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有請石部長請石崇良部長"},{"start":11.584,"end":32.901,"text":"陳委員早部長早 部長國家醫療科技中心這個對於整個國家醫療發展有舉足輕重的這個地位我希望能夠用獨立還有足夠的專業這個量能來做一個這個為前提來進行因為現在的新藥跟新科技的這個評估聚焦在財務衝擊完全忽略了社會價值"},{"start":36.164,"end":54.389,"text":"病人的觀點還有長期的效益部長因為我在裡面多年了請問部長未來這個中心我有四個問題直接請教你請你正面簡要的回答第一個未來這個中心在組織跟決策的設計上你如何確保他不成為健保署的小弟小妹跟這個附屬"},{"start":56.589,"end":77.382,"text":"跟委員說明這個本身他就是一個獨立的行政法人所以他有他自己的組織法所以我們才會送出這個行政法人的國家醫療科技評估在場很多人重視的也許是硬體結構但我非常清楚軟體的運作的才是真正的核心所以我希望你記得這一點他不能成為健保署"},{"start":78.543,"end":107.318,"text":"小弟小妹或下屬不會他是未來的業務你不要告訴他我現在只有兩億元你就就兩億元去做評估這個我看多了聽多了這個見聞多了部長這是第一個好你要保證不讓這種事發生未來他們這個負責評估之後再送給健保我請教你你這個佈置人力你的專業配置的是如何來處理的你的初步簡單的說法就是你這個背景這個中心嗎對這個中心我們初步的目標是現在大概是在80多位"},{"start":108.058,"end":132.277,"text":"就是說你的專家成員的背景專家對 您是否有健康經濟 藥物經濟學統計跟資料分析的這個背景有有有 會 都要含納這些那我要知道有相當的比率好那我再請教你一件事請問健保署的專家的代表可不可以同時也是這個做這個醫療科技評估的代表可不可以 有沒有利益衝突可不可以擔任"},{"start":133.291,"end":162.511,"text":"就是我們在健保裡面他一方面做評估一方面他又要來核價來准許你認為可以嗎你認為可以嗎最終他會不一樣一邊的話是屬於這個在討論這個科技部長你就直接檢驗回答我我太懂了我在裡面30年他會處理的是可以嗎從科學的角度去看他可以重疊嗎他們做一套一條龍一條邊把它做完討好健保署討好衛福部"},{"start":163.371,"end":179.75,"text":"那另外在健保的部分呢它是它有這個所謂的共理會議來決定這個要不要給付那至於議價的部分是由健保署我一直希望你透明化連法庭直播都透明化了我一直希望你透明化有進度"},{"start":181.28,"end":186.383,"text":"有相當的時程知道說進度到什麼地方做得到嗎這個科技中心做得到嗎我們現在在醫材的部分的進度都在藥品我跟你談了兩年藥品的話在這個月也會上線這四個問題請你記得我對國家科技中心我要求的是軟體運作的核心不是只有硬體的架構部長有關於兒家屬的成立"},{"start":204.935,"end":225.114,"text":"但是兒家屬他這個兒校保護有涉及這個性剝削防治還有這個涉及到這個好幾個部門教育部是負責校園通報法務部是司法介入NCC是網路管理那需要整合的部會啊那你這個兒家屬他是三級單位成績不夠啊請問你要如何讓他能夠進行跨部會的一個溝通跟協調呢因為從凱凱案"},{"start":228.917,"end":248.888,"text":"我們看到不良的橫向溝通造成這樣的悲劇所以我希望你能夠記取這個教訓那你如何讓這個三級單位能夠做到跨部會的協調呢我想這個跨部會很多的業務都有跨部會的問題都是一樣要就是你要怎麼做呢那另外一個我們有個平台"},{"start":249.568,"end":259.501,"text":"在行政院還有一個兒少福利及權益的小組你就是要做跨部會的我們先不要管其他部門機構衛福部新成立的主持怎麼來進行跨部會的處理因為它只是三級的機構但牽涉的問題很廣"},{"start":268.072,"end":280.1,"text":"他其實在行政委員會努力做然後我要看到你怎麼做部長 去年這個台南麻豆某居家托育機構有個正姓保姆他是有照的他找來無照的張姓朋友冒牌 正牌這個保姆那違法操作孩童而且還虐童那事後這個企圖還刪除這個監視器的畫面把他滅證那根據調查過去只要社會局派人 警察人上門無照的張姓保姆就會把小朋友非法搜索小朋友帶往另外一棟大樓去躲避起來"},{"start":298.152,"end":303.353,"text":"所以根據社家屬的這個訪視規定他因為需要這個事先電話預約這個時間讓稽查效果整個大打折扣這也是為什麼張姓保姆他可以違法兩年之久都沒有被發現那部長你參考一下這個兒童您容忍跟還想陪你長大的這個兒家屬的政策建言他說把訪視員的預約制改成這個不預期的他用突襲檢查的我比較願意用不預期的這個做法您同意嗎你有支持這個"},{"start":325.879,"end":329.583,"text":"跟委員說明在凱凱案之後我們在113年就已經修改這個我們的廣告規定已經是不預期了我還是要再提到呂健德市長主導的內部調查霸凌案但是結果這麼大的差距譬如以劉玉娟 當然他們是以其他的市長"},{"start":344.84,"end":350.505,"text":"劉玉娟本身在內部的調查是沒有霸凌事件那現在這個監察院很清楚的指出來那我請問你兩件事情你怎麼處理劉玉娟你怎麼處理主導這個調查案的理事長請你明白的告訴我"},{"start":360.473,"end":380.758,"text":"我想當時候在這個內部的調查的程序裡面都有依照規定我聽取過這個報告 漏洞百出我在公開質詢這個錄影都有但是部長 我現在問你你要除以這個官官相互完全失職的這個旅次長可以嗎 他可以進去做調查嗎"},{"start":382.41,"end":397.416,"text":"他做的調查跟箭頭完全不同啊他的調查已經結束了整個調查報告也都完成了我想要看到你後續處理做錯事總是要被處罰嘛完全不相同 你們是官官相護嘛那我請問你 劉奕娟現在還是擔任你的主命她現在被送到懲戒法庭了你要繼續任用她嗎 重用她嗎"},{"start":401.678,"end":410.443,"text":"因為當時候的程序啊 我們都已經完成他的相關的調查報告確實他沒有這個 符合這個法律我要告訴你 你兒少法基本上要遵守國際兒童權利公約又要以兒童最佳利益為優先但是如果你一個部門人你自己的基層同仁都沒有辦法好好保護好好被制度守護著請問你我們怎麼相信你衛福部的體系能夠這樣的去守護其他的家庭"},{"start":429.435,"end":439.581,"text":"我們非常強調這個內部的申訴管道那麼不會誤玩誤中啦我們不會讓這個霸凌再發生好 謝謝陳昭志委員的詢答"}]}},"supported_relations":[],"relations":[]}