{"id":152079,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/152079","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/6f015fe8e6787db15013cd786d788849d575e50b9cd8685a55be169921a0a717b70b6df063f2d9295ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"林德福","委員發言時間":"11:32:34 - 11:38:13","影片長度":"00:05:39","會議時間":"2024-05-02T09:00:00+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14次全體委員會議（事由：審查\n一、委員王育敏等19人擬具「全民健康保險法第六十二條條文修正草案」案。\n二、委員蘇清泉等28人擬具「全民健康保險法第六十二條條文修正草案」案。\n三、國民黨黨團擬具「全民健康保險法第六十二條條文修正草案」案。\n【以上議案，如經復議則不予審查】）","date":"2024-05-02","meet":{"tmpMeeting":null,"title":"第11屆第1會期社會福利及衛生環境委員會第14次全體委員會議","term":11,"type":"委員會","sessionPeriod":1,"sessionTimes":14,"committees":[26],"id":"委員會-11-1-26-14"},"duration":339,"end_time":"2024-05-02T11:38:13+08:00","start_time":"2024-05-02T11:32:34+08:00","features":["ai-transcript","gazette"],"type":"Clip","gazette":{"lineno":726,"blocks":[["林委員德福：（11時32分）謝謝主席，是不是請薛部長。"],["主席：我們請薛部長。"],["薛部長瑞元：委員好。"],["林委員德福：部長好，111年健保給付金額前20大藥品，高血壓、高血脂、高血糖等三高藥物用量最多，凸顯高齡化社會用藥的狀況。西藥供應資訊平台從今年一月到現在，社區藥局共通報過52種藥品短缺，有藥師擔心年底恐怕會有缺藥潮，屆時全國有六百多萬名慢性病患用藥權益可能會受損。","本席提醒衛福部，不要讓民眾有斷藥的風險，同時也要進行專案稽查，做好藥品品質的把關，以避免廠商動手腳，影響民眾用藥的權益。部長你有什麼看法？"],["薛部長瑞元：這個目前我們都是一直在接受通報當中，我們也持續在monitor這件事情。缺藥的情形如果是在事前可以發現的話，我們會去做一些處理，但是另外一方面的話，我們也希望如果有取代的學名藥，那大家就不要太過擔心。"],["林委員德福：好，我是認為這個要去重視啦！部長，首先本席支持減少重複用藥，以減少不必要的醫療行為，感謝基層同仁的把關，減少全民健保的浪費。當民眾就醫量暴增，而且超過預估的服務總量時，健保點值就會被稀釋，醫療院所收入將會減少，現行費用的總額推估難免有失準之處。而預估不足的部分，全由醫療人員吸收承擔不盡合理，因此112年行政院動支51億元來補貼健保點值，本席支持法制化來補足健保的點值，希望衛福部能審慎考慮，不要一味反對在野黨的提案。你的看法呢？"],["薛部長瑞元：基本上以去年度到今年都還在執行的，就是點值補到0.9，我們目前已經用掉五十幾億了。這個部分的話，我們的確看到了，第一個當然新冠疫情從公務預算支付變成健保支付，造成的服務量增加。第二個就基層來講，其實這一段時間我們看到的是，基層的看感冒等等這些疾病的比例是降低的，而慢性病尤其是拿慢籤的長期處方籤的，在基層的數量增加很多。"],["林委員德福：我認為部長這部分一定要去重視，媒體報導曾有不肖的醫生收集街友的健保卡，虛報民眾就醫的紀錄，來詐領健保補助被健保署勾稽抓到。根據全民健保保險特約的醫事服務機構違規查處統計，111年一共有211件違規，112年有179件違規，113年1到3月已經有30件違規，從數據看起來似乎有逐年在遞減。請問衛福部，詐領健保的情況逐年減少的主要原因是為何？"],["薛部長瑞元：因為我們是用系統性的去做查核，所以許多這種詐領的案件就比較容易發現。"],["林委員德福：所以說健保詐欺損失金額是不是逐年在降低？"],["薛部長瑞元：應該會是比較一直是在降低的。"],["林委員德福：好，最後一個議題，根據媒體報導，目前正值腸病毒流行期，上週上門診的急診就有差不多一萬四千多人次，較前一週上升17.3%。請問衛福部，全國腸病毒疫情高峰期你認為過了嗎？"],["薛部長瑞元：還沒有。"],["林委員德福：還在持續上升中？"],["薛部長瑞元：對。"],["林委員德福：據了解目前整個實驗室監測到腸病毒以克沙奇A型為主，而且容易引起重症的腸病毒71型只有零星輕症個案。請問衛福部，腸病毒71型是否會在今年大流行？"],["薛部長瑞元：目前還沒有這個跡象。"],["林委員德福：沒有這個跡象？"],["薛部長瑞元：沒有這個跡象，不過我們也在密切的注意。"],["林委員德福：好，要多注意，謝謝。"],["薛部長瑞元：好，謝謝。"],["主席：謝謝林德福委員的質詢，接下來我們請賴士葆委員質詢。"]],"agenda":{"page_end":242,"meet_id":"委員會-11-1-26-14","speakers":["王育敏","蘇清泉","陳昭姿","陳菁徽","林月琴","黃秀芳","邱鎮軍","涂權吉","廖偉翔","劉建國","王正旭","林淑芬","林德福","賴士葆","李彥秀","盧縣一","楊瓊瓔","黃國昌","賴惠員","陳瑩","楊曜"],"page_start":167,"meetingDate":["2024-05-02"],"gazette_id":"1133901","agenda_lcidc_ids":["1133901_00004"],"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14次全體委員會議紀錄","content":"審查一、委員王育敏等18人擬具「全民健康保險法第六十二條條文修正草案」案；二、委員蘇清\n泉等27人擬具「全民健康保險法第六十二條條文修正草案」案；三、國民黨黨團擬具「全民健康\n保險法第六十二條條文修正草案」案","agenda_id":"1133901_00003"}},"transcript":{"id":"152079","pyannote":{"name":"ronny","tool":"pyannote","data":{"url":"https://ivod.ly.gov.tw/Play/Clip/1M/152079","tool":"pyannote","id":"152079-pyannote"},"job_id":"eMuX19Np3xo9eYWU","queued_at":"2024-05-31 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\"score\": 0.999}, {\"word\": \"注\", \"start\": 330.927, \"end\": 331.107, \"score\": 0.974}, {\"word\": \"意\", \"start\": 331.107, \"end\": 331.127, \"score\": 0.983}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"禮\"}, {\"word\": \"士\", \"start\": 333.553, \"end\": 333.653, \"score\": 0.8}, {\"word\": \"堡\", \"start\": 333.653, \"end\": 333.693, \"score\": 0.5}, {\"word\": \"委\", \"start\": 333.693, \"end\": 333.713, \"score\": 0.0}, {\"word\": \"員\"}], \"language\": \"zh\"}","srt":"1\n00:00:18,852 --> 00:00:26,778\n謝謝主席。是不是請薛部長。好,我們請薛部長。部長你好。111年齁,這個健保幾戶\n\n2\n00:00:30,734 --> 00:00:47,869\nbicyn而前二十大藥品就高血壓、高血脂、高血糖等三高藥物用量最多,凸顯高齡化社會用藥的狀況。那西藥供應資訊平台從今年一月到現在,社區藥局共通\n\n3\n00:00:50,649 --> 00:01:03,020\n二、委員王育敏等19人擬具«全民健康保險法第六十二條條文修正草案»案。netesi等一、委員王育敏等19人擬具«全民健康保險法第六十二條條文修正草案»案。\n\n4\n00:01:13,609 --> 00:01:36,117\nbicyn做好藥品品質的把關以避免廠商動手腳影響民眾用藥的權益,部長你有什麼看法?這目前我們都是一直在接受通報當中,我們也持續在monitor這件事情。那缺藥的情形如果是在事前是可以發現的話,那我們會去做一些處理。\n\n5\n00:01:36,357 --> 00:01:36,517\nbicyC.\n\n6\n00:01:36,517 --> 00:01:52,037\n我希望另外一方面的話我們也希望說如果有取代的學民藥那就大家都不要太過擔心好啦我是認為這個要去重視啦那個部長首先本席支持減少重複用藥啦\n\n7\n00:01:53,238 --> 00:02:17,148\n一、減少不必要的醫療行為感謝基層同仁的把關減少全民健保的浪費當民眾就醫量暴增而且超過預估的服務總量時健保點值就會被稀釋醫療院所收入將會減少現行費用的總額推估難免有失準之處\n\n8\n00:02:18,268 --> 00:02:43,755\n那預估不足的部分全由醫療人員吸收承擔不盡合理因此112年行政院動資51億元51億的錢來補貼健保點子本席支持法治化來補足健保的點子希望衛務部能審慎考慮不要一味反對在野黨的提案你的看法勒?\n\n9\n00:02:44,835 --> 00:03:07,068\n基本上以去年度的到今年度還在執行的點子補到0.09,我們目前已經用掉50幾億了。這個部分的話,的確是我們看到了新冠疫情從公共預算支付變成健保支付造成的服務量增加。\n\n10\n00:03:07,688 --> 00:03:30,974\n第二個就基層來講的話其實我們也發現說這一段時間我們看到的是基層的這種看感冒啦等等這一些這些疾病的比例是降低的而慢性病尤其是拿慢簽的長期慢性病長期處方簽的在基層的數量增加很多\n\n11\n00:03:31,494 --> 00:03:32,915\n二、委員王育敏等19人擬具\n\n12\n00:04:10,143 --> 00:04:37,499\nbicylian在地檢那請問那個衛福部乍領健保的情況竹林減少主要原因是為何因為我們很有用系統性的去做查核所以許多這種乍領的案件的話就比較容易去發生所以說這個健保乍期損失金額是不是竹林在降低應該會是比較一直是在降低的好最後一個議題齁\n\n13\n00:04:39,485 --> 00:05:00,535\n根據媒體報導目前正值長病毒流行期上週上門診的急診就有超14000多人次較前一週上升17.3%那請問衛福部全國長病毒疫情高峰期你認為過了嗎還沒有還在持續上升中\n\n14\n00:05:05,177 --> 00:05:31,127\n據瞭解目前整個實驗室監測到腸病毒以這個克沙奇A型為主而且容易引起重症的腸病毒71型只有林興輕症個案那請問衛福部腸病毒71型是否會在今年大流行呢目前還沒有這個跡象沒有這個跡象沒有這個跡象不過我們也在密切的注意要多注意謝謝謝謝\n\n15\n00:05:33,553 --> 00:05:33,713\n禮士堡委員\n\n","tsv":"start\tend\ttext\n18852\t26778\t謝謝主席。是不是請薛部長。好,我們請薛部長。部長你好。111年齁,這個健保幾戶\n30734\t47869\tbicyn 而前二十大藥品就高血壓、高血脂、高血糖等三高藥物用量最多,凸顯高齡化社會用藥的狀況。那西藥供應資訊平台從今年一月到現在,社區藥局共通\n50649\t63020\t二、委員王育敏等19人擬具 «全民健康保險法第六十二條條文修正草案»案。netesi等一、委員王育敏等19人擬具 «全民健康保險法第六十二條條文修正草案»案。\n73609\t96117\tbicyn 做好藥品品質的把關以避免廠商動手腳影響民眾用藥的權益,部長你有什麼看法?這目前我們都是一直在接受通報當中,我們也持續在monitor這件事情。那缺藥的情形如果是在事前是可以發現的話,那我們會去做一些處理。\n96357\t96517\tbicyC.\n96517\t112037\t我希望另外一方面的話我們也希望說如果有取代的學民藥那就大家都不要太過擔心好啦我是認為這個要去重視啦那個部長首先本席支持減少重複用藥啦\n113238\t137148\t一、減少不必要的醫療行為感謝基層同仁的把關減少全民健保的浪費當民眾就醫量暴增而且超過預估的服務總量時健保點值就會被稀釋醫療院所收入將會減少現行費用的總額推估難免有失準之處\n138268\t163755\t那預估不足的部分全由醫療人員吸收承擔不盡合理因此 112年行政院動資51億元51億的錢來補貼健保點子本席支持法治化來補足健保的點子希望衛務部能審慎考慮不要一味反對在野黨的提案你的看法勒?\n164835\t187068\t基本上以去年度的到今年度還在執行的點子補到0.09,我們目前已經用掉50幾億了。這個部分的話,的確是我們看到了新冠疫情從公共預算支付變成健保支付造成的服務量增加。\n187688\t210974\t第二個就基層來講的話其實我們也發現說這一段時間我們看到的是基層的這種看感冒啦等等這一些這些疾病的比例是降低的而慢性病尤其是拿慢簽的長期慢性病長期處方簽的在基層的數量增加很多\n211494\t212915\t二、委員王育敏等19人擬具\n229480\t250043\t�\n250143\t277499\tbicylian在地檢那請問那個衛福部乍領健保的情況竹林減少主要原因是為何因為我們很有用系統性的去做查核所以許多這種乍領的案件的話就比較容易去發生所以說這個健保乍期損失金額是不是竹林在降低應該會是比較一直是在降低的好最後一個議題齁\n279485\t300535\t根據媒體報導目前正值長病毒流行期上週上門診的急診就有超14000多人次較前一週上升17.3%那請問衛福部全國長病毒疫情高峰期你認為過了嗎還沒有還在持續上升中\n305177\t331127\t據瞭解目前整個實驗室監測到腸病毒以這個克沙奇A型為主而且容易引起重症的腸病毒71型只有林興輕症個案那請問衛福部腸病毒71型是否會在今年大流行呢目前還沒有這個跡象沒有這個跡象沒有這個跡象不過我們也在密切的注意要多注意謝謝謝謝\n333553\t333713\t禮士堡委員\n","txt":"謝謝主席。是不是請薛部長。好,我們請薛部長。部長你好。111年齁,這個健保幾戶\nbicyn 而前二十大藥品就高血壓、高血脂、高血糖等三高藥物用量最多,凸顯高齡化社會用藥的狀況。那西藥供應資訊平台從今年一月到現在,社區藥局共通\n二、委員王育敏等19人擬具 «全民健康保險法第六十二條條文修正草案»案。netesi等一、委員王育敏等19人擬具 «全民健康保險法第六十二條條文修正草案»案。\nbicyn 做好藥品品質的把關以避免廠商動手腳影響民眾用藥的權益,部長你有什麼看法?這目前我們都是一直在接受通報當中,我們也持續在monitor這件事情。那缺藥的情形如果是在事前是可以發現的話,那我們會去做一些處理。\nbicyC.\n我希望另外一方面的話我們也希望說如果有取代的學民藥那就大家都不要太過擔心好啦我是認為這個要去重視啦那個部長首先本席支持減少重複用藥啦\n一、減少不必要的醫療行為感謝基層同仁的把關減少全民健保的浪費當民眾就醫量暴增而且超過預估的服務總量時健保點值就會被稀釋醫療院所收入將會減少現行費用的總額推估難免有失準之處\n那預估不足的部分全由醫療人員吸收承擔不盡合理因此 112年行政院動資51億元51億的錢來補貼健保點子本席支持法治化來補足健保的點子希望衛務部能審慎考慮不要一味反對在野黨的提案你的看法勒?\n基本上以去年度的到今年度還在執行的點子補到0.09,我們目前已經用掉50幾億了。這個部分的話,的確是我們看到了新冠疫情從公共預算支付變成健保支付造成的服務量增加。\n第二個就基層來講的話其實我們也發現說這一段時間我們看到的是基層的這種看感冒啦等等這一些這些疾病的比例是降低的而慢性病尤其是拿慢簽的長期慢性病長期處方簽的在基層的數量增加很多\n二、委員王育敏等19人擬具\n�\nbicylian在地檢那請問那個衛福部乍領健保的情況竹林減少主要原因是為何因為我們很有用系統性的去做查核所以許多這種乍領的案件的話就比較容易去發生所以說這個健保乍期損失金額是不是竹林在降低應該會是比較一直是在降低的好最後一個議題齁\n根據媒體報導目前正值長病毒流行期上週上門診的急診就有超14000多人次較前一週上升17.3%那請問衛福部全國長病毒疫情高峰期你認為過了嗎還沒有還在持續上升中\n據瞭解目前整個實驗室監測到腸病毒以這個克沙奇A型為主而且容易引起重症的腸病毒71型只有林興輕症個案那請問衛福部腸病毒71型是否會在今年大流行呢目前還沒有這個跡象沒有這個跡象沒有這個跡象不過我們也在密切的注意要多注意謝謝謝謝\n禮士堡委員\n","vtt":"WEBVTT\n\n00:18.852 --> 00:26.778\n謝謝主席。是不是請薛部長。好,我們請薛部長。部長你好。111年齁,這個健保幾戶\n\n00:30.734 --> 00:47.869\nbicyn而前二十大藥品就高血壓、高血脂、高血糖等三高藥物用量最多,凸顯高齡化社會用藥的狀況。那西藥供應資訊平台從今年一月到現在,社區藥局共通\n\n00:50.649 --> 01:03.020\n二、委員王育敏等19人擬具«全民健康保險法第六十二條條文修正草案»案。netesi等一、委員王育敏等19人擬具«全民健康保險法第六十二條條文修正草案»案。\n\n01:13.609 --> 01:36.117\nbicyn做好藥品品質的把關以避免廠商動手腳影響民眾用藥的權益,部長你有什麼看法?這目前我們都是一直在接受通報當中,我們也持續在monitor這件事情。那缺藥的情形如果是在事前是可以發現的話,那我們會去做一些處理。\n\n01:36.357 --> 01:36.517\nbicyC.\n\n01:36.517 --> 01:52.037\n我希望另外一方面的話我們也希望說如果有取代的學民藥那就大家都不要太過擔心好啦我是認為這個要去重視啦那個部長首先本席支持減少重複用藥啦\n\n01:53.238 --> 02:17.148\n一、減少不必要的醫療行為感謝基層同仁的把關減少全民健保的浪費當民眾就醫量暴增而且超過預估的服務總量時健保點值就會被稀釋醫療院所收入將會減少現行費用的總額推估難免有失準之處\n\n02:18.268 --> 02:43.755\n那預估不足的部分全由醫療人員吸收承擔不盡合理因此112年行政院動資51億元51億的錢來補貼健保點子本席支持法治化來補足健保的點子希望衛務部能審慎考慮不要一味反對在野黨的提案你的看法勒?\n\n02:44.835 --> 03:07.068\n基本上以去年度的到今年度還在執行的點子補到0.09,我們目前已經用掉50幾億了。這個部分的話,的確是我們看到了新冠疫情從公共預算支付變成健保支付造成的服務量增加。\n\n03:07.688 --> 03:30.974\n第二個就基層來講的話其實我們也發現說這一段時間我們看到的是基層的這種看感冒啦等等這一些這些疾病的比例是降低的而慢性病尤其是拿慢簽的長期慢性病長期處方簽的在基層的數量增加很多\n\n03:31.494 --> 03:32.915\n二、委員王育敏等19人擬具\n\n04:10.143 --> 04:37.499\nbicylian在地檢那請問那個衛福部乍領健保的情況竹林減少主要原因是為何因為我們很有用系統性的去做查核所以許多這種乍領的案件的話就比較容易去發生所以說這個健保乍期損失金額是不是竹林在降低應該會是比較一直是在降低的好最後一個議題齁\n\n04:39.485 --> 05:00.535\n根據媒體報導目前正值長病毒流行期上週上門診的急診就有超14000多人次較前一週上升17.3%那請問衛福部全國長病毒疫情高峰期你認為過了嗎還沒有還在持續上升中\n\n05:05.177 --> 05:31.127\n據瞭解目前整個實驗室監測到腸病毒以這個克沙奇A型為主而且容易引起重症的腸病毒71型只有林興輕症個案那請問衛福部腸病毒71型是否會在今年大流行呢目前還沒有這個跡象沒有這個跡象沒有這個跡象不過我們也在密切的注意要多注意謝謝謝謝\n\n05:33.553 --> 05:33.713\n禮士堡委員\n\n","segments":[{"start":18.852,"end":26.778,"text":"謝謝主席。是不是請薛部長。好,我們請薛部長。部長你好。111年齁,這個健保幾戶"},{"start":30.734,"end":47.869,"text":" bicyn 而前二十大藥品就高血壓、高血脂、高血糖等三高藥物用量最多,凸顯高齡化社會用藥的狀況。那西藥供應資訊平台從今年一月到現在,社區藥局共通"},{"start":50.649,"end":63.02,"text":"二、委員王育敏等19人擬具 «全民健康保險法第六十二條條文修正草案»案。netesi等一、委員王育敏等19人擬具 «全民健康保險法第六十二條條文修正草案»案。"},{"start":73.609,"end":96.117,"text":" bicyn 做好藥品品質的把關以避免廠商動手腳影響民眾用藥的權益,部長你有什麼看法?這目前我們都是一直在接受通報當中,我們也持續在monitor這件事情。那缺藥的情形如果是在事前是可以發現的話,那我們會去做一些處理。"},{"start":96.357,"end":96.517,"text":" bicyC."},{"start":96.517,"end":112.037,"text":"我希望另外一方面的話我們也希望說如果有取代的學民藥那就大家都不要太過擔心好啦我是認為這個要去重視啦那個部長首先本席支持減少重複用藥啦"},{"start":113.238,"end":137.148,"text":"一、減少不必要的醫療行為感謝基層同仁的把關減少全民健保的浪費當民眾就醫量暴增而且超過預估的服務總量時健保點值就會被稀釋醫療院所收入將會減少現行費用的總額推估難免有失準之處"},{"start":138.268,"end":163.755,"text":"那預估不足的部分全由醫療人員吸收承擔不盡合理因此 112年行政院動資51億元51億的錢來補貼健保點子本席支持法治化來補足健保的點子希望衛務部能審慎考慮不要一味反對在野黨的提案你的看法勒?"},{"start":164.835,"end":187.068,"text":"基本上以去年度的到今年度還在執行的點子補到0.09,我們目前已經用掉50幾億了。這個部分的話,的確是我們看到了新冠疫情從公共預算支付變成健保支付造成的服務量增加。"},{"start":187.688,"end":210.974,"text":"第二個就基層來講的話其實我們也發現說這一段時間我們看到的是基層的這種看感冒啦等等這一些這些疾病的比例是降低的而慢性病尤其是拿慢簽的長期慢性病長期處方簽的在基層的數量增加很多"},{"start":211.494,"end":212.915,"text":"二、委員王育敏等19人擬具"},{"start":229.48,"end":250.043,"text":"�"},{"start":250.143,"end":277.499,"text":" bicylian在地檢那請問那個衛福部乍領健保的情況竹林減少主要原因是為何因為我們很有用系統性的去做查核所以許多這種乍領的案件的話就比較容易去發生所以說這個健保乍期損失金額是不是竹林在降低應該會是比較一直是在降低的好最後一個議題齁"},{"start":279.485,"end":300.535,"text":"根據媒體報導目前正值長病毒流行期上週上門診的急診就有超14000多人次較前一週上升17.3%那請問衛福部全國長病毒疫情高峰期你認為過了嗎還沒有還在持續上升中"},{"start":305.177,"end":331.127,"text":"據瞭解目前整個實驗室監測到腸病毒以這個克沙奇A型為主而且容易引起重症的腸病毒71型只有林興輕症個案那請問衛福部腸病毒71型是否會在今年大流行呢目前還沒有這個跡象沒有這個跡象沒有這個跡象不過我們也在密切的注意要多注意謝謝謝謝"},{"start":333.553,"end":333.713,"text":"禮士堡委員"}]}}}}