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兒少傷亡的統計只是我們用來作為預防的手段那我們不是要一個完整的數字我們要的是什麼樣的傷害然後好發在什麼樣的族群然後我們可以去找出一個最大的這個保護跟最好的預防措施然後努力的去落實然後再看看說成效如何這樣子那目前呢"},{"start":307.785,"end":314.362,"text":"通報監測統計的分析實在看不出來這個成效在哪裡因為"},{"start":318.968,"end":331.662,"text":"剛剛對於就是說你們有提到這個現行事故傷害監測屬於這個公衛生議題那公共衛生的議題那我國是採取這個ICD-10的數據去進行統計分析"},{"start":340.401,"end":364.2,"text":"這個提供給各部會去就是說它作為這個政策的參考其實像這樣子國際疾病與這個相關健康問題統計分類這樣子其實你們現在應該是到第10版第10版了對 要準備要進11了ICT-10但其實這樣子其實是很困擾的"},{"start":365.592,"end":385.391,"text":"因為我們看一下這個國際疾病分類第十版對於這個意外事故它的確有特別的分類代碼剛剛部長也特別講說如果交通它還有一些認證但是這套系統主要是用來作為疾病傷害中毒診斷的分類"},{"start":386.892,"end":405.178,"text":"然後健保給父的用途啊不是用來做這個兒少虐待傷害甚至性侵害的統計分類那你們不能因為ICD-10有帶到這個外因性的傷害然後就忽略我們兒少法就是要針對這個兒少有特別的保護"},{"start":406.258,"end":423.132,"text":"所以針對他們可能接受到的這些親愛的類型去特別設計一套有別於成人的通報監測跟統計的分類的制度部長你們回去是不是可以再好好的檢討規劃思考一下"},{"start":424.152,"end":444.489,"text":"我想今天這個是很重要的一個點我想這個非常贊成委員的看法因為要有好的這個數據根據才能夠作為這個政策上的評估或者是建立那所以我們在那個兒少全法的草案我們現在預告的草案的"},{"start":446.211,"end":460.409,"text":"49條就把它納入這個兒少事故傷害的資料登錄統計及分析這個業務在裡面只是說過去因為我們的健保資料庫很好用它的這個"},{"start":462.17,"end":488.524,"text":"收集的最方便最完整所以以健保資料庫為準但是在事故傷害的分析上還需要採用到其他的指引比如說世界衛生組織也有事故傷害分析指引等等去搭配可能還要涉及到跟其他資料庫的串接所以這個我們會把它納入在我們未來的工作裡面"},{"start":489.363,"end":514.62,"text":"好 那我想我們不想過多的統計但也不想有漏網之魚是所以一個符合的一個統計分析是很重要的那我知道就是歐美國家對兒童的保護是非常重視那部長如果有機會的話也應該有可以親自到國外去考察好"},{"start":515.02,"end":542.1,"text":"那了解一下他們的法律核心保護的精神跟這個實際上的操作呢的這些職權跟措施我們法律訂的再好如果說單靠衛福部的資源其實還有這個各地方政府的這個社福人力加上就是說沒有足夠的這個職權其實很難很難真正去落實法令的規定那"},{"start":543.081,"end":561.023,"text":"加上就是說我在這邊也提供一個意見就是說盡速去協調這些社福人員跟這個富有警察的職權建立一個合作的機制才能真的落實那在經過很多這些兒少的這些傷害案件"},{"start":561.704,"end":575.871,"text":"好像也沒有看到這個婦幼警察的功能就效果不彰那你們在調查兒童受到虐待或者不法侵害的事件的時候有沒有協同婦幼警力陪伴有嗎有吧 應該會一起"},{"start":579.928,"end":606.1,"text":"有 好如果說發現有具體事實那是不是可以以這個現行犯實施必要的即時的處置也可以 好那衛福部跟這個婦幼警察的指揮協調聯繫啊就是說你們部長可不可以稍微說明一下因為很多時候感覺是兩條平行線在走沒有太多交集好 我請我們那個保護司司長來說明好 來"},{"start":607.981,"end":636.296,"text":"是委員因為其實平常這個各地方政府都已經建立了涉陣警政這個聯繫的管道所以他們如果遇到緊急事件其實都是立刻都可以一起去協同方式好我想這個中間可能有一些你們可以再多加了解因為今天這樣我倆時間也沒有很多所以可能後續可以再把一些細節再多加說明"},{"start":637.116,"end":663.439,"text":"那我是希望說在這次的修法可以落實整個婦幼警察的角色那沒有法源依據婦幼警察可能他們可能也只是在警察的職權範圍內呢就是很被動消極的在執行業務但是公務人員呢恐怕也很難去協調去就是說很難協調去他們很難協調他們去協助調查那如果部長認為有必要的話呢"},{"start":665.2,"end":689.455,"text":"本席也將立刻就是我們也會來馬上來提案來支持就是說我們的兒少虐待跟這個性侵害調查那地方這個警政機關呢應該要派員協助調查並且要做這個很必要的處置那我希望說衛福部能夠展現你們的魄力那也希望部長就是說現在或許去有些國家比較困難但是"},{"start":690.896,"end":711.826,"text":"但是還是鼓勵就是說部長可以親自到國外了解一下他們的做法那盡速跟這整個警政單位來溝通思考利用這次修法機會讓我們的這個保護兒少的新時代可以做得更好好謝謝好謝謝委員未來在修法的時候我們再向委員請教好謝謝"},{"start":712.526,"end":720.972,"text":"好謝謝陳穎委員我想衛福部可能要針對陳穎委員因為他針對原住民本來在事故傷害"}]}},"supported_relations":[],"relations":[]}