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\"區\"}, {\"word\": \"的\", \"start\": 283.257, \"end\": 284.658, \"score\": 0.906}, {\"word\": \"4\"}, {\"word\": \"0\"}, {\"word\": \"%\"}, {\"word\": \"也\", \"start\": 284.658, \"end\": 284.758, \"score\": 0.841}, {\"word\": \"就\", \"start\": 284.758, \"end\": 284.878, \"score\": 0.932}, {\"word\": \"是\", \"start\": 284.878, \"end\": 285.238, \"score\": 0.875}, {\"word\": \"說\"}, {\"word\": \"我\", \"start\": 285.238, \"end\": 285.498, \"score\": 0.818}, {\"word\": \"們\"}, {\"word\": \"偏\", \"start\": 285.498, \"end\": 286.078, \"score\": 0.954}, {\"word\": \"鄉\"}, {\"word\": \"的\", \"start\": 286.078, \"end\": 286.659, \"score\": 0.972}, {\"word\": \"能\", \"start\": 286.659, \"end\": 287.019, \"score\": 0.922}, {\"word\": \"夠\"}, {\"word\": \"去\", \"start\": 287.019, \"end\": 287.279, \"score\": 0.867}, {\"word\": \"做\", \"start\": 287.279, \"end\": 287.539, \"score\": 0.876}, {\"word\": \"這\"}, {\"word\": \"些\", \"start\": 287.539, \"end\": 287.899, \"score\": 0.877}, {\"word\": 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00:00:14,170\n我們有請部長部長好今天想要跟你討論有關於藻寮的部分就是藻寮資源的部分因為根據世界衛生組織來講我們其實兒童發展的兒童發展遲緩的發生率大概是8%但是台灣的本土研究是說因為篩檢工具不足實際的發生率可能是8到10%\n\n2\n00:00:36,420 --> 00:00:59,627\n那目前我們就取中間值我去計算一下我們全國潛在的需求人數大概是13.16人但是以我現在最新拿到的資料2024年通報的是3.9萬人所以也就是說在現在還有未通報率大概是70.3%然後再進一步去發現的一些細節的資料這我想要跟部長再做討論一下就是說我知道我們其實在\n\n3\n00:01:01,167 --> 00:01:28,334\n去年呢其實我們有去擴大補助了全國兒童發展聯合評估中心所以我們的量能是在提升但是呢好但是我在看這個資料的時候我有幾個疑點我希望部長可以幫我解釋簡單的說明一下就是說第一個疑點是說我們看到這個數字台北市跟桃園市通報的人數只有10%是藻寮人數抱歉按到了\n\n4\n00:01:30,114 --> 00:01:54,884\n好就是說我們在這個台北市跟桃園市跟其他地方完全不一樣因為接受人你看新北市喔或者是台中市喔他接受早療人數會接近通報人數可是我們台北市跟桃園市竟然只有10%那這是什麼樣子的原因呢那第二個疑點是嘉義市宜蘭縣澎湖縣接受早療的人數竟然大於通報人數欸\n\n5\n00:01:57,852 --> 00:02:19,263\n這個應該是要通報之後經過評估才可以接受找療嘛對吧流程上應該是這樣可是怎麼會出現這樣子的數字第三個接受找療服務的人次竟然只有人數的一倍多代表是說他回去再做找療的頻率是低的嗎我是應該這樣解讀嗎是不是可以簡單誰來幫我做個簡單的說明我應該如何讀這份報告這個數字\n\n6\n00:02:29,020 --> 00:02:31,304\n還是現在沒有人可以回答我這個問題好沒關係我時間有限好不好我們會後再來我辦公室我們再來瞭解一下這個數據齁這個數據你們自己看不會覺得很奇怪嗎\n\n7\n00:02:44,023 --> 00:03:12,848\n對吧很奇怪吧還有第二個問題第二個數據我也覺得很奇怪就是我們在看聯平中心跟聯平提供量的時候呢台北市加速在減少可是提供量在增加桃園加速在增加可是聯平量卻在減少然後新竹市呢加速持平可是聯平提供量減少這個我就有點不太懂照理講我應該提供的加速變多我應該相對來說我的服務量應該是增加的吧\n\n8\n00:03:14,582 --> 00:03:16,083\n這邊還是是謝謝委員那這個是你看到這是他們縣市提出來的我們預估給他的那以新竹市為例我幾個例子它同樣是兩家但是呢114年114年是1700沒有錯那114年呢原來一家叫1100現在新增了一家台大就是再1100所以新竹市就會變成2200\n\n9\n00:03:44,915 --> 00:04:02,136\n所以我想我應該怎麼讀這個資料呢?因為這樣子看起來,如果這個是這樣子算,假設它是2200你們沒有記到的話,那其他的數字是正確的嗎?這個我們要對一下,因為其他的是2200這個是不是也可以回去確認一下好不好?提供到我辦公室好不好?這大概什麼時候可以提供給我?好,謝謝大概什麼時候可以提供給我?一塊,很快\n\n10\n00:04:05,203 --> 00:04:18,882\n儘快大概一個禮拜內一個禮拜以內好不好我們一個禮拜我們約個時間順便來說明一下剛剛那些疑點好不好因為這樣子我們很難去評估到底藻寮的量能到底有沒有增加啦好不好然後再來還有下一頁好像沒有反應\n\n11\n00:04:20,043 --> 00:04:48,100\n那還有就是說其實我們也大概看了一下剛剛那些數字我大概用現在你給我的數字我加總了一下大概六都集中了75%的評估中心和機構可是我根據桃園市2023年的一個報告調查他說桃園市發展實緩的兒童通報這五年的統計分析之下呢復興區這個復興區三歲以下的兒童通報率只有都會區的40%也就是說我們偏鄉的能夠去做這些評估的\n\n12\n00:04:48,921 --> 00:04:52,393\n或是有這個意識的其實相對來說是低的下一頁\n\n13\n00:04:54,611 --> 00:05:18,380\n那這個其實也有一些報告啦有些專家學者也提出到了就是我們偏鄉區域的找療的一個困境第一個就是醫療與療癒資源集中於都會區嘛剛剛講75%然後通報與篩檢率也都偏低因為目前其實他們對於這樣子的一個概念早期介入的概念相對來說是稍微比較弱的那社區也宣導不足所以就會有造成很多的孩子在他們沒有被早期發現就錯過了這個黃金期這樣子\n\n14\n00:05:21,161 --> 00:05:48,137\n那再來還有就是說我們第三點是在於專業人力跟服務量人不足啦就是其實我們有非常短缺我想這個部長跟大家一定都非常清楚我們的語言治療師職能治療師其實比例都是相當不夠的這個其實還是非常需要一起來努力的那最後就是一個家庭負擔沉重的問題就是說因為其實他們以他們的交通啦剛來講他如果要從復興區要去到可以坐的地方要花兩個小時\n\n15\n00:05:49,338 --> 00:05:57,008\n家庭有經濟的困難交通又不那麼方便其實坦白來說要他回去做這件事情難度是非常高的但是呢我也幫我按下一頁\n\n16\n00:05:58,905 --> 00:06:27,092\n但是第三基金會其實長期一直以來他們在偏鄉服務他們其實有一些成功的經驗就是說他們其實很早的時候在孩子還在媽媽的肚子裡的時候他們就有育兒指導員來協助這些家長提升這個孩子需要做早期介入療癒的一個意識所以呢我想請教這個部長就是賴清德總統其實當時有提出要這個育兒指導員到家的這個一個政見嘛\n\n17\n00:06:27,512 --> 00:06:39,205\n那我們現在大概準備的怎麼樣?規劃的怎麼樣?我想這個至善基金會在這樣做,是令人感動也很好的典範其實剛剛委員講的,應該全國都有在做\n\n18\n00:06:43,744 --> 00:07:00,804\n育兒指導員的部分現在準備了怎麼樣跟委員報告其實在社網第二期從108年開始我們大概就已經開始在全國都有部件這樣一個育兒指導服務那在這個原來計畫裡面他是優先提供服務給這些比較相對比較脆弱的家庭\n\n19\n00:07:01,405 --> 00:07:22,287\n那我們現在正在規劃下一期的社安網的計畫那我們也會把這個已經很確定的方向會把育兒指導的服務的量能持續的來做擴充然後目標是針對不管他是不是隨後家庭只要家庭有需要我們一律的來提供這樣的服務我們是不是也可以因為我不太確定你們下一期的部件是不是也包含到偏鄉的部分因為其實偏鄉現在都很靠\n\n20\n00:07:23,228 --> 00:07:38,894\n那大概什麼時候會我們下一期社交網會從明年開始那目前我們的計畫已經開始在整理當中整理當中是嗎整理全國只要六歲以下的兒童有相關需要的育兒指導我們大概我們會把量整個都擴充出來\n\n21\n00:07:39,722 --> 00:08:00,702\n所以我們是針對6歲以下還是他今天是還在爸爸媽媽肚子裡的時候就6歲以下的兒童的育兒指導但我只在想說因為我們其實偏鄉只到6歲有沒有可能再更早一點來去協助他們呢這部分有可能再提早嗎可能在他就是懷孕的時候因為智商的做法是這樣\n\n22\n00:08:03,284 --> 00:08:11,092\n跟委員報告一下,有關孕產婦如果是有高風險的孕產婦,我們是有孕產婦的關懷計畫,另外一個處理的,高風險孕產婦的最終關懷計畫\n\n23\n00:08:16,735 --> 00:08:38,380\n好沒關係那這個我們事後下次也是一起來討論看他可以怎麼樣執行那最後最後很快就是說我們其實下一頁好了下一頁好了我們其實剛剛講到就是說今天要做早期介入的話其實也是非常需要我們要有足夠的語言治療師跟職能治療師可是以我們現在來說台灣跟世界來比台灣現在語言治療師每一萬人我們大概就0.58個這個\n\n24\n00:08:41,422 --> 00:08:57,112\n這個原治療師他的服務量只有0.58人那美國是有3.3人那職能治療師呢每萬人的服務量台灣是1.49可是美國是4.9我們現在是不是有一些我們可不可以嚴領一些方案怎麼樣子來提升我們這個原治療師跟職能治療師的人數呢\n\n25\n00:08:58,938 --> 00:09:17,587\n我想我們先瞭解一下,到底為什麼我們台灣人比較少?是科系培養的比較少?還是考照率太難了?還是說已經考過了他不來上班?或者是別人認不好?\n\n26\n00:09:18,647 --> 00:09:45,483\n那所以你們現在會簡單做一個這個我們既然今天聽起來這個是非常這些專業人員是很需要的我們就要好好來檢討一下好那大概什麼時候我們可以有一個更明確的不然是檢討啦或是下一個方案議事室議事室好這個請議事室一個月之內把它盤點好盤點以下可以嗎然後我們來看看下一步我們怎麼做好不好謝謝再跟委員報告一個月齁謝謝好謝謝\n\n","tsv":"start\tend\ttext\n12449\t14170\t我們有請部長部長好今天想要跟你討論有關於藻寮的部分就是藻寮資源的部分因為根據世界衛生組織來講我們其實兒童發展的兒童發展遲緩的發生率大概是8%但是台灣的本土研究是說因為篩檢工具不足實際的發生率可能是8到10%\n36420\t59627\t那目前我們就取中間值我去計算一下我們全國潛在的需求人數大概是13.16人但是以我現在最新拿到的資料2024年通報的是3.9萬人所以也就是說在現在還有未通報率大概是70.3%然後再進一步去發現的一些細節的資料這我想要跟部長再做討論一下就是說我知道我們其實在\n61167\t88334\t去年呢其實我們有去擴大補助了全國兒童發展聯合評估中心所以我們的量能是在提升但是呢好但是我在看這個資料的時候我有幾個疑點我希望部長可以幫我解釋簡單的說明一下就是說第一個疑點是說我們看到這個數字台北市跟桃園市通報的人數只有10%是藻寮人數 抱歉按到了\n90114\t114884\t好就是說我們在這個台北市跟桃園市跟其他地方完全不一樣因為接受人你看新北市喔或者是台中市喔他接受早療人數會接近通報人數可是我們台北市跟桃園市竟然只有10%那這是什麼樣子的原因呢那第二個疑點是嘉義市宜蘭縣澎湖縣接受早療的人數竟然大於通報人數欸\n117852\t139263\t這個應該是要通報之後經過評估才可以接受找療嘛 對吧流程上應該是這樣可是怎麼會出現這樣子的數字第三個接受找療服務的人次竟然只有人數的一倍多代表是說他回去再做找療的頻率是低的嗎我是應該這樣解讀嗎是不是可以簡單 誰來幫我做個簡單的說明我應該如何讀這份報告這個數字\n149020\t151304\t還是現在沒有人可以回答我這個問題好沒關係我時間有限 好不好我們會後再來我辦公室我們再來瞭解一下這個數據齁這個數據你們自己看不會覺得很奇怪嗎\n164023\t192848\t對吧 很奇怪吧 還有第二個問題第二個數據 我也覺得很奇怪就是我們在看聯平中心跟聯平提供量的時候呢台北市加速在減少 可是提供量在增加桃園加速在增加 可是聯平量卻在減少然後新竹市呢加速持平 可是聯平提供量減少這個我就有點不太懂 照理講我應該提供的加速變多我應該相對來說 我的服務量應該是增加的吧\n194582\t196083\t這邊還是是謝謝委員那這個是你看到這是他們縣市提出來的我們預估給他的那以新竹市為例我幾個例子它同樣是兩家但是呢114年114年是1700沒有錯那114年呢原來一家叫1100現在新增了一家台大就是再1100所以新竹市就會變成2200\n224915\t242136\t所以我想我應該怎麼讀這個資料呢?因為這樣子看起來,如果這個是這樣子算,假設它是2200你們沒有記到的話,那其他的數字是正確的嗎?這個我們要對一下,因為其他的是2200這個是不是也可以回去確認一下好不好?提供到我辦公室好不好?這大概什麼時候可以提供給我?好,謝謝大概什麼時候可以提供給我?一塊,很快\n245203\t258882\t儘快大概一個禮拜內一個禮拜以內好不好我們一個禮拜我們約個時間順便來說明一下剛剛那些疑點好不好因為這樣子我們很難去評估到底藻寮的量能到底有沒有增加啦好不好然後再來還有下一頁好像沒有反應\n260043\t288100\t那還有就是說其實我們也大概看了一下剛剛那些數字我大概用現在你給我的數字我加總了一下大概六都集中了75%的評估中心和機構可是我根據桃園市2023年的一個報告調查他說桃園市發展實緩的兒童通報這五年的統計分析之下呢復興區這個復興區三歲以下的兒童通報率只有都會區的40%也就是說我們偏鄉的能夠去做這些評估的\n288921\t292393\t或是有這個意識的其實相對來說是低的下一頁\n294611\t318380\t那這個其實也有一些報告啦有些專家學者也提出到了就是我們偏鄉區域的找療的一個困境第一個就是醫療與療癒資源集中於都會區嘛剛剛講75%然後通報與篩檢率也都偏低因為目前其實他們對於這樣子的一個概念早期介入的概念相對來說是稍微比較弱的那社區也宣導不足所以就會有造成很多的孩子在他們沒有被早期發現就錯過了這個黃金期這樣子\n321161\t348137\t那再來還有就是說我們第三點是在於專業人力跟服務量人不足啦就是其實我們有非常短缺我想這個部長跟大家一定都非常清楚我們的語言治療師 職能治療師其實比例都是相當不夠的這個其實還是非常需要一起來努力的那最後就是一個家庭負擔沉重的問題就是說因為其實他們以他們的交通啦剛來講他如果要從復興區要去到可以坐的地方要花兩個小時\n349338\t357008\t家庭有經濟的困難 交通又不那麼方便其實坦白來說 要他回去做這件事情 難度是非常高的但是呢 我也 幫我按下一頁\n358905\t387092\t但是第三基金會其實長期一直以來他們在偏鄉服務他們其實有一些成功的經驗就是說他們其實很早的時候在孩子還在媽媽的肚子裡的時候他們就有育兒指導員來協助這些家長提升這個孩子需要做早期介入療癒的一個意識所以呢我想請教這個部長就是賴清德總統其實當時有提出要這個育兒指導員到家的這個一個政見嘛\n387512\t399205\t那我們現在大概準備的怎麼樣?規劃的怎麼樣?我想這個至善基金會在這樣做,是令人感動也很好的典範其實剛剛委員講的,應該全國都有在做\n403744\t420804\t育兒指導員的部分現在準備了怎麼樣跟委員報告其實在社網第二期從108年開始我們大概就已經開始在全國都有部件這樣一個育兒指導服務那在這個原來計畫裡面他是優先提供服務給這些比較相對比較脆弱的家庭\n421405\t442287\t那我們現在正在規劃下一期的社安網的計畫那我們也會把這個已經很確定的方向會把育兒指導的服務的量能持續的來做擴充然後目標是針對不管他是不是隨後家庭只要家庭有需要我們一律的來提供這樣的服務我們是不是也可以因為我不太確定你們下一期的部件是不是也包含到偏鄉的部分因為其實偏鄉現在都很靠\n443228\t458894\t那大概什麼時候會我們下一期社交網會從明年開始那目前我們的計畫已經開始在整理當中整理當中是嗎整理全國只要六歲以下的兒童有相關需要的育兒指導我們大概我們會把量整個都擴充出來\n459722\t480702\t所以我們是針對6歲以下還是他今天是還在爸爸媽媽肚子裡的時候就6歲以下的兒童的育兒指導但我只在想說因為我們其實偏鄉只到6歲有沒有可能再更早一點來去協助他們呢這部分有可能再提早嗎可能在他就是懷孕的時候因為智商的做法是這樣\n483284\t491092\t跟委員報告一下,有關孕產婦如果是有高風險的孕產婦,我們是有孕產婦的關懷計畫,另外一個處理的,高風險孕產婦的最終關懷計畫\n496735\t518380\t好沒關係那這個我們事後下次也是一起來討論看他可以怎麼樣執行那最後最後很快就是說我們其實下一頁好了下一頁好了我們其實剛剛講到就是說今天要做早期介入的話其實也是非常需要我們要有足夠的語言治療師跟職能治療師可是以我們現在來說台灣跟世界來比台灣現在語言治療師每一萬人我們大概就0.58個這個\n521422\t537112\t這個原治療師他的服務量只有0.58人那美國是有3.3人那職能治療師呢每萬人的服務量台灣是1.49可是美國是4.9我們現在是不是有一些我們可不可以嚴領一些方案怎麼樣子來提升我們這個原治療師跟職能治療師的人數呢\n538938\t557587\t我想我們先瞭解一下,到底為什麼我們台灣人比較少?是科系培養的比較少?還是考照率太難了?還是說已經考過了他不來上班?或者是別人認不好?\n558647\t585483\t那所以你們現在會簡單做一個這個我們 既然今天聽起來這個是非常這些專業人員是很需要的我們就要好好來檢討一下好 那大概什麼時候我們可以有一個更明確的不然是檢討啦 或是下一個方案議事室議事室好 這個請議事室一個月之內把它盤點好盤點以下可以嗎然後我們來看看下一步我們怎麼做好不好謝謝再跟委員報告一個月齁 謝謝好 謝謝\n","txt":"我們有請部長部長好今天想要跟你討論有關於藻寮的部分就是藻寮資源的部分因為根據世界衛生組織來講我們其實兒童發展的兒童發展遲緩的發生率大概是8%但是台灣的本土研究是說因為篩檢工具不足實際的發生率可能是8到10%\n那目前我們就取中間值我去計算一下我們全國潛在的需求人數大概是13.16人但是以我現在最新拿到的資料2024年通報的是3.9萬人所以也就是說在現在還有未通報率大概是70.3%然後再進一步去發現的一些細節的資料這我想要跟部長再做討論一下就是說我知道我們其實在\n去年呢其實我們有去擴大補助了全國兒童發展聯合評估中心所以我們的量能是在提升但是呢好但是我在看這個資料的時候我有幾個疑點我希望部長可以幫我解釋簡單的說明一下就是說第一個疑點是說我們看到這個數字台北市跟桃園市通報的人數只有10%是藻寮人數 抱歉按到了\n好就是說我們在這個台北市跟桃園市跟其他地方完全不一樣因為接受人你看新北市喔或者是台中市喔他接受早療人數會接近通報人數可是我們台北市跟桃園市竟然只有10%那這是什麼樣子的原因呢那第二個疑點是嘉義市宜蘭縣澎湖縣接受早療的人數竟然大於通報人數欸\n這個應該是要通報之後經過評估才可以接受找療嘛 對吧流程上應該是這樣可是怎麼會出現這樣子的數字第三個接受找療服務的人次竟然只有人數的一倍多代表是說他回去再做找療的頻率是低的嗎我是應該這樣解讀嗎是不是可以簡單 誰來幫我做個簡單的說明我應該如何讀這份報告這個數字\n還是現在沒有人可以回答我這個問題好沒關係我時間有限 好不好我們會後再來我辦公室我們再來瞭解一下這個數據齁這個數據你們自己看不會覺得很奇怪嗎\n對吧 很奇怪吧 還有第二個問題第二個數據 我也覺得很奇怪就是我們在看聯平中心跟聯平提供量的時候呢台北市加速在減少 可是提供量在增加桃園加速在增加 可是聯平量卻在減少然後新竹市呢加速持平 可是聯平提供量減少這個我就有點不太懂 照理講我應該提供的加速變多我應該相對來說 我的服務量應該是增加的吧\n這邊還是是謝謝委員那這個是你看到這是他們縣市提出來的我們預估給他的那以新竹市為例我幾個例子它同樣是兩家但是呢114年114年是1700沒有錯那114年呢原來一家叫1100現在新增了一家台大就是再1100所以新竹市就會變成2200\n所以我想我應該怎麼讀這個資料呢?因為這樣子看起來,如果這個是這樣子算,假設它是2200你們沒有記到的話,那其他的數字是正確的嗎?這個我們要對一下,因為其他的是2200這個是不是也可以回去確認一下好不好?提供到我辦公室好不好?這大概什麼時候可以提供給我?好,謝謝大概什麼時候可以提供給我?一塊,很快\n儘快大概一個禮拜內一個禮拜以內好不好我們一個禮拜我們約個時間順便來說明一下剛剛那些疑點好不好因為這樣子我們很難去評估到底藻寮的量能到底有沒有增加啦好不好然後再來還有下一頁好像沒有反應\n那還有就是說其實我們也大概看了一下剛剛那些數字我大概用現在你給我的數字我加總了一下大概六都集中了75%的評估中心和機構可是我根據桃園市2023年的一個報告調查他說桃園市發展實緩的兒童通報這五年的統計分析之下呢復興區這個復興區三歲以下的兒童通報率只有都會區的40%也就是說我們偏鄉的能夠去做這些評估的\n或是有這個意識的其實相對來說是低的下一頁\n那這個其實也有一些報告啦有些專家學者也提出到了就是我們偏鄉區域的找療的一個困境第一個就是醫療與療癒資源集中於都會區嘛剛剛講75%然後通報與篩檢率也都偏低因為目前其實他們對於這樣子的一個概念早期介入的概念相對來說是稍微比較弱的那社區也宣導不足所以就會有造成很多的孩子在他們沒有被早期發現就錯過了這個黃金期這樣子\n那再來還有就是說我們第三點是在於專業人力跟服務量人不足啦就是其實我們有非常短缺我想這個部長跟大家一定都非常清楚我們的語言治療師 職能治療師其實比例都是相當不夠的這個其實還是非常需要一起來努力的那最後就是一個家庭負擔沉重的問題就是說因為其實他們以他們的交通啦剛來講他如果要從復興區要去到可以坐的地方要花兩個小時\n家庭有經濟的困難 交通又不那麼方便其實坦白來說 要他回去做這件事情 難度是非常高的但是呢 我也 幫我按下一頁\n但是第三基金會其實長期一直以來他們在偏鄉服務他們其實有一些成功的經驗就是說他們其實很早的時候在孩子還在媽媽的肚子裡的時候他們就有育兒指導員來協助這些家長提升這個孩子需要做早期介入療癒的一個意識所以呢我想請教這個部長就是賴清德總統其實當時有提出要這個育兒指導員到家的這個一個政見嘛\n那我們現在大概準備的怎麼樣?規劃的怎麼樣?我想這個至善基金會在這樣做,是令人感動也很好的典範其實剛剛委員講的,應該全國都有在做\n育兒指導員的部分現在準備了怎麼樣跟委員報告其實在社網第二期從108年開始我們大概就已經開始在全國都有部件這樣一個育兒指導服務那在這個原來計畫裡面他是優先提供服務給這些比較相對比較脆弱的家庭\n那我們現在正在規劃下一期的社安網的計畫那我們也會把這個已經很確定的方向會把育兒指導的服務的量能持續的來做擴充然後目標是針對不管他是不是隨後家庭只要家庭有需要我們一律的來提供這樣的服務我們是不是也可以因為我不太確定你們下一期的部件是不是也包含到偏鄉的部分因為其實偏鄉現在都很靠\n那大概什麼時候會我們下一期社交網會從明年開始那目前我們的計畫已經開始在整理當中整理當中是嗎整理全國只要六歲以下的兒童有相關需要的育兒指導我們大概我們會把量整個都擴充出來\n所以我們是針對6歲以下還是他今天是還在爸爸媽媽肚子裡的時候就6歲以下的兒童的育兒指導但我只在想說因為我們其實偏鄉只到6歲有沒有可能再更早一點來去協助他們呢這部分有可能再提早嗎可能在他就是懷孕的時候因為智商的做法是這樣\n跟委員報告一下,有關孕產婦如果是有高風險的孕產婦,我們是有孕產婦的關懷計畫,另外一個處理的,高風險孕產婦的最終關懷計畫\n好沒關係那這個我們事後下次也是一起來討論看他可以怎麼樣執行那最後最後很快就是說我們其實下一頁好了下一頁好了我們其實剛剛講到就是說今天要做早期介入的話其實也是非常需要我們要有足夠的語言治療師跟職能治療師可是以我們現在來說台灣跟世界來比台灣現在語言治療師每一萬人我們大概就0.58個這個\n這個原治療師他的服務量只有0.58人那美國是有3.3人那職能治療師呢每萬人的服務量台灣是1.49可是美國是4.9我們現在是不是有一些我們可不可以嚴領一些方案怎麼樣子來提升我們這個原治療師跟職能治療師的人數呢\n我想我們先瞭解一下,到底為什麼我們台灣人比較少?是科系培養的比較少?還是考照率太難了?還是說已經考過了他不來上班?或者是別人認不好?\n那所以你們現在會簡單做一個這個我們 既然今天聽起來這個是非常這些專業人員是很需要的我們就要好好來檢討一下好 那大概什麼時候我們可以有一個更明確的不然是檢討啦 或是下一個方案議事室議事室好 這個請議事室一個月之內把它盤點好盤點以下可以嗎然後我們來看看下一步我們怎麼做好不好謝謝再跟委員報告一個月齁 謝謝好 謝謝\n","vtt":"WEBVTT\n\n00:12.449 --> 00:14.170\n我們有請部長部長好今天想要跟你討論有關於藻寮的部分就是藻寮資源的部分因為根據世界衛生組織來講我們其實兒童發展的兒童發展遲緩的發生率大概是8%但是台灣的本土研究是說因為篩檢工具不足實際的發生率可能是8到10%\n\n00:36.420 --> 00:59.627\n那目前我們就取中間值我去計算一下我們全國潛在的需求人數大概是13.16人但是以我現在最新拿到的資料2024年通報的是3.9萬人所以也就是說在現在還有未通報率大概是70.3%然後再進一步去發現的一些細節的資料這我想要跟部長再做討論一下就是說我知道我們其實在\n\n01:01.167 --> 01:28.334\n去年呢其實我們有去擴大補助了全國兒童發展聯合評估中心所以我們的量能是在提升但是呢好但是我在看這個資料的時候我有幾個疑點我希望部長可以幫我解釋簡單的說明一下就是說第一個疑點是說我們看到這個數字台北市跟桃園市通報的人數只有10%是藻寮人數抱歉按到了\n\n01:30.114 --> 01:54.884\n好就是說我們在這個台北市跟桃園市跟其他地方完全不一樣因為接受人你看新北市喔或者是台中市喔他接受早療人數會接近通報人數可是我們台北市跟桃園市竟然只有10%那這是什麼樣子的原因呢那第二個疑點是嘉義市宜蘭縣澎湖縣接受早療的人數竟然大於通報人數欸\n\n01:57.852 --> 02:19.263\n這個應該是要通報之後經過評估才可以接受找療嘛對吧流程上應該是這樣可是怎麼會出現這樣子的數字第三個接受找療服務的人次竟然只有人數的一倍多代表是說他回去再做找療的頻率是低的嗎我是應該這樣解讀嗎是不是可以簡單誰來幫我做個簡單的說明我應該如何讀這份報告這個數字\n\n02:29.020 --> 02:31.304\n還是現在沒有人可以回答我這個問題好沒關係我時間有限好不好我們會後再來我辦公室我們再來瞭解一下這個數據齁這個數據你們自己看不會覺得很奇怪嗎\n\n02:44.023 --> 03:12.848\n對吧很奇怪吧還有第二個問題第二個數據我也覺得很奇怪就是我們在看聯平中心跟聯平提供量的時候呢台北市加速在減少可是提供量在增加桃園加速在增加可是聯平量卻在減少然後新竹市呢加速持平可是聯平提供量減少這個我就有點不太懂照理講我應該提供的加速變多我應該相對來說我的服務量應該是增加的吧\n\n03:14.582 --> 03:16.083\n這邊還是是謝謝委員那這個是你看到這是他們縣市提出來的我們預估給他的那以新竹市為例我幾個例子它同樣是兩家但是呢114年114年是1700沒有錯那114年呢原來一家叫1100現在新增了一家台大就是再1100所以新竹市就會變成2200\n\n03:44.915 --> 04:02.136\n所以我想我應該怎麼讀這個資料呢?因為這樣子看起來,如果這個是這樣子算,假設它是2200你們沒有記到的話,那其他的數字是正確的嗎?這個我們要對一下,因為其他的是2200這個是不是也可以回去確認一下好不好?提供到我辦公室好不好?這大概什麼時候可以提供給我?好,謝謝大概什麼時候可以提供給我?一塊,很快\n\n04:05.203 --> 04:18.882\n儘快大概一個禮拜內一個禮拜以內好不好我們一個禮拜我們約個時間順便來說明一下剛剛那些疑點好不好因為這樣子我們很難去評估到底藻寮的量能到底有沒有增加啦好不好然後再來還有下一頁好像沒有反應\n\n04:20.043 --> 04:48.100\n那還有就是說其實我們也大概看了一下剛剛那些數字我大概用現在你給我的數字我加總了一下大概六都集中了75%的評估中心和機構可是我根據桃園市2023年的一個報告調查他說桃園市發展實緩的兒童通報這五年的統計分析之下呢復興區這個復興區三歲以下的兒童通報率只有都會區的40%也就是說我們偏鄉的能夠去做這些評估的\n\n04:48.921 --> 04:52.393\n或是有這個意識的其實相對來說是低的下一頁\n\n04:54.611 --> 05:18.380\n那這個其實也有一些報告啦有些專家學者也提出到了就是我們偏鄉區域的找療的一個困境第一個就是醫療與療癒資源集中於都會區嘛剛剛講75%然後通報與篩檢率也都偏低因為目前其實他們對於這樣子的一個概念早期介入的概念相對來說是稍微比較弱的那社區也宣導不足所以就會有造成很多的孩子在他們沒有被早期發現就錯過了這個黃金期這樣子\n\n05:21.161 --> 05:48.137\n那再來還有就是說我們第三點是在於專業人力跟服務量人不足啦就是其實我們有非常短缺我想這個部長跟大家一定都非常清楚我們的語言治療師職能治療師其實比例都是相當不夠的這個其實還是非常需要一起來努力的那最後就是一個家庭負擔沉重的問題就是說因為其實他們以他們的交通啦剛來講他如果要從復興區要去到可以坐的地方要花兩個小時\n\n05:49.338 --> 05:57.008\n家庭有經濟的困難交通又不那麼方便其實坦白來說要他回去做這件事情難度是非常高的但是呢我也幫我按下一頁\n\n05:58.905 --> 06:27.092\n但是第三基金會其實長期一直以來他們在偏鄉服務他們其實有一些成功的經驗就是說他們其實很早的時候在孩子還在媽媽的肚子裡的時候他們就有育兒指導員來協助這些家長提升這個孩子需要做早期介入療癒的一個意識所以呢我想請教這個部長就是賴清德總統其實當時有提出要這個育兒指導員到家的這個一個政見嘛\n\n06:27.512 --> 06:39.205\n那我們現在大概準備的怎麼樣?規劃的怎麼樣?我想這個至善基金會在這樣做,是令人感動也很好的典範其實剛剛委員講的,應該全國都有在做\n\n06:43.744 --> 07:00.804\n育兒指導員的部分現在準備了怎麼樣跟委員報告其實在社網第二期從108年開始我們大概就已經開始在全國都有部件這樣一個育兒指導服務那在這個原來計畫裡面他是優先提供服務給這些比較相對比較脆弱的家庭\n\n07:01.405 --> 07:22.287\n那我們現在正在規劃下一期的社安網的計畫那我們也會把這個已經很確定的方向會把育兒指導的服務的量能持續的來做擴充然後目標是針對不管他是不是隨後家庭只要家庭有需要我們一律的來提供這樣的服務我們是不是也可以因為我不太確定你們下一期的部件是不是也包含到偏鄉的部分因為其實偏鄉現在都很靠\n\n07:23.228 --> 07:38.894\n那大概什麼時候會我們下一期社交網會從明年開始那目前我們的計畫已經開始在整理當中整理當中是嗎整理全國只要六歲以下的兒童有相關需要的育兒指導我們大概我們會把量整個都擴充出來\n\n07:39.722 --> 08:00.702\n所以我們是針對6歲以下還是他今天是還在爸爸媽媽肚子裡的時候就6歲以下的兒童的育兒指導但我只在想說因為我們其實偏鄉只到6歲有沒有可能再更早一點來去協助他們呢這部分有可能再提早嗎可能在他就是懷孕的時候因為智商的做法是這樣\n\n08:03.284 --> 08:11.092\n跟委員報告一下,有關孕產婦如果是有高風險的孕產婦,我們是有孕產婦的關懷計畫,另外一個處理的,高風險孕產婦的最終關懷計畫\n\n08:16.735 --> 08:38.380\n好沒關係那這個我們事後下次也是一起來討論看他可以怎麼樣執行那最後最後很快就是說我們其實下一頁好了下一頁好了我們其實剛剛講到就是說今天要做早期介入的話其實也是非常需要我們要有足夠的語言治療師跟職能治療師可是以我們現在來說台灣跟世界來比台灣現在語言治療師每一萬人我們大概就0.58個這個\n\n08:41.422 --> 08:57.112\n這個原治療師他的服務量只有0.58人那美國是有3.3人那職能治療師呢每萬人的服務量台灣是1.49可是美國是4.9我們現在是不是有一些我們可不可以嚴領一些方案怎麼樣子來提升我們這個原治療師跟職能治療師的人數呢\n\n08:58.938 --> 09:17.587\n我想我們先瞭解一下,到底為什麼我們台灣人比較少?是科系培養的比較少?還是考照率太難了?還是說已經考過了他不來上班?或者是別人認不好?\n\n09:18.647 --> 09:45.483\n那所以你們現在會簡單做一個這個我們既然今天聽起來這個是非常這些專業人員是很需要的我們就要好好來檢討一下好那大概什麼時候我們可以有一個更明確的不然是檢討啦或是下一個方案議事室議事室好這個請議事室一個月之內把它盤點好盤點以下可以嗎然後我們來看看下一步我們怎麼做好不好謝謝再跟委員報告一個月齁謝謝好謝謝\n\n","segments":[{"start":12.449,"end":14.17,"text":"我們有請部長部長好今天想要跟你討論有關於藻寮的部分就是藻寮資源的部分因為根據世界衛生組織來講我們其實兒童發展的兒童發展遲緩的發生率大概是8%但是台灣的本土研究是說因為篩檢工具不足實際的發生率可能是8到10%"},{"start":36.42,"end":59.627,"text":"那目前我們就取中間值我去計算一下我們全國潛在的需求人數大概是13.16人但是以我現在最新拿到的資料2024年通報的是3.9萬人所以也就是說在現在還有未通報率大概是70.3%然後再進一步去發現的一些細節的資料這我想要跟部長再做討論一下就是說我知道我們其實在"},{"start":61.167,"end":88.334,"text":"去年呢其實我們有去擴大補助了全國兒童發展聯合評估中心所以我們的量能是在提升但是呢好但是我在看這個資料的時候我有幾個疑點我希望部長可以幫我解釋簡單的說明一下就是說第一個疑點是說我們看到這個數字台北市跟桃園市通報的人數只有10%是藻寮人數 抱歉按到了"},{"start":90.114,"end":114.884,"text":"好就是說我們在這個台北市跟桃園市跟其他地方完全不一樣因為接受人你看新北市喔或者是台中市喔他接受早療人數會接近通報人數可是我們台北市跟桃園市竟然只有10%那這是什麼樣子的原因呢那第二個疑點是嘉義市宜蘭縣澎湖縣接受早療的人數竟然大於通報人數欸"},{"start":117.852,"end":139.263,"text":"這個應該是要通報之後經過評估才可以接受找療嘛 對吧流程上應該是這樣可是怎麼會出現這樣子的數字第三個接受找療服務的人次竟然只有人數的一倍多代表是說他回去再做找療的頻率是低的嗎我是應該這樣解讀嗎是不是可以簡單 誰來幫我做個簡單的說明我應該如何讀這份報告這個數字"},{"start":149.02,"end":151.304,"text":"還是現在沒有人可以回答我這個問題好沒關係我時間有限 好不好我們會後再來我辦公室我們再來瞭解一下這個數據齁這個數據你們自己看不會覺得很奇怪嗎"},{"start":164.023,"end":192.848,"text":"對吧 很奇怪吧 還有第二個問題第二個數據 我也覺得很奇怪就是我們在看聯平中心跟聯平提供量的時候呢台北市加速在減少 可是提供量在增加桃園加速在增加 可是聯平量卻在減少然後新竹市呢加速持平 可是聯平提供量減少這個我就有點不太懂 照理講我應該提供的加速變多我應該相對來說 我的服務量應該是增加的吧"},{"start":194.582,"end":196.083,"text":"這邊還是是謝謝委員那這個是你看到這是他們縣市提出來的我們預估給他的那以新竹市為例我幾個例子它同樣是兩家但是呢114年114年是1700沒有錯那114年呢原來一家叫1100現在新增了一家台大就是再1100所以新竹市就會變成2200"},{"start":224.915,"end":242.136,"text":"所以我想我應該怎麼讀這個資料呢?因為這樣子看起來,如果這個是這樣子算,假設它是2200你們沒有記到的話,那其他的數字是正確的嗎?這個我們要對一下,因為其他的是2200這個是不是也可以回去確認一下好不好?提供到我辦公室好不好?這大概什麼時候可以提供給我?好,謝謝大概什麼時候可以提供給我?一塊,很快"},{"start":245.203,"end":258.882,"text":"儘快大概一個禮拜內一個禮拜以內好不好我們一個禮拜我們約個時間順便來說明一下剛剛那些疑點好不好因為這樣子我們很難去評估到底藻寮的量能到底有沒有增加啦好不好然後再來還有下一頁好像沒有反應"},{"start":260.043,"end":288.1,"text":"那還有就是說其實我們也大概看了一下剛剛那些數字我大概用現在你給我的數字我加總了一下大概六都集中了75%的評估中心和機構可是我根據桃園市2023年的一個報告調查他說桃園市發展實緩的兒童通報這五年的統計分析之下呢復興區這個復興區三歲以下的兒童通報率只有都會區的40%也就是說我們偏鄉的能夠去做這些評估的"},{"start":288.921,"end":292.393,"text":"或是有這個意識的其實相對來說是低的下一頁"},{"start":294.611,"end":318.38,"text":"那這個其實也有一些報告啦有些專家學者也提出到了就是我們偏鄉區域的找療的一個困境第一個就是醫療與療癒資源集中於都會區嘛剛剛講75%然後通報與篩檢率也都偏低因為目前其實他們對於這樣子的一個概念早期介入的概念相對來說是稍微比較弱的那社區也宣導不足所以就會有造成很多的孩子在他們沒有被早期發現就錯過了這個黃金期這樣子"},{"start":321.161,"end":348.137,"text":"那再來還有就是說我們第三點是在於專業人力跟服務量人不足啦就是其實我們有非常短缺我想這個部長跟大家一定都非常清楚我們的語言治療師 職能治療師其實比例都是相當不夠的這個其實還是非常需要一起來努力的那最後就是一個家庭負擔沉重的問題就是說因為其實他們以他們的交通啦剛來講他如果要從復興區要去到可以坐的地方要花兩個小時"},{"start":349.338,"end":357.008,"text":"家庭有經濟的困難 交通又不那麼方便其實坦白來說 要他回去做這件事情 難度是非常高的但是呢 我也 幫我按下一頁"},{"start":358.905,"end":387.092,"text":"但是第三基金會其實長期一直以來他們在偏鄉服務他們其實有一些成功的經驗就是說他們其實很早的時候在孩子還在媽媽的肚子裡的時候他們就有育兒指導員來協助這些家長提升這個孩子需要做早期介入療癒的一個意識所以呢我想請教這個部長就是賴清德總統其實當時有提出要這個育兒指導員到家的這個一個政見嘛"},{"start":387.512,"end":399.205,"text":"那我們現在大概準備的怎麼樣?規劃的怎麼樣?我想這個至善基金會在這樣做,是令人感動也很好的典範其實剛剛委員講的,應該全國都有在做"},{"start":403.744,"end":420.804,"text":"育兒指導員的部分現在準備了怎麼樣跟委員報告其實在社網第二期從108年開始我們大概就已經開始在全國都有部件這樣一個育兒指導服務那在這個原來計畫裡面他是優先提供服務給這些比較相對比較脆弱的家庭"},{"start":421.405,"end":442.287,"text":"那我們現在正在規劃下一期的社安網的計畫那我們也會把這個已經很確定的方向會把育兒指導的服務的量能持續的來做擴充然後目標是針對不管他是不是隨後家庭只要家庭有需要我們一律的來提供這樣的服務我們是不是也可以因為我不太確定你們下一期的部件是不是也包含到偏鄉的部分因為其實偏鄉現在都很靠"},{"start":443.228,"end":458.894,"text":"那大概什麼時候會我們下一期社交網會從明年開始那目前我們的計畫已經開始在整理當中整理當中是嗎整理全國只要六歲以下的兒童有相關需要的育兒指導我們大概我們會把量整個都擴充出來"},{"start":459.722,"end":480.702,"text":"所以我們是針對6歲以下還是他今天是還在爸爸媽媽肚子裡的時候就6歲以下的兒童的育兒指導但我只在想說因為我們其實偏鄉只到6歲有沒有可能再更早一點來去協助他們呢這部分有可能再提早嗎可能在他就是懷孕的時候因為智商的做法是這樣"},{"start":483.284,"end":491.092,"text":"跟委員報告一下,有關孕產婦如果是有高風險的孕產婦,我們是有孕產婦的關懷計畫,另外一個處理的,高風險孕產婦的最終關懷計畫"},{"start":496.735,"end":518.38,"text":"好沒關係那這個我們事後下次也是一起來討論看他可以怎麼樣執行那最後最後很快就是說我們其實下一頁好了下一頁好了我們其實剛剛講到就是說今天要做早期介入的話其實也是非常需要我們要有足夠的語言治療師跟職能治療師可是以我們現在來說台灣跟世界來比台灣現在語言治療師每一萬人我們大概就0.58個這個"},{"start":521.422,"end":537.112,"text":"這個原治療師他的服務量只有0.58人那美國是有3.3人那職能治療師呢每萬人的服務量台灣是1.49可是美國是4.9我們現在是不是有一些我們可不可以嚴領一些方案怎麼樣子來提升我們這個原治療師跟職能治療師的人數呢"},{"start":538.938,"end":557.587,"text":"我想我們先瞭解一下,到底為什麼我們台灣人比較少?是科系培養的比較少?還是考照率太難了?還是說已經考過了他不來上班?或者是別人認不好?"},{"start":558.647,"end":585.483,"text":"那所以你們現在會簡單做一個這個我們 既然今天聽起來這個是非常這些專業人員是很需要的我們就要好好來檢討一下好 那大概什麼時候我們可以有一個更明確的不然是檢討啦 或是下一個方案議事室議事室好 這個請議事室一個月之內把它盤點好盤點以下可以嗎然後我們來看看下一步我們怎麼做好不好謝謝再跟委員報告一個月齁 謝謝好 謝謝"}]}}},"gazette":{"lineno":1230,"blocks":[["張委員雅琳：（13時5分）我們有請部長。"],["邱部長泰源：委員好。"],["張委員雅琳：部長好。今天想跟你討論關於早療的部分，就是早療資源的部分，因為根據世界衛生組織來講，我們兒童發展遲緩的發生率大概是8%，但是臺灣的本土研究是說因為篩檢工具不足，實際的發生率可能是8%到10%。我們就取中間值去算了一下全國潛在的需求人數，大概是13.16萬人。但是以我現在最新拿到的資料，2024年通報的是3.9萬人，也就是說現在還未通報比率大概是70.3%。然後再進一步就發現了一些細節的資料，也是我想要跟部長再討論一下的。我知道我們去年其實有去擴大補助全國兒童發展聯合評估中心，所以我們的量能是在提升，但是我在看這個資料的時候有發現幾個疑點，我希望部長可以幫我簡單說明一下。","第一個疑點，我們看到臺北市跟桃園市通報的人數中只有10%是早療人數，就是說臺北市跟桃園市跟其他地方完全不一樣，你看新北市或者是臺中市，接受早療人數會接近通報人數，可是臺北市跟桃園市竟然只有10%，這是什麼樣子的原因呢？第二個疑點，嘉義市、宜蘭縣、澎湖縣接受早療的人數竟然大於通報人數，應該是要通報之後經過評估才可以接受早療嘛？對吧？"],["邱部長泰源：是。"],["張委員雅琳：流程上應該是這樣，可是怎麼會出現這樣的數字？第三個，接受早療服務的人次竟然只有人數的一倍多，代表說他回去再做早療的頻率是低的嗎？我是應該這樣解讀嗎？誰可以來幫我做個簡單的說明？我應該如何讀這份報告、這個數字？還是現在沒有人可以回答我這個問題？好，沒關係，我時間有限，會後再來我們辦公室釐清吧！你們這樣子……"],["邱部長泰源：我們再來瞭解一下這個數據。"],["張委員雅琳：這個數據你們自己看不會覺得很奇怪嗎？對吧？很奇怪吧！","還有第二個數據我也覺得很奇怪，就是我們在看聯評中心跟聯評提供量的時候，臺北市家數在減少，可是提供量在增加；桃園家數在增加，可是聯評量卻在減少。然後新竹市家數持平，可是聯評提供量減少。這個我就有點不太懂，照理講，提供的家數變多，相對來說服務量能應該是增加的吧？"],["邱部長泰源：這個聯評中心……"],["吳署長昭軍：謝謝委員，你看到的這個是他們縣市提出來，還有我們預估給它的。我以新竹市為例，同樣是兩家，114年是1,700，沒有錯，114年原來一家要1,100，現在新增了一家台大，就是再1,100，所以新竹市就會變成2,200。"],["張委員雅琳：所以我應該怎麼讀這個資料呢？因為這樣子看起來，如果這個是這樣子算，假設它是2,200，你們沒有計算到的話，那其他的數字是正確的嗎？"],["吳署長昭軍：這個我們要對一下。"],["張委員雅琳：這個是不是回去也可以確認一下，好不好？提供到我辦公室，好不好？這大概什麼時候可以提供給我？"],["吳署長昭軍：好，盡快，大概一個禮拜內給你。"],["張委員雅琳：一個禮拜，好不好？我們約個時間，順便來說明一下剛剛那些疑點，好不好？因為這樣子我們很難去評估到底早療的量能到底有沒有增加，好不好？"],["吳署長昭軍：好，我們會去說明。"],["張委員雅琳：再來，其實我們也大概看了一下剛剛那些數字，我用現在你給我的數字加總了一下，六都集中了75%的評估中心和機構，可是我根據桃園市2023年的一個調查報告，有關桃園市發展遲緩兒童通報5年統計分析，復興區3歲以下的兒童通報率只有都會區的40%，也就是偏鄉能夠去做這些評估的或是有這個意識的，其實相對來說是低的。這個其實也有一些報告，有些專家學者也指出偏鄉區域早療的困境，第一個就是醫療與療育資源集中於都會區，如同剛剛講的75%，然後通報與篩檢率也都偏低，因為目前他們對於早期介入這樣的概念，相對來說是稍微比較弱的，然後社區也宣導不足，所以就會造成很多這樣的孩子沒有被早期發現，也就錯過了治療黃金期。第三點是在於專業人力跟服務量不足，其實我們非常短缺，我想部長跟大家一定都非常清楚語言治療師與職能治療師比例都是相當不夠的，還是非常需要一起來努力的。最後一個就是家庭負擔沉重的問題，因為以他們的交通而言，誠如剛剛所講的，他如果要從復興區去可以治療的地方就要花兩個小時，家庭有經濟的困難、交通又不方便，坦白說，要他回去做這件事情其實難度是非常高的。但是至善基金會長期以來一直在偏鄉服務，他們有一些成功的經驗，在很早的時候、在孩子還在媽媽肚子裡的時候，他們就由育兒指導員來協助這些家長提升孩子需要早期介入療育的意識。我想請教部長，賴清德總統當時有提出要育兒指導員到家的政見，你們現在大概準備、規劃得怎麼樣？"],["邱部長泰源：我想至善基金會這樣做事令人感動，也是很好的典範，其實剛剛委員講的，全國應該都有在做，只是……"],["張委員雅琳：育兒指導員的部分現在準備得怎麼樣？"],["周代理署長道君：跟委員報告，其實在社安網第二期從108年開始，我們大概就已經開始在全國布建這樣的育兒指導服務，在原來的計畫裡面是優先提供服務給這些相對比較脆弱的家庭，我們現在正在規劃下一期的社安網計畫，那我們也會朝這個已經很確定的方向，把育兒指導服務的量能持續地擴充，目標是針對不管是不是脆弱家庭，只要家庭有需要，我們一定會提供這樣的服務。"],["張委員雅琳：我們是不是也可以……因為我不太確定你們下一期的布建是不是也包含到偏鄉，其實偏鄉現在都非常……"],["周代理署長道君：都會含、都會含。"],["張委員雅琳：那大概什麼時候會……"],["周代理署長道君：我們下一期社安網會從明年開始，目前我們的計畫已經開始在整理當中，就是針對全國只要6歲以下的兒童有相關育兒指導的需要，我們會把量能都擴充出來。"],["張委員雅琳：所以是針對6歲以下，還是他還在爸爸媽媽肚子裡的時候？"],["周代理署長道君：6歲以下兒童的育兒指導。"],["張委員雅琳：但我是想說只到6歲的話，在偏鄉有沒有可能再更早一點去協助他們呢？這部分有可能再提早嗎？可能在媽媽懷孕的時候，因為至善基金會的作法是這樣。"],["吳署長昭軍：跟委員報告一下，有關孕產婦，如果他是有高風險的孕產婦，我們是有孕產婦的關懷計畫，另外處理。"],["張委員雅琳：孕產婦的？"],["吳署長昭軍：對，高風險孕產婦的追蹤關懷計畫。"],["張委員雅琳：好，沒關係，這個我們下次也一起來討論看可以怎麼樣執行。","最後，我們剛剛講到今天要做早療、早期介入的話，其實也是非常需要、要有足夠的語言治療師跟職能治療師，可是以我們現在來說，臺灣跟世界來比，臺灣現在的語言治療師每1萬人大概就0.58個語言治療師，其服務量只有0.58人；美國是有3.3人。職能治療師的部分，每萬人的服務量，臺灣是1.49，可是美國是4.9。我們現在是不是可以研擬一些方案看看如何提升語言治療師跟職能治療師的人數呢？"],["邱部長泰源：報告委員，我想我們先了解一下到底為什麼臺灣會比較少？是大學科系培養出來的比較少，還是考照率太難了？還是說已經考過了，他不來上班？或者是留任不好？"],["張委員雅琳：好，那所以你們現在會簡單檢討……"],["邱部長泰源：既然今天聽起來，這些專業人員是很需要的，我們就要好好來檢討一下。"],["張委員雅琳：大概什麼時候我們可以有更明確的，不管是檢討或是方案？"],["邱部長泰源：好，醫事司還是人事司？請醫事司一個月之內把它盤點好了。"],["張委員雅琳：盤點一下，可以嗎？再來看看下一步我們要怎麼做，好不好？謝謝。"],["邱部長泰源：再跟委員報告。"],["張委員雅琳：一個月，謝謝。"],["邱部長泰源：謝謝。"],["主席：謝謝張委員、謝謝部長。","接續請莊瑞雄委員質詢。"]],"agenda":{"page_end":370,"meet_id":"委員會-11-3-26-7","speakers":["蘇清泉","陳昭姿","林月琴","葛如鈞","劉建國","王育敏","邱鎮軍","廖偉翔","林淑芬","王正旭","黃秀芳","羅廷瑋","鍾佳濱","陳菁徽","盧縣一","李坤城","陳培瑜","張雅琳","莊瑞雄","楊曜","陳瑩","林楚茵","林德福"],"page_start":287,"meetingDate":["2025-04-23"],"gazette_id":"1144101","agenda_lcidc_ids":["1144101_00005"],"meet_name":"立法院第11屆第3會期社會福利及衛生環境委員會第7次全體委員會議紀錄","content":"邀請衛生福利部部長、財政部次長就「國家社會福利政策財源檢討及偏鄉兒童發展篩檢執行情\n形」進行專題報告，並備質詢","agenda_id":"1144101_00004"}}}