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你應該撤銷啊但是你們沒有做 那表示人家要廢監察院監察院的糾正等於廢紙一張連參考的價值都沒有你衛福部做了什麼 什麼糾正 沒有啊就你們都怕得要命 說我怕為他監察院糾正結果你做了什麼 改善作為 沒有所以監察院被廢 被廢掉 差不多而已啦"},{"start":107.282,"end":130.169,"text":"糾正沒意義嘛 你該廢掉這兩個啊好 以醫院的這個評鑑的分區台北市每75.2萬人就有一間醫學中心如果我擴大台北市之外的這個北區桃竹苗則是稍微增加一下每95.1萬人有一間醫學中心那我高屏鵬 高雄加屏東喔"},{"start":133.371,"end":154.348,"text":"這個121.3萬才有一間醫學中心等同我每家的高頻醫學中心是要服務121萬人負擔是台北區的1.6萬倍人均享有醫療資源的品質是顯然不均的醫療中心過度集中中北部不僅擴大了南北醫療不均也讓新增的醫學中心與現有的醫療單位爭取在為數有限的醫護能力"},{"start":158.652,"end":181.929,"text":"影響我這個高屏地區的民眾醫療的品質而且這句話我一定要為高雄人講話高雄市民的平均移民才多少六度最低耶醫療資源平均的不平均已經造成我南部醫護工作負擔衛福部你必須重視這才是剛起點而已好那個下一頁你這個不能運作主席不好意思"},{"start":187.37,"end":188.577,"text":"那個停止一下好不好"},{"start":192.417,"end":220.068,"text":"我們來看地理分佈來看這個就醫資源從桃竹苗為北區的範圍今年的台大醫院的新竹分業甄列為醫學中心使全國的醫學中心在2024年突破為到22家其中一半以上22的一半就是11家11家、12家全部都在北區跟台北區濁水西以南的醫學中心多少?台南加高雄5家"},{"start":221.291,"end":233.585,"text":"好從地理面積高屏篷的面積是5931.86平方公里這個數字可以放過但是這個數字部長你看清楚我一枚高屏篷我還把蓬勃拉進來1977平方公里才有一間"},{"start":237.429,"end":266.248,"text":"醫學中心喔 台北市加新北喔它是平均每151公里就有一間的醫學中心喔你看光是就醫的便利性我高屏龍真的不是說小孩子可以來介紹的啊好 高屏龍跟雙北區的相比每平方公里所擁有的醫學中心的資源我們差這個跟台北啊我們差了13倍啊凸顯兩地的就醫資源的不均啊"},{"start":267.929,"end":291.196,"text":"再來我們看這個區域分布看醫療研究的需求醫學中心最適合發展智慧醫療因此有足夠的援兒人員足夠多的臨床案例足夠大的社會聲譽與資通訊業者來合作今年5月你們這個由台灣智慧醫療聯盟建立的醫學中心的AI國家隊成員不好意思又在中北部的醫學中心了"},{"start":291.756,"end":315.909,"text":"南部未來需要更多的場域才能有更多的研究量能賴總統提出了健康台灣的願景要強化醫療跟照護行政院要推動大南方的新矽谷計畫將在南部包括高頻縣市運用AI發展的健康照護跟智慧醫療因此在高頻棚有必要設置第四個醫學中心才能落實區域平衡 接軌總統的產業政策"},{"start":318.03,"end":335.825,"text":"好 今天高屏東醫學中心集中在高雄的西部所以在北高雄東高雄北屏東我總共10個行政區將近百萬人口我們是沒有醫學中心的我們的急重難 喊四大病症的醫療也需要提升吧好來 夏業這個不好意思 這個好 我們來看這個"},{"start":345.582,"end":361.86,"text":"醫療培訓來看醫療中心的必要根據衛護部的醫學中心任務指標你看清楚喔講得多好聽啊這看在我男部人的眼裡啊我真的是在吞不下這口氣了提升資源不足的地方的醫療水準提升資源不足喔"},{"start":362.481,"end":385.952,"text":"高頻很明顯是醫學是醫療資源不足的還強調這個醫學中心要帶動跟輔導區域內的醫療機構投入研究跟創新好來培育醫事人員這是你們的指標好來我們看整個大大大南方六縣市雖然半導體跟AI的聚落但在區域的醫療資源卻是南北差異隨著科技人才移民南部"},{"start":386.352,"end":411.81,"text":"以及高雄逐漸成為物流人流金流中心高屏具有必要設置第四個醫學中心才能吸引醫療跟生技人才經過地方發展跟醫療服務好根據醫師公會全聯會的統計喔台北市是每平方公里就有多少個醫生41.82新北市啊不好意思3位我高雄更差每平方公里只有2.35位醫生屏東我們昭緯的更慘"},{"start":416.313,"end":426.176,"text":"0.82位 每坪包括這樣0.82位醫生喔好我不是我我除了用面積我看人均台北市每1萬人就有43.67位的醫師喔我高雄每1萬人才有25.11位醫生屏東的每1萬人稍微這個主席你看一下屏東啊1萬人才有14.51個醫師啊"},{"start":437.859,"end":452.255,"text":"中央應透過增額醫學中心強化我高頻繃的醫護的培訓的能量好 最後我們來看你這個醫院評鑑程序的過時性寫好一點叫過時性啦對本席來講叫荒謬性醫學中心的數量不應該"},{"start":453.176,"end":467.265,"text":"從人口數來考量從地理的分佈區域發展醫護的培訓的需求也應該一併考量好你們根據112年的醫院評鑑跟教學醫院的評鑑每200萬人口的評鑑一家醫學中心好按照你們這個標準台北區韓新北總人口數是752萬按照每200萬有一間你只能有3.76間的醫學中心你們搞到現在10間你們公然違法"},{"start":482.014,"end":488.278,"text":"然後平均呢還平均75.5萬人才有一間醫學中心你們規定是多少200萬人才能夠有一間你們擴增到這種地步現在是衛福部是太上皇沒有在照規定好再來你的醫學評鑑程序的附件六請部長拿起來看你們訂租了一級醫療區域醫學中心的全國的上限是多少家"},{"start":509.672,"end":526.608,"text":"20家好 我們就不要看全國上限齁其中全國是全國 北中南東喔才20家 你看你們現在暴增多家台北區就8家高屏區3家事實上台北區目前已經達到10家這個上限沒有法源"},{"start":527.048,"end":539.695,"text":"沒有依據而衛福部還可以在評鑑後請以分數接近為由自行再雙倍增加遭到監察院檢舉之後傷害評鑑的公信力醫院評鑑的程序對於醫學中心數量的評定標準是過時的過時的辦法不僅未能考慮區域醫療均衡發展"},{"start":549,"end":558.49,"text":"且成為監委糾正的理由衛福部有必要檢討過時作業的程序納入更公允的指標好本席有建議好來本席的建議請這個你們在現在啊針對高頻膨的這個應該要針對第四間的醫療中心而且再請衛福部就針對人口地理面積國家發展的計畫"},{"start":571.983,"end":585.86,"text":"提升資源不足的地方的醫療目標考慮東高雄北高雄北屏東等地的民眾需求提升該區域的這個醫療中心那針對這一次的本席的這個質詢我不曉得您有什麼看法"},{"start":588.479,"end":607.252,"text":"非常敬佩我們林委員提出這麼完整的我高雄人啊我南台灣人啊真的非常敬佩我們站在均衡台灣跟醫療平衡前的立場上當然資源不足的地方我們要優先去補那針對你們現在即將公佈的醫療中心也要怎麼處理一樣啦那整個高屏看起來是如果剛剛委員分析的其實是"},{"start":618.819,"end":645.005,"text":"真的是不分析不知道一分析我都要跟你革命了一分析我都要跟你革命了所以我這邊先具體要求你們現在要公佈的這個高屏棚的第四間我是不能接受你們說你們再來納入研究然後我下一次我們基於要不要有第四間我下一次再處理我告訴你本席我是不能接受這件事情的"},{"start":646.506,"end":659.396,"text":"所以你現在要暫停你們現在的整個評鑑的所有的作業分數到這邊你不能給我公佈你們要從該很公允的去看我的區域的平衡如果你跟我講說你現在要公佈啊然後呢這個我的這個區域均衡的醫療的醫療權來講你要下次再檢討我看你病得"},{"start":668.343,"end":677.497,"text":"我站在高雄的人 我把你扔掉所以你要暫停你現在的評鑑的一個發布的程序那部長你要怎麼做 請回答"},{"start":680.148,"end":701.858,"text":"你們現在已經快公佈了嘛144已經有了嘛那你的公佈程序是什麼包括你看到本席的這樣的一個這麼明確我全部數字說話喔那你是不是應該暫停然後納入檢討之後你再去做到底全國應該要多少間的醫療中心那你再去做這個之後的公佈呢"},{"start":702.725,"end":712.807,"text":"我們一定會審慎評估好 審慎評估審慎評估要多久你要多久才監討完然後多久要公布這兩個議題你可以把它掛勾處理"},{"start":713.939,"end":732.854,"text":"你什麼時候公布你現在這一批的評鑑要不要有增列這個是不是有這個增列的這個醫療中心高雄好了 高屏鵬你這一邊你要不要增加第四間的醫療中心這件事情你什麼時候要評估完成然後第二個你什麼時候要公布這一批次的這個醫療中心部長我們希望"},{"start":738.464,"end":765.015,"text":"能夠兩個禮拜之內把林委員提的這些建議那好好的來延期那因為這個公布也不能太也不能太慢啦 因為所有這次接受評鑑的都在因應期盼嘛 那個也比較不管是在衛福部或健保署都有後續相關的作業要做所以時間也不能太久 我們希望"},{"start":767.239,"end":769.581,"text":"你要監察兩個禮拜這樣的一個評鑑標準是嗎部長評鑑標準其實已經"},{"start":775.799,"end":795.325,"text":"已經都已經本來就公告了平間標準有問題啊你要不要回復到我的上一月第七頁你說你們的多荒謬來看到第七頁部長你不覺得這樣的平間標準已經是很荒謬的事情嗎你們公然違法你們沒有法也沒有依據作業程序你自己說結果你又沒有按照自己講的這個內規執行你覺得這樣可以嗎"},{"start":799.332,"end":812.069,"text":"每200萬人得評一家醫學中心然後你的大台北 台北區 韓新北你已經10間了原則上你只能3.76間的醫學中心那我是不是應該撤掉"},{"start":813.547,"end":828.854,"text":"如果按照你這個標準都要撤掉啊還是你要重新的盤點你應該檢討你的這個作業你這兩個禮拜要應該重新檢討你的醫院這個醫院評鑑及教學醫院的評鑑的作業程序的這個作業標準"},{"start":830.074,"end":832.355,"text":"你兩個禮拜應該要檢討這件事情我們要檢討那這兩個禮拜之後你再想說你要怎麼的去公布你這一批的這個醫學中心好嗎好的謝謝部長謝謝謝謝主席給我這個為南台灣發聲謝謝主席"}]}},"supported_relations":[],"relations":[]}