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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"}],"gazette":[{"speaker":"黃委員秀芳","start":"2026-03-18T09:59:12.742000+08:00","guessed":false,"end":"2026-03-18T09:59:13.142000+08:00","text":"謝謝主席，我們請部長。","quality":1},{"speaker":"主席","start":"2026-03-18T09:59:13.142000+08:00","guessed":false,"end":"2026-03-18T09:59:13.222000+08:00","text":"有請部長。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T09:59:13.222000+08:00","guessed":true,"end":"2026-03-18T09:59:14.222000+08:00","text":"黃委員好。","quality":0},{"speaker":"黃委員秀芳","start":"2026-03-18T09:59:13.222000+08:00","guessed":false,"end":"2026-03-18T09:59:13.362000+08:00","text":"部長辛苦了。","quality":1},{"speaker":"黃委員秀芳","start":"2026-03-18T09:59:13.503000+08:00","guessed":false,"end":"2026-03-18T09:59:40.357000+08:00","text":"我昨天跟呂次長有參加彰化縣長照多功能社福大樓啟用典禮，當然很多長輩對於我們前瞻基礎建設補助的長照社福大樓都非常的滿意。","quality":0.877},{"speaker":"黃委員秀芳","start":"2026-03-18T09:59:41.258000+08:00","guessed":false,"end":"2026-03-18T09:59:54.451000+08:00","text":"唯一不滿意的是，他的空間還是有限，可以容納的民眾還是有限，想要進去的民眾還是要在後面排隊。","quality":0.951},{"speaker":"黃委員秀芳","start":"2026-03-18T09:59:54.451000+08:00","guessed":false,"end":"2026-03-18T10:00:15.969000+08:00","text":"所以不論是在我們多功能的大樓裡面，或者是在社區關懷據點，或者是長照C據點，都有這樣的問題，很多長輩想要到社區就近的關懷據點或長照據點，但因為礙於空間的關係，也都要排隊。","quality":0.948},{"speaker":"黃委員秀芳","start":"2026-03-18T10:00:15.969000+08:00","guessed":false,"end":"2026-03-18T10:00:22.815000+08:00","text":"所以我不知道針對這一部分，部長未來可以怎麼樣再去做一些改善？","quality":0.857},{"speaker":"石部長崇良","start":"2026-03-18T10:00:25.739000+08:00","guessed":false,"end":"2026-03-18T10:00:30.260000+08:00","text":"委員是說空間不夠還有很多長輩想要進去，是不是？","quality":0.857},{"speaker":"黃委員秀芳","start":"2026-03-18T10:00:30.260000+08:00","guessed":true,"end":"2026-03-18T10:00:31.680000+08:00","text":"對，空間不夠，還有很多長輩想進去。","quality":0.071},{"speaker":"黃委員秀芳","start":"2026-03-18T10:00:31.680000+08:00","guessed":false,"end":"2026-03-18T10:00:57.529000+08:00","text":"而且現在社區自己經營的關懷據點也好，或者是長照C據點，空間真的都非常小，有的是就近有一些公共的場域，可能只能容納二、三十個人，也許這個社區還有很多長輩想要進來，可是礙於空間的關係就是沒辦法。","quality":0.989},{"speaker":"黃委員秀芳","start":"2026-03-18T10:00:58.110000+08:00","guessed":false,"end":"2026-03-18T10:01:05.796000+08:00","text":"所以我覺得未來是不是有可能在每個社區再多增加一個點？","quality":0.96},{"speaker":"黃委員秀芳","start":"2026-03-18T10:01:06.116000+08:00","guessed":false,"end":"2026-03-18T10:01:07.678000+08:00","text":"可不可以朝這個方向去努力？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T10:01:08.298000+08:00","guessed":false,"end":"2026-03-18T10:01:29.489000+08:00","text":"我們再來了解，如果考量需求容量還不夠的話，針對現在一些閒置的公共空間，也許我們也可以來研究一下看看如何轉型，讓長輩能夠有他們希望的活動空間。","quality":0.677},{"speaker":"石部長崇良","start":"2026-03-18T10:01:30.109000+08:00","guessed":false,"end":"2026-03-18T10:01:31.530000+08:00","text":"我覺得委員的建議我們來調查一下……","quality":1},{"speaker":"黃委員秀芳","start":"2026-03-18T10:01:31.530000+08:00","guessed":true,"end":"2026-03-18T10:01:36.352000+08:00","text":"好，確實有這樣的一個需求。","quality":0},{"speaker":"石部長崇良","start":"2026-03-18T10:01:36.352000+08:00","guessed":false,"end":"2026-03-18T10:02:00.308000+08:00","text":"對，一開始我們是以一鄉鎮一個長照開始設計，然後再進一步到以一個學區，所以我們也是一步一步一直在長資源，如果現在每一個學區都有了，但是空間不夠、太小了要多設一個的話，我們來研究調查一下看看哪些地方有這樣的需求。","quality":0.917},{"speaker":"黃委員秀芳","start":"2026-03-18T10:02:01.908000+08:00","guessed":false,"end":"2026-03-18T10:02:02.708000+08:00","text":"好，謝謝部長。","quality":0.8},{"speaker":"黃委員秀芳","start":"2026-03-18T10:02:02.708000+08:00","guessed":false,"end":"2026-03-18T10:02:31.917000+08:00","text":"接下來我想請教，2024年王幼玲監委針對衛福部長照2.0有做一些調查報告，當時特別提到縣市的住宿式機構以及失智照護資源供給不足，且長照服務的目標群體推估參數未符實況。","quality":0.904},{"speaker":"黃委員秀芳","start":"2026-03-18T10:02:32.117000+08:00","guessed":false,"end":"2026-03-18T10:02:54.816000+08:00","text":"但我們也看到在長照2.0，我們比較著重在輕度跟中度的族群，反而是重度的族群與長輩資源可能比較不夠，而我們也期待2026年的長照3.0，針對重度的這些族群，是不是可以再加強給予更多的資源？","quality":0.899},{"speaker":"黃委員秀芳","start":"2026-03-18T10:02:55.577000+08:00","guessed":false,"end":"2026-03-18T10:03:29.345000+08:00","text":"而且我覺得這些重度的民眾及家庭，更需要政府的資源，有一些也許需要照服的資源，可是有一些資源可能不是這麼到位，因為長照3.0已經開始，所以我希望針對重度的這些長輩，或者有需求的重度的民眾，政府的資源是不是能夠更加的投入？","quality":0.848},{"speaker":"石部長崇良","start":"2026-03-18T10:03:30.506000+08:00","guessed":false,"end":"2026-03-18T10:03:48.863000+08:00","text":"大概跟委員說明一下，確實我們剛剛有提到現在長照使用對象裡面大概只有兩成是重度者，所以對於重度者的長照，因為大概就兩個地方，一個是住宿式機構，另外一個就是居家，他指的大概是這兩個。","quality":0.927},{"speaker":"石部長崇良","start":"2026-03-18T10:03:52.645000+08:00","guessed":false,"end":"2026-03-18T10:04:04.031000+08:00","text":"而我們現在看起來是這樣，重度住宿式整體的量是夠，但是有區域不平衡的問題，像有些區域上就比較難長出住宿式機構，所以這個我們會繼續來努力。","quality":0.887},{"speaker":"石部長崇良","start":"2026-03-18T10:04:04.591000+08:00","guessed":false,"end":"2026-03-18T10:04:13.556000+08:00","text":"另外，我們接下來可能會朝向提高住宿型機構的補助，也減輕民眾的負擔，也鼓勵有這樣的機構可以長出。","quality":0.953},{"speaker":"石部長崇良","start":"2026-03-18T10:04:15.657000+08:00","guessed":false,"end":"2026-03-18T10:04:43.427000+08:00","text":"第二個，就是去強化重度居家的長照服務，希望優先讓這些長照重度的家庭能夠用到比較多的居家服務，但重度的族群通常也會有醫療的需求，所以強化居家醫療跟長照的結合，這也是另外在長照3.0裡面特別需要去強化的，包含夜間跟假日期間的重度照護。","quality":0.896},{"speaker":"黃委員秀芳","start":"2026-03-18T10:04:43.747000+08:00","guessed":false,"end":"2026-03-18T10:04:50.569000+08:00","text":"好，我希望未來長照3.0針對重度的這個部分應該要再加強。是。","quality":0.92},{"speaker":"黃委員秀芳","start":"2026-03-18T10:04:52.089000+08:00","guessed":false,"end":"2026-03-18T10:05:03.873000+08:00","text":"另外，我想請教部長，我最近接到一個個案，一個96歲的阿嬤，他原本身體狀況都非常好，頭腦也很清楚，四肢也都很靈活。","quality":0.894},{"speaker":"黃委員秀芳","start":"2026-03-18T10:05:05.313000+08:00","guessed":false,"end":"2026-03-18T10:05:20.518000+08:00","text":"但長輩已經96歲身體狀況急轉直下，他原本是獨居，家裡面的人、他的小孩沒有住在一起，長輩自己生活自理都還OK。","quality":0.894},{"speaker":"黃委員秀芳","start":"2026-03-18T10:05:21.219000+08:00","guessed":false,"end":"2026-03-18T10:05:36.527000+08:00","text":"但現在身體可能有一些狀況，他的小孩想要幫他申請長照來煮一頓中餐，這樣我們的照管人員是不是會去家裡面評估？","quality":0.898},{"speaker":"黃委員秀芳","start":"2026-03-18T10:05:37.548000+08:00","guessed":false,"end":"2026-03-18T10:05:39.289000+08:00","text":"通常是這樣子嘛，對不對？","quality":1},{"speaker":"黃委員秀芳","start":"2026-03-18T10:05:39.710000+08:00","guessed":false,"end":"2026-03-18T10:05:41.311000+08:00","text":"會去家裡面評估。","quality":1},{"speaker":"黃委員秀芳","start":"2026-03-18T10:05:43.793000+08:00","guessed":false,"end":"2026-03-18T10:05:54.801000+08:00","text":"但評估之後沒有通過，因為照管人員說這個阿嬤頭腦清楚、四肢靈活，自己還可以煮飯。","quality":0.971},{"speaker":"黃委員秀芳","start":"2026-03-18T10:05:56.522000+08:00","guessed":false,"end":"2026-03-18T10:06:11.824000+08:00","text":"可是有一個狀況，這個阿嬤身體狀況可能一天一天不是那麼好，所以他們還是希望能夠申請服務來幫他煮個中餐。","quality":0.872},{"speaker":"黃委員秀芳","start":"2026-03-18T10:06:13.325000+08:00","guessed":false,"end":"2026-03-18T10:06:19.371000+08:00","text":"就有人就教他，如果照管人員來訪問的時候，要「假裝」一下，部長知道嗎？","quality":0.75},{"speaker":"黃委員秀芳","start":"2026-03-18T10:06:25.301000+08:00","guessed":false,"end":"2026-03-18T10:06:29.123000+08:00","text":"如果你原本可能四肢很靈活可以走路的，就假裝一下，假裝沒辦法走路，他問你A，你就答B。","quality":0.622},{"speaker":"黃委員秀芳","start":"2026-03-18T10:06:29.283000+08:00","guessed":false,"end":"2026-03-18T10:06:29.824000+08:00","text":"我會覺得有必要這樣子嗎？","quality":1},{"speaker":"黃委員秀芳","start":"2026-03-18T10:06:30.164000+08:00","guessed":false,"end":"2026-03-18T10:06:36.168000+08:00","text":"如果這個阿嬤96歲，身體狀況確實不如以前，有必要叫阿嬤假裝一下，當照管人員來訪問的時候就假裝一下嗎？","quality":0.909},{"speaker":"黃委員秀芳","start":"2026-03-18T10:06:36.168000+08:00","guessed":true,"end":"2026-03-18T10:06:53.039000+08:00","text":"我覺得沒必要這樣子吧！","quality":0},{"speaker":"黃委員秀芳","start":"2026-03-18T10:06:53.039000+08:00","guessed":false,"end":"2026-03-18T10:06:56.381000+08:00","text":"部長，針對這個個案，如果是你的話，你會怎麼處理？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T10:06:57.982000+08:00","guessed":false,"end":"2026-03-18T10:07:02.466000+08:00","text":"跟委員再確認，您說的個案是一個獨居的長者嗎？","quality":0.85},{"speaker":"黃委員秀芳","start":"2026-03-18T10:07:03.226000+08:00","guessed":false,"end":"2026-03-18T10:07:04.747000+08:00","text":"他的小孩沒有跟他住一起。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T10:07:04.787000+08:00","guessed":false,"end":"2026-03-18T10:07:05.408000+08:00","text":"沒有住一起嘛？對。","quality":0.857},{"speaker":"石部長崇良","start":"2026-03-18T10:07:05.828000+08:00","guessed":false,"end":"2026-03-18T10:07:25.281000+08:00","text":"所以現在這個是符合獨老的狀況，我們現在有兩塊，長照主要針對是失能者的照顧，另外在長者社區服務的部分，我們現在有一個獨老計畫在推動，也就是今年開始會做這個……","quality":0.901},{"speaker":"黃委員秀芳","start":"2026-03-18T10:07:25.281000+08:00","guessed":true,"end":"2026-03-18T10:07:26.281000+08:00","text":"會送餐，你說的是送餐。","quality":0.111},{"speaker":"石部長崇良","start":"2026-03-18T10:07:25.281000+08:00","guessed":false,"end":"2026-03-18T10:07:36.847000+08:00","text":"對，會有送餐的服務，所以如果他不到失能，沒有落入到長照服務對象，但是他又獨居，小孩沒有住一起，這個就落入獨老的定義。","quality":0.922},{"speaker":"石部長崇良","start":"2026-03-18T10:07:37.207000+08:00","guessed":false,"end":"2026-03-18T10:08:01.524000+08:00","text":"過去獨老服務是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特別預算挹注了62億，所以我們會專門發展希望將所有65歲以上的獨老者納入到服務範圍，並且優先從75歲以上開始，所以剛剛這個九十幾歲的阿嬤，應該很快就會得到我們的照顧。","quality":0.733},{"speaker":"黃委員秀芳","start":"2026-03-18T10:08:01.865000+08:00","guessed":false,"end":"2026-03-18T10:08:05.188000+08:00","text":"好，我希望是如此，不需要去假裝吧？","quality":0.857},{"speaker":"石部長崇良","start":"2026-03-18T10:08:05.668000+08:00","guessed":false,"end":"2026-03-18T10:08:06.829000+08:00","text":"不用假裝，不用假裝！","quality":0.75},{"speaker":"黃委員秀芳","start":"2026-03-18T10:08:07.350000+08:00","guessed":false,"end":"2026-03-18T10:08:11.314000+08:00","text":"他不用假裝身體可能非常嚴重，或者回答不出來吧？","quality":0.571},{"speaker":"黃委員秀芳","start":"2026-03-18T10:08:12.095000+08:00","guessed":false,"end":"2026-03-18T10:08:25.284000+08:00","text":"我覺得有時候民眾可能有這個需求，如果都已經九十幾歲了，應該可以得到政府一個比較好的照顧啦！對，會。","quality":0.841},{"speaker":"黃委員秀芳","start":"2026-03-18T10:08:25.844000+08:00","guessed":false,"end":"2026-03-18T10:08:28.226000+08:00","text":"部長，我把這個最基層的問題跟你講……","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T10:08:28.226000+08:00","guessed":true,"end":"2026-03-18T10:08:29.226000+08:00","text":"我們近期應該就會解決。","quality":0.1},{"speaker":"黃委員秀芳","start":"2026-03-18T10:08:28.346000+08:00","guessed":false,"end":"2026-03-18T10:08:30.648000+08:00","text":"我們在基層會碰到這樣的狀況，也讓你知道。","quality":0.889},{"speaker":"石部長崇良","start":"2026-03-18T10:08:30.728000+08:00","guessed":false,"end":"2026-03-18T10:08:54.507000+08:00","text":"因為我們現在是優先針對75歲以上的長者去關懷訪視，關懷訪視之後就會評估看看他的需求是什麼，然後再去連結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等，對這些獨居的長者，這是我們的重點。","quality":0.932},{"speaker":"黃委員秀芳","start":"2026-03-18T10:08:55.688000+08:00","guessed":false,"end":"2026-03-18T10:09:06.356000+08:00","text":"好，接下來我想請教，部長知道賴總統在上個月有特赦一位也是阿嬤，八十幾歲了，他也照顧他的小孩五十幾年了。","quality":0.826},{"speaker":"黃委員秀芳","start":"2026-03-18T10:09:07.657000+08:00","guessed":false,"end":"2026-03-18T10:09:23.469000+08:00","text":"所以我們可以看到針對重度的家庭，確實需要政府更多的資源來協助，避免會有這樣的長照悲歌。","quality":0.95},{"speaker":"黃委員秀芳","start":"2026-03-18T10:09:24.969000+08:00","guessed":false,"end":"2026-03-18T10:09:31.371000+08:00","text":"我想請教部長，針對這部分，未來你們怎麼再去做一個篩檢？","quality":1},{"speaker":"黃委員秀芳","start":"2026-03-18T10:09:31.371000+08:00","guessed":false,"end":"2026-03-18T10:09:43.335000+08:00","text":"剛剛有特別提到重度的家庭，進到長照可能就只有兩成左右，而其他的部分你們要怎麼再去主動篩檢？","quality":0.976},{"speaker":"黃委員秀芳","start":"2026-03-18T10:09:43.575000+08:00","guessed":false,"end":"2026-03-18T10:09:46.736000+08:00","text":"針對高負荷的家庭，是不是要優先、趕快來協助？","quality":0.895},{"speaker":"石部長崇良","start":"2026-03-18T10:09:46.756000+08:00","guessed":false,"end":"2026-03-18T10:09:51.038000+08:00","text":"對，這個個案真的是很遺憾。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T10:09:52.198000+08:00","guessed":false,"end":"2026-03-18T10:10:40.973000+08:00","text":"所以我們也檢討強化在社安網裡面的初篩，就是社安網裡面的這些服務人員、網絡人員，我們去強化他們的教育訓練，能夠及早去辨識高負荷、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裡面也是更多元家庭照顧者的支持方案，包含據點、服務內容、喘息或專業服務的教導等等，特別是導入喘息服務進去，我想會朝這幾個方向來做，最重要的是我們會從初篩裡面強化能夠早一點察覺到這些個案。","quality":0.959},{"speaker":"黃委員秀芳","start":"2026-03-18T10:10:41.553000+08:00","guessed":false,"end":"2026-03-18T10:10:51.182000+08:00","text":"我希望主動篩檢啦，不論是衛福部或地方政府，大家就是主動篩檢找出高負荷的家庭，確實如果長期這樣照顧真的壓力還蠻大的，而且我覺得經濟應該都會出問題。是。","quality":0.912},{"speaker":"黃委員秀芳","start":"2026-03-18T10:10:51.442000+08:00","guessed":false,"end":"2026-03-18T10:10:51.562000+08:00","text":"再麻煩，謝謝。","quality":0.8},{"speaker":"石部長崇良","start":"2026-03-18T10:10:51.682000+08:00","guessed":false,"end":"2026-03-18T10:10:51.922000+08:00","text":"謝謝黃委員。","quality":1},{"speaker":"主席","start":"2026-03-18T10:10:51.922000+08:00","guessed":false,"end":"2026-03-18T10:10:52.223000+08:00","text":"謝謝黃秀芳委員。","quality":0.714},{"speaker":"主席","start":"2026-03-18T10:10:52.723000+08:00","guessed":true,"end":"2026-03-18T10:10:55.294429+08:00","text":"接下來請邱鎮軍委員。","quality":0}]}},"supported_relations":[],"relations":[]}