The personage inside course of high cost

disclosure three medical kickbacks trick behind

Legal network reporter ZhaoLi

Zhejiang wenzhou again exposed to the door ":" rake-off on June 8 days afternoon, a net friend in wenzhou a BBS admiral, its company in March 2011 with a hospital in wenzhou medical school, FuEr hospital to get a brain use of static needle kickbacks statistics, 134 doctors earthly desirables made public by means accepting rake-offs.

The news was a "heavy bomb", will be in the field of medical health again unspoken rules topic in out.

Check was "decomposition" or "pack"

According to guangzhou, guangdong province public opinion research center in late march "guangdong province city of medical service evaluation survey", and in the public who guangzhou, shenzhen, dongguan, guangdong province of 10 cities in 2490 people, as many as 74.3% of Chinese people have been through medical unspoken rules.

Investigation shows, four of the residents surveyed said they were "residents into additional inspection"; 32% of respondents said experienced "binge open your medicine"; When go to a doctor, suffered from "interrogation rush", "fee standards don't open opaque", "fees" and "receive" red envelope '", "try to use the imported drugs" respectively 29.7%, 28.1%, 22%, 18.7%, 10.8%. And, since the cure of respondents reflect, the medical industry appear "less treatment, check", "little prescriptions, the phenomenon of" operation.

"The masses reflected in a certain degree is real. At present, in the hospital there have been some so-called unspoken rules, and the formation of the unspoken rules with related benefits received." Work in a hospital of Beijing, engaged in auditing work to the JiangHua legal daily reporter revealed that she knew more than "fee" trick:

Take used to examine the tumor lesion of the mri (magnetic resonance) check for, according to relevant provision, imaging examination is 850 yuan each time according to the charges, and the $850 is all part of the check, that is, check the whole body and NMR imaging examination alone or chest abdomen, price are the same. Some doctors in order to collect fees more, should have a check of the mri decomposition, we call this "decomposition check," which is recent relatively new to collect fees more means. For example, patients want to do today, then have an inspection selfishness "the doctor is likely to the patient said," let's do it today abdominal check ". Check after says no problem, the second day may be to do other parts of the inspection. Actually, these patients can check in an examination of one time.

The above it is charging decomposition, and a charge of method is the "pack" fees. Now checking is the medical examination, for example, biochemical series, liver function series, etc. If the patient need to check the series in a, then to the related check whether need not need, have been "by the" do it together. For example, the patient may biochemical series only need one of several test results, but that a pack of come out is more than ten assay inspection.

Have the medicine the doctor favored by the commission

"In fact, because of the existing drugs has been triggered a rebate, a series of adverse reactions, clinical use of antibiotics is a more typical example." The medicine more than 20 years of the Beijing doctor HuangKai told the legal daily reporter, health ministry office recently issued about do the clinical application of antimicrobial special of the campaign, the notice, "should be issued such notice, and carry out special regulation is due to some activities, because existence kickbacks phenomenon, antibiotics drugs cause some doctors abuse antibiotic, cause patients resistant bacteria, form the nosocomial infection."

When the legal daily reporter can cite specific examples put forward or further detail, HuangKai said: "this involved medical field in some within the inconvenience said things, too, can only outline the detail."

Antibiotic use problem is bad old topic, especially in recent years, have of Tennessee. This problem is more outstanding, is for some existing high drug rebates.

At present, the adverse use of antibiotics is mainly shown in two aspects: first, is equally effective in several antibiotics, the doctor first choice is a kickback antibiotics, this kind of antibiotics most is domestic. Some imported because have the relevant system antibiotics in regulation, drug companies not the money to do with rebates. In this case, for doctors kickbacks, no antibiotics is "to make the white that also"; And use other drugs may also be "by the" earned income, so the use of antibiotics have kickbacks can be said to be "super" a lot of. As far as I know, the hospital there have been such a situation, in a period of time, a kind of antibiotics usage of "advance by leaps and bounds," and other similar antibiotics but with the fixed. By this time, some hospitals will give antibiotics "queuing", such as a month to the same kind of antibiotics for a ranking of the dosage, the first in line of the antibiotics "kicked out", the purpose is the same sort of antibiotics to other way, for always can't let those without rebate of the amount of antibiotics "lousy" in the warehouse.

Those practices, won't cause antibiotic resistant bacteria etc problems antibiotic resistant bacteria is the problem this way: the second way is "shouldn't use of still use". Antibiotics is mainly used in clinical, but not all operation need to use antibiotics. For example, Ⅰ types of surgery is the most clean wound surgery, such as thyroid tumor resection of the pure, this kind of operation has wound is very clean, so basic don't need to use antibiotic, even preventive antibiotics can also need not. But in order to "a lot" use of antibiotics, even if in the wound is clean, some doctors surgery of the will to prevent infection to the name of the use of antibiotics, what is more, use commonly 24 to 48 hours, it should be discontinued antibiotics have been used to the patient, can discharge so far. And, individual doctors in overtime drug use, but also use advanced other antibiotics. Antibiotics are divided into a line, second line, three lines, three lines of antibiotics is the highest level. For example a line with medicine is enough to treatment and individuals but use second line or even three line, the cause of the antibiotics only one-kickbacks, because often is much higher levels of the drug kickbacks.

It is because of the general office of health issued trick, above the regulation antibiotics use the notice, clearly define the qualification of what the doctors used a line, the second line of antibiotics, three line special medicine must be senior professional title of doctors to use, this, to a certain extent, prevent abuse. At the same time, the ministry also the use of antibiotics in the time requirements, and some operation regulations cannot use of antibiotics.

Medical equipment "bidding meeting" ZouGuoChang

"Now of medical price system is' NaoTi hangs upside down"." Guangdong guangzhou department of a hospital director wang hao to accept the legal daily in a telephone interview from the current medical treatment cost of patient structure analysis, drugs and medical devices are big head, their prices to a large extent, on the cost of the crowd to see a doctor.

Medical equipment "worth", has made no secret of the relevant departments for the solution of the problem is also frequently come out various measures. But, the so-called "policy distorted policy-implementation. A marketer in the medical circle in the past 20 years of this way to the professor is legal daily reporter about:

In order to effectively control medical equipment enter the hospital, the relevant departments of the rebate medical equipment procurement provisions to ZhaoBiaoZhi. By the third party bidding company organization of the bidding work, must have three and three more companies participate in bidding to just go, but also in the bid process but also the way the selected senior experts on the site to select a final score review, the pharmaceutical companies. My role as is one of the review scores to work.

In fact, in three bid unit, who won the bid before sure about has already set, the other two is the so-called "with standard" company. This "with standard" is not sure, such as the market in Beijing, the same similar medical consumables has a, b, and c 3 companies can provide it, in a so-called bidding process, a company in advance and the temporary hospital, "and conquer" down, then the second, third to "with standard". And in the later bidding process, three companies take turns the winning, take turns "with standard".

In addition, although choose expert is the way of the draw, but also have no supervision mechanism. The general situation is, the third party bidding company with which several experts familiar, call which several experts to, so in the bidding of all is that several "old face". And experts, is also mutually understand without saying, and into the door also to ready to purchase medical equipment to hospitals ask: "you think a company is better?"