{"error":false,"id":["167329"],"data":{"IVOD_ID":167329,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/167329","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":"2026-01-29T10:55:15+08:00","結束時間":"2026-01-29T11:07:58+08:00","影片長度":"00:12:43","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/58229044bac95a8870eae5b38afff71452fd623850d83d5bef4d1ce49928203b1257d1c12132fb9b5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"廖偉翔","委員發言時間":"10:55:15 - 11:07:58","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、 委員陳亭妃等16人擬具「國民年金法部分條文修正草案」案。\n【專題報告與討論事項綜合詢答，討論事項僅詢答】）","transcript":{"pyannote":[{"speaker":"SPEAKER_01","start":6.7134687500000005,"end":7.91159375},{"speaker":"SPEAKER_02","start":8.333468750000002,"end":9.126593750000001},{"speaker":"SPEAKER_01","start":11.235968750000001,"end":32.09346875},{"speaker":"SPEAKER_02","start":32.09346875,"end":47.44971875},{"speaker":"SPEAKER_00","start":42.85971875,"end":42.876593750000005},{"speaker":"SPEAKER_01","start":42.876593750000005,"end":43.97346875},{"speaker":"SPEAKER_00","start":43.97346875,"end":45.77909375},{"speaker":"SPEAKER_02","start":47.55096875,"end":57.321593750000005},{"speaker":"SPEAKER_00","start":47.66909375,"end":49.03596875},{"speaker":"SPEAKER_01","start":49.03596875,"end":49.930343750000006},{"speaker":"SPEAKER_00","start":49.930343750000006,"end":49.947218750000005},{"speaker":"SPEAKER_01","start":49.947218750000005,"end":49.96409375},{"speaker":"SPEAKER_01","start":54.908468750000004,"end":55.971593750000004},{"speaker":"SPEAKER_01","start":57.321593750000005,"end":60.96659375},{"speaker":"SPEAKER_02","start":58.907843750000005,"end":60.86534375},{"speaker":"SPEAKER_02","start":60.96659375,"end":62.85659375},{"speaker":"SPEAKER_01","start":61.759718750000005,"end":64.66221875000001},{"speaker":"SPEAKER_01","start":64.74659375,"end":73.80846875},{"speaker":"SPEAKER_02","start":65.10096875,"end":65.64096875},{"speaker":"SPEAKER_02","start":66.11346875000001,"end":66.38346875},{"speaker":"SPEAKER_02","start":74.16284375000001,"end":74.41596875},{"speaker":"SPEAKER_02","start":74.82096875,"end":74.92221875},{"speaker":"SPEAKER_01","start":74.92221875,"end":76.32284375},{"speaker":"SPEAKER_01","start":77.28471875000001,"end":78.29721875},{"speaker":"SPEAKER_02","start":77.92596875000001,"end":80.77784375},{"speaker":"SPEAKER_01","start":80.77784375,"end":85.28346875000001},{"speaker":"SPEAKER_02","start":82.61721875,"end":82.75221875000001},{"speaker":"SPEAKER_01","start":85.65471875,"end":86.78534375000001},{"speaker":"SPEAKER_01","start":87.49409375,"end":93.80534375},{"speaker":"SPEAKER_01","start":94.00784375,"end":116.95784375000001},{"speaker":"SPEAKER_01","start":117.59909375000001,"end":120.36659375},{"speaker":"SPEAKER_01","start":121.17659375000001,"end":144.63284375},{"speaker":"SPEAKER_01","start":145.29096875000002,"end":147.87284375000002},{"speaker":"SPEAKER_01","start":148.81784375,"end":151.39971875},{"speaker":"SPEAKER_01","start":151.95659375,"end":154.90971875},{"speaker":"SPEAKER_01","start":155.55096875,"end":157.77846875},{"speaker":"SPEAKER_01","start":158.77409375000002,"end":168.83159375000002},{"speaker":"SPEAKER_01","start":169.45596875,"end":172.71284375000002},{"speaker":"SPEAKER_01","start":172.84784375,"end":179.61471875},{"speaker":"SPEAKER_01","start":179.74971875,"end":187.96784375000001},{"speaker":"SPEAKER_01","start":188.28846875000002,"end":189.50346875000002},{"speaker":"SPEAKER_01","start":190.19534375,"end":192.06846875000002},{"speaker":"SPEAKER_01","start":192.33846875,"end":202.39596875},{"speaker":"SPEAKER_01","start":202.83471875,"end":203.03721875000002},{"speaker":"SPEAKER_02","start":203.03721875000002,"end":203.08784375000002},{"speaker":"SPEAKER_01","start":203.08784375000002,"end":203.96534375000002},{"speaker":"SPEAKER_02","start":203.96534375000002,"end":298.63409375000003},{"speaker":"SPEAKER_00","start":229.42971875,"end":230.32409375},{"speaker":"SPEAKER_01","start":236.66909375,"end":238.12034375000002},{"speaker":"SPEAKER_01","start":238.52534375000002,"end":239.04846875},{"speaker":"SPEAKER_01","start":294.88784375,"end":321.12846875},{"speaker":"SPEAKER_02","start":303.79784375,"end":303.96659375},{"speaker":"SPEAKER_00","start":303.96659375,"end":305.02971875000003},{"speaker":"SPEAKER_01","start":321.41534375000003,"end":329.26221875000005},{"speaker":"SPEAKER_02","start":329.26221875000005,"end":329.56596875},{"speaker":"SPEAKER_01","start":329.98784375,"end":332.31659375000004},{"speaker":"SPEAKER_01","start":333.90284375000005,"end":345.12471875},{"speaker":"SPEAKER_01","start":346.62659375000004,"end":355.60409375},{"speaker":"SPEAKER_01","start":355.80659375000005,"end":361.76346875},{"speaker":"SPEAKER_01","start":362.74221875,"end":376.46159375},{"speaker":"SPEAKER_01","start":377.00159375000004,"end":395.46284375000005},{"speaker":"SPEAKER_01","start":395.80034375,"end":402.01034375},{"speaker":"SPEAKER_01","start":402.41534375000003,"end":416.05034375},{"speaker":"SPEAKER_00","start":410.85284375000003,"end":410.86971875},{"speaker":"SPEAKER_02","start":410.86971875,"end":410.88659375000003},{"speaker":"SPEAKER_00","start":410.95409375,"end":411.07221875000005},{"speaker":"SPEAKER_01","start":416.26971875000004,"end":436.82346875},{"speaker":"SPEAKER_02","start":436.82346875,"end":484.88346875},{"speaker":"SPEAKER_00","start":444.40034375000005,"end":444.56909375000004},{"speaker":"SPEAKER_00","start":453.81659375000004,"end":454.15409375},{"speaker":"SPEAKER_01","start":484.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請時部長"},{"start":11.4,"end":31.628,"text":"六點好 部長好 我要接續我們醫界很敬重我們的蘇清泉院長的問題你剛剛說醫師加班費免稅這件事你剛剛說很快會有好消息 什麼時候我們追蹤很久了 本來上次你跟我說今年就可以用了 那到底是什麼時候"},{"start":32.388,"end":60.644,"text":"因為當然我們要釐清像剛剛這個蘇委員特別提到有的是加班有的是值班啦其實簡單講就是有正常工時制的跟輪班制的等一下部長怎麼說什麼時候有這個好消息啊應該你什麼時候公佈然後你們協調怎麼樣下個月我們大概協調的還有一次會議還有一次再一次就沒確定了嗎最後就拍板了再一次會議就拍板了所以最快是什麼時候會有定案"},{"start":61.945,"end":75.541,"text":"2月農曆年前可不可以給一個好消息農曆年前你要這個對不對我們在講今天急診的像血汗醫護你要在農曆年前給大家一個小紅包吧過年以前我們發個函啦"},{"start":78.095,"end":93.381,"text":"過年前發函我們趕一下看看我們發函好過年前可以發函喔我今天的質詢這樣子就有一個有一個成果好那部長再來我要再剛這題剛這題你答應了喔過年前發函好"},{"start":95.041,"end":119.788,"text":"那再來就是我要問一下部長現在有這個多重病毒傳播國際化的問題那這個當然最近這個世界上動盪很大那部長美國的衛生部長小羅伯·甘奈迪他說基於世衛與COVID-19的這個疫情期間的失職表現美國已經正式要退出WHO"},{"start":121.249,"end":147.434,"text":"那他的副部長O'Neill又說WHO忽視台灣在2019年對於COVID-19的早期示警陷入官僚主義利益衝突以及國際的權力政治但是世衛的專家范科霍夫卻說O'Neill所說的完全不實他又說台灣並未警告世衛那台灣是在同一天向世衛"},{"start":149.054,"end":157.545,"text":"這個索取資訊那是會沒有忽視台灣那我也注意到我們陳時中政委有反駁說台灣雖然沒有明確的說出"},{"start":158.98,"end":182.88,"text":"會人傳人但是強調非典肺炎的特性且這個病患呢均隔離治療強烈的暗示人傳人的可能性那我想要請問一下部長台灣有確實依照國際衛生條例IHR的第六條通報世衛但為何會出現這樣的資訊落差那我也有去看了一下這個IHR的條文跟附件"},{"start":183.44,"end":201.91,"text":"通報的條文和適用的決策文件的實例的確不需要指名說人傳人那就是要問一下部長現在美國要正式退出WHO那也打算成立新的國際衛生體系那我們未來會參加美國新成立的衛生體系嗎"},{"start":202.83,"end":229.94,"text":"好 跟委員說明有關於當時候的通報2020年4月的時候指揮中心特別把當時候我們CDC發給衛生組織的那一個英文信公開給大家看上面明確的提到那麼有幾例的有7例的artipical pneumonia就是不典型肺炎的發生同時正在接受isolated treatment就是隔離的治療"},{"start":230.74,"end":256.066,"text":"所以這已經很明顯的暗示這是一個不尋常的可能有人傳人感染的風險所以當時候可惜的是WHO忽略了台灣的這封信沒有及時的反映出說這個可能是一個人傳人的非典型肺炎所以確實我覺得美國次長所言是正確的"},{"start":256.986,"end":273.691,"text":"那麼至於說美國退出WHO我想對WHO的衝擊可能遠比對台灣的衝擊更大但是WHO仍然是目前重要的國際公共衛生醫療上面的一個"},{"start":274.591,"end":297.867,"text":"平台所以我們還是希望積極的爭取那麼參加那麼積極的參與活動那未來如果美國成立有另外的這個公共衛生的國際平台當然我們也會去積極的爭取加入那麼總是希望這個病毒或傳染病是沒有國界的所以意思就是說我們也會去爭取加入啦會"},{"start":298.948,"end":317.786,"text":"因為我也是在想說你剛剛的答案就是說兩個你們都還是要持續的參與因為我剛剛也是的確我是覺得說因為過去年年編預算你們發新聞稿說要爭取加入WHO可是其實剛剛你說的對WHO衝擊很大這個美國是帶頭大哥他都跑走了"},{"start":318.447,"end":341.723,"text":"那這個組織的資源大幅縮水所以我剛剛也是很想要問一下說那我們現在到底怎麼辦所以你現在一直說我們兩邊還是要持續爭取對好所以我想這個部分我們要拜託你要持續的追蹤希望可以持續的這個爭取實質的有意義的參與這些國際組織好再來我想要問一下"},{"start":346.667,"end":359.478,"text":"部長我們也可以看到台灣的現況現在台積電為主的相關產業鏈和最優秀的人才最充裕的資金都向美輸出但是根據台大醫院的研究以往在台灣極為罕見的這個"},{"start":362.816,"end":378.406,"text":"求黴菌症尤其在這個高風險族群如免疫力低下的相關的族群都可能會發生嚴重的肺部或這個擴散性的感染那在2021年前的我們我國只有一例"},{"start":378.986,"end":394.037,"text":"但是最近這兩年它增加了12例也就是增加了變多了而且所有的病例都曾經赴美國的亞利桑那州跟加州那其中有六成從事半導體相關的產業它的這個趨勢跟台灣半導體去亞利桑那州的擴張持續有點蠻吻合的所以"},{"start":402.703,"end":418.166,"text":"這個患者多半雖然目前是這個所謂的輕微啦或感冒啦或者是肺炎但是如果是免疫力差的就會變重症喔那針對這波的病毒患人才的公共衛生逆差那衛福部除了加強監測有沒有什麼具體的"},{"start":419.608,"end":436.466,"text":"邊境的這個風險管控的方案那有沒有針對這部分的高風險的地區返台人才建立專屬的這個指引或者是通報的SOP或者像宣導這個立百病毒一樣加強宣導前往該地區的旅客應該注意的事項是"},{"start":437.327,"end":459.959,"text":"是跟委員說明確實如同我剛剛提到病毒或者是傳染病是沒有國界的而且隨著這個人員移動的頻繁它就會造成這個疾病的這個散播啦那所以這個加強監測都是我們CDC一直在做的事情那這個監測不只是監測國內也要監測全球發生的這個"},{"start":465.201,"end":475.892,"text":"變化統統要納入所以像立白病毒也是一樣雖然國內至今沒有驗出任何一例或者任何的確診病例可是因為國際有這個狀況為了強化這個通報監測及時察覺所以我們才會去預告說把它列為第五類傳染病那這個我們也會評估講到講的就是針對這一塊"},{"start":488.224,"end":515.118,"text":"因為時間有限 我就是要提醒部長這塊你可能也要去注意 監控一下趕快去做相關的這個這個宣導 是 對不對那另外就是除了這個球黴菌症之外類似的傳播途徑啊跟這個各類的變種病毒的也是很多啦所以包含著你們有監測的這個中國大陸目前的鼻病毒那它的還有流感疫情都處於高點啦那國內也出現首例"},{"start":516.116,"end":529.532,"text":"這個俗稱這個蘋果病的B19的微小病毒那它會併發這個心肌炎那也有這個個案甚至我們台中有名女童忽然在跟家人出遊的時候她就大叫一聲她就猝死了所以"},{"start":531.654,"end":556.763,"text":"我想這個很多人都人心惶惶啦那所以大家會這麼害怕的原因主要是因為目前這個B19病毒他好像沒有疫苗也沒有特效藥嘛那會併發心肌炎的死亡率也高達30%所以現在面對這個春節返鄉草基層診所有沒有配備足夠的這種快篩啦或是診斷的試劑或是還是要等到他們必須送到這個醫學中心才可以確診"},{"start":558.619,"end":584.285,"text":"當然有一些比較罕見的病確實這個只能是提高警覺那適時的要要後送因為這個經驗的累積還是重要的所以我們會去強化所以我們有這個醫界通函經常會去提醒這個所有的第一線的人員注意那有發覺的時候就要通報後送這個還是有需要大概不太可能說這個"},{"start":586.067,"end":590.234,"text":"這些病都在第一線就完全治療大概我們是強化這個體系之間的這個轉診這樣好"},{"start":595.748,"end":616.547,"text":"那這個部分也是要提醒一下部長那另外就是剛剛最後因為其實今天題目蠻多的最後一天不過我最後還是問一下你們的這個APP你們現在去年的春節的急診用賽的產況我想大家今天都很關注那你們預估急診人次也是平日的1.5倍到1.7倍左右"},{"start":617.248,"end":628.822,"text":"那你們宣稱你們專案有七大監測指標那也針對這次的這個緊急醫療管理資訊系統的部分我想要問說你們有經過相關的壓力測試嗎因為你們每一秒可能都有幾萬筆的資料要更新等等的那你們可不可以承諾說到時候"},{"start":636.751,"end":648.984,"text":"這個APP是不會當機不會延遲那另外你們更新是30分鐘有落差喔我在想因為很多就醫是很很緊急的狀況有沒有辦法做到10分鐘內更新等等的"},{"start":650.854,"end":671.389,"text":"那個EMIS的更新那個我們是跟醫院的資訊系統直接串接的所以它的更新我記得是兩分鐘幾分鐘我先補充一下就是說我們分兩塊一塊是民眾這邊就醫的是健保的那個健保快醫"},{"start":672.31,"end":687.607,"text":"然後那我們的那個在跟醫院接接的時候我們是那個急救責任是200多家醫院所以我們其實從1月12號之後其實就開始做所謂的壓力測試就是他們上傳資料然後那因為這個資料目前是手動的"},{"start":688.268,"end":714.742,"text":"目前是手動的所以他更新速度沒有辦法那麼快可是我們在這個調整過程當中如果要做自動化的話其實大概委員講的那個剛剛我們部長講的是已經自動化的他大概就可以做到就是那個10分鐘內絕對可以做update完現在是因為那個指標部分還在做標準化所以這個地方上面的那個更新的速度就沒那麼快指標還沒有那麼快嗎對指標還沒那麼快那什麼時候可以"},{"start":716.294,"end":742.257,"text":"就是你們打算什麼時候他可以就是你剛說手動的部分對手動的部分因為現在只有填數字所以也不會造成是說第一線同仁的困擾然後那預計就是這個春節完之後有一些東西因為我們的春節是這個大概就是七九天的假期嘛所以春節完之後最重要的是後面春節完通常才是急診用篩的一個"},{"start":743.178,"end":762.36,"text":"更恐怖的一個 另外一個要去調整的空間那個地方的話 我們是在那段時間會再去做調整對 以上OK 好 謝謝以上謝謝 謝謝石部長好 謝謝委員好 謝謝廖委員 謝謝部長我們現在休息五分鐘接著期待林淑恩來時期"}]}},"supported_relations":[],"relations":[]}