{"error":false,"id":["149025"],"data":{"IVOD_ID":149025,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/149025","日期":"2023-12-14","會議資料":{"會議代碼":"委員會-10-8-26-15","會議代碼:str":"第10屆第8會期社會福利及衛生環境委員會第15次全體委員會議","屆":10,"會期":8,"會次":15,"臨時會會次":null,"種類":"委員會","委員會代碼":[26],"委員會代碼:str":["社會福利及衛生環境委員會"],"標題":"第10屆第8會期社會福利及衛生環境委員會第15次全體委員會議"},"影片種類":"Clip","開始時間":"2023-12-14T10:08:27+08:00","結束時間":"2023-12-14T10:19:16+08:00","影片長度":"00:10:49","支援功能":["ai-transcript","gazette"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/60e87dad815fd5c374f9a4d56476bb22a8fa0c68b4c214c5c986728e607a0322e89831f4f6d40dec5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"邱泰源","委員發言時間":"10:08:27 - 10:19:16","會議時間":"2023-12-14T09:00:00+08:00","會議名稱":"立法院第10屆第8會期社會福利及衛生環境委員會第15次全體委員會議（事由：邀請環境部部長、外交部、經濟部、衛生福利部、農業部、內政部、交通部、國家科學及技術委員會、財政部、金融監督管理委員會及財團法人國際合作發展基金會就「第二十八屆聯合國氣候變遷大會(COP28)返國報告與後續因應情形」進行專題報告，並備質詢。）","gazette":{"lineno":664,"blocks":[["邱委員泰源：（10時8分）首先謝謝主席有排這個議程，我們這個會期雖然快要結束，但是由COP28勾引出非常重要也是將來政府各部門要努力的方向，我想今天非常有意義，感謝各部門的努力。因為我講的比較跟健康……但是因為跟環境部還是有關係，我再請薛部長好了，那衛福部是周次長，請，我們一起來分享一下，好不好？"],["主席：有請行政單位，謝謝。"],["薛部長富盛：邱委員好。"],["邱委員泰源：我們看下一張，因為時間的關係，以這一張來講，我會比較focus在健康。"],["薛部長富盛：是。"],["邱委員泰源：climate change跟health risk這部分，當然2023年世界醫師會……，世界醫師會擁有1,100萬個醫師在世界上，其實他的發動力量是很夠的啦，分布在都會，當然也很多在偏鄉地區服務，在2023年的一個宣言，尤其是針對基層醫療primary health care，當然不只climate change，現在慢性病越來越多，流行病史的 risk，人類也一直在承受環境的衝擊、氣候的變遷對健康的影響，還有抗生素的esistance（抗藥性）等等，在 coming years、未來都是很重要的。其特別強調當然Primary health care，基層醫療的action是非常重要，守住第一線以防治、建立整個韌性的醫療防疫健康體系，是這樣的情況，加上COP，右邊是COP的主席，我們都知道碳排、空氣污染對健康都非常有影響。","我很敬佩我的一個學生，現在是大林慈濟醫院副院長─林名男，多年來其實他已經奮鬥很久了，也算是臺灣之光，世界上相關的議程常常都會請他過去。我最近也開始跟他密切地瞭解他在做什麼，希望將之推展到整個醫療體系。我想這個部分先跟兩位首長說明一下。","再看下一張，因為我的問題在後面，剛好我們每一年世界醫師會跟臺灣醫師會都會在臺灣辦理國際研討會，不管是外交部或者衛福部都很熱烈地支撐，每一年相關的都是很重要的主題，今年的主題是全球健康安全與醫療照護體系。我們請的2個世界重量級的總統都有接見，這個女生是世界醫師會會長，這個男生是理事會主席、是韓國。我們在12月辦理，所以都會把今年度大概世界醫師會在全世界各國演講的主題、最重要的拿來我們這裡，因為他們兩個主題不約而同都在講climate change跟健康的關係，而且講得非常精彩，而我們國內的演講者在這方面，還是在於防疫以後怎麼樣建立韌性的部分，所以他們稍微好像前進一點點，我們要趕快接上進度。因此我覺得今天的會議很重要，我們今天應該要有一些就未來希望呼籲政府或者民間各種 NGO，甚至是醫界，我們要怎麼樣做，我想這個部分拜託環境部跟衛福部能夠擔起領導的責任。"],["薛部長富盛：好，是。"],["邱委員泰源：不要到下次COP29又要再討論一次，中間就是按照我們原來的規畫、計畫一直在進行，這樣我整個review起來就可能跟不上時代。","那我們看下一張，氣候變遷所會造成的，我們用眼睛看比較快，造成區域的差距越大、疾病的型態，還有不要忘記了，心理健康與社會心理這部分在過去我們裡面沒有……我們在檢討，我也希望衛福部以後注意到這個部分，climate change對mental、psychosocial方面的問題；對老人家的衝擊，我想這個不言而喻，更有很多健康上的問題。","請看下一張，這張我是希望提出來，在我們這次的國際研討會裡面，大致上我們覺得，其以醫師的角色，因為是世界醫師會，大概有幾個工作可以這樣做，我請衛福部能夠帶回去檢討看看這些，未來怎麼樣我們來配合這樣的一個趨勢，衛福部可以做哪些事情，或者已經在做哪些事情，我想這個非常重要，讓醫療體系趕快接上，而不是只有在醫療體系還限於碳盤查的階段，看起來這樣跟不上時代。所以拜託，好不好？次長，可以嗎？"],["周次長志浩：好，可以。"],["邱委員泰源：我是希望如此，因為這個會期，現在是12月了，你在一個月內看能不能提出一個報告給我們衛環委員會？"],["周次長志浩：好。"],["邱委員泰源：讓我們展開為了這一屆的ending跟下一屆，像黃秀芳委員這樣繼續再去努力的方向啦！好不好？最重要的當然是，還有就是可能要有資源進來。今年大概都沒有這方面的預算，但是未來我們因為要做這些重要的事情，所以明年是不是可以來編預算？當然，包括全民的宣導、專業人員的教育和研究，不要讓這些花了一、二十年時間關心climate change的同仁們，還是很寂寞地在那邊做研究，他們過去的努力也代表臺灣至少不要落後，現在我們要給他們温暖、給他們支持，在他們過去的經驗和成果之上繼續努力，這應該也是我們吳召委的心願。這個我要拜託衛福部。","當然，我過去在這裡也不是說哪個部會負責什麼，而是彼此都有關係，像過去衛福部、勞動部也有很多合作，我相信環境部在健康和climate change也有很多合作的平臺，尤其我們薛部長、薛校長對生命科學、人民健康非常重視……"],["薛部長富盛：是，跟委員報告，我們跟國衛院有很多空氣和健康的合作。"],["邱委員泰源：你還創設了中興大學的醫學系，非常厲害！所以我想你對這個部分很瞭解，所以我也拜託環境部帶回去看看這些問題可以從你們那邊怎麼樣來幫忙。","接下來還有一些建議，因為要兩個部來幫忙，所以其實我的問題是WMA有很多建議，這整個環境變化所影響的當然很多、很多，各部會都有，但是因為我主要focus在醫療、健康，所以請針對WMA的建議在一個月內給我們一份資料，說明目前政府落實了哪些、未來要做哪些、有什麼構想。","現在臺灣的行動缺乏氣候變遷可能造成的其他健康問題，都沒有把健康問題納入氣候變遷行動的核心，這個部分希望未來衛福部和環境部在規劃的時候能注意，何況這次最多國家簽的宣言就是climate change and health，對不對？"],["薛部長富盛：是，沒錯。"],["邱委員泰源：部長也有帶隊去，跟部長出去考察一定很累，他非常有精神，但是我想也會收穫很多，一定帶了很多資料回來，以後會對臺灣有很大的貢獻。","此外，感謝上上禮拜我們到澎湖考察了相關的環境、垃圾的問題，部長親自帶隊。他以一個澎湖長大的小孩，有如此傑出的成就，但還是很瞭解地方的需求，說明了環境部未來要做的事情，我們收穫很多。也感謝部會同仁參與，我覺得那對澎湖的發展非常重要，在這邊特別感謝。","我剛剛提的這些就請次長在1個月內給我們報告喔！"],["周次長志浩：好。"],["邱委員泰源：因為未來國家怎麼做、醫界怎麼做，我們就會來呼籲。薛部長這邊也幫忙一下。"],["薛部長富盛：好，謝謝邱委員。"],["邱委員泰源：特別謝謝吳召委今天安排這個很有意義的專題報告讓大家討論。好，感謝大家，謝謝。"],["薛部長富盛：謝謝邱委員。"],["主席：謝謝召委。下一位請黃秀芳黃委員。"]],"agenda":{"page_end":466,"meet_id":"委員會-10-8-26-15","speakers":["吳欣盈","洪申翰","蘇巧慧","吳玉琴","林為洲","邱泰源","黃秀芳","陳椒華","徐志榮","張育美","陳瑩","王婉諭","賴惠員","楊曜","莊競程"],"page_start":393,"meetingDate":["2023-12-14"],"gazette_id":"1130201","agenda_lcidc_ids":["1130201_00007"],"meet_name":"立法院第10屆第8會期社會福利及衛生環境委員會第15次全體委員會議紀錄","content":"邀請環境部部長、外交部、經濟部、衛生福利部、農業部、內政部、交通部、國家科學及技術委\n員會、財政部、金融監督管理委員會及財團法人國際合作發展基金會就「第二十八屆聯合國氣候\n變遷大會(COP28)返國報告與後續因應情形」進行專題報告，並備質詢","agenda_id":"1130201_00006"}},"transcript":{"pyannote":[{"speaker":"SPEAKER_00","start":1.44846875,"end":9.801593750000002},{"speaker":"SPEAKER_00","start":10.662218750000001,"end":17.80034375},{"speaker":"SPEAKER_00","start":18.812843750000003,"end":24.044093750000002},{"speaker":"SPEAKER_00","start":25.00596875,"end":29.00534375},{"speaker":"SPEAKER_00","start":30.034718750000003,"end":30.574718750000002},{"speaker":"SPEAKER_00","start":31.148468750000003,"end":36.31221875},{"speaker":"SPEAKER_00","start":38.16846875,"end":39.77159375},{"speaker":"SPEAKER_00","start":40.31159375,"end":42.11721875},{"speaker":"SPEAKER_00","start":42.235343750000006,"end":43.97346875},{"speaker":"SPEAKER_01","start":43.97346875,"end":44.00721875},{"speaker":"SPEAKER_00","start":44.00721875,"end":44.95221875},{"speaker":"SPEAKER_00","start":46.454093750000006,"end":48.49596875},{"speaker":"SPEAKER_01","start":47.17971875,"end":47.98971875},{"speaker":"SPEAKER_01","start":48.69846875,"end":48.96846875},{"speaker":"SPEAKER_00","start":49.39034375,"end":54.30096875},{"speaker":"SPEAKER_01","start":54.284093750000004,"end":54.672218750000006},{"speaker":"SPEAKER_00","start":54.672218750000006,"end":56.157218750000006},{"speaker":"SPEAKER_00","start":56.42721875,"end":60.08909375},{"speaker":"SPEAKER_00","start":60.93284375,"end":71.91846875},{"speaker":"SPEAKER_00","start":72.13784375,"end":76.20471875},{"speaker":"SPEAKER_00","start":76.98096875,"end":85.09784375000001},{"speaker":"SPEAKER_00","start":85.55346875000001,"end":96.30284375000001},{"speaker":"SPEAKER_00","start":97.39971875,"end":100.03221875000001},{"speaker":"SPEAKER_00","start":100.35284375,"end":104.25096875000001},{"speaker":"SPEAKER_00","start":104.40284375,"end":106.17471875000001},{"speaker":"SPEAKER_00","start":107.42346875000001,"end":120.48471875000001},{"speaker":"SPEAKER_00","start":120.77159375000001,"end":124.39971875},{"speaker":"SPEAKER_00","start":124.97346875000001,"end":125.54721875000001},{"speaker":"SPEAKER_00","start":126.20534375000001,"end":127.40346875},{"speaker":"SPEAKER_00","start":127.96034375,"end":132.90471875},{"speaker":"SPEAKER_00","start":134.00159375,"end":141.17346875},{"speaker":"SPEAKER_00","start":141.98346875000001,"end":153.86346875},{"speaker":"SPEAKER_00","start":154.35284375,"end":156.51284375},{"speaker":"SPEAKER_00","start":157.10346875000002,"end":159.53346875},{"speaker":"SPEAKER_00","start":160.19159375,"end":166.75596875000002},{"speaker":"SPEAKER_00","start":166.97534375,"end":167.02596875},{"speaker":"SPEAKER_00","start":167.21159375000002,"end":169.03409375},{"speaker":"SPEAKER_00","start":169.62471875,"end":172.08846875},{"speaker":"SPEAKER_00","start":172.81409375,"end":173.96159375000002},{"speaker":"SPEAKER_00","start":174.60284375,"end":174.94034375},{"speaker":"SPEAKER_00","start":175.59846875000002,"end":179.53034375000001},{"speaker":"SPEAKER_00","start":180.12096875,"end":183.14159375},{"speaker":"SPEAKER_01","start":182.85471875000002,"end":183.19221875000002},{"speaker":"SPEAKER_00","start":183.17534375000002,"end":195.17346875},{"speaker":"SPEAKER_00","start":195.81471875000003,"end":203.17221875},{"speaker":"SPEAKER_01","start":200.96159375000002,"end":201.04596875000001},{"speaker":"SPEAKER_01","start":201.06284375,"end":201.19784375},{"speaker":"SPEAKER_00","start":203.52659375000002,"end":205.83846875},{"speaker":"SPEAKER_00","start":206.44596875000002,"end":215.84534375},{"speaker":"SPEAKER_00","start":216.33471875,"end":219.11909375000002},{"speaker":"SPEAKER_00","start":219.65909375,"end":221.44784375},{"speaker":"SPEAKER_00","start":222.17346875,"end":224.53596875000002},{"speaker":"SPEAKER_00","start":224.94096875000002,"end":225.90284375000002},{"speaker":"SPEAKER_00","start":226.72971875000002,"end":228.02909375000002},{"speaker":"SPEAKER_00","start":228.65346875,"end":231.06659375},{"speaker":"SPEAKER_00","start":231.77534375000002,"end":237.05721875},{"speaker":"SPEAKER_00","start":237.36096875,"end":243.52034375000002},{"speaker":"SPEAKER_00","start":243.55409375000002,"end":249.74721875},{"speaker":"SPEAKER_00","start":250.1859687500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謝謝主席首先謝謝主席排這個有COP28勾引出我們在這個會期雖然快要結束但是非常重要也是將來不管是政府各部門要努力的一個方向我想今天非常有意義感謝各部門的努力因為我講的比較跟"},{"start":31.207,"end":56.983,"text":"但是因為跟環境部還是有關係,我再請薛部長好了,那衛福部是?周市長來,我們一起來分享一下好不好?好,有請行政單位,謝謝我們看下一張,因為時間的關係我們看這一張來講,我會比較focus在健康、health risk這個部分"},{"start":57.739,"end":84.983,"text":"Climate Change和Risk這部分那當然我們在2003年世界一世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世世"},{"start":85.766,"end":105.202,"text":"當然不只climate change啦當然現在慢性病越來越多流行病的risk也一直承受人類在承受環境的衝擊那個氣候的變遷對健康的影響還有抗生素的一個resistance"},{"start":108.526,"end":136.058,"text":"抗藥性等等的都是在未來很重要的那他有特別強調當然基層醫療的action是非常重要的鎖住第一線來建立整個韌性的一個醫療防疫健康體系所以這樣的一個情況那加上COP右邊這邊是COP的主席我們都知道這個碳排空氣汙染"},{"start":136.974,"end":166.237,"text":"大概都是對健康非常的有影響我很敬佩我一個學生現在是大嶺慈濟醫院的副院長林明蘭多年來其實他已經奮鬥很久了也算是臺灣之光常常世界上相關的議程都會請他過去我最近也開始跟他密切的來瞭解他來做什麼希望把他推展到可能醫療體系我想這個部分"},{"start":167.555,"end":194.923,"text":"先跟兩位首長先說明一下再看下一張好了因為我的問題可能在後面剛好也是我們每一年世界醫師會跟臺灣醫師會都會在臺灣辦理一個國際研討會不管是外交部或者是衛福部都很熱烈的來執行每一年都相關的都很重要的主題今年的主題是全球健康安全醫療招募體系"},{"start":195.988,"end":215.242,"text":"其實我們請的兩個重量級的世界這個總統都有接見這個女生是世界醫事會會長這男生是理事會主席是韓國韓國他們不約而同都把最近一年的我們在12月半所以都會把今年今年度大概世界醫事會在全世界各國"},{"start":216.434,"end":236.413,"text":"在演講的主題最重要的拿來我們家因為兩個主題不約而同都在講climate change跟健康的關係而且講得非常精彩我們國內的演講者在這方面還是在防疫以後總要建立一個韌性的一個"},{"start":237.569,"end":258.317,"text":"所以他們還稍微好像前進一點點我們要趕快接上這個進度所以今天的我覺得今天的會議很重要我們今天會議應該要有一些未來希望呼籲政府或者是全民間各種NU甚至EJ我們怎麼樣來做我想這個部分環境部跟"},{"start":259.451,"end":282.38,"text":"拜託環境部跟衛福部能夠擔任起這個領導的責任不要到下一次COP29再來,又要來討論一次中間就是按照我們原來的規劃、計畫一直在進行,這樣可能我整個review起來可能跟不上時代那我們看下一張影像那氣候當然變遷會造成這個,我想我們用眼睛看比較快"},{"start":284.203,"end":307.102,"text":"造成區域的差跡與大疾病的形態還有不要忘記心理健康跟社會心理這個部分一直在過去我們裡面沒有我們在檢討我也希望衛生部在以後注意到這個部分和他們Change對Mental、Psycho、Social方面的問題對老人家的衝擊我想這不言而喻多的是更有健康很多健康上的問題"},{"start":311.348,"end":336.317,"text":"那我這張是希望提出來我要請衛福部這是在我們這次的國際研討會裡面大概大致上覺得我們那個他是用醫師啦因為是世界醫師會嘛大概有幾個工作可以這樣做我請那個衛福部我能夠帶回去"},{"start":337.748,"end":365.912,"text":"去看看檢討這些將來可不可以未來怎麼樣我們來配合這樣一個趨勢我們未來可不可以做哪些事情已經在做哪些事情了或者在做哪些事情我想這個非常重要讓醫療體系趕快來接上而不是只有在醫療體系還在盤查還在現已盤查探盤查的階段看起來這樣對不上時代所以拜託我們好不好?次長可以嗎?好可以"},{"start":366.732,"end":389.084,"text":"我希望因為這個會期現在十二月了,你一個月後看能不能拿一個報告給我們未完給我們展開為了這一屆的Ending跟下一屆像我們黃學芳委員這樣繼續再去努力的方向最重要當然就是說,還有就是可能要有資源進來"},{"start":394.352,"end":416.476,"text":"明年是不是未來我們必須要做這些事情?這是重要的,我們就來編預算當然包括從前面的先導、專業人的教育、研究不要讓這些研究、關心climate change的這些同仁們"},{"start":417.922,"end":436.848,"text":"花了1、2十年的研究還是被很寂寞的在那邊做他們過去的努力也帶領到台灣治理至少不要落後現在我們要給他溫暖、給他支持然後利用他們過去的經驗、成果我們繼續來努力這也是我們吳釗緯應該他的心願當然最重要就是有一個這個我拜託那個"},{"start":446.464,"end":467.236,"text":"衛福部當然我也希望我過去在這裡也是部會都不是說你負責什麼都彼此有關係像我們過去衛福部、勞動部也有很多合作的我相信環境部如果在健康跟climate change裡面也有很多合作的平台也很恭喜我們學部長、學校長"},{"start":468.632,"end":496.441,"text":"我們跟國衛院有很多空氣跟健康的合作創起了我們中興大學的醫學系這個非常的厲害所以我想他對這個部分能夠了解我也拜託衛福部環境委員可以帶回去看看這些問題可以從你那邊走過來幫忙好我們看下一張有一些建議我當然是也在這邊"},{"start":499.619,"end":522.636,"text":"因為要兩個部來幫忙所以其實我的問題是WMA有很多的建議那目前因為我主要focus在醫療、健康所以我想這整個環境的變化所影響的當然很多很多各部會都有那針對WMA的建議目前政府落實哪些未來要做哪些也在這一次的一個"},{"start":524.209,"end":548.491,"text":"大概一個月給我們一個看做多少算多少,未來有什麼構想?看下一張因為現在台灣的行動缺乏氣候變遷可能造成其他問題都沒有把健康問題納入在氣候變遷行動的核心所以我想這個部分希望未來衛福部跟環境部在規劃的時候能把"},{"start":550.708,"end":578.602,"text":"造成的驚豪,何況這一次你看全部國家簽最多國家簽最多國家簽的先年就是climate change and health是沒錯沒錯跟部長出去訪查一定很累他這種魔鬼他非常有精神我想但是我想也會收復很多一定也帶很多那邊開會的會以後會對國家對台灣會有很大的貢獻"},{"start":580.873,"end":609.164,"text":"也感謝上上禮拜我們到澎湖也去考察了一些澎湖相關環境、垃圾的問題那部長親自帶隊他以一個澎湖長大的小孩有如此的成就但是還是很瞭解到地方的需求那給我們很多環境部未來要做的事情給我們收穫很多也感謝部長"},{"start":611.162,"end":638.017,"text":"不會裡面的同仁來參與我覺得那個對澎湖的發展也是非常重要在這邊特別感謝我剛剛提的這些就請次長一起報告因為接下來我們就要未來我們國家怎麼做、醫界怎麼做我們就會來服役先副長這邊也幫忙一下好 謝謝邱委特別謝謝吳釗緯"},{"start":640.336,"end":646.083,"text":"今天排的這樣子很有意義的一個大家討論好感謝大家謝謝好謝謝邱委員好謝謝"}]}},"supported_relations":[],"relations":[]}