On February 17, the official website of the Discipline Inspection Commission of the Deyang City Discipline Inspection Commission of Sichuan Province released news that Li Rui, secretary of the Party Committee of Mianzhu City Hospital of Traditional Chinese Medicine Hospital, was investigated.The resume shows that Li Rui is 55 years old and has been the dean for 11 years in the hospital.On the same day, the official website also stated that Zhang Dejun, deputy secretary of the Party Committee and Dean of the Second People's Hospital of Deyang City, was investigated.
In recent years, news that hospital leaders have been investigated are common.If you receive 100 buildings and 100 parking spaces, Wang Tianchao, the former president of the First People's Hospital of Yunnan Province, who has a total briber over 110 million yuan; try to evade the investigation through political scammers to dredge the relationship.Liao Min, former dean of the Clinical Medical College (third affiliated hospital).
Multiple cases show that the problem of corruption in the medical system is mainly concentrated in drug distribution, equipment procurement, consumable supplies, and engineering construction. The costs paid by hospitals will be passed on to patients and finance.
Zhao Chun, chairman of the China Medical Foundation Medical and Clinical Specialist Development Committee, and deputy chairman of the Supervision Committee of the China Health Supervision Association Medical and Health Institutions, worked at the former Ministry of Health Hospital's Judgment Committee in the 1990s.In an interview with China News and Weekly, he said that medical corruption has a long history, and some regulations have been introduced in various places, which have achieved certain results, but it has been banned so far, and corruption has become more and more concealed.In recent years, some hospitals who have been investigated have been reported internally by pharmaceuticals or equipment vendors, or internal reasons for the hospital's internal pull gangs.
Under the deterrent of high -pressure deterrence, why is the corruption of the medical system so stubborn?
The dean becomes a high incidence group
According to the incomplete statistics of China News Weekly, from January 9 to February 17 this year, in 39 days, at least 26 hospital leaders were dismissed, or they were dismissed, dismissed, and arrested.19 of them have served as the dean, and 7 have served as the vice president.
Of the 26 people above, 18 were investigated, including Ma Runzhou, the former dean of the People's Hospital of Leling City, Shandong Province, Xiao Junbing, Deputy Dean of the First People's Hospital of Guiyang County, Hunan Province;Hou Yuezhi, former party secretary of the Second People's Hospital and former Dean, Qing Song, former vice president of Ziyang People's Hospital, Sichuan Province, Liao MinWu Guangming, the former dean of the People's Hospital of Dafa County, Chen Wenkai, the former dean of Pengyue Memorial Hospital, Haifeng County, Shanwei City, Guangdong Province; the two were arrested, the former dean of the People's Hospital of Yinjiang Autonomous County, Guizhou Province, Feng Yong, the former dean of the People's Hospital of Yinjiang Autonomous CountyDean Yang Yulin; 1 person was expelled from the party and canceled his retirement treatment. He was suspected of being transferred to the procuratorial organs to review and prosecute according to law, that is, Zhao Wensheng, former party secretary of Dehong Prefecture People's Hospital and former dean.
Judging from related reports, they mostly involve the collusion of medical dealers.For example, Hou Yuezhi, who is involved in the construction of projects, bidding for medical equipment procurement projects, seek benefits and receive property in terms of pharmaceutical procurement, capital allocation and other aspects, and Qing Song, who is particularly huge, and so on.
In recent years, the leaders of the hospital have become high corruption groups with the dean.According to incomplete statistics from the People's Daily's Health Client, in the first 1122, a total of 55 hospitals and secretaries in various places were investigated.Including Wei Yongxiang, the former dean of Beijing Zhen Hospital affiliated to the Capital Medical University, Wang Binquan, the former dean of the First Hospital of Shanxi Medical University.
In 2022, the anti -corruption film zero tolerance mentioned the corruption of medical system represented by the dean.According to the film, Marin Kun, the former dean of the Second Affiliated Hospital of Kunming Medical University in Yunnan Province, received more than 30 merchants, which was equivalent to more than 30 million yuan.In the process of purchasing large medical equipment at the hospital, Ma Xiang's dealers received huge amounts of money.
The more typical device is a digital vascular angiography system. The price of agents from the manufacturer is 5.79 million yuan, and the contract price sold to the hospital is 11.7 million yuan, which is doubled.Yang Xinyu, staff member of the Yunnan Provincial Commission for Discipline Inspection.
In July 2021, Marin Kun was filed for investigation.The notice said that he was extremely embracing and the Grandma in the same time as the illegal pharmaceutical dealers. He used his powers to take the qualifications of medical equipment, drugs, and consumables as a bargaining chip, and formed a benefit alliance with illegal drug dealers for a long time.
On July 13, 2018, Wang Tianchao, the former dean of the First People's Hospital of Yunnan Province, was sentenced to life imprisonment for bribery.After hearing, he found that he provided help in the construction of hospital engineering construction, drugs and medical equipment procurement, and personnel appointment and removal. He received a total of more than 116 million yuan and USD 80,000 by the company's bribes.
Wang Tianchao said that he had received 100 sets of houses with housing companies and 100 parking spaces, worth more than 80 million.He also received more than 200,000 yuan in bribes from hospital employees, and received multiple violations of discipline and laws such as gifts and gifts of 1.5 million yuan.
How should the article from Wang Xiuhua, the former secretary -general of the Shandong Provincial Hospital Association, learned from the phenomenon of Wang Tianchao?It is said that the president of the hospital is unique, not only is it difficult to implement the collective decision -making mechanism of the leadership team in the hospital, but even the supervision of the party committee and the disciplinary commission has been severely weakened, and some are even false.
On June 22, 2020, the video education film released by the Discipline Inspection Commission of Yunnan Provincial Commission for Discipline Inspection, Yunnan, mentioned that Yang Benlei, the former party secretary of the Chuxiong Prefecture Traditional Chinese Medicine Hospital and the former dean, hidden huge bribes in several large wine tanks in the suburbs. After opening it, it was opened.The money has been moldy, exuding an unpleasant smell.The case handler said that Yang Benlei has the final decision right in terms of pharmaceutical procurement and equipment procurement. Who will give a little more share, and which one of the equipment is handed over to, he will finally shoot.
A doctor of a three -level hospital in Shandong Province told China News Weekly that the medical system has a high threshold and strong professionalism. The dean is usually an administrative leader and an authoritative expert in the industry. He has a great right to speak.In the context of lack of supervision, corruption is prone to occur.
Zhao Chun said that although some public hospitals include the medical device committee, the pharmacy committee, etc., the secretary or dean has an important speech to the promotion of others, so when they insist on buying a certain device, few people are few people.Will be objected.
Wang Xiuhua said that in the short term, it is necessary to list the supervision of relevant channels such as the power list of power, the real implementation of government affairs, and strengthening the professional channels for the hospital's dean, so as to reduce the space for black box operations.
Corruption means increasingly concealed
A number of medical corruption cases involved in rebates show that this corruption chain involves pharmaceutical companies, medical representatives, and hospitals in charge.
In March 2022, in a case published on the website of the State Administration of Discipline Inspection, Tang, a pharmaceutical company in Jiaxian County, was sold to the endangered drug. After discussing with the pharmaceutical companyPrescription doctor, pharmacy staff.Tang, who went to the pharmacy of the Pharmacy of the Central Hospital of the County every month, was placed in the pharmacy of the hospital of the hospital.The clinical fee for the deduction, the clinical fee to the Dr. Kaifang, and the uniform fees to the personnel to Hu, Chen, Wang and other personnel, and then report to the financial company's financial account.After the bill was reported, he gave the envelope with the money to the relevant vice presidents, doctors and pharmacy staff.
On February 6, the website of the Central Commission for Discipline Inspection issued a strict investigation of the hidden benefits of the medical field of the medical field, which mentioned the details of He Xianwei's medical corruption case.He once served as the president of the Hozhong District People's Hospital of Daxing'an Mountains in Heilongjiang Province.In June 2014, he was more than half a year since the Dean took the initiative to contact He Moumou, the chairman of a pharmaceutical company, and the two sides agreed to meet in a secluded bee.He Yi did not give the rebate without medication, and finally agreed that since August of that year, 15 % of the total amount of drugs purchased in the company in the company will be buckled.He also proposed two conditions: it must be cash, must be kept secret, otherwise it will not cooperate.
According to the task force, the congratulatory case involves more than tenHome Medicine and Medical Devices Company.Due to the strong concealment of criminal behavior, it has increased the difficulty of investigation and punishment.In July 2021, when the local disciplinary committee supervisory committee investigated another case, a bribe person took the initiative to explain the problem of bribery with He, and He's bribery network was broken.
Also mentioned other hidden bribery methods.Huang Xianfu, member of the Standing Committee of the Yugong Municipal Party Committee of Zhejiang Province, Secretary of the Municipal Commission for Discipline Inspection and Director of the Supervisory Committee, has four types of hidden methods, such as customized bidding bidding, which refers to the use of barriers with strong professionalism and bidding.Adjustable custom bidding and screening rules, disguised the purpose of long -term cooperation with designated pharmaceutical companies and two -way benefits; then for evasion to commission procurement, referring to the private operation of the procurement of the procurement agency company through privately and behind -the -scenes control.Behavior can avoid the risk of violations of regulations and disciplinary risks in management, but also use the entrusted agency fee, the price difference of the item, and the capital turnover rate.Gifts and drugs are free of charge or low -priced redeem, which prompts the two parties to negotiate to reach a high -priced agreement for medical sales to form a chain of medical rebates. There is also a welfare discussion and training.Employee's inclusive recreational emotional connection benefits.
Zhao Chun told China News Weekly that some pharmaceutical vendors have been in the medical industry for many years, knowing the bribery routine.In the past, many hospitals had slogans forbidden to enter, but with the upgrading of science and technology, the contact information was flexible and diverse. They did not need to go to the hospital at all, and they could contact the hospital leaders.The method of bribery also became strange.
For example, many people are around 50 years old when they are the dean, which means that they retire for about 10 years.When the pharmaceutical dealer wants to corrode the dean, he will not bribe on his office, and wait until his retirement.This lsquo; optional corruption rsquo;, also leads to the difficulty of investigation and punishment.Others will not leave marks on bribes of close relatives of the hospital.He said.
Zhao Chun said that at present, the market competition in my country's medical equipment is very fierce and repeated production.For example, there are dozens of domestic color Doppler ultrasound manufacturers. The quality is similar. Some manufacturers will open the market by means of bribery., Will provide operation space for the dark box.
How to solve the problem of medical corruption?
Since the reform and opening up, the management system of public hospitals in my country has gone through three stages.In January 1982, the former Ministry of Health issued the work regulations of the National Hospital, clarifying that the hospital's implementation of the dean's responsibility system under the leadership of the party committee.This is considered an important attempt to change the phenomenon of changing party and government in the medical institution.
In March 2000, the Central Organization Department, the former Personnel Department, and the former Ministry of Health issued the implementation opinions on deepening the reform of the personnel system of health institutions, and put forward the implementation and improvement of the responsible system of health institutions to implement and improve the responsibility system of the hospital (institute, station).The target responsibility system, clarify the responsibility, power, and profit of the length of the hospital (institute, station).Since then, the dean has been in the hospital's dominant position.
Until June 2018, the General Office of the Central Committee of the Communist Party of China issued opinions on strengthening the party's construction work of public hospitals, and clearly put forward the responsibility system under the leadership of the public hospital's implementation of the party committee.
Emphasizing the responsibility system under the leadership of the party committee of public hospitals, Zhao Chun said that one of the main reasons may be that many presidents have had corruption in recent years and need to restrict their power.It is worth noting that the medical industry is very professional, corruption and strong concealment, which will cause some difficulty in the supervision of the party committee.For example, when the hospital purchases equipment, it is difficult to understand the doorway without more than ten years of clinical experience.In this context, if the party committee secretary has a weak medical background, it is difficult to effectively supervise the dean.
He also said that there is still a common phenomenon that the dean is a business expert. In the process of medicaling, he has accumulated rich contacts. This kind of connection becomes hidden wealth and may lead to actual power beyond the party committee secretary.
Wang Minggao, the chief expert of Hunan Provincial Integrity Think Tank, has served in the Organization Department of the Hunan Provincial Party Committee for about 20 years and participated in the selection of a large number of cadres.He told China News Weekly that it is correct that the responsibility system under the leadership of the party committee under the leadership of the party committee is correct, but this system does not implement it well, especially in personnel selection.Selected as the party committee secretary.
He said, for example, some deputy director of the Health Bureau did not understand business and lacked prestige.The organizational departments arranged that they went to the hospital to do the party committee secretary only because of the needs of the rank arrangement (the deputy department level was promoted to the main level). The personnel arrangement similar to this became a resettlement measure, which did not allow the party committee to play the role of fighting forts.
In recent years, the country and local levels have continued to increase the rectification of unhealthy winds in the field of pharmaceutical purchase and sales and medical services.
In May 2020, the National Health and Health Commission, and the eight departments of the Ministry of Public Security issued a notice of incorrect work points in the field of pharmaceutical purchasing and sales and medical services in 2020, clearly investigated and dealt with the receipt of medical consumables enterprise deductions, and formulated medical personnel to communicate with external exchanges.Specifications, etc.
In November 2021, many departments such as the National Health and Health Commission and other departments issued nine criteria for the integrity of medical institutions, including legally paid for labor, and did not accept commercial commission; adhered to the bottom line of exchanges, and did not accept corporate rebates.
In June 2022, the National Health and Health Commission, the Ministry of Industry and Information Technology, and other nine ministries and commissions issued the main points of incorrect work in the field of correction in the field of pharmaceutical purchase and sales and medical services in 2022, requiring to further strengthen the supervision of illegal acts such as the return of commercial bribery consumables in the hospital, and carry out in -depth in the medical fieldChaos governance, punishing red envelopes, rebates and other wind problems.In the same month, Qinghai launched a special rectification operation of medical chaos, requiring to severely crack down on various types of illegal practice.In August 2022, Guangxi Discipline Inspection and Supervision Network reported that since the year, the Nanning Municipal Commission for Discipline Inspection and Supervision has strictly rectified and investigated and dealt with corruption and style of violating diagnosis and treatment specifications and unreasonable medication.A total of more than 600,000 yuan for rebates.
Zhao Chun told China News Weekly that the problem of corruption in the medical system should be held in many ways.First of all, it should be de -administrative, which is conducive to fair competition within the hospital. Second, the audit, the Commission for Discipline Inspection and the Supervisory Commission should improve their professional knowledge and exercise relevant power; again, we must also increase the restrictions on the power of the dean;It is necessary to increase the transparency of prices such as medicines and equipment.
The price opaque is equal to information asymmetry, and the hospital may speculate.After the purchase of hospitals, categories and prices should be announced online in time, which is convenient for the people to compare the pharmaceutical equipment purchased by different hospitals.He said.
Send 2023.3.6 Total Issue 1082 China News Weekly Magazine
Magazine title: Why did the hospital dean become a high -incidence group of corruption
Reporter: Zhou Qunfeng
