{"id":149585,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149585","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/1441ba9c2015bdbeea414677ed95159fdc62c46c87ca327ff8ba9b0039caa7a69901211b83453c9b5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"林憶君","委員發言時間":"12:28:15 - 12:34:21","影片長度":"00:06:06","會議時間":"2024-03-07T09:00:00+08:00","會議名稱":"立法院第11屆第1會期社會福利及衛生環境委員會第4次全體委員會議（事由：邀請衛生福利部部長、中央健康保險署、食品藥物管理署就「健保藥價調整，藥廠停產慢性病用藥之因應作為」進行專題報告，並備質詢。）","meet":{"tmpMeeting":null,"title":"第11屆第1會期社會福利及衛生環境委員會第4次全體委員會議","term":11,"type":"委員會","sessionPeriod":1,"sessionTimes":4,"committees":[26],"id":"委員會-11-1-26-4"},"date":"2024-03-07","duration":366,"end_time":"2024-03-07T12:34:21+08:00","start_time":"2024-03-07T12:28:15+08:00","features":["ai-transcript","gazette"],"type":"Clip","gazette":{"lineno":1215,"blocks":[["林委員憶君：（12時28分）主席好，請薛部長及石署長，謝謝。"],["主席：請部長與石署長。"],["薛部長瑞元：委員好。"],["林委員憶君：部長，藥價的部分也是本席長期關心的議題，所以本席必須要用自己的專業向部長指出幾個問題的嚴重性。因為藥價的調整，不但涉及民眾的用藥權益，甚至造成缺藥的情況發生，那更是危及國人的生命、身體及健康，甚至可能會是國安的問題，而且藥局根本沒有囤藥的問題，只有缺藥的問題。","最近有許多醫事人員反映不合理的狀況，想請教部長一個問題，如果有一個慢性病患者在3月1日就醫後拿到醫生開出的3個月慢性處方箋，原本已經領了1個月份的藥，但是健保署卻公告藥價準備在4月1日將健保價調降，請問，當這個患者4月2日要第二次領藥的時候，是不是應該要以就醫起日計算呢？或是健保署認為這個藥價應該要用哪一天計算才合理呢？"],["薛部長瑞元：基本上，他已經有這個處方了，只要憑著處方箋去拿藥，在他拿了藥之後再申報。"],["林委員憶君：部長，你知道嗎？如果依照4月1日計算藥價，按照目前這樣的制度執行，對於給藥的醫療機構實在是非常的不公平。"],["薛部長瑞元：這是過渡期一定會碰到的。"],["林委員憶君：基層醫療機構紛紛反映，並不是政府預告何時調整藥價，醫療機構就馬上要隨時配合。"],["薛部長瑞元：每年都是4月1日，這是都知道的啊！"],["林委員憶君：今天如果是一個弱勢的醫療機構，它平常進藥品的時候通常都贏不了大型醫院，所以本席是不是可以趁部長今天來備詢的這個機會把基層醫療的問題釐清？本席在此想針對藥價調整的問題為民眾及基層藥師發聲，過去就有一些案例是已經確定的，有一個慢性病連續處方箋在健保藥價調整金額後，因為換藥情況導致缺藥的可能，先前就是因為健保代碼支付價格歸零或藥品取消健保給付的問題，健保署就有實施以原處方就醫起日或者治療的結束日支付該藥品的健保費。"],["薛部長瑞元：這個不太可行，第一個……"],["林委員憶君：不是，這是已經確定執行的，我只是想要知道剛才這樣的例子是否有辦法套用。"],["薛部長瑞元：以這個例子來講，第一個，藥已經開出去了，所以處方箋就是那個藥，以這個藥去做調劑，無論是回原醫院所去做調劑或是到社區藥局做調劑，在調劑完之後向健保申報費用，本來就是按照新的呀。"],["林委員憶君：這個問題就是出在藥品支付價格之後，民眾會面臨到領藥的衝擊，以及幫助緩解基層診所和社區藥局備藥的壓力，所以既然慢性處方箋是3月開出的，新藥價生效日是不是就應該以醫生處方日認定呢？"],["薛部長瑞元：不太可能這樣做。"],["林委員憶君：這個我想健保署可以研議一下看看有沒有辦法，因為在慢性處方箋開立後，藥價調整其實導致非常多的病人難以取得藥物，這是因為行政程序導致病人權益完全受損。沒關係，請部長在1個星期內給本席正面的滿意回復，可以嗎？"],["薛部長瑞元：這個對病人的權益沒有影響，而是藥局與健保署這邊……"],["林委員憶君：沒關係，這個再請你用書面報告一下。"],["薛部長瑞元：好。"],["林委員憶君：部長，你同意支持三同藥物嗎？並協助國人度過缺藥的危機嗎？"],["薛部長瑞元：我們的政策目標當然就是要這樣做。"],["林委員憶君：你們過去一年來宣傳學名藥的預算執行率有多少呢？"],["薛部長瑞元：我手上沒有這個預算的資料。"],["林委員憶君：我有請助理向你們的食藥署索取資料，但是索取了2次之後，到現在依舊沒有回復，這是不是藐視國會議員啊？"],["薛部長瑞元：沒有。"],["林委員憶君：對不對？"],["薛部長瑞元：沒有啦！因為……"],["林委員憶君：衛福部針對三同藥物進行宣導的力道是不是太弱了，以至於在缺藥後大家又無法接受學名藥，這樣我們是不是應該要編列預算並積極作為，以免缺藥造成民眾的恐慌，這是不是衛福部的責任呢？"],["薛部長瑞元：是，所以我們今年在這個部分的宣導費用會增加，但是我們的宣導費用經常到了立法院之後又會被刪，所以希望委員能支持。"],["林委員憶君：好，沒關係，請部長在此承諾重新檢討一個跨部會的學名藥政策，訂定出短中長程的目標，短程就是宣導、中程就是穩定生產的供應、長程就是扶植我國MIT製造的指示藥、學名藥產業，可以嗎？"],["薛部長瑞元：可以。"],["林委員憶君：好，謝謝部長。"],["薛部長瑞元：謝謝。"],["主席：謝謝林憶君委員的質詢，接下來請劉建國委員進行質詢。"]],"agenda":{"page_end":210,"meet_id":"委員會-11-1-26-4","speakers":["王育敏","陳昭姿","陳菁徽","林月琴","盧縣一","邱鎮軍","廖偉翔","黃秀芳","蘇清泉","涂權吉","王正旭","林德福","王鴻薇","羅廷瑋","李彥秀","林淑芬","黃健豪","謝衣鳯","鍾佳濱","林憶君","劉建國","陳瑩","楊曜","楊瓊瓔"],"page_start":133,"meetingDate":["2024-03-07"],"gazette_id":"1130901","agenda_lcidc_ids":["1130901_00003"],"meet_name":"立法院第11屆第1會期社會福利及衛生環境委員會第4次全體委員會議紀錄","content":"邀請衛生福利部部長、中央健康保險署、食品藥物管理署就「健保藥價調整，藥廠停產慢性病用\n藥之因應作為」進行專題報告，並備質詢","agenda_id":"1130901_00002"}},"transcript":{"id":"149585","pyannote":{"name":"ronny","tool":"pyannote","data":{"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149585","tool":"pyannote","id":"149585-pyannote"},"job_id":"lJKCcJAhUI0e29rk","queued_at":"2024-06-02 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是不是應該要以就一期日計算呢還是請問健保署對於這個藥價的計算 覺得要用哪一天來計算才合理呢\", \"words\": [{\"word\": \"但\", \"start\": 73.366, \"end\": 73.586, \"score\": 0.959}, {\"word\": \"是\", \"start\": 73.586, \"end\": 73.846, \"score\": 0.988}, {\"word\": \"健\", \"start\": 73.846, \"end\": 74.087, \"score\": 0.904}, {\"word\": \"保\", \"start\": 74.087, \"end\": 74.327, \"score\": 0.974}, {\"word\": \"署\", \"start\": 74.327, \"end\": 74.747, \"score\": 0.836}, {\"word\": \"卻\"}, {\"word\": \"公\", \"start\": 74.747, \"end\": 74.967, \"score\": 0.863}, {\"word\": \"告\", \"start\": 74.967, \"end\": 75.968, \"score\": 0.875}, {\"word\": \"說\"}, {\"word\": \"藥\"}, {\"word\": \"價\"}, {\"word\": \"準\", \"start\": 75.968, \"end\": 76.248, \"score\": 0.701}, {\"word\": \"備\"}, {\"word\": \"在\", \"start\": 76.248, \"end\": 76.629, \"score\": 0.93}, {\"word\": \"4\"}, {\"word\": \"月\", \"start\": 76.629, \"end\": 77.109, \"score\": 0.792}, {\"word\": \"1\"}, {\"word\": \"號\"}, {\"word\": \"要\", \"start\": 77.109, \"end\": 77.369, 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\"text\": \"而因為換藥情況導致缺藥的可能而先前就是因為健保代碼支付價格歸零或藥品取消健保給付的問題健保署就有實施以原處方就是就醫期日或者治療的結束日支付該藥品的健保費\", \"words\": [{\"word\": \"而\", \"start\": 164.091, \"end\": 164.391, \"score\": 0.869}, {\"word\": \"因\", \"start\": 164.391, \"end\": 165.372, \"score\": 0.879}, {\"word\": \"為\"}, {\"word\": \"換\"}, {\"word\": \"藥\"}, {\"word\": \"情\", \"start\": 165.372, \"end\": 166.352, \"score\": 0.937}, {\"word\": \"況\"}, {\"word\": \"導\"}, {\"word\": \"致\", \"start\": 166.352, \"end\": 166.612, \"score\": 0.971}, {\"word\": \"缺\", \"start\": 166.612, \"end\": 166.992, \"score\": 0.853}, {\"word\": \"藥\"}, {\"word\": \"的\", \"start\": 166.992, \"end\": 167.132, \"score\": 0.792}, {\"word\": \"可\", \"start\": 167.132, \"end\": 167.412, \"score\": 0.962}, {\"word\": \"能\", \"start\": 167.412, \"end\": 168.073, \"score\": 0.914}, {\"word\": \"而\", \"start\": 168.073, \"end\": 168.253, \"score\": 0.997}, {\"word\": \"先\", \"start\": 168.253, \"end\": 168.493, \"score\": 0.929}, {\"word\": \"前\", \"start\": 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349.43, \"score\": 0.0}, {\"word\": \"應\"}, {\"word\": \"長\"}, {\"word\": \"程\", \"start\": 349.43, \"end\": 349.55, \"score\": 0.833}, {\"word\": \"就\", \"start\": 349.55, \"end\": 349.57, \"score\": 0.0}, {\"word\": \"是\", \"start\": 349.57, \"end\": 349.63, \"score\": 0.162}, {\"word\": \"扶\", \"start\": 349.63, \"end\": 349.65, \"score\": 0.0}, {\"word\": \"植\", \"start\": 349.65, \"end\": 349.83, \"score\": 0.889}, {\"word\": \"我\", \"start\": 349.83, \"end\": 349.85, \"score\": 0.0}, {\"word\": \"國\"}, {\"word\": \"M\", \"start\": 349.85, \"end\": 349.87, \"score\": 0.0}, {\"word\": \"I\", \"start\": 349.87, \"end\": 350.11, \"score\": 0.76}, {\"word\": \"T\", \"start\": 350.11, \"end\": 350.13, \"score\": 0.0}, {\"word\": \"的\", \"start\": 350.13, \"end\": 350.15, \"score\": 0.001}, {\"word\": \"製\"}, {\"word\": \"造\", \"start\": 350.15, \"end\": 350.23, \"score\": 0.75}, {\"word\": \"的\", \"start\": 350.23, \"end\": 350.25, \"score\": 0.0}, {\"word\": \"指\", \"start\": 350.25, \"end\": 350.31, \"score\": 0.144}, {\"word\": \"示\", \"start\": 350.31, \"end\": 350.33, \"score\": 0.001}, {\"word\": \"藥\"}, {\"word\": \"學\", \"start\": 350.33, \"end\": 350.41, \"score\": 0.747}, {\"word\": \"民\", \"start\": 350.41, \"end\": 350.45, \"score\": 0.016}, {\"word\": \"藥\"}, {\"word\": \"產\"}, {\"word\": \"業\"}, {\"word\": \"那\", \"start\": 350.45, \"end\": 350.47, \"score\": 0.0}, {\"word\": \"可\", \"start\": 350.47, \"end\": 350.491, \"score\": 0.0}, {\"word\": \"以\", \"start\": 350.491, \"end\": 350.511, \"score\": 0.0}, {\"word\": \"嗎\"}, {\"word\": \"林\", \"start\": 359.957, \"end\": 360.057, \"score\": 0.799}, {\"word\": \"憶\"}, {\"word\": \"君\", \"start\": 360.057, \"end\": 360.138, \"score\": 0.75}, {\"word\": \"委\", \"start\": 360.138, \"end\": 360.158, \"score\": 0.0}, {\"word\": \"員\"}], \"language\": \"zh\"}","srt":"1\n00:00:14,895 --> 00:00:20,459\n主席好有請薛部長及石署長謝謝好請部長跟石署長委員好\n\n2\n00:00:27,423 --> 00:00:51,631\n有請薛部長你知道針對藥價的問題是本席長期關心的議題本席必須要用自己的專業向部長指出幾個問題的嚴重性因為藥價的調整不但涉及民眾的用藥權益甚至造成缺藥的情況會發生那更是危及國人的生命、身體及健康甚至可能會是國安的問題\n\n3\n00:00:52,771 --> 00:01:11,104\n而且藥局根本沒有囤藥的問題只有缺藥的問題最近有許多醫事人員反應不合理的狀況就是想請教部長一個問題如果有一個慢性患者他在3月1號就醫後拿到醫生開出的慢性處方簽三個月他原來已經領了一個月了\n\n4\n00:01:13,366 --> 00:01:34,982\n但是健保署卻公告說藥價準備在4月1號要降健保價調降所以請問當這個患者4月2號要第二次領藥的時候是不是應該要以就一期日計算呢還是請問健保署對於這個藥價的計算覺得要用哪一天來計算才合理呢\n\n5\n00:01:37,389 --> 00:01:44,227\n這基本上他已經有這一個處方了他就讓他處方去拿藥拿了藥之後再申報\n\n6\n00:01:46,399 --> 00:02:00,584\n是,部長你知道嗎?如果依照4月1號計算藥價在目前這樣的制度執行對於給藥的醫療機構實在是非常的不公平因為這個基層醫療的機構紛紛在反映說並不是說政府已經有預告何時調整藥價醫療機構就馬上要隨時的配合多出的成本反映的\n\n7\n00:02:10,868 --> 00:02:21,162\n今天如果一個弱勢的醫療機構他平常在進藥品的時候他的藥通常都贏不了大型醫院啊所以北行是不是可以趁部長今天來備詢這個機會我們把基層醫療的問題來釐清\n\n8\n00:02:26,149 --> 00:02:39,886\n所以本席在此想針對藥價調整的問題為民眾及基於藥食法則那就是過去就有一個就有一些案例是已經確定的就是說有一個有關慢性病連續處方簽對於健保藥價調整金額後\n\n9\n00:02:44,091 --> 00:03:07,580\n而因為換藥情況導致缺藥的可能而先前就是因為健保代碼支付價格歸零或藥品取消健保給付的問題健保署就有實施以原處方就是就醫期日或者治療的結束日支付該藥品的健保費\n\n10\n00:03:08,975 --> 00:03:25,280\n這個大概不太可行不是這個是已經是確定執行的只是我想要把剛才這樣的例子看看有沒有辦法套用例子來講第一個就是藥已經開出去了就是那一個藥所以處方箱裡面就是那一個藥\n\n11\n00:03:26,560 --> 00:03:44,462\n這一個藥的話去做調劑不管是怎麼樣回原業運手去做調劑還是收到社區藥局去做調劑那調劑完之後跟健保申報費用的時候那本來就是按年薪的啊至少在年度例行這個問題就是出在於藥品支付價格之後民眾領導\n\n12\n00:03:45,623 --> 00:03:46,744\n新藥價生效日是不是就應該以醫生處方日認定呢?這個的話我想說想健保署可以\n\n13\n00:04:02,911 --> 00:04:03,572\n請部長一個星期內給本席正面的滿意\n\n14\n00:04:26,165 --> 00:04:48,625\n這個跟病的權益沒有影響這個是跟藥局跟健保署沒關係這個的話再書面報告一下好主席可以再一分鐘OK好部長你同意支持三同藥物嗎來協助國人度過這個缺藥的危機嗎這我們當然就是政策目標就這樣做\n\n15\n00:04:49,145 --> 00:05:16,180\n那你們過去一年來宣傳學名藥的預算還執行率有多少呢?這一個部分的話當然我手上是沒有這個資料啦那預算的部分好因為我有請我們的助理跟你們食藥署索取資料但是索取了兩次之後到現在依舊沒有回覆然後這是不是藐視國會議員啊?沒有對不對衛福部針對是否有三通藥物做宣導是不是宣傳的力道太弱了呢?然後\n\n16\n00:05:16,880 --> 00:05:31,477\n以致缺藥大家又沒有辦法接受學民藥這樣的話我們是不是應該要來編列預算然後積極作為呢以免缺藥造成民眾之間的恐慌這是不是衛福部的責任呢\n\n17\n00:05:32,578 --> 00:05:50,511\n所以我們今年在這一個部分的宣導的費用我們會增加但是我們經常這個宣導費用到了那個立法院：好沒關係部長是否可以在此承諾重新檢討一個跨部會的我們學民藥的政策把它分成短中長的目標短程就是宣導中程就是穩定生產的供應長程就是扶植我國MIT的製造的指示藥學民藥產業那可以嗎\n\n18\n00:05:59,957 --> 00:06:00,158\n林憶君委員\n\n","tsv":"start\tend\ttext\n14895\t20459\t主席好 有請薛部長及石署長謝謝好 請部長跟石署長委員好\n27423\t51631\t有請薛部長你知道針對藥價的問題是本席長期關心的議題本席必須要用自己的專業向部長指出幾個問題的嚴重性因為藥價的調整不但涉及民眾的用藥權益甚至造成缺藥的情況會發生那更是危及國人的生命、身體及健康甚至可能會是國安的問題\n52771\t71104\t而且藥局根本沒有囤藥的問題只有缺藥的問題最近有許多醫事人員反應不合理的狀況就是想請教部長一個問題如果有一個慢性患者他在3月1號就醫後拿到醫生開出的慢性處方簽三個月他原來已經領了一個月了\n73366\t94982\t但是健保署卻公告說藥價準備在4月1號要降 健保價調降所以請問當這個患者4月2號要第二次領藥的時候 是不是應該要以就一期日計算呢還是請問健保署對於這個藥價的計算 覺得要用哪一天來計算才合理呢\n97389\t104227\t這基本上他已經有這一個處方了他就讓他處方去拿藥拿了藥之後再申報\n106399\t120584\t是,部長你知道嗎?如果依照4月1號計算藥價在目前這樣的制度執行對於給藥的醫療機構實在是非常的不公平因為這個基層醫療的機構紛紛在反映說並不是說政府已經有預告何時調整藥價醫療機構就馬上要隨時的配合多出的成本反映的\n130868\t141162\t今天如果一個弱勢的醫療機構他平常在進藥品的時候他的藥通常都贏不了大型醫院啊所以北行是不是可以趁部長今天來備詢這個機會我們把基層醫療的問題來釐清\n146149\t159886\t所以本席在此想針對藥價調整的問題為民眾及基於藥食法則那就是過去就有一個就有一些案例是已經確定的就是說有一個有關慢性病連續處方簽對於健保藥價調整金額後\n164091\t187580\t而因為換藥情況導致缺藥的可能而先前就是因為健保代碼支付價格歸零或藥品取消健保給付的問題健保署就有實施以原處方就是就醫期日或者治療的結束日支付該藥品的健保費\n188975\t205280\t這個大概不太可行不是這個是已經是確定執行的只是我想要把剛才這樣的例子看看有沒有辦法套用例子來講第一個就是藥已經開出去了就是那一個藥所以處方箱裡面就是那一個藥\n206560\t224462\t這一個藥的話去做調劑不管是怎麼樣回原業運手去做調劑還是收到社區藥局去做調劑那調劑完之後跟健保申報費用的時候那本來就是按年薪的啊至少在年度例行這個問題就是出在於藥品支付價格之後民眾領導\n225623\t226744\t新藥價生效日是不是就應該以醫生處方日認定呢?這個的話我想說想健保署可以\n242911\t243572\t請部長一個星期內給本席正面的滿意\n266165\t288625\t這個跟病的權益沒有影響這個是跟藥局跟健保署沒關係這個的話再書面報告一下好主席可以再一分鐘OK好部長你同意支持三同藥物嗎來協助國人度過這個缺藥的危機嗎這我們當然就是政策目標就這樣做\n289145\t316180\t那你們過去一年來宣傳學名藥的預算還執行率有多少呢?這一個部分的話當然我手上是沒有這個資料啦那預算的部分好 因為我有請我們的助理跟你們食藥署索取資料但是索取了兩次之後到現在依舊沒有回覆然後這是不是藐視國會議員啊?沒有 對不對衛福部針對是否有三通藥物做宣導是不是宣傳的力道太弱了呢?然後\n316880\t331477\t以致缺藥大家又沒有辦法接受學民藥這樣的話我們是不是應該要來編列預算然後積極作為呢以免缺藥造成民眾之間的恐慌這是不是衛福部的責任呢\n332578\t350511\t所以我們今年在這一個部分的宣導的費用我們會增加但是我們經常這個宣導費用到了那個立法院：好沒關係部長是否可以在此承諾重新檢討一個跨部會的我們學民藥的政策把它分成短中長的目標短程就是宣導中程就是穩定生產的供應長程就是扶植我國MIT的製造的指示藥學民藥產業那可以嗎\n359957\t360158\t林憶君委員\n","txt":"主席好 有請薛部長及石署長謝謝好 請部長跟石署長委員好\n有請薛部長你知道針對藥價的問題是本席長期關心的議題本席必須要用自己的專業向部長指出幾個問題的嚴重性因為藥價的調整不但涉及民眾的用藥權益甚至造成缺藥的情況會發生那更是危及國人的生命、身體及健康甚至可能會是國安的問題\n而且藥局根本沒有囤藥的問題只有缺藥的問題最近有許多醫事人員反應不合理的狀況就是想請教部長一個問題如果有一個慢性患者他在3月1號就醫後拿到醫生開出的慢性處方簽三個月他原來已經領了一個月了\n但是健保署卻公告說藥價準備在4月1號要降 健保價調降所以請問當這個患者4月2號要第二次領藥的時候 是不是應該要以就一期日計算呢還是請問健保署對於這個藥價的計算 覺得要用哪一天來計算才合理呢\n這基本上他已經有這一個處方了他就讓他處方去拿藥拿了藥之後再申報\n是,部長你知道嗎?如果依照4月1號計算藥價在目前這樣的制度執行對於給藥的醫療機構實在是非常的不公平因為這個基層醫療的機構紛紛在反映說並不是說政府已經有預告何時調整藥價醫療機構就馬上要隨時的配合多出的成本反映的\n今天如果一個弱勢的醫療機構他平常在進藥品的時候他的藥通常都贏不了大型醫院啊所以北行是不是可以趁部長今天來備詢這個機會我們把基層醫療的問題來釐清\n所以本席在此想針對藥價調整的問題為民眾及基於藥食法則那就是過去就有一個就有一些案例是已經確定的就是說有一個有關慢性病連續處方簽對於健保藥價調整金額後\n而因為換藥情況導致缺藥的可能而先前就是因為健保代碼支付價格歸零或藥品取消健保給付的問題健保署就有實施以原處方就是就醫期日或者治療的結束日支付該藥品的健保費\n這個大概不太可行不是這個是已經是確定執行的只是我想要把剛才這樣的例子看看有沒有辦法套用例子來講第一個就是藥已經開出去了就是那一個藥所以處方箱裡面就是那一個藥\n這一個藥的話去做調劑不管是怎麼樣回原業運手去做調劑還是收到社區藥局去做調劑那調劑完之後跟健保申報費用的時候那本來就是按年薪的啊至少在年度例行這個問題就是出在於藥品支付價格之後民眾領導\n新藥價生效日是不是就應該以醫生處方日認定呢?這個的話我想說想健保署可以\n請部長一個星期內給本席正面的滿意\n這個跟病的權益沒有影響這個是跟藥局跟健保署沒關係這個的話再書面報告一下好主席可以再一分鐘OK好部長你同意支持三同藥物嗎來協助國人度過這個缺藥的危機嗎這我們當然就是政策目標就這樣做\n那你們過去一年來宣傳學名藥的預算還執行率有多少呢?這一個部分的話當然我手上是沒有這個資料啦那預算的部分好 因為我有請我們的助理跟你們食藥署索取資料但是索取了兩次之後到現在依舊沒有回覆然後這是不是藐視國會議員啊?沒有 對不對衛福部針對是否有三通藥物做宣導是不是宣傳的力道太弱了呢?然後\n以致缺藥大家又沒有辦法接受學民藥這樣的話我們是不是應該要來編列預算然後積極作為呢以免缺藥造成民眾之間的恐慌這是不是衛福部的責任呢\n所以我們今年在這一個部分的宣導的費用我們會增加但是我們經常這個宣導費用到了那個立法院：好沒關係部長是否可以在此承諾重新檢討一個跨部會的我們學民藥的政策把它分成短中長的目標短程就是宣導中程就是穩定生產的供應長程就是扶植我國MIT的製造的指示藥學民藥產業那可以嗎\n林憶君委員\n","vtt":"WEBVTT\n\n00:14.895 --> 00:20.459\n主席好有請薛部長及石署長謝謝好請部長跟石署長委員好\n\n00:27.423 --> 00:51.631\n有請薛部長你知道針對藥價的問題是本席長期關心的議題本席必須要用自己的專業向部長指出幾個問題的嚴重性因為藥價的調整不但涉及民眾的用藥權益甚至造成缺藥的情況會發生那更是危及國人的生命、身體及健康甚至可能會是國安的問題\n\n00:52.771 --> 01:11.104\n而且藥局根本沒有囤藥的問題只有缺藥的問題最近有許多醫事人員反應不合理的狀況就是想請教部長一個問題如果有一個慢性患者他在3月1號就醫後拿到醫生開出的慢性處方簽三個月他原來已經領了一個月了\n\n01:13.366 --> 01:34.982\n但是健保署卻公告說藥價準備在4月1號要降健保價調降所以請問當這個患者4月2號要第二次領藥的時候是不是應該要以就一期日計算呢還是請問健保署對於這個藥價的計算覺得要用哪一天來計算才合理呢\n\n01:37.389 --> 01:44.227\n這基本上他已經有這一個處方了他就讓他處方去拿藥拿了藥之後再申報\n\n01:46.399 --> 02:00.584\n是,部長你知道嗎?如果依照4月1號計算藥價在目前這樣的制度執行對於給藥的醫療機構實在是非常的不公平因為這個基層醫療的機構紛紛在反映說並不是說政府已經有預告何時調整藥價醫療機構就馬上要隨時的配合多出的成本反映的\n\n02:10.868 --> 02:21.162\n今天如果一個弱勢的醫療機構他平常在進藥品的時候他的藥通常都贏不了大型醫院啊所以北行是不是可以趁部長今天來備詢這個機會我們把基層醫療的問題來釐清\n\n02:26.149 --> 02:39.886\n所以本席在此想針對藥價調整的問題為民眾及基於藥食法則那就是過去就有一個就有一些案例是已經確定的就是說有一個有關慢性病連續處方簽對於健保藥價調整金額後\n\n02:44.091 --> 03:07.580\n而因為換藥情況導致缺藥的可能而先前就是因為健保代碼支付價格歸零或藥品取消健保給付的問題健保署就有實施以原處方就是就醫期日或者治療的結束日支付該藥品的健保費\n\n03:08.975 --> 03:25.280\n這個大概不太可行不是這個是已經是確定執行的只是我想要把剛才這樣的例子看看有沒有辦法套用例子來講第一個就是藥已經開出去了就是那一個藥所以處方箱裡面就是那一個藥\n\n03:26.560 --> 03:44.462\n這一個藥的話去做調劑不管是怎麼樣回原業運手去做調劑還是收到社區藥局去做調劑那調劑完之後跟健保申報費用的時候那本來就是按年薪的啊至少在年度例行這個問題就是出在於藥品支付價格之後民眾領導\n\n03:45.623 --> 03:46.744\n新藥價生效日是不是就應該以醫生處方日認定呢?這個的話我想說想健保署可以\n\n04:02.911 --> 04:03.572\n請部長一個星期內給本席正面的滿意\n\n04:26.165 --> 04:48.625\n這個跟病的權益沒有影響這個是跟藥局跟健保署沒關係這個的話再書面報告一下好主席可以再一分鐘OK好部長你同意支持三同藥物嗎來協助國人度過這個缺藥的危機嗎這我們當然就是政策目標就這樣做\n\n04:49.145 --> 05:16.180\n那你們過去一年來宣傳學名藥的預算還執行率有多少呢?這一個部分的話當然我手上是沒有這個資料啦那預算的部分好因為我有請我們的助理跟你們食藥署索取資料但是索取了兩次之後到現在依舊沒有回覆然後這是不是藐視國會議員啊?沒有對不對衛福部針對是否有三通藥物做宣導是不是宣傳的力道太弱了呢?然後\n\n05:16.880 --> 05:31.477\n以致缺藥大家又沒有辦法接受學民藥這樣的話我們是不是應該要來編列預算然後積極作為呢以免缺藥造成民眾之間的恐慌這是不是衛福部的責任呢\n\n05:32.578 --> 05:50.511\n所以我們今年在這一個部分的宣導的費用我們會增加但是我們經常這個宣導費用到了那個立法院：好沒關係部長是否可以在此承諾重新檢討一個跨部會的我們學民藥的政策把它分成短中長的目標短程就是宣導中程就是穩定生產的供應長程就是扶植我國MIT的製造的指示藥學民藥產業那可以嗎\n\n05:59.957 --> 06:00.158\n林憶君委員\n\n","segments":[{"start":14.895,"end":20.459,"text":"主席好 有請薛部長及石署長謝謝好 請部長跟石署長委員好"},{"start":27.423,"end":51.631,"text":"有請薛部長你知道針對藥價的問題是本席長期關心的議題本席必須要用自己的專業向部長指出幾個問題的嚴重性因為藥價的調整不但涉及民眾的用藥權益甚至造成缺藥的情況會發生那更是危及國人的生命、身體及健康甚至可能會是國安的問題"},{"start":52.771,"end":71.104,"text":"而且藥局根本沒有囤藥的問題只有缺藥的問題最近有許多醫事人員反應不合理的狀況就是想請教部長一個問題如果有一個慢性患者他在3月1號就醫後拿到醫生開出的慢性處方簽三個月他原來已經領了一個月了"},{"start":73.366,"end":94.982,"text":"但是健保署卻公告說藥價準備在4月1號要降 健保價調降所以請問當這個患者4月2號要第二次領藥的時候 是不是應該要以就一期日計算呢還是請問健保署對於這個藥價的計算 覺得要用哪一天來計算才合理呢"},{"start":97.389,"end":104.227,"text":"這基本上他已經有這一個處方了他就讓他處方去拿藥拿了藥之後再申報"},{"start":106.399,"end":120.584,"text":"是,部長你知道嗎?如果依照4月1號計算藥價在目前這樣的制度執行對於給藥的醫療機構實在是非常的不公平因為這個基層醫療的機構紛紛在反映說並不是說政府已經有預告何時調整藥價醫療機構就馬上要隨時的配合多出的成本反映的"},{"start":130.868,"end":141.162,"text":"今天如果一個弱勢的醫療機構他平常在進藥品的時候他的藥通常都贏不了大型醫院啊所以北行是不是可以趁部長今天來備詢這個機會我們把基層醫療的問題來釐清"},{"start":146.149,"end":159.886,"text":"所以本席在此想針對藥價調整的問題為民眾及基於藥食法則那就是過去就有一個就有一些案例是已經確定的就是說有一個有關慢性病連續處方簽對於健保藥價調整金額後"},{"start":164.091,"end":187.58,"text":"而因為換藥情況導致缺藥的可能而先前就是因為健保代碼支付價格歸零或藥品取消健保給付的問題健保署就有實施以原處方就是就醫期日或者治療的結束日支付該藥品的健保費"},{"start":188.975,"end":205.28,"text":"這個大概不太可行不是這個是已經是確定執行的只是我想要把剛才這樣的例子看看有沒有辦法套用例子來講第一個就是藥已經開出去了就是那一個藥所以處方箱裡面就是那一個藥"},{"start":206.56,"end":224.462,"text":"這一個藥的話去做調劑不管是怎麼樣回原業運手去做調劑還是收到社區藥局去做調劑那調劑完之後跟健保申報費用的時候那本來就是按年薪的啊至少在年度例行這個問題就是出在於藥品支付價格之後民眾領導"},{"start":225.623,"end":226.744,"text":"新藥價生效日是不是就應該以醫生處方日認定呢?這個的話我想說想健保署可以"},{"start":242.911,"end":243.572,"text":"請部長一個星期內給本席正面的滿意"},{"start":266.165,"end":288.625,"text":"這個跟病的權益沒有影響這個是跟藥局跟健保署沒關係這個的話再書面報告一下好主席可以再一分鐘OK好部長你同意支持三同藥物嗎來協助國人度過這個缺藥的危機嗎這我們當然就是政策目標就這樣做"},{"start":289.145,"end":316.18,"text":"那你們過去一年來宣傳學名藥的預算還執行率有多少呢?這一個部分的話當然我手上是沒有這個資料啦那預算的部分好 因為我有請我們的助理跟你們食藥署索取資料但是索取了兩次之後到現在依舊沒有回覆然後這是不是藐視國會議員啊?沒有 對不對衛福部針對是否有三通藥物做宣導是不是宣傳的力道太弱了呢?然後"},{"start":316.88,"end":331.477,"text":"以致缺藥大家又沒有辦法接受學民藥這樣的話我們是不是應該要來編列預算然後積極作為呢以免缺藥造成民眾之間的恐慌這是不是衛福部的責任呢"},{"start":332.578,"end":350.511,"text":"所以我們今年在這一個部分的宣導的費用我們會增加但是我們經常這個宣導費用到了那個立法院：好沒關係部長是否可以在此承諾重新檢討一個跨部會的我們學民藥的政策把它分成短中長的目標短程就是宣導中程就是穩定生產的供應長程就是扶植我國MIT的製造的指示藥學民藥產業那可以嗎"},{"start":359.957,"end":360.158,"text":"林憶君委員"}]}}}}