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面有一個住院整合照護計畫裡面有這個這些護理佐理人員有規定要本國人嗎"},{"start":361.179,"end":383.074,"text":"沒有規定因為他們有本國證照嘛 對不對但是你想想看這些護理佐理人員如果用這些美女帥哥年紀長的無技術能力的還是外籍的看護用來台灣學習護理教育的這些年輕的僑外生你覺得他們未來在台灣完成訓練後來到醫院裡面從事這樣的護理佐理人員適不適當"},{"start":385.967,"end":413.93,"text":"我們現在其實也在演繹很好趕快加速演繹時間快到了往下看所以我建議一下因為我常去這些東南亞國家他們這些國家遇到問題就是他們人員的專業訓練不夠他們都很嚮往來台灣接受完整的醫護技術訓練跟教育培養但是他們也希望能夠在這段期間台灣能夠投入一些有給的工作這個如何跟勞動部跟教育部商量我覺得很重要但是你們要先把護理佐理這個人力需求切割出來"},{"start":415.472,"end":419.922,"text":"這些僑外生受護理教育的僑外生他們才會有機會進入到臨床來減輕我們本國護理人員的負擔你同意嗎"},{"start":425.011,"end":425.612,"text":"部長,往下一邊"},{"start":449.693,"end":465.603,"text":"其實啊,您的思考比較久,我很快樂時間,開玩笑。我跟您講,現種科技,傳統叫battery,現在叫儲能設施。儲能設施由於科技的發展,現在一個特斯拉的電動車,一個車庫有一個特斯拉,你這次颱風就算停電三天你也不怕。"},{"start":466.303,"end":493.314,"text":"因為一個特斯拉的電池的供電量可以讓一個5人的家庭可以用3天所以目前如果我們用像醫院這種關鍵性的維生的一個機構應該轉換用安效為安全不是說絕對安全 較為安全的儲能設施或者是燃料電池來取掉傳統的柴電部長有沒有去盤點目前我們全國的醫護機構醫療機構他們目前的備援電力是用柴電還是用其他的先進技術有沒有評估過"},{"start":497.412,"end":497.772,"text":"好,謝謝,謝謝總委員,謝謝部長"}]},"會議時間":"2024-10-09T09:00:00+08:00","委員發言時間":"12:23:03 - 12:31:46","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":832,"blocks":[["鍾委員佳濱：（12時23分）主席，在場的委員先進、列席的政府機關首長官員、會場工作夥伴、媒體記者女士先生。有請邱部長及護理司曾專門委員。"],["主席：請部長。"],["鍾委員佳濱：部長好。"],["邱部長泰源：委員好。"],["鍾委員佳濱：今天本來要談人工生殖，人工生殖是不是為了因應少子化？"],["邱部長泰源：不完全是。"],["鍾委員佳濱：現在臺灣少子化的程度，你知道目前一年的人口出生數是多少嗎？"],["邱部長泰源：十三萬五千多人。"],["鍾委員佳濱：十三萬多人嘛！其實我們現在是生不如死，一年的短差已經高達7萬人，而且從2020年就已經生不如死。你知道越南一年的新生人口大概是多少？本席常去越南看新南向的醫療，這次去，你知道他們的出生率是多少嗎？他們說一年的新生兒有185萬人。人口年輕和老化會產生什麼影響？現在都說臺灣已經是超高齡社會，因為我們是用65歲做為起算點，對不對？你認為臺灣現在是不是已經進入超高齡社會？醫療量能是不是要一併提高？"],["邱部長泰源：對。"],["鍾委員佳濱：沒有錯，但是本席覺得要修正，大家也不要畏懼，本席認為要調高的是65歲這個起算點啦！本席這次難得受傷去醫院住院，還被推去做需要全身麻醉的手術，才發現幫忙推輪椅的人，年紀比本席還大，這呈現什麼？就是我們現在的健康情況都很好，很多人中高齡就業，70歲以前還是可以做很多事情。"],["邱部長泰源：是的。"],["鍾委員佳濱：所以我們來思考一下，不要只看事情負面的一面，也要看可能的正向影響。我們的社會雖然高齡化，但是我們高齡人口的健康情況持續提高，這是拜我們醫療品質提升所賜，謝謝。目前我們需要解決的問題就是這樣，看事情要看兩面。","目前是不是因為護理人員不足，所以才無法提供病床？很多醫院都有病床，他們明明可以開1,000床，但是提供的卻不到八成，是不是有這個情況？怎麼解決這個問題？部長。"],["邱部長泰源：其實我們訓練的護理人員是夠的，值得注意的是留任率。"],["鍾委員佳濱：我們想想看，你們都是從醫護訓練的量來看未來從業的量，這裡面有很大的落差，因為一個水桶破了，就算你補再多水，水還是會漏光。以前我們常開玩笑，最好的工作就是錢多事少離家近，睡覺睡到自然醒，休息休到腳抽筋，有沒有這樣的工作？我們護理人員剛好相反，他們是怎麼樣？錢沒有很多，但事情很多，對不對？離家近有沒有用？因為他們常常要待命備勤，是不是這樣？這次風災很多人停班停課，然而醫護人員最辛苦，就算沒有門診還是要在颱風天幫大家看病，是不是這樣？"],["邱部長泰源：是。"],["鍾委員佳濱：甚至有的公立醫院還有颱風門診，意思是說我們的門診照開。有沒有聽說過颱風假門診？為什麼？就為了服務我們的同胞，是不是這樣？"],["邱部長泰源：是。"],["鍾委員佳濱：所以重點不只是提升待遇。除了有人很斤斤計較的點值之外，本席還要提醒你，就是要改善職場的負荷啦！我們的護理人員不是只有待遇的問題，是不是負荷過重？是不是太累了？錢可以增加，但是事情沒有減少的話，年輕人還是不願意投入啦！這些受過醫護訓練的人還是不願意投入臨床啦！是不是這樣？"],["邱部長泰源：是。"],["鍾委員佳濱：他們普遍是高工時、低薪，我們除了改善他的薪資之外，重點是怎樣？就是讓他的工時降低。而工時降低，人員就要增加，因為你不增加人員，他們的工時就沒有辦法降低，如果能夠多進用一些人，每個人的工作時間就能降低。第二個，事情要減少，本席這次住院才發現，醫院很多人力在做什麼？就是餵食嘛！當然本席不需要餵食啦！因為自己會叫Foodpanda。至於移動，他們把本席推出手術房時，叫本席坐輪椅，但本席說自己可以走路，而且大哥比我的年紀還大，但是他說不行，因為你待會兒全身麻醉，所以要坐輪椅。你知道是誰來推輪椅嗎？是派遣人力，但派遣人力有做過專業訓練嗎？現在在醫院裡面看到派遣人力都要很小心，你不能叫她阿姨，因為這最忌諱，不能對年長女性叫阿姨，連大姐都不能叫，要稱美女，因為你不曉得她的年齡啊！這些推輪椅、幫你巡房的美女們是護理人員嗎？很多都是派遣人員，甚至是外籍看護。是不是這樣？"],["邱部長泰源：是。"],["鍾委員佳濱：這些人員如果受過專業訓練，能夠有效分攤護理人員非核心的護理業務，你覺得是否有助於解決目前錢少事多的護理人員窘境？"],["邱部長泰源：有，會有幫助。"],["鍾委員佳濱：本席告訴你，對於外籍看護的貢獻，本席沒有完全抹煞，但還是有一點問題，就是他們受的訓練太少，語言溝通能力不夠。本席昨天才去過慈惠護專，他們反映一個問題，就是他們現在連二專都沒有辦法招生，因為考試的關係。但是本席問過很多人，他們認為經過五專的護理訓練，如果未來是做護理佐，這樣是綽綽有餘的。現在有針對護理佐理人員的規劃嗎？請你們簡單說明。"],["曾專門委員淑芬：這部分有的，因為我們目前有一個十二項計畫，當中就有住院整合照護計畫，裡面有這個……"],["鍾委員佳濱：這些護理佐理人員有規定必須是本國人嗎？"],["曾專門委員淑芬：沒有規定。"],["鍾委員佳濱：但是他們沒有本國證照嘛！對不對？不過你想想看，護理佐理人員如果是這些美女、帥哥、年紀長的、無技術能力的，或是外籍的看護，或者啟用來臺灣學習護理教育的年輕僑外生，你覺得他們未來在臺灣完成訓練後，到醫院從事護理佐理人員的工作，適不適當？"],["邱部長泰源：其實我們現在也在研議。"],["鍾委員佳濱：很好，請你們加速研議，因為時間快到了，我們先往下看。所以本席建議，因為本席常去這些東南亞國家，這些國家遇到的問題就是人員的專業訓練不夠，他們都很嚮往來臺灣接受完整的醫護技術訓練和教育培養，但是他們也希望在這段期間，臺灣能夠投入一些有給的工作，這部分要和勞動部、教育部商量，本席覺得很重要。但是你們要先把護理佐理的人力需求切割出來，這樣受護理教育的僑外生才有機會進入臨床，減輕本國護理人員的負擔。你同意嗎？"],["邱部長泰源：可以。"],["鍾委員佳濱：非常好。這次颱風期間有醫院發生火警，問題出在哪裡？就是使用柴油發電機，是不是這樣？柴油發電機因為淹水不能動，或者道路中斷不能去加油，甚至有的火警是因為柴油儲備過量造成的。你覺得醫院現在還需要用柴油發電機嗎？部長。因為您思考的時間比較久，但本席要很快，因為時間的關係。","其實現在有一種科技，傳統稱為battery，現在叫儲能設施，因為科技的發展，只要有特斯拉這樣的電動車，這次颱風就算停電3天也不怕，因為一個特斯拉的電池供電量，可以讓一個5人家庭用3天。所以像醫院這種關鍵性的維生系統機構，應該轉換使用較為安全的儲能設施，當然，這不是絕對安全，或者以燃料電池取代傳統的柴油發電。部長，有沒有去盤點全國的醫療機構，目前他們的備援電力是用柴油發電還是用其他先進技術？有沒有評估過？"],["邱部長泰源：其實目前緊急發電還是以柴油為主。"],["鍾委員佳濱：是的，但事實已經證明，柴油是上個世紀的技術，是上個世紀的備援系統，你們要趕快盤點，避免再發生醫院火警。最後一個結論，請評估引進僑外生訓練後擔任護佐的可行性，減輕醫護的壓力；也請你在一個月內提出書面報告，醫療機構原來設置柴油發電的替代方案，好不好？"],["邱部長泰源：好，是。"],["鍾委員佳濱：好，謝謝。"],["邱部長泰源：謝謝。"],["主席：謝謝鍾委員，謝謝部長。請林楚茵委員質詢。"]],"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":[]}