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因為我是故意問你的 我想說你知不知道九成是九成 對 那可是為什麼是九成也沒有去想過我在想是不是缺乏對結案者或者是說符合資格去為申請服務還有短期使用者的一些data所以我覺得那些不用的 不用這些長照資源的人 你要去問為什麼"},{"start":47.583,"end":75.374,"text":"我覺得長照310可能就是要去解決這些沒有去使用或者是說中途離開這個長照的這個系統資源的人然後去解決他們的那個當時遇到的難題我覺得是一個方向那我們現在在我們看根據我們衛福部跟勞動部的那個第一章的報告大概做了一些整理那我們等一下再細談我們先看勞動部的部分"},{"start":78.14,"end":102.074,"text":"接下來就是說我們現在的長照的價很像是沒有一個法源的依據因為育兒的話他有育嬰價可是長照的話現在是家庭照顧價所以我們希望有一個就是所謂的比照我們的育嬰價的這樣一個法源所以是不是有一個長照安排價的這樣一個未來的一個方向部長會不會支持"},{"start":103.468,"end":121.248,"text":"跟委員說明的確其實我們是有看到這個社會其實對於長照相關的事務其實有必須要協助處理的需求其實受雇者那因為現在其實長照3.0的制度就像剛才委員說的其實也是近期那開始上路"},{"start":121.829,"end":144.455,"text":"所以過去其實會有一些狀況可能這個很多的勞工他因為要做長照相關的安排或者是處理的時候他還是的確會遇到一些空窗期所以我們其實也在跟衛福部在討論那也請衛福部再研議跟評估就說3.0上路以後那些過去大家可能會覺得比較長時間的等待或空窗的部分那可以縮短到什麼程度"},{"start":144.915,"end":171.715,"text":"那在有這些相關的數據跟需求的樣態了解以後我覺得我們比較好來綜合的思考是不是要透過一些工時或者職場的制度來去做一些指引的部分OK 沒關係那我們就繼續來努力了那多元陪伴這個部分我看很像只有13家全國然後只有大概服務的4800人次就一個國家的希望工程來看的話我覺得這個部分會不會覺得太少了"},{"start":172.455,"end":186.05,"text":"第一個跟委員說明這確實是一個事半的計劃那其實去年4月上路那我們其實也很小心因為這個政策其實我們有點像一點一點一點的在擴大一開始是4加6加一開始6加"},{"start":187.608,"end":209.708,"text":"那到後來我們把它擴大那CSR當然也希望這個服務的模式如果相對比較成熟的話那可以在更多的縣市來找到可以協辦的跟我們合作的機構那一起再來做擴大的示範那常常遇到的就是說看得到吃不到這樣的一個窘境就是有些照服員他根本就不願意去接這些短期的案子因為心裡面有個負案要怎麼去改善它"},{"start":212.154,"end":225.55,"text":"你說的是本國的兆福園嗎?對啊,就是他們比如說外籍康復他要去請假,結果...多元陪伴計畫不是用兆福園,那兆福園是衛福部這邊OK,好,那沒關係,那我們請衛福部,好,謝謝"},{"start":232.684,"end":248.189,"text":"市長好市長好我也好對我們講說現在的照復員可能就是不會去接這種短期的案子我們覺得有沒有在想說要怎麼去給他們增加誘因讓他們去做這些短期的一些案子那有喘息真的真正的可以喘息"},{"start":250.154,"end":277.087,"text":"包委員我們現在是採取這個都採取預約的那個方式來來進行那我當然就是誠如剛剛黃部長剛剛有說我們也現在也在也都在檢討檢討現在目前的一些整個執行情況執行期間是不是有哪一些還不夠好用我們會來跟勞動部這邊來密切合作像這一個地區我的理解就是比如說一個部落到一個部落可能要一個小時來回就要兩個小時他可能一個早上只服務了兩個個案"},{"start":278.248,"end":287.462,"text":"所以我一直在想到現在還是還沒有對針對這些偏遠地區的造福源有些偏遠加急或者是困難度的加急"},{"start":288.999,"end":310.433,"text":"目前還沒有看到這個方案我今天提了很多次所以我一直覺得是說哪一個方案就是照服員啊他們比如說在一個比如說這個部落到那個部落的距離非常遙遠讓他一個一個早上可能只服務了兩個個案可是就平地地區的照服員他可以因為地理性的關係或者是交通便利性的關係他可以一個早上可以服務"},{"start":311.354,"end":335.99,"text":"超過他的倍數或者是說很像早上就可以服務10個個案我常常遇到這種照服員那你看收入卻是差很多可是他的困難度跟他的辛苦的程度不亞於在平地地區服務的照服員包委我們現在目前這個部分其實是有那個啦您剛剛說那個部分有一個誘因就是那個交通津貼每個月3000塊我覺得還是太少啦那那個勞動部長請回"},{"start":339.833,"end":364.232,"text":"那出院銜接這個兩天我覺得是不是太美化了因為我覺得在如果是在原住民地區根本就不可能拿到所以我在想這個均速四天是不是也把那個我們弱勢跟偏遠地區的把它很像也平均掉了根本就看不出來那個它的困難程度所以我覺得針對我們偏鄉跟加入出院的家屬是不是應該要去做一個真的是怎麼去落實這個出院銜接的這個服務"},{"start":368.775,"end":388.082,"text":"跟委員說明齁那初輩銜接長照服務的這個部分因為在偏鄉居住的民眾他就醫大概都是到因為醫療院所有初輩的都會到都會區就是醫療資源供應的區域所以當他出院要回到部落去那這個部分我們現階段是讓醫院的這個初輩小組這邊來完成"},{"start":393.324,"end":399.569,"text":"當天如果能夠銜接完就一個案子有2000塊的獎勵金那如果他遞延這個時間的話獎勵金會遞減現在跟醫療院所這邊開過會他們目標都要朝向爭取拿到這個最高的獎勵金"},{"start":409.037,"end":429.902,"text":"所以我們會這塊會努力那現在全國平均下來其實是去年年底的資料是3.66天所以是平均4天那我們今年目標是平均兩天如果下次有資料的話是不是把偏鄉或者是說假日出院的把這個資料特別拿出來看是不是有比較稍微更長一點或者是實際的那個數據來呈現讓我們知道"},{"start":432.503,"end":461.465,"text":"可以嗎 是就是就住院的部分我看到全時陪伴或者說部分陪伴希望有照護輔助人員來幫忙可是我們也確實有遇到一些陳情就是他到了醫院以後找不到人可以幫忙然後醫院拼命打電話給家屬可是家屬他沒有辦法請假所以會變成說其實很像有看到這個餅可是卻享受不到你現在說你現在是有大概是100多家院所嗎"},{"start":462.805,"end":489.043,"text":"可是我們的跟我們陳情的是在屏東的屏東的地區區域醫院還是會遇到這種病患的家屬的陳情就是說找不到人可以照顧甚至是因為造成護理人員的那個就是他已經夠忙了有護病別的關係他就護理人員會對他們怒言相向就等於是在病房裡面就吵架了我覺得這個部分是不是還是要"},{"start":490.164,"end":516.113,"text":"那若是在照護輔助人員的這些人力的部分跟委員報告就是我們住院整合照護就是就醫院有提出這個計畫申請的話我們就是在他照護的比例一定要有這個照護員的一個搭配那剛提到也有可能這個醫院他沒有實施這個住院整合照護那他就請一般的看護的這個狀況好那最後就是我們"},{"start":517.333,"end":538.894,"text":"附帶今天的陳情案一個叫PAC計畫他想不到來跟我們陳情因為他一直認為說他是屬於這個就是類似像腦中風他是受傷造成他沒有意識然後意識模糊然後需要這樣子全時間照顧結果因為他沒有辦法加入這個PAC計畫所以就在醫院裡面被踢來踢去然後強迫他在"},{"start":539.734,"end":566.605,"text":"幾號要出院然後再到另外一家醫院然後現在又要求他在3月6號出院因為他說他的被拒絕的理由是他未滿18歲因為這個這個病人剛好17歲而已他是因為在過年期間搬阿嬤搬東西結果從車上掉下來打到打到腦所以就變成現在這個狀況然後在台東又寫上加創的是那邊沒有所謂的復健科醫師可以收病房所以我覺得是不是要去先解決"},{"start":568.085,"end":578.792,"text":"這個年齡限制因為你腦部受傷並沒有年齡限制他是說醫院的他好像有寫信給衛福部衛福部的答案就是說衛滿18歲沒有在這個PAC計劃裡面"},{"start":581.64,"end":603.865,"text":"非常感謝委員 我想這個確實我覺得這沒有年齡的問題部長其實有指示我們我們現在會有一個PAC的照護照那也希望會後的話 各位辦公室要個案的資料那我上次有講到罕見疾病的一些就是脊腹的問題上次是ITP就是血小板底下的問題前幾天又說到乾燥症的問題"},{"start":604.745,"end":625.016,"text":"我覺得不能全無或是全有也就是說有的時候有補助有的時候完全沒有補助應該是有一個等級或者說按照個案的比如說他的經濟狀況或者是他的家庭環境我覺得應該是以%的一個補助比如說每個月兩萬多塊對一個要撫養四到"},{"start":625.976,"end":652.697,"text":"四到六個小孩有些是在工作是沒有工作這樣的會造成家庭非常大的負擔尤其是原住民還要在部落還要在多月去租房子那我是覺得說這樣的一個罕見疾病我是覺得不能用他實際的那個病情但是還要酌情他的所有的條件家庭環境也好還有他的經濟來源也好所以會所以又每次給我們的案子"},{"start":653.618,"end":666.686,"text":"我們就說奇怪 已經罕見疾病的那個金額那麼高 為什麼我們都享受不到這樣的一個福利 可以嗎好的 OK好 感謝委員 好 謝謝好 謝謝吳憲英委員發言 接下來請"}]}},"supported_relations":[],"relations":[]}