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沒錯這個我們在整個從111年到115年對現在只有530多站是"},{"start":37.139,"end":57.933,"text":"那我們看這個長照基金115年度我們看這個長照基金所編列的這個預算這個基金基金的來源有增加增加很多總共今年度115年度是1145億338萬1千元比這個"},{"start":66.502,"end":86.804,"text":"去年度758億多出了386億這是長照基金的基金來源當然用途也增加很多如果我們看這一張整理之後的表這個基金用途這個上年度是"},{"start":91.074,"end":94.937,"text":"只有879億多那今年度115年度已經成長到1102億5000多"},{"start":106.187,"end":122.36,"text":"基金來源增加比例是51.01%增加很多實際上在基金用途上增加了25.43%如果我們看整個基金用途裡面分配給"},{"start":124.349,"end":145.942,"text":"原住民族文化健康站的部分去年度是15億那今年度有增加15億450萬增加了4500萬是有增加沒有錯但是如果我們從比例來看"},{"start":147.582,"end":160.423,"text":"從比例來看還是很少增加3%而已所以這個部分如果我們從原住民的需求原住民族的需求來看的話"},{"start":163.018,"end":183.19,"text":"我們在都會區文化健康站103站那延鄉地區現在有429站但是我們在延鄉我們的部落 延民會核定的部落總共有739站"},{"start":185.683,"end":199.061,"text":"也就是說我們還有310個站還沒有無法前往站社長或者是我們衛福部的同仁部落"},{"start":200.848,"end":220.627,"text":"部落與部落之間都很遠交通不方便甚至部落裡面的林與林之間也都會很遠所以你要說這個部落要到鄰近的部落就很難所以它的需求數還是非常非常的多雖然"},{"start":222.929,"end":239.261,"text":"115年度的經費有成長文化健康障碍成長但是成長的比例還是如果要跟整個基金用途的成長比例來講還是差很多這個部分這個衛福部是不是"},{"start":240.402,"end":255.869,"text":"在因為你的基金來源還有增加很多嗎還剩餘很多而且還可以這個超支並結算何況也沒有超支啊因為你的基金來源事實上是很高啊"},{"start":258.119,"end":281.13,"text":"非常感謝鄭委員對我們原住民一直以來的一個關心剛剛委員有垂詢特別是文化健康站我跟委員報告其實在有關於您剛剛非常關心的文件站的部分預防延緩失能我們非原民平均一個人一年是14000我跟委員報告原民的話是85679"},{"start":283.83,"end":290.62,"text":"這個就是說其實就背書而言其實我們對原民這邊其實是"},{"start":294.644,"end":318.22,"text":"相當到你要講的啦但是我們現在我們就整個金額或是我們的需求數來講就部落來講就還有一半三百多個部落沒有嘛然後你剛也講了這個距離也都很遠然後如果我們從平均移民長照就會涉及到"},{"start":319.926,"end":341.572,"text":"平均移民對不對 你看我們的平均移民落差還是7.54% 將近8%這樣的一個落差 加上還有一個狀況我們到都會區就學就業的 年輕人都到都會區了所以留在部落的就是老人"},{"start":342.871,"end":362.562,"text":"所以他的你看百分之五十二点多现在都会去这是有社户籍的所以这个部分这个加上面社户籍的年轻人到都会去就业但是他他的研究还在部落的一定是七八成了所以他的在原乡的"},{"start":363.39,"end":381.286,"text":"他的需求數仍然很大是也會跟我們平均一面除了這個健康醫療各方面之外這個部分也是其中重要的因素之一這個請衛衛部多多支持好OK好謝謝謝謝鄭天才委員發言接下來請盧憲義委員發言"}],"gazette":[{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:52:17.054000+08:00","guessed":false,"end":"2026-03-26T12:52:20.055000+08:00","text":"主席，有請衛福部次長。","quality":1},{"speaker":"主席","start":"2026-03-26T12:52:20.055000+08:00","guessed":false,"end":"2026-03-26T12:52:25.476000+08:00","text":"請呂建德次長。","quality":0.5},{"speaker":"呂次長建德","start":"2026-03-26T12:52:25.576000+08:00","guessed":false,"end":"2026-03-26T12:52:25.876000+08:00","text":"鄭委員，您好。","quality":0.8},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:52:26.556000+08:00","guessed":false,"end":"2026-03-26T12:52:27.016000+08:00","text":"次長好。","quality":1},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:52:29.956000+08:00","guessed":false,"end":"2026-03-26T12:53:00.730000+08:00","text":"關於原住民族長照的文化健康站，我們看從111年到115年的數據，現在有五百三十多站，然後我們看長照基金115年度的預算，我們發現長照基金所編列的預算，基金的來源有增加，增加很多。對。","quality":0.757},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:53:04.312000+08:00","guessed":false,"end":"2026-03-26T12:53:26.055000+08:00","text":"115年度是1,145億338萬1,000元，比去年度758億多出了386億，這是長照基金的基金來源，當然用途也增加很多。","quality":0.946},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:53:26.455000+08:00","guessed":false,"end":"2026-03-26T12:54:06.797000+08:00","text":"如果我們看這一張整理之後的表，這個基金用途上年度只有八百七十九億多，今年度115年度已經成長到一千一百零二億五千多，基金來源成長增加比例是51.01%，增加很多，實際上在基金用途上增加了25.43%。","quality":0.819},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:54:06.797000+08:00","guessed":false,"end":"2026-03-26T12:54:40.310000+08:00","text":"如果我們看整個基金用途裡面分配給原住民族文化健康站的部分，去年度是15億，今年度增加為15億4,500萬，增加了4,500萬，是有增加沒有錯，但是如果我們從比例來看還是很少，增加3%而已。","quality":0.959},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:54:41.892000+08:00","guessed":false,"end":"2026-03-26T12:55:21.053000+08:00","text":"針對這個部分，如果我們從原住民族的需求來看的話，我們在都會區文化健康站103站，原鄉地區現在有429站，但是在原鄉的部落，原民會核定的部落總共有739個，也就是說我們還有310個部落還沒有文化健康站。","quality":0.852},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:55:23.697000+08:00","guessed":false,"end":"2026-03-26T12:55:32.091000+08:00","text":"次長或是衛福部的同仁，部落與部落之間都很遠，交通不方便。","quality":0.96},{"speaker":"呂次長建德","start":"2026-03-26T12:55:32.091000+08:00","guessed":true,"end":"2026-03-26T12:55:33.272000+08:00","text":"是、是、是，沒錯。","quality":0},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:55:33.272000+08:00","guessed":false,"end":"2026-03-26T12:55:37.796000+08:00","text":"甚至部落裡面的鄰與鄰之間也都會很遠。對。","quality":0.833},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:55:37.796000+08:00","guessed":false,"end":"2026-03-26T12:55:48.006000+08:00","text":"所以你要說這個部落要到鄰近的部落就很難，所以它的需求數還是非常非常的多。","quality":1},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:55:48.607000+08:00","guessed":false,"end":"2026-03-26T12:56:23.669000+08:00","text":"雖然115年度的經費有成長，文化健康站雖然有成長，但是成長的比例如果要跟整個基金用途的成長比例來講還是差很多，這個部分衛福部是不是……因為你的基金來源增加很多，也賸餘很多，而且還可以超支併決算，何況也沒有超支，因為你的基金來源事實上是很高，次長。","quality":0.908},{"speaker":"呂次長建德","start":"2026-03-26T12:56:26.119000+08:00","guessed":false,"end":"2026-03-26T12:57:03.145000+08:00","text":"非常感謝鄭委員對於我們原住民一直以來的關心，剛剛委員有垂詢，特別是文化健康站，我跟委員報告，其實有關於您剛剛非常關心的文健站的部分，針對預防延緩失能，非原民平均一個人一年是1萬4,000元，原民的話是8萬5,679元，就倍數而言，我們對原民這邊其實是相當……","quality":0.889},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:57:03.325000+08:00","guessed":false,"end":"2026-03-26T12:57:03.905000+08:00","text":"次長，我知道你要講的啦！","quality":0.5},{"speaker":"呂次長建德","start":"2026-03-26T12:57:03.905000+08:00","guessed":true,"end":"2026-03-26T12:57:04.905000+08:00","text":"另外一個……","quality":0},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:57:04.806000+08:00","guessed":false,"end":"2026-03-26T12:57:20.896000+08:00","text":"但是我們現在就整個金額或是需求數來講，就部落來講還有一半三百多個部落沒有嘛，你剛剛也講了，這個距離也都很遠。","quality":0.98},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:57:22.457000+08:00","guessed":false,"end":"2026-03-26T12:57:29.927000+08:00","text":"好，如果我們從平均餘命來看，長照就會涉及到平均餘命，對不對？","quality":0.731},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:57:29.927000+08:00","guessed":false,"end":"2026-03-26T12:57:54.273000+08:00","text":"你看我們的平均餘命落差還是7.54%，將近8%，這樣的一個落差，加上還有一個狀況，我們到都會區就學、就業，年輕人都到都會區了，所以留在部落的就是老人了，所以你看，百分之五十二點多在都會區……","quality":0.925},{"speaker":"呂次長建德","start":"2026-03-26T12:57:54.273000+08:00","guessed":true,"end":"2026-03-26T12:57:55.273000+08:00","text":"是，沒錯。","quality":0},{"speaker":"鄭天財Sra Kacaw委員","start":"2026-03-26T12:57:54.973000+08:00","guessed":false,"end":"2026-03-26T12:58:27.644000+08:00","text":"這是有設戶籍的，加上沒有設戶籍的年輕人到都會區就業，但是原籍還在部落的，一定是七、八成嘛，所以在原鄉的需求數仍然很大，也會跟我們平均餘命有關，除了健康、醫療各方面之外，這個部分也是其中重要的因素之一，這個請衛福部繼續多多支持。好。謝謝。","quality":0.781},{"speaker":"呂次長建德","start":"2026-03-26T12:58:27.644000+08:00","guessed":true,"end":"2026-03-26T12:58:28.644000+08:00","text":"非常感謝鄭委員。","quality":0},{"speaker":"主席","start":"2026-03-26T12:58:27.644000+08:00","guessed":false,"end":"2026-03-26T12:58:28.545000+08:00","text":"謝謝鄭天財委員發言。","quality":0.889},{"speaker":"主席","start":"2026-03-26T12:58:28.665000+08:00","guessed":false,"end":"2026-03-26T12:58:29.266000+08:00","text":"接下來請盧縣一委員發言。","quality":0.818}]}},"supported_relations":[],"relations":[]}