{"error":false,"id":["167668"],"data":{"IVOD_ID":167668,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/167668","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":"2026-03-18T13:27:07+08:00","結束時間":"2026-03-18T13:34:26+08:00","影片長度":"00:07:19","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4e26a61b53ad60533ad82143602f9eb518cbbd4f69c426c0ff312b132094bbea45d84521957c0fb45ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"徐富癸","委員發言時間":"13:27:07 - 13:34:26","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":8.434718750000002,"end":10.67909375},{"speaker":"SPEAKER_00","start":10.763468750000001,"end":12.400343750000001},{"speaker":"SPEAKER_01","start":14.695343750000003,"end":109.36409375000001},{"speaker":"SPEAKER_00","start":53.018468750000004,"end":53.38971875},{"speaker":"SPEAKER_00","start":55.49909375,"end":55.549718750000004},{"speaker":"SPEAKER_00","start":55.80284375,"end":55.81971875},{"speaker":"SPEAKER_00","start":80.17034375,"end":80.45721875000001},{"speaker":"SPEAKER_00","start":101.26409375,"end":101.73659375000001},{"speaker":"SPEAKER_01","start":109.87034375,"end":113.19471875},{"speaker":"SPEAKER_01","start":114.59534375000001,"end":116.97471875000001},{"speaker":"SPEAKER_02","start":115.91159375000001,"end":116.83971875},{"speaker":"SPEAKER_02","start":116.97471875000001,"end":129.52971875},{"speaker":"SPEAKER_00","start":121.48034375,"end":121.98659375000001},{"speaker":"SPEAKER_00","start":123.10034375000001,"end":123.13409375},{"speaker":"SPEAKER_01","start":123.13409375,"end":123.37034375},{"speaker":"SPEAKER_00","start":123.37034375,"end":123.38721875},{"speaker":"SPEAKER_01","start":128.55096875,"end":130.89659375000002},{"speaker":"SPEAKER_02","start":130.08659375000002,"end":134.35596875000002},{"speaker":"SPEAKER_02","start":134.57534375,"end":141.86534375000002},{"speaker":"SPEAKER_01","start":141.13971875000001,"end":141.30846875},{"speaker":"SPEAKER_01","start":141.66284375,"end":169.87784375},{"speaker":"SPEAKER_00","start":150.43784375,"end":150.82596875000002},{"speaker":"SPEAKER_00","start":155.04471875000002,"end":155.14596875},{"speaker":"SPEAKER_02","start":168.66284375,"end":168.73034375},{"speaker":"SPEAKER_02","start":168.74721875,"end":168.79784375},{"speaker":"SPEAKER_02","start":169.87784375,"end":170.26596875},{"speaker":"SPEAKER_01","start":170.26596875,"end":177.69096875000002},{"speaker":"SPEAKER_02","start":170.43471875,"end":171.22784375},{"speaker":"SPEAKER_00","start":177.42096875000001,"end":177.67409375},{"speaker":"SPEAKER_00","start":177.69096875000002,"end":178.12971875000002},{"speaker":"SPEAKER_01","start":178.12971875000002,"end":217.65096875},{"speaker":"SPEAKER_00","start":201.82221875000002,"end":202.00784375},{"speaker":"SPEAKER_00","start":204.37034375000002,"end":205.63596875000002},{"speaker":"SPEAKER_00","start":217.65096875,"end":217.98846875},{"speaker":"SPEAKER_01","start":217.88721875000002,"end":221.78534375},{"speaker":"SPEAKER_01","start":222.07221875000002,"end":232.58534375000002},{"speaker":"SPEAKER_00","start":224.63721875000002,"end":225.10971875},{"speaker":"SPEAKER_00","start":226.56096875,"end":226.99971875000003},{"speaker":"SPEAKER_00","start":229.93596875,"end":230.02034375000002},{"speaker":"SPEAKER_00","start":230.15534375000001,"end":231.97784375},{"speaker":"SPEAKER_00","start":231.99471875,"end":232.21409375000002},{"speaker":"SPEAKER_01","start":233.14221875,"end":235.97721875000002},{"speaker":"SPEAKER_02","start":235.97721875000002,"end":257.08784375},{"speaker":"SPEAKER_01","start":242.35596875000002,"end":243.79034375},{"speaker":"SPEAKER_02","start":257.64471875000004,"end":280.44284375},{"speaker":"SPEAKER_01","start":262.45409375,"end":264.31034375},{"speaker":"SPEAKER_01","start":266.01471875000004,"end":266.43659375000004},{"speaker":"SPEAKER_01","start":270.75659375000004,"end":275.12721875},{"speaker":"SPEAKER_01","start":275.49846875000003,"end":276.08909375},{"speaker":"SPEAKER_01","start":277.75971875,"end":304.21971875},{"speaker":"SPEAKER_02","start":280.96596875,"end":281.97846875},{"speaker":"SPEAKER_01","start":305.63721875000005,"end":307.37534375},{"speaker":"SPEAKER_01","start":308.28659375,"end":313.65284375000005},{"speaker":"SPEAKER_01","start":313.88909375000003,"end":315.42471875},{"speaker":"SPEAKER_01","start":315.57659375000003,"end":316.16721875},{"speaker":"SPEAKER_01","start":316.25159375000004,"end":316.40346875},{"speaker":"SPEAKER_01","start":316.52159375,"end":318.46221875000003},{"speaker":"SPEAKER_01","start":318.83346875,"end":322.12409375000004},{"speaker":"SPEAKER_01","start":322.74846875000003,"end":325.97159375},{"speaker":"SPEAKER_02","start":325.97159375,"end":326.24159375},{"speaker":"SPEAKER_02","start":326.49471875,"end":329.80221875},{"speaker":"SPEAKER_01","start":327.67596875000004,"end":328.35096875000005},{"speaker":"SPEAKER_00","start":328.53659375,"end":329.07659375000003},{"speaker":"SPEAKER_02","start":330.15659375,"end":330.89909375},{"speaker":"SPEAKER_00","start":330.93284375,"end":333.05909375000005},{"speaker":"SPEAKER_02","start":333.97034375000004,"end":338.07096875},{"speaker":"SPEAKER_00","start":335.60721875,"end":336.26534375},{"speaker":"SPEAKER_02","start":338.84721875,"end":341.02409375},{"speaker":"SPEAKER_01","start":341.02409375,"end":348.11159375},{"speaker":"SPEAKER_02","start":345.54659375,"end":346.22159375},{"speaker":"SPEAKER_02","start":348.11159375,"end":357.69659375000003},{"speaker":"SPEAKER_01","start":348.16221875,"end":348.88784375},{"speaker":"SPEAKER_02","start":357.83159375,"end":370.92659375000005},{"speaker":"SPEAKER_01","start":369.45846875,"end":377.71034375000005},{"speaker":"SPEAKER_02","start":372.32721875000004,"end":372.56346875},{"speaker":"SPEAKER_02","start":373.55909375000005,"end":373.91346875000005},{"speaker":"SPEAKER_02","start":374.92596875000004,"end":375.82034375},{"speaker":"SPEAKER_02","start":377.00159375000004,"end":378.53721875},{"speaker":"SPEAKER_01","start":377.87909375000004,"end":401.06534375},{"speaker":"SPEAKER_00","start":378.53721875,"end":378.55409375000005},{"speaker":"SPEAKER_02","start":381.35534375000003,"end":381.86159375},{"speaker":"SPEAKER_01","start":401.38596875,"end":405.03096875},{"speaker":"SPEAKER_01","start":405.23346875000004,"end":407.05596875000003},{"speaker":"SPEAKER_02","start":407.05596875000003,"end":407.84909375},{"speaker":"SPEAKER_01","start":408.00096875,"end":411.27471875000003},{"speaker":"SPEAKER_01","start":412.10159375,"end":418.51409375000003},{"speaker":"SPEAKER_00","start":418.51409375000003,"end":419.49284375},{"speaker":"SPEAKER_01","start":419.49284375,"end":436.43534375},{"speaker":"SPEAKER_00","start":419.50971875000005,"end":420.85971875},{"speaker":"SPEAKER_00","start":431.74409375000005,"end":431.81159375000004},{"speaker":"SPEAKER_00","start":435.06846875,"end":435.89534375000005},{"speaker":"SPEAKER_02","start":435.89534375000005,"end":435.92909375000005},{"speaker":"SPEAKER_00","start":436.43534375,"end":436.72221875},{"speaker":"SPEAKER_00","start":436.95846875,"end":438.94971875000005},{"speaker":"SPEAKER_01","start":437.81909375000004,"end":437.97096875000005},{"speaker":"SPEAKER_00","start":439.35471875,"end":440.46846875000006}],"whisperx":[{"start":8.784,"end":31.204,"text":"謝謝主席 有請我們石部長有請石酬良部長好 習委員好 部長午安首先要先謝謝部長我記得這個上個會期我有特別拜託部長針對我們小琉球跟恆春半島醫療的問題那我想部長也真的用行動力展現所以我們今年"},{"start":33.105,"end":54.598,"text":"前一兩個月我們跟屏東縣長我們鄒村民縣長跟我們相關的團隊我們到小琉球衛生所那我們也很感謝就是我們也號召了我們小琉球的做醫生的主席能夠返鄉去服務那當然也謝謝部長的媒合我們高屏地區有幾家醫院共同來支援我們小琉球的醫療的問題"},{"start":55.979,"end":67.295,"text":"那但是這個是一個開頭因為這個小琉球的醫療的問題因為不是只有島上1萬多個居民每一年有超過120萬的遊客所以觀光醫療的問題我們責無旁貸所以有幾個問題還是要請部長來幫忙部長"},{"start":72.702,"end":100.716,"text":"我想這個目前小琉球衛生所的這個科別也好或是醫師人力確實是比過去充足但是他們現在面臨的問題就是我們現在衛生所的建物輸入已經超過五十年不但是這個結構老舊空間狹小而且還有滲水漏水的問題我想這個對一個整個醫療的環境非常非常的不理想而且我覺得對於這個醫護人員也好跟鄉親的這個安全也造成一個疑慮部長"},{"start":102.157,"end":112.106,"text":"譬如說縣政府最近會提出一個整建改建的一個計畫部長願不願意來支持這樣的一個計畫我們一起來支持它對不然你不要大用那麼快你覺得要多少錢"},{"start":115.197,"end":133.415,"text":"不是問題啦現在其實重要的是因為他有這個地理限制嘛那是一個離島啦所以這不是什麼問題我們都已經承諾也在這個蘭嶼也要蓋醫院啦所以我想因為現在他不是只有如果是老舊啊這個衛生所的條件"},{"start":135.116,"end":150.226,"text":"確實已經超過50年應該要翻新或者是重建的話我們來仔細的評估之後全力支持因為現在琉球衛生所不是只有一個衛生所的規模他目前的這個醫療的量能應該具備一個小型醫院的一個功能"},{"start":150.826,"end":177.251,"text":"所以我們應該是要把它當作一個醫院的規模來看待因為過去如果發生一些集中症或是不能處理的 要多救五次 去到燈光去到病棟我想我們如果可以就近那邊把這個醫療量能充足的話我想應該是大幅這個可以拯救我們相信的生命的安全你應該支持這個看法啦所以這部分我想我們還是會趕快請縣政府把案子提出來之後請部長來支持啦"},{"start":179.973,"end":192.244,"text":"第二個這個針對恆春半輛的部分那當然我前陣子也跟我們周縣長去參加了恆旅的一個針對新刀館也好跟尼亞科的一個成果的一個說明那這邊也特別謝謝部長那目前"},{"start":193.505,"end":210.221,"text":"衛福部我們透過醫學中心支援的部分有核定了14個醫師的名額衡旅4位 衡基5位還有南門5位那其中還有增加一個最重要那個麻醉坡醫師這個部分但是因為目前衡旅有新導管有高壓氧"},{"start":210.862,"end":230.902,"text":"不然這不可以做一半而已,我想我們最近要導入一個叫做重症低溫的一個照護設備所以我們必須要有這樣的一個急重症的照護體系目前還欠什麼?心臟內科、胸腔科,還有這個急重症病房部長,這也是要你支持的好,支持好齁,這都有用,你要講大聲一點"},{"start":233.306,"end":252.645,"text":"部長我想這個我們也會請亨利趕快加快來提案我想這個國境之南的醫療就如同委員講的不是只有在地還有每年的 超過四五百萬人對那個觀光的量能很大那所以我們極力的在提升這三家醫院的醫療量能就像委員講我們過去有兩波兩的三個到現在五個一間便宜"},{"start":257.711,"end":278.665,"text":"然後大家互相分工 現在也組成了一個區域聯防橫履男人 區域聯防三間各自有分工我覺得這個是比過去進步很多了 這是個好的契機但是畢竟橫履是領頭羊的角色因為橫履是我們自己的名義 所以我們責無旁貸所以發展了這些需要發展了這些需要"},{"start":282.688,"end":306.896,"text":"那最後我還是要幫我們這個第一線的醫護人員來請命啦齁當然因為我們過去的這個醫療的部分醫院負責這個專科跟急重症那衛生所第一線應該是我們鄉親齁暴動企業基層醫療跟日間照護的一個很重要的一個場域但是齁博士你覺得怎麼樣目前衛生所我們的醫師的志願費用每一個整市多少錢三千四百三十五塊"},{"start":308.362,"end":337.648,"text":"比起一般的市場行情那個盧偉源也是醫生一般行情應該是五千到六千這有相當大的落差耶不然你們從一百零六年到現在十年沒有調整過就對這個醫生情何以堪這不可以調整嗎這個是不是IDS的費用應該是IDS盧偉源是不是這是IDS的支援費用IDS是五千塊那支援費用這個就是公務器官訂的那個"},{"start":338.871,"end":359.39,"text":"那是公務機關這也太瘦了 因為如果是要去小琉球要坐船要住宿 去恆春寺也要開車靠靠的 因為我們一直在檢討那個IDS的費用會給他今年我們有空間在健保的IDS的話資源那個服務費用會給他提高啦"},{"start":359.73,"end":372.595,"text":"那我來瞭解一下這個是什麼費用有的是地方核定的就是那個醫師的資源費用那個核定的我來瞭解一下我們要拜託偏鄉離島你收不收一個合理的報酬這對我們也很不公平費用太低了"},{"start":380.039,"end":406.857,"text":"交洗人家的熱情啊,這樣也不好啦最後我還是要提醒一個事情我知道你很認真,你也很用心我跟你說的事情,你都給我應好但是我更快樂因為你從衛生署到衛福部你歷練了很多重要的主管職務所以整個醫療體系,你都更清楚我是快樂說,你帶行的事情到你下課的時候都不是打折,就是跳票啦"},{"start":408.3,"end":409.848,"text":"這一點我想要注意一下我們會來追蹤"},{"start":412.148,"end":431.821,"text":"我跟你談完之後,找你們下面的人,你們下面的人都沒有要認賭啦這點我是真的覺得很生氣啊我相信,我認為,我們是雖然是這麼好的一個感情齁但是我想公事歸公事,你要拿出你做部長的power你既然答應了事情,既然要照顧我們的鄉親就要照顧到,這樣好不好?好,好,謝謝接下來請了解"}]}},"supported_relations":[],"relations":[]}