{"error":false,"id":["169710"],"data":{"IVOD_ID":169710,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/169710","日期":"2026-05-28","會議資料":{"會議代碼":"委員會-11-5-26-12","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12次全體委員會議","屆":11,"會期":5,"會次":12,"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12次全體委員會議"},"影片種類":"Clip","開始時間":"2026-05-28T12:44:54+08:00","結束時間":"2026-05-28T12:50:23+08:00","影片長度":"00:05:29","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/89665fc2cee9c367d3d5988aa48dc3527a79f49b44e074560e352d399ec8cc5a1a911ee759332f825ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"陳培瑜","委員發言時間":"12:44:54 - 12:50:23","會議時間":"2026-05-28T09:00:00+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12次全體委員會議（事由：審查\n一、國民黨黨團擬具「失智症基本法草案」案。\n二、台灣民眾黨黨團擬具「失智症基本法草案」案。\n三、委員林月琴等19人擬具「失智症基本法草案」案。\n【僅詢答】【第三案如經復議則不予審查】）","transcript":{"pyannote":[{"speaker":"SPEAKER_01","start":2.79846875,"end":4.3678437500000005},{"speaker":"SPEAKER_01","start":5.58284375,"end":6.865343750000001},{"speaker":"SPEAKER_01","start":7.27034375,"end":10.274093750000002},{"speaker":"SPEAKER_01","start":12.704093750000002,"end":76.32284375},{"speaker":"SPEAKER_00","start":30.54096875,"end":30.945968750000002},{"speaker":"SPEAKER_00","start":39.38346875,"end":39.77159375},{"speaker":"SPEAKER_00","start":43.53471875,"end":43.58534375},{"speaker":"SPEAKER_00","start":43.821593750000005,"end":43.87221875},{"speaker":"SPEAKER_00","start":50.487218750000004,"end":50.571593750000005},{"speaker":"SPEAKER_00","start":50.689718750000004,"end":50.875343750000006},{"speaker":"SPEAKER_01","start":76.98096875,"end":181.43721875},{"speaker":"SPEAKER_00","start":84.54096875,"end":84.60846875},{"speaker":"SPEAKER_00","start":97.31534375000001,"end":97.33221875000001},{"speaker":"SPEAKER_00","start":97.45034375,"end":97.65284375},{"speaker":"SPEAKER_00","start":113.44784375,"end":113.48159375},{"speaker":"SPEAKER_00","start":113.54909375000001,"end":113.71784375},{"speaker":"SPEAKER_00","start":136.61721875,"end":136.93784375},{"speaker":"SPEAKER_00","start":144.63284375,"end":145.69596875000002},{"speaker":"SPEAKER_00","start":155.87159375000002,"end":155.95596875},{"speaker":"SPEAKER_00","start":156.24284375000002,"end":156.42846875},{"speaker":"SPEAKER_00","start":161.71034375000002,"end":161.82846875},{"speaker":"SPEAKER_00","start":162.11534375000002,"end":162.21659375000002},{"speaker":"SPEAKER_00","start":163.71846875,"end":163.75221875},{"speaker":"SPEAKER_00","start":163.76909375,"end":163.81971875000002},{"speaker":"SPEAKER_00","start":167.38034375,"end":167.76846875},{"speaker":"SPEAKER_00","start":175.19346875000002,"end":175.31159375000001},{"speaker":"SPEAKER_00","start":175.46346875,"end":175.68284375000002},{"speaker":"SPEAKER_01","start":181.50471875000002,"end":209.50034375},{"speaker":"SPEAKER_00","start":209.80409375000002,"end":228.38346875000002},{"speaker":"SPEAKER_01","start":227.64096875,"end":231.01596875},{"speaker":"SPEAKER_00","start":228.77159375000002,"end":229.05846875},{"speaker":"SPEAKER_00","start":231.01596875,"end":231.03284375},{"speaker":"SPEAKER_01","start":231.03284375,"end":231.08346875},{"speaker":"SPEAKER_01","start":231.21846875000003,"end":252.95346875},{"speaker":"SPEAKER_00","start":235.04909375000003,"end":235.38659375},{"speaker":"SPEAKER_01","start":253.56096875000003,"end":256.02471875000003},{"speaker":"SPEAKER_00","start":256.02471875000003,"end":257.13846875},{"speaker":"SPEAKER_01","start":257.13846875,"end":321.70221875000004},{"speaker":"SPEAKER_00","start":257.15534375000004,"end":257.39159375},{"speaker":"SPEAKER_00","start":265.89659375,"end":266.21721875000003},{"speaker":"SPEAKER_00","start":268.96784375000004,"end":269.38971875000004},{"speaker":"SPEAKER_00","start":281.94471875,"end":281.96159375},{"speaker":"SPEAKER_00","start":321.06096875000003,"end":321.28034375000004},{"speaker":"SPEAKER_00","start":321.70221875000004,"end":321.82034375},{"speaker":"SPEAKER_01","start":321.82034375,"end":323.72721875},{"speaker":"SPEAKER_00","start":321.97221875,"end":323.33909375},{"speaker":"SPEAKER_00","start":323.72721875,"end":325.29659375},{"speaker":"SPEAKER_00","start":325.73534375,"end":328.13159375000004},{"speaker":"SPEAKER_01","start":326.25846875,"end":326.86596875000004},{"speaker":"SPEAKER_00","start":329.81909375000004,"end":330.57846875}],"whisperx":[{"start":2.813,"end":25.313,"text":"主席我讓次長喝個水好不好好次長辛苦了來那有請衛福部次長呂次長好有請呂次長好次長我還是雖然今天是討論這個失智症的修法但是我還是要反映一些我們第一線而燒的一些狀況今天是談重症的部分好快速的說從小英總統推動長照2.0現在長照照顧的數字從"},{"start":28.716,"end":33.262,"text":"9萬人增加到75.7萬那未來長照3.0上路呢還是有些狀況可能是預算的問題可能是規劃政策的問題也可能是我們對於第一線的狀況收集不明我來跟您報告這個狀況我們來討論共同來討論怎麼辦好不好來第一個"},{"start":43.875,"end":64.56,"text":"長照3.0目前好像沒有針對重度失能者包含重症兒有一些比較特別的照顧可是我們來看如果看相關數字來下一張相關數字來看長照兒的一些困境是這樣來包含他一離開醫院他回到社區就學跟生活他仍然有例如說鼻胃管呼吸器抽吸管"},{"start":65.06,"end":85.669,"text":"還有冠食等特殊醫療照顧的需求目前全台灣18歲以下的重症而超過15000人非常謝謝政府目前提供很多資源包含急性醫療復健早療長照喘息身心障礙教育等等可是因為他都落在不同的單位那另外一個困境是這樣"},{"start":86.229,"end":114.212,"text":"這些照顧思源有很多的缺口有很多沒有被納入框架的重症兒我來跟次長分享第一個絕大多數的重症兒都是呼吸方面的狀態我們按照現在身心障礙者鑑定作業辦法第八條附表二甲裡面說B440呼吸功能限頻經濟治療六個月後仍然無法改善才符合勤領的資格也就是說次長"},{"start":115.673,"end":144.378,"text":"發病六個月以內的重症兒他沒有辦法去做身障鑑定他就沒有辦法去申請我剛剛說的這些身障跟長照的服務必須等待發病六個月後變成慢性狀況才可以申請照顧資源我們跟很多第一線的醫師討論他們告訴我有很多家長經濟狀況不好遇到小孩是這個狀況呢就只能自己苦撐孩子的復原狀況我相信次長你一定明白就會差很多"},{"start":145.058,"end":167.194,"text":"來下一張我相信次長你跟我一樣都絕對認同這些重症的孩子不要被排除在外我們想了幾個可能性我沒有堅持一定要什麼來次長我們想想看第一個有沒有可能從長照身障這些既有的私人抽出來把重症兒獨立一下因為日本現在就是這樣做然後18歲後我們就回到成人照顧私人系統去了"},{"start":167.614,"end":188.557,"text":"第二個可能性是發病六個月以內我們先儘快挹注資源六個月後再分流到其他既有的資源或者是第三項既有資源類別之外我們再新增重症兒的類別我不確定怎麼做最好我相信次長你們從資源政策法規的層面你們有你們的考量"},{"start":189.298,"end":206.931,"text":"那資源不要互相排擠的情況下我們可以協助怎麼照顧這些孩子我們相信第一線的醫護人員學者專家相關團體應該都有一些解方想要跟衛福部討論這個部分呢我想問一下市長因為我自己有寫進預算提案啦未來我們都還要溝通我們有機會在三個月內找相關學者專家來開會嗎"},{"start":209.844,"end":224.719,"text":"OK 鮑委員我覺得可以 因為確實像委員剛剛說的有關重症兒的部分這個確實人家有這個需求而且在六個月這個讓人家苦撐我覺得這個確實是應該有值得檢討那鮑委員三個月之內我們來約好不好 好 謝謝來下一題"},{"start":231.765,"end":252.63,"text":"我在1月7號的時候我就直接問了石部長來盤點關於各項資源包含這個重症人的照顧部分那部長當時有承諾我說他會去規劃跟盤點有沒有可能是單一窗口的諮詢中心啦或者是整合各項資源我不確定部裡面現在關於我1月7號的質詢後續的進度是什麼"},{"start":253.612,"end":270.025,"text":"好 OK包委員這邊我是不是請那個好 沒問題沒問題我們確定一下進度因為後續如果我們要針對我剛剛說那個重症兒的議題展開討論我們也需要知道現在的進度還是說你們會後再給我們沒關係我們不要耽誤其他委員的時間我是不是會後好不好"},{"start":270.145,"end":287.094,"text":"最後給我們最後一個要跟次長討論是長照議題也是我之前問過的在第一線來下一張在第一線負責幫民眾評估長照需求的照專案量過多之前我也跟部長討論過了但是因為我們後來一直到現在為止都沒有看到長照司有後續的改善規劃跟作為"},{"start":288.195,"end":303.127,"text":"我也不確定現在進度走到哪裡因為這些都不是新的題目那我們當時的說法有一些來第一個充實人力減少每人平均案量第二個如果每個人超過200案的話設置一定的獎勵機制第三減少不必要的行政文書作業"},{"start":304.308,"end":327.097,"text":"我也不確定現在進度是什麼不過沒有關係我今天再次提出來所以三個面向第一個我們在三個月內趕快開會關於重症療療的部分第二個我們上次1月的質詢現在的進度會後給我們報告第三個關於長照專也是我們之前已經問過一樣請長照司給我們相關進度報告好不好好謝謝次長謝謝主席謝謝非常感謝陳培委員的關心謝謝感謝陳培委員的質詢圖全集圖"}]}},"supported_relations":[],"relations":[]}