{"error":false,"id":["166002"],"data":{"IVOD_ID":166002,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/166002","日期":"2025-11-28","會議資料":{"會議代碼":"院會-11-4-11","會議代碼:str":"第11屆第4會期第11次會議","屆":11,"會期":4,"會次":11,"臨時會會次":null,"種類":"院會","標題":"第11屆第4會期第11次會議"},"影片種類":"Clip","開始時間":"2025-11-28T15:19:10+08:00","結束時間":"2025-11-28T15:34:51+08:00","影片長度":"00:15:41","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/e90c42a9ce79e38a46c93f0218c786a267ac07857f1cd0c5a04f4f09a3c71eaff88d0086199a8d6a5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"黃建賓","委員發言時間":"15:19:10 - 15:34:51","會議時間":"2025-11-28T09:00:00+08:00","會議名稱":"第11屆第4會期第11次會議（事由：一、對行政院院長施政報告繼續質詢。（11月28日）二、討論事項：本院財政、內政、經濟、交通、社會福利及衛生環境五委員會報告審查行政院函請審議「中央政府花蓮馬太鞍溪堰塞湖災後重建特別預算案」案等9案。（12月2日）三、11月28日上午9時至10時為國是論壇時間。）","transcript":{"pyannote":[{"speaker":"SPEAKER_00","start":0.03096875,"end":2.95034375},{"speaker":"SPEAKER_01","start":17.10846875,"end":20.399093750000002},{"speaker":"SPEAKER_00","start":20.820968750000002,"end":22.57596875},{"speaker":"SPEAKER_01","start":31.890968750000003,"end":32.59971875},{"speaker":"SPEAKER_01","start":32.970968750000004,"end":35.603468750000005},{"speaker":"SPEAKER_01","start":36.227843750000005,"end":36.68346875},{"speaker":"SPEAKER_01","start":37.12221875,"end":42.08346875},{"speaker":"SPEAKER_00","start":40.244093750000005,"end":41.087843750000005},{"speaker":"SPEAKER_01","start":48.61409375,"end":51.398468750000006},{"speaker":"SPEAKER_01","start":51.80346875,"end":54.284093750000004},{"speaker":"SPEAKER_01","start":54.62159375,"end":56.14034375000001},{"speaker":"SPEAKER_01","start":56.71409375,"end":57.38909375},{"speaker":"SPEAKER_01","start":57.82784375000001,"end":61.658468750000004},{"speaker":"SPEAKER_01","start":62.11409375,"end":64.54409375},{"speaker":"SPEAKER_01","start":64.88159375000001,"end":69.80909375},{"speaker":"SPEAKER_01","start":70.01159375,"end":79.57971875},{"speaker":"SPEAKER_01","start":80.03534375000001,"end":82.93784375},{"speaker":"SPEAKER_01","start":83.22471875000001,"end":84.38909375},{"speaker":"SPEAKER_01","start":84.59159375,"end":88.05096875000001},{"speaker":"SPEAKER_01","start":88.20284375,"end":93.07971875000001},{"speaker":"SPEAKER_01","start":93.33284375000001,"end":115.64159375000001},{"speaker":"SPEAKER_01","start":116.08034375000001,"end":120.02909375},{"speaker":"SPEAKER_01","start":120.40034375,"end":125.36159375000001},{"speaker":"SPEAKER_01","start":125.78346875000001,"end":128.02784375000002},{"speaker":"SPEAKER_01","start":128.33159375,"end":131.23409375},{"speaker":"SPEAKER_01","start":131.89221875,"end":137.62971875},{"speaker":"SPEAKER_00","start":137.79846875,"end":147.80534375000002},{"speaker":"SPEAKER_00","start":148.02471875,"end":152.80034375},{"speaker":"SPEAKER_00","start":152.95221875000001,"end":161.69346875000002},{"speaker":"SPEAKER_01","start":161.74409375000002,"end":168.12284375000002},{"speaker":"SPEAKER_01","start":168.35909375,"end":174.61971875},{"speaker":"SPEAKER_01","start":175.04159375,"end":182.14596875},{"speaker":"SPEAKER_01","start":182.16284375,"end":189.13221875000002},{"speaker":"SPEAKER_01","start":189.58784375000002,"end":195.30846875},{"speaker":"SPEAKER_01","start":196.03409375,"end":196.89471875},{"speaker":"SPEAKER_01","start":197.11409375000002,"end":202.71659375000002},{"speaker":"SPEAKER_01","start":202.91909375,"end":203.59409375},{"speaker":"SPEAKER_01","start":204.11721875,"end":206.85096875000002},{"speaker":"SPEAKER_01","start":207.10409375,"end":209.46659375000002},{"speaker":"SPEAKER_01","start":209.82096875000002,"end":211.89659375000002},{"speaker":"SPEAKER_01","start":212.20034375,"end":212.85846875000001},{"speaker":"SPEAKER_01","start":213.17909375000002,"end":214.27596875},{"speaker":"SPEAKER_01","start":214.76534375,"end":217.44846875000002},{"speaker":"SPEAKER_01","start":217.48221875000002,"end":221.05971875},{"speaker":"SPEAKER_01","start":221.29596875000001,"end":224.11409375000002},{"speaker":"SPEAKER_01","start":224.18159375000002,"end":228.80534375000002},{"speaker":"SPEAKER_01","start":228.95721875,"end":233.86784375000002},{"speaker":"SPEAKER_01","start":234.25596875000002,"end":242.22096875000003},{"speaker":"SPEAKER_01","start":242.71034375000002,"end":246.28784375},{"speaker":"SPEAKER_01","start":246.67596875,"end":254.97846875000002},{"speaker":"SPEAKER_01","start":255.28221875000003,"end":264.69846875},{"speaker":"SPEAKER_00","start":262.99409375,"end":263.44971875000005},{"speaker":"SPEAKER_00","start":264.32721875000004,"end":287.54721875},{"speaker":"SPEAKER_01","start":286.70346875,"end":294.39846875},{"speaker":"SPEAKER_00","start":294.21284375000005,"end":315.74534375},{"speaker":"SPEAKER_01","start":316.03221875,"end":327.22034375000004},{"speaker":"SPEAKER_01","start":327.76034375,"end":332.46846875},{"speaker":"SPEAKER_01","start":332.68784375,"end":335.18534375},{"speaker":"SPEAKER_01","start":335.59034375000005,"end":338.12159375000005},{"speaker":"SPEAKER_01","start":338.72909375,"end":341.20971875000004},{"speaker":"SPEAKER_01","start":341.73284375000003,"end":342.07034375},{"speaker":"SPEAKER_01","start":342.40784375000004,"end":349.74846875000003},{"speaker":"SPEAKER_01","start":349.98471875,"end":355.06409375000004},{"speaker":"SPEAKER_01","start":355.16534375000003,"end":388.78034375000004},{"speaker":"SPEAKER_01","start":388.88159375000004,"end":393.31971875000005},{"speaker":"SPEAKER_01","start":393.58971875000003,"end":396.69471875000005},{"speaker":"SPEAKER_01","start":396.89721875000004,"end":411.56159375000004},{"speaker":"SPEAKER_00","start":411.91596875000005,"end":442.89846875},{"speaker":"SPEAKER_01","start":430.09034375000005,"end":430.52909375},{"speaker":"SPEAKER_01","start":442.99971875000006,"end":449.53034375000004},{"speaker":"SPEAKER_01","start":453.07409375000003,"end":453.81659375000004},{"speaker":"SPEAKER_02","start":460.46534375000005,"end":461.00534375},{"speaker":"SPEAKER_01","start":462.77721875000003,"end":463.68846875},{"speaker":"SPEAKER_01","start":464.22846875000005,"end":469.07159375000003},{"speaker":"SPEAKER_02","start":466.25346875,"end":466.62471875000006},{"speaker":"SPEAKER_01","start":469.34159375,"end":470.55659375000005},{"speaker":"SPEAKER_01","start":470.84346875000006,"end":473.44221875000005},{"speaker":"SPEAKER_01","start":473.61096875000004,"end":479.65221875000003},{"speaker":"SPEAKER_01","start":480.37784375,"end":497.21909375},{"speaker":"SPEAKER_02","start":487.39784375000005,"end":487.51596875},{"speaker":"SPEAKER_02","start":487.66784375000003,"end":487.92096875000004},{"speaker":"SPEAKER_01","start":497.50596875,"end":498.95721875000004},{"speaker":"SPEAKER_01","start":499.56471875000005,"end":504.07034375},{"speaker":"SPEAKER_01","start":504.23909375000005,"end":507.73221875},{"speaker":"SPEAKER_01","start":507.98534375,"end":511.02284375000005},{"speaker":"SPEAKER_01","start":511.34346875000006,"end":518.3972187500001},{"speaker":"SPEAKER_01","start":518.86971875,"end":523.7634687500001},{"speaker":"SPEAKER_02","start":523.7634687500001,"end":574.47284375},{"speaker":"SPEAKER_00","start":550.0209687500001,"end":550.3247187500001},{"speaker":"SPEAKER_01","start":569.8828437500001,"end":569.96721875},{"speaker":"SPEAKER_02","start":574.72596875,"end":596.4609687500001},{"speaker":"SPEAKER_00","start":577.84784375,"end":578.26971875},{"speaker":"SPEAKER_00","start":586.8928437500001,"end":587.21346875},{"speaker":"SPEAKER_01","start":596.25846875,"end":603.3290937500001},{"speaker":"SPEAKER_01","start":603.44721875,"end":607.3959687500001},{"speaker":"SPEAKER_01","start":607.76721875,"end":616.9978437500001},{"speaker":"SPEAKER_01","start":617.4028437500001,"end":632.7084687500001},{"speaker":"SPEAKER_01","start":632.9953437500001,"end":643.06971875},{"speaker":"SPEAKER_01","start":643.64346875,"end":649.29659375},{"speaker":"SPEAKER_01","start":649.4990937499999,"end":651.91221875},{"speaker":"SPEAKER_01","start":652.1653437500001,"end":657.70034375},{"speaker":"SPEAKER_01","start":657.7509687500001,"end":663.5222187500001},{"speaker":"SPEAKER_01","start":663.89346875,"end":672.87096875},{"speaker":"SPEAKER_01","start":673.1240937500002,"end":678.54096875},{"speaker":"SPEAKER_01","start":678.91221875,"end":679.46909375},{"speaker":"SPEAKER_01","start":679.9922187500001,"end":687.65346875},{"speaker":"SPEAKER_02","start":685.25721875,"end":686.1684687500001},{"speaker":"SPEAKER_02","start":686.55659375,"end":686.5903437500001},{"speaker":"SPEAKER_02","start":687.65346875,"end":705.8784687500001},{"speaker":"SPEAKER_02","start":706.67159375,"end":717.5222187500001},{"speaker":"SPEAKER_00","start":709.9453437500001,"end":709.97909375},{"speaker":"SPEAKER_01","start":709.97909375,"end":710.70471875},{"speaker":"SPEAKER_01","start":717.60659375,"end":721.7409687500001},{"speaker":"SPEAKER_02","start":721.4878437500001,"end":721.94346875},{"speaker":"SPEAKER_01","start":722.0615937500002,"end":726.01034375},{"speaker":"SPEAKER_01","start":726.3815937500001,"end":727.32659375},{"speaker":"SPEAKER_01","start":727.71471875,"end":729.67221875},{"speaker":"SPEAKER_01","start":729.9253437500001,"end":731.24159375},{"speaker":"SPEAKER_01","start":731.6128437500001,"end":742.2947187500001},{"speaker":"SPEAKER_01","start":742.8515937500001,"end":745.87221875},{"speaker":"SPEAKER_01","start":746.26034375,"end":750.9853437500001},{"speaker":"SPEAKER_01","start":751.5590937500001,"end":757.4484687500001},{"speaker":"SPEAKER_01","start":757.71846875,"end":764.4853437500001},{"speaker":"SPEAKER_01","start":764.72159375,"end":772.5515937499999},{"speaker":"SPEAKER_01","start":772.9565937500001,"end":777.2934687500001},{"speaker":"SPEAKER_01","start":777.63096875,"end":797.3915937500001},{"speaker":"SPEAKER_01","start":797.8472187500001,"end":801.67784375},{"speaker":"SPEAKER_01","start":802.09971875,"end":826.14659375},{"speaker":"SPEAKER_01","start":826.5009687500001,"end":852.8259687500001},{"speaker":"SPEAKER_02","start":852.8259687500001,"end":890.57534375},{"speaker":"SPEAKER_02","start":890.7947187500001,"end":892.2122187500001},{"speaker":"SPEAKER_02","start":892.4484687500001,"end":935.3447187500001},{"speaker":"SPEAKER_00","start":921.40596875,"end":921.8447187500001},{"speaker":"SPEAKER_01","start":933.21846875,"end":938.1459687500001},{"speaker":"SPEAKER_02","start":940.0022187500001,"end":941.74034375},{"speaker":"SPEAKER_02","start":941.9428437500001,"end":941.9765937500001}],"whisperx":[{"start":1.29,"end":21.927,"text":"請黃建斌委員請質詢謝謝院長 我們有請我們卓院長還有進步棚部長麻煩再請卓院長備詢"},{"start":32.206,"end":49.822,"text":"黃偉豪那個那個彭部長 彭部長也是勞動部長還是 環境部部長 環境部部長 環境部部長 環境部部長 環境部部長 環境部部長 環境部部長 環境部部長 環境部部長部長好 剛剛那個"},{"start":52.363,"end":69.214,"text":"經過閩南御師的質詢我都歡迎他過來我想兩位都記得有關風電業者要在台東設立陸域發電的案子在美麗的海岸線要插滿大型的風機引發地方強烈的反彈"},{"start":70.094,"end":85.425,"text":"那本席跟台東縣政府還有地方自救會也不斷地跟我們中央來表達台東人的心聲就是我們堅決反對風電破壞台東海岸線跟居民的生活環境那本席也多次的這個質詢跟舉行會議要求我們中央必須要表態"},{"start":86.045,"end":112.583,"text":"就是阻止風電的開發那後來也獲得我們經濟部跟環境部的承諾彭部長你本人也親口說嘛就是不鼓勵也不支持台東的這個陸域風電的開發案那今年九月的時候本期跟吳宗憲委員在共同這個要求下也督促我們經濟部跟環境部把反對風電的這個意見告知風電業者台亞風能那這件事情也被報紙以頭版頭條報導引發我們國人共同的關注"},{"start":116.005,"end":137.019,"text":"不過很遺憾的是 我們環境部的官員在接受媒體訪問的時候他又說這是因立委要求 喊轉 並非環境部的立場這個讓台東很多鄉親都很納悶說現在環境部不然再叫下去是有需要什麼安排嗎所以是不是請部長來正面來回應關於這件事情 我們環境部的態度究竟是怎麼樣 部長"},{"start":138.018,"end":160.251,"text":"報告委員 這個風電特別是陸域風機它如果距離民眾生活很近的確會造成很大的影響甚至警官的危害所以我的立場一樣不鼓勵不支持但是這個案子因為我們國家是一個多元民主的社會業者想要開發他有他的權利可是我們有審查的一個權利所以委員的建議我們就照委員的這個建議發函給這個業者讓他們來知道"},{"start":162.032,"end":189.004,"text":"謝謝部長你算很正面的回應態度表達很明確我想邀請環境部務必要堅定立場那堅決反對這個封店的開發案破壞我們台東美麗的環境那就是剛剛提到部長提到這個法規的部分這部分也是要跟部長來請教就是說依照我們現行的法規我們業者他完成相關的程序之後他就可以來送環評的審查對吧那我們環境部也必須依法受理"},{"start":189.639,"end":214.141,"text":"那民眾如果真的再次有抗議他只能去環評會議陳述意見表達他不同的意見嘛但是問題就是說如果台東的這個風電開發案地方已經明確的表達反對那風電業者還是持續的送案這個會造成什麼問題就是民眾一直在抗議一直在抗議一直在抗議他也不但而且他會造成我們民眾對政府的信任"},{"start":214.781,"end":233.258,"text":"因為他在講說 啊就不愛了 為什麼你還要信他所以本市認為說我們環境部是不是要檢討現行的這個法規的制度如果開發單位他舉行的公聽會議或是我們地方政府跟民意已經明確的共識就是反對開發案的時候中央組織機關是不是適時來介入阻止業者一再的送案闖關"},{"start":234.339,"end":262.075,"text":"第一個我們可以避免民眾疲於奔命第二個我們不需要透過抗議的方式來表達那也讓開發商你可以真正的坐下來跟在地的民眾來溝通嘛我想 而不是說用私下說服的方式或是不斷地說服的方式企圖來闖關所以這件事 院長 我就來承諾一下請環境部在一個月以內完成相關法案的檢討讓民眾不要再擔心缺乏共識的這個開發案會不斷地威脅著家園企業"},{"start":265.577,"end":286.013,"text":"其實這個部分經濟部他如果要送這個開發到我們這邊來的時候他一定要目的實業機關當地主管機關特別是縣市政府的同意才可以所以當地縣市政府如果真的表態不同意他當然就沒有辦法送過來所以目前我們有要求經濟部在未來在送的時候一定要考量地區的一個民意才能夠送過來"},{"start":286.933,"end":315.744,"text":"謝謝市長今天正面的回應其實很多鄉親都很擔心他只要說我明天看到新聞又要開始他會擔心不過也趁這個機會也請委員就是台東或是各地方有這個疑慮的鄉親因為我們環境部的環評是有一定的規範的也不用來事實上我們也透過線上或各方面我們會都要求這個開發單位一定要確實的回答所以請委員不要讓我們鄉親跑那麼遠的地方直接遠端的或是打電話進來都可以沒有問題的"},{"start":316.344,"end":340.718,"text":"謝謝部長非常正面回應那接下來我再跟部長跟院長來討論就是關於台東另外一個環境的問題就是風飛沙的議題那有一種藍叫做台東藍它是由蔚藍的天空湛藍的海岸線所組成這是專屬於我們台東的一個色彩但現在冬季的這個風飛沙卻讓台東變成灰濛濛的一片我們看在上面像拍電影一樣沙塵暴的感覺"},{"start":341.826,"end":371.246,"text":"那院長我們本期之前在質詢經濟部長的時候有提到台東風飛沙的這個改善經費的問題那也謝謝院長當時交辦經濟部盡快完成這個改善的工程但是剛好質詢不久之後鳳凰颱風又來了又造成另外一個風飛沙更加嚴重那根據目前環境部提供給台東縣政府這個陽城房子的經費一年大概只有625萬經費非常的有限完全不夠"},{"start":372.046,"end":387.441,"text":"那過去颱風大概集中在8月、9月、10月那所以義式風飛沙的工程通常它的這個水覆蓋工程通常是在10月底來執行那但是因為受到這個極端氣候影響11月份的颱風越來越頻繁的發生導致我們這個改善的工程"},{"start":387.921,"end":410.896,"text":"他做到一半就可能會被因為風災的關係摧毀掉那經費也不斷的追加因此在這邊我要請卓院長也責成我們環境部必須檢討目前我們補助台東風飛沙這個改善經費如果地方真的有這個需求必須全力來支援我們讓我們一起守護我們台東美麗的美景那這個也更守護我們台東鄉親的健康請院長回應"},{"start":412.364,"end":431.624,"text":"這個請部長謝謝委員這個部分因為我們過去在濁水溪的陽城很有成效濁水溪過去都是有時候吃飯要配沙子的那現在已經沒有這個現象那這個因為今年的幾次特別是這兩年東部有很多極端的天災造成這個沙子新的掩蓋的現象甚至未來花蓮光復也可能有這樣的情況"},{"start":432.225,"end":460.827,"text":"所以委員的這個交代我們會請我們大氣師來去重新一個規劃因為這個需要一點長期作戰會一兩年的時間我們會來規劃會來全力的支援台東的鄉親好 謝謝部長的回應那先請部長先學習我現在要請教這個衛福部的石崇良部長衛福部長好 黃議員好"},{"start":462.813,"end":482.933,"text":"副總長好久不見上次我們見面的時候是在大樓鄉本席來擔任鄉長的時候我們那時候在為24小時醫療緊急醫療的政策在推動雖然我們現在都在各自不同的領域身份也改變不過我相信我們目標都不變就是為我們台東的醫療來做盡一份的心力"},{"start":483.573,"end":498.56,"text":"那部長剛才很熟悉台東南回有一個超人醫師徐超斌他一生就是致力於改善我們偏鄉的這個醫療也發願要蓋這個南回醫院那很遺憾他在今年九月份的時候因病離世那台東鄉親非常的不捨"},{"start":499.6,"end":517.996,"text":"那部長您在徐醫師離開的時候曾經說過說政府會繼續努力提升我們偏鄉的醫療不會讓徐醫師失望那更提到說要增進南回醫療的可敬性那據理部長說這一句話的時間已經過兩個多月本席想要請教那衛福部對南醫院的態度是什麼"},{"start":518.959,"end":534.129,"text":"那提升南回醫療的具體作為又是什麼是請部長回應跟委員說明在南回段這一段我們當時候大家共同推動的就是讓這個原本的大午香衛生所能夠移植然後把它擴大"},{"start":534.949,"end":563.467,"text":"同時跟24小時的緊急醫療中心去結合然後再導入醫學中心的服務現在有高一的團隊進駐同時也有馬街 其他來協助同時也導入數位化的醫療有遠距的協助智慧照顧都導入了現在也有復健的服務進駐到這個地方所以就是把當地民眾依照民眾的需要我們持續的去挹注"},{"start":564.387,"end":583.382,"text":"當然這個地區接下來現在要努力去推動的大概就是居家醫療的部分因為這個距離比較遙遠的關係如果能夠在地得到照顧在家得到服務是最好所以我們也有在規劃那麼這個跟基金會"},{"start":584.863,"end":602.435,"text":"這個徐超斌的這個南回基金會也在討論那麼一個方案那麼特別把這個居家還有居家透析居家醫療的服務看看未來能不能做一個示範的案子部長很清楚整個南回地區醫療中心很了解偏鄉醫療的情況其實部長剛有提到就居家醫療"},{"start":603.616,"end":630.936,"text":"畢竟本席出生在大武鄉的天鄉所以非常清楚就是除了醫院以外更重要就是要有醫護人員人要有重點根據統計台東縣每平方公里的醫師人數是0.1個人就是全台灣最多台灣最低的那大部分的醫師又集中在台東市區這個也就是為什麼南回會不斷的要推動在在醫療這件事情就是讓醫生可以主動到病患的所在地來看診減少這個距離"},{"start":633.078,"end":656.469,"text":"那降低病患的這個就醫的成本跟負擔那我想這個就是提高就醫可進行的這個具體方式那在實務上推動偏鄉醫療在在宅醫療部分還要面對很多的問題本期在這邊提出四點的建議希望衛福部來研議第一個就是說我們擴大在宅醫療的給付誘因帶動更多醫療運作與醫護人員投入偏鄉這個醫療"},{"start":658.09,"end":679.025,"text":"第一個就是我們補助偏鄉的醫材然後降低我們基層診所還有醫護人員的負擔第三個是擴大在宅醫療受案的範圍我們照顧更多慢性疾病還有感染症的這些患者第一個就是我們借鑒我們系統資料平台降低我們第一線的醫護人員的行政負擔"},{"start":680.887,"end":704.363,"text":"那針對以上的四點我想請部長回應是不是可以來研議來推動並且在兩週內提供委員報告到北溪辦公室好 跟委員報告這四點都已經納入我們明年的工作項目裡面包含這個在宅醫療的受案範圍的擴大這個已經明年應該就會上路的那另外那個資訊平台我們明年有個在宅醫療資訊平台的科技計畫也就是希望把這個資料借接讓這個"},{"start":707.044,"end":730.377,"text":"長照的資料跟醫療的資料也能夠merge在一起這個都在做那另外幾戶的誘因我們也會檢討所以這個方向上完全跟委員的建議是一致的那現在馬洪部長在兩週內將這份報告也收到我們本席辦公室那接下來我們就是要幫我們台東的醫療醫護人員來請命就是說對平常來講怎麼樣把人留住是很關鍵的問題"},{"start":731.698,"end":756.845,"text":"留住我們的醫護人員就是守護偏鄉醫療最重要的關鍵根據統計我們疫情後我國的這個醫護人員空缺率由5%上升到7%那離職率從10%升到12%我們台東縣的勞縣長先前宣布說台東市衛生所的醫護人員要升等加薪我們就是希望說能夠由政府帶頭提高醫護人員留在偏鄉服務的意願"},{"start":757.825,"end":771.805,"text":"那在中央部分我們目前健保署有宣布要調高這個內外負額急重症的這個給付這個是針對我們手術複雜度還有嚴重度比較高的這個急難重症的項目對不對要給我們比較高的這個點子"},{"start":773.027,"end":797.229,"text":"可是對於偏鄉的醫護人員來說這個幫助很有限為什麼因為我們偏鄉醫療院所接觸到多數的病患跟西部啊市區大型的醫院是不同的所以我們政府不能只考慮到說醫療措施這個難易度來提高他的健保點子你應該針對這些偏遠地區提供更多的資源來提升這些醫護人員的待遇我想這樣才會再留下他們的誘因"},{"start":797.935,"end":825.298,"text":"那本席在這邊也提出三點具體的要求第一個我們提升偏遠醫護的這個佳績我們透過公務預算健保津貼提高偏遠公立醫院所醫事人員的薪資改善我們的宿舍環境降低留定率第二個就是我們擴大偏鄉公立醫院的這個人員編制由政府帶頭我們提升公立醫院所需要這個護理人員的數量尤其是我們台東這個部東醫院我們減輕我們第一線人員這個負擔"},{"start":826.579,"end":852.564,"text":"第三個衛福部應該增加東部醫護座談跟研討會並且開放線上會議因為有不少醫護都反應說衛福部舉辦的這些研討會、座談會常常沒有東部的場次不然就是沒有辦法參與線上的會議影響到我們這些醫護人員發表意見跟參與的權益這部分也請衛福部這邊來檢討以上請部長回應並一樣在兩週內提供一份報告到本席辦公室"},{"start":853.204,"end":867.292,"text":"跟委員說明一下我們這個健保總額分六區那麼花東是一區花東區的這個點子都超過1.1塊錢所以我們都有保障他的雖然他人口在減少但是我們都保障住我們有一個風險移撥款"},{"start":868.873,"end":895.194,"text":"來讓他不會因為人口相對於其他的區下降的關係而讓他的總額縮小所以他目前的前三季的點子都是超過1.1塊錢的然後我們在偏鄉的部分我們還有額外的專款去挹注有所謂的燈塔型醫院的保障在東部有很多都是在這類型的另外怎麼樣讓家籍我們剛剛說了很多的家層"},{"start":895.754,"end":920.564,"text":"到這個醫護人員的身上是現在我們在調整支付標準的時候都要求像IDS進去的時候我們都要求一定的比例是要給這個醫護人員的那至於說剛剛提到的公立醫院的編制也好或者是未來在一些會議上來開放這個線上讓他們參與那我們回去會盡量都朝這個方向以後讓這個因為有些教育學分什麼"},{"start":921.164,"end":941.533,"text":"他們要累積這個教育學分一趟路要到台北來我們盡量一些至少是我們部所委託的都讓他開放這個線上可以來參與減少他們這個交通上的方便謝謝部長部長非常了解台東的情況那我們一起來努力好 謝謝黃建斌委員"}]}},"supported_relations":[],"relations":[]}