| IVOD_ID |
161063 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/161063 |
| 日期 |
2025-05-08 |
| 會議資料.會議代碼 |
委員會-11-3-26-10 |
| 會議資料.會議代碼:str |
第11屆第3會期社會福利及衛生環境委員會第10次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
3 |
| 會議資料.會次 |
10 |
| 會議資料.種類 |
委員會 |
| 會議資料.委員會代碼[0] |
26 |
| 會議資料.委員會代碼:str[0] |
社會福利及衛生環境委員會 |
| 會議資料.標題 |
第11屆第3會期社會福利及衛生環境委員會第10次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-05-08T10:24:22+08:00 |
| 結束時間 |
2025-05-08T10:48:01+08:00 |
| 影片長度 |
00:23:39 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/26c557d936b203c10a284d8894532995bf088656e97d34035f5e885147c9c9bc92aeab3b46f231cd5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
林淑芬 |
| 委員發言時間 |
10:24:22 - 10:48:01 |
| 會議時間 |
2025-05-08T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第3會期社會福利及衛生環境委員會第10次全體委員會議（事由：一、邀請衛生福利部部長就「長照2.0執行情形檢討及3.0未來規劃」進行專題報告，並備質詢。
二、邀請衛生福利部部長就「澳洲進口豬腳驗出含萊克多巴胺，如何加強肉品食安查驗，讓民眾放心」進行專題報告，並備質詢。
【專題報告綜合詢答】） |
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| transcript.whisperx[0].start |
10.034 |
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27.524 |
| transcript.whisperx[0].text |
好 謝謝召委是不是請我們部長和署長江署長委員好 委員請多保重對 我也希望不要感冒 |
| transcript.whisperx[1].start |
30.242 |
| transcript.whisperx[1].end |
56.318 |
| transcript.whisperx[1].text |
這個署長曾經在2021年說過當時是教授的身份嘛那以Codex的標準每天要吃6公斤的萊豬連續吃好幾年才會超標但是這跟中毒優勢兩件事政府會把關請大家買豬肉食的時候要放輕鬆如果依照署長這個標準大概食安就是沒有食安的問題只有吃到毒物才會死的問題那我今天講說 |
| transcript.whisperx[2].start |
58.16 |
| transcript.whisperx[2].end |
80.482 |
| transcript.whisperx[2].text |
這六天裡面來從短短六天就有驗出三批來寄的這個豬肉產品雖然都在那個我們的標準裡面但六天就有三批其實我剛才有沒有提到有退回去的有幾批減出啦減出但沒鈔票有三批那有退關的嗎 |
| transcript.whisperx[3].start |
82.652 |
| transcript.whisperx[3].end |
99.953 |
| transcript.whisperx[3].text |
從租業方面沒有都沒有好因為署長部長和署長要提醒你喔這個對於食安的態度要兢兢業業尤其是我自己做一個媽媽作為一個家庭裡面會開火的 |
| transcript.whisperx[4].start |
101.252 |
| transcript.whisperx[4].end |
118.188 |
| transcript.whisperx[4].text |
食安的把關者其實我的標準我個人的標準不是只有吃了會中毒吃了會有落毒的方向我自己個人是我不想要吃到那我想很多媽媽跟我一樣的心情 |
| transcript.whisperx[5].start |
119.039 |
| transcript.whisperx[5].end |
135.412 |
| transcript.whisperx[5].text |
那我們想的說那就是透明知的權利知的權利其實就是這樣子而已你其實對抗WTO的貿易架構就是這樣子你強迫我們開了邊界我們就讓你進來但我消費者可以不買啊 |
| transcript.whisperx[6].start |
136.485 |
| transcript.whisperx[6].end |
164.605 |
| transcript.whisperx[6].text |
就全體的世界貿易都一直都有這種情節啊你強迫我開放那我就是我可以選擇不吃不買但是國家要扮演什麼你沒有去標籤化它但是你不可以講說這個署長你丟了一句說沒見過有人吃萊克多巴胺牛肉中毒的用這種態度來善效擔心的民眾我覺得唯一不需要的是這樣子你應該想的是 |
| transcript.whisperx[7].start |
165.626 |
| transcript.whisperx[7].end |
189.596 |
| transcript.whisperx[7].text |
人民真的很擔心因為我有選擇不吃的這個權利啊我自己因為每個人的健康管理風險都是每個人在負責的我不想要而我有慢性的我代謝疾病我慢性三高的所以這種狀況裡面你在講講得很得意洋洋說你們科學的方法在把關你們的這個border protection whatBPI你們在做什麼其實 |
| transcript.whisperx[8].start |
193.652 |
| transcript.whisperx[8].end |
203.414 |
| transcript.whisperx[8].text |
我們都希望有政府是邊境裡面源頭把關邊境如果6天就也撿到3批雖然沒有超標那有沒有可能 |
| transcript.whisperx[9].start |
203.959 |
| transcript.whisperx[9].end |
220.871 |
| transcript.whisperx[9].text |
在邊境裡面其實就應該要把查驗的這個強度稍微提高一下加強邊境和後市場的稽查那你在這個過程當中你一直以幾個數據來告訴我們譬如說你的新聞稿寫2021年1月1號到2025年4月30邊境報驗的豬肉和豬雜碎共計兩萬 |
| transcript.whisperx[10].start |
228.556 |
| transcript.whisperx[10].end |
231.098 |
| transcript.whisperx[10].text |
5466批110年到114年4月間後市場對進口及國產豬肉的產品共檢驗18501件檢驗這個萊克多巴胺結果皆合格 |
| transcript.whisperx[11].start |
244.103 |
| transcript.whisperx[11].end |
259.151 |
| transcript.whisperx[11].text |
你是這樣寫的嘛但是我要問你是說你是不是應該公佈的不是這五年裡面我減了多少每一年你減多少因為我們知道剛開始的那一年減的數量是最多的也就是2021年110年減的批次最多那到2024、2025年其實都遞減了 |
| transcript.whisperx[12].start |
269.167 |
| transcript.whisperx[12].end |
283.571 |
| transcript.whisperx[12].text |
所以邊境抽驗的比例其實是大幅遞減的在用遞減裡面六天就檢驗出三批含有萊劑雖然沒有超標但是我們說如果在那個主管機關的立場你應該告訴大家說那我來加強邊境的把關我是不是要把抽驗的批次再增加一點當你增加了檢驗出來了覺得風險沒有增加 |
| transcript.whisperx[13].start |
297.13 |
| transcript.whisperx[13].end |
315.956 |
| transcript.whisperx[13].text |
那這樣子對人民才有交代啊而不是在這裡說吃了要吃沒多少啦 這都合格吃不死啦我們的標準你的 如果你要講科學數據 科學分析那麼你應該把每一年減幾批公佈出來啊 每一年啊讓我們看到從2021到2025是逐年遞減的你就不要糊弄我們用一個總的數據嘛所以 |
| transcript.whisperx[14].start |
322.459 |
| transcript.whisperx[14].end |
339.075 |
| transcript.whisperx[14].text |
萊劑的安全容許量是一回事我們有標準也是一回事但我們也有不想吃到的權利所以不要以每天吃也不會死沒看到過有人因為吃萊劑而中毒這樣的說法太輕率了 |
| transcript.whisperx[15].start |
342.398 |
| transcript.whisperx[15].end |
365.284 |
| transcript.whisperx[15].text |
這個凸顯了官僚的心態以外也忽視了民眾對於自我健康管理的這個差異和我選擇的自由所以每個人的身體狀況不一樣代謝功能也不一樣你吃了沒事不代表我不會不舒服或不是或者是他不會生病可是我吃了就不舒服我就沒有辦法適應或是我就是根本就不想吃嘛 |
| transcript.whisperx[16].start |
369.245 |
| transcript.whisperx[16].end |
395.984 |
| transcript.whisperx[16].text |
所以民眾做飲食選擇的依據食安的標準從來都不該指示會不會吃了會不會死吃了以後會不會生病或者你上次罵我們的是知識的缺乏才會擔心不是不是你上次罵我上次質詢你罵我們的會擔心的都是因為知識的缺乏而非基於科學的風險評估 |
| transcript.whisperx[17].start |
398.218 |
| transcript.whisperx[17].end |
406.689 |
| transcript.whisperx[17].text |
我覺得這個態度才是最重要的不然說我吃不死啊我對食安的標準不是吃了會死的也不是說吃了會中毒的不是你要安人民的心啊 沒錯你說看嘛 對不對 |
| transcript.whisperx[18].start |
414.278 |
| transcript.whisperx[18].end |
436.148 |
| transcript.whisperx[18].text |
報告委員,我想我們都是天下父母親,我完全了解我們吃東西要怎麼吃,那署長他也是人家的天下父母親,但是他以他過去的...對啊,他是食藥署署長啊,你不可以做一個父母說你快點吃,吃了就不會中毒,吃了就不會死,用這種標準來看待食安啊 |
| transcript.whisperx[19].start |
436.448 |
| transcript.whisperx[19].end |
462.706 |
| transcript.whisperx[19].text |
他的意思是說他用的專業 事實上真的希望讓大家安心好啦 署長你再看一下啦我剛剛講的 當你檢驗你邊境查驗逐年遞減 而六天查到3P有減出雖然沒有超標 但是不是應該要稍微提高一下你的邊境的抽驗原來你源頭把關好了 不要流落到後市場去嘛 |
| transcript.whisperx[20].start |
463.226 |
| transcript.whisperx[20].end |
464.047 |
| transcript.whisperx[20].text |
我們最討厭聽到業者自律,因為的確業者不可能自律 |
| transcript.whisperx[21].start |
486.415 |
| transcript.whisperx[21].end |
513.26 |
| transcript.whisperx[21].text |
從所有食品安全破功我們都是建立在業者自律結果我們發現 屢屢發現業者自律 要求業者自律這個事情是不可能存在的都必須要他律啊對 我的意思是說這次呢 業者自己跳出來說他不需要銷出去 然後暫時都沒有要我是說他這個部分 他要做這件事其實我們都尊重他們啊對啦 我的意思是說你不應該告訴人民說這吃了沒中毒 吃了沒死不是用這個標準 |
| transcript.whisperx[22].start |
515.88 |
| transcript.whisperx[22].end |
539.767 |
| transcript.whisperx[22].text |
報告委員我們對食安的標準不是這樣子我的意思是說對於食品安全的這個風險的評估裡面我們知道科學上的風險是什麼是是但我們要有知的權利我沒有說不定標準或是不准進來但我可以選擇不要不吃到不買對我說所以我在也非常同意委員這邊的提點但你這我責任是你必須要趕快掐牆查驗看看有沒有超標的 |
| transcript.whisperx[23].start |
545.441 |
| transcript.whisperx[23].end |
572.159 |
| transcript.whisperx[23].text |
你應該提高查驗的這個批次然後告訴我們超標的幾乎沒有 雖然都有檢出但澳洲的全部都有檢出 譬如說是不是這樣子讓我們有知道風險 把關風險的能力要先有資訊啊我們針對這個抽驗的部分我們會持續的去做一些積極的評估我們也待會去做一些考慮謝謝委員的支持好 |
| transcript.whisperx[24].start |
572.839 |
| transcript.whisperx[24].end |
588.522 |
| transcript.whisperx[24].text |
因為你的數據其實也有一點玩弄你不敢講逐年遞減這種事好沒關係我來問一下長照的事情部長這個台灣進入超高齡社會這個平均壽命是80.2男生76.9女生83.7那特別要強調這個數據是因為這個數據關係到整體長照的負荷和效能你從2.0要到3.0但是人力和財源要同時到位 |
| transcript.whisperx[25].start |
602.085 |
| transcript.whisperx[25].end |
621.78 |
| transcript.whisperx[25].text |
因為它影響到服務的品質還有它的可進性如果前端階段有效介入那麼延後減緩進入長照體系的速度所以資源的配置要很精準要提升照顧的品質這個是制度設計的這個關鍵也是政策精準化的重要方向好 那我現在要跟你討論的是腦中風年輕化這件事 |
| transcript.whisperx[26].start |
625.622 |
| transcript.whisperx[26].end |
651.233 |
| transcript.whisperx[26].text |
腦中風年輕化我們的長照體系可以接得住這一群45歲以下就中風失能的人嗎你回答我45歲以下就失能的人我們的長照有辦法接得住他們嗎那報告委員喔這個也是很重要的議題所以我們在長照3.0會把這個部分你要怎麼接進去 |
| transcript.whisperx[27].start |
652.25 |
| transcript.whisperx[27].end |
668.588 |
| transcript.whisperx[27].text |
那個請次長回答一下非常感謝委員我想三個重點第一個我們現在3.0我們現在會來放寬就是說如果說有這一個有這個部分的話我們之前大概都是65歲以上對等等那些嘛那我們現在如果說有這個部分的話我們會來放寬 |
| transcript.whisperx[28].start |
670.35 |
| transcript.whisperx[28].end |
691.091 |
| transcript.whisperx[28].text |
你是要從年齡去放寬還是要從什麼資格因為你就室內的資格我跟委員報告其實主要是從我們住院那個PAC就是那個基金後期你都青菜公共幫委員這不是青菜公共我也知道就是現在目前中風確實有年輕化的現象你知道有多嚴重中風的人裡面幾個有一個是年輕人45歲以下你知道嗎 |
| transcript.whisperx[29].start |
692.686 |
| transcript.whisperx[29].end |
721.769 |
| transcript.whisperx[29].text |
你知不知道以前中風的比例年輕人大概占5到6%現在到幾%你知道嗎你沒有去正視這個問題你連數據都沒有幾%你知道嗎中風的人裡面有幾%是年輕人啊45歲以下你不知道我告訴你不用叫他們給你數據了15到18%而且每七個就有一個是45歲以下而且45歲以下青壯年正值事業的巔峰啊 |
| transcript.whisperx[30].start |
722.429 |
| transcript.whisperx[30].end |
738.166 |
| transcript.whisperx[30].text |
在這種狀況對家庭對他個人對整個社會的衝擊何其大那我們在講是說你知道而且都以哪一種中風有兩種出血型還有阻射型嘛你知道年輕人的中風跟老年人的中風有沒有顯著的不一樣你知道嗎 |
| transcript.whisperx[31].start |
738.966 |
| transcript.whisperx[31].end |
755.483 |
| transcript.whisperx[31].text |
年輕人是出血型比較多年輕人是出血型比較多年老的人出血型中風只佔了兩成但年輕人的中風大概五六成都是出血性的中風而且男生佔了六七成我講男生而且都是家計負擔者 |
| transcript.whisperx[32].start |
756.984 |
| transcript.whisperx[32].end |
785.933 |
| transcript.whisperx[32].text |
這很重要所以在這種狀況裡面他的代謝疾病很多人都不知道自己糖尿病不曉得自己高血脂都不知道自己有三高45歲以下誰會想到自己離死神有多遠或多近那我要問你一次說你剛剛講說PAC我現在要問你喔中風的黃金復健期是多久半年半年好那你的PAC要接觸的人有辦法接觸這一群嗎 |
| transcript.whisperx[33].start |
787.151 |
| transcript.whisperx[33].end |
806.486 |
| transcript.whisperx[33].text |
包委我們現在目前的做法是這樣現在就是在出院準備之後我們現在目前當然就是說我們現在一方面當然是縮短嘛對不對縮短之後然後現在我們也跟健保署這邊在加強加強合作就是說整個天數上面的那個縮短還有另外一個就是說我們就是沒有啦你不是天數而已啦 |
| transcript.whisperx[34].start |
806.886 |
| transcript.whisperx[34].end |
814.85 |
| transcript.whisperx[34].text |
還有中介機構就是說你現在目前整個你要回到家中間呢我們現在也在輔導你們PAC從2014年開始做這個名稱叫腦中風急性後期的照護他要解決住院的天數的問題還有復健連續性的問題然後呢在急性後期的照護進入穩定期以後轉介到復健的專門醫院在這種狀況裡面我們要講的是說他為什麼 |
| transcript.whisperx[35].start |
835.88 |
| transcript.whisperx[35].end |
845.165 |
| transcript.whisperx[35].text |
這個東西很好 效果很好 成效很好可是很多人沒有辦法使用的原因是在他的門檻很高他的門檻有多高 你知道嗎 |
| transcript.whisperx[36].start |
846.394 |
| transcript.whisperx[36].end |
870.373 |
| transcript.whisperx[36].text |
要使用PAC計畫必須個案本身體力需要承受大量密集的復健運動醫療團隊判斷需要具備積極復健的潛能者第一要具備基本認知學習能力和意願第二要具備足夠的體力支撐下能於輪椅或船員至少為止一個小時的坐姿自己有辦法坐一小時的啊 |
| transcript.whisperx[37].start |
873.695 |
| transcript.whisperx[37].end |
901.617 |
| transcript.whisperx[37].text |
我現在要說的是說能夠進入PAC計畫的腦中風患者相對的都是失能的程度沒有那麼嚴重的啦沒有那麼嚴重的所以你這一個條件沒有改變其實年輕人一中風失能程度嚴重他沒有辦法進入PAC啊甚至他沒有任何可以接住他們因為你長照服務的四大類型適用資格是什麼 |
| transcript.whisperx[38].start |
902.738 |
| transcript.whisperx[38].end |
921.441 |
| transcript.whisperx[38].text |
保委我們現在主要大概就是那個65歲以上CMS2-8另外就是我們原住民55歲還有那個還有身障身障還有50歲以上失智但是如果年輕的中風者要符合哪一個條件 |
| transcript.whisperx[39].start |
922.362 |
| transcript.whisperx[39].end |
937.916 |
| transcript.whisperx[39].text |
只能夠等到身心障礙者的身份我們現在目前在3.0的時候我們現在目前會在整個資格上面來說來做放寬你要放寬到哪裡我現在跟你講你要先知道問題在哪裡因為你要等到他確定是殘障領到殘障所措才能進入失能的體系去 |
| transcript.whisperx[40].start |
938.857 |
| transcript.whisperx[40].end |
962.688 |
| transcript.whisperx[40].text |
那要經過半年觀察他不會認為醫療機構還有這個鑑定機構不會認為你一中風就是永久性的失能所以一定要失能一陣子確認你失能了才要給你證明你才有辦法進入長照體系那可是跟我們的黃金復健期剛好是衝突的我必須在黃金復健期馬上做這個復健然後呢否則的話 |
| transcript.whisperx[41].start |
966.512 |
| transcript.whisperx[41].end |
990.29 |
| transcript.whisperx[41].text |
可是跟黃金復健期這個年輕的中風者必須要幹什麼嗎他必須要不斷的換醫院不斷的轉換醫院雖然你們從109年開始就刪除了住院日數30天的品質指標但是每個大型醫院都會告訴腦中風的患者管你45歲以下還是45歲以上28天通通要出院 |
| transcript.whisperx[42].start |
991.19 |
| transcript.whisperx[42].end |
1018.805 |
| transcript.whisperx[42].text |
理由就是病情穩定了你希望後面還有很多人中風的要用這個資源所以這復健科還不到一個月28天的年輕的中風的人他就要開始找醫院然後呢他的復健之路何其漫長他的黃金復原期很重要可是呢如果一個年輕人你在做黃金復健的時候你沒有接住他你讓他變成永久失能永久躺在那裡 |
| transcript.whisperx[43].start |
1020.086 |
| transcript.whisperx[43].end |
1031.783 |
| transcript.whisperx[43].text |
這個國家的長照 未來的長照體系 國家的醫療資源這樣不好啊 你在黃金時期讓他趕快的復原能夠復原到相當程度 能夠生活自理 能夠照顧自己 |
| transcript.whisperx[44].start |
1034.631 |
| transcript.whisperx[44].end |
1057.052 |
| transcript.whisperx[44].text |
這個頭三個月這樣的一個黃金的恢復期物理治療職能治療語言治療在這種狀況裡面他才是要搶救我們第一優先資源要配置在他們身上可是我們就目前的制度沒有接觸他們沒有所以照顧者45歲以下有可能剛結婚耶他的配偶或是他的貓 |
| transcript.whisperx[45].start |
1058.134 |
| transcript.whisperx[45].end |
1062.157 |
| transcript.whisperx[45].text |
父母誰可以放下手邊的家庭和工作甚至小孩2歲 3歲 5歲 10歲 |
| transcript.whisperx[46].start |
1065.243 |
| transcript.whisperx[46].end |
1091.741 |
| transcript.whisperx[46].text |
誰可以來接住他們他光是在都市裡面尋求大型醫院的復健科要銜接黃金復健期都已經很困難了如果你在鄉下地區醫療資源相對不特別充裕的縣市其實這些年輕的中風者會出現不論是醫療體系或是健保甚至是患者家庭最不願意看的狀況他們會躺好躺滿一直躺到生命結束 |
| transcript.whisperx[47].start |
1093.286 |
| transcript.whisperx[47].end |
1116.615 |
| transcript.whisperx[47].text |
這是不應該的所以這是不應該的你覺得我們 部長你覺得我們要讓他們這樣子吧年輕中風七個就有一個這麼嚴重 報告委員真的很感謝齁您把這個重要的問題也是一直長期這幾年來大家心中的覺得比較需要解決的問題提出來沒有啦 說真的 說的空的我沒理由 我就跟你說啦所以你們回去要想3.0的會努力 |
| transcript.whisperx[48].start |
1121.437 |
| transcript.whisperx[48].end |
1128.401 |
| transcript.whisperx[48].text |
3.0要怎麼努力好好的想一下要第一優先要接觸的是年輕的中風的人中風和醫療和長照的關係是什麼 |
| transcript.whisperx[49].start |
1133.957 |
| transcript.whisperx[49].end |
1153.14 |
| transcript.whisperx[49].text |
跟委員報告這個從開始早先的這個症狀就要警覺啦然後呢我們健保現在有擴大那個取栓數的黃金時間最早的那段時間所以取栓數我們擴大到24小時血栓溶解劑你現在講治療醫療你現在講醫療我現在講的是長照體系要怎麼先接住他們所以我剛剛講了幾個課題嘛醫療長照 |
| transcript.whisperx[50].start |
1163.363 |
| transcript.whisperx[50].end |
1163.384 |
| transcript.whisperx[50].text |
哼 |
| transcript.whisperx[51].start |
1165.306 |
| transcript.whisperx[51].end |
1191.66 |
| transcript.whisperx[51].text |
醫療和長照和復健所以私能的部分我們現在的PAC有三種樣態啦有住院PAC有日間照護的PAC跟居家的PAC那剛剛委員講的是說要不要再把這個進PAC的條件再放寬一些因為過去呢大家討論的都是比較有potential復健的那一些才進PAC相對輕症啦不是potential啦 |
| transcript.whisperx[52].start |
1193.911 |
| transcript.whisperx[52].end |
1210.134 |
| transcript.whisperx[52].text |
相對輕症 因為對你們來講相對輕症這種看起來改善率很好嘛可是我要告訴你是說即使不符合住院型PAC 收案的條件但也不代表要放棄他們也不代表說他們沒有需求 |
| transcript.whisperx[53].start |
1210.615 |
| transcript.whisperx[53].end |
1218.262 |
| transcript.whisperx[53].text |
他也是會進入尋常的復健他還是有復健尋常的哪裡有尋常的復健過去衛福部示範過護理之交的PAC啦但是這個非醫院主導模式的role model |
| transcript.whisperx[54].start |
1225.908 |
| transcript.whisperx[54].end |
1230.269 |
| transcript.whisperx[54].text |
沒有後續沒有繼續試辦你們的PAC健保給醫院你們沒有下放到地區的這種護理之家住宿型的復健照顧機構你們這個體制我不管你用什麼方法我只想要看到年輕的腦中風的這一些人我們要在黃金時期整個長照體系照護體系要接住他們 |
| transcript.whisperx[55].start |
1255.619 |
| transcript.whisperx[55].end |
1275.084 |
| transcript.whisperx[55].text |
對不對我想我們會把醫療跟長照結合起來如果接不住那些有需求的年輕人未來累積的醫療費用更多長照支出更多社會支援成本更多都變成個人和整個社會難以承擔的壓力一個是走壞地方跟一個不會走壞地方 |
| transcript.whisperx[56].start |
1277.826 |
| transcript.whisperx[56].end |
1295.483 |
| transcript.whisperx[56].text |
你要照顧的時間不一樣資源不一樣所以你一定要讓他避免越年輕師能照顧越沉重的狀況所以你PAC跟長照銜接的好你資格要放寬你的3.0就是要計畫到那這裡來如果年輕型的腦中風依然沒有辦法納入的話 |
| transcript.whisperx[57].start |
1297.125 |
| transcript.whisperx[57].end |
1317.034 |
| transcript.whisperx[57].text |
那這個問題就根本沒有接觸我們醫療跟長照結合一定會接觸每一個病人我現在告訴你這裡就是沒有接觸的啊我現在告訴你這裡就是沒有被接觸的我們來演繹來改善台灣人長照制度已經涵蓋了重症兒童到高齡的長者逐步來形成這個全民式的照顧的架構可是呢 |
| transcript.whisperx[58].start |
1317.554 |
| transcript.whisperx[58].end |
1346.127 |
| transcript.whisperx[58].text |
透過早期的復健和這個功能的促進要減少後續的醫療支出和長照的支出而年輕型的腦狀風這一類型就是最關鍵的一個族群了是我們台灣醫療水準很高不能不容許讓我們的病人不是醫療水準而已啦醫療跟長照跟長照我請問一下那個署長那個復健不是在長照也都有護嗎 |
| transcript.whisperx[59].start |
1347.387 |
| transcript.whisperx[59].end |
1376.094 |
| transcript.whisperx[59].text |
你們不是都有延伸到那個長照機構裡面也有回診那個附件還是有附的你去看也要擺落骨 因為都需要大附件因為前三個月前六個月大概都還需要附件床然後住在那裡然後要去附件但是大型的醫院都沒有床位啦然後這個非大型的醫院的附件人家不會認為他們的附件設施專業是到位的而年輕人需要的就是 |
| transcript.whisperx[60].start |
1376.814 |
| transcript.whisperx[60].end |
1389.401 |
| transcript.whisperx[60].text |
搶救他關鍵那六個月所以這個他的PAC計畫要不要放寬資格因為他很嚴格你自己我都支撐1.1億以上這中方我都自己支撐1.1億以上的中方都是相對比較輕度的再來就是說你的PAC你只有健保給付連動到大醫院沒有連動到護理之家也沒有連動到這個長照的機構沒有給沒有給付點數啦 |
| transcript.whisperx[61].start |
1404.929 |
| transcript.whisperx[61].end |
1413.601 |
| transcript.whisperx[61].text |
都沒有,所以這問題很嚴重,就是床也不夠可是我想講的是,45歲以下,他真的是關鍵啦要接觸他們啦 |