{"error":false,"id":["167575"],"data":{"IVOD_ID":167575,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/167575","日期":"2026-03-18","會議資料":{"會議代碼":"委員會-11-5-26-2","會議代碼:str":"第11屆第5會期社會福利及衛生環境委員會第2次全體委員會議","屆":11,"會期":5,"會次":2,"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5會期社會福利及衛生環境委員會第2次全體委員會議"},"影片種類":"Clip","開始時間":"2026-03-18T09:59:09+08:00","結束時間":"2026-03-18T10:11:01+08:00","影片長度":"00:11:52","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4e26a61b53ad6053fb2832c8629d725018cbbd4f69c426c0854b2f19bd25f700f8f891d2cf65ac865ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"黃秀芳","委員發言時間":"09:59:09 - 10:11:01","會議時間":"2026-03-18T09:00:00+08:00","會議名稱":"立法院第11屆第5會期社會福利及衛生環境委員會第2次全體委員會議（事由：邀請衛生福利部部長、勞動部、原住民族委員會、內政部、教育部、行政院人事行政總處、銓敘部及國家衛生研究院，就「如何精進偏鄉醫療與長照資源落差及落實《原住民族健康法》之困境，並對提升原住民族健康權益及強化原鄉照護量能（含提升機關位階與人力配置）」進行專題報告，並備質詢。\n【3月18日及3月19日，二天一次會】）","transcript":{"pyannote":[{"speaker":"SPEAKER_01","start":3.4734687500000003,"end":4.7897187500000005},{"speaker":"SPEAKER_00","start":4.97534375,"end":5.81909375},{"speaker":"SPEAKER_00","start":9.852218750000002,"end":9.869093750000001},{"speaker":"SPEAKER_01","start":9.869093750000001,"end":35.58659375},{"speaker":"SPEAKER_01","start":35.721593750000004,"end":43.315343750000004},{"speaker":"SPEAKER_01","start":43.80471875,"end":56.42721875},{"speaker":"SPEAKER_01","start":56.64659375,"end":74.16284375000001},{"speaker":"SPEAKER_00","start":75.32721875,"end":81.31784375000001},{"speaker":"SPEAKER_01","start":78.58409375000001,"end":78.71909375},{"speaker":"SPEAKER_01","start":78.80346875000001,"end":101.98971875000001},{"speaker":"SPEAKER_00","start":81.63846875,"end":82.71846875},{"speaker":"SPEAKER_00","start":101.53409375000001,"end":102.12471875},{"speaker":"SPEAKER_01","start":102.12471875,"end":105.49971875},{"speaker":"SPEAKER_01","start":105.73596875000001,"end":116.53596875000001},{"speaker":"SPEAKER_00","start":108.90846875000001,"end":108.92534375000001},{"speaker":"SPEAKER_00","start":108.94221875000001,"end":108.95909375000001},{"speaker":"SPEAKER_00","start":108.97596875,"end":109.53284375000001},{"speaker":"SPEAKER_01","start":116.63721875,"end":118.52721875},{"speaker":"SPEAKER_00","start":118.18971875000001,"end":171.48096875000002},{"speaker":"SPEAKER_01","start":134.42346875,"end":134.96346875},{"speaker":"SPEAKER_01","start":136.39784375000002,"end":136.90409375000002},{"speaker":"SPEAKER_01","start":144.41346875000002,"end":146.82659375},{"speaker":"SPEAKER_01","start":149.88096875000002,"end":150.38721875000002},{"speaker":"SPEAKER_01","start":150.48846875,"end":150.50534375},{"speaker":"SPEAKER_01","start":150.58971875,"end":150.62346875},{"speaker":"SPEAKER_01","start":154.55534375000002,"end":155.24721875},{"speaker":"SPEAKER_01","start":155.88846875000002,"end":156.14159375},{"speaker":"SPEAKER_01","start":160.63034375,"end":161.10284375},{"speaker":"SPEAKER_01","start":170.83971875,"end":171.32909375},{"speaker":"SPEAKER_01","start":171.48096875000002,"end":242.62596875000003},{"speaker":"SPEAKER_01","start":243.45284375000003,"end":260.02409375},{"speaker":"SPEAKER_00","start":260.02409375,"end":334.67909375000005},{"speaker":"SPEAKER_01","start":276.10596875000005,"end":276.42659375},{"speaker":"SPEAKER_01","start":278.85659375,"end":279.19409375000004},{"speaker":"SPEAKER_01","start":287.73284375000003,"end":288.13784375},{"speaker":"SPEAKER_01","start":289.35284375000003,"end":289.97721875},{"speaker":"SPEAKER_01","start":302.07659375000003,"end":302.54909375},{"speaker":"SPEAKER_01","start":311.54346875000005,"end":311.71221875000003},{"speaker":"SPEAKER_01","start":331.50659375000004,"end":331.96221875000003},{"speaker":"SPEAKER_01","start":333.37971875,"end":333.83534375000005},{"speaker":"SPEAKER_01","start":334.67909375000005,"end":380.14034375},{"speaker":"SPEAKER_00","start":339.92721875,"end":340.16346875000005},{"speaker":"SPEAKER_01","start":380.52846875,"end":395.61471875},{"speaker":"SPEAKER_01","start":395.86784375,"end":408.33846875},{"speaker":"SPEAKER_01","start":409.41846875000005,"end":429.09471875},{"speaker":"SPEAKER_01","start":429.31409375000004,"end":431.30534375},{"speaker":"SPEAKER_01","start":431.91284375000004,"end":432.84096875},{"speaker":"SPEAKER_01","start":433.88721875000005,"end":434.52846875},{"speaker":"SPEAKER_01","start":434.73096875000005,"end":435.76034375},{"speaker":"SPEAKER_01","start":436.21596875,"end":446.62784375},{"speaker":"SPEAKER_01","start":446.98221875,"end":467.56971875000005},{"speaker":"SPEAKER_01","start":468.63284375,"end":468.64971875000003},{"speaker":"SPEAKER_00","start":468.64971875000003,"end":533.78721875},{"speaker":"SPEAKER_01","start":474.20159375000003,"end":474.89346875},{"speaker":"SPEAKER_01","start":476.34471875,"end":476.47971875},{"speaker":"SPEAKER_01","start":476.56409375000004,"end":476.85096875000005},{"speaker":"SPEAKER_01","start":479.66909375000006,"end":479.78721875},{"speaker":"SPEAKER_01","start":491.63346875,"end":492.78096875000006},{"speaker":"SPEAKER_01","start":493.28721875,"end":496.15596875000006},{"speaker":"SPEAKER_01","start":497.16846875000005,"end":497.57346875},{"speaker":"SPEAKER_01","start":511.52909375,"end":511.96784375000004},{"speaker":"SPEAKER_01","start":522.2278437500001,"end":522.66659375},{"speaker":"SPEAKER_01","start":525.38346875,"end":525.4509687500001},{"speaker":"SPEAKER_01","start":527.59409375,"end":528.18471875},{"speaker":"SPEAKER_01","start":532.84221875,"end":534.5634687500001},{"speaker":"SPEAKER_01","start":535.4409687500001,"end":560.3147187500001},{"speaker":"SPEAKER_00","start":536.5715937500001,"end":539.457218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呂次長有參加我們彰化縣長照這個社福大樓長照多功能的這個社福大樓的這個啟用那當然很多長輩對於我們的這個潛在基礎建設"},{"start":28.494,"end":51.136,"text":"補助的這個長照大樓社福大樓都非常的滿意那唯一不滿意的就是說它的空間還是有限那可以容納的這個民眾還是有限想要進去的這個民眾他們這個後面就是還要在後面排隊所以這個不論是在我們的這個多功能的這個大樓裡面或者是在社區"},{"start":53.338,"end":73.835,"text":"這個關懷據點或者是長昭溪據點都有這樣的一個問題就是很多長輩他想要到這個社區就近的這個關懷據點或長昭據點那因為礙於空間的關係所以也都要排隊所以我不知道說未來那個部長針對這一部分可以怎麼樣再去做一些改善"},{"start":76.479,"end":101.104,"text":"所以委員是說那個空間不夠是不是就是還有很多長輩想要進去嗎對啊而且現在的社區社區的那個社區自己經營的關懷據點也好或者是長照西據點那空間真的都非常的小有的就是就近有一些公共的這個場域那這個場域可能只能容納二三十個人"},{"start":102.344,"end":119.719,"text":"也許這個社區還有很多長輩他想要進來可是礙於空間的關係就是沒辦法所以我覺得說未來是不是有可能每個社區可以再多增加一個點不知道可不可以朝這個方向去努力就是我們再來"},{"start":121.059,"end":142.55,"text":"這個了解一下如果是這個需求上還不夠這個容量還不夠的話那也許我們也可以來研究看看現在有一些閒置的公共空間看如何來這個轉型讓這個長輩呢他希望的活動的空間能夠有我覺得這個委員的建議我們來調查一下"},{"start":145.431,"end":171.328,"text":"因為我們一開始是以一鄉鎮一個長照開始做設計然後開始再進步到說以一個學區所以我們也是一步一步在一直在長資源那如果現在到每一個學區都有了但是這個空間不夠太小那要多設一個我們來研究看看調查一下看哪些地方有這樣的需求"},{"start":172.908,"end":198.914,"text":"謝謝謝謝部長接下來我想請教就是在2024年監委那個王又嶺監委有針對衛福部的這個長照2.0有做一些調查報告那當時有特別提到就是說我們的這個縣市的住宿市機構還有失智的這個照護資源供應供給不足那接下來就是說我們也看到這個長照的服務的目標"},{"start":199.734,"end":223.635,"text":"群體推估參數未符實況那我們看到就是說在長照2.0可能我們比較著重在輕度跟中度的這個族群那反而是重度的這個族群長輩可能這個資源比較不夠那我們也期待就是說2026年的這個長照3.0針對這個重度的這些群組是不是可以再加強"},{"start":224.816,"end":242.389,"text":"給更多的一個資源而且我覺得說這些重度的這個民眾這個家庭更需要政府的資源因為有一些他可能也許需要我們的這個這個造福的這個資源可是他可能"},{"start":243.51,"end":260.365,"text":"有一些這個資源不是可以這麼到位所以我希望就是說針對這個長照3.0已經開始那這些針對重度的這些長輩或者有需求的這些重度的民眾那是不是政府的資源能夠更加的投入"},{"start":261.506,"end":279.863,"text":"跟委員大概說明一下確實我們剛剛有提到我們現在長照使用對象裡面大概只有兩層是重度者所以對於這個重度的他的這個長照因為大概就兩個地方一個是住宿式機構那另外一個就是居家他只能大概是這兩個"},{"start":281.184,"end":304.576,"text":"重度這個住宿室的話我們現在看起來是這樣整體的量是夠但是有區域不平衡的問題像有些區域上的就比較難長出這個住宿室機構所以這個我們會繼續來努力另外也去這個我們可能接下來會朝向去提高這個住宿型機構的補助也減輕民眾的負擔也鼓勵有這樣的機構可以長出"},{"start":306.497,"end":334.447,"text":"那第二個就是去強化那個重度居家的長照服務希望看能不能夠優先讓這些長照重度的家庭能夠用到比較多的居家重度的通常跟醫療的需求也會有所以強化居家的醫療跟長照的結合這也是另外在長照3.0裡面特別需要去強化包含夜間跟假日期間的這些重度"},{"start":334.747,"end":357.273,"text":"好我希望就未來我們長壽3.0應該是針對重度的這個部分應該要再加強因為部長我想請教就是說我最近接到一個個案就是一個96歲的一個阿嬤那她原本身體狀況都非常的好頭腦也很清楚那個四肢也都很靈活那可能長輩其實96歲其實身體狀況急轉直下那她原本是獨居"},{"start":363.895,"end":381.883,"text":"家裡面的人原本他的小孩就是沒有住在一起這個長輩他自己生活自己都還OK那現在身體狀況可能有一些就是有一點點狀況那他的小孩想說要幫他申請這個這個長照幫他煮一個中餐"},{"start":383.444,"end":407.662,"text":"那我們的照管人員是不是會去家裡面去評估通常是這樣子嘛對不對就是會去家裡面去做評估那評估是不會過但是沒過啦評估之後是沒有過因為這個照管人員說這個阿嬤頭腦清楚 四肢靈活她自己還可以煮飯那所以這個有一個狀況"},{"start":409.451,"end":430.511,"text":"後來他們就說可是這個阿嬤身體狀況是一天一天就是不是那麼好所以他們還是希望能夠請到這個幫他這個我們的服務然後幫他煮個中餐這樣子那就有人就教他就是說如果照管人員來這個跟你做訪問的時候要記一下啦"},{"start":436.301,"end":447.188,"text":"如果他原本可能四肢很靈活可以走路的他問A你就答B所以我會覺得說有必要這樣子嗎就是說如果這個阿嬤96歲那身體狀況確實就是不如以前那有必要叫阿嬤就說你記一下這個照管人員來訪問的時候你就假裝一下"},{"start":464.039,"end":492.659,"text":"部長針對這個個案你會如果是你的話你會怎麼處理這個跟委員在確認您說的這個是一個那個獨居的長者是不是他的小孩沒有跟他住一起沒有住一起嘛所以這個現在是符合我們那個獨老我們現在有兩塊一個是這個長照針對主要是失能者的照顧另外在那個長者的社區服務的部分我們現在有一個獨老計畫在推動也就是今年開始"},{"start":493.839,"end":522.795,"text":"會做這個會有送餐的服務所以他是如果他不到私能沒有落入到長照服務對象那但是他又獨居小孩沒有住一起這個就落入我們的獨老定義那過去我們的獨老服務是先針對中低收入戶而已就是比較弱勢的但是今年開始因為我們有特別預算預注了62億所以我們會專門發展這個所有的65歲以上的獨老者我們都希望"},{"start":522.915,"end":544.136,"text":"纳入到我们的这个服务范围那优先会从75岁以上开始所以刚刚这90几岁的阿嬷这个应该很快就会得到我们的照顾好我希望是如此不需要去假装不用假装不用假装说他身体可能有非常严重或者是他答不出来我觉得有时候"},{"start":544.736,"end":563.189,"text":"可能有這個需求那如果都已經九十幾歲了其實我覺得確實可以應該可以得到我們政府一個比較好的一個照顧所以部長我把這個最基層的這個問題跟你講就是說在基層會碰到這樣的一個狀況也讓你知道因為我們現在優先是針對75歲以上的長者先去關懷房事"},{"start":571.454,"end":585.507,"text":"然後關懷訪視之後就會去做評估看看他的需求是什麼然後再去連接後續看看是送餐服務啦還是關懷啦還是需要緊急救援裝置啦對這些獨居的講者這是我們的重點"},{"start":586.468,"end":610.286,"text":"那接下來我想請教就是說部長你知道賴總統在上個月有特色一位也是阿嬤了就是幾歲那她也照顧她的小孩五十幾年所以我們就可以看到長照這個部分針對重度的家庭確實需要政府更多的資源來協助"},{"start":613.068,"end":637.756,"text":"避免會有這樣的一個長照杯葛啦所以我想請教部長針對這部分那未來你們怎麼再去做一個篩檢剛剛有特別提到重度的這個家庭他可能進到這個長照可能就只有兩成左右那其他的部分你們要怎麼再去做一個篩檢就是說這些主動篩檢那高負荷的這個家庭是不是要優先趕快來協助對"},{"start":641.077,"end":666.705,"text":"這個個案真的是很遺憾那所以我們也檢討強化了我們在這個社安網裡面的初篩就是這些社安網裡面的服務人員網絡人員我們去強化他們的這個教育訓練去能夠極少的去辨識這個高負荷高風險的這些家庭照顧者然後導入資源因為我們現在在長照3.0裡面也是要在更多元的"},{"start":667.305,"end":693.353,"text":"這個家庭照顧者的支持方案包含這個據點還有這個服務的內容包含喘息或專業服務的教導等等這一些那麼特別是那個喘息服務導入進去我想會朝這幾個方向來做最重要就是我們會從那個初篩裡面去強化能夠早一點察覺到這一些個案我希望就是說主動篩檢"},{"start":695.214,"end":703.223,"text":"不是市衛福部或地方政府大家就是主動篩檢那找出這個高負荷的這個家庭因為確實如果長期這樣照顧確實真的壓力還蠻大的而且經濟應該我覺得都會出問題對啊好麻煩謝謝好謝謝黃委員謝謝黃學光委員"}]}},"supported_relations":[],"relations":[]}