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兩個部分應該是講說供給端會跟這個外交部來做討論那但是就整體因應尤其是怎麼樣來優先的保障這個重症家庭他受到照顧的權益這部分我們會跟衛福部來做這個商議可是你們好像好像沒有"},{"start":342.921,"end":367.938,"text":"沒有權力去做判斷哪一個判斷就是優先優先照顧重度必須要照顧的因為他現在就是變成變成大家的條件都一樣除非是長照的部分當然是比較有優先順序可是外籍看護工並沒有外籍看護工就會變成你不可能去設定說說他80歲以上"},{"start":372.697,"end":391.314,"text":"誰優先優先你們可以嗎我們沒有我們可能沒有辦法硬性的去設定可是我們怎麼來幫助他們可以比較容易找得到留得住或者是增加留得住的條件我們當然會想往這個方向來去協助但是確實因為這個修法後其實它的衝擊"},{"start":393.826,"end":399.189,"text":"這個還是會很大我們只能在這裡減緩衝擊我們可能沒有辦法完全的讓這個衝擊不會發生我們只能試圖減緩衝擊假如說可以"},{"start":408.334,"end":435.684,"text":"有一個配套出來就是看要怎麼疏導讓真正重中度失能的長者可以優先取得優先顧到外籍看護工那當然是最好我們會希望往這個方向來試著一些政策工具怎麼使用可是就是這可能不是一個絕對的事情因為它可能沒有辦法變成是一個強力的管制"},{"start":437.566,"end":452.984,"text":"對你們沒有辦法因為法律本來就不允許你這麼做是那你剛剛講的非硬性的疏導方式有沒有優先協助啦優先協助 對"},{"start":454.245,"end":477.852,"text":"怎麼協助因為禮拜二才剛修法通告嘛那我們接下來會跟衛福部來研擬這個降低衝擊的跨部會降低衝擊的配套的做法不過我在想衛福部可以的就是只有透過長照制度來做啊跟外籍看護公司是兩條比較"},{"start":480.713,"end":507.187,"text":"相類似可是並不重疊的線因為衛福部比較了解需求他比較了解照護需求那勞動部這邊我們的專長是在勞動力管理那這一整件事情的因應可能會需要你也了解照護需求對照護需求有相對應不同的策略然後怎麼樣透過勞動力管理大家一起來配合所以這需要兩個部一起來合作可是我的理解是衛福部"},{"start":508.227,"end":524.537,"text":"衛福部可能可以做的就是就是在請不到勞工的時候怎麼用長照制度去做挹注他可能比較沒有辦法跟你搭配來做外籍看護跟僱主的篩選"},{"start":525.658,"end":540.719,"text":"我的意思嗎對但我說實質的做法我覺得這是一個合作但是可能不是互相取代的但是它是一個合作所以衛福部有衛福部比較擅長比較了解的部分我們勞動部有比較我們擅長了解的部分"},{"start":541.159,"end":561.923,"text":"怎麼樣子在不同的功能上面一起來分工合作我們現在只能試圖往降低衝擊的方向來想可是恐怕那個衝擊還是會發生這是我們最擔心的這也是為什麼我們在修法前一直要提醒大家嚴正要提醒大家這個修法是不是一個妥當的修法副作用可能會很大我就是再用一分鐘講其實這幾天"},{"start":566.271,"end":588.878,"text":"因為澎湖老人也多啦其實已經有一些僱主會擔心嘛其實我自己也擔心為什麼呢 因為現在本來就就是這幾年就是一年一年比一年難聘那現在又大幅度的放寬會產生"},{"start":595.168,"end":607.261,"text":"外籍看護工他可以選擇照顧者他選擇亞健康的照顧者他不選擇重症"},{"start":609.997,"end":625.947,"text":"那他選擇可以給他額外津貼多一點的經濟上的強勢者就是薪資 薪資也會大家順著要拉高三的增加機會這個也合理 站在他的立場"},{"start":627.11,"end":639.482,"text":"他也會選擇地區我覺得像離島偏鄉也會越來越難找得到家庭看護工那法律通過了接下來就請"},{"start":642.265,"end":657.934,"text":"部長我想這個議題也不會只有今天問那請部長趕快回去做一定的政策方向的擬定好不好好 謝謝部長 謝謝主席"}],"gazette":[{"speaker":"楊委員曜","start":"2025-01-02T14:54:13.859000+08:00","guessed":false,"end":"2025-01-02T14:54:13.979000+08:00","text":"謝謝主席。","quality":0.5},{"speaker":"楊委員曜","start":"2025-01-02T14:54:14.300000+08:00","guessed":false,"end":"2025-01-02T14:54:16.087000+08:00","text":"請勞動部洪部長。","quality":0.857},{"speaker":"洪部長申翰","start":"2025-01-02T14:54:16.087000+08:00","guessed":true,"end":"2025-01-02T14:54:20.470500+08:00","text":"楊委員好。","quality":0},{"speaker":"楊委員曜","start":"2025-01-02T14:54:20.470500+08:00","guessed":true,"end":"2025-01-02T14:54:24.854000+08:00","text":"部長好。","quality":0},{"speaker":"楊委員曜","start":"2025-01-02T14:54:24.854000+08:00","guessed":false,"end":"2025-01-02T14:54:50.039000+08:00","text":"部長，我們推動友善職場大概要從很多面向做起，包括平常的教育宣導、鼓勵受害者勇於舉報，但是舉報以後要怎麼保護受害者？","quality":0.904},{"speaker":"楊委員曜","start":"2025-01-02T14:54:51.860000+08:00","guessed":false,"end":"2025-01-02T14:54:56.462000+08:00","text":"包括後續雇主應該要怎麼妥善處理？","quality":0.867},{"speaker":"楊委員曜","start":"2025-01-02T14:54:57.562000+08:00","guessed":false,"end":"2025-01-02T14:55:02.265000+08:00","text":"這是一個很大的問題，我們也有相關的法律規範。","quality":1},{"speaker":"楊委員曜","start":"2025-01-02T14:55:05.546000+08:00","guessed":false,"end":"2025-01-02T14:55:13.822000+08:00","text":"但本席也常說，光有法律沒有辦法完成任何一件事情，必須真正落實法律，這才是重點。","quality":0.8},{"speaker":"楊委員曜","start":"2025-01-02T14:55:17.725000+08:00","guessed":false,"end":"2025-01-02T14:55:23.551000+08:00","text":"推動友善職場應該也算勞動部一項很重要的工作。當然。","quality":0.87},{"speaker":"楊委員曜","start":"2025-01-02T14:55:24.632000+08:00","guessed":false,"end":"2025-01-02T14:55:44.008000+08:00","text":"怎麼讓勞工，甚至是你們自己的員工，在職場上獲得保障，避免受到不必要的性平事件、性侵或霸凌等等，請部長長期關注。","quality":0.878},{"speaker":"楊委員曜","start":"2025-01-02T14:55:45.089000+08:00","guessed":false,"end":"2025-01-02T14:56:18.720000+08:00","text":"本席今天想要針對就業服務法剛通過修正的相關問題和部長討論，新修的就業服務法放寬80歲以上長者聘用外國籍看護工的條件，取消巴氏量表的規定。免評。","quality":0.8},{"speaker":"楊委員曜","start":"2025-01-02T14:56:23.505000+08:00","guessed":false,"end":"2025-01-02T14:56:29.350000+08:00","text":"部長，全國80歲以上的人口有多少？","quality":1},{"speaker":"楊委員曜","start":"2025-01-02T14:56:29.471000+08:00","guessed":false,"end":"2025-01-02T14:56:32.666000+08:00","text":"你知道嗎？91萬人。","quality":0.667},{"speaker":"楊委員曜","start":"2025-01-02T14:56:32.666000+08:00","guessed":false,"end":"2025-01-02T14:56:32.666000+08:00","text":"九十一萬多人。","quality":0.333},{"speaker":"楊委員曜","start":"2025-01-02T14:56:35.647000+08:00","guessed":false,"end":"2025-01-02T14:56:41.191000+08:00","text":"根據統計，大概有53萬人是健康的。對。","quality":0.929},{"speaker":"楊委員曜","start":"2025-01-02T14:56:42.571000+08:00","guessed":false,"end":"2025-01-02T14:57:01.132000+08:00","text":"原本需要做巴氏量表的話，大概不到40萬人可能有需求，現在突然多出許多潛在需求者。53萬人。對。","quality":0.789},{"speaker":"楊委員曜","start":"2025-01-02T14:57:01.132000+08:00","guessed":false,"end":"2025-01-02T14:57:03.715000+08:00","text":"這個缺口你們要怎麼補？","quality":0.9},{"speaker":"洪部長申翰","start":"2025-01-02T14:57:08.018000+08:00","guessed":false,"end":"2025-01-02T14:57:27.470000+08:00","text":"我們現在會和外交部一起針對外籍看護工的主要來源國，討論這部分的勞動力供給有沒有再提高的可能，但是這真的不完全操之在我們。","quality":0.737},{"speaker":"楊委員曜","start":"2025-01-02T14:57:27.811000+08:00","guessed":false,"end":"2025-01-02T14:57:27.971000+08:00","text":"本席知道。","quality":0.5},{"speaker":"洪部長申翰","start":"2025-01-02T14:57:28.631000+08:00","guessed":false,"end":"2025-01-02T14:57:40.579000+08:00","text":"這和他們母國的管理量能，包括能夠引進的量能，都有很大的關係，也和我們在國際移工市場的競爭力有關係。","quality":0.911},{"speaker":"洪部長申翰","start":"2025-01-02T14:57:40.819000+08:00","guessed":false,"end":"2025-01-02T14:58:01.315000+08:00","text":"我們當然會試圖在供給方面努力，看看能不能再提高，可是就我們目前的評估，和需求增加這麼多相比，因為總體需求大概是53萬人，雖然潛在的這53萬人可以拿到申請資格，但不會每個人都來申請。","quality":0.759},{"speaker":"楊委員曜","start":"2025-01-02T14:58:01.315000+08:00","guessed":true,"end":"2025-01-02T14:58:02.315000+08:00","text":"對，所以我們是討論潛在的部分。","quality":0},{"speaker":"洪部長申翰","start":"2025-01-02T14:58:01.315000+08:00","guessed":false,"end":"2025-01-02T14:58:21.941000+08:00","text":"所以我們大概估計了一下，如果從過去整體失能的長者來算，大概有五成的人需要外籍看護工和長照，依此對比的話，我們評估也許是兩到三成需要，大概是10萬人到十幾萬人之間，這十幾萬人和我們……","quality":0.864},{"speaker":"楊委員曜","start":"2025-01-02T14:58:22.921000+08:00","guessed":false,"end":"2025-01-02T14:58:24.682000+08:00","text":"十幾萬人就已經很多了。對。","quality":0.909},{"speaker":"洪部長申翰","start":"2025-01-02T14:58:24.682000+08:00","guessed":false,"end":"2025-01-02T14:58:36.745000+08:00","text":"所以需求是10萬人到十幾萬人之間，和供給端能夠提高的量是有差距的，這也是我們為什麼這麼擔心的原因，因為看起來供需失衡有可能會加劇。對。","quality":0.767},{"speaker":"楊委員曜","start":"2025-01-02T14:58:36.745000+08:00","guessed":false,"end":"2025-01-02T14:58:48.885000+08:00","text":"因為本席也是外籍看護工的雇主，所以本席知道這幾年缺工的情形原本就很嚴重。","quality":0.824},{"speaker":"洪部長申翰","start":"2025-01-02T14:58:49.566000+08:00","guessed":false,"end":"2025-01-02T14:58:50.186000+08:00","text":"對，這是本來就有的現象。","quality":1},{"speaker":"楊委員曜","start":"2025-01-02T14:58:52.267000+08:00","guessed":false,"end":"2025-01-02T14:59:02.591000+08:00","text":"不過立法院既然通過法律，行政部門只能去做因應。","quality":0.81},{"speaker":"楊委員曜","start":"2025-01-02T14:59:02.591000+08:00","guessed":false,"end":"2025-01-02T14:59:13.695000+08:00","text":"我們在國際上的勞動力引進，其實本來就比較弱勢，簡單的說就是我們的工資遠不如日韓。","quality":0.811},{"speaker":"洪部長申翰","start":"2025-01-02T14:59:14.495000+08:00","guessed":false,"end":"2025-01-02T14:59:15.056000+08:00","text":"對，沒錯。","quality":1},{"speaker":"楊委員曜","start":"2025-01-02T14:59:15.216000+08:00","guessed":false,"end":"2025-01-02T14:59:17.778000+08:00","text":"在競爭上本來就已經……","quality":1},{"speaker":"洪部長申翰","start":"2025-01-02T14:59:19.420000+08:00","guessed":false,"end":"2025-01-02T14:59:21.682000+08:00","text":"屈居弱勢。對。","quality":0.6},{"speaker":"楊委員曜","start":"2025-01-02T14:59:24.184000+08:00","guessed":false,"end":"2025-01-02T14:59:28.849000+08:00","text":"不過這部分還是必須努力去做，好不好？","quality":0.875},{"speaker":"洪部長申翰","start":"2025-01-02T14:59:29.229000+08:00","guessed":false,"end":"2025-01-02T14:59:35.693000+08:00","text":"我們會分兩個部分，供給端會和外交部討論。","quality":0.889},{"speaker":"洪部長申翰","start":"2025-01-02T14:59:36.073000+08:00","guessed":false,"end":"2025-01-02T14:59:46.359000+08:00","text":"但是就整體因應，尤其是怎麼優先保障重症家庭受到照顧的權益，這部分我們會和衛福部商擬方案。","quality":0.902},{"speaker":"楊委員曜","start":"2025-01-02T14:59:47.179000+08:00","guessed":false,"end":"2025-01-02T14:59:53.143000+08:00","text":"可是你們好像沒有權力去做判斷？","quality":1},{"speaker":"洪部長申翰","start":"2025-01-02T14:59:53.143000+08:00","guessed":false,"end":"2025-01-02T14:59:55.104000+08:00","text":"哪一個判斷？","quality":1},{"speaker":"楊委員曜","start":"2025-01-02T14:59:55.104000+08:00","guessed":false,"end":"2025-01-02T15:00:23.639000+08:00","text":"就是優先照顧重度必須要照顧的，因為現在就是變成大家的條件都一樣，除非是長照的部分，當然是比較有優先順序，可是外籍看護工並沒有，外籍看護工就會變成……你不可能去設定80歲以上誰優先，你們可以嗎？","quality":1},{"speaker":"洪部長申翰","start":"2025-01-02T15:00:24.100000+08:00","guessed":false,"end":"2025-01-02T15:00:43.487000+08:00","text":"我們可能沒有辦法硬性去設定，可是我們怎麼來幫助他們可以比較容易找得到、留得住，或者是增加留得住的條件，我們當然會想要往這個方向來去協助，但是確實因為這個修法後，其實它的衝擊還是會很大，我們只能在這裡減緩衝擊。對……","quality":0.979},{"speaker":"洪部長申翰","start":"2025-01-02T15:00:43.487000+08:00","guessed":false,"end":"2025-01-02T15:00:46.729000+08:00","text":"我們可能沒有辦法完全的讓這個衝擊不會發生，我們只能試圖減緩衝擊。","quality":1},{"speaker":"楊委員曜","start":"2025-01-02T15:00:46.729000+08:00","guessed":false,"end":"2025-01-02T15:01:15.001000+08:00","text":"假如說可以有一個配套出來，看要怎麼疏導，讓真正重中度失能的長者可以優先取得、優先僱到外籍看護工，那當然是最好。","quality":0.98},{"speaker":"洪部長申翰","start":"2025-01-02T15:01:15.141000+08:00","guessed":false,"end":"2025-01-02T15:01:23.664000+08:00","text":"我們會希望往這個方向來試著使用一些政策工具，可是這可能不是一個絕對的事情，因為它可能沒有辦法變成是一個強力的管制。","quality":0.963},{"speaker":"楊委員曜","start":"2025-01-02T15:01:25.566000+08:00","guessed":false,"end":"2025-01-02T15:01:29.310000+08:00","text":"你們沒有辦法硬性，你們沒有辦法，因為法律本來就不允許這麼做。對、是。","quality":0.69},{"speaker":"楊委員曜","start":"2025-01-02T15:01:30.732000+08:00","guessed":false,"end":"2025-01-02T15:01:39.122000+08:00","text":"那你剛剛講非硬性的疏導方式，有沒有……","quality":1},{"speaker":"洪部長申翰","start":"2025-01-02T15:01:39.582000+08:00","guessed":false,"end":"2025-01-02T15:01:40.964000+08:00","text":"優先協助、優先協助。","quality":1},{"speaker":"楊委員曜","start":"2025-01-02T15:01:40.984000+08:00","guessed":false,"end":"2025-01-02T15:01:42.665000+08:00","text":"對，怎麼協助？","quality":1},{"speaker":"洪部長申翰","start":"2025-01-02T15:01:44.026000+08:00","guessed":false,"end":"2025-01-02T15:01:46.366000+08:00","text":"因為禮拜二才剛修法通過。對。","quality":0.833},{"speaker":"洪部長申翰","start":"2025-01-02T15:01:47.507000+08:00","guessed":false,"end":"2025-01-02T15:01:55.049000+08:00","text":"我們接下來會跟衛福部來研擬跨部會降低衝擊的配套作法。","quality":0.96},{"speaker":"楊委員曜","start":"2025-01-02T15:01:56.209000+08:00","guessed":false,"end":"2025-01-02T15:02:12.135000+08:00","text":"我在想，衛福部可以做的就只有透過長照制度來做，跟外籍看護工是兩條比較相類似可是並不重疊的線。","quality":0.953},{"speaker":"洪部長申翰","start":"2025-01-02T15:02:12.135000+08:00","guessed":false,"end":"2025-01-02T15:02:31.585000+08:00","text":"因為衛福部比較了解需求，它比較了解照護需求，我們勞動部的專長是在勞動力管理，這一整件事情的因應可能會需要你也了解照護需求，對照護需求有相對應不同的策略，然後怎麼樣透過勞動力管理，大家一起來配合，所以這需要兩個部一起來合作。","quality":0.971},{"speaker":"楊委員曜","start":"2025-01-02T15:02:31.885000+08:00","guessed":false,"end":"2025-01-02T15:02:44.152000+08:00","text":"可是我的理解是衛福部可能可以做的就是在請不到勞工的時候，怎麼用長照制度去做挹注。","quality":1},{"speaker":"洪部長申翰","start":"2025-01-02T15:02:44.152000+08:00","guessed":true,"end":"2025-01-02T15:02:45.152000+08:00","text":"這也是很重要。","quality":0},{"speaker":"楊委員曜","start":"2025-01-02T15:02:45.033000+08:00","guessed":false,"end":"2025-01-02T15:02:54.720000+08:00","text":"它可能比較沒有辦法跟你搭配來做外籍看護工雇主的篩選，懂我的意思嗎？","quality":0.871},{"speaker":"洪部長申翰","start":"2025-01-02T15:02:54.720000+08:00","guessed":false,"end":"2025-01-02T15:03:26.583000+08:00","text":"對，但我是說實質的作法，我覺得這是一個合作，但是可能不是互相取代的，但是它是一個合作，所以衛福部有衛福部比較擅長、比較了解的部分，我們勞動部有我們比較擅長及了解的部分，怎麼樣在不同的功能上面一起來分工合作，我們現在只能試圖往降低衝擊的方向來想，可是恐怕那個衝擊還是會發生，這是我們最擔心的，這也是為什麼我們在修法前一直要嚴正提醒大家，這個修法是不是最妥當的一個修法，副作用可能會很大。","quality":0.955},{"speaker":"楊委員曜","start":"2025-01-02T15:03:27.043000+08:00","guessed":false,"end":"2025-01-02T15:03:41.013000+08:00","text":"我再用1分鐘講，其實這幾天……因為澎湖老人也多啦，其實已經有一些雇主會擔心嘛！","quality":0.97},{"speaker":"楊委員曜","start":"2025-01-02T15:03:41.633000+08:00","guessed":false,"end":"2025-01-02T15:03:43.994000+08:00","text":"其實我自己也擔心，為什麼呢？","quality":1},{"speaker":"楊委員曜","start":"2025-01-02T15:03:44.294000+08:00","guessed":false,"end":"2025-01-02T15:04:26.682000+08:00","text":"因為這幾年一年比一年難聘，現在又大幅度的放寬，會產生外籍看護工可以選擇照顧者，他選擇亞健康的照顧者，他不選擇重症，他選擇可以給他額外津貼多一點的、經濟上的強勢者。","quality":1},{"speaker":"洪部長申翰","start":"2025-01-02T15:04:27.943000+08:00","guessed":false,"end":"2025-01-02T15:04:32.346000+08:00","text":"就是薪資也會……大家順著要拉高才能增加機會。","quality":0.895},{"speaker":"楊委員曜","start":"2025-01-02T15:04:32.346000+08:00","guessed":false,"end":"2025-01-02T15:04:54.407000+08:00","text":"這個也合理，站在他的立場，他也會選擇地區，我覺得像離島偏鄉也會越來越難找得到家庭看護工，法律通過了，接下來就請部長，我想這個議題也不會只有今天問。當然。","quality":0.971},{"speaker":"楊委員曜","start":"2025-01-02T15:04:56.108000+08:00","guessed":false,"end":"2025-01-02T15:05:05.093000+08:00","text":"請部長趕快回去做一定的政策方向的擬定，好不好？好。","quality":1},{"speaker":"楊委員曜","start":"2025-01-02T15:05:05.253000+08:00","guessed":false,"end":"2025-01-02T15:05:05.914000+08:00","text":"謝謝部長，謝謝主席。","quality":1},{"speaker":"洪部長申翰","start":"2025-01-02T15:05:06.414000+08:00","guessed":true,"end":"2025-01-02T15:05:07.842571+08:00","text":"謝謝楊委員。","quality":0},{"speaker":"主席","start":"2025-01-02T15:05:08.142571+08:00","guessed":true,"end":"2025-01-02T15:05:10.714000+08:00","text":"謝謝楊委員，謝謝部長。","quality":0},{"speaker":"主席","start":"2025-01-02T15:05:11.014000+08:00","guessed":true,"end":"2025-01-02T15:05:14.728286+08:00","text":"葉元之、葉元之、葉元之委員不在。","quality":0},{"speaker":"主席","start":"2025-01-02T15:05:15.028286+08:00","guessed":true,"end":"2025-01-02T15:05:17.885429+08:00","text":"本日會議詢答全部結束。","quality":0},{"speaker":"主席","start":"2025-01-02T15:05:18.185429+08:00","guessed":true,"end":"2025-01-02T15:05:23.899714+08:00","text":"委員涂權吉所提書面之質詢，列入紀錄，刊登公報。","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:05:24.199714+08:00","guessed":true,"end":"2025-01-02T15:06:06.199714+08:00","text":"近來，我國長照悲歌案件屢上媒體版面，經中華民國家庭照顧者關懷總會統計，自民國107年至民國113年底，因家庭照護承擔壓力過重等原因，共造成62起不幸人倫悲劇事件的發生，再更細部交叉比對上述資訊後，能發現因民國110-111年我國新冠疫情肆虐的背景，各行各業居家辦公盛行，使較年輕的勞動力能夠有在家照護長者的機會，也使110-111年的照護悲劇發生頻率能夠減緩。","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:06:06.499714+08:00","guessed":true,"end":"2025-01-02T15:06:29.356857+08:00","text":"這也恰恰證明為何我國112年發生的長照悲歌事件數，為何會是111年的近5倍之多，家中年輕一輩須回歸職場，又要分身乏術照顧家中長者，使得照護壓力過於沉重，造就家庭照護端無法承受的照護環境。","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:06:29.656857+08:00","guessed":true,"end":"2025-01-02T15:07:03.371143+08:00","text":"我國長照基金自106年6月因應長照2.0政策而設置，決算數額從107年356億，到去年已成長至976億，漲幅近3倍之多；惟112年長照預算雖編列近千億，但從客觀長照悲劇案件發生數等客觀數據來看，112年我國長照環境與107年相比相差無幾，凸顯出我國有關長照預算雖大幅成長，但是否有真正落實到有需求的民眾？","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:07:03.671143+08:00","guessed":true,"end":"2025-01-02T15:07:07.385429+08:00","text":"關懷對象是否集中於某些群體？","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:07:07.685429+08:00","guessed":true,"end":"2025-01-02T15:07:11.399714+08:00","text":"給付項目是否符合照護者需求？","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:07:11.699714+08:00","guessed":true,"end":"2025-01-02T15:07:19.699714+08:00","text":"這些都是相關主管機關需妥慎看待的，以精進我國長照3.0施行細節。","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:07:19.999714+08:00","guessed":true,"end":"2025-01-02T15:07:39.428286+08:00","text":"上月監察委員王幼玲，針對我國長照政策的缺失向衛福部提出一份報告，其中指出「衛福部選擇片面數據、美化長照成果、長照資源過度集中輕重度失能者」等各項問題。","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:07:39.728286+08:00","guessed":true,"end":"2025-01-02T15:08:27.442571+08:00","text":"截至112年12月底，整體長照服務人數雖已逾68萬9千人，長照服務涵蓋率亦提升至80.19%，但針對重度失能者的長照涵蓋率，卻從107年33%大幅降低至112年的22%，現行長照制度主要集中在輕中度失能者，且112年超過7成的長照給支付服務使用者為輕中度失能者，重度失能者大多仍仰賴家庭及移工，使得每年使用長照給支付服務占比下降2成，那倘若重度失能者的家庭因徵不到看護工，那照護重擔豈不是就落在家庭照護者身上？","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:08:27.742571+08:00","guessed":true,"end":"2025-01-02T15:08:34.599714+08:00","text":"針對重度失能者照護責任的部份，我們政府的角色又在哪？","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:08:34.899714+08:00","guessed":true,"end":"2025-01-02T15:08:44.899714+08:00","text":"針對上述長照2.0「重度失能者涵蓋率過低」等問題，衛福部應說明長照3.0有何改善方案。","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:08:45.199714+08:00","guessed":true,"end":"2025-01-02T15:09:16.056857+08:00","text":"另外，109-111年衛福部曾辦理「長照2.0服務滿意度調查」，對於滿意度高達9成以上沾沾自喜，但報告指出在歷次調查對象不僅欠缺「短期使用者」、「結案者」及「符合資格卻未申請服務者」，還透過調查方式、抽樣調查、問卷設計等方式，將長照2.0的施行成果過度美化，導致結果數據失真。","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:09:16.356857+08:00","guessed":true,"end":"2025-01-02T15:09:27.499714+08:00","text":"未來相關的長照滿意度調查，衛福部應納入上述三個群體，否則會造成調查報告有偏頗之嫌疑。","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:09:27.799714+08:00","guessed":true,"end":"2025-01-02T15:09:36.942571+08:00","text":"最後，針對近日就服法第46條修正通過，對於未來我國長照制度是否有正面幫助？","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:09:37.242571+08:00","guessed":true,"end":"2025-01-02T15:09:39.528286+08:00","text":"衛福部應予以說明。","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:09:39.828286+08:00","guessed":true,"end":"2025-01-02T15:10:14.685429+08:00","text":"本席認為這次就服法修正通過，將有效減輕家庭端的照護壓力，讓家中年輕一輩能夠擁有正常的就業環境，而家中有照護需求的長者也能夠由外籍看護工來提供照護服務，真正實現我國「老有所終，壯有所用」的和諧社會，減少家庭照護者與被照顧者之間的摩擦，以及未來可能發生長照悲歌的風險。","quality":0},{"speaker":"委員涂權吉書面質詢","start":"2025-01-02T15:10:14.985429+08:00","guessed":true,"end":"2025-01-02T15:10:50.128286+08:00","text":"另外，開放80歲長者免評巴氏量表，衛福部也應提出相關配套政策，包括透過長照經費來補助照顧重症失能的看護工，提高看護工照護重症失能者的意願，衛福部也應跨部會與勞動部，就就服法46條修正後，重症雇主需不需要繳納就業安定費等問題來討論，對此，才能夠因應未來我國老齡化、少子化的問題。","quality":0},{"speaker":"主席：現在作以下決定","start":"2025-01-02T15:10:50.428286+08:00","guessed":true,"end":"2025-01-02T15:11:03.571143+08:00","text":"報告及詢答完畢，委員質詢未及答復或請補充資料者，相關機關於兩週內以書面答復，委員另行要求者從其所定。","quality":0},{"speaker":"主席：現在作以下決定","start":"2025-01-02T15:11:03.871143+08:00","guessed":true,"end":"2025-01-02T15:11:08.442571+08:00","text":"本日會議到此結束，現在散會，謝謝大家。","quality":0},{"speaker":"主席：現在作以下決定","start":"2025-01-02T15:11:08.742571+08:00","guessed":true,"end":"2025-01-02T15:11:09.885429+08:00","text":"散會（17時5分）","quality":0}]}},"supported_relations":[],"relations":[]}