Recently doctors get kickbacks media event, more and more conflict-ridden patient, I was fighting as a first line he is engaged in the medical management of more than a dozen hospitals contained in the hospital, deeply disturbing. Doctors get kickbacks not only by the moral condemnation, and even more serious is the resulting large prescription drug abuse against the interests of patients, as well as national health. Why doctors do not rely on myself reflect their own values ​​and those wicked pick up the money? Dean why we spread indifferent rebate, turn a blind eye? Of course, there are institutional reasons, but we have no way to change all this, the medical cause of a pure sky?
doctors get kickbacks led to over-medication, irrational drug use intensified, such as antibiotics, infusion, injection of traditional Chinese medicine abuse are highest in the world. Contradiction is the same patient in the world. Major newspapers and network-related media content in this area are vast amounts of information presented. Zhejiang Province in February this year June 13 this year, Health Department of Zhejiang Province, doctors take the initiative turned back debit, gift cards, gift certificates, gifts, etc. about 1800 million. Notification from the Guangdong Province from December 2010 to March 2011 31 rebate on Medicare to refund more than 3100 yuan. More in the media only the tip of the iceberg. Above phenomenon is only possible to contain the hospital's president and improvement, and this is also president of obligations, the reality is that Dean turned a blind eye, or even suspected of shielding and abetting, which is why? I made the following investigation and analysis:
First shunga 15% of the price control policy Forced hospital purchasing high-priced drugs, expensive drugs under a doctor to get a rebate even help to increase without prejudice to the interests of the hospital,special truck, the President can not control
current policy is the retail price of drugs in public hospitals in cis on the basis of the purchase price plus 15%, and also prohibits hospitals second bargaining, this policy Forced public hospitals more profitable the higher purchase price, resulting in hold down prices intensified. Such as the recent If you press the unspoken rules within the pharmaceutical industry (asparagus pieces of CCTV coverage ratio of nearly 40% rebate), is a doctor rebate amount was 31.2 million, 20% into the hospital also need to open up many aspects of the cost; reserve price 6.4 yuan if purchased by hospitals, shunga 15% of hospital revenue is only 0.96 yuan, according to the purchase price of 67.8 yuan, the hospital's income was 10.2 million, increased hospital revenue more than 9.24 yuan; purchase if the reserve price, the doctor can not have a rebate, not a lot of aspects of the cost, so hard drugs into the hospital, into the hospital without a doctor's prescription, more difficult to get money. This is the result of national policy factors common phenomenon, so the president can not control.
second president of pharmaceutical interest in bidding for one, can not control
implementation shunga 15% price control policy on the premise that the unified organization of the province by the provincial medicines bidding to determine the successful bidder varieties and the bid price, after winning by the hospital pharmacy medicines committees in hospitals successful varieties check varieties. In this means of administration, the pharmaceutical form in the tender, the hospital hook standard, clinical use of the relevant tender process involving government departments, hospital, pharmacy long, buyers, Kuguan, doctors, nurses, guards, and many other aspects of implicit trading interests of the chain, to the drugs hidden transactions accounted for 60% of retail sales. Such as: August 2 this year, Jiangbei District, Chongqing City, the First People's Hospital and medical staff in the drug procurement bribery was reported, and thus detonated Chongqing, the largest health insurance That the current policy system in the formation of the invisible chain of interest for Dean caught them, naturally can not control.
three doctors get kickbacks damage the interests of the patient, without prejudice to the interests of the hospital and the dean, dean unwilling to control
our public hospital director appointed by the government, this administration of the system will inevitably lead to the selection and appointment of Dean of the Doctors get kickbacks damage the interests of the patient,Lung Ching, and a high degree of monopoly in public hospitals and the management office, regardless of system, does not affect the interests of hospitals and Dean. Dr. Dean managed to get a rebate if things would not only harm the interests of doctors, and even affect the interests of chain and invisible, including the interests of the leadership in charge of their own detriment, so Dean is not willing to control.
four public hospitals pay system leads to the executive president can not control
public hospital administration and the pay system makes the hospital only in accordance with the salary system of state-owned institutions and standards to determine the remuneration of doctors level, this level and intensity of the actual work of medical personnel and pay varies widely, the doctor out of income is difficult to reflect the value of their labor. In a market economy environment, the doctors had to accept in exchange for illegal hidden income to live in dignity, the hospital is the doctor's drug rebates as an
doctors kickbacks lead to drug abuse, the harm to society and the people far better than highway robbery,dump truck, murder, the government means using a variety of regulatory supervision and management at the same time, the President follow the line of its due regulatory role is very important, even far better than the hospital external oversight role, but, in order to have a positive and dynamic president against the behavior of doctors receiving kickbacks must reform the existing system of irrational policy:
must first Cancel the price increase of 15% cis-control policy, the lower the purchase price to allow hospitals more profitable, so that hospitals have an incentive to purchase the reserve price, reserve price purchase drugs only to doctors kickbacks to the compression space, the reserve price for the purchase of drug sales to hospitals public benefits, then the sun distribution in the interest of basic economic laws;
second is to abolish the drug tender system, cut benefits resulting gray chain;
third is to speed up the implementation of separation of management from operation of public hospitals, public hospitals to implement an independent legal person status, the personnel, finance, distribution and other related reforms;
Fourth, respect for doctors, allowing doctors to practice a free people, deserve to get in the higher income;
five social capital is held in support of medical institutions, doctors do a wide range of pattern formation, the removal of subsidies to public hospitals, to create a fair competitive environment, thus improving the cost-effective medical services, to the old one hundred basic The availability of medical services, medical services, public welfare truly;
six is ​​to increase investment in health care reform financing and payment mechanisms, the progressive introduction by DRGs and capitation, to achieve the separation.

Topics related articles:


You do not call me worrycheap hair extensions

you always say to me why you then have to facetractor truck

hair extension prices

I remember that I was in a very people who followhair extension prices

Wang Yihair extension prices

special truck