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有請部長有請部長委員長柏定台的外外好朋友小金剛 鍾瑞雄一直要逼問你最喜歡哪個啦啦隊隊員幸好你守口如瓶即便你心中有名單 不然講出來以後就無完無了的了這我不能去講說喜歡誰部長我今天"},{"start":32.316,"end":35.958,"text":"不然我今天想跟您討論一個最基本的人權問題在一個人被關起來以後不管他是被羈押還是說服刑其實他還是有健康權跟醫療人權這一點部長您同意嗎"},{"start":49.59,"end":55.652,"text":"這個我想每個國民不管是不是在就是其實在收容中我們認為還是有這醫療人權的一個保障好謝謝部長那部長近期的這個監察院報告你說我要就要用監察院報告他剛才小金剛也用監察院報告因為你們可能比較會在乎115年4月23號那是不幾天前點出來說小政府"},{"start":71.298,"end":72.799,"text":"這個報告你們同事應該都有那監察院甚至還說這句話說話比較重"},{"start":90.808,"end":103.375,"text":"法務部對相關會計務管理及督導作為屬於行事請問部長是否接受監察院的說法那你是否同意說監察院認為蔣正義而體恤確實存在這些問題呢"},{"start":106.982,"end":132.459,"text":"我們要謝謝委員的一個指教那監察院的一些意見那我們也我們再來做一個我也督導那個整個矯正署有關於這個醫療的這個這個醫療的這部分的完善這邊我們再來做一個加強那這部分是不是我請那個署長來對就監察院的這個在他做哪些的一個精進的一個作為做一個簡單的一個因為下面我還是有一些繼續相關的問題是署長嗎 林署長"},{"start":137.222,"end":152.419,"text":"那在報告你服氣嗎 這份報告 監察院的報告報告委員 監察院的報告我們尊重我們內部也不斷地在做滾動式的檢討其實我們生活人的一個醫療的話 我們都跟衛福部簽有那個"},{"start":154.551,"end":180.788,"text":"這個健保特醫院他派醫師到我們機關來做醫療門診目前的制度我知道我們大家都有理解但是現在就被提出了一些注意但我知道很多事情不可能一步到位或是做到圓滿那我是不是可以就說他們這次提出來一些想法我大概就是您留在這個備詢台上我再來請教您好了那也讓部長有夠了解我不是要談個案但是很多事情醫學也是從個案到通案的"},{"start":181.488,"end":199.609,"text":"過去一段時間社會有關注特殊關注因為有被報導柯文哲在收容期間的就醫安排當時我們就強調其實對每一個病人都一樣就生病的人你有正確的診斷才會有後面正確的一個治療那當時擔任這個醫療小組的召集人是台大的前權威教授這個謝炎陽教授指出"},{"start":200.129,"end":217.906,"text":"他說他的症狀我們就不談個案症狀可能涉及多種嚴重疾病他不是監所裡面單一的一個一般的門診或醫務室可以處理的所以部長您認為矯正署的各個處所目前有足夠的醫療量能夠處理收容人跟受刑人的醫療問題嗎就是您認為是足夠的嗎這部分我"},{"start":223.807,"end":248.317,"text":"因為我們現在跟衛福部是有做一個合作這個合作那我想這部分我們會回去但那個也有那個問題因為我先生也負責過在衛福台北醫院的時候是跟這個北鎖是合作的那其實社會真正關心不是說哪一個人的健康問題而是說整個制度因為為什麼有人可以外醫不管是介護就醫 保外就醫那有人不行 那有沒有標準"},{"start":249.477,"end":256.602,"text":"部長 法務部有沒有一套全國一致的客觀評估標準還是說你現在是由各監所他們自己去做判斷的我們那個是 這部分是有一個制度的我們是有醫生的一個 醫主的這樣的一個這樣的一個制度部長 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衛福部醫院尤其"},{"start":390.043,"end":409.758,"text":"因為耗費很多人力而且收益這個是有限就是整個應該誘因是不足這是第二個問題第三你現在每年是用專案的方式補助那你醫院終究會被整個醫院的營運成本人力它是會越來越高的它終究會被迫減少縮減服務項目因為誘因也不夠但整體說來這個監察院的報告也說整體說來最大問題還是人力跟資源不足"},{"start":419.565,"end":439.317,"text":"所以這個部分如果說你們要做好這個事情我們也一樣啊在預算在這個都可以支持啊就是人力預算不足署長您了解今天的重點那個報告您應該有看到吧有那幾天前一星期前的是是是我們都有拜讀全新的啊我們有拜讀不過他偏重個案的情形是比較多的啦"},{"start":440.057,"end":454.308,"text":"他偏重個案的一個描述但是你要有人去做判斷等一下最後我想有一些數字再請你們看能不能近期我願意尊重你們的時間那作業時間我想要了解那對於監察院提出的這個建議"},{"start":455.749,"end":466.082,"text":"法務部就是你看到報告嘛你就不不不把它放著嘛你就看基本上你是不是有一些要對應的做法你不可能不去理他那這個可不可能我先建議兩週內啦齁時間我們可以再討論有三件事情有三件事情第一個緊急外溢的"},{"start":473.21,"end":478.895,"text":"觀察評估指標評估的頻率有沒有訂更細緻化的明確標準作業程序公所屬的矯正人員去遵循如果有什麼時候可以開始使用這是第一點我希望放在裡面的第二個人力跟資源量能如何補上你們如果缺監察員說你們有缺"},{"start":493.146,"end":519.475,"text":"那什麼時候再怎麼補上你怎麼強化特約醫院的這個誘因怎麼想辦法讓他們跟你們有做好的合作第三個麻煩請你們去了解一下因為我過去從來看不到這個數字我可不可以知道過去十年來受刑人從保外就醫出去之後到陰疾病死亡未回監這個比例的統計為什麼 因為其實我第一張的投影片我就這邊有提到這個"},{"start":520.735,"end":544.274,"text":"私改會三個月連續收到三起監獄延誤送醫致死的案件的陳情所以我第三個東西是過去十年我可以有這個資料嗎受刑人從保外就醫大家判斷一定要送出去就醫了到他因為過世了因為疾病過世了所以他沒辦法再回監這個資料我可以知道嗎這個比率的統計沒問題齁那這樣兩禮拜有夠嗎兩禮拜"},{"start":547.196,"end":555.942,"text":"剛剛幾個點嘛你們要怎麼樣努力去改善你們人力資源怎麼讓這個醫院合約醫院可以好好跟你們配合嘛不要隨意解說這個服務項目然後第三個我想知道過去有沒有這個狀況過去就過去但是我們要知道說是不是因為延誤就醫造成的這些總統遺憾"},{"start":569.771,"end":577.075,"text":"因為所有收容人跟這個受取人他還是有他的健康權醫療權好嗎那這個基本的醫療人權問題應該都有資料才對因為你們是會定期去對法外就醫的人去有一些調查報告訪視嘛這一定是資料是現成的嘛好 謝謝謝謝部長 謝謝署長"}]}},"supported_relations":[],"relations":[]}