What doctors fear a kind of "medical representative"?

Not just grab a scapegoat 


 

China Youth Daily 

  

 


Press survey found that a large hospital in Loudi pharmacy staff, while a number of pharmaceutical companies was actually "hidden" in the hospital's "medical representative" who sell drugs to doctors and pharmaceutical companies closing. The hospital said a pharmacist, pharmacy staff and doctors work together to provide pharmaceutical companies charge 20% to 30% 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. Hospital annual drug sales income of more than 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. ("Xinhua Daily Telegraph," Dec. 20)

Pharmacy staff into selling drugs, "pharmaceutical representative", which sounds a bit surprising, but actually not too terrible. One person, pharmacy staff has no authority to decide what kind of drugs into the pharmacy can and can not really affect which drugs doctors. In many cases, even if the doctor really sell their drugs, the key or rebate in the work, rather than the other. As a doctor, I fear most is what kind of "medical representative"? Only one answer, that is a hospital leaders in secret for "service" representative.

Since pharmaceutical companies can use the "clawback" to the temptation to pharmacy staff and prisoners, allowed a sales representative to sell their drugs, they certainly will have more power, to "abduction" hospital leadership. In a hospital, what kind of drugs that come in, Which companies first-line drug to be of clinical medicine, these powers are firmly in the hands of managers. Allow those drugs into the pharmacy rebate, not pharmacy staff in general, but the Pharmacy Director. Medication list for each hospital, clinical department heads and the last is Dean who closed. If a pharmaceutical companies, want to own a firm foothold in the hospital drugs, open the market, no hospital layers of leadership "fit" thing is simply unimaginable.

A colleague once complain to me: Why do I always open your medicine? Because our department is only a small number of high-priced drugs such open, the Director only to reclaim these drugs, other drugs are banned. You have any other choice? Of course, hospital leaders may use their own hands the power, through more ways and means to help pharmaceutical companies sell drugs. For example, they will "encourage" and the impact of those doctors kickbacks to use more expensive drugs, and to find ways to those of cheap drugs, and do not want to "tribute" to the list of pharmaceutical companies kicked out of hospital purchasing agents. Those who do not "obedient" and was unwilling to take the doctors kickbacks to prescribe, they'll also often regarded as black sheep, not being kicked popular departments, is to find excuses to be dismissed.

In this internal power under corruption, there may be a "swarm" of collective corruption, the formation of long chains of a rebate of interest. A few years ago, in Guangdong Province Jiangmen City Xinhui District People's Hospital, the hospital of 200 doctors, 140 fall into the "clawback trap." A major reason is the president take the lead in corruption, and finally a large ruined. Suizhou in Hubei, the city in an anti-commercial bribery discovered that two of the largest local public hospitals, a total of 270 doctors suspected of receiving kickbacks, accounting for 70% of the total number of active doctors more. These are the true living example.

There are news reports that this year, in Zhuhai City, 9 Department of Pharmacy, former director of public hospitals, have poured in the pharmaceutical and medical providers on behalf of the "sugar-coated bullets", the spared. Hospital it? In Wenzhou, Nanning, Chongqing and other places, the past year, are starting to spread, including a number of hospital executives, including president of the Lok Ma's news. All this illustrates that if the power is not strong enough supervision, hospital administrators have become the spokesperson for the interests of pharmaceutical companies, corruption is inevitable.

Essentially stopped in the current unhealthy trend of such a large area of the industry, not just rely on doctors to grab a few scapegoats, a penalty trouble, but also should go to track down and punish those who hide deeper, broader powers against corruption. Collective corruption in the back of a large area, there is no power to take the lead in the fall, almost impossible.