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Act的那個經費的需求目前的那個規劃進度到哪裡了"},{"start":37.328,"end":52.04,"text":"跟委員報告現在目前研議會已經有把相關的計畫已經收到那我們正在辦理中那你可以告訴的告訴國人嗎現在在整個援助民主健康的這個議題我們研議會的角色在哪裡"},{"start":53.227,"end":72.947,"text":"現在因為在嚴明會底下我們社會福利處那有三個科 其中一個就是衛生保健科那主要的任務大概就是我們在健保健保費的一個補助當中針對10歲以下 55歲以上 六列二目的部分那這塊是由嚴明會這邊來去做指引"},{"start":75.269,"end":100.854,"text":"還有一些針對一些街頭病完治獎金另外我們在長照方面的話我們也針對應用長照基金也卸衛福部我們在從105年開始從121站現在已經增加到532站我們服務的族人在各個部落當中總共有1萬8千多人每天都是在量血壓"},{"start":102.695,"end":128.816,"text":"讓我們的主任也有一個很好的一個健康管理的一個行為大概重點是這樣子關於交通補助費的部分呢交通補助費現在目前是編載衛福部的衛福部嗎對所以你最主要的部分就是看的健保費還有我們文件站的這個部分是OK好那謝謝我們羅署長的回答請回那我們有請國衛院院長"},{"start":135.68,"end":156.299,"text":"委員長好很高興您能夠親自來因為第一次見到您然後我也知道國務院擔任了非常重要的角色尤其在原子民主健康資料這個部分那我昨天有詢問我們的部長說可能每年有2500萬的經費到那我想再確認一下是每年都會有嗎還是每幾年會有還是怎麼樣"},{"start":157.59,"end":175.159,"text":"跟委員報告,從這個2023年12月29號國會院正式成立援助民族的健康研究中心到現在每一年部裡面事實上都寬列預算給國會院來進行這個我們研究中心的各項任務的進行"},{"start":176.445,"end":195.954,"text":"他說從賴總統的健康台灣願景中的三高防治888計畫與癌症防治計畫這個希望能夠從全國的健康資料裡面來勾結我們原住民健康資料那我想知道這個部分的資料的收集有沒有完全還是說還在進行中是 跟委員報告那我們從這個"},{"start":198.052,"end":222.846,"text":"研究中心成立以後我們就組織了一個研究的一個資育委員會那目前17位委員裡面大概有八成以上都是我們原住民族的各領域的專家醫師跟學者那我們在從事一般的這些健康資料庫的建置的時候我們特別強調文化的敏感度所以我們就在各面向諮詢我們的這些委員"},{"start":223.746,"end":251.025,"text":"那目前我們希望成立一個可以長期追蹤而且是多面向可以做分析的一個援助民族的生命歷程的健康資料庫那從延續我們過去從1998年開始的健保相關的資料庫我們希望可以納入更多的包括死因包括癌症包括疫苗的接種也包括這些未來的這些相關的跟"},{"start":251.906,"end":274.852,"text":"就學就醫相關的其他部會的資料我們可以整合在一起很好就說我們希望能夠整合健保醫療利用長照慢性病死因啊偏鄉的醫師人力跟文化照護服務的關鍵資料然後整合成一個政策是不是目前有一個政策的一個優先的順序嗎還是你們已經有產生一個政策的導引給我們的部長參考"},{"start":276.198,"end":301.554,"text":"是 那目前我們這一年多來就是說諮詢了這些委員我們針對12個主要的議題包括這些醫療照護包括長照包括慢性病包括癌症包括口腔的衛生等等我們有12個重要的面向那目前希望可以透過更深入的這個研究所以經過兩次的計畫的徵集我們目前有6個計畫要開始執行"},{"start":304.276,"end":320.602,"text":"這個六個計畫的主持人或共同主持人必須要有原住民族的身份那我感謝國會的努力我相信在你們的努力之下還有我們的監督之下希望把這項工作做好那我會持續關注這個議題那謝謝院長親自到場謝謝謝謝委員好 請衛福部長請部長"},{"start":329.858,"end":341.715,"text":"部長就講一個比較我們就開始講到比較細節的問題了那我剛看了就是說偏鄉地區的一個健保署回答一下就是我剛看醫療"},{"start":346.044,"end":374.164,"text":"缺乏的地區的範圍裡面我看竟然沒有高雄市高雄市我看了一下我在我常常經過的地方我覺得特別偏遠的地方比如說六龜還有甲仙那為什麼這兩個區沒有在我們的醫療缺乏的地區因為它是鄰近我們納瑪下桃園最近的那個平地鄉如果說平地區那如果說我們這兩個區塊"},{"start":375.765,"end":394.365,"text":"完全沒有醫療服務的時候其實要藉助甲仙跟六龜可是甲仙跟六龜如果他本身也是醫療缺乏地區的話這個部分要怎麼去補足委員指的是說什麼就是說他們的醫療要去看病啊急救啊其實在"},{"start":395.612,"end":425.003,"text":"在我們納瑪下跟桃園地區可能相對不利因為他們可能只有一個點比如說衛生所可是比如說他為了要就近他會到甲仙跟六龜可是甲仙跟六龜他明明他也是醫療缺乏的地區那如果說這個這個重點沒有被看看到的話沒有資源更多給他們的時候我們鄰近的族人要去的時候他們也是去一個醫療缺乏的地區啊我的意思是這樣是說沒有列入那個嗎對啊他沒有列入甲仙跟六龜沒有列入"},{"start":426.813,"end":455.703,"text":"跟委員報告我們健保在列入偏鄉事實上每一季都會有提案我們會盤點這個醫療資源跟當地的居民的人數我們剛委員提到這兩處我們回去再做盤點我們每一季每一季都有持續列入的那再跟委員補充事實上不是只有偏鄉是挹注偏鄉醫療資源醫事室那邊有以外光是健保署就有三個一個是委員知道的燈塔型醫院那另外一個就是IDS第三個是醫缺醫不足的巡迴診"},{"start":456.443,"end":481.553,"text":"所以總共有三個地方為什麼會特別講到這個就是因為要洗腎可能就要到這兩個地區因為我們納瑪夏跟桃園就是沒有洗腎的床那我是希望能夠特別重視它鄰近的這個平地鄉的一個平地區的一個醫療的規模讓我們鄰近的族人如果要到那個地方的時候又找不到可以去洗腎或者是說進一步的治療的地方我認為是這樣第二個就是"},{"start":482.253,"end":498.479,"text":"我們的養成計畫已經這麼久了可是我還是會聽到有些它非醫師類的比如說它是藥師或者是護理師結果它找不到地方可以服務比如說因為它可能因為是縣市政府它把關了一些人士的一個缺口"},{"start":498.999,"end":525.148,"text":"那他認為這個是在地方的人事權不過他已經受完訓練了他也要償還公費了他卻苦無沒有地方可以服務我覺得這個我們明明是我們衛福部去訓練的或者說我們公費的這些養成計劃的學生你不能讓他沒有地方可以服務啊所以我是覺得說你們應該去盤點有多少個畢業生拿到執照以後他確實找不到地方服務你們要擔下這個責任來幫他們找"},{"start":526.528,"end":549.583,"text":"好跟委員說明我們確實也發現到有一些在地養成的因為他的第一順位是要回到他本來的原鄉但是因為如果沒有缺因為可能之前的服務的還沒有期滿或者是繼續留下來了那他就沒有缺出來那我們就會有第二順位第三順位可能會逐步的擴大到其他的這個"},{"start":550.644,"end":565.815,"text":"偏鄉 人力不足的地方然後或者是我們的部立醫院所以當然我們有一些順位啦至少讓他有地方可以去啦當然才有燈塔醫院嘛 對不對也可以去還有我們的我們再盤點一下因為我們大概是"},{"start":566.716,"end":588.611,"text":"半年會盤點一次看有哪些缺不過我想說如果找不到的就直接來跟我們報導上次有提過就是有些公費醫師他想要去居家醫療型態的診所服務我希望他能夠也列入可以償還公費的一個選項因為之前有這樣提過我們也列在這個priority裡頭"},{"start":590.532,"end":610.288,"text":"那還有一個IDS值班的地點因為永遠都是在衛生所可是其實衛生所是相對醫療的那個比較豐富的地方為什麼怎麼說呢因為很多開業意會顯在人多的地方比如說像山地門的話它就會開在可能開在水門或是開在什麼我的意思是說"},{"start":611.109,"end":640.661,"text":"因為都沒有去檢討IDS的晚上的值班地點所以它的地點永遠都一樣所以缺乏的地方永遠缺乏比如說我們里那裡它是一個八八風災移居的一個區塊它居住了三個鄉的一個原住民主人口在那裡結果變成是遠變成是全國最大的地區還有我們長治百合可是IDS的那個點它就不是在那裡所以它應該是要有一個所謂的彈性也就是說我們不能只限定說IDS值班的地點是"},{"start":641.841,"end":659.426,"text":"陰性規定是在那裡應該讓衛生局所去盤點說哪一些鄉鎮或者是說區域或是部落是需要晚上夜間值班的地方而不是永遠都在那個地方stand by然後永遠都沒有病人來或者說該需要服務的人沒有服務到"},{"start":660.587,"end":678.525,"text":"我們今年那個IDS檢討的時候我就請健保邀請那個衛生局來表示意見看他有沒有需要調整的點這樣按照那個地方上的需求來調整最後因為時間的關係我還是講到巴士量表因為我曾經因為這樣的事情召集過衛福部還有"},{"start":679.225,"end":705.743,"text":"明明會到辦公室來聊因為我們的平均餘命就是差到七歲左右嘛可是就因為這樣的一個差距我們沒有做adjustment所以我希望至少七十五歲或是至少有一個降低對原住民來講當然不是每一個原住民可以請得起可是當他有這個需求的時候應該就因為他的民族的關係而得到這方面的一個你提的是說八十歲以上免八十兩表希望那個年齡下降對原住民好我們來我們"},{"start":708.144,"end":724.392,"text":"我們來提建議給勞動部啦因為我有問過勞動部長 勞動部長說這是衛福部的事情所以我們要提建議啦所以我那時候叫跨部會的一個協調好不好發布的時候要他們發布 但是我們來提建議建議按照這個年齡的這個餘命的落差來做調整我們來發這個公文給勞動部 建議他"},{"start":734.356,"end":739.502,"text":"對那個元敏的話他的那個免84陽表的那個年齡往下修看看是不是到75這樣謝謝"}],"gazette":[{"speaker":"盧委員縣一","start":"2026-03-18T11:24:20.310000+08:00","guessed":false,"end":"2026-03-18T11:24:20.470000+08:00","text":"謝謝主席！","quality":1},{"speaker":"盧委員縣一","start":"2026-03-18T11:24:21.351000+08:00","guessed":false,"end":"2026-03-18T11:24:23.716000+08:00","text":"有請我們原民會。","quality":0.857},{"speaker":"主席","start":"2026-03-18T11:24:24.537000+08:00","guessed":false,"end":"2026-03-18T11:24:31.349000+08:00","text":"請原民會。","quality":0.75},{"speaker":"盧委員縣一","start":"2026-03-18T11:24:31.349000+08:00","guessed":false,"end":"2026-03-18T11:24:42.163000+08:00","text":"先讓部長休息一下，因為昨天有提到這個議題，不知道處長昨天有沒有聽到我們關於原住民部分的質詢？有。","quality":0.75},{"speaker":"盧委員縣一","start":"2026-03-18T11:24:45.404000+08:00","guessed":false,"end":"2026-03-18T11:24:56.808000+08:00","text":"我們在3月初跟桃園市政府原民局一起去拜訪主委，針對PRIDoC經費的需求，目前的規劃進度到哪裡了？","quality":0.911},{"speaker":"羅赫踛Helu Chiu處長","start":"2026-03-18T11:24:57.328000+08:00","guessed":false,"end":"2026-03-18T11:25:03.533000+08:00","text":"跟委員報告，現在原民會已經收到相關的計畫，我們正在辦理中。OK！","quality":0.786},{"speaker":"盧委員縣一","start":"2026-03-18T11:25:04.594000+08:00","guessed":false,"end":"2026-03-18T11:25:12.040000+08:00","text":"你可以告訴國人在整個原住民族健康這個議題中，現在我們原民會的角色在哪裡？","quality":0.765},{"speaker":"羅赫踛Helu Chiu處長","start":"2026-03-18T11:25:13.227000+08:00","guessed":false,"end":"2026-03-18T11:25:39.370000+08:00","text":"在我們原民會社會福利處底下現在有三個科，其中一個就是衛生保健科，主要的任務大概就是在健保費的補助部分，針對20歲以下55歲以上即六類二目的部分，這部分是由原民會這邊來做支應，還有針對結核病完治獎金這些。","quality":0.769},{"speaker":"羅赫踛Helu Chiu處長","start":"2026-03-18T11:25:40.710000+08:00","guessed":false,"end":"2026-03-18T11:26:08.920000+08:00","text":"另外在長照方面，我們也運用長照基金─這裡要謝謝衛福部，自105年開始，我們現在已從121站增加到532站，在各個部落當中服務的族人總共達一萬八千多人，每天都有量血壓等，讓我們的族人有一個很好的健康管理行為，重點大概是這樣子。","quality":0.726},{"speaker":"盧委員縣一","start":"2026-03-18T11:26:09.320000+08:00","guessed":false,"end":"2026-03-18T11:26:11.022000+08:00","text":"關於交通補助費的部分呢？","quality":1},{"speaker":"羅赫踛Helu Chiu處長","start":"2026-03-18T11:26:11.382000+08:00","guessed":false,"end":"2026-03-18T11:26:13.884000+08:00","text":"交通補助費部分目前是編在衛福部項下。","quality":0.706},{"speaker":"盧委員縣一","start":"2026-03-18T11:26:16.166000+08:00","guessed":false,"end":"2026-03-18T11:26:21.010000+08:00","text":"所以你們最主要的就是剛才說的健保費還有文健站這個部分？是。","quality":0.815},{"speaker":"盧委員縣一","start":"2026-03-18T11:26:21.731000+08:00","guessed":false,"end":"2026-03-18T11:26:24.413000+08:00","text":"好，謝謝羅處長的回答，請回座。","quality":0.833},{"speaker":"盧委員縣一","start":"2026-03-18T11:26:27.115000+08:00","guessed":false,"end":"2026-03-18T11:26:28.816000+08:00","text":"有請國衛院院長。","quality":1},{"speaker":"司徒院長惠康","start":"2026-03-18T11:26:35.680000+08:00","guessed":false,"end":"2026-03-18T11:26:36.701000+08:00","text":"委員好。","quality":0.667},{"speaker":"盧委員縣一","start":"2026-03-18T11:26:36.701000+08:00","guessed":false,"end":"2026-03-18T11:26:36.701000+08:00","text":"院長好。","quality":0.667},{"speaker":"盧委員縣一","start":"2026-03-18T11:26:37.242000+08:00","guessed":false,"end":"2026-03-18T11:26:45.890000+08:00","text":"很高興你能夠親自來，因為我是第一次見到你，也知道國衛擔任了非常重要的角色，尤其在原住民族健康資料這個部分。","quality":0.857},{"speaker":"盧委員縣一","start":"2026-03-18T11:26:46.670000+08:00","guessed":false,"end":"2026-03-18T11:26:56.299000+08:00","text":"我昨天有詢問我們的部長，說是可能每年有2,500萬的經費，我想再確認一下，這是每年都會有還是每幾年會有還是怎麼樣？","quality":0.939},{"speaker":"司徒院長惠康","start":"2026-03-18T11:26:57.590000+08:00","guessed":false,"end":"2026-03-18T11:27:14.939000+08:00","text":"跟委員報告，從2023年12月29日國衛院正式成立原住民族健康研究中心到現在，事實上部裡面每年都寬列預算給國衛院這個研究中心進行各項任務。","quality":0.793},{"speaker":"盧委員縣一","start":"2026-03-18T11:27:18.626000+08:00","guessed":false,"end":"2026-03-18T11:27:32.132000+08:00","text":"部長說賴總統的「健康台灣願景」包含三高防治888計畫、癌症防治計畫，希望能夠從全國的健康資料裡面來勾稽我們原住民健康資料，我想知道這部分資料的蒐集有沒有完全？","quality":0.9},{"speaker":"盧委員縣一","start":"2026-03-18T11:27:32.473000+08:00","guessed":false,"end":"2026-03-18T11:27:33.413000+08:00","text":"還是說還在進行中？","quality":1},{"speaker":"司徒院長惠康","start":"2026-03-18T11:27:34.434000+08:00","guessed":false,"end":"2026-03-18T11:28:35.627000+08:00","text":"跟委員報告，從這個研究中心成立以後，我們就組織了一個研究的諮議委員會，目前的17位委員裡，大概有八成以上都是我們原住民族各領域的專家、醫師跟學者，我們在從事一般健康資料庫建置的時候，特別強調文化的敏感度，所以就在各面向諮詢我們這些委員，目前我們是希望成立一個可以長期追蹤而且是多面向可以做分析的原住民族生命歷程的健康資料庫，延續過去我們從1998年開始建立的健保相關資料庫，希望可以納入更多的資料，包括死因、癌登、疫苗接種等，也包括未來跟就學、就醫相關的其他部會的資料，將這些都整合在一起。","quality":0.919},{"speaker":"盧委員縣一","start":"2026-03-18T11:28:35.827000+08:00","guessed":false,"end":"2026-03-18T11:28:45.789000+08:00","text":"很好，就是說我們希望能夠整合健保醫療，利用長照、慢性病死因、偏鄉醫事人力跟文化照護服務的關鍵資料，然後整合成一個政策。","quality":0.962},{"speaker":"盧委員縣一","start":"2026-03-18T11:28:46.470000+08:00","guessed":false,"end":"2026-03-18T11:28:50.251000+08:00","text":"請問目前是不是有政策的優先順序？","quality":0.733},{"speaker":"盧委員縣一","start":"2026-03-18T11:28:50.691000+08:00","guessed":false,"end":"2026-03-18T11:28:54.832000+08:00","text":"還是你們已經有產生一個政策導引給我們的部長參考？","quality":1},{"speaker":"司徒院長惠康","start":"2026-03-18T11:28:57.439000+08:00","guessed":false,"end":"2026-03-18T11:29:29.898000+08:00","text":"我們這一年多來諮詢了這些委員，目前是針對12個主要的議題，包括醫療照護、長照、慢性病、癌症、口腔衛生等等，我們有12個重要的面向，希望可以做更深入的研究，所以經過兩次的計畫徵集，我們目前有6個計畫要開始執行，而這6個計畫的主持人或共同主持人必須要有原住民族的身分。","quality":0.947},{"speaker":"盧委員縣一","start":"2026-03-18T11:29:32.039000+08:00","guessed":false,"end":"2026-03-18T11:29:39.262000+08:00","text":"感謝國衛院的努力，我希望也相信在你們的努力還有我們的監督之下，能把這項工作做好，我也會持續關注這個議題。","quality":0.854},{"speaker":"盧委員縣一","start":"2026-03-18T11:29:39.402000+08:00","guessed":false,"end":"2026-03-18T11:29:39.902000+08:00","text":"謝謝院長親自到場，謝謝！","quality":1},{"speaker":"司徒院長惠康","start":"2026-03-18T11:29:39.902000+08:00","guessed":false,"end":"2026-03-18T11:29:40.302000+08:00","text":"謝謝委員。","quality":1},{"speaker":"盧委員縣一","start":"2026-03-18T11:29:40.402000+08:00","guessed":false,"end":"2026-03-18T11:29:40.582000+08:00","text":"接下來請衛福部部長。","quality":0.556},{"speaker":"主席","start":"2026-03-18T11:29:40.582000+08:00","guessed":false,"end":"2026-03-18T11:29:40.602000+08:00","text":"請部長。","quality":1},{"speaker":"盧委員縣一","start":"2026-03-18T11:29:49.858000+08:00","guessed":false,"end":"2026-03-18T11:30:00.553000+08:00","text":"部長，我們要開始講到比較細節的問題了，請健保署回答一下。","quality":0.92},{"speaker":"盧委員縣一","start":"2026-03-18T11:30:01.554000+08:00","guessed":false,"end":"2026-03-18T11:30:26.759000+08:00","text":"我剛剛看了偏鄉醫療缺乏地區的範圍，裡面竟然沒有高雄市，我覺得高雄市內我常常經過的地方也有特別偏遠的地方，比如說六龜還有甲仙，為什麼這兩個區沒有在我們的醫療缺乏地區內？","quality":0.859},{"speaker":"盧委員縣一","start":"2026-03-18T11:30:26.759000+08:00","guessed":false,"end":"2026-03-18T11:30:45.476000+08:00","text":"因為它是鄰近我們那瑪夏、桃源最近的平地區，如果這兩個區塊完全沒有醫療服務的時候，其實要借助甲仙跟六龜，可是如果甲仙跟六龜本身也是醫療缺乏地區的話，這個部分要怎麼去補足？","quality":0.923},{"speaker":"石部長崇良","start":"2026-03-18T11:30:47.278000+08:00","guessed":false,"end":"2026-03-18T11:30:49.360000+08:00","text":"委員指的是什麼？","quality":1},{"speaker":"盧委員縣一","start":"2026-03-18T11:30:49.360000+08:00","guessed":false,"end":"2026-03-18T11:31:18.480000+08:00","text":"就是說他們的醫療，比如要去看病、急救，其實在那瑪夏跟桃源地區可能只有一個點，比如說衛生所，他如果要就近，就會到甲仙跟六龜，可是甲仙跟六龜明明也是醫療缺乏地區，如果這個重點沒有被看到，沒有給他們更多資源的話，屆時我們鄰近的族人去的時候也是去到一個醫療缺乏的地區啊！","quality":0.875},{"speaker":"盧委員縣一","start":"2026-03-18T11:31:18.660000+08:00","guessed":false,"end":"2026-03-18T11:31:21.241000+08:00","text":"我的意思是這樣。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:31:21.241000+08:00","guessed":false,"end":"2026-03-18T11:31:22.922000+08:00","text":"委員說的是沒有列入對嗎？對啊！","quality":0.615},{"speaker":"盧委員縣一","start":"2026-03-18T11:31:23.782000+08:00","guessed":false,"end":"2026-03-18T11:31:24.983000+08:00","text":"甲仙跟六龜沒有列入。","quality":1},{"speaker":"陳署長亮妤","start":"2026-03-18T11:31:26.813000+08:00","guessed":false,"end":"2026-03-18T11:31:40.298000+08:00","text":"跟委員報告，我們健保在列入偏鄉，事實上每一季都會有提案，我會盤點這個醫療資源跟當地居民的人數，剛剛委員提到的這兩處，我們回去再做盤點，我們每一季每一季都有持續列入的。","quality":0.974},{"speaker":"陳署長亮妤","start":"2026-03-18T11:31:40.978000+08:00","guessed":false,"end":"2026-03-18T11:31:57.163000+08:00","text":"再跟委員補充一點，事實上不是只有偏鄉是挹注偏鄉醫療資源，醫事司以外，光是健保署就有三個，一個是委員知道的燈塔型醫院，另外一個就是IDS，第三個是醫缺（醫不足）的巡迴診，所以總共有三個。","quality":0.963},{"speaker":"盧委員縣一","start":"2026-03-18T11:31:57.443000+08:00","guessed":false,"end":"2026-03-18T11:31:58.364000+08:00","text":"為什麼特別講到這個？","quality":1},{"speaker":"盧委員縣一","start":"2026-03-18T11:31:58.364000+08:00","guessed":false,"end":"2026-03-18T11:32:04.746000+08:00","text":"就是因為若要洗腎，可能就要到這兩個地區，因為我們那瑪夏跟桃源就是沒有洗腎的床嘛！","quality":0.892},{"speaker":"盧委員縣一","start":"2026-03-18T11:32:05.647000+08:00","guessed":false,"end":"2026-03-18T11:32:19.492000+08:00","text":"我是希望能夠特別重視鄰近平地鄉的平地區的醫療規模，讓我們鄰近的族人如果要到那個地方的時候，不會又找不到可以去洗腎或者是做進一步治療的地方。","quality":0.955},{"speaker":"盧委員縣一","start":"2026-03-18T11:32:21.353000+08:00","guessed":false,"end":"2026-03-18T11:32:57.005000+08:00","text":"其次就是我們的養成計畫已經執行這麼久了，可是我還是會聽到有些非醫師類的人，比如說藥師或者是護理師，他們找不到地方可以服務，有些可能因為縣市政府把關了一些人事的缺口，認為這屬於地方的人事權，可是這些人已經受完訓練，也要償還公費了，卻苦無沒有地方可以服務，這些人明明是我們衛福部去訓練的或者是公費養成計畫的學生，你不能讓他們沒有地方可以服務啊！","quality":0.862},{"speaker":"盧委員縣一","start":"2026-03-18T11:32:57.465000+08:00","guessed":false,"end":"2026-03-18T11:33:05.128000+08:00","text":"所以我覺得你們應該去盤點有多少畢業生拿到執照以後確實找不到地方服務的，你們要擔下這個責任，幫他們找。","quality":0.979},{"speaker":"石部長崇良","start":"2026-03-18T11:33:07.108000+08:00","guessed":false,"end":"2026-03-18T11:33:37.089000+08:00","text":"跟委員說明，我們確實也發現到有些在地養成的，因為他的第一順位是要回到他本來的原鄉嘛，但是如果沒有缺，可能之前服務的人還沒有期滿或者是繼續留下來了，就沒有缺出來，那我們就會有第二順位、第三順位，可能會逐步的擴大到其他的偏鄉、人力不足的地方或者是我們的部立醫院，我們是有一些順位啦！","quality":0.977},{"speaker":"盧委員縣一","start":"2026-03-18T11:33:37.589000+08:00","guessed":false,"end":"2026-03-18T11:33:39.030000+08:00","text":"至少要讓他有地方可以去啦！","quality":0.917},{"speaker":"盧委員縣一","start":"2026-03-18T11:33:39.951000+08:00","guessed":false,"end":"2026-03-18T11:33:43.053000+08:00","text":"我們有燈塔醫院可以去，還有我們的……","quality":0.867},{"speaker":"石部長崇良","start":"2026-03-18T11:33:43.874000+08:00","guessed":false,"end":"2026-03-18T11:33:53.581000+08:00","text":"我們再盤點一下，因為我們大概是半年會盤點一次看看有哪些缺，如果找不到的就直接來跟我們報到。","quality":0.952},{"speaker":"盧委員縣一","start":"2026-03-18T11:33:53.581000+08:00","guessed":false,"end":"2026-03-18T11:34:05.289000+08:00","text":"還有就是上次有提過，有些公費醫師想要去居家醫療型態的診所服務，我希望這也能列入可以償還公費的一個選項。","quality":0.875},{"speaker":"石部長崇良","start":"2026-03-18T11:34:06.689000+08:00","guessed":false,"end":"2026-03-18T11:34:08.611000+08:00","text":"我們也列入priority裡頭。","quality":0.933},{"speaker":"盧委員縣一","start":"2026-03-18T11:34:10.792000+08:00","guessed":false,"end":"2026-03-18T11:34:21.281000+08:00","text":"還有一個就是IDS值班的地點永遠都是在衛生所，可是其實衛生所是相對醫療比較豐富的地方，怎麼說呢？","quality":0.956},{"speaker":"盧委員縣一","start":"2026-03-18T11:34:21.381000+08:00","guessed":false,"end":"2026-03-18T11:34:37.512000+08:00","text":"因為很多開業醫會選在人多的地方，比如說像三地門的話，他就可能開在水門或是什麼地方，我的意思是說因為都沒有去檢討IDS晚上的值班地點，所以地點永遠都一樣，導致缺乏的地方永遠缺乏。","quality":0.902},{"speaker":"盧委員縣一","start":"2026-03-18T11:34:37.712000+08:00","guessed":false,"end":"2026-03-18T11:35:19.406000+08:00","text":"比如說我們的禮納里，這裡是八八風災移居的一個區塊，有三個鄉的原住民族人口在那裡居住，結果演變成全國最大的地區，還有長治、百合，可是IDS的點就不是在那裡，所以這部分應該要有一個彈性，也就是說我們不能硬性規定IDS值班地點在哪裡，應該讓衛生局（所）去盤點，看看哪一些鄉鎮或是區域、部落需要有夜間值班，而不是永遠都在那個地方standby，然後永遠都沒有病人來，或者說需要服務的人沒有服務到。","quality":0.893},{"speaker":"石部長崇良","start":"2026-03-18T11:35:20.807000+08:00","guessed":false,"end":"2026-03-18T11:35:31.818000+08:00","text":"今年IDS進行檢討的時候，我們就請健保署邀請衛生局來表示意見，看看有沒有需要調整的點，按照地方上的需求來調整。","quality":0.902},{"speaker":"盧委員縣一","start":"2026-03-18T11:35:32.839000+08:00","guessed":false,"end":"2026-03-18T11:36:00.199000+08:00","text":"因為時間的關係，我最後要講的是巴氏量表，我曾經因此召集衛福部和原民會到辦公室來聊，因為我們的平均餘命差到7歲左右，可是我們並沒有對這樣的差距做adjustment，所以我希望至少能降到75歲，對原住民來講至少有一個降低，當然不是每一個原住民都可以請得起，可是當他有這個需求的時候，應該可以因為他的民族的關係而得到這方面的一個回應。","quality":0.803},{"speaker":"石部長崇良","start":"2026-03-18T11:36:00.539000+08:00","guessed":false,"end":"2026-03-18T11:36:05.362000+08:00","text":"委員說的是80歲以上免巴氏量表對原住民部分將年齡降低一事？對。","quality":0.407},{"speaker":"石部長崇良","start":"2026-03-18T11:36:08.144000+08:00","guessed":false,"end":"2026-03-18T11:36:11.186000+08:00","text":"我們來提建議給勞動部。","quality":1},{"speaker":"盧委員縣一","start":"2026-03-18T11:36:12.306000+08:00","guessed":false,"end":"2026-03-18T11:36:15.367000+08:00","text":"我有問過勞動部部長，他說這是衛福部的事情。","quality":0.947},{"speaker":"石部長崇良","start":"2026-03-18T11:36:16.148000+08:00","guessed":false,"end":"2026-03-18T11:36:17.508000+08:00","text":"對，我知道，所以我們要提建議啦。","quality":0.692},{"speaker":"盧委員縣一","start":"2026-03-18T11:36:17.689000+08:00","guessed":false,"end":"2026-03-18T11:36:20.130000+08:00","text":"所以我的意思是要跨部會協調。","quality":0.615},{"speaker":"石部長崇良","start":"2026-03-18T11:36:20.950000+08:00","guessed":false,"end":"2026-03-18T11:36:39.502000+08:00","text":"就是發布的時候要他們發布，但是我們來提建議，建議按照餘命的落差來做調整，我們會發這個公文給勞動部，建議他將原民免巴氏量表的年齡往下修，看看是不是降到75歲這樣。","quality":0.847},{"speaker":"石部長崇良","start":"2026-03-18T11:36:39.502000+08:00","guessed":false,"end":"2026-03-18T11:36:39.502000+08:00","text":"謝謝委員！","quality":0.5},{"speaker":"盧委員縣一","start":"2026-03-18T11:36:40.002000+08:00","guessed":true,"end":"2026-03-18T11:36:41.002000+08:00","text":"好，謝謝。","quality":0},{"speaker":"主席","start":"2026-03-18T11:36:41.302000+08:00","guessed":true,"end":"2026-03-18T11:36:43.302000+08:00","text":"謝謝盧縣一委員。","quality":0},{"speaker":"主席（盧委員縣一）","start":"2026-03-18T11:36:43.602000+08:00","guessed":true,"end":"2026-03-18T11:36:54.173429+08:00","text":"目前收到臨時提案共3案，待謝衣鳯委員質詢完畢後休息20分鐘用餐，休息過後處理臨時提案。","quality":0},{"speaker":"主席（盧委員縣一）","start":"2026-03-18T11:36:54.473429+08:00","guessed":true,"end":"2026-03-18T11:36:57.330571+08:00","text":"現在請林淑芬委員發言。","quality":0}]}},"supported_relations":[],"relations":[]}