{"id":154408,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/154408","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/1f04b26fe05fa65ad32a9e9062d45148fe28e669f0977b51f868a9bd827740caa488f48b86ec085f5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"黃秀芳","委員發言時間":"11:03:17 - 11:18:55","影片長度":"00:15:38","會議時間":"2024-07-01T09:00:00+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23次全體委員會議（事由：邀請衛生福利部部長就「有關健保合理支付、保障醫護人員收入、設置百億癌症基金及健康投資等事項」進行專題報告，並備質詢。）","type":"Clip","date":"2024-07-01","start_time":"2024-07-01T11:03:17+08:00","end_time":"2024-07-01T11:18:55+08:00","duration":938,"meet":{"tmpMeeting":null,"title":"第11屆第1會期社會福利及衛生環境委員會第23次全體委員會議","term":11,"type":"委員會","sessionPeriod":1,"sessionTimes":23,"committees":[26],"id":"委員會-11-1-26-23"},"features":["ai-transcript","gazette"],"gazette":{"lineno":560,"blocks":[["黃委員秀芳：（11時3分）謝謝主席，我們請邱部長。"],["主席：請邱部長。"],["邱部長泰源：召委好。"],["黃委員秀芳：部長好。部長，我從早上聽到剛剛，我想請教有關大家關心的輸液的問題，我其實是還滿納悶的，從永豐發生輸液的問題，到現在也好幾個月了，我是覺得輸液好像只有這一家永豐在做，變成它是獨占市場，是不是？就是永豐這一家藥廠。"],["邱部長泰源：因為永豐有做2公升的，而2公升在洗腎、可能在沖洗上有它的用途，的確因為別人比較沒在做這個，它占了大概有100%的樣子，都是他們在做。"],["黃委員秀芳：部長，我想請教的就是，我覺得食藥署在這方面應該也要去做一個盤點，臺灣全國到底有幾家可以做這樣的輸液？我是想聽到未來你們要怎麼做，而不是你剛剛講，做輸液這一家永豐生產可能要到年底，其他部分可能就是用進口的，我覺得這樣不太對，應該要去扶植臺灣國內這些廠商可以自己製作，我覺得應該是要朝著這個方向啦！既然可以從國外進口這些輸液，而且費用還要花好幾億來進口，我覺得為什麼不能讓國內這些廠商，一方面也是要有一些誘因，讓他們願意生產比較大瓶裝的輸液，是不是我可以聽到部長有一些具體的回答？"],["邱部長泰源：好，我想這個方向絕對要，經過這次的經驗，我相信一定要往這方面來做，所以我們除了一方面緊急專案進口以外，還一直協助國內可以製造的廠商能夠加線，當然因為要增加人、增加線，還要加班，所以的確價錢會比較高。我們過去是不是都用太低價購買，讓很多廠商不願意去做？永豐因為量大，是不是因為這樣，可能在廠的品質要求是不是也會受到影響？這個我們都是說實在話啦！"],["黃委員秀芳：這個就是我們食藥署要做的工作嘛！"],["邱部長泰源：這個都要檢討，所以食藥署這次也很負責啦！就是檢查到有問題，一切就是按照規定處理。"],["黃委員秀芳：當然就是在發現問題之後整個停產，結果造成全臺灣輸液短缺，這個是讓我嚇一跳！全臺灣好像就只有這一家，這一家停產之後，全部輸液就都沒了，沒人在做，所以我覺得你們未來要怎麼做？如果萬一又發生這個事情怎麼辦？你們總是要想個辦法，不能只有這一家來做嘛！所以是不是要有什麼樣的誘因鼓勵其他廠商生產？"],["邱部長泰源：我們未來一定會訂定相關辦法，不能讓獨家占這麼多。"],["黃委員秀芳：所以你們現在有這樣的規劃，已經有請其他廠商……"],["邱部長泰源：現在在補救的過程當中，在研擬未來的時候有把這個列為非常重要的一點。"],["黃委員秀芳：是。"],["邱部長泰源：所以未來我們一定要扶植國內更多廠商，可能未來的核價上要讓人家能夠做得下去，這也是很重要的。"],["黃委員秀芳：是，所以你們現在的核價是讓人家做不下去，才會只有一間在做，就對了？是這樣子嗎？是不是請石署長……"],["邱部長泰源：石署長。"],["石署長崇良：跟委員報告，其實應該是這麼講，就是說短期間要讓國內的……這個技術並不困難。"],["黃委員秀芳：是。"],["石署長崇良：但是短時間要馬上增量，它會有一些產線的問題，還有人力的需求，一下子是沒有辦法的，所以短期還是需要靠國外進口，而國外的進口因為又有時效的限制，因為我們需要很快的補足，所以它相對的成本會比較高，但如果是長期而言的話，那個價格應該也不是這樣，所以這一次對於專案進口的核價之所以會這麼高，主要是它有時間的限制、有時間的壓力，還有量的要求。"],["黃委員秀芳：是。署長，我想請教，如果未來輔導我們臺灣國內這些製作的廠商自己製作，在價格上，就是剛剛講的，如果說價格讓人家做不下去，當然就沒人要做啊！"],["石署長崇良：對。"],["黃委員秀芳：你就是要有一些誘因嘛！"],["石署長崇良：跟委員報告，這些輸液，我們過去幾乎好長一段時間，至少6年都沒有在砍價了，已經一段時間了。"],["黃委員秀芳：是。"],["石署長崇良：之所以沒有提高，也是因為沒有廠商來提，從我們的藥價調查，醫院的進價還低於健保的核價，所以一方面是沒有廠商來提出申請提高健保核價，一方面是藥價調查結果還低於健保的核價，所以才沒有調整；不過經過這個事件之後，我們會全盤來檢討。"],["黃委員秀芳：好，除了輸液之外，剛剛也有委員提到，可能國內常用的一些藥品，我覺得應該也要一併去討論，就是說不能只有一、兩家藥廠在製作，可能也是要去盤點，到底這樣的藥品、這樣的輸液有幾家在做，會不會有類似今天發生的這樣一個問題，我覺得真的要去盤點，不要說到時候又發生哪個藥又短缺，然後又要從國外緊急進口，我們不樂見這樣的事情再次發生。所以我希望衛福部食藥署、健保署真的要通盤去做一個檢討，可不可以？剛剛講的比較大公升的那種輸液可能要到年底，就是永豐自己生產，那是不是也要輔導其他可以製作的？因為如果沒什麼技術性的話，是不是也要輔導其他的廠也可以做？而不是只有一家來做。"],["邱部長泰源：當然、當然，這個要朝這方面來努力。"],["黃委員秀芳：好。"],["邱部長泰源：本來都有重要藥品、醫材的管理，我想我們要去落實，依委員的指導，一定要確實，而且要平均化，不要變成被獨家所占有。"],["黃委員秀芳：好。部長，我今天為什麼會排一個「有關健保合理支付、保障醫護人員收入、設置百億癌症基金及健康投資等事項」的這些議題，其實健保的合理支付在醫院也好，或診所也好，很多醫師一直提到，我們現在的健保支付其實是不太合理的。就是剛剛講的，我碰到有人可能要做肺癌篩檢，到了區域醫院，因為要接收這樣一個檢查，但是醫院可能因為儀器故障，也不太想修理，因為健保給付的跟檢查的成本真的是不太合理，所以很多區域醫院即使一些儀器已經故障，他們也不太願意去更新或者是修理，因為它的給付就不合理。所以我是希望，健保應該也要去盤點，到底做什麼樣的檢查要支付多少才合理，我覺得健保署這邊應該要好好去做盤點，要不然大家都說所有的檢查也好，或者是藥品也好，真的是很便宜，給的點值，1點也不到0.9，確實是讓所有醫護人員覺得這真的是滿委屈的。所以我是不是可以請教──衛福部在這幾年當中，針對健保的合理支付，我覺得你們要盤點。","另外，有關醫護人員的收入，雖然我們前一陣子有針對夜班護理人員有一些補助，但是造成很大的反彈，因為白班的護理人員也非常辛苦，認為為什麼只有夜班的護理人員有補助？這個又造成醫院內有一些滿奇怪的氛圍。請教部長，未來針對夜班津貼，那白班的護理人員覺得他照顧重症患者也非常辛苦，這部分要怎麼樣保障醫護人員的收入？"],["邱部長泰源：委員是詢問兩部分，一個是健保怎麼樣合理地支付。有傳聞說做一個手術（procedure）等都比人家得到的給付少很多，這當然跟整個健康的投資、健保的額度都有關係，而且醫療需求越來越多，這的確是會面臨到很大的困境，不管是政府或者是專業團體都為這個絞盡腦汁，也謝謝委員關心。目前健保的診療項目有四千八百多項，衛福部健保署已經在113年6月成立支付標準衡平性評量規劃專家小組，看各個專科協會認為什麼項目的支付比較偏低，我們來討論通盤調整支付標準。我做醫師公會理事長六年多，也知道大家說診察費要調，那個也要調，但是總額就是這麼多，所以我們要針對人民需要的、重要的，要有順序，不然只好增加健康投資。有限的米要如何讓人吃到，實在是健保署……"],["黃委員秀芳：我認為你們可能要在短時間內趕快盤點。","另外，上禮拜針對健保點值，國民黨的委員提到點值改成1點1元或者是0.95元，未來我們要面對到底有沒有這麼多預算的問題。現在已經送院會要做協商，未來如果表決通過之後，我想請教衛福部，你們要怎麼處理這件事？這勢必會增加一些預算，你們最後要做什麼樣的努力？如果通過之後你們要怎麼處理？"],["邱部長泰源：首先有關法案，我們當然尊重大院的決議，行政部門會討論怎麼因應，因為這個滿整體的。我們現在能做的剛剛其實有報告過，儘量增加健保……應該屬於健保費用的要挹注進來，不能把它挹注出去。像我剛才講的，政府要在健保出36%，結果補助什麼、補助什麼，都算入這36%，可能真的給健保的只有30%，這個清出來就可以多一百多億；過去你可以用其他公務項目出的都推到健保來出，這個我們現在慢慢清出去，一年清一百多億。這個才是真正在做事，說實在的，而不是訂了一個目標可是很難達到，或是不合乎財政紀律，那不是唯一的辦法，更重要的辦法是很具體的增加健保費用。","另外一個是醫療院所比較在意的，健保總額的成長率才是醫療單位需要的，這個部分我們最努力，譬如說把低推估弄到最高，高推估也移到最高，希望成長率能夠多，這才是真正讓醫療……我們一步步很踏實地做，我相信應該很快就會讓醫療界感受到執政黨在這方面的努力。"],["黃委員秀芳：好，其實衛福部的事情從出生到死亡，從醫療到福利，真的是非常多，部長從5月20上任到現在，確實還有很多需要瞭解，也有很多需要你解決。我希望可以更具體，未來真的可以看到我們期待的，就是剛剛講的健保點值的部分，這是很多醫護人員的希望，我希望你們能夠更具體，讓整個醫療品質再提升。"],["邱部長泰源：好，全力以赴。"],["黃委員秀芳：謝謝。"],["邱部長泰源：謝謝。"],["主席：謝謝黃秀芳委員的發言。"],["主席（黃委員秀芳）：請王正旭委員發言。"]],"agenda":{"page_end":118,"meet_id":"委員會-11-1-26-23","speakers":["黃秀芳","陳昭姿","林月琴","陳菁徽","邱鎮軍","王育敏","涂權吉","廖偉翔","蘇清泉","王正旭","鄭天財Sra 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674.773, \"end\": 675.014, \"score\": 0.884}, {\"word\": \"衛\"}, {\"word\": \"福\", \"start\": 675.014, \"end\": 675.274, \"score\": 0.828}, {\"word\": \"部\", \"start\": 675.274, \"end\": 675.394, \"score\": 0.832}, {\"word\": \"已\", \"start\": 675.394, \"end\": 676.195, \"score\": 0.956}, {\"word\": \"經\"}, {\"word\": \"健\", \"start\": 676.195, \"end\": 676.315, \"score\": 0.861}, {\"word\": \"保\", \"start\": 676.315, \"end\": 676.516, \"score\": 0.992}, {\"word\": \"水\", \"start\": 676.516, \"end\": 676.696, \"score\": 0.994}, {\"word\": \"在\", \"start\": 676.696, \"end\": 676.876, \"score\": 1.0}, {\"word\": \"1\"}, {\"word\": \"1\"}, {\"word\": \"3\"}, {\"word\": \"年\", \"start\": 676.876, \"end\": 677.036, \"score\": 0.871}, {\"word\": \"6\"}, {\"word\": \"月\", \"start\": 677.036, \"end\": 677.156, \"score\": 0.83}, {\"word\": \"成\", \"start\": 677.156, \"end\": 677.236, \"score\": 0.75}, {\"word\": \"立\", \"start\": 677.236, \"end\": 677.277, \"score\": 0.474}, {\"word\": \"支\", 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678.718, \"score\": 0.903}, {\"word\": \"麼\"}, {\"word\": \"支\", \"start\": 678.718, \"end\": 678.919, \"score\": 0.976}, {\"word\": \"付\", \"start\": 678.919, \"end\": 679.079, \"score\": 0.874}, {\"word\": \"偏\", \"start\": 679.079, \"end\": 679.299, \"score\": 0.909}, {\"word\": \"低\", \"start\": 679.299, \"end\": 679.459, \"score\": 0.858}, {\"word\": \"的\", \"start\": 679.459, \"end\": 679.479, \"score\": 0.0}, {\"word\": \"專\"}, {\"word\": \"科\", \"start\": 679.479, \"end\": 679.96, \"score\": 0.958}, {\"word\": \"學\", \"start\": 679.96, \"end\": 679.98, \"score\": 0.0}, {\"word\": \"會\"}]}, {\"start\": 690.053, \"end\": 712.339, \"text\": \"我們來討論、通盤來調整支付標準。我做醫事公會醫事做六檔,我也知道說,大家也說,檢察會也要調,也要調,但是你總部就會這麼多,所以我們要針對說,人民需要的、重要的,有一個順序,不然你就居候增加健康投資。\", \"words\": [{\"word\": \"我\", \"start\": 690.053, \"end\": 691.493, \"score\": 0.939}, {\"word\": \"們\"}, {\"word\": \"來\"}, {\"word\": \"討\"}, {\"word\": \"論\"}, {\"word\": \"、\"}, {\"word\": \"通\", \"start\": 691.493, \"end\": 692.274, \"score\": 0.898}, {\"word\": \"盤\"}, {\"word\": \"來\"}, {\"word\": \"調\"}, {\"word\": \"整\", \"start\": 692.274, \"end\": 692.534, \"score\": 0.999}, {\"word\": \"支\", \"start\": 692.534, \"end\": 692.714, \"score\": 0.895}, {\"word\": \"付\", \"start\": 692.714, \"end\": 693.134, \"score\": 0.904}, {\"word\": \"標\"}, {\"word\": \"準\", \"start\": 693.134, \"end\": 693.894, \"score\": 0.953}, {\"word\": \"。\"}, {\"word\": \"我\", \"start\": 693.894, \"end\": 695.154, \"score\": 0.948}, {\"word\": \"做\", \"start\": 695.154, \"end\": 696.375, \"score\": 0.966}, {\"word\": \"醫\"}, {\"word\": \"事\", \"start\": 696.375, \"end\": 696.515, \"score\": 0.857}, {\"word\": \"公\", \"start\": 696.515, \"end\": 696.935, \"score\": 0.835}, {\"word\": \"會\"}, {\"word\": \"醫\"}, {\"word\": \"事\", \"start\": 696.935, \"end\": 697.455, \"score\": 0.96}, {\"word\": \"做\", \"start\": 697.455, \"end\": 697.515, \"score\": 0.701}, {\"word\": \"六\", \"start\": 697.515, \"end\": 698.055, \"score\": 0.855}, {\"word\": \"檔\"}, {\"word\": \",\"}, {\"word\": \"我\", \"start\": 698.055, \"end\": 698.155, \"score\": 0.804}, {\"word\": \"也\", \"start\": 698.155, \"end\": 698.275, \"score\": 0.832}, {\"word\": \"知\", \"start\": 698.275, \"end\": 698.395, \"score\": 0.82}, {\"word\": \"道\", \"start\": 698.395, \"end\": 698.855, \"score\": 0.914}, {\"word\": \"說\"}, {\"word\": \",\"}, {\"word\": \"大\", \"start\": 698.855, \"end\": 699.175, \"score\": 0.816}, {\"word\": \"家\", \"start\": 699.175, \"end\": 699.515, \"score\": 0.94}, {\"word\": \"也\", \"start\": 699.515, \"end\": 699.696, \"score\": 0.889}, {\"word\": \"說\"}, {\"word\": \",\"}, {\"word\": \"檢\"}, {\"word\": \"察\", \"start\": 699.696, \"end\": 699.936, \"score\": 0.867}, {\"word\": \"會\"}, {\"word\": \"也\", \"start\": 699.936, \"end\": 700.196, \"score\": 0.856}, {\"word\": \"要\", \"start\": 700.196, \"end\": 700.396, \"score\": 0.857}, {\"word\": \"調\"}, {\"word\": \",\"}, {\"word\": \"也\", \"start\": 700.396, \"end\": 700.456, 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{\"word\": \"針\"}, {\"word\": \"對\"}, {\"word\": \"說\"}, {\"word\": \",\"}, {\"word\": \"人\", \"start\": 704.397, \"end\": 704.577, \"score\": 0.836}, {\"word\": \"民\", \"start\": 704.577, \"end\": 704.877, \"score\": 0.961}, {\"word\": \"需\", \"start\": 704.877, \"end\": 705.097, \"score\": 0.817}, {\"word\": \"要\", \"start\": 705.097, \"end\": 705.257, \"score\": 0.973}, {\"word\": \"的\", \"start\": 705.257, \"end\": 705.557, \"score\": 0.928}, {\"word\": \"、\"}, {\"word\": \"重\", \"start\": 705.557, \"end\": 705.797, \"score\": 0.875}, {\"word\": \"要\", \"start\": 705.797, \"end\": 706.837, \"score\": 0.928}, {\"word\": \"的\", \"start\": 706.837, \"end\": 707.357, \"score\": 0.919}, {\"word\": \",\"}, {\"word\": \"有\", \"start\": 707.357, \"end\": 707.738, \"score\": 0.853}, {\"word\": \"一\", \"start\": 707.738, \"end\": 707.978, \"score\": 0.916}, {\"word\": \"個\"}, {\"word\": \"順\"}, {\"word\": \"序\", \"start\": 707.978, \"end\": 708.158, \"score\": 0.98}, {\"word\": \",\"}, {\"word\": \"不\", \"start\": 708.158, \"end\": 708.258, \"score\": 0.789}, {\"word\": \"然\", \"start\": 708.258, \"end\": 710.078, \"score\": 0.958}, {\"word\": \"你\", \"start\": 710.078, \"end\": 710.198, \"score\": 0.833}, {\"word\": \"就\", \"start\": 710.198, \"end\": 711.198, \"score\": 0.906}, {\"word\": \"居\", \"start\": 711.198, \"end\": 711.338, \"score\": 0.875}, {\"word\": \"候\", \"start\": 711.338, \"end\": 711.699, \"score\": 0.945}, {\"word\": \"增\", \"start\": 711.699, \"end\": 711.859, \"score\": 0.928}, {\"word\": \"加\", \"start\": 711.859, \"end\": 712.019, \"score\": 0.985}, {\"word\": \"健\", \"start\": 712.019, \"end\": 712.159, \"score\": 0.953}, {\"word\": \"康\", \"start\": 712.159, \"end\": 712.319, \"score\": 0.997}, {\"word\": \"投\", \"start\": 712.319, \"end\": 712.339, \"score\": 0.981}, {\"word\": \"資\"}, {\"word\": \"。\"}]}, {\"start\": 713.539, \"end\": 719.884, \"text\": \"我認為可能你們要在這個短時間內也要趕快去做一個盤點另外就是說我們在這個上禮拜有關我們這個健保這個點子我們這個一點\", \"words\": [{\"word\": 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717.262, \"end\": 717.422, \"score\": 0.875}, {\"word\": \"一\", \"start\": 717.422, \"end\": 717.502, \"score\": 0.749}, {\"word\": \"個\"}, {\"word\": \"盤\"}, {\"word\": \"點\"}, {\"word\": \"另\", \"start\": 717.502, \"end\": 717.703, \"score\": 0.897}, {\"word\": \"外\", \"start\": 717.703, \"end\": 717.883, \"score\": 0.88}, {\"word\": \"就\", \"start\": 717.883, \"end\": 717.983, \"score\": 0.8}, {\"word\": \"是\", \"start\": 717.983, \"end\": 718.103, \"score\": 0.832}, {\"word\": \"說\"}, {\"word\": \"我\", \"start\": 718.103, \"end\": 718.183, \"score\": 0.75}, {\"word\": \"們\"}, {\"word\": \"在\", \"start\": 718.183, \"end\": 718.223, \"score\": 0.497}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"上\", \"start\": 718.223, \"end\": 719.044, \"score\": 0.967}, {\"word\": \"禮\"}, {\"word\": \"拜\", \"start\": 719.044, \"end\": 719.264, \"score\": 0.798}, {\"word\": \"有\", \"start\": 719.264, \"end\": 719.364, \"score\": 0.764}, {\"word\": \"關\"}, {\"word\": \"我\", \"start\": 719.364, \"end\": 719.504, \"score\": 0.842}, {\"word\": \"們\"}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"健\", \"start\": 719.504, \"end\": 719.624, \"score\": 0.831}, {\"word\": \"保\", \"start\": 719.624, \"end\": 719.704, \"score\": 0.75}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"點\"}, {\"word\": \"子\", \"start\": 719.704, \"end\": 719.744, \"score\": 0.492}, {\"word\": \"我\", \"start\": 719.744, \"end\": 719.864, \"score\": 0.83}, {\"word\": \"們\"}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"一\", \"start\": 719.864, \"end\": 719.884, \"score\": 0.0}, {\"word\": \"點\"}]}, {\"start\": 739.52, \"end\": 763.476, \"text\": \"國民黨委員有提到點值1.1元或者是0.95元我是覺得說未來我們要面對的到底有沒有這麼多的預算因為現在已經送大院會去要做協商我想請教就是說未來如果在表決通過之後\", \"words\": [{\"word\": \"國\"}, {\"word\": \"民\", \"start\": 739.52, \"end\": 739.82, \"score\": 0.867}, {\"word\": \"黨\"}, {\"word\": \"委\", \"start\": 739.82, \"end\": 740.341, \"score\": 0.917}, {\"word\": \"員\"}, {\"word\": \"有\", \"start\": 740.341, \"end\": 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00:01:50,171\n到底有幾家可以做這樣的一個輸液那這個我是想聽到未來你們要怎麼做啦而不是說你剛剛講的是說這個輸液這一家永豐生產可能要到年底嘛那其他的部分可能就是用進口的我覺得這樣不太對應該要去扶植我們臺灣這個國內的這些廠商可以自己製作\n\n6\n00:01:51,632 --> 00:02:18,141\n我覺得應該是要朝著這個方向那既然就可以從國外進口的這些輸易這個費用還要花好幾億來進口我覺得為什麼不能讓國內的這些廠商一方面你也是要有一些誘因讓他們願意來生產這樣子比較大瓶裝的這些輸易是不是我可以聽到那個部長您一些具體的回答\n\n7\n00:02:19,721 --> 00:02:45,600\n好我想這個方向絕對要經過這次的經驗我相信一定要往這方面來做所以我們除了緊急在方面專案進口以外還一直協助國內的可以製造的齁能夠加線啦齁當然因為要給人給什麼還要加班所以我們要給錢會比較高啦齁那我們過去是不是都用太低價齁\n\n8\n00:02:46,981 --> 00:03:06,536\n讓很多廠商也不願意去做那永豐因為量大嘛什麼因為這樣可能它在廠的品質的要求是不是也會受到影響這我們都說實在話這個就是我們食藥署要做的工作所以食藥署這次也很負責就是檢查到有問題的確就是按照規定處理\n\n9\n00:03:14,583 --> 00:03:27,978\n那在之前當然就是說發現問題之後整個停產我覺得說造成全台灣這個輸易是短缺這個是讓我嚇一跳欸就是全台灣好像就只有這一家這一家停產之後\n\n10\n00:03:29,179 --> 00:03:30,860\n我們未來一定訂定相關的辦法不能讓獨家佔這麼多\n\n11\n00:03:50,068 --> 00:04:13,604\n所以你們現在有這樣的規劃已經有請其他廠商在補救的過程當中在未來的時候有把這個列為非常重要的一點所以未來我們一定要扶持國內更多的廠商那可能未來的合價可能要讓人家做下去所以你現在這個合價是讓人家做不下去所以就只有一間在做就對了是這樣子嗎\n\n12\n00:04:20,342 --> 00:04:23,826\n我是不是請那個施署長跟委員報告其實應該是這麼講就是說這個\n\n13\n00:04:35,373 --> 00:04:58,485\n短期間要讓這些國內的這個技術並不困難但是短時間它要馬上增量它有一些產線的問題還有它的人力的需求一下子是沒有辦法所以短期還是需要靠這個國外的進口國外的進口因為它又有時效的限制因為我們需要很快的補足所以它相對的成本會比較高\n\n14\n00:04:58,925 --> 00:04:58,985\n黃秀芳議員\n\n15\n00:05:24,088 --> 00:05:52,639\n當然就剛剛講的如果說價格讓人家做不下去當然就沒有人要做啊就是要有一些誘因嘛跟委員報告就是說這些輸液我們過去幾乎這個過去好長一段至少6年的時間都沒有再砍價了已經一段時間了那之所以沒有提高也是因為沒有廠商來提從我們的要價調查就是醫院的進價還低於健保的合價所以\n\n16\n00:05:53,379 --> 00:06:06,284\n一方面沒有廠商來提出要申請提高健保合價一方面調價調查的結果還低於健保的合價所以才沒有調整不過經過這個事件之後我們會全盤來檢討\n\n17\n00:06:09,625 --> 00:06:33,561\n那除了輸液之外剛剛也有委員提到可能國內常用的一些藥品我覺得應該也要一併去討論就是說你不能讓這個可能是只有一兩家的藥廠在製作可能也是要去盤點到底這樣的藥品這樣的輸液有幾家在做那會不會有類似這樣子\n\n18\n00:06:34,662 --> 00:07:00,843\n今天發生的這樣的一個問題我覺得真的要去盤點不要說到時候又發生哪個藥又短缺然後又要從國外又緊急進口我覺得我們不樂見這樣的事情再次發生所以我希望說衛福部那食藥署健保署我覺得真的要去通盤做一個檢討可不可以剛講的那個比較大公升的那種可能要到年底就是可能永豐\n\n19\n00:07:01,664 --> 00:07:01,824\n黃秀芳\n\n20\n00:07:15,578 --> 00:07:32,691\n當然當然,這個要曹芳最後面來努力,而且我們會,本來其實都有重要藥品醫材的一個管理,我想這個我們要去落實,依委員的指導,一定要去確實,而且要平均化,不要變成被獨家所佔用。\n\n21\n00:07:36,554 --> 00:08:01,202\n好,部長我今天為什麼會排一個就是有關這個健保合理支付那保障醫護人員的收入還有設置百億癌症基金及健保這個健康投資這些議題是希望就是說這個健保的這個合理支付其實在這個醫院也好或診所也好很多醫師一直在提到就是說我們現在的這個健保的這個\n\n22\n00:08:02,322 --> 00:08:30,672\n支付其實是不太合理啦就剛剛講的我碰到可能就是有的人在做這個肺癌的篩檢那有的可能到這個區域醫院那因為可能要接受這樣的一個檢查那這個醫院他可能就覺得說以這個可能這個儀器故障那他們也不太想修理因為他的這個支付的這個健保給付的\n\n23\n00:08:31,032 --> 00:08:31,072\n黃秀芳議員\n\n24\n00:08:56,431 --> 00:08:56,691\n黃秀芳議員\n\n25\n00:09:14,045 --> 00:09:14,185\n黃秀芳議員\n\n26\n00:09:33,886 --> 00:09:54,181\n衛福部在這幾年當中針對健保的合理支付我覺得你們要去做一個盤點另外醫護人員的收入雖然我們在前陣子有針對夜班的護理人員有做一些補助也造成很大的反彈\n\n27\n00:09:55,462 --> 00:10:11,381\n白班的護理人員也是非常的辛苦為什麼是只有夜班的護理人員有補這個又造成醫院內有一些蠻奇怪的氛圍所以我想請教就是說部長未來針對這樣子的\n\n28\n00:10:14,424 --> 00:10:14,644\n黃秀芳議員\n\n29\n00:10:36,263 --> 00:10:51,218\n做一個手術或怎麼樣都比人家幾乎的少很多嘛那其實當然是跟整個健康的投資跟健保的\n\n30\n00:10:52,352 --> 00:11:06,805\n的額度裡面都有相關的關係,而且醫療的需求越來越多所以這的確是會面對很大的困境,我想不管是政府或者是專業團體也都為這個絞盡腦汁,也謝謝委員的關心其實目前健保治療項目有4800多項\n\n31\n00:11:14,673 --> 00:11:19,980\n我想衛福部已經健保水在113年6月成立支付標準橫貧性貧糧規劃專家小組來看各個學會有什麼支付偏低的專科學會\n\n32\n00:11:30,053 --> 00:11:52,339\n我們來討論、通盤來調整支付標準。我做醫事公會醫事做六檔,我也知道說,大家也說,檢察會也要調,也要調,但是你總部就會這麼多,所以我們要針對說,人民需要的、重要的,有一個順序,不然你就居候增加健康投資。\n\n33\n00:11:53,539 --> 00:11:59,884\n我認為可能你們要在這個短時間內也要趕快去做一個盤點另外就是說我們在這個上禮拜有關我們這個健保這個點子我們這個一點\n\n34\n00:12:19,520 --> 00:12:43,476\n國民黨委員有提到點值1.1元或者是0.95元我是覺得說未來我們要面對的到底有沒有這麼多的預算因為現在已經送大院會去要做協商我想請教就是說未來如果在表決通過之後\n\n35\n00:12:45,191 --> 00:12:59,289\n我想請教衛福部你們這邊要怎麼去處理這件事因為勢必會增加一些預算那我想請教就是說你們要最後要做什麼樣的努力那如果通過之後你們要怎麼去處理\n\n36\n00:13:00,795 --> 00:13:27,490\n首先有關法案我們當然尊重大院的一個決議然後還有行政部門我們會討論怎麼樣來應應因為這滿整體性的那我們現在能做我剛剛其實有報告過我們就盡量來增加健保應該是屬於健保費用的要移住進來不能移住出來就是說我剛才說的健保政府要你健保出36%\n\n37\n00:13:29,051 --> 00:13:37,306\n結果你來補助什麼補助什麼都算上去30%可能真的給健保只有30%這個清出來就可以多100多億\n\n38\n00:13:39,309 --> 00:13:44,272\n其實這樣子,這個才是真正在做事,說實在的,我不是定了一個目標,可是就是很難達到,或者是也不合乎那個一個財政的一個\n\n39\n00:14:08,348 --> 00:14:09,189\n有關健保合理支付．\n\n40\n00:14:28,231 --> 00:14:52,337\n建保總和的成長力才是醫療單位需要的而在這個部分我們也做最努力譬如說把低退估弄到最高高退估也移到最高希望成長力能夠多這才是真正醫療對我們一步很踏實的做我相信應該很快的會讓醫療界感受到我們執政黨在這方面的努力\n\n41\n00:14:54,232 --> 00:15:19,350\n其實真的衛福部的事情真的是非常的多從出生到死亡從這個醫療福利真的是非常的多所以我希望說部長你從5月份5月20上任到現在確實還有很多需要去了解那也有很多需要你去解決的我們說可以更具體然後希望真的未來可以看到就是我們\n\n42\n00:15:19,990 --> 00:15:21,792\n黃秀芳委員的發言\n\n","tsv":"start\tend\ttext\n6745\t7987\t謝謝主席 我們請邱部長請邱部長\n16311\t27801\t部長好部長我從早上聽到剛剛我想請教就是說大家關心這個輸液的這個問題那我其實是還蠻納悶的就是說從輸液發生這個永豐發生這個問題到現在也好幾個月了那我是覺得說這個變輸液好像是只有這一家永豐在做\n44212\t66403\t那其他的是,變成說它是獨佔市場是不是?就永豐這一家藥廠?永豐如果以,因為它有做那個兩公升的啦,兩公升的在洗腎啦,在可能在沖洗上面齁,有它的用途,所以它的,大人比較沒作用,因為它一沾到齁\n68004\t68625\t實要署這方面應該也要去做一個盤點,到底我們台灣全國\n84488\t110171\t到底有幾家可以做這樣的一個輸液那這個我是想聽到未來你們要怎麼做啦而不是說你剛剛講的是說這個輸液這一家永豐生產可能要到年底嘛那其他的部分可能就是用進口的我覺得這樣不太對應該要去扶植我們臺灣這個國內的這些廠商可以自己製作\n111632\t138141\t我覺得應該是要朝著這個方向那既然就可以從國外進口的這些輸易這個費用還要花好幾億來進口我覺得為什麼不能讓國內的這些廠商一方面你也是要有一些誘因讓他們願意來生產這樣子比較大瓶裝的這些輸易是不是我可以聽到那個部長您一些具體的回答\n139721\t165600\t好我想這個方向絕對要經過這次的經驗我相信一定要往這方面來做所以我們除了緊急在方面專案進口以外還一直協助國內的可以製造的齁能夠加線啦齁當然因為要給人給什麼還要加班所以我們要給錢會比較高啦齁那我們過去是不是都用太低價齁\n166981\t186536\t讓很多廠商也不願意去做那永豐因為量大嘛什麼因為這樣可能它在廠的品質的要求是不是也會受到影響這我們都說實在話這個就是我們食藥署要做的工作所以食藥署這次也很負責就是檢查到有問題的確就是按照規定處理\n194583\t207978\t那在之前當然就是說發現問題之後整個停產我覺得說造成全台灣這個輸易是短缺這個是讓我嚇一跳欸就是全台灣好像就只有這一家這一家停產之後\n209179\t210860\t我們未來一定訂定相關的辦法不能讓獨家佔這麼多\n230068\t253604\t所以你們現在有這樣的規劃已經有請其他廠商在補救的過程當中在未來的時候有把這個列為非常重要的一點所以未來我們一定要扶持國內更多的廠商那可能未來的合價可能要讓人家做下去所以你現在這個合價是讓人家做不下去所以就只有一間在做就對了是這樣子嗎\n260342\t263826\t我是不是請那個施署長跟委員報告其實應該是這麼講就是說這個\n275373\t298485\t短期間要讓這些國內的 這個技術並不困難但是短時間它要馬上增量它有一些產線的問題還有它的人力的需求一下子是沒有辦法所以短期還是需要靠這個國外的進口國外的進口因為它又有時效的限制因為我們需要很快的補足所以它相對的成本會比較高\n298925\t298985\t黃秀芳議員\n324088\t352639\t當然就剛剛講的如果說價格讓人家做不下去當然就沒有人要做啊就是要有一些誘因嘛跟委員報告就是說這些輸液我們過去幾乎這個過去好長一段至少6年的時間都沒有再砍價了已經一段時間了那之所以沒有提高也是因為沒有廠商來提從我們的要價調查就是醫院的進價還低於健保的合價所以\n353379\t366284\t一方面沒有廠商來提出要申請提高健保合價一方面調價調查的結果還低於健保的合價所以才沒有調整不過經過這個事件之後我們會全盤來檢討\n369625\t393561\t那除了輸液之外剛剛也有委員提到可能國內常用的一些藥品我覺得應該也要一併去討論就是說你不能讓這個可能是只有一兩家的藥廠在製作可能也是要去盤點到底這樣的藥品這樣的輸液有幾家在做那會不會有類似這樣子\n394662\t420843\t今天發生的這樣的一個問題我覺得真的要去盤點不要說到時候又發生哪個藥又短缺然後又要從國外又緊急進口我覺得我們不樂見這樣的事情再次發生所以我希望說衛福部那食藥署健保署我覺得真的要去通盤做一個檢討可不可以剛講的那個比較大公升的那種可能要到年底就是可能永豐\n421664\t421824\t黃秀芳\n435578\t452691\t當然當然,這個要曹芳最後面來努力,而且我們會,本來其實都有重要藥品醫材的一個管理,我想這個我們要去落實,依委員的指導,一定要去確實,而且要平均化,不要變成被獨家所佔用。\n456554\t481202\t好,部長我今天為什麼會排一個就是有關這個健保合理支付那保障醫護人員的收入還有設置百億癌症基金及健保這個健康投資這些議題是希望就是說這個健保的這個合理支付其實在這個醫院也好或診所也好很多醫師一直在提到就是說我們現在的這個健保的這個\n482322\t510672\t支付其實是不太合理啦就剛剛講的我碰到可能就是有的人在做這個肺癌的篩檢那有的可能到這個區域醫院那因為可能要接受這樣的一個檢查那這個醫院他可能就覺得說以這個可能這個儀器故障那他們也不太想修理因為他的這個支付的這個健保給付的\n511032\t511072\t黃秀芳議員\n536431\t536691\t黃秀芳議員\n554045\t554185\t黃秀芳議員\n573886\t594181\t衛福部在這幾年當中針對健保的合理支付我覺得你們要去做一個盤點另外醫護人員的收入雖然我們在前陣子有針對夜班的護理人員有做一些補助也造成很大的反彈\n595462\t611381\t白班的護理人員也是非常的辛苦為什麼是只有夜班的護理人員有補這個又造成醫院內有一些蠻奇怪的氛圍所以我想請教就是說部長未來針對這樣子的\n614424\t614644\t黃秀芳議員\n636263\t651218\t做一個手術或怎麼樣都比人家幾乎的少很多嘛那其實當然是跟整個健康的投資跟健保的\n652352\t666805\t的額度裡面都有相關的關係,而且醫療的需求越來越多所以這的確是會面對很大的困境,我想不管是政府或者是專業團體也都為這個絞盡腦汁,也謝謝委員的關心其實目前健保治療項目有4800多項\n674673\t679980\t我想衛福部已經健保水在113年6月成立支付標準橫貧性貧糧規劃專家小組來看各個學會有什麼支付偏低的專科學會\n690053\t712339\t我們來討論、通盤來調整支付標準。我做醫事公會醫事做六檔,我也知道說,大家也說,檢察會也要調,也要調,但是你總部就會這麼多,所以我們要針對說,人民需要的、重要的,有一個順序,不然你就居候增加健康投資。\n713539\t719884\t我認為可能你們要在這個短時間內也要趕快去做一個盤點另外就是說我們在這個上禮拜有關我們這個健保這個點子我們這個一點\n739520\t763476\t國民黨委員有提到點值1.1元或者是0.95元我是覺得說未來我們要面對的到底有沒有這麼多的預算因為現在已經送大院會去要做協商我想請教就是說未來如果在表決通過之後\n765191\t779289\t我想請教衛福部你們這邊要怎麼去處理這件事因為勢必會增加一些預算那我想請教就是說你們要最後要做什麼樣的努力那如果通過之後你們要怎麼去處理\n780795\t807490\t首先有關法案我們當然尊重大院的一個決議然後還有行政部門我們會討論怎麼樣來應應因為這滿整體性的那我們現在能做我剛剛其實有報告過我們就盡量來增加健保應該是屬於健保費用的要移住進來 不能移住出來就是說我剛才說的健保 政府要你健保出36%\n809051\t817306\t結果你來補助什麼補助什麼都算上去30%可能真的給健保只有30%這個清出來就可以多100多億\n819309\t824272\t其實這樣子,這個才是真正在做事,說實在的,我不是定了一個目標,可是就是很難達到,或者是也不合乎那個一個財政的一個\n848348\t849189\t有關健保合理支付．\n868231\t892337\t建保總和的成長力才是醫療單位需要的而在這個部分我們也做最努力譬如說把低退估弄到最高高退估也移到最高希望成長力能夠多這才是真正醫療對我們一步很踏實的做我相信應該很快的會讓醫療界感受到我們執政黨在這方面的努力\n894232\t919350\t其實真的衛福部的事情真的是非常的多從出生到死亡從這個醫療福利真的是非常的多所以我希望說部長你從5月份5月20上任到現在確實還有很多需要去了解那也有很多需要你去解決的我們說可以更具體然後希望真的未來可以看到就是我們\n919990\t921792\t黃秀芳委員的發言\n","txt":"謝謝主席 我們請邱部長請邱部長\n部長好部長我從早上聽到剛剛我想請教就是說大家關心這個輸液的這個問題那我其實是還蠻納悶的就是說從輸液發生這個永豐發生這個問題到現在也好幾個月了那我是覺得說這個變輸液好像是只有這一家永豐在做\n那其他的是,變成說它是獨佔市場是不是?就永豐這一家藥廠?永豐如果以,因為它有做那個兩公升的啦,兩公升的在洗腎啦,在可能在沖洗上面齁,有它的用途,所以它的,大人比較沒作用,因為它一沾到齁\n實要署這方面應該也要去做一個盤點,到底我們台灣全國\n到底有幾家可以做這樣的一個輸液那這個我是想聽到未來你們要怎麼做啦而不是說你剛剛講的是說這個輸液這一家永豐生產可能要到年底嘛那其他的部分可能就是用進口的我覺得這樣不太對應該要去扶植我們臺灣這個國內的這些廠商可以自己製作\n我覺得應該是要朝著這個方向那既然就可以從國外進口的這些輸易這個費用還要花好幾億來進口我覺得為什麼不能讓國內的這些廠商一方面你也是要有一些誘因讓他們願意來生產這樣子比較大瓶裝的這些輸易是不是我可以聽到那個部長您一些具體的回答\n好我想這個方向絕對要經過這次的經驗我相信一定要往這方面來做所以我們除了緊急在方面專案進口以外還一直協助國內的可以製造的齁能夠加線啦齁當然因為要給人給什麼還要加班所以我們要給錢會比較高啦齁那我們過去是不是都用太低價齁\n讓很多廠商也不願意去做那永豐因為量大嘛什麼因為這樣可能它在廠的品質的要求是不是也會受到影響這我們都說實在話這個就是我們食藥署要做的工作所以食藥署這次也很負責就是檢查到有問題的確就是按照規定處理\n那在之前當然就是說發現問題之後整個停產我覺得說造成全台灣這個輸易是短缺這個是讓我嚇一跳欸就是全台灣好像就只有這一家這一家停產之後\n我們未來一定訂定相關的辦法不能讓獨家佔這麼多\n所以你們現在有這樣的規劃已經有請其他廠商在補救的過程當中在未來的時候有把這個列為非常重要的一點所以未來我們一定要扶持國內更多的廠商那可能未來的合價可能要讓人家做下去所以你現在這個合價是讓人家做不下去所以就只有一間在做就對了是這樣子嗎\n我是不是請那個施署長跟委員報告其實應該是這麼講就是說這個\n短期間要讓這些國內的 這個技術並不困難但是短時間它要馬上增量它有一些產線的問題還有它的人力的需求一下子是沒有辦法所以短期還是需要靠這個國外的進口國外的進口因為它又有時效的限制因為我們需要很快的補足所以它相對的成本會比較高\n黃秀芳議員\n當然就剛剛講的如果說價格讓人家做不下去當然就沒有人要做啊就是要有一些誘因嘛跟委員報告就是說這些輸液我們過去幾乎這個過去好長一段至少6年的時間都沒有再砍價了已經一段時間了那之所以沒有提高也是因為沒有廠商來提從我們的要價調查就是醫院的進價還低於健保的合價所以\n一方面沒有廠商來提出要申請提高健保合價一方面調價調查的結果還低於健保的合價所以才沒有調整不過經過這個事件之後我們會全盤來檢討\n那除了輸液之外剛剛也有委員提到可能國內常用的一些藥品我覺得應該也要一併去討論就是說你不能讓這個可能是只有一兩家的藥廠在製作可能也是要去盤點到底這樣的藥品這樣的輸液有幾家在做那會不會有類似這樣子\n今天發生的這樣的一個問題我覺得真的要去盤點不要說到時候又發生哪個藥又短缺然後又要從國外又緊急進口我覺得我們不樂見這樣的事情再次發生所以我希望說衛福部那食藥署健保署我覺得真的要去通盤做一個檢討可不可以剛講的那個比較大公升的那種可能要到年底就是可能永豐\n黃秀芳\n當然當然,這個要曹芳最後面來努力,而且我們會,本來其實都有重要藥品醫材的一個管理,我想這個我們要去落實,依委員的指導,一定要去確實,而且要平均化,不要變成被獨家所佔用。\n好,部長我今天為什麼會排一個就是有關這個健保合理支付那保障醫護人員的收入還有設置百億癌症基金及健保這個健康投資這些議題是希望就是說這個健保的這個合理支付其實在這個醫院也好或診所也好很多醫師一直在提到就是說我們現在的這個健保的這個\n支付其實是不太合理啦就剛剛講的我碰到可能就是有的人在做這個肺癌的篩檢那有的可能到這個區域醫院那因為可能要接受這樣的一個檢查那這個醫院他可能就覺得說以這個可能這個儀器故障那他們也不太想修理因為他的這個支付的這個健保給付的\n黃秀芳議員\n黃秀芳議員\n黃秀芳議員\n衛福部在這幾年當中針對健保的合理支付我覺得你們要去做一個盤點另外醫護人員的收入雖然我們在前陣子有針對夜班的護理人員有做一些補助也造成很大的反彈\n白班的護理人員也是非常的辛苦為什麼是只有夜班的護理人員有補這個又造成醫院內有一些蠻奇怪的氛圍所以我想請教就是說部長未來針對這樣子的\n黃秀芳議員\n做一個手術或怎麼樣都比人家幾乎的少很多嘛那其實當然是跟整個健康的投資跟健保的\n的額度裡面都有相關的關係,而且醫療的需求越來越多所以這的確是會面對很大的困境,我想不管是政府或者是專業團體也都為這個絞盡腦汁,也謝謝委員的關心其實目前健保治療項目有4800多項\n我想衛福部已經健保水在113年6月成立支付標準橫貧性貧糧規劃專家小組來看各個學會有什麼支付偏低的專科學會\n我們來討論、通盤來調整支付標準。我做醫事公會醫事做六檔,我也知道說,大家也說,檢察會也要調,也要調,但是你總部就會這麼多,所以我們要針對說,人民需要的、重要的,有一個順序,不然你就居候增加健康投資。\n我認為可能你們要在這個短時間內也要趕快去做一個盤點另外就是說我們在這個上禮拜有關我們這個健保這個點子我們這個一點\n國民黨委員有提到點值1.1元或者是0.95元我是覺得說未來我們要面對的到底有沒有這麼多的預算因為現在已經送大院會去要做協商我想請教就是說未來如果在表決通過之後\n我想請教衛福部你們這邊要怎麼去處理這件事因為勢必會增加一些預算那我想請教就是說你們要最後要做什麼樣的努力那如果通過之後你們要怎麼去處理\n首先有關法案我們當然尊重大院的一個決議然後還有行政部門我們會討論怎麼樣來應應因為這滿整體性的那我們現在能做我剛剛其實有報告過我們就盡量來增加健保應該是屬於健保費用的要移住進來 不能移住出來就是說我剛才說的健保 政府要你健保出36%\n結果你來補助什麼補助什麼都算上去30%可能真的給健保只有30%這個清出來就可以多100多億\n其實這樣子,這個才是真正在做事,說實在的,我不是定了一個目標,可是就是很難達到,或者是也不合乎那個一個財政的一個\n有關健保合理支付．\n建保總和的成長力才是醫療單位需要的而在這個部分我們也做最努力譬如說把低退估弄到最高高退估也移到最高希望成長力能夠多這才是真正醫療對我們一步很踏實的做我相信應該很快的會讓醫療界感受到我們執政黨在這方面的努力\n其實真的衛福部的事情真的是非常的多從出生到死亡從這個醫療福利真的是非常的多所以我希望說部長你從5月份5月20上任到現在確實還有很多需要去了解那也有很多需要你去解決的我們說可以更具體然後希望真的未來可以看到就是我們\n黃秀芳委員的發言\n","vtt":"WEBVTT\n\n00:06.745 --> 00:07.987\n謝謝主席我們請邱部長請邱部長\n\n00:16.311 --> 00:27.801\n部長好部長我從早上聽到剛剛我想請教就是說大家關心這個輸液的這個問題那我其實是還蠻納悶的就是說從輸液發生這個永豐發生這個問題到現在也好幾個月了那我是覺得說這個變輸液好像是只有這一家永豐在做\n\n00:44.212 --> 01:06.403\n那其他的是,變成說它是獨佔市場是不是?就永豐這一家藥廠?永豐如果以,因為它有做那個兩公升的啦,兩公升的在洗腎啦,在可能在沖洗上面齁,有它的用途,所以它的,大人比較沒作用,因為它一沾到齁\n\n01:08.004 --> 01:08.625\n實要署這方面應該也要去做一個盤點,到底我們台灣全國\n\n01:24.488 --> 01:50.171\n到底有幾家可以做這樣的一個輸液那這個我是想聽到未來你們要怎麼做啦而不是說你剛剛講的是說這個輸液這一家永豐生產可能要到年底嘛那其他的部分可能就是用進口的我覺得這樣不太對應該要去扶植我們臺灣這個國內的這些廠商可以自己製作\n\n01:51.632 --> 02:18.141\n我覺得應該是要朝著這個方向那既然就可以從國外進口的這些輸易這個費用還要花好幾億來進口我覺得為什麼不能讓國內的這些廠商一方面你也是要有一些誘因讓他們願意來生產這樣子比較大瓶裝的這些輸易是不是我可以聽到那個部長您一些具體的回答\n\n02:19.721 --> 02:45.600\n好我想這個方向絕對要經過這次的經驗我相信一定要往這方面來做所以我們除了緊急在方面專案進口以外還一直協助國內的可以製造的齁能夠加線啦齁當然因為要給人給什麼還要加班所以我們要給錢會比較高啦齁那我們過去是不是都用太低價齁\n\n02:46.981 --> 03:06.536\n讓很多廠商也不願意去做那永豐因為量大嘛什麼因為這樣可能它在廠的品質的要求是不是也會受到影響這我們都說實在話這個就是我們食藥署要做的工作所以食藥署這次也很負責就是檢查到有問題的確就是按照規定處理\n\n03:14.583 --> 03:27.978\n那在之前當然就是說發現問題之後整個停產我覺得說造成全台灣這個輸易是短缺這個是讓我嚇一跳欸就是全台灣好像就只有這一家這一家停產之後\n\n03:29.179 --> 03:30.860\n我們未來一定訂定相關的辦法不能讓獨家佔這麼多\n\n03:50.068 --> 04:13.604\n所以你們現在有這樣的規劃已經有請其他廠商在補救的過程當中在未來的時候有把這個列為非常重要的一點所以未來我們一定要扶持國內更多的廠商那可能未來的合價可能要讓人家做下去所以你現在這個合價是讓人家做不下去所以就只有一間在做就對了是這樣子嗎\n\n04:20.342 --> 04:23.826\n我是不是請那個施署長跟委員報告其實應該是這麼講就是說這個\n\n04:35.373 --> 04:58.485\n短期間要讓這些國內的這個技術並不困難但是短時間它要馬上增量它有一些產線的問題還有它的人力的需求一下子是沒有辦法所以短期還是需要靠這個國外的進口國外的進口因為它又有時效的限制因為我們需要很快的補足所以它相對的成本會比較高\n\n04:58.925 --> 04:58.985\n黃秀芳議員\n\n05:24.088 --> 05:52.639\n當然就剛剛講的如果說價格讓人家做不下去當然就沒有人要做啊就是要有一些誘因嘛跟委員報告就是說這些輸液我們過去幾乎這個過去好長一段至少6年的時間都沒有再砍價了已經一段時間了那之所以沒有提高也是因為沒有廠商來提從我們的要價調查就是醫院的進價還低於健保的合價所以\n\n05:53.379 --> 06:06.284\n一方面沒有廠商來提出要申請提高健保合價一方面調價調查的結果還低於健保的合價所以才沒有調整不過經過這個事件之後我們會全盤來檢討\n\n06:09.625 --> 06:33.561\n那除了輸液之外剛剛也有委員提到可能國內常用的一些藥品我覺得應該也要一併去討論就是說你不能讓這個可能是只有一兩家的藥廠在製作可能也是要去盤點到底這樣的藥品這樣的輸液有幾家在做那會不會有類似這樣子\n\n06:34.662 --> 07:00.843\n今天發生的這樣的一個問題我覺得真的要去盤點不要說到時候又發生哪個藥又短缺然後又要從國外又緊急進口我覺得我們不樂見這樣的事情再次發生所以我希望說衛福部那食藥署健保署我覺得真的要去通盤做一個檢討可不可以剛講的那個比較大公升的那種可能要到年底就是可能永豐\n\n07:01.664 --> 07:01.824\n黃秀芳\n\n07:15.578 --> 07:32.691\n當然當然,這個要曹芳最後面來努力,而且我們會,本來其實都有重要藥品醫材的一個管理,我想這個我們要去落實,依委員的指導,一定要去確實,而且要平均化,不要變成被獨家所佔用。\n\n07:36.554 --> 08:01.202\n好,部長我今天為什麼會排一個就是有關這個健保合理支付那保障醫護人員的收入還有設置百億癌症基金及健保這個健康投資這些議題是希望就是說這個健保的這個合理支付其實在這個醫院也好或診所也好很多醫師一直在提到就是說我們現在的這個健保的這個\n\n08:02.322 --> 08:30.672\n支付其實是不太合理啦就剛剛講的我碰到可能就是有的人在做這個肺癌的篩檢那有的可能到這個區域醫院那因為可能要接受這樣的一個檢查那這個醫院他可能就覺得說以這個可能這個儀器故障那他們也不太想修理因為他的這個支付的這個健保給付的\n\n08:31.032 --> 08:31.072\n黃秀芳議員\n\n08:56.431 --> 08:56.691\n黃秀芳議員\n\n09:14.045 --> 09:14.185\n黃秀芳議員\n\n09:33.886 --> 09:54.181\n衛福部在這幾年當中針對健保的合理支付我覺得你們要去做一個盤點另外醫護人員的收入雖然我們在前陣子有針對夜班的護理人員有做一些補助也造成很大的反彈\n\n09:55.462 --> 10:11.381\n白班的護理人員也是非常的辛苦為什麼是只有夜班的護理人員有補這個又造成醫院內有一些蠻奇怪的氛圍所以我想請教就是說部長未來針對這樣子的\n\n10:14.424 --> 10:14.644\n黃秀芳議員\n\n10:36.263 --> 10:51.218\n做一個手術或怎麼樣都比人家幾乎的少很多嘛那其實當然是跟整個健康的投資跟健保的\n\n10:52.352 --> 11:06.805\n的額度裡面都有相關的關係,而且醫療的需求越來越多所以這的確是會面對很大的困境,我想不管是政府或者是專業團體也都為這個絞盡腦汁,也謝謝委員的關心其實目前健保治療項目有4800多項\n\n11:14.673 --> 11:19.980\n我想衛福部已經健保水在113年6月成立支付標準橫貧性貧糧規劃專家小組來看各個學會有什麼支付偏低的專科學會\n\n11:30.053 --> 11:52.339\n我們來討論、通盤來調整支付標準。我做醫事公會醫事做六檔,我也知道說,大家也說,檢察會也要調,也要調,但是你總部就會這麼多,所以我們要針對說,人民需要的、重要的,有一個順序,不然你就居候增加健康投資。\n\n11:53.539 --> 11:59.884\n我認為可能你們要在這個短時間內也要趕快去做一個盤點另外就是說我們在這個上禮拜有關我們這個健保這個點子我們這個一點\n\n12:19.520 --> 12:43.476\n國民黨委員有提到點值1.1元或者是0.95元我是覺得說未來我們要面對的到底有沒有這麼多的預算因為現在已經送大院會去要做協商我想請教就是說未來如果在表決通過之後\n\n12:45.191 --> 12:59.289\n我想請教衛福部你們這邊要怎麼去處理這件事因為勢必會增加一些預算那我想請教就是說你們要最後要做什麼樣的努力那如果通過之後你們要怎麼去處理\n\n13:00.795 --> 13:27.490\n首先有關法案我們當然尊重大院的一個決議然後還有行政部門我們會討論怎麼樣來應應因為這滿整體性的那我們現在能做我剛剛其實有報告過我們就盡量來增加健保應該是屬於健保費用的要移住進來不能移住出來就是說我剛才說的健保政府要你健保出36%\n\n13:29.051 --> 13:37.306\n結果你來補助什麼補助什麼都算上去30%可能真的給健保只有30%這個清出來就可以多100多億\n\n13:39.309 --> 13:44.272\n其實這樣子,這個才是真正在做事,說實在的,我不是定了一個目標,可是就是很難達到,或者是也不合乎那個一個財政的一個\n\n14:08.348 --> 14:09.189\n有關健保合理支付．\n\n14:28.231 --> 14:52.337\n建保總和的成長力才是醫療單位需要的而在這個部分我們也做最努力譬如說把低退估弄到最高高退估也移到最高希望成長力能夠多這才是真正醫療對我們一步很踏實的做我相信應該很快的會讓醫療界感受到我們執政黨在這方面的努力\n\n14:54.232 --> 15:19.350\n其實真的衛福部的事情真的是非常的多從出生到死亡從這個醫療福利真的是非常的多所以我希望說部長你從5月份5月20上任到現在確實還有很多需要去了解那也有很多需要你去解決的我們說可以更具體然後希望真的未來可以看到就是我們\n\n15:19.990 --> 15:21.792\n黃秀芳委員的發言\n\n","segments":[{"start":6.745,"end":7.987,"text":"謝謝主席 我們請邱部長請邱部長"},{"start":16.311,"end":27.801,"text":"部長好部長我從早上聽到剛剛我想請教就是說大家關心這個輸液的這個問題那我其實是還蠻納悶的就是說從輸液發生這個永豐發生這個問題到現在也好幾個月了那我是覺得說這個變輸液好像是只有這一家永豐在做"},{"start":44.212,"end":66.403,"text":"那其他的是,變成說它是獨佔市場是不是?就永豐這一家藥廠?永豐如果以,因為它有做那個兩公升的啦,兩公升的在洗腎啦,在可能在沖洗上面齁,有它的用途,所以它的,大人比較沒作用,因為它一沾到齁"},{"start":68.004,"end":68.625,"text":"實要署這方面應該也要去做一個盤點,到底我們台灣全國"},{"start":84.488,"end":110.171,"text":"到底有幾家可以做這樣的一個輸液那這個我是想聽到未來你們要怎麼做啦而不是說你剛剛講的是說這個輸液這一家永豐生產可能要到年底嘛那其他的部分可能就是用進口的我覺得這樣不太對應該要去扶植我們臺灣這個國內的這些廠商可以自己製作"},{"start":111.632,"end":138.141,"text":"我覺得應該是要朝著這個方向那既然就可以從國外進口的這些輸易這個費用還要花好幾億來進口我覺得為什麼不能讓國內的這些廠商一方面你也是要有一些誘因讓他們願意來生產這樣子比較大瓶裝的這些輸易是不是我可以聽到那個部長您一些具體的回答"},{"start":139.721,"end":165.6,"text":"好我想這個方向絕對要經過這次的經驗我相信一定要往這方面來做所以我們除了緊急在方面專案進口以外還一直協助國內的可以製造的齁能夠加線啦齁當然因為要給人給什麼還要加班所以我們要給錢會比較高啦齁那我們過去是不是都用太低價齁"},{"start":166.981,"end":186.536,"text":"讓很多廠商也不願意去做那永豐因為量大嘛什麼因為這樣可能它在廠的品質的要求是不是也會受到影響這我們都說實在話這個就是我們食藥署要做的工作所以食藥署這次也很負責就是檢查到有問題的確就是按照規定處理"},{"start":194.583,"end":207.978,"text":"那在之前當然就是說發現問題之後整個停產我覺得說造成全台灣這個輸易是短缺這個是讓我嚇一跳欸就是全台灣好像就只有這一家這一家停產之後"},{"start":209.179,"end":210.86,"text":"我們未來一定訂定相關的辦法不能讓獨家佔這麼多"},{"start":230.068,"end":253.604,"text":"所以你們現在有這樣的規劃已經有請其他廠商在補救的過程當中在未來的時候有把這個列為非常重要的一點所以未來我們一定要扶持國內更多的廠商那可能未來的合價可能要讓人家做下去所以你現在這個合價是讓人家做不下去所以就只有一間在做就對了是這樣子嗎"},{"start":260.342,"end":263.826,"text":"我是不是請那個施署長跟委員報告其實應該是這麼講就是說這個"},{"start":275.373,"end":298.485,"text":"短期間要讓這些國內的 這個技術並不困難但是短時間它要馬上增量它有一些產線的問題還有它的人力的需求一下子是沒有辦法所以短期還是需要靠這個國外的進口國外的進口因為它又有時效的限制因為我們需要很快的補足所以它相對的成本會比較高"},{"start":298.925,"end":298.985,"text":"黃秀芳議員"},{"start":324.088,"end":352.639,"text":"當然就剛剛講的如果說價格讓人家做不下去當然就沒有人要做啊就是要有一些誘因嘛跟委員報告就是說這些輸液我們過去幾乎這個過去好長一段至少6年的時間都沒有再砍價了已經一段時間了那之所以沒有提高也是因為沒有廠商來提從我們的要價調查就是醫院的進價還低於健保的合價所以"},{"start":353.379,"end":366.284,"text":"一方面沒有廠商來提出要申請提高健保合價一方面調價調查的結果還低於健保的合價所以才沒有調整不過經過這個事件之後我們會全盤來檢討"},{"start":369.625,"end":393.561,"text":"那除了輸液之外剛剛也有委員提到可能國內常用的一些藥品我覺得應該也要一併去討論就是說你不能讓這個可能是只有一兩家的藥廠在製作可能也是要去盤點到底這樣的藥品這樣的輸液有幾家在做那會不會有類似這樣子"},{"start":394.662,"end":420.843,"text":"今天發生的這樣的一個問題我覺得真的要去盤點不要說到時候又發生哪個藥又短缺然後又要從國外又緊急進口我覺得我們不樂見這樣的事情再次發生所以我希望說衛福部那食藥署健保署我覺得真的要去通盤做一個檢討可不可以剛講的那個比較大公升的那種可能要到年底就是可能永豐"},{"start":421.664,"end":421.824,"text":"黃秀芳"},{"start":435.578,"end":452.691,"text":"當然當然,這個要曹芳最後面來努力,而且我們會,本來其實都有重要藥品醫材的一個管理,我想這個我們要去落實,依委員的指導,一定要去確實,而且要平均化,不要變成被獨家所佔用。"},{"start":456.554,"end":481.202,"text":"好,部長我今天為什麼會排一個就是有關這個健保合理支付那保障醫護人員的收入還有設置百億癌症基金及健保這個健康投資這些議題是希望就是說這個健保的這個合理支付其實在這個醫院也好或診所也好很多醫師一直在提到就是說我們現在的這個健保的這個"},{"start":482.322,"end":510.672,"text":"支付其實是不太合理啦就剛剛講的我碰到可能就是有的人在做這個肺癌的篩檢那有的可能到這個區域醫院那因為可能要接受這樣的一個檢查那這個醫院他可能就覺得說以這個可能這個儀器故障那他們也不太想修理因為他的這個支付的這個健保給付的"},{"start":511.032,"end":511.072,"text":"黃秀芳議員"},{"start":536.431,"end":536.691,"text":"黃秀芳議員"},{"start":554.045,"end":554.185,"text":"黃秀芳議員"},{"start":573.886,"end":594.181,"text":"衛福部在這幾年當中針對健保的合理支付我覺得你們要去做一個盤點另外醫護人員的收入雖然我們在前陣子有針對夜班的護理人員有做一些補助也造成很大的反彈"},{"start":595.462,"end":611.381,"text":"白班的護理人員也是非常的辛苦為什麼是只有夜班的護理人員有補這個又造成醫院內有一些蠻奇怪的氛圍所以我想請教就是說部長未來針對這樣子的"},{"start":614.424,"end":614.644,"text":"黃秀芳議員"},{"start":636.263,"end":651.218,"text":"做一個手術或怎麼樣都比人家幾乎的少很多嘛那其實當然是跟整個健康的投資跟健保的"},{"start":652.352,"end":666.805,"text":"的額度裡面都有相關的關係,而且醫療的需求越來越多所以這的確是會面對很大的困境,我想不管是政府或者是專業團體也都為這個絞盡腦汁,也謝謝委員的關心其實目前健保治療項目有4800多項"},{"start":674.673,"end":679.98,"text":"我想衛福部已經健保水在113年6月成立支付標準橫貧性貧糧規劃專家小組來看各個學會有什麼支付偏低的專科學會"},{"start":690.053,"end":712.339,"text":"我們來討論、通盤來調整支付標準。我做醫事公會醫事做六檔,我也知道說,大家也說,檢察會也要調,也要調,但是你總部就會這麼多,所以我們要針對說,人民需要的、重要的,有一個順序,不然你就居候增加健康投資。"},{"start":713.539,"end":719.884,"text":"我認為可能你們要在這個短時間內也要趕快去做一個盤點另外就是說我們在這個上禮拜有關我們這個健保這個點子我們這個一點"},{"start":739.52,"end":763.476,"text":"國民黨委員有提到點值1.1元或者是0.95元我是覺得說未來我們要面對的到底有沒有這麼多的預算因為現在已經送大院會去要做協商我想請教就是說未來如果在表決通過之後"},{"start":765.191,"end":779.289,"text":"我想請教衛福部你們這邊要怎麼去處理這件事因為勢必會增加一些預算那我想請教就是說你們要最後要做什麼樣的努力那如果通過之後你們要怎麼去處理"},{"start":780.795,"end":807.49,"text":"首先有關法案我們當然尊重大院的一個決議然後還有行政部門我們會討論怎麼樣來應應因為這滿整體性的那我們現在能做我剛剛其實有報告過我們就盡量來增加健保應該是屬於健保費用的要移住進來 不能移住出來就是說我剛才說的健保 政府要你健保出36%"},{"start":809.051,"end":817.306,"text":"結果你來補助什麼補助什麼都算上去30%可能真的給健保只有30%這個清出來就可以多100多億"},{"start":819.309,"end":824.272,"text":"其實這樣子,這個才是真正在做事,說實在的,我不是定了一個目標,可是就是很難達到,或者是也不合乎那個一個財政的一個"},{"start":848.348,"end":849.189,"text":"有關健保合理支付．"},{"start":868.231,"end":892.337,"text":"建保總和的成長力才是醫療單位需要的而在這個部分我們也做最努力譬如說把低退估弄到最高高退估也移到最高希望成長力能夠多這才是真正醫療對我們一步很踏實的做我相信應該很快的會讓醫療界感受到我們執政黨在這方面的努力"},{"start":894.232,"end":919.35,"text":"其實真的衛福部的事情真的是非常的多從出生到死亡從這個醫療福利真的是非常的多所以我希望說部長你從5月份5月20上任到現在確實還有很多需要去了解那也有很多需要你去解決的我們說可以更具體然後希望真的未來可以看到就是我們"},{"start":919.99,"end":921.792,"text":"黃秀芳委員的發言"}]}}}}