{"error":false,"id":["168722"],"data":{"IVOD_ID":168722,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/168722","日期":"2026-04-22","會議資料":{"會議代碼":"委員會-11-5-35-12","會議代碼:str":"第11屆第5會期外交及國防委員會第12次全體委員會議","屆":11,"會期":5,"會次":12,"臨時會會次":null,"種類":"委員會","委員會代碼":[35],"委員會代碼:str":["外交及國防委員會"],"標題":"第11屆第5會期外交及國防委員會第12次全體委員會議"},"影片種類":"Clip","開始時間":"2026-04-22T11:13:27+08:00","結束時間":"2026-04-22T11:25:03+08:00","影片長度":"00:11:36","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/5b5880b40c5769f173b4d1496b29725aa31e0b39ac3e37f84f2050ed7b2b649b89e7c48fd387e5885ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"楊瓊瓔","委員發言時間":"11:13:27 - 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楊秋瑩發言 邀請主委請主委"},{"start":9.83,"end":29.495,"text":"主委好 辛苦了我們來討論醫療人員的議題首先我要發言之前要先給我們所有農民醫院的院長所帶領的團隊要謝謝他們因為我們農民醫院的確為國家付出很多的貢獻這個貢獻是他們用體力"},{"start":32.696,"end":54.661,"text":"用家庭的時間去換取的因為我們唯一一個最優良的就是不能拒絕病人這一點是本人非常非常的感謝所以我們來看到因為護理人力的一個短缺跟這個官傳的壓力但是現在我們各個農民總醫院都是逆勢而行而且大成功"},{"start":56.221,"end":74.35,"text":"那所以呢我就以我在中部地區台中籠總台中籠總的部分呢去年他們招募的護理人員是這個總共有560人他的一個報道率是6成多他的流子率是9成5"},{"start":75.782,"end":90.356,"text":"留職率 留任率能夠九成五這不簡單那當然中榮比較好的就是他找得到地方像北榮 高雄榮總 屏東他們也希望我們有這個托兒所托兒所將近有220個小朋友"},{"start":91.471,"end":113.102,"text":"還是不足但是至少有這個量體那這樣子整個的配套能夠讓這些從業人員能夠安心下來這非常重要但是每一年這一屆院長還是很緊張他們還要到大專院校去去護理學校去招募比如說像我們的鐘榮他去年560人今年他至少要有400個人"},{"start":115.074,"end":135.566,"text":"這樣子才能夠穩住這一些不缺的就像北龍也不缺那大家一起努力來做那當然各自醫院有各自的保守啦有他自己的方法我就以中龍來講他自主的排班這一點我很贊同因為我經常在這裡了解"},{"start":136.735,"end":153.737,"text":"病房的部分他能夠由資深的護理師他們自己來調整哇這個對他們的家庭來講是幫助很大每一家醫院都有每一家醫院他們的方法所以如果你看留職率就知道留任率是九成五以上這個了不得"},{"start":154.338,"end":181.244,"text":"但是各個醫院必須自負盈虧啊他還是要想辦法現在我們有一個問題我要率先請主委我們自己龍總自己來做也就是比如說中榮他們一天的這個出院的人那麼多出院之後護理師必須要去做銜接尤其長照的居家的這個3.0居家照護的那這些護理師還不算在我們的這一些喔那在這樣情況之下"},{"start":183.174,"end":196.23,"text":"未來這個角度這個角色是越來越重以中榮來講我們現在離醫院的要去協助他的只有4個護理師啊那雖然我們有2628個護理人員啊"},{"start":200.182,"end":216.634,"text":"但是這個部分呢4個那另外呢居家的部分我們12個這是兩不得的因為衛福部還沒有在做基金的一個協助所以我提出的這個問題也就是長照機構現在大家重視在集中度"},{"start":217.575,"end":235.232,"text":"的這個部分但是我們知道龍總醫院跟其他的醫院私人院所也好跟台大他們比較不相同的是我們的年齡層平均值病患會高一點而且我們越來越長壽所以居家照護的部分是必要的"},{"start":236.053,"end":259.389,"text":"所以像最近那個他們四個也希望給副院長這邊再申請兩個都要准他們願意做都了不得了雖然你要多付一點成本但是這個是衛福部主委這是衛福部現在在整個長照機構裡頭的護理師人員的銜接在居家他還沒有在做這一塊的津貼補助"},{"start":260.68,"end":289.31,"text":"所以本期我個人認為主委我們可以率先來做你的醫療作業基金可以協助給我們的這個這個個院我們來做一個sample做一個範本讓衛福部也加緊腳步來做啊這樣子整個才能夠銜接上來啊要不然他離院之後他也沒有人好好的去告訴他那整個只有做半套個人認為這是不夠的主委你的看法呢"},{"start":290.29,"end":316.906,"text":"謝謝委員的指導對我們總院的各項的肯定我們各總院其實都是朝向友善職場包含委員剛剛講的這些護理師他的工作的量怎麼樣去調節我想各總院都會針對剛剛委員所指導的他們會再針對居家或長道這塊再做一個你率先來做你支持他們你不是只有嘴巴支持他們絕對支持你預算要支持他們"},{"start":318.887,"end":338.08,"text":"因為這個小錢但是是給我們在第一線的護理人員是最大的一個鼓勵也給病患的家屬啊他很安心那你也會跑比這個衛福部還更快長照室那邊還要更快當然不是說比誰快慢啦而是說社會的面向已經必須"},{"start":339.221,"end":351.969,"text":"因為我在博士班的時候我非常的重視這一塊我覺得我們可以率先來做可以嗎 主委同意那你們好好地去研擬那接下來我還要講各大醫院裡頭最傷腦筋的是什麼停車場"},{"start":354.232,"end":383.2,"text":"停車格 停車格 中隆還率先有一個趴車的趴車的 是全國第一個嘛 是不是啊那第一個 可是只能趴多少人趴五十台 趴一百台 趴車的付一百塊 就趴那問題是量體不夠啊所以在這個中隆啊 我要給主委說明中隆旁邊有一塊戲庭9 停車場9你要全力專案支持它"},{"start":384.332,"end":406.727,"text":"因為呢 市院的土地啊 可是它黏在旁邊 它是停車場解決停車的問題 唯一解決停車的問題因為你現在的量體 不到五分之一啊所以我今天進入到院區來 我轉了 欸 你給我收的是停車費耶可是我轉了 我繞了一個鐘頭 還找不到一個車位那這個一個鐘頭要不要算錢啊 當然算錢啦"},{"start":407.367,"end":429.827,"text":"可是消費者說我又沒停車啊 我引擎一直在動啊 我一直在找停車格啊所以從根源來解決 中隆的西停九在這旁邊因為它現在第三醫療中心 又少了兩百個停車格那我們更傷腦筋啊 每一個選民啊 不夠啊我轉了一個多鐘頭跑進去診間的時候 我又跳號了"},{"start":431.168,"end":454.314,"text":"又過號了那怎麼辦呢所以我們也你說的友善環境啊針對於中隆停車格我相信北隆也一樣啊高雄隆總也一樣啊屏東也一樣啊因為它已經有專案有這個案子我請主委來專案來支持好不容易可以找到這個土地但是要錢一定要解決這個問題共同開發是不是成立一個專案"},{"start":456.613,"end":484.843,"text":"我們會全力協助中榮全力協助嘛好好來做這個一定可以真正的去紓解因為再不然我們職子中心起來那個第三醫療中心又起來我缺的停車場停車格更多更多都打結了好不好全力協助中榮專案來協助嘛好謝謝那這個請院長都請回那最後一個議題也就是我們非常非常努力的一個事情"},{"start":485.836,"end":503.477,"text":"你們在4月9號開始農民照護數位轉型平台本人非常贊成我個人非常贊成你整合了整個醫療端服務端你的個案端還有家屬端的資料透過APP來進行跨域的一個共管這個非常好整個醫療的一個"},{"start":504.778,"end":532.965,"text":"保健照護服務以及健康的一個檢查資料進一步能夠去把這些風險預測模型這個非常的讚所以本席要請教我們過去現在你這個政策就是說以前是被動式的被動式的來照顧現在是主動的來照顧那在這樣子一個情況之下你的整合照顧我所稱的目的就是要依照合一是不是"},{"start":533.945,"end":556.29,"text":"主委 依照合一就是讓我們的人民病患 農民可以安心嘛 這很重要所以主委 你們目前的建制情況究竟是如何因為你4月9號宣布 那麼你們的KPI到底是怎麼樣你有沒有去計算 你如果這個政策下去 你預估你可以降低多少的就醫次數跟醫療的這個成本"},{"start":558.514,"end":579.031,"text":"這個系統我們準備今年七月它是一個啟動的一個元年七月正式啟動在七月之前我們的系統剛剛委員講的四個系統已經完成了這裡面四個端已經完成了現在各容服務處是執行單位服務照顧十九個住宿遍佈全台灣"},{"start":579.751,"end":603.424,"text":"所以他們是執行單位那麼他們要自己驗證那這裡面驗證我跟他們指導最重要就是你的照顧端照顧的人力夠不夠因為每一個孤獨老可能服務對象都不同這個非常重要都不同所以這些照顧的照顧網夠不夠盡量多像零拖員啊里長啊或者是送餐啊或者是社工都要夠所以照顧員盡量去擴充"},{"start":605.385,"end":619.021,"text":"那醫療端比較單純就是總院總院的醫生或是各款師是這樣子這段時間到七月之前都要做這件事情希望盡量擴充把這個量能做到最大然後我們七月份就開始要做全面的推動"},{"start":619.878,"end":645.566,"text":"所以我們目前就是建制四端已經建制完成現在在做農耗以及人力的一個統合那醫院院所當然是沒問題我們就全力來支持所以我個人還要請你做一件事情也就是我們有一個政策之後呢那你的KPI必須要出來陳如剛剛本席所說的你預估我這麼做我多久時間我應該可以達到"},{"start":648.107,"end":657.13,"text":"怎麼樣的這個就醫的次數可以怎麼樣減少那醫療成本大概可以減少多少我覺得這個從源頭來做是效果非常的好"},{"start":660.053,"end":684.925,"text":"高雄市起伏比較早我們以高雄市來做了前面第一劑的一個檢討做了之後跟第一劑做了之後跟去年去比較他是就診服務隊上去門診的次數是有減少因為依照合一次數減少那醫療的資源也比之前要節省這兩個效果已經有出來了但是我是請我們各容服處"},{"start":685.805,"end":687.87,"text":"全面的再做一交叉的驗證交叉再提出你的KPI目標出來是有效果的謝謝"}]}},"supported_relations":[],"relations":[]}