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13:27:00","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_00","start":5.05971875,"end":5.24534375},{"speaker":"SPEAKER_00","start":5.34659375,"end":7.92846875},{"speaker":"SPEAKER_00","start":8.09721875,"end":9.34596875},{"speaker":"SPEAKER_00","start":13.26096875,"end":29.74784375},{"speaker":"SPEAKER_01","start":28.887218750000002,"end":29.00534375},{"speaker":"SPEAKER_01","start":29.17409375,"end":29.27534375},{"speaker":"SPEAKER_00","start":30.405968750000003,"end":40.71659375},{"speaker":"SPEAKER_00","start":41.69534375,"end":55.009718750000005},{"speaker":"SPEAKER_01","start":45.22221875,"end":50.774093750000006},{"speaker":"SPEAKER_00","start":56.815343750000004,"end":58.03034375},{"speaker":"SPEAKER_00","start":58.35096875000001,"end":76.71096875},{"speaker":"SPEAKER_01","start":72.86346875000001,"end":72.91409375},{"speaker":"SPEAKER_00","start":77.52096875000001,"end":95.44221875000001},{"speaker":"SPEAKER_01","start":83.46096875,"end":83.81534375000001},{"speaker":"SPEAKER_01","start":92.70846875000001,"end":93.23159375},{"speaker":"SPEAKER_00","start":96.35346875,"end":96.57284375},{"speaker":"SPEAKER_00","start":97.38284375,"end":99.40784375000001},{"speaker":"SPEAKER_00","start":99.57659375,"end":106.59659375000001},{"speaker":"SPEAKER_00","start":107.13659375,"end":116.62034375},{"speaker":"SPEAKER_00","start":116.82284375,"end":120.11346875000001},{"speaker":"SPEAKER_00","start":120.23159375,"end":123.01596875000001},{"speaker":"SPEAKER_00","start":123.58971875,"end":144.86909375000002},{"speaker":"SPEAKER_00","start":145.24034375000002,"end":146.37096875},{"speaker":"SPEAKER_00","start":146.57346875000002,"end":148.63221875000002},{"speaker":"SPEAKER_00","start":148.96971875,"end":149.81346875},{"speaker":"SPEAKER_00","start":150.97784375,"end":151.29846875},{"speaker":"SPEAKER_00","start":151.56846875000002,"end":151.90596875},{"speaker":"SPEAKER_00","start":152.20971875,"end":153.50909375},{"speaker":"SPEAKER_00","start":154.53846875000002,"end":160.24221875},{"speaker":"SPEAKER_00","start":160.47846875000002,"end":176.79659375},{"speaker":"SPEAKER_00","start":177.21846875,"end":197.50221875000003},{"speaker":"SPEAKER_01","start":177.64034375,"end":177.72471875000002},{"speaker":"SPEAKER_01","start":182.82096875000002,"end":183.19221875000002},{"speaker":"SPEAKER_00","start":197.82284375,"end":228.60284375},{"speaker":"SPEAKER_00","start":229.32846875,"end":230.45909375000002},{"speaker":"SPEAKER_00","start":230.79659375000003,"end":237.68159375000002},{"speaker":"SPEAKER_00","start":238.28909375,"end":240.12846875000002},{"speaker":"SPEAKER_00","start":240.58409375000002,"end":253.96596875000003},{"speaker":"SPEAKER_00","start":254.50596875000002,"end":255.85596875000002},{"speaker":"SPEAKER_00","start":258.40409375,"end":278.58659375},{"speaker":"SPEAKER_01","start":258.52221875000004,"end":258.82596875},{"speaker":"SPEAKER_00","start":278.65409375,"end":296.69346875},{"speaker":"SPEAKER_00","start":296.87909375000004,"end":297.18284375},{"speaker":"SPEAKER_00","start":297.46971875,"end":301.26659375},{"speaker":"SPEAKER_00","start":301.75596875,"end":303.96659375},{"speaker":"SPEAKER_00","start":304.20284375,"end":307.71284375000005},{"speaker":"SPEAKER_00","start":308.60721875,"end":310.83471875000004},{"speaker":"SPEAKER_00","start":311.32409375000003,"end":312.30284375},{"speaker":"SPEAKER_00","start":312.85971875,"end":316.82534375},{"speaker":"SPEAKER_01","start":315.08721875000003,"end":316.06596875},{"speaker":"SPEAKER_00","start":316.84221875000003,"end":316.85909375},{"speaker":"SPEAKER_00","start":316.90971875,"end":339.11721875},{"speaker":"SPEAKER_01","start":317.14596875,"end":317.98971875},{"speaker":"SPEAKER_01","start":318.24284375,"end":319.01909375},{"speaker":"SPEAKER_01","start":335.82659375000003,"end":336.45096875},{"speaker":"SPEAKER_00","start":339.20159375000003,"end":367.99034375},{"speaker":"SPEAKER_01","start":339.42096875000004,"end":339.67409375},{"speaker":"SPEAKER_00","start":368.47971875,"end":381.42284375},{"speaker":"SPEAKER_01","start":375.44909375000003,"end":375.66846875000005},{"speaker":"SPEAKER_01","start":375.68534375,"end":375.78659375},{"speaker":"SPEAKER_00","start":381.77721875000003,"end":384.44346875},{"speaker":"SPEAKER_00","start":384.56159375000004,"end":397.53846875000005},{"speaker":"SPEAKER_00","start":398.19659375000003,"end":403.20846875},{"speaker":"SPEAKER_00","start":403.37721875000005,"end":489.57471875000005},{"speaker":"SPEAKER_01","start":417.16409375,"end":420.42096875000004},{"speaker":"SPEAKER_01","start":425.26409375000003,"end":425.66909375},{"speaker":"SPEAKER_01","start":429.71909375,"end":431.22096875000005},{"speaker":"SPEAKER_01","start":442.18971875000005,"end":442.79721875},{"speake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網路取得走私販賣走私販賣一個一個跟你講說我這邊有貨要不要這種屬於傳統老派而且一對一不容易拓展主要還是網路嘛那本席之前就已經有提過就說"},{"start":77.574,"end":95.222,"text":"能夠增加溝通成本不要那麼輕易的讓民眾隨便搜尋都搜尋得到所以過去我提出來說你如果說打電子菸三個字Google還可以出現人家官方網站然後買千送版加會員省五十幾十種口味在上面好"},{"start":96.383,"end":122.823,"text":"但衛福部有沒有做事我也先稍微肯定有因為本席已經職權快一年的時間現在Google在打電子煙三個字確實比較少沒有說完全找不到有些時候完全找不到因為我差不多每個禮拜每兩個禮拜就去搜尋一次有些時候是找不到有些時候是在第二頁第三頁它已經不再像以前一樣大剌剌放在第一頁但我們一直沒有辦法根治的原因是什麼"},{"start":123.644,"end":149.474,"text":"沒有辦法遮蔽那本席先講因為剛剛在交通委員會我也詢問了速發部長我另外一個議題就是前一個禮拜新北市府因為衛福部有通報性私密影像的影片應該要下架所以有成人影音網站請新北市去下架那下架一天之後這一個網站他又另起爐灶並且還講是說這裡管不到大家來喔"},{"start":151.035,"end":176.458,"text":"好 那我們現在要問的是我們衛福部跟速發部的通報系統能不能針對這個網站上面至少一般正常的搜尋我不是講駭客什麼你很厲害那邊按網然後去搜尋 不是但一般民眾最直覺的上Google上Yahoo他去搜尋的時候你不要看到這些非法網站我想這是做得到的吧"},{"start":177.479,"end":196.738,"text":"就是說跟委員說明我們第一個就是在行政作業上強化跟速發部的合作來強化下架跟遮蔽的反應這個我們會來做第二個我們也研擬要修這個厭害防治法把這個電商平台強化它的管理責任它應該也要有這種"},{"start":197.952,"end":221.773,"text":"是自動要把這個其實電商平台譬如說蝦皮譬如說這些電商平台其實你真的相對少這個本席因為持續都有在做了解所以說相對少但是我們現在講的是它是直接變成它成立一個官方網站Google可以搜尋到然後它直接告訴你甚至它還跟你講現在沒有警語喔放心這個包裹外面不會有任何的識別"},{"start":222.414,"end":228.249,"text":"所以你買了之後即便你穿校服去7-11去全家領貨他也不會要求你身份證"},{"start":229.349,"end":255.383,"text":"那這樣就有問題啦就變成是說他取得的管道某種程度上廣義上還比一般的合法止菸合法的加熱菸還要更容易因為你防不勝防那速發部剛剛部長跟我講他還誇胸脯保證說速發部現在已經跟這個Google跟Meta都已經談好了兩個小時內通報之後就可以讓他但是衛福部要有行政作業流程換言之現在是卡在衛福部這邊"},{"start":258.883,"end":277.696,"text":"這個我們來加強跟那個速發部的合作讓這個行政的銜接更密切我想這件事情不是黨派不是朝野而是對全國2300萬人共同的身體健康今天提到為什麼加勒菸如此惡劣跟重要是因為它有可能變成是毒品的載具"},{"start":278.737,"end":307.555,"text":"那你如果說成為毒品的載具的話那就是毒價這一些部分你就更防不勝防所以我們今天要的是源頭管理你說後續要什麼違法取締校園房子 毒品溯源這個有沒有在做 其實都有在做但我覺得最根本是你讓他買不到違法的東西本來就不應該在台灣可以輕易的購買這個是最基本的ABC嘛好 部長所以這樣講那麼多因為我真的已經質詢了一年了"},{"start":308.649,"end":334.73,"text":"我們石部長的魄力能不能讓我看到我們一定 一定這樣做好 所以跟速發布那你們讓我知道然後我要看具體的成果就是未來我真的因為這已經是太多我們地方的國小國中家長們都跟我們反映我每一次去家長會我都跟他們講說我這一定會努力是因為這個是要保護我們孩童不要第一步受到好不好好"},{"start":335.29,"end":362.274,"text":"好 那部長我給予這個會計的期待希望你可以拿出成果那另外一個小議題我稍微抱歉一分鐘我們淡海新市政啊大家一直講是說因為淡水現在二十萬人那今天也跟今天的主題有相關就是偏鄉地區其實你想說新北市我們的北海岸石門山芝夢城村也算偏鄉啊人口真的不多老人家居多醫療的需求多"},{"start":362.795,"end":367.394,"text":"那現在大家也講說那淡海新市政因為今年5月12號丹江大橋要通車"},{"start":368.567,"end":394.199,"text":"未來淡海新市鎮可以發展那我們也要求說內政部在做二期的通盤檢討要把醫療專區放進去那現在這個部分但後續有醫療專區之後到底是什麼醫院來這個可能就需要中央地方一起來協助因為有地了我相信未來如果說那個醫療專區真的可以做起來可以甚至北海岸變成是一個陽光風景明媚的長照休閒這個醫療專區醫療"},{"start":398.294,"end":424.281,"text":"甚至度假村等等的我覺得這可能都是解決我們未來長照的需求問題所以在這個部分是不是能夠請部長哲成看哪一個我們中央部會也跟我們新北衛生局進一步的溝通看怎麼樣在這個議題上可以往前進一步我會請那個議事司跟那個副司長笑容滿面的非常好來跟這個衛生局了解一下整體的規劃方向"},{"start":426.241,"end":444.277,"text":"衛生局陳潤秋局長我想也都是我們醫療專業的老朋友了是所以說在這個議題上面我想我們就真的拜託我們副市長跟我們局長這邊可以溝通一下那本席會再追這個進度好不好但是我希望是說能夠看到因為這是我們北海岸鄉親我們來了解一下他整個這個所謂的專區的規劃是"},{"start":446.178,"end":464.478,"text":"他現在初步的概念是說會訂專區那未來可以考慮採取比如說BOT還是OT的方式但是重點是要有人來經營那還有說是不是做醫院因為醫院的話可能就要有門診中心有急診中心24小時待命但是現在又講是說因為缺工的問題"},{"start":465.419,"end":488.869,"text":"也不一定有那麼多量能這些我們都理解但我先講說至少我們第一步專區取得之後我們媒合或者是說來引進更多的不同可能性讓北海岸地方真的可以變成是大家醫療需求解決那還有也可以做未來的你說國際醫療觀光也不一定不可行啊淡江大橋完畢之後未來桃園機場"},{"start":490.41,"end":514.847,"text":"下來然後走這個相關我們的一個交通建設到淡水其實半個小時40分鐘就可以到所以我們也期待說未來它是另外一個產業的一個聚落好不好好這個就拜託部長可以責成我們副市長我們來了解一起努力這個很好那本席也會再持續做這個議題希望它可以變成是中央地方共同合作的一個新亮點好感謝部長謝謝謝謝洪委員謝謝洪牧凱委員"}]}},"supported_relations":[],"relations":[]}