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主席請一下次長請李次長"},{"start":11.559,"end":21.985,"text":"市長我們今天審議私自證的基本法的大體詢答我想要先請問你你們對於私自證我先講私自證確實在高齡化的社會裡面是一個很重要的課題可是呢"},{"start":37.085,"end":56.31,"text":"制定基本法法案的名稱是基本法基本法通常它必須要有執法譬如說原住民基本法它底下有很多執法這個基本法只要按照這樣子通過以後還有需要制定什麼執法嗎"},{"start":59.572,"end":75.668,"text":"這個我們確實啦就像剛剛委員說你的基本法通過之後接下來就有相關的那可能這裡面會牽涉到就是說因為一般來說我們大概就是說幾個部分嘛就是說從早期篩檢然後到診斷確診可是你們有可能再細切執法嗎"},{"start":80.061,"end":108.596,"text":"這個我覺得立法上面不大可能那不大可能可能會有問題我大概就是在審議的時候就是來改法案名稱那還有一個就是我剛剛已經講了在高齡化的社會裡面其實失智症是一個很重要的問題也帶給病患也好照顧者家屬也好很大的生活難題可是呢"},{"start":111.72,"end":130.094,"text":"單獨的失智症有沒有必要單獨立法這個就確實我們到目前為止各種的一個疾病裡面好像我的了解可能好像只有艾滋病還有好像我看還有那個"},{"start":132.112,"end":160.463,"text":"還有癌症防治但是他們也不是基本法他們就是針對這兩項基本法我們已經討論過了我們現在就是聚焦在說個別的病情病症單獨立法這個目前為止大概我了解只有這兩個像愛滋病的話因為有公共衛生的問題嘛愛滋病因為它也算傳染病的一環嘛對不對它是會傳染的嘛"},{"start":161.104,"end":170.175,"text":"還有癌症病患者的權益維護問題它有特殊性那癌症呢就是比較廣泛那失智症"},{"start":173.547,"end":191.793,"text":"我還是要講,因為我覺得台灣的社會現在就是還蠻容易被斷章取義的中視某種病症的防治是一件事,單不單獨立法又是另外一件事沒錯,完全同意委員的意見"},{"start":193.693,"end":221.53,"text":"所以我的看法是這樣子我覺得應該是從你們其他的政策工具來做處理就好了不過還是尊重委員的提案所以我想我們大體詢問完以後應該是會主調討論那我個人的看法是這樣子就是單獨的立法"},{"start":223.231,"end":237.567,"text":"唯一我想得出來的好處就是引起更大的關注第二個就是我希望釐清的假如說次長不是醫療專業有醫療專業的可以來這邊幫次長做個解答所以我想要"},{"start":244.932,"end":263.145,"text":"因為在這個委員會可能我的選區比較特殊因為我選區的人口高齡化的情況很嚴重人際關係比較緊密所以我看到的失智症跟"},{"start":264.113,"end":287.34,"text":"患者也好照顧者也好我跟他們總是比較貼近我有一個問題要請教次長一般人老化他也會有類似失智症的狀況想要請次長說明一下怎麼去區別"},{"start":288.379,"end":312.826,"text":"因為這個第一時間的區別會影響失智者以後有沒有辦法及時獲得醫療的後續工作很多可能其實他是失智可是家屬認為他是年齡到了他是自然老化這個到底要怎麼區別"},{"start":313.766,"end":342.487,"text":"包委我們現在目前是這樣大概我們國建署那邊有一個所謂ICOP它有兩表那兩表裡面其中有其中有一個部分可能就可以有助於這早期的篩檢那我們現在目前一般的民眾可以自己做篩檢嗎一般民眾這邊我是不是請國建署來說明一下我現在講的是希望你們藉由這一次的回答讓國人知道說怎麼去應對"},{"start":345.646,"end":372.655,"text":"在就是在國健署這邊我們除了就是成人健康檢查服務之外那我們有特別提供65歲以上長者有個iCOP的服務那就是其中六大面向裡面有個對於認知那能夠就是對長者來講做一個檢測那檢測之後可以再去做確認之後進一步轉介目前我們在全國的醫療院所都有提供這樣的服務那我們有成立一個這個LINE的一個訊息那也可以透過"},{"start":373.235,"end":396.269,"text":"自我的檢測 然後來協助家中的長輩做了解醫療院所有有檢測的我譬如說就是我是照顧者家屬我一開始在感覺到老人家有一點點失跡也好 健忘也好的情況"},{"start":398.479,"end":402.687,"text":"我在家有沒有辦法稍微自己做一下評估"},{"start":403.673,"end":422.646,"text":"可以對所以我們剛剛有提到說在我們的那個LINE的這個訊息方或網站都有這個相關的一個題目那可以來幫忙做一個簡單對於認知的一個這個檢測如果真的看起來是有異常的話就可以找這個醫療機構做進一步的一些確認或診斷那我就要在這邊說就是說很多事情其實執政團隊行政部門都已經做好了"},{"start":432.313,"end":456.584,"text":"可是呢一般的民眾並不知道要去使用我覺得這個很可惜其實我自己也是照顧者像我有一陣子就自己在懷疑說我媽媽到底是失智還是高齡的腦力退化"},{"start":459.912,"end":472.97,"text":"那我要找他去看醫生,他也已經九十幾歲了,行動不是很方便,所以我就會有自己個人生活上的糾結。"},{"start":475.595,"end":500.568,"text":"所以我希望我覺得因為剛剛也有很多委員講過了就是失日的病患其實他的醫療支出其實是高於一般人的那台灣也即將走入超高齡社會會有越來越多的照顧者必須要去做初步的判斷到底"},{"start":502.449,"end":517.307,"text":"老人家是失智還是健忘假如說比較年輕一點的人得到失智症那比較好判斷越高齡就越難判斷那越難判斷就會越延後他的治療"},{"start":522.872,"end":537.056,"text":"當然還有很多問題我還是要講一下我自己媽媽也93歲了我大概也每天陪她聊一下我剛才已經都跟你們講了說"},{"start":539.577,"end":558.201,"text":"我都已經有一度不知道到底他是失智還是腦力退化當然我後來確定了是腦力腦力退化所以我們假如說有檢測的東西儘可能的去向社會大眾做宣傳讓家屬因為有的時候要讓一個老人家"},{"start":565.023,"end":573.181,"text":"去醫療醫療院所並不是一件很簡單的事沒錯沒錯好不好好謝謝次長謝謝主席非常感謝委員對這個問題的關心感謝謝謝謝謝委員好謝謝楊耀文"}],"gazette":[{"speaker":"楊委員曜","start":"2026-05-28T12:35:11.752000+08:00","guessed":false,"end":"2026-05-28T12:35:14.525000+08:00","text":"謝謝主席，主席請一下次長。","quality":1},{"speaker":"主席","start":"2026-05-28T12:35:14.525000+08:00","guessed":false,"end":"2026-05-28T12:35:14.746000+08:00","text":"請呂次長。","quality":0.75},{"speaker":"呂次長建德","start":"2026-05-28T12:35:14.746000+08:00","guessed":true,"end":"2026-05-28T12:35:19.800000+08:00","text":"委員好。","quality":0},{"speaker":"楊委員曜","start":"2026-05-28T12:35:19.800000+08:00","guessed":false,"end":"2026-05-28T12:35:19.800000+08:00","text":"次長好。","quality":0.333},{"speaker":"楊委員曜","start":"2026-05-28T12:35:19.800000+08:00","guessed":false,"end":"2026-05-28T12:35:25.543000+08:00","text":"我們今天是失智症基本法的大體詢答。","quality":0.75},{"speaker":"楊委員曜","start":"2026-05-28T12:35:25.663000+08:00","guessed":false,"end":"2026-05-28T12:36:04.310000+08:00","text":"我先講，失智症確實在高齡化的社會裡面是一個很重要的課題，法案的名稱是基本法，基本法通常必須要有子法，譬如原住民族基本法它底下有很多子法，這個基本法通過以後，還有需要制定什麼子法嗎？","quality":0.916},{"speaker":"呂次長建德","start":"2026-05-28T12:36:08.894000+08:00","guessed":false,"end":"2026-05-28T12:36:22.447000+08:00","text":"就像剛剛委員所說，因為基本法通過之後，接下來相關可能牽涉到……一般來說，我們大概分幾個部分，從早期篩檢、診斷到確診……","quality":0.9},{"speaker":"楊委員曜","start":"2026-05-28T12:36:22.447000+08:00","guessed":false,"end":"2026-05-28T12:36:23.668000+08:00","text":"可是你們有可能再細切子法嗎？","quality":0.923},{"speaker":"呂次長建德","start":"2026-05-28T12:36:28.061000+08:00","guessed":false,"end":"2026-05-28T12:36:29.102000+08:00","text":"這個我覺得立法上面……","quality":1},{"speaker":"楊委員曜","start":"2026-05-28T12:36:29.382000+08:00","guessed":false,"end":"2026-05-28T12:36:29.842000+08:00","text":"不大可能？","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:36:30.923000+08:00","guessed":false,"end":"2026-05-28T12:36:33.144000+08:00","text":"對，我覺得可能確實會有問題。","quality":0.5},{"speaker":"楊委員曜","start":"2026-05-28T12:36:33.144000+08:00","guessed":false,"end":"2026-05-28T12:36:40.347000+08:00","text":"我大概就是在審議的時候來改法案名稱。","quality":1},{"speaker":"楊委員曜","start":"2026-05-28T12:36:40.648000+08:00","guessed":false,"end":"2026-05-28T12:36:56.096000+08:00","text":"還有一個，我剛剛已經講了，在高齡化的社會裡面，其實失智症是一個很重要的問題，帶給病患也好、照顧者家屬也好，很大的生活難題。","quality":1},{"speaker":"楊委員曜","start":"2026-05-28T12:36:56.096000+08:00","guessed":false,"end":"2026-05-28T12:37:03.363000+08:00","text":"可是失智症有沒有必要單獨立法？","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:37:07.766000+08:00","guessed":false,"end":"2026-05-28T12:37:25.394000+08:00","text":"到目前為止，據我的了解，各種疾病裡面可能只有愛滋病還有癌症防治，但是也不是基本法，就是針對這兩項。","quality":0.864},{"speaker":"楊委員曜","start":"2026-05-28T12:37:25.394000+08:00","guessed":false,"end":"2026-05-28T12:37:35.438000+08:00","text":"基本法我們已經討論過了，我們現在最主要就是聚焦在個別病情、病症單獨立法。","quality":0.909},{"speaker":"呂次長建德","start":"2026-05-28T12:37:36.198000+08:00","guessed":false,"end":"2026-05-28T12:37:40.060000+08:00","text":"目前為止，我了解大概只有這兩個，像愛滋病的話，它是因為有公共衛生的問題。","quality":0.875},{"speaker":"楊委員曜","start":"2026-05-28T12:37:42.080000+08:00","guessed":false,"end":"2026-05-28T12:37:48.363000+08:00","text":"對，因為愛滋病也算傳染病的一環，然後它是會傳染的。","quality":0.773},{"speaker":"呂次長建德","start":"2026-05-28T12:37:49.104000+08:00","guessed":false,"end":"2026-05-28T12:37:53.209000+08:00","text":"還有愛滋病患者權益維護問題。","quality":0.846},{"speaker":"楊委員曜","start":"2026-05-28T12:37:53.209000+08:00","guessed":false,"end":"2026-05-28T12:37:57.674000+08:00","text":"對，它有特殊性，而癌症比較廣泛。","quality":0.846},{"speaker":"呂次長建德","start":"2026-05-28T12:37:57.674000+08:00","guessed":true,"end":"2026-05-28T12:38:01.547000+08:00","text":"對，沒錯。","quality":0},{"speaker":"楊委員曜","start":"2026-05-28T12:38:01.547000+08:00","guessed":false,"end":"2026-05-28T12:38:18.012000+08:00","text":"我還是要講，因為我覺得臺灣的社會現在還蠻容易被斷章取義的，重視某種病症的防治是一件事，單不單獨立法又是另外一件事。","quality":0.981},{"speaker":"呂次長建德","start":"2026-05-28T12:38:18.132000+08:00","guessed":false,"end":"2026-05-28T12:38:19.793000+08:00","text":"沒錯，我完全同意委員的意見。","quality":0.917},{"speaker":"楊委員曜","start":"2026-05-28T12:38:26.336000+08:00","guessed":false,"end":"2026-05-28T12:38:46.328000+08:00","text":"我覺得應該是從你們其他的政策工具處理就好了，不過還是尊重委員的提案，我想我們大體詢答完以後應該會逐條討論。","quality":0.94},{"speaker":"楊委員曜","start":"2026-05-28T12:38:46.508000+08:00","guessed":false,"end":"2026-05-28T12:38:58.379000+08:00","text":"我個人的看法是，單獨立法唯一我想得出來的好處，就是引起更大的關注。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:38:58.379000+08:00","guessed":true,"end":"2026-05-28T12:38:59.520000+08:00","text":"對，沒錯。","quality":0},{"speaker":"楊委員曜","start":"2026-05-28T12:38:59.520000+08:00","guessed":false,"end":"2026-05-28T12:39:05.246000+08:00","text":"第二個我希望釐清的，次長不是醫療專業，有醫療專業的人可以來這邊幫次長個解答。","quality":0.971},{"speaker":"楊委員曜","start":"2026-05-28T12:39:13.532000+08:00","guessed":false,"end":"2026-05-28T12:39:24.020000+08:00","text":"在這個委員會可能我的選區比較特殊，我選區的人口高齡化的情況很嚴重。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:39:24.020000+08:00","guessed":true,"end":"2026-05-28T12:39:26.081000+08:00","text":"是，沒錯，高齡化。","quality":0},{"speaker":"楊委員曜","start":"2026-05-28T12:39:26.081000+08:00","guessed":false,"end":"2026-05-28T12:39:37.355000+08:00","text":"人際關係比較緊密，所以我看到的失智症患者也好，照顧者也好，我跟他們總是比較貼近。","quality":1},{"speaker":"楊委員曜","start":"2026-05-28T12:39:38.375000+08:00","guessed":false,"end":"2026-05-28T12:39:55.320000+08:00","text":"我有一個問題要請教次長，一般人老化也會有類似失智症的狀況，想要請次長說明一下怎麼區別？","quality":1},{"speaker":"楊委員曜","start":"2026-05-28T12:39:56.379000+08:00","guessed":false,"end":"2026-05-28T12:40:10.083000+08:00","text":"因為第一時間的區別會影響失智者以後有沒有辦法即時獲得醫療的後續工作，對不對？沒錯。","quality":0.842},{"speaker":"楊委員曜","start":"2026-05-28T12:40:10.923000+08:00","guessed":false,"end":"2026-05-28T12:40:20.806000+08:00","text":"很多可能他是失智，可是家屬認為他是年齡到了，是自然老化，這到底要怎麼區別？","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:40:21.906000+08:00","guessed":false,"end":"2026-05-28T12:40:35.756000+08:00","text":"報告委員，目前國健署有一個ICOPE，它有量表，量表裡面其中一個部分可能可以有助於早期篩檢。","quality":0.833},{"speaker":"呂次長建德","start":"2026-05-28T12:40:36.437000+08:00","guessed":false,"end":"2026-05-28T12:40:36.617000+08:00","text":"我們現在……","quality":1},{"speaker":"楊委員曜","start":"2026-05-28T12:40:37.338000+08:00","guessed":false,"end":"2026-05-28T12:40:41+08:00","text":"一般的民眾可以自己篩檢嗎？","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:40:42.101000+08:00","guessed":false,"end":"2026-05-28T12:40:43.562000+08:00","text":"我是不是請國健署說明？","quality":0.9},{"speaker":"楊委員曜","start":"2026-05-28T12:40:43.983000+08:00","guessed":false,"end":"2026-05-28T12:40:50.487000+08:00","text":"我現在講的是希望你們藉由這次的回答，讓國人知道怎麼去應對。","quality":1},{"speaker":"林副署長莉茹","start":"2026-05-28T12:40:54.886000+08:00","guessed":false,"end":"2026-05-28T12:41:13.112000+08:00","text":"國健署除了成人健康檢查服務之外，我們有特別提供65歲以上長者有個ICOPE的服務，其中六大面向裡面，有個對於認知的部分能夠對長者做個檢測，檢測之後可以再去確認，確認之後進一步轉介。","quality":0.915},{"speaker":"林副署長莉茹","start":"2026-05-28T12:41:13.553000+08:00","guessed":false,"end":"2026-05-28T12:41:24.597000+08:00","text":"目前我們在全國的醫療院所都有提供這樣的服務，我們有成立一個LINE的訊息，也可以透過自我檢測來協助家中的長輩了解。","quality":1},{"speaker":"楊委員曜","start":"2026-05-28T12:41:25.177000+08:00","guessed":false,"end":"2026-05-28T12:41:27.159000+08:00","text":"醫療院所有檢測？是。","quality":0.875},{"speaker":"楊委員曜","start":"2026-05-28T12:41:28.960000+08:00","guessed":false,"end":"2026-05-28T12:41:50.667000+08:00","text":"譬如照顧者家屬一開始感覺到老人家有一點點失智、健忘的情況，他在家有沒有辦法稍微自己做一下評估？","quality":0.955},{"speaker":"林副署長莉茹","start":"2026-05-28T12:41:51.673000+08:00","guessed":false,"end":"2026-05-28T12:42:08.285000+08:00","text":"可以，所以我們剛剛有提到，在我們LINE的訊息和我們網站都有相關的題目，可以幫忙簡單做一個對於認知的檢測，如果真的看起來有異常的話，就可以找醫療機構做進一步的確認或診斷。","quality":0.937},{"speaker":"楊委員曜","start":"2026-05-28T12:42:08.385000+08:00","guessed":false,"end":"2026-05-28T12:42:26.096000+08:00","text":"我就要說，很多事情其實執政團隊、行政部門都已經做好了，可是一般民眾並不知道要去使用，我覺得很可惜。","quality":1},{"speaker":"楊委員曜","start":"2026-05-28T12:42:27.196000+08:00","guessed":false,"end":"2026-05-28T12:43:00.970000+08:00","text":"其實我自己也是照顧者，像我有一陣子懷疑我媽媽到底是失智還是高齡的腦力退化，我要找他去看醫生，他已經九十幾歲了，行動不是很方便，所以我就會有自己個人生活上的糾結。","quality":1},{"speaker":"楊委員曜","start":"2026-05-28T12:43:07.317000+08:00","guessed":false,"end":"2026-05-28T12:43:34.814000+08:00","text":"剛剛也有很多委員講過了，失智症病患的醫療支出其實是高於一般人，臺灣也即將走入超高齡社會，會有越來越多照顧者必須要去做初步的判斷，到底老人家是失智還是健忘？","quality":0.972},{"speaker":"楊委員曜","start":"2026-05-28T12:43:35.755000+08:00","guessed":false,"end":"2026-05-28T12:43:45.307000+08:00","text":"假如比較年輕一點的人得到失智症，那比較好判斷，越高齡就越難判斷，越難判斷就會越延後他的治療，好不好？","quality":0.933},{"speaker":"楊委員曜","start":"2026-05-28T12:43:50.872000+08:00","guessed":false,"end":"2026-05-28T12:44:01.615000+08:00","text":"當然還有很多問題，我還是要講一下，我剛剛講了我媽媽93歲了，我大概每天陪他聊一下。","quality":0.829},{"speaker":"楊委員曜","start":"2026-05-28T12:44:02.836000+08:00","guessed":false,"end":"2026-05-28T12:44:16.439000+08:00","text":"我剛才已經跟你們講了，我都一度不知道到底他是失智還是腦力退化，當然我後來確定了他是腦力退化。","quality":0.977},{"speaker":"楊委員曜","start":"2026-05-28T12:44:17.559000+08:00","guessed":false,"end":"2026-05-28T12:44:24.921000+08:00","text":"我們假如有檢測的東西，要盡可能的去向社會大眾宣傳，讓家屬……","quality":0.923},{"speaker":"呂次長建德","start":"2026-05-28T12:44:24.921000+08:00","guessed":true,"end":"2026-05-28T12:44:25.921000+08:00","text":"好的，ICOPE對這種認知方法……","quality":0},{"speaker":"楊委員曜","start":"2026-05-28T12:44:24.921000+08:00","guessed":false,"end":"2026-05-28T12:44:38.014000+08:00","text":"對，因為有的時候要讓一個老人家去醫療院所並不是一件很簡單的事。沒錯。","quality":0.968},{"speaker":"楊委員曜","start":"2026-05-28T12:44:38.014000+08:00","guessed":false,"end":"2026-05-28T12:44:38.996000+08:00","text":"好不好？好。","quality":1},{"speaker":"楊委員曜","start":"2026-05-28T12:44:39.357000+08:00","guessed":false,"end":"2026-05-28T12:44:39.638000+08:00","text":"謝謝次長、謝謝主席。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:44:39.858000+08:00","guessed":false,"end":"2026-05-28T12:44:40.860000+08:00","text":"非常感謝委員對這個問題的關心，感謝。謝謝。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:44:40.860000+08:00","guessed":false,"end":"2026-05-28T12:44:40.981000+08:00","text":"謝謝委員。","quality":1},{"speaker":"主席","start":"2026-05-28T12:44:41.081000+08:00","guessed":false,"end":"2026-05-28T12:44:41.081000+08:00","text":"謝謝楊曜委員的質詢。","quality":0.333},{"speaker":"主席","start":"2026-05-28T12:44:41.581000+08:00","guessed":true,"end":"2026-05-28T12:44:44.723857+08:00","text":"接下來請陳培瑜委員質詢。","quality":0}]}},"supported_relations":[],"relations":[]}