{"error":false,"id":["167880"],"data":{"IVOD_ID":167880,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/167880","日期":"2026-03-25","會議資料":{"會議代碼":"委員會-11-5-26-3","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3次全體委員會議","屆":11,"會期":5,"會次":3,"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3次全體委員會議"},"影片種類":"Clip","開始時間":"2026-03-25T11:11:56+08:00","結束時間":"2026-03-25T11:26:03+08:00","影片長度":"00:14:07","支援功能":["ai-transcript","gazette"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/755992caaad3baaeb9e2aae26f07260bb86a255e355343ec4b8922a2b60b811d9b283f5c5a56e13d5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"王正旭","委員發言時間":"11:11:56 - 11:26:03","會議時間":"2026-03-25T09:00:00+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3次全體委員會議（事由：討論事項\n審查\n一、 委員謝衣鳯等19人擬具「兒童及少年福利與權益保障法第三十一條條文修正草案」案。\n二、 委員郭昱晴等19人擬具「兒童及少年福利與權益保障法第七十七條條文修正草案」案。\n三、 委員徐富癸等18人擬具「兒童及少年福利與權益保障法第二十四條條文修正草案」案。\n四、 委員林月琴等16人擬具「兒童及少年福利與權益保障法第十三條條文修正草案」案。\n五、 委員李彥秀等21人擬具「兒童及少年福利與權益保障法第二十五條及第二十六條條文修正草案」案。\n六、 委員陳菁徽等22人擬具「兒童及少年福利與權益保障法第二十五條及第二十六條條文修正草案」案。\n七、 委員廖偉翔等18人擬具「兒童及少年福利與權益保障法增訂第六條之一條文草案」案。\n八、 委員蘇清泉等30人擬具「兒童及少年福利與權益保障法第九十七條條文修正草案」案。\n九、 委員李彥秀等19人擬具「兒童及少年福利與權益保障法第七十七條條文修正草案」案。\n十、 委員吳秉叡等21人擬具「兒童及少年福利與權益保障法第十六條條文修正草案」案。\n十一、 委員謝衣鳯等16人擬具「兒童及少年福利與權益保障法第二十五條及第二十六條條文修正草案」案。\n十二、 委員顏寬恒等22人擬具「兒童及少年福利與權益保障法第三十三條之一條文修正草案」案。\n十三、 委員林月琴等16人擬具「兒童及少年福利與權益保障法第二十八條及第二十八條之一條文修正草案」案。\n十四、 委員徐欣瑩等19人擬具「兒童及少年福利與權益保障法第二十三條條文修正草案」案。\n十五、 委員林思銘等20人擬具「兒童及少年福利與權益保障法第九十七條條文修正草案」案。\n十六、 委員王鴻薇等26人擬具「兒童及少年福利與權益保障法第四十九條及第九十七條條文修正草案」案。\n十七、 委員黃建賓等16人擬具「兒童及少年福利與權益保障法第七十七條條文修正草案」案。\n十八、 委員黃建賓等16人擬具「兒童及少年福利與權益保障法第八十三條、第一百零七條及第一百零八條條文修正草案」案。\n十九、 委員林德福等20人擬具「兒童及少年福利與權益保障法第六十六條條文修正草案」案。\n二十、 委員張雅琳等27人擬具「兒童及少年福利與權益保障法部分條文修正草案」案。\n二十一、 委員柯志恩等18人擬具「兒童及少年福利與權益保障法第五十一條之一、第九十九條及第一百零二條條文修正草案」案。\n二十二、 委員陳冠廷等24人擬具「兒童及少年福利與權益保障法第四十六條、第四十六條之二及第九十四條條文修正草案」案。\n二十三、 台灣民眾黨黨團擬具「兒童及少年福利與權益保障法第二十三條及第三十一條之一條文修正草案」案。\n二十四、 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謝謝那再過來我也請教一下我們大夫署長就是教育部教育署"},{"start":418.451,"end":437.879,"text":"剛剛柯文夫有提到有很多跨部會的合作可是我們看到就是十年翻倍的青春煉獄有媒體做一個相關的報導就是過去這十年來自殺成青少年第二大死因兩個人裡面有一個就被漏接"},{"start":438.86,"end":448.736,"text":"很大很大的問題大家都持續在討論當中他有整理的四大的缺口包括第一個就是心理健康教育與檢測"},{"start":450.598,"end":478.062,"text":"及早的介入第二部分呢是牽扯到醫療就是兒少精神人力資源的不足還有跨部會合作責任歸屬比較模糊剛剛部長也反覆的討論過第三個就是第四個就是缺乏死亡回顧檢討機制不足剛剛已經有跟部長跟市長討論過有關於第一個部分心理健康教育與檢測未能及早介入這個部分看起來應該是跟教育部"},{"start":478.582,"end":493.797,"text":"是有密切相關就是說如果依照目前為止五小的高年級或者是初中或者是高中生他們有沒有機會去做心理健康教育的同時也能夠及早做檢測"},{"start":495.428,"end":517.285,"text":"這部分不知道未來教育部如何能夠跟我們的這個衛福部兩個部會演繹將檢視健康量表就是VSRS5五道簡單的問題這是一般成年人在用的這樣的量表能夠同時讓做一些調整讓它變成是一個年齡層可以理解的題目"},{"start":517.885,"end":540.936,"text":"那入圍學童健檢裡面可以執行的內容的部分不知道副書長這方面有沒有相關的規劃或者是如何執行好謝謝委員關心我們兒少心理健康的問題那目前已在校園裡面大概就是入了小學之後他整個都會在我們的那個輔導學校輔導辦法裡頭的那個"},{"start":545.699,"end":570.675,"text":"就是保護的機制裡面 那我們會提供發展性的輔導 介入性的輔導跟處意性的輔導依學生的個案的那個需求其實我們的輔導老師也會有一些教育端使用的一些心理測驗的工具包括一些 比如說優遇量表 或者是他有沒有一些心理"},{"start":571.275,"end":575.777,"text":"健康比較特殊需求的那個量表其實在輔導老師這邊也會也會運用那我們這幾年其實也一直有跟衛福部新建師師長這邊我們也一直在討論就是如何把就是一些像新快活的這個網路諮詢"},{"start":592.382,"end":608.001,"text":"跟社區的資訊的那個輔導資訊的那個資源可以往下延伸到就是比如說我們國中甚至國小的那個學生那這個部分我想我們還會再做跨部會的合作"},{"start":608.502,"end":630.635,"text":"那其實學生輔導法修法之後呢教育部其實也非常積極的在佈建我們的輔導資源比如說114年以後我們對輔導老師的增加就會有2500多人那新府人力也會多到200多名這些輔導資源我們在學生輔導法"},{"start":631.836,"end":654.501,"text":"之下也會就是繼續的佈建提供我們兒少孩子心理健康的一個保護城是謝謝副市長說明所以重點是輔導嘛可是我今天再請教您的是前面的普及式的去掌握到誰是高風險區因為你唯有掌握到高風險區以後你才有"},{"start":655.297,"end":668.397,"text":"進入到後面輔導的需求那這個人力的運用才會更符合實際所以我們希望的就是衛福部跟教育部能夠原意將這個檢視健康量表當作一個在血統健檢裡面"},{"start":669.608,"end":684.835,"text":"就能夠有機會全面的去掌握到哪一些的族群或者是哪一些兒童們是需要特別再加強處理的而這一部分我們希望一個月能夠得到相關進度的報告我們會跟委員會還有辦公室來做參考"},{"start":688.377,"end":711.483,"text":"那再過來簡單的請教一下部長那副市長請回座就是兒少的這個醫療保護工具普及化跟普及那這個非常感謝王毓民委員在去年底臺大兒童醫院的兒少保護中心去做考察這個在考察裡面我們發現有蠻好的一些工具可以"},{"start":712.563,"end":727.512,"text":"讓所有的醫療機構如果針對兒少保護都能夠有更好的推廣的話可以多幫助到這些兒少如果受到影響的話可以進一步來做處理的部分這個就是一個良子"},{"start":728.673,"end":749.175,"text":"通常我們在觀察兒童如果身體有點瘀傷或什麼我們會非常非常的去掌握到他可能有沒有家暴的機會那另外就是有可能是不是有其他的問題那包括還有其他的這些工具就是如何能夠讓兒少的保護可以更周延所以在當天"},{"start":750.436,"end":776.476,"text":"做完這個考察報告以後呢我們希望這個提示卡或者是相關的工具可以應用到更廣泛的保護的機制裡面所以一共有四點包括廣發這個發送兒童保護提示卡協助醫師來做兒內辨識第二點就是強化基層醫師兒內通報的相關措施第三是研議強化幼兒專責醫師制度由零到三歲扣到零到六歲來增加服務次數"},{"start":777.256,"end":803.949,"text":"最後就是建立跨部門的這個資訊串接的連接那不知道我們上一次的這個決議三個月到了目前的進度有沒有掌握到好那個第一個就是跟委員說明剛剛那一些工具我覺得都很好那我們過去都有這個叫做兒少的醫事人員的手冊那我覺得那個手冊上我們可以來思考要不要把"},{"start":804.349,"end":832.031,"text":"這些工具也納入這個醫事人員的工作手冊裡面好來來提供因為過去那個手冊主要是在提醒哪一些是sign你要注意注意哪些然後通報啊什麼的那可以把這個工具把它融入那至於說呃這個這個剛剛的這個呃擴大到後邊幼兒專責醫師的部分可不可以後面書面資料哦好好好那就麻煩好那我們再把這個書面資料再提供給這個委員好"},{"start":833.752,"end":841.603,"text":"二哨專責機構更是麻煩部長把他組織再造做得更好會 會 會謝謝主席 謝謝接下來請陳金輝委員發言"}],"gazette":[{"speaker":"王委員正旭","start":"2026-03-25T11:12:02.994000+08:00","guessed":false,"end":"2026-03-25T11:12:03.194000+08:00","text":"謝謝主席。","quality":1},{"speaker":"王委員正旭","start":"2026-03-25T11:12:09.416000+08:00","guessed":false,"end":"2026-03-25T11:12:21.719000+08:00","text":"今天有兩個題目要來請教衛福部的長官們，第一個是死因回溯強化自殺防治，這個部分大家已經討論很多，第二個部分是兒少醫療保護工具標準化及普及。","quality":0.891},{"speaker":"王委員正旭","start":"2026-03-25T11:12:23.320000+08:00","guessed":false,"end":"2026-03-25T11:12:25.140000+08:00","text":"麻煩石部長和心健司陳司長。","quality":0.583},{"speaker":"主席","start":"2026-03-25T11:12:25.140000+08:00","guessed":false,"end":"2026-03-25T11:12:25.880000+08:00","text":"請石部長和陳司長。","quality":0.625},{"speaker":"石部長崇良","start":"2026-03-25T11:12:25.880000+08:00","guessed":true,"end":"2026-03-25T11:12:28.891500+08:00","text":"王委員好。","quality":0},{"speaker":"王委員正旭","start":"2026-03-25T11:12:28.891500+08:00","guessed":true,"end":"2026-03-25T11:12:31.903000+08:00","text":"部長好、司長好。","quality":0},{"speaker":"王委員正旭","start":"2026-03-25T11:12:31.903000+08:00","guessed":false,"end":"2026-03-25T11:13:07.853000+08:00","text":"剛剛已經討論非常多有關兒少死亡如果能做好原因分析的話，理論上……因為我們3個人都在醫界工作，可以很清楚地瞭解未來我們的防治重點如何能夠更優化，這是好多、好多委員都有提出這樣的需求，所以我還是根據這個部分期待能有更深入的一些探討。","quality":0.895},{"speaker":"王委員正旭","start":"2026-03-25T11:13:07.853000+08:00","guessed":false,"end":"2026-03-25T11:13:36.717000+08:00","text":"因為我們知道在113年的死因統計裡面，0到17歲兒少死因為自殺（即蓄意自我傷害）是排在第5位，可是比較令人憂心的是12到17歲的青少年族群自殺是第二重要的死因，僅次於事故傷害，而且十年來是翻倍，這是很令人驚心動魄的數據，這就代表我們的防治機制出了問題。","quality":0.953},{"speaker":"王委員正旭","start":"2026-03-25T11:13:37.895000+08:00","guessed":false,"end":"2026-03-25T11:13:45.681000+08:00","text":"不管我們是採取什麼樣的處理模式，很顯然的，我們的防治機制是需要再改善、優化的。","quality":0.914},{"speaker":"王委員正旭","start":"2026-03-25T11:13:46.101000+08:00","guessed":false,"end":"2026-03-25T11:13:57.510000+08:00","text":"根據兒少權法第十三條規定，中央衛生主管機關應進行六歲以下兒童死亡原因回溯分析，而且每四年要公布結果。","quality":0.766},{"speaker":"王委員正旭","start":"2026-03-25T11:13:59.912000+08:00","guessed":false,"end":"2026-03-25T11:14:23.328000+08:00","text":"相信大家都會覺得這樣的規定似乎太不符合現在的需求，有很大的精進空間，所以許多委員都提案希望針對6到18歲的兒童也比照兒少權法的保障範圍。","quality":0.839},{"speaker":"王委員正旭","start":"2026-03-25T11:14:23.328000+08:00","guessed":false,"end":"2026-03-25T11:14:31.333000+08:00","text":"其實我們更希望這些自殺部分有好的分析，有機會在第一時間就把寶貴的生命挽救下來。","quality":1},{"speaker":"王委員正旭","start":"2026-03-25T11:14:33.444000+08:00","guessed":false,"end":"2026-03-25T11:14:54.232000+08:00","text":"部長在今天的書面報告裡面反覆強調6到17歲有道路交通安全會報和自殺防治會等處理模式，但很顯然的就是剛剛所提到的數據，這兩個單位在處理上面怎麼精進？","quality":0.94},{"speaker":"王委員正旭","start":"2026-03-25T11:14:55.682000+08:00","guessed":false,"end":"2026-03-25T11:15:00.427000+08:00","text":"衛福部是主管機關的話，如何能夠共同來把這個工作做好？","quality":1},{"speaker":"王委員正旭","start":"2026-03-25T11:15:00.908000+08:00","guessed":false,"end":"2026-03-25T11:15:05.013000+08:00","text":"我相信這是非常非常重要，也是所有委員共同期待的。","quality":1},{"speaker":"王委員正旭","start":"2026-03-25T11:15:08.978000+08:00","guessed":false,"end":"2026-03-25T11:15:18.989000+08:00","text":"我們比較擔心的是，透過這些個案檢討，剛剛說的這兩個單位有辦法做好相關的努力嗎？","quality":0.944},{"speaker":"王委員正旭","start":"2026-03-25T11:15:18.989000+08:00","guessed":false,"end":"2026-03-25T11:15:38.733000+08:00","text":"還有，我們比較好奇的就是，在去年底的自殺防治諮詢會裡面，心健司也共同參與討論，決議是請內政部針對教育部盤點出校園高樓防墜的困難或具體案例來做處理措施。","quality":0.943},{"speaker":"王委員正旭","start":"2026-03-25T11:15:39.673000+08:00","guessed":false,"end":"2026-03-25T11:15:45.594000+08:00","text":"對我們來講，如果是根據去年心健司的意見，那已經是最後一步了！","quality":0.852},{"speaker":"王委員正旭","start":"2026-03-25T11:15:46.656000+08:00","guessed":false,"end":"2026-03-25T11:15:53.662000+08:00","text":"當一位青少年從高樓墜落的時候，那已經是最後的結果，前面有沒有好的分析呢？","quality":0.939},{"speaker":"王委員正旭","start":"2026-03-25T11:15:54.283000+08:00","guessed":false,"end":"2026-03-25T11:15:55.444000+08:00","text":"這才是我們所重視的！","quality":1},{"speaker":"王委員正旭","start":"2026-03-25T11:15:56.105000+08:00","guessed":false,"end":"2026-03-25T11:16:09.036000+08:00","text":"所以我們認為，衛福部和心健司對於兒少自殺目前仍缺乏系統性的死亡回顧及預防性的政策規劃，這才是防治的缺口。","quality":0.796},{"speaker":"王委員正旭","start":"2026-03-25T11:16:09.757000+08:00","guessed":false,"end":"2026-03-25T11:16:16.524000+08:00","text":"不知道部長和司長目前對這個防治缺口有沒有具體的想法或做法？","quality":0.857},{"speaker":"石部長崇良","start":"2026-03-25T11:16:17.606000+08:00","guessed":false,"end":"2026-03-25T11:16:42.545000+08:00","text":"跟委員說明，我們確實也有關注到兒少自殺的問題，所以過去就有全國自殺防治中心，特別是從今年開始，就已經請他們針對0到17歲自殺死亡兒童指標性的個案先來嘗試進行死因回溯分析。","quality":0.909},{"speaker":"石部長崇良","start":"2026-03-25T11:16:44.486000+08:00","guessed":false,"end":"2026-03-25T11:16:53.228000+08:00","text":"現在是先嘗試針對指標性的個案，但是在執行過程中當然也有它的困難，困難在於自殺遺族的哀痛。","quality":0.902},{"speaker":"石部長崇良","start":"2026-03-25T11:16:55.128000+08:00","guessed":false,"end":"2026-03-25T11:17:10.613000+08:00","text":"這和其他狀況可能比較不同，因為兒少的自殺經常會造成遺族的guilty，就是自責等等，所以在做死因回溯的時候，也有它的難度。","quality":0.911},{"speaker":"石部長崇良","start":"2026-03-25T11:17:11.453000+08:00","guessed":false,"end":"2026-03-25T11:17:41.812000+08:00","text":"現在是在做一些先驅的討論，就如同委員提到的，過去我們比較著重在整體性的分析，現在對兒少的部分會再更深入地去做分析，除了自殺工具、自殺方式之外，更前端的背景因素可能還要進一步去深入，所以這個我們已經開始在……心健司有在進行研究。","quality":0.913},{"speaker":"王委員正旭","start":"2026-03-25T11:17:42.232000+08:00","guessed":false,"end":"2026-03-25T11:17:42.512000+08:00","text":"OK，非常好。","quality":0.6},{"speaker":"王委員正旭","start":"2026-03-25T11:17:42.932000+08:00","guessed":false,"end":"2026-03-25T11:18:13.064000+08:00","text":"我們也理解，國小、國中或高中學生在學校可能面臨校園霸凌，也有可能會面臨非校園的網路霸凌，哪些可能是家庭因素造成的，這個部長剛剛有說明，所以我們期待的就是透過這些努力去知道當他在這個過程裡面、他在墜落之前，到底這個過程是誰做了努力？","quality":0.925},{"speaker":"王委員正旭","start":"2026-03-25T11:18:14.364000+08:00","guessed":false,"end":"2026-03-25T11:18:14.944000+08:00","text":"誰在資源上有匱乏？","quality":0.875},{"speaker":"王委員正旭","start":"2026-03-25T11:18:15.965000+08:00","guessed":false,"end":"2026-03-25T11:18:17.165000+08:00","text":"我們如何能夠去改善它？","quality":0.9},{"speaker":"王委員正旭","start":"2026-03-25T11:18:18.045000+08:00","guessed":false,"end":"2026-03-25T11:18:21.266000+08:00","text":"這個才是我們期待看到個案分析裡面呈現的。","quality":1},{"speaker":"王委員正旭","start":"2026-03-25T11:18:21.846000+08:00","guessed":false,"end":"2026-03-25T11:18:38.210000+08:00","text":"當然，部長會體恤家長，當這個兒童出了問題的時候，他們是非常非常辛苦的，可是我們也瞭解，唯有把這個辛苦化為動力，才能夠真正解決問題，否則我們真的看不到如何能夠優化相關的防治。","quality":0.923},{"speaker":"王委員正旭","start":"2026-03-25T11:18:40.090000+08:00","guessed":false,"end":"2026-03-25T11:18:44.211000+08:00","text":"非常非常希望部長和司長能夠持續努力。","quality":0.941},{"speaker":"王委員正旭","start":"2026-03-25T11:18:44.471000+08:00","guessed":false,"end":"2026-03-25T11:18:46.212000+08:00","text":"好，謝謝。","quality":1},{"speaker":"王委員正旭","start":"2026-03-25T11:18:46.792000+08:00","guessed":false,"end":"2026-03-25T11:19:05.115000+08:00","text":"接下來要請教教育部國民及學前教育署戴副署長，剛剛衛福部提到有很多跨部會合作，可是我們看到的就是10年翻倍的青春煉獄。","quality":0.698},{"speaker":"王委員正旭","start":"2026-03-25T11:19:05.115000+08:00","guessed":false,"end":"2026-03-25T11:19:13.859000+08:00","text":"有相關的媒體報導指出，過去10年來，自殺成為青少年第2大死因，兩個人裡面就有一個被漏接。","quality":0.838},{"speaker":"王委員正旭","start":"2026-03-25T11:19:14.860000+08:00","guessed":false,"end":"2026-03-25T11:19:17.805000+08:00","text":"這是很大、很大的問題，大家也一直在討論當中。","quality":0.737},{"speaker":"王委員正旭","start":"2026-03-25T11:19:20.269000+08:00","guessed":false,"end":"2026-03-25T11:19:42.892000+08:00","text":"該篇報導整理出四大缺口，第一是心理健康教育與檢測未能及早介入；第二則涉及醫療，就是兒少精神醫療人力、資源不足；第三是跨部會合作，責任歸屬比較模糊，這點剛剛部長也反覆討論過；第四個就是缺乏死亡回顧，檢討機制不足。","quality":0.821},{"speaker":"王委員正旭","start":"2026-03-25T11:19:43.553000+08:00","guessed":false,"end":"2026-03-25T11:19:56.024000+08:00","text":"剛剛已經有跟部長和司長討論過，有關心理健康教育與檢測未能及早介入，這個部分看起來應該是跟教育部有密切相關。","quality":0.96},{"speaker":"王委員正旭","start":"2026-03-25T11:19:57.165000+08:00","guessed":false,"end":"2026-03-25T11:20:09.797000+08:00","text":"如果依照目前為止，國小高年級或者是初中或者是高中生，他們有沒有機會在做心理健康教育的同時，也能夠及早檢測？","quality":0.959},{"speaker":"王委員正旭","start":"2026-03-25T11:20:11.428000+08:00","guessed":false,"end":"2026-03-25T11:20:42.989000+08:00","text":"這部分不知道未來教育部如何跟衛福部兩個部會研議，將簡式健康量表就是BSRS-5五道簡單的問題，這是一般成年人在用的量表，能夠同時做一些調整，讓它變成一個年齡層可以理解的題目，納入學童健檢裡面可以執行的內容，不知道副署長對這方面有沒有相關的規劃或者是要如何執行？","quality":0.926},{"speaker":"戴副署長淑芬","start":"2026-03-25T11:20:44.590000+08:00","guessed":false,"end":"2026-03-25T11:20:48.172000+08:00","text":"謝謝委員關心兒少心理健康的問題。","quality":1},{"speaker":"戴副署長淑芬","start":"2026-03-25T11:20:48.332000+08:00","guessed":false,"end":"2026-03-25T11:21:11.645000+08:00","text":"目前在校園裡大概就是入了小學之後，整個都會在學校輔導辦法裡頭的保護機制裡面，我們會提供發展性輔導、介入性輔導及處遇性輔導，依學生的個案需求。","quality":0.969},{"speaker":"戴副署長淑芬","start":"2026-03-25T11:21:12.626000+08:00","guessed":false,"end":"2026-03-25T11:21:30.316000+08:00","text":"其實我們的輔導老師也會有教育端使用心理測驗的一些工具，包括憂鬱量表，或者是心理健康方面比較有特殊需求的量表，其實在輔導老師這邊也會運用。","quality":0.891},{"speaker":"戴副署長淑芬","start":"2026-03-25T11:21:30.476000+08:00","guessed":false,"end":"2026-03-25T11:22:03.981000+08:00","text":"這幾年我們也一直有跟衛福部心健司司長討論，如何把一些像「心快活」網路諮詢跟社區輔導諮詢的資源往下延伸到國中甚至國小的學生，這個部分我們還會再做跨部會的合作。","quality":0.849},{"speaker":"戴副署長淑芬","start":"2026-03-25T11:22:05.683000+08:00","guessed":false,"end":"2026-03-25T11:22:36.318000+08:00","text":"另外，學生輔導法修法之後，教育部也非常積極地在布建我們的輔導資源，比如114年以後輔導老師會增加兩千五百多人，心輔人力也會多到兩百多名，這些輔導資源在學生輔導法之下也會繼續布建，提供兒少心理健康的一個保護層。","quality":0.84},{"speaker":"王委員正旭","start":"2026-03-25T11:22:37.558000+08:00","guessed":false,"end":"2026-03-25T11:22:56.305000+08:00","text":"謝謝副署長說明，所以重點是輔導，可是我請教您的是前面如何及時掌握到誰是高風險群，因為有掌握到高風險群之後，才有辦法進入後面輔導的需求，人力的運用才會更符合實際。","quality":0.878},{"speaker":"王委員正旭","start":"2026-03-25T11:22:56.305000+08:00","guessed":false,"end":"2026-03-25T11:23:13.992000+08:00","text":"所以我們希望衛福部跟教育部能夠研議這樣的簡式健康量表，在學童健檢時就能夠有機會全面掌握，有哪一些族群或者哪一些兒童需要特別再加強處理。","quality":0.844},{"speaker":"王委員正旭","start":"2026-03-25T11:23:14.712000+08:00","guessed":false,"end":"2026-03-25T11:23:18.474000+08:00","text":"這部分希望一個月能夠得到相關進度的報告。","quality":1},{"speaker":"戴副署長淑芬","start":"2026-03-25T11:23:18.474000+08:00","guessed":true,"end":"2026-03-25T11:23:20.355000+08:00","text":"好，我們會跟衛福部再做一些討論。","quality":0.286},{"speaker":"王委員正旭","start":"2026-03-25T11:23:20.355000+08:00","guessed":false,"end":"2026-03-25T11:23:20.815000+08:00","text":"給本席辦公室參考。","quality":0.625},{"speaker":"王委員正旭","start":"2026-03-25T11:23:25.677000+08:00","guessed":false,"end":"2026-03-25T11:23:33.359000+08:00","text":"繼續請教部長有關兒少醫療保護工具標準化及普及。","quality":0.636},{"speaker":"王委員正旭","start":"2026-03-25T11:23:35.060000+08:00","guessed":false,"end":"2026-03-25T11:24:01.771000+08:00","text":"非常感謝王育敏委員去年底安排衛環委員會到臺大兒童醫院兒少保護中心考察，在考察裡面我們發現有一些蠻好的工具，如果能夠讓所有的醫療機構針對兒少保護都能夠有更好的推廣，可以幫助到這些兒少能夠受到影響，也可以進一步處理。","quality":0.812},{"speaker":"王委員正旭","start":"2026-03-25T11:24:02.771000+08:00","guessed":false,"end":"2026-03-25T11:24:23.813000+08:00","text":"這個就是一個量尺，通常我們觀察兒童如果身體有一點瘀傷或什麼，我們不會非常非常的去掌握到他可能有受到家暴的機會，另外就是有可能是不是有其他的問題，包括還有其他的工具，就是如何能夠讓兒少的保護可以更周延。","quality":0.936},{"speaker":"王委員正旭","start":"2026-03-25T11:24:24.334000+08:00","guessed":false,"end":"2026-03-25T11:24:35.163000+08:00","text":"所以在當天做完這個考察報告以後，我們希望這個提示卡或者相關的工具可以應用到更廣泛的保護機制裡面。","quality":1},{"speaker":"王委員正旭","start":"2026-03-25T11:24:35.823000+08:00","guessed":false,"end":"2026-03-25T11:24:56.718000+08:00","text":"一共有四點：第一，廣發兒童保護提示卡，協助醫師做兒虐辨識；第二，強化基層醫師兒虐通報的相關措施；第三，研議強化幼兒專責醫師制度，由0到3歲擴大到0到6歲以增加服務次數；第四，建立跨部門資訊串接的連結。","quality":0.882},{"speaker":"王委員正旭","start":"2026-03-25T11:24:58.359000+08:00","guessed":false,"end":"2026-03-25T11:25:02.781000+08:00","text":"因為上一次決議三個月時間已經到了，目前的進度有沒有掌握到？","quality":0.778},{"speaker":"石部長崇良","start":"2026-03-25T11:25:07.443000+08:00","guessed":false,"end":"2026-03-25T11:25:33.099000+08:00","text":"跟委員說明，剛剛那一些工具我覺得都很好，過去我們有兒少醫事人員手冊，我們可以思考要不要把這些工具也納入醫事人員的工作手冊裡面提供，因為過去那個手冊主要是在提醒哪一些是sign，你要注意哪些，然後做通報什麼的，那可以把這個工具融入。","quality":0.972},{"speaker":"石部長崇良","start":"2026-03-25T11:25:33.880000+08:00","guessed":false,"end":"2026-03-25T11:25:41.426000+08:00","text":"至於擴大到幼兒專責醫師的部分……","quality":1},{"speaker":"主席","start":"2026-03-25T11:25:41.846000+08:00","guessed":false,"end":"2026-03-25T11:25:43.627000+08:00","text":"部長，可不可以會後提供書面資料？好的。","quality":0.625},{"speaker":"王委員正旭","start":"2026-03-25T11:25:44.548000+08:00","guessed":false,"end":"2026-03-25T11:25:45.509000+08:00","text":"那就麻煩部長。","quality":0.667},{"speaker":"石部長崇良","start":"2026-03-25T11:25:45.509000+08:00","guessed":false,"end":"2026-03-25T11:25:48.011000+08:00","text":"好，我們再把書面資料提供給委員。","quality":1},{"speaker":"王委員正旭","start":"2026-03-25T11:25:48.011000+08:00","guessed":false,"end":"2026-03-25T11:25:54.559000+08:00","text":"好，兒少專責機構更是要麻煩部長把它的組織再造做得更好。","quality":0.8},{"speaker":"石部長崇良","start":"2026-03-25T11:25:55.199000+08:00","guessed":false,"end":"2026-03-25T11:25:55.199000+08:00","text":"會、會、會。","quality":1},{"speaker":"王委員正旭","start":"2026-03-25T11:25:55.199000+08:00","guessed":false,"end":"2026-03-25T11:25:56.862000+08:00","text":"謝謝主席。","quality":1},{"speaker":"主席","start":"2026-03-25T11:25:56.862000+08:00","guessed":true,"end":"2026-03-25T11:25:57.862000+08:00","text":"謝謝王正旭委員。","quality":0.286},{"speaker":"主席","start":"2026-03-25T11:25:57.062000+08:00","guessed":false,"end":"2026-03-25T11:25:57.583000+08:00","text":"接下來請陳菁徽委員發言。","quality":0.818}]}},"supported_relations":[],"relations":[]}