{"error":false,"id":["167553"],"data":{"IVOD_ID":167553,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/167553","日期":"2026-03-18","會議資料":{"會議代碼":"委員會-11-5-26-2","會議代碼:str":"第11屆第5會期社會福利及衛生環境委員會第2次全體委員會議","屆":11,"會期":5,"會次":2,"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5會期社會福利及衛生環境委員會第2次全體委員會議"},"影片種類":"Clip","開始時間":"2026-03-18T09:22:34+08:00","結束時間":"2026-03-18T09:42:02+08:00","影片長度":"00:19:28","支援功能":["ai-transcript","gazette"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4e26a61b53ad605336c770cbc92941c318cbbd4f69c426c0f13775304d9d746aa7c63afbaf1f10e85ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"陳菁徽","委員發言時間":"09:22:34 - 09:42:02","會議時間":"2026-03-18T09:00:00+08:00","會議名稱":"立法院第11屆第5會期社會福利及衛生環境委員會第2次全體委員會議（事由：邀請衛生福利部部長、勞動部、原住民族委員會、內政部、教育部、行政院人事行政總處、銓敘部及國家衛生研究院，就「如何精進偏鄉醫療與長照資源落差及落實《原住民族健康法》之困境，並對提升原住民族健康權益及強化原鄉照護量能（含提升機關位階與人力配置）」進行專題報告，並備質詢。\n【3月18日及3月19日，二天一次會】）","transcript":{"pyannote":[{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":5.11034375,"end":8.265968750000003,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":8.586593750000002,"end":9.379718750000002,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":14.020343750000002,"end":15.015968750000003,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":14.10471875,"end":15.404093750000001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":15.52221875,"end":46.21784375,"speaker_score":0.768},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":27.06471875,"end":27.469718750000002,"speaker_score":0.933},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":47.98971875,"end":52.377218750000004,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":54.87471875000001,"end":55.617218750000006,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":55.971593750000004,"end":69.53909375,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":56.916593750000004,"end":58.11471875,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":69.72471875000001,"end":101.51721875000001,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":71.15909375000001,"end":71.83409375000001,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":102.29346875,"end":108.38534375,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":108.06471875000001,"end":110.08971875,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":108.60471875,"end":112.04721875000001,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":111.82784375000001,"end":115.10159375,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":116.01284375,"end":127.28534375000001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":127.33596875,"end":168.86534375000002,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":169.50659375,"end":172.05471875,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":173.16846875000002,"end":178.56846875000002,"speaker_score":0.818},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":178.46721875,"end":195.96659375000002,"speaker_score":0.949},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":193.04721875,"end":193.45221875000001,"speaker_score":0.768},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":196.86096875,"end":203.22284375,"speaker_score":0.949},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":202.39596875,"end":202.51409375,"speaker_score":0.768},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":203.66159375,"end":208.30221875,"speaker_score":0.949},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":205.01159375,"end":205.97346875000002,"speaker_score":0.768},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":205.97346875000002,"end":206.27721875,"speaker_score":0.933},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":208.77471875,"end":211.39034375,"speaker_score":0.949},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":211.39034375,"end":211.42409375000003,"speaker_score":0.768},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":212.75721875000002,"end":212.77409375000002,"speaker_score":0.949},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":212.77409375000002,"end":213.29721875,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":213.56721875000002,"end":214.68096875,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":214.93409375000002,"end":218.89971875,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":219.38909375,"end":222.64596875,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":223.21971875000003,"end":232.38284375,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":232.48409375000003,"end":234.44159375,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":234.66096875000002,"end":235.97721875000002,"speaker_score":0.768},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":235.97721875000002,"end":236.14596875,"speaker_score":0.949},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":236.14596875,"end":236.16284375,"speaker_score":0.768},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":236.97284375,"end":238.06971875000002,"speaker_score":0.949},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":238.25534375,"end":240.46596875,"speaker_score":0.949},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":241.79909375000003,"end":241.96784375000001,"speaker_score":0.949},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":241.96784375000001,"end":244.39784375000002,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":244.93784375,"end":251.01284375000003,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":251.35034375,"end":285.37034375,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":286.02846875,"end":316.16721875,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":301.16534375000003,"end":301.45221875000004,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":303.64596875,"end":303.84846875,"speaker_score":0.768},{"speaker":"SPEAKER_03","start":307.91534375000003,"end":307.96596875},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":316.26846875,"end":340.45034375,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":335.42159375,"end":335.72534375000004,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":336.92346875000004,"end":338.20596875,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":339.48846875000004,"end":408.08534375000005,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":342.74534375,"end":342.96471875000003,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":346.98096875000005,"end":347.30159375,"speaker_score":0.818},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":354.25409375000004,"end":354.28784375000004,"speaker_score":0.933},{"speaker":"SPEAKER_03","start":354.28784375000004,"end":354.72659375},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":408.55784375,"end":416.10096875000005,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":416.55659375000005,"end":420.52221875000004,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":420.74159375000005,"end":421.23096875000005,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":421.26471875000004,"end":467.38409375000003,"speaker_score":0.818},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":426.20909375,"end":426.22596875000005,"speaker_score":0.933},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":426.25971875000005,"end":426.27659375,"speaker_score":0.768},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":440.02971875000003,"end":440.04659375000006,"speaker_score":0.949},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":440.04659375000006,"end":440.06346875,"speaker_score":0.933},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":440.06346875,"end":440.09721875,"speaker_score":0.949},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":440.09721875,"end":440.13096875,"speaker_score":0.933},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":440.16471875,"end":440.18159375000005,"speaker_score":0.949},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":440.18159375000005,"end":440.23221875,"speaker_score":0.933},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":464.19471875000005,"end":464.65034375000005,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":465.20721875000004,"end":483.95534375000005,"speaker_score":0.768},{"speaker":"SPEAKER_03","start":472.88534375,"end":473.23971875},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":474.94409375000004,"end":475.02846875000006,"speaker_score":0.933},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":475.02846875000006,"end":475.97346875000005,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":483.95534375000005,"end":503.83409375,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":501.79221875,"end":504.96471875000003,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":504.96471875000003,"end":505.03221875,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":505.03221875,"end":505.04909375000005,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":505.04909375000005,"end":505.28534375000004,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":505.28534375000004,"end":505.57221875000005,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":505.57221875000005,"end":522.1940937500001,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":507.17534375,"end":507.56346875,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":520.57409375,"end":520.9453437500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":522.02534375,"end":543.08534375,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":522.56534375,"end":525.51846875,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":540.7397187500001,"end":541.2122187500001,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":541.6003437500001,"end":542.22471875,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":543.11909375,"end":563.5547187500001,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":562.2890937500001,"end":566.74409375,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":567.57096875,"end":567.6047187500001,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":567.6047187500001,"end":574.16909375,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":567.6215937500001,"end":568.0772187499999,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":574.74284375,"end":590.2678437500001,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":587.95596875,"end":589.18784375,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":589.5928437499999,"end":591.87096875,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":592.2253437500001,"end":609.3872187500001,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":597.5915937500001,"end":597.91221875,"speaker_score":0.768},{"speaker":"SPEAKER_03","start":608.77971875,"end":608.9653437500001},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":608.9653437500001,"end":609.03284375,"speaker_score":0.768},{"speaker":"SPEAKER_03","start":609.03284375,"end":609.06659375},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":609.06659375,"end":609.31971875,"speaker_score":0.768},{"speaker":"SPEAKER_03","start":609.31971875,"end":609.33659375},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":609.57284375,"end":609.58971875,"speaker_score":0.768},{"speaker":"SPEAKER_03","start":609.58971875,"end":610.0959687500001},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":609.6740937500001,"end":610.14659375,"speaker_score":0.818},{"speaker":"SPEAKER_03","start":610.14659375,"end":610.2478437500001},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":610.2478437500001,"end":610.9734687499999,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":610.2478437500001,"end":612.1884687500001,"speaker_score":0.818},{"speaker":"SPEAKER_03","start":610.9734687499999,"end":611.7834687500001},{"speaker":"SPEAKER_03","start":612.13784375,"end":612.17159375},{"speaker":"SPEAKER_03","start":612.1884687500001,"end":612.6103437500001},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":612.6103437500001,"end":622.70159375,"speaker_score":0.818},{"speaker":"SPEAKER_03","start":616.4072187500001,"end":616.4409687500001},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":616.4409687500001,"end":616.6772187500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":622.24596875,"end":627.34221875,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":628.05096875,"end":630.4640937500001,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":629.5190937500001,"end":633.3328437499999,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":633.7547187499999,"end":633.8559687500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":634.5647187500001,"end":641.7197187500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":644.50409375,"end":645.6853437500001,"speaker_score":0.768},{"speaker":"SPEAKER_03","start":648.9422187499999,"end":650.51159375},{"speaker":"SPEAKER_03","start":650.7309687500001,"end":651.7097187500001},{"speaker":"SPEAKER_03","start":652.38471875,"end":653.86971875},{"speaker":"SPEAKER_03","start":653.93721875,"end":655.03409375},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":657.4640937500001,"end":710.14784375,"speaker_score":0.768},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":658.3078437500001,"end":659.08409375,"speaker_score":0.933},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":659.35409375,"end":659.82659375,"speaker_score":0.933},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":710.6203437500001,"end":748.7747187500001,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":748.7240937500001,"end":784.3303437500001,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":752.18346875,"end":752.3859687500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":778.49159375,"end":780.8372187500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":781.0903437500001,"end":802.6059687500001,"speaker_score":0.768},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":784.3303437500001,"end":784.6340937500001,"speaker_score":0.933},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":784.6340937500001,"end":784.8872187500001,"speaker_score":0.818},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":784.8872187500001,"end":784.95471875,"speaker_score":0.933},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":786.5747187500001,"end":786.5915937500001,"speaker_score":0.933},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":786.5915937500001,"end":786.96284375,"speaker_score":0.818},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":786.96284375,"end":787.3172187499999,"speaker_score":0.933},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":788.92034375,"end":791.5022187500001,"speaker_score":0.933},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":791.6372187500001,"end":794.9109687500002,"speaker_score":0.933},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":803.0109687500001,"end":866.49471875,"speaker_score":0.818},{"speaker":"SPEAKER_01","speaker_name":"沈署長靜芬","start":845.99159375,"end":846.97034375,"speaker_score":0.949},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":846.97034375,"end":847.69596875,"speaker_score":0.933},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":848.4384687500001,"end":848.82659375,"speaker_score":0.933},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":864.1997187500001,"end":873.26159375,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":873.5147187500002,"end":887.65596875,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":885.66471875,"end":885.7153437500001,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":887.65596875,"end":894.67596875,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":887.6897187500001,"end":888.6853437500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":889.03971875,"end":892.0603437500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":894.76034375,"end":900.27846875,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":900.27846875,"end":918.3178437500001,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":917.86221875,"end":921.0515937500002,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":920.4440937500001,"end":925.47284375,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":924.05534375,"end":936.72846875,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":928.27409375,"end":931.66596875,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":937.4878437500001,"end":944.45721875,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":945.0815937500001,"end":962.73284375,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":953.13096875,"end":955.4428437500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":962.2265937500001,"end":964.42034375,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":964.42034375,"end":964.4540937500001,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":964.4540937500001,"end":964.4709687500001,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":964.4709687500001,"end":970.98471875,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":964.55534375,"end":964.7915937500002,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":970.98471875,"end":975.94596875,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":976.4184687500001,"end":981.85221875,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":981.58221875,"end":983.6240937500002,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":984.11346875,"end":985.9697187500001,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":985.1259687500001,"end":989.7665937500001,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":988.8215937500001,"end":992.68596875,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":991.6059687500001,"end":992.0278437500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":993.36096875,"end":998.7778437500001,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":997.1072187500001,"end":1002.4228437500001,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":999.87471875,"end":1004.2959687500002,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1006.03409375,"end":1009.79721875,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1007.43471875,"end":1009.0209687500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1009.0378437500001,"end":1014.33659375,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1015.33221875,"end":1016.17596875,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1016.3784687500001,"end":1026.6553437500002,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1027.43159375,"end":1032.64596875,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1033.91159375,"end":1043.36159375,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1042.8047187500001,"end":1052.7103437500002,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1046.1965937500001,"end":1046.71971875,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1050.0272187500002,"end":1051.63034375,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1052.20409375,"end":1054.1953437500001,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1054.6678437500002,"end":1055.9334687500002,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1055.57909375,"end":1058.0597187500002,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1058.0597187500002,"end":1059.0384687500002,"speaker_score":0.818},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":1059.0384687500002,"end":1096.1634687500002,"speaker_score":0.933},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1095.20159375,"end":1095.7078437500002,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1096.1634687500002,"end":1096.18034375,"speaker_score":0.768},{"speaker":"SPEAKER_00","speaker_name":"蔡司長淑鳳","start":1096.18034375,"end":1096.9734687500002,"speaker_score":0.933},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1096.9734687500002,"end":1099.60596875,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1100.1965937500001,"end":1106.03534375,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1106.2378437500001,"end":1106.77784375,"speaker_score":0.768},{"speaker":"SPEAKER_03","start":1106.77784375,"end":1123.3828437500001},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1124.5134687500001,"end":1128.0234687500001,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1128.4622187500001,"end":1133.1028437500001,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1133.0859687500001,"end":1147.1765937500002,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1146.67034375,"end":1149.5559687500001,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1148.2059687500002,"end":1148.50971875,"speaker_score":0.818},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1149.65721875,"end":1149.67409375,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1149.67409375,"end":1149.6909687500001,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1149.6909687500001,"end":1150.1465937500002,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1150.33221875,"end":1150.63596875,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1150.88909375,"end":1152.03659375,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1152.32346875,"end":1154.8884687500001,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1154.9222187500002,"end":1163.12346875,"speaker_score":0.818},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1163.12346875,"end":1163.14034375,"speaker_score":0.768},{"speaker":"SPEAKER_02","speaker_name":"陳委員菁徽","start":1163.15721875,"end":1164.42284375,"speaker_score":0.768},{"speaker":"SPEAKER_04","speaker_name":"石部長崇良","start":1165.1822187500002,"end":1165.84034375,"speaker_score":0.818}],"whisperx":[{"start":5.154,"end":9.136,"text":"主席好 各位委員還有官員好我們請時部長請時部長部長好部長因為我知道您在衛福部已經服務非常非常久所以對於所有的煙害防治這些相關的法規您應該是非常非常熟悉那我們來看一下這個數據經歷煙害防治法的修法還有我們把煙捐調漲我們會看到說"},{"start":32.165,"end":46.458,"text":"男性女性整體的吸菸人數是節節下滑這個成效是卓越的不過到某一個時間點他就有一點停滯了那你會知道說女性吸菸的比例還在近年來提高的原因是什麼嗎女性吸菸率上升的問題"},{"start":55.046,"end":69.256,"text":"您說啊我們也特別注意到啦有有注意到就是說這個女性的吸菸率好像這個這兩年有一些爬升的現象我們再來細部的分析看看有什麼特別的原因"},{"start":69.958,"end":96.791,"text":"所以現在回答不出來沒關係我先跟您說到最後整體持平這個也許是一個沒有辦法改變的樣態因為吸菸的人口就是有一個固定但是我們現在想要您注意的地方是這個女性吸菸的比例升高還有兒少您的報告已經延遲了一陣子了這個你們每兩年會做一次調查所以112到114應該要有但現在115年3月了"},{"start":98.712,"end":114.888,"text":"第一我想請問你的報告什麼時候會出來跟委員說明我們內部的報告大概已經完成大概下個禮拜會對外公布那你要不要先稍微講一下數據看起來這個數字是有在往下有在往上嘛因為110下降"},{"start":116.078,"end":142.785,"text":"如果你說下降那我會覺得跟大眾你隨便到你隨便問一個校園的老師跟大眾的認知實在是太脫節了這個多月委員質詢耶裡面牽涉內建部牽涉治安包括電子菸的購買網路上現在好簡單甚至他到便利商店只要包一包他根本也不知道裡面是菸然後48種口味都可以買得到他"},{"start":143.945,"end":164.952,"text":"關係到青少年的健康嘛兒少健康 校園的煙害防治還關係到這個毒品治安甚至是行車等等因為上次煙案新聞常常都會發現所以你的意思是說110到112下降大眾已經覺得跟他們在路上看起來不太一樣現在112到114又下降了你現在要告訴我們這個嗎112到114又下降了電子煙的青少年使用又下降了"},{"start":173.566,"end":195.762,"text":"我請那個國健署省署長說明一下這個目前的調查報告是報告委員從我們的監測調查抽樣的調查的數據來看確實是在下降在國中高中電子菸加熱菸跟止菸的吸菸率當然下降不是那麼明顯就是可能從3.7下降到3.5你們是怎麼抽樣調查的我好奇問一下"},{"start":197.164,"end":210.305,"text":"我們的監測調查有一定的程序那那個抽樣的話就會隨機的去抽樣你們是抽兒少這個族群還是你們有去問老師 國中跟高中生你們沒有去問老師我們其實是針對學生抽樣"},{"start":212.813,"end":233.831,"text":"我問你小的時候你如果被發一張問卷問你有沒有偷抽菸你會寫有嗎在整個抽菸過程當中都會保護個人的隱私你要不要考慮換一個方法因為這個跟大眾的認知真的差太多了我們建議你如果你要去調查要不要把這個師長的數據跟學生的數據對起來看看謝謝委員的建議我們會納入參採"},{"start":241.837,"end":264.392,"text":"好那再來我們再回來請教部長部長因為現在呢台北市有率先提出說他們想要效法日本可以在室外推這個戶外負壓吸菸室大概有兩個優點第一個是二手菸嘛你有時候走在路上沒有明確的規範哪邊是禁菸的地方那可能就會吸到別人的二手菸甚至是三手菸"},{"start":265.393,"end":285.153,"text":"再來呢我們可以把菸蒂集中管理不會讓清潔人員東掃西掃這樣子那前幾天你是在媒體上說台北市這樣做與法可行我們是想問您是對這個政策正面看待還是覺得說菸漢防治法您很熟法規沒有很明確寫不行所以你們可以自己來做做看"},{"start":286.252,"end":301.869,"text":"沒有 我講的法規非常清楚這個是在《厭害防治法》第19條第一項第4款就是可以由各級主管機關去公告哪個地方是一個禁煙的場所然後在這個禁煙場所"},{"start":303.711,"end":332.47,"text":"指定的這個區域裡面再去指定可吸菸區啦那所以按照這樣的話就譬如說你現在是在行人這個什麼步道區你就給他宣布他不是明定我們在院內防治法18條是針對室內主要空間去做明定這個禁菸那但是部分的室內空間可以設室內吸菸室19條的話多數是針對戶外明定但是保留了第四款由各級"},{"start":333.631,"end":341.397,"text":"這個主管機關再去宣布一個禁煙場所然後再配合這個吸煙區我幫你調出來這邊是第18條你剛講的如果我們要在室內設一個吸煙室其實你規定的是蠻清楚的你寫說負壓要多少換氣要幾倍滑門要怎麼做排煙口距離多遠這個你是有一個SOP的所以我們偶爾也會在一些百貨公司看到有這樣子的室內吸煙室但是室外這個是您剛提的第19條嘛"},{"start":363.314,"end":386.194,"text":"他現在是講吸菸區所以我剛剛問你的是說室外吸菸室是不是用你的19條這是第一啊因為你講到說每一個地方他可以有明確的標示說這邊是吸菸區另外面積不得大於室外面積的二分之一嘛那其實他們有一個統一的標準我們現在要問出來的就是說"},{"start":390.217,"end":407.85,"text":"之後台北市真的開始做或者是有人覺得台北市做得不錯但是他的設置的樣貌不太一樣你是不是這邊你要說我都正面看待各縣市怎麼做都可以取決於他們的預算或是他們的規劃或者是你要同意給一個指引"},{"start":408.67,"end":427.988,"text":"因為你剛剛說你會依照法規第19條但很簡單你看18、19差多少18併的很細耶19只有講說你要放一個標示跟不可以超過二分之一就這樣耶對 當時候在立法的時候這個都是在法規上把它區分出來因為室內的空間有限"},{"start":428.689,"end":451.448,"text":"所以你要設置一個室內吸煙室的時候呢會有比較高規格的設置所以才會有授權執法去訂定這個這個室內吸煙室的設置標準但是戶外的樣態很多它空間也比較大所以它只是指定一個吸煙區但是這個吸煙區必須要有管理分別在這個這個煙害防治法的第22條跟23條"},{"start":453.109,"end":474.58,"text":"他都有規範你的管理設備上你怎麼維護那避免呢這個保護我們受保護的像是孕婦啦還兒童呢青少年的不要進入到CNC明顯標準所以你的意思是說我只是要問一個結論您的意思是說現行的法規已經足夠了你未來不會再另外出一個指引"},{"start":475.16,"end":500.797,"text":"假使各縣市實施的室外吸菸區或是室外吸菸室它看起來的規格不同 你不會再另外設執營了我們會看未來各縣市執行的情形如何譬如說它現在我那天提的很簡單的概念就是你這個吸菸區戶外這個吸菸區你可以比照這個去設置這個室內吸菸室的設置標準去設置當然沒有問題"},{"start":502.578,"end":522.728,"text":"你是規定 還是說你可以可以是大家都要叫室內這樣做那麼你現在來講呢這個戶外的這個指定的吸菸區與法是可行就是說你必須先指定一個區域是禁菸然後再去指定那個吸菸區吸菸區不能夠應該是這樣講啦其實我們只是很簡單的想要"},{"start":525.949,"end":536.92,"text":"請教你如果未來各縣市不同大家已經花了預算去做了嘛你會不會跑出來說不行這樣子不行你可能要依照我們第18條的規定市內的那些規定來做我們現在其實就是問你一個很簡單的問題你會出指引還是不會"},{"start":543.226,"end":566.254,"text":"目前這個法律上沒有授權啊但是如果說各縣市政府有這個需要我們可以召集大家來共事一下就是專家跟各縣市大家來共事一下說大家都要朝這個方向想要這樣做的話有一個您說的指引也好或者是一個那現在有一個縣市想要這樣子做了你要找嗎"},{"start":567.561,"end":588.235,"text":"如果是台北市已經有一些做法他可以提供給我們我們來幫他協助看一下不是啦現在就是要問你說你會不會主動去找他們說你要怎麼做我跟你商量一下那看你做出來不要做出來中央要說不行要依照第18條其實我們就是問你這麼簡單的問題我們希望齁這個"},{"start":592.958,"end":607.667,"text":"這個禁煙這個煙害防治都是我們共通的目標啦所以如果是縣市政府有這個需要的時候都可以請我們我們會給他協助另外我們這個國建署也會找這個專家大家來討論一下"},{"start":609.728,"end":633.089,"text":"所以你最近有這個規劃會請這個台北市想要做的這個資料先送來那我們也可以幫他列為我們在討論的一個這個材料所以在這邊請教您一個進度就您多久以內會完成這個會議您預計這個月底之前就會召開這個月底 對下一個署長您可以回座"},{"start":634.992,"end":645.795,"text":"下一個是最近很多護理師在網路上討論的這個影片他們看著看著就哭了我們現在沒有聲音在辛苦的時候你要想到有一個人就算已經當到總統了還是很羨慕你們的工作"},{"start":657.726,"end":681.387,"text":"這個是賴清德總統他1月24號出席健康台灣深耕論壇的時候講出來的話但當然後來根據審計部他有去調查他說實際上月投保薪資是3.8萬但在賴總統的眼中他覺得5萬很高他很羨慕他們可是護理師說這是他們不眠不休犧牲了很多生活品質家庭生活才換來的"},{"start":683.529,"end":707.964,"text":"這邊簡單的數據不過相信部長你也知道嚴重性近期內有個調查針對五千多名的護理人員他發現未來一年內離職大概有45%那年資在五年以下離職意向最高他們高達52%那現在這個新的世代的他不一定是因為薪水他可能還要兼顧工作環境有不友善還有他的工時高壓醫療糾紛等等"},{"start":711.026,"end":724.915,"text":"這邊只是很簡短想要問石部長兩個問題齁您最近接受媒體的採訪你有提出好幾個解方包括調高住院的護理費啊或者是集中症護理費要再提升但是我針對其中兩個"},{"start":726.816,"end":733.201,"text":"覺得非常的疑惑也是網路上很多人在討論的一個叫做住院整合照護計畫擴大你一口氣從五千要加到三萬三萬請問你現在的規劃人第一個人哪裡找第二你床哪裡來你的空間在哪裡你盤點過了嗎你可以告訴我們你初步盤點的狀況嗎好我想要先替賴總統澄清那天的談話呢我在現場"},{"start":755.498,"end":777.067,"text":"他主要是針對醫師的發言他不是說阿護理員員的薪水他很羨慕不是這樣他提的意思是說這個因為他一開始的志向是要從醫那但是因為走入了政治之後呢那麼就放棄了從醫這一條路所以他是針對底下的這些醫師大家的同僚那麼"},{"start":779.988,"end":795.013,"text":"這個抒發 說他很羨慕大家能夠繼續的同一的這個職職沒有 大家都歡迎他回來做臨床工作所以他不需要羨慕 他完全不需要羨慕你先回答這個住院整合照護計畫 你一口氣從五千喊到三萬你到底盤點過嗎 你這個三萬是什麼根據來的嗎"},{"start":803.212,"end":830.438,"text":"我想這個住院整合照護計畫是對於這個減輕護理人員的負荷是很有幫忙那麼因為現在的高齡化的關係住院的很多都是老人家那麼他需要一些生活的服務照護那麼如果沒有這些服務的話呢那通常這些工作就會轉嫁到護理人員的身上所以在過去呢我們已經推動了兩年效果很不錯"},{"start":831.078,"end":860.328,"text":"那只不過又與預算的關係只能夠推動到5000床那現在的5000床以去年我們編的5.6億來講已經用超過了所以我們才會在去年的這個預算裡編列的時候希望今年能夠擴大因為有很多醫院提出需求我們是根據提出的需求但是我們的預算只有那麼多才核定5000床事實上需求已經超過這是醫院提出來的所以我們是根據醫院所提出來"},{"start":861.168,"end":887.225,"text":"希望開辦的那麼去規劃這樣加一加有三萬就對了但是你的造福源現在還有一個很大缺口根據不同的統計第一我先更新一下你一三年開始你是希望可以減少護理人員的流失可是護理師提供給我們的數據還是在流失這第一所以我不知道這個效果很好可能是局部有幫到忙還是怎麼樣再來呢當然是因為他的規模不夠嘛"},{"start":888.045,"end":898.954,"text":"因為只有五千五千床而已規模不大我們現在一共的床數急性病床就七萬床教服員這個兩萬到六萬的缺口你如果沒有解決請問你這個三萬床要怎麼開出來我想因為我們這個三萬床剛剛提到這個是醫院提出說他可以"},{"start":905.519,"end":921.044,"text":"他可以開辦的床數只是我們的預算不足以給他所以我們才會編列預算希望說醫院既然他願意來開辦那我們就來提供預算所以只是這樣的一個沒關係我們會每年再看一下您這個護理師的數據但是因為這個預算沒有審查"},{"start":922.605,"end":941.479,"text":"所以沒有辦法執行我跟你說我們先看你還有一個叫做放寬護理師實習年限很多護理師在網路上討論說你要怎麼放寬護理師實習年限這件事情你有沒有初步的一個想法你是要怎麼放寬從本來是怎麼樣放寬到如何"},{"start":945.151,"end":968.077,"text":"就是我們過去這個護理系畢業之後那麼他要考照所以我們給他一年多的時間那你要改成什麼樣在這個之前就是他如果願意繼續實習那他就可以繼續留下來然後在這個多久以內完成你說放寬嘛多久以內我們當然希望他考上嘛所以就是繼續這個時間的話我們要跟護理界討論"},{"start":971.038,"end":987.651,"text":"所以你講出放寬護理師實習年限你還沒跟護理師討論喔我是說要放寬到多久還沒有定案但是這個方向上已經確定你什麼時候跟護理師團體開過會我一直都在開過會我知道我知道我是說什麼時候討論過放寬護理師實習年限上次就已經討論過了討論過了就朝這個方向"},{"start":993.422,"end":1002.668,"text":"但是你們總該有一個討論是幾到幾吧連線上還沒有確認但是你在會議上提的意見是多久我沒有提哪多久啊我只是說要放寬那對方提的呢因為現在跟護理師聽到的聲音好像不太一樣"},{"start":1015.356,"end":1032.44,"text":"那哪裡不一樣我是說他們是反對有一些護理師團體他們覺得沒有被徵詢到意見另外他們也沒有很贊成放寬因為你應該是要提高留任的比例開源也很重要可是現在很多人是有護理師執照可是不願意執業嘛"},{"start":1034.262,"end":1046.736,"text":"我想這個職業的考量因素很多啦那我們只是讓願意留在這個護理職場的包含這些實習生也是啊也給他機會啊我們可以跟你要一下這個會議記錄嗎你上次跟護理師團體討論然後裡面有包括放寬護理師實習年限的這個照務師也有在跟"},{"start":1054.725,"end":1057.886,"text":"就很多在討論所以他們的意見是什麼 就一句話就好了來 我們請我們這個關於護理的輔助能力這一塊其實是一個比較整體性的討論那有分一些層級那譬如說有護理師的是擔任護理師的工作那護理師我們現在有在討論一個叫護理師助理那護理師助理就很像現行的有一個實習護士那這個實習護士就是沒有拿到證照的"},{"start":1082.294,"end":1085.776,"text":"在護理師的督導之下那他現在可以有15個月那這兩個制度要怎麼做一個整合就是說他沒有考上的但是他不用就是說沒有工作但是他做的不是護理工作是護理的輔助工作謝謝最後只問一句話因為這個是之前跟"},{"start":1100.282,"end":1122.619,"text":"邱太仁部長曾經討論過的,白班今天從我們這一屆立委上任,陳建仁院長就答應了但當去年年初就已經前任行政院長就答應了白班今天,今年應該就可以發出來了吧我們現在跟護理界的一個長期的討論,是說我們在那個三班會面比的獎勵你一定要去顧及到要去白班,現在先這樣做,所以白班等於其實是會領到三班當然這個因為公務員"},{"start":1124.991,"end":1148.983,"text":"當時我問百般津貼但他回答是三萬戶分比給獎勵所以最後我們到底會不會發百般津貼就這樣而已我們現在的規劃就是已經以這個達標獎勵那多數醫院都已經發給百般津貼了因為夜班已經有津貼了所以他們的達標獎勵款那多數就是發在這個百般的所以你的意思是說你們會改成用這個對達標獎勵"},{"start":1153.645,"end":1164.2,"text":"達標獎勵來取代白班津貼就我們不去明訂白班津貼啦就是用護病筆的達標獎勵由醫院去發放他現在都是發放到白班的身上好謝謝主席謝謝部長好謝謝"}],"gazette":[{"speaker":"陳委員菁徽","start":"2026-03-18T09:22:39.154000+08:00","guessed":false,"end":"2026-03-18T09:22:40.234000+08:00","text":"主席好，各位委員、官員好。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:22:40.254000+08:00","guessed":false,"end":"2026-03-18T09:22:40.294000+08:00","text":"我們請石部長。","quality":0.833},{"speaker":"主席","start":"2026-03-18T09:22:40.294000+08:00","guessed":false,"end":"2026-03-18T09:22:40.355000+08:00","text":"有請石部長。","quality":0.6},{"speaker":"石部長崇良","start":"2026-03-18T09:22:40.355000+08:00","guessed":true,"end":"2026-03-18T09:22:41.355000+08:00","text":"陳委員早。","quality":0},{"speaker":"陳委員菁徽","start":"2026-03-18T09:22:40.355000+08:00","guessed":false,"end":"2026-03-18T09:22:40.375000+08:00","text":"部長好。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:22:40.435000+08:00","guessed":false,"end":"2026-03-18T09:22:41.735000+08:00","text":"部長，因為我知道您在衛福部已經服務非常、非常久，所以對於所有的菸害防制這些相關法規，你應該是非常、非常熟悉。","quality":0.938},{"speaker":"陳委員菁徽","start":"2026-03-18T09:22:41.775000+08:00","guessed":false,"end":"2026-03-18T09:23:19.837000+08:00","text":"我們來看一下這個數據，經歷菸害防制法修法以及調漲菸捐，我們會看到男性、女性整體的吸菸人數是節節下滑，這個成效是卓越的，不過到某一個時間點就有一點停滯了，你知道女性吸菸的比例在近年來提高的原因是什麼嗎？","quality":0.935},{"speaker":"陳委員菁徽","start":"2026-03-18T09:23:19.837000+08:00","guessed":true,"end":"2026-03-18T09:23:30.887000+08:00","text":"你有注意到嗎？","quality":0},{"speaker":"石部長崇良","start":"2026-03-18T09:23:30.887000+08:00","guessed":false,"end":"2026-03-18T09:23:43.236000+08:00","text":"我們也特別注意到，就是女性的吸菸率好像這兩年有一些爬升的現象，我們再來細部分析看看有什麼特別的原因。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:23:43.958000+08:00","guessed":false,"end":"2026-03-18T09:23:45.399000+08:00","text":"好，所以現在回答不出來。對。","quality":0.818},{"speaker":"陳委員菁徽","start":"2026-03-18T09:23:45.399000+08:00","guessed":false,"end":"2026-03-18T09:24:16.496000+08:00","text":"沒關係，我先跟您說，到最後整體持平，這也許是一個沒有辦法改變的樣態，因為吸菸的人口就是有固定比例，但是我們現在想要您注意的地方是女性吸菸的比例升高，還有兒少的部分，您的報告已經延遲一陣子了，這個部分你們每兩年會做一次調查，所以112年到114年的部分應該要有，但現在已經115年3月了，我想請問你的報告什麼時候會出來？","quality":0.898},{"speaker":"石部長崇良","start":"2026-03-18T09:24:16.496000+08:00","guessed":false,"end":"2026-03-18T09:24:22.102000+08:00","text":"跟委員說明，我們內部的報告大概已經完成，大概下個禮拜會對外公布……","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:24:22.222000+08:00","guessed":false,"end":"2026-03-18T09:24:23.603000+08:00","text":"那你要不要先稍微講一下數據？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:24:23.603000+08:00","guessed":false,"end":"2026-03-18T09:24:25.905000+08:00","text":"看起來這個數字是有在往下。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:24:26.005000+08:00","guessed":false,"end":"2026-03-18T09:24:28.628000+08:00","text":"有在往上嘛，因為110年……","quality":0.875},{"speaker":"石部長崇良","start":"2026-03-18T09:24:28.628000+08:00","guessed":false,"end":"2026-03-18T09:24:28.868000+08:00","text":"下降、下降。","quality":0.5},{"speaker":"陳委員菁徽","start":"2026-03-18T09:24:30.438000+08:00","guessed":false,"end":"2026-03-18T09:24:43.061000+08:00","text":"你說下降，但你隨便問一個校園的老師，這跟大眾的認知實在是太脫節了，這個有多位委員質詢耶！","quality":0.9},{"speaker":"陳委員菁徽","start":"2026-03-18T09:24:43.802000+08:00","guessed":false,"end":"2026-03-18T09:25:09.749000+08:00","text":"裡面牽涉內政部、牽涉治安，包括電子煙的購買，網路上買現在好簡單，甚至寄送到便利商店，只要包一包，別人根本也不知道裡面是電子煙，然後48種口味都可以買得到，這關係到青少年的健康、兒少健康，校園的菸害防制還關係到毒品、治安，甚至是行車等等，因為喪屍煙彈的新聞常常都會發現這個現象。","quality":0.828},{"speaker":"陳委員菁徽","start":"2026-03-18T09:25:09.749000+08:00","guessed":false,"end":"2026-03-18T09:25:17.552000+08:00","text":"所以你的意思是說110年到112年下降，大眾已經覺得跟他們在路上看到的不太一樣，現在112年到114年又下降了？","quality":0.854},{"speaker":"陳委員菁徽","start":"2026-03-18T09:25:17.632000+08:00","guessed":false,"end":"2026-03-18T09:25:17.972000+08:00","text":"你是要告訴我們這個嗎？","quality":0.9},{"speaker":"陳委員菁徽","start":"2026-03-18T09:25:17.972000+08:00","guessed":false,"end":"2026-03-18T09:25:18.932000+08:00","text":"112年到114年青少年使用電子煙的比例又下降了？","quality":0.556},{"speaker":"石部長崇良","start":"2026-03-18T09:25:27.566000+08:00","guessed":false,"end":"2026-03-18T09:25:32.130000+08:00","text":"我請國健署沈署長說明一下目前的調查報告。","quality":0.947},{"speaker":"沈署長靜芬","start":"2026-03-18T09:25:32.890000+08:00","guessed":false,"end":"2026-03-18T09:25:46.840000+08:00","text":"報告委員，從我們的監測抽樣調查數據來看，確實是在下降，在國中、高中，電子煙、加熱菸跟紙菸的吸菸率，當然下降不是那麼明顯，就是可能從3.7%下降到3.5%左右而已。","quality":0.853},{"speaker":"陳委員菁徽","start":"2026-03-18T09:25:46.840000+08:00","guessed":false,"end":"2026-03-18T09:25:48.661000+08:00","text":"你們是怎麼抽樣調查的？","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:25:49.002000+08:00","guessed":false,"end":"2026-03-18T09:25:49.742000+08:00","text":"我好奇問一下。","quality":1},{"speaker":"沈署長靜芬","start":"2026-03-18T09:25:51.164000+08:00","guessed":false,"end":"2026-03-18T09:25:56.352000+08:00","text":"我們的監測調查有一定的程序，那個抽樣就會隨機地去抽樣。","quality":0.96},{"speaker":"陳委員菁徽","start":"2026-03-18T09:25:56.352000+08:00","guessed":false,"end":"2026-03-18T09:25:59.998000+08:00","text":"你們是抽兒少這個族群還是你們有去問老師？","quality":1},{"speaker":"沈署長靜芬","start":"2026-03-18T09:25:59.998000+08:00","guessed":false,"end":"2026-03-18T09:26:00.759000+08:00","text":"對，國中生、高中生。","quality":0.714},{"speaker":"陳委員菁徽","start":"2026-03-18T09:26:01.160000+08:00","guessed":false,"end":"2026-03-18T09:26:02.041000+08:00","text":"你們沒有去問老師？","quality":1},{"speaker":"沈署長靜芬","start":"2026-03-18T09:26:02.041000+08:00","guessed":false,"end":"2026-03-18T09:26:04.305000+08:00","text":"我們其實是針對學生抽樣。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:26:06.813000+08:00","guessed":false,"end":"2026-03-18T09:26:13.699000+08:00","text":"我問你，小的時候，如果被發一張問卷問你有沒有偷抽煙，你會寫有嗎？","quality":0.964},{"speaker":"沈署長靜芬","start":"2026-03-18T09:26:13.699000+08:00","guessed":false,"end":"2026-03-18T09:26:16.381000+08:00","text":"在整個抽樣過程當中都會保護個人隱私。","quality":0.941},{"speaker":"陳委員菁徽","start":"2026-03-18T09:26:17.302000+08:00","guessed":false,"end":"2026-03-18T09:26:18.643000+08:00","text":"你要不要考慮換一個方法？","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:26:19.103000+08:00","guessed":false,"end":"2026-03-18T09:26:27.310000+08:00","text":"因為這跟大眾的認知真的差太多了，我們建議你，如果你要去調查，要不要把師長的數據跟學生的數據對起來看看？","quality":1},{"speaker":"沈署長靜芬","start":"2026-03-18T09:26:27.330000+08:00","guessed":false,"end":"2026-03-18T09:26:35.837000+08:00","text":"謝謝委員的建議，我們會納入參採。好。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:26:36.457000+08:00","guessed":false,"end":"2026-03-18T09:27:04.578000+08:00","text":"再來，我們再回來請教部長，部長，因為現在臺北市有率先提出他們想要效法日本，在室外推戶外負壓吸菸室，大概有兩個優點，第一個是二手菸的部分，有時候走在路上，沒有明確規範哪邊是禁菸的地方，可能就會吸到別人的二手菸甚至是三手菸；再來，我們可以把菸蒂集中管理，不會讓清潔人員東掃、西掃。","quality":0.976},{"speaker":"陳委員菁徽","start":"2026-03-18T09:27:05.279000+08:00","guessed":false,"end":"2026-03-18T09:27:19.133000+08:00","text":"前幾天你在媒體上說臺北市這樣做於法可行，我們是想問您是對這個政策正面看待，還是覺得菸害防制法你很熟，法規沒有很明確寫不行，所以你們可以自己來做做看？","quality":0.942},{"speaker":"石部長崇良","start":"2026-03-18T09:27:20.252000+08:00","guessed":false,"end":"2026-03-18T09:27:41.114000+08:00","text":"沒有，法規非常清楚，這是在菸害防制法第十九條第一項第四款，就是可以由各級主管機關去公告哪個地方是禁菸場所，然後在禁菸場所指定的區域裡面再去指定可吸菸區。好。","quality":0.889},{"speaker":"石部長崇良","start":"2026-03-18T09:27:42.795000+08:00","guessed":false,"end":"2026-03-18T09:28:08.532000+08:00","text":"所以按照這樣的話，比如說你現在就宣布是在行人步道區等等，它不是明定，我們在菸害防制法第十八條是針對室內主要空間明定禁菸，但是部分的室內空間可以設室內吸菸室；第十九條的話多數是針對戶外明定，但是保留了第四款，由各級主管機關再去宣布一個禁菸場所，然後再配合吸菸區的設計。","quality":0.831},{"speaker":"陳委員菁徽","start":"2026-03-18T09:28:08.532000+08:00","guessed":false,"end":"2026-03-18T09:28:14.797000+08:00","text":"我幫你調出來，這邊是第十八條，你剛剛講的，如果我們要在室內設一個吸菸室，其實你規定的是蠻清楚的，你寫說負壓要多少、換氣要幾倍、滑門要怎麼做、排煙口距離多遠，這是有一個SOP的，所以我們偶爾也會在一些百貨公司看到有這樣的室內吸菸室。","quality":0.952},{"speaker":"陳委員菁徽","start":"2026-03-18T09:28:14.937000+08:00","guessed":false,"end":"2026-03-18T09:29:21.830000+08:00","text":"但是室外的部分，這是您剛剛提的第十九條，他現在是講吸菸區，所以我剛剛問你的是說室外吸菸室適不適用第十九條，這是第一，因為你說每一個地方可以有明確的標示說這邊是吸菸區，另外面積不得大於室外面積的二分之一，其實他沒有一個統一的標準，我們現在要問的就是，之後臺北市真的開始做，或者是有人覺得臺北市做得不錯，但是它的設置樣貌不太一樣，你是不是都正面看待，各縣市怎麼做都可以，取決於他們的預算或是他們的規劃，或是你要統一給一個指引？","quality":0.923},{"speaker":"陳委員菁徽","start":"2026-03-18T09:29:22.670000+08:00","guessed":false,"end":"2026-03-18T09:29:34.321000+08:00","text":"因為你剛剛說你會依照法規第十九條，但這條很簡單，你看第十八條、第十九條差多少，第十八條訂得很細，第十九條只有講說要放一個標示跟不可以超過二分之一，就這樣。","quality":0.686},{"speaker":"石部長崇良","start":"2026-03-18T09:29:35.763000+08:00","guessed":false,"end":"2026-03-18T09:30:19.355000+08:00","text":"對，當時在立法的時候，這都是在法規上把它區分出來，因為室內的空間有限，所以要設一個室內吸菸室會有比較高規格的設置，因此才會授權子法訂定室內吸菸室的設置標準；但是戶外的樣態很多，空間也比較大，所以它只是指定一個吸菸區，但是這個吸菸區必須要有管理，分別在菸害防制法第二十二條跟第二十三條，它都有規範管理設備上要怎麼維護，保護像是孕婦、兒童、青少年不要進入到吸菸區，把它明顯標示，所以做這樣就可以了。","quality":0.828},{"speaker":"陳委員菁徽","start":"2026-03-18T09:30:21.116000+08:00","guessed":false,"end":"2026-03-18T09:30:37.746000+08:00","text":"我只是要問一個結論，您的意思是現行的法規已經足夠了，你未來不會再另外出一個指引，假使各縣市實施的室外吸菸區或是室外吸菸室看起來規格不同，你也不會再另外設指引了？","quality":0.96},{"speaker":"石部長崇良","start":"2026-03-18T09:30:38.006000+08:00","guessed":false,"end":"2026-03-18T09:30:54.797000+08:00","text":"我們會看未來各縣市執行的情形如何，比如說，我那天提了很簡單的概念，就是這個戶外吸菸區可以比照室內吸菸室的設置標準去設置，當然沒有問題……","quality":0.935},{"speaker":"陳委員菁徽","start":"2026-03-18T09:30:56.578000+08:00","guessed":false,"end":"2026-03-18T09:30:58.299000+08:00","text":"你是規定還是可以？","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:30:58.539000+08:00","guessed":false,"end":"2026-03-18T09:31:00.640000+08:00","text":"可以是大家都要照室內這樣做？","quality":0.923},{"speaker":"石部長崇良","start":"2026-03-18T09:31:00.940000+08:00","guessed":false,"end":"2026-03-18T09:31:15.807000+08:00","text":"那麼現在來講，戶外的指定吸菸區於法是可行，就是你必須先指定一個區域是禁菸的，再去指定吸菸區，而吸菸區不能夠……","quality":0.939},{"speaker":"陳委員菁徽","start":"2026-03-18T09:31:15.807000+08:00","guessed":false,"end":"2026-03-18T09:31:30.920000+08:00","text":"應該是這樣講，其實只是很簡單的想要請教你，如果未來各縣市不同，大家已經花了預算去做，你會不會跑出來說這樣子不行，他可能要依照第十八條的規定、室內的那些規定來做，其實就是問你一個很簡單的問題，你會出指引還是不會？","quality":0.958},{"speaker":"石部長崇良","start":"2026-03-18T09:31:37.226000+08:00","guessed":false,"end":"2026-03-18T09:31:56.573000+08:00","text":"目前這個在法律上沒有授權，但如果縣市政府有這個需要，我們可以召集大家來共識一下，就是專家跟各縣市大家來共識一下，如果大家都要朝這個方向、想要這樣做的話，有一個您說的指引也好，或者是一個簡單的……","quality":0.909},{"speaker":"陳委員菁徽","start":"2026-03-18T09:31:56.773000+08:00","guessed":false,"end":"2026-03-18T09:32:00.254000+08:00","text":"現在有一個縣市想要這樣子做了，你要找嗎？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:32:01.561000+08:00","guessed":false,"end":"2026-03-18T09:32:07.825000+08:00","text":"如果是臺北市已經有一些做法，他可以提供給我們，我們來幫他協助看一下。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:32:08.786000+08:00","guessed":false,"end":"2026-03-18T09:32:09.106000+08:00","text":"不是啦！","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:32:09.767000+08:00","guessed":false,"end":"2026-03-18T09:32:22.115000+08:00","text":"現在就是要問你，會不會主動去找他們說你要怎麼做，你跟他商量一下，看他做出來，不要做出來中央又說不行，要依照第十八條，其實我們就是問你這麼簡單的問題。","quality":0.91},{"speaker":"石部長崇良","start":"2026-03-18T09:32:22.115000+08:00","guessed":false,"end":"2026-03-18T09:32:41.647000+08:00","text":"我們希望禁菸、菸害防制都是我們共通的目標，所以如果縣市政府有這個需要的時候，都可以請我們，我們會來協助，另外國健署也會找專家大家來討論一下，我們會請……","quality":0.868},{"speaker":"陳委員菁徽","start":"2026-03-18T09:32:43.728000+08:00","guessed":false,"end":"2026-03-18T09:32:48.512000+08:00","text":"所以你最近有這個規劃？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:32:48.512000+08:00","guessed":false,"end":"2026-03-18T09:32:56.259000+08:00","text":"臺北市想要做的，資料可以先送來，我們也可以列為我們討論的材料。","quality":0.929},{"speaker":"陳委員菁徽","start":"2026-03-18T09:32:56.359000+08:00","guessed":false,"end":"2026-03-18T09:33:00.683000+08:00","text":"所以我在這邊請教您一個進度，就是您預計多久以內會完成這個會議？","quality":0.862},{"speaker":"石部長崇良","start":"2026-03-18T09:33:02.384000+08:00","guessed":false,"end":"2026-03-18T09:33:03.786000+08:00","text":"這個月底之前就會召開。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:33:03.786000+08:00","guessed":false,"end":"2026-03-18T09:33:05.247000+08:00","text":"這個月底？對。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:33:06.208000+08:00","guessed":false,"end":"2026-03-18T09:33:07.069000+08:00","text":"好，署長，您可以回座。","quality":0.875},{"speaker":"陳委員菁徽","start":"2026-03-18T09:33:08.992000+08:00","guessed":false,"end":"2026-03-18T09:33:15.414000+08:00","text":"下一個是最近很多護理師在網路上討論的，這個影片他們看著、看著就哭了。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:33:15.414000+08:00","guessed":true,"end":"2026-03-18T09:33:31.726000+08:00","text":"（播放影片）","quality":0},{"speaker":"陳委員菁徽","start":"2026-03-18T09:33:31.726000+08:00","guessed":false,"end":"2026-03-18T09:33:55.367000+08:00","text":"這個是賴清德總統1月24號出席健康台灣深耕論壇時講出來的話，後來審計部有去調查，他說實際上月投保薪資是3.8萬，但在賴總統眼中，他覺得5萬很高，他很羨慕他們，可是護理師說這是他們不眠不休、犧牲了很多生活品質、家庭生活才換來。","quality":0.99},{"speaker":"陳委員菁徽","start":"2026-03-18T09:33:57.529000+08:00","guessed":false,"end":"2026-03-18T09:34:11.117000+08:00","text":"這邊簡單的數據相信部長你也知道嚴重性，近期內有個調查是針對五千多名的護理人員，其發現未來一年內考慮離職的大概有45%，年資在五年以下的離職意向最高，高達52%。","quality":0.915},{"speaker":"陳委員菁徽","start":"2026-03-18T09:34:13.019000+08:00","guessed":false,"end":"2026-03-18T09:34:45.480000+08:00","text":"現在新的世代的不一定是因為薪水，他可能還要兼顧工作環境友不友善，還有他的工時、高壓、醫療糾紛等等，這邊只是很簡短想要問石部長兩個問題，您最近接受媒體的採訪，您有提出好幾個解方，包括調高住院的護理費或者是急重症護理費要再提升，但是我針對其中兩個覺得非常疑惑，也是網路上很多人在討論的，一個叫做住院整合照護計畫擴大，你一口氣從5,000要加到3萬，請問你現在的規劃，第一個，人要從哪裡找？","quality":0.959},{"speaker":"陳委員菁徽","start":"2026-03-18T09:34:45.500000+08:00","guessed":false,"end":"2026-03-18T09:34:45.840000+08:00","text":"第二個，你床要從哪裡來？","quality":0.7},{"speaker":"陳委員菁徽","start":"2026-03-18T09:34:45.840000+08:00","guessed":false,"end":"2026-03-18T09:34:46.160000+08:00","text":"你的空間在哪裡？","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:34:46.160000+08:00","guessed":false,"end":"2026-03-18T09:34:46.260000+08:00","text":"你盤點過了嗎？","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:34:46.260000+08:00","guessed":false,"end":"2026-03-18T09:34:46.801000+08:00","text":"你可以告訴我們你初步盤點的狀況嗎？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:34:46.801000+08:00","guessed":false,"end":"2026-03-18T09:35:33.988000+08:00","text":"好，我想要先替賴總統澄清，他那天的談話，我也在現場，他主要是針對醫師的發言，不是說護理人員的薪水他很羨慕，不是這樣，他的意思是因為他一開始的志向是要從醫，但是因為走入了政治之後，就放棄了從醫這一條路，所以他是針對底下的這些醫師、大家的同僚抒發……","quality":0.973},{"speaker":"陳委員菁徽","start":"2026-03-18T09:35:33.988000+08:00","guessed":true,"end":"2026-03-18T09:35:34.988000+08:00","text":"沒關係，我知道了……","quality":0},{"speaker":"石部長崇良","start":"2026-03-18T09:35:33.988000+08:00","guessed":false,"end":"2026-03-18T09:35:38.230000+08:00","text":"說他很羨慕大家能夠繼續從醫這個職志……","quality":0.824},{"speaker":"陳委員菁徽","start":"2026-03-18T09:35:38.230000+08:00","guessed":true,"end":"2026-03-18T09:35:39.230000+08:00","text":"不會啊！","quality":0},{"speaker":"陳委員菁徽","start":"2026-03-18T09:35:38.810000+08:00","guessed":false,"end":"2026-03-18T09:35:44.231000+08:00","text":"他之後如果做完卸任，大家都歡迎他回來做臨床工作，所以他不需要羨慕，他完全不需要羨慕……","quality":0.763},{"speaker":"石部長崇良","start":"2026-03-18T09:35:44.231000+08:00","guessed":true,"end":"2026-03-18T09:35:45.231000+08:00","text":"他只是當場在抒發他很希望能夠繼續有從醫……","quality":0},{"speaker":"陳委員菁徽","start":"2026-03-18T09:35:45.212000+08:00","guessed":false,"end":"2026-03-18T09:35:48.553000+08:00","text":"你先回答這個住院整合照護計畫，你一口氣從5,000喊到3萬，你到底盤點過了嗎？","quality":0.935},{"speaker":"陳委員菁徽","start":"2026-03-18T09:35:48.573000+08:00","guessed":false,"end":"2026-03-18T09:35:48.993000+08:00","text":"這個3萬是根據什麼來的？","quality":0.8},{"speaker":"石部長崇良","start":"2026-03-18T09:35:57.212000+08:00","guessed":false,"end":"2026-03-18T09:36:20.397000+08:00","text":"我想這個住院整合照護計畫對於減輕護理人員的負荷是很有幫忙，現在因為高齡化的關係，住院的很多都是老人家，他需要一些生活的服務、照護，如果沒有這些服務的話，通常這些工作就會轉嫁到護理人員的身上。","quality":0.977},{"speaker":"石部長崇良","start":"2026-03-18T09:36:21.197000+08:00","guessed":false,"end":"2026-03-18T09:36:58.290000+08:00","text":"在過去我們已經推動了兩年，效果很不錯，只不過囿於預算的關係，只能夠推動到5,000床，現在5,000床以去年我們編的5.6億來講，已經用超過了，所以我們才會在去年預算編列的時候，希望今年能夠擴大，因為有很多醫院提出需求，我們是根據提出的需求，但是我們的預算只有那麼多，才核定5,000床，事實上需求已經超過了，這是醫院提出來的，所以我們是根據醫院所提出來希望開辦去規劃這樣的床數。","quality":0.944},{"speaker":"陳委員菁徽","start":"2026-03-18T09:36:58.290000+08:00","guessed":false,"end":"2026-03-18T09:36:59.471000+08:00","text":"加一加有3萬就對了？對。","quality":0.889},{"speaker":"陳委員菁徽","start":"2026-03-18T09:37:00.472000+08:00","guessed":false,"end":"2026-03-18T09:37:19.524000+08:00","text":"但是你的照服員現在還有一個很大缺口，根據不同的統計，第一，我先更新一下，從113年開始，你是希望可以減少護理人員的流失，可是護理師提供給我們的數據顯示還是在流失，這是第一，所以我不知道這個效果很好可能是因為局部有幫到忙，還是怎麼樣；再來……","quality":0.914},{"speaker":"石部長崇良","start":"2026-03-18T09:37:19.704000+08:00","guessed":false,"end":"2026-03-18T09:37:28.310000+08:00","text":"這當然是因為它的規模不夠嘛，因為只有5,000床而已，規模不大，現在急性病床的床數就7萬床。","quality":0.838},{"speaker":"陳委員菁徽","start":"2026-03-18T09:37:28.991000+08:00","guessed":false,"end":"2026-03-18T09:37:32.293000+08:00","text":"照服員這個2萬到6萬的缺口，你如果沒有解決，請問你這個3萬床要怎麼開出來？","quality":0.968},{"speaker":"石部長崇良","start":"2026-03-18T09:37:32.394000+08:00","guessed":false,"end":"2026-03-18T09:37:52.043000+08:00","text":"因為我們這個3萬床……我剛剛提到，這個是醫院提出其可以開辦的床數，只是我們的預算不足給他，所以我們才會編列預算，醫院既然願意來開辦，那我們就來提供預算，所以只是這樣的一個……","quality":0.974},{"speaker":"陳委員菁徽","start":"2026-03-18T09:37:52.043000+08:00","guessed":false,"end":"2026-03-18T09:37:54.504000+08:00","text":"好，沒關係，我們會每年再看一下您這個護理師的數據。","quality":0.955},{"speaker":"石部長崇良","start":"2026-03-18T09:37:54.504000+08:00","guessed":false,"end":"2026-03-18T09:37:57.706000+08:00","text":"但是因為這個預算沒有審查，所以沒有辦法執行，今年到現在還不能執行……","quality":0.667},{"speaker":"陳委員菁徽","start":"2026-03-18T09:37:58.126000+08:00","guessed":false,"end":"2026-03-18T09:38:03.850000+08:00","text":"我跟你說，我們先看，你還有一個叫做放寬護理師實習年限……","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:38:03.850000+08:00","guessed":true,"end":"2026-03-18T09:38:04.850000+08:00","text":"因為我們目前就是這5,000床能做而已……","quality":0},{"speaker":"陳委員菁徽","start":"2026-03-18T09:38:04.191000+08:00","guessed":false,"end":"2026-03-18T09:38:15.138000+08:00","text":"很多護理師在網路上討論你要怎麼放寬護理師實習年限，這件事情你有沒有初步的想法，你是要怎麼放寬？","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:38:15.138000+08:00","guessed":false,"end":"2026-03-18T09:38:15.459000+08:00","text":"從本來是怎麼樣放寬到如何？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:38:19.851000+08:00","guessed":false,"end":"2026-03-18T09:38:27.153000+08:00","text":"過去護理系畢業之後，他要考照，所以我們給他一年多的時間去考……","quality":0.926},{"speaker":"陳委員菁徽","start":"2026-03-18T09:38:27.153000+08:00","guessed":false,"end":"2026-03-18T09:38:28.894000+08:00","text":"好，那你要改成怎麼樣？","quality":0.778},{"speaker":"石部長崇良","start":"2026-03-18T09:38:28.894000+08:00","guessed":false,"end":"2026-03-18T09:38:34.875000+08:00","text":"在這之前，他如果願意繼續實習，那他就可以繼續留下來，然後……","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:38:35.575000+08:00","guessed":false,"end":"2026-03-18T09:38:37.176000+08:00","text":"在多久以內完成？","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:38:37.336000+08:00","guessed":false,"end":"2026-03-18T09:38:38.976000+08:00","text":"你說要放寬嘛，那多久以內？","quality":0.818},{"speaker":"石部長崇良","start":"2026-03-18T09:38:38.976000+08:00","guessed":false,"end":"2026-03-18T09:38:42.077000+08:00","text":"對，我們當然希望他考上嘛，所以就是繼續……關於時間的部分，我們要跟護理界討論。","quality":0.848},{"speaker":"陳委員菁徽","start":"2026-03-18T09:38:45.038000+08:00","guessed":false,"end":"2026-03-18T09:38:49.522000+08:00","text":"所以你講出放寬護理師實習年限，但你還沒跟護理師討論？","quality":0.958},{"speaker":"石部長崇良","start":"2026-03-18T09:38:50.502000+08:00","guessed":false,"end":"2026-03-18T09:38:55.186000+08:00","text":"我是說要放寬到多久還沒有定案，但是這個方向上已經確定了。","quality":0.962},{"speaker":"陳委員菁徽","start":"2026-03-18T09:38:55.646000+08:00","guessed":false,"end":"2026-03-18T09:38:58.168000+08:00","text":"你什麼時候跟護理師團體開過會？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:38:58.288000+08:00","guessed":false,"end":"2026-03-18T09:38:59.009000+08:00","text":"一直都在開會，三個月了……","quality":0.6},{"speaker":"陳委員菁徽","start":"2026-03-18T09:38:59.749000+08:00","guessed":false,"end":"2026-03-18T09:39:00.730000+08:00","text":"我知道，我是說什麼時候討論過放寬護理師實習年限？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:39:00.810000+08:00","guessed":false,"end":"2026-03-18T09:39:01.631000+08:00","text":"上次就已經討論過了，就朝這個方向。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:39:07.422000+08:00","guessed":false,"end":"2026-03-18T09:39:11.144000+08:00","text":"但是你們總該有一個討論是幾到幾吧？","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:39:11.144000+08:00","guessed":true,"end":"2026-03-18T09:39:12.144000+08:00","text":"有一個範圍。","quality":0},{"speaker":"石部長崇良","start":"2026-03-18T09:39:12.144000+08:00","guessed":true,"end":"2026-03-18T09:39:13.144000+08:00","text":"對，年限上還沒有確認，年限還沒有確認，但是一定會……","quality":0.286},{"speaker":"陳委員菁徽","start":"2026-03-18T09:39:11.525000+08:00","guessed":false,"end":"2026-03-18T09:39:13.386000+08:00","text":"但是你在會議上提的意見是多久？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:39:13.446000+08:00","guessed":false,"end":"2026-03-18T09:39:14.787000+08:00","text":"我沒有提多久，我只是說要放寬。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:39:14.787000+08:00","guessed":false,"end":"2026-03-18T09:39:15.027000+08:00","text":"那對方提的呢？","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:39:15.067000+08:00","guessed":false,"end":"2026-03-18T09:39:16.668000+08:00","text":"對方，因為現在跟護理師聽到的聲音好像不太一樣。","quality":0.905},{"speaker":"石部長崇良","start":"2026-03-18T09:39:29.456000+08:00","guessed":false,"end":"2026-03-18T09:39:30.438000+08:00","text":"哪裡不一樣？","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:39:30.438000+08:00","guessed":false,"end":"2026-03-18T09:39:46.420000+08:00","text":"我是說他們是反對……有一些護理師團體覺得沒有被徵詢到意見，另外，他們也沒有很贊成放寬，因為你應該是要提高留任的比例，開源也很重要，可是現在很多人是有護理師執照，可是不願意執業嘛。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:39:48.262000+08:00","guessed":false,"end":"2026-03-18T09:39:57.172000+08:00","text":"我想執業的考量因素很多，我們只是讓願意留在護理職場的，包含實習生也是，也給他們機會。","quality":0.947},{"speaker":"陳委員菁徽","start":"2026-03-18T09:39:57.433000+08:00","guessed":false,"end":"2026-03-18T09:39:58.714000+08:00","text":"我們可以跟你要一下這個會議紀錄嗎？可以。","quality":0.833},{"speaker":"陳委員菁徽","start":"2026-03-18T09:39:58.714000+08:00","guessed":false,"end":"2026-03-18T09:40:00.376000+08:00","text":"你上次跟護理師團體討論，裡面有包括放寬護理師實習年限的……","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:40:00.396000+08:00","guessed":false,"end":"2026-03-18T09:40:09.245000+08:00","text":"我們一直有在跟……照護師，也有在跟……就很多在討論。","quality":0.6},{"speaker":"陳委員菁徽","start":"2026-03-18T09:40:09.245000+08:00","guessed":false,"end":"2026-03-18T09:40:09.525000+08:00","text":"所以他們的意見是什麼？","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:40:09.545000+08:00","guessed":false,"end":"2026-03-18T09:40:09.625000+08:00","text":"一句話就好了。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:40:09.645000+08:00","guessed":false,"end":"2026-03-18T09:40:09.665000+08:00","text":"我們請……","quality":1},{"speaker":"蔡司長淑鳳","start":"2026-03-18T09:40:09.685000+08:00","guessed":false,"end":"2026-03-18T09:40:36.954000+08:00","text":"關於護理的輔助人力這一塊，其實是一個比較整體性的討論，也分一些層級，譬如有護理師證照的是擔任護理師的工作，我們現在有在討論護理師助理，護理師助理就很像現行的實習護士，實習護士就是沒有拿到證照的，但是在護理師的督導之下，他們現在可以有15個月。","quality":0.936},{"speaker":"蔡司長淑鳳","start":"2026-03-18T09:40:37.054000+08:00","guessed":false,"end":"2026-03-18T09:40:39.235000+08:00","text":"至於這兩個制度要怎麼做整合，就是沒有考上證照的，他沒有工作，但是他做的不是護理工作，而是護理的輔助工作。謝謝。","quality":0.898},{"speaker":"陳委員菁徽","start":"2026-03-18T09:40:39.235000+08:00","guessed":false,"end":"2026-03-18T09:40:59.766000+08:00","text":"最後我只問一句話，就是之前跟邱泰源部長曾經討論過的白班津貼，從我們這一屆立委上任，陳建仁院長就答應了。","quality":0.872},{"speaker":"陳委員菁徽","start":"2026-03-18T09:40:59.766000+08:00","guessed":true,"end":"2026-03-18T09:41:18.991000+08:00","text":"（播放影片）","quality":0},{"speaker":"陳委員菁徽","start":"2026-03-18T09:41:18.991000+08:00","guessed":false,"end":"2026-03-18T09:41:26.575000+08:00","text":"當時我問白班津貼，但邱泰源部長回答的是三班護病比的獎勵，所以最後我們到底會不會發白班津貼？","quality":0.667},{"speaker":"陳委員菁徽","start":"2026-03-18T09:41:26.575000+08:00","guessed":false,"end":"2026-03-18T09:41:26.875000+08:00","text":"就這樣而已。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:41:27.135000+08:00","guessed":false,"end":"2026-03-18T09:41:39.862000+08:00","text":"我們現在的規劃就是達標獎勵，多數醫院都已經發給白班津貼了，因為夜班已經有津貼了，所以他們的達標獎勵款多數就是發在白班。","quality":0.927},{"speaker":"陳委員菁徽","start":"2026-03-18T09:41:40.882000+08:00","guessed":false,"end":"2026-03-18T09:41:42.983000+08:00","text":"所以你的意思是說，你們會改成用這個？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:41:42.983000+08:00","guessed":false,"end":"2026-03-18T09:41:42.983000+08:00","text":"達標獎勵。","quality":1},{"speaker":"陳委員菁徽","start":"2026-03-18T09:41:47.645000+08:00","guessed":false,"end":"2026-03-18T09:41:49.007000+08:00","text":"用達標獎勵來取代白班津貼？","quality":0.917},{"speaker":"石部長崇良","start":"2026-03-18T09:41:49.127000+08:00","guessed":false,"end":"2026-03-18T09:41:56.457000+08:00","text":"我們不去明訂白班津貼，就是用護病比的達標獎勵由醫院去發放，現在都是發放到白班的身上。","quality":0.974},{"speaker":"陳委員菁徽","start":"2026-03-18T09:41:56.898000+08:00","guessed":false,"end":"2026-03-18T09:41:58.200000+08:00","text":"好，謝謝主席，謝謝部長。謝謝。","quality":1},{"speaker":"主席","start":"2026-03-18T09:41:58.700000+08:00","guessed":true,"end":"2026-03-18T09:42:00.700000+08:00","text":"謝謝陳菁徽委員。","quality":0},{"speaker":"主席","start":"2026-03-18T09:42:01+08:00","guessed":true,"end":"2026-03-18T09:42:03.571429+08:00","text":"接下來請邱慧洳委員。","quality":0}]}},"supported_relations":[],"relations":[]}