"Rebate door" which one constraint

after another broken chain? 


  

  

 

Xinhua 

  

  

  




    Hangzhou famous website "Space, 19th floor," Recently, there have subnet stickers, senior vice president and six medical doctors kickbacks 36. Although netizens pointed out that this may be the drug companies as competitors, exposure motives. What makes an ideal cherished life-saving medical staff into "angel wings"? But also how to make all over the hospital's "clawback door" is always closed? User worry, checking and correcting themselves only by medical institutions may eventually let the matter rest. The picture shows the "19th Floor Space" Web site posted a number of doctors in Hangzhou "rebate list" screenshot (Nov. 15 photo.) Xinhua News Agency reporters Ju Huan and Zong She


      Recently, yet another medical kickbacks scandal was exposed, the netizen "black heart of the Yaofanzi" posted in a forum suspected pharmaceutical information company, Jinhua, Lishui, 11 hospitals and other places more than 20 medical practitioner kickbacks.

     At the same time, domestic renowned Xiangya Hospital, more than responsible for the drugs named by the staff of procurement of equipment suspected of commercial bribery, the local Commission for Discipline Inspection and other departments in the investigation. 20 days ago, Hangzhou, "U disk rebate door," a sensation; Even earlier, Beijing Cancer Hospital, two doctors were photographed demanded kickbacks video ... ... 

     Unhealthy trend of the public abhorrence of medical commissions in the country to promote radical health reform context, from prevention to supervise, from temporary to permanent cure, the treatment of the interlocking chain does not seem to close. The face of frequent medical kickbacks scandal, people want to know how what a chain is broken?

     Pharmaceutical companies, hospital staff was actually "hidden" medical representative: more secretive rebate channel

     According to the latest survey journalists in recent years, the medical commission to send, and receive channels and more secretive than in previous years.

     Press survey found that in Hunan, Loudi a large hospital pharmacy staff, while a number of pharmaceutical companies was actually "hidden" in the hospital's "medical representative." Pharmaceutical representatives and doctors to deal with the past, the evolution of hospital transfer of benefits between colleagues from the hospital house staff to sell drugs to doctors and pharmaceutical companies closing.

     A pharmacist told reporters at the hospital, pharmacy staff and doctors work together to provide pharmaceutical companies charge 20% -30% of the rebate. Department of Pharmacy, where she was a total of more than 50 staff members, the most severe cases only one or two people not involved in selling drugs. The hospital drug sales income of more than a year billion, the overwhelming majority of the high price of "promotion medicine", a number of low price, good efficacy of the drug can not enter the hospital's pharmacy. 

    With irony is that the hospital outpatient and inpatient departments of a number of eye-catching location, close to the "non-medical representatives from entering," and other signs.

     "Similar trend is becoming more and more." Medical representative for 17 years has been engaged in the work of the industry Li Hailin analysts say, pharmaceutical companies, medical representatives, the hospital, doctors out of interest, would have been easier to form offensive and defensive alliance. The penetration of pharmaceutical companies to hospitals, the medical representatives next sections secretly red envelopes and other "primary means", is the prize money, travel abroad, even to go public accounts and other account changes in hidden ways, more difficult to investigate and deal with a big monitor.

     "This is a terrible signal." Loudi Central Hospital Cardiovascular Disease Prevention Center Director Hu Weimin, but had been brave commentary exposing shady medical commission moved to Chinese figures. He said that the interests of the Union rebate chain more end more closely, also made a number of medical personnel do not want in cahoots, it is easy to become marginalized "otherness."

     High self-government pricing drugs priced alternative medicine: means the renovation rebate 


     Hangzhou, Zhejiang Hospital, Department of Health published "rebate list" events this survey questioned users is the users of a website forum called for judicial intervention in the comments screenshots (Nov. 18 photo.) Day, Zhejiang Province, Hangzhou, Health Department web exposure to the medical community about the events of the preliminary investigation commission, said the existence of some medical staff accept gifts and receive your food, but the parties and pharmaceutical companies have denied accepting cash and gift cards. However, due to the exposure survey hospitals rely mainly on self-examination, the findings for publication, many netizens expressed doubts. Xinhua News Agency reporters Ju Huan and Zong She 


     According to authoritative data, since 1997, the Government has implemented 26 drug prices, each price is 15% -20% range. Meanwhile, the "essential drugs zero difference" system is also the primary medical institutions across the country to promote. However, public hospitals, hospitalization, medical treatment costs, not been followed by significant improvement, the authority of expert analysis, one important reason is also the ever-changing health care rebate means.

     I ndependent pricing drugs, drugs become a joint commission "key." Hunan Xiangya School of Medicine, executive vice president of the State Council special allowance Liu Fuyou introduced, the Government included in the national basic medical insurance and industrial injury insurance drug list of the drugs, the maximum guide price controls, control, regulation of the retail part of the policy rate increases . The drugs currently on the market are about 12,000 kinds, or the government to implement government guidance pricing only a small part of most pharmaceutical companies still own pricing.

     "The government controls the price of drugs, the price really low. But in public hospitals, doctors can use alternative medicines high prices of independent pricing of government pricing drugs." Li Hailin introduction, the high price of independent drug pricing, rebates, especially those in joint venture drugs, importing drugs is staggering. These prescription drugs are the "regulars."

      "Called 'Zadaxin' of imported drugs, the prices in the hospital is 850 yuan. Doctors out of each one, get a rebate of about 200 yuan." Hunan person in charge of a pharmaceutical company, Another called "Iressa" drug imports, priced as high as 3,000 yuan, the doctor can get nearly thousand dollars rebate.

      On the other hand, some intended to control "big prescription," the policy effects are also a means of avoiding the ever-changing. This year in March, who lives in Furong District Changsha, Hunan, Ms. Wang Ling, a large hospital in Changsha, cesarean section. 8 days hospitalized, the doctor also allows the family to the clinic "extra" 2,000 yuan to buy drugs. Informed sources, this is because the relevant departments of the drugs accounted for the highest percentage of hospital charges. Some doctors on the one hand by increasing the examination, raise hospital charges; the other hand some of the high price of medicine to go out-channel, hospital charges are not included in the statistics. 

      "The ever-changing rebate means that if there is no effective incentive and monitoring mechanisms, urging doctors to prescribe a reasonable, rational drug use, difficult to control medical commission work." Liufu You may say, large institutions do not change, the power to doctors kickbacks difficult to eliminate.

      Reported a large number of real-name prescription, the medical profession received kickbacks insider "Warriors", who like the dark night of the fireflies, to bring comfort. Reporters recently in Hunan, Anhui and other provinces to visit them, but found that most people are still not out of the isolation of the territory.

     Xiangya Hospital, Professor Chen Yuxiang have real names reported hospital medical equipment, medicines procurement issues. "Reports, often receiving threatening telephone calls." Chen Yuxiang, said although his prepared enough, or feel too much pressure.

     Loudi Central Hospital's Dr. Hu Weimin, is the media exposure of "lifting the black doctor" in the situation the best. He said: "I reported on the adverse effects of future work has been basically eliminated. But I paid a great cost and effort, but almost did not touch the rebate long-standing abuse." And had insisted Affiliated Hospital of Anhui Medical University reported kickbacks Zhang years Dr Shu, also suffered great pressure at work. Recently, this reporter repeatedly tried to contact him failed. Sichuan Dr. Xiao Hanwei, forced to leave home after reporting the incident. Reporter learned was removed, he went to Shandong, Chongqing, a number of private hospitals to work, is currently unknown.

     Rebate more than the recent incident came to light, many thanks to the internal disclosure of network exposure and media tracking. The report was the decline of real names. "Governance medical rebate, you need to launch a broad internal oversight mechanisms involved." Shady for exposing health care that was forced to resign Dr. Chen Xiaolan, a sense of justice or a lot of doctors, but the current environment, the courage to stand up and speak the truth, do not more. 

     "I think the most important benefit is the establishment so that good doctors, so that the bad doctors out of the mechanism. But in reality do not want to participate in the good doctor is out of commission, the bad doctors instead of profit." Hu Weimin that, how to activate the internal supervision, containment commercial bribery in the medical field is particularly urgent.

     Gently aloft down: When using heavy penalties remediation investigation

     A series of medical scandals in recent rebate combing can be seen, these do not make the public satisfied with the results.

     Hangzhou "U disk rebate" incident, the local health department has published the findings of hospital-based self-examination, was widely questioned. The final results of the current treatment has not been announced.

     Prior to the First Hospital of Ningbo City, 19 doctors were verified kickbacks, and ultimately only two doctors ordered to stop practicing for 6 months, the rest of the withheld money or criticized. Wenzhou doctors kickbacks involving dozens of events, the same doctors were only three penalties, one of the senior doctor, and was down a fine, the other two ordered to cut one-year extension. 

    Hunan, Anhui and other places some of the old medical experts in order to receive the amount of rebate amount, according to still not enough for action "to force." If you want real improvement, doctors receive a rebate of vocational qualifications to terminate such a "killer" worth trying.

     In fact, the current domestic revenue kickbacks for the case were disqualified for practice are rare. Hu Weimin that some doctors it is "law is not responsible for the masses," the chances. Hospitals and other relevant administrative departments, has always been one of the beneficiaries, but also a lack of enthusiasm for punishment. Therefore, also to let Commission for Discipline Inspection, the Procuratorate and other external forces, led in regulation of commercial bribery in the medical field.

      "Law of the World has disadvantages, some ills." Hu Weimin and other people in the industry suggested that ethics is not to be evaded. "Practice shows that in rural areas who did some training of doctors, prescriptions when they 'lenient' more." Liu Fuyou sums up his experience. He served with the Second Xiangya Hospital, party secretary, asked some doctors support primary health care institutions mountain, "Let them know that a single drug required to open out the number of farmers selling eggs, how much food to exchange for."