{"error":false,"id":["169711"],"data":{"IVOD_ID":169711,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/169711","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":"2026-05-28T12:50:28+08:00","結束時間":"2026-05-28T12:58:53+08:00","影片長度":"00:08:25","支援功能":["ai-transcript","gazette"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/89665fc2cee9c367649b979337ed29fe7a79f49b44e074569bd54c157223343ef1150b2f0eab0c655ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"楊瓊瓔","委員發言時間":"12:50:28 - 12:58:53","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":0.08159375,"end":0.41909375000000004},{"speaker":"SPEAKER_01","start":6.64596875,"end":10.442843750000002},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":9.21096875,"end":10.15596875,"speaker_score":0.953},{"speaker":"SPEAKER_01","start":10.99971875,"end":12.68721875},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":17.74971875,"end":18.03659375,"speaker_score":0.953},{"speaker":"SPEAKER_02","speaker_name":"楊委員瓊瓔","start":18.03659375,"end":18.44159375,"speaker_score":0.942},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":18.44159375,"end":18.47534375,"speaker_score":0.953},{"speaker":"SPEAKER_02","speaker_name":"楊委員瓊瓔","start":18.47534375,"end":18.49221875,"speaker_score":0.942},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":18.49221875,"end":18.54284375,"speaker_score":0.953},{"speaker":"SPEAKER_02","speaker_name":"楊委員瓊瓔","start":18.59346875,"end":62.164718750000006,"speaker_score":0.942},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":22.12034375,"end":22.27221875,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":22.33971875,"end":22.39034375,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":22.47471875,"end":22.508468750000002,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":22.54221875,"end":22.559093750000002,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":26.828468750000003,"end":27.23346875,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":27.28409375,"end":27.31784375,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":27.351593750000003,"end":27.419093750000002,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":45.812843750000006,"end":46.251593750000005,"speaker_score":0.953},{"speaker":"SPEAKER_02","speaker_name":"楊委員瓊瓔","start":62.51909375,"end":118.34159375,"speaker_score":0.942},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":68.39159375,"end":68.79659375,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":95.52659375,"end":95.84721875000001,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":98.88471875,"end":99.30659375,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":107.79471875,"end":108.11534375000001,"speaker_score":0.953},{"speaker":"SPEAKER_02","speaker_name":"楊委員瓊瓔","start":118.76346875,"end":118.78034375000001,"speaker_score":0.942},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":118.78034375000001,"end":136.48221875000002,"speaker_score":0.953},{"speaker":"SPEAKER_01","start":136.24596875,"end":137.89971875},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":137.47784375,"end":147.90659375,"speaker_score":0.953},{"speaker":"SPEAKER_02","speaker_name":"楊委員瓊瓔","start":147.51846875,"end":151.85534375,"speaker_score":0.942},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":151.78784375,"end":152.26034375,"speaker_score":0.953},{"speaker":"SPEAKER_02","speaker_name":"楊委員瓊瓔","start":151.88909375,"end":160.63034375,"speaker_score":0.942},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":159.90471875,"end":161.96346875,"speaker_score":0.953},{"speaker":"SPEAKER_02","speaker_name":"楊委員瓊瓔","start":161.96346875,"end":176.57721875000001,"speaker_score":0.942},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":166.30034375000002,"end":166.46909375,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":170.09721875000002,"end":170.31659375,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":176.61096875,"end":178.31534375,"speaker_score":0.953},{"speaker":"SPEAKER_02","speaker_name":"楊委員瓊瓔","start":177.82596875000002,"end":186.92159375,"speaker_score":0.942},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":178.78784375,"end":179.85096875000002,"speaker_score":0.953},{"speaker":"SPEAKER_02","speaker_name":"楊委員瓊瓔","start":188.03534375,"end":237.59721875000002,"speaker_score":0.942},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":189.03096875,"end":189.45284375,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":192.28784375,"end":192.45659375000002,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":194.56596875000002,"end":195.54471875000002,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":208.01534375,"end":208.38659375,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":210.59721875000002,"end":211.15409375000002,"speaker_score":0.953},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":211.99784375000002,"end":212.48721875,"speaker_score":0.9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楊全發言 邀請次長你喝口水沒關係沒關係 慢慢喝 慢慢喝"},{"start":18.036,"end":34.572,"text":"養委員好市長好我想我們首先今天討論失智那在失智之前我先詢問一個跟疫苗有關的議題疫苗主權這個不只是一個衛生議題它更是一個經濟的議題那我們台灣有超過171萬家的中小企業有超過了900萬員工以上"},{"start":41.058,"end":63.851,"text":"那所以過去疫情發生的時候呢疫苗主權我剛才強調它不只是一個衛生議題因為疫苗到貨的不確定性會導致各行各業要停工那在這樣子基層的一個衝擊之下它可以說是一個經濟毀滅性所以如果把這個疫苗主權來當成經濟的一個最強保險單"},{"start":69.254,"end":87.149,"text":"這是非常重要的所以我們也不希望因為這樣子而導致經濟的一個斷崖去產生這樣的一個面向所以在這一次我們有編列9億元要爭取這個疫苗優生權本席非常的支持"},{"start":88.23,"end":110.388,"text":"所以台灣不能再經歷過一次剛剛我們所強調的這些疫苗缺的恐慌因為每一分錢都必須要花在刀口上所以現在媒體報導有很多的國家在疫苗整備上都已經鎖定了mRNA的技術因為它速度快"},{"start":110.748,"end":136.785,"text":"他又能夠很精準的來應對這個病毒那我們台灣是不是現在也以這樣的方向在進行呢OK 包委員其實非常感謝委員對於我們疫苗的這一個關心這個確實啦我們之前經歷過COVID我想大家都知道這一個整個疫苗的一個重要性那在其實在前段時間健康台灣我們在台北榮總那邊有召開一次一個整個是不是朝這個方向"},{"start":139.127,"end":161.885,"text":"這個部分我們會來研議這個部分主要是國家衛生研究院他們那邊正在研究為什麼我個人強調這一點呢因為我們過去看到我們的技術很好研發很好而且很漂亮的成績但是在臨床的時候臨床經驗的時候很多都因此而卡關特別是二期跟三期"},{"start":162.405,"end":186.632,"text":"對 所以它沒有辦法上市但是我們要為了確保這9億能夠真正的精準而且在最快時間可以取得那這個是疫苗的主權這個問題我們必須要朝這個方向你認同嗎我那個非常認同非常認同所以我們要努力因為也有人建議專家甚至建議台灣可以採取墨西哥的這個模式就是"},{"start":188.106,"end":211.628,"text":"技術移轉在地生產這也是我們台灣人很用我們的生產力很強如果技術移轉在我們台灣在地生產那等於是相輔相成的一個升級所以剛剛我也謝謝次長你認為這個是朝這個方向那必須要好好的去研議而且去執行之"},{"start":212.328,"end":237.275,"text":"接下來我們針對失智的部分現在已經顯性的是40萬的這個人口我相信隱性的應該還有那在這樣子等於是40萬個家庭等於是超過100萬名的需求的一個照顧者在這樣情況之下我們看到最中流砥柱而且是台灣經濟產值最高的我們三明治時代"},{"start":237.955,"end":252.971,"text":"的這個勞工那就是介於在45歲一直到這個大概55歲之間三明治上面有失智的長者下面還有他的孩子他等於是一個三明治的一個勞工"},{"start":254.172,"end":274.726,"text":"非常非常的辛苦所以大家不分藍綠白政府部門大家一起希望將這個失智症的這個基本法能夠好好討論去有一個法源好好來照顧因此我們直接在討論因為台灣有很多高階的技術人員管理的人才他在最精華的時候但是他被迫"},{"start":275.566,"end":301.334,"text":"提出了辭呈那回家做全職的照顧者那這個等於在我們的經濟的產值方面呢它是嚴肅的一個議題所以這不只是一個醫療問題它更是一個嚴重的勞動力的一個流失更是國家級的一個經濟危機所以我們要極力的希望能夠討論出失智症的一個基本法有所依歸"},{"start":302.814,"end":320.585,"text":"那所以部長我要請教失智症的照顧是不是比其他失能還有重大傷病的病友他的家屬更需要參與他的比例是不是加重是不是是的沒錯包委員那個確實那個失智他的一個"},{"start":321.946,"end":348.805,"text":"他的狀況就是說他可能有的身體還相當好但是只是因為他BPSD就是所謂情緒上面或者說日夜顛倒等這些所以你了解這個樣態也就是目前我們的長照2.0跟3.0他只在於家庭餵藥啊他只在於幫他推推輪椅啊所以在這樣子的情況之下沒有辦法幫助我們失智症家中的家屬的一個照顧"},{"start":350.126,"end":375.997,"text":"所以我們非常的希望有了這個基本法有實際的制度來協助讓他們不必被迫的來離職所以我個人要提醒也就是無聲掏空台灣勞動市場的一個核心危機是什麼呢就是照顧離職潮這個照顧離職潮我不希望要"},{"start":377.638,"end":395.304,"text":"擴大因為在這個表格上面你可以看到45歲到55歲的樣態你也可以看到傳統的思維跟現在的思維所以我號稱傳統的思維在失智照顧的新思維必須要比照戰略的新事業"},{"start":396.884,"end":414.169,"text":"讓有能力的他不需要去被迫來離職造成經濟的一個損失所以我希望的我個人建議的策略是必須要翻轉這個思維所以勞動部是不是你應該要去研討更這個"},{"start":416.671,"end":435.89,"text":"更好的一個彈性的一個照顧因為我們在審查這個法案跟務務部必須要跟勞動部好好的去討論那這個比如說遠距上班啊讓他的孝順可以真正在實踐上面而且工作也不會被迫來這個離巢"},{"start":438.152,"end":456.728,"text":"那在至於人才風險的一個管理那更應該在結盟教育單位在托幼的部分要怎麼樣去做那所以呢尤其在你衛福部本身剛剛我說的2.0 3.0你要怎樣納入這一些的因子非常的重要"},{"start":457.449,"end":472.905,"text":"所以相關的部會不管是勞動部不管是教育部我個人認為在我們今天是大體討論那你們可以超前部署的跟這些單位來做討論推動一個職場版的長照支持方案你的看法呢"},{"start":473.345,"end":499.682,"text":"OK 我覺得委員所說的完全正確這個方向上面我們也來傾聽大院的一個相關的意見來融入我們未來的一個這非常重要 謝謝你的融入所以我最後跟您說讓喘息服務日間照顧的這個資源能夠精準的接住白天要拚經濟晚上要拚照顧家人的這個老公朋友一起加油"},{"start":500.643,"end":500.784,"text":"加油!謝謝!"}],"gazette":[{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:50:35.129000+08:00","guessed":false,"end":"2026-05-28T12:50:35.289000+08:00","text":"謝謝主席。","quality":1},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:50:35.631000+08:00","guessed":false,"end":"2026-05-28T12:50:37.257000+08:00","text":"楊瓊瓔發言，邀請次長。","quality":0.778},{"speaker":"主席","start":"2026-05-28T12:50:37.257000+08:00","guessed":true,"end":"2026-05-28T12:50:46.036000+08:00","text":"請呂次長。","quality":0},{"speaker":"呂次長建德","start":"2026-05-28T12:50:46.036000+08:00","guessed":false,"end":"2026-05-28T12:50:46.277000+08:00","text":"楊委員好。","quality":0.75},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:50:47.257000+08:00","guessed":false,"end":"2026-05-28T12:50:47.257000+08:00","text":"次長好。","quality":0.667},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:50:47.538000+08:00","guessed":false,"end":"2026-05-28T12:50:55.485000+08:00","text":"我們今天首先討論失智，在這之前，我先詢問一個跟疫苗有關的議題。","quality":0.893},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:50:55.485000+08:00","guessed":false,"end":"2026-05-28T12:51:00.350000+08:00","text":"疫苗主權不只是一個衛生議題，更是一個經濟的議題。","quality":1},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:51:00.410000+08:00","guessed":false,"end":"2026-05-28T12:51:38.115000+08:00","text":"我們臺灣有超過171萬家中小企業、900萬以上的員工，所以過去疫情發生的時候……我剛才強調疫苗主權不只是一個衛生議題，因為疫苗到貨的不確定性會導致各行各業要停工，在這樣子的基層衝擊之下，它可以造成經濟毀滅性，所以如果把我們疫苗主權當成經濟的最強保險單，這是非常重要的。","quality":0.898},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:51:39.256000+08:00","guessed":false,"end":"2026-05-28T12:52:03.116000+08:00","text":"我們也不希望因為這樣子而導致經濟斷崖所產生的面向，所以在這一次，我們有編列9億元要爭取疫苗優先權，本席非常支持，臺灣不能再經歷一次剛才我們強調的缺疫苗恐慌。","quality":0.944},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:52:03.836000+08:00","guessed":false,"end":"2026-05-28T12:52:26.053000+08:00","text":"因為每一分錢都必須要花在刀口上，所以現在媒體報導有很多國家在疫苗整備上都已經鎖定了mRNA的技術，因為它速度快，又能夠很精準地應對病毒，我們臺灣現在是不是也以這樣的方向在進行呢？","quality":0.964},{"speaker":"呂次長建德","start":"2026-05-28T12:52:27.334000+08:00","guessed":false,"end":"2026-05-28T12:52:37.140000+08:00","text":"報告委員，非常感謝委員對於疫苗的關心，確實因為我們之前經歷過COVID-19，我想大家都知道疫苗的重要性。","quality":0.913},{"speaker":"呂次長建德","start":"2026-05-28T12:52:38.040000+08:00","guessed":false,"end":"2026-05-28T12:52:42.944000+08:00","text":"其實在前段時間，我們在臺北榮總有召開「2026健康台灣全國論壇」……","quality":0.68},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:52:44.284000+08:00","guessed":false,"end":"2026-05-28T12:52:44.765000+08:00","text":"是不是朝這個方向在進行？","quality":0.727},{"speaker":"呂次長建德","start":"2026-05-28T12:52:47.127000+08:00","guessed":false,"end":"2026-05-28T12:52:53.912000+08:00","text":"對，我們會朝這個部分研議，這個部分主要是國家衛生研究院正在研究，也研議朝……","quality":0.727},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:52:55.814000+08:00","guessed":false,"end":"2026-05-28T12:52:57.455000+08:00","text":"為什麼我個人強調這一點呢？","quality":1},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:52:57.595000+08:00","guessed":false,"end":"2026-05-28T12:53:08.804000+08:00","text":"因為我們過去看到我們的技術很好、研發很好，而且有很漂亮的成績，但是在臨床經驗時，很多都因此而卡關。","quality":0.977},{"speaker":"呂次長建德","start":"2026-05-28T12:53:08.804000+08:00","guessed":false,"end":"2026-05-28T12:53:09.865000+08:00","text":"特別是二期跟三期。","quality":1},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:53:10.405000+08:00","guessed":false,"end":"2026-05-28T12:53:24.669000+08:00","text":"對，所以它沒有辦法上市，但是我們為了要確保這9億能夠真正精準，而且在最快時間可以取得，這個是疫苗主權的問題，我們必須要朝這個方向，你認同嗎？","quality":0.968},{"speaker":"呂次長建德","start":"2026-05-28T12:53:24.669000+08:00","guessed":false,"end":"2026-05-28T12:53:25.409000+08:00","text":"我非常認同委員所提的這個方向。","quality":0.357},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:53:26.069000+08:00","guessed":false,"end":"2026-05-28T12:53:27.450000+08:00","text":"非常認同，所以我們要努力。","quality":1},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:53:27.950000+08:00","guessed":false,"end":"2026-05-28T12:53:38.388000+08:00","text":"甚至也有專家建議臺灣可以採取墨西哥的模式，就是技術移轉、在地生產。","quality":0.933},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:53:38.668000+08:00","guessed":false,"end":"2026-05-28T12:53:51.900000+08:00","text":"我們臺灣人很厲害，我們的生產力很強，如果技術移轉臺灣並在地生產，等於是相輔相成的升級。","quality":0.923},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:53:52.501000+08:00","guessed":false,"end":"2026-05-28T12:53:59.608000+08:00","text":"我也謝謝次長，你認為是朝這個方向，必須要好好去研議而且執行之。好的。","quality":0.933},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:54:00.328000+08:00","guessed":false,"end":"2026-05-28T12:54:15.952000+08:00","text":"接下來針對失智的部分，現在顯性的已經是40萬的人口，我相信隱性的應該還有，這樣子等於是40萬個家庭、超過100萬名的需求照顧者。","quality":0.962},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:54:16.713000+08:00","guessed":false,"end":"2026-05-28T12:54:55.521000+08:00","text":"在這樣的情況之下，我們看到最中流砥柱而且是臺灣經濟產值最高的三明治世代勞工，就是介於45歲一直到大概55歲之間，三明治世代上面有失智的長者，下面還有他的孩子，三明治世代的勞工非常非常地辛苦，所以不分藍、綠、白、政府部門，大家希望一起好好討論失智症基本法，有一個法源可以來照顧，因此我們直接進行討論。","quality":0.856},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:54:56.201000+08:00","guessed":false,"end":"2026-05-28T12:55:23.672000+08:00","text":"另外，臺灣有很多高階的技術人員、管理人才，在最精華的時候被迫提出辭呈，回家做全職的照顧者，這在我們的經濟產值方面是一個嚴肅的議題，這不只是醫療問題，也是嚴重的勞動力流失，更是國家級的經濟危機。","quality":0.943},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:55:23.672000+08:00","guessed":false,"end":"2026-05-28T12:55:29.314000+08:00","text":"所以，我們極力地希望能夠討論出失智症基本法，以有所依規。","quality":0.88},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:55:31.434000+08:00","guessed":false,"end":"2026-05-28T12:55:42.982000+08:00","text":"我要請教次長，關於失智症的照顧，是不是比其他失能還有重大傷病的病友，家屬更需要參與？","quality":0.895},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:55:43.342000+08:00","guessed":false,"end":"2026-05-28T12:55:45.223000+08:00","text":"它比率是不是加重，是不是？","quality":0.818},{"speaker":"呂次長建德","start":"2026-05-28T12:55:45.543000+08:00","guessed":false,"end":"2026-05-28T12:55:46.264000+08:00","text":"是的，沒錯。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:55:46.444000+08:00","guessed":false,"end":"2026-05-28T12:55:58.172000+08:00","text":"報告委員，確實在失智的狀況中，可能有的人身體還是相當好，但是因為BPSD，就是所謂情緒上面或者是有日夜顛倒等等狀況，所以造成非常大的……","quality":0.689},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:55:58.752000+08:00","guessed":false,"end":"2026-05-28T12:56:09.020000+08:00","text":"所以你了解這個樣態，也就是目前的長照2.0跟3.0，只在於家庭餵藥、只在於幫忙推推輪椅啊！","quality":0.973},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:56:09.920000+08:00","guessed":false,"end":"2026-05-28T12:56:26.990000+08:00","text":"在這樣子的情況之下，沒有辦法幫助失智症家中對家屬的照顧，所以我們非常希望有這個基本法，有實際的制度來協助，讓他們不必被迫離職。","quality":0.983},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:56:29.611000+08:00","guessed":false,"end":"2026-05-28T12:56:36.354000+08:00","text":"我個人要提醒，無聲掏空臺灣勞動市場的核心危機是什麼呢？","quality":1},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:56:36.694000+08:00","guessed":false,"end":"2026-05-28T12:56:39.275000+08:00","text":"就是照顧離職潮。","quality":1},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:56:40.696000+08:00","guessed":false,"end":"2026-05-28T12:57:27.674000+08:00","text":"第一個，我不希望照顧離職潮擴大，因為在這個表格上面你可以看到45歲到55歲的樣態，也可以看到傳統的思維跟現在的思維，我號稱失智照護的新思維必須要比照戰略的新視野，讓有能力的人不需要被迫離職，造成經濟損失，因此我個人建議的策略是必須要翻轉思維，勞動部是不是應該要研討更好的彈性照顧？","quality":0.906},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:57:27.934000+08:00","guessed":false,"end":"2026-05-28T12:57:43.870000+08:00","text":"我們在審查這個法案時，衛福部必須要跟勞動部好好地討論，比如遠距上班，讓他的孝心可以真正實踐，而且工作也不會被迫離職。","quality":0.887},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:57:47.193000+08:00","guessed":false,"end":"2026-05-28T12:57:55.200000+08:00","text":"至於人才風險的管理，更應該再結盟教育單位，在托幼的部分要怎麼樣去做？","quality":0.968},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:57:56.942000+08:00","guessed":false,"end":"2026-05-28T12:58:04.708000+08:00","text":"尤其在衛福部本身，就剛剛我說的2.0、3.0要怎樣納入這一些因子是非常重要的……沒錯。","quality":0.853},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:58:05.449000+08:00","guessed":false,"end":"2026-05-28T12:58:20.064000+08:00","text":"所以相關的部會，不管是勞動部、不管是教育部，今天是大體討論，我個人認為你們可以超前部署跟這一些單位討論，推動一個職場版的長照支持方案。","quality":0.902},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:58:20.384000+08:00","guessed":false,"end":"2026-05-28T12:58:20.885000+08:00","text":"你的看法呢？","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:58:21.345000+08:00","guessed":false,"end":"2026-05-28T12:58:32.532000+08:00","text":"OK，委員所說的完全正確，在這個方向上面，我們也願意傾聽大院相關的意見，融入我們未來的……","quality":0.923},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:58:33.753000+08:00","guessed":false,"end":"2026-05-28T12:58:35.214000+08:00","text":"這非常重要，謝謝你的融入。","quality":1},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:58:35.654000+08:00","guessed":false,"end":"2026-05-28T12:58:47.582000+08:00","text":"我最後跟您說，讓喘息服務日間照顧的資源能夠精準地接住白天要拚經濟、晚上要照顧家人的勞工朋友。","quality":0.93},{"speaker":"楊委員瓊瓔","start":"2026-05-28T12:58:47.602000+08:00","guessed":false,"end":"2026-05-28T12:58:48.784000+08:00","text":"一起加油，謝謝。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T12:58:49.284000+08:00","guessed":true,"end":"2026-05-28T12:58:54.426857+08:00","text":"好的，OK，非常感謝楊瓊瓔委員的關心，謝謝。","quality":0},{"speaker":"主席","start":"2026-05-28T12:58:54.726857+08:00","guessed":true,"end":"2026-05-28T12:58:57.584000+08:00","text":"謝謝楊瓊瓔委員的質詢。","quality":0},{"speaker":"主席","start":"2026-05-28T12:58:57.884000+08:00","guessed":true,"end":"2026-05-28T12:59:01.026857+08:00","text":"徐欣瑩、徐欣瑩，徐欣瑩不在。","quality":0},{"speaker":"主席","start":"2026-05-28T12:59:01.326857+08:00","guessed":true,"end":"2026-05-28T12:59:05.898286+08:00","text":"接著請葉元之、葉元之，葉元之委員不在。","quality":0},{"speaker":"主席","start":"2026-05-28T12:59:06.198286+08:00","guessed":true,"end":"2026-05-28T12:59:10.769714+08:00","text":"接著請賴士葆、賴士葆，賴士葆委員不在。","quality":0},{"speaker":"主席","start":"2026-05-28T12:59:11.069714+08:00","guessed":true,"end":"2026-05-28T12:59:13.926857+08:00","text":"接著請林倩綺委員質詢。","quality":0}]}},"supported_relations":[],"relations":[]}