{"id":149539,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149539","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/1441ba9c2015bdbe5062b51b49e93351dc62c46c87ca327ff8ba9b0039caa7a6b52d3f1a881be2f65ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"李彥秀","委員發言時間":"11:32:03 - 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\"彥\"}, {\"word\": \"秀\", \"start\": 379.269, \"end\": 379.289, \"score\": 0.0}], \"language\": \"zh\"}","srt":"1\n00:00:06,451 --> 00:00:09,533\n我可不可以邀請部長跟石署長好請部長跟石署長部長辛苦了我們2月26號上個月開的那個藥價的那個調整會議的結果我們新的藥價是什麼時候生效4月1號\n\n2\n00:00:33,089 --> 00:00:58,782\n當然今天召委特別排這個專案報告其實一定有它的意義在我們從各層面聽到各種不同的聲音包括藥師全聯會的黃金順理事長說預估半年後有可能發生缺藥潮也就是我看到媒體媒體在問你說會不會有缺藥的狀況發生部長你的回應說至今還沒接受到任何的資訊\n\n3\n00:01:00,223 --> 00:01:16,315\n今天沒有收到任何資訊不代表你藥價調整之後半年不會有問題我這樣講對不對這應該是說因為我們有這樣子一個通報的機制在那裡所以6個月前就必須必要藥品就是要做缺藥的一個通報\n\n4\n00:01:20,937 --> 00:01:41,926\n部長,今天專委排這個專案報告也就代表著你過去因為我們每一年都是2月份開藥價調整會議嘛那也差不多如果有調整的話也差不多是類似像4月1號我們為什麼會排這樣的專案會議也就是說過去我們衛福部這個後面缺藥的處理的機制\n\n5\n00:01:43,486 --> 00:02:05,097\n顯然是有問題的我為什麼會這樣子說監察院在去年10月份的調查報告也有講啊就說你的食藥署是勸缺主動稽查的管理機制不只是地區醫院社區醫院還有包括我們社區藥局事實上是有嚴重的缺藥問題這件事情以前沒有發生過\n\n6\n00:02:08,439 --> 00:02:10,020\n社區藥局剛好沒有這個藥不叫缺藥社區藥局就沒有買這個我能夠逼他買嗎?\n\n7\n00:02:27,946 --> 00:02:32,948\n這個部長你不應該這樣跟我講那我覺得跟醫院跟地區醫院跟社區醫院溝通部長是你的責任喔部長那我就要說你大數據的管理要做得更好啊你應該跟教學醫院、社區醫院、地區醫院所有社區藥局你應該有一個雲端的管理部長\n\n8\n00:02:53,398 --> 00:02:53,979\n部長今天身體微漾,你先聽一下委員講\n\n9\n00:03:10,410 --> 00:03:27,124\n我覺得在管理系統顯然出現問題不管是社區醫院、社區藥局顯然大家都有可以調整的一個SOP的空間民眾買不到藥是會憤怒的這個憤怒端後面是你要去做承擔我這樣講沒錯吧\n\n10\n00:03:28,785 --> 00:03:46,032\n所以我覺得應該有一套更好的管理系統所以去年10月份監察院也提出報告就是說你應該在某一塊某幾塊你要去盡速的去做調整當然去年我也關注到你說有一定的比例要留給社區醫院因為他們採購會有問題那一定的比例包括你在2月24號在媒體採訪的時候你也提出來說我們要統一採購\n\n11\n00:03:52,535 --> 00:04:17,953\n那後來又說統一採購可能不是最好的方法這是你去年跟今年講的都不一樣的版本那現在解決的具體做法你可不可以告訴我是什麼本來統一採購就不是一個一個專門的方法本來要統一採購去年是你說的啊你去年的你今年的部長打去年的部長都是你說的我沒有要責罵你你可不可以告訴我你具體的解決方案是什麼\n\n12\n00:04:20,144 --> 00:04:38,350\n這個所謂的缺藥的話是主要有兩種情形一個是真正缺藥一個是調度的問題那在調度的問題我同意有調度的問題所以調度的問題你要怎麼處理調度的問題我們現在是對於基層的這一些社區藥局還有這個診所的部分我們藉由去監測中盤商\n\n13\n00:04:40,211 --> 00:04:47,155\n部長你後面要書面回答我齁因為我覺得可以用大數據的分析包括近三年疾病跟用藥的趨勢然後未來推估接下來兩年可能熱門用藥的品項你怎麼樣去跟他們互動把大數據管理好\n\n14\n00:05:06,007 --> 00:05:31,231\n那我覺得這是你未來要做的工作我希望可以做得好然後我快速的馬診的疫情升溫我們當然我們現在優先因為你現在是控管這些所有可以施打的因為民間想自費買也買不到我尊重你我們現在有123項我們公費接種的對象那MMR的疫苗現在廠商控貨那他優先供貨也會優先供貨給我們機關署\n\n15\n00:05:34,232 --> 00:05:59,731\n但是國際藥廠他現在跟我們回答的是說如果要買也排單也要半年後才有貨是典型的有藥但是民間是買不到甚至診所我為什麼這麼說有一些高風險群譬如說他必須常出國或必須跟外國人長期接觸的我們也希望這一類的高風險群有機會我不要說排在公費裡面他們自費但是他們有機會注射到\n\n16\n00:06:00,672 --> 00:06:04,776\n這部分的話在智慧疫苗的部分本來就還有一些庫存兩萬多那封面檢驗中的還有兩萬多支那四萬多支如果對這些經常要出國的他是夠啦\n\n17\n00:06:19,249 --> 00:06:19,289\n李彥秀\n\n","tsv":"start\tend\ttext\n6451\t9533\t我可不可以邀請部長跟石署長好 請部長跟石署長部長辛苦了我們2月26號上個月開的那個藥價的那個調整會議的結果我們新的藥價是什麼時候生效4月1號\n33089\t58782\t當然今天召委特別排這個專案報告其實一定有它的意義在我們從各層面聽到各種不同的聲音包括藥師全聯會的黃金順理事長說預估半年後有可能發生缺藥潮也就是我看到媒體媒體在問你說會不會有缺藥的狀況發生部長你的回應說至今還沒接受到任何的資訊\n60223\t76315\t今天沒有收到任何資訊不代表你藥價調整之後半年不會有問題我這樣講對不對這應該是說因為我們有這樣子一個通報的機制在那裡所以6個月前就必須必要藥品就是要做缺藥的一個通報\n80937\t101926\t部長,今天專委排這個專案報告也就代表著你過去因為我們每一年都是2月份開藥價調整會議嘛那也差不多如果有調整的話也差不多是類似像4月1號我們為什麼會排這樣的專案會議也就是說過去我們衛福部這個後面缺藥的處理的機制\n103486\t125097\t顯然是有問題的我為什麼會這樣子說監察院在去年10月份的調查報告也有講啊就說你的食藥署是勸缺主動稽查的管理機制不只是地區醫院社區醫院還有包括我們社區藥局事實上是有嚴重的缺藥問題這件事情以前沒有發生過\n128439\t130020\t社區藥局剛好沒有這個藥不叫缺藥社區藥局就沒有買這個我能夠逼他買嗎?\n147946\t152948\t這個部長你不應該這樣跟我講那我覺得跟醫院跟地區醫院跟社區醫院溝通部長是你的責任喔部長那我就要說你大數據的管理要做得更好啊你應該跟教學醫院、社區醫院、地區醫院所有社區藥局你應該有一個雲端的管理部長\n173398\t173979\t部長今天身體微漾,你先聽一下委員講\n190410\t207124\t我覺得在管理系統顯然出現問題不管是社區醫院、社區藥局顯然大家都有可以調整的一個SOP的空間民眾買不到藥是會憤怒的這個憤怒端後面是你要去做承擔我這樣講沒錯吧\n208785\t226032\t所以我覺得應該有一套更好的管理系統所以去年10月份監察院也提出報告就是說你應該在某一塊某幾塊你要去盡速的去做調整當然去年我也關注到你說有一定的比例要留給社區醫院因為他們採購會有問題那一定的比例包括你在2月24號在媒體採訪的時候你也提出來說我們要統一採購\n232535\t257953\t那後來又說統一採購可能不是最好的方法這是你去年跟今年講的都不一樣的版本那現在解決的具體做法你可不可以告訴我是什麼本來統一採購就不是一個一個專門的方法本來要統一採購去年是你說的啊你去年的你今年的部長打去年的部長都是你說的我沒有要責罵你你可不可以告訴我你具體的解決方案是什麼\n260144\t278350\t這個所謂的缺藥的話是主要有兩種情形一個是真正缺藥一個是調度的問題那在調度的問題我同意有調度的問題所以調度的問題你要怎麼處理調度的問題我們現在是對於基層的這一些社區藥局還有這個診所的部分我們藉由去監測中盤商\n280211\t287155\t部長你後面要書面回答我齁因為我覺得可以用大數據的分析包括近三年疾病跟用藥的趨勢然後未來推估接下來兩年可能熱門用藥的品項你怎麼樣去跟他們互動把大數據管理好\n306007\t331231\t那我覺得這是你未來要做的工作我希望可以做得好然後我快速的馬診的疫情升溫我們當然我們現在優先因為你現在是控管這些所有可以施打的因為民間想自費買也買不到我尊重你我們現在有123項我們公費接種的對象那MMR的疫苗現在廠商控貨那他優先供貨也會優先供貨給我們機關署\n334232\t359731\t但是國際藥廠他現在跟我們回答的是說如果要買也排單也要半年後才有貨是典型的有藥但是民間是買不到甚至診所我為什麼這麼說有一些高風險群譬如說他必須常出國或必須跟外國人長期接觸的我們也希望這一類的高風險群有機會我不要說排在公費裡面他們自費但是他們有機會注射到\n360672\t364776\t這部分的話在智慧疫苗的部分本來就還有一些庫存兩萬多那封面檢驗中的還有兩萬多支那四萬多支如果對這些經常要出國的他是夠啦\n379249\t379289\t李彥秀\n","txt":"我可不可以邀請部長跟石署長好 請部長跟石署長部長辛苦了我們2月26號上個月開的那個藥價的那個調整會議的結果我們新的藥價是什麼時候生效4月1號\n當然今天召委特別排這個專案報告其實一定有它的意義在我們從各層面聽到各種不同的聲音包括藥師全聯會的黃金順理事長說預估半年後有可能發生缺藥潮也就是我看到媒體媒體在問你說會不會有缺藥的狀況發生部長你的回應說至今還沒接受到任何的資訊\n今天沒有收到任何資訊不代表你藥價調整之後半年不會有問題我這樣講對不對這應該是說因為我們有這樣子一個通報的機制在那裡所以6個月前就必須必要藥品就是要做缺藥的一個通報\n部長,今天專委排這個專案報告也就代表著你過去因為我們每一年都是2月份開藥價調整會議嘛那也差不多如果有調整的話也差不多是類似像4月1號我們為什麼會排這樣的專案會議也就是說過去我們衛福部這個後面缺藥的處理的機制\n顯然是有問題的我為什麼會這樣子說監察院在去年10月份的調查報告也有講啊就說你的食藥署是勸缺主動稽查的管理機制不只是地區醫院社區醫院還有包括我們社區藥局事實上是有嚴重的缺藥問題這件事情以前沒有發生過\n社區藥局剛好沒有這個藥不叫缺藥社區藥局就沒有買這個我能夠逼他買嗎?\n這個部長你不應該這樣跟我講那我覺得跟醫院跟地區醫院跟社區醫院溝通部長是你的責任喔部長那我就要說你大數據的管理要做得更好啊你應該跟教學醫院、社區醫院、地區醫院所有社區藥局你應該有一個雲端的管理部長\n部長今天身體微漾,你先聽一下委員講\n我覺得在管理系統顯然出現問題不管是社區醫院、社區藥局顯然大家都有可以調整的一個SOP的空間民眾買不到藥是會憤怒的這個憤怒端後面是你要去做承擔我這樣講沒錯吧\n所以我覺得應該有一套更好的管理系統所以去年10月份監察院也提出報告就是說你應該在某一塊某幾塊你要去盡速的去做調整當然去年我也關注到你說有一定的比例要留給社區醫院因為他們採購會有問題那一定的比例包括你在2月24號在媒體採訪的時候你也提出來說我們要統一採購\n那後來又說統一採購可能不是最好的方法這是你去年跟今年講的都不一樣的版本那現在解決的具體做法你可不可以告訴我是什麼本來統一採購就不是一個一個專門的方法本來要統一採購去年是你說的啊你去年的你今年的部長打去年的部長都是你說的我沒有要責罵你你可不可以告訴我你具體的解決方案是什麼\n這個所謂的缺藥的話是主要有兩種情形一個是真正缺藥一個是調度的問題那在調度的問題我同意有調度的問題所以調度的問題你要怎麼處理調度的問題我們現在是對於基層的這一些社區藥局還有這個診所的部分我們藉由去監測中盤商\n部長你後面要書面回答我齁因為我覺得可以用大數據的分析包括近三年疾病跟用藥的趨勢然後未來推估接下來兩年可能熱門用藥的品項你怎麼樣去跟他們互動把大數據管理好\n那我覺得這是你未來要做的工作我希望可以做得好然後我快速的馬診的疫情升溫我們當然我們現在優先因為你現在是控管這些所有可以施打的因為民間想自費買也買不到我尊重你我們現在有123項我們公費接種的對象那MMR的疫苗現在廠商控貨那他優先供貨也會優先供貨給我們機關署\n但是國際藥廠他現在跟我們回答的是說如果要買也排單也要半年後才有貨是典型的有藥但是民間是買不到甚至診所我為什麼這麼說有一些高風險群譬如說他必須常出國或必須跟外國人長期接觸的我們也希望這一類的高風險群有機會我不要說排在公費裡面他們自費但是他們有機會注射到\n這部分的話在智慧疫苗的部分本來就還有一些庫存兩萬多那封面檢驗中的還有兩萬多支那四萬多支如果對這些經常要出國的他是夠啦\n李彥秀\n","vtt":"WEBVTT\n\n00:06.451 --> 00:09.533\n我可不可以邀請部長跟石署長好請部長跟石署長部長辛苦了我們2月26號上個月開的那個藥價的那個調整會議的結果我們新的藥價是什麼時候生效4月1號\n\n00:33.089 --> 00:58.782\n當然今天召委特別排這個專案報告其實一定有它的意義在我們從各層面聽到各種不同的聲音包括藥師全聯會的黃金順理事長說預估半年後有可能發生缺藥潮也就是我看到媒體媒體在問你說會不會有缺藥的狀況發生部長你的回應說至今還沒接受到任何的資訊\n\n01:00.223 --> 01:16.315\n今天沒有收到任何資訊不代表你藥價調整之後半年不會有問題我這樣講對不對這應該是說因為我們有這樣子一個通報的機制在那裡所以6個月前就必須必要藥品就是要做缺藥的一個通報\n\n01:20.937 --> 01:41.926\n部長,今天專委排這個專案報告也就代表著你過去因為我們每一年都是2月份開藥價調整會議嘛那也差不多如果有調整的話也差不多是類似像4月1號我們為什麼會排這樣的專案會議也就是說過去我們衛福部這個後面缺藥的處理的機制\n\n01:43.486 --> 02:05.097\n顯然是有問題的我為什麼會這樣子說監察院在去年10月份的調查報告也有講啊就說你的食藥署是勸缺主動稽查的管理機制不只是地區醫院社區醫院還有包括我們社區藥局事實上是有嚴重的缺藥問題這件事情以前沒有發生過\n\n02:08.439 --> 02:10.020\n社區藥局剛好沒有這個藥不叫缺藥社區藥局就沒有買這個我能夠逼他買嗎?\n\n02:27.946 --> 02:32.948\n這個部長你不應該這樣跟我講那我覺得跟醫院跟地區醫院跟社區醫院溝通部長是你的責任喔部長那我就要說你大數據的管理要做得更好啊你應該跟教學醫院、社區醫院、地區醫院所有社區藥局你應該有一個雲端的管理部長\n\n02:53.398 --> 02:53.979\n部長今天身體微漾,你先聽一下委員講\n\n03:10.410 --> 03:27.124\n我覺得在管理系統顯然出現問題不管是社區醫院、社區藥局顯然大家都有可以調整的一個SOP的空間民眾買不到藥是會憤怒的這個憤怒端後面是你要去做承擔我這樣講沒錯吧\n\n03:28.785 --> 03:46.032\n所以我覺得應該有一套更好的管理系統所以去年10月份監察院也提出報告就是說你應該在某一塊某幾塊你要去盡速的去做調整當然去年我也關注到你說有一定的比例要留給社區醫院因為他們採購會有問題那一定的比例包括你在2月24號在媒體採訪的時候你也提出來說我們要統一採購\n\n03:52.535 --> 04:17.953\n那後來又說統一採購可能不是最好的方法這是你去年跟今年講的都不一樣的版本那現在解決的具體做法你可不可以告訴我是什麼本來統一採購就不是一個一個專門的方法本來要統一採購去年是你說的啊你去年的你今年的部長打去年的部長都是你說的我沒有要責罵你你可不可以告訴我你具體的解決方案是什麼\n\n04:20.144 --> 04:38.350\n這個所謂的缺藥的話是主要有兩種情形一個是真正缺藥一個是調度的問題那在調度的問題我同意有調度的問題所以調度的問題你要怎麼處理調度的問題我們現在是對於基層的這一些社區藥局還有這個診所的部分我們藉由去監測中盤商\n\n04:40.211 --> 04:47.155\n部長你後面要書面回答我齁因為我覺得可以用大數據的分析包括近三年疾病跟用藥的趨勢然後未來推估接下來兩年可能熱門用藥的品項你怎麼樣去跟他們互動把大數據管理好\n\n05:06.007 --> 05:31.231\n那我覺得這是你未來要做的工作我希望可以做得好然後我快速的馬診的疫情升溫我們當然我們現在優先因為你現在是控管這些所有可以施打的因為民間想自費買也買不到我尊重你我們現在有123項我們公費接種的對象那MMR的疫苗現在廠商控貨那他優先供貨也會優先供貨給我們機關署\n\n05:34.232 --> 05:59.731\n但是國際藥廠他現在跟我們回答的是說如果要買也排單也要半年後才有貨是典型的有藥但是民間是買不到甚至診所我為什麼這麼說有一些高風險群譬如說他必須常出國或必須跟外國人長期接觸的我們也希望這一類的高風險群有機會我不要說排在公費裡面他們自費但是他們有機會注射到\n\n06:00.672 --> 06:04.776\n這部分的話在智慧疫苗的部分本來就還有一些庫存兩萬多那封面檢驗中的還有兩萬多支那四萬多支如果對這些經常要出國的他是夠啦\n\n06:19.249 --> 06:19.289\n李彥秀\n\n","segments":[{"start":6.451,"end":9.533,"text":"我可不可以邀請部長跟石署長好 請部長跟石署長部長辛苦了我們2月26號上個月開的那個藥價的那個調整會議的結果我們新的藥價是什麼時候生效4月1號"},{"start":33.089,"end":58.782,"text":"當然今天召委特別排這個專案報告其實一定有它的意義在我們從各層面聽到各種不同的聲音包括藥師全聯會的黃金順理事長說預估半年後有可能發生缺藥潮也就是我看到媒體媒體在問你說會不會有缺藥的狀況發生部長你的回應說至今還沒接受到任何的資訊"},{"start":60.223,"end":76.315,"text":"今天沒有收到任何資訊不代表你藥價調整之後半年不會有問題我這樣講對不對這應該是說因為我們有這樣子一個通報的機制在那裡所以6個月前就必須必要藥品就是要做缺藥的一個通報"},{"start":80.937,"end":101.926,"text":"部長,今天專委排這個專案報告也就代表著你過去因為我們每一年都是2月份開藥價調整會議嘛那也差不多如果有調整的話也差不多是類似像4月1號我們為什麼會排這樣的專案會議也就是說過去我們衛福部這個後面缺藥的處理的機制"},{"start":103.486,"end":125.097,"text":"顯然是有問題的我為什麼會這樣子說監察院在去年10月份的調查報告也有講啊就說你的食藥署是勸缺主動稽查的管理機制不只是地區醫院社區醫院還有包括我們社區藥局事實上是有嚴重的缺藥問題這件事情以前沒有發生過"},{"start":128.439,"end":130.02,"text":"社區藥局剛好沒有這個藥不叫缺藥社區藥局就沒有買這個我能夠逼他買嗎?"},{"start":147.946,"end":152.948,"text":"這個部長你不應該這樣跟我講那我覺得跟醫院跟地區醫院跟社區醫院溝通部長是你的責任喔部長那我就要說你大數據的管理要做得更好啊你應該跟教學醫院、社區醫院、地區醫院所有社區藥局你應該有一個雲端的管理部長"},{"start":173.398,"end":173.979,"text":"部長今天身體微漾,你先聽一下委員講"},{"start":190.41,"end":207.124,"text":"我覺得在管理系統顯然出現問題不管是社區醫院、社區藥局顯然大家都有可以調整的一個SOP的空間民眾買不到藥是會憤怒的這個憤怒端後面是你要去做承擔我這樣講沒錯吧"},{"start":208.785,"end":226.032,"text":"所以我覺得應該有一套更好的管理系統所以去年10月份監察院也提出報告就是說你應該在某一塊某幾塊你要去盡速的去做調整當然去年我也關注到你說有一定的比例要留給社區醫院因為他們採購會有問題那一定的比例包括你在2月24號在媒體採訪的時候你也提出來說我們要統一採購"},{"start":232.535,"end":257.953,"text":"那後來又說統一採購可能不是最好的方法這是你去年跟今年講的都不一樣的版本那現在解決的具體做法你可不可以告訴我是什麼本來統一採購就不是一個一個專門的方法本來要統一採購去年是你說的啊你去年的你今年的部長打去年的部長都是你說的我沒有要責罵你你可不可以告訴我你具體的解決方案是什麼"},{"start":260.144,"end":278.35,"text":"這個所謂的缺藥的話是主要有兩種情形一個是真正缺藥一個是調度的問題那在調度的問題我同意有調度的問題所以調度的問題你要怎麼處理調度的問題我們現在是對於基層的這一些社區藥局還有這個診所的部分我們藉由去監測中盤商"},{"start":280.211,"end":287.155,"text":"部長你後面要書面回答我齁因為我覺得可以用大數據的分析包括近三年疾病跟用藥的趨勢然後未來推估接下來兩年可能熱門用藥的品項你怎麼樣去跟他們互動把大數據管理好"},{"start":306.007,"end":331.231,"text":"那我覺得這是你未來要做的工作我希望可以做得好然後我快速的馬診的疫情升溫我們當然我們現在優先因為你現在是控管這些所有可以施打的因為民間想自費買也買不到我尊重你我們現在有123項我們公費接種的對象那MMR的疫苗現在廠商控貨那他優先供貨也會優先供貨給我們機關署"},{"start":334.232,"end":359.731,"text":"但是國際藥廠他現在跟我們回答的是說如果要買也排單也要半年後才有貨是典型的有藥但是民間是買不到甚至診所我為什麼這麼說有一些高風險群譬如說他必須常出國或必須跟外國人長期接觸的我們也希望這一類的高風險群有機會我不要說排在公費裡面他們自費但是他們有機會注射到"},{"start":360.672,"end":364.776,"text":"這部分的話在智慧疫苗的部分本來就還有一些庫存兩萬多那封面檢驗中的還有兩萬多支那四萬多支如果對這些經常要出國的他是夠啦"},{"start":379.249,"end":379.289,"text":"李彥秀"}]}}}}