| IVOD_ID |
169716 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/169716 |
| 日期 |
2026-05-28 |
| 會議資料.會議代碼 |
委員會-11-5-26-12 |
| 會議資料.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 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
5 |
| 會議資料.會次 |
12 |
| 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 |
2026-05-28T13:52:12+08:00 |
| 結束時間 |
2026-05-28T14:02:37+08:00 |
| 影片長度 |
00:10:25 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/89665fc2cee9c36777fa3efb9111c9787a79f49b44e074565fa7a9764a18ff281c9e0eb0984d72d55ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
陳瑩 |
| 委員發言時間 |
13:52:12 - 14:02:37 |
| 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
一、國民黨黨團擬具「失智症基本法草案」案。
二、台灣民眾黨黨團擬具「失智症基本法草案」案。
三、委員林月琴等19人擬具「失智症基本法草案」案。
【僅詢答】【第三案如經復議則不予審查】） |
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| transcript.whisperx[0].start |
7.525 |
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7.925 |
| transcript.whisperx[0].text |
謝主席麻煩請呃呃呃呃呃呃呃呃呃呃呃呃呃呃呃呃 |
| transcript.whisperx[1].start |
39.05 |
| transcript.whisperx[1].end |
44.882 |
| transcript.whisperx[1].text |
先跟你們報告啦我們現在目前基本上它是一個它確實是一個症狀上面的 |
| transcript.whisperx[2].start |
46.728 |
| transcript.whisperx[2].end |
68.086 |
| transcript.whisperx[2].text |
看起來是不容易去不容易去定義因為他確實就是他有那個他有那個血管上面的疾病但是我們現在知道就是說可以知道就是說他症狀上面主要是表現為認知上面因為我其實我其實的我的問題也沒有很困難回答就是有沒有辦法定義有或沒有而已可以去定義他是不是 |
| transcript.whisperx[3].start |
73.305 |
| transcript.whisperx[3].end |
100.584 |
| transcript.whisperx[3].text |
好那我想他是一個因為能定義是他旁邊那個人告訴他的好他是一個專屬的這個疾病所產生的症狀對沒錯那還是說有很多疾病所產生共同的症狀因為很多人呢都會把這個阿茲海默症等同於這個失智症那如果不是這樣的話沒錯 |
| transcript.whisperx[4].start |
102.225 |
| transcript.whisperx[4].end |
120.002 |
| transcript.whisperx[4].text |
那麼我們是不是還有很多的疾病他也有可能引起失智症對沒錯因為他的病因是非常非常多元的所以在醫學上我們是不是已經完全掌握失智症引起的原因或者是疾病呢有完全掌握 |
| transcript.whisperx[5].start |
121.238 |
| transcript.whisperx[5].end |
134.371 |
| transcript.whisperx[5].text |
我們到目前為止大概就是說醫學上面大概有研究大概就有那個比如說那多元的一些的因素所導致所以大部分都掌握到了好那旁邊的同意嗎 |
| transcript.whisperx[6].start |
140.663 |
| transcript.whisperx[6].end |
157.492 |
| transcript.whisperx[6].text |
那也有可能你們不知道的原因也有可能那我們辦公室查了一下就是引起失智症的原因很多那原則上呢是腦部裡面的不同細胞組織血管發生病變而導致腦細胞死亡或者退化 |
| transcript.whisperx[7].start |
158.532 |
| transcript.whisperx[7].end |
170.801 |
| transcript.whisperx[7].text |
造成這個記憶或認知的逐漸喪失那類型呢大概包括了阿茲海默症血管性失智症入液體失智症以及額涅涅失智症等等好到目前為止我應該還沒有講錯啦好 |
| transcript.whisperx[8].start |
173.543 |
| transcript.whisperx[8].end |
194.597 |
| transcript.whisperx[8].text |
所以在定定是日正基本法的時候我們是不是應該對於要處理的問題要有明確的界定才能去討論處理的方法才能夠了解說它的效益高不高我想在台上備詢的各位應該都還可以認同 |
| transcript.whisperx[9].start |
196.098 |
| transcript.whisperx[9].end |
217.785 |
| transcript.whisperx[9].text |
好接下來本席想要請教的是既然叫做這個基本法而不是叫做這個防治法那我們這部法案的立法目的是為了預防呢還是以強化治療的這個醫療資源特別投入或者是為了補助民眾照護支持是哪些部分嗎 |
| transcript.whisperx[10].start |
221.046 |
| transcript.whisperx[10].end |
235.436 |
| transcript.whisperx[10].text |
這個可能這幾個部分或許或許這幾個部分都會包括好那一般而言失智症好像很難去預防那診斷後的這個治療失智症是可以預防的 |
| transcript.whisperx[11].start |
236.4 |
| transcript.whisperx[11].end |
249.852 |
| transcript.whisperx[11].text |
就是現在目前我沒有說他不能預防我只是說他很難預防應該對很難因為原因很多那診斷後的這個治療似乎也很難痊癒 |
| transcript.whisperx[12].start |
251.913 |
| transcript.whisperx[12].end |
276.422 |
| transcript.whisperx[12].text |
應該不容易頂多就是說目前我大概了解到大概就是延後病程的發展那終究就是說還是要回歸到家人的照顧關懷所以重擔基本上都是由這個家庭來承擔所以呢要請問一下次長在這部法案通過之後我們預期給病人或者他的這個家人要給他們什麼樣的協助 |
| transcript.whisperx[13].start |
277.261 |
| transcript.whisperx[13].end |
297.14 |
| transcript.whisperx[13].text |
一般來說我先跟委員報告我們現在現有我們現在目前長照3.0裡面大概主要三個部分一個先是篩檢然後再來就是那個就是診斷然後最後治療您現在所說的部分可能比較比較傾向應該是大概是治療的部分治療部分我們今天健保署那邊也有提供數字我們現在目前大概 |
| transcript.whisperx[14].start |
297.98 |
| transcript.whisperx[14].end |
323.957 |
| transcript.whisperx[14].text |
大概服務大概15萬我們total大概現在目前大概38萬那現在目前有來健保這邊請您給付的大概是大概15萬那除了這個部分之外可能到時候或許可能還有包括就是照顧者一個是他病患本身病患本身當然就是又服用藥物另外一個就是有關他家庭照顧者方面的一些相關的一些支持 |
| transcript.whisperx[15].start |
325.148 |
| transcript.whisperx[15].end |
351.539 |
| transcript.whisperx[15].text |
好那我想剛剛講很多大部分都屬於在這個歸類在長照的部分我們也確實做了一些做了不少吧是沒錯那我另外再請教就是說衛福部有沒有針對失智症進行過全國性的失智症流行病學有嗎有我們是委託那個國衛院那個盛行率大概7.99好那你剛剛講到盛行率這個盛行率7.99應該是一個年齡層以上的 |
| transcript.whisperx[16].start |
354.7 |
| transcript.whisperx[16].end |
366.246 |
| transcript.whisperx[16].text |
沒有是65歲以上對有這個這個數字我有記得好那這個我剛剛講到盛行率那發生率呢 |
| transcript.whisperx[17].start |
367.677 |
| transcript.whisperx[17].end |
389.469 |
| transcript.whisperx[17].text |
我們發生後面的搖頭要幫忙講嗎發生因為我這邊瞭解的是我們大概都只有做盛行率我們沒有做做這個發生率然後有多高我不知道是因為做不出來還是我們沒有做這個部分是怎麼樣 |
| transcript.whisperx[18].start |
391.61 |
| transcript.whisperx[18].end |
405.829 |
| transcript.whisperx[18].text |
主要是失智症的发生事实上是很隐微的所以我们要我们失智症发生跟中风这种不一样中风是什么时间发生很确定但失智症的发生其实是很隐微的你没有办法找到一个明确的发生点所以要做发生率其实很困难 |
| transcript.whisperx[19].start |
406.291 |
| transcript.whisperx[19].end |
420.801 |
| transcript.whisperx[19].text |
好 謝謝但是我想好發在什麼樣的民眾例如說年齡性別教育程度收入限制別或者是職業類別族群等差異我想這個應該是可以去 |
| transcript.whisperx[20].start |
421.721 |
| transcript.whisperx[20].end |
444.668 |
| transcript.whisperx[20].text |
去理解了吧舉例來說比如說原住民的失智症的發生率有沒有比這個全國性民眾還要高或者是說台灣特定有哪個區域的民眾或者是偏鄉離島因為這個醫療資源比較匱乏的地方是不是發生率就比較高所以這個我們有沒有做研究 |
| transcript.whisperx[21].start |
446.127 |
| transcript.whisperx[21].end |
461.585 |
| transcript.whisperx[21].text |
我們現在目前大概從那個人口學的那個相關研究大概會有幾個部分確實一個是偏鄉第二個就是那個低所得者還有另外就是教育程度偏低這三個變相是影響的解釋它差異的一個變相 |
| transcript.whisperx[22].start |
462.725 |
| transcript.whisperx[22].end |
480.513 |
| transcript.whisperx[22].text |
因為本席只是在這裡沒有雖然沒有科學根據但是有一些現象我覺得就是說像目前現在的這個通訊軟體問世然後廣泛被使用而且我們在我們譬如說我們這個LINE訊息是屬於一個爆炸的狀態 |
| transcript.whisperx[23].start |
482.614 |
| transcript.whisperx[23].end |
496.895 |
| transcript.whisperx[23].text |
一個問題還沒回應完另外一個問題又進來但我覺得這個長期下來似乎是不是對我們腦細胞也會造成某種程度的損我想這個也值得我們未來去探討一下這樣子的相關的研究這樣的原因 |
| transcript.whisperx[24].start |
498.216 |
| transcript.whisperx[24].end |
525.461 |
| transcript.whisperx[24].text |
最後我想要強調的是失智症它是一個很棘手的健康問題隨著我們平均餘命的增加將會是我們台灣每一個家庭每一個縣市政府都可能面對的問題所以我們既然採取了這個法案名稱叫做基本法而不是防治法所以我們要思考的問題的角度就應該是要以人為本而不是以疾病為本位 |
| transcript.whisperx[25].start |
526.661 |
| transcript.whisperx[25].end |
548.292 |
| transcript.whisperx[25].text |
以人為本位呢我們就要基於公平性給予較弱勢的這個族群比較多的支持所以相關的這些預防治療長照財務補助應該要成為這部法案訂定時的一個重要思考那我們也要以這個科學以及專業的基礎跟政策那需要你們事先掌握 |
| transcript.whisperx[26].start |
548.832 |
| transcript.whisperx[26].end |
572.583 |
| transcript.whisperx[26].text |
失智症的人口学分布了解哪些疾病或原因它会造成失智症再来决定要投入什么样的资源跟我们全国的民众站在一起给予病友跟家人最大的支持我想这些都是很重要的那特别是在就是我刚刚特别提到一些医疗资源不均的地区像偏乡里岛及原住民族地区那因为 |
| transcript.whisperx[27].start |
573.283 |
| transcript.whisperx[27].end |
595.707 |
| transcript.whisperx[27].text |
我們到底如何要因為這部法案的訂定能夠得到衛福部的支持而不是說再繼續擔心受怕我想我們把這件事情做好衛福部大家每一個人都功德無量我們會來朝這個方向來努力特別是委員非常關心的像東部這邊確實應該要投入更多的資源 |
| transcript.whisperx[28].start |
599.824 |
| transcript.whisperx[28].end |
621.538 |
| transcript.whisperx[28].text |
好我想今天大概就幾個概念跟大家溝通那特別那個就是說這個失智症的人口人口血分布的問題還有剛剛幾個原因要去探討問題都希望你們能夠加強做研究好的好謝謝非常感謝陳英文的關心謝謝好謝謝陳英文的質詢會議討論全部結束現在做一下 |