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- 12:04:48","會議名稱":"立法院第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議（事由：邀請衛生福利部部長就「我國人工生殖法制化作業進度」、「衛生福利部落實中央政府我國少子女化對策計畫之成效與未來規劃」及「衛生福利部本月因疏於督導地方評估特殊需求兒少利益所受監察院糾正之檢討」進行專題報告，並備質詢。\n【10月7日及9日二天一次會】）","gazette":{"lineno":733,"blocks":[["李委員坤城：（11時58分）謝謝主席，請邱部長。"],["主席：請部長。"],["邱部長泰源：委員好。"],["李委員坤城：部長好，辛苦了。今天衛福部來報告少子化對策的執行成效，關於少子化，本席相信對新生兒和孕婦的照顧都相當重要，可是我們看一下資料，2023年臺灣的新生兒死亡率是千分之二點八，嬰兒死亡率是千分之四點三，高於其他OECD國家，在39個國家裡面排名第31名，和日本、韓國比起來，我們相對落後，所以等一下要請教部長，臺灣嬰兒死亡率居高不下的原因在哪裡？","第二個，孕婦的死亡率。按照這個數字，臺灣在2019年創下23年來的新高，達到十萬分之十六，近3年雖有下降，但數字也有限，只下降到十萬分之十三到十四。一樣，與日本和韓國相較，日本是十萬分之三點四，韓國是十萬分之八點八，都遠低於臺灣。衛福部國民健康署110年也有提出降低孕產婦、新生兒及5歲以下兒童死亡率的策略規劃，訂下一個2020永續發展目標，請教一下部長，今年是2024年，2020年的發展目標─孕婦死亡率要低於十萬分之十一點六，請問有沒有達到？"],["邱部長泰源：謝謝委員。我想……"],["李委員坤城：還有降低5歲兒童及新生兒死亡率，5歲以下兒童死亡率要低於千分之五，新生兒死亡率要低於千分之二點四，請問一下有沒有達到？"],["邱部長泰源：其實在臺灣醫療水準這麼高的情況之下，如果有這樣的data，我們真的必須要深切檢討。"],["李委員坤城：的確要深切檢討，而且這是你們2020年的發展目標，現在是2024年，結果就是沒有一個指標達到，到底原因出在哪裡？這4年做了什麼？"],["邱部長泰源：我想國民健康署應該針對這個部分做了很多探討，是不是請吳署長說明？"],["吳署長昭軍：第一個，我們就孕婦死亡率的部分分析，因為我們的孕產婦數量，就是所謂的母數下降的速度遠比死亡的……"],["李委員坤城：不要說統計數字。署長，你們做了什麼？"],["吳署長昭軍：我們的推估最主要是從孕婦懷孕時的產檢，就次數、風險進行評估。第二個是高風險的孕產婦，我們有一些追蹤計畫進行輔導，早產的媽媽，我們也有相關的支持系統。"],["李委員坤城：是啊！那為什麼4年過去了，這些數字都沒有達標，不管是降低孕婦的死亡率或降低新生兒死亡率，這4年來都沒有達標。邱部長，你們有沒有一個比較具體的目標？賴總統說要做到健康臺灣，要提高嬰兒的出生率，但是我們連降低嬰兒的死亡率，到目前為止還沒辦法做到。"],["邱部長泰源：謝謝委員。這個也是我們健康臺灣計畫的兩大重點，第一個，在孕產婦的第一孕期、第二孕期、第三孕期，甚至是產後的第四孕期，我們都有提出策略。另外一個重要的指標，就是我們希望把新生兒的死亡率從千分之五點多降到千分之四以下，這也是我們未來的目標，在這個目標之下，我們會檢討所有……"],["李委員坤城：你們達到這個目標需要多久時間？"],["邱部長泰源：我們預計4年內至少要下降到OECD的前半段。"],["李委員坤城：所以呢？你們有沒有達到2020年的目標？本席只問這個就好，有沒有辦法達到？"],["邱部長泰源：新生兒死亡率降低這個目標沒有達到。"],["李委員坤城：對。本席是問你們未來4年有沒有辦法達到？因為這是2020年的目標嘛！本席只是問，這個2020年的目標，賴總統執政的這4年有沒有辦法達到？"],["邱部長泰源：我相信以現在大家的體認和團結，以及為臺灣醫療指標努力的決心，而且也和專家做過詳細討論，應該可以達到我們的目標。"],["李委員坤城：因為日本和韓國，不管孕婦或是新生兒的死亡率都比我們低。你們能不能提出研究報告？其實日本和韓國的生活條件等等都和我們差不多，至於我們的醫療水準，本席覺得比他們還要好，但是我們的孕婦和新生兒死亡率為什麼還是比他們高？請你們去做研究，好不好？"],["邱部長泰源：是，好，沒問題。"],["李委員坤城：我們至少要和這兩個國家比較，看看有什麼可以改善的地方，我們稍微檢討、研究一下，好不好？如果已經有報告，請你提供給我們參考。"],["邱部長泰源：好。如果有報告我們就提供，如果沒有的話，我們趕快委託專家研究。"],["李委員坤城：好，謝謝部長、謝謝主席。"],["邱部長泰源：謝謝。"],["主席：謝謝李委員，謝謝部長。接續請楊曜委員質詢。"]],"agenda":{"page_end":346,"meet_id":"委員會-11-2-26-2","speakers":["蘇清泉","林月琴","陳昭姿","陳菁徽","廖偉翔","盧縣一","林淑芬","邱鎮軍","王育敏","王正旭","黃秀芳","李坤城","楊曜","黃國昌","鍾佳濱","林楚茵","洪申翰","黃捷","吳春城","洪孟楷","楊瓊瓔","何欣純","林宜瑾","羅智強","張雅琳","涂權吉","陳培瑜","劉建國","陳瑩","林倩綺","張嘉郡"],"page_start":257,"meetingDate":["2024-10-09"],"gazette_id":"1138201","agenda_lcidc_ids":["1138201_00006"],"meet_name":"立法院第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議紀錄","content":"邀請衛生福利部部長就「我國人工生殖法制化作業進度」、「衛生福利部落實中央政府我國少子\n女化對策計畫之成效與未來規劃」及「衛生福利部本月因疏於督導地方評估特殊需求兒少利益所\n受監察院糾正之檢討」進行專題報告，並備質詢","agenda_id":"1138201_00005"}}},"supported_relations":[],"relations":[]}