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有請卓院長麻煩再請卓院長備選務委員好院長早"},{"start":33.069,"end":50.76,"text":"我今天特地來針對原住民族人的健康問題以及健康政策就叫來關心特別現在剛好是原住民族健康法立法通過滿三年"},{"start":51.553,"end":80.432,"text":"所以在這裡呢要讓院長了解一下當時在立法的時候其實最主要的三支箭三個訴求第一個就是希望能夠成立一個委員會那最後呢雖然叫做原住民族健康政策委員會但是當時我們訴求的實質功能希望是可以審議那最後其實還是退而求其次最後落板的文字是諮詢"},{"start":82.033,"end":107.175,"text":"所以這個呢我們是帶有遺憾那另外呢就是希望成立援助民族健康研究中心那為什麼呢因為我們是為了要能夠去做正確的好的有效的健康政策那當時呢其實我們更希望的是能夠框定法定的經費預算編列可是因為"},{"start":109.176,"end":127.006,"text":"當時我們有財政紀律法的問題所以也退而求其次最後文字是寫寬列經費好那都沒有關係我們可以逐年逐步的來檢討那第一個部分我在這裡也要特別的感謝因為衛福部的組織法"},{"start":128.087,"end":151.137,"text":"在前些日子有在做排審有在做修正那雖然還沒有完成但是我在這邊要謝謝衛福部長因為當時他有特別的來承諾會把這個現在的這個照護師改為護理及援助民族健康照護師而且呢會增加一顆並且"},{"start":153.038,"end":168.24,"text":"他提到增加這一顆是為了要實質增加人力經費編制所以呢我們覺得非常的期待可是我們來看一下在原住民族健康中心"},{"start":169.261,"end":196.973,"text":"我們現在看到的就是他是一個虛擬的中心因為他掛在國衛院底下那在國衛院底下也沒有關係我們原本是希望去落實原建法裡面很重要的四個文字叫做文化安全可是呢我們看到目前為止只能夠國衛院的院長來兼任主任那研究員來兼任"},{"start":197.633,"end":213.418,"text":"執行秘書那其他呢是有增加人力但是目前是有五個研究助理他們呢都是屬於計劃型的人力但是這樣子做還是有一個困境為什麼因為他們人為言輕啊"},{"start":214.488,"end":229.116,"text":"我們為了要去處理原建法最重要的目標就是改善原住民族健康不平等的現象我們光是看平均餘命壽命目前最新的資料差距是8.17歲其實這是一個很驚人的數字"},{"start":233.058,"end":250.493,"text":"那我們要特別講的就是這一些原建中心的這一些計劃人力呢他可能要資料很困難因為我們知道像教育部這些學童資料可能也拿不到那你說園民會過去他們都會有所謂的健康年報"},{"start":251.394,"end":275.207,"text":"但是他們的健康年報可能也都是撈健保的資料而且都只做描述性的統計缺乏這種交叉的分析所以在這個部分就沒有辦法去精準分析讓這個健康政策沒有辦法落實所以在院長這邊我第一個就是希望說因為我有去質詢過中研院"},{"start":277.108,"end":292.458,"text":"他們有一個令我們非常驕傲的就是台灣精準醫療計畫成功的招募50萬名的參與者建構了全球最大的漢人族群的一個基因庫"},{"start":293.439,"end":312.121,"text":"那麼也榮登全球國際最頂尖的期刊Nature這個是台灣的驕傲我有跟他們說原住民的部分可不可以做他們說有困難因為現在要諮商同意資料取得很困難所以為什麼我重整講這些"},{"start":313.422,"end":328.934,"text":"做原住民健康政策資料很重要分析很重要但是呢我們必須要有一個數據共享的機制所以我特別到院會這邊來質詢就是希望院長您能不能夠去責成"},{"start":329.694,"end":347.506,"text":"要求我們相關的各部會在這個部分能夠去找出一個處理的方法去重新調整需要的倫理規範那在保障族人的同意跟促進醫學政策的這個方面能夠取得一個平衡院長您的意見如何"},{"start":348.731,"end":373.253,"text":"謝謝委員你提出這樣的一個要求保障族人同意權跟促進醫學進展這個提議我會讓原民會衛福部的部會去了解不過剛剛除了謝謝委員長期對原住民族健康的關注之外剛剛有一個數字我們應該要對一下因為依照我們現在手上的資料113年全國平均壽命均率是80.77歲"},{"start":375.114,"end":382.058,"text":"原住民的平均壽命是73.23相差是113年是7.54那103年的時候是8.24就是這10年來103到113我們是從差距從8.24縮短到7.54我的數字應該沒有錯可以再補充一下院長我跟您補充確實因為您可能不知道"},{"start":401.209,"end":420.297,"text":"在原建法之前在文化健康戰這個政策上路之前三十年只縮短一歲但是很奇妙蔡英文總統的文化健康戰的政策上路之後在短短的五年間縮短了將近兩歲"},{"start":421.718,"end":444.557,"text":"但是這個只是一個普通的數據沒有一個嚴謹的研究分析所以我們才會覺得說對原住民族健康促進來講取得資料做政策的一個規劃分析其實是非常重要的所以特別希望院長就是可以同意這個部分我們是不是來跨部會的來成立一個平台"},{"start":447.302,"end":470.453,"text":"這個我來跟委員說明這個其實原建法通過之後我們也完成了幾件事情這個雖然我們這個原住民政策這個政策會啊那麼雖然是智商性質但是我們很重視我們最近要提出這個原住民族健康的照護中長城計畫就是由這一些這個我們原住民族這個政策會的委員"},{"start":471.235,"end":498.924,"text":"先分組審查然後最後我們才彙整起來之後按照委員的意見修正再提送到行政院所以發揮了非常重要的政策制定功能第二個呢那麼這個國衛院的這個原民健康研究中心他也不斷的在增加計畫就是把這些資料的收集或分析做更精確所以我們未來的人力也會隨著計畫的增加來充實擴充那第三個呢剛剛提到的是這個"},{"start":500.124,"end":516.931,"text":"資料庫的運用的部分那麼確實是因為在人體研究法裡面有特別提到如果你這個人體研究涉及到原住民族為研究目的或對象的時候那必須要有這個部落或者是原住民族會議的同意"},{"start":517.651,"end":535.798,"text":"有別於一般的人體研究但是在BioBank就是人體這個生物資料庫管理條例裡面就沒有這個規定了所以現在的問題就是在於說如果你是人體生物資料庫裡面的資料那麼能不能夠區分出它是不是"},{"start":537.339,"end":560.174,"text":"進資料庫的時候有沒有辦法區分他的是不是漢民族或者是原住民族有沒有這樣的資料那未來怎麼樣去提供比較精準的研究這個我會來因為這個在上次我親自主持原住民族政策會的時候也有委員提出這個問題所以我也會來召集"},{"start":561.98,"end":579.589,"text":"跨部會的這個讓大家這個法規上清楚是可行的是可行的部長其實您提到這個我也是蠻疑惑的因為在中研院的台灣精準醫療計畫其實它是可以正確的撈取漢人的資料所以我就不懂那為什麼"},{"start":580.629,"end":596.38,"text":"非漢人的資料就無法來抓取沒有關係這個我希望各位可以在平台上討論剛剛您提到這個39個生物資料庫中研院那個他的蒐集的時候他的那個變相裡面有這個這個民族和民族"},{"start":597.3,"end":599.642,"text":"延續的一個問題就是說我們的長照我剛剛有提到"},{"start":614.595,"end":629.801,"text":"過去九年來的文化健康戰真的是帶給原鄉尤其是長者非常大的改變除了促進在地就業之外真的對原住民長者的健康照護真的非常的好但是有一塊做得比較不好"},{"start":630.501,"end":647.33,"text":"就是住宿型的機構而是用所謂的日間照顧這種或者家托站來取代所以我們一直希望這個長照的部分住宿型機構是很重要那麼來看一下長照資源發展講注辦法有提到"},{"start":648.971,"end":667.41,"text":"這個獎勵補助要對離島偏鄉原住民族及其他長照資源服務不足地區要優先予以獎助但是在113年發布的這個辦法裡面我們發現不見區域並沒有原鄉那我在這裡有去提出質疑"},{"start":668.231,"end":690.833,"text":"得到的回應是告訴我說其實現在我們過去前瞻計畫做的這些長照機構空床率很高所以覺得不需要但是實際的情形是什麼我們原住民在都會區他們可以說要去長照住宿型機構幾乎我沒有聽過有幾個人有能力去"},{"start":691.755,"end":707.11,"text":"那麼在一般縣市當然我們講原鄉沒有但是在一般縣市我們也發現他們也住不起所以我要講的是說這個不是有床沒床的問題而是條件跟經濟的排除"},{"start":707.751,"end":727.58,"text":"因為他們如果未達失能四級或者不具中低收入戶身份他們其實是進不去的所以我就希望說是不是能夠有在園鄉設置一個文化安全特色的住宿型機構非常感謝也有允諾我了"},{"start":728.66,"end":752.811,"text":"有很多的族人在都會區他們真的住不起我說能不能夠提供那些住宿型機構休散費或者是原住民專屬的長照床位讓他們有機會進去那我也非常高興已經有允諾我了所以這個部分我只是要請教院長跟部長是不是能夠在一年內啊能夠就這兩件事我們可以看到開花結果"},{"start":754.592,"end":778.332,"text":"會 我們在長照3.0裡面會去特別著重在原鄉特別是原住民的兼顧他的安全文化的這個服務機構所以我們會來努力謝謝 因為我們必須要盡速的完成這件事情我在原鄉或者都會區看到太多需要住宿型機構的老人家"},{"start":778.792,"end":804.636,"text":"他其實是很辛苦的安置在自己的家裡那家裡人呢也負擔不起變成是他們家庭很重的一個負擔那希望這個部分能夠在一年內可以看到成果那再來就是都會區文件站我也很關心為什麼呢現在原鄉有430站但是在都會區只有95站可是實際住在都會區的有70%的原住民"},{"start":808.864,"end":836.59,"text":"落極的50%實際居住的高達七成所以我們現在遇到一個路障就是有一個一村裡一巷弄的原則就變成在都會地區只要那個地方有據點就變成申請文件站的時候過不了因為長照基金比較不願意去支付這樣的金額所以在這個部分我不曉得院長或部長針對這個部分能不能去做改善"},{"start":837.99,"end":852.707,"text":"跟委員說明確實因為我們為了這個資源部件的均衡性會有設定一定的範圍那不過剛剛您特別去著重到文化敏感度這個的問題那我們來評估看看對於這個"},{"start":854.078,"end":869.805,"text":"你這指的就是都會原住民所以如果在都會區的原住民的人數比較高我們跟這個原民會會來討論那麼看看是不是以比較具原住民特色的這個據點對 我們是希望依實際需求"},{"start":871.626,"end":898.461,"text":"去做一個增設然後專案的核定那我想這個部分文建站目前其實依照人口比例來講的話他還是有增設的一個需要所以希望這個部分來處理那最後因為時間的關係我再問一題就是關於疫苗公費疫苗 帶狀砲診疫苗我們都知道疫苗是最佳的健康投資那文建站是最貼近族人的照護模式"},{"start":899.181,"end":925.597,"text":"所以我想說的是很多的縣市其實現在都有這個帶狀皰疹的公費疫苗可是有些縣市沒有可是我想說的是原住民的人口啊這些需要的人啊他不能夠淪為戶籍抽獎啊所以我算了一下如果這些沒有的55歲以上的原住民老人14萬人有沒有辦法加入政府的公費疫苗"},{"start":926.963,"end":951.953,"text":"跟委員說明有關於這個帶狀皰疹的疫苗公費疫苗政策我們現在正由這個疾管署好 謝謝"},{"start":956.237,"end":956.357,"text":"好 謝謝吳麗華委員的資訊"}],"gazette":[{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:49:02.248000+08:00","guessed":false,"end":"2026-05-26T10:49:04.812000+08:00","text":"謝謝主席，有請卓院長。","quality":1},{"speaker":"主席","start":"2026-05-26T10:49:04.812000+08:00","guessed":false,"end":"2026-05-26T10:49:05.552000+08:00","text":"麻煩再請卓院長備詢。","quality":0.889},{"speaker":"卓院長榮泰","start":"2026-05-26T10:49:05.552000+08:00","guessed":false,"end":"2026-05-26T10:49:05.633000+08:00","text":"伍委員好。","quality":0.75},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:49:05.733000+08:00","guessed":false,"end":"2026-05-26T10:49:05.853000+08:00","text":"院長早。","quality":1},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:49:19.069000+08:00","guessed":false,"end":"2026-05-26T10:50:09.535000+08:00","text":"我今天特地針對原住民族人的健康問題以及健康政策就教、關心，現在剛好是原住民族健康法立法通過滿3年，所以在這裡要讓院長了解一下，當初在立法其實有最主要的三支箭、三個訴求：第一個就是希望能夠成立一個委員會，最後雖然叫做原住民族健康政策會，但是當時我們訴求的實質功能是希望可以審議，但其實還是退而求其次，最後落版的文字是諮詢，所以這個部分我們是帶有遺憾。","quality":0.95},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:50:10.596000+08:00","guessed":false,"end":"2026-05-26T10:50:16.321000+08:00","text":"另外是希望成立原住民族健康研究中心，為什麼呢？","quality":0.905},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:50:16.901000+08:00","guessed":false,"end":"2026-05-26T10:50:43.301000+08:00","text":"因為我們是為了要能夠去做正確的、好的、有效的健康政策，當時其實我們更希望的是能夠匡定法定的經費預算編列，可是有財政紀律法的問題，所以也退而求其次，最後文字是寫寬列經費。","quality":0.987},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:50:43.301000+08:00","guessed":false,"end":"2026-05-26T10:50:47.683000+08:00","text":"好，那都沒有關係，我們可以逐年逐步的來檢討。","quality":1},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:50:47.864000+08:00","guessed":false,"end":"2026-05-26T10:51:28.251000+08:00","text":"第一個部分，我在這裡也要特別的感謝，因為衛生福利部組織法前些日子有排審、修正，雖然還沒有完成，但是我在這邊要謝謝衛福部長，因為當時他有特別承諾會把現在的照護司改為護理及原住民族健康照護司，而且會增加一科，並且他提到增加這一科是為了要實質增加人力編制、經費，所以我們覺得非常的期待。","quality":0.922},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:51:29.914000+08:00","guessed":false,"end":"2026-05-26T10:52:13.296000+08:00","text":"我們來看一下在原住民族健康中心，現在它就是一個虛擬的中心，因為它掛在國衛院底下，在國衛院底下也沒有關係，我們原本是希望去落實原健法裡面很重要的四個文字，叫做「文化安全」，可是目前為止，只能夠由國衛院的院長來兼任主任，研究員來兼任執行秘書，其他是有增加人力，目前有5個研究助理，都是屬於計畫型的人力。","quality":0.963},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:52:15.137000+08:00","guessed":false,"end":"2026-05-26T10:52:17.777000+08:00","text":"這樣做還是有一個困境，為什麼？","quality":1},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:52:17.777000+08:00","guessed":false,"end":"2026-05-26T10:52:35.096000+08:00","text":"因為他們人微言輕，原健法最重要的目的目標就是改善原住民族健康不平等的現象，我們光是看平均餘命、壽命，目前最新的資料差距是8.17歲，其實這是一個很驚人的數字。","quality":0.943},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:52:39.238000+08:00","guessed":false,"end":"2026-05-26T10:53:16.625000+08:00","text":"我要特別講的是這一些原健中心的計畫人力可能要資料很困難，因為我們知道像教育部的學童資料可能也拿不到，原民會過去都會有所謂的健康年報，但是他們的健康年報可能也都是撈健保的資料，而且都只做描述性的統計，缺乏交叉分析，所以就沒有辦法精準分析，讓健康政策沒有辦法落實。","quality":0.967},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:53:18.045000+08:00","guessed":false,"end":"2026-05-26T10:53:45.286000+08:00","text":"我第一個希望是，因為我有質詢過中研院，他們有一個令我們非常驕傲的臺灣精準醫療計畫，成功招募50萬名參與者，建構了全球最大的漢人族群基因庫，也榮登全球國際最頂尖的期刊Nature。","quality":0.988},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:53:45.406000+08:00","guessed":false,"end":"2026-05-26T10:53:50.292000+08:00","text":"這個是臺灣的驕傲，我有問他們，原住民的部分可不可以做？","quality":0.958},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:53:50.852000+08:00","guessed":false,"end":"2026-05-26T10:53:58.101000+08:00","text":"他們說有困難，因為現在要諮商同意，資料取得很困難，為什麼我綜整講這些？","quality":0.968},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:53:59.422000+08:00","guessed":false,"end":"2026-05-26T10:54:33.486000+08:00","text":"做原住民健康政策，資料很重要，分析很重要，我們必須要有一個數據共享的機制，所以我特別到院會質詢，就是希望院長能夠責成、要求相關各部會在這個部分找出一個處理的方法，重新調整需要的倫理規範，在保障族人同意跟促進醫學政策方面能夠取得一個平衡，院長的意見如何？","quality":1},{"speaker":"卓院長榮泰","start":"2026-05-26T10:54:34.731000+08:00","guessed":false,"end":"2026-05-26T10:54:47.022000+08:00","text":"謝謝委員提出這樣的要求，保障族人同意權跟促進醫學進展，這個提議我會讓原民會、衛福部等部會去了解。","quality":0.977},{"speaker":"卓院長榮泰","start":"2026-05-26T10:54:48.623000+08:00","guessed":false,"end":"2026-05-26T10:55:05.757000+08:00","text":"除了謝謝委員長期對原住民族健康的關注之外，剛剛有一個數字我們應該要對一下，依照我們現在手上的資料，113年全國平均壽命是80.77歲，原住民平均壽命是73.23歲，其相差在113年是7.54歲、103年是8.24歲，103年到113年這十年來，差距從8.24歲縮短到7.54歲，我的數字應該沒有錯，請部長再說明一下，也可以再對一下。","quality":0.824},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:55:05.857000+08:00","guessed":false,"end":"2026-05-26T10:55:46.297000+08:00","text":"院長，我跟您補充，您可能不知道，在原健法之前、在文化健康站政策上路之前，30年只縮短1歲，但是很奇妙，蔡英文總統的文化健康站政策上路之後，短短5年間縮短了將近兩歲。","quality":0.957},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:55:47.718000+08:00","guessed":false,"end":"2026-05-26T10:56:03.731000+08:00","text":"但這只是一個普通的數據，沒有嚴謹的研究分析，所以我們才會覺得對原住民族健康促進來講，取得資料做政策的規劃分析其實是非常重要的……是。","quality":0.983},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:56:04.572000+08:00","guessed":false,"end":"2026-05-26T10:56:10.537000+08:00","text":"因此特別希望院長可以同意這個部分，是不是跨部會成立一個平臺？","quality":0.929},{"speaker":"卓院長榮泰","start":"2026-05-26T10:56:10.537000+08:00","guessed":true,"end":"2026-05-26T10:56:13.302000+08:00","text":"這個請部長說明。","quality":0.286},{"speaker":"石部長崇良","start":"2026-05-26T10:56:13.302000+08:00","guessed":false,"end":"2026-05-26T10:56:47.198000+08:00","text":"我跟委員說明，在原健法通過之後，我們也完成了幾件事情，雖然原住民族政策會是諮商性質，但是我們很重視，我們最近要提出原住民族健康照護中長程計畫，就是由這些原住民族政策會的委員先分組審查，然後最後我們彙整起來之後，按照委員的意見修正，再提送到行政院，所以發揮了非常重要的政策制訂功能。","quality":0.953},{"speaker":"石部長崇良","start":"2026-05-26T10:56:47.698000+08:00","guessed":false,"end":"2026-05-26T10:57:02.623000+08:00","text":"第二個，國衛院的原民健康研究中心也不斷地增加計畫，把這些資料的蒐集或分析做得更精確，所以我們未來的人力也會隨著計畫的增加而充實擴充。","quality":0.935},{"speaker":"石部長崇良","start":"2026-05-26T10:57:03.363000+08:00","guessed":false,"end":"2026-05-26T10:57:33.135000+08:00","text":"第三個，剛剛提到這個資料庫的運用部分，確實在人體研究法裡面有特別提到，如果人體研究涉及到原住民族為研究目的或對象，則必須要有部落或原住民族會議的同意，有別於一般的人體研究，但是在人體生物資料庫（biobank）管理條例裡面沒有這個規定。","quality":0.927},{"speaker":"石部長崇良","start":"2026-05-26T10:57:33.795000+08:00","guessed":false,"end":"2026-05-26T10:57:49.543000+08:00","text":"所以現在的問題在於，如果是人體生物資料庫裡面的資料，那麼在進資料庫的時候，有沒有辦法區分是漢民族或者是原住民族？","quality":0.981},{"speaker":"石部長崇良","start":"2026-05-26T10:57:49.683000+08:00","guessed":false,"end":"2026-05-26T10:57:50.423000+08:00","text":"有沒有這樣的資料？","quality":1},{"speaker":"石部長崇良","start":"2026-05-26T10:57:51.024000+08:00","guessed":false,"end":"2026-05-26T10:57:55.887000+08:00","text":"未來怎麼提供比較精準的研究？","quality":1},{"speaker":"石部長崇良","start":"2026-05-26T10:57:58.869000+08:00","guessed":false,"end":"2026-05-26T10:58:12.902000+08:00","text":"上次我親自主持原住民族政策會的時候，也有委員提出這個問題，所以我也會召集跨部會的……讓大家在法規上是清楚的、可行的。","quality":0.942},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:58:12.902000+08:00","guessed":true,"end":"2026-05-26T10:58:14.663000+08:00","text":"謝謝，我希望衛福部可以主持。","quality":0.083},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:58:14.663000+08:00","guessed":false,"end":"2026-05-26T10:58:29.071000+08:00","text":"部長，您提到這個我也是蠻疑惑的，因為在中研院的臺灣精準醫療計畫，其實是可以正確撈取漢人的資料，所以我就不懂，為什麼非漢人的資料就無法抓取？","quality":1},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:58:29.411000+08:00","guessed":false,"end":"2026-05-26T10:58:32.833000+08:00","text":"沒有關係，我希望各位可以在平臺上討論。","quality":1},{"speaker":"石部長崇良","start":"2026-05-26T10:58:32.833000+08:00","guessed":false,"end":"2026-05-26T10:58:41.159000+08:00","text":"剛剛您提到的39個生物資料庫，中研院蒐集的時候，其變項裡面有漢民族跟原住民族，但是其他的不見得有，不過法規上的解釋我們會來處理，這個沒有問題。","quality":0.397},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:58:41.159000+08:00","guessed":true,"end":"2026-05-26T10:58:44.161000+08:00","text":"對，我們希望能夠建立一個平臺，把這個問題處理好。","quality":0.19},{"speaker":"石部長崇良","start":"2026-05-26T10:58:44.161000+08:00","guessed":false,"end":"2026-05-26T10:58:44.161000+08:00","text":"是，好的。","quality":0.333},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:58:44.161000+08:00","guessed":true,"end":"2026-05-26T10:58:45.161000+08:00","text":"非常謝謝。","quality":0},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:58:44.501000+08:00","guessed":false,"end":"2026-05-26T10:59:13.080000+08:00","text":"延續問題是我們的長照，我剛剛有提到，過去九年來的文化健康站真的帶給原鄉非常大的改變，尤其是長者除了促進在地就業之外，對原住民長者的健康照護真的非常好。","quality":0.843},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:59:13.660000+08:00","guessed":false,"end":"2026-05-26T10:59:23.485000+08:00","text":"但是有一塊做得比較不好，就是住宿型機構用所謂的日間照顧或家托站來取代。","quality":1},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T10:59:26.366000+08:00","guessed":false,"end":"2026-05-26T11:00:07.905000+08:00","text":"其實長照的住宿型機構很重要，我們看長照資源發展獎助辦法有提到，獎勵補助要對離島偏鄉、原住民族及其他長照服務資源不足地區優先予以獎助，但是在113年發布的這個辦法裡面，我們發現布建區域並沒有原鄉，我在這裡有提出質疑，得到的回應是你們告訴我，其實我們過去前瞻計畫做的這些長照機構空床率很高，所以覺得不需要，但是實際的情形是什麼？","quality":0.919},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:00:07.905000+08:00","guessed":false,"end":"2026-05-26T11:00:16.813000+08:00","text":"我們原住民在都會區，他們可以說要去長照住宿型機構，但我沒有聽過有幾個人有能力去。","quality":0.973},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:00:20.378000+08:00","guessed":false,"end":"2026-05-26T11:00:51.559000+08:00","text":"當然，我們講原鄉沒有，但是在一般縣市，我們發現他們也住不起，所以我要講的是，這個不是有床沒床的問題，而是條件跟經濟的排除，因為如果未達失能4級，或者不具中低收入戶身分，他們其實是進不去的，所以我希望是不是能夠在原鄉設置一個具文化安全特色的住宿型機構？","quality":0.973},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:00:51.559000+08:00","guessed":false,"end":"2026-05-26T11:00:53.560000+08:00","text":"非常感謝，也有允諾我了。","quality":1},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:00:54.660000+08:00","guessed":false,"end":"2026-05-26T11:01:05.845000+08:00","text":"有很多的族人在都會區，他們真的住不起，我說能不能夠提供那些住宿型機構修繕費，或者是原住民專屬的長照床位，讓他們有機會進去？","quality":0.964},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:01:06.446000+08:00","guessed":false,"end":"2026-05-26T11:01:08.747000+08:00","text":"我也非常高興，已經有允諾我了。","quality":1},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:01:09.267000+08:00","guessed":false,"end":"2026-05-26T11:01:18.791000+08:00","text":"所以這個部分，我只是要請教院長跟部長，就這兩件事，是不是能夠在一年內讓我們看到開花結果？","quality":0.85},{"speaker":"石部長崇良","start":"2026-05-26T11:01:20.592000+08:00","guessed":false,"end":"2026-05-26T11:01:32.722000+08:00","text":"會，我們在長照3.0裡面會特別著重在原鄉，特別是原住民的部分，設置兼顧安全文化的服務機構，所以我們會來努力。","quality":0.915},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:01:33.803000+08:00","guessed":false,"end":"2026-05-26T11:01:54.354000+08:00","text":"好，謝謝，我們必須要儘速地完成這件事情，因為我在原鄉或者都會區看到太多需要住宿型機構的老人家，他其實是很辛苦地安置在自己的家裡，家裡人也負擔不起，變成是他們家庭很重的負擔。","quality":0.924},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:01:54.474000+08:00","guessed":false,"end":"2026-05-26T11:01:57.254000+08:00","text":"希望這個部分能夠在一年內看到成果。","quality":1},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:01:58.114000+08:00","guessed":false,"end":"2026-05-26T11:02:01.395000+08:00","text":"再來就是都會區文健站，我也很關心，為什麼呢？","quality":0.947},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:02:02.775000+08:00","guessed":false,"end":"2026-05-26T11:02:42.570000+08:00","text":"現在原鄉有430站，但是在都會區只有95站，可是實際住在都會區的有70%的原住民，落籍的50%，實際居住的高達七成，所以我們現在遇到一個路障，就是有一個「一村里一巷弄」的原則，在都會地區只要那個地方有據點，就變成申請文健站的時候過不了，因為長照基金比較不願意去支付這樣的金額，所以院長或部長，我不曉得針對這個部分能不能去做改善？","quality":0.95},{"speaker":"石部長崇良","start":"2026-05-26T11:02:43.990000+08:00","guessed":false,"end":"2026-05-26T11:02:50.878000+08:00","text":"跟委員說明，確實，因為我們為了資源布建的均衡性，會設定一定的範圍。","quality":0.931},{"speaker":"石部長崇良","start":"2026-05-26T11:02:50.998000+08:00","guessed":false,"end":"2026-05-26T11:03:14.825000+08:00","text":"不過，剛剛您特別著重文化敏感度的問題，我們會來評估看看，對於都會，您這邊指的就是都會區原住民，如果在都會區原住民的人數比較高，我們跟原民會會來討論，看看是不是以比較具原住民特色的據點來談。","quality":0.907},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:03:14.825000+08:00","guessed":false,"end":"2026-05-26T11:03:20.528000+08:00","text":"對，我們是希望依實際需求去做增設，然後專案核定。","quality":1},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:03:21.648000+08:00","guessed":false,"end":"2026-05-26T11:03:30.373000+08:00","text":"我想文建站目前其實依照人口比例來講的話，還是有增設的需要，所以希望這個部分能來處理。","quality":0.974},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:03:31.474000+08:00","guessed":false,"end":"2026-05-26T11:03:44.441000+08:00","text":"因為時間的關係，最後我再問一題，就是關於公費疫苗、帶狀皰疹疫苗，我們都知道疫苗是最佳的健康投資，文健站是最貼近族人的照護模式。","quality":0.912},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:03:46.762000+08:00","guessed":false,"end":"2026-05-26T11:03:53.586000+08:00","text":"很多的縣市其實現在都有帶狀皰疹的公費疫苗，可是有些縣市沒有。","quality":1},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:03:54.367000+08:00","guessed":false,"end":"2026-05-26T11:04:01.331000+08:00","text":"所以我想說的是，原住民的人口、這些需要的人，他不能夠淪為戶籍抽獎。","quality":0.931},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:04:02.412000+08:00","guessed":false,"end":"2026-05-26T11:04:11.577000+08:00","text":"我算了一下，針對這一些沒有的、55歲以上的原住民老人有14萬人，有沒有辦法加入政府的公費疫苗？","quality":0.897},{"speaker":"石部長崇良","start":"2026-05-26T11:04:12.963000+08:00","guessed":false,"end":"2026-05-26T11:04:20.566000+08:00","text":"跟委員說明，有關帶狀皰疹疫苗的公費疫苗政策，現在正由疾管署（CDC）評估當中，年底會有一個評估報告。","quality":0.591},{"speaker":"石部長崇良","start":"2026-05-26T11:04:20.566000+08:00","guessed":true,"end":"2026-05-26T11:04:37.933000+08:00","text":"根據它的成本效益跟科技評估結果，我們會有一個政策的決定，如果未來考慮納入公費疫苗時，我們也會適時地調整相關的接種年齡。","quality":0},{"speaker":"伍麗華Saidhai Tahovecahe委員","start":"2026-05-26T11:04:37.933000+08:00","guessed":false,"end":"2026-05-26T11:04:37.953000+08:00","text":"好，非常謝謝院長及部長。","quality":0.3},{"speaker":"卓院長榮泰","start":"2026-05-26T11:04:42.317000+08:00","guessed":false,"end":"2026-05-26T11:04:42.317000+08:00","text":"謝謝委員。","quality":0.5},{"speaker":"主席","start":"2026-05-26T11:04:42.817000+08:00","guessed":true,"end":"2026-05-26T11:04:49.388429+08:00","text":"謝謝伍麗華委員的質詢，也謝謝卓院長、衛福部部長備詢。","quality":0.217},{"speaker":"主席","start":"2026-05-26T11:04:49.688429+08:00","guessed":true,"end":"2026-05-26T11:05:00.831286+08:00","text":"報告院會，我們議場二樓是來自高雄路竹鄉蔬菜生產合作社，非常多的長輩，我們掌聲歡迎各位。","quality":0},{"speaker":"主席","start":"2026-05-26T11:05:01.131286+08:00","guessed":true,"end":"2026-05-26T11:05:06.845571+08:00","text":"接下來我們請陳瑩委員質詢，陳昭姿委員請準備。","quality":0}]}},"supported_relations":[],"relations":[]}