{"error":false,"id":["167972"],"data":{"IVOD_ID":167972,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/167972","日期":"2026-03-26","會議資料":{"會議代碼":"委員會-11-5-26-3","會議代碼:str":"第11屆第5會期社會福利及衛生環境委員會第3次全體委員會議","屆":11,"會期":5,"會次":3,"臨時會會次":null,"種類":"委員會","委員會代碼":[26],"委員會代碼:str":["社會福利及衛生環境委員會"],"標題":"第11屆第5會期社會福利及衛生環境委員會第3次全體委員會議"},"影片種類":"Clip","開始時間":"2026-03-26T13:20:22+08:00","結束時間":"2026-03-26T13:27:01+08:00","影片長度":"00:06:39","支援功能":["ai-transcript","gazette"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/62ea4221ea272c4ee6efb9a9f776c023c30e9bbc489b48f6f5ed79e3d4a2dc6bc85f38e9dc6d1ac45ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"郭昱晴","委員發言時間":"13:20:22 - 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次長 先次長我還是要提醒大家真的 部長也可以啦都好 部長好啊好啊"},{"start":21.141,"end":21.922,"text":"我們現在的覆蓋率其實也高達84%"},{"start":45.971,"end":72.247,"text":"那我想 但是這個84這個數字很漂亮但是其實背後我想要幫一群人來講話這一群人是不是沒有真正的被接觸其實就是我們所謂的三明治族群那因為現在少子化所以其實有很多的重擔都落在這個三明治族群下有小 上有老但是他們其實也是我們社會當中的企業的這個中間的分子同時也是最依賴的這個最重要的一個戰力"},{"start":73.308,"end":97.663,"text":"那我想在這個韶智樺剛剛提到這個這樣子的一個結構跟衝擊之下有時候我們要承擔來自這個父母親的晚年的健康但是我們還要承擔孩子們的未來所以其實這個我們的三明治族群很辛苦但我們現在的制度真的有讓他們可以不需要在這個孝順或者是在工作之間可能我們要在工作或者是在家庭這兩者合而為一嗎還是兩者我們真的不用讓他們二選一"},{"start":101.565,"end":111.67,"text":"那我想這個是值得我們去思考的那我想這個長照服務不是只有申請就馬上會到位他其實還包含我要失能的發聲醫療的處置還要貧欠的評估最後的結果最後實際服務進場這中間啊"},{"start":120.635,"end":143.866,"text":"中間啊有一段好長的空窗期這個空窗期就是我們這些三明治族群最辛苦的時候因為他還要兼顧工作可是他還要拋這些所謂的程序對於一個從來沒有經過所謂的長照的這個照護者的訓練的這些所謂的三明治族群這個對他們來講是很大很大的一個"},{"start":144.666,"end":166.082,"text":"肩膀上的負擔啦 體力上的負擔啦心理層面上的負擔啦請問我們衛福部我們真的在這個部分有沒有幫他們有一個支持的一個制度能夠讓他們在轉弦的這樣子的一個部分也能夠為我們的我們一直在講長照3.0我們一直在講我們要照顧很多人問題是這一群人有沒有被接觸"},{"start":169.306,"end":193.383,"text":"跟委員說明確實就是這個從這個病一個事件到他後面落入長照服務中間這個空窗盡量把它縮短所以我們現在從兩個方面一個就是在醫院的住院過程當中那個轉協就是叫做出備出院準備服務這裡去銜接長照服務那過去大概從出院到長照"},{"start":194.223,"end":216.434,"text":"進來大概在這個2.0之前大概是要51天那現在我們去年大概縮短到4天左右平均3.66天那我們今年是希望再往前推進這個讓它縮短到兩天這個大概是我們希望能夠盡快去讓它縮短最終目的就是無縫接軌啦那當然第二個也必須這個"},{"start":218.775,"end":246.844,"text":"要有這個評估就是在這個剛剛您提到的長照需求評估那個評估的時候通常也需要有家屬在旁邊所以這個是剛剛為什麼今天我們會有這個什麼照顧假這個的討論那當然另外一個銜接的部分是我們在做你還是會這個住院的時候需要可能一下子就需要你還沒有長照之前可能就需要住院的生活照顧了"},{"start":247.824,"end":270.572,"text":"那我們就是推動這個叫全整合性的這個住院照護就是由照服員直接進到醫院來那麼用一對多的方式來服務那這個已經做了兩年成績也還不錯那但是過去礙於預算規模比較小大概在5000床左右所以我們今年把它擴大希望從過去的5.6億一年到"},{"start":273.593,"end":294.205,"text":"就是希望也來銜接住讓這個大家不用請假來住院顧這個病人好 但是剛剛其實也委員特別有提到啦其實我們的長照安排假我想可能要請一下這個我們的審判部長我想這個長照安排假的這個必要性那我提到一點"},{"start":294.725,"end":314.935,"text":"就是過去我們可以說大家多子多孫多福氣這個兄弟姐妹可以大家一起輪流來照顧其實真的就會所謂的比較不會有少子化的問題但現在不是現在真的不是然後再來我們講四成的雇主其實認同長照安排價的一個必要性他們也認為其實要留住這些所謂的比較資深的一些中階的幹部對公司來講是"},{"start":317.156,"end":335.764,"text":"有更好的一個有利的一個發展齁那但是問題是我們現在在這個目前性別平等工作法當中的家庭照顧假只有7天然後另外呢跟我們的市價並起來大概就是14天但是我要提到一點齁我們大家也思考一下就是長照安排假其實不是要全職的看護"},{"start":336.664,"end":356.885,"text":"而是有時候真的突然突發事件的時候他可能會需要兩三個小時比較零碎的破碎的一個時間但是我們怎麼樣在短暫的讓他們能夠在接手照顧工作同時安排妥當之後他能夠再重新的返回職場那這段的緩衝期我們的支持抱歉 部長我把你叫起來你可能沒時間 等我"},{"start":361.409,"end":385.005,"text":"我跟郭文維回答就像剛剛時務長說的因為現在長照3.0其實也正在努力的盡量大幅縮短這些相關的空窗或者是需協處的時間那我們會來看衛福部他會針對長照3.0後的這些需求的樣態做出評估以後我們再來綜合思考是不是要透過一些工作的制度職場的適度來去回應這樣的需求那這需要一個綜合評估的過程"},{"start":385.265,"end":395.824,"text":"好那我們希望盡快如果有一些比較具體的一些計畫或者是進程再提供給我們辦公室好謝謝謝謝主席謝謝好謝謝郭玉琴委員發言接下來請楊耀委員發言"}],"gazette":[{"speaker":"郭委員昱晴","start":"2026-03-26T13:20:27.307000+08:00","guessed":false,"end":"2026-03-26T13:20:31.570000+08:00","text":"謝謝主席，有請次長。","quality":1},{"speaker":"主席","start":"2026-03-26T13:20:31.570000+08:00","guessed":false,"end":"2026-03-26T13:20:32.551000+08:00","text":"你要請部長還是次長？","quality":0.889},{"speaker":"郭委員昱晴","start":"2026-03-26T13:20:32.551000+08:00","guessed":false,"end":"2026-03-26T13:20:34.352000+08:00","text":"次長，先請次長。","quality":0.833},{"speaker":"主席","start":"2026-03-26T13:20:34.352000+08:00","guessed":true,"end":"2026-03-26T13:20:35.352000+08:00","text":"好，請次長。","quality":0},{"speaker":"主席","start":"2026-03-26T13:20:34.472000+08:00","guessed":false,"end":"2026-03-26T13:20:36.073000+08:00","text":"不過還是要提醒大家，發言真的要注意時間。","quality":0.5},{"speaker":"郭委員昱晴","start":"2026-03-26T13:20:36.673000+08:00","guessed":false,"end":"2026-03-26T13:20:39.015000+08:00","text":"部長也可以啦，都好，部長好了，坐太久還是要站一下。","quality":0.524},{"speaker":"主席","start":"2026-03-26T13:20:39.015000+08:00","guessed":true,"end":"2026-03-26T13:20:49.501000+08:00","text":"還是要提醒一下，等一下發言要注意時間。","quality":0},{"speaker":"郭委員昱晴","start":"2026-03-26T13:20:49.501000+08:00","guessed":true,"end":"2026-03-26T13:20:59.987000+08:00","text":"好，我會注意時間，不會讓主席站太久。","quality":0.067},{"speaker":"郭委員昱晴","start":"2026-03-26T13:20:59.987000+08:00","guessed":true,"end":"2026-03-26T13:21:10.473000+08:00","text":"我們在推長照2.0或者是3.0，其實大家都有目共睹，給予很多肯定的方向，我想大家都很努力，我們現在的覆蓋率其實也高達84%，對不對？對。","quality":0.255},{"speaker":"郭委員昱晴","start":"2026-03-26T13:21:10.473000+08:00","guessed":false,"end":"2026-03-26T13:21:16.877000+08:00","text":"84%這個數字很漂亮，但是其實背後……我想要幫一群人來講話，這一群人是不是沒有真正的被接住？","quality":0.949},{"speaker":"郭委員昱晴","start":"2026-03-26T13:21:17.517000+08:00","guessed":false,"end":"2026-03-26T13:21:34.227000+08:00","text":"其實就是我們所謂的三明治族群，因為現在少子化，所以有很多的重擔都落在三明治族群，下有小，上有老，但是他們其實也是我們社會當中企業的中堅份子，同時也是最倚賴的、最重要的戰力。","quality":0.962},{"speaker":"郭委員昱晴","start":"2026-03-26T13:21:35.768000+08:00","guessed":false,"end":"2026-03-26T13:21:55.921000+08:00","text":"在剛剛提到的少子化這樣子的結構跟衝擊之下，有時候我們要承擔來自父母親晚年的健康，我們還要承擔孩子們的未來，所以三明治族群很辛苦，我們現在的制度真的有讓他們可以不需要在孝順或者是在工作之間做選擇？","quality":0.924},{"speaker":"郭委員昱晴","start":"2026-03-26T13:21:55.921000+08:00","guessed":false,"end":"2026-03-26T13:21:58.242000+08:00","text":"可能我們要工作或者是家庭兩者合而為一？","quality":1},{"speaker":"郭委員昱晴","start":"2026-03-26T13:21:58.462000+08:00","guessed":false,"end":"2026-03-26T13:21:59.643000+08:00","text":"還是我們真的不用讓他們二選一？","quality":1},{"speaker":"郭委員昱晴","start":"2026-03-26T13:22:03.905000+08:00","guessed":false,"end":"2026-03-26T13:22:05.706000+08:00","text":"我想這個是值得我們去思考的。","quality":1},{"speaker":"郭委員昱晴","start":"2026-03-26T13:22:07.007000+08:00","guessed":false,"end":"2026-03-26T13:22:36.101000+08:00","text":"長照服務不是申請就馬上會到位，它其實還包含失能的發生、醫療的處置，還要評鑑的評估最後的結果，最後實際服務進場，這中間有一段好長的空窗期，這個空窗期就是我們這些三明治族群最辛苦的時候，因為他還要兼顧工作，可是他還要跑這些所謂的程序。","quality":0.953},{"speaker":"郭委員昱晴","start":"2026-03-26T13:22:36.922000+08:00","guessed":false,"end":"2026-03-26T13:22:51.029000+08:00","text":"對於一個從來沒有經過所謂的長照照護者訓練的這些三明治族群，這個對他們來講是很大很大的肩膀上的負擔、體力上的負擔、心理層面上的負擔。","quality":1},{"speaker":"郭委員昱晴","start":"2026-03-26T13:22:51.710000+08:00","guessed":false,"end":"2026-03-26T13:23:08.061000+08:00","text":"請問衛福部，我們在這個部分有沒有一個支持的制度，讓他們在轉銜的部分也能夠被我們的……我們一直在講長照3.0，我們一直在講我們要照顧很多人，問題是這一群人有沒有被接住？","quality":0.959},{"speaker":"石部長崇良","start":"2026-03-26T13:23:11.306000+08:00","guessed":false,"end":"2026-03-26T13:23:56.193000+08:00","text":"跟委員說明，確實從這個病、一個事件到他後面落入長照服務，中間這個空窗要儘量把它縮短，所以我們現在從兩個方面，一個就是在醫院的住院過程當中，那個轉銜，就是叫做出備、出院準備服務這裡去銜接長照服務，過去從出院到長照進來，在2.0之前，大概要51天，我們去年大概縮短到4天左右，平均3.66天，今年希望再往前推進，讓它縮短到2天，我們希望能夠儘快讓它縮短，最終目的就是無縫接軌。","quality":0.975},{"speaker":"石部長崇良","start":"2026-03-26T13:23:57.513000+08:00","guessed":false,"end":"2026-03-26T13:24:15.520000+08:00","text":"第二個，當然也必須要有評估，就是剛剛您提到的長照需求評估，評估的時候通常也需要有家屬在旁邊，所以為什麼今天我們會有照顧假的討論。","quality":0.966},{"speaker":"石部長崇良","start":"2026-03-26T13:24:15.860000+08:00","guessed":false,"end":"2026-03-26T13:25:02.597000+08:00","text":"當然另外一個銜接的部分是我們在做，你在住院的時候還是會有需要，可能一下子就需要，你還沒有長照之前可能就需要住院的生活照顧了，我們就是推動整合性的住院照護，就是由照服員直接進到醫院，用一對多的方式來服務，這個已經做了2年，成績也還不錯，但是過去礙於預算，規模比較小，大概是5,000床左右，所以我們今年把它擴大，希望從過去的5.6億一年到25億，就是希望也來銜接住，讓大家不用請假來照顧住院的病人。好。","quality":0.937},{"speaker":"郭委員昱晴","start":"2026-03-26T13:25:03.298000+08:00","guessed":false,"end":"2026-03-26T13:25:27.831000+08:00","text":"但是剛剛也有委員特別提到我們的長照安排假，我想可能要請一下我們的申翰部長，關於長照安排假的必要性，我要提到一點，過去我們可以說大家多子多孫多福氣，兄弟姐妹可以一起輪流來照顧，其實真的就比較不會有少子化的問題，但現在不是，現在真的不是。","quality":0.944},{"speaker":"郭委員昱晴","start":"2026-03-26T13:25:28.671000+08:00","guessed":false,"end":"2026-03-26T13:25:41.297000+08:00","text":"再來，有4成雇主認同長照安排假的必要性，他們也認為要留住這些比較資深的中階幹部，對公司來講是有更好的、有利的發展。","quality":0.961},{"speaker":"郭委員昱晴","start":"2026-03-26T13:25:42.177000+08:00","guessed":false,"end":"2026-03-26T13:26:16.623000+08:00","text":"但是問題是，目前在性別平等工作法當中的家庭照顧假只有7天，另外跟我們的事假併起來，大概就是14天，但是我要提到一點，我們大家也思考一下，就是長照安排假其實不是要全職的看護，而是有時候真的突然有突發事件的時候，他可能會需要兩、三個小時比較零碎的、破碎的時間，但是我們怎麼樣短暫地讓他們能夠在接手照顧，工作同時安排妥當之後，他能夠再重新返回職場，這段緩衝期我們支持。","quality":0.963},{"speaker":"郭委員昱晴","start":"2026-03-26T13:26:17.143000+08:00","guessed":false,"end":"2026-03-26T13:26:18.845000+08:00","text":"抱歉，部長，我把你叫起來，但你可能沒時間回答，因為主席站起來了。","quality":0.593},{"speaker":"洪部長申翰","start":"2026-03-26T13:26:23.409000+08:00","guessed":false,"end":"2026-03-26T13:26:46.985000+08:00","text":"我跟郭委員回答，就像剛剛石部長說的，因為現在長照3.0也正在努力儘量大幅縮短這些相關的空窗，或者是需協處的時間，我們會看衛福部針對長照3.0後的這些需求樣態做出評估以後，我們再來綜合思考是不是要透過一些工作的制度、職場的制度來去回應這樣的需求，這需要一個綜合評估的過程。","quality":0.951},{"speaker":"郭委員昱晴","start":"2026-03-26T13:26:47.265000+08:00","guessed":false,"end":"2026-03-26T13:26:52.454000+08:00","text":"好，我們希望儘快，如果有一些比較具體的計畫或者是進程，再提供給本席辦公室。","quality":0.909},{"speaker":"郭委員昱晴","start":"2026-03-26T13:26:53.837000+08:00","guessed":false,"end":"2026-03-26T13:26:55.079000+08:00","text":"謝謝主席，謝謝。","quality":1},{"speaker":"主席","start":"2026-03-26T13:26:55.380000+08:00","guessed":false,"end":"2026-03-26T13:26:56.261000+08:00","text":"謝謝郭昱晴委員發言。","quality":0.778},{"speaker":"主席","start":"2026-03-26T13:26:56.542000+08:00","guessed":false,"end":"2026-03-26T13:26:57.804000+08:00","text":"接下來請楊曜委員發言。","quality":0.9}]}},"supported_relations":[],"relations":[]}