Medical network - January 5, recently, with the CCTV revealed medical shady, drug kickbacks instantly become the focus of public opinion. And in addition to the drug kickbacks, medicine generation of bribery problem, now, excessive medical treatment, the problem of excessive doctor also is pushed to the forefront.
▍ more than 5000 doctors treated!
, the lanzhou morning post reported health and family planning commission recently reported in gansu province, the province more than in secondary hospitals to strengthen the supervision of professional power such as diagnosis and treatment, the right of toll collection, nearly five years has more than 5000 doctors because of excessive medical treatment and so on were given ChuFangQuan restrictions or record bad performance, fines, and reduce the title, discipline, etc.
In fact, as early as in 2015, who in henan development planning commission will release bulletin, henan tertiary hospital, secondary hospital, comments on prescription nearly 3 million copies, responsible for unqualified prescription treatment 17000 person-time, most of them are financial penalties, ChuFangQuan 19 people have been suspended.
For the pharmaceutical industry, the doctor prescribing kickbacks, from CCTV exposure recently pharmaceutical trade representative and the doctor's diagnosis, can reflect this already is nothing new. The doctor in order to get more commission, one of the most direct way to prescription. After years of renovation, excessive still flush from time to time. Some hospital doctors, actually acted as a certain drug firms "salesman" and for hospital profit "marketing".
▍ excessive serious harm
The dangers of excessive, the most direct rough, is to increase the burden of patients.
Recent best-selling book "100 kinds of large public excessive medical treatment", the Japanese medical room well reporter Chen counted the association of American physicians, one hundred kinds of "excessive medical behavior" published do meaningless chest radiograph, mild head trauma and CT imaging, with antibiotics to treat a cold, fever do, abuse of prostate cancer, PSA (prostate-specific antigen) to check, for the future life less than 10 years of people for cancer screening, etc.
And as early as six years ago, the xinhua news agency has exposed a piece of "expensive medical" event - room with repeated billing, excess prescription, perhaps only in the industry to see why, and even death in patients with 10 days later still produced a XiYaoFei; More than 40 days hospitalization medical expenses as much as 330000 yuan, the average daily cost up to 8000 yuan.
After the panel survey that use 10 kinds of antibiotics in the treatment process of the communist party of China, including cefoperazone, vancomycin, Thai, etc., the use of antibiotics pertinence is not strong, owe specification, more high-grade, replace antibiotics without a clear basis, large dosage, antibiotic use undeserved.
This is excessive in the tip of the iceberg in the actuality, influence more profound, is the abuse of antibiotics.
Figures show that China is antibiotic use power, antibiotics sales reached 138 grams per person in China, 10 times for us. The analysis thinks, the abuse of antibiotics is one reason the excessively rapid growth of medical expense.
Well-known infusion curative effect quickly, so the doctor will use some certain tone tell patients, oral medications can open, but only the infusion is treatment. In fact, if excessive infusion, we will be more and more dependent on antibiotics, no medicine can cure to some of the bacteria.
▍ national wide sweeps the doctor to start!
The personage inside course of study says, after CCTV exposure for drug kickbacks, 2017 medical anti-corruption storm or will be more fierce. According to national regulation, from the hospital, to dean, to the doctor, the medicine, the medicine, a cannot little!
From the state to the provinces for excessive blow, and work hard.
As early as in 2015 released by the general office of the state council "about perfecting public hospital drug centralized procurement guidelines" and released by the national health development planning commission on the implementation of the perfect public hospital drug centralized purchasing work notice guidance, is clear to the hospital to strictly control the excessive, will "focus on tracking monitoring auxiliary medication, hospital extraordinary use of drugs, to reduce the unreasonable drug use" as the important measure to standardize management of the hospital drug use.
In April 2016, the general office of the state council concerning the deepening medical and health system reform in 2016, notice the key task of public hospital reform pilot cities to list the specific listing, such as auxiliary, nutritional, and the price is unreasonable drug usage implement key monitoring, preliminary control unreasonable medical expenses growth momentum.
On the implementation of strict controls of excessive, the provinces developed monitored drugs directory and other supporting measures.
In August 2016, who in anhui province development planning commission published the catalog of key drug monitoring in the first half of 2016, which involved 50 kinds of drugs. Again in November, who in anhui province development planning commission issued the notice on strengthening the management of the monitored drugs, will further strengthen the public medical institutions focus on monitoring drug purchase, use and management. According to the requirements, in addition to the monitored drugs, also mentions the strict regulatory top 10 drug purchasing amount.
Released in December 2016, the health development planning commission of shandong province province in January 2016 to October drug distribution and purchasing information, the province's medical and health institutions listed online purchasing amount before 50 drugs. And said it would strengthen the healthcare agencies online drug purchase and clinical use of management, strict implementation of online procurement policy, monitor the clinical therapeutic drug use, exceptional use of the drug procurement, promote clinical rational drug use.
In addition to a large sales of the drug control, and directly to the doctor's supervision.
Recently, the fledgling of fujian province health office issued by the civil affairs of the province unified health care physicians code management notice, requires all the city divided into districts in the province after the medical insurance agency orgnaization by December 31st region code collection, summary and review health care physicians. After all the code into the Treasury, health care physicians code and every health care costs "binding", if the doctor prescribe medicine is unreasonable, the cost will be traceable to the individual. It is equal to give every doctor with "GPS", who opened the excessive, immediately expose the current.
The realignment of excessive national wide sweeps the doctor to start! In this process, the prescription will be including health development planning commission and the dual regulation of health department, and more and more strict. Because at that time, a large number of doctors or failed to timely, turned out to be the victim of the system, become criminals.
Once the doctor prescription by processing, by exposure, what do you think of the drug companies involved can be safe and sound? In a recent CCTV exposure after medicine generation of bribing doctors, related health development planning commission, was reported three new drugs is disabled, the processing of faces be investigated.
In the upcoming 2017, the national medical corruption will continue, or will be more strict. At that time excessive, may be easily knocked down the key to the doctors and drug companies. So, the doctor not only to defend excessive, the drug companies should also be away for a rainy day, and response in advance, otherwise is next to check, maybe is you! |
