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| The medical representative was lost in the hospital by the "three rules"! |
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| Author：中國銘鉉 企劃部 Release Time：2017-8-18 11:10:18 Number Browse：684 |
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On August 18, the pharmaceutical network was "three rules" - only in time, place and contact, not allowed in the hospital free activities!
Yesterday (17), the website of the Shanghai health and family planning commission published "opinions on strengthening the construction of rebates for pharmaceutical products" (opinion). The document is jointly formulated by the Shanghai health and family planning commission, the national development and reform commission, the food and drug administration, the people's social service bureau, the finance bureau and the health insurance office.
▍ drug kickbacks rebound, means more subtle
For the management of drug kickbacks, from national level to local, issued the documents a lot: "on strengthening the construction of health family planning system enhancement of opinions", "to strengthen the construction of medical and health enhancement of" nine "is not allowed", "about the printing correct unhealthy tendencies in pharmaceutical sales and medical services in 2017 special governance work points to notice and so on.
When you hit hard, some people run away and stop. Someone took this opportunity to adjust the model; But others are "digging in and out of their mind". From the money to the indented trade, cash into a variety of forms of revenue, more and more covert.
It is estimated that officials also know the point.
The Shanghai opinion starts with:
Current pharmaceutical products kickbacks in some medical institutions rebounded, more diverse forms, means more hidden, serious harm the interests of the masses of the people and health family planning industry image, influence is very bad.
▍ medicine generation to be "three rules"
In this regard, the drug generation should be strictly controlled, and the free activities of the hospital should not be allowed in the hospital. Only in the prescribed time, in the prescribed place and in contact with the prescribed personnel. The three rules!
"Opinion" said: remember to put on record management to medicine, and is in accordance with the "armed with" (time, place, personnel, on record), improve and strictly enforce the internal medical institutions receiving a medical representative process. Strengthen the internal inspection system, strengthen the technical defense monitoring, and find out the medical representatives in time and place in time.
According to previous reports, some hospitals in Shanghai have taken face photos and files for drug generation, monitoring and identification, and found abnormal and determined drive away. Once a representative sent two pens to a doctor, the product was discontinued by the hospital. Obviously, it's not about getting the drug to be in contact with the doctor, at least in the hospital.
▍ evacuation, medicine generation will disappear from the hospital
In the case of Shanghai, cypress blue and an industry veteran made the discussion. He said that after the document was executed, most of the representatives would not have to go to the hospital, but the business would not be broken, how to do it, and would like to go!
"Most businesses now offer academics that doctors have no interest in," he says. Open a department meeting, most doctors are playing on the mobile phone, if it is not the picture point what, come not come!"
"The doctor USES the medicine of big factory of foreign company to treat, other manufacturer's do not hang some blood, who treat you! Give people the product, the relationship is good also listen to listen to, not iron, directly interrupt, wait for you to say the key."
"After this document is executed, you can only go to the doctor to talk about the product and record it at the prescribed time and place. Then there's no need to talk, waste both sides of the time, want to do things first, the method is many, completely need not go to the hospital!"
▍ judicial joint punishment, supervision departments of commercial bribery
This can yet be regarded as ra, but blue parker still believe that, with time, compliance will become mainstream, medicine generation as the role of academic information, will be more and more important, the premise is that companies have to provide doctors interested information.
In addition, Shanghai's opinion also mentioned that:
To make an appointment with the offending doctors and departments, serious treatment;
The prices of self-funded drugs should not be higher than those in Beijing, tianjin, zhejiang, jiangsu and guangdong provinces.
To establish business bribery in the field of pharmaceutical purchase and marketing, we should establish communication and joint prevention and control mechanisms with relevant departments such as judicial, supervision, industry and commerce, finance, food and drug supervision, etc.;
In respect of the joint disciplinary action of pharmaceutical companies that provide rebates on drug rebates...
Please read the attachment for details.
Attachment: opinions on strengthening the construction of rebate management system for pharmaceutical products (part)
District health and family planning commission, national development and reform commission, human resources, social security bureau, health department, bureau of finance, market supervision bureau, development center, the university, ZhongFuHui shen-kang hospital, municipal medical institutions:
Current pharmaceutical products kickbacks in some medical institutions rebounded, more diverse forms, means more hidden, serious harm the interests of the masses of the people and health family planning industry image, influence is very bad.
In combination with the actual situation of this municipality, we will further strengthen the construction of rebate management system for pharmaceutical products, and effectively rectify the unhealthy tendency of the health and family planning industry, and propose the following system construction Suggestions:
1. General idea (abbreviated)
Ii. Work objective (abbreviated)
3. Working principles
(1) adhering to the problem orientation and guiding the goal. Against malpractices, both for the industry, and highlight the "key areas" and focus on pharmaceutical products of kickbacks process of organizations, people, places, actions, such as key areas, from the key link, vigorously promotes the management and specifications. Focusing on the requirements of the target, combining the practical and innovative work methods, the implementation of the project will be carried out.
(2) insist on the unification of the current and the construction. In accordance with the law, we have issued a strict investigation on the issue of non-convergent, unrecluded, in response to the problems, and in the case of the people who have strongly responded to the cases of pharmaceutical products. Aiming at the key areas and key links, the characteristics and laws of the construction of health family planning system are found, and the long-term mechanism according to law is formed.
(3) we should adhere to the principle of unity between prevention and responsibility. Prevention, strengthen the responsibility, strengthening discipline and grasp early small, responsibility, discipline, stand in the front of the all the work, prevention and medical services in pharmaceutical sales and commercial bribery.
Main tasks
(1) strengthen the construction of pharmaceutical committee and strengthen centralized management of pharmaceutical products. Improve the medical institutions of pharmaceutical affairs committee organization structure and working system, strengthen the system of collective discussion of major policy decisions, regulate drug selection process, to strengthen the medical institutions and drug selection, procurement, supervision of centralized and unified management, to promote rational clinical drug application. (led by the municipal health and family planning commission)
(2) improve the prescription review system and improve the level of rational drug use. Establish and improve the systematic, standardization and continuous improvement of medical institutions prescription review system, implement the dynamic monitoring for prescription and extraordinary warning, standardize the implementation of the prescription reviews, strengthen prescription comment on the results of the public, assessment, rewards and punishment, appointment and other system, enhance the level of rational drug use. (led by the municipal health and family planning commission)
(3) establishing unreasonable medical insurance, health joint appointment and long-term working mechanism. Of city, district, three levels of medical institutions joint working group, a smart form, director of the department, the hospital leadership to the doctor three levels of questioning, for alleged violations of the physician, department and the relevant person in charge of the medical establishment that decide a dot, joint interview; The rectification and rectification after the meeting is not effective, and the treatment should be dealt with in a serious way, which will be related to the management of the hospital, the credibility of practicing doctors and the evaluation indexes of the hospital. (led by the municipal health insurance office)
(4) strengthen self-funded drug administration and standardize the procurement and use of self-funded drugs. Medical institutions to use their own drug must pass "medicine procurement services and regulatory information system" in Shanghai purchasing, and fully implement the "variety hang net directly, clinch a deal price agreed" measures for the net purchase of the purchase price shall not be higher than Beijing, tianjin, zhejiang, jiangsu, guangdong provincial drug procurement platform of the purchasing price. Medical institutions should strengthen own drug use management, strictly implement the system presented patients, improve the clinic and hospital medical records and electronic medical records recorded at his own expense of drug use, will be used when patients go to a doctor of all drugs and devices in the internal management of the hospital for patients of all medical expenses incurred shall be issued corresponding notes according to provisions of relevant financial and management. All medical expenses and details of the project should be uploaded to the medical insurance settlement system according to the regulations. (led by the municipal health insurance office)
(5) strengthen the use of informationization management of drugs and monitor the use of drugs. On the basis of the current prescription drug dosage, compatibility and adverse reaction intelligence, the medical staff will further enhance the function of practicing behavior. For management, the establishment of information real-time monitoring, dynamic monitoring, early warning function with supernormal, and the amount of single varieties, amount of weekly and monthly publication "double, double, double monitoring", timely remind warning. We will improve the hierarchical management of information platforms and prevent illegal parties. (led by the municipal health and family planning commission)
(6) strengthen the reception management of pharmaceutical production and operation enterprises of medical institutions and standardize the behavior of medical representatives. Standardize medical representative reception, a medical representative register put on record management, and in accordance with the "armed with" (time, place, personnel, on record), improve and strictly enforce the medical institutions internal receiving a medical representative process. Strengthen the internal inspection system, strengthen the technical defense monitoring, and find out the medical representatives in time and place in time. (led by the municipal health and family planning commission)
(7) to implement the bad record of commercial bribery in the area of pharmaceutical purchase and marketing in this municipality, and standardize the behavior of pharmaceutical purchase and marketing. When a medical institution signs a purchase contract with a pharmaceutical production and operation enterprise and its agent, it must sign a clean purchase and sale contract at the same time. Set up the bad record information to be sent to the system. In the two years, the public medical institutions in this municipality shall not purchase pharmaceuticals, medical equipment and medical consumables. To make a comparison system for the medical institutions and personnel receiving commercial bribery. Establishment and justice, supervision, industry and commerce, finance, food and drug supervision and other relevant departments of communication and defense spreading mechanism, information and notify each other pharmaceutical sales field of commercial bribery case investigation results, the rule-breaking drug kickbacks from pharmaceutical companies to implement joint discipline, forming a faithless, limitation. (led by the municipal health and family planning commission)
5. Work requirements
(1) to effectively strengthen leadership. (abbreviated)
Improve the long-term mechanism. (abbreviated)
(3) to strengthen supervision and inspection. (abbreviated)
Shanghai municipal health and family planning commission Shanghai development and reform commission
Shanghai municipal human resources and social security bureau Shanghai food and drug administration
Shanghai finance bureau Shanghai medical insurance office
August 15, 2017 |
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