{"error":false,"id":["167319"],"data":{"IVOD_ID":167319,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/167319","日期":"2026-01-29","會議資料":{"會議代碼":"委員會-11-4-26-22","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22次全體委員會議","屆":11,"會期":4,"會次":22,"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22次全體委員會議"},"影片種類":"Clip","開始時間":"2026-01-29T10:42:09+08:00","結束時間":"2026-01-29T10:54:26+08:00","影片長度":"00:12:17","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/58229044bac95a88626c6db3f5ef7fe952fd623850d83d5b9da39f225449bb57f91eb0f286b10d555ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"蘇清泉","委員發言時間":"10:42:09 - 10:54:26","會議時間":"2026-01-29T09:00:00+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22次全體委員會議（事由：邀請衛生福利部就「春節急診醫療人力調度與跨院協調機制之現況與精進作為」暨「假日及連續假期急重症分級醫療政策之執行成效與改進方向」進行專題報告，並備質詢。\n\n討論事項\n審查\n一、 委員何欣純等17人擬具「國民年金法第五十四條之一及第五十五條條文修正草案」案。\n二、 委員邱鎮軍等17人擬具「國民年金法第十五條及第五十四條之一條文修正草案」案。\n三、 委員王美惠等18人擬具「國民年金法第五十四條之一條文修正草案」案。\n四、 委員劉建國等16人擬具「國民年金法第五十四條之一條文修正草案」案。\n五、 委員馬文君等20人擬具「國民年金法第五十四條之一條文修正草案」案。\n六、 委員徐巧芯等18人擬具「國民年金法第五十四條之一條文修正草案」案。\n七、 台灣民眾黨黨團擬具「國民年金法第五十四條之一條文修正草案」案。\n八、 委員邱鎮軍等21人擬具「國民年金法第十五條及第五十條條文修正草案」案。\n九、 委員陳俊宇等29人擬具「國民年金法第五十四條之一條文修正草案」案。\n十、 台灣民眾黨黨團擬具「國民年金法第十五條及第五十條條文修正草案」案。\n十一、 委員黃秀芳等21人擬具「國民年金法第五十四條之一條文修正草案」案。\n十二、 委員羅廷瑋等16人擬具「國民年金法第五十四條之一條文修正草案」案。\n十三、 民進黨黨團擬具「國民年金法部分條文修正草案」案。\n十四、 委員蔡易餘等17人擬具「國民年金法部分條文修正草案」案。\n十五、 委員吳思瑤等18人擬具「國民年金法部分條文修正草案」案。\n十六、 委員郭國文等17人擬具「國民年金法第五十四條之一條文修正草案」案。\n十七、 委員王美惠等22人擬具「國民年金法部分條文修正草案」案。\n十八、 委員徐富癸等18人擬具「國民年金法第五十四條之一條文修正草案」案。\n十九、 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謝謝主席 大家辛苦部長 請署長護睡署專門委員部長辛苦啦 醫院就像一條船每一個人都很重要"},{"start":30.427,"end":46.718,"text":"準定,大副、二副、準機長主崩也很重要這麼準,台北人主崩也沒人吃所以上升重要,不定大家都很重要醫院裡面有醫師有放射檢驗15個醫事相關人力"},{"start":57.165,"end":79.252,"text":"沒有說誰重要到不行但是婦理人員真的是很重要一個醫院婦理人力如果能夠搞定這個醫院差不多解這三分之二的事情所以保證得婦理界者得天下你把婦理搞定了你就可以出來選了來這是"},{"start":86.141,"end":104.38,"text":"急診室觀察床的護理點數,上面那個是703,那第二天開始629點喔,那是點不是圓,護理的費用來下一頁,這個是經濟病床,一天是819點"},{"start":107.76,"end":135.153,"text":"那有另外一個是734那如果一個婦女在那裡照顧10床就8190點但是是三班子喔三個人要搬喔所以搬下來一個人差不多兩千多那一個護理人員一個要上班上二十二天勞資法的規定所以一天兩千多二十二天差不多四萬幾個"},{"start":137.093,"end":149.879,"text":"ICU的,我昨天給他查了一下,他一天的護理費ICU,這裡面沒有ICU,沒有,沒有都出出來ICU三千九百幾點,有的是四千幾點但是ICU是一個護士夠兩層"},{"start":153.14,"end":178.627,"text":"所以兩成都要八千多 也三萬多 也兩千多元所以一個人差不多四萬多 失了喔這四萬多還要含他的退休準備金什麼什麼所以是遠遠不足啦 所以癥結就出在這裡啦處理說你們核定的點數太低嘛沒有啦沒有對不對委員你做完議長做清楚"},{"start":181.038,"end":202.945,"text":"不是這樣算啦因為我們還有很多的儲置費裡面都有人力費用啦所以放一個鼻胃管有一個費用啦所以這個護理費是基本的當然我們要調我們連續去年調25億今年還會再調25億所以我們四年會打算調100億都給護理費啦"},{"start":206.004,"end":219.458,"text":"把它調起來啊但是其他的費用在調的時候裡面也包含人力費用啦在ICU最明顯啦ICU會有很多處置裡面都有護理人員執行的費用所以不是把護理費這條啦啊你一個企業裡面有"},{"start":223.263,"end":242.755,"text":"清潔的有電力的有什麼東西都在裡面那個另外一筆是訂房費所以我要跟部長報告就是癥結點就在這裡昨天某一個醫學中心的院長跟我講他們的N1他們一年已經給他86萬"},{"start":245.7,"end":264.437,"text":"年薪啦,這付不去嘛,但是平時也是拿其他地方來賺,你以前的部長,大家都叫人家按來切去,因為你什麼都做過,你夫妻急診直接做,幼稚園直接做到急診,做到什麼什麼公務,你都做了"},{"start":267.076,"end":293.806,"text":"你想知道這個問題是出在哪裡所以你剛剛講的我們很欣慰啦那對於中華民國在第一線執行婦女的工作人員19萬人嘛那領召的30萬人我們對於在第一線執行的人我們都對他們非常的致敬跟最高的謝意啦台灣的健保能夠"},{"start":295.271,"end":310.208,"text":"世界第一名台灣的國民平均壽命能夠一年一年增加最大的貢獻者是護理人員因為一個病人跟護理人員接觸的時間是超過所有醫事人員瞎起來"},{"start":311.574,"end":328.345,"text":"有統計 差不多一個月兩次要跟病人差不多半個月八十個時間都跟護理監管接觸其他的醫師相關的都是很短暫醫師也是占5%到7%的時間所以護理人員是真的是要好好的照顧那這個護病皮 這個是"},{"start":331.738,"end":350.954,"text":"你們也是往這個方向在挪念嘛 對不對雖然沒有入伐我為了跟從要入伐的事情提一個案被罵得要死不然我看人家沒人在美麗耶不錯耶你不錯 你都沒人在美麗耶所以你真的得婦女戒耶 你要得天下耶你講一下我聽你 你講一下你這樣問我也要怎麼講"},{"start":361.227,"end":375.624,"text":"其實跟委員報告確實那個剛剛講的護理費我們在調嘛去年調了25億今年還會再調連四年要一共調100億進來那這次調我們特別去扣合那個薪資的成長"},{"start":376.645,"end":393.747,"text":"所以不是調性去前就進去醫院的口袋啦是一定要搭配那個護理人員的薪資要調升我們會監測那個投保薪資所以我們看起來確實投保薪資去年年中12月跟前一年113年的投保薪資都有增加"},{"start":394.147,"end":414.59,"text":"沒有錯所以不會說我們只把護理費調升結果護理人員都沒有薪資的調整倒是我們很欣慰說大家有在做這方面的努力那我們會持續的來逐年逐年把它調升這個護理費的部分"},{"start":415.325,"end":438.22,"text":"至於偏鄉的部分我們現在是也在爭取公立醫院能夠讓醫護人員在偏鄉加急讓願意留在偏鄉的醫護人員因為多數偏鄉的地方都是公立醫院所以我們公立醫院爭取行政院的預算我知道也有一些醫院"},{"start":438.96,"end":457.997,"text":"是在偏鄉的私立醫院,我們更敬佩所以我們來看看有什麼方式來一起協助你會主動講到偏鄉,我很佩服你三地離島、偏鄉這個真的,我們在做第一線我做第一線重生,我感觸想最深"},{"start":459.338,"end":478.129,"text":"租會區裡面醫院大部分都比較正常租會區裡面的人他們的保險也多個人現金保險也多所以他們對於醫療的給付醫療額外支出他們都沒問題整咖吃飯都沒問題啊 大家說要吃土啊他還有負的錢啊 偏鄉的衣服呢金門就找不到 金門就欠"},{"start":486.223,"end":494.31,"text":"不然你看恆春半島,你如果在那裡不久以後,那點就找不到人了,所以這點最重要"},{"start":496.511,"end":520.498,"text":"剛才說得富你得天下,偏香港搞定了你也可以得天下所以我現在都給你幾點名錄,你要去選都沒問題來,下一張這個春節這個剛剛你也講很多了啦所以我覺得這個錢一定一定一定會回饋給所有的人力"},{"start":521.776,"end":544.221,"text":"錢最好是落到員工的口袋最好啦其他的都不重要現在最重要就是讓他們能夠有實質的回饋那你說80%多回饋給第一線嘛對不對對那這個可以這個很簡單啊你就看幾個三人三人的身份證資料回報回來一審查就知道了嘛那很簡單的啦對"},{"start":545.137,"end":562.058,"text":"健保署什麼都不要,這最厲害啦所以我對這個我一點都不擔心我們現在醫院真的大家都很戰戰兢兢雖然是很辛苦,大家忙很久"},{"start":565.046,"end":569.568,"text":"對醫療院所要聽受啦,對醫務人員要聽受啦,很感謝的,沒有那種鼓勵我告訴你最近,我們屏東某醫院,其實沒有藏人住耶用坐的也坐到年齡,反正是騎在吊墊上用手騎耶,這樣有誇張嗎?藏本不進去耶,所以"},{"start":589.676,"end":600.969,"text":"這個都要持續的關注啦都會區的醫院就好好的合而營造他的環境他就會做得很好了啦好來最後一個我們護睡署"},{"start":605.768,"end":629.703,"text":"我三天前,我找你們署長,我說這說得怎麼樣?補典給我答應,補典跟你們財政部部長答應,說年底要改革,醫生的加班費、值班費,結果現在怎麼樣?陳時中次政委也出來協調,他跟我說,這個案已經上議,行政院院長要回答,有沒有?補典說沒有。"},{"start":638.508,"end":648.42,"text":"我們一直在跟負稅署財政部跟還有人總大家都在討論所以差不多共識差不多了"},{"start":648.86,"end":677.108,"text":"我們應該在這個二月的時候我們就會發一個這個函給財政部來做這個未來這個醫師在加班費的這個認定跟他施用 加班跟施班啦對 加班跟施班 醫生已經十五年不夠新歲了耶我知道 知道十五年都沒頂檔了耶所以現在這個誘人啊 遭料料耶現在這個重症醫師傳播門的醫生都早早一開業"},{"start":678.667,"end":698.423,"text":"我那天有跟負稅署說開業地也要處理,看要怎麼處理但是醫院這邊加班費、值班費,川普總統你看他笑笑,但是他說加班費免稅我覺得這真的不夠大家人,跟他說一戰加班費、值班費還有小費"},{"start":699.824,"end":723.11,"text":"免費 免稅啊所以不然你把人家帶去這樣我這間種族診院我還可以幫你忙喔沒關係 不行不行這樣這個一定要解決啊不然的話越來越嚴重很快會有好消息長庚醫院 亭口長庚五個GS醫師一幫肝臟外科醫師最近三個跑去診所這像話嗎部長這個太嚴重了 好不好好 謝謝謝謝委員"}]}},"supported_relations":[],"relations":[]}