
總統賴清德在長庚醫療體系50週年慶典上表示,將透過健保總額提升與「不同工、不同酬」支付制度改革,針對高工時高風險科別長期招募困難問題進行改善,並提及教授級醫師反映開刀耗時長但健保給付低的情況。政府同時推動健康台灣深耕計畫,設定2036年平均餘命增加3歲、2030年前癌症標準化死亡率降低三分之一等目標,並調整健保財務結構,移出應由公務預算支應的費用,使健保總額達1兆82億元。
AI-generated summary
台灣全民健保制度推行逾30年,面臨人口老化、醫療需求增加及醫療人力結構變化帶來的挑戰,部分高工時高風險科別長期存在醫師招募困難問題。
2026/10/02 12:42
長庚醫院50周年慶,總統賴清德致詞時提到,透過不同工、不同酬方式改善某些科招不到醫師窘境。(記者謝武雄攝)
〔記者謝武雄/桃園報導〕總統賴清德今(2)出席長庚醫療體系50週年活動時表示,台灣全民健保推動逾30年,對國人健康保障貢獻重大。但隨著人口老化、醫療需求增加及醫療人力結構改變,現行制度也面臨新的挑戰。政府除推動「健康台灣深耕計畫」,也將持續提高健保總額,並透過「不同工、不同酬」調整支付制度,改善部分高工時、高風險科別長期招募困難的問題。
賴總統也提到,某教授級醫師和他聊天時提到,每開一台刀要花8到12小時,很多醫師都會在一旁觀摩學習,但健保給付卻低得可憐;連教授都不好意思說「歹勢講啦,歹勢講啦,你想不到啦」。為此,他提出這項政策,為求部分高工時、高風險科別招募困難問題獲得改善。
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賴總統說,政府推動「健康台灣」政策,希望在延長平均餘命的同時,也降低國人不健康指標。目前已設定多項目標,包括2036年平均餘命增加3歲;針對國人十大死因之首的癌症,盼2030年前標準化死亡率降低三分之一;高血壓、高血脂、高血糖等「三高」問題,也透過「888計畫」加強防治,目標同樣是降低可預防死亡。
在健保財務方面,賴清德表示,政府持續提高健保總額成長幅度,去(2025)年採高推估5.5%計算,並將原本不應由健保支應、應回歸公務預算的181億元移出,健保總額達9286億元;今(2026)年同樣以5.5%高推估,另移出約191億元相關支出,使健保總額提高至約1兆82億元,明年也朝相同方向規劃。
賴總統說,他要求衛福部,經費多了,要不同工、不同酬,該點數增加就要點數增加,來改善有一些科招不到人的問題;接著,就是醫院點值增加,要改善設備,然後栽培人才,善盡社會責任,最重要是要幫員工加薪;賴清德還問在場的長庚有沒有加薪,台下的長庚員工大喊「有」。
AI outlook — possibilities, not facts
政府將在未來一年內公布『不同工、不同酬』具體實施方案
Likely · Within months
健保總額將持續以約5.5%的高推估成長
Very likely · Within years

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