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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"}],"gazette":[{"speaker":"盧委員縣一","start":"2026-03-26T12:58:40+08:00","guessed":true,"end":"2026-03-26T12:58:41+08:00","text":"主席，有請洪申翰部長。","quality":0},{"speaker":"主席","start":"2026-03-26T12:58:41+08:00","guessed":true,"end":"2026-03-26T12:58:42+08:00","text":"有請洪申翰部長。","quality":0},{"speaker":"盧委員縣一","start":"2026-03-26T12:58:42+08:00","guessed":true,"end":"2026-03-26T12:58:43+08:00","text":"部長好。","quality":0},{"speaker":"洪部長申翰","start":"2026-03-26T12:58:43+08:00","guessed":true,"end":"2026-03-26T12:58:44+08:00","text":"委員午安。","quality":0},{"speaker":"盧委員縣一","start":"2026-03-26T12:58:40.129000+08:00","guessed":false,"end":"2026-03-26T12:58:42.591000+08:00","text":"現在是長照3.0了，知道長照2.0的滿意度是多少嗎？","quality":0.95},{"speaker":"洪部長申翰","start":"2026-03-26T12:59:03.326000+08:00","guessed":false,"end":"2026-03-26T12:59:04.367000+08:00","text":"這個是衛福部的業務。","quality":1},{"speaker":"盧委員縣一","start":"2026-03-26T12:59:04.367000+08:00","guessed":false,"end":"2026-03-26T12:59:08.910000+08:00","text":"沒有關係，因為我是故意問你的，我想說你知不知道。九成。","quality":0.957},{"speaker":"盧委員縣一","start":"2026-03-26T12:59:09.551000+08:00","guessed":false,"end":"2026-03-26T12:59:13.353000+08:00","text":"對，九成，可是為什麼是九成，有沒有想過？","quality":0.875},{"speaker":"盧委員縣一","start":"2026-03-26T12:59:13.353000+08:00","guessed":false,"end":"2026-03-26T12:59:40.568000+08:00","text":"我在想是不是缺乏對結案者或者是符合資格卻未申請服務，還有短期使用者的一些data，所以我覺得那些不用這些長照資源的人，你要去問為什麼，我覺得長照3.0可能就是要去解決這些沒有去使用，或者是中途離開長照系統資源的人，然後去解決他們當時遇到的難題，我覺得這是一個方向。","quality":0.967},{"speaker":"盧委員縣一","start":"2026-03-26T12:59:41.508000+08:00","guessed":false,"end":"2026-03-26T13:00:20.053000+08:00","text":"我們根據衛福部跟勞動部的報告，大概做了一些整理，我們等一下再細談，我們先看勞動部的部分，現在長照的假好像沒有一個法源依據，育兒的部分有育嬰假，可是長照的部分，現在是家庭照顧假，我們希望能有一個比照育嬰假的法源，是不是未來能有這樣一個長照安排假的方向？","quality":0.861},{"speaker":"盧委員縣一","start":"2026-03-26T13:00:20.733000+08:00","guessed":false,"end":"2026-03-26T13:00:22.054000+08:00","text":"部長，您會不會支持？","quality":0.875},{"speaker":"洪部長申翰","start":"2026-03-26T13:00:23.468000+08:00","guessed":false,"end":"2026-03-26T13:00:33.740000+08:00","text":"跟委員說明，的確，我們是有看到社會對於長照相關事務有必須協助處理的需求，尤其是受僱者。","quality":0.923},{"speaker":"洪部長申翰","start":"2026-03-26T13:00:36.263000+08:00","guessed":false,"end":"2026-03-26T13:01:16.123000+08:00","text":"長照3.0的制度是也近期開始上路，但就像剛才委員所說的，過去會有一些狀況，可能很多勞工要做長照相關安排或者是處理的時候的確還是會遇到一些空窗期，所以我們也在跟衛福部討論，請衛福部再研議跟評估，就是3.0上路以後，那些過去大家可能會需要比較長時間的等待或空窗的部分可以縮短到什麼程度，在有了這些相關數據跟需求樣態的了解以後，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去做支應的部分。","quality":0.896},{"speaker":"盧委員縣一","start":"2026-03-26T13:01:17.024000+08:00","guessed":false,"end":"2026-03-26T13:01:18.745000+08:00","text":"OK，沒關係，我們就繼續來努力啦。","quality":0.929},{"speaker":"盧委員縣一","start":"2026-03-26T13:01:19.286000+08:00","guessed":false,"end":"2026-03-26T13:01:31.695000+08:00","text":"在多元陪伴的部分，我看全國好像只有13家單位、服務人數約4,800人次，就一個國家的希望工程來看，我覺得這個部分會不會太少了？","quality":0.788},{"speaker":"洪部長申翰","start":"2026-03-26T13:01:32.455000+08:00","guessed":false,"end":"2026-03-26T13:01:59.559000+08:00","text":"第一個跟委員說明，這確實是一個試辦的計畫，去年4月上路，我們其實也很小心，這個政策我們是一點一點的在擴大，一開始是6家，到後來我們把它擴大，接下來當然也希望這個服務模式如果相對比較成熟的話，可以在更多的縣市找到可以協辦或跟我們合作的機構，一起再來做擴大的試辦。","quality":0.907},{"speaker":"盧委員縣一","start":"2026-03-26T13:02:00.139000+08:00","guessed":false,"end":"2026-03-26T13:02:09.467000+08:00","text":"常常遇到的就是看得到吃不到的窘境，有些照服員根本就不願意去接這些短期的案子，你們心裡有沒有腹案要怎麼去改善？","quality":0.902},{"speaker":"洪部長申翰","start":"2026-03-26T13:02:12.154000+08:00","guessed":false,"end":"2026-03-26T13:02:13.916000+08:00","text":"你說的是本國的照服員嗎？對啊！","quality":0.769},{"speaker":"盧委員縣一","start":"2026-03-26T13:02:14.977000+08:00","guessed":false,"end":"2026-03-26T13:02:18.021000+08:00","text":"比如外籍看護要請假，結果……","quality":0.818},{"speaker":"洪部長申翰","start":"2026-03-26T13:02:18.301000+08:00","guessed":false,"end":"2026-03-26T13:02:22.807000+08:00","text":"多元陪伴計畫不是用照服員，照服員是衛福部這邊的。","quality":0.682},{"speaker":"盧委員縣一","start":"2026-03-26T13:02:22.807000+08:00","guessed":false,"end":"2026-03-26T13:02:25.550000+08:00","text":"OK，沒關係，我們請衛福部說明，謝謝。","quality":0.867},{"speaker":"呂次長建德","start":"2026-03-26T13:02:25.550000+08:00","guessed":true,"end":"2026-03-26T13:02:32.764000+08:00","text":"委員好。","quality":0},{"speaker":"盧委員縣一","start":"2026-03-26T13:02:32.764000+08:00","guessed":false,"end":"2026-03-26T13:02:32.764000+08:00","text":"次長好。","quality":0.667},{"speaker":"盧委員縣一","start":"2026-03-26T13:02:35.044000+08:00","guessed":false,"end":"2026-03-26T13:02:44.608000+08:00","text":"現在的照服員可能不會去接這種短期的案子，你們有沒有在想要怎麼增加誘因，讓他們去接這些短期的案子？","quality":0.933},{"speaker":"盧委員縣一","start":"2026-03-26T13:02:47.329000+08:00","guessed":false,"end":"2026-03-26T13:02:48.169000+08:00","text":"真正可以喘息。","quality":1},{"speaker":"呂次長建德","start":"2026-03-26T13:02:50.334000+08:00","guessed":false,"end":"2026-03-26T13:03:09.263000+08:00","text":"OK，報告委員，這個部分我們現在都是採取預約的方式來進行，就誠如剛剛洪部長所說的，我們現在也都在檢討目前的一些執行情況，看看執行期間是不是有哪一些還不夠好用，我們會跟勞動部這邊密切合作。","quality":0.837},{"speaker":"盧委員縣一","start":"2026-03-26T13:03:09.523000+08:00","guessed":false,"end":"2026-03-26T13:03:33.002000+08:00","text":"像偏遠地區，我的理解就是，比如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，所以我一直在想的是，你們到現在還是沒有針對這些偏遠地區的照服員有給予偏遠加給或者是困難度加給，目前還沒有看到這個方案，我已經提了很多次，我一直覺得偏遠地區……","quality":0.848},{"speaker":"呂次長建德","start":"2026-03-26T13:03:33.803000+08:00","guessed":false,"end":"2026-03-26T13:03:34.883000+08:00","text":"委員是說哪一個方案？","quality":0.778},{"speaker":"盧委員縣一","start":"2026-03-26T13:03:35.143000+08:00","guessed":false,"end":"2026-03-26T13:04:05.183000+08:00","text":"就是照服員，比如從這個部落到那個部落的距離非常遙遠，然後他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來說，因為地理性的關係或者是交通便利性的關係，他一個早上可以服務的量可能是倍數的，例如一個早上就可以服務10個個案，我常常遇到這種照服員，這兩者的收入確實差很多，可是他的服務困難程度跟辛苦程度不亞於在平地地區服務的照服員。","quality":0.851},{"speaker":"呂次長建德","start":"2026-03-26T13:04:05.323000+08:00","guessed":false,"end":"2026-03-26T13:04:13.648000+08:00","text":"報告委員，您剛剛說的那個部分，我們目前有個誘因就是交通津貼，每個月3,000塊的……","quality":0.697},{"speaker":"盧委員縣一","start":"2026-03-26T13:04:13.648000+08:00","guessed":false,"end":"2026-03-26T13:04:14.409000+08:00","text":"對啦，我覺得還是太少了！","quality":0.7},{"speaker":"盧委員縣一","start":"2026-03-26T13:04:15.910000+08:00","guessed":false,"end":"2026-03-26T13:04:15.970000+08:00","text":"勞動部洪部長可以先請回座，謝謝。","quality":0.429},{"speaker":"盧委員縣一","start":"2026-03-26T13:04:20.113000+08:00","guessed":false,"end":"2026-03-26T13:04:22.675000+08:00","text":"次長，出院銜接長照平均2天的這個目標是不是太美化了？","quality":0.565},{"speaker":"盧委員縣一","start":"2026-03-26T13:04:23.936000+08:00","guessed":false,"end":"2026-03-26T13:04:44.232000+08:00","text":"如果是在原住民地區，根本就不可能達到，我在想這個均數4天是不是也把我們弱勢跟偏遠地區給平均掉了，根本就看不出來他的困難程度，所以我覺得針對偏鄉跟假日出院的家屬是不是應該要去思考怎麼落實出院銜接長照的服務？","quality":0.896},{"speaker":"祝司長健芳","start":"2026-03-26T13:04:48.775000+08:00","guessed":false,"end":"2026-03-26T13:05:17.388000+08:00","text":"跟委員說明，出備銜接長照服務的部分，因為在偏鄉居住的民眾就醫大概都是到……因為醫療院所有出備的都會到都會區，就是醫療資源有供應的區域，所以當他出院要回到部落去，這個部分我們現階段是讓醫院的出備小組來完成，當天如果能夠銜接完，一個案子有2,000塊的獎勵金，如果遞延那個時間的話，獎勵金會遞減。","quality":0.931},{"speaker":"祝司長健芳","start":"2026-03-26T13:05:17.408000+08:00","guessed":false,"end":"2026-03-26T13:05:30.357000+08:00","text":"我們有跟醫療院所這邊開過會，他們的目標都是要朝向爭取拿到最高的獎勵金，這一塊我們會努力。","quality":0.805},{"speaker":"祝司長健芳","start":"2026-03-26T13:05:30.898000+08:00","guessed":false,"end":"2026-03-26T13:05:39.880000+08:00","text":"現在全國平均下來，去年年底的資料是3.66天，所以我們說平均是4天，我們今年的目標是平均2天。","quality":0.868},{"speaker":"盧委員縣一","start":"2026-03-26T13:05:40.120000+08:00","guessed":false,"end":"2026-03-26T13:05:49.042000+08:00","text":"如果下次有資料的話，是不是把偏鄉或者是假日出院的部分特別拿出來看，看看是不是會需要更長一點的時間？","quality":0.783},{"speaker":"盧委員縣一","start":"2026-03-26T13:05:49.402000+08:00","guessed":false,"end":"2026-03-26T13:05:53.143000+08:00","text":"把實際的數據呈現出來，讓我們知道，可以嗎？好。","quality":0.789},{"speaker":"盧委員縣一","start":"2026-03-26T13:05:54.164000+08:00","guessed":false,"end":"2026-03-26T13:06:21.465000+08:00","text":"另外，就住院的部分，你們推動讓全時陪伴者或者部分陪伴者可以找照護輔佐人員來幫忙，可是我們也確實有接獲一些陳情，就是他到了醫院以後找不到人可以幫忙，醫院拚命打電話給家屬，可是家屬沒有辦法請假，所以會變成好像有看到這個餅，可是卻享受不到，你們的報告提到現在有一百多家院所加入嗎？對。","quality":0.781},{"speaker":"盧委員縣一","start":"2026-03-26T13:06:22.805000+08:00","guessed":false,"end":"2026-03-26T13:06:26.248000+08:00","text":"可是跟我們陳情的是在屏東的……","quality":1},{"speaker":"呂次長建德","start":"2026-03-26T13:06:26.248000+08:00","guessed":true,"end":"2026-03-26T13:06:28.009000+08:00","text":"住院整合照護服務。","quality":0},{"speaker":"盧委員縣一","start":"2026-03-26T13:06:28.009000+08:00","guessed":false,"end":"2026-03-26T13:06:47.102000+08:00","text":"可是在屏東的區域醫院還是有遇到病患家屬陳情說找不到人可以照顧，甚至是因此造成……護理人員已經夠忙了，有護病比的關係，護理人員會對他們怒言相向，等於是在病房裡面就吵架了。","quality":0.922},{"speaker":"盧委員縣一","start":"2026-03-26T13:06:47.482000+08:00","guessed":false,"end":"2026-03-26T13:06:53.865000+08:00","text":"我覺得這個部分是不是還是要落實照護輔佐人員的人力部分？","quality":0.885},{"speaker":"陳副司長青梅","start":"2026-03-26T13:06:56.246000+08:00","guessed":false,"end":"2026-03-26T13:07:13.292000+08:00","text":"跟委員報告，我們的住院整合照護是醫院有提出這個計畫申請的話，它的照護比例一定要有照服員的搭配，剛剛提到也有可能這個醫院沒有實施住院整合照護，那就是請一般的看護。OK。","quality":0.896},{"speaker":"盧委員縣一","start":"2026-03-26T13:07:14.912000+08:00","guessed":false,"end":"2026-03-26T13:07:43.716000+08:00","text":"最後我附帶提一下這個陳情案，目前有一個PAC計畫，但他享受不到，所以來向我們陳情，因為他罹患的類似腦中風，他是因為受傷造成沒有意識、意識模糊，然後需要全時間照顧，但是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，被強迫在幾號要出院，他就到另外一家醫院，又被要求在3月6號出院。","quality":0.786},{"speaker":"盧委員縣一","start":"2026-03-26T13:07:44.976000+08:00","guessed":false,"end":"2026-03-26T13:08:04.384000+08:00","text":"陳情人說PAC拒絕他的理由是他未滿18歲，這個病人剛好17歲而已，他是因為在過年期間幫阿嬤搬東西從車上掉下來，頭部著地，所以就變成現在這個狀況，然後又雪上加霜的是，臺東那邊沒有所謂的復健科醫師可以收病房。","quality":0.791},{"speaker":"盧委員縣一","start":"2026-03-26T13:08:05.024000+08:00","guessed":false,"end":"2026-03-26T13:08:08.706000+08:00","text":"次長，我覺得是不是要先解決這個年齡的限制？","quality":0.842},{"speaker":"盧委員縣一","start":"2026-03-26T13:08:08.846000+08:00","guessed":false,"end":"2026-03-26T13:08:18.772000+08:00","text":"因為腦部受傷並沒有年齡限制，他好像有寫信給衛福部，衛福部的答案就是未滿18歲沒有被納入PAC計畫裡面。","quality":0.891},{"speaker":"呂次長建德","start":"2026-03-26T13:08:21.640000+08:00","guessed":false,"end":"2026-03-26T13:08:31.722000+08:00","text":"OK，非常感謝委員，我想這個確實沒有年齡的問題，部長其實也有指示，我們現在會有一個PAC的照護計畫。","quality":0.889},{"speaker":"盧委員縣一","start":"2026-03-26T13:08:31.962000+08:00","guessed":false,"end":"2026-03-26T13:08:34.823000+08:00","text":"也希望會後可以跟我們辦公室要這個個案的資料。好的。","quality":0.609},{"speaker":"盧委員縣一","start":"2026-03-26T13:08:35.703000+08:00","guessed":false,"end":"2026-03-26T13:09:15.444000+08:00","text":"上次我有講到罕見疾病的給付問題，上次提到的是ITP（免疫性血小板低下紫斑症）的問題，前幾天又收到乾燥症的問題，我覺得不能全無或是全有，也就是有的時候有補助，有的時候完全沒有補助，應該是有一個等級，比如按照個案的經濟狀況或者是家庭環境，我覺得應該要有百分比等級的補助，比如每個月兩萬多塊對一個要撫養4到6個小孩，有些有工作、有些沒有工作，這樣會造成家庭非常大的負擔，尤其是原住民，還要在都會區租房子。","quality":0.839},{"speaker":"盧委員縣一","start":"2026-03-26T13:09:16.064000+08:00","guessed":false,"end":"2026-03-26T13:09:39.651000+08:00","text":"我覺得對於這樣的罕見疾病不能用實際的病情，應該還要酌情他所有的條件，包括家庭環境也好，經濟來源也好，所以每次向我們陳情的案子都讓我們覺得奇怪，罕見疾病的金額那麼高，為什麼我們都享受不到這樣的一個福利？","quality":0.86},{"speaker":"盧委員縣一","start":"2026-03-26T13:09:40.813000+08:00","guessed":false,"end":"2026-03-26T13:09:40.954000+08:00","text":"可以嗎？","quality":1},{"speaker":"呂次長建德","start":"2026-03-26T13:09:40.954000+08:00","guessed":false,"end":"2026-03-26T13:09:41.836000+08:00","text":"好的，OK。","quality":1},{"speaker":"盧委員縣一","start":"2026-03-26T13:09:41.936000+08:00","guessed":false,"end":"2026-03-26T13:09:41.936000+08:00","text":"好，謝謝。","quality":0.333},{"speaker":"呂次長建德","start":"2026-03-26T13:09:42.617000+08:00","guessed":false,"end":"2026-03-26T13:09:43.279000+08:00","text":"感謝委員，謝謝。","quality":1},{"speaker":"主席","start":"2026-03-26T13:09:45.684000+08:00","guessed":false,"end":"2026-03-26T13:09:46.285000+08:00","text":"謝謝盧縣一委員發言。","quality":0.667},{"speaker":"主席","start":"2026-03-26T13:09:46.505000+08:00","guessed":false,"end":"2026-03-26T13:09:46.686000+08:00","text":"接下來請鍾佳濱委員發言。","quality":0.364}]}},"supported_relations":[],"relations":[]}