{"error":false,"id":["167346"],"data":{"IVOD_ID":167346,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/167346","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":"2026-01-29T13:10:23+08:00","結束時間":"2026-01-29T13:21:28+08:00","影片長度":"00:11:05","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/58229044bac95a88a174b037e49e6c3d52fd623850d83d5b653d38850f4f11793af37138b611437b5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"陳瑩","委員發言時間":"13:10:23 - 13:21:28","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_00","start":0.03096875,"end":3.06846875},{"speaker":"SPEAKER_00","start":3.6759687500000005,"end":10.51034375},{"speaker":"SPEAKER_01","start":10.67909375,"end":11.505968750000001},{"speaker":"SPEAKER_01","start":14.189093750000001,"end":15.26909375},{"speaker":"SPEAKER_00","start":15.26909375,"end":43.14659375},{"speaker":"SPEAKER_01","start":43.26471875,"end":62.65409375},{"speaker":"SPEAKER_00","start":62.65409375,"end":63.04221875},{"speaker":"SPEAKER_01","start":62.87346875,"end":73.53846875},{"speaker":"SPEAKER_00","start":71.47971875,"end":72.18846875},{"speaker":"SPEAKER_00","start":73.62284375,"end":104.62221875},{"speaker":"SPEAKER_01","start":79.34346875,"end":79.57971875},{"speaker":"SPEAKER_01","start":105.21284375,"end":112.35096875},{"speaker":"SPEAKER_00","start":112.35096875,"end":116.77221875000001},{"speaker":"SPEAKER_01","start":112.80659375,"end":114.79784375000001},{"speaker":"SPEAKER_01","start":116.09721875000001,"end":117.05909375},{"speaker":"SPEAKER_00","start":117.05909375,"end":118.45971875000001},{"speaker":"SPEAKER_00","start":118.81409375000001,"end":142.47284375},{"speaker":"SPEAKER_01","start":138.69284375,"end":138.72659375},{"speaker":"SPEAKER_00","start":142.52346875,"end":142.94534375},{"speaker":"SPEAKER_00","start":143.23221875000002,"end":157.99784375000002},{"speaker":"SPEAKER_01","start":157.99784375000002,"end":174.75471875000002},{"speaker":"SPEAKER_01","start":174.78846875000002,"end":174.80534375000002},{"speaker":"SPEAKER_00","start":174.80534375000002,"end":175.27784375000002},{"speaker":"SPEAKER_01","start":175.15971875000002,"end":185.79096875000002},{"speaker":"SPEAKER_00","start":184.69409375,"end":188.13659375},{"speaker":"SPEAKER_01","start":186.80346875,"end":187.19159375},{"speaker":"SPEAKER_01","start":187.84971875000002,"end":190.27971875},{"speaker":"SPEAKER_00","start":190.26284375,"end":219.67596875},{"speaker":"SPEAKER_01","start":219.81096875,"end":254.18534375000002},{"speaker":"SPEAKER_01","start":254.23596875,"end":260.04096875},{"speaker":"SPEAKER_00","start":259.06221875,"end":261.35721875},{"speaker":"SPEAKER_01","start":260.73284375000003,"end":267.97221875},{"speaker":"SPEAKER_00","start":267.49971875,"end":279.36284375},{"speaker":"SPEAKER_01","start":276.69659375000003,"end":279.58221875000004},{"speaker":"SPEAKER_01","start":280.42596875000004,"end":284.05409375},{"speaker":"SPEAKER_00","start":280.59471875,"end":280.76346875},{"speaker":"SPEAKER_00","start":284.10471875,"end":287.27721875000003},{"speaker":"SPEAKER_01","start":287.17596875000004,"end":288.30659375},{"speaker":"SPEAKER_00","start":288.07034375,"end":293.11596875000004},{"speaker":"SPEAKER_00","start":293.60534375000003,"end":297.67221875},{"speaker":"SPEAKER_00","start":298.04346875000005,"end":300.13596875},{"speaker":"SPEAKER_01","start":300.13596875,"end":300.38909375000003},{"speaker":"SPEAKER_00","start":300.38909375000003,"end":301.30034375},{"speaker":"SPEAKER_00","start":301.73909375,"end":303.15659375},{"speaker":"SPEAKER_01","start":302.71784375000004,"end":304.00034375},{"speaker":"SPEAKER_00","start":304.00034375,"end":361.02096875},{"speaker":"SPEAKER_01","start":314.98596875000004,"end":316.30221875},{"speaker":"SPEAKER_01","start":342.42471875,"end":342.49221875},{"speaker":"SPEAKER_01","start":342.66096875,"end":342.89721875000004},{"speaker":"SPEAKER_01","start":348.31409375000004,"end":348.60096875000005},{"speaker":"SPEAKER_01","start":353.15721875,"end":353.35971875},{"speaker":"SPEAKER_00","start":361.22346875,"end":365.15534375000004},{"speaker":"SPEAKER_00","start":365.66159375,"end":387.63284375},{"speaker":"SPEAKER_01","start":377.64284375,"end":377.72721875},{"speaker":"SPEAKER_01","start":377.91284375000004,"end":377.92971875},{"speaker":"SPEAKER_01","start":387.66659375,"end":410.24534375},{"speaker":"SPEAKER_00","start":399.39471875000004,"end":399.96846875},{"speaker":"SPEAKER_00","start":408.16971875,"end":409.99221875},{"speaker":"SPEAKER_01","start":410.68409375000005,"end":417.29909375000005},{"speaker":"SPEAKER_00","start":416.42159375,"end":421.46721875000003},{"speaker":"SPEAKER_01","start":421.39971875000003,"end":422.56409375000004},{"speaker":"SPEAKER_00","start":423.74534375,"end":426.81659375000004},{"speaker":"SPEAKER_01","start":425.55096875000004,"end":425.87159375000005},{"speaker":"SPEAKER_01","start":426.29346875000005,"end":426.78284375000004},{"speaker":"SPEAKER_01","start":426.81659375000004,"end":426.93471875},{"speaker":"SPEAKER_00","start":426.93471875,"end":458.40659375},{"speaker":"SPEAKER_01","start":427.00221875000005,"end":427.18784375},{"speaker":"SPEAKER_01","start":458.71034375000005,"end":509.21721875000003},{"speaker":"SPEAKER_00","start":487.44846875,"end":487.92096875000004},{"speaker":"SPEAKER_00","start":509.62221875000006,"end":514.71846875},{"speaker":"SPEAKER_00","start":514.81971875,"end":518.059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大家要休假所以我們現在請醫院調整一下大家的休假前後段把住院的量也叫去年給它提升所以住院的部分病床也會比去年增加至於獎勵的部分"},{"start":255.444,"end":278.226,"text":"80%都一定要給人員不是拿去做醫院的其他用對 就80%一定都給上班的人員去使用大概是目前是用這樣的有一個問題你沒有回答到就是說那當然有一些部分是依據勞基法的部分他們除了醫師之外都是勞基法"},{"start":280.492,"end":303.753,"text":"因為我們除了醫師之外其他都是適用勞基法人員對對對那我是說他落實的狀況如何這樣子落實的狀況對因為有就是說畢竟是這個過年過年加班他的這個薪資增加計算的方式倍數比較多嘛就這個部分你們可能要留意一下我們再提醒好對好"},{"start":305.214,"end":313.924,"text":"那在過去曾經像譬如說在COVID的期間那政府有做了很多的提醒衛福部也有一個很強大的這個APP然後來提醒民眾這個很多的該注意的事情"},{"start":320.171,"end":349.332,"text":"大概是像過年期間其實我們好像沒有聽過說衛福部是有發布新聞稿啦或者有做什麼來提醒民眾要注意身體健康要注意保暖或腸胃消化系統的不是那就是說同時可能也因為面臨這個人力吃緊的問題我們就是說可以做哪些配合或者是說我們應該可以從這個源頭來提醒民眾備藥啦或者是有一些"},{"start":350.713,"end":363.851,"text":"狀況我們是可以在家裡自行處理的不要就是說大家一窩蜂全部都往醫院擠畢竟那個診所應該這個時候是大部分都不會有人所以這個部分"},{"start":365.774,"end":387.096,"text":"就是說是不是我們做可以在今年做這樣子的準備跟提醒不曉得部長是不是這個同意本席的建議然後讓民眾知道就是說我們哪些急症症可能會發生要怎麼預防如果不幸需要緊急就醫那哪些醫療院所可以提供這個比較完善的照顧"},{"start":389.018,"end":409.746,"text":"謝謝委員提醒確實我們現在是朝向提供就醫資訊我們這個APP上都會去強化就醫資訊但是對民眾自我照顧的提升特別提醒的是這樣不要生病過年期間也不要熬夜打牌太久然後暴飲暴食這個也不好"},{"start":410.766,"end":422.379,"text":"那我們來強化一下這個自我照顧本來就有慢性病的更要注意嘛勸大家都不要打牌那個時候應該很困難不要打太久啦"},{"start":423.78,"end":442.085,"text":"好這個就看你們宣導的功力了好那我們最後想請教就是這個急重症分級醫療實施的成效我想在這個分級醫療是維持我們健康品質的一個手段而不是一個目的那平常的這個醫療我們的這個分級醫療"},{"start":446.306,"end":457.708,"text":"有真的落實那春節的就可以很順利的執行所以要請部長說明一下在分級醫療目前執行上有沒有什麼困難那我們真的有落實嗎"},{"start":458.735,"end":487.086,"text":"我看了一些我們最近的這個分析這分級醫療有在改善就是各層級醫院他的輕症比例是在下降那麼包含醫學中心他現在所謂的輕症大概是就醫佔整個醫院的大概收入的38%然後到區域級醫院大概是50%然後到地區醫院是65%所以可以看得到這個三個層級是不一樣醫學中心還是看得比較多的重大傷病"},{"start":487.906,"end":507.847,"text":"這個是可以看得出來那另外一個就是慢性病在基層就醫的比率也在提高也就是說慢性病拿這個長期處方籤的也在提升所以分級醫療有在進步但是還是有更多努力的空間這我們會持續用各種的方式來推動這樣"},{"start":509.67,"end":533.468,"text":"好 我接下来问一个比较严肃的问题就是说有没有医学中心或区域医院拒绝转送还是说协调这个后送要花很长的时间去协调安排那这些需要转送的病人是急诊的病人居多还是重症患者治疗一段时间了然后才决定后送的"},{"start":533.973,"end":548.428,"text":"因為這些大概都攸關整個成效的這個指標那衛福部有沒有專責的單位在做統計分析不然你們要怎麼知道說你們做的這個分級醫療政策確實是有效的呢"},{"start":549.113,"end":566.436,"text":"就是急診的轉診率這個我們有有在monitor啦但是您提的是說住院了一段時間在轉診我想這個我們健保資料是有辦法分析那我們來分析看看有沒有這些異常的情形發生"},{"start":567.297,"end":581.597,"text":"對 因為有些是需要轉送的病人就是說那到底急診的多還是說重症患者好 這些你們可能都要對 就是住院之後又轉診的這部分就再特別留意看一下好"},{"start":582.438,"end":600.515,"text":"因為部長你是真的非常難得就是從一位醫師然後從這個轉任常務文官然後又有擔任這個政務官的這個人才所以我想我們在這麼長的歲月的共識當中"},{"start":602.984,"end":626.918,"text":"我們像部長就是也不僅承認這個醫事司長那時候我也有在那健保署署長跟次長我都有在歷練非常的完整所以呢希望在這麼豐富的這個培養之下呢部長應該是最有能力跟經驗來解決今天討論的難題所以也希望"},{"start":628.599,"end":655.151,"text":"衛福部可以善用健保資料庫可以多考慮經濟誘因來取代強制性的管理跟管制所以我想如果是這樣的話一定是可以解決醫療人力短缺的問題不管是在平日或者是春節假日我想這個才是我們民眾的福氣是我們國家的福氣謝謝謝謝委員的鼓勵我們要繼續努力"},{"start":658.749,"end":665.478,"text":"好謝謝陳英委員發言那本日會議詢答全部結束"}]}},"supported_relations":[],"relations":[]}