{"error":false,"id":["170676"],"data":{"IVOD_ID":170676,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/170676","日期":"2026-07-22","會議資料":null,"影片種類":"Clip","開始時間":"2026-07-22T12:28:33+08:00","結束時間":"2026-07-22T12:43:59+08:00","影片長度":"00:15:26","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/7469000803f9b6aa38906db19b8dc3f3a27d63d5dbb97eb28d89b34c8036b8f2046f014c7ab0ab8e5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"王正旭","委員發言時間":"12:28:33 - 12:43:59","會議時間":"2026-07-22T09:00:00+08:00","會議名稱":"（變更議程）立法院第11屆第5會期社會福利及衛生環境委員會第20次全體委員會議（事由：（上午9時起）\n邀請衛生福利部部長、行政院食品安全辦公室、行政院消費者保護處、經濟部、法務部、國防部及教育部就「致癌食用油成因、流向、稽查、資訊公開、風險評估、團體訴訟、求償機制，行政法律究責、未來具體改進措施及期程等事宜」進行專題報告，並備質詢。\n邀請衛生福利部部長、行政院食品安全辦公室、教育部及農業部就「近期發布《農藥殘留容許量標準》(如其中蘋果芬普寧藥殘標準從0.5ppm放寬至3.0ppm等)之各項依據及修正標準」進行專題報告，並備質詢。\n討論事項\n一、審查行政院函送財團法人國家衛生研究院115年度工作計畫及收支預算案。\n二、審查衛生福利部函送財團法人醫院評鑑暨醫療品質策進會等9家財團法人115年度預算書案。\n【以上專題報告及預算案綜合詢答；預算案，僅詢答，115年7月30日下午5時截止收案】\n（下午2時30分起，若上午議程尚未結束，待結束後接續召開）\n三、繼續審查及審查「國民年金法部分條文修正草案」等73案。\n(一)繼續審查行政院函請審議「國民年金法部分條文修正草案」案。\n(二)繼續審查委員何欣純等17人擬具「國民年金法第五十四條之一及第五十五條條文修正草案」案。\n(三)繼續審查委員邱鎮軍等17人擬具「國民年金法第十五條及五十四條之一條文修正草案」案。\n(四)繼續審查委員王美惠等18人擬具「國民年金法第五十四條之一條文修正草案」案。\n(五)繼續審查委員劉建國等16人擬具「國民年金法第五十四條之一條文修正草案」案。\n......（完整內容，詳見議事日程）\n(六十四)審查委員高金素梅等18人擬具「國民年金法第三十一條、第五十三條及第五十四條之一條文修正草案」案。\n(六十五)審查委員伍麗華Saidhai Tahovecahe等17人擬具「國民年金法部分條文修正草案」案。\n(六十六)審查委員林宜瑾等22人擬具「國民年金法部分條文修正草案」案。\n(六十七)審查委員陳菁徽等18人擬具「國民年金法部分條文修正草案」案。\n(六十八)審查委員賴士葆等25人擬具「國民年金法第五十四條之一條文修正草案」案。\n(六十九)審查委員廖偉翔等21人擬具「國民年金法第三十九條、第三十九條之一及第四十條條文修正草案」案。\n(七十)審查委員涂權吉等18人擬具「國民年金法第五十四條之一條文修正草案」案。\n(七十一)審查委員林思銘等17人擬具「國民年金法第十五條、第三十一條及第五十條條文修正草案」案。\n(七十二)審查國民黨黨團擬具「國民年金法第三十九條、第三十九條之一及第四十條條文修正草案」案。\n(七十三)審查委員游顥等16人擬具「國民年金法部分條文修正草案」案。\n【逐條討論，不詢答】）","transcript":{"pyannote":[{"speaker":"SPEAKER_01","start":0.03096875,"end":0.92534375},{"speaker":"SPEAKER_00","start":8.333468750000002,"end":10.240343750000001},{"speaker":"SPEAKER_00","start":10.442843750000002,"end":12.754718750000002},{"speaker":"SPEAKER_00","start":12.822218750000001,"end":12.906593750000003},{"speaker":"SPEAKER_01","start":12.906593750000003,"end":13.93596875},{"speaker":"SPEAKER_00","start":17.20971875,"end":45.69471875},{"speaker":"SPEAKER_01","start":30.996593750000002,"end":31.300343750000003},{"speaker":"SPEAKER_01","start":45.104093750000004,"end":54.87471875000001},{"speaker":"SPEAKER_00","start":46.58909375,"end":46.72409375},{"speaker":"SPEAKER_00","start":48.158468750000004,"end":48.580343750000004},{"speaker":"SPEAKER_00","start":52.478468750000005,"end":52.64721875},{"speaker":"SPEAKER_00","start":55.07721875,"end":80.55846875},{"speaker":"SPEAKER_01","start":63.852218750000006,"end":64.13909375},{"speaker":"SPEAKER_01","start":78.44909375,"end":78.63471875},{"speaker":"SPEAKER_00","start":81.08159375000001,"end":114.51096875},{"speaker":"SPEAKER_01","start":112.03034375,"end":112.35096875},{"speaker":"SPEAKER_00","start":115.05096875000001,"end":193.48596875},{"speaker":"SPEAKER_00","start":193.68846875,"end":194.17784375000002},{"speaker":"SPEAKER_00","start":194.68409375000002,"end":253.24034375000002},{"speaker":"SPEAKER_01","start":203.20596875,"end":203.22284375},{"speaker":"SPEAKER_00","start":253.61159375000003,"end":254.35409375},{"speaker":"SPEAKER_00","start":254.97846875000002,"end":263.34846875},{"speaker":"SPEAKER_00","start":263.61846875000003,"end":281.16846875000005},{"speaker":"SPEAKER_01","start":281.16846875000005,"end":289.01534375},{"speaker":"SPEAKER_01","start":289.96034375,"end":295.25909375000003},{"speaker":"SPEAKER_01","start":295.42784375,"end":314.17596875000004},{"speaker":"SPEAKER_01","start":314.24346875000003,"end":371.39909375},{"speaker":"SPEAKER_01","start":371.77034375000005,"end":440.87346875000003},{"speaker":"SPEAKER_00","start":439.69221875000005,"end":549.3797187499999},{"speaker":"SPEAKER_01","start":451.35284375000003,"end":451.77471875000003},{"speaker":"SPEAKER_01","start":458.86221875,"end":459.13221875000005},{"speaker":"SPEAKER_01","start":481.77846875000006,"end":481.81221875000006},{"speaker":"SPEAKER_01","start":491.00909375000003,"end":491.36346875000004},{"speaker":"SPEAKER_00","start":549.6328437500001,"end":559.4878437500001},{"speaker":"SPEAKER_01","start":555.2859687499999,"end":555.75846875},{"speaker":"SPEAKER_01","start":559.4878437500001,"end":670.81221875},{"speaker":"SPEAKER_00","start":670.4240937500001,"end":726.9722187500001},{"speaker":"SPEAKER_01","start":726.9722187500001,"end":783.99284375},{"speaker":"SPEAKER_01","start":784.27971875,"end":784.29659375},{"speaker":"SPEAKER_00","start":784.29659375,"end":784.85346875},{"speaker":"SPEAKER_00","start":785.0390937500001,"end":807.7865937500001},{"speaker":"SPEAKER_01","start":789.86534375,"end":790.13534375},{"speaker":"SPEAKER_00","start":808.5122187500001,"end":857.8884687500001},{"speaker":"SPEAKER_01","start":830.0278437500001,"end":830.70284375},{"speaker":"SPEAKER_01","start":832.37346875,"end":832.8459687500001},{"speaker":"SPEAKER_01","start":857.8884687500001,"end":923.21159375},{"speaker":"SPEAKER_00","start":886.1203437500001,"end":886.2890937500001},{"speaker":"SPEAKER_00","start":917.84534375,"end":918.26721875},{"speaker":"SPEAKER_00","start":918.4697187500001,"end":920.0222187500001},{"speaker":"SPEAKER_00","start":921.22034375,"end":921.64221875},{"speaker":"SPEAKER_00","start":923.21159375,"end":925.33784375},{"speaker":"SPEAKER_01","start":925.4897187500001,"end":926.6203437500001},{"speaker":"SPEAKER_01","start":927.1772187500001,"end":927.2278437500001},{"speaker":"SPEAKER_00","start":927.2278437500001,"end":928.67909375},{"speaker":"SPEAKER_01","start":927.26159375,"end":928.2065937500001}],"whisperx":[{"start":0,"end":1.02,"text":"30分鐘"},{"start":7.94,"end":8.700000000000001,"text":"好"},{"start":8.96,"end":9.98,"text":"謝謝主席"},{"start":10.5,"end":12.540000000000001,"text":"我們還是麻煩石部長"},{"start":12.8,"end":13.82,"text":"請石崇良部長"},{"start":17.14,"end":18.68,"text":"黃委員好 部長好"},{"start":18.94,"end":19.96,"text":"真的"},{"start":20.22,"end":25.86,"text":"大家對食安的問題真的非常非常的重視 那剛剛林書謀也提到HACCP"},{"start":26.06,"end":32.22,"text":"目前HACCP是國際公認最好的食品預防管理系統嘛 所以他很"},{"start":32.48,"end":35.28,"text":"迎迎期待如何能夠真的落實 而且讓"},{"start":35.8,"end":40.1,"text":"民眾對食安的問題 包括這個食安武環整體的精進"},{"start":40.36,"end":41.42,"text":"就麻煩"},{"start":41.68,"end":42.7,"text":"行政系統"},{"start":42.96,"end":45.519999999999996,"text":"務必要把這個部分能夠持續的做好"},{"start":45.519999999999996,"end":50.9,"text":"我們會再檢視這個HACCP的內涵 因為他涉及到的這個食品業還"},{"start":51.16,"end":54.739999999999995,"text":"樣態蠻多的 那我們會再針對油品的部分再去強化"},{"start":55.2,"end":56.74,"text":"好 那就麻煩部長"},{"start":57,"end":60.06,"text":"我想我們今天有另外的主題就是"},{"start":60.32,"end":63.64,"text":"從這個健康台灣的政策方向來出發有三個部分"},{"start":63.900000000000006,"end":68,"text":"來跟部長討論 第一個就是有關於這個慢性病的防治"},{"start":68.26,"end":72.36,"text":"第二個就是有關於這個醫療品質監控 包括醫療評鑑"},{"start":72.62,"end":74.92,"text":"第三個就是還是回到我常常"},{"start":75.18,"end":78.76,"text":"希望能夠針對這個癌症全程照護的部分"},{"start":79.02000000000001,"end":80.56,"text":"能夠有一個"},{"start":81.06,"end":82.86,"text":"好的制度改革的機會"},{"start":83.28,"end":88.7,"text":"那第一部分就是慢性病防治的這個政策的法制化跟永續推動的問題"},{"start":90.48,"end":94.6,"text":"我想衛福部這幾年來在這個疾病的預防"},{"start":94.86,"end":98.94,"text":"醫療的照護以及公共衛生政策上面的努力"},{"start":99.2,"end":102.26,"text":"根據這個114年國人的死因統計"},{"start":102.52,"end":104.82,"text":"國人標準的話死亡率"},{"start":105.08,"end":108.4,"text":"每10萬人口是395.2人"},{"start":108.66,"end":111.48,"text":"那較113年下降了3.7%"},{"start":112.4,"end":114.44,"text":"而且是這個COVID疫情"},{"start":115.22,"end":118.30000000000001,"text":"3年的這個部分都持續的下降"},{"start":118.56,"end":121.36,"text":"代表說政府機關對於這些防治的措施"},{"start":121.62,"end":123.16,"text":"看到了一定的成果"},{"start":123.42,"end":126.24000000000001,"text":"可是我們也知道這些整體死亡率的下降"},{"start":126.5,"end":131.34,"text":"我們還是得去瞭解他後續的一些死因的結構"},{"start":131.6,"end":133.14000000000001,"text":"他所反映出來的問題"},{"start":133.4,"end":137.74,"text":"那我們可以看到這個114年這個國人的10大死因裡面呢"},{"start":138,"end":139.28,"text":"扣除癌症以後"},{"start":139.34,"end":142.4,"text":"至少有6項都是跟慢性疾病有關"},{"start":142.66,"end":146.16,"text":"如果將癌症延長廣義的這個非傳染性"},{"start":146.4,"end":147.94,"text":"慢性病的範疇的話呢"},{"start":148.2,"end":150.96,"text":"這10大死因裡面就有7項跟慢性病是"},{"start":151.22,"end":153,"text":"真的是很密切的相關"},{"start":153.26,"end":157.06,"text":"所以我們面對的不只是一個單一疾病的治療的問題"},{"start":157.32,"end":159.46,"text":"其實是人口高齡化之下"},{"start":159.72,"end":161.76,"text":"如果能夠長期的進行預防"},{"start":162.02,"end":164.32,"text":"早期的發現來持續追蹤"},{"start":164.51999999999998,"end":167.34,"text":"說跨體系的照護這個就是國家"},{"start":167.6,"end":170.16,"text":"未來這部分重要的治理的問題"},{"start":170.42,"end":173.06,"text":"健康台灣的情形我們也有希望能夠"},{"start":173.32,"end":175.2,"text":"三高防治888計畫"},{"start":175.44,"end":178.1,"text":"相信大家對這個已經都是耳熟能詳"},{"start":178.35999999999999,"end":181.42,"text":"包括80%的病友要繞入照護網"},{"start":181.68,"end":186.01999999999998,"text":"照護網裡面的80%的病友要獲得生活的習慣諮詢"},{"start":186.28,"end":188.32,"text":"還有80%的病友的照護"},{"start":188.57999999999998,"end":189.62,"text":"病情要獲得控制"},{"start":189.88,"end":193.45999999999998,"text":"這個都是目前積極在處理的部分"},{"start":193.62,"end":197.20000000000002,"text":"我們也相信這個是一個很正確的方向"},{"start":197.46,"end":200.74,"text":"如何能夠有沒有機會讓它法治化"},{"start":201,"end":202.78,"text":"這個就是大家很關切的"},{"start":203.04000000000002,"end":207.86,"text":"國務院在司徒院長還有許院長共同的希望能夠"},{"start":208.12,"end":212.62,"text":"有沒有辦法來速推慢性病防治法這樣的需求"},{"start":212.88,"end":215.94,"text":"如果我們訂了慢性病防治法的話"},{"start":216.20000000000002,"end":218.76000000000002,"text":"第一個就可以提供法源的依據"},{"start":219.26000000000002,"end":222.86,"text":"再過來就能夠確保政府來編列這個穩定的經費"},{"start":223.26000000000002,"end":227.56,"text":"專注慢性病的預防同時把研究跟照護體系"},{"start":227.82000000000002,"end":229.10000000000002,"text":"經過整合以後"},{"start":229.36,"end":233.46,"text":"能夠針對剛所提到對國務院這麼重要的死亡病因"},{"start":233.72000000000003,"end":236.5,"text":"做很好的一些整合處理"},{"start":236.76000000000002,"end":238.3,"text":"所以請教一下部長就是"},{"start":238.56,"end":242.62,"text":"目前國務院提出這樣的這個慢性病防治法的建議以後"},{"start":242.88000000000002,"end":246.46,"text":"衛福部有沒有進行相關的評估或者是研議"},{"start":246.72000000000003,"end":248.52,"text":"是哪一個單位在負責"},{"start":248.78000000000003,"end":250.52,"text":"進度有沒有進度"},{"start":250.68,"end":251.96,"text":"那第二部分就是"},{"start":252.22,"end":253.24,"text":"如果部長"},{"start":253.76000000000002,"end":254.26000000000002,"text":"或者是"},{"start":255.02,"end":260.36,"text":"也認同未來必要透過專法來建立慢性病防治的反應依據的話"},{"start":260.62,"end":263.24,"text":"這個經費跟跨體系的整合"},{"start":263.74,"end":265.26,"text":"集資怎麼來產出"},{"start":265.52,"end":266.86,"text":"第三個部分如果說"},{"start":267.12,"end":273,"text":"衛福部也支持朝法制化來方向推動那是否可以提出初步的研議方向跟時間的規劃"},{"start":273.26,"end":275.56,"text":"包括什麼時候會請專家"},{"start":275.82,"end":278.38,"text":"來進行會議或擴布會的討論"},{"start":278.54,"end":281.06,"text":"這部分可不可以請部長說一些說明"},{"start":281.3,"end":285.14,"text":"好謝謝委員對這個議題非常的深入"},{"start":285.4,"end":287.2,"text":"那麼確實這個慢性病"},{"start":287.46,"end":289,"text":"那麼已經是"},{"start":290.02,"end":292.65999999999997,"text":"我們每年的健保支出大概已經是七成"},{"start":292.92,"end":294.2,"text":"都是屬於NCD"},{"start":294.46,"end":294.96,"text":"那麼"},{"start":295.48,"end":299.58,"text":"隨著這個高齡化我們的數字統治65歲以上"},{"start":299.84,"end":302.14,"text":"85%都有一個慢性病"},{"start":302.4,"end":303.15999999999997,"text":"所以這個"},{"start":303.42,"end":306.5,"text":"這個不論是在盛行率或者是在這個"},{"start":306.76,"end":308.28,"text":"健康負荷"},{"start":308.54,"end":309.56,"text":"或者是死亡"},{"start":309.82,"end":313.92,"text":"這個死因這邊其實他都佔了很重要的"},{"start":314.18,"end":316.21999999999997,"text":"比例所以我們在"},{"start":316.48,"end":318.78,"text":"這個健康台灣總統的這個"},{"start":319.04,"end":321.34,"text":"健康台灣市政院警示下我們是"},{"start":321.84,"end":324.4,"text":"結合各項的資源一起來"},{"start":324.65999999999997,"end":327.78,"text":"投入所以他不是只有在治療的部分"},{"start":328.04,"end":330.6,"text":"那麼更重視前端的"},{"start":331.1,"end":332.4,"text":"預防還有篩檢"},{"start":332.65999999999997,"end":337.76,"text":"所以我們也擴大了這個成人健檢的公費讓他下修到"},{"start":337.92,"end":340.48,"text":"30歲就開始有第一次的"},{"start":340.74,"end":343.3,"text":"成人健檢來提早發現"},{"start":343.56,"end":346.62,"text":"有沒有這些慢性病的風險因子"},{"start":346.88,"end":348.64,"text":"那麼包含這個三高"},{"start":348.9,"end":353.21999999999997,"text":"或者是代謝症候群等等這些這個是希望提早發現"},{"start":353.52,"end":355.84,"text":"那麼另外一個就是這個"},{"start":356.09999999999997,"end":361,"text":"生活習慣或生活型態這個跟慢性病的貢獻度更高"},{"start":361.26,"end":362.53999999999996,"text":"從國際上來看"},{"start":362.8,"end":364.08,"text":"40到60%"},{"start":364.56,"end":368.38,"text":"慢性病的成因跟他的生活習慣是有關係的"},{"start":368.64,"end":371.2,"text":"那這裡面又以這個"},{"start":371.71999999999997,"end":374.02,"text":"與營養跟運動"},{"start":374.28,"end":380.15999999999997,"text":"有關聯性這個是很高這個活動還有營養以及這個危害物質的避免等等這些"},{"start":380.41999999999996,"end":382.24,"text":"所以我們現在也在推"},{"start":382.5,"end":386.29999999999995,"text":"這個類似像所謂的社會處方或者是lifestyle medicine"},{"start":386.56,"end":391.68,"text":"去介入所以等於是說這個層面是很廣啦所以我們現在"},{"start":391.94,"end":393.74,"text":"當然如果說"},{"start":393.90000000000003,"end":397.28000000000003,"text":"阻擇我們當然現在有這個把這個慢性病"},{"start":397.54,"end":403.42,"text":"防治也在國健署裡面有一個慢防組他當然是在阻擇這整個的"},{"start":403.68,"end":410.54,"text":"這個政策上的推動或者是計畫的研擬等等那麼推動的時候當然"},{"start":410.8,"end":418.14,"text":"我們各單位包含跨部會我們也跟運動部合作那麼跨私署的合作"},{"start":418.38,"end":422.86,"text":"那麼跨部門的合作中央地方的合作等等這個全面來推動"},{"start":423.02000000000004,"end":424.82,"text":"那麼至於要不要有一個"},{"start":425.08000000000004,"end":429.72,"text":"這個專法這個慢性病防治我們再來研究看看"},{"start":429.98,"end":430.48,"text":"他"},{"start":430.74,"end":432.8,"text":"他的這個效益或者是"},{"start":433.06,"end":438.42,"text":"立法上能夠為我們現在在推動上解決什麼面臨的"},{"start":438.68,"end":440.72,"text":"這個瓶頸我們再來研究"},{"start":440.72,"end":444.58000000000004,"text":"因為我們也了解很多政策是可以持續的精進"},{"start":444.82,"end":447.14,"text":"可是如果一個法律依據的話"},{"start":447.38,"end":452.24,"text":"相信對整體的這些進步會更為確定穩定"},{"start":452.40000000000003,"end":453.72,"text":"而且是明顯"},{"start":453.98,"end":456.3,"text":"那就麻煩部長也能夠多了解"},{"start":456.54,"end":459.36,"text":"那再過來就是有跟醫療瓶件制度的部分"},{"start":459.62,"end":461.92,"text":"我們知道醫院瓶件是必要的"},{"start":462.18,"end":466.54,"text":"只要一定的時間做瓶件的話不管是對於這個"},{"start":466.78000000000003,"end":470.38,"text":"醫療品質或者是整個就醫的安全是有很大的保障"},{"start":470.62,"end":472.66,"text":"那可是呢我們也希望說"},{"start":472.92,"end":479.32,"text":"在這個瓶件的過程裡面核心改革的一個重點就是能不能有效的在維持"},{"start":479.52,"end":483.09999999999997,"text":"醫療品質同時也能夠減輕醫護的負擔"},{"start":483.36,"end":487.86,"text":"因為我們知道這個瓶件本身是需要有很多的工作內涵"},{"start":488.12,"end":490.78,"text":"那之前好像也有一些院長"},{"start":491.04,"end":492.58,"text":"跟你們討論說"},{"start":492.84,"end":497.18,"text":"第一線的護理人員對於繁重的這個瓶件文書作業壓力非常的大"},{"start":497.44,"end":498.21999999999997,"text":"他如果知道說"},{"start":498.48,"end":500.84,"text":"不然那瓶件今年可能就走了"},{"start":501.1,"end":503.6,"text":"所以帶來的壓力真的非常的重"},{"start":503.86,"end":506.4,"text":"那部長也提到說希望有一些"},{"start":506.59999999999997,"end":509.67999999999995,"text":"如果要把瓶件從四年改成六年的話"},{"start":509.94,"end":511.97999999999996,"text":"同時又能夠要兼顧這個"},{"start":512.24,"end":517.1,"text":"整個照護品質有一些輔導措施是希望能夠同時提出來"},{"start":517.36,"end":520.72,"text":"所以你那個時候有提出三個方向嘛第一個就是在"},{"start":520.9599999999999,"end":524.78,"text":"116年到117年之間會進行資訊系統的優化"},{"start":525.04,"end":528.1,"text":"以及常態性的這個監測指標的示範"},{"start":528.36,"end":531.18,"text":"再會建立日常化的品質監測系統"},{"start":531.4399999999999,"end":533.5,"text":"收集各項指標的數據來"},{"start":533.66,"end":536.96,"text":"變成根據醫院的表現來採取差異化的管理"},{"start":537.22,"end":539.08,"text":"另外就是如何讓這個"},{"start":539.34,"end":540.88,"text":"定義統一化的這個"},{"start":541.14,"end":542.68,"text":"改革當作一個第一步"},{"start":542.94,"end":544.96,"text":"避免在同一個指標不同的系統"},{"start":545.22,"end":546.5,"text":"因為定義歧義導致"},{"start":546.76,"end":548.04,"text":"數據的不一致"},{"start":548.3,"end":549.06,"text":"那目前"},{"start":549.58,"end":552.9,"text":"很快嘛時間很快就會又需要到瓶件的這個"},{"start":554.18,"end":555.46,"text":"處理需求"},{"start":555.72,"end":559.06,"text":"目前有沒有相關的進度可以讓大家可以比較安心"},{"start":559.26,"end":563.6199999999999,"text":"跟委員說明確實第一個其實先"},{"start":563.88,"end":564.9,"text":"最重要的就是"},{"start":565.16,"end":567.7199999999999,"text":"因為瓶件的這個週期拉長了"},{"start":567.9799999999999,"end":570.52,"text":"所以怎麼樣去透過這個"},{"start":570.78,"end":573.3399999999999,"text":"持續性的監測去確保這些"},{"start":573.5999999999999,"end":575.9,"text":"品質的這個穩定"},{"start":576.16,"end":578.9799999999999,"text":"那因此這個常態性監測指標這個是最重要"},{"start":579.4799999999999,"end":583.06,"text":"這個指標的監測其實我們現在有好多個品質指標"},{"start":583.3199999999999,"end":584.0999999999999,"text":"那麼各"},{"start":584.3599999999999,"end":586.16,"text":"屍體也好或者是"},{"start":586.42,"end":588.4599999999999,"text":"這個不同的品質指標系統"},{"start":588.62,"end":590.1600000000001,"text":"可能他都有定義"},{"start":590.4200000000001,"end":595.26,"text":"不相同的問題所以1跟3這個是最基本要先建立"},{"start":595.52,"end":599.1600000000001,"text":"那麼在品質的指標定義的部分其實"},{"start":599.4200000000001,"end":600.1800000000001,"text":"我還在"},{"start":600.44,"end":604.02,"text":"這個健保署的時候就已經跟醫策會開始去對"},{"start":604.2800000000001,"end":610.4200000000001,"text":"把國內的一些重要的品質指標開始去讓他的這個收集的定義一致"},{"start":610.94,"end":612.48,"text":"那接著才是"},{"start":612.74,"end":618.36,"text":"把這個篩選出來的品質指標納入這個常態性"},{"start":618.62,"end":620.1600000000001,"text":"監測系統裡面"},{"start":620.4200000000001,"end":623.7800000000001,"text":"然後接下來下一步就是希望去輔導醫院"},{"start":624.0400000000001,"end":625.58,"text":"變成自動化收集"},{"start":626.08,"end":630.1800000000001,"text":"雖然你指標有系統可是還是要靠人工登打或收集的話"},{"start":630.44,"end":631.48,"text":"還是會增加"},{"start":631.74,"end":633.7800000000001,"text":"第一線人員的工作負荷"},{"start":634.0400000000001,"end":634.5400000000001,"text":"所以"},{"start":634.8000000000001,"end":637.36,"text":"第三個就是要讓他自動化收集"},{"start":637.62,"end":640.1800000000001,"text":"那這樣也可以讓這些指標的"},{"start":640.44,"end":642.48,"text":"正確性穩定性提高"},{"start":642.74,"end":644.02,"text":"也降低第一線"},{"start":644.52,"end":647.6,"text":"人員的這個工作負荷那目前的話呢"},{"start":647.76,"end":650.82,"text":"一的部分那個系統現在是以這個跟"},{"start":651.08,"end":654.9200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