最近两天，一条“去药店买药要蹲下来，性价比高药物都在下面”的微博引起大家的广泛关注。许多亲自去药店验证的网友表示，去药店买药，还真是要蹲下来，同样的药物，显眼位置摆放的要比药架底层摆放的贵好几倍。按理说，商有商道，药店怎么摆放药品是自己的自由，但老百姓去药店蹲下来才能买到平价药，总让人觉得别扭。 The last two days,a"Went to a chemist's shop to buy medicine to squat down,Cost-effective drugs are on the bottom"Micro bo cause everyone's attention.Many personally went to a chemist's shop for verification of the net friend said,Went to a chemist's shop to buy medicine,Really want to squat down,The same drug,Conspicuous position put than medicine rack bottom put your several times.By rights,Company has its,Pharmacy how to put the drug is own freedom,But people went to a chemist's shop squat down down to buy parity medicine,Always make people feel uncomfortable.

　　“54%的医生表示曾有过接受药品回扣的行为，还有39%的人说曾接受医药公司的会议资助。”在第二届中美健康峰会上，中华医学会党委书记饶克勤以此来证明中国医疗行业职业道德建设的必要性。据称，这一数据来自一项名为“透视医生调查”的研究。

"54% of the doctors said they had had to accept drug rebate behavior,And 39% said have received a pharmaceutical company meeting aid."In the second china-us health summit,The Chinese medical association secretary of the party committee RaoKeQin as evidence that China's medical industry professional ethics construction necessity.it,The data come from a named"Perspective the survey"research.

　　饶克勤没有就上述研究展开详细阐述，不过，这却足以形成冲击力。关于医生收受回扣的传闻在中国早已有之，零星个案也常出现在媒体版面上，但是这种行为在医生群体中到底多大范围内存在着却始终是个谜。

RaoKeQin not the above research on detail,but,This is enough to form impact.About the doctor accepting rake-offs speculation in China have already,Sporadic case also often appear in the media on the page,But this kind of behavior in the doctor group exactly scope but there is always a mystery.

　　本届中美健康峰会的主题是“卫生改革：如何有效发挥政府监管、市场竞争以及职业精神的作用”。在峰会的“专业素养与职业精神”板块，饶克勤是主要发言人之一。

The health is the theme of the summit between China and the United States"Health reform:How to effectively play the government supervision/The market competition and professional spirit the function".At the summit"Professional quality and professional spirit"plate,RaoKeQin is one of the main speaker.

　　他对比了2008年第四次国家卫生服务调查和2011年国家医改进展监测报告的数据，认为医改3年以来我国城乡居民医疗服务满意度有所提高，对门诊和住院服务不满意的比例降低。但也面临挑战：部分地区医患关系紧张、医德滑坡。

He compared the fourth time in 2008 national health services survey and 2011 national medical progress monitoring report data,Think reform, 3 years since China's urban and rural residents increased medical service satisfaction,For outpatient service and be in hospital service is not satisfactory ratio to reduce.But it also has confronted with challenges:Parts of the tense doctor-patient relationship/Medical ethics landslide.

　　医患关系紧张突出表现在医患冲突比例上升。数据显示，2008年～2011年，医生遭遇暴力袭击从3.7%升到4.5%，语言侮辱从22.1%升到27.3%。其中一些恶性案件更是举国震惊。比如，北京同仁医院医生徐文被砍，哈尔滨医科大学附属第一医院实习医生王浩被杀，皆令人错愕。

The doctor-patient relationship nervous outstanding performance in the doctor-patient conflict ratio rose.Data display,In 2008 ~ 2011,The doctor encountered violent attacks jumped to 4.5% from 3.7%,Language insult from 22.1% up to 27.3%.Some of the malignant cases but also the whole nation shocked.For example,Beijing tongren hospital doctor XuWen was cut,The first affiliated hospital of Harbin medical university practice doctor wang hao were killed,Is overwhelming all.

　　究其原因，有评论认为，医药费自费比例高、医患之间存在认知差距、“医闹”兴风作浪、执法人员执法不力等都难逃干系，当然“部分是医方的责任”。中华医学会会长钟南山说，医患关系紧张，就医方而言，缺的非技术而是医德。

Investigate its reason,Critics think,Medical expenses at one's own expense ratio is high/Doctor-patient exist between cognitive gap/"Medical trouble"Make waves/Law enforcement personnel weak law enforcement, etc are supposed to do,Of course"Part is the responsibility of the pin".The Chinese medical association said zhong nanshan,Stress hospital patient relationship,Just as required,Missing unskilled but medical ethics.

　　饶克勤表达得较钟南山委婉。他说：“当前，患者和医生都对医疗职业道德建设有较多关注，例如有些患者关注医生服务态度和责任心普遍下降、过于看重金钱等问题。”而后，他引用了本文开头的研究结果。

RaoKeQin express more euphemism zhong nanshan.He said:"The current,Patients and doctors on medical professional ethics construction have more attention,For example, some patients pay attention to the doctor service attitude and sense of responsibility generally decline/Problems such as being too concerned with money."then,He quoted the beginning in this paper the results of the study.

　　事实上，和医生遭遇的暴力事件相映衬的正是医生道德败坏、收受回扣的各种丑闻。最近的一起是北京东方医院副主任医师尚宪荣被爆组建利益团队，大肆收受医药公司的回扣，短短数月就有60余万元入账。爆料者提供了5段录音为证。之前，深圳、珠海等地的法院则宣判了医院系统贪腐窝案。卫生部也曾通报过多起“医药购销领域商业贿赂典型案件”。

In fact,And doctors encounter violence against phase is the doctor squalor/Accepting rake-offs various scandal.Recent together is Beijing Oriental hospital of doctor of vice director of blasting ShangXianRong established interests team,A pharmaceutical company accepts the rebate,Just a few have more than 60 ten thousand yuan enter an item in an account.The blackout provides 5 recording is witness.before,shenzhen/Zhuhai, the court sentenced the hospital system corruption case nest.The ministry of health has the report too much"Pharmaceutical sales field typical commercial bribery case".

　　在饶克勤看来，医德滑坡也是多方面原因所致：医学科技发展与医学人文的分离，使得医者更多关注医疗技术而不是病人；市场机制的不足与过度市场化导致利益为先、利润最大化与敬佑生命、医乃仁术的职业精神相冲突；制度设计缺陷与激励机制扭曲，尤其是价格机制(医者的劳动价格严重低估，与市场价值相背离)和补偿机制(按项目、按药品加成导致诱导需求、过度医疗)。

In RaoKeQin seems,Medical ethics landslide is caused by many factors:Medical science and technology development and the separation of medical humanities,Make healers more attention to medical technology instead of the patient;The shortage of the market mechanism and excessive marketization leads to interests first/The profit maximization and JingYou life/Medical is dedicated professionalism phase conflict;System design defects and incentive mechanism distortion,Especially the price mechanism(Healers labor price underestimated badly,And the market value phase deviation)And compensation mechanism(According to the project/According to the drug addition cause induced demand/Excessive medical).

　　许多医生倾向于认为，自己并非失德，而是现行制度“逼良为娼”。政府在医疗服务定价时无视医生的价值，却允许医院从药品销售中获得利益。这就不能在道德上苛责医生了。

Many doctors tend to believe that,You are not lost DE,But the current system"BiLiangWeiChang".The government in the medical service pricing in the value of the doctor,But allow hospital from drug sales gain profit.It is not in the moral excoriation doctor.

　　饶克勤说，医生职业道德实际上是一种社会契约，作为其履行责任的回报，医者被授予一定的权利与特权：一份较高和有保证的收入(社会平均工资3～5倍)、职业准入的控制或必要条件，以及行医的自主权、得到其他社会成员的尊重和信任。同时，社会契约是对医患双方的约束：如果不遵守或履行职责，医者的权利将被解除或收回；如果社会不能提供履职的回报，医者可能不再履行其责任；期望的职责或权利都会随着时间而变化，导致契约的解除。

RaoKeQin said,The doctor professional ethics in fact is a kind of social contract,As the performance of an obligation returns,Healers was awarded the certain rights and privileges:A higher and guaranteed income(Social average wage 3 ~ 5 times)/Professional access control or necessary condition,And doctor autonomy/Get other social members of the respect and trust.At the same time,Social contract is to doctor-patient both sides of the constraint:If you don't follow or perform their duties,Healers rights will be lifted or back;If society cannot provide resumption returns,Healers may no longer perform their responsibilities;Expect duties or rights will changes with a time,Lead to termination of contract.

　　“关键是我们的制度安排鼓励医者做什么样的人，解开医患关系‘死结’，既要从利益入手，更要导入职业道德与核心价值的正能量。”他期望医生要牢记新世纪医师职业精神的基本原则：一、将患者利益放在首位；二、患者自主；三、社会公平。(记者董伟 刘世昕)

"The key is our institutional arrangement to encourage healers do what kind of person,Untie the doctor-patient relationship‘Fast knot’,Both of the interests,To import more professional ethics and core value of the positive energy."He expects the doctor to remember the new century physician vocational spirit of the basic principles:a/Patients will be benefit to put on the first place;two/Patients independent;three/Social justice.(Reporter DongWei LiuShiXin)