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106.814, \"score\": 0.967}, {\"word\": \"我\", \"start\": 106.814, \"end\": 107.275, \"score\": 0.98}, {\"word\": \"們\"}, {\"word\": \"要\", \"start\": 107.275, \"end\": 107.475, \"score\": 0.999}, {\"word\": \"非\", \"start\": 107.475, \"end\": 107.575, \"score\": 0.776}, {\"word\": \"常\", \"start\": 107.575, \"end\": 108.295, \"score\": 0.972}, {\"word\": \"重\", \"start\": 108.295, \"end\": 108.736, \"score\": 0.928}, {\"word\": \"視\"}, {\"word\": \",\"}, {\"word\": \"而\", \"start\": 108.736, \"end\": 108.856, \"score\": 0.91}, {\"word\": \"且\", \"start\": 108.856, \"end\": 108.976, \"score\": 0.833}, {\"word\": \"要\", \"start\": 108.976, \"end\": 109.176, \"score\": 0.996}, {\"word\": \"去\", \"start\": 109.176, \"end\": 109.336, \"score\": 0.929}, {\"word\": \"努\", \"start\": 109.336, \"end\": 109.517, \"score\": 0.996}, {\"word\": \"力\", \"start\": 109.517, \"end\": 109.937, \"score\": 0.988}, {\"word\": \"解\", \"start\": 109.937, \"end\": 110.057, \"score\": 0.831}, {\"word\": 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{\"word\": \"囤\"}, {\"word\": \"積\"}, {\"word\": \"原\", \"start\": 121.75, \"end\": 121.95, \"score\": 0.928}, {\"word\": \"料\", \"start\": 121.95, \"end\": 123.052, \"score\": 0.983}, {\"word\": \"用\", \"start\": 123.052, \"end\": 123.472, \"score\": 0.999}, {\"word\": \"下\", \"start\": 123.472, \"end\": 123.692, \"score\": 0.943}, {\"word\": \"一\", \"start\": 123.692, \"end\": 123.812, \"score\": 0.884}, {\"word\": \"次\", \"start\": 123.812, \"end\": 123.953, \"score\": 0.991}, {\"word\": \"要\", \"start\": 123.953, \"end\": 124.173, \"score\": 0.999}, {\"word\": \"做\", \"start\": 124.173, \"end\": 125.214, \"score\": 0.94}, {\"word\": \"調\"}, {\"word\": \"整\", \"start\": 125.214, \"end\": 125.374, \"score\": 0.999}, {\"word\": \"的\", \"start\": 125.374, \"end\": 125.554, \"score\": 0.999}, {\"word\": \"部\", \"start\": 125.554, \"end\": 125.775, \"score\": 0.943}, {\"word\": \"分\", \"start\": 125.775, \"end\": 125.795, \"score\": 0.081}]}, {\"start\": 126.355, \"end\": 152.844, \"text\": \"那我們當然不希望不希望說藥商在這種情形之下他有進口的這個原料或者是生產的原料而不去生產那其實我們很希望說落實藥品的原料的進口管理是要有一個更好的方式那請問一下部長或署長針對國內藥商進口原物料的相關數據這邊有沒有適當的掌握尤其是好請\", \"words\": [{\"word\": \"那\", \"start\": 126.355, \"end\": 126.475, \"score\": 0.945}, {\"word\": \"我\", \"start\": 126.475, \"end\": 126.735, \"score\": 0.881}, {\"word\": \"們\"}, {\"word\": \"當\"}, {\"word\": \"然\", \"start\": 126.735, \"end\": 126.855, \"score\": 0.884}, {\"word\": \"不\", \"start\": 126.855, \"end\": 127.035, \"score\": 0.999}, {\"word\": \"希\", \"start\": 127.035, \"end\": 127.275, \"score\": 0.941}, {\"word\": \"望\", \"start\": 127.275, \"end\": 127.976, \"score\": 0.999}, {\"word\": \"不\", \"start\": 127.976, \"end\": 128.096, \"score\": 0.996}, {\"word\": \"希\", \"start\": 128.096, \"end\": 128.216, \"score\": 0.992}, {\"word\": \"望\", \"start\": 128.216, \"end\": 129.096, \"score\": 0.948}, {\"word\": \"說\"}, {\"word\": \"藥\"}, {\"word\": \"商\", \"start\": 129.096, \"end\": 129.576, \"score\": 0.959}, {\"word\": \"在\", \"start\": 129.576, \"end\": 130.076, \"score\": 0.92}, {\"word\": \"這\"}, {\"word\": \"種\"}, {\"word\": \"情\", \"start\": 130.076, \"end\": 130.236, \"score\": 0.987}, {\"word\": \"形\", \"start\": 130.236, \"end\": 130.437, \"score\": 0.962}, {\"word\": \"之\", \"start\": 130.437, \"end\": 130.577, \"score\": 0.999}, {\"word\": \"下\", \"start\": 130.577, \"end\": 131.457, \"score\": 0.999}, {\"word\": \"他\", \"start\": 131.457, \"end\": 131.677, \"score\": 0.924}, {\"word\": \"有\", \"start\": 131.677, \"end\": 132.737, \"score\": 0.981}, {\"word\": \"進\"}, {\"word\": \"口\", \"start\": 132.737, \"end\": 132.957, \"score\": 1.0}, {\"word\": \"的\", \"start\": 132.957, \"end\": 133.738, \"score\": 0.947}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"原\", \"start\": 133.738, \"end\": 133.918, \"score\": 0.935}, {\"word\": \"料\", \"start\": 133.918, \"end\": 134.238, \"score\": 0.998}, {\"word\": \"或\", \"start\": 134.238, \"end\": 134.358, \"score\": 0.995}, {\"word\": \"者\", \"start\": 134.358, 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{\"word\": \"謝\"}, {\"word\": \"王\", \"start\": 620.718, \"end\": 620.898, \"score\": 0.888}, {\"word\": \"正\", \"start\": 620.898, \"end\": 621.078, \"score\": 0.884}, {\"word\": \"旭\", \"start\": 621.078, \"end\": 621.198, \"score\": 0.833}, {\"word\": \"委\", \"start\": 621.198, \"end\": 621.219, \"score\": 0.0}, {\"word\": \"員\"}], \"language\": \"zh\"}","srt":"1\n00:00:09,212 --> 00:00:27,163\n主席好那有請薛部長還有吳署長好請薛部長吳署長部長好署長好我們今天要談的就是缺藥問題嘛那我來自醫界\n\n2\n00:00:28,334 --> 00:00:45,823\n所以對於這個缺藥問題也是感同身受不過我想大家更重視的就是如何能夠解決這樣的困境跟問題不過本席也認同也知道說其實健保缺藥的這個問題大家把它歸咎在健保藥價調整\n\n3\n00:00:48,144 --> 00:01:11,616\n這個不是唯一的因素這可能是其中一個因素可是並不是唯一的因素那我們也從這個貴組委的報告裡面知道其實缺藥的原因是相當相當的多包括我們目前所能夠了解的生產問題、供應問題還有國內需求增加的部分尤其是在後疫情的時代\n\n4\n00:01:12,216 --> 00:01:25,858\n很多的這些民眾尤其是兒童們會因為免疫負債造成某一些藥物的需求增加除了一些慢性病以外那這一部分因為三呼吸道感染所需要的這個藥物\n\n5\n00:01:27,557 --> 00:01:50,457\n某些抗生素真的是特別增加,包括像這個部長很辛苦,也受到影響。所以我想應該是通盤的來了解,那如果針對某一類比較會容易造成這個市場需要而受影響的藥物,希望能夠有更有效的方式來做處理。所以的確缺藥是我們要非常重視,而且要去努力解決的部分。\n\n6\n00:01:51,619 --> 00:02:05,795\n我們也了解藥品短缺因素是非常非常多元的其中有一項就是會不會藥商有預期的心理希望能夠囤積原料用下一次要做調整的部分\n\n7\n00:02:06,355 --> 00:02:32,844\n那我們當然不希望不希望說藥商在這種情形之下他有進口的這個原料或者是生產的原料而不去生產那其實我們很希望說落實藥品的原料的進口管理是要有一個更好的方式那請問一下部長或署長針對國內藥商進口原物料的相關數據這邊有沒有適當的掌握尤其是好請\n\n8\n00:02:36,009 --> 00:02:54,063\n在整個邊境,我們其實都能夠掌握原料要進口的情形是,因為我們很擔心就是,其實國內有原物料可是呢,它卻是缺貨,這部分我們希望能夠確實地落實囤積的可能性大概不大,因為這些都有效期的問題\n\n9\n00:02:55,044 --> 00:03:21,172\n是了解所以我們也希望這部分不是一個因素之一啦能夠造成這種不當的影響的因素現在把它排除那我們如何針對這個有效解決缺藥的部分本席有下列的一些想法包括強化藥品的這個供應的主動監控那其實在去年監察院的報告裡面就告訴我們說\n\n10\n00:03:22,712 --> 00:03:40,961\n藥商是否能依據必要通報來處置?檢察院發現,欠缺主動監測、查核和管理的機制。不知道到目前為止已經半年的時間,有沒有再擬定改善計畫?\n\n11\n00:03:42,994 --> 00:03:58,901\n這部分的話齁那其實是在必要藥品我們的品齁那個一共是多少的品項481481項的品項這我們有做但是全國在用的藥那幾萬項的話大概沒有辦法全部去看啦\n\n12\n00:03:59,481 --> 00:04:15,004\n是,所以如果已經有一些計畫的話那能不能夠提供免息素面資料以作為後續的追蹤那我們也知道其實推展國產的學民藥是一個未來的期待\n\n13\n00:04:15,905 --> 00:04:16,906\n請問目前所謂的\n\n14\n00:04:33,522 --> 00:04:57,141\n益助適當資源有沒有安排哪一些的適當資源在裡面?該委員報告這有關於我們在鼓勵學民藥的這一個部分的話當然也會牽涉到經濟部經濟部他對於這個比方說CDMO或其他的這個我們國內的藥廠的一些鼓勵的措施在那個\n\n15\n00:04:58,402 --> 00:05:12,447\n也相關的法規裡面有那在衛福部這邊的話大概就是用健保的這個方法在健保上面的一些規範來做處理也就是說我們給予這個新發展的學民藥我們會給他這個比較好的一個合價的一個\n\n16\n00:05:21,610 --> 00:05:22,591\n再過來就是有關於這個庫存的部分\n\n17\n00:05:44,927 --> 00:05:58,743\n我們也瞭解建制中盤藥商的藥品監測機制是由他主動監測的部分請問除了主動監測以外我們還有沒有其他可以主動的作為\n\n18\n00:06:00,405 --> 00:06:20,866\n這部分是一個我們新的措施,那要處理的對象主要是社區的藥局還有我們一些診所因為這些診所和社區藥局大概很少能夠直接跟廠商直接訂貨,因為量不夠大\n\n19\n00:06:22,367 --> 00:06:42,238\n所以很多都是透由中盤商來做處理所以中盤商他就會有調度的這種可能性所以在這裡的話我們新的措施裡面就是我們去監測中盤商那哪一些藥如果被通報這一個有缺藥的時候我們就看去看中盤商的\n\n20\n00:06:44,779 --> 00:06:52,804\n如果中環商進出狀況沒有異常的話,我們會請中環商就直接去分配,因為那個大概就會分配出問題\n\n21\n00:06:53,971 --> 00:07:13,659\nOK好謝謝部長的說明和這方面的努力那我們再過來可以瞭解藥瓶供應通報處理中心那這一部分不知道這個中心有沒有被賦予什麼樣的具體任務因為去年就是2023年4月11號貴單位為了要因應全球性缺藥問題而啟動了這個通報中心\n\n22\n00:07:16,720 --> 00:07:43,135\n所以這個中心我們所看到的就是這是一個平台那把五個平台的這個網路連結在這個我們的網路上面我們看到的就是包括有西藥供應平台、中藥還有公費傳染疫苗、兒童困難取得、罕病等等那這部分不曉得有沒有具體任務要透過這個處理中心來處理哪一些的事情\n\n23\n00:07:44,736 --> 00:08:05,015\n這部分的話那每一個這五大類的話都有一些特殊性的比如說那個罕見疾病的這個部分的話這物流中心他會去監測到底我們整個國內的剩下存量是不是對於這個罕病所需要的是夠不夠若不夠的話就要去採購那\n\n24\n00:08:10,747 --> 00:08:17,615\n業務比較大的應該是在西藥的這個部分是的確那我們可以往下看可以瞭解說目前這個平台的運作狀況西藥供應平台的確是\n\n25\n00:08:22,428 --> 00:08:48,269\n隨時在滾動,對不起我再多兩份都有在做這個即時更新可是中藥到目前一年都沒有更新還有其他的部分所以我們很期待這個運作還可以能夠更即時去反映出這個供應的這些問題我們可以往下看就知道說依照這個西藥供應平台他已經很努力的在作業那也透過這個通\n\n26\n00:08:49,750 --> 00:09:03,232\n包括缺藥來執行相關透過食藥署的評估進入到有替代方案、無替代方案還有其他廠商的這個輸入來辦理如果有缺藥的時候可以作業的模式那我們可以再往下看\n\n27\n00:09:04,500 --> 00:09:26,773\n那其中有一個問題,一個實務的困境就是當藥品短缺現象透過這個平台去緩解以後那曾經為了要緩解幫助緩解的這個廠商他如果提供了藥物那這種狀況造成說新的要來幫助緩解這個藥物不足的部分結果他進來了\n\n28\n00:09:28,154 --> 00:09:28,614\n我是請食藥署署長來回答\n\n29\n00:09:51,994 --> 00:10:20,238\n因為通報的業者其實都會跟我們說他大概是有多少時間他需要等於是有一些藥品的短缺所以我們在徵求專案製造或專案輸入的時候也會保障這一些來協助我們的業者他們不至於做了以後結果本來在賣那個藥品進來了就沒有人要買他的所以我們有這樣的時間之內不會讓那個藥品再輸入就是你已經跟我說不能輸入了所以已經有其他出來要做專案輸入的\n\n30\n00:10:20,578 --> 00:10:21,219\n我們謝謝王正旭委員\n\n","tsv":"start\tend\ttext\n9212\t27163\t主席好那有請薛部長還有吳署長好請薛部長吳署長部長好署長好我們今天要談的就是缺藥問題嘛那我來自醫界\n28334\t45823\t所以對於這個缺藥問題也是感同身受不過我想大家更重視的就是如何能夠解決這樣的困境跟問題不過本席也認同也知道說其實健保缺藥的這個問題大家把它歸咎在健保藥價調整\n48144\t71616\t這個不是唯一的因素這可能是其中一個因素可是並不是唯一的因素那我們也從這個貴組委的報告裡面知道其實缺藥的原因是相當相當的多包括我們目前所能夠了解的生產問題、供應問題還有國內需求增加的部分尤其是在後疫情的時代\n72216\t85858\t很多的這些民眾尤其是兒童們會因為免疫負債造成某一些藥物的需求增加除了一些慢性病以外那這一部分因為三呼吸道感染所需要的這個藥物\n87557\t110457\t某些抗生素真的是特別增加,包括像這個部長很辛苦,也受到影響。所以我想應該是通盤的來了解,那如果針對某一類比較會容易造成這個市場需要而受影響的藥物,希望能夠有更有效的方式來做處理。所以的確缺藥是我們要非常重視,而且要去努力解決的部分。\n111619\t125795\t我們也了解藥品短缺因素是非常非常多元的其中有一項就是會不會藥商有預期的心理希望能夠囤積原料用下一次要做調整的部分\n126355\t152844\t那我們當然不希望不希望說藥商在這種情形之下他有進口的這個原料或者是生產的原料而不去生產那其實我們很希望說落實藥品的原料的進口管理是要有一個更好的方式那請問一下部長或署長針對國內藥商進口原物料的相關數據這邊有沒有適當的掌握尤其是好請\n156009\t174063\t在整個邊境,我們其實都能夠掌握原料要進口的情形是,因為我們很擔心就是,其實國內有原物料可是呢,它卻是缺貨,這部分我們希望能夠確實地落實囤積的可能性大概不大,因為這些都有效期的問題\n175044\t201172\t是 了解 所以我們也希望這部分不是一個因素之一啦能夠造成這種不當的影響的因素 現在把它排除那我們如何針對這個有效解決缺藥的部分本席有下列的一些想法 包括強化藥品的這個供應的主動監控那其實在去年監察院的報告裡面就告訴我們說\n202712\t220961\t藥商是否能依據必要通報來處置?檢察院發現,欠缺主動監測、查核和管理的機制。不知道到目前為止已經半年的時間,有沒有再擬定改善計畫?\n222994\t238901\t這部分的話齁那其實是在必要藥品我們的品齁那個一共是多少的品項481 481項的品項這我們有做但是全國在用的藥那幾萬項的話大概沒有辦法全部去看啦\n239481\t255004\t是,所以如果已經有一些計畫的話那能不能夠提供免息素面資料以作為後續的追蹤那我們也知道其實推展國產的學民藥是一個未來的期待\n255905\t256906\t請問目前所謂的\n273522\t297141\t益助適當資源有沒有安排哪一些的適當資源在裡面?該委員報告這有關於我們在鼓勵學民藥的這一個部分的話當然也會牽涉到經濟部經濟部他對於這個比方說CDMO或其他的這個我們國內的藥廠的一些鼓勵的措施在那個\n298402\t312447\t也相關的法規裡面有那在衛福部這邊的話大概就是用健保的這個方法在健保上面的一些規範來做處理也就是說我們給予這個新發展的學民藥我們會給他這個比較好的一個合價的一個\n321610\t322591\t再過來就是有關於這個庫存的部分\n344927\t358743\t我們也瞭解建制中盤藥商的藥品監測機制是由他主動監測的部分請問除了主動監測以外我們還有沒有其他可以主動的作為\n360405\t380866\t這部分是一個我們新的措施,那要處理的對象主要是社區的藥局還有我們一些診所因為這些診所和社區藥局大概很少能夠直接跟廠商直接訂貨,因為量不夠大\n382367\t402238\t所以很多都是透由中盤商來做處理所以中盤商他就會有調度的這種可能性所以在這裡的話我們新的措施裡面就是我們去監測中盤商那哪一些藥如果被通報這一個有缺藥的時候我們就看去看中盤商的\n404779\t412804\t如果中環商進出狀況沒有異常的話,我們會請中環商就直接去分配,因為那個大概就會分配出問題\n413971\t433659\tOK 好 謝謝部長的說明和這方面的努力那我們再過來可以瞭解藥瓶供應通報處理中心那這一部分不知道這個中心有沒有被賦予什麼樣的具體任務因為去年就是2023年4月11號貴單位為了要因應全球性缺藥問題而啟動了這個通報中心\n436720\t463135\t所以這個中心我們所看到的就是這是一個平台那把五個平台的這個網路連結在這個我們的網路上面我們看到的就是包括有西藥供應平台、中藥還有公費傳染疫苗、兒童困難取得、罕病等等那這部分不曉得有沒有具體任務要透過這個處理中心來處理哪一些的事情\n464736\t485015\t這部分的話那每一個這五大類的話都有一些特殊性的比如說那個罕見疾病的這個部分的話這物流中心他會去監測到底我們整個國內的剩下存量是不是對於這個罕病所需要的是夠不夠若不夠的話就要去採購那\n490747\t497615\t業務比較大的應該是在西藥的這個部分是的確那我們可以往下看可以瞭解說目前這個平台的運作狀況西藥供應平台的確是\n502428\t528269\t隨時在滾動,對不起我再多兩份都有在做這個即時更新可是中藥到目前一年都沒有更新還有其他的部分所以我們很期待這個運作還可以能夠更即時去反映出這個供應的這些問題我們可以往下看就知道說依照這個西藥供應平台他已經很努力的在作業那也透過這個通\n529750\t543232\t包括缺藥來執行相關透過食藥署的評估進入到有替代方案、無替代方案還有其他廠商的這個輸入來辦理如果有缺藥的時候可以作業的模式那我們可以再往下看\n544500\t566773\t那其中有一個問題,一個實務的困境就是當藥品短缺現象透過這個平台去緩解以後那曾經為了要緩解幫助緩解的這個廠商他如果提供了藥物那這種狀況造成說新的要來幫助緩解這個藥物不足的部分結果他進來了\n568154\t568614\t我是請食藥署署長來回答\n591994\t620238\t因為通報的業者其實都會跟我們說他大概是有多少時間他需要等於是有一些藥品的短缺所以我們在徵求專案製造或專案輸入的時候也會保障這一些來協助我們的業者他們不至於做了以後結果本來在賣那個藥品進來了就沒有人要買他的所以我們有這樣的時間之內不會讓那個藥品再輸入就是你已經跟我說不能輸入了所以已經有其他出來要做專案輸入的\n620578\t621219\t我們謝謝王正旭委員\n","txt":"主席好那有請薛部長還有吳署長好請薛部長吳署長部長好署長好我們今天要談的就是缺藥問題嘛那我來自醫界\n所以對於這個缺藥問題也是感同身受不過我想大家更重視的就是如何能夠解決這樣的困境跟問題不過本席也認同也知道說其實健保缺藥的這個問題大家把它歸咎在健保藥價調整\n這個不是唯一的因素這可能是其中一個因素可是並不是唯一的因素那我們也從這個貴組委的報告裡面知道其實缺藥的原因是相當相當的多包括我們目前所能夠了解的生產問題、供應問題還有國內需求增加的部分尤其是在後疫情的時代\n很多的這些民眾尤其是兒童們會因為免疫負債造成某一些藥物的需求增加除了一些慢性病以外那這一部分因為三呼吸道感染所需要的這個藥物\n某些抗生素真的是特別增加,包括像這個部長很辛苦,也受到影響。所以我想應該是通盤的來了解,那如果針對某一類比較會容易造成這個市場需要而受影響的藥物,希望能夠有更有效的方式來做處理。所以的確缺藥是我們要非常重視,而且要去努力解決的部分。\n我們也了解藥品短缺因素是非常非常多元的其中有一項就是會不會藥商有預期的心理希望能夠囤積原料用下一次要做調整的部分\n那我們當然不希望不希望說藥商在這種情形之下他有進口的這個原料或者是生產的原料而不去生產那其實我們很希望說落實藥品的原料的進口管理是要有一個更好的方式那請問一下部長或署長針對國內藥商進口原物料的相關數據這邊有沒有適當的掌握尤其是好請\n在整個邊境,我們其實都能夠掌握原料要進口的情形是,因為我們很擔心就是,其實國內有原物料可是呢,它卻是缺貨,這部分我們希望能夠確實地落實囤積的可能性大概不大,因為這些都有效期的問題\n是 了解 所以我們也希望這部分不是一個因素之一啦能夠造成這種不當的影響的因素 現在把它排除那我們如何針對這個有效解決缺藥的部分本席有下列的一些想法 包括強化藥品的這個供應的主動監控那其實在去年監察院的報告裡面就告訴我們說\n藥商是否能依據必要通報來處置?檢察院發現,欠缺主動監測、查核和管理的機制。不知道到目前為止已經半年的時間,有沒有再擬定改善計畫?\n這部分的話齁那其實是在必要藥品我們的品齁那個一共是多少的品項481 481項的品項這我們有做但是全國在用的藥那幾萬項的話大概沒有辦法全部去看啦\n是,所以如果已經有一些計畫的話那能不能夠提供免息素面資料以作為後續的追蹤那我們也知道其實推展國產的學民藥是一個未來的期待\n請問目前所謂的\n益助適當資源有沒有安排哪一些的適當資源在裡面?該委員報告這有關於我們在鼓勵學民藥的這一個部分的話當然也會牽涉到經濟部經濟部他對於這個比方說CDMO或其他的這個我們國內的藥廠的一些鼓勵的措施在那個\n也相關的法規裡面有那在衛福部這邊的話大概就是用健保的這個方法在健保上面的一些規範來做處理也就是說我們給予這個新發展的學民藥我們會給他這個比較好的一個合價的一個\n再過來就是有關於這個庫存的部分\n我們也瞭解建制中盤藥商的藥品監測機制是由他主動監測的部分請問除了主動監測以外我們還有沒有其他可以主動的作為\n這部分是一個我們新的措施,那要處理的對象主要是社區的藥局還有我們一些診所因為這些診所和社區藥局大概很少能夠直接跟廠商直接訂貨,因為量不夠大\n所以很多都是透由中盤商來做處理所以中盤商他就會有調度的這種可能性所以在這裡的話我們新的措施裡面就是我們去監測中盤商那哪一些藥如果被通報這一個有缺藥的時候我們就看去看中盤商的\n如果中環商進出狀況沒有異常的話,我們會請中環商就直接去分配,因為那個大概就會分配出問題\nOK 好 謝謝部長的說明和這方面的努力那我們再過來可以瞭解藥瓶供應通報處理中心那這一部分不知道這個中心有沒有被賦予什麼樣的具體任務因為去年就是2023年4月11號貴單位為了要因應全球性缺藥問題而啟動了這個通報中心\n所以這個中心我們所看到的就是這是一個平台那把五個平台的這個網路連結在這個我們的網路上面我們看到的就是包括有西藥供應平台、中藥還有公費傳染疫苗、兒童困難取得、罕病等等那這部分不曉得有沒有具體任務要透過這個處理中心來處理哪一些的事情\n這部分的話那每一個這五大類的話都有一些特殊性的比如說那個罕見疾病的這個部分的話這物流中心他會去監測到底我們整個國內的剩下存量是不是對於這個罕病所需要的是夠不夠若不夠的話就要去採購那\n業務比較大的應該是在西藥的這個部分是的確那我們可以往下看可以瞭解說目前這個平台的運作狀況西藥供應平台的確是\n隨時在滾動,對不起我再多兩份都有在做這個即時更新可是中藥到目前一年都沒有更新還有其他的部分所以我們很期待這個運作還可以能夠更即時去反映出這個供應的這些問題我們可以往下看就知道說依照這個西藥供應平台他已經很努力的在作業那也透過這個通\n包括缺藥來執行相關透過食藥署的評估進入到有替代方案、無替代方案還有其他廠商的這個輸入來辦理如果有缺藥的時候可以作業的模式那我們可以再往下看\n那其中有一個問題,一個實務的困境就是當藥品短缺現象透過這個平台去緩解以後那曾經為了要緩解幫助緩解的這個廠商他如果提供了藥物那這種狀況造成說新的要來幫助緩解這個藥物不足的部分結果他進來了\n我是請食藥署署長來回答\n因為通報的業者其實都會跟我們說他大概是有多少時間他需要等於是有一些藥品的短缺所以我們在徵求專案製造或專案輸入的時候也會保障這一些來協助我們的業者他們不至於做了以後結果本來在賣那個藥品進來了就沒有人要買他的所以我們有這樣的時間之內不會讓那個藥品再輸入就是你已經跟我說不能輸入了所以已經有其他出來要做專案輸入的\n我們謝謝王正旭委員\n","vtt":"WEBVTT\n\n00:09.212 --> 00:27.163\n主席好那有請薛部長還有吳署長好請薛部長吳署長部長好署長好我們今天要談的就是缺藥問題嘛那我來自醫界\n\n00:28.334 --> 00:45.823\n所以對於這個缺藥問題也是感同身受不過我想大家更重視的就是如何能夠解決這樣的困境跟問題不過本席也認同也知道說其實健保缺藥的這個問題大家把它歸咎在健保藥價調整\n\n00:48.144 --> 01:11.616\n這個不是唯一的因素這可能是其中一個因素可是並不是唯一的因素那我們也從這個貴組委的報告裡面知道其實缺藥的原因是相當相當的多包括我們目前所能夠了解的生產問題、供應問題還有國內需求增加的部分尤其是在後疫情的時代\n\n01:12.216 --> 01:25.858\n很多的這些民眾尤其是兒童們會因為免疫負債造成某一些藥物的需求增加除了一些慢性病以外那這一部分因為三呼吸道感染所需要的這個藥物\n\n01:27.557 --> 01:50.457\n某些抗生素真的是特別增加,包括像這個部長很辛苦,也受到影響。所以我想應該是通盤的來了解,那如果針對某一類比較會容易造成這個市場需要而受影響的藥物,希望能夠有更有效的方式來做處理。所以的確缺藥是我們要非常重視,而且要去努力解決的部分。\n\n01:51.619 --> 02:05.795\n我們也了解藥品短缺因素是非常非常多元的其中有一項就是會不會藥商有預期的心理希望能夠囤積原料用下一次要做調整的部分\n\n02:06.355 --> 02:32.844\n那我們當然不希望不希望說藥商在這種情形之下他有進口的這個原料或者是生產的原料而不去生產那其實我們很希望說落實藥品的原料的進口管理是要有一個更好的方式那請問一下部長或署長針對國內藥商進口原物料的相關數據這邊有沒有適當的掌握尤其是好請\n\n02:36.009 --> 02:54.063\n在整個邊境,我們其實都能夠掌握原料要進口的情形是,因為我們很擔心就是,其實國內有原物料可是呢,它卻是缺貨,這部分我們希望能夠確實地落實囤積的可能性大概不大,因為這些都有效期的問題\n\n02:55.044 --> 03:21.172\n是了解所以我們也希望這部分不是一個因素之一啦能夠造成這種不當的影響的因素現在把它排除那我們如何針對這個有效解決缺藥的部分本席有下列的一些想法包括強化藥品的這個供應的主動監控那其實在去年監察院的報告裡面就告訴我們說\n\n03:22.712 --> 03:40.961\n藥商是否能依據必要通報來處置?檢察院發現,欠缺主動監測、查核和管理的機制。不知道到目前為止已經半年的時間,有沒有再擬定改善計畫?\n\n03:42.994 --> 03:58.901\n這部分的話齁那其實是在必要藥品我們的品齁那個一共是多少的品項481481項的品項這我們有做但是全國在用的藥那幾萬項的話大概沒有辦法全部去看啦\n\n03:59.481 --> 04:15.004\n是,所以如果已經有一些計畫的話那能不能夠提供免息素面資料以作為後續的追蹤那我們也知道其實推展國產的學民藥是一個未來的期待\n\n04:15.905 --> 04:16.906\n請問目前所謂的\n\n04:33.522 --> 04:57.141\n益助適當資源有沒有安排哪一些的適當資源在裡面?該委員報告這有關於我們在鼓勵學民藥的這一個部分的話當然也會牽涉到經濟部經濟部他對於這個比方說CDMO或其他的這個我們國內的藥廠的一些鼓勵的措施在那個\n\n04:58.402 --> 05:12.447\n也相關的法規裡面有那在衛福部這邊的話大概就是用健保的這個方法在健保上面的一些規範來做處理也就是說我們給予這個新發展的學民藥我們會給他這個比較好的一個合價的一個\n\n05:21.610 --> 05:22.591\n再過來就是有關於這個庫存的部分\n\n05:44.927 --> 05:58.743\n我們也瞭解建制中盤藥商的藥品監測機制是由他主動監測的部分請問除了主動監測以外我們還有沒有其他可以主動的作為\n\n06:00.405 --> 06:20.866\n這部分是一個我們新的措施,那要處理的對象主要是社區的藥局還有我們一些診所因為這些診所和社區藥局大概很少能夠直接跟廠商直接訂貨,因為量不夠大\n\n06:22.367 --> 06:42.238\n所以很多都是透由中盤商來做處理所以中盤商他就會有調度的這種可能性所以在這裡的話我們新的措施裡面就是我們去監測中盤商那哪一些藥如果被通報這一個有缺藥的時候我們就看去看中盤商的\n\n06:44.779 --> 06:52.804\n如果中環商進出狀況沒有異常的話,我們會請中環商就直接去分配,因為那個大概就會分配出問題\n\n06:53.971 --> 07:13.659\nOK好謝謝部長的說明和這方面的努力那我們再過來可以瞭解藥瓶供應通報處理中心那這一部分不知道這個中心有沒有被賦予什麼樣的具體任務因為去年就是2023年4月11號貴單位為了要因應全球性缺藥問題而啟動了這個通報中心\n\n07:16.720 --> 07:43.135\n所以這個中心我們所看到的就是這是一個平台那把五個平台的這個網路連結在這個我們的網路上面我們看到的就是包括有西藥供應平台、中藥還有公費傳染疫苗、兒童困難取得、罕病等等那這部分不曉得有沒有具體任務要透過這個處理中心來處理哪一些的事情\n\n07:44.736 --> 08:05.015\n這部分的話那每一個這五大類的話都有一些特殊性的比如說那個罕見疾病的這個部分的話這物流中心他會去監測到底我們整個國內的剩下存量是不是對於這個罕病所需要的是夠不夠若不夠的話就要去採購那\n\n08:10.747 --> 08:17.615\n業務比較大的應該是在西藥的這個部分是的確那我們可以往下看可以瞭解說目前這個平台的運作狀況西藥供應平台的確是\n\n08:22.428 --> 08:48.269\n隨時在滾動,對不起我再多兩份都有在做這個即時更新可是中藥到目前一年都沒有更新還有其他的部分所以我們很期待這個運作還可以能夠更即時去反映出這個供應的這些問題我們可以往下看就知道說依照這個西藥供應平台他已經很努力的在作業那也透過這個通\n\n08:49.750 --> 09:03.232\n包括缺藥來執行相關透過食藥署的評估進入到有替代方案、無替代方案還有其他廠商的這個輸入來辦理如果有缺藥的時候可以作業的模式那我們可以再往下看\n\n09:04.500 --> 09:26.773\n那其中有一個問題,一個實務的困境就是當藥品短缺現象透過這個平台去緩解以後那曾經為了要緩解幫助緩解的這個廠商他如果提供了藥物那這種狀況造成說新的要來幫助緩解這個藥物不足的部分結果他進來了\n\n09:28.154 --> 09:28.614\n我是請食藥署署長來回答\n\n09:51.994 --> 10:20.238\n因為通報的業者其實都會跟我們說他大概是有多少時間他需要等於是有一些藥品的短缺所以我們在徵求專案製造或專案輸入的時候也會保障這一些來協助我們的業者他們不至於做了以後結果本來在賣那個藥品進來了就沒有人要買他的所以我們有這樣的時間之內不會讓那個藥品再輸入就是你已經跟我說不能輸入了所以已經有其他出來要做專案輸入的\n\n10:20.578 --> 10:21.219\n我們謝謝王正旭委員\n\n","segments":[{"start":9.212,"end":27.163,"text":"主席好那有請薛部長還有吳署長好請薛部長吳署長部長好署長好我們今天要談的就是缺藥問題嘛那我來自醫界"},{"start":28.334,"end":45.823,"text":"所以對於這個缺藥問題也是感同身受不過我想大家更重視的就是如何能夠解決這樣的困境跟問題不過本席也認同也知道說其實健保缺藥的這個問題大家把它歸咎在健保藥價調整"},{"start":48.144,"end":71.616,"text":"這個不是唯一的因素這可能是其中一個因素可是並不是唯一的因素那我們也從這個貴組委的報告裡面知道其實缺藥的原因是相當相當的多包括我們目前所能夠了解的生產問題、供應問題還有國內需求增加的部分尤其是在後疫情的時代"},{"start":72.216,"end":85.858,"text":"很多的這些民眾尤其是兒童們會因為免疫負債造成某一些藥物的需求增加除了一些慢性病以外那這一部分因為三呼吸道感染所需要的這個藥物"},{"start":87.557,"end":110.457,"text":"某些抗生素真的是特別增加,包括像這個部長很辛苦,也受到影響。所以我想應該是通盤的來了解,那如果針對某一類比較會容易造成這個市場需要而受影響的藥物,希望能夠有更有效的方式來做處理。所以的確缺藥是我們要非常重視,而且要去努力解決的部分。"},{"start":111.619,"end":125.795,"text":"我們也了解藥品短缺因素是非常非常多元的其中有一項就是會不會藥商有預期的心理希望能夠囤積原料用下一次要做調整的部分"},{"start":126.355,"end":152.844,"text":"那我們當然不希望不希望說藥商在這種情形之下他有進口的這個原料或者是生產的原料而不去生產那其實我們很希望說落實藥品的原料的進口管理是要有一個更好的方式那請問一下部長或署長針對國內藥商進口原物料的相關數據這邊有沒有適當的掌握尤其是好請"},{"start":156.009,"end":174.063,"text":"在整個邊境,我們其實都能夠掌握原料要進口的情形是,因為我們很擔心就是,其實國內有原物料可是呢,它卻是缺貨,這部分我們希望能夠確實地落實囤積的可能性大概不大,因為這些都有效期的問題"},{"start":175.044,"end":201.172,"text":"是 了解 所以我們也希望這部分不是一個因素之一啦能夠造成這種不當的影響的因素 現在把它排除那我們如何針對這個有效解決缺藥的部分本席有下列的一些想法 包括強化藥品的這個供應的主動監控那其實在去年監察院的報告裡面就告訴我們說"},{"start":202.712,"end":220.961,"text":"藥商是否能依據必要通報來處置?檢察院發現,欠缺主動監測、查核和管理的機制。不知道到目前為止已經半年的時間,有沒有再擬定改善計畫?"},{"start":222.994,"end":238.901,"text":"這部分的話齁那其實是在必要藥品我們的品齁那個一共是多少的品項481 481項的品項這我們有做但是全國在用的藥那幾萬項的話大概沒有辦法全部去看啦"},{"start":239.481,"end":255.004,"text":"是,所以如果已經有一些計畫的話那能不能夠提供免息素面資料以作為後續的追蹤那我們也知道其實推展國產的學民藥是一個未來的期待"},{"start":255.905,"end":256.906,"text":"請問目前所謂的"},{"start":273.522,"end":297.141,"text":"益助適當資源有沒有安排哪一些的適當資源在裡面?該委員報告這有關於我們在鼓勵學民藥的這一個部分的話當然也會牽涉到經濟部經濟部他對於這個比方說CDMO或其他的這個我們國內的藥廠的一些鼓勵的措施在那個"},{"start":298.402,"end":312.447,"text":"也相關的法規裡面有那在衛福部這邊的話大概就是用健保的這個方法在健保上面的一些規範來做處理也就是說我們給予這個新發展的學民藥我們會給他這個比較好的一個合價的一個"},{"start":321.61,"end":322.591,"text":"再過來就是有關於這個庫存的部分"},{"start":344.927,"end":358.743,"text":"我們也瞭解建制中盤藥商的藥品監測機制是由他主動監測的部分請問除了主動監測以外我們還有沒有其他可以主動的作為"},{"start":360.405,"end":380.866,"text":"這部分是一個我們新的措施,那要處理的對象主要是社區的藥局還有我們一些診所因為這些診所和社區藥局大概很少能夠直接跟廠商直接訂貨,因為量不夠大"},{"start":382.367,"end":402.238,"text":"所以很多都是透由中盤商來做處理所以中盤商他就會有調度的這種可能性所以在這裡的話我們新的措施裡面就是我們去監測中盤商那哪一些藥如果被通報這一個有缺藥的時候我們就看去看中盤商的"},{"start":404.779,"end":412.804,"text":"如果中環商進出狀況沒有異常的話,我們會請中環商就直接去分配,因為那個大概就會分配出問題"},{"start":413.971,"end":433.659,"text":"OK 好 謝謝部長的說明和這方面的努力那我們再過來可以瞭解藥瓶供應通報處理中心那這一部分不知道這個中心有沒有被賦予什麼樣的具體任務因為去年就是2023年4月11號貴單位為了要因應全球性缺藥問題而啟動了這個通報中心"},{"start":436.72,"end":463.135,"text":"所以這個中心我們所看到的就是這是一個平台那把五個平台的這個網路連結在這個我們的網路上面我們看到的就是包括有西藥供應平台、中藥還有公費傳染疫苗、兒童困難取得、罕病等等那這部分不曉得有沒有具體任務要透過這個處理中心來處理哪一些的事情"},{"start":464.736,"end":485.015,"text":"這部分的話那每一個這五大類的話都有一些特殊性的比如說那個罕見疾病的這個部分的話這物流中心他會去監測到底我們整個國內的剩下存量是不是對於這個罕病所需要的是夠不夠若不夠的話就要去採購那"},{"start":490.747,"end":497.615,"text":"業務比較大的應該是在西藥的這個部分是的確那我們可以往下看可以瞭解說目前這個平台的運作狀況西藥供應平台的確是"},{"start":502.428,"end":528.269,"text":"隨時在滾動,對不起我再多兩份都有在做這個即時更新可是中藥到目前一年都沒有更新還有其他的部分所以我們很期待這個運作還可以能夠更即時去反映出這個供應的這些問題我們可以往下看就知道說依照這個西藥供應平台他已經很努力的在作業那也透過這個通"},{"start":529.75,"end":543.232,"text":"包括缺藥來執行相關透過食藥署的評估進入到有替代方案、無替代方案還有其他廠商的這個輸入來辦理如果有缺藥的時候可以作業的模式那我們可以再往下看"},{"start":544.5,"end":566.773,"text":"那其中有一個問題,一個實務的困境就是當藥品短缺現象透過這個平台去緩解以後那曾經為了要緩解幫助緩解的這個廠商他如果提供了藥物那這種狀況造成說新的要來幫助緩解這個藥物不足的部分結果他進來了"},{"start":568.154,"end":568.614,"text":"我是請食藥署署長來回答"},{"start":591.994,"end":620.238,"text":"因為通報的業者其實都會跟我們說他大概是有多少時間他需要等於是有一些藥品的短缺所以我們在徵求專案製造或專案輸入的時候也會保障這一些來協助我們的業者他們不至於做了以後結果本來在賣那個藥品進來了就沒有人要買他的所以我們有這樣的時間之內不會讓那個藥品再輸入就是你已經跟我說不能輸入了所以已經有其他出來要做專案輸入的"},{"start":620.578,"end":621.219,"text":"我們謝謝王正旭委員"}]}}}}