Comments: hospital are way down corruption Public hospitals can explore the system of external audit 
 
 
The 2015-02-09 12:06:19 | source: Beijing | 
 
  
 
The Beijing news illustrations/Chen Dong 

    Very review
 
    According to the voice of China, the national health development planning commission recently issued the large hospital patrol work plan (2015-2017) notice, 41 hospital inspections over the next three years, the anti-corruption as inspections focus, to solve some problems in public hospitals. According to xinhua news agency disclosed a few days ago, in 2014, the procuratorial organs in anhui province anti-corrupt department investigation of medical and health file total 108 cases of embezzlement and bribery crimes in the field of 123 people, President, vice President of the 16 people, 6 people, the individual cities appear even collapse mode of corruption.
 
    Public hospitals can explore the system of external audit
 
    The health sector in public hospitals should be instructed to earnestly implement pharmaceutical equipment procurement and construction engineering bidding and tendering system, especially the bid assessment and selection of the link, should strengthen democratic decision-making mechanism within the hospital.
 
    Anhui anti-corruption storm medical and health field, the public hospitals are way down corruption exposed to the public, though, is not necessarily a surprise. A lot of people think that it is like a bald head lice - clear, just to check, when the problem. To see, from anhui medical system corruption cases have certain representativeness.
 
    Much attention has been paid to the relevant anti-corruption movement, the point is that many - is central to the local center, vice President of the hospital, and department leadership, they are each hospital executive leadership, work unit and the region of the business backbone, medical authority. Their rent-seeking corruption, once they are removed from the physician team, or the regional medical technical force "collapsed", and its strength is difficult to restore, eventually patients, not how?
 
    Investors should see, private hospitals and school leadership is mostly have identity, with the development of the hospital TongShengSi cure, its anti-corrosion ability is relative taller; And public hospital property is different, its administrative resources and has design, will induce a lot of medicine, and medical device makers to focus on, such as the policy makers. If the public hospital internal and external anti-corrosion anti-corruption mechanism doesn't work, corruption must follow the "bug eat by moth effect" spread outward. Nowadays in the background of the medical system reform, the country especially in county level public hospital at the base of equipment purchase, drug procurement and infrastructure investment is huge, new agriculture policy and release the medical needs of farmers. It also makes the situation more serious to curb corruption in public hospitals.
 
    In this context, it is necessary to quicken the steps of better late than never, for public hospital the flaws in the cultivation of clean government is perfect. I think that health authorities should step up supervision over public hospital inspection, earnestly implement the procurement of pharmaceutical equipment and guiding hospital construction engineering bidding and tendering system, especially the evaluation and selection of link should be strengthened in hospitals of democratic decision-making mechanism, for example to explore the "head" no "bottom" speech system and expert argumentation system, establish and perfect the system of external audit once a year, and will grasp the implementation and performance evaluation.
 
    Also, the present many public hospitals have medical public network platform, but many are in a zombie state. In my opinion, no matter the hospital at or above the county level is responsible for purchasing new farming and alone township hospital, should have their own drugs and medical equipment procurement information platform, and by the health department set up, operation real-time supervision mechanism is established.
 
    Today, from the health development planning commission to the local authorities will be anti-corruption the bull 's-eye on the medical field, it is also urged the normalized discovery and investigate mechanism is the important chance to completion. Foothold and mechanical bare, or should fall on the head of checks and balances, the necessity of medical information on them in public. - Liu Changsong (lawyer)
 
    Also the medical experts pay (should) be settled as soon as possible
 
    Unreasonable treatment is not natural reason for corruption, salary incentive system problems by corruption prone traction, really should be resolved as soon as possible.
 
    In China, the director of the public hospital, director of the department are the vast majority of senior medical experts. Can foster, medical part involved in dissecting the system from the ordinary doctor, doctor to associate chief physician, until to the hospital management job, is not easy, but the crime in prison in the end, it's feeling.
 
    There is no doubt that the hospital become way corrupt collapse occurred, dean of the directors are to blame. But have to see, the heart against the system, the domestic present collective "medicine for the medical", root in allocation mechanism lag, the dean is not the decisive factor. Corrupt and often attributed to medical ethics, and also easy to generic moral traps.
 
    Media often habitually said, medicine for the medical cause led to the general medical kickbacks and corruption. The question is, "medicine" for the dead already, can't talk can't orders, how can drive the bad results occur? After all, it is because behind the "medicine" connection is one of the flaws of system interface, it also grow in the "adverse selection" some hidden order and JiangGang atmosphere. News of multiple, dean of the department director in lok ma, also suggests that this complex and hard to industry rules has been to the point of surprise.
 
    In the face of this medical experts involved in massive corruption, some say, should be to consider health systems in the alienation of "director responsibility system", it should be separated circumvent administrative leading to tube production mode, making full use of the positive role and let ZhiDaiHui, put an end to the dean, director of the department are full power. These makes sense, at the same time, also can't ignore a problem: in a mature society, as experts in the field of medical or elite should have through legal means, to rely on medical technology with the ability to match the income. But, in fact, the domestic medical experts are too tightly within the system, the treatment of marking time, medical and medical way distant and unrealistic, through legal means to make money narrow difficult line, obstacles. An expert to encourage a private clinic years long, the policy of fermentation and really walk out their few expert outpatient service. Experts brain has a problem, or the policy itself has shortcomings? It's worth thinking about.
 
    If medical experts can obtain can reflect on the market value of labor remuneration, whether by expert outpatient service, the private hospital for director, director, will have corresponding incentive mechanism, and reduces risk of corruption. This is not to say, the unreasonable treatment is the reason to corruption, can pay by corruption prone traction system problem, does the resolved as soon as possible. As medical workers, I at least medical experts for corruption is very sad news: develop a medical expert, the public medical care is an important reason of the high quality medical resources in short supply, and corruption are eroding the these precious medical human resources. The crux, and cannot be confused. - Wu Shuai (doctor)
 
 
 
The original link: http://www.jkb.com.cn/news/commentary/2015/0209/361442.html