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医疗界反腐亟须堵住“系统漏洞”--亲稳舆论引导监测室
2012-07-13
据报载,广州检方正在办理9宗超声波医疗设备采购贿赂案件,涉及中直机关内设医院和省市区各级别的医疗机构,个人单笔受贿数额有的高达上百万元。其中,省人民医院有多名医务人员涉案,目前至少有2名科室负责人被批捕。
The journal,Guangzhou prosecutors is being dealt with 9 cases of ultrasonic medical equipment procurement bribery case,Involve ZhongZhi organs set in China hospital and at all levels of a medical institution,Personal single pen bribery as high as yuan some amount。Among them,Provincial people's hospital has more than medical personnel involved in the crime,At least two department chief have been arrested。
这是广东医疗系统反腐“地震”的又一案例。此前,深圳13家医院9名正(副)院长和7名科室负责人腐败案,南方医院护理部主任和3名护士长涉嫌受贿120多万元案,增城市医疗卫生单位和医药供应商近50人涉案金额1300多万元案等大案接连被查,足以证明医疗系统是商业贿赂的重灾区之一。
This is the guangdong anti-corruption medical system“The earthquake”And a case of。after,Shenzhen 13 hospitals is nine(vice)Dean and seven corruption in the department head,The director of the hospital nurses and three the head nurse suspected of having taken bribes in more than 120 yuan case,The city medical treatment unit and pharmaceutical suppliers nearly 50 people involving a value of more than 1300 yuan, after the big in check,Medical system is proof enough of the commercial bribery one of the worst-hit areas。
商业贿赂并非医疗系统独有,但因医疗机构腐败涉及重大民生及人命关天而更为可怕。如超声波等价格不菲的医疗设备,加上巨额商业贿赂而抬高成本,最终以医疗检测费方式转嫁到患者身上,引发医院过度医疗、重复体检、收费高昂,导致百姓“看病难、看病贵”。再者,医生收受药品商贿赂、吃回扣而开“大处方”、滥用抗生素等祸害就与药品采购背后的利益链密不可分。
Commercial bribery is not unique to the health care system,But for medical institutions involved in corruption and human life and more important the people's livelihood terrible。Such as ultrasonic, the price does not poor medical equipment,With huge commercial bribery and drive up the cost,Finally to detect cost way medical passed on to patients,Cause excessive medical hospital、Repeat medical、Charge high,Lead to people“Difficulties in getting、High cost”。moreover,The doctor from drug business bribes、ChiHuiKou and open“DaChuFang”、The overuse of antibiotics and drugs such as purchasing the scourge of the interests behind chain are inseparable。
事实上,医药界商业贿赂几乎是尽人皆知的“秘密”。药品、医疗设备集中招标采购的本意是降低药价与治疗成本,而在实际操作中却变形走样,贿赂黑手伸入其中,医院里从院领导、药剂科负责人到开处方的医生、护士等层层利益均沾,从而形成一条大家心照不宣的腐败食物链。某些医疗设备商抬高供应价之后,甚至将利润的一半用于贿赂,其腐蚀力之大可想而知。
In fact,The industry of commercial bribery is a well-known almost“secret”。drug、Medical equipment centralized bid procurement is meant to reduce drug prices and treatment costs,But in practice but deformation its shape,Bribery black hand stretch into them,Hospital from the institute leader、Of pharmacy department to a prescription for the doctor、The nurse, layer upon layer the took interests,So as to form a all the corruption of the unspoken food chain。Some medical equipment business GongYingJia up after,Even the profits to half for bribes,The FuShiLi great cans be imagined。
应该说,面对商业贿赂的侵蚀,卫生部门和医疗机构也曾采取诸多应对举措,如药品招标、处方审查、限期上缴回扣、严查吃回扣行为等等,但是,医疗系统腐败案屡屡浮出水面,证明现行的药品、医用耗材、医疗器械的定价、招标采购等制度落实方面仍存在诸多漏洞,某些制度防范被轻而易举攻破。
Should say,Facing the erosion of commercial bribery,Department of health and medical institutions are also used to take many measures to deal with,Such as drug bidding、Prescription review、Deadline over kickbacks、ChiHuiKou attracted behavior and so on,but,Medical system on corruption in the surface,Proof of the drug、Medical consumable、Medical equipment in the pricing、The tender procurement, implementation of the system still has a lot of holes,Some system prevention against easily。
同样令人忧虑的是,对医疗系统的日常监管依然严重缺位。一个典型例子是,番禺区检察院披露在立案侦查的5起医疗受贿案中,竟无一起是医院纪检部门发现的。甚至出现部门领导将科室上缴销售商贿款据为己有,而医院纪检部门却一无所知的怪事,可见监督制度形同虚设。
Equally disturbing is,The daily supervision to the medical system are still serious vacancy。A typical example is,Panyu district procuratorate disclosure in done so 5 cases of medical bribery case,But with no discipline inspection department of hospital is found。Appear even department leaders will department shall be turned over to vendors bribes in his pocket,The hospital disciplinary inspection departments are ignorant and strange thing,Visible supervision system was largely invisible。
在医疗系统腐败案集中暴露而令人震惊之余,不能不正视如何堵塞漏洞、切除腐败病灶的问题。除了加快医改步伐、推进公办医院公益性回归的进程之外,及时从制度设置完善与执行上堵住漏洞首当其冲。包括推进公立医院的医、药分离,对药品、耗材、器械招标采购环节严密把关,监控医院和使用科室对设备配置和参数的决定权以消除“定向招标”留下“灰色空间”,这些都是必备的工夫。
In the medical system on corruption in the exposure and shocking more than the,Have to face how to loopholes、Excision of the lesion corruption。In addition to speed up the pace of cure、Promote public hospital outside of public welfare return process,In time from perfect and implement the system Settings brunt over the hole。Including advancing of public hospital medical、Medicine separation,To drug、consumables、Equipment for bidding links to control tight,Monitoring hospitals and use of equipment configuration and parameters of the department's decision to eliminate“Directional bidding”left“Gray space”,These are the necessary work。
其次,如何施以更有效的监管也非常重要。有些医生、特别是名医,门外总守着一群疑似销售代表的“皮包客”,这是否存在“公关”内幕?由药企赞助的医疗研讨会、出国考察等,屡屡被揭存在利益输送,连老百姓都看出其中的门道,监管部门为什么都“睁眼瞎”?其实,只要想查敢查,线索或许都不难找。
second,How to inflict more effective supervision is also very important。Some doctors、Especially famous doctors,Always keep outside a group of suspected sales representative“Purse guest”,This whether there“Public relations”insider?Sponsored by the medicine enterprises medical seminar、Go abroad investigation and,Often there is lifted interest transportation,Even the people all knowing that one of the doorway,Why are the supervision department“Admit one”?In fact,If want to check dare to check,Perhaps it is easy to look for clues。
概而言之,医疗系统的腐败潜规则一次次大白于天下,加大深挖、打击的力度不可或缺,而唯有多管齐下,建立长效机制,彻底截断医疗行业不以为怪的利益输送链条,是最为关键的一环。这既是破解民众“看病难、看病贵”问题所需,也是保障民众生命安全所需。
compactness,The corruption of the medical system hidden rules out again in the world,Increase dig deep、The hitting strength indispensable,And only a multi-pronged,Establishing long-effect mechanism,Cut the medical industry don't think thoroughly the interests of the blame on the conveyor,Is the most crucial one annulus。This is both cracked the people“Difficulties in getting、High cost”needed,Also guarantees for people's life safety。
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