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00:01:10,688\n可能會影響到這個要價或者是醫材也許會出現一些波動那我想請教部長就是說這個將近幾個月的時間我們衛福部針對這部分你們有沒有跟這個產業界有做一些討論那是不是你們有一些因應的方式我想再確定再具體一點\n\n5\n00:01:12,284 --> 00:01:38,825\n好謝謝委員的吹醒我想我們從世界委員的關心跟大家的一個關心之下我們當然當時都會認為因為藥品的關稅是零關稅但是現在可能我還是應用會有川普的做法有時候會變化所以我們要更要準備好所以我們剛剛一直報告我們有強化供應疫情提升\n\n6\n00:01:39,705 --> 00:01:53,488\n藥品的儲備確保藥價的合理鼓勵在地的製造這個部分我們都做好準備那至於跟產業的一個互動的話我想石耀石市長來報告一下\n\n7\n00:01:55,819 --> 00:02:17,448\n這邊跟委員進一步做說明我們從四月份其實更早三月份在針對台灣的學名藥製劑廠以及原料藥的原料廠那以及在這種情形下做了溝通如何去建立韌性因為在韌性的前提之下我們剛才提到有育海市四家製劑總共一千億的產值所以相對的\n\n8\n00:02:18,328 --> 00:02:41,213\n每一家的规模是小我们特别跟学民药的工会的理事长等等的会员超越去讨论说必须要做所谓区域的联防去因为他们评估起来都会有相同的标的要去做所谓的制剂可是这样之下竞争反而是让他们自己的价格非常困难所以我们提到的是说如何去对于我们的必要药品的清单\n\n9\n00:02:42,193 --> 00:02:59,364\n在專利藥過期進入製劑的過程當中能夠確確的去做分工那這分工其實是要從內部協調所以我們在特別提到在公司協力自主規制的方面他們自己的對產業裡面的互相的協調那我們對於我們現在的必要藥品有\n\n10\n00:02:59,904 --> 00:03:29,524\n特別的藥事法二十七條之二那進一步擴展到全體所謂的藥品只要短缺的情形之下再進入修法希望在未來能夠達到的是只要有短缺的疑慮之下在政府的政策能夠介入做更好的一些所謂的管控跟調控以及分派所以我們用智慧性的導入所謂的這些管銷的一個系統我們過去是從大盤中盤到所謂的醫療院所\n\n11\n00:03:30,184 --> 00:03:45,210\n有一部分我們最近特別接起來也跟醫院的部分做了一些討論希望能夠達到醫院直接從藥廠面供的部分能夠達到整體的藥品的供應上面是一個有限的產能之下\n\n12\n00:03:46,030 --> 00:04:03,572\n供需平衡我們可以再應用這些調控的機制而得到分配能夠均衡也讓我們的藥品的韌性達到不愈匱乏的狀況我是希望就是說剛剛署長也講得很清楚我們不希望就是說因為這個狀況然後可能會產生缺藥的這個問題\n\n13\n00:04:05,334 --> 00:04:20,084\n另外我想請教就是說其實各國的藥廠可能有的是因應川普的關稅議題有的是藥品庫存可能就是會有一些庫存我想請教部長或者是署長針對這一部分\n\n14\n00:04:22,265 --> 00:04:48,051\n我們可能也要有一些因應的措施就是說某些藥也許我們也需要有一些庫存量剛剛署長有特別提到就是說我們要有在地化任性化像這樣子的話庫存的部分不要說到時候會造成可能缺藥的問題我是不是可以再請教一下署長針對這一部分你們有沒有就是說\n\n15\n00:04:49,831 --> 00:05:16,812\n國人最常用的這些藥品那我們是不是有一些庫存量那他的這個庫存的這個時間到底是有多久這邊跟委員進一步報告我們針對現在的製劑的部分我們在所謂的西藥及醫療器材供應的平台上面如果在藥事法I27條之二裡面針對有所謂的短缺的疑慮之下在半年內他必須做通報\n\n16\n00:05:17,812 --> 00:05:43,427\n那对于通报的药品其实我们做后续的在所谓的临床药学会里面的做进入评估之后对这些药品它如何有时候是国外因为产能上面或者国内这个产制的上面的供给上面如果是短期供应是无余的但是需要做调配的我们就会做一些控药所以在半年内如果说会有就是在半年的时间是的\n\n17\n00:05:44,707 --> 00:06:01,497\n會有一些短缺的疑慮就是會有通報如果在供應上面真的是有疑慮的時候我們會公告專案的製造或專案的輸入能夠讓這些可能潛在的不能平衡的部分能夠及時的補足\n\n18\n00:06:02,177 --> 00:06:17,456\n那另外還有一個部分其實很殘酷的就是國際大藥廠在面對特定的藥物他們在全世界佔比就是單一藥廠有將近80%他在產能上面我們是不是會有前後上面供給上面的優先順序的\n\n19\n00:06:18,297 --> 00:06:36,268\n那我们面对这议题我们针对国内的制剂厂生物理事药的药厂部分我们积极的沟通国内产业他们觉得他也是可以做得到所以这部分我们就是跟这些国内的一些制剂的厂生物理事的药厂里面积极的去研拟这个部分因为那个\n\n20\n00:06:37,228 --> 00:07:06,398\n千亿法动千钧的单一个药厂的那其实是全世界的议题这个议题也是在国际亚洲区域里面发酵我们在国内也有研理我们目前有几次的跟生物理事要药厂里面在做这件研理的工作那目前看起来是我们有看到一些曙光因为特定的药厂它对于这些谈判跟可能的一个做法我们在这边也比较不方便一下子做揭露但是他们是很努力我们也持续的精进\n\n21\n00:07:06,798 --> 00:07:31,041\n那另外我想請教就是說立法院在前些日子就是有三讀通過就是因應國際情勢強化經濟社會及民眾消費韌性的特別條例那這個特別條例當中有提到這個法案的附帶決議有兩項附帶決議一個是健保基金獲得這個撥補預算中要優先用於增進我國產品供應韌性\n\n22\n00:07:32,222 --> 00:07:54,268\n那第二個附帶決議就是說益住健保基金的預算數不得低於個期預算總數的12%那我想請教衛福部針對這兩個附帶決議那你們有什麼就是說是不是照著這樣子去執行或者是未來會有什麼樣的變化或者是會有什麼樣的困難\n\n23\n00:07:55,268 --> 00:08:07,499\n那是不是可以請部長這邊做一下我想我們大宴已經通過的三途包括條文以及決議我想我們會尊重大宴來努力來進行而且在這樣的一個\n\n24\n00:08:11,642 --> 00:08:26,278\n支援之下我們會把它該做的一個專業方面的事情我們會把它做好來保護我們當時變這個預算的一個用心讓我們的健保能夠運轉得更好讓我們的藥品能夠更加的穩定\n\n25\n00:08:26,778 --> 00:08:52,168\n那部長我再請教就是說健保署在推動一個使用生物相似性藥品及學名藥的鼓勵事辦計劃那這個事辦計劃你們也希望就是說可以達到這個一定的這個比例可能也許達到70%左右那我想請教就是說我們提出這樣學名藥的鼓勵政策那可能目前是以那個化療\n\n26\n00:08:54,069 --> 00:09:15,080\n藥的這個部分先開始做那我想請教就是說目前做的這個情況是怎樣那會不會有一些影響通常病人或者是病人家屬都會希望說是用原廠的藥品那如果說健保署這樣子鼓勵的話\n\n27\n00:09:15,820 --> 00:09:41,930\n當然就是大家都是信任醫師醫師開什麼藥當然就是都信任醫師那我也想請教就是說以病人為優先的話那當然是推動這個也是推動我們這個藥品的在地這個韌性韌性化然後在地化那我想請教部長或者是署長針對你們這樣的一個推動那未來這個你們目標目前是已經快達標了嗎或者是說\n\n28\n00:09:43,130 --> 00:10:00,269\n或者是說你們還有努力的空間那當然就是說你們如果是朝這個方向在執行的話我覺得還是要以病人的這個權益為優先是不是可以請部長或署長回應一下我先補充一下\n\n29\n00:10:01,630 --> 00:10:24,416\n我想我們台灣的醫療醫療跟藥品的一個品質都是受到肯定的那只要攜手合作我相信我們會用達到用我們在我們的目標之下來給民眾做最完整的一個照顧埃及現在這個計畫到底進行的情況請時事長報告一下\n\n30\n00:10:26,250 --> 00:10:41,645\n跟委員報告我們現在所推動的去年是這個生物相似藥那裡面有部分是癌藥多數是一些風濕免疫的藥那今年我們推動的是那個癌症的化學用藥我們叫化療的藥\n\n31\n00:10:43,226 --> 00:11:08,007\n那這個化學治療的藥其實它不是全部都是國產它有進口的也有國產的但是這個下去之後各國都是這樣它可以分散這個用藥的多元性不會寡占避免斷藥的危機啦所以我們現在來鼓勵這個那麼鼓勵的同時當然就要確保這個療效的相等性所以我們還有這個療效不相等通報系統\n\n32\n00:11:08,587 --> 00:11:26,023\n所以如果在临床上用了有任何一个药物感觉它有不等效的情形就可以通报那食药署就会接着去介入去验证这个药品的效果我们还是希望就是说以病人的权益为优先如果说这个做起来就\n\n33\n00:11:26,784 --> 00:11:46,983\n效果就沒有那麼好那我覺得說也不要去硬要推這樣子一個計畫另外我在最後再問一個問題就是說我們一直在研擬就是藥品的供應韌性相對的這個對策那當然就是說國內的這個剛剛部長也有特別提到就是說國內的我們的那個\n\n34\n00:11:50,245 --> 00:12:03,771\n這個醫藥的那個產業鏈其實也算是非常的完整那當然就是說我們也希望就是說我們的這個醫藥的這個產業鏈未來也是可以成為我們的護國神山那我想請教部長就是說\n\n35\n00:12:05,831 --> 00:12:22,918\n其實我們還有很多需要去去做的那我也想希望就是說健保每一年附在這個醫療醫藥醫材方面其實我們都會覺得說一年的這個預算已經\n\n36\n00:12:25,399 --> 00:12:28,283\n8000多億今年9286億9286那其實我覺得說有一些可能也配合國內的這個這個產業鏈好如果說因為我們覺得我都覺得說這個\n\n37\n00:12:42,240 --> 00:13:02,907\n這個健保的這個費用其實應該是已經很多了那應該也要扶植國內的這樣子醫療的或者是醫材醫藥的這個產業鏈能夠更完整的話其實未來把這樣的一個這個政策這樣的一個完整性然後推動到其他國家我覺得這個也是成為我們國內或者跟國外一個非常好的一個\n\n38\n00:13:04,468 --> 00:13:17,203\n這個讓我們國內的這些產業醫療界醫藥界的這個產業鏈能夠推廣到其他國家去我覺得這個也是我們國家未來的一個也是一個非常重要的一個韌性\n\n39\n00:13:18,464 --> 00:13:43,203\n那我希望就是說衛福部這邊也要針對這一部分應該要好好去思考讓這樣子的一些一個產業鏈能夠複製到其他國家去讓這些醫藥界醫療醫材能夠在其他國家能夠發光發熱非常謝謝委員這麼重要的一個提點跟指示我們朝這個方向來努力好謝謝辛苦了謝謝謝謝黃委員\n\n","tsv":"start\tend\ttext\n796\t1237\t謝謝主席 我們請部長\n11654\t29633\t我想請教就是說我們從4月份針對美國的對等關稅從4月初然後到我記得在7月份的時候7月中的時候我們也有針對這個討論就是有關美國關稅然後可能會影響到我們國內的\n31215\t47816\t这个药品或者是药价的这个议题我们有讨论过那我今天也想请教就是说8月初的这个这个对等关税就是目前是20%那在7月份的时候我们已经有希望就是说这个\n48497\t70688\t可能會影響到這個要價或者是醫材也許會出現一些波動那我想請教部長就是說這個將近幾個月的時間我們衛福部針對這部分你們有沒有跟這個產業界有做一些討論那是不是你們有一些因應的方式我想再確定再具體一點\n72284\t98825\t好 謝謝委員的吹醒我想我們從世界委員的關心跟大家的一個關心之下我們當然當時都會認為因為藥品的關稅是零關稅但是現在可能我還是應用會有川普的做法有時候會變化所以我們要更要準備好所以我們剛剛一直報告我們有強化供應疫情提升\n99705\t113488\t藥品的儲備確保藥價的合理鼓勵在地的製造這個部分我們都做好準備那至於跟產業的一個互動的話我想石耀石市長來報告一下\n115819\t137448\t這邊跟委員進一步做說明我們從四月份其實更早三月份在針對台灣的學名藥製劑廠以及原料藥的原料廠那以及在這種情形下做了溝通如何去建立韌性因為在韌性的前提之下我們剛才提到有育海市四家製劑總共一千億的產值所以相對的\n138328\t161213\t每一家的规模是小我们特别跟学民药的工会的理事长等等的会员超越去讨论说必须要做所谓区域的联防去因为他们评估起来都会有相同的标的要去做所谓的制剂可是这样之下竞争反而是让他们自己的价格非常困难所以我们提到的是说如何去对于我们的必要药品的清单\n162193\t179364\t在專利藥過期進入製劑的過程當中能夠確確的去做分工那這分工其實是要從內部協調所以我們在特別提到在公司協力自主規制的方面他們自己的對產業裡面的互相的協調那我們對於我們現在的必要藥品有\n179904\t209524\t特別的藥事法二十七條之二那進一步擴展到全體所謂的藥品只要短缺的情形之下再進入修法希望在未來能夠達到的是只要有短缺的疑慮之下在政府的政策能夠介入做更好的一些所謂的管控跟調控以及分派所以我們用智慧性的導入所謂的這些管銷的一個系統我們過去是從大盤中盤到所謂的醫療院所\n210184\t225210\t有一部分我們最近特別接起來也跟醫院的部分做了一些討論希望能夠達到醫院直接從藥廠面供的部分能夠達到整體的藥品的供應上面是一個有限的產能之下\n226030\t243572\t供需平衡我們可以再應用這些調控的機制而得到分配能夠均衡也讓我們的藥品的韌性達到不愈匱乏的狀況我是希望就是說剛剛署長也講得很清楚我們不希望就是說因為這個狀況然後可能會產生缺藥的這個問題\n245334\t260084\t另外我想請教就是說其實各國的藥廠可能有的是因應川普的關稅議題有的是藥品庫存可能就是會有一些庫存我想請教部長或者是署長針對這一部分\n262265\t288051\t我們可能也要有一些因應的措施就是說某些藥也許我們也需要有一些庫存量剛剛署長有特別提到就是說我們要有在地化 任性化像這樣子的話庫存的部分不要說到時候會造成可能缺藥的問題我是不是可以再請教一下署長針對這一部分你們有沒有就是說\n289831\t316812\t國人最常用的這些藥品那我們是不是有一些庫存量那他的這個庫存的這個時間到底是有多久這邊跟委員進一步報告我們針對現在的製劑的部分我們在所謂的西藥及醫療器材供應的平台上面如果在藥事法I27條之二裡面針對有所謂的短缺的疑慮之下在半年內他必須做通報\n317812\t343427\t那对于通报的药品其实我们做后续的在所谓的临床药学会里面的做进入评估之后对这些药品它如何有时候是国外因为产能上面或者国内这个产制的上面的供给上面如果是短期供应是无余的但是需要做调配的我们就会做一些控药所以在半年内如果说会有就是在半年的时间是的\n344707\t361497\t會有一些短缺的疑慮就是會有通報如果在供應上面真的是有疑慮的時候我們會公告專案的製造或專案的輸入能夠讓這些可能潛在的不能平衡的部分能夠及時的補足\n362177\t377456\t那另外還有一個部分其實很殘酷的就是國際大藥廠在面對特定的藥物他們在全世界佔比就是單一藥廠有將近80%他在產能上面我們是不是會有前後上面供給上面的優先順序的\n378297\t396268\t那我们面对这议题我们针对国内的制剂厂生物理事药的药厂部分我们积极的沟通国内产业他们觉得他也是可以做得到所以这部分我们就是跟这些国内的一些制剂的厂生物理事的药厂里面积极的去研拟这个部分因为那个\n397228\t426398\t千亿法动千钧的单一个药厂的那其实是全世界的议题这个议题也是在国际亚洲区域里面发酵我们在国内也有研理我们目前有几次的跟生物理事要药厂里面在做这件研理的工作那目前看起来是我们有看到一些曙光因为特定的药厂它对于这些谈判跟可能的一个做法我们在这边也比较不方便一下子做揭露但是他们是很努力我们也持续的精进\n426798\t451041\t那另外我想請教就是說立法院在前些日子就是有三讀通過就是因應國際情勢強化經濟社會及民眾消費韌性的特別條例那這個特別條例當中有提到這個法案的附帶決議有兩項附帶決議一個是健保基金獲得這個撥補預算中要優先用於增進我國產品供應韌性\n452222\t474268\t那第二個附帶決議就是說益住健保基金的預算數不得低於個期預算總數的12%那我想請教衛福部針對這兩個附帶決議那你們有什麼就是說是不是照著這樣子去執行或者是未來會有什麼樣的變化或者是會有什麼樣的困難\n475268\t487499\t那是不是可以請部長這邊做一下我想我們大宴已經通過的三途包括條文以及決議我想我們會尊重大宴來努力來進行而且在這樣的一個\n491642\t506278\t支援之下我們會把它該做的一個專業方面的事情我們會把它做好來保護我們當時變這個預算的一個用心讓我們的健保能夠運轉得更好讓我們的藥品能夠更加的穩定\n506778\t532168\t那部長我再請教就是說健保署在推動一個使用生物相似性藥品及學名藥的鼓勵事辦計劃那這個事辦計劃你們也希望就是說可以達到這個一定的這個比例可能也許達到70%左右那我想請教就是說我們提出這樣學名藥的鼓勵政策那可能目前是以那個化療\n534069\t555080\t藥的這個部分先開始做那我想請教就是說目前做的這個情況是怎樣那會不會有一些影響通常病人或者是病人家屬都會希望說是用原廠的藥品那如果說健保署這樣子鼓勵的話\n555820\t581930\t當然就是大家都是信任醫師醫師開什麼藥當然就是都信任醫師那我也想請教就是說以病人為優先的話那當然是推動這個也是推動我們這個藥品的在地這個韌性韌性化然後在地化那我想請教部長或者是署長針對你們這樣的一個推動那未來這個你們目標目前是已經快達標了嗎或者是說\n583130\t600269\t或者是說你們還有努力的空間那當然就是說你們如果是朝這個方向在執行的話我覺得還是要以病人的這個權益為優先是不是可以請部長或署長回應一下我先補充一下\n601630\t624416\t我想我們台灣的醫療醫療跟藥品的一個品質都是受到肯定的那只要攜手合作我相信我們會用達到用我們在我們的目標之下來給民眾做最完整的一個照顧埃及現在這個計畫到底進行的情況請時事長報告一下\n626250\t641645\t跟委員報告我們現在所推動的去年是這個生物相似藥那裡面有部分是癌藥多數是一些風濕免疫的藥那今年我們推動的是那個癌症的化學用藥我們叫化療的藥\n643226\t668007\t那這個化學治療的藥其實它不是全部都是國產它有進口的 也有國產的但是這個下去之後各國都是這樣它可以分散這個用藥的多元性不會寡占 避免斷藥的危機啦所以我們現在來鼓勵這個那麼鼓勵的同時當然就要確保這個療效的相等性所以我們還有這個療效不相等通報系統\n668587\t686023\t所以如果在临床上用了有任何一个药物感觉它有不等效的情形就可以通报那食药署就会接着去介入去验证这个药品的效果我们还是希望就是说以病人的权益为优先如果说这个做起来就\n686784\t706983\t效果就沒有那麼好那我覺得說也不要去硬要推這樣子一個計畫另外我在最後再問一個問題就是說我們一直在研擬就是藥品的供應韌性相對的這個對策那當然就是說國內的這個剛剛部長也有特別提到就是說國內的我們的那個\n710245\t723771\t這個醫藥的那個產業鏈其實也算是非常的完整那當然就是說我們也希望就是說我們的這個醫藥的這個產業鏈未來也是可以成為我們的護國神山那我想請教部長就是說\n725831\t742918\t其實我們還有很多需要去去做的那我也想希望就是說健保每一年附在這個醫療醫藥醫材方面其實我們都會覺得說一年的這個預算已經\n745399\t748283\t8000多億今年9286億9286那其實我覺得說有一些可能也配合國內的這個這個產業鏈好如果說因為我們覺得我都覺得說這個\n762240\t782907\t這個健保的這個費用其實應該是已經很多了那應該也要扶植國內的這樣子醫療的或者是醫材醫藥的這個產業鏈能夠更完整的話其實未來把這樣的一個這個政策這樣的一個完整性然後推動到其他國家我覺得這個也是成為我們國內或者跟國外一個非常好的一個\n784468\t797203\t這個讓我們國內的這些產業醫療界醫藥界的這個產業鏈能夠推廣到其他國家去我覺得這個也是我們國家未來的一個也是一個非常重要的一個韌性\n798464\t823203\t那我希望就是說衛福部這邊也要針對這一部分應該要好好去思考讓這樣子的一些一個產業鏈能夠複製到其他國家去讓這些醫藥界醫療醫材能夠在其他國家能夠發光發熱非常謝謝委員這麼重要的一個提點跟指示我們朝這個方向來努力好謝謝辛苦了謝謝謝謝黃委員\n","txt":"謝謝主席 我們請部長\n我想請教就是說我們從4月份針對美國的對等關稅從4月初然後到我記得在7月份的時候7月中的時候我們也有針對這個討論就是有關美國關稅然後可能會影響到我們國內的\n这个药品或者是药价的这个议题我们有讨论过那我今天也想请教就是说8月初的这个这个对等关税就是目前是20%那在7月份的时候我们已经有希望就是说这个\n可能會影響到這個要價或者是醫材也許會出現一些波動那我想請教部長就是說這個將近幾個月的時間我們衛福部針對這部分你們有沒有跟這個產業界有做一些討論那是不是你們有一些因應的方式我想再確定再具體一點\n好 謝謝委員的吹醒我想我們從世界委員的關心跟大家的一個關心之下我們當然當時都會認為因為藥品的關稅是零關稅但是現在可能我還是應用會有川普的做法有時候會變化所以我們要更要準備好所以我們剛剛一直報告我們有強化供應疫情提升\n藥品的儲備確保藥價的合理鼓勵在地的製造這個部分我們都做好準備那至於跟產業的一個互動的話我想石耀石市長來報告一下\n這邊跟委員進一步做說明我們從四月份其實更早三月份在針對台灣的學名藥製劑廠以及原料藥的原料廠那以及在這種情形下做了溝通如何去建立韌性因為在韌性的前提之下我們剛才提到有育海市四家製劑總共一千億的產值所以相對的\n每一家的规模是小我们特别跟学民药的工会的理事长等等的会员超越去讨论说必须要做所谓区域的联防去因为他们评估起来都会有相同的标的要去做所谓的制剂可是这样之下竞争反而是让他们自己的价格非常困难所以我们提到的是说如何去对于我们的必要药品的清单\n在專利藥過期進入製劑的過程當中能夠確確的去做分工那這分工其實是要從內部協調所以我們在特別提到在公司協力自主規制的方面他們自己的對產業裡面的互相的協調那我們對於我們現在的必要藥品有\n特別的藥事法二十七條之二那進一步擴展到全體所謂的藥品只要短缺的情形之下再進入修法希望在未來能夠達到的是只要有短缺的疑慮之下在政府的政策能夠介入做更好的一些所謂的管控跟調控以及分派所以我們用智慧性的導入所謂的這些管銷的一個系統我們過去是從大盤中盤到所謂的醫療院所\n有一部分我們最近特別接起來也跟醫院的部分做了一些討論希望能夠達到醫院直接從藥廠面供的部分能夠達到整體的藥品的供應上面是一個有限的產能之下\n供需平衡我們可以再應用這些調控的機制而得到分配能夠均衡也讓我們的藥品的韌性達到不愈匱乏的狀況我是希望就是說剛剛署長也講得很清楚我們不希望就是說因為這個狀況然後可能會產生缺藥的這個問題\n另外我想請教就是說其實各國的藥廠可能有的是因應川普的關稅議題有的是藥品庫存可能就是會有一些庫存我想請教部長或者是署長針對這一部分\n我們可能也要有一些因應的措施就是說某些藥也許我們也需要有一些庫存量剛剛署長有特別提到就是說我們要有在地化 任性化像這樣子的話庫存的部分不要說到時候會造成可能缺藥的問題我是不是可以再請教一下署長針對這一部分你們有沒有就是說\n國人最常用的這些藥品那我們是不是有一些庫存量那他的這個庫存的這個時間到底是有多久這邊跟委員進一步報告我們針對現在的製劑的部分我們在所謂的西藥及醫療器材供應的平台上面如果在藥事法I27條之二裡面針對有所謂的短缺的疑慮之下在半年內他必須做通報\n那对于通报的药品其实我们做后续的在所谓的临床药学会里面的做进入评估之后对这些药品它如何有时候是国外因为产能上面或者国内这个产制的上面的供给上面如果是短期供应是无余的但是需要做调配的我们就会做一些控药所以在半年内如果说会有就是在半年的时间是的\n會有一些短缺的疑慮就是會有通報如果在供應上面真的是有疑慮的時候我們會公告專案的製造或專案的輸入能夠讓這些可能潛在的不能平衡的部分能夠及時的補足\n那另外還有一個部分其實很殘酷的就是國際大藥廠在面對特定的藥物他們在全世界佔比就是單一藥廠有將近80%他在產能上面我們是不是會有前後上面供給上面的優先順序的\n那我们面对这议题我们针对国内的制剂厂生物理事药的药厂部分我们积极的沟通国内产业他们觉得他也是可以做得到所以这部分我们就是跟这些国内的一些制剂的厂生物理事的药厂里面积极的去研拟这个部分因为那个\n千亿法动千钧的单一个药厂的那其实是全世界的议题这个议题也是在国际亚洲区域里面发酵我们在国内也有研理我们目前有几次的跟生物理事要药厂里面在做这件研理的工作那目前看起来是我们有看到一些曙光因为特定的药厂它对于这些谈判跟可能的一个做法我们在这边也比较不方便一下子做揭露但是他们是很努力我们也持续的精进\n那另外我想請教就是說立法院在前些日子就是有三讀通過就是因應國際情勢強化經濟社會及民眾消費韌性的特別條例那這個特別條例當中有提到這個法案的附帶決議有兩項附帶決議一個是健保基金獲得這個撥補預算中要優先用於增進我國產品供應韌性\n那第二個附帶決議就是說益住健保基金的預算數不得低於個期預算總數的12%那我想請教衛福部針對這兩個附帶決議那你們有什麼就是說是不是照著這樣子去執行或者是未來會有什麼樣的變化或者是會有什麼樣的困難\n那是不是可以請部長這邊做一下我想我們大宴已經通過的三途包括條文以及決議我想我們會尊重大宴來努力來進行而且在這樣的一個\n支援之下我們會把它該做的一個專業方面的事情我們會把它做好來保護我們當時變這個預算的一個用心讓我們的健保能夠運轉得更好讓我們的藥品能夠更加的穩定\n那部長我再請教就是說健保署在推動一個使用生物相似性藥品及學名藥的鼓勵事辦計劃那這個事辦計劃你們也希望就是說可以達到這個一定的這個比例可能也許達到70%左右那我想請教就是說我們提出這樣學名藥的鼓勵政策那可能目前是以那個化療\n藥的這個部分先開始做那我想請教就是說目前做的這個情況是怎樣那會不會有一些影響通常病人或者是病人家屬都會希望說是用原廠的藥品那如果說健保署這樣子鼓勵的話\n當然就是大家都是信任醫師醫師開什麼藥當然就是都信任醫師那我也想請教就是說以病人為優先的話那當然是推動這個也是推動我們這個藥品的在地這個韌性韌性化然後在地化那我想請教部長或者是署長針對你們這樣的一個推動那未來這個你們目標目前是已經快達標了嗎或者是說\n或者是說你們還有努力的空間那當然就是說你們如果是朝這個方向在執行的話我覺得還是要以病人的這個權益為優先是不是可以請部長或署長回應一下我先補充一下\n我想我們台灣的醫療醫療跟藥品的一個品質都是受到肯定的那只要攜手合作我相信我們會用達到用我們在我們的目標之下來給民眾做最完整的一個照顧埃及現在這個計畫到底進行的情況請時事長報告一下\n跟委員報告我們現在所推動的去年是這個生物相似藥那裡面有部分是癌藥多數是一些風濕免疫的藥那今年我們推動的是那個癌症的化學用藥我們叫化療的藥\n那這個化學治療的藥其實它不是全部都是國產它有進口的 也有國產的但是這個下去之後各國都是這樣它可以分散這個用藥的多元性不會寡占 避免斷藥的危機啦所以我們現在來鼓勵這個那麼鼓勵的同時當然就要確保這個療效的相等性所以我們還有這個療效不相等通報系統\n所以如果在临床上用了有任何一个药物感觉它有不等效的情形就可以通报那食药署就会接着去介入去验证这个药品的效果我们还是希望就是说以病人的权益为优先如果说这个做起来就\n效果就沒有那麼好那我覺得說也不要去硬要推這樣子一個計畫另外我在最後再問一個問題就是說我們一直在研擬就是藥品的供應韌性相對的這個對策那當然就是說國內的這個剛剛部長也有特別提到就是說國內的我們的那個\n這個醫藥的那個產業鏈其實也算是非常的完整那當然就是說我們也希望就是說我們的這個醫藥的這個產業鏈未來也是可以成為我們的護國神山那我想請教部長就是說\n其實我們還有很多需要去去做的那我也想希望就是說健保每一年附在這個醫療醫藥醫材方面其實我們都會覺得說一年的這個預算已經\n8000多億今年9286億9286那其實我覺得說有一些可能也配合國內的這個這個產業鏈好如果說因為我們覺得我都覺得說這個\n這個健保的這個費用其實應該是已經很多了那應該也要扶植國內的這樣子醫療的或者是醫材醫藥的這個產業鏈能夠更完整的話其實未來把這樣的一個這個政策這樣的一個完整性然後推動到其他國家我覺得這個也是成為我們國內或者跟國外一個非常好的一個\n這個讓我們國內的這些產業醫療界醫藥界的這個產業鏈能夠推廣到其他國家去我覺得這個也是我們國家未來的一個也是一個非常重要的一個韌性\n那我希望就是說衛福部這邊也要針對這一部分應該要好好去思考讓這樣子的一些一個產業鏈能夠複製到其他國家去讓這些醫藥界醫療醫材能夠在其他國家能夠發光發熱非常謝謝委員這麼重要的一個提點跟指示我們朝這個方向來努力好謝謝辛苦了謝謝謝謝黃委員\n","vtt":"WEBVTT\n\n00:00.796 --> 00:01.237\n謝謝主席我們請部長\n\n00:11.654 --> 00:29.633\n我想請教就是說我們從4月份針對美國的對等關稅從4月初然後到我記得在7月份的時候7月中的時候我們也有針對這個討論就是有關美國關稅然後可能會影響到我們國內的\n\n00:31.215 --> 00:47.816\n这个药品或者是药价的这个议题我们有讨论过那我今天也想请教就是说8月初的这个这个对等关税就是目前是20%那在7月份的时候我们已经有希望就是说这个\n\n00:48.497 --> 01:10.688\n可能會影響到這個要價或者是醫材也許會出現一些波動那我想請教部長就是說這個將近幾個月的時間我們衛福部針對這部分你們有沒有跟這個產業界有做一些討論那是不是你們有一些因應的方式我想再確定再具體一點\n\n01:12.284 --> 01:38.825\n好謝謝委員的吹醒我想我們從世界委員的關心跟大家的一個關心之下我們當然當時都會認為因為藥品的關稅是零關稅但是現在可能我還是應用會有川普的做法有時候會變化所以我們要更要準備好所以我們剛剛一直報告我們有強化供應疫情提升\n\n01:39.705 --> 01:53.488\n藥品的儲備確保藥價的合理鼓勵在地的製造這個部分我們都做好準備那至於跟產業的一個互動的話我想石耀石市長來報告一下\n\n01:55.819 --> 02:17.448\n這邊跟委員進一步做說明我們從四月份其實更早三月份在針對台灣的學名藥製劑廠以及原料藥的原料廠那以及在這種情形下做了溝通如何去建立韌性因為在韌性的前提之下我們剛才提到有育海市四家製劑總共一千億的產值所以相對的\n\n02:18.328 --> 02:41.213\n每一家的规模是小我们特别跟学民药的工会的理事长等等的会员超越去讨论说必须要做所谓区域的联防去因为他们评估起来都会有相同的标的要去做所谓的制剂可是这样之下竞争反而是让他们自己的价格非常困难所以我们提到的是说如何去对于我们的必要药品的清单\n\n02:42.193 --> 02:59.364\n在專利藥過期進入製劑的過程當中能夠確確的去做分工那這分工其實是要從內部協調所以我們在特別提到在公司協力自主規制的方面他們自己的對產業裡面的互相的協調那我們對於我們現在的必要藥品有\n\n02:59.904 --> 03:29.524\n特別的藥事法二十七條之二那進一步擴展到全體所謂的藥品只要短缺的情形之下再進入修法希望在未來能夠達到的是只要有短缺的疑慮之下在政府的政策能夠介入做更好的一些所謂的管控跟調控以及分派所以我們用智慧性的導入所謂的這些管銷的一個系統我們過去是從大盤中盤到所謂的醫療院所\n\n03:30.184 --> 03:45.210\n有一部分我們最近特別接起來也跟醫院的部分做了一些討論希望能夠達到醫院直接從藥廠面供的部分能夠達到整體的藥品的供應上面是一個有限的產能之下\n\n03:46.030 --> 04:03.572\n供需平衡我們可以再應用這些調控的機制而得到分配能夠均衡也讓我們的藥品的韌性達到不愈匱乏的狀況我是希望就是說剛剛署長也講得很清楚我們不希望就是說因為這個狀況然後可能會產生缺藥的這個問題\n\n04:05.334 --> 04:20.084\n另外我想請教就是說其實各國的藥廠可能有的是因應川普的關稅議題有的是藥品庫存可能就是會有一些庫存我想請教部長或者是署長針對這一部分\n\n04:22.265 --> 04:48.051\n我們可能也要有一些因應的措施就是說某些藥也許我們也需要有一些庫存量剛剛署長有特別提到就是說我們要有在地化任性化像這樣子的話庫存的部分不要說到時候會造成可能缺藥的問題我是不是可以再請教一下署長針對這一部分你們有沒有就是說\n\n04:49.831 --> 05:16.812\n國人最常用的這些藥品那我們是不是有一些庫存量那他的這個庫存的這個時間到底是有多久這邊跟委員進一步報告我們針對現在的製劑的部分我們在所謂的西藥及醫療器材供應的平台上面如果在藥事法I27條之二裡面針對有所謂的短缺的疑慮之下在半年內他必須做通報\n\n05:17.812 --> 05:43.427\n那对于通报的药品其实我们做后续的在所谓的临床药学会里面的做进入评估之后对这些药品它如何有时候是国外因为产能上面或者国内这个产制的上面的供给上面如果是短期供应是无余的但是需要做调配的我们就会做一些控药所以在半年内如果说会有就是在半年的时间是的\n\n05:44.707 --> 06:01.497\n會有一些短缺的疑慮就是會有通報如果在供應上面真的是有疑慮的時候我們會公告專案的製造或專案的輸入能夠讓這些可能潛在的不能平衡的部分能夠及時的補足\n\n06:02.177 --> 06:17.456\n那另外還有一個部分其實很殘酷的就是國際大藥廠在面對特定的藥物他們在全世界佔比就是單一藥廠有將近80%他在產能上面我們是不是會有前後上面供給上面的優先順序的\n\n06:18.297 --> 06:36.268\n那我们面对这议题我们针对国内的制剂厂生物理事药的药厂部分我们积极的沟通国内产业他们觉得他也是可以做得到所以这部分我们就是跟这些国内的一些制剂的厂生物理事的药厂里面积极的去研拟这个部分因为那个\n\n06:37.228 --> 07:06.398\n千亿法动千钧的单一个药厂的那其实是全世界的议题这个议题也是在国际亚洲区域里面发酵我们在国内也有研理我们目前有几次的跟生物理事要药厂里面在做这件研理的工作那目前看起来是我们有看到一些曙光因为特定的药厂它对于这些谈判跟可能的一个做法我们在这边也比较不方便一下子做揭露但是他们是很努力我们也持续的精进\n\n07:06.798 --> 07:31.041\n那另外我想請教就是說立法院在前些日子就是有三讀通過就是因應國際情勢強化經濟社會及民眾消費韌性的特別條例那這個特別條例當中有提到這個法案的附帶決議有兩項附帶決議一個是健保基金獲得這個撥補預算中要優先用於增進我國產品供應韌性\n\n07:32.222 --> 07:54.268\n那第二個附帶決議就是說益住健保基金的預算數不得低於個期預算總數的12%那我想請教衛福部針對這兩個附帶決議那你們有什麼就是說是不是照著這樣子去執行或者是未來會有什麼樣的變化或者是會有什麼樣的困難\n\n07:55.268 --> 08:07.499\n那是不是可以請部長這邊做一下我想我們大宴已經通過的三途包括條文以及決議我想我們會尊重大宴來努力來進行而且在這樣的一個\n\n08:11.642 --> 08:26.278\n支援之下我們會把它該做的一個專業方面的事情我們會把它做好來保護我們當時變這個預算的一個用心讓我們的健保能夠運轉得更好讓我們的藥品能夠更加的穩定\n\n08:26.778 --> 08:52.168\n那部長我再請教就是說健保署在推動一個使用生物相似性藥品及學名藥的鼓勵事辦計劃那這個事辦計劃你們也希望就是說可以達到這個一定的這個比例可能也許達到70%左右那我想請教就是說我們提出這樣學名藥的鼓勵政策那可能目前是以那個化療\n\n08:54.069 --> 09:15.080\n藥的這個部分先開始做那我想請教就是說目前做的這個情況是怎樣那會不會有一些影響通常病人或者是病人家屬都會希望說是用原廠的藥品那如果說健保署這樣子鼓勵的話\n\n09:15.820 --> 09:41.930\n當然就是大家都是信任醫師醫師開什麼藥當然就是都信任醫師那我也想請教就是說以病人為優先的話那當然是推動這個也是推動我們這個藥品的在地這個韌性韌性化然後在地化那我想請教部長或者是署長針對你們這樣的一個推動那未來這個你們目標目前是已經快達標了嗎或者是說\n\n09:43.130 --> 10:00.269\n或者是說你們還有努力的空間那當然就是說你們如果是朝這個方向在執行的話我覺得還是要以病人的這個權益為優先是不是可以請部長或署長回應一下我先補充一下\n\n10:01.630 --> 10:24.416\n我想我們台灣的醫療醫療跟藥品的一個品質都是受到肯定的那只要攜手合作我相信我們會用達到用我們在我們的目標之下來給民眾做最完整的一個照顧埃及現在這個計畫到底進行的情況請時事長報告一下\n\n10:26.250 --> 10:41.645\n跟委員報告我們現在所推動的去年是這個生物相似藥那裡面有部分是癌藥多數是一些風濕免疫的藥那今年我們推動的是那個癌症的化學用藥我們叫化療的藥\n\n10:43.226 --> 11:08.007\n那這個化學治療的藥其實它不是全部都是國產它有進口的也有國產的但是這個下去之後各國都是這樣它可以分散這個用藥的多元性不會寡占避免斷藥的危機啦所以我們現在來鼓勵這個那麼鼓勵的同時當然就要確保這個療效的相等性所以我們還有這個療效不相等通報系統\n\n11:08.587 --> 11:26.023\n所以如果在临床上用了有任何一个药物感觉它有不等效的情形就可以通报那食药署就会接着去介入去验证这个药品的效果我们还是希望就是说以病人的权益为优先如果说这个做起来就\n\n11:26.784 --> 11:46.983\n效果就沒有那麼好那我覺得說也不要去硬要推這樣子一個計畫另外我在最後再問一個問題就是說我們一直在研擬就是藥品的供應韌性相對的這個對策那當然就是說國內的這個剛剛部長也有特別提到就是說國內的我們的那個\n\n11:50.245 --> 12:03.771\n這個醫藥的那個產業鏈其實也算是非常的完整那當然就是說我們也希望就是說我們的這個醫藥的這個產業鏈未來也是可以成為我們的護國神山那我想請教部長就是說\n\n12:05.831 --> 12:22.918\n其實我們還有很多需要去去做的那我也想希望就是說健保每一年附在這個醫療醫藥醫材方面其實我們都會覺得說一年的這個預算已經\n\n12:25.399 --> 12:28.283\n8000多億今年9286億9286那其實我覺得說有一些可能也配合國內的這個這個產業鏈好如果說因為我們覺得我都覺得說這個\n\n12:42.240 --> 13:02.907\n這個健保的這個費用其實應該是已經很多了那應該也要扶植國內的這樣子醫療的或者是醫材醫藥的這個產業鏈能夠更完整的話其實未來把這樣的一個這個政策這樣的一個完整性然後推動到其他國家我覺得這個也是成為我們國內或者跟國外一個非常好的一個\n\n13:04.468 --> 13:17.203\n這個讓我們國內的這些產業醫療界醫藥界的這個產業鏈能夠推廣到其他國家去我覺得這個也是我們國家未來的一個也是一個非常重要的一個韌性\n\n13:18.464 --> 13:43.203\n那我希望就是說衛福部這邊也要針對這一部分應該要好好去思考讓這樣子的一些一個產業鏈能夠複製到其他國家去讓這些醫藥界醫療醫材能夠在其他國家能夠發光發熱非常謝謝委員這麼重要的一個提點跟指示我們朝這個方向來努力好謝謝辛苦了謝謝謝謝黃委員\n\n","segments":[{"start":0.796,"end":1.237,"text":"謝謝主席 我們請部長"},{"start":11.654,"end":29.633,"text":"我想請教就是說我們從4月份針對美國的對等關稅從4月初然後到我記得在7月份的時候7月中的時候我們也有針對這個討論就是有關美國關稅然後可能會影響到我們國內的"},{"start":31.215,"end":47.816,"text":"这个药品或者是药价的这个议题我们有讨论过那我今天也想请教就是说8月初的这个这个对等关税就是目前是20%那在7月份的时候我们已经有希望就是说这个"},{"start":48.497,"end":70.688,"text":"可能會影響到這個要價或者是醫材也許會出現一些波動那我想請教部長就是說這個將近幾個月的時間我們衛福部針對這部分你們有沒有跟這個產業界有做一些討論那是不是你們有一些因應的方式我想再確定再具體一點"},{"start":72.284,"end":98.825,"text":"好 謝謝委員的吹醒我想我們從世界委員的關心跟大家的一個關心之下我們當然當時都會認為因為藥品的關稅是零關稅但是現在可能我還是應用會有川普的做法有時候會變化所以我們要更要準備好所以我們剛剛一直報告我們有強化供應疫情提升"},{"start":99.705,"end":113.488,"text":"藥品的儲備確保藥價的合理鼓勵在地的製造這個部分我們都做好準備那至於跟產業的一個互動的話我想石耀石市長來報告一下"},{"start":115.819,"end":137.448,"text":"這邊跟委員進一步做說明我們從四月份其實更早三月份在針對台灣的學名藥製劑廠以及原料藥的原料廠那以及在這種情形下做了溝通如何去建立韌性因為在韌性的前提之下我們剛才提到有育海市四家製劑總共一千億的產值所以相對的"},{"start":138.328,"end":161.213,"text":"每一家的规模是小我们特别跟学民药的工会的理事长等等的会员超越去讨论说必须要做所谓区域的联防去因为他们评估起来都会有相同的标的要去做所谓的制剂可是这样之下竞争反而是让他们自己的价格非常困难所以我们提到的是说如何去对于我们的必要药品的清单"},{"start":162.193,"end":179.364,"text":"在專利藥過期進入製劑的過程當中能夠確確的去做分工那這分工其實是要從內部協調所以我們在特別提到在公司協力自主規制的方面他們自己的對產業裡面的互相的協調那我們對於我們現在的必要藥品有"},{"start":179.904,"end":209.524,"text":"特別的藥事法二十七條之二那進一步擴展到全體所謂的藥品只要短缺的情形之下再進入修法希望在未來能夠達到的是只要有短缺的疑慮之下在政府的政策能夠介入做更好的一些所謂的管控跟調控以及分派所以我們用智慧性的導入所謂的這些管銷的一個系統我們過去是從大盤中盤到所謂的醫療院所"},{"start":210.184,"end":225.21,"text":"有一部分我們最近特別接起來也跟醫院的部分做了一些討論希望能夠達到醫院直接從藥廠面供的部分能夠達到整體的藥品的供應上面是一個有限的產能之下"},{"start":226.03,"end":243.572,"text":"供需平衡我們可以再應用這些調控的機制而得到分配能夠均衡也讓我們的藥品的韌性達到不愈匱乏的狀況我是希望就是說剛剛署長也講得很清楚我們不希望就是說因為這個狀況然後可能會產生缺藥的這個問題"},{"start":245.334,"end":260.084,"text":"另外我想請教就是說其實各國的藥廠可能有的是因應川普的關稅議題有的是藥品庫存可能就是會有一些庫存我想請教部長或者是署長針對這一部分"},{"start":262.265,"end":288.051,"text":"我們可能也要有一些因應的措施就是說某些藥也許我們也需要有一些庫存量剛剛署長有特別提到就是說我們要有在地化 任性化像這樣子的話庫存的部分不要說到時候會造成可能缺藥的問題我是不是可以再請教一下署長針對這一部分你們有沒有就是說"},{"start":289.831,"end":316.812,"text":"國人最常用的這些藥品那我們是不是有一些庫存量那他的這個庫存的這個時間到底是有多久這邊跟委員進一步報告我們針對現在的製劑的部分我們在所謂的西藥及醫療器材供應的平台上面如果在藥事法I27條之二裡面針對有所謂的短缺的疑慮之下在半年內他必須做通報"},{"start":317.812,"end":343.427,"text":"那对于通报的药品其实我们做后续的在所谓的临床药学会里面的做进入评估之后对这些药品它如何有时候是国外因为产能上面或者国内这个产制的上面的供给上面如果是短期供应是无余的但是需要做调配的我们就会做一些控药所以在半年内如果说会有就是在半年的时间是的"},{"start":344.707,"end":361.497,"text":"會有一些短缺的疑慮就是會有通報如果在供應上面真的是有疑慮的時候我們會公告專案的製造或專案的輸入能夠讓這些可能潛在的不能平衡的部分能夠及時的補足"},{"start":362.177,"end":377.456,"text":"那另外還有一個部分其實很殘酷的就是國際大藥廠在面對特定的藥物他們在全世界佔比就是單一藥廠有將近80%他在產能上面我們是不是會有前後上面供給上面的優先順序的"},{"start":378.297,"end":396.268,"text":"那我们面对这议题我们针对国内的制剂厂生物理事药的药厂部分我们积极的沟通国内产业他们觉得他也是可以做得到所以这部分我们就是跟这些国内的一些制剂的厂生物理事的药厂里面积极的去研拟这个部分因为那个"},{"start":397.228,"end":426.398,"text":"千亿法动千钧的单一个药厂的那其实是全世界的议题这个议题也是在国际亚洲区域里面发酵我们在国内也有研理我们目前有几次的跟生物理事要药厂里面在做这件研理的工作那目前看起来是我们有看到一些曙光因为特定的药厂它对于这些谈判跟可能的一个做法我们在这边也比较不方便一下子做揭露但是他们是很努力我们也持续的精进"},{"start":426.798,"end":451.041,"text":"那另外我想請教就是說立法院在前些日子就是有三讀通過就是因應國際情勢強化經濟社會及民眾消費韌性的特別條例那這個特別條例當中有提到這個法案的附帶決議有兩項附帶決議一個是健保基金獲得這個撥補預算中要優先用於增進我國產品供應韌性"},{"start":452.222,"end":474.268,"text":"那第二個附帶決議就是說益住健保基金的預算數不得低於個期預算總數的12%那我想請教衛福部針對這兩個附帶決議那你們有什麼就是說是不是照著這樣子去執行或者是未來會有什麼樣的變化或者是會有什麼樣的困難"},{"start":475.268,"end":487.499,"text":"那是不是可以請部長這邊做一下我想我們大宴已經通過的三途包括條文以及決議我想我們會尊重大宴來努力來進行而且在這樣的一個"},{"start":491.642,"end":506.278,"text":"支援之下我們會把它該做的一個專業方面的事情我們會把它做好來保護我們當時變這個預算的一個用心讓我們的健保能夠運轉得更好讓我們的藥品能夠更加的穩定"},{"start":506.778,"end":532.168,"text":"那部長我再請教就是說健保署在推動一個使用生物相似性藥品及學名藥的鼓勵事辦計劃那這個事辦計劃你們也希望就是說可以達到這個一定的這個比例可能也許達到70%左右那我想請教就是說我們提出這樣學名藥的鼓勵政策那可能目前是以那個化療"},{"start":534.069,"end":555.08,"text":"藥的這個部分先開始做那我想請教就是說目前做的這個情況是怎樣那會不會有一些影響通常病人或者是病人家屬都會希望說是用原廠的藥品那如果說健保署這樣子鼓勵的話"},{"start":555.82,"end":581.93,"text":"當然就是大家都是信任醫師醫師開什麼藥當然就是都信任醫師那我也想請教就是說以病人為優先的話那當然是推動這個也是推動我們這個藥品的在地這個韌性韌性化然後在地化那我想請教部長或者是署長針對你們這樣的一個推動那未來這個你們目標目前是已經快達標了嗎或者是說"},{"start":583.13,"end":600.269,"text":"或者是說你們還有努力的空間那當然就是說你們如果是朝這個方向在執行的話我覺得還是要以病人的這個權益為優先是不是可以請部長或署長回應一下我先補充一下"},{"start":601.63,"end":624.416,"text":"我想我們台灣的醫療醫療跟藥品的一個品質都是受到肯定的那只要攜手合作我相信我們會用達到用我們在我們的目標之下來給民眾做最完整的一個照顧埃及現在這個計畫到底進行的情況請時事長報告一下"},{"start":626.25,"end":641.645,"text":"跟委員報告我們現在所推動的去年是這個生物相似藥那裡面有部分是癌藥多數是一些風濕免疫的藥那今年我們推動的是那個癌症的化學用藥我們叫化療的藥"},{"start":643.226,"end":668.007,"text":"那這個化學治療的藥其實它不是全部都是國產它有進口的 也有國產的但是這個下去之後各國都是這樣它可以分散這個用藥的多元性不會寡占 避免斷藥的危機啦所以我們現在來鼓勵這個那麼鼓勵的同時當然就要確保這個療效的相等性所以我們還有這個療效不相等通報系統"},{"start":668.587,"end":686.023,"text":"所以如果在临床上用了有任何一个药物感觉它有不等效的情形就可以通报那食药署就会接着去介入去验证这个药品的效果我们还是希望就是说以病人的权益为优先如果说这个做起来就"},{"start":686.784,"end":706.983,"text":"效果就沒有那麼好那我覺得說也不要去硬要推這樣子一個計畫另外我在最後再問一個問題就是說我們一直在研擬就是藥品的供應韌性相對的這個對策那當然就是說國內的這個剛剛部長也有特別提到就是說國內的我們的那個"},{"start":710.245,"end":723.771,"text":"這個醫藥的那個產業鏈其實也算是非常的完整那當然就是說我們也希望就是說我們的這個醫藥的這個產業鏈未來也是可以成為我們的護國神山那我想請教部長就是說"},{"start":725.831,"end":742.918,"text":"其實我們還有很多需要去去做的那我也想希望就是說健保每一年附在這個醫療醫藥醫材方面其實我們都會覺得說一年的這個預算已經"},{"start":745.399,"end":748.283,"text":"8000多億今年9286億9286那其實我覺得說有一些可能也配合國內的這個這個產業鏈好如果說因為我們覺得我都覺得說這個"},{"start":762.24,"end":782.907,"text":"這個健保的這個費用其實應該是已經很多了那應該也要扶植國內的這樣子醫療的或者是醫材醫藥的這個產業鏈能夠更完整的話其實未來把這樣的一個這個政策這樣的一個完整性然後推動到其他國家我覺得這個也是成為我們國內或者跟國外一個非常好的一個"},{"start":784.468,"end":797.203,"text":"這個讓我們國內的這些產業醫療界醫藥界的這個產業鏈能夠推廣到其他國家去我覺得這個也是我們國家未來的一個也是一個非常重要的一個韌性"},{"start":798.464,"end":823.203,"text":"那我希望就是說衛福部這邊也要針對這一部分應該要好好去思考讓這樣子的一些一個產業鏈能夠複製到其他國家去讓這些醫藥界醫療醫材能夠在其他國家能夠發光發熱非常謝謝委員這麼重要的一個提點跟指示我們朝這個方向來努力好謝謝辛苦了謝謝謝謝黃委員"}]}}},"gazette":{"lineno":706,"blocks":[["黃委員秀芳：（11時38分）謝謝主席。請部長。"],["主席：部長，請。"],["邱部長泰源：委員好。"],["黃委員秀芳：部長，我想請教，4月初美國宣布對等關稅，我記得在7月中我們也有針對美國對等關稅可能會影響到國內藥品或者藥價的議題討論過。8月初對等關稅實施，目前是20%，7月份我們已經有討論這個可能會影響到藥價或者醫材，也許會出現一些波動，我想請教部長，將近幾個月的時間，衛福部針對這部分有沒有跟產業界做一些討論？你們是不是有一些因應的方式？我想再確定、再具體一點。"],["邱部長泰源：謝謝委員的垂詢。4月份在委員跟大家的關心之下，我們當時都會認為……因為藥品是零關稅，但是現在可能還是要因應川普的作法，有時候會變化嘛，所以我們更要準備好，我們剛剛也一直報告我們有強化供應預警，提升藥品儲備，確保藥價合理，鼓勵在地製造，這個部分我們都做好準備。至於跟產業的互動，請食藥署署長來報告一下。"],["姜署長至剛：這邊跟委員進一步做說明，我們從4月份，其實更早，3月份針對臺灣的學名藥製劑廠以及原料藥的原料廠，在這種情形下做了溝通，如何去建立韌性，因為在韌性的前提之下，我們剛才提到有144家製劑廠，總共1,000億的產值，所以相對地每一家的規模是小，我們特別跟學名藥公會的理事長等等的會員去討論說必須要做所謂的區域聯防，因為他們評估起來，會有相同的標的要去做所謂的製劑，可是在這樣的情況之下，競爭反而是讓他們自己的價格非常困難，所以我們提到的是說如何對於必要藥品的清單，在專利藥過期後進入製劑的過程當中，能夠確切地去做分工，這個分工其實是要從內部協調，所以我們剛剛特別提到，在公私協力自主規制方面，他們自己對於產業裡面的互相協調。我們對於現在的必要藥品，有藥事法第二十七條之二，進一步擴展到全體，在藥品短缺的情形之下，再進入修法，希望在未來能夠達到只要在有短缺的疑慮之下，政府的政策能夠介入做更好的管控、調控以及分派。所以我們用智慧性導入這些管銷系統，過去是從大盤、中盤到所謂的醫療院所，有一部分我們最近特別介接起來，也跟醫院的部分做了一些討論，希望能夠達到醫院直接從藥廠面供應的部分，在整體藥品供應上，能夠達到在有限產能之下的供需平衡，我們可以再應用這些調控機制而達到均勻分配，也讓我們的藥品韌性達到不虞匱乏的狀況。"],["黃委員秀芳：好。剛剛署長也講得很清楚，我們不希望因為這個狀況然後可能會產生缺藥的問題。另外我想請教，其實各國的藥廠可能有的是因應川普的關稅議題，有的是因為藥品庫存，可能就是會有一些庫存，我想請教部長或是署長，針對這部分，我們可能也要有一些因應的措施，就是某些藥也許我們也需要有一些庫存量，剛剛署長有特別提到我們要在地化、韌性化，所以在庫存的部分，不要到時候可能造成缺藥的問題。","我是不是可以再請教一下署長，針對這部分，就是國人最常用的這些藥品，我們是不是有一些庫存量？庫存量的可用時間到底有多久？"],["姜署長至剛：這邊跟委員進一步報告，我們針對現在的製劑部分，在所謂的西藥及醫療器材供應平臺上面，在藥事法第二十七條之二裡面，如果有短缺的疑慮，必須在半年前通報，對於通報的藥品，其實後續在臨床藥學會裡面進入評估之後，對於這些藥品，有時候是因為國外產能上面或是在國內產製的供給上，如果短期供應是無虞的，但是需要做調配的，我們就會做一些控藥……"],["黃委員秀芳：所以在半年內，如果說會有……就是在半年的時間……"],["姜署長至剛：是的。"],["黃委員秀芳：如果會有一些短缺的疑慮，就是會通報？"],["姜署長至剛：我們就會分析，如果在供應上真的是有疑慮的時候，我們會公告做專案的製造或專案的輸入，讓這些可能潛在的不能平衡的部分能夠及時補足。另外還有一個部分，其實很殘酷的就是，國際大藥廠在面對特定的藥物，他們在全世界的占比，單一藥廠有將近80%，在產能的部分，我們是不是會有前後供給上的優先順序？我們面對這個議題，針對國內的製劑廠、生物相似藥的藥廠部分，我們積極溝通，國內產業覺得他們也是可以做得到的，所以這部分容我們跟這些國內的製劑廠、生物相似藥的藥廠積極地去研擬這個部分，因為牽一髮而動全身，單一個藥廠……其實這是全世界的議題，這個議題也在國際、亞洲區域裡面發酵，我們國內也有研擬，我們目前也有幾次跟生物相似藥藥廠在做研擬的工作，目前我們有看到一些曙光，因為特定藥廠對於這些談判跟可能的作法，我們在這邊也比較不方便做揭露，但是他們是很努力，我們也持續地精進。"],["黃委員秀芳：好。另外，立法院在前些日子有三讀通過「因應國際情勢強化經濟社會及民眾消費韌性特別條例」，這個特別條例有兩項附帶決議，一個是健保基金獲得的撥補預算要優先用於增進我國產品供應韌性；第二個附帶決議就是挹注健保基金的預算數不得低於各期預算總數的12%，我想請教衛福部，針對這兩個附帶決議，你們是不是照著這樣去執行，或是未來會有什麼樣的變化，或是會有什麼樣的困難？是不是可以請部長這邊做一下回應？"],["邱部長泰源：大院已經三讀通過的，包括條文以及決議，我想我們會……"],["黃委員秀芳：會照這樣做嗎？"],["邱部長泰源：會尊重大院，來努力進行。"],["黃委員秀芳：好。"],["邱部長泰源：而且在這樣的資源之下，我們會把該做的專業方面的事情做好，來保護當時編這個預算的用心，讓我們的健保能夠運轉得更好，讓我們的藥品能夠更加穩定。"],["黃委員秀芳：好。部長，健保署在推動一個使用生物相似性藥品及學名藥的鼓勵試辦計畫，這個試辦計畫你們也希望可以達到一定的比例，也許達到70%左右，我們提出這樣學名藥的鼓勵政策，目前可能是先以化療藥的部分開始做，我想請教，目前做的情況是怎麼樣？會不會有一些影響？通常病人或是病人家屬都會希望是用原廠的藥品，如果健保署這樣鼓勵的話，當然大家都是信任醫師，醫師開什麼藥，當然就是都信任醫師，且以病人為優先的話，當然是推動我們藥品的在地化及韌性化。我想請教部長或是署長，針對這樣的推動，你們的目標目前是已經快要達標了嗎？或者是說你們還有努力的空間？當然你們如果是朝這個方向在執行的話，我覺得還是要以病人的權益為優先，是不是可以請部長或署長回應一下？"],["邱部長泰源：我先補充一下，我想我們臺灣醫療跟藥品的品質都是受到肯定的，只要攜手合作，我相信在我們的目標之下，能夠給民眾最完整的照顧。關於現在這個計畫進行的情況，請石署長報告一下。"],["石署長崇良：跟委員報告，我們現在所推動的，去年是生物相似藥，裡面有部分是癌藥，多數是一些風濕免疫的藥，今年我們推動的是癌症的化學用藥，也就是化療的藥，化學治療的藥其實不是全部都是國產，有進口的，也有國產的，但是這個下去之後，各國都是這樣，它可以分散用藥的多元性，不會寡占，避免斷藥的危機，所以我們現在來鼓勵這個部分。在鼓勵的同時，當然就要確保療效的相等性，所以我們還有療效不相等通報系統，所以如果在臨床上用了任何一個藥物，感覺上有不等效的情形就可以通報，食藥署就會接著去介入驗證這個藥品的效果。"],["黃委員秀芳：我們還是希望以病人的權益為優先……"],["石署長崇良：一定、一定！"],["黃委員秀芳：如果這個做起來效果就沒有那麼好，我覺得也不要硬要推這樣子的一個計畫。"],["石署長崇良：是。"],["黃委員秀芳：我最後再問一個問題，我們一直在研擬藥品供應韌性的對策，剛剛部長也有特別提到，我們國內的醫藥產業鏈其實也算是非常完整，我們也希望我們的醫藥產業鏈未來也可以成為我們的護國神山。我想請教部長，其實我們還有很多需要去做的、還有很多工作要去做，而健保每一年支付在醫療、醫藥、醫材方面，一年的預算已經八千多億……"],["石署長崇良：今年9,286億。"],["黃委員秀芳：其實我覺得有一些可能也配合國內的產業鏈，我覺得健保的相關費用已經很多了，應該也要扶植國內醫療或者是醫材、醫藥的產業鏈，讓它能夠更完整，未來把這樣一個政策的完整性推動到其他國家，我覺得這個也會成為我們國內跟國外非常好的一個……讓我們國內這些醫療界、醫藥界的產業鏈能夠推廣到其他國家，我覺得這個也是我們國家未來一個非常重要的韌性，我希望衛福部也要針對這部分好好去思考，讓這樣子的一個產業鏈能夠複製到其他國家去，讓這些醫藥界、醫療、醫材能夠在其他國家發光發熱。"],["邱部長泰源：非常謝謝委員這麼重要的提點跟指示，我們朝這個方向來努力。"],["黃委員秀芳：好，謝謝，辛苦了！"],["邱部長泰源：謝謝。"],["主席：謝謝黃委員，謝謝署長、部長。","接續我們請王正旭委員質詢。"]],"agenda":{"page_end":328,"meet_id":"委員會-11-3-26-24","speakers":["蘇清泉","陳昭姿","林月琴","陳菁徽","邱鎮軍","王育敏","廖偉翔","盧縣一","林淑芬","黃秀芳","王正旭","葉元之","陳瑩","劉建國","楊曜","涂權吉"],"page_start":267,"meetingDate":["2025-08-14"],"gazette_id":"1147202","agenda_lcidc_ids":["1147202_00007"],"meet_name":"立法院第11屆第3會期社會福利及衛生環境委員會第24次全體委員會議紀錄","content":"邀請衛生福利部、經濟部、財政部就「美國針對進口藥品、原料藥課稅對我國產業造成影響」進\n行專題報告，並備質詢","agenda_id":"1147202_00006"}}}