{"error":false,"id":["165917"],"data":{"IVOD_ID":165917,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/165917","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":"2025-11-26T12:33:17+08:00","結束時間":"2025-11-26T12:43:27+08:00","影片長度":"00:10:10","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/f5b16bee5fdcc5c11298a7f61c59a942ba7bab90aa47d9993e04db58af4320f47b4bad54927d78b35ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"楊瓊瓔","委員發言時間":"12:33:17 - 12:43:27","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_00","start":0.03096875,"end":1.71846875},{"speaker":"SPEAKER_00","start":13.51409375,"end":16.24784375},{"speaker":"SPEAKER_01","start":14.037218750000001,"end":14.239718750000002},{"speaker":"SPEAKER_01","start":16.24784375,"end":17.14221875},{"speaker":"SPEAKER_01","start":20.85471875,"end":21.512843750000002},{"speaker":"SPEAKER_00","start":22.06971875,"end":25.91721875},{"speaker":"SPEAKER_00","start":26.01846875,"end":65.62409375},{"speaker":"SPEAKER_01","start":65.75909375,"end":66.04596875},{"speaker":"SPEAKER_01","start":66.11346875000001,"end":82.04346875},{"speaker":"SPEAKER_01","start":82.46534375,"end":114.51096875},{"speaker":"SPEAKER_00","start":111.35534375,"end":119.47221875000001},{"speaker":"SPEAKER_01","start":118.94909375,"end":122.91471875},{"speaker":"SPEAKER_00","start":120.07971875000001,"end":123.84284375000001},{"speaker":"SPEAKER_00","start":124.18034375,"end":125.14221875000001},{"speaker":"SPEAKER_01","start":125.32784375000001,"end":125.71596875},{"speaker":"SPEAKER_00","start":125.71596875,"end":151.31534375},{"speaker":"SPEAKER_01","start":151.39971875,"end":151.58534375000002},{"speaker":"SPEAKER_00","start":151.63596875000002,"end":152.27721875},{"speaker":"SPEAKER_01","start":152.27721875,"end":160.17471875},{"speaker":"SPEAKER_01","start":160.39409375,"end":161.22096875},{"speaker":"SPEAKER_01","start":161.76096875000002,"end":166.89096875},{"speaker":"SPEAKER_01","start":167.48159375,"end":181.85909375},{"speaker":"SPEAKER_01","start":182.01096875000002,"end":184.84596875000003},{"speaker":"SPEAKER_00","start":183.66471875000002,"end":190.41471875000002},{"speaker":"SPEAKER_00","start":190.43159375000002,"end":190.48221875000002},{"speaker":"SPEAKER_00","start":190.83659375000002,"end":199.18971875000003},{"speaker":"SPEAKER_01","start":199.47659375,"end":201.65346875},{"speaker":"SPEAKER_00","start":200.87721875000003,"end":205.24784375000002},{"speaker":"SPEAKER_01","start":205.78784375,"end":205.93971875000003},{"speaker":"SPEAKER_00","start":205.93971875000003,"end":206.71596875},{"speaker":"SPEAKER_01","start":205.95659375000002,"end":219.50721875000002},{"speaker":"SPEAKER_00","start":217.87034375000002,"end":219.47346875000002},{"speaker":"SPEAKER_00","start":219.50721875000002,"end":224.33346875},{"speaker":"SPEAKER_00","start":224.65409375000002,"end":238.99784375000002},{"speaker":"SPEAKER_01","start":238.99784375000002,"end":247.38471875000002},{"speaker":"SPEAKER_00","start":240.31409375,"end":240.61784375000002},{"speaker":"SPEAKER_01","start":247.57034375,"end":249.98346875000001},{"speaker":"SPEAKER_00","start":248.86971875,"end":252.71721875000003},{"speaker":"SPEAKER_01","start":252.95346875,"end":256.07534375},{"speaker":"SPEAKER_00","start":253.98284375000003,"end":259.39971875000003},{"speaker":"SPEAKER_01","start":258.16784375000003,"end":262.47096875},{"speaker":"SPEAKER_00","start":261.25596875,"end":268.17471875},{"speaker":"SPEAKER_01","start":268.27596875,"end":269.00159375000004},{"speaker":"SPEAKER_01","start":269.20409375,"end":269.22096875},{"speaker":"SPEAKER_00","start":269.22096875,"end":299.00534375},{"speaker":"SPEAKER_01","start":269.47409375,"end":270.14909375},{"speaker":"SPEAKER_01","start":274.72221875,"end":275.07659375000003},{"speaker":"SPEAKER_01","start":285.40409375,"end":288.62721875},{"speaker":"SPEAKER_01","start":295.49534375,"end":295.51221875000005},{"speaker":"SPEAKER_00","start":299.42721875,"end":303.10596875000005},{"speaker":"SPEAKER_00","start":303.19034375,"end":307.74659375000005},{"speaker":"SPEAKER_00","start":308.69159375000004,"end":324.48659375},{"speaker":"SPEAKER_00","start":325.36409375,"end":334.67909375000005},{"speaker":"SPEAKER_01","start":334.56096875000003,"end":353.78159375},{"speaker":"SPEAKER_00","start":336.02909375,"end":338.00346875},{"speaker":"SPEAKER_00","start":339.30284375,"end":341.27721875000003},{"speaker":"SPEAKER_00","start":352.90409375,"end":363.94034375},{"speaker":"SPEAKER_00","start":364.90221875000003,"end":364.91909375},{"speaker":"SPEAKER_01","start":364.91909375,"end":375.21284375000005},{"speaker":"SPEAKER_00","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陽泉發言 邀請部長來 請石部長好 陽委員好"},{"start":22.533,"end":37.543,"text":"部長好 我們繼續來討論護理不足醫師分布失衡的問題因為我們知道國內的醫師跟護理人員的人力需求以及分布上是有很大的精進空間"},{"start":38.784,"end":65.392,"text":"那我們又看到目前我們有license的護理師大概有31萬人但是我們只有19萬人來執業那麼真正在醫院裡頭執業的是只有12萬人所以在這樣的情況之下本席要請教護理師人員一直不足的原因那到底我們衛護部要怎麼去做請做說明"},{"start":66.432,"end":91.494,"text":"當然這個謝謝委員的關切那我們在改善就是像您說的就這個我們今年的護理人力已經比去年大概增加大概4900多位那跟回到這個疫情前的水準差不多但是他的分佈跟以前不一樣以前新增的護理人力呢大概七八成都會留在醫院現在大概只有一半留上醫院有一半留上醫院以外"},{"start":92.054,"end":118.803,"text":"那當然這一方面是外面的這個多元就業的關係長照系統發展但是這個醫院的辛勞度是比較高所以如何去改善這個他們的這個職業環境友善的護理職業環境就是我們最重要的目標你從頭到尾一直點出真正的原因竟然知道原因應該要有應對"},{"start":120.163,"end":133.859,"text":"就是工時長就是薪資低就是壓力高啊這個公安差請假困難職場環境惡劣等等等部長你還不是部長的時候你就很清楚這個問題"},{"start":135.1,"end":150.817,"text":"你現在是部長你更清楚這些問題所以到底您跟勞動部我們到底要怎麼樣跨部會有這個機制去做因為一直講一直講不是辦法你必須要解決有應對的策略出來"},{"start":151.918,"end":166.674,"text":"請就說明第一個當然從這個津貼我們有這個夜班津貼然後有這個三班護病筆另外呢把這個它的loading它的負荷要下降所以我們推動這個住院的"},{"start":167.735,"end":183.262,"text":"那個叫做整合照護整合照護就是有照服員來協助護理降低這個護理的負荷那以今年來講我們是編了5.6億他反應很不錯那明年我們會增加到25億總統先生說三班互併筆要入法"},{"start":190.985,"end":205.038,"text":"之前的邱部長告訴我說在任內會完成他努力朝這個方向請教部長你的立場呢我跟他的立場一樣你跟他的立場一樣那三班戶並比你們現在的進度呢"},{"start":205.999,"end":223.93,"text":"要入法你現在的進度呢我們現在以我們今年跟去年來相比因為我們這個三班互併筆的獎勵去年才開始那今年跟去年相比已經有改善本質是請教你總統先生是說三班互併筆要入法"},{"start":224.77,"end":252.498,"text":"那邱部長說他朝這個方向去努力而且他信誓旦旦說在這個任內會完成所以本期請教你三班互併筆的修法你的立場 路法 你的立場是什麼我們朝這個方向努力那你的現在的進度呢現在我們的達標率三班互併筆的達標率大概差不多在六七成了請教你路法 你的法現在的進度如何"},{"start":253.084,"end":267.968,"text":"還沒有還沒有我們現在還沒有還沒有總統先生已經到現在已經要多少一年多的時間我們用獎勵的措施部長請針對本席的提問三班護病比修法的進度到現在是還沒有的是不是"},{"start":268.348,"end":287.595,"text":"我們先到現在還沒有草案出來是不是我們還在研議當中難怪外界說根本是口說說沒有進度本席具體建立你必須要實際行動的進度本席不希望跳票你剛才說的你跟邱副長一樣希望"},{"start":288.915,"end":307.396,"text":"這個方向嘛好 這個你必須要有進度你們現在採取的獎勵制度請問現在大家外界說的有的護理師拿不到有的被苛扣下去本席在剛開始的時候我就告訴邱部長"},{"start":308.772,"end":324.144,"text":"你現在還沒有入法的時候你要怎麼樣措施你們提出行政部門提出獎勵措施我們勉為其難的接受暫時性的方案來協助我們的護理師所以到現在為止"},{"start":325.461,"end":345.599,"text":"沒有辦法 本行一直建議必須要將這一筆款項是真正的用在我們的護理師的身上那現在呢我們的原則也是這樣原則是這樣 結果呢在護理師身上那結果呢 也沒有被克扣拿到這筆錢呢 一定是達標了他有達到護病筆才能夠拿到這一筆錢"},{"start":346.46,"end":363.543,"text":"所以事實上就是要用護理會留下來會增加才可能達標啊所以用這個講解的方式你這個說法裡面矛盾重重你沒回答本席的提問到底有沒有你這個款項下去被扣掉沒有到我們的護理師"},{"start":365.467,"end":384.186,"text":"有反應到沒有拿到的 我們就下去查就要求 查的結果怎麼樣呢有有有 查的怎麼樣我們再把查的結果給委員參考有沒有這不法 沒有給我們的護理師被克扣起來有用在別的不符合我們要求的用途的那我們就要求他改正"},{"start":385.168,"end":392.075,"text":"你要求要改正所以這個是事實存在嘛難怪護理師認為我勉為其難我願意繼續努力配合結果你們所謂的獎勵還是有被克扣本期具體要求不能再有這個現象本期具體要求不能再有這個現象我們也是這個立場"},{"start":406.308,"end":428.033,"text":"你們在這個立場你們更應該要落實啊對不對所以您剛剛說的我們還沒有入法你們也還沒有動作你現在用獎勵有這樣情況你一定要去查證不能不能在這現象所以你們開了一個假日清急症中心來當解方用加開"},{"start":429.153,"end":456.469,"text":"那個跟這個護理的是另外一回事另外一回事本是告訴你你覺得現在呢你這個解放你這個加開可以去解決這個問題嗎如果你的分級制度大家沒有去宣導沒有去觀念你可以解決這個問題嗎我們人民他一旦他的就醫的這個方法目前為止他有他的觀念在就醫你沒有改變他的觀念你加開這個"},{"start":458.73,"end":478.584,"text":"是解方嗎 他的成效是如何所以要加強這個觀念的改變不要輕症都到這個醫學中心第一個必須要加強第二個 你的真正原因還是在你的人力跟薪資問題你要怎麼樣有足夠的人你要怎麼樣有足夠的薪資來做"},{"start":480.405,"end":509.453,"text":"他們願意繼續留下來31萬人有license只有19萬人在只有19萬人在職業同時在醫院的只有12萬人你剛剛自己也說的醫院的困難很多那你要怎麼樣去解決你加開了這個UCC到底你的成效效能會如何本校請問的是這個你如果能力你如果薪資沒有辦法福底抽薪去解決"},{"start":510.333,"end":537.288,"text":"那你再加开任何的事项这个成效会达标吗我们多管齐下啦我们有12项的护理策略在推动部长您提出的方案你必须要去检视会您的回答你多管齐下本需要齐问的这两项议题第一个不能再挪用第二个你的路法到现在草案都还没有你什么时候会提出来"},{"start":537.915,"end":542.219,"text":"你什麼時候 總統喔 你要聽總統喔他說他的任命要完成喔你什麼時候預計三班互併筆的入法草案會提出來請告訴我一個時間點你持續的在研議什麼時候要提出"},{"start":554.071,"end":566.998,"text":"我們會按照實際的推動的情形來請問實際的推動情形是什麼時候會有你的草案出來我們護理是要問的是這個你告訴我時間點我們會持續的去討論你的持續總統說他任內要完成耶現在快過一半你連草案都還沒有啟動耶"},{"start":577.267,"end":594.596,"text":"我們討論持續的在穩定的修正請問你會不會把三班互併比的入法法案提出來朝這個方向啦朝這個方向什麼時候會提目前還沒有時間表已經過快要目前還沒有時間表我想全國的護理師都聽到"},{"start":596.363,"end":605.009,"text":"都聽到但是我們實際上已經在提升了三半戶病比的三半戶病比的路法希望您要有進度會有進度謝謝"}]}},"supported_relations":[],"relations":[]}