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跟委員報告因為施治政的話 房子照護的話現在已經正式列為國家籍的一個長照政策的一環所以整個施治政的一個房子跟照護的一個相關不管是政策督導或是跨領域的一個協調統合的話相關工作都可以透過副院長擔任召集人的一個行政院長照小組的話來"},{"start":139.407,"end":156.696,"text":"進行一個統籌資源來推動辦理常要小組的話原則上是每三個月就召開一次到現在105年成立到現在的話已經召開了24次了所以不會留意情勢"},{"start":157.216,"end":184.911,"text":"那我現在知道已經有12個部會會參加嘛可是今天我們園民會沒來文化部也沒有來那你這樣子邀請的一個層級是不是就是不夠所以他們就沒有列席因為邀請的是立法院這邊邀請他們可能那我希望以後就12個這個部會來說不要說流於情勢而是真正的有在把這個工作往前推進是是是沒問題我不會講單身召集人他一定會努力來進"},{"start":185.991,"end":205.317,"text":"我想知道說這個財政跟法治責任還有一些它的核心理念我是覺得說我們不要標籤化這些我覺得在教育部這樣一個參與你們的一個推動是怎麼樣來進行教育部的話如果可以的話可以請鐘聲師宋文倩"},{"start":214.071,"end":223.147,"text":"報告委員 教育部中生司這邊來代表說明本身目前在我們教育部的推動裡面在學校教育裡頭"},{"start":224.451,"end":244.712,"text":"已經在我們的12年的課綱裡面針對於失智症的這些認識跟介紹都已經有做相應的一個課程的一個這樣子的宣導跟融入再來針對於社會教育的部分我們部裡面除了之前推動就是持續在推動的樂齡大學"},{"start":247.495,"end":270.121,"text":"然後各個縣市部裡面補助各個縣市的各個鄉鎮公所有鄉鎮區域這邊有去做樂齡學習中心目前現在有360希望能夠消弭這些我們所謂的標籤所以希望教育部能夠多朝這個方向努力持續有在做相應的一個不管是"},{"start":271.722,"end":280.214,"text":"這樣子的一個失智症的介紹、宣導然後我們也透過樂齡學習中心來促進這些長者們可以不斷的學習"},{"start":281.823,"end":306.923,"text":"好謝謝我們專委那處長這邊我們希望能夠在各級主管機關建立全面性的諮詢體系針對失智症然後家屬提供支持然後防止照顧者陷入社會孤立我覺得你這方面的理解怎麼樣這都沒問題這個是相關議題的話那個長安小組委員會委員會他每三個月他如果推動一個情形都會報上來報上來之後副院長他就針對議題來做處理那謝謝處長我們先請呂次長"},{"start":319.736,"end":342.865,"text":"我們看一下預算的編列大概2.0的時候是88億我想說是不是這個經費的預算推估以後這3.0的時候他會不會一些裁員就是重複怎麼計算或者說既有一個業務項目是不是一直在怎麼講就不會有新的所謂的計劃在裡面"},{"start":347.256,"end":356.259,"text":"包委員我們其實我們其實如果說是跨部會的話其實事實上是509億是509因為有簽到那個12個部會嘛相關的我們把它盤起來其實是509有到509億就針對早期偵測這個現在我們所謂的I-COVE現在我們的在健保"},{"start":370.013,"end":390.815,"text":"點數的給付是多少 如果護理人員執行這個因為這個我跟委員報告現在大概是三個階段一個就是早期的篩檢 接下來是診斷然後接下來第三個是治療 是大概三個階段那有關這個部分 前段的部分是國健署我是不是請副署長來講"},{"start":392.497,"end":396.503,"text":"好 報告委員ICOP這個部分我們有分個六大面向有認知能力 行動能力 營養還有憂鬱 還有那個什麼"},{"start":402.83,"end":428.436,"text":"聽力跟視力那我們執行三年來是用公務預算在執行並不是在健保那會有分出品跟副品那出品之後如果有異常那異常不代表就失能所以才會再進一步會到做一個副品才叫失能那大概也跟委員分享一下就是我們現在做到現在大概65歲以上的長者目前全台灣有做過6將近70萬人是用長照基金的錢這樣做的"},{"start":429.916,"end":443.345,"text":"那大概異常率至少有一項異常有26%那大概異常率最高的是在聽力然後第二是在視力那再來是聽力然後第三是行動能力那這大概目前執行的結果"},{"start":444.124,"end":460.956,"text":"大概我們提醒的就是說大概我們知道85歲以上大概就有五分之一的人會就是失智的傾向那可是這樣的年齡比較不會到醫療機構所以當然我們是用早期的就是說如果年齡層去screen的話他會越早"},{"start":462.237,"end":486.195,"text":"會發現不過我們常常看到90歲以上已經到30%以上可是這些人根本就接觸不到所以你要怎麼去把你的screen可以全面化我覺得還是要去想一下一個方法然後我們現在不是一個所謂的腦的適能BHT腦適能的這個檢測它是不是可以取代iCoreiCore本身要花很多的人力因為會有一點"},{"start":487.456,"end":515.165,"text":"就已經工作這麼多了你叫他做這些項目我不知道他實際的實際的就醫療機構來講他實際的收入是多少不過如果就VHT的話是不是會比較更能夠更準確的來screen出來當時用iCOBE是因為他是WHO他通用的對長者所謂的各種行動能力的自我能力的一個檢視啦那不過委員說我們可以回去再評估看看好謝謝我們下頁"},{"start":518.922,"end":526.914,"text":"我們看 之前委員都有提到這些我們的照顧分流跟精確數字那我這邊想請教勞動部 不好意思"},{"start":540.441,"end":560.231,"text":"我們就推動公私協力這個部分我們參考荷蘭跟日本的經驗說單靠政府難以完全滿足龐大的多元照護需求以信任透過獎勵市場機制的介入來鼓勵企業來研發符合私製需求的產品然後減輕政府的負擔這些銀髮業的產業創新服務品質選擇多樣性你們這個部分有沒有在研議"},{"start":570.555,"end":598.741,"text":"還有就是說我們以後為了防範我們的隱形照護跟照顧因為照顧離子這個危機我們曾高穎的勞工往往是因為他是家庭的中堅力量可是他就被迫離子能不能借進日本的一個政策支持家屬就業而提升到法律的位階透過勞動部來推動彈性工時照顧嫁給津貼獎勵友善企業讓家屬能夠兼顧工作跟照顧這個部分有沒有在做研議的部分"},{"start":599.831,"end":612.885,"text":"委員有關這個就是家庭照顧的部分其實我們現在性供法已經有這個家庭照顧假了那當然外界其實對於這個假的部分可能還是希望跟這個長照這一塊能夠就是說可以跟衛福部這邊再來做一些檢討所以這個部分當然我們持續會跟衛福部這邊來做"},{"start":620.493,"end":625.998,"text":"做研議那至於就是說彈性工作彈性工時其實現行我們也有在推相關的這個彈性工作的這個部分包含是因為育兒或者是說未來因為這個就是照顧家人長照這塊需求其實彈性工作部分其實我們會來持續的一個推動"},{"start":641.431,"end":668.591,"text":"那至於剛剛就是委員提到的這個有關這個荷蘭的這個涉及到可能是不是有涉及到一些我們就是職能的一些訓練或者這一些等等那就是我們企業研發失智者的需求的產品是輔具啊經營商品啊智慧科技啊這些我是覺得說是不是可以去找一些友善的企業來研發這些產品出來那這個部分的話我們因為發展署在這邊請我們組長好"},{"start":670.772,"end":692.643,"text":"報告委員 針對於失智者的就業服務我們已經訂有失智者的就業服務的推動計畫那其中呢 植物賽設計的時候的部分是已經有涵蓋失智者有納入所以失智者在職場上面有植物賽設計甚至有工時調整的相關的需求是可以提出申請的好 謝謝那最後請法務部 司法法官"},{"start":707.045,"end":725.366,"text":"委員好就是針對我們決策支持制度這個部分就是認知功能退化的特性要宣 政策應該從不得權力的替代決策之間或宣告轉向協助其行使權力的決策支持這個部分我們目前的進行怎麼樣"},{"start":727.328,"end":740.23,"text":"因為關於這個監務宣告跟輔助宣告制度的實體的內容是定在民法裡面那民法不是本院主管的所以這個部分可能要請所以我們這個專法成立的時候是用哪一個法呢"},{"start":742.422,"end":767.183,"text":"委員是說監護宣告跟輔助宣告監護宣告跟輔助宣告目前實體法是定在民法裡面那他們會在法院申請監護宣告跟輔助宣告那法院會有程序那程序的部分是適用加持事件法只是說委員提到了這個關於替代決策或支持決策的這個部分因為目前民法關於監護宣告制度他就是只要受監護宣告之後他就必須要有監護人那他本人的行為能力就會完全喪失"},{"start":768.064,"end":789.484,"text":"那這部分是訂單民法的15條所以它這個就是實體法的規定那這部分就不是本院可以去就是不是我們司法院主責的內容可能要請民法的主管的部會來進行相關的市長聽到說對財產遭侵占、消費糾紛、服務遭拒這些情勢如果必要的法律協助我們要怎麼來弄"},{"start":791.535,"end":812.049,"text":"我們剛剛提到的這些聽起來比較像是民事類的糾紛那如果他需要法律協助的話目前都可以向這個法律輔助基金會來提出申請那如果當然符合資歷的話可以循一般的方法來申請那如果他有身心障礙者的身份的話他那個衛福部這邊在法府這邊也都有專案也都可以來提出這個法律輔助相關的申請"},{"start":812.714,"end":821.288,"text":"這些我剛剛所提的都是我們國民黨版本的實質證基本法裡面的一個條文所以我來詢問我們司法院的意見謝謝最後請次長"},{"start":830.256,"end":848.175,"text":"就是我還是請次長能夠跟部長在報告的一些具體訴求就是希望能夠提出綱領3.0的公告時程跟跨部會會議層級記錄然後這些我們的就剛剛講的決策支持制度的時程表那88剛你說500多億嘛509對那實質新增跟就業務一列的真實比例"},{"start":853.48,"end":868.971,"text":"然後是這據點的硬性退場的標準我們剛剛說很像沒有這個兆混難民的問題那我還是想知道這3000名的後來是去了哪裡因為我們假設17%有去日兆嘛可是後來"},{"start":869.751,"end":894.403,"text":"其中的3000名不知道去向最後就是我們啟動我們來建置跟癌症系統一樣的一個所謂的登錄系統然後把我們的統計變相能夠增添一些比如說它的中度然後它的是不是原住民或者是中低收入戶這些各項的變相讓我們實際的去掌握它的困難度可以嗎"},{"start":895.287,"end":906.499,"text":"OK 非常感謝委員但是委員因為兩週真的是太趕能不能給我們兩個月的時間可以嗎好 那謝謝 謝謝市長OK 非常感謝委員謝謝你 感謝委員 謝謝好 謝謝盧委員 謝謝市長"}],"gazette":[{"speaker":"盧委員縣一","start":"2026-05-28T11:17:37.329000+08:00","guessed":false,"end":"2026-05-28T11:17:39.170000+08:00","text":"謝謝主席，有請行政院林處長。","quality":1},{"speaker":"林處長煌喬","start":"2026-05-28T11:17:39.170000+08:00","guessed":true,"end":"2026-05-28T11:17:57.405000+08:00","text":"委員好。","quality":0},{"speaker":"盧委員縣一","start":"2026-05-28T11:17:57.405000+08:00","guessed":false,"end":"2026-05-28T11:18:02.549000+08:00","text":"我請你上來是因為大家都知道失智症是一個跨部會的工作。","quality":0.8},{"speaker":"盧委員縣一","start":"2026-05-28T11:18:03.530000+08:00","guessed":false,"end":"2026-05-28T11:18:08.855000+08:00","text":"我先請教你一個問題，你知不知道，推估到2040年，它會變成第幾大死因？","quality":0.926},{"speaker":"林處長煌喬","start":"2026-05-28T11:18:08.855000+08:00","guessed":true,"end":"2026-05-28T11:18:16.142000+08:00","text":"這個我不知道是不是……","quality":0},{"speaker":"盧委員縣一","start":"2026-05-28T11:18:16.142000+08:00","guessed":false,"end":"2026-05-28T11:18:33.571000+08:00","text":"它大概會躍升到第三大死因，這就是為什麼這麼重要的原因；也知道推估大概到2030年的時候，它所謂的健康支出大概會增加一倍，來到2.8兆，這是全球的一個數字。","quality":0.954},{"speaker":"盧委員縣一","start":"2026-05-28T11:18:34.311000+08:00","guessed":false,"end":"2026-05-28T11:18:58.241000+08:00","text":"我們看到臺灣，我們這次在推失智症專法，從各黨黨團相關文書的日期，我看我們國民黨是在4月17號，民眾黨是5月5號，民進黨是在5月15號，是不是因為行政院不太想推這個專法，所以他的日程才會在這麼後面？","quality":0.841},{"speaker":"盧委員縣一","start":"2026-05-28T11:18:58.801000+08:00","guessed":false,"end":"2026-05-28T11:19:06.905000+08:00","text":"然後我看了林月琴的版本，他跟失智症協會的版本是一模一樣的，所以有點很倉促地送出來。","quality":0.842},{"speaker":"盧委員縣一","start":"2026-05-28T11:19:07.025000+08:00","guessed":false,"end":"2026-05-28T11:19:20.954000+08:00","text":"我想知道未來的長照3.0，因為你們說你們會提升到行政院副院長這樣的層級，可是我在想，以後開會的時候，會不會變成流於形式？","quality":0.887},{"speaker":"盧委員縣一","start":"2026-05-28T11:19:21.775000+08:00","guessed":false,"end":"2026-05-28T11:19:27.299000+08:00","text":"你能不能就行政院的立場來講，推動這個工作，你們的角色是什麼？","quality":1},{"speaker":"林處長煌喬","start":"2026-05-28T11:19:28.019000+08:00","guessed":false,"end":"2026-05-28T11:19:59.189000+08:00","text":"不會，跟委員報告，因為失智症防治照護現在已經正式列為國家級長照政策的一環，所以整個失智症防治跟照護的相關工作，不管是政策督導，或者是跨領域的協調統合，相關工作都可以透過副院長擔任行政院長照小組召集人以統籌資源來推動辦理……","quality":0.845},{"speaker":"盧委員縣一","start":"2026-05-28T11:19:59.189000+08:00","guessed":true,"end":"2026-05-28T11:20:03.731000+08:00","text":"可是就今天的……","quality":0},{"speaker":"林處長煌喬","start":"2026-05-28T11:20:03.731000+08:00","guessed":false,"end":"2026-05-28T11:20:13.436000+08:00","text":"這個長照小組原則上是每三個月就召開一次，從105年成立到現在，已經召開24次了，所以不會流於形式。OK。","quality":0.738},{"speaker":"盧委員縣一","start":"2026-05-28T11:20:14.356000+08:00","guessed":false,"end":"2026-05-28T11:20:25.762000+08:00","text":"現在知道已經有12個部會會參加，可是今天原民會沒來、文化部也沒有來，這樣子邀集的層級是不是不夠，所以他們就沒有列席？","quality":0.961},{"speaker":"林處長煌喬","start":"2026-05-28T11:20:26.923000+08:00","guessed":false,"end":"2026-05-28T11:20:29.264000+08:00","text":"因為是立法院邀請他們，可能……","quality":1},{"speaker":"盧委員縣一","start":"2026-05-28T11:20:29.944000+08:00","guessed":false,"end":"2026-05-28T11:20:37.488000+08:00","text":"好，我希望以後就這12個部會來說，不要流於形式，而是真正的有在把這個工作往前推進。","quality":0.914},{"speaker":"林處長煌喬","start":"2026-05-28T11:20:37.488000+08:00","guessed":false,"end":"2026-05-28T11:20:38.609000+08:00","text":"是，沒問題。","quality":1},{"speaker":"林處長煌喬","start":"2026-05-28T11:20:39.950000+08:00","guessed":false,"end":"2026-05-28T11:20:45.272000+08:00","text":"副院長擔任召集人，他一定會努力辦理這件事情。","quality":0.5},{"speaker":"盧委員縣一","start":"2026-05-28T11:20:45.272000+08:00","guessed":false,"end":"2026-05-28T11:20:57.056000+08:00","text":"財政跟法治責任還有一些它的核心理念，我是覺得我們不要標籤化這些，在教育部這樣參與，你們推動是怎麼樣進行？","quality":1},{"speaker":"林處長煌喬","start":"2026-05-28T11:20:59.657000+08:00","guessed":false,"end":"2026-05-28T11:21:00.077000+08:00","text":"教育部的話……","quality":1},{"speaker":"盧委員縣一","start":"2026-05-28T11:21:00.077000+08:00","guessed":false,"end":"2026-05-28T11:21:01.377000+08:00","text":"如果可以的話，可以請終身司嗎？","quality":0.692},{"speaker":"宋專門委員雯倩","start":"2026-05-28T11:21:11.071000+08:00","guessed":false,"end":"2026-05-28T11:21:32.903000+08:00","text":"報告委員，教育部終身司來代表說明本身目前在教育部推動裡面，學校教育已經在12年課綱裡面，針對於失智症的這些認識跟介紹，都已經有做相應的一些課程宣導跟融入。","quality":0.957},{"speaker":"宋專門委員雯倩","start":"2026-05-28T11:21:33.504000+08:00","guessed":false,"end":"2026-05-28T11:21:56.838000+08:00","text":"再來，針對社會教育的部分，我們部裡面除了持續在推動的樂齡大學，以及補助各個縣市、各個鄉鎮區域去做樂齡學習中心，目前有三百……","quality":0.927},{"speaker":"盧委員縣一","start":"2026-05-28T11:21:57.858000+08:00","guessed":false,"end":"2026-05-28T11:22:03.840000+08:00","text":"我們希望能夠消弭這些所謂的標籤，所以希望教育部能夠多朝這個方向努力。","quality":0.938},{"speaker":"宋專門委員雯倩","start":"2026-05-28T11:22:04.020000+08:00","guessed":false,"end":"2026-05-28T11:22:17.214000+08:00","text":"對，持續有在做相應的推動，不管是失智症的介紹、宣導，我們也透過樂齡學習中心促進這些長者們可以不斷的學習，以上。","quality":0.898},{"speaker":"盧委員縣一","start":"2026-05-28T11:22:18.823000+08:00","guessed":false,"end":"2026-05-28T11:22:20.044000+08:00","text":"好，謝謝專委。謝謝。","quality":0.714},{"speaker":"盧委員縣一","start":"2026-05-28T11:22:21.785000+08:00","guessed":false,"end":"2026-05-28T11:22:31.753000+08:00","text":"處長，我們希望能夠在各級主管機關建立全面性的諮詢體系，針對失智症，對家屬提供支持，防止照顧者陷入社會孤立。","quality":0.979},{"speaker":"盧委員縣一","start":"2026-05-28T11:22:32.554000+08:00","guessed":false,"end":"2026-05-28T11:22:34.616000+08:00","text":"你對於這方面的理解是怎麼樣？","quality":0.769},{"speaker":"林處長煌喬","start":"2026-05-28T11:22:34.616000+08:00","guessed":false,"end":"2026-05-28T11:22:43.723000+08:00","text":"這都沒問題，對於相關議題，長照小組裡面，衛福部每三個月都會將推動情形報上來，報上來之後，副院長就會對議題處理。","quality":0.755},{"speaker":"盧委員縣一","start":"2026-05-28T11:22:43.783000+08:00","guessed":false,"end":"2026-05-28T11:22:43.923000+08:00","text":"謝謝處長，我們現在請呂次長。","quality":0.833},{"speaker":"林處長煌喬","start":"2026-05-28T11:22:43.923000+08:00","guessed":true,"end":"2026-05-28T11:22:50.329500+08:00","text":"好，謝謝。","quality":0},{"speaker":"呂次長建德","start":"2026-05-28T11:22:50.329500+08:00","guessed":true,"end":"2026-05-28T11:22:56.736000+08:00","text":"委員好。","quality":0},{"speaker":"盧委員縣一","start":"2026-05-28T11:22:56.736000+08:00","guessed":false,"end":"2026-05-28T11:23:19.845000+08:00","text":"我們看一下預算編列，大概2.0的時候是88億，我想這個經費的預算推估以後，在3.0的時候，會不會有些財源重複計算，或者既有的業務項目是不是一直在……怎麼講，就是不會有新的計畫在裡面？","quality":0.908},{"speaker":"呂次長建德","start":"2026-05-28T11:23:24.456000+08:00","guessed":false,"end":"2026-05-28T11:23:30.718000+08:00","text":"報告委員，如果是跨部會的話，事實上是509億，因為牽涉到12個部會，相關的我們把它盤起來，其實是509億。","quality":0.872},{"speaker":"盧委員縣一","start":"2026-05-28T11:23:30.878000+08:00","guessed":false,"end":"2026-05-28T11:23:31.118000+08:00","text":"有到509億？","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T11:23:31.118000+08:00","guessed":true,"end":"2026-05-28T11:23:32.118000+08:00","text":"對，沒錯。","quality":0},{"speaker":"盧委員縣一","start":"2026-05-28T11:23:31.118000+08:00","guessed":false,"end":"2026-05-28T11:23:47.734000+08:00","text":"就是針對早期偵測我們所謂的ICOPE，現在在健保點數的給付是多少？","quality":0.935},{"speaker":"盧委員縣一","start":"2026-05-28T11:23:47.874000+08:00","guessed":false,"end":"2026-05-28T11:23:49.356000+08:00","text":"如果護理人員執行這個部分。","quality":0.833},{"speaker":"呂次長建德","start":"2026-05-28T11:23:49.436000+08:00","guessed":false,"end":"2026-05-28T11:24:03.590000+08:00","text":"我跟委員報告，現在大概是三個階段，一個就是早期的篩檢，接下來是診斷，第三個是治療，大概三個階段。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T11:24:04.091000+08:00","guessed":false,"end":"2026-05-28T11:24:09.497000+08:00","text":"有關於前段screening的部分是國健署，我是不是請副署長來報告？好。","quality":0.636},{"speaker":"魏副署長璽倫","start":"2026-05-28T11:24:09.597000+08:00","guessed":false,"end":"2026-05-28T11:25:00.325000+08:00","text":"報告委員，ICOPE這個部分，我們有分了六大面向，有認知能力、行動能力、營養、憂鬱、聽力跟視力，我們執行3年來是用公務預算在執行，並不是在健保，會分初評跟複評，初評之後，如果有異常，異常不代表就是失能，所以會再進一步做複評才叫失能，大概也跟委員分享一下，我們做到現在，大概65歲以上的長者，目前全臺灣有將近70萬人是用長照基金的錢這樣做的，至少有一項異常有26%，異常率最高的是在視力，再來是聽力，第三是行動能力，這是大概目前執行的結果。","quality":0.936},{"speaker":"盧委員縣一","start":"2026-05-28T11:25:01.404000+08:00","guessed":false,"end":"2026-05-28T11:25:31.146000+08:00","text":"我們提醒的是，我們知道85歲以上大概就有五分之一的人會有失智的傾向，可是這樣的年齡比較不會到醫療機構，所以當然我們是用早期的預防，如果以年齡層去screening的話會越早發現，不過我們常常看到90歲以上已經到30%以上，可是這些人根本就接觸不到，所以你要怎麼把screening可以全面化，我覺得還是要去想一個方法。好。","quality":0.924},{"speaker":"盧委員縣一","start":"2026-05-28T11:25:32.607000+08:00","guessed":false,"end":"2026-05-28T11:25:35.689000+08:00","text":"我們現在不是有個所謂腦的視能嗎？","quality":0.8},{"speaker":"盧委員縣一","start":"2026-05-28T11:25:36.310000+08:00","guessed":false,"end":"2026-05-28T11:25:40.914000+08:00","text":"BHT腦視能的檢測，它是不是可以取代ICOPE？","quality":0.773},{"speaker":"盧委員縣一","start":"2026-05-28T11:25:41.554000+08:00","guessed":false,"end":"2026-05-28T11:25:59.741000+08:00","text":"ICOPE好像要花很多人力，因為護理人員就已經工作這麼多了，你叫他做這些項目，我不知道就醫療機構來講，他實際的收入是多少，不過如果是BHT的話，是不是更能夠更準確的screening出來？","quality":0.828},{"speaker":"魏副署長璽倫","start":"2026-05-28T11:25:59.741000+08:00","guessed":false,"end":"2026-05-28T11:26:10.184000+08:00","text":"當時用ICOPE是因為它是WHO通用的，所以對長者進行各種行動能力自我能力的檢視，不過委員所說的，我們可以回去再評估看看。","quality":0.842},{"speaker":"盧委員縣一","start":"2026-05-28T11:26:11.425000+08:00","guessed":false,"end":"2026-05-28T11:26:11.965000+08:00","text":"好，謝謝。","quality":1},{"speaker":"盧委員縣一","start":"2026-05-28T11:26:12.145000+08:00","guessed":false,"end":"2026-05-28T11:26:55.710000+08:00","text":"接下來，之前委員都有提到這些照顧分流跟精確數字，我這邊想請教勞動部，就推動公私協力這個部分，我們參考荷蘭跟日本的經驗，單靠政府難以完全滿足龐大的多元照護需求，也希望透過獎勵市場機制介入，鼓勵企業來研發符合失智需求的產品，減輕政府的負擔。","quality":0.936},{"speaker":"盧委員縣一","start":"2026-05-28T11:26:55.710000+08:00","guessed":false,"end":"2026-05-28T11:26:57.231000+08:00","text":"這些銀髮業的產業創新、服務品質及選擇多樣性，你們就這個部分有沒有在研議？","quality":0.939},{"speaker":"盧委員縣一","start":"2026-05-28T11:27:07.555000+08:00","guessed":false,"end":"2026-05-28T11:27:13.436000+08:00","text":"還有為了防範我們的隱形照護跟照顧……因為照顧而離職這個危機。","quality":0.926},{"speaker":"盧委員縣一","start":"2026-05-28T11:27:13.776000+08:00","guessed":false,"end":"2026-05-28T11:27:19.277000+08:00","text":"中高齡的勞工往往因為他是家庭的中間力量，可是他就被迫離職。","quality":0.852},{"speaker":"盧委員縣一","start":"2026-05-28T11:27:19.377000+08:00","guessed":false,"end":"2026-05-28T11:27:34.261000+08:00","text":"能不能借鏡日本的一個政策，支持家屬就業而提升到法律的位階，透過勞動部來推動彈性工時、照顧假及津貼、獎勵友善企業，讓家屬能夠兼顧工作跟照顧？","quality":0.952},{"speaker":"盧委員縣一","start":"2026-05-28T11:27:34.261000+08:00","guessed":false,"end":"2026-05-28T11:27:35.441000+08:00","text":"這個部分有沒有在研議？","quality":1},{"speaker":"王副司長金蓉","start":"2026-05-28T11:27:36.831000+08:00","guessed":false,"end":"2026-05-28T11:27:58.514000+08:00","text":"委員，有關家庭照顧的部分，其實現在性工法已經有家庭照顧假，當然外界對於這個假，可能還是希望就長照這一塊可以跟衛福部再來做一些檢討，所以這個部分當然我們持續會跟衛福部研議。","quality":0.975},{"speaker":"王副司長金蓉","start":"2026-05-28T11:27:58.674000+08:00","guessed":false,"end":"2026-05-28T11:28:02.998000+08:00","text":"至於彈性工作、彈性工時，其實現行我們也有在推相關彈性工作的部分，包含是因為育兒或者是未來照顧家人的長照這塊需求，其實彈性工作的部分，我們會持續推動。","quality":0.971},{"speaker":"王副司長金蓉","start":"2026-05-28T11:28:18.691000+08:00","guessed":false,"end":"2026-05-28T11:28:31.901000+08:00","text":"至於剛剛就是委員提到有關荷蘭是不是有涉及到一些職能的訓練等等，這個我們……","quality":0.941},{"speaker":"盧委員縣一","start":"2026-05-28T11:28:31.901000+08:00","guessed":false,"end":"2026-05-28T11:28:37.665000+08:00","text":"鼓勵企業研發失智者需求的產品，輔具、金融商品、智慧科技。","quality":0.833},{"speaker":"盧委員縣一","start":"2026-05-28T11:28:38.425000+08:00","guessed":false,"end":"2026-05-28T11:28:43.789000+08:00","text":"這些是不是可以去找一些友善的企業來研發這些產品出來？","quality":1},{"speaker":"王副司長金蓉","start":"2026-05-28T11:28:43.989000+08:00","guessed":false,"end":"2026-05-28T11:28:45.571000+08:00","text":"有關這個部分，因為發展署也在這邊，請我們組長跟委員說明。","quality":0.68},{"speaker":"劉組長玉儀","start":"2026-05-28T11:28:47.772000+08:00","guessed":false,"end":"2026-05-28T11:29:06.241000+08:00","text":"報告委員，針對失智者的就業服務，我們已經訂有失智者就業服務的推動計畫，其中職務再設計的部分已經有涵蓋失智者，有納入，所以失智者在職場上面有職務再設計，甚至有工時調整的相關需求是可以提出申請的。","quality":0.933},{"speaker":"盧委員縣一","start":"2026-05-28T11:29:06.581000+08:00","guessed":false,"end":"2026-05-28T11:29:07.482000+08:00","text":"好，謝謝。","quality":1},{"speaker":"盧委員縣一","start":"2026-05-28T11:29:07.722000+08:00","guessed":false,"end":"2026-05-28T11:29:09.623000+08:00","text":"最後請司法院何法官。","quality":0.778},{"speaker":"何法官効鋼","start":"2026-05-28T11:29:24.045000+08:00","guessed":false,"end":"2026-05-28T11:29:24.245000+08:00","text":"委員好。","quality":1},{"speaker":"盧委員縣一","start":"2026-05-28T11:29:25.286000+08:00","guessed":false,"end":"2026-05-28T11:29:42.366000+08:00","text":"針對決策支持制度部分，就是認知功能退化的特性，政策應該從剝奪權利的替代決策之監護宣告，轉向協助其行使權利的決策支持，這個部分我們目前進行得怎麼樣？","quality":0.897},{"speaker":"何法官効鋼","start":"2026-05-28T11:29:44.829000+08:00","guessed":false,"end":"2026-05-28T11:29:54.025000+08:00","text":"跟委員報告，關於監護宣告跟輔助宣告制度的實體內容是定在民法裡面，民法不是本院主管的，所以這個部分可能要請……","quality":0.878},{"speaker":"盧委員縣一","start":"2026-05-28T11:29:54.025000+08:00","guessed":false,"end":"2026-05-28T11:29:57.210000+08:00","text":"所以如果這個專法成立了，是適用哪一個法呢？","quality":0.789},{"speaker":"何法官効鋼","start":"2026-05-28T11:29:59.422000+08:00","guessed":false,"end":"2026-05-28T11:30:01.124000+08:00","text":"委員是說監護宣告跟輔助宣告的部分嗎？對。","quality":0.722},{"speaker":"何法官効鋼","start":"2026-05-28T11:30:01.744000+08:00","guessed":false,"end":"2026-05-28T11:30:38.757000+08:00","text":"監護宣告跟輔助宣告目前實體法是定在民法裡，民眾會來法院聲請監護宣告跟輔助宣告，法院會有程序，而程序的部分是適用家事事件法，只是委員提到的有關替代決策或支持決策的這個部分，因為目前民法關於監護宣告制度就是只要受了監護宣告之後，就必須要有監護人，其本人的行為能力就會完全喪失，這部分是定在民法第十五條，這就是實體法規定，而這部分就不是我們司法院主責的內容，可能要請民法主管的部會來進行相關的……","quality":0.907},{"speaker":"盧委員縣一","start":"2026-05-28T11:30:39.818000+08:00","guessed":false,"end":"2026-05-28T11:30:46.464000+08:00","text":"常常有聽到財產遭侵占、消費糾紛、服務遭拒等這些情事，如果有必要的法律協助，要怎麼進行？","quality":0.789},{"speaker":"何法官効鋼","start":"2026-05-28T11:30:48.936000+08:00","guessed":false,"end":"2026-05-28T11:31:09.049000+08:00","text":"委員提到的這些聽起來比較像是民事類的糾紛，如果需要法律協助的話，目前可以向法律扶助基金會提出申請，當然如果符合資力的話，也可以循一般方式申請，另外如果具有身心障礙者身分，衛福部在法扶部分也有專案，都可以提出法律扶助的相關申請。","quality":0.838},{"speaker":"盧委員縣一","start":"2026-05-28T11:31:09.714000+08:00","guessed":false,"end":"2026-05-28T11:31:17.787000+08:00","text":"剛才我所提到的這些問題，都是我們國民黨版本失智症基本法裡面的條文，所以我來詢問司法院的意見，謝謝。","quality":0.733},{"speaker":"盧委員縣一","start":"2026-05-28T11:31:17.787000+08:00","guessed":false,"end":"2026-05-28T11:31:18.288000+08:00","text":"最後，我們請次長。","quality":0.714},{"speaker":"呂次長建德","start":"2026-05-28T11:31:18.288000+08:00","guessed":true,"end":"2026-05-28T11:31:28.157000+08:00","text":"委員好。","quality":0},{"speaker":"盧委員縣一","start":"2026-05-28T11:31:28.157000+08:00","guessed":false,"end":"2026-05-28T11:31:43.813000+08:00","text":"還是請次長能夠跟部長報告我們的一些具體訴求，包括提出綱領3.0的公告時程跟跨部會會議層級紀錄、決策支持制度時程表，還有剛才你說是五百多億……對，509億。","quality":0.815},{"speaker":"盧委員縣一","start":"2026-05-28T11:31:43.974000+08:00","guessed":false,"end":"2026-05-28T11:31:45.155000+08:00","text":"提出該預算實質新增與舊業務移列的真實比例，可以嗎？","quality":0.522},{"speaker":"呂次長建德","start":"2026-05-28T11:31:45.155000+08:00","guessed":true,"end":"2026-05-28T11:31:50.480000+08:00","text":"好，OK。","quality":0},{"speaker":"盧委員縣一","start":"2026-05-28T11:31:50.480000+08:00","guessed":false,"end":"2026-05-28T11:32:03.269000+08:00","text":"然後暫緩失智據點硬性退場標準，剛剛好像說沒有照護難民的問題，但我還是想知道這3,000名後來去了哪裡？","quality":0.773},{"speaker":"盧委員縣一","start":"2026-05-28T11:32:03.709000+08:00","guessed":false,"end":"2026-05-28T11:32:08.632000+08:00","text":"假設17%有去了日照，可是後來其中的3,000人是不知道去向的。","quality":0.75},{"speaker":"盧委員縣一","start":"2026-05-28T11:32:09.512000+08:00","guessed":false,"end":"2026-05-28T11:32:31.403000+08:00","text":"最後就是建議啟動建置跟癌症系統一樣的登錄系統，增列一些統計變項，比如他是輕、中、重度，然後是不是原住民或者中低收入戶等各項變項，讓我們可以實際掌握他的困難度，可以嗎？","quality":0.787},{"speaker":"呂次長建德","start":"2026-05-28T11:32:32.287000+08:00","guessed":false,"end":"2026-05-28T11:32:40.636000+08:00","text":"OK，非常感謝委員，但是兩週真的太趕了，能不能給我們兩個月時間，可以嗎？","quality":0.968},{"speaker":"盧委員縣一","start":"2026-05-28T11:32:41.177000+08:00","guessed":false,"end":"2026-05-28T11:32:41.297000+08:00","text":"可以，謝謝次長。","quality":0.5},{"speaker":"呂次長建德","start":"2026-05-28T11:32:41.657000+08:00","guessed":false,"end":"2026-05-28T11:32:42.498000+08:00","text":"好，非常感謝委員，謝謝。","quality":0.889},{"speaker":"主席","start":"2026-05-28T11:32:43.439000+08:00","guessed":false,"end":"2026-05-28T11:32:43.499000+08:00","text":"謝謝盧委員，謝謝次長。","quality":0.889},{"speaker":"主席","start":"2026-05-28T11:32:43.999000+08:00","guessed":true,"end":"2026-05-28T11:32:45.713286+08:00","text":"現在休息10分鐘。","quality":0},{"speaker":"主席","start":"2026-05-28T11:32:46.013286+08:00","guessed":true,"end":"2026-05-28T11:32:47.156143+08:00","text":"休息（11時32分）","quality":0},{"speaker":"主席","start":"2026-05-28T11:32:47.456143+08:00","guessed":true,"end":"2026-05-28T11:32:49.170429+08:00","text":"繼續開會（11時42分）","quality":0},{"speaker":"主席（盧委員縣一）","start":"2026-05-28T11:32:49.470429+08:00","guessed":true,"end":"2026-05-28T11:32:51.184714+08:00","text":"現在繼續開會。","quality":0},{"speaker":"主席（盧委員縣一）","start":"2026-05-28T11:32:51.484714+08:00","guessed":true,"end":"2026-05-28T11:32:53.770429+08:00","text":"請黃秀芳委員質詢。","quality":0}]}},"supported_relations":[],"relations":[]}