On the 17th, the Ministry of Health once again clearly punished doctors for accepting kickbacks. Accepting a large amount of commercial bribery may revoke their practice certificates. If they constitute a crime, they must resolutely pursue the criminal responsibility according to law.

Retrieving the deduction but not constituting a crime can be dismissed. Doctors are suspected of taking kickbacks and have recently become the focus of public opinion. Not long ago, a web site appeared on a website in Hangzhou, which revealed that dozens of doctors in several hospitals received kickbacks. The public report said that the relevant departments have been involved in the investigation. Earlier in October this year, the newspaper received an anonymous report that two doctors from the Beijing Cancer Hospital received rebates and bribes from medical representatives and sent a video CD and text materials.

On the 17th, the Ministry of Health website forwarded a Notice of the Ministry of Health on Further Deepening the Work of Commercial Bribery in the Field of Purchasing and Selling of Pharmaceuticals (hereinafter referred to as the “Notice”) issued in June this year. The notice stated that health administrative departments and medical and health authorities at all levels Institutions must strictly deal with those who receive commercial bribery according to law.

Among them, for those who accept commercial bribery but have not violated the criminal law, the health administrative department or the unit to which they belong, according to the circumstances, gives notice of criticism, cancels the current year's appraisal, appraisal of qualifications or postponement, dismissal of employment, until the dismissal, and the corresponding party discipline. Disposition. For cases of large amounts of business bribery, long periods of time, and serious circumstances, warnings are given depending on the circumstances and the practice is suspended until the practice certificate is revoked. If it constitutes a crime, it must be promptly transferred to the judiciary and its criminal liability must be pursued in a firm and determined manner.

Hospitals are not allowed to provide drug information to medical marketing personnel. Doctors often have a direct relationship with drugs using certain brands. In the notice, the Ministry of Health also believes that the control of commercial bribery in the field of pharmaceutical purchase and marketing is to control medical expenses, ease the difficulty of medical treatment for the general public, and provide medical treatment. Actual action of your problem. The circular emphasized that without authorization, the party may not be allowed to reorganize the company for commercial purposes. The so-called "comprehensive party" for commercial purposes means that the medical marketing personnel is provided with information on the amount of clinical drugs used by doctors or departments within a certain period of time. This provides convenience for the distribution of drug rebates.

The notice requires that, in case of violation of the regulations, without authorization, the “Registration” or “comprehensive” for commercial purposes, not only must the parties strictly deal with the case, but also seriously investigate the responsibility of the hospital’s relevant leaders and department heads.

In provinces that have established notification requirements for bad records of medical bribery within the year, there is no province that has established a system of commercial bribery bad records. This year, it is necessary to establish a system of commercial bribery records in the administrative region and the field of pharmaceutical purchase and marketing. Enterprises and individuals that pay bribes must be promptly included in the bad records of local commercial bribery and be announced.

If drug companies are included in the bad records, they will lose the eligibility for provincial-level drug procurement, and will not accept any of their products to participate in centralized procurement within 2 years; the provincial (district, city) medical institutions will not be able to achieve any name within 2 years. In any form to purchase its medicines, medical equipment and medical consumables.

â–  Doctor's point of view "The distribution of income does not reflect value"

According to public information, since 2006, the country has begun to investigate medical bribery cases in the health system. However, for many years of investigation, why did medical bribery continue? Yesterday, a doctor from a top-three hospital with 30 years of experience in medicine analyzed the reasons.

"I strongly oppose the act of collecting medical rebates. I myself have never received a medical rebate," said the doctor. "But the existence and repeated prohibitions of this phenomenon have also reflected the pricing and circulation of pharmaceutical products to a large extent." The institutional design of the link is not comprehensive, the doctor's income distribution system is unreasonable, the operation of the medical institutions and the imperfections of the regulatory system, etc., and it is difficult to fundamentally change in the short term."

"The manifestation of the doctor's value has been distorted for a long time. This is an objective fact recognized by the government and society," said the doctor. It will take at least 10 years for an undergraduate student to become an independent specialist. However, many doctors who have just been assigned to the hospital have a monthly salary plus bonus of only 2,000 yuan and a good hospital costs more than 3,000 yuan. Ten years of top domestic experts are working in a tertiary hospital in Beijing. The income on the payroll is only 4,000 to 5,000 yuan. Even with various incomes such as various allowances, bonuses, and expert outpatient fees, it is not as good as a monopoly. The income of the average middle-level business person.

He believes that in our country it does not reflect the value difference between doctors, who are particularly knowledgeable, high-tech, high-intensity, and high-risk occupations. It is in this context that some doctors take kickbacks. “Some doctors have the psychological problem that they use rebates to make up for their lack of income.” He believes that another reason why medical bribery cannot be eliminated is that there is room for rent-seeking in the community.