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劃或者是有其他的扣減"},{"start":183.482,"end":205.244,"text":"OK 非常感謝委員的這一個提問其實這個部分也是賴總統他在健康台灣裡面非常重要的就是有關於早期篩檢還有篩檢的政策所以這裡面包括確實就有癌篩三高防治等等這些的一些相關那有關於這個部分早期Screaming這個是屬於國建署我是不是請副署長來跟委員來答覆一下好不好好 謝謝"},{"start":206.986,"end":223.578,"text":"那跟委員報告那也謝謝委員也對於在這個健康篩檢政策的支持那從我們14年擴大包括癌症篩檢那還有包括成人健康檢查服務那我們也可以看到包括這個我們成人健康檢查的那個年齡網"},{"start":225.559,"end":245.731,"text":"30歲那整體來講14年我們的這個成人健檢的篩檢量那叫13年增加45萬那大概兩成的一些比率那也發現了新發現一些所謂有疑似這個所謂三高的一些族群或者是有腎臟病族群那這些都進一步能夠及早轉介到我們的醫療系統裡面去做進一步的診斷"},{"start":246.611,"end":270.197,"text":"那至於在癌症篩檢的部分也是因為在我們擴大這個我們的篩檢之後那我們相較來講我們也比這個113年的時候就是多了大概100多萬那也增加了大概25%的一個篩檢量那同時我們在發現癌症的一個癌前病變跟這個比較早期癌症的數量那也就持續的這個上升那所以我們"},{"start":270.797,"end":292.41,"text":"相較能夠及早發現那及早治療那這也是我們看到擴大了我們的這個癌症篩檢那包括成人健康檢查這樣的一個這個效益那後續其實我們會依照這個國際的一些實證上面來看看說怎麼樣針對於我們的一個目標族群來持續檢討說來做一個擴大那其實在115年部分我們因為"},{"start":292.99,"end":320.396,"text":"我們就有增加了胃油門桿菌的一個檢測是是是謝謝副市長的說明不過其實我們知道幾年前子宮頸癌的篩檢本來是兩年後來是根據實證延為三年所以我們意思就是說目前我們進行這麼大量的癌篩其實可以透過數據去調整它的時間點這樣的話就是不斷的去精進一方面也可以讓這個篩檢可以更擴大同時其實也可以讓這個"},{"start":322.396,"end":336.793,"text":"造成的效益會更大化而不是一直在做同樣的事情而有我們提出來這個用意基本上是這樣子謝謝副市長的說明那再過來還是請教市長有關於這個失智症目前我們所看到的"},{"start":338.315,"end":352.393,"text":"剛剛蘇委員還有很多委員也希望能夠這個數據可以更公開讓大家了解的更多其實我們在去年也曾經反映過依據國務院在112年全國社區施政流行病學調查的結果就告訴我們說"},{"start":353.494,"end":375.432,"text":"有一半左右加起來64.85%是屬於極輕度跟輕度而且這個環節你來治療還特別好一旦超過這個時間點的話不僅這個藥物非常昂貴而且它其實治療也沒什麼特別的效果所以你來治療就是一定要極輕度跟輕度的過程才能夠治療現在就是說這個環節要怎麼找出來"},{"start":377.213,"end":402.294,"text":"這是我們最大的困擾因為目前我們知道這些篩檢制度很難很難有效的把這些人找出來所以到底我們怎麼樣透過跟不管是臨床醫師或者是相關的學者來瞭解如何做好這個篩檢是非常非常的重要我們先看下一張告訴我們說我們都沒有找出來"},{"start":403.315,"end":421.8,"text":"到底發生什麼問題我們看到就是醫療跟社會成本的失衡你看那個失智者他連這個平均醫療支出是一般長者的1.67倍那更可怕的是單一失智者如果是終身險性的照護成本就會"},{"start":422.7,"end":443.761,"text":"一個人就會達到1392萬元依照目前的推估來看的話台灣一年施肢照護的成本是三千幾億這是最少的尤其這些成本大部分都發生在重重度之後目前我們的制度就相對沒有辦法做提前的診斷那這個成本當然就會被放大"},{"start":444.361,"end":464.402,"text":"我們看我們今年2025年市政策的總預算是將近100億其實也是逐漸在增加當中我相信困境大家都很清楚的知道還是希望能夠有好的政策那這個好的政策當然就根基於好的這些臨床研究的調查"},{"start":465.623,"end":487.625,"text":"目前針對於施政的這個篩檢的政策會不會有什麼想法有沒有將來會把這些納入工會的可行性現在是不可行還是說有什麼樣的因素他的技術沒有成熟還是什麼因素知道這邊社長有沒有一些了解"},{"start":489.329,"end":514.424,"text":"OK 我想誠如剛剛委員說我想我們都知道它這個部分其實主要大概就三個部分就是早篩然後你要去確認就是那個診斷然後接下來是那個治療的部分那我們現在目前我覺得現在目前主要的問題就誠如剛剛委員說就是說現在目前這兩個藥物它主要大概是激氫跟氫度因為它可以減緩淘蛋白的整個累積"},{"start":518.146,"end":534.911,"text":"那所以整個重心應該放在那個所謂早篩的部分那現在我的瞭解是這樣我們現在目前篩檢的工具現在目前大概有血液然後還有另外其他的一些相關的方式那我想這個部分這個我們可以來精進還有另外一個就是說你要去確認的這個部分"},{"start":535.951,"end":561.604,"text":"現在有個問題現在就是說他的這一個費用啦他的費用一般來說偏高我的理解大概光那台機器要做一個scam的話好像將近快要到9萬左右一次嘛那韓國聽說是比較他有辦法降到大概5萬大概他有一個相對來說比較便宜那我們現在目前或許可以來做這一個評估啦"},{"start":562.954,"end":578.909,"text":"就是說血液篩檢如果量大其實理論上他的費用應該是可以再有些控制如果是影像的部分當然他的費用相對是比較高現在就是看這部分能不能看有什麼方式在reduce他的費用的話"},{"start":579.69,"end":596.052,"text":"你如果有什麼政策要提供給我們兩個月給我們全部的政策參考再來就是食物上我們也知道這些事實很多其實都是跟獨居也有相關性尤其獨居老人的照顧部分"},{"start":596.693,"end":618.393,"text":"那依照推估我們臺灣65歲以上的獨居長者差不多有80倍以上所以同齡人在外站的25.8%就是四位裡面就因為他可能會面臨這個獨居或者是就沒有很好的這個人來陪伴所以英國在2018年就設立了全球所創的這個"},{"start":619.674,"end":645.171,"text":"孤獨事務大臣對沒錯永遠不要來照顧超過900萬名的這個英國民眾常常感到孤獨的嚴重的一個社會問題那日本也在三年以後就在2021年就設立了孤獨跟孤立的對策擔當大臣來解決因為社會結構改變造成無人可依跟嚴重的孤獨使得這種困境那台灣目前我們也看到說"},{"start":646.031,"end":671.498,"text":"在政府在115到116年投入了62.5億元來強化在社會安全網2.0商處理有關獨居老人服務的需求我們也看到這些需求包括主動的拜訪、發現獨老、提供關懷等等還有後續的照顧醫療這些都是希望能夠針對這些獨居老人面臨的一些問題來加強"},{"start":673.399,"end":690.673,"text":"那我們看到這個計畫裡面的玉璽效益希望在兩年裡面透過民政合作透過大量的志工來能夠訪查到這個獨居老人70萬人這是很大的數目70萬人這兩年到底我們有辦法做到什麼程度你能夠講清楚一點嗎"},{"start":698.819,"end":713.485,"text":"非常感謝委員的關心 現在目前如果說獨居戶的話戶籍上面大概是118萬那我們現在目前就是我們希望但是我們現在目前要篩出來的其實事實上就是"},{"start":714.105,"end":733.431,"text":"是獨居但是呢又有又有這個需求那我們現在目前我們的預估確實就是大概70萬這兩年時間我們現在我們就是現在已經開始啟動那我們就透過跟民政系統那邊去做這一個仿試然後他有一個量表"},{"start":733.911,"end":741.702,"text":"那個糧表這樣塞過之後就可以確認就是說它到底是不是有這一個福利需求那我們會根據它的風險程度來做四個分級"},{"start":751.596,"end":763.09,"text":"對 這個確實會照顧上來說很麻煩對 所以其中裡面剛剛有提到 很多委員都提到這些事啊 那可能不知道怎麼做我們也不知道所以在第二項裡面你們就希望能夠擴大"},{"start":764.251,"end":780.807,"text":"補助這個獨老的緊急救治的一些狀況包括做一些監視等等這邊有提到說對經濟的弱勢的人他可以補助1.8萬來讓一般戶的7萬人可以得到這些相關的這種緊急狀況那這部分"},{"start":785.071,"end":801.625,"text":"除了我們是很希望能夠再跟相對的情面就是說因為這個其實只要是獨居都有這個需求沒錯所以是不是一定要在經濟弱勢當然這個是有各種層面的考量不過是不是可以拋磚引玉就是"},{"start":802.265,"end":830.964,"text":"能夠有更有彈性跟普及性的申請機制來讓有需要的長者能夠得到協助跟保障不是經濟弱勢才需要就保護看市長能不能也多一些考慮包委我們現在目前齁其實在這個計畫裡面其實已經不是只有只有那個所謂那個經濟弱勢喔一般戶也可以一般戶也可以那就是說他必須就是要經過我們有一個量表嘛那量表如果說他篩出來之後他屬於這一個"},{"start":832.886,"end":847.295,"text":"那二到四級的話就算一般戶我們也會來幫他裝好啊好啊現在有社會跟我了解不然像我你就整天在經濟弱勢沒有沒有沒有我們現在已經因為現在嘛總統總統也很專心嘛所以我們這一般戶我們也都可以來試用沒問題好啊我想買一個還是"},{"start":853.719,"end":877.455,"text":"這個慢性病化以後就有心理照顧的問題讓丹來跟你請教一下因為我們知道現在癌症真的是變成一個慢性病是一個疾病那很多的這些不管是醫界啦或者是社會病的團體都很希望說這些癌症的存活者他後來這個癌症慢性病化以後看來變成一個長跑"},{"start":878.155,"end":895.387,"text":"他更需要加強心理經濟跟心理層面的這個風險管理跟協助所以這方面我們很期待說能夠有更好的支持把病治好了或者是他在帶病的過程裡面其實很多的支持包括就業經濟"},{"start":896.548,"end":919.119,"text":"照顧心理社區家庭這個支持都應該可以繼續的強化我等一下再麻煩部長市長告訴我們部裡面有沒有相關的規劃或者是想法我們看一下其他的兩個國家就是在日本跟韓國其實他們針對於這些社區的支持"},{"start":919.959,"end":941.937,"text":"還有就業的支持跨部會的合作都做得非常非常的完整所以這部分我們很期待說如果對這麼一百萬的癌症病友他們在處理癌症以後需要更多或者是當這些有需要政府來提供支持的各方面的這些面向的話"},{"start":943.158,"end":956.755,"text":"希望我部裡面有一個好的規劃跟想法那甚至如果是要修法我們也希望能夠推著往這個修法的方向來前進不知道次長能不能夠也把這個想法在部裡面能夠繼續來討論"},{"start":960.279,"end":984.195,"text":"可以 我想那個委員那個也是我們癌症希望基金會我想這邊長期都在推動國內有關癌症這邊的這個照顧那確實像委員剛剛所說現在目前已經有慢慢大概有慢性病化的一個歷程那這裡面其實我想部裡面我們會把委員的意見帶回去那我這邊是不是先請博喜市長就有關心理心理的部分好來麻煩你時間短"},{"start":986.616,"end":1009.605,"text":"好 那個非常謝謝委員提出這個非常重要的議題那目前部理針對這個癌友的心理支持的部分我們目前說在住院的部分已經有這個心理健康的篩檢那門診社區也都會有這個支持方案來提出好 那就麻煩三個月給我們一個順便報告好不好好 麻煩你 謝謝謝謝主席好 謝謝"}],"gazette":[{"speaker":"王委員正旭","start":"2026-05-28T12:18:21.559000+08:00","guessed":false,"end":"2026-05-28T12:18:26.364000+08:00","text":"謝謝主席，麻煩衛福部呂次長。","quality":0.667},{"speaker":"主席","start":"2026-05-28T12:18:26.364000+08:00","guessed":false,"end":"2026-05-28T12:18:27.005000+08:00","text":"有請次長。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:18:27.005000+08:00","guessed":true,"end":"2026-05-28T12:18:32.646000+08:00","text":"委員好。","quality":0},{"speaker":"王委員正旭","start":"2026-05-28T12:18:32.646000+08:00","guessed":false,"end":"2026-05-28T12:18:32.786000+08:00","text":"次長，你好。","quality":0.75},{"speaker":"王委員正旭","start":"2026-05-28T12:18:33.627000+08:00","guessed":false,"end":"2026-05-28T12:19:23.427000+08:00","text":"今天想來跟您就教有關失智症防治跟癌症慢性病化以後的照護議題，謝謝主席安排這個題目，大家已經說了很多，也真的是殷殷期盼，因為社會結構真的改變了很多，我們很多長者……不一定是長者，但這些失智問題造成家庭的一些影響，還有對社會整體負擔的改變帶來衝擊，所以其實不管是在身心障礙的保障、失智症的預防跟照護，還有癌症病友在治療以後的這些長期支持，國人都非常高度仰賴政府跟衛福部相關政策的協助跟資源投入。","quality":0.89},{"speaker":"王委員正旭","start":"2026-05-28T12:19:24.627000+08:00","guessed":false,"end":"2026-05-28T12:19:29.109000+08:00","text":"今天大家都殷殷期盼，是不是可以趕快把這個事情做得更好？","quality":0.76},{"speaker":"王委員正旭","start":"2026-05-28T12:19:35.591000+08:00","guessed":false,"end":"2026-05-28T12:19:37.452000+08:00","text":"大家都非常非常的期待法制化以後，這些照顧所帶來的幫忙。沒錯。","quality":0.444},{"speaker":"王委員正旭","start":"2026-05-28T12:19:39.533000+08:00","guessed":false,"end":"2026-05-28T12:19:51+08:00","text":"在說這個之前，我先請教一下，其實我們也做了很多健康篩檢的政策，其後續的效益評估跟精準化也要麻煩先來確認一下。","quality":0.86},{"speaker":"王委員正旭","start":"2026-05-28T12:19:51.781000+08:00","guessed":false,"end":"2026-05-28T12:20:19.275000+08:00","text":"我們都知道資源精準投放非常非常的重要，我國最近在健康篩檢政策上面，有擴大公費篩檢適用範圍的趨勢，我們當然非常肯定這些擴大公費篩檢，但實施以後到底有沒有利用實證的數據做滾動式檢討，以確保這些公費篩檢政策資源所投入的效益、對象跟範圍選擇的精確性？","quality":0.956},{"speaker":"王委員正旭","start":"2026-05-28T12:20:19.996000+08:00","guessed":false,"end":"2026-05-28T12:20:37.786000+08:00","text":"因為我們也知道如果能提高這些效益的話，才是真正……不管是我們之前看到很多癌症的篩檢，或者是未來針對失智症，如果有投入篩檢這樣的處理模式的話，要怎麼樣讓這個效益可以達到更好？沒錯。","quality":0.852},{"speaker":"王委員正旭","start":"2026-05-28T12:20:38.667000+08:00","guessed":false,"end":"2026-05-28T12:20:51.515000+08:00","text":"我們也看到今年國衛院論壇有何啟功教授主持的國家篩檢效益評估計畫，這些論壇的政策建議最後不一定會進入政策研議的範圍，有時候是比較可惜的。","quality":0.891},{"speaker":"王委員正旭","start":"2026-05-28T12:20:52.375000+08:00","guessed":false,"end":"2026-05-28T12:21:08.981000+08:00","text":"所以不管未來是用CHPTA行政法人，還是衛福部自己，對於這些公費的篩檢，在執行一段期間以後，能不能夠更有效的透過實際上的數據進行效益評估，讓這個效益精準化跟最大化？","quality":0.816},{"speaker":"王委員正旭","start":"2026-05-28T12:21:09.902000+08:00","guessed":false,"end":"2026-05-28T12:21:13.563000+08:00","text":"請問一下，目前部裡有沒有相關的政策規劃，或者是有其他的構想？","quality":0.926},{"speaker":"呂次長建德","start":"2026-05-28T12:21:14.822000+08:00","guessed":false,"end":"2026-05-28T12:21:29.297000+08:00","text":"非常感謝委員的提問，其實這個部分也是賴總統健康台灣裡面非常重要的部分，就是有關於早期篩檢還有篩檢的政策，這裡面確實包括癌篩、三高防治等等這一些相關的。","quality":0.914},{"speaker":"呂次長建德","start":"2026-05-28T12:21:29.477000+08:00","guessed":false,"end":"2026-05-28T12:21:36.204000+08:00","text":"有關於這個部分，早期screening是屬於國健署，我請副署長來跟委員答復一下，好不好？","quality":0.875},{"speaker":"王委員正旭","start":"2026-05-28T12:21:36.224000+08:00","guessed":false,"end":"2026-05-28T12:21:36.244000+08:00","text":"好，謝謝。","quality":1},{"speaker":"林副署長莉茹","start":"2026-05-28T12:21:38.266000+08:00","guessed":false,"end":"2026-05-28T12:21:44.370000+08:00","text":"跟委員報告，也謝謝委員對於健康篩檢政策的支持。","quality":1},{"speaker":"林副署長莉茹","start":"2026-05-28T12:21:45.431000+08:00","guessed":false,"end":"2026-05-28T12:21:56.559000+08:00","text":"從我們114年擴大包括癌症篩檢、成人健康檢查服務，也可以看到成人健康檢查的年齡往30歲調整。","quality":0.921},{"speaker":"林副署長莉茹","start":"2026-05-28T12:21:56.919000+08:00","guessed":false,"end":"2026-05-28T12:22:16.731000+08:00","text":"整體來講，114年的成人健檢篩檢量相較於113年增加了45萬，大概是兩成的比率，也新發現一些疑似三高族群或者是腎臟病族群，讓這些都能夠及早轉介到醫療系統裡面，去做進一步的診斷。","quality":0.919},{"speaker":"林副署長莉茹","start":"2026-05-28T12:22:17.791000+08:00","guessed":false,"end":"2026-05-28T12:22:51.203000+08:00","text":"至於在癌症篩檢的部分也是，在我們擴大篩檢之後，相較來講，也比113年多了大概一百多萬，也增加了大概25%的篩檢量，同時我們發現癌症的癌前病變跟比較早期的癌症數量也有持續上升，讓我們相較能夠及早發現、及早治療，這也是我們看到擴大癌症篩檢，包括成人健康檢查的效益。","quality":0.957},{"speaker":"林副署長莉茹","start":"2026-05-28T12:22:51.803000+08:00","guessed":false,"end":"2026-05-28T12:23:01.369000+08:00","text":"後續我們會依照國際在一些實證上面，看如何針對目標族群持續檢討及擴大。","quality":0.875},{"speaker":"林副署長莉茹","start":"2026-05-28T12:23:01.929000+08:00","guessed":false,"end":"2026-05-28T12:23:06.531000+08:00","text":"其實在115年部分，我們就增加胃幽門桿菌的檢測，謝謝。","quality":0.857},{"speaker":"王委員正旭","start":"2026-05-28T12:23:07.951000+08:00","guessed":false,"end":"2026-05-28T12:23:08.771000+08:00","text":"謝謝副署長的說明。","quality":0.875},{"speaker":"王委員正旭","start":"2026-05-28T12:23:09.251000+08:00","guessed":false,"end":"2026-05-28T12:23:16.133000+08:00","text":"不過我們也知道，幾年前子宮頸癌的篩檢本來是2年，後來根據實證延為3年。","quality":0.967},{"speaker":"王委員正旭","start":"2026-05-28T12:23:16.653000+08:00","guessed":false,"end":"2026-05-28T12:23:42.527000+08:00","text":"所以我的意思是，目前我們進行這麼大量的癌篩，其實可以透過數據去調整它的時間點，就是不斷地去精進，一方面可以讓這個篩檢更擴大，同時也讓篩檢造成的效益更大化，而不是一直在做同樣的事情而已，我們提出來的用意基本上是這樣子，謝謝副署長的說明。","quality":0.935},{"speaker":"林副署長莉茹","start":"2026-05-28T12:23:42.527000+08:00","guessed":true,"end":"2026-05-28T12:23:43.527000+08:00","text":"謝謝委員。","quality":0},{"speaker":"王委員正旭","start":"2026-05-28T12:23:43.228000+08:00","guessed":false,"end":"2026-05-28T12:23:45.911000+08:00","text":"再過來，我還是請教次長有關於失智症的部分。","quality":0.737},{"speaker":"王委員正旭","start":"2026-05-28T12:23:46.431000+08:00","guessed":false,"end":"2026-05-28T12:23:54.441000+08:00","text":"目前我們所看到的，剛剛林淑芬委員還有很多委員都希望這個數據可以更公開，讓大家了解得更多。","quality":0.878},{"speaker":"王委員正旭","start":"2026-05-28T12:23:54.962000+08:00","guessed":false,"end":"2026-05-28T12:24:26.432000+08:00","text":"其實我們在去年也曾經反映過，依據國衛院112年全國社區失智症流行病學調查結果就告訴我們，有一半左右、加起來64.85%是屬於極輕度跟輕度，這些患者如果來治療，效果特別好，一旦超過這個時間點的話，不僅藥物會非常昂貴，而且治療也沒有什麼特別的效果，所以要治療就是一定要極輕度跟輕度的才能夠治療，但現在的問題是這些患者要怎麼找出來？","quality":0.855},{"speaker":"王委員正旭","start":"2026-05-28T12:24:28.213000+08:00","guessed":false,"end":"2026-05-28T12:24:30.315000+08:00","text":"這是我們最大的困擾。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:24:30.315000+08:00","guessed":true,"end":"2026-05-28T12:24:31.315000+08:00","text":"沒有錯！","quality":0},{"speaker":"王委員正旭","start":"2026-05-28T12:24:30.315000+08:00","guessed":false,"end":"2026-05-28T12:24:49.151000+08:00","text":"因為目前我們知道這些篩檢制度很難有效地把這些人找出來，所以到底我們怎麼樣透過……不管是臨床醫師或者是相關的學者，來了解如何做好這個篩檢非常非常的重要。","quality":0.971},{"speaker":"王委員正旭","start":"2026-05-28T12:24:49.671000+08:00","guessed":false,"end":"2026-05-28T12:24:55.155000+08:00","text":"我們先看下一張簡報，它告訴我們如果不把他找出來到底會發生什麼問題。","quality":0.71},{"speaker":"王委員正旭","start":"2026-05-28T12:24:55.155000+08:00","guessed":false,"end":"2026-05-28T12:25:16.723000+08:00","text":"我們會看到醫療跟社會成本失衡，你看失智者的年平均醫療支出是一般長者的1.67倍，更可怕的是，單一失智者如果是終身顯性的，其照護成本一個人就會達到1,392萬元。","quality":0.912},{"speaker":"王委員正旭","start":"2026-05-28T12:25:18.485000+08:00","guessed":false,"end":"2026-05-28T12:25:27.934000+08:00","text":"依照目前的推估來看，臺灣一年失智照護的總成本是三千多億，這很恐怖，尤其這些成本大部分都發生在中重度之後。","quality":0.833},{"speaker":"王委員正旭","start":"2026-05-28T12:25:28.935000+08:00","guessed":false,"end":"2026-05-28T12:25:34.741000+08:00","text":"目前我們的制度相對沒有辦法提前診斷，所以這個成本當然就會被放大。","quality":0.933},{"speaker":"王委員正旭","start":"2026-05-28T12:25:35.361000+08:00","guessed":false,"end":"2026-05-28T12:25:43.610000+08:00","text":"我們光是看2025年失智政策的總預算將近100億，其實也是逐年在增加當中。","quality":0.821},{"speaker":"王委員正旭","start":"2026-05-28T12:25:44.270000+08:00","guessed":false,"end":"2026-05-28T12:25:55.382000+08:00","text":"我相信困境的部分大家都很清楚知道，還是希望能夠有好的政策，這個好的政策當然就根基於這些好的臨床研究調查。","quality":0.898},{"speaker":"王委員正旭","start":"2026-05-28T12:25:56.623000+08:00","guessed":false,"end":"2026-05-28T12:26:02.049000+08:00","text":"目前針對失智症篩檢的政策，衛福部有什麼想法？","quality":0.7},{"speaker":"王委員正旭","start":"2026-05-28T12:26:02.970000+08:00","guessed":false,"end":"2026-05-28T12:26:06.213000+08:00","text":"將來有沒有把這些納入公費的可行性？","quality":0.75},{"speaker":"王委員正旭","start":"2026-05-28T12:26:07.955000+08:00","guessed":false,"end":"2026-05-28T12:26:11.038000+08:00","text":"現在是不可行還是有什麼樣的因素？","quality":1},{"speaker":"王委員正旭","start":"2026-05-28T12:26:11.718000+08:00","guessed":false,"end":"2026-05-28T12:26:14.121000+08:00","text":"是他的技術沒有成熟還是什麼因素？","quality":0.933},{"speaker":"王委員正旭","start":"2026-05-28T12:26:14.842000+08:00","guessed":false,"end":"2026-05-28T12:26:18.605000+08:00","text":"不知道次長有沒有一些了解？","quality":0.833},{"speaker":"呂次長建德","start":"2026-05-28T12:26:21.370000+08:00","guessed":false,"end":"2026-05-28T12:26:34.658000+08:00","text":"誠如剛剛委員說的，我們都知道這個其實主要大概就三個部分，就是早篩、確認診斷，接下來是治療的部分。","quality":0.977},{"speaker":"呂次長建德","start":"2026-05-28T12:26:37.079000+08:00","guessed":false,"end":"2026-05-28T12:26:51.727000+08:00","text":"我覺得目前主要的問題誠如剛剛委員說的，目前這兩個藥物主要適用於極輕度跟輕度階段，因為他可以減緩濤蛋白的累積，所以整個重心應該放在早篩的部分。","quality":0.818},{"speaker":"呂次長建德","start":"2026-05-28T12:26:52.827000+08:00","guessed":false,"end":"2026-05-28T12:27:32.424000+08:00","text":"現在根據我的了解是這樣，我們目前篩檢的工具大概有血液還有另外其他一些相關的方式，這個部分我們可以來精進，還有另外一個是你要去確認的部分，現在有個問題，就是他的費用一般來說偏高，就我的理解，光那臺機器要做一個scan的話，一次好像快要到9萬左右，韓國聽說比較……他有辦法降到大概5萬，相對來講比較便宜，我們目前或許可以做這個評估。","quality":0.946},{"speaker":"王委員正旭","start":"2026-05-28T12:27:33.954000+08:00","guessed":false,"end":"2026-05-28T12:27:39.359000+08:00","text":"就是血液篩檢如果量大，理論上他的費用應該可以再……","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:27:39.359000+08:00","guessed":true,"end":"2026-05-28T12:27:41.281000+08:00","text":"是，沒錯。","quality":0},{"speaker":"王委員正旭","start":"2026-05-28T12:27:41.281000+08:00","guessed":false,"end":"2026-05-28T12:27:45.926000+08:00","text":"可以控制，如果是影像的部分，當然費用就會相對比較高……","quality":0.826},{"speaker":"呂次長建德","start":"2026-05-28T12:27:46.206000+08:00","guessed":false,"end":"2026-05-28T12:27:49.869000+08:00","text":"對，沒錯，現在就是看這部分能不能有什麼方式再reduce他的費用……","quality":0.867},{"speaker":"王委員正旭","start":"2026-05-28T12:27:50.690000+08:00","guessed":false,"end":"2026-05-28T12:27:57.099000+08:00","text":"好，你如果有什麼政策等等，可不可以提供給我們來參考，兩個月給我們初步的這些政策參考，好不好？","quality":0.585},{"speaker":"呂次長建德","start":"2026-05-28T12:27:57.099000+08:00","guessed":true,"end":"2026-05-28T12:27:58.099000+08:00","text":"OK，好。","quality":0},{"speaker":"王委員正旭","start":"2026-05-28T12:27:58+08:00","guessed":false,"end":"2026-05-28T12:28:05.050000+08:00","text":"再來，我們也知道在實務上，這些失智者很多其實跟獨居也有相關性。沒錯。","quality":0.7},{"speaker":"王委員正旭","start":"2026-05-28T12:28:05.170000+08:00","guessed":false,"end":"2026-05-28T12:28:53.569000+08:00","text":"尤其獨居老人的照護部分，依照推估，臺灣65歲以上的獨居長者差不多有118萬人，差不多占了25.8%，即4位裡面就有1位可能面臨獨居或者沒有很好的人來陪伴，所以英國在2018年就設立了全球首創的孤獨事務大臣，用意就是要來照顧超過900萬名英國民眾，常常感到孤獨的一個嚴重的社會問題；日本也在3年以後，即2021年就設立了孤獨與孤立對策擔當大臣，以解決因為社會結構改變，造成無人可依跟嚴重孤獨死這種困境。","quality":0.873},{"speaker":"王委員正旭","start":"2026-05-28T12:28:54.550000+08:00","guessed":false,"end":"2026-05-28T12:29:07.494000+08:00","text":"而臺灣，目前我們也看到政府在115年到116年投入62.5億元，強化社會安全網2.0，處理有關獨居老人服務的需求。","quality":0.952},{"speaker":"王委員正旭","start":"2026-05-28T12:29:10.455000+08:00","guessed":false,"end":"2026-05-28T12:29:22.478000+08:00","text":"這些需求包括主動拜訪、發現獨老、提供關懷等等，還有後續的照顧醫療，都是希望加強獨居老人面臨的一些問題。","quality":0.957},{"speaker":"王委員正旭","start":"2026-05-28T12:29:24.539000+08:00","guessed":false,"end":"2026-05-28T12:29:39.311000+08:00","text":"我們看到這個計畫裡面的預期效益，希望在兩年內透過民政合作及大量志工，能夠訪查到70萬名獨居老人，這是很大的數目。","quality":0.88},{"speaker":"呂次長建德","start":"2026-05-28T12:29:39.311000+08:00","guessed":true,"end":"2026-05-28T12:29:40.311000+08:00","text":"沒錯、沒錯，所以要分兩年。","quality":0.2},{"speaker":"王委員正旭","start":"2026-05-28T12:29:39.611000+08:00","guessed":false,"end":"2026-05-28T12:29:41.673000+08:00","text":"到底我們兩年有辦法做到什麼程度，你可以說清楚一點嗎？","quality":0.792},{"speaker":"呂次長建德","start":"2026-05-28T12:29:49.819000+08:00","guessed":false,"end":"2026-05-28T12:30:08.206000+08:00","text":"非常感謝委員的關心，如委員所說，目前如果是戶籍上面的獨居戶大概是118萬人，我們現在要篩出來的是獨居且又有需求、需要被照顧的。","quality":0.673},{"speaker":"呂次長建德","start":"2026-05-28T12:30:11.467000+08:00","guessed":false,"end":"2026-05-28T12:30:20.030000+08:00","text":"目前我們預估大概70萬人，現在已經開始啟動。","quality":0.944},{"speaker":"呂次長建德","start":"2026-05-28T12:30:20.130000+08:00","guessed":false,"end":"2026-05-28T12:30:32.702000+08:00","text":"我們透過民政系統去訪視，然後有一個量表，量表篩過之後就可以確認他到底是不是有福利需求，我們會根據他的風險程度做四個分級。是、是。","quality":0.862},{"speaker":"王委員正旭","start":"2026-05-28T12:30:32.702000+08:00","guessed":true,"end":"2026-05-28T12:30:42.596000+08:00","text":"我們也了解獨居老人萬一又失智就很難處理。","quality":0},{"speaker":"呂次長建德","start":"2026-05-28T12:30:42.596000+08:00","guessed":false,"end":"2026-05-28T12:30:43.758000+08:00","text":"對，確實在照顧上來說會很麻煩。","quality":0.846},{"speaker":"王委員正旭","start":"2026-05-28T12:30:45.920000+08:00","guessed":false,"end":"2026-05-28T12:31:01.437000+08:00","text":"剛剛很多委員都提到，這些失智老人半夜會跑去哪裡我們也不知道，所以在第二項裡面，你們就希望能夠擴大補助獨老緊急救治的裝置，包括做一些監視等等。","quality":0.8},{"speaker":"王委員正旭","start":"2026-05-28T12:31:02.438000+08:00","guessed":false,"end":"2026-05-28T12:31:11.567000+08:00","text":"這邊有提到補助對象從經濟弱勢1.8萬人提升到一般戶7萬人可以得到相關的緊急裝置。","quality":0.722},{"speaker":"王委員正旭","start":"2026-05-28T12:31:11.707000+08:00","guessed":false,"end":"2026-05-28T12:31:39.970000+08:00","text":"這部分我們很希望能夠相對的請命，因為只要是獨居都有這個需求，是不是一定要經濟弱勢，當然這有各種層面的考量，不過是不是可以拋磚引玉，能夠更有彈性跟普及性的申請機制，讓有需要的長者得到協助跟保障？","quality":0.978},{"speaker":"王委員正旭","start":"2026-05-28T12:31:40.470000+08:00","guessed":false,"end":"2026-05-28T12:31:46.194000+08:00","text":"就是不只是經濟弱勢才需要，這部分次長能不能也做一些考量？","quality":0.654},{"speaker":"呂次長建德","start":"2026-05-28T12:31:46.494000+08:00","guessed":false,"end":"2026-05-28T12:32:09.289000+08:00","text":"報告委員，目前在這個計畫裡面，已經不是只有經濟弱勢，一般戶也可以，但他必須經過我們量表篩檢，如果他篩出來之後是屬於二到四級的話，就算一般戶我們也會來幫他裝。","quality":0.901},{"speaker":"王委員正旭","start":"2026-05-28T12:32:09.289000+08:00","guessed":false,"end":"2026-05-28T12:32:13.792000+08:00","text":"好啊，這要讓社會更加了解，不然他們想說你們只規定經濟弱勢者，這樣就會很可惜。","quality":0.382},{"speaker":"呂次長建德","start":"2026-05-28T12:32:13.792000+08:00","guessed":false,"end":"2026-05-28T12:32:17.655000+08:00","text":"沒有、沒有，因為總統也很關心，所以一般戶也都可以適用，沒問題。","quality":0.923},{"speaker":"王委員正旭","start":"2026-05-28T12:32:24.719000+08:00","guessed":false,"end":"2026-05-28T12:32:28.682000+08:00","text":"最後，針對癌症慢性病化以後就業心理照護問題，簡單跟你請教一下。","quality":0.643},{"speaker":"王委員正旭","start":"2026-05-28T12:32:29.402000+08:00","guessed":false,"end":"2026-05-28T12:32:59.422000+08:00","text":"我們知道現在癌症真的變成一種慢性疾病，很多不管是醫界，或者是社會病友團體，癌症的存活者，在癌症慢性病化以後，抗癌變成一個長跑，他更需要加強生理、經濟跟心理層面的風險管理跟協助，所以我們很期待能夠有更好的支持。","quality":0.937},{"speaker":"王委員正旭","start":"2026-05-28T12:33:00.643000+08:00","guessed":false,"end":"2026-05-28T12:33:12.210000+08:00","text":"把病治好了，或者是他在帶病的過程裡面，其實很多的支持，包括就業、經濟、照顧、心理、社區、家庭等支持都應該可以繼續強化。","quality":0.98},{"speaker":"王委員正旭","start":"2026-05-28T12:33:13.451000+08:00","guessed":false,"end":"2026-05-28T12:33:19.654000+08:00","text":"我等一下再麻煩次長告訴我們，部裡面有沒有相關的規劃或者是想法。","quality":0.966},{"speaker":"王委員正旭","start":"2026-05-28T12:33:20.014000+08:00","guessed":false,"end":"2026-05-28T12:33:35.383000+08:00","text":"我們看一下其他兩個國家，日本跟韓國，他們針對社區支持、就業支持及跨部會合作，都做得非常非常完整。","quality":0.977},{"speaker":"王委員正旭","start":"2026-05-28T12:33:35.843000+08:00","guessed":false,"end":"2026-05-28T12:34:03.550000+08:00","text":"所以我們很期待，對於這100萬的癌症病友，他們在處理癌症以後，如果需要政府提供各面向的支持，希望部裡面有一個好的規劃跟想法，甚至如果要修法，我們也希望能夠往修法的方向前進。","quality":0.934},{"speaker":"王委員正旭","start":"2026-05-28T12:34:03.550000+08:00","guessed":false,"end":"2026-05-28T12:34:07.755000+08:00","text":"不知道次長能不能夠也把這個想法在部裡面繼續討論？","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:34:11.279000+08:00","guessed":false,"end":"2026-05-28T12:34:20.445000+08:00","text":"可以，委員也是癌症希望基金會前董事長，長期都在推動國內癌症照顧。","quality":0.862},{"speaker":"呂次長建德","start":"2026-05-28T12:34:20.825000+08:00","guessed":false,"end":"2026-05-28T12:34:30.271000+08:00","text":"確實像委員剛剛所說，目前癌症大概有慢性病化的一個歷程，我們會把委員的意見帶回部裡面。","quality":0.872},{"speaker":"呂次長建德","start":"2026-05-28T12:34:30.992000+08:00","guessed":false,"end":"2026-05-28T12:34:33.433000+08:00","text":"有關心理的部分，是不是先請柏熹次長簡單回答？","quality":0.3},{"speaker":"王委員正旭","start":"2026-05-28T12:34:34.894000+08:00","guessed":false,"end":"2026-05-28T12:34:35.175000+08:00","text":"好，麻煩，請簡短。","quality":0.667},{"speaker":"陳司長柏熹","start":"2026-05-28T12:34:37.996000+08:00","guessed":false,"end":"2026-05-28T12:34:52.982000+08:00","text":"非常謝謝委員提出這個非常重要的議題，目前部裡針對癌友心理支持的部分，除了住院已經有心理健康篩檢，門診社區也都有提出支持方案。","quality":0.914},{"speaker":"王委員正旭","start":"2026-05-28T12:34:55.263000+08:00","guessed":false,"end":"2026-05-28T12:34:58.884000+08:00","text":"麻煩3個月給我們一個書面報告，好不好？","quality":0.875},{"speaker":"王委員正旭","start":"2026-05-28T12:34:59.224000+08:00","guessed":false,"end":"2026-05-28T12:34:59.784000+08:00","text":"麻煩你，謝謝。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:35:00.284000+08:00","guessed":true,"end":"2026-05-28T12:35:02.284000+08:00","text":"好，感謝委員，謝謝。","quality":0.286},{"speaker":"主席","start":"2026-05-28T12:35:02.584000+08:00","guessed":true,"end":"2026-05-28T12:35:05.441143+08:00","text":"謝謝王正旭委員的質詢。","quality":0.2},{"speaker":"主席","start":"2026-05-28T12:35:05.741143+08:00","guessed":true,"end":"2026-05-28T12:35:08.312571+08:00","text":"現在請楊曜委員質詢。","quality":0}]}},"supported_relations":[],"relations":[]}