{"error":false,"id":["153008"],"data":{"IVOD_ID":153008,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/153008","日期":"2024-05-27","會議資料":{"會議代碼":"委員會-11-1-26-19","會議代碼:str":"第11屆第1會期社會福利及衛生環境委員會第19次全體委員會議","屆":11,"會期":1,"會次":19,"臨時會會次":null,"種類":"委員會","委員會代碼":[26],"委員會代碼:str":["社會福利及衛生環境委員會"],"標題":"第11屆第1會期社會福利及衛生環境委員會第19次全體委員會議"},"影片種類":"Clip","開始時間":"2024-05-27T10:29:46+08:00","結束時間":"2024-05-27T10:47:24+08:00","影片長度":"00:17:38","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/536b9eee2a0ea5b3b8ad2f8a694fcef15186e4a1bc6f964e945ede7791f90b9e5681eeb3af1d310c5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"林淑芬","委員發言時間":"10:29:46 - 10:47:24","會議時間":"2024-05-27T09:00:00+08:00","會議名稱":"立法院第11屆第1會期社會福利及衛生環境委員會第19次全體委員會議（事由：一、審查\n(一)委員林德福等19人擬具「就業服務法第四十六條條文修正草案」案。\n(二)委員楊瓊瓔等16人擬具「就業服務法第四十六條條文修正草案」案。\n(三)委員馬文君等25人擬具「就業服務法第四十六條條文修正草案」案。\n(四)委員涂權吉等17人擬具「就業服務法部分條文修正草案」案。\n(五)委員黃建賓等20人擬具「就業服務法第四十六條條文修正草案」案。\n(六)委員呂玉玲等16人擬具「就業服務法第四十六條及第五十五條條文修正草案」案。\n(七)委員盧縣一等17人擬具「就業服務法第四十六條條文修正草案」案。\n(八)委員鄭正鈐等17人擬具「就業服務法第四十六條條文修正草案」案。\n(九)委員王育敏等17人擬具「就業服務法第四十六條條文修正草案」案。\n(十)委員張嘉郡等30人擬具「就業服務法第四十六條條文修正草案」案。\n(十一)委員王鴻薇等22人擬具「就業服務法第四十六條條文修正草案」案。\n二、審查\n(一)委員萬美玲等36人擬具「勞動基準法第五十條條文修正草案」案。\n(二)委員許宇甄等18人擬具「勞動基準法第五十條條文修正草案」案。\n(三)委員馬文君等20人擬具「勞動基準法第五十條條文修正草案」案。\n(四)委員邱若華等16人擬具「勞動基準法第五十條條文修正草案」案。\n【一（九） ：如未經各黨團簽署不復議同意書，則不予審查】\n【一(十)、(十一) 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111年進行老人狀況生活調查報告80歲以上的人口不需要他人協助的有51.93%需要他人協助及項目數比例是48.07%其中"},{"start":475.558,"end":498.779,"text":"累計四個項目就是說他的這個需要需求性比較高的是38%所以以年齡作為聘僱外籍看護的資格在現行外籍看護還有仲介也在挑工的媒合的狀況裡面恐怕這樣子下去會排擠真正需要24小時重症照顧的需求"},{"start":499.619,"end":504.202,"text":"但是我雖然是這麼說你這樣子80歲就通通可以申請然後呢會排擠到重症可是你也不能否定啊輕度中度的照顧需求也存在那這些人要怎麼樣"},{"start":517.543,"end":535.521,"text":"這就是長照2.0我們不是在講長照嗎?長照2.0要邁向3.0但是仍然趕不上國人的照顧需求所以這就衛福部的責任就來了你在外籍移工上你沒有全部開放"},{"start":536.442,"end":554.172,"text":" ﹏﹏﹏"},{"start":554.292,"end":573.823,"text":"所以在還沒有完全達到失能以前你就讓這些老人家輕度的、中度的就導入24小時的外籍看護反而會有可能會加速退化不利於健康老化可是那衛福部你要做什麼衛福部衛福部3.0衛福部誰來衛福部3.0在哪裡啊"},{"start":581.096,"end":595.424,"text":"一有照顧需求就想到直接聘僱外勞外籍醫工、外籍看護24小時的照顧又便宜又方便但這個對沒有完全失能的老人延緩老化不是一件好事啊"},{"start":596.124,"end":612.976,"text":"所以這也是我們長照2.0一直在推的日照中心拖老服務最核心的服務可是呢我們現在大家優先想到就一對一24小時的外籍看護優先與長照政策以至於我們要改變社會照顧的觀念真的是很難啦但我現在要問衛福部啦我們總統"},{"start":618.42,"end":636.872,"text":"來總統當初提出了長照3.0的政見比如說要新增居家或社區晚間到宅照顧夜間緊急服務建立24小時的重度失能者的支持服務還有"},{"start":638.473,"end":652.442,"text":"提高一對多的社區照顧服務比例,增加人力運用效率。提高一對多的社區照顧服務比例,增加人力運用效率。提高一對多的社區照顧服務比例,增加人力運用效率。提高一對多的社區照顧服務比例,增加人力運用效率。提高一對多的社區照顧服務比例,增加人力運用效率。"},{"start":668.653,"end":689.099,"text":"衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,你先來做到哪裡?衛福部,"},{"start":691.239,"end":702.184,"text":"舉家或社區的晚間到宅照顧、夜間緊急服務、建立24小時的重度失能者的支持服務。我不要談我剛才講那麼多,就談這三項好了。這三項你們的規劃是什麼時候要開始做?"},{"start":707.466,"end":726.47,"text":"是。跟我委員也報告。剛剛其實你也提到就是因為國人聘請移工其實是民國78年就開始。所以遠遠早於國家推動長照政策之前。所以這個部分怎麼樣能夠翻轉國人的觀念而不是所有的長照都要24小時。你可不可以就我的問題回答就好了。那我們在講的是長照啦。我沒有跟你談這個移工服務啦。政策啦。我現在跟你講長照。是。"},{"start":734.952,"end":761.671,"text":"那所以因為這個會關聯因為要帶到24小時目前在長照政策是沒有辦法用一對一到宅去提供24小時的照顧服務這個是賴總統的政見他講新增我沒有叫你24小時他在講居家或社區的晚間到宅照顧夜間緊急服務24小時的支持服務又不是叫你整天看著他支持服務餒"},{"start":763.172,"end":769.597,"text":"您們都沒有認真的看待賴總統的這個長照3.0喔?"},{"start":769.597,"end":791.593,"text":"有,我們其實目前... 有沒有做準備?因為2.0是到115年,所以我們大概就是...115年很快捏。今天113年捏。你現在沒有準備115年就要憑空就掉下來嗎?所以我們才說為什麼這麼多委員要提案要直接這樣做?"},{"start":793.325,"end":802.571,"text":"因為你的長照制度銜接不來啊配套沒有來啊所以大家才會說乾脆大家都聘外勞外籍看護就好了啊好那請回主席我說最後一個重整啦外界不斷的倡議要鬆綁聘顧外籍看護門檻但我要講說部長政府更應該關心這個照顧品質"},{"start":819.471,"end":834.356,"text":"在沒有辦法確實檢核來台前90個小時的照顧訓練那來台後的補充訓練實體課程的成效非常差顧主對於看護技術的滿意度七成八"},{"start":835.586,"end":856.628,"text":"所以我們在這裡一直在講說第一個可望禁訴填補照顧人力的需求下還有法規沒有強制的這個規定下你的這個事後的補充訓練當然提升照顧品質的成效是有限的啊"},{"start":857.944,"end":859.006,"text":"這樣要怎麼辦?"},{"start":859.006,"end":860.849,"text":"你的實體課程你知道上得多爛嗎?"},{"start":860.849,"end":868.74,"text":"那是長照服務法那是長照服務法裡面的規定我是在講外籍看護來台的訓練 我是在講外籍看護來台的訓練"},{"start":871.597,"end":879.708,"text":"我再講的是拼顧外籍看護來台他必須要照顧訓練外國受訓了九十小時怎麼訓練我們檢核不出來啦但是來台以後要補充訓練你們實體課還有線上課你知道你們實體課開的多差嗎"},{"start":888.88,"end":899.987,"text":"你們開課量能一百班以上五百人以上但實體課程2022年關成功開辦一班一百班以上的準備只成功開一班六個人參訓倒載訓練則是2020以後沒有任何人申請"},{"start":909.915,"end":932.758,"text":"我們的意思是說其實長照不是給他聘一個外籍看護來照顧。外籍看護來,你們就沒有管了。當然長照品質是衛福部了。但是呢我們外籍看護這個雇傭關係不好有時候是來自於照顧品質不好、雇主不滿意嘛。那現在在這種狀況裡面我們也把長照的喘息服務計畫也納入了。"},{"start":934.02,"end":939.727,"text":"創造cover到我們的外籍看護讓他一個一年有幾天的喘息天數你知道嗎?五十二天那是漸漸增加五十二天等於是國家幫他買單休息日啊"},{"start":949.077,"end":963.554,"text":"國家幫他們買單休息日但是你不可以政府提供的經費讓你喘息結果其實僱主政府幫你買單了然後你對於這個照顧品質僱主也是獲利者啊"},{"start":964.375,"end":964.515,"text":"議員：林淑芬："},{"start":984.542,"end":1001.821,"text":"60%部長我知道你不知道我告訴你就好有放假平均一個月放假幾天放假幾次你知道嗎一次57.7%然後二到三次的是25.6%都不放假了幾乎四成原因是原因是"},{"start":1002.862,"end":1020.768,"text":"你們說的他們想要賺加班費啦其實呢還有家中無替代照顧人力啦那不放假的話雇主發的加班費大概都有九成五有發啦但是是很少很少很少的啦其實簡單的講是雇主也不想要他放啦"},{"start":1021.921,"end":1034.149,"text":"護主也不想要她放。即便我們有長照喘息服務了,護主也懶得申請啦。52天護主也不想申請啦。我就是要這一個一直用一直用一年全年365天都無休我也不需要你給我喘息雖然政府有喘息所以我跟你講就是說其實問題還蠻嚴重的照顧的品質啦還有"},{"start":1047.326,"end":1050.311,"text":"關乎者的勞動休息也很重要啦。這個真的是問題重重。好,謝謝林委員。"}]}},"supported_relations":[],"relations":[]}