Since the 18th national congress of the medical network on May 11, new health reform policies have broken the ice and brought more convenience to the masses. But at the same time, corruption in some parts of the country is still in the shadows, and some new developments are emerging. Such as corruption from drug sales link to medical consumables procurement, ordinary staff involved by the medical and health system to develop high-end professional medical personnel, and so on. These corruption problems greatly erode the health benefits that the vast majority of patients deserve. 

 

▍ machinery for the medical corruption, procurement and other "hidden rules" appear frequently 

 

Look from the exposure of the case in recent years, the medical corruption mainly exist in the equipment, in the field of capital construction, procurement, form found in native, flies corruption corruption. 

 

-- take medicine to keep the doctor "thin water". The interests of the pharmaceutical business for medical personnel transportation way from pure drug kickbacks to the interests of the other property delivery, including agency chamber of commerce to festival bonus, labor and funding the meeting travel way gives doctors a variety of related economic interests. According to media reports, penglai city in shandong province hospital of traditional Chinese medicine NieHong YaoZhengKe former director of the shao, during the period of 2010 to April 2010, by taking advantage of his office in the process of drug purchase, many times from medicinal materials procurement and pharmaceutical companies and pharmaceutical distributors to cash 860000 yuan, and for the above unit benefit in terms of drug sales. 

 

-- in collaboration with armed doctors. In "medicine for the medical" is limited by policy, some hospitals by reagents, consumables, or patients to take more checks to "machinery for medical", by a single secret commit crime to "nest", "string". Linquan county in anhui province people's hospital, for example, former vice President, director of orthopaedic Guo Jingli Xu Rufeng, deputy director of the group was in absolute market share respectively from orthopedic medical fixed material supplier gave 1.32 million yuan, 150000 yuan. 

 

"-- infrastructure is" yanking ". Unregulated parts of related systems, so that the setting of engineering construction bidding conditions and procedures, the hospital has a lot of autonomy, the relevant head often become a subject of "hunting". In March 2015, changsha city of hunan province CDC canteen contractor Kim please Chen Fa Ming, director of the CDC said hello to comrade in charge of logistics, to introduce a friend of his made dining room decoration projects, business total 1.2 million yuan. After the event, Kim thanked Chen for his help and sent him a cash payment of 50,000 yuan. 

 

-- medical procurement is corrupt. Some medical agent in order to obtain approval or maintain medical purchasing long-term supply relationship, and to the medical staff, especially in such aspects as medical purchase recommendations, apply for to use have some voice, head of the bribery. From 2011 to 2015, in the process of purchasing drugs and medical devices in hospital, lishui city, zhejiang province people's hospital, vice President of the former dean xiang-dong xu, the original Lu Xianggong giving manufacturers to more than 3000 3000 yuan on private assets, and through the slush fund spending public funds more than 260 ten thousand yuan, for individuals to buy audi cars, special local product, etc. Treating the hospital as a "cash cow", the two men were eventually taken seriously. 

 

▍ "means" the medical corruption, corruption ethos and harm public interests 

 

Health care is closely related to the interests of the masses. From the point of the case of investigation, many medical corruption often presents the means of type, chain type, a briber might involve the competent administrative department for health leader, dean, department personnel of the recipient, such as serious corrupt social conduct. At the same time, some hospitals in the purchase of drugs and medical equipment in accepting kickbacks, a red envelope, benefits and other costs will eventually be included in the cost to see a doctor, masses directly damage the vital interests of the masses. 

 

On the subjective reason, the practice of medical corruption is not only related to the lack of professional ethics of some medical staff, but also to the relaxation of self-requirements. Take mentioned above in changsha city of hunan province Chen Fa Ming, director of the CDC, after he lok ma said: "the party of the requirement of the party member the leading cadre as a dogma, think only saints can achieve, he believes is human to err, to err is human. Self reduce standard, relaxed requirement..." 

 

On the objective cause, healthcare interests chain length, transparency is low, some link power is lack of effective regulation, for example by currying favours for some medical staff use position left a chink in the wall. In medical apparatus and instruments, consumables procurement lack of complete system design and specification, lead to too much part of the medical personnel autonomy is also one reason for the frequent medical corruption. 

 

In addition, the treatment is unreasonable, irregular, also become the excuse that some grass-roots medical personnel seek to rent. Associate professor of management center of fuzhou university and Liu Bijiang said: "the medical staff own value not equal pay, and supervision does not reach the designated position, exchange provides incentives for the interests of them." 

 

▍ comprehensive ShiCe compression space medical corruption 

 

In the case of corruption in the medical field, it not only damages the image of national policy and medical system, but also seriously infringes the people's vital interests. 

 

2017 is a crucial year for health reform. Fifth integrity meetings of the state council issued a governance corruption in medical areas "prescription" : to prevent and punish diddle show the medical insurance fund, pension, etc, to medicine and health care and other fields with a red envelope, receiving kickbacks, commercial bribery phenomenon, to further regulation, in particular, intensify efforts to rectify the drug circulation order, carry out drug distribution "two votes" (drugs from pharmaceutical factory sell to dealers open an invoice, dealers to sell to the hospital to open an invoice), containing drugs circulation corruption, to safeguard public interests. 

 

How to remove the cancer from the medical field and let ordinary patients really enjoy the benefits of healthcare reform? Sha county of fujian province county party committee and secretary of the county commission for discipline inspection wujiang tide advice, eliminate the health care industry "hidden rules", reverse the abnormal medical business relationship, to perfect the relevant rules and regulations, strengthen supervision mechanism, achieve "zero tolerance" for corruption medical field. 

 

In addition, the illegal cost is low, is one of the reasons for the corruption in medical field, under the "FaBuZeZhong" psychological impact, some medical workers prone to fluky psychology. In fujian province, including the county party committee standing committee, secretary of the county commission for discipline inspection, said Jiang Xiangrong in establishing a doctor for corruption "blacklist" system, compression space rent-seeking corruption, strengthen penalties for bribery, etc, on the basis of comprehensive ShiCe for medical corruption in the field of party members and cadres, should increase the intensity of punishment, an effective deterrent. 

 

Have experts point out that, to intensify the blow for pharmaceutical business bribery, gradually establish a bribery punishment mechanism of pharmacy industry, guide enterprises to establish standard of medical instrument and drug promotion system, to seek benign competition, chain cut corruption from the source. At the same time, we need to promote medical and balance of payments of two separate lines, explore the operation of public hospitals government backstops management mechanism and the doctor reasonable compensation system, and make compensation to rationalize, sunshine, let the social acceptance of medical staff labor value, promote the healthy development of the medical enterprise. 

 

Sanming, fujian province, has made active explorations in this area. By deepening the reform and implementing the price limit purchase, the inflated price is reduced and the reasonable interval is returned. At the same time, also set up the medical insurance fund management center, introduced a drug purchasing consumables unified price, on the basis of the provincial public bidding, strictly implement the "two votes" and "drug procurement director responsibility system", and implement centralized distribution. 

 

Sanming first hospital disciplinary inspection cadre badad said: "the purchasing price, reduction in artificially high drug prices. This greatly compressed the dealers to doctors kickbacks space. In this way, will effectively prevent the doctors to take kickbacks from the source and referring."