{"error":false,"id":["167648"],"data":{"IVOD_ID":167648,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/167648","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":"2026-03-18T12:07:23+08:00","結束時間":"2026-03-18T12:22:22+08:00","影片長度":"00:14:59","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4e26a61b53ad6053f435cdc562caa06f18cbbd4f69c426c0997b7b3c5b8577b37a48185b157db2555ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"王正旭","委員發言時間":"12:07:23 - 12:22:22","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_01","start":1.2122187500000001,"end":2.7815937500000003},{"speaker":"SPEAKER_02","start":16.77096875,"end":20.04471875},{"speaker":"SPEAKER_02","start":20.06159375,"end":20.247218750000002},{"speaker":"SPEAKER_02","start":21.32721875,"end":23.723468750000002},{"speaker":"SPEAKER_02","start":24.044093750000002,"end":26.54159375},{"speaker":"SPEAKER_02","start":26.828468750000003,"end":27.92534375},{"speaker":"SPEAKER_02","start":28.245968750000003,"end":55.70159375},{"speaker":"SPEAKER_00","start":34.439093750000005,"end":35.299718750000004},{"speaker":"SPEAKER_00","start":36.19409375,"end":37.510343750000004},{"speaker":"SPEAKER_00","start":51.22971875,"end":51.398468750000006},{"speaker":"SPEAKER_02","start":56.12346875,"end":60.76409375},{"speaker":"SPEAKER_02","start":61.15221875,"end":67.91909375},{"speaker":"SPEAKER_02","start":68.29034375,"end":70.24784375},{"speaker":"SPEAKER_02","start":70.50096875,"end":73.40346875},{"speaker":"SPEAKER_02","start":73.45409375,"end":75.00659375000001},{"speaker":"SPEAKER_02","start":75.12471875,"end":77.31846875000001},{"speaker":"SPEAKER_02","start":77.57159375,"end":81.77346875},{"speaker":"SPEAKER_02","start":81.85784375,"end":83.78159375},{"speaker":"SPEAKER_02","start":84.06846875000001,"end":84.45659375000001},{"speaker":"SPEAKER_02","start":84.72659375,"end":85.67159375},{"speaker":"SPEAKER_02","start":86.22846875,"end":92.80971875},{"speaker":"SPEAKER_02","start":92.97846875,"end":93.56909375000001},{"speaker":"SPEAKER_02","start":94.12596875000001,"end":98.42909375},{"speaker":"SPEAKER_02","start":98.71596875,"end":100.01534375},{"speaker":"SPEAKER_02","start":100.33596875,"end":104.40284375},{"speaker":"SPEAKER_02","start":104.80784375,"end":106.74846875},{"speaker":"SPEAKER_02","start":106.95096875,"end":110.98409375000001},{"speaker":"SPEAKER_02","start":111.16971875,"end":112.16534375},{"speaker":"SPEAKER_02","start":112.41846875,"end":113.11034375000001},{"speaker":"SPEAKER_02","start":113.32971875000001,"end":123.62346875},{"speaker":"SPEAKER_02","start":123.67409375000001,"end":125.53034375000001},{"speaker":"SPEAKER_02","start":125.66534375,"end":131.97659375},{"speaker":"SPEAKER_02","start":132.34784375,"end":139.38471875000002},{"speaker":"SPEAKER_02","start":139.65471875,"end":142.55721875},{"speaker":"SPEAKER_02","start":142.87784375,"end":143.51909375},{"speaker":"SPEAKER_02","start":144.09284375000001,"end":146.42159375},{"speaker":"SPEAKER_02","start":146.62409375000001,"end":148.36221875},{"speaker":"SPEAKER_02","start":148.63221875000002,"end":152.61471875},{"speaker":"SPEAKER_02","start":153.10409375,"end":156.22596875000002},{"speaker":"SPEAKER_02","start":156.46221875,"end":158.94284375},{"speaker":"SPEAKER_02","start":159.33096875,"end":163.43159375000002},{"speaker":"SPEAKER_02","start":163.48221875000002,"end":167.73471875},{"speaker":"SPEAKER_02","start":168.08909375000002,"end":169.03409375},{"speaker":"SPEAKER_02","start":169.33784375000002,"end":174.41721875000002},{"speaker":"SPEAKER_02","start":174.73784375000002,"end":176.76284375},{"speaker":"SPEAKER_02","start":177.08346875,"end":177.48846875},{"speaker":"SPEAKER_02","start":178.02846875,"end":185.48721875},{"speaker":"SPEAKER_02","start":186.31409375,"end":191.83221875},{"speaker":"SPEAKER_02","start":192.08534375000002,"end":196.33784375000002},{"speaker":"SPEAKER_02","start":196.59096875,"end":200.47221875000002},{"speaker":"SPEAKER_03","start":200.55659375000002,"end":261.15471875000003},{"speaker":"SPEAKER_02","start":261.23909375,"end":272.47784375000003},{"speaker":"SPEAKER_02","start":272.62971875,"end":287.74971875},{"speaker":"SPEAKER_00","start":276.67971875,"end":276.74721875},{"speaker":"SPEAKER_00","start":276.79784375,"end":276.86534375},{"speaker":"SPEAKER_02","start":288.32346875,"end":293.08221875000004},{"speaker":"SPEAKER_02","start":293.20034375,"end":296.72721875},{"speaker":"SPEAKER_02","start":297.33471875000004,"end":301.19909375000003},{"speaker":"SPEAKER_02","start":301.45221875000004,"end":303.61221875},{"speaker":"SPEAKER_02","start":303.89909375,"end":305.33346875},{"speaker":"SPEAKER_02","start":305.62034375,"end":309.41721875},{"speaker":"SPEAKER_02","start":309.65346875,"end":310.26096875},{"speaker":"SPEAKER_02","start":310.66596875000005,"end":313.11284375},{"speaker":"SPEAKER_02","start":313.34909375,"end":317.71971875},{"speaker":"SPEAKER_02","start":317.90534375000004,"end":324.57096875},{"speaker":"SPEAKER_02","start":324.85784375000003,"end":327.57471875000005},{"speaker":"SPEAKER_02","start":327.86159375,"end":331.33784375000005},{"speaker":"SPEAKER_02","start":331.55721875,"end":334.22346875},{"speaker":"SPEAKER_02","start":334.44284375,"end":336.8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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"}]}},"supported_relations":[],"relations":[]}