{"error":false,"id":["169712"],"data":{"IVOD_ID":169712,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/169712","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":"2026-05-28T12:59:11+08:00","結束時間":"2026-05-28T13:10:14+08:00","影片長度":"00:11:03","支援功能":["ai-transcript","gazette"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/89665fc2cee9c3670d0c7c828d4495627a79f49b44e074569bd54c157223343ef1150b2f0eab0c655ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"林倩綺","委員發言時間":"12:59:11 - 13:10:14","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","speaker_name":"王副司長金蓉","start":0.03096875,"end":0.85784375,"speaker_score":0.956},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":10.442843750000002,"end":19.90971875,"speaker_score":0.848},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":20.972843750000003,"end":24.22971875,"speaker_score":0.848},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":24.55034375,"end":24.567218750000002,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":24.567218750000002,"end":25.782218750000002,"speaker_score":0.965},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":25.782218750000002,"end":26.575343750000002,"speaker_score":0.848},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":27.13221875,"end":28.785968750000002,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":27.773468750000003,"end":28.364093750000002,"speaker_score":0.965},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":29.17409375,"end":31.40159375,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":29.44409375,"end":30.08534375,"speaker_score":0.965},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":31.60409375,"end":67.42971875,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":53.744093750000005,"end":53.79471875,"speaker_score":0.965},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":68.02034375000001,"end":94.56471875000001,"speaker_score":0.848},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":94.81784375000001,"end":174.06284375,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":125.85096875,"end":126.10409375,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":132.02721875,"end":132.53346875,"speaker_score":0.965},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":174.51846875,"end":219.30471875,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":178.80471875,"end":179.42909375000002,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":183.32721875000001,"end":183.56346875,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":185.63909375,"end":185.97659375,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":213.80346875,"end":214.03971875000002,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":219.30471875,"end":295.84971875,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":295.95096875,"end":297.87471875,"speaker_score":0.965},{"speaker":"SPEAKER_01","speaker_name":"王副司長金蓉","start":297.87471875,"end":346.82909375,"speaker_score":0.956},{"speaker":"SPEAKER_01","speaker_name":"王副司長金蓉","start":346.89659375,"end":377.76096875,"speaker_score":0.956},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":377.64284375,"end":429.38159375000004,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":391.22721875,"end":391.48034375000003,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":399.31034375,"end":400.74471875,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":426.69846875,"end":426.73221875,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":428.06534375,"end":428.14971875000003,"speaker_score":0.965},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":429.43221875,"end":522.02534375,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":468.59909375,"end":469.20659375,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":487.93784375,"end":487.98846875000004,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":488.12346875000003,"end":488.20784375000005,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":505.30221875,"end":506.02784375000005,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":511.90034375000005,"end":512.15346875,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":522.02534375,"end":555.4040937500001,"speaker_score":0.965},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":555.16784375,"end":556.61909375,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":556.61909375,"end":563.4028437500001,"speaker_score":0.965},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":563.9934687500001,"end":600.47721875,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":576.1940937500001,"end":576.2278437500001,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":576.31221875,"end":576.3290937500001,"speaker_score":0.965},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":600.59534375,"end":617.74034375,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":604.13909375,"end":604.25721875,"speaker_score":0.965},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":618.02721875,"end":651.2709687500001,"speaker_score":0.848},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":644.63909375,"end":645.33096875,"speaker_score":0.965},{"speaker":"SPEAKER_00","speaker_name":"呂次長建德","start":651.2709687500001,"end":659.23596875,"speaker_score":0.965},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":651.2878437500001,"end":652.6884687500001,"speaker_score":0.848},{"speaker":"SPEAKER_02","speaker_name":"林委員倩綺","start":657.83534375,"end":658.4934687500001,"speaker_score":0.848},{"speaker":"SPEAKER_01","speaker_name":"王副司長金蓉","start":659.82659375,"end":663.9778437500001,"speaker_score":0.956}],"whisperx":[{"start":10.832,"end":28.396,"text":"好謝謝我們的主席盧昭偉我現在這個部分先請我們衛福部跟勞動部那我們是次長呃呂次長跟勞動部我們的今天代表是次長次長也是次長副司長副司長副司長OK"},{"start":32.048,"end":52.699,"text":"市長你們好我想今天這個失智症的這樣一個草案的討論非常重要我想這近幾年整個的比例失智症的比例變得很高所以這個引申出來的問題就是失智症家庭照顧者的一個支持體系還有工作和照顧怎麼兼顧的問題那當然是跟兩個部會都有很大的關係是的沒錯"},{"start":53.76,"end":83.34,"text":"那我們從那個桃園的這個悲劇就是說這個兒子長期來照顧失智的父親然後最後呢就導致直接殺害了這個親屬的一個悲劇那我們從這裡面可以看到個案是警訊那但是呢延伸出來的這種無形的壓力卻讓大家都一步步走向崩潰不是只有病人本身還有他整個的知識體系所以在許多的像這樣子的個案產生之後呢那本席要跟你們請教的是那衛福部"},{"start":83.86,"end":103.994,"text":"失智症的照顾跟失能的照顾是不一样的家属不是只有单纯的面对需要协助走失、妄想、情绪波动、沟通困难我们现在整个社会其实都有不同层次一直在发生的事情目前你们对失智症的失智者的照顾除了长照"},{"start":104.674,"end":120.823,"text":"傳行服務照顧技巧的一個訓練之外呢有沒有更完整的一個高風險家庭辨識的一個機制也就是說當失智者面臨失業然後低收入單一照顧者還有照顧者本身身心狀況就已經很不穩定了那"},{"start":121.463,"end":136.302,"text":"大家都在不穩定的狀況上可能有的時候就一發一觸即發可能那個整個影響的力道會很大那第二個接下來本席也因為這樣也請教一下勞動部"},{"start":139.225,"end":167.359,"text":"那家庭照顧者最大的困境就是沒有工作就沒有收入可是有工作人員沒有辦法照顧所以尤其是青壯年的這個年齡層那會擔心這個工作烤雞請假失業然後又對照顧有很大的壓力那目前你們對於家庭照顧者的工作保障有沒有一些重新的盤點那所以例如像這個請假制度彈性的工時還有這個友善的措施還有對失智者照顧者而言"},{"start":167.939,"end":196.113,"text":"那麼這些不足如何能夠在長照離職或者是中斷的這個工作的這樣一個家屬當中那可以有一些更精進的方案那最後請你們都一起說明在失智照顧的過程當中那麼衛福部你們負責照顧服務跟心理支持那勞動部是負責工作的保障跟就業的支持但是家庭有這樣子的病人家庭面對的是一個人的生活困境那麼"},{"start":196.713,"end":218.547,"text":"目前你們兩部會的這個失智者家庭照顧的這個支持機制那針對高風險的照顧者長照心理衛生跟社會救助等等有沒有思考在過往的一個基礎上既然我們都碰到了這樣的問題那有沒有整個盤點跟做一個整理那是不是先請你們就本席剛才三個點做一個回應分別跟一起好嗎謝謝"},{"start":219.488,"end":242.499,"text":"非常感謝那個林建行委員對於我們的施政那個家庭照顧者的一個關心確實好像類似像這樣案例我們是覺得就不敢了這是一個我們要來趕快來處理那我先報告衛福部這邊的部分我想大概三個重點第一個就是說有關於這一個有關這個家庭我們會透過家照專員"},{"start":243.819,"end":270.942,"text":"他來評估那個照顧者他們的一個整個照顧負擔那如果他經過這個育平之後如果是中度負荷的話我們是每個月仿試一次那如果是重度的話一個月是兩次這個是第一個這第一個部分那第二個如果說有這樣的一個情況的話我們會根據他急輕 輕 中 重這個四級那如果輕度的部分跟急輕的話我們就輔導他到據點"},{"start":272.403,"end":295.601,"text":"到據點去我們現在目前的這個部分以共榮據點以去年為例我們新開案是八千人那另外第三個部分我們主要大概是希望就是說在這個部分還是主要來推動全社會對於整個施政的一個認識那還有另外一個有關就業的部分我是不是就請勞動部這邊來回覆一下委員謝謝好"},{"start":298.263,"end":316.865,"text":"好謝謝委員剛剛提到就是有關這些家庭照顧者他們的這些勞動權益的部分那其實我們現在對於這個勞工因為這個家庭照顧而請假不管是像請假請試假的部分其實我們現在已經可以讓家庭照顧的部分請試假是可以一小時的"},{"start":317.566,"end":336.015,"text":"而且是不可以扣全勤的那至於就是說性供法他本身也有這個家庭照顧假那家庭照顧假其實在法律上已經有明文規定是不可以拒絕而且也不可以有一些不利的處分所以這個部分在請假的部分其實相關的法律其實是有相關的規定那至於談性供食的部分呢因為其實確實就陳委員剛才提到的確實有很多的"},{"start":339.316,"end":345.563,"text":"照顧者他可能需要更彈性的工作時間也許是減少工作時間也許是上下班時間有做一些調整所以這些其實我們都有在鼓勵企業甚至我們相關的一些工作家庭的一個表揚的一些這個獎項其實也有把這個彈性工作的部分納入這個"},{"start":359.257,"end":369.885,"text":"就是獎項可以來鼓勵企業那至於就是說如果這個照顧者他本身有這個職訓或者是說他希望轉職希望有一些就業服務的這一些部分我們其實勞動力發展署這邊也有會提供這個職訓還有就服的一些就業支持的一個服務以上"},{"start":378.231,"end":399.831,"text":"這樣聽起來你們兩個部會就針對你們在這個部會的這個範圍內提供一些機制但是在整個我想現在失智症碰到的一個問題不是只有單一而是它整個照顧系統支持系統都碰到連動性的問題然後跟社會整體也是都連動的那一個人生病其實可能影響到好多人"},{"start":400.591,"end":428.642,"text":"對那以這樣子的比例上來講我們社會整體看不到的這個五行影響是非常高的所以原有的機制我想在不足的情況下我們現在有這樣一個基本法的出現那我想在這樣一個基本法的這個基礎上我們應該要好好再盤點過去跟現在失智的這樣一個比例還有所提供的這個機制是不是還有一些更新的方式來做一個處理不是只有量還有值的這個部分"},{"start":429.562,"end":444.547,"text":"好那最後本席就提醒一下因為對原鄉的這部分本席也是非常的關注所以這個其實在原民會也都非常辛苦當然他跟這個我們衛福部還有勞動部都要做一個整合的平台但是目前"},{"start":446.128,"end":468.08,"text":"其實在原鄉的失智的部分我想跟社會的聯動比例上也都需要我們再關注所以這個族羽的陪伴還有部落的一個照顧據點和相關的文化活動跟傳統生活技能等等目前是不是有一些示範部落跟優先推動的區域我想衛福部這個部分因為你們主責"},{"start":469.161,"end":495.14,"text":"那今天我不知道原民會有沒有相關的這個代表來但是重點是不管他們有沒有代表我們應該是副處長在嘛那其實之前我們在其他相關的議題處長這邊也有表達跟各部會的一個在這個平台上的一個支持但是重點是本期的重點是真正主責的單位不管是所有的族群應該都是你們要關照的所以原鄉的這個部分"},{"start":496,"end":522.088,"text":"所以我們是希望施治的以研究來講那目前施治的一個基本的處理我們就希望他能夠在熟悉的環境裡面可是你也知道目前原鄉跟都會的這樣一個交錯的情況跟原鄉資源的一個匱乏那我不知道衛福部這邊有沒有來協助原民會來推動相關的這樣一個設施還有資源上的一個準備那這個部分您可不可以做個說明"},{"start":523.509,"end":547.546,"text":"那個非常感謝委員的一個提問那我想這邊我們是基本上一定我們的基本原則就是那個有文化敏感敏感度然後由族人照顧族人那我想特別在園鄉的部分我想這個其實造福園的部分其實也是一個非常重要的一個整個工作機會的一個提供那我們這邊其實大概我們本部我們大概就是以這個長照基金會來積極來我們現在目前以"},{"start":551.369,"end":568.13,"text":"今年為例我們大概是編15億來這個支持我們是給原鄉的嗎還是對對對就原鄉就有15億的這個部分然後在全國來廣布這樣的一個文件站謝謝所以謝謝那個衛福部你們在這個部分有注意到"},{"start":568.57,"end":596.456,"text":"那也希望在這個經費上還有實質的推動上你們能夠更緊密的了解原鄉的狀況但是最後也再提醒一點那這個城鄉的移動也因為常常原鄉的資源不足所以有許多這樣子的病症必須移到都會來做處理那都會原本就有的原住民也有可能因為一些外部的因素而導致失智的這個可能性也更高然後原鄉必須要到都會來去做處理的人"},{"start":597.716,"end":615.126,"text":"數量也可能會增高所以原住民都會化的這個平台我想你們也要注意一下不是只有說比如說你說15億在原鄉那都會的這個部分我想應該你們也要主動在方法上然後在整備上在這個掌握上另外還有在資源上也是同樣的"},{"start":616.166,"end":639.184,"text":"要關注原住民在都會的一個情形那更何況有中間流動的一個問題本席這邊做個提醒那你們在剛才本席所講的議題上如果有一些現在國際間比較新的一個做法在質的部分的一個提升然後跟我們這個基本法裡面所提到原有的一些基礎上那如果有一些更精進的作為"},{"start":639.804,"end":661.261,"text":"或者是想法是不是也請你們這邊在報告上給本席做一個回應那原鄉部分也針對本席今天所提的那也給本席做一個給一個順利的報告好不好好的好的好謝謝非常感謝林委員對我們原鄉的這個長照的一個關心我們來全力來努力謝謝好謝謝感謝委員謝謝林倩琪委員的質詢現在請劉建國委員質詢"}],"gazette":[{"speaker":"林委員倩綺","start":"2026-05-28T12:59:21.972000+08:00","guessed":false,"end":"2026-05-28T12:59:22.692000+08:00","text":"謝謝主席盧召委。","quality":0.714},{"speaker":"林委員倩綺","start":"2026-05-28T12:59:24.512000+08:00","guessed":false,"end":"2026-05-28T12:59:36.015000+08:00","text":"現在這個部分先請衛福部跟勞動部，是呂次長跟勞動部……今天的代表是副司長。","quality":0.906},{"speaker":"呂次長建德","start":"2026-05-28T12:59:36.015000+08:00","guessed":true,"end":"2026-05-28T12:59:37.275000+08:00","text":"林委員好。","quality":0},{"speaker":"林委員倩綺","start":"2026-05-28T12:59:37.275000+08:00","guessed":false,"end":"2026-05-28T12:59:43.448000+08:00","text":"次長、副司長，你們好。","quality":1},{"speaker":"林委員倩綺","start":"2026-05-28T12:59:44.789000+08:00","guessed":false,"end":"2026-05-28T13:00:03.619000+08:00","text":"今天失智症草案的討論是非常重要的，近幾年失智症的比例變得很高，衍生出的問題就是失智症家庭照顧者的支持體系，還有工作和照護怎麼兼顧的問題，這當然跟兩個部會都有很大的關係。","quality":0.924},{"speaker":"呂次長建德","start":"2026-05-28T13:00:03.619000+08:00","guessed":false,"end":"2026-05-28T13:00:03.699000+08:00","text":"是的，沒錯。","quality":1},{"speaker":"林委員倩綺","start":"2026-05-28T13:00:04.980000+08:00","guessed":false,"end":"2026-05-28T13:00:14.447000+08:00","text":"我們從桃園的這個悲劇看到，這個兒子長期照顧失智的父親，最後導致直接殺害親屬的悲劇。","quality":0.947},{"speaker":"林委員倩綺","start":"2026-05-28T13:00:14.587000+08:00","guessed":false,"end":"2026-05-28T13:00:27.435000+08:00","text":"我們從這裡面可以看到，個案是警訊，延伸出來的這種無形壓力讓大家都一步步走向崩潰，不是只有病人本身，還有整個支持體系。","quality":0.962},{"speaker":"林委員倩綺","start":"2026-05-28T13:00:28.816000+08:00","guessed":false,"end":"2026-05-28T13:00:37.682000+08:00","text":"許多這樣子的個案產生之後，本席要跟衛福部請教的是，失智症的照顧跟失能的照顧是不一樣的。","quality":0.85},{"speaker":"呂次長建德","start":"2026-05-28T13:00:37.682000+08:00","guessed":true,"end":"2026-05-28T13:00:38.682000+08:00","text":"對，沒錯。","quality":0},{"speaker":"林委員倩綺","start":"2026-05-28T13:00:38.503000+08:00","guessed":false,"end":"2026-05-28T13:00:49.710000+08:00","text":"家屬不是只有單純地需要協助，包括走失、妄想、情緒波動、溝通困難，我們現在整個社會其實都有不同層次一直在發生的事情。","quality":0.647},{"speaker":"林委員倩綺","start":"2026-05-28T13:00:50.591000+08:00","guessed":false,"end":"2026-05-28T13:01:03.398000+08:00","text":"目前你們對於失智者的照護，除了長照、喘息服務、照顧技巧的訓練之外，有沒有更完整的高風險家庭辨識的機制？","quality":0.848},{"speaker":"林委員倩綺","start":"2026-05-28T13:01:04.119000+08:00","guessed":false,"end":"2026-05-28T13:01:22.636000+08:00","text":"也就是，當失智者面臨失業、低收入、單一照顧者，還有照顧者本身身心狀況就已經很不穩定了，大家都在不穩定的狀況下，可能有的時候就一觸即發，整個影響的力道會很大。","quality":0.986},{"speaker":"林委員倩綺","start":"2026-05-28T13:01:26.801000+08:00","guessed":false,"end":"2026-05-28T13:01:56.278000+08:00","text":"因為這樣，接下來也請教一下勞動部，家庭照顧者最大的困境就是沒有工作就沒有收入，可是有工作的又沒有辦法照顧，尤其是青壯年這個年齡層，會擔心工作考績、請假、失業，對照顧又有很大的壓力，目前你們對於家庭照顧者的工作保障有沒有重新盤點，例如像請假制度、彈性工時、友善措施？","quality":0.933},{"speaker":"林委員倩綺","start":"2026-05-28T13:01:56.998000+08:00","guessed":false,"end":"2026-05-28T13:02:09.464000+08:00","text":"還有對失智症的照顧者而言，這些不足如何在長照離職或者是中斷工作的家屬當中，可以有一些更精進的方案？","quality":0.957},{"speaker":"林委員倩綺","start":"2026-05-28T13:02:10.725000+08:00","guessed":false,"end":"2026-05-28T13:02:20.850000+08:00","text":"最後請你們一起說明，在失智照護的過程當中，衛福部負責照顧服務跟心理支持，勞動部是負責工作保障跟就業支持。","quality":0.979},{"speaker":"林委員倩綺","start":"2026-05-28T13:02:21.570000+08:00","guessed":false,"end":"2026-05-28T13:02:44.524000+08:00","text":"家庭有這樣子的病人，家庭面對的是一個人的生活困境，目前你們兩部會的失智者家庭照顧的支持機制，針對高風險的照顧者、長照、心理衛生和社會救助等等，有沒有思考在過往的基礎上……既然我們都碰到這樣的問題，有沒有整個盤點跟整理？","quality":0.99},{"speaker":"林委員倩綺","start":"2026-05-28T13:02:45.024000+08:00","guessed":false,"end":"2026-05-28T13:02:48.767000+08:00","text":"是不是先請你們就本席剛才說的三個點回應？","quality":0.895},{"speaker":"林委員倩綺","start":"2026-05-28T13:02:48.767000+08:00","guessed":false,"end":"2026-05-28T13:02:49.547000+08:00","text":"分別跟一起，好嗎？謝謝。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T13:02:50.488000+08:00","guessed":false,"end":"2026-05-28T13:03:04.454000+08:00","text":"非常感謝林倩綺委員對於失智症家庭照顧者的關心，確實，類似像這樣的案例我們覺得很不捨，我們要趕快來處理。","quality":0.83},{"speaker":"呂次長建德","start":"2026-05-28T13:03:04.955000+08:00","guessed":false,"end":"2026-05-28T13:03:29.552000+08:00","text":"我先報告衛福部的部分，大概三個重點，第一個就是有關於家庭，我們會透過家照專員評估照顧者的照顧負擔，經過預評之後，如果是中度負荷的話，我們是每個月訪視一次；如果是重度的話，一個月是兩次，這是第一個部分。","quality":0.956},{"speaker":"呂次長建德","start":"2026-05-28T13:03:30.152000+08:00","guessed":false,"end":"2026-05-28T13:03:43.563000+08:00","text":"第二個，如果有這樣的情況，我們會根據他極輕、輕、中、重，有4級，如果是輕度跟極輕的話，我們就輔導他到據點去。","quality":0.909},{"speaker":"呂次長建德","start":"2026-05-28T13:03:44.604000+08:00","guessed":false,"end":"2026-05-28T13:03:51.269000+08:00","text":"目前這個部分，共融據點以去年為例，我們新開案是8,000人。","quality":0.913},{"speaker":"呂次長建德","start":"2026-05-28T13:03:52.510000+08:00","guessed":false,"end":"2026-05-28T13:04:03.859000+08:00","text":"第三個部分，我們主要是希望推動全社會對於失智症的認識。","quality":0.88},{"speaker":"呂次長建德","start":"2026-05-28T13:04:04.139000+08:00","guessed":false,"end":"2026-05-28T13:04:06.581000+08:00","text":"還有另外一個，有關就業的部分，我是不是請勞動部來回復委員？謝謝。","quality":0.964},{"speaker":"王副司長金蓉","start":"2026-05-28T13:04:09.964000+08:00","guessed":false,"end":"2026-05-28T13:04:15.090000+08:00","text":"謝謝委員剛剛提到有關這些家庭照顧者的勞動權益。","quality":1},{"speaker":"王副司長金蓉","start":"2026-05-28T13:04:16.211000+08:00","guessed":false,"end":"2026-05-28T13:04:29.827000+08:00","text":"其實我們現在對於勞工因為家庭照顧而請假，像請事假的部分，現在已經讓家庭照顧的部分請事假可以以小時請假，而且是不可以扣全勤的。","quality":0.914},{"speaker":"王副司長金蓉","start":"2026-05-28T13:04:30.407000+08:00","guessed":false,"end":"2026-05-28T13:04:44.093000+08:00","text":"至於性工法本身也有家庭照顧假，家庭照顧假在法律上已經有明文規定不可以拒絕，而且也不可以有一些不利的處分，所以在請假的部分，其實相關的法律有相關的規定。","quality":0.986},{"speaker":"王副司長金蓉","start":"2026-05-28T13:04:44.654000+08:00","guessed":false,"end":"2026-05-28T13:04:54.281000+08:00","text":"至於彈性工時的部分，就誠如委員剛才提到的，確實有很多照顧者可能需要更彈性的工作時間，也許是減少工作時間，也許是上下班時間做一些調整。","quality":0.918},{"speaker":"王副司長金蓉","start":"2026-05-28T13:04:54.661000+08:00","guessed":false,"end":"2026-05-28T13:05:12.579000+08:00","text":"我們都有在鼓勵企業，甚至相關的工作家庭表揚的一些獎項，其實也有把彈性工作的部分納入獎項，可以鼓勵企業。","quality":1},{"speaker":"王副司長金蓉","start":"2026-05-28T13:05:13.420000+08:00","guessed":false,"end":"2026-05-28T13:05:20.865000+08:00","text":"如果照顧者本身有職訓或者是他希望轉職，希望有一些就業服務，我們勞動力發展署也有提供職訓還有一些就業支持的服務，以上。","quality":1},{"speaker":"林委員倩綺","start":"2026-05-28T13:05:29.231000+08:00","guessed":false,"end":"2026-05-28T13:05:43.965000+08:00","text":"我這樣聽起來，兩個部會是針對你們部會的範圍內提供一些機制，但是現在失智症碰到的問題不是只有單一的問題，而是整個照顧系統、支持系統都碰到連動性的問題。","quality":0.928},{"speaker":"呂次長建德","start":"2026-05-28T13:05:43.965000+08:00","guessed":true,"end":"2026-05-28T13:05:44.966000+08:00","text":"對，沒錯。","quality":0},{"speaker":"林委員倩綺","start":"2026-05-28T13:05:44.966000+08:00","guessed":false,"end":"2026-05-28T13:05:56.133000+08:00","text":"跟社會整體也都是連動的，一個人生病其實可能影響到好多人，以這樣子的比例來講，我們社會整體看不到的無形影響是非常高的。","quality":0.944},{"speaker":"林委員倩綺","start":"2026-05-28T13:05:58.154000+08:00","guessed":false,"end":"2026-05-28T13:06:19.622000+08:00","text":"原有的機制在不足的情況下，我們現在有一個基本法出現，在基本法的基礎上，我們應該要好好再盤點過去跟現在失智的比例，還有所提供的機制是不是有一些更新的方式來處理，不是只有量，還有質的部分。","quality":0.988},{"speaker":"呂次長建德","start":"2026-05-28T13:06:19.622000+08:00","guessed":true,"end":"2026-05-28T13:06:20.802000+08:00","text":"當然，好的。","quality":0.25},{"speaker":"林委員倩綺","start":"2026-05-28T13:06:20.802000+08:00","guessed":false,"end":"2026-05-28T13:06:25.404000+08:00","text":"最後，本席提醒一下，因為對於原鄉這部分本席也是非常地關注。","quality":0.923},{"speaker":"林委員倩綺","start":"2026-05-28T13:06:27.804000+08:00","guessed":false,"end":"2026-05-28T13:06:51.456000+08:00","text":"其實原民會也都非常辛苦，當然它跟衛福部還有勞動部都要做一個整合的平臺，但是目前在原鄉失智這部分跟社會的連動，比例上也都需要我們再關注，包括族語的陪伴、部落的照顧據點、相關的文化活動及傳統生活技能等等。","quality":0.925},{"speaker":"林委員倩綺","start":"2026-05-28T13:06:52.256000+08:00","guessed":false,"end":"2026-05-28T13:06:57.099000+08:00","text":"目前是不是有一些示範部落跟優先推動的區域？","quality":1},{"speaker":"林委員倩綺","start":"2026-05-28T13:06:57.279000+08:00","guessed":false,"end":"2026-05-28T13:06:59.080000+08:00","text":"我想這個部分是衛福部主責嘛！沒錯。","quality":0.533},{"speaker":"林委員倩綺","start":"2026-05-28T13:07:00.281000+08:00","guessed":false,"end":"2026-05-28T13:07:07.546000+08:00","text":"今天我不知道原民會有沒有相關的代表來，應該是副處長在嘛！","quality":1},{"speaker":"林委員倩綺","start":"2026-05-28T13:07:08.467000+08:00","guessed":false,"end":"2026-05-28T13:07:24.258000+08:00","text":"其實之前其他相關的議題，處長也有表達對各部會在這個平臺上的支持，但是本席的重點是，真正主責的單位，所有的族群應該都是你們要關照的。當然。","quality":0.935},{"speaker":"林委員倩綺","start":"2026-05-28T13:07:24.699000+08:00","guessed":false,"end":"2026-05-28T13:07:42.605000+08:00","text":"所以原鄉這個分，以研究來講，目前失智的基本處理，我們是希望他能夠在熟悉的環境裡面，可是你也知道目前原鄉跟都會交錯的情況，以及原鄉資源的匱乏。","quality":0.922},{"speaker":"林委員倩綺","start":"2026-05-28T13:07:43.105000+08:00","guessed":false,"end":"2026-05-28T13:07:51.667000+08:00","text":"我不知道衛福部有沒有協助原民會推動相關的設施還有資源上的整備？","quality":0.967},{"speaker":"林委員倩綺","start":"2026-05-28T13:07:51.968000+08:00","guessed":false,"end":"2026-05-28T13:07:53.068000+08:00","text":"這個部分您可不可以做個說明？","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T13:07:55.369000+08:00","guessed":false,"end":"2026-05-28T13:08:05.597000+08:00","text":"非常感謝委員的提問，我想我們的基本原則就是文化敏感度，由族人照顧族人。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T13:08:06.257000+08:00","guessed":false,"end":"2026-05-28T13:08:26.274000+08:00","text":"特別在原鄉的部分，其實照服員也是非常重要的一個工作機會的提供，本部大概就是以長照基金積極進行，以今年為例，大概是編15億來支持我們……","quality":0.898},{"speaker":"林委員倩綺","start":"2026-05-28T13:08:26.274000+08:00","guessed":false,"end":"2026-05-28T13:08:27.255000+08:00","text":"這是給原鄉的嗎？還是……","quality":0.889},{"speaker":"呂次長建德","start":"2026-05-28T13:08:27.856000+08:00","guessed":false,"end":"2026-05-28T13:08:33.703000+08:00","text":"對，就原鄉，這個部分有15億，在全國廣布文健站。","quality":0.833},{"speaker":"林委員倩綺","start":"2026-05-28T13:08:35.585000+08:00","guessed":false,"end":"2026-05-28T13:08:35.585000+08:00","text":"好，謝謝。","quality":0.667},{"speaker":"林委員倩綺","start":"2026-05-28T13:08:36.667000+08:00","guessed":false,"end":"2026-05-28T13:08:45.571000+08:00","text":"謝謝衛福部在這個部分有注意到，也希望在經費上還有實質的推動上，你們能夠更緊密地瞭解原鄉的狀況。好。","quality":0.933},{"speaker":"林委員倩綺","start":"2026-05-28T13:08:45.571000+08:00","guessed":false,"end":"2026-05-28T13:09:16.200000+08:00","text":"但是最後也再提醒一點，城鄉的移動也常常因為原鄉的資源不足，許多這樣子的病症必須移到都會來處理，都會原本就有的原住民也有可能因為一些外部因素而導致失智的可能性更高，原鄉必須要到都會處理的人，數量也可能會增高，所以原住民都會化的這個平臺，我想你們也要注意一下，不是只有說……OK。","quality":0.969},{"speaker":"林委員倩綺","start":"2026-05-28T13:09:16.200000+08:00","guessed":false,"end":"2026-05-28T13:09:33.571000+08:00","text":"比如你說15億在原鄉，都會這部分你們也應該主動在方法上、在整備上、在掌握上，還有在資源上，也是同樣的關注原住民在都會的情形，更何況有中間流動的問題，好不好？好。","quality":0.913},{"speaker":"林委員倩綺","start":"2026-05-28T13:09:33.571000+08:00","guessed":false,"end":"2026-05-28T13:09:34.432000+08:00","text":"本席做個提醒。","quality":1},{"speaker":"林委員倩綺","start":"2026-05-28T13:09:35.373000+08:00","guessed":false,"end":"2026-05-28T13:09:55.908000+08:00","text":"你們在剛才本席所講的議題上，如果現在國際間有一些比較新的做法，在質的部分的提升，在我們這個基本法原有的基礎上，如果有一些更精進的作為或者是想法，是不是也請你們在報告上給本席回應？好的。","quality":0.929},{"speaker":"林委員倩綺","start":"2026-05-28T13:09:56.028000+08:00","guessed":false,"end":"2026-05-28T13:10:02.093000+08:00","text":"原鄉的部分也針對本席今天所提的，給一個書面的報告好不好？","quality":0.885},{"speaker":"呂次長建德","start":"2026-05-28T13:10:02.113000+08:00","guessed":false,"end":"2026-05-28T13:10:09.219000+08:00","text":"好的、好的，非常感謝林委員對於原鄉長照的關心，我們全力來努力，謝謝。","quality":0.966},{"speaker":"林委員倩綺","start":"2026-05-28T13:10:09.219000+08:00","guessed":false,"end":"2026-05-28T13:10:09.859000+08:00","text":"好，謝謝。","quality":1},{"speaker":"呂次長建德","start":"2026-05-28T13:10:09.859000+08:00","guessed":false,"end":"2026-05-28T13:10:11.501000+08:00","text":"感謝委員。","quality":1},{"speaker":"主席","start":"2026-05-28T13:10:11.501000+08:00","guessed":false,"end":"2026-05-28T13:10:12.101000+08:00","text":"謝謝林倩綺委員的質詢。","quality":0.9},{"speaker":"主席","start":"2026-05-28T13:10:12.101000+08:00","guessed":false,"end":"2026-05-28T13:10:12.261000+08:00","text":"現在請劉建國委員質詢。","quality":1}]}},"supported_relations":[],"relations":[]}