China is setting off a medical anti -corruption storm that claims to be "full chain, full -scale, full coverage".
Public opinion said that the depth, strength, and breadth of this anti -corruption were unprecedented, and several numbers could illustrate the anti -corruption real.
According to surging news reports, as of August 6, the country has publicly notified 168 hospital presidents and secretaries. Due to statistical limitations, this number may actually be more.The three provinces with the largest number of secretaries are Guangdong, Sichuan, and Yunnan.These arrested are basically names in the local medical system.Some people are working, some have retired, some are passively taken away, and some actively vote for the case.
According to incomplete statistics, at least 10 about 10 upcoming academic conferences and forums have been postponed since August.Another study and training courses have also been announced recently.Medical representatives who often run the hospital and send a rebate to the doctor have been informed by the doctor, "The recent situation is severe, so don't come for the time being."
In July, two listed pharmaceutical companies were investigated.They are the actual controller and chairman of the medical information leader Wei Ning Healthy Health, and Fan Zhihe, the actual controller and chairman of the science and technology board biomedical company Sai Lun Biomedical.
According to the news released by the website of the State Supervision Commission of the Central Committee of the Communist Party of China on July 31, a video conference on the deployment of corruption issues in the national pharmaceutical field was held in Beijing on July 28th.Cover the "rectification.Therefore, from the "leader" of the hospital, the medical representative to the head of the pharmaceutical company, it was all affected.The stock price of Chinese pharmaceutical listed companies has also fallen in the past week.
Dean becomes a group of corrupt high incidence
China News Weekly reports that the problem of corruption in Chinese medical systems is mainly concentrated in terms of pharmaceutical distribution, equipment procurement, consumable supply, and engineering construction.
In recent years, the leaders represented by the hospital's dean have become a high -incidence group of corruption. The key figures of medical institutions have become the focus of this round of medical anti -corruption focus.
On January 9, 2023, Xie Mingjun, former party committee secretary and dean of the First People's Hospital of Yibin City, Sichuan, and Yang Li, member of the party committee and vice president, took off the prelude to the new year's medical anti -corruption.
The hospital leaders in this round of anti -corruption storm also include, "A knife in God" in Anhui Province, Fu Xianming, former deputy dean of the First Affiliated Hospital of the University of Science and Technology, and the First Affiliated Hospital of Harbin Medical UniversityZhou Jin, the former dean who has been the dean for 15 years.
Times Finance reported that Liu Yuan (pseudonym), deputy dean of a comprehensive hospital in central China, said that due to the strengthening of anti -corruption, the phenomenon of "receiving red envelopes" has decreased significantly in the past ten years, but in the process of bidding and procurement of hospitals, it can be operated.The space is still large and the supervision is not in place.Therefore, the deputy dean and dean are in charge of the bidding procedures and procurement processes that have the ability and power to interfere with normal intervention, so that the money flows into the pockets of themselves or related interests.
The case that the Central Commission for Discipline Inspection had exposed was that the hospital bought a linear accelerator for 35.2 million yuan (about S $ 6.57 million), of which 16 million yuan was a rebate for the dean.
There are about 4 million doctors in China and a representative of 3 million medicine. The number of people involved in the deduction problem is difficult to estimate.
Pharmaceutical companies put on "Legal Oques" for bribery
The secrets of the medical industry are publicly that if the medical representative does not dare to give medical personnel to deduct the deduction of medical staff to achieve the purpose of the product, it will be bribery through consultation fees, lecture fees, and borrowing.The means, such as sponsoring scientific research funds, academic conference fees, and organizational drug clinical trials, etc., conduct benefits and other interests to put "legal coats" for bribery.
Multiple academic conferences have recently announced a suspension, and the reasons given are "affected by objective factors" and "due to time conflict".Daily Economic News reported that Zhan Shuguang, a senior partner of Beijing Xinnuo Law Firm, believes that this is related to the new round of anti -corruption upgrades.
Zhan Shuguang said that the reason why some pharmaceutical companies are keen to hold medical academic conferences are mainly for the purpose of expanding the popularity and influence of drugs."Anyone who talks about their products during the meeting, and gifts for gifts. After the meeting, the medical representatives can also entertain the doctor. This will make the academic conference taste."
It is reported that after attending the meeting, doctors will get a fee, which will be used as a standard for pharmaceutical companies.Under normal circumstances, the cost is related to the level of the doctor or its support for the product.Some people in the industry also said that some hospitals went out to take luxury cars and first -class cabins. They were invited to meet, and "the people on the other side had to face the doctor."
In 2021, the Ministry of Finance of China announced the results of administrative penalties for 19 pharmaceutical companies, including Hengrui Pharmaceuticals, Buchang Pharmaceuticals, Sanofi and other well -known domestic and foreign pharmaceutical companies.Among them, Hengrui Pharmaceuticals mainly involve fictional expenses, including reimbursement expenses, review fees, and hosting fees such as non -company tickets in 2018.
As early as 2014, the well -known multinational pharmaceutical company Grandulsc (GSK) was sentenced to 3 billion yuan for bribery, which was the biggest penalty issued by China at that time.At that time, the court found that GSK made uniform interests in order to expand drug sales, adopted a bribe sales model, and bribed non -state staff from medical institutions in many places in various places in various forms. The amount was huge.
It is reported that foreign companies said that the sky -high ticket of GSK 10 years ago was still shocking. Some people in the pharmaceutical circle were worried that there would be another multinational pharmaceutical company in this wave of anti -corruption to become the second GSK.
Medical Representative "Bringing Gold Sales"
Medical representatives working in pharmaceutical companies are the frontline personnel directly in contact with doctors.In the impression of many people, the medical representative of this occupation with the deduction of doctors, and the promotion of doctors' more medicines such as "selling gold" behaviors can not be worn away.
The daily work of medical representatives also includes calling a doctor, and visiting the doctor to go to outpatient and ward to understand the needs of the doctor.The First Financial reported that some medical representatives said that the Discipline Inspection Commission of the Hospital is paying close attention to the medical representative."You can still go to the hospital to see customers, but the computer, mobile phone and other equipment dare not take in, I'm afraid they will be confiscated."
Some medical representatives said, "Someone recently took 'information' to the hospital to see customers, but they were arrested and related products were stopped." Another medical representative said that the working status has changed significantly.Most of contact with doctors switched to call.
The saying of "inverted 20 years" in China medical systemThis is not only a tight curse for the on -the -job medical staff, but also sounds the alarm to the hospital's retirees.One of the goals of medical anti -corruption is to reduce medical prices and benefit more patients.This round of fierce anti -corruption and catching a lot of people can definitely play a certain deterrent, but can it be completely cured?
Can't rot, don't want to rot, dare not rot
Sun Ju, deputy dean of Wuhan University Health Research Institute, published a key article entitled corruption in the medical field in 2021 pointed out that the key to governing the medical field of corruption is to improve the system, improve the bidding procurement mechanism of drug consumables and the medical insurance supervision system.Build a prevention mechanism that cannot be rotten; improve the compensation mechanism and salary system of public hospitals, and establish a guarantee mechanism that does not want to rot; improve the system implementation supervision system, and strengthen the deterrent of the dare not rot.
Don't rot, don't want to rot, dare not rot.Among them, do not want to rot is one of the focus of public opinion discussion for many years, including improving the salary system of medical staff, and providing an economic guarantee that individuals do not want to rot.
The article pointed out that in the medical field, the technical level and practical ability of medical staff are core competitiveness. Therefore, the salary level should fully reflect the value of medical staff.
The Taiwan Liberty Times reported in 2018 that a deputy director of mainland China admits that the overall salary of mainland doctors is generally not high.Resistant doctors are generally about 10,000 yuan (about 1866 yuan), the attending doctors are about 10,000 to 20,000 yuan, and the deputy chief doctor is more than 20,000 yuan.Popular subjects in large hospitals in the first -tier cities may have bonuses. In addition, the special consultation registration fee is two or three hundred yuan or the outpatient clinic is 100 yuan, which is higher than the general outpatient clinic of two or 30 yuan.The second -tier cities are only about two to 30,000, and the third -tier cities are 1.5 to 20,000.
The experience of developed countries shows that about 60%of the hospital's total expenditure is used for medical staff compensation, medical staff is a high salary occupation, and its salary level reaches two to three times, even four to six times, The article of the Deputy Dean of the Wuhan University Institute of Health Research pointed out that even if China is in a developed cities, the salary expenditure of medical staff is only about 30%of the total expenditure, and the level of treatment of medical staff is generally low.This also causes the pursuit of gray income such as drugs, consumables and red envelopes.
The article recommends that the gray income is reduced, the proportion of fixed salary in salary is appropriately increased, the proportion of bonus income linked to the personal business income is reduced, and the impulse of doctors' profits.
In any field, whether it is official or hospital, the sun is the best anti -corrosion, and it is also the ultimate anti -corruption method.Let medical care return to the essence of saving wounds, let pharmaceutical companies focus on research and development, so that the power of medical leaders and the income of doctors are spread under the sun, plus layer of supervision mechanisms, and thoroughly rectify the system in order to eliminate the soil and corruption soil and the soil.condition.
