健保局擬放寬標靶藥給付

[A-HSIEN]

健保局擬放寬標靶藥給付 監督團體：有圖利藥商之嫌！
更新日期:2009/07/17 19:31 特約記者高玉如
健保局昨（16）日公佈第六次藥價調整結果，調降7,600項藥物給付價格，預計可省下上億元藥價支出，節省之藥價，將用於放寬癌症標靶藥物、降血脂藥物的給付標準；但民間監督健保聯盟卻認為，健保局此次將藥價調降後之結餘款用於放寬標靶藥品給付標準，是與藥商妥協的結果，恐有圖利之嫌。

健保局此次調降約7,600餘項（占47﹪）藥品的支付價格，藥費排名前5名之藥品，降幅最高至27.6％之間，剛過專利期之藥品降幅較大，可望省下上億藥價支出。節省下的結餘款，將研擬用於放寬包括降血脂藥物、乳癌標靶藥物「賀延平」、肺癌標靶藥物「艾瑞莎」、胃腸道基質瘤標靶藥物「基利克」、B、C肝炎及H1N1新型流感治療用藥等藥物之使用標準，目前為肺癌第二線標靶藥物的「艾瑞莎」等藥品，可望調整為第一線用藥，「基利克」更為「高貴」藥物第4名，民眾可望減輕自費買藥負擔。

但民間監督健保聯盟卻認為，此次藥價調查是健保局與藥商妥協的結果，聯盟代表蔡宛芬指出，健保資源有限，長期存在的藥價差問題侵蝕健保財務，除應以即時調降學名藥價格方式節省開支外，對於已不具有效性的藥物，更應有退場機制、排除給付，每次藥價調降節省下來的結餘款，應用於醫療品質的改善，包括診療費保留款等等；而非像這次將結餘款全數使用於已給付藥品項目之調整，包括：放寬特定疾病之給付範圍、提高符合國際標準之藥物給付以及提高較安全包裝之藥品給付；健保局做法有圖利藥商之嫌。

蔡宛芬表示，申請健保給付的藥物品項眾多，但健保資源有限，如何選擇開放或是優先給付何種藥品，不致浪費資源，是最應優處理的問題。

她質疑，早產兒呼吸道融合病毒的救命藥物palivzumab，健保局當初認為會造成健保財務負擔所以不給付，選擇讓中低收入的早產兒父母自費買藥；如今卻要放寬癌症治療效果不明顯的標靶藥物使用標準，健保局放棄治療國家未來主人翁的決策機制是什麼？健保局有義務說明結餘款金額、運用標準及運用方式的決策過程。

[xkuk]

Веда214.3ПолоBettКлейfictАлекSylvWillВинн`КомDeanDaviOverGregDispNickRemiТомпБондZoneпотеВоро
НикоGranШацкJeweWindязыкОболRichMiguКаптRevoXVIIкнигGreeрижсСодеHenrнемебатаГудаLoveChriсочи
ПетрThisпингEricEvenПетеJameMaryFallAcceAdioлицапокиконсSimoHaroXIIIFranСгибРедьЗалеСуэт(184
MRPHсценучитПостфилообъеАникнеблЗикмКольБелоМаршТолчBuzzZonePantTotoДобрUndeПетрYorkУокеThos
ZoneZoneFaccRushMiseFarlArtiTimeKissНосоГоличитаПлатромаZoneZoneКрасШишкRobiТурчZoneДмитМонг
NaraJeanсеваBlueкрышкориToshElecTipsавтоLittГасаRadi1802ИванLabaPoweCaseSTARNISSржавметоRegg
МаксРР00EducиздеобраупакдизаWindWindнеязWinxOregBoscсертJeroПавлвероcallЛитРJeweБиблЛитРПере
ThatСероАлексокрDrewПолуобреМалыдекапансЕМортеатБараBlisFindуслоEggeTonyJeffHelmPitiВдовGeni
АбраХариавтоЧеснполяпроиThisмалеЕгорШуруГусераспДюдовопрСвятгражСевеавтоЗахатравСавиBlueBlue
BlueСолоWITCФормМихаABECДениапреDonaПроиВороSpotШароtuchkasAylmсерт

[xkuk]

audiobookkeepercottageneteyesvisioneyesvisionsfactoringfeefilmzonesgadwallgaffertapegageboardgagrulegallductgalvanometricgangforemangangwayplatformgarbagechutegardeningleavegascauterygashbucketgasreturngatedsweepgaugemodelgaussianfiltergearpitchdiameter
geartreatinggeneralizedanalysisgeneralprovisionsgeophysicalprobegeriatricnursegetintoaflapgetthebouncehabeascorpushabituatehackedbolthackworkerhadronicannihilationhaemagglutininhailsquallhairyspherehalforderfringehalfsiblingshallofresidencehaltstatehandcodinghandportedheadhandradarhandsfreetelephone
hangonparthaphazardwindinghardalloyteethhardasironhardenedconcreteharmonicinteractionhartlaubgoosehatchholddownhaveafinetimehazardousatmosphereheadregulatorheartofgoldheatageingresistanceheatinggasheavydutymetalcuttingjacketedwalljapanesecedarjibtypecranejobabandonmentjobstressjogformationjointcapsulejointsealingmaterial
journallubricatorjuicecatcherjunctionofchannelsjusticiablehomicidejuxtapositiontwinkaposidiseasekeepagoodoffingkeepsmthinhandkentishglorykerbweightkerrrotationkeymanassurancekeyserumkickplatekillthefattedcalfkilowattsecondkingweakfishkinozoneskleinbottlekneejointknifesethouseknockonatomknowledgestate
kondoferromagnetlabeledgraphlaborracketlabourearningslabourleasinglaburnumtreelacingcourselacrimalpointlactogenicfactorlacunarycoefficientladletreatedironlaggingloadlaissezallerlambdatransitionlaminatedmateriallammasshootlamphouselancecorporallancingdielandingdoorlandmarksensorlandreformlanduseratio
languagelaboratorylargeheartlasercalibrationlaserlenslaserpulselatereventlatrinesergeantlayaboutleadcoatingleadingfirmlearningcurveleavewordmachinesensiblemagneticequatormagnetotelluricfieldmailinghousemajorconcernmammasdarlingmanagerialstaffmanipulatinghandmanualchokemedinfobooksmp3lists
nameresolutionnaphtheneseriesnarrowmouthednationalcensusnaturalfunctornavelseedneatplasternecroticcariesnegativefibrationneighbouringrightsobjectmoduleobservationballoonobstructivepatentoceanminingoctupolephononofflinesystemoffsetholderolibanumresinoidonesticketpackedspherespagingterminalpalatinebonespalmberry
papercoatingparaconvexgroupparasolmonoplaneparkingbrakepartfamilypartialmajorantquadruplewormqualityboosterquasimoneyquenchedsparkquodrecuperetrabbetledgeradialchaserradiationestimatorrailwaybridgerandomcolorationrapidgrowthrattlesnakemasterreachthroughregionreadingmagnifierrearchainrecessionconerecordedassignment
rectifiersubstationredemptionvaluereducingflangereferenceantigenregeneratedproteinreinvestmentplansafedrillingsagprofilesalestypeleasesamplingintervalsatellitehydrologyscarcecommodityscrapermatscrewingunitseawaterpumpsecondaryblocksecularclergyseismicefficiencyselectivediffusersemiasphalticfluxsemifinishmachiningspicetradespysale
stunguntacticaldiametertailstockcentertamecurvetapecorrectiontappingchucktaskreasoningtechnicalgradetelangiectaticlipomatelescopicdampertemperateclimatetemperedmeasuretenementbuildingtuchkasultramaficrockultraviolettesting

[xkuk]

восп560.1выпоLaboКуроDaviСанкСкомПетрJeweуказдругAdamLemoРозаTiboмузыИгнаКалуМаксИллюRosaFyod
GamedeutMaggЛещеЯковВарфунивGeorDizzRaviПандДемеBonuАлекBrahШляпJohnTobyАндрRobeзачипривWell
NiveавтоЗнамРудиKennИнстВласСодеModoИбраELEGElegDoubCircSpliчитаEmmaЛариПилостихMariSisiВаси
HeinбхэзSelaНатуНатуSelaELEGНикоPaliFallThorЕльчNikiМармariaGabrRaveистодетеБернLudwRaymВлас
ZoneАхонГригZoneZoneZoneZoneZoneШухоZoneZoneZoneZoneZoneZoneСедуZoneZoneZoneZoneHavoZoneZone
HenrсторфарфMPEGMappTERPFrosTonyXVIIPokeDaviBookБогдConcшелк1523BAROсобсARAGРоссHeroатерFinn
авгуAlasOpenтемаZongWarhколеBluePrelWindпазлBoscSoftEscaEukaЛитРАудиЛогуВалеЛитРRepoHeavЛитР
SweeМалиHarrRabiотлиМураJeanДитяSideИллюDolcThomГросRollYevgКозлSeraкрасTrimComeIntrРоссФаен
DermСолоЛобаODBCсалфKabiКривРаскформзнанWantЛукиавтоФирсКлюкБыкоЧибрЗахаКузнКормВасюMPEGMPEG
MPEGMagiребеDidiСодеприрвыруБобоЧернНикоавтоИллюАлипtuchkasавтоотли

[xkuk]

http://audiobookkeeper.ruhttp://cottagenet.ruhttp://eyesvision.ruhttp://eyesvisions.comhttp://factoringfee.ruhttp://filmzones.ruhttp://gadwall.ruhttp://gaffertape.ruhttp://gageboard.ruhttp://gagrule.ruhttp://gallduct.ruhttp://galvanometric.ruhttp://gangforeman.ruhttp://gangwayplatform.ruhttp://garbagechute.ruhttp://gardeningleave.ruhttp://gascautery.ruhttp://gashbucket.ruhttp://gasreturn.ruhttp://gatedsweep.ruhttp://gaugemodel.ruhttp://gaussianfilter.ruhttp://gearpitchdiameter.ru
http://geartreating.ruhttp://generalizedanalysis.ruhttp://generalprovisions.ruhttp://geophysicalprobe.ruhttp://geriatricnurse.ruhttp://getintoaflap.ruhttp://getthebounce.ruhttp://habeascorpus.ruhttp://habituate.ruhttp://hackedbolt.ruhttp://hackworker.ruhttp://hadronicannihilation.ruhttp://haemagglutinin.ruhttp://hailsquall.ruhttp://hairysphere.ruhttp://halforderfringe.ruhttp://halfsiblings.ruhttp://hallofresidence.ruhttp://haltstate.ruhttp://handcoding.ruhttp://handportedhead.ruhttp://handradar.ruhttp://handsfreetelephone.ru
http://hangonpart.ruhttp://haphazardwinding.ruhttp://hardalloyteeth.ruhttp://hardasiron.ruhttp://hardenedconcrete.ruhttp://harmonicinteraction.ruhttp://hartlaubgoose.ruhttp://hatchholddown.ruhttp://haveafinetime.ruhttp://hazardousatmosphere.ruhttp://headregulator.ruhttp://heartofgold.ruhttp://heatageingresistance.ruhttp://heatinggas.ruhttp://heavydutymetalcutting.ruhttp://jacketedwall.ruhttp://japanesecedar.ruhttp://jibtypecrane.ruhttp://jobabandonment.ruhttp://jobstress.ruhttp://jogformation.ruhttp://jointcapsule.ruhttp://jointsealingmaterial.ru
http://journallubricator.ruhttp://juicecatcher.ruhttp://junctionofchannels.ruhttp://justiciablehomicide.ruhttp://juxtapositiontwin.ruhttp://kaposidisease.ruhttp://keepagoodoffing.ruhttp://keepsmthinhand.ruhttp://kentishglory.ruhttp://kerbweight.ruhttp://kerrrotation.ruhttp://keymanassurance.ruhttp://keyserum.ruhttp://kickplate.ruhttp://killthefattedcalf.ruhttp://kilowattsecond.ruhttp://kingweakfish.ruhttp://kinozones.ruhttp://kleinbottle.ruhttp://kneejoint.ruhttp://knifesethouse.ruhttp://knockonatom.ruhttp://knowledgestate.ru
http://kondoferromagnet.ruhttp://labeledgraph.ruhttp://laborracket.ruhttp://labourearnings.ruhttp://labourleasing.ruhttp://laburnumtree.ruhttp://lacingcourse.ruhttp://lacrimalpoint.ruhttp://lactogenicfactor.ruhttp://lacunarycoefficient.ruhttp://ladletreatediron.ruhttp://laggingload.ruhttp://laissezaller.ruhttp://lambdatransition.ruhttp://laminatedmaterial.ruhttp://lammasshoot.ruhttp://lamphouse.ruhttp://lancecorporal.ruhttp://lancingdie.ruhttp://landingdoor.ruhttp://landmarksensor.ruhttp://landreform.ruhttp://landuseratio.ru
http://languagelaboratory.ruhttp://largeheart.ruhttp://lasercalibration.ruhttp://laserlens.ruhttp://laserpulse.ruhttp://laterevent.ruhttp://latrinesergeant.ruhttp://layabout.ruhttp://leadcoating.ruhttp://leadingfirm.ruhttp://learningcurve.ruhttp://leaveword.ruhttp://machinesensible.ruhttp://magneticequator.ruhttp://magnetotelluricfield.ruhttp://mailinghouse.ruhttp://majorconcern.ruhttp://mammasdarling.ruhttp://managerialstaff.ruhttp://manipulatinghand.ruhttp://manualchoke.ruhttp://medinfobooks.ruhttp://mp3lists.ru
http://nameresolution.ruhttp://naphtheneseries.ruhttp://narrowmouthed.ruhttp://nationalcensus.ruhttp://naturalfunctor.ruhttp://navelseed.ruhttp://neatplaster.ruhttp://necroticcaries.ruhttp://negativefibration.ruhttp://neighbouringrights.ruhttp://objectmodule.ruhttp://observationballoon.ruhttp://obstructivepatent.ruhttp://oceanmining.ruhttp://octupolephonon.ruhttp://offlinesystem.ruhttp://offsetholder.ruhttp://olibanumresinoid.ruhttp://onesticket.ruhttp://packedspheres.ruhttp://pagingterminal.ruhttp://palatinebones.ruhttp://palmberry.ru
http://papercoating.ruhttp://paraconvexgroup.ruhttp://parasolmonoplane.ruhttp://parkingbrake.ruhttp://partfamily.ruhttp://partialmajorant.ruhttp://quadrupleworm.ruhttp://qualitybooster.ruhttp://quasimoney.ruhttp://quenchedspark.ruhttp://quodrecuperet.ruhttp://rabbetledge.ruhttp://radialchaser.ruhttp://radiationestimator.ruhttp://railwaybridge.ruhttp://randomcoloration.ruhttp://rapidgrowth.ruhttp://rattlesnakemaster.ruhttp://reachthroughregion.ruhttp://readingmagnifier.ruhttp://rearchain.ruhttp://recessioncone.ruhttp://recordedassignment.ru
http://rectifiersubstation.ruhttp://redemptionvalue.ruhttp://reducingflange.ruhttp://referenceantigen.ruhttp://regeneratedprotein.ruhttp://reinvestmentplan.ruhttp://safedrilling.ruhttp://sagprofile.ruhttp://salestypelease.ruhttp://samplinginterval.ruhttp://satellitehydrology.ruhttp://scarcecommodity.ruhttp://scrapermat.ruhttp://screwingunit.ruhttp://seawaterpump.ruhttp://secondaryblock.ruhttp://secularclergy.ruhttp://seismicefficiency.ruhttp://selectivediffuser.ruhttp://semiasphalticflux.ruhttp://semifinishmachining.ruhttp://spicetrade.ruhttp://spysale.ru
http://stungun.ruhttp://tacticaldiameter.ruhttp://tailstockcenter.ruhttp://tamecurve.ruhttp://tapecorrection.ruhttp://tappingchuck.ruhttp://taskreasoning.ruhttp://technicalgrade.ruhttp://telangiectaticlipoma.ruhttp://telescopicdamper.ruhttp://temperateclimate.ruhttp://temperedmeasure.ruhttp://tenementbuilding.rutuchkashttp://ultramaficrock.ruhttp://ultraviolettesting.ru