CPPCC member says profiteering reach nine times
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"From a medical representative to the dispensary doctor again to the doctor, a prescription drug kickbacks has formed a dragon, hospital dean were difficult to look it up." On March 12, the CPPCC national committee, the sino-japanese friendship hospital TCM oncology chief physician LiPei shuo, people are aware of the seriousness of this drug kickbacks, but because the information asymmetry, but seldom find a problem.
The CPPCC national committee, municipal people's congress standing committee, deputy director of Chen heavy hua bold estimation, drug kickbacks, besides accounted for low PuYao by the pharmaceutical industry to the unspoken rules, drug kickbacks is medicine retail price 20% | 25%, even by 15% calculation, the year also amount to 45 billion yuan, if you count on kickbacks driven by the on-board shouldn't drugs of amount, it will be an astonishing number.
"A little cold to spend hundreds of yuan, many people which is' when strange don't blame ', but install a heart stent, patients must pay higher than ex-factory price several times even ten-tupling than money." The CPPCC national committee DongXie good proposal revealed in the medical instrument exists on the market's cover-up: "a domestic of stents, ex-works however 3000 yuan, can go to a hospital became 2.7 million yuan; an import of stents, cif but 6000 yuan, arrive at the hospital became 3.8 million." DongXie good say, nine times the stents profits have exceeded the drug.
"The reason is that lies in the doctor prescribe accepting rake-offs interests chain truly lift off." DongXie good truth, "although the members hospital prescription comment on standardized management" explicitly, hospital if because of the unreasonable prescription for patients is caused damage, should according to the relevant laws and regulations processing; but in actual operation process, the relevant supervisory still focused on medicare prescription areas, single prescription regulatory timely catch up with, this is' DaChuFang 'produce retained the space."
The CPPCC national committee, the Chinese academy of medical sciences dean ZhaoPingShui tumor hospital, the doctor's services, technical values long-term low doctors not through "sunshine income" realizes self-value. Due to the labor cost, technical pricing far below is against the law of value, cause a lot of DaChuFang ", "the doctor prescribe drug kickbacks from in compensation. "Let the doctor himself for food, hard to avoid is not produce things."
How to ensure that the fundamental interests of patients without damage? DongXie good advice from four points member steps: the third party supervision, and set up the hospital, patient outside of the third party regulators, should by independent of hospital medical administration departments, social basic medical insurance department third party supervision; etc. Unobstructed patients complain channel, play social supervision strength on standardizing prescription also plays a key role, Start "sunshine medication" monitoring system construction, strengthen the monitoring of the middle of circulation, realize the medical institutions drug procurement, doctor prescribe medicine, drug use standardization, digital and network, and through electronic surveillance system, to the doctor resoures on-line tracking monitoring, Use "standardized treatment" containment DaChuFang.
Chen heavy hua committee also give advice, hospitals should carry out the counter-commercial bribe action, punishing bribe-givers. At the same time, should make the health administrative departments at all levels, medical institutions at all levels within established special hospital pharmacy and treatment committee, is responsible for the formulation and constantly improve hospital drugs prescription set, in order to reduce a prescription of optional descretion, and matches by the main medicine to the generic names of prescription and other measures, to the patients', technically reduce kickbacks possibility. In addition, in containing kickbacks, cost control, under the situation of hospital income inevitably will decrease, this needs such as finance, health-care multi-channel more compensation mechanism, for example, will be part of the medical insurance benefit for hospital compensation.
On the eve of this year to all over the country, CPPCC public a sampling survey, 30.1% of respondents expecting, through "eliminate commercial bribery in the medical field, it is difficult to solve the" doctor "doctor expensive" problem. |
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By :
Jessie Stone
Submitted
2011-03-20 01:44:53 |
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