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\"end\": 388.68, \"score\": 0.987}, {\"word\": \"强\", \"start\": 388.68, \"end\": 388.82, \"score\": 0.857}, {\"word\": \"英\", \"start\": 388.82, \"end\": 388.96, \"score\": 0.868}, {\"word\": \"委\", \"start\": 388.96, \"end\": 389.06, \"score\": 0.8}, {\"word\": \"员\", \"start\": 389.06, \"end\": 389.22, \"score\": 0.879}, {\"word\": \"发\", \"start\": 389.22, \"end\": 389.42, \"score\": 1.0}, {\"word\": \"言\", \"start\": 389.42, \"end\": 389.44, \"score\": 0.01}], \"language\": \"zh\"}","srt":"1\n00:00:04,449 --> 00:00:32,714\n謝主席楊泉發言請時部長好有請時部長歡迎水先喝再上來好楊委員好部長好中秋前後是肉品銷售最重要的尤其烤肉大家香腸這些腸子通通都要那在這樣的情況之下我們的食安五環似乎都慢半拍而且都是民眾檢舉揭露的\n\n2\n00:00:33,294 --> 00:00:48,965\n那當然我們在查緝的時候已經流入到市場而且不知道該怎麼辦就從這一次的這個黑心腸現在去檢驗都合格那些不合格的跑到哪裡去呢這才是重點已經吃下肚\n\n3\n00:00:49,625 --> 00:01:16,234\n民众的食安严重受损这该怎么办所以本席要请教我们要怎么样检讨经济方案如果你只有是让民众来检举你们才知道为什么不从源头去好好的管控制你们的积极作为到底是什么尤其人力方面你明知道你的人力是有缺口的那你要怎么去\n\n4\n00:01:17,034 --> 00:01:38,166\n去把它這個應對之譬如說你用AI的方式譬如說你可以用液化的一個物流流程這些查核流程液化這個對我們來講都是幫助很大而且解決你人力的缺口我們做了嗎請教部長這一方面你的作為是什麼\n\n5\n00:01:38,866 --> 00:02:03,407\n跟委員報告確實委員提到透過E化可以去強化整個食物鏈這個產品食品的這個產製銷鏈的這個追蹤作用那現在從電子發票電子登錄我們都持續在推動目前大概完成率大概九成到九成五那最後一哩度我們把它補起來讓像這樣的這個工業的化學\n\n6\n00:02:06,830 --> 00:02:35,712\n就是我们在这个卫生局这边会持续针对还没有完成电子发票的开立跟这个电子登录的食品业者加强去辅导让他完成从源头对这个从源头从源头你认可吗那同时依化AI技术去补足人力的缺口还有最重要的不要等到民众来接入你们才知道那些已经流到肚子里头\n\n7\n00:02:36,613 --> 00:02:36,715\n谢谢大家\n\n8\n00:02:37,608 --> 00:03:06,325\n要怎麼辦所以這個務必要把最後一里路去補足我們努力把這個整個系統讓它完整當然難免都還是有這些漏網之魚那我們還是會加強這個市場後市場的這些機場還是需要加強機場好一起加油那請教最近我們看到原廠藥品宣布退出台灣市場\n\n9\n00:03:07,918 --> 00:03:31,930\n在這樣的一個情況之下甚至這個市佔率高的三高的藥品這是民眾非常需要的那比如說化痰藥氣喘藥這些三高的這個藥品慢性病那為什麼到九月份竟然我們統計預期是有47家的藥品退出\n\n10\n00:03:34,130 --> 00:03:55,557\n這是什麼情況為什麼會如此什麼原因那我們要怎麼樣去應對呢跟委員報告現在健保所供應的這個藥品大概是一萬四千多項那每年大概都有五六十項會因為他的這個廠商來提報我們都是鼓勵他提報說如果你不再供應你要事先講\n\n11\n00:03:56,837 --> 00:04:18,025\n那让我们可以以往没有像现在这么多家差不多前年的话是60几项60几项那你现在就已经有47项了47项没有错但是这47项我们盘起来都有学名药它不是专利期内的药全部都是有学名药你有替代你的意思是说你有替代对\n\n12\n00:04:18,445 --> 00:04:35,522\n第一個到底是什麼原因人家要退出跟委員報告就是說這些像這裡面有24個是屬於叫做原廠藥原廠藥過了專利期之後就有很多的學民要跟它競爭所以它的價格一定下降全世界都是這樣這個時候這個廠商這個原廠就會考慮\n\n13\n00:04:39,085 --> 00:05:03,192\n改變他的這個策略就再回去專注他的專利藥這是藥商的一個策略但是我方我們的替代藥是不是足以讓我們的三高等這些需要用者的患者能夠安心這是一個重點接下來本席請教最近有提出了一個叫健康幣\n\n14\n00:05:04,973 --> 00:05:20,107\n就是打疫苗啊接受公費啊這個癌症篩選啊那我們到底我們說如果打疫苗你可以獲得100點的健康幣那乳房篩檢可以獲得200點那這個政策現在進度如何\n\n15\n00:05:20,467 --> 00:05:41,581\n我們現在正在內部在規劃那最重要就是有三個重點一個這個是幣的發行他可能要採納這個區塊鏈的概念那第二個是哪些要納入鼓勵的措施就是希望讓民眾他去為了自己的健康所做的努力也能夠有一些\n\n16\n00:05:42,321 --> 00:06:09,998\n回饋來鼓勵他第三個就是要公司協力要希望有更多的業者民間的業者可以參與這個幣的退換所以大概有這三個環節你們接下來進度預計什麼時候可以去執行之那因為你包括要跟廠商民間的合作那你預計什麼時候可以上路呢希望明年的第一季來跟大家報告這個整個明年的第一季來報告因為這個非常的重要\n\n17\n00:06:10,658 --> 00:06:29,440\n也就是预防中医治疗如果大家有这样子的一个概念我们完整建构让大家可以更加的健康但明年的第一季可以跟国人来报告健康必的进度是不是是是是谢谢委员好谢谢杨强英委员发言\n\n","tsv":"start\tend\ttext\n4449\t32714\t謝主席 楊泉發言請時部長好 有請時部長歡迎 水先喝再上來好 楊委員好部長好中秋前後是肉品銷售最重要的尤其烤肉大家香腸這些腸子通通都要那在這樣的情況之下我們的食安五環似乎都慢半拍而且都是民眾檢舉揭露的\n33294\t48965\t那當然我們在查緝的時候已經流入到市場而且不知道該怎麼辦就從這一次的這個黑心腸現在去檢驗都合格那些不合格的跑到哪裡去呢這才是重點已經吃下肚\n49625\t76234\t民众的食安严重受损这该怎么办所以本席要请教我们要怎么样检讨经济方案如果你只有是让民众来检举你们才知道为什么不从源头去好好的管控制你们的积极作为到底是什么尤其人力方面你明知道你的人力是有缺口的那你要怎么去\n77034\t98166\t去把它這個應對之譬如說你用AI的方式譬如說你可以用液化的一個物流流程這些查核流程液化這個對我們來講都是幫助很大而且解決你人力的缺口我們做了嗎請教部長這一方面你的作為是什麼\n98866\t123407\t跟委員報告確實委員提到透過E化可以去強化整個食物鏈這個產品食品的這個產製銷鏈的這個追蹤作用那現在從電子發票電子登錄我們都持續在推動目前大概完成率大概九成到九成五那最後一哩度我們把它補起來讓像這樣的這個工業的化學\n126830\t155712\t就是我们在这个卫生局这边会持续针对还没有完成电子发票的开立跟这个电子登录的食品业者加强去辅导让他完成从源头对这个从源头从源头你认可吗那同时依化AI技术去补足人力的缺口还有最重要的不要等到民众来接入你们才知道那些已经流到肚子里头\n156613\t156715\t谢谢大家\n157608\t186325\t要怎麼辦所以這個務必要把最後一里路去補足我們努力把這個整個系統讓它完整當然難免都還是有這些漏網之魚那我們還是會加強這個市場後市場的這些機場還是需要加強機場好 一起加油那請教最近我們看到原廠藥品宣布退出台灣市場\n187918\t211930\t在這樣的一個情況之下甚至這個市佔率高的三高的藥品這是民眾非常需要的那比如說化痰藥 氣喘藥這些三高的這個藥品慢性病那為什麼到九月份竟然我們統計預期是有47家的藥品退出\n214130\t235557\t這是什麼情況 為什麼會如此 什麼原因那我們要怎麼樣去應對呢跟委員報告 現在健保所供應的這個藥品大概是一萬四千多項那每年大概都有五六十項會因為他的這個廠商來提報我們都是鼓勵他提報說如果你不再供應 你要事先講\n236837\t258025\t那让我们可以以往没有像现在这么多家差不多前年的话是60几项60几项那你现在就已经有47项了47项没有错但是这47项我们盘起来都有学名药它不是专利期内的药全部都是有学名药你有替代你的意思是说你有替代对\n258445\t275522\t第一個到底是什麼原因人家要退出跟委員報告就是說這些像這裡面有24個是屬於叫做原廠藥原廠藥過了專利期之後就有很多的學民要跟它競爭所以它的價格一定下降全世界都是這樣這個時候這個廠商這個原廠就會考慮\n279085\t303192\t改變他的這個策略就再回去專注他的專利藥這是藥商的一個策略但是我方我們的替代藥是不是足以讓我們的三高等這些需要用者的患者能夠安心這是一個重點接下來本席請教最近有提出了一個叫健康幣\n304973\t320107\t就是打疫苗啊接受公費啊這個癌症篩選啊那我們到底我們說如果打疫苗你可以獲得100點的健康幣那乳房篩檢可以獲得200點那這個政策現在進度如何\n320467\t341581\t我們現在正在內部在規劃那最重要就是有三個重點一個這個是幣的發行他可能要採納這個區塊鏈的概念那第二個是哪些要納入鼓勵的措施就是希望讓民眾他去為了自己的健康所做的努力也能夠有一些\n342321\t369998\t回饋來鼓勵他第三個就是要公司協力要希望有更多的業者民間的業者可以參與這個幣的退換所以大概有這三個環節你們接下來進度預計什麼時候可以去執行之那因為你包括要跟廠商民間的合作那你預計什麼時候可以上路呢希望明年的第一季來跟大家報告這個整個明年的第一季來報告因為這個非常的重要\n370658\t389440\t也就是预防中医治疗如果大家有这样子的一个概念我们完整建构让大家可以更加的健康但明年的第一季可以跟国人来报告健康必的进度 是不是是是是 谢谢委员好 谢谢杨强英委员发言\n","txt":"謝主席 楊泉發言請時部長好 有請時部長歡迎 水先喝再上來好 楊委員好部長好中秋前後是肉品銷售最重要的尤其烤肉大家香腸這些腸子通通都要那在這樣的情況之下我們的食安五環似乎都慢半拍而且都是民眾檢舉揭露的\n那當然我們在查緝的時候已經流入到市場而且不知道該怎麼辦就從這一次的這個黑心腸現在去檢驗都合格那些不合格的跑到哪裡去呢這才是重點已經吃下肚\n民众的食安严重受损这该怎么办所以本席要请教我们要怎么样检讨经济方案如果你只有是让民众来检举你们才知道为什么不从源头去好好的管控制你们的积极作为到底是什么尤其人力方面你明知道你的人力是有缺口的那你要怎么去\n去把它這個應對之譬如說你用AI的方式譬如說你可以用液化的一個物流流程這些查核流程液化這個對我們來講都是幫助很大而且解決你人力的缺口我們做了嗎請教部長這一方面你的作為是什麼\n跟委員報告確實委員提到透過E化可以去強化整個食物鏈這個產品食品的這個產製銷鏈的這個追蹤作用那現在從電子發票電子登錄我們都持續在推動目前大概完成率大概九成到九成五那最後一哩度我們把它補起來讓像這樣的這個工業的化學\n就是我们在这个卫生局这边会持续针对还没有完成电子发票的开立跟这个电子登录的食品业者加强去辅导让他完成从源头对这个从源头从源头你认可吗那同时依化AI技术去补足人力的缺口还有最重要的不要等到民众来接入你们才知道那些已经流到肚子里头\n谢谢大家\n要怎麼辦所以這個務必要把最後一里路去補足我們努力把這個整個系統讓它完整當然難免都還是有這些漏網之魚那我們還是會加強這個市場後市場的這些機場還是需要加強機場好 一起加油那請教最近我們看到原廠藥品宣布退出台灣市場\n在這樣的一個情況之下甚至這個市佔率高的三高的藥品這是民眾非常需要的那比如說化痰藥 氣喘藥這些三高的這個藥品慢性病那為什麼到九月份竟然我們統計預期是有47家的藥品退出\n這是什麼情況 為什麼會如此 什麼原因那我們要怎麼樣去應對呢跟委員報告 現在健保所供應的這個藥品大概是一萬四千多項那每年大概都有五六十項會因為他的這個廠商來提報我們都是鼓勵他提報說如果你不再供應 你要事先講\n那让我们可以以往没有像现在这么多家差不多前年的话是60几项60几项那你现在就已经有47项了47项没有错但是这47项我们盘起来都有学名药它不是专利期内的药全部都是有学名药你有替代你的意思是说你有替代对\n第一個到底是什麼原因人家要退出跟委員報告就是說這些像這裡面有24個是屬於叫做原廠藥原廠藥過了專利期之後就有很多的學民要跟它競爭所以它的價格一定下降全世界都是這樣這個時候這個廠商這個原廠就會考慮\n改變他的這個策略就再回去專注他的專利藥這是藥商的一個策略但是我方我們的替代藥是不是足以讓我們的三高等這些需要用者的患者能夠安心這是一個重點接下來本席請教最近有提出了一個叫健康幣\n就是打疫苗啊接受公費啊這個癌症篩選啊那我們到底我們說如果打疫苗你可以獲得100點的健康幣那乳房篩檢可以獲得200點那這個政策現在進度如何\n我們現在正在內部在規劃那最重要就是有三個重點一個這個是幣的發行他可能要採納這個區塊鏈的概念那第二個是哪些要納入鼓勵的措施就是希望讓民眾他去為了自己的健康所做的努力也能夠有一些\n回饋來鼓勵他第三個就是要公司協力要希望有更多的業者民間的業者可以參與這個幣的退換所以大概有這三個環節你們接下來進度預計什麼時候可以去執行之那因為你包括要跟廠商民間的合作那你預計什麼時候可以上路呢希望明年的第一季來跟大家報告這個整個明年的第一季來報告因為這個非常的重要\n也就是预防中医治疗如果大家有这样子的一个概念我们完整建构让大家可以更加的健康但明年的第一季可以跟国人来报告健康必的进度 是不是是是是 谢谢委员好 谢谢杨强英委员发言\n","vtt":"WEBVTT\n\n00:04.449 --> 00:32.714\n謝主席楊泉發言請時部長好有請時部長歡迎水先喝再上來好楊委員好部長好中秋前後是肉品銷售最重要的尤其烤肉大家香腸這些腸子通通都要那在這樣的情況之下我們的食安五環似乎都慢半拍而且都是民眾檢舉揭露的\n\n00:33.294 --> 00:48.965\n那當然我們在查緝的時候已經流入到市場而且不知道該怎麼辦就從這一次的這個黑心腸現在去檢驗都合格那些不合格的跑到哪裡去呢這才是重點已經吃下肚\n\n00:49.625 --> 01:16.234\n民众的食安严重受损这该怎么办所以本席要请教我们要怎么样检讨经济方案如果你只有是让民众来检举你们才知道为什么不从源头去好好的管控制你们的积极作为到底是什么尤其人力方面你明知道你的人力是有缺口的那你要怎么去\n\n01:17.034 --> 01:38.166\n去把它這個應對之譬如說你用AI的方式譬如說你可以用液化的一個物流流程這些查核流程液化這個對我們來講都是幫助很大而且解決你人力的缺口我們做了嗎請教部長這一方面你的作為是什麼\n\n01:38.866 --> 02:03.407\n跟委員報告確實委員提到透過E化可以去強化整個食物鏈這個產品食品的這個產製銷鏈的這個追蹤作用那現在從電子發票電子登錄我們都持續在推動目前大概完成率大概九成到九成五那最後一哩度我們把它補起來讓像這樣的這個工業的化學\n\n02:06.830 --> 02:35.712\n就是我们在这个卫生局这边会持续针对还没有完成电子发票的开立跟这个电子登录的食品业者加强去辅导让他完成从源头对这个从源头从源头你认可吗那同时依化AI技术去补足人力的缺口还有最重要的不要等到民众来接入你们才知道那些已经流到肚子里头\n\n02:36.613 --> 02:36.715\n谢谢大家\n\n02:37.608 --> 03:06.325\n要怎麼辦所以這個務必要把最後一里路去補足我們努力把這個整個系統讓它完整當然難免都還是有這些漏網之魚那我們還是會加強這個市場後市場的這些機場還是需要加強機場好一起加油那請教最近我們看到原廠藥品宣布退出台灣市場\n\n03:07.918 --> 03:31.930\n在這樣的一個情況之下甚至這個市佔率高的三高的藥品這是民眾非常需要的那比如說化痰藥氣喘藥這些三高的這個藥品慢性病那為什麼到九月份竟然我們統計預期是有47家的藥品退出\n\n03:34.130 --> 03:55.557\n這是什麼情況為什麼會如此什麼原因那我們要怎麼樣去應對呢跟委員報告現在健保所供應的這個藥品大概是一萬四千多項那每年大概都有五六十項會因為他的這個廠商來提報我們都是鼓勵他提報說如果你不再供應你要事先講\n\n03:56.837 --> 04:18.025\n那让我们可以以往没有像现在这么多家差不多前年的话是60几项60几项那你现在就已经有47项了47项没有错但是这47项我们盘起来都有学名药它不是专利期内的药全部都是有学名药你有替代你的意思是说你有替代对\n\n04:18.445 --> 04:35.522\n第一個到底是什麼原因人家要退出跟委員報告就是說這些像這裡面有24個是屬於叫做原廠藥原廠藥過了專利期之後就有很多的學民要跟它競爭所以它的價格一定下降全世界都是這樣這個時候這個廠商這個原廠就會考慮\n\n04:39.085 --> 05:03.192\n改變他的這個策略就再回去專注他的專利藥這是藥商的一個策略但是我方我們的替代藥是不是足以讓我們的三高等這些需要用者的患者能夠安心這是一個重點接下來本席請教最近有提出了一個叫健康幣\n\n05:04.973 --> 05:20.107\n就是打疫苗啊接受公費啊這個癌症篩選啊那我們到底我們說如果打疫苗你可以獲得100點的健康幣那乳房篩檢可以獲得200點那這個政策現在進度如何\n\n05:20.467 --> 05:41.581\n我們現在正在內部在規劃那最重要就是有三個重點一個這個是幣的發行他可能要採納這個區塊鏈的概念那第二個是哪些要納入鼓勵的措施就是希望讓民眾他去為了自己的健康所做的努力也能夠有一些\n\n05:42.321 --> 06:09.998\n回饋來鼓勵他第三個就是要公司協力要希望有更多的業者民間的業者可以參與這個幣的退換所以大概有這三個環節你們接下來進度預計什麼時候可以去執行之那因為你包括要跟廠商民間的合作那你預計什麼時候可以上路呢希望明年的第一季來跟大家報告這個整個明年的第一季來報告因為這個非常的重要\n\n06:10.658 --> 06:29.440\n也就是预防中医治疗如果大家有这样子的一个概念我们完整建构让大家可以更加的健康但明年的第一季可以跟国人来报告健康必的进度是不是是是是谢谢委员好谢谢杨强英委员发言\n\n","segments":[{"start":4.449,"end":32.714,"text":"謝主席 楊泉發言請時部長好 有請時部長歡迎 水先喝再上來好 楊委員好部長好中秋前後是肉品銷售最重要的尤其烤肉大家香腸這些腸子通通都要那在這樣的情況之下我們的食安五環似乎都慢半拍而且都是民眾檢舉揭露的"},{"start":33.294,"end":48.965,"text":"那當然我們在查緝的時候已經流入到市場而且不知道該怎麼辦就從這一次的這個黑心腸現在去檢驗都合格那些不合格的跑到哪裡去呢這才是重點已經吃下肚"},{"start":49.625,"end":76.234,"text":"民众的食安严重受损这该怎么办所以本席要请教我们要怎么样检讨经济方案如果你只有是让民众来检举你们才知道为什么不从源头去好好的管控制你们的积极作为到底是什么尤其人力方面你明知道你的人力是有缺口的那你要怎么去"},{"start":77.034,"end":98.166,"text":"去把它這個應對之譬如說你用AI的方式譬如說你可以用液化的一個物流流程這些查核流程液化這個對我們來講都是幫助很大而且解決你人力的缺口我們做了嗎請教部長這一方面你的作為是什麼"},{"start":98.866,"end":123.407,"text":"跟委員報告確實委員提到透過E化可以去強化整個食物鏈這個產品食品的這個產製銷鏈的這個追蹤作用那現在從電子發票電子登錄我們都持續在推動目前大概完成率大概九成到九成五那最後一哩度我們把它補起來讓像這樣的這個工業的化學"},{"start":126.83,"end":155.712,"text":"就是我们在这个卫生局这边会持续针对还没有完成电子发票的开立跟这个电子登录的食品业者加强去辅导让他完成从源头对这个从源头从源头你认可吗那同时依化AI技术去补足人力的缺口还有最重要的不要等到民众来接入你们才知道那些已经流到肚子里头"},{"start":156.613,"end":156.715,"text":"谢谢大家"},{"start":157.608,"end":186.325,"text":"要怎麼辦所以這個務必要把最後一里路去補足我們努力把這個整個系統讓它完整當然難免都還是有這些漏網之魚那我們還是會加強這個市場後市場的這些機場還是需要加強機場好 一起加油那請教最近我們看到原廠藥品宣布退出台灣市場"},{"start":187.918,"end":211.93,"text":"在這樣的一個情況之下甚至這個市佔率高的三高的藥品這是民眾非常需要的那比如說化痰藥 氣喘藥這些三高的這個藥品慢性病那為什麼到九月份竟然我們統計預期是有47家的藥品退出"},{"start":214.13,"end":235.557,"text":"這是什麼情況 為什麼會如此 什麼原因那我們要怎麼樣去應對呢跟委員報告 現在健保所供應的這個藥品大概是一萬四千多項那每年大概都有五六十項會因為他的這個廠商來提報我們都是鼓勵他提報說如果你不再供應 你要事先講"},{"start":236.837,"end":258.025,"text":"那让我们可以以往没有像现在这么多家差不多前年的话是60几项60几项那你现在就已经有47项了47项没有错但是这47项我们盘起来都有学名药它不是专利期内的药全部都是有学名药你有替代你的意思是说你有替代对"},{"start":258.445,"end":275.522,"text":"第一個到底是什麼原因人家要退出跟委員報告就是說這些像這裡面有24個是屬於叫做原廠藥原廠藥過了專利期之後就有很多的學民要跟它競爭所以它的價格一定下降全世界都是這樣這個時候這個廠商這個原廠就會考慮"},{"start":279.085,"end":303.192,"text":"改變他的這個策略就再回去專注他的專利藥這是藥商的一個策略但是我方我們的替代藥是不是足以讓我們的三高等這些需要用者的患者能夠安心這是一個重點接下來本席請教最近有提出了一個叫健康幣"},{"start":304.973,"end":320.107,"text":"就是打疫苗啊接受公費啊這個癌症篩選啊那我們到底我們說如果打疫苗你可以獲得100點的健康幣那乳房篩檢可以獲得200點那這個政策現在進度如何"},{"start":320.467,"end":341.581,"text":"我們現在正在內部在規劃那最重要就是有三個重點一個這個是幣的發行他可能要採納這個區塊鏈的概念那第二個是哪些要納入鼓勵的措施就是希望讓民眾他去為了自己的健康所做的努力也能夠有一些"},{"start":342.321,"end":369.998,"text":"回饋來鼓勵他第三個就是要公司協力要希望有更多的業者民間的業者可以參與這個幣的退換所以大概有這三個環節你們接下來進度預計什麼時候可以去執行之那因為你包括要跟廠商民間的合作那你預計什麼時候可以上路呢希望明年的第一季來跟大家報告這個整個明年的第一季來報告因為這個非常的重要"},{"start":370.658,"end":389.44,"text":"也就是预防中医治疗如果大家有这样子的一个概念我们完整建构让大家可以更加的健康但明年的第一季可以跟国人来报告健康必的进度 是不是是是是 谢谢委员好 谢谢杨强英委员发言"}]}}},"gazette":{"lineno":729,"blocks":[["楊委員瓊瓔：（11時47分）謝謝主席，楊瓊瓔發言。請石部長。"],["主席：有請石部長。"],["石部長崇良：楊委員好。"],["楊委員瓊瓔：部長好。中秋前後是肉品銷售最重要的時節，尤其烤肉時，大家會吃香腸，這些腸子，通通都要，在這樣的情況之下，我們的食安五環似乎都慢半拍，而且都是民眾檢舉揭露的。當然，我們在查緝的時候就已經流入到市場，而且不知道該怎麼辦。除了這一次的黑心腸，現在去檢驗都合格，那些不合格的跑到哪裡去呢？這才是重點，已經吃下肚了，民眾的食安嚴重受損，這該怎麼辦？所以本席要請教我們要怎麼樣檢討精進方案？如果只有民眾來檢舉，你們才知道，為什麼不從源頭去好好的管控之呢？你們的積極作為到底是什麼？尤其是人力方面，你明知道你的人力是有缺口的，你要怎麼去應對之？譬如說你用AI的方式，譬如說你可以用e化的物流流程，把這些查核流程e化，對我們來講都幫助很大，而且還能解決人力的缺口，我們做了嗎？請教部長，關於這一方面，你的作為是什麼？"],["石部長崇良：跟委員報告，確實委員提到可以透過e化去強化整個食物鏈產品、食品產製銷鏈的追蹤溯源……"],["楊委員瓊瓔：當然！那現在該怎麼辦呢？"],["石部長崇良：現在從電子發票、電子登錄，我們都持續在推動，目前完成率大概九成到九成五，最後一哩路我們把它補起來，讓像這樣的工業化學……"],["楊委員瓊瓔：這個你要怎麼補？請教怎麼補？"],["石部長崇良：衛生局這邊會持續針對還沒有完成電子發票開立跟電子登錄的食品業者來加強輔導，讓它完成。"],["楊委員瓊瓔：要從源頭？"],["石部長崇良：對，要從源頭。"],["楊委員瓊瓔：要從源頭，你是認可的嘛？"],["石部長崇良：對。"],["楊委員瓊瓔：同時e化及使用AI技術去補足人力的缺口。"],["石部長崇良：對。"],["楊委員瓊瓔：還有最重要的，不要等到民眾來揭露，你們才知道，但那些已經流到肚子裡頭，要怎麼辦？所以務必要把最後一哩路補足。"],["石部長崇良：是。"],["楊委員瓊瓔：多久會補足？"],["石部長崇良：我們努力把整個系統完整，當然……"],["楊委員瓊瓔：你們預估多久可以補足？"],["石部長崇良：難免都還是有漏網之魚，我們會加強後市場的稽查，還是需要強化。"],["楊委員瓊瓔：加強稽查。"],["石部長崇良：對。"],["楊委員瓊瓔：好，一起加油。"],["石部長崇良：好。"],["楊委員瓊瓔：請教，最近我們看到原廠藥品宣布退出臺灣市場，在這樣的情況之下，甚至市占率高的三高藥品，這是民眾非常需要的，比如化痰藥、氣喘藥，還有三高、慢性病的藥品。根據統計，到9月底預期有47家的藥品退出，部長，這是什麼情況？為什麼會如此？什麼原因？我們要怎麼樣去應對呢？"],["石部長崇良：跟委員報告，現在健保所供應的藥品大概是一萬四千多項，每年大概都有五、六十項會因為廠商來提報，我們都是鼓勵他提報，如果不再供應要事先講，讓我們可以有……"],["楊委員瓊瓔：以往沒有像現在這麼多家啊！"],["石部長崇良：差不多，前年是六十幾項。"],["楊委員瓊瓔：現在就已經有47項啦！"],["石部長崇良：47項沒有錯，但是這47項我們盤起來，都有學名藥，它不是專利期內的藥，全部都是有學名藥，等於這個藥品……"],["楊委員瓊瓔：你的意思是有替代？"],["石部長崇良：對，就是……"],["楊委員瓊瓔：第一個，到底是什麼原因造成人家要退出？"],["石部長崇良：跟委員報告，像這裡面有24個是屬於原廠藥，原廠藥過了專利期之後，就有很多的學名藥與之競爭，所以它的價格一定下降，全世界都是這樣，這時候原廠就會考慮改變策略，就再回去專注他的專利藥。"],["楊委員瓊瓔：部長，這是藥商的一個策略……"],["石部長崇良：對。"],["楊委員瓊瓔：但是我方……"],["石部長崇良：以我們……"],["楊委員瓊瓔：我們的替代藥是不是足以讓我們三高等這些需要用藥的患者能夠安心？這是一個重點。"],["石部長崇良：是，沒有問題，這個藥都有。"],["楊委員瓊瓔：這是一個重點喔！"],["石部長崇良：對，這個是重點。"],["楊委員瓊瓔：接下來本席請教，最近提出了健康幣，就是鼓勵民眾打疫苗、接受公費癌症篩檢，打疫苗可以獲得100點的健康幣、乳房篩檢可以獲得200點，這個政策現在進度如何？"],["石部長崇良：我們現在正在內部規劃，最重要的有三個重點，一個是幣的發行，可能要採納區塊鏈的概念；第二個是哪些要納入鼓勵的措施，就是希望讓民眾為了自己的健康所做的努力，也能夠有一些回饋來鼓勵他；第三個是要公私協力，希望有更多的民間業者可以參與這個幣的兌換，所以大概有這三個環節，我們一步一步在……"],["楊委員瓊瓔：你們接下來的進度，預計什麼時候可以去執行？"],["石部長崇良：我們希望在明年第一季……"],["楊委員瓊瓔：因為包括要跟民間廠商的合作，你預計什麼時候可以上路呢？"],["石部長崇良：我們希望明年的第一季來跟大家報告這整個的推動。"],["楊委員瓊瓔：明年的第一季來報告？"],["石部長崇良：對。"],["楊委員瓊瓔：這個非常重要，也就是預防重於治療，如果大家有這樣子的概念，我們完整建構，讓大家可以更加的健康。"],["石部長崇良：對。"],["楊委員瓊瓔：明年的第一季可以跟國人來報告健康幣的進度，是不是？"],["石部長崇良：謝謝委員的支持，是，謝謝委員。"],["主席：謝謝楊瓊瓔委員的發言，也謝謝部長的說明。","下一位請陳瑩委員發言。"]],"agenda":{"page_end":260,"meet_id":"委員會-11-4-26-3","speakers":["劉建國","陳昭姿","林月琴","陳菁徽","林淑芬","王育敏","邱鎮軍","蘇清泉","黃秀芳","王正旭","盧縣一","鍾佳濱","楊瓊瓔","陳瑩","邱志偉","洪孟楷","謝衣鳯","廖偉翔","劉建國","葉元之","楊曜"],"page_start":189,"meetingDate":["2025-10-13"],"gazette_id":"1148201","agenda_lcidc_ids":["1148201_00005"],"meet_name":"立法院第11屆第4會期社會福利及衛生環境委員會第3次全體委員會議紀錄","content":"邀請衛生福利部部長及行政院食品安全辦公室就「重大食安事件處理之檢討與食安稽核人力不足\n問題」進行專題報告，並備質詢","agenda_id":"1148201_00004"}}}