{"error":false,"id":["167974"],"data":{"IVOD_ID":167974,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/167974","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":"2026-03-26T13:38:05+08:00","結束時間":"2026-03-26T13:44:06+08:00","影片長度":"00:06:01","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/62ea4221ea272c4e0b8c9bf44c74f016c30e9bbc489b48f6f5ed79e3d4a2dc6b046f014c7ab0ab8e5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"李坤城","委員發言時間":"13:38:05 - 13:44:06","會議時間":"2026-03-26T09:00:00+08:00","會議名稱":"立法院第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（事由：邀請衛生福利部長及勞動部部長就「在職照顧者支持體系是否完善、長照3.0服務輸送與長照安排假評估」進行專題報告，並備質詢。【3月25日及26日二天一次會】）","transcript":{"pyannote":[{"speaker":"SPEAKER_02","start":4.418468750000001,"end":10.004093750000003},{"speaker":"SPEAKER_02","start":16.14659375,"end":37.611593750000004},{"speaker":"SPEAKER_00","start":38.08409375,"end":39.68721875},{"speaker":"SPEAKER_00","start":39.97409375,"end":43.28159375},{"speaker":"SPEAKER_00","start":43.55159375,"end":44.53034375},{"speaker":"SPEAKER_02","start":44.024093750000006,"end":45.66096875},{"speaker":"SPEAKER_00","start":44.74971875,"end":46.572218750000005},{"speaker":"SPEAKER_00","start":47.02784375,"end":54.486593750000004},{"speaker":"SPEAKER_00","start":54.65534375,"end":55.330343750000004},{"speaker":"SPEAKER_00","start":55.46534375,"end":81.92534375000001},{"speaker":"SPEAKER_02","start":69.96096875,"end":69.97784375},{"speaker":"SPEAKER_02","start":80.40659375,"end":82.93784375},{"speaker":"SPEAKER_00","start":83.35971875,"end":94.04159375},{"speaker":"SPEAKER_02","start":90.21096875,"end":90.53159375},{"speaker":"SPEAKER_00","start":94.53096875,"end":94.56471875000001},{"speaker":"SPEAKER_02","start":94.56471875000001,"end":104.72346875000001},{"speaker":"SPEAKER_00","start":104.72346875000001,"end":112.41846875},{"speaker":"SPEAKER_02","start":107.11971875,"end":108.63846875},{"speaker":"SPEAKER_00","start":112.73909375000001,"end":116.60346875},{"speaker":"SPEAKER_00","start":116.97471875000001,"end":123.97784375},{"speaker":"SPEAKER_02","start":123.97784375,"end":125.90159375},{"speaker":"SPEAKER_02","start":126.03659375000001,"end":127.43721875000001},{"speaker":"SPEAKER_02","start":129.09096875,"end":140.02596875},{"speaker":"SPEAKER_00","start":130.45784375,"end":130.49159375000002},{"speaker":"SPEAKER_00","start":130.64346875,"end":130.69409375},{"speaker":"SPEAKER_01","start":140.02596875,"end":201.72096875000003},{"speaker":"SPEAKER_00","start":163.80284375000002,"end":163.88721875000002},{"speaker":"SPEAKER_02","start":163.88721875000002,"end":163.92096875000001},{"speaker":"SPEAKER_00","start":163.92096875000001,"end":163.93784375},{"speaker":"SPEAKER_00","start":169.00034375,"end":169.33784375000002},{"speaker":"SPEAKER_00","start":172.40909375,"end":172.57784375},{"speaker":"SPEAKER_00","start":177.55596875,"end":177.74159375000002},{"speaker":"SPEAKER_02","start":199.99971875,"end":224.31659375},{"speaker":"SPEAKER_01","start":224.31659375,"end":247.55346875},{"speaker":"SPEAKER_02","start":224.73846875,"end":225.14346875},{"speaker":"SPEAKER_02","start":246.76034375,"end":258.15096875},{"speaker":"SPEAKER_01","start":248.86971875,"end":250.11846875},{"speaker":"SPEAKER_01","start":254.20221875000001,"end":254.37096875},{"speaker":"SPEAKER_00","start":255.26534375000003,"end":255.92346875},{"speaker":"SPEAKER_00","start":258.15096875,"end":258.25221875},{"speaker":"SPEAKER_00","start":258.48846875000004,"end":285.97784375000003},{"speaker":"SPEAKER_02","start":269.72721875,"end":271.54971875},{"speaker":"SPEAKER_02","start":285.97784375000003,"end":310.78409375},{"speaker":"SPEAKER_00","start":310.91909375,"end":317.97284375000004},{"speaker":"SPEAKER_02","start":315.49221875,"end":316.45409375},{"speaker":"SPEAKER_00","start":318.39471875000004,"end":349.96784375000004},{"speaker":"SPEAKER_02","start":330.30846875000003,"end":333.81846875},{"speaker":"SPEAKER_02","start":336.33284375,"end":336.50159375000004},{"speaker":"SPEAKER_01","start":340.83846875,"end":340.88909375000003},{"speaker":"SPEAKER_02","start":349.96784375000004,"end":356.90346875},{"speaker":"SPEAKER_02","start":357.13971875000004,"end":361.27409375}],"whisperx":[{"start":5.153,"end":6.316,"text":"謝謝主席 我們請勞動部紅部長有請紅部長"},{"start":16.175,"end":42.966,"text":"李委員好來部長好那這個今天召委特別安排這個題目那其實大家也都在關心這個長照的這個照顧假那剛剛這個楊教委員就提到應該很多委員都提到那目前還在考慮這一個評估的主要的原因在哪裡第一個就是因為任何的制度會先去評估他的需求"},{"start":43.926,"end":69.895,"text":"那一定有需求啊對 所以但是需求有的量長或短所以現在的狀況是因為這個第一個長照3.0剛剛上路嘛那過去長照3.0也是希望就像剛剛楊委員講希望它的覆蓋面也讓過去可能更多那種空窗期的部分可以縮短所以我們其實現在也在跟衛福部在討論想要了解說這個整體長照制度目前其實已經覆蓋到什麼程度了"},{"start":70.695,"end":81.795,"text":"那它的空窗的部分或者是需要銜接的部分還有多少的需求要需要多少時間這部分會需要一點時間來評估因為包括長照三年政策它其實也是持續的推進這需要半年的時間來評估嗎"},{"start":83.893,"end":111.972,"text":"這部分可能要跟衛福這邊討論一下我們可能會需要一點時間因為這個政策也是新的政策在往前推進你講的是長照3.0這個政策但是我現在在講的就是說這個長照照顧假這個不是百分之百同樣的一件事情但是這兩件事情是有蠻大的相關的比方說過去如果空窗期是50天的時候那它的需求就蠻大的"},{"start":112.873,"end":126.644,"text":"可是如果空窗期大幅縮短的時候它的需求可能就會降低一些所以這件事情本身的評估會跟整個大的長照制度的狀態會有高度的關聯那我請一下石部長好了來那您這邊"},{"start":129.124,"end":152.176,"text":"因為其實有需要啦因為我們照顧小的已經照顧得都不錯了嘛那現在就是說長者或是需要照顧也不一定是長者需要照顧的這些長照的這些人啦好 跟委員報告大概有兩種狀況啦一種狀況就是說剛要進入長照的每年會有一些因為因病啦然後之後就失能然後需要進入長照服務"},{"start":152.776,"end":177.536,"text":"大概我們推估大概這一年大概有三萬多名像類似像這樣這裡面比較嚴重的就是我們在這個嚴重度在七八幾的大概20%那這些就是很需要這個還沒有長照進來之前家屬要自己照顧所以我們在盡量的縮短這個中間的空窗期另外一種是像高齡化社會像偶爾會發生事情所以才會剛剛"},{"start":179.057,"end":204.729,"text":"洪部長在提的是到底我們針對的對象是哪一些那就會影響到他的需求量有多大後端的影響如何配套那到底是以這個架的方式來形成呢還是要以這個留職停薪的方式來做這個我們可能需要再一點時間來把它我當然知道就是說會一點要需要時間那我的意思就是說那你們"},{"start":205.309,"end":223.651,"text":"需要多久時間來檢視說譬如說長照3.0這個政策做了之後那我們這一個長照的照顧的空窗期能夠縮短然後呢接下來再來考慮譬如說洪部長這邊來考慮說那我們是不是要有這一個長照的照顧假是不是大概順序是這樣子嗎"},{"start":224.312,"end":246.611,"text":"是跟委員說明在長照2.0的時候我們是從這個空窗從51天縮短到去年是大概3.66天平均那所以前面這裡我們已經大幅的縮短可是在接下來要壓縮當然它的那個挑戰性就會更高我們的目標是希望看今年能不能讓它縮短到差不多兩天左右"},{"start":248.072,"end":262.859,"text":"紅部長的一個目標那其實如果這個空中期縮短的話其實資方的接受度也會提高所以說那我再請教一下紅部長所以就像剛剛時務長說的就是說我們也在看它縮短跟實施的狀態如何"},{"start":264.079,"end":285.17,"text":"這會對於需求的評估上面會很高的關聯你如果是五十幾天的時候那這需求就非常大那如果現在是四天還是剩兩天甚至更短的時候那這個需求的評估就會不一樣所以我們去做這個制度的研議的時候當然第一件事情會先針對需求上面去做一個定量或定性的理解這樣子"},{"start":286.75,"end":310.319,"text":"我們還是會比較關心的比如說這個需要半年的時間先看看部長還是覺得說我們是不是空空前一個收到兩天這個是你的目標嘛對不對那如果說收到兩天大概需要多少時間然後需要多少的費用然後四天的話需要多少我想這個應該這個洪部長這邊應該是能夠按照這一些參數把它模擬出來"},{"start":311.599,"end":329.169,"text":"我覺得還有一個部分就是樣態啦就是哪些情境有這個虛假因為這裡面會有個到底是大家在討論的是一個個別的價還是比較快狀的流停因為國際上可能都有但是個別的價的話其實也蠻多看到它是比較是無心的"},{"start":330.65,"end":355.55,"text":"沒有關係 我覺得這些都可以列入考慮所以我的意思是說這件事情討論的前提是需要對於樣態做更精確的瞭解到底是需要一大段快狀的時間還是是需要比較零碎的個別的天這就不太一樣OK 好我本來還要再問 就稍微已經站起來了因為今天也推了比較久了好啦 就不耽誤大家的時間了好 謝謝"},{"start":357.202,"end":360.878,"text":"好 谢谢李昆城委员接下来我们请"}]}},"supported_relations":[],"relations":[]}