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謝謝主席 謝謝趙委重新安排這個行程 相關的議程我還是要麻煩石部長因為今天有兩個問題想要透過我請石部長對 趙委特別安排的內容來跟部長對話包括第一個就是偏鄉離島疑似人員流財"},{"start":45.035,"end":60.431,"text":"還有健康資料庫的整合健康資料庫的整合剛剛稍微也有稍微跟院長提到過另外一個議題就是慢性病防治法的進度我想這兩個議題都非常非常需要"},{"start":61.192,"end":85.101,"text":"再透過今天的方式來跟大家做討論那第一個就是有偏鄉離島疑似人員流財的措施我想這部分部長也非常清楚因為部長過去這麼長的一段時間擔任在這個衛福部裡面有非常多的經驗那也實務也知道幫助非常多相關的偏鄉的議題那如何流財"},{"start":86.566,"end":103.933,"text":"應該是所有在做偏鄉處理過程當中最重要的一部分那其實透過這個離島偏鄉長期的醫療人力的不足不只是醫師而已應該是相關的人力都會受到影響"},{"start":104.853,"end":124.683,"text":"那我們有瞭解很多的家籍很多的津貼都是希望讓人才能夠留在偏鄉可是有其他的相關條件包括這個交通不方便或者是生活條件等等的所以留任的機制並不是那麼樣的穩定這是我們目前一直在面臨的問題"},{"start":125.863,"end":152.502,"text":"所以我在最近跟陳妍委員還有莊惠璇委員一起提了一個有關於醫療法第88條的修正的內容就希望能夠強化這個照護的量能有關於人才流失的部分我們是希望在這個第88條裡面呢在第三項就是能夠針對醫事人員服務在偏鄉在離島偏鄉各級醫院及衛生所的部分收入"},{"start":153.137,"end":166.493,"text":"能夠透過好的方案來免於紀錄年度因課稅所得的課稅的部分適用範圍當然這個還需要再進一步的處理我想這一部分最重要的就是希望能夠透過這個稅制的優惠讓"},{"start":169.546,"end":185.214,"text":"來肯定我們醫事人員在惡劣的環境裡面做非常好的貢獻我相信這個長期在衛生地方衛生所服務的盧扎偉應該感受非常深刻因為我們知道盧扎偉在這方面真的貢獻非常非常的多"},{"start":186.385,"end":210.814,"text":"所以衛福部這邊是不是能夠認同這個稅制優惠可以作為流採的一個補充方案那這樣的修正方向不知道部長有沒有進一步如何跟財政部啟動相關的評估跟研理跟委員說明為了增加這個流採其實我們也做了很多的措施那也有規劃中的那第一個我們就已經希望把這個已經"},{"start":211.374,"end":233.684,"text":"做的就是把那個所有的給付都再加成所有的這個離島我們都是加30%那另外有一些偏鄉我們也都有加成的給付就是希望讓這些院所的收入會比較高那麼第二個當然希望他的這個收入高是要反映在這個人員的薪資上所以我們現在也在規劃要爭取在這個"},{"start":234.884,"end":260.711,"text":"偏鄉有個偏鄉佳績這當然指的是公立醫院的部分公立醫療機構的部分讓他可以有一個偏鄉佳績我們現在在爭取看看能不能提增加這個項目來留產至於說這個稅制的優惠的部分我想這個還涉及到跟這個財政部的討論我們來跟他研究看看那麼這個的可能性怎麼樣"},{"start":261.331,"end":282.142,"text":"是我們是希望雙管齊下這是除了能夠透過津貼方式來處理以外那我們也希望透過稅制的方式也一起來讓這些在偏鄉服務的醫事人員都能夠感受到政府對他們的付出另外一份的肯定那第二部分就要麻煩也要請司徒院長"},{"start":282.982,"end":309.085,"text":"一起來討論有關原住民健康資料庫的整合的部分剛剛趙偉其實也有跟院長做一些討論我們了解其實透過在112年正式施行了原住民原住民主健康法以後國衛院也在同年底就成立了原住民主健康研究中心這個中心裡面其實有三項非常重要的核心任務"},{"start":309.707,"end":336.312,"text":"就是第一要建構整合性的原住民族健康資料庫的平台來進行健康指標的建設與分析那第二部分就是推動以原住民族為主體的研究涵蓋了這個健康照護模式優化還有這個政策建言的提出第三個部分就是深化原住民族主題性的研究強調這個健康價值跟系列的實踐以實現健康自覺的目標"},{"start":337.673,"end":354.078,"text":"目前中心最重要的任務之一就是要擴展與維護原住民主的健康資料庫剛剛院長有稍微做一些說明其中我們其實非常關注的就是有關於資料的整合還有分析跟運用"},{"start":355.086,"end":379.309,"text":"所以也麻煩再請院長確認一下目前在這個數據的串接進度上面橫向串接不曉得完成度如何第一個那第二個就是說在處理過程裡面有沒有碰到法律或者是一些技術上的瓶頸那哪一些是正在進行當中還需要持續來處理的部分那這部分可不可以請院長先做個說明謝謝"},{"start":381.29,"end":403.356,"text":"謝謝謝謝委員那目前我們在過去一年半的時間那對資料庫的這個整理的工作事實上是背上我們過去從1998年就開始的從這個原住民族的相關的健保資料庫就醫的這些資訊還有他的包括死因跟癌症檔那我們現在試著再把"},{"start":404.136,"end":423.352,"text":"各項的這些資料做串接的時候事先的盤點大概基本的工作我們已經開始在進行串接的工作我們那個包括在我旁邊的我們院裡面的這個莊少委員莊博士他過去幾年非常多的這個對資料庫串接的工作的這個經驗我們已經陸陸續續在做橫向的串接"},{"start":426.895,"end":447.658,"text":"那法規的部分有些時候我們會碰到在使用上包括這個我們這個個案的這些隱私包括他這些個案的這些相關連結的部分這個是我們目前還在做有一些需要做克服的那技術的部分我們做橫向的連結是沒有問題"},{"start":448.539,"end":467.23,"text":"OK 了解 因為這些資料隱私性真的敏感度都非常非常的高所以在處理的部分就是一定要讓國會院這邊能夠做非常好的一些保護跟處理那我們知道將來在做這個研究對策應用的部分如何能夠將這個資料分析出來的結果"},{"start":468.251,"end":482.7,"text":"很精準的轉換到變成是偏鄉醫療資源數據的決策參考因為我們不知道我們知道這個不僅是讓這個資料庫裡面的數據放在資料庫裡面而已最重要還是後續的應用那我們以ICN篩檢數據為例"},{"start":485.222,"end":509.582,"text":"將來如果確定了可以知道哪一些的部分可以配置上有更好的使用的話就非常非常的重要比如說將來在偏鄉還剩的是個篩檢巡迴車的配置我們不知道到底目前哪一個地方是最需要透過這樣的數據庫的分析結果來加以改善那當然如果能夠把其他的部分一起整合進來的話"},{"start":510.623,"end":525.606,"text":"包括像兒童篩檢、成人健檢還有五大癌症的篩檢透過偏鄉一站式的服務的政策規劃那這部分可能就是需要應用到這個資料庫那這部分的應用不知道目前有沒有需要再加強哪一個部分"},{"start":529.092,"end":551.447,"text":"跟委員報告就是說關於國民健康署的癌症篩檢跟成人健檢的部分我們有針對原名鄉的部分再進行一次分析那在成人預防保健的部分就是原名鄉的這個使用利用率其實比起全國來說都還是來得高的不過在癌症篩檢的部分確實會有一些狀況不太一樣的情形"},{"start":551.887,"end":568.263,"text":"像是在大腸癌就跟全國平均是一樣可是在乳癌跟子宮頸癌的部分就比較偏低那我們會再針對這個數據去回饋給縣市跟縣市檢討如何去強化好 謝謝我想數據最重要的意義就是希望有好的運用"},{"start":569.003,"end":594.604,"text":"那我們希望讓這個運用可以符合在推政策的過程裡面將來可以有更好的成果謝謝署長也謝謝院長再過來想要跟部長討論就是有關於這個制定慢性病防治法的評估那剛好幾位長官都在這邊我們知道國務院在2023年其實就曾經發布一個後疫時代這個慢性病防治問題與對策那在這個"},{"start":598.927,"end":625.414,"text":"相關的這個出版品裡面我們也了解大家掌握到就是慢性病防治策略目前的現況就有下列這個幾個重點包括健保制度的檢討還有如何的調整還有確立這個初級預防評估的指標減少健康不平等引導國人來重視慢性病的風險還有落實慢性病的這個共管那也透過這樣的這個理解以後"},{"start":625.834,"end":648.155,"text":"致大慢性病風險的因素的類型有包括這幾個就是生活型態環境與社會性的因素心理健康關於因素還有生物遺傳因素等等那我們也了解這個政策來針對這些因素做處理的時候呢就會提出很多很多的一些相關政策包括"},{"start":648.675,"end":664.202,"text":"在健康臺灣裡面賴總統也非常關心如何能夠將三高的防治888計畫可以做落實的更好那其實在國連的十大時運裡面在前十大時運裡面有七項就是跟慢性病"},{"start":664.802,"end":685.983,"text":"是有關係的那在這個氣象裡面有五項又是跟傷膏有很密切的關係那整個醫療支出傷膏本身就耗用了我們的健保高達1700億這是非常重的一個負擔所以如果我們能夠把傷膏做得非常好"},{"start":686.764,"end":714.096,"text":"如果能夠透過法治法的方式來做相關的規範我相信應該會更有成效剛剛我們師分委員也非常的知道說類似的事情我們怎麼樣有更好的處理模式那新人代謝 代謝症候群的部分其實從2022年開始推動到目前有一共有3100家的診所我相信部長在擔任署長的時候也努力的去推動"},{"start":714.916,"end":743.496,"text":"還有5200位的醫師來參與超過142萬人透過這個方式來改善整體的他的三高的部分所以到目前為止在12萬人已經有至少追蹤管理有6個月以上的時間而且其中有37%是成功改善至少一項的指標還有17.8%成功的脫離了代謝症候選我相信對這個民眾來講應該是非常有感的一個部分"},{"start":744.196,"end":760.507,"text":"那在社會處方健康促進大家也都有努力包括部長也在推健康幣等等的措施所以意思就是說在這麼多的防治政策裡面那如果我們參考之前的營養跟健康飲食防治法讓它法治化"},{"start":761.227,"end":775.598,"text":"相信相信透過法治化以後對於這些慢性病的防治會有更大的一個幫助那也更有所依選那我們最後來看一下關於起動這個慢性病防治法的原理過程當中"},{"start":776.739,"end":800.853,"text":"如果將來希望能夠更確實的來落實這項想法或者是做法的話那以國會院他們在合併跟其他的專家學者在2025年有一個相關希望能夠踢卡雷米的台北宣言來落實三高政策的這個幫助包括風險分級精準醫療數位管理跟餘命"},{"start":801.953,"end":817.725,"text":"提升了這個願景之下我們認為這個法治法是非常迫切需要的那針對這部分不知道部長有沒有特別的想法或者是有機會來讓這樣的法治法可以有進一步的推動"},{"start":818.345,"end":841.414,"text":"好 謝謝委員 不僅是癌症的專家對慢性病的防治也這麼的重視確實這個慢性病已經是我們這個國人的健康負荷裡面比這個癌症的負荷還要重的這disease burden來看是更重那麼確實應該要重視那我們也推出了多項的方案那麼但是要不要"},{"start":842.334,"end":867.618,"text":"專法的這個事情因為我們也要考慮到說其實我們很多的慢性病都有一些共通的common factor那像這個菸就是一個common factor所以我們已經有厭害防治法其實它跟這個慢性病有很高的關聯性另外慢性病跟營養也有關係所以我們也有已經有的就是營養及健康飲食促進法也有這個法"},{"start":867.918,"end":888.304,"text":"所以我們就要再來看看說這個慢性病防治法這個專法那麼它的scope還有跟其他的這個目前我們的整個相關的法律制定跟政策推動上那麼它的這個相關聯繫這我們來研究看看我們找一些專家學者大家來討論全盤的來做這個盤點這樣"},{"start":892.128,"end":895.736,"text":"好 那就大家一起努力好 好 謝謝副總 謝謝謝謝王政訓委員現在除了臨時"}],"gazette":[{"speaker":"王委員正旭","start":"2026-03-18T12:07:45.295000+08:00","guessed":false,"end":"2026-03-18T12:07:50.720000+08:00","text":"謝謝主席重新安排相關議程。","quality":1},{"speaker":"王委員正旭","start":"2026-03-18T12:07:51.981000+08:00","guessed":false,"end":"2026-03-18T12:07:54.543000+08:00","text":"我還是要麻煩石部長。","quality":1},{"speaker":"主席","start":"2026-03-18T12:07:54.543000+08:00","guessed":true,"end":"2026-03-18T12:07:55.543000+08:00","text":"請石部長。","quality":0},{"speaker":"石部長崇良","start":"2026-03-18T12:07:55.543000+08:00","guessed":true,"end":"2026-03-18T12:07:56.543000+08:00","text":"委員好。","quality":0},{"speaker":"王委員正旭","start":"2026-03-18T12:07:54.783000+08:00","guessed":false,"end":"2026-03-18T12:08:18.466000+08:00","text":"今天有兩個問題想透過召委安排的內容跟部長對話，第一個是偏鄉、離島醫事人員留才，還有健康資料庫的整合，關於健康資料庫的整合，剛剛召委也稍微跟院長提到；另外一個議題就是慢性病防治法的進度。","quality":0.894},{"speaker":"王委員正旭","start":"2026-03-18T12:08:19.947000+08:00","guessed":false,"end":"2026-03-18T12:08:27.313000+08:00","text":"我想這兩個議題都非常需要透過今天的方式跟大家討論。","quality":1},{"speaker":"王委員正旭","start":"2026-03-18T12:08:27.433000+08:00","guessed":false,"end":"2026-03-18T12:08:55.308000+08:00","text":"第一個就是偏鄉離島醫事人員的留才措施，我想這部分部長也非常清楚，因為部長過去這麼長一段時間在衛福部有非常多經驗，在實務上也知道、幫助非常多偏鄉相關議題，如何留才應該是所有偏鄉醫療處理過程中最重要的一部分。","quality":0.875},{"speaker":"王委員正旭","start":"2026-03-18T12:08:57.169000+08:00","guessed":false,"end":"2026-03-18T12:09:06.933000+08:00","text":"其實，離島偏鄉醫療長期人力不足不只是醫師而已，應該是相關人力都會受到影響。","quality":0.941},{"speaker":"王委員正旭","start":"2026-03-18T12:09:08.253000+08:00","guessed":false,"end":"2026-03-18T12:09:27.683000+08:00","text":"我們也了解，很多加給、很多津貼都是希望能夠讓人才留在偏鄉，可是也有其他相關條件，包括交通不方便、生活條件等等，所以留任機制並不是那麼穩定，這是我們目前一直面臨的問題。","quality":0.907},{"speaker":"王委員正旭","start":"2026-03-18T12:09:29.023000+08:00","guessed":false,"end":"2026-03-18T12:10:05.668000+08:00","text":"我最近跟陳瑩委員、莊瑞雄委員一起提出醫療法第八十八條修正案，內容就是希望強化照護量能、處理人才流失，第八十八條第三項是針對醫事人員服務離島偏鄉各級醫院及衛生所的部分收入，透過好的方案免予計入年度應課稅所得額課稅，適用範圍這點當然還需要再進一步處理。","quality":0.821},{"speaker":"王委員正旭","start":"2026-03-18T12:10:06.049000+08:00","guessed":false,"end":"2026-03-18T12:10:28.194000+08:00","text":"我想，這部分最重要的就是希望透過稅制優惠肯定醫事人員在惡劣環境裡面做非常好的貢獻，相信長期在地方衛生所服務的盧召委應該感受非常深刻，我們知道盧召委在這方面真的貢獻非常多。","quality":0.951},{"speaker":"王委員正旭","start":"2026-03-18T12:10:29.885000+08:00","guessed":false,"end":"2026-03-18T12:10:34.607000+08:00","text":"衛福部是不是能夠認同稅制優惠可以做為留才的補充方案？","quality":0.88},{"speaker":"王委員正旭","start":"2026-03-18T12:10:35.707000+08:00","guessed":false,"end":"2026-03-18T12:10:42.870000+08:00","text":"對於這樣的修正方向，不知道部長有沒有進一步看法，如何跟財政部啟動相關評估跟研擬？","quality":0.865},{"speaker":"石部長崇良","start":"2026-03-18T12:10:43.870000+08:00","guessed":false,"end":"2026-03-18T12:10:50.193000+08:00","text":"跟委員說明，為了增加留才，其實我們做了很多措施，也有規劃中的。","quality":0.926},{"speaker":"石部長崇良","start":"2026-03-18T12:10:51.053000+08:00","guessed":false,"end":"2026-03-18T12:11:07.940000+08:00","text":"第一個我們已經做的就是把所有給付都加成，對於所有離島都加30%，另外，針對一些偏鄉也都有加成給付，就是希望讓這些院所的收入比較高。","quality":0.931},{"speaker":"石部長崇良","start":"2026-03-18T12:11:09.160000+08:00","guessed":false,"end":"2026-03-18T12:11:18.644000+08:00","text":"第二當然是希望收入高要反映在人員的薪資上，所以我們現在也規劃爭取對偏鄉給予偏鄉加給。","quality":0.85},{"speaker":"石部長崇良","start":"2026-03-18T12:11:19.585000+08:00","guessed":false,"end":"2026-03-18T12:11:29.667000+08:00","text":"當然是指公立醫院，讓公立醫療機構有偏鄉加給，我們正在爭取，看看能不能增加這個項目以留才。","quality":0.825},{"speaker":"石部長崇良","start":"2026-03-18T12:11:30.767000+08:00","guessed":false,"end":"2026-03-18T12:11:43.491000+08:00","text":"至於稅制優惠部分，我想還涉及跟財政部的討論，我們跟他們研究看看這個做法的可能性。","quality":0.919},{"speaker":"王委員正旭","start":"2026-03-18T12:11:44.551000+08:00","guessed":false,"end":"2026-03-18T12:12:00.900000+08:00","text":"我們希望雙管齊下，除了能透過津貼方式處理以外，也希望透過稅制，一起讓這些在偏鄉服務的醫事人員都能夠感受到政府對他們的付出有另一分肯定。","quality":0.968},{"speaker":"王委員正旭","start":"2026-03-18T12:12:02.500000+08:00","guessed":false,"end":"2026-03-18T12:12:09.505000+08:00","text":"第二部分也要請司徒院長一起討論原住民健康資料庫整合。","quality":1},{"speaker":"王委員正旭","start":"2026-03-18T12:12:12.388000+08:00","guessed":false,"end":"2026-03-18T12:12:40.408000+08:00","text":"剛剛召委其實也跟院長做一些討論，我們了解，其實在112年正式施行原住民族健康法以後，國衛院也在同年底成立了原住民族健康研究中心，這個中心其實有三項非常重要的核心任務，第一就是要建構整合性的原住民族健康資料庫平臺，進行健康指標的監測與分析。","quality":0.927},{"speaker":"王委員正旭","start":"2026-03-18T12:12:41.109000+08:00","guessed":false,"end":"2026-03-18T12:12:50.290000+08:00","text":"第二部分就是推動以原住民族為主體的研究，涵蓋健康照護模式優化，還有政策建言的提出。","quality":1},{"speaker":"王委員正旭","start":"2026-03-18T12:12:50.910000+08:00","guessed":false,"end":"2026-03-18T12:12:59.312000+08:00","text":"第三個部分就是深化原住民族主體性研究，強調健康價值跟信念的實踐，以實現健康自決目標。","quality":0.897},{"speaker":"王委員正旭","start":"2026-03-18T12:13:00.673000+08:00","guessed":false,"end":"2026-03-18T12:13:10.416000+08:00","text":"目前中心最重要的任務之一就是擴展與維護原住民族的健康資料庫，剛剛院長也稍微做了一些說明。","quality":0.929},{"speaker":"王委員正旭","start":"2026-03-18T12:13:11.156000+08:00","guessed":false,"end":"2026-03-18T12:13:26.734000+08:00","text":"其中，我們非常關注的其實就是資料的整合，還有分析與應用，所以也麻煩院長再確認一下，目前在數據串接的進度上，橫向串接的完成度不曉得如何？","quality":0.836},{"speaker":"王委員正旭","start":"2026-03-18T12:13:27.655000+08:00","guessed":false,"end":"2026-03-18T12:13:28.096000+08:00","text":"這是第一個。","quality":0.6},{"speaker":"王委員正旭","start":"2026-03-18T12:13:28.236000+08:00","guessed":false,"end":"2026-03-18T12:13:38.806000+08:00","text":"第二，在處理過程中有沒有碰到法律或技術上的瓶頸，哪一些是正在進行當中，還需要持續處理的？","quality":0.975},{"speaker":"王委員正旭","start":"2026-03-18T12:13:39.867000+08:00","guessed":false,"end":"2026-03-18T12:13:42.309000+08:00","text":"這部分可不可以請院長先做個說明？謝謝。","quality":1},{"speaker":"司徒院長惠康","start":"2026-03-18T12:13:45.611000+08:00","guessed":false,"end":"2026-03-18T12:14:13.241000+08:00","text":"我們過去一年半的時間對資料庫的整理工作事實上是過去從1998年就開始的，從原住民族相關健保資料庫的就醫資訊做，包括死因跟癌症檔，現在我們試著把各項資料加以串接，事先盤點等基本工作大概已經開始進行。","quality":0.876},{"speaker":"司徒院長惠康","start":"2026-03-18T12:14:13.962000+08:00","guessed":false,"end":"2026-03-18T12:14:26.332000+08:00","text":"至於串接工作，包括在我旁邊院內這位莊紹源博士，過去幾年有非常多資料庫串接工作的經驗，我們已經陸陸續續在做很多橫向串接。","quality":0.836},{"speaker":"司徒院長惠康","start":"2026-03-18T12:14:30.095000+08:00","guessed":false,"end":"2026-03-18T12:14:47.074000+08:00","text":"法規部分，有些時候我們會碰到在使用上的狀況，包括個案的隱私、個案相關連結，目前還有一些是需要克服的。","quality":0.911},{"speaker":"司徒院長惠康","start":"2026-03-18T12:14:48.015000+08:00","guessed":false,"end":"2026-03-18T12:14:50.658000+08:00","text":"技術部分，我們做橫向連結沒有問題。","quality":1},{"speaker":"王委員正旭","start":"2026-03-18T12:14:51.539000+08:00","guessed":false,"end":"2026-03-18T12:14:52.280000+08:00","text":"OK，了解。","quality":1},{"speaker":"王委員正旭","start":"2026-03-18T12:14:52.420000+08:00","guessed":false,"end":"2026-03-18T12:15:03.786000+08:00","text":"因為這些資料的隱私性、敏感度真的都非常高，所以在處理上麻煩國衛院這邊一定要做非常好的保護跟處理。","quality":0.756},{"speaker":"王委員正旭","start":"2026-03-18T12:15:04.366000+08:00","guessed":false,"end":"2026-03-18T12:15:24.299000+08:00","text":"我們知道，將來的研究對策應用在於如何將資料分析出來的結果很精準地轉換成偏鄉醫療資源數據的決策參考，因為不僅是要讓資料庫裡的數據放在資料庫裡面而已，最重要的是後續應用。","quality":0.924},{"speaker":"王委員正旭","start":"2026-03-18T12:15:25.180000+08:00","guessed":false,"end":"2026-03-18T12:15:36.128000+08:00","text":"以癌症篩檢數據為例，將來如果確定可以知道哪些部分在配置上能有更好的使用，就非常重要。","quality":0.897},{"speaker":"王委員正旭","start":"2026-03-18T12:15:36.289000+08:00","guessed":false,"end":"2026-03-18T12:15:48.999000+08:00","text":"比如說偏鄉癌症篩檢巡迴車的配置，我們都可以知道到底目前哪個地方最需要透過這樣的數據庫分析結果加以改善。","quality":0.898},{"speaker":"王委員正旭","start":"2026-03-18T12:15:50.060000+08:00","guessed":false,"end":"2026-03-18T12:16:04.119000+08:00","text":"當然，如果要把其他部分一起整合進來的話，包括兒童篩檢、成人健檢、五大癌症的篩檢，透過偏鄉一站式服務政策規劃，可能就需要運用到這個資料庫。","quality":0.967},{"speaker":"王委員正旭","start":"2026-03-18T12:16:04.280000+08:00","guessed":false,"end":"2026-03-18T12:16:08.586000+08:00","text":"對於這部分的應用，不知道目前有沒有需要再加強哪個部分？","quality":0.92},{"speaker":"王委員正旭","start":"2026-03-18T12:16:08.586000+08:00","guessed":true,"end":"2026-03-18T12:16:12.092000+08:00","text":"請署長。","quality":0},{"speaker":"沈署長靜芬","start":"2026-03-18T12:16:12.092000+08:00","guessed":false,"end":"2026-03-18T12:16:21.118000+08:00","text":"跟委員報告，關於國民健康署癌症篩檢跟成人健檢，我們曾針對原民鄉再進行次分析。","quality":0.943},{"speaker":"沈署長靜芬","start":"2026-03-18T12:16:21.979000+08:00","guessed":false,"end":"2026-03-18T12:16:29.804000+08:00","text":"在成人預防保健部分，其實原民鄉的使用、利用率比起全國來說都是來得高的。","quality":0.906},{"speaker":"沈署長靜芬","start":"2026-03-18T12:16:30.244000+08:00","guessed":false,"end":"2026-03-18T12:16:40.573000+08:00","text":"不過在癌症篩檢部分，確實會有一些狀況不太一樣，像是在大腸癌方面就跟全國平均一樣，可是在乳癌與子宮頸癌部分就偏低。","quality":0.942},{"speaker":"沈署長靜芬","start":"2026-03-18T12:16:41.173000+08:00","guessed":false,"end":"2026-03-18T12:16:45.938000+08:00","text":"我們會再針對這個數據回饋給縣市，跟縣市檢討如何強化。","quality":1},{"speaker":"王委員正旭","start":"2026-03-18T12:16:46.558000+08:00","guessed":false,"end":"2026-03-18T12:16:48.120000+08:00","text":"好，謝謝。","quality":1},{"speaker":"王委員正旭","start":"2026-03-18T12:16:48.120000+08:00","guessed":false,"end":"2026-03-18T12:16:58.609000+08:00","text":"我想，數據最重要的意義就是希望有好的運用，我們希望這樣的運用可以符合政策推動的過程，將來有更好的成果。","quality":0.915},{"speaker":"王委員正旭","start":"2026-03-18T12:16:59.990000+08:00","guessed":false,"end":"2026-03-18T12:17:01.791000+08:00","text":"謝謝署長，也謝謝院長。","quality":1},{"speaker":"王委員正旭","start":"2026-03-18T12:17:01.791000+08:00","guessed":false,"end":"2026-03-18T12:17:09.778000+08:00","text":"再過來想跟部長討論的就是制定慢性病防治法的評估，剛好幾位長官都在這。","quality":0.969},{"speaker":"王委員正旭","start":"2026-03-18T12:17:09.778000+08:00","guessed":false,"end":"2026-03-18T12:17:44.773000+08:00","text":"我們知道國衛院其實在2023年就曾經發布「後疫時代慢性病防治問題與對策」，從相關出版品裡面，我們也了解大家所掌握到目前慢性病防治策略的現況有下列幾個重點，包括健保制度的檢討還有如何調整、確立初級預防評估指標、減少健康不平等、引導國人重視慢性病風險，還有落實慢性病共管。","quality":0.942},{"speaker":"王委員正旭","start":"2026-03-18T12:17:46.133000+08:00","guessed":false,"end":"2026-03-18T12:17:58.643000+08:00","text":"透過這樣理解以後，也知道慢性病風險因素類型包括這幾個：生活型態、環境與社會性因素、心理健康管理因素還有生物遺傳因素等等。","quality":0.909},{"speaker":"王委員正旭","start":"2026-03-18T12:18:00.064000+08:00","guessed":false,"end":"2026-03-18T12:18:19.218000+08:00","text":"我們也了解，以政策針對這些因素處理的時候，就提出很多相關政策，包括在健康台灣計畫裡面，賴總統也非常關心如何將三高防治888計畫落實得更好。","quality":0.918},{"speaker":"王委員正旭","start":"2026-03-18T12:18:19.959000+08:00","guessed":false,"end":"2026-03-18T12:18:34.589000+08:00","text":"其實在國人前十大死因裡面，就有七項跟慢性病是有關係的，在這七項裡面，又有五項是跟三高有很密切的關係。","quality":0.804},{"speaker":"王委員正旭","start":"2026-03-18T12:18:34.889000+08:00","guessed":false,"end":"2026-03-18T12:19:04.370000+08:00","text":"整個醫療支出中，三高本身就耗用了健保高達1,700億元，這是非常重的負擔，所以我們如果能把三高防治做得非常好、透過法制化的方式做相關規範，我相信應該會更有成效，剛剛淑芬委員也非常知道面對類似事情怎樣提出更好的處理模式。","quality":0.806},{"speaker":"王委員正旭","start":"2026-03-18T12:19:04.971000+08:00","guessed":false,"end":"2026-03-18T12:19:24.701000+08:00","text":"針對新陳代謝症候群防治，我從2022年開始推動，到目前為止一共有3,100家診所，相信部長在擔任署長的時候也努力推動，有5,200位醫師參與，超過42萬人透過這個方式改善整體三高的情形。","quality":0.836},{"speaker":"王委員正旭","start":"2026-03-18T12:19:26.242000+08:00","guessed":false,"end":"2026-03-18T12:19:45.675000+08:00","text":"到現在為止，已經有12萬人至少追蹤管理6個月以上的時間，而且其中有37%成功改善至少一項指標，還有17.8%成功脫離代謝症候群，我相信對民眾來講應該是非常有感的。","quality":0.926},{"speaker":"王委員正旭","start":"2026-03-18T12:19:47.376000+08:00","guessed":false,"end":"2026-03-18T12:19:54.061000+08:00","text":"在社會處方、健康促進方面，大家也都努力了，包括部長也推健康幣等等措施。","quality":0.903},{"speaker":"王委員正旭","start":"2026-03-18T12:19:54.681000+08:00","guessed":false,"end":"2026-03-18T12:20:13.354000+08:00","text":"所以意思就是說，在這麼多的防疫政策裡面，如果你們參考之前的營養跟健康飲食防治法，讓它法制化，相信透過法制化以後，對於這一些慢性病的防治會有更大的幫助，也更有所依循。","quality":0.92},{"speaker":"王委員正旭","start":"2026-03-18T12:20:14.415000+08:00","guessed":false,"end":"2026-03-18T12:20:50.697000+08:00","text":"我們最後來看一下有關衛福部啟動慢性病防治法的研擬過程當中，如果將來希望能夠更確實落實這項想法或做法的話，國衛院跟其他專家學者在2025年提出「T-CaReMe;o 台北宣言」，來落實三高政策，在風險分級、精準醫療、數位管理跟餘命提升的願景之下，我們認為這個法制化是非常迫切需要的。","quality":0.806},{"speaker":"王委員正旭","start":"2026-03-18T12:20:51.838000+08:00","guessed":false,"end":"2026-03-18T12:21:00.725000+08:00","text":"針對這個部分，不知道部長有沒有特別的想法，或者是有機會來讓這樣的法制化可以有進一步的推動？","quality":0.929},{"speaker":"石部長崇良","start":"2026-03-18T12:21:01.345000+08:00","guessed":false,"end":"2026-03-18T12:21:02.105000+08:00","text":"好，謝謝委員。","quality":0.6},{"speaker":"石部長崇良","start":"2026-03-18T12:21:02.105000+08:00","guessed":false,"end":"2026-03-18T12:21:08.388000+08:00","text":"委員不僅是癌症的專家，對慢性病的防治也這麼的重視。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T12:21:08.388000+08:00","guessed":false,"end":"2026-03-18T12:21:20.552000+08:00","text":"確實慢性病造成的負荷已經是我們國人的健康負荷裡面，比癌症的負荷還要重的，以disease burden來看是更重，確實應該要重視。","quality":0.9},{"speaker":"石部長崇良","start":"2026-03-18T12:21:20.712000+08:00","guessed":false,"end":"2026-03-18T12:21:40.448000+08:00","text":"我們也推出了多項方案，但是關於要不要專法這個事情，因為我們也要考慮到其實很多慢性病都有一些共通的common factor，像吸菸就是一個common factor，所以我們已經有菸害防制法，其實吸菸跟慢性病有很高的關聯性。","quality":0.933},{"speaker":"石部長崇良","start":"2026-03-18T12:21:41.009000+08:00","guessed":false,"end":"2026-03-18T12:22:11.304000+08:00","text":"另外，慢性病跟營養也有關係，所以我們也已經有營養及健康飲食促進法，我們就要再來看看慢性病防治法這個專法的scope，還有跟其他相關法律制定跟政策推動上相關的聯繫，這個我們來研究看看，我們找一些專家學者，大家來討論，全盤地來做盤點。","quality":0.972},{"speaker":"王委員正旭","start":"2026-03-18T12:22:15.128000+08:00","guessed":false,"end":"2026-03-18T12:22:17.854000+08:00","text":"好，那就大家一起努力。好，好。謝謝。","quality":1},{"speaker":"王委員正旭","start":"2026-03-18T12:22:17.854000+08:00","guessed":true,"end":"2026-03-18T12:22:18.854000+08:00","text":"謝謝部長，謝謝院長。謝謝。","quality":0.2},{"speaker":"石部長崇良","start":"2026-03-18T12:22:17.974000+08:00","guessed":false,"end":"2026-03-18T12:22:17.974000+08:00","text":"謝謝委員。","quality":0.5},{"speaker":"主席","start":"2026-03-18T12:22:17.974000+08:00","guessed":false,"end":"2026-03-18T12:22:18.495000+08:00","text":"謝謝王正旭委員。","quality":0.429},{"speaker":"主席","start":"2026-03-18T12:22:18.995000+08:00","guessed":true,"end":"2026-03-18T12:22:21.280714+08:00","text":"現在處理臨時提案。","quality":0.25},{"speaker":"主席","start":"2026-03-18T12:22:21.580714+08:00","guessed":true,"end":"2026-03-18T12:22:24.152143+08:00","text":"計有3案，請一併宣讀。一、","quality":0},{"speaker":"主席","start":"2026-03-18T12:22:24.452143+08:00","guessed":true,"end":"2026-03-18T12:23:06.166429+08:00","text":"鑑於離島偏鄉地區長期面臨醫事人力嚴重不足的問題，因交通不便、生活條件欠佳等因素，目前政府雖然有透過加給或津貼等方式來處理偏鄉醫事人力問題，但為更加確實地鼓勵醫事人員前往離島偏鄉服務，打造穩定且長期的人力留任機制，有效提升偏鄉醫療量能，應配合以稅制優惠協助偏鄉醫療留才攬才，以反映醫事人員在偏鄉付出的努力與貢獻。","quality":0},{"speaker":"主席","start":"2026-03-18T12:23:06.466429+08:00","guessed":true,"end":"2026-03-18T12:23:35.037857+08:00","text":"因此，請衛生福利部會商財政部，研擬醫療法第八十八條修正草案，增訂第三項，規定醫事人員服務於離島偏鄉各級醫院及衛生所之部分收入免予計入年度應課稅所得額之修法或政策可行性，並請於三個月內將研議書面報告送交衛環委員會。","quality":0},{"speaker":"主席","start":"2026-03-18T12:23:35.337857+08:00","guessed":true,"end":"2026-03-18T12:23:36.337857+08:00","text":"王正旭","quality":0},{"speaker":"主席","start":"2026-03-18T12:23:36.637857+08:00","guessed":true,"end":"2026-03-18T12:23:38.637857+08:00","text":"林月琴　　黃秀芳二、","quality":0},{"speaker":"主席","start":"2026-03-18T12:23:38.937857+08:00","guessed":true,"end":"2026-03-18T12:23:51.509286+08:00","text":"經查，國人十大死因中，逾七項與慢性病相關；有鑑於此，政府長期投注資源，訂定並執行慢性病防治相關對策。","quality":0},{"speaker":"主席","start":"2026-03-18T12:23:51.809286+08:00","guessed":true,"end":"2026-03-18T12:24:10.095000+08:00","text":"衛福部近年逐步推動代謝症候群防治計畫、大家醫計畫、健保論人計酬試辦計畫等，透過照護品質提升、早期介入及預防等，有效掌握並減低國人慢性病風險。","quality":0},{"speaker":"主席","start":"2026-03-18T12:24:10.395000+08:00","guessed":true,"end":"2026-03-18T12:24:32.109286+08:00","text":"在賴總統健康台灣願景下，已啟動三高888防治計畫；未來，針對慢性病風險因素之一的「生活型態」，透過社會處方、健康促進之政策推動，降低因不良生活型態致生之風險，將是因應及防治重點。","quality":0},{"speaker":"主席","start":"2026-03-18T12:24:32.409286+08:00","guessed":true,"end":"2026-03-18T12:25:00.695000+08:00","text":"國內公、協、學會以及專家學者、病友團體等，對於政府如何以更高層級因應慢性病防治、制定更全面且實質之防治對策，具高度期待；此外，針對在多項防治政策落實之基礎下，推動「慢性病防治」法制化之可行性及必要性，亦持續有許多討論及建議。","quality":0},{"speaker":"主席","start":"2026-03-18T12:25:00.995000+08:00","guessed":true,"end":"2026-03-18T12:25:19.852143+08:00","text":"爰此，請衛生福利部研擬以委託研究案或國衛院論壇等適當形式，啟動《慢性病防治法》立法之相關研究，針對實質法案框架及具體內容進行研擬，並提出修法草案。","quality":0},{"speaker":"主席","start":"2026-03-18T12:25:20.152143+08:00","guessed":true,"end":"2026-03-18T12:25:21.152143+08:00","text":"王正旭","quality":0},{"speaker":"主席","start":"2026-03-18T12:25:21.452143+08:00","guessed":true,"end":"2026-03-18T12:25:23.452143+08:00","text":"林月琴　　黃秀芳三、","quality":0},{"speaker":"主席","start":"2026-03-18T12:25:23.752143+08:00","guessed":true,"end":"2026-03-18T12:25:33.466429+08:00","text":"針對我國青少年電子煙使用率與併用率於近年快速翻倍，推估逾5.4萬名學子受害。","quality":0},{"speaker":"主席","start":"2026-03-18T12:25:33.766429+08:00","guessed":true,"end":"2026-03-18T12:26:29.480714+08:00","text":"鑑於台灣肺癌問題嚴峻，且現今電子煙如玩具般輕易取得，甚至淪為「喪屍菸彈」等新興毒品載體，嚴重威脅校園治安與青少年身心健康；然衛福部國健署原應發布之114年「青少年吸菸行為調查」報告，迄今（115年3月）仍未公布，衛生福利部應儘速公布114年最新調查數據以釋群疑，並應於一個月內，研擬會同教育部、內政部等相關單位成立青少年跨部會電子煙及新興菸品防制行動小組，並針對違法販售取締、校園防制及毒品溯源查緝提出具體行動方案與時程表向本委員會提出書面報告。","quality":0},{"speaker":"主席","start":"2026-03-18T12:26:29.780714+08:00","guessed":true,"end":"2026-03-18T12:26:33.209286+08:00","text":"陳菁徽　　邱慧洳　　邱鎮軍　　洪孟楷","quality":0},{"speaker":"主席","start":"2026-03-18T12:26:33.509286+08:00","guessed":true,"end":"2026-03-18T12:26:37.223571+08:00","text":"請問，對第1案，行政單位有無意見？","quality":0},{"speaker":"石部長崇良","start":"2026-03-18T12:26:37.523571+08:00","guessed":true,"end":"2026-03-18T12:26:40.095000+08:00","text":"第1案我們就遵照辦理。","quality":0},{"speaker":"主席","start":"2026-03-18T12:26:40.395000+08:00","guessed":true,"end":"2026-03-18T12:26:42.395000+08:00","text":"那就照案通過。好。","quality":0},{"speaker":"主席","start":"2026-03-18T12:26:42.695000+08:00","guessed":true,"end":"2026-03-18T12:26:45.266429+08:00","text":"請問對第2案有無異議？","quality":0},{"speaker":"石部長崇良","start":"2026-03-18T12:26:45.566429+08:00","guessed":true,"end":"2026-03-18T12:26:48.709286+08:00","text":"第2案我們也可以遵照辦理。","quality":0},{"speaker":"主席","start":"2026-03-18T12:26:49.009286+08:00","guessed":true,"end":"2026-03-18T12:26:50.009286+08:00","text":"好，謝謝。","quality":0},{"speaker":"主席","start":"2026-03-18T12:26:50.309286+08:00","guessed":true,"end":"2026-03-18T12:26:51.452143+08:00","text":"照案通過。","quality":0},{"speaker":"沈署長靜芬","start":"2026-03-18T12:26:51.752143+08:00","guessed":true,"end":"2026-03-18T12:27:04.895000+08:00","text":"第2案「經查國人十大死因中，逾七項與慢性病相關；有鑑於此，政府長期投注資源，訂定並執行慢性病防治相關對策。","quality":0},{"speaker":"沈署長靜芬","start":"2026-03-18T12:27:05.195000+08:00","guessed":true,"end":"2026-03-18T12:27:23.480714+08:00","text":"衛福部近年逐步推動代謝症候群防治計畫、大家醫計畫、健保論人計酬試辦計畫等，透過照顧品質提升、早期介入及預防等，有效掌握並減低國人慢性病風險。","quality":0},{"speaker":"沈署長靜芬","start":"2026-03-18T12:27:23.780714+08:00","guessed":true,"end":"2026-03-18T12:27:45.495000+08:00","text":"在賴總統健康台灣願景下，已啟動三高888防治計畫；未來，針對慢性病風險因素之一的『生活型態』，透過社會處方、健康促進之政策推動，降低因不良生活型態致生之風險，將是因應及防治重點。","quality":0},{"speaker":"沈署長靜芬","start":"2026-03-18T12:27:45.795000+08:00","guessed":true,"end":"2026-03-18T12:28:13.795000+08:00","text":"國內公、協、學會以及專家學者、病友團體等，對於政府如何以更高層級因應慢性病防治、制定更全且實質之防治對策，具高度期待；此外，針對在多項防治政策落實之基礎下，推動『慢性病防治』法制化之可行性及必要性，亦持續有許多討論及建議。","quality":0},{"speaker":"沈署長靜芬","start":"2026-03-18T12:28:14.095000+08:00","guessed":true,"end":"2026-03-18T12:28:32.952143+08:00","text":"爰此，請衛生福利部研擬以專家會議、委託研究案或國衛院論壇等適當形式，啟動『慢性病防治法』立法之相關研究，針對實質法案框架及具體內容進行研擬。」以上。是。","quality":0},{"speaker":"王委員正旭","start":"2026-03-18T12:28:33.252143+08:00","guessed":true,"end":"2026-03-18T12:28:44.395000+08:00","text":"所以署長的意思就是，除了我們的提案內容研究案跟國衛院論壇以外，還要用專家會議來處理。","quality":0.051},{"speaker":"王委員正旭","start":"2026-03-18T12:28:44.695000+08:00","guessed":true,"end":"2026-03-18T12:28:56.980714+08:00","text":"另外就是針對於剛剛部長有提到，我們希望能夠持續推進，把最後幾個字刪除，是這樣的意思嗎？是。OK。好。","quality":0},{"speaker":"王委員正旭","start":"2026-03-18T12:28:57.280714+08:00","guessed":true,"end":"2026-03-18T12:29:01.280714+08:00","text":"我想這樣提案是我們可以接受的。","quality":0},{"speaker":"主席","start":"2026-03-18T12:29:01.580714+08:00","guessed":true,"end":"2026-03-18T12:29:02.580714+08:00","text":"好，謝謝。","quality":0},{"speaker":"沈署長靜芬","start":"2026-03-18T12:29:02.880714+08:00","guessed":true,"end":"2026-03-18T12:29:04.023571+08:00","text":"謝謝委員。","quality":0},{"speaker":"主席","start":"2026-03-18T12:29:04.323571+08:00","guessed":true,"end":"2026-03-18T12:29:05.466429+08:00","text":"處理第3案。","quality":0},{"speaker":"沈署長靜芬","start":"2026-03-18T12:29:05.766429+08:00","guessed":true,"end":"2026-03-18T12:29:30.909286+08:00","text":"第3案修正的部分，我們建議將「一個月」改成「三個月」，然後是「研擬會同教育部、內政部等跨部會相關單位，就青少年電子煙及新興菸品防制，並針對違法取締販售」，把「跨部會」挪到「內政部等」後面，然後把「行動小組」的部分刪除。","quality":0},{"speaker":"沈署長靜芬","start":"2026-03-18T12:29:31.209286+08:00","guessed":true,"end":"2026-03-18T12:29:32.352143+08:00","text":"謝謝委員。","quality":0},{"speaker":"主席","start":"2026-03-18T12:29:32.652143+08:00","guessed":true,"end":"2026-03-18T12:29:38.366429+08:00","text":"謝謝提案委員，謝謝行政單位，那我們就修正通過。","quality":0},{"speaker":"主席","start":"2026-03-18T12:29:38.666429+08:00","guessed":true,"end":"2026-03-18T12:29:41.523571+08:00","text":"臨時提案全部處理完畢。","quality":0.2},{"speaker":"主席","start":"2026-03-18T12:29:41.823571+08:00","guessed":true,"end":"2026-03-18T12:29:43.823571+08:00","text":"接下來繼續詢答。","quality":0},{"speaker":"主席","start":"2026-03-18T12:29:44.123571+08:00","guessed":true,"end":"2026-03-18T12:29:46.409286+08:00","text":"請謝衣鳯委員發言。","quality":0}]}},"supported_relations":[],"relations":[]}