15萬筆的勞工資料已經進入到這個大平台裡面可以再持續的再增加所以這一部分其實我們也希望有三點的建議包括說在加強的部分行政院能不能夠有在跟跨部會的整合溝通看起來是有在進行\n這個是不是需要請院長指定政委來負責設定KPI這部分再請院長再來採視是 除了衛務部 勞動部我想速發部在技術上也要全力的來協助那目前我們開過幾次會我們是請陳時中政委來負責整個資訊公開以及整個的過程\n好 謝謝因為剛剛部長有提到其實在醫院端跟單位端的宣導跟推動簽署同意書都還希望能夠有更好的成果出來醫院端所管轄的醫院就有包括衛福部、教育部、國防部跟退福會我相信這部分的要求相對是不是太困難可是如果針對單位端\n有關於主管機關在勞動部剛剛事實上我們辦公室也有跟洪部長做了幾次的討論謝謝洪部長的非常支持交易部 國防部跟人事總署相關的這些同仁們是不是能夠也鼓勵把這些資料都能夠上傳進來這個我們很期待未來的成果可以更豐收剛剛也提到建立鼓勵\n相關的機制來促進民間我們知道民間有很多大型的健診機構如果透過大型的健診機構他們可以一整批的資料能夠匯進來的話相信對於未來應用在國民健康國人健康的照顧上面有更大的幫助所以這三部分就希望能夠有\n來持續的執行我相信這些大的資料庫可以提供未來在醫療跟公共衛生預防使用上扮演一個很重要的角色所以麻煩政院跟這個部裡面還有相關的部門都能夠持續的來把這個事情做好這是有關於第一個想要追尋\n院長的地方是謝謝我們會一直加快速度來把它整合出來那第二個主題就是有關於所得稅見證扣除的部分那這部分可以麻煩這個財政部莊部長一起來討論\n其實針對所得稅增累健診扣除額的修法我們也提了一個版本特別是希望能夠提供國人每一年有1萬元以內的健診扣除額上個會期我們也提出來討論過後來財政部也回覆了我們的書面資料有三點的考量\n那個時候認為不適合急著來執行包括說健診費用如果跟治療會具有因果關係的話事實上它可以列舉扣除當作醫療費的一部分那第二個部分就是免稅的這個民眾其實總統也告訴我們有53%的民眾其實是免稅的所以這部分如果增加扣除對他們的實質幫助其實是很有限的\n第三個是中部長那個時候是認為說如果要鼓勵民眾來做健康檢查的話可以採用非租稅的措施意思就是說可以利用公費的健檢來提高大家民眾對於自我健康的照顧的需求可是我們也知道其實依照統計癌症發生或者其他相關的疾病都有年輕化的趨勢這個是政府要推動公費篩檢\n為什麼要擴大謝謝檢證人這邊真的撥了多了40億的經費讓我們做篩檢有更好的成績可是我們也了解其實還是有一些困難度比如說目前做的五大篩檢裡面包括大腸癌 乳癌 子宮頸癌 口腔癌隨著這一次的擴充都有明顯的上升可是肺癌其實目前是國人最重要的癌病在做篩檢的時候它有兩大要求\n一個就是他有家族史另外就是他需要抽菸的習慣要配合戒菸的措施可是事實上這還是只是占了少部分做這項篩檢他的費用他每一次可能單價就要6000元所以我們也了解肺癌並不是只有相關風險的族群才會罹患肺癌所以尤其是肺腺癌這部分所以如果我們要鼓勵更多的國人\n在實證醫學的基礎之下有更多的民眾希望也有需要的話那是不是能夠從這個角度來把這個相關的類型扣除而可以做適度的這些改變所以有這個三個重要的原因之下我們在利用今天的機會也麻煩院長或者是部長這邊也能夠來支持這樣的訴求部長 縣長\n對委員有關的健康檢查的費用要再納在所得稅裡面的扣除額就如同剛剛委員所講的因為放進去如果它跟醫療後續醫療有關聯的話事實上就可以納到醫療費用裡面而且沒有上限的限制可以達到這樣的一個目的另外一個就是說我們為了要鼓勵更多的民眾來做健檢然後如果有問題可以提早發現問題提早治療事實上是好的\n可是我們知道有44%的目前來說有302萬戶他事實上目前來說他就不需要再繳所得稅所以我們給這方面的扣除對他來說實際的利益是不大的所以我們會認為以其他的方式來鼓勵他來做這方面的見解其實是更有效益的\n是不過部長也提醒一下就是今年8月在財政委員會審查的時候處理長照扣除提高的同時其實這個是有比較多的黨派的委員都有共識希望能夠針對這個議題要麻煩財政部這邊再做考量所以也希望能夠透過大家共同的努力一起來針對這個議題也請院長能不能夠也\n給我們多一些的知識好 謝謝這個我們來設立一個機制如果鼓勵國人提早接受健康檢查我們往這個方向來講能夠有實質的幫助我請部裡面人能夠來往這個方向來做規劃 來做設想 謝謝好 謝謝莊部長\n再過來是設立兒童專責機構因為時間很有限我們也知道設立兒童專責機構非常非常的重要尤其在少子化的階段裡面事實上這也是一個總統重要的一個政見之一所以當初今年衛福部也說一定要成立兒童專責機構可是我們看到目前相關的計畫裡面\n對少子化計畫2.0裡面事實上並沒有提到這個機構的設立不知道目前有沒有相關的進度可以讓大家更能夠跟我們報告我們是有我們認為兒少必須他的權益健康都要受到更多的保障而且兒少離不開家庭我們在做這方面的一個構想\n部長能夠說明一下跟委員報告我們已經積極的在行政院的指導下在整合從兒童的早期的發展福利 保護到健康政策的擬定正在做一個整合內部上我們大概已經有一個\n復案那麼現在正在做最後的重整之後我們會呈報行政院盡快的來成立這個兒童的專責機構好大家都非常期待這個具體的施政的規劃好那最後一項就是有關於這個提高補充保費的部分時間的關係我相信部長會很努力那我們也期待有相關的這個\n好 謝謝\n","vtt":"WEBVTT\n\n00:00.363 --> 00:26.399\n請準備謝謝主席有請行政院卓院長衛福部石部長麻煩請卓院長衛福部長備詢\n\n00:41.722 --> 01:05.546\n今天主要想針對四個題目來請教院長跟部長第一個就是健檢資料整合的運用第二部分就是所得稅健檢扣除額的部分第三設立兒童專責機構第四大部分就是提高補充保費的上限謝謝院長跟部長\n\n01:06.306 --> 01:28.928\n針對於我所在醫療過程當中我們行政院還有各方面提供給我們很多的幫助我們知道健檢資料的整合運用是非常非常重要的一個基礎建設其實賴總統在今年的2月27號就針對在健康\n\n01:30.009 --> 01:50.441\n台灣推動委員會第三次的會議上面有裁示要來推動國人健檢資料的彙整、上傳還有運用我相信大家都很清楚院長、部長都了解強化健檢資料的整個運用是非常重要的基本上就是我們如果這樣把這個事情做好的話\n\n01:51.562 --> 02:09.182\n第一個就是落實總統重要的財事跟決議第二個部分就是協助國人來做自我健康的管理有利於各種疾病的早期的發現跟早期的治療當然透過這些大型資料的整合以後就有可能來開發大數據跟AI\n\n02:12.005 --> 02:36.684\n相關領域的運用所以這個重要性是不言可喻可是要把這個政策做好有兩個非常重要就是要同意這些資料能夠上傳整合在一起第二部分就是使用的資料量是一個關鍵如果這個資料量夠大的話那我們所整合出來的資料的運用才能夠具體的讓未來國人的健康可以更有幫助\n\n02:37.565 --> 02:41.316\n其實這部分在上個會期的總諮詢也有跟院長討論過\n\n02:43.619 --> 03:10.553\n行政院後來的書面答覆裡面也告訴我們說這部分會責成衛福部這邊來提供各種縮帖各類的健檢的主管機關來應用包括相關裡面重要的如何能夠讓國人的同意意願可以更高各類的同意書能夠整合在一起我們知道此時其事有它的困難度\n\n03:12.234 --> 03:33.050\n讓這些大型的健診資料能夠匯整起來是有它的困難度也有很大的挑戰所以這邊先請教院長三個部分一個就是目前有沒有相關的進度可以讓國人做參考第二個部分就是這些跨部化的溝通跟整合不管是執行單位的這些相關的需求場合\n\n03:33.710 --> 03:56.797\n還有這個資料的格式同意書的內容是不是都透過在不同的這個相關的要求之下能夠有很好的成果出現那最後就是有關於這個國人健檢資料上傳應用尤其是同意書這部分是不是已經有在執行當中那就麻煩好謝謝委員賴總統一直希望政府\n\n03:57.657 --> 04:24.931\n不僅在健康台灣上促進國人健康能夠多所進展也希望我們秉持開放政府資料治理的這個工作上也能有所突破重點很重要一點就是我們整個健康的資訊這些資訊如何被善加的利用所以現在我們除了希望說民眾就醫健康一些檢查的一個數據他能夠把它數位化完全的數位化再加上他生理或是其他的這個就診的健康數據能夠\n\n04:26.874 --> 04:32.687\n經過數位化之後合併成為一個加一的健康的大平台那當中當然需要\n\n04:33.933 --> 05:00.050\n同意需要這個授權同意當事人必須授權同意他才能夠被充分的保障個人的隱私同時希望能夠將數位工具的開發商以及這個醫療的服務單位能夠整合在一起那這個數據如果這樣經過數位化而且很充分之後我想這個是國家重要的資產國家重要的資產以後我們很多的研究分析進展都在從裡面可以得到很多重要的寶貴的資訊\n\n05:01.511 --> 05:29.177\n當然他其中有幾個執行上的細節剛剛委員所提出的那三項的準備工作現在到底進行的程度如何我請部長來做說明跟委員報告這個如同委員所提到這個資料的整合是最重要才能夠有後面的運用所以我們的整合分了兩段一段是在衛福部所主管的各個單位裡面的資料整合包含除了健保的資料之外國健署的健檢資料\n\n05:29.946 --> 05:52.333\n那麼我們CDC機關署的疫苗接種資料這個我們都整合好了通通整合在每一個人的民眾的這個健康存摺裡面都有了那另外就是在衛福部以外的政府單位那最多的就是勞工健檢資料所以剛剛委員一直在垂詢的就是那勞工健檢資料可不可以整合進來那我們已經透過這個國健署\n\n05:53.073 --> 06:16.893\n做了一個操作手冊也跟很多勞動部的相關單位進行很多協商開始去散播這個做法所以到目前為止已經可以進行了已經有15萬筆的資料就是勞工健檢的資料也整合進來所以整合進來之後民眾可以從健康存摺MyHealthBank看到自己的所有資料\n\n06:17.301 --> 06:35.450\n那另外會匯到這個嘉義大平台剛剛院長所提到的這個嘉義大平台就可以讓就醫的時候呢醫師很清楚的掌握所有的包含你的醫療的利用資料跟健康檢查的資料那再來一步就是施部門的就是你自己自費\n\n06:36.471 --> 06:49.210\n去做的這些健檢資料怎麼樣再上傳進來我們現在是在我們健康存摺可以開通你自己可以上傳另外我們也鼓勵醫療機構協助民眾\n\n06:51.873 --> 07:18.166\n把這個資料能夠上傳這是我們下一步希望做的那這樣的話所有的資料呢就可以完全的整合成為一個叫做PersonalizedHealthRecord個人化的健康紀錄統統整合在一起的那未來的不論是個人就醫的時候資訊更完整同時大的這個資料庫還可以提供更多的研究或者是研發的需要\n\n07:18.946 --> 07:40.706\n是謝謝所以謝謝剛剛院長跟部長的說明至少已經有15萬筆的勞工資料已經進入到這個大平台裡面可以再持續的再增加所以這一部分其實我們也希望有三點的建議包括說在加強的部分行政院能不能夠有在跟跨部會的整合溝通看起來是有在進行\n\n07:42.848 --> 08:04.070\n這個是不是需要請院長指定政委來負責設定KPI這部分再請院長再來採視是除了衛務部勞動部我想速發部在技術上也要全力的來協助那目前我們開過幾次會我們是請陳時中政委來負責整個資訊公開以及整個的過程\n\n08:05.191 --> 08:27.703\n好謝謝因為剛剛部長有提到其實在醫院端跟單位端的宣導跟推動簽署同意書都還希望能夠有更好的成果出來醫院端所管轄的醫院就有包括衛福部、教育部、國防部跟退福會我相信這部分的要求相對是不是太困難可是如果針對單位端\n\n08:28.303 --> 08:50.954\n有關於主管機關在勞動部剛剛事實上我們辦公室也有跟洪部長做了幾次的討論謝謝洪部長的非常支持交易部國防部跟人事總署相關的這些同仁們是不是能夠也鼓勵把這些資料都能夠上傳進來這個我們很期待未來的成果可以更豐收剛剛也提到建立鼓勵\n\n08:52.034 --> 09:12.423\n相關的機制來促進民間我們知道民間有很多大型的健診機構如果透過大型的健診機構他們可以一整批的資料能夠匯進來的話相信對於未來應用在國民健康國人健康的照顧上面有更大的幫助所以這三部分就希望能夠有\n\n09:13.683 --> 09:33.388\n來持續的執行我相信這些大的資料庫可以提供未來在醫療跟公共衛生預防使用上扮演一個很重要的角色所以麻煩政院跟這個部裡面還有相關的部門都能夠持續的來把這個事情做好這是有關於第一個想要追尋\n\n09:35.393 --> 09:45.661\n院長的地方是謝謝我們會一直加快速度來把它整合出來那第二個主題就是有關於所得稅見證扣除的部分那這部分可以麻煩這個財政部莊部長一起來討論\n\n10:05.650 --> 10:25.812\n其實針對所得稅增累健診扣除額的修法我們也提了一個版本特別是希望能夠提供國人每一年有1萬元以內的健診扣除額上個會期我們也提出來討論過後來財政部也回覆了我們的書面資料有三點的考量\n\n10:26.813 --> 10:52.072\n那個時候認為不適合急著來執行包括說健診費用如果跟治療會具有因果關係的話事實上它可以列舉扣除當作醫療費的一部分那第二個部分就是免稅的這個民眾其實總統也告訴我們有53%的民眾其實是免稅的所以這部分如果增加扣除對他們的實質幫助其實是很有限的\n\n10:52.692 --> 11:18.970\n第三個是中部長那個時候是認為說如果要鼓勵民眾來做健康檢查的話可以採用非租稅的措施意思就是說可以利用公費的健檢來提高大家民眾對於自我健康的照顧的需求可是我們也知道其實依照統計癌症發生或者其他相關的疾病都有年輕化的趨勢這個是政府要推動公費篩檢\n\n11:20.191 --> 11:49.171\n為什麼要擴大謝謝檢證人這邊真的撥了多了40億的經費讓我們做篩檢有更好的成績可是我們也了解其實還是有一些困難度比如說目前做的五大篩檢裡面包括大腸癌乳癌子宮頸癌口腔癌隨著這一次的擴充都有明顯的上升可是肺癌其實目前是國人最重要的癌病在做篩檢的時候它有兩大要求\n\n11:49.671 --> 12:16.452\n一個就是他有家族史另外就是他需要抽菸的習慣要配合戒菸的措施可是事實上這還是只是占了少部分做這項篩檢他的費用他每一次可能單價就要6000元所以我們也了解肺癌並不是只有相關風險的族群才會罹患肺癌所以尤其是肺腺癌這部分所以如果我們要鼓勵更多的國人\n\n12:17.199 --> 12:40.073\n在實證醫學的基礎之下有更多的民眾希望也有需要的話那是不是能夠從這個角度來把這個相關的類型扣除而可以做適度的這些改變所以有這個三個重要的原因之下我們在利用今天的機會也麻煩院長或者是部長這邊也能夠來支持這樣的訴求部長縣長\n\n12:45.810 --> 13:13.207\n對委員有關的健康檢查的費用要再納在所得稅裡面的扣除額就如同剛剛委員所講的因為放進去如果它跟醫療後續醫療有關聯的話事實上就可以納到醫療費用裡面而且沒有上限的限制可以達到這樣的一個目的另外一個就是說我們為了要鼓勵更多的民眾來做健檢然後如果有問題可以提早發現問題提早治療事實上是好的\n\n13:13.567 --> 13:31.995\n可是我們知道有44%的目前來說有302萬戶他事實上目前來說他就不需要再繳所得稅所以我們給這方面的扣除對他來說實際的利益是不大的所以我們會認為以其他的方式來鼓勵他來做這方面的見解其實是更有效益的\n\n13:32.435 --> 13:53.826\n是不過部長也提醒一下就是今年8月在財政委員會審查的時候處理長照扣除提高的同時其實這個是有比較多的黨派的委員都有共識希望能夠針對這個議題要麻煩財政部這邊再做考量所以也希望能夠透過大家共同的努力一起來針對這個議題也請院長能不能夠也\n\n13:56.927 --> 14:07.780\n給我們多一些的知識好謝謝這個我們來設立一個機制如果鼓勵國人提早接受健康檢查我們往這個方向來講能夠有實質的幫助我請部裡面人能夠來往這個方向來做規劃來做設想謝謝好謝謝莊部長\n\n14:13.386 --> 14:37.123\n再過來是設立兒童專責機構因為時間很有限我們也知道設立兒童專責機構非常非常的重要尤其在少子化的階段裡面事實上這也是一個總統重要的一個政見之一所以當初今年衛福部也說一定要成立兒童專責機構可是我們看到目前相關的計畫裡面\n\n14:39.384 --> 14:57.077\n對少子化計畫2.0裡面事實上並沒有提到這個機構的設立不知道目前有沒有相關的進度可以讓大家更能夠跟我們報告我們是有我們認為兒少必須他的權益健康都要受到更多的保障而且兒少離不開家庭我們在做這方面的一個構想\n\n14:58.338 --> 15:18.735\n部長能夠說明一下跟委員報告我們已經積極的在行政院的指導下在整合從兒童的早期的發展福利保護到健康政策的擬定正在做一個整合內部上我們大概已經有一個\n\n15:19.740 --> 15:42.470\n復案那麼現在正在做最後的重整之後我們會呈報行政院盡快的來成立這個兒童的專責機構好大家都非常期待這個具體的施政的規劃好那最後一項就是有關於這個提高補充保費的部分時間的關係我相信部長會很努力那我們也期待有相關的這個\n\n15:57.429 --> 15:57.449\n好謝謝\n\n","segments":[{"start":0.363,"end":26.399,"text":"請準備謝謝主席有請行政院卓院長衛福部 石部長麻煩請卓院長 衛福部長備詢"},{"start":41.722,"end":65.546,"text":"今天主要想針對四個題目來請教院長跟部長第一個就是健檢資料整合的運用第二部分就是所得稅健檢扣除額的部分第三設立兒童專責機構第四大部分就是提高補充保費的上限謝謝院長跟部長"},{"start":66.306,"end":88.928,"text":"針對於我所在醫療過程當中我們行政院還有各方面提供給我們很多的幫助我們知道健檢資料的整合運用是非常非常重要的一個基礎建設其實賴總統在今年的2月27號就針對在健康"},{"start":90.009,"end":110.441,"text":"台灣推動委員會第三次的會議上面有裁示要來推動國人健檢資料的彙整、上傳還有運用我相信大家都很清楚院長、部長都了解強化健檢資料的整個運用是非常重要的基本上就是我們如果這樣把這個事情做好的話"},{"start":111.562,"end":129.182,"text":"第一個就是落實總統重要的財事跟決議第二個部分就是協助國人來做自我健康的管理有利於各種疾病的早期的發現跟早期的治療當然透過這些大型資料的整合以後就有可能來開發大數據跟AI"},{"start":132.005,"end":156.684,"text":"相關領域的運用所以這個重要性是不言可喻可是要把這個政策做好有兩個非常重要就是要同意這些資料能夠上傳整合在一起第二部分就是使用的資料量是一個關鍵如果這個資料量夠大的話那我們所整合出來的資料的運用才能夠具體的讓未來國人的健康可以更有幫助"},{"start":157.565,"end":161.316,"text":"其實這部分在上個會期的總諮詢也有跟院長討論過"},{"start":163.619,"end":190.553,"text":"行政院後來的書面答覆裡面也告訴我們說這部分會責成衛福部這邊來提供各種縮帖各類的健檢的主管機關來應用包括相關裡面重要的如何能夠讓國人的同意意願可以更高各類的同意書能夠整合在一起我們知道此時其事有它的困難度"},{"start":192.234,"end":213.05,"text":"讓這些大型的健診資料能夠匯整起來是有它的困難度也有很大的挑戰所以這邊先請教院長三個部分一個就是目前有沒有相關的進度可以讓國人做參考第二個部分就是這些跨部化的溝通跟整合不管是執行單位的這些相關的需求 場合"},{"start":213.71,"end":236.797,"text":"還有這個資料的格式同意書的內容是不是都透過在不同的這個相關的要求之下能夠有很好的成果出現那最後就是有關於這個國人健檢資料上傳應用尤其是同意書這部分是不是已經有在執行當中那就麻煩好 謝謝委員賴總統一直希望政府"},{"start":237.657,"end":264.931,"text":"不僅在健康台灣上促進國人健康能夠多所進展也希望我們秉持開放政府資料治理的這個工作上也能有所突破重點很重要一點就是我們整個健康的資訊這些資訊如何被善加的利用所以現在我們除了希望說民眾就醫健康一些檢查的一個數據他能夠把它數位化完全的數位化再加上他生理或是其他的這個就診的健康數據能夠"},{"start":266.874,"end":272.687,"text":"經過數位化之後合併成為一個加一的健康的大平台那當中當然需要"},{"start":273.933,"end":300.05,"text":"同意 需要這個授權同意當事人必須授權同意他才能夠被充分的保障個人的隱私同時希望能夠將數位工具的開發商以及這個醫療的服務單位能夠整合在一起那這個數據如果這樣經過數位化而且很充分之後我想這個是國家重要的資產國家重要的資產以後我們很多的研究分析進展都在從裡面可以得到很多重要的寶貴的資訊"},{"start":301.511,"end":329.177,"text":"當然他其中有幾個執行上的細節剛剛委員所提出的那三項的準備工作現在到底進行的程度如何我請部長來做說明跟委員報告這個如同委員所提到這個資料的整合是最重要才能夠有後面的運用所以我們的整合分了兩段一段是在衛福部所主管的各個單位裡面的資料整合包含除了健保的資料之外國健署的健檢資料"},{"start":329.946,"end":352.333,"text":"那麼我們CDC機關署的疫苗接種資料這個我們都整合好了通通整合在每一個人的民眾的這個健康存摺裡面都有了那另外就是在衛福部以外的政府單位那最多的就是勞工健檢資料所以剛剛委員一直在垂詢的就是那勞工健檢資料可不可以整合進來那我們已經透過這個國健署"},{"start":353.073,"end":376.893,"text":"做了一個操作手冊也跟很多勞動部的相關單位進行很多協商開始去散播這個做法所以到目前為止已經可以進行了已經有15萬筆的資料就是勞工健檢的資料也整合進來所以整合進來之後民眾可以從健康存摺My Health Bank看到自己的所有資料"},{"start":377.301,"end":395.45,"text":"那另外會匯到這個嘉義大平台剛剛院長所提到的這個嘉義大平台就可以讓就醫的時候呢醫師很清楚的掌握所有的包含你的醫療的利用資料跟健康檢查的資料那再來一步就是施部門的就是你自己自費"},{"start":396.471,"end":409.21,"text":"去做的這些健檢資料怎麼樣再上傳進來我們現在是在我們健康存摺可以開通你自己可以上傳另外我們也鼓勵醫療機構協助民眾"},{"start":411.873,"end":438.166,"text":"把這個資料能夠上傳這是我們下一步希望做的那這樣的話所有的資料呢就可以完全的整合成為一個叫做Personalized Health Record個人化的健康紀錄統統整合在一起的那未來的不論是個人就醫的時候資訊更完整同時大的這個資料庫還可以提供更多的研究或者是研發的需要"},{"start":438.946,"end":460.706,"text":"是 謝謝 所以謝謝剛剛院長跟部長的說明至少已經有15萬筆的勞工資料已經進入到這個大平台裡面可以再持續的再增加所以這一部分其實我們也希望有三點的建議包括說在加強的部分行政院能不能夠有在跟跨部會的整合溝通看起來是有在進行"},{"start":462.848,"end":484.07,"text":"這個是不是需要請院長指定政委來負責設定KPI這部分再請院長再來採視是 除了衛務部 勞動部我想速發部在技術上也要全力的來協助那目前我們開過幾次會我們是請陳時中政委來負責整個資訊公開以及整個的過程"},{"start":485.191,"end":507.703,"text":"好 謝謝因為剛剛部長有提到其實在醫院端跟單位端的宣導跟推動簽署同意書都還希望能夠有更好的成果出來醫院端所管轄的醫院就有包括衛福部、教育部、國防部跟退福會我相信這部分的要求相對是不是太困難可是如果針對單位端"},{"start":508.303,"end":530.954,"text":"有關於主管機關在勞動部剛剛事實上我們辦公室也有跟洪部長做了幾次的討論謝謝洪部長的非常支持交易部 國防部跟人事總署相關的這些同仁們是不是能夠也鼓勵把這些資料都能夠上傳進來這個我們很期待未來的成果可以更豐收剛剛也提到建立鼓勵"},{"start":532.034,"end":552.423,"text":"相關的機制來促進民間我們知道民間有很多大型的健診機構如果透過大型的健診機構他們可以一整批的資料能夠匯進來的話相信對於未來應用在國民健康國人健康的照顧上面有更大的幫助所以這三部分就希望能夠有"},{"start":553.683,"end":573.388,"text":"來持續的執行我相信這些大的資料庫可以提供未來在醫療跟公共衛生預防使用上扮演一個很重要的角色所以麻煩政院跟這個部裡面還有相關的部門都能夠持續的來把這個事情做好這是有關於第一個想要追尋"},{"start":575.393,"end":585.661,"text":"院長的地方是謝謝我們會一直加快速度來把它整合出來那第二個主題就是有關於所得稅見證扣除的部分那這部分可以麻煩這個財政部莊部長一起來討論"},{"start":605.65,"end":625.812,"text":"其實針對所得稅增累健診扣除額的修法我們也提了一個版本特別是希望能夠提供國人每一年有1萬元以內的健診扣除額上個會期我們也提出來討論過後來財政部也回覆了我們的書面資料有三點的考量"},{"start":626.813,"end":652.072,"text":"那個時候認為不適合急著來執行包括說健診費用如果跟治療會具有因果關係的話事實上它可以列舉扣除當作醫療費的一部分那第二個部分就是免稅的這個民眾其實總統也告訴我們有53%的民眾其實是免稅的所以這部分如果增加扣除對他們的實質幫助其實是很有限的"},{"start":652.692,"end":678.97,"text":"第三個是中部長那個時候是認為說如果要鼓勵民眾來做健康檢查的話可以採用非租稅的措施意思就是說可以利用公費的健檢來提高大家民眾對於自我健康的照顧的需求可是我們也知道其實依照統計癌症發生或者其他相關的疾病都有年輕化的趨勢這個是政府要推動公費篩檢"},{"start":680.191,"end":709.171,"text":"為什麼要擴大謝謝檢證人這邊真的撥了多了40億的經費讓我們做篩檢有更好的成績可是我們也了解其實還是有一些困難度比如說目前做的五大篩檢裡面包括大腸癌 乳癌 子宮頸癌 口腔癌隨著這一次的擴充都有明顯的上升可是肺癌其實目前是國人最重要的癌病在做篩檢的時候它有兩大要求"},{"start":709.671,"end":736.452,"text":"一個就是他有家族史另外就是他需要抽菸的習慣要配合戒菸的措施可是事實上這還是只是占了少部分做這項篩檢他的費用他每一次可能單價就要6000元所以我們也了解肺癌並不是只有相關風險的族群才會罹患肺癌所以尤其是肺腺癌這部分所以如果我們要鼓勵更多的國人"},{"start":737.199,"end":760.073,"text":"在實證醫學的基礎之下有更多的民眾希望也有需要的話那是不是能夠從這個角度來把這個相關的類型扣除而可以做適度的這些改變所以有這個三個重要的原因之下我們在利用今天的機會也麻煩院長或者是部長這邊也能夠來支持這樣的訴求部長 縣長"},{"start":765.81,"end":793.207,"text":"對委員有關的健康檢查的費用要再納在所得稅裡面的扣除額就如同剛剛委員所講的因為放進去如果它跟醫療後續醫療有關聯的話事實上就可以納到醫療費用裡面而且沒有上限的限制可以達到這樣的一個目的另外一個就是說我們為了要鼓勵更多的民眾來做健檢然後如果有問題可以提早發現問題提早治療事實上是好的"},{"start":793.567,"end":811.995,"text":"可是我們知道有44%的目前來說有302萬戶他事實上目前來說他就不需要再繳所得稅所以我們給這方面的扣除對他來說實際的利益是不大的所以我們會認為以其他的方式來鼓勵他來做這方面的見解其實是更有效益的"},{"start":812.435,"end":833.826,"text":"是不過部長也提醒一下就是今年8月在財政委員會審查的時候處理長照扣除提高的同時其實這個是有比較多的黨派的委員都有共識希望能夠針對這個議題要麻煩財政部這邊再做考量所以也希望能夠透過大家共同的努力一起來針對這個議題也請院長能不能夠也"},{"start":836.927,"end":847.78,"text":"給我們多一些的知識好 謝謝這個我們來設立一個機制如果鼓勵國人提早接受健康檢查我們往這個方向來講能夠有實質的幫助我請部裡面人能夠來往這個方向來做規劃 來做設想 謝謝好 謝謝莊部長"},{"start":853.386,"end":877.123,"text":"再過來是設立兒童專責機構因為時間很有限我們也知道設立兒童專責機構非常非常的重要尤其在少子化的階段裡面事實上這也是一個總統重要的一個政見之一所以當初今年衛福部也說一定要成立兒童專責機構可是我們看到目前相關的計畫裡面"},{"start":879.384,"end":897.077,"text":"對少子化計畫2.0裡面事實上並沒有提到這個機構的設立不知道目前有沒有相關的進度可以讓大家更能夠跟我們報告我們是有我們認為兒少必須他的權益健康都要受到更多的保障而且兒少離不開家庭我們在做這方面的一個構想"},{"start":898.338,"end":918.735,"text":"部長能夠說明一下跟委員報告我們已經積極的在行政院的指導下在整合從兒童的早期的發展福利 保護到健康政策的擬定正在做一個整合內部上我們大概已經有一個"},{"start":919.74,"end":942.47,"text":"復案那麼現在正在做最後的重整之後我們會呈報行政院盡快的來成立這個兒童的專責機構好大家都非常期待這個具體的施政的規劃好那最後一項就是有關於這個提高補充保費的部分時間的關係我相信部長會很努力那我們也期待有相關的這個"},{"start":957.429,"end":957.449,"text":"好 謝謝"}]}}},"gazette":{"lineno":154,"blocks":[["王委員正旭：（15時34分）謝謝主席，有請行政院卓院長、衛福部石部長。"],["主席：麻煩請卓院長、衛福部長備詢。"],["卓院長榮泰：王委員好。"],["王委員正旭：院長好、部長好。今天主要想針對四個題目來請教院長跟部長：第一個，健檢資料整合的運用；第二個，所得稅健檢扣除額的部分；第三個，設立兒童專責機構；第四個，提高補充保費的上限。很謝謝院長跟部長，針對我所關心的醫療過程當中，行政院在各方面提供給我們很多的幫助。","我們知道健檢資料的整合運用是非常非常重要的基礎建設，其實賴總統在今年2月27號健康台灣推動委員會第三次會議上面有裁示，要推動國人健診資料的彙整、上傳及運用。我相信大家都很清楚，院長、部長都了解，強化健檢資料的整合運用是非常重要的，基本上，如果能夠把事情做好的話，第一個就是能落實總統重要的裁示跟決議；第二個部分就是協助國人做自我健康的管理，有利於各種疾病早期發現跟早期治療；當然，透過這些大型資料整合以後，就有可能開發大數據跟AI相關領域的運用，所以重要性不言可喻。","可是要把政策做好，有兩點非常重要：第一，要同意這些資料能夠上傳整合在一起；第二個部分，使用的資料量是一個關鍵，如果資料量夠大的話，我們所整合出來資料的運用，未來才能夠具體地讓國人的健康可以更有幫助。其實這部分，在上個會期總質詢也有跟院長討論過，行政院後來的書面答復也告訴我們，這部分會責成衛福部提供各種說帖給各類健檢的主管機關應用，裡面包括相關重要的部分，包括如何能夠讓國人同意的意願可以更高、各類同意書能夠整合在一起。我們也知道其實是有它的困難度，要讓這些大型的健檢資料能夠彙整起來是有它的困難度，也有很大的挑戰。","所以這邊先請教院長三個部分，一個就是目前有沒有相關的進度可以讓國人參考？第二個部分，這些跨部會的溝通跟整合，不管是執行單位相關的需求、場合，還有資料的格式、同意書的內容是不是都透過相關要求之下，能夠有很好的成果出現？最後，有關於國人健檢資料上傳運用，尤其是同意書這部分，是不是已經有在執行當中？麻煩先說明，謝謝。"],["卓院長榮泰：謝謝委員。賴總統一直希望政府不僅在健康台灣上促進國人健康能夠多所進展，也希望我們秉持開放政府資料治理的工作上能有所突破，其中很重要的一點就是整個健康資訊如何被善加利用。所以現在我們除了希望民眾就醫、健康檢查的數據能夠完全數位化，再加上他生理或是其他就診的健康數據，能夠經過數位化之後，合併成為一個家醫健康的大平台。這當中當然需要當事人授權同意才能夠充分保障個人的隱私，同時希望能夠將數位工具的開發商及醫療服務單位整合在一起，這個數據如果經過數位化，而且很充分之後，我想這個是國家重要的資產，以後我們很多研究、分析、進展，都能從裡面得到很多重要的寶貴資訊。當然其中有幾個執行上的細節，剛剛委員所提出三項的準備工作，現在到底進行的程度如何，我請部長來說明。"],["石部長崇良：跟委員報告，如同委員所提到，資料的整合是最重要的，這樣才能夠有後面的運用，所以我們的整合分為兩段，一段是在衛福部所主管各個單位裡面的資料整合，除了健保資料之外，還包含國健署的健檢資料、CDC疾管署的疫苗接種資料，這些我們都整合好了，通通整合在每一個民眾的健康存摺裡面都有了。另外，在衛福部以外的政府單位，最多的就是勞工健檢資料，剛剛委員一直在垂詢的就是勞工健檢資料可不可以整合進來？我們已經透過國健署做了一個操作手冊，也跟勞動部等相關單位進行很多協商，開始散播這個作法，所以目前為止已經可以進行了，有15萬筆勞工健檢的資料也整合進來。整合進來之後，民眾可以從健康存摺（My Health Bank）看到自己的所有資料，另外會匯到家醫大平台。剛剛院長所提到的，家醫大平台可以在就醫的時候，讓醫師很清楚地掌握所有包含醫療的利用資料跟健康檢查的資料。再來一步就是私部門的，你自己自費去做的健檢資料怎麼樣再上傳進來，現在在健康存摺可以開通，你自己可以上傳，另外，我們也鼓勵醫療機構協助民眾把資料上傳；這是我們下一步希望做的。這樣的話，所有的資料就可以完全整合成為一個叫做personalized health record（個人化的健康紀錄），通通整合在一起，未來個人就醫的時候資訊更完整，同時大的資料庫還可以提供更多的研究或者是研發的需要。"],["王委員正旭：謝謝剛剛院長跟部長的說明，至少已經有15萬筆的勞工資料已經進入這個大平台裡面，可以持續地再增加。這部分其實我們有三點建議，包括在加強的部分，行政院能不能有更跨部會的整合溝通？看起來是有在進行，是不是需要請院長還要指定政委來負責設定KPI？這部分再請院長裁示。"],["卓院長榮泰：除了衛福部、勞動部，我想數發部在技術上也要全力來協助，目前我們開過幾次會，我們是請陳時中政委負責整個資訊公開以及整合的過程。"],["王委員正旭：好，謝謝。剛剛部長有提到，其實在醫院端跟單位端的宣導跟推動簽署同意書，還希望能夠有更好的成果出來。管轄醫院端的部會包括衛福部、教育部、國防部跟退輔會，我相信這部分的要求相對不是太困難，可是如果針對單位端，有關於主管機關，在勞動部的部分，事實上我們辦公室也跟洪部長做了幾次討論，謝謝洪部長非常支持，教育部、國防部跟人事總處相關的同仁們是不是能夠鼓勵把這些資料都上傳進來？我們很期待未來的成果可以更豐碩。","剛剛也提到建立鼓勵相關的機制來促進民間提供資料，我們知道民間有很多大型的健檢機構，如果透過大型的健檢機構，把能夠一整批的資料匯進來的話，相信對於未來應用在國民健康、國人健康的照護上面會有更大的幫助，所以這三部分希望持續的執行。我相信這些大的資料庫可以在未來醫療跟公共衛生預防使用上扮演很重要的角色，所以麻煩政院還有相關的部會都能持續把這個事情做好，這是第一個想要垂詢院長的地方。"],["卓院長榮泰：謝謝委員，我們會加快速度來把它整合，謝謝。"],["王委員正旭：好。第二個主題就是有關於所得稅健檢扣除額的部分，這部分麻煩財政部莊部長一起來討論。","謝謝莊部長。其實針對所得稅增列健檢扣除額的修法，我們也提了一個版本，特別是希望能夠提供國人每一年有一萬元以內的健檢扣除額，上個會期我們也提出來討論過，後來財政部也回復了我們的書面資料，其中有三點的考量，那時候認為不適合急著執行，包括健檢費用如果跟治療具有因果關係的話，事實上可以列舉扣除，當作醫療費的一部分；第二個部分就是免稅的民眾，總統也告訴我們，有53%的民眾其實是免稅的，所以這部分如果增加扣除額，對他們的實質幫助其實是很有限的；第三個，莊部長那時候是認為，如果要鼓勵民眾來做健康檢查的話，可以採用非租稅的措施，意思就是可以利用公費的健檢。來提高民眾對於自我健康照護的需求。可是我們也知道，其實依照統計，癌症發生或者其他相關的疾病都有年輕化的趨勢，這是為什麼政府要擴大推動公費篩檢的原因。謝謝行政院真的多撥出了40億的經費，讓我們民眾做篩檢有更好的成績。","我們也了解其實還是有一些困難度，比如目前做的五大篩檢裡，包括大腸癌、乳癌、子宮頸癌、口腔癌，隨著這次的擴充都有明顯的上升，可是肺癌其實是目前國人最重要的癌病，在做篩檢的時候有兩大要求：一個是他要有家族史；另外是他有抽菸的習慣，要配合戒菸的措施。事實上，這還只是占了少部分，做這項篩檢的費用每一次單價可能就要6,000元，我們也了解並不是只有相關風險的族群才會罹患肺癌，尤其是肺腺癌。所以如果我們要鼓勵更多的國人，在實證醫學的基礎之下，有更多的民眾希望、也有需要的話，是不是能夠從這個角度把相關的措施，也許扣除額可以做適度的改變？所以簡報上這三個重要的原因之下，利用今天的機會，麻煩院長或者是部長也能夠來支持這樣的訴求。"],["莊部長翠雲：委員，有關健康檢查的費用要再納入所得稅裡的扣除額，就如同剛剛委員所講的，因為放進去……如果它跟後續醫療有關聯的話，事實上都可以納到醫療費用裡且沒有上限的限制，是可以達到這樣的目的。另外，我們為了要鼓勵更多的民眾來做健檢，如果發現有問題，可以提早治療，事實上是好的。可是我們知道有44%、302萬戶目前不需要再繳所得稅，所以我們給這方面的扣除額，對他來說實際的利益是不大的，因此我們會認為以其他的方式鼓勵他做這方面的健檢其實是更有效益的。"],["王委員正旭：是。不過，部長，我也提醒一下，今年8月在財政委員會審查的時候，處理提高長照扣除額的同時，其實有比較多黨派的委員都有共識，希望能夠針對這個議題要麻煩財政部再作考量，也希望能夠透過大家共同的努力，一起來針對這個議題，也請院長能不能給我們多一些的支持？謝謝。"],["卓院長榮泰：我們再設一個機制，鼓勵國人提早接受健康檢查，我們會往這個方向來做，能夠有實質的幫助，我請衛福部能夠往這個方向規劃、設想，謝謝。"],["王委員正旭：謝謝莊部長。再過來是有關設立兒童專責機構的議題，因為時間很有限，我們也知道設立兒童專責機構非常非常地重要，尤其在少子化的階段裡，事實上，這也是總統重要的政見之一，所以今年衛福部也說一定要成立兒童專責機構，可是我們看到目前的相關計畫，如少子化計畫2.0裡面，並沒有提到這個機構的設立，不知道目前有沒有相關的進度可以讓大家更能夠瞭解？"],["卓院長榮泰：跟委員報告，我們是有。我們認為兒少的權益、健康都必須受到更多的保障，而且兒少離不開家庭，我們在做這方面的構想。我請部長說明一下。"],["石部長崇良：跟委員報告，我們已經積極在行政院的指導下，從兒童早期的發展、福利、保護，到健康政策的擬定，正在整合，我們內部大概已經有一個腹案，現在正在做最後的綜整之後，我們會呈報行政院，儘快成立兒童專責機構。"],["王委員正旭：好，大家都非常期待有具體時程的規劃。最後，有關於提高補充保費的部分，因為時間的關係，我相信部長會很努力，我們也期待有相關的政策可以提供參考……"],["卓院長榮泰：讓健保財務更健全，我們希望讓有財力的人多負擔一些，也會多盡一些社會上的責任，所以補充保費我們會從這個方面來做。"],["王委員正旭：好，謝謝院長。"],["卓院長榮泰：謝謝委員。"],["主席：謝謝王正旭委員質詢，謝謝卓院長及相關部會首長備詢，謝謝。","在張嘉郡委員質詢之後，我們會休息10分鐘，休息10分鐘之後請楊瓊瓔委員質詢。","接下來請張嘉郡委員質詢。"]],"agenda":{"page_end":134,"meet_id":"院會-11-4-7","speakers":["韓國瑜","許智傑","鄭天財Sra Kacaw","李昆澤","王正旭","張嘉郡","楊瓊瓔","沈發惠","許宇甄","王世堅","葉元之","陳玉珍"],"page_start":59,"meetingDate":["2025-10-31"],"gazette_id":"1148701","agenda_lcidc_ids":["1148701_00003"],"meet_name":"立法院第11屆第4會期第7次會議紀錄","content":"施政質詢\n對行政院院長施政報告繼續質詢─繼續質詢─","agenda_id":"1148701_00008"}}}