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我想要請石部長石部長早安喔電太高了"},{"start":31.367,"end":45.226,"text":"市部長早安我昨天去看了我們彰化縣的全齡的長照就是照護中心就是有拖鷹啦 有失智啦還有日照等等就是一些住宿型的 整合型的"},{"start":46.167,"end":74.438,"text":"未來這樣子的一個就是說機構因為你們衛福部也有補助嘛那未來是不是會繼續支持彰化縣做這樣子一個整合型的應該是跟委員說明說前面我們有一些前瞻計畫的補助然後就讓各縣市來提所以有一些就是在做這個長照的這個中心的整建因為彰化縣的進度都很好嘛有一點落後啦彰化"},{"start":76.019,"end":95.576,"text":"哪裡落後啊很好耶其他才落後他應該是這樣我們是核准最多案的彰化縣是核准最多案的也因為他是最多案所以他有一些工程就落後了所以我們在幫他做預算的保留我們有把他的預算保留下來所以他可以繼續做"},{"start":96.657,"end":121.282,"text":"那未來呢因為你知道嗎現在第一個就是零到六歲國家養嘛然後再來就是那個高齡化的這個人口增加嘛那所以這樣子一個整合型的就是照護機構那事實上就是有存在必要那是不是應該對你要你們要執行就是醫學區一日照這樣子的一個"},{"start":122.702,"end":138.867,"text":"一個目標嘛那再加上這樣整合型的又可以托嬰然後又可以托一些就是說高齡的照護那對於上班族的家庭來講就是很需要的"},{"start":139.107,"end":161.258,"text":"好 跟委員說明其實在這個一學區一日照這個部分其實彰化縣做得很好它的那個覆蓋率其實將近百分之百的達成了那等到我們下一階段我們再來評估看它還有什麼需要像剛剛我們提的是這種比較屬於整合型的甚至它有這個輕盈共照的這種概念"},{"start":161.598,"end":185.63,"text":"對 現在就有啊 因為它有拖音啊對不對 二歲以下的拖音那再加上失智啊還有一些就是日照的一個 對 一個日照的機構啊那這是整合型的那這也是符合未來就是說高齡社會以及就是三明治的家族等等就是的世代喔 它需要照顧小孩"},{"start":187.411,"end":197.7,"text":"或是有家裡有高齡的長輩等等都很需要這樣的機構那以就是說目前就是彰化我看到了好幾個機構他都執行的蠻好的那是不是就是未來能夠繼續的協助"},{"start":199.609,"end":218.579,"text":"如果有這個需求的時候我們再來協助應該是這樣講他還有一些案子還沒有執行完他繼續執行我們已經有幫他把那個預算保留住了所以他會繼續執行等他這邊執行完再有需求的時候我們再來研議繼續來協助好不好繼續協助彰化縣做這個部分好不好"},{"start":223.641,"end":250.592,"text":"再來就是偏鄉醫療的部分嘛我也是一直極力跟那個就是部長說啊我們20啊2級有沒有對不對就是是一個就是那邊都幾乎都沒有夜間急診的地方那是不是對於這些偏鄉醫療的人力資源那是不是公司共同協力來協助就是偏鄉的醫生能夠早日就是說早日得到那個"},{"start":251.272,"end":266.754,"text":"相關的人力的這個缺口好不好我了解這個彰化也是有一個狀況就是他的醫療比較集中在北彰那南彰的部分的資源是比較弱也只有大概兩家主要的小型醫院"},{"start":267.695,"end":282.722,"text":"我們已經也都把他納入在這個健保的燈塔計畫給他保障不過他還是有人力的困難那個負責醫師院長年紀也有了所以我們來看看連結其他的體系的資源去進駐我們來給他"},{"start":284.623,"end":299.256,"text":"他相關的醫療的人員進一步的給予相關的協助在獎勵的部分讓他可以在囊張這個地方可以維持下來包含健保的獎勵措施整合起來做"},{"start":301.237,"end":316.685,"text":"就搭配那個醫學中心的計畫還有未來我們公費生的服務跟健保的這個保障措施還有現在在推動就是兆元投資台灣你知道吧"},{"start":317.375,"end":331.143,"text":"造源投資台灣就是希望說讓我們一些就是受險業的資金等等可以留在台灣投資就是相關的我們的產業就這個當然就他們的風險係數的誘因來講他們就很希望說可以投資長照的機構"},{"start":344.131,"end":353.389,"text":"就這部分法令法規有沒有什麼樣子的協助當然是目前的法規長照法人"},{"start":354.568,"end":377.854,"text":"受險業者是可以投資只是他有一些限制啦我了解他的限制上讓他們覺得好像他沒有辦法掌握他雖然這個投資有限制然後對這個這個長照機構的這個治理權他也有被限制嘛所以這個部分我們再來研議看看這個部分有沒有辦法解決就是說現在我了解很多的這個保險"},{"start":379.614,"end":392.687,"text":"保險的那個資源都回到這個國內來嘛因為就是第一個啦你如果要發展亞之中心或者是要發展這樣子的一個因為你看最近"},{"start":393.877,"end":411.413,"text":"那個我們的金融業在中東地區的曝險是2.35兆那你要藉著這種情況下讓資金可以回流到台灣那你要有一個適切性的尤其是像保險的這樣他們需要有一些就是說長期性的"},{"start":412.594,"end":427.365,"text":"我們現在的方向是讓他來興建興建硬體的部分然後再交給專業團體來做營運他就可以有租金的收入"},{"start":428.806,"end":447.362,"text":"甚至讓他直接就是投資在這個長照法人裡面我想這個應該我們再瞭解看看他還有什麼這個找這保險業者來談一談看看他們還有什麼樣覺得還要再調整的不然政策上是目前是這個方向好謝謝謝謝部長謝謝謝謝謝委員謝謝謝一鋒委員"}]}},"supported_relations":[],"relations":[]}