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91.74, \"end\": 92.48, \"score\": 0.94}, {\"word\": \"顯\"}, {\"word\": \"那\", \"start\": 92.48, \"end\": 92.62, \"score\": 0.984}, {\"word\": \"我\", \"start\": 92.62, \"end\": 92.941, \"score\": 0.865}, {\"word\": \"們\"}, {\"word\": \"當\"}, {\"word\": \"初\", \"start\": 92.941, \"end\": 93.041, \"score\": 0.803}, {\"word\": \"在\", \"start\": 93.041, \"end\": 93.181, \"score\": 0.993}, {\"word\": \"修\", \"start\": 93.181, \"end\": 93.341, \"score\": 0.864}, {\"word\": \"法\", \"start\": 93.341, \"end\": 93.481, \"score\": 0.823}, {\"word\": \"的\", \"start\": 93.481, \"end\": 93.561, \"score\": 0.746}, {\"word\": \"時\"}, {\"word\": \"候\", \"start\": 93.561, \"end\": 93.741, \"score\": 0.843}, {\"word\": \"也\", \"start\": 93.741, \"end\": 94.101, \"score\": 0.88}, {\"word\": \"擔\"}, {\"word\": \"心\", \"start\": 94.101, \"end\": 95.582, \"score\": 0.955}, {\"word\": \"8\"}, {\"word\": \"0\"}, {\"word\": \"歲\"}, {\"word\": \"做\", \"start\": 95.582, \"end\": 95.803, \"score\": 0.911}, {\"word\": \"一\", \"start\": 95.803, \"end\": 96.043, \"score\": 0.906}, {\"word\": \"個\"}, {\"word\": \"切\", \"start\": 96.043, \"end\": 96.583, \"score\": 0.962}, {\"word\": \"割\"}, {\"word\": \"是\", \"start\": 96.583, \"end\": 96.723, \"score\": 0.82}, {\"word\": \"不\", \"start\": 96.723, \"end\": 96.843, \"score\": 0.881}, {\"word\": \"是\", \"start\": 96.843, \"end\": 98.584, \"score\": 0.976}, {\"word\": \"會\"}, {\"word\": \"跟\", \"start\": 98.584, \"end\": 99.125, \"score\": 0.988}, {\"word\": \"目\", \"start\": 99.125, \"end\": 99.325, \"score\": 0.989}, {\"word\": \"前\", \"start\": 99.325, \"end\": 99.625, \"score\": 0.966}, {\"word\": \"大\", \"start\": 99.625, \"end\": 99.725, \"score\": 0.824}, {\"word\": \"家\", \"start\": 99.725, \"end\": 100.205, \"score\": 0.831}, {\"word\": \"討\"}, {\"word\": \"論\"}, {\"word\": \"的\", \"start\": 100.205, \"end\": 100.426, \"score\": 0.88}, {\"word\": \"這\"}, {\"word\": \"些\", \"start\": 100.426, \"end\": 100.606, \"score\": 0.89}, {\"word\": \"困\", \"start\": 100.606, \"end\": 100.846, \"score\": 0.997}, {\"word\": \"境\", \"start\": 100.846, \"end\": 100.866, \"score\": 0.317}]}, {\"start\": 101.546, \"end\": 124.202, \"text\": \"會有直接的關聯那我相信這個是可以看到的一些狀況那貴部也提了六個配套措施那我們就逐一的來看一下其中的兩三個裡面目前在實際的狀況上是怎麼處理的包括針對於這個國內承接的順位的最優先這也是一個配套\", \"words\": [{\"word\": \"會\"}, {\"word\": \"有\", \"start\": 101.546, \"end\": 101.746, \"score\": 0.997}, {\"word\": \"直\", \"start\": 101.746, \"end\": 101.927, \"score\": 0.983}, {\"word\": \"接\", \"start\": 101.927, \"end\": 102.067, \"score\": 0.901}, {\"word\": \"的\", \"start\": 102.067, \"end\": 102.607, \"score\": 0.922}, {\"word\": \"關\"}, {\"word\": \"聯\"}, {\"word\": \"那\", \"start\": 102.607, \"end\": 102.847, \"score\": 0.934}, {\"word\": \"我\", \"start\": 102.847, \"end\": 103.267, \"score\": 0.95}, {\"word\": \"相\", \"start\": 103.267, \"end\": 103.488, \"score\": 0.999}, {\"word\": \"信\", \"start\": 103.488, \"end\": 104.728, \"score\": 0.958}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"是\", \"start\": 104.728, \"end\": 106.089, \"score\": 0.993}, {\"word\": \"可\", \"start\": 106.089, \"end\": 106.169, \"score\": 0.964}, {\"word\": \"以\", \"start\": 106.169, \"end\": 106.39, \"score\": 0.959}, {\"word\": \"看\", \"start\": 106.39, \"end\": 106.61, \"score\": 0.999}, {\"word\": \"到\", \"start\": 106.61, \"end\": 106.75, \"score\": 0.993}, {\"word\": \"的\", \"start\": 106.75, \"end\": 106.85, \"score\": 0.8}, {\"word\": \"一\", \"start\": 106.85, \"end\": 106.93, \"score\": 0.999}, {\"word\": \"些\", \"start\": 106.93, \"end\": 108.151, \"score\": 0.923}, {\"word\": \"狀\"}, {\"word\": \"況\"}, {\"word\": \"那\", \"start\": 108.151, \"end\": 109.652, \"score\": 0.98}, {\"word\": \"貴\"}, {\"word\": \"部\", \"start\": 109.652, \"end\": 109.792, \"score\": 0.905}, {\"word\": \"也\", \"start\": 109.792, \"end\": 109.932, \"score\": 0.981}, {\"word\": \"提\", \"start\": 109.932, \"end\": 110.052, \"score\": 0.967}, {\"word\": \"了\", \"start\": 110.052, \"end\": 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\"面對這樣的困境那最後是不是除了剛剛所提到的擴編預算支持看護家庭包括從衛護部那邊也提供傳避服務這次也看到編列了11.8億針對這部分來做加強這個今天就利用這個機會來跟部裡面就教跟次長來就教一下第一個部分就是重症家庭國內承接順位的最優先\", \"words\": [{\"word\": \"面\", \"start\": 146.896, \"end\": 147.356, \"score\": 0.905}, {\"word\": \"對\"}, {\"word\": \"這\"}, {\"word\": \"樣\"}, {\"word\": \"的\", \"start\": 147.356, \"end\": 147.496, \"score\": 0.982}, {\"word\": \"困\", \"start\": 147.496, \"end\": 147.737, \"score\": 0.993}, {\"word\": \"境\", \"start\": 147.737, \"end\": 148.197, \"score\": 0.918}, {\"word\": \"那\", \"start\": 148.197, \"end\": 148.397, \"score\": 0.983}, {\"word\": \"最\", \"start\": 148.397, \"end\": 148.537, \"score\": 0.886}, {\"word\": \"後\", \"start\": 148.537, \"end\": 148.797, \"score\": 0.922}, {\"word\": \"是\", \"start\": 148.797, \"end\": 148.917, \"score\": 0.958}, {\"word\": \"不\", \"start\": 148.917, \"end\": 148.937, \"score\": 0.002}, {\"word\": \"是\", \"start\": 148.937, \"end\": 149.557, \"score\": 0.945}, {\"word\": \"除\", \"start\": 149.557, \"end\": 149.697, 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{\"word\": \"接\", \"start\": 171.267, \"end\": 171.947, \"score\": 0.936}, {\"word\": \"順\"}, {\"word\": \"位\", \"start\": 171.947, \"end\": 172.087, \"score\": 0.864}, {\"word\": \"的\", \"start\": 172.087, \"end\": 172.288, \"score\": 0.995}, {\"word\": \"最\", \"start\": 172.288, \"end\": 172.748, \"score\": 0.934}, {\"word\": \"優\"}, {\"word\": \"先\", \"start\": 172.748, \"end\": 172.768, \"score\": 0.369}]}, {\"start\": 173.388, \"end\": 188.715, \"text\": \"那我們可以從這個畫面上看到當一個重症案有這個需求的時候他有兩個可能性來取得招募的許可國外引進的部分我們等一下再談我們先看國內的承接\", \"words\": [{\"word\": \"那\", \"start\": 173.388, \"end\": 173.508, \"score\": 0.935}, {\"word\": \"我\", \"start\": 173.508, \"end\": 173.688, \"score\": 0.868}, {\"word\": \"們\"}, {\"word\": \"可\", \"start\": 173.688, \"end\": 173.788, \"score\": 0.991}, {\"word\": \"以\", \"start\": 173.788, \"end\": 174.869, \"score\": 0.9}, {\"word\": \"從\"}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"畫\"}, {\"word\": \"面\", \"start\": 174.869, \"end\": 175.029, 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188.235, \"score\": 0.935}, {\"word\": \"國\"}, {\"word\": \"內\"}, {\"word\": \"的\", \"start\": 188.235, \"end\": 188.375, \"score\": 0.997}, {\"word\": \"承\", \"start\": 188.375, \"end\": 188.695, \"score\": 0.927}, {\"word\": \"接\", \"start\": 188.695, \"end\": 188.715, \"score\": 0.001}]}, {\"start\": 189.455, \"end\": 205.867, \"text\": \"目前在處理上就是會把它變成一個最優先的承接順序而且是在14天裡面如果已經有目前在台灣的這些移工他被釋放出來的話他可以在14天裡面就來承接\", \"words\": [{\"word\": \"目\", \"start\": 189.455, \"end\": 189.635, \"score\": 0.986}, {\"word\": \"前\", \"start\": 189.635, \"end\": 189.775, \"score\": 0.998}, {\"word\": \"在\", \"start\": 189.775, \"end\": 190.116, \"score\": 0.941}, {\"word\": \"處\"}, {\"word\": \"理\", \"start\": 190.116, \"end\": 190.276, \"score\": 0.995}, {\"word\": \"上\", \"start\": 190.276, \"end\": 190.556, \"score\": 0.996}, {\"word\": \"就\", \"start\": 190.556, \"end\": 190.736, \"score\": 0.998}, {\"word\": \"是\", \"start\": 190.736, \"end\": 191.817, \"score\": 0.967}, {\"word\": \"會\"}, 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\"end\": 199.822, \"score\": 0.935}, {\"word\": \"這\"}, {\"word\": \"些\", \"start\": 199.822, \"end\": 200.123, \"score\": 0.999}, {\"word\": \"移\", \"start\": 200.123, \"end\": 200.283, \"score\": 0.879}, {\"word\": \"工\", \"start\": 200.283, \"end\": 200.563, \"score\": 0.923}, {\"word\": \"他\", \"start\": 200.563, \"end\": 200.803, \"score\": 0.935}, {\"word\": \"被\", \"start\": 200.803, \"end\": 201.203, \"score\": 0.95}, {\"word\": \"釋\"}, {\"word\": \"放\", \"start\": 201.203, \"end\": 201.423, \"score\": 0.999}, {\"word\": \"出\", \"start\": 201.423, \"end\": 201.744, \"score\": 0.937}, {\"word\": \"來\"}, {\"word\": \"的\", \"start\": 201.744, \"end\": 202.404, \"score\": 0.967}, {\"word\": \"話\"}, {\"word\": \"他\", \"start\": 202.404, \"end\": 203.145, \"score\": 0.978}, {\"word\": \"可\", \"start\": 203.145, \"end\": 203.305, \"score\": 1.0}, {\"word\": \"以\", \"start\": 203.305, \"end\": 203.385, \"score\": 0.999}, {\"word\": \"在\", \"start\": 203.385, \"end\": 204.886, 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\"text\": \"另外有現實是說我因為媒合7天不成功我用從第7天開始算14天這個未來避免諮詢上的困難或者是諮詢上的差異性這部分可能要等一下請次長說明一下還有這個媒合率要怎麼確保因為輕症 只有時間多這個是人性\", \"words\": [{\"word\": \"另\", \"start\": 234.501, \"end\": 234.601, \"score\": 0.983}, {\"word\": \"外\", \"start\": 234.601, \"end\": 234.721, \"score\": 0.994}, {\"word\": \"有\", \"start\": 234.721, \"end\": 235.181, \"score\": 0.913}, {\"word\": \"現\"}, {\"word\": \"實\"}, {\"word\": \"是\", \"start\": 235.181, \"end\": 235.501, \"score\": 0.875}, {\"word\": \"說\"}, {\"word\": \"我\", \"start\": 235.501, \"end\": 235.661, \"score\": 0.999}, {\"word\": \"因\", \"start\": 235.661, \"end\": 235.861, \"score\": 0.895}, {\"word\": \"為\"}, {\"word\": \"媒\", \"start\": 235.861, \"end\": 236.021, \"score\": 0.873}, {\"word\": \"合\", \"start\": 236.021, \"end\": 236.301, \"score\": 0.856}, {\"word\": \"7\"}, {\"word\": \"天\", \"start\": 236.301, \"end\": 236.442, \"score\": 0.859}, {\"word\": \"不\", \"start\": 236.442, \"end\": 236.562, \"score\": 0.999}, {\"word\": \"成\", \"start\": 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{\"word\": \"面\", \"start\": 408.768, \"end\": 410.39, \"score\": 0.972}, {\"word\": \"衝\"}, {\"word\": \"擊\"}, {\"word\": \"降\", \"start\": 410.39, \"end\": 410.57, \"score\": 0.892}, {\"word\": \"到\", \"start\": 410.57, \"end\": 410.77, \"score\": 0.999}, {\"word\": \"最\", \"start\": 410.77, \"end\": 410.991, \"score\": 0.949}, {\"word\": \"低\", \"start\": 410.991, \"end\": 411.011, \"score\": 0.08}]}, {\"start\": 411.738, \"end\": 440.791, \"text\": \"好那針對14天的起算跟時效的這個過程的計算可能部裡面還是要先確認好謝謝那再過來就是有關於如果是重症案進入到招募許可的過程裡面是國外引進這個移工來協助幫忙做照顧的話那因為我們知道一個移工要進到台灣他需要有三個單位的審查包括在簽證的部分是外交部\", \"words\": [{\"word\": \"好\", \"start\": 411.738, \"end\": 412.198, \"score\": 0.983}, {\"word\": \"那\", \"start\": 412.198, \"end\": 413.099, \"score\": 0.907}, {\"word\": \"針\"}, {\"word\": \"對\"}, {\"word\": \"1\"}, {\"word\": \"4\"}, {\"word\": \"天\", \"start\": 413.099, \"end\": 413.259, \"score\": 0.995}, {\"word\": \"的\", \"start\": 413.259, \"end\": 413.419, \"score\": 0.995}, {\"word\": \"起\", \"start\": 413.419, \"end\": 413.639, \"score\": 0.973}, {\"word\": \"算\", \"start\": 413.639, \"end\": 413.839, \"score\": 0.999}, {\"word\": \"跟\", \"start\": 413.839, \"end\": 414.379, \"score\": 0.926}, {\"word\": \"時\"}, {\"word\": \"效\", \"start\": 414.379, \"end\": 414.559, \"score\": 0.886}, {\"word\": \"的\", \"start\": 414.559, \"end\": 415.42, \"score\": 0.945}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"過\"}, {\"word\": \"程\", \"start\": 415.42, \"end\": 415.58, \"score\": 0.876}, {\"word\": \"的\", \"start\": 415.58, \"end\": 416.18, \"score\": 0.912}, {\"word\": \"計\"}, {\"word\": \"算\", \"start\": 416.18, \"end\": 416.82, \"score\": 0.965}, {\"word\": \"可\", \"start\": 416.82, \"end\": 416.92, \"score\": 0.8}, {\"word\": \"能\", \"start\": 416.92, \"end\": 417.18, \"score\": 0.923}, {\"word\": \"部\", \"start\": 417.18, \"end\": 417.401, \"score\": 0.818}, {\"word\": \"裡\"}, {\"word\": \"面\", \"start\": 417.401, \"end\": 417.681, \"score\": 0.913}, {\"word\": \"還\"}, {\"word\": 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\"score\": 0.999}, {\"word\": \"是\", \"start\": 423.223, \"end\": 423.603, \"score\": 0.959}, {\"word\": \"重\", \"start\": 423.603, \"end\": 423.803, \"score\": 0.902}, {\"word\": \"症\", \"start\": 423.803, \"end\": 423.923, \"score\": 0.839}, {\"word\": \"案\", \"start\": 423.923, \"end\": 424.364, \"score\": 0.911}, {\"word\": \"進\"}, {\"word\": \"入\", \"start\": 424.364, \"end\": 424.544, \"score\": 0.999}, {\"word\": \"到\", \"start\": 424.544, \"end\": 424.804, \"score\": 0.885}, {\"word\": \"招\", \"start\": 424.804, \"end\": 424.964, \"score\": 0.877}, {\"word\": \"募\", \"start\": 424.964, \"end\": 425.144, \"score\": 0.891}, {\"word\": \"許\", \"start\": 425.144, \"end\": 425.404, \"score\": 0.92}, {\"word\": \"可\", \"start\": 425.404, \"end\": 425.744, \"score\": 0.989}, {\"word\": \"的\", \"start\": 425.744, \"end\": 426.184, \"score\": 0.894}, {\"word\": \"過\"}, {\"word\": \"程\", \"start\": 426.184, \"end\": 426.464, \"score\": 0.92}, {\"word\": \"裡\"}, {\"word\": \"面\", \"start\": 426.464, \"end\": 427.465, \"score\": 0.997}, {\"word\": \"是\", \"start\": 427.465, \"end\": 427.785, \"score\": 0.877}, {\"word\": \"國\"}, {\"word\": \"外\", \"start\": 427.785, \"end\": 428.005, \"score\": 0.999}, {\"word\": \"引\", \"start\": 428.005, \"end\": 429.846, \"score\": 0.947}, {\"word\": \"進\"}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"移\", \"start\": 429.846, \"end\": 429.966, \"score\": 0.833}, {\"word\": \"工\", \"start\": 429.966, \"end\": 430.786, \"score\": 0.906}, {\"word\": \"來\"}, {\"word\": \"協\"}, {\"word\": \"助\", \"start\": 430.786, \"end\": 431.347, \"score\": 0.918}, {\"word\": \"幫\"}, {\"word\": \"忙\", \"start\": 431.347, \"end\": 431.527, \"score\": 0.97}, {\"word\": \"做\", \"start\": 431.527, \"end\": 431.847, \"score\": 0.941}, {\"word\": \"照\", \"start\": 431.847, \"end\": 432.247, \"score\": 0.945}, {\"word\": \"顧\"}, {\"word\": \"的\", \"start\": 432.247, \"end\": 432.987, \"score\": 0.962}, {\"word\": \"話\"}, {\"word\": \"那\", \"start\": 432.987, \"end\": 434.068, \"score\": 0.99}, {\"word\": \"因\", \"start\": 434.068, \"end\": 434.268, \"score\": 0.894}, {\"word\": \"為\"}, {\"word\": \"我\", \"start\": 434.268, \"end\": 434.548, \"score\": 0.927}, {\"word\": \"們\"}, {\"word\": \"知\", \"start\": 434.548, \"end\": 434.668, \"score\": 0.983}, {\"word\": \"道\", \"start\": 434.668, \"end\": 434.828, \"score\": 0.953}, {\"word\": \"一\", \"start\": 434.828, \"end\": 434.968, \"score\": 0.855}, {\"word\": \"個\"}, {\"word\": \"移\", \"start\": 434.968, \"end\": 435.088, \"score\": 0.833}, {\"word\": \"工\", \"start\": 435.088, \"end\": 435.248, \"score\": 0.896}, {\"word\": \"要\", \"start\": 435.248, \"end\": 435.468, \"score\": 0.884}, {\"word\": \"進\"}, {\"word\": \"到\", \"start\": 435.468, \"end\": 435.629, \"score\": 0.9}, {\"word\": \"台\", \"start\": 435.629, \"end\": 435.989, \"score\": 0.941}, {\"word\": \"灣\"}, {\"word\": \"他\", \"start\": 435.989, \"end\": 436.169, \"score\": 0.944}, {\"word\": \"需\", \"start\": 436.169, \"end\": 436.289, \"score\": 0.971}, {\"word\": \"要\", \"start\": 436.289, \"end\": 436.349, \"score\": 0.996}, {\"word\": \"有\", \"start\": 436.349, \"end\": 436.689, \"score\": 0.941}, {\"word\": \"三\", \"start\": 436.689, \"end\": 437.249, \"score\": 0.926}, {\"word\": \"個\"}, {\"word\": \"單\"}, {\"word\": \"位\", \"start\": 437.249, \"end\": 437.389, \"score\": 0.87}, {\"word\": \"的\", \"start\": 437.389, \"end\": 437.829, \"score\": 0.95}, {\"word\": \"審\"}, {\"word\": \"查\", \"start\": 437.829, \"end\": 438.75, \"score\": 0.995}, {\"word\": \"包\", \"start\": 438.75, \"end\": 438.89, \"score\": 1.0}, {\"word\": \"括\", \"start\": 438.89, \"end\": 439.07, \"score\": 0.91}, {\"word\": \"在\", \"start\": 439.07, \"end\": 439.59, \"score\": 0.923}, {\"word\": \"簽\"}, {\"word\": \"證\"}, {\"word\": \"的\", \"start\": 439.59, \"end\": 439.75, \"score\": 0.809}, {\"word\": \"部\", \"start\": 439.75, \"end\": 439.89, \"score\": 0.887}, {\"word\": \"分\", \"start\": 439.89, \"end\": 440.07, \"score\": 0.968}, {\"word\": \"是\", \"start\": 440.07, \"end\": 440.271, \"score\": 0.912}, {\"word\": \"外\", \"start\": 440.271, \"end\": 440.471, \"score\": 1.0}, {\"word\": \"交\", \"start\": 440.471, \"end\": 440.771, \"score\": 0.983}, {\"word\": \"部\", \"start\": 440.771, \"end\": 440.791, \"score\": 0.023}]}, {\"start\": 441.471, \"end\": 466.922, \"text\": \"那第二部分就是聘僱許可是勞動部就是貴部那拘留證是移民署所以這個是一個當然剛剛會提到為什麼我們需要仲介來協助有他一定的這個道理跟他的這個冗長的過程所以這部分想要確認就是在外館優先處理的部分有沒有跟外交部有過相關的協商或者是請他們來幫忙\", \"words\": [{\"word\": \"那\", \"start\": 441.471, \"end\": 441.831, \"score\": 0.944}, {\"word\": \"第\", \"start\": 441.831, \"end\": 441.931, \"score\": 0.885}, {\"word\": \"二\", \"start\": 441.931, \"end\": 442.031, \"score\": 0.85}, {\"word\": \"部\", \"start\": 442.031, \"end\": 442.171, \"score\": 0.997}, {\"word\": \"分\", \"start\": 442.171, \"end\": 442.291, \"score\": 0.976}, {\"word\": \"就\", \"start\": 442.291, \"end\": 442.412, \"score\": 0.987}, {\"word\": \"是\", \"start\": 442.412, \"end\": 442.552, \"score\": 0.972}, {\"word\": \"聘\", \"start\": 442.552, \"end\": 442.912, \"score\": 0.923}, {\"word\": \"僱\"}, {\"word\": \"許\", \"start\": 442.912, \"end\": 443.112, \"score\": 0.891}, {\"word\": \"可\", \"start\": 443.112, \"end\": 443.272, \"score\": 0.976}, {\"word\": \"是\", \"start\": 443.272, \"end\": 443.912, \"score\": 0.925}, {\"word\": \"勞\"}, {\"word\": \"動\"}, {\"word\": \"部\", \"start\": 443.912, \"end\": 444.152, \"score\": 0.903}, {\"word\": \"就\", \"start\": 444.152, \"end\": 444.272, \"score\": 0.91}, {\"word\": \"是\", \"start\": 444.272, \"end\": 444.632, \"score\": 0.845}, {\"word\": \"貴\"}, {\"word\": \"部\", \"start\": 444.632, \"end\": 445.073, \"score\": 0.824}, {\"word\": \"那\", \"start\": 445.073, \"end\": 445.633, \"score\": 0.962}, {\"word\": \"拘\", \"start\": 445.633, \"end\": 445.833, \"score\": 0.983}, {\"word\": \"留\", \"start\": 445.833, \"end\": 446.213, \"score\": 0.893}, {\"word\": \"證\"}, {\"word\": \"是\", \"start\": 446.213, \"end\": 446.493, \"score\": 0.924}, {\"word\": \"移\", \"start\": 446.493, \"end\": 446.613, \"score\": 0.958}, {\"word\": \"民\", \"start\": 446.613, \"end\": 447.014, \"score\": 0.998}, {\"word\": \"署\", \"start\": 447.014, \"end\": 447.634, \"score\": 0.963}, {\"word\": \"所\", \"start\": 447.634, \"end\": 447.774, \"score\": 0.863}, {\"word\": \"以\", \"start\": 447.774, \"end\": 448.154, \"score\": 0.785}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"是\", \"start\": 448.154, \"end\": 448.354, \"score\": 0.975}, {\"word\": \"一\", \"start\": 448.354, \"end\": 449.775, \"score\": 0.936}, {\"word\": \"個\"}, {\"word\": \"當\"}, {\"word\": \"然\", \"start\": 449.775, \"end\": 451.255, \"score\": 0.92}, {\"word\": \"剛\"}, {\"word\": \"剛\"}, {\"word\": \"會\"}, {\"word\": \"提\", \"start\": 451.255, \"end\": 451.416, \"score\": 0.994}, {\"word\": \"到\", \"start\": 451.416, \"end\": 451.836, \"score\": 0.938}, {\"word\": \"為\"}, {\"word\": \"什\", \"start\": 451.836, \"end\": 451.936, \"score\": 0.989}, {\"word\": \"麼\"}, {\"word\": \"我\", \"start\": 451.936, \"end\": 452.236, \"score\": 0.904}, {\"word\": \"們\"}, {\"word\": \"需\", \"start\": 452.236, \"end\": 452.356, \"score\": 0.853}, {\"word\": \"要\", \"start\": 452.356, \"end\": 452.476, \"score\": 0.955}, {\"word\": \"仲\", \"start\": 452.476, \"end\": 452.696, \"score\": 0.917}, {\"word\": \"介\", \"start\": 452.696, \"end\": 453.356, \"score\": 0.907}, {\"word\": \"來\"}, {\"word\": \"協\"}, {\"word\": \"助\", \"start\": 453.356, \"end\": 454.037, \"score\": 0.932}, {\"word\": \"有\", \"start\": 454.037, \"end\": 454.217, \"score\": 0.945}, {\"word\": \"他\", \"start\": 454.217, \"end\": 454.417, \"score\": 0.953}, {\"word\": \"一\", \"start\": 454.417, \"end\": 454.537, \"score\": 0.955}, {\"word\": \"定\", \"start\": 454.537, \"end\": 454.717, \"score\": 0.959}, {\"word\": \"的\", \"start\": 454.717, \"end\": 455.337, \"score\": 0.904}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"道\", \"start\": 455.337, \"end\": 455.517, \"score\": 0.92}, {\"word\": \"理\", \"start\": 455.517, \"end\": 455.697, \"score\": 0.89}, {\"word\": \"跟\", \"start\": 455.697, \"end\": 455.938, \"score\": 0.888}, {\"word\": \"他\", \"start\": 455.938, \"end\": 456.118, \"score\": 0.917}, {\"word\": \"的\", \"start\": 456.118, \"end\": 457.138, \"score\": 0.903}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"冗\"}, {\"word\": \"長\"}, {\"word\": \"的\", \"start\": 457.138, \"end\": 457.598, \"score\": 0.95}, {\"word\": \"過\"}, {\"word\": \"程\", \"start\": 457.598, \"end\": 458.119, \"score\": 0.956}, {\"word\": \"所\", \"start\": 458.119, \"end\": 458.179, \"score\": 0.7}, {\"word\": \"以\", \"start\": 458.179, \"end\": 458.439, \"score\": 0.797}, {\"word\": \"這\"}, {\"word\": \"部\", \"start\": 458.439, \"end\": 458.599, \"score\": 1.0}, {\"word\": \"分\", \"start\": 458.599, \"end\": 459.219, \"score\": 0.968}, {\"word\": \"想\", \"start\": 459.219, \"end\": 459.379, \"score\": 0.932}, {\"word\": \"要\", \"start\": 459.379, \"end\": 460.039, \"score\": 0.926}, {\"word\": \"確\"}, {\"word\": \"認\"}, {\"word\": \"就\", \"start\": 460.039, \"end\": 460.179, \"score\": 0.992}, {\"word\": \"是\", \"start\": 460.179, \"end\": 460.319, \"score\": 0.961}, {\"word\": \"在\", \"start\": 460.319, \"end\": 460.72, \"score\": 0.998}, {\"word\": \"外\", \"start\": 460.72, \"end\": 461.36, \"score\": 0.912}, {\"word\": \"館\"}, {\"word\": \"優\"}, {\"word\": \"先\", \"start\": 461.36, \"end\": 461.78, \"score\": 0.92}, {\"word\": \"處\"}, {\"word\": \"理\", \"start\": 461.78, \"end\": 461.86, \"score\": 0.959}, {\"word\": \"的\", \"start\": 461.86, \"end\": 462.02, \"score\": 0.98}, {\"word\": \"部\", \"start\": 462.02, \"end\": 462.24, \"score\": 0.987}, {\"word\": \"分\", \"start\": 462.24, \"end\": 463.241, \"score\": 0.988}, {\"word\": \"有\", \"start\": 463.241, \"end\": 463.321, \"score\": 0.94}, {\"word\": \"沒\", \"start\": 463.321, \"end\": 463.341, \"score\": 0.0}, {\"word\": \"有\", \"start\": 463.341, \"end\": 463.501, \"score\": 0.857}, {\"word\": \"跟\", \"start\": 463.501, \"end\": 463.641, \"score\": 0.811}, {\"word\": \"外\", \"start\": 463.641, \"end\": 463.801, \"score\": 0.917}, {\"word\": \"交\", \"start\": 463.801, \"end\": 464.021, \"score\": 0.947}, {\"word\": \"部\", \"start\": 464.021, \"end\": 464.621, \"score\": 0.918}, {\"word\": \"有\", \"start\": 464.621, \"end\": 465.042, \"score\": 0.86}, {\"word\": \"過\"}, {\"word\": \"相\", \"start\": 465.042, \"end\": 465.622, \"score\": 0.945}, {\"word\": \"關\"}, {\"word\": \"的\", \"start\": 465.622, \"end\": 466.042, \"score\": 0.951}, {\"word\": \"協\"}, {\"word\": \"商\", \"start\": 466.042, \"end\": 466.262, \"score\": 0.876}, {\"word\": \"或\", \"start\": 466.262, \"end\": 466.382, \"score\": 0.95}, {\"word\": \"者\", \"start\": 466.382, \"end\": 466.482, \"score\": 0.829}, {\"word\": \"是\", \"start\": 466.482, \"end\": 466.882, \"score\": 0.862}, {\"word\": \"請\"}, {\"word\": \"他\", \"start\": 466.882, \"end\": 466.902, \"score\": 0.772}, {\"word\": \"們\"}, {\"word\": \"來\"}, {\"word\": \"幫\"}, {\"word\": \"忙\", \"start\": 466.902, \"end\": 466.922, \"score\": 0.0}]}, {\"start\": 468.343, \"end\": 485.452, \"text\": \"那另外我們也知道這個工作資格其實很多種那我們目前討論的這個照顧的部分是其中的一種所以這個會不會有其他的行政措施導致變成這個簽證競合的現象所以這部分可能也要麻煩持續跟外交部這邊來做處理\", \"words\": [{\"word\": \"那\", \"start\": 468.343, \"end\": 468.463, \"score\": 0.975}, {\"word\": \"另\", \"start\": 468.463, \"end\": 468.623, \"score\": 0.975}, {\"word\": \"外\", \"start\": 468.623, \"end\": 468.983, \"score\": 0.997}, {\"word\": \"我\", \"start\": 468.983, \"end\": 469.083, \"score\": 0.908}, {\"word\": \"們\"}, {\"word\": \"也\", \"start\": 469.083, \"end\": 469.244, \"score\": 0.873}, {\"word\": \"知\", \"start\": 469.244, \"end\": 469.384, \"score\": 0.997}, {\"word\": \"道\", \"start\": 469.384, \"end\": 469.824, \"score\": 0.892}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"工\", \"start\": 469.824, \"end\": 469.984, \"score\": 0.98}, {\"word\": \"作\", \"start\": 469.984, \"end\": 470.304, \"score\": 0.937}, {\"word\": \"資\"}, {\"word\": \"格\", \"start\": 470.304, \"end\": 470.424, \"score\": 0.885}, {\"word\": \"其\", \"start\": 470.424, \"end\": 470.664, \"score\": 0.832}, {\"word\": \"實\"}, {\"word\": \"很\", \"start\": 470.664, \"end\": 470.824, \"score\": 0.985}, {\"word\": \"多\", \"start\": 470.824, \"end\": 471.625, \"score\": 0.977}, {\"word\": \"種\"}, {\"word\": \"那\", \"start\": 471.625, \"end\": 472.105, \"score\": 0.962}, {\"word\": \"我\", \"start\": 472.105, \"end\": 472.325, \"score\": 0.908}, {\"word\": \"們\"}, {\"word\": \"目\", \"start\": 472.325, \"end\": 472.465, \"score\": 0.993}, {\"word\": \"前\", \"start\": 472.465, \"end\": 473.026, \"score\": 0.925}, {\"word\": \"討\"}, {\"word\": \"論\"}, {\"word\": \"的\", \"start\": 473.026, \"end\": 473.986, \"score\": 0.92}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"照\", \"start\": 473.986, \"end\": 474.266, \"score\": 0.885}, {\"word\": \"顧\"}, {\"word\": \"的\", \"start\": 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\"end\": 485.172, \"score\": 0.913}, {\"word\": \"部\", \"start\": 485.172, \"end\": 485.312, \"score\": 0.912}, {\"word\": \"這\"}, {\"word\": \"邊\"}, {\"word\": \"來\"}, {\"word\": \"做\", \"start\": 485.312, \"end\": 485.432, \"score\": 0.833}, {\"word\": \"處\"}, {\"word\": \"理\", \"start\": 485.432, \"end\": 485.452, \"score\": 0.0}]}, {\"start\": 486.676, \"end\": 510.513, \"text\": \"那另外就是如果如果說依照我們現在從國外引進這個框框裡面的第三項要修正仲介評鑑的要點來引導仲介機構優先處理仲正這是一個很好的方向至少我們讓仲正的這個機構知道他們必須要針對仲正當作一個優先處理的一個對象那請問\", \"words\": [{\"word\": \"那\", \"start\": 486.676, \"end\": 486.776, \"score\": 0.903}, {\"word\": \"另\", \"start\": 486.776, \"end\": 486.936, \"score\": 0.754}, {\"word\": \"外\", \"start\": 486.936, \"end\": 487.076, \"score\": 0.997}, {\"word\": \"就\", \"start\": 487.076, \"end\": 487.317, \"score\": 1.0}, {\"word\": \"是\", \"start\": 487.317, \"end\": 488.017, \"score\": 1.0}, {\"word\": \"如\", \"start\": 488.017, \"end\": 488.217, \"score\": 0.983}, {\"word\": \"果\", \"start\": 488.217, \"end\": 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\"text\": \"要怎麼修正所謂的修正是往哪個方向修正還有目前修正的時程那完備了嗎跟委員報告就有關於從國外引進端第一個部分是我們跟四個來源國在相關的會議或者是溝通上都有促請他們在這一方面多於配合他們也都有答應\", \"words\": [{\"word\": \"要\", \"start\": 511.634, \"end\": 511.774, \"score\": 0.998}, {\"word\": \"怎\", \"start\": 511.774, \"end\": 512.014, \"score\": 0.915}, {\"word\": \"麼\"}, {\"word\": \"修\", \"start\": 512.014, \"end\": 512.275, \"score\": 0.999}, {\"word\": \"正\", \"start\": 512.275, \"end\": 512.895, \"score\": 0.97}, {\"word\": \"所\", \"start\": 512.895, \"end\": 513.135, \"score\": 0.918}, {\"word\": \"謂\"}, {\"word\": \"的\", \"start\": 513.135, \"end\": 513.275, \"score\": 0.931}, {\"word\": \"修\", \"start\": 513.275, \"end\": 513.555, \"score\": 0.997}, {\"word\": \"正\", \"start\": 513.555, \"end\": 514.116, \"score\": 0.967}, {\"word\": \"是\", \"start\": 514.116, \"end\": 514.496, \"score\": 0.952}, {\"word\": \"往\", \"start\": 514.496, \"end\": 514.656, \"score\": 0.875}, {\"word\": \"哪\", \"start\": 514.656, \"end\": 514.896, \"score\": 0.822}, {\"word\": 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\"那未來這有關於相關的配套措施我們都在隨時觀察相應的數據在滾動檢討當中人不夠我們就會盡量去提供更衝突的人力錢不夠我們就會盡量在預算方面再去做相應的處理這邊請委員放心\", \"words\": [{\"word\": \"那\", \"start\": 738.903, \"end\": 739.383, \"score\": 0.96}, {\"word\": \"未\", \"start\": 739.383, \"end\": 739.944, \"score\": 0.925}, {\"word\": \"來\"}, {\"word\": \"這\"}, {\"word\": \"有\", \"start\": 739.944, \"end\": 740.324, \"score\": 0.948}, {\"word\": \"關\"}, {\"word\": \"於\", \"start\": 740.324, \"end\": 740.424, \"score\": 0.799}, {\"word\": \"相\", \"start\": 740.424, \"end\": 740.724, \"score\": 0.916}, {\"word\": \"關\"}, {\"word\": \"的\", \"start\": 740.724, \"end\": 740.844, \"score\": 0.974}, {\"word\": \"配\", \"start\": 740.844, \"end\": 740.944, \"score\": 0.979}, {\"word\": \"套\", \"start\": 740.944, \"end\": 741.125, \"score\": 0.889}, {\"word\": \"措\", \"start\": 741.125, \"end\": 741.325, \"score\": 0.912}, {\"word\": \"施\", \"start\": 741.325, \"end\": 741.485, \"score\": 0.906}, {\"word\": \"我\", \"start\": 741.485, \"end\": 741.665, \"score\": 0.911}, 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{\"word\": \"們\"}, {\"word\": \"就\", \"start\": 746.668, \"end\": 747.709, \"score\": 0.947}, {\"word\": \"會\"}, {\"word\": \"盡\"}, {\"word\": \"量\", \"start\": 747.709, \"end\": 747.949, \"score\": 0.998}, {\"word\": \"去\", \"start\": 747.949, \"end\": 748.209, \"score\": 0.923}, {\"word\": \"提\", \"start\": 748.209, \"end\": 748.39, \"score\": 0.896}, {\"word\": \"供\", \"start\": 748.39, \"end\": 748.67, \"score\": 0.997}, {\"word\": \"更\", \"start\": 748.67, \"end\": 749.07, \"score\": 0.942}, {\"word\": \"衝\"}, {\"word\": \"突\", \"start\": 749.07, \"end\": 749.19, \"score\": 0.715}, {\"word\": \"的\", \"start\": 749.19, \"end\": 749.31, \"score\": 0.83}, {\"word\": \"人\", \"start\": 749.31, \"end\": 749.45, \"score\": 0.856}, {\"word\": \"力\", \"start\": 749.45, \"end\": 749.851, \"score\": 0.923}, {\"word\": \"錢\"}, {\"word\": \"不\", \"start\": 749.851, \"end\": 750.171, \"score\": 0.839}, {\"word\": \"夠\"}, {\"word\": \"我\", \"start\": 750.171, \"end\": 750.391, \"score\": 0.831}, {\"word\": \"們\"}, {\"word\": \"就\", \"start\": 750.391, \"end\": 750.751, \"score\": 0.887}, {\"word\": \"會\"}, {\"word\": \"盡\"}, {\"word\": \"量\", \"start\": 750.751, \"end\": 751.011, \"score\": 0.998}, {\"word\": \"在\", \"start\": 751.011, \"end\": 751.492, \"score\": 0.956}, {\"word\": \"預\"}, {\"word\": \"算\", \"start\": 751.492, \"end\": 751.712, \"score\": 0.949}, {\"word\": \"方\", \"start\": 751.712, \"end\": 751.892, \"score\": 0.996}, {\"word\": \"面\", \"start\": 751.892, \"end\": 752.072, \"score\": 0.995}, {\"word\": \"再\", \"start\": 752.072, \"end\": 752.212, \"score\": 0.895}, {\"word\": \"去\", \"start\": 752.212, \"end\": 752.372, \"score\": 0.875}, {\"word\": \"做\", \"start\": 752.372, \"end\": 752.592, \"score\": 0.934}, {\"word\": \"相\", \"start\": 752.592, \"end\": 752.873, \"score\": 0.923}, {\"word\": \"應\"}, {\"word\": \"的\", \"start\": 752.873, \"end\": 753.313, \"score\": 0.952}, {\"word\": \"處\"}, {\"word\": \"理\", \"start\": 753.313, \"end\": 754.113, 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777.532, \"end\": 777.813, \"score\": 0.953}, {\"word\": \"障\", \"start\": 777.813, \"end\": 778.253, \"score\": 0.882}, {\"word\": \"礙\"}, {\"word\": \"者\", \"start\": 778.253, \"end\": 779.014, \"score\": 0.949}, {\"word\": \"如\", \"start\": 779.014, \"end\": 779.174, \"score\": 0.822}, {\"word\": \"果\", \"start\": 779.174, \"end\": 779.374, \"score\": 0.973}, {\"word\": \"依\", \"start\": 779.374, \"end\": 779.554, \"score\": 0.888}, {\"word\": \"照\", \"start\": 779.554, \"end\": 779.914, \"score\": 0.989}, {\"word\": \"他\", \"start\": 779.914, \"end\": 780.155, \"score\": 0.955}, {\"word\": \"的\", \"start\": 780.155, \"end\": 780.655, \"score\": 0.911}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"整\", \"start\": 780.655, \"end\": 781.075, \"score\": 0.892}, {\"word\": \"體\"}, {\"word\": \"的\", \"start\": 781.075, \"end\": 781.256, \"score\": 0.994}, {\"word\": \"身\", \"start\": 781.256, \"end\": 781.476, \"score\": 0.902}, {\"word\": \"心\", \"start\": 781.476, \"end\": 781.676, \"score\": 0.916}, {\"word\": \"障\", \"start\": 781.676, \"end\": 781.996, \"score\": 0.832}, {\"word\": \"礙\"}, {\"word\": \"者\", \"start\": 781.996, \"end\": 782.296, \"score\": 0.851}, {\"word\": \"來\"}, {\"word\": \"看\", \"start\": 782.296, \"end\": 782.697, \"score\": 0.919}, {\"word\": \"有\", \"start\": 782.697, \"end\": 782.717, \"score\": 0.689}, {\"word\": \"1\"}, {\"word\": \"2\"}, {\"word\": \"3\"}, {\"word\": \"萬\"}]}, {\"start\": 784.418, \"end\": 809.31, \"text\": \"那如果把這個急重度跟重度加進來也有34萬左右這個未來其實都是很潛在需要接受照顧的這一群那我們現在初估是10萬嘛那當然跟衛護部這邊也有很密切的合作如何能夠讓這個身心障礙者能夠得到大家共同的支持之下讓他們的這個生活家庭的這些負擔可以有效的減輕\", \"words\": [{\"word\": \"那\", \"start\": 784.418, \"end\": 784.598, \"score\": 0.951}, {\"word\": \"如\", \"start\": 784.598, \"end\": 784.718, \"score\": 0.971}, {\"word\": \"果\", \"start\": 784.718, \"end\": 784.878, \"score\": 0.835}, {\"word\": \"把\", \"start\": 784.878, \"end\": 785.519, \"score\": 0.932}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"急\", \"start\": 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\"主\", \"start\": 942.403, \"end\": 942.663, \"score\": 0.989}, {\"word\": \"力\", \"start\": 942.663, \"end\": 942.683, \"score\": 0.129}]}, {\"start\": 943.243, \"end\": 961.307, \"text\": \"那有一部分會是在進入到家庭裡面是由外刊的部分來做相應的處理那這邊有剛才包括王委員林委員很多委員有指教結構性的問題我們會跟衛福部再來做仔細的盤點參考日本的經驗來做對接這第一個部分要跟委員報告\", \"words\": [{\"word\": \"那\", \"start\": 943.243, \"end\": 943.383, \"score\": 0.976}, {\"word\": \"有\", \"start\": 943.383, \"end\": 943.524, \"score\": 0.917}, {\"word\": \"一\", \"start\": 943.524, \"end\": 943.664, \"score\": 1.0}, {\"word\": \"部\", \"start\": 943.664, \"end\": 943.924, \"score\": 1.0}, {\"word\": \"分\", \"start\": 943.924, \"end\": 944.565, \"score\": 0.964}, {\"word\": \"會\"}, {\"word\": \"是\", \"start\": 944.565, \"end\": 944.785, \"score\": 0.847}, {\"word\": \"在\", \"start\": 944.785, \"end\": 945.186, \"score\": 0.949}, {\"word\": \"進\"}, {\"word\": \"入\", \"start\": 945.186, \"end\": 945.306, \"score\": 0.971}, {\"word\": \"到\", \"start\": 945.306, \"end\": 945.466, 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\"多\", \"start\": 951.294, \"end\": 951.434, \"score\": 0.993}, {\"word\": \"委\", \"start\": 951.434, \"end\": 951.594, \"score\": 0.84}, {\"word\": \"員\"}, {\"word\": \"有\", \"start\": 951.594, \"end\": 951.774, \"score\": 0.901}, {\"word\": \"指\", \"start\": 951.774, \"end\": 951.934, \"score\": 0.985}, {\"word\": \"教\", \"start\": 951.934, \"end\": 952.475, \"score\": 0.892}, {\"word\": \"結\"}, {\"word\": \"構\"}, {\"word\": \"性\", \"start\": 952.475, \"end\": 952.896, \"score\": 0.884}, {\"word\": \"的\", \"start\": 952.896, \"end\": 952.996, \"score\": 0.812}, {\"word\": \"問\"}, {\"word\": \"題\"}, {\"word\": \"我\", \"start\": 952.996, \"end\": 953.677, \"score\": 0.91}, {\"word\": \"們\"}, {\"word\": \"會\"}, {\"word\": \"跟\", \"start\": 953.677, \"end\": 954.718, \"score\": 0.971}, {\"word\": \"衛\"}, {\"word\": \"福\", \"start\": 954.718, \"end\": 954.938, \"score\": 0.908}, {\"word\": \"部\", \"start\": 954.938, \"end\": 955.119, \"score\": 0.888}, {\"word\": \"再\", \"start\": 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\"score\": 0.935}, {\"word\": \"發\"}, {\"word\": \"言\", \"start\": 1019.973, \"end\": 1020.434, \"score\": 0.969}, {\"word\": \"感\", \"start\": 1020.434, \"end\": 1020.454, \"score\": 0.97}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}], \"language\": \"zh\"}","srt":"1\n00:00:00,069 --> 00:00:01,829\n謝謝那就麻煩次長來有請次長\n\n2\n00:00:29,170 --> 00:00:44,817\n王委員生日快樂謝謝因為今天這個很重要的題目透過這個就業服務法46條的修正以後引發出剛剛像我們師父委員所提到的核心問題\n\n3\n00:00:46,157 --> 00:01:14,069\n這個是大家一直面對那也透過這次的問題的呈現大家如果有機會來把相關的問題處理到一個釐清以後怎麼來做因應所以我覺得很佩服大家各位委員還有在所有官員在應對這個問題的時候所做的努力那我們也期待能夠在大家用心的處理之下能夠有機會來慢慢的脫離這個困境\n\n4\n00:01:15,169 --> 00:01:40,866\n那這邊我還是有幾個需要跟市長還有跟部裡面一起來討論的地方就是中正家庭的衝擊跟配套措施因為畢竟來講中正家庭所受到衝擊還是影響是比較立即而且是明顯那我們當初在修法的時候也擔心80歲做一個切割是不是會跟目前大家討論的這些困境\n\n5\n00:01:41,546 --> 00:02:04,202\n會有直接的關聯那我相信這個是可以看到的一些狀況那貴部也提了六個配套措施那我們就逐一的來看一下其中的兩三個裡面目前在實際的狀況上是怎麼處理的包括針對於這個國內承接的順位的最優先這也是一個配套\n\n6\n00:02:04,762 --> 00:02:25,655\n那另外針對於協調移工來源國能夠確保那個量能跟品質這個是大家非常關心的部分還有如何補足第一線為了因應這個修法導致這個人力的需求那他們的工作量或者是面對這些問題的時候如何能夠讓他們有效的來\n\n7\n00:02:26,896 --> 00:02:52,768\n面對這樣的困境那最後是不是除了剛剛所提到的擴編預算支持看護家庭包括從衛護部那邊也提供傳避服務這次也看到編列了11.8億針對這部分來做加強這個今天就利用這個機會來跟部裡面就教跟次長來就教一下第一個部分就是重症家庭國內承接順位的最優先\n\n8\n00:02:53,388 --> 00:03:08,715\n那我們可以從這個畫面上看到當一個重症案有這個需求的時候他有兩個可能性來取得招募的許可國外引進的部分我們等一下再談我們先看國內的承接\n\n9\n00:03:09,455 --> 00:03:25,867\n目前在處理上就是會把它變成一個最優先的承接順序而且是在14天裡面如果已經有目前在台灣的這些移工他被釋放出來的話他可以在14天裡面就來承接\n\n10\n00:03:27,047 --> 00:03:53,461\n當然這個14天很有可能他在媒合的時候發現這個對象不是他願意的所以他也可以有選擇權假設說他在這個7天的選擇權裡面後來沒有媒合成功這個14天要怎麼算這個未來在執行上可能不同的縣市或者是中央這邊有沒有一個一定的處理模式避免到時候每一個縣市覺得說我這個14天就是從一開始就是14天\n\n11\n00:03:54,501 --> 00:04:14,506\n另外有現實是說我因為媒合7天不成功我用從第7天開始算14天這個未來避免諮詢上的困難或者是諮詢上的差異性這部分可能要等一下請次長說明一下還有這個媒合率要怎麼確保因為輕症只有時間多這個是人性\n\n12\n00:04:15,166 --> 00:04:31,355\n如果是我們的話我們也會做這些選擇那我們怎麼能夠從這個國內承接的媒合率裡面去掌握到未來如果是真的媒合率很低的話那很顯然這個部分需要再做政策上的檢討或者是一些執行上的參考\n\n13\n00:04:31,875 --> 00:04:52,773\n那另外就是說如果我們要開放中心家庭可以跨業比的這個承接的話那如何能夠完成這個補充訓練那當然這個過程裡面其實職聘中心的量能就非常非常的重要目前我們的職聘的中心量能有辦法來應付或者是面對這個國內承接這樣的困境或者是問題嗎次長請\n\n14\n00:04:55,075 --> 00:05:17,795\n首先跟委員報告非常謝謝委員的關心就是有關於重症家庭國內承接優先這個部分那一般的國內承接大概都沒有原來都是按隨案來辦理但是我們這一次特別針對重症家庭預定了一個優先所以他會依照輕重分流的角度來理解所以\n\n15\n00:05:18,315 --> 00:05:32,445\n一旦有國內承接的狀況有移工要在國內承接我們優先來處理重症家庭的一個媒合那這媒合大概我們就會在14天裡面來相應的做處理那剛才委員所提到技術面的問題我們會來注意\n\n16\n00:05:33,926 --> 00:05:55,405\n那第二個部分當然就是國內媒合部分還是必須要雇主跟移工雙方面都能夠互相同意和理解才會有媒合成功那這部分我們會盡力的來做相應的媒合所以媒合的頻率和次數我們會來加強然後第二個部分就有關於職聘中心也好相關的救福站的媒合的部分也好我們會來\n\n17\n00:05:57,387 --> 00:06:12,289\n提升相關的人力來多做一些事情所以包括我們後面所講的相關的人力的部分包括衛務部那邊的照管中心包括勞動部這邊相應的人力以至於到未來在外管的部分的那個\n\n18\n00:06:14,070 --> 00:06:41,782\n簽證的部分還有未來引進之後我們地方的勞動的相應的人員有去看探視或看訪的相應的部分相關的人力我們通通在後面會去估算出來也做了一些相應的編配大概188人左右所以委員的建議我們有充分的注意到當然最終還是會取決於勞僱雙方面的一個合議那在這部分裡面我們會盡量來\n\n19\n00:06:42,962 --> 00:06:51,011\n協助大家去做完整的相應的界階盡量讓重症家庭在這一波的狀況裡面衝擊降到最低\n\n20\n00:06:51,738 --> 00:07:20,791\n好那針對14天的起算跟時效的這個過程的計算可能部裡面還是要先確認好謝謝那再過來就是有關於如果是重症案進入到招募許可的過程裡面是國外引進這個移工來協助幫忙做照顧的話那因為我們知道一個移工要進到台灣他需要有三個單位的審查包括在簽證的部分是外交部\n\n21\n00:07:21,471 --> 00:07:46,922\n那第二部分就是聘僱許可是勞動部就是貴部那拘留證是移民署所以這個是一個當然剛剛會提到為什麼我們需要仲介來協助有他一定的這個道理跟他的這個冗長的過程所以這部分想要確認就是在外館優先處理的部分有沒有跟外交部有過相關的協商或者是請他們來幫忙\n\n22\n00:07:48,343 --> 00:08:05,452\n那另外我們也知道這個工作資格其實很多種那我們目前討論的這個照顧的部分是其中的一種所以這個會不會有其他的行政措施導致變成這個簽證競合的現象所以這部分可能也要麻煩持續跟外交部這邊來做處理\n\n23\n00:08:06,676 --> 00:08:30,513\n那另外就是如果如果說依照我們現在從國外引進這個框框裡面的第三項要修正仲介評鑑的要點來引導仲介機構優先處理仲正這是一個很好的方向至少我們讓仲正的這個機構知道他們必須要針對仲正當作一個優先處理的一個對象那請問\n\n24\n00:08:31,634 --> 00:08:55,308\n要怎麼修正所謂的修正是往哪個方向修正還有目前修正的時程那完備了嗎跟委員報告就有關於從國外引進端第一個部分是我們跟四個來源國在相關的會議或者是溝通上都有促請他們在這一方面多於配合他們也都有答應\n\n25\n00:08:55,968 --> 00:09:21,985\n那當然這個具體的人數會涉及到當地進來之前包括語文包括相關照護技術的一個培訓的量所以還在處理當中但是來源國大概都有表達願意配合的部分那第二部分是有關於簽證的部分我們在外館那一邊也預見可能會有一些數量的增加那這些數量的增加會增加外館同仁的負荷所以我們也\n\n26\n00:09:23,025 --> 00:09:40,149\n提供了相應的人力的補助給外交部在外管的部分可以去做相應的處理那在處理面向當然就盡量讓重症家庭能夠不會比現在的引進的時程拖延至少要維持住目前的狀況能夠提早是更好\n\n27\n00:09:40,649 --> 00:10:09,969\n那第三個部分是在國內的部分國內的部分我們其實在家庭看護工我們是有一站式的服務在這一邊移民署的居留簽證會在那個時候就已經相應的做處理所以這部分大概請委員放心那至於大家也提到說仲介的部仲介是不是會有欺重責輕或者是其他相應的事情所以我們在仲介這部分我們會透過仲介的評鑑來做相應的要求案處理\n\n28\n00:10:10,689 --> 00:10:31,717\n我們的仲介業的制度當然分成不同的等級那不同的等級有些一定年限是要退場的那有些他是可以有一些獎勵或者是後續免貧的機制我們在這裡面會去要求仲介業者在這中間服務重症家庭的狀況要達到一定的要求那相應的細節我們現在在規劃當中我們會盡快來處理\n\n29\n00:10:34,518 --> 00:10:59,349\n是所以如果這方面的評鑑要點有修正到一個程度可不可以提供給委員會或是我們的辦公室來做參考好謝謝那再過來就是有關於補足第一線人力這個也是一個重要的配套那我們剛剛也聽次長知道說有關於這個駐外這個使館的簽證的僱員會增加10名包括印尼有6名越南3名菲律賓1名\n\n30\n00:11:00,369 --> 00:11:16,902\n當然可能還要才需要的話事實再來做調整那其他的包括各縣市的長照管理中心還有這個事務中心分別增加一共原有是188名那另外我們也注意到為了要提升地方的審查的這個諮詢\n\n31\n00:11:18,363 --> 00:11:33,151\n他設立了一個叫做查查諮詢督導員這個督導員目前是有為了這個法新增了補助地方政府90名這樣的人力我們也知道這樣的人力其實是很辛苦因為他要到現場去確認去了解\n\n32\n00:11:36,233 --> 00:11:57,291\n我們進來這個勞工他在工作性質有沒有偏離他當初要看護的這個需求那如果違規的話當然就需要做後續的處理那我們擔心的就是如果真的擴增到這麼多的申請案的話那我們這樣的人力到時候假設因應不足的話還有沒有其他的配套措施\n\n33\n00:11:58,011 --> 00:12:18,003\n這一部分跟委員報告相應的部分因為剛才其實也很多委員關切這10萬或者是多少人那我們目前觀察的趨勢是這個案子基本上第一週跟第二週大概第二週會比第一週成長了兩倍那未來整個的趨勢大概一定會跟目前的中正家庭會受到一些影響\n\n34\n00:12:18,903 --> 00:12:34,574\n那未來這有關於相關的配套措施我們都在隨時觀察相應的數據在滾動檢討當中人不夠我們就會盡量去提供更衝突的人力錢不夠我們就會盡量在預算方面再去做相應的處理這邊請委員放心\n\n35\n00:12:35,434 --> 00:13:02,717\n是的我相信如果是有這個預算需求的話應該所有委員都會努力的來促成那再過來就是有兩個建議事項也請部理次長這邊參考一下因為我們剛剛也聽到蘇文委員非常擔心我們從這個報表裡面可以看得出來在114年的6月2號重現的就是身心障礙者如果依照他的這個整體的身心障礙者來看有123萬\n\n36\n00:13:04,418 --> 00:13:29,310\n那如果把這個急重度跟重度加進來也有34萬左右這個未來其實都是很潛在需要接受照顧的這一群那我們現在初估是10萬嘛那當然跟衛護部這邊也有很密切的合作如何能夠讓這個身心障礙者能夠得到大家共同的支持之下讓他們的這個生活家庭的這些負擔可以有效的減輕\n\n37\n00:13:30,410 --> 00:13:52,537\n所以根據未來這樣的需求也希望兩個部會能夠持續的密切合作針對於不管是長照3.0以後帶來這些影響幫忙還有針對這個就業服務法修正以後帶來的衝擊影響都能夠持續的來做相關的這些討論還有互相的合作\n\n38\n00:13:53,197 --> 00:14:12,340\n那另外就是有關於其實大家很擔心這些重症的家庭他們為了要讓這些服務人力可以到位那他需要包括相關的這個移工的這個就業安定費的這個部分\n\n39\n00:14:12,941 --> 00:14:36,156\n那有沒有機會請部長再跟請部長再跟大家討論看看能不能停徵就重症家庭申請移工的就業安定會這方面的這些帶來的衝擊這種費用我想如果能夠針對重症家庭提供相關這樣的這個服務內容的話對這些家庭來講應該是有\n\n40\n00:14:38,077 --> 00:14:56,463\n很感心因為他要照顧這個重症的家人已經非常非常的辛苦了如果能夠有這樣的這個處置的話相信對他們是有很大的一個安心感最後就是希望能夠老公部所提出的這些跨部會協商方案都能夠要落實那也希望\n\n41\n00:14:57,083 --> 00:15:13,416\n我們知道今天在討論重症那其他都是剛剛部長也提到就是用一般的處理方式所以未來針對這個這麼越來越多元的需求量能越來越大的需求之下怎麼來一併的評估因應的這些需要性\n\n42\n00:15:14,056 --> 00:15:42,683\n那最後也真的是希望能夠投入資源給重症家庭有十足的幫助那這部分再麻煩市長跟委員報告第一個部分就是有關於國內的生醫障礙者超過100萬那我們其實在高齡化的社會已經來臨所以我們對很多失能的長者或生醫障礙的朋友其實是需要做更多的照顧其實國內整體的政策會從長照2.0走到長照3.0這部分是我們國內整體照顧的主力\n\n43\n00:15:43,243 --> 00:16:01,307\n那有一部分會是在進入到家庭裡面是由外刊的部分來做相應的處理那這邊有剛才包括王委員林委員很多委員有指教結構性的問題我們會跟衛福部再來做仔細的盤點參考日本的經驗來做對接這第一個部分要跟委員報告\n\n44\n00:16:01,887 --> 00:16:22,069\n然後第二部分是有關於就業安定費的部分就業安定費當時的理解是為了讓使用者付費然後能夠避免影響到國內的勞動條件所以就業安定費收來的就業安定基金才會用在促進國民就業提升勞工福祉還有跨國勞動力事務管理這幾個主要的面向\n\n45\n00:16:22,629 --> 00:16:49,836\n那以那個低收或中低收這些經濟弱勢的家庭目前都是免收就業安定費的大概我們估計相關統計大概有1.2萬那至於說未來因應這樣一個修法的趨勢還有未來就業安定費整體的檢討我們會跟整體的制度面再來一起做相應的做一些細部的討論那這邊委員的意見我們會把它納入討論的內容和參考謝謝委員\n\n46\n00:16:52,037 --> 00:17:00,454\n好非常感謝次長的這個部分給我們的回應那也謝謝主席讓我能夠充分的發言感謝謝謝\n\n","tsv":"start\tend\ttext\n69\t1829\t謝謝那就麻煩次長來 有請次長\n29170\t44817\t王委員生日快樂謝謝因為今天這個很重要的題目透過這個就業服務法46條的修正以後引發出剛剛像我們師父委員所提到的核心問題\n46157\t74069\t這個是大家一直面對那也透過這次的問題的呈現大家如果有機會來把相關的問題處理到一個釐清以後怎麼來做因應所以我覺得很佩服大家各位委員還有在所有官員在應對這個問題的時候所做的努力那我們也期待能夠在大家用心的處理之下能夠有機會來慢慢的脫離這個困境\n75169\t100866\t那這邊我還是有幾個需要跟市長還有跟部裡面一起來討論的地方就是中正家庭的衝擊跟配套措施因為畢竟來講中正家庭所受到衝擊還是影響是比較立即而且是明顯那我們當初在修法的時候也擔心80歲做一個切割是不是會跟目前大家討論的這些困境\n101546\t124202\t會有直接的關聯那我相信這個是可以看到的一些狀況那貴部也提了六個配套措施那我們就逐一的來看一下其中的兩三個裡面目前在實際的狀況上是怎麼處理的包括針對於這個國內承接的順位的最優先這也是一個配套\n124762\t145655\t那另外針對於協調移工來源國能夠確保那個量能跟品質這個是大家非常關心的部分還有如何補足第一線為了因應這個修法導致這個人力的需求那他們的工作量或者是面對這些問題的時候如何能夠讓他們有效的來\n146896\t172768\t面對這樣的困境那最後是不是除了剛剛所提到的擴編預算支持看護家庭包括從衛護部那邊也提供傳避服務這次也看到編列了11.8億針對這部分來做加強這個今天就利用這個機會來跟部裡面就教跟次長來就教一下第一個部分就是重症家庭國內承接順位的最優先\n173388\t188715\t那我們可以從這個畫面上看到當一個重症案有這個需求的時候他有兩個可能性來取得招募的許可國外引進的部分我們等一下再談我們先看國內的承接\n189455\t205867\t目前在處理上就是會把它變成一個最優先的承接順序而且是在14天裡面如果已經有目前在台灣的這些移工他被釋放出來的話他可以在14天裡面就來承接\n207047\t233461\t當然這個14天很有可能他在媒合的時候發現這個對象不是他願意的所以他也可以有選擇權假設說他在這個7天的選擇權裡面後來沒有媒合成功這個14天要怎麼算這個未來在執行上可能不同的縣市或者是中央這邊有沒有一個一定的處理模式避免到時候每一個縣市覺得說我這個14天就是從一開始就是14天\n234501\t254506\t另外有現實是說我因為媒合7天不成功我用從第7天開始算14天這個未來避免諮詢上的困難或者是諮詢上的差異性這部分可能要等一下請次長說明一下還有這個媒合率要怎麼確保因為輕症 只有時間多這個是人性\n255166\t271355\t如果是我們的話我們也會做這些選擇那我們怎麼能夠從這個國內承接的媒合率裡面去掌握到未來如果是真的媒合率很低的話那很顯然這個部分需要再做政策上的檢討或者是一些執行上的參考\n271875\t292773\t那另外就是說如果我們要開放中心家庭可以跨業比的這個承接的話那如何能夠完成這個補充訓練那當然這個過程裡面其實職聘中心的量能就非常非常的重要目前我們的職聘的中心量能有辦法來應付或者是面對這個國內承接這樣的困境或者是問題嗎次長請\n295075\t317795\t首先跟委員報告非常謝謝委員的關心就是有關於重症家庭國內承接優先這個部分那一般的國內承接大概都沒有原來都是按隨案來辦理但是我們這一次特別針對重症家庭預定了一個優先所以他會依照輕重分流的角度來理解所以\n318315\t332445\t一旦有國內承接的狀況有移工要在國內承接我們優先來處理重症家庭的一個媒合那這媒合大概我們就會在14天裡面來相應的做處理那剛才委員所提到技術面的問題我們會來注意\n333926\t355405\t那第二個部分當然就是國內媒合部分還是必須要雇主跟移工雙方面都能夠互相同意和理解才會有媒合成功那這部分我們會盡力的來做相應的媒合所以媒合的頻率和次數我們會來加強然後第二個部分就有關於職聘中心也好相關的救福站的媒合的部分也好我們會來\n357387\t372289\t提升相關的人力來多做一些事情所以包括我們後面所講的相關的人力的部分包括衛務部那邊的照管中心包括勞動部這邊相應的人力以至於到未來在外管的部分的那個\n374070\t401782\t簽證的部分還有未來引進之後我們地方的勞動的相應的人員有去看探視或看訪的相應的部分相關的人力我們通通在後面會去估算出來也做了一些相應的編配大概188人左右所以委員的建議我們有充分的注意到當然最終還是會取決於勞僱雙方面的一個合議那在這部分裡面我們會盡量來\n402962\t411011\t協助大家去做完整的相應的界階盡量讓重症家庭在這一波的狀況裡面衝擊降到最低\n411738\t440791\t好那針對14天的起算跟時效的這個過程的計算可能部裡面還是要先確認好謝謝那再過來就是有關於如果是重症案進入到招募許可的過程裡面是國外引進這個移工來協助幫忙做照顧的話那因為我們知道一個移工要進到台灣他需要有三個單位的審查包括在簽證的部分是外交部\n441471\t466922\t那第二部分就是聘僱許可是勞動部就是貴部那拘留證是移民署所以這個是一個當然剛剛會提到為什麼我們需要仲介來協助有他一定的這個道理跟他的這個冗長的過程所以這部分想要確認就是在外館優先處理的部分有沒有跟外交部有過相關的協商或者是請他們來幫忙\n468343\t485452\t那另外我們也知道這個工作資格其實很多種那我們目前討論的這個照顧的部分是其中的一種所以這個會不會有其他的行政措施導致變成這個簽證競合的現象所以這部分可能也要麻煩持續跟外交部這邊來做處理\n486676\t510513\t那另外就是如果如果說依照我們現在從國外引進這個框框裡面的第三項要修正仲介評鑑的要點來引導仲介機構優先處理仲正這是一個很好的方向至少我們讓仲正的這個機構知道他們必須要針對仲正當作一個優先處理的一個對象那請問\n511634\t535308\t要怎麼修正所謂的修正是往哪個方向修正還有目前修正的時程那完備了嗎跟委員報告就有關於從國外引進端第一個部分是我們跟四個來源國在相關的會議或者是溝通上都有促請他們在這一方面多於配合他們也都有答應\n535968\t561985\t那當然這個具體的人數會涉及到當地進來之前包括語文包括相關照護技術的一個培訓的量所以還在處理當中但是來源國大概都有表達願意配合的部分那第二部分是有關於簽證的部分我們在外館那一邊也預見可能會有一些數量的增加那這些數量的增加會增加外館同仁的負荷所以我們也\n563025\t580149\t提供了相應的人力的補助給外交部在外管的部分可以去做相應的處理那在處理面向當然就盡量讓重症家庭能夠不會比現在的引進的時程拖延至少要維持住目前的狀況能夠提早是更好\n580649\t609969\t那第三個部分是在國內的部分國內的部分我們其實在家庭看護工我們是有一站式的服務在這一邊移民署的居留簽證會在那個時候就已經相應的做處理所以這部分大概請委員放心那至於大家也提到說仲介的部仲介是不是會有欺重責輕或者是其他相應的事情所以我們在仲介這部分我們會透過仲介的評鑑來做相應的要求案處理\n610689\t631717\t我們的仲介業的制度當然分成不同的等級那不同的等級有些一定年限是要退場的那有些他是可以有一些獎勵或者是後續免貧的機制我們在這裡面會去要求仲介業者在這中間服務重症家庭的狀況要達到一定的要求那相應的細節我們現在在規劃當中我們會盡快來處理\n634518\t659349\t是 所以如果這方面的評鑑要點有修正到一個程度可不可以提供給委員會或是我們的辦公室來做參考好 謝謝那再過來就是有關於補足第一線人力這個也是一個重要的配套那我們剛剛也聽次長知道說有關於這個駐外這個使館的簽證的僱員會增加10名包括印尼有6名 越南3名 菲律賓1名\n660369\t676902\t當然可能還要才需要的話事實再來做調整那其他的包括各縣市的長照管理中心還有這個事務中心分別增加一共原有是188名那另外我們也注意到為了要提升地方的審查的這個諮詢\n678363\t693151\t他設立了一個叫做查查諮詢督導員這個督導員目前是有為了這個法新增了補助地方政府90名這樣的人力我們也知道這樣的人力其實是很辛苦因為他要到現場去確認去了解\n696233\t717291\t我們進來這個勞工他在工作性質有沒有偏離他當初要看護的這個需求那如果違規的話當然就需要做後續的處理那我們擔心的就是如果真的擴增到這麼多的申請案的話那我們這樣的人力到時候假設因應不足的話還有沒有其他的配套措施\n718011\t738003\t這一部分跟委員報告相應的部分因為剛才其實也很多委員關切這10萬或者是多少人那我們目前觀察的趨勢是這個案子基本上第一週跟第二週大概第二週會比第一週成長了兩倍那未來整個的趨勢大概一定會跟目前的中正家庭會受到一些影響\n738903\t754574\t那未來這有關於相關的配套措施我們都在隨時觀察相應的數據在滾動檢討當中人不夠我們就會盡量去提供更衝突的人力錢不夠我們就會盡量在預算方面再去做相應的處理這邊請委員放心\n755434\t782717\t是的我相信如果是有這個預算需求的話應該所有委員都會努力的來促成那再過來就是有兩個建議事項也請部理次長這邊參考一下因為我們剛剛也聽到蘇文委員非常擔心我們從這個報表裡面可以看得出來在114年的6月2號重現的就是身心障礙者如果依照他的這個整體的身心障礙者來看有123萬\n784418\t809310\t那如果把這個急重度跟重度加進來也有34萬左右這個未來其實都是很潛在需要接受照顧的這一群那我們現在初估是10萬嘛那當然跟衛護部這邊也有很密切的合作如何能夠讓這個身心障礙者能夠得到大家共同的支持之下讓他們的這個生活家庭的這些負擔可以有效的減輕\n810410\t832537\t所以根據未來這樣的需求也希望兩個部會能夠持續的密切合作針對於不管是長照3.0以後帶來這些影響幫忙還有針對這個就業服務法修正以後帶來的衝擊影響都能夠持續的來做相關的這些討論還有互相的合作\n833197\t852340\t那另外就是有關於其實大家很擔心這些重症的家庭他們為了要讓這些服務人力可以到位那他需要包括相關的這個移工的這個就業安定費的這個部分\n852941\t876156\t那有沒有機會請部長再跟請部長再跟大家討論看看能不能停徵就重症家庭申請移工的就業安定會這方面的這些帶來的衝擊這種費用我想如果能夠針對重症家庭提供相關這樣的這個服務內容的話對這些家庭來講應該是有\n878077\t896463\t很感心因為他要照顧這個重症的家人已經非常非常的辛苦了如果能夠有這樣的這個處置的話相信對他們是有很大的一個安心感最後就是希望能夠老公部所提出的這些跨部會協商方案都能夠要落實那也希望\n897083\t913416\t我們知道今天在討論重症那其他都是剛剛部長也提到就是用一般的處理方式所以未來針對這個這麼越來越多元的需求量能越來越大的需求之下怎麼來一併的評估因應的這些需要性\n914056\t942683\t那最後也真的是希望能夠投入資源給重症家庭有十足的幫助那這部分再麻煩市長跟委員報告第一個部分就是有關於國內的生醫障礙者超過100萬那我們其實在高齡化的社會已經來臨所以我們對很多失能的長者或生醫障礙的朋友其實是需要做更多的照顧其實國內整體的政策會從長照2.0走到長照3.0這部分是我們國內整體照顧的主力\n943243\t961307\t那有一部分會是在進入到家庭裡面是由外刊的部分來做相應的處理那這邊有剛才包括王委員林委員很多委員有指教結構性的問題我們會跟衛福部再來做仔細的盤點參考日本的經驗來做對接這第一個部分要跟委員報告\n961887\t982069\t然後第二部分是有關於就業安定費的部分就業安定費當時的理解是為了讓使用者付費然後能夠避免影響到國內的勞動條件所以就業安定費收來的就業安定基金才會用在促進國民就業提升勞工福祉還有跨國勞動力事務管理這幾個主要的面向\n982629\t1009836\t那以那個低收或中低收這些經濟弱勢的家庭目前都是免收就業安定費的大概我們估計相關統計大概有1.2萬那至於說未來因應這樣一個修法的趨勢還有未來就業安定費整體的檢討我們會跟整體的制度面再來一起做相應的做一些細部的討論那這邊委員的意見我們會把它納入討論的內容和參考謝謝委員\n1012037\t1020454\t好非常感謝次長的這個部分給我們的回應那也謝謝主席讓我能夠充分的發言感謝謝謝\n","txt":"謝謝那就麻煩次長來 有請次長\n王委員生日快樂謝謝因為今天這個很重要的題目透過這個就業服務法46條的修正以後引發出剛剛像我們師父委員所提到的核心問題\n這個是大家一直面對那也透過這次的問題的呈現大家如果有機會來把相關的問題處理到一個釐清以後怎麼來做因應所以我覺得很佩服大家各位委員還有在所有官員在應對這個問題的時候所做的努力那我們也期待能夠在大家用心的處理之下能夠有機會來慢慢的脫離這個困境\n那這邊我還是有幾個需要跟市長還有跟部裡面一起來討論的地方就是中正家庭的衝擊跟配套措施因為畢竟來講中正家庭所受到衝擊還是影響是比較立即而且是明顯那我們當初在修法的時候也擔心80歲做一個切割是不是會跟目前大家討論的這些困境\n會有直接的關聯那我相信這個是可以看到的一些狀況那貴部也提了六個配套措施那我們就逐一的來看一下其中的兩三個裡面目前在實際的狀況上是怎麼處理的包括針對於這個國內承接的順位的最優先這也是一個配套\n那另外針對於協調移工來源國能夠確保那個量能跟品質這個是大家非常關心的部分還有如何補足第一線為了因應這個修法導致這個人力的需求那他們的工作量或者是面對這些問題的時候如何能夠讓他們有效的來\n面對這樣的困境那最後是不是除了剛剛所提到的擴編預算支持看護家庭包括從衛護部那邊也提供傳避服務這次也看到編列了11.8億針對這部分來做加強這個今天就利用這個機會來跟部裡面就教跟次長來就教一下第一個部分就是重症家庭國內承接順位的最優先\n那我們可以從這個畫面上看到當一個重症案有這個需求的時候他有兩個可能性來取得招募的許可國外引進的部分我們等一下再談我們先看國內的承接\n目前在處理上就是會把它變成一個最優先的承接順序而且是在14天裡面如果已經有目前在台灣的這些移工他被釋放出來的話他可以在14天裡面就來承接\n當然這個14天很有可能他在媒合的時候發現這個對象不是他願意的所以他也可以有選擇權假設說他在這個7天的選擇權裡面後來沒有媒合成功這個14天要怎麼算這個未來在執行上可能不同的縣市或者是中央這邊有沒有一個一定的處理模式避免到時候每一個縣市覺得說我這個14天就是從一開始就是14天\n另外有現實是說我因為媒合7天不成功我用從第7天開始算14天這個未來避免諮詢上的困難或者是諮詢上的差異性這部分可能要等一下請次長說明一下還有這個媒合率要怎麼確保因為輕症 只有時間多這個是人性\n如果是我們的話我們也會做這些選擇那我們怎麼能夠從這個國內承接的媒合率裡面去掌握到未來如果是真的媒合率很低的話那很顯然這個部分需要再做政策上的檢討或者是一些執行上的參考\n那另外就是說如果我們要開放中心家庭可以跨業比的這個承接的話那如何能夠完成這個補充訓練那當然這個過程裡面其實職聘中心的量能就非常非常的重要目前我們的職聘的中心量能有辦法來應付或者是面對這個國內承接這樣的困境或者是問題嗎次長請\n首先跟委員報告非常謝謝委員的關心就是有關於重症家庭國內承接優先這個部分那一般的國內承接大概都沒有原來都是按隨案來辦理但是我們這一次特別針對重症家庭預定了一個優先所以他會依照輕重分流的角度來理解所以\n一旦有國內承接的狀況有移工要在國內承接我們優先來處理重症家庭的一個媒合那這媒合大概我們就會在14天裡面來相應的做處理那剛才委員所提到技術面的問題我們會來注意\n那第二個部分當然就是國內媒合部分還是必須要雇主跟移工雙方面都能夠互相同意和理解才會有媒合成功那這部分我們會盡力的來做相應的媒合所以媒合的頻率和次數我們會來加強然後第二個部分就有關於職聘中心也好相關的救福站的媒合的部分也好我們會來\n提升相關的人力來多做一些事情所以包括我們後面所講的相關的人力的部分包括衛務部那邊的照管中心包括勞動部這邊相應的人力以至於到未來在外管的部分的那個\n簽證的部分還有未來引進之後我們地方的勞動的相應的人員有去看探視或看訪的相應的部分相關的人力我們通通在後面會去估算出來也做了一些相應的編配大概188人左右所以委員的建議我們有充分的注意到當然最終還是會取決於勞僱雙方面的一個合議那在這部分裡面我們會盡量來\n協助大家去做完整的相應的界階盡量讓重症家庭在這一波的狀況裡面衝擊降到最低\n好那針對14天的起算跟時效的這個過程的計算可能部裡面還是要先確認好謝謝那再過來就是有關於如果是重症案進入到招募許可的過程裡面是國外引進這個移工來協助幫忙做照顧的話那因為我們知道一個移工要進到台灣他需要有三個單位的審查包括在簽證的部分是外交部\n那第二部分就是聘僱許可是勞動部就是貴部那拘留證是移民署所以這個是一個當然剛剛會提到為什麼我們需要仲介來協助有他一定的這個道理跟他的這個冗長的過程所以這部分想要確認就是在外館優先處理的部分有沒有跟外交部有過相關的協商或者是請他們來幫忙\n那另外我們也知道這個工作資格其實很多種那我們目前討論的這個照顧的部分是其中的一種所以這個會不會有其他的行政措施導致變成這個簽證競合的現象所以這部分可能也要麻煩持續跟外交部這邊來做處理\n那另外就是如果如果說依照我們現在從國外引進這個框框裡面的第三項要修正仲介評鑑的要點來引導仲介機構優先處理仲正這是一個很好的方向至少我們讓仲正的這個機構知道他們必須要針對仲正當作一個優先處理的一個對象那請問\n要怎麼修正所謂的修正是往哪個方向修正還有目前修正的時程那完備了嗎跟委員報告就有關於從國外引進端第一個部分是我們跟四個來源國在相關的會議或者是溝通上都有促請他們在這一方面多於配合他們也都有答應\n那當然這個具體的人數會涉及到當地進來之前包括語文包括相關照護技術的一個培訓的量所以還在處理當中但是來源國大概都有表達願意配合的部分那第二部分是有關於簽證的部分我們在外館那一邊也預見可能會有一些數量的增加那這些數量的增加會增加外館同仁的負荷所以我們也\n提供了相應的人力的補助給外交部在外管的部分可以去做相應的處理那在處理面向當然就盡量讓重症家庭能夠不會比現在的引進的時程拖延至少要維持住目前的狀況能夠提早是更好\n那第三個部分是在國內的部分國內的部分我們其實在家庭看護工我們是有一站式的服務在這一邊移民署的居留簽證會在那個時候就已經相應的做處理所以這部分大概請委員放心那至於大家也提到說仲介的部仲介是不是會有欺重責輕或者是其他相應的事情所以我們在仲介這部分我們會透過仲介的評鑑來做相應的要求案處理\n我們的仲介業的制度當然分成不同的等級那不同的等級有些一定年限是要退場的那有些他是可以有一些獎勵或者是後續免貧的機制我們在這裡面會去要求仲介業者在這中間服務重症家庭的狀況要達到一定的要求那相應的細節我們現在在規劃當中我們會盡快來處理\n是 所以如果這方面的評鑑要點有修正到一個程度可不可以提供給委員會或是我們的辦公室來做參考好 謝謝那再過來就是有關於補足第一線人力這個也是一個重要的配套那我們剛剛也聽次長知道說有關於這個駐外這個使館的簽證的僱員會增加10名包括印尼有6名 越南3名 菲律賓1名\n當然可能還要才需要的話事實再來做調整那其他的包括各縣市的長照管理中心還有這個事務中心分別增加一共原有是188名那另外我們也注意到為了要提升地方的審查的這個諮詢\n他設立了一個叫做查查諮詢督導員這個督導員目前是有為了這個法新增了補助地方政府90名這樣的人力我們也知道這樣的人力其實是很辛苦因為他要到現場去確認去了解\n我們進來這個勞工他在工作性質有沒有偏離他當初要看護的這個需求那如果違規的話當然就需要做後續的處理那我們擔心的就是如果真的擴增到這麼多的申請案的話那我們這樣的人力到時候假設因應不足的話還有沒有其他的配套措施\n這一部分跟委員報告相應的部分因為剛才其實也很多委員關切這10萬或者是多少人那我們目前觀察的趨勢是這個案子基本上第一週跟第二週大概第二週會比第一週成長了兩倍那未來整個的趨勢大概一定會跟目前的中正家庭會受到一些影響\n那未來這有關於相關的配套措施我們都在隨時觀察相應的數據在滾動檢討當中人不夠我們就會盡量去提供更衝突的人力錢不夠我們就會盡量在預算方面再去做相應的處理這邊請委員放心\n是的我相信如果是有這個預算需求的話應該所有委員都會努力的來促成那再過來就是有兩個建議事項也請部理次長這邊參考一下因為我們剛剛也聽到蘇文委員非常擔心我們從這個報表裡面可以看得出來在114年的6月2號重現的就是身心障礙者如果依照他的這個整體的身心障礙者來看有123萬\n那如果把這個急重度跟重度加進來也有34萬左右這個未來其實都是很潛在需要接受照顧的這一群那我們現在初估是10萬嘛那當然跟衛護部這邊也有很密切的合作如何能夠讓這個身心障礙者能夠得到大家共同的支持之下讓他們的這個生活家庭的這些負擔可以有效的減輕\n所以根據未來這樣的需求也希望兩個部會能夠持續的密切合作針對於不管是長照3.0以後帶來這些影響幫忙還有針對這個就業服務法修正以後帶來的衝擊影響都能夠持續的來做相關的這些討論還有互相的合作\n那另外就是有關於其實大家很擔心這些重症的家庭他們為了要讓這些服務人力可以到位那他需要包括相關的這個移工的這個就業安定費的這個部分\n那有沒有機會請部長再跟請部長再跟大家討論看看能不能停徵就重症家庭申請移工的就業安定會這方面的這些帶來的衝擊這種費用我想如果能夠針對重症家庭提供相關這樣的這個服務內容的話對這些家庭來講應該是有\n很感心因為他要照顧這個重症的家人已經非常非常的辛苦了如果能夠有這樣的這個處置的話相信對他們是有很大的一個安心感最後就是希望能夠老公部所提出的這些跨部會協商方案都能夠要落實那也希望\n我們知道今天在討論重症那其他都是剛剛部長也提到就是用一般的處理方式所以未來針對這個這麼越來越多元的需求量能越來越大的需求之下怎麼來一併的評估因應的這些需要性\n那最後也真的是希望能夠投入資源給重症家庭有十足的幫助那這部分再麻煩市長跟委員報告第一個部分就是有關於國內的生醫障礙者超過100萬那我們其實在高齡化的社會已經來臨所以我們對很多失能的長者或生醫障礙的朋友其實是需要做更多的照顧其實國內整體的政策會從長照2.0走到長照3.0這部分是我們國內整體照顧的主力\n那有一部分會是在進入到家庭裡面是由外刊的部分來做相應的處理那這邊有剛才包括王委員林委員很多委員有指教結構性的問題我們會跟衛福部再來做仔細的盤點參考日本的經驗來做對接這第一個部分要跟委員報告\n然後第二部分是有關於就業安定費的部分就業安定費當時的理解是為了讓使用者付費然後能夠避免影響到國內的勞動條件所以就業安定費收來的就業安定基金才會用在促進國民就業提升勞工福祉還有跨國勞動力事務管理這幾個主要的面向\n那以那個低收或中低收這些經濟弱勢的家庭目前都是免收就業安定費的大概我們估計相關統計大概有1.2萬那至於說未來因應這樣一個修法的趨勢還有未來就業安定費整體的檢討我們會跟整體的制度面再來一起做相應的做一些細部的討論那這邊委員的意見我們會把它納入討論的內容和參考謝謝委員\n好非常感謝次長的這個部分給我們的回應那也謝謝主席讓我能夠充分的發言感謝謝謝\n","vtt":"WEBVTT\n\n00:00.069 --> 00:01.829\n謝謝那就麻煩次長來有請次長\n\n00:29.170 --> 00:44.817\n王委員生日快樂謝謝因為今天這個很重要的題目透過這個就業服務法46條的修正以後引發出剛剛像我們師父委員所提到的核心問題\n\n00:46.157 --> 01:14.069\n這個是大家一直面對那也透過這次的問題的呈現大家如果有機會來把相關的問題處理到一個釐清以後怎麼來做因應所以我覺得很佩服大家各位委員還有在所有官員在應對這個問題的時候所做的努力那我們也期待能夠在大家用心的處理之下能夠有機會來慢慢的脫離這個困境\n\n01:15.169 --> 01:40.866\n那這邊我還是有幾個需要跟市長還有跟部裡面一起來討論的地方就是中正家庭的衝擊跟配套措施因為畢竟來講中正家庭所受到衝擊還是影響是比較立即而且是明顯那我們當初在修法的時候也擔心80歲做一個切割是不是會跟目前大家討論的這些困境\n\n01:41.546 --> 02:04.202\n會有直接的關聯那我相信這個是可以看到的一些狀況那貴部也提了六個配套措施那我們就逐一的來看一下其中的兩三個裡面目前在實際的狀況上是怎麼處理的包括針對於這個國內承接的順位的最優先這也是一個配套\n\n02:04.762 --> 02:25.655\n那另外針對於協調移工來源國能夠確保那個量能跟品質這個是大家非常關心的部分還有如何補足第一線為了因應這個修法導致這個人力的需求那他們的工作量或者是面對這些問題的時候如何能夠讓他們有效的來\n\n02:26.896 --> 02:52.768\n面對這樣的困境那最後是不是除了剛剛所提到的擴編預算支持看護家庭包括從衛護部那邊也提供傳避服務這次也看到編列了11.8億針對這部分來做加強這個今天就利用這個機會來跟部裡面就教跟次長來就教一下第一個部分就是重症家庭國內承接順位的最優先\n\n02:53.388 --> 03:08.715\n那我們可以從這個畫面上看到當一個重症案有這個需求的時候他有兩個可能性來取得招募的許可國外引進的部分我們等一下再談我們先看國內的承接\n\n03:09.455 --> 03:25.867\n目前在處理上就是會把它變成一個最優先的承接順序而且是在14天裡面如果已經有目前在台灣的這些移工他被釋放出來的話他可以在14天裡面就來承接\n\n03:27.047 --> 03:53.461\n當然這個14天很有可能他在媒合的時候發現這個對象不是他願意的所以他也可以有選擇權假設說他在這個7天的選擇權裡面後來沒有媒合成功這個14天要怎麼算這個未來在執行上可能不同的縣市或者是中央這邊有沒有一個一定的處理模式避免到時候每一個縣市覺得說我這個14天就是從一開始就是14天\n\n03:54.501 --> 04:14.506\n另外有現實是說我因為媒合7天不成功我用從第7天開始算14天這個未來避免諮詢上的困難或者是諮詢上的差異性這部分可能要等一下請次長說明一下還有這個媒合率要怎麼確保因為輕症只有時間多這個是人性\n\n04:15.166 --> 04:31.355\n如果是我們的話我們也會做這些選擇那我們怎麼能夠從這個國內承接的媒合率裡面去掌握到未來如果是真的媒合率很低的話那很顯然這個部分需要再做政策上的檢討或者是一些執行上的參考\n\n04:31.875 --> 04:52.773\n那另外就是說如果我們要開放中心家庭可以跨業比的這個承接的話那如何能夠完成這個補充訓練那當然這個過程裡面其實職聘中心的量能就非常非常的重要目前我們的職聘的中心量能有辦法來應付或者是面對這個國內承接這樣的困境或者是問題嗎次長請\n\n04:55.075 --> 05:17.795\n首先跟委員報告非常謝謝委員的關心就是有關於重症家庭國內承接優先這個部分那一般的國內承接大概都沒有原來都是按隨案來辦理但是我們這一次特別針對重症家庭預定了一個優先所以他會依照輕重分流的角度來理解所以\n\n05:18.315 --> 05:32.445\n一旦有國內承接的狀況有移工要在國內承接我們優先來處理重症家庭的一個媒合那這媒合大概我們就會在14天裡面來相應的做處理那剛才委員所提到技術面的問題我們會來注意\n\n05:33.926 --> 05:55.405\n那第二個部分當然就是國內媒合部分還是必須要雇主跟移工雙方面都能夠互相同意和理解才會有媒合成功那這部分我們會盡力的來做相應的媒合所以媒合的頻率和次數我們會來加強然後第二個部分就有關於職聘中心也好相關的救福站的媒合的部分也好我們會來\n\n05:57.387 --> 06:12.289\n提升相關的人力來多做一些事情所以包括我們後面所講的相關的人力的部分包括衛務部那邊的照管中心包括勞動部這邊相應的人力以至於到未來在外管的部分的那個\n\n06:14.070 --> 06:41.782\n簽證的部分還有未來引進之後我們地方的勞動的相應的人員有去看探視或看訪的相應的部分相關的人力我們通通在後面會去估算出來也做了一些相應的編配大概188人左右所以委員的建議我們有充分的注意到當然最終還是會取決於勞僱雙方面的一個合議那在這部分裡面我們會盡量來\n\n06:42.962 --> 06:51.011\n協助大家去做完整的相應的界階盡量讓重症家庭在這一波的狀況裡面衝擊降到最低\n\n06:51.738 --> 07:20.791\n好那針對14天的起算跟時效的這個過程的計算可能部裡面還是要先確認好謝謝那再過來就是有關於如果是重症案進入到招募許可的過程裡面是國外引進這個移工來協助幫忙做照顧的話那因為我們知道一個移工要進到台灣他需要有三個單位的審查包括在簽證的部分是外交部\n\n07:21.471 --> 07:46.922\n那第二部分就是聘僱許可是勞動部就是貴部那拘留證是移民署所以這個是一個當然剛剛會提到為什麼我們需要仲介來協助有他一定的這個道理跟他的這個冗長的過程所以這部分想要確認就是在外館優先處理的部分有沒有跟外交部有過相關的協商或者是請他們來幫忙\n\n07:48.343 --> 08:05.452\n那另外我們也知道這個工作資格其實很多種那我們目前討論的這個照顧的部分是其中的一種所以這個會不會有其他的行政措施導致變成這個簽證競合的現象所以這部分可能也要麻煩持續跟外交部這邊來做處理\n\n08:06.676 --> 08:30.513\n那另外就是如果如果說依照我們現在從國外引進這個框框裡面的第三項要修正仲介評鑑的要點來引導仲介機構優先處理仲正這是一個很好的方向至少我們讓仲正的這個機構知道他們必須要針對仲正當作一個優先處理的一個對象那請問\n\n08:31.634 --> 08:55.308\n要怎麼修正所謂的修正是往哪個方向修正還有目前修正的時程那完備了嗎跟委員報告就有關於從國外引進端第一個部分是我們跟四個來源國在相關的會議或者是溝通上都有促請他們在這一方面多於配合他們也都有答應\n\n08:55.968 --> 09:21.985\n那當然這個具體的人數會涉及到當地進來之前包括語文包括相關照護技術的一個培訓的量所以還在處理當中但是來源國大概都有表達願意配合的部分那第二部分是有關於簽證的部分我們在外館那一邊也預見可能會有一些數量的增加那這些數量的增加會增加外館同仁的負荷所以我們也\n\n09:23.025 --> 09:40.149\n提供了相應的人力的補助給外交部在外管的部分可以去做相應的處理那在處理面向當然就盡量讓重症家庭能夠不會比現在的引進的時程拖延至少要維持住目前的狀況能夠提早是更好\n\n09:40.649 --> 10:09.969\n那第三個部分是在國內的部分國內的部分我們其實在家庭看護工我們是有一站式的服務在這一邊移民署的居留簽證會在那個時候就已經相應的做處理所以這部分大概請委員放心那至於大家也提到說仲介的部仲介是不是會有欺重責輕或者是其他相應的事情所以我們在仲介這部分我們會透過仲介的評鑑來做相應的要求案處理\n\n10:10.689 --> 10:31.717\n我們的仲介業的制度當然分成不同的等級那不同的等級有些一定年限是要退場的那有些他是可以有一些獎勵或者是後續免貧的機制我們在這裡面會去要求仲介業者在這中間服務重症家庭的狀況要達到一定的要求那相應的細節我們現在在規劃當中我們會盡快來處理\n\n10:34.518 --> 10:59.349\n是所以如果這方面的評鑑要點有修正到一個程度可不可以提供給委員會或是我們的辦公室來做參考好謝謝那再過來就是有關於補足第一線人力這個也是一個重要的配套那我們剛剛也聽次長知道說有關於這個駐外這個使館的簽證的僱員會增加10名包括印尼有6名越南3名菲律賓1名\n\n11:00.369 --> 11:16.902\n當然可能還要才需要的話事實再來做調整那其他的包括各縣市的長照管理中心還有這個事務中心分別增加一共原有是188名那另外我們也注意到為了要提升地方的審查的這個諮詢\n\n11:18.363 --> 11:33.151\n他設立了一個叫做查查諮詢督導員這個督導員目前是有為了這個法新增了補助地方政府90名這樣的人力我們也知道這樣的人力其實是很辛苦因為他要到現場去確認去了解\n\n11:36.233 --> 11:57.291\n我們進來這個勞工他在工作性質有沒有偏離他當初要看護的這個需求那如果違規的話當然就需要做後續的處理那我們擔心的就是如果真的擴增到這麼多的申請案的話那我們這樣的人力到時候假設因應不足的話還有沒有其他的配套措施\n\n11:58.011 --> 12:18.003\n這一部分跟委員報告相應的部分因為剛才其實也很多委員關切這10萬或者是多少人那我們目前觀察的趨勢是這個案子基本上第一週跟第二週大概第二週會比第一週成長了兩倍那未來整個的趨勢大概一定會跟目前的中正家庭會受到一些影響\n\n12:18.903 --> 12:34.574\n那未來這有關於相關的配套措施我們都在隨時觀察相應的數據在滾動檢討當中人不夠我們就會盡量去提供更衝突的人力錢不夠我們就會盡量在預算方面再去做相應的處理這邊請委員放心\n\n12:35.434 --> 13:02.717\n是的我相信如果是有這個預算需求的話應該所有委員都會努力的來促成那再過來就是有兩個建議事項也請部理次長這邊參考一下因為我們剛剛也聽到蘇文委員非常擔心我們從這個報表裡面可以看得出來在114年的6月2號重現的就是身心障礙者如果依照他的這個整體的身心障礙者來看有123萬\n\n13:04.418 --> 13:29.310\n那如果把這個急重度跟重度加進來也有34萬左右這個未來其實都是很潛在需要接受照顧的這一群那我們現在初估是10萬嘛那當然跟衛護部這邊也有很密切的合作如何能夠讓這個身心障礙者能夠得到大家共同的支持之下讓他們的這個生活家庭的這些負擔可以有效的減輕\n\n13:30.410 --> 13:52.537\n所以根據未來這樣的需求也希望兩個部會能夠持續的密切合作針對於不管是長照3.0以後帶來這些影響幫忙還有針對這個就業服務法修正以後帶來的衝擊影響都能夠持續的來做相關的這些討論還有互相的合作\n\n13:53.197 --> 14:12.340\n那另外就是有關於其實大家很擔心這些重症的家庭他們為了要讓這些服務人力可以到位那他需要包括相關的這個移工的這個就業安定費的這個部分\n\n14:12.941 --> 14:36.156\n那有沒有機會請部長再跟請部長再跟大家討論看看能不能停徵就重症家庭申請移工的就業安定會這方面的這些帶來的衝擊這種費用我想如果能夠針對重症家庭提供相關這樣的這個服務內容的話對這些家庭來講應該是有\n\n14:38.077 --> 14:56.463\n很感心因為他要照顧這個重症的家人已經非常非常的辛苦了如果能夠有這樣的這個處置的話相信對他們是有很大的一個安心感最後就是希望能夠老公部所提出的這些跨部會協商方案都能夠要落實那也希望\n\n14:57.083 --> 15:13.416\n我們知道今天在討論重症那其他都是剛剛部長也提到就是用一般的處理方式所以未來針對這個這麼越來越多元的需求量能越來越大的需求之下怎麼來一併的評估因應的這些需要性\n\n15:14.056 --> 15:42.683\n那最後也真的是希望能夠投入資源給重症家庭有十足的幫助那這部分再麻煩市長跟委員報告第一個部分就是有關於國內的生醫障礙者超過100萬那我們其實在高齡化的社會已經來臨所以我們對很多失能的長者或生醫障礙的朋友其實是需要做更多的照顧其實國內整體的政策會從長照2.0走到長照3.0這部分是我們國內整體照顧的主力\n\n15:43.243 --> 16:01.307\n那有一部分會是在進入到家庭裡面是由外刊的部分來做相應的處理那這邊有剛才包括王委員林委員很多委員有指教結構性的問題我們會跟衛福部再來做仔細的盤點參考日本的經驗來做對接這第一個部分要跟委員報告\n\n16:01.887 --> 16:22.069\n然後第二部分是有關於就業安定費的部分就業安定費當時的理解是為了讓使用者付費然後能夠避免影響到國內的勞動條件所以就業安定費收來的就業安定基金才會用在促進國民就業提升勞工福祉還有跨國勞動力事務管理這幾個主要的面向\n\n16:22.629 --> 16:49.836\n那以那個低收或中低收這些經濟弱勢的家庭目前都是免收就業安定費的大概我們估計相關統計大概有1.2萬那至於說未來因應這樣一個修法的趨勢還有未來就業安定費整體的檢討我們會跟整體的制度面再來一起做相應的做一些細部的討論那這邊委員的意見我們會把它納入討論的內容和參考謝謝委員\n\n16:52.037 --> 17:00.454\n好非常感謝次長的這個部分給我們的回應那也謝謝主席讓我能夠充分的發言感謝謝謝\n\n","segments":[{"start":0.069,"end":1.829,"text":"謝謝那就麻煩次長來 有請次長"},{"start":29.17,"end":44.817,"text":"王委員生日快樂謝謝因為今天這個很重要的題目透過這個就業服務法46條的修正以後引發出剛剛像我們師父委員所提到的核心問題"},{"start":46.157,"end":74.069,"text":"這個是大家一直面對那也透過這次的問題的呈現大家如果有機會來把相關的問題處理到一個釐清以後怎麼來做因應所以我覺得很佩服大家各位委員還有在所有官員在應對這個問題的時候所做的努力那我們也期待能夠在大家用心的處理之下能夠有機會來慢慢的脫離這個困境"},{"start":75.169,"end":100.866,"text":"那這邊我還是有幾個需要跟市長還有跟部裡面一起來討論的地方就是中正家庭的衝擊跟配套措施因為畢竟來講中正家庭所受到衝擊還是影響是比較立即而且是明顯那我們當初在修法的時候也擔心80歲做一個切割是不是會跟目前大家討論的這些困境"},{"start":101.546,"end":124.202,"text":"會有直接的關聯那我相信這個是可以看到的一些狀況那貴部也提了六個配套措施那我們就逐一的來看一下其中的兩三個裡面目前在實際的狀況上是怎麼處理的包括針對於這個國內承接的順位的最優先這也是一個配套"},{"start":124.762,"end":145.655,"text":"那另外針對於協調移工來源國能夠確保那個量能跟品質這個是大家非常關心的部分還有如何補足第一線為了因應這個修法導致這個人力的需求那他們的工作量或者是面對這些問題的時候如何能夠讓他們有效的來"},{"start":146.896,"end":172.768,"text":"面對這樣的困境那最後是不是除了剛剛所提到的擴編預算支持看護家庭包括從衛護部那邊也提供傳避服務這次也看到編列了11.8億針對這部分來做加強這個今天就利用這個機會來跟部裡面就教跟次長來就教一下第一個部分就是重症家庭國內承接順位的最優先"},{"start":173.388,"end":188.715,"text":"那我們可以從這個畫面上看到當一個重症案有這個需求的時候他有兩個可能性來取得招募的許可國外引進的部分我們等一下再談我們先看國內的承接"},{"start":189.455,"end":205.867,"text":"目前在處理上就是會把它變成一個最優先的承接順序而且是在14天裡面如果已經有目前在台灣的這些移工他被釋放出來的話他可以在14天裡面就來承接"},{"start":207.047,"end":233.461,"text":"當然這個14天很有可能他在媒合的時候發現這個對象不是他願意的所以他也可以有選擇權假設說他在這個7天的選擇權裡面後來沒有媒合成功這個14天要怎麼算這個未來在執行上可能不同的縣市或者是中央這邊有沒有一個一定的處理模式避免到時候每一個縣市覺得說我這個14天就是從一開始就是14天"},{"start":234.501,"end":254.506,"text":"另外有現實是說我因為媒合7天不成功我用從第7天開始算14天這個未來避免諮詢上的困難或者是諮詢上的差異性這部分可能要等一下請次長說明一下還有這個媒合率要怎麼確保因為輕症 只有時間多這個是人性"},{"start":255.166,"end":271.355,"text":"如果是我們的話我們也會做這些選擇那我們怎麼能夠從這個國內承接的媒合率裡面去掌握到未來如果是真的媒合率很低的話那很顯然這個部分需要再做政策上的檢討或者是一些執行上的參考"},{"start":271.875,"end":292.773,"text":"那另外就是說如果我們要開放中心家庭可以跨業比的這個承接的話那如何能夠完成這個補充訓練那當然這個過程裡面其實職聘中心的量能就非常非常的重要目前我們的職聘的中心量能有辦法來應付或者是面對這個國內承接這樣的困境或者是問題嗎次長請"},{"start":295.075,"end":317.795,"text":"首先跟委員報告非常謝謝委員的關心就是有關於重症家庭國內承接優先這個部分那一般的國內承接大概都沒有原來都是按隨案來辦理但是我們這一次特別針對重症家庭預定了一個優先所以他會依照輕重分流的角度來理解所以"},{"start":318.315,"end":332.445,"text":"一旦有國內承接的狀況有移工要在國內承接我們優先來處理重症家庭的一個媒合那這媒合大概我們就會在14天裡面來相應的做處理那剛才委員所提到技術面的問題我們會來注意"},{"start":333.926,"end":355.405,"text":"那第二個部分當然就是國內媒合部分還是必須要雇主跟移工雙方面都能夠互相同意和理解才會有媒合成功那這部分我們會盡力的來做相應的媒合所以媒合的頻率和次數我們會來加強然後第二個部分就有關於職聘中心也好相關的救福站的媒合的部分也好我們會來"},{"start":357.387,"end":372.289,"text":"提升相關的人力來多做一些事情所以包括我們後面所講的相關的人力的部分包括衛務部那邊的照管中心包括勞動部這邊相應的人力以至於到未來在外管的部分的那個"},{"start":374.07,"end":401.782,"text":"簽證的部分還有未來引進之後我們地方的勞動的相應的人員有去看探視或看訪的相應的部分相關的人力我們通通在後面會去估算出來也做了一些相應的編配大概188人左右所以委員的建議我們有充分的注意到當然最終還是會取決於勞僱雙方面的一個合議那在這部分裡面我們會盡量來"},{"start":402.962,"end":411.011,"text":"協助大家去做完整的相應的界階盡量讓重症家庭在這一波的狀況裡面衝擊降到最低"},{"start":411.738,"end":440.791,"text":"好那針對14天的起算跟時效的這個過程的計算可能部裡面還是要先確認好謝謝那再過來就是有關於如果是重症案進入到招募許可的過程裡面是國外引進這個移工來協助幫忙做照顧的話那因為我們知道一個移工要進到台灣他需要有三個單位的審查包括在簽證的部分是外交部"},{"start":441.471,"end":466.922,"text":"那第二部分就是聘僱許可是勞動部就是貴部那拘留證是移民署所以這個是一個當然剛剛會提到為什麼我們需要仲介來協助有他一定的這個道理跟他的這個冗長的過程所以這部分想要確認就是在外館優先處理的部分有沒有跟外交部有過相關的協商或者是請他們來幫忙"},{"start":468.343,"end":485.452,"text":"那另外我們也知道這個工作資格其實很多種那我們目前討論的這個照顧的部分是其中的一種所以這個會不會有其他的行政措施導致變成這個簽證競合的現象所以這部分可能也要麻煩持續跟外交部這邊來做處理"},{"start":486.676,"end":510.513,"text":"那另外就是如果如果說依照我們現在從國外引進這個框框裡面的第三項要修正仲介評鑑的要點來引導仲介機構優先處理仲正這是一個很好的方向至少我們讓仲正的這個機構知道他們必須要針對仲正當作一個優先處理的一個對象那請問"},{"start":511.634,"end":535.308,"text":"要怎麼修正所謂的修正是往哪個方向修正還有目前修正的時程那完備了嗎跟委員報告就有關於從國外引進端第一個部分是我們跟四個來源國在相關的會議或者是溝通上都有促請他們在這一方面多於配合他們也都有答應"},{"start":535.968,"end":561.985,"text":"那當然這個具體的人數會涉及到當地進來之前包括語文包括相關照護技術的一個培訓的量所以還在處理當中但是來源國大概都有表達願意配合的部分那第二部分是有關於簽證的部分我們在外館那一邊也預見可能會有一些數量的增加那這些數量的增加會增加外館同仁的負荷所以我們也"},{"start":563.025,"end":580.149,"text":"提供了相應的人力的補助給外交部在外管的部分可以去做相應的處理那在處理面向當然就盡量讓重症家庭能夠不會比現在的引進的時程拖延至少要維持住目前的狀況能夠提早是更好"},{"start":580.649,"end":609.969,"text":"那第三個部分是在國內的部分國內的部分我們其實在家庭看護工我們是有一站式的服務在這一邊移民署的居留簽證會在那個時候就已經相應的做處理所以這部分大概請委員放心那至於大家也提到說仲介的部仲介是不是會有欺重責輕或者是其他相應的事情所以我們在仲介這部分我們會透過仲介的評鑑來做相應的要求案處理"},{"start":610.689,"end":631.717,"text":"我們的仲介業的制度當然分成不同的等級那不同的等級有些一定年限是要退場的那有些他是可以有一些獎勵或者是後續免貧的機制我們在這裡面會去要求仲介業者在這中間服務重症家庭的狀況要達到一定的要求那相應的細節我們現在在規劃當中我們會盡快來處理"},{"start":634.518,"end":659.349,"text":"是 所以如果這方面的評鑑要點有修正到一個程度可不可以提供給委員會或是我們的辦公室來做參考好 謝謝那再過來就是有關於補足第一線人力這個也是一個重要的配套那我們剛剛也聽次長知道說有關於這個駐外這個使館的簽證的僱員會增加10名包括印尼有6名 越南3名 菲律賓1名"},{"start":660.369,"end":676.902,"text":"當然可能還要才需要的話事實再來做調整那其他的包括各縣市的長照管理中心還有這個事務中心分別增加一共原有是188名那另外我們也注意到為了要提升地方的審查的這個諮詢"},{"start":678.363,"end":693.151,"text":"他設立了一個叫做查查諮詢督導員這個督導員目前是有為了這個法新增了補助地方政府90名這樣的人力我們也知道這樣的人力其實是很辛苦因為他要到現場去確認去了解"},{"start":696.233,"end":717.291,"text":"我們進來這個勞工他在工作性質有沒有偏離他當初要看護的這個需求那如果違規的話當然就需要做後續的處理那我們擔心的就是如果真的擴增到這麼多的申請案的話那我們這樣的人力到時候假設因應不足的話還有沒有其他的配套措施"},{"start":718.011,"end":738.003,"text":"這一部分跟委員報告相應的部分因為剛才其實也很多委員關切這10萬或者是多少人那我們目前觀察的趨勢是這個案子基本上第一週跟第二週大概第二週會比第一週成長了兩倍那未來整個的趨勢大概一定會跟目前的中正家庭會受到一些影響"},{"start":738.903,"end":754.574,"text":"那未來這有關於相關的配套措施我們都在隨時觀察相應的數據在滾動檢討當中人不夠我們就會盡量去提供更衝突的人力錢不夠我們就會盡量在預算方面再去做相應的處理這邊請委員放心"},{"start":755.434,"end":782.717,"text":"是的我相信如果是有這個預算需求的話應該所有委員都會努力的來促成那再過來就是有兩個建議事項也請部理次長這邊參考一下因為我們剛剛也聽到蘇文委員非常擔心我們從這個報表裡面可以看得出來在114年的6月2號重現的就是身心障礙者如果依照他的這個整體的身心障礙者來看有123萬"},{"start":784.418,"end":809.31,"text":"那如果把這個急重度跟重度加進來也有34萬左右這個未來其實都是很潛在需要接受照顧的這一群那我們現在初估是10萬嘛那當然跟衛護部這邊也有很密切的合作如何能夠讓這個身心障礙者能夠得到大家共同的支持之下讓他們的這個生活家庭的這些負擔可以有效的減輕"},{"start":810.41,"end":832.537,"text":"所以根據未來這樣的需求也希望兩個部會能夠持續的密切合作針對於不管是長照3.0以後帶來這些影響幫忙還有針對這個就業服務法修正以後帶來的衝擊影響都能夠持續的來做相關的這些討論還有互相的合作"},{"start":833.197,"end":852.34,"text":"那另外就是有關於其實大家很擔心這些重症的家庭他們為了要讓這些服務人力可以到位那他需要包括相關的這個移工的這個就業安定費的這個部分"},{"start":852.941,"end":876.156,"text":"那有沒有機會請部長再跟請部長再跟大家討論看看能不能停徵就重症家庭申請移工的就業安定會這方面的這些帶來的衝擊這種費用我想如果能夠針對重症家庭提供相關這樣的這個服務內容的話對這些家庭來講應該是有"},{"start":878.077,"end":896.463,"text":"很感心因為他要照顧這個重症的家人已經非常非常的辛苦了如果能夠有這樣的這個處置的話相信對他們是有很大的一個安心感最後就是希望能夠老公部所提出的這些跨部會協商方案都能夠要落實那也希望"},{"start":897.083,"end":913.416,"text":"我們知道今天在討論重症那其他都是剛剛部長也提到就是用一般的處理方式所以未來針對這個這麼越來越多元的需求量能越來越大的需求之下怎麼來一併的評估因應的這些需要性"},{"start":914.056,"end":942.683,"text":"那最後也真的是希望能夠投入資源給重症家庭有十足的幫助那這部分再麻煩市長跟委員報告第一個部分就是有關於國內的生醫障礙者超過100萬那我們其實在高齡化的社會已經來臨所以我們對很多失能的長者或生醫障礙的朋友其實是需要做更多的照顧其實國內整體的政策會從長照2.0走到長照3.0這部分是我們國內整體照顧的主力"},{"start":943.243,"end":961.307,"text":"那有一部分會是在進入到家庭裡面是由外刊的部分來做相應的處理那這邊有剛才包括王委員林委員很多委員有指教結構性的問題我們會跟衛福部再來做仔細的盤點參考日本的經驗來做對接這第一個部分要跟委員報告"},{"start":961.887,"end":982.069,"text":"然後第二部分是有關於就業安定費的部分就業安定費當時的理解是為了讓使用者付費然後能夠避免影響到國內的勞動條件所以就業安定費收來的就業安定基金才會用在促進國民就業提升勞工福祉還有跨國勞動力事務管理這幾個主要的面向"},{"start":982.629,"end":1009.836,"text":"那以那個低收或中低收這些經濟弱勢的家庭目前都是免收就業安定費的大概我們估計相關統計大概有1.2萬那至於說未來因應這樣一個修法的趨勢還有未來就業安定費整體的檢討我們會跟整體的制度面再來一起做相應的做一些細部的討論那這邊委員的意見我們會把它納入討論的內容和參考謝謝委員"},{"start":1012.037,"end":1020.454,"text":"好非常感謝次長的這個部分給我們的回應那也謝謝主席讓我能夠充分的發言感謝謝謝"}]}}},"gazette":{"lineno":811,"blocks":[["王委員正旭：（11時45分）感謝，謝謝召委跟大家的祝福。"],["主席：王委員可以許願不計時間，謝謝。"],["王委員正旭：謝謝。就麻煩次長。"],["主席：有請次長。"],["陳次長明仁：王委員生日快樂。"],["王委員正旭：謝謝。今天這個題目很重要，透過就業服務法第四十六條的修正以後，引發剛剛像林淑芬委員所提到的核心問題，這是大家一直要面對的，也透過這次問題的呈現，大家越有機會把相關的問題釐清以後怎麼因應，所以我很佩服大家，各位委員還有所有官員在應對這個問題的時候所做的努力，我們也期待在大家用心地處理之下，能夠有機會慢慢地脫離這個困境。","這邊我還是有幾個需要跟次長還有部內一起討論的地方，就是重症家庭的衝擊跟配套措施，畢竟重症家庭所受到的衝擊、影響還是比較立即而且明顯的。我們當初在修法的時候也擔心以80歲切割，是不是會跟目前大家討論的這些困境有直接的關聯？我相信這是可以看到的狀況。貴部也提了六個配套措施，我們就逐一來看一下其中的兩、三個，目前在實際的狀況上是怎麼處理的，包括針對國內承接順位列最優先，這也是一個配套；另外，針對協調移工來源國能夠確保量能跟品質，這是大家非常關心的部分，還有如何補足第一線人力，為了因應這個修法導致人力的需求，他們的工作量或面對這些問題的時候，如何能夠讓他們有效地面對這樣的困境；最後是不是除了剛剛所提到的擴編預算支持看護家庭，包括衛福部也提供喘息服務，這次也看到編列了11.8億，針對這部分來加強。","今天就利用這個機會跟部裡面、跟次長就教一下，第一個部分，重症家庭國內承接順位列最優先，我們可以從畫面上看到，當一個重症案有這個需求的時候，他有兩個可能性取得招募許可，國外引進的部分我們等一下再談，我們先看國內的承接。目前在處理上會把它變成一個最優先的承接順序，而且在14天裡面如果目前在臺灣的移工已經有被釋放出來的話，他可以在14天裡面承接。當然這14天很有可能在媒合的時候，他發現這個對象不是他願意的，所以他也可以有選擇權。假設他在7天的選擇權裡面，後來沒有媒合成功，這個14天要怎麼算？未來在執行上可能不同縣市或中央有沒有一定的處理模式？避免到時候每個縣市覺得我的14天是從一開始就是14天；另外有縣市說：我因為媒合7天不成功，就從第7天開始算14天。未來避免執行上的困難或執行上的差異性，這部分等一下要請次長說明一下。","還有媒合率要怎麼確保？因為選擇輕症還有自由時間多的，這個是人性啦！如果是我們的話也會做這些選擇，那我們怎麼能夠從國內承接的媒合率去掌握？未來如果真的媒合率很低的話，很顯然這個部分需要再做政策上的檢討或是一些執行上的參考；另外，如果我們要開放重症家庭跨業別承接的話，如何能夠完成補充訓練？當然這個過程裡面，其實直聘中心的量能就非常非常的重要，目前直聘中心的量能有辦法應付或面對國內承接這樣的困境等問題嗎？次長。"],["陳次長明仁：首先跟委員報告，非常謝謝委員的關心，有關重症家庭國內承接優先的部分，一般國內承接大概都沒有……原來都是隨案辦理，但是我們這次特別針對重症家庭預定的優先，所以他會依照輕重分流的角度來理解，一旦有移工要在國內承接的狀況，我們優先處理重症家庭的媒合，這個媒合大概就會在14天裡面相應處理，剛才委員提到技術面的問題，我們會注意。","第二個部分，當然國內媒合的部分還是必須要雇主跟移工雙方面都能夠互相同意和理解，才會有辦法媒合成功，這部分我們會盡力地做相應的媒合，媒合的頻率和次數我們會加強。","第三個部分，關於直聘中心也好，相關就服站的媒合部分也好，我們會提升相關的人力多做一些事情，包括我們後面所講的相關人力的部分，包括衛福部的照管中心，包括勞動部相應的人力，以及未來在外館的簽證部分，還有未來引進之後，地方上探視或看訪的勞動人員，這些相關的人力，我們通通會在後面估算出來，也做了一些相應的編配，大概188人左右，所以委員的建議我們有充分地注意到。當然最終還是會取決於勞雇雙方的合意，這部分我們會儘可能協助大家做完整、相應地介接，儘量能讓重症家庭在這一波的衝擊降到最低。"],["王委員正旭：好。針對14天的起算跟時效過程的計算，可能部裡面還是要先確認。"],["陳次長明仁：我們會注意。"],["王委員正旭：謝謝。再來就是有關於重症案進入招募許可的過程，如果自國外引進移工來協助幫忙照顧的話，我們知道移工要進到臺灣需要有3個單位的審查，包括簽證的部分是外交部，聘僱許可是勞動部就是貴部，居留證是移民署，這就是剛剛提到為什麼我們需要仲介來協助，有它一定的道理跟冗長的過程。所以這部分想要確認，在外館優先處理的部分，有沒有跟外交部做過相關的協商，或者是請他們來幫忙？另外，我們也知道工作資格其實有很多種，目前討論的照顧部分是其中一種，這會不會有其他的行政措施，導致簽證競合的現象？所以這部分可能也要麻煩持續跟外交部處理。","如果說我們現在從國外引進，要修正仲介評鑑的要點，引導仲介機構優先處理重症家庭需求，這是一個很好的方向，至少讓處理重症的機構知道，他們必須要把重症當作優先處理的對象。請問要怎麼修正，往那個方向修正？還有目前修正的時程完備了嗎？"],["陳次長明仁：跟委員報告，關於從國外引進端，第一個部分是我們跟4個來源國在相關的會議或者是溝通上，都有促請他們在這一方面多配合，他們也都有答應，當然具體的人數會涉及到從當地進來之前，包括語文、相關照護技術培訓的量能，所以還在處理當中，但是來源國大概都有表達願意配合。第二個有關於簽證的部分，我們在外館也預見可能會有一些數量增加，這些數量會增加外館同仁的負荷，所以我們提供相應的人力輔助給外交部，讓外館可以做相應的處理；在處理面向，當然儘量讓重症家庭能夠不會比現在的引進時程拖延，至少要維持住目前的狀況，能夠提早是更好。第三個在國內的部分，我們其實在家庭看護工有一站式的服務，移民署的居留簽證會在那個時候就已經做相應的處理，所以這部分請委員放心。","至於大家提到仲介是不是會有棄重擇輕或者是其他相應的事情，所以在仲介這部分，我們會透過仲介評鑑來做相應的要求和處理。仲介的制度分成不同等級，有些是一定年限要退場，有些是有一些獎勵或者是後續免評的機制，我們會要求仲介業者在服務重症家庭時的狀況要達到一定的要求，現正在規劃相應的細節，我們會儘快處理。"],["王委員正旭：是，所以如果這方面的評鑑要點有修正到一個程度時，可不可以提供給委員會或是我們的辦公室做參考？"],["陳次長明仁：好的。"],["王委員正旭：好，謝謝。再來就是有關於補足第一線人力，這也是一個重要的配套，我們剛剛聽次長說，有關駐外使館的簽證雇員會增加10名，包括印尼有6名，越南3名、菲律賓1名，當然可能還是要依需求再來適時調整。其他包括各縣市的長照管理中心及事務中心，分別增加員額一共是188名。而且我們注意到為了提升地方的審查諮詢，設立了查察諮詢督導員，目前為了這個修法，新增補助地方政府90名的人力。我們知道這些人力其實很辛苦，因為他要到現場去確認、了解引進來的勞工，工作性質有沒有偏離當初要看護的需求？如果有違規的話，當然就需要做後續的處理。我們擔心的就是如果真的擴增到這麼多申請案的話，假設到時候人力因應不足，還有沒有其他的配套措施？"],["陳次長明仁：這一部分跟委員報告，關於相應的部分，剛才其實也有很多委員關切10萬或者是多少人，我們目前觀察的趨勢是，這個案子基本上第一週跟第二週相比，大概第二週會比第一週成長2倍。未來整個的趨勢，大概目前的重症家庭會受到一些影響，未來相關的配套措施，我們都在隨時觀察相應的數據滾動檢討，人不夠，我們就會儘量提供更充足的人力；錢不夠，我們就會儘量在預算方面再去做相應的處理，請委員放心。"],["王委員正旭：好，是的，我相信如果有這個預算需求的話，應該所有委員都會努力促成。","再來有兩個建議事項，也請次長參考一下，因為我們剛剛也聽到淑芬委員非常擔心，從這份114年6月2日的報表可以看出來，整體的身心障礙者有123萬人，如果把急重度跟重度加進來，也有34萬左右，這些其實都是未來潛在需要接受照顧的一群，而現在初估是10萬。當然跟衛福部很密切的合作，如何讓身心障礙者能夠得到大家共同支持，讓他們的生活、家庭負擔可以有效的減輕，所以根據未來這樣的需求，也希望兩個部會能夠持續地密切合作，不管是針對長照3.0以後帶來的影響，還是針對就業服務法修正以後帶來的衝擊，都能夠持續做相關討論，還有互相合作。","其實大家很擔心這些重症的家庭，為了要讓這些服務人力可以到位，他需要繳交相關的移工就業安定費，有沒有機會請部長再跟大家討論看看，能不能停徵重症家庭申請移工的就業安定費？這方面帶來的衝擊，我想如果能夠針對重症家庭提供相關服務內容的話，這些家庭應該會很感心啦，因為他要照顧重症的家人已經非常非常辛苦了，如果能夠有這樣的處置，相信對他們是很大的安心感。","最後就是希望勞動部所提出的跨部會協商方案都能夠落實。我們知道今天在討論重症，其他部分剛剛部長也提到是用一般的處理方式，所以針對未來越來越多元、量能越來越大的需求，怎麼來一併評估、因應這些需要。最後真的是希望能夠投入資源給重症家庭，有實質的幫助，這部分再麻煩次長。"],["陳次長明仁：跟委員報告，第一個部分，就是有關於國內的身心障礙者超過100萬，高齡化社會已經來臨，所以對於很多失能的長者或身心障礙的朋友，需要做更多的照顧。其實國內整體的政策會從長照2.0走到長照3.0，這部分是我們國內整體照顧的主力，有一部分會進入家庭裡面，是由外看來做相應的處理。剛才包括王委員、林委員，很多委員指教結構性的問題，我們會再跟衛福部仔細地盤點，參考日本的經驗對接，這是第一個部分要跟委員報告。","第二部分是有關於就業安定費的部分，當時對就業安定費的理解是為了讓使用者付費，避免影響到國內的勞動條件，所以就業安定費收來成立的就業安定基金才會用在促進國民就業、提升勞工福祉還有跨國勞動力事務管理這幾個主要的面向，目前低收或中低收這些經濟弱勢的家庭都是免收就業安定費的，根據相關統計大概有1.2萬，至於未來因應這樣一個修法的趨勢，還有未來就業安定費整體的檢討，我們會從整體的制度面再來一起做相應的細部討論，委員的意見我們會納入討論的內容和參考，謝謝委員。"],["王委員正旭：好，非常感謝次長的回應，也謝謝主席讓我能夠充分的發言，感謝！"],["主席：謝謝王委員，謝謝次長，祝王委員生日快樂！心想事成！身體健康！福如東海，壽比南山！把你的生日祝福分享給大家，讓大家都快樂。","接下來請鄭委員正鈐、鄭正鈐委員、鄭正鈐委員不在。","楊瓊瓔委員、楊瓊瓔委員、楊瓊瓔委員不在。","蔡易餘委員、蔡易餘委員、蔡易餘委員不在。","現在輪到本席發言，請王正旭委員代理主席。"],["主席（王委員正旭代）：請劉建國召委發言。"]],"agenda":{"page_end":220,"meet_id":"委員會-11-3-26-25","speakers":["劉建國","陳昭姿","林月琴","陳菁徽","王育敏","邱鎮軍","蘇清泉","廖偉翔","黃秀芳","林淑芬","王正旭","陳瑩","盧縣一","楊曜","陳冠廷","徐欣瑩","何欣純"],"page_start":127,"meetingDate":["2025-08-20"],"gazette_id":"1147502","agenda_lcidc_ids":["1147502_00003"],"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25次全體委員會議紀錄","content":"一、邀請勞動部部長、衛生福利部就「就業服務法第46條，80歲以上長者聘請外籍看護免巴氏量\n表上路，對重症家庭的衝擊與配套措施」進行專題報告，並備質詢；二、繼續審查 (一）委員王\n育敏等18人擬具「病人自主權利法部分條文修正草案」案、(二）委員劉建國等16人擬具「病人\n自主權利法部分條文修正草案」案、(三)委員邱志偉等19人擬具「病人自主權利法第八條、第九\n條及第十五條條文修正草案」案、(四)委員李柏毅等16人擬具「病人自主權利法第九條條文修正\n草案」案、(五)委員羅廷瑋等16人擬具「病人自主權利法增訂第十六條之一條文草案」案【逐條\n討論】","agenda_id":"1147502_00002"}}}