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謝謝"},{"start":73.017,"end":95.327,"text":"現在他潮容三班戶民比是ok符合規定的第一個人力這個委員關心的宿舍的問題他有分兩類一個是多房間的宿舍那多房間宿舍他有70戶70戶目前裡面空的有空房16戶16戶裡面有9戶是要代修的第二類是單房間的宿舍單房間宿舍是131床"},{"start":97.998,"end":117.046,"text":"總共現在目前空床是15床那是15床那麼依據委員知道我們當然不希望這個空置太多但是陶榮完全是按照他相關申請的資格來做一些來一些一些配顧現在陶榮院長又來我請他再跟委員做個補充可以請"},{"start":119.946,"end":138.856,"text":"委員好,上次委員指導之後,主委有立刻派我們副主委到現場去勘查我們現在房舍的狀況我們其實現在房舍佔用率大概是73.8%到87.2%實際上我們還有空的房間可以提供給院內執行職務的同仁申請"},{"start":145.859,"end":162.966,"text":"所以這部分在臨床應用上面沒有問題跟委員保證那至於委員所提到我們有九間現在要因為三十多年要整修的那個是的確那個比較老舊那會上已經有指導我們今年已經開始規劃然後編列預算有編列預算啦"},{"start":164.387,"end":189.189,"text":"可能要在明年那我們今年會先規劃跟委員先報告如果可以的話 當然因為你這個是醫院體系嘛財務上調度怎麼樣你們找一個可以最快處理的方案這是本期監體質詢的要點嘛既然有好的事情就趕快來落實雖然你有七八成是滿足的但能夠釋出 尤其是給護理人員多一點的好的待遇我想對於再一次提升的人力他是有一定的幫助好吧 請院長把這事放在心上"},{"start":189.809,"end":214.765,"text":"在這個地方我們花一點點時間來做研討趕快來做執行可以嗎我們會盡快協助草叢整修這個我也非常謝謝委員隊我們分院的支持跟幫忙因為我們醫院三十多年有很多地方都很老舊所以我們最近先把急性病房先整建沒關係你醫院你要調度你的資源然後做一些合理的安排包含專業的醫療品質的提升這都是對的"},{"start":215.425,"end":229.52,"text":"我意思是說不要忽略這一段,至少讓他有進度,讓他往前走,可以嗎?好,謝謝再來我接著請教,一樣這個是人力缺額的部分因為這我們被預算中心的報告點名那當然他用的是112年的這樣一個數字,說這個討分院的人員缺額率25.09是相對偏高的"},{"start":235.612,"end":250.502,"text":"那這個我們就問了退府會 退府會回了一份這個相關的資料你講說公職護理的空缺率已經歸零了那當然公職護理的空缺率降到零表示你很積極在做聘用這當然是表示你做了一定的努力不過我要提醒一下"},{"start":252.003,"end":269.755,"text":"預算中心的報告裡面寫的其實是整體人力的缺額率它不是只是針對公職護理的空缺率我們當然都希望各方各面的人力的增補要能夠持續來做改善持續來趕上公職護理補齊的不表示這個數字它就可以"},{"start":270.515,"end":292.463,"text":"有消降低壓對不對還是有努力精進的一些空間啊那請問現在的按照預算中心給你的指教這個實際人力啊也總體人力的缺額率現在是多少報告員我們現在整體榮譽都是三班戶秘密還有日班的我知道你戶秘密有WR這個資料裡面有寫這個我曉得都是符合規定的"},{"start":294.81,"end":308.224,"text":"來院長補充一下好了沒關係今天都特別來了謝謝你是那個謝謝委員對於我們醫院的關心那在這邊報告其實我們現在現有的那個護理人力有312位那去年的話因為受到受到那個"},{"start":309.935,"end":337.3,"text":"圍牢降臨退休的還有一些公職退休的那大概那個有14位可是我們今年就去年到現在我們公職的我們補了15位所以你公職補滿沒有問題這也算很好嘛沒有問題那在契約的部分我們去年到現在總共補了97契約的補了82位所以我們現在的護理人力能夠應付我們現在的臨床需要好我跟你講這樣子這個事情這樣處理就是說"},{"start":338.88,"end":367.437,"text":"因為預算中心畢竟可以指教嘛那我們當然就在這個場合提出來做一下討論那你後續就按照預算中心的定義啦就是說他的缺額率是怎麼算的那你這段時間針對這些的缺額你做了哪些改善的措施現在補充的狀況怎麼樣你後面提出書面的報告就好好不好我們來做長期追蹤我們當然不希望桃園被點名嘛對不對我們希望做好但是後發先至只要他能夠逐步的有改善有執政的努力本期都會給你時間我們就希望最後的結果是好的"},{"start":367.737,"end":378.028,"text":"好 最後一個要提醒這個一樣是有關於這個改善人力缺額跟改善工作環境的部分我要討論一下有關於這個榮怨獎勵金的這樣一個機制的問題按照現在的規定我們的退服會相關的榮分院的這個獎勵金的發放"},{"start":384.054,"end":403.589,"text":"應該是比較以前的概念啦就我本席的了解就是醫師拿85%護理師非醫師的人力共分15%當然醫師是整個醫療體系的絕對主力他有絕對的專業我們都要給予尊重這是沒有問題的不過我也請這個主委也好或者是院長稍微了解一下就是說公立的醫療機構譬如說部桃這個部桃嘛"},{"start":405.951,"end":431.156,"text":"或者是台北市立各級醫院其實大概也是經歷了討論之後發現也護理師缺額等等問題都很嚴重所以大概都做了若干的調整變成說醫師70其他人員30這個獎勵金的這樣子的一個比例那我們現在這個部分容院的體系也好或者是退服會的體系有沒有在這個都是醫院嘛你們剛剛還講睡在一起對不對有沒有做一下溝通然後在這個人力的部分因為本席擔心啊你這"},{"start":431.736,"end":460.638,"text":"其他的醫院相對來講其他的這個待遇這個獎勵金是比較好的融資體系相對來講少一些那會不會造成這個在裡面的流動我寧願到別的醫院啊就護理師等等那就造成惡性循環啊因為其他的人力比較充足醫療量能比較充足的時候病患當然就多了嘛病患多了就影響醫院的收入嘛那我們這邊就變成惡性循環本是擔心這個事所以特別提出來問一下這樣子的一個制度上的差異有沒有打算要做檢討跟重新處理請回答"},{"start":462.331,"end":476.396,"text":"我們現在正在檢討委員關心的我們所有的容顏的獎勵金要怎麼去發放怎麼樣去提高他們的一些待遇目前正在檢討當中那你們大概有抓多少時間我們都願意給時間一個月"},{"start":477.836,"end":494.801,"text":"一個月 好 我就喜歡這個退府會這個非常吃爽 好不好那我就期待啦 我跟這個事情一樣我們都長期追蹤 每個月裡面你要有一定的進度讓這個事情往前走 我們都希望榮業的體系 退府會體系在這個地方可以表現得非常好 好不好好 謝謝 辛苦了"}],"gazette":[{"speaker":"牛委員煦庭","start":"2026-04-22T09:52:27+08:00","guessed":true,"end":"2026-04-22T09:52:30.023750+08:00","text":"謝謝主席，有請嚴主委。","quality":0},{"speaker":"主席","start":"2026-04-22T09:52:30.023750+08:00","guessed":true,"end":"2026-04-22T09:52:33.047500+08:00","text":"請主委。","quality":0},{"speaker":"嚴主任委員德發","start":"2026-04-22T09:52:33.047500+08:00","guessed":true,"end":"2026-04-22T09:52:36.071250+08:00","text":"牛委員好。","quality":0},{"speaker":"牛委員煦庭","start":"2026-04-22T09:52:36.071250+08:00","guessed":true,"end":"2026-04-22T09:52:39.095000+08:00","text":"主委早安。","quality":0},{"speaker":"牛委員煦庭","start":"2026-04-22T09:52:39.095000+08:00","guessed":false,"end":"2026-04-22T09:52:53.903000+08:00","text":"上一次我們質詢退輔會的時候，本席在這邊幫北榮桃分院的基層護理師請命，希望可以改善他們的工作環境，包括閒置宿舍的盤點，跟提供給在這邊服務的護理師，以這個方向來做要求。","quality":0.921},{"speaker":"牛委員煦庭","start":"2026-04-22T09:52:54.864000+08:00","guessed":false,"end":"2026-04-22T09:53:02.911000+08:00","text":"嚴主委當初非常爽快的答應，1個月之內會來盤點跟檢討，現在時間快到了，我們當然也要持續來追蹤。","quality":0.902},{"speaker":"牛委員煦庭","start":"2026-04-22T09:53:02.911000+08:00","guessed":false,"end":"2026-04-22T09:53:30.564000+08:00","text":"就本席私底下的了解，你們確實有做盤點，本席給你們高度的肯定，的確非常有效率，不過問題來了，就是盤點的結果好像有點狀況，因為畢竟是閒置的宿舍，閒置時間比較長，所以有些房間可能處於沒有整理的狀態，有牆壁斑駁、過於老舊等等一些狀況，所以如果只是名義上先開放，但居住環境不夠好的話，恐怕就失去了當初的美意，所以現在盤點的結果怎麼樣，請退輔會簡單做報告。","quality":0.91},{"speaker":"牛委員煦庭","start":"2026-04-22T09:53:31.744000+08:00","guessed":false,"end":"2026-04-22T09:53:35.827000+08:00","text":"另外，目前有多少間可以提供給大家來申請？","quality":0.889},{"speaker":"牛委員煦庭","start":"2026-04-22T09:53:35.827000+08:00","guessed":false,"end":"2026-04-22T09:53:38.568000+08:00","text":"針對不敷使用的部分，配套措施是什麼？","quality":1},{"speaker":"牛委員煦庭","start":"2026-04-22T09:53:38.568000+08:00","guessed":false,"end":"2026-04-22T09:53:38.809000+08:00","text":"請簡要回答，謝謝。","quality":0.857},{"speaker":"嚴主任委員德發","start":"2026-04-22T09:53:40.017000+08:00","guessed":false,"end":"2026-04-22T09:53:44.819000+08:00","text":"報告委員，現在桃榮三班護病比是OK的、符合規定的，這是第一個人力的部分。","quality":0.5},{"speaker":"嚴主任委員德發","start":"2026-04-22T09:53:45.840000+08:00","guessed":false,"end":"2026-04-22T09:53:58.025000+08:00","text":"第二個，委員關心的宿舍問題，這分兩類，一個是多房間的宿舍，有70戶，目前裡面有空房16戶，16戶裡面有9戶是待修的。","quality":0.909},{"speaker":"嚴主任委員德發","start":"2026-04-22T09:53:58.786000+08:00","guessed":false,"end":"2026-04-22T09:54:07.419000+08:00","text":"第二類是單房間宿舍，有131床，目前空床是15床。","quality":0.941},{"speaker":"嚴主任委員德發","start":"2026-04-22T09:54:10.080000+08:00","guessed":false,"end":"2026-04-22T09:54:23.606000+08:00","text":"依據委員指導，我們當然不希望這部分空置太多，但是桃榮完全是按照相關申請的資格來做一些配附，今天桃榮院長也有來，我請他再跟委員做個補充。","quality":0.823},{"speaker":"牛委員煦庭","start":"2026-04-22T09:54:23.886000+08:00","guessed":false,"end":"2026-04-22T09:54:24.046000+08:00","text":"可以，請。","quality":1},{"speaker":"彭院長家勛","start":"2026-04-22T09:54:26.946000+08:00","guessed":false,"end":"2026-04-22T09:54:27.226000+08:00","text":"委員好。","quality":1},{"speaker":"彭院長家勛","start":"2026-04-22T09:54:28.947000+08:00","guessed":false,"end":"2026-04-22T09:54:37.912000+08:00","text":"上次委員指導之後，主委有立刻派副主委到現場勘查我們現在房舍的狀況。謝謝。","quality":0.939},{"speaker":"彭院長家勛","start":"2026-04-22T09:54:37.912000+08:00","guessed":false,"end":"2026-04-22T09:54:55.520000+08:00","text":"現在我們房舍的占用率大概是73.8%到87.2%，實際上，我們還有空的房間可以提供給院內執行職務的同仁申請，所以跟委員保證，這部分在臨床運用上面是沒有問題的。","quality":0.824},{"speaker":"彭院長家勛","start":"2026-04-22T09:54:57.101000+08:00","guessed":false,"end":"2026-04-22T09:54:59.702000+08:00","text":"至於委員所提到我們有9間現在要重新……","quality":0.875},{"speaker":"牛委員煦庭","start":"2026-04-22T09:54:59.702000+08:00","guessed":true,"end":"2026-04-22T09:55:00.982000+08:00","text":"要先整修等等。","quality":0},{"speaker":"彭院長家勛","start":"2026-04-22T09:55:00.982000+08:00","guessed":false,"end":"2026-04-22T09:55:09.086000+08:00","text":"因為三十多年的確比較老舊，需要整修，會上已經有指導，我們今年已經開始規劃，編列預算。","quality":0.892},{"speaker":"牛委員煦庭","start":"2026-04-22T09:55:09.386000+08:00","guessed":false,"end":"2026-04-22T09:55:09.786000+08:00","text":"有編列預算？","quality":1},{"speaker":"彭院長家勛","start":"2026-04-22T09:55:11.387000+08:00","guessed":false,"end":"2026-04-22T09:55:15.030000+08:00","text":"可能要在明年，我們今年會先規劃，跟委員先報告。","quality":1},{"speaker":"牛委員煦庭","start":"2026-04-22T09:55:15.451000+08:00","guessed":false,"end":"2026-04-22T09:55:41.872000+08:00","text":"如果可以的話，因為這是醫院體系，針對財務上怎麼樣調度，你們找一個可以最快處理的方案，這是本席今天質詢的要點，既然有好的事情就趕快落實，雖然已經有七、八成是滿住的，但能夠釋出，尤其是給護理人員多一點好的待遇，我想對於再一次提升人力有一定的幫助，請院長把這事放在心上，在這個地方花一點點時間來做研討，趕快執行，可以嗎？是。","quality":0.923},{"speaker":"嚴主任委員德發","start":"2026-04-22T09:55:41.872000+08:00","guessed":false,"end":"2026-04-22T09:55:43.033000+08:00","text":"我們會儘快協助桃榮整修。","quality":0.727},{"speaker":"彭院長家勛","start":"2026-04-22T09:55:43.914000+08:00","guessed":false,"end":"2026-04-22T09:55:51.478000+08:00","text":"我也非常謝謝委員對我們分院的支持跟幫忙，因為我們醫院三十多年有很多地方都很老舊。是啊！","quality":0.925},{"speaker":"彭院長家勛","start":"2026-04-22T09:55:51.478000+08:00","guessed":false,"end":"2026-04-22T09:55:54.180000+08:00","text":"所以我們最近先整建急性病房。","quality":0.846},{"speaker":"牛委員煦庭","start":"2026-04-22T09:55:55.321000+08:00","guessed":false,"end":"2026-04-22T09:56:09.172000+08:00","text":"沒關係，醫院要調度你的資源，然後做一些合理的安排，包含專業醫療品質的提升，這都是對的，但我的意思是說不要忽略了這一段，撥一點經費，至少讓它有進度、讓它往前走，可以嗎？","quality":0.863},{"speaker":"彭院長家勛","start":"2026-04-22T09:56:09.172000+08:00","guessed":false,"end":"2026-04-22T09:56:09.332000+08:00","text":"好，謝謝。謝謝。","quality":0.6},{"speaker":"牛委員煦庭","start":"2026-04-22T09:56:09.332000+08:00","guessed":false,"end":"2026-04-22T09:56:58.896000+08:00","text":"再來我接著請教，一樣是人力缺額的部分，因為你們被預算中心的報告點名，當然他用的是112年的數字，說桃分院人員的缺額率25.09%，相對偏高，我們就問了退輔會，退輔會回了一份相關資料說公職護理的空缺率已經歸零了，當然公職護理的空缺率降到零，表示你很積極在聘用，當然表示你做了一定的努力，不過我要提醒一下，預算中心的報告寫的其實是整體人力的缺額率，不是只是針對公職護理的空缺率，我們當然都希望各方面人力的增補要持續來改善、趕上，公職護理補齊了不表示這個數字就可以有效降低，對不對？","quality":0.962},{"speaker":"牛委員煦庭","start":"2026-04-22T09:56:58.896000+08:00","guessed":false,"end":"2026-04-22T09:57:08.919000+08:00","text":"還是有努力、精進的空間，請問現在按照預算中心給你的指教，實際人力、總體人力的缺額率現在是多少？","quality":1},{"speaker":"嚴主任委員德發","start":"2026-04-22T09:57:10.500000+08:00","guessed":false,"end":"2026-04-22T09:57:15.141000+08:00","text":"報告委員，我們現在整體榮院都是三班護病比還有日班的……","quality":0.792},{"speaker":"牛委員煦庭","start":"2026-04-22T09:57:15.461000+08:00","guessed":false,"end":"2026-04-22T09:57:17.642000+08:00","text":"我知道你護病比有達標，這資料裡面有寫。","quality":0.706},{"speaker":"嚴主任委員德發","start":"2026-04-22T09:57:18.422000+08:00","guessed":false,"end":"2026-04-22T09:57:19.443000+08:00","text":"都是符合規定的。","quality":1},{"speaker":"牛委員煦庭","start":"2026-04-22T09:57:21.810000+08:00","guessed":false,"end":"2026-04-22T09:57:23.912000+08:00","text":"院長補充一下好了，沒關係，今天都特別來了，謝謝你。","quality":1},{"speaker":"彭院長家勛","start":"2026-04-22T09:57:25.134000+08:00","guessed":false,"end":"2026-04-22T09:57:47.197000+08:00","text":"謝謝委員對於我們醫院的關心，在這邊報告，其實我們現有的護理人力有312位，去年因為受到危勞降齡退休的還有一些公職退休的，大概有14位，可是從去年到現在，公職的我們補了15位……","quality":0.945},{"speaker":"牛委員煦庭","start":"2026-04-22T09:57:47.457000+08:00","guessed":false,"end":"2026-04-22T09:57:50.517000+08:00","text":"所以公職補滿沒有問題，這點做得很好，沒有問題。","quality":0.85},{"speaker":"彭院長家勛","start":"2026-04-22T09:57:50.717000+08:00","guessed":false,"end":"2026-04-22T09:58:02.599000+08:00","text":"在契約的部分，我們從去年到現在總共補了82位，所以我們現在的護理人力能夠應付現在的臨床需要。","quality":0.976},{"speaker":"牛委員煦庭","start":"2026-04-22T09:58:02.880000+08:00","guessed":false,"end":"2026-04-22T09:58:22.910000+08:00","text":"好，我跟你講，這個事情這樣處理，因為預算中心畢竟給你指教，那我們當然就在這個場合提出來做一下討論，你後續就按照預算中心的定義，就是說他的缺額率是怎麼算的，那你這段時間針對這些缺額做了哪些改善的措施、現在補充的狀況怎麼樣，會後提供書面報告就好，好不好？是。","quality":0.957},{"speaker":"牛委員煦庭","start":"2026-04-22T09:58:23.130000+08:00","guessed":false,"end":"2026-04-22T09:58:34.417000+08:00","text":"我們來做長期追蹤，我們當然不希望桃園被點名，我們希望做好，但後發先至，只要能夠逐步的有改善，有持續的努力，本席都會給你時間，我們就希望最後的結果是好的。","quality":0.956},{"speaker":"牛委員煦庭","start":"2026-04-22T09:58:34.957000+08:00","guessed":false,"end":"2026-04-22T09:59:34.215000+08:00","text":"最後要提醒，這個一樣是有關於改善人力缺額跟改善工作環境的部分，我要討論一下有關於榮院獎勵金機制的問題，按照現在的規定，退輔會相關的榮分院獎勵金的發放應該是比較以前的概念，就本席的了解，就是醫師拿85%，護理師、非醫師的人力共分15%，當然醫師是整個醫療體系的絕對主力，他有絕對的專業，我們都要給予尊重，這是沒有問題的，不過，我也請主委或院長稍微了解一下，就是公立醫療機構，比如部桃，或者是臺北市立各級醫院，其實大概也是經歷了討論之後，發現護理師缺額等等問題都很嚴重，所以大概都對獎勵金的比例做了若干調整，變成醫師70%、其他人員30%，這個部分在榮院體系也好，或者是退輔會體系也好，都是醫院嘛，你們剛剛還講睡在一起，對不對？","quality":0.938},{"speaker":"牛委員煦庭","start":"2026-04-22T09:59:34.215000+08:00","guessed":false,"end":"2026-04-22T09:59:35.155000+08:00","text":"有沒有做一下溝通？","quality":1},{"speaker":"牛委員煦庭","start":"2026-04-22T09:59:36.876000+08:00","guessed":false,"end":"2026-04-22T09:59:51.606000+08:00","text":"因為本席擔心其他醫院的獎勵金相對來講是比較好的，榮院體系相對來講少一些，會不會造成護理師等等人員的流動，他們寧願到別的醫院，然後造成惡性循環？","quality":0.742},{"speaker":"牛委員煦庭","start":"2026-04-22T09:59:52.086000+08:00","guessed":false,"end":"2026-04-22T10:00:07.137000+08:00","text":"因為其他體系的人力比較充足，醫療量能比較充足，病患當然也就多了，病患多了就影響醫院的收入，這樣就變成惡性循環，本席擔心這個事，所以特別提出來問一下，這樣一個制度上的差異，有沒有打算要做檢討跟重新處理？","quality":0.945},{"speaker":"牛委員煦庭","start":"2026-04-22T10:00:07.498000+08:00","guessed":false,"end":"2026-04-22T10:00:07.618000+08:00","text":"請回答。","quality":1},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:00:09.331000+08:00","guessed":false,"end":"2026-04-22T10:00:20.575000+08:00","text":"報告委員，我們現在正在檢討，就是委員所關心的我們所有榮院的獎勵金要怎麼去發放、怎麼樣去提高他們的待遇，目前正在檢討當中。","quality":0.836},{"speaker":"牛委員煦庭","start":"2026-04-22T10:00:21.175000+08:00","guessed":false,"end":"2026-04-22T10:00:22.955000+08:00","text":"大概有抓多少時間？","quality":1},{"speaker":"牛委員煦庭","start":"2026-04-22T10:00:22.955000+08:00","guessed":false,"end":"2026-04-22T10:00:23.336000+08:00","text":"我都願意給時間。","quality":1},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:00:23.336000+08:00","guessed":false,"end":"2026-04-22T10:00:23.376000+08:00","text":"一個月。","quality":1},{"speaker":"牛委員煦庭","start":"2026-04-22T10:00:25.976000+08:00","guessed":false,"end":"2026-04-22T10:00:30.618000+08:00","text":"我就喜歡退輔會非常直爽，那我就期待……","quality":0.875},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:00:30.618000+08:00","guessed":true,"end":"2026-04-22T10:00:32.358000+08:00","text":"會有結果跟委員報告。","quality":0.111},{"speaker":"牛委員煦庭","start":"2026-04-22T10:00:32.358000+08:00","guessed":false,"end":"2026-04-22T10:00:35.659000+08:00","text":"我們都長期追蹤，每個月你要有一定的進度，讓這事情往前走。","quality":1},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:00:35.659000+08:00","guessed":true,"end":"2026-04-22T10:00:36.659000+08:00","text":"是，謝謝委員的指導。","quality":0},{"speaker":"牛委員煦庭","start":"2026-04-22T10:00:35.919000+08:00","guessed":false,"end":"2026-04-22T10:00:41.561000+08:00","text":"我們都希望榮院的體系、退輔會的體系在這個地方可以表現得非常好。謝謝！","quality":0.903},{"speaker":"牛委員煦庭","start":"2026-04-22T10:00:41.561000+08:00","guessed":false,"end":"2026-04-22T10:00:41.781000+08:00","text":"辛苦了！","quality":1},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:00:42.281000+08:00","guessed":true,"end":"2026-04-22T10:00:43.423857+08:00","text":"謝謝委員。","quality":0},{"speaker":"主席（陳委員冠廷）","start":"2026-04-22T10:00:43.723857+08:00","guessed":true,"end":"2026-04-22T10:00:46.866714+08:00","text":"接下來請王定宇委員質詢。","quality":0}]}},"supported_relations":[],"relations":[]}