{"id":153541,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/153541","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/18e54f584c581c98676ddb7833a57c6484a12a82c262ca10031d9cd4fff3a3cddaeb2ade180e39b45ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"陳昭姿","委員發言時間":"09:24:12 - 09:35:54","影片長度":"00:11:42","會議時間":"2024-06-05T09:00:00+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20次全體委員會議（事由：邀請衛生福利部部長、外交部就「2024年我國參與世界衛生大會（WHA）之經過、檢討與展望」進行專題報告，並備質詢。\n【6月5日及6日二天一次會】）","type":"Clip","date":"2024-06-05","start_time":"2024-06-05T09:24:12+08:00","end_time":"2024-06-05T09:35:54+08:00","duration":702,"meet":{"tmpMeeting":null,"title":"第11屆第1會期社會福利及衛生環境委員會第20次全體委員會議","term":11,"type":"委員會","sessionPeriod":1,"sessionTimes":20,"committees":[26],"id":"委員會-11-1-26-20"},"features":["ai-transcript","gazette"],"gazette":{"lineno":140,"blocks":[["陳委員昭姿：（9時24分）麻煩邱部長。"],["主席：請邱部長。"],["邱部長泰源：委員好。"],["陳委員昭姿：部長好，這是我們第一次詢答，我想還是先恭喜你，也謝謝你願意承擔這個重責大任。"],["邱部長泰源：感謝！"],["陳委員昭姿：這次您帶領WHA團隊去參加，我知道陳菁徽委員、王正旭委員還有本黨的林憶君委員大家都有參與，我從他們的臉書上看到你們的行程非常緊湊、非常辛苦，也謝謝你們能夠一起幫臺灣的國際能見度做一些努力。"],["邱部長泰源：謝謝。"],["陳委員昭姿：部長，在這一次WHA的全球盛事當中，我也注意到醫學生、藥學生及公衛學生有組成一個聯合會，這些優秀的大學生們特別籌組了一個世界衛生大會的青年團去參加，他們的活動紀錄當中有提到一件事情，讓我非常憂心，他說：WHO估計，全球醫藥衛生工作者大概短缺一千萬人。我們都知道在全球化的浪潮上，類似專業人員他們會做全球性的移動，非常普遍，同樣的工作跟服務內容，多數人才難免會去待遇比較好、生活品質比較理想的環境，像美國的執業醫師大概有四分之一是在國外受到訓練以後，才在那邊就學、畢業，像印度就是一個醫師人才非常缺乏的地方，因為他們是外移非常嚴重的國家，也導致他們的基層醫療照顧出了很大的問題。請問部長，你覺得我們未來會不會面臨醫療專業服務者不夠這樣的狀況呢？"],["邱部長泰源：謝謝委員的質詢。第一個，我非常敬佩委員能夠瞭解到青年軍他們在做什麼，我們長輩對這些未來國家生力軍的關心是很重要，也是令人敬佩的。其實不管是在政府單位或者過去我們在醫師會相關的組織，我們都花了不少經費來協助這些青年軍……"],["陳委員昭姿：但是他們發現了這個問題。"],["邱部長泰源：對，這是第一個。第二個，他們發現未來會少了一千萬個醫療人員，這個部分可能我們要看WHO裡面的報告，看它是在哪一個地區，是在非洲呢？非洲大概是非常缺乏，不要說非洲啦，只說我們雲林……"],["陳委員昭姿：部長，這樣好了，因為他們也注意到這個問題，也許也請衛福部來做一個評估。"],["邱部長泰源：一定、一定。"],["陳委員昭姿：等一下我會告訴部長，我們現在也有一些網站訊息是教導醫療人員如何到國外去工作。"],["邱部長泰源：OK。"],["陳委員昭姿：我先回到照護司的部分，臨床護理人員離職率將近百分之十二，離職原因包括三班制、生活品質，甚至薪資待遇等等，畢業後大概只有六成的護理師會就職、就業，本席認為臺灣缺乏護理師已經進入非常嚴重的狀況，像新北上次還關了很多床，部長瞭解嘛？就是關床的聲音一直都存在。","我在天下雜誌的採訪中有看到一位考上美國RN（Registered Nurse），即註冊護理師的人，他表示他過去在醫學中心的年薪大概是70萬，在地區醫院大概是50萬，當然加上三班輪值等等，他認為一部分的病人會覺得付錢的是老大，有時候會對護理人員不太客氣，所以他就去補習班準備考試，後來考上了美國RN（Registered Nurse），起薪是150萬臺幣。所以有時候也不太能責怪專業人員要到國外尋求更理想的環境，我要告訴部長，現在有很多醫療人員，包括醫師跟護理師，都有一點點開始要移民外出工作，你如果從Google打關鍵字，你會發覺有很多教學的訊息，告訴他們要怎麼樣到澳洲、怎麼樣到美國去擔任護理師、醫師，甚至專門有人代辦這件事情，我們真的非常擔心，因為專業人員的流失是一件非常嚴重的問題，如果人力不足，將直接影響我們病人的照顧，就算我們移入外國的人力補充，但是語言隔閡等等還是有很大的問題。所以部長，這個部分你有在關心嗎？"],["邱部長泰源：謝謝。第一個關床的問題，我想各個層級、各個地區會有不一樣，我剛剛一開始就說，我們一定要去落實、去瞭解、偵測，我們不能不食人間煙火。所謂的關床，它有很多的模式，而且所謂關床或是沒有收到一定住院率的時候，其實有時候醫院也不太喜歡報上去，所以這個data要拿到，的確是要花很多的功夫。"],["陳委員昭姿：部長是新官上任嘛！你一上來就有太多的問題要去面對……"],["邱部長泰源：沒問題，關床這個一定會……"],["陳委員昭姿：這個部分再請部長多瞭解，我們很擔心關床，病人會沒得照顧。"],["邱部長泰源：是。"],["陳委員昭姿：下一個問題是三班護病比，因為這是賴總統在競選時候的承諾，其實這兩個月我每天都會去查看，到前幾天都還沒有放上去，本來都沒有三班護病比，只有全日的護病比，不過6月3日衛福部真的放上去了，但一放就放一整年，部長知道什麼時候規定要通報護病比？你知道日期嗎？當然是你還沒有上任之前。"],["邱部長泰源：我記得是去年8月。"],["陳委員昭姿：去年7月左右，就是說其實是一整年之後才開始提供，所以真的這個是有一點落後才放上去，因為我們要的是三班護病比，既然賴總統有承諾三班護病比要兩年內入法，現在我們看到規劃是2025年，請問可不可能提早或是有更仔細的、更詳細的立法時程？"],["邱部長泰源：我想所有的政策都要考慮到人民針對醫療的需求，我們不能讓人民的健康有一天去延後，站在這樣的原則之下，任何的政策我們都會找相關單位來談。所以三班護病比要怎麼樣來定義，我們一定會找相關的單位，尤其是護理師公會……"],["陳委員昭姿：其實三黨的候選人都有提到，剛好執政黨的賴總統也有提到這部分，我只是要提醒部長，有關盤點人力有不足的醫院，是不是有開始進行補人力？這個部分也是請衛福部要關心的。第二個，即便現在是人力足夠的，你也要有機制去看它的未來，它不能只在醫院評鑑是通過的，就是說它也一定要有維持，還有是不是另外也要提供護理人員一個申訴機制或管道。這三件事情，就是他們有沒有在進行補人力、會不會維持以及護理人員有一個申訴管道，衛福部是不是也要再來關心一下？因為我們目的是讓新人能夠加入，而且能夠留任，現在護理人員平均待六年就離開了，這真的是我們非常大的損失。"],["邱部長泰源：是，瞭解。"],["陳委員昭姿：謝謝部長。部長知道近期永豐藥廠的新聞嗎？你應該有跟上吧？新聞鬧得沸沸揚揚，生理食鹽水都不夠，我看到石署長上來了，但這個是幾乎每個病人都會用到，手術時生理食鹽水是不可或缺的，它會影響病人的權益跟病人的生命。價格部分我就先不談，因為大家都琅琅上口嘛！什麼點滴比飲料還便宜，通氣管比通水管還便宜，心臟按摩比腳底按摩還便宜。不過我要談的是，部長，因為有第一線醫療人員到林次長的臉書留言說，他們缺乏這些東西，非常大的困難，但是林次長卻用非常嘲諷的口吻說：某些人站著說話不腰疼，能找到更便宜的，我親自到府簽約。部長，他已經是次長了，是政務官，缺藥是國家的問題，你能夠約束他好好講話嗎？","另外，我要謝謝石署長，共擬會上週已經緊急開會處理，我知道禮拜五還要繼續開類似會議，但是我們要檢討的是，品質出問題，當然不見得是只有藥價問題，但是你砍價以後造成品質堪慮，品質堪慮就缺貨，缺貨又要從國外進口更高價藥品，我希望它不要是個惡性循環。我承認這次永豐藥廠出問題，當然它本身要負很大的責任，但是你想一想，一家藥廠出問題，全國都缺貨，這是不是表示其他藥廠也不願意用同樣的價格來供應，才會一家出問題，全國出問題？所以是不是還是無法完全排除費用或一些相關問題？署長，現在有所謂的地板價，我知道你們一直在檢討，DET也在檢討，跟醫藥界也有一些溝通，當然溝通內容我沒有去追蹤，但是不是可以儘快提出相關規定，記取這一次教訓？不過部長，署長他是無米可炊，他的米要來自部長、院長跟總統，你們要給他米，他才能炊，好嗎？這次有關DET草案，部長、署長是不是能夠……"],["邱部長泰源：陳委員真的長期在關心健保，也非常瞭解，所以我必須找特別的專家來回答你。"],["陳委員昭姿：好，你的DET、你的藥品支付目標……"],["石署長崇良：跟委員報告，目前大概從兩個方向著手，一個是對於基本用藥（essencial medication）、基礎用藥在國內的藥證比較少的品項，可能會在國內製造的，我們會排除在DET每年的藥價檢討，這是第一個，這要修藥價調整辦法。第二……"],["陳委員昭姿：不過署長，這一家不夠喔，一家出問題，全部都出問題喔！"],["石署長崇良：對，我知道，就是張數在三張以下的品項，那一組我們就不調。第二，已經到地板價的部分，現在我們也正在調查，請他們反映有哪一些在成本上已經因通貨膨脹或其他等等因素，需要重新調整的，我們現在正在彙整這些資料，從這兩個方面來著手。"],["陳委員昭姿：好，反正再提醒部長，缺藥是全國的問題，請約束一下林次長的情緒發言，謝謝。"],["邱部長泰源：謝謝，謝謝委員。"],["主席：謝謝陳昭姿委員發言。","接下來請蘇清泉委員發言。"]],"agenda":{"page_end":130,"meet_id":"委員會-11-1-26-20","speakers":["黃秀芳","林月琴","陳昭姿","蘇清泉","陳菁徽","邱鎮軍","涂權吉","王育敏","王正旭","陳培瑜","盧縣一","廖偉翔","洪孟楷","楊瓊瓔","林淑芬","劉建國","洪申翰","楊曜","陳瑩","張智倫","陳冠廷"],"page_start":61,"meetingDate":["2024-06-05"],"gazette_id":"1136001","agenda_lcidc_ids":["1136001_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20次全體委員會議紀錄","content":"邀請衛生福利部部長、外交部就「2024年我國參與世界衛生大會（WHA）之經過、檢討與展望」\n進行專題報告，並備質詢","agenda_id":"1136001_00002"}},"transcript":{"id":"153541","pyannote":{"name":"ronny","tool":"pyannote","data":{"url":"https://ivod.ly.gov.tw/Play/Clip/1M/153541","tool":"pyannote","id":"153541-pyannote"},"job_id":"Xjh4IMDpg3FX6S28","queued_at":"2024-06-05 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00:00:39,712\n委員長部長好這是我們第一次詢答我想還是先恭喜你然後也謝謝你願意承擔這個重責大任謝謝是您帶領這個WHA團隊去參加然後我知道陳金輝委員王振旭委員還有本黨的林玉君委員大家都有參與那我從他們的臉書上看到你們的行程非常的緊湊非常的辛苦我想也謝謝你們能夠一起幫台灣的國際能見度做一些努力\n\n3\n00:00:41,533 --> 00:01:08,731\n在這一次的全球盛事當中就是WHA我也注意到醫學生、藥學生還有公衛學生他們組成的聯合會特別優秀的大學生們籌組了一個世界衛生大會的青年團去參加他們的活動記錄當中有提到一件事情讓我非常憂心他說WHO估計全球醫藥衛生工作者大概短缺1000萬人\n\n4\n00:01:11,192 --> 00:01:27,700\n我們都知道在全球化的浪潮上類似專業人員他們會做一個全球性的移動非常普遍同樣的工作跟服務內容多數人才難免去所謂的待遇比較好那就是說環境、生活品質比較理想的環境\n\n5\n00:01:28,660 --> 00:01:28,880\n謝謝委員的執行\n\n6\n00:01:57,455 --> 00:02:15,820\n我想第一個國會長競配委員能夠了解到青年軍他們在做什麼這是我們長輩對這些未來的國家的生意軍的一個關心這是很重要也是令人競配我們不管是在政府的單位或者過去我們在\n\n7\n00:02:18,681 --> 00:02:43,720\n醫師會相關的組織其實我們都花了不少的經費來協助這些青年菌但是他們發現了這個問題對,那他們在這第一個第二個他們發現的未來說會少了1000萬個醫療人員這個部分可能我們要來看一下WHO裡面的報告他是在哪一個地區我想是在非洲呢非洲大概是非常的缺乏\n\n8\n00:02:45,123 --> 00:02:50,349\n不要說會說啦,只是說我們婚姻這樣好了就是說因為他們也注意到這個問題那也許也請衛福部來做一個評估啦等一下我會告訴部長我們現在也有一些這個網站訊息是教導這醫療人員如何到國外去工作那我先回到趙護士的部分\n\n9\n00:03:03,984 --> 00:03:32,393\n那個臨床護理人員離職率將近12%那離職原因大概包括三班制、生活品質甚至薪資待遇等等那畢業後大概只有六成的護理師他們會就職、就業那本席認為這個臺灣去外護理師已經進入非常嚴重的狀況新北上次還在關了很多床部長瞭解嘛就關床的這個聲音一直都存在那我在天下雜誌的採訪中有發現就看到一個美國的那個就是說\n\n10\n00:03:32,893 --> 00:03:52,890\n考上美國的RN就是註冊護理師那他表示他說過去在醫學中心他的年資大概是70萬然後他在地區大概是50萬那當然加上三班輪至等等那他認為部分一部分的病人有時候對這個父前室老大有時候對護理人員不太客氣所以他就去考試去補習班考試\n\n11\n00:03:54,531 --> 00:04:16,603\n那考上了這個美國的這個所謂的那個RN那起薪是150萬台幣所以我想說有時候啦不太能怪責怪這些專業人員他們有時候要到國外尋求更覺得更理想的環境那我要告訴部長說現在有很多醫療人員包括醫師跟護理師都開始有點點開始要做移民\n\n12\n00:04:17,423 --> 00:04:37,985\n外出工作那你如果從Google打關鍵字你會發覺有很多教學的訊息告訴他們怎麼樣到澳洲怎麼樣到美國去擔任護理師醫師甚至專門有人代辦這件事情那我們真的非常擔心專業人員的流失是一件非常嚴重的問題如果人力不足將直接影響我們病人的照顧\n\n13\n00:04:39,306 --> 00:04:47,884\n就算我們一路外國的人力補充但是語言隔閡等等還是有很大的問題所以部長這個部分你有在關心嗎?\n\n14\n00:04:49,552 --> 00:05:16,394\n好,謝謝。第一個官場的問題,我想各個層級、各個地區會有不一樣。我們一定,我剛剛一開始就講說,我們一定要去落實、去了解、偵測。一定要去偵測,我們不能不死人在念火啦。所謂的官場它有很多的模式,但而且官場的時候,所謂官場或者是沒有收到住院利的時候,\n\n15\n00:05:17,014 --> 00:05:36,523\n其實有時候醫院也不太喜歡報上去,所以我這個data要拿到的確是要花很多的工夫。不管新官上任嘛,就是說我們想你一上來就有太多的問題大概要去面對啦。沒問題。這個部分再請部長多了解。我們很擔心關床啊,病人沒得照顧。\n\n16\n00:05:37,864 --> 00:06:07,194\n那下一個問題就是說三班互併筆因為這次賴總統在競選時候承諾那其實我每天在這兩個月每天去查看其實到前幾天都還沒有上去不過本來都沒有三班互併筆只有這個全日的互併筆不過6月3日這個衛福部真的放上去了但一放就放一整年部長您知道其實什麼時候規定要通報嗎通報互併筆您知道日期嗎當然是你還沒有上任之前\n\n17\n00:06:08,866 --> 00:06:36,557\n我記得是7年8月去年7月左右就是說其實一整年之後才開始提供所以真的是有一點落後才放上去因為事實上就是說我們要的是三班互併比那既然總統他有承諾說三班互併比要兩年內入法那現在剛剛我們看到說規劃是2025年那請問有沒有更仔細的一個可不可能提早或是更仔細的一個更詳細的立法這個時程呢\n\n18\n00:06:37,878 --> 00:06:56,015\n好,我想所有的政策都要考慮到人民真的醫療的需求,我們不能讓人民的健康有一天去延後,所以站在這樣的延遲之下,任何的政策我們都會找相關的單位來談,那上半部分比這個部分他的\n\n19\n00:06:57,065 --> 00:07:25,357\n他怎麼樣來定義,我們一定找相關的,尤其是護理師、護職公務員。其實三黨的候選人其實都有提到,因為剛好執政黨的賴總統也有提到這部分。那我只要提醒部長就是說,這個有關盤點人力不足的醫院,就是說人力有不足的醫院,那是不是有開始進行補人力,這個部分也是請衛福部要關心的。那第二個,因為現在是人力足夠的,你也要有機制去看。\n\n20\n00:07:26,677 --> 00:07:27,417\n護理人員平均待6年就離開了\n\n21\n00:07:55,404 --> 00:08:09,165\n這個字我們真的是非常大的這個損失是是好謝謝部長那你知道近期這個永豐藥廠應該有跟上吧這個新聞沸沸揚揚生理食鹽水都不夠這個我看到石柱友上來了當然這個\n\n22\n00:08:10,347 --> 00:08:10,367\n拜訪問\n\n23\n00:08:29,150 --> 00:08:56,610\n部長因為有一第一線的醫療人員到次長林次長的那個臉書留言說他們缺乏這些東西非常大的困難但是林次長卻用非常嘲諷的口吻說某些人站著說話不腰疼能找到更便宜的我親自到府簽約部長他已經是次長了他是政務官了缺藥是國家的問題你能夠約束他好好講話嗎\n\n24\n00:08:58,851 --> 00:09:25,371\n那另外我要談的是說謝謝石署長那共理會已經上週緊急開了這個處理我知道禮拜五還要繼續開類似的會議也謝謝你但是就是說我們要檢討是說當然品質出問題不見得是只有要價問題但是你砍價然後砍價又造成品質刊率品質刊率就缺貨缺貨又要從國外進口更高價我希望它不要是個惡性循環那我承認這是永豐藥廠出問題\n\n25\n00:09:26,952 --> 00:09:53,562\n當然他本身要負很大的責任但是你想一家藥廠出問題但是全國都缺貨那署長是不是表示說其他的藥廠也不願意用同樣的價格來供應才會一家出問題全國出問題所以是不是還是無法完全排除費用或是一些相關的問題那署長現在有所謂的地板價我知道你已經在檢討那第一梯也在檢討\n\n26\n00:09:55,142 --> 00:10:21,289\n是不是說我知道跟醫藥界也有一些溝通那當過內容我沒有去追蹤那是不是就是說可以就是說盡快提出這些相關的規定然後我們記取這一次的教訓不過部長那個署長他是無米之炊那他的米要來自部長跟院長跟總統要給他有米啊他才能炊啊好嗎這一次有關第一天草案署長是不是能夠還是部長\n\n27\n00:10:22,369 --> 00:10:45,418\n陳委員真的是長期在關心健保,非常了解所以我必須找特別的專家跟你回答一下你的第一批,你的藥品支付目標跟委員報告目前我們大概從兩個方向一個就是對於這個基本用藥就是EssentialMedications基礎用藥那麼在國內的藥證是比較少的品項\n\n28\n00:10:46,218 --> 00:10:52,184\n那麼我們可能會在國內製造的我們會排除在第一梯的每年的要價檢討這是第一個這個要修這個要價調整辦法\n\n29\n00:10:56,667 --> 00:11:25,680\n不過部長,事實上一家不夠喔一家出問題全部都出問題喔對我知道那個就是以那個張數在3張以下的品項就會全面那一組啦那一組的我們就不調那第二個呢是對已經到地板價的部分那現在我們也已經在調查請他們反映看看有哪一些那麼成本上已經因為通貨膨脹或等等因素那麼需要重新調整的我們現在正在彙整這些資料\n\n30\n00:11:26,220 --> 00:11:26,680\n接下來請蘇清泉委員發言\n\n","tsv":"start\tend\ttext\n3385\t3990\t麻煩邱部長\n11223\t39712\t委員長部長好這是我們第一次詢答我想還是先恭喜你然後也謝謝你願意承擔這個重責大任謝謝是您帶領這個WHA團隊去參加然後我知道陳金輝委員王振旭委員還有本黨的林玉君委員大家都有參與那我從他們的臉書上看到你們的行程非常的緊湊非常的辛苦我想也謝謝你們能夠一起幫台灣的國際能見度做一些努力\n41533\t68731\t在這一次的全球盛事當中就是WHA我也注意到醫學生、藥學生還有公衛學生他們組成的聯合會特別優秀的大學生們籌組了一個世界衛生大會的青年團去參加他們的活動記錄當中有提到一件事情讓我非常憂心他說WHO估計全球醫藥衛生工作者大概短缺1000萬人\n71192\t87700\t我們都知道在全球化的浪潮上類似專業人員他們會做一個全球性的移動非常普遍同樣的工作跟服務內容多數人才難免去所謂的待遇比較好那就是說環境、生活品質比較理想的環境\n88660\t88880\t謝謝委員的執行\n117455\t135820\t我想第一個國會長競配委員能夠了解到青年軍他們在做什麼這是我們長輩對這些未來的國家的生意軍的一個關心這是很重要也是令人競配我們不管是在政府的單位或者過去我們在\n138681\t163720\t醫師會相關的組織其實我們都花了不少的經費來協助這些青年菌但是他們發現了這個問題對,那他們在這第一個第二個他們發現的未來說會少了1000萬個醫療人員這個部分可能我們要來看一下WHO裡面的報告他是在哪一個地區我想是在非洲呢非洲大概是非常的缺乏\n165123\t170349\t不要說會說啦,只是說我們婚姻這樣好了就是說因為他們也注意到這個問題那也許也請衛福部來做一個評估啦等一下我會告訴部長我們現在也有一些這個網站訊息是教導這醫療人員如何到國外去工作那我先回到趙護士的部分\n183984\t212393\t那個臨床護理人員離職率將近12%那離職原因大概包括三班制、生活品質甚至薪資待遇等等那畢業後大概只有六成的護理師他們會就職、就業那本席認為這個臺灣去外護理師已經進入非常嚴重的狀況新北上次還在關了很多床部長瞭解嘛就關床的這個聲音一直都存在那我在天下雜誌的採訪中有發現就看到一個美國的那個就是說\n212893\t232890\t考上美國的RN就是註冊護理師那他表示他說過去在醫學中心他的年資大概是70萬然後他在地區大概是50萬那當然加上三班輪至等等那他認為部分一部分的病人有時候對這個父前室老大有時候對護理人員不太客氣所以他就去考試去補習班考試\n234531\t256603\t那考上了這個美國的這個所謂的那個RN那起薪是150萬台幣所以我想說有時候啦不太能怪責怪這些專業人員他們有時候要到國外尋求更覺得更理想的環境那我要告訴部長說現在有很多醫療人員包括醫師跟護理師都開始有點點開始要做移民\n257423\t277985\t外出工作那你如果從Google打關鍵字你會發覺有很多教學的訊息告訴他們怎麼樣到澳洲怎麼樣到美國去擔任護理師醫師甚至專門有人代辦這件事情那我們真的非常擔心專業人員的流失是一件非常嚴重的問題如果人力不足將直接影響我們病人的照顧\n279306\t287884\t就算我們一路外國的人力補充但是語言隔閡等等還是有很大的問題所以部長這個部分你有在關心嗎?\n289552\t316394\t好,謝謝。第一個官場的問題,我想各個層級、各個地區會有不一樣。我們一定,我剛剛一開始就講說,我們一定要去落實、去了解、偵測。一定要去偵測,我們不能不死人在念火啦。所謂的官場它有很多的模式,但而且官場的時候,所謂官場或者是沒有收到住院利的時候,\n317014\t336523\t其實有時候醫院也不太喜歡報上去,所以我這個data要拿到的確是要花很多的工夫。不管新官上任嘛,就是說我們想你一上來就有太多的問題大概要去面對啦。沒問題。這個部分再請部長多了解。我們很擔心關床啊,病人沒得照顧。\n337864\t367194\t那下一個問題就是說三班互併筆因為這次賴總統在競選時候承諾那其實我每天在這兩個月每天去查看其實到前幾天都還沒有上去不過本來都沒有三班互併筆只有這個全日的互併筆不過6月3日這個衛福部真的放上去了但一放就放一整年部長您知道其實什麼時候規定要通報嗎通報互併筆您知道日期嗎當然是你還沒有上任之前\n368866\t396557\t我記得是7年8月去年7月左右就是說其實一整年之後才開始提供所以真的是有一點落後才放上去因為事實上就是說我們要的是三班互併比那既然總統他有承諾說三班互併比要兩年內入法那現在剛剛我們看到說規劃是2025年那請問有沒有更仔細的一個可不可能提早或是更仔細的一個更詳細的立法這個時程呢\n397878\t416015\t好,我想所有的政策都要考慮到人民真的醫療的需求,我們不能讓人民的健康有一天去延後,所以站在這樣的延遲之下,任何的政策我們都會找相關的單位來談,那上半部分比這個部分他的\n417065\t445357\t他怎麼樣來定義,我們一定找相關的,尤其是護理師、護職公務員。其實三黨的候選人其實都有提到,因為剛好執政黨的賴總統也有提到這部分。那我只要提醒部長就是說,這個有關盤點人力不足的醫院,就是說人力有不足的醫院,那是不是有開始進行補人力,這個部分也是請衛福部要關心的。那第二個,因為現在是人力足夠的,你也要有機制去看。\n446677\t447417\t護理人員平均待6年就離開了\n475404\t489165\t這個字我們真的是非常大的這個損失是是好謝謝部長那你知道近期這個永豐藥廠應該有跟上吧這個新聞沸沸揚揚生理食鹽水都不夠這個我看到石柱友上來了當然這個\n490347\t490367\t拜訪問\n509150\t536610\t部長因為有一第一線的醫療人員到次長林次長的那個臉書留言說他們缺乏這些東西非常大的困難但是林次長卻用非常嘲諷的口吻說某些人站著說話不腰疼能找到更便宜的我親自到府簽約部長他已經是次長了他是政務官了缺藥是國家的問題你能夠約束他好好講話嗎\n538851\t565371\t那另外我要談的是說謝謝石署長那共理會已經上週緊急開了這個處理我知道禮拜五還要繼續開類似的會議也謝謝你但是就是說我們要檢討是說當然品質出問題不見得是只有要價問題但是你砍價然後砍價又造成品質刊率品質刊率就缺貨缺貨又要從國外進口更高價我希望它不要是個惡性循環那我承認這是永豐藥廠出問題\n566952\t593562\t當然他本身要負很大的責任但是你想一家藥廠出問題但是全國都缺貨那署長是不是表示說其他的藥廠也不願意用同樣的價格來供應才會一家出問題全國出問題所以是不是還是無法完全排除費用或是一些相關的問題那署長現在有所謂的地板價我知道你已經在檢討那第一梯也在檢討\n595142\t621289\t是不是說我知道跟醫藥界也有一些溝通那當過內容我沒有去追蹤那是不是就是說可以就是說盡快提出這些相關的規定然後我們記取這一次的教訓不過部長那個署長他是無米之炊那他的米要來自部長跟院長跟總統要給他有米啊他才能炊啊好嗎這一次有關第一天草案署長是不是能夠還是部長\n622369\t645418\t陳委員真的是長期在關心健保,非常了解所以我必須找特別的專家跟你回答一下你的第一批,你的藥品支付目標跟委員報告目前我們大概從兩個方向一個就是對於這個基本用藥就是Essential Medications基礎用藥那麼在國內的藥證是比較少的品項\n646218\t652184\t那麼我們可能會在國內製造的我們會排除在第一梯的每年的要價檢討這是第一個這個要修這個要價調整辦法\n656667\t685680\t不過部長,事實上一家不夠喔一家出問題全部都出問題喔對我知道那個就是以那個張數在3張以下的品項就會全面那一組啦那一組的我們就不調那第二個呢是對已經到地板價的部分那現在我們也已經在調查請他們反映看看有哪一些那麼成本上已經因為通貨膨脹或等等因素那麼需要重新調整的我們現在正在彙整這些資料\n686220\t686680\t接下來請蘇清泉委員發言\n","txt":"麻煩邱部長\n委員長部長好這是我們第一次詢答我想還是先恭喜你然後也謝謝你願意承擔這個重責大任謝謝是您帶領這個WHA團隊去參加然後我知道陳金輝委員王振旭委員還有本黨的林玉君委員大家都有參與那我從他們的臉書上看到你們的行程非常的緊湊非常的辛苦我想也謝謝你們能夠一起幫台灣的國際能見度做一些努力\n在這一次的全球盛事當中就是WHA我也注意到醫學生、藥學生還有公衛學生他們組成的聯合會特別優秀的大學生們籌組了一個世界衛生大會的青年團去參加他們的活動記錄當中有提到一件事情讓我非常憂心他說WHO估計全球醫藥衛生工作者大概短缺1000萬人\n我們都知道在全球化的浪潮上類似專業人員他們會做一個全球性的移動非常普遍同樣的工作跟服務內容多數人才難免去所謂的待遇比較好那就是說環境、生活品質比較理想的環境\n謝謝委員的執行\n我想第一個國會長競配委員能夠了解到青年軍他們在做什麼這是我們長輩對這些未來的國家的生意軍的一個關心這是很重要也是令人競配我們不管是在政府的單位或者過去我們在\n醫師會相關的組織其實我們都花了不少的經費來協助這些青年菌但是他們發現了這個問題對,那他們在這第一個第二個他們發現的未來說會少了1000萬個醫療人員這個部分可能我們要來看一下WHO裡面的報告他是在哪一個地區我想是在非洲呢非洲大概是非常的缺乏\n不要說會說啦,只是說我們婚姻這樣好了就是說因為他們也注意到這個問題那也許也請衛福部來做一個評估啦等一下我會告訴部長我們現在也有一些這個網站訊息是教導這醫療人員如何到國外去工作那我先回到趙護士的部分\n那個臨床護理人員離職率將近12%那離職原因大概包括三班制、生活品質甚至薪資待遇等等那畢業後大概只有六成的護理師他們會就職、就業那本席認為這個臺灣去外護理師已經進入非常嚴重的狀況新北上次還在關了很多床部長瞭解嘛就關床的這個聲音一直都存在那我在天下雜誌的採訪中有發現就看到一個美國的那個就是說\n考上美國的RN就是註冊護理師那他表示他說過去在醫學中心他的年資大概是70萬然後他在地區大概是50萬那當然加上三班輪至等等那他認為部分一部分的病人有時候對這個父前室老大有時候對護理人員不太客氣所以他就去考試去補習班考試\n那考上了這個美國的這個所謂的那個RN那起薪是150萬台幣所以我想說有時候啦不太能怪責怪這些專業人員他們有時候要到國外尋求更覺得更理想的環境那我要告訴部長說現在有很多醫療人員包括醫師跟護理師都開始有點點開始要做移民\n外出工作那你如果從Google打關鍵字你會發覺有很多教學的訊息告訴他們怎麼樣到澳洲怎麼樣到美國去擔任護理師醫師甚至專門有人代辦這件事情那我們真的非常擔心專業人員的流失是一件非常嚴重的問題如果人力不足將直接影響我們病人的照顧\n就算我們一路外國的人力補充但是語言隔閡等等還是有很大的問題所以部長這個部分你有在關心嗎?\n好,謝謝。第一個官場的問題,我想各個層級、各個地區會有不一樣。我們一定,我剛剛一開始就講說,我們一定要去落實、去了解、偵測。一定要去偵測,我們不能不死人在念火啦。所謂的官場它有很多的模式,但而且官場的時候,所謂官場或者是沒有收到住院利的時候,\n其實有時候醫院也不太喜歡報上去,所以我這個data要拿到的確是要花很多的工夫。不管新官上任嘛,就是說我們想你一上來就有太多的問題大概要去面對啦。沒問題。這個部分再請部長多了解。我們很擔心關床啊,病人沒得照顧。\n那下一個問題就是說三班互併筆因為這次賴總統在競選時候承諾那其實我每天在這兩個月每天去查看其實到前幾天都還沒有上去不過本來都沒有三班互併筆只有這個全日的互併筆不過6月3日這個衛福部真的放上去了但一放就放一整年部長您知道其實什麼時候規定要通報嗎通報互併筆您知道日期嗎當然是你還沒有上任之前\n我記得是7年8月去年7月左右就是說其實一整年之後才開始提供所以真的是有一點落後才放上去因為事實上就是說我們要的是三班互併比那既然總統他有承諾說三班互併比要兩年內入法那現在剛剛我們看到說規劃是2025年那請問有沒有更仔細的一個可不可能提早或是更仔細的一個更詳細的立法這個時程呢\n好,我想所有的政策都要考慮到人民真的醫療的需求,我們不能讓人民的健康有一天去延後,所以站在這樣的延遲之下,任何的政策我們都會找相關的單位來談,那上半部分比這個部分他的\n他怎麼樣來定義,我們一定找相關的,尤其是護理師、護職公務員。其實三黨的候選人其實都有提到,因為剛好執政黨的賴總統也有提到這部分。那我只要提醒部長就是說,這個有關盤點人力不足的醫院,就是說人力有不足的醫院,那是不是有開始進行補人力,這個部分也是請衛福部要關心的。那第二個,因為現在是人力足夠的,你也要有機制去看。\n護理人員平均待6年就離開了\n這個字我們真的是非常大的這個損失是是好謝謝部長那你知道近期這個永豐藥廠應該有跟上吧這個新聞沸沸揚揚生理食鹽水都不夠這個我看到石柱友上來了當然這個\n拜訪問\n部長因為有一第一線的醫療人員到次長林次長的那個臉書留言說他們缺乏這些東西非常大的困難但是林次長卻用非常嘲諷的口吻說某些人站著說話不腰疼能找到更便宜的我親自到府簽約部長他已經是次長了他是政務官了缺藥是國家的問題你能夠約束他好好講話嗎\n那另外我要談的是說謝謝石署長那共理會已經上週緊急開了這個處理我知道禮拜五還要繼續開類似的會議也謝謝你但是就是說我們要檢討是說當然品質出問題不見得是只有要價問題但是你砍價然後砍價又造成品質刊率品質刊率就缺貨缺貨又要從國外進口更高價我希望它不要是個惡性循環那我承認這是永豐藥廠出問題\n當然他本身要負很大的責任但是你想一家藥廠出問題但是全國都缺貨那署長是不是表示說其他的藥廠也不願意用同樣的價格來供應才會一家出問題全國出問題所以是不是還是無法完全排除費用或是一些相關的問題那署長現在有所謂的地板價我知道你已經在檢討那第一梯也在檢討\n是不是說我知道跟醫藥界也有一些溝通那當過內容我沒有去追蹤那是不是就是說可以就是說盡快提出這些相關的規定然後我們記取這一次的教訓不過部長那個署長他是無米之炊那他的米要來自部長跟院長跟總統要給他有米啊他才能炊啊好嗎這一次有關第一天草案署長是不是能夠還是部長\n陳委員真的是長期在關心健保,非常了解所以我必須找特別的專家跟你回答一下你的第一批,你的藥品支付目標跟委員報告目前我們大概從兩個方向一個就是對於這個基本用藥就是Essential Medications基礎用藥那麼在國內的藥證是比較少的品項\n那麼我們可能會在國內製造的我們會排除在第一梯的每年的要價檢討這是第一個這個要修這個要價調整辦法\n不過部長,事實上一家不夠喔一家出問題全部都出問題喔對我知道那個就是以那個張數在3張以下的品項就會全面那一組啦那一組的我們就不調那第二個呢是對已經到地板價的部分那現在我們也已經在調查請他們反映看看有哪一些那麼成本上已經因為通貨膨脹或等等因素那麼需要重新調整的我們現在正在彙整這些資料\n接下來請蘇清泉委員發言\n","vtt":"WEBVTT\n\n00:03.385 --> 00:03.990\n麻煩邱部長\n\n00:11.223 --> 00:39.712\n委員長部長好這是我們第一次詢答我想還是先恭喜你然後也謝謝你願意承擔這個重責大任謝謝是您帶領這個WHA團隊去參加然後我知道陳金輝委員王振旭委員還有本黨的林玉君委員大家都有參與那我從他們的臉書上看到你們的行程非常的緊湊非常的辛苦我想也謝謝你們能夠一起幫台灣的國際能見度做一些努力\n\n00:41.533 --> 01:08.731\n在這一次的全球盛事當中就是WHA我也注意到醫學生、藥學生還有公衛學生他們組成的聯合會特別優秀的大學生們籌組了一個世界衛生大會的青年團去參加他們的活動記錄當中有提到一件事情讓我非常憂心他說WHO估計全球醫藥衛生工作者大概短缺1000萬人\n\n01:11.192 --> 01:27.700\n我們都知道在全球化的浪潮上類似專業人員他們會做一個全球性的移動非常普遍同樣的工作跟服務內容多數人才難免去所謂的待遇比較好那就是說環境、生活品質比較理想的環境\n\n01:28.660 --> 01:28.880\n謝謝委員的執行\n\n01:57.455 --> 02:15.820\n我想第一個國會長競配委員能夠了解到青年軍他們在做什麼這是我們長輩對這些未來的國家的生意軍的一個關心這是很重要也是令人競配我們不管是在政府的單位或者過去我們在\n\n02:18.681 --> 02:43.720\n醫師會相關的組織其實我們都花了不少的經費來協助這些青年菌但是他們發現了這個問題對,那他們在這第一個第二個他們發現的未來說會少了1000萬個醫療人員這個部分可能我們要來看一下WHO裡面的報告他是在哪一個地區我想是在非洲呢非洲大概是非常的缺乏\n\n02:45.123 --> 02:50.349\n不要說會說啦,只是說我們婚姻這樣好了就是說因為他們也注意到這個問題那也許也請衛福部來做一個評估啦等一下我會告訴部長我們現在也有一些這個網站訊息是教導這醫療人員如何到國外去工作那我先回到趙護士的部分\n\n03:03.984 --> 03:32.393\n那個臨床護理人員離職率將近12%那離職原因大概包括三班制、生活品質甚至薪資待遇等等那畢業後大概只有六成的護理師他們會就職、就業那本席認為這個臺灣去外護理師已經進入非常嚴重的狀況新北上次還在關了很多床部長瞭解嘛就關床的這個聲音一直都存在那我在天下雜誌的採訪中有發現就看到一個美國的那個就是說\n\n03:32.893 --> 03:52.890\n考上美國的RN就是註冊護理師那他表示他說過去在醫學中心他的年資大概是70萬然後他在地區大概是50萬那當然加上三班輪至等等那他認為部分一部分的病人有時候對這個父前室老大有時候對護理人員不太客氣所以他就去考試去補習班考試\n\n03:54.531 --> 04:16.603\n那考上了這個美國的這個所謂的那個RN那起薪是150萬台幣所以我想說有時候啦不太能怪責怪這些專業人員他們有時候要到國外尋求更覺得更理想的環境那我要告訴部長說現在有很多醫療人員包括醫師跟護理師都開始有點點開始要做移民\n\n04:17.423 --> 04:37.985\n外出工作那你如果從Google打關鍵字你會發覺有很多教學的訊息告訴他們怎麼樣到澳洲怎麼樣到美國去擔任護理師醫師甚至專門有人代辦這件事情那我們真的非常擔心專業人員的流失是一件非常嚴重的問題如果人力不足將直接影響我們病人的照顧\n\n04:39.306 --> 04:47.884\n就算我們一路外國的人力補充但是語言隔閡等等還是有很大的問題所以部長這個部分你有在關心嗎?\n\n04:49.552 --> 05:16.394\n好,謝謝。第一個官場的問題,我想各個層級、各個地區會有不一樣。我們一定,我剛剛一開始就講說,我們一定要去落實、去了解、偵測。一定要去偵測,我們不能不死人在念火啦。所謂的官場它有很多的模式,但而且官場的時候,所謂官場或者是沒有收到住院利的時候,\n\n05:17.014 --> 05:36.523\n其實有時候醫院也不太喜歡報上去,所以我這個data要拿到的確是要花很多的工夫。不管新官上任嘛,就是說我們想你一上來就有太多的問題大概要去面對啦。沒問題。這個部分再請部長多了解。我們很擔心關床啊,病人沒得照顧。\n\n05:37.864 --> 06:07.194\n那下一個問題就是說三班互併筆因為這次賴總統在競選時候承諾那其實我每天在這兩個月每天去查看其實到前幾天都還沒有上去不過本來都沒有三班互併筆只有這個全日的互併筆不過6月3日這個衛福部真的放上去了但一放就放一整年部長您知道其實什麼時候規定要通報嗎通報互併筆您知道日期嗎當然是你還沒有上任之前\n\n06:08.866 --> 06:36.557\n我記得是7年8月去年7月左右就是說其實一整年之後才開始提供所以真的是有一點落後才放上去因為事實上就是說我們要的是三班互併比那既然總統他有承諾說三班互併比要兩年內入法那現在剛剛我們看到說規劃是2025年那請問有沒有更仔細的一個可不可能提早或是更仔細的一個更詳細的立法這個時程呢\n\n06:37.878 --> 06:56.015\n好,我想所有的政策都要考慮到人民真的醫療的需求,我們不能讓人民的健康有一天去延後,所以站在這樣的延遲之下,任何的政策我們都會找相關的單位來談,那上半部分比這個部分他的\n\n06:57.065 --> 07:25.357\n他怎麼樣來定義,我們一定找相關的,尤其是護理師、護職公務員。其實三黨的候選人其實都有提到,因為剛好執政黨的賴總統也有提到這部分。那我只要提醒部長就是說,這個有關盤點人力不足的醫院,就是說人力有不足的醫院,那是不是有開始進行補人力,這個部分也是請衛福部要關心的。那第二個,因為現在是人力足夠的,你也要有機制去看。\n\n07:26.677 --> 07:27.417\n護理人員平均待6年就離開了\n\n07:55.404 --> 08:09.165\n這個字我們真的是非常大的這個損失是是好謝謝部長那你知道近期這個永豐藥廠應該有跟上吧這個新聞沸沸揚揚生理食鹽水都不夠這個我看到石柱友上來了當然這個\n\n08:10.347 --> 08:10.367\n拜訪問\n\n08:29.150 --> 08:56.610\n部長因為有一第一線的醫療人員到次長林次長的那個臉書留言說他們缺乏這些東西非常大的困難但是林次長卻用非常嘲諷的口吻說某些人站著說話不腰疼能找到更便宜的我親自到府簽約部長他已經是次長了他是政務官了缺藥是國家的問題你能夠約束他好好講話嗎\n\n08:58.851 --> 09:25.371\n那另外我要談的是說謝謝石署長那共理會已經上週緊急開了這個處理我知道禮拜五還要繼續開類似的會議也謝謝你但是就是說我們要檢討是說當然品質出問題不見得是只有要價問題但是你砍價然後砍價又造成品質刊率品質刊率就缺貨缺貨又要從國外進口更高價我希望它不要是個惡性循環那我承認這是永豐藥廠出問題\n\n09:26.952 --> 09:53.562\n當然他本身要負很大的責任但是你想一家藥廠出問題但是全國都缺貨那署長是不是表示說其他的藥廠也不願意用同樣的價格來供應才會一家出問題全國出問題所以是不是還是無法完全排除費用或是一些相關的問題那署長現在有所謂的地板價我知道你已經在檢討那第一梯也在檢討\n\n09:55.142 --> 10:21.289\n是不是說我知道跟醫藥界也有一些溝通那當過內容我沒有去追蹤那是不是就是說可以就是說盡快提出這些相關的規定然後我們記取這一次的教訓不過部長那個署長他是無米之炊那他的米要來自部長跟院長跟總統要給他有米啊他才能炊啊好嗎這一次有關第一天草案署長是不是能夠還是部長\n\n10:22.369 --> 10:45.418\n陳委員真的是長期在關心健保,非常了解所以我必須找特別的專家跟你回答一下你的第一批,你的藥品支付目標跟委員報告目前我們大概從兩個方向一個就是對於這個基本用藥就是EssentialMedications基礎用藥那麼在國內的藥證是比較少的品項\n\n10:46.218 --> 10:52.184\n那麼我們可能會在國內製造的我們會排除在第一梯的每年的要價檢討這是第一個這個要修這個要價調整辦法\n\n10:56.667 --> 11:25.680\n不過部長,事實上一家不夠喔一家出問題全部都出問題喔對我知道那個就是以那個張數在3張以下的品項就會全面那一組啦那一組的我們就不調那第二個呢是對已經到地板價的部分那現在我們也已經在調查請他們反映看看有哪一些那麼成本上已經因為通貨膨脹或等等因素那麼需要重新調整的我們現在正在彙整這些資料\n\n11:26.220 --> 11:26.680\n接下來請蘇清泉委員發言\n\n","segments":[{"start":3.385,"end":3.99,"text":"麻煩邱部長"},{"start":11.223,"end":39.712,"text":"委員長部長好這是我們第一次詢答我想還是先恭喜你然後也謝謝你願意承擔這個重責大任謝謝是您帶領這個WHA團隊去參加然後我知道陳金輝委員王振旭委員還有本黨的林玉君委員大家都有參與那我從他們的臉書上看到你們的行程非常的緊湊非常的辛苦我想也謝謝你們能夠一起幫台灣的國際能見度做一些努力"},{"start":41.533,"end":68.731,"text":"在這一次的全球盛事當中就是WHA我也注意到醫學生、藥學生還有公衛學生他們組成的聯合會特別優秀的大學生們籌組了一個世界衛生大會的青年團去參加他們的活動記錄當中有提到一件事情讓我非常憂心他說WHO估計全球醫藥衛生工作者大概短缺1000萬人"},{"start":71.192,"end":87.7,"text":"我們都知道在全球化的浪潮上類似專業人員他們會做一個全球性的移動非常普遍同樣的工作跟服務內容多數人才難免去所謂的待遇比較好那就是說環境、生活品質比較理想的環境"},{"start":88.66,"end":88.88,"text":"謝謝委員的執行"},{"start":117.455,"end":135.82,"text":"我想第一個國會長競配委員能夠了解到青年軍他們在做什麼這是我們長輩對這些未來的國家的生意軍的一個關心這是很重要也是令人競配我們不管是在政府的單位或者過去我們在"},{"start":138.681,"end":163.72,"text":"醫師會相關的組織其實我們都花了不少的經費來協助這些青年菌但是他們發現了這個問題對,那他們在這第一個第二個他們發現的未來說會少了1000萬個醫療人員這個部分可能我們要來看一下WHO裡面的報告他是在哪一個地區我想是在非洲呢非洲大概是非常的缺乏"},{"start":165.123,"end":170.349,"text":"不要說會說啦,只是說我們婚姻這樣好了就是說因為他們也注意到這個問題那也許也請衛福部來做一個評估啦等一下我會告訴部長我們現在也有一些這個網站訊息是教導這醫療人員如何到國外去工作那我先回到趙護士的部分"},{"start":183.984,"end":212.393,"text":"那個臨床護理人員離職率將近12%那離職原因大概包括三班制、生活品質甚至薪資待遇等等那畢業後大概只有六成的護理師他們會就職、就業那本席認為這個臺灣去外護理師已經進入非常嚴重的狀況新北上次還在關了很多床部長瞭解嘛就關床的這個聲音一直都存在那我在天下雜誌的採訪中有發現就看到一個美國的那個就是說"},{"start":212.893,"end":232.89,"text":"考上美國的RN就是註冊護理師那他表示他說過去在醫學中心他的年資大概是70萬然後他在地區大概是50萬那當然加上三班輪至等等那他認為部分一部分的病人有時候對這個父前室老大有時候對護理人員不太客氣所以他就去考試去補習班考試"},{"start":234.531,"end":256.603,"text":"那考上了這個美國的這個所謂的那個RN那起薪是150萬台幣所以我想說有時候啦不太能怪責怪這些專業人員他們有時候要到國外尋求更覺得更理想的環境那我要告訴部長說現在有很多醫療人員包括醫師跟護理師都開始有點點開始要做移民"},{"start":257.423,"end":277.985,"text":"外出工作那你如果從Google打關鍵字你會發覺有很多教學的訊息告訴他們怎麼樣到澳洲怎麼樣到美國去擔任護理師醫師甚至專門有人代辦這件事情那我們真的非常擔心專業人員的流失是一件非常嚴重的問題如果人力不足將直接影響我們病人的照顧"},{"start":279.306,"end":287.884,"text":"就算我們一路外國的人力補充但是語言隔閡等等還是有很大的問題所以部長這個部分你有在關心嗎?"},{"start":289.552,"end":316.394,"text":"好,謝謝。第一個官場的問題,我想各個層級、各個地區會有不一樣。我們一定,我剛剛一開始就講說,我們一定要去落實、去了解、偵測。一定要去偵測,我們不能不死人在念火啦。所謂的官場它有很多的模式,但而且官場的時候,所謂官場或者是沒有收到住院利的時候,"},{"start":317.014,"end":336.523,"text":"其實有時候醫院也不太喜歡報上去,所以我這個data要拿到的確是要花很多的工夫。不管新官上任嘛,就是說我們想你一上來就有太多的問題大概要去面對啦。沒問題。這個部分再請部長多了解。我們很擔心關床啊,病人沒得照顧。"},{"start":337.864,"end":367.194,"text":"那下一個問題就是說三班互併筆因為這次賴總統在競選時候承諾那其實我每天在這兩個月每天去查看其實到前幾天都還沒有上去不過本來都沒有三班互併筆只有這個全日的互併筆不過6月3日這個衛福部真的放上去了但一放就放一整年部長您知道其實什麼時候規定要通報嗎通報互併筆您知道日期嗎當然是你還沒有上任之前"},{"start":368.866,"end":396.557,"text":"我記得是7年8月去年7月左右就是說其實一整年之後才開始提供所以真的是有一點落後才放上去因為事實上就是說我們要的是三班互併比那既然總統他有承諾說三班互併比要兩年內入法那現在剛剛我們看到說規劃是2025年那請問有沒有更仔細的一個可不可能提早或是更仔細的一個更詳細的立法這個時程呢"},{"start":397.878,"end":416.015,"text":"好,我想所有的政策都要考慮到人民真的醫療的需求,我們不能讓人民的健康有一天去延後,所以站在這樣的延遲之下,任何的政策我們都會找相關的單位來談,那上半部分比這個部分他的"},{"start":417.065,"end":445.357,"text":"他怎麼樣來定義,我們一定找相關的,尤其是護理師、護職公務員。其實三黨的候選人其實都有提到,因為剛好執政黨的賴總統也有提到這部分。那我只要提醒部長就是說,這個有關盤點人力不足的醫院,就是說人力有不足的醫院,那是不是有開始進行補人力,這個部分也是請衛福部要關心的。那第二個,因為現在是人力足夠的,你也要有機制去看。"},{"start":446.677,"end":447.417,"text":"護理人員平均待6年就離開了"},{"start":475.404,"end":489.165,"text":"這個字我們真的是非常大的這個損失是是好謝謝部長那你知道近期這個永豐藥廠應該有跟上吧這個新聞沸沸揚揚生理食鹽水都不夠這個我看到石柱友上來了當然這個"},{"start":490.347,"end":490.367,"text":"拜訪問"},{"start":509.15,"end":536.61,"text":"部長因為有一第一線的醫療人員到次長林次長的那個臉書留言說他們缺乏這些東西非常大的困難但是林次長卻用非常嘲諷的口吻說某些人站著說話不腰疼能找到更便宜的我親自到府簽約部長他已經是次長了他是政務官了缺藥是國家的問題你能夠約束他好好講話嗎"},{"start":538.851,"end":565.371,"text":"那另外我要談的是說謝謝石署長那共理會已經上週緊急開了這個處理我知道禮拜五還要繼續開類似的會議也謝謝你但是就是說我們要檢討是說當然品質出問題不見得是只有要價問題但是你砍價然後砍價又造成品質刊率品質刊率就缺貨缺貨又要從國外進口更高價我希望它不要是個惡性循環那我承認這是永豐藥廠出問題"},{"start":566.952,"end":593.562,"text":"當然他本身要負很大的責任但是你想一家藥廠出問題但是全國都缺貨那署長是不是表示說其他的藥廠也不願意用同樣的價格來供應才會一家出問題全國出問題所以是不是還是無法完全排除費用或是一些相關的問題那署長現在有所謂的地板價我知道你已經在檢討那第一梯也在檢討"},{"start":595.142,"end":621.289,"text":"是不是說我知道跟醫藥界也有一些溝通那當過內容我沒有去追蹤那是不是就是說可以就是說盡快提出這些相關的規定然後我們記取這一次的教訓不過部長那個署長他是無米之炊那他的米要來自部長跟院長跟總統要給他有米啊他才能炊啊好嗎這一次有關第一天草案署長是不是能夠還是部長"},{"start":622.369,"end":645.418,"text":"陳委員真的是長期在關心健保,非常了解所以我必須找特別的專家跟你回答一下你的第一批,你的藥品支付目標跟委員報告目前我們大概從兩個方向一個就是對於這個基本用藥就是Essential Medications基礎用藥那麼在國內的藥證是比較少的品項"},{"start":646.218,"end":652.184,"text":"那麼我們可能會在國內製造的我們會排除在第一梯的每年的要價檢討這是第一個這個要修這個要價調整辦法"},{"start":656.667,"end":685.68,"text":"不過部長,事實上一家不夠喔一家出問題全部都出問題喔對我知道那個就是以那個張數在3張以下的品項就會全面那一組啦那一組的我們就不調那第二個呢是對已經到地板價的部分那現在我們也已經在調查請他們反映看看有哪一些那麼成本上已經因為通貨膨脹或等等因素那麼需要重新調整的我們現在正在彙整這些資料"},{"start":686.22,"end":686.68,"text":"接下來請蘇清泉委員發言"}]}}}}