{"error":false,"id":["165445"],"data":{"IVOD_ID":165445,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/165445","日期":"2025-11-13","會議資料":{"會議代碼":"委員會-11-4-26-10","會議代碼:str":"第11屆第4會期社會福利及衛生環境委員會第10次全體委員會議","屆":11,"會期":4,"會次":10,"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11屆第4會期社會福利及衛生環境委員會第10次全體委員會議"},"影片種類":"Clip","開始時間":"2025-11-13T13:05:25+08:00","結束時間":"2025-11-13T13:11:18+08:00","影片長度":"00:05:53","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/fffa2c65c610face5d1e55a0f254f19e8ff38efa2589ba0871572932e1d9cfeae3f8b6feb59555205ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"徐富癸","委員發言時間":"13:05:25 - 13:11:18","會議時間":"2025-11-13T09:00:00+08:00","會議名稱":"立法院第11屆第4會期社會福利及衛生環境委員會第10次全體委員會議（事由：邀請衛生福利部部長及行政院主計總處就「癌症新藥暫時性支付及罕見疾病藥物專款預算運用成效及政策檢討」進行專題報告，並備質詢。\n\n(討論事項)\n審查\n一、委員羅廷瑋等16人擬具「癌症防治法第十三條及第十六條條文修正草案」案。\n二、委員陳菁徽等16人擬具「癌症防治法第十六條條文修正草案」案。\n三、委員邱鎮軍等19人擬具「癌症防治法第五條及第十六條條文修正草案」案。\n四、委員劉建國等17人擬具「癌症防治法第十六條條文修正草案」案。\n五、委員王正旭等17人擬具「癌症防治法第十六條條文修正草案」案。\n六、委員顏寬恒等21人擬具「癌症防治法第十三條條文修正草案」案。\n七、委員林淑芬等20人擬具「癌症防治法第十六條條文修正草案」案。\n八、委員盧縣一等17人擬具「癌症防治法第八條及第十六條條文修正草案」案。\n九、委員顏寬恒等24人擬具「癌症防治法第十六條條文修正草案」案。\n十、委員蘇巧慧等30人擬具「癌症防治法修正草案」案。\n十一、委員林月琴等16人擬具「癌症防治法第十六條條文修正草案」案。\n十二、委員邱議瑩等16人擬具「癌症防治法第十六條條文修正草案」案。\n十三、委員羅智強等18人擬具「癌症防治法第十六條條文修正草案」案。\n十四、台灣民眾黨黨團擬具「癌症防治法第一條、第十三條及第十六條條文修正草案」案。\n十五、委員陳亭妃等17人擬具「癌症防治法第十六條條文修正草案」案。\n十六、委員黃秀芳等21人擬具「癌症防治法第十六條條文修正草案」案。\n十七、委員馬文君等16人擬具「癌症防治法第十六條條文修正草案」案。\n【專題報告及討論事項綜合詢答；討論事項僅詢答】）","transcript":{"pyannote":[{"speaker":"SPEAKER_00","start":2.19096875,"end":3.8953437500000003},{"speaker":"SPEAKER_00","start":4.03034375,"end":4.6040937500000005},{"speaker":"SPEAKER_00","start":7.658468750000001,"end":23.622218750000002},{"speaker":"SPEAKER_02","start":8.19846875,"end":8.45159375},{"speaker":"SPEAKER_00","start":23.94284375,"end":32.970968750000004},{"speaker":"SPEAKER_02","start":32.970968750000004,"end":33.88221875},{"speaker":"SPEAKER_00","start":33.88221875,"end":33.915968750000005},{"speaker":"SPEAKER_02","start":33.915968750000005,"end":41.10471875},{"speaker":"SPEAKER_00","start":41.10471875,"end":41.12159375},{"speaker":"SPEAKER_00","start":41.34096875,"end":60.291593750000004},{"speaker":"SPEAKER_00","start":60.86534375,"end":66.99096875000001},{"speaker":"SPEAKER_01","start":66.31596875000001,"end":66.43409375},{"speaker":"SPEAKER_01","start":66.45096875,"end":66.63659375},{"speaker":"SPEAKER_00","start":67.36221875000001,"end":69.82596875},{"speaker":"SPEAKER_00","start":71.27721875,"end":73.18409375},{"speaker":"SPEAKER_00","start":73.23471875,"end":80.45721875000001},{"speaker":"SPEAKER_01","start":73.84221875,"end":74.55096875000001},{"speaker":"SPEAKER_01","start":76.27221875000001,"end":77.16659375},{"speaker":"SPEAKER_01","start":80.38971875,"end":80.69346875000001},{"speaker":"SPEAKER_00","start":80.59221875,"end":109.70159375},{"speaker":"SPEAKER_01","start":99.30659375,"end":99.74534375},{"speaker":"SPEAKER_01","start":109.56659375000001,"end":109.65096875},{"speaker":"SPEAKER_01","start":109.70159375,"end":109.75221875000001},{"speaker":"SPEAKER_00","start":109.75221875000001,"end":117.88596875},{"speaker":"SPEAKER_01","start":109.80284375000001,"end":109.87034375},{"speaker":"SPEAKER_01","start":117.78471875000001,"end":118.12221875},{"speaker":"SPEAKER_00","start":118.03784375000001,"end":126.99846875000001},{"speaker":"SPEAKER_00","start":127.35284375,"end":129.59721875},{"speaker":"SPEAKER_01","start":129.22596875000002,"end":129.74909375000001},{"speaker":"SPEAKER_00","start":129.63096875000002,"end":131.01471875000001},{"speaker":"SPEAKER_00","start":131.60534375,"end":134.17034375},{"speaker":"SPEAKER_00","start":134.72721875000002,"end":137.35971875},{"speaker":"SPEAKER_02","start":137.35971875,"end":163.87034375000002},{"speaker":"SPEAKER_00","start":146.15159375000002,"end":146.57346875000002},{"speaker":"SPEAKER_00","start":148.32846875,"end":149.27346875},{"speaker":"SPEAKER_00","start":151.46721875,"end":151.66971875000002},{"speaker":"SPEAKER_00","start":155.55096875,"end":156.15846875},{"speaker":"SPEAKER_00","start":163.33034375,"end":182.68596875},{"speaker":"SPEAKER_02","start":167.22846875000002,"end":167.58284375000002},{"speaker":"SPEAKER_01","start":182.06159375000001,"end":182.80409375000002},{"speaker":"SPEAKER_00","start":182.77034375000002,"end":187.74846875},{"speaker":"SPEAKER_01","start":186.63471875000002,"end":187.09034375000002},{"speaker":"SPEAKER_01","start":187.74846875,"end":188.01846875},{"speaker":"SPEAKER_00","start":187.93409375000002,"end":194.14409375000002},{"speaker":"SPEAKER_01","start":191.20784375000002,"end":191.27534375000002},{"speaker":"SPEAKER_02","start":191.27534375000002,"end":191.56221875},{"speaker":"SPEAKER_02","start":194.14409375000002,"end":217.38096875000002},{"speaker":"SPEAKER_00","start":217.38096875000002,"end":222.76409375},{"speaker":"SPEAKER_00","start":223.25346875000002,"end":233.58096875},{"speaker":"SPEAKER_02","start":232.92284375000003,"end":237.91784375},{"speaker":"SPEAKER_00","start":234.64409375000002,"end":236.77034375000002},{"speaker":"SPEAKER_00","start":237.61409375000002,"end":270.14909375},{"speaker":"SPEAKER_01","start":250.82721875000001,"end":251.06346875000003},{"speaker":"SPEAKER_01","start":251.62034375000002,"end":251.72159375},{"speaker":"SPEAKER_01","start":265.20471875000004,"end":265.22159375},{"speaker":"SPEAKER_01","start":265.27221875000004,"end":265.47471875},{"speaker":"SPEAKER_01","start":270.06471875,"end":270.43596875000003},{"speaker":"SPEAKER_00","start":270.35159375,"end":275.56596875},{"speaker":"SPEAKER_00","start":275.73471875,"end":279.75096875},{"speaker":"SPEAKER_00","start":280.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有請我們石部長來 部長徐委員好部長好 部長我想過去您在這個醫事事業或是監報署署長的任內對於屏東的醫療環境給予很大力的支持那您在還沒有上任之前我也有幾次跟你談到屏東的醫療問題當時我想不"},{"start":24.576,"end":40.883,"text":"當時 您那時候還沒有當部長之前都把我當成這個一定會努力一切那當部長之後這個態度有沒有改變沒有改變這個我們一向就是追求這個健康平權所以資源越不足的地方我們就要投入更多好"},{"start":41.443,"end":69.477,"text":"我想很高興聽到部長這樣子一個重視我們這個醫療平權的一個說法我們也期待你帶領的團隊要有這個做法啦那所以今天特別針對小琉球的醫療問題還有我們恆春半島的醫療問題特別再請部長這邊幫忙那我想這個小琉球從過去這個90年左右一年大概有15萬人到小琉球來觀光旅遊保祐到目前為止你覺得今年有多少人來祈禱"},{"start":71.505,"end":100.444,"text":"我有去過 都是人現在一年大概平均有120萬的遊客我想比這個遠遠大過於我們現在常住的人口尤其這個連續假期有時候當天超過萬五個人去小琉球所以我們相對性我們也憂心這個小琉球醫療量能的問題不足尤其我們這邊有潛水 有浮潛甚至有一些可能會有發生一些交通事故甚至有一些緊急的醫療狀況"},{"start":101.825,"end":126.705,"text":"部长那过去因为我知道您在这个当健保署长的时候也有大力支持我们的IDS一个计划但是部长我还是有一个现实面的问题要给你欢迎目前小琉球只有一家卫生所还有六间的诊所那假日的时候这个IDS只能派遣一名医生来值班而且没有药师来协助变成医生在看病在保养啊"},{"start":127.646,"end":150.614,"text":"這個是一個很離譜的一個現象那一旦發生狀況他又必須要把這個整個門診的部分要停掉部長針對這部分有沒有什麼樣的改進的方法我剛剛跟署長討論一下我們立刻來檢討提升因為才一個醫師確實是不夠啦而且又沒有藥師這個我們立刻回去檢討"},{"start":151.474,"end":167.086,"text":"那麼來修正這個IDS的方案內容因為現在這個預算夠我們全力會支持這一個這個偏鄉的需要尤其我想現在的這個整個小琉球的觀光環境跟以前大不相同"},{"start":167.646,"end":193.938,"text":"接著降臨100多萬人次的遊客量我想我們不能用過去的這種處理方式所以我們也查到了像我們在嘉義阿里山甚至苗栗泰安我們衛福部都有一個彈性調整的醫療服務比如說24小時定點的一個醫療站或是假日急診的醫療站由醫學中心來支援我想這是一個很好的方式部長可不可以用這個方式copy到我們小琉球"},{"start":194.278,"end":222.517,"text":"我们IDS有好几种有的是寻常的有的是有那个假日的或者是全日的就全年的有好几种不同的模式那我们会跟当地卫生局讨论看看这个小琉球需要是什么样的模式那我们再来协调其他的这个不论是医学中心或大型的这个区域医院来支援这样部长我想我们现在都跟时间赛跑那尤其现在已经11月中旬明年"},{"start":223.357,"end":239.142,"text":"我們有9個連續假期我相信小琉球又湧入非常多的遊客能不能我們今年底趕快把這個案子我們跟縣政府跟我們琉球衛生所趕快來做討論我們年底前把它調整完讓它明年1月1號就可以上路謝謝部長這個正面的支持"},{"start":240.242,"end":269.181,"text":"那另外我想這個我過去跟部長也提過恆春旅遊醫院的一個狀況那當然部長也很支持所以我們這個包含跟南門醫院跟恆春基督教醫院我們有分工負責的一個制度大家各施其職然後把這個醫療環境照顧好那部長一樣恆春半島每年有超過200多萬的遊客在那邊尤其這個過去潛水的這個交通事故或者一些急重症的一些患者過去往往要北送到高雄或是屏東都不服氣啦"},{"start":270.662,"end":279.428,"text":"那所以過去你們有支援這個一中計畫但是一中計畫的時間也到今天底就結束了有沒有繼續支持的可能性"},{"start":280.741,"end":303.014,"text":"跟委員說明這個恆春旅遊醫院是我們自己的醫院所以不會讓他斷崔我們一定會持續的維持他的量能來為恆春這幾年從之前的潘縣長周縣長跟委員的關心之下這個恆春的醫療資源一直在提升那我們責無旁貸這個沒有問題"},{"start":304.491,"end":327.327,"text":"部長我們不能只是用基本設備基本門檻的觀念來看我已經強調了一年有超過好幾百萬的遊客萬一有緊急的重大的事故或是緊急的一些急重症必須要馬上可以做心導管也好甚至高壓氧這些馬上可以處理的機制但是你沒有醫生沒有設備沒辦法處理能不能趕快在全面盤點這部分的需求能夠來做處理"},{"start":328.188,"end":352.728,"text":"好 這個我們不會讓他斷槌啦所以這個一定會延續 請您放心我有邀請你過槌的時間 你也來屏東看看好我相信讓我們第一線的醫護人員有更大的一個力道要去求你的支持 這樣好不好好 好 謝謝謝謝 謝謝委員好 謝謝接下來請洪秀芳 洪委員來做詢問"}]}},"supported_relations":[],"relations":[]}