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跟委員報告大概還是以這個慢性病的用藥高血壓還有這個神經用藥還有這個血糖的藥這幾類為主就是心血管藥嘛神經系統的還有全身性抗感染劑用藥那這4000多項裡的調整藥品裡面的慢性病佔了多少"},{"start":232.956,"end":249.242,"text":"慢性病大概是八成那涉及到這個慢性處方籤的大概是七成我們以聯合報2023年8月有一篇關於慢性病共同防治的報導說2022年我們慢性病就醫人數高達1286萬人超過700萬人罹患兩種以上的慢性病以臺灣的人口結構來看"},{"start":259.005,"end":260.367,"text":"跟委員報告目前拿慢性處方籤的人數大概近800萬人那我們在這個用藥上呢"},{"start":280.349,"end":304.665,"text":"這一次調降的時候有特別也宣布說如果我們公告之後是4月1號才實施但是在3月8號之前提出那麼如果有不敷成本我們都會重新的調整價格到目前為止提出的只有五項藥對 那些藥萬一沒有了怎麼辦到目前為止提出不敷成本的有五項的藥而已啦那我們這五項就會暫時不會調降它的這個藥價讓它這個確保能夠繼續供藥"},{"start":310.223,"end":326.87,"text":"因為據本席了解,我們慢性病的用藥的習慣,你如果換藥的話,大家都會有抱怨聲,而且對藥會沒有信心。我希望剛剛我們市長,署長,你這邊有這個問題的話,請你們就一定要慎重來處理好不好?"},{"start":334.889,"end":335.089,"text":"那再來齁,就是"},{"start":358.462,"end":381.902,"text":"我們的醫院的分級我們的醫療落實成相這個醫療差距那麼原本台灣社區醫院協會在2月21號在國民黨團開記者會說要在3月8日上街遊行表達訴求到3月4號我們行政院才進行溝通那我想知道為什麼每次都要準備抗爭的時候我們才要進行溝通呢"},{"start":382.842,"end":409.471,"text":"本來這個溝通就是有的只是說當時他們對於這個結果並不滿意所以才有這樣子的一些舉動我看到3月4號會議裡面達成的一個共識其中一個就是檢討我們健保藥價的政策來協助解決社區醫院用藥的採購困難你們每年說調整藥價是這個例行行業每年都看不到地區醫院的困難"},{"start":411.277,"end":425.577,"text":"都要走上街頭才來處理我希望部長這邊能夠認真來看待這個事情第7月經營的一些困難的情形我們有跟他們已經有我們推動醫療分級的時候是從什麼時候開始"},{"start":426.7,"end":453.343,"text":"醫療分級算是很早,從醫療網計畫在民國差不多74年左右的時候就開始但是時空環境的一些演變,這東西也必須要去做一些調整。我不知道部長有沒有想過就是說,就算是費用高一點,我們像我們苗栗縣,苗栗縣民來講有碰到什麼問題,他還是願意多花一點錢到大醫院跑,你知道這為什麼嗎?"},{"start":455,"end":481.748,"text":"當然有一些是品牌的迷思,大醫院這醫師是...對,像我們苗栗醫院都是區域醫院跟地區醫院這幾年在醫院縣府我們中央相互的合作做了策略聯盟那當然慢慢的會有提升那我們當然有別的想法就是希望說如果苗栗現有的醫院裡我們就地升級的可能性大不大"},{"start":482.508,"end":502.287,"text":"這就是我們鼓勵的方向我們希望說在地的醫院都能夠提升它的品質讓建立這個品牌的形象讓我們的民眾有這個信心像布苗醫院像集中跟大樓跟我們的癌症中心兩個大樓沒有辦法主席再給我一分鐘"},{"start":506.511,"end":531.366,"text":"因為你知道除了是費用的關係是費用的問題還有沒有其他問題主要還是費用的問題所以我們現在已經工程費用已經有追加了對我這樣講我是有聽到就是說我們的設計跟這個部分我希望部長也能夠去了解一下是不是有一些問題讓廠商不敢去投標"},{"start":532.467,"end":532.547,"text":"邱鎮軍委員"}]}},"supported_relations":[],"relations":[]}