{"error":false,"id":["165854"],"data":{"IVOD_ID":165854,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/165854","日期":"2025-11-26","會議資料":{"會議代碼":"委員會-11-4-26-13","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13次全體委員會議","屆":11,"會期":4,"會次":13,"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13次全體委員會議"},"影片種類":"Clip","開始時間":"2025-11-26T10:30:47+08:00","結束時間":"2025-11-26T10:42:25+08:00","影片長度":"00:11:38","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/f5b16bee5fdcc5c13ecffc2793349685ba7bab90aa47d9990a682b421b74d94e13c5f764d90b48005ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"林月琴","委員發言時間":"10:30:47 - 10:42:25","會議時間":"2025-11-26T09:00:00+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13次全體委員會議（事由：邀請衛生福利部部長、財政部及環境部就「蘇丹紅化學原料竄臺，政府如何強化進口把關及後市場查驗，以維護國人健康安全」進行專題報告，並備質詢。\n\n邀請衛生福利部部長、司法院、法務部、勞動部及內政部警政署就「國內醫師、護理人力需求及分布暨防止醫療暴力措施及改善情形」進行專題報告，並備質詢。\n\n(討論事項)\n審查\n一、委員柯志恩等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n二、委員林月琴等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n三、委員王育敏等16人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n四、委員顏寬恒等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n五、委員萬美玲等16人擬具「醫療法第一百零六條條文修正草案」案。\n六、委員顏寬恒等16人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n七、委員邱若華等17人擬具「醫療法第一百零六條條文修正草案」案。\n八、委員陳菁徽等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n九、委員魯明哲等18人擬具「醫療法第一百零六條條文修正草案」案。\n十、委員王鴻薇等20人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n十一、委員林淑芬等25人擬具「醫療法增訂第一百條之一條文草案」案。\n十二、委員盧縣一等16人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n十三、委員羅廷瑋等21人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n十四、委員廖偉翔等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n【第十四案，如經復議，則不予審查】【專題報告及討論事項綜合詢答，討論事項僅詢答】）","transcript":{"pyannote":[{"speaker":"SPEAKER_01","start":0.03096875,"end":1.0265937500000002},{"speaker":"SPEAKER_01","start":1.09409375,"end":1.29659375},{"speaker":"SPEAKER_00","start":6.3590937499999995,"end":9.61596875},{"speaker":"SPEAKER_02","start":6.764093750000001,"end":7.101593750000001},{"speaker":"SPEAKER_00","start":12.51846875,"end":12.636593750000003},{"speaker":"SPEAKER_02","start":12.636593750000003,"end":13.244093750000001},{"speaker":"SPEAKER_00","start":13.244093750000001,"end":21.37784375},{"speaker":"SPEAKER_02","start":17.10846875,"end":17.26034375},{"speaker":"SPEAKER_01","start":19.57221875,"end":19.977218750000002},{"speaker":"SPEAKER_00","start":21.394718750000003,"end":32.751593750000005},{"speaker":"SPEAKER_00","start":32.768468750000004,"end":76.89659375000001},{"speaker":"SPEAKER_00","start":77.67284375,"end":81.55409375},{"speaker":"SPEAKER_00","start":81.70596875000001,"end":102.02346875},{"speaker":"SPEAKER_02","start":102.25971875,"end":122.71221875},{"speaker":"SPEAKER_00","start":116.26596875000001,"end":116.67096875000001},{"speaker":"SPEAKER_00","start":121.31159375000001,"end":121.54784375000001},{"speaker":"SPEAKER_02","start":122.84721875000001,"end":132.51659375},{"speaker":"SPEAKER_02","start":132.58409375000002,"end":134.33909375000002},{"speaker":"SPEAKER_00","start":132.70221875000001,"end":133.27596875},{"speaker":"SPEAKER_02","start":134.77784375000002,"end":146.21909375},{"speaker":"SPEAKER_00","start":135.36846875,"end":136.85346875000002},{"speaker":"SPEAKER_00","start":137.34284375000001,"end":138.23721875},{"speaker":"SPEAKER_00","start":139.94159375,"end":140.36346875},{"speaker":"SPEAKER_00","start":143.85659375,"end":144.34596875},{"speaker":"SPEAKER_00","start":145.51034375,"end":153.52596875},{"speaker":"SPEAKER_02","start":153.61034375,"end":154.13346875000002},{"speaker":"SPEAKER_00","start":155.07846875,"end":155.50034375},{"speaker":"SPEAKER_02","start":155.50034375,"end":155.95596875},{"speaker":"SPEAKER_00","start":155.95596875,"end":158.08221875},{"speaker":"SPEAKER_02","start":155.97284375,"end":156.04034375},{"speaker":"SPEAKER_02","start":157.27221875,"end":163.53284375},{"speaker":"SPEAKER_00","start":161.13659375,"end":162.14909375000002},{"speaker":"SPEAKER_00","start":162.16596875000002,"end":168.40971875000002},{"speaker":"SPEAKER_00","start":168.62909375,"end":171.53159375},{"speaker":"SPEAKER_00","start":171.58221875,"end":175.56471875},{"speaker":"SPEAKER_00","start":175.98659375,"end":176.61096875},{"speaker":"SPEAKER_01","start":176.61096875,"end":192.72659375},{"speaker":"SPEAKER_00","start":189.08159375000002,"end":189.26721875},{"speaker":"SPEAKER_01","start":193.36784375000002,"end":193.58721875},{"speaker":"SPEAKER_01","start":194.04284375,"end":200.37096875},{"speaker":"SPEAKER_00","start":198.07596875000002,"end":198.12659375},{"speaker":"SPEAKER_00","start":198.34596875000003,"end":227.57346875000002},{"speaker":"SPEAKER_01","start":201.06284375,"end":201.21471875},{"speaker":"SPEAKER_00","start":227.67471875,"end":228.23159375},{"speaker":"SPEAKER_00","start":228.38346875000002,"end":256.34534375000004},{"speaker":"SPEAKER_00","start":256.51409375000003,"end":258.28596875},{"speaker":"SPEAKER_00","start":258.53909375,"end":267.76971875000004},{"speaker":"SPEAKER_00","start":268.29284375000003,"end":286.09596875},{"speaker":"SPEAKER_02","start":284.13846875,"end":284.18909375000004},{"speaker":"SPEAKER_00","start":287.17596875000004,"end":288.59346875},{"speaker":"SPEAKER_02","start":289.16721875,"end":312.67409375},{"speaker":"SPEAKER_00","start":303.40971875,"end":304.20284375},{"speaker":"SPEAKER_02","start":312.69096875,"end":313.75409375000004},{"speaker":"SPEAKER_02","start":314.53034375000004,"end":324.03096875},{"speaker":"SPEAKER_00","start":324.03096875,"end":325.41471875},{"speaker":"SPEAKER_00","start":325.68471875,"end":343.35284375000003},{"speaker":"SPEAKER_00","start":343.38659375000003,"end":371.24721875},{"speaker":"SPEAKER_00","start":371.73659375,"end":377.89596875},{"speaker":"SPEAKER_00","start":378.28409375,"end":388.91534375000003},{"speaker":"SPEAKER_00","start":389.38784375,"end"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布朗早 今年我們又見到蘇丹紅可是這次她出現在化妝品裡面這本來應該有衛福部積極把關而非消極等待通報我知道這幾天衛福部都很努力的在處理可是這件事情也讓我很擔心 為什麼呢因為兒少化妝品的使用安全就會是一個很大的問題"},{"start":37.441,"end":59.599,"text":"因為我長期關注兒少我也明白這個世代對於容貌的焦慮逐漸成長所以媒體也報導說那兒少化妝的風氣越來越盛行那連帶著自主選購的化妝品也變得事實上非常的頻繁所以我認為這是成長過程當中很重要的一環我們不可能去阻止這件事情因為為什麼"},{"start":60.88,"end":76.165,"text":"每一個人要去展現自己的更美的容貌可是我覺得很重要的是我們是否有足夠的完備的制度跟環境讓兒少在自我形象形塑的過程當中能夠安全健康的不過這"},{"start":77.985,"end":101.393,"text":"兒少通常消費能力是比成人還要低即便市面上流通的有關兒童無毒的彩妝可能也不是兒少有能力去消費的所以部長在兒少族群裡面容易購買的化妝品像開架式的化妝品或者夜市地攤貨或菜市場的衛福部是不是有任何具體的管理措施"},{"start":103.218,"end":121.584,"text":"確實像委員所說愛美是人的天性但是我們必須去保障他的安全所以我們食藥署也定有這個叫做那個供兒童使用之化妝品的安全指引裡面就會有如列哪一些的這個要求規定那同時呢在"},{"start":123.064,"end":137.051,"text":"今年也有在做就是後市場的查驗也會去針對這些兒童用的可能會是用在這個兒童會用到的進行對於那個重金屬防腐劑跟這個微生物"},{"start":144.014,"end":171.241,"text":"主要是过去都是查这一些部长这份指引的内容你是不是有看过那对儿少族群能够理解吗还是请我们的署长这一份指引我看起来主要是对业者是对业者他在制造的过程可是你看皮肤专科医师讲说儿童的皮肤本来就容易吸收有毒质所以我说常常很多东西成人可以的搞不好是儿少可能要更"},{"start":171.781,"end":191.683,"text":"没办法去好使用在他的身上了好所以谢谢委员委员这边提到我待会给委员补充一下其实我们针对已经在一定是在产品出去要告诉儿童不能用就是不能用举例13岁以下的我们就有些什么嗯水洋酸类的啊那我们一些呃"},{"start":194.265,"end":221.218,"text":"水氧酸為主的那還有一些是過氧化物的 涉水一下那到底誰知道因為我覺得現在你的適時的風險那個資訊揭露跟後續的位較錯也真的事實上是反而更重要那廣大家長對這些成分有沒有掌握先講家長他可能才買到像萬聖節可能還有一個事實上是緊接著如何傳遞足夠的訊息有的事實上是青少年他自己就要變成是他自己可能就不是在家長"},{"start":222.038,"end":245.923,"text":"這個範圍然後他到底知不知道有害的化妝品跟他對他的影響是什麼就我我認為啊除了現在有的那個所謂兒童無毒的彩妝標示外更重要的要做的是這樣針對有疑慮的成分跟使用的建議應該有相對應的教育跟宣導否則你這指引的話可能如果剛剛講說是對業者的話那更"},{"start":246.383,"end":263.682,"text":"何況事實上是對一般的消費者跟兒少還要用兒少能夠理解的語言來讓他們去了解否則他任由他們買了回去然後產生身體上的傷害我相信兩位一定不熱見再來醫療暴力也是我想部長應該也非常的清楚"},{"start":268.428,"end":285.83,"text":"上一次的醫療法修正事實上是106年可是我現在去看那個數據卻發現醫療暴力仍然節節攀升這代表既有的制度還是無法保護我們的醫事人員安全減少醫療糾紛的一個紛爭部長你認為這其中的原因是什麼"},{"start":287.216,"end":312.202,"text":"为什么一直在节节攀升当然这边的因素也很多当然一个是医病之间我们把它分成几个样态有些是本身是病人的精神的问题或者是酗酒有一些个人的行为所造成有一些是在"},{"start":315.042,"end":339.481,"text":"醫療照護的過程當中那麼有一些爭議而採取的暴力的方式但是不管原因是什麼採取暴力都是不被允許的你剛剛提的都是問題點可是我覺得針對醫療現場的問題應該要更具體的解方醫療暴力發生的場所為例的話目前各醫院急診室住緊"},{"start":340.482,"end":355.928,"text":"其實主要是保全在單綱那除了不具有逮捕現行犯的一個強制力本身的裝備跟專業都沒有辦法抵禦蓄意的攻擊行為所以我覺得這是修法我提的版本當中"},{"start":356.468,"end":375.044,"text":"我將警察角色明定在我們的法條當中我也照目前要建立醫療暴力的通報聯繫防治平台先要來做用來協調我們的醫療機構司法機構跟其他相關單位但我認為入法的話可以更具體立即的因應危機來提升嚇阻作用"},{"start":376.665,"end":392.293,"text":"所以甚至在現行的刑法有兩個問題下限太低完全沒有嚇阻作用所以我們針對刑法這部分我們也認為要提高刑度所以我不知道部長支持我這樣的一個修法方向嗎"},{"start":394.03,"end":416.107,"text":"當然我們對於強化賀祖主要這些刑度主要是要達到賀祖的效果我們過去在103年修法的時候主要是參考了在刑法裡面另外也參考了妨礙公務執行相對應的法則去設計出來的"},{"start":420.931,"end":435.802,"text":"那如果這個當然這個刑度去給他加強能不能夠達到這個效果我們當然不敢講但是需要去強化這個協助"},{"start":437.743,"end":461.256,"text":"就是醫院本身也要去強化剛剛提到的這個平常的訓練還有這個因應的措施場所的這個設計那麼來保護到我們醫護人員的職業安全發生狀況的時候如何尋求到警察的及時協助我講這很重要因為醫護人員也是"},{"start":462.877,"end":489.34,"text":"对我们国家医疗贡献那么高可是我们要保护他安全最后医疗暴力当然也包含性跟性别暴力今年3月我和我们台北市医师职业工会跟台大的教授王韵如医师针对我国医界的性别友善现况召开了记者会根据去年医师工会的调查呢遭受全市性骚的异性恋的女性多达半数以上可是申诉率却只有5.7%"},{"start":490.521,"end":511.734,"text":"部長有掌握到為什麼申訴率這麼低迷的原因嗎申訴率低啊是 因為他們調查跟你們的最後你們的申訴率事實上他們說有半數以上可是你們申訴率只有5.7%而且半數以上受害者覺得申訴也無濟於事才不得已做隱忍"},{"start":512.814,"end":534.063,"text":"那零申訴不等於零事件這是長期的系統失靈醫療團體向我反映就算反性騷擾的海報宣導很多真正缺的事實上是實務處理程序除了沒有讓性別平等的專家進場調查委員也沒有外部委員名單不公開更嚴重的是加害者根本沒有調離"},{"start":535.564,"end":551.641,"text":"所以以這樣的狀況他看別人這樣他怎麼敢申訴呢所以請問部長面對他們的困境只能放任這些助人者孤立無援嗎所以請部長回答我為什麼醫院內部的違法刑事眾多調查機制失靈且為不"},{"start":553.129,"end":573.3,"text":"承諾要做兩件事這去年就是全市性騷了指引原本去年113年8月應該完成第二件事你要建置性品教育的資資資的人才庫很多醫院的同仁都在等可是兩年後的現在始終沒有外部的透明的監督機制"},{"start":574.338,"end":597.322,"text":"董事長可不可以回答我這兩個這是去年我們在執行的時候就有提到的謝謝委員的提醒因為從這個不申訴的理由的分析看起來就是內部醫院的作為讓這個被騷擾者有沒有心力去我看有的是說沒有這個心力或者是申訴了也沒有用"},{"start":598.082,"end":608.588,"text":"所以那個內部的機制一定要建立起來不然就會讓這個被騷擾者心灰意冷他也不會想要去申訴部長我剛剛講你們承諾兩件事情這個程序上是這樣"},{"start":614.551,"end":628.521,"text":"这个要加强这个医院的辅导让他们知道怎么做怎么做所以这个指引的建立我们来研究看看应该去年八月就要完成的还有一个你的性平教育师之后"},{"start":628.641,"end":643.469,"text":"人才庫好像是說已經有建立了我們再確認提供給因為我認為性平事件的調查委員會必須公開名單三分之以上的外部委員性平專業資格指標化而且"},{"start":644.689,"end":661.946,"text":"處理跟後續追蹤都應該納入你獨立評鑑項目違反者應該扣分降等同時加害者的評鑑跟住院醫師的訓練資格者都應該要考慮應有相關的影響跟懲處所以部長能做得到嗎"},{"start":662.987,"end":690.26,"text":"那個目前如果有發生過被申訴是有性騷擾的他基本上就不適合做這個PGY的訓練的教師這個我們已經有宣布這件事情了已經納入了那剛剛提到這個機制啦內部的處理機制的建立那納入到這個評鑑或什麼我想這個是法律上的規定本來就應該要做的好 謝謝部長我們來這個進一步的"},{"start":692.281,"end":692.783,"text":"積極的來推動好 謝謝部長"}]}},"supported_relations":[],"relations":[]}